Hospital Jacksonville, FL

St. Vincent's Medical Center-Clay County

St. Vincent's Medical Center-Clay County in Middleburg, FL publishes cash prices for 308 common procedures listed here, from its own machine-readable price file updated Jan 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Florida median for 272 of 301 procedures and above it for 25. By typical cash price it ranks #15 of 171 Florida hospitals and #2 of 13 hospitals in the Jacksonville, FL area, cheapest first. Select a procedure to compare it with other hospitals nearby.

1670 St. Vincent's Way Middleburg FL 32068 Collected Sep 22, 2026 Source price file Check a bill from this hospital (904) 602-1000

Acute care hospital Nonprofit hospital Emergency department CMS star rating 3 of 5 CCN 100321 · CMS hospital register NPI 1457690471

Financial assistance

Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply

St. Vincent's Medical Center-Clay County is a nonprofit hospital in the CMS register. Under section 501(r) of the federal tax code it must have a written Financial Assistance Policy with a free application, publish both on its website, and charge patients who qualify no more than the amounts generally billed to insured patients for emergency and other medically necessary care. Who qualifies depends on household income; the policy states the limits.

You can apply up to 240 days after the first bill. Before collection actions such as credit reporting or a lawsuit, the hospital must tell you about the policy and wait at least 120 days after that bill. Ask the billing office for the policy and the application before you pay, or search the hospital's website for “financial assistance”. Letters you can copy.

Source: IRS, section 501(r) requirements for nonprofit hospitals.

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Florida	Off list
Abdominal CT scan without and with contrast CPT 74170 CT ABDOMEN W/WO CONTRAST	$693.10	$1,873.25	$374.65–$764.00	83% below	63%
Abdominal CT scan without and with contrast CPT 74170 CT ABDOMEN W/WO CONTRAST	$693.10	$1,873.25	$374.65–$764.00	83% below	63%
Abdominal CT scan without and with contrast inpatient CPT 74170 CT ABDOMEN W/WO CONTRAST	$693.10	$1,873.25	$374.65–$764.00	—	63%
Abdominal X-ray, 2 views CPT 74019 XR ABDOMEN 2 VIEW	$174.46	$471.50	$70.60–$235.69	73% below	63%
Abdominal X-ray, 2 views CPT 74019 XR ABDOMEN 2 VIEW	$174.46	$471.50	$70.60–$235.69	73% below	63%
Abdominal X-ray, 2 views inpatient CPT 74019 XR ABDOMEN 2 VIEW	$174.46	$471.50	$70.60–$235.69	—	63%
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE COMP + 3 VIEWS LT	$206.83	$559.00	$75.77–$206.83	67% below	63%
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE COMP + 3 VIEWS RT	$206.83	$559.00	$75.77–$206.83	67% below	63%
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE COMP + 3 VIEWS RT	$206.83	$559.00	$75.77–$206.83	67% below	63%
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE COMP + 3 VIEWS LT	$206.83	$559.00	$75.77–$206.83	67% below	63%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR ANKLE COMP + 3 VIEWS LT	$206.83	$559.00	$75.77–$206.83	—	63%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR ANKLE COMP + 3 VIEWS RT	$206.83	$559.00	$75.77–$206.83	—	63%
Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 PBB CC EXT ART 1-2 LEVEL BILAT	$304.14	$822.00	$160.48–$1,027.50	—	63%
Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 PBB CC EXT ART 1-2 LEVEL BILAT	$304.14	$822.00	$160.48–$1,027.50	—	63%
Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 EXT ART 1-2 LEVEL BILAT	$437.99	$1,183.75	$160.48–$1,479.69	—	63%
Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 EXT ART 1-2 LEVEL BILAT	$437.99	$1,183.75	$160.48–$1,479.69	—	63%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 EXT ART 1-2 LEVELS BIL	$437.99	$1,183.75	$160.48–$1,479.69	29% below	63%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 VI EXT ART 1-2 LEVELS BIL	$437.99	$1,183.75	$160.48–$1,479.69	29% below	63%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 EXT ART 1-2 LEVELS BIL	$437.99	$1,183.75	$160.48–$1,479.69	29% below	63%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 VI EXT ART 1-2 LEVELS BIL	$437.99	$1,183.75	$160.48–$1,479.69	29% below	63%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 PBB CC EXT ART 1-2 LEVEL BILAT	$304.14	$822.00	$160.48–$1,027.50	—	63%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 PBB CC EXT ART 1-2 LEVEL BILAT	$304.14	$822.00	$160.48–$1,027.50	—	63%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 EXT ART 1-2 LEVEL BILAT	$437.99	$1,183.75	$160.48–$1,479.69	—	63%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 EXT ART 1-2 LEVEL BILAT	$437.99	$1,183.75	$160.48–$1,479.69	—	63%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 VI EXT ART 1-2 LEVELS BIL	$437.99	$1,183.75	$160.48–$1,479.69	—	63%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 VI EXT ART 1-2 LEVELS BIL	$437.99	$1,183.75	$160.48–$1,479.69	—	63%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 EXT ART 1-2 LEVELS BIL	$437.99	$1,183.75	$160.48–$1,479.69	—	63%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 EXT ART 1-2 LEVELS BIL	$437.99	$1,183.75	$160.48–$1,479.69	—	63%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UPPER EXT W/O CONTRAST LT	$601.44	$1,625.50	$235.69–$764.00	74% below	63%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UPPER EXT W/O CONTRAST LT	$601.44	$1,625.50	$235.69–$764.00	74% below	63%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UPPER EXT W/O CONTRAST RT	$601.44	$1,625.50	$235.69–$764.00	74% below	63%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UPPER EXT W/O CONTRAST RT	$601.44	$1,625.50	$235.69–$764.00	74% below	63%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT UPPER EXT W/O CONTRAST RT	$601.44	$1,625.50	$235.69–$764.00	—	63%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT UPPER EXT W/O CONTRAST LT	$601.44	$1,625.50	$235.69–$764.00	—	63%
Barium swallow (esophagus X-ray with contrast) CPT 74220 XR ESOPHAGUS	$419.77	$1,134.50	$192.25–$419.76	50% below	63%
Barium swallow (esophagus X-ray with contrast) CPT 74220 XR ESOPHAGUS	$419.77	$1,134.50	$192.25–$419.76	50% below	63%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 XR ESOPHAGUS	$419.77	$1,134.50	$192.25–$419.76	—	63%
Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE WHOLE BODY	$1,665.83	$4,502.25	$766.47–$1,665.83	34% below	63%
Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE WHOLE BODY	$1,665.83	$4,502.25	$766.47–$1,665.83	34% below	63%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM BONE WHOLE BODY	$1,665.83	$4,502.25	$766.47–$1,665.83	—	63%
Breast ultrasound, complete, one breast both sides CPT 76641 US BREAST UNILAT COMPLETE BI	$754.80	$2,040.00	$205.66–$754.80	—	63%
Breast ultrasound, complete, one breast both sides CPT 76641 US BREAST UNILAT COMPLETE BI	$754.80	$2,040.00	$205.66–$754.80	—	63%
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST UNILAT COMPLETE RT	$377.40	$1,020.00	$204.00–$377.40	35% below	63%
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST UNILAT COMPLETE LT	$377.40	$1,020.00	$204.00–$377.40	35% below	63%
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST UNILAT COMPLETE LT	$377.40	$1,020.00	$204.00–$377.40	35% below	63%
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST UNILAT COMPLETE RT	$377.40	$1,020.00	$204.00–$377.40	35% below	63%
Breast ultrasound, complete, one breast inpatient both sides CPT 76641 US BREAST UNILAT COMPLETE BI	$754.80	$2,040.00	$205.66–$754.80	—	63%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST UNILAT COMPLETE RT	$377.40	$1,020.00	$204.00–$377.40	—	63%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST UNILAT COMPLETE LT	$377.40	$1,020.00	$204.00–$377.40	—	63%
Breast ultrasound, limited (one breast or one area) both sides CPT 76642 US BREAST UNILAT LIMITED BI	$666.00	$1,800.00	$156.16–$666.00	—	63%
Breast ultrasound, limited (one breast or one area) both sides CPT 76642 US BREAST UNILAT LIMITED BI	$666.00	$1,800.00	$156.16–$666.00	—	63%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST UNILAT LIMITED RT	$333.00	$900.00	$156.16–$333.00	36% below	63%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST UNILAT LIMITED RT	$333.00	$900.00	$156.16–$333.00	36% below	63%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST UNILAT LIMITED LT	$333.00	$900.00	$156.16–$333.00	36% below	63%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST UNILAT LIMITED LT	$333.00	$900.00	$156.16–$333.00	36% below	63%
Breast ultrasound, limited (one breast or one area) inpatient both sides CPT 76642 US BREAST UNILAT LIMITED BI	$666.00	$1,800.00	$156.16–$666.00	—	63%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST UNILAT LIMITED RT	$333.00	$900.00	$156.16–$333.00	—	63%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST UNILAT LIMITED LT	$333.00	$900.00	$156.16–$333.00	—	63%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CT ANGIO ABD/PELVIS W/WO CONTRAST	$647.32	$1,749.50	$349.90–$824.45	89% below	63%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CT ANGIO ABD/PELVIS W/WO CONTRAST	$647.32	$1,749.50	$349.90–$824.45	89% below	63%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CT ANGIO ABD/PELVIS W/WO CONTRAST	$647.32	$1,749.50	$349.90–$824.45	—	63%
CT angiography (CTA) of the head CPT 70496 CT ANGIO HEAD W/WO CONTRAST	$647.32	$1,749.50	$349.90–$764.00	82% below	63%
CT angiography (CTA) of the head CPT 70496 CT STROKE HEAD CTA/RAPID AI	$647.32	$1,749.50	$349.90–$764.00	82% below	63%
CT angiography (CTA) of the head CPT 70496 CT STROKE HEAD CTA/RAPID AI	$647.32	$1,749.50	$349.90–$764.00	82% below	63%
CT angiography (CTA) of the head CPT 70496 CT ANGIO HEAD W/WO CONTRAST	$647.32	$1,749.50	$349.90–$764.00	82% below	63%
CT angiography (CTA) of the head inpatient CPT 70496 CT ANGIO HEAD W/WO CONTRAST	$647.32	$1,749.50	$349.90–$764.00	—	63%
CT angiography (CTA) of the head inpatient CPT 70496 CT STROKE HEAD CTA/RAPID AI	$647.32	$1,749.50	$349.90–$764.00	—	63%
CT angiography (CTA) of the neck CPT 70498 CT ANGIO NECK W/WO CONTRAST	$647.32	$1,749.50	$349.90–$764.00	85% below	63%
CT angiography (CTA) of the neck CPT 70498 CT ANGIO NECK W/WO CONTRAST	$647.32	$1,749.50	$349.90–$764.00	85% below	63%
CT angiography (CTA) of the neck inpatient CPT 70498 CT ANGIO NECK W/WO CONTRAST	$647.32	$1,749.50	$349.90–$764.00	—	63%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIO CHEST W/WO CONTRAST	$647.32	$1,749.50	$349.90–$764.00	86% below	63%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIO CHEST W/WO CONTRAST	$647.32	$1,749.50	$349.90–$764.00	86% below	63%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT ANGIO CHEST W/WO CONTRAST	$647.32	$1,749.50	$349.90–$764.00	—	63%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT ANGIO CARDIAC W/CONTRAST	$647.32	$1,749.50	$349.90–$764.00	67% below	63%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT ANGIO CARDIAC W/CONTRAST	$647.32	$1,749.50	$349.90–$764.00	67% below	63%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CT ANGIO CARDIAC W/CONTRAST	$647.32	$1,749.50	$349.90–$764.00	—	63%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT CARDIAC CALCIUM SCORE	$38.85	$105.00	$21.00–$38.85	93% below	63%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT CARDIAC CALCIUM SCORE	$38.85	$105.00	$21.00–$38.85	—	63%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD/PELV W/O CONTRAST	$647.32	$1,749.50	$349.90–$764.00	88% below	63%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD/PELV W/O CONTRAST	$647.32	$1,749.50	$349.90–$764.00	88% below	63%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABD/PELV W/O CONTRAST	$647.32	$1,749.50	$349.90–$764.00	—	63%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD/PELV W/CONTRAST	$693.10	$1,873.25	$374.65–$824.45	88% below	63%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD/PELV W/CONTRAST	$693.10	$1,873.25	$374.65–$824.45	88% below	63%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD/PELV W/CONTRAST	$693.10	$1,873.25	$374.65–$824.45	—	63%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD/PELV W/WO CONTRAST	$738.98	$1,997.25	$399.45–$824.45	89% below	63%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD/PELV W/WO CONTRAST	$738.98	$1,997.25	$399.45–$824.45	89% below	63%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABD/PELV W/WO CONTRAST	$738.98	$1,997.25	$399.45–$824.45	—	63%
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/CONTRAST	$647.32	$1,749.50	$349.90–$764.00	81% below	63%
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/CONTRAST	$647.32	$1,749.50	$349.90–$764.00	81% below	63%
CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN W/CONTRAST	$647.32	$1,749.50	$349.90–$764.00	—	63%
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O CONTRAST	$601.44	$1,625.50	$235.69–$764.00	81% below	63%
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O CONTRAST	$601.44	$1,625.50	$235.69–$764.00	81% below	63%
CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN W/O CONTRAST	$601.44	$1,625.50	$235.69–$764.00	—	63%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT FACIAL/SINUS W/O CONTRAST	$601.44	$1,625.50	$235.69–$764.00	79% below	63%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT FACIAL/SINUS W/O CONTRAST	$601.44	$1,625.50	$235.69–$764.00	79% below	63%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT FACIAL/SINUS W/O CONTRAST	$601.44	$1,625.50	$235.69–$764.00	—	63%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD/BRAIN W/O CONTRAST	$676.55	$1,828.50	$235.69–$764.00	78% below	63%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD/BRAIN W/O CONTRAST	$676.55	$1,828.50	$235.69–$764.00	78% below	63%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD/BRAIN W/O CONTRAST	$676.55	$1,828.50	$235.69–$764.00	—	63%
CT scan of the head with contrast CPT 70460 CT HEAD/BRAIN W/ CONTRAST	$722.43	$1,952.50	$390.50–$764.00	81% below	63%
CT scan of the head with contrast CPT 70460 CT HEAD/BRAIN W/ CONTRAST	$722.43	$1,952.50	$390.50–$764.00	81% below	63%
CT scan of the head with contrast inpatient CPT 70460 CT HEAD/BRAIN W/ CONTRAST	$722.43	$1,952.50	$390.50–$764.00	—	63%
CT scan of the head without and with contrast CPT 70470 CT HEAD/BRAIN W/WO CONTRAST	$768.31	$2,076.50	$393.89–$768.30	83% below	63%
CT scan of the head without and with contrast CPT 70470 CT HEAD/BRAIN W/WO CONTRAST	$768.31	$2,076.50	$393.89–$768.30	83% below	63%
CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD/BRAIN W/WO CONTRAST	$768.31	$2,076.50	$393.89–$768.30	—	63%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT SPINE LUMBAR W/O CONTRAST	$601.44	$1,625.50	$235.69–$764.00	82% below	63%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 IO CT SPINE LUMBER W/O CONTRAST	$601.44	$1,625.50	$235.69–$764.00	82% below	63%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT SPINE LUMBAR W/O CONTRAST	$601.44	$1,625.50	$235.69–$764.00	82% below	63%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 IO CT SPINE LUMBER W/O CONTRAST	$601.44	$1,625.50	$235.69–$764.00	82% below	63%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT SPINE LUMBAR W/O CONTRAST	$601.44	$1,625.50	$235.69–$764.00	—	63%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 IO CT SPINE LUMBER W/O CONTRAST	$601.44	$1,625.50	$235.69–$764.00	—	63%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 IO CT SPINE CERVICAL W/O CONTRAST	$647.32	$1,749.50	$235.69–$764.00	81% below	63%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT SPINE CERVICAL W/O CONTRAST	$647.32	$1,749.50	$235.69–$764.00	81% below	63%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 IO CT SPINE CERVICAL W/O CONTRAST	$647.32	$1,749.50	$235.69–$764.00	81% below	63%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT SPINE CERVICAL W/O CONTRAST	$647.32	$1,749.50	$235.69–$764.00	81% below	63%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 IO CT SPINE CERVICAL W/O CONTRAST	$647.32	$1,749.50	$235.69–$764.00	—	63%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT SPINE CERVICAL W/O CONTRAST	$647.32	$1,749.50	$235.69–$764.00	—	63%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/CONTRAST	$670.16	$1,811.25	$362.25–$764.00	84% below	63%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/CONTRAST	$670.16	$1,811.25	$362.25–$764.00	84% below	63%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W/CONTRAST	$670.16	$1,811.25	$362.25–$764.00	—	63%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 EXTRACRAN/CAROTID DUPLEX BILAT	$1,107.60	$2,993.50	$343.35–$3,741.88	—	63%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 EXTRACRANIAL/CAROTID DUPLEX BILAT	$1,107.60	$2,993.50	$343.35–$3,741.88	—	63%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 EXTRACRANIAL/CAROTID DUPLEX BILAT	$1,107.60	$2,993.50	$343.35–$3,741.88	—	63%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 EXTRACRAN/CAROTID DUPLEX BILAT	$1,107.60	$2,993.50	$343.35–$3,741.88	—	63%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 PBB CC DUPL SCAN EXTRACRN ART BIL	$769.14	$2,078.75	$343.35–$2,598.44	69% below	63%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 PBB CC DUPL SCAN EXTRACRN ART BIL	$769.14	$2,078.75	$343.35–$2,598.44	69% below	63%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 EXTRACRANIAL/CAROTID DUPLEX BILAT	$1,107.60	$2,993.50	$343.35–$3,741.88	—	63%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 EXTRACRAN/CAROTID DUPLEX BILAT	$1,107.60	$2,993.50	$343.35–$3,741.88	—	63%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 EXTRACRAN/CAROTID DUPLEX BILAT	$1,107.60	$2,993.50	$343.35–$3,741.88	—	63%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 EXTRACRANIAL/CAROTID DUPLEX BILAT	$1,107.60	$2,993.50	$343.35–$3,741.88	—	63%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 PBB CC DUPL SCAN EXTRACRN ART BIL	$769.14	$2,078.75	$343.35–$2,598.44	—	63%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 PBB CC DUPL SCAN EXTRACRN ART BIL	$769.14	$2,078.75	$343.35–$2,598.44	—	63%
Chest CT scan without and with contrast CPT 71270 CT CHEST W/WO CONTRAST	$738.98	$1,997.25	$393.89–$764.00	81% below	63%
Chest CT scan without and with contrast CPT 71270 CT CHEST W/WO CONTRAST	$738.98	$1,997.25	$393.89–$764.00	81% below	63%
Chest CT scan without and with contrast inpatient CPT 71270 CT CHEST W/WO CONTRAST	$738.98	$1,997.25	$393.89–$764.00	—	63%
Chest X-ray, 2 views CPT 71046 XR CHEST 2 VIEWS	$141.90	$383.50	$63.39–$194.81	71% below	63%
Chest X-ray, 2 views CPT 71046 XR CHEST 2 VIEWS	$141.90	$383.50	$63.39–$194.81	71% below	63%
Chest X-ray, 2 views CPT 71046 XR CHEST 2 VIEW	$141.90	$383.50	$63.39–$194.81	71% below	63%
Chest X-ray, 2 views CPT 71046 XR CHEST 2 VIEW	$141.90	$383.50	$63.39–$194.81	71% below	63%
Chest X-ray, 2 views inpatient CPT 71046 XR CHEST 2 VIEWS	$141.90	$383.50	$63.39–$194.81	—	63%
Chest X-ray, 2 views inpatient CPT 71046 XR CHEST 2 VIEW	$141.90	$383.50	$63.39–$194.81	—	63%
Chest X-ray, single view CPT 71045 XR CHEST 1 VIEW	$130.98	$354.00	$47.93–$194.81	69% below	63%
Chest X-ray, single view CPT 71045 XR CHEST 1 VIEW	$130.98	$354.00	$47.93–$194.81	69% below	63%
Chest X-ray, single view inpatient CPT 71045 XR CHEST 1 VIEW	$130.98	$354.00	$47.93–$194.81	—	63%
Collarbone (clavicle) X-ray, complete one side CPT 73000 XR CLAVICLE COMPLETE LT	$179.64	$485.50	$66.47–$194.81	67% below	63%
Collarbone (clavicle) X-ray, complete one side CPT 73000 XR CLAVICLE COMPLETE RT	$179.64	$485.50	$66.47–$194.81	67% below	63%
Collarbone (clavicle) X-ray, complete one side CPT 73000 XR CLAVICLE COMPLETE LT	$179.64	$485.50	$66.47–$194.81	67% below	63%
Collarbone (clavicle) X-ray, complete one side CPT 73000 XR CLAVICLE COMPLETE RT	$179.64	$485.50	$66.47–$194.81	67% below	63%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XR CLAVICLE COMPLETE LT	$179.64	$485.50	$66.47–$194.81	—	63%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XR CLAVICLE COMPLETE RT	$179.64	$485.50	$66.47–$194.81	—	63%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEAL COMPLETE	$565.36	$1,528.00	$222.18–$565.36	56% below	63%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEAL COMPLETE	$565.36	$1,528.00	$222.18–$565.36	56% below	63%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RETROPERITONEAL COMPLETE	$565.36	$1,528.00	$222.18–$565.36	—	63%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 XR BONE DENSITY AXIAL	$250.40	$676.75	$86.07–$250.40	59% below	63%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 XR BONE DENSITY AXIAL	$250.40	$676.75	$86.07–$250.40	59% below	63%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 XR BONE DENSITY AXIAL	$250.40	$676.75	$86.07–$250.40	—	63%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 XR BONE DENSITY DEXA APPEND	$129.69	$350.50	$64.42–$194.81	54% below	63%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 XR BONE DENSITY DEXA APPEND	$129.69	$350.50	$64.42–$194.81	54% below	63%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 XR BONE DENSITY DEXA APPEND	$129.69	$350.50	$64.42–$194.81	—	63%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 L&D US DETAILED SNGL FETUS	$617.90	$1,670.00	$241.21–$617.90	33% below	63%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 OBOP US DETLD TRANABD SNGL FETUS	$617.90	$1,670.00	$241.21–$617.90	33% below	63%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 OBOP US DETLD TRANABD SNGL FETUS	$617.90	$1,670.00	$241.21–$617.90	33% below	63%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 L&D US DETAILED SNGL FETUS	$617.90	$1,670.00	$241.21–$617.90	33% below	63%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 L&D US DETAILED SNGL FETUS	$617.90	$1,670.00	$241.21–$617.90	—	63%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 OBOP US DETLD TRANABD SNGL FETUS	$617.90	$1,670.00	$241.21–$617.90	—	63%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST W/O CONTRAST	$647.32	$1,749.50	$235.69–$764.00	78% below	63%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST W/O CONTRAST	$647.32	$1,749.50	$235.69–$764.00	78% below	63%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST W/O CONTRAST	$647.32	$1,749.50	$235.69–$764.00	—	63%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W/ CONTRAST	$693.10	$1,873.25	$374.65–$764.00	82% below	63%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W/ CONTRAST	$693.10	$1,873.25	$374.65–$764.00	82% below	63%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W/CONTRAST	$693.10	$1,873.25	$374.65–$764.00	82% below	63%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W/CONTRAST	$693.10	$1,873.25	$374.65–$764.00	82% below	63%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST W/CONTRAST	$693.10	$1,873.25	$374.65–$764.00	—	63%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST W/ CONTRAST	$693.10	$1,873.25	$374.65–$764.00	—	63%
Diagnostic mammogram, both breasts both sides CPT 77066 MA DX MAMMO BILATERAL	$303.96	$821.50	$164.30–$344.86	—	63%
Diagnostic mammogram, both breasts both sides CPT 77066 MA DX MAMMO BILATERAL	$303.96	$821.50	$164.30–$344.86	—	63%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MA DX MAMMO BILATERAL	$303.96	$821.50	$164.30–$344.86	—	63%
Diagnostic mammogram, one breast one side CPT 77065 MA DX MAMMO UNILATERAL LT	$301.55	$815.00	$163.00–$301.55	31% below	63%
Diagnostic mammogram, one breast one side CPT 77065 MA DX MAMMO UNILATERAL RT	$301.55	$815.00	$163.00–$301.55	31% below	63%
Diagnostic mammogram, one breast one side CPT 77065 MA DX MAMMO UNILATERAL RT	$301.55	$815.00	$163.00–$301.55	31% below	63%
Diagnostic mammogram, one breast one side CPT 77065 MA DX MAMMO UNILATERAL LT	$301.55	$815.00	$163.00–$301.55	31% below	63%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MA DX MAMMO UNILATERAL LT	$301.55	$815.00	$163.00–$301.55	—	63%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MA DX MAMMO UNILATERAL RT	$301.55	$815.00	$163.00–$301.55	—	63%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 PBB CC DUPLX STUDY LOWER BILAT	$594.50	$1,606.75	$321.35–$2,008.44	—	63%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 PBB CC DUPLX STUDY LOWER BILAT	$594.50	$1,606.75	$321.35–$2,008.44	—	63%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 VI LOWER EXTREMITY DUPLEX BILAT	$856.00	$2,313.50	$456.28–$2,891.88	—	63%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 LOWER EXTREMITY DUPLEX BILAT	$856.00	$2,313.50	$456.28–$2,891.88	—	63%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 VI LOWER EXTREMITY DUPLEX BILAT	$856.00	$2,313.50	$456.28–$2,891.88	—	63%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 LOWER EXTREMITY DUPLEX BILAT	$856.00	$2,313.50	$456.28–$2,891.88	—	63%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 PBB CC DUPLX STUDY LOWER BILAT	$594.50	$1,606.75	$321.35–$2,008.44	—	63%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 PBB CC DUPLX STUDY LOWER BILAT	$594.50	$1,606.75	$321.35–$2,008.44	—	63%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 LOWER EXTREMITY DUPLEX BILAT	$856.00	$2,313.50	$456.28–$2,891.88	—	63%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 LOWER EXTREMITY DUPLEX BILAT	$856.00	$2,313.50	$456.28–$2,891.88	—	63%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 VI LOWER EXTREMITY DUPLEX BILAT	$856.00	$2,313.50	$456.28–$2,891.88	—	63%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 VI LOWER EXTREMITY DUPLEX BILAT	$856.00	$2,313.50	$456.28–$2,891.88	—	63%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 EXTREMITY VENOUS DUPLEX BILAT	$1,088.26	$2,941.25	$348.68–$3,676.56	—	63%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 VI EXTREMITY VENOUS DUPLEX BILAT	$1,088.26	$2,941.25	$348.68–$3,676.56	—	63%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 EXTREMITY VENOUS DUPLEX BILAT	$1,088.26	$2,941.25	$348.68–$3,676.56	—	63%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 VI EXTREMITY VENOUS DUPLEX BILAT	$1,088.26	$2,941.25	$348.68–$3,676.56	—	63%
Duplex ultrasound of the leg veins, both legs CPT 93970 PBB CC EXTREMITY VENOUS DUPLX BIL	$755.73	$2,042.50	$348.68–$2,553.13	59% below	63%
Duplex ultrasound of the leg veins, both legs CPT 93970 PBB CC EXTREMITY VENOUS DUPLX BIL	$755.73	$2,042.50	$348.68–$2,553.13	59% below	63%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 VI EXTREMITY VENOUS DUPLEX BILAT	$1,088.26	$2,941.25	$348.68–$3,676.56	—	63%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 VI EXTREMITY VENOUS DUPLEX BILAT	$1,088.26	$2,941.25	$348.68–$3,676.56	—	63%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 EXTREMITY VENOUS DUPLEX BILAT	$1,088.26	$2,941.25	$348.68–$3,676.56	—	63%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 EXTREMITY VENOUS DUPLEX BILAT	$1,088.26	$2,941.25	$348.68–$3,676.56	—	63%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 PBB CC EXTREMITY VENOUS DUPLX BIL	$755.73	$2,042.50	$348.68–$2,553.13	—	63%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 PBB CC EXTREMITY VENOUS DUPLX BIL	$755.73	$2,042.50	$348.68–$2,553.13	—	63%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 PBB CC ECHOCARDIOGR COMPLETE	$1,624.39	$4,390.25	$289.38–$5,487.81	51% below	63%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO COMP SPECT DOP WO CONT	$2,144.15	$5,795.00	$289.38–$7,243.75	36% below	63%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 OI ECHO COMP SPECT DOP WO CONT	$2,144.15	$5,795.00	$289.38–$7,243.75	36% below	63%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO COMP SPECT DOP W/CONT	$2,144.15	$5,795.00	$289.38–$7,243.75	36% below	63%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 PBB CC ECHOCARDIOGR COMPLETE	$1,624.39	$4,390.25	$289.38–$5,487.81	—	63%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 OI ECHO COMP SPECT DOP WO CONT	$2,144.15	$5,795.00	$289.38–$7,243.75	—	63%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 ECHO COMP SPECT DOP W/CONT	$2,144.15	$5,795.00	$289.38–$7,243.75	—	63%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 ECHO COMP SPECT DOP WO CONT	$2,144.15	$5,795.00	$289.38–$7,243.75	—	63%
Elbow X-ray, 2 views one side CPT 73070 XR ELBOW AP & LAT RT	$130.24	$352.00	$58.23–$194.81	74% below	63%
Elbow X-ray, 2 views one side CPT 73070 XR ELBOW AP & LAT LT	$130.24	$352.00	$58.23–$194.81	74% below	63%
Elbow X-ray, 2 views one side CPT 73070 XR ELBOW AP & LAT RT	$130.24	$352.00	$58.23–$194.81	74% below	63%
Elbow X-ray, 2 views one side CPT 73070 XR ELBOW AP & LAT LT	$130.24	$352.00	$58.23–$194.81	74% below	63%
Elbow X-ray, 2 views inpatient one side CPT 73070 XR ELBOW AP & LAT LT	$130.24	$352.00	$58.23–$194.81	—	63%
Elbow X-ray, 2 views inpatient one side CPT 73070 XR ELBOW AP & LAT RT	$130.24	$352.00	$58.23–$194.81	—	63%
Elbow X-ray, complete, 3 or more views one side CPT 73080 XR ELBOW COMP 3+ VIEWS RT	$145.50	$393.25	$64.42–$194.81	76% below	63%
Elbow X-ray, complete, 3 or more views one side CPT 73080 XR ELBOW COMP 3+ VIEWS LT	$145.50	$393.25	$64.42–$194.81	76% below	63%
Elbow X-ray, complete, 3 or more views one side CPT 73080 XR ELBOW COMP 3+ VIEWS LT	$145.50	$393.25	$64.42–$194.81	76% below	63%
Elbow X-ray, complete, 3 or more views one side CPT 73080 XR ELBOW COMP 3+ VIEWS RT	$145.50	$393.25	$64.42–$194.81	76% below	63%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XR ELBOW COMP 3+ VIEWS RT	$145.50	$393.25	$64.42–$194.81	—	63%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XR ELBOW COMP 3+ VIEWS LT	$145.50	$393.25	$64.42–$194.81	—	63%
Eye socket (orbit) CT scan without contrast CPT 70480 CT ORBIT/SELLA/FOSSA/EAR W/O CONTRA	$578.40	$1,563.25	$235.69–$764.00	78% below	63%
Eye socket (orbit) CT scan without contrast CPT 70480 CT ORBIT/SELLA/FOSSA/EAR W/O CONTRA	$578.40	$1,563.25	$235.69–$764.00	78% below	63%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT ORBIT/SELLA/FOSSA/EAR W/O CONTRA	$578.40	$1,563.25	$235.69–$764.00	—	63%
Facial bones X-ray, complete, 3 or more views CPT 70150 XR FACIAL BONES COMPLETE 3+ VIEWS	$163.26	$441.25	$88.25–$235.69	78% below	63%
Facial bones X-ray, complete, 3 or more views CPT 70150 XR FACIAL BONES COMPLETE 3+ VIEWS	$163.26	$441.25	$88.25–$235.69	78% below	63%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 XR FACIAL BONES COMPLETE 3+ VIEWS	$163.26	$441.25	$88.25–$235.69	—	63%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR FOREARM AP & LAT LT	$185.37	$501.00	$59.26–$194.81	67% below	63%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR FOREARM AP & LAT RT	$185.37	$501.00	$59.26–$194.81	67% below	63%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR FOREARM AP & LAT LT	$185.37	$501.00	$59.26–$194.81	67% below	63%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR FOREARM AP & LAT RT	$185.37	$501.00	$59.26–$194.81	67% below	63%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XR FOREARM AP & LAT LT	$185.37	$501.00	$59.26–$194.81	—	63%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XR FOREARM AP & LAT RT	$185.37	$501.00	$59.26–$194.81	—	63%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM HEPATOB DUCT INC GB	$1,550.95	$4,191.75	$838.35–$1,550.95	24% below	63%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM HEPATOB DUCT INC GB	$1,550.95	$4,191.75	$838.35–$1,550.95	24% below	63%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NM HEPATOB DUCT INC GB	$1,550.95	$4,191.75	$838.35–$1,550.95	—	63%
Hand X-ray, 2 views one side CPT 73120 XR HAND LIMIT 2 VIEWS LT	$189.53	$512.25	$63.39–$235.69	63% below	63%
Hand X-ray, 2 views one side CPT 73120 XR HAND LIMIT 2 VIEWS LT	$189.53	$512.25	$63.39–$235.69	63% below	63%
Hand X-ray, 2 views one side CPT 73120 XR HAND LIMIT 2 VIEWS RT	$189.53	$512.25	$63.39–$235.69	63% below	63%
Hand X-ray, 2 views one side CPT 73120 XR HAND 2 VIEWS LT	$189.53	$512.25	$63.39–$235.69	63% below	63%
Hand X-ray, 2 views one side CPT 73120 XR HAND 2 VIEWS RT	$189.53	$512.25	$63.39–$235.69	63% below	63%
Hand X-ray, 2 views one side CPT 73120 XR HAND 2 VIEWS LT	$189.53	$512.25	$63.39–$235.69	63% below	63%
Hand X-ray, 2 views one side CPT 73120 XR HAND 2 VIEWS RT	$189.53	$512.25	$63.39–$235.69	63% below	63%
Hand X-ray, 2 views one side CPT 73120 XR HAND LIMIT 2 VIEWS RT	$189.53	$512.25	$63.39–$235.69	63% below	63%
Hand X-ray, 2 views inpatient one side CPT 73120 XR HAND LIMIT 2 VIEWS LT	$189.53	$512.25	$63.39–$235.69	—	63%
Hand X-ray, 2 views inpatient one side CPT 73120 XR HAND 2 VIEWS RT	$189.53	$512.25	$63.39–$235.69	—	63%
Hand X-ray, 2 views inpatient one side CPT 73120 XR HAND 2 VIEWS LT	$189.53	$512.25	$63.39–$235.69	—	63%
Hand X-ray, 2 views inpatient one side CPT 73120 XR HAND LIMIT 2 VIEWS RT	$189.53	$512.25	$63.39–$235.69	—	63%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR CALCANEOUS 2+VIEWS LT	$181.12	$489.50	$58.23–$194.81	63% below	63%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR CALCANEOUS 2+VIEWS LT	$181.12	$489.50	$58.23–$194.81	63% below	63%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR CALCANEOUS 2+VIEWS RT	$181.12	$489.50	$58.23–$194.81	63% below	63%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR CALCANEOUS 2+VIEWS RT	$181.12	$489.50	$58.23–$194.81	63% below	63%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 XR CALCANEOUS 2+VIEWS RT	$181.12	$489.50	$58.23–$194.81	—	63%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 XR CALCANEOUS 2+VIEWS LT	$181.12	$489.50	$58.23–$194.81	—	63%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLEEP STUDY UNATT&RESP EFFT	$619.94	$1,675.50	$121.73–$2,094.38	16% below	63%
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 SLEEP STUDY UNATT&RESP EFFT	$619.94	$1,675.50	$121.73–$2,094.38	—	63%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 SLEEP/CPAP STUDY 6YRS +	$5,143.00	$13,900.00	$1,229.13–$17,375.00	at median	63%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 SLEEP/CPAP STUDY 6YRS +	$5,143.00	$13,900.00	$1,229.13–$17,375.00	at median	63%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 SLEEP/CPAP STUDY 6YRS +	$5,143.00	$13,900.00	$1,229.13–$17,375.00	—	63%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 SLEEP/CPAP STUDY 6YRS +	$5,143.00	$13,900.00	$1,229.13–$17,375.00	—	63%
Knee X-ray, 3 views one side CPT 73562 XR KNEE AP/LAT/OBL 3V LT	$235.51	$636.50	$86.07–$235.50	66% below	63%
Knee X-ray, 3 views one side CPT 73562 XR KNEE/AP/LAT/OBL 3V RT	$235.51	$636.50	$86.07–$235.50	66% below	63%
Knee X-ray, 3 views one side CPT 73562 XR KNEE AP/LAT/OBL 3V LT	$235.51	$636.50	$86.07–$235.50	66% below	63%
Knee X-ray, 3 views one side CPT 73562 XR KNEE/AP/LAT/OBL 3V RT	$235.51	$636.50	$86.07–$235.50	66% below	63%
Knee X-ray, 3 views one side CPT 73562 XR KNEE AP/LAT/OBL 3V RT	$235.51	$636.50	$86.07–$235.50	66% below	63%
Knee X-ray, 3 views one side CPT 73562 XR KNEE AP/LAT/OBL 3V RT	$235.51	$636.50	$86.07–$235.50	66% below	63%
Knee X-ray, 3 views inpatient one side CPT 73562 XR KNEE/AP/LAT/OBL 3V RT	$235.51	$636.50	$86.07–$235.50	—	63%
Knee X-ray, 3 views inpatient one side CPT 73562 XR KNEE AP/LAT/OBL 3V LT	$235.51	$636.50	$86.07–$235.50	—	63%
Knee X-ray, 3 views inpatient one side CPT 73562 XR KNEE AP/LAT/OBL 3V RT	$235.51	$636.50	$86.07–$235.50	—	63%
Knee X-ray, complete, 4 or more views one side CPT 73564 XR KNEE COMP AP/LAT/OBLIQ/PATEL LT	$275.74	$745.25	$94.31–$275.74	64% below	63%
Knee X-ray, complete, 4 or more views one side CPT 73564 XR KNEE COMP AP/LAT/OBLIQ/PATEL RT	$275.74	$745.25	$94.31–$275.74	64% below	63%
Knee X-ray, complete, 4 or more views one side CPT 73564 XR KNEE COMP AP/LAT/OBLIQ/PATEL RT	$275.74	$745.25	$94.31–$275.74	64% below	63%
Knee X-ray, complete, 4 or more views one side CPT 73564 XR KNEE COMP AP/LAT/OBLIQ/PATEL LT	$275.74	$745.25	$94.31–$275.74	64% below	63%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XR KNEE COMP AP/LAT/OBLIQ/PATEL LT	$275.74	$745.25	$94.31–$275.74	—	63%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XR KNEE COMP AP/LAT/OBLIQ/PATEL RT	$275.74	$745.25	$94.31–$275.74	—	63%
Leg CT scan without contrast (hip to foot, any part) both sides CPT 73700 CT LOWER EXT W/O CONTRAST BI	$833.24	$2,252.00	$235.69–$833.24	—	63%
Leg CT scan without contrast (hip to foot, any part) both sides CPT 73700 CT LOWER EXT W/O CONTRAST BI	$833.24	$2,252.00	$235.69–$833.24	—	63%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOWER EXT W/O CONTRAST LT	$555.56	$1,501.50	$235.69–$764.00	79% below	63%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOWER EXT W/O CONTRAST RT	$555.56	$1,501.50	$235.69–$764.00	79% below	63%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOWER EXT W/O CONTRAST LT	$555.56	$1,501.50	$235.69–$764.00	79% below	63%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOWER EXT W/O CONTRAST RT	$555.56	$1,501.50	$235.69–$764.00	79% below	63%
Leg CT scan without contrast (hip to foot, any part) inpatient both sides CPT 73700 CT LOWER EXT W/O CONTRAST BI	$833.24	$2,252.00	$235.69–$833.24	—	63%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT LOWER EXT W/O CONTRAST RT	$555.56	$1,501.50	$235.69–$764.00	—	63%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT LOWER EXT W/O CONTRAST LT	$555.56	$1,501.50	$235.69–$764.00	—	63%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN LIMITED	$875.70	$2,366.75	$179.90–$875.70	23% below	63%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN LIMITED	$875.70	$2,366.75	$179.90–$875.70	23% below	63%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABDOMEN LIMITED	$875.70	$2,366.75	$179.90–$875.70	—	63%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US JNT OR NON VASC LMT W/IMAGE LT	$684.22	$1,849.25	$95.34–$684.22	7% above	63%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US JNT OR NON VASC LMT W/IMAGE RT	$684.22	$1,849.25	$95.34–$684.22	7% above	63%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US JNT OR NON VASC LMT W/IMAGE LT	$684.22	$1,849.25	$95.34–$684.22	7% above	63%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US JNT OR NON VASC LMT W/IMAGE RT	$684.22	$1,849.25	$95.34–$684.22	7% above	63%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 MA US AXILLA LT	$684.22	$1,849.25	$95.34–$684.22	7% above	63%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 MA US AXILLA LT	$684.22	$1,849.25	$95.34–$684.22	7% above	63%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 MA US AXILLA RT	$684.22	$1,849.25	$95.34–$684.22	7% above	63%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 MA US AXILLA RT	$684.22	$1,849.25	$95.34–$684.22	7% above	63%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 MA US AXILLA LT	$684.22	$1,849.25	$95.34–$684.22	—	63%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 MA US AXILLA RT	$684.22	$1,849.25	$95.34–$684.22	—	63%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US JNT OR NON VASC LMT W/IMAGE LT	$684.22	$1,849.25	$95.34–$684.22	—	63%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US JNT OR NON VASC LMT W/IMAGE RT	$684.22	$1,849.25	$95.34–$684.22	—	63%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 OI CT THORAX LUNG CANCER SCR	$647.32	$1,749.50	$235.69–$764.00	11% below	63%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 OI CT THORAX LUNG CANCER SCR	$647.32	$1,749.50	$235.69–$764.00	11% below	63%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT THORAX LUNG CANCER SCR	$647.32	$1,749.50	$235.69–$764.00	11% below	63%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT THORAX LUNG CANCER SCR	$647.32	$1,749.50	$235.69–$764.00	11% below	63%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT THORAX LUNG CANCER SCR	$647.32	$1,749.50	$235.69–$764.00	—	63%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 OI CT THORAX LUNG CANCER SCR	$647.32	$1,749.50	$235.69–$764.00	—	63%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR TIBIA/FIBULA AP & LAT RT	$215.53	$582.50	$65.44–$215.53	66% below	63%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR TIBIA/FIBULA AP & LAT RT	$215.53	$582.50	$65.44–$215.53	66% below	63%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR TIBIA/FIBULA AP & LAT LT	$215.53	$582.50	$65.44–$215.53	66% below	63%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR TIBIA/FIBULA AP & LAT LT	$215.53	$582.50	$65.44–$215.53	66% below	63%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR TIBIA/FIBULA AP & LAT LT	$215.53	$582.50	$65.44–$215.53	—	63%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR TIBIA/FIBULA AP & LAT RT	$215.53	$582.50	$65.44–$215.53	—	63%
MR angiography (MRA) of the head without contrast CPT 70544 OI MRA HEAD W/O CONTRAST	$574.06	$1,551.50	$310.30–$1,084.00	80% below	63%
MR angiography (MRA) of the head without contrast CPT 70544 MRI MRA HEAD W/O CONTRAST	$574.06	$1,551.50	$310.30–$1,084.00	80% below	63%
MR angiography (MRA) of the head without contrast CPT 70544 MRI MRA HEAD W/O CONTRAST	$574.06	$1,551.50	$310.30–$1,084.00	80% below	63%
MR angiography (MRA) of the head without contrast CPT 70544 OI MRA HEAD W/O CONTRAST	$574.06	$1,551.50	$310.30–$1,084.00	80% below	63%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 OI MRA HEAD W/O CONTRAST	$574.06	$1,551.50	$310.30–$1,084.00	—	63%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRI MRA HEAD W/O CONTRAST	$574.06	$1,551.50	$310.30–$1,084.00	—	63%
MRI of both breasts, without and then with contrast dye both sides CPT 77049 MRI BRST W/WO CONTRAST W/CAD BI	$670.44	$1,812.00	$362.40–$818.60	—	63%
MRI of both breasts, without and then with contrast dye both sides CPT 77049 MRI BRST W/WO CONTRAST W/CAD BI	$670.44	$1,812.00	$362.40–$818.60	—	63%
MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 MRI BRST W/WO CONTRAST W/CAD BI	$670.44	$1,812.00	$362.40–$818.60	—	63%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LOW EXT JOINT W/O LT	$590.15	$1,595.00	$319.00–$590.15	83% below	63%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LOW EXT JOINT W/O LT	$590.15	$1,595.00	$319.00–$590.15	83% below	63%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LOW EXT JOINT LT	$590.15	$1,595.00	$319.00–$590.15	83% below	63%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LOW EXT JOINT W/O RT	$590.15	$1,595.00	$319.00–$590.15	83% below	63%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LOW EXT JOINT RT	$590.15	$1,595.00	$319.00–$590.15	83% below	63%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LOW EXT JOINT LT	$590.15	$1,595.00	$319.00–$590.15	83% below	63%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LOW EXT JOINT RT	$590.15	$1,595.00	$319.00–$590.15	83% below	63%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LOW EXT JOINT W/O RT	$590.15	$1,595.00	$319.00–$590.15	83% below	63%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI LOW EXT JOINT RT	$590.15	$1,595.00	$319.00–$590.15	—	63%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI LOW EXT JOINT LT	$590.15	$1,595.00	$319.00–$590.15	—	63%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI LOW EXT JOINT W/O RT	$590.15	$1,595.00	$319.00–$590.15	—	63%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI LOW EXT JOINT W/O LT	$590.15	$1,595.00	$319.00–$590.15	—	63%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI LOW EXT JOINT W/WO LT	$654.35	$1,768.50	$353.70–$996.97	87% below	63%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI LOW EXT JOINT W/WO RT	$654.35	$1,768.50	$353.70–$996.97	87% below	63%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI LOW EXT JOINT W/WO LT	$654.35	$1,768.50	$353.70–$996.97	87% below	63%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI LOW EXT JOINT W/WO RT	$654.35	$1,768.50	$353.70–$996.97	87% below	63%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI LOW EXT JOINT W/WO LT	$654.35	$1,768.50	$353.70–$996.97	—	63%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI LOW EXT JOINT W/WO RT	$654.35	$1,768.50	$353.70–$996.97	—	63%
MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O CONTRAST	$558.05	$1,508.25	$301.65–$558.05	84% below	63%
MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O CONTRAST	$558.05	$1,508.25	$301.65–$558.05	84% below	63%
MRI of the abdomen without contrast inpatient CPT 74181 MRI ABDOMEN W/O CONTRAST	$558.05	$1,508.25	$301.65–$558.05	—	63%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABD W/WO CONTRAST	$622.25	$1,681.75	$336.35–$824.45	85% below	63%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABD W/WO CONTRAST	$622.25	$1,681.75	$336.35–$824.45	85% below	63%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ABD W/WO CONTRAST	$622.25	$1,681.75	$336.35–$824.45	—	63%
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN W/O CONTRAST	$1,127.02	$3,046.00	$525.31–$1,127.02	68% below	63%
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN W/O CONTRAST	$1,127.02	$3,046.00	$525.31–$1,127.02	68% below	63%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN W/O CONTRAST	$1,127.02	$3,046.00	$525.31–$1,127.02	—	63%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W/WO CONTRAST	$622.25	$1,681.75	$336.35–$1,084.00	87% below	63%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W/WO CONTRAST	$622.25	$1,681.75	$336.35–$1,084.00	87% below	63%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN W/WO CONTRAST	$622.25	$1,681.75	$336.35–$1,084.00	—	63%
MRI of the lower back, no contrast dye CPT 72148 MRI SPINE LUMBAR W/O CONTRAST	$1,136.27	$3,071.00	$413.95–$1,136.27	69% below	63%
MRI of the lower back, no contrast dye CPT 72148 MRI SPINE LUMBAR W/O CONTRAST	$1,136.27	$3,071.00	$413.95–$1,136.27	69% below	63%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI SPINE LUMBAR W/O CONTRAST	$1,136.27	$3,071.00	$413.95–$1,136.27	—	63%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI SPINE LUMB W/WO CONT	$654.35	$1,768.50	$353.70–$824.45	87% below	63%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI SPINE LUMB W/WO CONT	$654.35	$1,768.50	$353.70–$824.45	87% below	63%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI SPINE LUMB W/WO CONT	$654.35	$1,768.50	$353.70–$824.45	—	63%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI SPINE THORACIC W/O CONTRAST	$558.05	$1,508.25	$301.65–$558.05	85% below	63%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI SPINE THORACIC W/O CONTRAST	$558.05	$1,508.25	$301.65–$558.05	85% below	63%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI SPINE THORACIC W/O CONTRAST	$558.05	$1,508.25	$301.65–$558.05	—	63%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI SPINE CERVICAL W/WO CONT	$606.15	$1,638.25	$327.65–$824.45	87% below	63%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI SPINE CERVICAL W/WO CONT	$606.15	$1,638.25	$327.65–$824.45	87% below	63%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI SPINE CERVICAL W/WO CONT	$606.15	$1,638.25	$327.65–$824.45	—	63%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI SPINE CERVICAL W/O CONT	$558.05	$1,508.25	$301.65–$558.05	85% below	63%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI SPINE CERVICAL W/O CONT	$558.05	$1,508.25	$301.65–$558.05	85% below	63%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI SPINE CERVICAL W/O CONT	$558.05	$1,508.25	$301.65–$558.05	—	63%
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W/WO CONTRAST	$590.15	$1,595.00	$319.00–$824.45	84% below	63%
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W/WO CONTRAST	$590.15	$1,595.00	$319.00–$824.45	84% below	63%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS W/WO CONTRAST	$590.15	$1,595.00	$319.00–$824.45	—	63%
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O CONTRAST	$525.86	$1,421.25	$284.25–$558.79	84% below	63%
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O CONTRAST	$525.86	$1,421.25	$284.25–$558.79	84% below	63%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PELVIS W/O CONTRAST	$525.86	$1,421.25	$284.25–$558.79	—	63%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UPPER EXT JOINT W/O LT	$1,136.27	$3,071.00	$467.01–$1,136.27	66% below	63%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UPPER EXT JOINT W/O RT	$1,136.27	$3,071.00	$467.01–$1,136.27	66% below	63%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UPPER EXT JOINT LT	$1,136.27	$3,071.00	$467.01–$1,136.27	66% below	63%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UPPER EXT JOINT RT	$1,136.27	$3,071.00	$467.01–$1,136.27	66% below	63%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UPPER EXT JOINT W/O LT	$1,136.27	$3,071.00	$467.01–$1,136.27	66% below	63%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UPPER EXT JOINT W/O RT	$1,136.27	$3,071.00	$467.01–$1,136.27	66% below	63%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UPPER EXT JOINT LT	$1,136.27	$3,071.00	$467.01–$1,136.27	66% below	63%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UPPER EXT JOINT RT	$1,136.27	$3,071.00	$467.01–$1,136.27	66% below	63%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI UPPER EXT JOINT LT	$1,136.27	$3,071.00	$467.01–$1,136.27	—	63%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI UPPER EXT JOINT W/O RT	$1,136.27	$3,071.00	$467.01–$1,136.27	—	63%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI UPPER EXT JOINT RT	$1,136.27	$3,071.00	$467.01–$1,136.27	—	63%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI UPPER EXT JOINT W/O LT	$1,136.27	$3,071.00	$467.01–$1,136.27	—	63%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 XR SPINE CERVICAL 4 OR 5 VIEWS	$352.33	$952.25	$106.70–$352.33	60% below	63%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 XR SPINE CERVICAL 4 OR 5 VIEWS	$352.33	$952.25	$106.70–$352.33	60% below	63%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 XR SPINE CERVICAL 4 OR 5 VIEWS	$352.33	$952.25	$106.70–$352.33	—	63%
Neck soft tissue CT scan with contrast CPT 70491 CT NECK W/ CONTRAST	$647.32	$1,749.50	$349.90–$764.00	81% below	63%
Neck soft tissue CT scan with contrast CPT 70491 CT NECK W/ CONTRAST	$647.32	$1,749.50	$349.90–$764.00	81% below	63%
Neck soft tissue CT scan with contrast inpatient CPT 70491 CT NECK W/ CONTRAST	$647.32	$1,749.50	$349.90–$764.00	—	63%
Neck soft tissue CT scan without contrast CPT 70490 CT NECK W/O CONTRAST	$601.44	$1,625.50	$235.69–$764.00	80% below	63%
Neck soft tissue CT scan without contrast CPT 70490 CT NECK W/O CONTRAST	$601.44	$1,625.50	$235.69–$764.00	80% below	63%
Neck soft tissue CT scan without contrast inpatient CPT 70490 CT NECK W/O CONTRAST	$601.44	$1,625.50	$235.69–$764.00	—	63%
Neck soft tissue X-ray CPT 70360 XR NECK SOFT TISSUE	$159.38	$430.75	$62.36–$194.81	71% below	63%
Neck soft tissue X-ray CPT 70360 XR NECK SOFT TISSUE	$159.38	$430.75	$62.36–$194.81	71% below	63%
Neck soft tissue X-ray inpatient CPT 70360 XR NECK SOFT TISSUE	$159.38	$430.75	$62.36–$194.81	—	63%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 PBB CC MYOCARD PERF IMG MULTI	$1,036.00	$2,800.00	$560.00–$1,157.66	81% below	63%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 PBB CC MYOCARD PERF IMG MULTI	$1,036.00	$2,800.00	$560.00–$1,157.66	81% below	63%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NC MYCARD PERF MULTISCAN	$1,608.39	$4,347.00	$869.40–$3,044.09	71% below	63%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NC MYOCARD PERF SPECT MULTIPLE	$1,608.39	$4,347.00	$869.40–$3,044.09	71% below	63%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NC MYOCARD PERF SPECT MULTIPLE	$1,608.39	$4,347.00	$869.40–$3,044.09	71% below	63%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NC MYCARD PERF MULTISCAN	$1,608.39	$4,347.00	$869.40–$3,044.09	71% below	63%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 PBB CC MYOCARD PERF IMG MULTI	$1,036.00	$2,800.00	$560.00–$1,157.66	—	63%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NC MYCARD PERF MULTISCAN	$1,608.39	$4,347.00	$869.40–$3,044.09	—	63%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NC MYOCARD PERF SPECT MULTIPLE	$1,608.39	$4,347.00	$869.40–$3,044.09	—	63%
Pelvic CT scan without contrast CPT 72192 CT PELVIS W/O CONTRAST	$624.28	$1,687.25	$235.69–$764.00	79% below	63%
Pelvic CT scan without contrast CPT 72192 CT PELVIS W/O CONTRAST	$624.28	$1,687.25	$235.69–$764.00	79% below	63%
Pelvic CT scan without contrast inpatient CPT 72192 CT PELVIS W/O CONTRAST	$624.28	$1,687.25	$235.69–$764.00	—	63%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIS NON-OB LIMITED	$429.66	$1,161.25	$69.58–$429.66	51% below	63%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 L&D NON-OB US PELVIC LIMITED	$429.66	$1,161.25	$69.58–$429.66	51% below	63%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIS NON-OB LIMITED	$429.66	$1,161.25	$69.58–$429.66	51% below	63%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC NON OB LIMITED	$429.66	$1,161.25	$69.58–$429.66	51% below	63%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 L&D NON-OB US PELVIC LIMITED	$429.66	$1,161.25	$69.58–$429.66	51% below	63%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC NON OB LIMITED	$429.66	$1,161.25	$69.58–$429.66	51% below	63%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PELVIS NON-OB LIMITED	$429.66	$1,161.25	$69.58–$429.66	—	63%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PELVIC NON OB LIMITED	$429.66	$1,161.25	$69.58–$429.66	—	63%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 L&D NON-OB US PELVIC LIMITED	$429.66	$1,161.25	$69.58–$429.66	—	63%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC NON-OB COMPLETE	$762.76	$2,061.50	$219.07–$762.75	43% below	63%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIS NON-OB COMPLETE	$762.76	$2,061.50	$219.07–$762.75	43% below	63%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC NON-OB COMPLETE	$762.76	$2,061.50	$219.07–$762.75	43% below	63%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIS NON-OB COMPLETE	$762.76	$2,061.50	$219.07–$762.75	43% below	63%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIC NON-OB COMPLETE	$762.76	$2,061.50	$219.07–$762.75	—	63%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIS NON-OB COMPLETE	$762.76	$2,061.50	$219.07–$762.75	—	63%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB FETAL MATERNAL EVAL	$340.96	$921.50	$184.30–$340.95	58% below	63%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB FETAL MATERNAL EVAL	$340.96	$921.50	$184.30–$340.95	58% below	63%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 L&D US>/= 14WKS SNGL FETUS	$340.96	$921.50	$184.30–$340.95	58% below	63%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OBOP US >/=14WKS SNGL FETUS	$340.96	$921.50	$184.30–$340.95	58% below	63%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB FETAL MATERNAL EVAL	$340.96	$921.50	$184.30–$340.95	58% below	63%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 L&D US>/= 14WKS SNGL FETUS	$340.96	$921.50	$184.30–$340.95	58% below	63%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB FETAL MATERNAL EVAL	$340.96	$921.50	$184.30–$340.95	58% below	63%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OBOP US >/=14WKS SNGL FETUS	$340.96	$921.50	$184.30–$340.95	58% below	63%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 OBOP US >/=14WKS SNGL FETUS	$340.96	$921.50	$184.30–$340.95	—	63%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB FETAL MATERNAL EVAL	$340.96	$921.50	$184.30–$340.95	—	63%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 OB FETAL MATERNAL EVAL	$340.96	$921.50	$184.30–$340.95	—	63%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 L&D US>/= 14WKS SNGL FETUS	$340.96	$921.50	$184.30–$340.95	—	63%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 L&D US <14WKS SINGLE FETUS	$542.33	$1,465.75	$210.82–$542.33	28% below	63%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 L&D US <14WKS SINGLE FETUS	$542.33	$1,465.75	$210.82–$542.33	28% below	63%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US IUP 1ST TRIMEST TRANSABD	$542.33	$1,465.75	$210.82–$542.33	28% below	63%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 OBOP US < 14WKS SNGL FETUS	$542.33	$1,465.75	$210.82–$542.33	28% below	63%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 OBOP US < 14WKS SNGL FETUS	$542.33	$1,465.75	$210.82–$542.33	28% below	63%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US IUP 1ST TRIMEST TRANSABD	$542.33	$1,465.75	$210.82–$542.33	28% below	63%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US IUP 1ST TRIMEST TRANSABD	$542.33	$1,465.75	$210.82–$542.33	—	63%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 OBOP US < 14WKS SNGL FETUS	$542.33	$1,465.75	$210.82–$542.33	—	63%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 L&D US <14WKS SINGLE FETUS	$542.33	$1,465.75	$210.82–$542.33	—	63%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB LIMITED 1 OR > FETUSES	$340.96	$921.50	$150.00–$340.95	47% below	63%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB LIMITED 1 OR > FETUSES	$340.96	$921.50	$150.00–$340.95	47% below	63%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OBOP US PREGNANCY LIMITED	$340.96	$921.50	$150.00–$340.95	47% below	63%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 L&D US LIMITED STUDY	$340.96	$921.50	$150.00–$340.95	47% below	63%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 L&D US LIMITED STUDY	$340.96	$921.50	$150.00–$340.95	47% below	63%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OBOP US PREGNANCY LIMITED	$340.96	$921.50	$150.00–$340.95	47% below	63%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 L&D US LIMITED STUDY	$340.96	$921.50	$150.00–$340.95	—	63%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US OB LIMITED 1 OR > FETUSES	$340.96	$921.50	$150.00–$340.95	—	63%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 OBOP US PREGNANCY LIMITED	$340.96	$921.50	$150.00–$340.95	—	63%
Rib X-ray, one side, 2 views one side CPT 71100 XR RIBS UNILAT 2 VIEW LT	$267.23	$722.25	$70.60–$267.23	54% below	63%
Rib X-ray, one side, 2 views one side CPT 71100 XR RIBS UNILAT 2 VIEW RT	$267.23	$722.25	$70.60–$267.23	54% below	63%
Rib X-ray, one side, 2 views one side CPT 71100 XR RIBS UNILAT 2 VIEW RT	$267.23	$722.25	$70.60–$267.23	54% below	63%
Rib X-ray, one side, 2 views one side CPT 71100 XR RIBS UNILAT 2 VIEW LT	$267.23	$722.25	$70.60–$267.23	54% below	63%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 XR RIBS UNILAT 2 VIEW LT	$267.23	$722.25	$70.60–$267.23	—	63%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 XR RIBS UNILAT 2 VIEW RT	$267.23	$722.25	$70.60–$267.23	—	63%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR RIBS UNILAT W/CHEST 3+ V RT	$272.04	$735.25	$79.88–$272.04	60% below	63%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR RIBS UNILAT W/CHEST 3+ V LT	$272.04	$735.25	$79.88–$272.04	60% below	63%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR RIBS UNILAT W/CHEST 3+ V LT	$272.04	$735.25	$79.88–$272.04	60% below	63%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR RIBS UNILAT W/CHEST 3+ V RT	$272.04	$735.25	$79.88–$272.04	60% below	63%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 XR RIBS UNILAT W/CHEST 3+ V RT	$272.04	$735.25	$79.88–$272.04	—	63%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 XR RIBS UNILAT W/CHEST 3+ V LT	$272.04	$735.25	$79.88–$272.04	—	63%
Screening mammogram, both breasts both sides CPT 77067 MA SCREEN MAMMO BILATERAL	$287.12	$776.00	$155.20–$287.12	—	63%
Screening mammogram, both breasts both sides CPT 77067 MA SCREEN MAMMO BILATERAL	$287.12	$776.00	$155.20–$287.12	—	63%
Screening mammogram, both breasts one side CPT 77067 MA SCREEN MAMMO RT	$256.87	$694.25	$138.85–$256.87	36% below	63%
Screening mammogram, both breasts one side CPT 77067 MA SCREEN MAMMO RT	$256.87	$694.25	$138.85–$256.87	36% below	63%
Screening mammogram, both breasts one side CPT 77067 MA SCREEN MAMMO LT	$256.87	$694.25	$138.85–$256.87	36% below	63%
Screening mammogram, both breasts one side CPT 77067 MA SCREEN MAMMO LT	$256.87	$694.25	$138.85–$256.87	36% below	63%
Screening mammogram, both breasts inpatient both sides CPT 77067 MA SCREEN MAMMO BILATERAL	$287.12	$776.00	$155.20–$287.12	—	63%
Screening mammogram, both breasts inpatient one side CPT 77067 MA SCREEN MAMMO RT	$256.87	$694.25	$138.85–$256.87	—	63%
Screening mammogram, both breasts inpatient one side CPT 77067 MA SCREEN MAMMO LT	$256.87	$694.25	$138.85–$256.87	—	63%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER COMP 2+ V RT	$210.90	$570.00	$68.56–$210.90	71% below	63%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER COMP 2+ V RT	$210.90	$570.00	$68.56–$210.90	71% below	63%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER COMP 2+ V LT	$210.90	$570.00	$68.56–$210.90	71% below	63%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER COMP 2+ V LT	$210.90	$570.00	$68.56–$210.90	71% below	63%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR SHOULDER COMP 2+ V RT	$210.90	$570.00	$68.56–$210.90	—	63%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR SHOULDER COMP 2+ V LT	$210.90	$570.00	$68.56–$210.90	—	63%
Sinus X-ray, complete, 3 or more views CPT 70220 XR SINUSES COMPLETE 3+ VIEWS	$210.72	$569.50	$73.69–$210.72	75% below	63%
Sinus X-ray, complete, 3 or more views CPT 70220 XR SINUSES COMPLETE 3+ VIEWS	$210.72	$569.50	$73.69–$210.72	75% below	63%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 XR SINUSES COMPLETE 3+ VIEWS	$210.72	$569.50	$73.69–$210.72	—	63%
Skull X-ray, fewer than 4 views CPT 70250 XR SKULL < 4 VIEWS	$213.68	$577.50	$73.69–$235.69	67% below	63%
Skull X-ray, fewer than 4 views CPT 70250 XR SKULL < 4 VIEWS	$213.68	$577.50	$73.69–$235.69	67% below	63%
Skull X-ray, fewer than 4 views inpatient CPT 70250 XR SKULL < 4 VIEWS	$213.68	$577.50	$73.69–$235.69	—	63%
Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNOGRAPHY SLEEP STUDY 6YRS +	$5,160.76	$13,948.00	$1,172.88–$17,435.00	3% below	63%
Sleep study in a lab (polysomnography) CPT 95810 TERMINATED POLYSOMNOGRAPY 6YRS +	$5,160.76	$13,948.00	$1,172.88–$17,435.00	3% below	63%
Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNOGRAPHY SLEEP STUDY 6YRS +	$5,160.76	$13,948.00	$1,172.88–$17,435.00	3% below	63%
Sleep study in a lab (polysomnography) CPT 95810 TERMINATED POLYSOMNOGRAPY 6YRS +	$5,160.76	$13,948.00	$1,172.88–$17,435.00	3% below	63%
Sleep study in a lab (polysomnography) inpatient CPT 95810 POLYSOMNOGRAPHY SLEEP STUDY 6YRS +	$5,160.76	$13,948.00	$1,172.88–$17,435.00	—	63%
Sleep study in a lab (polysomnography) inpatient CPT 95810 TERMINATED POLYSOMNOGRAPY 6YRS +	$5,160.76	$13,948.00	$1,172.88–$17,435.00	—	63%
Sleep study in a lab (polysomnography) inpatient CPT 95810 POLYSOMNOGRAPHY SLEEP STUDY 6YRS +	$5,160.76	$13,948.00	$1,172.88–$17,435.00	—	63%
Sleep study in a lab (polysomnography) inpatient CPT 95810 TERMINATED POLYSOMNOGRAPY 6YRS +	$5,160.76	$13,948.00	$1,172.88–$17,435.00	—	63%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 PBB CC STRESS ECHO W/WO CON W/MON	$2,217.87	$5,994.25	$340.73–$7,492.81	17% below	63%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 STRESS ECHO W/MONT & CONTRAST	$3,220.20	$8,703.25	$340.73–$10,879.06	21% above	63%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 STRESS ECHO W/MONT W/O CONTRAST	$3,220.20	$8,703.25	$340.73–$10,879.06	21% above	63%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 PBB CC STRESS ECHO W/WO CON W/MON	$2,217.87	$5,994.25	$340.73–$7,492.81	—	63%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 STRESS ECHO W/MONT & CONTRAST	$3,220.20	$8,703.25	$340.73–$10,879.06	—	63%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 STRESS ECHO W/MONT W/O CONTRAST	$3,220.20	$8,703.25	$340.73–$10,879.06	—	63%
Swallow study (modified barium swallow, video X-ray) CPT 74230 XR PHARYNX/ESOPH SWALLOW	$216.82	$586.00	$117.20–$393.89	78% below	63%
Swallow study (modified barium swallow, video X-ray) CPT 74230 XR PHARYNX/ESOPH SWALLOW	$216.82	$586.00	$117.20–$393.89	78% below	63%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 XR PHARYNX/ESOPH SWALLOW	$216.82	$586.00	$117.20–$393.89	—	63%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR FEMUR MIN 2 VIEWS RT	$227.83	$615.75	$73.69–$227.83	57% below	63%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR FEMUR MIN 2 VIEWS LT	$227.83	$615.75	$73.69–$227.83	57% below	63%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR FEMUR MIN 2 VIEWS RT	$227.83	$615.75	$73.69–$227.83	57% below	63%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR FEMUR MIN 2 VIEWS LT	$227.83	$615.75	$73.69–$227.83	57% below	63%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 XR FEMUR MIN 2 VIEWS LT	$227.83	$615.75	$73.69–$227.83	—	63%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 XR FEMUR MIN 2 VIEWS RT	$227.83	$615.75	$73.69–$227.83	—	63%
Thoracic spine (mid back) CT scan without contrast CPT 72128 IO CT SPINE THORACIC W/O CONTRAST	$578.40	$1,563.25	$235.69–$764.00	81% below	63%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT SPINE THORACIC W/O CONTRAST	$578.40	$1,563.25	$235.69–$764.00	81% below	63%
Thoracic spine (mid back) CT scan without contrast CPT 72128 IO CT SPINE THORACIC W/O CONTRAST	$578.40	$1,563.25	$235.69–$764.00	81% below	63%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT SPINE THORACIC W/O CONTRAST	$578.40	$1,563.25	$235.69–$764.00	81% below	63%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT SPINE THORACIC W/O CONTRAST	$578.40	$1,563.25	$235.69–$764.00	—	63%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 IO CT SPINE THORACIC W/O CONTRAST	$578.40	$1,563.25	$235.69–$764.00	—	63%
Toe X-ray, 2 or more views one side CPT 73660 XR TOE(S) 2+ VIEW LT	$130.98	$354.00	$62.36–$194.81	73% below	63%
Toe X-ray, 2 or more views one side CPT 73660 XR TOE(S) 2+ VIEW LT	$130.98	$354.00	$62.36–$194.81	73% below	63%
Toe X-ray, 2 or more views one side CPT 73660 XR TOE(S) 2+ VIEW RT	$130.98	$354.00	$62.36–$194.81	73% below	63%
Toe X-ray, 2 or more views one side CPT 73660 XR TOE(S) 2+ VIEW RT	$130.98	$354.00	$62.36–$194.81	73% below	63%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR TOE(S) 2+ VIEW RT	$130.98	$354.00	$62.36–$194.81	—	63%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR TOE(S) 2+ VIEW LT	$130.98	$354.00	$62.36–$194.81	—	63%
Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL	$710.31	$1,919.75	$235.69–$710.31	29% below	63%
Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL	$710.31	$1,919.75	$235.69–$710.31	29% below	63%
Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL	$710.31	$1,919.75	$235.69–$710.31	—	63%
Transvaginal ultrasound during pregnancy CPT 76817 L&D US TRANSVAGINAL	$549.27	$1,484.50	$169.57–$549.26	40% below	63%
Transvaginal ultrasound during pregnancy CPT 76817 US OB TRANSVAGINAL	$549.27	$1,484.50	$169.57–$549.26	40% below	63%
Transvaginal ultrasound during pregnancy CPT 76817 OBOP US TRANSVAGINAL	$549.27	$1,484.50	$169.57–$549.26	40% below	63%
Transvaginal ultrasound during pregnancy CPT 76817 OBOP US TRANSVAGINAL	$549.27	$1,484.50	$169.57–$549.26	40% below	63%
Transvaginal ultrasound during pregnancy CPT 76817 US OB TRANSVAGINAL	$549.27	$1,484.50	$169.57–$549.26	40% below	63%
Transvaginal ultrasound during pregnancy CPT 76817 L&D US TRANSVAGINAL	$549.27	$1,484.50	$169.57–$549.26	40% below	63%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US OB TRANSVAGINAL	$549.27	$1,484.50	$169.57–$549.26	—	63%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 OBOP US TRANSVAGINAL	$549.27	$1,484.50	$169.57–$549.26	—	63%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 L&D US TRANSVAGINAL	$549.27	$1,484.50	$169.57–$549.26	—	63%
Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE	$897.07	$2,424.50	$235.69–$897.07	42% below	63%
Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE	$897.07	$2,424.50	$235.69–$897.07	42% below	63%
Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMEN COMPLETE	$897.07	$2,424.50	$235.69–$897.07	—	63%
Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM	$632.61	$1,709.75	$212.88–$632.61	41% below	63%
Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM	$632.61	$1,709.75	$212.88–$632.61	41% below	63%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US SCROTUM	$632.61	$1,709.75	$212.88–$632.61	—	63%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US SOFT TISSUE HEAD/NECK	$656.01	$1,773.00	$235.69–$656.01	44% below	63%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US SOFT TISSUE HEAD/NECK	$656.01	$1,773.00	$235.69–$656.01	44% below	63%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US SOFT TISSUE HEAD/NECK	$656.01	$1,773.00	$235.69–$656.01	—	63%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR UGI W/SCOUT INCL SNGL CONTRST	$581.27	$1,571.00	$231.45–$581.27	48% below	63%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR UGI W/SCOUT INCL SNGL CONTRST	$581.27	$1,571.00	$231.45–$581.27	48% below	63%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 XR UGI W/SCOUT INCL SNGL CONTRST	$581.27	$1,571.00	$231.45–$581.27	—	63%
Upper arm X-ray (humerus), 2 views one side CPT 73060 XR HUMERUS 2+ VIEWS LT	$157.53	$425.75	$66.47–$194.81	73% below	63%
Upper arm X-ray (humerus), 2 views one side CPT 73060 XR HUMERUS 2+ VIEWS RT	$157.53	$425.75	$66.47–$194.81	73% below	63%
Upper arm X-ray (humerus), 2 views one side CPT 73060 XR HUMERUS 2+ VIEWS LT	$157.53	$425.75	$66.47–$194.81	73% below	63%
Upper arm X-ray (humerus), 2 views one side CPT 73060 XR HUMERUS 2+ VIEWS RT	$157.53	$425.75	$66.47–$194.81	73% below	63%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XR HUMERUS 2+ VIEWS RT	$157.53	$425.75	$66.47–$194.81	—	63%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XR HUMERUS 2+ VIEWS LT	$157.53	$425.75	$66.47–$194.81	—	63%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 PBB CC EXT VENOUS DUPLX LIMITED	$479.89	$1,297.00	$222.80–$1,621.25	44% below	63%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 PBB CC EXT VENOUS DUPLX LIMITED	$479.89	$1,297.00	$222.80–$1,621.25	44% below	63%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VI EXT VENOUS DUPLX UNI LT	$691.07	$1,867.75	$222.80–$2,334.69	20% below	63%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 EXT VENOUS DUPLX UNI LT	$691.07	$1,867.75	$222.80–$2,334.69	20% below	63%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 EXT VENOUS DUPLX UNI RT	$691.07	$1,867.75	$222.80–$2,334.69	20% below	63%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VI EXT VENOUS DUPLX UNI RT	$691.07	$1,867.75	$222.80–$2,334.69	20% below	63%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VI EXT VENOUS DUPLX UNI LT	$691.07	$1,867.75	$222.80–$2,334.69	20% below	63%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VI EXT VENOUS DUPLX UNI RT	$691.07	$1,867.75	$222.80–$2,334.69	20% below	63%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 EXT VENOUS DUPLX UNI RT	$691.07	$1,867.75	$222.80–$2,334.69	20% below	63%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 EXT VENOUS DUPLX UNI LT	$691.07	$1,867.75	$222.80–$2,334.69	20% below	63%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 PBB CC EXT VENOUS DUPLX LIMITED	$479.89	$1,297.00	$222.80–$1,621.25	—	63%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 PBB CC EXT VENOUS DUPLX LIMITED	$479.89	$1,297.00	$222.80–$1,621.25	—	63%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 EXT VENOUS DUPLX UNI LT	$691.07	$1,867.75	$222.80–$2,334.69	—	63%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 EXT VENOUS DUPLX UNI LT	$691.07	$1,867.75	$222.80–$2,334.69	—	63%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 EXT VENOUS DUPLX UNI RT	$691.07	$1,867.75	$222.80–$2,334.69	—	63%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 EXT VENOUS DUPLX UNI RT	$691.07	$1,867.75	$222.80–$2,334.69	—	63%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 VI EXT VENOUS DUPLX UNI LT	$691.07	$1,867.75	$222.80–$2,334.69	—	63%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 VI EXT VENOUS DUPLX UNI LT	$691.07	$1,867.75	$222.80–$2,334.69	—	63%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 VI EXT VENOUS DUPLX UNI RT	$691.07	$1,867.75	$222.80–$2,334.69	—	63%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 VI EXT VENOUS DUPLX UNI RT	$691.07	$1,867.75	$222.80–$2,334.69	—	63%
Wrist X-ray, 2 views one side CPT 73100 XR WRIST AP & LAT RT	$210.62	$569.25	$70.60–$210.62	66% below	63%
Wrist X-ray, 2 views one side CPT 73100 XR WRIST AP & LAT RT	$210.62	$569.25	$70.60–$210.62	66% below	63%
Wrist X-ray, 2 views one side CPT 73100 XR WRIST AP & LAT LT	$210.62	$569.25	$70.60–$210.62	66% below	63%
Wrist X-ray, 2 views one side CPT 73100 XR WRIST AP & LAT LT	$210.62	$569.25	$70.60–$210.62	66% below	63%
Wrist X-ray, 2 views inpatient one side CPT 73100 XR WRIST AP & LAT LT	$210.62	$569.25	$70.60–$210.62	—	63%
Wrist X-ray, 2 views inpatient one side CPT 73100 XR WRIST AP & LAT RT	$210.62	$569.25	$70.60–$210.62	—	63%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST COMP 3+ V RT	$220.24	$595.25	$87.10–$220.24	69% below	63%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST COMP 3+ V LT	$220.24	$595.25	$87.10–$220.24	69% below	63%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST COMP 3+ V LT	$220.24	$595.25	$87.10–$220.24	69% below	63%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST COMP 3+ V RT	$220.24	$595.25	$87.10–$220.24	69% below	63%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR WRIST COMP 3+ V LT	$220.24	$595.25	$87.10–$220.24	—	63%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR WRIST COMP 3+ V RT	$220.24	$595.25	$87.10–$220.24	—	63%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP UNI W/PELVIS 2-3 VW LT	$175.38	$474.00	$94.80–$194.81	70% below	63%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP UNI W/PELVIS 2-3 VW RT	$175.38	$474.00	$94.80–$194.81	70% below	63%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP UNI W/PELVIS 2-3 VW RT	$175.38	$474.00	$94.80–$194.81	70% below	63%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP UNI W/PELVIS 2-3 VW LT	$175.38	$474.00	$94.80–$194.81	70% below	63%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR HIP UNI W/PELVIS 2-3 VW LT	$175.38	$474.00	$94.80–$194.81	—	63%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR HIP UNI W/PELVIS 2-3 VW RT	$175.38	$474.00	$94.80–$194.81	—	63%
X-ray of the abdomen, 1 view CPT 74018 XR ABDOMEN 1 VIEW	$162.99	$440.50	$58.23–$194.81	67% below	63%
X-ray of the abdomen, 1 view CPT 74018 XR ABDOMEN 1 VIEW	$162.99	$440.50	$58.23–$194.81	67% below	63%
X-ray of the abdomen, 1 view inpatient CPT 74018 XR ABDOMEN 1 VIEW	$162.99	$440.50	$58.23–$194.81	—	63%
X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE AP & LAT RT	$191.48	$517.50	$67.50–$194.81	61% below	63%
X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE AP & LAT RT	$191.48	$517.50	$67.50–$194.81	61% below	63%
X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE AP & LAT LT	$191.48	$517.50	$67.50–$194.81	61% below	63%
X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE AP & LAT LT	$191.48	$517.50	$67.50–$194.81	61% below	63%
X-ray of the ankle, 2 views inpatient one side CPT 73600 XR ANKLE AP & LAT LT	$191.48	$517.50	$67.50–$194.81	—	63%
X-ray of the ankle, 2 views inpatient one side CPT 73600 XR ANKLE AP & LAT RT	$191.48	$517.50	$67.50–$194.81	—	63%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER(S) LT	$156.60	$423.25	$82.99–$194.81	67% below	63%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER(S) RT	$156.60	$423.25	$82.99–$194.81	67% below	63%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER(S) LT	$156.60	$423.25	$82.99–$194.81	67% below	63%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER(S) RT	$156.60	$423.25	$82.99–$194.81	67% below	63%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR FINGER(S) RT	$156.60	$423.25	$82.99–$194.81	—	63%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR FINGER(S) LT	$156.60	$423.25	$82.99–$194.81	—	63%
X-ray of the foot, 2 views one side CPT 73620 XR FOOT AP & LAT RT	$194.90	$526.75	$58.23–$194.90	60% below	63%
X-ray of the foot, 2 views one side CPT 73620 XR FOOT AP & LAT LT	$194.90	$526.75	$58.23–$194.90	60% below	63%
X-ray of the foot, 2 views one side CPT 73620 XR FOOT AP & LAT RT	$194.90	$526.75	$58.23–$194.90	60% below	63%
X-ray of the foot, 2 views one side CPT 73620 XR FOOT AP & LAT LT	$194.90	$526.75	$58.23–$194.90	60% below	63%
X-ray of the foot, 2 views inpatient one side CPT 73620 XR FOOT AP & LAT RT	$194.90	$526.75	$58.23–$194.90	—	63%
X-ray of the foot, 2 views inpatient one side CPT 73620 XR FOOT AP & LAT LT	$194.90	$526.75	$58.23–$194.90	—	63%
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT COMP 3+ VIEWS RT	$197.03	$532.50	$70.60–$197.03	67% below	63%
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT COMP 3+ VIEWS LT	$197.03	$532.50	$70.60–$197.03	67% below	63%
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT COMP 3+ VIEWS RT	$197.03	$532.50	$70.60–$197.03	67% below	63%
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT COMP 3+ VIEWS LT	$197.03	$532.50	$70.60–$197.03	67% below	63%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR FOOT COMP 3+ VIEWS RT	$197.03	$532.50	$70.60–$197.03	—	63%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR FOOT COMP 3+ VIEWS LT	$197.03	$532.50	$70.60–$197.03	—	63%
X-ray of the hand, 3 or more views one side CPT 73130 XR HAND COMP 3+ VIEWS RT	$199.15	$538.25	$75.77–$199.15	69% below	63%
X-ray of the hand, 3 or more views one side CPT 73130 XR HAND COMP 3+ VIEWS RT	$199.15	$538.25	$75.77–$199.15	69% below	63%
X-ray of the hand, 3 or more views one side CPT 73130 XR HAND COMP 3+ VIEWS LT	$199.15	$538.25	$75.77–$199.15	69% below	63%
X-ray of the hand, 3 or more views one side CPT 73130 XR HAND COMP 3+ VIEWS LT	$199.15	$538.25	$75.77–$199.15	69% below	63%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR HAND COMP 3+ VIEWS LT	$199.15	$538.25	$75.77–$199.15	—	63%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR HAND COMP 3+ VIEWS RT	$199.15	$538.25	$75.77–$199.15	—	63%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE AP & LAT RT	$210.62	$569.25	$72.66–$210.62	65% below	63%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE AP & LAT LT	$210.62	$569.25	$72.66–$210.62	65% below	63%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE AP & LAT RT	$210.62	$569.25	$72.66–$210.62	65% below	63%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE AP & LAT LT	$210.62	$569.25	$72.66–$210.62	65% below	63%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR KNEE AP & LAT RT	$210.62	$569.25	$72.66–$210.62	—	63%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR KNEE AP & LAT LT	$210.62	$569.25	$72.66–$210.62	—	63%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR SPINE LUMBOSACRAL 2 OR 3 VIEWS	$261.78	$707.50	$77.83–$261.77	62% below	63%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR SPINE LUMBOSACRAL 2 OR 3 VIEWS	$261.78	$707.50	$77.83–$261.77	62% below	63%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR SPINE LUMBOSACRAL 2 OR 3 VIEWS	$261.78	$707.50	$77.83–$261.77	—	63%
X-ray of the lower back, 4 or more views CPT 72110 XR SPINE LUMBAR COMP W/OBLIQUES	$371.20	$1,003.25	$102.56–$371.20	67% below	63%
X-ray of the lower back, 4 or more views CPT 72110 XR SPINE LUMBAR COMP W/OBLIQUES	$371.20	$1,003.25	$102.56–$371.20	67% below	63%
X-ray of the lower back, 4 or more views inpatient CPT 72110 XR SPINE LUMBAR COMP W/OBLIQUES	$371.20	$1,003.25	$102.56–$371.20	—	63%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR SPINE THORACIC AP/LAT	$124.51	$336.50	$62.36–$235.69	80% below	63%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR SPINE THORACIC AP/LAT	$124.51	$336.50	$62.36–$235.69	80% below	63%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XR SPINE THORACIC AP/LAT	$124.51	$336.50	$62.36–$235.69	—	63%
X-ray of the nasal bones, 3 or more views CPT 70160 XR NASAL BONES COMPLETE 3+ VIEWS	$215.62	$582.75	$79.88–$215.62	67% below	63%
X-ray of the nasal bones, 3 or more views CPT 70160 XR NASAL BONES COMPLETE 3+ VIEWS	$215.62	$582.75	$79.88–$215.62	67% below	63%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XR NASAL BONES COMPLETE 3+ VIEWS	$215.62	$582.75	$79.88–$215.62	—	63%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR SPINE CERVICAL 2 OR 3 VIEWS	$234.77	$634.50	$77.83–$234.76	66% below	63%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR SPINE CERVICAL 2 OR 3 VIEWS	$234.77	$634.50	$77.83–$234.76	66% below	63%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR SPINE CERVICAL 2 OR 3 VIEWS	$234.77	$634.50	$77.83–$234.76	—	63%
X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS 1 OR 2 VIEWS	$150.50	$406.75	$57.20–$235.69	76% below	63%
X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS 1 OR 2 VIEWS	$150.50	$406.75	$57.20–$235.69	76% below	63%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR PELVIS 1 OR 2 VIEWS	$150.50	$406.75	$57.20–$235.69	—	63%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR SACRUM/COCCYX 2+ VIEWS	$166.04	$448.75	$65.44–$194.81	75% below	63%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR SACRUM/COCCYX 2+ VIEWS	$166.04	$448.75	$65.44–$194.81	75% below	63%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR SACRUM/COCCYX 2+ VIEWS	$166.04	$448.75	$65.44–$194.81	—	63%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Florida	Off list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT (SGPT) BODY FLUID	$10.45	$28.25	$4.67–$28.25	73% below	63%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT (SGPT) BODY FLUID	$10.45	$28.25	$4.67–$28.25	73% below	63%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 TRANSAMINASE GLUTAMIC PYRUVIC(SGPT)	$10.45	$28.25	$4.67–$28.25	73% below	63%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 TRANSAMINASE GLUTAMIC PYRUVIC(SGPT)	$10.45	$28.25	$4.67–$28.25	73% below	63%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 REF LIVER FIB ALT	$21.09	$57.00	$4.67–$57.00	46% below	63%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 REF LIVER FIB ALT	$21.09	$57.00	$4.67–$57.00	46% below	63%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT (SGPT) BODY FLUID	$10.45	$28.25	$4.67–$28.25	—	63%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 TRANSAMINASE GLUTAMIC PYRUVIC(SGPT)	$10.45	$28.25	$4.67–$28.25	—	63%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 TRANSAMINASE GLUTAMIC PYRUVIC(SGPT)	$10.45	$28.25	$4.67–$28.25	—	63%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT (SGPT) BODY FLUID	$10.45	$28.25	$4.67–$28.25	—	63%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 REF LIVER FIB ALT	$21.09	$57.00	$4.67–$57.00	—	63%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 REF LIVER FIB ALT	$21.09	$57.00	$4.67–$57.00	—	63%
AST (aspartate aminotransferase) enzyme test CPT 84450 AST (SGOT) BODY FLUID	$10.45	$28.25	$4.56–$28.25	81% below	63%
AST (aspartate aminotransferase) enzyme test CPT 84450 AST (SGOT) BODY FLUID	$10.45	$28.25	$4.56–$28.25	81% below	63%
AST (aspartate aminotransferase) enzyme test CPT 84450 TRANSAMINASE GLUTAMIC OXALACE(GOT)	$10.45	$28.25	$4.56–$28.25	81% below	63%
AST (aspartate aminotransferase) enzyme test CPT 84450 TRANSAMINASE GLUTAMIC OXALACE(GOT)	$10.45	$28.25	$4.56–$28.25	81% below	63%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST (SGOT) BODY FLUID	$10.45	$28.25	$4.56–$28.25	—	63%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 TRANSAMINASE GLUTAMIC OXALACE(GOT)	$10.45	$28.25	$4.56–$28.25	—	63%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 TRANSAMINASE GLUTAMIC OXALACE(GOT)	$10.45	$28.25	$4.56–$28.25	—	63%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST (SGOT) BODY FLUID	$10.45	$28.25	$4.56–$28.25	—	63%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANL 2000	$163.91	$443.00	$41.91–$443.00	1% above	63%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANL 2000	$163.91	$443.00	$41.91–$443.00	1% above	63%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 ACUTE HEPATITIS PANL 2000	$163.91	$443.00	$41.91–$443.00	—	63%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 ACUTE HEPATITIS PANL 2000	$163.91	$443.00	$41.91–$443.00	—	63%
Albumin blood test CPT 82040 ALBUMIN SERUM	$7.22	$19.50	$3.90–$19.50	57% below	63%
Albumin blood test CPT 82040 ALBUMIN SERUM	$7.22	$19.50	$3.90–$19.50	57% below	63%
Albumin blood test CPT 82040 REF ALBUMIN SERUM	$19.61	$53.00	$4.36–$53.00	16% above	63%
Albumin blood test CPT 82040 REF ALBUMIN SERUM	$19.61	$53.00	$4.36–$53.00	16% above	63%
Albumin blood test inpatient CPT 82040 ALBUMIN SERUM	$7.22	$19.50	$3.90–$19.50	—	63%
Albumin blood test inpatient CPT 82040 ALBUMIN SERUM	$7.22	$19.50	$3.90–$19.50	—	63%
Albumin blood test inpatient CPT 82040 REF ALBUMIN SERUM	$19.61	$53.00	$4.36–$53.00	—	63%
Albumin blood test inpatient CPT 82040 REF ALBUMIN SERUM	$19.61	$53.00	$4.36–$53.00	—	63%
Aldosterone blood test CPT 82088 REF ALDOSTERONE URINE-A	$9.07	$24.50	$4.90–$24.50	68% below	63%
Aldosterone blood test inpatient CPT 82088 REF ALDOSTERONE URINE-A	$9.07	$24.50	$4.90–$24.50	—	63%
Aldosterone blood test inpatient CPT 82088 REF ALDOSTERONE URINE-A	$9.07	$24.50	$4.90–$24.50	—	63%
Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSPHATASE BLOOD	$7.77	$21.00	$4.20–$21.00	82% below	63%
Alkaline phosphatase (ALP) blood test CPT 84075 ALK PHOS (BODY FLUID)	$7.77	$21.00	$4.20–$21.00	82% below	63%
Alkaline phosphatase (ALP) blood test CPT 84075 ALK PHOS (BODY FLUID)	$7.77	$21.00	$4.20–$21.00	82% below	63%
Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSPHATASE BLOOD	$7.77	$21.00	$4.20–$21.00	82% below	63%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALKALINE PHOSPHATASE BLOOD	$7.77	$21.00	$4.20–$21.00	—	63%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALKALINE PHOSPHATASE BLOOD	$7.77	$21.00	$4.20–$21.00	—	63%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALK PHOS (BODY FLUID)	$7.77	$21.00	$4.20–$21.00	—	63%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALK PHOS (BODY FLUID)	$7.77	$21.00	$4.20–$21.00	—	63%
Allergy blood test, specific IgE, per allergen CPT 86003 REF ALLERGEN-A	$1.48	$4.00	$0.80–$4.00	81% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 REF LATEX IGE OCCUP-A	$1.57	$4.25	$0.85–$4.25	80% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 REF LTX SPC IGE HM-BF-CLO XT42375	$44.03	$119.00	$4.60–$119.00	464% above	63%
Allergy blood test, specific IgE, per allergen CPT 86003 REF LTX SPC IGE HM-BF-CLO XT42375	$44.03	$119.00	$4.60–$119.00	464% above	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 REF ALLERGEN-A	$1.48	$4.00	$0.80–$4.00	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 REF ALLERGEN-A	$1.48	$4.00	$0.80–$4.00	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 REF LATEX IGE OCCUP-A	$1.57	$4.25	$0.85–$4.25	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 REF LATEX IGE OCCUP-A	$1.57	$4.25	$0.85–$4.25	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 REF LTX SPC IGE HM-BF-CLO XT42375	$44.03	$119.00	$4.60–$119.00	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 REF LTX SPC IGE HM-BF-CLO XT42375	$44.03	$119.00	$4.60–$119.00	—	63%
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHAFETOPROTEIN SERUM	$27.20	$73.50	$14.70–$73.50	19% below	63%
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHAFETOPROTEIN SERUM	$27.20	$73.50	$14.70–$73.50	19% below	63%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHAFETOPROTEIN SERUM	$27.20	$73.50	$14.70–$73.50	—	63%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHAFETOPROTEIN SERUM	$27.20	$73.50	$14.70–$73.50	—	63%
Ammonia blood test CPT 82140 AMMONIA BLOOD	$75.02	$202.75	$12.82–$202.75	34% below	63%
Ammonia blood test CPT 82140 AMMONIA BLOOD	$75.02	$202.75	$12.82–$202.75	34% below	63%
Ammonia blood test inpatient CPT 82140 AMMONIA BLOOD	$75.02	$202.75	$12.82–$202.75	—	63%
Ammonia blood test inpatient CPT 82140 AMMONIA BLOOD	$75.02	$202.75	$12.82–$202.75	—	63%
Amylase blood test CPT 82150 AMYLASE URINE (RANDOM)	$58.09	$157.00	$5.70–$157.00	85% above	63%
Amylase blood test CPT 82150 AMYLASE URINE (TIMED)	$58.09	$157.00	$5.70–$157.00	85% above	63%
Amylase blood test CPT 82150 AMYLASE SERUM	$58.09	$157.00	$5.70–$157.00	85% above	63%
Amylase blood test CPT 82150 AMYLASE SERUM	$58.09	$157.00	$5.70–$157.00	85% above	63%
Amylase blood test CPT 82150 FLUID AMYLASE	$58.09	$157.00	$5.70–$157.00	85% above	63%
Amylase blood test CPT 82150 AMYLASE URINE (TIMED)	$58.09	$157.00	$5.70–$157.00	85% above	63%
Amylase blood test CPT 82150 AMYLASE URINE (RANDOM)	$58.09	$157.00	$5.70–$157.00	85% above	63%
Amylase blood test CPT 82150 FLUID AMYLASE	$58.09	$157.00	$5.70–$157.00	85% above	63%
Amylase blood test inpatient CPT 82150 AMYLASE SERUM	$58.09	$157.00	$5.70–$157.00	—	63%
Amylase blood test inpatient CPT 82150 AMYLASE SERUM	$58.09	$157.00	$5.70–$157.00	—	63%
Amylase blood test inpatient CPT 82150 FLUID AMYLASE	$58.09	$157.00	$5.70–$157.00	—	63%
Amylase blood test inpatient CPT 82150 AMYLASE URINE (TIMED)	$58.09	$157.00	$5.70–$157.00	—	63%
Amylase blood test inpatient CPT 82150 AMYLASE URINE (TIMED)	$58.09	$157.00	$5.70–$157.00	—	63%
Amylase blood test inpatient CPT 82150 AMYLASE URINE (RANDOM)	$58.09	$157.00	$5.70–$157.00	—	63%
Amylase blood test inpatient CPT 82150 AMYLASE URINE (RANDOM)	$58.09	$157.00	$5.70–$157.00	—	63%
Amylase blood test inpatient CPT 82150 FLUID AMYLASE	$58.09	$157.00	$5.70–$157.00	—	63%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES (BURLINGTON)	$21.55	$58.25	$10.64–$58.25	26% below	63%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES (BURLINGTON)	$21.55	$58.25	$10.64–$58.25	26% below	63%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES(ANA)	$116.09	$313.75	$10.64–$313.75	301% above	63%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES(ANA)	$116.09	$313.75	$10.64–$313.75	301% above	63%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR ANTIBODIES (BURLINGTON)	$21.55	$58.25	$10.64–$58.25	—	63%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR ANTIBODIES (BURLINGTON)	$21.55	$58.25	$10.64–$58.25	—	63%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR ANTIBODIES(ANA)	$116.09	$313.75	$10.64–$313.75	—	63%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR ANTIBODIES(ANA)	$116.09	$313.75	$10.64–$313.75	—	63%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B-TYPE NATRIURETIC PEPTIDE	$48.19	$130.25	$26.05–$130.25	71% below	63%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B-TYPE NATRIURETIC PEPTIDE	$48.19	$130.25	$26.05–$130.25	71% below	63%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 B-TYPE NATRIURETIC PEPTIDE	$48.19	$130.25	$26.05–$130.25	—	63%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 B-TYPE NATRIURETIC PEPTIDE	$48.19	$130.25	$26.05–$130.25	—	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE AEROBIC	$9.71	$26.25	$5.25–$26.25	87% below	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE AEROBIC	$9.71	$26.25	$5.25–$26.25	87% below	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULT ENVIR/INF CONT ANY SOURCE ID	$10.08	$27.25	$5.45–$27.25	86% below	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULT TRANSFUSION RXN	$10.08	$27.25	$5.45–$27.25	86% below	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULT ENVIR/INF CONT ANY SOURCE ID	$10.08	$27.25	$5.45–$27.25	86% below	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULT TRANSFUSION RXN	$10.08	$27.25	$5.45–$27.25	86% below	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 REF LEGION SP CULTURE	$12.76	$34.48	$6.90–$34.48	83% below	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 REF LEGION SP CULTURE	$12.76	$34.48	$6.90–$34.48	83% below	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE THROAT	$25.25	$68.25	$7.59–$68.25	66% below	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE THROAT	$25.25	$68.25	$7.59–$68.25	66% below	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 IDENTIFICATION REFERAL	$25.25	$68.25	$7.59–$68.25	66% below	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 IDENTIFICATION REFERAL	$25.25	$68.25	$7.59–$68.25	66% below	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 ENCORE SPUTUM CULTURE	$25.35	$68.50	$7.59–$68.50	66% below	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 ENCORE SPUTUM CULTURE	$25.35	$68.50	$7.59–$68.50	66% below	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE CATH TIP	$78.44	$212.00	$7.59–$212.00	5% above	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE GENITAL	$78.44	$212.00	$7.59–$212.00	5% above	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE GENITAL	$78.44	$212.00	$7.59–$212.00	5% above	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE CATH TIP	$78.44	$212.00	$7.59–$212.00	5% above	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE FLUID	$83.53	$225.75	$7.59–$225.75	12% above	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE FLUID	$83.53	$225.75	$7.59–$225.75	12% above	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 FLUID BY BROTH CULTURE	$87.04	$235.25	$7.59–$235.25	17% above	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 FLUID BY BROTH CULTURE	$87.04	$235.25	$7.59–$235.25	17% above	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE SPUTUM	$89.36	$241.50	$7.59–$241.50	20% above	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE SPUTUM	$89.36	$241.50	$7.59–$241.50	20% above	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE WOUND	$89.36	$241.50	$7.59–$241.50	20% above	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE WOUND	$89.36	$241.50	$7.59–$241.50	20% above	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE ANEROBIC/AEROBIC	$89.73	$242.50	$7.59–$242.50	20% above	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE ANEROBIC/AEROBIC	$89.73	$242.50	$7.59–$242.50	20% above	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE CSF	$92.50	$250.00	$7.59–$250.00	24% above	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE CSF	$92.50	$250.00	$7.59–$250.00	24% above	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 BRONCHIAL WASHING	$92.50	$250.00	$7.59–$250.00	24% above	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 BRONCHIAL WASHING	$92.50	$250.00	$7.59–$250.00	24% above	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULT CYSTIC FIBROSIS SPUTUM	$99.07	$267.75	$7.59–$267.75	33% above	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULT CYSTIC FIBROSIS SPUTUM	$99.07	$267.75	$7.59–$267.75	33% above	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE BONE MARROW	$99.44	$268.75	$7.59–$268.75	33% above	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE BONE MARROW	$99.44	$268.75	$7.59–$268.75	33% above	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE TISSUE	$140.60	$380.00	$7.59–$380.00	88% above	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE TISSUE	$140.60	$380.00	$7.59–$380.00	88% above	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE EYE	$160.49	$433.75	$7.59–$433.75	115% above	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE EYE	$160.49	$433.75	$7.59–$433.75	115% above	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE AEROBIC	$9.71	$26.25	$5.25–$26.25	—	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE AEROBIC	$9.71	$26.25	$5.25–$26.25	—	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULT ENVIR/INF CONT ANY SOURCE ID	$10.08	$27.25	$5.45–$27.25	—	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULT TRANSFUSION RXN	$10.08	$27.25	$5.45–$27.25	—	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULT ENVIR/INF CONT ANY SOURCE ID	$10.08	$27.25	$5.45–$27.25	—	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULT TRANSFUSION RXN	$10.08	$27.25	$5.45–$27.25	—	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 REF LEGION SP CULTURE	$12.76	$34.48	$6.90–$34.48	—	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 REF LEGION SP CULTURE	$12.76	$34.48	$6.90–$34.48	—	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 IDENTIFICATION REFERAL	$25.25	$68.25	$7.59–$68.25	—	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE THROAT	$25.25	$68.25	$7.59–$68.25	—	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE THROAT	$25.25	$68.25	$7.59–$68.25	—	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 IDENTIFICATION REFERAL	$25.25	$68.25	$7.59–$68.25	—	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 ENCORE SPUTUM CULTURE	$25.35	$68.50	$7.59–$68.50	—	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 ENCORE SPUTUM CULTURE	$25.35	$68.50	$7.59–$68.50	—	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE CATH TIP	$78.44	$212.00	$7.59–$212.00	—	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE GENITAL	$78.44	$212.00	$7.59–$212.00	—	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE GENITAL	$78.44	$212.00	$7.59–$212.00	—	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE CATH TIP	$78.44	$212.00	$7.59–$212.00	—	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE FLUID	$83.53	$225.75	$7.59–$225.75	—	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE FLUID	$83.53	$225.75	$7.59–$225.75	—	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 FLUID BY BROTH CULTURE	$87.04	$235.25	$7.59–$235.25	—	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 FLUID BY BROTH CULTURE	$87.04	$235.25	$7.59–$235.25	—	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE SPUTUM	$89.36	$241.50	$7.59–$241.50	—	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE SPUTUM	$89.36	$241.50	$7.59–$241.50	—	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE WOUND	$89.36	$241.50	$7.59–$241.50	—	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE WOUND	$89.36	$241.50	$7.59–$241.50	—	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE ANEROBIC/AEROBIC	$89.73	$242.50	$7.59–$242.50	—	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE ANEROBIC/AEROBIC	$89.73	$242.50	$7.59–$242.50	—	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 BRONCHIAL WASHING	$92.50	$250.00	$7.59–$250.00	—	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE CSF	$92.50	$250.00	$7.59–$250.00	—	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 BRONCHIAL WASHING	$92.50	$250.00	$7.59–$250.00	—	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE CSF	$92.50	$250.00	$7.59–$250.00	—	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULT CYSTIC FIBROSIS SPUTUM	$99.07	$267.75	$7.59–$267.75	—	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULT CYSTIC FIBROSIS SPUTUM	$99.07	$267.75	$7.59–$267.75	—	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE BONE MARROW	$99.44	$268.75	$7.59–$268.75	—	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE BONE MARROW	$99.44	$268.75	$7.59–$268.75	—	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE TISSUE	$140.60	$380.00	$7.59–$380.00	—	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE TISSUE	$140.60	$380.00	$7.59–$380.00	—	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE EYE	$160.49	$433.75	$7.59–$433.75	—	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE EYE	$160.49	$433.75	$7.59–$433.75	—	63%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PROF 2000	$71.50	$193.25	$7.45–$193.25	78% below	63%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PROF 2000	$71.50	$193.25	$7.45–$193.25	78% below	63%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PROF 2000	$71.50	$193.25	$7.45–$193.25	—	63%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PROF 2000	$71.50	$193.25	$7.45–$193.25	—	63%
Bilirubin blood test, total CPT 82247 REF LIVER FIB BILIRUBIN	$21.09	$57.00	$4.42–$57.00	11% below	63%
Bilirubin blood test, total CPT 82247 REF LIVER FIB BILIRUBIN	$21.09	$57.00	$4.42–$57.00	11% below	63%
Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL NEONATAL	$49.77	$134.50	$4.42–$134.50	111% above	63%
Bilirubin blood test, total CPT 82247 BODY FLUID BILIRUBIN TOTAL	$49.77	$134.50	$4.42–$134.50	111% above	63%
Bilirubin blood test, total CPT 82247 BILIRUBIN FRACTIONATED	$49.77	$134.50	$4.42–$134.50	111% above	63%
Bilirubin blood test, total CPT 82247 BODY FLUID BILIRUBIN TOTAL	$49.77	$134.50	$4.42–$134.50	111% above	63%
Bilirubin blood test, total CPT 82247 BILIRUBIN FRACTIONATED	$49.77	$134.50	$4.42–$134.50	111% above	63%
Bilirubin blood test, total CPT 82247 BILIRUBIN BLOOD TOTAL	$49.77	$134.50	$4.42–$134.50	111% above	63%
Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL NEONATAL	$49.77	$134.50	$4.42–$134.50	111% above	63%
Bilirubin blood test, total CPT 82247 BILIRUBIN BLOOD TOTAL	$49.77	$134.50	$4.42–$134.50	111% above	63%
Bilirubin blood test, total inpatient CPT 82247 REF LIVER FIB BILIRUBIN	$21.09	$57.00	$4.42–$57.00	—	63%
Bilirubin blood test, total inpatient CPT 82247 REF LIVER FIB BILIRUBIN	$21.09	$57.00	$4.42–$57.00	—	63%
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN TOTAL NEONATAL	$49.77	$134.50	$4.42–$134.50	—	63%
Bilirubin blood test, total inpatient CPT 82247 BODY FLUID BILIRUBIN TOTAL	$49.77	$134.50	$4.42–$134.50	—	63%
Bilirubin blood test, total inpatient CPT 82247 BODY FLUID BILIRUBIN TOTAL	$49.77	$134.50	$4.42–$134.50	—	63%
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN BLOOD TOTAL	$49.77	$134.50	$4.42–$134.50	—	63%
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN BLOOD TOTAL	$49.77	$134.50	$4.42–$134.50	—	63%
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN FRACTIONATED	$49.77	$134.50	$4.42–$134.50	—	63%
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN TOTAL NEONATAL	$49.77	$134.50	$4.42–$134.50	—	63%
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN FRACTIONATED	$49.77	$134.50	$4.42–$134.50	—	63%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 REF ARK TISS EXAM PATH 88305	$23.96	$64.75	$12.95–$64.75	79% below	63%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 REF ARK TISS EXAM PATH 88305	$23.96	$64.75	$12.95–$64.75	79% below	63%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 REF MBX GLOBAL LEVEL IV PATH G/M	$43.11	$116.50	$23.30–$116.50	63% below	63%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 GROSS & MICRO LEVEL IV	$43.11	$116.50	$23.30–$116.50	63% below	63%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 REF NERVE BX/SURG PATH G&M IV	$43.11	$116.50	$23.30–$116.50	63% below	63%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 REF RENAL BX SC SECCUT LEV IV	$43.11	$116.50	$23.30–$116.50	63% below	63%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 REF RENAL BX-SC-TECH	$43.11	$116.50	$23.30–$116.50	63% below	63%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 GROSS & MICRO LEVEL IV	$43.11	$116.50	$23.30–$116.50	63% below	63%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 REF MBX GLOBAL LEVEL IV PATH G/M	$43.11	$116.50	$23.30–$116.50	63% below	63%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 REF NERVE BX/SURG PATH G&M IV	$43.11	$116.50	$23.30–$116.50	63% below	63%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 REF RENAL BX SC SECCUT LEV IV	$43.11	$116.50	$23.30–$116.50	63% below	63%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 REF RENAL BX-SC-TECH	$43.11	$116.50	$23.30–$116.50	63% below	63%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 REF ARK TISS EXAM PATH 88305	$23.96	$64.75	$12.95–$64.75	—	63%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 REF ARK TISS EXAM PATH 88305	$23.96	$64.75	$12.95–$64.75	—	63%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 REF RENAL BX SC SECCUT LEV IV	$43.11	$116.50	$23.30–$116.50	—	63%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 REF RENAL BX SC SECCUT LEV IV	$43.11	$116.50	$23.30–$116.50	—	63%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 REF NERVE BX/SURG PATH G&M IV	$43.11	$116.50	$23.30–$116.50	—	63%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 REF NERVE BX/SURG PATH G&M IV	$43.11	$116.50	$23.30–$116.50	—	63%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 GROSS & MICRO LEVEL IV	$43.11	$116.50	$23.30–$116.50	—	63%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 REF MBX GLOBAL LEVEL IV PATH G/M	$43.11	$116.50	$23.30–$116.50	—	63%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 REF MBX GLOBAL LEVEL IV PATH G/M	$43.11	$116.50	$23.30–$116.50	—	63%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 REF RENAL BX-SC-TECH	$43.11	$116.50	$23.30–$116.50	—	63%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 GROSS & MICRO LEVEL IV	$43.11	$116.50	$23.30–$116.50	—	63%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 REF RENAL BX-SC-TECH	$43.11	$116.50	$23.30–$116.50	—	63%
Blood culture for bacteria CPT 87040 CULTURE BLOOD	$99.07	$267.75	$9.08–$267.75	71% below	63%
Blood culture for bacteria CPT 87040 MANUAL BLOOD CULTURE	$99.07	$267.75	$9.08–$267.75	71% below	63%
Blood culture for bacteria CPT 87040 CULTURE BLOOD	$99.07	$267.75	$9.08–$267.75	71% below	63%
Blood culture for bacteria CPT 87040 MANUAL BLOOD CULTURE	$99.07	$267.75	$9.08–$267.75	71% below	63%
Blood culture for bacteria inpatient CPT 87040 MANUAL BLOOD CULTURE	$99.07	$267.75	$9.08–$267.75	—	63%
Blood culture for bacteria inpatient CPT 87040 CULTURE BLOOD	$99.07	$267.75	$9.08–$267.75	—	63%
Blood culture for bacteria inpatient CPT 87040 CULTURE BLOOD	$99.07	$267.75	$9.08–$267.75	—	63%
Blood culture for bacteria inpatient CPT 87040 MANUAL BLOOD CULTURE	$99.07	$267.75	$9.08–$267.75	—	63%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 PBB CC VENIPUNCTURE	$5.00	$13.50	$2.70–$24.98	74% below	63%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE	$5.00	$13.50	$2.70–$24.98	74% below	63%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE	$5.00	$13.50	$2.70–$24.98	74% below	63%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 ED VENIPUNCTURE	$5.00	$13.50	$2.70–$24.98	74% below	63%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 ED VENIPUNCTURE	$5.00	$13.50	$2.70–$24.98	74% below	63%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 CC WOUND CARE VENIPUNCTURE	$5.00	$13.50	$2.70–$24.98	74% below	63%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 CC WOUND CARE VENIPUNCTURE	$5.00	$13.50	$2.70–$24.98	74% below	63%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 NURSING VENIPUNCTURE	$5.00	$13.50	$2.70–$24.98	74% below	63%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 NURSING VENIPUNCTURE	$5.00	$13.50	$2.70–$24.98	74% below	63%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 PAT VENIPUNCTURE	$5.00	$13.50	$2.70–$24.98	74% below	63%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 PAT VENIPUNCTURE	$5.00	$13.50	$2.70–$24.98	74% below	63%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 PBB CC VENIPUNCTURE	$5.00	$13.50	$2.70–$24.98	74% below	63%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 ED VENIPUNCTURE	$5.00	$13.50	$2.70–$24.98	—	63%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 CC WOUND CARE VENIPUNCTURE	$5.00	$13.50	$2.70–$24.98	—	63%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 CC WOUND CARE VENIPUNCTURE	$5.00	$13.50	$2.70–$24.98	—	63%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 PAT VENIPUNCTURE	$5.00	$13.50	$2.70–$24.98	—	63%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 PBB CC VENIPUNCTURE	$5.00	$13.50	$2.70–$24.98	—	63%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 NURSING VENIPUNCTURE	$5.00	$13.50	$2.70–$24.98	—	63%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 NURSING VENIPUNCTURE	$5.00	$13.50	$2.70–$24.98	—	63%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE	$5.00	$13.50	$2.70–$24.98	—	63%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE	$5.00	$13.50	$2.70–$24.98	—	63%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 PBB CC VENIPUNCTURE	$5.00	$13.50	$2.70–$24.98	—	63%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 ED VENIPUNCTURE	$5.00	$13.50	$2.70–$24.98	—	63%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 PAT VENIPUNCTURE	$5.00	$13.50	$2.70–$24.98	—	63%
Blood glucose (sugar) test CPT 82947 GLUCOSE	$6.85	$18.50	$3.46–$18.50	85% below	63%
Blood glucose (sugar) test CPT 82947 GLUCOSE POC (POINT OF CARE)	$6.85	$18.50	$3.46–$18.50	85% below	63%
Blood glucose (sugar) test CPT 82947 GLUCOSE	$6.85	$18.50	$3.46–$18.50	85% below	63%
Blood glucose (sugar) test CPT 82947 GLUCOSE POC (POINT OF CARE)	$6.85	$18.50	$3.46–$18.50	85% below	63%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE POC (POINT OF CARE)	$6.85	$18.50	$3.46–$18.50	—	63%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE POC (POINT OF CARE)	$6.85	$18.50	$3.46–$18.50	—	63%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE	$6.85	$18.50	$3.46–$18.50	—	63%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE	$6.85	$18.50	$3.46–$18.50	—	63%
Blood lead test CPT 83655 REF LEAD INDUSTRIAL WHOLE BLOOD-A	$4.44	$12.00	$2.40–$12.00	59% below	63%
Blood lead test CPT 83655 REF LEAD INDUSTRIAL WHOLE BLOOD-A	$4.44	$12.00	$2.40–$12.00	59% below	63%
Blood lead test inpatient CPT 83655 REF LEAD INDUSTRIAL WHOLE BLOOD-A	$4.44	$12.00	$2.40–$12.00	—	63%
Blood lead test inpatient CPT 83655 REF LEAD INDUSTRIAL WHOLE BLOOD-A	$4.44	$12.00	$2.40–$12.00	—	63%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 URINE HCG QUALITATIVE POC	$59.85	$161.75	$6.62–$161.75	52% below	63%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 URINE HCG QUALITATIVE POC	$59.85	$161.75	$6.62–$161.75	52% below	63%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 B HCB/QUAL	$59.85	$161.75	$6.62–$161.75	52% below	63%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 B HCB/QUAL	$59.85	$161.75	$6.62–$161.75	52% below	63%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 URINE HCG QUALITATIVE POC	$59.85	$161.75	$6.62–$161.75	—	63%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 B HCB/QUAL	$59.85	$161.75	$6.62–$161.75	—	63%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 B HCB/QUAL	$59.85	$161.75	$6.62–$161.75	—	63%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 URINE HCG QUALITATIVE POC	$59.85	$161.75	$6.62–$161.75	—	63%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 REF BB ABO TYPE	$32.84	$88.75	$2.63–$88.75	31% below	63%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 REF BB ABO TYPE	$32.84	$88.75	$2.63–$88.75	31% below	63%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING ABO ONLY	$36.45	$98.50	$2.63–$98.50	23% below	63%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING ABO ONLY	$36.45	$98.50	$2.63–$98.50	23% below	63%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 REF BB ABO TYPE	$32.84	$88.75	$2.63–$88.75	—	63%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 REF BB ABO TYPE	$32.84	$88.75	$2.63–$88.75	—	63%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BLOOD TYPING ABO ONLY	$36.45	$98.50	$2.63–$98.50	—	63%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BLOOD TYPING ABO ONLY	$36.45	$98.50	$2.63–$98.50	—	63%
Blood urea nitrogen (BUN) test CPT 84520 BUN POC (POINT OF CARE)	$10.55	$28.50	$3.48–$28.50	77% below	63%
Blood urea nitrogen (BUN) test CPT 84520 UREA NITROGEN BLOOD (BUN)	$10.55	$28.50	$3.48–$28.50	77% below	63%
Blood urea nitrogen (BUN) test CPT 84520 UREA NITROGEN FLUID	$10.55	$28.50	$3.48–$28.50	77% below	63%
Blood urea nitrogen (BUN) test CPT 84520 UREA NITROGEN BLOOD (BUN)	$10.55	$28.50	$3.48–$28.50	77% below	63%
Blood urea nitrogen (BUN) test CPT 84520 UREA NITROGEN FLUID	$10.55	$28.50	$3.48–$28.50	77% below	63%
Blood urea nitrogen (BUN) test CPT 84520 BUN POC (POINT OF CARE)	$10.55	$28.50	$3.48–$28.50	77% below	63%
Blood urea nitrogen (BUN) test inpatient CPT 84520 BUN POC (POINT OF CARE)	$10.55	$28.50	$3.48–$28.50	—	63%
Blood urea nitrogen (BUN) test inpatient CPT 84520 UREA NITROGEN FLUID	$10.55	$28.50	$3.48–$28.50	—	63%
Blood urea nitrogen (BUN) test inpatient CPT 84520 UREA NITROGEN FLUID	$10.55	$28.50	$3.48–$28.50	—	63%
Blood urea nitrogen (BUN) test inpatient CPT 84520 BUN POC (POINT OF CARE)	$10.55	$28.50	$3.48–$28.50	—	63%
Blood urea nitrogen (BUN) test inpatient CPT 84520 UREA NITROGEN BLOOD (BUN)	$10.55	$28.50	$3.48–$28.50	—	63%
Blood urea nitrogen (BUN) test inpatient CPT 84520 UREA NITROGEN BLOOD (BUN)	$10.55	$28.50	$3.48–$28.50	—	63%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 REF SYNOVASURE (CRP)-A	$5.64	$15.25	$3.05–$15.25	92% below	63%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 REF SYNOVASURE (CRP)-A	$5.64	$15.25	$3.05–$15.25	92% below	63%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C REACT PROT QT	$38.85	$105.00	$4.56–$105.00	46% below	63%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C REACT PROT QT	$38.85	$105.00	$4.56–$105.00	46% below	63%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 REF SYNOVASURE (CRP)-A	$5.64	$15.25	$3.05–$15.25	—	63%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 REF SYNOVASURE (CRP)-A	$5.64	$15.25	$3.05–$15.25	—	63%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C REACT PROT QT	$38.85	$105.00	$4.56–$105.00	—	63%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C REACT PROT QT	$38.85	$105.00	$4.56–$105.00	—	63%
C. difficile toxin gene test (stool PCR) CPT 87493 C.DIFF TOX A+B GENPROBE	$68.73	$185.75	$32.80–$185.75	39% below	63%
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF TOXIN GENE(S) AMP PRB	$68.73	$185.75	$32.80–$185.75	39% below	63%
C. difficile toxin gene test (stool PCR) CPT 87493 C.DIFF TOX A+B GENPROBE	$68.73	$185.75	$32.80–$185.75	39% below	63%
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF TOXIN GENE(S) AMP PRB	$68.73	$185.75	$32.80–$185.75	39% below	63%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C.DIFF TOX A+B GENPROBE	$68.73	$185.75	$32.80–$185.75	—	63%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C DIFF TOXIN GENE(S) AMP PRB	$68.73	$185.75	$32.80–$185.75	—	63%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C DIFF TOXIN GENE(S) AMP PRB	$68.73	$185.75	$32.80–$185.75	—	63%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C.DIFF TOX A+B GENPROBE	$68.73	$185.75	$32.80–$185.75	—	63%
CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9	$51.62	$139.50	$18.31–$139.50	6% below	63%
CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9	$51.62	$139.50	$18.31–$139.50	6% below	63%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9	$51.62	$139.50	$18.31–$139.50	—	63%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9	$51.62	$139.50	$18.31–$139.50	—	63%
CA-125 blood test (ovarian cancer marker) CPT 86304 REF CA 125 PLEURAL FLUID	$35.15	$95.00	$18.31–$95.00	58% below	63%
CA-125 blood test (ovarian cancer marker) CPT 86304 REF CA 125 CSF	$35.15	$95.00	$18.31–$95.00	58% below	63%
CA-125 blood test (ovarian cancer marker) CPT 86304 REF CA 125 PERITONEAL FLUID	$35.15	$95.00	$18.31–$95.00	58% below	63%
CA-125 blood test (ovarian cancer marker) CPT 86304 REF CA 125 CSF	$35.15	$95.00	$18.31–$95.00	58% below	63%
CA-125 blood test (ovarian cancer marker) CPT 86304 REF CA 125 PLEURAL FLUID	$35.15	$95.00	$18.31–$95.00	58% below	63%
CA-125 blood test (ovarian cancer marker) CPT 86304 REF CA 125 PERITONEAL FLUID	$35.15	$95.00	$18.31–$95.00	58% below	63%
CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125	$39.59	$107.00	$18.31–$107.00	52% below	63%
CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125	$39.59	$107.00	$18.31–$107.00	52% below	63%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 REF CA 125 PERITONEAL FLUID	$35.15	$95.00	$18.31–$95.00	—	63%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 REF CA 125 PLEURAL FLUID	$35.15	$95.00	$18.31–$95.00	—	63%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 REF CA 125 PERITONEAL FLUID	$35.15	$95.00	$18.31–$95.00	—	63%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 REF CA 125 PLEURAL FLUID	$35.15	$95.00	$18.31–$95.00	—	63%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 REF CA 125 CSF	$35.15	$95.00	$18.31–$95.00	—	63%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 REF CA 125 CSF	$35.15	$95.00	$18.31–$95.00	—	63%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125	$39.59	$107.00	$18.31–$107.00	—	63%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125	$39.59	$107.00	$18.31–$107.00	—	63%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 2019 NOVEL CORONA VIRUS RNA	$20.35	$55.00	$11.00–$55.00	77% below	63%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 2019 NOVEL CORONA VIRUS RNA	$20.35	$55.00	$11.00–$55.00	77% below	63%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 REF 2019 NOVEL CORONAVIRUS 87635	$25.53	$69.00	$13.80–$69.00	71% below	63%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 REF 2019 NOVEL CORONAVIRUS 87635	$25.53	$69.00	$13.80–$69.00	71% below	63%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 2019 NOVEL CORONA VIRUS RNA	$20.35	$55.00	$11.00–$55.00	—	63%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 2019 NOVEL CORONA VIRUS RNA	$20.35	$55.00	$11.00–$55.00	—	63%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 REF 2019 NOVEL CORONAVIRUS 87635	$25.53	$69.00	$13.80–$69.00	—	63%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 REF 2019 NOVEL CORONAVIRUS 87635	$25.53	$69.00	$13.80–$69.00	—	63%
Calcium blood test, total CPT 82310 CALCIUM BLOOD CHEMICAL	$8.14	$22.00	$4.40–$22.00	84% below	63%
Calcium blood test, total CPT 82310 CALCIUM BLOOD CHEMICAL	$8.14	$22.00	$4.40–$22.00	84% below	63%
Calcium blood test, total CPT 82310 CALCIUM FLUID	$8.14	$22.00	$4.40–$22.00	84% below	63%
Calcium blood test, total CPT 82310 CALCIUM FLUID	$8.14	$22.00	$4.40–$22.00	84% below	63%
Calcium blood test, total inpatient CPT 82310 CALCIUM BLOOD CHEMICAL	$8.14	$22.00	$4.40–$22.00	—	63%
Calcium blood test, total inpatient CPT 82310 CALCIUM FLUID	$8.14	$22.00	$4.40–$22.00	—	63%
Calcium blood test, total inpatient CPT 82310 CALCIUM FLUID	$8.14	$22.00	$4.40–$22.00	—	63%
Calcium blood test, total inpatient CPT 82310 CALCIUM BLOOD CHEMICAL	$8.14	$22.00	$4.40–$22.00	—	63%
Carcinoembryonic antigen (CEA) test CPT 82378 REF CEA BODY FLUID	$19.24	$52.00	$10.40–$52.00	84% below	63%
Carcinoembryonic antigen (CEA) test CPT 82378 REF CEA BODY FLUID	$19.24	$52.00	$10.40–$52.00	84% below	63%
Carcinoembryonic antigen (CEA) test CPT 82378 REF CEA CSF	$31.08	$84.00	$16.68–$84.00	74% below	63%
Carcinoembryonic antigen (CEA) test CPT 82378 REF CEA CSF	$31.08	$84.00	$16.68–$84.00	74% below	63%
Carcinoembryonic antigen (CEA) test CPT 82378 REF CEA PERICARDIAL FLUID	$31.08	$84.00	$16.68–$84.00	74% below	63%
Carcinoembryonic antigen (CEA) test CPT 82378 REF CEA PERITONEAL FLUID	$31.08	$84.00	$16.68–$84.00	74% below	63%
Carcinoembryonic antigen (CEA) test CPT 82378 REF CEA PERITONEAL FLUID	$31.08	$84.00	$16.68–$84.00	74% below	63%
Carcinoembryonic antigen (CEA) test CPT 82378 REF CEA PERICARDIAL FLUID	$31.08	$84.00	$16.68–$84.00	74% below	63%
Carcinoembryonic antigen (CEA) test CPT 82378 REF CEA PLEURAL FLUID	$35.15	$95.00	$16.68–$95.00	70% below	63%
Carcinoembryonic antigen (CEA) test CPT 82378 REF CEA PLEURAL FLUID	$35.15	$95.00	$16.68–$95.00	70% below	63%
Carcinoembryonic antigen (CEA) test CPT 82378 REF CEA PANCREATIC CYST FLUID	$37.74	$102.00	$16.68–$102.00	68% below	63%
Carcinoembryonic antigen (CEA) test CPT 82378 REF CEA PANCREATIC CYST FLUID	$37.74	$102.00	$16.68–$102.00	68% below	63%
Carcinoembryonic antigen (CEA) test CPT 82378 CARCINOEMBRYONIC ANTIGEN	$41.90	$113.25	$16.68–$113.25	64% below	63%
Carcinoembryonic antigen (CEA) test CPT 82378 CARCINOEMBRYONIC ANTIGEN	$41.90	$113.25	$16.68–$113.25	64% below	63%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 REF CEA BODY FLUID	$19.24	$52.00	$10.40–$52.00	—	63%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 REF CEA BODY FLUID	$19.24	$52.00	$10.40–$52.00	—	63%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 REF CEA PERICARDIAL FLUID	$31.08	$84.00	$16.68–$84.00	—	63%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 REF CEA PERITONEAL FLUID	$31.08	$84.00	$16.68–$84.00	—	63%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 REF CEA PERITONEAL FLUID	$31.08	$84.00	$16.68–$84.00	—	63%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 REF CEA CSF	$31.08	$84.00	$16.68–$84.00	—	63%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 REF CEA CSF	$31.08	$84.00	$16.68–$84.00	—	63%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 REF CEA PERICARDIAL FLUID	$31.08	$84.00	$16.68–$84.00	—	63%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 REF CEA PLEURAL FLUID	$35.15	$95.00	$16.68–$95.00	—	63%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 REF CEA PLEURAL FLUID	$35.15	$95.00	$16.68–$95.00	—	63%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 REF CEA PANCREATIC CYST FLUID	$37.74	$102.00	$16.68–$102.00	—	63%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 REF CEA PANCREATIC CYST FLUID	$37.74	$102.00	$16.68–$102.00	—	63%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CARCINOEMBRYONIC ANTIGEN	$41.90	$113.25	$16.68–$113.25	—	63%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CARCINOEMBRYONIC ANTIGEN	$41.90	$113.25	$16.68–$113.25	—	63%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER IGG	$10.45	$28.25	$5.65–$28.25	43% below	63%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER IGG	$10.45	$28.25	$5.65–$28.25	43% below	63%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOSTER IGG	$10.45	$28.25	$5.65–$28.25	—	63%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOSTER IGG	$10.45	$28.25	$5.65–$28.25	—	63%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 REF C TRACHOM RRNA DETECTION SWAB	$11.10	$30.00	$6.00–$30.00	74% below	63%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 REF C. TRACHOMATIS TMA THROAT AMP	$25.90	$70.00	$14.00–$70.00	38% below	63%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 REF C. TRACHOMATIS TMA RECTAL AMP	$25.90	$70.00	$14.00–$70.00	38% below	63%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 REF C. TRACHOMATIS TMA THROAT AMP	$25.90	$70.00	$14.00–$70.00	38% below	63%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 REF C. TRACHOMATIS TMA RECTAL AMP	$25.90	$70.00	$14.00–$70.00	38% below	63%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 C. TRACHOMATIS DNA BY PCR	$49.21	$133.00	$26.60–$133.00	17% above	63%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 C. TRACHOMATIS DNA BY PCR	$49.21	$133.00	$26.60–$133.00	17% above	63%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA DNA AMPLICATION	$49.21	$133.00	$26.60–$133.00	17% above	63%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA DNA AMPLICATION	$49.21	$133.00	$26.60–$133.00	17% above	63%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 REF C TRACHOM RRNA DETECTION SWAB	$11.10	$30.00	$6.00–$30.00	—	63%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 REF C TRACHOM RRNA DETECTION SWAB	$11.10	$30.00	$6.00–$30.00	—	63%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 REF C. TRACHOMATIS TMA RECTAL AMP	$25.90	$70.00	$14.00–$70.00	—	63%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 REF C. TRACHOMATIS TMA RECTAL AMP	$25.90	$70.00	$14.00–$70.00	—	63%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 REF C. TRACHOMATIS TMA THROAT AMP	$25.90	$70.00	$14.00–$70.00	—	63%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 REF C. TRACHOMATIS TMA THROAT AMP	$25.90	$70.00	$14.00–$70.00	—	63%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 C. TRACHOMATIS DNA BY PCR	$49.21	$133.00	$26.60–$133.00	—	63%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA DNA AMPLICATION	$49.21	$133.00	$26.60–$133.00	—	63%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 C. TRACHOMATIS DNA BY PCR	$49.21	$133.00	$26.60–$133.00	—	63%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA DNA AMPLICATION	$49.21	$133.00	$26.60–$133.00	—	63%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PROFILE	$156.97	$424.25	$11.78–$424.25	55% above	63%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PROFILE	$156.97	$424.25	$11.78–$424.25	55% above	63%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PROFILE	$156.97	$424.25	$11.78–$424.25	—	63%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PROFILE	$156.97	$424.25	$11.78–$424.25	—	63%
Complete blood count (CBC) with differential CPT 85025 CBC W/DIFFERENTIAL	$51.25	$138.50	$6.84–$138.50	24% below	63%
Complete blood count (CBC) with differential CPT 85025 CBC W/DIFFERENTIAL	$51.25	$138.50	$6.84–$138.50	24% below	63%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC W/DIFFERENTIAL	$51.25	$138.50	$6.84–$138.50	—	63%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC W/DIFFERENTIAL	$51.25	$138.50	$6.84–$138.50	—	63%
Complete blood count (CBC), no differential CPT 85027 CBC W/O DIFFERENTIAL	$46.62	$126.00	$5.69–$126.00	53% below	63%
Complete blood count (CBC), no differential CPT 85027 CBC W/O DIFFERENTIAL	$46.62	$126.00	$5.69–$126.00	53% below	63%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC W/O DIFFERENTIAL	$46.62	$126.00	$5.69–$126.00	—	63%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC W/O DIFFERENTIAL	$46.62	$126.00	$5.69–$126.00	—	63%
Comprehensive metabolic panel (blood test) CPT 80053 COMP METABOLIC PANEL 2000	$122.38	$330.75	$9.29–$330.75	73% below	63%
Comprehensive metabolic panel (blood test) CPT 80053 COMP METABOLIC PANEL 2000	$122.38	$330.75	$9.29–$330.75	73% below	63%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMP METABOLIC PANEL 2000	$122.38	$330.75	$9.29–$330.75	—	63%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMP METABOLIC PANEL 2000	$122.38	$330.75	$9.29–$330.75	—	63%
Cortisol blood test, total CPT 82533 REF CORTISOL, SALIVA-A	$9.16	$24.75	$4.95–$24.75	86% below	63%
Cortisol blood test, total CPT 82533 REF CORTISOL, SALIVA-A	$9.16	$24.75	$4.95–$24.75	86% below	63%
Cortisol blood test, total CPT 82533 CORTISOL RIA BLOOD	$67.62	$182.75	$14.35–$182.75	5% above	63%
Cortisol blood test, total CPT 82533 CORTISOL RIA BLOOD	$67.62	$182.75	$14.35–$182.75	5% above	63%
Cortisol blood test, total inpatient CPT 82533 REF CORTISOL, SALIVA-A	$9.16	$24.75	$4.95–$24.75	—	63%
Cortisol blood test, total inpatient CPT 82533 REF CORTISOL, SALIVA-A	$9.16	$24.75	$4.95–$24.75	—	63%
Cortisol blood test, total inpatient CPT 82533 CORTISOL RIA BLOOD	$67.62	$182.75	$14.35–$182.75	—	63%
Cortisol blood test, total inpatient CPT 82533 CORTISOL RIA BLOOD	$67.62	$182.75	$14.35–$182.75	—	63%
Creatine kinase (CK) blood test, total CPT 82550 CPK TOTAL	$53.65	$145.00	$5.73–$145.00	28% below	63%
Creatine kinase (CK) blood test, total CPT 82550 CPK TOTAL	$53.65	$145.00	$5.73–$145.00	28% below	63%
Creatine kinase (CK) blood test, total inpatient CPT 82550 CPK TOTAL	$53.65	$145.00	$5.73–$145.00	—	63%
Creatine kinase (CK) blood test, total inpatient CPT 82550 CPK TOTAL	$53.65	$145.00	$5.73–$145.00	—	63%
Creatinine blood test CPT 82565 CREATININE BLOOD	$7.12	$19.25	$3.85–$19.25	87% below	63%
Creatinine blood test CPT 82565 CREATININE BLOOD	$7.12	$19.25	$3.85–$19.25	87% below	63%
Creatinine blood test CPT 82565 CREATININE POC (POINT OF CARE)	$7.12	$19.25	$3.85–$19.25	87% below	63%
Creatinine blood test CPT 82565 CREATININE POC (POINT OF CARE)	$7.12	$19.25	$3.85–$19.25	87% below	63%
Creatinine blood test inpatient CPT 82565 CREATININE BLOOD	$7.12	$19.25	$3.85–$19.25	—	63%
Creatinine blood test inpatient CPT 82565 CREATININE POC (POINT OF CARE)	$7.12	$19.25	$3.85–$19.25	—	63%
Creatinine blood test inpatient CPT 82565 CREATININE BLOOD	$7.12	$19.25	$3.85–$19.25	—	63%
Creatinine blood test inpatient CPT 82565 CREATININE POC (POINT OF CARE)	$7.12	$19.25	$3.85–$19.25	—	63%
Cytomegalovirus (CMV) antibody test CPT 86644 REF BB CMV TEST	$16.37	$44.25	$8.85–$44.25	42% below	63%
Cytomegalovirus (CMV) antibody test CPT 86644 REF CMV AB(BC)	$16.37	$44.25	$8.85–$44.25	42% below	63%
Cytomegalovirus (CMV) antibody test CPT 86644 REF BB CMV TEST	$16.37	$44.25	$8.85–$44.25	42% below	63%
Cytomegalovirus (CMV) antibody test CPT 86644 REF CMV AB(BC)	$16.37	$44.25	$8.85–$44.25	42% below	63%
Cytomegalovirus (CMV) antibody test CPT 86644 CMV IGG	$16.37	$44.25	$8.85–$44.25	42% below	63%
Cytomegalovirus (CMV) antibody test CPT 86644 CMV IGG	$16.37	$44.25	$8.85–$44.25	42% below	63%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 REF CMV AB(BC)	$16.37	$44.25	$8.85–$44.25	—	63%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV IGG	$16.37	$44.25	$8.85–$44.25	—	63%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV IGG	$16.37	$44.25	$8.85–$44.25	—	63%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 REF BB CMV TEST	$16.37	$44.25	$8.85–$44.25	—	63%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 REF BB CMV TEST	$16.37	$44.25	$8.85–$44.25	—	63%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 REF CMV AB(BC)	$16.37	$44.25	$8.85–$44.25	—	63%
D-dimer blood test (blood clot marker) CPT 85379 REF MAYO D-DIMER	$16.65	$45.00	$8.96–$45.00	92% below	63%
D-dimer blood test (blood clot marker) CPT 85379 REF MAYO D-DIMER	$16.65	$45.00	$8.96–$45.00	92% below	63%
D-dimer blood test (blood clot marker) CPT 85379 FDP D-DIMER QUAN	$27.20	$73.50	$8.96–$73.50	86% below	63%
D-dimer blood test (blood clot marker) CPT 85379 FDP D-DIMER QUAN	$27.20	$73.50	$8.96–$73.50	86% below	63%
D-dimer blood test (blood clot marker) inpatient CPT 85379 REF MAYO D-DIMER	$16.65	$45.00	$8.96–$45.00	—	63%
D-dimer blood test (blood clot marker) inpatient CPT 85379 REF MAYO D-DIMER	$16.65	$45.00	$8.96–$45.00	—	63%
D-dimer blood test (blood clot marker) inpatient CPT 85379 FDP D-DIMER QUAN	$27.20	$73.50	$8.96–$73.50	—	63%
D-dimer blood test (blood clot marker) inpatient CPT 85379 FDP D-DIMER QUAN	$27.20	$73.50	$8.96–$73.50	—	63%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-S	$58.28	$157.50	$19.56–$157.50	30% above	63%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-S	$58.28	$157.50	$19.56–$157.50	30% above	63%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA-S	$58.28	$157.50	$19.56–$157.50	—	63%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA-S	$58.28	$157.50	$19.56–$157.50	—	63%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TEST PRESMPT 1 DRUG CLASS	$34.97	$94.50	$18.90–$94.50	45% below	63%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TEST PRESMPT 1 DRUG CLASS	$34.97	$94.50	$18.90–$94.50	45% below	63%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TEST PRESMPT 2 DRUG CLASSES	$69.93	$189.00	$37.80–$189.00	10% above	63%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TEST PRESMPT 2 DRUG CLASSES	$69.93	$189.00	$37.80–$189.00	10% above	63%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TEST PRESMPT 3 DRUG CLASSES	$104.90	$283.50	$54.68–$283.50	65% above	63%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TEST PRESMPT 3 DRUG CLASSES	$104.90	$283.50	$54.68–$283.50	65% above	63%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TEST PRESMPT 4 DRUG CLASSES	$139.86	$378.00	$54.68–$378.00	120% above	63%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TEST PRESMPT 4 DRUG CLASSES	$139.86	$378.00	$54.68–$378.00	120% above	63%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TEST PRESMPT 5 DRUG CLASSES	$174.83	$472.50	$54.68–$472.50	175% above	63%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TEST PRESMPT 5 DRUG CLASSES	$174.83	$472.50	$54.68–$472.50	175% above	63%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TEST PRESMPT 6 DRUG CLASSES	$209.79	$567.00	$54.68–$567.00	229% above	63%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TEST PRESMPT 6 DRUG CLASSES	$209.79	$567.00	$54.68–$567.00	229% above	63%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TEST PRESMPT 7 DRUG CLASSES	$244.76	$661.50	$54.68–$661.50	284% above	63%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TEST PRESMPT 7 DRUG CLASSES	$244.76	$661.50	$54.68–$661.50	284% above	63%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TEST PRESMPT 8 DRUG CLASSES	$279.72	$756.00	$54.68–$756.00	339% above	63%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TEST PRESMPT 8 DRUG CLASSES	$279.72	$756.00	$54.68–$756.00	339% above	63%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TEST PRESMPT 9 DRUG CLASSES	$314.69	$850.50	$54.68–$850.50	394% above	63%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TEST PRESMPT 9 DRUG CLASSES	$314.69	$850.50	$54.68–$850.50	394% above	63%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TEST PRESMPT 10 DRUG CLASSES	$349.65	$945.00	$54.68–$945.00	449% above	63%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TEST PRESMPT 10 DRUG CLASSES	$349.65	$945.00	$54.68–$945.00	449% above	63%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG TEST PRESMPT 1 DRUG CLASS	$34.97	$94.50	$18.90–$94.50	—	63%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG TEST PRESMPT 1 DRUG CLASS	$34.97	$94.50	$18.90–$94.50	—	63%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG TEST PRESMPT 2 DRUG CLASSES	$69.93	$189.00	$37.80–$189.00	—	63%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG TEST PRESMPT 2 DRUG CLASSES	$69.93	$189.00	$37.80–$189.00	—	63%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG TEST PRESMPT 3 DRUG CLASSES	$104.90	$283.50	$54.68–$283.50	—	63%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG TEST PRESMPT 3 DRUG CLASSES	$104.90	$283.50	$54.68–$283.50	—	63%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG TEST PRESMPT 4 DRUG CLASSES	$139.86	$378.00	$54.68–$378.00	—	63%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG TEST PRESMPT 4 DRUG CLASSES	$139.86	$378.00	$54.68–$378.00	—	63%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG TEST PRESMPT 5 DRUG CLASSES	$174.83	$472.50	$54.68–$472.50	—	63%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG TEST PRESMPT 5 DRUG CLASSES	$174.83	$472.50	$54.68–$472.50	—	63%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG TEST PRESMPT 6 DRUG CLASSES	$209.79	$567.00	$54.68–$567.00	—	63%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG TEST PRESMPT 6 DRUG CLASSES	$209.79	$567.00	$54.68–$567.00	—	63%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG TEST PRESMPT 7 DRUG CLASSES	$244.76	$661.50	$54.68–$661.50	—	63%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG TEST PRESMPT 7 DRUG CLASSES	$244.76	$661.50	$54.68–$661.50	—	63%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG TEST PRESMPT 8 DRUG CLASSES	$279.72	$756.00	$54.68–$756.00	—	63%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG TEST PRESMPT 8 DRUG CLASSES	$279.72	$756.00	$54.68–$756.00	—	63%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG TEST PRESMPT 9 DRUG CLASSES	$314.69	$850.50	$54.68–$850.50	—	63%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG TEST PRESMPT 9 DRUG CLASSES	$314.69	$850.50	$54.68–$850.50	—	63%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG TEST PRESMPT 10 DRUG CLASSES	$349.65	$945.00	$54.68–$945.00	—	63%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG TEST PRESMPT 10 DRUG CLASSES	$349.65	$945.00	$54.68–$945.00	—	63%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTES POC	$38.48	$104.00	$6.17–$104.00	82% below	63%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTE PANEL	$38.48	$104.00	$6.17–$104.00	82% below	63%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTES POC	$38.48	$104.00	$6.17–$104.00	82% below	63%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTE PANEL	$38.48	$104.00	$6.17–$104.00	82% below	63%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYTES POC	$38.48	$104.00	$6.17–$104.00	—	63%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYTES POC	$38.48	$104.00	$6.17–$104.00	—	63%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYTE PANEL	$38.48	$104.00	$6.17–$104.00	—	63%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYTE PANEL	$38.48	$104.00	$6.17–$104.00	—	63%
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV VCA AB	$11.75	$31.75	$6.35–$31.75	59% below	63%
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV VCA AB	$11.75	$31.75	$6.35–$31.75	59% below	63%
Epstein-Barr virus (EBV) antibody test CPT 86665 REF EBV VCA	$26.85	$72.56	$14.51–$72.56	7% below	63%
Epstein-Barr virus (EBV) antibody test CPT 86665 REF EBV VCA	$26.85	$72.56	$14.51–$72.56	7% below	63%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV VCA AB	$11.75	$31.75	$6.35–$31.75	—	63%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV VCA AB	$11.75	$31.75	$6.35–$31.75	—	63%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 REF EBV VCA	$26.85	$72.56	$14.51–$72.56	—	63%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 REF EBV VCA	$26.85	$72.56	$14.51–$72.56	—	63%
Estradiol blood test CPT 82670 TOTAL ESTRADIOL	$20.63	$55.75	$11.15–$55.75	36% below	63%
Estradiol blood test CPT 82670 TOTAL ESTRADIOL	$20.63	$55.75	$11.15–$55.75	36% below	63%
Estradiol blood test CPT 82670 REF ESTRADIOL	$41.35	$111.76	$22.35–$111.76	27% above	63%
Estradiol blood test CPT 82670 REF ESTRADIOL	$41.35	$111.76	$22.35–$111.76	27% above	63%
Estradiol blood test CPT 82670 REF FREE ESTRADIOL-A	$75.11	$203.00	$24.59–$203.00	131% above	63%
Estradiol blood test CPT 82670 REF FREE ESTRADIOL-A	$75.11	$203.00	$24.59–$203.00	131% above	63%
Estradiol blood test inpatient CPT 82670 TOTAL ESTRADIOL	$20.63	$55.75	$11.15–$55.75	—	63%
Estradiol blood test inpatient CPT 82670 TOTAL ESTRADIOL	$20.63	$55.75	$11.15–$55.75	—	63%
Estradiol blood test inpatient CPT 82670 REF ESTRADIOL	$41.35	$111.76	$22.35–$111.76	—	63%
Estradiol blood test inpatient CPT 82670 REF ESTRADIOL	$41.35	$111.76	$22.35–$111.76	—	63%
Estradiol blood test inpatient CPT 82670 REF FREE ESTRADIOL-A	$75.11	$203.00	$24.59–$203.00	—	63%
Estradiol blood test inpatient CPT 82670 REF FREE ESTRADIOL-A	$75.11	$203.00	$24.59–$203.00	—	63%
FSH (follicle-stimulating hormone) test CPT 83001 FSH	$55.59	$150.25	$16.35–$150.25	12% below	63%
FSH (follicle-stimulating hormone) test CPT 83001 FSH	$55.59	$150.25	$16.35–$150.25	12% below	63%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH	$55.59	$150.25	$16.35–$150.25	—	63%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH	$55.59	$150.25	$16.35–$150.25	—	63%
Fecal calprotectin (stool inflammation test) CPT 83993 REF FECAL CALPROTECTIN-A	$51.99	$140.50	$17.27–$140.50	56% below	63%
Fecal calprotectin (stool inflammation test) CPT 83993 REF FECAL CALPROTECTIN-A	$51.99	$140.50	$17.27–$140.50	56% below	63%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 REF FECAL CALPROTECTIN-A	$51.99	$140.50	$17.27–$140.50	—	63%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 REF FECAL CALPROTECTIN-A	$51.99	$140.50	$17.27–$140.50	—	63%
Ferritin blood test (iron stores) CPT 82728 FERRITIN RIA BLOOD	$82.33	$222.50	$11.99–$222.50	34% below	63%
Ferritin blood test (iron stores) CPT 82728 FERRITIN RIA BLOOD	$82.33	$222.50	$11.99–$222.50	34% below	63%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN RIA BLOOD	$82.33	$222.50	$11.99–$222.50	—	63%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN RIA BLOOD	$82.33	$222.50	$11.99–$222.50	—	63%
Fibrinogen blood test CPT 85384 FIBRINOGEN ACTIVITY	$38.11	$103.00	$8.55–$103.00	52% below	63%
Fibrinogen blood test CPT 85384 FIBRINOGEN ACTIVITY	$38.11	$103.00	$8.55–$103.00	52% below	63%
Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN ACTIVITY	$38.11	$103.00	$8.55–$103.00	—	63%
Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN ACTIVITY	$38.11	$103.00	$8.55–$103.00	—	63%
Folate (folic acid) blood test CPT 82746 SERUM FOLATE	$38.48	$104.00	$12.94–$104.00	69% below	63%
Folate (folic acid) blood test CPT 82746 SERUM FOLATE	$38.48	$104.00	$12.94–$104.00	69% below	63%
Folate (folic acid) blood test inpatient CPT 82746 SERUM FOLATE	$38.48	$104.00	$12.94–$104.00	—	63%
Folate (folic acid) blood test inpatient CPT 82746 SERUM FOLATE	$38.48	$104.00	$12.94–$104.00	—	63%
Free T3 thyroid hormone test CPT 84481 FREE TRIIODOTHYRONINE T3	$16.28	$44.00	$8.80–$44.00	74% below	63%
Free T3 thyroid hormone test CPT 84481 FREE TRIIODOTHYRONINE T3	$16.28	$44.00	$8.80–$44.00	74% below	63%
Free T3 thyroid hormone test inpatient CPT 84481 FREE TRIIODOTHYRONINE T3	$16.28	$44.00	$8.80–$44.00	—	63%
Free T3 thyroid hormone test inpatient CPT 84481 FREE TRIIODOTHYRONINE T3	$16.28	$44.00	$8.80–$44.00	—	63%
Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE THYROXINE	$128.95	$348.50	$7.94–$348.50	53% above	63%
Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE THYROXINE	$128.95	$348.50	$7.94–$348.50	53% above	63%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 FREE THYROXINE	$128.95	$348.50	$7.94–$348.50	—	63%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 FREE THYROXINE	$128.95	$348.50	$7.94–$348.50	—	63%
Free testosterone test CPT 84402 REF TESTOSTERONE FREE	$37.70	$101.90	$20.38–$101.90	35% above	63%
Free testosterone test CPT 84402 REF TESTOSTERONE FREE	$37.70	$101.90	$20.38–$101.90	35% above	63%
Free testosterone test inpatient CPT 84402 REF TESTOSTERONE FREE	$37.70	$101.90	$20.38–$101.90	—	63%
Free testosterone test inpatient CPT 84402 REF TESTOSTERONE FREE	$37.70	$101.90	$20.38–$101.90	—	63%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 REF LIVER FIB GGT	$21.09	$57.00	$6.34–$57.00	54% below	63%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 REF LIVER FIB GGT	$21.09	$57.00	$6.34–$57.00	54% below	63%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GLUTAMYL TRANSPEPTIDASE GAMMA(GGT)	$50.88	$137.50	$6.34–$137.50	10% above	63%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GLUTAMYL TRANSPEPTIDASE GAMMA(GGT)	$50.88	$137.50	$6.34–$137.50	10% above	63%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 REF LIVER FIB GGT	$21.09	$57.00	$6.34–$57.00	—	63%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 REF LIVER FIB GGT	$21.09	$57.00	$6.34–$57.00	—	63%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GLUTAMYL TRANSPEPTIDASE GAMMA(GGT)	$50.88	$137.50	$6.34–$137.50	—	63%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GLUTAMYL TRANSPEPTIDASE GAMMA(GGT)	$50.88	$137.50	$6.34–$137.50	—	63%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL	$148.74	$402.00	$47.28–$402.00	at median	63%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL	$148.74	$402.00	$47.28–$402.00	at median	63%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 GENERAL HEALTH PANEL	$148.74	$402.00	$47.28–$402.00	—	63%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 GENERAL HEALTH PANEL	$148.74	$402.00	$47.28–$402.00	—	63%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE POST GLUCOSE DOSE	$29.14	$78.75	$4.18–$78.75	59% below	63%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 2 HR SCREEN	$29.14	$78.75	$4.18–$78.75	59% below	63%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 2 HR SCREEN	$29.14	$78.75	$4.18–$78.75	59% below	63%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE POST GLUCOSE DOSE	$29.14	$78.75	$4.18–$78.75	59% below	63%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE 2 HR SCREEN	$29.14	$78.75	$4.18–$78.75	—	63%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE POST GLUCOSE DOSE	$29.14	$78.75	$4.18–$78.75	—	63%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE 2 HR SCREEN	$29.14	$78.75	$4.18–$78.75	—	63%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE POST GLUCOSE DOSE	$29.14	$78.75	$4.18–$78.75	—	63%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE 3HR	$79.27	$214.25	$11.32–$214.25	37% below	63%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE 2HR	$79.27	$214.25	$11.32–$214.25	37% below	63%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE 3HR	$79.27	$214.25	$11.32–$214.25	37% below	63%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE 2HR	$79.27	$214.25	$11.32–$214.25	37% below	63%
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOLERANCE 3HR	$79.27	$214.25	$11.32–$214.25	—	63%
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOLERANCE 2HR	$79.27	$214.25	$11.32–$214.25	—	63%
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOLERANCE 2HR	$79.27	$214.25	$11.32–$214.25	—	63%
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOLERANCE 3HR	$79.27	$214.25	$11.32–$214.25	—	63%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 REF NEISSERIA GONORRHOEAE TMA-A	$11.01	$29.75	$5.95–$29.75	73% below	63%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 REF N. GONORRHOEAE TMA THROAT AMP	$25.90	$70.00	$14.00–$70.00	38% below	63%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 REF N. GONORRHOEAE TMA RECTAL AMP	$25.90	$70.00	$14.00–$70.00	38% below	63%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 REF N. GONORRHOEAE TMA RECTAL AMP	$25.90	$70.00	$14.00–$70.00	38% below	63%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 REF N. GONORRHOEAE TMA THROAT AMP	$25.90	$70.00	$14.00–$70.00	38% below	63%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC DNA AMPLICATION	$49.21	$133.00	$26.60–$133.00	19% above	63%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N. GONORRHOEAE DNA BY PCR	$49.21	$133.00	$26.60–$133.00	19% above	63%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC DNA AMPLICATION	$49.21	$133.00	$26.60–$133.00	19% above	63%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N. GONORRHOEAE DNA BY PCR	$49.21	$133.00	$26.60–$133.00	19% above	63%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 REF NEISSERIA GONORRHOEAE TMA-A	$11.01	$29.75	$5.95–$29.75	—	63%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 REF NEISSERIA GONORRHOEAE TMA-A	$11.01	$29.75	$5.95–$29.75	—	63%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 REF N. GONORRHOEAE TMA RECTAL AMP	$25.90	$70.00	$14.00–$70.00	—	63%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 REF N. GONORRHOEAE TMA THROAT AMP	$25.90	$70.00	$14.00–$70.00	—	63%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 REF N. GONORRHOEAE TMA THROAT AMP	$25.90	$70.00	$14.00–$70.00	—	63%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 REF N. GONORRHOEAE TMA RECTAL AMP	$25.90	$70.00	$14.00–$70.00	—	63%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N. GONORRHOEAE DNA BY PCR	$49.21	$133.00	$26.60–$133.00	—	63%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GC DNA AMPLICATION	$49.21	$133.00	$26.60–$133.00	—	63%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GC DNA AMPLICATION	$49.21	$133.00	$26.60–$133.00	—	63%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N. GONORRHOEAE DNA BY PCR	$49.21	$133.00	$26.60–$133.00	—	63%
H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI IGG	$7.86	$21.25	$4.25–$21.25	76% below	63%
H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI IGG	$7.86	$21.25	$4.25–$21.25	76% below	63%
H. pylori antibody blood test inpatient CPT 86677 HELICOBACTER PYLORI IGG	$7.86	$21.25	$4.25–$21.25	—	63%
H. pylori antibody blood test inpatient CPT 86677 HELICOBACTER PYLORI IGG	$7.86	$21.25	$4.25–$21.25	—	63%
H. pylori stool antigen test CPT 87338 REF H. PYLORI FECAL AG-A	$16.28	$44.00	$8.80–$44.00	66% below	63%
H. pylori stool antigen test CPT 87338 REF H. PYLORI FECAL AG-A	$16.28	$44.00	$8.80–$44.00	66% below	63%
H. pylori stool antigen test inpatient CPT 87338 REF H. PYLORI FECAL AG-A	$16.28	$44.00	$8.80–$44.00	—	63%
H. pylori stool antigen test inpatient CPT 87338 REF H. PYLORI FECAL AG-A	$16.28	$44.00	$8.80–$44.00	—	63%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 REF INF AGT DT BY NA-HIV1 ROCH UL	$29.97	$81.00	$16.20–$81.00	73% below	63%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 REF INF AGT DT BY NA-HIV1 ROCH UL	$29.97	$81.00	$16.20–$81.00	73% below	63%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 REF INF AGT DT BY NA-HIV1 QNT AMP	$36.63	$99.00	$19.80–$99.00	67% below	63%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 REF INF AGT DT BY NA-HIV1 QNT AMP	$36.63	$99.00	$19.80–$99.00	67% below	63%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 REF INF AGT DT BY NA-HIV1 ROCH UL	$29.97	$81.00	$16.20–$81.00	—	63%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 REF INF AGT DT BY NA-HIV1 ROCH UL	$29.97	$81.00	$16.20–$81.00	—	63%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 REF INF AGT DT BY NA-HIV1 QNT AMP	$36.63	$99.00	$19.80–$99.00	—	63%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 REF INF AGT DT BY NA-HIV1 QNT AMP	$36.63	$99.00	$19.80–$99.00	—	63%
HIV-1 and HIV-2 antibody test CPT 86703 HIV 1+2 ANTIBODY SCREEN SNG RESULT	$50.88	$137.50	$12.06–$137.50	2% above	63%
HIV-1 and HIV-2 antibody test CPT 86703 HIV 1+2 ANTIBODY SCREEN SNG RESULT	$50.88	$137.50	$12.06–$137.50	2% above	63%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV 1+2 ANTIBODY SCREEN SNG RESULT	$50.88	$137.50	$12.06–$137.50	—	63%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV 1+2 ANTIBODY SCREEN SNG RESULT	$50.88	$137.50	$12.06–$137.50	—	63%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV1/2 AG/AB COMBO	$40.79	$110.25	$21.19–$110.25	48% below	63%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV1/2 AG/AB COMBO	$40.79	$110.25	$21.19–$110.25	48% below	63%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV1/2 AG/AB COMBO	$40.79	$110.25	$21.19–$110.25	—	63%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV1/2 AG/AB COMBO	$40.79	$110.25	$21.19–$110.25	—	63%
HPV test for high-risk types, one combined (pooled) result CPT 87624 REF HUMAN PAPILLOMAVIRUS RISK	$7.40	$20.00	$4.00–$20.00	80% below	63%
HPV test for high-risk types, one combined (pooled) result CPT 87624 REF HPV HI RISK BY TMA-A	$9.99	$27.00	$5.40–$27.00	73% below	63%
HPV test for high-risk types, one combined (pooled) result CPT 87624 REF HUMAN PAPILLOMAVIRUS SPEC	$13.32	$36.00	$7.20–$36.00	63% below	63%
HPV test for high-risk types, one combined (pooled) result CPT 87624 REF HUMAN PAPILLOMAVIRUS SPEC	$13.32	$36.00	$7.20–$36.00	63% below	63%
HPV test for high-risk types, one combined (pooled) result CPT 87624 REF HUM PAPILLOMAV HI&LO RISK DTR	$14.80	$40.00	$8.00–$40.00	59% below	63%
HPV test for high-risk types, one combined (pooled) result CPT 87624 REF HPV HIGH RISK DETECTR	$14.80	$40.00	$8.00–$40.00	59% below	63%
HPV test for high-risk types, one combined (pooled) result CPT 87624 REF HUM PAPILLOMAV HI&LO RISK DTR	$14.80	$40.00	$8.00–$40.00	59% below	63%
HPV test for high-risk types, one combined (pooled) result CPT 87624 REF HPV HIGH RISK DETECTR	$14.80	$40.00	$8.00–$40.00	59% below	63%
HPV test for high-risk types, one combined (pooled) result CPT 87624 REF HPV HIGH RISK DETION W/REFLX	$35.15	$95.00	$19.00–$95.00	3% below	63%
HPV test for high-risk types, one combined (pooled) result CPT 87624 REF HPV HIGH RISK DETION W/REFLX	$35.15	$95.00	$19.00–$95.00	3% below	63%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HUMAN PAPILLOMA VIRUS HIGH RISK	$62.99	$170.25	$30.88–$170.25	73% above	63%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HUMAN PAPILLOMA VIRUS HIGH RISK	$62.99	$170.25	$30.88–$170.25	73% above	63%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 REF HUMAN PAPILLOMAVIRUS RISK	$7.40	$20.00	$4.00–$20.00	—	63%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 REF HUMAN PAPILLOMAVIRUS RISK	$7.40	$20.00	$4.00–$20.00	—	63%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 REF HPV HI RISK BY TMA-A	$9.99	$27.00	$5.40–$27.00	—	63%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 REF HPV HI RISK BY TMA-A	$9.99	$27.00	$5.40–$27.00	—	63%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 REF HUMAN PAPILLOMAVIRUS SPEC	$13.32	$36.00	$7.20–$36.00	—	63%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 REF HUMAN PAPILLOMAVIRUS SPEC	$13.32	$36.00	$7.20–$36.00	—	63%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 REF HUM PAPILLOMAV HI&LO RISK DTR	$14.80	$40.00	$8.00–$40.00	—	63%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 REF HPV HIGH RISK DETECTR	$14.80	$40.00	$8.00–$40.00	—	63%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 REF HUM PAPILLOMAV HI&LO RISK DTR	$14.80	$40.00	$8.00–$40.00	—	63%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 REF HPV HIGH RISK DETECTR	$14.80	$40.00	$8.00–$40.00	—	63%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 REF HPV HIGH RISK DETION W/REFLX	$35.15	$95.00	$19.00–$95.00	—	63%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 REF HPV HIGH RISK DETION W/REFLX	$35.15	$95.00	$19.00–$95.00	—	63%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HUMAN PAPILLOMA VIRUS HIGH RISK	$62.99	$170.25	$30.88–$170.25	—	63%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HUMAN PAPILLOMA VIRUS HIGH RISK	$62.99	$170.25	$30.88–$170.25	—	63%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCATED HGB	$11.38	$30.75	$6.15–$30.75	84% below	63%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCATED HGB	$11.38	$30.75	$6.15–$30.75	84% below	63%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 GLYCATED HGB	$11.38	$30.75	$6.15–$30.75	—	63%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 GLYCATED HGB	$11.38	$30.75	$6.15–$30.75	—	63%
Hemoglobin blood test CPT 85018 CO-OX HEMOGLOBIN-A	$6.01	$16.25	$2.09–$16.25	89% below	63%
Hemoglobin blood test CPT 85018 CO-OX HEMOGLOBIN-A	$6.01	$16.25	$2.09–$16.25	89% below	63%
Hemoglobin blood test CPT 85018 HEMOGLOBIN	$15.91	$43.00	$2.09–$43.00	71% below	63%
Hemoglobin blood test CPT 85018 HEMOGLOBIN	$15.91	$43.00	$2.09–$43.00	71% below	63%
Hemoglobin blood test inpatient CPT 85018 CO-OX HEMOGLOBIN-A	$6.01	$16.25	$2.09–$16.25	—	63%
Hemoglobin blood test inpatient CPT 85018 CO-OX HEMOGLOBIN-A	$6.01	$16.25	$2.09–$16.25	—	63%
Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN	$15.91	$43.00	$2.09–$43.00	—	63%
Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN	$15.91	$43.00	$2.09–$43.00	—	63%
Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE AB (HBC)	$42.74	$115.50	$10.60–$115.50	20% above	63%
Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE AB (HBC)	$42.74	$115.50	$10.60–$115.50	20% above	63%
Hepatitis B core antibody test (total) inpatient CPT 86704 HEPATITIS B CORE AB (HBC)	$42.74	$115.50	$10.60–$115.50	—	63%
Hepatitis B core antibody test (total) inpatient CPT 86704 HEPATITIS B CORE AB (HBC)	$42.74	$115.50	$10.60–$115.50	—	63%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE ANTI	$51.25	$138.50	$9.45–$138.50	16% above	63%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE ANTI	$51.25	$138.50	$9.45–$138.50	16% above	63%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURFACE ANTI	$51.25	$138.50	$9.45–$138.50	—	63%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURFACE ANTI	$51.25	$138.50	$9.45–$138.50	—	63%
Hepatitis B surface antigen (HBsAg) test CPT 87340 REF HEPATITIS B S AG CONFIRM	$17.76	$48.00	$9.09–$48.00	51% below	63%
Hepatitis B surface antigen (HBsAg) test CPT 87340 REF HEPATITIS B S AG CONFIRM	$17.76	$48.00	$9.09–$48.00	51% below	63%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFAC ANTI	$32.47	$87.75	$9.09–$87.75	10% below	63%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFAC ANTI	$32.47	$87.75	$9.09–$87.75	10% below	63%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 REF HEPATITIS B S AG CONFIRM	$17.76	$48.00	$9.09–$48.00	—	63%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 REF HEPATITIS B S AG CONFIRM	$17.76	$48.00	$9.09–$48.00	—	63%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFAC ANTI	$32.47	$87.75	$9.09–$87.75	—	63%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFAC ANTI	$32.47	$87.75	$9.09–$87.75	—	63%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C	$46.62	$126.00	$12.56–$126.00	at median	63%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C	$46.62	$126.00	$12.56–$126.00	at median	63%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C	$46.62	$126.00	$12.56–$126.00	—	63%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C	$46.62	$126.00	$12.56–$126.00	—	63%
Hepatitis C viral load (HCV RNA) test CPT 87522 REF HEPC RNA QNT PCR-A	$21.83	$59.00	$11.80–$59.00	81% below	63%
Hepatitis C viral load (HCV RNA) test CPT 87522 REF INF AGT DT-NA-HEP C PCR QUAN	$21.83	$59.00	$11.80–$59.00	81% below	63%
Hepatitis C viral load (HCV RNA) test CPT 87522 REF HEPATITIS C (HCV) NAAT QUANT	$21.83	$59.00	$11.80–$59.00	81% below	63%
Hepatitis C viral load (HCV RNA) test CPT 87522 REF INF AGT DT-NA-HEP C PCR QUAN	$21.83	$59.00	$11.80–$59.00	81% below	63%
Hepatitis C viral load (HCV RNA) test CPT 87522 REF HEPC RNA QNT PCR-A	$21.83	$59.00	$11.80–$59.00	81% below	63%
Hepatitis C viral load (HCV RNA) test CPT 87522 REF HEPATITIS C (HCV) NAAT QUANT	$21.83	$59.00	$11.80–$59.00	81% below	63%
Hepatitis C viral load (HCV RNA) test CPT 87522 REF INF AGT DT-NA-HCV 3 BDNA QUN	$29.60	$80.00	$16.00–$80.00	74% below	63%
Hepatitis C viral load (HCV RNA) test CPT 87522 REF INF AGT DT-NA-HCV 3 BDNA QUN	$29.60	$80.00	$16.00–$80.00	74% below	63%
Hepatitis C viral load (HCV RNA) test CPT 87522 REF INF AGT DET BY NA-HEP C RFLX	$44.40	$120.00	$24.00–$120.00	61% below	63%
Hepatitis C viral load (HCV RNA) test CPT 87522 REF INF AGT DET BY NA-HEP C RFLX	$44.40	$120.00	$24.00–$120.00	61% below	63%
Hepatitis C viral load (HCV RNA) test CPT 87522 REF INF AGT DT-NA-HEP C QUAN RFL	$45.88	$124.00	$24.80–$124.00	59% below	63%
Hepatitis C viral load (HCV RNA) test CPT 87522 REF INF AGT DT-NA-HEP C QUAN RFL	$45.88	$124.00	$24.80–$124.00	59% below	63%
Hepatitis C viral load (HCV RNA) test CPT 87522 REF INF AGT DETEC BY NA-HCV ULTRA	$54.76	$148.00	$29.60–$148.00	52% below	63%
Hepatitis C viral load (HCV RNA) test CPT 87522 REF INF AGT DETEC BY NA-HCV ULTRA	$54.76	$148.00	$29.60–$148.00	52% below	63%
Hepatitis C viral load (HCV RNA) test CPT 87522 REF INF AGT DT BY NA-HCV QUAN HEP	$156.14	$422.00	$37.70–$422.00	38% above	63%
Hepatitis C viral load (HCV RNA) test CPT 87522 REF INF AGT DT BY NA-HCV QUAN HEP	$156.14	$422.00	$37.70–$422.00	38% above	63%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 REF INF AGT DT-NA-HEP C PCR QUAN	$21.83	$59.00	$11.80–$59.00	—	63%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 REF HEPATITIS C (HCV) NAAT QUANT	$21.83	$59.00	$11.80–$59.00	—	63%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 REF HEPATITIS C (HCV) NAAT QUANT	$21.83	$59.00	$11.80–$59.00	—	63%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 REF HEPC RNA QNT PCR-A	$21.83	$59.00	$11.80–$59.00	—	63%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 REF HEPC RNA QNT PCR-A	$21.83	$59.00	$11.80–$59.00	—	63%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 REF INF AGT DT-NA-HEP C PCR QUAN	$21.83	$59.00	$11.80–$59.00	—	63%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 REF INF AGT DT-NA-HCV 3 BDNA QUN	$29.60	$80.00	$16.00–$80.00	—	63%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 REF INF AGT DT-NA-HCV 3 BDNA QUN	$29.60	$80.00	$16.00–$80.00	—	63%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 REF INF AGT DET BY NA-HEP C RFLX	$44.40	$120.00	$24.00–$120.00	—	63%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 REF INF AGT DET BY NA-HEP C RFLX	$44.40	$120.00	$24.00–$120.00	—	63%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 REF INF AGT DT-NA-HEP C QUAN RFL	$45.88	$124.00	$24.80–$124.00	—	63%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 REF INF AGT DT-NA-HEP C QUAN RFL	$45.88	$124.00	$24.80–$124.00	—	63%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 REF INF AGT DETEC BY NA-HCV ULTRA	$54.76	$148.00	$29.60–$148.00	—	63%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 REF INF AGT DETEC BY NA-HCV ULTRA	$54.76	$148.00	$29.60–$148.00	—	63%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 REF INF AGT DT BY NA-HCV QUAN HEP	$156.14	$422.00	$37.70–$422.00	—	63%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 REF INF AGT DT BY NA-HCV QUAN HEP	$156.14	$422.00	$37.70–$422.00	—	63%
Herpes blood test, HSV-1 antibody CPT 86695 REF HERPES SIMPLEX ABS HSV IGM	$5.83	$15.75	$3.15–$15.75	75% below	63%
Herpes blood test, HSV-1 antibody CPT 86695 REF HERPES SIMPLEX ABS HSV IGM	$5.83	$15.75	$3.15–$15.75	75% below	63%
Herpes blood test, HSV-1 antibody CPT 86695 REF HSV1 IGM ABS CSF	$5.92	$16.00	$3.20–$16.00	75% below	63%
Herpes blood test, HSV-1 antibody CPT 86695 REF HERPES SIMPLEX 1	$5.92	$16.00	$3.20–$16.00	75% below	63%
Herpes blood test, HSV-1 antibody CPT 86695 REF HERPES SIMPLEX 1	$5.92	$16.00	$3.20–$16.00	75% below	63%
Herpes blood test, HSV-1 antibody CPT 86695 REF HSV1 IGM ABS CSF	$5.92	$16.00	$3.20–$16.00	75% below	63%
Herpes blood test, HSV-1 antibody CPT 86695 REF HSV1 AB SPEC	$19.52	$52.76	$10.55–$52.76	17% below	63%
Herpes blood test, HSV-1 antibody CPT 86695 REF HSV1 AB SPEC	$19.52	$52.76	$10.55–$52.76	17% below	63%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 REF HERPES SIMPLEX ABS HSV IGM	$5.83	$15.75	$3.15–$15.75	—	63%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 REF HERPES SIMPLEX ABS HSV IGM	$5.83	$15.75	$3.15–$15.75	—	63%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 REF HSV1 IGM ABS CSF	$5.92	$16.00	$3.20–$16.00	—	63%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 REF HERPES SIMPLEX 1	$5.92	$16.00	$3.20–$16.00	—	63%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 REF HERPES SIMPLEX 1	$5.92	$16.00	$3.20–$16.00	—	63%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 REF HSV1 IGM ABS CSF	$5.92	$16.00	$3.20–$16.00	—	63%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 REF HSV1 AB SPEC	$19.52	$52.76	$10.55–$52.76	—	63%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 REF HSV1 AB SPEC	$19.52	$52.76	$10.55–$52.76	—	63%
Herpes blood test, HSV-2 antibody CPT 86696 REF HSV HERPES TYPE 2	$5.92	$16.00	$3.20–$16.00	82% below	63%
Herpes blood test, HSV-2 antibody CPT 86696 REF HSV2 AB SPEC	$28.64	$77.40	$15.48–$77.40	13% below	63%
Herpes blood test, HSV-2 antibody CPT 86696 REF HSV2 AB SPEC	$28.64	$77.40	$15.48–$77.40	13% below	63%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 REF HSV HERPES TYPE 2	$5.92	$16.00	$3.20–$16.00	—	63%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 REF HSV HERPES TYPE 2	$5.92	$16.00	$3.20–$16.00	—	63%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 REF HSV2 AB SPEC	$28.64	$77.40	$15.48–$77.40	—	63%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 REF HSV2 AB SPEC	$28.64	$77.40	$15.48–$77.40	—	63%
High-sensitivity CRP (hs-CRP) test CPT 86141 CRP ULTRASENSITIVE	$17.48	$47.25	$9.45–$47.25	59% below	63%
High-sensitivity CRP (hs-CRP) test CPT 86141 CRP ULTRASENSITIVE	$17.48	$47.25	$9.45–$47.25	59% below	63%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CRP ULTRASENSITIVE	$17.48	$47.25	$9.45–$47.25	—	63%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CRP ULTRASENSITIVE	$17.48	$47.25	$9.45–$47.25	—	63%
Homocysteine blood test CPT 83090 HOMOCYSTEINE	$46.25	$125.00	$15.77–$125.00	14% below	63%
Homocysteine blood test CPT 83090 HOMOCYSTEINE	$46.25	$125.00	$15.77–$125.00	14% below	63%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE	$46.25	$125.00	$15.77–$125.00	—	63%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE	$46.25	$125.00	$15.77–$125.00	—	63%
Insulin blood test CPT 83525 INSULIN LEVEL TOTAL	$31.45	$85.00	$10.06–$85.00	25% above	63%
Insulin blood test CPT 83525 INSULIN LEVEL TOTAL	$31.45	$85.00	$10.06–$85.00	25% above	63%
Insulin blood test inpatient CPT 83525 INSULIN LEVEL TOTAL	$31.45	$85.00	$10.06–$85.00	—	63%
Insulin blood test inpatient CPT 83525 INSULIN LEVEL TOTAL	$31.45	$85.00	$10.06–$85.00	—	63%
Iron blood test (serum iron) CPT 83540 REF IRON TISSUE	$43.48	$117.50	$5.69–$117.50	20% below	63%
Iron blood test (serum iron) CPT 83540 REF IRON TISSUE	$43.48	$117.50	$5.69–$117.50	20% below	63%
Iron blood test (serum iron) CPT 83540 IRON	$43.48	$117.50	$5.69–$117.50	20% below	63%
Iron blood test (serum iron) CPT 83540 IRON	$43.48	$117.50	$5.69–$117.50	20% below	63%
Iron blood test (serum iron) inpatient CPT 83540 REF IRON TISSUE	$43.48	$117.50	$5.69–$117.50	—	63%
Iron blood test (serum iron) inpatient CPT 83540 IRON	$43.48	$117.50	$5.69–$117.50	—	63%
Iron blood test (serum iron) inpatient CPT 83540 IRON	$43.48	$117.50	$5.69–$117.50	—	63%
Iron blood test (serum iron) inpatient CPT 83540 REF IRON TISSUE	$43.48	$117.50	$5.69–$117.50	—	63%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL 2000	$77.70	$210.00	$7.64–$210.00	81% below	63%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL 2000	$77.70	$210.00	$7.64–$210.00	81% below	63%
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL 2000	$77.70	$210.00	$7.64–$210.00	—	63%
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL 2000	$77.70	$210.00	$7.64–$210.00	—	63%
LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE	$49.30	$133.25	$16.30–$133.25	22% below	63%
LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE	$49.30	$133.25	$16.30–$133.25	22% below	63%
LH (luteinizing hormone) test inpatient CPT 83002 LUTEINIZING HORMONE	$49.30	$133.25	$16.30–$133.25	—	63%
LH (luteinizing hormone) test inpatient CPT 83002 LUTEINIZING HORMONE	$49.30	$133.25	$16.30–$133.25	—	63%
Lactate (lactic acid) blood test CPT 83605 LACTATE ARTERIAL	$56.33	$152.25	$10.18–$152.25	24% below	63%
Lactate (lactic acid) blood test CPT 83605 LACTIC ACID (CSF)	$56.33	$152.25	$10.18–$152.25	24% below	63%
Lactate (lactic acid) blood test CPT 83605 LACTATE(LACTIC ACID)	$56.33	$152.25	$10.18–$152.25	24% below	63%
Lactate (lactic acid) blood test CPT 83605 LACTIC ACID (CSF)	$56.33	$152.25	$10.18–$152.25	24% below	63%
Lactate (lactic acid) blood test CPT 83605 LACTATE ARTERIAL	$56.33	$152.25	$10.18–$152.25	24% below	63%
Lactate (lactic acid) blood test CPT 83605 LACTATE(LACTIC ACID)	$56.33	$152.25	$10.18–$152.25	24% below	63%
Lactate (lactic acid) blood test inpatient CPT 83605 LACTATE ARTERIAL	$56.33	$152.25	$10.18–$152.25	—	63%
Lactate (lactic acid) blood test inpatient CPT 83605 LACTIC ACID (CSF)	$56.33	$152.25	$10.18–$152.25	—	63%
Lactate (lactic acid) blood test inpatient CPT 83605 LACTATE(LACTIC ACID)	$56.33	$152.25	$10.18–$152.25	—	63%
Lactate (lactic acid) blood test inpatient CPT 83605 LACTATE ARTERIAL	$56.33	$152.25	$10.18–$152.25	—	63%
Lactate (lactic acid) blood test inpatient CPT 83605 LACTIC ACID (CSF)	$56.33	$152.25	$10.18–$152.25	—	63%
Lactate (lactic acid) blood test inpatient CPT 83605 LACTATE(LACTIC ACID)	$56.33	$152.25	$10.18–$152.25	—	63%
Lactate dehydrogenase (LDH) blood test CPT 83615 REF LDH TOTAL-A	$4.44	$12.00	$2.40–$12.00	92% below	63%
Lactate dehydrogenase (LDH) blood test CPT 83615 REF LDH TOTAL-A	$4.44	$12.00	$2.40–$12.00	92% below	63%
Lactate dehydrogenase (LDH) blood test CPT 83615 LACTIC DEHYDROGENASE(CSF)	$61.88	$167.25	$5.32–$167.25	15% above	63%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH FLUID	$61.88	$167.25	$5.32–$167.25	15% above	63%
Lactate dehydrogenase (LDH) blood test CPT 83615 LACTIC DEHYDROGENASE (LDH)	$61.88	$167.25	$5.32–$167.25	15% above	63%
Lactate dehydrogenase (LDH) blood test CPT 83615 LACTIC DEHYDROGENASE(CSF)	$61.88	$167.25	$5.32–$167.25	15% above	63%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH FLUID	$61.88	$167.25	$5.32–$167.25	15% above	63%
Lactate dehydrogenase (LDH) blood test CPT 83615 LACTIC DEHYDROGENASE (LDH)	$61.88	$167.25	$5.32–$167.25	15% above	63%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 REF LDH TOTAL-A	$4.44	$12.00	$2.40–$12.00	—	63%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 REF LDH TOTAL-A	$4.44	$12.00	$2.40–$12.00	—	63%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LACTIC DEHYDROGENASE (LDH)	$61.88	$167.25	$5.32–$167.25	—	63%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH FLUID	$61.88	$167.25	$5.32–$167.25	—	63%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LACTIC DEHYDROGENASE (LDH)	$61.88	$167.25	$5.32–$167.25	—	63%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LACTIC DEHYDROGENASE(CSF)	$61.88	$167.25	$5.32–$167.25	—	63%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH FLUID	$61.88	$167.25	$5.32–$167.25	—	63%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LACTIC DEHYDROGENASE(CSF)	$61.88	$167.25	$5.32–$167.25	—	63%
Lipase blood test (pancreas enzyme) CPT 83690 BODY FLUID LIPASE	$66.79	$180.50	$6.06–$180.50	15% above	63%
Lipase blood test (pancreas enzyme) CPT 83690 BODY FLUID LIPASE	$66.79	$180.50	$6.06–$180.50	15% above	63%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE BLOOD	$66.79	$180.50	$6.06–$180.50	15% above	63%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE BLOOD	$66.79	$180.50	$6.06–$180.50	15% above	63%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 BODY FLUID LIPASE	$66.79	$180.50	$6.06–$180.50	—	63%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 BODY FLUID LIPASE	$66.79	$180.50	$6.06–$180.50	—	63%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE BLOOD	$66.79	$180.50	$6.06–$180.50	—	63%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE BLOOD	$66.79	$180.50	$6.06–$180.50	—	63%
Liver function blood test panel CPT 80076 HEPATIC PANEL 2000	$50.14	$135.50	$7.19–$135.50	78% below	63%
Liver function blood test panel CPT 80076 HEPATIC PANEL 2000	$50.14	$135.50	$7.19–$135.50	78% below	63%
Liver function blood test panel inpatient CPT 80076 HEPATIC PANEL 2000	$50.14	$135.50	$7.19–$135.50	—	63%
Liver function blood test panel inpatient CPT 80076 HEPATIC PANEL 2000	$50.14	$135.50	$7.19–$135.50	—	63%
Lyme disease antibody test CPT 86618 LYME AB	$15.36	$41.50	$8.30–$41.50	41% below	63%
Lyme disease antibody test CPT 86618 LYME AB	$15.36	$41.50	$8.30–$41.50	41% below	63%
Lyme disease antibody test inpatient CPT 86618 LYME AB	$15.36	$41.50	$8.30–$41.50	—	63%
Lyme disease antibody test inpatient CPT 86618 LYME AB	$15.36	$41.50	$8.30–$41.50	—	63%
Magnesium blood test CPT 83735 REF MAGNESIUM RBC-A	$5.00	$13.50	$2.70–$13.50	62% below	63%
Magnesium blood test CPT 83735 REF MAGNESIUM RBC-A	$5.00	$13.50	$2.70–$13.50	62% below	63%
Magnesium blood test CPT 83735 MAGNESIUM URINE	$7.03	$19.00	$3.80–$19.00	47% below	63%
Magnesium blood test CPT 83735 MAGNESIUM FLUID	$7.03	$19.00	$3.80–$19.00	47% below	63%
Magnesium blood test CPT 83735 MAGNESIUM FLUID	$7.03	$19.00	$3.80–$19.00	47% below	63%
Magnesium blood test CPT 83735 MAGNESIUM URINE (RANDOM)	$7.03	$19.00	$3.80–$19.00	47% below	63%
Magnesium blood test CPT 83735 MAGNESIUM URINE (RANDOM)	$7.03	$19.00	$3.80–$19.00	47% below	63%
Magnesium blood test CPT 83735 MAGNESIUM URINE	$7.03	$19.00	$3.80–$19.00	47% below	63%
Magnesium blood test CPT 83735 MAGNESIUM BLOOD CHEMICAL	$40.05	$108.25	$5.90–$108.25	202% above	63%
Magnesium blood test CPT 83735 MAGNESIUM BLOOD CHEMICAL	$40.05	$108.25	$5.90–$108.25	202% above	63%
Magnesium blood test inpatient CPT 83735 REF MAGNESIUM RBC-A	$5.00	$13.50	$2.70–$13.50	—	63%
Magnesium blood test inpatient CPT 83735 REF MAGNESIUM RBC-A	$5.00	$13.50	$2.70–$13.50	—	63%
Magnesium blood test inpatient CPT 83735 MAGNESIUM URINE (RANDOM)	$7.03	$19.00	$3.80–$19.00	—	63%
Magnesium blood test inpatient CPT 83735 MAGNESIUM FLUID	$7.03	$19.00	$3.80–$19.00	—	63%
Magnesium blood test inpatient CPT 83735 MAGNESIUM URINE	$7.03	$19.00	$3.80–$19.00	—	63%
Magnesium blood test inpatient CPT 83735 MAGNESIUM URINE	$7.03	$19.00	$3.80–$19.00	—	63%
Magnesium blood test inpatient CPT 83735 MAGNESIUM URINE (RANDOM)	$7.03	$19.00	$3.80–$19.00	—	63%
Magnesium blood test inpatient CPT 83735 MAGNESIUM FLUID	$7.03	$19.00	$3.80–$19.00	—	63%
Magnesium blood test inpatient CPT 83735 MAGNESIUM BLOOD CHEMICAL	$40.05	$108.25	$5.90–$108.25	—	63%
Magnesium blood test inpatient CPT 83735 MAGNESIUM BLOOD CHEMICAL	$40.05	$108.25	$5.90–$108.25	—	63%
Measles (rubeola) antibody test CPT 86765 REF RUBEOLA-IGM MEASLES(8781)	$4.81	$13.00	$2.60–$13.00	82% below	63%
Measles (rubeola) antibody test CPT 86765 REF RUBEOLA-IGM MEASLES(8781)	$4.81	$13.00	$2.60–$13.00	82% below	63%
Measles (rubeola) antibody test CPT 86765 IFA RUBEOLA MEASLES	$30.71	$83.00	$11.33–$83.00	16% above	63%
Measles (rubeola) antibody test CPT 86765 IFA RUBEOLA MEASLES	$30.71	$83.00	$11.33–$83.00	16% above	63%
Measles (rubeola) antibody test inpatient CPT 86765 REF RUBEOLA-IGM MEASLES(8781)	$4.81	$13.00	$2.60–$13.00	—	63%
Measles (rubeola) antibody test inpatient CPT 86765 REF RUBEOLA-IGM MEASLES(8781)	$4.81	$13.00	$2.60–$13.00	—	63%
Measles (rubeola) antibody test inpatient CPT 86765 IFA RUBEOLA MEASLES	$30.71	$83.00	$11.33–$83.00	—	63%
Measles (rubeola) antibody test inpatient CPT 86765 IFA RUBEOLA MEASLES	$30.71	$83.00	$11.33–$83.00	—	63%
Mono test (heterophile antibody, Monospot) CPT 86308 ANTIBODY QUALITATIVE SLI	$69.93	$189.00	$4.56–$189.00	59% below	63%
Mono test (heterophile antibody, Monospot) CPT 86308 ANTIBODY QUALITATIVE SLI	$69.93	$189.00	$4.56–$189.00	59% below	63%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 ANTIBODY QUALITATIVE SLI	$69.93	$189.00	$4.56–$189.00	—	63%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 ANTIBODY QUALITATIVE SLI	$69.93	$189.00	$4.56–$189.00	—	63%
Mumps immunity blood test CPT 86735 MUMPS IGG	$23.22	$62.75	$11.48–$62.75	43% above	63%
Mumps immunity blood test CPT 86735 MUMPS IGG	$23.22	$62.75	$11.48–$62.75	43% above	63%
Mumps immunity blood test inpatient CPT 86735 MUMPS IGG	$23.22	$62.75	$11.48–$62.75	—	63%
Mumps immunity blood test inpatient CPT 86735 MUMPS IGG	$23.22	$62.75	$11.48–$62.75	—	63%
PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE SPECIFIC ANTIGEN	$12.67	$34.25	$6.85–$34.25	77% below	63%
PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE SPECIFIC ANTIGEN	$12.67	$34.25	$6.85–$34.25	77% below	63%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATE SPECIFIC ANTIGEN	$12.67	$34.25	$6.85–$34.25	—	63%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATE SPECIFIC ANTIGEN	$12.67	$34.25	$6.85–$34.25	—	63%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 GYN LIQ BASE THIN LAYER	$23.68	$64.00	$12.80–$64.00	54% below	63%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 GYN LIQ BASE THIN LAYER	$23.68	$64.00	$12.80–$64.00	54% below	63%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 GYN LIQ BASE THIN LAYER	$23.68	$64.00	$12.80–$64.00	—	63%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 GYN LIQ BASE THIN LAYER	$23.68	$64.00	$12.80–$64.00	—	63%
Parathyroid hormone (PTH) blood test CPT 83970 PTH INTACT W/CALCIUM	$104.90	$283.50	$36.33–$283.50	6% above	63%
Parathyroid hormone (PTH) blood test CPT 83970 PTH INTACT W/CALCIUM	$104.90	$283.50	$36.33–$283.50	6% above	63%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH INTACT W/CALCIUM	$104.90	$283.50	$36.33–$283.50	—	63%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH INTACT W/CALCIUM	$104.90	$283.50	$36.33–$283.50	—	63%
Partial thromboplastin time (PTT) clotting test CPT 85730 REF FACTOR 2 INHIB PTT SUB	$16.65	$45.00	$5.29–$45.00	57% below	63%
Partial thromboplastin time (PTT) clotting test CPT 85730 REF FACTOR 2 INHIB PTT SUB	$16.65	$45.00	$5.29–$45.00	57% below	63%
Partial thromboplastin time (PTT) clotting test CPT 85730 REF FACTOR 2 INHIB PTT	$16.65	$45.00	$5.29–$45.00	57% below	63%
Partial thromboplastin time (PTT) clotting test CPT 85730 REF FACTOR 2 INHIB PTT	$16.65	$45.00	$5.29–$45.00	57% below	63%
Partial thromboplastin time (PTT) clotting test CPT 85730 REF MAYO PTT	$22.20	$60.00	$5.29–$60.00	42% below	63%
Partial thromboplastin time (PTT) clotting test CPT 85730 REF MAYO PTT	$22.20	$60.00	$5.29–$60.00	42% below	63%
Partial thromboplastin time (PTT) clotting test CPT 85730 REF THROMBOPLAST TM (PTT) (APC-P)	$27.38	$74.00	$5.29–$74.00	29% below	63%
Partial thromboplastin time (PTT) clotting test CPT 85730 REF THROMBOPLAST TM (PTT) (APC-P)	$27.38	$74.00	$5.29–$74.00	29% below	63%
Partial thromboplastin time (PTT) clotting test CPT 85730 PARTIAL THROMBOPLASTIN TIME PTT	$48.56	$131.25	$5.29–$131.25	26% above	63%
Partial thromboplastin time (PTT) clotting test CPT 85730 PARTIAL THROMBOPLASTIN TIME PTT	$48.56	$131.25	$5.29–$131.25	26% above	63%
Partial thromboplastin time (PTT) clotting test CPT 85730 REF FAC IX PTT (S44096)	$88.06	$238.00	$5.29–$238.00	129% above	63%
Partial thromboplastin time (PTT) clotting test CPT 85730 REF FAC IX PTT (S44096)	$88.06	$238.00	$5.29–$238.00	129% above	63%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 REF FACTOR 2 INHIB PTT SUB	$16.65	$45.00	$5.29–$45.00	—	63%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 REF FACTOR 2 INHIB PTT	$16.65	$45.00	$5.29–$45.00	—	63%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 REF FACTOR 2 INHIB PTT	$16.65	$45.00	$5.29–$45.00	—	63%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 REF FACTOR 2 INHIB PTT SUB	$16.65	$45.00	$5.29–$45.00	—	63%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 REF MAYO PTT	$22.20	$60.00	$5.29–$60.00	—	63%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 REF MAYO PTT	$22.20	$60.00	$5.29–$60.00	—	63%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 REF THROMBOPLAST TM (PTT) (APC-P)	$27.38	$74.00	$5.29–$74.00	—	63%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 REF THROMBOPLAST TM (PTT) (APC-P)	$27.38	$74.00	$5.29–$74.00	—	63%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PARTIAL THROMBOPLASTIN TIME PTT	$48.56	$131.25	$5.29–$131.25	—	63%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PARTIAL THROMBOPLASTIN TIME PTT	$48.56	$131.25	$5.29–$131.25	—	63%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 REF FAC IX PTT (S44096)	$88.06	$238.00	$5.29–$238.00	—	63%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 REF FAC IX PTT (S44096)	$88.06	$238.00	$5.29–$238.00	—	63%
Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS BLOOD	$42.37	$114.50	$4.17–$114.50	31% below	63%
Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS BLOOD	$42.37	$114.50	$4.17–$114.50	31% below	63%
Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHORUS BLOOD	$42.37	$114.50	$4.17–$114.50	—	63%
Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHORUS BLOOD	$42.37	$114.50	$4.17–$114.50	—	63%
Potassium blood test CPT 84132 POTASSIUM POC (POINT OF CARE)	$7.96	$21.50	$4.19–$21.50	88% below	63%
Potassium blood test CPT 84132 POTASSIUM BODY FLUID	$7.96	$21.50	$4.19–$21.50	88% below	63%
Potassium blood test CPT 84132 POTASSIUM SERUM	$7.96	$21.50	$4.19–$21.50	88% below	63%
Potassium blood test CPT 84132 POTASSIUM POC(POINT OF CARE)	$7.96	$21.50	$4.19–$21.50	88% below	63%
Potassium blood test CPT 84132 POTASSIUM POC (POINT OF CARE)	$7.96	$21.50	$4.19–$21.50	88% below	63%
Potassium blood test CPT 84132 POTASSIUM PLASMA	$7.96	$21.50	$4.19–$21.50	88% below	63%
Potassium blood test CPT 84132 POTASSIUM SERUM	$7.96	$21.50	$4.19–$21.50	88% below	63%
Potassium blood test CPT 84132 POTASSIUM BODY FLUID	$7.96	$21.50	$4.19–$21.50	88% below	63%
Potassium blood test CPT 84132 POTASSIUM PLASMA	$7.96	$21.50	$4.19–$21.50	88% below	63%
Potassium blood test CPT 84132 POTASSIUM POC(POINT OF CARE)	$7.96	$21.50	$4.19–$21.50	88% below	63%
Potassium blood test inpatient CPT 84132 POTASSIUM BODY FLUID	$7.96	$21.50	$4.19–$21.50	—	63%
Potassium blood test inpatient CPT 84132 POTASSIUM POC (POINT OF CARE)	$7.96	$21.50	$4.19–$21.50	—	63%
Potassium blood test inpatient CPT 84132 POTASSIUM POC(POINT OF CARE)	$7.96	$21.50	$4.19–$21.50	—	63%
Potassium blood test inpatient CPT 84132 POTASSIUM POC(POINT OF CARE)	$7.96	$21.50	$4.19–$21.50	—	63%
Potassium blood test inpatient CPT 84132 POTASSIUM BODY FLUID	$7.96	$21.50	$4.19–$21.50	—	63%
Potassium blood test inpatient CPT 84132 POTASSIUM SERUM	$7.96	$21.50	$4.19–$21.50	—	63%
Potassium blood test inpatient CPT 84132 POTASSIUM SERUM	$7.96	$21.50	$4.19–$21.50	—	63%
Potassium blood test inpatient CPT 84132 POTASSIUM POC (POINT OF CARE)	$7.96	$21.50	$4.19–$21.50	—	63%
Potassium blood test inpatient CPT 84132 POTASSIUM PLASMA	$7.96	$21.50	$4.19–$21.50	—	63%
Potassium blood test inpatient CPT 84132 POTASSIUM PLASMA	$7.96	$21.50	$4.19–$21.50	—	63%
Progesterone blood test CPT 84144 PROGESTERONE	$15.91	$43.00	$8.60–$43.00	66% below	63%
Progesterone blood test CPT 84144 PROGESTERONE	$15.91	$43.00	$8.60–$43.00	66% below	63%
Progesterone blood test inpatient CPT 84144 PROGESTERONE	$15.91	$43.00	$8.60–$43.00	—	63%
Progesterone blood test inpatient CPT 84144 PROGESTERONE	$15.91	$43.00	$8.60–$43.00	—	63%
Prolactin blood test CPT 84146 PROLACTIN	$63.73	$172.25	$17.06–$172.25	2% below	63%
Prolactin blood test CPT 84146 PROLACTIN	$63.73	$172.25	$17.06–$172.25	2% below	63%
Prolactin blood test inpatient CPT 84146 PROLACTIN	$63.73	$172.25	$17.06–$172.25	—	63%
Prolactin blood test inpatient CPT 84146 PROLACTIN	$63.73	$172.25	$17.06–$172.25	—	63%
Prothrombin time (PT/INR) clotting test CPT 85610 REF MAYO PROTHOMBIN TIME	$9.25	$25.00	$3.78–$25.00	75% below	63%
Prothrombin time (PT/INR) clotting test CPT 85610 REF MAYO PROTHOMBIN TIME	$9.25	$25.00	$3.78–$25.00	75% below	63%
Prothrombin time (PT/INR) clotting test CPT 85610 REF FACTOR 2 INHIBIT PROTIME	$16.65	$45.00	$3.78–$45.00	54% below	63%
Prothrombin time (PT/INR) clotting test CPT 85610 REF FACTOR 2 INHIBIT PROTIME	$16.65	$45.00	$3.78–$45.00	54% below	63%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME WITH INR	$21.46	$58.00	$3.78–$58.00	41% below	63%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME WITH INR	$21.46	$58.00	$3.78–$58.00	41% below	63%
Prothrombin time (PT/INR) clotting test CPT 85610 PBB CC PROTHROMBIN TIME WITH INR	$21.46	$58.00	$3.78–$58.00	41% below	63%
Prothrombin time (PT/INR) clotting test CPT 85610 PBB CC PROTHROMBIN TIME WITH INR	$21.46	$58.00	$3.78–$58.00	41% below	63%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 REF MAYO PROTHOMBIN TIME	$9.25	$25.00	$3.78–$25.00	—	63%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 REF MAYO PROTHOMBIN TIME	$9.25	$25.00	$3.78–$25.00	—	63%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 REF FACTOR 2 INHIBIT PROTIME	$16.65	$45.00	$3.78–$45.00	—	63%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 REF FACTOR 2 INHIBIT PROTIME	$16.65	$45.00	$3.78–$45.00	—	63%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PBB CC PROTHROMBIN TIME WITH INR	$21.46	$58.00	$3.78–$58.00	—	63%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME WITH INR	$21.46	$58.00	$3.78–$58.00	—	63%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME WITH INR	$21.46	$58.00	$3.78–$58.00	—	63%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PBB CC PROTHROMBIN TIME WITH INR	$21.46	$58.00	$3.78–$58.00	—	63%
Rh blood typing CPT 86901 BLOOD TYPING RH ONLY	$38.57	$104.25	$2.63–$104.25	8% below	63%
Rh blood typing CPT 86901 BLOOD TYPING RH ONLY	$38.57	$104.25	$2.63–$104.25	8% below	63%
Rh blood typing CPT 86901 REF BB RH TYPE	$38.57	$104.25	$2.63–$104.25	8% below	63%
Rh blood typing CPT 86901 REF BB RH TYPE	$38.57	$104.25	$2.63–$104.25	8% below	63%
Rh blood typing inpatient CPT 86901 REF BB RH TYPE	$38.57	$104.25	$2.63–$104.25	—	63%
Rh blood typing inpatient CPT 86901 BLOOD TYPING RH ONLY	$38.57	$104.25	$2.63–$104.25	—	63%
Rh blood typing inpatient CPT 86901 BLOOD TYPING RH ONLY	$38.57	$104.25	$2.63–$104.25	—	63%
Rh blood typing inpatient CPT 86901 REF BB RH TYPE	$38.57	$104.25	$2.63–$104.25	—	63%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR(RA)BLD	$13.23	$35.75	$4.99–$35.75	46% below	63%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR(RA)BLD	$13.23	$35.75	$4.99–$35.75	46% below	63%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR(RA)BLD	$13.23	$35.75	$4.99–$35.75	—	63%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR(RA)BLD	$13.23	$35.75	$4.99–$35.75	—	63%
Rubella antibody test (immunity check) CPT 86762 RUBELLA AB SCREEN	$10.36	$28.00	$5.60–$28.00	45% below	63%
Rubella antibody test (immunity check) CPT 86762 RUBELLA AB SCREEN	$10.36	$28.00	$5.60–$28.00	45% below	63%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA AB SCREEN	$10.36	$28.00	$5.60–$28.00	—	63%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA AB SCREEN	$10.36	$28.00	$5.60–$28.00	—	63%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SEDIMENTATION RATE BLOOD	$42.00	$113.50	$2.38–$113.50	62% below	63%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SEDIMENTATION RATE BLOOD	$42.00	$113.50	$2.38–$113.50	62% below	63%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 SEDIMENTATION RATE BLOOD	$42.00	$113.50	$2.38–$113.50	—	63%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 SEDIMENTATION RATE BLOOD	$42.00	$113.50	$2.38–$113.50	—	63%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN ANALYSIS COMPLETE	$54.76	$148.00	$10.83–$148.00	78% below	63%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN ANALYSIS COMPLETE	$54.76	$148.00	$10.83–$148.00	78% below	63%
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 SEMEN ANALYSIS COMPLETE	$54.76	$148.00	$10.83–$148.00	—	63%
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 SEMEN ANALYSIS COMPLETE	$54.76	$148.00	$10.83–$148.00	—	63%
Sodium blood test CPT 84295 SODIUM POC (POINT OF CARE)	$6.85	$18.50	$3.70–$18.50	90% below	63%
Sodium blood test CPT 84295 SODIUM BLOOD	$6.85	$18.50	$3.70–$18.50	90% below	63%
Sodium blood test CPT 84295 SODIUM POC (POINT OF CARE)	$6.85	$18.50	$3.70–$18.50	90% below	63%
Sodium blood test CPT 84295 SODIUM BLOOD	$6.85	$18.50	$3.70–$18.50	90% below	63%
Sodium blood test inpatient CPT 84295 SODIUM POC (POINT OF CARE)	$6.85	$18.50	$3.70–$18.50	—	63%
Sodium blood test inpatient CPT 84295 SODIUM BLOOD	$6.85	$18.50	$3.70–$18.50	—	63%
Sodium blood test inpatient CPT 84295 SODIUM BLOOD	$6.85	$18.50	$3.70–$18.50	—	63%
Sodium blood test inpatient CPT 84295 SODIUM POC (POINT OF CARE)	$6.85	$18.50	$3.70–$18.50	—	63%
Stool ova and parasites exam CPT 87177 ACANTHAMOEBA/NAEGLERIIA EXAM	$54.02	$146.00	$7.83–$146.00	30% above	63%
Stool ova and parasites exam CPT 87177 SMEAR OVA AND PARASITE	$54.02	$146.00	$7.83–$146.00	30% above	63%
Stool ova and parasites exam CPT 87177 STRONGYLOIDES EXAM	$54.02	$146.00	$7.83–$146.00	30% above	63%
Stool ova and parasites exam CPT 87177 OVA & PARASITES EXAM	$54.02	$146.00	$7.83–$146.00	30% above	63%
Stool ova and parasites exam CPT 87177 ACANTHAMOEBA/NAEGLERIIA EXAM	$54.02	$146.00	$7.83–$146.00	30% above	63%
Stool ova and parasites exam CPT 87177 OVA & PARASITES EXAM	$54.02	$146.00	$7.83–$146.00	30% above	63%
Stool ova and parasites exam CPT 87177 SMEAR OVA AND PARASITE	$54.02	$146.00	$7.83–$146.00	30% above	63%
Stool ova and parasites exam CPT 87177 STRONGYLOIDES EXAM	$54.02	$146.00	$7.83–$146.00	30% above	63%
Stool ova and parasites exam inpatient CPT 87177 STRONGYLOIDES EXAM	$54.02	$146.00	$7.83–$146.00	—	63%
Stool ova and parasites exam inpatient CPT 87177 OVA & PARASITES EXAM	$54.02	$146.00	$7.83–$146.00	—	63%
Stool ova and parasites exam inpatient CPT 87177 OVA & PARASITES EXAM	$54.02	$146.00	$7.83–$146.00	—	63%
Stool ova and parasites exam inpatient CPT 87177 SMEAR OVA AND PARASITE	$54.02	$146.00	$7.83–$146.00	—	63%
Stool ova and parasites exam inpatient CPT 87177 SMEAR OVA AND PARASITE	$54.02	$146.00	$7.83–$146.00	—	63%
Stool ova and parasites exam inpatient CPT 87177 STRONGYLOIDES EXAM	$54.02	$146.00	$7.83–$146.00	—	63%
Stool ova and parasites exam inpatient CPT 87177 ACANTHAMOEBA/NAEGLERIIA EXAM	$54.02	$146.00	$7.83–$146.00	—	63%
Stool ova and parasites exam inpatient CPT 87177 ACANTHAMOEBA/NAEGLERIIA EXAM	$54.02	$146.00	$7.83–$146.00	—	63%
Stool test for hidden blood (guaiac FOBT) CPT 82270 BLD OCCULT FECES CONSEC SAMPLES	$14.80	$40.00	$3.86–$40.00	72% below	63%
Stool test for hidden blood (guaiac FOBT) CPT 82270 BLD OCCULT FECES CONSEC SAMPLES	$14.80	$40.00	$3.86–$40.00	72% below	63%
Stool test for hidden blood (guaiac FOBT) CPT 82270 FECAL OCCULT BLOOD 1 SLH	$14.80	$40.00	$3.86–$40.00	72% below	63%
Stool test for hidden blood (guaiac FOBT) CPT 82270 FECAL OCCULT BLOOD 1 SLH	$14.80	$40.00	$3.86–$40.00	72% below	63%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 FECAL OCCULT BLOOD 1 SLH	$14.80	$40.00	$3.86–$40.00	—	63%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 BLD OCCULT FECES CONSEC SAMPLES	$14.80	$40.00	$3.86–$40.00	—	63%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 FECAL OCCULT BLOOD 1 SLH	$14.80	$40.00	$3.86–$40.00	—	63%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 BLD OCCULT FECES CONSEC SAMPLES	$14.80	$40.00	$3.86–$40.00	—	63%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 REF FECAL GLOB BY IMMUNOCHEMISTRY	$22.20	$60.00	$12.00–$60.00	56% below	63%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 REF FECAL GLOB BY IMMUNOCHEMISTRY	$22.20	$60.00	$12.00–$60.00	56% below	63%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 FECAL HGB BY IMMUNOCHEM	$40.33	$109.00	$14.01–$109.00	19% below	63%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 FECAL HGB BY IMMUNOCHEM	$40.33	$109.00	$14.01–$109.00	19% below	63%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 REF FECAL GLOB BY IMMUNOCHEMISTRY	$22.20	$60.00	$12.00–$60.00	—	63%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 REF FECAL GLOB BY IMMUNOCHEMISTRY	$22.20	$60.00	$12.00–$60.00	—	63%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 FECAL HGB BY IMMUNOCHEM	$40.33	$109.00	$14.01–$109.00	—	63%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 FECAL HGB BY IMMUNOCHEM	$40.33	$109.00	$14.01–$109.00	—	63%
Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMA PALLIDUM IGG	$23.50	$63.50	$11.65–$63.50	61% above	63%
Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMA PALLIDUM IGG	$23.50	$63.50	$11.65–$63.50	61% above	63%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 TREPONEMA PALLIDUM IGG	$23.50	$63.50	$11.65–$63.50	—	63%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 TREPONEMA PALLIDUM IGG	$23.50	$63.50	$11.65–$63.50	—	63%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILLIS TEST RPR	$36.72	$99.25	$3.76–$99.25	85% above	63%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL SERUM	$36.72	$99.25	$3.76–$99.25	85% above	63%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILLIS TEST RPR	$36.72	$99.25	$3.76–$99.25	85% above	63%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL SERUM	$36.72	$99.25	$3.76–$99.25	85% above	63%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 SYPHILLIS TEST RPR	$36.72	$99.25	$3.76–$99.25	—	63%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 SYPHILLIS TEST RPR	$36.72	$99.25	$3.76–$99.25	—	63%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL SERUM	$36.72	$99.25	$3.76–$99.25	—	63%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL SERUM	$36.72	$99.25	$3.76–$99.25	—	63%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 REF QTF TB GOLD-A	$17.39	$47.00	$9.40–$47.00	72% below	63%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 REF TB TEST CELL IMMUN MEASURE	$110.08	$297.50	$54.54–$297.50	79% above	63%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 REF TB TEST CELL IMMUN MEASURE	$110.08	$297.50	$54.54–$297.50	79% above	63%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 REF QTF TB GOLD-A	$17.39	$47.00	$9.40–$47.00	—	63%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 REF QTF TB GOLD-A	$17.39	$47.00	$9.40–$47.00	—	63%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 REF TB TEST CELL IMMUN MEASURE	$110.08	$297.50	$54.54–$297.50	—	63%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 REF TB TEST CELL IMMUN MEASURE	$110.08	$297.50	$54.54–$297.50	—	63%
Testosterone blood test, total (not free testosterone) CPT 84403 REF TESTOSTERONE SERUM	$19.98	$54.00	$10.80–$54.00	33% below	63%
Testosterone blood test, total (not free testosterone) CPT 84403 REF TESTOSTERONE SERUM	$19.98	$54.00	$10.80–$54.00	33% below	63%
Testosterone blood test, total (not free testosterone) CPT 84403 REF TESTOSTERONE TOTAL	$38.18	$103.20	$20.64–$103.20	27% above	63%
Testosterone blood test, total (not free testosterone) CPT 84403 REF TESTOSTERONE TOTAL	$38.18	$103.20	$20.64–$103.20	27% above	63%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE SERUM TOTAL	$75.39	$203.75	$22.71–$203.75	151% above	63%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE SERUM TOTAL	$75.39	$203.75	$22.71–$203.75	151% above	63%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 REF TESTOSTERONE SERUM	$19.98	$54.00	$10.80–$54.00	—	63%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 REF TESTOSTERONE SERUM	$19.98	$54.00	$10.80–$54.00	—	63%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 REF TESTOSTERONE TOTAL	$38.18	$103.20	$20.64–$103.20	—	63%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 REF TESTOSTERONE TOTAL	$38.18	$103.20	$20.64–$103.20	—	63%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE SERUM TOTAL	$75.39	$203.75	$22.71–$203.75	—	63%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE SERUM TOTAL	$75.39	$203.75	$22.71–$203.75	—	63%
Thyroid peroxidase (TPO) antibody test CPT 86376 REF LIVER-KIDNEY HICROSOMAL ABS	$5.92	$16.00	$3.20–$16.00	56% below	63%
Thyroid peroxidase (TPO) antibody test CPT 86376 REF LIVER-KIDNEY HICROSOMAL ABS	$5.92	$16.00	$3.20–$16.00	56% below	63%
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE AB	$36.08	$97.50	$12.80–$97.50	165% above	63%
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE AB	$36.08	$97.50	$12.80–$97.50	165% above	63%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 REF LIVER-KIDNEY HICROSOMAL ABS	$5.92	$16.00	$3.20–$16.00	—	63%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 REF LIVER-KIDNEY HICROSOMAL ABS	$5.92	$16.00	$3.20–$16.00	—	63%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID PEROXIDASE AB	$36.08	$97.50	$12.80–$97.50	—	63%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID PEROXIDASE AB	$36.08	$97.50	$12.80–$97.50	—	63%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH - ED FAST TSH	$36.17	$97.75	$14.78–$97.75	71% below	63%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 ULTRASENSITIVE TSH3	$36.17	$97.75	$14.78–$97.75	71% below	63%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH - ED FAST TSH	$36.17	$97.75	$14.78–$97.75	71% below	63%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 ULTRASENSITIVE TSH3	$36.17	$97.75	$14.78–$97.75	71% below	63%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 ULTRASENSITIVE TSH3	$36.17	$97.75	$14.78–$97.75	—	63%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH - ED FAST TSH	$36.17	$97.75	$14.78–$97.75	—	63%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 ULTRASENSITIVE TSH3	$36.17	$97.75	$14.78–$97.75	—	63%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH - ED FAST TSH	$36.17	$97.75	$14.78–$97.75	—	63%
Total IgE blood test CPT 82785 TOTAL IGE	$23.68	$64.00	$12.80–$64.00	at median	63%
Total IgE blood test CPT 82785 TOTAL IGE	$23.68	$64.00	$12.80–$64.00	at median	63%
Total IgE blood test inpatient CPT 82785 TOTAL IGE	$23.68	$64.00	$12.80–$64.00	—	63%
Total IgE blood test inpatient CPT 82785 TOTAL IGE	$23.68	$64.00	$12.80–$64.00	—	63%
Total cholesterol blood test CPT 82465 REF CHOLESTEROL (LPE)	$3.70	$10.00	$2.00–$10.00	87% below	63%
Total cholesterol blood test CPT 82465 REF CHOLESTEROL (LPE)	$3.70	$10.00	$2.00–$10.00	87% below	63%
Total cholesterol blood test CPT 82465 CHOLESTEROL SERUM OR W/BLOOD TOTAL	$47.82	$129.25	$3.83–$129.25	65% above	63%
Total cholesterol blood test CPT 82465 CHOLESTEROL FLUID	$47.82	$129.25	$3.83–$129.25	65% above	63%
Total cholesterol blood test CPT 82465 CHOLESTEROL FLUID	$47.82	$129.25	$3.83–$129.25	65% above	63%
Total cholesterol blood test CPT 82465 CHOLESTEROL SERUM OR W/BLOOD TOTAL	$47.82	$129.25	$3.83–$129.25	65% above	63%
Total cholesterol blood test inpatient CPT 82465 REF CHOLESTEROL (LPE)	$3.70	$10.00	$2.00–$10.00	—	63%
Total cholesterol blood test inpatient CPT 82465 REF CHOLESTEROL (LPE)	$3.70	$10.00	$2.00–$10.00	—	63%
Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL SERUM OR W/BLOOD TOTAL	$47.82	$129.25	$3.83–$129.25	—	63%
Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL SERUM OR W/BLOOD TOTAL	$47.82	$129.25	$3.83–$129.25	—	63%
Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL FLUID	$47.82	$129.25	$3.83–$129.25	—	63%
Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL FLUID	$47.82	$129.25	$3.83–$129.25	—	63%
Total thyroxine (T4) blood test CPT 84436 THYROXIN TRUE (T-4)RIA	$137.18	$370.75	$6.04–$370.75	50% above	63%
Total thyroxine (T4) blood test CPT 84436 THYROXIN TRUE (T-4)RIA	$137.18	$370.75	$6.04–$370.75	50% above	63%
Total thyroxine (T4) blood test inpatient CPT 84436 THYROXIN TRUE (T-4)RIA	$137.18	$370.75	$6.04–$370.75	—	63%
Total thyroxine (T4) blood test inpatient CPT 84436 THYROXIN TRUE (T-4)RIA	$137.18	$370.75	$6.04–$370.75	—	63%
Total triiodothyronine (T3) blood test CPT 84480 T-3 TOTAL BLOOD	$145.69	$393.75	$12.48–$393.75	88% above	63%
Total triiodothyronine (T3) blood test CPT 84480 T-3 TOTAL BLOOD	$145.69	$393.75	$12.48–$393.75	88% above	63%
Total triiodothyronine (T3) blood test inpatient CPT 84480 T-3 TOTAL BLOOD	$145.69	$393.75	$12.48–$393.75	—	63%
Total triiodothyronine (T3) blood test inpatient CPT 84480 T-3 TOTAL BLOOD	$145.69	$393.75	$12.48–$393.75	—	63%
Transferrin blood test CPT 84466 TRANSFERRIN	$36.17	$97.75	$11.23–$97.75	53% below	63%
Transferrin blood test CPT 84466 TRANSFERRIN	$36.17	$97.75	$11.23–$97.75	53% below	63%
Transferrin blood test inpatient CPT 84466 TRANSFERRIN	$36.17	$97.75	$11.23–$97.75	—	63%
Transferrin blood test inpatient CPT 84466 TRANSFERRIN	$36.17	$97.75	$11.23–$97.75	—	63%
Trichomonas test (NAAT) CPT 87661 REF TRICH VAGINOSIS	$14.06	$38.00	$7.60–$38.00	71% below	63%
Trichomonas test (NAAT) CPT 87661 REF TRICH VAGINOSIS	$14.06	$38.00	$7.60–$38.00	71% below	63%
Trichomonas test (NAAT) CPT 87661 REF TRICH VAG NAAT-A	$20.35	$55.00	$11.00–$55.00	58% below	63%
Trichomonas test (NAAT) CPT 87661 REF TRICH VAG NAAT-A	$20.35	$55.00	$11.00–$55.00	58% below	63%
Trichomonas test (NAAT) CPT 87661 REF TRICHOMONAS VAGINALIS TMA-A	$24.05	$65.00	$13.00–$65.00	51% below	63%
Trichomonas test (NAAT) CPT 87661 REF TRICHOMONAS VAGINALIS TMA-A	$24.05	$65.00	$13.00–$65.00	51% below	63%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS RNA AMP	$24.79	$67.00	$13.40–$67.00	49% below	63%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS RNA AMP	$24.79	$67.00	$13.40–$67.00	49% below	63%
Trichomonas test (NAAT) CPT 87661 REF T VAG-RNA-TMA-PAP	$51.80	$140.00	$28.00–$140.00	6% above	63%
Trichomonas test (NAAT) CPT 87661 REF T VAG-RNA-TMA-PAP	$51.80	$140.00	$28.00–$140.00	6% above	63%
Trichomonas test (NAAT) inpatient CPT 87661 REF TRICH VAGINOSIS	$14.06	$38.00	$7.60–$38.00	—	63%
Trichomonas test (NAAT) inpatient CPT 87661 REF TRICH VAGINOSIS	$14.06	$38.00	$7.60–$38.00	—	63%
Trichomonas test (NAAT) inpatient CPT 87661 REF TRICH VAG NAAT-A	$20.35	$55.00	$11.00–$55.00	—	63%
Trichomonas test (NAAT) inpatient CPT 87661 REF TRICH VAG NAAT-A	$20.35	$55.00	$11.00–$55.00	—	63%
Trichomonas test (NAAT) inpatient CPT 87661 REF TRICHOMONAS VAGINALIS TMA-A	$24.05	$65.00	$13.00–$65.00	—	63%
Trichomonas test (NAAT) inpatient CPT 87661 REF TRICHOMONAS VAGINALIS TMA-A	$24.05	$65.00	$13.00–$65.00	—	63%
Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGINALIS RNA AMP	$24.79	$67.00	$13.40–$67.00	—	63%
Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGINALIS RNA AMP	$24.79	$67.00	$13.40–$67.00	—	63%
Trichomonas test (NAAT) inpatient CPT 87661 REF T VAG-RNA-TMA-PAP	$51.80	$140.00	$28.00–$140.00	—	63%
Trichomonas test (NAAT) inpatient CPT 87661 REF T VAG-RNA-TMA-PAP	$51.80	$140.00	$28.00–$140.00	—	63%
Triglycerides blood test CPT 84478 REF TRIGLYCERIDES (LPE)	$3.70	$10.00	$2.00–$10.00	88% below	63%
Triglycerides blood test CPT 84478 REF TRIGLYCERIDES (LPE)	$3.70	$10.00	$2.00–$10.00	88% below	63%
Triglycerides blood test CPT 84478 REF VAP TRIGLYCERIDES-A	$8.14	$22.00	$4.40–$22.00	74% below	63%
Triglycerides blood test CPT 84478 REF VAP TRIGLYCERIDES-A	$8.14	$22.00	$4.40–$22.00	74% below	63%
Triglycerides blood test CPT 84478 TRIGLYCERIDES BLOOD	$68.08	$184.00	$5.05–$184.00	115% above	63%
Triglycerides blood test CPT 84478 TRIGLYCERIDE FLUID	$68.08	$184.00	$5.05–$184.00	115% above	63%
Triglycerides blood test CPT 84478 TRIGLYCERIDES BLOOD	$68.08	$184.00	$5.05–$184.00	115% above	63%
Triglycerides blood test CPT 84478 TRIGLYCERIDE FLUID	$68.08	$184.00	$5.05–$184.00	115% above	63%
Triglycerides blood test inpatient CPT 84478 REF TRIGLYCERIDES (LPE)	$3.70	$10.00	$2.00–$10.00	—	63%
Triglycerides blood test inpatient CPT 84478 REF TRIGLYCERIDES (LPE)	$3.70	$10.00	$2.00–$10.00	—	63%
Triglycerides blood test inpatient CPT 84478 REF VAP TRIGLYCERIDES-A	$8.14	$22.00	$4.40–$22.00	—	63%
Triglycerides blood test inpatient CPT 84478 REF VAP TRIGLYCERIDES-A	$8.14	$22.00	$4.40–$22.00	—	63%
Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDE FLUID	$68.08	$184.00	$5.05–$184.00	—	63%
Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDES BLOOD	$68.08	$184.00	$5.05–$184.00	—	63%
Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDES BLOOD	$68.08	$184.00	$5.05–$184.00	—	63%
Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDE FLUID	$68.08	$184.00	$5.05–$184.00	—	63%
Troponin test, quantitative CPT 84484 I-STAT TROPONIN	$23.03	$62.25	$10.97–$62.25	85% below	63%
Troponin test, quantitative CPT 84484 I-STAT TROPONIN	$23.03	$62.25	$10.97–$62.25	85% below	63%
Troponin test, quantitative CPT 84484 TROPONIN QUANT	$55.96	$151.25	$10.97–$151.25	63% below	63%
Troponin test, quantitative CPT 84484 TROPONIN I CMIA	$55.96	$151.25	$10.97–$151.25	63% below	63%
Troponin test, quantitative CPT 84484 TROPONIN I CMIA	$55.96	$151.25	$10.97–$151.25	63% below	63%
Troponin test, quantitative CPT 84484 TROPONIN QUANT	$55.96	$151.25	$10.97–$151.25	63% below	63%
Troponin test, quantitative inpatient CPT 84484 I-STAT TROPONIN	$23.03	$62.25	$10.97–$62.25	—	63%
Troponin test, quantitative inpatient CPT 84484 I-STAT TROPONIN	$23.03	$62.25	$10.97–$62.25	—	63%
Troponin test, quantitative inpatient CPT 84484 TROPONIN I CMIA	$55.96	$151.25	$10.97–$151.25	—	63%
Troponin test, quantitative inpatient CPT 84484 TROPONIN I CMIA	$55.96	$151.25	$10.97–$151.25	—	63%
Troponin test, quantitative inpatient CPT 84484 TROPONIN QUANT	$55.96	$151.25	$10.97–$151.25	—	63%
Troponin test, quantitative inpatient CPT 84484 TROPONIN QUANT	$55.96	$151.25	$10.97–$151.25	—	63%
Uric acid blood test CPT 84550 URIC ACID BLOOD CHEMCIAL	$50.14	$135.50	$3.98–$135.50	39% below	63%
Uric acid blood test CPT 84550 URIC ACID BLOOD CHEMCIAL	$50.14	$135.50	$3.98–$135.50	39% below	63%
Uric acid blood test inpatient CPT 84550 URIC ACID BLOOD CHEMCIAL	$50.14	$135.50	$3.98–$135.50	—	63%
Uric acid blood test inpatient CPT 84550 URIC ACID BLOOD CHEMCIAL	$50.14	$135.50	$3.98–$135.50	—	63%
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS ROUT W/MICROSCOPIC	$22.20	$60.00	$2.79–$60.00	86% below	63%
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS ROUT W/MICROSCOPIC	$22.20	$60.00	$2.79–$60.00	86% below	63%
Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS ROUT W/MICROSCOPIC	$22.20	$60.00	$2.79–$60.00	—	63%
Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS ROUT W/MICROSCOPIC	$22.20	$60.00	$2.79–$60.00	—	63%
Urinalysis without microscope exam, automated CPT 81003 UA COMPONENT PH AUTO WO MICRO	$10.45	$28.25	$1.98–$28.25	88% below	63%
Urinalysis without microscope exam, automated CPT 81003 UA MACROSCOPIC AUTO WO MICRO	$10.45	$28.25	$1.98–$28.25	88% below	63%
Urinalysis without microscope exam, automated CPT 81003 UA COMPONENT PH AUTO WO MICRO	$10.45	$28.25	$1.98–$28.25	88% below	63%
Urinalysis without microscope exam, automated CPT 81003 UA MACROSCOPIC AUTO WO MICRO	$10.45	$28.25	$1.98–$28.25	88% below	63%
Urinalysis without microscope exam, automated inpatient CPT 81003 UA MACROSCOPIC AUTO WO MICRO	$10.45	$28.25	$1.98–$28.25	—	63%
Urinalysis without microscope exam, automated inpatient CPT 81003 UA COMPONENT PH AUTO WO MICRO	$10.45	$28.25	$1.98–$28.25	—	63%
Urinalysis without microscope exam, automated inpatient CPT 81003 UA MACROSCOPIC AUTO WO MICRO	$10.45	$28.25	$1.98–$28.25	—	63%
Urinalysis without microscope exam, automated inpatient CPT 81003 UA COMPONENT PH AUTO WO MICRO	$10.45	$28.25	$1.98–$28.25	—	63%
Urinalysis without microscope exam, manual CPT 81002 OBOP URINALYSIS DIP STICK	$4.90	$13.25	$2.65–$13.25	76% below	63%
Urinalysis without microscope exam, manual CPT 81002 UA REDUCING SUB NON-AU WO MICR	$4.90	$13.25	$2.65–$13.25	76% below	63%
Urinalysis without microscope exam, manual CPT 81002 UA SPEC GRAVIT NON-AUTO WO MICR	$4.90	$13.25	$2.65–$13.25	76% below	63%
Urinalysis without microscope exam, manual CPT 81002 L&D URINALYSIS BY DIP STICK	$4.90	$13.25	$2.65–$13.25	76% below	63%
Urinalysis without microscope exam, manual CPT 81002 OBOP URINALYSIS DIP STICK	$4.90	$13.25	$2.65–$13.25	76% below	63%
Urinalysis without microscope exam, manual CPT 81002 UA REDUCING SUB NON-AU WO MICR	$4.90	$13.25	$2.65–$13.25	76% below	63%
Urinalysis without microscope exam, manual CPT 81002 UA SPEC GRAVIT NON-AUTO WO MICR	$4.90	$13.25	$2.65–$13.25	76% below	63%
Urinalysis without microscope exam, manual CPT 81002 L&D URINALYSIS BY DIP STICK	$4.90	$13.25	$2.65–$13.25	76% below	63%
Urinalysis without microscope exam, manual inpatient CPT 81002 OBOP URINALYSIS DIP STICK	$4.90	$13.25	$2.65–$13.25	—	63%
Urinalysis without microscope exam, manual inpatient CPT 81002 UA REDUCING SUB NON-AU WO MICR	$4.90	$13.25	$2.65–$13.25	—	63%
Urinalysis without microscope exam, manual inpatient CPT 81002 UA REDUCING SUB NON-AU WO MICR	$4.90	$13.25	$2.65–$13.25	—	63%
Urinalysis without microscope exam, manual inpatient CPT 81002 UA SPEC GRAVIT NON-AUTO WO MICR	$4.90	$13.25	$2.65–$13.25	—	63%
Urinalysis without microscope exam, manual inpatient CPT 81002 UA SPEC GRAVIT NON-AUTO WO MICR	$4.90	$13.25	$2.65–$13.25	—	63%
Urinalysis without microscope exam, manual inpatient CPT 81002 L&D URINALYSIS BY DIP STICK	$4.90	$13.25	$2.65–$13.25	—	63%
Urinalysis without microscope exam, manual inpatient CPT 81002 L&D URINALYSIS BY DIP STICK	$4.90	$13.25	$2.65–$13.25	—	63%
Urinalysis without microscope exam, manual inpatient CPT 81002 OBOP URINALYSIS DIP STICK	$4.90	$13.25	$2.65–$13.25	—	63%
Urine culture for bacteria, with colony count CPT 87086 CULTURE URINE QUANT	$80.01	$216.25	$7.10–$216.25	53% below	63%
Urine culture for bacteria, with colony count CPT 87086 CULTURE URINE QUANT	$80.01	$216.25	$7.10–$216.25	53% below	63%
Urine culture for bacteria, with colony count inpatient CPT 87086 CULTURE URINE QUANT	$80.01	$216.25	$7.10–$216.25	—	63%
Urine culture for bacteria, with colony count inpatient CPT 87086 CULTURE URINE QUANT	$80.01	$216.25	$7.10–$216.25	—	63%
Urine microalbumin (albumin) test CPT 82043 REF MICROALBUMINURIA QUANT	$13.32	$36.00	$5.09–$36.00	53% below	63%
Urine microalbumin (albumin) test CPT 82043 REF MICROALBUMINURIA QUANT	$13.32	$36.00	$5.09–$36.00	53% below	63%
Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN UA/QUAN	$29.88	$80.75	$5.09–$80.75	6% above	63%
Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN URINE	$29.88	$80.75	$5.09–$80.75	6% above	63%
Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN URINE	$29.88	$80.75	$5.09–$80.75	6% above	63%
Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN UA/QUAN	$29.88	$80.75	$5.09–$80.75	6% above	63%
Urine microalbumin (albumin) test inpatient CPT 82043 REF MICROALBUMINURIA QUANT	$13.32	$36.00	$5.09–$36.00	—	63%
Urine microalbumin (albumin) test inpatient CPT 82043 REF MICROALBUMINURIA QUANT	$13.32	$36.00	$5.09–$36.00	—	63%
Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN URINE	$29.88	$80.75	$5.09–$80.75	—	63%
Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN URINE	$29.88	$80.75	$5.09–$80.75	—	63%
Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN UA/QUAN	$29.88	$80.75	$5.09–$80.75	—	63%
Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN UA/QUAN	$29.88	$80.75	$5.09–$80.75	—	63%
Urine pregnancy test, read by color change CPT 81025 POC UHCG	$15.54	$42.00	$7.58–$42.00	88% below	63%
Urine pregnancy test, read by color change CPT 81025 POC UHCG	$15.54	$42.00	$7.58–$42.00	88% below	63%
Urine pregnancy test, read by color change CPT 81025 HCG QUALITATIVE URINE	$75.94	$205.25	$7.58–$205.25	39% below	63%
Urine pregnancy test, read by color change CPT 81025 HCG QUALITATIVE URINE	$75.94	$205.25	$7.58–$205.25	39% below	63%
Urine pregnancy test, read by color change inpatient CPT 81025 POC UHCG	$15.54	$42.00	$7.58–$42.00	—	63%
Urine pregnancy test, read by color change inpatient CPT 81025 POC UHCG	$15.54	$42.00	$7.58–$42.00	—	63%
Urine pregnancy test, read by color change inpatient CPT 81025 HCG QUALITATIVE URINE	$75.94	$205.25	$7.58–$205.25	—	63%
Urine pregnancy test, read by color change inpatient CPT 81025 HCG QUALITATIVE URINE	$75.94	$205.25	$7.58–$205.25	—	63%
Vitamin B12 (cobalamin) blood test CPT 82607 CYANOCOBALAMIN(VITAMIN)	$55.96	$151.25	$13.27–$151.25	55% below	63%
Vitamin B12 (cobalamin) blood test CPT 82607 CYANOCOBALAMIN(VITAMIN)	$55.96	$151.25	$13.27–$151.25	55% below	63%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 CYANOCOBALAMIN(VITAMIN)	$55.96	$151.25	$13.27–$151.25	—	63%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 CYANOCOBALAMIN(VITAMIN)	$55.96	$151.25	$13.27–$151.25	—	63%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25-OH LEVEL	$71.04	$192.00	$26.05–$192.00	54% above	63%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25-OH LEVEL	$71.04	$192.00	$26.05–$192.00	54% above	63%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25-OH LEVEL	$71.04	$192.00	$26.05–$192.00	—	63%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25-OH LEVEL	$71.04	$192.00	$26.05–$192.00	—	63%
Zinc blood test CPT 84630 REF ZINC RBC-A	$26.64	$72.00	$10.02–$72.00	78% above	63%
Zinc blood test CPT 84630 REF ZINC RBC-A	$26.64	$72.00	$10.02–$72.00	78% above	63%
Zinc blood test inpatient CPT 84630 REF ZINC RBC-A	$26.64	$72.00	$10.02–$72.00	—	63%
Zinc blood test inpatient CPT 84630 REF ZINC RBC-A	$26.64	$72.00	$10.02–$72.00	—	63%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BETA HCG QT	$77.70	$210.00	$13.24–$210.00	32% above	63%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BETA HCG QT	$77.70	$210.00	$13.24–$210.00	32% above	63%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 BETA HCG QT	$77.70	$210.00	$13.24–$210.00	—	63%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 BETA HCG QT	$77.70	$210.00	$13.24–$210.00	—	63%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Florida	Off list
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION	$1,128.13	$3,049.00	$364.68–$3,811.25	46% below	63%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 ED CARDIOVERSION	$1,102.23	$2,979.00	$3,723.75	—	63%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION	$1,128.13	$3,049.00	$364.68–$3,811.25	—	63%
Vein ablation, radiofrequency, first vein CPT 36475 PBB CC EV ABLAT PERC 1ST VEIN	$2,960.00	$8,000.00	$10,800.00–$14,800.00	53% below	63%
Vein ablation, radiofrequency, first vein inpatient CPT 36475 PBB CC EV ABLAT PERC 1ST VEIN	$2,960.00	$8,000.00	$10,800.00–$14,800.00	—	63%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Florida	Off list
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION OF BLD/BLD COMPONENTS	$309.88	$837.50	$1,130.63–$1,549.38	72% below	63%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION OF BLD/BLD COMPONENTS	$309.88	$837.50	$1,130.63–$1,549.38	—	63%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 IPPB TREATMENT SUBSEQUENT	$61.05	$165.00	$18.68–$206.25	77% below	63%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 ED NEBULIZER TX REPEAT	$61.05	$165.00	$18.68–$206.25	77% below	63%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEBULIZER TREATMENT	$61.05	$165.00	$18.68–$206.25	77% below	63%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI TREATMENT SUBSEQUENT	$61.05	$165.00	$18.68–$206.25	77% below	63%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AEROSOL TX INITIAL	$61.05	$165.00	$18.68–$206.25	77% below	63%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 IPPB TX INITIAL	$61.05	$165.00	$18.68–$206.25	77% below	63%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI TREATMENT INITIAL	$61.05	$165.00	$18.68–$206.25	77% below	63%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 SPUTUM INDUCTION	$61.05	$165.00	$18.68–$206.25	77% below	63%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AEROSOL TREATMENT SUBSEQUENT	$61.05	$165.00	$18.68–$206.25	77% below	63%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AIRWAY INHALATION TX INITIAL	$61.05	$165.00	$18.68–$206.25	77% below	63%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 ED NEBULIZER TREATMENT	$61.05	$165.00	$18.68–$206.25	77% below	63%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 NEBULIZER TREATMENT	$61.05	$165.00	$18.68–$206.25	—	63%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 ED NEBULIZER TREATMENT	$61.05	$165.00	$18.68–$206.25	—	63%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AEROSOL TREATMENT SUBSEQUENT	$61.05	$165.00	$18.68–$206.25	—	63%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AIRWAY INHALATION TX INITIAL	$61.05	$165.00	$18.68–$206.25	—	63%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 SPUTUM INDUCTION	$61.05	$165.00	$18.68–$206.25	—	63%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MDI TREATMENT INITIAL	$61.05	$165.00	$18.68–$206.25	—	63%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 IPPB TX INITIAL	$61.05	$165.00	$18.68–$206.25	—	63%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AEROSOL TX INITIAL	$61.05	$165.00	$18.68–$206.25	—	63%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MDI TREATMENT SUBSEQUENT	$61.05	$165.00	$18.68–$206.25	—	63%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 IPPB TREATMENT SUBSEQUENT	$61.05	$165.00	$18.68–$206.25	—	63%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 ED NEBULIZER TX REPEAT	$61.05	$165.00	$18.68–$206.25	—	63%
Critical care, first 30 to 74 minutes CPT 99291 ED CRITIC CARE E&M INI 30-74MN	$1,534.67	$4,147.75	$1,442.00–$5,184.69	69% below	63%
Critical care, first 30 to 74 minutes inpatient CPT 99291 ED CRITIC CARE E&M INI 30-74MN	$1,534.67	$4,147.75	$1,442.00–$5,184.69	—	63%
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE/DROWSY	$536.22	$1,449.25	$758.80–$1,811.56	65% below	63%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG AWAKE/DROWSY	$536.22	$1,449.25	$758.80–$1,811.56	—	63%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG-12 LEAD TRACE ONLY	$109.34	$295.50	$14.88–$369.38	70% below	63%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG TRACING ONLY	$109.34	$295.50	$14.88–$369.38	70% below	63%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 PBB CC EKG-12 LEAD TRACE ONLY	$124.32	$336.00	$14.88–$420.00	66% below	63%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG-12 LEAD TRACE ONLY	$109.34	$295.50	$14.88–$369.38	—	63%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG TRACING ONLY	$109.34	$295.50	$14.88–$369.38	—	63%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 PBB CC EKG-12 LEAD TRACE ONLY	$124.32	$336.00	$14.88–$420.00	—	63%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ED LEVEL 1 EMERGENCY CARE	$211.73	$572.25	$200.00–$715.31	57% below	63%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ED LEVEL 1 EMERG CARE SEP EVAL	$211.73	$572.25	$28.33–$715.31	57% below	63%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ED LEVEL 1 EMERGENCY CARE	$211.73	$572.25	$200.00–$715.31	—	63%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ED LEVEL 1 EMERG CARE SEP EVAL	$211.73	$572.25	$28.33–$715.31	—	63%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ED LEVEL 2 EMERG CARE SEP EVAL	$491.18	$1,327.50	$103.80–$1,659.38	46% below	63%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ED LEVEL 2 EMERGENCY CARE	$491.18	$1,327.50	$421.00–$1,659.38	46% below	63%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ED LEVEL 2 EMERG CARE SEP EVAL	$491.18	$1,327.50	$103.80–$1,659.38	—	63%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ED LEVEL 2 EMERGENCY CARE	$491.18	$1,327.50	$421.00–$1,659.38	—	63%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ED LEVEL 3 EMERGENCY CARE	$1,319.05	$3,565.00	$421.00–$4,456.25	19% below	63%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ED LEVEL 3 EMERG CARE SEP EVAL	$1,319.05	$3,565.00	$174.98–$4,456.25	19% below	63%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ED LEVEL 3 EMERG CARE SEP EVAL	$1,319.05	$3,565.00	$174.98–$4,456.25	—	63%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ED LEVEL 3 EMERGENCY CARE	$1,319.05	$3,565.00	$421.00–$4,456.25	—	63%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ED LEVEL 4 EMERG CARE SEP EVAL	$1,327.56	$3,588.00	$299.30–$4,485.00	46% below	63%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ED LEVEL 4 EMERGENCY CARE	$1,327.56	$3,588.00	$1,442.00–$4,485.00	46% below	63%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ED LEVEL 4 EMERGENCY CARE	$1,327.56	$3,588.00	$1,442.00–$4,485.00	—	63%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ED LEVEL 4 EMERG CARE SEP EVAL	$1,327.56	$3,588.00	$299.30–$4,485.00	—	63%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ED LEVEL 5 EMERG CARE SEP EVAL	$1,395.46	$3,771.50	$434.53–$4,714.38	59% below	63%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ED LEVEL 5 EMERGENCY CARE	$1,395.46	$3,771.50	$1,442.00–$4,714.38	59% below	63%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ED LEVEL 5 EMERGENCY CARE	$1,395.46	$3,771.50	$1,442.00–$4,714.38	—	63%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ED LEVEL 5 EMERG CARE SEP EVAL	$1,395.46	$3,771.50	$434.53–$4,714.38	—	63%
Exercise stress test, tracing only, the hospital charge CPT 93017 PBB CC EXERC STRESS TRACING ONLY	$872.92	$2,359.25	$88.28–$2,949.06	42% below	63%
Exercise stress test, tracing only, the hospital charge CPT 93017 NUC STRESS - LEXISCAN	$1,382.69	$3,737.00	$88.28–$4,671.25	8% below	63%
Exercise stress test, tracing only, the hospital charge CPT 93017 NUC STRESS - DOBUTAMINE	$1,382.69	$3,737.00	$88.28–$4,671.25	8% below	63%
Exercise stress test, tracing only, the hospital charge CPT 93017 NUC STRESS - ADENOSINE	$1,382.69	$3,737.00	$88.28–$4,671.25	8% below	63%
Exercise stress test, tracing only, the hospital charge CPT 93017 NUC STRESS - WALK	$1,382.69	$3,737.00	$88.28–$4,671.25	8% below	63%
Exercise stress test, tracing only, the hospital charge CPT 93017 NUC STRESS - PERSANTINE	$1,382.69	$3,737.00	$88.28–$4,671.25	8% below	63%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 PBB CC EXERC STRESS TRACING ONLY	$872.92	$2,359.25	$88.28–$2,949.06	—	63%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 NUC STRESS - DOBUTAMINE	$1,382.69	$3,737.00	$88.28–$4,671.25	—	63%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 NUC STRESS - LEXISCAN	$1,382.69	$3,737.00	$88.28–$4,671.25	—	63%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 NUC STRESS - PERSANTINE	$1,382.69	$3,737.00	$88.28–$4,671.25	—	63%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 NUC STRESS - WALK	$1,382.69	$3,737.00	$88.28–$4,671.25	—	63%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 NUC STRESS - ADENOSINE	$1,382.69	$3,737.00	$88.28–$4,671.25	—	63%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 L&D IV HYDRAT INITL 31-90 MIN	$602.18	$1,627.50	$71.95–$2,034.38	7% above	63%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 OBOP IV HYDRAT INITL 31-90 MIN	$602.18	$1,627.50	$71.95–$2,034.38	7% above	63%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 MBU IV HYDRAT INITL 31-90 MIN	$602.18	$1,627.50	$71.95–$2,034.38	7% above	63%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 PACU IV HYDRAT INITL 31-90 MIN	$602.18	$1,627.50	$71.95–$2,034.38	7% above	63%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRAT INITL 31-90 MIN	$602.18	$1,627.50	$71.95–$2,034.38	7% above	63%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 MICU IV HYDRAT INITL 31-90 MIN	$602.18	$1,627.50	$71.95–$2,034.38	7% above	63%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 2W IV HYDRAT INITL 31-90 MIN	$602.18	$1,627.50	$71.95–$2,034.38	7% above	63%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 3N IV HYDRAT INITL 31-90 MIN	$602.18	$1,627.50	$71.95–$2,034.38	7% above	63%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 ED HYDRATION IV INF INIT	$727.14	$1,965.25	$257.04–$2,456.56	29% above	63%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 PACU IV HYDRAT INITL 31-90 MIN	$602.18	$1,627.50	$71.95–$2,034.38	—	63%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 L&D IV HYDRAT INITL 31-90 MIN	$602.18	$1,627.50	$71.95–$2,034.38	—	63%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 3N IV HYDRAT INITL 31-90 MIN	$602.18	$1,627.50	$71.95–$2,034.38	—	63%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 MICU IV HYDRAT INITL 31-90 MIN	$602.18	$1,627.50	$71.95–$2,034.38	—	63%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYDRAT INITL 31-90 MIN	$602.18	$1,627.50	$71.95–$2,034.38	—	63%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 OBOP IV HYDRAT INITL 31-90 MIN	$602.18	$1,627.50	$71.95–$2,034.38	—	63%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 2W IV HYDRAT INITL 31-90 MIN	$602.18	$1,627.50	$71.95–$2,034.38	—	63%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 MBU IV HYDRAT INITL 31-90 MIN	$602.18	$1,627.50	$71.95–$2,034.38	—	63%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 ED HYDRATION IV INF INIT	$727.14	$1,965.25	$257.04–$2,456.56	—	63%
IV infusion of a medicine, first hour CPT 96365 2W IV INF THER INIT 16-90 MIN	$754.71	$2,039.75	$138.80–$2,549.69	15% above	63%
IV infusion of a medicine, first hour CPT 96365 OBOP IV INF THER INIT 16-90 MIN	$754.71	$2,039.75	$138.80–$2,549.69	15% above	63%
IV infusion of a medicine, first hour CPT 96365 L&D IV INF THER INIT 16-90 MIN	$754.71	$2,039.75	$138.80–$2,549.69	15% above	63%
IV infusion of a medicine, first hour CPT 96365 3N IV INF THER INIT 16-90 MIN	$754.71	$2,039.75	$138.80–$2,549.69	15% above	63%
IV infusion of a medicine, first hour CPT 96365 MICU IV INF THER INIT 16-90 MIN	$754.71	$2,039.75	$138.80–$2,549.69	15% above	63%
IV infusion of a medicine, first hour CPT 96365 IV INF THER INIT 16-90 MIN	$754.71	$2,039.75	$138.80–$2,549.69	15% above	63%
IV infusion of a medicine, first hour CPT 96365 PACU IV INF THER INIT 16-90 MIN	$754.71	$2,039.75	$138.80–$2,549.69	15% above	63%
IV infusion of a medicine, first hour CPT 96365 MBU IV INF THER INIT 16-90 MIN	$754.71	$2,039.75	$138.80–$2,549.69	15% above	63%
IV infusion of a medicine, first hour inpatient CPT 96365 MICU IV INF THER INIT 16-90 MIN	$754.71	$2,039.75	$138.80–$2,549.69	—	63%
IV infusion of a medicine, first hour inpatient CPT 96365 IV INF THER INIT 16-90 MIN	$754.71	$2,039.75	$138.80–$2,549.69	—	63%
IV infusion of a medicine, first hour inpatient CPT 96365 ED TX/PRO/DX IV INF INIT	$754.71	$2,039.75	$2,549.69	—	63%
IV infusion of a medicine, first hour inpatient CPT 96365 PACU IV INF THER INIT 16-90 MIN	$754.71	$2,039.75	$138.80–$2,549.69	—	63%
IV infusion of a medicine, first hour inpatient CPT 96365 MBU IV INF THER INIT 16-90 MIN	$754.71	$2,039.75	$138.80–$2,549.69	—	63%
IV infusion of a medicine, first hour inpatient CPT 96365 2W IV INF THER INIT 16-90 MIN	$754.71	$2,039.75	$138.80–$2,549.69	—	63%
IV infusion of a medicine, first hour inpatient CPT 96365 OBOP IV INF THER INIT 16-90 MIN	$754.71	$2,039.75	$138.80–$2,549.69	—	63%
IV infusion of a medicine, first hour inpatient CPT 96365 L&D IV INF THER INIT 16-90 MIN	$754.71	$2,039.75	$138.80–$2,549.69	—	63%
IV infusion of a medicine, first hour inpatient CPT 96365 3N IV INF THER INIT 16-90 MIN	$754.71	$2,039.75	$138.80–$2,549.69	—	63%
IV push of a medicine, first drug CPT 96374 IVP INITIAL OR SINGLE	$257.24	$695.25	$81.55–$869.06	19% below	63%
IV push of a medicine, first drug CPT 96374 MICU IVP INITIAL OR SINGLE	$257.24	$695.25	$81.55–$869.06	19% below	63%
IV push of a medicine, first drug CPT 96374 3N IVP INITIAL OR SINGLE 96374 JA	$257.24	$695.25	$81.55–$869.06	19% below	63%
IV push of a medicine, first drug CPT 96374 MBU IVP INITIAL OR SINGLE	$257.24	$695.25	$81.55–$869.06	19% below	63%
IV push of a medicine, first drug CPT 96374 PACU IVP INITIAL OR SINGLE	$257.24	$695.25	$81.55–$869.06	19% below	63%
IV push of a medicine, first drug CPT 96374 2W IVP INITIAL OR SINGLE	$257.24	$695.25	$81.55–$869.06	19% below	63%
IV push of a medicine, first drug CPT 96374 2W IVP INITIAL OR SINGLE 96374 JA	$257.24	$695.25	$81.55–$869.06	19% below	63%
IV push of a medicine, first drug CPT 96374 OBOP IVP INITIAL OR SINGLE	$257.24	$695.25	$81.55–$869.06	19% below	63%
IV push of a medicine, first drug CPT 96374 L&D IVP INITIAL OR SINGLE	$257.24	$695.25	$81.55–$869.06	19% below	63%
IV push of a medicine, first drug CPT 96374 IVP INITIAL OR SINGLE 96374 JA	$257.24	$695.25	$81.55–$869.06	19% below	63%
IV push of a medicine, first drug CPT 96374 3N IVP INITIAL OR SINGLE	$257.24	$695.25	$81.55–$869.06	19% below	63%
IV push of a medicine, first drug inpatient CPT 96374 L&D IVP INITIAL OR SINGLE	$257.24	$695.25	$81.55–$869.06	—	63%
IV push of a medicine, first drug inpatient CPT 96374 MBU IVP INITIAL OR SINGLE	$257.24	$695.25	$81.55–$869.06	—	63%
IV push of a medicine, first drug inpatient CPT 96374 2W IVP INITIAL OR SINGLE	$257.24	$695.25	$81.55–$869.06	—	63%
IV push of a medicine, first drug inpatient CPT 96374 2W IVP INITIAL OR SINGLE 96374 JA	$257.24	$695.25	$81.55–$869.06	—	63%
IV push of a medicine, first drug inpatient CPT 96374 OBOP IVP INITIAL OR SINGLE	$257.24	$695.25	$81.55–$869.06	—	63%
IV push of a medicine, first drug inpatient CPT 96374 IVP INITIAL OR SINGLE 96374 JA	$257.24	$695.25	$81.55–$869.06	—	63%
IV push of a medicine, first drug inpatient CPT 96374 3N IVP INITIAL OR SINGLE	$257.24	$695.25	$81.55–$869.06	—	63%
IV push of a medicine, first drug inpatient CPT 96374 3N IVP INITIAL OR SINGLE 96374 JA	$257.24	$695.25	$81.55–$869.06	—	63%
IV push of a medicine, first drug inpatient CPT 96374 MICU IVP INITIAL OR SINGLE	$257.24	$695.25	$81.55–$869.06	—	63%
IV push of a medicine, first drug inpatient CPT 96374 IVP INITIAL OR SINGLE	$257.24	$695.25	$81.55–$869.06	—	63%
IV push of a medicine, first drug inpatient CPT 96374 PACU IVP INITIAL OR SINGLE	$257.24	$695.25	$81.55–$869.06	—	63%
IV push of a medicine, first drug inpatient CPT 96374 ED THER/PROPH/DX INJ IV PUSH	$310.62	$839.50	$1,049.38	—	63%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 2W INJ SQ/IM THER PROPH DIAG	$130.24	$352.00	$33.93–$440.00	28% below	63%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 MBU INJ SQ/IM THER PROPH DIAG	$130.24	$352.00	$33.93–$440.00	28% below	63%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 PACU INJ SQ/IM THER PROPH DIAG	$130.24	$352.00	$33.93–$440.00	28% below	63%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 WCC INJ SQ/IM THER PRO DIAG	$130.24	$352.00	$33.93–$440.00	28% below	63%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ SQ/IM THER PROPH DIAG	$130.24	$352.00	$33.93–$440.00	28% below	63%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 MICU INJ SQ/IM THER PROPH DIAG	$130.24	$352.00	$33.93–$440.00	28% below	63%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 3N INJ SC THER/PRO/DIA 96372 JB	$130.24	$352.00	$33.93–$440.00	28% below	63%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 3N INJ SQ/IM THER PROPH DIAG	$130.24	$352.00	$33.93–$440.00	28% below	63%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ SC THER/PRO/DIA 96372 JB	$130.24	$352.00	$33.93–$440.00	28% below	63%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 L&D INJ SQ/IM THER PROPH DIAG	$130.24	$352.00	$33.93–$440.00	28% below	63%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 OBOP INJ SQ/IM THER PROPH DIAG	$130.24	$352.00	$33.93–$440.00	28% below	63%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 2W INJ SC THER/PRO/DIA 96372 JB	$130.24	$352.00	$33.93–$440.00	28% below	63%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 ED TX/PRO/DX INJ SQ/IM DIST PROC	$157.25	$425.00	$33.93–$531.25	13% below	63%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 3N INJ SQ/IM THER PROPH DIAG	$130.24	$352.00	$33.93–$440.00	—	63%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 L&D INJ SQ/IM THER PROPH DIAG	$130.24	$352.00	$33.93–$440.00	—	63%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 OBOP INJ SQ/IM THER PROPH DIAG	$130.24	$352.00	$33.93–$440.00	—	63%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 2W INJ SC THER/PRO/DIA 96372 JB	$130.24	$352.00	$33.93–$440.00	—	63%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 2W INJ SQ/IM THER PROPH DIAG	$130.24	$352.00	$33.93–$440.00	—	63%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 WCC INJ SQ/IM THER PRO DIAG	$130.24	$352.00	$33.93–$440.00	—	63%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 MBU INJ SQ/IM THER PROPH DIAG	$130.24	$352.00	$33.93–$440.00	—	63%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 PACU INJ SQ/IM THER PROPH DIAG	$130.24	$352.00	$33.93–$440.00	—	63%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJ SQ/IM THER PROPH DIAG	$130.24	$352.00	$33.93–$440.00	—	63%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 MICU INJ SQ/IM THER PROPH DIAG	$130.24	$352.00	$33.93–$440.00	—	63%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 3N INJ SC THER/PRO/DIA 96372 JB	$130.24	$352.00	$33.93–$440.00	—	63%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJ SC THER/PRO/DIA 96372 JB	$130.24	$352.00	$33.93–$440.00	—	63%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 ED TX/PRO/DX INJ SQ/IM DIST PROC	$157.25	$425.00	$33.93–$531.25	—	63%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 ED THER/PROPH/DX INJ SQ/IM	$157.25	$425.00	$531.25	—	63%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 NERVE CONDUCTION STUDIES 7-8	$2,395.47	$6,474.25	$160.05–$8,092.81	124% above	63%
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 NERVE CONDUCTION STUDIES 7-8	$2,395.47	$6,474.25	$160.05–$8,092.81	—	63%
Neuromuscular re-education, 15 minutes CPT 97112 OT NEUROMUSC RE-ED 15M OTA	$39.59	$107.00	$78.10	73% below	63%
Neuromuscular re-education, 15 minutes CPT 97112 OT NEUROMUSC RE-ED 15MIN	$39.59	$107.00	$78.10	73% below	63%
Neuromuscular re-education, 15 minutes CPT 97112 PT NEUROMUSC RE-ED 15M PTA	$39.59	$107.00	$78.10	73% below	63%
Neuromuscular re-education, 15 minutes CPT 97112 PT NEUROMUSC RE-ED 15MIN	$39.59	$107.00	$78.10	73% below	63%
Neuromuscular re-education, 15 minutes CPT 97112 PT PELVIC FLOOR NEURO RE-ED 15 MIN	$39.59	$107.00	$78.10	73% below	63%
Neuromuscular re-education, 15 minutes CPT 97112 PT PELVIC FLR NEURO RE-ED 15M PTA	$39.59	$107.00	$78.10	73% below	63%
New patient office visit, about 30 minutes CPT 99203 OFFICE VISIT NEW PT LEVEL III	$135.70	$366.75	$270.75–$458.44	70% below	63%
New patient office visit, about 30 minutes inpatient CPT 99203 OFFICE VISIT NEW PT LEVEL III	$135.70	$366.75	$270.75–$458.44	—	63%
New patient office visit, about 45 minutes CPT 99204 OFFICE VISIT NEW PT LEVEL IV	$186.11	$503.00	$406.73–$628.75	71% below	63%
New patient office visit, about 45 minutes inpatient CPT 99204 OFFICE VISIT NEW PT LEVEL IV	$186.11	$503.00	$406.73–$628.75	—	63%
New patient office visit, about 60 minutes CPT 99205 OFFICE VISIT NEW PT LEVEL V	$313.67	$847.75	$538.48–$1,059.69	59% below	63%
New patient office visit, about 60 minutes inpatient CPT 99205 OFFICE VISIT NEW PT LEVEL V	$313.67	$847.75	$538.48–$1,059.69	—	63%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE VISIT NEW PT LEVEL II	$104.53	$282.50	$171.68–$353.13	60% below	63%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OFFICE VISIT NEW PT LEVEL II	$104.53	$282.50	$171.68–$353.13	—	63%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT LYMPH EVAL HIGH 4+ ELEMENTS	$100.92	$272.75	$239.50–$266.00	81% below	63%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT LYMPH EVAL HIGH 4+ ELEMENTS	$100.92	$272.75	$239.50–$266.00	81% below	63%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT PELVIC FLR EVAL HIGH 4+ ELMNTS	$100.92	$272.75	$239.50–$266.00	81% below	63%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH CMPLX 4+ ELEMENTS	$100.92	$272.75	$239.50–$266.00	81% below	63%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH CMPLX 4+ ELEMENTS	$100.92	$272.75	$239.50–$266.00	81% below	63%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT PELVIC FLR EVAL HIGH 4+ ELMNTS	$100.92	$272.75	$239.50–$266.00	81% below	63%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT LYMPH EVAL HIGH 4+ ELEMENTS	$100.92	$272.75	$239.50–$266.00	—	63%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL HIGH CMPLX 4+ ELEMENTS	$100.92	$272.75	$239.50–$266.00	—	63%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT PELVIC FLR EVAL HIGH 4+ ELMNTS	$100.92	$272.75	$239.50–$266.00	—	63%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW CMPLX 1-2 ELEMENTS	$100.92	$272.75	$239.50–$266.00	78% below	63%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT LYMPH EVAL LOW 1-2 ELEMENTS	$100.92	$272.75	$239.50–$266.00	78% below	63%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT PELVIC FLR EVAL LOW 1-2 ELMNTS	$100.92	$272.75	$239.50–$266.00	78% below	63%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT PELVIC FLR EVAL LOW 1-2 ELMNTS	$100.92	$272.75	$239.50–$266.00	78% below	63%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT LYMPH EVAL LOW 1-2 ELEMENTS	$100.92	$272.75	$239.50–$266.00	78% below	63%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW CMPLX 1-2 ELEMENTS	$100.92	$272.75	$239.50–$266.00	78% below	63%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT LYMPH EVAL LOW 1-2 ELEMENTS	$100.92	$272.75	$239.50–$266.00	—	63%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL LOW CMPLX 1-2 ELEMENTS	$100.92	$272.75	$239.50–$266.00	—	63%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT PELVIC FLR EVAL LOW 1-2 ELMNTS	$100.92	$272.75	$239.50–$266.00	—	63%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT LYMPH EVAL MOD 3 ELEMENTS	$100.92	$272.75	$239.50–$266.00	78% below	63%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT PELVIC FLR EVAL MOD 3 ELMNTS	$100.92	$272.75	$239.50–$266.00	78% below	63%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MOD CMPLX 3 ELEMENTS	$100.92	$272.75	$239.50–$266.00	78% below	63%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT LYMPH EVAL MOD 3 ELEMENTS	$100.92	$272.75	$239.50–$266.00	78% below	63%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT PELVIC FLR EVAL MOD 3 ELMNTS	$100.92	$272.75	$239.50–$266.00	78% below	63%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MOD CMPLX 3 ELEMENTS	$100.92	$272.75	$239.50–$266.00	78% below	63%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL MOD CMPLX 3 ELEMENTS	$100.92	$272.75	$239.50–$266.00	—	63%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT PELVIC FLR EVAL MOD 3 ELMNTS	$100.92	$272.75	$239.50–$266.00	—	63%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT LYMPH EVAL MOD 3 ELEMENTS	$100.92	$272.75	$239.50–$266.00	—	63%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT PELVIC FLR MANUAL 15M PTA	$36.26	$98.00	$66.38	72% below	63%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT LYMPH MANUAL THERAPY 15MIN	$36.26	$98.00	$66.38	72% below	63%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT LYMPH MANUAL THERAPY 15M PTA	$36.26	$98.00	$66.38	72% below	63%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT MANUAL THERAPY 15 MIN	$36.26	$98.00	$66.38	72% below	63%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT LYMPH MANUAL THERAPY 15 MIN	$36.26	$98.00	$66.38	72% below	63%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT LYMPH MANUAL THERAPY 15M OTA	$36.26	$98.00	$66.38	72% below	63%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT MANUAL THERAPY 15M OTA	$36.26	$98.00	$66.38	72% below	63%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT MANUAL THERAPY 15M PTA	$36.26	$98.00	$66.38	72% below	63%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT MANUAL THERAPY 15 MIN	$36.26	$98.00	$66.38	72% below	63%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT PELVIC FLOOR MANUAL 15 MIN	$36.26	$98.00	$66.38	72% below	63%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT LYMPH THERAPEUTIC EX 15M OTA	$32.10	$86.75	$70.25	78% below	63%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT PELVIC FLOOR THER EXER 15 MIN	$32.10	$86.75	$70.25	78% below	63%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT PELVIC FLR THER EXER 15M PTA	$32.10	$86.75	$70.25	78% below	63%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT THERAPEUTIC EXER 15M PTA	$32.10	$86.75	$70.25	78% below	63%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT LYMPH THERAPEUT EXER 15M PTA	$32.10	$86.75	$70.25	78% below	63%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT THERAPEUTIC EXER 15MIN	$32.10	$86.75	$70.25	78% below	63%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT LYMPH THERAPEUT EXERCISE 15 MIN	$32.10	$86.75	$70.25	78% below	63%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT THERAPEUTIC EXER 15M OTA	$32.10	$86.75	$70.25	78% below	63%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT LYMPH THERAPEUTIC EX 15MIN	$32.10	$86.75	$70.25	78% below	63%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT THERAPEUTIC EXER 15 MN	$32.10	$86.75	$70.25	78% below	63%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKING CESSATION COUNSEL 3-10MIN	$50.04	$135.25	$34.70–$169.06	19% below	63%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 SMOKING CESSATION COUNSEL 3-10MIN	$50.04	$135.25	$34.70–$169.06	—	63%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 L&D OB TRIAGE LEVEL 5	$218.86	$591.50	$435.30–$739.38	66% below	63%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFFICE VISIT EST PT LEVEL V	$262.70	$710.00	$435.30–$887.50	59% below	63%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OBOP OB TRIAGE LEVEL 5	$347.43	$939.00	$435.30–$1,173.75	46% below	63%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 L&D OB TRIAGE LEVEL 5	$218.86	$591.50	$435.30–$739.38	—	63%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 OFFICE VISIT EST PT LEVEL V	$262.70	$710.00	$435.30–$887.50	—	63%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 OBOP OB TRIAGE LEVEL 5	$347.43	$939.00	$435.30–$1,173.75	—	63%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE VISIT EST PT LEVEL III	$133.57	$361.00	$219.60–$451.25	62% below	63%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 L&D OB TRIAGE LEVEL 3	$153.64	$415.25	$219.60–$519.06	56% below	63%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OBOP OB TRIAGE LEVEL 3	$153.64	$415.25	$219.60–$519.06	56% below	63%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OFFICE VISIT EST PT LEVEL III	$133.57	$361.00	$219.60–$451.25	—	63%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OBOP OB TRIAGE LEVEL 3	$153.64	$415.25	$219.60–$519.06	—	63%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 L&D OB TRIAGE LEVEL 3	$153.64	$415.25	$219.60–$519.06	—	63%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE VISIT EST PT LEVEL IV	$117.29	$317.00	$309.88–$396.25	78% below	63%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OBOP OB TRIAGE LEVEL 4	$155.12	$419.25	$309.88–$524.06	70% below	63%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 L&D OB TRIAGE LEVEL 4	$97.68	$264.00	$330.00	—	63%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OFFICE VISIT EST PT LEVEL IV	$117.29	$317.00	$309.88–$396.25	—	63%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OBOP OB TRIAGE LEVEL 4	$155.12	$419.25	$309.88–$524.06	—	63%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 L&D OB TRIAGE LEVEL 2	$67.43	$182.25	$134.75–$227.81	80% below	63%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE VISIT EST PT LEVEL II	$81.03	$219.00	$134.75–$273.75	76% below	63%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OBOP OB TRIAGE LEVEL 2	$107.12	$289.50	$134.75–$361.88	69% below	63%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 L&D OB TRIAGE LEVEL 2	$67.43	$182.25	$134.75–$227.81	—	63%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OFFICE VISIT EST PT LEVEL II	$81.03	$219.00	$134.75–$273.75	—	63%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OBOP OB TRIAGE LEVEL 2	$107.12	$289.50	$134.75–$361.88	—	63%
Speech and language evaluation CPT 92523 EVAL OF PROD W COMPREH & EXPRESN	$147.72	$399.25	$266.00–$499.06	75% below	63%
Speech and language evaluation inpatient CPT 92523 EVAL OF PROD W COMPREH & EXPRESN	$147.72	$399.25	$266.00–$499.06	—	63%
Speech and language evaluation inpatient CPT 92523 EVAL OF PROD W COMPREH & EXPRESN	$147.72	$399.25	$266.00–$499.06	—	63%
Speech therapy session, individual inpatient CPT 92507 ST TREATMENT TX INDIV	$65.68	$177.50	$221.88	—	63%
Spirometry (breathing test) CPT 94010 SPIROMETRY/PFT SIMPLE	$233.56	$631.25	$44.50–$789.06	22% below	63%
Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY/PFT SIMPLE	$233.56	$631.25	$44.50–$789.06	—	63%
Spirometry before and after a bronchodilator CPT 94060 SPIRO/PFT PRE/POST BRONCH	$506.90	$1,370.00	$66.55–$1,712.50	44% below	63%
Spirometry before and after a bronchodilator inpatient CPT 94060 SPIRO/PFT PRE/POST BRONCH	$506.90	$1,370.00	$66.55–$1,712.50	—	63%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 REF THERAPEUTIC PHLEBOTOMY	$217.01	$586.50	$206.18–$733.13	30% below	63%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 REF THERAPEUTIC PHLEBOTOMY	$217.01	$586.50	$206.18–$733.13	—	63%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Florida	Off list
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUENZA TRIVALENT 0.5ML SDV PF	$48.29	$130.50	$33.15–$163.13	35% below	63%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 INFLUENZA TRIVALENT 0.5ML SDV PF	$48.29	$130.50	$33.15–$163.13	—	63%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS-B PRES FREE INJ VAC (PED)	$48.14	$130.10	$46.89–$162.63	52% below	63%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS-B PRES FREE INJ VAC (PED)	$48.14	$130.10	$46.89–$162.63	—	63%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 HAEMOPHILUS B CONJ INJ VAC-3 DOSE	$48.14	$130.10	$44.58–$162.63	42% below	63%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) inpatient CPT 90647 HAEMOPHILUS B CONJ INJ VAC-3 DOSE	$48.14	$130.10	$44.58–$162.63	—	63%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MMR VIRUS VACCINE LIVE SUBQ	$52.17	$141.00	$138.82–$176.25	73% below	63%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MMR VIRUS VACCINE LIVE SUBQ	$52.17	$141.00	$138.82–$176.25	—	63%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOCOC CONJUG (MENACWY) VAC	$79.92	$216.00	$270.00	—	63%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENINGOCOC GROUP B VAC 0.5ML INJ	$58.46	$158.00	$197.50	—	63%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 PNEUMOCOCCAL 13 INJ VACCINE 0.5ML	$147.83	$399.54	$314.75–$499.43	75% below	63%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 PNEUMOCOCCAL 13 INJ VACCINE 0.5ML	$147.83	$399.54	$314.75–$499.43	—	63%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMO INJ VACCINE (PPSV23) 2YRS+	$62.90	$170.00	$162.83–$212.50	84% below	63%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMO INJ VACCINE (PPSV23) 2YRS+	$62.90	$170.00	$162.83–$212.50	—	63%
RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 NIRSEVIMAB (BEYFORTUS) 50MG/0.5 ML	$247.53	$669.00	$836.25	—	63%
Rabies vaccine, one dose CPT 90675 RABIES INJ VACCINE (HDC)	$396.47	$1,071.54	$695.37–$1,339.42	66% below	63%
Rabies vaccine, one dose inpatient CPT 90675 RABIES INJ VACCINE (HDC)	$396.47	$1,071.54	$695.37–$1,339.42	—	63%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 DIP-TET TOX INJ (ADULT) 0.5ML PFS	$47.96	$129.63	$67.73–$162.04	67% below	63%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 DIP-TET TOX INJ (ADULT) 0.5ML PFS	$47.96	$129.63	$67.73–$162.04	—	63%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP ACEL INJ ADULT IM 2.5/5/18.5	$48.10	$130.01	$47.67–$162.51	76% below	63%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TDAP ACEL INJ ADULT IM 2.5/5/18.5	$48.10	$130.01	$47.67–$162.51	—	63%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMM ADM TETANUS ADULT >18YO	$53.37	$144.25	$48.38–$180.31	56% below	63%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADM FLU VIRUS VACCINE	$53.37	$144.25	$48.38–$180.31	56% below	63%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN PNEUMONIA VACCINE	$53.37	$144.25	$48.38–$180.31	56% below	63%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HEP B ADMIN IMMUNIZ	$53.37	$144.25	$48.38–$180.31	56% below	63%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 L&D HEP B ADMIN IMMUNIZ	$53.37	$144.25	$48.38–$180.31	56% below	63%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 L&D - IMM ADM TDAP ADULT>18YO	$53.37	$144.25	$48.38–$180.31	56% below	63%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 OBOP IMM ADM TDAP ADULT>18YO	$53.37	$144.25	$48.38–$180.31	56% below	63%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 OBOP IMM ADM MMR ADULT>18YO	$53.37	$144.25	$48.38–$180.31	56% below	63%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 MBU- IMM ADM TDAP ADULT>18YO	$53.37	$144.25	$48.38–$180.31	56% below	63%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 MBU IMM ADM MMR ADULT>18YO	$53.37	$144.25	$48.38–$180.31	56% below	63%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ED IMM ADM TDAP ADULT>18YO	$53.37	$144.25	$48.38–$180.31	56% below	63%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ED IMMUN ADMIN 1 VACCINE	$53.37	$144.25	$48.38–$180.31	56% below	63%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ED IMM ADM TD ADULT >18YO	$53.37	$144.25	$48.38–$180.31	56% below	63%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ED IMM ADM TETANUS ADULT >18YO	$53.37	$144.25	$48.38–$180.31	56% below	63%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 MICU ADMIN VACCINE INITIAL	$53.37	$144.25	$48.38–$180.31	56% below	63%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 MBU IMM ADM MMR ADULT>18YO	$53.37	$144.25	$48.38–$180.31	—	63%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 MICU ADMIN VACCINE INITIAL	$53.37	$144.25	$48.38–$180.31	—	63%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMM ADM TETANUS ADULT >18YO	$53.37	$144.25	$48.38–$180.31	—	63%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADM FLU VIRUS VACCINE	$53.37	$144.25	$48.38–$180.31	—	63%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN PNEUMONIA VACCINE	$53.37	$144.25	$48.38–$180.31	—	63%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HEP B ADMIN IMMUNIZ	$53.37	$144.25	$48.38–$180.31	—	63%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 L&D HEP B ADMIN IMMUNIZ	$53.37	$144.25	$48.38–$180.31	—	63%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 L&D - IMM ADM TDAP ADULT>18YO	$53.37	$144.25	$48.38–$180.31	—	63%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 OBOP IMM ADM TDAP ADULT>18YO	$53.37	$144.25	$48.38–$180.31	—	63%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 OBOP IMM ADM MMR ADULT>18YO	$53.37	$144.25	$48.38–$180.31	—	63%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ED IMM ADM TDAP ADULT>18YO	$53.37	$144.25	$48.38–$180.31	—	63%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ED IMMUN ADMIN 1 VACCINE	$53.37	$144.25	$48.38–$180.31	—	63%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ED IMM ADM TETANUS ADULT >18YO	$53.37	$144.25	$48.38–$180.31	—	63%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ED IMM ADM TD ADULT >18YO	$53.37	$144.25	$48.38–$180.31	—	63%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 MBU- IMM ADM TDAP ADULT>18YO	$53.37	$144.25	$48.38–$180.31	—	63%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 OBOP ADMIN VACCINE EA ADD	$52.63	$142.25	$34.60–$177.81	52% below	63%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 L&D ADMIN VACCINE EA ADD	$52.63	$142.25	$34.60–$177.81	52% below	63%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ADM PNEUMONIA 2ND VACCINE	$52.63	$142.25	$34.60–$177.81	52% below	63%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 MICU ADMIN VACCINE EA ADD	$52.63	$142.25	$34.60–$177.81	52% below	63%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ED IMMUN ADMIN EA ADD VACCINE	$52.63	$142.25	$34.60–$177.81	52% below	63%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 MICU ADMIN VACCINE EA ADD	$52.63	$142.25	$34.60–$177.81	—	63%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 ED IMMUN ADMIN EA ADD VACCINE	$52.63	$142.25	$34.60–$177.81	—	63%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 OBOP ADMIN VACCINE EA ADD	$52.63	$142.25	$34.60–$177.81	—	63%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 L&D ADMIN VACCINE EA ADD	$52.63	$142.25	$34.60–$177.81	—	63%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 ADM PNEUMONIA 2ND VACCINE	$52.63	$142.25	$34.60–$177.81	—	63%

Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More

Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More

List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More

Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More

Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.

Off list How much lower the cash price is than the list price.

No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More

At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More

Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.

Source file: https://healthcare.ascension.org/-/media/project/ascension/healthcare/price-transparency-files/fl-csv/461523194_united-states-catholic-conference-st-vincents-medical-center-clay-county-inc_standardcharges.csv