Hospital

Cuba Memorial Hospital

Cuba Memorial Hospital in Cuba, NY publishes cash prices for 333 common procedures listed here, from its own machine-readable price file updated Apr 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the New York median for 222 of 331 procedures and below it for 100. By typical cash price it ranks #54 of 93 New York hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

140 West Main Street, Cuba, NY 14727 Collected Sep 27, 2026 Source price file (585) 961-2000

Critical access hospital (rural, 25 beds or fewer) No emergency department CCN 331301 · CMS hospital register

The price file shows no self-pay discount

For 2086 of the 2086 prices listed here, the cash price in Cuba Memorial Hospital's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing.

CMS price transparency record

The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 3 actions for a hospital named Cuba Memorial Hospital in Cuba, NY:

Sep 8, 2025 Warning notice
Dec 11, 2025 Corrective action plan requested
Jan 2, 2026 Case closed

Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. Corrective action plan requested: CMS asked the hospital to submit a plan to fix the problems it found. Case closed: CMS closed the case after the hospital addressed the problems.

A notice records a step in a CMS review; it is not a court finding. Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes, actions through Jul 31, 2026.

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs New York	Off list
Ankle X-ray, complete, 3 or more views both sides CPT 73610 Ankle, Comp, Min 3Views, Bilat	$350.00	$350.00	—	—	—
Ankle X-ray, complete, 3 or more views CPT 73610 Ankle, 3 Or More Views Va Spec	$231.00	$231.00	—	16% above	—
Ankle X-ray, complete, 3 or more views one side CPT 73610 Ankle, Comp Min 3 Views, Lt Cr	$231.00	$231.00	—	16% above	—
Ankle X-ray, complete, 3 or more views one side CPT 73610 Ankle, Comp, Min 3 Views, Rt	$231.00	$231.00	—	16% above	—
Ankle X-ray, complete, 3 or more views one side CPT 73610 Ankle, Comp, Min 3 Views, Lt	$231.00	$231.00	—	16% above	—
Ankle X-ray, complete, 3 or more views one side CPT 73610 Ankle, Comp Min 3 Views, Rt Cr	$231.00	$231.00	—	16% above	—
Ankle X-ray, complete, 3 or more views inpatient both sides CPT 73610 Ankle, Comp, Min 3Views, Bilat	$350.00	$350.00	—	—	—
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 Ankle, 3 Or More Views Va Spec	$231.00	$231.00	—	—	—
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 Ankle, Comp Min 3 Views, Lt Cr	$231.00	$231.00	—	—	—
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 Ankle, Comp, Min 3 Views, Lt	$231.00	$231.00	—	—	—
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 Ankle, Comp Min 3 Views, Rt Cr	$231.00	$231.00	—	—	—
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 Ankle, Comp, Min 3 Views, Rt	$231.00	$231.00	—	—	—
Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 Ext Art Single Level, Bilat	$230.00	$230.00	—	—	—
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Upr Ext Arterial 2 Levels	$230.00	$230.00	—	15% below	—
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Upr/L Ext Art 2 Levels	$230.00	$230.00	—	15% below	—
Ankle-brachial index (ABI), blood pressure test for leg arteries one side CPT 93922 Per Vac Arteru Unilat	$230.00	$230.00	—	15% below	—
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 Ext Art Single Level, Bilat	$230.00	$230.00	—	—	—
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 Upr Ext Arterial 2 Levels	$230.00	$230.00	—	—	—
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 Upr/L Ext Art 2 Levels	$230.00	$230.00	—	—	—
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient one side CPT 93922 Per Vac Arteru Unilat	$230.00	$230.00	—	—	—
Barium swallow (esophagus X-ray with contrast) CPT 74220 Esophagus W/O Video	$346.00	$346.00	—	3% above	—
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 Esophagus W/O Video	$346.00	$346.00	—	—	—
Bone scan, whole body (nuclear medicine) CPT 78306 Bone Imaging Whole Body	$1,825.00	$1,825.00	—	113% above	—
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 Bone Imaging Whole Body	$1,825.00	$1,825.00	—	—	—
Breast ultrasound, complete, one breast both sides CPT 76641 Ultrasound Breast Bilat; Compl	$479.00	$479.00	—	—	—
Breast ultrasound, complete, one breast one side CPT 76641 Ultrasound Breast Compl Lt	$319.00	$319.00	—	1% above	—
Breast ultrasound, complete, one breast one side CPT 76641 Ultrasound Breast Compl Rt	$319.00	$319.00	—	1% above	—
Breast ultrasound, complete, one breast inpatient both sides CPT 76641 Ultrasound Breast Bilat; Compl	$479.00	$479.00	—	—	—
Breast ultrasound, complete, one breast inpatient one side CPT 76641 Ultrasound Breast Compl Rt	$319.00	$319.00	—	—	—
Breast ultrasound, complete, one breast inpatient one side CPT 76641 Ultrasound Breast Compl Lt	$319.00	$319.00	—	—	—
Breast ultrasound, limited (one breast or one area) both sides CPT 76642 Ultrasound Breast Bilat Limit	$410.00	$410.00	—	—	—
Breast ultrasound, limited (one breast or one area) CPT 76642 Ultrasound Breast Limited	$273.00	$273.00	—	23% above	—
Breast ultrasound, limited (one breast or one area) one side CPT 76642 Ultrasound Breast Unilat Limit	$273.00	$273.00	—	23% above	—
Breast ultrasound, limited (one breast or one area) inpatient both sides CPT 76642 Ultrasound Breast Bilat Limit	$410.00	$410.00	—	—	—
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 Ultrasound Breast Limited	$273.00	$273.00	—	—	—
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 Ultrasound Breast Unilat Limit	$273.00	$273.00	—	—	—
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Cta Chest W/O & W Contrast	$2,077.00	$2,077.00	—	83% above	—
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 Cta Chest W/O & W Contrast	$2,077.00	$2,077.00	—	—	—
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 Ct Angiography Heart W/3D Imag	$765.00	$765.00	—	26% below	—
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 Ct Angiography Heart W/3D Imag	$765.00	$765.00	—	—	—
CT of the heart without contrast dye to measure coronary calcium CPT 75571 Ct Heart Wo Contrast	$465.00	$465.00	—	190% above	—
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 Ct Heart Wo Contrast	$465.00	$465.00	—	—	—
CT scan of abdomen and pelvis, no contrast dye CPT 74176 Ct Abd & Pelvis W/O	$1,788.00	$1,788.00	—	74% above	—
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 Ct Abd & Pelvis W/O	$1,788.00	$1,788.00	—	—	—
CT scan of abdomen and pelvis, with contrast dye CPT 74177 Ct Scan Abd & Pelvis W/Con	$2,043.00	$2,043.00	—	31% above	—
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 Ct Scan Abd & Pelvis W/Con	$2,043.00	$2,043.00	—	—	—
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Ct Scan Adb & Pelvis Wo & W Co	$2,266.00	$2,266.00	—	39% above	—
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 Ct Scan Adb & Pelvis Wo & W Co	$2,266.00	$2,266.00	—	—	—
CT scan of the abdomen with contrast CPT 74160 Ct/Abdomen, W	$1,098.00	$1,098.00	—	8% above	—
CT scan of the abdomen with contrast inpatient CPT 74160 Ct/Abdomen, W	$1,098.00	$1,098.00	—	—	—
CT scan of the abdomen without contrast CPT 74150 Ct/Abdomen, W-O	$1,053.00	$1,053.00	—	32% above	—
CT scan of the abdomen without contrast inpatient CPT 74150 Ct/Abdomen, W-O	$1,053.00	$1,053.00	—	—	—
CT scan of the face and sinuses, no contrast dye CPT 70486 Ct Sinuses W O	$728.00	$728.00	—	4% above	—
CT scan of the face and sinuses, no contrast dye CPT 70486 Ct/Facial, W-O	$728.00	$728.00	—	4% above	—
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 Ct Sinuses W O	$728.00	$728.00	—	—	—
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 Ct/Facial, W-O	$728.00	$728.00	—	—	—
CT scan of the head or brain, no contrast dye CPT 70450 Ct/Head, W-O	$906.00	$906.00	—	31% above	—
CT scan of the head or brain, no contrast dye inpatient CPT 70450 Ct/Head, W-O	$906.00	$906.00	—	—	—
CT scan of the head with contrast CPT 70460 Ct/Head, W	$982.00	$982.00	—	12% above	—
CT scan of the head with contrast inpatient CPT 70460 Ct/Head, W	$982.00	$982.00	—	—	—
CT scan of the head without and with contrast CPT 70470 Ct/Head, W/W-O	$1,484.00	$1,484.00	—	43% above	—
CT scan of the head without and with contrast inpatient CPT 70470 Ct/Head, W/W-O	$1,484.00	$1,484.00	—	—	—
CT scan of the lower back (lumbar spine) without contrast CPT 72131 Ct/Lumbar W-O	$1,120.00	$1,120.00	—	34% above	—
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 Ct/Lumbar W-O	$1,120.00	$1,120.00	—	—	—
CT scan of the neck (cervical spine), no contrast dye CPT 72125 Ct Cx Spind W-O	$1,120.00	$1,120.00	—	32% above	—
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 Ct Cx Spind W-O	$1,120.00	$1,120.00	—	—	—
CT scan of the pelvis, with contrast dye CPT 72193 Ct Pelvis W	$862.00	$862.00	—	4% below	—
CT scan of the pelvis, with contrast dye inpatient CPT 72193 Ct Pelvis W	$862.00	$862.00	—	—	—
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 Duplex Scan Arteries	$538.00	$538.00	—	2% below	—
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 Duplex Scan Arteries	$538.00	$538.00	—	—	—
Chest X-ray, 2 views CPT 71046 Chest 2 Views	$186.00	$186.00	—	8% below	—
Chest X-ray, 2 views CPT 71046 Chest 2 Views Cr	$186.00	$186.00	—	8% below	—
Chest X-ray, 2 views inpatient CPT 71046 Chest 2 Views	$186.00	$186.00	—	—	—
Chest X-ray, 2 views inpatient CPT 71046 Chest 2 Views Cr	$186.00	$186.00	—	—	—
Chest X-ray, single view CPT 71045 Chest Xray 1 View	$186.00	$186.00	—	at median	—
Chest X-ray, single view CPT 71045 Chest Xray 1 View Cr	$186.00	$186.00	—	at median	—
Chest X-ray, single view CPT 71045 Chest Xray 1 View Portable	$186.00	$186.00	—	at median	—
Chest X-ray, single view inpatient CPT 71045 Chest Xray 1 View Cr	$186.00	$186.00	—	—	—
Chest X-ray, single view inpatient CPT 71045 Chest Xray 1 View	$186.00	$186.00	—	—	—
Chest X-ray, single view inpatient CPT 71045 Chest Xray 1 View Portable	$186.00	$186.00	—	—	—
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Hepatic	$401.00	$401.00	—	11% above	—
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Gall Bladder	$401.00	$401.00	—	11% above	—
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Ultrasound Renal, Complete	$401.00	$401.00	—	11% above	—
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Ultrasound Aorta	$401.00	$401.00	—	11% above	—
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Us Retroperitoneal, Complete	$401.00	$401.00	—	11% above	—
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Pancreas	$401.00	$401.00	—	11% above	—
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 Hepatic	$401.00	$401.00	—	—	—
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 Us Retroperitoneal, Complete	$401.00	$401.00	—	—	—
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 Ultrasound Renal, Complete	$401.00	$401.00	—	—	—
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 Pancreas	$401.00	$401.00	—	—	—
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 Ultrasound Aorta	$401.00	$401.00	—	—	—
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 Gall Bladder	$401.00	$401.00	—	—	—
DEXA bone density scan of the hip, pelvis or spine CPT 77080 Dxa Bone Density Axial Skelet	$343.00	$343.00	—	43% above	—
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 Dxa Bone Density Axial Skelet	$343.00	$343.00	—	—	—
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 Bone Densitometry (Finger)	$153.00	$153.00	—	6% above	—
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 Bone Densitometry (Finger)	$153.00	$153.00	—	—	—
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 Ob Us Detailed Sngl Fetus	$677.00	$677.00	—	30% above	—
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 Ob Us Detailed Sngl Fetus	$677.00	$677.00	—	—	—
Diagnostic CT scan of the chest, no contrast dye CPT 71250 Ct Thorax, W-O	$1,053.00	$1,053.00	—	29% above	—
Diagnostic CT scan of the chest, no contrast dye CPT 71250 Ct Scan Low Dose Cancer Screen	$1,053.00	$1,053.00	—	29% above	—
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 Ct Thorax, W-O	$1,053.00	$1,053.00	—	—	—
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 Ct Scan Low Dose Cancer Screen	$1,053.00	$1,053.00	—	—	—
Diagnostic CT scan of the chest, with contrast dye CPT 71260 Ct Thorax, With Contrast	$1,445.00	$1,445.00	—	39% above	—
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 Ct Thorax, With Contrast	$1,445.00	$1,445.00	—	—	—
Diagnostic mammogram, both breasts both sides CPT 77066 Diag Mammo Bilat 3D Bmh	$358.00	$358.00	—	—	—
Diagnostic mammogram, both breasts both sides CPT 77066 Diag Mammo Bilat Bmh 4 Exp	$358.00	$358.00	—	—	—
Diagnostic mammogram, both breasts both sides CPT 77066 Diag Mammo Bilat W/Cad	$358.00	$358.00	—	—	—
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 Diag Mammo Bilat Bmh 4 Exp	$358.00	$358.00	—	—	—
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 Diag Mammo Bilat W/Cad	$358.00	$358.00	—	—	—
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 Diag Mammo Bilat 3D Bmh	$358.00	$358.00	—	—	—
Diagnostic mammogram, one breast one side CPT 77065 Diag Mammo Unilat W/Cad Rt	$274.00	$274.00	—	3% above	—
Diagnostic mammogram, one breast one side CPT 77065 Diag Mammo Unilat W/Cad Lt	$274.00	$274.00	—	3% above	—
Diagnostic mammogram, one breast one side CPT 77065 Diag Mammo Unilat Rt Bmh 4 Exp	$274.00	$274.00	—	3% above	—
Diagnostic mammogram, one breast one side CPT 77065 Diag Mammo Unilat Lt Bmh 4 Exp	$274.00	$274.00	—	3% above	—
Diagnostic mammogram, one breast inpatient one side CPT 77065 Diag Mammo Unilat W/Cad Rt	$274.00	$274.00	—	—	—
Diagnostic mammogram, one breast inpatient one side CPT 77065 Diag Mammo Unilat Lt Bmh 4 Exp	$274.00	$274.00	—	—	—
Diagnostic mammogram, one breast inpatient one side CPT 77065 Diag Mammo Unilat Rt Bmh 4 Exp	$274.00	$274.00	—	—	—
Diagnostic mammogram, one breast inpatient one side CPT 77065 Diag Mammo Unilat W/Cad Lt	$274.00	$274.00	—	—	—
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 Low Ext Art Or Graft, Bilat	$692.00	$692.00	—	—	—
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 Low Ext Art Or Graft, Bilat	$692.00	$692.00	—	—	—
Duplex ultrasound of the leg veins, both legs CPT 93970 Peripheral/Va/Img/Dop/Vein/Bil	$673.00	$673.00	—	36% above	—
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 Peripheral/Va/Img/Dop/Vein/Bil	$673.00	$673.00	—	—	—
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Echo Complete 12-18 Yrs	$1,272.00	$1,272.00	—	17% above	—
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Echo Complete < 12Yrs	$1,272.00	$1,272.00	—	17% above	—
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Echo Complete	$1,272.00	$1,272.00	—	17% above	—
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Echo Complete 12-18 Yrs	$1,272.00	$1,272.00	—	—	—
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Echo Complete	$1,272.00	$1,272.00	—	—	—
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Echo Complete < 12Yrs	$1,272.00	$1,272.00	—	—	—
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Hepatobiliary Imag W/Gallbladd	$1,110.00	$1,110.00	—	16% above	—
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 Hepatobiliary Imag W/Gallbladd	$1,110.00	$1,110.00	—	—	—
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Sleep Staging,4+ W, Discontinu	$2,016.00	$2,016.00	—	8% below	—
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Sleep Staging, 4+ W Airway	$2,688.00	$2,688.00	—	22% above	—
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 Sleep Staging,4+ W, Discontinu	$2,016.00	$2,016.00	—	—	—
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 Sleep Staging, 4+ W Airway	$2,688.00	$2,688.00	—	—	—
Knee X-ray, 3 views both sides CPT 73562 Knee 3 Views, Bilat	$236.00	$236.00	—	—	—
Knee X-ray, 3 views one side CPT 73562 Knee 3 Views, Rt Cr	$157.00	$157.00	—	7% below	—
Knee X-ray, 3 views one side CPT 73562 Knee 3 Views, Lt Cr	$157.00	$157.00	—	7% below	—
Knee X-ray, 3 views one side CPT 73562 Knee 3 Views, Rt	$157.00	$157.00	—	7% below	—
Knee X-ray, 3 views one side CPT 73562 Knee 3 Views, Lt	$157.00	$157.00	—	7% below	—
Knee X-ray, 3 views inpatient both sides CPT 73562 Knee 3 Views, Bilat	$236.00	$236.00	—	—	—
Knee X-ray, 3 views inpatient one side CPT 73562 Knee 3 Views, Lt	$157.00	$157.00	—	—	—
Knee X-ray, 3 views inpatient one side CPT 73562 Knee 3 Views, Rt	$157.00	$157.00	—	—	—
Knee X-ray, 3 views inpatient one side CPT 73562 Knee 3 Views, Rt Cr	$157.00	$157.00	—	—	—
Knee X-ray, 3 views inpatient one side CPT 73562 Knee 3 Views, Lt Cr	$157.00	$157.00	—	—	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Us Port Abd Limited	$328.00	$328.00	—	7% above	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Echo Exam Of Abdomen	$328.00	$328.00	—	7% above	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Echo Ab Lim,Sing Organ,Quad Fu	$328.00	$328.00	—	7% above	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Echo Exam Of Abdomen	$328.00	$328.00	—	—	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Us Port Abd Limited	$328.00	$328.00	—	—	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Echo Ab Lim,Sing Organ,Quad Fu	$328.00	$328.00	—	—	—
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Low Dose Ct Scan Ca Screen	$465.00	$465.00	—	11% above	—
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 Low Dose Ct Scan Ca Screen	$465.00	$465.00	—	—	—
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 Mri Any Joint Lower Ext, Rt	$1,599.00	$1,599.00	—	59% above	—
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 Mri Any Joint Lower Ext, Lt	$1,599.00	$1,599.00	—	59% above	—
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 Mri Any Joint Lower Ext, Lt	$1,599.00	$1,599.00	—	—	—
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 Mri Any Joint Lower Ext, Rt	$1,599.00	$1,599.00	—	—	—
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 Mri Any Joint Lwr Ext W/Wo	$1,895.00	$1,895.00	—	4% above	—
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 Mri Joint Lower Ext Rt W/Wo	$1,895.00	$1,895.00	—	4% above	—
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 Mri Joint Lower Extr Lt W/Wo	$1,895.00	$1,895.00	—	4% above	—
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 Mri Any Joint Lwr Ext W/Wo	$1,895.00	$1,895.00	—	—	—
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 Mri Joint Lower Ext Rt W/Wo	$1,895.00	$1,895.00	—	—	—
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 Mri Joint Lower Extr Lt W/Wo	$1,895.00	$1,895.00	—	—	—
MRI of the abdomen without contrast CPT 74181 Mri Abdomen W/O Contrast	$878.00	$878.00	—	14% below	—
MRI of the abdomen without contrast CPT 74181 Mrcp Only	$878.00	$878.00	—	14% below	—
MRI of the abdomen without contrast inpatient CPT 74181 Mri Abdomen W/O Contrast	$878.00	$878.00	—	—	—
MRI of the abdomen without contrast inpatient CPT 74181 Mrcp Only	$878.00	$878.00	—	—	—
MRI of the abdomen, without and then with contrast dye CPT 74183 Mri Abdomen W/Wo Contrast	$1,468.00	$1,468.00	—	11% below	—
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 Mri Abdomen W/Wo Contrast	$1,468.00	$1,468.00	—	—	—
MRI of the brain, no contrast dye CPT 70551 Mri Brain Without	$1,599.00	$1,599.00	—	61% above	—
MRI of the brain, no contrast dye inpatient CPT 70551 Mri Brain Without	$1,599.00	$1,599.00	—	—	—
MRI of the brain, with and without contrast dye CPT 70553 Mri Iac W/Wo	$2,382.00	$2,382.00	—	49% above	—
MRI of the brain, with and without contrast dye CPT 70553 Mri-Brain With/Without	$2,382.00	$2,382.00	—	49% above	—
MRI of the brain, with and without contrast dye inpatient CPT 70553 Mri-Brain With/Without	$2,382.00	$2,382.00	—	—	—
MRI of the brain, with and without contrast dye inpatient CPT 70553 Mri Iac W/Wo	$2,382.00	$2,382.00	—	—	—
MRI of the lower back, no contrast dye CPT 72148 Mri Lumbar Spine Without	$1,599.00	$1,599.00	—	50% above	—
MRI of the lower back, no contrast dye inpatient CPT 72148 Mri Lumbar Spine Without	$1,599.00	$1,599.00	—	—	—
MRI of the lower back, without and then with contrast dye CPT 72158 Mri-Lumbar Spine With/Without	$2,352.00	$2,352.00	—	43% above	—
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 Mri-Lumbar Spine With/Without	$2,352.00	$2,352.00	—	—	—
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 Mri Thoracic Spine Without	$1,390.00	$1,390.00	—	38% above	—
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 Mri Thoracic Spine Without	$1,390.00	$1,390.00	—	—	—
MRI of the neck (cervical spine) without and with contrast CPT 72156 Mri Cervical Spine With/W.Out	$2,441.00	$2,441.00	—	51% above	—
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 Mri Cervical Spine With/W.Out	$2,441.00	$2,441.00	—	—	—
MRI of the neck (cervical spine), no contrast dye CPT 72141 Mri Cervical Spine Without	$1,599.00	$1,599.00	—	60% above	—
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 Mri Cervical Spine Without	$1,599.00	$1,599.00	—	—	—
MRI of the pelvis without and with contrast CPT 72197 Mri Pelvis W/Wo Contrast	$1,965.00	$1,965.00	—	28% above	—
MRI of the pelvis without and with contrast inpatient CPT 72197 Mri Pelvis W/Wo Contrast	$1,965.00	$1,965.00	—	—	—
MRI of the pelvis, no contrast dye CPT 72195 Mri Pelvis Wo Contrast	$1,390.00	$1,390.00	—	40% above	—
MRI of the pelvis, no contrast dye inpatient CPT 72195 Mri Pelvis Wo Contrast	$1,390.00	$1,390.00	—	—	—
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 Mri Any Jnt Upper,Ext. Lt Wo	$1,599.00	$1,599.00	—	33% above	—
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 Mri Any Joint Upper,Ext Rt Wo	$1,599.00	$1,599.00	—	33% above	—
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 Mri Any Joint Upper,Ext Rt Wo	$1,599.00	$1,599.00	—	—	—
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 Mri Any Jnt Upper,Ext. Lt Wo	$1,599.00	$1,599.00	—	—	—
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Myocardial Perf(Spect) Multipl	$3,434.00	$3,434.00	—	56% above	—
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 Myocardial Perf(Spect) Multipl	$3,434.00	$3,434.00	—	—	—
PET/CT scan from the base of the skull to mid-thigh CPT 78815 Pet Ct Tumor Skull-Thigh Nopr	$3,830.00	$3,830.00	—	3% above	—
PET/CT scan from the base of the skull to mid-thigh CPT 78815 Pet/Ct Tumor Skull-Thigh, Int	$3,830.00	$3,830.00	—	3% above	—
PET/CT scan from the base of the skull to mid-thigh CPT 78815 Pet/Ct Tumor Skull-Thigh, Subs	$3,830.00	$3,830.00	—	3% above	—
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 Pet/Ct Tumor Skull-Thigh, Int	$3,830.00	$3,830.00	—	—	—
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 Pet Ct Tumor Skull-Thigh Nopr	$3,830.00	$3,830.00	—	—	—
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 Pet/Ct Tumor Skull-Thigh, Subs	$3,830.00	$3,830.00	—	—	—
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Us Exam Pelvic Limited	$243.00	$243.00	—	4% below	—
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Mc Ultrasound Pelvic-Limited	$243.00	$243.00	—	4% below	—
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Pelv Nonobst Lmt Or Follow-Up	$243.00	$243.00	—	4% below	—
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 Mc Ultrasound Pelvic-Limited	$243.00	$243.00	—	—	—
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 Us Exam Pelvic Limited	$243.00	$243.00	—	—	—
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 Pelv Nonobst Lmt Or Follow-Up	$243.00	$243.00	—	—	—
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Us Exam Pelvis, Complete	$363.00	$363.00	—	at median	—
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Us Exam. Pelvis, Complete	$363.00	$363.00	—	at median	—
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Pelvic/ Nonobstetric	$363.00	$363.00	—	at median	—
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 Pelvic/ Nonobstetric	$363.00	$363.00	—	—	—
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 Us Exam Pelvis, Complete	$363.00	$363.00	—	—	—
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 Us Exam. Pelvis, Complete	$363.00	$363.00	—	—	—
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Us Port Preg Comp	$437.00	$437.00	—	35% above	—
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Pregnancy Comp > 14Wks	$437.00	$437.00	—	35% above	—
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 Us Port Preg Comp	$437.00	$437.00	—	—	—
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 Pregnancy Comp > 14Wks	$437.00	$437.00	—	—	—
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Us Ob <14 Weeks	$506.00	$506.00	—	64% above	—
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 Us Ob <14 Weeks	$506.00	$506.00	—	—	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Us Port Limit Ob	$401.00	$401.00	—	30% above	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Placenta Localization	$401.00	$401.00	—	30% above	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Limited Ob Study	$401.00	$401.00	—	30% above	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 Limited Ob Study	$401.00	$401.00	—	—	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 Placenta Localization	$401.00	$401.00	—	—	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 Us Port Limit Ob	$401.00	$401.00	—	—	—
Screening mammogram, both breasts both sides CPT 77067 Screening Mammo Bilat W/Cad	$290.00	$290.00	—	—	—
Screening mammogram, both breasts both sides CPT 77067 Screening Mammo Bilat Bmh 4 Ex	$290.00	$290.00	—	—	—
Screening mammogram, both breasts one side CPT 77067 Screening Mammo W/Cad Rt Gow	$233.00	$233.00	—	at median	—
Screening mammogram, both breasts one side CPT 77067 Screening Mammo W/Cad Lt Gow	$233.00	$233.00	—	at median	—
Screening mammogram, both breasts one side CPT 77067 Screening Mammo W/Cad Lt	$233.00	$233.00	—	at median	—
Screening mammogram, both breasts one side CPT 77067 Screening Mammo W/Cad Rt	$233.00	$233.00	—	at median	—
Screening mammogram, both breasts inpatient both sides CPT 77067 Screening Mammo Bilat W/Cad	$290.00	$290.00	—	—	—
Screening mammogram, both breasts inpatient both sides CPT 77067 Screening Mammo Bilat Bmh 4 Ex	$290.00	$290.00	—	—	—
Screening mammogram, both breasts inpatient one side CPT 77067 Screening Mammo W/Cad Rt Gow	$233.00	$233.00	—	—	—
Screening mammogram, both breasts inpatient one side CPT 77067 Screening Mammo W/Cad Lt Gow	$233.00	$233.00	—	—	—
Screening mammogram, both breasts inpatient one side CPT 77067 Screening Mammo W/Cad Rt	$233.00	$233.00	—	—	—
Screening mammogram, both breasts inpatient one side CPT 77067 Screening Mammo W/Cad Lt	$233.00	$233.00	—	—	—
Shoulder X-ray, complete, 2 or more views both sides CPT 73030 Shoulder 2 View Bilat	$244.00	$244.00	—	—	—
Shoulder X-ray, complete, 2 or more views one side CPT 73030 Shoulder 2 View, Rt Cr	$163.00	$163.00	—	19% below	—
Shoulder X-ray, complete, 2 or more views one side CPT 73030 Shoulder 2 View, Lt	$163.00	$163.00	—	19% below	—
Shoulder X-ray, complete, 2 or more views one side CPT 73030 Shoulder 2 View, Rt	$163.00	$163.00	—	19% below	—
Shoulder X-ray, complete, 2 or more views one side CPT 73030 Shoulder 2 View, Lt Cr	$163.00	$163.00	—	19% below	—
Shoulder X-ray, complete, 2 or more views inpatient both sides CPT 73030 Shoulder 2 View Bilat	$244.00	$244.00	—	—	—
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 Shoulder 2 View, Lt Cr	$163.00	$163.00	—	—	—
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 Shoulder 2 View, Rt Cr	$163.00	$163.00	—	—	—
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 Shoulder 2 View, Rt	$163.00	$163.00	—	—	—
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 Shoulder 2 View, Lt	$163.00	$163.00	—	—	—
Sleep study in a lab (polysomnography) CPT 95810 Sleep Staging 4 Or More Param.	$2,688.00	$2,688.00	—	28% above	—
Sleep study in a lab (polysomnography) inpatient CPT 95810 Sleep Staging 4 Or More Param.	$2,688.00	$2,688.00	—	—	—
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 Stress Tte W/Ekg Moni & Superv	$1,770.00	$1,770.00	—	56% above	—
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 Stress Tte W/Ekg Moni & Superv	$1,770.00	$1,770.00	—	—	—
Swallow study (modified barium swallow, video X-ray) CPT 74230 Esophagus W / Video	$304.00	$304.00	—	10% below	—
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 Esophagus W / Video	$304.00	$304.00	—	—	—
Transvaginal pelvic ultrasound CPT 76830 Ultrasound Echo Transvaginal	$364.00	$364.00	—	5% above	—
Transvaginal pelvic ultrasound inpatient CPT 76830 Ultrasound Echo Transvaginal	$364.00	$364.00	—	—	—
Transvaginal ultrasound during pregnancy CPT 76817 Ultrasound, Preg Uterus Transv	$364.00	$364.00	—	31% above	—
Transvaginal ultrasound during pregnancy inpatient CPT 76817 Ultrasound, Preg Uterus Transv	$364.00	$364.00	—	—	—
Ultrasound of the abdomen, complete CPT 76700 Us Exam, Abdom Complete	$770.00	$770.00	—	81% above	—
Ultrasound of the abdomen, complete CPT 76700 Us Port Abd Comp	$770.00	$770.00	—	81% above	—
Ultrasound of the abdomen, complete CPT 76700 Us Exam, Addom, Complete	$770.00	$770.00	—	81% above	—
Ultrasound of the abdomen, complete CPT 76700 Echo Abd Comp	$770.00	$770.00	—	81% above	—
Ultrasound of the abdomen, complete inpatient CPT 76700 Us Exam, Addom, Complete	$770.00	$770.00	—	—	—
Ultrasound of the abdomen, complete inpatient CPT 76700 Us Port Abd Comp	$770.00	$770.00	—	—	—
Ultrasound of the abdomen, complete inpatient CPT 76700 Us Exam, Abdom Complete	$770.00	$770.00	—	—	—
Ultrasound of the abdomen, complete inpatient CPT 76700 Echo Abd Comp	$770.00	$770.00	—	—	—
Ultrasound of the scrotum and testicles CPT 76870 Echography,Scrotum&Conten	$401.00	$401.00	—	14% above	—
Ultrasound of the scrotum and testicles CPT 76870 Us Exam, Scrotum	$401.00	$401.00	—	14% above	—
Ultrasound of the scrotum and testicles inpatient CPT 76870 Us Exam, Scrotum	$401.00	$401.00	—	—	—
Ultrasound of the scrotum and testicles inpatient CPT 76870 Echography,Scrotum&Conten	$401.00	$401.00	—	—	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Thyroid	$401.00	$401.00	—	28% above	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Soft Tissue Head & Neck	$401.00	$401.00	—	28% above	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Us Exam Of Head And Neck	$401.00	$401.00	—	28% above	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 Us Exam Of Head And Neck	$401.00	$401.00	—	—	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 Soft Tissue Head & Neck	$401.00	$401.00	—	—	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 Thyroid	$401.00	$401.00	—	—	—
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Gi & Small Bowel	$575.00	$575.00	—	37% above	—
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Gi Series With Kub	$575.00	$575.00	—	37% above	—
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 X-Ray Xm Upr Gi Trc 1Cntrst	$575.00	$575.00	—	37% above	—
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 Gi & Small Bowel	$575.00	$575.00	—	—	—
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 Gi Series With Kub	$575.00	$575.00	—	—	—
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 X-Ray Xm Upr Gi Trc 1Cntrst	$575.00	$575.00	—	—	—
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Per Vas. Vein Unilat	$401.00	$401.00	—	15% above	—
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 Per Vas. Vein Unilat	$401.00	$401.00	—	—	—
Wrist X-ray, complete, 3 or more views both sides CPT 73110 Wrist Comp, Min 3 Views, Bilat	$350.00	$350.00	—	—	—
Wrist X-ray, complete, 3 or more views one side CPT 73110 Wrist Comp, Min 3 Views, Lt Cr	$280.00	$280.00	—	46% above	—
Wrist X-ray, complete, 3 or more views one side CPT 73110 Wrist Comp, Min 3 Views, Rt	$280.00	$280.00	—	46% above	—
Wrist X-ray, complete, 3 or more views one side CPT 73110 Wrist Comp, Min 3 Views, Lt	$280.00	$280.00	—	46% above	—
Wrist X-ray, complete, 3 or more views one side CPT 73110 Wrist Comp, Min 3 Views, Rt Cr	$280.00	$280.00	—	46% above	—
Wrist X-ray, complete, 3 or more views inpatient both sides CPT 73110 Wrist Comp, Min 3 Views, Bilat	$350.00	$350.00	—	—	—
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 Wrist Comp, Min 3 Views, Rt	$280.00	$280.00	—	—	—
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 Wrist Comp, Min 3 Views, Lt Cr	$280.00	$280.00	—	—	—
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 Wrist Comp, Min 3 Views, Rt Cr	$280.00	$280.00	—	—	—
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 Wrist Comp, Min 3 Views, Lt	$280.00	$280.00	—	—	—
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Xray Hip Unilateral 2-3 Views	$181.00	$181.00	—	1% below	—
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Xray Hip Unilat 2-3 View Cr	$181.00	$181.00	—	1% below	—
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 Xray Hip Unilat 2-3 View Cr	$181.00	$181.00	—	—	—
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 Xray Hip Unilateral 2-3 Views	$181.00	$181.00	—	—	—
X-ray of the abdomen, 1 view CPT 74018 Abdomen 1 View Cr	$186.00	$186.00	—	8% below	—
X-ray of the abdomen, 1 view CPT 74018 Abdomen 1 View	$186.00	$186.00	—	8% below	—
X-ray of the abdomen, 1 view inpatient CPT 74018 Abdomen 1 View Cr	$186.00	$186.00	—	—	—
X-ray of the abdomen, 1 view inpatient CPT 74018 Abdomen 1 View	$186.00	$186.00	—	—	—
X-ray of the ankle, 2 views both sides CPT 73600 Ankle Ap & Lat, Bilat	$245.00	$245.00	—	—	—
X-ray of the ankle, 2 views CPT 73600 Ankle, 2 Views Va Spec	$163.00	$163.00	—	2% above	—
X-ray of the ankle, 2 views one side CPT 73600 Ankle Left 2 Views Rt Cr	$163.00	$163.00	—	2% above	—
X-ray of the ankle, 2 views one side CPT 73600 Ankle Left 2 Views Lt Cr	$163.00	$163.00	—	2% above	—
X-ray of the ankle, 2 views one side CPT 73600 Ankle Ap&Lat, Rt	$163.00	$163.00	—	2% above	—
X-ray of the ankle, 2 views one side CPT 73600 Ankle Ap & Lat, Lt	$163.00	$163.00	—	2% above	—
X-ray of the ankle, 2 views inpatient both sides CPT 73600 Ankle Ap & Lat, Bilat	$245.00	$245.00	—	—	—
X-ray of the ankle, 2 views inpatient CPT 73600 Ankle, 2 Views Va Spec	$163.00	$163.00	—	—	—
X-ray of the ankle, 2 views inpatient one side CPT 73600 Ankle Ap&Lat, Rt	$163.00	$163.00	—	—	—
X-ray of the ankle, 2 views inpatient one side CPT 73600 Ankle Left 2 Views Lt Cr	$163.00	$163.00	—	—	—
X-ray of the ankle, 2 views inpatient one side CPT 73600 Ankle Left 2 Views Rt Cr	$163.00	$163.00	—	—	—
X-ray of the ankle, 2 views inpatient one side CPT 73600 Ankle Ap & Lat, Lt	$163.00	$163.00	—	—	—
X-ray of the finger(s), 2 or more views one side CPT 73140 Right Hand 4Th Digit	$154.00	$154.00	—	3% below	—
X-ray of the finger(s), 2 or more views one side CPT 73140 Right Hand 3Rd Digit	$154.00	$154.00	—	3% below	—
X-ray of the finger(s), 2 or more views one side CPT 73140 Right Hand 2Nd Digit	$154.00	$154.00	—	3% below	—
X-ray of the finger(s), 2 or more views one side CPT 73140 Right Hand Thumb	$154.00	$154.00	—	3% below	—
X-ray of the finger(s), 2 or more views one side CPT 73140 Left Hand 5Th Digit	$154.00	$154.00	—	3% below	—
X-ray of the finger(s), 2 or more views one side CPT 73140 Left Hand 3Rd Digit	$154.00	$154.00	—	3% below	—
X-ray of the finger(s), 2 or more views one side CPT 73140 Left Hand 4Th Digit	$154.00	$154.00	—	3% below	—
X-ray of the finger(s), 2 or more views one side CPT 73140 Finger(S) Min Two Views Lt Cr	$154.00	$154.00	—	3% below	—
X-ray of the finger(s), 2 or more views one side CPT 73140 Finger(S) Min 2 Views Lt	$154.00	$154.00	—	3% below	—
X-ray of the finger(s), 2 or more views one side CPT 73140 Finger(S) Min Two Views Rt Cr	$154.00	$154.00	—	3% below	—
X-ray of the finger(s), 2 or more views one side CPT 73140 Finger(S) Min Two Views Rt	$154.00	$154.00	—	3% below	—
X-ray of the finger(s), 2 or more views one side CPT 73140 Right Hand 5Th Digit	$154.00	$154.00	—	3% below	—
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 Finger(S) Min 2 Views Lt	$154.00	$154.00	—	—	—
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 Finger(S) Min Two Views Rt	$154.00	$154.00	—	—	—
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 Finger(S) Min Two Views Lt Cr	$154.00	$154.00	—	—	—
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 Left Hand 3Rd Digit	$154.00	$154.00	—	—	—
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 Left Hand 4Th Digit	$154.00	$154.00	—	—	—
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 Left Hand 5Th Digit	$154.00	$154.00	—	—	—
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 Right Hand Thumb	$154.00	$154.00	—	—	—
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 Right Hand 2Nd Digit	$154.00	$154.00	—	—	—
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 Right Hand 3Rd Digit	$154.00	$154.00	—	—	—
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 Right Hand 4Th Digit	$154.00	$154.00	—	—	—
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 Right Hand 5Th Digit	$154.00	$154.00	—	—	—
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 Finger(S) Min Two Views Rt Cr	$154.00	$154.00	—	—	—
X-ray of the foot, 2 views one side CPT 73620 Foot Left 2 Views Lt Cr	$179.00	$179.00	—	7% above	—
X-ray of the foot, 2 views one side CPT 73620 Foot Left 2 Views Rt Cr	$179.00	$179.00	—	7% above	—
X-ray of the foot, 2 views one side CPT 73620 Foot Ap & Lat, Rt	$179.00	$179.00	—	7% above	—
X-ray of the foot, 2 views one side CPT 73620 Foot Ap & Lat, Lt	$179.00	$179.00	—	7% above	—
X-ray of the foot, 2 views inpatient one side CPT 73620 Foot Ap & Lat, Lt	$179.00	$179.00	—	—	—
X-ray of the foot, 2 views inpatient one side CPT 73620 Foot Ap & Lat, Rt	$179.00	$179.00	—	—	—
X-ray of the foot, 2 views inpatient one side CPT 73620 Foot Left 2 Views Rt Cr	$179.00	$179.00	—	—	—
X-ray of the foot, 2 views inpatient one side CPT 73620 Foot Left 2 Views Lt Cr	$179.00	$179.00	—	—	—
X-ray of the foot, complete, 3 or more views both sides CPT 73630 Foot Complete, Bilat	$266.00	$266.00	—	—	—
X-ray of the foot, complete, 3 or more views one side CPT 73630 Foot Complete, Lt Cr	$177.00	$177.00	—	1% below	—
X-ray of the foot, complete, 3 or more views one side CPT 73630 Foot Complete, Rt	$177.00	$177.00	—	1% below	—
X-ray of the foot, complete, 3 or more views one side CPT 73630 Foot Complete, Lt	$177.00	$177.00	—	1% below	—
X-ray of the foot, complete, 3 or more views one side CPT 73630 Foot Complete, Rt Cr	$177.00	$177.00	—	1% below	—
X-ray of the foot, complete, 3 or more views inpatient both sides CPT 73630 Foot Complete, Bilat	$266.00	$266.00	—	—	—
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 Foot Complete, Lt	$177.00	$177.00	—	—	—
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 Foot Complete, Rt Cr	$177.00	$177.00	—	—	—
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 Foot Complete, Rt	$177.00	$177.00	—	—	—
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 Foot Complete, Lt Cr	$177.00	$177.00	—	—	—
X-ray of the hand, 3 or more views both sides CPT 73130 Hand Min 3 Views, Bilat	$465.00	$465.00	—	—	—
X-ray of the hand, 3 or more views one side CPT 73130 Hand Min 3 Views, Rt Cr	$310.00	$310.00	—	54% above	—
X-ray of the hand, 3 or more views one side CPT 73130 Hand Min 3 Views, Lt Cr	$310.00	$310.00	—	54% above	—
X-ray of the hand, 3 or more views one side CPT 73130 Hand Min 3 Views, Lt	$310.00	$310.00	—	54% above	—
X-ray of the hand, 3 or more views one side CPT 73130 Hand Min 3 Views, Rt	$310.00	$310.00	—	54% above	—
X-ray of the hand, 3 or more views inpatient both sides CPT 73130 Hand Min 3 Views, Bilat	$465.00	$465.00	—	—	—
X-ray of the hand, 3 or more views inpatient one side CPT 73130 Hand Min 3 Views, Lt	$310.00	$310.00	—	—	—
X-ray of the hand, 3 or more views inpatient one side CPT 73130 Hand Min 3 Views, Rt Cr	$310.00	$310.00	—	—	—
X-ray of the hand, 3 or more views inpatient one side CPT 73130 Hand Min 3 Views, Lt Cr	$310.00	$310.00	—	—	—
X-ray of the hand, 3 or more views inpatient one side CPT 73130 Hand Min 3 Views, Rt	$310.00	$310.00	—	—	—
X-ray of the knee, 1 or 2 views both sides CPT 73560 Knee 1 Or 2 Views, Bilat	$229.00	$229.00	—	—	—
X-ray of the knee, 1 or 2 views one side CPT 73560 Knee 1 Or 2 Views, Rt	$153.00	$153.00	—	17% below	—
X-ray of the knee, 1 or 2 views one side CPT 73560 Knee 1 Or 2 Views, Rt Cr	$153.00	$153.00	—	17% below	—
X-ray of the knee, 1 or 2 views one side CPT 73560 Knee 1 Or 2 Views, Lt	$153.00	$153.00	—	17% below	—
X-ray of the knee, 1 or 2 views one side CPT 73560 Knee 1 Or 2 Views, Lt Cr	$153.00	$153.00	—	17% below	—
X-ray of the knee, 1 or 2 views inpatient both sides CPT 73560 Knee 1 Or 2 Views, Bilat	$229.00	$229.00	—	—	—
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 Knee 1 Or 2 Views, Rt	$153.00	$153.00	—	—	—
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 Knee 1 Or 2 Views, Lt Cr	$153.00	$153.00	—	—	—
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 Knee 1 Or 2 Views, Lt	$153.00	$153.00	—	—	—
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 Knee 1 Or 2 Views, Rt Cr	$153.00	$153.00	—	—	—
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Lumbar 2 Or 3 Views	$300.00	$300.00	—	13% above	—
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Lumbar 2 Or 3 Views Cr	$300.00	$300.00	—	13% above	—
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 Lumbar 2 Or 3 Views	$300.00	$300.00	—	—	—
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 Lumbar 2 Or 3 Views Cr	$300.00	$300.00	—	—	—
X-ray of the lower back, 4 or more views CPT 72110 Lumbar Complete Cr	$400.00	$400.00	—	45% above	—
X-ray of the lower back, 4 or more views CPT 72110 Lumbar Complete	$400.00	$400.00	—	45% above	—
X-ray of the lower back, 4 or more views inpatient CPT 72110 Lumbar Complete Cr	$400.00	$400.00	—	—	—
X-ray of the lower back, 4 or more views inpatient CPT 72110 Lumbar Complete	$400.00	$400.00	—	—	—
X-ray of the mid back (thoracic spine), 2 views CPT 72070 Thoracic Spine 2 Views Cr	$200.00	$200.00	—	1% below	—
X-ray of the mid back (thoracic spine), 2 views CPT 72070 Thoracic Spine 2 Views	$200.00	$200.00	—	1% below	—
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 Thoracic Spine 2 Views Cr	$200.00	$200.00	—	—	—
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 Thoracic Spine 2 Views	$200.00	$200.00	—	—	—
X-ray of the nasal bones, 3 or more views CPT 70160 Nasal Bones, Min 3 Views	$171.00	$171.00	—	15% below	—
X-ray of the nasal bones, 3 or more views CPT 70160 Nasal Bones	$171.00	$171.00	—	15% below	—
X-ray of the nasal bones, 3 or more views CPT 70160 Nasal Bones, Min 3 Views Cr	$171.00	$171.00	—	15% below	—
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 Nasal Bones, Min 3 Views	$171.00	$171.00	—	—	—
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 Nasal Bones	$171.00	$171.00	—	—	—
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 Nasal Bones, Min 3 Views Cr	$171.00	$171.00	—	—	—
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Cervical Spine 2 Or 3 Views Cr	$271.00	$271.00	—	34% above	—
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Cervical Spine 2 Or 3 Views	$271.00	$271.00	—	34% above	—
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 Cervical Spine 2 Or 3 Views Cr	$271.00	$271.00	—	—	—
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 Cervical Spine 2 Or 3 Views	$271.00	$271.00	—	—	—
X-ray of the pelvis, 1 or 2 views CPT 72170 Portable Pelvis	$376.00	$376.00	—	69% above	—
X-ray of the pelvis, 1 or 2 views CPT 72170 Pelvis 1 Or 2 Views	$376.00	$376.00	—	69% above	—
X-ray of the pelvis, 1 or 2 views CPT 72170 Pelvis 1 Or 2 Views Cr	$376.00	$376.00	—	69% above	—
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 Pelvis 1 Or 2 Views	$376.00	$376.00	—	—	—
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 Pelvis 1 Or 2 Views Cr	$376.00	$376.00	—	—	—
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 Portable Pelvis	$376.00	$376.00	—	—	—
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Sacrum And Coccyx Cr	$162.00	$162.00	—	20% below	—
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Sacrum And Coccyx	$162.00	$162.00	—	20% below	—
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 Sacrum And Coccyx	$162.00	$162.00	—	—	—
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 Sacrum And Coccyx Cr	$162.00	$162.00	—	—	—

Lab tests

Procedure	Cash price	List price	Insurers pay	vs New York	Off list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Alt	$39.00	$39.00	—	67% above	—
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Sgpt	$39.00	$39.00	—	67% above	—
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Sgpt	$39.00	$39.00	—	—	—
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Alt	$39.00	$39.00	—	—	—
AST (aspartate aminotransferase) enzyme test CPT 84450 Ast	$37.00	$37.00	—	48% above	—
AST (aspartate aminotransferase) enzyme test CPT 84450 Sgot	$37.00	$37.00	—	48% above	—
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Sgot	$37.00	$37.00	—	—	—
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Ast	$37.00	$37.00	—	—	—
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Hepatitis Panel	$421.00	$421.00	—	144% above	—
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Hepatitis Panel	$421.00	$421.00	—	—	—
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Allergen Repeat Same Day	$67.00	$67.00	—	319% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 Rast Perennial Profile	$67.00	$67.00	—	319% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 Latex Specific Ige	$67.00	$67.00	—	319% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 Rast Ige Additional	$67.00	$67.00	—	319% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 Antigluten Antibody Ige	$67.00	$67.00	—	319% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 Rast Southwest Profile	$67.00	$67.00	—	319% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 Rast Cent S Cal Profile	$67.00	$67.00	—	319% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 Rast North Coast Profile	$67.00	$67.00	—	319% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 Rast S E Profile	$67.00	$67.00	—	319% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 Mini Rast	$67.00	$67.00	—	319% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 Rast Mold Profile	$67.00	$67.00	—	319% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 Rast Grass Profile	$67.00	$67.00	—	319% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 Rast Dust Profile	$67.00	$67.00	—	319% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 Rast Food Profile	$67.00	$67.00	—	319% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 Rast Animal Profile	$67.00	$67.00	—	319% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 Latex Allergen	$67.00	$67.00	—	319% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 Rast Tree Profile	$67.00	$67.00	—	319% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Allergen	$67.00	$67.00	—	319% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 Rast Weed Profile	$67.00	$67.00	—	319% above	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Allergen Repeat Same Day	$67.00	$67.00	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Mini Rast	$67.00	$67.00	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Rast S E Profile	$67.00	$67.00	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Rast North Coast Profile	$67.00	$67.00	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Rast Cent S Cal Profile	$67.00	$67.00	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Rast Southwest Profile	$67.00	$67.00	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Antigluten Antibody Ige	$67.00	$67.00	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Rast Ige Additional	$67.00	$67.00	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Latex Specific Ige	$67.00	$67.00	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Rast Weed Profile	$67.00	$67.00	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Rast Tree Profile	$67.00	$67.00	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Rast Perennial Profile	$67.00	$67.00	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Allergen	$67.00	$67.00	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Latex Allergen	$67.00	$67.00	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Rast Animal Profile	$67.00	$67.00	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Rast Dust Profile	$67.00	$67.00	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Rast Food Profile	$67.00	$67.00	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Rast Grass Profile	$67.00	$67.00	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Rast Mold Profile	$67.00	$67.00	—	—	—
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Cyclic Citrullinated(Ccp),Anti	$120.00	$120.00	—	156% above	—
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Cyclic Citrullinated(Ccp),Anti	$120.00	$120.00	—	—	—
Antinuclear antibody (ANA) blood test, screen CPT 86038 Anti-Nuclear Ab	$54.00	$54.00	—	23% above	—
Antinuclear antibody (ANA) blood test, screen CPT 86038 Total Ana	$54.00	$54.00	—	23% above	—
Antinuclear antibody (ANA) blood test, screen CPT 86038 Centromere Antibody	$54.00	$54.00	—	23% above	—
Antinuclear antibody (ANA) blood test, screen CPT 86038 Ana Screen, Acl	$54.00	$54.00	—	23% above	—
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Ana Screen, Acl	$54.00	$54.00	—	—	—
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Anti-Nuclear Ab	$54.00	$54.00	—	—	—
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Total Ana	$54.00	$54.00	—	—	—
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Centromere Antibody	$54.00	$54.00	—	—	—
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B-Type Natriuretic Peptide/Bnp	$127.00	$127.00	—	3% above	—
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 B-Type Natriuretic Peptide/Bnp	$127.00	$127.00	—	—	—
Basic metabolic panel (blood test) CPT 80048 Chem 7	$58.00	$58.00	—	7% below	—
Basic metabolic panel (blood test) inpatient CPT 80048 Chem 7	$58.00	$58.00	—	—	—
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Bm Stain	$181.00	$181.00	—	1% above	—
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Level Iv Surg Pathology	$181.00	$181.00	—	1% above	—
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Surg Path, Level 4 Complete	$181.00	$181.00	—	1% above	—
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Bone Marrow Stain & Inter	$181.00	$181.00	—	1% above	—
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Bone Marrow, Stain & Prep	$181.00	$181.00	—	1% above	—
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Level Iv Surg Path Bm,Genzyme	$181.00	$181.00	—	1% above	—
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Tis Dx G&M Multi	$181.00	$181.00	—	1% above	—
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Bone Marrow Smear And Int	$181.00	$181.00	—	1% above	—
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Tis Dx, G & M, Mulit	$181.00	$181.00	—	1% above	—
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Bm Stain	$181.00	$181.00	—	—	—
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Level Iv Surg Path Bm,Genzyme	$181.00	$181.00	—	—	—
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Bone Marrow Smear And Int	$181.00	$181.00	—	—	—
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Tis Dx G&M Multi	$181.00	$181.00	—	—	—
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Bone Marrow, Stain & Prep	$181.00	$181.00	—	—	—
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Surg Path, Level 4 Complete	$181.00	$181.00	—	—	—
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Tis Dx, G & M, Mulit	$181.00	$181.00	—	—	—
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Bone Marrow Stain & Inter	$181.00	$181.00	—	—	—
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Level Iv Surg Pathology	$181.00	$181.00	—	—	—
Blood culture for bacteria CPT 87040 Blood Culture	$74.00	$74.00	—	6% above	—
Blood culture for bacteria CPT 87040 Blood Culture Repeat Same Day	$74.00	$74.00	—	6% above	—
Blood culture for bacteria inpatient CPT 87040 Blood Culture Repeat Same Day	$74.00	$74.00	—	—	—
Blood culture for bacteria inpatient CPT 87040 Blood Culture	$74.00	$74.00	—	—	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Venipuncture	$15.00	$15.00	—	5% below	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Routine Venipuncture	$15.00	$15.00	—	5% below	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Arterial Puncture	$15.00	$15.00	—	5% below	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Venipuncture	$15.00	$15.00	—	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Arterial Puncture	$15.00	$15.00	—	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Routine Venipuncture	$15.00	$15.00	—	—	—
Blood glucose (sugar) test CPT 82947 Urine Glucose	$29.00	$29.00	—	61% above	—
Blood glucose (sugar) test CPT 82947 2 Hour Pp Glucose	$29.00	$29.00	—	61% above	—
Blood glucose (sugar) test CPT 82947 Fluid Glucose	$29.00	$29.00	—	61% above	—
Blood glucose (sugar) test CPT 82947 Csf Glucose	$29.00	$29.00	—	61% above	—
Blood glucose (sugar) test CPT 82947 3 Pm Glucose	$29.00	$29.00	—	61% above	—
Blood glucose (sugar) test CPT 82947 Glucose Fasting	$29.00	$29.00	—	61% above	—
Blood glucose (sugar) test CPT 82947 Glucose - Vision	$29.00	$29.00	—	61% above	—
Blood glucose (sugar) test CPT 82947 Glucose	$29.00	$29.00	—	61% above	—
Blood glucose (sugar) test inpatient CPT 82947 Urine Glucose	$29.00	$29.00	—	—	—
Blood glucose (sugar) test inpatient CPT 82947 Glucose	$29.00	$29.00	—	—	—
Blood glucose (sugar) test inpatient CPT 82947 Fluid Glucose	$29.00	$29.00	—	—	—
Blood glucose (sugar) test inpatient CPT 82947 3 Pm Glucose	$29.00	$29.00	—	—	—
Blood glucose (sugar) test inpatient CPT 82947 Glucose - Vision	$29.00	$29.00	—	—	—
Blood glucose (sugar) test inpatient CPT 82947 Csf Glucose	$29.00	$29.00	—	—	—
Blood glucose (sugar) test inpatient CPT 82947 2 Hour Pp Glucose	$29.00	$29.00	—	—	—
Blood glucose (sugar) test inpatient CPT 82947 Glucose Fasting	$29.00	$29.00	—	—	—
Blood lead test CPT 83655 Lead Level	$50.00	$50.00	—	16% above	—
Blood lead test CPT 83655 Lead	$50.00	$50.00	—	16% above	—
Blood lead test CPT 83655 Lead, 24 Hour Urine	$50.00	$50.00	—	16% above	—
Blood lead test CPT 83655 Lead, Heavy Metals	$50.00	$50.00	—	16% above	—
Blood lead test inpatient CPT 83655 Lead Level	$50.00	$50.00	—	—	—
Blood lead test inpatient CPT 83655 Lead, Heavy Metals	$50.00	$50.00	—	—	—
Blood lead test inpatient CPT 83655 Lead, 24 Hour Urine	$50.00	$50.00	—	—	—
Blood lead test inpatient CPT 83655 Lead	$50.00	$50.00	—	—	—
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Chorionic Gonadotropin Assay	$33.00	$33.00	—	7% below	—
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Ucg-Qualitative	$33.00	$33.00	—	7% below	—
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Hcg; Qualitative	$33.00	$33.00	—	7% below	—
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Preg Hcg Qual Urine	$33.00	$33.00	—	7% below	—
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Shcg Rapid Qualitative	$33.00	$33.00	—	7% below	—
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Hcg Rapid (Qualitative)	$33.00	$33.00	—	7% below	—
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Ucg-Qualitative	$33.00	$33.00	—	—	—
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Chorionic Gonadotropin Assay	$33.00	$33.00	—	—	—
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Preg Hcg Qual Urine	$33.00	$33.00	—	—	—
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Shcg Rapid Qualitative	$33.00	$33.00	—	—	—
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Hcg Rapid (Qualitative)	$33.00	$33.00	—	—	—
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Hcg; Qualitative	$33.00	$33.00	—	—	—
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Abo Type	$227.00	$227.00	—	49% above	—
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Blood Typing, Abo	$227.00	$227.00	—	49% above	—
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Arc Blood Typing, Abo	$227.00	$227.00	—	49% above	—
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Blood Type	$227.00	$227.00	—	49% above	—
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Blood Type	$227.00	$227.00	—	—	—
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Abo Type	$227.00	$227.00	—	—	—
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Arc Blood Typing, Abo	$227.00	$227.00	—	—	—
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Blood Typing, Abo	$227.00	$227.00	—	—	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-Reactive Protein	$31.00	$31.00	—	5% above	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-Reactive Protein	$31.00	$31.00	—	—	—
C. difficile toxin gene test (stool PCR) CPT 87493 C Diff Amplified Probe	$143.00	$143.00	—	14% above	—
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C Diff Amplified Probe	$143.00	$143.00	—	—	—
CA 19-9 blood test (tumor marker) CPT 86301 Ca 19-9	$93.00	$93.00	—	23% above	—
CA 19-9 blood test (tumor marker) inpatient CPT 86301 Ca 19-9	$93.00	$93.00	—	—	—
CA-125 blood test (ovarian cancer marker) CPT 86304 Cancer Antigen-125	$80.00	$80.00	—	3% below	—
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Cancer Antigen-125	$80.00	$80.00	—	—	—
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Sars-Cov-2 Covid-19 Amp Prb	$195.00	$195.00	—	69% above	—
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Sars-Cov-2 Covid-19 Amp Prb	$195.00	$195.00	—	—	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia Lcr	$181.00	$181.00	—	109% above	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia Trachomatis Naa	$181.00	$181.00	—	109% above	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia Lcr	$181.00	$181.00	—	—	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia Trachomatis Naa	$181.00	$181.00	—	—	—
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel	$74.00	$74.00	—	1% above	—
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Profile	$74.00	$74.00	—	1% above	—
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Chd Profile I	$74.00	$74.00	—	1% above	—
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel	$74.00	$74.00	—	—	—
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Chd Profile I	$74.00	$74.00	—	—	—
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Profile	$74.00	$74.00	—	—	—
Complete blood count (CBC) with differential CPT 85025 Complete Blood Count	$56.00	$56.00	—	35% above	—
Complete blood count (CBC) with differential CPT 85025 Cbc/ Automated Diff	$56.00	$56.00	—	35% above	—
Complete blood count (CBC) with differential inpatient CPT 85025 Cbc/ Automated Diff	$56.00	$56.00	—	—	—
Complete blood count (CBC) with differential inpatient CPT 85025 Complete Blood Count	$56.00	$56.00	—	—	—
Complete blood count (CBC), no differential CPT 85027 Hemogram Cbc	$56.00	$56.00	—	81% above	—
Complete blood count (CBC), no differential inpatient CPT 85027 Hemogram Cbc	$56.00	$56.00	—	—	—
Comprehensive metabolic panel (blood test) CPT 80053 Comp Metabolic Profile	$65.00	$65.00	—	31% below	—
Comprehensive metabolic panel (blood test) CPT 80053 Comp. Metabolic Profile	$65.00	$65.00	—	31% below	—
Comprehensive metabolic panel (blood test) inpatient CPT 80053 Comp. Metabolic Profile	$65.00	$65.00	—	—	—
Comprehensive metabolic panel (blood test) inpatient CPT 80053 Comp Metabolic Profile	$65.00	$65.00	—	—	—
D-dimer blood test (blood clot marker) CPT 85379 D-Dimer Quantitative	$52.00	$52.00	—	41% above	—
D-dimer blood test (blood clot marker) CPT 85379 Fdp Quantitative	$52.00	$52.00	—	41% above	—
D-dimer blood test (blood clot marker) inpatient CPT 85379 Fdp Quantitative	$52.00	$52.00	—	—	—
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-Dimer Quantitative	$52.00	$52.00	—	—	—
DHEA sulfate (DHEA-S) blood test CPT 82627 Dhea - S	$155.00	$155.00	—	60% above	—
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 Dhea - S	$155.00	$155.00	—	—	—
Estradiol blood test CPT 82670 Estradiol E2	$95.00	$95.00	—	6% below	—
Estradiol blood test CPT 82670 Estradiol	$95.00	$95.00	—	6% below	—
Estradiol blood test inpatient CPT 82670 Estradiol E2	$95.00	$95.00	—	—	—
Estradiol blood test inpatient CPT 82670 Estradiol	$95.00	$95.00	—	—	—
FSH (follicle-stimulating hormone) test CPT 83001 Fsh	$132.00	$132.00	—	74% above	—
FSH (follicle-stimulating hormone) test inpatient CPT 83001 Fsh	$132.00	$132.00	—	—	—
Fecal calprotectin (stool inflammation test) CPT 83993 Fecal Calprotectin	$83.00	$83.00	—	23% below	—
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Fecal Calprotectin	$83.00	$83.00	—	—	—
Ferritin blood test (iron stores) CPT 82728 Ferritin	$98.00	$98.00	—	46% above	—
Ferritin blood test (iron stores) inpatient CPT 82728 Ferritin	$98.00	$98.00	—	—	—
Folate (folic acid) blood test CPT 82746 Folates	$155.00	$155.00	—	153% above	—
Folate (folic acid) blood test inpatient CPT 82746 Folates	$155.00	$155.00	—	—	—
Free T3 thyroid hormone test CPT 84481 Troponin Repeat Same Day	$105.00	$105.00	—	18% above	—
Free T3 thyroid hormone test CPT 84481 Free T3	$105.00	$105.00	—	18% above	—
Free T3 thyroid hormone test inpatient CPT 84481 Troponin Repeat Same Day	$105.00	$105.00	—	—	—
Free T3 thyroid hormone test inpatient CPT 84481 Free T3	$105.00	$105.00	—	—	—
Free T4 (free thyroxine) thyroid blood test CPT 84439 Free Thyroxine	$65.00	$65.00	—	3% above	—
Free T4 (free thyroxine) thyroid blood test CPT 84439 Free T4	$65.00	$65.00	—	3% above	—
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Free Thyroxine	$65.00	$65.00	—	—	—
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Free T4	$65.00	$65.00	—	—	—
Free testosterone test CPT 84402 Free Testosterone	$202.00	$202.00	—	119% above	—
Free testosterone test inpatient CPT 84402 Free Testosterone	$202.00	$202.00	—	—	—
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 General Health Profile	$207.00	$207.00	—	32% above	—
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 General Health Profile	$207.00	$207.00	—	—	—
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose, 1Hr Post 50Gm	$35.00	$35.00	—	64% above	—
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Glucose, 1Hr Post 50Gm	$35.00	$35.00	—	—	—
Glucose tolerance test, 3 samples CPT 82951 Glucode Tol, 3 Specimens	$80.00	$80.00	—	33% above	—
Glucose tolerance test, 3 samples CPT 82951 Git < 3 Spec	$80.00	$80.00	—	33% above	—
Glucose tolerance test, 3 samples inpatient CPT 82951 Glucode Tol, 3 Specimens	$80.00	$80.00	—	—	—
Glucose tolerance test, 3 samples inpatient CPT 82951 Git < 3 Spec	$80.00	$80.00	—	—	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Neisseria Lcr	$181.00	$181.00	—	79% above	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Neisseria Gonorrhoeae Naa	$181.00	$181.00	—	79% above	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Neisseria Gonorrhoeae Naa	$181.00	$181.00	—	—	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Neisseria Lcr	$181.00	$181.00	—	—	—
H. pylori antibody blood test CPT 86677 H Pylori Iga	$176.00	$176.00	—	235% above	—
H. pylori antibody blood test CPT 86677 H. Pylori	$176.00	$176.00	—	235% above	—
H. pylori antibody blood test CPT 86677 H Pylori Igm	$176.00	$176.00	—	235% above	—
H. pylori antibody blood test CPT 86677 H Pylori Ab Igg	$176.00	$176.00	—	235% above	—
H. pylori antibody blood test inpatient CPT 86677 H Pylori Iga	$176.00	$176.00	—	—	—
H. pylori antibody blood test inpatient CPT 86677 H Pylori Igm	$176.00	$176.00	—	—	—
H. pylori antibody blood test inpatient CPT 86677 H. Pylori	$176.00	$176.00	—	—	—
H. pylori antibody blood test inpatient CPT 86677 H Pylori Ab Igg	$176.00	$176.00	—	—	—
H. pylori stool antigen test CPT 87338 Stool For H. Pylori	$234.00	$234.00	—	273% above	—
H. pylori stool antigen test inpatient CPT 87338 Stool For H. Pylori	$234.00	$234.00	—	—	—
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Immuno-Def. Viral Load	$320.00	$320.00	—	37% above	—
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Immuno-Def Viral Load	$320.00	$320.00	—	37% above	—
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Immuno-Def Viral Load	$320.00	$320.00	—	—	—
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Immuno-Def. Viral Load	$320.00	$320.00	—	—	—
HIV-1 and HIV-2 antibody test CPT 86703 Hiv-1, Hiv-2	$57.00	$57.00	—	at median	—
HIV-1 and HIV-2 antibody test inpatient CPT 86703 Hiv-1, Hiv-2	$57.00	$57.00	—	—	—
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Hiv 1/2	$98.00	$98.00	—	20% above	—
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Hiv 1/2 Ab And Ag	$98.00	$98.00	—	20% above	—
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 Hiv 1/2	$98.00	$98.00	—	—	—
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 Hiv 1/2 Ab And Ag	$98.00	$98.00	—	—	—
HPV test for high-risk types, one combined (pooled) result CPT 87624 Hpv Dna Elk Regional	$143.00	$143.00	—	61% above	—
HPV test for high-risk types, one combined (pooled) result CPT 87624 Hpv High-Risk Types	$143.00	$143.00	—	61% above	—
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 Hpv Dna Elk Regional	$143.00	$143.00	—	—	—
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 Hpv High-Risk Types	$143.00	$143.00	—	—	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Glycosylated Hgb	$70.00	$70.00	—	70% above	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Glycosylated Hgb	$70.00	$70.00	—	—	—
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitus B Surface Antibody	$87.00	$87.00	—	102% above	—
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B Surface Antibody	$87.00	$87.00	—	102% above	—
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hepatitus B Surface Antibody	$87.00	$87.00	—	—	—
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hepatitis B Surface Antibody	$87.00	$87.00	—	—	—
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hep B Surface Antigen	$87.00	$87.00	—	133% above	—
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis Surface Antigen	$87.00	$87.00	—	133% above	—
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hbsag - Acl	$87.00	$87.00	—	133% above	—
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hep B Surface Antigen	$87.00	$87.00	—	—	—
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hepatitis Surface Antigen	$87.00	$87.00	—	—	—
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hbsag - Acl	$87.00	$87.00	—	—	—
Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C Antibody	$59.00	$59.00	—	1% below	—
Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C	$59.00	$59.00	—	1% below	—
Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hepatitis C	$59.00	$59.00	—	—	—
Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hepatitis C Antibody	$59.00	$59.00	—	—	—
Hepatitis C viral load (HCV RNA) test CPT 87522 Heptimax	$221.00	$221.00	—	67% above	—
Hepatitis C viral load (HCV RNA) test CPT 87522 Hcv Rna Quantitative	$221.00	$221.00	—	67% above	—
Hepatitis C viral load (HCV RNA) test CPT 87522 Hep C Viral, Rna, Pcr	$221.00	$221.00	—	67% above	—
Hepatitis C viral load (HCV RNA) test CPT 87522 Hep C Rna	$221.00	$221.00	—	67% above	—
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Heptimax	$221.00	$221.00	—	—	—
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hep C Rna	$221.00	$221.00	—	—	—
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hep C Viral, Rna, Pcr	$221.00	$221.00	—	—	—
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hcv Rna Quantitative	$221.00	$221.00	—	—	—
Herpes blood test, HSV-1 antibody CPT 86695 Anti-Mitochondrial Antibody	$76.00	$76.00	—	92% above	—
Herpes blood test, HSV-1 antibody CPT 86695 Hsv Igg Ab	$76.00	$76.00	—	92% above	—
Herpes blood test, HSV-1 antibody inpatient CPT 86695 Hsv Igg Ab	$76.00	$76.00	—	—	—
Herpes blood test, HSV-1 antibody inpatient CPT 86695 Anti-Mitochondrial Antibody	$76.00	$76.00	—	—	—
Herpes blood test, HSV-2 antibody CPT 86696 Hsv2 Igg Ab	$96.00	$96.00	—	62% above	—
Herpes blood test, HSV-2 antibody CPT 86696 Lab862553	$96.00	$96.00	—	62% above	—
Herpes blood test, HSV-2 antibody inpatient CPT 86696 Hsv2 Igg Ab	$96.00	$96.00	—	—	—
Herpes blood test, HSV-2 antibody inpatient CPT 86696 Lab862553	$96.00	$96.00	—	—	—
High-sensitivity CRP (hs-CRP) test CPT 86141 Ultrasensitive C-Reactive Prot	$41.00	$41.00	—	14% below	—
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 Ultrasensitive C-Reactive Prot	$41.00	$41.00	—	—	—
Homocysteine blood test CPT 83090 Homocysteine	$195.00	$195.00	—	154% above	—
Homocysteine blood test inpatient CPT 83090 Homocysteine	$195.00	$195.00	—	—	—
Insulin blood test CPT 83525 Insulin - Total	$71.00	$71.00	—	52% above	—
Insulin blood test CPT 83525 Insulin Level	$71.00	$71.00	—	52% above	—
Insulin blood test inpatient CPT 83525 Insulin - Total	$71.00	$71.00	—	—	—
Insulin blood test inpatient CPT 83525 Insulin Level	$71.00	$71.00	—	—	—
Iron blood test (serum iron) CPT 83540 Iron Total	$51.00	$51.00	—	67% above	—
Iron blood test (serum iron) inpatient CPT 83540 Iron Total	$51.00	$51.00	—	—	—
Iron-binding capacity (TIBC) test CPT 83550 Iron Binding Capacity	$55.00	$55.00	—	32% above	—
Iron-binding capacity (TIBC) test inpatient CPT 83550 Iron Binding Capacity	$55.00	$55.00	—	—	—
Kidney function blood test panel CPT 80069 Renal Panel	$64.00	$64.00	—	3% below	—
Kidney function blood test panel inpatient CPT 80069 Renal Panel	$64.00	$64.00	—	—	—
LH (luteinizing hormone) test CPT 83002 Lh	$132.00	$132.00	—	71% above	—
LH (luteinizing hormone) test inpatient CPT 83002 Lh	$132.00	$132.00	—	—	—
Lipase blood test (pancreas enzyme) CPT 83690 Lipase	$50.00	$50.00	—	47% above	—
Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase	$50.00	$50.00	—	—	—
Liver function blood test panel CPT 80076 Hepatic Function	$56.00	$56.00	—	24% below	—
Liver function blood test panel inpatient CPT 80076 Hepatic Function	$56.00	$56.00	—	—	—
Lyme disease antibody test CPT 86618 Lyme Csf	$121.00	$121.00	—	163% above	—
Lyme disease antibody test CPT 86618 Lyme	$121.00	$121.00	—	163% above	—
Lyme disease antibody test CPT 86618 Lyme Disease Antibody	$121.00	$121.00	—	163% above	—
Lyme disease antibody test inpatient CPT 86618 Lyme Csf	$121.00	$121.00	—	—	—
Lyme disease antibody test inpatient CPT 86618 Lyme Disease Antibody	$121.00	$121.00	—	—	—
Lyme disease antibody test inpatient CPT 86618 Lyme	$121.00	$121.00	—	—	—
Magnesium blood test CPT 83735 Magnesium, U	$49.00	$49.00	—	68% above	—
Magnesium blood test CPT 83735 Magnesium	$49.00	$49.00	—	68% above	—
Magnesium blood test CPT 83735 Manganese	$49.00	$49.00	—	68% above	—
Magnesium blood test CPT 83735 Magnesium, Rbc	$49.00	$49.00	—	68% above	—
Magnesium blood test inpatient CPT 83735 Magnesium	$49.00	$49.00	—	—	—
Magnesium blood test inpatient CPT 83735 Manganese	$49.00	$49.00	—	—	—
Magnesium blood test inpatient CPT 83735 Magnesium, U	$49.00	$49.00	—	—	—
Magnesium blood test inpatient CPT 83735 Magnesium, Rbc	$49.00	$49.00	—	—	—
Measles (rubeola) antibody test CPT 86765 Rubeola	$55.00	$55.00	—	21% above	—
Measles (rubeola) antibody test CPT 86765 Rubeola Ab Igg	$55.00	$55.00	—	21% above	—
Measles (rubeola) antibody test CPT 86765 Rubeola Ab	$55.00	$55.00	—	21% above	—
Measles (rubeola) antibody test inpatient CPT 86765 Rubeola Ab	$55.00	$55.00	—	—	—
Measles (rubeola) antibody test inpatient CPT 86765 Rubeola	$55.00	$55.00	—	—	—
Measles (rubeola) antibody test inpatient CPT 86765 Rubeola Ab Igg	$55.00	$55.00	—	—	—
Mono test (heterophile antibody, Monospot) CPT 86308 Mononucleosis	$33.00	$33.00	—	12% below	—
Mono test (heterophile antibody, Monospot) CPT 86308 Heterophile Antibodies; Screen	$33.00	$33.00	—	12% below	—
Mono test (heterophile antibody, Monospot) CPT 86308 Mono Screen	$33.00	$33.00	—	12% below	—
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Mononucleosis	$33.00	$33.00	—	—	—
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Mono Screen	$33.00	$33.00	—	—	—
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Heterophile Antibodies; Screen	$33.00	$33.00	—	—	—
Obstetric blood test panel CPT 80055 Obstetric Profile	$292.00	$292.00	—	175% above	—
Obstetric blood test panel inpatient CPT 80055 Obstetric Profile	$292.00	$292.00	—	—	—
PSA (prostate-specific antigen) blood test, free CPT 84154 Free Psa	$75.00	$75.00	—	27% above	—
PSA (prostate-specific antigen) blood test, free CPT 84154 Psa Free	$75.00	$75.00	—	27% above	—
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 Free Psa	$75.00	$75.00	—	—	—
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 Psa Free	$75.00	$75.00	—	—	—
PSA (prostate-specific antigen) blood test, total CPT 84153 Psa Total	$75.00	$75.00	—	14% above	—
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Psa Total	$75.00	$75.00	—	—	—
Pap test (liquid-based, automated screening with review) CPT 88175 Thin Prep Elk Regional	$114.00	$114.00	—	77% above	—
Pap test (liquid-based, automated screening with review) CPT 88175 Thin Prep W/Imager Diagnostic	$114.00	$114.00	—	77% above	—
Pap test (liquid-based, automated screening with review) CPT 88175 Thin Prep Image Guided	$114.00	$114.00	—	77% above	—
Pap test (liquid-based, automated screening with review) CPT 88175 Thinprep Imaging Sys Pap W/Ref	$114.00	$114.00	—	77% above	—
Pap test (liquid-based, automated screening with review) CPT 88175 Pap Smear - Och Contract Only	$114.00	$114.00	—	77% above	—
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 Thin Prep Elk Regional	$114.00	$114.00	—	—	—
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 Pap Smear - Och Contract Only	$114.00	$114.00	—	—	—
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 Thin Prep Image Guided	$114.00	$114.00	—	—	—
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 Thinprep Imaging Sys Pap W/Ref	$114.00	$114.00	—	—	—
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 Thin Prep W/Imager Diagnostic	$114.00	$114.00	—	—	—
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Thin Prep Manual Screening	$75.00	$75.00	—	2% above	—
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Repeat Cytopathology;Manual	$75.00	$75.00	—	2% above	—
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Thinprep Pap W/Reflex - Hr Hpv	$75.00	$75.00	—	2% above	—
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Thin Prep Manual Diagnostic	$75.00	$75.00	—	2% above	—
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Thin Prep Elk Regional	$75.00	$75.00	—	2% above	—
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 Repeat Cytopathology;Manual	$75.00	$75.00	—	—	—
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 Thin Prep Elk Regional	$75.00	$75.00	—	—	—
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 Thinprep Pap W/Reflex - Hr Hpv	$75.00	$75.00	—	—	—
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 Thin Prep Manual Screening	$75.00	$75.00	—	—	—
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 Thin Prep Manual Diagnostic	$75.00	$75.00	—	—	—
Parathyroid hormone (PTH) blood test CPT 83970 Parathyroid Hormone	$254.00	$254.00	—	87% above	—
Parathyroid hormone (PTH) blood test CPT 83970 Pth, Intact	$254.00	$254.00	—	87% above	—
Parathyroid hormone (PTH) blood test inpatient CPT 83970 Pth, Intact	$254.00	$254.00	—	—	—
Parathyroid hormone (PTH) blood test inpatient CPT 83970 Parathyroid Hormone	$254.00	$254.00	—	—	—
Partial thromboplastin time (PTT) clotting test CPT 85730 Aptt	$44.00	$44.00	—	48% above	—
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Aptt	$44.00	$44.00	—	—	—
Progesterone blood test CPT 84144 Progesterone	$148.00	$148.00	—	68% above	—
Progesterone blood test CPT 84144 Progestrone	$148.00	$148.00	—	68% above	—
Progesterone blood test inpatient CPT 84144 Progesterone	$148.00	$148.00	—	—	—
Progesterone blood test inpatient CPT 84144 Progestrone	$148.00	$148.00	—	—	—
Prolactin blood test CPT 84146 Prolactin	$137.00	$137.00	—	92% above	—
Prolactin blood test inpatient CPT 84146 Prolactin	$137.00	$137.00	—	—	—
Prothrombin time (PT/INR) clotting test CPT 85610 Protime	$29.00	$29.00	—	53% above	—
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Protime	$29.00	$29.00	—	—	—
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Drug Test Persump Dir Opt Obs	$45.00	$45.00	—	29% above	—
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Triage Drug Screen	$45.00	$45.00	—	29% above	—
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 Drug Test Persump Dir Opt Obs	$45.00	$45.00	—	—	—
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 Triage Drug Screen	$45.00	$45.00	—	—	—
Rapid flu test (influenza antigen) CPT 87804 Influenza Assay W/Optic	$60.00	$60.00	—	48% above	—
Rapid flu test (influenza antigen) inpatient CPT 87804 Influenza Assay W/Optic	$60.00	$60.00	—	—	—
Rapid strep A antigen test from a throat swab, read visually CPT 87880 Strep Assay Rapid	$40.00	$40.00	—	1% above	—
Rapid strep A antigen test from a throat swab, read visually CPT 87880 Strep A Assay W/Optic	$40.00	$40.00	—	1% above	—
Rapid strep A antigen test from a throat swab, read visually CPT 87880 Strep A Assay W Optic	$40.00	$40.00	—	1% above	—
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Strep Assay Rapid	$40.00	$40.00	—	—	—
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Strep A Assay W/Optic	$40.00	$40.00	—	—	—
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Strep A Assay W Optic	$40.00	$40.00	—	—	—
Rheumatoid factor (RF) test CPT 86431 Quant Rheumatoid Factor	$41.00	$41.00	—	49% above	—
Rheumatoid factor (RF) test inpatient CPT 86431 Quant Rheumatoid Factor	$41.00	$41.00	—	—	—
Rubella antibody test (immunity check) CPT 86762 Rubella Ab Igm	$61.00	$61.00	—	44% above	—
Rubella antibody test (immunity check) CPT 86762 Rubella	$61.00	$61.00	—	44% above	—
Rubella antibody test (immunity check) CPT 86762 Rubella Screen	$61.00	$61.00	—	44% above	—
Rubella antibody test (immunity check) inpatient CPT 86762 Rubella	$61.00	$61.00	—	—	—
Rubella antibody test (immunity check) inpatient CPT 86762 Rubella Screen	$61.00	$61.00	—	—	—
Rubella antibody test (immunity check) inpatient CPT 86762 Rubella Ab Igm	$61.00	$61.00	—	—	—
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Sed Rate, Automated	$34.00	$34.00	—	37% above	—
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 Sed Rate, Automated	$34.00	$34.00	—	—	—
Semen analysis: volume, sperm count, motility and morphology CPT 89320 Semen Analysis	$49.00	$49.00	—	33% above	—
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 Semen Analysis	$49.00	$49.00	—	—	—
Stool ova and parasites exam CPT 87177 O & P Stool	$112.00	$112.00	—	189% above	—
Stool ova and parasites exam CPT 87177 O & P Blood	$112.00	$112.00	—	189% above	—
Stool ova and parasites exam CPT 87177 Ova & Parasites, Single Stool	$112.00	$112.00	—	189% above	—
Stool ova and parasites exam inpatient CPT 87177 Ova & Parasites, Single Stool	$112.00	$112.00	—	—	—
Stool ova and parasites exam inpatient CPT 87177 O & P Blood	$112.00	$112.00	—	—	—
Stool ova and parasites exam inpatient CPT 87177 O & P Stool	$112.00	$112.00	—	—	—
Stool test for hidden blood (guaiac FOBT) CPT 82270 Hemocult Test	$22.00	$22.00	—	45% above	—
Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult Blood Screen Stool	$22.00	$22.00	—	45% above	—
Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult Blood Each Add 3 Det.	$22.00	$22.00	—	45% above	—
Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult Blood	$22.00	$22.00	—	45% above	—
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Occult Blood Each Add 3 Det.	$22.00	$22.00	—	—	—
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Occult Blood Screen Stool	$22.00	$22.00	—	—	—
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Hemocult Test	$22.00	$22.00	—	—	—
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Occult Blood	$22.00	$22.00	—	—	—
Stool test for hidden blood by immunoassay (FIT) CPT 82274 Fecal Globin	$66.00	$66.00	—	47% above	—
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Fecal Globin	$66.00	$66.00	—	—	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Rpr	$31.00	$31.00	—	68% above	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Premarital Rpr	$31.00	$31.00	—	68% above	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Rpr	$31.00	$31.00	—	—	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Premarital Rpr	$31.00	$31.00	—	—	—
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Quantiferson Tb Gold	$315.00	$315.00	—	110% above	—
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 Quantiferson Tb Gold	$315.00	$315.00	—	—	—
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone	$180.00	$180.00	—	107% above	—
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone	$180.00	$180.00	—	—	—
Thyroid peroxidase (TPO) antibody test CPT 86376 Liver Kidney Microsome Anitbod	$112.00	$112.00	—	123% above	—
Thyroid peroxidase (TPO) antibody test CPT 86376 Microsomal Antibody	$112.00	$112.00	—	123% above	—
Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroid Microsomal Ab. Tpo	$112.00	$112.00	—	123% above	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Liver Kidney Microsome Anitbod	$112.00	$112.00	—	—	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Thyroid Microsomal Ab. Tpo	$112.00	$112.00	—	—	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Microsomal Antibody	$112.00	$112.00	—	—	—
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Ultrasensitive Tsh	$120.00	$120.00	—	52% above	—
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Ultrasensitive Tsh	$120.00	$120.00	—	—	—
Trichomonas test (NAAT) CPT 87661 Trichomonas Vaginalis Rna	$188.00	$188.00	—	156% above	—
Trichomonas test (NAAT) inpatient CPT 87661 Trichomonas Vaginalis Rna	$188.00	$188.00	—	—	—
Uric acid blood test CPT 84550 Uric Acid	$29.00	$29.00	—	23% above	—
Uric acid blood test inpatient CPT 84550 Uric Acid	$29.00	$29.00	—	—	—
Urinalysis with microscope exam, automated CPT 81001 U/A Automated /Microscopy	$20.00	$20.00	—	32% below	—
Urinalysis with microscope exam, automated inpatient CPT 81001 U/A Automated /Microscopy	$20.00	$20.00	—	—	—
Urinalysis with microscope exam, manual CPT 81000 Bile, Urine	$16.00	$16.00	—	48% above	—
Urinalysis with microscope exam, manual CPT 81000 Urine Drug Screen	$16.00	$16.00	—	48% above	—
Urinalysis with microscope exam, manual CPT 81000 U/A Dip Stick (Alone)	$16.00	$16.00	—	48% above	—
Urinalysis with microscope exam, manual inpatient CPT 81000 U/A Dip Stick (Alone)	$16.00	$16.00	—	—	—
Urinalysis with microscope exam, manual inpatient CPT 81000 Bile, Urine	$16.00	$16.00	—	—	—
Urinalysis with microscope exam, manual inpatient CPT 81000 Urine Drug Screen	$16.00	$16.00	—	—	—
Urinalysis without microscope exam, automated CPT 81003 U/A Automated	$17.00	$17.00	—	at median	—
Urinalysis without microscope exam, automated inpatient CPT 81003 U/A Automated	$17.00	$17.00	—	—	—
Urinalysis without microscope exam, manual CPT 81002 Urinalysis Non-Auto. W/O Micro	$17.00	$17.00	—	44% above	—
Urinalysis without microscope exam, manual CPT 81002 Urinalysis Nonauto W/O Scope	$17.00	$17.00	—	44% above	—
Urinalysis without microscope exam, manual CPT 81002 Urinalysis-No Micro	$17.00	$17.00	—	44% above	—
Urinalysis without microscope exam, manual inpatient CPT 81002 Urinalysis-No Micro	$17.00	$17.00	—	—	—
Urinalysis without microscope exam, manual inpatient CPT 81002 Urinalysis Nonauto W/O Scope	$17.00	$17.00	—	—	—
Urinalysis without microscope exam, manual inpatient CPT 81002 Urinalysis Non-Auto. W/O Micro	$17.00	$17.00	—	—	—
Urine culture for bacteria, with colony count CPT 87086 Culture, Urine	$58.00	$58.00	—	37% above	—
Urine culture for bacteria, with colony count CPT 87086 Urine Culture	$58.00	$58.00	—	37% above	—
Urine culture for bacteria, with colony count CPT 87086 Urine Cult-Col Ct	$58.00	$58.00	—	37% above	—
Urine culture for bacteria, with colony count inpatient CPT 87086 Urine Cult-Col Ct	$58.00	$58.00	—	—	—
Urine culture for bacteria, with colony count inpatient CPT 87086 Culture, Urine	$58.00	$58.00	—	—	—
Urine culture for bacteria, with colony count inpatient CPT 87086 Urine Culture	$58.00	$58.00	—	—	—
Urine pregnancy test, read by color change CPT 81025 Urine Preg Test Visual Comp.	$46.00	$46.00	—	48% above	—
Urine pregnancy test, read by color change CPT 81025 Urine Pregnancy Test	$46.00	$46.00	—	48% above	—
Urine pregnancy test, read by color change CPT 81025 Urine Hcg	$46.00	$46.00	—	48% above	—
Urine pregnancy test, read by color change CPT 81025 Urine Pregnancy Test Cuba	$46.00	$46.00	—	48% above	—
Urine pregnancy test, read by color change inpatient CPT 81025 Urine Preg Test Visual Comp.	$46.00	$46.00	—	—	—
Urine pregnancy test, read by color change inpatient CPT 81025 Urine Pregnancy Test	$46.00	$46.00	—	—	—
Urine pregnancy test, read by color change inpatient CPT 81025 Urine Pregnancy Test Cuba	$46.00	$46.00	—	—	—
Urine pregnancy test, read by color change inpatient CPT 81025 Urine Hcg	$46.00	$46.00	—	—	—
Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B-12	$92.00	$92.00	—	43% above	—
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vitamin B-12	$92.00	$92.00	—	—	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D Calciferol	$254.00	$254.00	—	185% above	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D 25 Hydroxy	$254.00	$254.00	—	185% above	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D 25 Hydroxy	$254.00	$254.00	—	—	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D Calciferol	$254.00	$254.00	—	—	—
Zinc blood test CPT 84630 Zinc	$51.00	$51.00	—	47% above	—
Zinc blood test CPT 84630 Zinc, Rbc	$51.00	$51.00	—	47% above	—
Zinc blood test inpatient CPT 84630 Zinc, Rbc	$51.00	$51.00	—	—	—
Zinc blood test inpatient CPT 84630 Zinc	$51.00	$51.00	—	—	—
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Preg Hcg Quan	$52.00	$52.00	—	15% below	—
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hcg Quant	$52.00	$52.00	—	15% below	—
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Quant Hcg - Triple Marker	$52.00	$52.00	—	15% below	—
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Triple Marker Hcg Quantitative	$52.00	$52.00	—	15% below	—
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hcg Beta Quantitative	$52.00	$52.00	—	15% below	—
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Preg Hcg Quan	$52.00	$52.00	—	—	—
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Hcg Beta Quantitative	$52.00	$52.00	—	—	—
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Hcg Quant	$52.00	$52.00	—	—	—
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Quant Hcg - Triple Marker	$52.00	$52.00	—	—	—
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Triple Marker Hcg Quantitative	$52.00	$52.00	—	—	—

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs New York	Off list
Botox injections for chronic migraine CPT 64615 Chemodenerv Musc Migraine	$356.00	$356.00	—	2% above	—
Botox injections for chronic migraine inpatient CPT 64615 Chemodenerv Musc Migraine	$356.00	$356.00	—	—	—
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 Bx Breast 1St Lesion Stereotac	$2,805.00	$2,805.00	—	3% below	—
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 Bx Breast 1St Lesion Stereotac	$2,805.00	$2,805.00	—	—	—
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 Fx Care Fibula Distal Wo	$283.00	$283.00	—	41% below	—
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 Closed Treat. Distal Fibular	$717.00	$717.00	—	50% above	—
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 Treatment Of Ankle Fracture	$717.00	$717.00	—	50% above	—
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 Fx Care Fibula Distal Wo	$283.00	$283.00	—	—	—
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 Treatment Of Ankle Fracture	$717.00	$717.00	—	—	—
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 Closed Treat. Distal Fibular	$717.00	$717.00	—	—	—
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 Tx Metatarsal Fx	$75.00	$75.00	—	81% below	—
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 Treat Metatarsal Fracture	$171.00	$171.00	—	57% below	—
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 Tx Metatarsal Fracture	$171.00	$171.00	—	57% below	—
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 Tx Metatarsal Fx	$75.00	$75.00	—	—	—
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 Treat Metatarsal Fracture	$171.00	$171.00	—	—	—
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 Tx Metatarsal Fracture	$171.00	$171.00	—	—	—
Cardiac catheterization with coronary angiogram one side CPT 93458 Coronary Angio Left Heart Cath	$7,887.00	$7,887.00	—	35% above	—
Cardiac catheterization with coronary angiogram inpatient one side CPT 93458 Coronary Angio Left Heart Cath	$7,887.00	$7,887.00	—	—	—
Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion External	$415.00	$415.00	—	58% below	—
Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion Elective	$1,401.00	$1,401.00	—	41% above	—
Cardioversion, elective (restoring heart rhythm) CPT 92960 Elective Cardioversion	$1,401.00	$1,401.00	—	41% above	—
Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion, Elective	$1,401.00	$1,401.00	—	41% above	—
Cardioversion, elective (restoring heart rhythm) CPT 92960 Heart Electroconversion	$1,401.00	$1,401.00	—	41% above	—
Cardioversion, elective (restoring heart rhythm) CPT 92960 Heart Electroconversion Elect.	$1,401.00	$1,401.00	—	41% above	—
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Cardioversion External	$415.00	$415.00	—	—	—
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Heart Electroconversion	$1,401.00	$1,401.00	—	—	—
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Cardioversion Elective	$1,401.00	$1,401.00	—	—	—
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Cardioversion, Elective	$1,401.00	$1,401.00	—	—	—
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Heart Electroconversion Elect.	$1,401.00	$1,401.00	—	—	—
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Elective Cardioversion	$1,401.00	$1,401.00	—	—	—
Cervical biopsy CPT 57500 Biopsy Of Cervix Ob Office	$429.00	$429.00	—	63% below	—
Cervical biopsy inpatient CPT 57500 Biopsy Of Cervix Ob Office	$429.00	$429.00	—	—	—
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 Circum Surg Exc =>28Days Old	$2,082.00	$2,082.00	—	17% below	—
Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 Circum Surg Exc =>28Days Old	$2,082.00	$2,082.00	—	—	—
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Circumcision	$6,377.00	$6,377.00	—	616% above	—
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Outpt Infant Circumcision	$6,377.00	$6,377.00	—	616% above	—
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 Outpt Infant Circumcision	$6,377.00	$6,377.00	—	—	—
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 Circumcision	$6,377.00	$6,377.00	—	—	—
Circumcision, surgical, older than a newborn CPT 54160 Circumcision	$4,868.00	$4,868.00	—	410% above	—
Circumcision, surgical, older than a newborn inpatient CPT 54160 Circumcision	$4,868.00	$4,868.00	—	—	—
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Closed Tr Radial/Ulnar Fx/W/O	$233.00	$233.00	—	53% below	—
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Treat Fracture Radius/Ulna	$233.00	$233.00	—	53% below	—
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Fx Care Navicular Wo Mani	$272.00	$272.00	—	45% below	—
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Fx Colles W/O Man	$283.00	$283.00	—	43% below	—
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 Closed Tr Radial/Ulnar Fx/W/O	$233.00	$233.00	—	—	—
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 Treat Fracture Radius/Ulna	$233.00	$233.00	—	—	—
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 Fx Care Navicular Wo Mani	$272.00	$272.00	—	—	—
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 Fx Colles W/O Man	$283.00	$283.00	—	—	—
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 Bx Of Cervix W/Scope, Leep	$1,453.00	$1,453.00	—	61% below	—
Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 Bx Of Cervix W/Scope, Leep	$1,453.00	$1,453.00	—	—	—
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 Colposcopy/Biopsy	$296.00	$296.00	—	25% below	—
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 Bx/Currett Of Cervix W/ Scope	$296.00	$296.00	—	25% below	—
Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 Bx/Currett Of Cervix W/ Scope	$296.00	$296.00	—	—	—
Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 Colposcopy/Biopsy	$296.00	$296.00	—	—	—
Coronary stent placement, one artery CPT 92928 Prq Card Stent W/Angio 1 Vsl	$18,190.00	$18,190.00	—	30% above	—
Coronary stent placement, one artery inpatient CPT 92928 Prq Card Stent W/Angio 1 Vsl	$18,190.00	$18,190.00	—	—	—
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Cystourethroscopy	$775.00	$775.00	—	43% below	—
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Cystoscopy	$775.00	$775.00	—	43% below	—
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 Cystourethroscopy	$775.00	$775.00	—	—	—
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 Cystoscopy	$775.00	$775.00	—	—	—
D&C (dilation and curettage), not related to pregnancy CPT 58120 Dilation And Curettage	$2,199.00	$2,199.00	—	38% below	—
D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 Dilation And Curettage	$2,199.00	$2,199.00	—	—	—
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Destruction Any Meth Lesi	$99.00	$99.00	—	58% below	—
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Destruction;Lesion;First	$120.00	$120.00	—	49% below	—
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Destr Bn Fc/Pre-Mal 1 Les	$120.00	$120.00	—	49% below	—
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Destroy Benign/Premalg Lesion	$120.00	$120.00	—	49% below	—
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 Destruction Any Meth Lesi	$99.00	$99.00	—	—	—
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 Destruction;Lesion;First	$120.00	$120.00	—	—	—
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 Destroy Benign/Premalg Lesion	$120.00	$120.00	—	—	—
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 Destr Bn Fc/Pre-Mal 1 Les	$120.00	$120.00	—	—	—
Earwax removal by irrigation (rinsing), one ear CPT 69209 Pro Fee Remov Impacted Ear Wax	$78.00	$78.00	—	23% below	—
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 Remove Impacted Ear Wax Unilat	$167.00	$167.00	—	66% above	—
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 Pro Fee Remov Impacted Ear Wax	$78.00	$78.00	—	—	—
Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 Remove Impacted Ear Wax Unilat	$167.00	$167.00	—	—	—
Earwax removal with instruments, one ear CPT 69210 Removal Impacted Cerumen	$55.00	$55.00	—	56% below	—
Earwax removal with instruments, one ear CPT 69210 Pro Fee Remov Impacted Ear Wax	$99.00	$99.00	—	21% below	—
Earwax removal with instruments, one ear CPT 69210 I	$137.00	$137.00	—	10% above	—
Earwax removal with instruments, one ear CPT 69210 Remove Impacted Ear Wax	$137.00	$137.00	—	10% above	—
Earwax removal with instruments, one ear CPT 69210 Remove Impacted Ear Wax Uni	$137.00	$137.00	—	10% above	—
Earwax removal with instruments, one ear inpatient CPT 69210 Removal Impacted Cerumen	$55.00	$55.00	—	—	—
Earwax removal with instruments, one ear inpatient CPT 69210 Pro Fee Remov Impacted Ear Wax	$99.00	$99.00	—	—	—
Earwax removal with instruments, one ear inpatient CPT 69210 Remove Impacted Ear Wax Uni	$137.00	$137.00	—	—	—
Earwax removal with instruments, one ear inpatient CPT 69210 Remove Impacted Ear Wax	$137.00	$137.00	—	—	—
Earwax removal with instruments, one ear inpatient CPT 69210 I	$137.00	$137.00	—	—	—
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 Endomet Biop W/O Cervic Dilat	$599.00	$599.00	—	37% above	—
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 Biopsy Of Uterus Lining	$599.00	$599.00	—	37% above	—
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 Endometrial Bx W/Wo Ec Bx Wo D	$599.00	$599.00	—	37% above	—
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 Biopsy Of Uterus Lining	$599.00	$599.00	—	—	—
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 Endomet Biop W/O Cervic Dilat	$599.00	$599.00	—	—	—
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 Endometrial Bx W/Wo Ec Bx Wo D	$599.00	$599.00	—	—	—
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Inj Interlaminar Crv/Thrc W/Im	$1,510.00	$1,510.00	—	66% above	—
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 Inj Interlaminar Crv/Thrc W/Im	$1,510.00	$1,510.00	—	—	—
Eye injection into the vitreous (intravitreal injection) CPT 67028 Intravitreal Inj	$721.00	$721.00	—	at median	—
Eye injection into the vitreous (intravitreal injection) inpatient CPT 67028 Intravitreal Inj	$721.00	$721.00	—	—	—
Facet joint injection, lower back, one level, with imaging guidance both sides CPT 64493 Facet Lum Sac 1St Lev W/Ima Bi	$3,326.00	$3,326.00	—	—	—
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Inj Paravert F Inj L/S 1 Lev	$2,218.00	$2,218.00	—	23% above	—
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Facet Lumb Sacr 1St Lev W/Imag	$2,218.00	$2,218.00	—	23% above	—
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Inj Parave F Inj L/S 1 Lev Bil	$3,326.00	$3,326.00	—	84% above	—
Facet joint injection, lower back, one level, with imaging guidance inpatient both sides CPT 64493 Facet Lum Sac 1St Lev W/Ima Bi	$3,326.00	$3,326.00	—	—	—
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 Inj Paravert F Inj L/S 1 Lev	$2,218.00	$2,218.00	—	—	—
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 Facet Lumb Sacr 1St Lev W/Imag	$2,218.00	$2,218.00	—	—	—
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 Inj Parave F Inj L/S 1 Lev Bil	$3,326.00	$3,326.00	—	—	—
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Sigmoidoscopy Flexible	$167.00	$167.00	—	85% below	—
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Sigmoidoscopy	$174.50	$174.50	—	84% below	—
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 Sigmoidoscopy Flexible	$167.00	$167.00	—	—	—
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 Sigmoidoscopy	$174.50	$174.50	—	—	—
Hemorrhoidectomy (internal and external), one area CPT 46255 Hemorrhoidectomy	$632.00	$632.00	—	81% below	—
Hemorrhoidectomy (internal and external), one area inpatient CPT 46255 Hemorrhoidectomy	$632.00	$632.00	—	—	—
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 Inj Pro Hystero	$179.00	$179.00	—	30% below	—
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 Inj Pro Hystero	$179.00	$179.00	—	—	—
IUD insertion (the device itself billed separately) CPT 58300 Insert Intrauterine Device	$115.00	$115.00	—	53% below	—
IUD insertion (the device itself billed separately) inpatient CPT 58300 Insert Intrauterine Device	$115.00	$115.00	—	—	—
Incision and drainage of a simple or single skin abscess CPT 10060 I & D Abscess, Simple	$144.00	$144.00	—	60% below	—
Incision and drainage of a simple or single skin abscess CPT 10060 Pro Fee Drainag Of Skin Abcess	$285.00	$285.00	—	22% below	—
Incision and drainage of a simple or single skin abscess CPT 10060 Drainage Of Skin Abcess;Simple	$594.00	$594.00	—	63% above	—
Incision and drainage of a simple or single skin abscess CPT 10060 Incision And Drainage Abcess	$594.00	$594.00	—	63% above	—
Incision and drainage of a simple or single skin abscess CPT 10060 I & D Absess Simple	$594.00	$594.00	—	63% above	—
Incision and drainage of a simple or single skin abscess CPT 10060 Drainage Of Skin Abscess	$594.00	$594.00	—	63% above	—
Incision and drainage of a simple or single skin abscess CPT 10060 Drainage Of Skin Abcess	$594.00	$594.00	—	63% above	—
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I & D Abscess, Simple	$144.00	$144.00	—	—	—
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 Pro Fee Drainag Of Skin Abcess	$285.00	$285.00	—	—	—
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 Incision And Drainage Abcess	$594.00	$594.00	—	—	—
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 Drainage Of Skin Abscess	$594.00	$594.00	—	—	—
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I & D Absess Simple	$594.00	$594.00	—	—	—
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 Drainage Of Skin Abcess;Simple	$594.00	$594.00	—	—	—
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 Drainage Of Skin Abcess	$594.00	$594.00	—	—	—
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Inj Ten/Lig/Cyst (Calcahlous)	$218.00	$218.00	—	47% below	—
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Inj Tendon Sheath/Ligament	$218.00	$218.00	—	47% below	—
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Inj Tend Sheath Lig-Aponeurosi	$218.00	$218.00	—	47% below	—
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Inj;Sing Tendon Sheath,Lig	$218.00	$218.00	—	47% below	—
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Trigger Point	$218.00	$218.00	—	47% below	—
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Inj Ten/Lig/Cyst (Biceps)	$218.00	$218.00	—	47% below	—
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 Inj Tendon Sheath/Ligament	$218.00	$218.00	—	—	—
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 Inj Ten/Lig/Cyst (Biceps)	$218.00	$218.00	—	—	—
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 Trigger Point	$218.00	$218.00	—	—	—
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 Inj;Sing Tendon Sheath,Lig	$218.00	$218.00	—	—	—
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 Inj Ten/Lig/Cyst (Calcahlous)	$218.00	$218.00	—	—	—
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 Inj Tend Sheath Lig-Aponeurosi	$218.00	$218.00	—	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound both sides CPT 20610 Pro Fee Drain/Inj Maj Jnt Bi	$271.00	$271.00	—	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound both sides CPT 20610 Drain/Inject Joint/Bursa Bilat	$1,692.00	$1,692.00	—	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound both sides CPT 20610 Inj Major Joint Or Bursa Bilat	$1,692.00	$1,692.00	—	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Arthrocentesis Maj Joint	$188.00	$188.00	—	48% below	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Drain/Inject, Joint/Bursa	$846.00	$846.00	—	132% above	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Drain/Inj Joint/Bur W/O Us Bil	$1,692.00	$1,692.00	—	364% above	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 Pro Fee Drain/Inj Maj Jnt Rt	$136.00	$136.00	—	63% below	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 Pro Fee Drain/Inj Maj Jnt Lt	$136.00	$136.00	—	63% below	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 Inj Major Joint Or Bursa Lt	$846.00	$846.00	—	132% above	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 Drain/Inj Joint/Bur W/O Us Rt	$846.00	$846.00	—	132% above	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 Drain/Inj Joint/Bur W/O Us Lt	$846.00	$846.00	—	132% above	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 Inj Major Joint Or Bursa Rt	$846.00	$846.00	—	132% above	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 Drain/Inject Joint/Bursa Lt	$846.00	$846.00	—	132% above	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 Drain/Inject Joint/Bursa Rt	$846.00	$846.00	—	132% above	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient both sides CPT 20610 Pro Fee Drain/Inj Maj Jnt Bi	$271.00	$271.00	—	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient both sides CPT 20610 Drain/Inject Joint/Bursa Bilat	$1,692.00	$1,692.00	—	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient both sides CPT 20610 Inj Major Joint Or Bursa Bilat	$1,692.00	$1,692.00	—	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Arthrocentesis Maj Joint	$188.00	$188.00	—	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Drain/Inject, Joint/Bursa	$846.00	$846.00	—	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Drain/Inj Joint/Bur W/O Us Bil	$1,692.00	$1,692.00	—	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 Pro Fee Drain/Inj Maj Jnt Lt	$136.00	$136.00	—	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 Pro Fee Drain/Inj Maj Jnt Rt	$136.00	$136.00	—	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 Inj Major Joint Or Bursa Rt	$846.00	$846.00	—	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 Drain/Inj Joint/Bur W/O Us Lt	$846.00	$846.00	—	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 Inj Major Joint Or Bursa Lt	$846.00	$846.00	—	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 Drain/Inject Joint/Bursa Rt	$846.00	$846.00	—	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 Drain/Inj Joint/Bur W/O Us Rt	$846.00	$846.00	—	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 Drain/Inject Joint/Bursa Lt	$846.00	$846.00	—	—	—
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 Insertion Drug Dlvr Implant	$412.00	$412.00	—	56% above	—
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 Insertion Drug Dlvr Implant	$412.00	$412.00	—	—	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Intermediate Joint	$170.00	$170.00	—	51% below	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Drain/Inject, Joint Bursa	$622.00	$622.00	—	78% above	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Aspir And/Or Inj;Int Joint	$622.00	$622.00	—	78% above	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Arthrocentesis,Asp Int Joint	$622.00	$622.00	—	78% above	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Drain/Inj Joint/Bursa W/O Us	$622.00	$622.00	—	78% above	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Drain/Inject Inter Joint/Bursa	$622.00	$622.00	—	78% above	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Drain/Inject Joint/Bursa	$622.00	$622.00	—	78% above	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Pro Fee Aspir Or Inj Int Joint	$686.00	$686.00	—	96% above	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Intermediate Joint	$170.00	$170.00	—	—	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Drain/Inject Inter Joint/Bursa	$622.00	$622.00	—	—	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Drain/Inj Joint/Bursa W/O Us	$622.00	$622.00	—	—	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Arthrocentesis,Asp Int Joint	$622.00	$622.00	—	—	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Drain/Inject, Joint Bursa	$622.00	$622.00	—	—	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Aspir And/Or Inj;Int Joint	$622.00	$622.00	—	—	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Drain/Inject Joint/Bursa	$622.00	$622.00	—	—	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Pro Fee Aspir Or Inj Int Joint	$686.00	$686.00	—	—	—
Joint injection or drainage, small joint (fingers, toes) both sides CPT 20600 Inject Small Joint Bursa Bilat	$413.00	$413.00	—	—	—
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Small Joint	$129.00	$129.00	—	63% below	—
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Injection;Small Joint,Bursa	$206.00	$206.00	—	41% below	—
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Injection; Small Joint, Bursa	$206.00	$206.00	—	41% below	—
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Injection Small Joint, Bursa	$206.00	$206.00	—	41% below	—
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Drain/Inject, Sm Joint/Bursa	$206.00	$206.00	—	41% below	—
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Arthrocentesis,Asp Sm Joint	$206.00	$206.00	—	41% below	—
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Arthrocentesis Asp Jnt/Bursa	$206.00	$206.00	—	41% below	—
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Drain/Inj Joint/Bursa W/O Us	$206.00	$206.00	—	41% below	—
Joint injection or drainage, small joint (fingers, toes) inpatient both sides CPT 20600 Inject Small Joint Bursa Bilat	$413.00	$413.00	—	—	—
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Small Joint	$129.00	$129.00	—	—	—
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Injection; Small Joint, Bursa	$206.00	$206.00	—	—	—
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Injection Small Joint, Bursa	$206.00	$206.00	—	—	—
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Arthrocentesis Asp Jnt/Bursa	$206.00	$206.00	—	—	—
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Drain/Inj Joint/Bursa W/O Us	$206.00	$206.00	—	—	—
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Injection;Small Joint,Bursa	$206.00	$206.00	—	—	—
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Drain/Inject, Sm Joint/Bursa	$206.00	$206.00	—	—	—
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Arthrocentesis,Asp Sm Joint	$206.00	$206.00	—	—	—
Laser treatment of clouding after cataract surgery (YAG) CPT 66821 Yag Laser	$1,255.00	$1,255.00	—	92% above	—
Laser treatment of clouding after cataract surgery (YAG) CPT 66821 Yag Laser Capsulotomy	$1,255.00	$1,255.00	—	92% above	—
Laser treatment of clouding after cataract surgery (YAG) CPT 66821 Laser Eye Surgery, Yag	$1,255.00	$1,255.00	—	92% above	—
Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 Yag Laser Capsulotomy	$1,255.00	$1,255.00	—	—	—
Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 Yag Laser	$1,255.00	$1,255.00	—	—	—
Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 Laser Eye Surgery, Yag	$1,255.00	$1,255.00	—	—	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Lyr Clos Scalp, Trunk 2.5	$186.00	$186.00	—	67% below	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Pro Fee Layer Closure <2.5Cm	$608.00	$608.00	—	9% above	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Layer Closure Wound(S) <2.5 Cm	$790.00	$790.00	—	42% above	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Layer Closure Wound(S) < 2.5Cm	$790.00	$790.00	—	42% above	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Lay Clos Sc,Tk,Lmb,Axl 2.5/<	$790.00	$790.00	—	42% above	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Ucg Intmd Wnd Rpr T/Ex 2.5Cm/<	$790.00	$790.00	—	42% above	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Pro Fee Ucg Intmd Wnd Rpr 2.5<	$790.00	$790.00	—	42% above	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 Lyr Clos Scalp, Trunk 2.5	$186.00	$186.00	—	—	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 Pro Fee Layer Closure <2.5Cm	$608.00	$608.00	—	—	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 Layer Closure Wound(S) <2.5 Cm	$790.00	$790.00	—	—	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 Layer Closure Wound(S) < 2.5Cm	$790.00	$790.00	—	—	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 Pro Fee Ucg Intmd Wnd Rpr 2.5<	$790.00	$790.00	—	—	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 Ucg Intmd Wnd Rpr T/Ex 2.5Cm/<	$790.00	$790.00	—	—	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 Lay Clos Sc,Tk,Lmb,Axl 2.5/<	$790.00	$790.00	—	—	—
Left heart catheterization, diagnostic one side CPT 93452 Left Hrt Cath W Ventrclgrphy	$7,442.00	$7,442.00	—	22% above	—
Left heart catheterization, diagnostic inpatient one side CPT 93452 Left Hrt Cath W Ventrclgrphy	$7,442.00	$7,442.00	—	—	—
Lower-back epidural injection, with imaging guidance CPT 62323 Inj Interlaminar Lmb/Sac W/Img	$1,510.00	$1,510.00	—	8% above	—
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 Inj Interlaminar Lmb/Sac W/Img	$1,510.00	$1,510.00	—	—	—
Lower-back epidural injection, without imaging guidance CPT 62322 Inj Interlaminar Lmb/Sac Wo Gu	$1,510.00	$1,510.00	—	34% above	—
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 Inj Interlaminar Lmb/Sac Wo Gu	$1,510.00	$1,510.00	—	—	—
Lower-back nerve root steroid injection, with imaging guidance both sides CPT 64483 Njx Aa&/Str Tfrm Epi Ls1 Bilat	$4,071.00	$4,071.00	—	—	—
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Njx Aa&/Strd Tfrm Epi L/S 1	$2,714.00	$2,714.00	—	115% above	—
Lower-back nerve root steroid injection, with imaging guidance one side CPT 64483 Njx Aa&/Strd Tfrm Epi Ls 1 Rt	$2,714.00	$2,714.00	—	115% above	—
Lower-back nerve root steroid injection, with imaging guidance one side CPT 64483 Njx Aa&/Strd Tfrm Epi Ls 1 Lt	$2,714.00	$2,714.00	—	115% above	—
Lower-back nerve root steroid injection, with imaging guidance inpatient both sides CPT 64483 Njx Aa&/Str Tfrm Epi Ls1 Bilat	$4,071.00	$4,071.00	—	—	—
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Njx Aa&/Strd Tfrm Epi L/S 1	$2,714.00	$2,714.00	—	—	—
Lower-back nerve root steroid injection, with imaging guidance inpatient one side CPT 64483 Njx Aa&/Strd Tfrm Epi Ls 1 Rt	$2,714.00	$2,714.00	—	—	—
Lower-back nerve root steroid injection, with imaging guidance inpatient one side CPT 64483 Njx Aa&/Strd Tfrm Epi Ls 1 Lt	$2,714.00	$2,714.00	—	—	—
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Exc Tr-Ext B9+Marg 0.5 < Cm	$908.00	$908.00	—	4% above	—
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Exc Tr-Ext B9+Marg 0.5 Cm<	$908.00	$908.00	—	4% above	—
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Excision-Benign Lesion/Except	$908.00	$908.00	—	4% above	—
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Exc Ben Les Trunk/A/L 0.5Cm<	$908.00	$908.00	—	4% above	—
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Exc Ben Lesion Tr-Ext 0.5Cm <	$908.00	$908.00	—	4% above	—
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Ex Bn Les Tk,Arm,Leg,0.5 Or <	$908.00	$908.00	—	4% above	—
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 Ex Bn Les Tk,Arm,Leg,0.5 Or <	$908.00	$908.00	—	—	—
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 Exc Ben Lesion Tr-Ext 0.5Cm <	$908.00	$908.00	—	—	—
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 Exc Tr-Ext B9+Marg 0.5 < Cm	$908.00	$908.00	—	—	—
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 Exc Ben Les Trunk/A/L 0.5Cm<	$908.00	$908.00	—	—	—
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 Excision-Benign Lesion/Except	$908.00	$908.00	—	—	—
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 Exc Tr-Ext B9+Marg 0.5 Cm<	$908.00	$908.00	—	—	—
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Removal Of Skin Lesion	$908.00	$908.00	—	at median	—
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Exc Face Benign Lesion <0.5Cm	$908.00	$908.00	—	at median	—
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Ex Bn Les Fc,Er,Ns,Lp,Mm 0.5/<	$908.00	$908.00	—	at median	—
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Removal Skin Lesion	$908.00	$908.00	—	at median	—
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 Exc Face Benign Lesion <0.5Cm	$908.00	$908.00	—	—	—
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 Removal Of Skin Lesion	$908.00	$908.00	—	—	—
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 Removal Skin Lesion	$908.00	$908.00	—	—	—
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 Ex Bn Les Fc,Er,Ns,Lp,Mm 0.5/<	$908.00	$908.00	—	—	—
Nail removal (partial or complete), one nail CPT 11730 Avulsion Of Nail Plate	$155.00	$155.00	—	45% below	—
Nail removal (partial or complete), one nail CPT 11730 Pro Fee Removal Of Nail Plate	$185.00	$185.00	—	35% below	—
Nail removal (partial or complete), one nail CPT 11730 Avulsion Nail Partial Single	$229.00	$229.00	—	19% below	—
Nail removal (partial or complete), one nail CPT 11730 Removal Of Nail Plate	$229.00	$229.00	—	19% below	—
Nail removal (partial or complete), one nail inpatient CPT 11730 Avulsion Of Nail Plate	$155.00	$155.00	—	—	—
Nail removal (partial or complete), one nail inpatient CPT 11730 Pro Fee Removal Of Nail Plate	$185.00	$185.00	—	—	—
Nail removal (partial or complete), one nail inpatient CPT 11730 Removal Of Nail Plate	$229.00	$229.00	—	—	—
Nail removal (partial or complete), one nail inpatient CPT 11730 Avulsion Nail Partial Single	$229.00	$229.00	—	—	—
Occipital nerve block (injection for headaches) CPT 64405 Nerve Block Occipital	$408.00	$408.00	—	4% above	—
Occipital nerve block (injection for headaches) CPT 64405 Trigeminal	$408.00	$408.00	—	4% above	—
Occipital nerve block (injection for headaches) CPT 64405 Nerve, Occipital Block	$408.00	$408.00	—	4% above	—
Occipital nerve block (injection for headaches) inpatient CPT 64405 Nerve, Occipital Block	$408.00	$408.00	—	—	—
Occipital nerve block (injection for headaches) inpatient CPT 64405 Trigeminal	$408.00	$408.00	—	—	—
Occipital nerve block (injection for headaches) inpatient CPT 64405 Nerve Block Occipital	$408.00	$408.00	—	—	—
Pacemaker implant (dual chamber) CPT 33208 Insert Heart Pm Artial & Ventr	$27,605.00	$27,605.00	—	123% above	—
Pacemaker implant (dual chamber) inpatient CPT 33208 Insert Heart Pm Artial & Ventr	$27,605.00	$27,605.00	—	—	—
Paracentesis with imaging guidance CPT 49083 Abd Paracentesis W/Imag Guidan	$1,765.00	$1,765.00	—	42% above	—
Paracentesis with imaging guidance CPT 49083 Abd Paracentesis W/Imag Guid	$1,765.00	$1,765.00	—	42% above	—
Paracentesis with imaging guidance inpatient CPT 49083 Abd Paracentesis W/Imag Guid	$1,765.00	$1,765.00	—	—	—
Paracentesis with imaging guidance inpatient CPT 49083 Abd Paracentesis W/Imag Guidan	$1,765.00	$1,765.00	—	—	—
Permanent removal of a nail and nail root (partial or complete) CPT 11750 Exc Nail Part / Comp-Perm	$167.00	$167.00	—	71% below	—
Permanent removal of a nail and nail root (partial or complete) CPT 11750 Removal Of Nail Bed	$443.00	$443.00	—	24% below	—
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 Exc Nail Part / Comp-Perm	$167.00	$167.00	—	—	—
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 Removal Of Nail Bed	$443.00	$443.00	—	—	—
Prostate biopsy CPT 55700 Surg Pro Prostate Biopsy Us	$1,988.00	$1,988.00	—	14% below	—
Prostate biopsy CPT 55700 Prostate Biopsy	$1,988.00	$1,988.00	—	14% below	—
Prostate biopsy CPT 55700 Biopsy Of Prostate	$1,988.00	$1,988.00	—	14% below	—
Prostate biopsy inpatient CPT 55700 Biopsy Of Prostate	$1,988.00	$1,988.00	—	—	—
Prostate biopsy inpatient CPT 55700 Prostate Biopsy	$1,988.00	$1,988.00	—	—	—
Prostate biopsy inpatient CPT 55700 Surg Pro Prostate Biopsy Us	$1,988.00	$1,988.00	—	—	—
Radiofrequency ablation of facet joint nerves, lower back, one level both sides CPT 64635 Destroy Lumb/Sac Fac Jnt Bilat	$6,899.00	$6,899.00	—	—	—
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 Destroy Lumb/Sac Facet Jnt	$4,600.00	$4,600.00	—	99% above	—
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 Rfa Lumb/Sac Facet Jnt	$4,600.00	$4,600.00	—	99% above	—
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient both sides CPT 64635 Destroy Lumb/Sac Fac Jnt Bilat	$6,899.00	$6,899.00	—	—	—
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 Destroy Lumb/Sac Facet Jnt	$4,600.00	$4,600.00	—	—	—
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 Rfa Lumb/Sac Facet Jnt	$4,600.00	$4,600.00	—	—	—
Removal of a breast lump, open surgery CPT 19120 Excis Of Breast Lesion 1 Or >	$4,293.00	$4,293.00	—	at median	—
Removal of a breast lump, open surgery CPT 19120 Excision Of Cyst, One Or More	$4,293.00	$4,293.00	—	at median	—
Removal of a breast lump, open surgery inpatient CPT 19120 Excis Of Breast Lesion 1 Or >	$4,293.00	$4,293.00	—	—	—
Removal of a breast lump, open surgery inpatient CPT 19120 Excision Of Cyst, One Or More	$4,293.00	$4,293.00	—	—	—
Removal of a foreign object under the skin, simple CPT 10120 Removal Of Fb. Skin, Simp	$116.00	$116.00	—	79% below	—
Removal of a foreign object under the skin, simple CPT 10120 Pro Fee Remove Foreign Body	$302.00	$302.00	—	46% below	—
Removal of a foreign object under the skin, simple CPT 10120 Incisi&Remove Foreign Body Sim	$790.00	$790.00	—	43% above	—
Removal of a foreign object under the skin, simple CPT 10120 Removal Foreign Body Simple	$790.00	$790.00	—	43% above	—
Removal of a foreign object under the skin, simple CPT 10120 Incision & Remove Foreign Body	$790.00	$790.00	—	43% above	—
Removal of a foreign object under the skin, simple CPT 10120 Remove Foreign Body	$790.00	$790.00	—	43% above	—
Removal of a foreign object under the skin, simple CPT 10120 Remove Foreign Body, Simple	$790.00	$790.00	—	43% above	—
Removal of a foreign object under the skin, simple inpatient CPT 10120 Removal Of Fb. Skin, Simp	$116.00	$116.00	—	—	—
Removal of a foreign object under the skin, simple inpatient CPT 10120 Pro Fee Remove Foreign Body	$302.00	$302.00	—	—	—
Removal of a foreign object under the skin, simple inpatient CPT 10120 Incision & Remove Foreign Body	$790.00	$790.00	—	—	—
Removal of a foreign object under the skin, simple inpatient CPT 10120 Removal Foreign Body Simple	$790.00	$790.00	—	—	—
Removal of a foreign object under the skin, simple inpatient CPT 10120 Remove Foreign Body	$790.00	$790.00	—	—	—
Removal of a foreign object under the skin, simple inpatient CPT 10120 Incisi&Remove Foreign Body Sim	$790.00	$790.00	—	—	—
Removal of a foreign object under the skin, simple inpatient CPT 10120 Remove Foreign Body, Simple	$790.00	$790.00	—	—	—
Shock-wave lithotripsy to break up kidney stones (from outside the body) both sides CPT 50590 Bilateral Lithotripsy	$12,910.00	$12,910.00	—	—	—
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 Lithotripsy,Shock Wave	$8,607.00	$8,607.00	—	67% above	—
Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient both sides CPT 50590 Bilateral Lithotripsy	$12,910.00	$12,910.00	—	—	—
Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 Lithotripsy,Shock Wave	$8,607.00	$8,607.00	—	—	—
Short arm cast (elbow to hand) CPT 29075 Short Arm Cast Age 10 Les	$93.00	$93.00	—	70% below	—
Short arm cast (elbow to hand) CPT 29075 Cast Appl, Short Arm	$149.00	$149.00	—	53% below	—
Short arm cast (elbow to hand) CPT 29075 Ucg Cast Appl, Short Arm	$149.00	$149.00	—	53% below	—
Short arm cast (elbow to hand) CPT 29075 Application Of Forearm Cast	$149.00	$149.00	—	53% below	—
Short arm cast (elbow to hand) inpatient CPT 29075 Short Arm Cast Age 10 Les	$93.00	$93.00	—	—	—
Short arm cast (elbow to hand) inpatient CPT 29075 Ucg Cast Appl, Short Arm	$149.00	$149.00	—	—	—
Short arm cast (elbow to hand) inpatient CPT 29075 Application Of Forearm Cast	$149.00	$149.00	—	—	—
Short arm cast (elbow to hand) inpatient CPT 29075 Cast Appl, Short Arm	$149.00	$149.00	—	—	—
Short arm splint (forearm and hand) CPT 29125 Appl Short Arm Splint	$23.00	$23.00	—	88% below	—
Short arm splint (forearm and hand) CPT 29125 Short Arm Splint Static	$37.00	$37.00	—	80% below	—
Short arm splint (forearm and hand) CPT 29125 Pro Fee Apply Short Arm Splint	$114.00	$114.00	—	39% below	—
Short arm splint (forearm and hand) CPT 29125 Apply Forearm Splint	$151.00	$151.00	—	19% below	—
Short arm splint (forearm and hand) CPT 29125 Applic Splint Short Arm, Stati	$151.00	$151.00	—	19% below	—
Short arm splint (forearm and hand) CPT 29125 Apply Short Arm Splint	$151.00	$151.00	—	19% below	—
Short arm splint (forearm and hand) CPT 29125 Application Forearm Splint	$151.00	$151.00	—	19% below	—
Short arm splint (forearm and hand) CPT 29125 Application Short Arm Splint	$151.00	$151.00	—	19% below	—
Short arm splint (forearm and hand) CPT 29125 Applic Splint Short Arm Static	$151.00	$151.00	—	19% below	—
Short arm splint (forearm and hand) CPT 29125 Ucg Apply Short Arm Splint	$151.00	$151.00	—	19% below	—
Short arm splint (forearm and hand) inpatient CPT 29125 Appl Short Arm Splint	$23.00	$23.00	—	—	—
Short arm splint (forearm and hand) inpatient CPT 29125 Short Arm Splint Static	$37.00	$37.00	—	—	—
Short arm splint (forearm and hand) inpatient CPT 29125 Pro Fee Apply Short Arm Splint	$114.00	$114.00	—	—	—
Short arm splint (forearm and hand) inpatient CPT 29125 Application Short Arm Splint	$151.00	$151.00	—	—	—
Short arm splint (forearm and hand) inpatient CPT 29125 Applic Splint Short Arm, Stati	$151.00	$151.00	—	—	—
Short arm splint (forearm and hand) inpatient CPT 29125 Ucg Apply Short Arm Splint	$151.00	$151.00	—	—	—
Short arm splint (forearm and hand) inpatient CPT 29125 Applic Splint Short Arm Static	$151.00	$151.00	—	—	—
Short arm splint (forearm and hand) inpatient CPT 29125 Apply Forearm Splint	$151.00	$151.00	—	—	—
Short arm splint (forearm and hand) inpatient CPT 29125 Application Forearm Splint	$151.00	$151.00	—	—	—
Short arm splint (forearm and hand) inpatient CPT 29125 Apply Short Arm Splint	$151.00	$151.00	—	—	—
Short leg cast (below the knee) CPT 29405 Apply Short Leg Cast	$304.00	$304.00	—	8% below	—
Short leg cast (below the knee) CPT 29405 Cast App Short Leg	$304.00	$304.00	—	8% below	—
Short leg cast (below the knee) inpatient CPT 29405 Apply Short Leg Cast	$304.00	$304.00	—	—	—
Short leg cast (below the knee) inpatient CPT 29405 Cast App Short Leg	$304.00	$304.00	—	—	—
Short leg splint (calf to foot) CPT 29515 Short Leg Splint	$38.00	$38.00	—	80% below	—
Short leg splint (calf to foot) CPT 29515 Pro Fee Appli Lower Leg Splint	$147.00	$147.00	—	24% below	—
Short leg splint (calf to foot) CPT 29515 Ucg Applic-Short Leg Splint	$379.00	$379.00	—	97% above	—
Short leg splint (calf to foot) CPT 29515 Application Short Leg Splint	$379.00	$379.00	—	97% above	—
Short leg splint (calf to foot) CPT 29515 Application Lower Leg Splint	$379.00	$379.00	—	97% above	—
Short leg splint (calf to foot) inpatient CPT 29515 Short Leg Splint	$38.00	$38.00	—	—	—
Short leg splint (calf to foot) inpatient CPT 29515 Pro Fee Appli Lower Leg Splint	$147.00	$147.00	—	—	—
Short leg splint (calf to foot) inpatient CPT 29515 Ucg Applic-Short Leg Splint	$379.00	$379.00	—	—	—
Short leg splint (calf to foot) inpatient CPT 29515 Application Short Leg Splint	$379.00	$379.00	—	—	—
Short leg splint (calf to foot) inpatient CPT 29515 Application Lower Leg Splint	$379.00	$379.00	—	—	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Pro Fee Repair Wound(S)< 2.5Cm	$97.00	$97.00	—	66% below	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Pro Fee Ucg Repair Wound<2.5Cm	$97.00	$97.00	—	66% below	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Simple Repair Up To 2.5Cm	$128.00	$128.00	—	55% below	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Ucg Repair Wound(S) < 2.5Cm	$369.00	$369.00	—	30% above	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Repair Wound(S) < 2.5Cm.	$369.00	$369.00	—	30% above	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Laceration Repair <= 2.5Cm	$369.00	$369.00	—	30% above	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Laceration Repair <=2.5 Cm	$369.00	$369.00	—	30% above	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Rep Simp Tk,Lb,Nk,Sc,Gn 2.5/<	$369.00	$369.00	—	30% above	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Laceration Repair<=2.5Cm	$369.00	$369.00	—	30% above	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Pro Fee Ucg Repair Wound<2.5Cm	$97.00	$97.00	—	—	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Pro Fee Repair Wound(S)< 2.5Cm	$97.00	$97.00	—	—	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Simple Repair Up To 2.5Cm	$128.00	$128.00	—	—	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Ucg Repair Wound(S) < 2.5Cm	$369.00	$369.00	—	—	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Laceration Repair <= 2.5Cm	$369.00	$369.00	—	—	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Repair Wound(S) < 2.5Cm.	$369.00	$369.00	—	—	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Laceration Repair <=2.5 Cm	$369.00	$369.00	—	—	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Laceration Repair<=2.5Cm	$369.00	$369.00	—	—	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Rep Simp Tk,Lb,Nk,Sc,Gn 2.5/<	$369.00	$369.00	—	—	—
Skin biopsy, punch, one lesion CPT 11104 Punch Biopsy Skin Single Lesio	$1,236.00	$1,236.00	—	118% above	—
Skin biopsy, punch, one lesion inpatient CPT 11104 Punch Biopsy Skin Single Lesio	$1,236.00	$1,236.00	—	—	—
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 Exc Tr-Ext Mlg+Marg 0.5Cm <	$1,250.00	$1,250.00	—	50% above	—
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 Excis Malig Les 0.5Cm Or Less	$1,250.00	$1,250.00	—	50% above	—
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 Exc Tr-Ext Mlg+Marg 0.5<Cm	$1,250.00	$1,250.00	—	50% above	—
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 Exc Mal Les Trunk/Ext 0.5Cm/<	$1,250.00	$1,250.00	—	50% above	—
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 Ex Mal Les Trk,Arm,Leg,0.5Cm/<	$1,250.00	$1,250.00	—	50% above	—
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 Ex Mal Les Trk,Arm,Leg,0.5Cm/<	$1,250.00	$1,250.00	—	—	—
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 Exc Mal Les Trunk/Ext 0.5Cm/<	$1,250.00	$1,250.00	—	—	—
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 Excis Malig Les 0.5Cm Or Less	$1,250.00	$1,250.00	—	—	—
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 Exc Tr-Ext Mlg+Marg 0.5<Cm	$1,250.00	$1,250.00	—	—	—
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 Exc Tr-Ext Mlg+Marg 0.5Cm <	$1,250.00	$1,250.00	—	—	—
Skin tag removal, up to 15 tags CPT 11200 Removal Of Skin Tags Up To 15	$351.00	$351.00	—	21% above	—
Skin tag removal, up to 15 tags CPT 11200 Skin Tag Removal	$351.00	$351.00	—	21% above	—
Skin tag removal, up to 15 tags CPT 11200 Removal Skin Tags Up To 15	$351.00	$351.00	—	21% above	—
Skin tag removal, up to 15 tags CPT 11200 Excision Tags Up To 15	$351.00	$351.00	—	21% above	—
Skin tag removal, up to 15 tags inpatient CPT 11200 Excision Tags Up To 15	$351.00	$351.00	—	—	—
Skin tag removal, up to 15 tags inpatient CPT 11200 Removal Of Skin Tags Up To 15	$351.00	$351.00	—	—	—
Skin tag removal, up to 15 tags inpatient CPT 11200 Removal Skin Tags Up To 15	$351.00	$351.00	—	—	—
Skin tag removal, up to 15 tags inpatient CPT 11200 Skin Tag Removal	$351.00	$351.00	—	—	—
Spinal tap (lumbar puncture), diagnostic CPT 62270 Spinal Puncture	$105.00	$105.00	—	89% below	—
Spinal tap (lumbar puncture), diagnostic CPT 62270 Surg Pro Spinal Tap	$912.00	$912.00	—	4% below	—
Spinal tap (lumbar puncture), diagnostic CPT 62270 Lumbar Puncture	$912.00	$912.00	—	4% below	—
Spinal tap (lumbar puncture), diagnostic CPT 62270 Spinal Puncture Lumbar;Diag.	$912.00	$912.00	—	4% below	—
Spinal tap (lumbar puncture), diagnostic CPT 62270 Spinal Puncture,Lumbar,Diag	$912.00	$912.00	—	4% below	—
Spinal tap (lumbar puncture), diagnostic CPT 62270 Spinal Puncture,Lumbar	$912.00	$912.00	—	4% below	—
Spinal tap (lumbar puncture), diagnostic CPT 62270 Spinal Fluid Tap, Diagnostic	$912.00	$912.00	—	4% below	—
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Spinal Puncture	$105.00	$105.00	—	—	—
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Lumbar Puncture	$912.00	$912.00	—	—	—
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Surg Pro Spinal Tap	$912.00	$912.00	—	—	—
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Spinal Puncture,Lumbar,Diag	$912.00	$912.00	—	—	—
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Spinal Puncture,Lumbar	$912.00	$912.00	—	—	—
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Spinal Fluid Tap, Diagnostic	$912.00	$912.00	—	—	—
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Spinal Puncture Lumbar;Diag.	$912.00	$912.00	—	—	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Pro Fee Repair Wound 2.6-7.5Cm	$127.00	$127.00	—	63% below	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Pro Fe Ucg Rpr Wound 2.6-7.5Cm	$127.00	$127.00	—	63% below	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Simple Repair 2.5 To 6.3	$150.00	$150.00	—	57% below	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Rep Sim Tk,Lb,Nk,Sc,Gn 2.6-7.5	$392.00	$392.00	—	13% above	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Ucg Repair Wound 2.6-7.5 Cm	$392.00	$392.00	—	13% above	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Laceration Repair 2.6-7.5 Cm	$392.00	$392.00	—	13% above	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Repair Wound(S) 2.6 To 7.5Cm	$392.00	$392.00	—	13% above	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 Pro Fee Repair Wound 2.6-7.5Cm	$127.00	$127.00	—	—	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 Pro Fe Ucg Rpr Wound 2.6-7.5Cm	$127.00	$127.00	—	—	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 Simple Repair 2.5 To 6.3	$150.00	$150.00	—	—	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 Ucg Repair Wound 2.6-7.5 Cm	$392.00	$392.00	—	—	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 Rep Sim Tk,Lb,Nk,Sc,Gn 2.6-7.5	$392.00	$392.00	—	—	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 Laceration Repair 2.6-7.5 Cm	$392.00	$392.00	—	—	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 Repair Wound(S) 2.6 To 7.5Cm	$392.00	$392.00	—	—	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Pro Fee Ucg Rpr Wnd F/E/E 2.5<	$118.00	$118.00	—	61% below	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Pro F Repr Wnd Face/E/E 2.5Or<	$118.00	$118.00	—	61% below	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Face, Ears, Nose Up To 2.5	$139.00	$139.00	—	54% below	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Rp Si Fc,Er,Ed,Ns,Lp,Mm 2.5/<	$390.00	$390.00	—	29% above	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Repair Wound(S) Face/Ears/Eye	$390.00	$390.00	—	29% above	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Simple Repair,Fl, 2.6-5.0Cm	$390.00	$390.00	—	29% above	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Ucg Repair Wnd Face/E/E 2.5/<	$390.00	$390.00	—	29% above	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 Pro F Repr Wnd Face/E/E 2.5Or<	$118.00	$118.00	—	—	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 Pro Fee Ucg Rpr Wnd F/E/E 2.5<	$118.00	$118.00	—	—	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 Face, Ears, Nose Up To 2.5	$139.00	$139.00	—	—	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 Rp Si Fc,Er,Ed,Ns,Lp,Mm 2.5/<	$390.00	$390.00	—	—	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 Ucg Repair Wnd Face/E/E 2.5/<	$390.00	$390.00	—	—	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 Repair Wound(S) Face/Ears/Eye	$390.00	$390.00	—	—	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 Simple Repair,Fl, 2.6-5.0Cm	$390.00	$390.00	—	—	—
Tangential (shave-style) skin biopsy, one lesion CPT 11102 Tangntl Bx Skin Single Les	$642.00	$642.00	—	42% above	—
Tangential (shave-style) skin biopsy, one lesion CPT 11102 Tangential Biopsy Skin Single	$642.00	$642.00	—	42% above	—
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 Tangntl Bx Skin Single Les	$642.00	$642.00	—	—	—
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 Tangential Biopsy Skin Single	$642.00	$642.00	—	—	—
Thoracentesis with imaging guidance CPT 32555 Aspirate Pleura W/Imaging	$1,228.00	$1,228.00	—	at median	—
Thoracentesis with imaging guidance CPT 32555 Thoracentesis Aspirate W/Imag	$1,228.00	$1,228.00	—	at median	—
Thoracentesis with imaging guidance inpatient CPT 32555 Aspirate Pleura W/Imaging	$1,228.00	$1,228.00	—	—	—
Thoracentesis with imaging guidance inpatient CPT 32555 Thoracentesis Aspirate W/Imag	$1,228.00	$1,228.00	—	—	—
Trigger finger release surgery CPT 26055 Trigger Finger Release	$3,520.00	$3,520.00	—	86% above	—
Trigger finger release surgery inpatient CPT 26055 Trigger Finger Release	$3,520.00	$3,520.00	—	—	—
Trigger point injections, 1 or 2 muscles CPT 20552 Trigger Point Injection	$208.00	$208.00	—	40% below	—
Trigger point injections, 1 or 2 muscles CPT 20552 Inj Trigger Point 1/2 Muscl	$208.00	$208.00	—	40% below	—
Trigger point injections, 1 or 2 muscles CPT 20552 Inj Trigger Point 1-2 Muscles	$208.00	$208.00	—	40% below	—
Trigger point injections, 1 or 2 muscles CPT 20552 Inj(S);Single,Mult. Trigger Pt	$208.00	$208.00	—	40% below	—
Trigger point injections, 1 or 2 muscles CPT 20552 Inj Trigger Point, 1/2 Muscles	$208.00	$208.00	—	40% below	—
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Inj Trigger Point, 1/2 Muscles	$208.00	$208.00	—	—	—
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Inj Trigger Point 1-2 Muscles	$208.00	$208.00	—	—	—
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Trigger Point Injection	$208.00	$208.00	—	—	—
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Inj Trigger Point 1/2 Muscl	$208.00	$208.00	—	—	—
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Inj(S);Single,Mult. Trigger Pt	$208.00	$208.00	—	—	—
Ultrasound-guided breast needle biopsy with marker clip, first lesion both sides CPT 19083 Bx Breast 1St Lesion Us Img Bi	$4,180.00	$4,180.00	—	—	—
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 Bx Breast 1St Lesion Us Imag	$2,787.00	$2,787.00	—	at median	—
Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 Bx Breast 1St Lesion Us Img Lt	$2,787.00	$2,787.00	—	at median	—
Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 Bx Breast 1St Lesion Us Img Rt	$2,787.00	$2,787.00	—	at median	—
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient both sides CPT 19083 Bx Breast 1St Lesion Us Img Bi	$4,180.00	$4,180.00	—	—	—
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 Bx Breast 1St Lesion Us Imag	$2,787.00	$2,787.00	—	—	—
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 Bx Breast 1St Lesion Us Img Lt	$2,787.00	$2,787.00	—	—	—
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 Bx Breast 1St Lesion Us Img Rt	$2,787.00	$2,787.00	—	—	—
Vasectomy, one or both sides, including follow-up semen testing both sides CPT 55250 Vasectomy Uni/Bi Spx W/Postop	$2,200.00	$2,200.00	—	—	—
Vasectomy, one or both sides, including follow-up semen testing CPT 55250 Removal Of Sperm Duct(S)	$2,200.00	$2,200.00	—	at median	—
Vasectomy, one or both sides, including follow-up semen testing inpatient both sides CPT 55250 Vasectomy Uni/Bi Spx W/Postop	$2,200.00	$2,200.00	—	—	—
Vasectomy, one or both sides, including follow-up semen testing inpatient CPT 55250 Removal Of Sperm Duct(S)	$2,200.00	$2,200.00	—	—	—
Vein ablation, radiofrequency, first vein CPT 36475 Venous Ablation Aborted	$1,191.00	$1,191.00	—	68% below	—
Vein ablation, radiofrequency, first vein CPT 36475 Venous Ablation First Vein	$7,145.00	$7,145.00	—	91% above	—
Vein ablation, radiofrequency, first vein inpatient CPT 36475 Venous Ablation Aborted	$1,191.00	$1,191.00	—	—	—
Vein ablation, radiofrequency, first vein inpatient CPT 36475 Venous Ablation First Vein	$7,145.00	$7,145.00	—	—	—
Wart removal, up to 14 warts CPT 17110 Destr. Any Meth Flat Wart	$150.00	$150.00	—	37% below	—
Wart removal, up to 14 warts CPT 17110 Des A/M Sk Wart/Mole To 15 Les	$160.00	$160.00	—	32% below	—
Wart removal, up to 14 warts CPT 17110 Destruction B9 Lesion, 1-14	$160.00	$160.00	—	32% below	—
Wart removal, up to 14 warts CPT 17110 Destruct Ben Lesions Up To 14	$160.00	$160.00	—	32% below	—
Wart removal, up to 14 warts CPT 17110 Destruction B9 Lesion,1-14	$160.00	$160.00	—	32% below	—
Wart removal, up to 14 warts inpatient CPT 17110 Destr. Any Meth Flat Wart	$150.00	$150.00	—	—	—
Wart removal, up to 14 warts inpatient CPT 17110 Des A/M Sk Wart/Mole To 15 Les	$160.00	$160.00	—	—	—
Wart removal, up to 14 warts inpatient CPT 17110 Destruction B9 Lesion, 1-14	$160.00	$160.00	—	—	—
Wart removal, up to 14 warts inpatient CPT 17110 Destruction B9 Lesion,1-14	$160.00	$160.00	—	—	—
Wart removal, up to 14 warts inpatient CPT 17110 Destruct Ben Lesions Up To 14	$160.00	$160.00	—	—	—
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Pro Fee Debride Skin, Tissue	$187.00	$187.00	—	74% below	—
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debride Skin/ Tissue	$1,236.00	$1,236.00	—	72% above	—
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Deb Subq Tissue 20Sq Cm/<	$1,236.00	$1,236.00	—	72% above	—
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debride Skin, Tissue	$1,236.00	$1,236.00	—	72% above	—
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Deb Subq Tissue 20Sq Cm <	$1,236.00	$1,236.00	—	72% above	—
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debride Skin/Tissue	$1,236.00	$1,236.00	—	72% above	—
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debridement;Skin Subq Tissue	$1,236.00	$1,236.00	—	72% above	—
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Pro Fee Debride Skin, Tissue	$187.00	$187.00	—	—	—
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Debridement;Skin Subq Tissue	$1,236.00	$1,236.00	—	—	—
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Debride Skin/ Tissue	$1,236.00	$1,236.00	—	—	—
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Deb Subq Tissue 20Sq Cm/<	$1,236.00	$1,236.00	—	—	—
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Debride Skin, Tissue	$1,236.00	$1,236.00	—	—	—
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Deb Subq Tissue 20Sq Cm <	$1,236.00	$1,236.00	—	—	—
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Debride Skin/Tissue	$1,236.00	$1,236.00	—	—	—

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs New York	Off list
Blood transfusion (giving blood or blood components) CPT 36430 Blood Admin Per Unit; Incomple	$857.00	$857.00	—	17% above	—
Blood transfusion (giving blood or blood components) CPT 36430 Blood Administration 4-6 Hrs.	$857.00	$857.00	—	17% above	—
Blood transfusion (giving blood or blood components) CPT 36430 Blood Administration 6-8 Hrs.	$857.00	$857.00	—	17% above	—
Blood transfusion (giving blood or blood components) CPT 36430 Blood Administration 1-2 Hours	$857.00	$857.00	—	17% above	—
Blood transfusion (giving blood or blood components) CPT 36430 Blood Administration 2-4 Hours	$857.00	$857.00	—	17% above	—
Blood transfusion (giving blood or blood components) CPT 36430 Blood Administration 4-6 Hours	$857.00	$857.00	—	17% above	—
Blood transfusion (giving blood or blood components) CPT 36430 Blood Product Admin Per Unit	$857.00	$857.00	—	17% above	—
Blood transfusion (giving blood or blood components) CPT 36430 Blood Administration 6-8 Hours	$857.00	$857.00	—	17% above	—
Blood transfusion (giving blood or blood components) CPT 36430 Blood Administration 2-4 Hrs.	$857.00	$857.00	—	17% above	—
Blood transfusion (giving blood or blood components) CPT 36430 Blood Administration Per Sessi	$857.00	$857.00	—	17% above	—
Blood transfusion (giving blood or blood components) CPT 36430 Blood Administration 1-2 Hrs.	$857.00	$857.00	—	17% above	—
Blood transfusion (giving blood or blood components) CPT 36430 Blood Admin Per Unit;Incmplet	$857.00	$857.00	—	17% above	—
Blood transfusion (giving blood or blood components) CPT 36430 Blood Administration Per Unit	$857.00	$857.00	—	17% above	—
Blood transfusion (giving blood or blood components) CPT 36430 Blood Administration 2-4 Hrs	$857.00	$857.00	—	17% above	—
Blood transfusion (giving blood or blood components) CPT 36430 Blood Administration 4-6 Hrs	$857.00	$857.00	—	17% above	—
Blood transfusion (giving blood or blood components) CPT 36430 Ogh Blood Prod Admin Per Unit	$857.00	$857.00	—	17% above	—
Blood transfusion (giving blood or blood components) CPT 36430 Blood Admin Per Unit;Imcomplet	$857.00	$857.00	—	17% above	—
Blood transfusion (giving blood or blood components) CPT 36430 Blood Admin Per Unit;Incomplet	$857.00	$857.00	—	17% above	—
Blood transfusion (giving blood or blood components) CPT 36430 Blood Admin Per Unit	$857.00	$857.00	—	17% above	—
Blood transfusion (giving blood or blood components) CPT 36430 Blood Adminisration 6-8 Hrs	$857.00	$857.00	—	17% above	—
Blood transfusion (giving blood or blood components) CPT 36430 Blood Administration 1-2 Hrs	$857.00	$857.00	—	17% above	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Administration Per Unit	$857.00	$857.00	—	—	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Administration 2-4 Hrs	$857.00	$857.00	—	—	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Adminisration 6-8 Hrs	$857.00	$857.00	—	—	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Ogh Blood Prod Admin Per Unit	$857.00	$857.00	—	—	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Admin Per Unit; Incomple	$857.00	$857.00	—	—	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Administration Per Sessi	$857.00	$857.00	—	—	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Admin Per Unit;Incomplet	$857.00	$857.00	—	—	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Administration 4-6 Hrs	$857.00	$857.00	—	—	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Administration 4-6 Hours	$857.00	$857.00	—	—	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Administration 2-4 Hours	$857.00	$857.00	—	—	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Administration 6-8 Hours	$857.00	$857.00	—	—	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Administration 1-2 Hours	$857.00	$857.00	—	—	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Administration 6-8 Hrs.	$857.00	$857.00	—	—	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Administration 1-2 Hrs.	$857.00	$857.00	—	—	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Administration 4-6 Hrs.	$857.00	$857.00	—	—	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Admin Per Unit	$857.00	$857.00	—	—	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Administration 2-4 Hrs.	$857.00	$857.00	—	—	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Admin Per Unit;Incmplet	$857.00	$857.00	—	—	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Admin Per Unit;Imcomplet	$857.00	$857.00	—	—	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Product Admin Per Unit	$857.00	$857.00	—	—	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Administration 1-2 Hrs	$857.00	$857.00	—	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Nebulizer Each Additional	$658.00	$658.00	—	194% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Nebulizer Acute, Each Add.	$658.00	$658.00	—	194% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Nebulizer Treatment	$658.00	$658.00	—	194% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Nebulizer Acute, Each Add	$658.00	$658.00	—	194% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Nebulizer Acute, Initial	$658.00	$658.00	—	194% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Airway Inhalation Treatment	$658.00	$658.00	—	194% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Nebulizer Acute, Initial	$658.00	$658.00	—	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Nebulizer Acute, Each Add	$658.00	$658.00	—	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Nebulizer Acute, Each Add.	$658.00	$658.00	—	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Nebulizer Treatment	$658.00	$658.00	—	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Nebulizer Each Additional	$658.00	$658.00	—	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Airway Inhalation Treatment	$658.00	$658.00	—	—	—
Chemotherapy IV infusion, first hour CPT 96413 Iv Infus Chemo Rx. 1St Hr.	$536.00	$536.00	—	9% below	—
Chemotherapy IV infusion, first hour CPT 96413 Chemo Iv Infus 1Hr Initial	$536.00	$536.00	—	9% below	—
Chemotherapy IV infusion, first hour CPT 96413 Remiciade Admin 1St Hour	$536.00	$536.00	—	9% below	—
Chemotherapy IV infusion, first hour CPT 96413 Chemo, Iv Infus 1Hr Initial	$536.00	$536.00	—	9% below	—
Chemotherapy IV infusion, first hour CPT 96413 Iv Infus Chemo Rx 1St Hour	$536.00	$536.00	—	9% below	—
Chemotherapy IV infusion, first hour inpatient CPT 96413 Iv Infus Chemo Rx 1St Hour	$536.00	$536.00	—	—	—
Chemotherapy IV infusion, first hour inpatient CPT 96413 Chemo Iv Infus 1Hr Initial	$536.00	$536.00	—	—	—
Chemotherapy IV infusion, first hour inpatient CPT 96413 Chemo, Iv Infus 1Hr Initial	$536.00	$536.00	—	—	—
Chemotherapy IV infusion, first hour inpatient CPT 96413 Remiciade Admin 1St Hour	$536.00	$536.00	—	—	—
Chemotherapy IV infusion, first hour inpatient CPT 96413 Iv Infus Chemo Rx. 1St Hr.	$536.00	$536.00	—	—	—
Critical care, first 30 to 74 minutes CPT 99291 Pro Fee Uc Critical Care 1Sthr	$654.00	$654.00	—	58% below	—
Critical care, first 30 to 74 minutes CPT 99291 Critical Care W Mod 1St Hr	$1,994.00	$1,994.00	—	30% above	—
Critical care, first 30 to 74 minutes CPT 99291 Critical Care - 1'St Hour	$1,994.00	$1,994.00	—	30% above	—
Critical care, first 30 to 74 minutes inpatient CPT 99291 Pro Fee Uc Critical Care 1Sthr	$654.00	$654.00	—	—	—
Critical care, first 30 to 74 minutes inpatient CPT 99291 Critical Care - 1'St Hour	$1,994.00	$1,994.00	—	—	—
Critical care, first 30 to 74 minutes inpatient CPT 99291 Critical Care W Mod 1St Hr	$1,994.00	$1,994.00	—	—	—
EEG (brain wave test), awake and drowsy, routine CPT 95816 Eeg W Recording Awake & Drowsy	$525.00	$525.00	—	4% below	—
EEG (brain wave test), awake and drowsy, routine CPT 95816 Eeg, Awake & Drowsy	$525.00	$525.00	—	4% below	—
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 Eeg W Recording Awake & Drowsy	$525.00	$525.00	—	—	—
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 Eeg, Awake & Drowsy	$525.00	$525.00	—	—	—
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 Ekg 12 Leads With Interp & Rep	$78.00	$78.00	—	56% above	—
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 Electrocardiogram, Complete	$78.00	$78.00	—	56% above	—
Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 Ekg 12 Leads With Interp & Rep	$78.00	$78.00	—	—	—
Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 Electrocardiogram, Complete	$78.00	$78.00	—	—	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Ekg - Saleh	$186.00	$186.00	—	29% above	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Ekg - No Read	$186.00	$186.00	—	29% above	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Ekg - Gs	$186.00	$186.00	—	29% above	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Ekg	$186.00	$186.00	—	29% above	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Ekg Tracing	$186.00	$186.00	—	29% above	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Ekg 12 Leads W/O Interp	$186.00	$186.00	—	29% above	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Ekg - Qj	$186.00	$186.00	—	29% above	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Ekg - Fr	$186.00	$186.00	—	29% above	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Ekg - Pk	$186.00	$186.00	—	29% above	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Ekg - Badro	$186.00	$186.00	—	29% above	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Ekg - Rw	$186.00	$186.00	—	29% above	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Ekg - Javed	$186.00	$186.00	—	29% above	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Ekg - Pv	$186.00	$186.00	—	29% above	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Ekg Tracing Only No Interp/Rep	$186.00	$186.00	—	29% above	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Ekg Tracing Only	$186.00	$186.00	—	29% above	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Ekg Interp & Report Only	$186.00	$186.00	—	29% above	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Ekg, 12 Lead	$186.00	$186.00	—	29% above	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Ecg Tc	$186.00	$186.00	—	29% above	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Ekg Interp & Report Only	$186.00	$186.00	—	—	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Ekg, 12 Lead	$186.00	$186.00	—	—	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Ekg Tracing Only No Interp/Rep	$186.00	$186.00	—	—	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Ekg - No Read	$186.00	$186.00	—	—	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Ekg - Pv	$186.00	$186.00	—	—	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Ekg - Javed	$186.00	$186.00	—	—	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Ekg - Rw	$186.00	$186.00	—	—	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Ekg - Badro	$186.00	$186.00	—	—	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Ekg - Pk	$186.00	$186.00	—	—	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Ecg Tc	$186.00	$186.00	—	—	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Ekg - Fr	$186.00	$186.00	—	—	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Ekg - Qj	$186.00	$186.00	—	—	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Ekg - Saleh	$186.00	$186.00	—	—	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Ekg 12 Leads W/O Interp	$186.00	$186.00	—	—	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Ekg Tracing	$186.00	$186.00	—	—	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Ekg	$186.00	$186.00	—	—	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Ekg - Gs	$186.00	$186.00	—	—	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Ekg Tracing Only	$186.00	$186.00	—	—	—
Electroconvulsive therapy (ECT), one session CPT 90870 Electro-Shock Treatment	$1,205.00	$1,205.00	—	28% above	—
Electroconvulsive therapy (ECT), one session inpatient CPT 90870 Electro-Shock Treatment	$1,205.00	$1,205.00	—	—	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Brief Service - Estab	$38.00	$38.00	—	74% below	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Minimal Service - Estab	$38.00	$38.00	—	74% below	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Pro Fee Ucg Level I	$46.00	$46.00	—	68% below	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Minimal Service	$47.00	$47.00	—	68% below	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Brief Service	$47.00	$47.00	—	68% below	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Self Limited Or Minor	$47.00	$47.00	—	68% below	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Pro Fee Ucc Level I	$62.00	$62.00	—	57% below	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Urgent Care Limited Minor	$131.00	$131.00	—	10% below	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Ucc Vst Mayx Req Phy/Qhp	$131.00	$131.00	—	10% below	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Limited/Minor Visit-Non Emerg	$191.00	$191.00	—	32% above	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Er Vst Mayx Req Phy/Qhp 25 Mod	$191.00	$191.00	—	32% above	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Er Vst Mayx Req Phy/Qhp	$191.00	$191.00	—	32% above	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 Minimal Service - Estab	$38.00	$38.00	—	—	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 Brief Service - Estab	$38.00	$38.00	—	—	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 Pro Fee Ucg Level I	$46.00	$46.00	—	—	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 Self Limited Or Minor	$47.00	$47.00	—	—	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 Minimal Service	$47.00	$47.00	—	—	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 Brief Service	$47.00	$47.00	—	—	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 Pro Fee Ucc Level I	$62.00	$62.00	—	—	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 Ucc Vst Mayx Req Phy/Qhp	$131.00	$131.00	—	—	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 Urgent Care Limited Minor	$131.00	$131.00	—	—	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 Limited/Minor Visit-Non Emerg	$191.00	$191.00	—	—	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 Er Vst Mayx Req Phy/Qhp 25 Mod	$191.00	$191.00	—	—	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 Er Vst Mayx Req Phy/Qhp	$191.00	$191.00	—	—	—
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Limited Service - Estab	$57.00	$57.00	—	82% below	—
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Low To Moderate Severity	$64.00	$64.00	—	80% below	—
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Limited Service	$64.00	$64.00	—	80% below	—
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Pro Fee Ucg Level Ii	$72.00	$72.00	—	77% below	—
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Pro Fee Ucc Level Ii	$121.00	$121.00	—	61% below	—
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Ucc Dept Visit Sf Mdm	$317.00	$317.00	—	1% above	—
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Low-Moderate Severity-Non Emer	$461.00	$461.00	—	47% above	—
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Er Dept Visit Sf Mdm	$461.00	$461.00	—	47% above	—
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Low-Moderate Severity-Emer No	$461.00	$461.00	—	47% above	—
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Er Dept Visit Sf Mdm 25 Mod	$461.00	$461.00	—	47% above	—
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 Limited Service - Estab	$57.00	$57.00	—	—	—
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 Limited Service	$64.00	$64.00	—	—	—
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 Low To Moderate Severity	$64.00	$64.00	—	—	—
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 Pro Fee Ucg Level Ii	$72.00	$72.00	—	—	—
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 Pro Fee Ucc Level Ii	$121.00	$121.00	—	—	—
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 Ucc Dept Visit Sf Mdm	$317.00	$317.00	—	—	—
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 Er Dept Visit Sf Mdm 25 Mod	$461.00	$461.00	—	—	—
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 Low-Moderate Severity-Emer No	$461.00	$461.00	—	—	—
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 Er Dept Visit Sf Mdm	$461.00	$461.00	—	—	—
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 Low-Moderate Severity-Non Emer	$461.00	$461.00	—	—	—
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Intermediate Service Est	$75.00	$75.00	—	83% below	—
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Moderate Severity	$84.00	$84.00	—	82% below	—
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Intermediate Service	$84.00	$84.00	—	82% below	—
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Pro Fee Ucg Level Iii	$108.00	$108.00	—	76% below	—
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Pro Fee Ucc Level Iii	$181.00	$181.00	—	60% below	—
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Ucc Dept Visit Low Mdm	$444.00	$444.00	—	2% below	—
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Er Dept Visit Low Mdm 25 Mod	$646.00	$646.00	—	42% above	—
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Moderate Severity-Non Emergent	$646.00	$646.00	—	42% above	—
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Emergency Dept Visit Low Mdm	$646.00	$646.00	—	42% above	—
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 Intermediate Service Est	$75.00	$75.00	—	—	—
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 Intermediate Service	$84.00	$84.00	—	—	—
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 Moderate Severity	$84.00	$84.00	—	—	—
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 Pro Fee Ucg Level Iii	$108.00	$108.00	—	—	—
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 Pro Fee Ucc Level Iii	$181.00	$181.00	—	—	—
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 Ucc Dept Visit Low Mdm	$444.00	$444.00	—	—	—
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 Emergency Dept Visit Low Mdm	$646.00	$646.00	—	—	—
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 Moderate Severity-Non Emergent	$646.00	$646.00	—	—	—
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 Er Dept Visit Low Mdm 25 Mod	$646.00	$646.00	—	—	—
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Extended Service - Estab	$167.00	$167.00	—	75% below	—
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Extended Service	$180.00	$180.00	—	73% below	—
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 High Severity	$180.00	$180.00	—	73% below	—
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Pro Fee Ucg Level Iv	$203.00	$203.00	—	69% below	—
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Pro Fee Ucc Level Iv	$343.00	$343.00	—	48% below	—
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Ucc Dept Visit Mod Mdm	$655.00	$655.00	—	2% below	—
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 High Severity, Non-Emergent	$953.00	$953.00	—	43% above	—
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Er Dept Visit Mod Mdm	$953.00	$953.00	—	43% above	—
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Er Dept Visit Mod Mdm 25 Mod	$953.00	$953.00	—	43% above	—
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 Extended Service - Estab	$167.00	$167.00	—	—	—
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 High Severity	$180.00	$180.00	—	—	—
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 Extended Service	$180.00	$180.00	—	—	—
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 Pro Fee Ucg Level Iv	$203.00	$203.00	—	—	—
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 Pro Fee Ucc Level Iv	$343.00	$343.00	—	—	—
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 Ucc Dept Visit Mod Mdm	$655.00	$655.00	—	—	—
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 High Severity, Non-Emergent	$953.00	$953.00	—	—	—
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 Er Dept Visit Mod Mdm 25 Mod	$953.00	$953.00	—	—	—
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 Er Dept Visit Mod Mdm	$953.00	$953.00	—	—	—
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 High Severity	$261.00	$261.00	—	69% below	—
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Pro Fee Ucg Level V	$328.00	$328.00	—	62% below	—
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Pro Fee Ucc Level V	$508.00	$508.00	—	41% below	—
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Ucc Dept Visit Hi Mdm	$1,007.00	$1,007.00	—	18% above	—
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 High Severity, Non-Life Threat	$1,465.00	$1,465.00	—	72% above	—
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Er Dept Visit Hi Mdm 25 Mod	$1,465.00	$1,465.00	—	72% above	—
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Er Dept Visit Hi Mdm	$1,465.00	$1,465.00	—	72% above	—
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 High Severity	$261.00	$261.00	—	—	—
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Pro Fee Ucg Level V	$328.00	$328.00	—	—	—
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Pro Fee Ucc Level V	$508.00	$508.00	—	—	—
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Ucc Dept Visit Hi Mdm	$1,007.00	$1,007.00	—	—	—
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Er Dept Visit Hi Mdm	$1,465.00	$1,465.00	—	—	—
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Er Dept Visit Hi Mdm 25 Mod	$1,465.00	$1,465.00	—	—	—
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 High Severity, Non-Life Threat	$1,465.00	$1,465.00	—	—	—
Exercise stress test, tracing only, the hospital charge CPT 93017 Stress Test - Khan	$549.00	$549.00	—	5% below	—
Exercise stress test, tracing only, the hospital charge CPT 93017 Stress Test - Qj	$549.00	$549.00	—	5% below	—
Exercise stress test, tracing only, the hospital charge CPT 93017 Stress Test - Horsley	$549.00	$549.00	—	5% below	—
Exercise stress test, tracing only, the hospital charge CPT 93017 Stress Test - Badro	$549.00	$549.00	—	5% below	—
Exercise stress test, tracing only, the hospital charge CPT 93017 Stress Test - Fr	$549.00	$549.00	—	5% below	—
Exercise stress test, tracing only, the hospital charge CPT 93017 Stress Tes - Aziz	$549.00	$549.00	—	5% below	—
Exercise stress test, tracing only, the hospital charge CPT 93017 Stress Test - Welch	$549.00	$549.00	—	5% below	—
Exercise stress test, tracing only, the hospital charge CPT 93017 Stress Test -Ali	$549.00	$549.00	—	5% below	—
Exercise stress test, tracing only, the hospital charge CPT 93017 Stess Test - Owens	$549.00	$549.00	—	5% below	—
Exercise stress test, tracing only, the hospital charge CPT 93017 Stress Test - Saleh	$549.00	$549.00	—	5% below	—
Exercise stress test, tracing only, the hospital charge CPT 93017 Stress Test	$549.00	$549.00	—	5% below	—
Exercise stress test, tracing only, the hospital charge CPT 93017 Stress Test - Pk	$549.00	$549.00	—	5% below	—
Exercise stress test, tracing only, the hospital charge CPT 93017 Sub-Maximal Stress Test	$549.00	$549.00	—	5% below	—
Exercise stress test, tracing only, the hospital charge CPT 93017 Cardiovascular Stress Test	$549.00	$549.00	—	5% below	—
Exercise stress test, tracing only, the hospital charge CPT 93017 Stress Test - Mj	$549.00	$549.00	—	5% below	—
Exercise stress test, tracing only, the hospital charge CPT 93017 Stress Test - Pv	$549.00	$549.00	—	5% below	—
Exercise stress test, tracing only, the hospital charge CPT 93017 Stress Test - Rw	$549.00	$549.00	—	5% below	—
Exercise stress test, tracing only, the hospital charge CPT 93017 Stress Test - Sk	$549.00	$549.00	—	5% below	—
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Stress Test -Ali	$549.00	$549.00	—	—	—
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Stress Test - Khan	$549.00	$549.00	—	—	—
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Stress Test - Sk	$549.00	$549.00	—	—	—
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Stress Test - Pv	$549.00	$549.00	—	—	—
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Stress Test - Horsley	$549.00	$549.00	—	—	—
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Sub-Maximal Stress Test	$549.00	$549.00	—	—	—
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Cardiovascular Stress Test	$549.00	$549.00	—	—	—
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Stress Test	$549.00	$549.00	—	—	—
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Stess Test - Owens	$549.00	$549.00	—	—	—
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Stress Test - Welch	$549.00	$549.00	—	—	—
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Stress Tes - Aziz	$549.00	$549.00	—	—	—
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Stress Test - Qj	$549.00	$549.00	—	—	—
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Stress Test - Badro	$549.00	$549.00	—	—	—
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Stress Test - Fr	$549.00	$549.00	—	—	—
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Stress Test - Saleh	$549.00	$549.00	—	—	—
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Stress Test - Rw	$549.00	$549.00	—	—	—
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Stress Test - Mj	$549.00	$549.00	—	—	—
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Stress Test - Pk	$549.00	$549.00	—	—	—
Family therapy with the patient, 50 minutes CPT 90847 Family Therapy With Patient	$181.00	$181.00	—	28% below	—
Family therapy with the patient, 50 minutes inpatient CPT 90847 Family Therapy With Patient	$181.00	$181.00	—	—	—
Family therapy without the patient, 50 minutes CPT 90846 Family Therapy W/O Patient	$156.00	$156.00	—	39% below	—
Family therapy without the patient, 50 minutes inpatient CPT 90846 Family Therapy W/O Patient	$156.00	$156.00	—	—	—
Group psychotherapy session CPT 90853 Tha Iop Group Therapy	$37.00	$37.00	—	75% below	—
Group psychotherapy session CPT 90853 Iop Group Therapy	$37.00	$37.00	—	75% below	—
Group psychotherapy session CPT 90853 Thav Iop Group Therapy	$37.00	$37.00	—	75% below	—
Group psychotherapy session inpatient CPT 90853 Iop Group Therapy	$37.00	$37.00	—	—	—
Group psychotherapy session inpatient CPT 90853 Thav Iop Group Therapy	$37.00	$37.00	—	—	—
Group psychotherapy session inpatient CPT 90853 Tha Iop Group Therapy	$37.00	$37.00	—	—	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Iv Infusion,Hydration 1St Hr	$322.00	$322.00	—	8% below	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Iv Infusion, Hydration 1St Hr	$322.00	$322.00	—	8% below	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Rad Onc Iv Hydr Int 31Min-1Hr	$322.00	$322.00	—	8% below	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Iv Infusion Hydration Initial	$322.00	$322.00	—	8% below	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Iv Infus,Hydration;Init 1St Hr	$322.00	$322.00	—	8% below	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Iv Infus, Hydration 1St Hr	$322.00	$322.00	—	8% below	—
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Iv Infus, Hydration 1St Hr	$322.00	$322.00	—	—	—
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Iv Infusion, Hydration 1St Hr	$322.00	$322.00	—	—	—
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Iv Infusion,Hydration 1St Hr	$322.00	$322.00	—	—	—
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Iv Infus,Hydration;Init 1St Hr	$322.00	$322.00	—	—	—
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Iv Infusion Hydration Initial	$322.00	$322.00	—	—	—
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Rad Onc Iv Hydr Int 31Min-1Hr	$322.00	$322.00	—	—	—
IV infusion of a medicine, first hour CPT 96365 Iv Infusion Initial 1 Hour	$517.00	$517.00	—	38% above	—
IV infusion of a medicine, first hour CPT 96365 Iv-Antibiotic Per Hr.	$517.00	$517.00	—	38% above	—
IV infusion of a medicine, first hour CPT 96365 Iv Infusion 1St Hour	$517.00	$517.00	—	38% above	—
IV infusion of a medicine, first hour CPT 96365 Iv Infusion;Initial 1 Hr	$517.00	$517.00	—	38% above	—
IV infusion of a medicine, first hour CPT 96365 Iv Infusion 1St Hour	$517.00	$517.00	—	38% above	—
IV infusion of a medicine, first hour CPT 96365 Iv Infusion Up To 1 Hour	$517.00	$517.00	—	38% above	—
IV infusion of a medicine, first hour CPT 96365 Iv Infusion - 1St Hour	$517.00	$517.00	—	38% above	—
IV infusion of a medicine, first hour CPT 96365 Iv Infusion Initial 1St Hr	$517.00	$517.00	—	38% above	—
IV infusion of a medicine, first hour CPT 96365 Iv Infusion Initial 1St Hour	$517.00	$517.00	—	38% above	—
IV infusion of a medicine, first hour CPT 96365 Iv Infusion 1St Hr	$517.00	$517.00	—	38% above	—
IV infusion of a medicine, first hour CPT 96365 Iv Infusion, Initial 1St Hr	$517.00	$517.00	—	38% above	—
IV infusion of a medicine, first hour CPT 96365 Iv Infusion Each Addtl Hour	$517.00	$517.00	—	38% above	—
IV infusion of a medicine, first hour CPT 96365 Rad Onc Iv Infus Ther Up 1 Hr	$517.00	$517.00	—	38% above	—
IV infusion of a medicine, first hour CPT 96365 In Antibiotic First Hour	$517.00	$517.00	—	38% above	—
IV infusion of a medicine, first hour inpatient CPT 96365 Iv Infusion Initial 1St Hour	$517.00	$517.00	—	—	—
IV infusion of a medicine, first hour inpatient CPT 96365 Iv Infusion 1St Hr	$517.00	$517.00	—	—	—
IV infusion of a medicine, first hour inpatient CPT 96365 Rad Onc Iv Infus Ther Up 1 Hr	$517.00	$517.00	—	—	—
IV infusion of a medicine, first hour inpatient CPT 96365 Iv Infusion Up To 1 Hour	$517.00	$517.00	—	—	—
IV infusion of a medicine, first hour inpatient CPT 96365 Iv Infusion 1St Hour	$517.00	$517.00	—	—	—
IV infusion of a medicine, first hour inpatient CPT 96365 Iv Infusion Initial 1St Hr	$517.00	$517.00	—	—	—
IV infusion of a medicine, first hour inpatient CPT 96365 Iv Infusion 1St Hour	$517.00	$517.00	—	—	—
IV infusion of a medicine, first hour inpatient CPT 96365 Iv Infusion - 1St Hour	$517.00	$517.00	—	—	—
IV infusion of a medicine, first hour inpatient CPT 96365 In Antibiotic First Hour	$517.00	$517.00	—	—	—
IV infusion of a medicine, first hour inpatient CPT 96365 Iv-Antibiotic Per Hr.	$517.00	$517.00	—	—	—
IV infusion of a medicine, first hour inpatient CPT 96365 Iv Infusion;Initial 1 Hr	$517.00	$517.00	—	—	—
IV infusion of a medicine, first hour inpatient CPT 96365 Iv Infusion Each Addtl Hour	$517.00	$517.00	—	—	—
IV infusion of a medicine, first hour inpatient CPT 96365 Iv Infusion Initial 1 Hour	$517.00	$517.00	—	—	—
IV infusion of a medicine, first hour inpatient CPT 96365 Iv Infusion, Initial 1St Hr	$517.00	$517.00	—	—	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Iv Subq Injection	$131.00	$131.00	—	56% above	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Im / Subq Injection	$131.00	$131.00	—	56% above	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Misc Op Injection Im	$131.00	$131.00	—	56% above	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Rad Onc Inj Subcutaneous/Intra	$131.00	$131.00	—	56% above	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Injection, Porta Pedis	$131.00	$131.00	—	56% above	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Ther/Proph/Diag Inj Sc/Im	$131.00	$131.00	—	56% above	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Mc Ther/Proph/Diag Inj, Sc/Im	$131.00	$131.00	—	56% above	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 In Sub Q Injection	$131.00	$131.00	—	56% above	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Im Injection	$131.00	$131.00	—	56% above	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Non Chemo Injection Im	$131.00	$131.00	—	56% above	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Im Injection Of Antibiotic	$131.00	$131.00	—	56% above	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Im/ Subq Injection	$131.00	$131.00	—	56% above	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 In/Subq Injection	$131.00	$131.00	—	56% above	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Iv/Subq Injection	$131.00	$131.00	—	56% above	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Im/Subq Injection	$131.00	$131.00	—	56% above	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Iv Subq Injection	$131.00	$131.00	—	—	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Mc Ther/Proph/Diag Inj, Sc/Im	$131.00	$131.00	—	—	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Iv/Subq Injection	$131.00	$131.00	—	—	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 In/Subq Injection	$131.00	$131.00	—	—	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Im/ Subq Injection	$131.00	$131.00	—	—	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Im Injection Of Antibiotic	$131.00	$131.00	—	—	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Non Chemo Injection Im	$131.00	$131.00	—	—	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Im/Subq Injection	$131.00	$131.00	—	—	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Im Injection	$131.00	$131.00	—	—	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 In Sub Q Injection	$131.00	$131.00	—	—	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Ther/Proph/Diag Inj Sc/Im	$131.00	$131.00	—	—	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Injection, Porta Pedis	$131.00	$131.00	—	—	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Rad Onc Inj Subcutaneous/Intra	$131.00	$131.00	—	—	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Misc Op Injection Im	$131.00	$131.00	—	—	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Im / Subq Injection	$131.00	$131.00	—	—	—
Mental health diagnostic evaluation (intake), without medical services CPT 90791 Tha Iop Psychi Eval Non-Md	$367.00	$367.00	—	70% above	—
Mental health diagnostic evaluation (intake), without medical services CPT 90791 Th Psychiatric Eval Diag Int	$367.00	$367.00	—	70% above	—
Mental health diagnostic evaluation (intake), without medical services CPT 90791 Psychiatric Eval Diag Intervie	$367.00	$367.00	—	70% above	—
Mental health diagnostic evaluation (intake), without medical services CPT 90791 Iop Psychiatric Eval Non-Md	$367.00	$367.00	—	70% above	—
Mental health diagnostic evaluation (intake), without medical services CPT 90791 Thav Iop Psychi Eval Non-Md	$367.00	$367.00	—	70% above	—
Mental health diagnostic evaluation (intake), without medical services CPT 90791 Thav Psychiatric Eval Diag Int	$367.00	$367.00	—	70% above	—
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 Th Psychiatric Eval Diag Int	$367.00	$367.00	—	—	—
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 Iop Psychiatric Eval Non-Md	$367.00	$367.00	—	—	—
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 Thav Iop Psychi Eval Non-Md	$367.00	$367.00	—	—	—
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 Thav Psychiatric Eval Diag Int	$367.00	$367.00	—	—	—
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 Psychiatric Eval Diag Intervie	$367.00	$367.00	—	—	—
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 Tha Iop Psychi Eval Non-Md	$367.00	$367.00	—	—	—
Nerve conduction study, 7 or 8 nerve studies CPT 95910 Nrv Cndj Test 7-8 Studies	$356.00	$356.00	—	20% below	—
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 Nrv Cndj Test 7-8 Studies	$356.00	$356.00	—	—	—
Neuromuscular re-education, 15 minutes CPT 97112 Neuromuscular Re-Education Mod	$98.00	$98.00	—	17% above	—
Neuromuscular re-education, 15 minutes CPT 97112 Neuromuscular Re-Educ; Modifie	$98.00	$98.00	—	17% above	—
Neuromuscular re-education, 15 minutes CPT 97112 Neuromuscular Re-Educate	$98.00	$98.00	—	17% above	—
Neuromuscular re-education, 15 minutes CPT 97112 Neuro Muscular Re-Education	$98.00	$98.00	—	17% above	—
Neuromuscular re-education, 15 minutes CPT 97112 Neuromuscular Re-Educat Modifi	$98.00	$98.00	—	17% above	—
Neuromuscular re-education, 15 minutes CPT 97112 Neuromuscular Re-Education	$98.00	$98.00	—	17% above	—
Neuromuscular re-education, 15 minutes CPT 97112 Neuromuscular Re-Educate Modif	$98.00	$98.00	—	17% above	—
Neuromuscular re-education, 15 minutes CPT 97112 Modified Neuromuscular-Re-Educ	$98.00	$98.00	—	17% above	—
Neuromuscular re-education, 15 minutes inpatient CPT 97112 Neuromuscular Re-Educate	$98.00	$98.00	—	—	—
Neuromuscular re-education, 15 minutes inpatient CPT 97112 Neuromuscular Re-Education Mod	$98.00	$98.00	—	—	—
Neuromuscular re-education, 15 minutes inpatient CPT 97112 Neuro Muscular Re-Education	$98.00	$98.00	—	—	—
Neuromuscular re-education, 15 minutes inpatient CPT 97112 Neuromuscular Re-Educat Modifi	$98.00	$98.00	—	—	—
Neuromuscular re-education, 15 minutes inpatient CPT 97112 Neuromuscular Re-Education	$98.00	$98.00	—	—	—
Neuromuscular re-education, 15 minutes inpatient CPT 97112 Neuromuscular Re-Educate Modif	$98.00	$98.00	—	—	—
Neuromuscular re-education, 15 minutes inpatient CPT 97112 Modified Neuromuscular-Re-Educ	$98.00	$98.00	—	—	—
Neuromuscular re-education, 15 minutes inpatient CPT 97112 Neuromuscular Re-Educ; Modifie	$98.00	$98.00	—	—	—
New patient office visit, about 30 minutes CPT 99203 Office Visit New, Level 3	$326.00	$326.00	—	66% above	—
New patient office visit, about 30 minutes CPT 99203 Office Visit New Level 3	$326.00	$326.00	—	66% above	—
New patient office visit, about 30 minutes CPT 99203 Hbp Office Visit Lvl 3 Est	$326.00	$326.00	—	66% above	—
New patient office visit, about 30 minutes CPT 99203 Hbp Office Visit Lvl 3 New	$326.00	$326.00	—	66% above	—
New patient office visit, about 30 minutes inpatient CPT 99203 Hbp Office Visit Lvl 3 Est	$326.00	$326.00	—	—	—
New patient office visit, about 30 minutes inpatient CPT 99203 Hbp Office Visit Lvl 3 New	$326.00	$326.00	—	—	—
New patient office visit, about 30 minutes inpatient CPT 99203 Office Visit New, Level 3	$326.00	$326.00	—	—	—
New patient office visit, about 30 minutes inpatient CPT 99203 Office Visit New Level 3	$326.00	$326.00	—	—	—
New patient office visit, about 45 minutes CPT 99204 Office Visit New Level 4	$408.00	$408.00	—	42% above	—
New patient office visit, about 45 minutes CPT 99204 Office Visit New, Level 4	$408.00	$408.00	—	42% above	—
New patient office visit, about 45 minutes inpatient CPT 99204 Office Visit New, Level 4	$408.00	$408.00	—	—	—
New patient office visit, about 45 minutes inpatient CPT 99204 Office Visit New Level 4	$408.00	$408.00	—	—	—
New patient office visit, about 60 minutes CPT 99205 Office Visit New, Level 5	$510.00	$510.00	—	81% above	—
New patient office visit, about 60 minutes CPT 99205 Office Visit New Level 5	$510.00	$510.00	—	81% above	—
New patient office visit, about 60 minutes inpatient CPT 99205 Office Visit New, Level 5	$510.00	$510.00	—	—	—
New patient office visit, about 60 minutes inpatient CPT 99205 Office Visit New Level 5	$510.00	$510.00	—	—	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 Office Visit New, Level 2	$261.00	$261.00	—	66% above	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 Est. Patient, Comprehensive	$261.00	$261.00	—	66% above	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 Drivers Exam - New Patient	$261.00	$261.00	—	66% above	—
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 Est. Patient, Comprehensive	$261.00	$261.00	—	—	—
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 Office Visit New, Level 2	$261.00	$261.00	—	—	—
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 Drivers Exam - New Patient	$261.00	$261.00	—	—	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 A/V Mnt Initial Ind Ea 15	$109.00	$109.00	—	91% above	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Mnt-Initial,Individual Each 15	$109.00	$109.00	—	91% above	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Audio Mnt Init, Ind Ea 15 Mn	$109.00	$109.00	—	91% above	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 Mnt-Initial,Individual Each 15	$109.00	$109.00	—	—	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 Audio Mnt Init, Ind Ea 15 Mn	$109.00	$109.00	—	—	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 A/V Mnt Initial Ind Ea 15	$109.00	$109.00	—	—	—
Occupational therapy evaluation, low complexity CPT 97165 A/V Ot Eval Low Complex 30 Min	$229.00	$229.00	—	34% above	—
Occupational therapy evaluation, low complexity CPT 97165 Ot Eval Low Complex 30 Min	$229.00	$229.00	—	34% above	—
Occupational therapy evaluation, low complexity inpatient CPT 97165 A/V Ot Eval Low Complex 30 Min	$229.00	$229.00	—	—	—
Occupational therapy evaluation, low complexity inpatient CPT 97165 Ot Eval Low Complex 30 Min	$229.00	$229.00	—	—	—
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 A/V Pt Eval High Complex 45 Mi	$286.00	$286.00	—	at median	—
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Pt Eval High Complex 45 Min	$286.00	$286.00	—	at median	—
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 A/V Pt Eval High Complex 45 Mi	$286.00	$286.00	—	—	—
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 Pt Eval High Complex 45 Min	$286.00	$286.00	—	—	—
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 A/V Pt Eval Low Complex 20 Min	$236.00	$236.00	—	31% above	—
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Pt Eval Low Complex 20 Min	$236.00	$236.00	—	31% above	—
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 A/V Pt Eval Low Complex 20 Min	$236.00	$236.00	—	—	—
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 Pt Eval Low Complex 20 Min	$236.00	$236.00	—	—	—
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 A/V Pt Eval Mod Complex 30 Min	$261.00	$261.00	—	9% above	—
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Pt Eval Mod Complex 30 Min	$261.00	$261.00	—	9% above	—
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 Pt Eval Mod Complex 30 Min	$261.00	$261.00	—	—	—
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 A/V Pt Eval Mod Complex 30 Min	$261.00	$261.00	—	—	—
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Manual Therapy	$89.00	$89.00	—	7% above	—
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Reduced Manual Therapy	$89.00	$89.00	—	7% above	—
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Manual/Thpy Joint Mobiliz Modi	$89.00	$89.00	—	7% above	—
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Manual Therapy Modified	$89.00	$89.00	—	7% above	—
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Manual/Thpy Joint Mobilization	$89.00	$89.00	—	7% above	—
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Modified Manual Therapy	$89.00	$89.00	—	7% above	—
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Manual Thpy/Joint Mob Modified	$89.00	$89.00	—	7% above	—
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Modified Manual Thpy/Joint Mob	$89.00	$89.00	—	7% above	—
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Manual Thpy/Joint Mobilization	$89.00	$89.00	—	7% above	—
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Manual Thpy/Joint Mobilization	$89.00	$89.00	—	—	—
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Modified Manual Therapy	$89.00	$89.00	—	—	—
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Manual Therapy Modified	$89.00	$89.00	—	—	—
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Modified Manual Thpy/Joint Mob	$89.00	$89.00	—	—	—
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Manual/Thpy Joint Mobiliz Modi	$89.00	$89.00	—	—	—
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Reduced Manual Therapy	$89.00	$89.00	—	—	—
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Manual Therapy	$89.00	$89.00	—	—	—
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Manual/Thpy Joint Mobilization	$89.00	$89.00	—	—	—
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Manual Thpy/Joint Mob Modified	$89.00	$89.00	—	—	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 A/V Therapeutic Exer 0-15	$96.00	$96.00	—	17% above	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Reduce Therap Exec 0-15 Min	$96.00	$96.00	—	17% above	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Therap Exec 0-15 Min Modified	$96.00	$96.00	—	17% above	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Modified Isokinetic Treat/15Mi	$96.00	$96.00	—	17% above	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Modified Kinetic Activities	$96.00	$96.00	—	17% above	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Reduced Therap Exec 0-15Min	$96.00	$96.00	—	17% above	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 A/V Modified Therapeutic Exerc	$96.00	$96.00	—	17% above	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Modified Therapeutic Exercise	$96.00	$96.00	—	17% above	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Modified Continuous Passive	$96.00	$96.00	—	17% above	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Continuous Passive Mvt	$96.00	$96.00	—	17% above	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Modified Monitored Exercise	$96.00	$96.00	—	17% above	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Monitored Exercise	$96.00	$96.00	—	17% above	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Therapeutic Exercise; Modified	$96.00	$96.00	—	17% above	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Therapeutic Exer 0-15	$96.00	$96.00	—	17% above	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Therapeutic Exercise	$96.00	$96.00	—	17% above	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Kinetic Activities	$96.00	$96.00	—	17% above	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Therapeutic Exer 0-15 Modified	$96.00	$96.00	—	17% above	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Therapeutic Exer 0 - 15	$96.00	$96.00	—	17% above	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Modified Therapeutic Exer 0-15	$96.00	$96.00	—	17% above	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Dexter Treatment	$96.00	$96.00	—	17% above	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Supervised Exercise	$96.00	$96.00	—	17% above	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Modified Supervised Exercise	$96.00	$96.00	—	17% above	—
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Therapeutic Exer 0-15	$96.00	$96.00	—	—	—
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Modified Continuous Passive	$96.00	$96.00	—	—	—
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Modified Therapeutic Exercise	$96.00	$96.00	—	—	—
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 A/V Modified Therapeutic Exerc	$96.00	$96.00	—	—	—
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Reduced Therap Exec 0-15Min	$96.00	$96.00	—	—	—
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Modified Kinetic Activities	$96.00	$96.00	—	—	—
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Modified Isokinetic Treat/15Mi	$96.00	$96.00	—	—	—
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Therap Exec 0-15 Min Modified	$96.00	$96.00	—	—	—
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Modified Therapeutic Exer 0-15	$96.00	$96.00	—	—	—
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Kinetic Activities	$96.00	$96.00	—	—	—
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 A/V Therapeutic Exer 0-15	$96.00	$96.00	—	—	—
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Modified Monitored Exercise	$96.00	$96.00	—	—	—
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Monitored Exercise	$96.00	$96.00	—	—	—
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Therapeutic Exercise; Modified	$96.00	$96.00	—	—	—
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Therapeutic Exercise	$96.00	$96.00	—	—	—
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Continuous Passive Mvt	$96.00	$96.00	—	—	—
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Supervised Exercise	$96.00	$96.00	—	—	—
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Therapeutic Exer 0 - 15	$96.00	$96.00	—	—	—
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Reduce Therap Exec 0-15 Min	$96.00	$96.00	—	—	—
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Modified Supervised Exercise	$96.00	$96.00	—	—	—
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Therapeutic Exer 0-15 Modified	$96.00	$96.00	—	—	—
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Dexter Treatment	$96.00	$96.00	—	—	—
Preventive checkup, new patient aged 18–39 CPT 99385 Prev Visit New Pt 18-39 Yrs	$321.00	$321.00	—	60% above	—
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 Prev Visit New Pt 18-39 Yrs	$321.00	$321.00	—	—	—
Preventive checkup, new patient aged 40–64 CPT 99386 Prev Visit New Pt 40-64 Yrs	$388.00	$388.00	—	87% above	—
Preventive checkup, new patient aged 40–64 inpatient CPT 99386 Prev Visit New Pt 40-64 Yrs	$388.00	$388.00	—	—	—
Preventive checkup, returning patient aged 18–39 CPT 99395 Prev Visit Est Pt 18-39 Yrs	$293.00	$293.00	—	62% above	—
Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 Prev Visit Est Pt 18-39 Yrs	$293.00	$293.00	—	—	—
Preventive checkup, returning patient aged 40–64 CPT 99396 Prev Visit Est Pt 40-64 Yrs	$320.00	$320.00	—	65% above	—
Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 Prev Visit Est Pt 40-64 Yrs	$320.00	$320.00	—	—	—
Psychiatric evaluation with medical services CPT 90792 Psychiatric Eval W/Med Service	$382.00	$382.00	—	35% above	—
Psychiatric evaluation with medical services CPT 90792 Bup Psych Eval W Md	$382.00	$382.00	—	35% above	—
Psychiatric evaluation with medical services CPT 90792 Buprenorphine Induction Ser	$382.00	$382.00	—	35% above	—
Psychiatric evaluation with medical services CPT 90792 Iop Psych Eval W/Med Srvcs	$382.00	$382.00	—	35% above	—
Psychiatric evaluation with medical services CPT 90792 Psychiatric Diag Interview/Ed	$382.00	$382.00	—	35% above	—
Psychiatric evaluation with medical services inpatient CPT 90792 Bup Psych Eval W Md	$382.00	$382.00	—	—	—
Psychiatric evaluation with medical services inpatient CPT 90792 Psychiatric Diag Interview/Ed	$382.00	$382.00	—	—	—
Psychiatric evaluation with medical services inpatient CPT 90792 Buprenorphine Induction Ser	$382.00	$382.00	—	—	—
Psychiatric evaluation with medical services inpatient CPT 90792 Iop Psych Eval W/Med Srvcs	$382.00	$382.00	—	—	—
Psychiatric evaluation with medical services inpatient CPT 90792 Psychiatric Eval W/Med Service	$382.00	$382.00	—	—	—
Psychotherapy session, 30 minutes CPT 90832 Thav Ind Psychotherapy 20-30 M	$277.00	$277.00	—	40% above	—
Psychotherapy session, 30 minutes CPT 90832 Iop Individ Psychother 30Min	$277.00	$277.00	—	40% above	—
Psychotherapy session, 30 minutes CPT 90832 Op Ind/Famil Psychother 30 Min	$277.00	$277.00	—	40% above	—
Psychotherapy session, 30 minutes CPT 90832 Thav Iop Individ Psychot 30Min	$277.00	$277.00	—	40% above	—
Psychotherapy session, 30 minutes CPT 90832 Th Op Ind/Fam Psychother 30 Mn	$277.00	$277.00	—	40% above	—
Psychotherapy session, 30 minutes CPT 90832 Tha Iop Individ Psychoth 30Min	$277.00	$277.00	—	40% above	—
Psychotherapy session, 30 minutes inpatient CPT 90832 Tha Iop Individ Psychoth 30Min	$277.00	$277.00	—	—	—
Psychotherapy session, 30 minutes inpatient CPT 90832 Th Op Ind/Fam Psychother 30 Mn	$277.00	$277.00	—	—	—
Psychotherapy session, 30 minutes inpatient CPT 90832 Thav Ind Psychotherapy 20-30 M	$277.00	$277.00	—	—	—
Psychotherapy session, 30 minutes inpatient CPT 90832 Op Ind/Famil Psychother 30 Min	$277.00	$277.00	—	—	—
Psychotherapy session, 30 minutes inpatient CPT 90832 Thav Iop Individ Psychot 30Min	$277.00	$277.00	—	—	—
Psychotherapy session, 30 minutes inpatient CPT 90832 Iop Individ Psychother 30Min	$277.00	$277.00	—	—	—
Psychotherapy session, 45 minutes CPT 90834 Op Ind/Famil Psychother 45 Min	$367.00	$367.00	—	44% above	—
Psychotherapy session, 45 minutes CPT 90834 Thav Iop Ind/Famil Psych 45Min	$367.00	$367.00	—	44% above	—
Psychotherapy session, 45 minutes CPT 90834 Thav Psychotherapy 45-50 Min	$367.00	$367.00	—	44% above	—
Psychotherapy session, 45 minutes CPT 90834 Tha Iop Ind/Famil Psych 45Min	$367.00	$367.00	—	44% above	—
Psychotherapy session, 45 minutes CPT 90834 Tha Op Ind/Fam Psychother 45 M	$367.00	$367.00	—	44% above	—
Psychotherapy session, 45 minutes CPT 90834 Iop Ind/Famil Psychother 45Min	$367.00	$367.00	—	44% above	—
Psychotherapy session, 45 minutes inpatient CPT 90834 Tha Iop Ind/Famil Psych 45Min	$367.00	$367.00	—	—	—
Psychotherapy session, 45 minutes inpatient CPT 90834 Op Ind/Famil Psychother 45 Min	$367.00	$367.00	—	—	—
Psychotherapy session, 45 minutes inpatient CPT 90834 Iop Ind/Famil Psychother 45Min	$367.00	$367.00	—	—	—
Psychotherapy session, 45 minutes inpatient CPT 90834 Thav Psychotherapy 45-50 Min	$367.00	$367.00	—	—	—
Psychotherapy session, 45 minutes inpatient CPT 90834 Tha Op Ind/Fam Psychother 45 M	$367.00	$367.00	—	—	—
Psychotherapy session, 45 minutes inpatient CPT 90834 Thav Iop Ind/Famil Psych 45Min	$367.00	$367.00	—	—	—
Psychotherapy session, 60 minutes CPT 90837 Op Ind/Fam Psychotherapy 60Min	$367.00	$367.00	—	25% above	—
Psychotherapy session, 60 minutes CPT 90837 Tha Op Ind/Fam Psychother 60 M	$367.00	$367.00	—	25% above	—
Psychotherapy session, 60 minutes CPT 90837 Thav Psychotherapy 75-80 Min	$367.00	$367.00	—	25% above	—
Psychotherapy session, 60 minutes inpatient CPT 90837 Tha Op Ind/Fam Psychother 60 M	$367.00	$367.00	—	—	—
Psychotherapy session, 60 minutes inpatient CPT 90837 Op Ind/Fam Psychotherapy 60Min	$367.00	$367.00	—	—	—
Psychotherapy session, 60 minutes inpatient CPT 90837 Thav Psychotherapy 75-80 Min	$367.00	$367.00	—	—	—
Quit-smoking counseling, 3 to 10 minutes CPT 99406 Smoking Cessation 3-10Min	$52.00	$52.00	—	23% above	—
Quit-smoking counseling, 3 to 10 minutes CPT 99406 Smoking Cessation 3-10 Min	$52.00	$52.00	—	23% above	—
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Smoking Cessation 3-10Min	$52.00	$52.00	—	—	—
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Smoking Cessation 3-10 Min	$52.00	$52.00	—	—	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Pro Fee Ip Comprehensive Eval	$180.00	$180.00	—	23% below	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Office Visit Establ Level 5	$408.00	$408.00	—	74% above	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Telephone Call,Brief	$408.00	$408.00	—	74% above	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Prolonged E&M Serv. Add 30Min	$408.00	$408.00	—	74% above	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Prolonged E&M Service 1St Hr.	$408.00	$408.00	—	74% above	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Prolonged Phys Serv. Add 30Min	$408.00	$408.00	—	74% above	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Prolonged Phys Service 1St Hr	$408.00	$408.00	—	74% above	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Established Patient Level 5	$408.00	$408.00	—	74% above	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Office Visit Est, Level 5	$408.00	$408.00	—	74% above	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Telephone Call,Intermediate	$408.00	$408.00	—	74% above	—
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Pro Fee Ip Comprehensive Eval	$180.00	$180.00	—	—	—
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Prolonged Phys Serv. Add 30Min	$408.00	$408.00	—	—	—
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Prolonged E&M Service 1St Hr.	$408.00	$408.00	—	—	—
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Prolonged E&M Serv. Add 30Min	$408.00	$408.00	—	—	—
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Office Visit Est, Level 5	$408.00	$408.00	—	—	—
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Prolonged Phys Service 1St Hr	$408.00	$408.00	—	—	—
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Office Visit Establ Level 5	$408.00	$408.00	—	—	—
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Telephone Call,Brief	$408.00	$408.00	—	—	—
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Established Patient Level 5	$408.00	$408.00	—	—	—
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Telephone Call,Intermediate	$408.00	$408.00	—	—	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Office Visit Establ Level 3	$261.00	$261.00	—	53% above	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Office Visit Est, Level 3	$261.00	$261.00	—	53% above	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Hbp Office Visit 3 Est	$261.00	$261.00	—	53% above	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Postpartum Visit	$261.00	$261.00	—	53% above	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Established Patient Level 3	$261.00	$261.00	—	53% above	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Established Patient Level 3	$261.00	$261.00	—	—	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Postpartum Visit	$261.00	$261.00	—	—	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Hbp Office Visit 3 Est	$261.00	$261.00	—	—	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Office Visit Establ Level 3	$261.00	$261.00	—	—	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Office Visit Est, Level 3	$261.00	$261.00	—	—	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Office Visit Establ Level 4	$326.00	$326.00	—	70% above	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Established Patient Level 4	$326.00	$326.00	—	70% above	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Office Visit Est, Level 4	$326.00	$326.00	—	70% above	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Office Visit Establ Level 4	$326.00	$326.00	—	—	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Established Patient Level 4	$326.00	$326.00	—	—	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Office Visit Est, Level 4	$326.00	$326.00	—	—	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Office Visit Estab Level 2	$209.00	$209.00	—	62% above	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Drivers Exam - Est Patient	$209.00	$209.00	—	62% above	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Office Visit Est Level 2	$209.00	$209.00	—	62% above	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Established Patient Level 2	$209.00	$209.00	—	62% above	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Established Patient Level 2	$209.00	$209.00	—	—	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Office Visit Estab Level 2	$209.00	$209.00	—	—	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Office Visit Est Level 2	$209.00	$209.00	—	—	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Drivers Exam - Est Patient	$209.00	$209.00	—	—	—
Specialist consultation, low complexity or 30+ minutes CPT 99243 Office Consult New/Est Level 3	$103.00	$103.00	—	63% below	—
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 Office Consult New/Est Level 3	$103.00	$103.00	—	—	—
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 Office Consult New/Est Level 4	$153.00	$153.00	—	50% below	—
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 Office Consult New/Est Level 4	$153.00	$153.00	—	—	—
Speech and language evaluation CPT 92523 Eval Speech Sound Production	$640.00	$640.00	—	63% above	—
Speech and language evaluation CPT 92523 A/V Eval Speech Sound Product	$640.00	$640.00	—	63% above	—
Speech and language evaluation inpatient CPT 92523 A/V Eval Speech Sound Product	$640.00	$640.00	—	—	—
Speech and language evaluation inpatient CPT 92523 Eval Speech Sound Production	$640.00	$640.00	—	—	—
Speech therapy session, individual CPT 92507 A/V Speech Therapy Visit 15 Mn	$260.00	$260.00	—	43% above	—
Speech therapy session, individual CPT 92507 Speech Therapy Visit-15 Min	$260.00	$260.00	—	43% above	—
Speech therapy session, individual CPT 92507 Ramsbottom Speech Per Hour	$260.00	$260.00	—	43% above	—
Speech therapy session, individual CPT 92507 Speech Language Treatment	$260.00	$260.00	—	43% above	—
Speech therapy session, individual CPT 92507 Speech Therapy Visit 15 Min	$260.00	$260.00	—	43% above	—
Speech therapy session, individual inpatient CPT 92507 Speech Therapy Visit-15 Min	$260.00	$260.00	—	—	—
Speech therapy session, individual inpatient CPT 92507 Ramsbottom Speech Per Hour	$260.00	$260.00	—	—	—
Speech therapy session, individual inpatient CPT 92507 Speech Language Treatment	$260.00	$260.00	—	—	—
Speech therapy session, individual inpatient CPT 92507 Speech Therapy Visit 15 Min	$260.00	$260.00	—	—	—
Speech therapy session, individual inpatient CPT 92507 A/V Speech Therapy Visit 15 Mn	$260.00	$260.00	—	—	—
Spirometry (breathing test) CPT 94010 Spirometry Pft Simple	$297.00	$297.00	—	28% above	—
Spirometry (breathing test) CPT 94010 Spirometry	$297.00	$297.00	—	28% above	—
Spirometry (breathing test) CPT 94010 Pulmonary Function	$297.00	$297.00	—	28% above	—
Spirometry (breathing test) CPT 94010 Spirometry Before Broc-Dilator	$297.00	$297.00	—	28% above	—
Spirometry (breathing test) CPT 94010 Spirometry/ Pft - Och	$297.00	$297.00	—	28% above	—
Spirometry (breathing test) inpatient CPT 94010 Spirometry/ Pft - Och	$297.00	$297.00	—	—	—
Spirometry (breathing test) inpatient CPT 94010 Pulmonary Function	$297.00	$297.00	—	—	—
Spirometry (breathing test) inpatient CPT 94010 Spirometry Before Broc-Dilator	$297.00	$297.00	—	—	—
Spirometry (breathing test) inpatient CPT 94010 Spirometry	$297.00	$297.00	—	—	—
Spirometry (breathing test) inpatient CPT 94010 Spirometry Pft Simple	$297.00	$297.00	—	—	—
Spirometry before and after a bronchodilator CPT 94060 Pul Func Bef Aft Dil	$475.00	$475.00	—	27% above	—
Spirometry before and after a bronchodilator CPT 94060 Eval. Of Wheezing B/A Exerise	$475.00	$475.00	—	27% above	—
Spirometry before and after a bronchodilator CPT 94060 Bronchospasm Evaluation	$475.00	$475.00	—	27% above	—
Spirometry before and after a bronchodilator CPT 94060 Disibility Determination Pft	$475.00	$475.00	—	27% above	—
Spirometry before and after a bronchodilator CPT 94060 Disibility Det Pft Fvl 6 +	$475.00	$475.00	—	27% above	—
Spirometry before and after a bronchodilator inpatient CPT 94060 Bronchospasm Evaluation	$475.00	$475.00	—	—	—
Spirometry before and after a bronchodilator inpatient CPT 94060 Pul Func Bef Aft Dil	$475.00	$475.00	—	—	—
Spirometry before and after a bronchodilator inpatient CPT 94060 Eval. Of Wheezing B/A Exerise	$475.00	$475.00	—	—	—
Spirometry before and after a bronchodilator inpatient CPT 94060 Disibility Det Pft Fvl 6 +	$475.00	$475.00	—	—	—
Spirometry before and after a bronchodilator inpatient CPT 94060 Disibility Determination Pft	$475.00	$475.00	—	—	—
Therapeutic activities (functional training), 15 minutes CPT 97530 Therapeutic Activity	$102.00	$102.00	—	9% above	—
Therapeutic activities (functional training), 15 minutes CPT 97530 Patient Education	$102.00	$102.00	—	9% above	—
Therapeutic activities (functional training), 15 minutes CPT 97530 Therapeutic Activity Modified	$102.00	$102.00	—	9% above	—
Therapeutic activities (functional training), 15 minutes CPT 97530 Patient Education & Treatment	$102.00	$102.00	—	9% above	—
Therapeutic activities (functional training), 15 minutes CPT 97530 Therapeutic Activity 0 - 15	$102.00	$102.00	—	9% above	—
Therapeutic activities (functional training), 15 minutes CPT 97530 Therapeutic Activities	$102.00	$102.00	—	9% above	—
Therapeutic activities (functional training), 15 minutes CPT 97530 Modified Isokinetic Activity	$102.00	$102.00	—	9% above	—
Therapeutic activities (functional training), 15 minutes CPT 97530 Reduced Therapeutic Activities	$102.00	$102.00	—	9% above	—
Therapeutic activities (functional training), 15 minutes CPT 97530 Modified Therapeutic Activity	$102.00	$102.00	—	9% above	—
Therapeutic activities (functional training), 15 minutes CPT 97530 Therapeutic Activities Modifie	$102.00	$102.00	—	9% above	—
Therapeutic activities (functional training), 15 minutes CPT 97530 A/V Therapeutic Activity	$102.00	$102.00	—	9% above	—
Therapeutic activities (functional training), 15 minutes CPT 97530 Functional Activity	$102.00	$102.00	—	9% above	—
Therapeutic activities (functional training), 15 minutes CPT 97530 A/V Therapeautic Activities	$102.00	$102.00	—	9% above	—
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Functional Activity	$102.00	$102.00	—	—	—
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Modified Therapeutic Activity	$102.00	$102.00	—	—	—
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 A/V Therapeautic Activities	$102.00	$102.00	—	—	—
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Therapeutic Activity	$102.00	$102.00	—	—	—
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Reduced Therapeutic Activities	$102.00	$102.00	—	—	—
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 A/V Therapeutic Activity	$102.00	$102.00	—	—	—
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Modified Isokinetic Activity	$102.00	$102.00	—	—	—
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Therapeutic Activities Modifie	$102.00	$102.00	—	—	—
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Patient Education	$102.00	$102.00	—	—	—
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Therapeutic Activities	$102.00	$102.00	—	—	—
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Therapeutic Activity 0 - 15	$102.00	$102.00	—	—	—
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Patient Education & Treatment	$102.00	$102.00	—	—	—
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Therapeutic Activity Modified	$102.00	$102.00	—	—	—
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Phlebotomy Therapeutic	$57.00	$57.00	—	73% below	—
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Therapeutic Phlebotomy	$242.00	$242.00	—	14% above	—
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Misc Phlebotomy	$242.00	$242.00	—	14% above	—
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Phlebotomy Therapeutic	$57.00	$57.00	—	—	—
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Therapeutic Phlebotomy	$242.00	$242.00	—	—	—
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Misc Phlebotomy	$242.00	$242.00	—	—	—

Vaccines

Procedure	Cash price	List price	Insurers pay	vs New York	Off list
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Chicken Pox Vaccine, Sc	$209.00	$209.00	—	1% below	—
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Varivax: 10 Vial, Single-Dose In 1 Carton (0006-4827-00) / .5 Ml In 1 Vial, Single-Dose (0006-4827-01)	$592.50	$592.50	—	181% above	—
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 Chicken Pox Vaccine, Sc	$209.00	$209.00	—	—	—
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 Varivax: 10 Vial, Single-Dose In 1 Carton (0006-4827-00) / .5 Ml In 1 Vial, Single-Dose (0006-4827-01)	$592.50	$592.50	—	—	—
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Influenza Vaccine	$15.00	$15.00	—	52% below	—
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Flu Vaccine No Preserv 3 & >	$36.00	$36.00	—	16% above	—
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Flulaval 2024/2025: 10 Syringe In 1 Carton (19515-810-52) / .5 Ml In 1 Syringe (19515-810-41)	$62.00	$62.00	—	99% above	—
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 Influenza Vaccine	$15.00	$15.00	—	—	—
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 Flu Vaccine No Preserv 3 & >	$36.00	$36.00	—	—	—
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 Flulaval 2024/2025: 10 Syringe In 1 Carton (19515-810-52) / .5 Ml In 1 Syringe (19515-810-41)	$62.00	$62.00	—	—	—
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 Hpv (9Vhpv) Vacc 2/3 Dose Im	$747.00	$747.00	—	31% above	—
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 Hpv (9Vhpv) Vacc 2/3 Dose Im	$747.00	$747.00	—	—	—
Hepatitis A vaccine, adult dose CPT 90632 NDC Description Not Available	$108.00	$108.00	—	5% above	—
Hepatitis A vaccine, adult dose CPT 90632 Hep. A Vaccine,Adult Dose Im	$159.00	$159.00	—	55% above	—
Hepatitis A vaccine, adult dose CPT 90632 Hep A Vaccine, Adult Im	$161.00	$161.00	—	57% above	—
Hepatitis A vaccine, adult dose CPT 90632 Hap A Vaccine, Adult Im	$161.00	$161.00	—	57% above	—
Hepatitis A vaccine, adult dose inpatient CPT 90632 NDC Description Not Available	$108.00	$108.00	—	—	—
Hepatitis A vaccine, adult dose inpatient CPT 90632 Hep. A Vaccine,Adult Dose Im	$159.00	$159.00	—	—	—
Hepatitis A vaccine, adult dose inpatient CPT 90632 Hep A Vaccine, Adult Im	$161.00	$161.00	—	—	—
Hepatitis A vaccine, adult dose inpatient CPT 90632 Hap A Vaccine, Adult Im	$161.00	$161.00	—	—	—
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Immun. Hepatitis-B 20 Yr Above	$43.00	$43.00	—	47% below	—
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Hepatitus B Vaccine (1 Inj.)	$95.00	$95.00	—	17% above	—
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Hep B Vaccine Adult Im	$213.00	$213.00	—	163% above	—
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Recombivax Hb: 1 Vial, Single-Dose In 1 Carton (0006-4992-00) / 1 Ml In 1 Vial, Single-Dose (0006-4992-01)	$605.00	$605.00	—	646% above	—
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 Immun. Hepatitis-B 20 Yr Above	$43.00	$43.00	—	—	—
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 Hepatitus B Vaccine (1 Inj.)	$95.00	$95.00	—	—	—
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 Hep B Vaccine Adult Im	$213.00	$213.00	—	—	—
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 Recombivax Hb: 1 Vial, Single-Dose In 1 Carton (0006-4992-00) / 1 Ml In 1 Vial, Single-Dose (0006-4992-01)	$605.00	$605.00	—	—	—
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Flu Vacc/Fluzone 180Mcg/0.5Ml	$180.00	$180.00	—	61% above	—
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Iiv No Prsv Increased Ag Im	$243.00	$243.00	—	117% above	—
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 Flu Vacc/Fluzone 180Mcg/0.5Ml	$180.00	$180.00	—	—	—
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 Iiv No Prsv Increased Ag Im	$243.00	$243.00	—	—	—
MMR vaccine (measles, mumps and rubella), live CPT 90707 Immunization, Mmr	$47.00	$47.00	—	57% below	—
MMR vaccine (measles, mumps and rubella), live CPT 90707 Mmr Vaccine	$58.00	$58.00	—	47% below	—
MMR vaccine (measles, mumps and rubella), live CPT 90707 Mmr Vaccine, Sc	$143.00	$143.00	—	31% above	—
MMR vaccine (measles, mumps and rubella), live CPT 90707 M-M-R Ii: 10 Vial, Single-Dose In 1 Carton (0006-4681-00) / .5 Ml In 1 Vial, Single-Dose (0006-4681-01)	$302.50	$302.50	—	177% above	—
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 Immunization, Mmr	$47.00	$47.00	—	—	—
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 Mmr Vaccine	$58.00	$58.00	—	—	—
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 Mmr Vaccine, Sc	$143.00	$143.00	—	—	—
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 M-M-R Ii: 10 Vial, Single-Dose In 1 Carton (0006-4681-00) / .5 Ml In 1 Vial, Single-Dose (0006-4681-01)	$302.50	$302.50	—	—	—
Meningococcal ACWY (MenACWY) vaccine CPT 90734 Meningococcal Vaccine Im	$122.00	$122.00	—	37% below	—
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 Meningococcal Vaccine Im	$122.00	$122.00	—	—	—
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Prevnar 20: 10 Syringe In 1 Carton (0005-2000-10) / .5 Ml In 1 Syringe (0005-2000-01)	$890.50	$890.50	—	108% above	—
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Pcv20 Vaccine Im	$955.00	$955.00	—	123% above	—
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 Prevnar 20: 10 Syringe In 1 Carton (0005-2000-10) / .5 Ml In 1 Syringe (0005-2000-01)	$890.50	$890.50	—	—	—
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 Pcv20 Vaccine Im	$955.00	$955.00	—	—	—
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumococcal Vaccine 23-Valent	$90.00	$90.00	—	37% below	—
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumococcal Vaccine	$130.00	$130.00	—	8% below	—
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumococcal Vaccine Polyvalen	$340.00	$340.00	—	139% above	—
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Ppsv23 Vacc 2 Yrs Subq/Im	$442.00	$442.00	—	211% above	—
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 Pneumococcal Vaccine 23-Valent	$90.00	$90.00	—	—	—
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 Pneumococcal Vaccine	$130.00	$130.00	—	—	—
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 Pneumococcal Vaccine Polyvalen	$340.00	$340.00	—	—	—
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 Ppsv23 Vacc 2 Yrs Subq/Im	$442.00	$442.00	—	—	—
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 Beyfortus: 5 Syringe In 1 Carton (49281-575-15) / .5 Ml In 1 Syringe	$1,807.50	$1,807.50	—	75% above	—
RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 Beyfortus: 5 Syringe In 1 Carton (49281-575-15) / .5 Ml In 1 Syringe	$1,807.50	$1,807.50	—	—	—
Rabies vaccine, one dose CPT 90675 Rabies Shot	$137.00	$137.00	—	71% below	—
Rabies vaccine, one dose CPT 90675 Rabies Shot Im	$137.00	$137.00	—	71% below	—
Rabies vaccine, one dose CPT 90675 Rabies Vaccine	$586.00	$586.00	—	22% above	—
Rabies vaccine, one dose CPT 90675 Rabavert: 1 Kit In 1 Carton (50632-010-01) * 1 Ml In 1 Syringe (50632-011-01) * 1 Ml In 1 Vial, Glass (50632-013-01)	$1,345.50	$1,345.50	—	180% above	—
Rabies vaccine, one dose CPT 90675 IMOVAX RABIES: 1 KIT in 1 PACKAGE (49281-250-51) * 1 mL in 1 VIAL, SINGLE-USE (49281-248-58) * 1 mL in 1 SYRINGE (49281-249-01)	$1,410.00	$1,410.00	—	194% above	—
Rabies vaccine, one dose inpatient CPT 90675 Rabies Shot	$137.00	$137.00	—	—	—
Rabies vaccine, one dose inpatient CPT 90675 Rabies Shot Im	$137.00	$137.00	—	—	—
Rabies vaccine, one dose inpatient CPT 90675 Rabies Vaccine	$586.00	$586.00	—	—	—
Rabies vaccine, one dose inpatient CPT 90675 Rabavert: 1 Kit In 1 Carton (50632-010-01) * 1 Ml In 1 Syringe (50632-011-01) * 1 Ml In 1 Vial, Glass (50632-013-01)	$1,345.50	$1,345.50	—	—	—
Rabies vaccine, one dose inpatient CPT 90675 IMOVAX RABIES: 1 KIT in 1 PACKAGE (49281-250-51) * 1 mL in 1 VIAL, SINGLE-USE (49281-248-58) * 1 mL in 1 SYRINGE (49281-249-01)	$1,410.00	$1,410.00	—	—	—
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Tdvax: 10 Vial, Single-Dose In 1 Carton (13533-131-01) / .5 Ml In 1 Vial, Single-Dose (13533-131-00)	$91.00	$91.00	—	63% above	—
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Td Vacc No Presv 7Yr> Im	$96.00	$96.00	—	72% above	—
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Tenivac: 10 Syringe In 1 Package (49281-215-15) / .5 Ml In 1 Syringe (49281-215-88)	$126.50	$126.50	—	127% above	—
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Tenivac: 10 Vial, Single-Dose In 1 Package (49281-215-10) / .5 Ml In 1 Vial, Single-Dose (49281-215-58)	$126.50	$126.50	—	127% above	—
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 Tdvax: 10 Vial, Single-Dose In 1 Carton (13533-131-01) / .5 Ml In 1 Vial, Single-Dose (13533-131-00)	$91.00	$91.00	—	—	—
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 Td Vacc No Presv 7Yr> Im	$96.00	$96.00	—	—	—
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 Tenivac: 10 Syringe In 1 Package (49281-215-15) / .5 Ml In 1 Syringe (49281-215-88)	$126.50	$126.50	—	—	—
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 Tenivac: 10 Vial, Single-Dose In 1 Package (49281-215-10) / .5 Ml In 1 Vial, Single-Dose (49281-215-58)	$126.50	$126.50	—	—	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Injection Tdap	$48.00	$48.00	—	15% below	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tdap (Adacel)Age 11-64	$49.00	$49.00	—	13% below	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tdap Vaccine >7 Im	$96.00	$96.00	—	71% above	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tdap Vaccine > 7 Im	$96.00	$96.00	—	71% above	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Boostrix: 10 Syringe In 1 Carton (58160-842-52) / .5 Ml In 1 Syringe (58160-842-43)	$151.50	$151.50	—	169% above	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Boostrix: 10 Vial In 1 Carton (58160-842-11) / .5 Ml In 1 Vial (58160-842-01)	$151.50	$151.50	—	169% above	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Adacel Tdap: 10 Vial In 1 Package (49281-400-10) / .5 Ml In 1 Vial (49281-400-58)	$153.00	$153.00	—	172% above	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Injection Tdap	$48.00	$48.00	—	—	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Tdap (Adacel)Age 11-64	$49.00	$49.00	—	—	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Tdap Vaccine >7 Im	$96.00	$96.00	—	—	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Tdap Vaccine > 7 Im	$96.00	$96.00	—	—	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Boostrix: 10 Syringe In 1 Carton (58160-842-52) / .5 Ml In 1 Syringe (58160-842-43)	$151.50	$151.50	—	—	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Boostrix: 10 Vial In 1 Carton (58160-842-11) / .5 Ml In 1 Vial (58160-842-01)	$151.50	$151.50	—	—	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Adacel Tdap: 10 Vial In 1 Package (49281-400-10) / .5 Ml In 1 Vial (49281-400-58)	$153.00	$153.00	—	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Rabies Vaccine, For Im	$159.00	$159.00	—	114% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Rabies Immune Globulin- Im	$159.00	$159.00	—	114% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Immunization Admin 1 Vaccine	$159.00	$159.00	—	114% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Immunization Admin; 1 Vaccine	$159.00	$159.00	—	114% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Immunization Admin 1 Vaccine	$159.00	$159.00	—	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Immunization Admin; 1 Vaccine	$159.00	$159.00	—	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Rabies Vaccine, For Im	$159.00	$159.00	—	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Rabies Immune Globulin- Im	$159.00	$159.00	—	—	—
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Vaccine Admin, Each Additional	$55.00	$55.00	—	72% above	—
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Vaccine Admin, Each Additional	$55.00	$55.00	—	—	—

Source file: https://hospitalpricedisclosure.com/Download.aspx?pi=eaSKZM9oSxCJu26V9eB98Q*-*&f=iFd*_*cEPwhQHJy3lVvHy9uQ*-*