Hospital Buffalo-Cheektowaga, NY

Bertrand Chaffee Hospital

Bertrand Chaffee Hospital in Springville, NY publishes cash prices for 294 common procedures listed here, from its own machine-readable price file updated Sep 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the New York median for 252 of 294 procedures and above it for 41. By typical cash price it ranks #11 of 93 New York hospitals and #1 of 8 hospitals in the Buffalo, NY area, cheapest first. Click a procedure to compare it with other hospitals nearby.

224 EAST MAIN STREET,SPRINGVILLE,NY,14141-1443 Collected Sep 27, 2026 Source price file (716) 592-2871

Acute care hospital Emergency department CCN 330111 · CMS hospital register

CMS price transparency record

The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 2 actions for a hospital named Bertrand Chaffee Hospital in Springville, NY:

Sep 16, 2025 Warning notice
Nov 18, 2025 Case closed

Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. Case closed: CMS closed the case after the hospital addressed the problems.

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

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs New York	Off list
Ankle X-ray, complete, 3 or more views CPT 73610 X-RAY EXAM OF ANKLE	$105.33	$123.92	$7.58–$287.84	47% below	15%
Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE RIGHT 3 XRAY	$105.33	$123.92	$7.58–$287.84	47% below	15%
Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE LEFT 3+ XRAY	$105.33	$123.92	$7.58–$287.84	47% below	15%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 X-RAY EXAM OF ANKLE	$105.33	$123.92	$7.58–$287.84	—	15%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 ANKLE LEFT 3+ XRAY	$105.33	$123.92	$7.58–$287.84	—	15%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 ANKLE RIGHT 3 XRAY	$105.33	$123.92	$7.58–$287.84	—	15%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 LIMITED BIL NONINVAS ST OF U/L EXTREM	$93.14	$109.58	$67.44–$760.79	65% below	15%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 ANKLE BRACHIAL INDEX	$318.75	$375.00	$67.44–$760.79	18% above	15%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 UPR/L XTREMITY ART 2 LEVELS	$318.75	$375.00	$67.44–$760.79	18% above	15%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 LIMITED BIL NONINVAS ST OF U/L EXTREM	$93.14	$109.58	$67.44–$760.79	—	15%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 ANKLE BRACHIAL INDEX	$318.75	$375.00	$67.44–$760.79	—	15%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 UPR/L XTREMITY ART 2 LEVELS	$318.75	$375.00	$67.44–$760.79	—	15%
Barium swallow (esophagus X-ray with contrast) CPT 74220 X-RAY XM ESOPHAGUS 1CNTRST	$117.30	$138.00	$12.12–$221.66	65% below	15%
Barium swallow (esophagus X-ray with contrast) CPT 74220 ESOPHAGUS XRAY	$117.30	$138.00	$12.12–$221.66	65% below	15%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 ESOPHAGUS XRAY	$117.30	$138.00	$12.12–$221.66	—	15%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 X-RAY XM ESOPHAGUS 1CNTRST	$117.30	$138.00	$12.12–$221.66	—	15%
Bone scan, whole body (nuclear medicine) CPT 78306 WHOLE BODY BONE	$432.08	$508.34	$36.36–$568.34	50% below	15%
Bone scan, whole body (nuclear medicine) CPT 78306 BONE IMAGING WHOLE BODY	$432.08	$508.34	$36.36–$568.34	50% below	15%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 BONE IMAGING WHOLE BODY	$432.08	$508.34	$36.36–$568.34	—	15%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 WHOLE BODY BONE	$432.08	$508.34	$36.36–$568.34	—	15%
Breast ultrasound, complete, one breast both sides CPT 76641 US BREAST COMPLETE BILATERAL	$297.50	$350.00	$19.67–$791.22	—	15%
Breast ultrasound, complete, one breast CPT 76641 ULTRASOUND BREAST COMPLETE	$146.38	$172.22	$19.67–$791.22	54% below	15%
Breast ultrasound, complete, one breast one side CPT 76641 BREAST COMPLETE RT	$143.65	$169.00	$19.67–$791.22	55% below	15%
Breast ultrasound, complete, one breast one side CPT 76641 BREAST COMPLETE LT	$146.38	$172.22	$19.67–$791.22	54% below	15%
Breast ultrasound, complete, one breast inpatient both sides CPT 76641 US BREAST COMPLETE BILATERAL	$297.50	$350.00	$19.67–$791.22	—	15%
Breast ultrasound, complete, one breast inpatient CPT 76641 ULTRASOUND BREAST COMPLETE	$146.38	$172.22	$19.67–$791.22	—	15%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 BREAST COMPLETE RT	$143.65	$169.00	$19.67–$791.22	—	15%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 BREAST COMPLETE LT	$146.38	$172.22	$19.67–$791.22	—	15%
Breast ultrasound, limited (one breast or one area) both sides CPT 76642 US BREAST LIMITED BILATERAL	$255.00	$300.00	$16.16–$660.45	—	15%
Breast ultrasound, limited (one breast or one area) CPT 76642 ULTRASOUND BREAST LIMITED	$77.73	$91.45	$16.16–$660.45	65% below	15%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 BREAST US RT	$42.50	$50.00	$16.16–$660.45	81% below	15%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 BREAST US LT	$42.50	$50.00	$16.16–$660.45	81% below	15%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 BREAST LEFT ULTRASOUND	$77.73	$91.45	$16.16–$660.45	65% below	15%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 BREAST RIGHT US	$143.65	$169.00	$16.16–$660.45	35% below	15%
Breast ultrasound, limited (one breast or one area) inpatient both sides CPT 76642 US BREAST LIMITED BILATERAL	$255.00	$300.00	$16.16–$660.45	—	15%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 ULTRASOUND BREAST LIMITED	$77.73	$91.45	$16.16–$660.45	—	15%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 BREAST US RT	$42.50	$50.00	$16.16–$660.45	—	15%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 BREAST US LT	$42.50	$50.00	$16.16–$660.45	—	15%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 BREAST LEFT ULTRASOUND	$77.73	$91.45	$16.16–$660.45	—	15%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 BREAST RIGHT US	$143.65	$169.00	$16.16–$660.45	—	15%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST	$344.13	$404.87	$84.84–$524.87	70% below	15%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIOGRAPHY CHEST	$344.13	$404.87	$84.84–$524.87	70% below	15%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA CHEST	$344.13	$404.87	$84.84–$524.87	—	15%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT ANGIOGRAPHY CHEST	$344.13	$404.87	$84.84–$524.87	—	15%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD & PELVIS W/O CONTRAST	$293.35	$345.12	$41.63–$455.12	72% below	15%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CTABB-PELVIS W/O	$293.35	$345.12	$41.63–$455.12	72% below	15%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CTABB-PELVIS W/O	$293.35	$345.12	$41.63–$455.12	—	15%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABD & PELVIS W/O CONTRAST	$293.35	$345.12	$41.63–$455.12	—	15%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD-PEVLIS W	$382.50	$450.00	$65.41–$570.00	75% below	15%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD & PELVIS W/CONTRAST	$382.50	$450.00	$65.41–$570.00	75% below	15%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD & PELVIS W/CONTRAST	$382.50	$450.00	$65.41–$570.00	—	15%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD-PEVLIS W	$382.50	$450.00	$65.41–$570.00	—	15%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD-PELVIS W/O + W	$553.84	$651.58	$82.86–$781.58	66% below	15%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD&PLV WO CNTR FLWD CNTR	$553.84	$651.58	$82.86–$781.58	66% below	15%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABD&PLV WO CNTR FLWD CNTR	$553.84	$651.58	$82.86–$781.58	—	15%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABD-PELVIS W/O + W	$553.84	$651.58	$82.86–$781.58	—	15%
CT scan of the abdomen with contrast CPT 74160 ABDOMEN B WITH TECH	$821.10	$966.00	$103.02–$1,046.00	19% below	15%
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/CONTRAST	$821.10	$966.00	$103.02–$1,046.00	19% below	15%
CT scan of the abdomen with contrast inpatient CPT 74160 ABDOMEN B WITH TECH	$821.10	$966.00	$103.02–$1,046.00	—	15%
CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN W/CONTRAST	$821.10	$966.00	$103.02–$1,046.00	—	15%
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O CONTRAST	$821.10	$966.00	$82.05–$1,046.00	3% above	15%
CT scan of the abdomen without contrast CPT 74150 ABDOMEN A W/O TECH	$821.10	$966.00	$82.05–$1,046.00	3% above	15%
CT scan of the abdomen without contrast inpatient CPT 74150 ABDOMEN A W/O TECH	$821.10	$966.00	$82.05–$1,046.00	—	15%
CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN W/O CONTRAST	$821.10	$966.00	$82.05–$1,046.00	—	15%
CT scan of the face and sinuses, no contrast dye CPT 70486 MAXILLO A WO TECH	$146.20	$172.00	$72.72–$272.70	79% below	15%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL W/O DYE	$146.20	$172.00	$72.72–$272.70	79% below	15%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MAXILLOFACIAL W/O DYE	$146.20	$172.00	$72.72–$272.70	—	15%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 MAXILLO A WO TECH	$146.20	$172.00	$72.72–$272.70	—	15%
CT scan of the head or brain, no contrast dye CPT 70450 HEAD A W/OUT TECH	$297.50	$350.00	$38.11–$410.00	57% below	15%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD/BRAIN W/O DYE	$297.50	$350.00	$38.11–$410.00	57% below	15%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD/BRAIN W/O DYE	$297.50	$350.00	$38.11–$410.00	—	15%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 HEAD A W/OUT TECH	$297.50	$350.00	$38.11–$410.00	—	15%
CT scan of the head with contrast CPT 70460 CT HEAD/BRAIN W/DYE	$751.40	$884.00	$87.87–$954.00	14% below	15%
CT scan of the head with contrast CPT 70460 HEAD B WITH TECH	$751.40	$884.00	$87.87–$954.00	14% below	15%
CT scan of the head with contrast inpatient CPT 70460 HEAD B WITH TECH	$751.40	$884.00	$87.87–$954.00	—	15%
CT scan of the head with contrast inpatient CPT 70460 CT HEAD/BRAIN W/DYE	$751.40	$884.00	$87.87–$954.00	—	15%
CT scan of the head without and with contrast CPT 70470 HEAD C W/& W/OUT TEC	$821.10	$966.00	$131.50–$1,046.00	21% below	15%
CT scan of the head without and with contrast CPT 70470 CT HEAD/BRAIN W/O & W/DYE	$821.10	$966.00	$131.50–$1,046.00	21% below	15%
CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD/BRAIN W/O & W/DYE	$821.10	$966.00	$131.50–$1,046.00	—	15%
CT scan of the head without and with contrast inpatient CPT 70470 HEAD C W/& W/OUT TEC	$821.10	$966.00	$131.50–$1,046.00	—	15%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 SPINE A LS SPINE W/O	$821.10	$966.00	$82.05–$1,036.00	2% below	15%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR SPINE W/O DYE	$821.10	$966.00	$82.05–$1,036.00	2% below	15%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT LUMBAR SPINE W/O DYE	$821.10	$966.00	$82.05–$1,036.00	—	15%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 SPINE A LS SPINE W/O	$821.10	$966.00	$82.05–$1,036.00	—	15%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT NECK SPINE W/O DYE	$146.38	$172.22	$44.82–$318.15	83% below	15%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 SPINE A C SPINE W/O	$146.38	$172.22	$44.82–$318.15	83% below	15%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 SPINE A C SPINE W/O	$146.38	$172.22	$44.82–$318.15	—	15%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT NECK SPINE W/O DYE	$146.38	$172.22	$44.82–$318.15	—	15%
CT scan of the pelvis, with contrast dye CPT 72193 PELVIS B WITH TECH	$901.00	$1,060.00	$103.02–$1,140.00	at median	15%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/DYE	$901.00	$1,060.00	$103.02–$1,140.00	at median	15%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W/DYE	$901.00	$1,060.00	$103.02–$1,140.00	—	15%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 PELVIS B WITH TECH	$901.00	$1,060.00	$103.02–$1,140.00	—	15%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 EXTRACRANIAL BILAT STUDY	$343.40	$404.00	$109.08–$1,423.00	—	15%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 DS EXTRACRANIAL ART	$204.00	$240.00	$109.08–$1,423.00	63% below	15%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 CAROTID DOPPLER COMP	$343.40	$404.00	$109.08–$1,423.00	37% below	15%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 EXTRACRANIAL BILAT STUDY	$343.40	$404.00	$109.08–$1,423.00	—	15%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 DS EXTRACRANIAL ART	$204.00	$240.00	$109.08–$1,423.00	—	15%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 CAROTID DOPPLER COMP	$343.40	$404.00	$109.08–$1,423.00	—	15%
Chest X-ray, 2 views CPT 71046 CHEST 2 VIEW FR XRAY	$105.33	$123.92	$9.09–$143.92	48% below	15%
Chest X-ray, 2 views CPT 71046 X-RAY EXAM CHEST 2 VIEWS	$105.33	$123.92	$9.09–$143.92	48% below	15%
Chest X-ray, 2 views inpatient CPT 71046 X-RAY EXAM CHEST 2 VIEWS	$105.33	$123.92	$9.09–$143.92	—	15%
Chest X-ray, 2 views inpatient CPT 71046 CHEST 2 VIEW FR XRAY	$105.33	$123.92	$9.09–$143.92	—	15%
Chest X-ray, single view CPT 71045 CHEST 1 VIEW XRAY	$110.38	$129.87	$6.06–$149.87	41% below	15%
Chest X-ray, single view CPT 71045 X-RAY EXAM CHEST 1 VIEW	$110.38	$129.87	$6.06–$149.87	41% below	15%
Chest X-ray, single view inpatient CPT 71045 CHEST 1 VIEW XRAY	$110.38	$129.87	$6.06–$149.87	—	15%
Chest X-ray, single view inpatient CPT 71045 X-RAY EXAM CHEST 1 VIEW	$110.38	$129.87	$6.06–$149.87	—	15%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US EXAM ABDO BACK WALL COMP	$146.38	$172.22	$33.27–$222.22	59% below	15%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 ECHOGRAPHY RETROPERI	$146.38	$172.22	$33.27–$222.22	59% below	15%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 ECHOGRAPHY RETROPERI	$146.38	$172.22	$33.27–$222.22	—	15%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US EXAM ABDO BACK WALL COMP	$146.38	$172.22	$33.27–$222.22	—	15%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA BONE DENSITY AXIAL	$146.38	$172.22	$31.42–$227.25	39% below	15%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 BONE DENSITY AXIAL	$146.38	$172.22	$31.42–$227.25	39% below	15%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 BONE DENSITY AXIAL	$146.38	$172.22	$31.42–$227.25	—	15%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 DXA BONE DENSITY AXIAL	$146.38	$172.22	$31.42–$227.25	—	15%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 BONE DENSITY APPENDI	$110.38	$129.87	$22.68–$149.87	24% below	15%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DXA BONE DENSITY APPENDICULR	$110.38	$129.87	$22.68–$149.87	24% below	15%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 DXA BONE DENSITY APPENDICULR	$110.38	$129.87	$22.68–$149.87	—	15%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 BONE DENSITY APPENDI	$110.38	$129.87	$22.68–$149.87	—	15%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 OB US DETAILED SNGL FETUS	$292.40	$344.00	$43.63–$1,112.11	44% below	15%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 FETAL ANOMALY SCREEN	$292.40	$344.00	$43.63–$1,112.11	44% below	15%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 OB US DETAILED SNGL FETUS	$292.40	$344.00	$43.63–$1,112.11	—	15%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 FETAL ANOMALY SCREEN	$292.40	$344.00	$43.63–$1,112.11	—	15%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX DX C-	$821.10	$966.00	$48.61–$1,036.00	1% above	15%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 THORAX A W/O TECH	$821.10	$966.00	$48.61–$1,036.00	1% above	15%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 THORAX A W/O TECH	$821.10	$966.00	$48.61–$1,036.00	—	15%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT THORAX DX C-	$821.10	$966.00	$48.61–$1,036.00	—	15%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 THORAX B WITH TECH	$821.10	$966.00	$103.02–$1,046.00	21% below	15%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT THORAX DX C+	$821.10	$966.00	$103.02–$1,046.00	21% below	15%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 THORAX B WITH TECH	$821.10	$966.00	$103.02–$1,046.00	—	15%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT THORAX DX C+	$821.10	$966.00	$103.02–$1,046.00	—	15%
Diagnostic mammogram, both breasts both sides CPT 77066 DX MAMMO INCL CAD BI	$219.30	$258.00	$58.78–$516.00	—	15%
Diagnostic mammogram, both breasts CPT 77066 MAMMO GC MOD B W/CAD	$219.30	$258.00	$58.78–$516.00	8% below	15%
Diagnostic mammogram, both breasts CPT 77066 DX MAMMO BIL W/CAD	$219.30	$258.00	$58.78–$516.00	8% below	15%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 DX MAMMO INCL CAD BI	$219.30	$258.00	$58.78–$516.00	—	15%
Diagnostic mammogram, both breasts inpatient CPT 77066 DX MAMMO BIL W/CAD	$219.30	$258.00	$58.78–$516.00	—	15%
Diagnostic mammogram, both breasts inpatient CPT 77066 MAMMO GC MOD B W/CAD	$219.30	$258.00	$58.78–$516.00	—	15%
Diagnostic mammogram, one breast CPT 77065 MAMMO GC MOD R W/CAD	$181.05	$213.00	$58.78–$852.00	32% below	15%
Diagnostic mammogram, one breast CPT 77065 DX MAMMO INCL CAD UNI	$181.05	$213.00	$58.78–$852.00	32% below	15%
Diagnostic mammogram, one breast CPT 77065 MAMMO GG MOD L W/CAD	$181.05	$213.00	$58.78–$852.00	32% below	15%
Diagnostic mammogram, one breast CPT 77065 DX MAMMO L W/CAD	$181.05	$213.00	$58.78–$852.00	32% below	15%
Diagnostic mammogram, one breast CPT 77065 DX MAMMO R W/CAD	$181.05	$213.00	$58.78–$852.00	32% below	15%
Diagnostic mammogram, one breast inpatient CPT 77065 DX MAMMO L W/CAD	$181.05	$213.00	$58.78–$852.00	—	15%
Diagnostic mammogram, one breast inpatient CPT 77065 DX MAMMO INCL CAD UNI	$181.05	$213.00	$58.78–$852.00	—	15%
Diagnostic mammogram, one breast inpatient CPT 77065 MAMMO GC MOD R W/CAD	$181.05	$213.00	$58.78–$852.00	—	15%
Diagnostic mammogram, one breast inpatient CPT 77065 MAMMO GG MOD L W/CAD	$181.05	$213.00	$58.78–$852.00	—	15%
Diagnostic mammogram, one breast inpatient CPT 77065 DX MAMMO R W/CAD	$181.05	$213.00	$58.78–$852.00	—	15%
Duplex ultrasound of the leg arteries, both legs CPT 93925 DUPLE SCAN OF LOWER	$255.00	$300.00	$109.08–$1,340.50	48% below	15%
Duplex ultrasound of the leg arteries, both legs CPT 93925 DUPLEX SCAN OF LOWER	$282.20	$332.00	$109.08–$1,340.50	43% below	15%
Duplex ultrasound of the leg arteries, both legs CPT 93925 DUPLEX LE ART BILATE	$315.35	$371.00	$109.08–$1,340.50	36% below	15%
Duplex ultrasound of the leg arteries, both legs CPT 93925 LOWER EXTREMITY STUDY	$315.35	$371.00	$109.08–$1,340.50	36% below	15%
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 DUPLE SCAN OF LOWER	$255.00	$300.00	$109.08–$1,340.50	—	15%
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 DUPLEX SCAN OF LOWER	$282.20	$332.00	$109.08–$1,340.50	—	15%
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 LOWER EXTREMITY STUDY	$315.35	$371.00	$109.08–$1,340.50	—	15%
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 DUPLEX LE ART BILATE	$315.35	$371.00	$109.08–$1,340.50	—	15%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 VENOUS INSUFF-BILAT	$204.00	$240.00	$109.08–$1,576.33	—	15%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 VENOUS INSUFFIENCY STUDY - BILATERAL	$297.67	$350.21	$109.08–$1,576.33	—	15%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US VEIN BILATERAL DO	$340.85	$401.00	$109.08–$1,576.33	—	15%
Duplex ultrasound of the leg veins, both legs CPT 93970 VENOUS INSUFFIENCY STUDY BL FOLLOW UP	$293.35	$345.12	$109.08–$1,576.33	41% below	15%
Duplex ultrasound of the leg veins, both legs CPT 93970 EXTREMITY STUDY	$340.85	$401.00	$109.08–$1,576.33	31% below	15%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 VENOUS INSUFF-BILAT	$204.00	$240.00	$109.08–$1,576.33	—	15%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 VENOUS INSUFFIENCY STUDY - BILATERAL	$297.67	$350.21	$109.08–$1,576.33	—	15%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US VEIN BILATERAL DO	$340.85	$401.00	$109.08–$1,576.33	—	15%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 VENOUS INSUFFIENCY STUDY BL FOLLOW UP	$293.35	$345.12	$109.08–$1,576.33	—	15%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 EXTREMITY STUDY	$340.85	$401.00	$109.08–$1,576.33	—	15%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO W/COLOR AND DOPPLER	$637.50	$750.00	$162.22–$905.00	42% below	15%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 TTE W/DOPPLER COMPLETE	$637.50	$750.00	$162.22–$905.00	42% below	15%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 TTE W/DOPPLER COMPLETE	$637.50	$750.00	$162.22–$905.00	—	15%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 ECHO W/COLOR AND DOPPLER	$637.50	$750.00	$162.22–$905.00	—	15%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HEPATO BILIARY GB	$501.04	$589.46	$62.87–$639.46	47% below	15%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HEPATOBILIARY SYSTEM IMAGING	$501.04	$589.46	$62.87–$639.46	47% below	15%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HEPATO BILIARY GB	$501.04	$589.46	$62.87–$639.46	—	15%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HEPATOBILIARY SYSTEM IMAGING	$501.04	$589.46	$62.87–$639.46	—	15%
Knee X-ray, 3 views CPT 73562 X-RAY EXAM OF KNEE 3	$102.00	$120.00	$9.09–$280.00	39% below	15%
Knee X-ray, 3 views one side CPT 73562 KNEE RIGHT 3 XRAY	$102.00	$120.00	$9.09–$280.00	39% below	15%
Knee X-ray, 3 views one side CPT 73562 KNEE LEFT 3 XRAY	$102.00	$120.00	$9.09–$280.00	39% below	15%
Knee X-ray, 3 views inpatient CPT 73562 X-RAY EXAM OF KNEE 3	$102.00	$120.00	$9.09–$280.00	—	15%
Knee X-ray, 3 views inpatient one side CPT 73562 KNEE RIGHT 3 XRAY	$102.00	$120.00	$9.09–$280.00	—	15%
Knee X-ray, 3 views inpatient one side CPT 73562 KNEE LEFT 3 XRAY	$102.00	$120.00	$9.09–$280.00	—	15%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ECHO EXAM OF ABDOMEN	$127.50	$150.00	$24.24–$190.00	58% below	15%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ECHOGRAPHY ABD LIMIT	$127.50	$150.00	$24.24–$190.00	58% below	15%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 ECHO EXAM OF ABDOMEN	$127.50	$150.00	$24.24–$190.00	—	15%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 ECHOGRAPHY ABD LIMIT	$127.50	$150.00	$24.24–$190.00	—	15%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 LUNG SCREEN CHEST WO	$59.50	$70.00	$21.11–$242.22	86% below	15%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT THORAX LUNG CANCER SCR C-	$146.38	$172.22	$21.11–$242.22	65% below	15%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 LUNG SCREEN CHEST CT W/O	$146.38	$172.22	$21.11–$242.22	65% below	15%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 LUNG SCREEN CHEST WO	$59.50	$70.00	$21.11–$242.22	—	15%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 LUNG SCREEN CHEST CT W/O	$146.38	$172.22	$21.11–$242.22	—	15%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT THORAX LUNG CANCER SCR C-	$146.38	$172.22	$21.11–$242.22	—	15%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI JNT OF LWR EXTRE W/O DYE	$565.25	$665.00	$174.35–$1,510.00	44% below	15%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LOWER EXT JOINT LT W/O	$565.25	$665.00	$174.35–$1,510.00	44% below	15%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LOWER EXT JOINT RT W/O	$565.25	$665.00	$174.35–$1,510.00	44% below	15%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI JNT OF LWR EXTRE W/O DYE	$565.25	$665.00	$174.35–$1,510.00	—	15%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI LOWER EXT JOINT LT W/O	$565.25	$665.00	$174.35–$1,510.00	—	15%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI LOWER EXT JOINT RT W/O	$565.25	$665.00	$174.35–$1,510.00	—	15%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI JOINT LWR EXTR W/O&W/DYE	$861.90	$1,014.00	$282.84–$2,308.00	53% below	15%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI LOWERE EXT JOINT LT W/O & W	$861.90	$1,014.00	$282.84–$2,308.00	53% below	15%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI LOWER EXT JOINT RT W/O & W	$861.90	$1,014.00	$282.84–$2,308.00	53% below	15%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI JOINT LWR EXTR W/O&W/DYE	$861.90	$1,014.00	$282.84–$2,308.00	—	15%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI LOWERE EXT JOINT LT W/O & W	$861.90	$1,014.00	$282.84–$2,308.00	—	15%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI LOWER EXT JOINT RT W/O & W	$861.90	$1,014.00	$282.84–$2,308.00	—	15%
MRI of the abdomen without contrast CPT 74181 MRI ABD W/O	$293.35	$345.12	$169.51–$1,136.25	71% below	15%
MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O CONTRAST	$293.35	$345.12	$169.51–$1,136.25	71% below	15%
MRI of the abdomen without contrast inpatient CPT 74181 MRI ABD W/O	$293.35	$345.12	$169.51–$1,136.25	—	15%
MRI of the abdomen without contrast inpatient CPT 74181 MRI ABDOMEN W/O CONTRAST	$293.35	$345.12	$169.51–$1,136.25	—	15%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABD W/O CNTR FLWD CNTR	$861.90	$1,014.00	$282.84–$1,154.00	48% below	15%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABD W/O & W	$861.90	$1,014.00	$282.84–$1,154.00	48% below	15%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ABD W/O CNTR FLWD CNTR	$861.90	$1,014.00	$282.84–$1,154.00	—	15%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ABD W/O & W	$861.90	$1,014.00	$282.84–$1,154.00	—	15%
MRI of the brain, no contrast dye CPT 70551 MRI HEAD W/O	$293.35	$345.12	$168.99–$1,136.25	70% below	15%
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN STEM W/O DYE	$293.35	$345.12	$168.99–$1,136.25	70% below	15%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI HEAD W/O	$293.35	$345.12	$168.99–$1,136.25	—	15%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN STEM W/O DYE	$293.35	$345.12	$168.99–$1,136.25	—	15%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN STEM W/O & W/DYE	$861.90	$1,014.00	$275.32–$1,154.00	46% below	15%
MRI of the brain, with and without contrast dye CPT 70553 MRI HEAD W/O & W	$861.90	$1,014.00	$275.32–$1,154.00	46% below	15%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI HEAD W/O & W	$861.90	$1,014.00	$275.32–$1,154.00	—	15%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN STEM W/O & W/DYE	$861.90	$1,014.00	$275.32–$1,154.00	—	15%
MRI of the lower back, no contrast dye CPT 72148 MRI LS SPINE W/O	$293.35	$345.12	$164.87–$1,136.25	72% below	15%
MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR SPINE W/O DYE	$293.35	$345.12	$164.87–$1,136.25	72% below	15%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI LUMBAR SPINE W/O DYE	$293.35	$345.12	$164.87–$1,136.25	—	15%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI LS SPINE W/O	$293.35	$345.12	$164.87–$1,136.25	—	15%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI LS SPINE W/O & W	$861.90	$1,014.00	$276.14–$1,164.00	48% below	15%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI LUMBAR SPINE W/O & W/DYE	$861.90	$1,014.00	$276.14–$1,164.00	48% below	15%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI LUMBAR SPINE W/O & W/DYE	$861.90	$1,014.00	$276.14–$1,164.00	—	15%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI LS SPINE W/O & W	$861.90	$1,014.00	$276.14–$1,164.00	—	15%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI T SPINE W/O	$565.25	$665.00	$164.33–$1,136.25	44% below	15%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI CHEST SPINE W/O DYE	$565.25	$665.00	$164.33–$1,136.25	44% below	15%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI CHEST SPINE W/O DYE	$565.25	$665.00	$164.33–$1,136.25	—	15%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI T SPINE W/O	$565.25	$665.00	$164.33–$1,136.25	—	15%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI NECK SPINE W/O & W/DYE	$861.90	$1,014.00	$276.69–$1,164.00	47% below	15%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI C SPINE W/O & W	$861.90	$1,014.00	$276.69–$1,164.00	47% below	15%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI C SPINE W/O & W	$861.90	$1,014.00	$276.69–$1,164.00	—	15%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI NECK SPINE W/O & W/DYE	$861.90	$1,014.00	$276.69–$1,164.00	—	15%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI C SPINE W/O	$565.25	$665.00	$164.33–$1,136.25	43% below	15%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI NECK SPINE W/O DYE	$565.25	$665.00	$164.33–$1,136.25	43% below	15%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI C SPINE W/O	$565.25	$665.00	$164.33–$1,136.25	—	15%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI NECK SPINE W/O DYE	$565.25	$665.00	$164.33–$1,136.25	—	15%
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W/O & W	$861.90	$1,014.00	$282.84–$1,154.00	44% below	15%
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W/O & W/DYE	$861.90	$1,014.00	$282.84–$1,154.00	44% below	15%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS W/O & W/DYE	$861.90	$1,014.00	$282.84–$1,154.00	—	15%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS W/O & W	$861.90	$1,014.00	$282.84–$1,154.00	—	15%
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O DYE	$565.25	$665.00	$179.27–$1,136.25	43% below	15%
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O	$565.25	$665.00	$179.27–$1,136.25	43% below	15%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PELVIS W/O DYE	$565.25	$665.00	$179.27–$1,136.25	—	15%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PELVIS W/O	$565.25	$665.00	$179.27–$1,136.25	—	15%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI JOINT UPR EXTREM W/O DYE	$565.25	$665.00	$174.63–$1,510.00	53% below	15%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UPPER EXT JOINT RT W/O	$565.25	$665.00	$174.63–$1,510.00	53% below	15%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UPPER EXT JOINT LT W/O	$565.25	$665.00	$174.63–$1,510.00	53% below	15%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MRI JOINT UPR EXTREM W/O DYE	$565.25	$665.00	$174.63–$1,510.00	—	15%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI UPPER EXT JOINT LT W/O	$565.25	$665.00	$174.63–$1,510.00	—	15%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI UPPER EXT JOINT RT W/O	$565.25	$665.00	$174.63–$1,510.00	—	15%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM CARDIAC REST AND STRESS	$1,478.96	$1,739.96	$144.68–$1,839.96	33% below	15%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HT MUSCLE IMAGE SPECT MULT	$1,478.96	$1,739.96	$144.68–$1,839.96	33% below	15%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM CARDIAC REST AND STRESS	$1,478.96	$1,739.96	$144.68–$1,839.96	—	15%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HT MUSCLE IMAGE SPECT MULT	$1,478.96	$1,739.96	$144.68–$1,839.96	—	15%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US EXAM PELVIC LIMITED	$131.75	$155.00	$24.24–$477.00	48% below	15%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIS LIMITED	$131.75	$155.00	$24.24–$477.00	48% below	15%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 BLADDER ULTRASOUND	$239.70	$282.00	$24.24–$477.00	6% below	15%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PELVIS LIMITED	$131.75	$155.00	$24.24–$477.00	—	15%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US EXAM PELVIC LIMITED	$131.75	$155.00	$24.24–$477.00	—	15%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 BLADDER ULTRASOUND	$239.70	$282.00	$24.24–$477.00	—	15%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US EXAM PELVIC COMPLETE	$112.26	$132.08	$33.33–$182.08	69% below	15%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIS COMPLETE	$112.26	$132.08	$33.33–$182.08	69% below	15%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIS COMPLETE	$112.26	$132.08	$33.33–$182.08	—	15%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US EXAM PELVIC COMPLETE	$112.26	$132.08	$33.33–$182.08	—	15%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 FETAL COMPLETE 14WK	$59.50	$70.00	$33.33–$287.00	82% below	15%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 FETAL COMPLETE 14 WK	$184.45	$217.00	$33.33–$287.00	43% below	15%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB US >/= 14 WKS SNGL FETUS	$184.45	$217.00	$33.33–$287.00	43% below	15%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 FETAL COMPLETE 14WK	$59.50	$70.00	$33.33–$287.00	—	15%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 FETAL COMPLETE 14 WK	$184.45	$217.00	$33.33–$287.00	—	15%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 OB US >/= 14 WKS SNGL FETUS	$184.45	$217.00	$33.33–$287.00	—	15%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 FETAL COMPLETE <14	$59.50	$70.00	$33.33–$242.22	81% below	15%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 OB US < 14 WKS SINGLE FETUS	$146.38	$172.22	$33.33–$242.22	52% below	15%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 FETAL COMPLETE < 14	$146.38	$172.22	$33.33–$242.22	52% below	15%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 FETAL COMPLETE <14	$59.50	$70.00	$33.33–$242.22	—	15%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 OB US < 14 WKS SINGLE FETUS	$146.38	$172.22	$33.33–$242.22	—	15%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 FETAL COMPLETE < 14	$146.38	$172.22	$33.33–$242.22	—	15%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OB US LIMITED FETUS(S)	$177.65	$209.00	$15.15–$249.00	42% below	15%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 ECHOGRAPHY FETAL LIM	$177.65	$209.00	$15.15–$249.00	42% below	15%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 ECHOGRAPHY FETAL LIM	$177.65	$209.00	$15.15–$249.00	—	15%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 OB US LIMITED FETUS(S)	$177.65	$209.00	$15.15–$249.00	—	15%
Screening mammogram, both breasts both sides CPT 77067 SCR MAMMO BI INCL CAD	$120.99	$142.35	$58.78–$220.43	—	15%
Screening mammogram, both breasts CPT 77067 SCREEN MAMMO W/CAD	$120.99	$142.35	$58.78–$220.43	48% below	15%
Screening mammogram, both breasts inpatient both sides CPT 77067 SCR MAMMO BI INCL CAD	$120.99	$142.35	$58.78–$220.43	—	15%
Screening mammogram, both breasts inpatient CPT 77067 SCREEN MAMMO W/CAD	$120.99	$142.35	$58.78–$220.43	—	15%
Shoulder X-ray, complete, 2 or more views CPT 73030 X-RAY EXAM OF SHOULDER	$102.00	$120.00	$9.09–$251.45	49% below	15%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER LEFT 2 XRAY	$77.73	$91.45	$9.09–$251.45	61% below	15%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER RIGHT 2 XRAY	$102.00	$120.00	$9.09–$251.45	49% below	15%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 X-RAY EXAM OF SHOULDER	$102.00	$120.00	$9.09–$251.45	—	15%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 SHOULDER LEFT 2 XRAY	$77.73	$91.45	$9.09–$251.45	—	15%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 SHOULDER RIGHT 2 XRAY	$102.00	$120.00	$9.09–$251.45	—	15%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 PERFORMANCE RPT WITH MD SUPERVISION	$273.70	$322.00	$143.42–$805.00	76% below	15%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 STRESS TTE COMPLETE	$410.55	$483.00	$143.42–$805.00	64% below	15%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 ECHOCARDIOGRAM	$410.55	$483.00	$143.42–$805.00	64% below	15%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 PERFORMANCE RPT WITH MD SUPERVISION	$273.70	$322.00	$143.42–$805.00	—	15%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 ECHOCARDIOGRAM	$410.55	$483.00	$143.42–$805.00	—	15%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 STRESS TTE COMPLETE	$410.55	$483.00	$143.42–$805.00	—	15%
Transvaginal pelvic ultrasound CPT 76830 TRANSVAGINAL US NON-OB	$146.38	$172.22	$36.36–$222.22	58% below	15%
Transvaginal pelvic ultrasound CPT 76830 US TRANS VAGINAL	$146.38	$172.22	$36.36–$222.22	58% below	15%
Transvaginal pelvic ultrasound inpatient CPT 76830 TRANSVAGINAL US NON-OB	$146.38	$172.22	$36.36–$222.22	—	15%
Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANS VAGINAL	$146.38	$172.22	$36.36–$222.22	—	15%
Transvaginal ultrasound during pregnancy CPT 76817 TRANSVAGINAL US OBSTETRIC	$146.38	$172.22	$36.36–$222.22	47% below	15%
Transvaginal ultrasound during pregnancy CPT 76817 PREGNANT UTERUS TRAN	$146.38	$172.22	$36.36–$222.22	47% below	15%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 TRANSVAGINAL US OBSTETRIC	$146.38	$172.22	$36.36–$222.22	—	15%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 PREGNANT UTERUS TRAN	$146.38	$172.22	$36.36–$222.22	—	15%
Ultrasound of the abdomen, complete CPT 76700 US EXAM ABDOM COMPLETE	$146.38	$172.22	$36.36–$222.22	66% below	15%
Ultrasound of the abdomen, complete CPT 76700 ECHOGRAPHY ABD COMPL	$146.38	$172.22	$36.36–$222.22	66% below	15%
Ultrasound of the abdomen, complete inpatient CPT 76700 ECHOGRAPHY ABD COMPL	$146.38	$172.22	$36.36–$222.22	—	15%
Ultrasound of the abdomen, complete inpatient CPT 76700 US EXAM ABDOM COMPLETE	$146.38	$172.22	$36.36–$222.22	—	15%
Ultrasound of the scrotum and testicles CPT 76870 US EXAM SCROTUM	$146.38	$172.22	$18.18–$212.22	58% below	15%
Ultrasound of the scrotum and testicles CPT 76870 ECHOGRAPHY SCROTUM	$146.38	$172.22	$18.18–$212.22	58% below	15%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US EXAM SCROTUM	$146.38	$172.22	$18.18–$212.22	—	15%
Ultrasound of the scrotum and testicles inpatient CPT 76870 ECHOGRAPHY SCROTUM	$146.38	$172.22	$18.18–$212.22	—	15%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 NECK/HEAD	$146.38	$172.22	$18.18–$212.22	53% below	15%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US EXAM OF HEAD AND NECK	$146.38	$172.22	$18.18–$212.22	53% below	15%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 NECK/HEAD	$146.38	$172.22	$18.18–$212.22	—	15%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US EXAM OF HEAD AND NECK	$146.38	$172.22	$18.18–$212.22	—	15%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 VENOUS DOP	$127.50	$150.00	$82.05–$1,383.22	63% below	15%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 VENOUS DOPPLER	$146.38	$172.22	$82.05–$1,383.22	58% below	15%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 EXTREMITY STUDY	$146.38	$172.22	$82.05–$1,383.22	58% below	15%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VENOUS INSUFFIENCY STUDY UNILAT - RT	$120.27	$141.50	$82.05–$1,383.22	66% below	15%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VENOUS INSUFFIENCY UNILAT LT FOLLOW UP	$120.27	$141.50	$82.05–$1,383.22	66% below	15%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VENOUS INSUFFIENCY UNILAT RT FOLLOW UP	$120.27	$141.50	$82.05–$1,383.22	66% below	15%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VENOUS INSUFFIENCY STUDT UNILAT - LT	$120.27	$141.50	$82.05–$1,383.22	66% below	15%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VENOUS INSUFF-RT	$127.50	$150.00	$82.05–$1,383.22	63% below	15%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VENOUS DOPPLER RIGHT ULTRASOUND	$293.25	$345.00	$82.05–$1,383.22	16% below	15%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 VENOUS DOP	$127.50	$150.00	$82.05–$1,383.22	—	15%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 EXTREMITY STUDY	$146.38	$172.22	$82.05–$1,383.22	—	15%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 VENOUS DOPPLER	$146.38	$172.22	$82.05–$1,383.22	—	15%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 VENOUS INSUFFIENCY UNILAT LT FOLLOW UP	$120.27	$141.50	$82.05–$1,383.22	—	15%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 VENOUS INSUFFIENCY STUDY UNILAT - RT	$120.27	$141.50	$82.05–$1,383.22	—	15%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 VENOUS INSUFFIENCY STUDT UNILAT - LT	$120.27	$141.50	$82.05–$1,383.22	—	15%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 VENOUS INSUFFIENCY UNILAT RT FOLLOW UP	$120.27	$141.50	$82.05–$1,383.22	—	15%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 VENOUS INSUFF-RT	$127.50	$150.00	$82.05–$1,383.22	—	15%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 VENOUS DOPPLER RIGHT ULTRASOUND	$293.25	$345.00	$82.05–$1,383.22	—	15%
Wrist X-ray, complete, 3 or more views CPT 73110 X-RAY EXAM OF WRIST	$105.33	$123.92	$7.58–$287.84	45% below	15%
Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST LEFT 3 XRAY	$105.33	$123.92	$7.58–$287.84	45% below	15%
Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST RIGHT 3 XRAY	$105.33	$123.92	$7.58–$287.84	45% below	15%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 X-RAY EXAM OF WRIST	$105.33	$123.92	$7.58–$287.84	—	15%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 WRIST LEFT 3 XRAY	$105.33	$123.92	$7.58–$287.84	—	15%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 WRIST RIGHT 3 XRAY	$105.33	$123.92	$7.58–$287.84	—	15%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 X-RAY EXAM HIP UNI 2-3 VIEWS	$77.73	$91.45	$7.55–$541.45	57% below	15%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 RIGHT HIP UNILAT 2+	$77.73	$91.45	$7.55–$541.45	57% below	15%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP UNILAT 2+ XRAY	$85.00	$100.00	$7.55–$541.45	53% below	15%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP UL W/PEL 2-3V RT	$131.75	$155.00	$7.55–$541.45	28% below	15%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP UL W/PEL 2-3V LT	$131.75	$155.00	$7.55–$541.45	28% below	15%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 X-RAY EXAM HIP UNI 2-3 VIEWS	$77.73	$91.45	$7.55–$541.45	—	15%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 RIGHT HIP UNILAT 2+	$77.73	$91.45	$7.55–$541.45	—	15%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP UNILAT 2+ XRAY	$85.00	$100.00	$7.55–$541.45	—	15%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP UL W/PEL 2-3V RT	$131.75	$155.00	$7.55–$541.45	—	15%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP UL W/PEL 2-3V LT	$131.75	$155.00	$7.55–$541.45	—	15%
X-ray of the abdomen, 1 view CPT 74018 X-RAY ABDOMEN XRAY	$110.38	$129.87	$6.06–$149.87	45% below	15%
X-ray of the abdomen, 1 view CPT 74018 RADEX ABDOMEN 1 VIEW	$110.38	$129.87	$6.06–$149.87	45% below	15%
X-ray of the abdomen, 1 view inpatient CPT 74018 RADEX ABDOMEN 1 VIEW	$110.38	$129.87	$6.06–$149.87	—	15%
X-ray of the abdomen, 1 view inpatient CPT 74018 X-RAY ABDOMEN XRAY	$110.38	$129.87	$6.06–$149.87	—	15%
X-ray of the ankle, 2 views CPT 73600 X-RAY EXAM OF ANKLE	$105.33	$123.92	$6.06–$267.84	34% below	15%
X-ray of the ankle, 2 views one side CPT 73600 ANKLE RT 2 XRAY	$105.33	$123.92	$6.06–$267.84	34% below	15%
X-ray of the ankle, 2 views one side CPT 73600 ANKLE LEFT 2 XRAY	$105.33	$123.92	$6.06–$267.84	34% below	15%
X-ray of the ankle, 2 views inpatient CPT 73600 X-RAY EXAM OF ANKLE	$105.33	$123.92	$6.06–$267.84	—	15%
X-ray of the ankle, 2 views inpatient one side CPT 73600 ANKLE RT 2 XRAY	$105.33	$123.92	$6.06–$267.84	—	15%
X-ray of the ankle, 2 views inpatient one side CPT 73600 ANKLE LEFT 2 XRAY	$105.33	$123.92	$6.06–$267.84	—	15%
X-ray of the finger(s), 2 or more views CPT 73140 RT 2ND DIGIT HA XRAY	$110.38	$129.87	$4.55–$1,688.44	30% below	15%
X-ray of the finger(s), 2 or more views CPT 73140 RT 3RD DIGIT HA XRAY	$110.38	$129.87	$4.55–$1,688.44	30% below	15%
X-ray of the finger(s), 2 or more views CPT 73140 RT 1ST DIGIT HA XRAY	$110.38	$129.87	$4.55–$1,688.44	30% below	15%
X-ray of the finger(s), 2 or more views CPT 73140 LT 5TH DIGIT HA XRAY	$110.38	$129.87	$4.55–$1,688.44	30% below	15%
X-ray of the finger(s), 2 or more views CPT 73140 LT 4TH DIGIT HA XRAY	$110.38	$129.87	$4.55–$1,688.44	30% below	15%
X-ray of the finger(s), 2 or more views CPT 73140 LT 3RD DIGIT HA XRAY	$110.38	$129.87	$4.55–$1,688.44	30% below	15%
X-ray of the finger(s), 2 or more views CPT 73140 LT 2ND DIGIT HA XRAY	$110.38	$129.87	$4.55–$1,688.44	30% below	15%
X-ray of the finger(s), 2 or more views CPT 73140 RT 5TH DIGIT HA XRAY	$110.38	$129.87	$4.55–$1,688.44	30% below	15%
X-ray of the finger(s), 2 or more views CPT 73140 LT 1ST DIGIT HA XRAY	$110.38	$129.87	$4.55–$1,688.44	30% below	15%
X-ray of the finger(s), 2 or more views CPT 73140 RT 4TH DIGIT HA XRAY	$110.38	$129.87	$4.55–$1,688.44	30% below	15%
X-ray of the finger(s), 2 or more views CPT 73140 X-RAY EXAM OF FINGER(S)	$110.38	$129.87	$4.55–$1,688.44	30% below	15%
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER MULTI RT XRAY	$110.38	$129.87	$4.55–$1,688.44	30% below	15%
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER MULTI LT XRAY	$110.38	$129.87	$4.55–$1,688.44	30% below	15%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 LT 3RD DIGIT HA XRAY	$110.38	$129.87	$4.55–$1,688.44	—	15%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 X-RAY EXAM OF FINGER(S)	$110.38	$129.87	$4.55–$1,688.44	—	15%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 RT 4TH DIGIT HA XRAY	$110.38	$129.87	$4.55–$1,688.44	—	15%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 RT 5TH DIGIT HA XRAY	$110.38	$129.87	$4.55–$1,688.44	—	15%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 RT 3RD DIGIT HA XRAY	$110.38	$129.87	$4.55–$1,688.44	—	15%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 RT 2ND DIGIT HA XRAY	$110.38	$129.87	$4.55–$1,688.44	—	15%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 RT 1ST DIGIT HA XRAY	$110.38	$129.87	$4.55–$1,688.44	—	15%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 LT 1ST DIGIT HA XRAY	$110.38	$129.87	$4.55–$1,688.44	—	15%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 LT 5TH DIGIT HA XRAY	$110.38	$129.87	$4.55–$1,688.44	—	15%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 LT 4TH DIGIT HA XRAY	$110.38	$129.87	$4.55–$1,688.44	—	15%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 LT 2ND DIGIT HA XRAY	$110.38	$129.87	$4.55–$1,688.44	—	15%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER MULTI LT XRAY	$110.38	$129.87	$4.55–$1,688.44	—	15%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER MULTI RT XRAY	$110.38	$129.87	$4.55–$1,688.44	—	15%
X-ray of the foot, 2 views CPT 73620 X-RAY EXAM OF FOOT	$105.33	$123.92	$6.06–$267.84	37% below	15%
X-ray of the foot, 2 views one side CPT 73620 FOOT RT 2 XRAY	$105.33	$123.92	$6.06–$267.84	37% below	15%
X-ray of the foot, 2 views one side CPT 73620 FOOT LT 2 XRAY	$105.33	$123.92	$6.06–$267.84	37% below	15%
X-ray of the foot, 2 views inpatient CPT 73620 X-RAY EXAM OF FOOT	$105.33	$123.92	$6.06–$267.84	—	15%
X-ray of the foot, 2 views inpatient one side CPT 73620 FOOT LT 2 XRAY	$105.33	$123.92	$6.06–$267.84	—	15%
X-ray of the foot, 2 views inpatient one side CPT 73620 FOOT RT 2 XRAY	$105.33	$123.92	$6.06–$267.84	—	15%
X-ray of the foot, complete, 3 or more views CPT 73630 X-RAY EXAM OF FOOT	$105.33	$123.92	$7.58–$287.84	41% below	15%
X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT LT 3 XRAY	$105.33	$123.92	$7.58–$287.84	41% below	15%
X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT RT 3 XRAY	$105.33	$123.92	$7.58–$287.84	41% below	15%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 X-RAY EXAM OF FOOT	$105.33	$123.92	$7.58–$287.84	—	15%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 FOOT LT 3 XRAY	$105.33	$123.92	$7.58–$287.84	—	15%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 FOOT RT 3 XRAY	$105.33	$123.92	$7.58–$287.84	—	15%
X-ray of the hand, 3 or more views CPT 73130 X-RAY EXAM OF HAND	$97.75	$115.00	$7.58–$305.00	52% below	15%
X-ray of the hand, 3 or more views one side CPT 73130 HAND RIGHT 3 XRAY	$97.75	$115.00	$7.58–$305.00	52% below	15%
X-ray of the hand, 3 or more views one side CPT 73130 HAND LEFT 3 XRAY	$127.50	$150.00	$7.58–$305.00	37% below	15%
X-ray of the hand, 3 or more views inpatient CPT 73130 X-RAY EXAM OF HAND	$97.75	$115.00	$7.58–$305.00	—	15%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 HAND RIGHT 3 XRAY	$97.75	$115.00	$7.58–$305.00	—	15%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 HAND LEFT 3 XRAY	$127.50	$150.00	$7.58–$305.00	—	15%
X-ray of the knee, 1 or 2 views CPT 73560 X-RAY EXAM OF KNEE 1 OR 2	$110.38	$129.87	$6.06–$299.74	40% below	15%
X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE LEFT 2 XRAY	$110.38	$129.87	$6.06–$299.74	40% below	15%
X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE RT 2 XRAY	$110.38	$129.87	$6.06–$299.74	40% below	15%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 X-RAY EXAM OF KNEE 1 OR 2	$110.38	$129.87	$6.06–$299.74	—	15%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 KNEE LEFT 2 XRAY	$110.38	$129.87	$6.06–$299.74	—	15%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 KNEE RT 2 XRAY	$110.38	$129.87	$6.06–$299.74	—	15%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 X-RAY EXAM L-S SPINE 2/3 VWS	$133.56	$157.13	$9.09–$177.13	49% below	15%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 LUMBOSAC SPINE LIMITED XRAY	$133.56	$157.13	$9.09–$177.13	49% below	15%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 LUMBOSAC SPINE LIMITED XRAY	$133.56	$157.13	$9.09–$177.13	—	15%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 X-RAY EXAM L-S SPINE 2/3 VWS	$133.56	$157.13	$9.09–$177.13	—	15%
X-ray of the lower back, 4 or more views CPT 72110 X-RAY EXAM L-2 SPINE 4/>VWS	$146.38	$172.22	$18.18–$192.22	47% below	15%
X-ray of the lower back, 4 or more views CPT 72110 LUMBOSACRAL SPINE COMPLETE XRAY	$146.38	$172.22	$18.18–$192.22	47% below	15%
X-ray of the lower back, 4 or more views inpatient CPT 72110 LUMBOSACRAL SPINE COMPLETE XRAY	$146.38	$172.22	$18.18–$192.22	—	15%
X-ray of the lower back, 4 or more views inpatient CPT 72110 X-RAY EXAM L-2 SPINE 4/>VWS	$146.38	$172.22	$18.18–$192.22	—	15%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 X-RAY EXAM THORAC SPINE 2VWS	$133.56	$157.13	$9.09–$177.13	34% below	15%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 THORACIC SPINE XRAY	$133.56	$157.13	$9.09–$177.13	34% below	15%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 X-RAY EXAM THORAC SPINE 2VWS	$133.56	$157.13	$9.09–$177.13	—	15%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 THORACIC SPINE XRAY	$133.56	$157.13	$9.09–$177.13	—	15%
X-ray of the nasal bones, 3 or more views CPT 70160 NOSE COMPLETE XRAY	$110.38	$129.87	$9.09–$149.87	45% below	15%
X-ray of the nasal bones, 3 or more views CPT 70160 X-RAY EXAM OF NASAL BONES	$110.38	$129.87	$9.09–$149.87	45% below	15%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 X-RAY EXAM OF NASAL BONES	$110.38	$129.87	$9.09–$149.87	—	15%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 NOSE COMPLETE XRAY	$110.38	$129.87	$9.09–$149.87	—	15%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 CERVICAL SPINE XRAY	$77.35	$91.00	$9.09–$111.00	62% below	15%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 X-RAY EXAM NECK SPINE 2-3 VW	$77.35	$91.00	$9.09–$111.00	62% below	15%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 CERVICAL SPINE XRAY	$77.35	$91.00	$9.09–$111.00	—	15%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 X-RAY EXAM NECK SPINE 2-3 VW	$77.35	$91.00	$9.09–$111.00	—	15%
X-ray of the pelvis, 1 or 2 views CPT 72170 X-RAY EXAM OF PELVIS	$133.56	$157.13	$7.58–$177.13	40% below	15%
X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS AP XRAY	$133.56	$157.13	$7.58–$177.13	40% below	15%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 PELVIS AP XRAY	$133.56	$157.13	$7.58–$177.13	—	15%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 X-RAY EXAM OF PELVIS	$133.56	$157.13	$7.58–$177.13	—	15%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM COCCYX XRAY	$77.35	$91.00	$9.09–$111.00	62% below	15%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 X-RAY EXAM SACRUM TAILBONE	$77.35	$91.00	$9.09–$111.00	62% below	15%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 SACRUM COCCYX XRAY	$77.35	$91.00	$9.09–$111.00	—	15%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 X-RAY EXAM SACRUM TAILBONE	$77.35	$91.00	$9.09–$111.00	—	15%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs New York	Off list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT (ALT) LAB	$6.41	$7.55	$3.52–$7.55	73% below	15%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALANINE AMINO (ALT) (SGPT)	$6.41	$7.55	$3.52–$7.55	73% below	15%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALANINE AMINO (ALT) (SGPT)	$6.41	$7.55	$3.52–$7.55	—	15%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 SGPT (ALT) LAB	$6.41	$7.55	$3.52–$7.55	—	15%
AST (aspartate aminotransferase) enzyme test CPT 84450 TRANSFERASE (AST) (SGOT)	$6.26	$7.37	$3.45–$7.37	75% below	15%
AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT (AST) LAB	$6.26	$7.37	$3.45–$7.37	75% below	15%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 TRANSFERASE (AST) (SGOT)	$6.26	$7.37	$3.45–$7.37	—	15%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 SGOT (AST) LAB	$6.26	$7.37	$3.45–$7.37	—	15%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL	$308.97	$363.50	$31.73–$363.50	79% above	15%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS PNL AC LAB	$308.97	$363.50	$31.73–$363.50	79% above	15%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS PNL AC LAB	$308.97	$363.50	$31.73–$363.50	—	15%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 ACUTE HEPATITIS PANEL	$308.97	$363.50	$31.73–$363.50	—	15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLG SPEC IGE CRUDE XTRC EA	$10.62	$12.50	$3.47–$283.25	34% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST EACH ALLERG LAB	$10.62	$12.50	$3.47–$283.25	34% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 CARMINE IGE	$52.91	$62.25	$3.47–$283.25	231% above	15%
Allergy blood test, specific IgE, per allergen CPT 86003 FORMALDEHYDE LEV LAB	$177.22	$208.50	$3.47–$283.25	1008% above	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLG SPEC IGE CRUDE XTRC EA	$10.62	$12.50	$3.47–$283.25	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST EACH ALLERG LAB	$10.62	$12.50	$3.47–$283.25	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CARMINE IGE	$52.91	$62.25	$3.47–$283.25	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FORMALDEHYDE LEV LAB	$177.22	$208.50	$3.47–$283.25	—	15%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP CC PEPTIDE A LAB	$115.60	$136.00	$8.64–$136.00	147% above	15%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ANTIBODY	$115.60	$136.00	$8.64–$136.00	147% above	15%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP CC PEPTIDE A LAB	$115.60	$136.00	$8.64–$136.00	—	15%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP ANTIBODY	$115.60	$136.00	$8.64–$136.00	—	15%
Antinuclear antibody (ANA) blood test, screen CPT 86038 AUTOIMMUNE PROFILE	$14.34	$16.88	$5.20–$114.38	67% below	15%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA LAB	$82.87	$97.50	$5.20–$114.38	89% above	15%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES	$82.87	$97.50	$5.20–$114.38	89% above	15%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 AUTOIMMUNE PROFILE	$14.34	$16.88	$5.20–$114.38	—	15%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR ANTIBODIES	$82.87	$97.50	$5.20–$114.38	—	15%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA LAB	$82.87	$97.50	$5.20–$114.38	—	15%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURE PEPTIDE LAB	$127.50	$150.00	$26.16–$150.00	4% above	15%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 ASSAY OF NATRIURETIC PEPTIDE	$127.50	$150.00	$26.16–$150.00	4% above	15%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 ASSAY OF NATRIURETIC PEPTIDE	$127.50	$150.00	$26.16–$150.00	—	15%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NATRIURE PEPTIDE LAB	$127.50	$150.00	$26.16–$150.00	—	15%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PNL TOTAL CA	$12.43	$14.63	$5.64–$14.63	80% below	15%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL LAB	$12.43	$14.63	$5.64–$14.63	80% below	15%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL LAB	$12.43	$14.63	$5.64–$14.63	—	15%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PNL TOTAL CA	$12.43	$14.63	$5.64–$14.63	—	15%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 MICRO INTRM LVLI LAB	$216.75	$255.00	$32.14–$255.00	20% above	15%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 TISSUE EXAM BY PATHOLOGIST	$216.75	$255.00	$32.14–$255.00	20% above	15%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 TISSUE EXAM BY PATHOLOGIST	$216.75	$255.00	$32.14–$255.00	—	15%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 MICRO INTRM LVLI LAB	$216.75	$255.00	$32.14–$255.00	—	15%
Blood culture for bacteria CPT 87040 BLOOD CULTURE FOR BACTERIA	$12.49	$14.70	$6.88–$14.70	82% below	15%
Blood culture for bacteria CPT 87040 CULTURE BLOOD LAB	$12.49	$14.70	$6.88–$14.70	82% below	15%
Blood culture for bacteria inpatient CPT 87040 CULTURE BLOOD LAB	$12.49	$14.70	$6.88–$14.70	—	15%
Blood culture for bacteria inpatient CPT 87040 BLOOD CULTURE FOR BACTERIA	$12.49	$14.70	$6.88–$14.70	—	15%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCT ROUTIN LAB	$11.26	$13.25	$1.98–$243.00	28% below	15%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLL VENOUS BLD VENIPUNCTURE	$11.26	$13.25	$1.98–$243.00	28% below	15%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 INDUST CLINICL LAB	$26.35	$31.00	$1.98–$243.00	68% above	15%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 COLL VENOUS BLD VENIPUNCTURE	$11.26	$13.25	$1.98–$243.00	—	15%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCT ROUTIN LAB	$11.26	$13.25	$1.98–$243.00	—	15%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 INDUST CLINICL LAB	$26.35	$31.00	$1.98–$243.00	—	15%
Blood glucose (sugar) test CPT 82947 GLUCOSE FAST LAB	$12.75	$15.00	$2.62–$42.50	29% below	15%
Blood glucose (sugar) test CPT 82947 ASSAY GLUCOSE BLOOD QUANT	$12.75	$15.00	$2.62–$42.50	29% below	15%
Blood glucose (sugar) test CPT 82947 GLUCOSE FLUID LAB	$23.37	$27.50	$2.62–$42.50	30% above	15%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE FAST LAB	$12.75	$15.00	$2.62–$42.50	—	15%
Blood glucose (sugar) test inpatient CPT 82947 ASSAY GLUCOSE BLOOD QUANT	$12.75	$15.00	$2.62–$42.50	—	15%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE FLUID LAB	$23.37	$27.50	$2.62–$42.50	—	15%
Blood lead test CPT 83655 LEAD LEVEL LAB	$70.12	$82.50	$8.07–$165.00	63% above	15%
Blood lead test CPT 83655 LEAD SCREEN LAB	$70.12	$82.50	$8.07–$165.00	63% above	15%
Blood lead test CPT 83655 ASSAY OF LEAD	$70.12	$82.50	$8.07–$165.00	63% above	15%
Blood lead test inpatient CPT 83655 LEAD LEVEL LAB	$70.12	$82.50	$8.07–$165.00	—	15%
Blood lead test inpatient CPT 83655 LEAD SCREEN LAB	$70.12	$82.50	$8.07–$165.00	—	15%
Blood lead test inpatient CPT 83655 ASSAY OF LEAD	$70.12	$82.50	$8.07–$165.00	—	15%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 CHORIONIC GONADOTROPIN ASSAY	$11.60	$13.65	$2.00–$13.65	67% below	15%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG QUALITATIVE LAB	$11.60	$13.65	$2.00–$13.65	67% below	15%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 CHORIONIC GONADOTROPIN ASSAY	$11.60	$13.65	$2.00–$13.65	—	15%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG QUALITATIVE LAB	$11.60	$13.65	$2.00–$13.65	—	15%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING ABO LAB	$127.50	$150.00	$1.99–$150.00	16% below	15%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING SEROLOGIC ABO	$127.50	$150.00	$1.99–$150.00	16% below	15%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BLOOD TYPING SEROLOGIC ABO	$127.50	$150.00	$1.99–$150.00	—	15%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BLOOD TYPING ABO LAB	$127.50	$150.00	$1.99–$150.00	—	15%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PRO LAB	$42.50	$50.00	$3.45–$50.00	44% above	15%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN	$42.50	$50.00	$3.45–$50.00	44% above	15%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PRO LAB	$42.50	$50.00	$3.45–$50.00	—	15%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN	$42.50	$50.00	$3.45–$50.00	—	15%
CA 19-9 blood test (tumor marker) CPT 86301 IMMUNOASSAY TUMOR CA 19-9	$121.12	$142.50	$13.87–$142.50	61% above	15%
CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 LAB	$121.12	$142.50	$13.87–$142.50	61% above	15%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 IMMUNOASSAY TUMOR CA 19-9	$121.12	$142.50	$13.87–$142.50	—	15%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9 LAB	$121.12	$142.50	$13.87–$142.50	—	15%
CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 LAB	$127.50	$150.00	$13.87–$150.00	55% above	15%
CA-125 blood test (ovarian cancer marker) CPT 86304 IMMUNOASSAY TUMOR CA 125	$127.50	$150.00	$13.87–$150.00	55% above	15%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 IMMUNOASSAY TUMOR CA 125	$127.50	$150.00	$13.87–$150.00	—	15%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125 LAB	$127.50	$150.00	$13.87–$150.00	—	15%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV2 RNA	$127.50	$150.00	$30.79–$150.00	11% above	15%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2 COVID-19 AMP PRB	$127.50	$150.00	$30.79–$150.00	11% above	15%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-COV-2 COVID-19 AMP PRB	$127.50	$150.00	$30.79–$150.00	—	15%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-COV2 RNA	$127.50	$150.00	$30.79–$150.00	—	15%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLMYD TRACH DNA AMP PROBE	$87.12	$102.50	$21.43–$102.50	1% above	15%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 DNA PROBE CHLAMY LAB	$87.12	$102.50	$21.43–$102.50	1% above	15%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLMYD TRACH DNA AMP PROBE	$87.12	$102.50	$21.43–$102.50	—	15%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 DNA PROBE CHLAMY LAB	$87.12	$102.50	$21.43–$102.50	—	15%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL	$16.16	$19.02	$6.04–$19.02	78% below	15%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL FLP LAB	$16.16	$19.02	$6.04–$19.02	78% below	15%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL FLP LAB	$16.16	$19.02	$6.04–$19.02	—	15%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL	$16.16	$19.02	$6.04–$19.02	—	15%
Complete blood count (CBC) with differential CPT 85025 COMPLETE CBC W/AUTO DIFF WBC	$9.97	$11.74	$3.17–$11.74	76% below	15%
Complete blood count (CBC) with differential CPT 85025 CBC WITH AUTO DI LAB	$9.97	$11.74	$3.17–$11.74	76% below	15%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC WITH AUTO DI LAB	$9.97	$11.74	$3.17–$11.74	—	15%
Complete blood count (CBC) with differential inpatient CPT 85025 COMPLETE CBC W/AUTO DIFF WBC	$9.97	$11.74	$3.17–$11.74	—	15%
Complete blood count (CBC), no differential CPT 85027 COMPLETE CBC AUTOMATED	$9.40	$11.07	$3.17–$11.07	70% below	15%
Complete blood count (CBC), no differential CPT 85027 CBC W/O DIFF LAB	$9.40	$11.07	$3.17–$11.07	70% below	15%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC W/O DIFF LAB	$9.40	$11.07	$3.17–$11.07	—	15%
Complete blood count (CBC), no differential inpatient CPT 85027 COMPLETE CBC AUTOMATED	$9.40	$11.07	$3.17–$11.07	—	15%
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE META LAB	$16.33	$19.22	$7.03–$19.22	83% below	15%
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHEN METABOLIC PANEL	$16.33	$19.22	$7.03–$19.22	83% below	15%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHEN METABOLIC PANEL	$16.33	$19.22	$7.03–$19.22	—	15%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE META LAB	$16.33	$19.22	$7.03–$19.22	—	15%
D-dimer blood test (blood clot marker) CPT 85379 FIBRIN DEGRADATION QUANT	$12.34	$14.52	$6.79–$14.52	67% below	15%
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER QUANT LAB	$12.34	$14.52	$6.79–$14.52	67% below	15%
D-dimer blood test (blood clot marker) inpatient CPT 85379 FIBRIN DEGRADATION QUANT	$12.34	$14.52	$6.79–$14.52	—	15%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER QUANT LAB	$12.34	$14.52	$6.79–$14.52	—	15%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEAS LAB	$121.12	$142.50	$14.82–$142.50	25% above	15%
DHEA sulfate (DHEA-S) blood test CPT 82627 DEHYDROEPIANDROSTERONE	$121.12	$142.50	$14.82–$142.50	25% above	15%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DEHYDROEPIANDROSTERONE	$121.12	$142.50	$14.82–$142.50	—	15%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEAS LAB	$121.12	$142.50	$14.82–$142.50	—	15%
Estradiol blood test CPT 82670 ESTRADIOL FREE	$57.80	$68.00	$18.61–$280.50	43% below	15%
Estradiol blood test CPT 82670 ESTRADIOL LAB	$180.62	$212.50	$18.61–$280.50	79% above	15%
Estradiol blood test CPT 82670 ASSAY OF TOTAL ESTRADIOL	$180.62	$212.50	$18.61–$280.50	79% above	15%
Estradiol blood test inpatient CPT 82670 ESTRADIOL FREE	$57.80	$68.00	$18.61–$280.50	—	15%
Estradiol blood test inpatient CPT 82670 ESTRADIOL LAB	$180.62	$212.50	$18.61–$280.50	—	15%
Estradiol blood test inpatient CPT 82670 ASSAY OF TOTAL ESTRADIOL	$180.62	$212.50	$18.61–$280.50	—	15%
FSH (follicle-stimulating hormone) test CPT 83001 ASSAY OF GONADOTROPIN (FSH)	$129.62	$152.50	$12.38–$152.50	71% above	15%
FSH (follicle-stimulating hormone) test CPT 83001 FSH LAB	$129.62	$152.50	$12.38–$152.50	71% above	15%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH LAB	$129.62	$152.50	$12.38–$152.50	—	15%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 ASSAY OF GONADOTROPIN (FSH)	$129.62	$152.50	$12.38–$152.50	—	15%
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN	$226.10	$266.00	$11.28–$266.00	111% above	15%
Fecal calprotectin (stool inflammation test) CPT 83993 ASSAY FOR CALPROTECTIN FECAL	$226.10	$266.00	$11.28–$266.00	111% above	15%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN	$226.10	$266.00	$11.28–$266.00	—	15%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 ASSAY FOR CALPROTECTIN FECAL	$226.10	$266.00	$11.28–$266.00	—	15%
Ferritin blood test (iron stores) CPT 82728 FERRITIN LAB	$16.50	$19.42	$9.08–$19.42	75% below	15%
Ferritin blood test (iron stores) CPT 82728 ASSAY OF FERRITIN	$16.50	$19.42	$9.08–$19.42	75% below	15%
Ferritin blood test (iron stores) inpatient CPT 82728 ASSAY OF FERRITIN	$16.50	$19.42	$9.08–$19.42	—	15%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN LAB	$16.50	$19.42	$9.08–$19.42	—	15%
Folate (folic acid) blood test CPT 82746 FOLATE LAB	$17.78	$20.92	$9.79–$20.92	71% below	15%
Folate (folic acid) blood test CPT 82746 ASSAY OF FOLIC ACID SERUM	$17.78	$20.92	$9.79–$20.92	71% below	15%
Folate (folic acid) blood test inpatient CPT 82746 ASSAY OF FOLIC ACID SERUM	$17.78	$20.92	$9.79–$20.92	—	15%
Folate (folic acid) blood test inpatient CPT 82746 FOLATE LAB	$17.78	$20.92	$9.79–$20.92	—	15%
Free T3 thyroid hormone test CPT 84481 T-3 FREE LAB	$88.40	$104.00	$9.00–$104.00	1% below	15%
Free T3 thyroid hormone test CPT 84481 FREE ASSAY (FT-3)	$88.40	$104.00	$9.00–$104.00	1% below	15%
Free T3 thyroid hormone test inpatient CPT 84481 T-3 FREE LAB	$88.40	$104.00	$9.00–$104.00	—	15%
Free T3 thyroid hormone test inpatient CPT 84481 FREE ASSAY (FT-3)	$88.40	$104.00	$9.00–$104.00	—	15%
Free T4 (free thyroxine) thyroid blood test CPT 84439 T-4 FREE THYROX LAB	$10.92	$12.85	$6.01–$172.85	83% below	15%
Free T4 (free thyroxine) thyroid blood test CPT 84439 ASSAY OF FREE THYROXINE	$10.92	$12.85	$6.01–$172.85	83% below	15%
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE DIR DIALYSIS	$136.00	$160.00	$6.01–$172.85	115% above	15%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T-4 FREE THYROX LAB	$10.92	$12.85	$6.01–$172.85	—	15%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 ASSAY OF FREE THYROXINE	$10.92	$12.85	$6.01–$172.85	—	15%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4 FREE DIR DIALYSIS	$136.00	$160.00	$6.01–$172.85	—	15%
Free testosterone test CPT 84402 ASSAY OF FREE TESTOSTERONE	$239.27	$281.50	$16.98–$281.50	160% above	15%
Free testosterone test CPT 84402 TESTOSTERONE FRE LAB	$239.27	$281.50	$16.98–$281.50	160% above	15%
Free testosterone test inpatient CPT 84402 TESTOSTERONE FRE LAB	$239.27	$281.50	$16.98–$281.50	—	15%
Free testosterone test inpatient CPT 84402 ASSAY OF FREE TESTOSTERONE	$239.27	$281.50	$16.98–$281.50	—	15%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL	$258.82	$304.50	$32.91–$304.50	65% above	15%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 GENERAL HEALTH PANEL	$258.82	$304.50	$32.91–$304.50	—	15%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE POST DOS LAB	$78.62	$92.50	$3.17–$92.50	269% above	15%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE TEST	$78.62	$92.50	$3.17–$92.50	269% above	15%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE POST DOS LAB	$78.62	$92.50	$3.17–$92.50	—	15%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE TEST	$78.62	$92.50	$3.17–$92.50	—	15%
Glucose tolerance test, 3 samples CPT 82951 LACTOSE TOLERA 3 LAB	$56.10	$66.00	$6.84–$132.00	6% below	15%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE TEST (GTT)	$56.10	$66.00	$6.84–$132.00	6% below	15%
Glucose tolerance test, 3 samples CPT 82951 GLUCOS TOLERAN 3 LAB	$56.10	$66.00	$6.84–$132.00	6% below	15%
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOS TOLERAN 3 LAB	$56.10	$66.00	$6.84–$132.00	—	15%
Glucose tolerance test, 3 samples inpatient CPT 82951 LACTOSE TOLERA 3 LAB	$56.10	$66.00	$6.84–$132.00	—	15%
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOLERANCE TEST (GTT)	$56.10	$66.00	$6.84–$132.00	—	15%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 DNA PROBE GC LAB	$87.12	$102.50	$21.43–$102.50	14% below	15%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORRHOEAE DNA AMP PROB	$87.12	$102.50	$21.43–$102.50	14% below	15%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 DNA PROBE GC LAB	$87.12	$102.50	$21.43–$102.50	—	15%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N.GONORRHOEAE DNA AMP PROB	$87.12	$102.50	$21.43–$102.50	—	15%
H. pylori antibody blood test CPT 86677 H PYLORI AB IGA LAB	$114.75	$135.00	$8.03–$437.50	119% above	15%
H. pylori antibody blood test CPT 86677 H PYLORI AB IGM LAB	$121.12	$142.50	$8.03–$437.50	131% above	15%
H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI ANTIBODY	$136.00	$160.00	$8.03–$437.50	159% above	15%
H. pylori antibody blood test CPT 86677 HELIOBACTERPY AB LAB	$136.00	$160.00	$8.03–$437.50	159% above	15%
H. pylori antibody blood test inpatient CPT 86677 H PYLORI AB IGA LAB	$114.75	$135.00	$8.03–$437.50	—	15%
H. pylori antibody blood test inpatient CPT 86677 H PYLORI AB IGM LAB	$121.12	$142.50	$8.03–$437.50	—	15%
H. pylori antibody blood test inpatient CPT 86677 HELICOBACTER PYLORI ANTIBODY	$136.00	$160.00	$8.03–$437.50	—	15%
H. pylori antibody blood test inpatient CPT 86677 HELIOBACTERPY AB LAB	$136.00	$160.00	$8.03–$437.50	—	15%
H. pylori stool antigen test CPT 87338 HPYLORI STOOL AG IA	$75.22	$88.50	$8.03–$88.50	20% above	15%
H. pylori stool antigen test CPT 87338 HPYLORI AG STOOL LAB	$75.22	$88.50	$8.03–$88.50	20% above	15%
H. pylori stool antigen test inpatient CPT 87338 HPYLORI AG STOOL LAB	$75.22	$88.50	$8.03–$88.50	—	15%
H. pylori stool antigen test inpatient CPT 87338 HPYLORI STOOL AG IA	$75.22	$88.50	$8.03–$88.50	—	15%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV 1 RNA PCR QT LAB	$657.47	$773.50	$56.70–$773.50	181% above	15%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 QUANT&REVRSE TRNSCRPJ	$657.47	$773.50	$56.70–$773.50	181% above	15%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 QUANT&REVRSE TRNSCRPJ	$657.47	$773.50	$56.70–$773.50	—	15%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV 1 RNA PCR QT LAB	$657.47	$773.50	$56.70–$773.50	—	15%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOHEMOGLOBIN LAB	$14.96	$17.61	$6.46–$17.61	64% below	15%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN GLYCOSYLATED A1C	$14.96	$17.61	$6.46–$17.61	64% below	15%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 GLYCOHEMOGLOBIN LAB	$14.96	$17.61	$6.46–$17.61	—	15%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN GLYCOSYLATED A1C	$14.96	$17.61	$6.46–$17.61	—	15%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURF AB LAB	$51.00	$60.00	$7.15–$60.00	19% above	15%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE ANTIBODY	$51.00	$60.00	$7.15–$60.00	19% above	15%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEP B SURF AB LAB	$51.00	$60.00	$7.15–$60.00	—	15%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEP B SURFACE ANTIBODY	$51.00	$60.00	$7.15–$60.00	—	15%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPAT B SURF AG LAB	$58.65	$69.00	$6.88–$69.00	57% above	15%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE AG IA	$58.65	$69.00	$6.88–$69.00	57% above	15%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE AG IA	$58.65	$69.00	$6.88–$69.00	—	15%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPAT B SURF AG LAB	$58.65	$69.00	$6.88–$69.00	—	15%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB TEST	$19.21	$22.60	$9.51–$22.60	68% below	15%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITS C AB LAB	$19.21	$22.60	$9.51–$22.60	68% below	15%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C AB TEST	$19.21	$22.60	$9.51–$22.60	—	15%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITS C AB LAB	$19.21	$22.60	$9.51–$22.60	—	15%
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA PCR QT LAB	$113.47	$133.50	$28.55–$1,009.00	14% below	15%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C REVRS TRNSCRPJ	$113.47	$133.50	$28.55–$1,009.00	14% below	15%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPTIMAX LAB	$744.17	$875.50	$28.55–$1,009.00	462% above	15%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C REVRS TRNSCRPJ	$113.47	$133.50	$28.55–$1,009.00	—	15%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV RNA PCR QT LAB	$113.47	$133.50	$28.55–$1,009.00	—	15%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPTIMAX LAB	$744.17	$875.50	$28.55–$1,009.00	—	15%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX TYPE 1 TEST	$46.75	$55.00	$8.79–$55.00	18% above	15%
Herpes blood test, HSV-1 antibody CPT 86695 HSV TYPE 1 AB	$46.75	$55.00	$8.79–$55.00	18% above	15%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX TYPE 1 TEST	$46.75	$55.00	$8.79–$55.00	—	15%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV TYPE 1 AB	$46.75	$55.00	$8.79–$55.00	—	15%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2 TEST	$46.75	$55.00	$12.90–$55.00	21% below	15%
Herpes blood test, HSV-2 antibody CPT 86696 HSV TYPE 2 AB	$46.75	$55.00	$12.90–$55.00	21% below	15%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV TYPE 2 AB	$46.75	$55.00	$12.90–$55.00	—	15%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX TYPE 2 TEST	$46.75	$55.00	$12.90–$55.00	—	15%
High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN HS	$19.96	$23.49	$8.64–$23.49	58% below	15%
High-sensitivity CRP (hs-CRP) test CPT 86141 HI SENS CRP LAB	$19.96	$23.49	$8.64–$23.49	58% below	15%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HI SENS CRP LAB	$19.96	$23.49	$8.64–$23.49	—	15%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C-REACTIVE PROTEIN HS	$19.96	$23.49	$8.64–$23.49	—	15%
Homocysteine blood test CPT 83090 HOMOCYSTINE LAB	$244.37	$287.50	$11.94–$287.50	219% above	15%
Homocysteine blood test CPT 83090 ASSAY OF HOMOCYSTEINE	$244.37	$287.50	$11.94–$287.50	219% above	15%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTINE LAB	$244.37	$287.50	$11.94–$287.50	—	15%
Homocysteine blood test inpatient CPT 83090 ASSAY OF HOMOCYSTEINE	$244.37	$287.50	$11.94–$287.50	—	15%
Insulin blood test CPT 83525 INSULIN TOTAL LAB	$89.25	$105.00	$7.62–$105.00	91% above	15%
Insulin blood test CPT 83525 ASSAY OF INSULIN	$89.25	$105.00	$7.62–$105.00	91% above	15%
Insulin blood test inpatient CPT 83525 INSULIN TOTAL LAB	$89.25	$105.00	$7.62–$105.00	—	15%
Insulin blood test inpatient CPT 83525 ASSAY OF INSULIN	$89.25	$105.00	$7.62–$105.00	—	15%
Iron blood test (serum iron) CPT 83540 IRON LAB	$9.97	$11.74	$4.31–$11.74	67% below	15%
Iron blood test (serum iron) CPT 83540 ASSAY OF IRON	$9.97	$11.74	$4.31–$11.74	67% below	15%
Iron blood test (serum iron) inpatient CPT 83540 ASSAY OF IRON	$9.97	$11.74	$4.31–$11.74	—	15%
Iron blood test (serum iron) inpatient CPT 83540 IRON LAB	$9.97	$11.74	$4.31–$11.74	—	15%
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING TEST	$13.48	$15.87	$5.03–$15.87	68% below	15%
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAP LAB	$13.48	$15.87	$5.03–$15.87	68% below	15%
Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CAP LAB	$13.48	$15.87	$5.03–$15.87	—	15%
Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING TEST	$13.48	$15.87	$5.03–$15.87	—	15%
Kidney function blood test panel CPT 80069 RENAL FUNCTION LAB	$13.39	$15.76	$5.78–$15.76	80% below	15%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL	$13.39	$15.76	$5.78–$15.76	80% below	15%
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL	$13.39	$15.76	$5.78–$15.76	—	15%
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION LAB	$13.39	$15.76	$5.78–$15.76	—	15%
LH (luteinizing hormone) test CPT 83002 LH LAB	$135.15	$159.00	$12.34–$159.00	75% above	15%
LH (luteinizing hormone) test CPT 83002 ASSAY OF GONADOTROPIN (LH)	$135.15	$159.00	$12.34–$159.00	75% above	15%
LH (luteinizing hormone) test inpatient CPT 83002 LH LAB	$135.15	$159.00	$12.34–$159.00	—	15%
LH (luteinizing hormone) test inpatient CPT 83002 ASSAY OF GONADOTROPIN (LH)	$135.15	$159.00	$12.34–$159.00	—	15%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE LAB	$9.89	$11.64	$4.60–$11.64	71% below	15%
Lipase blood test (pancreas enzyme) CPT 83690 ASSAY OF LIPASE	$9.89	$11.64	$4.60–$11.64	71% below	15%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE LAB	$9.89	$11.64	$4.60–$11.64	—	15%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 ASSAY OF LIPASE	$9.89	$11.64	$4.60–$11.64	—	15%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL	$12.36	$14.55	$5.44–$14.55	83% below	15%
Liver function blood test panel CPT 80076 HEPATIC FUNC PNL LAB	$12.36	$14.55	$5.44–$14.55	83% below	15%
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNC PNL LAB	$12.36	$14.55	$5.44–$14.55	—	15%
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL	$12.36	$14.55	$5.44–$14.55	—	15%
Lyme disease antibody test CPT 86618 LYME DISEASE AB	$21.67	$25.50	$11.35–$170.50	53% below	15%
Lyme disease antibody test CPT 86618 LYME DIS AB SCR	$123.25	$145.00	$11.35–$170.50	168% above	15%
Lyme disease antibody test CPT 86618 LYME DISEASE ANTIBODY	$123.25	$145.00	$11.35–$170.50	168% above	15%
Lyme disease antibody test inpatient CPT 86618 LYME DISEASE AB	$21.67	$25.50	$11.35–$170.50	—	15%
Lyme disease antibody test inpatient CPT 86618 LYME DIS AB SCR	$123.25	$145.00	$11.35–$170.50	—	15%
Lyme disease antibody test inpatient CPT 86618 LYME DISEASE ANTIBODY	$123.25	$145.00	$11.35–$170.50	—	15%
Magnesium blood test CPT 83735 ASSAY OF MAGNESIUM	$10.33	$12.16	$4.47–$65.66	65% below	15%
Magnesium blood test CPT 83735 MAGNESIUM LAB	$10.33	$12.16	$4.47–$65.66	65% below	15%
Magnesium blood test CPT 83735 MAGNESIUM URINE LAB	$45.47	$53.50	$4.47–$65.66	56% above	15%
Magnesium blood test inpatient CPT 83735 MAGNESIUM LAB	$10.33	$12.16	$4.47–$65.66	—	15%
Magnesium blood test inpatient CPT 83735 ASSAY OF MAGNESIUM	$10.33	$12.16	$4.47–$65.66	—	15%
Magnesium blood test inpatient CPT 83735 MAGNESIUM URINE LAB	$45.47	$53.50	$4.47–$65.66	—	15%
Measles (rubeola) antibody test CPT 86765 RUBEOLA ANTIBODY	$73.52	$86.50	$8.59–$86.50	62% above	15%
Measles (rubeola) antibody test CPT 86765 RUBEOL ANTIBD IG LAB	$73.52	$86.50	$8.59–$86.50	62% above	15%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA ANTIBODY	$73.52	$86.50	$8.59–$86.50	—	15%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOL ANTIBD IG LAB	$73.52	$86.50	$8.59–$86.50	—	15%
Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE LAB	$6.26	$7.37	$3.45–$7.37	83% below	15%
Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE ANTIBODY SCREEN	$6.26	$7.37	$3.45–$7.37	83% below	15%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HETEROPHILE ANTIBODY SCREEN	$6.26	$7.37	$3.45–$7.37	—	15%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HETEROPHILE LAB	$6.26	$7.37	$3.45–$7.37	—	15%
PSA (prostate-specific antigen) blood test, free CPT 84154 ASSAY OF PSA FREE	$42.50	$50.00	$12.25–$50.00	28% below	15%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE	$42.50	$50.00	$12.25–$50.00	28% below	15%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 ASSAY OF PSA FREE	$42.50	$50.00	$12.25–$50.00	—	15%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA FREE	$42.50	$50.00	$12.25–$50.00	—	15%
PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATIC SP AG LAB	$28.36	$33.37	$12.25–$33.37	57% below	15%
PSA (prostate-specific antigen) blood test, total CPT 84153 ASSAY OF PSA TOTAL	$28.36	$33.37	$12.25–$33.37	57% below	15%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 ASSAY OF PSA TOTAL	$28.36	$33.37	$12.25–$33.37	—	15%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATIC SP AG LAB	$28.36	$33.37	$12.25–$33.37	—	15%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHORMONE INT LAB	$282.62	$332.50	$27.50–$757.50	109% above	15%
Parathyroid hormone (PTH) blood test CPT 83970 ASSAY OF PARATHORMONE	$361.25	$425.00	$27.50–$757.50	167% above	15%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHORMONE, C LAB	$361.25	$425.00	$27.50–$757.50	167% above	15%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHORMONE INT LAB	$282.62	$332.50	$27.50–$757.50	—	15%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 ASSAY OF PARATHORMONE	$361.25	$425.00	$27.50–$757.50	—	15%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHORMONE, C LAB	$361.25	$425.00	$27.50–$757.50	—	15%
Partial thromboplastin time (PTT) clotting test CPT 85730 ACT THROMBOPLAST LAB	$9.42	$11.09	$4.01–$11.09	68% below	15%
Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME PARTIAL	$9.42	$11.09	$4.01–$11.09	68% below	15%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 ACT THROMBOPLAST LAB	$9.42	$11.09	$4.01–$11.09	—	15%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLASTIN TIME PARTIAL	$9.42	$11.09	$4.01–$11.09	—	15%
Progesterone blood test CPT 84144 ASSAY OF PROGESTERONE	$129.62	$152.50	$13.90–$152.50	47% above	15%
Progesterone blood test CPT 84144 PROGESTERONE LAB	$129.62	$152.50	$13.90–$152.50	47% above	15%
Progesterone blood test inpatient CPT 84144 ASSAY OF PROGESTERONE	$129.62	$152.50	$13.90–$152.50	—	15%
Progesterone blood test inpatient CPT 84144 PROGESTERONE LAB	$129.62	$152.50	$13.90–$152.50	—	15%
Prolactin blood test CPT 84146 MONOMERIC PROLACTIN	$36.12	$42.50	$12.92–$85.00	49% below	15%
Prolactin blood test CPT 84146 PROLACTIN LAB	$36.12	$42.50	$12.92–$85.00	49% below	15%
Prolactin blood test CPT 84146 ASSAY OF PROLACTIN	$36.12	$42.50	$12.92–$85.00	49% below	15%
Prolactin blood test inpatient CPT 84146 ASSAY OF PROLACTIN	$36.12	$42.50	$12.92–$85.00	—	15%
Prolactin blood test inpatient CPT 84146 PROLACTIN LAB	$36.12	$42.50	$12.92–$85.00	—	15%
Prolactin blood test inpatient CPT 84146 MONOMERIC PROLACTIN	$36.12	$42.50	$12.92–$85.00	—	15%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME LAB	$7.76	$9.14	$2.86–$9.14	59% below	15%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME	$7.76	$9.14	$2.86–$9.14	59% below	15%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTIME LAB	$7.76	$9.14	$2.86–$9.14	—	15%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME	$7.76	$9.14	$2.86–$9.14	—	15%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 URINE TOX SCREEN	$21.33	$25.10	$5.00–$25.10	39% below	15%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG TEST PRSMV DIR OPT OBS	$21.33	$25.10	$5.00–$25.10	39% below	15%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 DRUG TEST PRSMV DIR OPT OBS	$21.33	$25.10	$5.00–$25.10	—	15%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 URINE TOX SCREEN	$21.33	$25.10	$5.00–$25.10	—	15%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA A OR B LAB	$17.65	$20.77	$11.03–$20.77	57% below	15%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA ASSAY W/OPTIC	$17.65	$20.77	$11.03–$20.77	57% below	15%
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA ASSAY W/OPTIC	$17.65	$20.77	$11.03–$20.77	—	15%
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA A OR B LAB	$17.65	$20.77	$11.03–$20.77	—	15%
Rheumatoid factor (RF) test CPT 86431 RHEUMATO FAC QT LAB	$14.87	$17.50	$3.79–$55.00	46% below	15%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOI FAC QT LAB	$31.87	$37.50	$3.79–$55.00	16% above	15%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUANT	$31.87	$37.50	$3.79–$55.00	16% above	15%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATO FAC QT LAB	$14.87	$17.50	$3.79–$55.00	—	15%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOI FAC QT LAB	$31.87	$37.50	$3.79–$55.00	—	15%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR QUANT	$31.87	$37.50	$3.79–$55.00	—	15%
Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY	$56.10	$66.00	$9.58–$145.00	32% above	15%
Rubella antibody test (immunity check) CPT 86762 RUBELLA IGG LAB	$56.10	$66.00	$9.58–$145.00	32% above	15%
Rubella antibody test (immunity check) CPT 86762 RUBEL ANTIBDY IG LAB	$67.15	$79.00	$9.58–$145.00	58% above	15%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA IGG LAB	$56.10	$66.00	$9.58–$145.00	—	15%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA ANTIBODY	$56.10	$66.00	$9.58–$145.00	—	15%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBEL ANTIBDY IG LAB	$67.15	$79.00	$9.58–$145.00	—	15%
Stool ova and parasites exam CPT 87177 OVA/PARASITE LAB	$90.52	$106.50	$5.94–$106.50	133% above	15%
Stool ova and parasites exam CPT 87177 OVA AND PARASITES SMEARS	$90.52	$106.50	$5.94–$106.50	133% above	15%
Stool ova and parasites exam inpatient CPT 87177 OVA/PARASITE LAB	$90.52	$106.50	$5.94–$106.50	—	15%
Stool ova and parasites exam inpatient CPT 87177 OVA AND PARASITES SMEARS	$90.52	$106.50	$5.94–$106.50	—	15%
Stool test for hidden blood (guaiac FOBT) CPT 82270 FOBT 1-3 SIMULTANEOU	$5.95	$7.00	$2.92–$7.00	61% below	15%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD FECES	$5.95	$7.00	$2.92–$7.00	61% below	15%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLOOD FECES	$5.95	$7.00	$2.92–$7.00	—	15%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 FOBT 1-3 SIMULTANEOU	$5.95	$7.00	$2.92–$7.00	—	15%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST NON-TREP QUAL	$17.85	$21.00	$2.85–$21.00	3% below	15%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS RPR LAB	$17.85	$21.00	$2.85–$21.00	3% below	15%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 SYPHILIS TEST NON-TREP QUAL	$17.85	$21.00	$2.85–$21.00	—	15%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 SYPHILIS RPR LAB	$17.85	$21.00	$2.85–$21.00	—	15%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB TEST CELL IMMUN MEASURE	$93.50	$110.00	$41.30–$110.00	38% below	15%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON TB GOLD	$93.50	$110.00	$41.30–$110.00	38% below	15%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 TB TEST CELL IMMUN MEASURE	$93.50	$110.00	$41.30–$110.00	—	15%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON TB GOLD	$93.50	$110.00	$41.30–$110.00	—	15%
Testosterone blood test, total (not free testosterone) CPT 84403 ASSAY OF TOTAL TESTOSTERONE	$221.85	$261.00	$17.20–$261.00	155% above	15%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTER TOTAL LAB	$221.85	$261.00	$17.20–$261.00	155% above	15%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTER TOTAL LAB	$221.85	$261.00	$17.20–$261.00	—	15%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 ASSAY OF TOTAL TESTOSTERONE	$221.85	$261.00	$17.20–$261.00	—	15%
Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL AH LI LAB	$45.05	$53.00	$9.70–$204.00	10% below	15%
Thyroid peroxidase (TPO) antibody test CPT 86376 MICROS AB THY P LAB	$128.35	$151.00	$9.70–$204.00	155% above	15%
Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODY EACH	$128.35	$151.00	$9.70–$204.00	155% above	15%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 MICROSOMAL AH LI LAB	$45.05	$53.00	$9.70–$204.00	—	15%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 MICROS AB THY P LAB	$128.35	$151.00	$9.70–$204.00	—	15%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 MICROSOMAL ANTIBODY EACH	$128.35	$151.00	$9.70–$204.00	—	15%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH LAB	$25.92	$30.50	$9.00–$30.50	67% below	15%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 ASSAY THYROID STIM HORMONE	$25.92	$30.50	$9.00–$30.50	67% below	15%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 ASSAY THYROID STIM HORMONE	$25.92	$30.50	$9.00–$30.50	—	15%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH LAB	$25.92	$30.50	$9.00–$30.50	—	15%
Uric acid blood test CPT 84550 URIC ACID BLOOD LAB	$17.85	$21.00	$3.01–$21.00	24% below	15%
Uric acid blood test CPT 84550 ASSAY OF BLOOD/URIC ACID	$17.85	$21.00	$3.01–$21.00	24% below	15%
Uric acid blood test inpatient CPT 84550 ASSAY OF BLOOD/URIC ACID	$17.85	$21.00	$3.01–$21.00	—	15%
Uric acid blood test inpatient CPT 84550 URIC ACID BLOOD LAB	$17.85	$21.00	$3.01–$21.00	—	15%
Urinalysis with microscope exam, automated CPT 81001 URINALYS W MICR LAB	$9.35	$11.00	$2.11–$11.00	68% below	15%
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS AUTO W/SCOPE	$9.35	$11.00	$2.11–$11.00	68% below	15%
Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYS W MICR LAB	$9.35	$11.00	$2.11–$11.00	—	15%
Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS AUTO W/SCOPE	$9.35	$11.00	$2.11–$11.00	—	15%
Urinalysis without microscope exam, manual CPT 81002 URINE CHEMICAL LAB	$4.92	$5.79	$2.00–$12.79	58% below	15%
Urinalysis without microscope exam, manual CPT 81002 URINALYSIS NONAUTO W/O SCOPE	$5.95	$7.00	$2.00–$12.79	49% below	15%
Urinalysis without microscope exam, manual CPT 81002 U/A DIPSTICK W/O MIC	$5.95	$7.00	$2.00–$12.79	49% below	15%
Urinalysis without microscope exam, manual inpatient CPT 81002 URINE CHEMICAL LAB	$4.92	$5.79	$2.00–$12.79	—	15%
Urinalysis without microscope exam, manual inpatient CPT 81002 URINALYSIS NONAUTO W/O SCOPE	$5.95	$7.00	$2.00–$12.79	—	15%
Urinalysis without microscope exam, manual inpatient CPT 81002 U/A DIPSTICK W/O MIC	$5.95	$7.00	$2.00–$12.79	—	15%
Urine culture for bacteria, with colony count CPT 87086 CULTURE URINE LAB	$51.00	$60.00	$5.38–$60.00	20% above	15%
Urine culture for bacteria, with colony count CPT 87086 URINE CULTURE/COLONY COUNT	$51.00	$60.00	$5.38–$60.00	20% above	15%
Urine culture for bacteria, with colony count inpatient CPT 87086 URINE CULTURE/COLONY COUNT	$51.00	$60.00	$5.38–$60.00	—	15%
Urine culture for bacteria, with colony count inpatient CPT 87086 CULTURE URINE LAB	$51.00	$60.00	$5.38–$60.00	—	15%
Urine pregnancy test, read by color change CPT 81025 RAPID STREP	$12.75	$15.00	$2.00–$102.50	59% below	15%
Urine pregnancy test, read by color change CPT 81025 URINE HCG	$33.15	$39.00	$2.00–$102.50	7% above	15%
Urine pregnancy test, read by color change CPT 81025 PREGNANCY URINE LAB	$41.22	$48.50	$2.00–$102.50	33% above	15%
Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST	$41.22	$48.50	$2.00–$102.50	33% above	15%
Urine pregnancy test, read by color change inpatient CPT 81025 RAPID STREP	$12.75	$15.00	$2.00–$102.50	—	15%
Urine pregnancy test, read by color change inpatient CPT 81025 URINE HCG	$33.15	$39.00	$2.00–$102.50	—	15%
Urine pregnancy test, read by color change inpatient CPT 81025 PREGNANCY URINE LAB	$41.22	$48.50	$2.00–$102.50	—	15%
Urine pregnancy test, read by color change inpatient CPT 81025 URINE PREGNANCY TEST	$41.22	$48.50	$2.00–$102.50	—	15%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12 LAB	$22.65	$26.65	$10.05–$26.65	65% below	15%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12	$22.65	$26.65	$10.05–$26.65	65% below	15%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B-12 LAB	$22.65	$26.65	$10.05–$26.65	—	15%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B-12	$22.65	$26.65	$10.05–$26.65	—	15%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY	$44.77	$52.68	$19.73–$52.68	50% below	15%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VIT D 25-HYDROXY LAB	$44.77	$52.68	$19.73–$52.68	50% below	15%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25 HYDROXY	$44.77	$52.68	$19.73–$52.68	—	15%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VIT D 25-HYDROXY LAB	$44.77	$52.68	$19.73–$52.68	—	15%
Zinc blood test CPT 84630 ZINC LEVEL LAB	$50.15	$59.00	$7.59–$59.00	45% above	15%
Zinc blood test CPT 84630 ASSAY OF ZINC	$50.15	$59.00	$7.59–$59.00	45% above	15%
Zinc blood test inpatient CPT 84630 ASSAY OF ZINC	$50.15	$59.00	$7.59–$59.00	—	15%
Zinc blood test inpatient CPT 84630 ZINC LEVEL LAB	$50.15	$59.00	$7.59–$59.00	—	15%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 CHORIONIC GONADOTROPIN TEST	$23.22	$27.32	$10.03–$27.32	62% below	15%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QUANTITATIV LAB	$23.22	$27.32	$10.03–$27.32	62% below	15%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 CHORIONIC GONADOTROPIN TEST	$23.22	$27.32	$10.03–$27.32	—	15%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG QUANTITATIV LAB	$23.22	$27.32	$10.03–$27.32	—	15%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs New York	Off list
Appendectomy, open surgery CPT 44950 APPENDECTOMY OPEN	$843.62	$992.50	$243.00–$3,120.56	47% below	15%
Appendectomy, open surgery CPT 44950 APPENDECTOMY	$843.62	$992.50	$243.00–$3,120.56	47% below	15%
Appendectomy, open surgery inpatient CPT 44950 APPENDECTOMY OPEN	$843.62	$992.50	$243.00–$3,120.56	—	15%
Appendectomy, open surgery inpatient CPT 44950 APPENDECTOMY	$843.62	$992.50	$243.00–$3,120.56	—	15%
Arthroscopic ACL reconstruction or repair of the knee CPT 29888 ARTHRS AID ACL RPR/AGMNTJ	$1,433.34	$1,686.29	$918.28–$2,201.56	72% below	15%
Arthroscopic ACL reconstruction or repair of the knee CPT 29888 REPAIR RECON 29888	$1,433.34	$1,686.29	$918.28–$2,201.56	72% below	15%
Arthroscopic ACL reconstruction or repair of the knee inpatient CPT 29888 REPAIR RECON 29888	$1,433.34	$1,686.29	$918.28–$2,201.56	—	15%
Arthroscopic ACL reconstruction or repair of the knee inpatient CPT 29888 ARTHRS AID ACL RPR/AGMNTJ	$1,433.34	$1,686.29	$918.28–$2,201.56	—	15%
Arthroscopic rotator cuff repair of the shoulder CPT 29827 ROTOR CUFF REPAIR	$1,568.50	$1,845.30	$1,000.75–$2,780.28	67% below	15%
Arthroscopic rotator cuff repair of the shoulder CPT 29827 SHO ARTHRS SRG RT8TR CUF RPR	$1,568.50	$1,845.30	$1,000.75–$2,780.28	67% below	15%
Arthroscopic rotator cuff repair of the shoulder inpatient CPT 29827 SHO ARTHRS SRG RT8TR CUF RPR	$1,568.50	$1,845.30	$1,000.75–$2,780.28	—	15%
Arthroscopic rotator cuff repair of the shoulder inpatient CPT 29827 ROTOR CUFF REPAIR	$1,568.50	$1,845.30	$1,000.75–$2,780.28	—	15%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 TREATMENT OF ANKLE FRACTURE	$399.50	$470.00	$395.41–$1,460.78	16% below	15%
Broken ankle (outer ankle bone) treatment without surgery or setting one side CPT 27786 TREATMENT LEFT ANKLE FRACTURE	$399.50	$470.00	$395.41–$1,460.78	16% below	15%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 TREATMENT OF ANKLE FRACTURE	$399.50	$470.00	$395.41–$1,460.78	—	15%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient one side CPT 27786 TREATMENT LEFT ANKLE FRACTURE	$399.50	$470.00	$395.41–$1,460.78	—	15%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION - PC	$237.52	$279.44	$89.21–$3,104.56	76% below	15%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION GLOBAL	$364.49	$428.82	$89.21–$3,104.56	63% below	15%
Cardioversion, elective (restoring heart rhythm) CPT 92960 ELECTIVE CARDIOVERSI	$455.60	$536.00	$89.21–$3,104.56	54% below	15%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION - TC	$790.62	$930.15	$89.21–$3,104.56	20% below	15%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTRIC EXT	$790.62	$930.15	$89.21–$3,104.56	20% below	15%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION/DEFIB	$790.62	$930.15	$89.21–$3,104.56	20% below	15%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION - PC	$237.52	$279.44	$89.21–$3,104.56	—	15%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION GLOBAL	$364.49	$428.82	$89.21–$3,104.56	—	15%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 ELECTIVE CARDIOVERSI	$455.60	$536.00	$89.21–$3,104.56	—	15%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION ELECTRIC EXT	$790.62	$930.15	$89.21–$3,104.56	—	15%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION - TC	$790.62	$930.15	$89.21–$3,104.56	—	15%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION/DEFIB	$790.62	$930.15	$89.21–$3,104.56	—	15%
Carpal tunnel release, open surgery CPT 64721 CARPAL TUNNEL SURGERY	$667.24	$784.99	$415.35–$1,948.95	71% below	15%
Carpal tunnel release, open surgery CPT 64721 TRANSPOSITION 64721	$667.24	$784.99	$415.35–$1,948.95	71% below	15%
Carpal tunnel release, open surgery inpatient CPT 64721 CARPAL TUNNEL SURGERY	$667.24	$784.99	$415.35–$1,948.95	—	15%
Carpal tunnel release, open surgery inpatient CPT 64721 TRANSPOSITION 64721	$667.24	$784.99	$415.35–$1,948.95	—	15%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CL REDUCTION FX DISTAL RAD WO MANIPULATN	$430.11	$506.02	$133.08–$506.02	13% below	15%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CLTX DST RDL FX/EPHYS SEP WO	$430.11	$506.02	$133.08–$506.02	13% below	15%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 CLTX DST RDL FX/EPHYS SEP WO	$430.11	$506.02	$133.08–$506.02	—	15%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 CL REDUCTION FX DISTAL RAD WO MANIPULATN	$430.11	$506.02	$133.08–$506.02	—	15%
Colonoscopy with polyp removal CPT 45385 COLONOSCOPY W/LESION REMOVAL	$335.98	$395.28	$117.07–$1,948.95	73% below	15%
Colonoscopy with polyp removal CPT 45385 COLONOSCOPY WITH SNARE POLYPECTOMY	$335.98	$395.28	$117.07–$1,948.95	73% below	15%
Colonoscopy with polyp removal CPT 45385 COLONOSCOPY W/SNARE RMVL POLYPECTOMY	$362.71	$426.72	$117.07–$1,948.95	71% below	15%
Colonoscopy with polyp removal inpatient CPT 45385 COLONOSCOPY WITH SNARE POLYPECTOMY	$335.98	$395.28	$117.07–$1,948.95	—	15%
Colonoscopy with polyp removal inpatient CPT 45385 COLONOSCOPY W/LESION REMOVAL	$335.98	$395.28	$117.07–$1,948.95	—	15%
Colonoscopy with polyp removal inpatient CPT 45385 COLONOSCOPY W/SNARE RMVL POLYPECTOMY	$362.71	$426.72	$117.07–$1,948.95	—	15%
Colonoscopy with tissue sample CPT 45380 COLONOSCOPY AND BIOPSY	$266.04	$312.99	$100.00–$1,948.95	75% below	15%
Colonoscopy with tissue sample CPT 45380 COLONOSCOPY WITH BIOPSY	$266.04	$312.99	$100.00–$1,948.95	75% below	15%
Colonoscopy with tissue sample CPT 45380 COLONOSCOPY W/BX	$287.22	$337.91	$100.00–$1,948.95	73% below	15%
Colonoscopy with tissue sample inpatient CPT 45380 COLONOSCOPY WITH BIOPSY	$266.04	$312.99	$100.00–$1,948.95	—	15%
Colonoscopy with tissue sample inpatient CPT 45380 COLONOSCOPY AND BIOPSY	$266.04	$312.99	$100.00–$1,948.95	—	15%
Colonoscopy with tissue sample inpatient CPT 45380 COLONOSCOPY W/BX	$287.22	$337.91	$100.00–$1,948.95	—	15%
Colonoscopy, diagnostic CPT 45378 COLONOSCOPY DIAGNOSTIC	$245.10	$288.36	$170.58–$1,948.95	78% below	15%
Colonoscopy, diagnostic CPT 45378 COLONOSCOPY SCREEN	$245.10	$288.36	$170.58–$1,948.95	78% below	15%
Colonoscopy, diagnostic CPT 45378 DIAGNOSTIC COLONOSCOPY	$245.10	$288.36	$170.58–$1,948.95	78% below	15%
Colonoscopy, diagnostic CPT 45378 COLONOSCOPY W/O BX	$263.89	$310.47	$170.58–$1,948.95	76% below	15%
Colonoscopy, diagnostic inpatient CPT 45378 DIAGNOSTIC COLONOSCOPY	$245.10	$288.36	$170.58–$1,948.95	—	15%
Colonoscopy, diagnostic inpatient CPT 45378 COLONOSCOPY SCREEN	$245.10	$288.36	$170.58–$1,948.95	—	15%
Colonoscopy, diagnostic inpatient CPT 45378 COLONOSCOPY DIAGNOSTIC	$245.10	$288.36	$170.58–$1,948.95	—	15%
Colonoscopy, diagnostic inpatient CPT 45378 COLONOSCOPY W/O BX	$263.89	$310.47	$170.58–$1,948.95	—	15%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTROY BENIGN LESION	$63.75	$75.00	$56.65–$425.52	73% below	15%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRUCT PREMALG LESION	$88.40	$104.00	$56.65–$425.52	62% below	15%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DEST BEN LES W/A 1	$88.40	$104.00	$56.65–$425.52	62% below	15%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 DESTROY BENIGN LESION	$63.75	$75.00	$56.65–$425.52	—	15%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 DEST BEN LES W/A 1	$88.40	$104.00	$56.65–$425.52	—	15%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 DESTRUCT PREMALG LESION	$88.40	$104.00	$56.65–$425.52	—	15%
Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVE IMPACTED EAR WAX UNI	$74.30	$87.42	$16.43–$181.78	26% below	15%
Earwax removal by irrigation (rinsing), one ear CPT 69209 REM IMP EAR WAX UNI	$74.30	$87.42	$16.43–$181.78	26% below	15%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 REM IMP EAR WAX UNI	$74.30	$87.42	$16.43–$181.78	—	15%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 REMOVE IMPACTED EAR WAX UNI	$74.30	$87.42	$16.43–$181.78	—	15%
Earwax removal with instruments, one ear CPT 69210 IRRIGATION EAR	$59.00	$69.42	$38.87–$278.42	53% below	15%
Earwax removal with instruments, one ear CPT 69210 REMOVE IMPACTED CERU	$86.70	$102.00	$38.87–$278.42	30% below	15%
Earwax removal with instruments, one ear CPT 69210 REMOVE IMPACTED EAR WAX UNI	$86.70	$102.00	$38.87–$278.42	30% below	15%
Earwax removal with instruments, one ear CPT 69210 REMOVAL OF IM CERUM	$90.95	$107.00	$38.87–$278.42	27% below	15%
Earwax removal with instruments, one ear inpatient CPT 69210 IRRIGATION EAR	$59.00	$69.42	$38.87–$278.42	—	15%
Earwax removal with instruments, one ear inpatient CPT 69210 REMOVE IMPACTED CERU	$86.70	$102.00	$38.87–$278.42	—	15%
Earwax removal with instruments, one ear inpatient CPT 69210 REMOVE IMPACTED EAR WAX UNI	$86.70	$102.00	$38.87–$278.42	—	15%
Earwax removal with instruments, one ear inpatient CPT 69210 REMOVAL OF IM CERUM	$90.95	$107.00	$38.87–$278.42	—	15%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 HERNIA REPAIR 49593	$775.48	$912.33	$531.80–$912.33	89% below	15%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 RPR AA HRN 1ST 3-10 RDC	$775.48	$912.33	$531.80–$912.33	89% below	15%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm inpatient CPT 49593 RPR AA HRN 1ST 3-10 RDC	$775.48	$912.33	$531.80–$912.33	—	15%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm inpatient CPT 49593 HERNIA REPAIR 49593	$775.48	$912.33	$531.80–$912.33	—	15%
First repair of a front abdominal hernia larger than 10 cm CPT 49595 RPR HERNIA W/MESH 49595	$1,055.10	$1,241.30	$713.00–$1,241.30	86% below	15%
First repair of a front abdominal hernia larger than 10 cm CPT 49595 RPR AA HRN 1ST > 10 RDC	$1,055.10	$1,241.30	$713.00–$1,241.30	86% below	15%
First repair of a front abdominal hernia larger than 10 cm inpatient CPT 49595 RPR AA HRN 1ST > 10 RDC	$1,055.10	$1,241.30	$713.00–$1,241.30	—	15%
First repair of a front abdominal hernia larger than 10 cm inpatient CPT 49595 RPR HERNIA W/MESH 49595	$1,055.10	$1,241.30	$713.00–$1,241.30	—	15%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 HERNIA REPAIR 49591	$472.56	$555.96	$316.00–$1,460.78	89% below	15%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 RPR AA HRN 1ST < 3 CM RDC	$472.56	$555.96	$316.00–$1,460.78	89% below	15%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm inpatient CPT 49591 HERNIA REPAIR 49591	$472.56	$555.96	$316.00–$1,460.78	—	15%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm inpatient CPT 49591 RPR AA HRN 1ST < 3 CM RDC	$472.56	$555.96	$316.00–$1,460.78	—	15%
Gallbladder removal, laparoscopic CPT 47562 LAPAROSCOPIC CHOLECYSTECTOMY	$827.59	$973.64	$614.66–$4,317.76	60% below	15%
Gallbladder removal, laparoscopic CPT 47562 CHOLECYSTECTOMY LAPAROSCOPIC	$827.59	$973.64	$614.66–$4,317.76	60% below	15%
Gallbladder removal, laparoscopic inpatient CPT 47562 CHOLECYSTECTOMY LAPAROSCOPIC	$827.59	$973.64	$614.66–$4,317.76	—	15%
Gallbladder removal, laparoscopic inpatient CPT 47562 LAPAROSCOPIC CHOLECYSTECTOMY	$827.59	$973.64	$614.66–$4,317.76	—	15%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 LAPARO CHOLECYSTECTOMY/GRAPH	$899.17	$1,057.85	$668.13–$4,317.76	86% below	15%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 CHOLECYSTECTOMY LAP W CHOLANGIOGRAPHY	$899.17	$1,057.85	$668.13–$4,317.76	86% below	15%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery inpatient CPT 47563 CHOLECYSTECTOMY LAP W CHOLANGIOGRAPHY	$899.17	$1,057.85	$668.13–$4,317.76	—	15%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery inpatient CPT 47563 LAPARO CHOLECYSTECTOMY/GRAPH	$899.17	$1,057.85	$668.13–$4,317.76	—	15%
Gallbladder removal, open surgery through a larger incision CPT 47600 CHOLECYSTECTOMY	$1,344.18	$1,581.39	$243.00–$3,120.56	22% above	15%
Gallbladder removal, open surgery through a larger incision CPT 47600 CHOLECYSTECTOMY OPEN	$1,344.18	$1,581.39	$243.00–$3,120.56	22% above	15%
Gallbladder removal, open surgery through a larger incision inpatient CPT 47600 CHOLECYSTECTOMY	$1,344.18	$1,581.39	$243.00–$3,120.56	—	15%
Gallbladder removal, open surgery through a larger incision inpatient CPT 47600 CHOLECYSTECTOMY OPEN	$1,344.18	$1,581.39	$243.00–$3,120.56	—	15%
Hemorrhoid banding (rubber band ligation) CPT 46221 LIGATION OF HEMORRHOID(S)	$238.77	$280.91	$91.09–$644.00	78% below	15%
Hemorrhoid banding (rubber band ligation) CPT 46221 HEMORRHOIDECTOMY INTERNAL RUBBER BANDING	$238.77	$280.91	$91.09–$644.00	78% below	15%
Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 LIGATION OF HEMORRHOID(S)	$238.77	$280.91	$91.09–$644.00	—	15%
Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 HEMORRHOIDECTOMY INTERNAL RUBBER BANDING	$238.77	$280.91	$91.09–$644.00	—	15%
Hemorrhoidectomy (internal and external), one area CPT 46255 REMOVE INT/EXT HEM 1 GROUP	$444.38	$522.80	$333.22–$2,201.56	86% below	15%
Hemorrhoidectomy (internal and external), one area CPT 46255 HEMOR I&E 46255	$444.38	$522.80	$333.22–$2,201.56	86% below	15%
Hemorrhoidectomy (internal and external), one area inpatient CPT 46255 HEMOR I&E 46255	$444.38	$522.80	$333.22–$2,201.56	—	15%
Hemorrhoidectomy (internal and external), one area inpatient CPT 46255 REMOVE INT/EXT HEM 1 GROUP	$444.38	$522.80	$333.22–$2,201.56	—	15%
Hip replacement after an earlier hip surgery (conversion to total hip) CPT 27132 HIP 27132	$2,410.06	$2,835.37	$243.00–$2,835.37	16% below	15%
Hip replacement after an earlier hip surgery (conversion to total hip) CPT 27132 TOTAL HIP ARTHROPLASTY	$2,410.06	$2,835.37	$243.00–$2,835.37	16% below	15%
Hip replacement after an earlier hip surgery (conversion to total hip) inpatient CPT 27132 HIP 27132	$2,410.06	$2,835.37	$243.00–$2,835.37	—	15%
Hip replacement after an earlier hip surgery (conversion to total hip) inpatient CPT 27132 TOTAL HIP ARTHROPLASTY	$2,410.06	$2,835.37	$243.00–$2,835.37	—	15%
Incision and drainage of a simple or single skin abscess CPT 10060 DRAINAGE OF SKIN ABS	$88.23	$103.80	$100.56–$563.52	76% below	15%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SIMPLE/SINGLE	$101.42	$119.32	$100.56–$563.52	72% below	15%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D SUBQ	$101.42	$119.32	$100.56–$563.52	72% below	15%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SIMPLE	$121.04	$142.40	$100.56–$563.52	67% below	15%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS	$168.30	$198.00	$100.56–$563.52	54% below	15%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 DRAINAGE OF SKIN ABS	$88.23	$103.80	$100.56–$563.52	—	15%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSCESS SIMPLE/SINGLE	$101.42	$119.32	$100.56–$563.52	—	15%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D SUBQ	$101.42	$119.32	$100.56–$563.52	—	15%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSCESS SIMPLE	$121.04	$142.40	$100.56–$563.52	—	15%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSCESS	$168.30	$198.00	$100.56–$563.52	—	15%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 HERNIA REPAIR OPEN REDUCIBLE	$654.22	$769.68	$488.47–$2,780.28	83% below	15%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 PRP I/HERN INIT REDUC >5 YR	$654.22	$769.68	$488.47–$2,780.28	83% below	15%
Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 PRP I/HERN INIT REDUC >5 YR	$654.22	$769.68	$488.47–$2,780.28	—	15%
Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 HERNIA REPAIR OPEN REDUCIBLE	$654.22	$769.68	$488.47–$2,780.28	—	15%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ RENDON SHEATH	$55.42	$65.21	$36.45–$642.51	86% below	15%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ TEND SHEATH LIG	$130.90	$154.00	$36.45–$642.51	68% below	15%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 NJX 1 TENDON SHEATH/LIGAMENT	$130.90	$154.00	$36.45–$642.51	68% below	15%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ TENDON SHEATH LIGAMENT	$359.80	$423.30	$36.45–$642.51	12% below	15%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJ RENDON SHEATH	$55.42	$65.21	$36.45–$642.51	—	15%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJ TEND SHEATH LIG	$130.90	$154.00	$36.45–$642.51	—	15%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 NJX 1 TENDON SHEATH/LIGAMENT	$130.90	$154.00	$36.45–$642.51	—	15%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJ TENDON SHEATH LIGAMENT	$359.80	$423.30	$36.45–$642.51	—	15%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound both sides CPT 20610 FL INJ KNEE BILAT	$120.70	$142.00	$42.14–$4,852.80	—	15%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound both sides CPT 20610 FL INJ SHLDR BILAT	$359.80	$423.30	$42.14–$4,852.80	—	15%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound both sides CPT 20610 FL INJ HIP BILAT	$359.80	$423.30	$42.14–$4,852.80	—	15%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 FL INJ HIP BL	$76.50	$90.00	$42.14–$4,852.80	79% below	15%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJ JOINT/BURSA W/O US	$76.50	$90.00	$42.14–$4,852.80	79% below	15%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 INJ MAJOR JOINT	$120.70	$142.00	$42.14–$4,852.80	67% below	15%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 OFFICE STEROID INJ J	$130.05	$153.00	$42.14–$4,852.80	64% below	15%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCEN ASP MAJOR	$131.75	$155.00	$42.14–$4,852.80	64% below	15%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN INJ 20610	$131.75	$155.00	$42.14–$4,852.80	64% below	15%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENTESIS MAJOR	$170.00	$200.00	$42.14–$4,852.80	53% below	15%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 FL INJ KNEE LT	$120.70	$142.00	$42.14–$4,852.80	67% below	15%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 FL INJ SHLDR LT	$120.70	$142.00	$42.14–$4,852.80	67% below	15%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 FL INJ KNEE RT	$120.70	$142.00	$42.14–$4,852.80	67% below	15%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 FL INJ SHLDR RT	$359.80	$423.30	$42.14–$4,852.80	1% below	15%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 FL INJ HIP RT	$359.80	$423.30	$42.14–$4,852.80	1% below	15%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 FL INJ HIP LT	$359.80	$423.30	$42.14–$4,852.80	1% below	15%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient both sides CPT 20610 FL INJ KNEE BILAT	$120.70	$142.00	$42.14–$4,852.80	—	15%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient both sides CPT 20610 FL INJ HIP BILAT	$359.80	$423.30	$42.14–$4,852.80	—	15%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient both sides CPT 20610 FL INJ SHLDR BILAT	$359.80	$423.30	$42.14–$4,852.80	—	15%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 FL INJ HIP BL	$76.50	$90.00	$42.14–$4,852.80	—	15%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 DRAIN/INJ JOINT/BURSA W/O US	$76.50	$90.00	$42.14–$4,852.80	—	15%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 INJ MAJOR JOINT	$120.70	$142.00	$42.14–$4,852.80	—	15%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 OFFICE STEROID INJ J	$130.05	$153.00	$42.14–$4,852.80	—	15%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHROCEN ASP MAJOR	$131.75	$155.00	$42.14–$4,852.80	—	15%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 DRAIN INJ 20610	$131.75	$155.00	$42.14–$4,852.80	—	15%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHROCENTESIS MAJOR	$170.00	$200.00	$42.14–$4,852.80	—	15%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 FL INJ KNEE LT	$120.70	$142.00	$42.14–$4,852.80	—	15%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 FL INJ SHLDR LT	$120.70	$142.00	$42.14–$4,852.80	—	15%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 FL INJ KNEE RT	$120.70	$142.00	$42.14–$4,852.80	—	15%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 FL INJ HIP RT	$359.80	$423.30	$42.14–$4,852.80	—	15%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 FL INJ SHLDR RT	$359.80	$423.30	$42.14–$4,852.80	—	15%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 FL INJ HIP LT	$359.80	$423.30	$42.14–$4,852.80	—	15%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJ JOINT/BURSA W/O US	$45.90	$54.00	$34.67–$692.34	87% below	15%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCENTESIS INTERMIDIATE	$45.90	$54.00	$34.67–$692.34	87% below	15%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN INJ 20605	$52.73	$62.04	$34.67–$692.34	85% below	15%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCEN ASP INT	$130.05	$153.00	$34.67–$692.34	63% below	15%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHOCENTESIS,INTERM	$359.80	$423.30	$34.67–$692.34	3% above	15%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 DRAIN/INJ JOINT/BURSA W/O US	$45.90	$54.00	$34.67–$692.34	—	15%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ARTHROCENTESIS INTERMIDIATE	$45.90	$54.00	$34.67–$692.34	—	15%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 DRAIN INJ 20605	$52.73	$62.04	$34.67–$692.34	—	15%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ARTHROCEN ASP INT	$130.05	$153.00	$34.67–$692.34	—	15%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ARTHOCENTESIS,INTERM	$359.80	$423.30	$34.67–$692.34	—	15%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHROCEN ASP SM	$130.05	$153.00	$50.25–$776.30	63% below	15%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 DRAIN INJ JOINT BURSA	$170.00	$200.00	$50.25–$776.30	51% below	15%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHROCENTESIS,SMALL	$359.80	$423.30	$50.25–$776.30	3% above	15%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 DRAIN/INJ JOINT/BURSA W/O US	$359.80	$423.30	$50.25–$776.30	3% above	15%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ARTHROCEN ASP SM	$130.05	$153.00	$50.25–$776.30	—	15%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 DRAIN INJ JOINT BURSA	$170.00	$200.00	$50.25–$776.30	—	15%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 DRAIN/INJ JOINT/BURSA W/O US	$359.80	$423.30	$50.25–$776.30	—	15%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ARTHROCENTESIS,SMALL	$359.80	$423.30	$50.25–$776.30	—	15%
Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 REPAIR MENIS 29882	$1,021.73	$1,202.04	$652.18–$2,201.56	56% below	15%
Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 ARTHRS KNE SRG MNISC RPR M/L	$1,021.73	$1,202.04	$652.18–$2,201.56	56% below	15%
Knee arthroscopy with meniscus repair (one side of the knee) inpatient CPT 29882 ARTHRS KNE SRG MNISC RPR M/L	$1,021.73	$1,202.04	$652.18–$2,201.56	—	15%
Knee arthroscopy with meniscus repair (one side of the knee) inpatient CPT 29882 REPAIR MENIS 29882	$1,021.73	$1,202.04	$652.18–$2,201.56	—	15%
Knee arthroscopy with meniscus trim CPT 29881 ARTHRS KNE SRG MNISECTMY M/L	$812.91	$956.37	$512.64–$2,780.28	79% below	15%
Knee arthroscopy with meniscus trim CPT 29881 MENISCECTOMY 29881	$812.91	$956.37	$512.64–$2,780.28	79% below	15%
Knee arthroscopy with meniscus trim inpatient CPT 29881 MENISCECTOMY 29881	$812.91	$956.37	$512.64–$2,780.28	—	15%
Knee arthroscopy with meniscus trim inpatient CPT 29881 ARTHRS KNE SRG MNISECTMY M/L	$812.91	$956.37	$512.64–$2,780.28	—	15%
Knee arthroscopy with removal of both torn meniscus parts CPT 29880 MENISCECTOMY 29880	$841.98	$990.57	$531.70–$2,780.28	52% below	15%
Knee arthroscopy with removal of both torn meniscus parts CPT 29880 ARTHRS KNE SRG MNISECTMY M&L	$841.98	$990.57	$531.70–$2,780.28	52% below	15%
Knee arthroscopy with removal of both torn meniscus parts inpatient CPT 29880 ARTHRS KNE SRG MNISECTMY M&L	$841.98	$990.57	$531.70–$2,780.28	—	15%
Knee arthroscopy with removal of both torn meniscus parts inpatient CPT 29880 MENISCECTOMY 29880	$841.98	$990.57	$531.70–$2,780.28	—	15%
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 ARTHRS KNEE SURG DBRDMT/SHVG	$927.39	$1,091.05	$587.26–$2,780.28	43% below	15%
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 DEBRIDEMENT 29877	$927.39	$1,091.05	$587.26–$2,780.28	43% below	15%
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) inpatient CPT 29877 ARTHRS KNEE SURG DBRDMT/SHVG	$927.39	$1,091.05	$587.26–$2,780.28	—	15%
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) inpatient CPT 29877 DEBRIDEMENT 29877	$927.39	$1,091.05	$587.26–$2,780.28	—	15%
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 APPENDECTOMY LAPAROSCOPIC	$756.30	$889.77	$243.00–$3,120.56	79% below	15%
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 APPENDECTOMY, LAPAROSCOPIC 44970	$861.69	$1,013.76	$243.00–$3,120.56	76% below	15%
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 LAPAROSCOPY APPENDECTOMY	$861.69	$1,013.76	$243.00–$3,120.56	76% below	15%
Laparoscopic appendectomy (appendix removal through small cuts) inpatient CPT 44970 APPENDECTOMY LAPAROSCOPIC	$756.30	$889.77	$243.00–$3,120.56	—	15%
Laparoscopic appendectomy (appendix removal through small cuts) inpatient CPT 44970 LAPAROSCOPY APPENDECTOMY	$861.69	$1,013.76	$243.00–$3,120.56	—	15%
Laparoscopic appendectomy (appendix removal through small cuts) inpatient CPT 44970 APPENDECTOMY, LAPAROSCOPIC 44970	$861.69	$1,013.76	$243.00–$3,120.56	—	15%
Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 HERNIA REPAIR LAP ING INITIAL	$537.81	$632.72	$405.14–$2,780.28	59% below	15%
Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 LAP ING HERNIA REPAIR INIT	$537.81	$632.72	$405.14–$2,780.28	59% below	15%
Laparoscopic inguinal (groin) hernia repair, first repair on that side inpatient CPT 49650 HERNIA REPAIR LAP ING INITIAL	$537.81	$632.72	$405.14–$2,780.28	—	15%
Laparoscopic inguinal (groin) hernia repair, first repair on that side inpatient CPT 49650 LAP ING HERNIA REPAIR INIT	$537.81	$632.72	$405.14–$2,780.28	—	15%
Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 LAP ING HERNIA REPAIR RECUR	$698.87	$822.20	$528.16–$4,160.41	90% below	15%
Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 HERNIA REPAIR LAP ING RECURR	$698.87	$822.20	$528.16–$4,160.41	90% below	15%
Laparoscopic inguinal (groin) hernia repair, recurrent hernia inpatient CPT 49651 HERNIA REPAIR LAP ING RECURR	$698.87	$822.20	$528.16–$4,160.41	—	15%
Laparoscopic inguinal (groin) hernia repair, recurrent hernia inpatient CPT 49651 LAP ING HERNIA REPAIR RECUR	$698.87	$822.20	$528.16–$4,160.41	—	15%
Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 LAPAROSCOPY REMOVE ADNEXA	$867.83	$1,020.98	$615.84–$3,120.56	70% below	15%
Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 LAPAROSCOPY 58661	$938.74	$1,104.41	$615.84–$3,120.56	67% below	15%
Laparoscopic removal of fallopian tubes and/or ovaries one side CPT 58661 UNILAT SALPINGECTOMY	$867.83	$1,020.98	$615.84–$3,120.56	70% below	15%
Laparoscopic removal of fallopian tubes and/or ovaries inpatient CPT 58661 LAPAROSCOPY REMOVE ADNEXA	$867.83	$1,020.98	$615.84–$3,120.56	—	15%
Laparoscopic removal of fallopian tubes and/or ovaries inpatient CPT 58661 LAPAROSCOPY 58661	$938.74	$1,104.41	$615.84–$3,120.56	—	15%
Laparoscopic removal of fallopian tubes and/or ovaries inpatient one side CPT 58661 UNILAT SALPINGECTOMY	$867.83	$1,020.98	$615.84–$3,120.56	—	15%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INTERM LAC < 2 5	$99.45	$117.00	$142.62–$425.52	82% below	15%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INTMD RPR S/A/T/EXT 2.5 CM/<	$191.78	$225.63	$142.62–$425.52	65% below	15%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 LAC INT STE 12031	$191.78	$225.63	$142.62–$425.52	65% below	15%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 INTERM LAC < 2 5	$99.45	$117.00	$142.62–$425.52	—	15%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 INTMD RPR S/A/T/EXT 2.5 CM/<	$191.78	$225.63	$142.62–$425.52	—	15%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 LAC INT STE 12031	$191.78	$225.63	$142.62–$425.52	—	15%
Lower-back epidural injection, without imaging guidance CPT 62322 INJECT SPINE L/S CD	$156.57	$184.20	$117.22–$1,460.78	86% below	15%
Lower-back epidural injection, without imaging guidance CPT 62322 NJX INTERLAMINAR LMBR/SAC	$156.57	$184.20	$117.22–$1,460.78	86% below	15%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 INJECT SPINE L/S CD	$156.57	$184.20	$117.22–$1,460.78	—	15%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 NJX INTERLAMINAR LMBR/SAC	$156.57	$184.20	$117.22–$1,460.78	—	15%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC TR-EXT B9+MARG 0.5 CM<	$99.94	$117.58	$79.88–$644.00	89% below	15%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC TAL 0.5 OR <	$99.94	$117.58	$79.88–$644.00	89% below	15%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 EXC TAL 0.5 OR <	$99.94	$117.58	$79.88–$644.00	—	15%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 EXC TR-EXT B9+MARG 0.5 CM<	$99.94	$117.58	$79.88–$644.00	—	15%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXC FEENL 0.5 OR <	$138.56	$163.02	$100.96–$644.00	85% below	15%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXC FACE-MM B9+MARG 0.5 CM/<	$138.56	$163.02	$100.96–$644.00	85% below	15%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 EXC FACE-MM B9+MARG 0.5 CM/<	$138.56	$163.02	$100.96–$644.00	—	15%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 EXC FEENL 0.5 OR <	$138.56	$163.02	$100.96–$644.00	—	15%
Nail removal (partial or complete), one nail CPT 11730 AVULSION NAIL PLATE SIMPLE 1	$70.48	$82.92	$50.59–$641.97	75% below	15%
Nail removal (partial or complete), one nail CPT 11730 AVULSION OF NAIL PLATE SINGLE	$70.48	$82.92	$50.59–$641.97	75% below	15%
Nail removal (partial or complete), one nail CPT 11730 AVULSION OF NAIL PLA	$110.50	$130.00	$50.59–$641.97	61% below	15%
Nail removal (partial or complete), one nail CPT 11730 AVULSION NAIL PLATE PART/COMPLETE	$121.48	$142.92	$50.59–$641.97	57% below	15%
Nail removal (partial or complete), one nail CPT 11730 I&D NAIL REMOVAL	$243.21	$286.13	$50.59–$641.97	14% below	15%
Nail removal (partial or complete), one nail inpatient CPT 11730 AVULSION NAIL PLATE SIMPLE 1	$70.48	$82.92	$50.59–$641.97	—	15%
Nail removal (partial or complete), one nail inpatient CPT 11730 AVULSION OF NAIL PLATE SINGLE	$70.48	$82.92	$50.59–$641.97	—	15%
Nail removal (partial or complete), one nail inpatient CPT 11730 AVULSION OF NAIL PLA	$110.50	$130.00	$50.59–$641.97	—	15%
Nail removal (partial or complete), one nail inpatient CPT 11730 AVULSION NAIL PLATE PART/COMPLETE	$121.48	$142.92	$50.59–$641.97	—	15%
Nail removal (partial or complete), one nail inpatient CPT 11730 I&D NAIL REMOVAL	$243.21	$286.13	$50.59–$641.97	—	15%
Paracentesis with imaging guidance CPT 49083 PARACENTESIS	$139.40	$164.00	$98.59–$1,948.95	89% below	15%
Paracentesis with imaging guidance CPT 49083 US PARACENTESIS	$314.50	$370.00	$98.59–$1,948.95	75% below	15%
Paracentesis with imaging guidance CPT 49083 ULTRASOUND PARACENTESIS	$1,101.20	$1,295.54	$98.59–$1,948.95	11% below	15%
Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGING	$1,101.20	$1,295.54	$98.59–$1,948.95	11% below	15%
Paracentesis with imaging guidance inpatient CPT 49083 PARACENTESIS	$139.40	$164.00	$98.59–$1,948.95	—	15%
Paracentesis with imaging guidance inpatient CPT 49083 US PARACENTESIS	$314.50	$370.00	$98.59–$1,948.95	—	15%
Paracentesis with imaging guidance inpatient CPT 49083 ABD PARACENTESIS W/IMAGING	$1,101.20	$1,295.54	$98.59–$1,948.95	—	15%
Paracentesis with imaging guidance inpatient CPT 49083 ULTRASOUND PARACENTESIS	$1,101.20	$1,295.54	$98.59–$1,948.95	—	15%
Partial knee replacement (one compartment) CPT 27446 REVISION OF KNEE JOINT	$1,672.74	$1,967.93	$1,078.39–$3,120.56	82% below	15%
Partial knee replacement (one compartment) CPT 27446 KNEE 27446	$1,672.74	$1,967.93	$1,078.39–$3,120.56	82% below	15%
Partial knee replacement (one compartment) inpatient CPT 27446 REVISION OF KNEE JOINT	$1,672.74	$1,967.93	$1,078.39–$3,120.56	—	15%
Partial knee replacement (one compartment) inpatient CPT 27446 KNEE 27446	$1,672.74	$1,967.93	$1,078.39–$3,120.56	—	15%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXCISION NAIL&NAIL MATRIX	$128.55	$151.24	$96.79–$1,041.04	78% below	15%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXCISION OF NAIL	$128.55	$151.24	$96.79–$1,041.04	78% below	15%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXCISION NAIL 11750	$151.98	$178.80	$96.79–$1,041.04	74% below	15%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXCISION NAIL & NAIL	$254.15	$299.00	$96.79–$1,041.04	56% below	15%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 PERMANENT NAIL REMOV	$350.20	$412.00	$96.79–$1,041.04	40% below	15%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 EXCISION OF NAIL	$128.55	$151.24	$96.79–$1,041.04	—	15%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 EXCISION NAIL&NAIL MATRIX	$128.55	$151.24	$96.79–$1,041.04	—	15%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 EXCISION NAIL 11750	$151.98	$178.80	$96.79–$1,041.04	—	15%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 EXCISION NAIL & NAIL	$254.15	$299.00	$96.79–$1,041.04	—	15%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 PERMANENT NAIL REMOV	$350.20	$412.00	$96.79–$1,041.04	—	15%
Removal of a breast lump, open surgery CPT 19120 REMOVAL OF BREAST LESION	$512.25	$602.65	$391.21–$2,201.56	88% below	15%
Removal of a breast lump, open surgery CPT 19120 EXC BREAST LESION M/F 1 OR MORE	$512.25	$602.65	$391.21–$2,201.56	88% below	15%
Removal of a breast lump, open surgery inpatient CPT 19120 REMOVAL OF BREAST LESION	$512.25	$602.65	$391.21–$2,201.56	—	15%
Removal of a breast lump, open surgery inpatient CPT 19120 EXC BREAST LESION M/F 1 OR MORE	$512.25	$602.65	$391.21–$2,201.56	—	15%
Removal of a foreign object under the skin, simple CPT 10120 REMOVAL FOREIGN BODY	$107.10	$126.00	$99.19–$1,321.42	81% below	15%
Removal of a foreign object under the skin, simple CPT 10120 INC&RMVL FB SUBQ TISS SMPL	$129.14	$151.94	$99.19–$1,321.42	77% below	15%
Removal of a foreign object under the skin, simple CPT 10120 I&R FB SIMPLE	$129.14	$151.94	$99.19–$1,321.42	77% below	15%
Removal of a foreign object under the skin, simple CPT 10120 REMOVE FB SIMPLE	$129.73	$152.63	$99.19–$1,321.42	77% below	15%
Removal of a foreign object under the skin, simple CPT 10120 I&D SUBQ FB	$130.02	$152.97	$99.19–$1,321.42	77% below	15%
Removal of a foreign object under the skin, simple CPT 10120 INC/REM FB SIMPLE	$142.80	$168.00	$99.19–$1,321.42	74% below	15%
Removal of a foreign object under the skin, simple CPT 10120 I&D SUBCUTANEOUS FB	$484.39	$569.88	$99.19–$1,321.42	13% below	15%
Removal of a foreign object under the skin, simple inpatient CPT 10120 REMOVAL FOREIGN BODY	$107.10	$126.00	$99.19–$1,321.42	—	15%
Removal of a foreign object under the skin, simple inpatient CPT 10120 I&R FB SIMPLE	$129.14	$151.94	$99.19–$1,321.42	—	15%
Removal of a foreign object under the skin, simple inpatient CPT 10120 INC&RMVL FB SUBQ TISS SMPL	$129.14	$151.94	$99.19–$1,321.42	—	15%
Removal of a foreign object under the skin, simple inpatient CPT 10120 REMOVE FB SIMPLE	$129.73	$152.63	$99.19–$1,321.42	—	15%
Removal of a foreign object under the skin, simple inpatient CPT 10120 I&D SUBQ FB	$130.02	$152.97	$99.19–$1,321.42	—	15%
Removal of a foreign object under the skin, simple inpatient CPT 10120 INC/REM FB SIMPLE	$142.80	$168.00	$99.19–$1,321.42	—	15%
Removal of a foreign object under the skin, simple inpatient CPT 10120 I&D SUBCUTANEOUS FB	$484.39	$569.88	$99.19–$1,321.42	—	15%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLONOSCOPY MC SCREENING LOW RISK	$245.00	$288.24	$150.81–$1,948.95	77% below	15%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLON CA SCRN NOT HI RSK IND	$245.00	$288.24	$150.81–$1,948.95	77% below	15%
Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 COLON CA SCRN NOT HI RSK IND	$245.00	$288.24	$150.81–$1,948.95	—	15%
Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 COLONOSCOPY MC SCREENING LOW RISK	$245.00	$288.24	$150.81–$1,948.95	—	15%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 COLORECTAL SCRN; HI RISK IND	$244.74	$287.94	$150.59–$1,948.95	77% below	15%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 COLONOSCOPY MC SCREENING HIGH RISK	$244.74	$287.94	$150.59–$1,948.95	77% below	15%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 COLORECTAL SCRN; HI RISK IND	$244.74	$287.94	$150.59–$1,948.95	—	15%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 COLONOSCOPY MC SCREENING HIGH RISK	$244.74	$287.94	$150.59–$1,948.95	—	15%
Short arm splint (forearm and hand) CPT 29125 APPLY SPLINT,SHORT A	$147.05	$173.00	$54.88–$243.00	21% below	15%
Short arm splint (forearm and hand) CPT 29125 APPL SHORT ARM SPLINT STATIC	$147.05	$173.00	$54.88–$243.00	21% below	15%
Short arm splint (forearm and hand) inpatient CPT 29125 APPL SHORT ARM SPLINT STATIC	$147.05	$173.00	$54.88–$243.00	—	15%
Short arm splint (forearm and hand) inpatient CPT 29125 APPLY SPLINT,SHORT A	$147.05	$173.00	$54.88–$243.00	—	15%
Short leg splint (calf to foot) CPT 29515 APPLY SPLINT SHORT L	$191.42	$225.20	$69.19–$243.00	at median	15%
Short leg splint (calf to foot) CPT 29515 APPLICATION SHORT LEG SPLINT	$191.42	$225.20	$69.19–$243.00	at median	15%
Short leg splint (calf to foot) inpatient CPT 29515 APPLICATION SHORT LEG SPLINT	$191.42	$225.20	$69.19–$243.00	—	15%
Short leg splint (calf to foot) inpatient CPT 29515 APPLY SPLINT SHORT L	$191.42	$225.20	$69.19–$243.00	—	15%
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 CLAVICULECTOMY 29824	$1,013.33	$1,192.16	$639.96–$3,120.56	40% below	15%
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 SHO ARTHRS SRG DSTL CLAVICLC	$1,013.33	$1,192.16	$639.96–$3,120.56	40% below	15%
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) inpatient CPT 29824 CLAVICULECTOMY 29824	$1,013.33	$1,192.16	$639.96–$3,120.56	—	15%
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) inpatient CPT 29824 SHO ARTHRS SRG DSTL CLAVICLC	$1,013.33	$1,192.16	$639.96–$3,120.56	—	15%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 DECOMPRESSION OF SUBACROMIAL 29826	$242.64	$285.47	$158.90–$2,201.56	83% below	15%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 SHO ARTHRS SRG DECOMPRESSION	$242.64	$285.47	$158.90–$2,201.56	83% below	15%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 DECOMPRESSION OF SUBACROMIAL 29826	$242.64	$285.47	$158.90–$2,201.56	—	15%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 SHO ARTHRS SRG DECOMPRESSION	$242.64	$285.47	$158.90–$2,201.56	—	15%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SMPL LAC LESS THAN 2	$47.04	$55.35	$41.90–$425.52	83% below	15%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 LAC SMPL SNTE 12001	$55.97	$65.85	$41.90–$425.52	80% below	15%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 RPR S/N/AX/GEN/TRNK 2.5CM/<	$204.00	$240.00	$41.90–$425.52	28% below	15%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SIM LAC LP < 2.5	$204.00	$240.00	$41.90–$425.52	28% below	15%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 SMPL LAC LESS THAN 2	$47.04	$55.35	$41.90–$425.52	—	15%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 LAC SMPL SNTE 12001	$55.97	$65.85	$41.90–$425.52	—	15%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 RPR S/N/AX/GEN/TRNK 2.5CM/<	$204.00	$240.00	$41.90–$425.52	—	15%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 SIM LAC LP < 2.5	$204.00	$240.00	$41.90–$425.52	—	15%
Skin biopsy, punch, one lesion CPT 11104 PUNCH BX OF SKIN	$62.53	$73.57	$43.64–$682.66	89% below	15%
Skin biopsy, punch, one lesion CPT 11104 PUNCH BX 11104	$67.65	$79.59	$43.64–$682.66	88% below	15%
Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SINGLE LESION	$67.65	$79.59	$43.64–$682.66	88% below	15%
Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN 11104	$450.07	$529.50	$43.64–$682.66	21% below	15%
Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BX OF SKIN	$62.53	$73.57	$43.64–$682.66	—	15%
Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BX SKIN SINGLE LESION	$67.65	$79.59	$43.64–$682.66	—	15%
Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BX 11104	$67.65	$79.59	$43.64–$682.66	—	15%
Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BX SKIN 11104	$450.07	$529.50	$43.64–$682.66	—	15%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 EXC TR-EXT MAL+MARG 0.5 CM/<	$149.25	$175.59	$115.50–$864.00	82% below	15%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 EXC MTAL 0.5 OR <	$149.25	$175.59	$115.50–$864.00	82% below	15%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 EXC MTAL 0.5 OR <	$149.25	$175.59	$115.50–$864.00	—	15%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 EXC TR-EXT MAL+MARG 0.5 CM/<	$149.25	$175.59	$115.50–$864.00	—	15%
Skin tag removal, up to 15 tags CPT 11200 RMVL SKIN TAGS UP TO&INC 15	$67.15	$79.00	$72.31–$425.52	77% below	15%
Skin tag removal, up to 15 tags CPT 11200 REMOVAL OF SKIN TAGS	$67.15	$79.00	$72.31–$425.52	77% below	15%
Skin tag removal, up to 15 tags CPT 11200 HEMOR REM SKIN TAGS	$91.29	$107.40	$72.31–$425.52	68% below	15%
Skin tag removal, up to 15 tags CPT 11200 REM SKIN TAGS < 15	$102.85	$121.00	$72.31–$425.52	64% below	15%
Skin tag removal, up to 15 tags inpatient CPT 11200 REMOVAL OF SKIN TAGS	$67.15	$79.00	$72.31–$425.52	—	15%
Skin tag removal, up to 15 tags inpatient CPT 11200 RMVL SKIN TAGS UP TO&INC 15	$67.15	$79.00	$72.31–$425.52	—	15%
Skin tag removal, up to 15 tags inpatient CPT 11200 HEMOR REM SKIN TAGS	$91.29	$107.40	$72.31–$425.52	—	15%
Skin tag removal, up to 15 tags inpatient CPT 11200 REM SKIN TAGS < 15	$102.85	$121.00	$72.31–$425.52	—	15%
Spinal tap (lumbar puncture), diagnostic CPT 62270 DX LMBR SPI PNXR	$98.52	$115.91	$88.33–$2,077.04	90% below	15%
Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCTURE - PC	$98.52	$115.91	$88.33–$2,077.04	90% below	15%
Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR SPINAL PUNC	$826.86	$972.78	$88.33–$2,077.04	13% below	15%
Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCTURE	$840.09	$988.35	$88.33–$2,077.04	11% below	15%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 DX LMBR SPI PNXR	$98.52	$115.91	$88.33–$2,077.04	—	15%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL PUNCTURE - PC	$98.52	$115.91	$88.33–$2,077.04	—	15%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 LUMBAR SPINAL PUNC	$826.86	$972.78	$88.33–$2,077.04	—	15%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL PUNCTURE	$840.09	$988.35	$88.33–$2,077.04	—	15%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 LAC SMPL SNTE 12002	$73.64	$86.64	$55.02–$479.64	79% below	15%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SMPL LACERATION 2 5-	$144.50	$170.00	$55.02–$479.64	58% below	15%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SIM LAC LP 2.6-7.5	$189.55	$223.00	$55.02–$479.64	45% below	15%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 RPR S/N/AX/GEN/TRNK2.6-7.5CM	$189.55	$223.00	$55.02–$479.64	45% below	15%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 LAC SMPL SNTE 12002	$73.64	$86.64	$55.02–$479.64	—	15%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 SMPL LACERATION 2 5-	$144.50	$170.00	$55.02–$479.64	—	15%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 RPR S/N/AX/GEN/TRNK2.6-7.5CM	$189.55	$223.00	$55.02–$479.64	—	15%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 SIM LAC LP 2.6-7.5	$189.55	$223.00	$55.02–$479.64	—	15%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 LAC SMPL FEENL 12011	$69.58	$81.86	$51.87–$522.86	77% below	15%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SMPL LAC LESS THAN 2	$173.40	$204.00	$51.87–$522.86	43% below	15%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 RPR F/E/E/N/L/M 2.5 CM/<	$173.40	$204.00	$51.87–$522.86	43% below	15%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SIM LAC SP < 2.5	$201.45	$237.00	$51.87–$522.86	33% below	15%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 LAC SMPL FEENL 12011	$69.58	$81.86	$51.87–$522.86	—	15%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 RPR F/E/E/N/L/M 2.5 CM/<	$173.40	$204.00	$51.87–$522.86	—	15%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 SMPL LAC LESS THAN 2	$173.40	$204.00	$51.87–$522.86	—	15%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 SIM LAC SP < 2.5	$201.45	$237.00	$51.87–$522.86	—	15%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGNTL BX SKIN SINGLE LES	$62.25	$73.24	$46.57–$425.52	86% below	15%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGENTIAL BX SINGLE SKIN LESION	$62.25	$73.24	$46.57–$425.52	86% below	15%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 TANGNTL BX SKIN SINGLE LES	$62.25	$73.24	$46.57–$425.52	—	15%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 TANGENTIAL BX SINGLE SKIN LESION	$62.25	$73.24	$46.57–$425.52	—	15%
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W/IMAG	$142.51	$167.67	$101.65–$1,515.50	88% below	15%
Thoracentesis with imaging guidance CPT 32555 US THOROCENTESIS GUI	$763.15	$897.83	$101.65–$1,515.50	38% below	15%
Thoracentesis with imaging guidance CPT 32555 ASPIRATE PLEURA W/ IMAGING	$763.15	$897.83	$101.65–$1,515.50	38% below	15%
Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS W/IMAG	$142.51	$167.67	$101.65–$1,515.50	—	15%
Thoracentesis with imaging guidance inpatient CPT 32555 ASPIRATE PLEURA W/ IMAGING	$763.15	$897.83	$101.65–$1,515.50	—	15%
Thoracentesis with imaging guidance inpatient CPT 32555 US THOROCENTESIS GUI	$763.15	$897.83	$101.65–$1,515.50	—	15%
Total hip replacement CPT 27130 ANESTHESIA 27130	$1,605.05	$1,888.30	$243.00–$4,160.41	60% below	15%
Total hip replacement CPT 27130 TOTAL HIP ARTHROPLASTY	$1,857.43	$2,185.22	$243.00–$4,160.41	53% below	15%
Total hip replacement CPT 27130 HIP 27130	$1,857.43	$2,185.22	$243.00–$4,160.41	53% below	15%
Total hip replacement inpatient CPT 27130 ANESTHESIA 27130	$1,605.05	$1,888.30	$243.00–$4,160.41	—	15%
Total hip replacement inpatient CPT 27130 HIP 27130	$1,857.43	$2,185.22	$243.00–$4,160.41	—	15%
Total hip replacement inpatient CPT 27130 TOTAL HIP ARTHROPLASTY	$1,857.43	$2,185.22	$243.00–$4,160.41	—	15%
Total knee replacement CPT 27447 TOTAL KNEE ARTHROPLASTY	$1,751.78	$2,060.92	$35.00–$4,243.83	87% below	15%
Total knee replacement CPT 27447 ANESTHESIA 27447	$1,751.78	$2,060.92	$35.00–$4,243.83	87% below	15%
Total knee replacement CPT 27447 KNEE 27447	$1,855.47	$2,182.91	$35.00–$4,243.83	87% below	15%
Total knee replacement inpatient CPT 27447 TOTAL KNEE ARTHROPLASTY	$1,751.78	$2,060.92	$35.00–$4,243.83	—	15%
Total knee replacement inpatient CPT 27447 ANESTHESIA 27447	$1,751.78	$2,060.92	$35.00–$4,243.83	—	15%
Total knee replacement inpatient CPT 27447 KNEE 27447	$1,855.47	$2,182.91	$35.00–$4,243.83	—	15%
Total shoulder replacement CPT 23472 SHOULDER 23472	$2,096.75	$2,466.77	$243.00–$4,160.41	53% below	15%
Total shoulder replacement CPT 23472 RECONSTRUCT SHOULDER JOINT	$2,096.75	$2,466.77	$243.00–$4,160.41	53% below	15%
Total shoulder replacement inpatient CPT 23472 SHOULDER 23472	$2,096.75	$2,466.77	$243.00–$4,160.41	—	15%
Total shoulder replacement inpatient CPT 23472 RECONSTRUCT SHOULDER JOINT	$2,096.75	$2,466.77	$243.00–$4,160.41	—	15%
Trigger finger release surgery CPT 26055 INCISE FINGER TEND	$463.59	$545.40	$280.01–$1,948.95	76% below	15%
Trigger finger release surgery CPT 26055 INCISE FINGER TENDON SHEATH	$463.59	$545.40	$280.01–$1,948.95	76% below	15%
Trigger finger release surgery inpatient CPT 26055 INCISE FINGER TENDON SHEATH	$463.59	$545.40	$280.01–$1,948.95	—	15%
Trigger finger release surgery inpatient CPT 26055 INCISE FINGER TEND	$463.59	$545.40	$280.01–$1,948.95	—	15%
Trigger point injections, 1 or 2 muscles CPT 20552 INJ SING/MULT TRIG	$130.05	$153.00	$53.35–$576.30	63% below	15%
Trigger point injections, 1 or 2 muscles CPT 20552 NJX 1/MLT TRIGGER POINT 1/2	$359.80	$423.30	$53.35–$576.30	3% above	15%
Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER PNT 1-2	$359.80	$423.30	$53.35–$576.30	3% above	15%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJ SING/MULT TRIG	$130.05	$153.00	$53.35–$576.30	—	15%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJ TRIGGER PNT 1-2	$359.80	$423.30	$53.35–$576.30	—	15%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 NJX 1/MLT TRIGGER POINT 1/2	$359.80	$423.30	$53.35–$576.30	—	15%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BX BREAST 1ST LESION US IMAG	$1,832.16	$2,155.49	$189.28–$4,810.98	34% below	15%
Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 US BRST BX GUIDE LT	$1,832.16	$2,155.49	$189.28–$4,810.98	34% below	15%
Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 US BRST BX GUIDE RT	$1,832.16	$2,155.49	$189.28–$4,810.98	34% below	15%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 BX BREAST 1ST LESION US IMAG	$1,832.16	$2,155.49	$189.28–$4,810.98	—	15%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 US BRST BX GUIDE RT	$1,832.16	$2,155.49	$189.28–$4,810.98	—	15%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 US BRST BX GUIDE LT	$1,832.16	$2,155.49	$189.28–$4,810.98	—	15%
Upper endoscopy (EGD) with biopsy CPT 43239 EGD/UP ENDO W BIOPSY DILATION MALONEY	$185.86	$218.66	$127.76–$1,948.95	84% below	15%
Upper endoscopy (EGD) with biopsy CPT 43239 EGD BIOPSY SINGLE/MULTIPLE	$185.86	$218.66	$127.76–$1,948.95	84% below	15%
Upper endoscopy (EGD) with biopsy CPT 43239 EGD W/BX DIAGNOSTIC	$199.32	$234.50	$127.76–$1,948.95	82% below	15%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 EGD/UP ENDO W BIOPSY DILATION MALONEY	$185.86	$218.66	$127.76–$1,948.95	—	15%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 EGD BIOPSY SINGLE/MULTIPLE	$185.86	$218.66	$127.76–$1,948.95	—	15%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 EGD W/BX DIAGNOSTIC	$199.32	$234.50	$127.76–$1,948.95	—	15%
Upper endoscopy (EGD) with injection into the lining CPT 43236 EGD/UPR ENDO 43236	$178.40	$209.89	$129.25–$1,948.95	84% below	15%
Upper endoscopy (EGD) with injection into the lining CPT 43236 UPPR GI SCOPE W/SUBMUC INJ	$178.40	$209.89	$129.25–$1,948.95	84% below	15%
Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 UPPR GI SCOPE W/SUBMUC INJ	$178.40	$209.89	$129.25–$1,948.95	—	15%
Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 EGD/UPR ENDO 43236	$178.40	$209.89	$129.25–$1,948.95	—	15%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 EGD REMOVE LESION SNARE	$260.29	$306.23	$180.75–$1,948.95	88% below	15%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 EGD/UP ENDO W SNARE POLYPECTOMY	$260.29	$306.23	$180.75–$1,948.95	88% below	15%
Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 EGD REMOVE LESION SNARE	$260.29	$306.23	$180.75–$1,948.95	—	15%
Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 EGD/UP ENDO W SNARE POLYPECTOMY	$260.29	$306.23	$180.75–$1,948.95	—	15%
Upper endoscopy (EGD), diagnostic CPT 43235 EGD/UPPER ENDOSCOPY INSPECTION	$164.74	$193.82	$113.60–$1,460.78	85% below	15%
Upper endoscopy (EGD), diagnostic CPT 43235 EGD DIAGNOSTIC BRUSH WASH	$164.74	$193.82	$113.60–$1,460.78	85% below	15%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 EGD DIAGNOSTIC BRUSH WASH	$164.74	$193.82	$113.60–$1,460.78	—	15%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 EGD/UPPER ENDOSCOPY INSPECTION	$164.74	$193.82	$113.60–$1,460.78	—	15%
Vein ablation, radiofrequency, first vein CPT 36475 ENDOVENOUS RF 1ST VEIN	$1,483.25	$1,745.00	$328.15–$3,120.56	60% below	15%
Vein ablation, radiofrequency, first vein CPT 36475 ENDOVENOUS RF 1 VEIN	$1,483.25	$1,745.00	$328.15–$3,120.56	60% below	15%
Vein ablation, radiofrequency, first vein inpatient CPT 36475 ENDOVENOUS RF 1 VEIN	$1,483.25	$1,745.00	$328.15–$3,120.56	—	15%
Vein ablation, radiofrequency, first vein inpatient CPT 36475 ENDOVENOUS RF 1ST VEIN	$1,483.25	$1,745.00	$328.15–$3,120.56	—	15%
Wart removal, up to 14 warts CPT 17110 DESTR VIRAL < 14	$95.20	$112.00	$70.51–$425.52	60% below	15%
Wart removal, up to 14 warts CPT 17110 DESTRUCTION B9 LES UP TO 14	$95.20	$112.00	$70.51–$425.52	60% below	15%
Wart removal, up to 14 warts inpatient CPT 17110 DESTRUCTION B9 LES UP TO 14	$95.20	$112.00	$70.51–$425.52	—	15%
Wart removal, up to 14 warts inpatient CPT 17110 DESTR VIRAL < 14	$95.20	$112.00	$70.51–$425.52	—	15%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDE SKIN TISSUE	$58.14	$68.40	$56.62–$1,948.95	92% below	15%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 WOUND DEBRIDMENT 20SQ OR <	$77.87	$91.62	$56.62–$1,948.95	89% below	15%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DBRDMT SUBQ TIS 1ST 20SQCM/<	$77.87	$91.62	$56.62–$1,948.95	89% below	15%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDE SKIN TISSUE	$58.14	$68.40	$56.62–$1,948.95	—	15%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 WOUND DEBRIDMENT 20SQ OR <	$77.87	$91.62	$56.62–$1,948.95	—	15%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DBRDMT SUBQ TIS 1ST 20SQCM/<	$77.87	$91.62	$56.62–$1,948.95	—	15%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs New York	Off list
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 IPPB SUBSEQUENT TX	$41.65	$49.00	$3.03–$2,186.62	81% below	15%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NON-PRESSURIZED INHA	$47.60	$56.00	$3.03–$2,186.62	79% below	15%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INHALED TX, SUBSEQ	$51.85	$61.00	$3.03–$2,186.62	77% below	15%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AIRWAY INHALATION TREATMENT	$51.85	$61.00	$3.03–$2,186.62	77% below	15%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 IPPB INITIAL TREATME	$51.85	$61.00	$3.03–$2,186.62	77% below	15%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI SUBSEQ TX BY NUR	$51.85	$61.00	$3.03–$2,186.62	77% below	15%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI INITI TX BY NURS	$56.95	$67.00	$3.03–$2,186.62	75% below	15%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AERO CONT.0-12 HR	$56.95	$67.00	$3.03–$2,186.62	75% below	15%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI INITI TX BY RESP	$56.95	$67.00	$3.03–$2,186.62	75% below	15%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AEROSOL CONCHA 0-12	$57.80	$68.00	$3.03–$2,186.62	74% below	15%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INHALED TX, INITIAL	$73.95	$87.00	$3.03–$2,186.62	67% below	15%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AERO TENT 0-12	$114.75	$135.00	$3.03–$2,186.62	49% below	15%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AERO CONT. 13-24 HR	$115.60	$136.00	$3.03–$2,186.62	48% below	15%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AERO TENT 12-24	$135.15	$159.00	$3.03–$2,186.62	40% below	15%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AEROSOL TENT INITIAL	$169.15	$199.00	$3.03–$2,186.62	24% below	15%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 CONT AEROSOL INITIAL	$244.76	$287.96	$3.03–$2,186.62	9% above	15%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INH TX SUBSEQ	$259.10	$304.83	$3.03–$2,186.62	16% above	15%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI SUBSEQ TX BY RES	$259.10	$304.83	$3.03–$2,186.62	16% above	15%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 IPPB SUBSEQUENT TX	$41.65	$49.00	$3.03–$2,186.62	—	15%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 NON-PRESSURIZED INHA	$47.60	$56.00	$3.03–$2,186.62	—	15%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 INHALED TX, SUBSEQ	$51.85	$61.00	$3.03–$2,186.62	—	15%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 IPPB INITIAL TREATME	$51.85	$61.00	$3.03–$2,186.62	—	15%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MDI SUBSEQ TX BY NUR	$51.85	$61.00	$3.03–$2,186.62	—	15%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AIRWAY INHALATION TREATMENT	$51.85	$61.00	$3.03–$2,186.62	—	15%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MDI INITI TX BY RESP	$56.95	$67.00	$3.03–$2,186.62	—	15%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AERO CONT.0-12 HR	$56.95	$67.00	$3.03–$2,186.62	—	15%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MDI INITI TX BY NURS	$56.95	$67.00	$3.03–$2,186.62	—	15%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AEROSOL CONCHA 0-12	$57.80	$68.00	$3.03–$2,186.62	—	15%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 INHALED TX, INITIAL	$73.95	$87.00	$3.03–$2,186.62	—	15%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AERO TENT 0-12	$114.75	$135.00	$3.03–$2,186.62	—	15%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AERO CONT. 13-24 HR	$115.60	$136.00	$3.03–$2,186.62	—	15%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AERO TENT 12-24	$135.15	$159.00	$3.03–$2,186.62	—	15%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AEROSOL TENT INITIAL	$169.15	$199.00	$3.03–$2,186.62	—	15%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 CONT AEROSOL INITIAL	$244.76	$287.96	$3.03–$2,186.62	—	15%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 INH TX SUBSEQ	$259.10	$304.83	$3.03–$2,186.62	—	15%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MDI SUBSEQ TX BY RES	$259.10	$304.83	$3.03–$2,186.62	—	15%
Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV INFUSION 1 HR	$158.95	$187.00	$35.35–$229.50	73% below	15%
Chemotherapy IV infusion, first hour CPT 96413 IV INFUSION INITIAL REMICADE	$158.95	$187.00	$35.35–$229.50	73% below	15%
Chemotherapy IV infusion, first hour inpatient CPT 96413 IV INFUSION INITIAL REMICADE	$158.95	$187.00	$35.35–$229.50	—	15%
Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO IV INFUSION 1 HR	$158.95	$187.00	$35.35–$229.50	—	15%
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE	$363.80	$428.00	$125.00–$2,665.00	76% below	15%
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL MEDICAL	$363.80	$428.00	$125.00–$2,665.00	76% below	15%
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE 30-74 MIN	$382.50	$450.00	$125.00–$2,665.00	75% below	15%
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE 30 -74	$394.40	$464.00	$125.00–$2,665.00	74% below	15%
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE FIRST HOUR	$760.75	$895.00	$125.00–$2,665.00	51% below	15%
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE WITH M	$760.75	$895.00	$125.00–$2,665.00	51% below	15%
Critical care, first 30 to 74 minutes inpatient CPT 99291 CRITICAL CARE	$363.80	$428.00	$125.00–$2,665.00	—	15%
Critical care, first 30 to 74 minutes inpatient CPT 99291 CRITICAL MEDICAL	$363.80	$428.00	$125.00–$2,665.00	—	15%
Critical care, first 30 to 74 minutes inpatient CPT 99291 CRITICAL CARE 30-74 MIN	$382.50	$450.00	$125.00–$2,665.00	—	15%
Critical care, first 30 to 74 minutes inpatient CPT 99291 CRITICAL CARE 30 -74	$394.40	$464.00	$125.00–$2,665.00	—	15%
Critical care, first 30 to 74 minutes inpatient CPT 99291 CRITICAL CARE WITH M	$760.75	$895.00	$125.00–$2,665.00	—	15%
Critical care, first 30 to 74 minutes inpatient CPT 99291 CRITICAL CARE FIRST HOUR	$760.75	$895.00	$125.00–$2,665.00	—	15%
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 ELECTROCARDIOGRAM COMPLETE	$99.45	$117.00	$11.91–$117.00	99% above	15%
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 12 LEAD GLOBAL	$99.45	$117.00	$11.91–$117.00	99% above	15%
Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 12 LEAD GLOBAL	$99.45	$117.00	$11.91–$117.00	—	15%
Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 ELECTROCARDIOGRAM COMPLETE	$99.45	$117.00	$11.91–$117.00	—	15%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG TRACING	$74.30	$87.42	$5.15–$657.42	48% below	15%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG 12 LEAD TRAC ONL	$95.20	$112.00	$5.15–$657.42	34% below	15%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 REPEAT EKG DIFF MD	$95.20	$112.00	$5.15–$657.42	34% below	15%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 REPEAT EKG BY SAME M	$95.20	$112.00	$5.15–$657.42	34% below	15%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 12 LEAD BY ER STAFF	$99.45	$117.00	$5.15–$657.42	31% below	15%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ELECTROCARDIOGRAM TRACING	$99.45	$117.00	$5.15–$657.42	31% below	15%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 12 LEAD	$99.45	$117.00	$5.15–$657.42	31% below	15%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG TRACING	$74.30	$87.42	$5.15–$657.42	—	15%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 REPEAT EKG BY SAME M	$95.20	$112.00	$5.15–$657.42	—	15%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG 12 LEAD TRAC ONL	$95.20	$112.00	$5.15–$657.42	—	15%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 REPEAT EKG DIFF MD	$95.20	$112.00	$5.15–$657.42	—	15%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 12 LEAD BY ER STAFF	$99.45	$117.00	$5.15–$657.42	—	15%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 12 LEAD	$99.45	$117.00	$5.15–$657.42	—	15%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ELECTROCARDIOGRAM TRACING	$99.45	$117.00	$5.15–$657.42	—	15%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 SELF LIMITED ACCIDEN	$57.38	$67.51	$9.70–$543.97	60% below	15%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 SELF LIMITED MEDICAL	$63.75	$75.00	$9.70–$543.97	56% below	15%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER LEVEL 1 WITH MODI	$118.15	$139.00	$9.70–$543.97	19% below	15%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMR DPT VST MAYX REQ PHY/QHP	$223.09	$262.46	$9.70–$543.97	54% above	15%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER BRIEF VISIT	$223.09	$262.46	$9.70–$543.97	54% above	15%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 SELF LIMITED ACCIDEN	$57.38	$67.51	$9.70–$543.97	—	15%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 SELF LIMITED MEDICAL	$63.75	$75.00	$9.70–$543.97	—	15%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ER LEVEL 1 WITH MODI	$118.15	$139.00	$9.70–$543.97	—	15%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ER BRIEF VISIT	$223.09	$262.46	$9.70–$543.97	—	15%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 EMR DPT VST MAYX REQ PHY/QHP	$223.09	$262.46	$9.70–$543.97	—	15%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER LEVEL 2 WITH MOD	$255.00	$300.00	$34.68–$1,600.00	19% below	15%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 MOD SEVERITY ACCIDEN	$255.00	$300.00	$34.68–$1,600.00	19% below	15%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 MOD SEVERITY MEDICAL	$255.00	$300.00	$34.68–$1,600.00	19% below	15%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENCY DEPT VISIT SF MDM	$340.00	$400.00	$34.68–$1,600.00	9% above	15%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER INTERIM VISIT	$340.00	$400.00	$34.68–$1,600.00	9% above	15%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 MOD SEVERITY ACCIDEN	$255.00	$300.00	$34.68–$1,600.00	—	15%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 MOD SEVERITY MEDICAL	$255.00	$300.00	$34.68–$1,600.00	—	15%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ER LEVEL 2 WITH MOD	$255.00	$300.00	$34.68–$1,600.00	—	15%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ER INTERIM VISIT	$340.00	$400.00	$34.68–$1,600.00	—	15%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 EMERGENCY DEPT VISIT SF MDM	$340.00	$400.00	$34.68–$1,600.00	—	15%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 MINIMAL SERVICE OF F	$363.37	$427.50	$59.53–$2,575.00	20% below	15%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY DEPT VISIT LOW MDM	$363.37	$427.50	$59.53–$2,575.00	20% below	15%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EXPANDED EXAM LOW-MODERATE	$363.37	$427.50	$59.53–$2,575.00	20% below	15%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 MOD SEVERITY MEDICAL	$363.37	$427.50	$59.53–$2,575.00	20% below	15%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 MOD SEVERITY ACCIDEN	$363.37	$427.50	$59.53–$2,575.00	20% below	15%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EXPANDED EXAM LOW-MO	$363.37	$427.50	$59.53–$2,575.00	20% below	15%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER LEVEL 3 WITH MOD	$371.87	$437.50	$59.53–$2,575.00	18% below	15%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 MINIMAL SERVICE OF F	$363.37	$427.50	$59.53–$2,575.00	—	15%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 EMERGENCY DEPT VISIT LOW MDM	$363.37	$427.50	$59.53–$2,575.00	—	15%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 EXPANDED EXAM LOW-MODERATE	$363.37	$427.50	$59.53–$2,575.00	—	15%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 MOD SEVERITY MEDICAL	$363.37	$427.50	$59.53–$2,575.00	—	15%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 MOD SEVERITY ACCIDEN	$363.37	$427.50	$59.53–$2,575.00	—	15%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 EXPANDED EXAM LOW-MO	$363.37	$427.50	$59.53–$2,575.00	—	15%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ER LEVEL 3 WITH MOD	$371.87	$437.50	$59.53–$2,575.00	—	15%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 DETAILED EXAM MODERATE	$446.25	$525.00	$100.32–$2,850.00	33% below	15%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ED E&M VISIT LEVEL 4	$446.25	$525.00	$100.32–$2,850.00	33% below	15%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HIGH SEVERITY MEDICA	$446.25	$525.00	$100.32–$2,850.00	33% below	15%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 DETAILED EXAM MODERA	$446.25	$525.00	$100.32–$2,850.00	33% below	15%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENCY DEPT VISIT MOD MDM	$446.25	$525.00	$100.32–$2,850.00	33% below	15%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER LEVEL 4 WITH MOD	$637.50	$750.00	$100.32–$2,850.00	4% below	15%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HIGH SEVERITY MEDICA	$446.25	$525.00	$100.32–$2,850.00	—	15%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 EMERGENCY DEPT VISIT MOD MDM	$446.25	$525.00	$100.32–$2,850.00	—	15%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 DETAILED EXAM MODERATE	$446.25	$525.00	$100.32–$2,850.00	—	15%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 DETAILED EXAM MODERA	$446.25	$525.00	$100.32–$2,850.00	—	15%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ED E&M VISIT LEVEL 4	$446.25	$525.00	$100.32–$2,850.00	—	15%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ER LEVEL 4 WITH MOD	$637.50	$750.00	$100.32–$2,850.00	—	15%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HIGH SEVERITY ACCIDE	$292.12	$343.68	$125.00–$3,518.38	66% below	15%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HIGH SEVERITY MEDICA	$295.80	$348.00	$125.00–$3,518.38	65% below	15%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER LEVEL 5 WITH MOD	$733.97	$863.50	$125.00–$3,518.38	14% below	15%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 COMPREHEN EXAM HIGH	$755.82	$889.20	$125.00–$3,518.38	11% below	15%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENCY DEPT VISIT HI MDM	$755.82	$889.20	$125.00–$3,518.38	11% below	15%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 CRITICAL CARE < 30 M	$912.90	$1,074.00	$125.00–$3,518.38	7% above	15%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HIGH SEVERITY ACCIDE	$292.12	$343.68	$125.00–$3,518.38	—	15%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HIGH SEVERITY MEDICA	$295.80	$348.00	$125.00–$3,518.38	—	15%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ER LEVEL 5 WITH MOD	$733.97	$863.50	$125.00–$3,518.38	—	15%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 COMPREHEN EXAM HIGH	$755.82	$889.20	$125.00–$3,518.38	—	15%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 EMERGENCY DEPT VISIT HI MDM	$755.82	$889.20	$125.00–$3,518.38	—	15%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 CRITICAL CARE < 30 M	$912.90	$1,074.00	$125.00–$3,518.38	—	15%
Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIO VAS STRESS	$403.75	$475.00	$29.22–$982.29	30% below	15%
Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIAC STESS TESTIN	$431.19	$507.29	$29.22–$982.29	25% below	15%
Exercise stress test, tracing only, the hospital charge CPT 93017 CV STRESS TEST TRACING ONLY	$431.19	$507.29	$29.22–$982.29	25% below	15%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 CARDIO VAS STRESS	$403.75	$475.00	$29.22–$982.29	—	15%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 CV STRESS TEST TRACING ONLY	$431.19	$507.29	$29.22–$982.29	—	15%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 CARDIAC STESS TESTIN	$431.19	$507.29	$29.22–$982.29	—	15%
Holter monitor, heart rhythm recording up to 48 hours, with report CPT 93224 HOLTER RPT 48 HOURS	$255.00	$300.00	$59.86–$600.00	19% above	15%
Holter monitor, heart rhythm recording up to 48 hours, with report CPT 93224 24 HR HOLTER GLOBAL	$255.00	$300.00	$59.86–$600.00	19% above	15%
Holter monitor, heart rhythm recording up to 48 hours, with report CPT 93224 XTRNL ECG REC UP TO 48 HRS	$255.00	$300.00	$59.86–$600.00	19% above	15%
Holter monitor, heart rhythm recording up to 48 hours, with report inpatient CPT 93224 XTRNL ECG REC UP TO 48 HRS	$255.00	$300.00	$59.86–$600.00	—	15%
Holter monitor, heart rhythm recording up to 48 hours, with report inpatient CPT 93224 24 HR HOLTER GLOBAL	$255.00	$300.00	$59.86–$600.00	—	15%
Holter monitor, heart rhythm recording up to 48 hours, with report inpatient CPT 93224 HOLTER RPT 48 HOURS	$255.00	$300.00	$59.86–$600.00	—	15%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INFUSION INIT	$260.38	$306.33	$26.77–$306.33	25% below	15%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INFUSION DRUG(S)	$260.38	$306.33	$26.77–$306.33	25% below	15%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATION IV INFUSION INIT	$260.38	$306.33	$26.77–$306.33	—	15%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV INFUSION DRUG(S)	$260.38	$306.33	$26.77–$306.33	—	15%
IV infusion of a medicine, first hour CPT 96365 IV INFUSION HYDRATION INITIAL HOUR	$260.38	$306.33	$35.35–$619.73	31% below	15%
IV infusion of a medicine, first hour CPT 96365 THER/PROPH/DIAG IV INF INIT	$266.39	$313.40	$35.35–$619.73	29% below	15%
IV infusion of a medicine, first hour CPT 96365 IV THER PROPH 0-1 HR	$266.39	$313.40	$35.35–$619.73	29% below	15%
IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION HYDRATION INITIAL HOUR	$260.38	$306.33	$35.35–$619.73	—	15%
IV infusion of a medicine, first hour inpatient CPT 96365 IV THER PROPH 0-1 HR	$266.39	$313.40	$35.35–$619.73	—	15%
IV infusion of a medicine, first hour inpatient CPT 96365 THER/PROPH/DIAG IV INF INIT	$266.39	$313.40	$35.35–$619.73	—	15%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION DRUG,IM	$80.75	$95.00	$11.69–$95.00	4% below	15%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PROPH/DIAG INJ SC/IM	$80.75	$95.00	$11.69–$95.00	4% below	15%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THER/PROPH/DIAG INJ SC/IM	$80.75	$95.00	$11.69–$95.00	—	15%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION DRUG,IM	$80.75	$95.00	$11.69–$95.00	—	15%
Neuromuscular re-education, 15 minutes CPT 97112 NM RE ED BAL/TILT	$58.65	$69.00	$28.33–$207.00	30% below	15%
Neuromuscular re-education, 15 minutes CPT 97112 NM RE/ED, 1/4 HOUR	$58.65	$69.00	$28.33–$207.00	30% below	15%
Neuromuscular re-education, 15 minutes CPT 97112 BALANCE TRAINING, 1/	$58.65	$69.00	$28.33–$207.00	30% below	15%
Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR REEDUCATION	$58.65	$69.00	$28.33–$207.00	30% below	15%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 NM RE/ED, 1/4 HOUR	$58.65	$69.00	$28.33–$207.00	—	15%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUROMUSCULAR REEDUCATION	$58.65	$69.00	$28.33–$207.00	—	15%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 BALANCE TRAINING, 1/	$58.65	$69.00	$28.33–$207.00	—	15%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 NM RE ED BAL/TILT	$58.65	$69.00	$28.33–$207.00	—	15%
New patient office visit, about 30 minutes CPT 99203 OBS CONSULT MC DETAIL LOW	$96.05	$113.00	$65.15–$282.00	51% below	15%
New patient office visit, about 30 minutes CPT 99203 OFFICE O/P NEW LOW 30 MIN	$96.05	$113.00	$65.15–$282.00	51% below	15%
New patient office visit, about 30 minutes CPT 99203 OP CON DETAIL LOW MC	$143.65	$169.00	$65.15–$282.00	27% below	15%
New patient office visit, about 30 minutes inpatient CPT 99203 OBS CONSULT MC DETAIL LOW	$96.05	$113.00	$65.15–$282.00	—	15%
New patient office visit, about 30 minutes inpatient CPT 99203 OFFICE O/P NEW LOW 30 MIN	$96.05	$113.00	$65.15–$282.00	—	15%
New patient office visit, about 30 minutes inpatient CPT 99203 OP CON DETAIL LOW MC	$143.65	$169.00	$65.15–$282.00	—	15%
New patient office visit, about 45 minutes CPT 99204 OBS CONSULT MC COMP MOD	$163.20	$192.00	$105.06–$478.00	43% below	15%
New patient office visit, about 45 minutes CPT 99204 OFFICE O/P NEW MOD 45 MIN	$163.20	$192.00	$105.06–$478.00	43% below	15%
New patient office visit, about 45 minutes CPT 99204 OP CON COMP MOD MCR	$243.10	$286.00	$105.06–$478.00	15% below	15%
New patient office visit, about 45 minutes inpatient CPT 99204 OFFICE O/P NEW MOD 45 MIN	$163.20	$192.00	$105.06–$478.00	—	15%
New patient office visit, about 45 minutes inpatient CPT 99204 OBS CONSULT MC COMP MOD	$163.20	$192.00	$105.06–$478.00	—	15%
New patient office visit, about 45 minutes inpatient CPT 99204 OP CON COMP MOD MCR	$243.10	$286.00	$105.06–$478.00	—	15%
New patient office visit, about 60 minutes CPT 99205 OBS CONSULT MC COMP HIGH	$212.50	$250.00	$142.63–$628.00	24% below	15%
New patient office visit, about 60 minutes CPT 99205 OFFICE O/P NEW HI 60 MIN	$212.50	$250.00	$142.63–$628.00	24% below	15%
New patient office visit, about 60 minutes CPT 99205 OP CON COMP HIGH MCR	$321.30	$378.00	$142.63–$628.00	14% above	15%
New patient office visit, about 60 minutes inpatient CPT 99205 OFFICE O/P NEW HI 60 MIN	$212.50	$250.00	$142.63–$628.00	—	15%
New patient office visit, about 60 minutes inpatient CPT 99205 OBS CONSULT MC COMP HIGH	$212.50	$250.00	$142.63–$628.00	—	15%
New patient office visit, about 60 minutes inpatient CPT 99205 OP CON COMP HIGH MCR	$321.30	$378.00	$142.63–$628.00	—	15%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE O/P NEW SF 15 MIN	$63.75	$75.00	$37.87–$193.00	59% below	15%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OBS CONSULT MC EP SF	$63.75	$75.00	$37.87–$193.00	59% below	15%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OP CON EPF&SF MCR	$100.30	$118.00	$37.87–$193.00	36% below	15%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OBS CONSULT MC EP SF	$63.75	$75.00	$37.87–$193.00	—	15%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OFFICE O/P NEW SF 15 MIN	$63.75	$75.00	$37.87–$193.00	—	15%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OP CON EPF&SF MCR	$100.30	$118.00	$37.87–$193.00	—	15%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 IND NUTR COUNSEL CDN	$37.40	$44.00	$26.00–$88.00	35% below	15%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MEDICAL NUTRITION INDIV IN	$37.40	$44.00	$26.00–$88.00	35% below	15%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 INITIAL MNT ASSESSMENT 15 MINUTES	$37.40	$44.00	$26.00–$88.00	35% below	15%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 MEDICAL NUTRITION INDIV IN	$37.40	$44.00	$26.00–$88.00	—	15%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 INITIAL MNT ASSESSMENT 15 MINUTES	$37.40	$44.00	$26.00–$88.00	—	15%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 IND NUTR COUNSEL CDN	$37.40	$44.00	$26.00–$88.00	—	15%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH COMPLEX	$106.47	$125.27	$84.15–$125.27	63% below	15%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH COMPLEX 45 MIN	$106.47	$125.27	$84.15–$125.27	63% below	15%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL HIGH COMPLEX	$106.47	$125.27	$84.15–$125.27	—	15%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL HIGH COMPLEX 45 MIN	$106.47	$125.27	$84.15–$125.27	—	15%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVALLOW COMPLEX	$106.47	$125.27	$84.15–$125.27	41% below	15%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW COMPLEX 20 MIN	$106.47	$125.27	$84.15–$125.27	41% below	15%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVALLOW COMPLEX	$106.47	$125.27	$84.15–$125.27	—	15%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL LOW COMPLEX 20 MIN	$106.47	$125.27	$84.15–$125.27	—	15%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MOD COMPLEX 30 MIN	$106.47	$125.27	$84.15–$125.27	56% below	15%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MOD COMPLEX	$106.47	$125.27	$84.15–$125.27	56% below	15%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL MOD COMPLEX	$106.47	$125.27	$84.15–$125.27	—	15%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL MOD COMPLEX 30 MIN	$106.47	$125.27	$84.15–$125.27	—	15%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MFR/MOBILIZATION	$57.80	$68.00	$22.75–$136.00	31% below	15%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY 1/> REGIONS	$57.80	$68.00	$22.75–$136.00	31% below	15%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MFR/MOBILIZATION	$57.80	$68.00	$22.75–$136.00	—	15%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY 1/> REGIONS	$57.80	$68.00	$22.75–$136.00	—	15%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISES	$57.80	$68.00	$24.69–$136.00	29% below	15%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 ROM THER EX 1/4 HR	$57.80	$68.00	$24.69–$136.00	29% below	15%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 ROM THER EX 1/4 HR	$57.80	$68.00	$24.69–$136.00	29% below	15%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISES	$57.80	$68.00	$24.69–$136.00	—	15%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 ROM THER EX 1/4 HR	$57.80	$68.00	$24.69–$136.00	—	15%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 ROM THER EX 1/4 HR	$57.80	$68.00	$24.69–$136.00	—	15%
Preventive checkup, new patient aged 18–39 CPT 99385 PREVENTIVE CARE NP AGE 18-39	$76.50	$90.00	$76.50–$170.03	62% below	15%
Preventive checkup, new patient aged 18–39 CPT 99385 PREV VISIT NEW AGE 18-39	$76.50	$90.00	$76.50–$170.03	62% below	15%
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 PREV VISIT NEW AGE 18-39	$76.50	$90.00	$76.50–$170.03	—	15%
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 PREVENTIVE CARE NP AGE 18-39	$76.50	$90.00	$76.50–$170.03	—	15%
Preventive checkup, new patient aged 40–64 CPT 99386 PREVENTIVE CARE NP AGE 40-64	$88.40	$104.00	$88.40–$196.90	57% below	15%
Preventive checkup, new patient aged 40–64 CPT 99386 PREV VISIT NEW AGE 40-64	$88.40	$104.00	$88.40–$196.90	57% below	15%
Preventive checkup, new patient aged 40–64 inpatient CPT 99386 PREVENTIVE CARE NP AGE 40-64	$88.40	$104.00	$88.40–$196.90	—	15%
Preventive checkup, new patient aged 40–64 inpatient CPT 99386 PREV VISIT NEW AGE 40-64	$88.40	$104.00	$88.40–$196.90	—	15%
Preventive checkup, new patient aged 65 or older CPT 99387 PREVENTIVE CARE NP AGE >65	$93.50	$110.00	$93.50–$213.31	63% below	15%
Preventive checkup, new patient aged 65 or older CPT 99387 INIT PM E/M NEW PAT 65+ YRS	$93.50	$110.00	$93.50–$213.31	63% below	15%
Preventive checkup, new patient aged 65 or older inpatient CPT 99387 INIT PM E/M NEW PAT 65+ YRS	$93.50	$110.00	$93.50–$213.31	—	15%
Preventive checkup, new patient aged 65 or older inpatient CPT 99387 PREVENTIVE CARE NP AGE >65	$93.50	$110.00	$93.50–$213.31	—	15%
Preventive checkup, returning patient aged 18–39 CPT 99395 EST PT PREV 18-39	$45.05	$53.00	$71.40–$153.53	75% below	15%
Preventive checkup, returning patient aged 18–39 CPT 99395 PREV VISIT EST AGE 18-39	$45.05	$53.00	$71.40–$153.53	75% below	15%
Preventive checkup, returning patient aged 18–39 CPT 99395 PREVENTIVE CARE EP AGE 18-39	$73.95	$87.00	$71.40–$153.53	59% below	15%
Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 EST PT PREV 18-39	$45.05	$53.00	$71.40–$153.53	—	15%
Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 PREV VISIT EST AGE 18-39	$45.05	$53.00	$71.40–$153.53	—	15%
Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 PREVENTIVE CARE EP AGE 18-39	$73.95	$87.00	$71.40–$153.53	—	15%
Preventive checkup, returning patient aged 40–64 CPT 99396 EST PT PREV 40-64	$45.05	$53.00	$77.37–$163.41	77% below	15%
Preventive checkup, returning patient aged 40–64 CPT 99396 PREV VISIT EST AGE 40-64	$45.05	$53.00	$77.37–$163.41	77% below	15%
Preventive checkup, returning patient aged 40–64 CPT 99396 PREVENTIVE CARE EP AGE 40-64	$79.05	$93.00	$77.37–$163.41	59% below	15%
Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 PREV VISIT EST AGE 40-64	$45.05	$53.00	$77.37–$163.41	—	15%
Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 EST PT PREV 40-64	$45.05	$53.00	$77.37–$163.41	—	15%
Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 PREVENTIVE CARE EP AGE 40-64	$79.05	$93.00	$77.37–$163.41	—	15%
Preventive checkup, returning patient aged 65 or older CPT 99397 EST PT PREV > 65	$45.05	$53.00	$81.29–$175.40	77% below	15%
Preventive checkup, returning patient aged 65 or older CPT 99397 PER PM REEVAL EST PAT 65+ YR	$45.05	$53.00	$81.29–$175.40	77% below	15%
Preventive checkup, returning patient aged 65 or older CPT 99397 PREVENTIVE CARE EP AGE >65	$84.15	$99.00	$81.29–$175.40	58% below	15%
Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 PER PM REEVAL EST PAT 65+ YR	$45.05	$53.00	$81.29–$175.40	—	15%
Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 EST PT PREV > 65	$45.05	$53.00	$81.29–$175.40	—	15%
Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 PREVENTIVE CARE EP AGE >65	$84.15	$99.00	$81.29–$175.40	—	15%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKING CESS 3-10 MINUTES	$51.00	$60.00	$9.81–$60.00	21% above	15%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 BEHAV CHNG SMOKING 3-10 MIN	$51.00	$60.00	$9.81–$60.00	21% above	15%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 BEHAV CHNG SMOKING 3-10 MIN	$51.00	$60.00	$9.81–$60.00	—	15%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 SMOKING CESS 3-10 MINUTES	$51.00	$60.00	$9.81–$60.00	—	15%
Specialist consultation, low complexity or 30+ minutes CPT 99243 OBS CONSULT DETAIL LOW	$96.05	$113.00	$154.84–$432.00	65% below	15%
Specialist consultation, low complexity or 30+ minutes CPT 99243 OP CON DETAIL&LOW	$113.90	$134.00	$154.84–$432.00	59% below	15%
Specialist consultation, low complexity or 30+ minutes CPT 99243 OFF/OP CNSLTJ NEW/EST LOW 30	$157.25	$185.00	$154.84–$432.00	43% below	15%
Specialist consultation, low complexity or 30+ minutes CPT 99243 CONSLT OFF OP MOD SE	$157.25	$185.00	$154.84–$432.00	43% below	15%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 OBS CONSULT DETAIL LOW	$96.05	$113.00	$154.84–$432.00	—	15%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 OP CON DETAIL&LOW	$113.90	$134.00	$154.84–$432.00	—	15%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 OFF/OP CNSLTJ NEW/EST LOW 30	$157.25	$185.00	$154.84–$432.00	—	15%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 CONSLT OFF OP MOD SE	$157.25	$185.00	$154.84–$432.00	—	15%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 OP CON COMP MOD	$149.60	$176.00	$232.11–$624.00	51% below	15%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 OBS CONSULT COMPRE MOD	$163.20	$192.00	$232.11–$624.00	46% below	15%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 CONSULT OFF OP MOD-H	$217.60	$256.00	$232.11–$624.00	28% below	15%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 OFF/OP CNSLTJ NEW/EST MOD 40	$217.60	$256.00	$232.11–$624.00	28% below	15%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 OP CON COMP MOD	$149.60	$176.00	$232.11–$624.00	—	15%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 OBS CONSULT COMPRE MOD	$163.20	$192.00	$232.11–$624.00	—	15%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 CONSULT OFF OP MOD-H	$217.60	$256.00	$232.11–$624.00	—	15%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 OFF/OP CNSLTJ NEW/EST MOD 40	$217.60	$256.00	$232.11–$624.00	—	15%
Speech therapy session, individual CPT 92507 SPEECH - INDIV TX	$66.30	$78.00	$4.75–$83.61	63% below	15%
Speech therapy session, individual CPT 92507 TX SP LANG VOICE COMM INDIV	$66.30	$78.00	$4.75–$83.61	63% below	15%
Speech therapy session, individual inpatient CPT 92507 TX SP LANG VOICE COMM INDIV	$66.30	$78.00	$4.75–$83.61	—	15%
Speech therapy session, individual inpatient CPT 92507 SPEECH - INDIV TX	$66.30	$78.00	$4.75–$83.61	—	15%
Spirometry (breathing test) CPT 94010 SPRIROMETRY	$67.15	$79.00	$15.15–$302.25	71% below	15%
Spirometry (breathing test) CPT 94010 SPIROMETRY,SIMPLE	$189.76	$223.25	$15.15–$302.25	18% below	15%
Spirometry (breathing test) CPT 94010 BREATHING CAPACITY TEST	$189.76	$223.25	$15.15–$302.25	18% below	15%
Spirometry (breathing test) inpatient CPT 94010 SPRIROMETRY	$67.15	$79.00	$15.15–$302.25	—	15%
Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY,SIMPLE	$189.76	$223.25	$15.15–$302.25	—	15%
Spirometry (breathing test) inpatient CPT 94010 BREATHING CAPACITY TEST	$189.76	$223.25	$15.15–$302.25	—	15%
Spirometry before and after a bronchodilator CPT 94060 EVALUATION OF WHEEZING	$102.85	$121.00	$25.25–$344.23	73% below	15%
Spirometry before and after a bronchodilator CPT 94060 SPIROMETRY BEFORE &	$102.85	$121.00	$25.25–$344.23	73% below	15%
Spirometry before and after a bronchodilator CPT 94060 SPIROMETRY B&A	$187.00	$220.00	$25.25–$344.23	50% below	15%
Spirometry before and after a bronchodilator inpatient CPT 94060 EVALUATION OF WHEEZING	$102.85	$121.00	$25.25–$344.23	—	15%
Spirometry before and after a bronchodilator inpatient CPT 94060 SPIROMETRY BEFORE &	$102.85	$121.00	$25.25–$344.23	—	15%
Spirometry before and after a bronchodilator inpatient CPT 94060 SPIROMETRY B&A	$187.00	$220.00	$25.25–$344.23	—	15%
Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITIES	$36.55	$43.00	$2.37–$125.00	61% below	15%
Therapeutic activities (functional training), 15 minutes CPT 97530 FUNCT TRAINING	$36.55	$43.00	$2.37–$125.00	61% below	15%
Therapeutic activities (functional training), 15 minutes CPT 97530 FUNCT TRAINING, 1/4	$69.70	$82.00	$2.37–$125.00	25% below	15%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 FUNCT TRAINING	$36.55	$43.00	$2.37–$125.00	—	15%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPEUTIC ACTIVITIES	$36.55	$43.00	$2.37–$125.00	—	15%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 FUNCT TRAINING, 1/4	$69.70	$82.00	$2.37–$125.00	—	15%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY	$139.71	$164.37	$10.10–$201.03	34% below	15%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY	$139.71	$164.37	$10.10–$201.03	—	15%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs New York	Off list
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA LIVE VIRUS	$115.60	$136.00	$115.60–$182.25	45% below	15%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VAR VACCINE LIVE SUBQ	$115.60	$136.00	$115.60–$182.25	45% below	15%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VAR VACCINE LIVE SUBQ	$115.60	$136.00	$115.60–$182.25	—	15%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA LIVE VIRUS	$115.60	$136.00	$115.60–$182.25	—	15%
Hepatitis A vaccine, adult dose CPT 90632 HEPA VACCINE ADULT IM	$21.25	$25.00	$68.95–$151.16	79% below	15%
Hepatitis A vaccine, adult dose CPT 90632 HEP A VACCINE ADULT	$21.25	$25.00	$68.95–$151.16	79% below	15%
Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VACC1440 EL U/ML	$107.23	$126.16	$68.95–$151.16	4% above	15%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPA VACCINE ADULT IM	$21.25	$25.00	$68.95–$151.16	—	15%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HEP A VACCINE ADULT	$21.25	$25.00	$68.95–$151.16	—	15%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VACC1440 EL U/ML	$107.23	$126.16	$68.95–$151.16	—	15%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPB VACCINE 3 DOSE ADULT IM	$86.70	$102.00	$62.97–$102.00	7% above	15%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEP B VAC ADULT DOSE	$86.70	$102.00	$62.97–$102.00	7% above	15%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEP B VAC ADULT DOSE	$86.70	$102.00	$62.97–$102.00	—	15%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPB VACCINE 3 DOSE ADULT IM	$86.70	$102.00	$62.97–$102.00	—	15%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLUZONE HD 65+ INFLUENZA VACCINE	$69.75	$82.07	$62.58–$82.07	38% below	15%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 IIV NO PRSV INCREASED AG IM	$69.75	$82.07	$62.58–$82.07	38% below	15%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 FLUZONE HD 65+ INFLUENZA VACCINE	$69.75	$82.07	$62.58–$82.07	—	15%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 IIV NO PRSV INCREASED AG IM	$69.75	$82.07	$62.58–$82.07	—	15%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MMR VACCINE SC	$72.25	$85.00	$72.25–$102.02	34% below	15%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MMR	$72.25	$85.00	$72.25–$102.02	34% below	15%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MMR	$72.25	$85.00	$72.25–$102.02	—	15%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MMR VACCINE SC	$72.25	$85.00	$72.25–$102.02	—	15%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PREVNAR 20	$187.20	$220.24	$187.20–$288.66	56% below	15%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PCV20 VACCINE IM	$187.20	$220.24	$187.20–$288.66	56% below	15%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PREVNAR 20	$187.20	$220.24	$187.20–$288.66	—	15%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PCV20 VACCINE IM	$187.20	$220.24	$187.20–$288.66	—	15%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOVAX	$40.80	$48.00	$119.43–$274.75	71% below	15%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PPSV23 VACC 2 YRS+ SUBQ/IM	$40.80	$48.00	$119.43–$274.75	71% below	15%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCCAL VACCINE	$192.73	$226.75	$119.43–$274.75	36% above	15%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOVAX	$40.80	$48.00	$119.43–$274.75	—	15%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PPSV23 VACC 2 YRS+ SUBQ/IM	$40.80	$48.00	$119.43–$274.75	—	15%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCCAL VACCINE	$192.73	$226.75	$119.43–$274.75	—	15%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS DIPTH PERTUSSIS/TDAP/BOOSTRIX	$80.96	$95.25	$37.66–$95.25	44% above	15%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP VACCINE 7 YRS/> IM	$80.96	$95.25	$37.66–$95.25	44% above	15%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TETANUS DIPTH PERTUSSIS/TDAP/BOOSTRIX	$80.96	$95.25	$37.66–$95.25	—	15%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TDAP VACCINE 7 YRS/> IM	$80.96	$95.25	$37.66–$95.25	—	15%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN	$18.70	$22.00	$13.36–$82.93	75% below	15%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN OF HEP B VAC A	$18.70	$22.00	$13.36–$82.93	75% below	15%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN OF PNEUMO VAC	$21.25	$25.00	$13.36–$82.93	71% below	15%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN OF HEP B VAC A	$18.70	$22.00	$13.36–$82.93	—	15%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMIN	$18.70	$22.00	$13.36–$82.93	—	15%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN OF PNEUMO VAC	$21.25	$25.00	$13.36–$82.93	—	15%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 EA ADDTL	$8.20	$9.65	$11.94–$34.65	74% below	15%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ADMIN OF VAC, EACH A	$21.25	$25.00	$11.94–$34.65	33% below	15%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADMIN EACH ADD	$21.25	$25.00	$11.94–$34.65	33% below	15%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 EA ADDTL	$8.20	$9.65	$11.94–$34.65	—	15%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUNIZATION ADMIN EACH ADD	$21.25	$25.00	$11.94–$34.65	—	15%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 ADMIN OF VAC, EACH A	$21.25	$25.00	$11.94–$34.65	—	15%

Source file: https://s3.amazonaws.com/ycubaa-production-marlin-1-charge-management-public/facilities/a7b918c3-56d9-410c-bec6-e3d86fde3f92/160743921_BERTRAND-CHAFFEE-HOSPITAL_standardcharges.zip