Hospital

Hawarden Regional Healthcare

Hawarden Regional Healthcare in Harwarden, IA publishes cash prices for 424 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are below the Iowa median for 288 of 422 procedures and above it for 128. By typical cash price it ranks #25 of 85 Iowa hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

1111 11TH STREET, HARWARDEN, IA, 51023-1903 Collected Sep 27, 2026 Source price file (712) 551-3100

Critical access hospital (rural, 25 beds or fewer) Emergency department CCN 161311 · CMS hospital register NPI 1841261104

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Iowa	Off list
Abdominal CT scan without and with contrast CPT 74170 CT abdomen wo/w	$1,739.95	$2,047.00	$1,033.12–$1,985.59	11% below	15%
Abdominal CT scan without and with contrast inpatient CPT 74170 CT abdomen wo/w	$1,739.95	$2,047.00	$1,033.12–$1,985.59	—	15%
Abdominal X-ray, 2 views CPT 74019 XR abdomen 2 vw	$209.10	$246.00	$124.16–$238.62	16% below	15%
Abdominal X-ray, 2 views inpatient CPT 74019 XR abdomen 2 vw	$209.10	$246.00	$124.16–$238.62	—	15%
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ankle complete min 3 vw(LEFT),LEFT	$176.80	$208.00	$104.98–$201.76	20% below	15%
Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE RIGHT (3 VIEWS),RIGHT	$176.80	$208.00	$104.98–$201.76	20% below	15%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 ANKLE RIGHT (3 VIEWS),RIGHT	$176.80	$208.00	$104.98–$201.76	—	15%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR ankle complete min 3 vw(LEFT),LEFT	$176.80	$208.00	$104.98–$201.76	—	15%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 ARTERIAL DOPPLER LIMB LIM	$307.70	$362.00	$182.70–$351.14	9% below	15%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 ARTERIAL DOPPLER LIMB LIM	$307.70	$362.00	$182.70–$351.14	—	15%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UPPER EXTREMITY W/0 RIGHT	$1,210.40	$1,424.00	$718.69–$1,381.28	at median	15%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT upper extremity wo(LEFT)	$1,210.40	$1,424.00	$718.69–$1,381.28	at median	15%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT upper extremity wo(LEFT)	$1,210.40	$1,424.00	$718.69–$1,381.28	—	15%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT UPPER EXTREMITY W/0 RIGHT	$1,210.40	$1,424.00	$718.69–$1,381.28	—	15%
Barium swallow (esophagus X-ray with contrast) CPT 74220 ESOPHOGRAM	$353.60	$416.00	$209.96–$403.52	2% below	15%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 ESOPHOGRAM	$353.60	$416.00	$209.96–$403.52	—	15%
Bone scan, whole body (nuclear medicine) CPT 78306 NUC MED BONE/JOINT IMAGING WHOLE BODY	$1,095.10	$1,288.35	$650.23–$1,249.70	11% below	15%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NUC MED BONE/JOINT IMAGING WHOLE BODY	$1,095.10	$1,288.35	$650.23–$1,249.70	—	15%
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST UNILAT COMPLETE RIGHT	$343.54	$404.17	$203.98–$392.04	4% below	15%
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST UNILAT COMPLETE LEFT	$343.54	$404.17	$203.98–$392.04	4% below	15%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST UNILAT COMPLETE RIGHT	$343.54	$404.17	$203.98–$392.04	—	15%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST UNILAT COMPLETE LEFT	$343.54	$404.17	$203.98–$392.04	—	15%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 ULTRASOUND BREAST, UNILATERAL RIGHT	$329.61	$387.78	$195.71–$376.15	10% below	15%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 ULTRASOUND BREAST, UNILATERAL LEFT	$329.61	$387.78	$195.71–$376.15	10% below	15%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 ULTRASOUND BREAST, UNILATERAL LEFT	$329.61	$387.78	$195.71–$376.15	—	15%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 ULTRASOUND BREAST, UNILATERAL RIGHT	$329.61	$387.78	$195.71–$376.15	—	15%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CT Angiography abdomen and pelvis wo/w	$3,369.40	$3,964.00	$2,000.63–$3,845.08	13% above	15%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CT Angiography abdomen and pelvis wo/w	$3,369.40	$3,964.00	$2,000.63–$3,845.08	—	15%
CT angiography (CTA) of the head CPT 70496 CT Angiography head wo/w	$1,887.16	$2,220.19	$1,120.53–$2,153.58	3% below	15%
CT angiography (CTA) of the head CPT 70496 CTA HEAD WO/W	$1,887.16	$2,220.19	$1,120.53–$2,153.58	3% below	15%
CT angiography (CTA) of the head inpatient CPT 70496 CT Angiography head wo/w	$1,887.16	$2,220.19	$1,120.53–$2,153.58	—	15%
CT angiography (CTA) of the head inpatient CPT 70496 CTA HEAD WO/W	$1,887.16	$2,220.19	$1,120.53–$2,153.58	—	15%
CT angiography (CTA) of the neck CPT 70498 CT Angiography neck wo/w	$2,015.01	$2,370.60	$1,196.44–$2,299.48	4% below	15%
CT angiography (CTA) of the neck inpatient CPT 70498 CT Angiography neck wo/w	$2,015.01	$2,370.60	$1,196.44–$2,299.48	—	15%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT Angiography chest wo/w	$1,967.75	$2,315.00	$1,168.38–$2,245.55	8% below	15%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT Angiography chest wo/w	$1,967.75	$2,315.00	$1,168.38–$2,245.55	—	15%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT abdomen AND pelvis wo	$2,910.40	$3,424.00	$1,728.09–$3,321.28	11% above	15%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT abdomen AND pelvis wo	$2,910.40	$3,424.00	$1,728.09–$3,321.28	—	15%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT abdomen AND pelvis w	$3,194.30	$3,758.00	$1,896.66–$3,645.26	at median	15%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT abdomen AND pelvis w	$3,194.30	$3,758.00	$1,896.66–$3,645.26	—	15%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT abdomen AND pelvis wo/w	$3,369.40	$3,964.00	$2,000.63–$3,845.08	1% below	15%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT abdomen AND pelvis wo/w	$3,369.40	$3,964.00	$2,000.63–$3,845.08	—	15%
CT scan of the abdomen with contrast CPT 74160 CT abdomen w	$1,597.15	$1,879.00	$948.33–$1,822.63	5% below	15%
CT scan of the abdomen with contrast inpatient CPT 74160 CT abdomen w	$1,597.15	$1,879.00	$948.33–$1,822.63	—	15%
CT scan of the abdomen without contrast CPT 74150 CT abdomen wo	$1,455.20	$1,712.00	$864.05–$1,660.64	10% above	15%
CT scan of the abdomen without contrast inpatient CPT 74150 CT abdomen wo	$1,455.20	$1,712.00	$864.05–$1,660.64	—	15%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT maxillofacial wo	$1,285.20	$1,512.00	$763.11–$1,466.64	at median	15%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT maxillofacial wo	$1,285.20	$1,512.00	$763.11–$1,466.64	—	15%
CT scan of the head or brain, no contrast dye CPT 70450 CT head wo	$1,285.20	$1,512.00	$763.11–$1,466.64	4% below	15%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT head wo	$1,285.20	$1,512.00	$763.11–$1,466.64	—	15%
CT scan of the head with contrast CPT 70460 CT head w	$1,399.95	$1,647.00	$831.24–$1,597.59	7% below	15%
CT scan of the head with contrast inpatient CPT 70460 CT head w	$1,399.95	$1,647.00	$831.24–$1,597.59	—	15%
CT scan of the head without and with contrast CPT 70470 CT head wo/w	$1,597.15	$1,879.00	$948.33–$1,822.63	11% below	15%
CT scan of the head without and with contrast inpatient CPT 70470 CT head wo/w	$1,597.15	$1,879.00	$948.33–$1,822.63	—	15%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT lumbar spine wo	$1,455.20	$1,712.00	$864.05–$1,660.64	4% below	15%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT lumbar spine wo	$1,455.20	$1,712.00	$864.05–$1,660.64	—	15%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT cervical spine wo	$1,455.20	$1,712.00	$864.05–$1,660.64	3% below	15%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT cervical spine wo	$1,455.20	$1,712.00	$864.05–$1,660.64	—	15%
CT scan of the pelvis, with contrast dye CPT 72193 CT pelvis w	$1,597.15	$1,879.00	$948.33–$1,822.63	8% below	15%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT pelvis w	$1,597.15	$1,879.00	$948.33–$1,822.63	—	15%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 DUPLEX CAROTID	$719.10	$846.00	$426.98–$820.62	18% below	15%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 DUPLEX CAROTID	$719.10	$846.00	$426.98–$820.62	—	15%
Chest CT scan without and with contrast CPT 71270 CT chest wo/w	$1,739.95	$2,047.00	$1,033.12–$1,985.59	10% below	15%
Chest CT scan without and with contrast inpatient CPT 71270 CT chest wo/w	$1,739.95	$2,047.00	$1,033.12–$1,985.59	—	15%
Chest X-ray, 2 views CPT 71046 XR chest 2 vw	$189.55	$223.00	$112.55–$216.31	8% below	15%
Chest X-ray, 2 views inpatient CPT 71046 XR chest 2 vw	$189.55	$223.00	$112.55–$216.31	—	15%
Chest X-ray, single view CPT 71045 XR chest 1 vw	$158.10	$186.00	$93.87–$180.42	6% below	15%
Chest X-ray, single view inpatient CPT 71045 XR chest 1 vw	$158.10	$186.00	$93.87–$180.42	—	15%
Collarbone (clavicle) X-ray, complete one side CPT 73000 XR clavicle complete(LEFT),LEFT	$163.20	$192.00	$96.90–$186.24	13% below	15%
Collarbone (clavicle) X-ray, complete one side CPT 73000 CLAVICLE, RIGHT,RIGHT	$163.20	$192.00	$96.90–$186.24	13% below	15%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 CLAVICLE, RIGHT,RIGHT	$163.20	$192.00	$96.90–$186.24	—	15%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XR clavicle complete(LEFT),LEFT	$163.20	$192.00	$96.90–$186.24	—	15%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US retroperitoneal complete aorta/nodes	$538.05	$633.00	$319.48–$614.01	12% below	15%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US retroperitoneal complete aorta/nodes	$538.05	$633.00	$319.48–$614.01	—	15%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA bone density axial skeleton	$323.00	$380.00	$191.79–$368.60	18% below	15%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 DXA bone density axial skeleton	$323.00	$380.00	$191.79–$368.60	—	15%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DXA bone density appendicular	$251.07	$295.38	$149.08–$286.52	at median	15%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 DXA bone density appendicular	$251.07	$295.38	$149.08–$286.52	—	15%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT chest wo	$1,381.35	$1,625.12	$820.20–$1,576.37	at median	15%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT LOW DOSE LUNG DIAGNOSTIC	$1,381.35	$1,625.12	$820.20–$1,576.37	at median	15%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT LOW DOSE LUNG DIAGNOSTIC	$1,381.35	$1,625.12	$820.20–$1,576.37	—	15%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT chest wo	$1,381.35	$1,625.12	$820.20–$1,576.37	—	15%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT chest w	$1,597.15	$1,879.00	$948.33–$1,822.63	10% below	15%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT chest w	$1,597.15	$1,879.00	$948.33–$1,822.63	—	15%
Diagnostic mammogram, both breasts both sides CPT 77066 DAIGNOSTIC MAMMO DIGTL BILATERAL IMAGING	$352.62	$414.85	$209.37–$402.40	—	15%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 DAIGNOSTIC MAMMO DIGTL BILATERAL IMAGING	$352.62	$414.85	$209.37–$402.40	—	15%
Diagnostic mammogram, one breast one side CPT 77065 MA DIAGNOSTIC MAMMOGRAPHY RIGHT	$285.46	$335.84	$169.50–$325.76	2% below	15%
Diagnostic mammogram, one breast one side CPT 77065 Diagnostic mammography unilat	$285.46	$335.84	$169.50–$325.76	2% below	15%
Diagnostic mammogram, one breast inpatient one side CPT 77065 Diagnostic mammography unilat	$285.46	$335.84	$169.50–$325.76	—	15%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MA DIAGNOSTIC MAMMOGRAPHY RIGHT	$285.46	$335.84	$169.50–$325.76	—	15%
Duplex ultrasound of the leg arteries, both legs CPT 93925 DUPLEX SCAN ART/ARTL BPGS COMPLETE	$825.27	$970.91	$490.02–$941.78	15% above	15%
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 DUPLEX SCAN ART/ARTL BPGS COMPLETE	$825.27	$970.91	$490.02–$941.78	—	15%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 BILATERAL DUPLEX VENOUS EXTREMITY	$928.23	$1,092.04	$551.15–$1,059.28	—	15%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 BILATERAL DUPLEX VENOUS EXTREMITY	$928.23	$1,092.04	$551.15–$1,059.28	—	15%
Echocardiogram through the chest wall, complete, with Doppler one side CPT 93306 ECHO TTHRC RT 2D - BUBBLE ECHO	$858.50	$1,010.00	$509.75–$979.70	44% below	15%
Echocardiogram through the chest wall, complete, with Doppler inpatient one side CPT 93306 ECHO TTHRC RT 2D - BUBBLE ECHO	$858.50	$1,010.00	$509.75–$979.70	—	15%
Elbow X-ray, 2 views one side CPT 73070 XR elbow 2 vw(LEFT),LEFT	$146.24	$172.05	$86.83–$166.89	7% below	15%
Elbow X-ray, 2 views one side CPT 73070 ELBOW, RIGHT (2VIEWS),RIGHT	$146.24	$172.05	$86.83–$166.89	7% below	15%
Elbow X-ray, 2 views inpatient one side CPT 73070 XR elbow 2 vw(LEFT),LEFT	$146.24	$172.05	$86.83–$166.89	—	15%
Elbow X-ray, 2 views inpatient one side CPT 73070 ELBOW, RIGHT (2VIEWS),RIGHT	$146.24	$172.05	$86.83–$166.89	—	15%
Elbow X-ray, complete, 3 or more views one side CPT 73080 XR elbow complete min 3 vw(LEFT),LEFT	$170.85	$201.00	$101.44–$194.97	21% below	15%
Elbow X-ray, complete, 3 or more views one side CPT 73080 ELBOW, RIGHT (3 VIEWS),RIGHT	$170.85	$201.00	$101.44–$194.97	21% below	15%
Elbow X-ray, complete, 3 or more views one side CPT 73080 ELBOW, LEFT (4 VIEWS),LEFT	$170.85	$201.00	$101.44–$194.97	21% below	15%
Elbow X-ray, complete, 3 or more views one side CPT 73080 ELBOW, RIGHT (4 VIEWS),RIGHT	$170.85	$201.00	$101.44–$194.97	21% below	15%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 ELBOW, RIGHT (3 VIEWS),RIGHT	$170.85	$201.00	$101.44–$194.97	—	15%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 ELBOW, LEFT (4 VIEWS),LEFT	$170.85	$201.00	$101.44–$194.97	—	15%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XR elbow complete min 3 vw(LEFT),LEFT	$170.85	$201.00	$101.44–$194.97	—	15%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 ELBOW, RIGHT (4 VIEWS),RIGHT	$170.85	$201.00	$101.44–$194.97	—	15%
Eye socket (orbit) CT scan without contrast CPT 70480 CT TEMPORAL ORBIT, SELLA W/O CONTRAST	$947.11	$1,114.25	$562.36–$1,080.82	27% below	15%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT TEMPORAL ORBIT, SELLA W/O CONTRAST	$947.11	$1,114.25	$562.36–$1,080.82	—	15%
Facial bones X-ray, complete, 3 or more views CPT 70150 FACIAL BONES (5 VIEWS)	$127.50	$150.00	$75.70–$145.50	53% below	15%
Facial bones X-ray, complete, 3 or more views CPT 70150 XR facial bones complete min 3 vw	$255.85	$301.00	$151.91–$291.97	5% below	15%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 FACIAL BONES (5 VIEWS)	$127.50	$150.00	$75.70–$145.50	—	15%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 XR facial bones complete min 3 vw	$255.85	$301.00	$151.91–$291.97	—	15%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR forearm 2 vw,LEFT	$155.55	$183.00	$92.36–$177.51	20% below	15%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 FOREARM, RIGHT,RIGHT	$155.55	$183.00	$92.36–$177.51	20% below	15%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 FOREARM, RIGHT,RIGHT	$155.55	$183.00	$92.36–$177.51	—	15%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XR forearm 2 vw,LEFT	$155.55	$183.00	$92.36–$177.51	—	15%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HEPATOBILLIARY	$1,020.00	$1,200.00	$605.64–$1,164.00	15% below	15%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HEPATOBILLIARY	$1,020.00	$1,200.00	$605.64–$1,164.00	—	15%
Hand X-ray, 2 views one side CPT 73120 XR hand 2 vw(LEFT),LEFT	$135.15	$159.00	$80.25–$154.23	17% below	15%
Hand X-ray, 2 views one side CPT 73120 HAND, RIGHT (2 VIEWS),RIGHT	$135.15	$159.00	$80.25–$154.23	17% below	15%
Hand X-ray, 2 views inpatient one side CPT 73120 XR hand 2 vw(LEFT),LEFT	$135.15	$159.00	$80.25–$154.23	—	15%
Hand X-ray, 2 views inpatient one side CPT 73120 HAND, RIGHT (2 VIEWS),RIGHT	$135.15	$159.00	$80.25–$154.23	—	15%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR calcaneus min 2 vw(LEFT),LEFT	$142.80	$168.00	$84.79–$162.96	14% below	15%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 HEEL, RIGHT,RIGHT	$142.80	$168.00	$84.79–$162.96	14% below	15%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 XR calcaneus min 2 vw(LEFT),LEFT	$142.80	$168.00	$84.79–$162.96	—	15%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 HEEL, RIGHT,RIGHT	$142.80	$168.00	$84.79–$162.96	—	15%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 SPLIT NIGHT/CPAP BIPAP	$2,125.00	$2,500.00	$1,261.75–$2,425.00	32% below	15%
Knee X-ray, 3 views one side CPT 73562 XR knee 3 vw(LEFT),LEFT	$170.00	$200.00	$100.94–$194.00	20% below	15%
Knee X-ray, 3 views one side CPT 73562 KNEE RIGHT (3 VIEWS),RIGHT	$170.00	$200.00	$100.94–$194.00	20% below	15%
Knee X-ray, 3 views inpatient one side CPT 73562 XR knee 3 vw(LEFT),LEFT	$170.00	$200.00	$100.94–$194.00	—	15%
Knee X-ray, 3 views inpatient one side CPT 73562 KNEE RIGHT (3 VIEWS),RIGHT	$170.00	$200.00	$100.94–$194.00	—	15%
Knee X-ray, complete, 4 or more views one side CPT 73564 KNEE RIGHT (4 VIEWS),RIGHT	$183.60	$216.00	$109.02–$209.52	33% below	15%
Knee X-ray, complete, 4 or more views one side CPT 73564 XR knee 4 or more vw(LEFT),LEFT	$183.60	$216.00	$109.02–$209.52	33% below	15%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XR knee 4 or more vw(LEFT),LEFT	$183.60	$216.00	$109.02–$209.52	—	15%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 KNEE RIGHT (4 VIEWS),RIGHT	$183.60	$216.00	$109.02–$209.52	—	15%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT lower extremity wo (LEFT)	$1,233.35	$1,451.00	$732.32–$1,407.47	8% below	15%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOWER EXTREMITY WO RIGHT	$1,233.35	$1,451.00	$732.32–$1,407.47	8% below	15%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT lower extremity wo (LEFT)	$1,233.35	$1,451.00	$732.32–$1,407.47	—	15%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT LOWER EXTREMITY WO RIGHT	$1,233.35	$1,451.00	$732.32–$1,407.47	—	15%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US abdomen limited/single organ/quadrant	$351.05	$413.00	$208.44–$400.61	27% below	15%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US abdomen limited/single organ/quadrant	$351.05	$413.00	$208.44–$400.61	—	15%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US SOFT TISSUE EXT LIM	$370.16	$435.48	$219.79–$422.42	6% above	15%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US LIMITED JOINT/NONVASCULAR EXT RIGHT	$370.16	$435.48	$219.79–$422.42	6% above	15%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 US SOFT TISSUE EXT LIM	$370.16	$435.48	$219.79–$422.42	—	15%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US LIMITED JOINT/NONVASCULAR EXT RIGHT	$370.16	$435.48	$219.79–$422.42	—	15%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT LOW DOSE LUNG SCREENING	$646.47	$760.55	$383.85–$737.73	49% above	15%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT LOW DOSE LUNG SCREENING	$646.47	$760.55	$383.85–$737.73	—	15%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR tibia and fibula 2 vw(LEFT),LEFT	$169.15	$199.00	$100.44–$193.03	12% below	15%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 LOWER LEG RIGHT (2 OR 3 V,RIGHT	$169.15	$199.00	$100.44–$193.03	12% below	15%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 LOWER LEG RIGHT (2 OR 3 V,RIGHT	$169.15	$199.00	$100.44–$193.03	—	15%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR tibia and fibula 2 vw(LEFT),LEFT	$169.15	$199.00	$100.44–$193.03	—	15%
MR angiography (MRA) of the head without contrast CPT 70544 MRV HEAD WITHOUT CONTRAST	$1,836.00	$2,160.00	$1,090.15–$2,095.20	19% below	15%
MR angiography (MRA) of the head without contrast CPT 70544 MRA-CIRCLE OF WILLISBRAIN	$1,836.00	$2,160.00	$1,090.15–$2,095.20	19% below	15%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRV HEAD WITHOUT CONTRAST	$1,836.00	$2,160.00	$1,090.15–$2,095.20	—	15%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA-CIRCLE OF WILLISBRAIN	$1,836.00	$2,160.00	$1,090.15–$2,095.20	—	15%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LOWER EXTREMITY ANY JOINT wo RIGHT	$2,040.85	$2,401.00	$1,211.78–$2,328.97	9% below	15%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI lower extremity ANY JOINT wo (LEFT)	$2,040.85	$2,401.00	$1,211.78–$2,328.97	9% below	15%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI LOWER EXTREMITY ANY JOINT wo RIGHT	$2,040.85	$2,401.00	$1,211.78–$2,328.97	—	15%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI lower extremity ANY JOINT wo (LEFT)	$2,040.85	$2,401.00	$1,211.78–$2,328.97	—	15%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI LOWER EXTREMITY ANY JOINT wo/w RIGHT	$3,139.72	$3,693.79	$1,864.26–$3,582.98	1% below	15%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI lower extremity ANY JOINT wo/w(LEFT)	$3,139.72	$3,693.79	$1,864.26–$3,582.98	1% below	15%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI LOWER EXTREMITY ANY JOINT wo/w RIGHT	$3,139.72	$3,693.79	$1,864.26–$3,582.98	—	15%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI lower extremity ANY JOINT wo/w(LEFT)	$3,139.72	$3,693.79	$1,864.26–$3,582.98	—	15%
MRI of the abdomen without contrast CPT 74181 MRI-ABDOMEN	$1,996.65	$2,349.00	$1,185.54–$2,278.53	4% below	15%
MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN WO	$2,125.00	$2,500.00	$1,261.75–$2,425.00	2% above	15%
MRI of the abdomen without contrast inpatient CPT 74181 MRI-ABDOMEN	$1,996.65	$2,349.00	$1,185.54–$2,278.53	—	15%
MRI of the abdomen without contrast inpatient CPT 74181 MRI ABDOMEN WO	$2,125.00	$2,500.00	$1,261.75–$2,425.00	—	15%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN WO/W	$3,400.00	$4,000.00	$2,018.80–$3,880.00	at median	15%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ABDOMEN WO/W	$3,400.00	$4,000.00	$2,018.80–$3,880.00	—	15%
MRI of the brain, no contrast dye CPT 70551 MRI brain including brain stem wo	$2,139.45	$2,517.00	$1,270.33–$2,441.49	7% below	15%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI brain including brain stem wo	$2,139.45	$2,517.00	$1,270.33–$2,441.49	—	15%
MRI of the brain, with and without contrast dye CPT 70553 MRI brain including brain stem wo/w	$2,424.20	$2,852.00	$1,439.40–$2,766.44	31% below	15%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI brain including brain stem wo/w	$2,424.20	$2,852.00	$1,439.40–$2,766.44	—	15%
MRI of the lower back, no contrast dye CPT 72148 MRI lumbar spine wo	$1,996.65	$2,349.00	$1,185.54–$2,278.53	16% below	15%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI lumbar spine wo	$1,996.65	$2,349.00	$1,185.54–$2,278.53	—	15%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI lumbar spine wo/w	$2,280.55	$2,683.00	$1,354.11–$2,602.51	34% below	15%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI lumbar spine wo/w	$2,280.55	$2,683.00	$1,354.11–$2,602.51	—	15%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI thoracic spine wo	$1,996.65	$2,349.00	$1,185.54–$2,278.53	14% below	15%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI thoracic spine wo	$1,996.65	$2,349.00	$1,185.54–$2,278.53	—	15%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI cervical spine wo/w	$2,280.55	$2,683.00	$1,354.11–$2,602.51	31% below	15%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI cervical spine wo/w	$2,280.55	$2,683.00	$1,354.11–$2,602.51	—	15%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI C-Spine w/o	$1,996.65	$2,349.00	$1,185.54–$2,278.53	12% below	15%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI C-Spine w/o	$1,996.65	$2,349.00	$1,185.54–$2,278.53	—	15%
MRI of the pelvis without and with contrast CPT 72197 MRI Pelviswwith/without contrast	$3,039.27	$3,575.61	$1,804.61–$3,468.34	6% below	15%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI Pelviswwith/without contrast	$3,039.27	$3,575.61	$1,804.61–$3,468.34	—	15%
MRI of the pelvis, no contrast dye CPT 72195 MRI pelvis wo	$2,042.64	$2,403.11	$1,212.85–$2,331.02	1% below	15%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI pelvis wo	$2,042.64	$2,403.11	$1,212.85–$2,331.02	—	15%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UPPER EXTREMITY ANY JOINT W/0 RIGHT	$2,105.65	$2,477.24	$1,250.26–$2,402.92	5% below	15%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI upper extremity ANY JOINT wo (LEFT)	$2,105.65	$2,477.24	$1,250.26–$2,402.92	5% below	15%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI UPPER EXTREMITY ANY JOINT W/0 RIGHT	$2,105.65	$2,477.24	$1,250.26–$2,402.92	—	15%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI upper extremity ANY JOINT wo (LEFT)	$2,105.65	$2,477.24	$1,250.26–$2,402.92	—	15%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 XR C-spine 4 or 5 vw	$366.35	$431.00	$217.53–$418.07	12% above	15%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 XR C-spine 4 or 5 vw	$366.35	$431.00	$217.53–$418.07	—	15%
Neck soft tissue CT scan with contrast CPT 70491 CT soft tissue neck w	$1,399.95	$1,647.00	$831.24–$1,597.59	13% below	15%
Neck soft tissue CT scan with contrast inpatient CPT 70491 CT soft tissue neck w	$1,399.95	$1,647.00	$831.24–$1,597.59	—	15%
Neck soft tissue CT scan without contrast CPT 70490 CT soft tissue neck wo	$1,285.20	$1,512.00	$763.11–$1,466.64	2% above	15%
Neck soft tissue CT scan without contrast inpatient CPT 70490 CT soft tissue neck wo	$1,285.20	$1,512.00	$763.11–$1,466.64	—	15%
Neck soft tissue X-ray CPT 70360 XR soft tissue neck	$160.53	$188.86	$95.32–$183.19	8% below	15%
Neck soft tissue X-ray inpatient CPT 70360 XR soft tissue neck	$160.53	$188.86	$95.32–$183.19	—	15%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 LEXISCAN MYOVIEW STRESS TEST	$2,557.03	$3,008.27	$1,518.27–$2,918.02	9% below	15%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 LEXISCAN MYOVIEW STRESS TEST	$2,557.03	$3,008.27	$1,518.27–$2,918.02	—	15%
Pelvic CT scan without contrast CPT 72192 CT pelvis wo	$1,455.20	$1,712.00	$864.05–$1,660.64	13% above	15%
Pelvic CT scan without contrast inpatient CPT 72192 CT pelvis wo	$1,455.20	$1,712.00	$864.05–$1,660.64	—	15%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US pelvic limited/follicles non-OB	$229.63	$270.15	$136.34–$262.05	35% below	15%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US pelvic limited/follicles non-OB	$229.63	$270.15	$136.34–$262.05	—	15%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US pelvic complete non-OB	$401.20	$472.00	$238.22–$457.84	26% below	15%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US pelvic complete non-OB	$401.20	$472.00	$238.22–$457.84	—	15%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB after first tri. single gestation	$349.12	$410.73	$207.30–$398.41	37% below	15%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB after first tri. single gestation	$349.12	$410.73	$207.30–$398.41	—	15%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB first tri. single gestation	$368.90	$434.00	$219.04–$420.98	20% below	15%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US OB first tri. single gestation	$368.90	$434.00	$219.04–$420.98	—	15%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB limited 1 or more fetuses	$213.40	$251.06	$126.71–$243.53	37% below	15%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US OB limited 1 or more fetuses	$213.40	$251.06	$126.71–$243.53	—	15%
Rib X-ray, one side, 2 views one side CPT 71100 RIBS RIGHT (2 OR 3 VIEWS),RIGHT	$209.95	$247.00	$124.66–$239.59	1% below	15%
Rib X-ray, one side, 2 views one side CPT 71100 XR ribs unilat 2 vw(LEFT),LEFT	$209.95	$247.00	$124.66–$239.59	1% below	15%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 RIBS RIGHT (2 OR 3 VIEWS),RIGHT	$209.95	$247.00	$124.66–$239.59	—	15%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 XR ribs unilat 2 vw(LEFT),LEFT	$209.95	$247.00	$124.66–$239.59	—	15%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR ribs unilat w/PA chest min 3 vw(LEFT),LEFT	$245.65	$289.00	$145.86–$280.33	15% below	15%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 RIBS WITH PA CHEST RIGHT,RIGHT	$245.65	$289.00	$145.86–$280.33	15% below	15%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 RIBS WITH PA CHEST RIGHT,RIGHT	$245.65	$289.00	$145.86–$280.33	—	15%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 XR ribs unilat w/PA chest min 3 vw(LEFT),LEFT	$245.65	$289.00	$145.86–$280.33	—	15%
Screening mammogram, both breasts both sides CPT 77067 Screening mammography bilat	$382.50	$450.00	$82.41–$436.50	—	15%
Screening mammogram, both breasts both sides CPT 77067 SCREENING MAMMO - BILATERAL DIGTL IMAG	$382.50	$450.00	$82.41–$436.50	—	15%
Screening mammogram, both breasts one side CPT 77067 MA SCREENING MAMMOGRAPHY RIGHT	$308.29	$362.69	$82.41–$351.81	at median	15%
Screening mammogram, both breasts one side CPT 77067 MA SCREENING MAMMOGRAPHY LEFT	$308.29	$362.69	$82.41–$351.81	at median	15%
Screening mammogram, both breasts inpatient both sides CPT 77067 SCREENING MAMMO - BILATERAL DIGTL IMAG	$382.50	$450.00	$82.41–$436.50	—	15%
Screening mammogram, both breasts inpatient both sides CPT 77067 Screening mammography bilat	$382.50	$450.00	$82.41–$436.50	—	15%
Screening mammogram, both breasts inpatient one side CPT 77067 MA SCREENING MAMMOGRAPHY RIGHT	$308.29	$362.69	$82.41–$351.81	—	15%
Screening mammogram, both breasts inpatient one side CPT 77067 MA SCREENING MAMMOGRAPHY LEFT	$308.29	$362.69	$82.41–$351.81	—	15%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR shoulder complete min 2 vw(LEFT),LEFT	$187.85	$221.00	$111.54–$214.37	19% below	15%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER, RIGHT (2 VIEWS),RIGHT	$187.85	$221.00	$111.54–$214.37	19% below	15%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR shoulder complete min 2 vw(LEFT),LEFT	$187.85	$221.00	$111.54–$214.37	—	15%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 SHOULDER, RIGHT (2 VIEWS),RIGHT	$187.85	$221.00	$111.54–$214.37	—	15%
Sinus X-ray, complete, 3 or more views CPT 70220 XR sinuses paranasal complete min 3 vw	$239.70	$282.00	$142.33–$273.54	2% below	15%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 XR sinuses paranasal complete min 3 vw	$239.70	$282.00	$142.33–$273.54	—	15%
Skull X-ray, fewer than 4 views CPT 70250 XR skull less than 4 vw	$176.80	$208.00	$104.98–$201.76	14% below	15%
Skull X-ray, fewer than 4 views inpatient CPT 70250 XR skull less than 4 vw	$176.80	$208.00	$104.98–$201.76	—	15%
Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNOGRAM	$1,990.96	$2,342.31	$1,182.16–$2,272.04	31% below	15%
Swallow study (modified barium swallow, video X-ray) CPT 74230 Video Swallow w (cine)(video)radiography	$213.32	$250.96	$126.66–$243.43	48% below	15%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 Video Swallow w (cine)(video)radiography	$213.32	$250.96	$126.66–$243.43	—	15%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 UPPER LEG RIGHT (2 VIEWS),RIGHT	$192.95	$227.00	$114.57–$220.19	1% below	15%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR femur min 2 vw(LEFT),LEFT	$192.95	$227.00	$114.57–$220.19	1% below	15%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 UPPER LEG RIGHT (2 VIEWS),RIGHT	$192.95	$227.00	$114.57–$220.19	—	15%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 XR femur min 2 vw(LEFT),LEFT	$192.95	$227.00	$114.57–$220.19	—	15%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT thoracic spine wo	$1,285.20	$1,512.00	$763.11–$1,466.64	7% below	15%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT thoracic spine wo	$1,285.20	$1,512.00	$763.11–$1,466.64	—	15%
Toe X-ray, 2 or more views one side CPT 73660 TOES, RIGHT MIN 2 VIEWS,RIGHT	$141.10	$166.00	$83.78–$161.02	18% below	15%
Toe X-ray, 2 or more views one side CPT 73660 XR toes min of 2 vw(LEFT),LEFT	$141.10	$166.00	$83.78–$161.02	18% below	15%
Toe X-ray, 2 or more views inpatient one side CPT 73660 TOES, RIGHT MIN 2 VIEWS,RIGHT	$141.10	$166.00	$83.78–$161.02	—	15%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR toes min of 2 vw(LEFT),LEFT	$141.10	$166.00	$83.78–$161.02	—	15%
Transvaginal pelvic ultrasound CPT 76830 US transvaginal non-OB	$321.30	$378.00	$190.78–$366.66	37% below	15%
Transvaginal pelvic ultrasound inpatient CPT 76830 US transvaginal non-OB	$321.30	$378.00	$190.78–$366.66	—	15%
Transvaginal ultrasound during pregnancy CPT 76817 US OB transvaginal	$343.15	$403.71	$203.75–$391.60	24% below	15%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US OB transvaginal	$343.15	$403.71	$203.75–$391.60	—	15%
Ultrasound of the abdomen, complete CPT 76700 US abdomen complete	$439.45	$517.00	$260.93–$501.49	37% below	15%
Ultrasound of the abdomen, complete inpatient CPT 76700 US abdomen complete	$439.45	$517.00	$260.93–$501.49	—	15%
Ultrasound of the scrotum and testicles CPT 76870 US scrotum and contents	$332.35	$391.00	$197.34–$379.27	39% below	15%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US scrotum and contents	$332.35	$391.00	$197.34–$379.27	—	15%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US soft tissue head/neck	$343.15	$403.71	$203.75–$391.60	26% below	15%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US soft tissue head/neck	$343.15	$403.71	$203.75–$391.60	—	15%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 BARIUM MEAL (NOT AC)	$402.90	$474.00	$239.23–$459.78	7% below	15%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 BARIUM MEAL (NOT AC)	$402.90	$474.00	$239.23–$459.78	—	15%
Upper arm X-ray (humerus), 2 views one side CPT 73060 XR humerus min 2 vw(LEFT),LEFT	$176.80	$208.00	$104.98–$201.76	5% below	15%
Upper arm X-ray (humerus), 2 views one side CPT 73060 UPPER ARM, RIGHT (2 VIEWS,RIGHT	$176.80	$208.00	$104.98–$201.76	5% below	15%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 UPPER ARM, RIGHT (2 VIEWS,RIGHT	$176.80	$208.00	$104.98–$201.76	—	15%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XR humerus min 2 vw(LEFT),LEFT	$176.80	$208.00	$104.98–$201.76	—	15%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VENOUS DUPLEX RIGHT	$646.77	$760.91	$384.03–$738.08	at median	15%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 UNILATERAL DUPLEX VENOUS EXTREMITY	$646.77	$760.91	$384.03–$738.08	at median	15%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US VENOUS DUPLEX RIGHT	$646.77	$760.91	$384.03–$738.08	—	15%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 UNILATERAL DUPLEX VENOUS EXTREMITY	$646.77	$760.91	$384.03–$738.08	—	15%
Wrist X-ray, 2 views one side CPT 73100 WRIST, RIGHT (2 VIEWS),RIGHT	$131.75	$155.00	$78.23–$150.35	28% below	15%
Wrist X-ray, 2 views one side CPT 73100 XR wrist 2 vw(LEFT),LEFT	$131.75	$155.00	$78.23–$150.35	28% below	15%
Wrist X-ray, 2 views inpatient one side CPT 73100 WRIST, RIGHT (2 VIEWS),RIGHT	$131.75	$155.00	$78.23–$150.35	—	15%
Wrist X-ray, 2 views inpatient one side CPT 73100 XR wrist 2 vw(LEFT),LEFT	$131.75	$155.00	$78.23–$150.35	—	15%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR wrist min 3 vw(LEFT),LEFT	$170.85	$201.00	$101.44–$194.97	23% below	15%
Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST, RIGHT MIN 3 VIEWS,RIGHT	$170.85	$201.00	$101.44–$194.97	23% below	15%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR wrist min 3 vw(LEFT),LEFT	$170.85	$201.00	$101.44–$194.97	—	15%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 WRIST, RIGHT MIN 3 VIEWS,RIGHT	$170.85	$201.00	$101.44–$194.97	—	15%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP LEFT (2 VIEWS),LEFT	$177.65	$209.00	$105.48–$202.73	15% below	15%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR hip unilat w/pelvis 2-3 vw(RIGHT),RIGHT	$177.65	$209.00	$105.48–$202.73	15% below	15%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP LEFT (2 VIEWS),LEFT	$177.65	$209.00	$105.48–$202.73	—	15%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR hip unilat w/pelvis 2-3 vw(RIGHT),RIGHT	$177.65	$209.00	$105.48–$202.73	—	15%
X-ray of the abdomen, 1 view CPT 74018 XR abdomen 1 view	$164.05	$193.00	$97.41–$187.21	7% below	15%
X-ray of the abdomen, 1 view inpatient CPT 74018 XR abdomen 1 view	$164.05	$193.00	$97.41–$187.21	—	15%
X-ray of the ankle, 2 views one side CPT 73600 ANKLE RIGHT (2 VIEWS),RIGHT	$146.24	$172.05	$86.83–$166.89	13% below	15%
X-ray of the ankle, 2 views inpatient one side CPT 73600 ANKLE RIGHT (2 VIEWS),RIGHT	$146.24	$172.05	$86.83–$166.89	—	15%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR finger (s) min 2 vw(LEFT),LEFT	$146.24	$172.05	$86.83–$166.89	13% below	15%
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER, RIGHT MIN 2 VIEWS,RIGHT	$146.24	$172.05	$86.83–$166.89	13% below	15%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER, RIGHT MIN 2 VIEWS,RIGHT	$146.24	$172.05	$86.83–$166.89	—	15%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR finger (s) min 2 vw(LEFT),LEFT	$146.24	$172.05	$86.83–$166.89	—	15%
X-ray of the foot, 2 views one side CPT 73620 FOOT, RIGHT (2 VIEWS),RIGHT	$146.24	$172.05	$86.83–$166.89	10% below	15%
X-ray of the foot, 2 views one side CPT 73620 XR foot 2 vw(LEFT),LEFT	$146.24	$172.05	$86.83–$166.89	10% below	15%
X-ray of the foot, 2 views inpatient one side CPT 73620 XR foot 2 vw(LEFT),LEFT	$146.24	$172.05	$86.83–$166.89	—	15%
X-ray of the foot, 2 views inpatient one side CPT 73620 FOOT, RIGHT (2 VIEWS),RIGHT	$146.24	$172.05	$86.83–$166.89	—	15%
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR foot complete min 3 vw(LEFT),LEFT	$163.20	$192.00	$96.90–$186.24	25% below	15%
X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT, RIGHT (3 VIEWS),RIGHT	$163.20	$192.00	$96.90–$186.24	25% below	15%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR foot complete min 3 vw(LEFT),LEFT	$163.20	$192.00	$96.90–$186.24	—	15%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 FOOT, RIGHT (3 VIEWS),RIGHT	$163.20	$192.00	$96.90–$186.24	—	15%
X-ray of the hand, 3 or more views one side CPT 73130 HAND, RIGHT MIN 3 VIEWS,RIGHT	$177.65	$209.00	$105.48–$202.73	13% below	15%
X-ray of the hand, 3 or more views one side CPT 73130 XR hand min 3 vw(LEFT),LEFT	$177.65	$209.00	$105.48–$202.73	13% below	15%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR hand min 3 vw(LEFT),LEFT	$177.65	$209.00	$105.48–$202.73	—	15%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 HAND, RIGHT MIN 3 VIEWS,RIGHT	$177.65	$209.00	$105.48–$202.73	—	15%
X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE RIGHT (1 OR 2 VIEWS),RIGHT	$169.15	$199.00	$100.44–$193.03	14% below	15%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR knee 1 or 2 vw(LEFT),LEFT	$169.15	$199.00	$100.44–$193.03	14% below	15%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 KNEE RIGHT (1 OR 2 VIEWS),RIGHT	$169.15	$199.00	$100.44–$193.03	—	15%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR knee 1 or 2 vw(LEFT),LEFT	$169.15	$199.00	$100.44–$193.03	—	15%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR L-spine 2 or 3 vw	$225.25	$265.00	$133.75–$257.05	21% below	15%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR L-spine 2 or 3 vw	$225.25	$265.00	$133.75–$257.05	—	15%
X-ray of the lower back, 4 or more views CPT 72110 XR L-spine min 4 vw	$277.95	$327.00	$165.04–$317.19	21% below	15%
X-ray of the lower back, 4 or more views inpatient CPT 72110 XR L-spine min 4 vw	$277.95	$327.00	$165.04–$317.19	—	15%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR THORACIC SPINE 2VW	$119.43	$140.50	$70.91–$136.28	52% below	15%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XR THORACIC SPINE 2VW	$119.43	$140.50	$70.91–$136.28	—	15%
X-ray of the nasal bones, 3 or more views CPT 70160 XR nasal bones complete min 3 vw	$186.15	$219.00	$110.53–$212.43	6% below	15%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XR nasal bones complete min 3 vw	$186.15	$219.00	$110.53–$212.43	—	15%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR C-spine 2 or 3 vw	$188.70	$222.00	$112.04–$215.34	24% below	15%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR C-spine 2 or 3 vw	$188.70	$222.00	$112.04–$215.34	—	15%
X-ray of the pelvis, 1 or 2 views CPT 72170 XR pelvis 1 or 2 vw	$192.10	$226.00	$114.06–$219.22	2% below	15%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR pelvis 1 or 2 vw	$192.10	$226.00	$114.06–$219.22	—	15%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR sacrum and coccyx min 2 vw	$165.75	$195.00	$98.42–$189.15	24% below	15%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR sacrum and coccyx min 2 vw	$165.75	$195.00	$98.42–$189.15	—	15%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Iowa	Off list
ACTH blood test CPT 82024 ACTH RADIOIMMUN	$166.15	$195.47	$98.65–$189.61	at median	15%
ACTH blood test CPT 82024 ACTH	$166.15	$195.47	$98.65–$189.61	at median	15%
ACTH blood test inpatient CPT 82024 ACTH	$166.15	$195.47	$98.65–$189.61	—	15%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT (ALT)	$26.35	$31.00	$15.65–$30.07	39% below	15%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT TRANSAMIN	$26.35	$31.00	$15.65–$30.07	39% below	15%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 SGPT (ALT)	$26.35	$31.00	$15.65–$30.07	—	15%
AST (aspartate aminotransferase) enzyme test CPT 84450 AST, TRANSFERAS	$26.35	$31.00	$15.65–$30.07	35% below	15%
AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT (AST)	$26.35	$31.00	$15.65–$30.07	35% below	15%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 SGOT (AST)	$26.35	$31.00	$15.65–$30.07	—	15%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL	$199.75	$235.00	$118.60–$227.95	15% below	15%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL	$199.75	$235.00	$118.60–$227.95	15% below	15%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 ACUTE HEPATITIS PANEL	$199.75	$235.00	$118.60–$227.95	—	15%
Albumin blood test CPT 82040 ASSAY, SERUM AL	$31.45	$37.00	$18.67–$35.89	13% below	15%
Albumin blood test CPT 82040 ALBUMIN SERUM	$31.45	$37.00	$18.67–$35.89	13% below	15%
Albumin blood test inpatient CPT 82040 ALBUMIN SERUM	$31.45	$37.00	$18.67–$35.89	—	15%
Aldosterone blood test CPT 82088 ALDOSTERONE	$237.79	$279.75	$141.19–$271.36	36% above	15%
Aldosterone blood test CPT 82088 ALDOSTERONE	$238.00	$280.00	$141.32–$271.60	36% above	15%
Aldosterone blood test inpatient CPT 82088 ALDOSTERONE	$237.79	$279.75	$141.19–$271.36	—	15%
Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSPHATASE	$35.70	$42.00	$21.20–$40.74	13% below	15%
Alkaline phosphatase (ALP) blood test CPT 84075 ASSAY ALKALINE	$35.70	$42.00	$21.20–$40.74	13% below	15%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALKALINE PHOSPHATASE	$35.70	$42.00	$21.20–$40.74	—	15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY TEST PER ALLERGEN	$26.35	$31.00	$15.65–$30.07	32% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Peanut	$26.35	$31.00	$15.65–$30.07	32% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIF	$26.35	$31.00	$15.65–$30.07	32% below	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Peanut	$26.35	$31.00	$15.65–$30.07	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY TEST PER ALLERGEN	$26.35	$31.00	$15.65–$30.07	—	15%
Alpha-fetoprotein (AFP) blood test CPT 82105 AFP TUMOR MARKER	$89.25	$105.00	$52.99–$101.85	1% below	15%
Alpha-fetoprotein (AFP) blood test CPT 82105 AFP, MATERNAL SERUM	$110.50	$130.00	$65.61–$126.10	23% above	15%
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA-FETOPROTE	$110.50	$130.00	$65.61–$126.10	23% above	15%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 AFP TUMOR MARKER	$89.25	$105.00	$52.99–$101.85	—	15%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 AFP, MATERNAL SERUM	$110.50	$130.00	$65.61–$126.10	—	15%
Ammonia blood test CPT 82140 AMMONIA 24 HOUR URINE	$52.70	$62.00	$31.29–$60.14	40% below	15%
Ammonia blood test CPT 82140 AMMONIA	$62.90	$74.00	$37.35–$71.78	29% below	15%
Ammonia blood test CPT 82140 ASSAY, BLOOD AM	$62.90	$74.00	$37.35–$71.78	29% below	15%
Ammonia blood test inpatient CPT 82140 AMMONIA 24 HOUR URINE	$52.70	$62.00	$31.29–$60.14	—	15%
Ammonia blood test inpatient CPT 82140 AMMONIA	$62.90	$74.00	$37.35–$71.78	—	15%
Amylase blood test CPT 82150 AMYLASE,SERUM	$30.60	$36.00	$18.17–$34.92	43% below	15%
Amylase blood test CPT 82150 AMYLASE	$30.60	$36.00	$18.17–$34.92	43% below	15%
Amylase blood test inpatient CPT 82150 AMYLASE	$30.60	$36.00	$18.17–$34.92	—	15%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULLINATED PEPT	$118.15	$139.00	$70.15–$134.83	49% above	15%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULLINATED PEPTIDE ANTIBODY	$118.15	$139.00	$70.15–$134.83	49% above	15%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRULLINATED PEPT	$118.15	$139.00	$70.15–$134.83	—	15%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA SCREEN	$62.05	$73.00	$36.84–$70.81	15% below	15%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA ANTINUCLEAR	$62.05	$73.00	$36.84–$70.81	15% below	15%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA SCREEN	$62.05	$73.00	$36.84–$70.81	—	15%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 ASSAY, NATIURET	$106.25	$125.00	$63.09–$121.25	32% below	15%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP-BETA NATRIURETIC PEPT	$106.25	$125.00	$63.09–$121.25	32% below	15%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 BNP-BETA NATRIURETIC PEPT	$106.25	$125.00	$63.09–$121.25	—	15%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 YEAST CULTURE	$36.55	$43.00	$21.70–$41.71	39% below	15%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE:OTHER BACTERIAL	$37.61	$44.25	$22.33–$42.92	38% below	15%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE:RESPIRATORY BACT	$45.90	$54.00	$27.25–$52.38	24% below	15%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE SPECIME	$51.00	$60.00	$30.28–$58.20	15% below	15%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 YEAST CULTURE	$36.55	$43.00	$21.70–$41.71	—	15%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE:OTHER BACTERIAL	$37.61	$44.25	$22.33–$42.92	—	15%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE:RESPIRATORY BACT	$45.90	$54.00	$27.25–$52.38	—	15%
Basic metabolic panel (blood test) CPT 80048 BMP	$42.50	$50.00	$25.24–$48.50	51% below	15%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC	$42.50	$50.00	$25.24–$48.50	51% below	15%
Basic metabolic panel (blood test) inpatient CPT 80048 BMP	$42.50	$50.00	$25.24–$48.50	—	15%
Bilirubin blood test, total CPT 82247 BILIRUBIN, TOTA	$28.90	$34.00	$17.16–$32.98	37% below	15%
Bilirubin blood test, total CPT 82247 BILIRUBIN, TOTAL	$28.90	$34.00	$17.16–$32.98	37% below	15%
Bilirubin blood test, total CPT 82247 NBILI - NEONATAL BILIRUBIN	$38.25	$45.00	$22.71–$43.65	16% below	15%
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN, TOTAL	$28.90	$34.00	$17.16–$32.98	—	15%
Bilirubin blood test, total inpatient CPT 82247 NBILI - NEONATAL BILIRUBIN	$38.25	$45.00	$22.71–$43.65	—	15%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 TISSUE EXAM LEVE IV	$119.90	$141.06	$65.24–$136.83	33% below	15%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 TISSUE EXAM BY PATHOLOGY	$119.90	$141.06	$65.24–$136.83	33% below	15%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 TISSUE EXAM LEVE IV	$119.90	$141.06	$65.24–$136.83	—	15%
Blood culture for bacteria CPT 87040 CULTURE-BLOOD	$53.55	$63.00	$31.80–$61.11	41% below	15%
Blood culture for bacteria CPT 87040 BLOOD CULTURE, AEROBIC	$53.55	$63.00	$31.80–$61.11	41% below	15%
Blood culture for bacteria inpatient CPT 87040 CULTURE-BLOOD	$53.55	$63.00	$31.80–$61.11	—	15%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE	$18.57	$21.85	$11.02–$21.19	12% below	15%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE	$18.57	$21.85	$11.02–$21.19	12% below	15%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE	$18.57	$21.85	$11.02–$21.19	—	15%
Blood glucose (sugar) test CPT 82947 FBS	$27.20	$32.00	$16.15–$31.04	19% below	15%
Blood glucose (sugar) test CPT 82947 BLOOD SUGAR	$27.20	$32.00	$16.15–$31.04	19% below	15%
Blood glucose (sugar) test CPT 82947 GLUCAGON	$73.95	$87.00	$43.91–$84.39	120% above	15%
Blood glucose (sugar) test inpatient CPT 82947 BLOOD SUGAR	$27.20	$32.00	$16.15–$31.04	—	15%
Blood glucose (sugar) test inpatient CPT 82947 GLUCAGON	$73.95	$87.00	$43.91–$84.39	—	15%
Blood lead test CPT 83655 ASSAY BLOOD FOR	$42.50	$50.00	$25.24–$48.50	21% below	15%
Blood lead test CPT 83655 LEAD	$42.50	$50.00	$25.24–$48.50	21% below	15%
Blood lead test CPT 83655 LEAD, VENOUS	$62.90	$74.00	$37.35–$71.78	16% above	15%
Blood lead test CPT 83655 LEAD, URINE	$67.15	$79.00	$39.87–$76.63	24% above	15%
Blood lead test inpatient CPT 83655 LEAD	$42.50	$50.00	$25.24–$48.50	—	15%
Blood lead test inpatient CPT 83655 LEAD, VENOUS	$62.90	$74.00	$37.35–$71.78	—	15%
Blood lead test inpatient CPT 83655 LEAD, URINE	$67.15	$79.00	$39.87–$76.63	—	15%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREGNANCY TEST	$75.96	$89.36	$45.10–$86.68	22% above	15%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG-SCREEN,SERUM	$75.96	$89.36	$45.10–$86.68	22% above	15%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG-SCREEN,SERUM	$75.96	$89.36	$45.10–$86.68	—	15%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING: ABO	$17.00	$20.00	$10.09–$19.40	70% below	15%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING:ABO	$17.00	$20.00	$10.09–$19.40	70% below	15%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 OB-ABO	$29.75	$35.00	$17.66–$33.95	48% below	15%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BLOOD TYPING: ABO	$17.00	$20.00	$10.09–$19.40	—	15%
Blood urea nitrogen (BUN) test CPT 84520 BUN	$21.25	$25.00	$12.62–$24.25	37% below	15%
Blood urea nitrogen (BUN) test CPT 84520 BUN (BLOOD UREA NITROGEN)	$21.25	$25.00	$12.62–$24.25	37% below	15%
Blood urea nitrogen (BUN) test inpatient CPT 84520 BUN (BLOOD UREA NITROGEN)	$21.25	$25.00	$12.62–$24.25	—	15%
C-peptide blood test CPT 84681 C-PEPTIDE	$88.40	$104.00	$52.49–$100.88	16% below	15%
C-peptide blood test CPT 84681 ASSAY, C-PEPTID	$88.40	$104.00	$52.49–$100.88	16% below	15%
C-peptide blood test inpatient CPT 84681 C-PEPTIDE	$88.40	$104.00	$52.49–$100.88	—	15%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROT	$49.30	$58.00	$29.27–$56.26	16% below	15%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN	$49.30	$58.00	$29.27–$56.26	16% below	15%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CRP	$49.30	$58.00	$29.27–$56.26	16% below	15%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN	$49.30	$58.00	$29.27–$56.26	—	15%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 CRP	$49.30	$58.00	$29.27–$56.26	—	15%
C. difficile toxin gene test (stool PCR) CPT 87493 C. DIFFICILE	$108.80	$128.00	$64.60–$124.16	1% above	15%
C. difficile toxin gene test (stool PCR) CPT 87493 INFECT ANTIGEN	$108.80	$128.00	$64.60–$124.16	1% above	15%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C. DIFFICILE	$108.80	$128.00	$64.60–$124.16	—	15%
CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9	$152.15	$179.00	$90.34–$173.63	56% above	15%
CA 19-9 blood test (tumor marker) CPT 86301 IMMUNOASSY FOR	$152.15	$179.00	$90.34–$173.63	56% above	15%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9	$152.15	$179.00	$90.34–$173.63	—	15%
CA-125 blood test (ovarian cancer marker) CPT 86304 IMMUNOASSAY FOR	$97.75	$115.00	$58.04–$111.55	15% below	15%
CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125	$97.75	$115.00	$58.04–$111.55	15% below	15%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125	$97.75	$115.00	$58.04–$111.55	—	15%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID PCR	$72.25	$85.00	$42.90–$82.45	39% below	15%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2 TESTING ID NOW	$101.15	$119.00	$60.06–$115.43	15% below	15%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-CoV-2	$101.15	$119.00	$60.06–$115.43	15% below	15%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID PCR	$72.25	$85.00	$42.90–$82.45	—	15%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-CoV-2	$101.15	$119.00	$60.06–$115.43	—	15%
Calcium blood test, total CPT 82310 ASSAY CALCIUM I	$28.90	$34.00	$17.16–$32.98	28% below	15%
Calcium blood test, total CPT 82310 CALCIUM	$28.90	$34.00	$17.16–$32.98	28% below	15%
Calcium blood test, total inpatient CPT 82310 CALCIUM	$28.90	$34.00	$17.16–$32.98	—	15%
Carcinoembryonic antigen (CEA) test CPT 82378 CEA	$97.75	$115.00	$58.04–$111.55	8% below	15%
Carcinoembryonic antigen (CEA) test CPT 82378 CEA	$97.75	$115.00	$58.04–$111.55	8% below	15%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CEA	$97.75	$115.00	$58.04–$111.55	—	15%
Chickenpox (varicella) immunity blood test CPT 86787 VZV SCREEN	$62.02	$72.97	$36.83–$70.78	3% below	15%
Chickenpox (varicella) immunity blood test CPT 86787 VZV IgG OR IgM ABS	$62.02	$72.97	$36.83–$70.78	3% below	15%
Chickenpox (varicella) immunity blood test CPT 86787 ANTIBODY, VARIC	$62.02	$72.97	$36.83–$70.78	3% below	15%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VZV SCREEN	$62.02	$72.97	$36.83–$70.78	—	15%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VZV IgG OR IgM ABS	$62.02	$72.97	$36.83–$70.78	—	15%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACH	$96.05	$113.00	$57.03–$109.61	3% below	15%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA BD PROBE	$96.05	$113.00	$57.03–$109.61	3% below	15%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA BD PROBE	$96.05	$113.00	$57.03–$109.61	—	15%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID II	$68.00	$80.00	$40.38–$77.60	22% below	15%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL	$68.00	$80.00	$40.38–$77.60	22% below	15%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID II	$68.00	$80.00	$40.38–$77.60	—	15%
Complete blood count (CBC) with differential CPT 85025 OB-CBC	$29.75	$35.00	$17.66–$33.95	53% below	15%
Complete blood count (CBC) with differential CPT 85025 CBC/AUTO DIF	$38.25	$45.00	$22.71–$43.65	39% below	15%
Complete blood count (CBC) with differential CPT 85025 CBC HGB, HCT, WBC, AUTO DIFF	$38.25	$45.00	$22.71–$43.65	39% below	15%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC/AUTO DIF	$38.25	$45.00	$22.71–$43.65	—	15%
Complete blood count (CBC), no differential CPT 85027 HEMOGRAM	$36.55	$43.00	$21.70–$41.71	20% below	15%
Complete blood count (CBC), no differential CPT 85027 AUTOMATED HEMOG	$36.55	$43.00	$21.70–$41.71	20% below	15%
Complete blood count (CBC), no differential inpatient CPT 85027 HEMOGRAM	$36.55	$43.00	$21.70–$41.71	—	15%
Comprehensive metabolic panel (blood test) CPT 80053 CMP	$53.55	$63.00	$31.80–$61.11	57% below	15%
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE M	$53.55	$63.00	$31.80–$61.11	57% below	15%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 CMP	$53.55	$63.00	$31.80–$61.11	—	15%
Cortisol blood test, total CPT 82533 CORTISOL	$71.40	$84.00	$42.39–$81.48	29% below	15%
Cortisol blood test, total CPT 82533 ASSAY, PLASMA C	$71.40	$84.00	$42.39–$81.48	29% below	15%
Cortisol blood test, total CPT 82533 CORTISOL POST SUPPRESION	$71.40	$84.00	$42.39–$81.48	29% below	15%
Cortisol blood test, total CPT 82533 CORTISOL, SALIVA	$71.40	$84.00	$42.39–$81.48	29% below	15%
Cortisol blood test, total inpatient CPT 82533 CORTISOL POST SUPPRESION	$71.40	$84.00	$42.39–$81.48	—	15%
Cortisol blood test, total inpatient CPT 82533 CORTISOL	$71.40	$84.00	$42.39–$81.48	—	15%
Cortisol blood test, total inpatient CPT 82533 CORTISOL, SALIVA	$71.40	$84.00	$42.39–$81.48	—	15%
Creatine kinase (CK) blood test, total CPT 82550 CREATINE KINASE(CK)	$29.75	$35.00	$17.66–$33.95	39% below	15%
Creatine kinase (CK) blood test, total CPT 82550 ASSAY CPK IN BL	$29.75	$35.00	$17.66–$33.95	39% below	15%
Creatine kinase (CK) blood test, total inpatient CPT 82550 CREATINE KINASE(CK)	$29.75	$35.00	$17.66–$33.95	—	15%
Creatinine blood test CPT 82565 CREATININE	$28.90	$34.00	$17.16–$32.98	19% below	15%
Creatinine blood test CPT 82565 CREATININE	$28.90	$34.00	$17.16–$32.98	19% below	15%
Creatinine blood test inpatient CPT 82565 CREATININE	$28.90	$34.00	$17.16–$32.98	—	15%
Cytomegalovirus (CMV) antibody test CPT 86644 CYTOMEGALOVIRUS IGG	$45.05	$53.00	$26.75–$51.41	34% below	15%
Cytomegalovirus (CMV) antibody test CPT 86644 CMV ANTIBODY	$45.08	$53.03	$26.76–$51.44	33% below	15%
Cytomegalovirus (CMV) antibody test CPT 86644 CMV IGG	$45.08	$53.03	$26.76–$51.44	33% below	15%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CYTOMEGALOVIRUS IGG	$45.05	$53.00	$26.75–$51.41	—	15%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV IGG	$45.08	$53.03	$26.76–$51.44	—	15%
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER	$51.00	$60.00	$30.28–$58.20	40% below	15%
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER	$51.00	$60.00	$30.28–$58.20	40% below	15%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER	$51.00	$60.00	$30.28–$58.20	—	15%
DHEA sulfate (DHEA-S) blood test CPT 82627 ASSAY, DEHYDROE	$79.90	$94.00	$47.44–$91.18	31% below	15%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-S	$79.90	$94.00	$47.44–$91.18	31% below	15%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA-S	$79.90	$94.00	$47.44–$91.18	—	15%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG ABUSE 2590	$72.25	$85.00	$42.90–$82.45	43% below	15%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUGS OF ABUSE 52	$111.35	$131.00	$66.12–$127.07	12% below	15%
Drug screen by lab instrument (any number of drug classes) CPT 80307 COMP DRUG SCREEN W/CONFIRM, URINE	$174.25	$205.00	$103.46–$198.85	38% above	15%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG ABUSE 2590	$72.25	$85.00	$42.90–$82.45	—	15%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUGS OF ABUSE 52	$111.35	$131.00	$66.12–$127.07	—	15%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 COMP DRUG SCREEN W/CONFIRM, URINE	$174.25	$205.00	$103.46–$198.85	—	15%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTES	$44.20	$52.00	$26.24–$50.44	36% below	15%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTOLYTE PANE	$44.20	$52.00	$26.24–$50.44	36% below	15%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYTES	$44.20	$52.00	$26.24–$50.44	—	15%
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV IGG OR IGM	$93.50	$110.00	$55.52–$106.70	30% above	15%
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV IGG OR IGM	$93.50	$110.00	$55.52–$106.70	30% above	15%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV IGG OR IGM	$93.50	$110.00	$55.52–$106.70	—	15%
Estradiol blood test CPT 82670 ASSAY, ESTRADIO	$162.35	$191.00	$96.40–$185.27	26% above	15%
Estradiol blood test CPT 82670 ESTRADIOL	$162.35	$191.00	$96.40–$185.27	26% above	15%
Estradiol blood test inpatient CPT 82670 ESTRADIOL	$162.35	$191.00	$96.40–$185.27	—	15%
FSH (follicle-stimulating hormone) test CPT 83001 FSH	$103.70	$122.00	$61.57–$118.34	1% above	15%
FSH (follicle-stimulating hormone) test CPT 83001 ASSAY, PITUITAR	$103.70	$122.00	$61.57–$118.34	1% above	15%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH	$103.70	$122.00	$61.57–$118.34	—	15%
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN STOOL	$177.91	$209.30	$105.63–$203.02	11% above	15%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN STOOL	$177.91	$209.30	$105.63–$203.02	—	15%
Ferritin blood test (iron stores) CPT 82728 ASSAY, FERRITIN	$72.25	$85.00	$42.90–$82.45	19% below	15%
Ferritin blood test (iron stores) CPT 82728 FERRITIN	$72.25	$85.00	$42.90–$82.45	19% below	15%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN	$72.25	$85.00	$42.90–$82.45	—	15%
Fibrinogen blood test CPT 85384 FIBRINOGEN	$65.24	$76.75	$38.74–$74.45	1% below	15%
Fibrinogen blood test CPT 85384 FIBRINOGEN	$65.24	$76.75	$38.74–$74.45	1% below	15%
Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN	$65.24	$76.75	$38.74–$74.45	—	15%
Folate (folic acid) blood test CPT 82746 FOLIC ACID	$80.75	$95.00	$47.95–$92.15	8% below	15%
Folate (folic acid) blood test CPT 82746 FOLIC ACID;SERU	$80.75	$95.00	$47.95–$92.15	8% below	15%
Folate (folic acid) blood test inpatient CPT 82746 FOLIC ACID	$80.75	$95.00	$47.95–$92.15	—	15%
Free T3 thyroid hormone test CPT 84481 ASSAY, FREE TRI	$115.60	$136.00	$68.64–$131.92	7% above	15%
Free T3 thyroid hormone test CPT 84481 FREE T3	$115.60	$136.00	$68.64–$131.92	7% above	15%
Free T3 thyroid hormone test inpatient CPT 84481 FREE T3	$115.60	$136.00	$68.64–$131.92	—	15%
Free T4 (free thyroxine) thyroid blood test CPT 84439 ASSAY, FREE THY	$53.32	$62.73	$31.66–$60.85	19% below	15%
Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T4-THYROID II PROFIL	$53.32	$62.73	$31.66–$60.85	19% below	15%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 FREE T4-THYROID II PROFIL	$53.32	$62.73	$31.66–$60.85	—	15%
Free testosterone test CPT 84402 ASSAY, FREE TES	$119.00	$140.00	$70.66–$135.80	15% above	15%
Free testosterone test CPT 84402 TESTOSTERONE; FREE	$119.00	$140.00	$70.66–$135.80	15% above	15%
Free testosterone test inpatient CPT 84402 TESTOSTERONE; FREE	$119.00	$140.00	$70.66–$135.80	—	15%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 ASSAY, GGT ENZY	$39.95	$47.00	$23.72–$45.59	21% below	15%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGTP	$39.95	$47.00	$23.72–$45.59	21% below	15%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GGTP	$39.95	$47.00	$23.72–$45.59	—	15%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH	$59.50	$70.00	$35.33–$67.90	63% below	15%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GESTATIONAL DIABETES SCRN	$34.85	$41.00	$20.69–$39.77	13% below	15%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE TEST	$34.85	$41.00	$20.69–$39.77	13% below	15%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GESTATIONAL DIABETES SCRN	$34.85	$41.00	$20.69–$39.77	—	15%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERAN	$80.75	$95.00	$47.95–$92.15	8% below	15%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE TEST-3	$80.75	$95.00	$47.95–$92.15	8% below	15%
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOLERANCE TEST-3	$80.75	$95.00	$47.95–$92.15	—	15%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONOR	$128.35	$151.00	$76.21–$146.47	38% above	15%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC BY BD	$128.35	$151.00	$76.21–$146.47	38% above	15%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GC BY BD	$128.35	$151.00	$76.21–$146.47	—	15%
H. pylori antibody blood test CPT 86677 H. PYLORI IGG	$98.60	$116.00	$58.55–$112.52	23% above	15%
H. pylori antibody blood test CPT 86677 HELICOBACTER PY	$98.60	$116.00	$58.55–$112.52	23% above	15%
H. pylori antibody blood test CPT 86677 H. PYLORI IGM	$194.65	$229.00	$115.58–$222.13	143% above	15%
H. pylori antibody blood test inpatient CPT 86677 H. PYLORI IGG	$98.60	$116.00	$58.55–$112.52	—	15%
H. pylori antibody blood test inpatient CPT 86677 H. PYLORI IGM	$194.65	$229.00	$115.58–$222.13	—	15%
H. pylori stool antigen test CPT 87338 H. PYLORI AG, STOOL	$102.66	$120.78	$60.96–$117.16	8% below	15%
H. pylori stool antigen test CPT 87338 H. PYLORI AG, STOOL	$102.66	$120.78	$60.96–$117.16	8% below	15%
H. pylori stool antigen test inpatient CPT 87338 H. PYLORI AG, STOOL	$102.66	$120.78	$60.96–$117.16	—	15%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 RNA QUANT	$439.45	$517.00	$260.93–$501.49	67% above	15%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 RNA QUANT	$439.45	$517.00	$260.93–$501.49	—	15%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 OB-HIV	$29.75	$35.00	$17.66–$33.95	61% below	15%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV SCREEN REFLEX TO CONFIRM	$49.12	$57.79	$29.16–$56.06	36% below	15%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV SCREEN REFLEX TO CONFIRM	$49.12	$57.79	$29.16–$56.06	36% below	15%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV SCREEN REFLEX TO CONFIRM	$49.12	$57.79	$29.16–$56.06	—	15%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV DNA	$133.23	$156.74	$79.11–$152.04	41% above	15%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV DNA	$133.23	$156.74	$79.11–$152.04	41% above	15%
HPV test for high-risk types, one combined (pooled) result CPT 87624 ORARISK HPV	$148.75	$175.00	$88.32–$169.75	58% above	15%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV DNA	$133.23	$156.74	$79.11–$152.04	—	15%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 ORARISK HPV	$148.75	$175.00	$88.32–$169.75	—	15%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCATED (HGB)	$50.15	$59.00	$29.78–$57.23	23% below	15%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCATED HGB - A1C	$50.15	$59.00	$29.78–$57.23	23% below	15%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 GLYCATED HGB - A1C	$50.15	$59.00	$29.78–$57.23	—	15%
Hemoglobin blood test CPT 85018 HEMOGLOBIN	$12.75	$15.00	$7.57–$14.55	55% below	15%
Hemoglobin blood test CPT 85018 HGB (Clinic)	$12.75	$15.00	$7.57–$14.55	55% below	15%
Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN	$12.75	$15.00	$7.57–$14.55	—	15%
Hepatitis B core antibody test (total) CPT 86704 HEP B CORE AB, TOTAL	$65.45	$77.00	$38.86–$74.69	8% below	15%
Hepatitis B core antibody test (total) CPT 86704 ANTIBODY, HEPAT	$65.45	$77.00	$38.86–$74.69	8% below	15%
Hepatitis B core antibody test (total) inpatient CPT 86704 HEP B CORE AB, TOTAL	$65.45	$77.00	$38.86–$74.69	—	15%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 ANTIBODY, HEPAT	$56.95	$67.00	$33.81–$64.99	17% below	15%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HBSAB	$56.95	$67.00	$33.81–$64.99	17% below	15%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HBSAB	$56.95	$67.00	$33.81–$64.99	—	15%
Hepatitis B surface antigen (HBsAg) test CPT 87340 OB-HBSAG	$29.75	$35.00	$17.66–$33.95	58% below	15%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEP BS AG	$45.05	$53.00	$26.75–$51.41	36% below	15%
Hepatitis B surface antigen (HBsAg) test CPT 87340 INFECT ANTIGEN,	$45.05	$53.00	$26.75–$51.41	36% below	15%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEP BS AG	$45.05	$53.00	$26.75–$51.41	—	15%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY	$97.75	$115.00	$58.04–$111.55	22% above	15%
Hepatitis C antibody blood test (screening) CPT 86803 ANTIBODY, HEPAT	$97.75	$115.00	$58.04–$111.55	22% above	15%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C ANTIBODY	$97.75	$115.00	$58.04–$111.55	—	15%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C VIRUS RNA	$296.97	$349.38	$176.33–$338.90	13% above	15%
Hepatitis C viral load (HCV RNA) test CPT 87522 INFECT ANTIGEN,	$296.97	$349.38	$176.33–$338.90	13% above	15%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C VIRUS RNA	$296.97	$349.38	$176.33–$338.90	—	15%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES 1 IGG	$71.61	$84.25	$42.52–$81.72	6% above	15%
Herpes blood test, HSV-1 antibody CPT 86695 ANTIBODY, HERPE	$93.50	$110.00	$55.52–$106.70	39% above	15%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES 1 IGg	$93.50	$110.00	$55.52–$106.70	39% above	15%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES 1 IGG	$71.61	$84.25	$42.52–$81.72	—	15%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES 1 IGg	$93.50	$110.00	$55.52–$106.70	—	15%
Herpes blood test, HSV-2 antibody CPT 86696 HSV 2 IgM TITER	$58.86	$69.25	$34.95–$67.17	2% above	15%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES 2 IGG	$71.61	$84.25	$42.52–$81.72	24% above	15%
Herpes blood test, HSV-2 antibody CPT 86696 ANTIBODY, HERPE	$93.50	$110.00	$55.52–$106.70	62% above	15%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES II IGG	$93.50	$110.00	$55.52–$106.70	62% above	15%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV 2 IgM TITER	$58.86	$69.25	$34.95–$67.17	—	15%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES 2 IGG	$71.61	$84.25	$42.52–$81.72	—	15%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES II IGG	$93.50	$110.00	$55.52–$106.70	—	15%
High-sensitivity CRP (hs-CRP) test CPT 86141 CARDIAC CRP	$50.15	$59.00	$29.78–$57.23	37% below	15%
High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROT	$50.15	$59.00	$29.78–$57.23	37% below	15%
High-sensitivity CRP (hs-CRP) test CPT 86141 CARDIO HS CRP	$70.55	$83.00	$41.89–$80.51	12% below	15%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CARDIAC CRP	$50.15	$59.00	$29.78–$57.23	—	15%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CARDIO HS CRP	$70.55	$83.00	$41.89–$80.51	—	15%
Homocysteine blood test CPT 83090 ASSAY, HOMOCYST	$50.15	$59.00	$29.78–$57.23	48% below	15%
Homocysteine blood test CPT 83090 HOMOCYSTEINE	$82.77	$97.38	$49.15–$94.46	14% below	15%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE	$82.77	$97.38	$49.15–$94.46	—	15%
Insulin blood test CPT 83525 ASSAY, INSULIN,	$52.70	$62.00	$31.29–$60.14	31% below	15%
Insulin blood test CPT 83525 INSULIN	$52.70	$62.00	$31.29–$60.14	31% below	15%
Insulin blood test inpatient CPT 83525 INSULIN	$52.70	$62.00	$31.29–$60.14	—	15%
Iron blood test (serum iron) CPT 83540 SERUM IRON	$38.25	$45.00	$22.71–$43.65	9% below	15%
Iron blood test (serum iron) CPT 83540 IRON	$38.25	$45.00	$22.71–$43.65	9% below	15%
Iron blood test (serum iron) inpatient CPT 83540 IRON	$38.25	$45.00	$22.71–$43.65	—	15%
Iron-binding capacity (TIBC) test CPT 83550 TIBC	$38.25	$45.00	$22.71–$43.65	22% below	15%
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CA	$38.25	$45.00	$22.71–$43.65	22% below	15%
Iron-binding capacity (TIBC) test inpatient CPT 83550 TIBC	$38.25	$45.00	$22.71–$43.65	—	15%
Kidney function blood test panel CPT 80069 RENAL FUNCTON PANEL	$43.78	$51.50	$25.99–$49.96	54% below	15%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL	$44.20	$52.00	$26.24–$50.44	53% below	15%
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTON PANEL	$43.78	$51.50	$25.99–$49.96	—	15%
LH (luteinizing hormone) test CPT 83002 LH	$107.10	$126.00	$63.59–$122.22	17% above	15%
LH (luteinizing hormone) test CPT 83002 ASSAY, PITUITAR	$107.10	$126.00	$63.59–$122.22	17% above	15%
LH (luteinizing hormone) test CPT 83002 LH-TANNER STAGES	$116.71	$137.30	$69.30–$133.18	28% above	15%
LH (luteinizing hormone) test inpatient CPT 83002 LH	$107.10	$126.00	$63.59–$122.22	—	15%
LH (luteinizing hormone) test inpatient CPT 83002 LH-TANNER STAGES	$116.71	$137.30	$69.30–$133.18	—	15%
Lactate (lactic acid) blood test CPT 83605 LACTIC ACID	$53.55	$63.00	$31.80–$61.11	29% below	15%
Lactate (lactic acid) blood test CPT 83605 LACTIC ACID	$53.55	$63.00	$31.80–$61.11	29% below	15%
Lactate (lactic acid) blood test inpatient CPT 83605 LACTIC ACID	$53.55	$63.00	$31.80–$61.11	—	15%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH-LACTATE DEHYDROGENASE	$28.05	$33.00	$16.66–$32.01	35% below	15%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH-LACTATE DEHYDROGENASE	$28.05	$33.00	$16.66–$32.01	35% below	15%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH-LACTATE DEHYDROGENASE	$28.05	$33.00	$16.66–$32.01	—	15%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE	$34.85	$41.00	$20.69–$39.77	47% below	15%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE	$34.85	$41.00	$20.69–$39.77	47% below	15%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE	$34.85	$41.00	$20.69–$39.77	—	15%
Liver function blood test panel CPT 80076 LIVER PROFILE	$44.20	$52.00	$26.24–$50.44	50% below	15%
Liver function blood test panel CPT 80076 HEPATIC FUNCTIO	$44.20	$52.00	$26.24–$50.44	50% below	15%
Liver function blood test panel inpatient CPT 80076 LIVER PROFILE	$44.20	$52.00	$26.24–$50.44	—	15%
Lyme disease antibody test CPT 86618 LYMES WESTERN BLOT, IGG &IGA	$113.65	$133.70	$67.48–$129.69	31% above	15%
Lyme disease antibody test CPT 86618 LYME DX AB SCREEN	$113.65	$133.70	$67.48–$129.69	31% above	15%
Lyme disease antibody test inpatient CPT 86618 LYMES WESTERN BLOT, IGG &IGA	$113.65	$133.70	$67.48–$129.69	—	15%
Magnesium blood test CPT 83735 ASSAY, BLOOD MA	$28.90	$34.00	$17.16–$32.98	41% below	15%
Magnesium blood test CPT 83735 MAGNESIUM	$28.90	$34.00	$17.16–$32.98	41% below	15%
Magnesium blood test CPT 83735 MAGNESIUM, 24 HR URINE	$29.75	$35.00	$17.66–$33.95	39% below	15%
Magnesium blood test CPT 83735 MAGNESIUM RANDOM URINE	$44.20	$52.00	$26.24–$50.44	9% below	15%
Magnesium blood test inpatient CPT 83735 MAGNESIUM	$28.90	$34.00	$17.16–$32.98	—	15%
Magnesium blood test inpatient CPT 83735 MAGNESIUM, 24 HR URINE	$29.75	$35.00	$17.66–$33.95	—	15%
Magnesium blood test inpatient CPT 83735 MAGNESIUM RANDOM URINE	$44.20	$52.00	$26.24–$50.44	—	15%
Measles (rubeola) antibody test CPT 86765 ANTIBODY, RUBEO	$90.10	$106.00	$53.50–$102.82	58% above	15%
Measles (rubeola) antibody test CPT 86765 RUBEOLA (MEASLES) IgG AB	$114.33	$134.50	$67.88–$130.46	101% above	15%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA (MEASLES) IgG AB	$114.33	$134.50	$67.88–$130.46	—	15%
Mono test (heterophile antibody, Monospot) CPT 86308 MONO TEST	$31.45	$37.00	$18.67–$35.89	35% below	15%
Mono test (heterophile antibody, Monospot) CPT 86308 MONO TEST	$31.45	$37.00	$18.67–$35.89	35% below	15%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONO TEST	$31.45	$37.00	$18.67–$35.89	—	15%
Mumps immunity blood test CPT 86735 MUMPS AB IGG OR IGM	$80.75	$95.00	$47.95–$92.15	54% above	15%
Mumps immunity blood test CPT 86735 MUMPS AB IGG OR IGM	$80.75	$95.00	$47.95–$92.15	54% above	15%
Mumps immunity blood test inpatient CPT 86735 MUMPS AB IGG OR IGM	$80.75	$95.00	$47.95–$92.15	—	15%
Obstetric blood test panel CPT 80055 OB PANEL	$134.30	$158.00	$79.74–$153.26	19% above	15%
Obstetric blood test panel CPT 80055 OB 1	$134.30	$158.00	$79.74–$153.26	19% above	15%
Obstetric blood test panel inpatient CPT 80055 OB 1	$134.30	$158.00	$79.74–$153.26	—	15%
PSA (prostate-specific antigen) blood test, free CPT 84154 ASSAY, PSA, FRE	$93.50	$110.00	$55.52–$106.70	4% below	15%
PSA (prostate-specific antigen) blood test, free CPT 84154 FREE PSA	$93.50	$110.00	$55.52–$106.70	4% below	15%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 FREE PSA	$93.50	$110.00	$55.52–$106.70	—	15%
PSA (prostate-specific antigen) blood test, total CPT 84153 HRH PSA	$12.75	$15.00	$7.57–$14.55	87% below	15%
PSA (prostate-specific antigen) blood test, total CPT 84153 SELF PAY PSA	$21.25	$25.00	$12.62–$24.25	78% below	15%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA	$78.48	$92.33	$46.60–$89.56	19% below	15%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA	$78.48	$92.33	$46.60–$89.56	19% below	15%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HRH PSA	$12.75	$15.00	$7.57–$14.55	—	15%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA	$78.48	$92.33	$46.60–$89.56	—	15%
Pap test (liquid-based, automated screening with review) CPT 88175 THIN PREP PAP-XIX	$80.92	$95.20	$48.05–$92.34	2% above	15%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 THIN PREP PAP-XIX	$80.92	$95.20	$48.05–$92.34	—	15%
Parathyroid hormone (PTH) blood test CPT 83970 PTH INTACT	$176.14	$207.22	$104.58–$201.00	1% below	15%
Parathyroid hormone (PTH) blood test CPT 83970 PTH INTACT	$176.14	$207.22	$104.58–$201.00	1% below	15%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH INTACT	$176.14	$207.22	$104.58–$201.00	—	15%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT-SANFORD	$43.35	$51.00	$25.74–$49.47	6% below	15%
Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN	$44.20	$52.00	$26.24–$50.44	4% below	15%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT	$44.20	$52.00	$26.24–$50.44	4% below	15%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT-SANFORD	$43.35	$51.00	$25.74–$49.47	—	15%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT	$44.20	$52.00	$26.24–$50.44	—	15%
Phosphorus (phosphate) blood test CPT 84100 ASSAY, BLOOD PH	$27.20	$32.00	$16.15–$31.04	24% below	15%
Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS SERUM	$27.20	$32.00	$16.15–$31.04	24% below	15%
Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHORUS SERUM	$27.20	$32.00	$16.15–$31.04	—	15%
Potassium blood test CPT 84132 POTASSIUM BLOOD	$27.20	$32.00	$16.15–$31.04	21% below	15%
Potassium blood test CPT 84132 POTASSIUM	$27.20	$32.00	$16.15–$31.04	21% below	15%
Potassium blood test inpatient CPT 84132 POTASSIUM	$27.20	$32.00	$16.15–$31.04	—	15%
Progesterone blood test CPT 84144 ASSAY, PROGESTE	$87.55	$103.00	$51.98–$99.91	12% below	15%
Progesterone blood test CPT 84144 PROGESTERONE	$87.55	$103.00	$51.98–$99.91	12% below	15%
Progesterone blood test inpatient CPT 84144 PROGESTERONE	$87.55	$103.00	$51.98–$99.91	—	15%
Prolactin blood test CPT 84146 PROLACTIN	$27.91	$32.83	$16.57–$31.85	73% below	15%
Prolactin blood test CPT 84146 PROLACTIN	$27.91	$32.83	$16.57–$31.85	73% below	15%
Prolactin blood test CPT 84146 PROLACTIN, UNPRECIPITATED	$140.25	$165.00	$83.28–$160.05	36% above	15%
Prolactin blood test inpatient CPT 84146 PROLACTIN	$27.91	$32.83	$16.57–$31.85	—	15%
Prolactin blood test inpatient CPT 84146 PROLACTIN, UNPRECIPITATED	$140.25	$165.00	$83.28–$160.05	—	15%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME	$19.55	$23.00	$11.61–$22.31	40% below	15%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIM	$19.55	$23.00	$11.61–$22.31	40% below	15%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTIME	$19.55	$23.00	$11.61–$22.31	—	15%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 NICOTINE SCREEN	$35.70	$42.00	$21.20–$40.74	51% below	15%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 CLH DRUG TESTS	$56.10	$66.00	$33.32–$64.02	23% below	15%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUGS OF ABUSE	$56.10	$66.00	$33.31–$64.02	23% below	15%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG OF ABUSE	$56.10	$66.00	$33.31–$64.02	23% below	15%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 NICOTINE SCREEN	$35.70	$42.00	$21.20–$40.74	—	15%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 DRUG OF ABUSE	$56.10	$66.00	$33.31–$64.02	—	15%
Rapid flu test (influenza antigen) CPT 87804 INFECT ANTIGEN,	$40.80	$48.00	$24.23–$46.56	16% below	15%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA SCREEN	$40.80	$48.00	$24.23–$46.56	16% below	15%
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA SCREEN	$40.80	$48.00	$24.23–$46.56	—	15%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 INFECT ANTIGEN,	$54.40	$64.00	$32.30–$62.08	5% above	15%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP SCREEN	$54.40	$64.00	$32.30–$62.08	5% above	15%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREP SCREEN	$54.40	$64.00	$32.30–$62.08	—	15%
Renin blood test CPT 84244 RENIN	$135.79	$159.75	$80.63–$154.96	25% above	15%
Renin blood test CPT 84244 RENIN ACTIVITY	$136.00	$160.00	$80.75–$155.20	25% above	15%
Renin blood test inpatient CPT 84244 RENIN	$135.79	$159.75	$80.63–$154.96	—	15%
Rh blood typing CPT 86901 BLOOD TYPE: RH	$17.00	$20.00	$10.09–$19.40	62% below	15%
Rh blood typing CPT 86901 BLOOD TYPING, R	$17.00	$20.00	$10.09–$19.40	62% below	15%
Rh blood typing CPT 86901 OB-RH	$29.75	$35.00	$17.66–$33.95	34% below	15%
Rh blood typing inpatient CPT 86901 BLOOD TYPE: RH	$17.00	$20.00	$10.09–$19.40	—	15%
Rheumatoid factor (RF) test CPT 86431 RA FACTOR TITER	$39.95	$47.00	$23.72–$45.59	18% below	15%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACT	$39.95	$47.00	$23.72–$45.59	18% below	15%
Rheumatoid factor (RF) test inpatient CPT 86431 RA FACTOR TITER	$39.95	$47.00	$23.72–$45.59	—	15%
Rubella antibody test (immunity check) CPT 86762 OB-RUBELLA	$29.75	$35.00	$17.66–$33.95	54% below	15%
Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY	$73.10	$86.00	$43.40–$83.42	14% above	15%
Rubella antibody test (immunity check) CPT 86762 RUBELLA AG SCREEN	$73.10	$86.00	$43.40–$83.42	14% above	15%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA AG SCREEN	$73.10	$86.00	$43.40–$83.42	—	15%
Sodium blood test CPT 84295 SODIUM	$17.26	$20.31	$10.25–$19.70	49% below	15%
Sodium blood test CPT 84295 SODIUM	$17.26	$20.31	$10.25–$19.70	49% below	15%
Sodium blood test inpatient CPT 84295 SODIUM	$17.26	$20.31	$10.25–$19.70	—	15%
Stool ova and parasites exam CPT 87177 OVA AND PARASIT	$61.20	$72.00	$36.34–$69.84	23% above	15%
Stool ova and parasites exam CPT 87177 O & P	$61.20	$72.00	$36.34–$69.84	23% above	15%
Stool ova and parasites exam inpatient CPT 87177 O & P	$61.20	$72.00	$36.34–$69.84	—	15%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD FECES (ONE S	$11.68	$13.74	$6.93–$13.33	65% below	15%
Stool test for hidden blood (guaiac FOBT) CPT 82270 SCREENING SFOB (ONE SET)	$11.68	$13.74	$6.93–$13.33	65% below	15%
Stool test for hidden blood (guaiac FOBT) CPT 82270 HEMOCULT	$18.70	$22.00	$11.10–$21.34	44% below	15%
Stool test for hidden blood (guaiac FOBT) CPT 82270 SCREENING SFOB (SET OF 3)	$18.70	$22.00	$11.10–$21.34	44% below	15%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 SCREENING SFOB (ONE SET)	$11.68	$13.74	$6.93–$13.33	—	15%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLOOD FECES (ONE S	$11.68	$13.74	$6.93–$13.33	—	15%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 SCREENING SFOB (SET OF 3)	$18.70	$22.00	$11.10–$21.34	—	15%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 BLOOD OCCULT, Q	$42.50	$50.00	$25.24–$48.50	27% below	15%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 CRC SCREEN(FOB)	$79.05	$93.00	$46.94–$90.21	36% above	15%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 CRC SCREEN(FOB)	$79.05	$93.00	$46.94–$90.21	—	15%
Syphilis antibody test (Treponema pallidum) CPT 86780 OB-SYPHILIS TPA	$29.75	$35.00	$17.66–$33.95	45% below	15%
Syphilis antibody test (Treponema pallidum) CPT 86780 SYPHYILIS	$56.35	$66.29	$33.46–$64.30	4% above	15%
Syphilis antibody test (Treponema pallidum) CPT 86780 SYPHYILIS IGG/IGM (TPA)	$59.21	$69.66	$35.16–$67.57	10% above	15%
Syphilis antibody test (Treponema pallidum) CPT 86780 T. Pallidum AB (TPPA) Reflex	$85.00	$100.00	$50.47–$97.00	57% above	15%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 SYPHYILIS IGG/IGM (TPA)	$59.21	$69.66	$35.16–$67.57	—	15%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 T. Pallidum AB (TPPA) Reflex	$85.00	$100.00	$50.47–$97.00	—	15%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS SEROLOGY (RPR)	$42.40	$49.88	$25.17–$48.38	13% below	15%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST	$56.35	$66.29	$33.46–$64.30	16% above	15%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 SYPHILIS SEROLOGY (RPR)	$42.40	$49.88	$25.17–$48.38	—	15%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON GOLD TB TEST	$160.44	$188.75	$95.26–$183.09	6% above	15%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON GOLD TB TEST	$174.25	$205.00	$103.46–$198.85	16% above	15%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON GOLD TB TEST	$174.25	$205.00	$103.46–$198.85	—	15%
Testosterone blood test, total (not free testosterone) CPT 84403 RL TESTOSTERONE	$51.00	$60.00	$30.28–$58.20	51% below	15%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TO	$136.00	$160.00	$80.75–$155.20	32% above	15%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE; TOTAL	$136.00	$160.00	$80.75–$155.20	32% above	15%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 RL TESTOSTERONE	$51.00	$60.00	$30.28–$58.20	—	15%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE; TOTAL	$136.00	$160.00	$80.75–$155.20	—	15%
Thyroid peroxidase (TPO) antibody test CPT 86376 ASSAY, MICROSOM	$102.19	$120.22	$60.68–$116.61	28% above	15%
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE AB(TPO	$102.19	$120.22	$60.68–$116.61	28% above	15%
Thyroid peroxidase (TPO) antibody test CPT 86376 KIDNEY/LIVER MICROSAMAL	$116.88	$137.50	$69.40–$133.38	46% above	15%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID PEROXIDASE AB(TPO	$102.19	$120.22	$60.68–$116.61	—	15%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 KIDNEY/LIVER MICROSAMAL	$116.88	$137.50	$69.40–$133.38	—	15%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMULA	$107.10	$126.00	$63.59–$122.22	8% above	15%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH	$107.10	$126.00	$63.59–$122.22	8% above	15%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH	$107.10	$126.00	$63.59–$122.22	—	15%
Total IgE blood test CPT 82785 ASSAY, GAMMAGLO	$75.65	$89.00	$44.92–$86.33	at median	15%
Total IgE blood test CPT 82785 IGE	$75.65	$89.00	$44.92–$86.33	at median	15%
Total IgE blood test inpatient CPT 82785 IGE	$75.65	$89.00	$44.92–$86.33	—	15%
Total cholesterol blood test CPT 82465 CHOLESTEROL	$14.89	$17.52	$8.84–$16.99	57% below	15%
Total cholesterol blood test CPT 82465 CHOLESTEROL TOTAL	$15.30	$18.00	$9.08–$17.46	56% below	15%
Total cholesterol blood test CPT 82465 CARDIO CHOLESTEROL	$29.75	$35.00	$17.66–$33.95	15% below	15%
Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL	$14.89	$17.52	$8.84–$16.99	—	15%
Total cholesterol blood test inpatient CPT 82465 CARDIO CHOLESTEROL	$29.75	$35.00	$17.66–$33.95	—	15%
Total thyroxine (T4) blood test CPT 84436 THYROXINE,4	$34.85	$41.00	$20.69–$39.77	34% below	15%
Total thyroxine (T4) blood test CPT 84436 T4 THYROID TEST	$34.85	$41.00	$20.69–$39.77	34% below	15%
Total thyroxine (T4) blood test inpatient CPT 84436 T4 THYROID TEST	$34.85	$41.00	$20.69–$39.77	—	15%
Total triiodothyronine (T3) blood test CPT 84480 T3	$79.90	$94.00	$47.44–$91.18	3% above	15%
Total triiodothyronine (T3) blood test CPT 84480 T 3	$79.90	$94.00	$47.44–$91.18	3% above	15%
Total triiodothyronine (T3) blood test inpatient CPT 84480 T3	$79.90	$94.00	$47.44–$91.18	—	15%
Transferrin blood test CPT 84466 TRANSFERRIN	$73.10	$86.00	$43.40–$83.42	8% above	15%
Transferrin blood test CPT 84466 TRANSFERRIN	$73.10	$86.00	$43.40–$83.42	8% above	15%
Transferrin blood test inpatient CPT 84466 TRANSFERRIN	$73.10	$86.00	$43.40–$83.42	—	15%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS BY NAD	$182.78	$215.04	$108.53–$208.59	92% above	15%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS by NAD	$182.78	$215.04	$108.53–$208.59	92% above	15%
Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS by NAD	$182.78	$215.04	$108.53–$208.59	—	15%
Triglycerides blood test CPT 84478 TRIGLYCERIDES	$20.66	$24.30	$12.26–$23.57	51% below	15%
Triglycerides blood test CPT 84478 CARDIO TRIG	$29.75	$35.00	$17.66–$33.95	29% below	15%
Triglycerides blood test CPT 84478 Joint Fluid Trigllyceride	$32.57	$38.32	$19.34–$37.17	22% below	15%
Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDES	$20.66	$24.30	$12.26–$23.57	—	15%
Triglycerides blood test inpatient CPT 84478 CARDIO TRIG	$29.75	$35.00	$17.66–$33.95	—	15%
Triglycerides blood test inpatient CPT 84478 Joint Fluid Trigllyceride	$32.57	$38.32	$19.34–$37.17	—	15%
Troponin test, quantitative CPT 84484 TROPONIN	$128.16	$150.78	$76.10–$146.26	10% above	15%
Troponin test, quantitative CPT 84484 ASSAY, TROPONIN	$128.16	$150.78	$76.10–$146.26	10% above	15%
Troponin test, quantitative inpatient CPT 84484 TROPONIN	$128.16	$150.78	$76.10–$146.26	—	15%
Uric acid blood test CPT 84550 URIC ACID BLOOD	$26.35	$31.00	$15.65–$30.07	31% below	15%
Uric acid blood test CPT 84550 URIC ACID	$26.35	$31.00	$15.65–$30.07	31% below	15%
Uric acid blood test inpatient CPT 84550 URIC ACID	$26.35	$31.00	$15.65–$30.07	—	15%
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS-RTN	$34.00	$40.00	$20.19–$38.80	21% below	15%
Urinalysis with microscope exam, automated CPT 81001 UA	$34.00	$40.00	$20.19–$38.80	21% below	15%
Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS-RTN	$34.00	$40.00	$20.19–$38.80	—	15%
Urinalysis with microscope exam, manual CPT 81000 URINALYSIS, NON AUTO COMPLETE	$34.00	$40.00	$20.19–$38.80	32% above	15%
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS-DIPSTICK ONLY	$12.75	$15.00	$7.57–$14.55	51% below	15%
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTO	$12.75	$15.00	$7.57–$14.55	51% below	15%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS-DIPSTICK ONLY	$12.75	$15.00	$7.57–$14.55	—	15%
Urinalysis without microscope exam, manual CPT 81002 OCCULT BLOOD-URINE	$9.18	$10.80	$5.45–$10.48	60% below	15%
Urinalysis without microscope exam, manual CPT 81002 UA, NON AUTO DIP	$12.75	$15.00	$7.57–$14.55	45% below	15%
Urinalysis without microscope exam, manual CPT 81002 UA, NON AUTO DIP	$12.75	$15.00	$7.57–$14.55	45% below	15%
Urinalysis without microscope exam, manual CPT 81002 PH URINE-METHOTREXATE PROTOCAL	$23.80	$28.00	$14.13–$27.16	3% above	15%
Urinalysis without microscope exam, manual inpatient CPT 81002 OCCULT BLOOD-URINE	$9.18	$10.80	$5.45–$10.48	—	15%
Urinalysis without microscope exam, manual inpatient CPT 81002 UA, NON AUTO DIP	$12.75	$15.00	$7.57–$14.55	—	15%
Urinalysis without microscope exam, manual inpatient CPT 81002 PH URINE-METHOTREXATE PROTOCAL	$23.80	$28.00	$14.13–$27.16	—	15%
Urine culture for bacteria, with colony count CPT 87086 URINE BACTERIA	$48.45	$57.00	$28.77–$55.29	17% below	15%
Urine culture for bacteria, with colony count CPT 87086 CULTURE-URINE	$48.45	$57.00	$28.77–$55.29	17% below	15%
Urine culture for bacteria, with colony count inpatient CPT 87086 CULTURE-URINE	$48.45	$57.00	$28.77–$55.29	—	15%
Urine microalbumin (albumin) test CPT 82043 TEST FOR MICROA	$63.57	$74.79	$37.75–$72.55	16% above	15%
Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN/ CREAT RATIO	$63.57	$74.79	$37.75–$72.55	16% above	15%
Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN, 24HR URINE	$86.11	$101.30	$51.13–$98.26	57% above	15%
Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN/ CREAT RATIO	$63.57	$74.79	$37.75–$72.55	—	15%
Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN, 24HR URINE	$86.11	$101.30	$51.13–$98.26	—	15%
Urine pregnancy test, read by color change CPT 81025 HCG URINE	$57.14	$67.22	$33.93–$65.20	35% above	15%
Urine pregnancy test, read by color change CPT 81025 PREGNANCY TEST	$57.14	$67.22	$33.93–$65.20	35% above	15%
Urine pregnancy test, read by color change inpatient CPT 81025 HCG URINE	$57.14	$67.22	$33.93–$65.20	—	15%
Vitamin B12 (cobalamin) blood test CPT 82607 B12	$86.70	$102.00	$51.48–$98.94	at median	15%
Vitamin B12 (cobalamin) blood test CPT 82607 CYANOCOBALAMIN(	$86.70	$102.00	$51.48–$98.94	at median	15%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 B12	$86.70	$102.00	$51.48–$98.94	—	15%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D.25	$90.10	$106.00	$53.50–$102.82	30% below	15%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 ASSAY, VITAMIN	$90.10	$106.00	$53.50–$102.82	30% below	15%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D25 OH D2,D3	$131.82	$155.08	$78.27–$150.43	2% above	15%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D.25	$90.10	$106.00	$53.50–$102.82	—	15%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D25 OH D2,D3	$131.82	$155.08	$78.27–$150.43	—	15%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 ASSAY, DIHYDROX	$124.95	$147.00	$74.19–$142.59	30% below	15%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 VIT.D1,25 DIHYDROXY	$124.95	$147.00	$74.19–$142.59	30% below	15%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 VIT.D1,25 DIHYDROXY	$124.95	$147.00	$74.19–$142.59	—	15%
Zinc blood test CPT 84630 ZINC, SERUM	$54.91	$64.60	$32.60–$62.66	5% above	15%
Zinc blood test CPT 84630 ZINC, SERUM	$54.91	$64.60	$32.60–$62.66	5% above	15%
Zinc blood test inpatient CPT 84630 ZINC, SERUM	$54.91	$64.60	$32.60–$62.66	—	15%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG TUMOR MARKER	$79.26	$93.25	$47.06–$90.45	12% below	15%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 QUANTITATIVE HC	$90.10	$106.00	$53.50–$102.82	1% above	15%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QUANTITATIVE	$90.10	$106.00	$53.50–$102.82	1% above	15%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG TUMOR MARKER	$79.26	$93.25	$47.06–$90.45	—	15%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG QUANTITATIVE	$90.10	$106.00	$53.50–$102.82	—	15%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Iowa	Off list
Adenoid removal (adenoidectomy), child under 12 CPT 42830 ADENOIDECTOMY LESS THAN 12 YEARS	$2,325.93	$2,736.39	$1,381.06–$2,654.30	258% above	15%
Arthroscopic ACL reconstruction or repair of the knee CPT 29888 ARTHROSCOPIC AIDED ANTER CRUCIATE LIG RP	$16,689.65	$19,634.88	$9,909.72–$19,045.83	579% above	15%
Arthroscopic rotator cuff repair of the shoulder CPT 29827 SHOULDER ARTHROSCOPY W/ROTA CUFF RPR	$14,476.21	$17,030.83	$8,595.46–$16,519.91	369% above	15%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 BX BREAST W/DEVICE 1ST LESION STEREO GUI	$2,595.90	$3,054.00	$1,541.35–$2,962.38	20% below	15%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 BX BREAST W/DEVICE 1ST LESION STEREO GUI	$2,595.90	$3,054.00	$1,541.35–$2,962.38	—	15%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 CLOSED TREAT DI	$755.61	$888.95	$448.65–$862.28	71% above	15%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 CLOSED METATARS	$596.28	$701.50	$354.05–$680.46	60% above	15%
Carpal tunnel release, open surgery CPT 64721 NEUROPLASTY/TRANSPOS MED NERV CARPAL TUN	$3,232.50	$3,802.94	$1,919.34–$3,688.85	15% above	15%
Carpal tunnel release, open surgery CPT 64721 CARPAL TUNNEL SURGERY	$3,741.33	$4,401.57	$2,221.47–$4,269.52	33% above	15%
Cervical biopsy CPT 57500 BIOPSY, CERVIX	$562.65	$661.94	$334.08–$642.08	47% above	15%
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 CIRCUMCISION OVER 28 DAYS	$1,649.56	$1,940.66	$979.45–$1,882.44	156% above	15%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CLOSED TREAT DI	$709.67	$834.90	$421.37–$809.85	66% above	15%
Colonoscopy with polyp removal CPT 45385 COLONOSCOPY WITH POLYP RE	$1,710.08	$2,011.86	$1,015.39–$1,951.50	20% above	15%
Colonoscopy with polyp removal CPT 45385 COLONOSCOPY W/BIOPSY & PO	$1,735.76	$2,042.07	$1,030.63–$1,980.81	22% above	15%
Colonoscopy with tissue sample CPT 45380 COLONOSCOPY WITH BIOPSY	$1,701.75	$2,002.06	$1,010.44–$1,942.00	12% above	15%
Colonoscopy, diagnostic CPT 45378 COLONOSCOPY	$1,676.17	$1,971.96	$995.25–$1,912.80	46% above	15%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOURETHROSCOPY	$1,997.50	$2,350.00	$1,186.04–$2,279.50	132% above	15%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRUCT BENIGN	$165.15	$194.29	$98.06–$188.46	13% above	15%
Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 TYMPANOSTOMY, GENERAL ANESTHESIA	$3,448.54	$4,057.10	$2,047.62–$3,935.39	532% above	15%
Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 MYRINGOTOMY WITH TUBE PLACEMENT 1 EAR	$551.26	$648.54	$327.32–$629.08	37% above	15%
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 REMOVAL IMPACTED CERUMEN IRR/LAV UNILAT	$54.70	$64.35	$32.48–$62.42	20% below	15%
Earwax removal with instruments, one ear CPT 69210 REMOVAL OF IMPACTED CERUMEN	$112.41	$132.25	$66.75–$128.28	7% above	15%
Earwax removal with instruments, one ear CPT 69210 REMOVAL IMPACTE	$112.41	$132.25	$66.75–$128.28	7% above	15%
Earwax removal with instruments, one ear CPT 69210 REMOVAL IMPACT.CERUMEN / INSTRUMENT	$136.27	$160.32	$80.91–$155.51	30% above	15%
Earwax removal with instruments, one ear one side CPT 69210 REMOVAL IMPACTED CERUMEN UNILATERAL	$136.27	$160.32	$80.91–$155.51	30% above	15%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 UTERINE ASPIRA	$284.45	$334.65	$168.90–$324.61	14% above	15%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 CRNA/Epidural Thoracic, Cervical	$602.16	$708.42	$357.60–$687.17	51% below	15%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Epidural Thoracic/Cervical with guidance	$1,517.69	$1,785.52	$901.15–$1,731.95	23% above	15%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 CRNA FACET INJECTION LUMB/SAC 1 LEVEL	$1,069.30	$1,258.00	$635.04–$1,220.26	17% below	15%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 FACET JOINT INJECTION LUMB/SAC 1 LEVEL	$1,630.82	$1,918.61	$968.32–$1,861.05	26% above	15%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 REPAIR ANT ABD HERNIA 1ST 3-10 CM REDUCI	$9,650.97	$11,354.08	$5,730.40–$11,013.46	599% above	15%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 FLEXIBLE SIGMOIDOSCPY	$1,175.55	$1,383.00	$698.00–$1,341.51	52% above	15%
Gallbladder removal, laparoscopic CPT 47562 LAPAROSCOPIC CHOLECYSTECTOMY	$8,857.21	$10,420.25	$5,259.10–$10,107.64	320% above	15%
Hammertoe correction surgery CPT 28285 CORRECTION HAMMERTOE	$3,288.65	$3,869.00	$1,952.68–$3,752.93	92% above	15%
IUD insertion (the device itself billed separately) CPT 58300 INSERTION INTRAUTERINE DEVICE IUD	$297.50	$350.00	$176.64–$339.50	15% above	15%
Incision and drainage of a simple or single skin abscess CPT 10060 I & D ABSCESS SKIN	$220.74	$259.69	$106.00–$251.90	14% below	15%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D SIMPLE OR S	$234.60	$276.00	$139.30–$267.72	8% below	15%
Incision and drainage of a simple or single skin abscess CPT 10060 INCISION AND DRAINAGE SIMPLE	$234.60	$276.00	$139.30–$267.72	8% below	15%
Incision and drainage of a simple or single skin abscess CPT 10060 I & D SKIN ABSCESS SKIN	$343.70	$404.35	$204.08–$392.22	35% above	15%
Incision and drainage of a simple or single skin abscess CPT 10060 DRAINAGE OF SKIN ABCESS	$402.18	$473.15	$238.80–$458.96	57% above	15%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 REPAIR INITIAL INGUINAL HERNIA 5 AND UP	$9,442.22	$11,108.49	$5,606.45–$10,775.24	538% above	15%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ. TEND. SHEA	$239.20	$281.41	$142.03–$272.97	12% below	15%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJECTION TENDON SHEATH/LIGAMENT TRIGGER	$407.13	$478.98	$241.74–$464.61	50% above	15%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 CRNA MAJOR JOINT INJECTION	$68.00	$80.00	$40.39–$77.60	80% below	15%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 PROFESS FEE MAJOR JOINT INJECTION	$208.12	$244.85	$41.34–$237.50	40% below	15%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 MAJOR JOINT INJ W/O GUIDANCE	$208.12	$244.85	$123.58–$237.50	40% below	15%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 MAJOR JOINT INJ	$210.36	$247.48	$41.34–$240.06	39% below	15%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENTESIS, MAJOR JOINT	$370.71	$436.13	$220.11–$423.05	8% above	15%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 MAJOR JOINT INJECTION	$370.71	$436.13	$220.11–$423.05	8% above	15%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INSERTION BIRTH CONTROL IMPLANT	$684.25	$805.00	$406.28–$780.85	146% above	15%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 INTER JT CYST	$239.20	$281.41	$142.03–$272.97	24% below	15%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 JOINT INJ INTERMED JOINT W/O US	$305.94	$359.93	$181.66–$349.13	2% below	15%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ASP JOINT INJ	$239.20	$281.41	$142.03–$272.97	13% below	15%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHROCENTESIS/ASP/INJ SMALL JOINT	$468.89	$551.64	$278.41–$535.09	70% above	15%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHROCENTESIS SMALL JOINT W/O US GUIDAN	$468.89	$551.64	$278.41–$535.09	70% above	15%
Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 ARTHROSCOPIC KNEE W/MENISCUS RPR	$6,957.05	$8,184.76	$4,130.85–$7,939.22	238% above	15%
Knee arthroscopy with meniscus trim CPT 29881 Arthroscopy, knee surgical	$4,653.67	$5,474.90	$2,763.18–$5,310.65	93% above	15%
Knee arthroscopy with meniscus trim CPT 29881 ARTHROSCOPIC KNEE, SURGICAL W DBRD/SHAVE	$7,467.00	$8,784.70	$4,433.64–$8,521.16	209% above	15%
Knee arthroscopy with removal of both torn meniscus parts CPT 29880 ARTHROS KNEE W/MENISCECTOMY MEDLAT W/SHA	$7,048.31	$8,292.13	$4,185.04–$8,043.37	217% above	15%
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 ARTHROS KNEE DEBRIDEMENT/SHAVING ARTCLR	$7,048.31	$8,292.13	$4,185.04–$8,043.37	292% above	15%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INTERMEDICATE SUTURE LACE	$381.15	$448.41	$140.58–$434.96	7% above	15%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 REPAIR INTERMEDIATE WOUND 2.5 CM OR LESS	$411.53	$484.15	$244.35–$469.63	16% above	15%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 LAY CLOS 2.5 CM	$411.53	$484.15	$244.35–$469.63	16% above	15%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 REPAIR INTERMEDIATE	$466.72	$549.08	$277.12–$532.61	31% above	15%
Lower-back epidural injection, with imaging guidance CPT 62323 EPIDURAL LUMBAR SACRAL WITH IMAGING GUID	$1,443.27	$1,697.96	$856.96–$1,647.02	19% above	15%
Lower-back epidural injection, without imaging guidance CPT 62322 CRNA EPIDURAL LUMBAR SACRAL W/O GUIDANCE	$602.16	$708.42	$357.60–$687.17	26% below	15%
Lower-back epidural injection, without imaging guidance CPT 62322 EPIDURAL LUMBAR SACRAL W/O GUIDANCE	$1,204.31	$1,416.83	$715.07–$1,374.33	47% above	15%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 CRNA LUMBAR OR SACRAL, SINGLE LEVEL	$680.00	$800.00	$403.84–$776.00	48% below	15%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 LUMBAR OR SACRAL, SINGLE LEVEL W/ IMAGE	$1,020.00	$1,200.00	$605.64–$1,164.00	22% below	15%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC BENIGN LESI	$559.96	$658.78	$332.49–$639.02	107% above	15%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXC BENIGN LESI	$559.96	$658.78	$332.49–$639.02	23% above	15%
Nail removal (partial or complete), one nail CPT 11730 REMOVAL OF NAILPLATE	$163.33	$192.15	$52.51–$186.39	20% below	15%
Nail removal (partial or complete), one nail CPT 11730 AVULSION OF NAIL PLATE, SIMPLE	$186.70	$219.65	$110.86–$213.06	9% below	15%
Nail removal (partial or complete), one nail CPT 11730 REMOVAL OF NAIL PLATE	$186.70	$219.65	$110.86–$213.06	9% below	15%
Nail removal (partial or complete), one nail CPT 11730 AVULSION NAIL P	$186.70	$219.65	$110.86–$213.06	9% below	15%
Occipital nerve block (injection for headaches) CPT 64405 CRNA/GREATER OCCIPITAL NERVE BLOCK	$280.50	$330.00	$166.58–$320.10	33% below	15%
Occipital nerve block (injection for headaches) CPT 64405 INJ OCCIPITAL N	$303.03	$356.50	$179.93–$345.80	27% below	15%
Occipital nerve block (injection for headaches) CPT 64405 INJECTION/GREATER OCCIPITAL NERVE BLOCK	$850.93	$1,001.09	$505.25–$971.06	104% above	15%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXCISION NAIL MATRIX PERMANENT REMOVAL	$338.06	$397.72	$200.73–$385.79	21% below	15%
Prostate biopsy CPT 55700 BIOPSY PROSTRATE SINGLE OR MULTIPLE	$2,233.28	$2,627.39	$1,326.04–$2,548.57	7% above	15%
Removal of a breast lump, open surgery CPT 19120 EXCISION OF CYST, FIBROADENOMA	$3,120.56	$3,671.25	$1,852.88–$3,561.11	108% above	15%
Removal of a foreign object under the skin, simple CPT 10120 I&D FOREIGN BODY SIMPLE	$226.41	$266.36	$134.43–$258.37	24% below	15%
Removal of a foreign object under the skin, simple CPT 10120 INCIS/REMOVE FOREIGN BODY	$264.18	$310.80	$107.55–$301.48	11% below	15%
Removal of a foreign object under the skin, simple CPT 10120 INCISION & REMO	$303.81	$357.42	$180.39–$346.70	2% above	15%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 SCRN COLONOSCOPY	$1,649.16	$1,940.19	$979.21–$1,881.98	58% above	15%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 SCRN COLONOSCOPY-HI RISK	$1,649.16	$1,940.19	$979.21–$1,881.98	37% above	15%
Short arm cast (elbow to hand) CPT 29075 APPLICATION SHORT ARM CAST	$133.20	$156.70	$60.91–$152.00	42% below	15%
Short arm cast (elbow to hand) CPT 29075 APPLICATION CAST/ELBOW TO FINGER	$211.09	$248.34	$125.34–$240.89	8% below	15%
Short arm cast (elbow to hand) CPT 29075 APPLICATION OF FOREARM CA	$217.60	$256.00	$60.91–$248.32	5% below	15%
Short arm cast (elbow to hand) CPT 29075 APPLY ELBOW TO	$271.75	$319.70	$161.35–$310.11	18% above	15%
Short arm splint (forearm and hand) CPT 29125 APPLY FOREARM SPLINT	$213.32	$250.96	$126.66–$243.43	22% above	15%
Short leg cast (below the knee) CPT 29405 APPLY SHORT LEG CAST	$141.95	$167.00	$58.06–$161.99	42% below	15%
Short leg cast (below the knee) CPT 29405 APPLICATION OF SHORT LEG CAST	$291.72	$343.20	$173.21–$332.90	19% above	15%
Short leg splint (calf to foot) CPT 29515 APPLICATION OF	$198.43	$233.45	$117.82–$226.45	15% above	15%
Short leg splint (calf to foot) CPT 29515 APPLY LOWER LEG SPLINT	$271.35	$319.24	$161.12–$309.66	58% above	15%
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 ARTHRO SURGERY SHOULDER MUMFORD PROCEDUR	$9,170.49	$10,788.81	$5,445.11–$10,465.15	355% above	15%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 REPAIR SIMPLE 2.5 cm	$273.70	$322.00	$45.02–$312.34	20% above	15%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SIMPLE LACERATION REPAIR	$314.32	$369.79	$186.63–$358.70	37% above	15%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SIM REPAIR 2.5	$314.32	$369.79	$186.63–$358.70	37% above	15%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 REPAIR SUPERFICIAL WOUND	$314.32	$369.79	$186.63–$358.70	37% above	15%
Skin biopsy, punch, one lesion CPT 11104 PUNCH BIOPSY SKIN SINGLE LESION	$172.48	$202.92	$102.41–$196.83	34% below	15%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 EXC MALIG LESIO	$559.96	$658.78	$332.49–$639.02	46% above	15%
Skin tag removal, up to 15 tags CPT 11200 REMOVAL OF SKIN TAGS	$174.97	$205.85	$103.89–$199.67	1% above	15%
Skin tag removal, up to 15 tags CPT 11200 EXCISION(SKIN T	$174.97	$205.85	$103.89–$199.67	1% above	15%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SIMPLE REPAIR(SC,N,T,H,F)	$289.85	$341.00	$58.70–$330.77	18% above	15%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 REPAIR SIMPLE	$341.82	$402.14	$202.96–$390.08	39% above	15%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SIMPLE REPAIR LESS THAN 2.5 CM	$341.82	$402.14	$202.96–$390.08	39% above	15%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 REPAIR SUPERFICIAL WOUNDS	$341.82	$402.14	$202.96–$390.08	39% above	15%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 REPAIR SIMPLE FACE E,N,L	$255.00	$300.00	$55.54–$291.00	2% above	15%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 REPAIR SIMPLE F	$314.50	$370.00	$186.74–$358.90	25% above	15%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 REPAIR FACE SIMPLE 2.5 OR LESS	$314.50	$370.00	$186.74–$358.90	25% above	15%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 REPAIR SUPERFICIAL WOUNDS	$332.35	$391.00	$197.34–$379.27	32% above	15%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 BIOPSY SKIN SINGLE LESION TANGETIAL	$172.48	$202.92	$102.41–$196.83	18% below	15%
Tonsil and adenoid removal, age 12 or older CPT 42821 TONSILS/ADENOIDS OVER AGE 12	$4,820.92	$5,671.67	$2,862.49–$5,501.52	451% above	15%
Tonsil and adenoid removal, child under 12 CPT 42820 TONSILS/ADENOIDS LESS THAN AGE 12	$6,956.20	$8,183.76	$4,130.34–$7,938.25	585% above	15%
Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 TONSILECTOMY AGE 12 OR OVER	$4,820.92	$5,671.67	$2,862.49–$5,501.52	24% above	15%
Trigger finger release surgery CPT 26055 TENDON SHEATH INCISION	$3,432.78	$4,038.57	$2,038.27–$3,917.41	91% above	15%
Trigger point injections, 1 or 2 muscles CPT 20552 CRNA INJ SING/MLT TRIGGER POINT 1/2 MUSC	$208.00	$244.70	$123.53–$237.36	31% below	15%
Trigger point injections, 1 or 2 muscles CPT 20552 INJECTION SNGL/MLT TRIG	$210.36	$247.48	$37.92–$240.06	30% below	15%
Trigger point injections, 1 or 2 muscles CPT 20552 INJECTION SNGL/	$239.20	$281.41	$142.03–$272.97	21% below	15%
Trigger point injections, 1 or 2 muscles CPT 20552 INJECTION SING/MLT TRIGGER POINT 1/2 MUS	$515.64	$606.63	$306.17–$588.43	71% above	15%
Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER POINT 1/2MUSC	$515.64	$606.63	$306.17–$588.43	71% above	15%
Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 Laparoscopic Tubal Ligation	$4,646.16	$5,466.07	$2,758.73–$5,302.09	323% above	15%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BREAST BIOPSY	$2,333.17	$2,744.90	$1,385.35–$2,662.55	12% above	15%
Upper endoscopy (EGD) with biopsy CPT 43239 EGD WITH BIOPSY OR CLOTES	$1,618.58	$1,904.21	$961.05–$1,847.08	24% above	15%
Upper endoscopy (EGD) with biopsy CPT 43239 EGD WITH BIOPSY AND CLOTE	$1,618.58	$1,904.21	$961.05–$1,847.08	24% above	15%
Upper endoscopy (EGD) with injection into the lining CPT 43236 ESOPHAGOGASTRODUNOSCOPY, SUBMUCOSAL INJ	$2,415.00	$2,841.18	$1,433.94–$2,755.94	146% above	15%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 ESOPHAGOGASTRODUODENOSCOPY,REMOVAL TUMOR	$2,657.57	$3,126.55	$1,577.97–$3,032.75	169% above	15%
Upper endoscopy (EGD), diagnostic CPT 43235 EGD	$1,592.24	$1,873.22	$945.41–$1,817.02	69% above	15%
Upper endoscopy (EGD), diagnostic CPT 43235 EGD WITH BIOPSY AND ESPH	$1,860.90	$2,189.29	$1,104.93–$2,123.61	97% above	15%
Upper endoscopy (EGD), diagnostic CPT 43235 EGD WITH BIOPSY,DILATATIO	$1,860.90	$2,189.29	$1,104.93–$2,123.61	97% above	15%
Wart removal, up to 14 warts CPT 17110 ELECTROCAUTERY	$149.98	$176.45	$89.05–$171.16	26% below	15%
Wart removal, up to 14 warts CPT 17110 FLAT WART DESTR	$204.30	$240.35	$121.30–$233.14	at median	15%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEB SUBQ TISSUE 20 SQ CM/	$303.81	$357.42	$180.39–$346.70	29% below	15%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Iowa	Off list
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMIN 0 TO 2 HOURS	$419.48	$493.50	$249.07–$478.70	28% below	15%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMIN 2-4 HRS	$508.73	$598.50	$302.06–$580.54	13% below	15%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMIN 4-6 HRS	$597.98	$703.50	$355.06–$682.40	3% above	15%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMIN 6-8 HRS	$687.23	$808.50	$408.05–$784.24	18% above	15%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMIN>8 HRS	$776.48	$913.50	$461.04–$886.10	33% above	15%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD ADMIN 0 TO 2 HOURS	$419.48	$493.50	$249.07–$478.70	—	15%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD ADMIN 2-4 HRS	$508.73	$598.50	$302.06–$580.54	—	15%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD ADMIN 4-6 HRS	$597.98	$703.50	$355.06–$682.40	—	15%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD ADMIN 6-8 HRS	$687.23	$808.50	$408.05–$784.24	—	15%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD ADMIN>8 HRS	$776.48	$913.50	$461.04–$886.10	—	15%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 UC UPDRAFT TREATMENT	$84.25	$99.12	$50.03–$96.15	27% below	15%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 UPDRAFT TX	$84.25	$99.12	$50.03–$96.15	27% below	15%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INITIAL UPDRAFT TREATMNT	$162.86	$191.60	$96.70–$185.85	40% above	15%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 UPDRAFT TREATMENT	$162.86	$191.60	$96.70–$185.85	40% above	15%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 UPDRAFT TREATMENT	$162.86	$191.60	$96.70–$185.85	—	15%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 INITIAL UPDRAFT TREATMNT	$162.86	$191.60	$96.70–$185.85	—	15%
Chemotherapy IV infusion, first hour CPT 96413 CHEMO INFUSIONS 1ST HR	$801.99	$943.52	$476.19–$915.21	48% above	15%
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE, FIRST HOUR	$884.22	$1,040.26	$212.83–$1,009.05	12% below	15%
Critical care, first 30 to 74 minutes CPT 99291 ER-CLASS 6	$1,463.81	$1,722.13	$869.16–$1,670.47	46% above	15%
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 ELECTROCARDIOGRAM, WITH INTERPRETATION	$112.06	$131.84	$66.54–$127.88	15% above	15%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ELECTROCARDIOGRAM, TRACING ONLY	$170.00	$200.00	$100.94–$194.00	7% above	15%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG	$170.00	$200.00	$100.94–$194.00	7% above	15%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG	$170.00	$200.00	$100.94–$194.00	—	15%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMERGENCY DEPT	$102.85	$121.00	$61.08–$117.37	33% below	15%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER DEPT VISIT, MINIMAL	$102.85	$121.00	$11.70–$117.37	33% below	15%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER-CLASS 1	$138.62	$163.08	$82.31–$158.19	10% below	15%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER DEPT VISIT, BRIEF	$179.62	$211.32	$42.93–$204.98	32% below	15%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER-CLASS 2	$256.62	$301.90	$152.37–$292.84	2% below	15%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER DEPT VISIT, INTERMED	$285.69	$336.11	$73.59–$326.03	31% below	15%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY DEPT	$285.69	$336.11	$169.67–$326.03	31% below	15%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER-CLASS 3	$442.06	$520.07	$262.48–$504.47	6% above	15%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER DEPT VISIT, EXTENDED	$487.87	$573.96	$125.11–$556.74	25% below	15%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENCY DEPT	$487.87	$573.96	$289.74–$556.74	25% below	15%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER-CLASS 4	$743.78	$875.04	$441.63–$848.79	15% above	15%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER DEPT VISIT, COMPREHNSV	$769.61	$905.42	$181.93–$878.26	22% below	15%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENCY DEPT	$769.61	$905.42	$457.05–$878.26	22% below	15%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER-CLASS 5	$1,106.73	$1,302.03	$657.13–$1,262.97	13% above	15%
Exercise stress test, tracing only, the hospital charge CPT 93017 STRESS TEST WITH EKG TRACING AND MONITOR	$637.50	$750.00	$378.52–$727.50	5% below	15%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 STRESS TEST WITH EKG TRACING AND MONITOR	$637.50	$750.00	$378.52–$727.50	—	15%
Family therapy with the patient, 50 minutes CPT 90847 FAMILY PSYCHOTHERAPY W/ PATIENT PRESENT	$718.25	$845.00	$426.55–$819.65	207% above	15%
Family therapy without the patient, 50 minutes CPT 90846 FAMILY PSYCHOTHERAPY W/O PATIENT PRESENT	$684.25	$805.00	$406.37–$780.85	193% above	15%
Group psychotherapy session CPT 90853 GROUP PSYCHOTHERAPY	$624.75	$735.00	$371.03–$712.95	180% above	15%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION INITIAL	$252.66	$297.25	$150.02–$288.33	10% below	15%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION, INITIAL	$264.15	$310.77	$156.85–$301.45	6% below	15%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYDRATION INITIAL	$252.66	$297.25	$150.02–$288.33	—	15%
IV infusion of a medicine, first hour CPT 96365 IV THER. UP TO 1HR.	$189.67	$223.14	$112.62–$216.45	40% below	15%
IV infusion of a medicine, first hour CPT 96365 IV INFUSION INITIAL	$368.37	$433.38	$218.73–$420.38	17% above	15%
IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION INITIAL	$368.37	$433.38	$218.73–$420.38	—	15%
IV push of a medicine, first drug CPT 96374 ADMN INJ IV PUSH	$186.79	$219.75	$110.91–$213.16	2% below	15%
IV push of a medicine, first drug CPT 96374 IV PUSH/INITIAL	$229.70	$270.23	$136.39–$262.12	21% above	15%
IV push of a medicine, first drug inpatient CPT 96374 IV PUSH/INITIAL	$229.70	$270.23	$136.39–$262.12	—	15%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAPEUTIC PRO INJ	$37.40	$44.00	$22.21–$42.68	59% below	15%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 ADM INJ SUBCU O	$37.40	$44.00	$22.21–$42.68	59% below	15%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 RABIES IMM.GLOB IM ADMIN.	$102.85	$121.00	$61.07–$117.37	12% above	15%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM/SUBCUTANEOUS INJECTION	$119.30	$140.35	$70.83–$136.14	30% above	15%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 RABIES IMM.GLOB IM ADMIN.	$102.85	$121.00	$61.07–$117.37	—	15%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 IM/SUBCUTANEOUS INJECTION	$119.30	$140.35	$70.83–$136.14	—	15%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCHIATRIC EVALUATION	$195.50	$230.00	$116.10–$223.10	17% below	15%
Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUS RE-ED (EA 15 MIN	$63.75	$75.00	$37.85–$72.75	30% below	15%
Neuromuscular re-education, 15 minutes CPT 97112 NEUR RE-ED(PNF/BIOFDBK)	$63.75	$75.00	$37.85–$72.75	30% below	15%
New patient office visit, about 30 minutes CPT 99203 UC NEW MODERATE HPI	$155.30	$182.70	$92.21–$177.22	5% below	15%
New patient office visit, about 30 minutes CPT 99203 OV DET/MOD NEW PT	$170.09	$200.10	$101.01–$194.10	4% above	15%
New patient office visit, about 30 minutes CPT 99203 OUTPT VISIT NEW 30-44 MIN	$197.25	$232.06	$117.12–$225.10	20% above	15%
New patient office visit, about 45 minutes CPT 99204 UC NEW MOD/HIGH HPI	$235.62	$277.20	$139.90–$268.88	4% below	15%
New patient office visit, about 45 minutes CPT 99204 OV COMP/MOD COM	$258.06	$303.60	$153.26–$294.49	5% above	15%
New patient office visit, about 45 minutes CPT 99204 OUTPT VISIT NEW PT 45-59 MIN	$339.93	$399.92	$201.84–$387.92	38% above	15%
New patient office visit, about 60 minutes CPT 99205 Office VIsit New Patient Comprehensive	$368.52	$433.55	$218.85–$420.54	16% above	15%
New patient office visit, about 60 minutes CPT 99205 OUTPT VISIT NEW 60-74	$481.91	$566.95	$286.14–$549.94	52% above	15%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 Pain Clinic Consult 20 Min New Patient	$104.55	$123.00	$62.08–$119.31	at median	15%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 UC NEW LOW/MED HPI	$109.78	$129.15	$65.18–$125.28	5% above	15%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OV EXP ST FD NP	$120.23	$141.45	$71.40–$137.21	15% above	15%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OUTPT VISIT NEW 15-29 MIN	$132.37	$155.73	$78.60–$151.06	27% above	15%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 DIETARY CONSULT 15 MIN	$26.35	$31.00	$15.65–$30.07	40% below	15%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 DIETARY CONSULT 1/2 HOUR	$52.70	$62.00	$31.29–$60.14	19% above	15%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 DIETARY CONSULT 1 HOUR	$105.40	$124.00	$62.58–$120.28	138% above	15%
Occupational therapy evaluation, low complexity CPT 97165 OT EVAL LOW COMPLEX 30 MIN	$127.50	$150.00	$75.70–$145.50	29% below	15%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH COMPLEX 45 MIN	$127.50	$150.00	$75.70–$145.50	41% below	15%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW COMPLEX 20 MIN	$127.50	$150.00	$75.70–$145.50	35% below	15%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MOD COMPLEX 30 MIN	$127.50	$150.00	$75.70–$145.50	36% below	15%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT-MANUAL THERAPY TECHNIQ	$63.75	$75.00	$37.85–$72.75	34% below	15%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY TECHNIQUES	$63.75	$75.00	$37.85–$72.75	34% below	15%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EX (EA 15 MIN	$63.75	$75.00	$37.85–$72.75	30% below	15%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 ORAL MOTOR EXERCISES ROM	$73.33	$86.27	$43.54–$83.68	20% below	15%
Preventive checkup, new patient aged 18–39 CPT 99385 PREV VISIT NEW AGE 18-39	$244.38	$287.50	$145.14–$278.88	21% above	15%
Preventive checkup, new patient aged 40–64 CPT 99386 PREV VISIT NEW AGE 40-64	$266.86	$313.95	$158.48–$304.53	24% above	15%
Preventive checkup, new patient aged 65 or older CPT 99387 INIT PM E/M NEW PAT 65+ Y	$299.12	$351.90	$177.63–$341.34	30% above	15%
Preventive checkup, returning patient aged 18–39 CPT 99395 PM 18-39 EST	$201.37	$236.90	$119.59–$229.79	24% above	15%
Preventive checkup, returning patient aged 40–64 CPT 99396 PM 40-64 EST PT	$201.37	$236.90	$119.59–$229.79	9% above	15%
Preventive checkup, returning patient aged 65 or older CPT 99397 PM 65+ EST PT	$227.76	$267.95	$135.26–$259.91	7% above	15%
Psychiatric evaluation with medical services CPT 90792 PSYCHIATRIC EVAL WITH MEDICAL SERVICES	$238.00	$280.00	$141.35–$271.60	3% above	15%
Psychotherapy session, 30 minutes CPT 90832 PSYCHOTHERAPY WITH PATIENT 30 MINUTES	$84.07	$98.90	$49.92–$95.93	50% below	15%
Psychotherapy session, 30 minutes CPT 90832 16-37 MIN. INDIVIDUAL PSYCHOTHERAPY	$518.50	$610.00	$307.93–$591.70	208% above	15%
Psychotherapy session, 45 minutes CPT 90834 PSYCHOTHERAPY WITH PATIENT 45 MINUTES	$130.01	$152.95	$77.20–$148.36	41% below	15%
Psychotherapy session, 45 minutes CPT 90834 38-52 MINS. INDIVIDUAL PSYCHOTHERAPY	$641.75	$755.00	$381.12–$732.35	190% above	15%
Psychotherapy session, 60 minutes CPT 90837 PSYCHOTHERAPY WITH PATIENT 60 MINUTES	$195.50	$230.00	$116.10–$223.10	28% below	15%
Psychotherapy session, 60 minutes CPT 90837 53-67 MINS. INDIVIDUAL PSYCHOTHERAPY	$654.50	$770.00	$388.70–$746.90	141% above	15%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKING CESS.COUNS.3-10MI	$32.38	$38.09	$19.23–$36.95	12% below	15%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OV COMP/HIGH CO	$195.50	$230.00	$116.10–$223.10	17% below	15%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OUTPT VISIT ESTAB PT 40-54	$314.13	$369.57	$186.52–$358.48	34% above	15%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 UC EST LOW/MED HPI	$76.76	$90.30	$45.57–$87.59	35% below	15%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OV EXP PROB/LOW	$84.07	$98.90	$49.92–$95.93	29% below	15%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OP VISIT,OBS CARE LOW	$119.88	$141.04	$62.27–$136.81	1% above	15%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OUTPT VISIT ESTAB PT 20-29 MIN	$131.52	$154.73	$78.09–$150.09	11% above	15%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OV DETAILED/MOD	$130.01	$152.95	$77.20–$148.36	22% below	15%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OP VISIT,OBS CARE MED	$184.75	$217.35	$91.45–$210.83	11% above	15%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 UC EST MOD/HIGH HPI	$193.99	$228.22	$115.18–$221.37	17% above	15%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OUTPT VISIT ESTAB PT 30-39 MIN	$211.68	$249.03	$125.69–$241.56	28% above	15%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Pain Clinic Consult 10 Min Established P	$56.10	$66.00	$33.31–$64.02	31% below	15%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 UC EST MINOR HPI	$58.91	$69.30	$34.98–$67.22	27% below	15%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OV FOC EST PT	$64.52	$75.90	$38.32–$73.62	20% below	15%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OUTPT VISIT ESTAB PT 10-19 MIN	$91.57	$107.73	$54.37–$104.50	13% above	15%
Speech and language evaluation CPT 92523 SPEECH/HEARING EVALUATION	$380.72	$447.91	$226.06–$434.47	26% above	15%
Speech and language evaluation CPT 92523 SPEECH SOUND LANG. COMPREHENSION	$465.31	$547.42	$276.28–$531.00	55% above	15%
Speech therapy session, individual CPT 92507 SPEECH/HEARING THERAPY	$179.50	$211.18	$106.58–$204.84	18% below	15%
Spirometry (breathing test) CPT 94010 SPIROMETRY	$117.30	$138.00	$69.65–$133.86	40% below	15%
Spirometry (breathing test) CPT 94010 PFT SCREEN	$226.29	$266.22	$134.36–$258.23	15% above	15%
Spirometry before and after a bronchodilator CPT 94060 PEAK PRE/POST BD	$278.84	$328.05	$165.57–$318.21	29% below	15%
Spirometry before and after a bronchodilator CPT 94060 PFT PRE/POST BD	$278.84	$328.05	$165.57–$318.21	29% below	15%
Spirometry before and after a bronchodilator CPT 94060 BRONCHODILATION	$289.20	$340.24	$171.72–$330.03	26% below	15%
Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACT DIRECT (E	$63.75	$75.00	$37.85–$72.75	37% below	15%
Therapeutic activities (functional training), 15 minutes CPT 97530 ORTH/PROSTHETIC CHECKOUT	$63.75	$75.00	$37.85–$72.75	37% below	15%
Therapeutic activities (functional training), 15 minutes CPT 97530 THER ACT DIR (EA 15MIN) -	$63.75	$75.00	$37.85–$72.75	37% below	15%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY	$219.53	$258.27	$130.35–$250.52	14% above	15%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY	$219.53	$258.27	$130.35–$250.52	—	15%
Treadmill or drug stress test with ECG, supervision and report CPT 93015 STRESS TEST W/ SUPER, INTERPRET, REPORT	$595.00	$700.00	$353.29–$679.00	36% above	15%
Treadmill or drug stress test with ECG, supervision and report inpatient CPT 93015 STRESS TEST W/ SUPER, INTERPRET, REPORT	$595.00	$700.00	$353.29–$679.00	—	15%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Iowa	Off list
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 FLUAD (allV4) VACCINE	$74.71	$87.89	$44.36–$98.16	32% above	15%
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 SPIKEVAX COVID VACCINE	$130.56	$153.60	$77.52–$148.99	50% below	15%
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 SPIKEVAX COVID VACCINE	$302.28	$355.62	$179.48–$344.95	15% above	15%
COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 SPIKEVAX COVID VACCINE	$302.28	$355.62	$179.48–$344.95	—	15%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 CLN VARICELLA VI	$177.68	$209.04	$105.50–$202.77	8% above	15%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARIVAX VACCINE	$370.90	$436.35	$220.23–$423.26	126% above	15%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARIVAX VACCINE	$370.90	$436.35	$220.23–$423.26	—	15%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 CLN DTAP-IPV	$61.80	$72.70	$36.69–$70.52	26% below	15%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 CLN DIPTH PERTUSSIS (DTAP)	$28.99	$34.10	$17.21–$33.08	34% below	15%
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 CLN DTAP-HEP B-IPV VACCINE IM	$99.29	$116.81	$58.95–$113.31	13% below	15%
DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 CLN DTAP-IP-HI	$140.81	$165.66	$83.61–$160.69	31% above	15%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLUARIX FLU VACCINE	$20.00	$23.53	$11.88–$23.22	11% below	15%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 CLN HPV 9	$293.16	$344.89	$174.07–$334.54	6% below	15%
Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VAC	$84.40	$99.29	$50.11–$96.31	32% below	15%
Hepatitis A vaccine, adult dose CPT 90632 HEP A VACCINE ADULT	$109.65	$129.00	$65.11–$125.13	11% below	15%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 CLN HEPATITIS A	$38.64	$45.46	$22.94–$44.10	21% below	15%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 V - HEPATITIS B SERIES WI	$27.21	$32.01	$16.16–$75.15	75% below	15%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VAC	$43.75	$51.47	$25.98–$75.15	60% below	15%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 V - HEPATITIS B SERIES WI	$27.21	$32.01	$16.16–$75.15	—	15%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 CLN HEPLISAV-B	$150.59	$177.16	$89.41–$171.85	51% below	15%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B	$28.87	$33.96	$17.14–$33.20	51% below	15%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 CLN(HIB)	$62.40	$73.41	$37.05–$71.21	42% above	15%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 CLN HAEMOPHYL (HIB)	$13.05	$15.35	$7.75–$14.89	65% below	15%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLU VACCINE HIGH DOSE	$74.71	$87.89	$44.36–$98.16	4% below	15%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 INFLUENZA VACCINE HIGH DOSE	$89.39	$105.17	$53.10–$102.01	15% above	15%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 INFLUENZA VACCINE HIGH DOSE	$89.39	$105.17	$53.10–$102.01	—	15%
MMR vaccine (measles, mumps and rubella), live CPT 90707 CLN MEASLES/MUMPS	$93.96	$110.54	$55.79–$107.22	23% below	15%
MMR vaccine (measles, mumps and rubella), live CPT 90707 OCC HEALTH MMR	$187.77	$220.90	$111.49–$214.27	54% above	15%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 CLN MMR VARICELLA	$275.04	$323.58	$163.31–$313.87	26% below	15%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 CLN MENINGOCOCCAL	$160.37	$188.67	$95.22–$183.01	29% below	15%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL RECOMBINANT PROTEIN	$228.10	$268.35	$135.44–$260.30	7% below	15%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 CLN PNEUMOCOCCAL 13	$230.83	$271.57	$137.08–$263.42	44% below	15%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 PREVNAR 13 VACCINE	$472.52	$555.90	$257.99–$539.22	15% above	15%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 PREVNAR 13 VACCINE	$472.52	$555.90	$257.99–$539.22	—	15%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PREVNAR 20 ADULT VACCINE	$266.70	$313.77	$158.39–$312.90	46% below	15%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PREVNAR 20 VACCINE	$508.94	$598.75	$302.24–$580.79	2% above	15%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PREVNAR 20 VACCINE	$508.94	$598.75	$302.24–$580.79	—	15%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 VAC- PNEUMOCOCCAL 23 INJ	$37.44	$44.05	$22.24–$133.47	83% below	15%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 CLN PNEUMOCOCCAL 23	$119.43	$140.50	$70.93–$136.28	45% below	15%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 VAC- PNEUMOCOCCAL 23 INJ	$37.44	$44.05	$22.24–$133.47	—	15%
Polio vaccine, inactivated (IPV) CPT 90713 POLIOVIRUS IPV SC/IM	$43.37	$51.02	$25.75–$49.49	14% below	15%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 CLN BEYFORTUS 100 MG	$530.15	$623.70	$314.78–$604.99	9% below	15%
RSV vaccine with adjuvant (Arexvy), one dose for older adults CPT 90679 CLN AREXVY VACCINE	$285.60	$336.00	$169.58–$325.92	14% above	15%
RSV vaccine with adjuvant (Arexvy), one dose for older adults CPT 90679 AREXVY VACCINE	$586.77	$690.32	$348.40–$669.61	134% above	15%
RSV vaccine with adjuvant (Arexvy), one dose for older adults inpatient CPT 90679 AREXVY VACCINE	$586.77	$690.32	$348.40–$669.61	—	15%
Rabies vaccine, one dose CPT 90675 RABAVERT INJ 1ML VIAL	$751.59	$884.22	$446.27–$857.69	5% above	15%
Rabies vaccine, one dose CPT 90675 RABAVERT INJ 1 ML VL	$819.15	$963.71	$486.38–$934.80	15% above	15%
Rabies vaccine, one dose inpatient CPT 90675 RABAVERT INJ 1 ML VL	$819.15	$963.71	$486.38–$934.80	—	15%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 CLN ROTAVIRUS VA	$97.75	$115.00	$58.04–$111.55	8% below	15%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 ZOSTER VACCINE, LIVE	$201.85	$237.47	$119.85–$230.35	8% below	15%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 SHINGRIX VACCINE	$447.27	$526.20	$265.57–$510.41	104% above	15%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 SHINGRIX VACCINE	$447.27	$526.20	$265.57–$510.41	—	15%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 CLN TETANUS DIPH	$30.25	$35.59	$17.96–$34.52	49% below	15%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 VAC- TETANUS/Diph	$109.64	$128.99	$65.10–$125.12	83% above	15%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 VAC- TETANUS/Diph	$109.64	$128.99	$65.10–$125.12	—	15%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP VACCINE IM	$27.91	$32.83	$16.57–$31.85	67% below	15%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP	$46.61	$54.84	$27.68–$53.19	45% below	15%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 CLN TDAP (BOOSTRIX) DIPTH/PERTU	$47.96	$56.42	$28.48–$54.73	43% below	15%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 VAC- TETAN/ DIPH/Pertussis injection	$124.22	$146.14	$73.76–$141.76	47% above	15%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 VAC- TETAN/ DIPH/Pertussis injection	$124.22	$146.14	$73.76–$141.76	—	15%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 OCC HEALTH INJECTION FEE	$6.80	$8.00	$4.04–$7.76	81% below	15%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN OVER 18	$37.40	$44.00	$22.21–$42.68	7% above	15%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 OCC HEALTH-FLU VACCINE ADMIN	$49.47	$58.20	$29.37–$56.45	41% above	15%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 OCC HEALTH - HEPATITIS ADMINISTRATION	$49.47	$58.20	$29.37–$56.45	41% above	15%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 RABIES VACCINE IM	$58.60	$68.94	$34.79–$66.87	67% above	15%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VACCINE ADMINISTRATION	$113.62	$133.67	$67.46–$129.66	225% above	15%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 RABIES VACCINE IM	$58.60	$68.94	$34.79–$66.87	—	15%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 VACCINE ADMINISTRATION	$113.62	$133.67	$67.46–$129.66	—	15%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADMIN OVER 18	$20.40	$24.00	$12.11–$23.28	29% below	15%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 VACCINATION EA ADD'L VACC	$46.75	$55.00	$27.76–$53.35	62% above	15%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 VACCINATION EA ADD'L VACC	$46.75	$55.00	$27.76–$53.35	—	15%

Source file: https://www.hawardenregionalhealthcare.com/patients-visitors/price-transparency/426005851_hawardenregionalhealthcare_standardcharges.csv