Fairfield Medical Center
Fairfield Medical Center in Lancaster, OH publishes cash prices for 351 common procedures listed here, from its own machine-readable price file updated Feb 26, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Ohio median for 335 of 349 procedures and above it for 13. By typical cash price it ranks #4 of 137 Ohio hospitals and #1 of 20 hospitals in the Columbus, OH area, cheapest first. Select a procedure to compare it with other hospitals nearby.
401 N Ewing St Collected Sep 27, 2026 Source price file Check a bill from this hospital (740) 687-8000
Acute care hospital Nonprofit hospital Emergency department CMS star rating 2 of 5 CCN 360072 · CMS hospital register NPI 1467433763
Financial assistance
Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply
Fairfield Medical Center is a nonprofit hospital in the CMS register. Under section 501(r) of the federal tax code it must have a written Financial Assistance Policy with a free application, publish both on its website, and charge patients who qualify no more than the amounts generally billed to insured patients for emergency and other medically necessary care. Who qualifies depends on household income; the policy states the limits.
You can apply up to 240 days after the first bill. Before collection actions such as credit reporting or a lawsuit, the hospital must tell you about the policy and wait at least 120 days after that bill. Ask the billing office for the policy and the application before you pay, or search the hospital's website for “financial assistance”. Letters you can copy.
Source: IRS, section 501(r) requirements for nonprofit hospitals.
CMS price transparency record
The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 3 actions for a hospital named Fairfield Medical Center in Lancaster, OH:
- Oct 1, 2024 Warning notice
- Jan 13, 2025 Corrective action plan requested
- Jan 22, 2025 Case closed
Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. Corrective action plan requested: CMS asked the hospital to submit a plan to fix the problems it found. Case closed: CMS closed the case after the hospital addressed the problems.
A notice records a step in a CMS review; it is not a court finding. Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes, actions through Jul 31, 2026.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Ohio | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 CT Abdomen w/ + w/o Contrast | $1,102.05 | $2,449.00 | $152.22–$2,449.00 | 16% below | 55% |
| Abdominal CT scan without and with contrast inpatient CPT 74170 CT Abdomen w/ + w/o Contrast | $1,102.05 | $2,449.00 | $1,102.05–$2,449.00 | — | 55% |
| Abdominal X-ray, 2 views CPT 74019 XR Abdomen AP Obliques Cone Views | $204.30 | $454.00 | $90.73–$454.00 | 40% below | 55% |
| Abdominal X-ray, 2 views inpatient CPT 74019 XR Abdomen AP Obliques Cone Views | $204.30 | $454.00 | $204.30–$454.00 | — | 55% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XR Ankle Complete 3+ Views Left | $184.05 | $409.00 | $75.52–$409.00 | 43% below | 55% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XR Ankle Complete 3+ Views Right | $184.05 | $409.00 | $75.52–$409.00 | 43% below | 55% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR Ankle Complete 3+ Views Left | $184.05 | $409.00 | $184.05–$409.00 | — | 55% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR Ankle Complete 3+ Views Right | $184.05 | $409.00 | $184.05–$409.00 | — | 55% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 VL Thoracic Outlet - Physiological | $353.25 | $785.00 | $115.46–$785.00 | 27% below | 55% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US Segmental Pressures (ABI) w/ Exercise | $353.25 | $785.00 | $115.46–$785.00 | 27% below | 55% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US DIGITAL BRACHAL INDEX-DBI | $353.25 | $785.00 | $115.46–$785.00 | 27% below | 55% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 ABI Charge | $353.25 | $785.00 | $115.46–$785.00 | 27% below | 55% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 VL Ankle Brachial Index - ABI | $353.25 | $785.00 | $115.46–$785.00 | 27% below | 55% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 VL Digital Brachial Index- DBI | $353.25 | $785.00 | $115.46–$785.00 | 27% below | 55% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 VL Digital Brachial Index- DBI | $353.25 | $785.00 | $353.25–$785.00 | — | 55% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 VL Ankle Brachial Index - ABI | $353.25 | $785.00 | $353.25–$785.00 | — | 55% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 US DIGITAL BRACHAL INDEX-DBI | $353.25 | $785.00 | $353.25–$785.00 | — | 55% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 US Segmental Pressures (ABI) w/ Exercise | $353.25 | $785.00 | $353.25–$785.00 | — | 55% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 VL Thoracic Outlet - Physiological | $353.25 | $785.00 | $353.25–$785.00 | — | 55% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 ABI Charge | $353.25 | $785.00 | $353.25–$785.00 | — | 55% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Upper Extremity w/o Contrast Right | $738.00 | $1,640.00 | $90.73–$1,640.00 | 22% below | 55% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Upper Extremity w/o Contrast Left | $738.00 | $1,640.00 | $90.73–$1,640.00 | 22% below | 55% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Upper Extremity w/o Contrast Right | $738.00 | $1,640.00 | $738.00–$1,640.00 | — | 55% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Upper Extremity w/o Contrast Left | $738.00 | $1,640.00 | $738.00–$1,640.00 | — | 55% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 XR Esophagus | $402.30 | $894.00 | $152.22–$894.00 | 8% below | 55% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 XR Esophagus | $402.30 | $894.00 | $402.30–$894.00 | — | 55% |
| Bone scan, whole body (nuclear medicine) CPT 78306 NM Bone Imaging Whole Body | $1,308.60 | $2,908.00 | $346.92–$2,908.00 | 15% below | 55% |
| Bone scan, whole body (nuclear medicine) CPT 78306 NM Inflammation Loc Whole Body - Indium | $2,898.00 | $6,440.00 | $346.92–$6,440.00 | 89% above | 55% |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM Bone Imaging Whole Body | $1,308.60 | $2,908.00 | $1,308.60–$2,908.00 | — | 55% |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM Inflammation Loc Whole Body - Indium | $2,898.00 | $6,440.00 | $2,898.00–$6,440.00 | — | 55% |
| Breast ultrasound, complete, one breast one side CPT 76641 US Breast Complete Left | $118.35 | $263.00 | $90.73–$263.00 | 75% below | 55% |
| Breast ultrasound, complete, one breast one side CPT 76641 US Breast Complete Right | $118.35 | $263.00 | $90.73–$263.00 | 75% below | 55% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 US Breast Complete Left | $118.35 | $263.00 | $118.35–$263.00 | — | 55% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 US Breast Complete Right | $118.35 | $263.00 | $118.35–$263.00 | — | 55% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US Breast Limited Right | $118.35 | $263.00 | $75.52–$263.00 | 71% below | 55% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US Breast Limited Left | $118.35 | $263.00 | $75.52–$263.00 | 71% below | 55% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US Breast Limited Left | $118.35 | $263.00 | $118.35–$263.00 | — | 55% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US Breast Limited Right | $118.35 | $263.00 | $118.35–$263.00 | — | 55% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 CT TAVR Chest/ABD/ Pelvis Screening | $1,039.05 | $2,309.00 | $302.75–$2,309.00 | 51% below | 55% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA Abdomen and Pelvis w/ Contrast | $1,039.05 | $2,309.00 | $302.75–$2,309.00 | 51% below | 55% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 CT Angio Abdomen and Pelvis | $1,039.05 | $2,309.00 | $302.75–$2,309.00 | 51% below | 55% |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CT Angio Abdomen and Pelvis | $1,039.05 | $2,309.00 | $1,039.05–$2,309.00 | — | 55% |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CT TAVR Chest/ABD/ Pelvis Screening | $1,039.05 | $2,309.00 | $1,039.05–$2,309.00 | — | 55% |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CTA Abdomen and Pelvis w/ Contrast | $1,039.05 | $2,309.00 | $1,039.05–$2,309.00 | — | 55% |
| CT angiography (CTA) of the head CPT 70496 CTA Head and Neck Stroke ALERT | $797.85 | $1,773.00 | $152.22–$1,773.00 | 40% below | 55% |
| CT angiography (CTA) of the head CPT 70496 CT Angio Brain/Head | $797.85 | $1,773.00 | $152.22–$1,773.00 | 40% below | 55% |
| CT angiography (CTA) of the head inpatient CPT 70496 CT Angio Brain/Head | $797.85 | $1,773.00 | $797.85–$1,773.00 | — | 55% |
| CT angiography (CTA) of the head inpatient CPT 70496 CTA Head and Neck Stroke ALERT | $797.85 | $1,773.00 | $797.85–$1,773.00 | — | 55% |
| CT angiography (CTA) of the neck CPT 70498 CT Angio Neck | $843.75 | $1,875.00 | $152.22–$1,875.00 | 35% below | 55% |
| CT angiography (CTA) of the neck inpatient CPT 70498 CT Angio Neck | $843.75 | $1,875.00 | $843.75–$1,875.00 | — | 55% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT Angio Chest | $797.85 | $1,773.00 | $152.22–$1,773.00 | 44% below | 55% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT Angio Chest | $797.85 | $1,773.00 | $797.85–$1,773.00 | — | 55% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CTA Heart LAAO | $806.85 | $1,793.00 | $302.75–$1,793.00 | 50% below | 55% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT Heart CTA w/ Contrast | $806.85 | $1,793.00 | $302.75–$1,793.00 | 50% below | 55% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT TAVR Heart Screening | $806.85 | $1,793.00 | $302.75–$1,793.00 | 50% below | 55% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CT Heart CTA w/ Contrast | $806.85 | $1,793.00 | $806.85–$1,793.00 | — | 55% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CT TAVR Heart Screening | $806.85 | $1,793.00 | $806.85–$1,793.00 | — | 55% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CTA Heart LAAO | $806.85 | $1,793.00 | $806.85–$1,793.00 | — | 55% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT Heart Calcium Scoring | $59.40 | $132.00 | $59.40–$850.00 | 79% below | 55% |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT Heart Calcium Scoring | $59.40 | $132.00 | $59.40–$132.00 | — | 55% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT Abdomen and Pelvis w/o Contrast | $918.45 | $2,041.00 | $207.06–$2,041.00 | 42% below | 55% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT Abdomen and Pelvis w/o Contrast | $918.45 | $2,041.00 | $918.45–$2,041.00 | — | 55% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Enterography w/ Contrast | $947.25 | $2,105.00 | $302.75–$2,105.00 | 51% below | 55% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abdomen and Pelvis w/ Contrast | $947.25 | $2,105.00 | $302.75–$2,105.00 | 51% below | 55% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abdomen and Pelvis w/ Contrast Charge | $3,058.65 | $6,797.00 | $302.75–$6,797.00 | 57% above | 55% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Abdomen and Pelvis w/ Contrast | $947.25 | $2,105.00 | $947.25–$2,105.00 | — | 55% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Enterography w/ Contrast | $947.25 | $2,105.00 | $947.25–$2,105.00 | — | 55% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Abdomen and Pelvis w/ Contrast Charge | $3,058.65 | $6,797.00 | $3,058.65–$6,797.00 | — | 55% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT UROGRAM(M) | $1,377.45 | $3,061.00 | $302.75–$3,061.00 | 41% below | 55% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT Abdomen and Pelvis w/ + w/o Contrast | $1,377.45 | $3,061.00 | $302.75–$3,061.00 | 41% below | 55% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT Abdomen and Pelvis w/ + w/o Contrast Charge | $3,058.65 | $6,797.00 | $302.75–$6,797.00 | 31% above | 55% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT UROGRAM(M) | $1,377.45 | $3,061.00 | $1,377.45–$3,061.00 | — | 55% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT Abdomen and Pelvis w/ + w/o Contrast | $1,377.45 | $3,061.00 | $1,377.45–$3,061.00 | — | 55% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT Abdomen and Pelvis w/ + w/o Contrast Charge | $3,058.65 | $6,797.00 | $3,058.65–$6,797.00 | — | 55% |
| CT scan of the abdomen with contrast CPT 74160 CT Abdomen w/ Contrast | $738.00 | $1,640.00 | $152.22–$1,640.00 | 37% below | 55% |
| CT scan of the abdomen with contrast inpatient CPT 74160 CT Abdomen w/ Contrast | $738.00 | $1,640.00 | $738.00–$1,640.00 | — | 55% |
| CT scan of the abdomen without contrast CPT 74150 CT Abdomen w/o Contrast | $738.00 | $1,640.00 | $90.73–$1,640.00 | 30% below | 55% |
| CT scan of the abdomen without contrast inpatient CPT 74150 CT Abdomen w/o Contrast | $738.00 | $1,640.00 | $738.00–$1,640.00 | — | 55% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT Sinus w/o Contrast | $738.00 | $1,640.00 | $90.73–$1,640.00 | 16% below | 55% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT Maxillofacial w/o Contrast | $738.00 | $1,640.00 | $90.73–$1,640.00 | 16% below | 55% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT Sinus w/o Contrast | $738.00 | $1,640.00 | $738.00–$1,640.00 | — | 55% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT Maxillofacial w/o Contrast | $738.00 | $1,640.00 | $738.00–$1,640.00 | — | 55% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD STROKE ALERT | $738.00 | $1,640.00 | $90.73–$1,640.00 | 12% below | 55% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT Brain/Head w/o Contrast | $738.00 | $1,640.00 | $90.73–$1,640.00 | 12% below | 55% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Brain/Head w/o Contrast | $738.00 | $1,640.00 | $738.00–$1,640.00 | — | 55% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD STROKE ALERT | $738.00 | $1,640.00 | $738.00–$1,640.00 | — | 55% |
| CT scan of the head with contrast CPT 70460 CT Brain/Head w/ Contrast | $738.00 | $1,640.00 | $152.22–$1,640.00 | 27% below | 55% |
| CT scan of the head with contrast inpatient CPT 70460 CT Brain/Head w/ Contrast | $738.00 | $1,640.00 | $738.00–$1,640.00 | — | 55% |
| CT scan of the head without and with contrast CPT 70470 CT Brain/Head w/ + w/o Contrast | $1,102.05 | $2,449.00 | $152.22–$2,449.00 | 5% below | 55% |
| CT scan of the head without and with contrast inpatient CPT 70470 CT Brain/Head w/ + w/o Contrast | $1,102.05 | $2,449.00 | $1,102.05–$2,449.00 | — | 55% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT Spine Lumbar w/o Contrast | $738.00 | $1,640.00 | $90.73–$1,640.00 | 33% below | 55% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT Spine Lumbar w/o Contrast | $738.00 | $1,640.00 | $738.00–$1,640.00 | — | 55% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT Spine Cervical w/o Contrast | $738.00 | $1,640.00 | $90.73–$1,640.00 | 31% below | 55% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT Spine Cervical w/o Contrast | $738.00 | $1,640.00 | $738.00–$1,640.00 | — | 55% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT Cystogram | $797.85 | $1,773.00 | $152.22–$1,773.00 | 35% below | 55% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis w/ Contrast | $797.85 | $1,773.00 | $152.22–$1,773.00 | 35% below | 55% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT Pelvis w/ Contrast | $797.85 | $1,773.00 | $797.85–$1,773.00 | — | 55% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT Cystogram | $797.85 | $1,773.00 | $797.85–$1,773.00 | — | 55% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 US Carotid Duplex Bilateral | $1,185.30 | $2,634.00 | $207.06–$2,634.00 | — | 55% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 VL Carotid Duplex | $1,185.30 | $2,634.00 | $207.06–$2,634.00 | 64% above | 55% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 US Carotid Duplex Bilateral | $1,185.30 | $2,634.00 | $1,185.30–$2,634.00 | — | 55% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 VL Carotid Duplex | $1,185.30 | $2,634.00 | $1,185.30–$2,634.00 | — | 55% |
| Chest X-ray, 2 views CPT 71046 XR Chest 2 Views | $244.35 | $543.00 | $75.52–$543.00 | 10% below | 55% |
| Chest X-ray, 2 views CPT 71046 XR Chest 2 Views w/ Apical Lordotic | $244.35 | $543.00 | $75.52–$543.00 | 10% below | 55% |
| Chest X-ray, 2 views inpatient CPT 71046 XR Chest 2 Views | $244.35 | $543.00 | $244.35–$543.00 | — | 55% |
| Chest X-ray, 2 views inpatient CPT 71046 XR Chest 2 Views w/ Apical Lordotic | $244.35 | $543.00 | $244.35–$543.00 | — | 55% |
| Chest X-ray, single view CPT 71045 XR Chest 1 View Standing PA | $189.90 | $422.00 | $75.52–$422.00 | 18% below | 55% |
| Chest X-ray, single view CPT 71045 XR CHEST AP PORTABLE | $189.90 | $422.00 | $75.52–$422.00 | 18% below | 55% |
| Chest X-ray, single view inpatient CPT 71045 XR CHEST AP PORTABLE | $189.90 | $422.00 | $189.90–$422.00 | — | 55% |
| Chest X-ray, single view inpatient CPT 71045 XR Chest 1 View Standing PA | $189.90 | $422.00 | $189.90–$422.00 | — | 55% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 XR Clavicle Right | $184.05 | $409.00 | $75.52–$409.00 | 33% below | 55% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 XR Clavicle Left | $184.05 | $409.00 | $75.52–$409.00 | 33% below | 55% |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XR Clavicle Left | $184.05 | $409.00 | $184.05–$409.00 | — | 55% |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XR Clavicle Right | $184.05 | $409.00 | $184.05–$409.00 | — | 55% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US Retroperitoneal Complete | $418.95 | $931.00 | $90.73–$931.00 | 41% below | 55% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US Retroperitoneal Complete | $418.95 | $931.00 | $418.95–$931.00 | — | 55% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 BD Bone Density DEXA Axial Skeleton | $138.15 | $307.00 | $90.73–$307.00 | 69% below | 55% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 BD Bone Density DEXA Axial Skeleton | $138.15 | $307.00 | $138.15–$307.00 | — | 55% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Chest High Resolution | $738.00 | $1,640.00 | $90.73–$1,640.00 | 21% below | 55% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 Robotic CT Chest w/o contrast | $738.00 | $1,640.00 | $90.73–$1,640.00 | 21% below | 55% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Thorax w/o Contrast | $738.00 | $1,640.00 | $90.73–$1,640.00 | 21% below | 55% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT Chest High Resolution | $738.00 | $1,640.00 | $738.00–$1,640.00 | — | 55% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT Thorax w/o Contrast | $738.00 | $1,640.00 | $738.00–$1,640.00 | — | 55% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 Robotic CT Chest w/o contrast | $738.00 | $1,640.00 | $738.00–$1,640.00 | — | 55% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT Thorax w/ Contrast | $738.00 | $1,640.00 | $152.22–$1,640.00 | 35% below | 55% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT Thorax w/ Contrast | $738.00 | $1,640.00 | $738.00–$1,640.00 | — | 55% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MG Breast Tomo 3D Digital Diag Bilateral | $169.65 | $377.00 | $88.91–$377.00 | — | 55% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MG Mammo Digital Diagnostic Bilat | $169.65 | $377.00 | $88.91–$377.00 | — | 55% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MG Mammo Digital Diagnostic Bilat | $169.65 | $377.00 | $169.65–$377.00 | — | 55% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MG Breast Tomo 3D Digital Diag Bilateral | $169.65 | $377.00 | $169.65–$377.00 | — | 55% |
| Diagnostic mammogram, one breast one side CPT 77065 MG Mammo Digital Diagnostic Left | $155.70 | $346.00 | $69.82–$346.00 | 56% below | 55% |
| Diagnostic mammogram, one breast one side CPT 77065 MG Mammo Digital Diagnostic Right | $155.70 | $346.00 | $69.82–$346.00 | 56% below | 55% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MG Mammo Digital Diagnostic Left | $155.70 | $346.00 | $155.70–$346.00 | — | 55% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MG Mammo Digital Diagnostic Right | $155.70 | $346.00 | $155.70–$346.00 | — | 55% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 VL Lower Pseudo Surveillance Bilat | $301.50 | $670.00 | $207.06–$670.00 | — | 55% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 VL Lower Ext Aneurysm Surveillance Bilat | $301.50 | $670.00 | $207.06–$670.00 | — | 55% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 VL Lower Ext Arterial Duplex Bilateral | $301.50 | $670.00 | $207.06–$670.00 | — | 55% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US Lower Ext Arterial Duplex Bilateral | $301.50 | $670.00 | $207.06–$670.00 | — | 55% |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 US LOWER PSEUDO SURVLNCE BIL | $301.50 | $670.00 | $207.06–$670.00 | 66% below | 55% |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 US UPPER PSEUDO SURVLNCE BIL | $301.50 | $670.00 | $207.06–$670.00 | 66% below | 55% |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 VL Lower Ext Arterial Duplex Bilateral | $301.50 | $670.00 | $301.50–$670.00 | — | 55% |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 VL Lower Ext Aneurysm Surveillance Bilat | $301.50 | $670.00 | $301.50–$670.00 | — | 55% |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 VL Lower Pseudo Surveillance Bilat | $301.50 | $670.00 | $301.50–$670.00 | — | 55% |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 US Lower Ext Arterial Duplex Bilateral | $301.50 | $670.00 | $301.50–$670.00 | — | 55% |
| Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 US UPPER PSEUDO SURVLNCE BIL | $301.50 | $670.00 | $301.50–$670.00 | — | 55% |
| Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 US LOWER PSEUDO SURVLNCE BIL | $301.50 | $670.00 | $301.50–$670.00 | — | 55% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 VL Venous Insufficiency Bilat | $901.35 | $2,003.00 | $207.06–$2,003.00 | — | 55% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US Upper Ext Venous Duplex Bilateral | $901.35 | $2,003.00 | $207.06–$2,003.00 | — | 55% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 VL Lower Ext Vein Mapping Bilat | $901.35 | $2,003.00 | $207.06–$2,003.00 | — | 55% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US Lower Ext Venous Duplex Bilateral | $901.35 | $2,003.00 | $207.06–$2,003.00 | — | 55% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 VL DVT Lower Ext Bilateral | $901.35 | $2,003.00 | $207.06–$2,003.00 | — | 55% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 VL DVT Upper Ext Bilateral | $901.35 | $2,003.00 | $207.06–$2,003.00 | — | 55% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 US VENOUS INSUFFICIENCY BIL | $901.35 | $2,003.00 | $207.06–$2,003.00 | 4% above | 55% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 US UPPER EXT VEIN MAP BIL | $901.35 | $2,003.00 | $207.06–$2,003.00 | 4% above | 55% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US Lower Ext Venous Duplex Bilateral | $901.35 | $2,003.00 | $901.35–$2,003.00 | — | 55% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US Upper Ext Venous Duplex Bilateral | $901.35 | $2,003.00 | $901.35–$2,003.00 | — | 55% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 VL DVT Lower Ext Bilateral | $901.35 | $2,003.00 | $901.35–$2,003.00 | — | 55% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 VL DVT Upper Ext Bilateral | $901.35 | $2,003.00 | $901.35–$2,003.00 | — | 55% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 VL Lower Ext Vein Mapping Bilat | $901.35 | $2,003.00 | $901.35–$2,003.00 | — | 55% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 VL Venous Insufficiency Bilat | $901.35 | $2,003.00 | $901.35–$2,003.00 | — | 55% |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 US VENOUS INSUFFICIENCY BIL | $901.35 | $2,003.00 | $901.35–$2,003.00 | — | 55% |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 US UPPER EXT VEIN MAP BIL | $901.35 | $2,003.00 | $901.35–$2,003.00 | — | 55% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Yes | $886.05 | $1,969.00 | $474.18–$1,969.00 | 48% below | 55% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Echo Acquisition | $886.50 | $1,970.00 | $474.18–$1,970.00 | 48% below | 55% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Yes | $886.05 | $1,969.00 | $886.05–$1,969.00 | — | 55% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Echo Acquisition | $886.50 | $1,970.00 | $886.50–$1,970.00 | — | 55% |
| Elbow X-ray, 2 views one side CPT 73070 XR Elbow 2 Views Left | $184.05 | $409.00 | $75.52–$409.00 | 31% below | 55% |
| Elbow X-ray, 2 views one side CPT 73070 XR Elbow 2 Views Right | $184.05 | $409.00 | $75.52–$409.00 | 31% below | 55% |
| Elbow X-ray, 2 views inpatient one side CPT 73070 XR Elbow 2 Views Right | $184.05 | $409.00 | $184.05–$409.00 | — | 55% |
| Elbow X-ray, 2 views inpatient one side CPT 73070 XR Elbow 2 Views Left | $184.05 | $409.00 | $184.05–$409.00 | — | 55% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 XR Elbow Complete 3+ Views Right | $184.05 | $409.00 | $75.52–$409.00 | 42% below | 55% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 XR Elbow Complete 3+ Views Left | $184.05 | $409.00 | $75.52–$409.00 | 42% below | 55% |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XR Elbow Complete 3+ Views Left | $184.05 | $409.00 | $184.05–$409.00 | — | 55% |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XR Elbow Complete 3+ Views Right | $184.05 | $409.00 | $184.05–$409.00 | — | 55% |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT TEMPORAL W/O CONTRAST | $738.00 | $1,640.00 | $90.73–$1,640.00 | 14% below | 55% |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT Orbits Sella w/o Contrast | $738.00 | $1,640.00 | $90.73–$1,640.00 | 14% below | 55% |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT Orbits Sella w/o Contrast | $738.00 | $1,640.00 | $738.00–$1,640.00 | — | 55% |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT TEMPORAL W/O CONTRAST | $738.00 | $1,640.00 | $738.00–$1,640.00 | — | 55% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 XR Zygomatic Arch-Complete | $175.95 | $391.00 | $90.73–$391.00 | 55% below | 55% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 XR Facial Bones 3+ Views | $175.95 | $391.00 | $90.73–$391.00 | 55% below | 55% |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 XR Zygomatic Arch-Complete | $175.95 | $391.00 | $175.95–$391.00 | — | 55% |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 XR Facial Bones 3+ Views | $175.95 | $391.00 | $175.95–$391.00 | — | 55% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR Forearm 2 Views Right | $184.05 | $409.00 | $75.52–$409.00 | 33% below | 55% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR Forearm 2 Views Left | $184.05 | $409.00 | $75.52–$409.00 | 33% below | 55% |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XR Forearm 2 Views Right | $184.05 | $409.00 | $184.05–$409.00 | — | 55% |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XR Forearm 2 Views Left | $184.05 | $409.00 | $184.05–$409.00 | — | 55% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM BILE LEAK STUDY | $1,435.05 | $3,189.00 | $346.92–$3,189.00 | 10% below | 55% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM Hepatobiliary Imaging | $1,435.05 | $3,189.00 | $346.92–$3,189.00 | 10% below | 55% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NM BILE LEAK STUDY | $1,435.05 | $3,189.00 | $1,435.05–$3,189.00 | — | 55% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NM Hepatobiliary Imaging | $1,435.05 | $3,189.00 | $1,435.05–$3,189.00 | — | 55% |
| Hand X-ray, 2 views one side CPT 73120 XR Hand 2 Views Left | $184.05 | $409.00 | $90.73–$409.00 | 31% below | 55% |
| Hand X-ray, 2 views one side CPT 73120 XR Hand 2 Views Right | $184.05 | $409.00 | $90.73–$409.00 | 31% below | 55% |
| Hand X-ray, 2 views inpatient one side CPT 73120 XR Hand 2 Views Right | $184.05 | $409.00 | $184.05–$409.00 | — | 55% |
| Hand X-ray, 2 views inpatient one side CPT 73120 XR Hand 2 Views Left | $184.05 | $409.00 | $184.05–$409.00 | — | 55% |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR Calcaneous Right | $184.05 | $409.00 | $75.52–$409.00 | 33% below | 55% |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR Calcaneous Left | $184.05 | $409.00 | $75.52–$409.00 | 33% below | 55% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 XR Calcaneous Left | $184.05 | $409.00 | $184.05–$409.00 | — | 55% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 XR Calcaneous Right | $184.05 | $409.00 | $184.05–$409.00 | — | 55% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 Home Sleep Study Unattended 95806 | $220.95 | $491.00 | $187.38–$491.00 | 69% below | 55% |
| Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 Home Sleep Study Unattended 95806 | $220.95 | $491.00 | $220.95–$491.00 | — | 55% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Polysomnography 4+ parameters w/PAP 95811 | $1,024.20 | $2,276.00 | $745.22–$2,276.00 | 75% below | 55% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 Polysomnography 4+ parameters w/PAP 95811 | $1,024.20 | $2,276.00 | $1,024.20–$2,276.00 | — | 55% |
| Knee X-ray, 3 views one side CPT 73562 XR KNEE COMP RT W/PATELLA VIEWS | $184.05 | $409.00 | $75.52–$409.00 | 48% below | 55% |
| Knee X-ray, 3 views one side CPT 73562 XR KNEE COMPLETE W/PATELLA VIEWS | $184.05 | $409.00 | $75.52–$409.00 | 48% below | 55% |
| Knee X-ray, 3 views inpatient one side CPT 73562 XR KNEE COMPLETE W/PATELLA VIEWS | $184.05 | $409.00 | $184.05–$409.00 | — | 55% |
| Knee X-ray, 3 views inpatient one side CPT 73562 XR KNEE COMP RT W/PATELLA VIEWS | $184.05 | $409.00 | $184.05–$409.00 | — | 55% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 XR Knee Minimum 4 Views Left | $229.95 | $511.00 | $90.73–$511.00 | 42% below | 55% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 XR KNEE Minimum 4 Views Right | $229.95 | $511.00 | $90.73–$511.00 | 42% below | 55% |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XR Knee Minimum 4 Views Left | $229.95 | $511.00 | $229.95–$511.00 | — | 55% |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XR KNEE Minimum 4 Views Right | $229.95 | $511.00 | $229.95–$511.00 | — | 55% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Nano Knee Left | $702.45 | $1,561.00 | $90.73–$1,561.00 | 26% below | 55% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Nano Knee Right | $702.45 | $1,561.00 | $90.73–$1,561.00 | 26% below | 55% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Lower Extremity w/o Contrast Left | $738.00 | $1,640.00 | $90.73–$1,640.00 | 22% below | 55% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Lower Extremity w/o Contrast Right | $738.00 | $1,640.00 | $90.73–$1,640.00 | 22% below | 55% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Nano Knee Right | $702.45 | $1,561.00 | $702.45–$1,561.00 | — | 55% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Nano Knee Left | $702.45 | $1,561.00 | $702.45–$1,561.00 | — | 55% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Lower Extremity w/o Contrast Right | $738.00 | $1,640.00 | $738.00–$1,640.00 | — | 55% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Lower Extremity w/o Contrast Left | $738.00 | $1,640.00 | $738.00–$1,640.00 | — | 55% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Liver | $418.95 | $931.00 | $90.73–$931.00 | 24% below | 55% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US SPLEEN | $418.95 | $931.00 | $90.73–$931.00 | 24% below | 55% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US SINGLE AREA & F/U | $418.95 | $931.00 | $90.73–$931.00 | 24% below | 55% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US PANCREAS | $418.95 | $931.00 | $90.73–$931.00 | 24% below | 55% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US GALLBLADDER OR RUQ | $418.95 | $931.00 | $90.73–$931.00 | 24% below | 55% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Appendix | $418.95 | $931.00 | $90.73–$931.00 | 24% below | 55% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Abdomen Limited | $418.95 | $931.00 | $90.73–$931.00 | 24% below | 55% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US SINGLE AREA & F/U | $418.95 | $931.00 | $418.95–$931.00 | — | 55% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Liver | $418.95 | $931.00 | $418.95–$931.00 | — | 55% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Abdomen Limited | $418.95 | $931.00 | $418.95–$931.00 | — | 55% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Appendix | $418.95 | $931.00 | $418.95–$931.00 | — | 55% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US SPLEEN | $418.95 | $931.00 | $418.95–$931.00 | — | 55% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US GALLBLADDER OR RUQ | $418.95 | $931.00 | $418.95–$931.00 | — | 55% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US PANCREAS | $418.95 | $931.00 | $418.95–$931.00 | — | 55% |
| Limited ultrasound of an arm or leg (non-vascular) both sides CPT 76882 US Extremity Nonvascular Limited Bilat | $86.85 | $193.00 | $86.85–$193.00 | — | 55% |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US Extremity Nonvascular Limited Left | $86.85 | $193.00 | $86.85–$193.00 | 82% below | 55% |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US Extremity Nonvascular Limited Right | $86.85 | $193.00 | $86.85–$193.00 | 82% below | 55% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient both sides CPT 76882 US Extremity Nonvascular Limited Bilat | $86.85 | $193.00 | $86.85–$193.00 | — | 55% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US Extremity Nonvascular Limited Left | $86.85 | $193.00 | $86.85–$193.00 | — | 55% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US Extremity Nonvascular Limited Right | $86.85 | $193.00 | $86.85–$193.00 | — | 55% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT Lung Cancer Screening | $738.00 | $1,640.00 | $90.73–$1,640.00 | 158% above | 55% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT Lung Cancer Screening | $738.00 | $1,640.00 | $738.00–$1,640.00 | — | 55% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR Tibia/Fibula Left | $184.05 | $409.00 | $75.52–$409.00 | 33% below | 55% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR Tibia/Fibula Right | $184.05 | $409.00 | $75.52–$409.00 | 33% below | 55% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR Tibia/Fibula Right | $184.05 | $409.00 | $184.05–$409.00 | — | 55% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR Tibia/Fibula Left | $184.05 | $409.00 | $184.05–$409.00 | — | 55% |
| MR angiography (MRA) of the head without contrast CPT 70544 MRA Brain/Head w/o Contrast | $918.45 | $2,041.00 | $207.06–$2,041.00 | 36% below | 55% |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA Brain/Head w/o Contrast | $918.45 | $2,041.00 | $918.45–$2,041.00 | — | 55% |
| MRI of both breasts, without and then with contrast dye both sides CPT 77049 MRI Breast w/ + w/o Contrast Bilateral | $1,469.25 | $3,265.00 | $973.00–$3,265.00 | — | 55% |
| MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 MRI Breast w/ + w/o Contrast Bilateral | $1,469.25 | $3,265.00 | $1,469.25–$3,265.00 | — | 55% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Ankle w/o Contrast Left | $958.95 | $2,131.00 | $207.06–$2,131.00 | 44% below | 55% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Hip w/o Contrast Right | $958.95 | $2,131.00 | $207.06–$2,131.00 | 44% below | 55% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Hip w/o Contrast Left | $958.95 | $2,131.00 | $207.06–$2,131.00 | 44% below | 55% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LWR EXTREM JT-RT W/0(M) | $958.95 | $2,131.00 | $207.06–$2,131.00 | 44% below | 55% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Ankle w/o Contrast Right | $958.95 | $2,131.00 | $207.06–$2,131.00 | 44% below | 55% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Knee w/o Contrast Right | $958.95 | $2,131.00 | $207.06–$2,131.00 | 44% below | 55% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Knee w/o Contrast Left | $958.95 | $2,131.00 | $207.06–$2,131.00 | 44% below | 55% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LWR EXTREM JT-LT W/0(M) | $958.95 | $2,131.00 | $207.06–$2,131.00 | 44% below | 55% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Knee w/o Contrast Left | $958.95 | $2,131.00 | $958.95–$2,131.00 | — | 55% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Ankle w/o Contrast Right | $958.95 | $2,131.00 | $958.95–$2,131.00 | — | 55% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Hip w/o Contrast Left | $958.95 | $2,131.00 | $958.95–$2,131.00 | — | 55% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Hip w/o Contrast Right | $958.95 | $2,131.00 | $958.95–$2,131.00 | — | 55% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Knee w/o Contrast Right | $958.95 | $2,131.00 | $958.95–$2,131.00 | — | 55% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI LWR EXTREM JT-LT W/0(M) | $958.95 | $2,131.00 | $958.95–$2,131.00 | — | 55% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI LWR EXTREM JT-RT W/0(M) | $958.95 | $2,131.00 | $958.95–$2,131.00 | — | 55% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Ankle w/o Contrast Left | $958.95 | $2,131.00 | $958.95–$2,131.00 | — | 55% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Knee w/ + w/o Contrast Left | $1,468.80 | $3,264.00 | $302.75–$3,264.00 | 38% below | 55% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Knee w/ + w/o Contrast Right | $1,468.80 | $3,264.00 | $302.75–$3,264.00 | 38% below | 55% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Hip w/ + w/o Contrast Left | $1,468.80 | $3,264.00 | $302.75–$3,264.00 | 38% below | 55% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Ankle w/ + w/o Contrast Left | $1,468.80 | $3,264.00 | $302.75–$3,264.00 | 38% below | 55% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Ankle w/ + w/o Contrast Right | $1,468.80 | $3,264.00 | $302.75–$3,264.00 | 38% below | 55% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI LWR EXTREM JT W/WO RT(M) | $1,468.80 | $3,264.00 | $302.75–$3,264.00 | 38% below | 55% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI LWR EXTREM JT W/WO LT(M) | $1,468.80 | $3,264.00 | $302.75–$3,264.00 | 38% below | 55% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Hip w/ + w/o Contrast Right | $1,468.80 | $3,264.00 | $302.75–$3,264.00 | 38% below | 55% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Ankle w/ + w/o Contrast Left | $1,468.80 | $3,264.00 | $1,468.80–$3,264.00 | — | 55% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI LWR EXTREM JT W/WO RT(M) | $1,468.80 | $3,264.00 | $1,468.80–$3,264.00 | — | 55% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Hip w/ + w/o Contrast Right | $1,468.80 | $3,264.00 | $1,468.80–$3,264.00 | — | 55% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Hip w/ + w/o Contrast Left | $1,468.80 | $3,264.00 | $1,468.80–$3,264.00 | — | 55% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI LWR EXTREM JT W/WO LT(M) | $1,468.80 | $3,264.00 | $1,468.80–$3,264.00 | — | 55% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Knee w/ + w/o Contrast Right | $1,468.80 | $3,264.00 | $1,468.80–$3,264.00 | — | 55% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Knee w/ + w/o Contrast Left | $1,468.80 | $3,264.00 | $1,468.80–$3,264.00 | — | 55% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Ankle w/ + w/o Contrast Right | $1,468.80 | $3,264.00 | $1,468.80–$3,264.00 | — | 55% |
| MRI of the abdomen without contrast CPT 74181 MRI Abdomen w/o Contrast | $958.95 | $2,131.00 | $207.06–$2,131.00 | 48% below | 55% |
| MRI of the abdomen without contrast inpatient CPT 74181 MRI Abdomen w/o Contrast | $958.95 | $2,131.00 | $958.95–$2,131.00 | — | 55% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI Abdomen w/ + w/o Contrast | $1,469.25 | $3,265.00 | $302.75–$3,265.00 | 35% below | 55% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI Abdomen w/ + w/o Contrast | $1,469.25 | $3,265.00 | $1,469.25–$3,265.00 | — | 55% |
| MRI of the brain, no contrast dye CPT 70551 MRI Brain w/o Contrast | $958.95 | $2,131.00 | $207.06–$2,131.00 | 40% below | 55% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI Brain w/o Contrast | $958.95 | $2,131.00 | $958.95–$2,131.00 | — | 55% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W/O W/CNT W/IAC | $1,469.25 | $3,265.00 | $302.75–$3,265.00 | 33% below | 55% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI Brain w/ + w/o Contrast | $1,469.25 | $3,265.00 | $302.75–$3,265.00 | 33% below | 55% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN W/O W/CNT W/IAC | $1,469.25 | $3,265.00 | $1,469.25–$3,265.00 | — | 55% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI Brain w/ + w/o Contrast | $1,469.25 | $3,265.00 | $1,469.25–$3,265.00 | — | 55% |
| MRI of the lower back, no contrast dye CPT 72148 MRI Spine Lumbar w/o Contrast | $958.95 | $2,131.00 | $207.06–$2,131.00 | 42% below | 55% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI Spine Lumbar w/o Contrast | $958.95 | $2,131.00 | $958.95–$2,131.00 | — | 55% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI Spine Lumbar w/ + w/o Contrast | $1,469.25 | $3,265.00 | $302.75–$3,265.00 | 37% below | 55% |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI Spine Lumbar w/ + w/o Contrast | $1,469.25 | $3,265.00 | $1,469.25–$3,265.00 | — | 55% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI Spine Thoracic w/o Contrast | $958.95 | $2,131.00 | $207.06–$2,131.00 | 41% below | 55% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI Spine Thoracic w/o Contrast | $958.95 | $2,131.00 | $958.95–$2,131.00 | — | 55% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI Spine Cervical w/ + w/o Contrast | $1,469.25 | $3,265.00 | $302.75–$3,265.00 | 35% below | 55% |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI Spine Cervical w/ + w/o Contrast | $1,469.25 | $3,265.00 | $1,469.25–$3,265.00 | — | 55% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI Spine Cervical w/o Contrast | $958.95 | $2,131.00 | $207.06–$2,131.00 | 40% below | 55% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI Spine Cervical w/o Contrast | $958.95 | $2,131.00 | $958.95–$2,131.00 | — | 55% |
| MRI of the pelvis without and with contrast CPT 72197 MRI Pelvis w/ + w/o Contrast | $1,469.25 | $3,265.00 | $302.75–$3,265.00 | 25% below | 55% |
| MRI of the pelvis without and with contrast CPT 72197 MRI Rectum w/ + w/o Contrast | $1,469.25 | $3,265.00 | $302.75–$3,265.00 | 25% below | 55% |
| MRI of the pelvis without and with contrast CPT 72197 MRI Prostate w/ + w/o Contrast | $1,469.25 | $3,265.00 | $302.75–$3,265.00 | 25% below | 55% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 MRI Prostate w/ + w/o Contrast | $1,469.25 | $3,265.00 | $1,469.25–$3,265.00 | — | 55% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 MRI Rectum w/ + w/o Contrast | $1,469.25 | $3,265.00 | $1,469.25–$3,265.00 | — | 55% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 MRI Pelvis w/ + w/o Contrast | $1,469.25 | $3,265.00 | $1,469.25–$3,265.00 | — | 55% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI Pelvis w/o Contrast | $958.95 | $2,131.00 | $207.06–$2,131.00 | 37% below | 55% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI Rectum w/o Contrast | $958.95 | $2,131.00 | $207.06–$2,131.00 | 37% below | 55% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI Prostate w/o Contrast | $958.95 | $2,131.00 | $207.06–$2,131.00 | 37% below | 55% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI Prostate w/o Contrast | $958.95 | $2,131.00 | $958.95–$2,131.00 | — | 55% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI Rectum w/o Contrast | $958.95 | $2,131.00 | $958.95–$2,131.00 | — | 55% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI Pelvis w/o Contrast | $958.95 | $2,131.00 | $958.95–$2,131.00 | — | 55% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Wrist w/o Contrast Right | $958.95 | $2,131.00 | $207.06–$2,131.00 | 34% below | 55% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Elbow w/o Contrast Left | $958.95 | $2,131.00 | $207.06–$2,131.00 | 34% below | 55% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Elbow w/o Contrast Right | $958.95 | $2,131.00 | $207.06–$2,131.00 | 34% below | 55% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Shoulder w/o Contrast Left | $958.95 | $2,131.00 | $207.06–$2,131.00 | 34% below | 55% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Shoulder w/o Contrast Right | $958.95 | $2,131.00 | $207.06–$2,131.00 | 34% below | 55% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Wrist w/o Contrast Left | $958.95 | $2,131.00 | $207.06–$2,131.00 | 34% below | 55% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UPR EXTREM JT-LT W/O(M) | $958.95 | $2,131.00 | $207.06–$2,131.00 | 34% below | 55% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UPR EXTREM JT-RT W O(M) | $958.95 | $2,131.00 | $207.06–$2,131.00 | 34% below | 55% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Wrist w/o Contrast Left | $958.95 | $2,131.00 | $958.95–$2,131.00 | — | 55% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI UPR EXTREM JT-LT W/O(M) | $958.95 | $2,131.00 | $958.95–$2,131.00 | — | 55% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI UPR EXTREM JT-RT W O(M) | $958.95 | $2,131.00 | $958.95–$2,131.00 | — | 55% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Wrist w/o Contrast Right | $958.95 | $2,131.00 | $958.95–$2,131.00 | — | 55% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Elbow w/o Contrast Left | $958.95 | $2,131.00 | $958.95–$2,131.00 | — | 55% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Elbow w/o Contrast Right | $958.95 | $2,131.00 | $958.95–$2,131.00 | — | 55% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Shoulder w/o Contrast Left | $958.95 | $2,131.00 | $958.95–$2,131.00 | — | 55% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Shoulder w/o Contrast Right | $958.95 | $2,131.00 | $958.95–$2,131.00 | — | 55% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 XR Spine Cervical 4 or 5 Views | $293.85 | $653.00 | $90.73–$653.00 | 35% below | 55% |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 XR Spine Cervical 4 or 5 Views | $293.85 | $653.00 | $293.85–$653.00 | — | 55% |
| Neck soft tissue CT scan with contrast CPT 70491 CT Neck Soft Tissue w/ Contrast | $738.00 | $1,640.00 | $152.22–$1,640.00 | 37% below | 55% |
| Neck soft tissue CT scan with contrast inpatient CPT 70491 CT Neck Soft Tissue w/ Contrast | $738.00 | $1,640.00 | $738.00–$1,640.00 | — | 55% |
| Neck soft tissue CT scan without contrast CPT 70490 CT Neck Soft Tissue w/o Contrast | $738.00 | $1,640.00 | $90.73–$1,640.00 | 20% below | 55% |
| Neck soft tissue CT scan without contrast inpatient CPT 70490 CT Neck Soft Tissue w/o Contrast | $738.00 | $1,640.00 | $738.00–$1,640.00 | — | 55% |
| Neck soft tissue X-ray CPT 70360 XR Neck Soft Tissue | $204.30 | $454.00 | $75.52–$454.00 | 22% below | 55% |
| Neck soft tissue X-ray inpatient CPT 70360 XR Neck Soft Tissue | $204.30 | $454.00 | $204.30–$454.00 | — | 55% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM Myocardial SPECT Rest and Stress | $1,443.15 | $3,207.00 | $1,123.50–$3,207.00 | 65% below | 55% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM THALLIUM VIABILITY STUDY | $1,443.15 | $3,207.00 | $1,123.50–$3,207.00 | 65% below | 55% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM Myocardial SPECT Rest and Stress | $1,443.15 | $3,207.00 | $1,443.15–$3,207.00 | — | 55% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM THALLIUM VIABILITY STUDY | $1,443.15 | $3,207.00 | $1,443.15–$3,207.00 | — | 55% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET CT Axumin Skull Base to Midthigh | $1,380.60 | $3,068.00 | $1,240.91–$3,068.00 | 72% below | 55% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET CT Skull Base to Midthigh | $1,380.60 | $3,068.00 | $1,240.91–$3,068.00 | 72% below | 55% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET CT Skull Base to Midthigh | $1,380.60 | $3,068.00 | $1,380.60–$3,068.00 | — | 55% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET CT Axumin Skull Base to Midthigh | $1,380.60 | $3,068.00 | $1,380.60–$3,068.00 | — | 55% |
| Pelvic CT scan without contrast CPT 72192 CT Pelvis w/o Contrast | $738.00 | $1,640.00 | $90.73–$1,640.00 | 27% below | 55% |
| Pelvic CT scan without contrast inpatient CPT 72192 CT Pelvis w/o Contrast | $738.00 | $1,640.00 | $738.00–$1,640.00 | — | 55% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US GYN Transvaginal Limited/Follow Up | $341.55 | $759.00 | $90.73–$759.00 | 22% below | 55% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US URINARY BLADDER | $418.95 | $931.00 | $90.73–$931.00 | 5% below | 55% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US GYN Transvaginal Limited/Follow Up | $341.55 | $759.00 | $341.55–$759.00 | — | 55% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US URINARY BLADDER | $418.95 | $931.00 | $418.95–$931.00 | — | 55% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US Pelvis Comp w/Transvag if indicated | $424.80 | $944.00 | $90.73–$944.00 | 17% below | 55% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIS W/O TRN VG W/DOPPLER | $424.80 | $944.00 | $90.73–$944.00 | 17% below | 55% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US Pelvis | $424.80 | $944.00 | $90.73–$944.00 | 17% below | 55% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US Pelvis Comp w/Transvag if indicated | $424.80 | $944.00 | $424.80–$944.00 | — | 55% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIS W/O TRN VG W/DOPPLER | $424.80 | $944.00 | $424.80–$944.00 | — | 55% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US Pelvis | $424.80 | $944.00 | $424.80–$944.00 | — | 55% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB Greater Than 14 Weeks | $418.95 | $931.00 | $90.73–$931.00 | 29% below | 55% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB Greater Than 14 Weeks | $418.95 | $931.00 | $418.95–$931.00 | — | 55% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Fetal Ultrasound | $281.70 | $626.00 | $90.73–$626.00 | 41% below | 55% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB Less Thn 14 wks w/TVS if indicated | $281.70 | $626.00 | $90.73–$626.00 | 41% below | 55% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB Limited Bedside | $281.70 | $626.00 | $90.73–$626.00 | 41% below | 55% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB Limited | $281.70 | $626.00 | $90.73–$626.00 | 41% below | 55% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US OB Limited Bedside | $281.70 | $626.00 | $281.70–$626.00 | — | 55% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US OB Less Thn 14 wks w/TVS if indicated | $281.70 | $626.00 | $281.70–$626.00 | — | 55% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 Fetal Ultrasound | $281.70 | $626.00 | $281.70–$626.00 | — | 55% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US OB Limited | $281.70 | $626.00 | $281.70–$626.00 | — | 55% |
| Rib X-ray, one side, 2 views one side CPT 71100 XR Ribs 2 Views Right | $184.05 | $409.00 | $75.52–$409.00 | 41% below | 55% |
| Rib X-ray, one side, 2 views one side CPT 71100 XR Ribs 2 Views Left | $184.05 | $409.00 | $75.52–$409.00 | 41% below | 55% |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 XR Ribs 2 Views Right | $184.05 | $409.00 | $184.05–$409.00 | — | 55% |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 XR Ribs 2 Views Left | $184.05 | $409.00 | $184.05–$409.00 | — | 55% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR Ribs w/ PA Chest Right | $184.05 | $409.00 | $90.73–$409.00 | 53% below | 55% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR Ribs w/ PA Chest Left | $184.05 | $409.00 | $90.73–$409.00 | 53% below | 55% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 XR Ribs w/ PA Chest Left | $184.05 | $409.00 | $184.05–$409.00 | — | 55% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 XR Ribs w/ PA Chest Right | $184.05 | $409.00 | $184.05–$409.00 | — | 55% |
| Screening mammogram, both breasts both sides CPT 77067 MG Mammo Digital Screening Bilateral | $169.65 | $377.00 | $73.49–$377.00 | — | 55% |
| Screening mammogram, both breasts CPT 77067 MG Breast Tomo 3D Digital Screening | $169.65 | $377.00 | $73.49–$377.00 | 12% below | 55% |
| Screening mammogram, both breasts CPT 77067 MG - COMPUTERIZED SCREEN MAMMO | $169.65 | $377.00 | $73.49–$377.00 | 12% below | 55% |
| Screening mammogram, both breasts one side CPT 77067 MG Mammo Digital Screening Right | $169.65 | $377.00 | $73.49–$377.00 | 12% below | 55% |
| Screening mammogram, both breasts one side CPT 77067 MG Mammo Digital Screening Left | $169.65 | $377.00 | $73.49–$377.00 | 12% below | 55% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 MG Mammo Digital Screening Bilateral | $169.65 | $377.00 | $169.65–$377.00 | — | 55% |
| Screening mammogram, both breasts inpatient CPT 77067 MG Breast Tomo 3D Digital Screening | $169.65 | $377.00 | $169.65–$377.00 | — | 55% |
| Screening mammogram, both breasts inpatient CPT 77067 MG - COMPUTERIZED SCREEN MAMMO | $169.65 | $377.00 | $169.65–$377.00 | — | 55% |
| Screening mammogram, both breasts inpatient one side CPT 77067 MG Mammo Digital Screening Right | $169.65 | $377.00 | $169.65–$377.00 | — | 55% |
| Screening mammogram, both breasts inpatient one side CPT 77067 MG Mammo Digital Screening Left | $169.65 | $377.00 | $169.65–$377.00 | — | 55% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR Shoulder Complete 2+ Views Right | $184.05 | $409.00 | $75.52–$409.00 | 46% below | 55% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR Shoulder Complete 2+ Views Left | $184.05 | $409.00 | $75.52–$409.00 | 46% below | 55% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR Shoulder Complete 2+ Views Right | $184.05 | $409.00 | $184.05–$409.00 | — | 55% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR Shoulder Complete 2+ Views Left | $184.05 | $409.00 | $184.05–$409.00 | — | 55% |
| Sinus X-ray, complete, 3 or more views CPT 70220 XR Sinuses Paranasal Complete | $175.95 | $391.00 | $75.52–$391.00 | 51% below | 55% |
| Sinus X-ray, complete, 3 or more views inpatient CPT 70220 XR Sinuses Paranasal Complete | $175.95 | $391.00 | $175.95–$391.00 | — | 55% |
| Skull X-ray, fewer than 4 views CPT 70250 XR Skull < 4 Views | $175.95 | $391.00 | $90.73–$391.00 | 39% below | 55% |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 XR Skull < 4 Views | $175.95 | $391.00 | $175.95–$391.00 | — | 55% |
| Sleep study in a lab (polysomnography) CPT 95810 Polysomnography 4+ parameters 95810 | $966.60 | $2,148.00 | $745.22–$2,148.00 | 73% below | 55% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 Polysomnography 4+ parameters 95810 | $966.60 | $2,148.00 | $966.60–$2,148.00 | — | 55% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 XR MODIFIED BARIUM SWALLOW | $387.00 | $860.00 | $152.22–$860.00 | 23% below | 55% |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 XR MODIFIED BARIUM SWALLOW | $387.00 | $860.00 | $387.00–$860.00 | — | 55% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR Femur 2 Views Left | $184.05 | $409.00 | $75.52–$409.00 | 32% below | 55% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR Femur 2 Views Right | $184.05 | $409.00 | $75.52–$409.00 | 32% below | 55% |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 XR Femur 2 Views Left | $184.05 | $409.00 | $184.05–$409.00 | — | 55% |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 XR Femur 2 Views Right | $184.05 | $409.00 | $184.05–$409.00 | — | 55% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 CT Spine Thoracic w/o Contrast | $734.40 | $1,632.00 | $90.73–$1,632.00 | 17% below | 55% |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT Spine Thoracic w/o Contrast | $734.40 | $1,632.00 | $734.40–$1,632.00 | — | 55% |
| Toe X-ray, 2 or more views one side CPT 73660 XR Toe(s) 2+ Views Right | $184.05 | $409.00 | $75.52–$409.00 | 27% below | 55% |
| Toe X-ray, 2 or more views one side CPT 73660 XR Toe(s) 2+ Views Left | $184.05 | $409.00 | $75.52–$409.00 | 27% below | 55% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toe(s) 2+ Views Left | $184.05 | $409.00 | $184.05–$409.00 | — | 55% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toe(s) 2+ Views Right | $184.05 | $409.00 | $184.05–$409.00 | — | 55% |
| Transvaginal pelvic ultrasound CPT 76830 US Transvaginal Non-OB | $427.95 | $951.00 | $90.73–$951.00 | 23% below | 55% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US Transvaginal Non-OB | $427.95 | $951.00 | $427.95–$951.00 | — | 55% |
| Transvaginal ultrasound during pregnancy CPT 76817 US OB Transvaginal | $439.20 | $976.00 | $90.73–$976.00 | 12% below | 55% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 US OB Transvaginal | $439.20 | $976.00 | $439.20–$976.00 | — | 55% |
| Ultrasound of the abdomen, complete CPT 76700 US Abdomen Complete | $418.95 | $931.00 | $90.73–$931.00 | 33% below | 55% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US Abdomen Complete | $418.95 | $931.00 | $418.95–$931.00 | — | 55% |
| Ultrasound of the scrotum and testicles CPT 76870 US Scrotum (Contents) w/ Doppler if ind | $418.95 | $931.00 | $90.73–$931.00 | 22% below | 55% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 US Scrotum (Contents) w/ Doppler if ind | $418.95 | $931.00 | $418.95–$931.00 | — | 55% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Thyroid with Lymph Mapping | $112.05 | $249.00 | $90.73–$249.00 | 80% below | 55% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Head/Neck Soft Tissue | $418.95 | $931.00 | $90.73–$931.00 | 26% below | 55% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US Thyroid with Lymph Mapping | $112.05 | $249.00 | $112.05–$249.00 | — | 55% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US Head/Neck Soft Tissue | $418.95 | $931.00 | $418.95–$931.00 | — | 55% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR Upper GI | $402.30 | $894.00 | $152.22–$894.00 | 32% below | 55% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR Upper GI w/ Small Bowel | $402.30 | $894.00 | $152.22–$894.00 | 32% below | 55% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 XR Upper GI | $402.30 | $894.00 | $402.30–$894.00 | — | 55% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 XR Upper GI w/ Small Bowel | $402.30 | $894.00 | $402.30–$894.00 | — | 55% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 XR Humerus Left | $184.05 | $409.00 | $75.52–$409.00 | 35% below | 55% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 XR Humerus Right | $184.05 | $409.00 | $75.52–$409.00 | 35% below | 55% |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XR Humerus Right | $184.05 | $409.00 | $184.05–$409.00 | — | 55% |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XR Humerus Left | $184.05 | $409.00 | $184.05–$409.00 | — | 55% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VL DVT Upper Ext Right | $545.40 | $1,212.00 | $90.73–$1,212.00 | 26% below | 55% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Lower Ext Venous Duplex Left | $545.40 | $1,212.00 | $90.73–$1,212.00 | 26% below | 55% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Lower Ext Venous Duplex Right | $545.40 | $1,212.00 | $90.73–$1,212.00 | 26% below | 55% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Upper Ext Venous Duplex Left | $545.40 | $1,212.00 | $90.73–$1,212.00 | 26% below | 55% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Upper Ext Venous Duplex Right | $545.40 | $1,212.00 | $90.73–$1,212.00 | 26% below | 55% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US UPPER EXT VEIN MAP LT | $545.40 | $1,212.00 | $90.73–$1,212.00 | 26% below | 55% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US UPPER EXT VEIN MAP RT | $545.40 | $1,212.00 | $90.73–$1,212.00 | 26% below | 55% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VENOUS INSUFFICIENCY LT | $545.40 | $1,212.00 | $90.73–$1,212.00 | 26% below | 55% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VENOUS INSUFFICIENCY RT | $545.40 | $1,212.00 | $90.73–$1,212.00 | 26% below | 55% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VL DVT Lower Ext Left | $545.40 | $1,212.00 | $90.73–$1,212.00 | 26% below | 55% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VL DVT Lower Ext Right | $545.40 | $1,212.00 | $90.73–$1,212.00 | 26% below | 55% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VL DVT Upper Ext Left | $545.40 | $1,212.00 | $90.73–$1,212.00 | 26% below | 55% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VL Lower Ext Vein Mapping Left | $545.40 | $1,212.00 | $90.73–$1,212.00 | 26% below | 55% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VL Lower Ext Vein Mapping Right | $545.40 | $1,212.00 | $90.73–$1,212.00 | 26% below | 55% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VL Venous Insufficiency Left | $545.40 | $1,212.00 | $90.73–$1,212.00 | 26% below | 55% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VL Venous Insufficiency Right | $545.40 | $1,212.00 | $90.73–$1,212.00 | 26% below | 55% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US UPPER EXT VEIN MAP LT | $545.40 | $1,212.00 | $545.40–$1,212.00 | — | 55% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 VL Venous Insufficiency Right | $545.40 | $1,212.00 | $545.40–$1,212.00 | — | 55% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 VL Venous Insufficiency Left | $545.40 | $1,212.00 | $545.40–$1,212.00 | — | 55% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 VL Lower Ext Vein Mapping Right | $545.40 | $1,212.00 | $545.40–$1,212.00 | — | 55% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US UPPER EXT VEIN MAP RT | $545.40 | $1,212.00 | $545.40–$1,212.00 | — | 55% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 VL Lower Ext Vein Mapping Left | $545.40 | $1,212.00 | $545.40–$1,212.00 | — | 55% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 VL DVT Upper Ext Right | $545.40 | $1,212.00 | $545.40–$1,212.00 | — | 55% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 VL DVT Upper Ext Left | $545.40 | $1,212.00 | $545.40–$1,212.00 | — | 55% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US Lower Ext Venous Duplex Left | $545.40 | $1,212.00 | $545.40–$1,212.00 | — | 55% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 VL DVT Lower Ext Right | $545.40 | $1,212.00 | $545.40–$1,212.00 | — | 55% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US Lower Ext Venous Duplex Right | $545.40 | $1,212.00 | $545.40–$1,212.00 | — | 55% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 VL DVT Lower Ext Left | $545.40 | $1,212.00 | $545.40–$1,212.00 | — | 55% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US Upper Ext Venous Duplex Left | $545.40 | $1,212.00 | $545.40–$1,212.00 | — | 55% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US VENOUS INSUFFICIENCY RT | $545.40 | $1,212.00 | $545.40–$1,212.00 | — | 55% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US Upper Ext Venous Duplex Right | $545.40 | $1,212.00 | $545.40–$1,212.00 | — | 55% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US VENOUS INSUFFICIENCY LT | $545.40 | $1,212.00 | $545.40–$1,212.00 | — | 55% |
| Wrist X-ray, 2 views one side CPT 73100 XR Wrist 2 Views Left | $184.05 | $409.00 | $75.52–$409.00 | 30% below | 55% |
| Wrist X-ray, 2 views one side CPT 73100 XR Wrist 2 Views Right | $184.05 | $409.00 | $75.52–$409.00 | 30% below | 55% |
| Wrist X-ray, 2 views inpatient one side CPT 73100 XR Wrist 2 Views Left | $184.05 | $409.00 | $184.05–$409.00 | — | 55% |
| Wrist X-ray, 2 views inpatient one side CPT 73100 XR Wrist 2 Views Right | $184.05 | $409.00 | $184.05–$409.00 | — | 55% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist Complete 3+ Views Right | $184.05 | $409.00 | $75.52–$409.00 | 46% below | 55% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist Complete 3+ Views Left | $184.05 | $409.00 | $75.52–$409.00 | 46% below | 55% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR Wrist Complete 3+ Views Left | $184.05 | $409.00 | $184.05–$409.00 | — | 55% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR Wrist Complete 3+ Views Right | $184.05 | $409.00 | $184.05–$409.00 | — | 55% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip 2-3 Views w/AP Pelvis Left | $184.05 | $409.00 | $75.52–$409.00 | 40% below | 55% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip 2-3 Views w/AP Pelvis Right | $184.05 | $409.00 | $75.52–$409.00 | 40% below | 55% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR Hip 2-3 Views w/AP Pelvis Left | $184.05 | $409.00 | $184.05–$409.00 | — | 55% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR Hip 2-3 Views w/AP Pelvis Right | $184.05 | $409.00 | $184.05–$409.00 | — | 55% |
| X-ray of the abdomen, 1 view CPT 74018 XR ABDOMEN KUB PORTABLE | $204.30 | $454.00 | $75.52–$454.00 | 21% below | 55% |
| X-ray of the abdomen, 1 view CPT 74018 XR Abdomen KUB for Feeding Tube | $204.30 | $454.00 | $75.52–$454.00 | 21% below | 55% |
| X-ray of the abdomen, 1 view CPT 74018 XR Abdomen KUB 1 View | $204.30 | $454.00 | $75.52–$454.00 | 21% below | 55% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 XR Abdomen KUB for Feeding Tube | $204.30 | $454.00 | $204.30–$454.00 | — | 55% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 XR Abdomen KUB 1 View | $204.30 | $454.00 | $204.30–$454.00 | — | 55% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 XR ABDOMEN KUB PORTABLE | $204.30 | $454.00 | $204.30–$454.00 | — | 55% |
| X-ray of the ankle, 2 views one side CPT 73600 XR Ankle 2 Views Right | $184.05 | $409.00 | $75.52–$409.00 | 30% below | 55% |
| X-ray of the ankle, 2 views one side CPT 73600 XR Ankle 2 Views Left | $184.05 | $409.00 | $75.52–$409.00 | 30% below | 55% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 XR Ankle 2 Views Left | $184.05 | $409.00 | $184.05–$409.00 | — | 55% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 XR Ankle 2 Views Right | $184.05 | $409.00 | $184.05–$409.00 | — | 55% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR THUMB RIGHT | $184.05 | $409.00 | $75.52–$409.00 | 29% below | 55% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR THUMB LEFT | $184.05 | $409.00 | $75.52–$409.00 | 29% below | 55% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger(s) 2+ Views Right | $184.05 | $409.00 | $75.52–$409.00 | 29% below | 55% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger(s) 2+ Views Left | $184.05 | $409.00 | $75.52–$409.00 | 29% below | 55% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger(s) 2+ Views Left | $184.05 | $409.00 | $184.05–$409.00 | — | 55% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR THUMB LEFT | $184.05 | $409.00 | $184.05–$409.00 | — | 55% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR THUMB RIGHT | $184.05 | $409.00 | $184.05–$409.00 | — | 55% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger(s) 2+ Views Right | $184.05 | $409.00 | $184.05–$409.00 | — | 55% |
| X-ray of the foot, 2 views one side CPT 73620 XR Foot 2 Views Right | $184.05 | $409.00 | $75.52–$409.00 | 22% below | 55% |
| X-ray of the foot, 2 views one side CPT 73620 XR Foot 2 Views Left | $184.05 | $409.00 | $75.52–$409.00 | 22% below | 55% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 XR Foot 2 Views Right | $184.05 | $409.00 | $184.05–$409.00 | — | 55% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 XR Foot 2 Views Left | $184.05 | $409.00 | $184.05–$409.00 | — | 55% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XR Foot Complete 3+ Views Right | $184.05 | $409.00 | $75.52–$409.00 | 40% below | 55% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XR Foot Complete 3+ Views Left | $184.05 | $409.00 | $75.52–$409.00 | 40% below | 55% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR Foot Complete 3+ Views Right | $184.05 | $409.00 | $184.05–$409.00 | — | 55% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR Foot Complete 3+ Views Left | $184.05 | $409.00 | $184.05–$409.00 | — | 55% |
| X-ray of the hand, 3 or more views one side CPT 73130 XR Hand Complete 3+ Views Right | $184.05 | $409.00 | $75.52–$409.00 | 44% below | 55% |
| X-ray of the hand, 3 or more views one side CPT 73130 XR Hand Complete 3+ Views Left | $184.05 | $409.00 | $75.52–$409.00 | 44% below | 55% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR Hand Complete 3+ Views Left | $184.05 | $409.00 | $184.05–$409.00 | — | 55% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR Hand Complete 3+ Views Right | $184.05 | $409.00 | $184.05–$409.00 | — | 55% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR Knee 1 or 2 Views Left | $184.05 | $409.00 | $75.52–$409.00 | 34% below | 55% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR Knee 1 or 2 Views Right | $184.05 | $409.00 | $75.52–$409.00 | 34% below | 55% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR Knee 1 or 2 Views Right | $184.05 | $409.00 | $184.05–$409.00 | — | 55% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR Knee 1 or 2 Views Left | $184.05 | $409.00 | $184.05–$409.00 | — | 55% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR Spine Lumbosacral 2 or 3 Views | $184.05 | $409.00 | $90.73–$409.00 | 44% below | 55% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR Spine Lumbosacral 2 or 3 Views | $184.05 | $409.00 | $184.05–$409.00 | — | 55% |
| X-ray of the lower back, 4 or more views CPT 72110 XR Spine Lumbosacral 4+ Views | $305.10 | $678.00 | $90.73–$678.00 | 35% below | 55% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 XR Spine Lumbosacral 4+ Views | $305.10 | $678.00 | $305.10–$678.00 | — | 55% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR Spine Thoracic 2 Views | $184.05 | $409.00 | $90.73–$409.00 | 40% below | 55% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XR Spine Thoracic 2 Views | $184.05 | $409.00 | $184.05–$409.00 | — | 55% |
| X-ray of the nasal bones, 3 or more views CPT 70160 XR Nasal Bones 3+ Views | $175.95 | $391.00 | $75.52–$391.00 | 40% below | 55% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XR Nasal Bones 3+ Views | $175.95 | $391.00 | $175.95–$391.00 | — | 55% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR CERVICAL 3 VIEWS PEDS | $184.05 | $409.00 | $75.52–$409.00 | 46% below | 55% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR Spine Cervical 2 or 3 Views | $184.05 | $409.00 | $75.52–$409.00 | 46% below | 55% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR Spine Cervical 2 or 3 Views | $184.05 | $409.00 | $184.05–$409.00 | — | 55% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR CERVICAL 3 VIEWS PEDS | $184.05 | $409.00 | $184.05–$409.00 | — | 55% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 XR Pelvis 1 or 2 Views | $184.05 | $409.00 | $90.73–$409.00 | 27% below | 55% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR Pelvis 1 or 2 Views | $184.05 | $409.00 | $184.05–$409.00 | — | 55% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR Sacrum/Coccyx 2+ Views | $184.05 | $409.00 | $75.52–$409.00 | 38% below | 55% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR Sacrum/Coccyx 2+ Views | $184.05 | $409.00 | $184.05–$409.00 | — | 55% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Ohio | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 ACTH, Plasma Send Out | $52.65 | $117.00 | $16.07–$117.00 | 60% below | 55% |
| ACTH blood test inpatient CPT 82024 ACTH, Plasma Send Out | $52.65 | $117.00 | $52.65–$117.00 | — | 55% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT | $11.25 | $25.00 | $4.40–$25.00 | 61% below | 55% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT (SGPT) P5P | $28.35 | $63.00 | $4.40–$63.00 | 2% below | 55% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT | $11.25 | $25.00 | $11.25–$25.00 | — | 55% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT (SGPT) P5P | $28.35 | $63.00 | $28.35–$63.00 | — | 55% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 AST | $11.25 | $25.00 | $4.30–$25.00 | 55% below | 55% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 AST (SGOT) P5P | $26.55 | $59.00 | $4.30–$59.00 | 5% above | 55% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST | $11.25 | $25.00 | $11.25–$25.00 | — | 55% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST (SGOT) P5P | $26.55 | $59.00 | $26.55–$59.00 | — | 55% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Acute Viral Hepatitis Panel | $27.90 | $62.00 | $16.07–$78.59 | 87% below | 55% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Acute Viral Hepatitis Panel | $27.90 | $62.00 | $27.90–$62.00 | — | 55% |
| Albumin blood test CPT 82040 Albumin Level | $10.80 | $24.00 | $4.11–$24.00 | 51% below | 55% |
| Albumin blood test CPT 82040 Albumin, Serum | $10.80 | $24.00 | $4.11–$24.00 | 51% below | 55% |
| Albumin blood test inpatient CPT 82040 Albumin Level | $10.80 | $24.00 | $10.80–$24.00 | — | 55% |
| Albumin blood test inpatient CPT 82040 Albumin, Serum | $10.80 | $24.00 | $10.80–$24.00 | — | 55% |
| Aldosterone blood test CPT 82088 Aldosterone L Adrenal Vein | $45.00 | $100.00 | $16.07–$100.00 | 68% below | 55% |
| Aldosterone blood test CPT 82088 Aldosterone Below IVC | $45.00 | $100.00 | $16.07–$100.00 | 68% below | 55% |
| Aldosterone blood test CPT 82088 Aldosterone R Adrenal Vein | $45.00 | $100.00 | $16.07–$100.00 | 68% below | 55% |
| Aldosterone blood test CPT 82088 Aldosterone | $45.00 | $100.00 | $16.07–$100.00 | 68% below | 55% |
| Aldosterone blood test CPT 82088 Aldosterone LCMS, Serum | $45.00 | $100.00 | $16.07–$100.00 | 68% below | 55% |
| Aldosterone blood test CPT 82088 Aldosterone, Urine | $45.00 | $100.00 | $16.07–$100.00 | 68% below | 55% |
| Aldosterone blood test CPT 82088 Aldosterone Above IVC | $45.00 | $100.00 | $16.07–$100.00 | 68% below | 55% |
| Aldosterone blood test CPT 82088 Aldosterone/Renin Ratio | $119.70 | $266.00 | $16.07–$266.00 | 15% below | 55% |
| Aldosterone blood test inpatient CPT 82088 Aldosterone Above IVC | $45.00 | $100.00 | $45.00–$100.00 | — | 55% |
| Aldosterone blood test inpatient CPT 82088 Aldosterone | $45.00 | $100.00 | $45.00–$100.00 | — | 55% |
| Aldosterone blood test inpatient CPT 82088 Aldosterone, Urine | $45.00 | $100.00 | $45.00–$100.00 | — | 55% |
| Aldosterone blood test inpatient CPT 82088 Aldosterone LCMS, Serum | $45.00 | $100.00 | $45.00–$100.00 | — | 55% |
| Aldosterone blood test inpatient CPT 82088 Aldosterone Below IVC | $45.00 | $100.00 | $45.00–$100.00 | — | 55% |
| Aldosterone blood test inpatient CPT 82088 Aldosterone L Adrenal Vein | $45.00 | $100.00 | $45.00–$100.00 | — | 55% |
| Aldosterone blood test inpatient CPT 82088 Aldosterone R Adrenal Vein | $45.00 | $100.00 | $45.00–$100.00 | — | 55% |
| Aldosterone blood test inpatient CPT 82088 Aldosterone/Renin Ratio | $119.70 | $266.00 | $119.70–$266.00 | — | 55% |
| Alkaline phosphatase (ALP) blood test CPT 84075 Alk Phos | $11.25 | $25.00 | $4.30–$25.00 | 53% below | 55% |
| Alkaline phosphatase (ALP) blood test CPT 84075 Alkaline Phosphatase, S | $11.25 | $25.00 | $4.30–$25.00 | 53% below | 55% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Alk Phos | $11.25 | $25.00 | $11.25–$25.00 | — | 55% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Alkaline Phosphatase, S | $11.25 | $25.00 | $11.25–$25.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Hymenoptera Profile 2 | $6.75 | $15.00 | $4.34–$16.07 | 71% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IgE Milk w/ Component Reflex | $8.10 | $18.00 | $18.00–$18.90 | 65% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F096-IgE Avocado | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F095-IgE Peach | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F092-IgE Banana | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F091-IgE Mango | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F089-IgE Mustard | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F084-IgE Kiwi Fruit | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F076-IgE Alpha Lactalbumin | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F049-IgE Apple | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F343-IgE Raspberry | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F011-IgE Buckwheat | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 E003-IgE Horse Dander | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 D070-IgE Acarus Mite | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 K082-IgE Latex | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 T070-IgE White Mulberry | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F078-IgE Casein | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F007-IgE Oat | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 G004-IgE Fescue, Meadow | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 M005-IgE Candida albicans | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 T002-IgE Alder, Grey | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 G005-IgE Rye Grass, Perennial | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 W018-IgE Sheep Sorrel | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F414-IgE Tilapia | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 W010-IgE Lamb's Quarters | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 W009-IgE Plantain, English | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 T218-IgE Oak, Live/Virginia | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 T022-IgE Pecan, Hickory | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F256-IgE Walnut, Food | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F207-IgE Clam | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F015-IgE White Bean | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F204-IgE Trout | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F005-IgE Rye | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F031-IgE Carrot | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 T014-IgE Cottonwood | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F012-IgE Green Pea | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 W011-IgE Thistle, Russian | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F290-IgE Oyster | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F044-IgE Strawberry | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F036-IgE Coconut | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F009-IgE Rice | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F040-IgE Tuna | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F027-IgE Beef | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F041-IgE Salmon | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 G006-IgE Timothy Grass | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F077-IgE Beta Lactoglobulin | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F006-IgE Barley | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 M001-IgE Penicillium chrysogen | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F083-IgE Chicken | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F035-IgE Potato, White | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F026-IgE Pork | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F079-IgE Gluten | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 G008-IgE Bluegrass, Kentucky | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F080-IgE Lobster | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 T010-IgE Walnut (Pollen) | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F023-IgE Crab | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F093-IgE Chocolate/Cacao | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 T006-IgE Cedar, Mountain | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 T001-IgE Maple/Box Elder | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 I006-IgE Cockroach, German | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F075-IgE Egg (Yolk) | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F203-IgE Pistachio Nut | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F010-IgE Sesame Seed | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 W014-IgE Pigweed, Common | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F017-IgE Hazelnut (Filbert) | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 I206-IgE Cockroach, American | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 T007-IgE Oak, White | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F020-IgE Almond | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F338-IgE Scallop | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F018-IgE Brazil Nut | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 T008-IgE Elm, American | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F033-IgE Orange | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 M003-IgE Aspergillus fumigatus | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F201-IgE Pecan Nut | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F025-IgE Tomato | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 D001-IgE D pteronyssinus | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F003-IgE Codfish | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 G002-IgE Bermuda Grass | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 W001-IgE Ragweed, Short | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 M002-IgE Cladosporium herbarum | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F202-IgE Cashew Nut | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F008-IgE Corn | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F004-IgE Wheat | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F014-IgE Soybean | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 E005-IgE Dog Dander | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 M006-IgE Alternaria alternata | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 E001-IgE Cat Dander | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F002-IgE Milk | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F001-IgE Egg White | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F013-IgE Peanut | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 D002-IgE D farinae | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F024-IgE Shrimp | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 T041-IgE Hickory, White | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 T011-IgE Maple Leaf Sycamore | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 W003-IgE Ragweed, Giant | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 W013-IgE Cocklebur | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Profile, Mold | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergens, Perennial | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Profile, Shellfish | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Panel, Food-Berry | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Profile, Food-Fish | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Profile, Vegetable II | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Profile, Food-Milk | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Profile, Food-Fruit | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Profile, Food-Meat | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Food Allergy Profile | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergens(7) | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Pediatric 6 Yrs Plus | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Pediatric 0 - 3 Years | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Profile, Birch Plus | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Profile, Ragweed Plus | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergens, Zone 8 | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IgE Peanut w/Component Reflex | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IgE Food Prof w/Component Rflx | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Grouper (Serranidae family)IgE | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 .F004-IgE Wheat | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 M004-IgE Mucor racemosus | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 M008-IgE Setomelanomma rostrat | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 M009-IgE Fusarium proliferatum | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 M012-IgE Aureobasidi pullulans | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 M013-IgE Phoma betae | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 M014-IgE Epicoccum purpur | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 M010-IgE Stemphylium herbarum | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 E004-IgE Cow Dander | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 E070-IgE Goose Feathers | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 E085-IgE Chicken Feathers | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 E086-IgE Duck Feathers | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 E072-IgE Mouse Urine | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F415-IgE Walleye Pike | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F050-IgE Mackerel | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F048-IgE Onion | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F287-IgE Kidney Bean | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F081-IgE Cheese, Cheddar Type | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F082-IgE Cheese, Mold Type | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F094-IgE Pear | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 T010-IgE Walnut | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 W016-IgE Rough Marshelder | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F256-IgE Walnut | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F245-IgE Egg, Whole | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F237-IgE Apricot | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F329-IgE Watermelon | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F087-IgE Melon | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 G010-IgE Johnson Grass | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 G017-IgE Bahia Grass | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 T004-IgE Hazelnut Tree | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 T211-IgE Sweet Gum | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 W006-IgE Mugwort | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 W020-IgE Nettle | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F232-IgE Ovalbumin | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F233-IgE Ovomucoid | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Beef (Bos spp) IgE | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Lamb/Mutton (Ovis spp) IgE | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Pork (Sus spp) IgE | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Alpha Gal IgE* | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F037-IgE Mussell | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F047-IgE Garlic | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F045-IgE Yeast | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F085-IgE Celery | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F086-IgE Parsley | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F088-IgE Lamb | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F182-IgE Lima Bean | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F209-IgE Grapefruit | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F214-IgE Spinach | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 E071-IgE Mouse Epithelium | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 T012-IgE Willow | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 T003-IgE Common Silver Birch | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 T020-IgE Mesquite | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 T016-IgE Pine, White | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 T015-IgE Ash, White | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 I005-IgE Hornet, Yellow | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 I004-IgE Paper Wasp | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 I003-IgE Yellow Jacket | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 I002-IgE Hornet, White Face | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 I001-IgE Honeybee | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 G012-IgE Rye Grass | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 G009-IgE Red Top, Bentgrass | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 G003-IgE Orchard Grass | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 G001-IgE Sweet Vernal | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F320-IgE Crayfish Freshwater | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F315-IgE Green Bean | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F303-IgE Halibut | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F288-IgE Blueberry | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F269-IgE Basil | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F261-IgE Asparagus | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F260-IgE Broccoli | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F259-IgE Grape | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F058-IgE Squid | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F255-IgE Plum | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F242-IgE Bing Cherry | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F235-IgE Lentil | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F312-IgE Swordfish | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F225-IgE Pumpkin | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F222-IgE Tea | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F221-IgE Coffee | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F220-IgE Cinnamon | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F218-IgE Paprika | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F215-IgE Lettuce | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F212-IgE Mushroom | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F211-IgE Blackberry | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F210-IgE Pineapple | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 K084-IgE Sunflower Seed | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F263-IgE Green Bell Pepper | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F147-IgE Flounder | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F319-IgE Red Beet | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 K083-IgE Cottonseed | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 G202-IgE Corn, Cultivated | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 I205-IgE Bumblebee | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 M207-IgE Aspergillus niger | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 W023-IgE Dockweed, Yellow | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F317-IgE Coriander/Cilantro | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F332-IgE Mint | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F333-IgE Linseed | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 W002-IgE Ragweed, Western | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F234-IgE Vanilla | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F244-IgE Cucumber | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F253-IgE Pine Nut, Pignoles | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F282-IgE Nutmeg | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F284-IgE Turkey | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F345-IgE Macadamia Nut | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F341-IgE Cranberry | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 T005-IgE Beech (American) | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 W017-IgE Kochia | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Profile, Food-Grain | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F236-IgE Whey | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F300-IgE Goat's Milk | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F299-IgE Sweet Chestnut | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 E089-IgE Turkey Feathers | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F042-IgE Haddock | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F054-IgE Sweet Potato | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F055-IgE Millet | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F342-IgE Olive, Black | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F208-IgE Lemon | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F216-IgE Cabbage | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F217-IgE Brussel Sprouts | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F224-IgE Poppy Seed | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F262-IgE Eggplant | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F265-IgE Cumin | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F268-IgE Cloves | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F270-IgE Ginger | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F271-IgE Aniseed | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F273-IgE Thyme | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F277-IgE Dill | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F278-IgE Bayleaf (Laurel) | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F279-IgE Chili Pepper | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F280-IgE Black Peppercorn | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F283-IgE Oregano | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F291-IgE Cauliflower | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F293-IgE Papaya Food | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F302-IgE Tangerine | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F306-IgE Lime | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F308-IgE Sardine | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F309-IgE Chick Pea | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F313-IgE Anchovy | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 C074-IgE Gelatin | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F369-IgE Catfish | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 G014-IgE Oat, Cultivated | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 G015-IgE Wheat, Cultivated | $9.00 | $20.00 | $20.00–$21.00 | 62% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Perch Ocean IgE | $29.25 | $65.00 | $4.34–$65.00 | 25% above | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Annatto Seed IgE | $29.25 | $65.00 | $4.34–$65.00 | 25% above | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Bass Black IgE | $29.25 | $65.00 | $4.34–$65.00 | 25% above | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergens(14) | $31.95 | $71.00 | $4.34–$71.00 | 37% above | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Tapioca IgE | $70.20 | $156.00 | $4.34–$156.00 | 200% above | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Pomegranate IgE | $70.20 | $156.00 | $4.34–$156.00 | 200% above | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hymenoptera Profile 2 | $6.75 | $15.00 | $6.75–$15.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Milk w/ Component Reflex | $8.10 | $18.00 | $8.10–$18.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 T003-IgE Common Silver Birch | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 E071-IgE Mouse Epithelium | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 W002-IgE Ragweed, Western | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F333-IgE Linseed | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F332-IgE Mint | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F317-IgE Coriander/Cilantro | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 W023-IgE Dockweed, Yellow | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 M207-IgE Aspergillus niger | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 I205-IgE Bumblebee | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 G202-IgE Corn, Cultivated | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 G015-IgE Wheat, Cultivated | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 G014-IgE Oat, Cultivated | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F369-IgE Catfish | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 C074-IgE Gelatin | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F313-IgE Anchovy | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F309-IgE Chick Pea | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F308-IgE Sardine | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F306-IgE Lime | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F302-IgE Tangerine | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F293-IgE Papaya Food | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F291-IgE Cauliflower | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F283-IgE Oregano | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F280-IgE Black Peppercorn | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F279-IgE Chili Pepper | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F278-IgE Bayleaf (Laurel) | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F277-IgE Dill | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F273-IgE Thyme | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F271-IgE Aniseed | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F270-IgE Ginger | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F268-IgE Cloves | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F265-IgE Cumin | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F262-IgE Eggplant | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F224-IgE Poppy Seed | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F217-IgE Brussel Sprouts | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F216-IgE Cabbage | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F208-IgE Lemon | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F342-IgE Olive, Black | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F055-IgE Millet | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F054-IgE Sweet Potato | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F042-IgE Haddock | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 E089-IgE Turkey Feathers | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F299-IgE Sweet Chestnut | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F300-IgE Goat's Milk | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F236-IgE Whey | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Profile, Food-Grain | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 W017-IgE Kochia | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 T005-IgE Beech (American) | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F341-IgE Cranberry | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F345-IgE Macadamia Nut | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F284-IgE Turkey | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F282-IgE Nutmeg | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F253-IgE Pine Nut, Pignoles | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F244-IgE Cucumber | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F234-IgE Vanilla | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F214-IgE Spinach | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F209-IgE Grapefruit | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F182-IgE Lima Bean | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F088-IgE Lamb | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F086-IgE Parsley | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F085-IgE Celery | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F045-IgE Yeast | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F047-IgE Garlic | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F037-IgE Mussell | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Alpha Gal IgE* | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Pork (Sus spp) IgE | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Lamb/Mutton (Ovis spp) IgE | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Beef (Bos spp) IgE | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F233-IgE Ovomucoid | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F232-IgE Ovalbumin | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 W020-IgE Nettle | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 W006-IgE Mugwort | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 T211-IgE Sweet Gum | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 T004-IgE Hazelnut Tree | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 G017-IgE Bahia Grass | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 G010-IgE Johnson Grass | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F087-IgE Melon | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F329-IgE Watermelon | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F237-IgE Apricot | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F245-IgE Egg, Whole | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F256-IgE Walnut | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 W016-IgE Rough Marshelder | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 T010-IgE Walnut | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F094-IgE Pear | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F082-IgE Cheese, Mold Type | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F081-IgE Cheese, Cheddar Type | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F287-IgE Kidney Bean | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F048-IgE Onion | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F050-IgE Mackerel | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F415-IgE Walleye Pike | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 E072-IgE Mouse Urine | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 E086-IgE Duck Feathers | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 E085-IgE Chicken Feathers | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 E070-IgE Goose Feathers | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 E004-IgE Cow Dander | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 M010-IgE Stemphylium herbarum | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 M014-IgE Epicoccum purpur | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 M013-IgE Phoma betae | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 M012-IgE Aureobasidi pullulans | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 M009-IgE Fusarium proliferatum | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 M008-IgE Setomelanomma rostrat | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 M004-IgE Mucor racemosus | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 .F004-IgE Wheat | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Grouper (Serranidae family)IgE | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Food Prof w/Component Rflx | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Peanut w/Component Reflex | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergens, Zone 8 | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Profile, Ragweed Plus | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Profile, Birch Plus | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Pediatric 0 - 3 Years | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Pediatric 6 Yrs Plus | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergens(7) | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Food Allergy Profile | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Profile, Food-Meat | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Profile, Food-Fruit | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Profile, Food-Milk | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Profile, Vegetable II | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Profile, Food-Fish | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Panel, Food-Berry | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Profile, Shellfish | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergens, Perennial | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Profile, Mold | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 W013-IgE Cocklebur | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 W003-IgE Ragweed, Giant | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 T011-IgE Maple Leaf Sycamore | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 T041-IgE Hickory, White | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 T012-IgE Willow | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F024-IgE Shrimp | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 D002-IgE D farinae | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F013-IgE Peanut | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F001-IgE Egg White | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F002-IgE Milk | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 E001-IgE Cat Dander | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 M006-IgE Alternaria alternata | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 E005-IgE Dog Dander | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F014-IgE Soybean | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F004-IgE Wheat | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F008-IgE Corn | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F202-IgE Cashew Nut | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 M002-IgE Cladosporium herbarum | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 W001-IgE Ragweed, Short | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 G002-IgE Bermuda Grass | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F003-IgE Codfish | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 D001-IgE D pteronyssinus | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F025-IgE Tomato | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F201-IgE Pecan Nut | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 M003-IgE Aspergillus fumigatus | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F033-IgE Orange | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 T008-IgE Elm, American | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F018-IgE Brazil Nut | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F338-IgE Scallop | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F020-IgE Almond | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 T007-IgE Oak, White | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 I206-IgE Cockroach, American | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F017-IgE Hazelnut (Filbert) | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 W014-IgE Pigweed, Common | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F010-IgE Sesame Seed | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F203-IgE Pistachio Nut | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F075-IgE Egg (Yolk) | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 I006-IgE Cockroach, German | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 T001-IgE Maple/Box Elder | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 T006-IgE Cedar, Mountain | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F093-IgE Chocolate/Cacao | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F023-IgE Crab | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 T010-IgE Walnut (Pollen) | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F080-IgE Lobster | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 G008-IgE Bluegrass, Kentucky | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F079-IgE Gluten | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F026-IgE Pork | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F035-IgE Potato, White | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F083-IgE Chicken | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 M001-IgE Penicillium chrysogen | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F006-IgE Barley | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F077-IgE Beta Lactoglobulin | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 G006-IgE Timothy Grass | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F041-IgE Salmon | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F027-IgE Beef | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F040-IgE Tuna | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F009-IgE Rice | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F036-IgE Coconut | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F044-IgE Strawberry | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F290-IgE Oyster | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 W011-IgE Thistle, Russian | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F012-IgE Green Pea | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 T014-IgE Cottonwood | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F031-IgE Carrot | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F005-IgE Rye | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F204-IgE Trout | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F015-IgE White Bean | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F207-IgE Clam | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F256-IgE Walnut, Food | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 T022-IgE Pecan, Hickory | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 T218-IgE Oak, Live/Virginia | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 W009-IgE Plantain, English | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 W010-IgE Lamb's Quarters | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F414-IgE Tilapia | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 W018-IgE Sheep Sorrel | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 G005-IgE Rye Grass, Perennial | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 T002-IgE Alder, Grey | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 M005-IgE Candida albicans | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 G004-IgE Fescue, Meadow | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F007-IgE Oat | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F078-IgE Casein | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 T070-IgE White Mulberry | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 K082-IgE Latex | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 D070-IgE Acarus Mite | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 E003-IgE Horse Dander | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F011-IgE Buckwheat | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F343-IgE Raspberry | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F049-IgE Apple | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F076-IgE Alpha Lactalbumin | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F084-IgE Kiwi Fruit | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F089-IgE Mustard | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F091-IgE Mango | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F092-IgE Banana | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F095-IgE Peach | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F096-IgE Avocado | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 K083-IgE Cottonseed | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F319-IgE Red Beet | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F147-IgE Flounder | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F263-IgE Green Bell Pepper | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 K084-IgE Sunflower Seed | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F210-IgE Pineapple | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F211-IgE Blackberry | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F212-IgE Mushroom | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F215-IgE Lettuce | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F218-IgE Paprika | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F220-IgE Cinnamon | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F221-IgE Coffee | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F222-IgE Tea | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F225-IgE Pumpkin | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F312-IgE Swordfish | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F235-IgE Lentil | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F242-IgE Bing Cherry | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F255-IgE Plum | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F058-IgE Squid | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F259-IgE Grape | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F260-IgE Broccoli | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F261-IgE Asparagus | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F269-IgE Basil | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F288-IgE Blueberry | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F303-IgE Halibut | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F315-IgE Green Bean | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F320-IgE Crayfish Freshwater | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 G001-IgE Sweet Vernal | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 G003-IgE Orchard Grass | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 G009-IgE Red Top, Bentgrass | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 G012-IgE Rye Grass | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 I001-IgE Honeybee | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 I002-IgE Hornet, White Face | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 I003-IgE Yellow Jacket | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 I004-IgE Paper Wasp | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 I005-IgE Hornet, Yellow | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 T015-IgE Ash, White | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 T016-IgE Pine, White | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 T020-IgE Mesquite | $9.00 | $20.00 | $9.00–$20.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Bass Black IgE | $29.25 | $65.00 | $29.25–$65.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Annatto Seed IgE | $29.25 | $65.00 | $29.25–$65.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Perch Ocean IgE | $29.25 | $65.00 | $29.25–$65.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergens(14) | $31.95 | $71.00 | $31.95–$71.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Tapioca IgE | $70.20 | $156.00 | $70.20–$156.00 | — | 55% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Pomegranate IgE | $70.20 | $156.00 | $70.20–$156.00 | — | 55% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 AFP, Serum, Open Spina Bifida | $25.65 | $57.00 | $13.94–$57.00 | 58% below | 55% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 AFP, Serum, Tumor Marker | $25.65 | $57.00 | $13.94–$57.00 | 58% below | 55% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 AFP Tetra | $25.65 | $57.00 | $13.94–$57.00 | 58% below | 55% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 AFP Value Tetra | $25.65 | $57.00 | $13.94–$57.00 | 58% below | 55% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 AFP Value Tetra | $25.65 | $57.00 | $25.65–$57.00 | — | 55% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 AFP, Serum, Open Spina Bifida | $25.65 | $57.00 | $25.65–$57.00 | — | 55% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 AFP, Serum, Tumor Marker | $25.65 | $57.00 | $25.65–$57.00 | — | 55% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 AFP Tetra | $25.65 | $57.00 | $25.65–$57.00 | — | 55% |
| Ammonia blood test CPT 82140 Ammonia Ur KS | $31.95 | $71.00 | $12.11–$71.00 | 42% below | 55% |
| Ammonia blood test CPT 82140 Ammonia Level | $31.95 | $71.00 | $12.11–$71.00 | 42% below | 55% |
| Ammonia blood test inpatient CPT 82140 Ammonia Ur KS | $31.95 | $71.00 | $31.95–$71.00 | — | 55% |
| Ammonia blood test inpatient CPT 82140 Ammonia Level | $31.95 | $71.00 | $31.95–$71.00 | — | 55% |
| Amylase blood test CPT 82150 Amylase, Serum | $13.05 | $29.00 | $5.38–$29.00 | 74% below | 55% |
| Amylase blood test CPT 82150 Pancreatic Amylase, S | $13.05 | $29.00 | $5.38–$29.00 | 74% below | 55% |
| Amylase blood test CPT 82150 Amylase Level Body Fluid | $39.15 | $87.00 | $5.38–$87.00 | 21% below | 55% |
| Amylase blood test CPT 82150 Ur Amylase | $39.15 | $87.00 | $5.38–$87.00 | 21% below | 55% |
| Amylase blood test CPT 82150 Amylase Level | $39.15 | $87.00 | $5.38–$87.00 | 21% below | 55% |
| Amylase blood test CPT 82150 Amylase Isoenzymes | $39.15 | $87.00 | $5.38–$87.00 | 21% below | 55% |
| Amylase blood test inpatient CPT 82150 Amylase, Serum | $13.05 | $29.00 | $13.05–$29.00 | — | 55% |
| Amylase blood test inpatient CPT 82150 Pancreatic Amylase, S | $13.05 | $29.00 | $13.05–$29.00 | — | 55% |
| Amylase blood test inpatient CPT 82150 Amylase Isoenzymes | $39.15 | $87.00 | $39.15–$87.00 | — | 55% |
| Amylase blood test inpatient CPT 82150 Amylase Level | $39.15 | $87.00 | $39.15–$87.00 | — | 55% |
| Amylase blood test inpatient CPT 82150 Amylase Level Body Fluid | $39.15 | $87.00 | $39.15–$87.00 | — | 55% |
| Amylase blood test inpatient CPT 82150 Ur Amylase | $39.15 | $87.00 | $39.15–$87.00 | — | 55% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP Antibodies IgG/IgA | $35.55 | $79.00 | $10.76–$79.00 | 39% below | 55% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP Antibodies IgG/IgA | $35.55 | $79.00 | $35.55–$79.00 | — | 55% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Antinuclear Antibodies, IFA | $24.30 | $54.00 | $10.04–$54.00 | 56% below | 55% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA Reflex to 5-biomarkers | $24.30 | $54.00 | $10.04–$54.00 | 56% below | 55% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA Reflex to 11-biomarkers | $36.90 | $82.00 | $10.04–$82.00 | 33% below | 55% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA Reflex to 5-biomarkers | $24.30 | $54.00 | $24.30–$54.00 | — | 55% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Antinuclear Antibodies, IFA | $24.30 | $54.00 | $24.30–$54.00 | — | 55% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA Reflex to 11-biomarkers | $36.90 | $82.00 | $36.90–$82.00 | — | 55% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NT-proBNP | $67.95 | $151.00 | $16.07–$151.00 | 55% below | 55% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NT-proBNP | $67.95 | $151.00 | $67.95–$151.00 | — | 55% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture, Tissue | $18.00 | $40.00 | $7.16–$40.00 | 74% below | 55% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture, Wound | $18.00 | $40.00 | $7.16–$40.00 | 74% below | 55% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture, Body Fluid | $52.65 | $117.00 | $7.16–$117.00 | 23% below | 55% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture, Respiratory | $52.65 | $117.00 | $7.16–$117.00 | 23% below | 55% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture, Cath Tip | $52.65 | $117.00 | $7.16–$117.00 | 23% below | 55% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture, Surgical | $52.65 | $117.00 | $7.16–$117.00 | 23% below | 55% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture, Genital | $57.60 | $128.00 | $7.16–$128.00 | 16% below | 55% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture, Wound | $18.00 | $40.00 | $18.00–$40.00 | — | 55% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture, Tissue | $18.00 | $40.00 | $18.00–$40.00 | — | 55% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture, Respiratory | $52.65 | $117.00 | $52.65–$117.00 | — | 55% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture, Cath Tip | $52.65 | $117.00 | $52.65–$117.00 | — | 55% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture, Body Fluid | $52.65 | $117.00 | $52.65–$117.00 | — | 55% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture, Surgical | $52.65 | $117.00 | $52.65–$117.00 | — | 55% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture, Genital | $57.60 | $128.00 | $57.60–$128.00 | — | 55% |
| Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Panel | $45.00 | $100.00 | $7.03–$100.00 | 31% below | 55% |
| Basic metabolic panel (blood test) inpatient CPT 80048 Basic Metabolic Panel | $45.00 | $100.00 | $45.00–$100.00 | — | 55% |
| Bilirubin blood test, total CPT 82247 Bilirubin Total | $8.55 | $19.00 | $4.18–$19.00 | 64% below | 55% |
| Bilirubin blood test, total CPT 82247 Bilirubin, Total | $21.60 | $48.00 | $4.18–$48.00 | 10% below | 55% |
| Bilirubin blood test, total inpatient CPT 82247 Bilirubin Total | $8.55 | $19.00 | $8.55–$19.00 | — | 55% |
| Bilirubin blood test, total inpatient CPT 82247 Bilirubin, Total | $21.60 | $48.00 | $21.60–$48.00 | — | 55% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 88305 AP Bill TE V | $55.35 | $123.00 | $24.07–$123.00 | 73% below | 55% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 88305 Bill Surg BMBX | $108.45 | $241.00 | $24.07–$241.00 | 47% below | 55% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 88305 Bill Cyto Cell Block | $108.45 | $241.00 | $24.07–$241.00 | 47% below | 55% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 88305 Bill Surg Level IV | $108.45 | $241.00 | $24.07–$241.00 | 47% below | 55% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 88305 AP Bill TE V | $55.35 | $123.00 | $55.35–$123.00 | — | 55% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 88305 Bill Surg BMBX | $108.45 | $241.00 | $108.45–$241.00 | — | 55% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 88305 Bill Surg Level IV | $108.45 | $241.00 | $108.45–$241.00 | — | 55% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 88305 Bill Cyto Cell Block | $108.45 | $241.00 | $108.45–$241.00 | — | 55% |
| Blood culture for bacteria CPT 87040 Culture, Blood | $62.55 | $139.00 | $8.58–$139.00 | 33% below | 55% |
| Blood culture for bacteria inpatient CPT 87040 Culture, Blood | $62.55 | $139.00 | $62.55–$139.00 | — | 55% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 ER SPECIMEN COLLECTN FEE | $6.30 | $14.00 | $6.30–$734.00 | 60% below | 55% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Venous Draw | $10.35 | $23.00 | $8.05–$23.00 | 35% below | 55% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Specimen Coll-Peripheral Lab | $10.35 | $23.00 | $8.05–$23.00 | 35% below | 55% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 36415 Peripheral Lab Collection | $10.35 | $23.00 | $8.18–$23.00 | 35% below | 55% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 ER SPECIMEN COLLECTN FEE | $6.30 | $14.00 | $6.30–$14.00 | — | 55% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Specimen Coll-Peripheral Lab | $10.35 | $23.00 | $10.35–$23.00 | — | 55% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Venous Draw | $10.35 | $23.00 | $10.35–$23.00 | — | 55% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 36415 Peripheral Lab Collection | $10.35 | $23.00 | $10.35–$23.00 | — | 55% |
| Blood glucose (sugar) test CPT 82947 Gluc, Art | $8.55 | $19.00 | $3.27–$19.00 | 64% below | 55% |
| Blood glucose (sugar) test CPT 82947 Gluc, Ven POC | $8.55 | $19.00 | $3.27–$19.00 | 64% below | 55% |
| Blood glucose (sugar) test CPT 82947 Gluc, Cap POC | $8.55 | $19.00 | $3.27–$19.00 | 64% below | 55% |
| Blood glucose (sugar) test CPT 82947 Gluc, Ven | $8.55 | $19.00 | $3.27–$19.00 | 64% below | 55% |
| Blood glucose (sugar) test CPT 82947 Gluc, Art POC | $8.55 | $19.00 | $3.27–$19.00 | 64% below | 55% |
| Blood glucose (sugar) test CPT 82947 Glucose, Fasting | $8.55 | $19.00 | $3.27–$19.00 | 64% below | 55% |
| Blood glucose (sugar) test CPT 82947 Glucose Level | $8.55 | $19.00 | $3.27–$19.00 | 64% below | 55% |
| Blood glucose (sugar) test CPT 82947 Glucose, Serum | $21.15 | $47.00 | $3.27–$47.00 | 10% below | 55% |
| Blood glucose (sugar) test inpatient CPT 82947 Glucose, Fasting | $8.55 | $19.00 | $8.55–$19.00 | — | 55% |
| Blood glucose (sugar) test inpatient CPT 82947 Gluc, Art | $8.55 | $19.00 | $8.55–$19.00 | — | 55% |
| Blood glucose (sugar) test inpatient CPT 82947 Gluc, Art POC | $8.55 | $19.00 | $8.55–$19.00 | — | 55% |
| Blood glucose (sugar) test inpatient CPT 82947 Gluc, Ven | $8.55 | $19.00 | $8.55–$19.00 | — | 55% |
| Blood glucose (sugar) test inpatient CPT 82947 Gluc, Cap POC | $8.55 | $19.00 | $8.55–$19.00 | — | 55% |
| Blood glucose (sugar) test inpatient CPT 82947 Glucose Level | $8.55 | $19.00 | $8.55–$19.00 | — | 55% |
| Blood glucose (sugar) test inpatient CPT 82947 Gluc, Ven POC | $8.55 | $19.00 | $8.55–$19.00 | — | 55% |
| Blood glucose (sugar) test inpatient CPT 82947 Glucose, Serum | $21.15 | $47.00 | $21.15–$47.00 | — | 55% |
| Blood lead test CPT 83655 Lead, Capillary Blood Pediatric | $6.30 | $14.00 | $6.30–$19.98 | 87% below | 55% |
| Blood lead test CPT 83655 Lead, Urine | $13.05 | $29.00 | $10.06–$29.00 | 73% below | 55% |
| Blood lead test CPT 83655 Lead, Blood | $13.05 | $29.00 | $10.06–$29.00 | 73% below | 55% |
| Blood lead test CPT 83655 Lead Blood (Adult) | $13.05 | $29.00 | $10.06–$29.00 | 73% below | 55% |
| Blood lead test CPT 83655 Lead, Filter Paper | $22.95 | $51.00 | $10.06–$51.00 | 53% below | 55% |
| Blood lead test CPT 83655 Lead, Blood (Pediatric) | $25.65 | $57.00 | $10.06–$57.00 | 47% below | 55% |
| Blood lead test CPT 83655 Lead Standard Profile, Blood | $25.65 | $57.00 | $10.06–$57.00 | 47% below | 55% |
| Blood lead test CPT 83655 Lead, Blood (Adult) | $25.65 | $57.00 | $10.06–$57.00 | 47% below | 55% |
| Blood lead test inpatient CPT 83655 Lead, Capillary Blood Pediatric | $6.30 | $14.00 | $6.30–$14.00 | — | 55% |
| Blood lead test inpatient CPT 83655 Lead Blood (Adult) | $13.05 | $29.00 | $13.05–$29.00 | — | 55% |
| Blood lead test inpatient CPT 83655 Lead, Blood | $13.05 | $29.00 | $13.05–$29.00 | — | 55% |
| Blood lead test inpatient CPT 83655 Lead, Urine | $13.05 | $29.00 | $13.05–$29.00 | — | 55% |
| Blood lead test inpatient CPT 83655 Lead, Filter Paper | $22.95 | $51.00 | $22.95–$51.00 | — | 55% |
| Blood lead test inpatient CPT 83655 Lead Standard Profile, Blood | $25.65 | $57.00 | $25.65–$57.00 | — | 55% |
| Blood lead test inpatient CPT 83655 Lead, Blood (Pediatric) | $25.65 | $57.00 | $25.65–$57.00 | — | 55% |
| Blood lead test inpatient CPT 83655 Lead, Blood (Adult) | $25.65 | $57.00 | $25.65–$57.00 | — | 55% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Beta HCG, Serum Qualitative | $15.30 | $34.00 | $6.25–$34.00 | 73% below | 55% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 hCG,Beta Subunit,Qual,Serum Send Out | $15.30 | $34.00 | $6.25–$34.00 | 73% below | 55% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Beta HCG, Serum Qualitative | $15.30 | $34.00 | $15.30–$34.00 | — | 55% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 hCG,Beta Subunit,Qual,Serum Send Out | $15.30 | $34.00 | $15.30–$34.00 | — | 55% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Cord ABO/Rh | $116.10 | $258.00 | $2.99–$258.00 | 103% above | 55% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 .Pre TR ABO/Rh | $116.10 | $258.00 | $2.99–$258.00 | 103% above | 55% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 .Post TR ABO/Rh | $116.10 | $258.00 | $2.99–$258.00 | 103% above | 55% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO/Rh | $116.10 | $258.00 | $2.99–$258.00 | 103% above | 55% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Cord ABO/Rh | $116.10 | $258.00 | $116.10–$258.00 | — | 55% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO/Rh | $116.10 | $258.00 | $116.10–$258.00 | — | 55% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 .Pre TR ABO/Rh | $116.10 | $258.00 | $116.10–$258.00 | — | 55% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 .Post TR ABO/Rh | $116.10 | $258.00 | $116.10–$258.00 | — | 55% |
| Blood urea nitrogen (BUN) test CPT 84520 BUN | $8.55 | $19.00 | $3.29–$19.00 | 63% below | 55% |
| Blood urea nitrogen (BUN) test CPT 84520 Urea Nitrogen, Dialysate | $8.55 | $19.00 | $3.29–$19.00 | 63% below | 55% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 Urea Nitrogen, Dialysate | $8.55 | $19.00 | $8.55–$19.00 | — | 55% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 BUN | $8.55 | $19.00 | $8.55–$19.00 | — | 55% |
| C-peptide blood test CPT 84681 C-Peptide, Serum | $19.80 | $44.00 | $16.07–$44.00 | 74% below | 55% |
| C-peptide blood test CPT 84681 Insulin and C-Peptide, Serum | $50.85 | $113.00 | $16.07–$113.00 | 34% below | 55% |
| C-peptide blood test inpatient CPT 84681 C-Peptide, Serum | $19.80 | $44.00 | $19.80–$44.00 | — | 55% |
| C-peptide blood test inpatient CPT 84681 Insulin and C-Peptide, Serum | $50.85 | $113.00 | $50.85–$113.00 | — | 55% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CRP | $31.95 | $71.00 | $4.30–$71.00 | 38% below | 55% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 CRP | $31.95 | $71.00 | $31.95–$71.00 | — | 55% |
| CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 | $29.70 | $66.00 | $16.07–$66.00 | 59% below | 55% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9 | $29.70 | $66.00 | $29.70–$66.00 | — | 55% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 Cancer Antigen (CA) 125 | $29.70 | $66.00 | $16.07–$66.00 | 68% below | 55% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Cancer Antigen (CA) 125 | $29.70 | $66.00 | $29.70–$66.00 | — | 55% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-CoV-2. | $76.95 | $171.00 | $16.07–$171.00 | 45% below | 55% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Coronavirus SARS-CoV-2 | $76.95 | $171.00 | $16.07–$171.00 | 45% below | 55% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Coronavirus SARS-CoV-2 | $76.95 | $171.00 | $76.95–$171.00 | — | 55% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-CoV-2. | $76.95 | $171.00 | $76.95–$171.00 | — | 55% |
| Calcium blood test, total CPT 82310 Calcium Level | $10.80 | $24.00 | $4.28–$24.00 | 66% below | 55% |
| Calcium blood test, total inpatient CPT 82310 Calcium Level | $10.80 | $24.00 | $10.80–$24.00 | — | 55% |
| Carcinoembryonic antigen (CEA) test CPT 82378 CEA | $39.15 | $87.00 | $15.76–$87.00 | 54% below | 55% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CEA | $39.15 | $87.00 | $39.15–$87.00 | — | 55% |
| Chickenpox (varicella) immunity blood test CPT 86787 Varicella-Zoster V Ab, IgG | $17.55 | $39.00 | $10.70–$39.00 | 70% below | 55% |
| Chickenpox (varicella) immunity blood test CPT 86787 Varicella Zoster IgG | $17.55 | $39.00 | $10.70–$39.00 | 70% below | 55% |
| Chickenpox (varicella) immunity blood test CPT 86787 Varicella Zoster Abs, IgG/IgM | $27.90 | $62.00 | $10.70–$62.00 | 52% below | 55% |
| Chickenpox (varicella) immunity blood test CPT 86787 Varicella-Zoster Ab, IgM | $27.90 | $62.00 | $10.70–$62.00 | 52% below | 55% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 Varicella Zoster IgG | $17.55 | $39.00 | $17.55–$39.00 | — | 55% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 Varicella-Zoster V Ab, IgG | $17.55 | $39.00 | $17.55–$39.00 | — | 55% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 Varicella-Zoster Ab, IgM | $27.90 | $62.00 | $27.90–$62.00 | — | 55% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 Varicella Zoster Abs, IgG/IgM | $27.90 | $62.00 | $27.90–$62.00 | — | 55% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 NuSwab Vaginitis Plus (VG+) | $25.65 | $57.00 | $16.07–$57.90 | 73% below | 55% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 NuSwab VG+, HSV | $27.90 | $62.00 | $16.07–$62.00 | 70% below | 55% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia trachomatis, NAA | $52.20 | $116.00 | $16.07–$116.00 | 44% below | 55% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 C. trachomatis rRNA | $70.65 | $157.00 | $16.07–$157.00 | 25% below | 55% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 NuSwab Vaginitis Plus (VG+) | $25.65 | $57.00 | $25.65–$57.00 | — | 55% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 NuSwab VG+, HSV | $27.90 | $62.00 | $27.90–$62.00 | — | 55% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia trachomatis, NAA | $52.20 | $116.00 | $52.20–$116.00 | — | 55% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 C. trachomatis rRNA | $70.65 | $157.00 | $70.65–$157.00 | — | 55% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Cascade w/Rflx to ApoliB Send Out | $25.65 | $57.00 | $11.12–$57.00 | 52% below | 55% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel (Chol, Trig, HDL, LDL, VLDL) | $25.65 | $57.00 | $11.12–$57.00 | 52% below | 55% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel with Rflx Direct LDL | $25.65 | $57.00 | $11.12–$57.00 | 52% below | 55% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Cascade w/Rflx to ApoliB Send Out | $25.65 | $57.00 | $25.65–$57.00 | — | 55% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel with Rflx Direct LDL | $25.65 | $57.00 | $25.65–$57.00 | — | 55% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel (Chol, Trig, HDL, LDL, VLDL) | $25.65 | $57.00 | $25.65–$57.00 | — | 55% |
| Complete blood count (CBC) with differential CPT 85025 Automated Diff | $15.75 | $35.00 | $6.45–$35.00 | 57% below | 55% |
| Complete blood count (CBC) with differential inpatient CPT 85025 Automated Diff | $15.75 | $35.00 | $15.75–$35.00 | — | 55% |
| Complete blood count (CBC), no differential CPT 85027 CBC without Diff | $13.05 | $29.00 | $5.37–$29.00 | 60% below | 55% |
| Complete blood count (CBC), no differential CPT 85027 .Manual Diff | $13.05 | $29.00 | $5.37–$29.00 | 60% below | 55% |
| Complete blood count (CBC), no differential CPT 85027 MCH | $31.95 | $71.00 | $5.37–$71.00 | 3% below | 55% |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC without Diff | $13.05 | $29.00 | $13.05–$29.00 | — | 55% |
| Complete blood count (CBC), no differential inpatient CPT 85027 .Manual Diff | $13.05 | $29.00 | $13.05–$29.00 | — | 55% |
| Complete blood count (CBC), no differential inpatient CPT 85027 MCH | $31.95 | $71.00 | $31.95–$71.00 | — | 55% |
| Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive Metabolic Panel | $63.45 | $141.00 | $8.78–$141.00 | at median | 55% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 Comprehensive Metabolic Panel | $63.45 | $141.00 | $63.45–$141.00 | — | 55% |
| Cortisol blood test, total CPT 82533 Cortisol Dexamethasone Reflex | $32.85 | $73.00 | $13.55–$73.00 | 54% below | 55% |
| Cortisol blood test, total CPT 82533 Cortisol R Adrenal Vein | $32.85 | $73.00 | $13.55–$73.00 | 54% below | 55% |
| Cortisol blood test, total CPT 82533 Cortisol | $32.85 | $73.00 | $13.55–$73.00 | 54% below | 55% |
| Cortisol blood test, total CPT 82533 Cort-0 | $32.85 | $73.00 | $13.55–$73.00 | 54% below | 55% |
| Cortisol blood test, total CPT 82533 Cortisol L Adrenal Vein | $32.85 | $73.00 | $13.55–$73.00 | 54% below | 55% |
| Cortisol blood test, total CPT 82533 Cort-30 | $32.85 | $73.00 | $13.55–$73.00 | 54% below | 55% |
| Cortisol blood test, total CPT 82533 Cortisol Below IVC | $32.85 | $73.00 | $13.55–$73.00 | 54% below | 55% |
| Cortisol blood test, total CPT 82533 Cort-60 | $32.85 | $73.00 | $13.55–$73.00 | 54% below | 55% |
| Cortisol blood test, total CPT 82533 Cortisol Above IVC | $32.85 | $73.00 | $13.55–$73.00 | 54% below | 55% |
| Cortisol blood test, total CPT 82533 Cortisol, Serum LCMS | $32.85 | $73.00 | $13.55–$73.00 | 54% below | 55% |
| Cortisol blood test, total CPT 82533 Salivary Cortisol,MS | $53.55 | $119.00 | $13.55–$119.00 | 26% below | 55% |
| Cortisol blood test, total CPT 82533 CBG with Free Cortisol | $54.90 | $122.00 | $13.55–$122.00 | 24% below | 55% |
| Cortisol blood test, total inpatient CPT 82533 Cortisol R Adrenal Vein | $32.85 | $73.00 | $32.85–$73.00 | — | 55% |
| Cortisol blood test, total inpatient CPT 82533 Cortisol, Serum LCMS | $32.85 | $73.00 | $32.85–$73.00 | — | 55% |
| Cortisol blood test, total inpatient CPT 82533 Cortisol Above IVC | $32.85 | $73.00 | $32.85–$73.00 | — | 55% |
| Cortisol blood test, total inpatient CPT 82533 Cortisol | $32.85 | $73.00 | $32.85–$73.00 | — | 55% |
| Cortisol blood test, total inpatient CPT 82533 Cortisol Below IVC | $32.85 | $73.00 | $32.85–$73.00 | — | 55% |
| Cortisol blood test, total inpatient CPT 82533 Cort-60 | $32.85 | $73.00 | $32.85–$73.00 | — | 55% |
| Cortisol blood test, total inpatient CPT 82533 Cortisol L Adrenal Vein | $32.85 | $73.00 | $32.85–$73.00 | — | 55% |
| Cortisol blood test, total inpatient CPT 82533 Cort-30 | $32.85 | $73.00 | $32.85–$73.00 | — | 55% |
| Cortisol blood test, total inpatient CPT 82533 Cort-0 | $32.85 | $73.00 | $32.85–$73.00 | — | 55% |
| Cortisol blood test, total inpatient CPT 82533 Cortisol Dexamethasone Reflex | $32.85 | $73.00 | $32.85–$73.00 | — | 55% |
| Cortisol blood test, total inpatient CPT 82533 Salivary Cortisol,MS | $53.55 | $119.00 | $53.55–$119.00 | — | 55% |
| Cortisol blood test, total inpatient CPT 82533 CBG with Free Cortisol | $54.90 | $122.00 | $54.90–$122.00 | — | 55% |
| Creatine kinase (CK) blood test, total CPT 82550 CK | $13.50 | $30.00 | $5.41–$30.00 | 61% below | 55% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 CK | $13.50 | $30.00 | $13.50–$30.00 | — | 55% |
| Creatinine blood test CPT 82565 Creatinine Lvl, Art POC | $10.80 | $24.00 | $4.26–$24.00 | 56% below | 55% |
| Creatinine blood test CPT 82565 Creatinine Lvl | $10.80 | $24.00 | $4.26–$24.00 | 56% below | 55% |
| Creatinine blood test inpatient CPT 82565 Creatinine Lvl | $10.80 | $24.00 | $10.80–$24.00 | — | 55% |
| Creatinine blood test inpatient CPT 82565 Creatinine Lvl, Art POC | $10.80 | $24.00 | $10.80–$24.00 | — | 55% |
| Cytomegalovirus (CMV) antibody test CPT 86644 Cytomegalovirus (CMV) Ab, IgG | $37.80 | $84.00 | $11.96–$84.00 | 44% below | 55% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 Cytomegalovirus (CMV) Ab, IgG | $37.80 | $84.00 | $37.80–$84.00 | — | 55% |
| D-dimer blood test (blood clot marker) CPT 85379 D-Dimer (Quant) | $21.15 | $47.00 | $8.46–$47.00 | 70% below | 55% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 D-Dimer (Quant) | $21.15 | $47.00 | $21.15–$47.00 | — | 55% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-Sulfate | $21.60 | $48.00 | $16.07–$48.00 | 78% below | 55% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA-Sulfate | $21.60 | $48.00 | $21.60–$48.00 | — | 55% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Methadone Screen, Urine | $13.95 | $31.00 | $13.95–$62.14 | 86% below | 55% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Ethyl Glucuronide, Urine | $17.10 | $38.00 | $16.07–$62.70 | 82% below | 55% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 zzEthanol, Urine | $18.90 | $42.00 | $16.07–$69.30 | 80% below | 55% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 6-Acetylmorphine Screen, Urine | $31.05 | $69.00 | $16.07–$102.53 | 68% below | 55% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 ToxASSURE Select 13 Discrete Results | $39.60 | $88.00 | $16.07–$102.53 | 59% below | 55% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Profile 7 Ur 794388 Bund | $40.05 | $89.00 | $16.07–$102.53 | 59% below | 55% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 THC, Scr w/Conf Bld 700834 | $43.20 | $96.00 | $16.07–$102.53 | 55% below | 55% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Screen 723515 U8-Unbund+1+Alc+SVT | $52.20 | $116.00 | $16.07–$116.00 | 46% below | 55% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Drugs of Abuse Screen, Urine toxicology | $61.65 | $137.00 | $16.07–$137.00 | 36% below | 55% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Screen 9, 074666 | $61.65 | $137.00 | $16.07–$137.00 | 36% below | 55% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Drugs of Abuse Screen, Urine with reflex to Confir | $61.65 | $137.00 | $16.07–$137.00 | 36% below | 55% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Profile 9 Ur 794370 | $63.90 | $142.00 | $16.07–$142.00 | 34% below | 55% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Carisoprodol/Meprobamate, Ur | $67.50 | $150.00 | $16.07–$150.00 | 30% below | 55% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Tramadol Screen, Urine | $67.50 | $150.00 | $16.07–$150.00 | 30% below | 55% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Oxycodone/Oxymorphone, Urine 763896 | $67.50 | $150.00 | $16.07–$150.00 | 30% below | 55% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Carisoprodol/Meprobamate, Ur 764032 | $67.50 | $150.00 | $16.07–$150.00 | 30% below | 55% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Ur Cannab Scrn | $68.85 | $153.00 | $16.07–$153.00 | 29% below | 55% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Nicotine Metabolite, Urine | $68.85 | $153.00 | $16.07–$153.00 | 29% below | 55% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Screen 10 w/Conf Bld 700841 | $81.00 | $180.00 | $16.07–$180.00 | 16% below | 55% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Fentanyl, Urine | $83.70 | $186.00 | $16.07–$186.00 | 14% below | 55% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Oxycodone/Oxymorphone Scr, Ur | $83.70 | $186.00 | $16.07–$186.00 | 14% below | 55% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Buprenorphine, Urine | $83.70 | $186.00 | $16.07–$186.00 | 14% below | 55% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Screen 733726 13+Oxycodone+Crt-Scr | $86.85 | $193.00 | $16.07–$193.00 | 10% below | 55% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Buprenorphine MAT Monitor 2, Ur 701985 | $94.50 | $210.00 | $16.07–$210.00 | 2% below | 55% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Screen 13 w/Conf, Meconium | $97.20 | $216.00 | $16.07–$216.00 | at median | 55% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Profile 10 789119 Bund | $99.00 | $220.00 | $16.07–$220.00 | 2% above | 55% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Fentanyl, Urine Rfx Conf 764200 | $120.15 | $267.00 | $16.07–$267.00 | 24% above | 55% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Fentanyl, Urine 761141 | $120.15 | $267.00 | $16.07–$267.00 | 24% above | 55% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Buprenorphine, Urine 763400 | $120.15 | $267.00 | $16.07–$267.00 | 24% above | 55% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Compliance Drug Analysis, Ur 790600 | $130.50 | $290.00 | $16.07–$290.00 | 35% above | 55% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Screen 725872 U9-Scr+Alc+SVT | $144.90 | $322.00 | $16.07–$322.00 | 50% above | 55% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Screen 723151 U12-Bund | $169.65 | $377.00 | $16.07–$377.00 | 75% above | 55% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Screen 764495 8+Oxycodone+Crt-Unbund | $184.05 | $409.00 | $16.07–$409.00 | 90% above | 55% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Screen 10 w/Conf, Meconium | $189.90 | $422.00 | $16.07–$422.00 | 96% above | 55% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Cord DOA | $201.15 | $447.00 | $16.07–$447.00 | 108% above | 55% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Profile w EtOH Ur 764875 | $202.50 | $450.00 | $16.07–$450.00 | 109% above | 55% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Gabapentin, Urine | $205.20 | $456.00 | $16.07–$456.00 | 112% above | 55% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Screen 733690 12+Oxycodone+Crt-Scr | $218.70 | $486.00 | $16.07–$486.00 | 126% above | 55% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Buprenorphine MAT 2, Ur 703040 | $219.15 | $487.00 | $16.07–$487.00 | 126% above | 55% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Screen 763824 12+Oxycodone+Crt-Unbund | $229.95 | $511.00 | $16.07–$511.00 | 137% above | 55% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Screen 10 w/Conf, Blood 700886 | $253.80 | $564.00 | $16.07–$564.00 | 162% above | 55% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Screen 13 w/Conf, WB | $287.10 | $638.00 | $16.07–$638.00 | 196% above | 55% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Methadone Screen, Urine | $13.95 | $31.00 | $13.95–$31.00 | — | 55% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Ethyl Glucuronide, Urine | $17.10 | $38.00 | $17.10–$38.00 | — | 55% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 zzEthanol, Urine | $18.90 | $42.00 | $18.90–$42.00 | — | 55% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 6-Acetylmorphine Screen, Urine | $31.05 | $69.00 | $31.05–$69.00 | — | 55% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 ToxASSURE Select 13 Discrete Results | $39.60 | $88.00 | $39.60–$88.00 | — | 55% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug Profile 7 Ur 794388 Bund | $40.05 | $89.00 | $40.05–$89.00 | — | 55% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 THC, Scr w/Conf Bld 700834 | $43.20 | $96.00 | $43.20–$96.00 | — | 55% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug Screen 723515 U8-Unbund+1+Alc+SVT | $52.20 | $116.00 | $52.20–$116.00 | — | 55% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug Screen 9, 074666 | $61.65 | $137.00 | $61.65–$137.00 | — | 55% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drugs of Abuse Screen, Urine with reflex to Confir | $61.65 | $137.00 | $61.65–$137.00 | — | 55% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drugs of Abuse Screen, Urine toxicology | $61.65 | $137.00 | $61.65–$137.00 | — | 55% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug Profile 9 Ur 794370 | $63.90 | $142.00 | $63.90–$142.00 | — | 55% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Oxycodone/Oxymorphone, Urine 763896 | $67.50 | $150.00 | $67.50–$150.00 | — | 55% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Carisoprodol/Meprobamate, Ur | $67.50 | $150.00 | $67.50–$150.00 | — | 55% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Carisoprodol/Meprobamate, Ur 764032 | $67.50 | $150.00 | $67.50–$150.00 | — | 55% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Tramadol Screen, Urine | $67.50 | $150.00 | $67.50–$150.00 | — | 55% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Nicotine Metabolite, Urine | $68.85 | $153.00 | $68.85–$153.00 | — | 55% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Ur Cannab Scrn | $68.85 | $153.00 | $68.85–$153.00 | — | 55% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug Screen 10 w/Conf Bld 700841 | $81.00 | $180.00 | $81.00–$180.00 | — | 55% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Oxycodone/Oxymorphone Scr, Ur | $83.70 | $186.00 | $83.70–$186.00 | — | 55% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Buprenorphine, Urine | $83.70 | $186.00 | $83.70–$186.00 | — | 55% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Fentanyl, Urine | $83.70 | $186.00 | $83.70–$186.00 | — | 55% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug Screen 733726 13+Oxycodone+Crt-Scr | $86.85 | $193.00 | $86.85–$193.00 | — | 55% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Buprenorphine MAT Monitor 2, Ur 701985 | $94.50 | $210.00 | $94.50–$210.00 | — | 55% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug Screen 13 w/Conf, Meconium | $97.20 | $216.00 | $97.20–$216.00 | — | 55% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug Profile 10 789119 Bund | $99.00 | $220.00 | $99.00–$220.00 | — | 55% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Fentanyl, Urine 761141 | $120.15 | $267.00 | $120.15–$267.00 | — | 55% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Buprenorphine, Urine 763400 | $120.15 | $267.00 | $120.15–$267.00 | — | 55% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Fentanyl, Urine Rfx Conf 764200 | $120.15 | $267.00 | $120.15–$267.00 | — | 55% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Compliance Drug Analysis, Ur 790600 | $130.50 | $290.00 | $130.50–$290.00 | — | 55% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug Screen 725872 U9-Scr+Alc+SVT | $144.90 | $322.00 | $144.90–$322.00 | — | 55% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug Screen 723151 U12-Bund | $169.65 | $377.00 | $169.65–$377.00 | — | 55% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug Screen 764495 8+Oxycodone+Crt-Unbund | $184.05 | $409.00 | $184.05–$409.00 | — | 55% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug Screen 10 w/Conf, Meconium | $189.90 | $422.00 | $189.90–$422.00 | — | 55% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Cord DOA | $201.15 | $447.00 | $201.15–$447.00 | — | 55% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug Profile w EtOH Ur 764875 | $202.50 | $450.00 | $202.50–$450.00 | — | 55% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Gabapentin, Urine | $205.20 | $456.00 | $205.20–$456.00 | — | 55% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug Screen 733690 12+Oxycodone+Crt-Scr | $218.70 | $486.00 | $218.70–$486.00 | — | 55% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Buprenorphine MAT 2, Ur 703040 | $219.15 | $487.00 | $219.15–$487.00 | — | 55% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug Screen 763824 12+Oxycodone+Crt-Unbund | $229.95 | $511.00 | $229.95–$511.00 | — | 55% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug Screen 10 w/Conf, Blood 700886 | $253.80 | $564.00 | $253.80–$564.00 | — | 55% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug Screen 13 w/Conf, WB | $287.10 | $638.00 | $287.10–$638.00 | — | 55% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Electrolyte Panel | $28.35 | $63.00 | $5.82–$63.00 | 41% below | 55% |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 Electrolyte Panel | $28.35 | $63.00 | $28.35–$63.00 | — | 55% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EBV Ab VCA, IgG | $21.60 | $48.00 | $15.08–$48.00 | 67% below | 55% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EBV Ab VCA, IgM | $31.50 | $70.00 | $15.08–$70.00 | 52% below | 55% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EBV Ab to Viral Capsid Ag, IgA | $294.30 | $654.00 | $15.08–$654.00 | 353% above | 55% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV Ab VCA, IgG | $21.60 | $48.00 | $21.60–$48.00 | — | 55% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV Ab VCA, IgM | $31.50 | $70.00 | $31.50–$70.00 | — | 55% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV Ab to Viral Capsid Ag, IgA | $294.30 | $654.00 | $294.30–$654.00 | — | 55% |
| Estradiol blood test CPT 82670 Estradiol | $18.00 | $40.00 | $16.07–$46.10 | 84% below | 55% |
| Estradiol blood test CPT 82670 Estradiol. | $18.00 | $40.00 | $16.07–$46.10 | 84% below | 55% |
| Estradiol blood test CPT 82670 Estrogens Fractionated, S | $22.95 | $51.00 | $16.07–$51.00 | 80% below | 55% |
| Estradiol blood test CPT 82670 Estradiol, Free Serum | $40.50 | $90.00 | $16.07–$90.00 | 64% below | 55% |
| Estradiol blood test inpatient CPT 82670 Estradiol. | $18.00 | $40.00 | $18.00–$40.00 | — | 55% |
| Estradiol blood test inpatient CPT 82670 Estradiol | $18.00 | $40.00 | $18.00–$40.00 | — | 55% |
| Estradiol blood test inpatient CPT 82670 Estrogens Fractionated, S | $22.95 | $51.00 | $22.95–$51.00 | — | 55% |
| Estradiol blood test inpatient CPT 82670 Estradiol, Free Serum | $40.50 | $90.00 | $40.50–$90.00 | — | 55% |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH | $36.90 | $82.00 | $15.44–$82.00 | 57% below | 55% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH | $36.90 | $82.00 | $36.90–$82.00 | — | 55% |
| Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin, Fecal | $65.25 | $145.00 | $16.07–$145.00 | 56% below | 55% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Calprotectin, Fecal | $65.25 | $145.00 | $65.25–$145.00 | — | 55% |
| Ferritin blood test (iron stores) CPT 82728 Ferritin Level | $27.90 | $62.00 | $11.33–$62.00 | 63% below | 55% |
| Ferritin blood test (iron stores) CPT 82728 Ferritin, Serum | $68.40 | $152.00 | $11.33–$152.00 | 10% below | 55% |
| Ferritin blood test (iron stores) inpatient CPT 82728 Ferritin Level | $27.90 | $62.00 | $27.90–$62.00 | — | 55% |
| Ferritin blood test (iron stores) inpatient CPT 82728 Ferritin, Serum | $68.40 | $152.00 | $68.40–$152.00 | — | 55% |
| Fibrinogen blood test CPT 85384 Fibrinogen Level | $34.20 | $76.00 | $8.08–$76.00 | 24% below | 55% |
| Fibrinogen blood test inpatient CPT 85384 Fibrinogen Level | $34.20 | $76.00 | $34.20–$76.00 | — | 55% |
| Folate (folic acid) blood test CPT 82746 Folate Level | $30.15 | $67.00 | $12.21–$67.00 | 55% below | 55% |
| Folate (folic acid) blood test inpatient CPT 82746 Folate Level | $30.15 | $67.00 | $30.15–$67.00 | — | 55% |
| Free T3 thyroid hormone test CPT 84481 Triiodothyronine,Free,Serum | $21.60 | $48.00 | $14.08–$48.00 | 70% below | 55% |
| Free T3 thyroid hormone test CPT 84481 Free T3 | $30.60 | $68.00 | $14.08–$68.00 | 58% below | 55% |
| Free T3 thyroid hormone test inpatient CPT 84481 Triiodothyronine,Free,Serum | $21.60 | $48.00 | $21.60–$48.00 | — | 55% |
| Free T3 thyroid hormone test inpatient CPT 84481 Free T3 | $30.60 | $68.00 | $30.60–$68.00 | — | 55% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Thyroxine (T4) Free, Direct, S | $18.90 | $42.00 | $7.50–$42.00 | 55% below | 55% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Free T4 | $18.90 | $42.00 | $7.50–$42.00 | 55% below | 55% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Free T4 by Dialysis/Mass Spec | $18.90 | $42.00 | $7.50–$42.00 | 55% below | 55% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Free T4 by Dialysis/Mass Spec | $18.90 | $42.00 | $18.90–$42.00 | — | 55% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Thyroxine (T4) Free, Direct, S | $18.90 | $42.00 | $18.90–$42.00 | — | 55% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Free T4 | $18.90 | $42.00 | $18.90–$42.00 | — | 55% |
| Free testosterone test CPT 84402 Testosterone,Free | $27.90 | $62.00 | $16.07–$62.00 | 71% below | 55% |
| Free testosterone test CPT 84402 Free Testosterone(Direct) | $27.90 | $62.00 | $16.07–$62.00 | 71% below | 55% |
| Free testosterone test CPT 84402 Testosterone,Free and Total Send Out | $27.90 | $62.00 | $16.07–$62.00 | 71% below | 55% |
| Free testosterone test CPT 84402 Testosterone, Free, Direct Send Out | $27.90 | $62.00 | $16.07–$62.00 | 71% below | 55% |
| Free testosterone test inpatient CPT 84402 Testosterone,Free | $27.90 | $62.00 | $27.90–$62.00 | — | 55% |
| Free testosterone test inpatient CPT 84402 Free Testosterone(Direct) | $27.90 | $62.00 | $27.90–$62.00 | — | 55% |
| Free testosterone test inpatient CPT 84402 Testosterone, Free, Direct Send Out | $27.90 | $62.00 | $27.90–$62.00 | — | 55% |
| Free testosterone test inpatient CPT 84402 Testosterone,Free and Total Send Out | $27.90 | $62.00 | $27.90–$62.00 | — | 55% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGT | $14.40 | $32.00 | $5.99–$32.00 | 66% below | 55% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GGT | $14.40 | $32.00 | $14.40–$32.00 | — | 55% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 General Health Panel 80050 | $112.95 | $251.00 | $16.07–$251.00 | 48% below | 55% |
| General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 General Health Panel 80050 | $112.95 | $251.00 | $112.95–$251.00 | — | 55% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GTT 1 Hr-50g | $10.35 | $23.00 | $3.95–$23.00 | 71% below | 55% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GTT 2 Hr | $20.25 | $45.00 | $3.95–$45.00 | 42% below | 55% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GTT 1 Hr-50g | $10.35 | $23.00 | $10.35–$23.00 | — | 55% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GTT 2 Hr | $20.25 | $45.00 | $20.25–$45.00 | — | 55% |
| Glucose tolerance test, 3 samples CPT 82951 GTT 1 Hr | $17.10 | $38.00 | $10.69–$38.00 | 75% below | 55% |
| Glucose tolerance test, 3 samples CPT 82951 GTT 3 Hr | $20.25 | $45.00 | $10.69–$45.00 | 70% below | 55% |
| Glucose tolerance test, 3 samples CPT 82951 GTT 4 Hr | $20.25 | $45.00 | $10.69–$45.00 | 70% below | 55% |
| Glucose tolerance test, 3 samples CPT 82951 GTT 5 Hr | $20.25 | $45.00 | $10.69–$45.00 | 70% below | 55% |
| Glucose tolerance test, 3 samples CPT 82951 GTT 2 Hr-75g | $20.25 | $45.00 | $10.69–$45.00 | 70% below | 55% |
| Glucose tolerance test, 3 samples CPT 82951 GTT 6 Hr | $20.25 | $45.00 | $10.69–$45.00 | 70% below | 55% |
| Glucose tolerance test, 3 samples CPT 82951 GTT 2 Hr | $20.25 | $45.00 | $10.69–$45.00 | 70% below | 55% |
| Glucose tolerance test, 3 samples CPT 82951 Lactose Tolerance Test | $57.60 | $128.00 | $10.69–$128.00 | 14% below | 55% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 GTT 1 Hr | $17.10 | $38.00 | $17.10–$38.00 | — | 55% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 GTT 3 Hr | $20.25 | $45.00 | $20.25–$45.00 | — | 55% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 GTT 6 Hr | $20.25 | $45.00 | $20.25–$45.00 | — | 55% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 GTT 5 Hr | $20.25 | $45.00 | $20.25–$45.00 | — | 55% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 GTT 4 Hr | $20.25 | $45.00 | $20.25–$45.00 | — | 55% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 GTT 2 Hr-75g | $20.25 | $45.00 | $20.25–$45.00 | — | 55% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 GTT 2 Hr | $20.25 | $45.00 | $20.25–$45.00 | — | 55% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 Lactose Tolerance Test | $57.60 | $128.00 | $57.60–$128.00 | — | 55% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N gonorrhoeae NAA Urine | $52.20 | $116.00 | $16.07–$116.00 | 44% below | 55% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N gonorrhoeae NAA Vag | $70.20 | $156.00 | $16.07–$156.00 | 24% below | 55% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N. gonorrhea rRNA | $70.65 | $157.00 | $16.07–$157.00 | 24% below | 55% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N gonorrhoeae NAA Urine | $52.20 | $116.00 | $52.20–$116.00 | — | 55% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N gonorrhoeae NAA Vag | $70.20 | $156.00 | $70.20–$156.00 | — | 55% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N. gonorrhea rRNA | $70.65 | $157.00 | $70.65–$157.00 | — | 55% |
| H. pylori antibody blood test CPT 86677 H. pylori, IgG Abs | $25.20 | $56.00 | $14.00–$56.00 | 64% below | 55% |
| H. pylori antibody blood test CPT 86677 H. pylori, IgA Abs | $31.50 | $70.00 | $14.00–$70.00 | 56% below | 55% |
| H. pylori antibody blood test inpatient CPT 86677 H. pylori, IgG Abs | $25.20 | $56.00 | $25.20–$56.00 | — | 55% |
| H. pylori antibody blood test inpatient CPT 86677 H. pylori, IgA Abs | $31.50 | $70.00 | $31.50–$70.00 | — | 55% |
| H. pylori stool antigen test CPT 87338 H. pylori Stool Ag, EIA | $62.55 | $139.00 | $11.95–$139.00 | 11% below | 55% |
| H. pylori stool antigen test inpatient CPT 87338 H. pylori Stool Ag, EIA | $62.55 | $139.00 | $62.55–$139.00 | — | 55% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 .Quant, RNA PCR | $93.60 | $208.00 | $16.07–$208.00 | 74% below | 55% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 .HIV-1 Qn, RNA PCR | $187.20 | $416.00 | $16.07–$416.00 | 48% below | 55% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 RNA, Real Time PCR (Non-Graph) | $187.20 | $416.00 | $16.07–$416.00 | 48% below | 55% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 .HIV Quant, RNA PCR | $187.20 | $416.00 | $16.07–$416.00 | 48% below | 55% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 .Quant, RNA PCR | $93.60 | $208.00 | $93.60–$208.00 | — | 55% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 .HIV-1 Qn, RNA PCR | $187.20 | $416.00 | $187.20–$416.00 | — | 55% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 .HIV Quant, RNA PCR | $187.20 | $416.00 | $187.20–$416.00 | — | 55% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 RNA, Real Time PCR (Non-Graph) | $187.20 | $416.00 | $187.20–$416.00 | — | 55% |
| HIV-1 and HIV-2 antibody test CPT 86703 STAT HIV (Exposure) | $59.85 | $133.00 | $11.39–$133.00 | 3% below | 55% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 STAT HIV (Exposure) | $59.85 | $133.00 | $59.85–$133.00 | — | 55% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-AbAg | $48.60 | $108.00 | $16.07–$108.00 | 34% below | 55% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV-AbAg | $48.60 | $108.00 | $48.60–$108.00 | — | 55% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV, Aptima High 16/18,45 | $51.30 | $114.00 | $16.07–$114.00 | 57% below | 55% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 .HPV Aptima | $62.55 | $139.00 | $16.07–$139.00 | 47% below | 55% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 .HPV, low volume rfx | $75.15 | $167.00 | $16.07–$167.00 | 37% below | 55% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV, Aptima High 16/18,45 | $51.30 | $114.00 | $51.30–$114.00 | — | 55% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 .HPV Aptima | $62.55 | $139.00 | $62.55–$139.00 | — | 55% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 .HPV, low volume rfx | $75.15 | $167.00 | $75.15–$167.00 | — | 55% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1c Send Out | $13.95 | $31.00 | $8.07–$31.00 | 69% below | 55% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1c | $40.05 | $89.00 | $8.07–$89.00 | 12% below | 55% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hemoglobin A1c Send Out | $13.95 | $31.00 | $13.95–$31.00 | — | 55% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hemoglobin A1c | $40.05 | $89.00 | $40.05–$89.00 | — | 55% |
| Hemoglobin blood test CPT 85018 Hgb, Art | $4.50 | $10.00 | $1.97–$16.07 | 72% below | 55% |
| Hemoglobin blood test CPT 85018 Hgb, Cap | $4.50 | $10.00 | $1.97–$16.07 | 72% below | 55% |
| Hemoglobin blood test CPT 85018 Hgb, Ven | $4.50 | $10.00 | $1.97–$16.07 | 72% below | 55% |
| Hemoglobin blood test CPT 85018 Hgb, ACB | $4.50 | $10.00 | $1.97–$16.07 | 72% below | 55% |
| Hemoglobin blood test CPT 85018 Hgb, VCB | $4.50 | $10.00 | $1.97–$16.07 | 72% below | 55% |
| Hemoglobin blood test CPT 85018 Hgb | $4.50 | $10.00 | $1.97–$16.07 | 72% below | 55% |
| Hemoglobin blood test CPT 85018 Hemoglobin, Filter Paper | $15.75 | $35.00 | $1.97–$35.00 | 3% below | 55% |
| Hemoglobin blood test inpatient CPT 85018 Hgb, VCB | $4.50 | $10.00 | $4.50–$10.00 | — | 55% |
| Hemoglobin blood test inpatient CPT 85018 Hgb | $4.50 | $10.00 | $4.50–$10.00 | — | 55% |
| Hemoglobin blood test inpatient CPT 85018 Hgb, Art | $4.50 | $10.00 | $4.50–$10.00 | — | 55% |
| Hemoglobin blood test inpatient CPT 85018 Hgb, Cap | $4.50 | $10.00 | $4.50–$10.00 | — | 55% |
| Hemoglobin blood test inpatient CPT 85018 Hgb, Ven | $4.50 | $10.00 | $4.50–$10.00 | — | 55% |
| Hemoglobin blood test inpatient CPT 85018 Hgb, ACB | $4.50 | $10.00 | $4.50–$10.00 | — | 55% |
| Hemoglobin blood test inpatient CPT 85018 Hemoglobin, Filter Paper | $15.75 | $35.00 | $15.75–$35.00 | — | 55% |
| Hepatitis B core antibody test (total) CPT 86704 Hep B Core Ab, Tot | $13.05 | $29.00 | $10.02–$29.00 | 76% below | 55% |
| Hepatitis B core antibody test (total) CPT 86704 Viral Hepatitis HBV, HCV | $13.05 | $29.00 | $10.02–$29.00 | 76% below | 55% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 Hep B Core Ab, Tot | $13.05 | $29.00 | $13.05–$29.00 | — | 55% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 Viral Hepatitis HBV, HCV | $13.05 | $29.00 | $13.05–$29.00 | — | 55% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hep B Surface Ab, Qual | $13.05 | $29.00 | $8.93–$29.00 | 73% below | 55% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hep B Surface Ab, Qual | $13.05 | $29.00 | $13.05–$29.00 | — | 55% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HBsAg Screen Send Out | $15.30 | $34.00 | $8.59–$34.00 | 67% below | 55% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B Surface Antigen | $19.80 | $44.00 | $8.59–$44.00 | 57% below | 55% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HBsAg Screen Send Out | $15.30 | $34.00 | $15.30–$34.00 | — | 55% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hepatitis B Surface Antigen | $19.80 | $44.00 | $19.80–$44.00 | — | 55% |
| Hepatitis C antibody blood test (screening) CPT 86803 HCV Antibody RFX to Quant PCR | $18.00 | $40.00 | $11.86–$40.00 | 72% below | 55% |
| Hepatitis C antibody blood test (screening) CPT 86803 HCV | $25.65 | $57.00 | $11.86–$57.00 | 60% below | 55% |
| Hepatitis C antibody blood test (screening) CPT 86803 Hep C Ab | $41.40 | $92.00 | $11.86–$92.00 | 35% below | 55% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HCV Antibody RFX to Quant PCR | $18.00 | $40.00 | $18.00–$40.00 | — | 55% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HCV | $25.65 | $57.00 | $25.65–$57.00 | — | 55% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hep C Ab | $41.40 | $92.00 | $41.40–$92.00 | — | 55% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA by PCR, Qn Rfx Geno | $269.55 | $599.00 | $16.07–$599.00 | 40% above | 55% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HCV Quant GT1a NS5A Profile | $269.55 | $599.00 | $16.07–$599.00 | 40% above | 55% |
| Hepatitis C viral load (HCV RNA) test one side CPT 87522 .HCV RT-PCR, Quant (Non-Graph) 550362 | $197.55 | $439.00 | $16.07–$439.00 | 3% above | 55% |
| Hepatitis C viral load (HCV RNA) test one side CPT 87522 HCV RT-PCR, Quant (Non-Graph) | $197.55 | $439.00 | $16.07–$439.00 | 3% above | 55% |
| Hepatitis C viral load (HCV RNA) test one side CPT 87522 HCV RT-PCR, Quant (Graph) | $197.55 | $439.00 | $16.07–$439.00 | 3% above | 55% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV Quant GT1a NS5A Profile | $269.55 | $599.00 | $269.55–$599.00 | — | 55% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV RNA by PCR, Qn Rfx Geno | $269.55 | $599.00 | $269.55–$599.00 | — | 55% |
| Hepatitis C viral load (HCV RNA) test inpatient one side CPT 87522 HCV RT-PCR, Quant (Graph) | $197.55 | $439.00 | $197.55–$439.00 | — | 55% |
| Hepatitis C viral load (HCV RNA) test inpatient one side CPT 87522 HCV RT-PCR, Quant (Non-Graph) | $197.55 | $439.00 | $197.55–$439.00 | — | 55% |
| Hepatitis C viral load (HCV RNA) test inpatient one side CPT 87522 .HCV RT-PCR, Quant (Non-Graph) 550362 | $197.55 | $439.00 | $197.55–$439.00 | — | 55% |
| Herpes blood test, HSV-1 antibody CPT 86695 HSV Type 1-Specific Ab, IgG | $21.60 | $48.00 | $10.96–$48.00 | 63% below | 55% |
| Herpes blood test, HSV-1 antibody CPT 86695 HSV 1 IgG, Type Spec | $21.60 | $48.00 | $10.96–$48.00 | 63% below | 55% |
| Herpes blood test, HSV-1 antibody CPT 86695 HSV 1 IgM Antibodies | $55.80 | $124.00 | $10.96–$124.00 | 6% below | 55% |
| Herpes blood test, HSV-1 antibody CPT 86695 HSV 1 and 2 Ab, IgG | $100.35 | $223.00 | $10.96–$223.00 | 70% above | 55% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV Type 1-Specific Ab, IgG | $21.60 | $48.00 | $21.60–$48.00 | — | 55% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV 1 IgG, Type Spec | $21.60 | $48.00 | $21.60–$48.00 | — | 55% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV 1 IgM Antibodies | $55.80 | $124.00 | $55.80–$124.00 | — | 55% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV 1 and 2 Ab, IgG | $100.35 | $223.00 | $100.35–$223.00 | — | 55% |
| Herpes blood test, HSV-2 antibody CPT 86696 HSV 2 IgG, Type Spec | $31.50 | $70.00 | $16.07–$70.00 | 52% below | 55% |
| Herpes blood test, HSV-2 antibody CPT 86696 HSV 2 IgM Antibodies | $55.80 | $124.00 | $16.07–$124.00 | 16% below | 55% |
| Herpes blood test, HSV-2 antibody CPT 86696 .HSV-2 IgG Supplemental Test | $82.35 | $183.00 | $16.07–$183.00 | 24% above | 55% |
| Herpes blood test, HSV-2 antibody CPT 86696 HSV-2 Ab, IgG | $146.70 | $326.00 | $16.07–$326.00 | 121% above | 55% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV 2 IgG, Type Spec | $31.50 | $70.00 | $31.50–$70.00 | — | 55% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV 2 IgM Antibodies | $55.80 | $124.00 | $55.80–$124.00 | — | 55% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 .HSV-2 IgG Supplemental Test | $82.35 | $183.00 | $82.35–$183.00 | — | 55% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV-2 Ab, IgG | $146.70 | $326.00 | $146.70–$326.00 | — | 55% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 CRP High Sens | $26.10 | $58.00 | $10.76–$58.00 | 61% below | 55% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CRP High Sens | $26.10 | $58.00 | $26.10–$58.00 | — | 55% |
| Homocysteine blood test CPT 83090 Homocyst(e)ine (SEND-OUT) | $31.95 | $71.00 | $14.90–$71.00 | 60% below | 55% |
| Homocysteine blood test CPT 83090 Homocysteine | $46.80 | $104.00 | $14.90–$104.00 | 42% below | 55% |
| Homocysteine blood test inpatient CPT 83090 Homocyst(e)ine (SEND-OUT) | $31.95 | $71.00 | $31.95–$71.00 | — | 55% |
| Homocysteine blood test inpatient CPT 83090 Homocysteine | $46.80 | $104.00 | $46.80–$104.00 | — | 55% |
| Insulin blood test CPT 83525 Free and Total Insulin Send Out | $17.55 | $39.00 | $9.50–$39.00 | 66% below | 55% |
| Insulin blood test CPT 83525 Insulin | $22.95 | $51.00 | $9.50–$51.00 | 55% below | 55% |
| Insulin blood test CPT 83525 Insulin, Fasting | $22.95 | $51.00 | $9.50–$51.00 | 55% below | 55% |
| Insulin blood test inpatient CPT 83525 Free and Total Insulin Send Out | $17.55 | $39.00 | $17.55–$39.00 | — | 55% |
| Insulin blood test inpatient CPT 83525 Insulin | $22.95 | $51.00 | $22.95–$51.00 | — | 55% |
| Insulin blood test inpatient CPT 83525 Insulin, Fasting | $22.95 | $51.00 | $22.95–$51.00 | — | 55% |
| Iron blood test (serum iron) CPT 83540 Iron | $13.05 | $29.00 | $5.37–$29.00 | 66% below | 55% |
| Iron blood test (serum iron) inpatient CPT 83540 Iron | $13.05 | $29.00 | $13.05–$29.00 | — | 55% |
| Iron-binding capacity (TIBC) test CPT 83550 TIBC | $18.45 | $41.00 | $7.26–$41.00 | 53% below | 55% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 TIBC | $18.45 | $41.00 | $18.45–$41.00 | — | 55% |
| Kidney function blood test panel CPT 80069 Renal Function Panel | $53.10 | $118.00 | $7.22–$118.00 | 27% below | 55% |
| Kidney function blood test panel inpatient CPT 80069 Renal Function Panel | $53.10 | $118.00 | $53.10–$118.00 | — | 55% |
| LH (luteinizing hormone) test CPT 83002 LH | $36.90 | $82.00 | $15.39–$82.00 | 61% below | 55% |
| LH (luteinizing hormone) test inpatient CPT 83002 LH | $36.90 | $82.00 | $36.90–$82.00 | — | 55% |
| Lactate (lactic acid) blood test CPT 83605 Lact, Art POC | $22.05 | $49.00 | $9.61–$49.00 | 58% below | 55% |
| Lactate (lactic acid) blood test CPT 83605 Lact, Ven | $22.05 | $49.00 | $9.61–$49.00 | 58% below | 55% |
| Lactate (lactic acid) blood test CPT 83605 Lactic Acid Body Fluid | $22.05 | $49.00 | $9.61–$49.00 | 58% below | 55% |
| Lactate (lactic acid) blood test CPT 83605 Lactic Acid CSF | $22.05 | $49.00 | $9.61–$49.00 | 58% below | 55% |
| Lactate (lactic acid) blood test CPT 83605 Lact, Cap POC | $22.05 | $49.00 | $9.61–$49.00 | 58% below | 55% |
| Lactate (lactic acid) blood test CPT 83605 Lact, Cap | $22.05 | $49.00 | $9.61–$49.00 | 58% below | 55% |
| Lactate (lactic acid) blood test CPT 83605 Lact, Art | $22.05 | $49.00 | $9.61–$49.00 | 58% below | 55% |
| Lactate (lactic acid) blood test CPT 83605 Lactate Venous | $22.05 | $49.00 | $9.61–$49.00 | 58% below | 55% |
| Lactate (lactic acid) blood test CPT 83605 Lact, Ven POC | $22.05 | $49.00 | $9.61–$49.00 | 58% below | 55% |
| Lactate (lactic acid) blood test inpatient CPT 83605 Lact, Ven | $22.05 | $49.00 | $22.05–$49.00 | — | 55% |
| Lactate (lactic acid) blood test inpatient CPT 83605 Lact, Cap | $22.05 | $49.00 | $22.05–$49.00 | — | 55% |
| Lactate (lactic acid) blood test inpatient CPT 83605 Lactic Acid Body Fluid | $22.05 | $49.00 | $22.05–$49.00 | — | 55% |
| Lactate (lactic acid) blood test inpatient CPT 83605 Lact, Ven POC | $22.05 | $49.00 | $22.05–$49.00 | — | 55% |
| Lactate (lactic acid) blood test inpatient CPT 83605 Lact, Cap POC | $22.05 | $49.00 | $22.05–$49.00 | — | 55% |
| Lactate (lactic acid) blood test inpatient CPT 83605 Lactate Venous | $22.05 | $49.00 | $22.05–$49.00 | — | 55% |
| Lactate (lactic acid) blood test inpatient CPT 83605 Lactic Acid CSF | $22.05 | $49.00 | $22.05–$49.00 | — | 55% |
| Lactate (lactic acid) blood test inpatient CPT 83605 Lact, Art | $22.05 | $49.00 | $22.05–$49.00 | — | 55% |
| Lactate (lactic acid) blood test inpatient CPT 83605 Lact, Art POC | $22.05 | $49.00 | $22.05–$49.00 | — | 55% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LD Isoenzymes Send Out | $12.60 | $28.00 | $5.02–$28.00 | 54% below | 55% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LDH BF | $12.60 | $28.00 | $5.02–$28.00 | 54% below | 55% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LDH | $12.60 | $28.00 | $5.02–$28.00 | 54% below | 55% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LD Isoenzymes Send Out | $12.60 | $28.00 | $12.60–$28.00 | — | 55% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH | $12.60 | $28.00 | $12.60–$28.00 | — | 55% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH BF | $12.60 | $28.00 | $12.60–$28.00 | — | 55% |
| Lipase blood test (pancreas enzyme) CPT 83690 Lipase, Fluid Send Out | $13.95 | $31.00 | $5.72–$31.00 | 76% below | 55% |
| Lipase blood test (pancreas enzyme) CPT 83690 Lipase (LIP) Level | $23.85 | $53.00 | $5.72–$53.00 | 59% below | 55% |
| Lipase blood test (pancreas enzyme) CPT 83690 Lipase Level | $23.85 | $53.00 | $5.72–$53.00 | 59% below | 55% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase, Fluid Send Out | $13.95 | $31.00 | $13.95–$31.00 | — | 55% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase (LIP) Level | $23.85 | $53.00 | $23.85–$53.00 | — | 55% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase Level | $23.85 | $53.00 | $23.85–$53.00 | — | 55% |
| Liver function blood test panel CPT 80076 Hepatic (Liver) Function Panel - LFTs | $51.75 | $115.00 | $6.79–$115.00 | 17% below | 55% |
| Liver function blood test panel inpatient CPT 80076 Hepatic (Liver) Function Panel - LFTs | $51.75 | $115.00 | $51.75–$115.00 | — | 55% |
| Lyme disease antibody test CPT 86618 Lyme Disease Serology w/Rfx | $13.50 | $30.00 | $13.50–$30.00 | 82% below | 55% |
| Lyme disease antibody test CPT 86618 .Lyme IgG/IgM | $40.95 | $91.00 | $14.16–$91.00 | 47% below | 55% |
| Lyme disease antibody test CPT 86618 Lyme IgG/IgM Ab | $87.75 | $195.00 | $14.16–$195.00 | 14% above | 55% |
| Lyme disease antibody test CPT 86618 Lyme Disease Ab, Quant, IgM | $87.75 | $195.00 | $14.16–$195.00 | 14% above | 55% |
| Lyme disease antibody test inpatient CPT 86618 Lyme Disease Serology w/Rfx | $13.50 | $30.00 | $13.50–$30.00 | — | 55% |
| Lyme disease antibody test inpatient CPT 86618 .Lyme IgG/IgM | $40.95 | $91.00 | $40.95–$91.00 | — | 55% |
| Lyme disease antibody test inpatient CPT 86618 Lyme IgG/IgM Ab | $87.75 | $195.00 | $87.75–$195.00 | — | 55% |
| Lyme disease antibody test inpatient CPT 86618 Lyme Disease Ab, Quant, IgM | $87.75 | $195.00 | $87.75–$195.00 | — | 55% |
| Magnesium blood test CPT 83735 Magnesium SEND OUT | $9.90 | $22.00 | $5.57–$22.00 | 71% below | 55% |
| Magnesium blood test CPT 83735 Magnesium Level | $12.15 | $27.00 | $5.57–$27.00 | 64% below | 55% |
| Magnesium blood test CPT 83735 Magnesium, RBC Send Out | $12.15 | $27.00 | $5.57–$27.00 | 64% below | 55% |
| Magnesium blood test CPT 83735 Magnesium, U | $13.50 | $30.00 | $5.57–$30.00 | 60% below | 55% |
| Magnesium blood test CPT 83735 Magnesium Ur KS | $13.50 | $30.00 | $5.57–$30.00 | 60% below | 55% |
| Magnesium blood test CPT 83735 Magnesium, Urine 24 Hr | $13.50 | $30.00 | $5.57–$30.00 | 60% below | 55% |
| Magnesium blood test inpatient CPT 83735 Magnesium SEND OUT | $9.90 | $22.00 | $9.90–$22.00 | — | 55% |
| Magnesium blood test inpatient CPT 83735 Magnesium Level | $12.15 | $27.00 | $12.15–$27.00 | — | 55% |
| Magnesium blood test inpatient CPT 83735 Magnesium, RBC Send Out | $12.15 | $27.00 | $12.15–$27.00 | — | 55% |
| Magnesium blood test inpatient CPT 83735 Magnesium Ur KS | $13.50 | $30.00 | $13.50–$30.00 | — | 55% |
| Magnesium blood test inpatient CPT 83735 Magnesium, U | $13.50 | $30.00 | $13.50–$30.00 | — | 55% |
| Magnesium blood test inpatient CPT 83735 Magnesium, Urine 24 Hr | $13.50 | $30.00 | $13.50–$30.00 | — | 55% |
| Measles (rubeola) antibody test CPT 86765 Rubeola Antibodies, IgG | $17.55 | $39.00 | $10.70–$39.00 | 69% below | 55% |
| Measles (rubeola) antibody test CPT 86765 Rubeola Ab, IgG | $17.55 | $39.00 | $10.70–$39.00 | 69% below | 55% |
| Measles (rubeola) antibody test CPT 86765 Rubeola Antibodies, IgM | $28.35 | $63.00 | $10.70–$63.00 | 50% below | 55% |
| Measles (rubeola) antibody test inpatient CPT 86765 Rubeola Ab, IgG | $17.55 | $39.00 | $17.55–$39.00 | — | 55% |
| Measles (rubeola) antibody test inpatient CPT 86765 Rubeola Antibodies, IgG | $17.55 | $39.00 | $17.55–$39.00 | — | 55% |
| Measles (rubeola) antibody test inpatient CPT 86765 Rubeola Antibodies, IgM | $28.35 | $63.00 | $28.35–$63.00 | — | 55% |
| Mono test (heterophile antibody, Monospot) CPT 86308 Infectious Mononucleosis Screen | $11.25 | $25.00 | $4.30–$25.00 | 78% below | 55% |
| Mono test (heterophile antibody, Monospot) CPT 86308 Monospot reflex to EBV Abs | $11.25 | $25.00 | $4.30–$25.00 | 78% below | 55% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Infectious Mononucleosis Screen | $11.25 | $25.00 | $11.25–$25.00 | — | 55% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Monospot reflex to EBV Abs | $11.25 | $25.00 | $11.25–$25.00 | — | 55% |
| Mumps immunity blood test CPT 86735 Mumps Antibodies, IgG | $17.55 | $39.00 | $10.85–$39.00 | 70% below | 55% |
| Mumps immunity blood test CPT 86735 Measles/Mumps/Rubella Immunity | $17.55 | $39.00 | $10.85–$39.00 | 70% below | 55% |
| Mumps immunity blood test CPT 86735 Mumps Abs, IgG | $17.55 | $39.00 | $10.85–$39.00 | 70% below | 55% |
| Mumps immunity blood test CPT 86735 Mumps Antibodies, IgM | $28.35 | $63.00 | $10.85–$63.00 | 52% below | 55% |
| Mumps immunity blood test inpatient CPT 86735 Measles/Mumps/Rubella Immunity | $17.55 | $39.00 | $17.55–$39.00 | — | 55% |
| Mumps immunity blood test inpatient CPT 86735 Mumps Abs, IgG | $17.55 | $39.00 | $17.55–$39.00 | — | 55% |
| Mumps immunity blood test inpatient CPT 86735 Mumps Antibodies, IgG | $17.55 | $39.00 | $17.55–$39.00 | — | 55% |
| Mumps immunity blood test inpatient CPT 86735 Mumps Antibodies, IgM | $28.35 | $63.00 | $28.35–$63.00 | — | 55% |
| Obstetric blood test panel CPT 80055 Prenatal Panel | $96.30 | $214.00 | $16.07–$214.00 | 54% below | 55% |
| Obstetric blood test panel CPT 80055 Prenatal Panel Charge | $153.45 | $341.00 | $16.07–$341.00 | 27% below | 55% |
| Obstetric blood test panel inpatient CPT 80055 Prenatal Panel | $96.30 | $214.00 | $96.30–$214.00 | — | 55% |
| Obstetric blood test panel inpatient CPT 80055 Prenatal Panel Charge | $153.45 | $341.00 | $153.45–$341.00 | — | 55% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 .%fPSA Reflex | $36.90 | $82.00 | $15.28–$82.00 | 55% below | 55% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA, Free | $36.90 | $82.00 | $15.28–$82.00 | 55% below | 55% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA, Free | $36.90 | $82.00 | $36.90–$82.00 | — | 55% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 .%fPSA Reflex | $36.90 | $82.00 | $36.90–$82.00 | — | 55% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA Total | $36.90 | $82.00 | $15.28–$82.00 | 53% below | 55% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA Total (Reflex To Free) Send Out | $36.90 | $82.00 | $15.28–$82.00 | 53% below | 55% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA Total+% Free (Serial) Send Out | $36.90 | $82.00 | $15.28–$82.00 | 53% below | 55% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Prostate Specific Ag, Serum | $36.90 | $82.00 | $15.28–$82.00 | 53% below | 55% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA, Ultrasensitive W/O Serial | $62.55 | $139.00 | $15.28–$139.00 | 21% below | 55% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA Total+% Free (Serial) Send Out | $36.90 | $82.00 | $36.90–$82.00 | — | 55% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Prostate Specific Ag, Serum | $36.90 | $82.00 | $36.90–$82.00 | — | 55% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA Total | $36.90 | $82.00 | $36.90–$82.00 | — | 55% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA Total (Reflex To Free) Send Out | $36.90 | $82.00 | $36.90–$82.00 | — | 55% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA, Ultrasensitive W/O Serial | $62.55 | $139.00 | $62.55–$139.00 | — | 55% |
| Pap test (liquid-based, automated screening with review) CPT 88175 .Pap IG CtNg | $45.45 | $101.00 | $22.11–$101.00 | 55% below | 55% |
| Pap test (liquid-based, automated screening with review) CPT 88175 .IGP CtNg rfx Aptima HPV ASCU | $45.45 | $101.00 | $22.11–$101.00 | 55% below | 55% |
| Pap test (liquid-based, automated screening with review) CPT 88175 Pap IG (Image Guided) | $45.45 | $101.00 | $22.11–$101.00 | 55% below | 55% |
| Pap test (liquid-based, automated screening with review) CPT 88175 .IGP CtNg AptimaHPV rfx16/18,45 | $45.45 | $101.00 | $22.11–$101.00 | 55% below | 55% |
| Pap test (liquid-based, automated screening with review) CPT 88175 IGP, Aptima HPV, rfx 16/18,45 | $45.45 | $101.00 | $22.11–$101.00 | 55% below | 55% |
| Pap test (liquid-based, automated screening with review) CPT 88175 .Pap IG CtNgTv | $45.45 | $101.00 | $22.11–$101.00 | 55% below | 55% |
| Pap test (liquid-based, automated screening with review) CPT 88175 .IGP CtNgTv rfx Apt HPV ASCU | $45.45 | $101.00 | $22.11–$101.00 | 55% below | 55% |
| Pap test (liquid-based, automated screening with review) CPT 88175 .IGP CtNgTv AptHPV rfx16/18,45 | $45.45 | $101.00 | $22.11–$101.00 | 55% below | 55% |
| Pap test (liquid-based, automated screening with review) CPT 88175 IGP, rfx Aptima HPV ASCU | $45.45 | $101.00 | $22.11–$101.00 | 55% below | 55% |
| Pap test (liquid-based, automated screening with review) CPT 88175 IGP,rfx Aptima HPV all pth | $45.45 | $101.00 | $22.11–$101.00 | 55% below | 55% |
| Pap test (liquid-based, automated screening with review) CPT 88175 IGP, Aptima HPV | $45.45 | $101.00 | $22.11–$101.00 | 55% below | 55% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 .IGP CtNg rfx Aptima HPV ASCU | $45.45 | $101.00 | $45.45–$101.00 | — | 55% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 IGP,rfx Aptima HPV all pth | $45.45 | $101.00 | $45.45–$101.00 | — | 55% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 .Pap IG CtNgTv | $45.45 | $101.00 | $45.45–$101.00 | — | 55% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 IGP, Aptima HPV | $45.45 | $101.00 | $45.45–$101.00 | — | 55% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 .IGP CtNgTv AptHPV rfx16/18,45 | $45.45 | $101.00 | $45.45–$101.00 | — | 55% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 IGP, Aptima HPV, rfx 16/18,45 | $45.45 | $101.00 | $45.45–$101.00 | — | 55% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 IGP, rfx Aptima HPV ASCU | $45.45 | $101.00 | $45.45–$101.00 | — | 55% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 .IGP CtNgTv rfx Apt HPV ASCU | $45.45 | $101.00 | $45.45–$101.00 | — | 55% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 Pap IG (Image Guided) | $45.45 | $101.00 | $45.45–$101.00 | — | 55% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 .IGP CtNg AptimaHPV rfx16/18,45 | $45.45 | $101.00 | $45.45–$101.00 | — | 55% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 .Pap IG CtNg | $45.45 | $101.00 | $45.45–$101.00 | — | 55% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Change IG Pap to LB Pap | $23.85 | $53.00 | $16.84–$53.00 | 74% below | 55% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 Change IG Pap to LB Pap | $23.85 | $53.00 | $23.85–$53.00 | — | 55% |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH, Intact | $82.80 | $184.00 | $16.07–$184.00 | 41% below | 55% |
| Parathyroid hormone (PTH) blood test CPT 83970 Parathyroid Hormone, Intact | $82.80 | $184.00 | $16.07–$184.00 | 41% below | 55% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH, Intact | $82.80 | $184.00 | $82.80–$184.00 | — | 55% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 Parathyroid Hormone, Intact | $82.80 | $184.00 | $82.80–$184.00 | — | 55% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT | $12.15 | $27.00 | $5.00–$27.00 | 67% below | 55% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 APTT | $12.60 | $28.00 | $5.00–$28.00 | 66% below | 55% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT:Base | $12.60 | $28.00 | $5.00–$28.00 | 66% below | 55% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Antiphospholipid Syndrome Comp | $12.60 | $28.00 | $5.00–$28.00 | 66% below | 55% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT | $12.15 | $27.00 | $12.15–$27.00 | — | 55% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT:Base | $12.60 | $28.00 | $12.60–$28.00 | — | 55% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 APTT | $12.60 | $28.00 | $12.60–$28.00 | — | 55% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Antiphospholipid Syndrome Comp | $12.60 | $28.00 | $12.60–$28.00 | — | 55% |
| Phosphorus (phosphate) blood test CPT 84100 Phosphorus Level | $10.35 | $23.00 | $3.94–$23.00 | 71% below | 55% |
| Phosphorus (phosphate) blood test inpatient CPT 84100 Phosphorus Level | $10.35 | $23.00 | $10.35–$23.00 | — | 55% |
| Potassium blood test CPT 84132 K, Art | $10.35 | $23.00 | $3.96–$23.00 | 56% below | 55% |
| Potassium blood test CPT 84132 Potassium Level | $10.35 | $23.00 | $3.96–$23.00 | 56% below | 55% |
| Potassium blood test CPT 84132 K, Cap | $10.35 | $23.00 | $3.96–$23.00 | 56% below | 55% |
| Potassium blood test CPT 84132 K, Cap POC | $10.35 | $23.00 | $3.96–$23.00 | 56% below | 55% |
| Potassium blood test CPT 84132 K, Art POC | $10.35 | $23.00 | $3.96–$23.00 | 56% below | 55% |
| Potassium blood test CPT 84132 K, Ven POC | $10.35 | $23.00 | $3.96–$23.00 | 56% below | 55% |
| Potassium blood test CPT 84132 K, Ven | $10.35 | $23.00 | $3.96–$23.00 | 56% below | 55% |
| Potassium blood test inpatient CPT 84132 K, Cap | $10.35 | $23.00 | $10.35–$23.00 | — | 55% |
| Potassium blood test inpatient CPT 84132 Potassium Level | $10.35 | $23.00 | $10.35–$23.00 | — | 55% |
| Potassium blood test inpatient CPT 84132 K, Ven POC | $10.35 | $23.00 | $10.35–$23.00 | — | 55% |
| Potassium blood test inpatient CPT 84132 K, Art | $10.35 | $23.00 | $10.35–$23.00 | — | 55% |
| Potassium blood test inpatient CPT 84132 K, Cap POC | $10.35 | $23.00 | $10.35–$23.00 | — | 55% |
| Potassium blood test inpatient CPT 84132 K, Art POC | $10.35 | $23.00 | $10.35–$23.00 | — | 55% |
| Potassium blood test inpatient CPT 84132 K, Ven | $10.35 | $23.00 | $10.35–$23.00 | — | 55% |
| Progesterone blood test CPT 84144 Progesterone Level | $63.00 | $140.00 | $16.07–$140.00 | 22% below | 55% |
| Progesterone blood test CPT 84144 Progesterone, Serum | $171.00 | $380.00 | $16.07–$380.00 | 112% above | 55% |
| Progesterone blood test CPT 84144 Total and Free Progesterone Send Out | $171.00 | $380.00 | $16.07–$380.00 | 112% above | 55% |
| Progesterone blood test inpatient CPT 84144 Progesterone Level | $63.00 | $140.00 | $63.00–$140.00 | — | 55% |
| Progesterone blood test inpatient CPT 84144 Total and Free Progesterone Send Out | $171.00 | $380.00 | $171.00–$380.00 | — | 55% |
| Progesterone blood test inpatient CPT 84144 Progesterone, Serum | $171.00 | $380.00 | $171.00–$380.00 | — | 55% |
| Prolactin blood test CPT 84146 Prolactin | $40.05 | $89.00 | $16.07–$89.00 | 54% below | 55% |
| Prolactin blood test inpatient CPT 84146 Prolactin | $40.05 | $89.00 | $40.05–$89.00 | — | 55% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Yes | $8.55 | $19.00 | $3.56–$19.00 | 64% below | 55% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time and INR | $8.55 | $19.00 | $3.56–$19.00 | 64% below | 55% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PT:Base | $8.55 | $19.00 | $3.56–$19.00 | 64% below | 55% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PT | $8.55 | $19.00 | $3.56–$19.00 | 64% below | 55% |
| Prothrombin time (PT/INR) clotting test CPT 85610 INR, POC | $8.55 | $19.00 | $3.56–$19.00 | 64% below | 55% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Lupus Anticoagulant Profile | $26.55 | $59.00 | $3.56–$59.00 | 10% above | 55% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time and INR | $8.55 | $19.00 | $8.55–$19.00 | — | 55% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Yes | $8.55 | $19.00 | $8.55–$19.00 | — | 55% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PT | $8.55 | $19.00 | $8.55–$19.00 | — | 55% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PT:Base | $8.55 | $19.00 | $8.55–$19.00 | — | 55% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 INR, POC | $8.55 | $19.00 | $8.55–$19.00 | — | 55% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Lupus Anticoagulant Profile | $26.55 | $59.00 | $26.55–$59.00 | — | 55% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Tricyc,U | $68.85 | $153.00 | $10.47–$153.00 | 19% above | 55% |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 Tricyc,U | $68.85 | $153.00 | $68.85–$153.00 | — | 55% |
| Rapid flu test (influenza antigen) CPT 87804 Influenza A Ag | $23.85 | $53.00 | $13.75–$53.00 | 64% below | 55% |
| Rapid flu test (influenza antigen) CPT 87804 Influenza B Ag | $23.85 | $53.00 | $13.75–$53.00 | 64% below | 55% |
| Rapid flu test (influenza antigen) CPT 87804 Flu A | $23.85 | $53.00 | $13.75–$53.00 | 64% below | 55% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 Influenza A Ag | $23.85 | $53.00 | $23.85–$53.00 | — | 55% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 Influenza B Ag | $23.85 | $53.00 | $23.85–$53.00 | — | 55% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 Flu A | $23.85 | $53.00 | $23.85–$53.00 | — | 55% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 Group A Streptococcus Ag w/ Reflex culture | $23.85 | $53.00 | $13.73–$53.00 | 58% below | 55% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 Group A Streptococcus Ag | $23.85 | $53.00 | $13.73–$53.00 | 58% below | 55% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Group A Streptococcus Ag | $23.85 | $53.00 | $23.85–$53.00 | — | 55% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Group A Streptococcus Ag w/ Reflex culture | $23.85 | $53.00 | $23.85–$53.00 | — | 55% |
| Renin blood test CPT 84244 Renin Activity, Plasma | $21.60 | $48.00 | $16.07–$48.00 | 75% below | 55% |
| Renin blood test inpatient CPT 84244 Renin Activity, Plasma | $21.60 | $48.00 | $21.60–$48.00 | — | 55% |
| Rh blood typing CPT 86901 Weak D | $19.80 | $44.00 | $35.43–$59.42 | 47% below | 55% |
| Rh blood typing inpatient CPT 86901 Weak D | $19.80 | $44.00 | $19.80–$44.00 | — | 55% |
| Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor (SENDOUT) | $32.40 | $72.00 | $4.72–$72.00 | 2% below | 55% |
| Rheumatoid factor (RF) test CPT 86431 RF Qnt | $34.20 | $76.00 | $4.72–$76.00 | 3% above | 55% |
| Rheumatoid factor (RF) test inpatient CPT 86431 Rheumatoid Factor (SENDOUT) | $32.40 | $72.00 | $32.40–$72.00 | — | 55% |
| Rheumatoid factor (RF) test inpatient CPT 86431 RF Qnt | $34.20 | $76.00 | $34.20–$76.00 | — | 55% |
| Rubella antibody test (immunity check) CPT 86762 Rubella Antibodies, IgM Send Out | $19.80 | $44.00 | $11.96–$44.00 | 59% below | 55% |
| Rubella antibody test (immunity check) CPT 86762 Rubella Antibodies, IgG | $19.80 | $44.00 | $11.96–$44.00 | 59% below | 55% |
| Rubella antibody test (immunity check) CPT 86762 Rubella IgG | $29.70 | $66.00 | $11.96–$66.00 | 39% below | 55% |
| Rubella antibody test (immunity check) inpatient CPT 86762 Rubella Antibodies, IgM Send Out | $19.80 | $44.00 | $19.80–$44.00 | — | 55% |
| Rubella antibody test (immunity check) inpatient CPT 86762 Rubella Antibodies, IgG | $19.80 | $44.00 | $19.80–$44.00 | — | 55% |
| Rubella antibody test (immunity check) inpatient CPT 86762 Rubella IgG | $29.70 | $66.00 | $29.70–$66.00 | — | 55% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Sed Rate | $22.05 | $49.00 | $2.24–$49.00 | 42% below | 55% |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 Sed Rate | $22.05 | $49.00 | $22.05–$49.00 | — | 55% |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 Semen Analysis | $67.95 | $151.00 | $10.23–$151.00 | 49% below | 55% |
| Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 Semen Analysis | $67.95 | $151.00 | $67.95–$151.00 | — | 55% |
| Sodium blood test CPT 84295 Na, Ven POC | $10.35 | $23.00 | $4.00–$23.00 | 62% below | 55% |
| Sodium blood test CPT 84295 Na, Art | $10.35 | $23.00 | $4.00–$23.00 | 62% below | 55% |
| Sodium blood test CPT 84295 Na, Art POC | $10.35 | $23.00 | $4.00–$23.00 | 62% below | 55% |
| Sodium blood test CPT 84295 Sodium Level | $10.35 | $23.00 | $4.00–$23.00 | 62% below | 55% |
| Sodium blood test CPT 84295 Na, Ven | $10.35 | $23.00 | $4.00–$23.00 | 62% below | 55% |
| Sodium blood test CPT 84295 Na, Cap | $10.35 | $23.00 | $4.00–$23.00 | 62% below | 55% |
| Sodium blood test CPT 84295 Na, Cap POC | $10.35 | $23.00 | $4.00–$23.00 | 62% below | 55% |
| Sodium blood test inpatient CPT 84295 Na, Art POC | $10.35 | $23.00 | $10.35–$23.00 | — | 55% |
| Sodium blood test inpatient CPT 84295 Na, Cap | $10.35 | $23.00 | $10.35–$23.00 | — | 55% |
| Sodium blood test inpatient CPT 84295 Na, Ven | $10.35 | $23.00 | $10.35–$23.00 | — | 55% |
| Sodium blood test inpatient CPT 84295 Na, Art | $10.35 | $23.00 | $10.35–$23.00 | — | 55% |
| Sodium blood test inpatient CPT 84295 Na, Cap POC | $10.35 | $23.00 | $10.35–$23.00 | — | 55% |
| Sodium blood test inpatient CPT 84295 Sodium Level | $10.35 | $23.00 | $10.35–$23.00 | — | 55% |
| Sodium blood test inpatient CPT 84295 Na, Ven POC | $10.35 | $23.00 | $10.35–$23.00 | — | 55% |
| Stool ova and parasites exam CPT 87177 Ova + Parasite Exam, Urine | $12.60 | $28.00 | $7.40–$28.00 | 68% below | 55% |
| Stool ova and parasites exam CPT 87177 Ova + Parasite Exam | $25.20 | $56.00 | $7.40–$56.00 | 36% below | 55% |
| Stool ova and parasites exam CPT 87177 O+P Exam, Formalin Only | $25.20 | $56.00 | $7.40–$56.00 | 36% below | 55% |
| Stool ova and parasites exam inpatient CPT 87177 Ova + Parasite Exam, Urine | $12.60 | $28.00 | $12.60–$28.00 | — | 55% |
| Stool ova and parasites exam inpatient CPT 87177 Ova + Parasite Exam | $25.20 | $56.00 | $25.20–$56.00 | — | 55% |
| Stool ova and parasites exam inpatient CPT 87177 O+P Exam, Formalin Only | $25.20 | $56.00 | $25.20–$56.00 | — | 55% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Stool Guaiac, POC | $7.65 | $17.00 | $3.64–$17.00 | 71% below | 55% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 HEMACULT | $8.10 | $18.00 | $3.64–$734.00 | 69% below | 55% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Stool Guaiac, POC | $7.65 | $17.00 | $7.65–$17.00 | — | 55% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HEMACULT | $8.10 | $18.00 | $8.10–$18.00 | — | 55% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 Occult Blood, Fecal, IA | $29.70 | $66.00 | $13.23–$66.00 | 45% below | 55% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Occult Blood, Fecal, IA | $29.70 | $66.00 | $29.70–$66.00 | — | 55% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 Treponemal Antibodies, TPPA | $32.40 | $72.00 | $11.01–$72.00 | 44% below | 55% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Treponemal Antibodies, TPPA | $32.40 | $72.00 | $32.40–$72.00 | — | 55% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 .RPR | $6.30 | $14.00 | $3.55–$16.07 | 74% below | 55% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL, CSF | $9.45 | $21.00 | $21.00–$22.05 | 61% below | 55% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR with Reflex to Titer/FTA | $9.45 | $21.00 | $21.00–$22.05 | 61% below | 55% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 .RPR | $6.30 | $14.00 | $6.30–$14.00 | — | 55% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR with Reflex to Titer/FTA | $9.45 | $21.00 | $9.45–$21.00 | — | 55% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL, CSF | $9.45 | $21.00 | $9.45–$21.00 | — | 55% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QuantiFERON- TB Plus(Client Incubated) | $125.10 | $278.00 | $16.07–$278.00 | at median | 55% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QuantiFERON- TB Gold Plus | $125.10 | $278.00 | $16.07–$278.00 | at median | 55% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QuantiFERON- TB Plus(Client Incubated) | $125.10 | $278.00 | $125.10–$278.00 | — | 55% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QuantiFERON- TB Gold Plus | $125.10 | $278.00 | $125.10–$278.00 | — | 55% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone, Serum | $41.40 | $92.00 | $16.07–$92.00 | 55% below | 55% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone Total | $41.40 | $92.00 | $16.07–$92.00 | 55% below | 55% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone, Free/Tot Equilib Send Out | $41.40 | $92.00 | $16.07–$92.00 | 55% below | 55% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone, Free/Tot Equilib Send Out | $41.40 | $92.00 | $41.40–$92.00 | — | 55% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone, Serum | $41.40 | $92.00 | $41.40–$92.00 | — | 55% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone Total | $41.40 | $92.00 | $41.40–$92.00 | — | 55% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroid Peroxidase (TPO) Ab | $13.05 | $29.00 | $12.10–$29.00 | 80% below | 55% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroid Antibodies | $39.15 | $87.00 | $12.10–$87.00 | 40% below | 55% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Liver-Kidney Microsomal Ab | $41.40 | $92.00 | $12.10–$92.00 | 36% below | 55% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Thyroid Peroxidase (TPO) Ab | $13.05 | $29.00 | $13.05–$29.00 | — | 55% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Thyroid Antibodies | $39.15 | $87.00 | $39.15–$87.00 | — | 55% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Liver-Kidney Microsomal Ab | $41.40 | $92.00 | $41.40–$92.00 | — | 55% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH | $33.75 | $75.00 | $13.96–$75.00 | 55% below | 55% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH | $33.75 | $75.00 | $33.75–$75.00 | — | 55% |
| Total IgE blood test CPT 82785 Immunoglobulin E, Total | $14.40 | $32.00 | $13.68–$32.00 | 78% below | 55% |
| Total IgE blood test CPT 82785 Childhood Allergy Profile+IgE | $14.40 | $32.00 | $13.68–$32.00 | 78% below | 55% |
| Total IgE blood test CPT 82785 Allergens w/Total IgE Area 8 | $14.40 | $32.00 | $13.68–$32.00 | 78% below | 55% |
| Total IgE blood test CPT 82785 Allergens w/Total IgE Area 5 | $14.40 | $32.00 | $13.68–$32.00 | 78% below | 55% |
| Total IgE blood test CPT 82785 IgE + Allergens (19) | $14.40 | $32.00 | $13.68–$32.00 | 78% below | 55% |
| Total IgE blood test CPT 82785 Alpha-Gal IgE Panel | $44.10 | $98.00 | $13.68–$98.00 | 32% below | 55% |
| Total IgE blood test inpatient CPT 82785 Allergens w/Total IgE Area 5 | $14.40 | $32.00 | $14.40–$32.00 | — | 55% |
| Total IgE blood test inpatient CPT 82785 Immunoglobulin E, Total | $14.40 | $32.00 | $14.40–$32.00 | — | 55% |
| Total IgE blood test inpatient CPT 82785 IgE + Allergens (19) | $14.40 | $32.00 | $14.40–$32.00 | — | 55% |
| Total IgE blood test inpatient CPT 82785 Childhood Allergy Profile+IgE | $14.40 | $32.00 | $14.40–$32.00 | — | 55% |
| Total IgE blood test inpatient CPT 82785 Allergens w/Total IgE Area 8 | $14.40 | $32.00 | $14.40–$32.00 | — | 55% |
| Total IgE blood test inpatient CPT 82785 Alpha-Gal IgE Panel | $44.10 | $98.00 | $44.10–$98.00 | — | 55% |
| Total cholesterol blood test CPT 82465 Cholesterol Total | $9.45 | $21.00 | $3.62–$21.00 | 74% below | 55% |
| Total cholesterol blood test CPT 82465 Cholesterol Level Body Fluid | $9.45 | $21.00 | $3.62–$21.00 | 74% below | 55% |
| Total cholesterol blood test CPT 82465 Cholesterol, Total | $22.95 | $51.00 | $3.62–$51.00 | 37% below | 55% |
| Total cholesterol blood test inpatient CPT 82465 Cholesterol Level Body Fluid | $9.45 | $21.00 | $9.45–$21.00 | — | 55% |
| Total cholesterol blood test inpatient CPT 82465 Cholesterol Total | $9.45 | $21.00 | $9.45–$21.00 | — | 55% |
| Total cholesterol blood test inpatient CPT 82465 Cholesterol, Total | $22.95 | $51.00 | $22.95–$51.00 | — | 55% |
| Total thyroxine (T4) blood test CPT 84436 T4 | $41.85 | $93.00 | $5.71–$93.00 | 3% above | 55% |
| Total thyroxine (T4) blood test CPT 84436 Thyroxine (T4) | $41.85 | $93.00 | $5.71–$93.00 | 3% above | 55% |
| Total thyroxine (T4) blood test inpatient CPT 84436 T4 | $41.85 | $93.00 | $41.85–$93.00 | — | 55% |
| Total thyroxine (T4) blood test inpatient CPT 84436 Thyroxine (T4) | $41.85 | $93.00 | $41.85–$93.00 | — | 55% |
| Total triiodothyronine (T3) blood test CPT 84480 T3 | $25.65 | $57.00 | $11.78–$57.00 | 57% below | 55% |
| Total triiodothyronine (T3) blood test CPT 84480 Triiodothyronine (T3) | $55.35 | $123.00 | $11.78–$123.00 | 8% below | 55% |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 T3 | $25.65 | $57.00 | $25.65–$57.00 | — | 55% |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 Triiodothyronine (T3) | $55.35 | $123.00 | $55.35–$123.00 | — | 55% |
| Transferrin blood test CPT 84466 Transferrin | $31.95 | $71.00 | $10.60–$71.00 | 56% below | 55% |
| Transferrin blood test inpatient CPT 84466 Transferrin | $31.95 | $71.00 | $31.95–$71.00 | — | 55% |
| Trichomonas test (NAAT) CPT 87661 NuSwab Vaginitis (VG) | $30.15 | $67.00 | $16.07–$67.00 | 65% below | 55% |
| Trichomonas test (NAAT) CPT 87661 T. vaginalis rRNA | $93.60 | $208.00 | $16.07–$208.00 | 8% above | 55% |
| Trichomonas test (NAAT) CPT 87661 Trich vag by NAA | $93.60 | $208.00 | $16.07–$208.00 | 8% above | 55% |
| Trichomonas test (NAAT) inpatient CPT 87661 NuSwab Vaginitis (VG) | $30.15 | $67.00 | $30.15–$67.00 | — | 55% |
| Trichomonas test (NAAT) inpatient CPT 87661 T. vaginalis rRNA | $93.60 | $208.00 | $93.60–$208.00 | — | 55% |
| Trichomonas test (NAAT) inpatient CPT 87661 Trich vag by NAA | $93.60 | $208.00 | $93.60–$208.00 | — | 55% |
| Triglycerides blood test CPT 84478 Triglycerides | $12.15 | $27.00 | $4.77–$27.00 | 67% below | 55% |
| Triglycerides blood test CPT 84478 Triglyceride Body Fluid | $12.15 | $27.00 | $4.77–$27.00 | 67% below | 55% |
| Triglycerides blood test inpatient CPT 84478 Triglycerides | $12.15 | $27.00 | $12.15–$27.00 | — | 55% |
| Triglycerides blood test inpatient CPT 84478 Triglyceride Body Fluid | $12.15 | $27.00 | $12.15–$27.00 | — | 55% |
| Troponin test, quantitative CPT 84484 Troponin-I (high sensitivity) | $52.20 | $116.00 | $10.36–$116.00 | 37% below | 55% |
| Troponin test, quantitative inpatient CPT 84484 Troponin-I (high sensitivity) | $52.20 | $116.00 | $52.20–$116.00 | — | 55% |
| Uric acid blood test CPT 84550 Uric Acid | $9.45 | $21.00 | $3.75–$21.00 | 73% below | 55% |
| Uric acid blood test inpatient CPT 84550 Uric Acid | $9.45 | $21.00 | $9.45–$21.00 | — | 55% |
| Urinalysis without microscope exam, automated CPT 81003 ph Ur 24Hr KS | $4.50 | $10.00 | $1.87–$16.07 | 81% below | 55% |
| Urinalysis without microscope exam, automated CPT 81003 UA Spec Grav | $4.50 | $10.00 | $1.87–$16.07 | 81% below | 55% |
| Urinalysis without microscope exam, automated CPT 81003 Prot,UQl | $4.50 | $10.00 | $1.87–$16.07 | 81% below | 55% |
| Urinalysis without microscope exam, automated CPT 81003 UA Bili | $4.50 | $10.00 | $1.87–$16.07 | 81% below | 55% |
| Urinalysis without microscope exam, automated CPT 81003 UA Blood | $4.50 | $10.00 | $1.87–$16.07 | 81% below | 55% |
| Urinalysis without microscope exam, automated CPT 81003 UA Glucose | $4.50 | $10.00 | $1.87–$16.07 | 81% below | 55% |
| Urinalysis without microscope exam, automated CPT 81003 UA Ketones | $4.50 | $10.00 | $1.87–$16.07 | 81% below | 55% |
| Urinalysis without microscope exam, automated CPT 81003 UA pH | $4.50 | $10.00 | $1.87–$16.07 | 81% below | 55% |
| Urinalysis without microscope exam, automated CPT 81003 Urinalysis with Microscopic and Culture, if indica | $22.95 | $51.00 | $1.87–$51.00 | 4% below | 55% |
| Urinalysis without microscope exam, automated CPT 81003 Urinalysis, no Microscopic | $22.95 | $51.00 | $1.87–$51.00 | 4% below | 55% |
| Urinalysis without microscope exam, automated CPT 81003 Urinalysis with Microscopic, if indicated | $22.95 | $51.00 | $1.87–$51.00 | 4% below | 55% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 UA Glucose | $4.50 | $10.00 | $4.50–$10.00 | — | 55% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 UA pH | $4.50 | $10.00 | $4.50–$10.00 | — | 55% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 UA Ketones | $4.50 | $10.00 | $4.50–$10.00 | — | 55% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 UA Blood | $4.50 | $10.00 | $4.50–$10.00 | — | 55% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 UA Bili | $4.50 | $10.00 | $4.50–$10.00 | — | 55% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 ph Ur 24Hr KS | $4.50 | $10.00 | $4.50–$10.00 | — | 55% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Prot,UQl | $4.50 | $10.00 | $4.50–$10.00 | — | 55% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 UA Spec Grav | $4.50 | $10.00 | $4.50–$10.00 | — | 55% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis with Microscopic, if indicated | $22.95 | $51.00 | $22.95–$51.00 | — | 55% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis, no Microscopic | $22.95 | $51.00 | $22.95–$51.00 | — | 55% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis with Microscopic and Culture, if indica | $22.95 | $51.00 | $22.95–$51.00 | — | 55% |
| Urinalysis without microscope exam, manual CPT 81002 Leukocytes, Urine POC | $7.20 | $16.00 | $2.89–$16.07 | 56% below | 55% |
| Urinalysis without microscope exam, manual CPT 81002 Blood, Urine POC | $7.20 | $16.00 | $2.89–$16.07 | 56% below | 55% |
| Urinalysis without microscope exam, manual CPT 81002 Protein, Urine POC | $7.20 | $16.00 | $2.89–$16.07 | 56% below | 55% |
| Urinalysis without microscope exam, manual CPT 81002 Charge | $7.20 | $16.00 | $2.89–$16.07 | 56% below | 55% |
| Urinalysis without microscope exam, manual CPT 81002 Protein Urine Dipstick | $7.65 | $17.00 | $2.89–$17.00 | 54% below | 55% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Blood, Urine POC | $7.20 | $16.00 | $7.20–$16.00 | — | 55% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Charge | $7.20 | $16.00 | $7.20–$16.00 | — | 55% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Leukocytes, Urine POC | $7.20 | $16.00 | $7.20–$16.00 | — | 55% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Protein, Urine POC | $7.20 | $16.00 | $7.20–$16.00 | — | 55% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Protein Urine Dipstick | $7.65 | $17.00 | $7.65–$17.00 | — | 55% |
| Urine culture for bacteria, with colony count CPT 87086 Culture, Urine | $49.05 | $109.00 | $6.71–$109.00 | 14% below | 55% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 Culture, Urine | $49.05 | $109.00 | $49.05–$109.00 | — | 55% |
| Urine microalbumin (albumin) test CPT 82043 Ur Microalbumin | $12.15 | $27.00 | $4.81–$27.00 | 76% below | 55% |
| Urine microalbumin (albumin) test inpatient CPT 82043 Ur Microalbumin | $12.15 | $27.00 | $12.15–$27.00 | — | 55% |
| Urine pregnancy test, read by color change CPT 81025 hCG Ur | $25.65 | $57.00 | $7.16–$57.00 | 47% below | 55% |
| Urine pregnancy test, read by color change CPT 81025 HCG,Urine POC | $25.65 | $57.00 | $7.16–$57.00 | 47% below | 55% |
| Urine pregnancy test, read by color change inpatient CPT 81025 HCG,Urine POC | $25.65 | $57.00 | $25.65–$57.00 | — | 55% |
| Urine pregnancy test, read by color change inpatient CPT 81025 hCG Ur | $25.65 | $57.00 | $25.65–$57.00 | — | 55% |
| Vitamin B12 (cobalamin) blood test CPT 82607 B12 Level | $31.05 | $69.00 | $12.53–$69.00 | 58% below | 55% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 B12 Level | $31.05 | $69.00 | $31.05–$69.00 | — | 55% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D 25 OH | $59.40 | $132.00 | $16.07–$132.00 | 35% below | 55% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 25-Hydroxyvitamin D LCMS D2+D3 | $59.40 | $132.00 | $16.07–$132.00 | 35% below | 55% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D 25 OH | $59.40 | $132.00 | $59.40–$132.00 | — | 55% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 25-Hydroxyvitamin D LCMS D2+D3 | $59.40 | $132.00 | $59.40–$132.00 | — | 55% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 Calcitriol(1,25 di-OH Vit D) | $62.55 | $139.00 | $16.07–$139.00 | 59% below | 55% |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 Calcitriol(1,25 di-OH Vit D) | $62.55 | $139.00 | $62.55–$139.00 | — | 55% |
| Zinc blood test CPT 84630 Zinc, Plasma or Serum | $13.05 | $29.00 | $9.47–$29.00 | 75% below | 55% |
| Zinc blood test CPT 84630 Zinc, RBC | $107.55 | $239.00 | $9.47–$239.00 | 109% above | 55% |
| Zinc blood test CPT 84630 Zinc, Whole Blood | $107.55 | $239.00 | $9.47–$239.00 | 109% above | 55% |
| Zinc blood test inpatient CPT 84630 Zinc, Plasma or Serum | $13.05 | $29.00 | $13.05–$29.00 | — | 55% |
| Zinc blood test inpatient CPT 84630 Zinc, RBC | $107.55 | $239.00 | $107.55–$239.00 | — | 55% |
| Zinc blood test inpatient CPT 84630 Zinc, Whole Blood | $107.55 | $239.00 | $107.55–$239.00 | — | 55% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 hCG,Beta Subunit, Qnt, Serum Send Out | $17.55 | $39.00 | $12.51–$39.00 | 74% below | 55% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG, Beta Quantitative | $31.05 | $69.00 | $12.51–$69.00 | 54% below | 55% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 hCG Value Tetra | $31.05 | $69.00 | $12.51–$69.00 | 54% below | 55% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 hCG,Beta Subunit, Qnt, Serum Send Out | $17.55 | $39.00 | $17.55–$39.00 | — | 55% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 hCG Value Tetra | $31.05 | $69.00 | $31.05–$69.00 | — | 55% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG, Beta Quantitative | $31.05 | $69.00 | $31.05–$69.00 | — | 55% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Ohio | Off list |
|---|---|---|---|---|---|
| Botox injections for chronic migraine CPT 64615 64615 Facial and neck nerve muscles | $289.80 | $644.00 | $291.23–$547.54 | 49% below | 55% |
| Botox injections for chronic migraine inpatient CPT 64615 64615 Facial and neck nerve muscles | $289.80 | $644.00 | $289.80–$644.00 | — | 55% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 Yes | $2,315.25 | $5,145.00 | $1,433.26–$5,145.00 | 42% below | 55% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 BREAST NAVIGATION-ASSISTED STEREOTACTIC BIOPSY | $2,315.25 | $5,145.00 | $1,433.26–$5,145.00 | 42% below | 55% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 BREAST NAVIGATION-ASSISTED STEREOTACTIC BIOPSY | $2,315.25 | $5,145.00 | $2,315.25–$5,145.00 | — | 55% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 Yes | $2,315.25 | $5,145.00 | $2,315.25–$5,145.00 | — | 55% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 FX ANKLE IMMOBILIZED | $175.95 | $391.00 | $175.95–$734.00 | 53% below | 55% |
| Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 FX ANKLE IMMOBILIZED | $175.95 | $391.00 | $175.95–$391.00 | — | 55% |
| Cardiac catheterization with coronary angiogram CPT 93458 CV Cath Acquisition | $4,685.40 | $10,412.00 | $2,813.35–$10,412.00 | 61% below | 55% |
| Cardiac catheterization with coronary angiogram one side CPT 93458 CV Left Heart Cath w/wo LV Gram | $4,685.40 | $10,412.00 | $2,813.35–$10,412.00 | 61% below | 55% |
| Cardiac catheterization with coronary angiogram inpatient CPT 93458 CV Cath Acquisition | $4,685.40 | $10,412.00 | $4,685.40–$10,412.00 | — | 55% |
| Cardiac catheterization with coronary angiogram inpatient one side CPT 93458 CV Left Heart Cath w/wo LV Gram | $4,685.40 | $10,412.00 | $4,685.40–$10,412.00 | — | 55% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion | $763.65 | $1,697.00 | $573.57–$1,697.00 | 63% below | 55% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 Charge | $763.65 | $1,697.00 | $573.57–$1,697.00 | 63% below | 55% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION. | $763.65 | $1,697.00 | $573.57–$1,697.00 | 63% below | 55% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CV Cardioversion | $763.65 | $1,697.00 | $573.57–$1,697.00 | 63% below | 55% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion (BCE) | $763.65 | $1,697.00 | $573.57–$1,697.00 | 63% below | 55% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 ELECT CONVERSN ARRYTHMIA | $763.65 | $1,697.00 | $573.57–$1,697.00 | 63% below | 55% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Cardioversion (BCE) | $763.65 | $1,697.00 | $763.65–$1,697.00 | — | 55% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 ELECT CONVERSN ARRYTHMIA | $763.65 | $1,697.00 | $763.65–$1,697.00 | — | 55% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CV Cardioversion | $763.65 | $1,697.00 | $763.65–$1,697.00 | — | 55% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Cardioversion | $763.65 | $1,697.00 | $763.65–$1,697.00 | — | 55% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Charge | $763.65 | $1,697.00 | $763.65–$1,697.00 | — | 55% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION. | $763.65 | $1,697.00 | $763.65–$1,697.00 | — | 55% |
| Catheter ablation for atrial fibrillation CPT 93656 EP/Cryoblation/Trans/AFIB | $19,078.65 | $42,397.00 | $24,733.36–$46,624.98 | 43% below | 55% |
| Catheter ablation for atrial fibrillation inpatient CPT 93656 EP/Cryoblation/Trans/AFIB | $19,078.65 | $42,397.00 | $19,078.65–$42,397.00 | — | 55% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Gomco clamp | $1,119.15 | $2,487.00 | $701.09–$3,728.84 | 41% below | 55% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Plastibell plastic cone | $1,119.15 | $2,487.00 | $701.09–$3,728.84 | 41% below | 55% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Mogen clamp | $1,193.85 | $2,653.00 | $747.88–$3,728.84 | 37% below | 55% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 Gomco clamp | $1,119.15 | $2,487.00 | $1,119.15–$2,487.00 | — | 55% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 Plastibell plastic cone | $1,119.15 | $2,487.00 | $1,119.15–$2,487.00 | — | 55% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 Mogen clamp | $1,193.85 | $2,653.00 | $1,193.85–$2,653.00 | — | 55% |
| Circumcision, surgical, older than a newborn CPT 54160 54160 Circumcision Neonate | $559.80 | $1,244.00 | $559.80–$1,244.00 | 72% below | 55% |
| Circumcision, surgical, older than a newborn inpatient CPT 54160 54160 Circumcision Neonate | $559.80 | $1,244.00 | $559.80–$1,244.00 | — | 55% |
| Coronary stent placement, one artery CPT 92928 CV Stent DES | $12,905.10 | $28,678.00 | $12,905.10–$28,678.00 | at median | 55% |
| Coronary stent placement, one artery CPT 92928 CV Stent BMS | $12,905.10 | $28,678.00 | $12,905.10–$28,678.00 | at median | 55% |
| Coronary stent placement, one artery CPT 92928 CATH Percutaneous Insert BMS Stent w/ w/o Angio | $12,905.10 | $28,678.00 | $12,905.10–$28,678.00 | at median | 55% |
| Coronary stent placement, one artery CPT 92928 CATH Percutaneous Insert Drug Eluting Stent w/ w/o | $12,905.10 | $28,678.00 | $12,905.10–$28,678.00 | at median | 55% |
| Coronary stent placement, one artery CPT 92928 CV Cath Acquisition | $12,905.10 | $28,678.00 | $12,905.10–$28,678.00 | at median | 55% |
| Coronary stent placement, one artery inpatient CPT 92928 CV Stent BMS | $12,905.10 | $28,678.00 | $12,905.10–$28,678.00 | — | 55% |
| Coronary stent placement, one artery inpatient CPT 92928 CV Stent DES | $12,905.10 | $28,678.00 | $12,905.10–$28,678.00 | — | 55% |
| Coronary stent placement, one artery inpatient CPT 92928 CATH Percutaneous Insert BMS Stent w/ w/o Angio | $12,905.10 | $28,678.00 | $12,905.10–$28,678.00 | — | 55% |
| Coronary stent placement, one artery inpatient CPT 92928 CV Cath Acquisition | $12,905.10 | $28,678.00 | $12,905.10–$28,678.00 | — | 55% |
| Coronary stent placement, one artery inpatient CPT 92928 CATH Percutaneous Insert Drug Eluting Stent w/ w/o | $12,905.10 | $28,678.00 | $12,905.10–$28,678.00 | — | 55% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVAL OF IMPACTED EAR WAX | $68.85 | $153.00 | $51.19–$734.00 | 55% below | 55% |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 REMOVAL OF IMPACTED EAR WAX | $68.85 | $153.00 | $68.85–$153.00 | — | 55% |
| Earwax removal with instruments, one ear CPT 69210 CERUMEN REMOVAL | $129.60 | $288.00 | $51.19–$734.00 | 16% below | 55% |
| Earwax removal with instruments, one ear inpatient CPT 69210 CERUMEN REMOVAL | $129.60 | $288.00 | $129.60–$288.00 | — | 55% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D Abscess Simple or Single 10 day global | $178.20 | $396.00 | $174.11–$396.00 | 54% below | 55% |
| Incision and drainage of a simple or single skin abscess CPT 10060 VIR I&D Abscess Sample | $178.20 | $396.00 | $174.11–$1,017.00 | 54% below | 55% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SKIN SIMPLE | $178.20 | $396.00 | $174.11–$734.00 | 54% below | 55% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D Abscess Simple or Single 10 day global | $178.20 | $396.00 | $178.20–$396.00 | — | 55% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 VIR I&D Abscess Sample | $178.20 | $396.00 | $178.20–$396.00 | — | 55% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSCESS SKIN SIMPLE | $178.20 | $396.00 | $178.20–$396.00 | — | 55% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 IR Injection 1 Tendon Sheath/Ligament Aponeurosis | $274.50 | $610.00 | $266.37–$1,017.00 | 19% below | 55% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 IR Injection 1 Tendon Sheath/Ligament Aponeurosis | $274.50 | $610.00 | $274.50–$610.00 | — | 55% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 VIR Aspiration Major Joint | $229.95 | $511.00 | $229.95–$1,017.00 | 67% below | 55% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENTESIS MAJOR JOINT | $229.95 | $511.00 | $229.95–$734.00 | 67% below | 55% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 XR JOINT ASPIRATION/INJECTION LT | $229.95 | $511.00 | $229.95–$511.00 | 67% below | 55% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 XR JOINT ASPIRATION/INJECTION RT | $229.95 | $511.00 | $229.95–$511.00 | 67% below | 55% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 VIR Aspiration Major Joint | $229.95 | $511.00 | $229.95–$511.00 | — | 55% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHROCENTESIS MAJOR JOINT | $229.95 | $511.00 | $229.95–$511.00 | — | 55% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 XR JOINT ASPIRATION/INJECTION LT | $229.95 | $511.00 | $229.95–$511.00 | — | 55% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 XR JOINT ASPIRATION/INJECTION RT | $229.95 | $511.00 | $229.95–$511.00 | — | 55% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 Insertion Drug Delivery Implant | $122.85 | $273.00 | $115.46–$1,017.00 | 72% below | 55% |
| Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 Insertion Drug Delivery Implant | $122.85 | $273.00 | $122.85–$273.00 | — | 55% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCENTESIS SACROCOCCYGEAL | $267.30 | $594.00 | $266.37–$1,017.00 | 57% below | 55% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCENTESIS INTER JT | $325.35 | $723.00 | $266.37–$734.00 | 48% below | 55% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ARTHROCENTESIS SACROCOCCYGEAL | $267.30 | $594.00 | $267.30–$594.00 | — | 55% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ARTHROCENTESIS INTER JT | $325.35 | $723.00 | $325.35–$723.00 | — | 55% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHROCENTESIS SMALL JOIN | $226.80 | $504.00 | $226.80–$734.00 | 54% below | 55% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ARTHROCENTESIS SMALL JOIN | $226.80 | $504.00 | $226.80–$504.00 | — | 55% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Repair of wound (2.5 centimeters or less) of the s | $356.40 | $792.00 | $352.77–$792.00 | 37% below | 55% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 Repair of wound (2.5 centimeters or less) of the s | $356.40 | $792.00 | $356.40–$792.00 | — | 55% |
| Left heart catheterization, diagnostic one side CPT 93452 CV Left Heart Cath/ pressures ONLY | $4,785.75 | $10,635.00 | $2,813.35–$10,635.00 | 49% below | 55% |
| Left heart catheterization, diagnostic one side CPT 93452 CV Heart Cath Left | $4,785.75 | $10,635.00 | $2,813.35–$10,635.00 | 49% below | 55% |
| Left heart catheterization, diagnostic inpatient one side CPT 93452 CV Left Heart Cath/ pressures ONLY | $4,785.75 | $10,635.00 | $4,785.75–$10,635.00 | — | 55% |
| Left heart catheterization, diagnostic inpatient one side CPT 93452 CV Heart Cath Left | $4,785.75 | $10,635.00 | $4,785.75–$10,635.00 | — | 55% |
| Lower-back epidural injection, with imaging guidance CPT 62323 NJX Interlaminar LMBR/SAC | $668.70 | $1,486.00 | $612.57–$1,963.00 | 67% below | 55% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 NJX Interlaminar LMBR/SAC | $668.70 | $1,486.00 | $668.70–$1,486.00 | — | 55% |
| Lower-back epidural injection, without imaging guidance CPT 62322 VIR Ing Lumb/Sacr W/O Imaging | $599.85 | $1,333.00 | $599.85–$1,963.00 | 63% below | 55% |
| Lower-back epidural injection, without imaging guidance CPT 62322 BLOCK EPIDURAL | $648.90 | $1,442.00 | $648.90–$1,963.00 | 60% below | 55% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 VIR Ing Lumb/Sacr W/O Imaging | $599.85 | $1,333.00 | $599.85–$1,333.00 | — | 55% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 BLOCK EPIDURAL | $648.90 | $1,442.00 | $648.90–$1,442.00 | — | 55% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 VIR Injection Lumbar/ Sacral | $614.25 | $1,365.00 | $839.18–$1,407.17 | 70% below | 55% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 VIR Injection Lumbar/ Sacral | $614.25 | $1,365.00 | $614.25–$1,365.00 | — | 55% |
| Nail removal (partial or complete), one nail CPT 11730 Nail, Removal Single | $107.10 | $238.00 | $190.36–$357.90 | 67% below | 55% |
| Nail removal (partial or complete), one nail CPT 11730 AVULS NAIL PRT OR COMP SI | $107.10 | $238.00 | $107.10–$734.00 | 67% below | 55% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 Nail, Removal Single | $107.10 | $238.00 | $107.10–$238.00 | — | 55% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 AVULS NAIL PRT OR COMP SI | $107.10 | $238.00 | $107.10–$238.00 | — | 55% |
| Occipital nerve block (injection for headaches) CPT 64405 Injection anesthetic agent greater occipital nerve | $281.70 | $626.00 | $266.37–$734.00 | 70% below | 55% |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 Injection anesthetic agent greater occipital nerve | $281.70 | $626.00 | $281.70–$626.00 | — | 55% |
| Pacemaker implant (dual chamber) CPT 33208 PACER Insert/Replace PPM w/Transv Elect Atr/Vent | $14,671.80 | $32,604.00 | $14,671.80–$32,604.00 | 3% below | 55% |
| Pacemaker implant (dual chamber) CPT 33208 CV Cath Acquisition | $14,671.80 | $32,604.00 | $14,671.80–$32,604.00 | 3% below | 55% |
| Pacemaker implant (dual chamber) inpatient CPT 33208 PACER Insert/Replace PPM w/Transv Elect Atr/Vent | $14,671.80 | $32,604.00 | $14,671.80–$32,604.00 | — | 55% |
| Pacemaker implant (dual chamber) inpatient CPT 33208 CV Cath Acquisition | $14,671.80 | $32,604.00 | $14,671.80–$32,604.00 | — | 55% |
| Paracentesis with imaging guidance CPT 49083 VIR Paracentesis Abd W/ S&I | $904.05 | $2,009.00 | $787.08–$2,009.00 | 48% below | 55% |
| Paracentesis with imaging guidance CPT 49083 US Paracentesis | $904.05 | $2,009.00 | $787.08–$2,009.00 | 48% below | 55% |
| Paracentesis with imaging guidance inpatient CPT 49083 US Paracentesis | $904.05 | $2,009.00 | $904.05–$2,009.00 | — | 55% |
| Paracentesis with imaging guidance inpatient CPT 49083 VIR Paracentesis Abd W/ S&I | $904.05 | $2,009.00 | $904.05–$2,009.00 | — | 55% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 NAIL BED REMOVAL | $433.80 | $964.00 | $352.77–$964.00 | 44% below | 55% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 Nail & Matrix Removal | $433.80 | $964.00 | $352.77–$964.00 | 44% below | 55% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 Nail & Matrix Removal | $433.80 | $964.00 | $433.80–$964.00 | — | 55% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 NAIL BED REMOVAL | $433.80 | $964.00 | $433.80–$964.00 | — | 55% |
| Removal of a foreign object under the skin, simple CPT 10120 SIMPLE FB REMOVAL SUBQ | $356.40 | $792.00 | $352.77–$792.00 | 47% below | 55% |
| Removal of a foreign object under the skin, simple CPT 10120 CV Skin, Foreign body, Hematoma Remova | $356.40 | $792.00 | $352.77–$1,017.00 | 47% below | 55% |
| Removal of a foreign object under the skin, simple CPT 10120 Skin Foreign Body, Single Removal | $356.40 | $792.00 | $352.77–$792.00 | 47% below | 55% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 SIMPLE FB REMOVAL SUBQ | $356.40 | $792.00 | $356.40–$792.00 | — | 55% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 CV Skin, Foreign body, Hematoma Remova | $356.40 | $792.00 | $356.40–$792.00 | — | 55% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 Skin Foreign Body, Single Removal | $356.40 | $792.00 | $356.40–$792.00 | — | 55% |
| Short arm cast (elbow to hand) CPT 29075 SHORTARM CAST APPLICATION | $218.70 | $486.00 | $218.70–$734.00 | 27% below | 55% |
| Short arm cast (elbow to hand) inpatient CPT 29075 SHORTARM CAST APPLICATION | $218.70 | $486.00 | $218.70–$486.00 | — | 55% |
| Short arm splint (forearm and hand) CPT 29125 APLICATN SHORT ARM SPLINT | $123.75 | $275.00 | $115.46–$734.00 | 59% below | 55% |
| Short arm splint (forearm and hand) inpatient CPT 29125 APLICATN SHORT ARM SPLINT | $123.75 | $275.00 | $123.75–$275.00 | — | 55% |
| Short leg cast (below the knee) CPT 29405 APLICATN SHORT LEG CAST | $210.15 | $467.00 | $210.15–$734.00 | 47% below | 55% |
| Short leg cast (below the knee) inpatient CPT 29405 APLICATN SHORT LEG CAST | $210.15 | $467.00 | $210.15–$467.00 | — | 55% |
| Short leg splint (calf to foot) CPT 29515 APLICATN SHORT LEG SPLINT | $123.75 | $275.00 | $123.75–$734.00 | 59% below | 55% |
| Short leg splint (calf to foot) inpatient CPT 29515 APLICATN SHORT LEG SPLINT | $123.75 | $275.00 | $123.75–$275.00 | — | 55% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/< | $184.05 | $409.00 | $174.11–$734.00 | 44% below | 55% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Simple repair of superficial wounds; 2.5cm or less | $184.05 | $409.00 | $174.11–$409.00 | 44% below | 55% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Simple repair of superficial wounds; 2.5cm or less | $184.05 | $409.00 | $184.05–$409.00 | — | 55% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/< | $184.05 | $409.00 | $184.05–$409.00 | — | 55% |
| Skin biopsy, punch, one lesion CPT 11104 11104 Punch Biospy, Single Lesion | $185.85 | $413.00 | $385.70–$725.14 | 59% below | 55% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 11104 Punch Biospy, Single Lesion | $185.85 | $413.00 | $185.85–$413.00 | — | 55% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 WC Malignant diameter 0.5cm or less | $1,055.70 | $2,346.00 | $614.52–$2,346.00 | 23% below | 55% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 WC Malignant diameter 0.5cm or less | $1,055.70 | $2,346.00 | $1,055.70–$2,346.00 | — | 55% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCTURE LUMBAR | $534.15 | $1,187.00 | $669.74–$1,259.17 | 51% below | 55% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 Charge | $534.15 | $1,187.00 | $669.74–$1,259.17 | 51% below | 55% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 VIR Lumbar Puncture | $534.15 | $1,187.00 | $534.15–$1,963.00 | 51% below | 55% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 Lumbar Puncture Performed By | $534.15 | $1,187.00 | $669.74–$1,259.17 | 51% below | 55% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 VIR Lumbar Puncture | $534.15 | $1,187.00 | $534.15–$1,187.00 | — | 55% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Lumbar Puncture Performed By | $534.15 | $1,187.00 | $534.15–$1,187.00 | — | 55% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL PUNCTURE LUMBAR | $534.15 | $1,187.00 | $534.15–$1,187.00 | — | 55% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Charge | $534.15 | $1,187.00 | $534.15–$1,187.00 | — | 55% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 12002 Smpl Repair Scalp/Neck/Ax/Genit/Trunk 2.6-7. | $176.85 | $393.00 | $174.11–$734.00 | 50% below | 55% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM | $195.30 | $434.00 | $174.11–$734.00 | 45% below | 55% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 12002 Smpl Repair Scalp/Neck/Ax/Genit/Trunk 2.6-7. | $176.85 | $393.00 | $176.85–$393.00 | — | 55% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM | $195.30 | $434.00 | $195.30–$434.00 | — | 55% |
| 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 | $195.30 | $434.00 | $174.11–$734.00 | 45% below | 55% |
| 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 | $195.30 | $434.00 | $195.30–$434.00 | — | 55% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 Biopsy (Skin & Sub-Q) | $356.40 | $792.00 | $352.77–$792.00 | 17% above | 55% |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 Biopsy (Skin & Sub-Q) | $356.40 | $792.00 | $356.40–$792.00 | — | 55% |
| Thoracentesis with imaging guidance CPT 32555 CT Thoracentesis w/ CT Guidance | $697.50 | $1,550.00 | $544.37–$1,550.00 | 62% below | 55% |
| Thoracentesis with imaging guidance CPT 32555 IR Thoracentesis With Imaging | $697.50 | $1,550.00 | $544.37–$1,550.00 | 62% below | 55% |
| Thoracentesis with imaging guidance CPT 32555 US Thoracentesis | $697.50 | $1,550.00 | $544.37–$1,550.00 | 62% below | 55% |
| Thoracentesis with imaging guidance CPT 32555 US Thoracentesis Charge | $3,058.65 | $6,797.00 | $544.37–$6,797.00 | 65% above | 55% |
| Thoracentesis with imaging guidance inpatient CPT 32555 CT Thoracentesis w/ CT Guidance | $697.50 | $1,550.00 | $697.50–$1,550.00 | — | 55% |
| Thoracentesis with imaging guidance inpatient CPT 32555 IR Thoracentesis With Imaging | $697.50 | $1,550.00 | $697.50–$1,550.00 | — | 55% |
| Thoracentesis with imaging guidance inpatient CPT 32555 US Thoracentesis | $697.50 | $1,550.00 | $697.50–$1,550.00 | — | 55% |
| Thoracentesis with imaging guidance inpatient CPT 32555 US Thoracentesis Charge | $3,058.65 | $6,797.00 | $3,058.65–$6,797.00 | — | 55% |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJ SNG/MULTI TRG PRS | $298.35 | $663.00 | $266.37–$734.00 | 57% below | 55% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJ SNG/MULTI TRG PRS | $298.35 | $663.00 | $298.35–$663.00 | — | 55% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 US Guided Breast Biopsy Right | $1,538.10 | $3,418.00 | $1,433.26–$3,418.00 | 54% below | 55% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 US Guided Breast Biopsy Left | $1,538.10 | $3,418.00 | $1,433.26–$3,418.00 | 54% below | 55% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 US Breast Biopsy w/ US Guide Left | $1,538.10 | $3,418.00 | $1,433.26–$3,418.00 | 54% below | 55% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 US Breast Biopsy w/ US Guide Right | $1,538.10 | $3,418.00 | $1,433.26–$3,418.00 | 54% below | 55% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 US Guided Breast Biopsy Left | $1,538.10 | $3,418.00 | $1,538.10–$3,418.00 | — | 55% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 US Breast Biopsy w/ US Guide Right | $1,538.10 | $3,418.00 | $1,538.10–$3,418.00 | — | 55% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 US Breast Biopsy w/ US Guide Left | $1,538.10 | $3,418.00 | $1,538.10–$3,418.00 | — | 55% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 US Guided Breast Biopsy Right | $1,538.10 | $3,418.00 | $1,538.10–$3,418.00 | — | 55% |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 UPPER GI ENDO | $1,351.35 | $3,003.00 | $846.55–$3,422.96 | 62% below | 55% |
| Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 UPPER GI ENDO | $1,351.35 | $3,003.00 | $1,351.35–$3,003.00 | — | 55% |
| Vaginal delivery, including prenatal and postpartum care CPT 59400 Vaginal, forcep assist | $2,903.85 | $6,453.00 | $2,258.55–$6,453.00 | 31% below | 55% |
| Vaginal delivery, including prenatal and postpartum care CPT 59400 Vaginal, birth after C-Section (VBAC) | $2,903.85 | $6,453.00 | $2,258.55–$6,453.00 | 31% below | 55% |
| Vaginal delivery, including prenatal and postpartum care CPT 59400 Vaginal, vacuum assist | $2,903.85 | $6,453.00 | $2,258.55–$6,453.00 | 31% below | 55% |
| Vaginal delivery, including prenatal and postpartum care CPT 59400 Vaginal | $2,903.85 | $6,453.00 | $2,258.55–$6,453.00 | 31% below | 55% |
| Vaginal delivery, including prenatal and postpartum care CPT 59400 Vaginal, forcep and vacuum | $2,903.85 | $6,453.00 | $2,258.55–$6,453.00 | 31% below | 55% |
| Vaginal delivery, including prenatal and postpartum care inpatient CPT 59400 Vaginal, forcep and vacuum | $2,903.85 | $6,453.00 | $2,903.85–$6,453.00 | — | 55% |
| Vaginal delivery, including prenatal and postpartum care inpatient CPT 59400 Vaginal | $2,903.85 | $6,453.00 | $2,903.85–$6,453.00 | — | 55% |
| Vaginal delivery, including prenatal and postpartum care inpatient CPT 59400 Vaginal, vacuum assist | $2,903.85 | $6,453.00 | $2,903.85–$6,453.00 | — | 55% |
| Vaginal delivery, including prenatal and postpartum care inpatient CPT 59400 Vaginal, birth after C-Section (VBAC) | $2,903.85 | $6,453.00 | $2,903.85–$6,453.00 | — | 55% |
| Vaginal delivery, including prenatal and postpartum care inpatient CPT 59400 Vaginal, forcep assist | $2,903.85 | $6,453.00 | $2,903.85–$6,453.00 | — | 55% |
| Wart removal, up to 14 warts CPT 17110 Destruction of Wart | $490.50 | $1,090.00 | $174.11–$1,090.00 | 56% above | 55% |
| Wart removal, up to 14 warts inpatient CPT 17110 Destruction of Wart | $490.50 | $1,090.00 | $490.50–$1,090.00 | — | 55% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 11042 Debridement Subcutaneous Tissue 20 Sq Cm/< | $339.30 | $754.00 | $339.30–$754.00 | 56% below | 55% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 VIR I&D | $356.40 | $792.00 | $352.77–$1,017.00 | 54% below | 55% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debride Skin Sub Q Tissue, First 20 sq cm | $356.40 | $792.00 | $352.77–$792.00 | 54% below | 55% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRID SKIN & SUBQ | $356.40 | $792.00 | $352.77–$792.00 | 54% below | 55% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 VIR Debride Skin Subq Tissue | $356.40 | $792.00 | $352.77–$1,017.00 | 54% below | 55% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 11042 Debridement Subcutaneous Tissue 20 Sq Cm/< | $339.30 | $754.00 | $339.30–$754.00 | — | 55% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 VIR Debride Skin Subq Tissue | $356.40 | $792.00 | $356.40–$792.00 | — | 55% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Debride Skin Sub Q Tissue, First 20 sq cm | $356.40 | $792.00 | $356.40–$792.00 | — | 55% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRID SKIN & SUBQ | $356.40 | $792.00 | $356.40–$792.00 | — | 55% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 VIR I&D | $356.40 | $792.00 | $356.40–$792.00 | — | 55% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Ohio | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 A negative | $413.55 | $919.00 | $382.85–$919.00 | 63% below | 55% |
| Blood transfusion (giving blood or blood components) CPT 36430 O negative | $413.55 | $919.00 | $382.85–$919.00 | 63% below | 55% |
| Blood transfusion (giving blood or blood components) CPT 36430 B negative | $413.55 | $919.00 | $382.85–$919.00 | 63% below | 55% |
| Blood transfusion (giving blood or blood components) CPT 36430 B positive | $413.55 | $919.00 | $382.85–$919.00 | 63% below | 55% |
| Blood transfusion (giving blood or blood components) CPT 36430 A positive | $413.55 | $919.00 | $382.85–$919.00 | 63% below | 55% |
| Blood transfusion (giving blood or blood components) CPT 36430 O positive | $413.55 | $919.00 | $382.85–$919.00 | 63% below | 55% |
| Blood transfusion (giving blood or blood components) CPT 36430 AB negative | $413.55 | $919.00 | $382.85–$919.00 | 63% below | 55% |
| Blood transfusion (giving blood or blood components) CPT 36430 AB positive | $413.55 | $919.00 | $382.85–$919.00 | 63% below | 55% |
| Blood transfusion (giving blood or blood components) CPT 36430 36430 Transfusion Bld/Bld Components | $442.35 | $983.00 | $382.85–$983.00 | 60% below | 55% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 B negative | $413.55 | $919.00 | $413.55–$919.00 | — | 55% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 A positive | $413.55 | $919.00 | $413.55–$919.00 | — | 55% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 O positive | $413.55 | $919.00 | $413.55–$919.00 | — | 55% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 O negative | $413.55 | $919.00 | $413.55–$919.00 | — | 55% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 B positive | $413.55 | $919.00 | $413.55–$919.00 | — | 55% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 AB positive | $413.55 | $919.00 | $413.55–$919.00 | — | 55% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 A negative | $413.55 | $919.00 | $413.55–$919.00 | — | 55% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 AB negative | $413.55 | $919.00 | $413.55–$919.00 | — | 55% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 36430 Transfusion Bld/Bld Components | $442.35 | $983.00 | $442.35–$983.00 | — | 55% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Sputum Induction | $101.25 | $225.00 | $207.76–$390.61 | 43% below | 55% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT CHARGE Aerosol Therapy | $101.25 | $225.00 | $207.76–$390.61 | 43% below | 55% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT CHARGE MDI | $101.25 | $225.00 | $207.76–$390.61 | 43% below | 55% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Yes | $101.25 | $225.00 | $207.76–$390.61 | 43% below | 55% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MetaNeb | $101.25 | $225.00 | $207.76–$390.61 | 43% below | 55% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Nebulizer Treatment Charge | $101.25 | $225.00 | $207.76–$390.61 | 43% below | 55% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 94640 Nebulizer Hand-held Treatment | $101.25 | $225.00 | $207.76–$390.61 | 43% below | 55% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 94640 - Nebulizer Hand-held Treatment | $101.25 | $225.00 | $101.25–$734.00 | 43% below | 55% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT CHARGE MDI | $101.25 | $225.00 | $101.25–$225.00 | — | 55% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Yes | $101.25 | $225.00 | $101.25–$225.00 | — | 55% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Sputum Induction | $101.25 | $225.00 | $101.25–$225.00 | — | 55% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Nebulizer Treatment Charge | $101.25 | $225.00 | $101.25–$225.00 | — | 55% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 94640 - Nebulizer Hand-held Treatment | $101.25 | $225.00 | $101.25–$225.00 | — | 55% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 94640 Nebulizer Hand-held Treatment | $101.25 | $225.00 | $101.25–$225.00 | — | 55% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT CHARGE Aerosol Therapy | $101.25 | $225.00 | $101.25–$225.00 | — | 55% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MetaNeb | $101.25 | $225.00 | $101.25–$225.00 | — | 55% |
| Chemotherapy IV infusion, first hour CPT 96413 Chemo IV Infusion 1 Hr 96413 | $318.60 | $708.00 | $286.64–$708.00 | 58% below | 55% |
| Chemotherapy IV infusion, first hour CPT 96413 96413 ChemoTx Admn IV Infusion Up 1 Hour 1/1st Sbs | $318.60 | $708.00 | $286.64–$708.00 | 58% below | 55% |
| Chemotherapy IV infusion, first hour CPT 96413 Chemo Infusion Initial Hr | $318.60 | $708.00 | $286.64–$708.00 | 58% below | 55% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 96413 ChemoTx Admn IV Infusion Up 1 Hour 1/1st Sbs | $318.60 | $708.00 | $318.60–$708.00 | — | 55% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 Chemo IV Infusion 1 Hr 96413 | $318.60 | $708.00 | $318.60–$708.00 | — | 55% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 Chemo Infusion Initial Hr | $318.60 | $708.00 | $318.60–$708.00 | — | 55% |
| Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 AUD COMPREHENSIVE AUDIOMETRY | $118.35 | $263.00 | $111.66–$263.00 | 55% below | 55% |
| Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 AUD COMPREHENSIVE AUDIOMETRY | $118.35 | $263.00 | $118.35–$263.00 | — | 55% |
| Critical care, first 30 to 74 minutes CPT 99291 99291 - Level 6 | $2,467.80 | $5,484.00 | $716.82–$5,484.00 | 16% below | 55% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 99291 - Level 6 | $2,467.80 | $5,484.00 | $2,467.80–$5,484.00 | — | 55% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG Awake and Drowsy (BCE) | $318.60 | $708.00 | $187.38–$708.00 | 67% below | 55% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 20-40 Min | $318.60 | $708.00 | $187.38–$708.00 | 67% below | 55% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG Awake and Drowsy 95816 | $318.60 | $708.00 | $187.38–$708.00 | 67% below | 55% |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG Awake and Drowsy (BCE) | $318.60 | $708.00 | $318.60–$708.00 | — | 55% |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG Awake and Drowsy 95816 | $318.60 | $708.00 | $318.60–$708.00 | — | 55% |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 20-40 Min | $318.60 | $708.00 | $318.60–$708.00 | — | 55% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 93005 Ecg Routine Ecg W/Least 12 Lds Trcg Only W/O | $52.20 | $116.00 | $51.19–$116.00 | 72% below | 55% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG Adult 12 Lead (BCE) | $57.60 | $128.00 | $51.19–$128.00 | 69% below | 55% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 CV EKG | $57.60 | $128.00 | $51.19–$128.00 | 69% below | 55% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ECG 12-Lead Acquisition | $57.60 | $128.00 | $51.19–$128.00 | 69% below | 55% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ED CHG EKG (ER Only) | $57.60 | $128.00 | $51.19–$128.00 | 69% below | 55% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 93005 Ecg Routine Ecg W/Least 12 Lds Trcg Only W/O | $52.20 | $116.00 | $52.20–$116.00 | — | 55% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 CV EKG | $57.60 | $128.00 | $57.60–$128.00 | — | 55% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG Adult 12 Lead (BCE) | $57.60 | $128.00 | $57.60–$128.00 | — | 55% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ECG 12-Lead Acquisition | $57.60 | $128.00 | $57.60–$128.00 | — | 55% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ED CHG EKG (ER Only) | $57.60 | $128.00 | $57.60–$128.00 | — | 55% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 99281 - Level 1 | $388.35 | $863.00 | $73.18–$863.00 | 24% above | 55% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 99281 - Level 1 | $388.35 | $863.00 | $388.35–$863.00 | — | 55% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 99282 - Level 2 | $388.35 | $863.00 | $133.25–$863.00 | 24% below | 55% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 99282 - Level 2 | $388.35 | $863.00 | $388.35–$863.00 | — | 55% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 99283 - Level 3 | $804.15 | $1,787.00 | $236.89–$1,787.00 | 5% below | 55% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 99283 - Level 3 | $804.15 | $1,787.00 | $804.15–$1,787.00 | — | 55% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 99284 - Level 4 | $1,262.70 | $2,806.00 | $362.10–$2,806.00 | 5% below | 55% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 99284 - Level 4 | $1,262.70 | $2,806.00 | $1,262.70–$2,806.00 | — | 55% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 99285 Level 5 | $1,722.15 | $3,827.00 | $516.80–$3,827.00 | 2% below | 55% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 99285 Level 5 | $1,722.15 | $3,827.00 | $1,722.15–$3,827.00 | — | 55% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Cardiac Rehab Stress Test Units | $358.65 | $797.00 | $187.38–$797.00 | 60% below | 55% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Stress Acquisition | $359.10 | $798.00 | $187.38–$798.00 | 60% below | 55% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Excercise Cardiopulmonary Stress Test (BCE) | $359.10 | $798.00 | $187.38–$798.00 | 60% below | 55% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Cardiac Rehab Stress Test Units | $358.65 | $797.00 | $358.65–$797.00 | — | 55% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Excercise Cardiopulmonary Stress Test (BCE) | $359.10 | $798.00 | $359.10–$798.00 | — | 55% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Stress Acquisition | $359.10 | $798.00 | $359.10–$798.00 | — | 55% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Hydration 31-90 minutes 96360 | $192.60 | $428.00 | $184.58–$428.00 | 54% below | 55% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360 IV Infusion Hydration Initial 31 Min-1 Hour | $192.60 | $428.00 | $184.58–$428.00 | 54% below | 55% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Hydration 31-90 minutes | $192.60 | $428.00 | $184.58–$428.00 | 54% below | 55% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360- Hydration, first hour | $192.60 | $428.00 | $184.58–$428.00 | 54% below | 55% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 96360- Hydration, first hour | $192.60 | $428.00 | $192.60–$428.00 | — | 55% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 96360 IV Infusion Hydration Initial 31 Min-1 Hour | $192.60 | $428.00 | $192.60–$428.00 | — | 55% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Hydration 31-90 minutes | $192.60 | $428.00 | $192.60–$428.00 | — | 55% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Hydration 31-90 minutes 96360 | $192.60 | $428.00 | $192.60–$428.00 | — | 55% |
| IV infusion of a medicine, first hour CPT 96365 96365T Wound Iv Infusion Therapy/Prophylaxis /Dx 1 | $177.30 | $394.00 | $177.30–$394.00 | 59% below | 55% |
| IV infusion of a medicine, first hour CPT 96365 Infusion tx Initial 1st Hr | $215.55 | $479.00 | $184.58–$479.00 | 50% below | 55% |
| IV infusion of a medicine, first hour CPT 96365 Infusion Separate Encounter 1st Hr | $215.55 | $479.00 | $184.58–$479.00 | 50% below | 55% |
| IV infusion of a medicine, first hour CPT 96365 96365 IV Infusion 1st Hr Therapy Drug - Non chemo | $215.55 | $479.00 | $184.58–$479.00 | 50% below | 55% |
| IV infusion of a medicine, first hour CPT 96365 96365 Oncology Infusion tx Initial 1st Hr | $215.55 | $479.00 | $184.58–$479.00 | 50% below | 55% |
| IV infusion of a medicine, first hour CPT 96365 Charge | $215.55 | $479.00 | $184.58–$479.00 | 50% below | 55% |
| IV infusion of a medicine, first hour CPT 96365 Infusion tx Initial 1st Hr 96365 | $215.55 | $479.00 | $184.58–$479.00 | 50% below | 55% |
| IV infusion of a medicine, first hour CPT 96365 96365- IV tx, first hour | $215.55 | $479.00 | $184.58–$479.00 | 50% below | 55% |
| IV infusion of a medicine, first hour CPT 96365 96365 IV Infusion Therapeutic/Prophylatic/Dx 1st > | $215.55 | $479.00 | $184.58–$479.00 | 50% below | 55% |
| IV infusion of a medicine, first hour inpatient CPT 96365 96365T Wound Iv Infusion Therapy/Prophylaxis /Dx 1 | $177.30 | $394.00 | $177.30–$394.00 | — | 55% |
| IV infusion of a medicine, first hour inpatient CPT 96365 Infusion tx Initial 1st Hr 96365 | $215.55 | $479.00 | $215.55–$479.00 | — | 55% |
| IV infusion of a medicine, first hour inpatient CPT 96365 96365 Oncology Infusion tx Initial 1st Hr | $215.55 | $479.00 | $215.55–$479.00 | — | 55% |
| IV infusion of a medicine, first hour inpatient CPT 96365 96365 IV Infusion Therapeutic/Prophylatic/Dx 1st > | $215.55 | $479.00 | $215.55–$479.00 | — | 55% |
| IV infusion of a medicine, first hour inpatient CPT 96365 96365 IV Infusion 1st Hr Therapy Drug - Non chemo | $215.55 | $479.00 | $215.55–$479.00 | — | 55% |
| IV infusion of a medicine, first hour inpatient CPT 96365 Charge | $215.55 | $479.00 | $215.55–$479.00 | — | 55% |
| IV infusion of a medicine, first hour inpatient CPT 96365 Infusion Separate Encounter 1st Hr | $215.55 | $479.00 | $215.55–$479.00 | — | 55% |
| IV infusion of a medicine, first hour inpatient CPT 96365 Infusion tx Initial 1st Hr | $215.55 | $479.00 | $215.55–$479.00 | — | 55% |
| IV infusion of a medicine, first hour inpatient CPT 96365 96365- IV tx, first hour | $215.55 | $479.00 | $215.55–$479.00 | — | 55% |
| IV push of a medicine, first drug CPT 96374 96374T Wound Ther Proph/Dx Njx Iv Push Single/1St | $96.75 | $215.00 | $201.81–$379.42 | 61% below | 55% |
| IV push of a medicine, first drug CPT 96374 Yes | $117.90 | $262.00 | $201.81–$379.42 | 52% below | 55% |
| IV push of a medicine, first drug CPT 96374 Charge | $117.90 | $262.00 | $201.81–$379.42 | 52% below | 55% |
| IV push of a medicine, first drug CPT 96374 IV Push, tx Initial 96374 | $118.35 | $263.00 | $201.81–$379.42 | 52% below | 55% |
| IV push of a medicine, first drug CPT 96374 96374- IV Injection, single/initial | $118.35 | $263.00 | $201.81–$379.42 | 52% below | 55% |
| IV push of a medicine, first drug CPT 96374 96374 Therapeutic/Prophylatic/Dx Inj IV Push Singl | $118.35 | $263.00 | $201.81–$379.42 | 52% below | 55% |
| IV push of a medicine, first drug CPT 96374 IV Push, tx Initial | $118.35 | $263.00 | $201.81–$379.42 | 52% below | 55% |
| IV push of a medicine, first drug inpatient CPT 96374 96374T Wound Ther Proph/Dx Njx Iv Push Single/1St | $96.75 | $215.00 | $96.75–$215.00 | — | 55% |
| IV push of a medicine, first drug inpatient CPT 96374 Yes | $117.90 | $262.00 | $117.90–$262.00 | — | 55% |
| IV push of a medicine, first drug inpatient CPT 96374 Charge | $117.90 | $262.00 | $117.90–$262.00 | — | 55% |
| IV push of a medicine, first drug inpatient CPT 96374 IV Push, tx Initial | $118.35 | $263.00 | $118.35–$263.00 | — | 55% |
| IV push of a medicine, first drug inpatient CPT 96374 96374- IV Injection, single/initial | $118.35 | $263.00 | $118.35–$263.00 | — | 55% |
| IV push of a medicine, first drug inpatient CPT 96374 IV Push, tx Initial 96374 | $118.35 | $263.00 | $118.35–$263.00 | — | 55% |
| IV push of a medicine, first drug inpatient CPT 96374 96374 Therapeutic/Prophylatic/Dx Inj IV Push Singl | $118.35 | $263.00 | $118.35–$263.00 | — | 55% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 Therapeutic Prophylactic/Dx Injection Subq/I | $47.25 | $105.00 | $68.31–$128.43 | 67% below | 55% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 Therapeutic/Prophylatic/Dx Inj SubQ/IM | $52.20 | $116.00 | $68.31–$128.43 | 63% below | 55% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Injection SC or IM | $52.20 | $116.00 | $68.31–$128.43 | 63% below | 55% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Injection SC or IM 96372 | $52.20 | $116.00 | $68.31–$128.43 | 63% below | 55% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372- Subq/IM Injection | $52.20 | $116.00 | $68.31–$128.43 | 63% below | 55% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 Therapeutic Prophylactic/Dx Injection Subq/I | $47.25 | $105.00 | $47.25–$105.00 | — | 55% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 Therapeutic/Prophylatic/Dx Inj SubQ/IM | $52.20 | $116.00 | $52.20–$116.00 | — | 55% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Injection SC or IM | $52.20 | $116.00 | $52.20–$116.00 | — | 55% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Injection SC or IM 96372 | $52.20 | $116.00 | $52.20–$116.00 | — | 55% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372- Subq/IM Injection | $52.20 | $116.00 | $52.20–$116.00 | — | 55% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 Yes | $247.50 | $550.00 | $154.04–$550.00 | 21% below | 55% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 Yes | $247.50 | $550.00 | $247.50–$550.00 | — | 55% |
| Neuromuscular re-education, 15 minutes CPT 97112 OT NEUROMUSCULAR RE-EDUC 15M | $77.85 | $173.00 | $27.59–$173.00 | 27% below | 55% |
| Neuromuscular re-education, 15 minutes CPT 97112 SLP NEUROMUSC RE EDUC 15 MIN | $77.85 | $173.00 | $27.59–$173.00 | 27% below | 55% |
| Neuromuscular re-education, 15 minutes CPT 97112 PT NEUROMUSCULAR RE-EDUC 15M | $77.85 | $173.00 | $27.59–$173.00 | 27% below | 55% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 SLP NEUROMUSC RE EDUC 15 MIN | $77.85 | $173.00 | $77.85–$173.00 | — | 55% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT NEUROMUSCULAR RE-EDUC 15M | $77.85 | $173.00 | $77.85–$173.00 | — | 55% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 OT NEUROMUSCULAR RE-EDUC 15M | $77.85 | $173.00 | $77.85–$173.00 | — | 55% |
| New patient office visit, about 30 minutes CPT 99203 99203T Office/Outpatient New Low Mdm 30-44 Minutes | $78.30 | $174.00 | $60.90–$174.00 | 29% below | 55% |
| New patient office visit, about 30 minutes inpatient CPT 99203 99203T Office/Outpatient New Low Mdm 30-44 Minutes | $78.30 | $174.00 | $78.30–$174.00 | — | 55% |
| New patient office visit, about 45 minutes CPT 99204 99204T Office/Outpatient New Mod Mdm 45-59 Minutes | $86.40 | $192.00 | $67.20–$192.00 | 29% below | 55% |
| New patient office visit, about 45 minutes inpatient CPT 99204 99204T Office/Outpatient New Mod Mdm 45-59 Minutes | $86.40 | $192.00 | $86.40–$192.00 | — | 55% |
| New patient office visit, about 60 minutes CPT 99205 99205T Office/Outpatient New High Mdm 60-74 Minute | $93.60 | $208.00 | $72.80–$208.00 | 46% below | 55% |
| New patient office visit, about 60 minutes inpatient CPT 99205 99205T Office/Outpatient New High Mdm 60-74 Minute | $93.60 | $208.00 | $93.60–$208.00 | — | 55% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 99202T Office/Outpatient New Sf Mdm 15-29 Minutes | $70.20 | $156.00 | $84.01–$168.02 | 28% below | 55% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 99202T Office/Outpatient New Sf Mdm 15-29 Minutes | $70.20 | $156.00 | $70.20–$156.00 | — | 55% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 RDN Initial Visit, Individual Ea 15min | $34.20 | $76.00 | $77.14–$81.00 | 48% below | 55% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 RDN Initial Visit, Individual Ea 15min | $34.20 | $76.00 | $34.20–$76.00 | — | 55% |
| Occupational therapy evaluation, low complexity CPT 97165 OT LOW COMPLEXITY EVAL | $175.95 | $391.00 | $86.62–$391.00 | 33% below | 55% |
| Occupational therapy evaluation, low complexity CPT 97165 WL LOW COMPLEXITY EVAL | $175.95 | $391.00 | $86.62–$391.00 | 33% below | 55% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 WL LOW COMPLEXITY EVAL | $175.95 | $391.00 | $175.95–$391.00 | — | 55% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 OT LOW COMPLEXITY EVAL | $175.95 | $391.00 | $175.95–$391.00 | — | 55% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT HIGH COMPLEXITY EVAL | $188.10 | $418.00 | $84.49–$418.00 | 38% below | 55% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT HIGH COMPLEXITY EVAL | $188.10 | $418.00 | $188.10–$418.00 | — | 55% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT LOW COMPLEXITY EVAL | $157.95 | $351.00 | $84.49–$351.00 | 39% below | 55% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT LOW COMPLEXITY EVAL | $157.95 | $351.00 | $157.95–$351.00 | — | 55% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT MODERATE COMPLEXITY EVAL | $172.80 | $384.00 | $84.49–$384.00 | 38% below | 55% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT MODERATE COMPLEXITY EVAL | $172.80 | $384.00 | $172.80–$384.00 | — | 55% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT MANUAL THERAPY EA 15 MIN | $68.85 | $153.00 | $23.43–$153.00 | 37% below | 55% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT MANUAL THERAPY EA 15 MIN | $68.85 | $153.00 | $23.43–$153.00 | 37% below | 55% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 97140-Manual Therapy TQS 1/> Regions Each 15 Minut | $109.35 | $243.00 | $23.43–$734.00 | at median | 55% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT MANUAL THERAPY EA 15 MIN | $68.85 | $153.00 | $68.85–$153.00 | — | 55% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 OT MANUAL THERAPY EA 15 MIN | $68.85 | $153.00 | $68.85–$153.00 | — | 55% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 97140-Manual Therapy TQS 1/> Regions Each 15 Minut | $109.35 | $243.00 | $109.35–$243.00 | — | 55% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 SLP THER, EX, EACH 15 MINS | $75.15 | $167.00 | $24.80–$167.00 | 36% below | 55% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT THERAPEUTIC PROCEDURE 15M | $75.15 | $167.00 | $24.80–$167.00 | 36% below | 55% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT THERAPEUTIC PROCEDURE 15M | $75.15 | $167.00 | $24.80–$167.00 | 36% below | 55% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 SLP THER, EX, EACH 15 MINS | $75.15 | $167.00 | $75.15–$167.00 | — | 55% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT THERAPEUTIC PROCEDURE 15M | $75.15 | $167.00 | $75.15–$167.00 | — | 55% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT THERAPEUTIC PROCEDURE 15M | $75.15 | $167.00 | $75.15–$167.00 | — | 55% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 99215T Office/Outpatient Established High Mdm 40-5 | $83.25 | $185.00 | $64.75–$185.00 | 51% below | 55% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 99215T Office/Outpatient Established High Mdm 40-5 | $83.25 | $185.00 | $83.25–$185.00 | — | 55% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 99213T Office/Outpatient Established Low Mdm 20-29 | $67.95 | $151.00 | $84.01–$168.02 | 41% below | 55% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Charge | $75.15 | $167.00 | $84.01–$168.02 | 34% below | 55% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Yes | $75.15 | $167.00 | $84.01–$168.02 | 34% below | 55% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 99213T Office/Outpatient Established Low Mdm 20-29 | $67.95 | $151.00 | $67.95–$151.00 | — | 55% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Yes | $75.15 | $167.00 | $75.15–$167.00 | — | 55% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Charge | $75.15 | $167.00 | $75.15–$167.00 | — | 55% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 99214T Office/Outpatient Established Mod Mdm 30-39 | $75.60 | $168.00 | $84.01–$168.02 | 45% below | 55% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Charge | $83.70 | $186.00 | $65.10–$186.00 | 39% below | 55% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 99214T Office/Outpatient Established Mod Mdm 30-39 | $75.60 | $168.00 | $75.60–$168.00 | — | 55% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Charge | $83.70 | $186.00 | $83.70–$186.00 | — | 55% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 99212T Office/Outpatient Established Sf Mdm 10-19 | $67.95 | $151.00 | $84.01–$168.02 | 30% below | 55% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 E&M Established Patient level 2 | $75.15 | $167.00 | $84.01–$168.02 | 23% below | 55% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Nursing Established Patient Level 2 (G0463) | $75.15 | $167.00 | $84.01–$168.02 | 23% below | 55% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 99212T Office/Outpatient Established Sf Mdm 10-19 | $67.95 | $151.00 | $67.95–$151.00 | — | 55% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 E&M Established Patient level 2 | $75.15 | $167.00 | $75.15–$167.00 | — | 55% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Nursing Established Patient Level 2 (G0463) | $75.15 | $167.00 | $75.15–$167.00 | — | 55% |
| Speech and language evaluation CPT 92523 SLP SPEECH EVAL SND LANG COMP | $146.70 | $326.00 | $146.70–$359.62 | 56% below | 55% |
| Speech and language evaluation inpatient CPT 92523 SLP SPEECH EVAL SND LANG COMP | $146.70 | $326.00 | $146.70–$326.00 | — | 55% |
| Speech therapy session, individual CPT 92507 SLP SPEECH-LANGUAGE PATHOLOGY | $83.70 | $186.00 | $65.00–$186.00 | 62% below | 55% |
| Speech therapy session, individual inpatient CPT 92507 SLP SPEECH-LANGUAGE PATHOLOGY | $83.70 | $186.00 | $83.70–$186.00 | — | 55% |
| Spirometry (breathing test) CPT 94010 Spirometry | $212.40 | $472.00 | $187.38–$472.00 | 33% below | 55% |
| Spirometry (breathing test) CPT 94010 PFT Pre | $212.40 | $472.00 | $187.38–$472.00 | 33% below | 55% |
| Spirometry (breathing test) CPT 94010 PFT Pre (BCE) | $212.40 | $472.00 | $187.38–$472.00 | 33% below | 55% |
| Spirometry (breathing test) CPT 94010 Spirometry Pre PFT Lab | $212.40 | $472.00 | $187.38–$472.00 | 33% below | 55% |
| Spirometry (breathing test) CPT 94010 Spirometry Bedside | $212.40 | $472.00 | $187.38–$472.00 | 33% below | 55% |
| Spirometry (breathing test) CPT 94010 SPIROMETRY BEDSIDE | $218.70 | $486.00 | $187.38–$486.00 | 31% below | 55% |
| Spirometry (breathing test) CPT 94010 PHY-SPIROMETRY | $218.70 | $486.00 | $187.38–$486.00 | 31% below | 55% |
| Spirometry (breathing test) inpatient CPT 94010 Spirometry Bedside | $212.40 | $472.00 | $212.40–$472.00 | — | 55% |
| Spirometry (breathing test) inpatient CPT 94010 Spirometry Pre PFT Lab | $212.40 | $472.00 | $212.40–$472.00 | — | 55% |
| Spirometry (breathing test) inpatient CPT 94010 PFT Pre (BCE) | $212.40 | $472.00 | $212.40–$472.00 | — | 55% |
| Spirometry (breathing test) inpatient CPT 94010 PFT Pre | $212.40 | $472.00 | $212.40–$472.00 | — | 55% |
| Spirometry (breathing test) inpatient CPT 94010 Spirometry | $212.40 | $472.00 | $212.40–$472.00 | — | 55% |
| Spirometry (breathing test) inpatient CPT 94010 PHY-SPIROMETRY | $218.70 | $486.00 | $218.70–$486.00 | — | 55% |
| Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY BEDSIDE | $218.70 | $486.00 | $218.70–$486.00 | — | 55% |
| Spirometry before and after a bronchodilator CPT 94060 Spirometry Pre and Post | $289.80 | $644.00 | $354.05–$665.65 | 49% below | 55% |
| Spirometry before and after a bronchodilator CPT 94060 Spirometry before & after | $289.80 | $644.00 | $354.05–$665.65 | 49% below | 55% |
| Spirometry before and after a bronchodilator CPT 94060 PHY-BRONCHODILATION RESPONSE PRE AND POST BD | $289.80 | $644.00 | $354.05–$665.65 | 49% below | 55% |
| Spirometry before and after a bronchodilator CPT 94060 PFT Pre/Post | $289.80 | $644.00 | $354.05–$665.65 | 49% below | 55% |
| Spirometry before and after a bronchodilator CPT 94060 PFT Pre/Post (BCE) | $290.25 | $645.00 | $354.05–$665.65 | 49% below | 55% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 Spirometry Pre and Post | $289.80 | $644.00 | $289.80–$644.00 | — | 55% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 PFT Pre/Post | $289.80 | $644.00 | $289.80–$644.00 | — | 55% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 PHY-BRONCHODILATION RESPONSE PRE AND POST BD | $289.80 | $644.00 | $289.80–$644.00 | — | 55% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 Spirometry before & after | $289.80 | $644.00 | $289.80–$644.00 | — | 55% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 PFT Pre/Post (BCE) | $290.25 | $645.00 | $290.25–$645.00 | — | 55% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 OT THERAPEUTIC ACT-EA 15 MIN | $77.85 | $173.00 | $29.56–$173.00 | 35% below | 55% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 PT THERAPEUTIC ACT-EA 15 MIN | $77.85 | $173.00 | $29.56–$173.00 | 35% below | 55% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT THERAPEUTIC ACT-EA 15 MIN | $77.85 | $173.00 | $77.85–$173.00 | — | 55% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OT THERAPEUTIC ACT-EA 15 MIN | $77.85 | $173.00 | $77.85–$173.00 | — | 55% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 99195 Therapeutic Phlebotomy | $118.35 | $263.00 | $115.46–$263.00 | 50% below | 55% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Phlebotomy | $118.35 | $263.00 | $115.46–$263.00 | 50% below | 55% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 99195 Therapeutic Phlebotomy | $118.35 | $263.00 | $118.35–$263.00 | — | 55% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Phlebotomy | $118.35 | $263.00 | $118.35–$263.00 | — | 55% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Ohio | Off list |
|---|---|---|---|---|---|
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 90700 - DIPHTH TETANUS TOX ACELL PERTUSSIS VACC<7 | $137.70 | $306.00 | $65.75–$306.00 | 112% above | 55% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 90700 - DIPHTH TETANUS TOX ACELL PERTUSSIS VACC<7 | $137.70 | $306.00 | $137.70–$306.00 | — | 55% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 IM Admn PRQ ID SUBQ/IM NJXS 1 Vaccine | $36.00 | $80.00 | $68.31–$128.43 | 6% below | 55% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 FMC Initial Vaccine Admin | $36.90 | $82.00 | $68.31–$128.43 | 4% below | 55% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VACCINE ADMIN | $37.80 | $84.00 | $68.31–$128.43 | 1% below | 55% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471 IM Admn PRQ ID SUBQ/IM NJXS 1 Vaccine | $36.00 | $80.00 | $36.00–$80.00 | — | 55% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 FMC Initial Vaccine Admin | $36.90 | $82.00 | $36.90–$82.00 | — | 55% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 VACCINE ADMIN | $37.80 | $84.00 | $37.80–$84.00 | — | 55% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 FMC Additional Vaccine Admin | $36.90 | $82.00 | $28.70–$82.00 | 6% above | 55% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 RABIES ADMIN EA ADD VACIN | $37.80 | $84.00 | $29.40–$734.00 | 9% above | 55% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 FMC Additional Vaccine Admin | $36.90 | $82.00 | $36.90–$82.00 | — | 55% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 RABIES ADMIN EA ADD VACIN | $37.80 | $84.00 | $37.80–$84.00 | — | 55% |
Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.
Off list How much lower the cash price is than the list price.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.
Source file: https://www.fmchealth.org/app/uploads/2026/02/310645626_fairfield-medical-center_standardcharges.csv