Hospital Myrtle Beach-Conway-North Myrtle Beach, SC

Conway Medical Center

Conway Medical Center in Conway, SC publishes cash prices for 317 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are below the South Carolina median for 235 of 292 procedures and above it for 55. By typical cash price it ranks #1 of 35 South Carolina hospitals and #1 of 5 hospitals in the Myrtle Beach, SC area, cheapest first. Click a procedure to compare it with other hospitals nearby.

300 Singleton Ridge RD Conway, SC 29526-9142 Collected Sep 27, 2026 Source price file (843) 347-8037

Acute care hospital Emergency department CMS star rating 2 of 5 CCN 420049 · CMS hospital register

The price file shows no self-pay discount

For 1386 of the 1386 prices listed here, the cash price in Conway Medical Center's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing.

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs South Carolina	Off list
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Limited Study Arteries <3	$855.00	$855.00	$153.90–$621.58	62% above	—
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 Limited Study Arteries <3	$855.00	$855.00	$171.00–$615.60	—	—
Barium swallow (esophagus X-ray with contrast) CPT 74220 Report	$170.65	$170.65	$30.72–$124.06	72% below	—
Barium swallow (esophagus X-ray with contrast) CPT 74220 XR Esophagus	$187.00	$187.00	$33.66–$135.95	69% below	—
Barium swallow (esophagus X-ray with contrast) CPT 74220 XR Gastrografin Swallow	$187.00	$187.00	$33.66–$135.95	69% below	—
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 Report	$170.65	$170.65	$34.13–$122.87	—	—
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 XR Esophagus	$187.00	$187.00	$37.40–$134.64	—	—
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 XR Gastrografin Swallow	$187.00	$187.00	$37.40–$134.64	—	—
Bone scan, whole body (nuclear medicine) CPT 78306 Report	$500.48	$500.48	$90.09–$363.85	65% below	—
Bone scan, whole body (nuclear medicine) CPT 78306 NM Bone Scan Whole Body	$1,397.00	$1,397.00	$251.46–$1,015.62	4% below	—
Bone scan, whole body (nuclear medicine) CPT 78306 NM Inflammation Loc Whole Body	$3,206.00	$3,206.00	$577.08–$2,330.76	121% above	—
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 Report	$500.48	$500.48	$100.10–$360.35	—	—
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM Bone Scan Whole Body	$1,397.00	$1,397.00	$279.40–$1,005.84	—	—
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM Inflammation Loc Whole Body	$3,206.00	$3,206.00	$641.20–$2,308.32	—	—
Breast ultrasound, complete, one breast CPT 76641 Report	$211.47	$211.47	$38.06–$153.74	58% below	—
Breast ultrasound, complete, one breast inpatient CPT 76641 Report	$211.47	$211.47	$42.29–$152.26	—	—
Breast ultrasound, limited (one breast or one area) one side CPT 76642 AMB Ultrasound, breast, unilateral, real time w image doc BCE	$175.80	$175.80	$31.64–$127.81	65% below	—
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 AMB Ultrasound, breast, unilateral, real time w image doc BCE	$175.80	$175.80	$35.16–$126.58	—	—
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT HRT wo dye w quantitative eval of coronary BCE	$145.78	$145.78	$26.24–$105.98	34% above	—
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT HRT wo dye w quantitative eval of coronary BCE	$145.78	$145.78	$29.16–$104.96	—	—
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 Report	$391.56	$391.56	$70.48–$284.66	89% below	—
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 Report	$391.56	$391.56	$78.31–$281.92	—	—
Chest X-ray, single view CPT 71045 Report	$43.61	$43.61	$7.85–$31.70	79% below	—
Chest X-ray, single view inpatient CPT 71045 Report	$43.61	$43.61	$8.72–$31.40	—	—
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US Fetal Survey	$413.00	$413.00	$74.34–$300.25	53% below	—
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 US Fetal Survey	$413.00	$413.00	$82.60–$297.36	—	—
Diagnostic mammogram, both breasts both sides CPT 77066 Digital Bilateral Diagnostic	$160.00	$160.00	$28.80–$116.32	—	—
Diagnostic mammogram, both breasts both sides CPT 77066 MG Post Procedure Placement Bilateral	$770.00	$770.00	$138.60–$559.79	—	—
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 Digital Bilateral Diagnostic	$160.00	$160.00	$32.00–$115.20	—	—
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MG Post Procedure Placement Bilateral	$770.00	$770.00	$154.00–$554.40	—	—
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US Lower Ext Arterial Duplex Bilateral	$2,106.00	$2,106.00	$379.08–$1,531.06	—	—
Duplex ultrasound of the leg arteries, both legs CPT 93925 Report	$504.02	$504.02	$90.72–$366.42	51% below	—
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 US Lower Ext Arterial Duplex Bilateral	$2,106.00	$2,106.00	$421.20–$1,516.32	—	—
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 Report	$504.02	$504.02	$100.80–$362.89	—	—
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US Upper Ext Venous Duplex Bilateral	$609.00	$609.00	$109.62–$442.74	—	—
Duplex ultrasound of the leg veins, both legs CPT 93970 Report	$381.94	$381.94	$68.75–$277.67	84% below	—
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US Upper Ext Venous Duplex Bilateral	$609.00	$609.00	$121.80–$438.48	—	—
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 Report	$381.94	$381.94	$76.39–$275.00	—	—
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Cardiac Echocardiogram	$1,998.00	$1,998.00	$359.64–$1,452.55	19% above	—
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO THORACIC W/COLOR DOPPLER	$2,479.00	$2,479.00	$446.22–$1,802.23	47% above	—
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Cardiac Echo	$2,544.00	$2,544.00	$457.92–$1,849.49	51% above	—
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Echocardiogram Transthoracic with Bubble Study	$2,544.00	$2,544.00	$457.92–$1,849.49	51% above	—
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Cardiac Echocardiogram	$1,998.00	$1,998.00	$399.60–$1,438.56	—	—
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 ECHO THORACIC W/COLOR DOPPLER	$2,479.00	$2,479.00	$495.80–$1,784.88	—	—
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Cardiac Echo	$2,544.00	$2,544.00	$508.80–$1,831.68	—	—
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Echocardiogram Transthoracic with Bubble Study	$2,544.00	$2,544.00	$508.80–$1,831.68	—	—
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM Hepatobiliary Imaging	$506.00	$506.00	$91.08–$367.86	75% below	—
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Report	$656.40	$656.40	$118.15–$477.20	68% below	—
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NM Hepatobiliary Imaging	$506.00	$506.00	$101.20–$364.32	—	—
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 Report	$656.40	$656.40	$131.28–$472.61	—	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Ultrasound limited follow up	$134.00	$134.00	$24.12–$97.42	85% below	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Report	$178.97	$178.97	$32.21–$130.11	79% below	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 76705 US ABD limited	$1,306.00	$1,306.00	$235.08–$949.46	50% above	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ABDOMINAL FAST EXAM - BS U/S	$1,306.00	$1,306.00	$235.08–$949.46	50% above	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Ultrasound limited follow up	$134.00	$134.00	$26.80–$96.48	—	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Report	$178.97	$178.97	$35.79–$128.86	—	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 ABDOMINAL FAST EXAM - BS U/S	$1,306.00	$1,306.00	$261.20–$940.32	—	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 76705 US ABD limited	$1,306.00	$1,306.00	$261.20–$940.32	—	—
MRI of the abdomen without contrast CPT 74181 Report	$640.62	$640.62	$115.31–$465.73	74% below	—
MRI of the abdomen without contrast CPT 74181 MRI Abdomen w/o Contrast	$1,562.00	$1,562.00	$281.16–$1,135.57	36% below	—
MRI of the abdomen without contrast inpatient CPT 74181 Report	$640.62	$640.62	$128.12–$461.25	—	—
MRI of the abdomen without contrast inpatient CPT 74181 MRI Abdomen w/o Contrast	$1,562.00	$1,562.00	$312.40–$1,124.64	—	—
MRI of the abdomen, without and then with contrast dye CPT 74183 Report	$977.08	$977.08	$175.87–$710.34	69% below	—
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI Abdomen w/ + w/o Contrast	$5,174.00	$5,174.00	$931.32–$3,761.50	67% above	—
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 Report	$977.08	$977.08	$195.42–$703.50	—	—
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI Abdomen w/ + w/o Contrast	$5,174.00	$5,174.00	$1,034.80–$3,725.28	—	—
MRI of the brain, no contrast dye CPT 70551 Report	$445.38	$445.38	$80.17–$323.79	86% below	—
MRI of the brain, no contrast dye CPT 70551 MRI Brain w/o Contrast	$1,131.00	$1,131.00	$203.58–$822.24	64% below	—
MRI of the brain, no contrast dye inpatient CPT 70551 Report	$445.38	$445.38	$89.08–$320.67	—	—
MRI of the brain, no contrast dye inpatient CPT 70551 MRI Brain w/o Contrast	$1,131.00	$1,131.00	$226.20–$814.32	—	—
MRI of the brain, with and without contrast dye CPT 70553 Report	$730.65	$730.65	$131.52–$531.18	76% below	—
MRI of the brain, with and without contrast dye CPT 70553 MRI Brain w/ + w/o Contrast	$1,936.00	$1,936.00	$348.48–$1,407.47	38% below	—
MRI of the brain, with and without contrast dye inpatient CPT 70553 Report	$730.65	$730.65	$146.13–$526.07	—	—
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI Brain w/ + w/o Contrast	$1,936.00	$1,936.00	$387.20–$1,393.92	—	—
MRI of the lower back, no contrast dye CPT 72148 Report	$430.46	$430.46	$77.48–$312.94	87% below	—
MRI of the lower back, no contrast dye CPT 72148 MRI Spine Lumbar w/o Contrast	$1,562.00	$1,562.00	$281.16–$1,135.57	52% below	—
MRI of the lower back, no contrast dye inpatient CPT 72148 Report	$430.46	$430.46	$86.09–$309.93	—	—
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI Spine Lumbar w/o Contrast	$1,562.00	$1,562.00	$312.40–$1,124.64	—	—
MRI of the lower back, without and then with contrast dye CPT 72158 Report	$732.39	$732.39	$131.83–$532.45	77% below	—
MRI of the lower back, without and then with contrast dye CPT 72158 MRI Spine Lumbar w/ + w/o Contrast	$1,936.00	$1,936.00	$348.48–$1,407.47	40% below	—
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 Report	$732.39	$732.39	$146.48–$527.32	—	—
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI Spine Lumbar w/ + w/o Contrast	$1,936.00	$1,936.00	$387.20–$1,393.92	—	—
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 Report	$432.49	$432.49	$77.85–$314.42	80% below	—
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI Spine Thoracic w/o Contrast	$1,562.00	$1,562.00	$281.16–$1,135.57	28% below	—
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI Spine Complete w/o Contrast	$1,562.00	$1,562.00	$281.16–$1,135.57	28% below	—
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 Report	$432.49	$432.49	$86.50–$311.39	—	—
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI Spine Complete w/o Contrast	$1,562.00	$1,562.00	$312.40–$1,124.64	—	—
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI Spine Thoracic w/o Contrast	$1,562.00	$1,562.00	$312.40–$1,124.64	—	—
MRI of the neck (cervical spine) without and with contrast CPT 72156 Report	$734.73	$734.73	$132.25–$534.15	77% below	—
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI Spine Cervical w/ + w/o Contrast	$1,402.00	$1,402.00	$252.36–$1,019.25	56% below	—
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI Spine Complete w/ + w/o Contrast	$3,406.00	$3,406.00	$613.08–$2,476.16	6% above	—
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 Report	$734.73	$734.73	$146.95–$529.01	—	—
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI Spine Cervical w/ + w/o Contrast	$1,402.00	$1,402.00	$280.40–$1,009.44	—	—
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI Spine Complete w/ + w/o Contrast	$3,406.00	$3,406.00	$681.20–$2,452.32	—	—
MRI of the neck (cervical spine), no contrast dye CPT 72141 Report	$432.49	$432.49	$77.85–$314.42	81% below	—
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI Spine Cervical w/o Contrast	$1,562.00	$1,562.00	$281.16–$1,135.57	32% below	—
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 Report	$432.49	$432.49	$86.50–$311.39	—	—
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI Spine Cervical w/o Contrast	$1,562.00	$1,562.00	$312.40–$1,124.64	—	—
MRI of the pelvis without and with contrast CPT 72197 Report	$975.05	$975.05	$175.51–$708.86	71% below	—
MRI of the pelvis without and with contrast CPT 72197 MRI Pelvis w/ + w/o Contrast	$1,743.00	$1,743.00	$313.74–$1,267.16	48% below	—
MRI of the pelvis without and with contrast CPT 72197 MRI Prostate w/ + w/o Contrast	$1,804.00	$1,804.00	$324.72–$1,311.51	46% below	—
MRI of the pelvis without and with contrast CPT 72197 MRI Piriformis w/ + w/o Contrast	$4,658.00	$4,658.00	$838.44–$3,386.37	38% above	—
MRI of the pelvis without and with contrast inpatient CPT 72197 Report	$975.05	$975.05	$195.01–$702.04	—	—
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI Pelvis w/ + w/o Contrast	$1,743.00	$1,743.00	$348.60–$1,254.96	—	—
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI Prostate w/ + w/o Contrast	$1,804.00	$1,804.00	$360.80–$1,298.88	—	—
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI Piriformis w/ + w/o Contrast	$4,658.00	$4,658.00	$931.60–$3,353.76	—	—
MRI of the pelvis, no contrast dye CPT 72195 Report	$722.55	$722.55	$130.06–$525.29	76% below	—
MRI of the pelvis, no contrast dye CPT 72195 MRI Pelvis w/o Contrast	$1,276.00	$1,276.00	$229.68–$927.65	58% below	—
MRI of the pelvis, no contrast dye CPT 72195 MRI Piriformis w/o Contrast	$3,409.00	$3,409.00	$613.62–$2,478.34	13% above	—
MRI of the pelvis, no contrast dye inpatient CPT 72195 Report	$722.55	$722.55	$144.51–$520.24	—	—
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI Pelvis w/o Contrast	$1,276.00	$1,276.00	$255.20–$918.72	—	—
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI Piriformis w/o Contrast	$3,409.00	$3,409.00	$681.80–$2,454.48	—	—
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM Myocardial SPECT Rest and Stress	$1,611.00	$1,611.00	$289.98–$1,171.20	58% below	—
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM Myocardial SPECT Rest and Stress	$1,611.00	$1,611.00	$322.20–$1,159.92	—	—
OCT scan of the retina (optical coherence tomography) CPT 92134 Dx Imaging Posterior Segment; Retina 92134	$112.82	$112.82	$20.31–$82.02	95% above	—
OCT scan of the retina (optical coherence tomography) inpatient CPT 92134 Dx Imaging Posterior Segment; Retina 92134	$112.82	$112.82	$22.56–$81.23	—	—
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET CT Skull Base to Midthigh	$2,974.00	$2,974.00	$535.32–$2,162.10	4% below	—
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET CT Skull Base to Midthigh	$2,974.00	$2,974.00	$594.80–$2,141.28	—	—
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US Pelvis Limited Non OB	$270.00	$270.00	$48.60–$196.29	59% below	—
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US Pelvis Limited Non OB	$270.00	$270.00	$54.00–$194.40	—	—
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US Pelvis Comp w/Transvag if indicated	$753.00	$753.00	$135.54–$547.43	6% below	—
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US Pelvis Comp w/Transvag if indicated	$753.00	$753.00	$150.60–$542.16	—	—
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB Greater Than 14 Weeks	$340.00	$340.00	$61.20–$247.18	60% below	—
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB Greater Than 14 Weeks	$340.00	$340.00	$68.00–$244.80	—	—
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB Less Thn 14 wks w/TVS if indicated	$340.00	$340.00	$61.20–$247.18	56% below	—
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US OB Less Thn 14 wks w/TVS if indicated	$340.00	$340.00	$68.00–$244.80	—	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB Limited	$307.00	$307.00	$55.26–$223.19	37% below	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US OB Limited	$307.00	$307.00	$61.40–$221.04	—	—
Screening mammogram, both breasts both sides CPT 77067 Digital Bilateral Screening	$150.00	$150.00	$27.00–$109.05	—	—
Screening mammogram, both breasts CPT 77067 MG Breast Digital Mammogram w/ Implant	$183.00	$183.00	$32.94–$133.04	34% below	—
Screening mammogram, both breasts inpatient both sides CPT 77067 Digital Bilateral Screening	$150.00	$150.00	$30.00–$108.00	—	—
Screening mammogram, both breasts inpatient CPT 77067 MG Breast Digital Mammogram w/ Implant	$183.00	$183.00	$36.60–$131.76	—	—
Sleep study in a lab (polysomnography) CPT 95810 ZZZAdjacent tissue transfer or rearrangement, trunk; defect 10.1 sq cm to 30.0 sq cm	$1,523.19	$1,523.19	$274.17–$1,107.36	56% below	—
Sleep study in a lab (polysomnography) inpatient CPT 95810 ZZZAdjacent tissue transfer or rearrangement, trunk; defect 10.1 sq cm to 30.0 sq cm	$1,523.19	$1,523.19	$304.64–$1,096.70	—	—
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 STRESS ECHO	$2,544.00	$2,544.00	$457.92–$1,849.49	61% above	—
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 STRESS ECHO	$2,544.00	$2,544.00	$508.80–$1,831.68	—	—
Swallow study (modified barium swallow, video X-ray) CPT 74230 XR Swallowing Function w/ Speech	$238.00	$238.00	$42.84–$173.03	47% below	—
Swallow study (modified barium swallow, video X-ray) CPT 74230 Report	$247.10	$247.10	$44.48–$179.64	45% below	—
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 XR Swallowing Function w/ Speech	$238.00	$238.00	$47.60–$171.36	—	—
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 Report	$247.10	$247.10	$49.42–$177.91	—	—
Ultrasound of the abdomen, complete CPT 76700 Report	$239.95	$239.95	$43.19–$174.44	76% below	—
Ultrasound of the abdomen, complete inpatient CPT 76700 Report	$239.95	$239.95	$47.99–$172.76	—	—
Ultrasound of the scrotum and testicles CPT 76870 Report	$131.28	$131.28	$23.63–$95.44	80% below	—
Ultrasound of the scrotum and testicles CPT 76870 US Scrotum (Contents) w/ Doppler if ind	$378.00	$378.00	$68.04–$274.81	43% below	—
Ultrasound of the scrotum and testicles inpatient CPT 76870 Report	$131.28	$131.28	$26.26–$94.52	—	—
Ultrasound of the scrotum and testicles inpatient CPT 76870 US Scrotum (Contents) w/ Doppler if ind	$378.00	$378.00	$75.60–$272.16	—	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Report	$225.73	$225.73	$40.63–$164.11	72% below	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 Report	$225.73	$225.73	$45.15–$162.53	—	—
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR Upper GI	$217.00	$217.00	$39.06–$157.76	75% below	—
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Report	$220.04	$220.04	$39.61–$159.97	75% below	—
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR Upper GI w/ Small Bowel	$253.00	$253.00	$45.54–$183.93	71% below	—
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 XR Upper GI	$217.00	$217.00	$43.40–$156.24	—	—
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 Report	$220.04	$220.04	$44.01–$158.43	—	—
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 XR Upper GI w/ Small Bowel	$253.00	$253.00	$50.60–$182.16	—	—
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 Report	$234.88	$234.88	$42.28–$170.76	76% below	—
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Venous Reflux Unilateral	$117.99	$117.99	$21.24–$85.78	88% below	—
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 Report	$234.88	$234.88	$46.98–$169.11	—	—
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US Venous Reflux Unilateral	$117.99	$117.99	$23.60–$84.95	—	—
Wrist X-ray, complete, 3 or more views CPT 73110 Report	$67.83	$67.83	$12.21–$49.31	81% below	—
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 Report	$67.83	$67.83	$13.57–$48.84	—	—
X-ray of the abdomen, 1 view CPT 74018 XR Abd Colon Transit Study Initial KUB	$130.00	$130.00	$23.40–$94.51	65% below	—
X-ray of the abdomen, 1 view inpatient CPT 74018 XR Abd Colon Transit Study Initial KUB	$130.00	$130.00	$26.00–$93.60	—	—
X-ray of the ankle, 2 views CPT 73600 Report	$52.31	$52.31	$9.42–$38.03	82% below	—
X-ray of the ankle, 2 views inpatient CPT 73600 Report	$52.31	$52.31	$10.46–$37.66	—	—
X-ray of the finger(s), 2 or more views CPT 73140 Report	$59.57	$59.57	$10.72–$43.31	77% below	—
X-ray of the finger(s), 2 or more views inpatient CPT 73140 Report	$59.57	$59.57	$11.91–$42.89	—	—
X-ray of the foot, 2 views CPT 73620 Report	$49.60	$49.60	$8.93–$36.06	85% below	—
X-ray of the foot, 2 views inpatient CPT 73620 Report	$49.60	$49.60	$9.92–$35.71	—	—
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Report	$67.48	$67.48	$12.15–$49.06	84% below	—
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 Report	$67.48	$67.48	$13.50–$48.59	—	—
X-ray of the lower back, 4 or more views CPT 72110 Report	$94.37	$94.37	$16.99–$68.61	82% below	—
X-ray of the lower back, 4 or more views inpatient CPT 72110 Report	$94.37	$94.37	$18.87–$67.95	—	—
X-ray of the mid back (thoracic spine), 2 views CPT 72070 Report	$60.69	$60.69	$10.92–$44.12	81% below	—
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 Report	$60.69	$60.69	$12.14–$43.70	—	—
X-ray of the pelvis, 1 or 2 views CPT 72170 Report	$52.91	$52.91	$9.52–$38.47	79% below	—
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 Report	$52.91	$52.91	$10.58–$38.10	—	—
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Report	$53.74	$53.74	$9.67–$39.07	81% below	—
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 Report	$53.74	$53.74	$10.75–$38.69	—	—

Lab tests

Procedure	Cash price	List price	Insurers pay	vs South Carolina	Off list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT	$13.00	$13.00	$2.34–$9.45	72% below	—
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT	$13.00	$13.00	$2.60–$9.36	—	—
AST (aspartate aminotransferase) enzyme test CPT 84450 AST	$13.00	$13.00	$2.34–$9.45	70% below	—
AST (aspartate aminotransferase) enzyme test CPT 84450 Aspartate Aminotransferase	$49.00	$49.00	$8.82–$35.62	12% above	—
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST	$13.00	$13.00	$2.60–$9.36	—	—
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Aspartate Aminotransferase	$49.00	$49.00	$9.80–$35.28	—	—
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Hepatitis Panel, Acute w/Rfx to Confirm-(10306)	$141.00	$141.00	$25.38–$102.51	59% below	—
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Hepatitis Panel, Acute w/Rfx to Confirm-(10306)	$141.00	$141.00	$28.20–$101.52	—	—
Allergy blood test, specific IgE, per allergen CPT 86003 Aspergillus Fumigatus (M3) IgE	$8.00	$8.00	$1.44–$5.82	79% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Alternaria Alternata M6 IgE	$8.00	$8.00	$1.44–$5.82	79% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Bermuda Grass (G2) IgE	$11.00	$11.00	$1.98–$8.00	72% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Cat Dander (E1) IgE	$11.00	$11.00	$1.98–$8.00	72% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Cockroach (16) IgE	$11.00	$11.00	$1.98–$8.00	72% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Cladosporium Hernarums (M2) IGE	$11.00	$11.00	$1.98–$8.00	72% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Birch (T3) IgE	$11.00	$11.00	$1.98–$8.00	72% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Common Ragweed(Short) (W1) IgE	$11.00	$11.00	$1.98–$8.00	72% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Bahia Grass (G17) IgE	$11.00	$11.00	$1.98–$8.00	72% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Sycamore T11 IgE	$13.00	$13.00	$2.34–$9.45	66% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 White Mulberry T70 IgE	$13.00	$13.00	$2.34–$9.45	66% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Mugwart W6 IgG	$13.00	$13.00	$2.34–$9.45	66% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 White Ash T15 IgG	$13.00	$13.00	$2.34–$9.45	66% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Cottonwood T14 IgG	$13.00	$13.00	$2.34–$9.45	66% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Walnut Tree T10 IgE	$13.00	$13.00	$2.34–$9.45	66% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Shrimp F24 IgE	$16.00	$16.00	$2.88–$11.63	59% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Macadamia nut (RF345) IgE	$16.00	$16.00	$2.88–$11.63	59% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Cashew Nut F202 IgE	$16.00	$16.00	$2.88–$11.63	59% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Hazelnut F17	$16.00	$16.00	$2.88–$11.63	59% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Walnut F256 IgE	$16.00	$16.00	$2.88–$11.63	59% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Codfish F3 IgE	$16.00	$16.00	$2.88–$11.63	59% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Egg White (F1) IgE	$16.00	$16.00	$2.88–$11.63	59% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Urine Mouse Proteins (E72) IgE	$16.00	$16.00	$2.88–$11.63	59% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Salmon F41 IgE	$16.00	$16.00	$2.88–$11.63	59% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Tuna F40 IgE	$16.00	$16.00	$2.88–$11.63	59% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Scallop F338	$16.00	$16.00	$2.88–$11.63	59% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Sesame Seed F10 IgE	$16.00	$16.00	$2.88–$11.63	59% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Wheat F4 IgE	$16.00	$16.00	$2.88–$11.63	59% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Soybean F14 IgE	$16.00	$16.00	$2.88–$11.63	59% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Cow's Milk F2 IgE	$16.00	$16.00	$2.88–$11.63	59% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Peanut F13 IgE	$16.00	$16.00	$2.88–$11.63	59% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Brazil nut (F18) IgE	$16.00	$16.00	$2.88–$11.63	59% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Almond F20 IgE	$16.00	$16.00	$2.88–$11.63	59% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Milk F2 IgE	$22.00	$22.00	$3.96–$15.99	43% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Almond IgE-(2820)	$22.00	$22.00	$3.96–$15.99	43% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Derma fariae	$22.00	$22.00	$3.96–$15.99	43% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Dog Dander/E5 IgE-(2605)	$22.00	$22.00	$3.96–$15.99	43% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Egg White F1 IgE-(2801)	$22.00	$22.00	$3.96–$15.99	43% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Egg Yolk F-75 IgE-(2856)	$22.00	$22.00	$3.96–$15.99	43% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Shrimp F24 IgE-(2824)	$22.00	$22.00	$3.96–$15.99	43% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Soy Bean f(14) IgE-(2814)	$22.00	$22.00	$3.96–$15.99	43% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Wheat F4 IgE	$22.00	$22.00	$3.96–$15.99	43% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Oak T7 IgE	$22.00	$22.00	$3.96–$15.99	43% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Aspergillus fumigatus (m3) IgE-(2703)	$22.00	$22.00	$3.96–$15.99	43% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Peanut F13 IgE	$26.00	$26.00	$4.68–$18.90	33% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Rough Pigweed (W14) IgE	$33.00	$33.00	$5.94–$23.99	15% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Dermatophagoides Farinaes (D2) IgE	$33.00	$33.00	$5.94–$23.99	15% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Dermatophagpoides (D1) IgE	$33.00	$33.00	$5.94–$23.99	15% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Maple (T1) IgE	$33.00	$33.00	$5.94–$23.99	15% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Nettle (W20) IgE	$33.00	$33.00	$5.94–$23.99	15% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Mountain Cedar (T6) IgE	$33.00	$33.00	$5.94–$23.99	15% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Penicillum Notatum (M1) IgE	$33.00	$33.00	$5.94–$23.99	15% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Elm (T8) IgE	$33.00	$33.00	$5.94–$23.99	15% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Sheep Sorrel (W18) IgE	$33.00	$33.00	$5.94–$23.99	15% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Dog Dander (E5) IgE	$33.00	$33.00	$5.94–$23.99	15% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Hickory/Pecan Tree (T22) IgE	$33.00	$33.00	$5.94–$23.99	15% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Timothy Grass G6 IgE	$33.00	$33.00	$5.94–$23.99	15% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Ascaris (p1) IgE - (2741)	$44.00	$44.00	$7.92–$31.99	14% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Cat Dander E1 IgE-(2601)	$63.00	$63.00	$11.34–$45.80	63% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 Class D2	$63.00	$63.00	$11.34–$45.80	63% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 SE Region Rast	$245.00	$245.00	$44.10–$178.12	535% above	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aspergillus Fumigatus (M3) IgE	$8.00	$8.00	$1.60–$5.76	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Alternaria Alternata M6 IgE	$8.00	$8.00	$1.60–$5.76	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cladosporium Hernarums (M2) IGE	$11.00	$11.00	$2.20–$7.92	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Birch (T3) IgE	$11.00	$11.00	$2.20–$7.92	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Bermuda Grass (G2) IgE	$11.00	$11.00	$2.20–$7.92	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Bahia Grass (G17) IgE	$11.00	$11.00	$2.20–$7.92	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Common Ragweed(Short) (W1) IgE	$11.00	$11.00	$2.20–$7.92	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cockroach (16) IgE	$11.00	$11.00	$2.20–$7.92	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cat Dander (E1) IgE	$11.00	$11.00	$2.20–$7.92	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cottonwood T14 IgG	$13.00	$13.00	$2.60–$9.36	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Mugwart W6 IgG	$13.00	$13.00	$2.60–$9.36	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 White Mulberry T70 IgE	$13.00	$13.00	$2.60–$9.36	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Sycamore T11 IgE	$13.00	$13.00	$2.60–$9.36	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Walnut Tree T10 IgE	$13.00	$13.00	$2.60–$9.36	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 White Ash T15 IgG	$13.00	$13.00	$2.60–$9.36	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Cow's Milk F2 IgE	$16.00	$16.00	$3.20–$11.52	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Peanut F13 IgE	$16.00	$16.00	$3.20–$11.52	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Macadamia nut (RF345) IgE	$16.00	$16.00	$3.20–$11.52	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Brazil nut (F18) IgE	$16.00	$16.00	$3.20–$11.52	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Hazelnut F17	$16.00	$16.00	$3.20–$11.52	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Scallop F338	$16.00	$16.00	$3.20–$11.52	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Cashew Nut F202 IgE	$16.00	$16.00	$3.20–$11.52	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Urine Mouse Proteins (E72) IgE	$16.00	$16.00	$3.20–$11.52	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Tuna F40 IgE	$16.00	$16.00	$3.20–$11.52	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Salmon F41 IgE	$16.00	$16.00	$3.20–$11.52	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Shrimp F24 IgE	$16.00	$16.00	$3.20–$11.52	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Walnut F256 IgE	$16.00	$16.00	$3.20–$11.52	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Almond F20 IgE	$16.00	$16.00	$3.20–$11.52	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Sesame Seed F10 IgE	$16.00	$16.00	$3.20–$11.52	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Wheat F4 IgE	$16.00	$16.00	$3.20–$11.52	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Egg White (F1) IgE	$16.00	$16.00	$3.20–$11.52	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Codfish F3 IgE	$16.00	$16.00	$3.20–$11.52	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Soybean F14 IgE	$16.00	$16.00	$3.20–$11.52	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Soy Bean f(14) IgE-(2814)	$22.00	$22.00	$4.40–$15.84	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aspergillus fumigatus (m3) IgE-(2703)	$22.00	$22.00	$4.40–$15.84	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Milk F2 IgE	$22.00	$22.00	$4.40–$15.84	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Oak T7 IgE	$22.00	$22.00	$4.40–$15.84	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Wheat F4 IgE	$22.00	$22.00	$4.40–$15.84	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Shrimp F24 IgE-(2824)	$22.00	$22.00	$4.40–$15.84	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Egg Yolk F-75 IgE-(2856)	$22.00	$22.00	$4.40–$15.84	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Egg White F1 IgE-(2801)	$22.00	$22.00	$4.40–$15.84	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Dog Dander/E5 IgE-(2605)	$22.00	$22.00	$4.40–$15.84	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Derma fariae	$22.00	$22.00	$4.40–$15.84	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Almond IgE-(2820)	$22.00	$22.00	$4.40–$15.84	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Peanut F13 IgE	$26.00	$26.00	$5.20–$18.72	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Nettle (W20) IgE	$33.00	$33.00	$6.60–$23.76	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Sheep Sorrel (W18) IgE	$33.00	$33.00	$6.60–$23.76	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Rough Pigweed (W14) IgE	$33.00	$33.00	$6.60–$23.76	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Timothy Grass G6 IgE	$33.00	$33.00	$6.60–$23.76	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hickory/Pecan Tree (T22) IgE	$33.00	$33.00	$6.60–$23.76	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Elm (T8) IgE	$33.00	$33.00	$6.60–$23.76	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Dermatophagoides Farinaes (D2) IgE	$33.00	$33.00	$6.60–$23.76	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Dermatophagpoides (D1) IgE	$33.00	$33.00	$6.60–$23.76	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Mountain Cedar (T6) IgE	$33.00	$33.00	$6.60–$23.76	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Maple (T1) IgE	$33.00	$33.00	$6.60–$23.76	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Dog Dander (E5) IgE	$33.00	$33.00	$6.60–$23.76	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Penicillum Notatum (M1) IgE	$33.00	$33.00	$6.60–$23.76	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ascaris (p1) IgE - (2741)	$44.00	$44.00	$8.80–$31.68	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Class D2	$63.00	$63.00	$12.60–$45.36	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Cat Dander E1 IgE-(2601)	$63.00	$63.00	$12.60–$45.36	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SE Region Rast	$245.00	$245.00	$49.00–$176.40	—	—
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Cyclic Citrullinated Peptide Antibody IgG-(11173)	$82.00	$82.00	$14.76–$59.61	31% below	—
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Cyclic Citrullinated Peptide Antibody IgG-(11173)	$82.00	$82.00	$16.40–$59.04	—	—
Antinuclear antibody (ANA) blood test, screen CPT 86038 Centromere B Antibody-(16088)	$29.00	$29.00	$5.22–$21.08	45% below	—
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA IFA Screen with Reflex Titer & Pattern-(249)	$29.00	$29.00	$5.22–$21.08	45% below	—
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA Cascade (ANA, IFA w/Reflex Titer/Pattern and Reflex to 11 Ab Cascade - (16814)	$51.00	$51.00	$9.18–$37.08	3% below	—
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA Screen, IFA	$85.00	$85.00	$15.30–$61.80	62% above	—
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Centromere B Antibody-(16088)	$29.00	$29.00	$5.80–$20.88	—	—
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA IFA Screen with Reflex Titer & Pattern-(249)	$29.00	$29.00	$5.80–$20.88	—	—
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA Cascade (ANA, IFA w/Reflex Titer/Pattern and Reflex to 11 Ab Cascade - (16814)	$51.00	$51.00	$10.20–$36.72	—	—
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA Screen, IFA	$85.00	$85.00	$17.00–$61.20	—	—
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B-Type Natriuretic Peptide(BNP)	$193.00	$193.00	$34.74–$140.31	53% above	—
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 B-Type Natriuretic Peptide(BNP)	$193.00	$193.00	$38.60–$138.96	—	—
Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Panel	$120.00	$120.00	$21.60–$87.24	44% below	—
Basic metabolic panel (blood test) inpatient CPT 80048 Basic Metabolic Panel	$120.00	$120.00	$24.00–$86.40	—	—
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Renal Biopsy Sent to Nephropathology	$97.00	$97.00	$17.46–$70.52	15% below	—
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Renal Biopsy Referred-(Sent to Arkana)	$171.00	$171.00	$30.78–$124.32	50% above	—
Biopsy tissue exam by a pathologist (level IV) CPT 88305 88305 AP Bill Bone Marrow Biopsy	$258.00	$258.00	$46.44–$187.57	126% above	—
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Renal Biopsy Sent to Nephropathology	$97.00	$97.00	$19.40–$69.84	—	—
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Renal Biopsy Referred-(Sent to Arkana)	$171.00	$171.00	$34.20–$123.12	—	—
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 88305 AP Bill Bone Marrow Biopsy	$258.00	$258.00	$51.60–$185.76	—	—
Blood culture for bacteria CPT 87040 Blood Culture	$224.00	$224.00	$40.32–$162.85	22% above	—
Blood culture for bacteria inpatient CPT 87040 Blood Culture	$224.00	$224.00	$44.80–$161.28	—	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 MA/Nurse Collect 36415	$18.63	$18.63	$3.35–$13.54	31% below	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Venous Puncture	$28.00	$28.00	$5.04–$20.36	4% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLLECTION: Venous Draw	$30.00	$30.00	$5.40–$21.81	11% above	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 MA/Nurse Collect 36415	$18.63	$18.63	$3.73–$13.41	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Venous Puncture	$28.00	$28.00	$5.60–$20.16	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 COLLECTION: Venous Draw	$30.00	$30.00	$6.00–$21.60	—	—
Blood glucose (sugar) test CPT 82947 .Fasting Plasma Glucose	$18.00	$18.00	$3.24–$13.09	44% below	—
Blood glucose (sugar) test CPT 82947 Glucose Level	$18.00	$18.00	$3.24–$13.09	44% below	—
Blood glucose (sugar) test CPT 82947 iStat Glucose POC Arterial	$45.00	$45.00	$8.10–$32.71	39% above	—
Blood glucose (sugar) test CPT 82947 82947 Glucose; quantitative, blood except reagent strip	$45.00	$45.00	$8.10–$32.71	39% above	—
Blood glucose (sugar) test CPT 82947 iStat Glucose POC Venous	$45.00	$45.00	$8.10–$32.71	39% above	—
Blood glucose (sugar) test inpatient CPT 82947 .Fasting Plasma Glucose	$18.00	$18.00	$3.60–$12.96	—	—
Blood glucose (sugar) test inpatient CPT 82947 Glucose Level	$18.00	$18.00	$3.60–$12.96	—	—
Blood glucose (sugar) test inpatient CPT 82947 82947 Glucose; quantitative, blood except reagent strip	$45.00	$45.00	$9.00–$32.40	—	—
Blood glucose (sugar) test inpatient CPT 82947 iStat Glucose POC Arterial	$45.00	$45.00	$9.00–$32.40	—	—
Blood glucose (sugar) test inpatient CPT 82947 iStat Glucose POC Venous	$45.00	$45.00	$9.00–$32.40	—	—
Blood lead test CPT 83655 Lead, Random Urine Level-(601)	$38.00	$38.00	$6.84–$27.63	48% below	—
Blood lead test CPT 83655 Lead, Blood Level-(599)	$38.00	$38.00	$6.84–$27.63	48% below	—
Blood lead test CPT 83655 Urine 24 Lead Lvl	$66.00	$66.00	$11.88–$47.98	9% below	—
Blood lead test CPT 83655 U Lead-Heavy Metals	$109.00	$109.00	$19.62–$79.24	50% above	—
Blood lead test CPT 83655 Lead, Blood	$109.00	$109.00	$19.62–$79.24	50% above	—
Blood lead test inpatient CPT 83655 Lead, Random Urine Level-(601)	$38.00	$38.00	$7.60–$27.36	—	—
Blood lead test inpatient CPT 83655 Lead, Blood Level-(599)	$38.00	$38.00	$7.60–$27.36	—	—
Blood lead test inpatient CPT 83655 Urine 24 Lead Lvl	$66.00	$66.00	$13.20–$47.52	—	—
Blood lead test inpatient CPT 83655 Lead, Blood	$109.00	$109.00	$21.80–$78.48	—	—
Blood lead test inpatient CPT 83655 U Lead-Heavy Metals	$109.00	$109.00	$21.80–$78.48	—	—
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG Qualitative Serum	$15.00	$15.00	$2.70–$10.90	90% below	—
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG Qualitative Serum	$15.00	$15.00	$3.00–$10.80	—	—
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO/Rh Retype	$35.00	$35.00	$6.30–$25.44	43% below	—
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Bill TBC ABO & Rh	$64.00	$64.00	$11.52–$46.53	5% above	—
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO/Rh	$65.00	$65.00	$11.70–$47.26	6% above	—
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Cord ABO/Rh	$65.00	$65.00	$11.70–$47.26	6% above	—
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Bill ARC ABO Type	$105.00	$105.00	$18.90–$76.33	72% above	—
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Bill TBC Type & Screen	$180.00	$180.00	$32.40–$130.86	195% above	—
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO/Rh Retype	$35.00	$35.00	$7.00–$25.20	—	—
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Bill TBC ABO & Rh	$64.00	$64.00	$12.80–$46.08	—	—
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Cord ABO/Rh	$65.00	$65.00	$13.00–$46.80	—	—
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO/Rh	$65.00	$65.00	$13.00–$46.80	—	—
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Bill ARC ABO Type	$105.00	$105.00	$21.00–$75.60	—	—
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Bill TBC Type & Screen	$180.00	$180.00	$36.00–$129.60	—	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-Reactive Protein	$45.00	$45.00	$8.10–$32.71	at median	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-Reactive Protein	$45.00	$45.00	$9.00–$32.40	—	—
C. difficile toxin gene test (stool PCR) CPT 87493 Xpert C.diff-Epi	$110.00	$110.00	$19.80–$79.97	39% below	—
C. difficile toxin gene test (stool PCR) CPT 87493 C.Diff Toxin B, Ql Real Time PCR-(16377)	$272.00	$272.00	$48.96–$197.74	51% above	—
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 Xpert C.diff-Epi	$110.00	$110.00	$22.00–$79.20	—	—
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C.Diff Toxin B, Ql Real Time PCR-(16377)	$272.00	$272.00	$54.40–$195.84	—	—
CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9	$42.00	$42.00	$7.56–$30.53	71% below	—
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9	$42.00	$42.00	$8.40–$30.24	—	—
CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125-(29256)	$197.00	$197.00	$35.46–$143.22	18% above	—
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125-(29256)	$197.00	$197.00	$39.40–$141.84	—	—
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-CoV-2 (COVID-19) PCR	$212.00	$212.00	$38.16–$154.12	159% above	—
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-CoV-2 RNA (COVID-19), QUALITATIVE NAAT (39448)	$212.00	$212.00	$38.16–$154.12	159% above	—
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-CoV-2 RNA (COVID-19) and Respiratory Viral Panel, Qualitative NAAT - (31686)	$1,160.00	$1,160.00	$208.80–$843.32	1315% above	—
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-CoV-2 RNA (COVID-19), QUALITATIVE NAAT (39448)	$212.00	$212.00	$42.40–$152.64	—	—
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-CoV-2 (COVID-19) PCR	$212.00	$212.00	$42.40–$152.64	—	—
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-CoV-2 RNA (COVID-19) and Respiratory Viral Panel, Qualitative NAAT - (31686)	$1,160.00	$1,160.00	$232.00–$835.20	—	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia trachomatis DNA, Ql	$64.00	$64.00	$11.52–$46.53	68% below	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Panther Chlamydia Trachomatis	$85.00	$85.00	$15.30–$61.80	58% below	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Xpert Chlamydia trichomatis	$110.00	$110.00	$19.80–$79.97	46% below	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 C. trachomatis rRNA, Ql	$145.00	$145.00	$26.10–$105.42	29% below	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia trachomatis DNA, Ql	$64.00	$64.00	$12.80–$46.08	—	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Panther Chlamydia Trachomatis	$85.00	$85.00	$17.00–$61.20	—	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Xpert Chlamydia trichomatis	$110.00	$110.00	$22.00–$79.20	—	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 C. trachomatis rRNA, Ql	$145.00	$145.00	$29.00–$104.40	—	—
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel	$49.00	$49.00	$8.82–$35.62	56% below	—
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel	$49.00	$49.00	$9.80–$35.28	—	—
Complete blood count (CBC) with differential CPT 85025 CBC w/ Diff	$15.00	$15.00	$2.70–$10.90	87% below	—
Complete blood count (CBC) with differential CPT 85025 MCH	$33.00	$33.00	$5.94–$23.99	72% below	—
Complete blood count (CBC) with differential inpatient CPT 85025 CBC w/ Diff	$15.00	$15.00	$3.00–$10.80	—	—
Complete blood count (CBC) with differential inpatient CPT 85025 MCH	$33.00	$33.00	$6.60–$23.76	—	—
Complete blood count (CBC), no differential CPT 85027 CBC without Diff	$31.00	$31.00	$5.58–$22.54	65% below	—
Complete blood count (CBC), no differential CPT 85027 Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC 85027	$91.00	$91.00	$16.38–$66.16	4% above	—
Complete blood count (CBC), no differential CPT 85027 85027 Blood count; complete (CBC), automated	$91.00	$91.00	$16.38–$66.16	4% above	—
Complete blood count (CBC), no differential inpatient CPT 85027 CBC without Diff	$31.00	$31.00	$6.20–$22.32	—	—
Complete blood count (CBC), no differential inpatient CPT 85027 Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC 85027	$91.00	$91.00	$18.20–$65.52	—	—
Complete blood count (CBC), no differential inpatient CPT 85027 85027 Blood count; complete (CBC), automated	$91.00	$91.00	$18.20–$65.52	—	—
Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive Metabolic Panel	$451.00	$451.00	$81.18–$327.88	83% above	—
Comprehensive metabolic panel (blood test) inpatient CPT 80053 Comprehensive Metabolic Panel	$451.00	$451.00	$90.20–$324.72	—	—
D-dimer blood test (blood clot marker) CPT 85379 D Dimer	$82.00	$82.00	$14.76–$59.61	56% below	—
D-dimer blood test (blood clot marker) inpatient CPT 85379 D Dimer	$82.00	$82.00	$16.40–$59.04	—	—
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA Sulfate-(402)	$46.00	$46.00	$8.28–$33.44	74% below	—
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA Sulfate-(402)	$46.00	$46.00	$9.20–$33.12	—	—
Estradiol blood test CPT 82670 Estradiol Level-(4021)	$57.00	$57.00	$10.26–$41.44	61% below	—
Estradiol blood test inpatient CPT 82670 Estradiol Level-(4021)	$57.00	$57.00	$11.40–$41.04	—	—
FSH (follicle-stimulating hormone) test CPT 83001 Follicle Stimulating Hormone Level-(470)	$67.00	$67.00	$12.06–$48.71	71% below	—
FSH (follicle-stimulating hormone) test inpatient CPT 83001 Follicle Stimulating Hormone Level-(470)	$67.00	$67.00	$13.40–$48.24	—	—
Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin Stool	$131.00	$131.00	$23.58–$95.24	46% below	—
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Calprotectin Stool	$131.00	$131.00	$26.20–$94.32	—	—
Ferritin blood test (iron stores) CPT 82728 Ferritin	$96.00	$96.00	$17.28–$69.79	16% below	—
Ferritin blood test (iron stores) CPT 82728 Ferritin Lvl	$281.00	$281.00	$50.58–$204.29	146% above	—
Ferritin blood test (iron stores) inpatient CPT 82728 Ferritin	$96.00	$96.00	$19.20–$69.12	—	—
Ferritin blood test (iron stores) inpatient CPT 82728 Ferritin Lvl	$281.00	$281.00	$56.20–$202.32	—	—
Folate (folic acid) blood test CPT 82746 Folate Level	$52.00	$52.00	$9.36–$37.80	56% below	—
Folate (folic acid) blood test CPT 82746 Folate Lvl	$112.00	$112.00	$20.16–$81.42	6% below	—
Folate (folic acid) blood test inpatient CPT 82746 Folate Level	$52.00	$52.00	$10.40–$37.44	—	—
Folate (folic acid) blood test inpatient CPT 82746 Folate Lvl	$112.00	$112.00	$22.40–$80.64	—	—
Free T3 thyroid hormone test CPT 84481 Free T3 Level	$44.00	$44.00	$7.92–$31.99	75% below	—
Free T3 thyroid hormone test inpatient CPT 84481 Free T3 Level	$44.00	$44.00	$8.80–$31.68	—	—
Free T4 (free thyroxine) thyroid blood test CPT 84439 Free T4 Level	$35.00	$35.00	$6.30–$25.44	67% below	—
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Free T4 Level	$35.00	$35.00	$7.00–$25.20	—	—
Free testosterone test CPT 84402 Testosterone, Free	$87.00	$87.00	$15.66–$63.25	2% below	—
Free testosterone test inpatient CPT 84402 Testosterone, Free	$87.00	$87.00	$17.40–$62.64	—	—
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose Load	$35.00	$35.00	$6.30–$25.44	54% below	—
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Gestational Diabetes Screen (Glucose)	$35.00	$35.00	$6.30–$25.44	54% below	—
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Gestational Diabetes Screen (Glucose)	$35.00	$35.00	$7.00–$25.20	—	—
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Glucose Load	$35.00	$35.00	$7.00–$25.20	—	—
Glucose tolerance test, 3 samples CPT 82951 Glucose Baseline	$69.00	$69.00	$12.42–$50.16	62% below	—
Glucose tolerance test, 3 samples inpatient CPT 82951 Glucose Baseline	$69.00	$69.00	$13.80–$49.68	—	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Neisseria gonorrhoeae DNA, Ql	$64.00	$64.00	$11.52–$46.53	68% below	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Panthe Neisseria gonorrhoeae	$85.00	$85.00	$15.30–$61.80	58% below	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Xpert Neisseria gonorrhoeae	$110.00	$110.00	$19.80–$79.97	46% below	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Neisseria gonorrhoeae RNA, TMA, Urogenital - (11362)	$110.00	$110.00	$19.80–$79.97	46% below	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N. gonorrhoeae rRNA, Ql	$145.00	$145.00	$26.10–$105.42	29% below	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Neisseria gonorrhoeae DNA, Ql	$64.00	$64.00	$12.80–$46.08	—	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Panthe Neisseria gonorrhoeae	$85.00	$85.00	$17.00–$61.20	—	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Neisseria gonorrhoeae RNA, TMA, Urogenital - (11362)	$110.00	$110.00	$22.00–$79.20	—	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Xpert Neisseria gonorrhoeae	$110.00	$110.00	$22.00–$79.20	—	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N. gonorrhoeae rRNA, Ql	$145.00	$145.00	$29.00–$104.40	—	—
H. pylori stool antigen test CPT 87338 H Pylori Antigen-Stool	$113.00	$113.00	$20.34–$82.15	45% below	—
H. pylori stool antigen test CPT 87338 H. Pylori AG EIA Stool-(34838)	$120.00	$120.00	$21.60–$87.24	42% below	—
H. pylori stool antigen test inpatient CPT 87338 H Pylori Antigen-Stool	$113.00	$113.00	$22.60–$81.36	—	—
H. pylori stool antigen test inpatient CPT 87338 H. Pylori AG EIA Stool-(34838)	$120.00	$120.00	$24.00–$86.40	—	—
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 RNA Quant Real-Time PCR-(40085)	$93.00	$93.00	$16.74–$67.61	79% below	—
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 RNA Quant Real-Time PCR-(40085)	$93.00	$93.00	$18.60–$66.96	—	—
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 1/2 Ab + p24 Ag, Ql	$70.00	$70.00	$12.60–$50.89	40% below	—
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 .HIV 1/2 Antibody Diff	$682.00	$682.00	$122.76–$495.81	488% above	—
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV 1/2 Ab + p24 Ag, Ql	$70.00	$70.00	$14.00–$50.40	—	—
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 .HIV 1/2 Antibody Diff	$682.00	$682.00	$136.40–$491.04	—	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1c (Glycosylated)	$34.00	$34.00	$6.12–$24.72	61% below	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hemoglobin A1c (Glycosylated)	$34.00	$34.00	$6.80–$24.48	—	—
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B Surface Antibody, Qual-(499)	$37.00	$37.00	$6.66–$26.90	64% below	—
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepattis B Surface Ab Ql	$51.00	$51.00	$9.18–$37.08	50% below	—
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hepatitis B Surface Antibody, Qual-(499)	$37.00	$37.00	$7.40–$26.64	—	—
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hepattis B Surface Ab Ql	$51.00	$51.00	$10.20–$36.72	—	—
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B Surface Ag, Ql	$57.00	$57.00	$10.26–$41.44	41% below	—
Hepatitis B surface antigen (HBsAg) test CPT 87340 87340 Infectious Agent Antigen Detection by Immunoassay technique	$173.80	$173.80	$31.28–$126.35	81% above	—
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hepatitis B Surface Ag, Ql	$57.00	$57.00	$11.40–$41.04	—	—
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 87340 Infectious Agent Antigen Detection by Immunoassay technique	$173.80	$173.80	$34.76–$125.14	—	—
Hepatitis C antibody blood test (screening) CPT 86803 86803 Hepatitis C Virus (HCV) antibody	$200.00	$200.00	$36.00–$145.40	53% above	—
Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C Ab, Ql	$327.00	$327.00	$58.86–$237.73	150% above	—
Hepatitis C antibody blood test (screening) one side CPT 86803 Hepatitis C AB Reflex to HCV, QN RT PCR-(8472)	$118.00	$118.00	$21.24–$85.79	10% below	—
Hepatitis C antibody blood test (screening) inpatient CPT 86803 86803 Hepatitis C Virus (HCV) antibody	$200.00	$200.00	$40.00–$144.00	—	—
Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hepatitis C Ab, Ql	$327.00	$327.00	$65.40–$235.44	—	—
Hepatitis C antibody blood test (screening) inpatient one side CPT 86803 Hepatitis C AB Reflex to HCV, QN RT PCR-(8472)	$118.00	$118.00	$23.60–$84.96	—	—
Hepatitis C viral load (HCV RNA) test CPT 87522 .HCV RNA, Quantative Real Time PCR	$200.00	$200.00	$36.00–$145.40	49% below	—
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 .HCV RNA, Quantative Real Time PCR	$200.00	$200.00	$40.00–$144.00	—	—
Herpes blood test, HSV-1 antibody CPT 86695 HSV 1 IgG Type Specific Ab	$72.00	$72.00	$12.96–$52.34	2% below	—
Herpes blood test, HSV-1 antibody CPT 86695 HSV 1 IgG, Qn (CSF)	$76.00	$76.00	$13.68–$55.25	4% above	—
Herpes blood test, HSV-1 antibody CPT 86695 HSV 1 IgM, Ql (CSF)	$76.00	$76.00	$13.68–$55.25	4% above	—
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV 1 IgG Type Specific Ab	$72.00	$72.00	$14.40–$51.84	—	—
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV 1 IgM, Ql (CSF)	$76.00	$76.00	$15.20–$54.72	—	—
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV 1 IgG, Qn (CSF)	$76.00	$76.00	$15.20–$54.72	—	—
Herpes blood test, HSV-2 antibody CPT 86696 HSV 2 IgM, Ql (CSF)	$76.00	$76.00	$13.68–$55.25	14% below	—
Herpes blood test, HSV-2 antibody CPT 86696 HSV 2 IgG , Qn (CSF)	$76.00	$76.00	$13.68–$55.25	14% below	—
Herpes blood test, HSV-2 antibody CPT 86696 HSV 2 IgG Type Specific Ab	$212.00	$212.00	$38.16–$154.12	140% above	—
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV 2 IgG , Qn (CSF)	$76.00	$76.00	$15.20–$54.72	—	—
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV 2 IgM, Ql (CSF)	$76.00	$76.00	$15.20–$54.72	—	—
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV 2 IgG Type Specific Ab	$212.00	$212.00	$42.40–$152.64	—	—
High-sensitivity CRP (hs-CRP) test CPT 86141 hs-(Cardio)CRP	$41.00	$41.00	$7.38–$29.81	58% below	—
High-sensitivity CRP (hs-CRP) test CPT 86141 hs-CRP-(10124)	$117.00	$117.00	$21.06–$85.06	19% above	—
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 hs-(Cardio)CRP	$41.00	$41.00	$8.20–$29.52	—	—
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 hs-CRP-(10124)	$117.00	$117.00	$23.40–$84.24	—	—
Homocysteine blood test CPT 83090 Homocysteine Level-(31789)	$42.00	$42.00	$7.56–$30.53	84% below	—
Homocysteine blood test inpatient CPT 83090 Homocysteine Level-(31789)	$42.00	$42.00	$8.40–$30.24	—	—
Insulin blood test CPT 83525 Insulin Level Total-(561)	$31.00	$31.00	$5.58–$22.54	82% below	—
Insulin blood test inpatient CPT 83525 Insulin Level Total-(561)	$31.00	$31.00	$6.20–$22.32	—	—
Iron blood test (serum iron) CPT 83540 Iron Level	$39.00	$39.00	$7.02–$28.35	37% below	—
Iron blood test (serum iron) CPT 83540 Iron Liver Tissue-(8828)	$84.00	$84.00	$15.12–$61.07	36% above	—
Iron blood test (serum iron) CPT 83540 Iron Lvl	$115.00	$115.00	$20.70–$83.60	86% above	—
Iron blood test (serum iron) inpatient CPT 83540 Iron Level	$39.00	$39.00	$7.80–$28.08	—	—
Iron blood test (serum iron) inpatient CPT 83540 Iron Liver Tissue-(8828)	$84.00	$84.00	$16.80–$60.48	—	—
Iron blood test (serum iron) inpatient CPT 83540 Iron Lvl	$115.00	$115.00	$23.00–$82.80	—	—
Iron-binding capacity (TIBC) test CPT 83550 Total Iron Binding Capacity	$39.00	$39.00	$7.02–$28.35	52% below	—
Iron-binding capacity (TIBC) test CPT 83550 TIBC	$39.00	$39.00	$7.02–$28.35	52% below	—
Iron-binding capacity (TIBC) test inpatient CPT 83550 TIBC	$39.00	$39.00	$7.80–$28.08	—	—
Iron-binding capacity (TIBC) test inpatient CPT 83550 Total Iron Binding Capacity	$39.00	$39.00	$7.80–$28.08	—	—
Kidney function blood test panel CPT 80069 Renal Function Panel (RFP)	$369.00	$369.00	$66.42–$268.26	169% above	—
Kidney function blood test panel inpatient CPT 80069 Renal Function Panel (RFP)	$369.00	$369.00	$73.80–$265.68	—	—
LH (luteinizing hormone) test CPT 83002 Luteinizing Hormone-(615)	$44.00	$44.00	$7.92–$31.99	76% below	—
LH (luteinizing hormone) test inpatient CPT 83002 Luteinizing Hormone-(615)	$44.00	$44.00	$8.80–$31.68	—	—
Lipase blood test (pancreas enzyme) CPT 83690 Lipase Level	$29.00	$29.00	$5.22–$21.08	79% below	—
Lipase blood test (pancreas enzyme) CPT 83690 Lipase Level Peritoneal Fluid-(17602)	$40.00	$40.00	$7.20–$29.08	71% below	—
Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase Level	$29.00	$29.00	$5.80–$20.88	—	—
Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase Level Peritoneal Fluid-(17602)	$40.00	$40.00	$8.00–$28.80	—	—
Liver function blood test panel CPT 80076 Hepatic (Liver) Function Panel - LFTs	$90.00	$90.00	$16.20–$65.43	42% below	—
Liver function blood test panel inpatient CPT 80076 Hepatic (Liver) Function Panel - LFTs	$90.00	$90.00	$18.00–$64.80	—	—
Lyme disease antibody test CPT 86618 B. burgdorferi Ab, IA Qn	$75.00	$75.00	$13.50–$54.52	28% below	—
Lyme disease antibody test inpatient CPT 86618 B. burgdorferi Ab, IA Qn	$75.00	$75.00	$15.00–$54.00	—	—
Magnesium blood test CPT 83735 Magnesium Level Obsterics	$39.00	$39.00	$7.02–$28.35	3% above	—
Magnesium blood test CPT 83735 Magnesium Level	$39.00	$39.00	$7.02–$28.35	3% above	—
Magnesium blood test inpatient CPT 83735 Magnesium Level Obsterics	$39.00	$39.00	$7.80–$28.08	—	—
Magnesium blood test inpatient CPT 83735 Magnesium Level	$39.00	$39.00	$7.80–$28.08	—	—
Measles (rubeola) antibody test CPT 86765 Measles Antibody IgG-(964)	$34.00	$34.00	$6.12–$24.72	56% below	—
Measles (rubeola) antibody test CPT 86765 Measles Ab IgG, Qn	$99.00	$99.00	$17.82–$71.97	29% above	—
Measles (rubeola) antibody test inpatient CPT 86765 Measles Antibody IgG-(964)	$34.00	$34.00	$6.80–$24.48	—	—
Measles (rubeola) antibody test inpatient CPT 86765 Measles Ab IgG, Qn	$99.00	$99.00	$19.80–$71.28	—	—
Mono test (heterophile antibody, Monospot) CPT 86308 Infectious Mononucleosis Screen	$39.00	$39.00	$7.02–$28.35	63% below	—
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Infectious Mononucleosis Screen	$39.00	$39.00	$7.80–$28.08	—	—
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA Free	$52.00	$52.00	$9.36–$37.80	56% below	—
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA Free	$52.00	$52.00	$10.40–$37.44	—	—
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA, Diagnostic	$128.00	$128.00	$23.04–$93.06	7% above	—
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA, Free And Total-(31348)	$128.00	$128.00	$23.04–$93.06	7% above	—
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA Total	$281.00	$281.00	$50.58–$204.29	134% above	—
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA, Free And Total-(31348)	$128.00	$128.00	$25.60–$92.16	—	—
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA, Diagnostic	$128.00	$128.00	$25.60–$92.16	—	—
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA Total	$281.00	$281.00	$56.20–$202.32	—	—
Parathyroid hormone (PTH) blood test CPT 83970 Parathyroid Hormone, Intact	$98.00	$98.00	$17.64–$71.25	51% below	—
Parathyroid hormone (PTH) blood test CPT 83970 Intraoperative Parathyr Post Operative	$98.00	$98.00	$17.64–$71.25	51% below	—
Parathyroid hormone (PTH) blood test CPT 83970 Intraoperative Parathyroid Baseline	$98.00	$98.00	$17.64–$71.25	51% below	—
Parathyroid hormone (PTH) blood test CPT 83970 Intraoperative Parathyr Post Add Spec	$98.00	$98.00	$17.64–$71.25	51% below	—
Parathyroid hormone (PTH) blood test CPT 83970 Parathyroid Hormone Intact	$288.00	$288.00	$51.84–$209.38	44% above	—
Parathyroid hormone (PTH) blood test inpatient CPT 83970 Intraoperative Parathyroid Baseline	$98.00	$98.00	$19.60–$70.56	—	—
Parathyroid hormone (PTH) blood test inpatient CPT 83970 Parathyroid Hormone, Intact	$98.00	$98.00	$19.60–$70.56	—	—
Parathyroid hormone (PTH) blood test inpatient CPT 83970 Intraoperative Parathyr Post Operative	$98.00	$98.00	$19.60–$70.56	—	—
Parathyroid hormone (PTH) blood test inpatient CPT 83970 Intraoperative Parathyr Post Add Spec	$98.00	$98.00	$19.60–$70.56	—	—
Parathyroid hormone (PTH) blood test inpatient CPT 83970 Parathyroid Hormone Intact	$288.00	$288.00	$57.60–$207.36	—	—
Partial thromboplastin time (PTT) clotting test CPT 85730 Partial Thromboplastin Time	$100.00	$100.00	$18.00–$72.70	67% above	—
Partial thromboplastin time (PTT) clotting test CPT 85730 Stroke PTT	$100.00	$100.00	$18.00–$72.70	67% above	—
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT, Activated	$126.00	$126.00	$22.68–$91.60	110% above	—
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Stroke PTT	$100.00	$100.00	$20.00–$72.00	—	—
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Partial Thromboplastin Time	$100.00	$100.00	$20.00–$72.00	—	—
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT, Activated	$126.00	$126.00	$25.20–$90.72	—	—
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 QNatal Advanced-(92777)	$2,015.00	$2,015.00	$362.70–$1,464.90	11% above	—
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 QNatal Advanced-(92777)	$2,015.00	$2,015.00	$403.00–$1,450.80	—	—
Progesterone blood test CPT 84144 Progesterone Level, Immunoassay-(745)	$60.00	$60.00	$10.80–$43.62	59% below	—
Progesterone blood test inpatient CPT 84144 Progesterone Level, Immunoassay-(745)	$60.00	$60.00	$12.00–$43.20	—	—
Prolactin blood test CPT 84146 Prolactin-(746)	$50.00	$50.00	$9.00–$36.35	71% below	—
Prolactin blood test inpatient CPT 84146 Prolactin-(746)	$50.00	$50.00	$10.00–$36.00	—	—
Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time and INR	$21.00	$21.00	$3.78–$15.27	60% below	—
Prothrombin time (PT/INR) clotting test CPT 85610 PT Mix (PT imm NP PPP)	$39.00	$39.00	$7.02–$28.35	26% below	—
Prothrombin time (PT/INR) clotting test CPT 85610 Stroke PTINR	$82.00	$82.00	$14.76–$59.61	56% above	—
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time and INR	$21.00	$21.00	$4.20–$15.12	—	—
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PT Mix (PT imm NP PPP)	$39.00	$39.00	$7.80–$28.08	—	—
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Stroke PTINR	$82.00	$82.00	$16.40–$59.04	—	—
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Employer 14 PNL UDS	$58.00	$58.00	$10.44–$42.17	14% above	—
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 Employer 14 PNL UDS	$58.00	$58.00	$11.60–$41.76	—	—
Rapid flu test (influenza antigen) CPT 87804 ED Influenza POC	$113.00	$113.00	$20.34–$82.15	3% above	—
Rapid flu test (influenza antigen) CPT 87804 Influenza B POC	$119.00	$119.00	$21.42–$86.51	9% above	—
Rapid flu test (influenza antigen) CPT 87804 Influenza A POC	$119.00	$119.00	$21.42–$86.51	9% above	—
Rapid flu test (influenza antigen) CPT 87804 Viral Influ Grp A Antigen	$123.00	$123.00	$22.14–$89.42	13% above	—
Rapid flu test (influenza antigen) CPT 87804 ED Influenza B POC BCE	$123.00	$123.00	$22.14–$89.42	13% above	—
Rapid flu test (influenza antigen) CPT 87804 ED Influenza A POC BCE	$123.00	$123.00	$22.14–$89.42	13% above	—
Rapid flu test (influenza antigen) CPT 87804 Viral Influ Grp B Antigen	$123.00	$123.00	$22.14–$89.42	13% above	—
Rapid flu test (influenza antigen) inpatient CPT 87804 ED Influenza POC	$113.00	$113.00	$22.60–$81.36	—	—
Rapid flu test (influenza antigen) inpatient CPT 87804 Influenza B POC	$119.00	$119.00	$23.80–$85.68	—	—
Rapid flu test (influenza antigen) inpatient CPT 87804 Influenza A POC	$119.00	$119.00	$23.80–$85.68	—	—
Rapid flu test (influenza antigen) inpatient CPT 87804 ED Influenza A POC BCE	$123.00	$123.00	$24.60–$88.56	—	—
Rapid flu test (influenza antigen) inpatient CPT 87804 ED Influenza B POC BCE	$123.00	$123.00	$24.60–$88.56	—	—
Rapid flu test (influenza antigen) inpatient CPT 87804 Viral Influ Grp A Antigen	$123.00	$123.00	$24.60–$88.56	—	—
Rapid flu test (influenza antigen) inpatient CPT 87804 Viral Influ Grp B Antigen	$123.00	$123.00	$24.60–$88.56	—	—
Rapid strep A antigen test from a throat swab, read visually CPT 87880 Strep A +	$25.00	$25.00	$4.50–$18.18	75% below	—
Rapid strep A antigen test from a throat swab, read visually CPT 87880 ED Rapid Strep POC BCE	$35.00	$35.00	$6.30–$25.44	66% below	—
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Strep A +	$25.00	$25.00	$5.00–$18.00	—	—
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 ED Rapid Strep POC BCE	$35.00	$35.00	$7.00–$25.20	—	—
Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor Qt	$24.00	$24.00	$4.32–$17.45	65% below	—
Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor Quantitative	$37.00	$37.00	$6.66–$26.90	46% below	—
Rheumatoid factor (RF) test inpatient CPT 86431 Rheumatoid Factor Qt	$24.00	$24.00	$4.80–$17.28	—	—
Rheumatoid factor (RF) test inpatient CPT 86431 Rheumatoid Factor Quantitative	$37.00	$37.00	$7.40–$26.64	—	—
Rubella antibody test (immunity check) CPT 86762 Rubella Ab IgG, Qn	$46.00	$46.00	$8.28–$33.44	48% below	—
Rubella antibody test (immunity check) CPT 86762 Rubella Immune Status-(802)	$46.00	$46.00	$8.28–$33.44	48% below	—
Rubella antibody test (immunity check) inpatient CPT 86762 Rubella Immune Status-(802)	$46.00	$46.00	$9.20–$33.12	—	—
Rubella antibody test (immunity check) inpatient CPT 86762 Rubella Ab IgG, Qn	$46.00	$46.00	$9.20–$33.12	—	—
Stool ova and parasites exam CPT 87177 Ova & parasites, Concentration	$137.00	$137.00	$24.66–$99.60	29% above	—
Stool ova and parasites exam CPT 87177 Source Ova & Parasite	$148.00	$148.00	$26.64–$107.60	39% above	—
Stool ova and parasites exam inpatient CPT 87177 Ova & parasites, Concentration	$137.00	$137.00	$27.40–$98.64	—	—
Stool ova and parasites exam inpatient CPT 87177 Source Ova & Parasite	$148.00	$148.00	$29.60–$106.56	—	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL, CSF-(4128)	$24.00	$24.00	$4.32–$17.45	50% below	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Rapid Plasma Reagin	$29.00	$29.00	$5.22–$21.08	40% below	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR, Rfx Qn RPR/Confirm TP - (36126)	$48.00	$48.00	$8.64–$34.90	at median	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL, CSF-(4128)	$24.00	$24.00	$4.80–$17.28	—	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Rapid Plasma Reagin	$29.00	$29.00	$5.80–$20.88	—	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR, Rfx Qn RPR/Confirm TP - (36126)	$48.00	$48.00	$9.60–$34.56	—	—
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Pre-biologic/biosimilar Screen Panel, HCV/HBV with Reflexes and QFT 1 Tube - (37616)	$200.00	$200.00	$36.00–$145.40	4% below	—
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Quantiferon	$258.00	$258.00	$46.44–$187.57	24% above	—
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QuantiFERON TB Gold Plus, 1 Tube - (36970)	$258.00	$258.00	$46.44–$187.57	24% above	—
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Quantiferon(R)-TB Gold,	$370.00	$370.00	$66.60–$268.99	77% above	—
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 Pre-biologic/biosimilar Screen Panel, HCV/HBV with Reflexes and QFT 1 Tube - (37616)	$200.00	$200.00	$40.00–$144.00	—	—
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QuantiFERON TB Gold Plus, 1 Tube - (36970)	$258.00	$258.00	$51.60–$185.76	—	—
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 Quantiferon	$258.00	$258.00	$51.60–$185.76	—	—
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 Quantiferon(R)-TB Gold,	$370.00	$370.00	$74.00–$266.40	—	—
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone Total, MS-(15983)	$36.00	$36.00	$6.48–$26.17	53% below	—
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone, Total	$49.00	$49.00	$8.82–$35.62	36% below	—
Testosterone blood test, total (not free testosterone) CPT 84403 Testorosterone Total Males	$214.00	$214.00	$38.52–$155.58	179% above	—
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone Total, MS-(15983)	$36.00	$36.00	$7.20–$25.92	—	—
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone, Total	$49.00	$49.00	$9.80–$35.28	—	—
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testorosterone Total Males	$214.00	$214.00	$42.80–$154.08	—	—
Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroid Peroxidase Abs	$24.00	$24.00	$4.32–$17.45	77% below	—
Thyroid peroxidase (TPO) antibody test CPT 86376 TPO Ab Endpoint	$33.00	$33.00	$5.94–$23.99	68% below	—
Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroid Peroxidase Antibodies (TPO)-(5081)	$34.00	$34.00	$6.12–$24.72	67% below	—
Thyroid peroxidase (TPO) antibody test CPT 86376 Mitochondrial Ab Scr	$98.00	$98.00	$17.64–$71.25	5% below	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Thyroid Peroxidase Abs	$24.00	$24.00	$4.80–$17.28	—	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 TPO Ab Endpoint	$33.00	$33.00	$6.60–$23.76	—	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Thyroid Peroxidase Antibodies (TPO)-(5081)	$34.00	$34.00	$6.80–$24.48	—	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Mitochondrial Ab Scr	$98.00	$98.00	$19.60–$70.56	—	—
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Stimulating Hormone w/Ref/FT4	$15.00	$15.00	$2.70–$10.90	89% below	—
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Stimulating Hormone	$15.00	$15.00	$2.70–$10.90	89% below	—
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Thyroid Stimulating Hormone	$15.00	$15.00	$3.00–$10.80	—	—
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Thyroid Stimulating Hormone w/Ref/FT4	$15.00	$15.00	$3.00–$10.80	—	—
Trichomonas test (NAAT) CPT 87661 Panther Trichomonas Vaginalis	$65.00	$65.00	$11.70–$47.26	55% below	—
Trichomonas test (NAAT) CPT 87661 Trichomonas Vaginalis PCR	$65.00	$65.00	$11.70–$47.26	55% below	—
Trichomonas test (NAAT) CPT 87661 Trichomonas vaginalis rRNA, Ql	$145.00	$145.00	$26.10–$105.42	at median	—
Trichomonas test (NAAT) inpatient CPT 87661 Panther Trichomonas Vaginalis	$65.00	$65.00	$13.00–$46.80	—	—
Trichomonas test (NAAT) inpatient CPT 87661 Trichomonas Vaginalis PCR	$65.00	$65.00	$13.00–$46.80	—	—
Trichomonas test (NAAT) inpatient CPT 87661 Trichomonas vaginalis rRNA, Ql	$145.00	$145.00	$29.00–$104.40	—	—
Uric acid blood test CPT 84550 Uric Acid	$35.00	$35.00	$6.30–$25.44	43% below	—
Uric acid blood test inpatient CPT 84550 Uric Acid	$35.00	$35.00	$7.00–$25.20	—	—
Urinalysis with microscope exam, automated CPT 81001 .Advantus Urine Microscopic	$24.00	$24.00	$4.32–$17.45	77% below	—
Urinalysis with microscope exam, automated CPT 81001 UA Micro	$59.00	$59.00	$10.62–$42.89	43% below	—
Urinalysis with microscope exam, automated inpatient CPT 81001 .Advantus Urine Microscopic	$24.00	$24.00	$4.80–$17.28	—	—
Urinalysis with microscope exam, automated inpatient CPT 81001 UA Micro	$59.00	$59.00	$11.80–$42.48	—	—
Urinalysis without microscope exam, automated CPT 81003 Advantus UA	$16.00	$16.00	$2.88–$11.63	74% below	—
Urinalysis without microscope exam, automated CPT 81003 Urinalysis with Microscopic, if indicated	$22.00	$22.00	$3.96–$15.99	64% below	—
Urinalysis without microscope exam, automated inpatient CPT 81003 Advantus UA	$16.00	$16.00	$3.20–$11.52	—	—
Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis with Microscopic, if indicated	$22.00	$22.00	$4.40–$15.84	—	—
Urine culture for bacteria, with colony count CPT 87086 Urine Culture	$37.00	$37.00	$6.66–$26.90	64% below	—
Urine culture for bacteria, with colony count inpatient CPT 87086 Urine Culture	$37.00	$37.00	$7.40–$26.64	—	—
Urine pregnancy test, read by color change CPT 81025 HCG Qualitative Urine	$39.00	$39.00	$7.02–$28.35	66% below	—
Urine pregnancy test, read by color change CPT 81025 Urine Pregnancy Test POC	$94.00	$94.00	$16.92–$68.34	18% below	—
Urine pregnancy test, read by color change inpatient CPT 81025 HCG Qualitative Urine	$39.00	$39.00	$7.80–$28.08	—	—
Urine pregnancy test, read by color change inpatient CPT 81025 Urine Pregnancy Test POC	$94.00	$94.00	$18.80–$67.68	—	—
Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B12 Level	$57.00	$57.00	$10.26–$41.44	48% below	—
Vitamin B12 (cobalamin) blood test CPT 82607 Vitamain B12 Lvl	$112.00	$112.00	$20.16–$81.42	2% above	—
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vitamin B12 Level	$57.00	$57.00	$11.40–$41.04	—	—
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vitamain B12 Lvl	$112.00	$112.00	$22.40–$80.64	—	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D, 25 Hydroxy Total	$129.00	$129.00	$23.22–$93.78	20% below	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D 25-Hydroxy (D2, D3) QuestAssureD (92888)	$129.00	$129.00	$23.22–$93.78	20% below	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D 25-Hydroxy (D2, D3) QuestAssureD (92888)	$129.00	$129.00	$25.80–$92.88	—	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D, 25 Hydroxy Total	$129.00	$129.00	$25.80–$92.88	—	—
Zinc blood test CPT 84630 Zinc Level-(945)	$26.00	$26.00	$4.68–$18.90	83% below	—
Zinc blood test inpatient CPT 84630 Zinc Level-(945)	$26.00	$26.00	$5.20–$18.72	—	—
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Beta-hCG Serum (Mult of the Median)	$68.00	$68.00	$12.24–$49.44	51% below	—
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG, Beta Quant	$83.00	$83.00	$14.94–$60.34	40% below	—
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Beta-hCG Serum (Mult of the Median)	$68.00	$68.00	$13.60–$48.96	—	—
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG, Beta Quant	$83.00	$83.00	$16.60–$59.76	—	—

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs South Carolina	Off list
Adenoid removal (adenoidectomy), child under 12 CPT 42830 Adenoidectomy, primary, younger than age 12 42830	$272.00	$272.00	$48.96–$197.74	90% below	—
Adenoid removal (adenoidectomy), child under 12 CPT 42830 Adenoidectomy	$10,121.00	$10,121.00	$1,821.78–$7,357.97	261% above	—
Adenoid removal (adenoidectomy), child under 12 inpatient CPT 42830 Adenoidectomy, primary, younger than age 12 42830	$272.00	$272.00	$54.40–$195.84	—	—
Adenoid removal (adenoidectomy), child under 12 inpatient CPT 42830 Adenoidectomy	$10,121.00	$10,121.00	$2,024.20–$7,287.12	—	—
Anterior cervical discectomy and fusion (ACDF), one level CPT 22551 Neck spine fuse&remov bel c2 22551	$3,447.46	$3,447.46	$620.54–$2,506.30	92% below	—
Anterior cervical discectomy and fusion (ACDF), one level inpatient CPT 22551 Neck spine fuse&remov bel c2 22551	$3,447.46	$3,447.46	$689.49–$2,482.17	—	—
Appendectomy for a ruptured appendix with abscess or peritonitis CPT 44960 AMB APPENDECTOMY OPEN RUPTUR ABSCE BCE	$955.00	$955.00	$171.90–$694.28	—	—
Appendectomy for a ruptured appendix with abscess or peritonitis inpatient CPT 44960 AMB APPENDECTOMY OPEN RUPTUR ABSCE BCE	$955.00	$955.00	$191.00–$687.60	—	—
Appendectomy, open surgery CPT 44950 AMB APPENDECTOMY BCE	$774.00	$774.00	$139.32–$562.70	—	—
Appendectomy, open surgery inpatient CPT 44950 AMB APPENDECTOMY BCE	$774.00	$774.00	$154.80–$557.28	—	—
Arthroscopic ACL reconstruction or repair of the knee CPT 29888 Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction BCE	$2,022.12	$2,022.12	$363.98–$1,470.08	89% below	—
Arthroscopic ACL reconstruction or repair of the knee CPT 29888 Repair Arthroscopy Anterior Cruciate Ligament	$19,735.00	$19,735.00	$3,552.30–$14,347.34	5% above	—
Arthroscopic ACL reconstruction or repair of the knee inpatient CPT 29888 Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction BCE	$2,022.12	$2,022.12	$404.42–$1,455.93	—	—
Arthroscopic ACL reconstruction or repair of the knee inpatient CPT 29888 Repair Arthroscopy Anterior Cruciate Ligament	$19,735.00	$19,735.00	$3,947.00–$14,209.20	—	—
Arthroscopic rotator cuff repair of the shoulder CPT 29827 Arthroscopy shoulder surgical with rotator cuff repair	$2,231.06	$2,231.06	$401.59–$1,621.98	—	—
Arthroscopic rotator cuff repair of the shoulder inpatient CPT 29827 Arthroscopy shoulder surgical with rotator cuff repair	$2,231.06	$2,231.06	$446.21–$1,606.36	—	—
Balloon dilation of the maxillary sinus opening, one side CPT 31295 Sinus Endo W/Balloon Dil 31295	$5,935.95	$5,935.95	$1,068.47–$4,315.44	32% below	—
Balloon dilation of the maxillary sinus opening, one side inpatient CPT 31295 Sinus Endo W/Balloon Dil 31295	$5,935.95	$5,935.95	$1,187.19–$4,273.88	—	—
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 MG Breast Biopsy w/ Stereo Guide Bilater	$7,459.00	$7,459.00	$1,342.62–$5,422.69	85% above	—
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 MG Breast Biopsy w/ Stereo Guide Bilater	$7,459.00	$7,459.00	$1,491.80–$5,370.48	—	—
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 Closed Treatment of Distal Fibular Fracture Lateral Malleolus	$324.00	$324.00	$58.32–$235.55	33% below	—
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 Closed treatment of broken ankle	$525.00	$525.00	$94.50–$381.68	8% above	—
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 Closed Treatment of Distal Fibular Fracture Lateral Malleolus	$324.00	$324.00	$64.80–$233.28	—	—
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 Closed treatment of broken ankle	$525.00	$525.00	$105.00–$378.00	—	—
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 Closed Treatment Metatarsal Fracture	$324.00	$324.00	$58.32–$235.55	42% below	—
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 Closed Treatment Metatarsal Fracture	$324.00	$324.00	$64.80–$233.28	—	—
Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 AMB Correction hallux valgus BCE	$984.28	$984.28	$177.17–$715.57	—	—
Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 Repair Hallux Valgus	$8,677.00	$8,677.00	$1,561.86–$6,308.18	—	—
Bunion correction with a bone cut near the head of the first metatarsal inpatient CPT 28296 AMB Correction hallux valgus BCE	$984.28	$984.28	$196.86–$708.68	—	—
Bunion correction with a bone cut near the head of the first metatarsal inpatient CPT 28296 Repair Hallux Valgus	$8,677.00	$8,677.00	$1,735.40–$6,247.44	—	—
Bunion correction with removal of part of the big toe joint CPT 28292 AMB Correction hallux valgus with bunionectomy	$916.00	$916.00	$164.88–$665.93	—	—
Bunion correction with removal of part of the big toe joint inpatient CPT 28292 AMB Correction hallux valgus with bunionectomy	$916.00	$916.00	$183.20–$659.52	—	—
Cardiac catheterization with coronary angiogram one side CPT 93458 CCL- Left Heart Catheterization, LV	$12,284.00	$12,284.00	$2,211.12–$8,930.47	4% above	—
Cardiac catheterization with coronary angiogram inpatient one side CPT 93458 CCL- Left Heart Catheterization, LV	$12,284.00	$12,284.00	$2,456.80–$8,844.48	—	—
Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion Elective Arrhythmia External 92960	$249.12	$249.12	$44.84–$181.11	83% below	—
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION -L-	$1,706.00	$1,706.00	$307.08–$1,240.26	15% above	—
Cardioversion, elective (restoring heart rhythm) CPT 92960 CCL- Cardioversion	$1,706.00	$1,706.00	$307.08–$1,240.26	15% above	—
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Cardioversion Elective Arrhythmia External 92960	$249.12	$249.12	$49.82–$179.37	—	—
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION -L-	$1,706.00	$1,706.00	$341.20–$1,228.32	—	—
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CCL- Cardioversion	$1,706.00	$1,706.00	$341.20–$1,228.32	—	—
Carpal tunnel release, open surgery CPT 64721 Neuroplasty and/or transportation; median nerve at carpal tunnel	$892.86	$892.86	$160.71–$649.11	84% below	—
Carpal tunnel release, open surgery CPT 64721 AMB Neuroplasty ao transposition, median nerve at carpal tunnel BCE	$910.71	$910.71	$163.93–$662.09	84% below	—
Carpal tunnel release, open surgery inpatient CPT 64721 Neuroplasty and/or transportation; median nerve at carpal tunnel	$892.86	$892.86	$178.57–$642.86	—	—
Carpal tunnel release, open surgery inpatient CPT 64721 AMB Neuroplasty ao transposition, median nerve at carpal tunnel BCE	$910.71	$910.71	$182.14–$655.71	—	—
Cesarean delivery, including prenatal and postpartum care CPT 59510 C-Section	$2,322.00	$2,322.00	$417.96–$1,688.09	—	—
Cesarean delivery, including prenatal and postpartum care CPT 59510 Total Ob Care;Cesarean Delivery 59510	$4,639.74	$4,639.74	$835.15–$3,373.09	—	—
Cesarean delivery, including prenatal and postpartum care inpatient CPT 59510 C-Section	$2,322.00	$2,322.00	$464.40–$1,671.84	—	—
Cesarean delivery, including prenatal and postpartum care inpatient CPT 59510 Total Ob Care;Cesarean Delivery 59510	$4,639.74	$4,639.74	$927.95–$3,340.61	—	—
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Circumcision,Clamp/Oth Device 54150	$263.00	$263.00	$47.34–$191.20	80% below	—
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 Circumcision,Clamp/Oth Device 54150	$263.00	$263.00	$52.60–$189.36	—	—
Circumcision, surgical, older than a newborn CPT 54160 Done	$375.00	$375.00	$67.50–$272.62	71% below	—
Circumcision, surgical, older than a newborn inpatient CPT 54160 Done	$375.00	$375.00	$75.00–$270.00	—	—
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Closed Tx of Distal Radial Fracture	$324.00	$324.00	$58.32–$235.55	31% below	—
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Closed treatment of broken forearm bones	$644.00	$644.00	$115.92–$468.19	37% above	—
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 Closed Tx of Distal Radial Fracture	$324.00	$324.00	$64.80–$233.28	—	—
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 Closed treatment of broken forearm bones	$644.00	$644.00	$128.80–$463.68	—	—
Colonoscopy with endoscopic ultrasound CPT 45391 AMB Colonoscopy flexible with endoscopic ultrasound exam	$473.00	$473.00	$85.14–$343.87	78% below	—
Colonoscopy with endoscopic ultrasound inpatient CPT 45391 AMB Colonoscopy flexible with endoscopic ultrasound exam	$473.00	$473.00	$94.60–$340.56	—	—
Colonoscopy with polyp removal CPT 45385 Lesion removal colonoscopy 45385	$900.00	$900.00	$162.00–$654.30	38% below	—
Colonoscopy with polyp removal CPT 45385 Colonoscopy Excision Lesion/Snare Polpectomy	$3,503.00	$3,503.00	$630.54–$2,546.68	141% above	—
Colonoscopy with polyp removal inpatient CPT 45385 Lesion removal colonoscopy 45385	$900.00	$900.00	$180.00–$648.00	—	—
Colonoscopy with polyp removal inpatient CPT 45385 Colonoscopy Excision Lesion/Snare Polpectomy	$3,503.00	$3,503.00	$700.60–$2,522.16	—	—
Colonoscopy with tissue sample CPT 45380 Colonoscopy and Biopsy 45380	$591.00	$591.00	$106.38–$429.66	87% below	—
Colonoscopy with tissue sample CPT 45380 Colonoscopy Biopsy	$3,834.00	$3,834.00	$690.12–$2,787.32	14% below	—
Colonoscopy with tissue sample inpatient CPT 45380 Colonoscopy and Biopsy 45380	$591.00	$591.00	$118.20–$425.52	—	—
Colonoscopy with tissue sample inpatient CPT 45380 Colonoscopy Biopsy	$3,834.00	$3,834.00	$766.80–$2,760.48	—	—
Colonoscopy, diagnostic CPT 45378 Diagnostic Colonoscopy 45378	$500.00	$500.00	$90.00–$363.50	87% below	—
Colonoscopy, diagnostic CPT 45378 Colonoscopy	$4,028.00	$4,028.00	$725.04–$2,928.36	3% above	—
Colonoscopy, diagnostic CPT 45378 Colonoscopy Decompression	$4,028.00	$4,028.00	$725.04–$2,928.36	3% above	—
Colonoscopy, diagnostic CPT 45378 Colonoscopy Screening	$4,028.00	$4,028.00	$725.04–$2,928.36	3% above	—
Colonoscopy, diagnostic CPT 45378 45378 Colonoscopy, flexible; diagnostic, including collection	$4,028.00	$4,028.00	$725.04–$2,928.36	3% above	—
Colonoscopy, diagnostic inpatient CPT 45378 Diagnostic Colonoscopy 45378	$500.00	$500.00	$100.00–$360.00	—	—
Colonoscopy, diagnostic inpatient CPT 45378 Colonoscopy Screening	$4,028.00	$4,028.00	$805.60–$2,900.16	—	—
Colonoscopy, diagnostic inpatient CPT 45378 Colonoscopy Decompression	$4,028.00	$4,028.00	$805.60–$2,900.16	—	—
Colonoscopy, diagnostic inpatient CPT 45378 Colonoscopy	$4,028.00	$4,028.00	$805.60–$2,900.16	—	—
Colonoscopy, diagnostic inpatient CPT 45378 45378 Colonoscopy, flexible; diagnostic, including collection	$4,028.00	$4,028.00	$805.60–$2,900.16	—	—
Coronary stent placement, one artery CPT 92928 AMB Percutanous transcather placement of intracoronary stentsw/angioplasty single major artery or br	$1,227.90	$1,227.90	$221.02–$892.68	90% below	—
Coronary stent placement, one artery CPT 92928 CCL-Stent placement +PTCA, single	$31,208.00	$31,208.00	$5,617.44–$22,688.22	165% above	—
Coronary stent placement, one artery inpatient CPT 92928 AMB Percutanous transcather placement of intracoronary stentsw/angioplasty single major artery or br	$1,227.90	$1,227.90	$245.58–$884.09	—	—
Coronary stent placement, one artery inpatient CPT 92928 CCL-Stent placement +PTCA, single	$31,208.00	$31,208.00	$6,241.60–$22,469.76	—	—
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Cystourethroscopy 52000	$257.03	$257.03	$46.27–$186.86	48% below	—
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 Cystourethroscopy 52000	$257.03	$257.03	$51.41–$185.06	—	—
D&C (dilation and curettage), not related to pregnancy CPT 58120 D&C, diagnostic and/or therapeutic nonobstetrical 58120	$308.00	$308.00	$55.44–$223.92	91% below	—
D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 D&C, diagnostic and/or therapeutic nonobstetrical 58120	$308.00	$308.00	$61.60–$221.76	—	—
Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 Tympanostomy w vent tube, general anesthesia 69436	$226.00	$226.00	$40.68–$164.30	94% below	—
Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 AMB Tympanostomy insertion ventilating tube gen anesth BCE	$645.67	$645.67	$116.22–$469.40	83% below	—
Ear tube placement (tympanostomy) under general anesthesia, one ear inpatient CPT 69436 Tympanostomy w vent tube, general anesthesia 69436	$226.00	$226.00	$45.20–$162.72	—	—
Ear tube placement (tympanostomy) under general anesthesia, one ear inpatient CPT 69436 AMB Tympanostomy insertion ventilating tube gen anesth BCE	$645.67	$645.67	$129.13–$464.88	—	—
Earwax removal by irrigation (rinsing), one ear CPT 69209 RemoveCerumen By Lavage Unila	$198.00	$198.00	$35.64–$143.95	20% above	—
Earwax removal by irrigation (rinsing), one ear CPT 69209 Removal impacted cerumen using irrigationlavage un	$205.00	$205.00	$36.90–$149.04	24% above	—
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 RemoveCerumen By Lavage Unila	$198.00	$198.00	$39.60–$142.56	—	—
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 Removal impacted cerumen using irrigationlavage un	$205.00	$205.00	$41.00–$147.60	—	—
Earwax removal with instruments, one ear CPT 69210 Removal Impacted Cerumen	$205.00	$205.00	$36.90–$149.04	37% above	—
Earwax removal with instruments, one ear CPT 69210 Removal of impact ear wax, one ear	$205.00	$205.00	$36.90–$149.04	37% above	—
Earwax removal with instruments, one ear inpatient CPT 69210 Removal Impacted Cerumen	$205.00	$205.00	$41.00–$147.60	—	—
Earwax removal with instruments, one ear inpatient CPT 69210 Removal of impact ear wax, one ear	$205.00	$205.00	$41.00–$147.60	—	—
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 Done	$504.00	$504.00	$90.72–$366.41	19% below	—
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 Biopsy Endometrium	$515.00	$515.00	$92.70–$374.40	17% below	—
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 Done	$504.00	$504.00	$100.80–$362.88	—	—
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 Biopsy Endometrium	$515.00	$515.00	$103.00–$370.80	—	—
Endoscopic sinus surgery: full ethmoid sinus opening CPT 31255 Endscp Ethmoidectmy Totl 31255	$652.00	$652.00	$117.36–$474.00	92% below	—
Endoscopic sinus surgery: full ethmoid sinus opening inpatient CPT 31255 Endscp Ethmoidectmy Totl 31255	$652.00	$652.00	$130.40–$469.44	—	—
Endoscopic sinus surgery: opening the frontal sinus CPT 31276 Sinus Endoscopy Surgical 31276	$823.00	$823.00	$148.14–$598.32	85% below	—
Endoscopic sinus surgery: opening the frontal sinus inpatient CPT 31276 Sinus Endoscopy Surgical 31276	$823.00	$823.00	$164.60–$592.56	—	—
Endoscopic sinus surgery: opening the maxillary (cheek) sinus CPT 31256 Nsl EndscpySurg plus MaxilAntr 31256	$401.85	$401.85	$72.33–$292.14	—	—
Endoscopic sinus surgery: opening the maxillary (cheek) sinus inpatient CPT 31256 Nsl EndscpySurg plus MaxilAntr 31256	$401.85	$401.85	$80.37–$289.33	—	—
Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 Endoscopy Maxillary Sinus 31267	$516.00	$516.00	$92.88–$375.13	91% below	—
Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue inpatient CPT 31267 Endoscopy Maxillary Sinus 31267	$516.00	$516.00	$103.20–$371.52	—	—
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Cervical thoracic Epidural Steroid Injection with imaging	$418.75	$418.75	$75.38–$304.43	71% below	—
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 IRP Cervical Thoracic Epidural Steroid Injection with imaging	$1,969.00	$1,969.00	$354.42–$1,431.46	36% above	—
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 SCS Cervical thoracic Epidural Steroid Injection with imaging	$1,969.00	$1,969.00	$354.42–$1,431.46	36% above	—
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 Cervical thoracic Epidural Steroid Injection with imaging	$418.75	$418.75	$83.75–$301.50	—	—
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 SCS Cervical thoracic Epidural Steroid Injection with imaging	$1,969.00	$1,969.00	$393.80–$1,417.68	—	—
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 IRP Cervical Thoracic Epidural Steroid Injection with imaging	$1,969.00	$1,969.00	$393.80–$1,417.68	—	—
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Lumbar facet zygapophyseal joint Z JT injection single level with imaging	$279.33	$279.33	$50.28–$203.07	90% below	—
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 IR Steroid Injection Lumbar	$836.00	$836.00	$150.48–$607.77	70% below	—
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 IRP Lumbar facet zygapophyseal joint Z JT injection single level with imaging	$2,558.00	$2,558.00	$460.44–$1,859.67	8% below	—
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 SCS Lumbar facet zygapophyseal joint Z JT injection single level with imaging	$2,558.00	$2,558.00	$460.44–$1,859.67	8% below	—
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 Lumbar facet zygapophyseal joint Z JT injection single level with imaging	$279.33	$279.33	$55.87–$201.12	—	—
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 IR Steroid Injection Lumbar	$836.00	$836.00	$167.20–$601.92	—	—
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 SCS Lumbar facet zygapophyseal joint Z JT injection single level with imaging	$2,558.00	$2,558.00	$511.60–$1,841.76	—	—
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 IRP Lumbar facet zygapophyseal joint Z JT injection single level with imaging	$2,558.00	$2,558.00	$511.60–$1,841.76	—	—
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 AMB Rep of ant abdom hernia ttl length of defect 3 cm to 10 cm, reducible	$1,159.00	$1,159.00	$208.62–$842.59	95% below	—
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm inpatient CPT 49593 AMB Rep of ant abdom hernia ttl length of defect 3 cm to 10 cm, reducible	$1,159.00	$1,159.00	$231.80–$834.48	—	—
First repair of a front abdominal hernia larger than 10 cm CPT 49595 AMB Rep of ant abdom hernia ttl length of defect greater than 10 cm, reducible	$1,557.00	$1,557.00	$280.26–$1,131.94	97% below	—
First repair of a front abdominal hernia larger than 10 cm inpatient CPT 49595 AMB Rep of ant abdom hernia ttl length of defect greater than 10 cm, reducible	$1,557.00	$1,557.00	$311.40–$1,121.04	—	—
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 AMB Rep of ant abdom hernia ttl length of defect less than 3 cm reducible	$692.00	$692.00	$124.56–$503.08	96% below	—
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 Rpr Ventral Hern Init Reduc 49591	$903.00	$903.00	$162.54–$656.48	94% below	—
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm inpatient CPT 49591 AMB Rep of ant abdom hernia ttl length of defect less than 3 cm reducible	$692.00	$692.00	$138.40–$498.24	—	—
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm inpatient CPT 49591 Rpr Ventral Hern Init Reduc 49591	$903.00	$903.00	$180.60–$650.16	—	—
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Diagnostic Sigmoidoscopy 45330	$161.00	$161.00	$28.98–$117.05	90% below	—
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Sigmoidoscopy Diagnostic	$2,515.00	$2,515.00	$452.70–$1,828.40	56% above	—
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 Diagnostic Sigmoidoscopy 45330	$161.00	$161.00	$32.20–$115.92	—	—
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 Sigmoidoscopy Diagnostic	$2,515.00	$2,515.00	$503.00–$1,810.80	—	—
Gallbladder removal, laparoscopic CPT 47562 Laparascopic Cholecystectomy 47562	$1,321.67	$1,321.67	$237.90–$960.85	93% below	—
Gallbladder removal, laparoscopic inpatient CPT 47562 Laparascopic Cholecystectomy 47562	$1,321.67	$1,321.67	$264.33–$951.60	—	—
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 AMB Lap Choli Graph BCE	$1,000.00	$1,000.00	$180.00–$727.00	94% below	—
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery inpatient CPT 47563 AMB Lap Choli Graph BCE	$1,000.00	$1,000.00	$200.00–$720.00	—	—
Gallbladder removal, open surgery through a larger incision CPT 47600 REMOVAL OF GALLBLADDER	$2,148.52	$2,148.52	$386.73–$1,561.97	—	—
Gallbladder removal, open surgery through a larger incision inpatient CPT 47600 REMOVAL OF GALLBLADDER	$2,148.52	$2,148.52	$429.70–$1,546.93	—	—
Hammertoe correction surgery CPT 28285 AMB Repair, Revision, ao Reconstruc Proced on the Foot and Toes BCE	$1,032.51	$1,032.51	$185.85–$750.63	—	—
Hammertoe correction surgery CPT 28285 Repair Hammer Toe	$8,677.00	$8,677.00	$1,561.86–$6,308.18	—	—
Hammertoe correction surgery inpatient CPT 28285 AMB Repair, Revision, ao Reconstruc Proced on the Foot and Toes BCE	$1,032.51	$1,032.51	$206.50–$743.41	—	—
Hammertoe correction surgery inpatient CPT 28285 Repair Hammer Toe	$8,677.00	$8,677.00	$1,735.40–$6,247.44	—	—
Hemorrhoid banding (rubber band ligation) CPT 46221 Hemorrhoid Banding w/o Scope	$1,933.00	$1,933.00	$347.94–$1,405.29	16% above	—
Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 Hemorrhoid Banding w/o Scope	$1,933.00	$1,933.00	$386.60–$1,391.76	—	—
Hemorrhoidectomy (internal and external), one area CPT 46255 AMB Hemorrhoidectomy internal and external, single column/group BCE	$709.37	$709.37	$127.69–$515.71	91% below	—
Hemorrhoidectomy (internal and external), one area inpatient CPT 46255 AMB Hemorrhoidectomy internal and external, single column/group BCE	$709.37	$709.37	$141.87–$510.75	—	—
Hip replacement after an earlier hip surgery (conversion to total hip) CPT 27132 AMB Conv of previous hip surg to total hip arthroplasty	$3,380.00	$3,380.00	$608.40–$2,457.26	—	—
Hip replacement after an earlier hip surgery (conversion to total hip) inpatient CPT 27132 AMB Conv of previous hip surg to total hip arthroplasty	$3,380.00	$3,380.00	$676.00–$2,433.60	—	—
Hysterectomy through an abdominal incision (total) CPT 58150 TAH corpus & cervix w/wo rmvl of tube(s) w/wo rmvl of ovary(s) 58150	$1,269.00	$1,269.00	$228.42–$922.56	—	—
Hysterectomy through an abdominal incision (total) inpatient CPT 58150 TAH corpus & cervix w/wo rmvl of tube(s) w/wo rmvl of ovary(s) 58150	$1,269.00	$1,269.00	$253.80–$913.68	—	—
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 Cath & intro of saline/contrast sonohystero/hysterosalpingography 58340	$116.91	$116.91	$21.04–$84.99	64% below	—
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 58340 Catheterization and introduction of saline or contrast mater	$606.00	$606.00	$109.08–$440.56	84% above	—
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 Cath & intro of saline/contrast sonohystero/hysterosalpingography 58340	$116.91	$116.91	$23.38–$84.18	—	—
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 58340 Catheterization and introduction of saline or contrast mater	$606.00	$606.00	$121.20–$436.32	—	—
Hysteroscopy with endometrial ablation CPT 58563 AMB Hysteroscopy surg w endometrial ablation resection	$630.00	$630.00	$113.40–$458.01	94% below	—
Hysteroscopy with endometrial ablation CPT 58563 Hysteroscopy,Ablation 58563	$3,235.00	$3,235.00	$582.30–$2,351.84	70% below	—
Hysteroscopy with endometrial ablation inpatient CPT 58563 AMB Hysteroscopy surg w endometrial ablation resection	$630.00	$630.00	$126.00–$453.60	—	—
Hysteroscopy with endometrial ablation inpatient CPT 58563 Hysteroscopy,Ablation 58563	$3,235.00	$3,235.00	$647.00–$2,329.20	—	—
IUD insertion (the device itself billed separately) CPT 58300 Insert Intrauterine Device 58300	$131.00	$131.00	$23.58–$95.24	65% below	—
IUD insertion (the device itself billed separately) CPT 58300 IUD Insertion	$164.00	$164.00	$29.52–$119.23	56% below	—
IUD insertion (the device itself billed separately) inpatient CPT 58300 Insert Intrauterine Device 58300	$131.00	$131.00	$26.20–$94.32	—	—
IUD insertion (the device itself billed separately) inpatient CPT 58300 IUD Insertion	$164.00	$164.00	$32.80–$118.08	—	—
Incision and drainage of a simple or single skin abscess CPT 10060 I & D PARONYCHIA -L-	$656.00	$656.00	$118.08–$476.91	60% above	—
Incision and drainage of a simple or single skin abscess CPT 10060 DRAINAGE OF SKIN ABSCESS Simple	$656.00	$656.00	$118.08–$476.91	60% above	—
Incision and drainage of a simple or single skin abscess CPT 10060 Incision & Drainage Simple	$811.00	$811.00	$145.98–$589.60	97% above	—
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I & D PARONYCHIA -L-	$656.00	$656.00	$131.20–$472.32	—	—
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 DRAINAGE OF SKIN ABSCESS Simple	$656.00	$656.00	$131.20–$472.32	—	—
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 Incision & Drainage Simple	$811.00	$811.00	$162.20–$583.92	—	—
Inguinal (groin) hernia repair, age 5 or older CPT 49505 Repair injuinal hernia initial over 5 years old BCE	$742.34	$742.34	$133.62–$539.68	82% below	—
Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 Repair injuinal hernia initial over 5 years old BCE	$742.34	$742.34	$148.47–$534.48	—	—
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 XR Inject Single Tendon Sheath	$359.00	$359.00	$64.62–$260.99	34% below	—
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Injections of tendon sheath, ligament, or muscle m	$969.00	$969.00	$174.42–$704.46	77% above	—
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 XR Inject Single Tendon Sheath	$359.00	$359.00	$71.80–$258.48	—	—
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 Injections of tendon sheath, ligament, or muscle m	$969.00	$969.00	$193.80–$697.68	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 PF Arthrocentesis aspiration ao inj major joint or bursa	$87.00	$87.00	$15.66–$63.25	88% below	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Hip trochaneric or ischial bursa shoulder knee Injection or block wo imaging	$240.00	$240.00	$43.20–$174.48	66% below	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 IRP Small Joint Injection	$823.00	$823.00	$148.14–$598.32	16% above	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 IRP Hip trochaneric or ischial bursa shoulder knee Injection or block wo imaging	$824.00	$824.00	$148.32–$599.05	16% above	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 SCS Hip trochaneric or ischial bursa shoulder knee Injection or block wo imaging	$824.00	$824.00	$148.32–$599.05	16% above	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 IRP Major Joint Injection	$824.00	$824.00	$148.32–$599.05	16% above	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Aspiration and/or injection of large joint or join	$969.00	$969.00	$174.42–$704.46	37% above	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 20610 Arthrocentesis, aspiration and/or injection, W/O US, major joint or	$969.00	$969.00	$174.42–$704.46	37% above	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 PF Arthrocentesis aspiration ao inj major joint or bursa	$87.00	$87.00	$17.40–$62.64	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Hip trochaneric or ischial bursa shoulder knee Injection or block wo imaging	$240.00	$240.00	$48.00–$172.80	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 IRP Small Joint Injection	$823.00	$823.00	$164.60–$592.56	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 IRP Major Joint Injection	$824.00	$824.00	$164.80–$593.28	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 SCS Hip trochaneric or ischial bursa shoulder knee Injection or block wo imaging	$824.00	$824.00	$164.80–$593.28	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 IRP Hip trochaneric or ischial bursa shoulder knee Injection or block wo imaging	$824.00	$824.00	$164.80–$593.28	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 20610 Arthrocentesis, aspiration and/or injection, W/O US, major joint or	$969.00	$969.00	$193.80–$697.68	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Aspiration and/or injection of large joint or join	$969.00	$969.00	$193.80–$697.68	—	—
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 Insert Drug Implant Device 11981	$134.00	$134.00	$24.12–$97.42	55% below	—
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 Implantable Contraception Device Insertion	$353.00	$353.00	$63.54–$256.63	18% above	—
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 Insert Drug Implant Device 11981	$134.00	$134.00	$26.80–$96.48	—	—
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 Implantable Contraception Device Insertion	$353.00	$353.00	$70.60–$254.16	—	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 AMB Arthrodesis Medium Joint Injection without Image Guidance BCE	$76.07	$76.07	$13.69–$55.30	86% below	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Temporomandibular joint TMJ injection with ultrasound guidance	$146.25	$146.25	$26.32–$106.32	72% below	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 IRP Medium joint injection wo imaging guidance	$824.00	$824.00	$148.32–$599.05	56% above	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 IRP Temporomandibular joint TMJ injection with ultrasound guidance	$824.00	$824.00	$148.32–$599.05	56% above	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 SCS Temporomandibular joint TMJ injection with ultrasound guidance	$824.00	$824.00	$148.32–$599.05	56% above	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Aspiration and/or injection of medium joint or joi	$869.00	$869.00	$156.42–$631.76	64% above	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 AMB Arthrodesis Medium Joint Injection without Image Guidance BCE	$76.07	$76.07	$15.21–$54.77	—	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Temporomandibular joint TMJ injection with ultrasound guidance	$146.25	$146.25	$29.25–$105.30	—	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 IRP Temporomandibular joint TMJ injection with ultrasound guidance	$824.00	$824.00	$164.80–$593.28	—	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 SCS Temporomandibular joint TMJ injection with ultrasound guidance	$824.00	$824.00	$164.80–$593.28	—	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 IRP Medium joint injection wo imaging guidance	$824.00	$824.00	$164.80–$593.28	—	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Aspiration and/or injection of medium joint or joi	$869.00	$869.00	$173.80–$625.68	—	—
Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral)	$1,442.14	$1,442.14	$259.59–$1,048.44	68% below	—
Knee arthroscopy with meniscus repair (one side of the knee) inpatient CPT 29882 Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral)	$1,442.14	$1,442.14	$288.43–$1,038.34	—	—
Knee arthroscopy with meniscus trim CPT 29881 Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) i	$1,126.00	$1,126.00	$202.68–$818.60	75% below	—
Knee arthroscopy with meniscus trim inpatient CPT 29881 Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) i	$1,126.00	$1,126.00	$225.20–$810.72	—	—
Knee arthroscopy with removal of both torn meniscus parts CPT 29880 Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving)	$1,168.58	$1,168.58	$210.34–$849.56	—	—
Knee arthroscopy with removal of both torn meniscus parts inpatient CPT 29880 Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving)	$1,168.58	$1,168.58	$233.72–$841.38	—	—
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty)	$1,292.72	$1,292.72	$232.69–$939.81	—	—
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) inpatient CPT 29877 Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty)	$1,292.72	$1,292.72	$258.54–$930.76	—	—
Laparoscopic Roux-en-Y gastric bypass, standard limb length CPT 43644 Lap Gastric Bypass Rouxeny BCE	$2,477.64	$2,477.64	$445.98–$1,801.24	95% below	—
Laparoscopic Roux-en-Y gastric bypass, standard limb length inpatient CPT 43644 Lap Gastric Bypass Rouxeny BCE	$2,477.64	$2,477.64	$495.53–$1,783.90	—	—
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 Laparoscopic Appendectomy 44970	$1,206.73	$1,206.73	$217.21–$877.29	94% below	—
Laparoscopic appendectomy (appendix removal through small cuts) inpatient CPT 44970 Laparoscopic Appendectomy 44970	$1,206.73	$1,206.73	$241.35–$868.85	—	—
Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 AMB Laproscopy esophagogastric fundoplasty BCE	$2,225.18	$2,225.18	$400.53–$1,617.71	—	—
Laparoscopic fundoplication (anti-reflux surgery) inpatient CPT 43280 AMB Laproscopy esophagogastric fundoplasty BCE	$2,225.18	$2,225.18	$445.04–$1,602.13	—	—
Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 Tlh Uterus 250 G Or Less 58570	$1,565.46	$1,565.46	$281.78–$1,138.09	95% below	—
Laparoscopic hysterectomy (uterus 250 g or less) inpatient CPT 58570 Tlh Uterus 250 G Or Less 58570	$1,565.46	$1,565.46	$313.09–$1,127.13	—	—
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 Tlh W/T/O 250 G Or Less 58571	$1,283.31	$1,283.31	$231.00–$932.97	97% below	—
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries inpatient CPT 58571 Tlh W/T/O 250 G Or Less 58571	$1,283.31	$1,283.31	$256.66–$923.98	—	—
Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 AMB Lap surgical repair initial ing hernia BCE	$857.04	$857.04	$154.27–$623.07	96% below	—
Laparoscopic inguinal (groin) hernia repair, first repair on that side inpatient CPT 49650 AMB Lap surgical repair initial ing hernia BCE	$857.04	$857.04	$171.41–$617.07	—	—
Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 AMB LAPAROSCOPY, ING. HERNIA RECUR BCE	$665.00	$665.00	$119.70–$483.46	—	—
Laparoscopic inguinal (groin) hernia repair, recurrent hernia inpatient CPT 49651 AMB LAPAROSCOPY, ING. HERNIA RECUR BCE	$665.00	$665.00	$133.00–$478.80	—	—
Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 Laparoscopy,Remove Adnexa 58661	$904.00	$904.00	$162.72–$657.21	96% below	—
Laparoscopic removal of fallopian tubes and/or ovaries inpatient CPT 58661 Laparoscopy,Remove Adnexa 58661	$904.00	$904.00	$180.80–$650.88	—	—
Laparoscopic sleeve gastrectomy for weight loss CPT 43775 Lap Sleeve Gastrectomy 43775	$4,140.00	$4,140.00	$745.20–$3,009.78	91% below	—
Laparoscopic sleeve gastrectomy for weight loss inpatient CPT 43775 Lap Sleeve Gastrectomy 43775	$4,140.00	$4,140.00	$828.00–$2,980.80	—	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Intmd rpr s a t ext 2.5 cm or less	$314.70	$314.70	$56.65–$228.79	40% below	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 RPR LAC INT S/A/T/E <2.6CM	$422.00	$422.00	$75.96–$306.79	20% below	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 Intmd rpr s a t ext 2.5 cm or less	$314.70	$314.70	$62.94–$226.58	—	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 RPR LAC INT S/A/T/E <2.6CM	$422.00	$422.00	$84.40–$303.84	—	—
Left heart catheterization, diagnostic one side CPT 93452 CCL- Left Ventriculogram	$10,120.00	$10,120.00	$1,821.60–$7,357.24	2% below	—
Left heart catheterization, diagnostic inpatient one side CPT 93452 CCL- Left Ventriculogram	$10,120.00	$10,120.00	$2,024.00–$7,286.40	—	—
Lower-back epidural injection, with imaging guidance CPT 62323 Lumbar Sacral Caudal Epidural Steroid Injection with Imaging	$387.50	$387.50	$69.75–$281.71	73% below	—
Lower-back epidural injection, with imaging guidance CPT 62323 SCS Lumbar sacral Caudal Epidural Steroid Injection with imaging	$1,969.00	$1,969.00	$354.42–$1,431.46	36% above	—
Lower-back epidural injection, with imaging guidance CPT 62323 IRP Lumbar Sacral Caudal Epidural Steroid Injection with Imaging	$1,969.00	$1,969.00	$354.42–$1,431.46	36% above	—
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 Lumbar Sacral Caudal Epidural Steroid Injection with Imaging	$387.50	$387.50	$77.50–$279.00	—	—
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 SCS Lumbar sacral Caudal Epidural Steroid Injection with imaging	$1,969.00	$1,969.00	$393.80–$1,417.68	—	—
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 IRP Lumbar Sacral Caudal Epidural Steroid Injection with Imaging	$1,969.00	$1,969.00	$393.80–$1,417.68	—	—
Lower-back epidural injection, without imaging guidance CPT 62322 ODSU Epidural Steriod Injection (Lumbar)	$2,139.00	$2,139.00	$385.02–$1,555.05	15% above	—
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 ODSU Epidural Steriod Injection (Lumbar)	$2,139.00	$2,139.00	$427.80–$1,540.08	—	—
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Lumbar Transoraminal Epidural Steroid Injection nerve block lumbar or sacral single level with i	$435.00	$435.00	$78.30–$316.24	76% below	—
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 IRP Lumbar Transforaminal Epidural steroid injection nerve block lumbar or sacral single level	$2,558.00	$2,558.00	$460.44–$1,859.67	40% above	—
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 SCS Lumbar Transforaminal Epidural steroid injection nerve block lumbar or sacral single level with	$5,116.00	$5,116.00	$920.88–$3,719.33	179% above	—
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Lumbar Transoraminal Epidural Steroid Injection nerve block lumbar or sacral single level with i	$435.00	$435.00	$87.00–$313.20	—	—
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 IRP Lumbar Transforaminal Epidural steroid injection nerve block lumbar or sacral single level	$2,558.00	$2,558.00	$511.60–$1,841.76	—	—
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 SCS Lumbar Transforaminal Epidural steroid injection nerve block lumbar or sacral single level with	$5,116.00	$5,116.00	$1,023.20–$3,683.52	—	—
Lumbar discectomy or laminotomy to free a nerve root, one level CPT 63030 AMB Laminotomy, with decompression of nerve root. One interspace, lumbar BCE	$2,010.54	$2,010.54	$361.90–$1,461.66	93% below	—
Lumbar discectomy or laminotomy to free a nerve root, one level inpatient CPT 63030 AMB Laminotomy, with decompression of nerve root. One interspace, lumbar BCE	$2,010.54	$2,010.54	$402.11–$1,447.59	—	—
Lumbar laminectomy (spinal decompression), one level CPT 63047 AMB Laminectomy facetectomy and foraminotomy, single vertebral segment BCE	$2,277.12	$2,277.12	$409.88–$1,655.47	92% below	—
Lumbar laminectomy (spinal decompression), one level inpatient CPT 63047 AMB Laminectomy facetectomy and foraminotomy, single vertebral segment BCE	$2,277.12	$2,277.12	$455.42–$1,639.53	—	—
Lumbar spinal fusion (posterior), one level CPT 22612 AMB Arthrodesis posterior or posterolateral technique, single level BCE	$3,267.39	$3,267.39	$588.13–$2,375.39	93% below	—
Lumbar spinal fusion (posterior), one level CPT 22612 SCS Lumbar with Lateral transverse technique when performed	$86,879.00	$86,879.00	$15,638.22–$63,161.03	79% above	—
Lumbar spinal fusion (posterior), one level inpatient CPT 22612 AMB Arthrodesis posterior or posterolateral technique, single level BCE	$3,267.39	$3,267.39	$653.48–$2,352.52	—	—
Lumbar spinal fusion (posterior), one level inpatient CPT 22612 SCS Lumbar with Lateral transverse technique when performed	$86,879.00	$86,879.00	$17,375.80–$62,552.88	—	—
Lumpectomy (partial mastectomy) CPT 19301 AMB MASTESCTOMY, PARTIAL BCE	$1,302.98	$1,302.98	$234.54–$947.27	82% below	—
Lumpectomy (partial mastectomy) inpatient CPT 19301 AMB MASTESCTOMY, PARTIAL BCE	$1,302.98	$1,302.98	$260.60–$938.15	—	—
Mastectomy (total removal of the breast) CPT 19303 AMB MASTECTO SIMPLE COMPLET MODIFI BCE	$2,018.68	$2,018.68	$363.36–$1,467.58	94% below	—
Mastectomy (total removal of the breast) inpatient CPT 19303 AMB MASTECTO SIMPLE COMPLET MODIFI BCE	$2,018.68	$2,018.68	$403.74–$1,453.45	—	—
Miscarriage treatment with D&C, first trimester CPT 59820 Care Of Miscarriage 59820	$363.00	$363.00	$65.34–$263.90	89% below	—
Miscarriage treatment with D&C, first trimester inpatient CPT 59820 Care Of Miscarriage 59820	$363.00	$363.00	$72.60–$261.36	—	—
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC TR-EXT 0.5CM<	$495.00	$495.00	$89.10–$359.86	65% below	—
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 EXC TR-EXT 0.5CM<	$495.00	$495.00	$99.00–$356.40	—	—
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXC FACE-MM 0.5 CM<	$1,211.00	$1,211.00	$217.98–$880.40	15% below	—
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 EXC FACE-MM 0.5 CM<	$1,211.00	$1,211.00	$242.20–$871.92	—	—
Nail removal (partial or complete), one nail CPT 11730 Avulsion 1 Nail Plate Par/Comp	$545.00	$545.00	$98.10–$396.22	33% above	—
Nail removal (partial or complete), one nail CPT 11730 Avulsion nail bed single	$561.00	$561.00	$100.98–$407.85	37% above	—
Nail removal (partial or complete), one nail inpatient CPT 11730 Avulsion 1 Nail Plate Par/Comp	$545.00	$545.00	$109.00–$392.40	—	—
Nail removal (partial or complete), one nail inpatient CPT 11730 Avulsion nail bed single	$561.00	$561.00	$112.20–$403.92	—	—
Occipital nerve block (injection for headaches) CPT 64405 Nerve Block Inj, Occipital 64405	$163.00	$163.00	$29.34–$118.50	73% below	—
Occipital nerve block (injection for headaches) CPT 64405 Greater occipital nerve GON injection block without imaging	$167.82	$167.82	$30.21–$122.01	72% below	—
Occipital nerve block (injection for headaches) CPT 64405 Injection of anesthetic agent, greater occipital n	$817.00	$817.00	$147.06–$593.96	35% above	—
Occipital nerve block (injection for headaches) CPT 64405 SCS Greater occipital nerve GON injection block without imaging	$824.00	$824.00	$148.32–$599.05	37% above	—
Occipital nerve block (injection for headaches) CPT 64405 IRP Greater Occipital Nerve GON Injection Block without Imaging	$824.00	$824.00	$148.32–$599.05	37% above	—
Occipital nerve block (injection for headaches) inpatient CPT 64405 Nerve Block Inj, Occipital 64405	$163.00	$163.00	$32.60–$117.36	—	—
Occipital nerve block (injection for headaches) inpatient CPT 64405 Greater occipital nerve GON injection block without imaging	$167.82	$167.82	$33.56–$120.83	—	—
Occipital nerve block (injection for headaches) inpatient CPT 64405 Injection of anesthetic agent, greater occipital n	$817.00	$817.00	$163.40–$588.24	—	—
Occipital nerve block (injection for headaches) inpatient CPT 64405 IRP Greater Occipital Nerve GON Injection Block without Imaging	$824.00	$824.00	$164.80–$593.28	—	—
Occipital nerve block (injection for headaches) inpatient CPT 64405 SCS Greater occipital nerve GON injection block without imaging	$824.00	$824.00	$164.80–$593.28	—	—
Pacemaker implant (dual chamber) CPT 33208 CCL- PPM with A&V Lead	$43,752.00	$43,752.00	$7,875.36–$31,807.70	192% above	—
Pacemaker implant (dual chamber) inpatient CPT 33208 CCL- PPM with A&V Lead	$43,752.00	$43,752.00	$8,750.40–$31,501.44	—	—
Paracentesis with imaging guidance CPT 49083 Report	$224.68	$224.68	$40.44–$163.34	87% below	—
Paracentesis with imaging guidance CPT 49083 US Paracentesis	$852.00	$852.00	$153.36–$619.40	51% below	—
Paracentesis with imaging guidance CPT 49083 Abdm paracentesis w imaging	$2,750.00	$2,750.00	$495.00–$1,999.25	59% above	—
Paracentesis with imaging guidance CPT 49083 ADB PARACENTESIS W/ IMAGING	$2,750.00	$2,750.00	$495.00–$1,999.25	59% above	—
Paracentesis with imaging guidance inpatient CPT 49083 Report	$224.68	$224.68	$44.94–$161.77	—	—
Paracentesis with imaging guidance inpatient CPT 49083 US Paracentesis	$852.00	$852.00	$170.40–$613.44	—	—
Paracentesis with imaging guidance inpatient CPT 49083 ADB PARACENTESIS W/ IMAGING	$2,750.00	$2,750.00	$550.00–$1,980.00	—	—
Paracentesis with imaging guidance inpatient CPT 49083 Abdm paracentesis w imaging	$2,750.00	$2,750.00	$550.00–$1,980.00	—	—
Partial knee replacement (one compartment) CPT 27446 AMB Arthroplasty knee condyle and plateau medial or lat compmt	$2,134.00	$2,134.00	$384.12–$1,551.42	—	—
Partial knee replacement (one compartment) inpatient CPT 27446 AMB Arthroplasty knee condyle and plateau medial or lat compmt	$2,134.00	$2,134.00	$426.80–$1,536.48	—	—
Permanent removal of a nail and nail root (partial or complete) CPT 11750 Excsn Nail Part/Comp Perm Remo	$1,395.00	$1,395.00	$251.10–$1,014.16	76% above	—
Permanent removal of a nail and nail root (partial or complete) CPT 11750 Removal of nail	$1,439.00	$1,439.00	$259.02–$1,046.15	82% above	—
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 Excsn Nail Part/Comp Perm Remo	$1,395.00	$1,395.00	$279.00–$1,004.40	—	—
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 Removal of nail	$1,439.00	$1,439.00	$287.80–$1,036.08	—	—
Prostate biopsy CPT 55700 55700 Biopsy, prostate; needle or punch, single or multiple, any a	$5,337.00	$5,337.00	$960.66–$3,880.00	55% above	—
Prostate biopsy inpatient CPT 55700 55700 Biopsy, prostate; needle or punch, single or multiple, any a	$5,337.00	$5,337.00	$1,067.40–$3,842.64	—	—
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 PF Destruct by neurolytic agent facet joint w imaging single facet joint	$335.00	$335.00	$60.30–$243.54	90% below	—
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 Lumbar or sacral Medial Branch Block RFA ablation single level with imaging	$862.50	$862.50	$155.25–$627.04	75% below	—
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 SCS Lumbar or sacral Medial Branch Block RFA ablation single level with imaging	$7,161.00	$7,161.00	$1,288.98–$5,206.05	110% above	—
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 IRP Lumbar or Sacral Medial Branch Block RFA Ablation Single Level with Imaging	$7,161.00	$7,161.00	$1,288.98–$5,206.05	110% above	—
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 PF Destruct by neurolytic agent facet joint w imaging single facet joint	$335.00	$335.00	$67.00–$241.20	—	—
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 Lumbar or sacral Medial Branch Block RFA ablation single level with imaging	$862.50	$862.50	$172.50–$621.00	—	—
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 IRP Lumbar or Sacral Medial Branch Block RFA Ablation Single Level with Imaging	$7,161.00	$7,161.00	$1,432.20–$5,155.92	—	—
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 SCS Lumbar or sacral Medial Branch Block RFA ablation single level with imaging	$7,161.00	$7,161.00	$1,432.20–$5,155.92	—	—
Removal of a foreign object under the skin, simple CPT 10120 Incision and removal of foreign body subcutaneous	$867.00	$867.00	$156.06–$630.31	28% above	—
Removal of a foreign object under the skin, simple inpatient CPT 10120 Incision and removal of foreign body subcutaneous	$867.00	$867.00	$173.40–$624.24	—	—
Removal of one lobe of the thyroid (lobectomy) CPT 60220 Partial Removal Of Thyroid 60220	$940.00	$940.00	$169.20–$683.38	96% below	—
Removal of one lobe of the thyroid (lobectomy) inpatient CPT 60220 Partial Removal Of Thyroid 60220	$940.00	$940.00	$188.00–$676.80	—	—
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 Colorec Cncr Scr;Colnscpy No Hi Rsk G0121	$316.00	$316.00	$56.88–$229.73	92% below	—
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 Colonoscopy Screening/Surveillance	$4,028.00	$4,028.00	$725.04–$2,928.36	3% below	—
Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 Colorec Cncr Scr;Colnscpy No Hi Rsk G0121	$316.00	$316.00	$63.20–$227.52	—	—
Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 Colonoscopy Screening/Surveillance	$4,028.00	$4,028.00	$805.60–$2,900.16	—	—
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 Colorec Cancr Scr; Colnscpy Hi Risk G0105	$1,020.51	$1,020.51	$183.69–$741.91	75% below	—
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 Colonoscopy Screening High Risk	$4,028.00	$4,028.00	$725.04–$2,928.36	3% below	—
Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 Colorec Cancr Scr; Colnscpy Hi Risk G0105	$1,020.51	$1,020.51	$204.10–$734.77	—	—
Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 Colonoscopy Screening High Risk	$4,028.00	$4,028.00	$805.60–$2,900.16	—	—
Septoplasty to straighten the nasal septum CPT 30520 Septoplasty W/WO Repl/Gft 30520	$628.00	$628.00	$113.04–$456.56	89% below	—
Septoplasty to straighten the nasal septum CPT 30520 Septoplasty	$8,801.00	$8,801.00	$1,584.18–$6,398.33	51% above	—
Septoplasty to straighten the nasal septum inpatient CPT 30520 Septoplasty W/WO Repl/Gft 30520	$628.00	$628.00	$125.60–$452.16	—	—
Septoplasty to straighten the nasal septum inpatient CPT 30520 Septoplasty	$8,801.00	$8,801.00	$1,760.20–$6,336.72	—	—
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 Lithotripsy Extracorporeal Shock Wave	$22,422.00	$22,422.00	$4,035.96–$16,300.79	127% above	—
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 Cystosocpy Lithotripsy Extracorporeal Shock Wave	$22,422.00	$22,422.00	$4,035.96–$16,300.79	127% above	—
Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 Cystosocpy Lithotripsy Extracorporeal Shock Wave	$22,422.00	$22,422.00	$4,484.40–$16,143.84	—	—
Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 Lithotripsy Extracorporeal Shock Wave	$22,422.00	$22,422.00	$4,484.40–$16,143.84	—	—
Short arm cast (elbow to hand) CPT 29075 Application Cast Elbow to Finger Short Arm	$345.60	$345.60	$62.21–$251.25	22% below	—
Short arm cast (elbow to hand) inpatient CPT 29075 Application Cast Elbow to Finger Short Arm	$345.60	$345.60	$69.12–$248.83	—	—
Short arm splint (forearm and hand) CPT 29125 Application Splint Short Arm Forearm to Hand	$166.20	$166.20	$29.92–$120.83	55% below	—
Short arm splint (forearm and hand) CPT 29125 Application of non-moveable, short arm splint (for	$389.00	$389.00	$70.02–$282.80	6% above	—
Short arm splint (forearm and hand) inpatient CPT 29125 Application Splint Short Arm Forearm to Hand	$166.20	$166.20	$33.24–$119.66	—	—
Short arm splint (forearm and hand) inpatient CPT 29125 Application of non-moveable, short arm splint (for	$389.00	$389.00	$77.80–$280.08	—	—
Short leg cast (below the knee) CPT 29405 Application of Short Leg Cast Below Knee to Toes	$345.60	$345.60	$62.21–$251.25	31% below	—
Short leg cast (below the knee) CPT 29405 Application of short leg cast (below knee to toes)	$759.00	$759.00	$136.62–$551.79	52% above	—
Short leg cast (below the knee) inpatient CPT 29405 Application of Short Leg Cast Below Knee to Toes	$345.60	$345.60	$69.12–$248.83	—	—
Short leg cast (below the knee) inpatient CPT 29405 Application of short leg cast (below knee to toes)	$759.00	$759.00	$151.80–$546.48	—	—
Short leg splint (calf to foot) CPT 29515 Application of short leg splint (calf to foot)	$333.00	$333.00	$59.94–$242.09	8% above	—
Short leg splint (calf to foot) inpatient CPT 29515 Application of short leg splint (calf to foot)	$333.00	$333.00	$66.60–$239.76	—	—
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 Arthroscopy shoulder surgical distal claviculectomy including distal articular surface	$1,404.60	$1,404.60	$252.83–$1,021.14	—	—
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) inpatient CPT 29824 Arthroscopy shoulder surgical distal claviculectomy including distal articular surface	$1,404.60	$1,404.60	$280.92–$1,011.31	—	—
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 Arthroscopy shoulder surgical decompression of subacromial space with partial acromioplasty with co	$8,788.00	$8,788.00	$1,581.84–$6,388.88	at median	—
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 Arthroscopy shoulder surgical decompression of subacromial space with partial acromioplasty with co	$8,788.00	$8,788.00	$1,757.60–$6,327.36	—	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Rpr s n az gen trnk 2.5 cm less than	$93.84	$93.84	$16.89–$68.22	72% below	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Rpr wnd 2.5<cm sclp;undarm;trnk;arm;lgWC	$422.00	$422.00	$75.96–$306.79	24% above	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Rpr wnd 2.5<cm sclp;undrarm;trnk;arm;lgs	$422.00	$422.00	$75.96–$306.79	24% above	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Rpr s n az gen trnk 2.5 cm less than	$93.84	$93.84	$18.77–$67.56	—	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Rpr wnd 2.5<cm sclp;undarm;trnk;arm;lgWC	$422.00	$422.00	$84.40–$303.84	—	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Rpr wnd 2.5<cm sclp;undrarm;trnk;arm;lgs	$422.00	$422.00	$84.40–$303.84	—	—
Skin biopsy, punch, one lesion CPT 11104 Biopsy Skin Single Lesion	$592.00	$592.00	$106.56–$430.38	15% below	—
Skin biopsy, punch, one lesion CPT 11104 Biopsy Skin SQ 1 Lesion	$592.00	$592.00	$106.56–$430.38	15% below	—
Skin biopsy, punch, one lesion inpatient CPT 11104 Biopsy Skin Single Lesion	$592.00	$592.00	$118.40–$426.24	—	—
Skin biopsy, punch, one lesion inpatient CPT 11104 Biopsy Skin SQ 1 Lesion	$592.00	$592.00	$118.40–$426.24	—	—
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 Excision, malignant lesion, trunk/arms/legs 0-0.5cm 11600	$239.29	$239.29	$43.07–$173.96	93% below	—
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 Excision, malignant lesion, trunk/arms/legs 0-0.5cm 11600	$239.29	$239.29	$47.86–$172.29	—	—
Skin tag removal, up to 15 tags CPT 11200 Removal of up to and including 15 skin tags	$550.00	$550.00	$99.00–$399.85	44% above	—
Skin tag removal, up to 15 tags inpatient CPT 11200 Removal of up to and including 15 skin tags	$550.00	$550.00	$110.00–$396.00	—	—
Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE DIAGNOSTIC	$2,139.00	$2,139.00	$385.02–$1,555.05	115% above	—
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 LUMBAR PUNCTURE DIAGNOSTIC	$2,139.00	$2,139.00	$427.80–$1,540.08	—	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Rpr s n ax gen ttrnk 2.6 to 7.5cm	$124.88	$124.88	$22.48–$90.79	71% below	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Rpr wnd 2.6-7.5cm sclp;axl;trnk;arm;lgWC	$431.00	$431.00	$77.58–$313.34	at median	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 RPR SMP S/N/H/F 2.6-7.5CM	$431.00	$431.00	$77.58–$313.34	at median	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 Rpr s n ax gen ttrnk 2.6 to 7.5cm	$124.88	$124.88	$24.98–$89.91	—	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 Rpr wnd 2.6-7.5cm sclp;axl;trnk;arm;lgWC	$431.00	$431.00	$86.20–$310.32	—	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 RPR SMP S/N/H/F 2.6-7.5CM	$431.00	$431.00	$86.20–$310.32	—	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Rpr wnd 2.5<cm fce;eyelds;ears;nse;lipWC	$422.00	$422.00	$75.96–$306.79	15% above	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Repair of wound (2.5 centimeters or less) of the f	$422.00	$422.00	$75.96–$306.79	15% above	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 Repair of wound (2.5 centimeters or less) of the f	$422.00	$422.00	$84.40–$303.84	—	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 Rpr wnd 2.5<cm fce;eyelds;ears;nse;lipWC	$422.00	$422.00	$84.40–$303.84	—	—
Tangential (shave-style) skin biopsy, one lesion CPT 11102 Tangenitial Biopsy Skin- single lesion	$592.00	$592.00	$106.56–$430.38	84% above	—
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 Tangenitial Biopsy Skin- single lesion	$592.00	$592.00	$118.40–$426.24	—	—
Thoracentesis with imaging guidance CPT 32555 Report	$233.60	$233.60	$42.05–$169.83	78% below	—
Thoracentesis with imaging guidance CPT 32555 US Thoracentesis	$776.00	$776.00	$139.68–$564.15	27% below	—
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W/ IMAGINE GUID	$1,762.00	$1,762.00	$317.16–$1,280.97	65% above	—
Thoracentesis with imaging guidance CPT 32555 Thoracentesis Aspiration with Guidance	$1,763.00	$1,763.00	$317.34–$1,281.70	65% above	—
Thoracentesis with imaging guidance CPT 32555 US Guide Chest Tube Insertion	$2,082.00	$2,082.00	$374.76–$1,513.61	95% above	—
Thoracentesis with imaging guidance inpatient CPT 32555 Report	$233.60	$233.60	$46.72–$168.19	—	—
Thoracentesis with imaging guidance inpatient CPT 32555 US Thoracentesis	$776.00	$776.00	$155.20–$558.72	—	—
Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS W/ IMAGINE GUID	$1,762.00	$1,762.00	$352.40–$1,268.64	—	—
Thoracentesis with imaging guidance inpatient CPT 32555 Thoracentesis Aspiration with Guidance	$1,763.00	$1,763.00	$352.60–$1,269.36	—	—
Thoracentesis with imaging guidance inpatient CPT 32555 US Guide Chest Tube Insertion	$2,082.00	$2,082.00	$416.40–$1,499.04	—	—
Tonsil and adenoid removal, age 12 or older CPT 42821 Removal tonsils and adenoids, age 12 or over 42821	$419.00	$419.00	$75.42–$304.61	95% below	—
Tonsil and adenoid removal, age 12 or older inpatient CPT 42821 Removal tonsils and adenoids, age 12 or over 42821	$419.00	$419.00	$83.80–$301.68	—	—
Tonsil and adenoid removal, child under 12 CPT 42820 Removal tonsils and adenoids, younger than age 12 42820	$588.36	$588.36	$105.90–$427.74	79% below	—
Tonsil and adenoid removal, child under 12 inpatient CPT 42820 Removal tonsils and adenoids, younger than age 12 42820	$588.36	$588.36	$117.67–$423.62	—	—
Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 Tonsillectomy, primary or secondary, age 12 or over 42826	$345.00	$345.00	$62.10–$250.82	95% below	—
Tonsil removal (tonsillectomy) only, age 12 or older inpatient CPT 42826 Tonsillectomy, primary or secondary, age 12 or over 42826	$345.00	$345.00	$69.00–$248.40	—	—
Tonsil removal (tonsillectomy) only, child under 12 CPT 42825 Tonsillectomy, primary or secondary, younger than age 12 42825	$353.00	$353.00	$63.54–$256.63	87% below	—
Tonsil removal (tonsillectomy) only, child under 12 CPT 42825 Tonsillectomy	$18,816.00	$18,816.00	$3,386.88–$13,679.23	570% above	—
Tonsil removal (tonsillectomy) only, child under 12 inpatient CPT 42825 Tonsillectomy, primary or secondary, younger than age 12 42825	$353.00	$353.00	$70.60–$254.16	—	—
Tonsil removal (tonsillectomy) only, child under 12 inpatient CPT 42825 Tonsillectomy	$18,816.00	$18,816.00	$3,763.20–$13,547.52	—	—
Total hip replacement CPT 27130 AMB Arthroplasty, acetabular and proximal femoral prosthetic replacement BCE	$2,644.90	$2,644.90	$476.08–$1,922.84	93% below	—
Total hip replacement inpatient CPT 27130 AMB Arthroplasty, acetabular and proximal femoral prosthetic replacement BCE	$2,644.90	$2,644.90	$528.98–$1,904.33	—	—
Total knee replacement CPT 27447 AMB Arthroplasty, knee, condyle and plateau BCE	$2,641.41	$2,641.41	$475.45–$1,920.31	91% below	—
Total knee replacement inpatient CPT 27447 AMB Arthroplasty, knee, condyle and plateau BCE	$2,641.41	$2,641.41	$528.28–$1,901.82	—	—
Total shoulder replacement CPT 23472 Arthroplasty glenohumeral joint total shoulder	$3,030.08	$3,030.08	$545.41–$2,202.87	93% below	—
Total shoulder replacement inpatient CPT 23472 Arthroplasty glenohumeral joint total shoulder	$3,030.08	$3,030.08	$606.02–$2,181.66	—	—
Total thyroid removal (thyroidectomy) CPT 60240 Removal of Thyroid 60240	$1,237.00	$1,237.00	$222.66–$899.30	96% below	—
Total thyroid removal (thyroidectomy) inpatient CPT 60240 Removal of Thyroid 60240	$1,237.00	$1,237.00	$247.40–$890.64	—	—
Trigger finger release surgery CPT 26055 AMB Tendon sheath incision BCE	$1,220.56	$1,220.56	$219.70–$887.35	55% below	—
Trigger finger release surgery CPT 26055 Release Trigger Finger	$5,436.00	$5,436.00	$978.48–$3,951.97	102% above	—
Trigger finger release surgery inpatient CPT 26055 AMB Tendon sheath incision BCE	$1,220.56	$1,220.56	$244.11–$878.80	—	—
Trigger finger release surgery inpatient CPT 26055 Release Trigger Finger	$5,436.00	$5,436.00	$1,087.20–$3,913.92	—	—
Trigger point injections, 1 or 2 muscles CPT 20552 Trigger point injection 1 or 2 muscles without imaging	$120.18	$120.18	$21.63–$87.37	74% below	—
Trigger point injections, 1 or 2 muscles CPT 20552 Aspiration and/or injection of small joint or join	$817.00	$817.00	$147.06–$593.96	76% above	—
Trigger point injections, 1 or 2 muscles CPT 20552 SCS Trigger point injection 1 or 2 muscles without imaging	$823.00	$823.00	$148.14–$598.32	77% above	—
Trigger point injections, 1 or 2 muscles CPT 20552 IRP Trigger Point Injection 1 or 2 Muscles without Imaging	$824.00	$824.00	$148.32–$599.05	78% above	—
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Trigger point injection 1 or 2 muscles without imaging	$120.18	$120.18	$24.04–$86.53	—	—
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Aspiration and/or injection of small joint or join	$817.00	$817.00	$163.40–$588.24	—	—
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 SCS Trigger point injection 1 or 2 muscles without imaging	$823.00	$823.00	$164.60–$592.56	—	—
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 IRP Trigger Point Injection 1 or 2 Muscles without Imaging	$824.00	$824.00	$164.80–$593.28	—	—
Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 Laparoscopy,Tubal Cautery 58670	$492.00	$492.00	$88.56–$357.68	—	—
Tubal ligation, laparoscopic (tubes sealed by cautery) inpatient CPT 58670 Laparoscopy,Tubal Cautery 58670	$492.00	$492.00	$98.40–$354.24	—	—
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 Report	$336.25	$336.25	$60.52–$244.45	90% below	—
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 Report	$336.25	$336.25	$67.25–$242.10	—	—
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 EGD w/ Balloon Dilation Esophagus 43249	$222.00	$222.00	$39.96–$161.39	97% below	—
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 EGD Balloon Dilatation	$4,039.00	$4,039.00	$727.02–$2,936.35	48% below	—
Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 EGD w/ Balloon Dilation Esophagus 43249	$222.00	$222.00	$44.40–$159.84	—	—
Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 EGD Balloon Dilatation	$4,039.00	$4,039.00	$807.80–$2,908.08	—	—
Upper endoscopy (EGD) with biopsy CPT 43239 Upper Gi Endoscopy, Biopsy 43239	$432.00	$432.00	$77.76–$314.06	93% below	—
Upper endoscopy (EGD) with biopsy CPT 43239 EGD with Biopsy	$3,372.00	$3,372.00	$606.96–$2,451.44	49% below	—
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 Upper Gi Endoscopy, Biopsy 43239	$432.00	$432.00	$86.40–$311.04	—	—
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 EGD with Biopsy	$3,372.00	$3,372.00	$674.40–$2,427.84	—	—
Upper endoscopy (EGD) with injection into the lining CPT 43236 EGD, flexible transoral, w/ directed submucosal injection (upper GI) 43236	$471.00	$471.00	$84.78–$342.42	92% below	—
Upper endoscopy (EGD) with injection into the lining CPT 43236 EGD with Submucosal Injection	$3,159.00	$3,159.00	$568.62–$2,296.59	47% below	—
Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 EGD, flexible transoral, w/ directed submucosal injection (upper GI) 43236	$471.00	$471.00	$94.20–$339.12	—	—
Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 EGD with Submucosal Injection	$3,159.00	$3,159.00	$631.80–$2,274.48	—	—
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 EGD, flexible transoral, w/ removal lesion by snare (Upper GI) 43251	$279.00	$279.00	$50.22–$202.83	93% below	—
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 AMB Esophagogastroduodenoscopy flexible with removal of tumor polyp by snare	$369.00	$369.00	$66.42–$268.26	91% below	—
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 EGD Excision Lesion/Snare Polypectomy	$4,039.00	$4,039.00	$727.02–$2,936.35	at median	—
Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 EGD, flexible transoral, w/ removal lesion by snare (Upper GI) 43251	$279.00	$279.00	$55.80–$200.88	—	—
Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 AMB Esophagogastroduodenoscopy flexible with removal of tumor polyp by snare	$369.00	$369.00	$73.80–$265.68	—	—
Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 EGD Excision Lesion/Snare Polypectomy	$4,039.00	$4,039.00	$807.80–$2,908.08	—	—
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 EGD, flexible transoral, w/ guide wire / dilator (Upper GI) 43248	$240.00	$240.00	$43.20–$174.48	96% below	—
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 EGD with Savory Dilatation Over Wire	$2,559.00	$2,559.00	$460.62–$1,860.39	61% below	—
Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 EGD, flexible transoral, w/ guide wire / dilator (Upper GI) 43248	$240.00	$240.00	$48.00–$172.80	—	—
Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 EGD with Savory Dilatation Over Wire	$2,559.00	$2,559.00	$511.80–$1,842.48	—	—
Upper endoscopy (EGD), diagnostic CPT 43235 EGD, flexible transoral, dx (upper GI) 43235	$392.26	$392.26	$70.61–$285.17	75% below	—
Upper endoscopy (EGD), diagnostic CPT 43235 EGD with Pill Cam Placement	$3,372.00	$3,372.00	$606.96–$2,451.44	112% above	—
Upper endoscopy (EGD), diagnostic CPT 43235 EGD	$3,372.00	$3,372.00	$606.96–$2,451.44	112% above	—
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 EGD, flexible transoral, dx (upper GI) 43235	$392.26	$392.26	$78.45–$282.43	—	—
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 EGD	$3,372.00	$3,372.00	$674.40–$2,427.84	—	—
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 EGD with Pill Cam Placement	$3,372.00	$3,372.00	$674.40–$2,427.84	—	—
Upper endoscopy with drainage of a pseudocyst through the stomach wall CPT 43240 AMB Esophagogastroduodenoscopy flexible, transoral	$777.00	$777.00	$139.86–$564.88	—	—
Upper endoscopy with drainage of a pseudocyst through the stomach wall CPT 43240 EGD/EUS w/drainage of pseudocyst	$15,722.00	$15,722.00	$2,829.96–$11,429.89	—	—
Upper endoscopy with drainage of a pseudocyst through the stomach wall inpatient CPT 43240 AMB Esophagogastroduodenoscopy flexible, transoral	$777.00	$777.00	$155.40–$559.44	—	—
Upper endoscopy with drainage of a pseudocyst through the stomach wall inpatient CPT 43240 EGD/EUS w/drainage of pseudocyst	$15,722.00	$15,722.00	$3,144.40–$11,319.84	—	—
Vaginal birth after cesarean (VBAC), including prenatal and postpartum care CPT 59610 VBAC Delivery BCE	$4,398.85	$4,398.85	$791.79–$3,197.96	—	—
Vaginal birth after cesarean (VBAC), including prenatal and postpartum care inpatient CPT 59610 VBAC Delivery BCE	$4,398.85	$4,398.85	$879.77–$3,167.17	—	—
Vaginal delivery, including prenatal and postpartum care CPT 59400 Obstetrical Care 59400	$1,879.00	$1,879.00	$338.22–$1,366.03	—	—
Vaginal delivery, including prenatal and postpartum care inpatient CPT 59400 Obstetrical Care 59400	$1,879.00	$1,879.00	$375.80–$1,352.88	—	—
Vein ablation, radiofrequency, first vein CPT 36475 AMB VNUS CLOSURE, 1ST VEIN BCE	$3,407.54	$3,407.54	$613.36–$2,477.28	45% below	—
Vein ablation, radiofrequency, first vein CPT 36475 VAS Endovenous rf 1st Vein	$9,776.00	$9,776.00	$1,759.68–$7,107.15	57% above	—
Vein ablation, radiofrequency, first vein inpatient CPT 36475 AMB VNUS CLOSURE, 1ST VEIN BCE	$3,407.54	$3,407.54	$681.51–$2,453.43	—	—
Vein ablation, radiofrequency, first vein inpatient CPT 36475 VAS Endovenous rf 1st Vein	$9,776.00	$9,776.00	$1,955.20–$7,038.72	—	—
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 AMB Deb Subq Tissue 20 sq cm BCE	$87.00	$87.00	$15.66–$63.25	89% below	—
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debride Subcutan First 20 sq cm	$1,045.00	$1,045.00	$188.10–$759.72	29% above	—
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Removal of skin and tissue first 20 sq cm or less	$1,075.00	$1,075.00	$193.50–$781.52	33% above	—
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 AMB Deb Subq Tissue 20 sq cm BCE	$87.00	$87.00	$17.40–$62.64	—	—
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Debride Subcutan First 20 sq cm	$1,045.00	$1,045.00	$209.00–$752.40	—	—
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Removal of skin and tissue first 20 sq cm or less	$1,075.00	$1,075.00	$215.00–$774.00	—	—
Wrist fracture surgery (plate and screws), distal radius CPT 25607 AMB Under Fracture and/or Dislocation Procedures on the Forearm and Wrist BCE	$1,412.70	$1,412.70	$254.29–$1,027.03	—	—
Wrist fracture surgery (plate and screws), distal radius inpatient CPT 25607 AMB Under Fracture and/or Dislocation Procedures on the Forearm and Wrist BCE	$1,412.70	$1,412.70	$282.54–$1,017.14	—	—

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs South Carolina	Off list
Blood transfusion (giving blood or blood components) CPT 36430 ODSU Blood Transfusion	$1,275.00	$1,275.00	$229.50–$926.92	25% above	—
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION	$1,275.00	$1,275.00	$229.50–$926.92	25% above	—
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION HIM	$1,275.00	$1,275.00	$229.50–$926.92	25% above	—
Blood transfusion (giving blood or blood components) CPT 36430 Blood Transfusion BCE	$1,276.00	$1,276.00	$229.68–$927.65	26% above	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 ODSU Blood Transfusion	$1,275.00	$1,275.00	$255.00–$918.00	—	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION HIM	$1,275.00	$1,275.00	$255.00–$918.00	—	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION	$1,275.00	$1,275.00	$255.00–$918.00	—	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Transfusion BCE	$1,276.00	$1,276.00	$255.20–$918.72	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Airway Inhalation Treatment	$36.36	$36.36	$6.54–$26.43	82% below	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT CHARGE IPPB	$530.00	$530.00	$95.40–$385.31	166% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT CHARGE Aerosol Therapy	$530.00	$530.00	$95.40–$385.31	166% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT CHARGE Initial MDI Ad	$530.00	$530.00	$95.40–$385.31	166% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT CHARGE Initial MDI Peds	$530.00	$530.00	$95.40–$385.31	166% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT CHARGE MDI Subsequent	$530.00	$530.00	$95.40–$385.31	166% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Yes	$531.00	$531.00	$95.58–$386.04	166% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Subsequent	$531.00	$531.00	$95.58–$386.04	166% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Initial	$531.00	$531.00	$95.58–$386.04	166% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Airway Inhalation Treatment	$36.36	$36.36	$7.27–$26.18	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT CHARGE IPPB	$530.00	$530.00	$106.00–$381.60	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT CHARGE Aerosol Therapy	$530.00	$530.00	$106.00–$381.60	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT CHARGE MDI Subsequent	$530.00	$530.00	$106.00–$381.60	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT CHARGE Initial MDI Peds	$530.00	$530.00	$106.00–$381.60	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT CHARGE Initial MDI Ad	$530.00	$530.00	$106.00–$381.60	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Subsequent	$531.00	$531.00	$106.20–$382.32	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Initial	$531.00	$531.00	$106.20–$382.32	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Yes	$531.00	$531.00	$106.20–$382.32	—	—
Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV INFUSE-UP TO 1 HR HIM	$1,268.00	$1,268.00	$228.24–$921.84	69% above	—
Chemotherapy IV infusion, first hour CPT 96413 Chemo, IV int. 1st Hr	$1,332.00	$1,332.00	$239.76–$968.36	78% above	—
Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO IV INFUSE-UP TO 1 HR HIM	$1,268.00	$1,268.00	$253.60–$912.96	—	—
Chemotherapy IV infusion, first hour inpatient CPT 96413 Chemo, IV int. 1st Hr	$1,332.00	$1,332.00	$266.40–$959.04	—	—
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 Comprehensive Hearing Test 92557	$362.25	$362.25	$65.20–$263.36	29% above	—
Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 Comprehensive Hearing Test 92557	$362.25	$362.25	$72.45–$260.82	—	—
Critical care, first 30 to 74 minutes CPT 99291 Critical Care, First Hour 99291	$300.00	$300.00	$54.00–$218.10	89% below	—
Critical care, first 30 to 74 minutes CPT 99291 99291 - Critical Care	$3,222.00	$3,222.00	$579.96–$2,342.39	14% above	—
Critical care, first 30 to 74 minutes CPT 99291 Critical Care BCE, First 30-74 min	$3,222.00	$3,222.00	$579.96–$2,342.39	14% above	—
Critical care, first 30 to 74 minutes CPT 99291 Crtical Care 1st 30-74 min	$3,222.00	$3,222.00	$579.96–$2,342.39	14% above	—
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE 30-74 MIN	$3,222.00	$3,222.00	$579.96–$2,342.39	14% above	—
Critical care, first 30 to 74 minutes inpatient CPT 99291 Critical Care, First Hour 99291	$300.00	$300.00	$60.00–$216.00	—	—
Critical care, first 30 to 74 minutes inpatient CPT 99291 CRITICAL CARE 30-74 MIN	$3,222.00	$3,222.00	$644.40–$2,319.84	—	—
Critical care, first 30 to 74 minutes inpatient CPT 99291 Crtical Care 1st 30-74 min	$3,222.00	$3,222.00	$644.40–$2,319.84	—	—
Critical care, first 30 to 74 minutes inpatient CPT 99291 99291 - Critical Care	$3,222.00	$3,222.00	$644.40–$2,319.84	—	—
Critical care, first 30 to 74 minutes inpatient CPT 99291 Critical Care BCE, First 30-74 min	$3,222.00	$3,222.00	$644.40–$2,319.84	—	—
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG W/RECORDING AWAKE & DROWSY	$738.00	$738.00	$132.84–$536.53	1% below	—
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG W/RECORDING AWAKE & DROWSY	$738.00	$738.00	$147.60–$531.36	—	—
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 AMB Electrocardiogram Complete 93000 BCE	$142.00	$142.00	$25.56–$103.23	—	—
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 ECG (Office)	$142.00	$142.00	$25.56–$103.23	—	—
Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 AMB Electrocardiogram Complete 93000 BCE	$142.00	$142.00	$28.40–$102.24	—	—
Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 ECG (Office)	$142.00	$142.00	$28.40–$102.24	—	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ECG Acquisition	$197.00	$197.00	$35.46–$143.22	41% below	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ECG 12 Lead (BCE)	$203.00	$203.00	$36.54–$147.58	40% below	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ECG MULTIPLE	$203.00	$203.00	$36.54–$147.58	40% below	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Electrocardiogram	$203.00	$203.00	$36.54–$147.58	40% below	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ECG Acquisition	$197.00	$197.00	$39.40–$141.84	—	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ECG MULTIPLE	$203.00	$203.00	$40.60–$146.16	—	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ECG 12 Lead (BCE)	$203.00	$203.00	$40.60–$146.16	—	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Electrocardiogram	$203.00	$203.00	$40.60–$146.16	—	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Emergency Department Visit Limited/Minor Prob 99281	$24.00	$24.00	$4.32–$17.45	92% below	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMERGENCY DEPT VISIT LVL 1	$556.00	$556.00	$100.08–$404.21	77% above	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 99281 - Level 1	$556.00	$556.00	$100.08–$404.21	77% above	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ED visit, self limited or minor	$556.00	$556.00	$100.08–$404.21	77% above	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 Emergency Department Visit Limited/Minor Prob 99281	$24.00	$24.00	$4.80–$17.28	—	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 99281 - Level 1	$556.00	$556.00	$111.20–$400.32	—	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 EMERGENCY DEPT VISIT LVL 1	$556.00	$556.00	$111.20–$400.32	—	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ED visit, self limited or minor	$556.00	$556.00	$111.20–$400.32	—	—
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Emergency Department Visit Low/Moder Severity 99282	$40.00	$40.00	$7.20–$29.08	92% below	—
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 99282 - Level 2	$888.00	$888.00	$159.84–$645.58	88% above	—
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Emergency department visit, low to moderately seve	$888.00	$888.00	$159.84–$645.58	88% above	—
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENCY DEPT VISIT LVL 2	$888.00	$888.00	$159.84–$645.58	88% above	—
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 Emergency Department Visit Low/Moder Severity 99282	$40.00	$40.00	$8.00–$28.80	—	—
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 EMERGENCY DEPT VISIT LVL 2	$888.00	$888.00	$177.60–$639.36	—	—
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 99282 - Level 2	$888.00	$888.00	$177.60–$639.36	—	—
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 Emergency department visit, low to moderately seve	$888.00	$888.00	$177.60–$639.36	—	—
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Emergency Department Visit Moderate Severity 99283	$90.00	$90.00	$16.20–$65.43	91% below	—
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 99283 - Level 3	$1,071.00	$1,071.00	$192.78–$778.62	6% above	—
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Emergency department visit, moderately severe prob	$1,071.00	$1,071.00	$192.78–$778.62	6% above	—
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY DEPT VISIT LVL 3	$1,071.00	$1,071.00	$192.78–$778.62	6% above	—
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 Emergency Department Visit Moderate Severity 99283	$90.00	$90.00	$18.00–$64.80	—	—
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 99283 - Level 3	$1,071.00	$1,071.00	$214.20–$771.12	—	—
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 EMERGENCY DEPT VISIT LVL 3	$1,071.00	$1,071.00	$214.20–$771.12	—	—
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 Emergency department visit, moderately severe prob	$1,071.00	$1,071.00	$214.20–$771.12	—	—
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Emergency Department Visit High/Urgent Severity 99284	$140.00	$140.00	$25.20–$101.78	91% below	—
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENCY DEPT VISIT LVL 4	$1,697.00	$1,697.00	$305.46–$1,233.72	13% above	—
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 99284 - Level 4	$1,697.00	$1,697.00	$305.46–$1,233.72	13% above	—
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Emergency department visit, problem of high severi	$1,697.00	$1,697.00	$305.46–$1,233.72	13% above	—
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 Emergency Department Visit High/Urgent Severity 99284	$140.00	$140.00	$28.00–$100.80	—	—
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 Emergency department visit, problem of high severi	$1,697.00	$1,697.00	$339.40–$1,221.84	—	—
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 99284 - Level 4	$1,697.00	$1,697.00	$339.40–$1,221.84	—	—
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 EMERGENCY DEPT VISIT LVL 4	$1,697.00	$1,697.00	$339.40–$1,221.84	—	—
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENCY DEPT VISIT LVL 5	$219.00	$219.00	$39.42–$159.21	91% below	—
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 99285 - Level 5	$2,904.00	$2,904.00	$522.72–$2,111.21	24% above	—
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Physician direction of emergency advanced life sup	$2,904.00	$2,904.00	$522.72–$2,111.21	24% above	—
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Emergency department visit, problem with significa	$2,904.00	$2,904.00	$522.72–$2,111.21	24% above	—
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 EMERGENCY DEPT VISIT LVL 5	$219.00	$219.00	$43.80–$157.68	—	—
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 99285 - Level 5	$2,904.00	$2,904.00	$580.80–$2,090.88	—	—
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Physician direction of emergency advanced life sup	$2,904.00	$2,904.00	$580.80–$2,090.88	—	—
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Emergency department visit, problem with significa	$2,904.00	$2,904.00	$580.80–$2,090.88	—	—
Exercise stress test, tracing only, the hospital charge CPT 93017 Stress Acquisition	$1,008.00	$1,008.00	$181.44–$732.82	2% below	—
Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIAC STRESS TST TRDML/PHARM	$1,008.00	$1,008.00	$181.44–$732.82	2% below	—
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 CARDIAC STRESS TST TRDML/PHARM	$1,008.00	$1,008.00	$201.60–$725.76	—	—
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Stress Acquisition	$1,008.00	$1,008.00	$201.60–$725.76	—	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 ODSU IV Hydration 1st Hr	$626.00	$626.00	$112.68–$455.10	44% above	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV Infusion Hydration Up to 1 hr BCE	$699.00	$699.00	$125.82–$508.17	61% above	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INF HYDRATION 31 Mn to 1 Hr	$699.00	$699.00	$125.82–$508.17	61% above	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV hydration infusion initial 31 min to 1 hr missi	$699.00	$699.00	$125.82–$508.17	61% above	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 CCL- IV Hydration up to 1hr	$699.00	$699.00	$125.82–$508.17	61% above	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INFUSE HYDRATION;UP TO 1 HR HIM	$699.00	$699.00	$125.82–$508.17	61% above	—
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 ODSU IV Hydration 1st Hr	$626.00	$626.00	$125.20–$450.72	—	—
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV INF HYDRATION 31 Mn to 1 Hr	$699.00	$699.00	$139.80–$503.28	—	—
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 CCL- IV Hydration up to 1hr	$699.00	$699.00	$139.80–$503.28	—	—
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV hydration infusion initial 31 min to 1 hr missi	$699.00	$699.00	$139.80–$503.28	—	—
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV INFUSE HYDRATION;UP TO 1 HR HIM	$699.00	$699.00	$139.80–$503.28	—	—
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV Infusion Hydration Up to 1 hr BCE	$699.00	$699.00	$139.80–$503.28	—	—
IV infusion of a medicine, first hour CPT 96365 IV Infusion Ther/Prop/Dx; Initial, 16-90 Min 96365	$133.74	$133.74	$24.07–$97.23	74% below	—
IV infusion of a medicine, first hour CPT 96365 IV Med Therapy - 1st Hr	$858.00	$858.00	$154.44–$623.77	69% above	—
IV infusion of a medicine, first hour CPT 96365 IV Therapy Up to 1 Hr	$858.00	$858.00	$154.44–$623.77	69% above	—
IV infusion of a medicine, first hour CPT 96365 Albumin Infusion	$858.00	$858.00	$154.44–$623.77	69% above	—
IV infusion of a medicine, first hour CPT 96365 Endo IV Therapy Up to 1 Hr	$858.00	$858.00	$154.44–$623.77	69% above	—
IV infusion of a medicine, first hour CPT 96365 IV Infusion Initial Up to 1 hr BCE	$869.00	$869.00	$156.42–$631.76	72% above	—
IV infusion of a medicine, first hour CPT 96365 IV THERAPY UP TO 1 HR	$959.00	$959.00	$172.62–$697.19	89% above	—
IV infusion of a medicine, first hour CPT 96365 diagnosis, prevention, Infusion into a vein	$959.00	$959.00	$172.62–$697.19	89% above	—
IV infusion of a medicine, first hour CPT 96365 InfusionTherapy BCE	$959.00	$959.00	$172.62–$697.19	89% above	—
IV infusion of a medicine, first hour CPT 96365 CCL- IV Therapy up to 1hr	$959.00	$959.00	$172.62–$697.19	89% above	—
IV infusion of a medicine, first hour inpatient CPT 96365 IV Infusion Ther/Prop/Dx; Initial, 16-90 Min 96365	$133.74	$133.74	$26.75–$96.29	—	—
IV infusion of a medicine, first hour inpatient CPT 96365 Albumin Infusion	$858.00	$858.00	$171.60–$617.76	—	—
IV infusion of a medicine, first hour inpatient CPT 96365 IV Therapy Up to 1 Hr	$858.00	$858.00	$171.60–$617.76	—	—
IV infusion of a medicine, first hour inpatient CPT 96365 Endo IV Therapy Up to 1 Hr	$858.00	$858.00	$171.60–$617.76	—	—
IV infusion of a medicine, first hour inpatient CPT 96365 IV Med Therapy - 1st Hr	$858.00	$858.00	$171.60–$617.76	—	—
IV infusion of a medicine, first hour inpatient CPT 96365 IV Infusion Initial Up to 1 hr BCE	$869.00	$869.00	$173.80–$625.68	—	—
IV infusion of a medicine, first hour inpatient CPT 96365 InfusionTherapy BCE	$959.00	$959.00	$191.80–$690.48	—	—
IV infusion of a medicine, first hour inpatient CPT 96365 IV THERAPY UP TO 1 HR	$959.00	$959.00	$191.80–$690.48	—	—
IV infusion of a medicine, first hour inpatient CPT 96365 CCL- IV Therapy up to 1hr	$959.00	$959.00	$191.80–$690.48	—	—
IV infusion of a medicine, first hour inpatient CPT 96365 diagnosis, prevention, Infusion into a vein	$959.00	$959.00	$191.80–$690.48	—	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 ODSU Medication Injection SQ/IM	$306.00	$306.00	$55.08–$222.46	79% above	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 OP TX/PRO/DX INJ SQ/IM BCE	$306.00	$306.00	$55.08–$222.46	79% above	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 ADMINISTRATION IM/SQ THERAPEUT	$306.00	$306.00	$55.08–$222.46	79% above	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Therapprophdiagns INJ SQ/IM	$306.00	$306.00	$55.08–$222.46	79% above	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Injection into artery for therapy, diagnosis, or p	$306.00	$306.00	$55.08–$222.46	79% above	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 ADMIN RABIES VACCINE IM	$306.00	$306.00	$55.08–$222.46	79% above	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 ADMINISTRATION IM/SQ THERAPEUT	$306.00	$306.00	$61.20–$220.32	—	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Therapprophdiagns INJ SQ/IM	$306.00	$306.00	$61.20–$220.32	—	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Injection into artery for therapy, diagnosis, or p	$306.00	$306.00	$61.20–$220.32	—	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 ADMIN RABIES VACCINE IM	$306.00	$306.00	$61.20–$220.32	—	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 ODSU Medication Injection SQ/IM	$306.00	$306.00	$61.20–$220.32	—	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 OP TX/PRO/DX INJ SQ/IM BCE	$306.00	$306.00	$61.20–$220.32	—	—
Nerve conduction study, 7 or 8 nerve studies CPT 95910 NERVE CONDUCTION STUDIES: 7-8 STUDIES	$799.00	$799.00	$143.82–$580.87	8% below	—
Nerve conduction study, 7 or 8 nerve studies CPT 95910 NERVE CONDUCTION STUDIES 7-8	$799.00	$799.00	$143.82–$580.87	8% below	—
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 NERVE CONDUCTION STUDIES: 7-8 STUDIES	$799.00	$799.00	$159.80–$575.28	—	—
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 NERVE CONDUCTION STUDIES 7-8	$799.00	$799.00	$159.80–$575.28	—	—
Neuromuscular re-education, 15 minutes CPT 97112 Therapeutic proc, 1 or more areas, ea 15 min neuromuscular reeducation	$67.00	$67.00	$12.06–$48.71	31% below	—
Neuromuscular re-education, 15 minutes inpatient CPT 97112 Therapeutic proc, 1 or more areas, ea 15 min neuromuscular reeducation	$67.00	$67.00	$13.40–$48.24	—	—
New patient office visit, about 30 minutes CPT 99203 PT Wound Visit Level 3 (31-45 Min)	$393.00	$393.00	$70.74–$285.71	28% above	—
New patient office visit, about 30 minutes CPT 99203 New PT Wound Visit Level 3 (99203)	$393.00	$393.00	$70.74–$285.71	28% above	—
New patient office visit, about 30 minutes CPT 99203 Level 3 - New Patient	$427.00	$427.00	$76.86–$310.43	40% above	—
New patient office visit, about 30 minutes CPT 99203 CCL- Level 3 New Patient	$432.00	$432.00	$77.76–$314.06	41% above	—
New patient office visit, about 30 minutes inpatient CPT 99203 PT Wound Visit Level 3 (31-45 Min)	$393.00	$393.00	$78.60–$282.96	—	—
New patient office visit, about 30 minutes inpatient CPT 99203 New PT Wound Visit Level 3 (99203)	$393.00	$393.00	$78.60–$282.96	—	—
New patient office visit, about 30 minutes inpatient CPT 99203 Level 3 - New Patient	$427.00	$427.00	$85.40–$307.44	—	—
New patient office visit, about 30 minutes inpatient CPT 99203 CCL- Level 3 New Patient	$432.00	$432.00	$86.40–$311.04	—	—
New patient office visit, about 45 minutes CPT 99204 Level 4 - New Patient	$625.00	$625.00	$112.50–$454.38	64% above	—
New patient office visit, about 45 minutes CPT 99204 Done	$625.00	$625.00	$112.50–$454.38	64% above	—
New patient office visit, about 45 minutes inpatient CPT 99204 Done	$625.00	$625.00	$125.00–$450.00	—	—
New patient office visit, about 45 minutes inpatient CPT 99204 Level 4 - New Patient	$625.00	$625.00	$125.00–$450.00	—	—
New patient office visit, about 60 minutes CPT 99205 PT Wound Visit Level 5 (60 plus Min)	$729.00	$729.00	$131.22–$529.98	26% above	—
New patient office visit, about 60 minutes CPT 99205 Done	$794.00	$794.00	$142.92–$577.24	37% above	—
New patient office visit, about 60 minutes CPT 99205 Level 5 - New Patient	$794.00	$794.00	$142.92–$577.24	37% above	—
New patient office visit, about 60 minutes inpatient CPT 99205 PT Wound Visit Level 5 (60 plus Min)	$729.00	$729.00	$145.80–$524.88	—	—
New patient office visit, about 60 minutes inpatient CPT 99205 Done	$794.00	$794.00	$158.80–$571.68	—	—
New patient office visit, about 60 minutes inpatient CPT 99205 Level 5 - New Patient	$794.00	$794.00	$158.80–$571.68	—	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 IR Level 2 w/ Radiologist	$383.00	$383.00	$68.94–$278.44	45% above	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 Level 2 - New Patient	$383.00	$383.00	$68.94–$278.44	45% above	—
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 IR Level 2 w/ Radiologist	$383.00	$383.00	$76.60–$275.76	—	—
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 Level 2 - New Patient	$383.00	$383.00	$76.60–$275.76	—	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Medical Nutrition Assmt Indiv Each 15 Min 97802	$65.58	$65.58	$11.80–$47.68	22% above	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MNT Initial Assessment Per 15	$77.00	$77.00	$13.86–$55.98	44% above	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 Medical Nutrition Assmt Indiv Each 15 Min 97802	$65.58	$65.58	$13.12–$47.22	—	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 MNT Initial Assessment Per 15	$77.00	$77.00	$15.40–$55.44	—	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Therapeutic proc, 1 or more areas, ea 15 min	$58.00	$58.00	$10.44–$42.17	48% below	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Pulm Reh; Strength/Endur 15min Units	$181.00	$181.00	$32.58–$131.59	63% above	—
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Therapeutic proc, 1 or more areas, ea 15 min	$58.00	$58.00	$11.60–$41.76	—	—
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Pulm Reh; Strength/Endur 15min Units	$181.00	$181.00	$36.20–$130.32	—	—
Quit-smoking counseling, 3 to 10 minutes CPT 99406 Symptomat Smoking/TOB 3-10min	$77.00	$77.00	$13.86–$55.98	38% above	—
Quit-smoking counseling, 3 to 10 minutes CPT 99406 RT CHARGE Tobacco Getting Ready Quit 1	$90.00	$90.00	$16.20–$65.43	61% above	—
Quit-smoking counseling, 3 to 10 minutes CPT 99406 Yes	$90.00	$90.00	$16.20–$65.43	61% above	—
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Symptomat Smoking/TOB 3-10min	$77.00	$77.00	$15.40–$55.44	—	—
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Yes	$90.00	$90.00	$18.00–$64.80	—	—
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 RT CHARGE Tobacco Getting Ready Quit 1	$90.00	$90.00	$18.00–$64.80	—	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 EST PT Wound Visit Level 5 (60 plus Min)	$537.00	$537.00	$96.66–$390.40	33% above	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Level 5 - Est Patient	$586.00	$586.00	$105.48–$426.02	46% above	—
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 EST PT Wound Visit Level 5 (60 plus Min)	$537.00	$537.00	$107.40–$386.64	—	—
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Level 5 - Est Patient	$586.00	$586.00	$117.20–$421.92	—	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OB Urine 99213 Visit Level	$63.00	$63.00	$11.34–$45.80	62% below	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 EST PT Wound Visit Level 3 (99213)	$369.00	$369.00	$66.42–$268.26	124% above	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 EST PT Wound Visit Level 3 (31-45 Min)	$369.00	$369.00	$66.42–$268.26	124% above	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Level 3 - Est Patient	$402.00	$402.00	$72.36–$292.25	144% above	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OB Urine 99213 Visit Level	$63.00	$63.00	$12.60–$45.36	—	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 EST PT Wound Visit Level 3 (99213)	$369.00	$369.00	$73.80–$265.68	—	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 EST PT Wound Visit Level 3 (31-45 Min)	$369.00	$369.00	$73.80–$265.68	—	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Level 3 - Est Patient	$402.00	$402.00	$80.40–$289.44	—	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 EST PT Wound Visit Level 4 (46-60 Min)	$441.00	$441.00	$79.38–$320.61	44% above	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 EST PT Wound Visit Level 4 (99214)	$441.00	$441.00	$79.38–$320.61	44% above	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Level 4 - Est Patient	$481.00	$481.00	$86.58–$349.69	57% above	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 CCL- Level 4 Established Patient	$485.00	$485.00	$87.30–$352.60	58% above	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 EST PT Wound Visit Level 4 (99214)	$441.00	$441.00	$88.20–$317.52	—	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 EST PT Wound Visit Level 4 (46-60 Min)	$441.00	$441.00	$88.20–$317.52	—	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Level 4 - Est Patient	$481.00	$481.00	$96.20–$346.32	—	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 CCL- Level 4 Established Patient	$485.00	$485.00	$97.00–$349.20	—	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 EST PT Wound Visit Level 2 (99212)	$352.00	$352.00	$63.36–$255.90	63% above	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 EST PT Wound Visit Level 2 (99212)	$352.00	$352.00	$70.40–$253.44	—	—
Spirometry (breathing test) CPT 94010 Yes	$445.00	$445.00	$80.10–$323.52	59% above	—
Spirometry (breathing test) CPT 94010 PHY-SPIROMETRY	$446.00	$446.00	$80.28–$324.24	60% above	—
Spirometry (breathing test) CPT 94010 RT CHARGE Spirometry	$446.00	$446.00	$80.28–$324.24	60% above	—
Spirometry (breathing test) CPT 94010 Spirometry	$446.00	$446.00	$80.28–$324.24	60% above	—
Spirometry (breathing test) inpatient CPT 94010 Yes	$445.00	$445.00	$89.00–$320.40	—	—
Spirometry (breathing test) inpatient CPT 94010 RT CHARGE Spirometry	$446.00	$446.00	$89.20–$321.12	—	—
Spirometry (breathing test) inpatient CPT 94010 PHY-SPIROMETRY	$446.00	$446.00	$89.20–$321.12	—	—
Spirometry (breathing test) inpatient CPT 94010 Spirometry	$446.00	$446.00	$89.20–$321.12	—	—
Spirometry before and after a bronchodilator CPT 94060 Spirometry before & after	$816.00	$816.00	$146.88–$593.23	63% above	—
Spirometry before and after a bronchodilator CPT 94060 PHY-BRONCHODILATION RESPONSE PRE AND POST BD	$816.00	$816.00	$146.88–$593.23	63% above	—
Spirometry before and after a bronchodilator CPT 94060 RT CHARGE Bronchospasm Evaluation	$816.00	$816.00	$146.88–$593.23	63% above	—
Spirometry before and after a bronchodilator CPT 94060 Yes	$816.00	$816.00	$146.88–$593.23	63% above	—
Spirometry before and after a bronchodilator CPT 94060 RT CHARGE Bronch Eval	$816.00	$816.00	$146.88–$593.23	63% above	—
Spirometry before and after a bronchodilator inpatient CPT 94060 Yes	$816.00	$816.00	$163.20–$587.52	—	—
Spirometry before and after a bronchodilator inpatient CPT 94060 RT CHARGE Bronchospasm Evaluation	$816.00	$816.00	$163.20–$587.52	—	—
Spirometry before and after a bronchodilator inpatient CPT 94060 PHY-BRONCHODILATION RESPONSE PRE AND POST BD	$816.00	$816.00	$163.20–$587.52	—	—
Spirometry before and after a bronchodilator inpatient CPT 94060 Spirometry before & after	$816.00	$816.00	$163.20–$587.52	—	—
Spirometry before and after a bronchodilator inpatient CPT 94060 RT CHARGE Bronch Eval	$816.00	$816.00	$163.20–$587.52	—	—
Therapeutic activities (functional training), 15 minutes CPT 97530 OT Therapeutic Activities Units	$147.00	$147.00	$26.46–$106.87	57% above	—
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OT Therapeutic Activities Units	$147.00	$147.00	$29.40–$105.84	—	—
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 99195 AP Bill Therapeutic Phlebotomy	$27.00	$27.00	$4.86–$19.63	90% below	—
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Therapeutic Phlebotomy	$235.00	$235.00	$42.30–$170.84	11% below	—
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 99195 AP Bill Therapeutic Phlebotomy	$27.00	$27.00	$5.40–$19.44	—	—
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Therapeutic Phlebotomy	$235.00	$235.00	$47.00–$169.20	—	—
Treadmill or drug stress test with ECG, supervision and report CPT 93015 CV Stress Test, Proctor, Tracing and I&R (Complete Global) 93015	$169.00	$169.00	$30.42–$122.86	—	—
Treadmill or drug stress test with ECG, supervision and report inpatient CPT 93015 CV Stress Test, Proctor, Tracing and I&R (Complete Global) 93015	$169.00	$169.00	$33.80–$121.68	—	—

Vaccines

Procedure	Cash price	List price	Insurers pay	vs South Carolina	Off list
Rabies vaccine, one dose CPT 90675 rabies vaccine, RabAvert 1 mL	$646.00	$646.00	$116.28–$469.64	70% below	—
Rabies vaccine, one dose inpatient CPT 90675 rabies vaccine, RabAvert 1 mL	$646.00	$646.00	$129.20–$465.12	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ODSU Pneumonia immunization SQ	$194.00	$194.00	$34.92–$141.04	251% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN SQ/IM-PNEUM	$194.00	$194.00	$34.92–$141.04	251% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN SQ/IM-FLU	$194.00	$194.00	$34.92–$141.04	251% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ODSU Immunization - Other	$194.00	$194.00	$34.92–$141.04	251% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN SQ/IM-IA	$194.00	$194.00	$34.92–$141.04	251% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ODSU Flu immunization SQ	$194.00	$194.00	$34.92–$141.04	251% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMIN SQ/IM-PNEUM	$194.00	$194.00	$38.80–$139.68	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ODSU Flu immunization SQ	$194.00	$194.00	$38.80–$139.68	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ODSU Pneumonia immunization SQ	$194.00	$194.00	$38.80–$139.68	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ODSU Immunization - Other	$194.00	$194.00	$38.80–$139.68	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMIN SQ/IM-FLU	$194.00	$194.00	$38.80–$139.68	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMIN SQ/IM-IA	$194.00	$194.00	$38.80–$139.68	—	—
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 EA ADDL VACCINE ADMINISTRATION	$194.00	$194.00	$34.92–$141.04	359% above	—
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 EA ADDL VACCINE ADMINISTRATION HIM	$194.00	$194.00	$34.92–$141.04	359% above	—
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 OP TX Additonal Vaccine Admin BCE	$194.00	$194.00	$34.92–$141.04	359% above	—
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 EA ADDL VACCINE ADMINISTRATION	$194.00	$194.00	$38.80–$139.68	—	—
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 EA ADDL VACCINE ADMINISTRATION HIM	$194.00	$194.00	$38.80–$139.68	—	—
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 OP TX Additonal Vaccine Admin BCE	$194.00	$194.00	$38.80–$139.68	—	—

Source file: https://www.conwaymedicalcenter.com/wp-content/uploads/570314381_conway-medical-center_standardcharges(in).csv