Hospital

Columbus Regional Healthcare System

Columbus Regional Healthcare System in Whiteville, NC publishes cash prices for 286 common procedures listed here, from its own machine-readable price file updated Sep 1, 2025. Compared with other hospitals in the state, its outpatient cash prices are above the North Carolina median for 163 of 280 procedures and below it for 110. By typical cash price it ranks #39 of 59 North Carolina hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

500 Jefferson St, Whiteville, NC 28472 Collected Sep 27, 2026 Source price file (910) 642-8011

Acute care hospital Emergency department CMS star rating 1 of 5 CCN 340068 · CMS hospital register

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs North Carolina	Off list
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR Ankle Complete 3 Plus Views Left	$216.25	$308.92	$68.98–$299.65	21% below	30%
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR Ankle Complete 3 Plus Views Right	$216.25	$308.92	$68.98–$299.65	21% below	30%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR Ankle Complete 3 Plus Views Left	$216.25	$308.92	$32.10–$299.65	—	30%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR Ankle Complete 3 Plus Views Right	$216.25	$308.92	$32.10–$299.65	—	30%
Barium swallow (esophagus X-ray with contrast) CPT 74220 XR Esophagus	$475.58	$679.39	$151.71–$659.01	12% above	30%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 XR Esophagus	$475.58	$679.39	$71.24–$659.01	—	30%
Bone scan, whole body (nuclear medicine) CPT 78306 NM Bone Imaging Whole Body Injection	$1,115.36	$1,593.36	$355.80–$1,545.56	20% below	30%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM Bone Imaging Whole Body Injection	$1,115.36	$1,593.36	$256.81–$1,545.56	—	30%
Breast ultrasound, complete, one breast CPT 76641 76641	$459.93	$657.03	$99.76–$637.32	12% below	30%
Breast ultrasound, complete, one breast one side CPT 76641 US Breast ABUS Right.	$459.93	$657.03	$99.76–$637.32	12% below	30%
Breast ultrasound, complete, one breast one side CPT 76641 US Breast Complete Right	$459.93	$657.03	$99.76–$637.32	12% below	30%
Breast ultrasound, complete, one breast one side CPT 76641 US Breast ABUS Left	$459.93	$657.03	$99.76–$637.32	12% below	30%
Breast ultrasound, complete, one breast one side CPT 76641 US Breast Complete Left	$459.93	$657.03	$99.76–$637.32	12% below	30%
Breast ultrasound, complete, one breast inpatient CPT 76641 76641	$459.93	$657.03	$92.85–$637.32	—	30%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US Breast Complete Right	$459.93	$657.03	$92.85–$637.32	—	30%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US Breast Complete Left	$459.93	$657.03	$92.85–$637.32	—	30%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US Breast ABUS Left	$459.93	$657.03	$92.85–$637.32	—	30%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US Breast ABUS Right.	$459.93	$657.03	$92.85–$637.32	—	30%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US Breast Limited Right	$306.62	$438.02	$82.60–$424.88	12% below	30%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US Breast Limited Left	$306.62	$438.02	$82.60–$424.88	12% below	30%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US Breast Limited Right	$306.62	$438.02	$76.45–$424.88	—	30%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US Breast Limited Left	$306.62	$438.02	$76.45–$424.88	—	30%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT Angio Chest/Abdomen/Pelvis	$2,146.32	$3,066.16	$167.01–$2,974.18	2% above	30%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT Angio Chest	$2,146.32	$3,066.16	$167.01–$2,974.18	2% above	30%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT Angio Chest	$2,146.32	$3,066.16	$738.29–$2,974.18	—	30%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT Angio Chest/Abdomen/Pelvis	$2,146.32	$3,066.16	$738.29–$2,974.18	—	30%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 Report	$198.10	$283.00	$63.19–$274.51	17% below	30%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT Heart Calcium Scoring	$312.90	$447.00	$82.60–$433.59	31% above	30%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 Report	$198.10	$283.00	$31.95–$274.51	—	30%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT Heart Calcium Scoring	$312.90	$447.00	$31.95–$433.59	—	30%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT Stone Protocol	$3,205.05	$4,578.64	$226.77–$4,441.28	11% above	30%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT Abdomen and Pelvis w/o Contrast	$3,205.05	$4,578.64	$226.77–$4,441.28	11% above	30%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT STONE STUDY (ABD & PEL W/O)	$3,205.05	$4,578.64	$226.77–$4,441.28	11% above	30%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 74176	$3,205.05	$4,578.64	$226.77–$4,441.28	11% above	30%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT Abdomen and Pelvis w/o Contrast	$3,205.05	$4,578.64	$340.27–$4,441.28	—	30%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT Stone Protocol	$3,205.05	$4,578.64	$340.27–$4,441.28	—	30%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT STONE STUDY (ABD & PEL W/O)	$3,205.05	$4,578.64	$340.27–$4,441.28	—	30%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 74176	$3,205.05	$4,578.64	$340.27–$4,441.28	—	30%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abdomen and Pelvis w/ Contrast	$3,796.66	$5,423.80	$335.04–$5,261.09	5% above	30%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN & PELVIS WITH DYE	$3,796.66	$5,423.80	$335.04–$5,261.09	5% above	30%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABDOMEN & PELVIS WITH DYE	$3,796.66	$5,423.80	$411.24–$5,261.09	—	30%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Abdomen and Pelvis w/ Contrast	$3,796.66	$5,423.80	$411.24–$5,261.09	—	30%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT Abdomen w/ + w/o + Pelvis w/ Contrast	$3,816.88	$5,452.68	$335.04–$5,289.10	1% below	30%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 74178	$3,816.88	$5,452.68	$335.04–$5,289.10	1% below	30%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD & PEL W&W/O DYE	$3,816.88	$5,452.68	$335.04–$5,289.10	1% below	30%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT Abdomen and Pelvis w/ + w/o Contrast	$3,816.88	$5,452.68	$335.04–$5,289.10	1% below	30%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT Abdomen w/ + w/o + Pelvis w/ Contrast	$3,816.88	$5,452.68	$510.01–$5,289.10	—	30%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABD & PEL W&W/O DYE	$3,816.88	$5,452.68	$510.01–$5,289.10	—	30%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT Abdomen and Pelvis w/ + w/o Contrast	$3,816.88	$5,452.68	$510.01–$5,289.10	—	30%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 74178	$3,816.88	$5,452.68	$510.01–$5,289.10	—	30%
CT scan of the abdomen with contrast CPT 74160 CT Abdomen w/ Contrast	$1,636.81	$2,338.30	$167.01–$2,268.15	24% below	30%
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W DYE	$1,636.81	$2,338.30	$167.01–$2,268.15	24% below	30%
CT scan of the abdomen with contrast inpatient CPT 74160 CT Abdomen w/ Contrast	$1,636.81	$2,338.30	$411.24–$2,268.15	—	30%
CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN W DYE	$1,636.81	$2,338.30	$411.24–$2,268.15	—	30%
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O DYE	$1,353.76	$1,933.93	$99.76–$1,875.91	24% below	30%
CT scan of the abdomen without contrast CPT 74150 74150	$1,353.76	$1,933.93	$99.76–$1,875.91	24% below	30%
CT scan of the abdomen without contrast CPT 74150 CT Abdomen w/o Contrast	$1,353.76	$1,933.93	$99.76–$1,875.91	24% below	30%
CT scan of the abdomen without contrast inpatient CPT 74150 CT Abdomen w/o Contrast	$1,353.76	$1,933.93	$340.27–$1,875.91	—	30%
CT scan of the abdomen without contrast inpatient CPT 74150 74150	$1,353.76	$1,933.93	$340.27–$1,875.91	—	30%
CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN W/O DYE	$1,353.76	$1,933.93	$340.27–$1,875.91	—	30%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT Sinus w/o Contrast	$1,080.37	$1,543.38	$99.76–$1,497.08	18% below	30%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL AREA W/O DYE	$1,080.37	$1,543.38	$99.76–$1,497.08	18% below	30%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT Maxillofacial w/o Contrast	$1,080.37	$1,543.38	$99.76–$1,497.08	18% below	30%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MAXILLOFACIAL AREA W/O DYE	$1,080.37	$1,543.38	$284.02–$1,497.08	—	30%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT Sinus w/o Contrast	$1,080.37	$1,543.38	$284.02–$1,497.08	—	30%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT Maxillofacial w/o Contrast	$1,080.37	$1,543.38	$284.02–$1,497.08	—	30%
CT scan of the head or brain, no contrast dye CPT 70450 CT Head w/o Contrast	$805.39	$1,150.55	$99.76–$1,116.03	37% below	30%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD/BRAIN SCAN W/O DYE	$805.39	$1,150.55	$99.76–$1,116.03	37% below	30%
CT scan of the head or brain, no contrast dye CPT 70450 CT Brain/Head Stroke Alert	$805.39	$1,150.55	$99.76–$1,116.03	37% below	30%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD/BRAIN SCAN W/O DYE	$805.39	$1,150.55	$284.02–$1,116.03	—	30%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Brain/Head Stroke Alert	$805.39	$1,150.55	$284.02–$1,116.03	—	30%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Head w/o Contrast	$805.39	$1,150.55	$284.02–$1,116.03	—	30%
CT scan of the head with contrast CPT 70460 CT Head w/ Contrast	$894.20	$1,277.42	$167.01–$1,239.10	44% below	30%
CT scan of the head with contrast inpatient CPT 70460 CT Head w/ Contrast	$894.20	$1,277.42	$340.27–$1,239.10	—	30%
CT scan of the head without and with contrast CPT 70470 CT Head w/ + w/o Contrast	$1,115.53	$1,593.61	$167.01–$1,545.80	43% below	30%
CT scan of the head without and with contrast inpatient CPT 70470 CT Head w/ + w/o Contrast	$1,115.53	$1,593.61	$425.29–$1,545.80	—	30%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT SPINE LUMBAR W/O DYE	$1,556.80	$2,223.99	$99.76–$2,157.27	at median	30%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT Spine Lumbar w/o Contrast	$1,556.80	$2,223.99	$99.76–$2,157.27	at median	30%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT Spine Lumbar w/o Contrast	$1,556.80	$2,223.99	$355.29–$2,157.27	—	30%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT SPINE LUMBAR W/O DYE	$1,556.80	$2,223.99	$355.29–$2,157.27	—	30%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT Spine Cervical w/o Contrast	$1,870.24	$2,671.77	$99.76–$2,591.62	24% above	30%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT Spine Cervical w/o Contrast	$1,870.24	$2,671.77	$355.29–$2,591.62	—	30%
CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis w/ Contrast	$1,669.34	$2,384.77	$167.01–$2,313.23	5% below	30%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT Pelvis w/ Contrast	$1,669.34	$2,384.77	$411.24–$2,313.23	—	30%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 US Carotid Duplex Bilateral	$610.61	$872.30	$194.78–$846.13	—	30%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 US Carotid Duplex Bilateral	$610.61	$872.30	$393.41–$846.13	—	30%
Chest X-ray, 2 views CPT 71046 XR Chest 2 Views	$258.72	$369.60	$82.53–$358.51	11% above	30%
Chest X-ray, 2 views CPT 71046 XR Chest Decubitus	$258.72	$369.60	$82.53–$358.51	11% above	30%
Chest X-ray, 2 views inpatient CPT 71046 XR Chest 2 Views	$258.72	$369.60	$16.49–$358.51	—	30%
Chest X-ray, 2 views inpatient CPT 71046 XR Chest Decubitus	$258.72	$369.60	$16.49–$358.51	—	30%
Chest X-ray, single view CPT 71045 XR Chest 1 View	$207.96	$297.08	$66.34–$288.17	11% above	30%
Chest X-ray, single view CPT 71045 CHEST XRAY 1 VIEW	$207.96	$297.08	$66.34–$288.17	11% above	30%
Chest X-ray, single view inpatient CPT 71045 XR Chest 1 View	$207.96	$297.08	$8.95–$288.17	—	30%
Chest X-ray, single view inpatient CPT 71045 CHEST XRAY 1 VIEW	$207.96	$297.08	$8.95–$288.17	—	30%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US Retroperitoneal Complete	$571.18	$815.96	$99.76–$791.48	3% above	30%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US Retroperitoneal Complete	$571.18	$815.96	$118.62–$791.48	—	30%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 BD Bone Density DEXA Axial Skeleton	$653.42	$933.45	$99.76–$905.45	58% above	30%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 BD Bone Density DEXA Axial Skeleton	$653.42	$933.45	$60.90–$905.45	—	30%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST W/O DYE	$1,074.99	$1,535.69	$99.76–$1,489.62	20% below	30%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Chest w/o Contrast	$1,074.99	$1,535.69	$99.76–$1,489.62	20% below	30%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Chest/Abdomen/Pelvis w/o Contrast	$1,074.99	$1,535.69	$99.76–$1,489.62	20% below	30%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Chest/Abdomen w/o Contrast	$1,074.99	$1,535.69	$99.76–$1,489.62	20% below	30%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Chest Screening 3-6 MO F/U	$1,074.99	$1,535.69	$99.76–$1,489.62	20% below	30%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT Chest Screening 3-6 MO F/U	$1,074.99	$1,535.69	$355.29–$1,489.62	—	30%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT Chest/Abdomen/Pelvis w/o Contrast	$1,074.99	$1,535.69	$355.29–$1,489.62	—	30%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT Chest/Abdomen w/o Contrast	$1,074.99	$1,535.69	$355.29–$1,489.62	—	30%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST W/O DYE	$1,074.99	$1,535.69	$355.29–$1,489.62	—	30%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT Chest w/o Contrast	$1,074.99	$1,535.69	$355.29–$1,489.62	—	30%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT Chest w/ Contrast	$1,299.26	$1,856.08	$167.01–$1,800.40	24% below	30%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W/ DYE	$1,299.26	$1,856.08	$167.01–$1,800.40	24% below	30%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT Chest/Abdomen w/ Contrast	$1,299.26	$1,856.08	$167.01–$1,800.40	24% below	30%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT Chest/Abdomen/Pelvis w/ Contrast	$1,299.26	$1,856.08	$167.01–$1,800.40	24% below	30%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT Chest w/ Abd w/ + w/o Pelvis w/ Cont	$1,299.26	$1,856.08	$167.01–$1,800.40	24% below	30%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT Chest/Abdomen w/ + w/o Contrast	$1,299.26	$1,856.08	$167.01–$1,800.40	24% below	30%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT Chest/Abdomen/Pelvis w/ Contrast	$1,299.26	$1,856.08	$425.29–$1,800.40	—	30%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT Chest w/ Contrast	$1,299.26	$1,856.08	$425.29–$1,800.40	—	30%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT Chest/Abdomen w/ Contrast	$1,299.26	$1,856.08	$425.29–$1,800.40	—	30%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST W/ DYE	$1,299.26	$1,856.08	$425.29–$1,800.40	—	30%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT Chest w/ Abd w/ + w/o Pelvis w/ Cont	$1,299.26	$1,856.08	$425.29–$1,800.40	—	30%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT Chest/Abdomen w/ + w/o Contrast	$1,299.26	$1,856.08	$425.29–$1,800.40	—	30%
Diagnostic mammogram, both breasts both sides CPT 77066 MG Mammo Digital Diagnostic Bilat.	$355.90	$508.42	$113.53–$493.17	—	30%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MG Mammo Digital Diagnostic Bilat.	$355.90	$508.42	$45.30–$493.17	—	30%
Diagnostic mammogram, one breast one side CPT 77065 MG Mammo Digital Diagnostic Left.	$220.84	$315.48	$70.45–$306.02	9% below	30%
Diagnostic mammogram, one breast one side CPT 77065 MG Mammo Digital Diagnostic Right.	$220.84	$315.48	$70.45–$306.02	9% below	30%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MG Mammo Digital Diagnostic Left.	$220.84	$315.48	$36.04–$306.02	—	30%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MG Mammo Digital Diagnostic Right.	$220.84	$315.48	$36.04–$306.02	—	30%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US Lower Ext Venous Duplex Bilateral	$635.57	$907.95	$202.75–$880.71	—	30%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US Upper Ext Venous Duplex Bilateral	$635.57	$907.95	$202.75–$880.71	—	30%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US Lower Ext Venous Duplex Bilateral	$635.57	$907.95	$409.49–$880.71	—	30%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US Upper Ext Venous Duplex Bilateral	$635.57	$907.95	$409.49–$880.71	—	30%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Echocardiogram Complete	$1,491.14	$2,130.19	$475.67–$2,066.28	11% below	30%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Echocardiogram Complete	$1,491.14	$2,130.19	$960.72–$2,066.28	—	30%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM Hepatobiliary Imaging	$2,248.57	$3,212.23	$376.97–$3,115.86	56% above	30%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NM Hepatobiliary Imaging	$2,248.57	$3,212.23	$220.13–$3,115.86	—	30%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 95806 HST PORTABLE UNATTENDED CHARGES	$706.30	$1,009.00	$146.78–$978.73	75% above	30%
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 95806 HST PORTABLE UNATTENDED CHARGES	$706.30	$1,009.00	$92.48–$978.73	—	30%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 95811 NPSG/CPAP CHARGES	$2,697.41	$3,853.43	$860.47–$3,737.83	28% below	30%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 95811 NPSG/CPAP CHARGES	$2,697.41	$3,853.43	$436.99–$3,737.83	—	30%
Knee X-ray, 3 views both sides CPT 73562 XR Knee 3 Views Bilateral	$569.43	$813.46	$82.60–$789.06	—	30%
Knee X-ray, 3 views one side CPT 73562 XR Knee 3 Views Right	$284.72	$406.73	$82.60–$394.53	3% above	30%
Knee X-ray, 3 views one side CPT 73562 XR Knee 3 Views Left	$284.72	$406.73	$82.60–$394.53	3% above	30%
Knee X-ray, 3 views inpatient both sides CPT 73562 XR Knee 3 Views Bilateral	$569.43	$813.46	$34.24–$789.06	—	30%
Knee X-ray, 3 views inpatient one side CPT 73562 XR Knee 3 Views Left	$284.72	$406.73	$34.24–$394.53	—	30%
Knee X-ray, 3 views inpatient one side CPT 73562 XR Knee 3 Views Right	$284.72	$406.73	$34.24–$394.53	—	30%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Abdomen Limited	$1,006.22	$1,437.45	$99.76–$1,394.33	77% above	30%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Abdomen Limited	$1,006.22	$1,437.45	$85.28–$1,394.33	—	30%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT Low Dose Lung Screening	$296.27	$423.23	$94.51–$410.53	12% below	30%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT Low Dose Lung Screening	$296.27	$423.23	$77.21–$410.53	—	30%
MRI of both breasts, without and then with contrast dye both sides CPT 77049 MRI Breast w/ Contrast Bilateral	$2,910.88	$4,158.40	$315.96–$4,033.65	—	30%
MRI of both breasts, without and then with contrast dye both sides CPT 77049 MRI Breast w/ + w/o Contrast Bilateral	$2,910.88	$4,158.40	$315.96–$4,033.65	—	30%
MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 MRI Breast w/ Contrast Bilateral	$2,910.88	$4,158.40	$239.46–$4,033.65	—	30%
MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 MRI Breast w/ + w/o Contrast Bilateral	$2,910.88	$4,158.40	$239.46–$4,033.65	—	30%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Ankle w/o Contrast Left	$2,672.95	$3,818.49	$226.77–$3,703.94	39% above	30%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Ankle w/o Contrast Right	$2,672.95	$3,818.49	$226.77–$3,703.94	39% above	30%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Hip w/o Contrast Right	$2,672.95	$3,818.49	$226.77–$3,703.94	39% above	30%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Knee w/o Contrast Right	$2,672.95	$3,818.49	$226.77–$3,703.94	39% above	30%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Knee w/o Contrast Left	$2,672.95	$3,818.49	$226.77–$3,703.94	39% above	30%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Hip w/o Contrast Left	$2,672.95	$3,818.49	$226.77–$3,703.94	39% above	30%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Knee w/o Contrast Left	$2,672.95	$3,818.49	$673.56–$3,703.94	—	30%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Ankle w/o Contrast Right	$2,672.95	$3,818.49	$673.56–$3,703.94	—	30%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Hip w/o Contrast Right	$2,672.95	$3,818.49	$673.56–$3,703.94	—	30%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Knee w/o Contrast Right	$2,672.95	$3,818.49	$673.56–$3,703.94	—	30%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Hip w/o Contrast Left	$2,672.95	$3,818.49	$673.56–$3,703.94	—	30%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Ankle w/o Contrast Left	$2,672.95	$3,818.49	$673.56–$3,703.94	—	30%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Ankle w/ + w/o Contrast Left	$3,768.67	$5,383.81	$335.04–$5,222.30	29% above	30%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Knee w/ + w/o Contrast Right	$3,768.67	$5,383.81	$335.04–$5,222.30	29% above	30%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Hip w/ + w/o Contrast Right	$3,768.67	$5,383.81	$335.04–$5,222.30	29% above	30%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Knee w/ + w/o Contrast Left	$3,768.67	$5,383.81	$335.04–$5,222.30	29% above	30%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Hip w/ + w/o Contrast Left	$3,768.67	$5,383.81	$335.04–$5,222.30	29% above	30%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Ankle w/ + w/o Contrast Right	$3,768.67	$5,383.81	$335.04–$5,222.30	29% above	30%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Knee w/ + w/o Contrast Left	$3,768.67	$5,383.81	$1,882.04–$5,222.30	—	30%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Ankle w/ + w/o Contrast Left	$3,768.67	$5,383.81	$1,882.04–$5,222.30	—	30%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Ankle w/ + w/o Contrast Right	$3,768.67	$5,383.81	$1,882.04–$5,222.30	—	30%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Hip w/ + w/o Contrast Left	$3,768.67	$5,383.81	$1,882.04–$5,222.30	—	30%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Knee w/ + w/o Contrast Right	$3,768.67	$5,383.81	$1,882.04–$5,222.30	—	30%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Hip w/ + w/o Contrast Right	$3,768.67	$5,383.81	$1,882.04–$5,222.30	—	30%
MRI of the abdomen without contrast CPT 74181 MRI Abdomen w/o Contrast	$3,014.55	$4,306.50	$226.77–$4,177.31	33% above	30%
MRI of the abdomen without contrast inpatient CPT 74181 MRI Abdomen w/o Contrast	$3,014.55	$4,306.50	$673.56–$4,177.31	—	30%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI Abdomen w/ + w/o Contrast	$3,792.95	$5,418.50	$335.04–$5,255.95	22% above	30%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI Abdomen w/ + w/o Contrast	$3,792.95	$5,418.50	$1,896.82–$5,255.95	—	30%
MRI of the brain, no contrast dye CPT 70551 MRI Brain w/o Contrast	$2,592.91	$3,704.15	$226.77–$3,593.03	14% above	30%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI Brain w/o Contrast	$2,592.91	$3,704.15	$673.56–$3,593.03	—	30%
MRI of the brain, with and without contrast dye CPT 70553 MRI IAC w/ + w/o Contrast	$3,305.27	$4,721.81	$335.04–$4,580.16	13% above	30%
MRI of the brain, with and without contrast dye CPT 70553 MRI Brain w/ + w/o Contrast	$3,305.27	$4,721.81	$335.04–$4,580.16	13% above	30%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI Brain w/ + w/o Contrast	$3,305.27	$4,721.81	$1,496.04–$4,580.16	—	30%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI IAC w/ + w/o Contrast	$3,305.27	$4,721.81	$1,496.04–$4,580.16	—	30%
MRI of the lower back, no contrast dye CPT 72148 MRI Spine Lumbar w/o Contrast	$2,656.29	$3,794.70	$226.77–$3,680.86	18% above	30%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI Spine Lumbar w/o Contrast	$2,656.29	$3,794.70	$751.78–$3,680.86	—	30%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI Spine Lumbar w/ + w/o Contrast	$3,880.86	$5,544.08	$335.04–$5,377.76	32% above	30%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI Spine Lumbar w/ + w/o Contrast	$3,880.86	$5,544.08	$1,496.04–$5,377.76	—	30%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI Spine Thoracic w/o Contrast	$2,403.45	$3,433.50	$226.77–$3,330.50	14% above	30%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI Spine Thoracic w/o Contrast	$2,403.45	$3,433.50	$751.78–$3,330.50	—	30%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI Spine Cervical w/ + w/o Contrast	$3,714.23	$5,306.03	$335.04–$5,146.85	25% above	30%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI Spine Cervical w/ + w/o Contrast	$3,714.23	$5,306.03	$1,496.04–$5,146.85	—	30%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI Spine Cervical w/o Contrast	$2,849.77	$4,071.10	$226.77–$3,948.97	25% above	30%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI Spine Cervical w/o Contrast	$2,849.77	$4,071.10	$673.56–$3,948.97	—	30%
MRI of the pelvis without and with contrast CPT 72197 MRI Pelvis w/ + w/o Contrast	$4,171.86	$5,959.80	$335.04–$5,781.01	20% above	30%
MRI of the pelvis without and with contrast CPT 72197 MRI Prostate w/ + w/o Contrast	$4,171.86	$5,959.80	$335.04–$5,781.01	20% above	30%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI Prostate w/ + w/o Contrast	$4,171.86	$5,959.80	$1,896.82–$5,781.01	—	30%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI Pelvis w/ + w/o Contrast	$4,171.86	$5,959.80	$1,896.82–$5,781.01	—	30%
MRI of the pelvis, no contrast dye CPT 72195 MRI Prostate w/o Contrast	$2,722.39	$3,889.12	$226.77–$3,772.45	56% above	30%
MRI of the pelvis, no contrast dye CPT 72195 MRI Pelvis w/o Contrast	$2,722.39	$3,889.12	$226.77–$3,772.45	56% above	30%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI Prostate w/o Contrast	$2,722.39	$3,889.12	$888.04–$3,772.45	—	30%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI Pelvis w/o Contrast	$2,722.39	$3,889.12	$888.04–$3,772.45	—	30%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Wrist w/o Contrast Right	$2,538.72	$3,626.74	$226.77–$3,517.94	31% above	30%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Shoulder w/o Contrast Left	$2,538.72	$3,626.74	$226.77–$3,517.94	31% above	30%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Wrist w/o Contrast Left	$2,538.72	$3,626.74	$226.77–$3,517.94	31% above	30%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Elbow w/o Contrast Right	$2,538.72	$3,626.74	$226.77–$3,517.94	31% above	30%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Shoulder w/o Contrast Right	$2,538.72	$3,626.74	$226.77–$3,517.94	31% above	30%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Elbow w/o Contrast Left	$2,538.72	$3,626.74	$226.77–$3,517.94	31% above	30%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Elbow w/o Contrast Right	$2,538.72	$3,626.74	$673.56–$3,517.94	—	30%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Shoulder w/o Contrast Right	$2,538.72	$3,626.74	$673.56–$3,517.94	—	30%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Wrist w/o Contrast Left	$2,538.72	$3,626.74	$673.56–$3,517.94	—	30%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Wrist w/o Contrast Right	$2,538.72	$3,626.74	$673.56–$3,517.94	—	30%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Shoulder w/o Contrast Left	$2,538.72	$3,626.74	$673.56–$3,517.94	—	30%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Elbow w/o Contrast Left	$2,538.72	$3,626.74	$673.56–$3,517.94	—	30%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM Myocardial SPECT Drug Stress Multi	$4,419.03	$6,312.90	$1,224.72–$6,123.51	20% above	30%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM Myocardial SPECT Exercise Stress Mult	$4,419.03	$6,312.90	$1,224.72–$6,123.51	20% above	30%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM Myocardial SPECT Exercise Stress Mult	$4,419.03	$6,312.90	$269.96–$6,123.51	—	30%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM Myocardial SPECT Drug Stress Multi	$4,419.03	$6,312.90	$269.96–$6,123.51	—	30%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET CT Skull Base to Midthigh NET	$5,015.20	$7,164.56	$1,368.36–$6,949.62	26% above	30%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET CT Skull Base to Midthigh	$5,015.20	$7,164.56	$1,368.36–$6,949.62	26% above	30%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET CT Skull Base to Midthigh Prostate	$5,015.20	$7,164.56	$1,368.36–$6,949.62	26% above	30%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET CT Skull Base to Midthigh	$5,015.20	$7,164.56	$2,045.39–$6,949.62	—	30%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET CT Skull Base to Midthigh NET	$5,015.20	$7,164.56	$2,045.39–$6,949.62	—	30%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET CT Skull Base to Midthigh Prostate	$5,015.20	$7,164.56	$2,045.39–$6,949.62	—	30%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US Pelvic Ltd	$624.09	$891.55	$99.76–$864.80	77% above	30%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US Pelvic Ltd w/Transvag if indicated	$624.09	$891.55	$99.76–$864.80	77% above	30%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US Pelvic Ltd	$624.09	$891.55	$63.26–$864.80	—	30%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US Pelvic Ltd w/Transvag if indicated	$624.09	$891.55	$63.26–$864.80	—	30%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US Pelvic Comp	$869.12	$1,241.60	$99.76–$1,204.35	35% above	30%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US Pelvic Comp w/Transvag if indicated	$869.12	$1,241.60	$99.76–$1,204.35	35% above	30%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US Pelvic Comp w/Transvag if indicated	$869.12	$1,241.60	$91.70–$1,204.35	—	30%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US Pelvic Comp	$869.12	$1,241.60	$91.70–$1,204.35	—	30%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB Greater Than 14 Weeks	$489.77	$699.66	$99.76–$678.67	12% below	30%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB Greater Than 14 Weeks	$489.77	$699.66	$126.28–$678.67	—	30%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB Less Thn 14 wks w/TVS if indicated	$514.25	$734.64	$99.76–$712.60	10% above	30%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB Less Than 14 Weeks	$514.25	$734.64	$99.76–$712.60	10% above	30%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US OB Less Than 14 Weeks	$514.25	$734.64	$66.78–$712.60	—	30%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US OB Less Thn 14 wks w/TVS if indicated	$514.25	$734.64	$66.78–$712.60	—	30%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB Limited	$333.31	$476.15	$99.76–$461.87	5% above	30%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US OB Limited	$333.31	$476.15	$85.28–$461.87	—	30%
Screening mammogram, both breasts both sides CPT 77067 MG Mammo Digital Screening Bilateral.	$600.60	$858.00	$116.72–$832.26	—	30%
Screening mammogram, both breasts CPT 77067 MAM MAMMOGRAM SCR BIL INCL CAD	$300.30	$429.00	$95.80–$416.13	31% above	30%
Screening mammogram, both breasts one side CPT 77067 MG Mammo Digital Screening Right.	$300.30	$429.00	$95.80–$416.13	31% above	30%
Screening mammogram, both breasts one side CPT 77067 MG Mammo Digital Screening Left.	$300.30	$429.00	$95.80–$416.13	31% above	30%
Screening mammogram, both breasts inpatient both sides CPT 77067 MG Mammo Digital Screening Bilateral.	$600.60	$858.00	$39.01–$832.26	—	30%
Screening mammogram, both breasts inpatient CPT 77067 MAM MAMMOGRAM SCR BIL INCL CAD	$300.30	$429.00	$39.01–$416.13	—	30%
Screening mammogram, both breasts inpatient one side CPT 77067 MG Mammo Digital Screening Left.	$300.30	$429.00	$39.01–$416.13	—	30%
Screening mammogram, both breasts inpatient one side CPT 77067 MG Mammo Digital Screening Right.	$300.30	$429.00	$39.01–$416.13	—	30%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR Shoulder Complete 2 Plus Views Right	$167.91	$239.86	$53.56–$232.66	40% below	30%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR Shoulder Complete 2 Plus Views Left	$167.91	$239.86	$53.56–$232.66	40% below	30%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR Shoulder Complete 2 Plus Views Right	$167.91	$239.86	$34.24–$232.66	—	30%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR Shoulder Complete 2 Plus Views Left	$167.91	$239.86	$34.24–$232.66	—	30%
Sleep study in a lab (polysomnography) CPT 95810 95810 NPSG1 >6YRS CHARGES	$2,773.19	$3,961.69	$884.65–$3,842.84	13% below	30%
Sleep study in a lab (polysomnography) CPT 95810 95810 PSG2 CHARGES	$2,773.19	$3,961.69	$884.65–$3,842.84	13% below	30%
Sleep study in a lab (polysomnography) inpatient CPT 95810 95810 NPSG1 >6YRS CHARGES	$2,773.19	$3,961.69	$415.67–$3,842.84	—	30%
Sleep study in a lab (polysomnography) inpatient CPT 95810 95810 PSG2 CHARGES	$2,773.19	$3,961.69	$415.67–$3,842.84	—	30%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 Echocardiogram Stress	$781.88	$1,116.96	$249.42–$1,083.45	39% below	30%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 Echocardiogram Stress	$781.88	$1,116.96	$503.75–$1,083.45	—	30%
Swallow study (modified barium swallow, video X-ray) CPT 74230 XR Swallowing Function	$243.80	$348.28	$77.77–$337.83	36% below	30%
Swallow study (modified barium swallow, video X-ray) CPT 74230 XR Swallowing Function w/ Speech	$243.80	$348.28	$77.77–$337.83	36% below	30%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 XR Swallowing Function w/ Speech	$243.80	$348.28	$78.26–$337.83	—	30%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 XR Swallowing Function	$243.80	$348.28	$78.26–$337.83	—	30%
Transvaginal pelvic ultrasound CPT 76830 CRHS US Transvaginal Non-OB	$843.12	$1,204.45	$99.76–$1,168.32	55% above	30%
Transvaginal pelvic ultrasound CPT 76830 US Transvaginal Non-OB	$869.12	$1,241.60	$99.76–$1,204.35	60% above	30%
Transvaginal pelvic ultrasound inpatient CPT 76830 CRHS US Transvaginal Non-OB	$843.12	$1,204.45	$91.70–$1,168.32	—	30%
Transvaginal pelvic ultrasound inpatient CPT 76830 US Transvaginal Non-OB	$869.12	$1,241.60	$91.70–$1,204.35	—	30%
Transvaginal ultrasound during pregnancy CPT 76817 CRHS US Transvaginal OB	$327.01	$467.15	$99.76–$453.14	28% below	30%
Transvaginal ultrasound during pregnancy CPT 76817 US OB Transvaginal	$327.01	$467.15	$99.76–$453.14	28% below	30%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 CRHS US Transvaginal OB	$327.01	$467.15	$95.37–$453.14	—	30%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US OB Transvaginal	$327.01	$467.15	$95.37–$453.14	—	30%
Ultrasound of the abdomen, complete CPT 76700 US Abdomen Complete	$869.12	$1,241.60	$99.76–$1,204.35	25% above	30%
Ultrasound of the abdomen, complete inpatient CPT 76700 US Abdomen Complete	$869.12	$1,241.60	$118.62–$1,204.35	—	30%
Ultrasound of the scrotum and testicles CPT 76870 US TESTICULAR	$575.79	$822.55	$99.76–$797.87	6% above	30%
Ultrasound of the scrotum and testicles CPT 76870 US Scrotum (Contents) w/ Doppler if ind	$575.79	$822.55	$99.76–$797.87	6% above	30%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US Scrotum (Contents) w/ Doppler if ind	$575.79	$822.55	$91.70–$797.87	—	30%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US TESTICULAR	$575.79	$822.55	$91.70–$797.87	—	30%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Head/Neck Soft Tissue	$716.55	$1,023.64	$99.76–$992.93	23% above	30%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US Head/Neck Soft Tissue	$716.55	$1,023.64	$85.28–$992.93	—	30%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR Upper GI	$443.93	$634.18	$141.61–$615.15	14% below	30%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR Upper GI w/ Small Bowel	$443.93	$634.18	$141.61–$615.15	14% below	30%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR Injection Contrast for Tube Eval	$443.93	$634.18	$141.61–$615.15	14% below	30%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 XR Upper GI w/ Small Bowel	$443.93	$634.18	$87.75–$615.15	—	30%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 XR Upper GI	$443.93	$634.18	$87.75–$615.15	—	30%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 XR Injection Contrast for Tube Eval	$443.93	$634.18	$87.75–$615.15	—	30%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Lower Ext Venous Duplex Right	$424.38	$606.25	$99.76–$588.06	24% below	30%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Lower Ext Venous Duplex Left	$424.38	$606.25	$99.76–$588.06	24% below	30%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Upper Ext Venous Duplex Right	$424.38	$606.25	$99.76–$588.06	24% below	30%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Upper Ext Venous Duplex Left	$424.38	$606.25	$99.76–$588.06	24% below	30%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US Lower Ext Venous Duplex Right	$424.38	$606.25	$273.42–$588.06	—	30%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US Lower Ext Venous Duplex Left	$424.38	$606.25	$273.42–$588.06	—	30%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US Upper Ext Venous Duplex Left	$424.38	$606.25	$273.42–$588.06	—	30%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US Upper Ext Venous Duplex Right	$424.38	$606.25	$273.42–$588.06	—	30%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist Complete 3 Plus Views Right	$143.29	$204.70	$45.71–$198.56	39% below	30%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist Complete 3+ Views Left	$143.29	$204.70	$45.71–$198.56	39% below	30%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR Wrist Complete 3 Plus Views Right	$143.29	$204.70	$32.10–$198.56	—	30%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR Wrist Complete 3+ Views Left	$143.29	$204.70	$32.10–$198.56	—	30%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip 2-3 Views Right	$261.65	$373.78	$82.60–$362.57	13% above	30%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip 2-3 Views Left	$261.65	$373.78	$82.60–$362.57	13% above	30%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR Hip 2-3 Views Right	$261.65	$373.78	$38.31–$362.57	—	30%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR Hip 2-3 Views Left	$261.65	$373.78	$38.31–$362.57	—	30%
X-ray of the abdomen, 1 view CPT 74018 XR Abdomen 1 View	$173.28	$247.53	$55.27–$240.10	23% below	30%
X-ray of the abdomen, 1 view inpatient CPT 74018 XR Abdomen 1 View	$173.28	$247.53	$15.28–$240.10	—	30%
X-ray of the ankle, 2 views one side CPT 73600 XR Ankle 2 Views Right	$216.25	$308.92	$68.98–$299.65	6% below	30%
X-ray of the ankle, 2 views one side CPT 73600 XR Ankle 2 Views Left	$216.25	$308.92	$68.98–$299.65	6% below	30%
X-ray of the ankle, 2 views inpatient one side CPT 73600 XR Ankle 2 Views Left	$216.25	$308.92	$29.64–$299.65	—	30%
X-ray of the ankle, 2 views inpatient one side CPT 73600 XR Ankle 2 Views Right	$216.25	$308.92	$29.64–$299.65	—	30%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger(s) 2 Plus Views Left	$332.22	$474.60	$82.60–$460.36	77% above	30%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger(s) 2 Plus Views Right	$332.22	$474.60	$82.60–$460.36	77% above	30%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger(s) 2 Plus Views Right	$332.22	$474.60	$25.37–$460.36	—	30%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger(s) 2 Plus Views Left	$332.22	$474.60	$25.37–$460.36	—	30%
X-ray of the foot, 2 views one side CPT 73620 XR Foot 2 Views Right	$287.45	$410.64	$82.60–$398.32	42% above	30%
X-ray of the foot, 2 views one side CPT 73620 XR Foot 2 Views Left	$287.45	$410.64	$82.60–$398.32	42% above	30%
X-ray of the foot, 2 views inpatient one side CPT 73620 XR Foot 2 Views Left	$287.45	$410.64	$29.64–$398.32	—	30%
X-ray of the foot, 2 views inpatient one side CPT 73620 XR Foot 2 Views Right	$287.45	$410.64	$29.64–$398.32	—	30%
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR Foot Complete 3 plus Views Right	$359.54	$513.62	$82.60–$498.21	33% above	30%
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR Foot Complete 3 Plus Views Left	$359.54	$513.62	$82.60–$498.21	33% above	30%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR Foot Complete 3 plus Views Right	$359.54	$513.62	$32.10–$498.21	—	30%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR Foot Complete 3 Plus Views Left	$359.54	$513.62	$32.10–$498.21	—	30%
X-ray of the hand, 3 or more views one side CPT 73130 XR Hand Complete 3 Views Left	$167.02	$238.60	$53.28–$231.44	37% below	30%
X-ray of the hand, 3 or more views one side CPT 73130 XR Hand Complete 3 Plus Views Right	$167.02	$238.60	$53.28–$231.44	37% below	30%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR Hand Complete 3 Plus Views Right	$167.02	$238.60	$32.10–$231.44	—	30%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR Hand Complete 3 Views Left	$167.02	$238.60	$32.10–$231.44	—	30%
X-ray of the knee, 1 or 2 views both sides CPT 73560 XR Knee 1 or 2 Views Bilateral	$432.49	$617.84	$82.60–$599.30	—	30%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR Knee 1 or 2 Views Right	$216.25	$308.92	$68.98–$299.65	4% below	30%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR Knee 1 or 2 Views Left	$216.25	$308.92	$68.98–$299.65	4% below	30%
X-ray of the knee, 1 or 2 views inpatient both sides CPT 73560 XR Knee 1 or 2 Views Bilateral	$432.49	$617.84	$31.51–$599.30	—	30%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR Knee 1 or 2 Views Right	$216.25	$308.92	$31.51–$299.65	—	30%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR Knee 1 or 2 Views Left	$216.25	$308.92	$31.51–$299.65	—	30%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR Spine Lumbosacral 2 or 3 Views	$348.81	$498.30	$99.76–$483.35	12% above	30%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR Spine Lumbosacral 2 or 3 Views	$348.81	$498.30	$40.37–$483.35	—	30%
X-ray of the lower back, 4 or more views CPT 72110 XR Spine Lumbosacral 4 Plus Views	$480.85	$686.92	$99.76–$666.31	5% above	30%
X-ray of the lower back, 4 or more views inpatient CPT 72110 XR Spine Lumbosacral 4 Plus Views	$480.85	$686.92	$55.00–$666.31	—	30%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR Spine Thoracic 2 Views	$342.65	$489.50	$99.76–$474.82	15% above	30%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XR Spine Thoracic 2 Views	$342.65	$489.50	$39.20–$474.82	—	30%
X-ray of the nasal bones, 3 or more views CPT 70160 XR Nasal Bones 3+ Views	$379.29	$541.84	$82.60–$525.58	6% above	30%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XR Nasal Bones 3+ Views	$379.29	$541.84	$31.51–$525.58	—	30%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR Spine Cervical 2 or 3 Views	$359.54	$513.62	$82.60–$498.21	15% above	30%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR Spine Cervical 2 or 3 Views	$359.54	$513.62	$36.08–$498.21	—	30%
X-ray of the pelvis, 1 or 2 views CPT 72170 XR Pelvis 1 or 2 Views	$251.37	$359.09	$80.18–$348.32	6% below	30%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR Pelvis 1 or 2 Views	$251.37	$359.09	$31.51–$348.32	—	30%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR Sacrum/Coccyx 2+ Views	$418.22	$597.45	$82.60–$579.53	53% above	30%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR Sacrum/Coccyx 2+ Views	$418.22	$597.45	$34.24–$579.53	—	30%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs North Carolina	Off list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT	$54.25	$77.49	$5.30–$75.17	21% above	30%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 84460 ASH FibroSure LC	$54.25	$77.49	$5.30–$75.17	21% above	30%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT (ALT)	$54.25	$77.49	$5.30–$75.17	21% above	30%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 84460	$54.25	$77.49	$5.30–$75.17	21% above	30%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 84460 ALT (SGPT)	$54.25	$77.49	$5.30–$75.17	21% above	30%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 84460 ALT (SGPT)	$54.25	$77.49	$7.84–$75.17	—	30%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 84460 ASH FibroSure LC	$54.25	$77.49	$7.84–$75.17	—	30%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 SGPT (ALT)	$54.25	$77.49	$7.84–$75.17	—	30%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT	$54.25	$77.49	$7.84–$75.17	—	30%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 84460	$54.25	$77.49	$7.84–$75.17	—	30%
AST (aspartate aminotransferase) enzyme test CPT 84450 Non-Alcoholic Fatty Liver Disease Advanced Fibrosis Rule Out Cascade LC	$49.07	$70.10	$5.18–$68.00	13% above	30%
AST (aspartate aminotransferase) enzyme test CPT 84450 AST	$49.07	$70.10	$5.18–$68.00	13% above	30%
AST (aspartate aminotransferase) enzyme test CPT 84450 84450 ASH FibroSure LC	$49.07	$70.10	$5.18–$68.00	13% above	30%
AST (aspartate aminotransferase) enzyme test CPT 84450 84450 AST (SGOT)	$49.07	$70.10	$5.18–$68.00	13% above	30%
AST (aspartate aminotransferase) enzyme test CPT 84450 84450 APRI w/Rfx NASH FibroSure Plus LC	$49.07	$70.10	$5.18–$68.00	13% above	30%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Non-Alcoholic Fatty Liver Disease Advanced Fibrosis Rule Out Cascade LC	$49.07	$70.10	$7.60–$68.00	—	30%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 84450 AST (SGOT)	$49.07	$70.10	$7.60–$68.00	—	30%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 84450 ASH FibroSure LC	$49.07	$70.10	$7.60–$68.00	—	30%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 84450 APRI w/Rfx NASH FibroSure Plus LC	$49.07	$70.10	$7.60–$68.00	—	30%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST	$49.07	$70.10	$7.60–$68.00	—	30%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Acute Viral Hepatitis LC	$337.04	$481.48	$47.63–$467.04	at median	30%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Hepatitis Panel (4) LC	$337.04	$481.48	$47.63–$467.04	at median	30%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Hepatitis Panel (4) LC	$337.04	$481.48	$65.67–$467.04	—	30%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Acute Viral Hepatitis LC	$337.04	$481.48	$65.67–$467.04	—	30%
Allergy blood test, specific IgE, per allergen CPT 86003 F048-IgE Onion LC	$29.07	$41.52	$5.22–$40.27	53% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 IgE Food w/Component Reflex II LC	$29.07	$41.52	$5.22–$40.27	53% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 F414-IgE Tilapia LC	$29.07	$41.52	$5.22–$40.27	53% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 F049-IgE Apple LC	$29.07	$41.52	$5.22–$40.27	53% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Profile, Food-Citrus LC	$29.07	$41.52	$5.22–$40.27	53% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 F086-IgE Parsley	$29.07	$41.52	$5.22–$40.27	53% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 F220-IgE Cinnamon	$29.07	$41.52	$5.22–$40.27	53% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Panel, Food-Berry LC	$29.07	$41.52	$5.22–$40.27	53% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 I005-IgE Hornet, Yellow LC	$29.07	$41.52	$5.22–$40.27	53% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 F245-IgE Egg, Whole LC	$29.07	$41.52	$5.22–$40.27	53% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 IgE Food Prof w/Component Rflx LC	$29.07	$41.52	$5.22–$40.27	53% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 IgE Egg White Component Prof LC	$29.07	$41.52	$5.22–$40.27	53% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 M001-IgE Penicillium chrysogen LC	$29.07	$41.52	$5.22–$40.27	53% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 F329-IgE Watermelon LC	$29.07	$41.52	$5.22–$40.27	53% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 F094-IgE Pear LC	$29.07	$41.52	$5.22–$40.27	53% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 F025-IgE Tomato LC	$29.07	$41.52	$5.22–$40.27	53% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 C002-IgE Penicillin V LC	$29.07	$41.52	$5.22–$40.27	53% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 F079-IgE Gluten LC	$29.07	$41.52	$5.22–$40.27	53% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 F221-IgE Coffee	$29.07	$41.52	$5.22–$40.27	53% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 C001-IgE Penicillin G LC	$29.07	$41.52	$5.22–$40.27	53% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Profile, Shellfish LC	$29.07	$41.52	$5.22–$40.27	53% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 F204-IgE Trout LC	$29.07	$41.52	$5.22–$40.27	53% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 F014-IgE Soybean LC	$29.07	$41.52	$5.22–$40.27	53% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 M013-IgE Phoma betae LC	$29.07	$41.52	$5.22–$40.27	53% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 M003-IgE Aspergillus fumigatus LC	$29.07	$41.52	$5.22–$40.27	53% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 F084-IgE Kiwi Fruit LC	$29.07	$41.52	$5.22–$40.27	53% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 F010-IgE Sesame Seed LC	$29.07	$41.52	$5.22–$40.27	53% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 I003-IgE Yellow Jacket LC	$29.07	$41.52	$5.22–$40.27	53% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 86003 Allergen specific IgE	$29.07	$41.52	$5.22–$40.27	53% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 F044-IgE Strawberry LC	$29.07	$41.52	$5.22–$40.27	53% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 M005-IgE Candida albicans LC	$29.07	$41.52	$5.22–$40.27	53% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 M014-IgE Epicoccum purpur LC	$29.07	$41.52	$5.22–$40.27	53% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Profile, Food-Grain LC	$29.07	$41.52	$5.22–$40.27	53% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 86003	$29.07	$41.52	$5.22–$40.27	53% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 M004-IgE Mucor racemosus LC	$29.07	$41.52	$5.22–$40.27	53% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 E005-IgE Dog Dander LC	$29.07	$41.52	$5.22–$40.27	53% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 F270-IgE Ginger	$29.07	$41.52	$5.22–$40.27	53% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 F415-IgE Walleye Pike LC	$29.07	$41.52	$5.22–$40.27	53% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 I002-IgE Hornet, White Face LC	$29.07	$41.52	$5.22–$40.27	53% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 .F004-IgE Wheat LC	$29.07	$41.52	$5.22–$40.27	53% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 F269-IgE Basil LC	$29.07	$41.52	$5.22–$40.27	53% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 F093-IgE Chocolate/Cacao LC	$29.07	$41.52	$5.22–$40.27	53% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 86003 Regional Panel 2 LC	$29.07	$41.52	$5.22–$40.27	53% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 F259-IgE Grape LC	$29.07	$41.52	$5.22–$40.27	53% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 F088-IgE Lamb LC	$29.07	$41.52	$5.22–$40.27	53% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 IgE Peanut w/Component Reflex LC	$29.07	$41.52	$5.22–$40.27	53% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 F020-IgE Almond LC	$29.07	$41.52	$5.22–$40.27	53% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 F024-IgE Shrimp LC	$29.07	$41.52	$5.22–$40.27	53% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 F002-IgE Milk LC	$29.07	$41.52	$5.22–$40.27	53% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 F041-IgE Salmon LC	$29.07	$41.52	$5.22–$40.27	53% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 M006-IgE Alternaria alternata LC	$29.07	$41.52	$5.22–$40.27	53% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 F040-IgE Tuna LC	$29.07	$41.52	$5.22–$40.27	53% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Pediatric 0 - 3 Years LC	$29.07	$41.52	$5.22–$40.27	53% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 IgE Brazil Nut w/Component Rfx LC	$29.07	$41.52	$5.22–$40.27	53% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 F290-IgE Oyster LC	$29.07	$41.52	$5.22–$40.27	53% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 F036-IgE Coconut LC	$29.07	$41.52	$5.22–$40.27	53% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Profile, Hazelnut, IgE w/Component Reflex LC	$29.07	$41.52	$5.22–$40.27	53% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergens(7) LC	$29.07	$41.52	$5.22–$40.27	53% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 F083-IgE Chicken LC	$29.07	$41.52	$5.22–$40.27	53% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 F089-IgE Mustard LC	$29.07	$41.52	$5.22–$40.27	53% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 F147-IgE Flounder LC	$29.07	$41.52	$5.22–$40.27	53% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 I001-IgE Honeybee LC	$29.07	$41.52	$5.22–$40.27	53% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 I004-IgE Paper Wasp LC	$29.07	$41.52	$5.22–$40.27	53% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 F027-IgE Beef LC	$29.07	$41.52	$5.22–$40.27	53% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 M009-IgE Fusarium proliferatum LC	$29.07	$41.52	$5.22–$40.27	53% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Profile, Latex Plus LC	$29.07	$41.52	$5.22–$40.27	53% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 IgE Hop (Food) LC	$29.07	$41.52	$5.22–$40.27	53% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 M010-IgE Stemphylium herbarum LC	$29.07	$41.52	$5.22–$40.27	53% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergens, Perennial LC	$29.07	$41.52	$5.22–$40.27	53% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 K082-IgE Latex LC	$29.07	$41.52	$5.22–$40.27	53% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 F235-IgE Lentil LC	$29.07	$41.52	$5.22–$40.27	53% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 F220-IgE Cinnamon LC	$29.07	$41.52	$5.22–$40.27	53% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 K084-IgE Sunflower Seed LC	$29.07	$41.52	$5.22–$40.27	53% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 F026-IgE Pork LC	$29.07	$41.52	$5.22–$40.27	53% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 IgE Milk w/ Component Reflex LC	$29.07	$41.52	$5.22–$40.27	53% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 F221-IgE Coffee LC	$29.07	$41.52	$5.22–$40.27	53% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Profile, Egg White, IgE with Component Reflex LC	$29.07	$41.52	$5.22–$40.27	53% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 E001-IgE Cat Dander LC	$29.07	$41.52	$5.22–$40.27	53% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 F303-IgE Halibut LC	$29.07	$41.52	$5.22–$40.27	53% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergens (14) Foods LC	$29.07	$41.52	$5.22–$40.27	53% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Penicillin Panel LC	$29.07	$41.52	$5.22–$40.27	53% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Regional Panel 2 LC	$29.07	$41.52	$5.22–$40.27	53% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Seasonal Allrgns, Fall--Weed LC	$29.07	$41.52	$5.22–$40.27	53% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Vanilla, IgE LC	$29.07	$41.52	$5.22–$40.27	53% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Seasonal Allrgns, Summer-Grass LC	$29.07	$41.52	$5.22–$40.27	53% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Sugar Cane IgE LC	$29.07	$41.52	$5.22–$40.27	53% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Seasonal Allrgns, Spring--Tree LC	$29.07	$41.52	$5.22–$40.27	53% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Paprika, IgE LC	$29.07	$41.52	$5.22–$40.27	53% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Hymenoptera Profile 2 LC	$29.07	$41.52	$5.22–$40.27	53% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 M008-IgE Setomelanomma rostrat LC	$29.07	$41.52	$5.22–$40.27	53% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergens, Zone 2 LC	$29.07	$41.52	$5.22–$40.27	53% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 M012-IgE Aureobasidi pullulans LC	$29.07	$41.52	$5.22–$40.27	53% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 I070-IgE Fire Ant (Invicta) LC	$29.07	$41.52	$5.22–$40.27	53% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 F005-IgE Rye LC	$29.07	$41.52	$5.22–$40.27	53% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergens, Zone 3 LC	$29.07	$41.52	$5.22–$40.27	53% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 F273-IgE Thyme LC	$29.07	$41.52	$5.22–$40.27	53% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE	$29.07	$41.52	$5.22–$40.27	53% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 F003-IgE Codfish LC	$29.07	$41.52	$5.22–$40.27	53% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Class Description LC	$29.07	$41.52	$5.22–$40.27	53% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 86003 Hymenoptera Venom Allergy	$29.07	$41.52	$5.22–$40.27	53% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 F096-IgE Avocado LC	$29.07	$41.52	$5.22–$40.27	53% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Profile, Food-Fruit LC	$29.07	$41.52	$5.22–$40.27	53% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 F300-IgE Goat's Milk LC	$29.07	$41.52	$5.22–$40.27	53% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 IgE Nut Prof. w/Component Rflx LC	$29.07	$41.52	$5.22–$40.27	53% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Mackerel LC	$29.07	$41.52	$5.22–$40.27	53% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 F047-IgE Garlic LC	$29.07	$41.52	$5.22–$40.27	53% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Profile, Vegetable II LC	$29.07	$41.52	$5.22–$40.27	53% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 F007-IgE Oat LC	$29.07	$41.52	$5.22–$40.27	53% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 I071-IgE Whole Body: Mosquito LC	$29.07	$41.52	$5.22–$40.27	53% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 F280-IgE Black Peppercorn	$29.07	$41.52	$5.22–$40.27	53% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 F033-IgE Orange LC	$29.07	$41.52	$5.22–$40.27	53% above	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F036-IgE Coconut LC	$29.07	$41.52	$7.73–$40.27	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Seasonal Allrgns, Spring--Tree LC	$29.07	$41.52	$7.73–$40.27	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Vanilla, IgE LC	$29.07	$41.52	$7.73–$40.27	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Seasonal Allrgns, Summer-Grass LC	$29.07	$41.52	$7.73–$40.27	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Sugar Cane IgE LC	$29.07	$41.52	$7.73–$40.27	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Regional Panel 2 LC	$29.07	$41.52	$7.73–$40.27	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Seasonal Allrgns, Fall--Weed LC	$29.07	$41.52	$7.73–$40.27	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Paprika, IgE LC	$29.07	$41.52	$7.73–$40.27	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Penicillin Panel LC	$29.07	$41.52	$7.73–$40.27	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F025-IgE Tomato LC	$29.07	$41.52	$7.73–$40.27	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 I004-IgE Paper Wasp LC	$29.07	$41.52	$7.73–$40.27	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 C002-IgE Penicillin V LC	$29.07	$41.52	$7.73–$40.27	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 .F004-IgE Wheat LC	$29.07	$41.52	$7.73–$40.27	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 I070-IgE Fire Ant (Invicta) LC	$29.07	$41.52	$7.73–$40.27	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Profile, Food-Citrus LC	$29.07	$41.52	$7.73–$40.27	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Brazil Nut w/Component Rfx LC	$29.07	$41.52	$7.73–$40.27	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Milk w/ Component Reflex LC	$29.07	$41.52	$7.73–$40.27	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F047-IgE Garlic LC	$29.07	$41.52	$7.73–$40.27	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 E005-IgE Dog Dander LC	$29.07	$41.52	$7.73–$40.27	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Peanut w/Component Reflex LC	$29.07	$41.52	$7.73–$40.27	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F093-IgE Chocolate/Cacao LC	$29.07	$41.52	$7.73–$40.27	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 I002-IgE Hornet, White Face LC	$29.07	$41.52	$7.73–$40.27	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F300-IgE Goat's Milk LC	$29.07	$41.52	$7.73–$40.27	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F221-IgE Coffee	$29.07	$41.52	$7.73–$40.27	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F088-IgE Lamb LC	$29.07	$41.52	$7.73–$40.27	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hymenoptera Profile 2 LC	$29.07	$41.52	$7.73–$40.27	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 Hymenoptera Venom Allergy	$29.07	$41.52	$7.73–$40.27	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Panel, Food-Berry LC	$29.07	$41.52	$7.73–$40.27	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F290-IgE Oyster LC	$29.07	$41.52	$7.73–$40.27	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F259-IgE Grape LC	$29.07	$41.52	$7.73–$40.27	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F329-IgE Watermelon LC	$29.07	$41.52	$7.73–$40.27	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Profile, Food-Grain LC	$29.07	$41.52	$7.73–$40.27	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 I005-IgE Hornet, Yellow LC	$29.07	$41.52	$7.73–$40.27	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Nut Prof. w/Component Rflx LC	$29.07	$41.52	$7.73–$40.27	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F020-IgE Almond LC	$29.07	$41.52	$7.73–$40.27	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 M013-IgE Phoma betae LC	$29.07	$41.52	$7.73–$40.27	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 I001-IgE Honeybee LC	$29.07	$41.52	$7.73–$40.27	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F084-IgE Kiwi Fruit LC	$29.07	$41.52	$7.73–$40.27	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPECIFIC IGE	$29.07	$41.52	$7.73–$40.27	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Profile, Egg White, IgE with Component Reflex LC	$29.07	$41.52	$7.73–$40.27	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Profile, Vegetable II LC	$29.07	$41.52	$7.73–$40.27	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 M012-IgE Aureobasidi pullulans LC	$29.07	$41.52	$7.73–$40.27	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F204-IgE Trout LC	$29.07	$41.52	$7.73–$40.27	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 M014-IgE Epicoccum purpur LC	$29.07	$41.52	$7.73–$40.27	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F220-IgE Cinnamon LC	$29.07	$41.52	$7.73–$40.27	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F049-IgE Apple LC	$29.07	$41.52	$7.73–$40.27	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Profile, Shellfish LC	$29.07	$41.52	$7.73–$40.27	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 M001-IgE Penicillium chrysogen LC	$29.07	$41.52	$7.73–$40.27	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F026-IgE Pork LC	$29.07	$41.52	$7.73–$40.27	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F096-IgE Avocado LC	$29.07	$41.52	$7.73–$40.27	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F235-IgE Lentil LC	$29.07	$41.52	$7.73–$40.27	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 M003-IgE Aspergillus fumigatus LC	$29.07	$41.52	$7.73–$40.27	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F007-IgE Oat LC	$29.07	$41.52	$7.73–$40.27	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F079-IgE Gluten LC	$29.07	$41.52	$7.73–$40.27	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Pediatric 0 - 3 Years LC	$29.07	$41.52	$7.73–$40.27	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 K084-IgE Sunflower Seed LC	$29.07	$41.52	$7.73–$40.27	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 M008-IgE Setomelanomma rostrat LC	$29.07	$41.52	$7.73–$40.27	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Mackerel LC	$29.07	$41.52	$7.73–$40.27	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Food Prof w/Component Rflx LC	$29.07	$41.52	$7.73–$40.27	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F086-IgE Parsley	$29.07	$41.52	$7.73–$40.27	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F221-IgE Coffee LC	$29.07	$41.52	$7.73–$40.27	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F027-IgE Beef LC	$29.07	$41.52	$7.73–$40.27	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Profile, Food-Fruit LC	$29.07	$41.52	$7.73–$40.27	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 C001-IgE Penicillin G LC	$29.07	$41.52	$7.73–$40.27	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergens, Zone 2 LC	$29.07	$41.52	$7.73–$40.27	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F415-IgE Walleye Pike LC	$29.07	$41.52	$7.73–$40.27	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 Regional Panel 2 LC	$29.07	$41.52	$7.73–$40.27	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 K082-IgE Latex LC	$29.07	$41.52	$7.73–$40.27	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F044-IgE Strawberry LC	$29.07	$41.52	$7.73–$40.27	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Profile, Hazelnut, IgE w/Component Reflex LC	$29.07	$41.52	$7.73–$40.27	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F048-IgE Onion LC	$29.07	$41.52	$7.73–$40.27	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F220-IgE Cinnamon	$29.07	$41.52	$7.73–$40.27	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F094-IgE Pear LC	$29.07	$41.52	$7.73–$40.27	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Egg White Component Prof LC	$29.07	$41.52	$7.73–$40.27	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F303-IgE Halibut LC	$29.07	$41.52	$7.73–$40.27	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F280-IgE Black Peppercorn	$29.07	$41.52	$7.73–$40.27	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F002-IgE Milk LC	$29.07	$41.52	$7.73–$40.27	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F414-IgE Tilapia LC	$29.07	$41.52	$7.73–$40.27	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F005-IgE Rye LC	$29.07	$41.52	$7.73–$40.27	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 M006-IgE Alternaria alternata LC	$29.07	$41.52	$7.73–$40.27	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F245-IgE Egg, Whole LC	$29.07	$41.52	$7.73–$40.27	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F014-IgE Soybean LC	$29.07	$41.52	$7.73–$40.27	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 M010-IgE Stemphylium herbarum LC	$29.07	$41.52	$7.73–$40.27	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 Allergen specific IgE	$29.07	$41.52	$7.73–$40.27	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 M005-IgE Candida albicans LC	$29.07	$41.52	$7.73–$40.27	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Class Description LC	$29.07	$41.52	$7.73–$40.27	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergens, Perennial LC	$29.07	$41.52	$7.73–$40.27	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003	$29.07	$41.52	$7.73–$40.27	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F010-IgE Sesame Seed LC	$29.07	$41.52	$7.73–$40.27	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F033-IgE Orange LC	$29.07	$41.52	$7.73–$40.27	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 I003-IgE Yellow Jacket LC	$29.07	$41.52	$7.73–$40.27	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F269-IgE Basil LC	$29.07	$41.52	$7.73–$40.27	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 E001-IgE Cat Dander LC	$29.07	$41.52	$7.73–$40.27	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F040-IgE Tuna LC	$29.07	$41.52	$7.73–$40.27	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Food w/Component Reflex II LC	$29.07	$41.52	$7.73–$40.27	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergens(7) LC	$29.07	$41.52	$7.73–$40.27	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Hop (Food) LC	$29.07	$41.52	$7.73–$40.27	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F041-IgE Salmon LC	$29.07	$41.52	$7.73–$40.27	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F024-IgE Shrimp LC	$29.07	$41.52	$7.73–$40.27	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F147-IgE Flounder LC	$29.07	$41.52	$7.73–$40.27	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F270-IgE Ginger	$29.07	$41.52	$7.73–$40.27	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F273-IgE Thyme LC	$29.07	$41.52	$7.73–$40.27	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 M004-IgE Mucor racemosus LC	$29.07	$41.52	$7.73–$40.27	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Profile, Latex Plus LC	$29.07	$41.52	$7.73–$40.27	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 I071-IgE Whole Body: Mosquito LC	$29.07	$41.52	$7.73–$40.27	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 M009-IgE Fusarium proliferatum LC	$29.07	$41.52	$7.73–$40.27	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F083-IgE Chicken LC	$29.07	$41.52	$7.73–$40.27	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F003-IgE Codfish LC	$29.07	$41.52	$7.73–$40.27	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergens (14) Foods LC	$29.07	$41.52	$7.73–$40.27	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergens, Zone 3 LC	$29.07	$41.52	$7.73–$40.27	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F089-IgE Mustard LC	$29.07	$41.52	$7.73–$40.27	—	30%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP Antibodies IgG/IgA LC	$95.75	$136.78	$12.95–$132.68	25% above	30%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP Antibodies IgG/IgA LC	$95.75	$136.78	$19.19–$132.68	—	30%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Antinuclear Antibodies, IFA LC	$107.76	$153.93	$12.09–$149.31	113% above	30%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR AB	$107.76	$153.93	$12.09–$149.31	113% above	30%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA Reflex LC	$107.76	$153.93	$12.09–$149.31	113% above	30%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Antinuclear Antibodies Direct LC	$107.76	$153.93	$12.09–$149.31	113% above	30%
Antinuclear antibody (ANA) blood test, screen CPT 86038 86038 Scleroderma Comprehensive Plus Profile (RDL) LC	$107.76	$153.93	$12.09–$149.31	113% above	30%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA Direct LC	$107.76	$153.93	$12.09–$149.31	113% above	30%
Antinuclear antibody (ANA) blood test, screen CPT 86038 86038	$107.76	$153.93	$12.09–$149.31	113% above	30%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Antinuclear Antibodies Direct LC	$107.76	$153.93	$17.93–$149.31	—	30%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA Direct LC	$107.76	$153.93	$17.93–$149.31	—	30%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 86038	$107.76	$153.93	$17.93–$149.31	—	30%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA Reflex LC	$107.76	$153.93	$17.93–$149.31	—	30%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Antinuclear Antibodies, IFA LC	$107.76	$153.93	$17.93–$149.31	—	30%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR AB	$107.76	$153.93	$17.93–$149.31	—	30%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 86038 Scleroderma Comprehensive Plus Profile (RDL) LC	$107.76	$153.93	$17.93–$149.31	—	30%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 proBNP LC	$162.59	$232.27	$39.26–$225.30	34% above	30%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B-Type Natriuretic Peptide	$162.59	$232.27	$39.26–$225.30	34% above	30%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 B-Type Natriuretic Peptide	$162.59	$232.27	$50.32–$225.30	—	30%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 proBNP LC	$162.59	$232.27	$50.32–$225.30	—	30%
Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Panel	$30.87	$44.10	$8.46–$42.78	80% below	30%
Basic metabolic panel (blood test) inpatient CPT 80048 Basic Metabolic Panel	$30.87	$44.10	$12.55–$42.78	—	30%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 88305 AP Bill Surgical Pathology Level IV Complexity	$235.50	$336.42	$50.12–$326.33	32% above	30%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 88305	$235.50	$336.42	$50.12–$326.33	32% above	30%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 88305 AP Bill Non-Gyn Cytology Cell Block	$235.50	$336.42	$50.12–$326.33	32% above	30%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 88305 AP Bill Non-Gyn Cytology Cell Block	$235.50	$336.42	$31.77–$326.33	—	30%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 88305 AP Bill Surgical Pathology Level IV Complexity	$235.50	$336.42	$31.77–$326.33	—	30%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 88305	$235.50	$336.42	$31.77–$326.33	—	30%
Blood culture for bacteria CPT 87040 Blood Culture (Second Set)	$138.91	$198.43	$10.32–$192.48	7% below	30%
Blood culture for bacteria CPT 87040 Platelet Unit Culture	$138.91	$198.43	$10.32–$192.48	7% below	30%
Blood culture for bacteria CPT 87040 Blood Unit Culture	$138.91	$198.43	$10.32–$192.48	7% below	30%
Blood culture for bacteria CPT 87040 Blood Culture	$138.91	$198.43	$10.32–$192.48	7% below	30%
Blood culture for bacteria inpatient CPT 87040 Blood Unit Culture	$138.91	$198.43	$15.31–$192.48	—	30%
Blood culture for bacteria inpatient CPT 87040 Blood Culture	$138.91	$198.43	$15.31–$192.48	—	30%
Blood culture for bacteria inpatient CPT 87040 Platelet Unit Culture	$138.91	$198.43	$15.31–$192.48	—	30%
Blood culture for bacteria inpatient CPT 87040 Blood Culture (Second Set)	$138.91	$198.43	$15.31–$192.48	—	30%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 36415 BLOOD DRAW CHARGE	$9.36	$13.36	$2.98–$12.96	at median	30%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLLECTION: Venous Draw	$9.36	$13.36	$2.98–$12.96	at median	30%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Bill Only Lab Blood Draw Fee	$9.36	$13.36	$2.98–$12.96	at median	30%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 36415 Venipuncture	$9.36	$13.36	$2.98–$12.96	at median	30%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Bill Only Lab Blood Draw Fee	$9.36	$13.36	$3.11–$12.96	—	30%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 36415 Venipuncture	$9.36	$13.36	$3.11–$12.96	—	30%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 36415 BLOOD DRAW CHARGE	$9.36	$13.36	$3.11–$12.96	—	30%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 COLLECTION: Venous Draw	$9.36	$13.36	$3.11–$12.96	—	30%
Blood glucose (sugar) test CPT 82947 82947 ASH FibroSure LC	$39.93	$57.04	$3.93–$55.33	4% above	30%
Blood glucose (sugar) test CPT 82947 Glucose Fasting	$39.93	$57.04	$3.93–$55.33	4% above	30%
Blood glucose (sugar) test CPT 82947 82947 Glucose	$39.93	$57.04	$3.93–$55.33	4% above	30%
Blood glucose (sugar) test CPT 82947 Glucose 1 Hour	$39.93	$57.04	$3.93–$55.33	4% above	30%
Blood glucose (sugar) test CPT 82947 Glucose 1 Hour Post Prandial	$39.93	$57.04	$3.93–$55.33	4% above	30%
Blood glucose (sugar) test CPT 82947 Glucose 1 Hour Post Prandial OB	$39.93	$57.04	$3.93–$55.33	4% above	30%
Blood glucose (sugar) test CPT 82947 Glucose Lvl	$39.93	$57.04	$3.93–$55.33	4% above	30%
Blood glucose (sugar) test inpatient CPT 82947 82947 ASH FibroSure LC	$39.93	$57.04	$5.82–$55.33	—	30%
Blood glucose (sugar) test inpatient CPT 82947 Glucose Fasting	$39.93	$57.04	$5.82–$55.33	—	30%
Blood glucose (sugar) test inpatient CPT 82947 Glucose 1 Hour Post Prandial	$39.93	$57.04	$5.82–$55.33	—	30%
Blood glucose (sugar) test inpatient CPT 82947 Glucose 1 Hour Post Prandial OB	$39.93	$57.04	$5.82–$55.33	—	30%
Blood glucose (sugar) test inpatient CPT 82947 82947 Glucose	$39.93	$57.04	$5.82–$55.33	—	30%
Blood glucose (sugar) test inpatient CPT 82947 Glucose Lvl	$39.93	$57.04	$5.82–$55.33	—	30%
Blood glucose (sugar) test inpatient CPT 82947 Glucose 1 Hour	$39.93	$57.04	$5.82–$55.33	—	30%
Blood lead test CPT 83655 83655-Heavy Metals Profile, Urine LC	$66.06	$94.37	$12.11–$91.54	81% above	30%
Blood lead test CPT 83655 Lead, Blood (Adult) LC	$66.06	$94.37	$12.11–$91.54	81% above	30%
Blood lead test CPT 83655 Lead, Blood (Pediatric) LC	$66.06	$94.37	$12.11–$91.54	81% above	30%
Blood lead test CPT 83655 83655	$66.06	$94.37	$12.11–$91.54	81% above	30%
Blood lead test CPT 83655 LEAD, URINE	$66.06	$94.37	$12.11–$91.54	81% above	30%
Blood lead test CPT 83655 LEAD, BLOOD	$66.06	$94.37	$12.11–$91.54	81% above	30%
Blood lead test CPT 83655 Heavy Metals Profile II LC	$66.06	$94.37	$12.11–$91.54	81% above	30%
Blood lead test inpatient CPT 83655 LEAD, URINE	$66.06	$94.37	$17.95–$91.54	—	30%
Blood lead test inpatient CPT 83655 Lead, Blood (Pediatric) LC	$66.06	$94.37	$17.95–$91.54	—	30%
Blood lead test inpatient CPT 83655 Lead, Blood (Adult) LC	$66.06	$94.37	$17.95–$91.54	—	30%
Blood lead test inpatient CPT 83655 83655	$66.06	$94.37	$17.95–$91.54	—	30%
Blood lead test inpatient CPT 83655 LEAD, BLOOD	$66.06	$94.37	$17.95–$91.54	—	30%
Blood lead test inpatient CPT 83655 Heavy Metals Profile II LC	$66.06	$94.37	$17.95–$91.54	—	30%
Blood lead test inpatient CPT 83655 83655-Heavy Metals Profile, Urine LC	$66.06	$94.37	$17.95–$91.54	—	30%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Serum Preg	$105.96	$151.36	$7.52–$146.82	20% below	30%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Beta hCG Qualitative	$105.96	$151.36	$7.52–$146.82	20% below	30%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Serum Preg	$105.96	$151.36	$11.13–$146.82	—	30%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Beta hCG Qualitative	$105.96	$151.36	$11.13–$146.82	—	30%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Blood Type ABO/Rh Typing	$51.87	$74.09	$16.54–$126.97	6% below	30%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Cord ABORh	$51.87	$74.09	$16.54–$126.97	6% below	30%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO GROUPING SEROLOGIC	$51.87	$74.09	$16.54–$126.97	6% below	30%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Cord ABO/Rh	$51.87	$74.09	$16.54–$126.97	6% below	30%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO/Rh Retype	$51.87	$74.09	$16.54–$126.97	6% below	30%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Blood Type ABO/Rh Typing	$51.87	$74.09	$4.42–$71.87	—	30%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO GROUPING SEROLOGIC	$51.87	$74.09	$4.42–$71.87	—	30%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO/Rh Retype	$51.87	$74.09	$4.42–$71.87	—	30%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Cord ABORh	$51.87	$74.09	$4.42–$71.87	—	30%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Cord ABO/Rh	$51.87	$74.09	$4.42–$71.87	—	30%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN	$82.32	$117.59	$5.18–$114.06	36% above	30%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 86140	$82.32	$117.59	$5.18–$114.06	36% above	30%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-Reactive Protein	$82.32	$117.59	$5.18–$114.06	36% above	30%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 86140	$82.32	$117.59	$7.67–$114.06	—	30%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN	$82.32	$117.59	$7.67–$114.06	—	30%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-Reactive Protein	$82.32	$117.59	$7.67–$114.06	—	30%
C. difficile toxin gene test (stool PCR) CPT 87493 87493-C diff/Epi (GeneXpert)	$145.00	$207.14	$37.27–$200.93	8% above	30%
C. difficile toxin gene test (stool PCR) CPT 87493 C difficile Toxin Gene NAA LC	$145.00	$207.14	$37.27–$200.93	8% above	30%
C. difficile toxin gene test (stool PCR) CPT 87493 C Diff Toxin PCR	$145.00	$207.14	$37.27–$200.93	8% above	30%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C difficile Toxin Gene NAA LC	$145.00	$207.14	$52.03–$200.93	—	30%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C Diff Toxin PCR	$145.00	$207.14	$52.03–$200.93	—	30%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 87493-C diff/Epi (GeneXpert)	$145.00	$207.14	$52.03–$200.93	—	30%
CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 LC	$119.52	$170.73	$20.81–$165.61	39% above	30%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9 LC	$119.52	$170.73	$30.85–$165.61	—	30%
CA-125 blood test (ovarian cancer marker) CPT 86304 Cancer Antigen (CA) 125 LC	$145.74	$208.19	$20.81–$201.94	74% above	30%
CA-125 blood test (ovarian cancer marker) CPT 86304 CA-125	$145.74	$208.19	$20.81–$201.94	74% above	30%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Cancer Antigen (CA) 125 LC	$145.74	$208.19	$30.85–$201.94	—	30%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA-125	$145.74	$208.19	$30.85–$201.94	—	30%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 Lab Test	$74.20	$106.00	$23.67–$102.82	13% below	30%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 Testing Send Out	$74.20	$106.00	$23.67–$102.82	13% below	30%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-CoV-2 (COVID-19) (BD Max) v2	$210.00	$300.00	$51.31–$291.00	147% above	30%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-CoV-2 (COVID-19) BioGX (BD Max)	$210.00	$300.00	$51.31–$291.00	147% above	30%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-CoV-2 (COVID-19) PCR (GeneXpert)	$220.50	$315.00	$51.31–$305.55	159% above	30%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 2019 Novel Coronavirus (CoVID-19), NAA LC	$222.60	$318.00	$51.31–$308.46	162% above	30%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID-19 Lab Test	$74.20	$106.00	$47.81–$102.82	—	30%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID-19 Testing Send Out	$74.20	$106.00	$47.81–$102.82	—	30%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-CoV-2 (COVID-19) (BD Max) v2	$210.00	$300.00	$59.01–$291.00	—	30%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-CoV-2 (COVID-19) BioGX (BD Max)	$210.00	$300.00	$59.01–$291.00	—	30%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-CoV-2 (COVID-19) PCR (GeneXpert)	$220.50	$315.00	$59.01–$305.55	—	30%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 2019 Novel Coronavirus (CoVID-19), NAA LC	$222.60	$318.00	$59.01–$308.46	—	30%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia trachomatis	$128.52	$183.59	$35.09–$178.08	9% above	30%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia trachomatis, NAA Rectal LC	$128.52	$183.59	$35.09–$178.08	9% above	30%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 .C. trachomatis NAA, Confirm LC	$128.52	$183.59	$35.09–$178.08	9% above	30%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia by NAA LC	$128.52	$183.59	$35.09–$178.08	9% above	30%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 87491-IGP,Aptima HPV Age Gdln,CtNgTv LC	$128.52	$183.59	$35.09–$178.08	9% above	30%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia trachomatis, NAA LC	$128.52	$183.59	$35.09–$178.08	9% above	30%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 C.trachomatis (CT/NG) -GeneXpert	$128.52	$183.59	$35.09–$178.08	9% above	30%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA	$128.52	$183.59	$35.09–$178.08	9% above	30%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 87491 Vaginitis Plus, NuSwab LC	$128.52	$183.59	$35.09–$178.08	9% above	30%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia/GC NAA, Confirmation LC	$128.52	$183.59	$35.09–$178.08	9% above	30%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia/GC Amplification LC	$128.52	$183.59	$35.09–$178.08	9% above	30%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 87491	$128.52	$183.59	$35.09–$178.08	9% above	30%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia, Conjunctiva, NAA LC	$128.52	$183.59	$35.09–$178.08	9% above	30%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 NuSwab VG+, HSV LC	$128.52	$183.59	$35.09–$178.08	9% above	30%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 87491 Vaginitis Plus, NuSwab LC	$128.52	$183.59	$52.03–$178.08	—	30%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia trachomatis, NAA LC	$128.52	$183.59	$52.03–$178.08	—	30%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia/GC Amplification LC	$128.52	$183.59	$52.03–$178.08	—	30%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia trachomatis	$128.52	$183.59	$52.03–$178.08	—	30%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 C.trachomatis (CT/NG) -GeneXpert	$128.52	$183.59	$52.03–$178.08	—	30%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia/GC NAA, Confirmation LC	$128.52	$183.59	$52.03–$178.08	—	30%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 .C. trachomatis NAA, Confirm LC	$128.52	$183.59	$52.03–$178.08	—	30%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 87491-IGP,Aptima HPV Age Gdln,CtNgTv LC	$128.52	$183.59	$52.03–$178.08	—	30%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia by NAA LC	$128.52	$183.59	$52.03–$178.08	—	30%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA	$128.52	$183.59	$52.03–$178.08	—	30%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 NuSwab VG+, HSV LC	$128.52	$183.59	$52.03–$178.08	—	30%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 87491	$128.52	$183.59	$52.03–$178.08	—	30%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia trachomatis, NAA Rectal LC	$128.52	$183.59	$52.03–$178.08	—	30%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia, Conjunctiva, NAA LC	$128.52	$183.59	$52.03–$178.08	—	30%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL	$49.25	$70.35	$13.39–$68.24	46% below	30%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Cholesterol, Total LC	$49.25	$70.35	$13.39–$68.24	46% below	30%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel With LDL/HDL Ratio LC	$49.25	$70.35	$13.39–$68.24	46% below	30%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel	$49.25	$70.35	$13.39–$68.24	46% below	30%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 NMR LipoProfile LC	$49.25	$70.35	$13.39–$68.24	46% below	30%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Pnl	$49.25	$70.35	$13.39–$68.24	46% below	30%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel With LDL/HDL Ratio LC	$49.25	$70.35	$14.54–$68.24	—	30%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Pnl	$49.25	$70.35	$14.54–$68.24	—	30%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 NMR LipoProfile LC	$49.25	$70.35	$14.54–$68.24	—	30%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Cholesterol, Total LC	$49.25	$70.35	$14.54–$68.24	—	30%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL	$49.25	$70.35	$14.54–$68.24	—	30%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel	$49.25	$70.35	$14.54–$68.24	—	30%
Complete blood count (CBC) with differential CPT 85025 CBC w/ Diff	$28.67	$40.95	$7.77–$39.72	72% below	30%
Complete blood count (CBC) with differential CPT 85025 BLOOD COUNT COMPLETE WITH DIFF	$28.67	$40.95	$7.77–$39.72	72% below	30%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC w/ Diff	$28.67	$40.95	$10.99–$39.72	—	30%
Complete blood count (CBC) with differential inpatient CPT 85025 BLOOD COUNT COMPLETE WITH DIFF	$28.67	$40.95	$10.99–$39.72	—	30%
Complete blood count (CBC), no differential CPT 85027 CBC w/o Diff	$73.32	$104.73	$6.47–$101.59	13% above	30%
Complete blood count (CBC), no differential CPT 85027 BLOOD COUNT COMPLETE W/O DIFF	$73.32	$104.73	$6.47–$101.59	13% above	30%
Complete blood count (CBC), no differential CPT 85027 CBC w/ Man Diff	$73.32	$104.73	$6.47–$101.59	13% above	30%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC w/ Man Diff	$73.32	$104.73	$8.83–$101.59	—	30%
Complete blood count (CBC), no differential inpatient CPT 85027 BLOOD COUNT COMPLETE W/O DIFF	$73.32	$104.73	$8.83–$101.59	—	30%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC w/o Diff	$73.32	$104.73	$8.83–$101.59	—	30%
Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive Metabolic Panel	$38.96	$55.65	$10.56–$53.98	76% below	30%
Comprehensive metabolic panel (blood test) CPT 80053 CMP	$38.96	$55.65	$10.56–$53.98	76% below	30%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 CMP	$38.96	$55.65	$14.17–$53.98	—	30%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 Comprehensive Metabolic Panel	$38.96	$55.65	$14.17–$53.98	—	30%
D-dimer blood test (blood clot marker) CPT 85379 85379	$124.66	$178.08	$10.18–$172.74	14% below	30%
D-dimer blood test (blood clot marker) CPT 85379 D-Dimer	$124.66	$178.08	$10.18–$172.74	14% below	30%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-Dimer	$124.66	$178.08	$15.08–$172.74	—	30%
D-dimer blood test (blood clot marker) inpatient CPT 85379 85379	$124.66	$178.08	$15.08–$172.74	—	30%
DHEA sulfate (DHEA-S) blood test CPT 82627 Hirsutism Profile LC	$129.41	$184.86	$22.23–$179.31	24% above	30%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-Sulfate LC	$129.41	$184.86	$22.23–$179.31	24% above	30%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA SULFATE	$129.41	$184.86	$22.23–$179.31	24% above	30%
DHEA sulfate (DHEA-S) blood test CPT 82627 82627 PCOS Diagnostic Profile LC	$129.41	$184.86	$22.23–$179.31	24% above	30%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 82627 PCOS Diagnostic Profile LC	$129.41	$184.86	$32.97–$179.31	—	30%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 Hirsutism Profile LC	$129.41	$184.86	$32.97–$179.31	—	30%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA SULFATE	$129.41	$184.86	$32.97–$179.31	—	30%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA-Sulfate LC	$129.41	$184.86	$32.97–$179.31	—	30%
Estradiol blood test CPT 82670 Estradiol MS LC	$173.09	$247.26	$27.94–$239.84	29% above	30%
Estradiol blood test CPT 82670 Estradiol LC	$173.09	$247.26	$27.94–$239.84	29% above	30%
Estradiol blood test CPT 82670 82670 PCOS Diagnostic Profile LC	$173.09	$247.26	$27.94–$239.84	29% above	30%
Estradiol blood test inpatient CPT 82670 Estradiol LC	$173.09	$247.26	$41.42–$239.84	—	30%
Estradiol blood test inpatient CPT 82670 82670 PCOS Diagnostic Profile LC	$173.09	$247.26	$41.42–$239.84	—	30%
Estradiol blood test inpatient CPT 82670 Estradiol MS LC	$173.09	$247.26	$41.42–$239.84	—	30%
FSH (follicle-stimulating hormone) test CPT 83001 FSH LC	$174.58	$249.39	$18.58–$241.91	88% above	30%
FSH (follicle-stimulating hormone) test CPT 83001 83001 PCOS Diagnostic Profile LC	$174.58	$249.39	$18.58–$241.91	88% above	30%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH LC	$174.58	$249.39	$27.55–$241.91	—	30%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 83001 PCOS Diagnostic Profile LC	$174.58	$249.39	$27.55–$241.91	—	30%
Fecal calprotectin (stool inflammation test) CPT 83993 Bill Only Calprtectin, Fecal	$282.27	$403.23	$19.63–$391.13	70% above	30%
Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin, Fecal LC	$282.27	$403.23	$19.63–$391.13	70% above	30%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Bill Only Calprtectin, Fecal	$282.27	$403.23	$29.10–$391.13	—	30%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Calprotectin, Fecal LC	$282.27	$403.23	$29.10–$391.13	—	30%
Ferritin blood test (iron stores) CPT 82728 FERRITIN	$104.79	$149.70	$13.63–$145.21	15% above	30%
Ferritin blood test (iron stores) CPT 82728 Ferritin	$104.79	$149.70	$13.63–$145.21	15% above	30%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN	$104.79	$149.70	$20.19–$145.21	—	30%
Ferritin blood test (iron stores) inpatient CPT 82728 Ferritin	$104.79	$149.70	$20.19–$145.21	—	30%
Folate (folic acid) blood test CPT 82746 Folate Level	$56.34	$80.48	$14.70–$78.07	40% below	30%
Folate (folic acid) blood test CPT 82746 FOLATE (FOLIC ACID)	$56.34	$80.48	$14.70–$78.07	40% below	30%
Folate (folic acid) blood test inpatient CPT 82746 Folate Level	$56.34	$80.48	$21.79–$78.07	—	30%
Folate (folic acid) blood test inpatient CPT 82746 FOLATE (FOLIC ACID)	$56.34	$80.48	$21.79–$78.07	—	30%
Free T3 thyroid hormone test CPT 84481 Triiodothyronine,Free ( T3 ) LC	$143.25	$204.63	$16.94–$198.49	69% above	30%
Free T3 thyroid hormone test CPT 84481 .T3 Free LC	$143.25	$204.63	$16.94–$198.49	69% above	30%
Free T3 thyroid hormone test inpatient CPT 84481 .T3 Free LC	$143.25	$204.63	$25.10–$198.49	—	30%
Free T3 thyroid hormone test inpatient CPT 84481 Triiodothyronine,Free ( T3 ) LC	$143.25	$204.63	$25.10–$198.49	—	30%
Free T4 (free thyroxine) thyroid blood test CPT 84439 Free T4 Level	$35.07	$50.09	$9.02–$48.59	51% below	30%
Free T4 (free thyroxine) thyroid blood test CPT 84439 .Thyroxine Free, Direct, S LC	$35.07	$50.09	$9.02–$48.59	51% below	30%
Free T4 (free thyroxine) thyroid blood test CPT 84439 Thyroxine (T4) Free, Direct, S LC	$35.07	$50.09	$9.02–$48.59	51% below	30%
Free T4 (free thyroxine) thyroid blood test CPT 84439 .Thyroxine Free, Direct, Serum LC	$35.07	$50.09	$9.02–$48.59	51% below	30%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 .Thyroxine Free, Direct, Serum LC	$35.07	$50.09	$9.11–$48.59	—	30%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Thyroxine (T4) Free, Direct, S LC	$35.07	$50.09	$9.11–$48.59	—	30%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Free T4 Level	$35.07	$50.09	$9.11–$48.59	—	30%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 .Thyroxine Free, Direct, S LC	$35.07	$50.09	$9.11–$48.59	—	30%
Free testosterone test CPT 84402 TESTOSTERONE, FREE	$131.59	$187.98	$25.47–$182.34	81% above	30%
Free testosterone test CPT 84402 84402 PCOS Diagnostic Profile LC	$131.59	$187.98	$25.47–$182.34	81% above	30%
Free testosterone test CPT 84402 Testosterone Free Direct LC	$131.59	$187.98	$25.47–$182.34	81% above	30%
Free testosterone test CPT 84402 Testosterone,Free and Total LC	$131.59	$187.98	$25.47–$182.34	81% above	30%
Free testosterone test inpatient CPT 84402 TESTOSTERONE, FREE	$131.59	$187.98	$37.74–$182.34	—	30%
Free testosterone test inpatient CPT 84402 Testosterone Free Direct LC	$131.59	$187.98	$37.74–$182.34	—	30%
Free testosterone test inpatient CPT 84402 84402 PCOS Diagnostic Profile LC	$131.59	$187.98	$37.74–$182.34	—	30%
Free testosterone test inpatient CPT 84402 Testosterone,Free and Total LC	$131.59	$187.98	$37.74–$182.34	—	30%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose 2 Hour Post Prandial	$42.98	$61.40	$4.75–$59.56	16% above	30%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose 2 Hour	$42.98	$61.40	$4.75–$59.56	16% above	30%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Glucose 2 Hour Post Prandial	$42.98	$61.40	$7.04–$59.56	—	30%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Glucose 2 Hour	$42.98	$61.40	$7.04–$59.56	—	30%
Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance Test - 5 Hrs	$101.50	$145.00	$12.87–$140.65	6% below	30%
Glucose tolerance test, 3 samples CPT 82951 Glucose 3 Hour	$101.50	$145.00	$12.87–$140.65	6% below	30%
Glucose tolerance test, 3 samples CPT 82951 Glucose 5 Hour	$101.50	$145.00	$12.87–$140.65	6% below	30%
Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance Test - 3 Hours	$101.50	$145.00	$12.87–$140.65	6% below	30%
Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance Test - 3 Hrs	$101.50	$145.00	$12.87–$140.65	6% below	30%
Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance Test - 4 Hrs	$101.50	$145.00	$12.87–$140.65	6% below	30%
Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance Test 3 Hr OB	$101.50	$145.00	$12.87–$140.65	6% below	30%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE, 3 SPECIMENS	$101.50	$145.00	$12.87–$140.65	6% below	30%
Glucose tolerance test, 3 samples CPT 82951 Glucose 3 Hour OB	$101.50	$145.00	$12.87–$140.65	6% below	30%
Glucose tolerance test, 3 samples inpatient CPT 82951 Glucose Tolerance Test 3 Hr OB	$101.50	$145.00	$19.09–$140.65	—	30%
Glucose tolerance test, 3 samples inpatient CPT 82951 Glucose 3 Hour OB	$101.50	$145.00	$19.09–$140.65	—	30%
Glucose tolerance test, 3 samples inpatient CPT 82951 Glucose Tolerance Test - 4 Hrs	$101.50	$145.00	$19.09–$140.65	—	30%
Glucose tolerance test, 3 samples inpatient CPT 82951 Glucose Tolerance Test - 5 Hrs	$101.50	$145.00	$19.09–$140.65	—	30%
Glucose tolerance test, 3 samples inpatient CPT 82951 Glucose 5 Hour	$101.50	$145.00	$19.09–$140.65	—	30%
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOLERANCE, 3 SPECIMENS	$101.50	$145.00	$19.09–$140.65	—	30%
Glucose tolerance test, 3 samples inpatient CPT 82951 Glucose Tolerance Test - 3 Hrs	$101.50	$145.00	$19.09–$140.65	—	30%
Glucose tolerance test, 3 samples inpatient CPT 82951 Glucose Tolerance Test - 3 Hours	$101.50	$145.00	$19.09–$140.65	—	30%
Glucose tolerance test, 3 samples inpatient CPT 82951 Glucose 3 Hour	$101.50	$145.00	$19.09–$140.65	—	30%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 87591 PAP IGP,CtNgTv,rfx Aptima HPV ASCU LC	$129.11	$184.43	$35.09–$178.90	15% above	30%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Neisseria gonorrhoeae	$129.11	$184.43	$35.09–$178.90	15% above	30%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 87591	$129.11	$184.43	$35.09–$178.90	15% above	30%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 87591-IGP,Aptima HPV Age Gdln,CtNgTv LC	$129.11	$184.43	$35.09–$178.90	15% above	30%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 .N. gonorrhoeae NAA, Confirm LC	$129.11	$184.43	$35.09–$178.90	15% above	30%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.gonorrhoeae (CT/NG) -GeneXpert	$129.11	$184.43	$35.09–$178.90	15% above	30%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Neisseria gonorrhoeae, NAA LC	$129.11	$184.43	$35.09–$178.90	15% above	30%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 87591 Vaginitis Plus, NuSwab LC	$129.11	$184.43	$35.09–$178.90	15% above	30%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Ct/GC NAA, Pharyngeal LC	$129.11	$184.43	$35.09–$178.90	15% above	30%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 87591-IGP,CtNgTv,Apt HPV,rfx16/18,45 LC	$129.11	$184.43	$35.09–$178.90	15% above	30%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Gonococcus by NAA LC	$129.11	$184.43	$35.09–$178.90	15% above	30%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Neisseria gonorrhoeae, NAA Rectal LC	$129.11	$184.43	$35.09–$178.90	15% above	30%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC	$129.11	$184.43	$35.09–$178.90	15% above	30%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N.gonorrhoeae (CT/NG) -GeneXpert	$129.11	$184.43	$52.03–$178.90	—	30%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Neisseria gonorrhoeae, NAA Rectal LC	$129.11	$184.43	$52.03–$178.90	—	30%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 87591-IGP,CtNgTv,Apt HPV,rfx16/18,45 LC	$129.11	$184.43	$52.03–$178.90	—	30%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 87591 PAP IGP,CtNgTv,rfx Aptima HPV ASCU LC	$129.11	$184.43	$52.03–$178.90	—	30%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 87591	$129.11	$184.43	$52.03–$178.90	—	30%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Neisseria gonorrhoeae, NAA LC	$129.11	$184.43	$52.03–$178.90	—	30%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Gonococcus by NAA LC	$129.11	$184.43	$52.03–$178.90	—	30%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 87591 Vaginitis Plus, NuSwab LC	$129.11	$184.43	$52.03–$178.90	—	30%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 87591-IGP,Aptima HPV Age Gdln,CtNgTv LC	$129.11	$184.43	$52.03–$178.90	—	30%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Neisseria gonorrhoeae	$129.11	$184.43	$52.03–$178.90	—	30%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Ct/GC NAA, Pharyngeal LC	$129.11	$184.43	$52.03–$178.90	—	30%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 .N. gonorrhoeae NAA, Confirm LC	$129.11	$184.43	$52.03–$178.90	—	30%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GC	$129.11	$184.43	$52.03–$178.90	—	30%
H. pylori antibody blood test CPT 86677 H pylori IgA/G/M Ab LC	$144.94	$207.05	$16.85–$200.84	12% above	30%
H. pylori antibody blood test CPT 86677 86677	$144.94	$207.05	$16.85–$200.84	12% above	30%
H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI	$144.94	$207.05	$16.85–$200.84	12% above	30%
H. pylori antibody blood test inpatient CPT 86677 H pylori IgA/G/M Ab LC	$144.94	$207.05	$21.52–$200.84	—	30%
H. pylori antibody blood test inpatient CPT 86677 HELICOBACTER PYLORI	$144.94	$207.05	$21.52–$200.84	—	30%
H. pylori antibody blood test inpatient CPT 86677 86677	$144.94	$207.05	$21.52–$200.84	—	30%
H. pylori stool antigen test CPT 87338 H. pylori Stool Ag, EIA LC	$134.94	$192.77	$14.38–$186.99	21% above	30%
H. pylori stool antigen test inpatient CPT 87338 H. pylori Stool Ag, EIA LC	$134.94	$192.77	$21.32–$186.99	—	30%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 RNA, PCR (Graph) rfx/Geno LC	$408.36	$583.36	$85.10–$565.86	76% above	30%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 .Quant, RNA PCR LC	$408.36	$583.36	$85.10–$565.86	76% above	30%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 RNA, PCR (Graph) rfx/Geno EDI LC	$408.36	$583.36	$85.10–$565.86	76% above	30%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV RNA,PCR(Graph) rfx/Trofile(R) LC	$408.36	$583.36	$85.10–$565.86	76% above	30%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1, Quantitiative, PCR w/Reflex to HIV-1 GenoSure LC	$408.36	$583.36	$85.10–$565.86	76% above	30%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 RNA, Real Time PCR (Non-Graph) LC	$408.36	$583.36	$85.10–$565.86	76% above	30%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV RNA,PCR(Graph) rfx/Trofile(R) LC	$408.36	$583.36	$126.14–$565.86	—	30%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1, Quantitiative, PCR w/Reflex to HIV-1 GenoSure LC	$408.36	$583.36	$126.14–$565.86	—	30%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 RNA, PCR (Graph) rfx/Geno LC	$408.36	$583.36	$126.14–$565.86	—	30%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 RNA, Real Time PCR (Non-Graph) LC	$408.36	$583.36	$126.14–$565.86	—	30%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 RNA, PCR (Graph) rfx/Geno EDI LC	$408.36	$583.36	$126.14–$565.86	—	30%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 .Quant, RNA PCR LC	$408.36	$583.36	$126.14–$565.86	—	30%
HIV-1 and HIV-2 antibody test CPT 86703 HIV-1 AND HIV-2 Ab Single RESULT	$112.05	$160.06	$13.71–$155.26	62% above	30%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV-1 AND HIV-2 Ab Single RESULT	$112.05	$160.06	$20.33–$155.26	—	30%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Panel 083935 LC	$112.35	$160.49	$24.08–$155.68	51% above	30%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 Panel 083935 LC	$112.35	$160.49	$26.15–$155.68	—	30%
HPV test for high-risk types, one combined (pooled) result CPT 87624 .HPV, low volume rfx LC	$146.40	$209.13	$35.09–$202.86	at median	30%
HPV test for high-risk types, one combined (pooled) result CPT 87624 PAP IGP, Aptima HPV, rfx 16/18,45 LC	$146.40	$209.13	$35.09–$202.86	at median	30%
HPV test for high-risk types, one combined (pooled) result CPT 87624 PAP IGP Aptima HPV LC	$146.40	$209.13	$35.09–$202.86	at median	30%
HPV test for high-risk types, one combined (pooled) result CPT 87624 PAPILLOMAVIRUS HUMAN AMP PROBE	$146.40	$209.13	$35.09–$202.86	at median	30%
HPV test for high-risk types, one combined (pooled) result CPT 87624 Human Papillomavirus (HPV) (Aptima) w/rflx to HPV Genotypes 16 and 18,45 LC	$146.40	$209.13	$35.09–$202.86	at median	30%
HPV test for high-risk types, one combined (pooled) result CPT 87624 .HPV High Risk Screen, Cytology(ThinPrep Vial) PG	$146.40	$209.13	$35.09–$202.86	at median	30%
HPV test for high-risk types, one combined (pooled) result CPT 87624 87264-IGP,CtNgTv,Apt HPV,rfx16/18,45 LC	$146.40	$209.13	$35.09–$202.86	at median	30%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV Aptima LC	$146.40	$209.13	$35.09–$202.86	at median	30%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HIGH-RISK TYPES	$146.40	$209.13	$35.09–$202.86	at median	30%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV HIGH-RISK TYPES	$146.40	$209.13	$43.94–$202.86	—	30%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 PAP IGP, Aptima HPV, rfx 16/18,45 LC	$146.40	$209.13	$43.94–$202.86	—	30%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 PAPILLOMAVIRUS HUMAN AMP PROBE	$146.40	$209.13	$43.94–$202.86	—	30%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 PAP IGP Aptima HPV LC	$146.40	$209.13	$43.94–$202.86	—	30%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 Human Papillomavirus (HPV) (Aptima) w/rflx to HPV Genotypes 16 and 18,45 LC	$146.40	$209.13	$43.94–$202.86	—	30%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 .HPV, low volume rfx LC	$146.40	$209.13	$43.94–$202.86	—	30%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 .HPV High Risk Screen, Cytology(ThinPrep Vial) PG	$146.40	$209.13	$43.94–$202.86	—	30%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV Aptima LC	$146.40	$209.13	$43.94–$202.86	—	30%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 87264-IGP,CtNgTv,Apt HPV,rfx16/18,45 LC	$146.40	$209.13	$43.94–$202.86	—	30%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hgb A1c (BioRad)	$37.40	$53.42	$9.71–$51.82	58% below	30%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin (Hb) A1c with GlycoMark Reflex LC	$37.40	$53.42	$9.71–$51.82	58% below	30%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 83036	$37.40	$53.42	$9.71–$51.82	58% below	30%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GlycoMark(1,5 AG) LC	$37.40	$53.42	$9.71–$51.82	58% below	30%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1c LC	$37.40	$53.42	$9.71–$51.82	58% below	30%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C	$37.40	$53.42	$9.71–$51.82	58% below	30%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hgb A1c (BioRad)	$37.40	$53.42	$14.39–$51.82	—	30%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 GlycoMark(1,5 AG) LC	$37.40	$53.42	$14.39–$51.82	—	30%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 83036	$37.40	$53.42	$14.39–$51.82	—	30%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hemoglobin (Hb) A1c with GlycoMark Reflex LC	$37.40	$53.42	$14.39–$51.82	—	30%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hemoglobin A1c LC	$37.40	$53.42	$14.39–$51.82	—	30%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN A1C	$37.40	$53.42	$14.39–$51.82	—	30%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE ANTIBODY	$100.31	$143.30	$10.74–$139.00	33% above	30%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 86706	$100.31	$143.30	$10.74–$139.00	33% above	30%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 86706 Hepatitis B Virus Screening and Diagnosis LC	$100.31	$143.30	$10.74–$139.00	33% above	30%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hep B Surface Ab, Qual. LC	$100.31	$143.30	$10.74–$139.00	33% above	30%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 86706 Viral Hepatitis HBV, HCV LC	$100.31	$143.30	$10.74–$139.00	33% above	30%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURFACE ANTIBODY	$100.31	$143.30	$15.92–$139.00	—	30%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 86706 Viral Hepatitis HBV, HCV LC	$100.31	$143.30	$15.92–$139.00	—	30%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hep B Surface Ab, Qual. LC	$100.31	$143.30	$15.92–$139.00	—	30%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 86706 Hepatitis B Virus Screening and Diagnosis LC	$100.31	$143.30	$15.92–$139.00	—	30%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 86706	$100.31	$143.30	$15.92–$139.00	—	30%
Hepatitis B surface antigen (HBsAg) test CPT 87340 87340 Viral Hepatitis HBV, HCV LC	$91.55	$130.78	$10.33–$126.86	5% above	30%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE ANTIGEN	$91.55	$130.78	$10.33–$126.86	5% above	30%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B Virus Screening and Diagnosis LC	$91.55	$130.78	$10.33–$126.86	5% above	30%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HBsAg Screen LC	$91.55	$130.78	$10.33–$126.86	5% above	30%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HBsAg Screen LC	$91.55	$130.78	$14.63–$126.86	—	30%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 87340 Viral Hepatitis HBV, HCV LC	$91.55	$130.78	$14.63–$126.86	—	30%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hepatitis B Virus Screening and Diagnosis LC	$91.55	$130.78	$14.63–$126.86	—	30%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE ANTIGEN	$91.55	$130.78	$14.63–$126.86	—	30%
Hepatitis C antibody blood test (screening) CPT 86803 HCV Antibody LC	$150.25	$214.64	$14.27–$208.20	18% above	30%
Hepatitis C antibody blood test (screening) CPT 86803 86803 Viral Hepatitis HBV, HCV LC	$150.25	$214.64	$14.27–$208.20	18% above	30%
Hepatitis C antibody blood test (screening) CPT 86803 HCV Antibody reflex to NAA LC	$150.25	$214.64	$14.27–$208.20	18% above	30%
Hepatitis C antibody blood test (screening) CPT 86803 HCV Ab w/Rflx to Verification LC	$150.25	$214.64	$14.27–$208.20	18% above	30%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HCV Antibody reflex to NAA LC	$150.25	$214.64	$21.16–$208.20	—	30%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 86803 Viral Hepatitis HBV, HCV LC	$150.25	$214.64	$21.16–$208.20	—	30%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HCV Ab w/Rflx to Verification LC	$150.25	$214.64	$21.16–$208.20	—	30%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HCV Antibody LC	$150.25	$214.64	$21.16–$208.20	—	30%
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA by PCR Qn Rfx Geno LC	$338.25	$483.21	$42.84–$468.71	103% above	30%
Hepatitis C viral load (HCV RNA) test CPT 87522 Hepatitis C Virus (HCV) RNA, Diagnosis LC	$338.25	$483.21	$42.84–$468.71	103% above	30%
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV Real-Time, PCR, Quant LC	$338.25	$483.21	$42.84–$468.71	103% above	30%
Hepatitis C viral load (HCV RNA) test CPT 87522 Hepatitis C Virus (HCV) GT1a NS5A Profile LC	$338.25	$483.21	$42.84–$468.71	103% above	30%
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV VIRAL LOAD (I.U)	$338.25	$483.21	$42.84–$468.71	103% above	30%
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA by PCR, Qn Rfx Geno LC	$338.25	$483.21	$42.84–$468.71	103% above	30%
Hepatitis C viral load (HCV RNA) test one side CPT 87522 HCV RT-PCR Qn Graph LC	$338.25	$483.21	$42.84–$468.71	103% above	30%
Hepatitis C viral load (HCV RNA) test one side CPT 87522 HCV RT-PCR, Quant (Non-Graph) LC	$338.25	$483.21	$42.84–$468.71	103% above	30%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV Real-Time, PCR, Quant LC	$338.25	$483.21	$63.49–$468.71	—	30%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV VIRAL LOAD (I.U)	$338.25	$483.21	$63.49–$468.71	—	30%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV RNA by PCR, Qn Rfx Geno LC	$338.25	$483.21	$63.49–$468.71	—	30%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV RNA by PCR Qn Rfx Geno LC	$338.25	$483.21	$63.49–$468.71	—	30%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hepatitis C Virus (HCV) GT1a NS5A Profile LC	$338.25	$483.21	$63.49–$468.71	—	30%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hepatitis C Virus (HCV) RNA, Diagnosis LC	$338.25	$483.21	$63.49–$468.71	—	30%
Hepatitis C viral load (HCV RNA) test inpatient one side CPT 87522 HCV RT-PCR Qn Graph LC	$338.25	$483.21	$63.49–$468.71	—	30%
Hepatitis C viral load (HCV RNA) test inpatient one side CPT 87522 HCV RT-PCR, Quant (Non-Graph) LC	$338.25	$483.21	$63.49–$468.71	—	30%
Herpes blood test, HSV-1 antibody CPT 86695 HSV 1 IgG, Type Spec LC	$78.69	$112.41	$13.19–$109.04	73% above	30%
Herpes blood test, HSV-1 antibody CPT 86695 86695	$78.69	$112.41	$13.19–$109.04	73% above	30%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX TYPE 1	$78.69	$112.41	$13.19–$109.04	73% above	30%
Herpes blood test, HSV-1 antibody CPT 86695 HSV 1 and 2 IgM Abs Indirect LC	$78.69	$112.41	$13.19–$109.04	73% above	30%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX TYPE 1	$78.69	$112.41	$19.55–$109.04	—	30%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV 1 and 2 IgM Abs Indirect LC	$78.69	$112.41	$19.55–$109.04	—	30%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV 1 IgG, Type Spec LC	$78.69	$112.41	$19.55–$109.04	—	30%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 86695	$78.69	$112.41	$19.55–$109.04	—	30%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX VIRUS 2 IGM	$93.41	$133.44	$19.35–$129.44	34% above	30%
Herpes blood test, HSV-2 antibody CPT 86696 HSV Type 2 Specific Antibodies IgG LC	$93.41	$133.44	$19.35–$129.44	34% above	30%
Herpes blood test, HSV-2 antibody CPT 86696 HSV 2 IgG, Type Spec LC.	$93.41	$133.44	$19.35–$129.44	34% above	30%
Herpes blood test, HSV-2 antibody CPT 86696 HSV1/HSV2 (IgG/M) w/Reflex LC	$93.41	$133.44	$19.35–$129.44	34% above	30%
Herpes blood test, HSV-2 antibody CPT 86696 .HSV 2 IgG Supplemental Test LC	$93.41	$133.44	$19.35–$129.44	34% above	30%
Herpes blood test, HSV-2 antibody CPT 86696 HSV-2 Type Spec Ab, IgG w/Rflx LC	$93.41	$133.44	$19.35–$129.44	34% above	30%
Herpes blood test, HSV-2 antibody CPT 86696 HSV 1 and 2 IgM Abs, Indirect LC	$93.41	$133.44	$19.35–$129.44	34% above	30%
Herpes blood test, HSV-2 antibody CPT 86696 86696	$93.41	$133.44	$19.35–$129.44	34% above	30%
Herpes blood test, HSV-2 antibody CPT 86696 HSV 2 IgG Type Spec LC	$93.41	$133.44	$19.35–$129.44	34% above	30%
Herpes blood test, HSV-2 antibody CPT 86696 86696-HSV 1 and 2 IgM Abs Indirect LC	$93.41	$133.44	$19.35–$129.44	34% above	30%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 86696-HSV 1 and 2 IgM Abs Indirect LC	$93.41	$133.44	$28.69–$129.44	—	30%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX VIRUS 2 IGM	$93.41	$133.44	$28.69–$129.44	—	30%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV 2 IgG, Type Spec LC.	$93.41	$133.44	$28.69–$129.44	—	30%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV 2 IgG Type Spec LC	$93.41	$133.44	$28.69–$129.44	—	30%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 86696	$93.41	$133.44	$28.69–$129.44	—	30%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 .HSV 2 IgG Supplemental Test LC	$93.41	$133.44	$28.69–$129.44	—	30%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV1/HSV2 (IgG/M) w/Reflex LC	$93.41	$133.44	$28.69–$129.44	—	30%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV 1 and 2 IgM Abs, Indirect LC	$93.41	$133.44	$28.69–$129.44	—	30%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV-2 Type Spec Ab, IgG w/Rflx LC	$93.41	$133.44	$28.69–$129.44	—	30%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV Type 2 Specific Antibodies IgG LC	$93.41	$133.44	$28.69–$129.44	—	30%
High-sensitivity CRP (hs-CRP) test CPT 86141 C-Reactive Protein, Cardiac LC	$98.28	$140.39	$12.95–$136.18	31% above	30%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C-Reactive Protein, Cardiac LC	$98.28	$140.39	$19.19–$136.18	—	30%
Homocysteine blood test CPT 83090 B2 Glycoprot I IgA Ab LC	$156.01	$222.87	$17.92–$216.18	110% above	30%
Homocysteine blood test CPT 83090 Homocyst(e)ine, Plasma LC	$156.01	$222.87	$17.92–$216.18	110% above	30%
Homocysteine blood test CPT 83090 Thrombotic Risk Profile II LC 447883090	$156.01	$222.87	$17.92–$216.18	110% above	30%
Homocysteine blood test CPT 83090 83090	$156.01	$222.87	$17.92–$216.18	110% above	30%
Homocysteine blood test CPT 83090 HOMOCYSTINE	$156.01	$222.87	$17.92–$216.18	110% above	30%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTINE	$156.01	$222.87	$25.00–$216.18	—	30%
Homocysteine blood test inpatient CPT 83090 Thrombotic Risk Profile II LC 447883090	$156.01	$222.87	$25.00–$216.18	—	30%
Homocysteine blood test inpatient CPT 83090 Homocyst(e)ine, Plasma LC	$156.01	$222.87	$25.00–$216.18	—	30%
Homocysteine blood test inpatient CPT 83090 B2 Glycoprot I IgA Ab LC	$156.01	$222.87	$25.00–$216.18	—	30%
Homocysteine blood test inpatient CPT 83090 83090	$156.01	$222.87	$25.00–$216.18	—	30%
Insulin blood test CPT 83525 INSULIN, TOTAL	$88.44	$126.34	$11.43–$122.55	59% above	30%
Insulin blood test CPT 83525 Free and Total Insulin LC	$88.44	$126.34	$11.43–$122.55	59% above	30%
Insulin blood test CPT 83525 Insulin LC	$88.44	$126.34	$11.43–$122.55	59% above	30%
Insulin blood test CPT 83525 Islet Cell Dysfunction Group 1 LC	$88.44	$126.34	$11.43–$122.55	59% above	30%
Insulin blood test CPT 83525 INSULIN	$88.44	$126.34	$11.43–$122.55	59% above	30%
Insulin blood test inpatient CPT 83525 Insulin LC	$88.44	$126.34	$16.95–$122.55	—	30%
Insulin blood test inpatient CPT 83525 Free and Total Insulin LC	$88.44	$126.34	$16.95–$122.55	—	30%
Insulin blood test inpatient CPT 83525 INSULIN, TOTAL	$88.44	$126.34	$16.95–$122.55	—	30%
Insulin blood test inpatient CPT 83525 Islet Cell Dysfunction Group 1 LC	$88.44	$126.34	$16.95–$122.55	—	30%
Insulin blood test inpatient CPT 83525 INSULIN	$88.44	$126.34	$16.95–$122.55	—	30%
Iron blood test (serum iron) CPT 83540 Iron	$64.12	$91.60	$6.47–$88.85	1% below	30%
Iron blood test (serum iron) CPT 83540 Iron, Liver LC	$64.12	$91.60	$6.47–$88.85	1% below	30%
Iron blood test (serum iron) CPT 83540 IRON, SERUM, TOTAL	$64.12	$91.60	$6.47–$88.85	1% below	30%
Iron blood test (serum iron) inpatient CPT 83540 Iron	$64.12	$91.60	$9.60–$88.85	—	30%
Iron blood test (serum iron) inpatient CPT 83540 IRON, SERUM, TOTAL	$64.12	$91.60	$9.60–$88.85	—	30%
Iron blood test (serum iron) inpatient CPT 83540 Iron, Liver LC	$64.12	$91.60	$9.60–$88.85	—	30%
Kidney function blood test panel CPT 80069 Renal Pnl	$127.99	$182.83	$8.68–$177.35	13% above	30%
Kidney function blood test panel inpatient CPT 80069 Renal Pnl	$127.99	$182.83	$12.87–$177.35	—	30%
LH (luteinizing hormone) test CPT 83002 Luteinizing Hormone(LH) LC	$170.57	$243.67	$18.52–$236.36	75% above	30%
LH (luteinizing hormone) test CPT 83002 83002 PCOS Diagnostic Profile LC	$170.57	$243.67	$18.52–$236.36	75% above	30%
LH (luteinizing hormone) test inpatient CPT 83002 Luteinizing Hormone(LH) LC	$170.57	$243.67	$27.46–$236.36	—	30%
LH (luteinizing hormone) test inpatient CPT 83002 83002 PCOS Diagnostic Profile LC	$170.57	$243.67	$27.46–$236.36	—	30%
Lipase blood test (pancreas enzyme) CPT 83690 Lipase, Fluid LC	$90.23	$128.89	$6.89–$125.02	20% below	30%
Lipase blood test (pancreas enzyme) CPT 83690 Lipase Level	$90.23	$128.89	$6.89–$125.02	20% below	30%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase Level	$90.23	$128.89	$10.20–$125.02	—	30%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase, Fluid LC	$90.23	$128.89	$10.20–$125.02	—	30%
Liver function blood test panel CPT 80076 Hep Fnct Pnl	$30.14	$43.05	$8.17–$41.76	81% below	30%
Liver function blood test panel inpatient CPT 80076 Hep Fnct Pnl	$30.14	$43.05	$12.11–$41.76	—	30%
Lyme disease antibody test CPT 86618 Lyme, IgM, Early Test/Reflex LC	$142.27	$203.23	$17.03–$197.13	77% above	30%
Lyme disease antibody test CPT 86618 Lyme, Total Ab Test/Reflex LC	$142.27	$203.23	$17.03–$197.13	77% above	30%
Lyme disease antibody test CPT 86618 LYME AB IGG BY WB	$142.27	$203.23	$17.03–$197.13	77% above	30%
Lyme disease antibody test CPT 86618 .Lyme IgG/IgM LC	$142.27	$203.23	$17.03–$197.13	77% above	30%
Lyme disease antibody test CPT 86618 Lyme Disease Total Antibody w/Reflex to Immunoassay LC	$142.27	$203.23	$17.03–$197.13	77% above	30%
Lyme disease antibody test inpatient CPT 86618 Lyme Disease Total Antibody w/Reflex to Immunoassay LC	$142.27	$203.23	$25.25–$197.13	—	30%
Lyme disease antibody test inpatient CPT 86618 .Lyme IgG/IgM LC	$142.27	$203.23	$25.25–$197.13	—	30%
Lyme disease antibody test inpatient CPT 86618 Lyme, Total Ab Test/Reflex LC	$142.27	$203.23	$25.25–$197.13	—	30%
Lyme disease antibody test inpatient CPT 86618 Lyme, IgM, Early Test/Reflex LC	$142.27	$203.23	$25.25–$197.13	—	30%
Lyme disease antibody test inpatient CPT 86618 LYME AB IGG BY WB	$142.27	$203.23	$25.25–$197.13	—	30%
Magnesium blood test CPT 83735 83735	$63.05	$90.06	$6.70–$87.36	44% above	30%
Magnesium blood test CPT 83735 Magnesium Level	$63.05	$90.06	$6.70–$87.36	44% above	30%
Magnesium blood test CPT 83735 Magnesium, Urine LC	$63.05	$90.06	$6.70–$87.36	44% above	30%
Magnesium blood test CPT 83735 Magnesium, RBC LC	$63.05	$90.06	$6.70–$87.36	44% above	30%
Magnesium blood test CPT 83735 MAGNESIUM	$63.05	$90.06	$6.70–$87.36	44% above	30%
Magnesium blood test inpatient CPT 83735 83735	$63.05	$90.06	$9.94–$87.36	—	30%
Magnesium blood test inpatient CPT 83735 Magnesium, Urine LC	$63.05	$90.06	$9.94–$87.36	—	30%
Magnesium blood test inpatient CPT 83735 Magnesium Level	$63.05	$90.06	$9.94–$87.36	—	30%
Magnesium blood test inpatient CPT 83735 Magnesium, RBC LC	$63.05	$90.06	$9.94–$87.36	—	30%
Magnesium blood test inpatient CPT 83735 MAGNESIUM	$63.05	$90.06	$9.94–$87.36	—	30%
Measles (rubeola) antibody test CPT 86765 Rubeola Antibodies, IgM LC	$58.71	$83.86	$12.88–$81.34	24% above	30%
Measles (rubeola) antibody test CPT 86765 Measles/Mumps/Rubella Immunity LC	$58.71	$83.86	$12.88–$81.34	24% above	30%
Measles (rubeola) antibody test CPT 86765 Rubeola Antibodies, IgG LC	$58.71	$83.86	$12.88–$81.34	24% above	30%
Measles (rubeola) antibody test CPT 86765 RUBEOLA	$58.71	$83.86	$12.88–$81.34	24% above	30%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA	$58.71	$83.86	$19.10–$81.34	—	30%
Measles (rubeola) antibody test inpatient CPT 86765 Rubeola Antibodies, IgG LC	$58.71	$83.86	$19.10–$81.34	—	30%
Measles (rubeola) antibody test inpatient CPT 86765 Rubeola Antibodies, IgM LC	$58.71	$83.86	$19.10–$81.34	—	30%
Measles (rubeola) antibody test inpatient CPT 86765 Measles/Mumps/Rubella Immunity LC	$58.71	$83.86	$19.10–$81.34	—	30%
Mono test (heterophile antibody, Monospot) CPT 86308 Mono Qual W/Rflx Qn LC	$74.57	$106.52	$5.18–$103.32	27% below	30%
Mono test (heterophile antibody, Monospot) CPT 86308 Mono Scrn	$74.57	$106.52	$5.18–$103.32	27% below	30%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Mono Qual W/Rflx Qn LC	$74.57	$106.52	$7.67–$103.32	—	30%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Mono Scrn	$74.57	$106.52	$7.67–$103.32	—	30%
PSA (prostate-specific antigen) blood test, free CPT 84154 .PSA % Free Ratio	$83.72	$119.60	$18.39–$116.01	31% above	30%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA, FREE	$83.72	$119.60	$18.39–$116.01	31% above	30%
PSA (prostate-specific antigen) blood test, free CPT 84154 84154	$83.72	$119.60	$18.39–$116.01	31% above	30%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 .PSA % Free Ratio	$83.72	$119.60	$27.27–$116.01	—	30%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA, FREE	$83.72	$119.60	$27.27–$116.01	—	30%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 84154	$83.72	$119.60	$27.27–$116.01	—	30%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA-DIAGNOSTIC	$124.97	$178.52	$18.39–$173.16	20% above	30%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA Total+% Free LC	$124.97	$178.52	$18.39–$173.16	20% above	30%
PSA (prostate-specific antigen) blood test, total CPT 84153 Free PSA	$124.97	$178.52	$18.39–$173.16	20% above	30%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA Diagnostic	$124.97	$178.52	$18.39–$173.16	20% above	30%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Free PSA	$124.97	$178.52	$27.27–$173.16	—	30%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA Total+% Free LC	$124.97	$178.52	$27.27–$173.16	—	30%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA-DIAGNOSTIC	$124.97	$178.52	$27.27–$173.16	—	30%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA Diagnostic	$124.97	$178.52	$27.27–$173.16	—	30%
Pap test (liquid-based, automated screening with review) CPT 88175 88175 PAP IGP, Aptima HPV, rfx 16/18,45 LC	$117.02	$167.16	$26.61–$162.15	17% above	30%
Pap test (liquid-based, automated screening with review) CPT 88175 Gyn Pap, rflx HPV When ASC-U, ASC-H, LSIL, HSIL, AGUS rflx to HPV Gt 16 and 18,45 LC	$117.44	$167.76	$26.61–$162.73	17% above	30%
Pap test (liquid-based, automated screening with review) CPT 88175 Pap IG, rfx HPV ASCU LC	$117.44	$167.76	$26.61–$162.73	17% above	30%
Pap test (liquid-based, automated screening with review) CPT 88175 Pap IG (Image Guided) LC	$117.44	$167.76	$26.61–$162.73	17% above	30%
Pap test (liquid-based, automated screening with review) CPT 88175 88175 PAP IGP,CtNgTv,rfx Aptima HPV ASCU LC	$117.44	$167.76	$26.61–$162.73	17% above	30%
Pap test (liquid-based, automated screening with review) CPT 88175 CYTO PAP IG RFX HPV ASCU	$117.44	$167.76	$26.61–$162.73	17% above	30%
Pap test (liquid-based, automated screening with review) CPT 88175 Additional comment: LC	$117.44	$167.76	$26.61–$162.73	17% above	30%
Pap test (liquid-based, automated screening with review) CPT 88175 IGP, Aptima HPV, Age Gdln LC	$117.44	$167.76	$26.61–$162.73	17% above	30%
Pap test (liquid-based, automated screening with review) CPT 88175 IGP, rfx Aptima HPV ASCU LC	$117.44	$167.76	$26.61–$162.73	17% above	30%
Pap test (liquid-based, automated screening with review) CPT 88175 IGP,rfx Aptima HPV all pth LC	$117.44	$167.76	$26.61–$162.73	17% above	30%
Pap test (liquid-based, automated screening with review) CPT 88175 88175	$117.44	$167.76	$26.61–$162.73	17% above	30%
Pap test (liquid-based, automated screening with review) CPT 88175 88175 IGP-HPV LC	$117.44	$167.76	$26.61–$162.73	17% above	30%
Pap test (liquid-based, automated screening with review) CPT 88175 88175-IGP,CtNgTv,Apt HPV,rfx16/18,45 LC	$117.44	$167.76	$26.61–$162.73	17% above	30%
Pap test (liquid-based, automated screening with review) CPT 88175 IGP,Aptima HPV Age Gdln,CtNgTv LC	$117.44	$167.76	$26.61–$162.73	17% above	30%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 88175 PAP IGP, Aptima HPV, rfx 16/18,45 LC	$117.02	$167.16	$39.27–$162.15	—	30%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 Pap IG (Image Guided) LC	$117.44	$167.76	$39.27–$162.73	—	30%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 Pap IG, rfx HPV ASCU LC	$117.44	$167.76	$39.27–$162.73	—	30%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 CYTO PAP IG RFX HPV ASCU	$117.44	$167.76	$39.27–$162.73	—	30%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 IGP,rfx Aptima HPV all pth LC	$117.44	$167.76	$39.27–$162.73	—	30%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 Gyn Pap, rflx HPV When ASC-U, ASC-H, LSIL, HSIL, AGUS rflx to HPV Gt 16 and 18,45 LC	$117.44	$167.76	$39.27–$162.73	—	30%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 IGP, rfx Aptima HPV ASCU LC	$117.44	$167.76	$39.27–$162.73	—	30%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 Additional comment: LC	$117.44	$167.76	$39.27–$162.73	—	30%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 88175 IGP-HPV LC	$117.44	$167.76	$39.27–$162.73	—	30%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 88175-IGP,CtNgTv,Apt HPV,rfx16/18,45 LC	$117.44	$167.76	$39.27–$162.73	—	30%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 88175	$117.44	$167.76	$39.27–$162.73	—	30%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 IGP,Aptima HPV Age Gdln,CtNgTv LC	$117.44	$167.76	$39.27–$162.73	—	30%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 IGP, Aptima HPV, Age Gdln LC	$117.44	$167.76	$39.27–$162.73	—	30%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 88175 PAP IGP,CtNgTv,rfx Aptima HPV ASCU LC	$117.44	$167.76	$39.27–$162.73	—	30%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 ThinPrep Pap Test, Cytology PG	$80.77	$115.38	$20.26–$111.92	35% above	30%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 .Change IG Pap to LB Pap LC	$80.77	$115.38	$20.26–$111.92	35% above	30%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 ThinPrep Pap Test, Cytology PG	$80.77	$115.38	$30.04–$111.92	—	30%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 .Change IG Pap to LB Pap LC	$80.77	$115.38	$30.04–$111.92	—	30%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE INTACT	$216.04	$308.62	$41.28–$299.36	64% above	30%
Parathyroid hormone (PTH) blood test CPT 83970 PTH, Intact LC	$216.04	$308.62	$41.28–$299.36	64% above	30%
Parathyroid hormone (PTH) blood test CPT 83970 83970	$216.04	$308.62	$41.28–$299.36	64% above	30%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHYROID HORMONE INTACT	$216.04	$308.62	$61.19–$299.36	—	30%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 83970	$216.04	$308.62	$61.19–$299.36	—	30%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH, Intact LC	$216.04	$308.62	$61.19–$299.36	—	30%
Partial thromboplastin time (PTT) clotting test CPT 85730 PART THROMBOPLASTIN TIME ACTI	$75.35	$107.63	$6.01–$104.40	38% above	30%
Partial thromboplastin time (PTT) clotting test CPT 85730 85730-Lupus Anticoagulant Panel LC	$75.35	$107.63	$6.01–$104.40	38% above	30%
Partial thromboplastin time (PTT) clotting test CPT 85730 aPTT LC	$75.35	$107.63	$6.01–$104.40	38% above	30%
Partial thromboplastin time (PTT) clotting test CPT 85730 Partial Thromboplastin Time	$75.35	$107.63	$6.01–$104.40	38% above	30%
Partial thromboplastin time (PTT) clotting test CPT 85730 F-VIII INH, Comprehensive LC	$75.35	$107.63	$6.01–$104.40	38% above	30%
Partial thromboplastin time (PTT) clotting test CPT 85730 85730	$75.35	$107.63	$6.01–$104.40	38% above	30%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Partial Thromboplastin Time	$75.35	$107.63	$8.90–$104.40	—	30%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 85730	$75.35	$107.63	$8.90–$104.40	—	30%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 85730-Lupus Anticoagulant Panel LC	$75.35	$107.63	$8.90–$104.40	—	30%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 aPTT LC	$75.35	$107.63	$8.90–$104.40	—	30%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 F-VIII INH, Comprehensive LC	$75.35	$107.63	$8.90–$104.40	—	30%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PART THROMBOPLASTIN TIME ACTI	$75.35	$107.63	$8.90–$104.40	—	30%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 MaterniT21 PLUS Core (chr21,18,13,sex) LC	$1,455.30	$2,079.00	$464.24–$2,016.63	71% above	30%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 MaterniT21 PLUS Core (chr21,18,13,sex) LC	$1,455.30	$2,079.00	$922.68–$2,016.63	—	30%
Progesterone blood test CPT 84144 Progesterone LC	$143.40	$204.85	$20.86–$198.70	66% above	30%
Progesterone blood test inpatient CPT 84144 Progesterone LC	$143.40	$204.85	$30.92–$198.70	—	30%
Prolactin blood test CPT 84146 84146 PCOS Diagnostic Profile LC	$180.36	$257.65	$19.38–$249.92	29% above	30%
Prolactin blood test CPT 84146 Prolactin, Pituitary Macroadenoma, Serum LC	$180.36	$257.65	$19.38–$249.92	29% above	30%
Prolactin blood test CPT 84146 Prolactin, Pituitary Macroadenoma, Serum-84146	$180.36	$257.65	$19.38–$249.92	29% above	30%
Prolactin blood test CPT 84146 Prolactin LC	$180.36	$257.65	$19.38–$249.92	29% above	30%
Prolactin blood test inpatient CPT 84146 84146 PCOS Diagnostic Profile LC	$180.36	$257.65	$28.73–$249.92	—	30%
Prolactin blood test inpatient CPT 84146 Prolactin, Pituitary Macroadenoma, Serum-84146	$180.36	$257.65	$28.73–$249.92	—	30%
Prolactin blood test inpatient CPT 84146 Prolactin LC	$180.36	$257.65	$28.73–$249.92	—	30%
Prolactin blood test inpatient CPT 84146 Prolactin, Pituitary Macroadenoma, Serum LC	$180.36	$257.65	$28.73–$249.92	—	30%
Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time LC	$15.59	$22.26	$4.29–$21.59	65% below	30%
Prothrombin time (PT/INR) clotting test CPT 85610 85610-Lupus Anticoagulant Panel LC	$15.59	$22.26	$4.29–$21.59	65% below	30%
Prothrombin time (PT/INR) clotting test CPT 85610 85610	$15.59	$22.26	$4.29–$21.59	65% below	30%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME	$15.59	$22.26	$4.29–$21.59	65% below	30%
Prothrombin time (PT/INR) clotting test CPT 85610 PT	$15.59	$22.26	$4.29–$21.59	65% below	30%
Prothrombin time (PT/INR) clotting test CPT 85610 PT/PTT	$15.59	$22.26	$4.29–$21.59	65% below	30%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 85610-Lupus Anticoagulant Panel LC	$15.59	$22.26	$5.82–$21.59	—	30%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 85610	$15.59	$22.26	$5.82–$21.59	—	30%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PT	$15.59	$22.26	$5.82–$21.59	—	30%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PT/PTT	$15.59	$22.26	$5.82–$21.59	—	30%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time LC	$15.59	$22.26	$5.82–$21.59	—	30%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME	$15.59	$22.26	$5.82–$21.59	—	30%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA A&B	$75.35	$107.63	$16.55–$104.40	52% above	30%
Rapid flu test (influenza antigen) CPT 87804 Flu A&B	$75.35	$107.63	$16.55–$104.40	52% above	30%
Rapid flu test (influenza antigen) inpatient CPT 87804 Flu A&B	$75.35	$107.63	$17.78–$104.40	—	30%
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA A&B	$75.35	$107.63	$17.78–$104.40	—	30%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP SCREEN THROAT	$84.96	$121.37	$16.53–$117.73	46% above	30%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 Strep A Rapid	$84.96	$121.37	$16.53–$117.73	46% above	30%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREP SCREEN THROAT	$84.96	$121.37	$17.78–$117.73	—	30%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Strep A Rapid	$84.96	$121.37	$17.78–$117.73	—	30%
Rheumatoid factor (RF) test CPT 86431 86431	$74.37	$106.24	$5.67–$103.05	70% above	30%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR, QUANTITATIVE	$74.37	$106.24	$5.67–$103.05	70% above	30%
Rheumatoid factor (RF) test CPT 86431 Rheumatoid Arthritis Factor LC	$74.37	$106.24	$5.67–$103.05	70% above	30%
Rheumatoid factor (RF) test inpatient CPT 86431 86431	$74.37	$106.24	$8.42–$103.05	—	30%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR, QUANTITATIVE	$74.37	$106.24	$8.42–$103.05	—	30%
Rheumatoid factor (RF) test inpatient CPT 86431 Rheumatoid Arthritis Factor LC	$74.37	$106.24	$8.42–$103.05	—	30%
Rubella antibody test (immunity check) CPT 86762 Rubella Antibodies, IgG LC	$72.54	$103.62	$14.39–$100.51	60% above	30%
Rubella antibody test (immunity check) CPT 86762 86762	$72.55	$103.64	$14.39–$100.53	60% above	30%
Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODIES	$72.55	$103.64	$14.39–$100.53	60% above	30%
Rubella antibody test (immunity check) CPT 86762 Rubella Antibodies, IgM LC	$72.55	$103.64	$14.39–$100.53	60% above	30%
Rubella antibody test (immunity check) CPT 86762 Rubella Ab, IgG	$72.55	$103.64	$14.39–$100.53	60% above	30%
Rubella antibody test (immunity check) inpatient CPT 86762 Rubella Antibodies, IgG LC	$72.54	$103.62	$21.34–$100.51	—	30%
Rubella antibody test (immunity check) inpatient CPT 86762 Rubella Antibodies, IgM LC	$72.55	$103.64	$21.34–$100.53	—	30%
Rubella antibody test (immunity check) inpatient CPT 86762 86762	$72.55	$103.64	$21.34–$100.53	—	30%
Rubella antibody test (immunity check) inpatient CPT 86762 Rubella Ab, IgG	$72.55	$103.64	$21.34–$100.53	—	30%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA ANTIBODIES	$72.55	$103.64	$21.34–$100.53	—	30%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 RBC SED RATE AUTOMATED	$53.59	$76.55	$2.70–$74.25	29% below	30%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 85652	$56.80	$81.14	$2.70–$78.71	25% below	30%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 RBC SED RATE AUTOMATED	$53.59	$76.55	$4.00–$74.25	—	30%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 85652	$56.80	$81.14	$4.00–$78.71	—	30%
Stool ova and parasites exam CPT 87177 Ova + Parasite Exam LC	$86.06	$122.93	$8.90–$119.24	121% above	30%
Stool ova and parasites exam CPT 87177 OVA AND PARASITES	$86.06	$122.93	$8.90–$119.24	121% above	30%
Stool ova and parasites exam inpatient CPT 87177 Ova + Parasite Exam LC	$86.06	$122.93	$13.19–$119.24	—	30%
Stool ova and parasites exam inpatient CPT 87177 OVA AND PARASITES	$86.06	$122.93	$13.19–$119.24	—	30%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 ASSAY TEST FOR BLOOD FECAL	$66.45	$94.92	$15.92–$92.07	19% above	30%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 ColoFIT, Occult Blood, Fecal, IA LC	$66.45	$94.92	$15.92–$92.07	19% above	30%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 ASSAY TEST FOR BLOOD FECAL	$66.45	$94.92	$42.81–$92.07	—	30%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 ColoFIT, Occult Blood, Fecal, IA LC	$66.45	$94.92	$42.81–$92.07	—	30%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Non-Treponemal Screening VDRL LC	$55.83	$79.75	$4.27–$77.36	5% below	30%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR	$55.83	$79.75	$4.27–$77.36	5% below	30%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL, CSF LC	$55.83	$79.75	$4.27–$77.36	5% below	30%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL, CSF LC	$55.83	$79.75	$6.33–$77.36	—	30%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR	$55.83	$79.75	$6.33–$77.36	—	30%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Non-Treponemal Screening VDRL LC	$55.83	$79.75	$6.33–$77.36	—	30%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QuantiFERON-TB Gold Plus LC	$184.21	$263.15	$58.76–$255.26	57% above	30%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QuantiFERON (Client Incubated) LC	$184.21	$263.15	$58.76–$255.26	57% above	30%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QuantiFERON (Client Incubated) LC	$184.21	$263.15	$91.87–$255.26	—	30%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QuantiFERON-TB Gold Plus LC	$184.21	$263.15	$91.87–$255.26	—	30%
Testosterone blood test, total (not free testosterone) CPT 84403 84403	$51.77	$73.95	$16.51–$71.73	42% below	30%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE	$51.77	$73.95	$16.51–$71.73	42% below	30%
Testosterone blood test, total (not free testosterone) CPT 84403 84403 PCOS Diagnostic Profile LC	$51.77	$73.95	$16.51–$71.73	42% below	30%
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone Level Total	$51.77	$73.95	$16.51–$71.73	42% below	30%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 84403 PCOS Diagnostic Profile LC	$51.77	$73.95	$33.35–$71.73	—	30%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone Level Total	$51.77	$73.95	$33.35–$71.73	—	30%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 84403	$51.77	$73.95	$33.35–$71.73	—	30%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE	$51.77	$73.95	$33.35–$71.73	—	30%
Thyroid peroxidase (TPO) antibody test CPT 86376 Liver Kidney Microsomal Ab LC	$88.12	$125.88	$14.55–$122.10	91% above	30%
Thyroid peroxidase (TPO) antibody test CPT 86376 .Thyroid Peroxidase (TPO) Ab LC	$88.12	$125.88	$14.55–$122.10	91% above	30%
Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroid Peroxidase (TPO) Ab LC	$88.12	$125.88	$14.55–$122.10	91% above	30%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Thyroid Peroxidase (TPO) Ab LC	$80.85	$115.49	$19.33–$112.03	—	30%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Liver Kidney Microsomal Ab LC	$88.12	$125.88	$19.33–$122.10	—	30%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 .Thyroid Peroxidase (TPO) Ab LC	$88.12	$125.88	$19.33–$122.10	—	30%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Stimulating Hormone	$46.31	$66.15	$14.77–$64.17	40% below	30%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Cascade Profile LC	$46.31	$66.15	$14.77–$64.17	40% below	30%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 84443 PCOS Diagnostic Profile LC	$46.31	$66.15	$14.77–$64.17	40% below	30%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 84443 PCOS Diagnostic Profile LC	$46.31	$66.15	$24.90–$64.17	—	30%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Thyroid Stimulating Hormone	$46.31	$66.15	$24.90–$64.17	—	30%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Thyroid Cascade Profile LC	$46.31	$66.15	$24.90–$64.17	—	30%
Trichomonas test (NAAT) CPT 87661 NuSwab Vaginitis (VG) LC	$70.55	$100.78	$22.50–$97.76	18% above	30%
Trichomonas test (NAAT) CPT 87661 87661 PAP IGP,CtNgTv,rfx Aptima HPV ASCU LC	$70.55	$100.78	$22.50–$97.76	18% above	30%
Trichomonas test (NAAT) CPT 87661 87661-IGP,CtNgTv,Apt HPV,rfx16/18,45 LC	$70.55	$100.78	$22.50–$97.76	18% above	30%
Trichomonas test (NAAT) CPT 87661 87661 Vaginitis Plus, NuSwab LC	$70.55	$100.78	$22.50–$97.76	18% above	30%
Trichomonas test (NAAT) CPT 87661 87661-IGP,Aptima HPV Age Gdln,CtNgTv LC	$70.55	$100.78	$22.50–$97.76	18% above	30%
Trichomonas test (NAAT) CPT 87661 Trich vag by NAA LC	$70.55	$100.78	$22.50–$97.76	18% above	30%
Trichomonas test (NAAT) inpatient CPT 87661 87661 Vaginitis Plus, NuSwab LC	$70.55	$100.78	$45.45–$97.76	—	30%
Trichomonas test (NAAT) inpatient CPT 87661 NuSwab Vaginitis (VG) LC	$70.55	$100.78	$45.45–$97.76	—	30%
Trichomonas test (NAAT) inpatient CPT 87661 Trich vag by NAA LC	$70.55	$100.78	$45.45–$97.76	—	30%
Trichomonas test (NAAT) inpatient CPT 87661 87661-IGP,CtNgTv,Apt HPV,rfx16/18,45 LC	$70.55	$100.78	$45.45–$97.76	—	30%
Trichomonas test (NAAT) inpatient CPT 87661 87661-IGP,Aptima HPV Age Gdln,CtNgTv LC	$70.55	$100.78	$45.45–$97.76	—	30%
Trichomonas test (NAAT) inpatient CPT 87661 87661 PAP IGP,CtNgTv,rfx Aptima HPV ASCU LC	$70.55	$100.78	$45.45–$97.76	—	30%
Uric acid blood test CPT 84550 Uric Acid	$16.91	$24.15	$4.52–$23.43	72% below	30%
Uric acid blood test inpatient CPT 84550 Uric Acid	$16.91	$24.15	$6.69–$23.43	—	30%
Urinalysis without microscope exam, automated CPT 81003 UA Complete w Cult if Ind	$9.36	$13.36	$2.25–$12.96	81% below	30%
Urinalysis without microscope exam, automated CPT 81003 81003	$9.36	$13.36	$2.25–$12.96	81% below	30%
Urinalysis without microscope exam, automated CPT 81003 UA w Micro	$9.36	$13.36	$2.25–$12.96	81% below	30%
Urinalysis without microscope exam, automated CPT 81003 Specific Gravity Urine	$9.36	$13.36	$2.25–$12.96	81% below	30%
Urinalysis without microscope exam, automated inpatient CPT 81003 81003	$9.36	$13.36	$3.34–$12.96	—	30%
Urinalysis without microscope exam, automated inpatient CPT 81003 UA Complete w Cult if Ind	$9.36	$13.36	$3.34–$12.96	—	30%
Urinalysis without microscope exam, automated inpatient CPT 81003 Specific Gravity Urine	$9.36	$13.36	$3.34–$12.96	—	30%
Urinalysis without microscope exam, automated inpatient CPT 81003 UA w Micro	$9.36	$13.36	$3.34–$12.96	—	30%
Urinalysis without microscope exam, manual CPT 81002 Ketones Urine	$32.18	$45.97	$3.48–$44.59	17% above	30%
Urinalysis without microscope exam, manual CPT 81002 Protein Urine Dipstick	$32.18	$45.97	$3.48–$44.59	17% above	30%
Urinalysis without microscope exam, manual inpatient CPT 81002 Ketones Urine	$32.18	$45.97	$3.78–$44.59	—	30%
Urinalysis without microscope exam, manual inpatient CPT 81002 Protein Urine Dipstick	$32.18	$45.97	$3.78–$44.59	—	30%
Urine culture for bacteria, with colony count CPT 87086 Urine Culture	$31.17	$44.52	$8.07–$43.18	16% below	30%
Urine culture for bacteria, with colony count inpatient CPT 87086 Urine Culture	$31.17	$44.52	$11.97–$43.18	—	30%
Urine pregnancy test, read by color change CPT 81025 Beta hCG Qualitative Urine	$85.01	$121.43	$8.61–$117.79	19% above	30%
Urine pregnancy test, read by color change CPT 81025 U Preg Qual	$85.01	$121.43	$8.61–$117.79	19% above	30%
Urine pregnancy test, read by color change inpatient CPT 81025 Beta hCG Qualitative Urine	$85.01	$121.43	$9.37–$117.79	—	30%
Urine pregnancy test, read by color change inpatient CPT 81025 U Preg Qual	$85.01	$121.43	$9.37–$117.79	—	30%
Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B12 Level	$41.16	$58.80	$13.13–$57.04	44% below	30%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12	$41.16	$58.80	$13.13–$57.04	44% below	30%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12	$41.16	$58.80	$22.34–$57.04	—	30%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vitamin B12 Level	$41.16	$58.80	$22.34–$57.04	—	30%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D 25 Hydroxy Level	$56.88	$81.25	$18.14–$78.81	59% below	30%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 82306	$56.88	$81.25	$18.14–$78.81	59% below	30%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 25-Hydroxyvitamin D LCMS D2+D3 LC	$56.88	$81.25	$18.14–$78.81	59% below	30%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D 25 Hydroxy Level	$56.88	$81.25	$36.64–$78.81	—	30%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 25-Hydroxyvitamin D LCMS D2+D3 LC	$56.88	$81.25	$36.64–$78.81	—	30%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 82306	$56.88	$81.25	$36.64–$78.81	—	30%
Zinc blood test CPT 84630 Zinc, Whole Blood LC	$67.18	$95.96	$11.39–$93.08	83% above	30%
Zinc blood test CPT 84630 Zinc, Plasma or Serum LC	$67.18	$95.96	$11.39–$93.08	83% above	30%
Zinc blood test inpatient CPT 84630 Zinc, Plasma or Serum LC	$67.18	$95.96	$8.44–$93.08	—	30%
Zinc blood test inpatient CPT 84630 Zinc, Whole Blood LC	$67.18	$95.96	$8.44–$93.08	—	30%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Beta hCG Quantitative	$131.75	$188.21	$15.05–$182.56	14% below	30%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 84702	$131.75	$188.21	$15.05–$182.56	14% below	30%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 QUANTITATIVE HCG	$131.75	$188.21	$15.05–$182.56	14% below	30%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Beta hCG Quantitative	$131.75	$188.21	$15.09–$182.56	—	30%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 84702	$131.75	$188.21	$15.09–$182.56	—	30%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 QUANTITATIVE HCG	$131.75	$188.21	$15.09–$182.56	—	30%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs North Carolina	Off list
Botox injections for chronic migraine both sides CPT 64615 64615 CHEMODENERVATION BILATERAL CHARGE	$516.59	$737.98	$164.79–$715.84	—	30%
Botox injections for chronic migraine inpatient both sides CPT 64615 64615 CHEMODENERVATION BILATERAL CHARGE	$516.59	$737.98	$332.83–$715.84	—	30%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 MG Breast Biopsy w/ Stereo Guide Right	$3,674.82	$5,249.74	$1,172.27–$5,092.25	19% above	30%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 MG Breast Biopsy w/ Stereo Guide Left	$3,674.82	$5,249.74	$1,172.27–$5,092.25	19% above	30%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 MG Breast Biopsy w/ Stereo Guide Left	$3,674.82	$5,249.74	$542.58–$5,092.25	—	30%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 MG Breast Biopsy w/ Stereo Guide Right	$3,674.82	$5,249.74	$542.58–$5,092.25	—	30%
Cardiac catheterization with coronary angiogram one side CPT 93458 93458 LEFT HEAR CATH WITH ANGIOGRAM	$8,847.39	$12,639.12	$2,822.32–$12,259.95	21% below	30%
Cardiac catheterization with coronary angiogram inpatient one side CPT 93458 93458 LEFT HEAR CATH WITH ANGIOGRAM	$8,847.39	$12,639.12	$3,377.02–$12,259.95	—	30%
Cardioversion, elective (restoring heart rhythm) CPT 92960 92960 ELEC CARDIOVERSION/DEFIBRILATION OP Tech Fee	$1,178.74	$1,683.91	$376.02–$1,633.39	13% above	30%
Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion	$1,178.74	$1,683.91	$376.02–$1,633.39	13% above	30%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Cardioversion	$1,178.74	$1,683.91	$759.44–$1,633.39	—	30%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 92960 ELEC CARDIOVERSION/DEFIBRILATION OP Tech Fee	$1,178.74	$1,683.91	$759.44–$1,633.39	—	30%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 54150 CIRCUMCISION W/CLAMP OR OTHER DEV W/BLOCK	$547.40	$782.00	$174.62–$2,017.88	42% above	30%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 54150 CIRCUMCISION W/CLAMP OR OTHER DEV W/BLOCK	$547.40	$782.00	$352.68–$945.56	—	30%
Colonoscopy with endoscopic ultrasound CPT 45391 45391 COLONOSCOPY W/ENDOSCOPE US	$1,750.00	$2,500.00	$558.25–$2,425.00	10% above	30%
Colonoscopy with endoscopic ultrasound inpatient CPT 45391 45391 COLONOSCOPY W/ENDOSCOPE US	$1,750.00	$2,500.00	$945.56–$2,425.00	—	30%
Colonoscopy with polyp removal CPT 45385 45385 COLONOSCOPY W/POLYPECTOMY	$1,705.46	$2,436.36	$544.04–$2,363.27	at median	30%
Colonoscopy with polyp removal CPT 45385 45385 COLONOSCOPY FLEX W/REM SNARE	$1,705.46	$2,436.36	$544.04–$2,363.27	at median	30%
Colonoscopy with polyp removal inpatient CPT 45385 45385 COLONOSCOPY W/POLYPECTOMY	$1,705.46	$2,436.36	$1,098.80–$2,363.27	—	30%
Colonoscopy with polyp removal inpatient CPT 45385 45385 COLONOSCOPY FLEX W/REM SNARE	$1,705.46	$2,436.36	$1,098.80–$2,363.27	—	30%
Colonoscopy with tissue sample CPT 45380 45380 COLONOSCOPY W/BX	$1,605.73	$2,293.89	$512.23–$2,225.07	2% below	30%
Colonoscopy with tissue sample CPT 45380 45380 COLONOSCOPY FLEX W/BIOPSY	$1,605.73	$2,293.89	$512.23–$2,225.07	2% below	30%
Colonoscopy with tissue sample inpatient CPT 45380 45380 COLONOSCOPY W/BX	$1,605.73	$2,293.89	$945.56–$2,225.07	—	30%
Colonoscopy with tissue sample inpatient CPT 45380 45380 COLONOSCOPY FLEX W/BIOPSY	$1,605.73	$2,293.89	$945.56–$2,225.07	—	30%
Colonoscopy, diagnostic CPT 45378 45378 COLONOSCOPY FLEXIBLE	$1,601.39	$2,287.69	$510.84–$2,219.06	9% above	30%
Colonoscopy, diagnostic CPT 45378 45378 DIAGNOSTIC COLONOSCOPY	$1,601.39	$2,287.69	$510.84–$2,219.06	9% above	30%
Colonoscopy, diagnostic inpatient CPT 45378 45378 COLONOSCOPY FLEXIBLE	$1,601.39	$2,287.69	$945.56–$2,219.06	—	30%
Colonoscopy, diagnostic inpatient CPT 45378 45378 DIAGNOSTIC COLONOSCOPY	$1,601.39	$2,287.69	$945.56–$2,219.06	—	30%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOSCOPY	$1,602.72	$2,289.60	$511.27–$2,220.91	241% above	30%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 52000 Endoscopy-Cystoscopy, urethroscopy, cystourethroscopy procedures on the bladder	$1,602.72	$2,289.60	$511.27–$2,220.91	241% above	30%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 CYSTOSCOPY	$1,602.72	$2,289.60	$945.56–$2,220.91	—	30%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 52000 Endoscopy-Cystoscopy, urethroscopy, cystourethroscopy procedures on the bladder	$1,602.72	$2,289.60	$945.56–$2,220.91	—	30%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 17000 Destruct Premalig 1st Lesion	$105.83	$151.18	$33.76–$195.73	56% below	30%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRUCTION OF LESION (Burning of Fulgeration)	$106.26	$151.80	$33.90–$195.73	56% below	30%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 17000 Destruct Premalig 1st Lesion	$105.83	$151.18	$68.18–$945.56	—	30%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 DESTRUCTION OF LESION (Burning of Fulgeration)	$106.26	$151.80	$68.46–$945.56	—	30%
Earwax removal by irrigation (rinsing), one ear CPT 69209 69209 REMOVE IMPACTED EAR WAX TechFee	$163.83	$234.03	$52.26–$227.01	54% above	30%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 69209 REMOVE IMPACTED EAR WAX TechFee	$163.83	$234.03	$105.55–$337.70	—	30%
Earwax removal with instruments, one ear CPT 69210 69210 REMOVAL EAR WAX INSTRUMENTATIONTECH FEE	$176.96	$252.79	$55.73–$245.21	13% above	30%
Earwax removal with instruments, one ear inpatient CPT 69210 69210 REMOVAL EAR WAX INSTRUMENTATIONTECH FEE	$176.96	$252.79	$114.01–$337.70	—	30%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 62321 SINGLE CERV/THOR W IMAGING CHARGE	$1,211.91	$1,731.30	$386.60–$1,679.36	19% below	30%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 62321 SINGLE CERV/THOR W IMAGING CHARGE	$1,211.91	$1,731.30	$216.05–$1,679.36	—	30%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 64493 INJ PARAVER LUM/SAC 1ST LEVEL	$1,558.02	$2,225.73	$497.01–$2,158.96	20% above	30%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 64493 INJ PARAVER LUM/SAC 1ST LEVEL	$1,558.02	$2,225.73	$337.70–$2,158.96	—	30%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 45330 SIGMOIDOSCOPY FLEX	$863.55	$1,233.63	$275.47–$1,196.62	29% below	30%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 45330 FLEX SIG	$863.55	$1,233.63	$275.47–$1,196.62	29% below	30%
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 45330 FLEX SIG	$863.55	$1,233.63	$556.37–$1,196.62	—	30%
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 45330 SIGMOIDOSCOPY FLEX	$863.55	$1,233.63	$556.37–$1,196.62	—	30%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 XR HSG injection	$444.01	$634.29	$141.64–$615.26	101% above	30%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 XR HSG injection	$444.01	$634.29	$286.06–$615.26	—	30%
Incision and drainage of a simple or single skin abscess CPT 10060 10060 INCISION & DRAINAGE ABSCESS SIMPLE/SINGLE TechFee	$282.76	$403.93	$90.20–$391.81	29% below	30%
Incision and drainage of a simple or single skin abscess CPT 10060 10060 I & D Abcess Simple/Single Fac	$282.76	$403.93	$90.20–$391.81	29% below	30%
Incision and drainage of a simple or single skin abscess CPT 10060 DRAINAGE OF SKIN ABSCESS/SIMPLE	$282.76	$403.93	$90.20–$391.81	29% below	30%
Incision and drainage of a simple or single skin abscess CPT 10060 10060 I & D Abcess Simple/Single	$282.76	$403.93	$90.20–$391.81	29% below	30%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 10060 I & D Abcess Simple/Single Fac	$282.76	$403.93	$182.17–$945.56	—	30%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 DRAINAGE OF SKIN ABSCESS/SIMPLE	$282.76	$403.93	$182.17–$945.56	—	30%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 10060 I & D Abcess Simple/Single	$282.76	$403.93	$182.17–$945.56	—	30%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 10060 INCISION & DRAINAGE ABSCESS SIMPLE/SINGLE TechFee	$282.76	$403.93	$182.17–$945.56	—	30%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 20550 INJECTION 1 TENDON SHEATH/LIGAMENT APONEUROSIS TechFee	$287.56	$410.80	$91.73–$398.48	25% below	30%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 20550 - Injection into the tendon/tendon sheath	$287.56	$410.80	$91.73–$398.48	25% below	30%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 20550 - Injection into the tendon/tendon sheath	$287.56	$410.80	$185.27–$398.48	—	30%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 20550 INJECTION 1 TENDON SHEATH/LIGAMENT APONEUROSIS TechFee	$287.56	$410.80	$185.27–$398.48	—	30%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 20610 DRAIN/INJ MAJOR JOINT/BURSA W/O US	$493.68	$705.25	$157.48–$684.09	18% above	30%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 20610 ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US TechFee	$493.69	$705.26	$157.48–$684.10	18% above	30%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 20610 Arthrocentesis, aspiration and/or injection, major joint or bursa.	$493.69	$705.26	$157.48–$684.10	18% above	30%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 20610 Arthrocentesis, aspiration and/or injection, major joint or bursa	$493.69	$705.26	$157.48–$684.10	18% above	30%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 20610 ARTHR/ASP/INJ LRG JT/BUR W/O ULT	$493.69	$705.26	$157.48–$684.10	18% above	30%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN INJECTION JOINT BURSA	$493.69	$705.26	$157.48–$684.10	18% above	30%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 20610 DRAIN/INJ MAJOR JOINT/BURSA W/O US	$493.68	$705.25	$318.07–$684.09	—	30%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 20610 ARTHR/ASP/INJ LRG JT/BUR W/O ULT	$493.69	$705.26	$318.07–$684.10	—	30%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 DRAIN INJECTION JOINT BURSA	$493.69	$705.26	$318.07–$684.10	—	30%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 20610 ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US TechFee	$493.69	$705.26	$318.07–$684.10	—	30%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 20610 Arthrocentesis, aspiration and/or injection, major joint or bursa	$493.69	$705.26	$318.07–$684.10	—	30%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 20610 Arthrocentesis, aspiration and/or injection, major joint or bursa.	$493.69	$705.26	$318.07–$684.10	—	30%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 20605 ASPIRATE/INJECT INTERMED JOINT BURSA	$238.06	$340.08	$75.94–$329.88	37% below	30%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 20605 ARTHR/ASP/INJ MED JT/BUR W/O ULT	$238.06	$340.08	$75.94–$329.88	37% below	30%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 20605 ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US TechFee	$238.06	$340.08	$75.94–$329.88	37% below	30%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 20605 ARTHR/ASP/INJ MED JT/BUR W/O ULT	$238.06	$340.08	$153.38–$337.70	—	30%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 20605 ASPIRATE/INJECT INTERMED JOINT BURSA	$238.06	$340.08	$153.38–$337.70	—	30%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 20605 ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US TechFee	$238.06	$340.08	$153.38–$337.70	—	30%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 20600 ARTHRO/ASP/INJ SML JT/BUR W/O ULT	$516.59	$737.98	$164.79–$715.84	42% above	30%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 20600 ARTHRO/ASP/INJ SML JT/BUR W/O ULT	$516.59	$737.98	$332.83–$715.84	—	30%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 REPAIR INTERMED WOUNDS (2.5 CM or >)	$427.04	$610.05	$136.22–$591.75	7% above	30%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 12031 Layered Wound Repair < 2.5 CM	$427.04	$610.05	$136.22–$591.75	7% above	30%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 REPAIR INTERMED WOUNDS (2.5 CM or >)	$427.04	$610.05	$275.13–$591.75	—	30%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 12031 Layered Wound Repair < 2.5 CM	$427.04	$610.05	$275.13–$591.75	—	30%
Lower-back epidural injection, with imaging guidance CPT 62323 62323 INJ Non-Anese, LMBR/Caud W/Floro Charge	$1,211.91	$1,731.30	$386.60–$1,679.36	2% below	30%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 62323 INJ Non-Anese, LMBR/Caud W/Floro Charge	$1,211.91	$1,731.30	$212.07–$1,679.36	—	30%
Lower-back epidural injection, without imaging guidance both sides CPT 62322 62322 INJ,NON-ANSE,LUMB/CAUDAL,BILAT CHARGE	$1,558.02	$2,225.73	$497.01–$2,158.96	—	30%
Lower-back epidural injection, without imaging guidance inpatient both sides CPT 62322 62322 INJ,NON-ANSE,LUMB/CAUDAL,BILAT CHARGE	$1,558.02	$2,225.73	$136.25–$2,158.96	—	30%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 64483 TRANSFORAMINAL INJECT LUMBAR SPINE	$1,558.02	$2,225.73	$497.01–$2,158.96	2% below	30%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 64483 TRANSFORAMINAL INJECT LUMBAR SPINE	$1,558.02	$2,225.73	$337.70–$2,158.96	—	30%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 11400 Exc Benign Lesion < 0.5 CM	$649.38	$927.68	$207.15–$899.85	43% above	30%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 11400 Exc Benign Lesion < 0.5 CM	$649.38	$927.68	$418.38–$945.56	—	30%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 11440 Exc Benign Lesion Face Under 0.5 CM	$627.20	$896.00	$200.08–$869.12	2% above	30%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 11440 Exc Benign Lesion Face Under 0.5 CM	$627.20	$896.00	$404.10–$945.56	—	30%
Nail removal (partial or complete), one nail CPT 11730 11730 Avulsion Nail Plate Simple Single-HENR_IN	$229.41	$327.72	$73.18–$317.89	12% above	30%
Nail removal (partial or complete), one nail CPT 11730 11730 Avulsion Nail Plate Simple Single	$229.41	$327.72	$73.18–$317.89	12% above	30%
Nail removal (partial or complete), one nail CPT 11730 11730 AVULSION NAIL PLATE PARTIAL/COMPLETE SIMPLE 1 TechFee	$229.41	$327.72	$73.18–$317.89	12% above	30%
Nail removal (partial or complete), one nail inpatient CPT 11730 11730 Avulsion Nail Plate Simple Single	$229.41	$327.72	$147.80–$945.56	—	30%
Nail removal (partial or complete), one nail inpatient CPT 11730 11730 Avulsion Nail Plate Simple Single-HENR_IN	$229.41	$327.72	$147.80–$945.56	—	30%
Nail removal (partial or complete), one nail inpatient CPT 11730 11730 AVULSION NAIL PLATE PARTIAL/COMPLETE SIMPLE 1 TechFee	$229.41	$327.72	$147.80–$945.56	—	30%
Occipital nerve block (injection for headaches) CPT 64405 64405 NERV BLK GRTR OCCIPITAL NERV CHARGE	$516.59	$737.98	$164.79–$715.84	11% below	30%
Occipital nerve block (injection for headaches) inpatient CPT 64405 64405 NERV BLK GRTR OCCIPITAL NERV CHARGE	$516.59	$737.98	$332.83–$715.84	—	30%
Paracentesis with imaging guidance CPT 49083 49083 PARACENTESIS ABDOMINAL W/ IMAGING	$1,187.37	$1,696.24	$378.77–$1,645.35	8% below	30%
Paracentesis with imaging guidance CPT 49083 49083 ABD. PARACENTESIS W/IMAGING	$1,199.80	$1,714.00	$382.74–$1,662.58	7% below	30%
Paracentesis with imaging guidance CPT 49083 US ABD PARACENTESIS W/IMAGING	$1,271.79	$1,816.84	$405.70–$1,762.33	1% below	30%
Paracentesis with imaging guidance CPT 49083 ABD. PARACENTESIS W/IMAGING	$1,271.79	$1,816.84	$405.70–$1,762.33	1% below	30%
Paracentesis with imaging guidance CPT 49083 49083 ABD paracentesis w/ imaging	$1,271.79	$1,816.84	$405.70–$1,762.33	1% below	30%
Paracentesis with imaging guidance inpatient CPT 49083 49083 PARACENTESIS ABDOMINAL W/ IMAGING	$1,187.37	$1,696.24	$765.00–$1,645.35	—	30%
Paracentesis with imaging guidance inpatient CPT 49083 49083 ABD. PARACENTESIS W/IMAGING	$1,199.80	$1,714.00	$773.01–$1,662.58	—	30%
Paracentesis with imaging guidance inpatient CPT 49083 49083 ABD paracentesis w/ imaging	$1,271.79	$1,816.84	$819.39–$1,762.33	—	30%
Paracentesis with imaging guidance inpatient CPT 49083 ABD. PARACENTESIS W/IMAGING	$1,271.79	$1,816.84	$819.39–$1,762.33	—	30%
Paracentesis with imaging guidance inpatient CPT 49083 US ABD PARACENTESIS W/IMAGING	$1,271.79	$1,816.84	$819.39–$1,762.33	—	30%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 11750 EXCISION NAIL MATRIX PERMANENT REMOVAL TechFee	$415.73	$593.89	$132.62–$576.07	29% below	30%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 11750 Exc Nail Matrix Partial or Complete	$415.73	$593.89	$132.62–$576.07	29% below	30%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 11750 EXCISION NAIL MATRIX PERMANENT REMOVAL TechFee	$415.73	$593.89	$267.84–$945.56	—	30%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 11750 Exc Nail Matrix Partial or Complete	$415.73	$593.89	$267.84–$945.56	—	30%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 64635 DEST BY NEURO AGENT W/IMAGE LUM/SAC SIN	$3,417.36	$4,881.93	$1,090.13–$4,735.47	at median	30%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 64635 DEST BY NEURO AGENT W/IMAGE LUM/SAC SIN	$3,417.36	$4,881.93	$945.56–$4,735.47	—	30%
Removal of a foreign object under the skin, simple CPT 10120 10120 Incision & removal of Foreign Body Simple	$272.98	$389.96	$87.08–$393.56	36% below	30%
Removal of a foreign object under the skin, simple CPT 10120 REMOVAL FOREIGN BODY	$272.98	$389.96	$87.08–$393.56	36% below	30%
Removal of a foreign object under the skin, simple CPT 10120 10120 INCISION & REMOVAL FOREIGN BODY SUBQ TISS SIMPLE TechFee	$272.98	$389.96	$87.08–$393.56	36% below	30%
Removal of a foreign object under the skin, simple CPT 10120 10120 Incision & Removal Foreign Body Simp FAC	$272.98	$389.96	$87.08–$393.56	36% below	30%
Removal of a foreign object under the skin, simple inpatient CPT 10120 10120 INCISION & REMOVAL FOREIGN BODY SUBQ TISS SIMPLE TechFee	$272.98	$389.96	$175.87–$945.56	—	30%
Removal of a foreign object under the skin, simple inpatient CPT 10120 10120 Incision & removal of Foreign Body Simple	$272.98	$389.96	$175.87–$945.56	—	30%
Removal of a foreign object under the skin, simple inpatient CPT 10120 10120 Incision & Removal Foreign Body Simp FAC	$272.98	$389.96	$175.87–$945.56	—	30%
Removal of a foreign object under the skin, simple inpatient CPT 10120 REMOVAL FOREIGN BODY	$272.98	$389.96	$175.87–$945.56	—	30%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 G0121 COLON CANCER SCR NON-HR	$1,469.16	$2,098.80	$468.66–$2,035.84	10% above	30%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 G0121 COLONOSCOPY SCREEN/NOT MEET HIGH RIS	$1,469.16	$2,098.80	$468.66–$2,035.84	10% above	30%
Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 G0121 COLONOSCOPY SCREEN/NOT MEET HIGH RIS	$1,469.16	$2,098.80	$945.56–$2,035.84	—	30%
Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 G0121 COLON CANCER SCR NON-HR	$1,469.16	$2,098.80	$945.56–$2,035.84	—	30%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 G0105 COLON CANCER SCR COLON HR	$1,469.16	$2,098.80	$468.66–$2,035.84	21% above	30%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 G0105 COLONOSCOPY-DX HIGH RISK USE V160	$1,542.62	$2,203.74	$492.10–$2,137.63	27% above	30%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 G0105 COLON CANCER SCR COLON HR	$1,469.16	$2,098.80	$946.56–$2,035.84	—	30%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 G0105 COLONOSCOPY-DX HIGH RISK USE V160	$1,542.62	$2,203.74	$993.89–$2,137.63	—	30%
Short arm splint (forearm and hand) CPT 29125 29125 APPLICATION SHORT ARM SPLINT FOREARM-HAND STATIC TechFee	$212.81	$304.01	$67.89–$294.89	16% below	30%
Short arm splint (forearm and hand) inpatient CPT 29125 29125 APPLICATION SHORT ARM SPLINT FOREARM-HAND STATIC TechFee	$212.81	$304.01	$137.11–$294.89	—	30%
Short leg splint (calf to foot) CPT 29515 29515 APPLICATION SHORT LEG SPLINT CALF FOOT TechFee	$222.02	$317.16	$70.82–$307.65	at median	30%
Short leg splint (calf to foot) inpatient CPT 29515 29515 APPLICATION SHORT LEG SPLINT CALF FOOT TechFee	$222.02	$317.16	$143.04–$307.65	—	30%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 12001 Laceration Repair < 2.5 CM	$254.43	$363.46	$81.16–$352.56	32% below	30%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 12001 Laceration Repair < 2.5 CM-HENR_IN	$254.43	$363.46	$81.16–$352.56	32% below	30%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 12001 SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/< TechFee	$254.43	$363.46	$81.16–$352.56	32% below	30%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 12001 SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/< TechFee	$254.43	$363.46	$163.92–$352.56	—	30%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 12001 Laceration Repair < 2.5 CM	$254.43	$363.46	$163.92–$352.56	—	30%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 12001 Laceration Repair < 2.5 CM-HENR_IN	$254.43	$363.46	$163.92–$352.56	—	30%
Skin biopsy, punch, one lesion CPT 11104 11104 BX SKIN PUNCH SINGLE LESION	$236.79	$338.27	$75.54–$393.56	15% below	30%
Skin biopsy, punch, one lesion inpatient CPT 11104 11104 BX SKIN PUNCH SINGLE LESION	$236.79	$338.27	$107.55–$328.12	—	30%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 11600 Exc Malignant Lesion < 0.5 CM-HENR_IN	$1,598.80	$2,284.00	$510.02–$2,215.48	168% above	30%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 11600 Exc Malignant Lesion < 0.5 CM-HENR_IN	$1,598.80	$2,284.00	$945.56–$2,215.48	—	30%
Skin tag removal, up to 15 tags CPT 11200 11200 REMOVAL SKN TAGS MLT FIBRQ TAGS ANY AREA UPW/15 TechFee	$206.03	$294.32	$65.72–$285.49	27% below	30%
Skin tag removal, up to 15 tags CPT 11200 11200 Remove Skin Tags Up to 15 Lesions	$206.03	$294.32	$65.72–$285.49	27% below	30%
Skin tag removal, up to 15 tags inpatient CPT 11200 11200 REMOVAL SKN TAGS MLT FIBRQ TAGS ANY AREA UPW/15 TechFee	$206.03	$294.32	$132.74–$945.56	—	30%
Skin tag removal, up to 15 tags inpatient CPT 11200 11200 Remove Skin Tags Up to 15 Lesions	$206.03	$294.32	$132.74–$945.56	—	30%
Spinal tap (lumbar puncture), diagnostic CPT 62270 62270 SPINAL FLUID TAP DIAGNOSTIC FAC Tech Fee	$453.52	$647.88	$144.67–$682.16	46% below	30%
Spinal tap (lumbar puncture), diagnostic CPT 62270 62270 Spinal puncture, lumbar, diagnostic	$453.52	$647.88	$144.67–$682.16	46% below	30%
Spinal tap (lumbar puncture), diagnostic CPT 62270 62270 LUMBAR PUNCTURE DIAGNOSTIC CHARGE	$453.52	$647.88	$144.67–$682.16	46% below	30%
Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE SPINAL TAP	$453.52	$647.88	$144.67–$682.16	46% below	30%
Spinal tap (lumbar puncture), diagnostic CPT 62270 62270 LUMBAR PUNCTURE CHARGE	$453.52	$647.88	$144.67–$682.16	46% below	30%
Spinal tap (lumbar puncture), diagnostic CPT 62270 62270 Spinal puncture lumbar, diagnostic	$453.52	$647.88	$144.67–$682.16	46% below	30%
Spinal tap (lumbar puncture), diagnostic CPT 62270 62270 SPINAL FLUID TAP DIAGNOSTIC	$453.52	$647.88	$144.67–$682.16	46% below	30%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 62270 SPINAL FLUID TAP DIAGNOSTIC FAC Tech Fee	$453.52	$647.88	$292.19–$628.44	—	30%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 LUMBAR PUNCTURE SPINAL TAP	$453.52	$647.88	$292.19–$628.44	—	30%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 62270 Spinal puncture lumbar, diagnostic	$453.52	$647.88	$292.19–$628.44	—	30%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 62270 LUMBAR PUNCTURE DIAGNOSTIC CHARGE	$453.52	$647.88	$292.19–$628.44	—	30%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 62270 SPINAL FLUID TAP DIAGNOSTIC	$453.52	$647.88	$292.19–$628.44	—	30%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 62270 LUMBAR PUNCTURE CHARGE	$453.52	$647.88	$292.19–$628.44	—	30%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 62270 Spinal puncture, lumbar, diagnostic	$453.52	$647.88	$292.19–$628.44	—	30%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 12002 Laceration Repair 2.6 to 7.5 CM	$308.71	$441.01	$98.48–$427.78	17% below	30%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 12002 SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM TechFee	$308.71	$441.01	$98.48–$427.78	17% below	30%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 12002 Laceration Repair 2.6 to 7.5 CM	$308.71	$441.01	$198.90–$427.78	—	30%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 12002 SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM TechFee	$308.71	$441.01	$198.90–$427.78	—	30%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 12011 SIMPLE REPAIR F/E/E/N/L/M 2.5CM/< TechFee	$247.13	$353.04	$78.83–$342.45	25% below	30%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 12011 SIMPLE REPAIR F/E/E/N/L/M 2.5CM/< TechFee	$247.13	$353.04	$159.22–$342.45	—	30%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 11102 BX SKIN TANGNTL SINGLE LES	$214.80	$306.85	$68.52–$297.64	at median	30%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 11102 BX SKIN TANGNTL SINGLE LES	$214.80	$306.85	$85.53–$297.64	—	30%
Thoracentesis with imaging guidance CPT 32555 US Guided Thoracentesis	$1,519.34	$2,170.48	$484.67–$2,105.37	14% above	30%
Thoracentesis with imaging guidance CPT 32555 32555 US Guided Thoracentesis	$1,519.34	$2,170.48	$484.67–$2,105.37	14% above	30%
Thoracentesis with imaging guidance CPT 32555 US Thoracentesis	$1,519.34	$2,170.48	$484.67–$2,105.37	14% above	30%
Thoracentesis with imaging guidance inpatient CPT 32555 US Thoracentesis	$1,519.34	$2,170.48	$978.89–$2,105.37	—	30%
Thoracentesis with imaging guidance inpatient CPT 32555 US Guided Thoracentesis	$1,519.34	$2,170.48	$978.89–$2,105.37	—	30%
Thoracentesis with imaging guidance inpatient CPT 32555 32555 US Guided Thoracentesis	$1,519.34	$2,170.48	$978.89–$2,105.37	—	30%
Trigger point injections, 1 or 2 muscles CPT 20552 20552 INJECTION SINGLE/MLT TRIGGER POINT 1/2 MUSC	$584.43	$834.90	$186.43–$809.85	27% above	30%
Trigger point injections, 1 or 2 muscles CPT 20552 20552 INJECTION TRIGGER POINT 1 OR 2 MUSCLES	$584.43	$834.90	$186.43–$809.85	27% above	30%
Trigger point injections, 1 or 2 muscles CPT 20552 20552 INJECTION SINGLE/MLT TRIGGER POINT 1/2 MUSCLES TechFee	$584.43	$834.90	$186.43–$809.85	27% above	30%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 20552 INJECTION SINGLE/MLT TRIGGER POINT 1/2 MUSCLES TechFee	$584.43	$834.90	$337.70–$809.85	—	30%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 20552 INJECTION SINGLE/MLT TRIGGER POINT 1/2 MUSC	$584.43	$834.90	$337.70–$809.85	—	30%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 20552 INJECTION TRIGGER POINT 1 OR 2 MUSCLES	$584.43	$834.90	$337.70–$809.85	—	30%
Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 US Breast Biopsy w/ US Guide Right	$3,590.54	$5,129.34	$1,145.38–$4,975.46	85% above	30%
Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 US Breast Biopsy w/ US Guide Left	$3,590.54	$5,129.34	$1,145.38–$4,975.46	85% above	30%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 US Breast Biopsy w/ US Guide Right	$3,590.54	$5,129.34	$539.13–$4,975.46	—	30%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 US Breast Biopsy w/ US Guide Left	$3,590.54	$5,129.34	$539.13–$4,975.46	—	30%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 43249 EGD W/DILATION (ANY METHOD)	$1,643.91	$2,348.43	$524.40–$2,277.98	32% below	30%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 43249 EGD W/DILAT ESOPH BALLOON	$1,643.91	$2,348.43	$524.40–$2,277.98	32% below	30%
Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 43249 EGD W/DILAT ESOPH BALLOON	$1,643.91	$2,348.43	$1,059.14–$2,277.98	—	30%
Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 43249 EGD W/DILATION (ANY METHOD)	$1,643.91	$2,348.43	$1,059.14–$2,277.98	—	30%
Upper endoscopy (EGD) with biopsy CPT 43239 43239 GASTROSCOPY W/BX	$1,603.52	$2,290.73	$511.52–$2,222.01	2% below	30%
Upper endoscopy (EGD) with biopsy CPT 43239 43239 EGD W/BIOPSY	$1,603.52	$2,290.73	$511.52–$2,222.01	2% below	30%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 43239 GASTROSCOPY W/BX	$1,603.52	$2,290.73	$1,033.12–$2,222.01	—	30%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 43239 EGD W/BIOPSY	$1,603.52	$2,290.73	$1,033.12–$2,222.01	—	30%
Upper endoscopy (EGD) with injection into the lining CPT 43236 43236 ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; W/ DIRECTED SUBMUCOSAL INJECTION(S) ANY SUBST	$1,440.72	$2,058.16	$459.59–$1,996.42	13% above	30%
Upper endoscopy (EGD) with injection into the lining CPT 43236 43236 EGD W/DIRECTED SUBMUCOSAL INJ	$1,440.72	$2,058.16	$459.59–$1,996.42	13% above	30%
Upper endoscopy (EGD) with injection into the lining CPT 43236 43236 Esophagogastroduodenoscopy, flexible,transoral; w/ directed submucosal injection(s), any subst	$1,440.72	$2,058.16	$459.59–$1,996.42	13% above	30%
Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 43236 ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; W/ DIRECTED SUBMUCOSAL INJECTION(S) ANY SUBST	$1,440.72	$2,058.16	$928.23–$1,996.42	—	30%
Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 43236 Esophagogastroduodenoscopy, flexible,transoral; w/ directed submucosal injection(s), any subst	$1,440.72	$2,058.16	$928.23–$1,996.42	—	30%
Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 43236 EGD W/DIRECTED SUBMUCOSAL INJ	$1,440.72	$2,058.16	$928.23–$1,996.42	—	30%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 43251 EGD REM TUMR/POLYP SNARE	$1,643.91	$2,348.43	$524.40–$2,277.98	32% below	30%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 43251 GASTROSCOPY W/POLYPECTOMY SNARE TEC	$1,643.91	$2,348.43	$524.40–$2,277.98	32% below	30%
Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 43251 GASTROSCOPY W/POLYPECTOMY SNARE TEC	$1,643.91	$2,348.43	$1,059.14–$2,277.98	—	30%
Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 43251 EGD REM TUMR/POLYP SNARE	$1,643.91	$2,348.43	$1,059.14–$2,277.98	—	30%
Upper endoscopy (EGD), diagnostic CPT 43235 43235 GASTROSCOPY DIAGNOSTIC W/WO BRUSHING SURG	$1,510.34	$2,157.62	$481.80–$2,092.89	2% below	30%
Upper endoscopy (EGD), diagnostic CPT 43235 43235 EGD	$1,510.34	$2,157.62	$481.80–$2,092.89	2% below	30%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 43235 EGD	$1,510.34	$2,157.62	$945.56–$2,092.89	—	30%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 43235 GASTROSCOPY DIAGNOSTIC W/WO BRUSHING SURG	$1,510.34	$2,157.62	$945.56–$2,092.89	—	30%
Wart removal, up to 14 warts CPT 17110 17110 Destruct Benign Up tp 14 Lesions	$181.05	$258.64	$57.75–$250.88	16% above	30%
Wart removal, up to 14 warts inpatient CPT 17110 17110 Destruct Benign Up tp 14 Lesions	$181.05	$258.64	$116.65–$945.56	—	30%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Excision of Lesion	$733.63	$1,048.03	$234.03–$1,016.59	76% above	30%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 11042 Debride Skin & Subcutaneous Tissue	$733.63	$1,048.03	$234.03–$1,016.59	76% above	30%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 11042 Debride Skin & Subcutaneous Tissue.	$733.63	$1,048.03	$234.03–$1,016.59	76% above	30%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDE SKIN/TISSUE	$733.63	$1,048.03	$234.03–$1,016.59	76% above	30%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDE SKIN/TISSUE	$733.63	$1,048.03	$472.66–$1,539.91	—	30%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 11042 Debride Skin & Subcutaneous Tissue	$733.63	$1,048.03	$472.66–$1,539.91	—	30%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 11042 Debride Skin & Subcutaneous Tissue.	$733.63	$1,048.03	$472.66–$1,539.91	—	30%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Excision of Lesion	$733.63	$1,048.03	$472.66–$1,539.91	—	30%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs North Carolina	Off list
Blood transfusion (giving blood or blood components) CPT 36430 36430 BLOOD ADMIN TRANSFUSION CHARGE	$526.55	$752.21	$167.97–$729.64	29% below	30%
Blood transfusion (giving blood or blood components) CPT 36430 36430 TRANSFUSION PER HR CHARGE	$526.55	$752.21	$167.97–$729.64	29% below	30%
Blood transfusion (giving blood or blood components) CPT 36430 36430 BLOOD TRANSFUSION SERVICE TechFee	$526.55	$752.21	$167.97–$729.64	29% below	30%
Blood transfusion (giving blood or blood components) CPT 36430 Blood Product Administration	$526.55	$752.21	$167.97–$729.64	29% below	30%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Product Administration	$526.55	$752.21	$339.25–$729.64	—	30%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 36430 BLOOD ADMIN TRANSFUSION CHARGE	$526.55	$752.21	$339.25–$729.64	—	30%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 36430 BLOOD TRANSFUSION SERVICE TechFee	$526.55	$752.21	$339.25–$729.64	—	30%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 36430 TRANSFUSION PER HR CHARGE	$526.55	$752.21	$339.25–$729.64	—	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Breath actuated nebulizer	$104.34	$149.05	$33.28–$200.35	6% above	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Large volume nebulizer	$104.34	$149.05	$33.28–$200.35	6% above	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Metered dose inhaler	$104.34	$149.05	$33.28–$200.35	6% above	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HANDHELD NEBULIZER TREATMENT	$104.34	$149.05	$33.28–$200.35	6% above	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 EZPAP	$104.34	$149.05	$33.28–$200.35	6% above	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 IPV	$104.34	$149.05	$33.28–$200.35	6% above	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Small volume nebulizer	$104.34	$149.05	$33.28–$200.35	6% above	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT Mini-Neb Initial CHARGE	$104.34	$149.05	$33.28–$200.35	6% above	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Patient's Home Unit	$104.34	$149.05	$33.28–$200.35	6% above	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Ultrasonic nebulizer	$104.34	$149.05	$33.28–$200.35	6% above	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Large volume nebulizer	$104.34	$149.05	$10.26–$144.58	—	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 EZPAP	$104.34	$149.05	$10.26–$144.58	—	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Patient's Home Unit	$104.34	$149.05	$10.26–$144.58	—	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Small volume nebulizer	$104.34	$149.05	$10.26–$144.58	—	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT Mini-Neb Initial CHARGE	$104.34	$149.05	$10.26–$144.58	—	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Breath actuated nebulizer	$104.34	$149.05	$10.26–$144.58	—	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Ultrasonic nebulizer	$104.34	$149.05	$10.26–$144.58	—	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HANDHELD NEBULIZER TREATMENT	$104.34	$149.05	$10.26–$144.58	—	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 IPV	$104.34	$149.05	$10.26–$144.58	—	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Metered dose inhaler	$104.34	$149.05	$10.26–$144.58	—	30%
Chemotherapy IV infusion, first hour CPT 96413 96413 Chemo Adm IV inf 1 hr SGL Init	$324.11	$463.01	$103.39–$449.12	54% below	30%
Chemotherapy IV infusion, first hour CPT 96413 96413 CHEMO IV INFUSION 1ST HR CHARGE	$324.11	$463.01	$103.39–$449.12	54% below	30%
Chemotherapy IV infusion, first hour inpatient CPT 96413 96413 CHEMO IV INFUSION 1ST HR CHARGE	$324.11	$463.01	$208.82–$449.12	—	30%
Chemotherapy IV infusion, first hour inpatient CPT 96413 96413 Chemo Adm IV inf 1 hr SGL Init	$324.11	$463.01	$208.82–$449.12	—	30%
Critical care, first 30 to 74 minutes CPT 99291 9929125 ER LVL 6 CRIT CARE 30-74 MIN/25 TechFee	$2,326.19	$3,323.12	$742.05–$3,223.43	2% below	30%
Critical care, first 30 to 74 minutes CPT 99291 99291 TRAUMA ALERT CLASS 1	$2,326.19	$3,323.12	$742.05–$3,223.43	2% below	30%
Critical care, first 30 to 74 minutes inpatient CPT 99291 9929125 ER LVL 6 CRIT CARE 30-74 MIN/25 TechFee	$2,326.19	$3,323.12	$1,498.73–$3,223.43	—	30%
Critical care, first 30 to 74 minutes inpatient CPT 99291 99291 TRAUMA ALERT CLASS 1	$2,326.19	$3,323.12	$1,498.73–$3,223.43	—	30%
EEG (brain wave test), awake and drowsy, routine CPT 95816 95816 EEG Facility Charge	$421.85	$602.63	$134.57–$584.55	49% below	30%
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG	$421.85	$602.63	$134.57–$584.55	49% below	30%
EEG (brain wave test), awake and drowsy, routine CPT 95816 RT EEG w/Rec. Awake and Drowsy CHARGE	$421.85	$602.63	$134.57–$584.55	49% below	30%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 RT EEG w/Rec. Awake and Drowsy CHARGE	$421.85	$602.63	$271.79–$584.55	—	30%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG	$421.85	$602.63	$271.79–$584.55	—	30%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 95816 EEG Facility Charge	$421.85	$602.63	$271.79–$584.55	—	30%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 93005 EKG-ER TechFee	$161.25	$230.35	$51.44–$223.44	15% below	30%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG (Lab)	$161.25	$230.35	$51.44–$223.44	15% below	30%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG Cardiology	$161.25	$230.35	$51.44–$223.44	15% below	30%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG	$161.25	$230.35	$51.44–$223.44	15% below	30%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 RT Electrocardiogram (EKG) CHARGE	$161.25	$230.35	$51.44–$223.44	15% below	30%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG	$161.25	$230.35	$103.89–$223.44	—	30%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 93005 EKG-ER TechFee	$161.25	$230.35	$103.89–$223.44	—	30%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG Cardiology	$161.25	$230.35	$103.89–$223.44	—	30%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 RT Electrocardiogram (EKG) CHARGE	$161.25	$230.35	$103.89–$223.44	—	30%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG (Lab)	$161.25	$230.35	$103.89–$223.44	—	30%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 99281 Emergency Department Visit. Level 1	$169.40	$242.00	$54.04–$234.74	5% below	30%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 99281 ER LEVEL 1 VISIT TechFee	$169.40	$242.00	$54.04–$234.74	5% below	30%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 9928125 LEVEL 1 ED SERVICES W/PROCEDURES TechFee	$169.40	$242.00	$54.04–$234.74	5% below	30%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 99281 ER VISIT LEVEL 1 OB W SUPPLIES CHARGES	$169.40	$242.00	$54.04–$234.74	5% below	30%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 99281 Emergency Department Visit. Level 1	$169.40	$242.00	$109.14–$234.74	—	30%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 99281 ER VISIT LEVEL 1 OB W SUPPLIES CHARGES	$169.40	$242.00	$109.14–$234.74	—	30%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 99281 ER LEVEL 1 VISIT TechFee	$169.40	$242.00	$109.14–$234.74	—	30%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 9928125 LEVEL 1 ED SERVICES W/PROCEDURES TechFee	$169.40	$242.00	$109.14–$234.74	—	30%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 9928225 LEVEL 2 ED SERVICES W/PROC TechFee	$300.58	$429.40	$95.89–$416.52	15% below	30%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 99282 ER LEVEL 2 VISIT Tech Fee	$300.58	$429.40	$95.89–$416.52	15% below	30%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 99282 ER VISIT LEVEL 2	$300.58	$429.40	$95.89–$416.52	15% below	30%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 99282 - Level 2	$300.58	$429.40	$95.89–$416.52	15% below	30%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 99282 ER VISIT LEVEL 2	$300.58	$429.40	$193.66–$416.52	—	30%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 99282 ER LEVEL 2 VISIT Tech Fee	$300.58	$429.40	$193.66–$416.52	—	30%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 9928225 LEVEL 2 ED SERVICES W/PROC TechFee	$300.58	$429.40	$193.66–$416.52	—	30%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 99282 - Level 2	$300.58	$429.40	$193.66–$416.52	—	30%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 99283 ER VISIT LEVEL 3 OB OUTPT W SUPPLY CHARGES	$878.55	$1,255.07	$259.76–$1,217.42	2% below	30%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 99283 ER LEVEL 3 VISIT TechFee	$878.55	$1,255.07	$259.76–$1,217.42	2% below	30%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 99283 - Level 3	$878.55	$1,255.07	$259.76–$1,217.42	2% below	30%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 9928325 LEVEL 3 ED SERVICES W/PROD TechFee	$878.55	$1,255.07	$259.76–$1,217.42	2% below	30%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 99283 ER VISIT LEVEL 3 OB OUTPT W SUPPLY CHARGES	$878.55	$1,255.07	$566.04–$1,217.42	—	30%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 99283 - Level 3	$878.55	$1,255.07	$566.04–$1,217.42	—	30%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 9928325 LEVEL 3 ED SERVICES W/PROD TechFee	$878.55	$1,255.07	$566.04–$1,217.42	—	30%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 99283 ER LEVEL 3 VISIT TechFee	$878.55	$1,255.07	$566.04–$1,217.42	—	30%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 99284 - Level 4	$1,135.75	$1,622.50	$362.30–$1,573.83	8% below	30%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 9928425 LEVEL 4 ED SERVICES W/PROC TechFee	$1,135.75	$1,622.50	$362.30–$1,573.83	8% below	30%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 99284 ER VISIT LEVEL 4 OB OUTPT W SUPPLY CHARGES	$1,135.75	$1,622.50	$362.30–$1,573.83	8% below	30%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 99284 ER LEVEL 4 VISIT TechFee	$1,135.75	$1,622.50	$362.30–$1,573.83	8% below	30%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 99284 ER VISIT LEVEL 4 OB OUTPT W SUPPLY CHARGES	$1,135.75	$1,622.50	$731.75–$1,573.83	—	30%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 9928425 LEVEL 4 ED SERVICES W/PROC TechFee	$1,135.75	$1,622.50	$731.75–$1,573.83	—	30%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 99284 ER LEVEL 4 VISIT TechFee	$1,135.75	$1,622.50	$731.75–$1,573.83	—	30%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 99284 - Level 4	$1,135.75	$1,622.50	$731.75–$1,573.83	—	30%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 99285 ER VISIT LEVEL 5 TechFee	$1,761.56	$2,516.51	$561.94–$2,441.01	5% above	30%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 9928525 LEVEL 5 ED SERVICES W/PROC TechFee	$1,761.56	$2,516.51	$561.94–$2,441.01	5% above	30%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 99285 - Level 5	$1,761.56	$2,516.51	$561.94–$2,441.01	5% above	30%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 99285 ER VISIT LEVEL 5 CHARGE	$1,761.56	$2,516.51	$561.94–$2,441.01	5% above	30%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 9928525 LEVEL 5 ED SERVICES W/PROC TechFee	$1,761.56	$2,516.51	$1,134.95–$2,441.01	—	30%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 99285 ER VISIT LEVEL 5 CHARGE	$1,761.56	$2,516.51	$1,134.95–$2,441.01	—	30%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 99285 ER VISIT LEVEL 5 TechFee	$1,761.56	$2,516.51	$1,134.95–$2,441.01	—	30%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 99285 - Level 5	$1,761.56	$2,516.51	$1,134.95–$2,441.01	—	30%
Exercise stress test, tracing only, the hospital charge CPT 93017 CRHS NM EKG w/o Interpretation & Report	$872.65	$1,246.64	$278.37–$1,209.24	18% below	30%
Exercise stress test, tracing only, the hospital charge CPT 93017 93017 STRESS TEST CHARGE	$872.65	$1,246.64	$278.37–$1,209.24	18% below	30%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 93017 STRESS TEST CHARGE	$872.65	$1,246.64	$31.54–$1,209.24	—	30%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 CRHS NM EKG w/o Interpretation & Report	$872.65	$1,246.64	$31.54–$1,209.24	—	30%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360 IV HYDRATION, INITIAL 31-90 MINS	$305.47	$436.38	$97.44–$423.29	2% below	30%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360 IV INFUSION HYDRATION 31M-1HR	$305.47	$436.38	$97.44–$423.29	2% below	30%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 9636059 IV HYDRATION INIT UP TO 1HR 59 TechFee	$305.47	$436.38	$97.44–$423.29	2% below	30%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360 - Hydration, first hour	$305.47	$436.38	$97.44–$423.29	2% below	30%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360 IV INFS THPY FLD INTL 31MN-1HR CHARGE	$305.47	$436.38	$97.44–$423.29	2% below	30%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 96360 - Hydration, first hour	$305.47	$436.38	$49.08–$423.29	—	30%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 96360 IV INFUSION HYDRATION 31M-1HR	$305.47	$436.38	$49.08–$423.29	—	30%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 96360 IV INFS THPY FLD INTL 31MN-1HR CHARGE	$305.47	$436.38	$49.08–$423.29	—	30%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 9636059 IV HYDRATION INIT UP TO 1HR 59 TechFee	$305.47	$436.38	$49.08–$423.29	—	30%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 96360 IV HYDRATION, INITIAL 31-90 MINS	$305.47	$436.38	$49.08–$423.29	—	30%
IV infusion of a medicine, first hour CPT 96365 96365- IV tx, first hour	$366.24	$523.19	$116.83–$507.49	7% above	30%
IV infusion of a medicine, first hour CPT 96365 96365 IV INFUSION TX DX INIT 1 HOUR CHARGE	$366.24	$523.19	$116.83–$507.49	7% above	30%
IV infusion of a medicine, first hour CPT 96365 96365 IV INFUSION, INITIAL 16-90 MINS	$366.24	$523.19	$116.83–$507.49	7% above	30%
IV infusion of a medicine, first hour CPT 96365 96365 IV INF MAIN SVC >15 <91 CHARGE	$366.24	$523.19	$116.83–$507.49	7% above	30%
IV infusion of a medicine, first hour CPT 96365 96365-IV INFUSION TX DX INIT 1 HOUR CHARGE	$366.24	$523.19	$116.83–$507.49	7% above	30%
IV infusion of a medicine, first hour CPT 96365 9636559 IV INFUSION INIT UP TO 1 HR 59 TechFee	$366.24	$523.19	$116.83–$507.49	7% above	30%
IV infusion of a medicine, first hour inpatient CPT 96365 96365 IV INFUSION TX DX INIT 1 HOUR CHARGE	$366.24	$523.19	$60.21–$507.49	—	30%
IV infusion of a medicine, first hour inpatient CPT 96365 9636559 IV INFUSION INIT UP TO 1 HR 59 TechFee	$366.24	$523.19	$60.21–$507.49	—	30%
IV infusion of a medicine, first hour inpatient CPT 96365 96365 IV INFUSION, INITIAL 16-90 MINS	$366.24	$523.19	$60.21–$507.49	—	30%
IV infusion of a medicine, first hour inpatient CPT 96365 96365-IV INFUSION TX DX INIT 1 HOUR CHARGE	$366.24	$523.19	$60.21–$507.49	—	30%
IV infusion of a medicine, first hour inpatient CPT 96365 96365- IV tx, first hour	$366.24	$523.19	$60.21–$507.49	—	30%
IV infusion of a medicine, first hour inpatient CPT 96365 96365 IV INF MAIN SVC >15 <91 CHARGE	$366.24	$523.19	$60.21–$507.49	—	30%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 INJ SQ INTRAMUSCULAR CHARGE	$90.55	$129.35	$28.88–$125.47	12% below	30%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 INJ THER/DX IM/SQ Charge	$90.55	$129.35	$28.88–$125.47	12% below	30%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 9637259 IM/SQ INJECTION 59 TechFee	$90.55	$129.35	$28.88–$125.47	12% below	30%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 IM/SQ INJECTION CHARGE	$90.55	$129.35	$28.88–$125.47	12% below	30%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 Injection, Therapeutic/Diagnostic IM/SQ	$90.55	$129.35	$28.88–$125.47	12% below	30%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 IM/SC Therapeutic INJ	$90.55	$129.35	$28.88–$125.47	12% below	30%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372- Subq/IM Injection	$90.55	$129.35	$28.88–$125.47	12% below	30%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 9637259 INJ SQ INTRAMUSCULAR/59 CHARGE	$90.55	$129.35	$28.88–$125.47	12% below	30%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 Injection, Therapeutic/Diagnostic IM/SQ	$90.55	$129.35	$4.60–$125.47	—	30%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 INJ THER/DX IM/SQ Charge	$90.55	$129.35	$4.60–$125.47	—	30%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 9637259 INJ SQ INTRAMUSCULAR/59 CHARGE	$90.55	$129.35	$4.60–$125.47	—	30%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 INJ SQ INTRAMUSCULAR CHARGE	$90.55	$129.35	$4.60–$125.47	—	30%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 IM/SC Therapeutic INJ	$90.55	$129.35	$4.60–$125.47	—	30%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 9637259 IM/SQ INJECTION 59 TechFee	$90.55	$129.35	$4.60–$125.47	—	30%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372- Subq/IM Injection	$90.55	$129.35	$4.60–$125.47	—	30%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 IM/SQ INJECTION CHARGE	$90.55	$129.35	$4.60–$125.47	—	30%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 90791 PSYCH DIAGNOSTIC EVAL CHARGE	$174.72	$249.60	$55.74–$242.11	18% above	30%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 90791 PSYCH DIAGNOSTIC EVAL CHARGE	$174.72	$249.60	$112.57–$242.11	—	30%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 95910 NVR CNDJ STUDIES 7-8 CHARGES	$804.30	$1,149.00	$256.57–$1,114.53	at median	30%
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 95910 NVR CNDJ STUDIES 7-8 CHARGES	$804.30	$1,149.00	$518.20–$1,114.53	—	30%
Neuromuscular re-education, 15 minutes CPT 97112 OT Neuromuscular Reeducation Assistant Units	$126.17	$180.24	$30.77–$174.83	28% above	30%
Neuromuscular re-education, 15 minutes CPT 97112 OT Neuromuscular Reeducation Rehab Units	$126.17	$180.24	$30.77–$174.83	28% above	30%
Neuromuscular re-education, 15 minutes CPT 97112 OT Neuromuscular Reeducation Charges	$126.17	$180.24	$30.77–$174.83	28% above	30%
Neuromuscular re-education, 15 minutes CPT 97112 PT Neuromuscular Reeducation Assistant Units	$126.17	$180.24	$30.77–$174.83	28% above	30%
Neuromuscular re-education, 15 minutes CPT 97112 Neuromuscular Reeducation Charges	$126.17	$180.24	$30.77–$174.83	28% above	30%
Neuromuscular re-education, 15 minutes CPT 97112 PT Neuromuscular Reeducation Units	$126.17	$180.24	$30.77–$174.83	28% above	30%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 OT Neuromuscular Reeducation Assistant Units	$126.17	$180.24	$14.18–$174.83	—	30%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 OT Neuromuscular Reeducation Charges	$126.17	$180.24	$14.18–$174.83	—	30%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT Neuromuscular Reeducation Assistant Units	$126.17	$180.24	$14.18–$174.83	—	30%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT Neuromuscular Reeducation Units	$126.17	$180.24	$14.18–$174.83	—	30%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 OT Neuromuscular Reeducation Rehab Units	$126.17	$180.24	$14.18–$174.83	—	30%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 Neuromuscular Reeducation Charges	$126.17	$180.24	$14.18–$174.83	—	30%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 97802 MNT INITIAL 15 MIN CHARGE	$48.05	$68.64	$15.33–$66.58	at median	30%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 97802 MNT INITIAL 15 MIN CHARGE	$48.05	$68.64	$30.96–$66.58	—	30%
Occupational therapy evaluation, low complexity CPT 97165 OT Low Complex Units	$203.31	$290.44	$64.86–$281.73	13% above	30%
Occupational therapy evaluation, low complexity CPT 97165 OT Evaluation Low Complexity Units	$203.31	$290.44	$64.86–$281.73	13% above	30%
Occupational therapy evaluation, low complexity inpatient CPT 97165 OT Evaluation Low Complexity Units	$203.31	$290.44	$55.41–$281.73	—	30%
Occupational therapy evaluation, low complexity inpatient CPT 97165 OT Low Complex Units	$203.31	$290.44	$55.41–$281.73	—	30%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT Evaluation High Complexity Units	$217.41	$310.58	$69.35–$301.26	28% below	30%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT High Complex Units	$217.41	$310.58	$69.35–$301.26	28% below	30%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT High Complex Units	$217.41	$310.58	$56.40–$301.26	—	30%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT Evaluation High Complexity Units	$217.41	$310.58	$56.40–$301.26	—	30%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT Evaluation Low Complexity Units	$228.28	$326.11	$72.82–$316.33	13% above	30%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT Low Complex Units	$228.28	$326.11	$72.82–$316.33	13% above	30%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT Evaluation Low Complexity Units	$228.28	$326.11	$56.40–$316.33	—	30%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT Low Complex Units	$228.28	$326.11	$56.40–$316.33	—	30%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT Moderate Complex Units	$239.67	$342.38	$76.45–$332.11	6% below	30%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT Evaluation Moderate Complexity Units	$239.67	$342.38	$76.45–$332.11	6% below	30%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT Evaluation Moderate Complexity Units	$239.67	$342.38	$56.40–$332.11	—	30%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT Moderate Complex Units	$239.67	$342.38	$56.40–$332.11	—	30%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT Manual Therapy Assistant Units	$144.92	$207.02	$26.11–$200.81	19% above	30%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT Manual Therapy Assistant Units	$144.92	$207.02	$26.11–$200.81	19% above	30%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT Manual Therapy Units	$144.92	$207.02	$26.11–$200.81	19% above	30%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT Manual Therapy Units	$144.92	$207.02	$26.11–$200.81	19% above	30%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Manual Therapy Charge Units	$144.92	$207.02	$26.11–$200.81	19% above	30%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT Manual Therapy Assistant Units	$144.92	$207.02	$14.18–$200.81	—	30%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 OT Manual Therapy Units	$144.92	$207.02	$14.18–$200.81	—	30%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT Manual Therapy Units	$144.92	$207.02	$14.18–$200.81	—	30%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 OT Manual Therapy Assistant Units	$144.92	$207.02	$14.18–$200.81	—	30%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Manual Therapy Charge Units	$144.92	$207.02	$14.18–$200.81	—	30%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT Therapeutic Exercise Rehab Units	$115.50	$165.00	$27.65–$160.05	23% above	30%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT Therapeutic Exercise Assistant Units	$115.50	$165.00	$27.65–$160.05	23% above	30%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT Therapeutic Exercise Units	$115.50	$165.00	$27.65–$160.05	23% above	30%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT Therapeutic Exercise Charges	$115.50	$165.00	$27.65–$160.05	23% above	30%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Therapeutic Exercise Charges	$115.50	$165.00	$27.65–$160.05	23% above	30%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT Therapeutic Exercise Assistant Units	$115.50	$165.00	$27.65–$160.05	23% above	30%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT Therapeutic Exercise Charges	$115.50	$165.00	$14.18–$160.05	—	30%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT Therapeutic Exercise Assistant Units	$115.50	$165.00	$14.18–$160.05	—	30%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT Therapeutic Exercise Units	$115.50	$165.00	$14.18–$160.05	—	30%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Therapeutic Exercise Charges	$115.50	$165.00	$14.18–$160.05	—	30%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT Therapeutic Exercise Assistant Units	$115.50	$165.00	$14.18–$160.05	—	30%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT Therapeutic Exercise Rehab Units	$115.50	$165.00	$14.18–$160.05	—	30%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 99406 SMOKING CESSATION 3-10 MINS CHARGE	$52.35	$74.78	$16.70–$72.54	136% above	30%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 99406 SMOKING CESSATION 3-10 MINS CHARGE	$52.35	$74.78	$33.73–$72.54	—	30%
Speech therapy session, individual CPT 92507 SLP Auditory Processing Tx Units	$208.51	$297.86	$66.51–$288.92	18% above	30%
Speech therapy session, individual CPT 92507 Tx of Speech/Lang/Voice/Comm/Auditory Charge	$208.51	$297.86	$66.51–$288.92	18% above	30%
Speech therapy session, individual inpatient CPT 92507 SLP Auditory Processing Tx Units	$208.51	$297.86	$59.44–$288.92	—	30%
Speech therapy session, individual inpatient CPT 92507 Tx of Speech/Lang/Voice/Comm/Auditory Charge	$208.51	$297.86	$59.44–$288.92	—	30%
Spirometry (breathing test) CPT 94010 Spirometry	$230.05	$328.64	$73.39–$318.78	2% below	30%
Spirometry (breathing test) CPT 94010 PFT-Stress test/simple	$230.05	$328.64	$73.39–$318.78	2% below	30%
Spirometry (breathing test) CPT 94010 Bedside Spirometry	$230.05	$328.64	$73.39–$318.78	2% below	30%
Spirometry (breathing test) inpatient CPT 94010 PFT-Stress test/simple	$230.05	$328.64	$148.22–$318.78	—	30%
Spirometry (breathing test) inpatient CPT 94010 Bedside Spirometry	$230.05	$328.64	$148.22–$318.78	—	30%
Spirometry (breathing test) inpatient CPT 94010 Spirometry	$230.05	$328.64	$148.22–$318.78	—	30%
Spirometry before and after a bronchodilator CPT 94060 Spirometry before & after	$345.64	$493.77	$110.26–$478.96	34% below	30%
Spirometry before and after a bronchodilator inpatient CPT 94060 Spirometry before & after	$345.64	$493.77	$222.69–$478.96	—	30%
Therapeutic activities (functional training), 15 minutes CPT 97530 PT Therapeutic Activity Assistant Units	$131.96	$188.51	$33.02–$182.85	30% above	30%
Therapeutic activities (functional training), 15 minutes CPT 97530 OT Therapeutic Activities Rehab Units	$131.96	$188.51	$33.02–$182.85	30% above	30%
Therapeutic activities (functional training), 15 minutes CPT 97530 PT Therapeutic Activity Units	$131.96	$188.51	$33.02–$182.85	30% above	30%
Therapeutic activities (functional training), 15 minutes CPT 97530 OT Therapeutic Activities Charges	$131.96	$188.51	$33.02–$182.85	30% above	30%
Therapeutic activities (functional training), 15 minutes CPT 97530 OT Therapeutic Activities Assistant Units	$131.96	$188.51	$33.02–$182.85	30% above	30%
Therapeutic activities (functional training), 15 minutes CPT 97530 Therapeutic Activities Charge	$131.96	$188.51	$33.02–$182.85	30% above	30%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT Therapeutic Activity Units	$131.96	$188.51	$14.18–$182.85	—	30%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OT Therapeutic Activities Rehab Units	$131.96	$188.51	$14.18–$182.85	—	30%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Therapeutic Activities Charge	$131.96	$188.51	$14.18–$182.85	—	30%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OT Therapeutic Activities Charges	$131.96	$188.51	$14.18–$182.85	—	30%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OT Therapeutic Activities Assistant Units	$131.96	$188.51	$14.18–$182.85	—	30%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT Therapeutic Activity Assistant Units	$131.96	$188.51	$14.18–$182.85	—	30%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 99195 PHLEBOTOMY - THERAPEUTIC CHARGE	$219.71	$313.87	$70.09–$304.45	2% below	30%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 99195 PHLEBOTOMY THERAPEUTIC CHARGE	$219.71	$313.87	$70.09–$304.45	2% below	30%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 99195 PHLEBOTOMY - THERAPEUTIC CHARGE	$219.71	$313.87	$141.56–$304.45	—	30%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 99195 PHLEBOTOMY THERAPEUTIC CHARGE	$219.71	$313.87	$141.56–$304.45	—	30%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs North Carolina	Off list
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARIVAX VARICEvaricella virus vaccine SubQ Inj 1,350 UNIT/0.5 ML [CRHS]	$455.85	$651.21	$145.42–$631.67	41% above	30%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARIVAX VARICEvaricella virus vaccine SubQ Inj 1,350 UNIT/0.5 ML [CRHS]	$455.85	$651.21	$197.12–$631.67	—	30%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLULAVAL FLUZONE PF TRIVALENT INFLUENZA 2024-2025 VIRUS VACCINE INACTIV SYRINGE [CRHS]	$19.46	$27.80	$6.21–$26.97	69% below	30%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLULAVAL FLUZONE PF TRIVALENT INFLUENZA 2024-2025 VIRUS VACCINE INACTIV SYRINGE [CRHS]	$19.46	$27.80	$10.01–$26.97	—	30%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 GARDASIL 9 human papillomavirus vaccine 9-valent Sus [CRHS]	$947.46	$1,353.51	$302.24–$1,312.90	128% above	30%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 GARDASIL 9 human papillomavirus vaccine 9-valent Sus [CRHS]	$947.46	$1,353.51	$487.26–$1,312.90	—	30%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 hepatitis A-hepatitis B vaccine 720 units-20 mcg/mL preservative free Sus UD (Twinrix) [CRHS]	$351.89	$502.69	$112.25–$487.61	82% above	30%
Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 hepatitis A-hepatitis B vaccine 720 units-20 mcg/mL preservative free Sus UD (Twinrix) [CRHS]	$351.89	$502.69	$137.09–$487.61	—	30%
Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VIRUS VACCINE (PF) 1,440 EL UNIT/ML INJ [CRHS]	$200.12	$285.88	$63.84–$277.30	54% above	30%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VIRUS VACCINE (PF) 1,440 EL UNIT/ML INJ [CRHS]	$200.12	$285.88	$83.85–$277.30	—	30%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Engerix-B-Hepatitis B VIRUS VACCINE (PF) 20 MCG/1 ML SYR [CRHS]	$341.45	$487.78	$70.38–$473.15	136% above	30%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 Engerix-B-Hepatitis B VIRUS VACCINE (PF) 20 MCG/1 ML SYR [CRHS]	$167.32	$239.02	$83.98–$231.85	—	30%
MMR vaccine (measles, mumps and rubella), live CPT 90707 Measles/mumps/rubella virus vaccine SubQ Inj ea [CRHS]	$316.64	$452.34	$101.01–$438.77	45% above	30%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 Measles/mumps/rubella virus vaccine SubQ Inj ea [CRHS]	$316.64	$452.34	$101.27–$438.77	—	30%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 Menveo Meningococcal conjugate vaccine- Pow EA [CRHS]	$374.42	$534.88	$119.44–$518.83	66% above	30%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 Menactra-Meningococcal conjugate vaccine-Menactra 4mcg/0.5ml IM Sol [CRHS]	$463.19	$661.70	$147.76–$641.85	106% above	30%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 Menveo Meningococcal conjugate vaccine- Pow EA [CRHS]	$374.42	$534.88	$167.88–$518.83	—	30%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 Menactra-Meningococcal conjugate vaccine-Menactra 4mcg/0.5ml IM Sol [CRHS]	$463.19	$661.70	$167.88–$641.85	—	30%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 meningococcal group B vaccine recombinant, OMV, adjuvanted Sus [CRHS]	$311.71	$445.30	$99.44–$431.94	3% above	30%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 meningococcal group B vaccine recombinant, OMV, adjuvanted Sus [CRHS]	$311.71	$445.30	$160.31–$431.94	—	30%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PREVNAR 20 PNEUMOCOCCAL 20-VALENT CONJUGATE VACCINE SYR EA [CRHS]	$849.37	$1,213.38	$270.95–$1,176.98	11% above	30%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PREVNAR 20 PNEUMOCOCCAL 20-VALENT CONJUGATE VACCINE SYR EA [CRHS]	$849.37	$1,213.38	$331.96–$1,176.98	—	30%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOVAX PNEUMOCOCCAL 23-VALENT VACCINE INJ EA 0,5ML [CRHS]	$401.82	$574.02	$128.18–$556.80	56% above	30%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOVAX PNEUMOCOCCAL 23-VALENT VACCINE INJ EA 0,5ML [CRHS]	$401.82	$574.02	$159.29–$556.80	—	30%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 BeyFortus Nirsevimab (Charge) (cvx 306) alip PF 50 mg/0.5 mL Inj EA [CRHS]	$1,411.12	$2,015.88	$450.15–$1,955.40	23% above	30%
RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 BeyFortus Nirsevimab (Charge) (cvx 306) alip PF 50 mg/0.5 mL Inj EA [CRHS]	$1,411.12	$2,015.88	$725.72–$1,955.40	—	30%
Rabies vaccine, one dose CPT 90675 IMOVAX Rabies vaccine, human diploid cell 2.5 intl units IM Inj [CRHS]	$1,467.09	$2,095.83	$313.68–$2,032.96	3% above	30%
Rabies vaccine, one dose inpatient CPT 90675 IMOVAX Rabies vaccine, human diploid cell 2.5 intl units IM Inj [CRHS]	$1,467.09	$2,095.83	$387.55–$2,032.96	—	30%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 zoster vaccine, inactivated adjuvanted Pow [CRHS]	$496.03	$708.61	$158.23–$687.35	72% above	30%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 zoster vaccine, inactivated adjuvanted Pow [CRHS]	$496.03	$708.61	$207.54–$687.35	—	30%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 tetanus-diphth toxoids (Td) adult/adol 2 units-2 units/0.5 mL Sus [CRHS]	$80.09	$114.41	$25.55–$110.98	27% below	30%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS AND DIPHTHER. TOX (PF) INJ 5-2 LF UNIT/0.5 ML [CRHS]	$115.15	$164.49	$36.73–$159.56	5% above	30%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS TOXOID,ADSORBED (PF) INJ 5 LF UNIT/0.5 ML [CRHS]	$152.11	$217.30	$48.52–$210.78	39% above	30%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS AND DIPHTHER. TOX (PF) SYRG 5-2 LF UNIT/0.5 ML [CRHS]	$163.38	$233.39	$52.12–$226.39	50% above	30%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS AND DIPHTHER. TOX (PF) SYRG 5-2 LF UNIT/0.5 ML [CRHS]	$17.50	$25.00	$9.00–$36.21	—	30%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 tetanus-diphth toxoids (Td) adult/adol 2 units-2 units/0.5 mL Sus [CRHS]	$80.09	$114.41	$36.21–$110.98	—	30%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS AND DIPHTHER. TOX (PF) INJ 5-2 LF UNIT/0.5 ML [CRHS]	$115.15	$164.49	$36.21–$159.56	—	30%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS TOXOID,ADSORBED (PF) INJ 5 LF UNIT/0.5 ML [CRHS]	$152.11	$217.30	$36.21–$210.78	—	30%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Boostrix TDaP ADULT VACCINE INJ 2-5-3-5-5 LF-MCG-LF/0.5ML [CRHS]	$142.33	$203.32	$45.40–$197.22	at median	30%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Boostrix TDaP ADULT VACCINE INJ 2-5-3-5-5 LF-MCG-LF/0.5ML [CRHS]	$125.19	$178.84	$45.71–$173.47	—	30%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 IMMUN ADMIN ONE VACC CHARGE	$66.14	$94.48	$21.10–$91.65	8% below	30%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 IM ADM PRQ ID SUBQ/IM NJXS 1 VACCINE TechFee	$66.14	$94.48	$21.10–$91.65	8% below	30%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 ADMIN OF VACCINE Charge	$66.14	$94.48	$21.10–$91.65	8% below	30%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 IMMUNIZATION ADM 1 VACCINE	$66.14	$94.48	$21.10–$91.65	8% below	30%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471 IMMUNIZATION ADM 1 VACCINE	$66.14	$94.48	$42.61–$91.65	—	30%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471 IM ADM PRQ ID SUBQ/IM NJXS 1 VACCINE TechFee	$66.14	$94.48	$42.61–$91.65	—	30%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471 ADMIN OF VACCINE Charge	$66.14	$94.48	$42.61–$91.65	—	30%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471 IMMUN ADMIN ONE VACC CHARGE	$66.14	$94.48	$42.61–$91.65	—	30%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472 IM ADM PRQ ID SUBQ/IM NJXS EA VACCINE TechFee	$46.46	$66.36	$13.45–$64.37	23% below	30%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472 IMMUNIZATION EA ADD VACCINE CHARGE	$46.46	$66.36	$13.45–$64.37	23% below	30%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472 INJ VACCINE ADDL Charge	$46.46	$66.36	$13.45–$64.37	23% below	30%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472 ADD VACCINE EACH	$46.46	$66.36	$13.45–$64.37	23% below	30%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 90472 ADD VACCINE EACH	$46.46	$66.36	$29.93–$64.37	—	30%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 90472 IM ADM PRQ ID SUBQ/IM NJXS EA VACCINE TechFee	$46.46	$66.36	$29.93–$64.37	—	30%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 90472 IMMUNIZATION EA ADD VACCINE CHARGE	$46.46	$66.36	$29.93–$64.37	—	30%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 90472 INJ VACCINE ADDL Charge	$46.46	$66.36	$29.93–$64.37	—	30%

Source file: https://sthpiprd.blob.core.windows.net/machine-readable-files/11292/560538020_columbus-regional-healthcare-system,-inc_standardcharges.csv