Methodist Hospital-Southlake
Listed in its price file as “The Methodist Hospitals, Inc.”.
Methodist Hospital-Southlake in Merrillville, IN publishes cash prices for 365 common procedures listed here, from its own machine-readable price file updated Aug 18, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Indiana median for 305 of 361 procedures and below it for 47. By typical cash price it ranks #81 of 84 Indiana hospitals and #56 of 62 hospitals in the Chicago, IL area, cheapest first. Select a procedure to compare it with other hospitals nearby.
8701 Broadway, Merrillville, IN 46410 Collected Sep 22, 2026 Source price file Check a bill from this hospital (219) 886-4000
Acute care hospital Nonprofit hospital Emergency department CMS star rating 1 of 5 CCN 150002 · CMS hospital register NPI 1467504555
Financial assistance
Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply
Methodist Hospital-Southlake is a nonprofit hospital in the CMS register. Under section 501(r) of the federal tax code it must have a written Financial Assistance Policy with a free application, publish both on its website, and charge patients who qualify no more than the amounts generally billed to insured patients for emergency and other medically necessary care. Who qualifies depends on household income; the policy states the limits.
You can apply up to 240 days after the first bill. Before collection actions such as credit reporting or a lawsuit, the hospital must tell you about the policy and wait at least 120 days after that bill. Ask the billing office for the policy and the application before you pay, or search the hospital's website for “financial assistance”. Letters you can copy.
Source: IRS, section 501(r) requirements for nonprofit hospitals.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Indiana | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 CT Abd W/WO Cont | $4,372.20 | $6,246.00 | $184.66–$5,558.94 | 222% above | 30% |
| Abdominal X-ray, 2 views CPT 74019 HC X-Ray Exam Abdomen 2 Views | $535.50 | $765.00 | $110.07–$680.85 | 98% above | 30% |
| Ankle X-ray, complete, 3 or more views CPT 73610 Dr Ankle/Complete:Single | $562.80 | $804.00 | $68.29–$715.56 | 187% above | 30% |
| Ankle X-ray, complete, 3 or more views CPT 73610 Dr Ankle W/Stress View | $562.80 | $804.00 | $68.29–$715.56 | 187% above | 30% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 HC Dr Ankle Right W/Stress View | $562.80 | $804.00 | $68.29–$715.56 | 187% above | 30% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 HC Dr Ankle Left Ap and Lateral Post Reduction | $562.80 | $804.00 | $68.29–$715.56 | 187% above | 30% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 HC Dr Ankle Right Ap and Lateral Post Reduction | $562.80 | $804.00 | $68.29–$715.56 | 187% above | 30% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 HC Dr Ankle/Complete Left | $562.80 | $804.00 | $68.29–$715.56 | 187% above | 30% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 HC Dr Ankle/Complete Right | $562.80 | $804.00 | $68.29–$715.56 | 187% above | 30% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 HC Dr Ankle Left W/Stress View | $562.80 | $804.00 | $68.29–$715.56 | 187% above | 30% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries one side CPT 93922 HC US Dop Art Lt Lwr Ext Lmtd | $303.10 | $433.00 | $27.73–$484.64 | 17% below | 30% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries one side CPT 93922 HC US Dop Art Rt Lwr Ext Lmtd | $303.10 | $433.00 | $27.73–$514.28 | 17% below | 30% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries one side CPT 93922 HC US Dop Art Rt Upr Ext Lmtd | $303.10 | $433.00 | $27.73–$484.64 | 17% below | 30% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries one side CPT 93922 HC US Dop Art Lt Upr Ext Lmtd | $303.10 | $433.00 | $27.73–$484.64 | 17% below | 30% |
| Arm CT scan without contrast (shoulder to hand, any part) both sides CPT 73200 HC CT Shoulder Bilat Plain | $2,248.40 | $3,212.00 | $110.07–$2,858.68 | — | 30% |
| Arm CT scan without contrast (shoulder to hand, any part) both sides CPT 73200 HC CT Hand Bilat Plain | $2,248.40 | $3,212.00 | $110.07–$2,858.68 | — | 30% |
| Arm CT scan without contrast (shoulder to hand, any part) both sides CPT 73200 HC CT Elbow Bilat Plain | $2,248.40 | $3,212.00 | $110.07–$2,858.68 | — | 30% |
| Arm CT scan without contrast (shoulder to hand, any part) both sides CPT 73200 HC CT Forearm Bilat Plain | $2,248.40 | $3,212.00 | $110.07–$2,858.68 | — | 30% |
| Arm CT scan without contrast (shoulder to hand, any part) both sides CPT 73200 HC CT Wrist Bilat Plain | $2,248.40 | $3,212.00 | $110.07–$2,858.68 | — | 30% |
| Arm CT scan without contrast (shoulder to hand, any part) both sides CPT 73200 HC CT Humerus Bilat Plain | $2,248.40 | $3,212.00 | $110.07–$2,858.68 | — | 30% |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT Upper Extrem W/O Cont | $2,361.10 | $3,373.00 | $110.07–$3,001.97 | 194% above | 30% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 HC CT Elbow Right Plain | $2,248.40 | $3,212.00 | $110.07–$2,858.68 | 180% above | 30% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 HC CT Hand Right Plain | $2,248.40 | $3,212.00 | $110.07–$2,858.68 | 180% above | 30% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 HC CT Hand Left Plain | $2,248.40 | $3,212.00 | $110.07–$2,858.68 | 180% above | 30% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 HC CT Forearm Right Plain | $2,248.40 | $3,212.00 | $110.07–$2,858.68 | 180% above | 30% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 HC CT Forearm Left Plain | $2,248.40 | $3,212.00 | $110.07–$2,858.68 | 180% above | 30% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 HC CT Shoulder Left Plain | $2,248.40 | $3,212.00 | $110.07–$2,858.68 | 180% above | 30% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 HC CT Humerus Right Plain | $2,248.40 | $3,212.00 | $110.07–$2,858.68 | 180% above | 30% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 HC CT Humerus Left Plain | $2,248.40 | $3,212.00 | $110.07–$2,858.68 | 180% above | 30% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 HC CT Shoulder Right Plain | $2,248.40 | $3,212.00 | $110.07–$2,858.68 | 180% above | 30% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 HC CT Elbow Left Plain | $2,248.40 | $3,212.00 | $110.07–$2,858.68 | 180% above | 30% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 HC CT Wrist Right Plain | $2,248.40 | $3,212.00 | $110.07–$2,858.68 | 180% above | 30% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 HC CT Wrist Left Plain | $2,248.40 | $3,212.00 | $110.07–$2,858.68 | 180% above | 30% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 Dr Esophagus W/Chest | $1,020.60 | $1,458.00 | $184.66–$1,297.62 | 119% above | 30% |
| Bone scan, whole body (nuclear medicine) CPT 78306 NM Wbc Wb Scan | $1,670.90 | $2,387.00 | $420.88–$2,124.43 | 6% above | 30% |
| Bone scan, whole body (nuclear medicine) CPT 78306 NM Bone Scan | $3,216.50 | $4,595.00 | $420.88–$4,089.55 | 104% above | 30% |
| Breast ultrasound, complete, one breast one side CPT 76641 HC US Breast Unilat Complete | $308.70 | $441.00 | $110.07–$523.06 | 29% below | 30% |
| Breast ultrasound, limited (one breast or one area) CPT 76642 HC US Echo Breast Bil Limited | $614.60 | $878.00 | $91.62–$781.42 | 89% above | 30% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 HC US Breast Unilat Limited | $308.70 | $441.00 | $91.62–$435.38 | 5% below | 30% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 HC CT Angio Abd/Pelv WO/W Cont | $8,129.80 | $11,614.00 | $367.29–$10,336.46 | 330% above | 30% |
| CT angiography (CTA) of the head CPT 70496 CT Angio Head W/WO Cont | $4,158.70 | $5,941.00 | $54.18–$5,287.49 | 227% above | 30% |
| CT angiography (CTA) of the neck CPT 70498 CT Angio Neck W/WO Cont | $4,547.20 | $6,496.00 | $184.66–$7,161.22 | 274% above | 30% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT Angio Pulmonary | $3,922.80 | $5,604.00 | $184.66–$5,586.56 | 208% above | 30% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT Angio Chest W/WO Contrast | $3,922.80 | $5,604.00 | $184.66–$4,987.56 | 208% above | 30% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HC Ccta Ca Struc/Bypass Grafts | $1,330.00 | $1,900.00 | $367.29–$1,754.40 | 59% above | 30% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT Heart Scan Cardiac Scoring | $601.30 | $859.00 | $91.62–$1,454.26 | 222% above | 30% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT Abd & Pelvis WO Contrast | $5,828.90 | $8,327.00 | $251.20–$8,954.32 | 387% above | 30% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT Abd & Pelvis W/Contrast | $7,288.40 | $10,412.00 | $367.29–$10,743.98 | 323% above | 30% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT Abd/Pelvis Any Region W/WO Contrast | $8,745.10 | $12,493.00 | $367.29–$11,118.77 | 410% above | 30% |
| CT scan of the abdomen with contrast CPT 74160 CT Abd W Cont | $3,529.40 | $5,042.00 | $184.66–$4,487.38 | 231% above | 30% |
| CT scan of the abdomen without contrast CPT 74150 CT Abd W/O Cont | $2,916.20 | $4,166.00 | $110.07–$3,707.74 | 245% above | 30% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT Sinuses W/O Cont | $2,916.90 | $4,167.00 | $110.07–$3,758.20 | 250% above | 30% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT Sinus Navigation Proc | $2,916.90 | $4,167.00 | $110.07–$3,708.63 | 250% above | 30% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT Facial Bones W/O Contrast | $2,916.90 | $4,167.00 | $110.07–$3,708.63 | 250% above | 30% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT Maxillo Facial W/O Cont | $2,916.90 | $4,167.00 | $110.07–$3,708.63 | 250% above | 30% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT Head W/O Contrast | $2,511.60 | $3,588.00 | $110.07–$3,193.32 | 228% above | 30% |
| CT scan of the head with contrast CPT 70460 HC CT Pituitary W Contrast | $2,667.70 | $3,811.00 | $184.66–$3,391.79 | 212% above | 30% |
| CT scan of the head with contrast CPT 70460 CT Head W Contrast | $2,667.70 | $3,811.00 | $184.66–$3,391.79 | 212% above | 30% |
| CT scan of the head without and with contrast CPT 70470 CT Head W/WO Cont | $3,451.70 | $4,931.00 | $184.66–$5,008.64 | 231% above | 30% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT Lumbar Sp W/O Cont | $2,981.30 | $4,259.00 | $110.07–$3,790.51 | 237% above | 30% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT Cervical Sp W/O Cont | $2,745.40 | $3,922.00 | $110.07–$3,490.58 | 230% above | 30% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis W Cont | $3,136.70 | $4,481.00 | $184.66–$3,988.09 | 240% above | 30% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 Dup Carotids Bilateral | $863.80 | $1,234.00 | $49.74–$1,098.26 | — | 30% |
| Chest CT scan without and with contrast CPT 71270 CT Chest W/WO Cont | $3,545.50 | $5,065.00 | $184.66–$4,819.44 | 226% above | 30% |
| Chest X-ray, 2 views CPT 71046 HC X-Ray Exam Chest 2 Views | $424.90 | $607.00 | $91.62–$541.80 | 106% above | 30% |
| Chest X-ray, single view CPT 71045 HC X-Ray Exam Chest 1 View | $338.80 | $484.00 | $91.62–$522.02 | 108% above | 30% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 DR CLAVICLE: unilateral | $471.10 | $673.00 | $56.67–$598.97 | 145% above | 30% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 HC Dr Clavicle Left | $504.70 | $721.00 | $56.67–$641.69 | 163% above | 30% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 HC Dr Clavicle Right | $504.70 | $721.00 | $56.67–$641.69 | 163% above | 30% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US Renal | $1,061.20 | $1,516.00 | $110.07–$1,349.24 | 112% above | 30% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC Dexa Bone Density Special | $85.40 | $122.00 | $46.85–$523.06 | 70% below | 30% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC Fitnescity Dexa Bone Density | $87.50 | $125.00 | $48.00–$523.06 | 70% below | 30% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 Mm Dexa Bone Density, Axial | $550.90 | $787.00 | $104.99–$700.43 | 91% above | 30% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 OB US Detailed Sngl Fetus | $660.10 | $943.00 | $244.10–$1,193.71 | 17% above | 30% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Chest W/O Contr | $2,511.60 | $3,588.00 | $110.07–$3,193.32 | 202% above | 30% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC Hrct Chest Plain | $2,511.60 | $3,588.00 | $110.07–$3,372.92 | 202% above | 30% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT Chest W/Contrast | $3,154.90 | $4,507.00 | $184.66–$4,011.23 | 236% above | 30% |
| Diagnostic mammogram, both breasts both sides CPT 77066 HC Dx Mammo Incl Cad Bi | $441.00 | $630.00 | $102.19–$6,760.46 | — | 30% |
| Diagnostic mammogram, one breast CPT 77065 HC Dx Mammo Incl Cad Uni | $372.40 | $532.00 | $79.74–$541.80 | 67% above | 30% |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 HC Dup Lwr Ext Art or Art Graft Bil | $761.60 | $1,088.00 | $49.74–$968.32 | 19% below | 30% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC US Color Dopp Ven Bilat Lw Extrem | $691.60 | $988.00 | $49.74–$879.32 | — | 30% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Color Dopp Ven Bi Up Ext | $761.60 | $1,088.00 | $49.74–$968.32 | — | 30% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Color Dup Ven Bi Low Ext | $761.60 | $1,088.00 | $49.74–$968.32 | — | 30% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 US Dup Ven Insuf Ext Bil | $761.60 | $1,088.00 | $49.74–$968.32 | 42% below | 30% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC Complete Echo | $2,027.90 | $2,897.00 | $0.01–$3,337.66 | 23% above | 30% |
| Elbow X-ray, 2 views CPT 73070 Dr Elbow 2 Vw | $347.20 | $496.00 | $55.69–$441.44 | 110% above | 30% |
| Elbow X-ray, 2 views CPT 73070 Both Elbows Post Reduction | $725.20 | $1,036.00 | $55.69–$922.04 | 338% above | 30% |
| Elbow X-ray, 2 views one side CPT 73070 HC Dr Elbow Left Ap and Lateral | $295.40 | $422.00 | $55.69–$435.38 | 78% above | 30% |
| Elbow X-ray, 2 views one side CPT 73070 HC Dr Elbow Right Ap and Lateral | $295.40 | $422.00 | $55.69–$435.38 | 78% above | 30% |
| Elbow X-ray, 2 views one side CPT 73070 HC Dr Elbow Left Ap and Lateral Post Reduction | $295.40 | $422.00 | $55.69–$435.38 | 78% above | 30% |
| Elbow X-ray, 2 views one side CPT 73070 HC Dr Elbow Right Ap and Lateral Post Reduction | $295.40 | $422.00 | $55.69–$435.38 | 78% above | 30% |
| Elbow X-ray, complete, 3 or more views CPT 73080 Dr Elbow Complete:Single | $608.30 | $869.00 | $68.29–$773.41 | 138% above | 30% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 HC Dr Elbow Left Complete | $608.30 | $869.00 | $68.29–$773.41 | 138% above | 30% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 HC Dr Elbow Right Complete | $608.30 | $869.00 | $68.29–$773.41 | 138% above | 30% |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT Orbit Plain | $2,902.20 | $4,146.00 | $110.07–$3,689.94 | 241% above | 30% |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT Temporal Bone/Iac Plain | $2,902.20 | $4,146.00 | $110.07–$3,689.94 | 241% above | 30% |
| Eye socket (orbit) CT scan without contrast CPT 70480 HC CT, Orbit, Sella, or Posterior Fossa or Outer, Middle, or Inner Ear; W/O Contrast | $2,902.20 | $4,146.00 | $110.07–$3,689.94 | 241% above | 30% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 Dr Maxilla | $724.50 | $1,035.00 | $81.78–$921.15 | 165% above | 30% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 Dr Facial Bones | $724.50 | $1,035.00 | $81.78–$921.15 | 165% above | 30% |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 Dr Forearm :Single | $449.40 | $642.00 | $53.78–$571.38 | 144% above | 30% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 HC Dr Forearm Left | $452.20 | $646.00 | $53.78–$574.94 | 145% above | 30% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 HC Dr Forearm Right | $452.20 | $646.00 | $53.78–$574.94 | 145% above | 30% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM Hepatobiliary | $3,059.00 | $4,370.00 | $420.88–$3,889.30 | 132% above | 30% |
| Hand X-ray, 2 views CPT 73120 Xray Hand 2 Vw Post Reduct | $436.10 | $623.00 | $52.81–$554.47 | 154% above | 30% |
| Hand X-ray, 2 views CPT 73120 Both Hands Post Reduction | $599.90 | $857.00 | $52.81–$762.73 | 250% above | 30% |
| Hand X-ray, 2 views one side CPT 73120 X-Ray Right Hand 2 Views Post Reduction | $553.00 | $790.00 | $52.81–$703.10 | 222% above | 30% |
| Hand X-ray, 2 views one side CPT 73120 X-Ray Left Hand 2 Vw Post Reduction | $553.00 | $790.00 | $52.81–$703.10 | 222% above | 30% |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 HC Dr Calcaneus Right | $513.10 | $733.00 | $55.69–$652.37 | 140% above | 30% |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 HC Dr Calcaneus Left | $513.10 | $733.00 | $55.69–$652.37 | 140% above | 30% |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 HC Dr Calcaneus Unilat | $513.10 | $733.00 | $55.69–$652.37 | 140% above | 30% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 Sleep Study Unatt&Resp Efft | $411.60 | $588.00 | $45.01–$1,061.24 | at median | 30% |
| Knee X-ray, 3 views both sides CPT 73562 Bilat Knee 3v, Ap/Lat/Sunshine, Patella Vw | $942.90 | $1,347.00 | $75.04–$1,198.83 | — | 30% |
| Knee X-ray, 3 views CPT 73562 HC X-Ray Exam of Knee 3 | $595.70 | $851.00 | $75.04–$757.39 | 160% above | 30% |
| Knee X-ray, 3 views CPT 73562 Lt Knee 3v, Ap/Lat/Sunshine, Patella Vw | $630.70 | $901.00 | $75.04–$801.89 | 175% above | 30% |
| Knee X-ray, 3 views CPT 73562 Rt Knee 3v, Pa/Lat/Sunshine, Patella Vw | $630.70 | $901.00 | $75.04–$801.89 | 175% above | 30% |
| Knee X-ray, 3 views one side CPT 73562 HC Dr Knee/Obliques Left | $630.70 | $901.00 | $75.04–$801.89 | 175% above | 30% |
| Knee X-ray, 3 views one side CPT 73562 HC Dr Knee/Obliques Right | $630.70 | $901.00 | $75.04–$801.89 | 175% above | 30% |
| Knee X-ray, complete, 4 or more views CPT 73564 HC X-Ray Exam Knee 4 or More | $660.10 | $943.00 | $86.62–$839.27 | 152% above | 30% |
| Knee X-ray, complete, 4 or more views CPT 73564 Dr Knee/Obliques:Single | $700.00 | $1,000.00 | $86.62–$890.00 | 168% above | 30% |
| Knee X-ray, complete, 4 or more views CPT 73564 Dr Knee: Arthroscopic Series | $700.00 | $1,000.00 | $86.62–$890.00 | 168% above | 30% |
| Knee X-ray, complete, 4 or more views CPT 73564 Dr Knee W/Tunnel/Patella View | $700.00 | $1,000.00 | $86.62–$890.00 | 168% above | 30% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 HC Dr Knee Left Arthroscopic Series | $676.20 | $966.00 | $86.62–$859.74 | 158% above | 30% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 HC Dr Knee Left Tunnel/Patella | $676.20 | $966.00 | $86.62–$859.74 | 158% above | 30% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 HC Dr Knee Right Tunnel/Patella | $676.20 | $966.00 | $86.62–$859.74 | 158% above | 30% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 HC Dr Knee Right Arthroscopic Series | $676.20 | $966.00 | $86.62–$860.00 | 158% above | 30% |
| Leg CT scan without contrast (hip to foot, any part) both sides CPT 73700 HC CT Lower Leg Bilat Plain | $2,248.40 | $3,212.00 | $110.07–$2,858.68 | — | 30% |
| Leg CT scan without contrast (hip to foot, any part) both sides CPT 73700 HC CT Hip Bilat Plain | $2,248.40 | $3,212.00 | $110.07–$2,858.68 | — | 30% |
| Leg CT scan without contrast (hip to foot, any part) both sides CPT 73700 HC CT Knee Bilat Plain | $2,248.40 | $3,212.00 | $110.07–$2,858.68 | — | 30% |
| Leg CT scan without contrast (hip to foot, any part) both sides CPT 73700 HC CT Femur Bilat Plain | $2,248.40 | $3,212.00 | $110.07–$2,858.68 | — | 30% |
| Leg CT scan without contrast (hip to foot, any part) both sides CPT 73700 HC CT Foot Bilat Plain | $2,248.40 | $3,212.00 | $110.07–$2,858.68 | — | 30% |
| Leg CT scan without contrast (hip to foot, any part) both sides CPT 73700 HC CT Ankle Bilat Plain | $2,249.10 | $3,213.00 | $110.07–$2,900.78 | — | 30% |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT Lwr Extrem W/O Cont | $2,361.10 | $3,373.00 | $110.07–$3,085.68 | 201% above | 30% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 HC CT Foot Left Plain | $2,248.40 | $3,212.00 | $110.07–$2,858.68 | 187% above | 30% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 HC CT Foot Right Plain | $2,248.40 | $3,212.00 | $110.07–$2,858.68 | 187% above | 30% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 HC CT Lower Leg Right Plain | $2,248.40 | $3,212.00 | $110.07–$2,858.68 | 187% above | 30% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 HC CT Hip Left Plain | $2,248.40 | $3,212.00 | $110.07–$2,858.68 | 187% above | 30% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 HC CT Hip Right Plain | $2,248.40 | $3,212.00 | $110.07–$2,858.68 | 187% above | 30% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 HC CT Knee Left Plain | $2,248.40 | $3,212.00 | $110.07–$2,858.68 | 187% above | 30% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 HC CT Knee Right Plain | $2,248.40 | $3,212.00 | $110.07–$2,858.68 | 187% above | 30% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 HC CT Ankle Left Plain | $2,248.40 | $3,212.00 | $110.07–$2,858.68 | 187% above | 30% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 HC CT Ankle Right Plain | $2,248.40 | $3,212.00 | $110.07–$2,858.68 | 187% above | 30% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 HC CT Femur Left Plain | $2,248.40 | $3,212.00 | $110.07–$2,858.68 | 187% above | 30% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 HC CT Femur Right Plain | $2,248.40 | $3,212.00 | $110.07–$2,858.68 | 187% above | 30% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 HC CT Lower Leg Left Plain | $2,248.40 | $3,212.00 | $110.07–$2,858.68 | 187% above | 30% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Spleen | $1,020.60 | $1,458.00 | $110.07–$1,297.62 | 123% above | 30% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Abdomen Quad (Limited) | $1,020.60 | $1,458.00 | $110.07–$1,297.62 | 123% above | 30% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Pyloric Stenosis | $1,020.60 | $1,458.00 | $110.07–$1,303.76 | 123% above | 30% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Hepatic | $1,020.60 | $1,458.00 | $110.07–$1,297.62 | 123% above | 30% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Gallbladder | $1,020.60 | $1,458.00 | $110.07–$1,297.62 | 123% above | 30% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Pancreas | $1,020.60 | $1,458.00 | $110.07–$1,297.62 | 123% above | 30% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC US Echo Extrem Lmtd Nonvasc | $863.80 | $1,234.00 | $29.64–$1,098.26 | 186% above | 30% |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 HC US Echo Right Extrem Lmtd Nonvasc | $863.80 | $1,234.00 | $29.64–$1,098.26 | 186% above | 30% |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 HC US Echo Left Extrem Lmtd Nonvasc | $863.80 | $1,234.00 | $29.64–$1,098.26 | 186% above | 30% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT Thorax Lung Cancer Scr C- | $190.40 | $272.00 | $104.45–$572.00 | at median | 30% |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 Dr Lower Leg:2 Views | $495.60 | $708.00 | $51.83–$630.12 | 150% above | 30% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 HC Dr Lower Leg Single Right | $535.50 | $765.00 | $51.83–$680.85 | 170% above | 30% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 HC Dr Lower Leg Single Left | $535.50 | $765.00 | $51.83–$680.85 | 170% above | 30% |
| MR angiography (MRA) of the head without contrast CPT 70544 MRI Angio Cerebral W/O Cont | $3,922.80 | $5,604.00 | $251.20–$4,987.56 | 250% above | 30% |
| MR angiography (MRA) of the head without contrast CPT 70544 MRI Mrv Cerebrals W/O Contrast | $3,922.80 | $5,604.00 | $251.20–$4,987.56 | 250% above | 30% |
| MRI of both breasts, without and then with contrast dye both sides CPT 77049 MRI Breast Implant Bi | $1,631.00 | $2,330.00 | $0.01–$2,891.32 | — | 30% |
| MRI of both breasts, without and then with contrast dye both sides CPT 77049 Bears Care MRI Breast Implnt Plain Bi | $5,514.60 | $7,878.00 | $0.01–$7,514.68 | — | 30% |
| MRI of both breasts, without and then with contrast dye both sides CPT 77049 Bears Care MRI Breast Bilat W/O/W/Cont | $5,514.60 | $7,878.00 | $0.01–$8,177.74 | — | 30% |
| MRI of both breasts, without and then with contrast dye both sides CPT 77049 MRI Breast Bi W/O/W/Contrast+Cad | $6,964.30 | $9,949.00 | $0.01–$8,854.61 | — | 30% |
| MRI of both breasts, without and then with contrast dye both sides CPT 77049 MRI Breast Bi W/O Contrast | $6,964.30 | $9,949.00 | $0.01–$8,953.46 | — | 30% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI Jt Angle W/O Cont | $3,996.30 | $5,709.00 | $251.20–$5,081.01 | 288% above | 30% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI Jt Knee W/O Cont | $3,996.30 | $5,709.00 | $251.20–$5,081.01 | 288% above | 30% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI Jt Hip W/O Cont | $3,996.30 | $5,709.00 | $251.20–$5,081.01 | 288% above | 30% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MR Hip Left Jt Plain | $3,996.30 | $5,709.00 | $251.20–$5,081.01 | 288% above | 30% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MR Hip Right Jt Plain | $3,996.30 | $5,709.00 | $251.20–$5,081.01 | 288% above | 30% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MR Ankle Right Jt Plain | $3,996.30 | $5,709.00 | $251.20–$5,081.01 | 288% above | 30% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MR Knee Left Jt Plain | $3,996.30 | $5,709.00 | $251.20–$5,081.01 | 288% above | 30% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MR Ankle Left Jt Plain | $3,996.30 | $5,709.00 | $251.20–$5,081.01 | 288% above | 30% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MR Knee Right Jt Plain | $3,996.30 | $5,709.00 | $251.20–$5,081.01 | 288% above | 30% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI Jt Ankle W/WO Cont | $6,900.60 | $9,858.00 | $367.29–$8,773.62 | 377% above | 30% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI Jt Knee W/WO Cont | $6,900.60 | $9,858.00 | $367.29–$8,773.62 | 377% above | 30% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI Jt Hip W/WO Cont | $6,900.60 | $9,858.00 | $367.29–$8,773.62 | 377% above | 30% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 HC MR Hip Right Jt WO/W Contrast | $7,287.70 | $10,411.00 | $367.29–$9,265.79 | 403% above | 30% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 HC MR Ankle Left Jt WO/W Contrast | $7,287.70 | $10,411.00 | $367.29–$9,265.79 | 403% above | 30% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 HC MR Ankle Right Jt WO/W Contrast | $7,287.70 | $10,411.00 | $367.29–$9,265.79 | 403% above | 30% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 HC MR Knee Left Jt WO/W Contrast | $7,287.70 | $10,411.00 | $367.29–$9,265.79 | 403% above | 30% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 HC MR Knee Right Jt WO/W Contrast | $7,287.70 | $10,411.00 | $367.29–$9,265.79 | 403% above | 30% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 HC MR Hip Left Jt WO/W Contrast | $7,287.70 | $10,411.00 | $367.29–$9,265.79 | 403% above | 30% |
| MRI of the abdomen without contrast CPT 74181 MRI Kidney W/O Cont | $3,451.70 | $4,931.00 | $251.20–$4,388.59 | 223% above | 30% |
| MRI of the abdomen without contrast CPT 74181 MRI Liver W/O Cont | $3,451.70 | $4,931.00 | $251.20–$4,388.59 | 223% above | 30% |
| MRI of the abdomen without contrast CPT 74181 MRI Mrcp W/O Cont | $3,451.70 | $4,931.00 | $251.20–$4,388.59 | 223% above | 30% |
| MRI of the abdomen without contrast CPT 74181 MRI Abdomen W/O Cont | $3,451.70 | $4,931.00 | $251.20–$4,388.59 | 223% above | 30% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI Mm Staging Abdomen | $6,116.60 | $8,738.00 | $367.29–$7,776.82 | 287% above | 30% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI Pancreas W/WO Cont | $6,116.60 | $8,738.00 | $367.29–$8,284.38 | 287% above | 30% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI Kidneys W/WO Cont | $6,116.60 | $8,738.00 | $367.29–$7,776.82 | 287% above | 30% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI Liver W/WO Cont | $6,116.60 | $8,738.00 | $367.29–$7,776.82 | 287% above | 30% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI Abdomen W/WO Cont | $6,116.60 | $8,738.00 | $367.29–$7,776.82 | 287% above | 30% |
| MRI of the brain, no contrast dye CPT 70551 MRI Pituitary W/O Cont | $3,765.30 | $5,379.00 | $251.20–$5,059.38 | 270% above | 30% |
| MRI of the brain, no contrast dye CPT 70551 MRI Brain W/O Cont | $3,765.30 | $5,379.00 | $251.20–$4,787.31 | 270% above | 30% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI Brain WO/W Cont | $6,312.60 | $9,018.00 | $367.29–$8,026.02 | 383% above | 30% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI Pituitary W/WO Cont | $6,312.60 | $9,018.00 | $367.29–$8,026.02 | 383% above | 30% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI Brain/Pituitary W/WO Cont | $6,312.60 | $9,018.00 | $367.29–$8,026.02 | 383% above | 30% |
| MRI of the lower back, no contrast dye CPT 72148 MRI Lumbar Spine W/O Cont | $3,922.80 | $5,604.00 | $251.20–$5,008.64 | 286% above | 30% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI L-Spine WO/W Cont | $6,900.60 | $9,858.00 | $367.29–$8,773.62 | 371% above | 30% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI Thoracic Spine W/O Cont | $4,076.80 | $5,824.00 | $251.20–$5,202.14 | 306% above | 30% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI C-Spine WO/W Cont | $6,900.60 | $9,858.00 | $367.29–$8,773.62 | 371% above | 30% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI Cervical Spine W/O Cont | $4,076.80 | $5,824.00 | $251.20–$5,183.36 | 291% above | 30% |
| MRI of the pelvis without and with contrast CPT 72197 HC MRI Pelvis W/ and W/Out Contrast - Radiation Oncology Planning | $1,586.90 | $2,267.00 | $367.29–$2,017.63 | 9% above | 30% |
| MRI of the pelvis without and with contrast CPT 72197 MRI Mm Staging Pevlis | $6,900.60 | $9,858.00 | $367.29–$8,773.62 | 374% above | 30% |
| MRI of the pelvis without and with contrast CPT 72197 MRI Prostate WO/W Contrast | $6,900.60 | $9,858.00 | $367.29–$8,773.62 | 374% above | 30% |
| MRI of the pelvis without and with contrast CPT 72197 MRI Pelvis W/WO Cont | $6,900.60 | $9,858.00 | $367.29–$8,773.62 | 374% above | 30% |
| MRI of the pelvis, no contrast dye CPT 72195 HC MRI Pelvis W/O Contrast - Radiation Oncology Planning | $1,586.90 | $2,267.00 | $251.20–$2,017.63 | 51% above | 30% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI Uterus W/O Cont | $3,972.50 | $5,675.00 | $251.20–$5,050.75 | 278% above | 30% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI Prostate W/O Cont | $3,972.50 | $5,675.00 | $251.20–$5,050.75 | 278% above | 30% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI Pelvis W/O Cont | $3,976.70 | $5,681.00 | $251.20–$5,056.09 | 278% above | 30% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI Jt Wrist W/O Cont | $3,996.30 | $5,709.00 | $251.20–$5,081.01 | 275% above | 30% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI Jt Elbow W/O Cont | $3,996.30 | $5,709.00 | $251.20–$5,081.01 | 275% above | 30% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI Jt Shoulder W/O Cont | $3,996.30 | $5,709.00 | $251.20–$5,081.01 | 275% above | 30% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 HC MR Shoulder Right Jt Plain | $3,996.30 | $5,709.00 | $251.20–$5,081.01 | 275% above | 30% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MR Wrist Right Jt Plain | $3,996.30 | $5,709.00 | $251.20–$5,081.01 | 275% above | 30% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 HC MR Shoulder Left Jt Plain | $3,996.30 | $5,709.00 | $251.20–$5,081.01 | 275% above | 30% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MR Wrist Left Jt Plain | $3,996.30 | $5,709.00 | $251.20–$5,081.01 | 275% above | 30% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 HC MR Elbow Left Jt Plain | $3,996.30 | $5,709.00 | $251.20–$5,081.01 | 275% above | 30% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 HC MR Elbow Right Jt Plain | $3,996.30 | $5,709.00 | $251.20–$5,081.01 | 275% above | 30% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HC Cervical Spine, 4 or 5 Views | $906.50 | $1,295.00 | $89.51–$1,152.55 | 160% above | 30% |
| Neck soft tissue CT scan with contrast CPT 70491 CT Neck Soft Tissue W Cont | $3,098.90 | $4,427.00 | $184.66–$4,240.66 | 217% above | 30% |
| Neck soft tissue CT scan without contrast CPT 70490 CT Sleep Apnea W/O Cont | $2,511.60 | $3,588.00 | $110.07–$3,277.46 | 202% above | 30% |
| Neck soft tissue CT scan without contrast CPT 70490 CT Neck Soft Tissue W/O Cont | $2,667.70 | $3,811.00 | $110.07–$4,240.66 | 220% above | 30% |
| Neck soft tissue X-ray CPT 70360 Dr Neck for Soft Tissue | $436.10 | $623.00 | $56.67–$554.47 | 152% above | 30% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM Dual Isotope Stress & Rest | $5,096.70 | $7,281.00 | $1,095.24–$6,480.09 | 32% above | 30% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC NM Dual Isotope W/Adenosine | $5,096.70 | $7,281.00 | $1,095.24–$6,480.09 | 32% above | 30% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM Myoview Stres&Rest W/Persan | $5,096.70 | $7,281.00 | $1,095.24–$6,480.09 | 32% above | 30% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM Myoview Stress&Rest W/Dobut | $5,096.70 | $7,281.00 | $1,095.24–$6,480.09 | 32% above | 30% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Myoview Str/Rest W/Lexiscan | $5,096.70 | $7,281.00 | $1,095.24–$6,480.09 | 32% above | 30% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM Myoview Stress & Rest Test | $5,096.70 | $7,281.00 | $1,095.24–$6,480.09 | 32% above | 30% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM Thal Stress & Rest W/Persan | $5,096.70 | $7,281.00 | $1,095.24–$6,480.09 | 32% above | 30% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM Thal Stress & Rest W/Dobut | $5,096.70 | $7,281.00 | $1,095.24–$6,480.09 | 32% above | 30% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Thallium Str/Rest W/Lexiscan | $5,096.70 | $7,281.00 | $1,095.24–$6,480.09 | 32% above | 30% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM Dual Iso Stres&Rest W/Persa | $5,096.70 | $7,281.00 | $1,095.24–$6,480.09 | 32% above | 30% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM Dual Iso Stres&Rest W/Dobut | $5,096.70 | $7,281.00 | $1,095.24–$6,480.09 | 32% above | 30% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Dual Iso Str/Rest W/Lexiscan | $5,096.70 | $7,281.00 | $1,095.24–$6,480.09 | 32% above | 30% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM Thallium Stress & Rest Test | $5,096.70 | $7,281.00 | $1,095.24–$6,480.09 | 32% above | 30% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM Thallium Heart Resting | $5,096.70 | $7,281.00 | $1,095.24–$6,480.09 | 32% above | 30% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM Cardio Stress&Rest W/Adeno | $5,096.70 | $7,281.00 | $1,095.24–$6,480.09 | 32% above | 30% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM Cardio Stress&Rest W/Persan | $5,096.70 | $7,281.00 | $1,095.24–$6,480.09 | 32% above | 30% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Cardiolite Str/Rest W Lexiscan | $5,096.70 | $7,281.00 | $1,095.24–$6,480.09 | 32% above | 30% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM Cardio Stress&Rest W/Dobut | $5,110.70 | $7,301.00 | $1,095.24–$6,497.89 | 33% above | 30% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM Cardiolite Stress & Rest | $5,170.20 | $7,386.00 | $1,095.24–$6,573.54 | 34% above | 30% |
| OCT scan of the retina (optical coherence tomography) CPT 92134 Computerized Ophthalmic Imaging Retina | $147.70 | $211.00 | $12.30–$377.54 | at median | 30% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 NM Pet/CT Skull/Midthigh | $10,661.70 | $15,231.00 | $1,505.45–$13,555.59 | 163% above | 30% |
| Pelvic CT scan without contrast CPT 72192 CT Pelvis W/O Cont | $2,823.80 | $4,034.00 | $110.07–$3,590.26 | 239% above | 30% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US Pelvis Limited | $746.90 | $1,067.00 | $94.34–$949.63 | 109% above | 30% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US Pelvic Scn Non-OB Complt | $755.30 | $1,079.00 | $110.07–$960.31 | 63% above | 30% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB US >14wks Single Fetus | $746.90 | $1,067.00 | $110.07–$949.63 | 35% above | 30% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB Grt 14 Wk | $746.90 | $1,067.00 | $110.07–$949.63 | 35% above | 30% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 OB US <14 Wks Single Fetus | $707.00 | $1,010.00 | $110.07–$898.90 | 37% above | 30% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB Less 14 Weeks | $707.00 | $1,010.00 | $110.07–$898.90 | 37% above | 30% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US Pregnant Limited 1 or > Fetus | $393.40 | $562.00 | $110.07–$523.06 | 3% above | 30% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US Pregnancy US Limited | $471.10 | $673.00 | $110.07–$601.14 | 24% above | 30% |
| Screening mammogram, both breasts both sides CPT 77067 HC Scr Mammo Bi Incl Cad | $418.60 | $598.00 | $39.56–$532.22 | — | 30% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 Dr Shoulder/Complete:Single | $611.10 | $873.00 | $57.64–$776.97 | 192% above | 30% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 HC Dr Shoulder Right Complete Post Reduction | $611.10 | $873.00 | $57.64–$776.97 | 192% above | 30% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 HC Dr Shoulder Left Complete Post Reduction | $611.10 | $873.00 | $57.64–$776.97 | 192% above | 30% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 HC Dr Shoulder Right Complete | $611.10 | $873.00 | $57.64–$776.97 | 192% above | 30% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 HC Dr Shoulder Left Complete | $611.10 | $873.00 | $57.64–$776.97 | 192% above | 30% |
| Sinus X-ray, complete, 3 or more views CPT 70220 Dr Sinuses | $724.50 | $1,035.00 | $72.15–$921.15 | 155% above | 30% |
| Skull X-ray, fewer than 4 views CPT 70250 Dr Skull, 1 View | $268.80 | $384.00 | $68.29–$523.06 | 15% above | 30% |
| Skull X-ray, fewer than 4 views CPT 70250 Dr Skull, 2 Views | $519.40 | $742.00 | $68.29–$660.38 | 123% above | 30% |
| Skull X-ray, fewer than 4 views CPT 70250 Dr Skull-Partial | $550.90 | $787.00 | $68.29–$700.43 | 137% above | 30% |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 Echo 2-D Stress | $2,717.40 | $3,882.00 | $575.27–$4,855.56 | 51% above | 30% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 Dr Cookie Swallow | $550.90 | $787.00 | $179.36–$877.51 | 52% above | 30% |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 HC X-Ray Exam of Femur 2+ Vw | $193.20 | $276.00 | $61.50–$435.38 | 4% below | 30% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 CT Thoracic Sp W/O Cont | $3,059.00 | $4,370.00 | $110.07–$3,889.30 | 260% above | 30% |
| Transvaginal pelvic ultrasound CPT 76830 US Transvag Pelvis Non OB | $833.70 | $1,191.00 | $110.07–$1,061.24 | 105% above | 30% |
| Transvaginal ultrasound during pregnancy CPT 76817 US Transvag OB | $436.10 | $623.00 | $110.07–$554.47 | 18% above | 30% |
| Transvaginal ultrasound during pregnancy CPT 76817 OB US Transvaginal | $436.10 | $623.00 | $110.07–$554.47 | 18% above | 30% |
| Ultrasound of the abdomen, complete CPT 76700 US Abdomen Complete | $1,332.80 | $1,904.00 | $110.07–$1,694.56 | 154% above | 30% |
| Ultrasound of the scrotum and testicles CPT 76870 US Scrotum | $1,099.00 | $1,570.00 | $110.07–$1,397.30 | 159% above | 30% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Soft Tissue Head/Neck | $1,020.60 | $1,458.00 | $110.07–$1,297.62 | 139% above | 30% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Thyroid | $1,020.60 | $1,458.00 | $110.07–$1,297.62 | 139% above | 30% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Parathyroid | $1,020.60 | $1,458.00 | $110.07–$1,297.62 | 139% above | 30% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Dr Upper GI/Esophagus | $670.60 | $958.00 | $184.66–$877.51 | 28% above | 30% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Dr Upper GI W/Gastroview Study | $670.60 | $958.00 | $184.66–$877.51 | 28% above | 30% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Dr Upper GI W/Barium Study | $670.60 | $958.00 | $184.66–$877.51 | 28% above | 30% |
| Upper arm X-ray (humerus), 2 views CPT 73060 Dr Humerus:Single | $429.10 | $613.00 | $55.69–$545.57 | 123% above | 30% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 HC Dr Humerus Right | $467.60 | $668.00 | $55.69–$594.52 | 144% above | 30% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 HC Dr Humerus Left | $467.60 | $668.00 | $55.69–$594.52 | 144% above | 30% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study both sides CPT 93971 US Dup Vein Ext Bilat (Vein Map) | $691.60 | $988.00 | $21.79–$879.32 | — | 30% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 US Dup Vein Ext (Vein Map) | $441.70 | $631.00 | $21.79–$561.59 | 30% below | 30% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 Dup Venup Extrem Uni | $487.20 | $696.00 | $21.79–$619.44 | 23% below | 30% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 Color Dopp Ven Lw Extrem Uni | $487.20 | $696.00 | $21.79–$619.44 | 23% below | 30% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HC US Color Dopp Ven Right Lw Extrem | $441.70 | $631.00 | $21.79–$561.59 | 30% below | 30% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HC US Color Dopp Ven Left Lw Extrem | $441.70 | $631.00 | $21.79–$561.59 | 30% below | 30% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HC US Dup Ven Up Extrem Right | $441.70 | $631.00 | $21.79–$578.78 | 30% below | 30% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HC US Dup Ven Insuf Rt Extremity | $487.20 | $696.00 | $21.79–$619.44 | 23% below | 30% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HC US Dup Ven Insuf Lt Extremity | $487.20 | $696.00 | $21.79–$700.04 | 23% below | 30% |
| Wrist X-ray, 2 views CPT 73100 Xray Wrist 2 Vw Post Reduct | $347.20 | $496.00 | $61.50–$441.44 | 122% above | 30% |
| Wrist X-ray, 2 views CPT 73100 Both Wrists Post Reduction | $518.00 | $740.00 | $61.50–$658.60 | 232% above | 30% |
| Wrist X-ray, complete, 3 or more views CPT 73110 DR WRIST -SINGLE min 3 vw | $471.10 | $673.00 | $79.87–$598.97 | 85% above | 30% |
| Wrist X-ray, complete, 3 or more views CPT 73110 DR WRIST W/NAVICULAR min 3 vw | $539.00 | $770.00 | $79.87–$685.30 | 112% above | 30% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 HC Dr Wrist Left Ap and Lateral Post Reduction | $539.00 | $770.00 | $79.87–$685.30 | 112% above | 30% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 HC Dr Wrist Right | $539.00 | $770.00 | $79.87–$685.30 | 112% above | 30% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 HC Dr Wrist Right Ap and Lateral Post Reduction | $539.00 | $770.00 | $79.87–$685.30 | 112% above | 30% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 HC Dr Wrist Left | $539.00 | $770.00 | $79.87–$685.30 | 112% above | 30% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 HC Dr Wrist Left W/Navicular | $540.40 | $772.00 | $79.87–$687.08 | 112% above | 30% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 HC Dr Wrist Right W/Navicular | $540.40 | $772.00 | $79.87–$687.08 | 112% above | 30% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HC X-Ray Exam Hip Uni 2-3 Views | $518.00 | $740.00 | $80.85–$658.60 | 95% above | 30% |
| X-ray of the abdomen, 1 view CPT 74018 HC X-Ray Exam Abdomen 1 View | $535.50 | $765.00 | $91.62–$680.85 | 147% above | 30% |
| X-ray of the ankle, 2 views CPT 73600 Xray Ankle 2 Vw Post Reduct | $259.00 | $370.00 | $55.69–$435.38 | 62% above | 30% |
| X-ray of the ankle, 2 views CPT 73600 Both Ankles Post Reduction | $388.50 | $555.00 | $55.69–$493.95 | 143% above | 30% |
| X-ray of the ankle, 2 views CPT 73600 HC Ankle 2 Views Both | $388.50 | $555.00 | $55.69–$493.95 | 143% above | 30% |
| X-ray of the ankle, 2 views one side CPT 73600 HC Ankle 2 Views -Lt | $259.00 | $370.00 | $55.69–$435.38 | 62% above | 30% |
| X-ray of the ankle, 2 views one side CPT 73600 HC Ankle 2 Views -Rt | $259.00 | $370.00 | $55.69–$435.38 | 62% above | 30% |
| X-ray of the finger(s), 2 or more views CPT 73140 HC X-Ray Exam of Finger(S) 2+ Views | $177.10 | $253.00 | $72.15–$435.38 | 11% above | 30% |
| X-ray of the foot, 2 views CPT 73620 Dr Foot/Ankle: Ap&L | $550.90 | $787.00 | $53.78–$700.43 | 236% above | 30% |
| X-ray of the foot, 2 views one side CPT 73620 HC Dr Foot/Ankle: Right 2 Views | $800.80 | $1,144.00 | $53.78–$1,018.16 | 389% above | 30% |
| X-ray of the foot, 2 views one side CPT 73620 HC Dr Foot Right Ap and Lateral Post Reduction | $800.80 | $1,144.00 | $53.78–$1,018.16 | 389% above | 30% |
| X-ray of the foot, 2 views one side CPT 73620 HC Dr Foot/Ankle: Left 2 Views | $800.80 | $1,144.00 | $53.78–$1,018.16 | 389% above | 30% |
| X-ray of the foot, 2 views one side CPT 73620 HC Dr Foot Left Ap and Lateral Post Reduction | $800.80 | $1,144.00 | $53.78–$1,018.16 | 389% above | 30% |
| X-ray of the foot, complete, 3 or more views CPT 73630 Dr Weight Bearing Foot | $768.60 | $1,098.00 | $63.45–$977.22 | 281% above | 30% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 Dr Foot/Complete:Unilat | $768.60 | $1,098.00 | $63.45–$977.22 | 281% above | 30% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 HC Dr Foot/Complete Left | $768.60 | $1,098.00 | $63.45–$977.22 | 281% above | 30% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 HC Dr Foot/Complete Right | $768.60 | $1,098.00 | $63.45–$977.22 | 281% above | 30% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 HC Dr Weight Bearing Right Foot | $770.00 | $1,100.00 | $63.45–$979.00 | 282% above | 30% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 HC Dr Weight Bearing Left Foot | $770.00 | $1,100.00 | $63.45–$979.00 | 282% above | 30% |
| X-ray of the hand, 3 or more views CPT 73130 DR HAND SINGLE min 3 vw | $553.00 | $790.00 | $66.34–$703.10 | 174% above | 30% |
| X-ray of the hand, 3 or more views one side CPT 73130 HC Dr Finger Right Ap and Lateral Post Reduction | $553.00 | $790.00 | $66.34–$703.10 | 174% above | 30% |
| X-ray of the hand, 3 or more views one side CPT 73130 HC Dr Hand Right | $553.00 | $790.00 | $66.34–$703.10 | 174% above | 30% |
| X-ray of the hand, 3 or more views one side CPT 73130 HC Dr Hand Left | $553.00 | $790.00 | $66.34–$703.10 | 174% above | 30% |
| X-ray of the hand, 3 or more views one side CPT 73130 HC Dr Finger Left Ap and Lateral Post Reduction | $553.00 | $790.00 | $66.34–$703.10 | 174% above | 30% |
| X-ray of the knee, 1 or 2 views CPT 73560 Dr Knee 2 Vw | $504.00 | $720.00 | $58.62–$640.80 | 141% above | 30% |
| X-ray of the knee, 1 or 2 views CPT 73560 HC X-Ray Exam of Knee 1 or 2 | $549.50 | $785.00 | $58.62–$698.65 | 163% above | 30% |
| X-ray of the knee, 1 or 2 views CPT 73560 Both Knees Post Reduction | $582.40 | $832.00 | $58.62–$740.48 | 179% above | 30% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 HC Dr Knee Left Ap and Lateral | $448.00 | $640.00 | $58.62–$569.60 | 115% above | 30% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 HC Dr Knee Right Ap and Lateral Post Reduction | $448.00 | $640.00 | $58.62–$569.60 | 115% above | 30% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 HC Dr Knee Left Ap and Lateral Post Reduction | $448.00 | $640.00 | $58.62–$569.60 | 115% above | 30% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 HC Dr Knee Right Ap and Lateral | $448.00 | $640.00 | $58.62–$569.60 | 115% above | 30% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Dr Lumbosacral Sp. | $941.50 | $1,345.00 | $66.34–$1,197.05 | 275% above | 30% |
| X-ray of the lower back, 4 or more views CPT 72110 HC Dr Lumbar Ap Lateral Flexion and Extenion | $1,046.50 | $1,495.00 | $91.46–$1,330.55 | 202% above | 30% |
| X-ray of the lower back, 4 or more views CPT 72110 Dr Lumbosacral Spine W/Oblique | $1,061.20 | $1,516.00 | $91.46–$1,349.24 | 206% above | 30% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC Thoracic Spine 2 Views | $404.60 | $578.00 | $61.50–$523.06 | 73% above | 30% |
| X-ray of the nasal bones, 3 or more views CPT 70160 Dr Nose | $550.90 | $787.00 | $69.23–$700.43 | 172% above | 30% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC Dr Cervical Spine Flexion and Extension Only | $539.00 | $770.00 | $66.34–$685.30 | 116% above | 30% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Dr Cer Spine 2-3 Views | $550.90 | $787.00 | $66.34–$700.43 | 120% above | 30% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Dr Cerv Spine:2-3 Views | $550.90 | $787.00 | $66.34–$700.43 | 120% above | 30% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 Dr Pelvis | $495.60 | $708.00 | $53.78–$630.12 | 152% above | 30% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 Dr Pelvis 2 Views | $627.90 | $897.00 | $53.78–$798.33 | 220% above | 30% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Dr Sacrum & Coccyx | $599.90 | $857.00 | $55.69–$762.73 | 174% above | 30% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Indiana | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 ACTH | $441.00 | $630.00 | $38.62–$560.70 | 77% above | 30% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT | $128.80 | $184.00 | $5.30–$163.76 | 368% above | 30% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 AST | $137.20 | $196.00 | $5.18–$174.44 | 373% above | 30% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Acute Hepatitis Panel | $312.90 | $447.00 | $47.63–$397.83 | 1% below | 30% |
| Albumin blood test CPT 82040 Serum Albumin | $50.40 | $72.00 | $4.95–$64.08 | 121% above | 30% |
| Albumin blood test CPT 82040 Albumin/Iggisr | $57.40 | $82.00 | $4.95–$72.98 | 152% above | 30% |
| Aldosterone blood test CPT 82088 Aldosterone (Plasma) | $371.00 | $530.00 | $40.75–$471.70 | 80% above | 30% |
| Aldosterone blood test CPT 82088 Aldosterone (Urine) | $653.10 | $933.00 | $40.75–$830.37 | 217% above | 30% |
| Alkaline phosphatase (ALP) blood test CPT 84075 Alk Phos, Total | $98.70 | $141.00 | $5.18–$125.49 | 208% above | 30% |
| Alkaline phosphatase (ALP) blood test CPT 84075 Alk Phosphatase | $142.80 | $204.00 | $5.18–$181.56 | 346% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Lc-Allergen Profile, Pediatric (Alprp) Panel Component: Allergen Specific Ige; Quant or Semiquant, Crude Allergen Extract, Ea | $10.50 | $15.00 | $5.22–$13.78 | 45% below | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Specific Ige; Quant or Semiquant, Crude Allergen Extract, Each | $11.20 | $16.00 | $5.22–$14.62 | 42% below | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen, Plantain, English | $42.70 | $61.00 | $5.22–$54.29 | 122% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Mouse Urine | $42.70 | $61.00 | $5.22–$54.29 | 122% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Thistle Russian | $42.70 | $61.00 | $5.22–$54.29 | 122% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, White Ash | $42.70 | $61.00 | $5.22–$54.29 | 122% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Common Silver Birch | $42.70 | $61.00 | $5.22–$54.29 | 122% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Maple Leaf Sycamore | $42.70 | $61.00 | $5.22–$54.29 | 122% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen American Elm | $42.70 | $61.00 | $5.22–$54.29 | 122% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen White Oak | $42.70 | $61.00 | $5.22–$54.29 | 122% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Alternaria Altenata | $42.70 | $61.00 | $5.22–$54.29 | 122% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen, Nettle | $42.70 | $61.00 | $5.22–$54.29 | 122% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen, Sheep Sorrel | $42.70 | $61.00 | $5.22–$54.29 | 122% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen, Pigweed, Rough | $42.70 | $61.00 | $5.22–$54.29 | 122% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen, Mugwort | $42.70 | $61.00 | $5.22–$54.29 | 122% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen, Sweet Gum | $42.70 | $61.00 | $5.22–$54.29 | 122% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen, Maple/Box Elder | $42.70 | $61.00 | $5.22–$54.29 | 122% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen, Walnut Tree | $42.70 | $61.00 | $5.22–$54.29 | 122% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen, Oak | $42.70 | $61.00 | $5.22–$54.29 | 122% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen, Hickory White | $42.70 | $61.00 | $5.22–$54.29 | 122% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen, Elm | $42.70 | $61.00 | $5.22–$54.29 | 122% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen, Cottonwood | $42.70 | $61.00 | $5.22–$54.29 | 122% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen, Wheat | $42.70 | $61.00 | $5.22–$54.29 | 122% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen, Soybean | $42.70 | $61.00 | $5.22–$54.29 | 122% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen, Shrimp | $42.70 | $61.00 | $5.22–$54.29 | 122% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen, Scallops | $42.70 | $61.00 | $5.22–$54.29 | 122% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen, Oyster | $42.70 | $61.00 | $5.22–$54.29 | 122% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen, Lobster | $42.70 | $61.00 | $5.22–$54.29 | 122% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen, Codfish | $42.70 | $61.00 | $5.22–$54.29 | 122% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen, Clam | $42.70 | $61.00 | $5.22–$54.29 | 122% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen, Milk Processed | $42.70 | $61.00 | $5.22–$54.29 | 122% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen, Milk Cow | $42.70 | $61.00 | $5.22–$54.29 | 122% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen, Egg Yolk | $42.70 | $61.00 | $5.22–$54.29 | 122% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen, Egg White | $42.70 | $61.00 | $5.22–$54.29 | 122% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen, Corn | $42.70 | $61.00 | $5.22–$54.29 | 122% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen, Walnut | $42.70 | $61.00 | $5.22–$54.29 | 122% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen, Pistachio | $42.70 | $61.00 | $5.22–$54.29 | 122% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen, Pecan | $42.70 | $61.00 | $5.22–$54.29 | 122% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen, Peanut | $42.70 | $61.00 | $5.22–$54.29 | 122% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen, Cashew | $42.70 | $61.00 | $5.22–$54.29 | 122% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen, Almond | $42.70 | $61.00 | $5.22–$54.29 | 122% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen, Watermelon | $42.70 | $61.00 | $5.22–$54.29 | 122% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen, Strawberry | $42.70 | $61.00 | $5.22–$54.29 | 122% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen, Raspberry | $42.70 | $61.00 | $5.22–$54.29 | 122% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen, Pineapple | $42.70 | $61.00 | $5.22–$54.29 | 122% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen, Melons | $42.70 | $61.00 | $5.22–$54.29 | 122% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen, Coconut | $42.70 | $61.00 | $5.22–$54.29 | 122% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen, Blueberry | $42.70 | $61.00 | $5.22–$54.29 | 122% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen, Banana | $42.70 | $61.00 | $5.22–$54.29 | 122% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen, Avocado | $42.70 | $61.00 | $5.22–$54.29 | 122% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen, Cockroach | $42.70 | $61.00 | $5.22–$54.29 | 122% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen, Yellowjacket Venm | $42.70 | $61.00 | $5.22–$54.29 | 122% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen, Wasp Venom | $42.70 | $61.00 | $5.22–$54.29 | 122% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen, Hornet Yellow | $42.70 | $61.00 | $5.22–$54.29 | 122% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen, Honey Bee | $42.70 | $61.00 | $5.22–$54.29 | 122% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen, Sheep Epithelium | $42.70 | $61.00 | $5.22–$54.29 | 122% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen, Rat Epithelium | $42.70 | $61.00 | $5.22–$54.29 | 122% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen, Rabbit Epithelium | $42.70 | $61.00 | $5.22–$54.29 | 122% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen, Pigeon Feathers | $42.70 | $61.00 | $5.22–$54.29 | 122% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen, Pigeon Droppings | $42.70 | $61.00 | $5.22–$54.29 | 122% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen, Pig Epithelium | $42.70 | $61.00 | $5.22–$54.29 | 122% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen, Parrot Feathers | $42.70 | $61.00 | $5.22–$54.29 | 122% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen, Mouse Epithelium | $42.70 | $61.00 | $5.22–$54.29 | 122% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen, Horse Epithelium | $42.70 | $61.00 | $5.22–$54.29 | 122% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen, Hamster Epithelium | $42.70 | $61.00 | $5.22–$54.29 | 122% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen, Guinea Pig Epith | $42.70 | $61.00 | $5.22–$54.29 | 122% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen, Goose Feathers | $42.70 | $61.00 | $5.22–$54.29 | 122% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen, Goat Epithelium | $42.70 | $61.00 | $5.22–$54.29 | 122% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen, Gerbil Epithelium | $42.70 | $61.00 | $5.22–$54.29 | 122% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen, Ferret Epithelium | $42.70 | $61.00 | $5.22–$54.29 | 122% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen, Duck Feathers | $42.70 | $61.00 | $5.22–$54.29 | 122% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen, Dog Epithelium | $42.70 | $61.00 | $5.22–$54.29 | 122% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen, Deer Epithelium | $42.70 | $61.00 | $5.22–$54.29 | 122% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen, Cow Epithelium | $42.70 | $61.00 | $5.22–$54.29 | 122% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen, Chicken Feathers | $42.70 | $61.00 | $5.22–$54.29 | 122% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen, Cat Epithelium | $42.70 | $61.00 | $5.22–$54.29 | 122% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Latex Ige | $42.70 | $61.00 | $5.22–$54.29 | 122% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen, Cedar, Moutain | $42.70 | $61.00 | $5.22–$54.29 | 122% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen, White Mulberry | $42.70 | $61.00 | $5.22–$54.29 | 122% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen, Hazelnut Tree | $42.70 | $61.00 | $5.22–$54.29 | 122% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen, Bahia Grass | $42.70 | $61.00 | $5.22–$54.29 | 122% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergens, Stemphylium Herbarum | $42.70 | $61.00 | $5.22–$54.29 | 122% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergens, Epicoccum Purpur | $42.70 | $61.00 | $5.22–$54.29 | 122% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergens, Phoma Betae | $42.70 | $61.00 | $5.22–$54.29 | 122% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen, Aureobasidi Pullulans | $42.70 | $61.00 | $5.22–$54.29 | 122% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen, Fusarium, Proliferatum | $42.70 | $61.00 | $5.22–$54.29 | 122% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergens, Setomelanomma Rastrat | $42.70 | $61.00 | $5.22–$54.29 | 122% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen, Candida Albicans | $42.70 | $61.00 | $5.22–$54.29 | 122% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen, Penicillium Chrysogen | $42.70 | $61.00 | $5.22–$54.29 | 122% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen, Mucor Racemosus | $42.70 | $61.00 | $5.22–$54.29 | 122% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Alternaria Alternata | $42.70 | $61.00 | $5.22–$54.29 | 122% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen, Timothy Grass | $42.70 | $61.00 | $5.22–$54.29 | 122% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen, Seasame Seed | $42.70 | $61.00 | $5.22–$54.29 | 122% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen, Latex | $42.70 | $61.00 | $5.22–$54.29 | 122% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen, Seminal Fluid | $42.70 | $61.00 | $5.22–$54.29 | 122% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen, Penicillin G | $42.70 | $61.00 | $5.22–$54.29 | 122% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen, Cladosporium Herb | $42.70 | $61.00 | $5.22–$54.29 | 122% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen, Aspergillus Fumig | $42.70 | $61.00 | $5.22–$54.29 | 122% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen, Alternaria Tenuis | $42.70 | $61.00 | $5.22–$54.29 | 122% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen, Derma Pteronyssin | $42.70 | $61.00 | $5.22–$54.29 | 122% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen, Derma Farinae | $42.70 | $61.00 | $5.22–$54.29 | 122% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen, Dust Hollister-St | $42.70 | $61.00 | $5.22–$54.29 | 122% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC House Dust Greer | $42.70 | $61.00 | $5.22–$54.29 | 122% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen, Ragweed Short | $42.70 | $61.00 | $5.22–$54.29 | 122% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen, Lambs Quarters | $42.70 | $61.00 | $5.22–$54.29 | 122% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Ky Blue Grass | $42.70 | $61.00 | $5.22–$54.29 | 122% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen, Johnson Grass | $42.70 | $61.00 | $5.22–$54.29 | 122% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen, Bermuda Grass | $42.70 | $61.00 | $5.22–$54.29 | 122% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen, Mold Panel | $72.10 | $103.00 | $5.22–$91.67 | 276% above | 30% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 Afp/Afp Quad | $91.70 | $131.00 | $16.77–$116.59 | 10% below | 30% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 Alfafetoprotein/Tsc | $121.80 | $174.00 | $16.77–$154.86 | 19% above | 30% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 Alphafetoprotein | $455.00 | $650.00 | $16.77–$578.50 | 346% above | 30% |
| Ammonia blood test CPT 82140 HC Ammonia | $38.50 | $55.00 | $14.57–$48.95 | 68% below | 30% |
| Ammonia blood test CPT 82140 Sr/Ammonia | $95.20 | $136.00 | $14.57–$121.04 | 21% below | 30% |
| Ammonia blood test CPT 82140 Blood Ammonia | $133.00 | $190.00 | $14.57–$169.10 | 11% above | 30% |
| Amylase blood test CPT 82150 Amylase,UR. 2 Hr | $68.60 | $98.00 | $6.48–$87.22 | 32% above | 30% |
| Amylase blood test CPT 82150 Amylase | $182.00 | $260.00 | $6.48–$231.40 | 251% above | 30% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Anti-Cyclic Citrulline Pep | $280.70 | $401.00 | $12.95–$356.89 | 433% above | 30% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Ana Screen | $324.80 | $464.00 | $12.09–$412.96 | 442% above | 30% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B-Type Natriuretic Peptide | $101.50 | $145.00 | $39.26–$129.05 | 40% below | 30% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC Scope Culture(Endoscopy Scopes) | $34.30 | $49.00 | $8.62–$51.60 | 63% below | 30% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Fluid Culture | $127.40 | $182.00 | $8.62–$161.98 | 36% above | 30% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Rapid ID X1, Spec Other Than Bld or Urine | $127.40 | $182.00 | $1.71–$161.98 | 36% above | 30% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Routine Culture | $127.40 | $182.00 | $8.62–$161.98 | 36% above | 30% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Strep Throat Cult | $128.80 | $184.00 | $8.62–$163.76 | 38% above | 30% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Rapid ID X2, Spec Other Than Bld or Urine | $254.80 | $364.00 | $1.71–$323.96 | 173% above | 30% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Rapid ID X 3, Spec Other Than Bld or Urine Panel | $382.20 | $546.00 | $8.62–$492.78 | 309% above | 30% |
| Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Profile | $456.40 | $652.00 | $8.46–$580.28 | 483% above | 30% |
| Bilirubin blood test, total CPT 82247 Bilirubin Total | $50.40 | $72.00 | $5.02–$64.08 | 45% above | 30% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Bladder Biopsy | $81.20 | $116.00 | $44.54–$277.37 | 69% below | 30% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Ima 88305 | $146.30 | $209.00 | $54.86–$277.37 | 44% below | 30% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC Surg Path Musc Bx (Uofc Ref) | $233.80 | $334.00 | $54.86–$297.26 | 10% below | 30% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC Surgpath Renal Bx (Uofc Ref) | $233.80 | $334.00 | $54.86–$297.26 | 10% below | 30% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC Surgpath Nerve Bx (Uofc Ref) | $233.80 | $334.00 | $54.86–$297.26 | 10% below | 30% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Cell Block | $444.50 | $635.00 | $54.86–$651.02 | 72% above | 30% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Gross & Micro IV | $529.90 | $757.00 | $54.86–$749.06 | 104% above | 30% |
| Biopsy tissue exam by a pathologist (level IV) one side CPT 88305 Prostatic Biopsy Profile Left | $168.70 | $241.00 | $54.86–$277.37 | 35% below | 30% |
| Biopsy tissue exam by a pathologist (level IV) one side CPT 88305 Prostatic Biopsy Profile Right | $168.70 | $241.00 | $54.86–$277.37 | 35% below | 30% |
| Blood culture for bacteria CPT 87040 Blood Culture | $177.10 | $253.00 | $10.32–$225.32 | 36% above | 30% |
| Blood culture for bacteria CPT 87040 Rapid ID X2, Blood | $354.20 | $506.00 | $2.04–$450.34 | 171% above | 30% |
| Blood culture for bacteria CPT 87040 Rapid ID X 3, Blood Panel | $531.30 | $759.00 | $10.32–$675.51 | 307% above | 30% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Specimen Collection | $16.10 | $23.00 | $0.01–$24.65 | 3% below | 30% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Routine Venipuncure | $16.10 | $23.00 | $0.01–$24.65 | 3% below | 30% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Venipuncture Routine | $16.10 | $23.00 | $0.01–$24.65 | 3% below | 30% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Paternity Test Spec Coll | $68.60 | $98.00 | $0.01–$87.22 | 313% above | 30% |
| Blood glucose (sugar) test CPT 82947 Glucose | $78.40 | $112.00 | $3.93–$99.68 | 195% above | 30% |
| Blood lead test CPT 83655 Lead/Hvmet | $79.10 | $113.00 | $12.11–$100.57 | 11% above | 30% |
| Blood lead test CPT 83655 Lead, Screen | $81.20 | $116.00 | $12.11–$103.24 | 14% above | 30% |
| Blood lead test CPT 83655 Lead, Confirmation | $81.20 | $116.00 | $12.11–$103.24 | 14% above | 30% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Pregnancy Test | $177.10 | $253.00 | $7.52–$225.17 | 143% above | 30% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Abo Grouping | $298.90 | $427.00 | $2.99–$393.88 | 509% above | 30% |
| Blood urea nitrogen (BUN) test CPT 84520 BUN | $79.10 | $113.00 | $3.95–$100.57 | 235% above | 30% |
| C-peptide blood test CPT 84681 C-Peptides | $259.00 | $370.00 | $20.81–$329.30 | 89% above | 30% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C-Reactive Protein | $68.60 | $98.00 | $5.18–$87.22 | 1% below | 30% |
| C. difficile toxin gene test (stool PCR) CPT 87493 HC Clostridium Toxin a and B, Amplified | $194.60 | $278.00 | $37.27–$247.42 | 46% above | 30% |
| CA 19-9 blood test (tumor marker) CPT 86301 Ca 19-9 | $317.10 | $453.00 | $20.81–$403.17 | 119% above | 30% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 Ca-125 | $287.00 | $410.00 | $20.81–$364.90 | 76% above | 30% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Sars-Cov-2 Covid-19 Amp Prb (Covid-19) | $200.90 | $287.00 | $51.31–$255.43 | 90% above | 30% |
| Calcium blood test, total CPT 82310 Ca/Pthin | $32.90 | $47.00 | $5.16–$42.14 | 24% above | 30% |
| Calcium blood test, total CPT 82310 Calcium | $32.90 | $47.00 | $5.16–$41.83 | 24% above | 30% |
| Carcinoembryonic antigen (CEA) test CPT 82378 CEA | $219.80 | $314.00 | $18.96–$279.46 | 82% above | 30% |
| Chickenpox (varicella) immunity blood test CPT 86787 Varicella Zoster Titer | $156.10 | $223.00 | $12.88–$198.47 | 60% above | 30% |
| Chickenpox (varicella) immunity blood test CPT 86787 Varicella Zoster P Vaccine | $169.40 | $242.00 | $12.88–$215.38 | 74% above | 30% |
| Chickenpox (varicella) immunity blood test CPT 86787 Varicella Zoster Screen | $203.70 | $291.00 | $12.88–$258.99 | 109% above | 30% |
| Chickenpox (varicella) immunity blood test CPT 86787 Varicella Zoster Ab Igm | $374.50 | $535.00 | $12.88–$476.15 | 284% above | 30% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC Infect Agnt Detect by Nuc Acid (Dna or Rna); Chlamydia Trachomatis, Amp Probe Tech | $219.10 | $313.00 | $35.09–$278.57 | 125% above | 30% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC Chlmyd Trach Dna Amp Probe | $280.70 | $401.00 | $35.09–$356.89 | 188% above | 30% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Profile | $351.40 | $502.00 | $13.39–$446.78 | 235% above | 30% |
| Complete blood count (CBC) with differential CPT 85025 HC Blood Count; Complete | $207.90 | $297.00 | $7.77–$264.33 | 402% above | 30% |
| Complete blood count (CBC) with differential CPT 85025 Cbc/Auto Diff | $207.90 | $297.00 | $7.77–$264.33 | 402% above | 30% |
| Complete blood count (CBC), no differential CPT 85027 HC Cbc | $177.80 | $254.00 | $6.47–$226.06 | 503% above | 30% |
| Comprehensive metabolic panel (blood test) CPT 80053 HC Comprehensive Metabolic Panel | $444.50 | $635.00 | $10.56–$565.15 | 403% above | 30% |
| Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive Metabolic Panel | $444.50 | $635.00 | $10.56–$565.15 | 403% above | 30% |
| Cortisol blood test, total CPT 82533 Cortisol Dexamethasone Suppression With Reflex | $172.90 | $247.00 | $16.30–$219.83 | 83% above | 30% |
| Cortisol blood test, total CPT 82533 Cortisol | $317.10 | $453.00 | $16.30–$403.17 | 236% above | 30% |
| Creatine kinase (CK) blood test, total CPT 82550 Creatine Phosphokinase | $96.60 | $138.00 | $6.51–$122.82 | 149% above | 30% |
| Creatinine blood test CPT 82565 Creatinine | $81.90 | $117.00 | $5.12–$104.13 | 184% above | 30% |
| Cytomegalovirus (CMV) antibody test CPT 86644 Cmv Igg | $343.70 | $491.00 | $14.39–$436.99 | 332% above | 30% |
| D-dimer blood test (blood clot marker) CPT 85379 Ddimer Test | $166.60 | $238.00 | $10.18–$211.82 | 37% above | 30% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 Dhea-Sulfate | $303.10 | $433.00 | $22.23–$385.37 | 107% above | 30% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Lc-Nicotine Metabolite, Urine (Unico) | $115.50 | $165.00 | $62.14–$164.04 | 1% above | 30% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Umbilical Cord Testing Panel | $145.60 | $208.00 | $62.14–$185.12 | 27% above | 30% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Drug Test, Presumptive, Chemistry Analyzer | $234.50 | $335.00 | $62.14–$298.15 | 105% above | 30% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Meconium Drug Screen | $396.90 | $567.00 | $62.14–$504.63 | 247% above | 30% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Electrolytes | $156.80 | $224.00 | $7.01–$199.36 | 144% above | 30% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 Eb Virus Ab | $248.50 | $355.00 | $18.14–$315.95 | 205% above | 30% |
| Estradiol blood test CPT 82670 Estradiol | $312.90 | $447.00 | $27.94–$397.83 | 144% above | 30% |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH | $331.10 | $473.00 | $18.58–$420.97 | 159% above | 30% |
| Fecal calprotectin (stool inflammation test) CPT 83993 HC Calprotectin, Fecal | $46.90 | $67.00 | $19.63–$59.63 | 74% below | 30% |
| Ferritin blood test (iron stores) CPT 82728 Ferritin | $121.80 | $174.00 | $13.63–$154.86 | 53% above | 30% |
| Fibrinogen blood test CPT 85384 Fibrinogen Assay | $74.20 | $106.00 | $9.72–$95.46 | 24% above | 30% |
| Folate (folic acid) blood test CPT 82746 Folic Acid | $116.20 | $166.00 | $14.70–$147.74 | 52% above | 30% |
| Free T3 thyroid hormone test CPT 84481 Free T3 | $404.60 | $578.00 | $16.94–$514.42 | 206% above | 30% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Free T4 | $312.90 | $447.00 | $9.02–$397.83 | 286% above | 30% |
| Free testosterone test CPT 84402 Free Testosterone/Testoft | $371.00 | $530.00 | $25.47–$471.70 | 344% above | 30% |
| Free testosterone test CPT 84402 Free Testosterone | $449.40 | $642.00 | $25.47–$571.38 | 437% above | 30% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC Ggt | $177.10 | $253.00 | $7.20–$225.17 | 444% above | 30% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 General Health Panel | $992.60 | $1,418.00 | $0.01–$1,409.54 | 224% above | 30% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose, 2 Hr Pp | $98.70 | $141.00 | $4.75–$125.49 | 141% above | 30% |
| Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance 3spec | $259.00 | $370.00 | $12.87–$329.30 | 250% above | 30% |
| Glucose tolerance test, 3 samples CPT 82951 Tolerance Test 3 Spec | $259.00 | $370.00 | $12.87–$329.30 | 250% above | 30% |
| Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance 3 Spec | $259.00 | $370.00 | $12.87–$329.30 | 250% above | 30% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC Infect Agnt Detect by Nuc Acid (Dna or Rna); Neisseria Gonorrhoeae, Amp Probe Tech | $219.10 | $313.00 | $35.09–$278.57 | 125% above | 30% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC Iadna Neisseria Gonorrhoeae Amplified Probe | $280.70 | $401.00 | $35.09–$356.89 | 189% above | 30% |
| H. pylori antibody blood test CPT 86677 H Pylori Ab, Igm | $81.20 | $116.00 | $16.85–$103.24 | 16% below | 30% |
| H. pylori antibody blood test CPT 86677 H Pylori Ab, Igg | $81.20 | $116.00 | $16.85–$103.24 | 16% below | 30% |
| H. pylori antibody blood test CPT 86677 H Pylori Ab, Iga | $81.20 | $116.00 | $16.85–$104.06 | 16% below | 30% |
| H. pylori antibody blood test CPT 86677 Helicobacter Pylori Ab | $289.80 | $414.00 | $16.85–$368.46 | 201% above | 30% |
| H. pylori stool antigen test CPT 87338 Helicobacter Pylori Stool Antigen (Hpsa) | $220.50 | $315.00 | $14.38–$280.35 | 68% above | 30% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Hiv-1 Quantitation | $815.50 | $1,165.00 | $85.10–$1,186.80 | 130% above | 30% |
| HIV-1 and HIV-2 antibody test CPT 86703 Hiv1 & Hiv2 Ab, Single Assay | $282.80 | $404.00 | $13.71–$359.56 | 371% above | 30% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Hiv-1 ag w/hiv-1&-2 ab ag ia | $42.14 | $60.20 | $4.77–$83.32 | 29% below | 30% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HC Hpv High-Risk Types | $151.20 | $216.00 | $35.09–$192.24 | 45% above | 30% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1c | $248.50 | $355.00 | $9.71–$315.95 | 280% above | 30% |
| Hemoglobin blood test CPT 85018 Hemoglobin | $9.80 | $14.00 | $2.37–$14.62 | 47% below | 30% |
| Hepatitis B core antibody test (total) CPT 86704 Antibody Core B | $218.40 | $312.00 | $12.05–$277.68 | 226% above | 30% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Antibody to Hep B | $226.80 | $324.00 | $10.74–$288.36 | 247% above | 30% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HBA | $238.70 | $341.00 | $10.33–$303.49 | 291% above | 30% |
| Hepatitis C antibody blood test (screening) CPT 86803 Antibody to Hep C | $436.10 | $623.00 | $14.27–$554.47 | 337% above | 30% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 Hepatitis C Nucleic Acid Pcr | $1,243.20 | $1,776.00 | $42.84–$1,933.28 | 456% above | 30% |
| Herpes blood test, HSV-1 antibody CPT 86695 HC Antibody; Herpes Simplex, Type 1 | $23.80 | $34.00 | $13.06–$34.82 | 53% below | 30% |
| Herpes blood test, HSV-1 antibody CPT 86695 HC Herpes Simplex Type 1 Test | $50.40 | $72.00 | $13.19–$64.50 | 1% below | 30% |
| Herpes blood test, HSV-1 antibody CPT 86695 Hsv Igg Type 1/Hsvab | $268.80 | $384.00 | $13.19–$341.76 | 430% above | 30% |
| Herpes blood test, HSV-2 antibody CPT 86696 HC Antibody; Herpes Simplex, Type 2 | $23.80 | $34.00 | $13.06–$51.10 | 67% below | 30% |
| Herpes blood test, HSV-2 antibody CPT 86696 HC Herpes Simplex Type 2 Test | $94.50 | $135.00 | $19.35–$120.15 | 30% above | 30% |
| Herpes blood test, HSV-2 antibody CPT 86696 Hsv Igg Type 2/Hsvab | $287.00 | $410.00 | $19.35–$364.90 | 295% above | 30% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 Crp,High Sensitive | $182.70 | $261.00 | $12.95–$232.29 | 148% above | 30% |
| Homocysteine blood test CPT 83090 Homocystene, Plasma | $426.30 | $609.00 | $17.92–$542.01 | 228% above | 30% |
| Insulin blood test CPT 83525 Insulin | $189.00 | $270.00 | $11.43–$240.30 | 164% above | 30% |
| Insulin blood test CPT 83525 Insulin Tol 3 Hr | $675.50 | $965.00 | $11.43–$858.85 | 845% above | 30% |
| Insulin blood test CPT 83525 Insulin Tol 4 Hr | $864.50 | $1,235.00 | $11.43–$1,099.15 | 1110% above | 30% |
| Insulin blood test CPT 83525 Insulin Tol 6 Hr | $1,276.10 | $1,823.00 | $11.43–$1,622.47 | 1686% above | 30% |
| Insulin blood test CPT 83525 Insulin Tol 5 Hr | $1,307.60 | $1,868.00 | $11.43–$1,662.52 | 1730% above | 30% |
| Iron blood test (serum iron) CPT 83540 IRON | $45.50 | $65.00 | $6.47–$57.85 | 5% below | 30% |
| Iron-binding capacity (TIBC) test CPT 83550 Iron Tibc | $114.10 | $163.00 | $8.74–$145.07 | 158% above | 30% |
| Kidney function blood test panel CPT 80069 Renal Function Panel | $308.70 | $441.00 | $8.68–$392.49 | 205% above | 30% |
| LH (luteinizing hormone) test CPT 83002 LH | $377.30 | $539.00 | $18.52–$479.71 | 166% above | 30% |
| Lactate (lactic acid) blood test CPT 83605 Lactic Acid | $81.90 | $117.00 | $11.57–$104.13 | 9% below | 30% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LDH | $147.00 | $210.00 | $6.04–$186.90 | 244% above | 30% |
| Lipase blood test (pancreas enzyme) CPT 83690 Lipase | $191.80 | $274.00 | $6.89–$243.86 | 116% above | 30% |
| Liver function blood test panel CPT 80076 Liver Profile | $366.10 | $523.00 | $8.17–$465.47 | 287% above | 30% |
| Lyme disease antibody test CPT 86618 HC Lyme Igg Eia | $39.20 | $56.00 | $17.03–$49.84 | 68% below | 30% |
| Lyme disease antibody test CPT 86618 HC Lyme Disease Total Antibody With Reflex to Immunoassay Lymtab Labcorp | $39.20 | $56.00 | $17.03–$49.84 | 68% below | 30% |
| Lyme disease antibody test CPT 86618 HC Lyme Igm Eia | $39.20 | $56.00 | $17.03–$52.46 | 68% below | 30% |
| Lyme disease antibody test CPT 86618 Lyme Disease Antibody | $286.30 | $409.00 | $17.03–$364.01 | 133% above | 30% |
| Magnesium blood test CPT 83735 HC Magnesium | $38.50 | $55.00 | $6.70–$48.95 | 19% below | 30% |
| Magnesium blood test CPT 83735 Sr/Mg | $74.20 | $106.00 | $6.70–$94.34 | 56% above | 30% |
| Magnesium blood test CPT 83735 Magnesium | $107.80 | $154.00 | $6.70–$137.06 | 127% above | 30% |
| Measles (rubeola) antibody test CPT 86765 HC Antibody; Rubeola (Measles Igm) | $63.00 | $90.00 | $12.88–$80.10 | 20% below | 30% |
| Measles (rubeola) antibody test CPT 86765 Rubeolla Ab | $282.80 | $404.00 | $12.88–$359.56 | 260% above | 30% |
| Measles (rubeola) antibody test CPT 86765 Rubeolla Ab Igm | $326.20 | $466.00 | $12.88–$414.74 | 315% above | 30% |
| Mono test (heterophile antibody, Monospot) CPT 86308 Mono Screen | $170.10 | $243.00 | $5.18–$216.27 | 119% above | 30% |
| Mono test (heterophile antibody, Monospot) CPT 86308 Heterophile Anti B | $516.60 | $738.00 | $5.18–$666.50 | 564% above | 30% |
| Mumps immunity blood test CPT 86735 Mumps Ab | $61.60 | $88.00 | $13.05–$78.32 | 19% below | 30% |
| Mumps immunity blood test CPT 86735 Mumps Ab Igg | $109.90 | $157.00 | $13.05–$139.73 | 44% above | 30% |
| Mumps immunity blood test CPT 86735 Mumps Ab Igm | $159.60 | $228.00 | $13.05–$203.82 | 109% above | 30% |
| Obstetric blood test panel CPT 80055 Obstetric Panel | $880.60 | $1,258.00 | $47.81–$1,119.62 | 173% above | 30% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 Psa; Free | $233.80 | $334.00 | $18.39–$297.26 | 236% above | 30% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Psa Screening | $233.80 | $334.00 | $18.39–$297.26 | 193% above | 30% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Prostatic Specific Antigen | $233.80 | $334.00 | $18.39–$297.26 | 193% above | 30% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Psa; Total | $233.80 | $334.00 | $18.39–$297.26 | 193% above | 30% |
| Pap test (liquid-based, automated screening with review) CPT 88175 HC Cytopath C/V Auto Fluid Redo | $110.60 | $158.00 | $26.61–$140.62 | 33% above | 30% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Thin Prep Cytology Diagnostic | $139.30 | $199.00 | $20.26–$177.11 | 100% above | 30% |
| Parathyroid hormone (PTH) blood test CPT 83970 Pth Intact/Pthin | $449.40 | $642.00 | $41.28–$571.38 | 133% above | 30% |
| Parathyroid hormone (PTH) blood test CPT 83970 Pth-N-Terminal | $451.50 | $645.00 | $41.28–$574.05 | 134% above | 30% |
| Parathyroid hormone (PTH) blood test CPT 83970 Parathyroid Hor Mid | $499.80 | $714.00 | $41.28–$636.40 | 159% above | 30% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT | $72.80 | $104.00 | $6.01–$92.56 | 46% above | 30% |
| Phosphorus (phosphate) blood test CPT 84100 Phosphorus | $55.30 | $79.00 | $4.74–$70.31 | 93% above | 30% |
| Potassium blood test CPT 84132 Potassium | $42.70 | $61.00 | $4.76–$54.29 | 49% above | 30% |
| Potassium blood test CPT 84132 Assay of Serum Potassium | $42.70 | $61.00 | $4.76–$54.29 | 49% above | 30% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 HC Maternit 21 Plus Core + Sca, No Gender (M21sng) | $835.10 | $1,193.00 | $458.11–$2,003.90 | 2% below | 30% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 HC Fetal Chromosomal Aneuploidy Genomic Sequence Analysis Panel | $835.10 | $1,193.00 | $458.11–$2,003.90 | 2% below | 30% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 HC Maternit 21 Plus Core + Sca (Mt21s) | $835.10 | $1,193.00 | $458.11–$2,003.90 | 2% below | 30% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 HC Maternit 21 Plus Core, No Gender (Mt21ng) | $1,475.60 | $2,108.00 | $759.05–$2,003.90 | 73% above | 30% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 Fetal Chrmoml Aneuploidy | $1,659.00 | $2,370.00 | $759.05–$2,142.26 | 95% above | 30% |
| Progesterone blood test CPT 84144 Progesterone | $356.30 | $509.00 | $20.86–$453.01 | 159% above | 30% |
| Prolactin blood test CPT 84146 Prolactin | $360.50 | $515.00 | $19.38–$458.35 | 258% above | 30% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time | $48.30 | $69.00 | $4.29–$67.08 | 82% above | 30% |
| Rapid flu test (influenza antigen) CPT 87804 Influenza a Antigen/Ifab | $156.10 | $223.00 | $16.55–$198.47 | 198% above | 30% |
| Rapid flu test (influenza antigen) CPT 87804 Influenza B Antigen/Ifab | $156.10 | $223.00 | $16.55–$198.47 | 198% above | 30% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC Strep Throat Screen | $74.20 | $106.00 | $16.53–$97.18 | 5% below | 30% |
| Renin blood test CPT 84244 Angiotensin {Ren2n} | $387.80 | $554.00 | $21.99–$493.06 | 249% above | 30% |
| Rh blood typing CPT 86901 Rh Type | $39.20 | $56.00 | $2.99–$50.01 | 1% above | 30% |
| Rh blood typing CPT 86901 Du Testing | $91.70 | $131.00 | $2.99–$116.59 | 137% above | 30% |
| Rheumatoid factor (RF) test CPT 86431 Rf Titer | $191.80 | $274.00 | $5.67–$243.86 | 293% above | 30% |
| Rubella antibody test (immunity check) CPT 86762 Rubella | $170.10 | $243.00 | $14.39–$216.27 | 155% above | 30% |
| Rubella antibody test (immunity check) CPT 86762 Rubella Igm/Torchp | $371.00 | $530.00 | $14.39–$471.70 | 457% above | 30% |
| Rubella antibody test (immunity check) CPT 86762 Rubella Titer | $378.00 | $540.00 | $14.39–$480.60 | 468% above | 30% |
| Rubella antibody test (immunity check) CPT 86762 Rubella Igm Antibody | $707.00 | $1,010.00 | $14.39–$1,253.88 | 962% above | 30% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Sed Rate,Westergren Auto | $200.90 | $287.00 | $2.70–$255.43 | 415% above | 30% |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 Semen Analysis | $351.40 | $502.00 | $12.31–$446.78 | 221% above | 30% |
| Sodium blood test CPT 84295 HC Sodium; Serum, Plasma or Whole Blood | $24.50 | $35.00 | $4.81–$31.15 | 33% below | 30% |
| Sodium blood test CPT 84295 Sodium | $39.20 | $56.00 | $4.81–$49.84 | 7% above | 30% |
| Sodium blood test CPT 84295 Assay of Serum Sodium | $39.20 | $56.00 | $4.81–$49.84 | 7% above | 30% |
| Stool ova and parasites exam CPT 87177 Ova & Parasite | $242.90 | $347.00 | $8.90–$313.04 | 401% above | 30% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Occbld, Colorectal Scrn 1-3 | $65.80 | $94.00 | $4.38–$83.66 | 83% above | 30% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 HC Antibody; Treponema Pallidum | $25.90 | $37.00 | $13.24–$35.26 | 62% below | 30% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 HC Cdc Reverse Syphilis Algorithm | $65.10 | $93.00 | $13.24–$82.77 | 4% below | 30% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 Fta-Igm | $72.80 | $104.00 | $13.24–$92.56 | 8% above | 30% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 F.T.A | $140.70 | $201.00 | $13.24–$178.89 | 108% above | 30% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 CSF-Vdrl | $74.20 | $106.00 | $4.27–$94.34 | 82% above | 30% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR | $124.60 | $178.00 | $4.27–$158.42 | 206% above | 30% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Quantiferon TB Gold Plus Incubated | $188.30 | $269.00 | $61.98–$239.41 | 27% above | 30% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Quantiferon TB Gold | $191.10 | $273.00 | $61.98–$242.97 | 29% above | 30% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone | $324.80 | $464.00 | $25.81–$412.96 | 173% above | 30% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Total Testosterone/Testoft | $371.00 | $530.00 | $25.81–$471.70 | 212% above | 30% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC Thyroid Peroxidase Ab/Cup | $107.80 | $154.00 | $14.55–$137.06 | 16% above | 30% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Anti-Microsomal | $114.10 | $163.00 | $14.55–$145.07 | 23% above | 30% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroid Peroxidase Antibody | $259.00 | $370.00 | $14.55–$329.30 | 179% above | 30% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Nbend/Nbs | $51.80 | $74.00 | $16.80–$65.86 | 37% below | 30% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC Tsh/Cup | $107.80 | $154.00 | $16.80–$137.06 | 32% above | 30% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH | $343.70 | $491.00 | $16.80–$436.99 | 321% above | 30% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC Thyroid Stimulating Hormone (Tsh) | $343.70 | $491.00 | $16.80–$436.99 | 321% above | 30% |
| Total IgE blood test CPT 82785 HC Lc-Allergen Profile, Pediatric (Alprp) Panel Component: Gammaglobulin (Immunoglobulin); Ige | $31.50 | $45.00 | $16.46–$43.46 | 58% below | 30% |
| Total IgE blood test CPT 82785 Assay of Gammaglobulin Ige | $42.70 | $61.00 | $16.46–$55.90 | 43% below | 30% |
| Total IgE blood test CPT 82785 Ige Ria | $357.70 | $511.00 | $16.46–$454.79 | 376% above | 30% |
| Total cholesterol blood test CPT 82465 Cholesterol Total | $157.50 | $225.00 | $4.35–$200.25 | 414% above | 30% |
| Total thyroxine (T4) blood test CPT 84436 T4 | $270.20 | $386.00 | $6.87–$343.54 | 470% above | 30% |
| Total triiodothyronine (T3) blood test CPT 84480 T3 Total | $200.90 | $287.00 | $14.18–$255.43 | 66% above | 30% |
| Transferrin blood test CPT 84466 Transferrin | $133.00 | $190.00 | $12.76–$169.10 | 57% above | 30% |
| Trichomonas test (NAAT) CPT 87661 HC Infect Agnt Detect by Nuc Acid (Dna or Rna); Trichomonas Vaginalis, Amp Probe Tech | $219.10 | $313.00 | $35.09–$278.57 | 131% above | 30% |
| Triglycerides blood test CPT 84478 Triglycerides | $128.80 | $184.00 | $5.74–$163.76 | 260% above | 30% |
| Troponin test, quantitative CPT 84484 Troponin High Sensitvity Repeat | $182.00 | $260.00 | $12.47–$231.40 | 50% above | 30% |
| Troponin test, quantitative CPT 84484 Troponin | $182.00 | $260.00 | $12.47–$231.40 | 50% above | 30% |
| Uric acid blood test CPT 84550 Uric Acid | $124.60 | $178.00 | $4.52–$158.42 | 160% above | 30% |
| Urinalysis with microscope exam, automated CPT 81001 Urinalysis | $128.10 | $183.00 | $3.17–$162.87 | 205% above | 30% |
| Urinalysis without microscope exam, automated CPT 81003 U/a-No Micro | $61.60 | $88.00 | $2.25–$78.32 | 151% above | 30% |
| Urine culture for bacteria, with colony count CPT 87086 Urine Culture | $189.70 | $271.00 | $8.07–$241.19 | 334% above | 30% |
| Urine microalbumin (albumin) test CPT 82043 Microalbumin,24 Hr | $219.80 | $314.00 | $5.78–$279.46 | 535% above | 30% |
| Urine microalbumin (albumin) test CPT 82043 Microalbumin,Random | $220.50 | $315.00 | $5.78–$280.35 | 537% above | 30% |
| Urine pregnancy test, read by color change CPT 81025 Preg Test - Ucg Bedside | $121.80 | $174.00 | $8.61–$154.86 | 126% above | 30% |
| Urine pregnancy test, read by color change CPT 81025 Pregnancy, Urine | $124.60 | $178.00 | $8.61–$158.42 | 131% above | 30% |
| Vitamin B12 (cobalamin) blood test CPT 82607 B12 | $242.90 | $347.00 | $15.08–$308.83 | 229% above | 30% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D 25 Hydroxy | $412.30 | $589.00 | $29.60–$524.21 | 206% above | 30% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 Vitamin D (125) | $323.40 | $462.00 | $38.50–$411.18 | 81% above | 30% |
| Zinc blood test CPT 84630 ZINC | $114.10 | $163.00 | $11.39–$145.07 | 38% above | 30% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Beta Hcg/Tsc | $48.30 | $69.00 | $15.05–$61.41 | 39% below | 30% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hcg/Afp Quad | $78.40 | $112.00 | $15.05–$99.68 | 2% below | 30% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hcg; Quan | $303.10 | $433.00 | $15.05–$385.37 | 280% above | 30% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Indiana | Off list |
|---|---|---|---|---|---|
| Botox injections for chronic migraine CPT 64615 Chemodenerv Musc Migraine | $691.60 | $988.00 | $63.99–$1,118.13 | 7% above | 30% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 Bx Breast 1st Lesion Strtctc | $5,502.70 | $7,861.00 | $1,738.80–$8,262.77 | 120% above | 30% |
| Cardiac catheterization with coronary angiogram CPT 93458 HC Cor Angio W Lv | $12,657.40 | $18,082.00 | $3,413.10–$16,219.06 | 28% above | 30% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion | $1,747.20 | $2,496.00 | $695.84–$3,306.62 | 24% above | 30% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion-Elective | $2,075.50 | $2,965.00 | $695.84–$3,306.62 | 48% above | 30% |
| Catheter ablation for atrial fibrillation CPT 93656 Tx Atrial Fib Pulm Vein Isol | $53,023.60 | $75,748.00 | $135.88–$130,765.20 | 91% above | 30% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Circ W/Clamp or Other Device | $7,091.00 | $10,130.00 | $435.75–$9,015.70 | 895% above | 30% |
| Circumcision, surgical, older than a newborn CPT 54160 Circ W/O Clamp Dorsal Slit | $7,091.00 | $10,130.00 | $145.35–$9,015.70 | 1682% above | 30% |
| Coronary stent placement, one artery CPT 92928 Prq Card Stent W/Angio 1 Vsl | $23,025.80 | $32,894.00 | $12,153.72–$57,754.49 | 47% above | 30% |
| Earwax removal by irrigation (rinsing), one ear one side CPT 69209 HC Removal Impacted Cerumen Using Irrigation/Lavage, Unilateral | $122.50 | $175.00 | $62.11–$933.00 | 30% below | 30% |
| Earwax removal with instruments, one ear CPT 69210 HC Remove Impacted Cerumen W Inst, Uni | $203.70 | $291.00 | $62.11–$933.00 | 27% above | 30% |
| Earwax removal with instruments, one ear one side CPT 69210 HC Removal Impacted Cerumen Requiring Instrumentation, Unilateral | $110.60 | $158.00 | $12.30–$933.00 | 31% below | 30% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Inj Facet/Nrv;Lumb/Sac Sgl L | $1,703.10 | $2,433.00 | $184.37–$3,221.85 | 47% above | 30% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 Cath/Intro Saline Hystero | $611.10 | $873.00 | $0.01–$933.00 | 113% above | 30% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D Absc; Smpl or Sgl | $762.30 | $1,089.00 | $211.23–$1,003.78 | 65% above | 30% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC Aspir / Inj, Mjr Joint/Bursa (Shoulder, Hip, Knee, Subacromial Bursa) W/O US | $768.60 | $1,098.00 | $63.99–$1,118.13 | 86% above | 30% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRN/Inj Maj Jnt/Bursa-(ED) | $808.50 | $1,155.00 | $285.87–$1,535.66 | 96% above | 30% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRN/Inj Major Jnt/Bursa-Knee Bil | $1,534.40 | $2,192.00 | $63.99–$1,950.88 | 272% above | 30% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 DRN/Inj Major Jnt/Bursa-Knee Lt | $768.60 | $1,098.00 | $63.99–$1,118.13 | 86% above | 30% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 DRN/Inj Major Jnt/Bursa-Knee Rt | $768.60 | $1,098.00 | $63.99–$1,118.13 | 86% above | 30% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Drain/Inj Interm Joint/Bursa | $809.90 | $1,157.00 | $63.99–$1,118.13 | 89% above | 30% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Drain/Inj Int Joint/Bursa-(ED) | $845.60 | $1,208.00 | $285.87–$1,535.66 | 98% above | 30% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 Drain/Inj Small Jnt-Ie;Fngr Toe | $938.00 | $1,340.00 | $285.87–$1,535.66 | 219% above | 30% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC Repair, Intermediate, Wounds of Scalp, Axillae, Trunk and/or Extremities (Excluding Hands and Feet); 2.5 Cm or Less | $793.10 | $1,133.00 | $427.98–$2,033.76 | 10% above | 30% |
| Left heart catheterization, diagnostic one side CPT 93452 HC Left Heart Cath | $12,022.50 | $17,175.00 | $3,413.10–$16,219.06 | 55% above | 30% |
| Lower-back epidural injection, with imaging guidance CPT 62323 HC Inject(S), of Diag or Thera Subst(S), Interlaminar Epidural or Subarachnoid, Lumbar/Sacral; With Imaging | $1,285.20 | $1,836.00 | $705.02–$3,531.46 | at median | 30% |
| Lower-back epidural injection, without imaging guidance CPT 62322 HC Inject(S), of Diag or Thera Subst(S), Interlaminar Epidural or Subarachnoid, Lumbar/Sacral; W/O Imaging | $1,652.00 | $2,360.00 | $906.24–$4,424.93 | 17% above | 30% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Inj(S) Transf Epid;Lumb/Sac Sgl L | $1,703.10 | $2,433.00 | $184.37–$3,221.85 | 4% above | 30% |
| Nail removal (partial or complete), one nail CPT 11730 Avulsion Nail Plate, Smpl/Sing | $331.80 | $474.00 | $182.02–$1,003.78 | 16% below | 30% |
| Occipital nerve block (injection for headaches) CPT 64405 Inj Anes; Gtr Occipital Nrv | $772.80 | $1,104.00 | $63.99–$1,242.31 | 28% above | 30% |
| Pacemaker implant (dual chamber) CPT 33208 Inst/Rplc Ppm-Atr&Vent W/Ld | $45,465.00 | $64,950.00 | $8,683.74–$57,913.26 | 277% above | 30% |
| Paracentesis with imaging guidance CPT 49083 HC Abd Paracentesis W/Imaging | $2,103.50 | $3,005.00 | $954.87–$4,537.54 | 52% above | 30% |
| Paracentesis with imaging guidance CPT 49083 HC Abdominal Paracentesis (Diagnostic or Therapeutic); With Imaging Guidance | $2,262.40 | $3,232.00 | $189.06–$3,303.85 | 63% above | 30% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC Excision Nail & Nail Matrix, Partial or Complete, Permanent Removal | $793.10 | $1,133.00 | $427.98–$2,033.76 | 14% above | 30% |
| Prostate biopsy CPT 55700 Biopsy: Prostate | $3,741.50 | $5,345.00 | $0.01–$4,757.05 | 5% above | 30% |
| Removal of a foreign object under the skin, simple CPT 10120 Remove FB Sub Q Superficial | $762.30 | $1,089.00 | $381.15–$2,033.76 | 24% above | 30% |
| Short arm cast (elbow to hand) CPT 29075 HC Application, Cast; Elbow to Finger (Short Arm) | $534.80 | $764.00 | $293.38–$1,399.27 | 48% above | 30% |
| Short arm splint (forearm and hand) CPT 29125 HC Application Short Arm Splint (Forearm to Hand); Static | $267.40 | $382.00 | $140.07–$933.00 | 47% above | 30% |
| Short arm splint (forearm and hand) CPT 29125 Apply Short Arm Splint; Static (Ot) | $350.70 | $501.00 | $140.07–$933.00 | 93% above | 30% |
| Short leg cast (below the knee) CPT 29405 HC Application Short Leg Cast (Below Knee to Toes) | $534.80 | $764.00 | $293.38–$1,399.27 | 41% above | 30% |
| Short leg splint (calf to foot) CPT 29515 Appl Short Leg Splint | $484.40 | $692.00 | $171.08–$933.00 | 101% above | 30% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Repair, Simple; 2.5 Cm or Less | $448.00 | $640.00 | $41.82–$933.00 | 2% above | 30% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 Puncture Spinal/Lumbar/Dx | $1,231.30 | $1,759.00 | $147.14–$2,571.30 | 20% above | 30% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 Puncture Spinal/Lumba-(ED) | $1,288.00 | $1,840.00 | $706.56–$3,531.46 | 26% above | 30% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC Simple Repair of Superficial Wounds of Scalp, Neck, Axillae, External Genitalia, Trunk and/or Extremities; 2.6 Cm to 7.5 Cm | $399.00 | $570.00 | $211.23–$1,003.78 | at median | 30% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC Simple Repair of Superficial Wounds of Face, Ears, Eyelids, Nose, Lips and/or Mucous Membranes; 2.5 Cm or Less | $399.00 | $570.00 | $211.23–$1,003.78 | 7% below | 30% |
| Thoracentesis with imaging guidance CPT 32555 Thoracent, Aspirate Pleura W Imaging Guid | $2,021.60 | $2,888.00 | $130.76–$2,570.32 | 85% above | 30% |
| Trigger point injections, 1 or 2 muscles CPT 20552 Inj Triggr Pt 1 or 2 Muscle(S) | $770.00 | $1,100.00 | $63.99–$1,118.13 | 36% above | 30% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 Bx Breast 1st Lesion US Imag | $5,580.40 | $7,972.00 | $233.92–$8,262.77 | 140% above | 30% |
| Vein ablation, radiofrequency, first vein both sides CPT 36475 HC Rf Ablation Bilat Lwr Ext | $18,532.50 | $26,475.00 | $658.19–$32,360.08 | — | 30% |
| Vein ablation, radiofrequency, first vein one side CPT 36475 HC Rf Ablation Lt Lwr Ext | $12,355.70 | $17,651.00 | $2,719.32–$15,796.56 | 98% above | 30% |
| Vein ablation, radiofrequency, first vein one side CPT 36475 HC Rf Ablation Rt Lwr Ext | $12,355.70 | $17,651.00 | $3,121.64–$15,796.56 | 98% above | 30% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Deb Subq Tissue 20 Sq Cm/< | $690.20 | $986.00 | $84.74–$1,728.79 | 11% below | 30% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Indiana | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 Nsi Blood Transfusion Admin | $1,093.40 | $1,562.00 | $85.14–$2,207.16 | 21% above | 30% |
| Blood transfusion (giving blood or blood components) CPT 36430 Transfusion Blood or Blood Components | $1,093.40 | $1,562.00 | $383.41–$2,207.16 | 21% above | 30% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC Resp Treatment, Addnl Daily | $400.40 | $572.00 | $41.42–$1,733.76 | 255% above | 30% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Metered Dose Inhaler; Initial | $400.40 | $572.00 | $24.84–$1,095.53 | 255% above | 30% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Nebulizer Treat; Initial | $400.40 | $572.00 | $24.84–$1,095.53 | 255% above | 30% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Sputum Induction; Subsequent | $400.40 | $572.00 | $24.84–$1,095.53 | 255% above | 30% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC Resp Treatmant, First Daily | $400.40 | $572.00 | $41.42–$1,095.53 | 255% above | 30% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Ippb Treatment; Subsequent | $400.40 | $572.00 | $24.84–$1,095.53 | 255% above | 30% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Meter Dose Inhaler; Subsequent | $400.40 | $572.00 | $24.84–$1,095.53 | 255% above | 30% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Treatment; Subsequent | $400.40 | $572.00 | $24.84–$1,095.53 | 255% above | 30% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Ippb Treatment; Initital | $400.40 | $572.00 | $24.84–$1,095.53 | 255% above | 30% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Sputum Induction; Initial | $400.40 | $572.00 | $24.84–$1,095.53 | 255% above | 30% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Treatment; Initial | $400.40 | $572.00 | $24.84–$1,095.53 | 255% above | 30% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Nebulizer Treat; Subsequent | $400.40 | $572.00 | $24.84–$1,095.53 | 255% above | 30% |
| Chemotherapy IV infusion, first hour CPT 96413 HC Chemo IV Infusion 1 Hour | $912.10 | $1,303.00 | $0.01–$1,652.52 | 35% above | 30% |
| Critical care, first 30 to 74 minutes CPT 99291 ER Visit Cc 30-74 Min | $2,558.50 | $3,655.00 | $295.62–$4,132.54 | 21% above | 30% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 Eeg; Awake & Drowsy | $550.90 | $787.00 | $45.01–$786.53 | 20% below | 30% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 12 Lead Ekg; Tracing Only | $268.80 | $384.00 | $12.30–$341.76 | 33% above | 30% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Ekg12lead Trace Only W/Mod 76 | $268.80 | $384.00 | $12.30–$415.38 | 33% above | 30% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC ER Level I Screen Mcd | $217.70 | $311.00 | $14.62–$421.87 | at median | 30% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER Visit Level I | $244.30 | $349.00 | $0.01–$1,187.00 | 12% above | 30% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER Visit Level II | $489.30 | $699.00 | $161.65–$1,187.00 | 17% above | 30% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER Visit Level III | $880.60 | $1,258.00 | $287.39–$1,365.67 | 13% above | 30% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER Visit Level IV | $1,332.80 | $1,904.00 | $295.62–$2,087.50 | 13% above | 30% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER Visit Level V | $1,804.60 | $2,578.00 | $295.62–$2,979.36 | 3% above | 30% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Stress Test Cardiac | $1,250.90 | $1,787.00 | $0.01–$1,590.43 | 64% above | 30% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Stress Test Dual Isotope | $1,253.00 | $1,790.00 | $0.01–$1,856.74 | 65% above | 30% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Stress Test Exercise | $1,511.30 | $2,159.00 | $0.01–$1,921.51 | 99% above | 30% |
| Family therapy with the patient, 50 minutes CPT 90847 Family Psychotherapy W Patient | $704.20 | $1,006.00 | $0.01–$895.34 | 273% above | 30% |
| Family therapy without the patient, 50 minutes CPT 90846 Family Psychotherapy W/O Pt | $704.20 | $1,006.00 | $0.01–$895.34 | 244% above | 30% |
| Group psychotherapy session CPT 90853 Group Psycotherapy | $280.00 | $400.00 | $0.01–$370.05 | 39% above | 30% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC Hydration IV Infusion Init 31-60 Mins | $436.10 | $623.00 | $73.71–$1,064.11 | 19% above | 30% |
| IV infusion of a medicine, first hour CPT 96365 IV Inf, Tx/Dx, Up to 1 Hr | $513.10 | $733.00 | $73.71–$1,064.11 | 27% above | 30% |
| IV infusion of a medicine, first hour CPT 96365 Ther/Proph/Diag IV Inf Init =<1 Hr | $513.10 | $733.00 | $73.71–$1,064.11 | 27% above | 30% |
| IV push of a medicine, first drug CPT 96374 Ther/Proph/Diag Inj IV Push | $246.40 | $352.00 | $73.71–$1,064.11 | 16% above | 30% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Ther/Proph/Diag Inj, Sc/Im | $114.80 | $164.00 | $62.98–$360.19 | 9% above | 30% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Inj Ther/Proph/Diag, Sc-(ED) | $114.80 | $164.00 | $62.98–$360.19 | 9% above | 30% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Injection Antibiotic Im | $114.80 | $164.00 | $15.01–$757.73 | 9% above | 30% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Ther/Proph/Diag Inj Sc/Im | $114.80 | $164.00 | $62.98–$360.19 | 9% above | 30% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Inj Antibiotic Im-(Oth Svcs) | $121.80 | $174.00 | $0.01–$262.27 | 16% above | 30% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 Nerve Conduction Studies 7-8 Studies | $3,136.70 | $4,481.00 | $77.79–$5,248.58 | 264% above | 30% |
| Neuromuscular re-education, 15 minutes CPT 97112 Neuromuscular Re-ED Ea 15m | $93.10 | $133.00 | $31.42–$313.00 | 23% above | 30% |
| Neuromuscular re-education, 15 minutes CPT 97112 Neuromuscular Re-ED Ea15m-(Ot) | $93.10 | $133.00 | $31.42–$244.00 | 23% above | 30% |
| New patient office visit, about 30 minutes CPT 99203 O/P Visit New Pt Level 3 | $165.90 | $237.00 | $0.01–$210.93 | at median | 30% |
| New patient office visit, about 30 minutes CPT 99203 HC O/P Visit New Pt, Level 3, (30+ Min) | $165.90 | $237.00 | $0.01–$232.20 | at median | 30% |
| New patient office visit, about 45 minutes CPT 99204 O/P Visit New Pt Level 4 | $189.00 | $270.00 | $0.01–$240.30 | at median | 30% |
| New patient office visit, about 45 minutes CPT 99204 HC O/P Visit New Pt, Level 4, (45+ Min) | $189.00 | $270.00 | $0.01–$240.30 | at median | 30% |
| New patient office visit, about 60 minutes CPT 99205 O/P Visit New Pt Level 5 | $234.50 | $335.00 | $0.01–$298.15 | 8% below | 30% |
| New patient office visit, about 60 minutes CPT 99205 HC O/P Visit New Pt, Level 5, (60+ Min) | $234.50 | $335.00 | $0.01–$298.15 | 8% below | 30% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC O/P Visit New Pt, (15-30 Min) | $142.10 | $203.00 | $0.01–$180.67 | 1% above | 30% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC O/P Visit New Pt Sf 15-29 Min | $142.10 | $203.00 | $0.01–$180.67 | 1% above | 30% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Mnt,Indiv Init Assess Ea 15min | $67.90 | $97.00 | $6.97–$121.79 | 99% above | 30% |
| Occupational therapy evaluation, low complexity CPT 97165 HC Ot Eval Low Complex 30 Min | $220.50 | $315.00 | $96.81–$460.03 | 39% above | 30% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC Newborn Pt Eval High Complex 45 Min | $228.90 | $327.00 | $94.33–$448.25 | 2% below | 30% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC Pt Eval High Complex 45 Min | $228.90 | $327.00 | $94.33–$448.25 | 2% below | 30% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC Pt Eval Low Complex 20 Min | $228.90 | $327.00 | $94.33–$448.25 | 60% above | 30% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC Newborn Pt Eval Low Complex 20 Min | $228.90 | $327.00 | $94.33–$448.25 | 60% above | 30% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC Pt Eval Mod Complex 30 Min | $228.90 | $327.00 | $94.33–$448.25 | 23% above | 30% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC Newborn Pt Eval Mod Complex 30 Min | $228.90 | $327.00 | $94.33–$448.25 | 23% above | 30% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Manual Lymph Drainage Ea 15m (Ot) | $244.30 | $349.00 | $26.60–$310.61 | 185% above | 30% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Manual Therapy Ea 15 Min (Ot) | $244.30 | $349.00 | $26.60–$344.00 | 185% above | 30% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Manual Lymph Drainage Ea 15 Min (Pt) | $244.30 | $349.00 | $26.60–$313.00 | 185% above | 30% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Manual Therapy Ea 15 Min (Pt) | $244.30 | $349.00 | $26.60–$313.00 | 185% above | 30% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Pre-Prosthetic Training Ea 15min | $81.20 | $116.00 | $27.89–$313.00 | 7% above | 30% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Therap Exercise Rom Ea 15m | $92.40 | $132.00 | $27.89–$313.00 | 22% above | 30% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Therap Exercise Rom Ea15m-(Ot) | $107.80 | $154.00 | $27.89–$244.00 | 43% above | 30% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Orthotron W Fitr Ea 15min | $107.80 | $154.00 | $27.89–$313.00 | 43% above | 30% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Fitron Ea 15min | $107.80 | $154.00 | $27.89–$313.00 | 43% above | 30% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Orthothron Ea 15min | $107.80 | $154.00 | $27.89–$313.00 | 43% above | 30% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 HC Behav Cnhg Smoking 3-10 Min | $88.90 | $127.00 | $0.01–$163.40 | 196% above | 30% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 O/P Visit Est Pt Level 5 | $213.50 | $305.00 | $0.01–$271.45 | 42% above | 30% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC Office or Other Outpatient Visit for the Evaluation and Management of an Established Patient, 40+ Minutes | $242.20 | $346.00 | $0.01–$307.94 | 61% above | 30% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 O/P Visit Est Pt Level 3 | $165.90 | $237.00 | $0.01–$210.93 | 89% above | 30% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 O/P Visit Est Pt Level 4 | $189.00 | $270.00 | $0.01–$240.30 | 70% above | 30% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 O/P Visit Est Pt Level 2 | $142.10 | $203.00 | $0.01–$180.67 | 176% above | 30% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC O/P Visit Est Pt Level 2 | $142.10 | $203.00 | $0.01–$757.73 | 176% above | 30% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 HC O/P Consultation, New or Estab Pt, Level 3, (30+ Min) | $219.10 | $313.00 | $0.01–$288.10 | at median | 30% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 HC Office or Other Outpatient Consultation for a New or Established Patient, 40+ Minutes | $242.20 | $346.00 | $0.01–$307.94 | at median | 30% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 HC O/P Consultation, New or Estab Pt, Level 4, (40+ Min) | $242.20 | $346.00 | $0.01–$307.94 | at median | 30% |
| Speech and language evaluation CPT 92523 Eval Speech Sound Prod/Comprehension | $565.60 | $808.00 | $186.46–$1,041.36 | 177% above | 30% |
| Speech therapy session, individual CPT 92507 Speech Therapy Indiv | $157.50 | $225.00 | $73.62–$349.85 | 8% above | 30% |
| Speech therapy session, individual CPT 92507 Half Hr Indvl | $188.30 | $269.00 | $73.62–$349.85 | 29% above | 30% |
| Speech therapy session, individual CPT 92507 Ther Speech or Auditory Ind | $215.60 | $308.00 | $73.62–$349.85 | 48% above | 30% |
| Speech therapy session, individual CPT 92507 Speech & Lang | $599.90 | $857.00 | $73.62–$762.73 | 312% above | 30% |
| Spirometry (breathing test) CPT 94010 Spirometry | $278.60 | $398.00 | $141.84–$1,080.22 | 14% above | 30% |
| Spirometry (breathing test) CPT 94010 Pf Screen/Spirometry Bedside | $354.20 | $506.00 | $141.84–$1,080.22 | 45% above | 30% |
| Spirometry before and after a bronchodilator CPT 94060 Bronchospasm- Pre & Post Bd | $627.90 | $897.00 | $141.84–$1,866.86 | 16% above | 30% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Therapeut Activ, Direct Ea15m | $140.70 | $201.00 | $33.44–$313.00 | 86% above | 30% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Therap Activ, Dirct Ea15m-(Ot) | $140.70 | $201.00 | $33.44–$244.00 | 86% above | 30% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Phlebotomy (Therapeutic) | $319.90 | $457.00 | $27.73–$484.64 | 52% above | 30% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Therapeutic Phleb | $323.40 | $462.00 | $27.73–$588.24 | 54% above | 30% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Indiana | Off list |
|---|---|---|---|---|---|
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 INFLUENZA VAC A&B SURF ANT ADJ 0.5 ML IM SUSY [156008] | $458.64 | $655.20 | $0.01–$583.13 | 687% above | 30% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPHTH-ACELL PERTUSSIS-TETANUS 25-58-10 LF-MCG/0.5 IM SUSP [54492] | $323.78 | $462.54 | $0.01–$411.66 | 294% above | 30% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPHTH-ACELL PERTUSSIS-TETANUS 15-23-5 LF-MCG/0.5 IM SUSP [64820] | $332.61 | $475.15 | $0.01–$422.88 | 305% above | 30% |
| DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 DTAP-IPV-HIB VACCINE IM SUSR [82152] | $463.76 | $662.52 | $0.01–$589.64 | 87% above | 30% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VAC RECOMBINANT 20 MCG/ML IJ SUSY [180143] | $280.15 | $400.21 | $0.01–$356.19 | 59% above | 30% |
| Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 HEPATITIS B VAC RECOMBINANT 10 MCG/0.5ML IJ SUSY [180147] | $320.30 | $457.57 | $0.01–$407.24 | 7% above | 30% |
| Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 HEPATITIS B VAC RECOMB ADJ 20 MCG/0.5ML IM SOSY [164614] | $585.44 | $836.34 | $0.01–$744.34 | 96% above | 30% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VAC RECOMBINANT 10 MCG/0.5ML IJ SUSY [180147] | $320.30 | $457.57 | $0.01–$407.24 | 337% above | 30% |
| Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 HAEMOPHILUS B POLYSAC CONJ VAC IM SOLR [48782] | $75.94 | $108.48 | $0.01–$96.55 | 16% above | 30% |
| Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 HAEMOPHILUS B POLYSAC CONJ VAC 7.5 MCG/0.5 ML IM SUSP [149058] | $334.77 | $478.24 | $0.01–$425.63 | 410% above | 30% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES, MUMPS & RUBELLA VAC IJ SOLR [168653] | $348.49 | $497.84 | $0.01–$443.08 | 36% above | 30% |
| Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 MENING ACY&W-135 TETANUS CONJ IM SOLN [176594] | $627.38 | $896.25 | $0.01–$797.66 | 100% above | 30% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML IM SUSY [176254] | $926.58 | $1,323.68 | $0.01–$1,178.08 | 48% above | 30% |
| RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 NIRSEVIMAB-ALIP 100 MG/ML IM SOSY [184384] | $1,052.66 | $1,503.80 | $0.01–$1,338.38 | 7% below | 30% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 NIRSEVIMAB-ALIP 50 MG/0.5ML IM SOSY [184383] | $2,102.34 | $3,003.34 | $0.01–$2,672.97 | 85% above | 30% |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE, PCEC IM SUSR [56162] | $769.62 | $1,099.46 | $0.01–$978.52 | 4% below | 30% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS-DIPHTHERIA TOXOIDS TD 5-2 LF/0.5ML IM SUSP [192246] | $326.04 | $465.77 | $0.01–$414.54 | 185% above | 30% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2.5-18.5 LF-MCG/0.5 IM SUSY [176602] | $355.33 | $507.61 | $0.01–$451.77 | 190% above | 30% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Immunization Admin 1 Vaccine (Pneumonia) | $130.90 | $187.00 | $15.01–$262.27 | 112% above | 30% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Immunization Admin 1 Vaccine (Hepatitis B) | $130.90 | $187.00 | $15.01–$262.27 | 112% above | 30% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Immunization Adm; 1 Vaccine | $130.90 | $187.00 | $15.01–$262.27 | 112% above | 30% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Immunization Admin 1 Vaccine (Influenza) | $130.90 | $187.00 | $15.01–$262.27 | 112% above | 30% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Immunization Admin | $130.90 | $187.00 | $15.01–$262.27 | 112% above | 30% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Immunization Adm; Ea Addtl Vac | $130.90 | $187.00 | $0.01–$166.43 | 230% above | 30% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Immune Admin Each Addtl Vaccin | $130.90 | $187.00 | $0.01–$166.43 | 230% above | 30% |
Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.
Off list How much lower the cash price is than the list price.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.