Hospital Nashville-Davidson--Murfreesboro--Franklin, TN

Stones River Hospital

Listed in its price file as “Saint Thomas Regional Hospitals”.

Stones River Hospital in Woodbury, TN publishes cash prices for 230 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are above the Tennessee median for 132 of 229 procedures and below it for 51. By typical cash price it ranks #46 of 79 Tennessee hospitals and #6 of 21 hospitals in the Nashville, TN area, cheapest first. Click a procedure to compare it with other hospitals nearby.

324 Doolittle Rd Woodbury TN 37190 Collected Sep 27, 2026 Source price file (615) 563-4001

Acute care hospital Emergency department CCN 440200 · CMS hospital register

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Tennessee	Off list
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE 3 + V RT	$139.32	$464.40	$15.33–$127.70	15% above	70%
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE 3 + V LT	$139.32	$464.40	$15.33–$127.70	15% above	70%
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE 3 + V LT	$139.32	$464.40	$15.33–$127.70	15% above	70%
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE 3 + V RT	$139.32	$464.40	$15.33–$127.70	15% above	70%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR ANKLE 3 + V RT	$139.32	$464.40	$15.33–$127.70	—	70%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR ANKLE 3 + V LT	$139.32	$464.40	$15.33–$127.70	—	70%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 DOP ART SGL LEVEL BIL	$272.97	$909.90	$32.70–$464.05	17% above	70%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 DOP ART SGL LEVEL BIL	$272.97	$909.90	$32.70–$464.05	17% above	70%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 DOP ART SGL LEVEL BIL	$272.97	$909.90	$32.70–$464.05	—	70%
Barium swallow (esophagus X-ray with contrast) CPT 74220 XR ESOPHAGUS	$165.00	$550.00	$33.33–$291.55	21% below	70%
Barium swallow (esophagus X-ray with contrast) CPT 74220 XR ESOPHAGUS	$165.00	$550.00	$33.33–$291.55	21% below	70%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 XR ESOPHAGUS	$165.00	$550.00	$33.33–$291.55	—	70%
Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE WHOLE BODY	$845.66	$2,818.85	$120.94–$719.70	35% above	70%
Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE WHOLE BODY	$845.66	$2,818.85	$120.94–$719.70	35% above	70%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM BONE WHOLE BODY	$845.66	$2,818.85	$120.94–$719.70	—	70%
Breast ultrasound, complete, one breast both sides CPT 76641 MAM BREAST US CPLT BILAT CODED	$346.94	$1,156.45	$45.37–$300.68	—	70%
Breast ultrasound, complete, one breast both sides CPT 76641 MAM BREAST US CPLT BILAT CODED	$346.94	$1,156.45	$45.37–$300.68	—	70%
Breast ultrasound, complete, one breast both sides CPT 76641 US BRST BI W AX COMP	$346.94	$1,156.45	$45.37–$300.68	—	70%
Breast ultrasound, complete, one breast both sides CPT 76641 US BRST BI W AX COMP	$346.94	$1,156.45	$45.37–$300.68	—	70%
Breast ultrasound, complete, one breast CPT 76641 MAM BREAST ULTRASOUND CPLT BL	$346.94	$1,156.45	$45.37–$300.68	100% above	70%
Breast ultrasound, complete, one breast CPT 76641 MAM BREAST ULTRASOUND CPLT BL	$346.94	$1,156.45	$45.37–$300.68	100% above	70%
Breast ultrasound, complete, one breast one side CPT 76641 MAM BREAST US CPLT LT CODED	$173.48	$578.25	$45.37–$188.95	at median	70%
Breast ultrasound, complete, one breast one side CPT 76641 MAM BREAST US CPLT LT CODED	$173.48	$578.25	$45.37–$188.95	at median	70%
Breast ultrasound, complete, one breast one side CPT 76641 MAM BREAST US CPLT RT CODED	$173.48	$578.25	$45.37–$188.95	at median	70%
Breast ultrasound, complete, one breast one side CPT 76641 MAM BREAST US CPLT RT CODED	$173.48	$578.25	$45.37–$188.95	at median	70%
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST COMPL UNILAT RT	$173.48	$578.25	$45.37–$188.95	at median	70%
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST COMPL UNILAT LT	$173.48	$578.25	$45.37–$188.95	at median	70%
Breast ultrasound, complete, one breast one side CPT 76641 MAM BREAST ULTRASOUND CPLT LT	$173.48	$578.25	$45.37–$188.95	at median	70%
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST COMPL UNILAT LT	$173.48	$578.25	$45.37–$188.95	at median	70%
Breast ultrasound, complete, one breast one side CPT 76641 MAM BREAST ULTRASOUND CPLT LT	$173.48	$578.25	$45.37–$188.95	at median	70%
Breast ultrasound, complete, one breast one side CPT 76641 MAM BREAST ULTRASOUND CPLT RT	$173.48	$578.25	$45.37–$188.95	at median	70%
Breast ultrasound, complete, one breast one side CPT 76641 MAM BREAST ULTRASOUND CPLT RT	$173.48	$578.25	$45.37–$188.95	at median	70%
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST COMPL UNILAT RT	$173.48	$578.25	$45.37–$188.95	at median	70%
Breast ultrasound, complete, one breast inpatient both sides CPT 76641 US BRST BI W AX COMP	$346.94	$1,156.45	$45.37–$300.68	—	70%
Breast ultrasound, complete, one breast inpatient both sides CPT 76641 MAM BREAST US CPLT BILAT CODED	$346.94	$1,156.45	$45.37–$300.68	—	70%
Breast ultrasound, complete, one breast inpatient CPT 76641 MAM BREAST ULTRASOUND CPLT BL	$346.94	$1,156.45	$45.37–$300.68	—	70%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 MAM BREAST ULTRASOUND CPLT LT	$173.48	$578.25	$45.37–$188.95	—	70%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST COMPL UNILAT LT	$173.48	$578.25	$45.37–$188.95	—	70%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 MAM BREAST US CPLT RT CODED	$173.48	$578.25	$45.37–$188.95	—	70%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST COMPL UNILAT RT	$173.48	$578.25	$45.37–$188.95	—	70%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 MAM BREAST US CPLT LT CODED	$173.48	$578.25	$45.37–$188.95	—	70%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 MAM BREAST ULTRASOUND CPLT RT	$173.48	$578.25	$45.37–$188.95	—	70%
Breast ultrasound, limited (one breast or one area) both sides CPT 76642 US BREAST ULTRASOUND LTD BILAT	$330.39	$1,101.30	$40.06–$286.34	—	70%
Breast ultrasound, limited (one breast or one area) both sides CPT 76642 US BREAST ULTRASOUND LTD BILAT	$330.39	$1,101.30	$40.06–$286.34	—	70%
Breast ultrasound, limited (one breast or one area) both sides CPT 76642 MAM BRST US LTD BILAT CODED	$330.39	$1,101.30	$40.06–$286.34	—	70%
Breast ultrasound, limited (one breast or one area) both sides CPT 76642 MAM BRST US LTD BILAT CODED	$330.39	$1,101.30	$40.06–$286.34	—	70%
Breast ultrasound, limited (one breast or one area) CPT 76642 MAM BREAST ULTRASOUND LTD BL	$330.39	$1,101.30	$40.06–$286.34	102% above	70%
Breast ultrasound, limited (one breast or one area) CPT 76642 MAM BREAST ULTRASOUND LTD BL	$330.39	$1,101.30	$40.06–$286.34	102% above	70%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST ULTRASOUND LTD LEFT	$165.20	$550.65	$40.06–$143.98	1% above	70%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 MAM BREAST ULTRASOUND LTD RT	$165.20	$550.65	$40.06–$143.98	1% above	70%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 MAM BREAST ULTRASOUND LTD RT	$165.20	$550.65	$40.06–$143.98	1% above	70%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST ULTRASOUND LTD RIGHT	$165.20	$550.65	$40.06–$143.98	1% above	70%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 MAM BREAST ULTRASOUND LTD LT	$165.20	$550.65	$40.06–$143.98	1% above	70%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 MAM BREAST US LIMITED RT CODED	$165.20	$550.65	$40.06–$143.98	1% above	70%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 MAM BREAST US LIMITED RT CODED	$165.20	$550.65	$40.06–$143.98	1% above	70%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 MAM BREAST US LIMITED LT CODED	$165.20	$550.65	$40.06–$143.98	1% above	70%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 MAM BREAST US LIMITED LT CODED	$165.20	$550.65	$40.06–$143.98	1% above	70%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST ULTRASOUND LTD RIGHT	$165.20	$550.65	$40.06–$143.98	1% above	70%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST ULTRASOUND LTD LEFT	$165.20	$550.65	$40.06–$143.98	1% above	70%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 MAM BREAST ULTRASOUND LTD LT	$165.20	$550.65	$40.06–$143.98	1% above	70%
Breast ultrasound, limited (one breast or one area) inpatient both sides CPT 76642 US BREAST ULTRASOUND LTD BILAT	$330.39	$1,101.30	$40.06–$286.34	—	70%
Breast ultrasound, limited (one breast or one area) inpatient both sides CPT 76642 MAM BRST US LTD BILAT CODED	$330.39	$1,101.30	$40.06–$286.34	—	70%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 MAM BREAST ULTRASOUND LTD BL	$330.39	$1,101.30	$40.06–$286.34	—	70%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 MAM BREAST ULTRASOUND LTD RT	$165.20	$550.65	$40.06–$143.98	—	70%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST ULTRASOUND LTD RIGHT	$165.20	$550.65	$40.06–$143.98	—	70%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST ULTRASOUND LTD LEFT	$165.20	$550.65	$40.06–$143.98	—	70%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 MAM BREAST US LIMITED LT CODED	$165.20	$550.65	$40.06–$143.98	—	70%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 MAM BREAST US LIMITED RT CODED	$165.20	$550.65	$40.06–$143.98	—	70%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 MAM BREAST ULTRASOUND LTD LT	$165.20	$550.65	$40.06–$143.98	—	70%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST	$1,211.85	$4,039.50	$167.55–$775.87	19% above	70%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT CALCIUM SCORING	$101.15	$337.15	$22.59–$276.00	1% above	70%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD&PELVIS W/O CONT	$1,721.63	$5,738.75	$101.11–$562.76	22% above	70%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD&PELVIS W/CONT	$1,810.25	$6,034.15	$192.93–$818.54	at median	70%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD&PELVIS W&WO CONT	$2,001.08	$6,670.25	$255.01–$939.16	at median	70%
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/CONT	$848.61	$2,828.70	$148.75–$621.02	3% below	70%
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O CONT	$776.76	$2,589.20	$94.99–$562.76	at median	70%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXIFAC W/O CNT	$554.03	$1,846.75	$94.99–$562.76	5% below	70%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT SINUSES WO	$554.03	$1,846.75	$94.99–$562.76	5% below	70%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD/BRAIN W/O CONTRAST	$812.24	$2,707.45	$86.77–$562.76	15% above	70%
CT scan of the head with contrast CPT 70460 CT HEAD/BRAIN W/CONT	$881.88	$2,939.60	$120.17–$562.76	at median	70%
CT scan of the head without and with contrast CPT 70470 CT HD/BR W&W/O CONT	$885.95	$2,953.15	$148.64–$562.76	19% below	70%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT L-SPINE W/O CONTRAST	$934.41	$3,114.70	$94.99–$562.76	25% above	70%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT C-SPINE W/O CONTRAST	$888.18	$2,960.60	$94.99–$562.76	5% above	70%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/CONTRAST	$838.05	$2,793.50	$148.75–$622.36	at median	70%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 DUP EXTRACRANIAL BIL	$571.19	$1,903.95	$76.07–$971.01	32% below	70%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 DUP EXTRACRANIAL BIL	$571.19	$1,903.95	$76.07–$971.01	32% below	70%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 DUP EXTRACRANIAL BIL	$571.19	$1,903.95	$76.07–$971.01	—	70%
Chest X-ray, 2 views CPT 71046 XR CHEST PA LATERAL TWO VIEWS	$113.87	$379.55	$14.38–$127.70	4% above	70%
Chest X-ray, 2 views CPT 71046 XR CHEST PA LATERAL TWO VIEWS	$113.87	$379.55	$14.38–$127.70	4% above	70%
Chest X-ray, 2 views inpatient CPT 71046 XR CHEST PA LATERAL TWO VIEWS	$113.87	$379.55	$14.38–$127.70	—	70%
Chest X-ray, single view CPT 71045 XR CHEST SINGLE VIEW	$96.41	$321.35	$7.80–$127.70	at median	70%
Chest X-ray, single view CPT 71045 XR CHEST SINGLE VIEW	$96.41	$321.35	$7.80–$127.70	at median	70%
Chest X-ray, single view CPT 71045 XR CHEST PORTABLE ONE VIEW	$101.01	$336.70	$7.80–$127.70	5% above	70%
Chest X-ray, single view CPT 71045 XR CHEST PORTABLE ONE VIEW	$101.01	$336.70	$7.80–$127.70	5% above	70%
Chest X-ray, single view one side CPT 71045 XR CHEST DECUBITUS RIGHT	$99.54	$331.80	$7.80–$127.70	3% above	70%
Chest X-ray, single view one side CPT 71045 XR CHEST DECUBITUS RIGHT	$99.54	$331.80	$7.80–$127.70	3% above	70%
Chest X-ray, single view one side CPT 71045 XR CHEST DECUBITUS LEFT	$99.54	$331.80	$7.80–$127.70	3% above	70%
Chest X-ray, single view one side CPT 71045 XR CHEST DECUBITUS LEFT	$99.54	$331.80	$7.80–$127.70	3% above	70%
Chest X-ray, single view inpatient CPT 71045 XR CHEST SINGLE VIEW	$96.41	$321.35	$7.80–$127.70	—	70%
Chest X-ray, single view inpatient CPT 71045 XR CHEST PORTABLE ONE VIEW	$101.01	$336.70	$7.80–$127.70	—	70%
Chest X-ray, single view inpatient one side CPT 71045 XR CHEST DECUBITUS RIGHT	$99.54	$331.80	$7.80–$127.70	—	70%
Chest X-ray, single view inpatient one side CPT 71045 XR CHEST DECUBITUS LEFT	$99.54	$331.80	$7.80–$127.70	—	70%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEAL COM	$239.15	$797.15	$47.68–$203.95	10% below	70%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEAL COM	$239.15	$797.15	$47.68–$203.95	10% below	70%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RETROPERITONEAL COM	$239.15	$797.15	$47.68–$203.95	—	70%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA BONE DENSITY AXIAL	$161.37	$537.90	$35.38–$179.33	1% below	70%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA BONE DENSITY AXIAL	$161.37	$537.90	$35.38–$179.33	1% below	70%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 DXA BONE DENSITY AXIAL	$161.37	$537.90	$35.38–$179.33	—	70%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US PREG W/FTL AN EX SGL	$338.91	$1,129.70	$75.31–$372.86	14% below	70%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US PREG W/FTL AN EX SGL	$338.91	$1,129.70	$75.31–$372.86	14% below	70%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 US PREG W/FTL AN EX SGL	$338.91	$1,129.70	$75.31–$372.86	—	70%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST W/O CONTRAST	$770.84	$2,569.45	$94.99–$562.76	13% above	70%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W/CONTRAST	$832.46	$2,774.85	$148.75–$562.76	at median	70%
Diagnostic mammogram, both breasts both sides CPT 77066 MAM DIAG W CAD BILAT	$244.26	$814.20	$88.85–$319.26	—	70%
Diagnostic mammogram, both breasts both sides CPT 77066 MAM DIAG W CAD BILAT	$244.26	$814.20	$88.85–$319.26	—	70%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MAM DIAG W CAD BILAT	$244.26	$814.20	$88.85–$319.26	—	70%
Diagnostic mammogram, one breast one side CPT 77065 MAM DIAG W CAD RIGHT	$215.58	$718.60	$69.43–$249.90	50% above	70%
Diagnostic mammogram, one breast one side CPT 77065 MAM DIAG W CAD LEFT	$215.58	$718.60	$69.43–$249.90	50% above	70%
Diagnostic mammogram, one breast one side CPT 77065 MAM DIAG W CAD LEFT	$215.58	$718.60	$69.43–$249.90	50% above	70%
Diagnostic mammogram, one breast one side CPT 77065 MAM DIAG W CAD RIGHT	$215.58	$718.60	$69.43–$249.90	50% above	70%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MAM DIAG W CAD LEFT	$215.58	$718.60	$69.43–$249.90	—	70%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MAM DIAG W CAD RIGHT	$215.58	$718.60	$69.43–$249.90	—	70%
Duplex ultrasound of the leg arteries, both legs CPT 93925 DUP LE ART BIL	$389.69	$1,298.95	$76.07–$662.46	37% below	70%
Duplex ultrasound of the leg arteries, both legs CPT 93925 DUP LE ART BIL	$389.69	$1,298.95	$76.07–$662.46	37% below	70%
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 DUP LE ART BIL	$389.69	$1,298.95	$76.07–$662.46	—	70%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US VENOUS DUPLEX UE BILAT	$460.56	$1,535.20	$76.07–$782.95	—	70%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US VENOUS DUPLEX UE BILAT	$460.56	$1,535.20	$76.07–$782.95	—	70%
Duplex ultrasound of the leg veins, both legs CPT 93970 DUP VEIN BIL	$634.37	$2,114.55	$76.07–$1,078.42	at median	70%
Duplex ultrasound of the leg veins, both legs CPT 93970 DUP VEIN BIL	$634.37	$2,114.55	$76.07–$1,078.42	at median	70%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US VENOUS DUPLEX UE BILAT	$460.56	$1,535.20	$76.07–$782.95	—	70%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 DUP VEIN BIL	$634.37	$2,114.55	$76.07–$1,078.42	—	70%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO 2D COMP W CF DOP	$1,221.23	$4,070.75	$148.77–$2,076.08	11% above	70%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO 2D COMP W CF DOP	$1,221.23	$4,070.75	$148.77–$2,076.08	11% above	70%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 ECHO 2D COMP W CF DOP	$1,221.23	$4,070.75	$148.77–$2,076.08	—	70%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM HEPA IMAG INCL GB	$906.38	$3,021.25	$145.21–$811.16	41% above	70%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM HEPA IMAG INCL GB	$906.38	$3,021.25	$145.21–$811.16	41% above	70%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NM HEPA IMAG INCL GB	$906.38	$3,021.25	$145.21–$811.16	—	70%
Knee X-ray, 3 views one side CPT 73562 XR KNEE 3 V LT	$160.85	$536.15	$16.30–$139.40	33% above	70%
Knee X-ray, 3 views one side CPT 73562 XR KNEE 3 V RT	$160.85	$536.15	$16.30–$139.40	33% above	70%
Knee X-ray, 3 views one side CPT 73562 XR KNEE 3 V LT	$160.85	$536.15	$16.30–$139.40	33% above	70%
Knee X-ray, 3 views one side CPT 73562 XR KNEE 3 V RT	$160.85	$536.15	$16.30–$139.40	33% above	70%
Knee X-ray, 3 views inpatient one side CPT 73562 XR KNEE 3 V LT	$160.85	$536.15	$16.30–$139.40	—	70%
Knee X-ray, 3 views inpatient one side CPT 73562 XR KNEE 3 V RT	$160.85	$536.15	$16.30–$139.40	—	70%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN LTD	$227.54	$758.45	$40.08–$179.33	9% below	70%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN LTD	$227.54	$758.45	$40.08–$179.33	9% below	70%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US GALLBLADDER	$227.54	$758.45	$40.08–$179.33	9% below	70%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US GALLBLADDER	$227.54	$758.45	$40.08–$179.33	9% below	70%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US GALLBLADDER	$227.54	$758.45	$40.08–$179.33	—	70%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABDOMEN LTD	$227.54	$758.45	$40.08–$179.33	—	70%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LW JNT W/O CONT LT	$974.03	$3,246.75	$167.52–$1,688.31	22% above	70%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LW JNT W/O CONT LT	$974.03	$3,246.75	$167.52–$1,688.31	22% above	70%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LW JNT W/O CONT RT	$974.03	$3,246.75	$167.52–$1,688.31	22% above	70%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LW JNT W/O CONT RT	$974.03	$3,246.75	$167.52–$1,688.31	22% above	70%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI LW JNT W/O CONT RT	$974.03	$3,246.75	$167.52–$1,688.31	—	70%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI LW JNT W/O CONT LT	$974.03	$3,246.75	$167.52–$1,688.31	—	70%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI LW JNT W&WO CONT LT	$1,021.52	$3,405.05	$264.35–$1,770.63	at median	70%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI LW JNT W&WO CONT LT	$1,021.52	$3,405.05	$264.35–$1,770.63	at median	70%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI LW JNT W&WO CONT RT	$1,021.52	$3,405.05	$264.35–$1,770.63	at median	70%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI LW JNT W&WO CONT RT	$1,021.52	$3,405.05	$264.35–$1,770.63	at median	70%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI LW JNT W&WO CONT LT	$1,021.52	$3,405.05	$264.35–$1,770.63	—	70%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI LW JNT W&WO CONT RT	$1,021.52	$3,405.05	$264.35–$1,770.63	—	70%
MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O CONT	$924.95	$3,083.15	$167.52–$779.03	at median	70%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN W&WO CONT	$1,248.29	$4,160.95	$264.35–$1,180.16	at median	70%
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN W/O CONTRAST	$981.33	$3,271.10	$167.52–$582.81	at median	70%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W&WO CONT	$1,416.59	$4,721.95	$264.35–$981.30	at median	70%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN IAC W/WO	$1,592.39	$5,307.95	$264.35–$981.30	12% above	70%
MRI of the lower back, no contrast dye CPT 72148 MRI L-SPINE W/O CONT	$976.83	$3,256.10	$167.52–$559.14	at median	70%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI L-SPINE W&W/O CONT	$1,424.84	$4,749.45	$264.35–$985.24	6% above	70%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI T-SPINE W/O CONT	$976.83	$3,256.10	$167.52–$560.44	at median	70%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI C-SPINE W&W/O CONT	$1,457.40	$4,858.00	$264.35–$989.22	10% above	70%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI C-SPINE W/O CONT	$976.83	$3,256.10	$167.52–$559.14	at median	70%
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W&WO CONT	$1,333.79	$4,445.95	$264.35–$1,176.18	7% above	70%
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O CONT	$882.27	$2,940.90	$167.52–$906.80	7% above	70%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UP JNT W/O CONT LT	$936.15	$3,120.50	$167.52–$1,622.66	7% above	70%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UP JNT W/O CONT LT	$936.15	$3,120.50	$167.52–$1,622.66	7% above	70%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UP JNT W/O CONT RT	$936.15	$3,120.50	$167.52–$1,622.66	7% above	70%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UP JNT W/O CONT RT	$936.15	$3,120.50	$167.52–$1,622.66	7% above	70%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI UP JNT W/O CONT RT	$936.15	$3,120.50	$167.52–$1,622.66	—	70%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI UP JNT W/O CONT LT	$936.15	$3,120.50	$167.52–$1,622.66	—	70%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM MYOCRD SPECT R/S MULT	$1,179.32	$3,931.05	$217.02–$2,035.50	37% below	70%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM MYOCRD SPECT R/S MULT	$1,179.32	$3,931.05	$217.02–$2,035.50	37% below	70%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM MYOCRD SPECT R/S MULT	$1,179.32	$3,931.05	$217.02–$2,035.50	—	70%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC COMPLETE	$371.07	$1,236.90	$43.30–$202.10	36% above	70%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC COMPLETE	$371.07	$1,236.90	$43.30–$202.10	36% above	70%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIC COMPLETE	$371.07	$1,236.90	$43.30–$202.10	—	70%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US PREG AFTER 1ST TRI	$362.30	$1,207.65	$47.68–$245.22	35% above	70%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US PREG AFTER 1ST TRI	$362.30	$1,207.65	$47.68–$245.22	35% above	70%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US PREG AFTER 1ST TRI	$362.30	$1,207.65	$47.68–$245.22	—	70%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US PREG UT TRANSVAGINAL X	$253.16	$843.85	$29.75–$196.47	12% above	70%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US PREG UT TRANSVAGINAL X	$253.16	$843.85	$29.75–$196.47	12% above	70%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US PREG UT TRANSVAGINAL X	$253.16	$843.85	$29.75–$196.47	—	70%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US PREGNANCY LTD	$86.70	$289.00	$31.15–$179.33	43% below	70%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US PREGNANCY LTD	$86.70	$289.00	$31.15–$179.33	43% below	70%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US PREGNANCY LTD	$86.70	$289.00	$31.15–$179.33	—	70%
Screening mammogram, both breasts both sides CPT 77067 MAM SCREENING W CAD BILATERAL	$189.54	$631.80	$73.36–$263.95	—	70%
Screening mammogram, both breasts both sides CPT 77067 MAM SCREENING W CAD BILATERAL	$189.54	$631.80	$73.36–$263.95	—	70%
Screening mammogram, both breasts CPT 77067 MAM SCREEN ECKLUND W CAD	$189.54	$631.80	$73.36–$263.95	145% above	70%
Screening mammogram, both breasts CPT 77067 MAM SCREEN ECKLUND W CAD	$189.54	$631.80	$73.36–$263.95	145% above	70%
Screening mammogram, both breasts one side CPT 77067 MAM SCREENING W CAD RIGHT	$189.54	$631.80	$73.36–$263.95	145% above	70%
Screening mammogram, both breasts one side CPT 77067 MAM SCREENING W CAD RIGHT	$189.54	$631.80	$73.36–$263.95	145% above	70%
Screening mammogram, both breasts one side CPT 77067 MAM SCREENING W CAD LEFT	$189.54	$631.80	$73.36–$263.95	145% above	70%
Screening mammogram, both breasts one side CPT 77067 MAM SCREENING W CAD LEFT	$189.54	$631.80	$73.36–$263.95	145% above	70%
Screening mammogram, both breasts inpatient both sides CPT 77067 MAM SCREENING W CAD BILATERAL	$189.54	$631.80	$73.36–$263.95	—	70%
Screening mammogram, both breasts inpatient CPT 77067 MAM SCREEN ECKLUND W CAD	$189.54	$631.80	$73.36–$263.95	—	70%
Screening mammogram, both breasts inpatient one side CPT 77067 MAM SCREENING W CAD RIGHT	$189.54	$631.80	$73.36–$263.95	—	70%
Screening mammogram, both breasts inpatient one side CPT 77067 MAM SCREENING W CAD LEFT	$189.54	$631.80	$73.36–$263.95	—	70%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER 3 VIEWS LEFT	$94.07	$313.55	$16.30–$127.70	16% below	70%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER 3 VIEWS LEFT	$94.07	$313.55	$16.30–$127.70	16% below	70%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER 3 VIEWS RIGHT	$94.07	$313.55	$16.30–$127.70	16% below	70%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER 3 VIEWS RIGHT	$94.07	$313.55	$16.30–$127.70	16% below	70%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER 2 + V LT	$150.29	$500.95	$16.30–$130.25	34% above	70%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER 2 + V RT	$150.29	$500.95	$16.30–$130.25	34% above	70%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER 2 + V RT	$150.29	$500.95	$16.30–$130.25	34% above	70%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER 2 + V LT	$150.29	$500.95	$16.30–$130.25	34% above	70%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR SHOULDER 3 VIEWS LEFT	$94.07	$313.55	$16.30–$127.70	—	70%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR SHOULDER 3 VIEWS RIGHT	$94.07	$313.55	$16.30–$127.70	—	70%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR SHOULDER 2 + V RT	$150.29	$500.95	$16.30–$130.25	—	70%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR SHOULDER 2 + V LT	$150.29	$500.95	$16.30–$130.25	—	70%
Swallow study (modified barium swallow, video X-ray) CPT 74230 XR SWLW FUNC W/C&V	$200.67	$668.90	$36.83–$291.55	3% below	70%
Swallow study (modified barium swallow, video X-ray) CPT 74230 XR SWLW FUNC W/C&V	$200.67	$668.90	$36.83–$291.55	3% below	70%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 XR SWLW FUNC W/C&V	$200.67	$668.90	$36.83–$291.55	—	70%
Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL	$370.23	$1,234.10	$43.30–$233.01	38% above	70%
Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL	$370.23	$1,234.10	$43.30–$233.01	38% above	70%
Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL	$370.23	$1,234.10	$43.30–$233.01	—	70%
Transvaginal ultrasound during pregnancy CPT 76817 US OB TRANSVAGINAL	$372.18	$1,240.60	$31.15–$179.33	77% above	70%
Transvaginal ultrasound during pregnancy CPT 76817 US OB TRANSVAGINAL	$372.18	$1,240.60	$31.15–$179.33	77% above	70%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US OB TRANSVAGINAL	$372.18	$1,240.60	$31.15–$179.33	—	70%
Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE	$469.01	$1,563.35	$47.68–$218.95	47% above	70%
Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE	$469.01	$1,563.35	$47.68–$218.95	47% above	70%
Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMEN COMPLETE	$469.01	$1,563.35	$47.68–$218.95	—	70%
Ultrasound of the scrotum and testicles CPT 76870 US TESTICLE	$333.84	$1,112.80	$43.30–$179.33	26% above	70%
Ultrasound of the scrotum and testicles CPT 76870 US TESTICLE	$333.84	$1,112.80	$43.30–$179.33	26% above	70%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US TESTICLE	$333.84	$1,112.80	$43.30–$179.33	—	70%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US THYROID	$200.45	$668.15	$40.08–$235.83	16% below	70%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US THYROID	$200.45	$668.15	$40.08–$235.83	16% below	70%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US HEAD AND NECK	$289.56	$965.20	$40.08–$235.83	21% above	70%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US HEAD AND NECK	$289.56	$965.20	$40.08–$235.83	21% above	70%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US THYROID	$200.45	$668.15	$40.08–$235.83	—	70%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US HEAD AND NECK	$289.56	$965.20	$40.08–$235.83	—	70%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR UGI SERIES	$228.68	$762.25	$41.49–$291.55	7% below	70%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR UGI SERIES	$228.68	$762.25	$41.49–$291.55	7% below	70%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 XR UGI SERIES	$228.68	$762.25	$41.49–$291.55	—	70%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 DUP VEIN UNI/LTD (RT)	$444.86	$1,482.85	$48.16–$756.25	47% above	70%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 DUP VEIN UNI/LTD (LT)	$444.86	$1,482.85	$48.16–$756.25	47% above	70%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 DUP VEIN UNI/LTD (RT)	$444.86	$1,482.85	$48.16–$756.25	47% above	70%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 DUP VEIN UNI/LTD (LT)	$444.86	$1,482.85	$48.16–$756.25	47% above	70%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VEN DUPLEX UE LEFT	$376.55	$1,255.15	$48.16–$640.13	24% above	70%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VEN DUPLEX UE RIGHT	$376.55	$1,255.15	$48.16–$640.13	24% above	70%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VEN DUPLEX UE LEFT	$376.55	$1,255.15	$48.16–$640.13	24% above	70%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VEN DUPLEX UE RIGHT	$376.55	$1,255.15	$48.16–$640.13	24% above	70%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 DUP VEIN UNI/LTD (LT)	$444.86	$1,482.85	$48.16–$756.25	—	70%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 DUP VEIN UNI/LTD (RT)	$444.86	$1,482.85	$48.16–$756.25	—	70%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US VEN DUPLEX UE LEFT	$376.55	$1,255.15	$48.16–$640.13	—	70%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US VEN DUPLEX UE RIGHT	$376.55	$1,255.15	$48.16–$640.13	—	70%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST 3 + V LT	$125.58	$418.60	$15.33–$127.70	4% above	70%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST 3 + V LT	$125.58	$418.60	$15.33–$127.70	4% above	70%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST 3 + V RT	$125.58	$418.60	$15.33–$127.70	4% above	70%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST 3 + V RT	$125.58	$418.60	$15.33–$127.70	4% above	70%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR WRIST 3 + V LT	$125.58	$418.60	$15.33–$127.70	—	70%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR WRIST 3 + V RT	$125.58	$418.60	$15.33–$127.70	—	70%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP 23 VIEW LT WO PELVIS	$131.57	$438.55	$21.83–$127.70	20% above	70%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP W PEL UN 2-3V LT	$131.57	$438.55	$21.83–$127.70	20% above	70%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP 2-3 VIEW RT WO PELVIS	$131.57	$438.55	$21.83–$127.70	20% above	70%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP W PEL UN 2-3V RT	$131.57	$438.55	$21.83–$127.70	20% above	70%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP W PEL UN 2-3V RT	$131.57	$438.55	$21.83–$127.70	20% above	70%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP 23 VIEW LT WO PELVIS	$131.57	$438.55	$21.83–$127.70	20% above	70%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP W PEL UN 2-3V LT	$131.57	$438.55	$21.83–$127.70	20% above	70%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP 2-3 VIEW RT WO PELVIS	$131.57	$438.55	$21.83–$127.70	20% above	70%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR HIP W PEL UN 2-3V RT	$131.57	$438.55	$21.83–$127.70	—	70%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR HIP 23 VIEW LT WO PELVIS	$131.57	$438.55	$21.83–$127.70	—	70%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR HIP W PEL UN 2-3V LT	$131.57	$438.55	$21.83–$127.70	—	70%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR HIP 2-3 VIEW RT WO PELVIS	$131.57	$438.55	$21.83–$127.70	—	70%
X-ray of the abdomen, 1 view CPT 74018 XR ABDOMEN ONE VIEW	$146.03	$486.75	$13.33–$127.70	44% above	70%
X-ray of the abdomen, 1 view CPT 74018 XR ABDOMEN ONE VIEW	$146.03	$486.75	$13.33–$127.70	44% above	70%
X-ray of the abdomen, 1 view inpatient CPT 74018 XR ABDOMEN ONE VIEW	$146.03	$486.75	$13.33–$127.70	—	70%
X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE 2 VIEWS LT	$81.39	$271.30	$14.21–$127.70	13% below	70%
X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE 2 VIEWS RT	$81.39	$271.30	$14.21–$127.70	13% below	70%
X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE 2 VIEWS LT	$81.39	$271.30	$14.21–$127.70	13% below	70%
X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE 2 VIEWS RT	$81.39	$271.30	$14.21–$127.70	13% below	70%
X-ray of the ankle, 2 views inpatient one side CPT 73600 XR ANKLE 2 VIEWS RT	$81.39	$271.30	$14.21–$127.70	—	70%
X-ray of the ankle, 2 views inpatient one side CPT 73600 XR ANKLE 2 VIEWS LT	$81.39	$271.30	$14.21–$127.70	—	70%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER(S) 2 + V LT	$115.19	$383.95	$11.95–$127.70	at median	70%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER(S) 2 + V RT	$115.19	$383.95	$11.95–$127.70	at median	70%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER(S) 2 + V RT	$115.19	$383.95	$11.95–$127.70	at median	70%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER(S) 2 + V LT	$115.19	$383.95	$11.95–$127.70	at median	70%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR FINGER(S) 2 + V LT	$115.19	$383.95	$11.95–$127.70	—	70%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR FINGER(S) 2 + V RT	$115.19	$383.95	$11.95–$127.70	—	70%
X-ray of the foot, 2 views one side CPT 73620 XR FOOT 2 VIEWS RT	$70.29	$234.30	$14.21–$127.70	at median	70%
X-ray of the foot, 2 views one side CPT 73620 XR FOOT 2 VIEWS RT	$70.29	$234.30	$14.21–$127.70	at median	70%
X-ray of the foot, 2 views one side CPT 73620 XR FOOT 2 VIEWS LT	$70.29	$234.30	$14.21–$127.70	at median	70%
X-ray of the foot, 2 views one side CPT 73620 XR FOOT 2 VIEWS LT	$70.29	$234.30	$14.21–$127.70	at median	70%
X-ray of the foot, 2 views inpatient one side CPT 73620 XR FOOT 2 VIEWS RT	$70.29	$234.30	$14.21–$127.70	—	70%
X-ray of the foot, 2 views inpatient one side CPT 73620 XR FOOT 2 VIEWS LT	$70.29	$234.30	$14.21–$127.70	—	70%
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT 3 + V RT	$127.34	$424.45	$15.33–$127.70	2% above	70%
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT 3 + V LT	$127.34	$424.45	$15.33–$127.70	2% above	70%
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT 3 + V LT	$127.34	$424.45	$15.33–$127.70	2% above	70%
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT 3 + V RT	$127.34	$424.45	$15.33–$127.70	2% above	70%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR FOOT 3 + V LT	$127.34	$424.45	$15.33–$127.70	—	70%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR FOOT 3 + V RT	$127.34	$424.45	$15.33–$127.70	—	70%
X-ray of the hand, 3 or more views one side CPT 73130 XR HAND 3 + V RT	$117.84	$392.80	$15.33–$127.70	at median	70%
X-ray of the hand, 3 or more views one side CPT 73130 XR HAND 3 + V LT	$117.84	$392.80	$15.33–$127.70	at median	70%
X-ray of the hand, 3 or more views one side CPT 73130 XR HAND 3 + V LT	$117.84	$392.80	$15.33–$127.70	at median	70%
X-ray of the hand, 3 or more views one side CPT 73130 XR HAND 3 + V RT	$117.84	$392.80	$15.33–$127.70	at median	70%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR HAND 3 + V RT	$117.84	$392.80	$15.33–$127.70	—	70%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR HAND 3 + V LT	$117.84	$392.80	$15.33–$127.70	—	70%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE 1 OR 2 V LT	$115.35	$384.50	$15.04–$127.70	12% above	70%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE 1 OR 2 V RT	$115.35	$384.50	$15.04–$127.70	12% above	70%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE 1 OR 2 V RT	$115.35	$384.50	$15.04–$127.70	12% above	70%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE 1 OR 2 V LT	$115.35	$384.50	$15.04–$127.70	12% above	70%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR KNEE 1 OR 2 V LT	$115.35	$384.50	$15.04–$127.70	—	70%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR KNEE 1 OR 2 V RT	$115.35	$384.50	$15.04–$127.70	—	70%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR L-SPINE 2/3 VIEWS	$180.96	$603.20	$19.13–$179.33	28% above	70%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR L-SPINE 2/3 VIEWS	$180.96	$603.20	$19.13–$179.33	28% above	70%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR L-SPINE 2/3 VIEWS	$180.96	$603.20	$19.13–$179.33	—	70%
X-ray of the lower back, 4 or more views CPT 72110 XR L-SPINE 4 + VIEWS	$254.30	$847.65	$25.87–$179.33	20% above	70%
X-ray of the lower back, 4 or more views CPT 72110 XR L-SPINE 4 + VIEWS	$254.30	$847.65	$25.87–$179.33	20% above	70%
X-ray of the lower back, 4 or more views inpatient CPT 72110 XR L-SPINE 4 + VIEWS	$254.30	$847.65	$25.87–$179.33	—	70%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR T-SPINE 2 VIEWS	$142.88	$476.25	$18.57–$179.33	18% above	70%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR T-SPINE 2 VIEWS	$142.88	$476.25	$18.57–$179.33	18% above	70%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XR T-SPINE 2 VIEWS	$142.88	$476.25	$18.57–$179.33	—	70%
X-ray of the nasal bones, 3 or more views CPT 70160 XR NASAL BONES COMP	$147.12	$490.40	$15.04–$127.70	45% above	70%
X-ray of the nasal bones, 3 or more views CPT 70160 XR NASAL BONES COMP	$147.12	$490.40	$15.04–$127.70	45% above	70%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XR NASAL BONES COMP	$147.12	$490.40	$15.04–$127.70	—	70%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR CSPINE 2 VIEWS	$127.55	$425.15	$17.15–$127.70	at median	70%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR C SPINE 3 VIEWS	$127.55	$425.15	$17.15–$127.70	at median	70%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR C SPINE 3 VIEWS	$127.55	$425.15	$17.15–$127.70	at median	70%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR CSPINE 2 VIEWS	$127.55	$425.15	$17.15–$127.70	at median	70%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR C SPINE 3 VIEWS	$127.55	$425.15	$17.15–$127.70	—	70%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR CSPINE 2 VIEWS	$127.55	$425.15	$17.15–$127.70	—	70%
X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS 1/2 VIEWS	$148.86	$496.20	$15.04–$179.33	23% above	70%
X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS 1/2 VIEWS	$148.86	$496.20	$15.04–$179.33	23% above	70%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR PELVIS 1/2 VIEWS	$148.86	$496.20	$15.04–$179.33	—	70%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR SACRUM/COCCYX 2 + V	$194.33	$647.75	$16.30–$127.70	55% above	70%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR SACRUM/COCCYX 2 + V	$194.33	$647.75	$16.30–$127.70	55% above	70%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR SACRUM/COCCYX 2 + V	$194.33	$647.75	$16.30–$127.70	—	70%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Tennessee	Off list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT (SGPT)	$40.10	$133.65	$3.71–$20.32	40% above	70%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT (SGPT)	$40.10	$133.65	$3.71–$20.32	40% above	70%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALANINE AMINOTRANSFERASE	$71.16	$237.20	$3.71–$20.32	148% above	70%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALANINE AMINOTRANSFERASE	$71.16	$237.20	$3.71–$20.32	148% above	70%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT (SGPT)	$40.10	$133.65	$3.71–$20.32	—	70%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALANINE AMINOTRANSFERASE	$71.16	$237.20	$3.71–$20.32	—	70%
AST (aspartate aminotransferase) enzyme test CPT 84450 AST (SGOT)	$40.10	$133.65	$3.63–$20.32	27% above	70%
AST (aspartate aminotransferase) enzyme test CPT 84450 AST (SGOT)	$40.10	$133.65	$3.63–$20.32	27% above	70%
AST (aspartate aminotransferase) enzyme test CPT 84450 ASPARTATE AMINOTRANSFERASE	$71.16	$237.20	$3.63–$20.32	126% above	70%
AST (aspartate aminotransferase) enzyme test CPT 84450 ASPARTATE AMINOTRANSFERASE	$71.16	$237.20	$3.63–$20.32	126% above	70%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST (SGOT)	$40.10	$133.65	$3.63–$20.32	—	70%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 ASPARTATE AMINOTRANSFERASE	$71.16	$237.20	$3.63–$20.32	—	70%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL	$322.85	$1,076.15	$33.40–$183.99	117% above	70%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL	$322.85	$1,076.15	$33.40–$183.99	117% above	70%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 ACUTE HEPATITIS PANEL	$322.85	$1,076.15	$33.40–$183.99	—	70%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE GAO	$8.04	$26.80	$3.66–$23.71	25% below	70%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE GAO	$8.04	$26.80	$3.66–$23.71	25% below	70%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE	$17.73	$59.10	$3.66–$23.71	65% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE	$17.73	$59.10	$3.66–$23.71	65% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE #5	$28.25	$94.15	$3.66–$23.71	163% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE #5	$28.25	$94.15	$3.66–$23.71	163% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE #2	$31.91	$106.35	$3.66–$23.71	197% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE #2	$31.91	$106.35	$3.66–$23.71	197% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE #3	$43.50	$145.00	$3.66–$23.71	305% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE #3	$43.50	$145.00	$3.66–$23.71	305% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 ALPHA GAL PANEL	$48.42	$161.40	$3.66–$23.71	351% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 ALPHA GAL PANEL	$48.42	$161.40	$3.66–$23.71	351% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE 4	$58.41	$194.70	$3.66–$23.71	444% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE 4	$58.41	$194.70	$3.66–$23.71	444% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 CUMIN SEED IGE	$78.62	$262.05	$3.66–$23.71	633% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 CUMIN SEED IGE	$78.62	$262.05	$3.66–$23.71	633% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 CANTALOPE IGE	$127.83	$426.10	$3.66–$23.71	1091% above	70%
Allergy blood test, specific IgE, per allergen CPT 86003 CANTALOPE IGE	$127.83	$426.10	$3.66–$23.71	1091% above	70%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPECIFIC IGE GAO	$8.04	$26.80	$3.66–$23.71	—	70%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPECIFIC IGE	$17.73	$59.10	$3.66–$23.71	—	70%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPECIFIC IGE #5	$28.25	$94.15	$3.66–$23.71	—	70%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPECIFIC IGE #2	$31.91	$106.35	$3.66–$23.71	—	70%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPECIFIC IGE #3	$43.50	$145.00	$3.66–$23.71	—	70%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALPHA GAL PANEL	$48.42	$161.40	$3.66–$23.71	—	70%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPECIFIC IGE 4	$58.41	$194.70	$3.66–$23.71	—	70%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CUMIN SEED IGE	$78.62	$262.05	$3.66–$23.71	—	70%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CANTALOPE IGE	$127.83	$426.10	$3.66–$23.71	—	70%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CITRIC CITRULLATED PEPTIDE	$99.14	$330.45	$9.08–$49.66	179% above	70%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CITRIC CITRULLATED PEPTIDE	$99.14	$330.45	$9.08–$49.66	179% above	70%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CITRIC CITRULLATED PEPTIDE	$99.14	$330.45	$9.08–$49.66	—	70%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA DIRECT	$10.19	$33.95	$8.47–$32.16	71% below	70%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA DIRECT	$10.19	$33.95	$8.47–$32.16	71% below	70%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR AB	$42.62	$142.05	$8.47–$46.28	23% above	70%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR AB	$42.62	$142.05	$8.47–$46.28	23% above	70%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA SCREEN	$59.01	$196.70	$8.47–$46.28	70% above	70%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA SCREEN	$59.01	$196.70	$8.47–$46.28	70% above	70%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA SCREEN BODY FLUID	$68.30	$227.65	$8.47–$46.28	97% above	70%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA SCREEN BODY FLUID	$68.30	$227.65	$8.47–$46.28	97% above	70%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA DIRECT	$10.19	$33.95	$8.47–$32.16	—	70%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR AB	$42.62	$142.05	$8.47–$46.28	—	70%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA SCREEN	$59.01	$196.70	$8.47–$46.28	—	70%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA SCREEN BODY FLUID	$68.30	$227.65	$8.47–$46.28	—	70%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP MPOC	$86.76	$289.20	$23.80–$130.95	6% below	70%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP MPOC	$86.76	$289.20	$23.80–$130.95	6% below	70%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 PRO BNP	$102.84	$342.80	$23.80–$130.95	11% above	70%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 PRO BNP	$102.84	$342.80	$23.80–$130.95	11% above	70%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B TYPE NP	$113.60	$378.65	$23.80–$130.95	23% above	70%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B TYPE NP	$113.60	$378.65	$23.80–$130.95	23% above	70%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 BNP MPOC	$86.76	$289.20	$23.80–$130.95	—	70%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 PRO BNP	$102.84	$342.80	$23.80–$130.95	—	70%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 B TYPE NP	$113.60	$378.65	$23.80–$130.95	—	70%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL	$75.09	$250.30	$5.93–$32.75	at median	70%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL	$75.09	$250.30	$5.93–$32.75	at median	70%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL	$75.09	$250.30	$5.93–$32.75	—	70%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 CELL BLOCK	$31.71	$105.70	$15.18–$94.34	58% below	70%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 CELL BLOCK	$31.71	$105.70	$15.18–$94.34	58% below	70%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURGICAL LEVEL IV	$112.20	$374.00	$15.18–$94.34	49% above	70%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURGICAL LEVEL IV	$112.20	$374.00	$15.18–$94.34	49% above	70%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 CELL BLOCK	$31.71	$105.70	$15.18–$94.34	—	70%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 SURGICAL LEVEL IV	$112.20	$374.00	$15.18–$94.34	—	70%
Blood culture for bacteria CPT 87040 TRANSFUSION REACTION CULTURE	$79.82	$266.05	$7.24–$39.50	30% above	70%
Blood culture for bacteria CPT 87040 TRANSFUSION REACTION CULTURE	$79.82	$266.05	$7.24–$39.50	30% above	70%
Blood culture for bacteria CPT 87040 BLOOD CULTURE (EACH)	$101.00	$336.65	$7.24–$39.50	65% above	70%
Blood culture for bacteria CPT 87040 BLOOD CULTURE (EACH)	$101.00	$336.65	$7.24–$39.50	65% above	70%
Blood culture for bacteria inpatient CPT 87040 TRANSFUSION REACTION CULTURE	$79.82	$266.05	$7.24–$39.50	—	70%
Blood culture for bacteria inpatient CPT 87040 BLOOD CULTURE (EACH)	$101.00	$336.65	$7.24–$39.50	—	70%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNTURE CCU	$11.99	$39.95	$1.50–$14.00	31% above	70%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE ER	$11.99	$39.95	$1.50–$14.00	31% above	70%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLLECTION BLOOD	$11.99	$39.95	$1.50–$14.00	31% above	70%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNTURE CCU	$11.99	$39.95	$1.50–$14.00	31% above	70%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE ER	$11.99	$39.95	$1.50–$14.00	31% above	70%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLLECTION BLOOD	$11.99	$39.95	$1.50–$14.00	31% above	70%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNTURE CCU	$11.99	$39.95	$1.50–$14.00	—	70%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 COLLECTION BLOOD	$11.99	$39.95	$1.50–$14.00	—	70%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE ER	$11.99	$39.95	$1.50–$14.00	—	70%
Blood glucose (sugar) test CPT 82947 GLUCOSE	$50.82	$169.40	$2.75–$14.69	115% above	70%
Blood glucose (sugar) test CPT 82947 GLUCOSE FASTING	$50.82	$169.40	$2.75–$14.69	115% above	70%
Blood glucose (sugar) test CPT 82947 GLUCOSE FASTING	$50.82	$169.40	$2.75–$14.69	115% above	70%
Blood glucose (sugar) test CPT 82947 GLUCOSE	$50.82	$169.40	$2.75–$14.69	115% above	70%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE FASTING	$50.82	$169.40	$2.75–$14.69	—	70%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE	$50.82	$169.40	$2.75–$14.69	—	70%
Blood lead test CPT 83655 HEAVY METAL LEAD	$42.98	$143.25	$8.49–$47.40	17% above	70%
Blood lead test CPT 83655 LEAD LEVEL	$42.98	$143.25	$8.49–$47.40	17% above	70%
Blood lead test CPT 83655 HEAVY METAL LEAD	$42.98	$143.25	$8.49–$47.40	17% above	70%
Blood lead test CPT 83655 LEAD LEVEL	$42.98	$143.25	$8.49–$47.40	17% above	70%
Blood lead test CPT 83655 LEAD CAPILLARY	$66.32	$221.05	$8.49–$47.40	81% above	70%
Blood lead test CPT 83655 LEAD CAPILLARY	$66.32	$221.05	$8.49–$47.40	81% above	70%
Blood lead test CPT 83655 LEAD	$66.32	$221.05	$8.49–$47.40	81% above	70%
Blood lead test CPT 83655 LEAD	$66.32	$221.05	$8.49–$47.40	81% above	70%
Blood lead test inpatient CPT 83655 HEAVY METAL LEAD	$42.98	$143.25	$8.49–$47.40	—	70%
Blood lead test inpatient CPT 83655 LEAD LEVEL	$42.98	$143.25	$8.49–$47.40	—	70%
Blood lead test inpatient CPT 83655 LEAD CAPILLARY	$66.32	$221.05	$8.49–$47.40	—	70%
Blood lead test inpatient CPT 83655 LEAD	$66.32	$221.05	$8.49–$47.40	—	70%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREGNANCY URINE QUALITATIVE	$55.14	$183.80	$5.27–$29.34	at median	70%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREGNANCY URINE QUALITATIVE	$55.14	$183.80	$5.27–$29.34	at median	70%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREGNANCY, SERUM, QUALITATIVE	$62.90	$209.65	$5.27–$29.34	14% above	70%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREGNANCY, SERUM, QUALITATIVE	$62.90	$209.65	$5.27–$29.34	14% above	70%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 PREGNANCY URINE QUALITATIVE	$55.14	$183.80	$5.27–$29.34	—	70%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 PREGNANCY, SERUM, QUALITATIVE	$62.90	$209.65	$5.27–$29.34	—	70%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPE (ABO)	$83.03	$276.75	$2.69–$11.28	69% above	70%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO-R	$83.03	$276.75	$2.69–$11.28	69% above	70%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO-R	$83.03	$276.75	$2.69–$11.28	69% above	70%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPE (ABO)	$83.03	$276.75	$2.69–$11.28	69% above	70%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BLOOD TYPE (ABO)	$83.03	$276.75	$2.69–$11.28	—	70%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO-R	$83.03	$276.75	$2.69–$11.28	—	70%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C REACTIVE PROTEIN (CRP)	$52.04	$173.45	$3.63–$20.32	144% above	70%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C REACTIVE PROTEIN (CRP)	$52.04	$173.45	$3.63–$20.32	144% above	70%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C REACTIVE PROTEIN (CRP)	$52.04	$173.45	$3.63–$20.32	—	70%
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF BY DNA SCREEN	$197.91	$659.70	$24.61–$135.44	133% above	70%
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF BY DNA SCREEN	$197.91	$659.70	$24.61–$135.44	133% above	70%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C DIFF BY DNA SCREEN	$197.91	$659.70	$24.61–$135.44	—	70%
CA 19-9 blood test (tumor marker) CPT 86301 CARBOHYDRATE AG 19-9	$83.06	$276.85	$14.59–$80.14	26% above	70%
CA 19-9 blood test (tumor marker) CPT 86301 CARBOHYDRATE AG 19-9	$83.06	$276.85	$14.59–$80.14	26% above	70%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CARBOHYDRATE AG 19-9	$83.06	$276.85	$14.59–$80.14	—	70%
CA-125 blood test (ovarian cancer marker) CPT 86304 CANCER ANTIGEN 125 CA 125	$69.66	$232.20	$14.59–$80.14	at median	70%
CA-125 blood test (ovarian cancer marker) CPT 86304 CANCER ANTIGEN 125 CA 125	$69.66	$232.20	$14.59–$80.14	at median	70%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CANCER ANTIGEN 125 CA 125	$69.66	$232.20	$14.59–$80.14	—	70%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 2019 CORONAVIRUS SARS-COV-2 RA	$36.24	$120.80	$46.18–$79.02	31% below	70%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 2019 CORONAVIRUS SARS-COV-2 RA	$36.24	$120.80	$46.18–$79.02	31% below	70%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 MICRO CEPHEID	$73.83	$246.10	$46.18–$79.02	40% above	70%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 MICRO CEPHEID	$73.83	$246.10	$46.18–$79.02	40% above	70%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 2019 CORONAVIRUS SARS-COV-2 RA	$36.24	$120.80	$46.18–$79.02	—	70%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID-19 MICRO CEPHEID	$73.83	$246.10	$46.18–$79.02	—	70%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA BY AMPLIFIED PROBE	$33.48	$111.60	$24.61–$104.30	44% below	70%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA BY AMPLIFIED PROBE	$33.48	$111.60	$24.61–$104.30	44% below	70%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA BY AMPLIFIED PROBE	$33.48	$111.60	$24.61–$104.30	—	70%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL	$11.10	$37.00	$9.40–$36.41	73% below	70%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL	$11.10	$37.00	$9.40–$36.41	73% below	70%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PROFILE	$101.43	$338.10	$9.40–$51.92	149% above	70%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PROFILE	$101.43	$338.10	$9.40–$51.92	149% above	70%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL	$11.10	$37.00	$9.40–$36.41	—	70%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PROFILE	$101.43	$338.10	$9.40–$51.92	—	70%
Complete blood count (CBC) with differential CPT 85025 CBC WITH DIFFERENTIAL	$67.02	$223.40	$5.45–$30.48	70% above	70%
Complete blood count (CBC) with differential CPT 85025 CBC WITH DIFFERENTIAL	$67.02	$223.40	$5.45–$30.48	70% above	70%
Complete blood count (CBC) with differential CPT 85025 CBC W MANUAL DIFF	$74.75	$249.15	$5.45–$30.48	90% above	70%
Complete blood count (CBC) with differential CPT 85025 CBC W MANUAL DIFF	$74.75	$249.15	$5.45–$30.48	90% above	70%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC WITH DIFFERENTIAL	$67.02	$223.40	$5.45–$30.48	—	70%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC W MANUAL DIFF	$74.75	$249.15	$5.45–$30.48	—	70%
Complete blood count (CBC), no differential CPT 85027 CBC- NO DIFFERENTIAL	$21.69	$72.30	$4.54–$24.85	20% below	70%
Complete blood count (CBC), no differential CPT 85027 CBC- NO DIFFERENTIAL	$21.69	$72.30	$4.54–$24.85	20% below	70%
Complete blood count (CBC), no differential CPT 85027 CBC-NO DIFFERENTIAL	$33.81	$112.70	$4.54–$24.85	24% above	70%
Complete blood count (CBC), no differential CPT 85027 CBC-NO DIFFERENTIAL	$33.81	$112.70	$4.54–$24.85	24% above	70%
Complete blood count (CBC), no differential CPT 85027 CBC	$52.43	$174.75	$4.54–$24.85	92% above	70%
Complete blood count (CBC), no differential CPT 85027 CBC	$52.43	$174.75	$4.54–$24.85	92% above	70%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC- NO DIFFERENTIAL	$21.69	$72.30	$4.54–$24.85	—	70%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC-NO DIFFERENTIAL	$33.81	$112.70	$4.54–$24.85	—	70%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC	$52.43	$174.75	$4.54–$24.85	—	70%
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL	$179.18	$597.25	$7.42–$40.65	84% above	70%
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL	$179.18	$597.25	$7.42–$40.65	84% above	70%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL	$179.18	$597.25	$7.42–$40.65	—	70%
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER ASSAY	$50.55	$168.50	$7.14–$39.50	3% below	70%
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER ASSAY	$50.55	$168.50	$7.14–$39.50	3% below	70%
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER QUANTITATIVE REFLEX	$52.41	$174.70	$7.14–$39.50	1% above	70%
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER QUANTITATIVE REFLEX	$52.41	$174.70	$7.14–$39.50	1% above	70%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER ASSAY	$50.55	$168.50	$7.14–$39.50	—	70%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER QUANTITATIVE REFLEX	$52.41	$174.70	$7.14–$39.50	—	70%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA SULFATE	$71.87	$239.55	$15.59–$85.78	at median	70%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA SULFATE	$71.87	$239.55	$15.59–$85.78	at median	70%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA SULFATE	$71.87	$239.55	$15.59–$85.78	—	70%
Estradiol blood test CPT 82670 ESTRADIOL LEVEL	$23.54	$78.45	$19.59–$74.33	72% below	70%
Estradiol blood test CPT 82670 ESTRADIOL LEVEL	$23.54	$78.45	$19.59–$74.33	72% below	70%
Estradiol blood test CPT 82670 ESTRADIOL LEVEL SERUM	$94.50	$315.00	$19.59–$108.37	11% above	70%
Estradiol blood test CPT 82670 ESTRADIOL LEVEL SERUM	$94.50	$315.00	$19.59–$108.37	11% above	70%
Estradiol blood test inpatient CPT 82670 ESTRADIOL LEVEL	$23.54	$78.45	$19.59–$74.33	—	70%
Estradiol blood test inpatient CPT 82670 ESTRADIOL LEVEL SERUM	$94.50	$315.00	$19.59–$108.37	—	70%
FSH (follicle-stimulating hormone) test CPT 83001 FSH-FOLICAL STIM HORMONE	$62.25	$207.50	$13.03–$72.24	at median	70%
FSH (follicle-stimulating hormone) test CPT 83001 FSH-FOLICAL STIM HORMONE	$62.25	$207.50	$13.03–$72.24	at median	70%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH-FOLICAL STIM HORMONE	$62.25	$207.50	$13.03–$72.24	—	70%
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN FECAL	$328.46	$1,094.85	$13.76–$75.62	226% above	70%
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN FECAL	$328.46	$1,094.85	$13.76–$75.62	226% above	70%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN FECAL	$328.46	$1,094.85	$13.76–$75.62	—	70%
Ferritin blood test (iron stores) CPT 82728 FERRITIN	$44.07	$146.90	$9.55–$53.04	2% below	70%
Ferritin blood test (iron stores) CPT 82728 FERRITIN	$44.07	$146.90	$9.55–$53.04	2% below	70%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN	$44.07	$146.90	$9.55–$53.04	—	70%
Folate (folic acid) blood test CPT 82746 FOLATE (FOLIC ACID)	$49.34	$164.45	$10.31–$56.45	at median	70%
Folate (folic acid) blood test CPT 82746 FOLATE (FOLIC ACID)	$49.34	$164.45	$10.31–$56.45	at median	70%
Folate (folic acid) blood test inpatient CPT 82746 FOLATE (FOLIC ACID)	$49.34	$164.45	$10.31–$56.45	—	70%
Free T3 thyroid hormone test CPT 84481 T3 FREE	$82.88	$276.25	$11.88–$65.46	47% above	70%
Free T3 thyroid hormone test CPT 84481 T3 FREE	$82.88	$276.25	$11.88–$65.46	47% above	70%
Free T3 thyroid hormone test inpatient CPT 84481 T3 FREE	$82.88	$276.25	$11.88–$65.46	—	70%
Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE (FREE)	$49.55	$165.15	$6.33–$35.01	47% above	70%
Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE (FREE)	$49.55	$165.15	$6.33–$35.01	47% above	70%
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE DIRECT DIALYSIS	$161.18	$537.25	$6.33–$35.01	379% above	70%
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE DIRECT DIALYSIS	$161.18	$537.25	$6.33–$35.01	379% above	70%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 THYROXINE (FREE)	$49.55	$165.15	$6.33–$35.01	—	70%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4 FREE DIRECT DIALYSIS	$161.18	$537.25	$6.33–$35.01	—	70%
Free testosterone test CPT 84402 TESTOSTERONE FREE	$22.67	$75.55	$17.86–$71.37	65% below	70%
Free testosterone test CPT 84402 TESTOSTERONE FREE	$22.67	$75.55	$17.86–$71.37	65% below	70%
Free testosterone test CPT 84402 TESTOSTERONE FREE FEMALE/CHILD	$27.24	$90.80	$17.86–$89.46	57% below	70%
Free testosterone test CPT 84402 TESTOSTERONE FREE FEMALE/CHILD	$27.24	$90.80	$17.86–$89.46	57% below	70%
Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE	$22.67	$75.55	$17.86–$71.37	—	70%
Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE FEMALE/CHILD	$27.24	$90.80	$17.86–$89.46	—	70%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE -2 HOUR POSTPRANDIAL	$50.82	$169.40	$3.34–$18.06	67% above	70%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE -1 HOUR POSTPRANDIAL	$50.82	$169.40	$3.34–$18.06	67% above	70%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE -1 HOUR POSTPRANDIAL	$50.82	$169.40	$3.34–$18.06	67% above	70%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE -2 HOUR POSTPRANDIAL	$50.82	$169.40	$3.34–$18.06	67% above	70%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE -1 HOUR POSTPRANDIAL	$50.82	$169.40	$3.34–$18.06	—	70%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE -2 HOUR POSTPRANDIAL	$50.82	$169.40	$3.34–$18.06	—	70%
Glucose tolerance test, 3 samples CPT 82951 TOLERANCE BASELINE	$48.56	$161.85	$9.03–$49.66	16% above	70%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE 1 HOUR	$48.56	$161.85	$9.03–$49.66	16% above	70%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE 1 HOUR	$48.56	$161.85	$9.03–$49.66	16% above	70%
Glucose tolerance test, 3 samples CPT 82951 TOLERANCE BASELINE	$48.56	$161.85	$9.03–$49.66	16% above	70%
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE 1 HOUR	$48.56	$161.85	$9.03–$49.66	—	70%
Glucose tolerance test, 3 samples inpatient CPT 82951 TOLERANCE BASELINE	$48.56	$161.85	$9.03–$49.66	—	70%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC BY AMPLIFIED PROBE	$33.48	$111.60	$24.61–$104.30	45% below	70%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC BY AMPLIFIED PROBE	$33.48	$111.60	$24.61–$104.30	45% below	70%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GC BY AMPLIFIED PROBE	$33.48	$111.60	$24.61–$104.30	—	70%
H. pylori stool antigen test CPT 87338 H PYLORI FECAL	$157.94	$526.45	$10.09–$55.30	166% above	70%
H. pylori stool antigen test CPT 87338 H PYLORI FECAL	$157.94	$526.45	$10.09–$55.30	166% above	70%
H. pylori stool antigen test inpatient CPT 87338 H PYLORI FECAL	$157.94	$526.45	$10.09–$55.30	—	70%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV RNA QUANT BY PCR	$295.05	$983.50	$59.66–$329.59	98% above	70%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV RNA QUANT BY PCR	$295.05	$983.50	$59.66–$329.59	98% above	70%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV RNA QUANT BY PCR	$295.05	$983.50	$59.66–$329.59	—	70%
HIV-1 and HIV-2 antibody test CPT 86703 HIV-1 AND HIV-2 AB	$90.14	$300.45	$9.62–$53.04	195% above	70%
HIV-1 and HIV-2 antibody test CPT 86703 HIV-1 AND HIV-2 AB	$90.14	$300.45	$9.62–$53.04	195% above	70%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV-1 AND HIV-2 AB	$90.14	$300.45	$9.62–$53.04	—	70%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 1-2 4TH GENERATION	$111.00	$370.00	$16.89–$93.68	116% above	70%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 1-2 4TH GENERATION	$111.00	$370.00	$16.89–$93.68	116% above	70%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV 1-2 4TH GENERATION	$111.00	$370.00	$16.89–$93.68	—	70%
HPV test for high-risk types, one combined (pooled) result CPT 87624 REFERENCE HPV HIGH RISK	$116.43	$388.10	$23.64–$135.44	155% above	70%
HPV test for high-risk types, one combined (pooled) result CPT 87624 REFERENCE HPV HIGH RISK	$116.43	$388.10	$23.64–$135.44	155% above	70%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HR BY TMA	$116.97	$389.90	$23.64–$135.44	156% above	70%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HR BY TMA	$116.97	$389.90	$23.64–$135.44	156% above	70%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 REFERENCE HPV HIGH RISK	$116.43	$388.10	$23.64–$135.44	—	70%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV HR BY TMA	$116.97	$389.90	$23.64–$135.44	—	70%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C	$41.96	$139.85	$6.81–$37.24	at median	70%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C	$41.96	$139.85	$6.81–$37.24	at median	70%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN A1C	$41.96	$139.85	$6.81–$37.24	—	70%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE ANTIBODY	$63.26	$210.85	$7.53–$41.76	28% above	70%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE ANTIBODY	$63.26	$210.85	$7.53–$41.76	28% above	70%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEP B SURFACE ANTIBODY	$63.26	$210.85	$7.53–$41.76	—	70%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEP B SURFACE ANTIGEN	$55.35	$184.50	$7.25–$39.50	65% above	70%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEP B SURFACE ANTIGEN	$55.35	$184.50	$7.25–$39.50	65% above	70%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEP B SURFACE ANTIGEN	$55.35	$184.50	$7.25–$39.50	—	70%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB	$54.26	$180.85	$10.01–$55.30	23% above	70%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB	$54.26	$180.85	$10.01–$55.30	23% above	70%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C AB	$54.26	$180.85	$10.01–$55.30	—	70%
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA PCR QUANT	$170.93	$569.75	$30.04–$165.93	31% above	70%
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA PCR QUANT	$170.93	$569.75	$30.04–$165.93	31% above	70%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C RNA QUANT	$280.20	$934.00	$30.04–$165.93	114% above	70%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C RNA QUANT	$280.20	$934.00	$30.04–$165.93	114% above	70%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV RNA PCR QUANT	$170.93	$569.75	$30.04–$165.93	—	70%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C RNA QUANT	$280.20	$934.00	$30.04–$165.93	—	70%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX TYPE 1 IGG	$33.36	$111.20	$9.25–$50.81	at median	70%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX TYPE 1 IGG	$33.36	$111.20	$9.25–$50.81	at median	70%
Herpes blood test, HSV-1 antibody CPT 86695 HSV 1 GLYCOPROTEIN G AB IGG	$34.74	$115.80	$9.25–$50.81	4% above	70%
Herpes blood test, HSV-1 antibody CPT 86695 HSV 1 GLYCOPROTEIN G AB IGG	$34.74	$115.80	$9.25–$50.81	4% above	70%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX TYPE 1 IGG	$33.36	$111.20	$9.25–$50.81	—	70%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV 1 GLYCOPROTEIN G AB IGG	$34.74	$115.80	$9.25–$50.81	—	70%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2 IGG	$48.96	$163.20	$13.57–$74.51	14% above	70%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2 IGG	$48.96	$163.20	$13.57–$74.51	14% above	70%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2	$50.96	$169.85	$13.57–$74.51	18% above	70%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2	$50.96	$169.85	$13.57–$74.51	18% above	70%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX TYPE 2 IGG	$48.96	$163.20	$13.57–$74.51	—	70%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX TYPE 2	$50.96	$169.85	$13.57–$74.51	—	70%
High-sensitivity CRP (hs-CRP) test CPT 86141 CRP-HIGH SENSITIVITY	$52.16	$173.85	$9.08–$49.66	32% above	70%
High-sensitivity CRP (hs-CRP) test CPT 86141 CRP-HIGH SENSITIVITY	$52.16	$173.85	$9.08–$49.66	32% above	70%
High-sensitivity CRP (hs-CRP) test CPT 86141 C REACTIVE PROTEIN HS CSF	$204.95	$683.15	$9.08–$49.66	420% above	70%
High-sensitivity CRP (hs-CRP) test CPT 86141 C REACTIVE PROTEIN HS CSF	$204.95	$683.15	$9.08–$49.66	420% above	70%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CRP-HIGH SENSITIVITY	$52.16	$173.85	$9.08–$49.66	—	70%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C REACTIVE PROTEIN HS CSF	$204.95	$683.15	$9.08–$49.66	—	70%
Homocysteine blood test CPT 83090 HOMOCYSTEINE SERUM	$25.95	$86.50	$6.58–$65.46	50% below	70%
Homocysteine blood test CPT 83090 HOMOCYSTEINE SERUM	$25.95	$86.50	$6.58–$65.46	50% below	70%
Homocysteine blood test CPT 83090 HOMOCYSTEINE	$60.08	$200.25	$6.58–$65.46	16% above	70%
Homocysteine blood test CPT 83090 HOMOCYSTEINE	$60.08	$200.25	$6.58–$65.46	16% above	70%
Homocysteine blood test CPT 83090 HOMOCYSTINE/CYSTINE 24 HR UR	$94.23	$314.10	$6.58–$65.46	82% above	70%
Homocysteine blood test CPT 83090 HOMOCYSTINE/CYSTINE 24 HR UR	$94.23	$314.10	$6.58–$65.46	82% above	70%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE SERUM	$25.95	$86.50	$6.58–$65.46	—	70%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE	$60.08	$200.25	$6.58–$65.46	—	70%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTINE/CYSTINE 24 HR UR	$94.23	$314.10	$6.58–$65.46	—	70%
Insulin blood test CPT 83525 INSULIN LEVEL	$72.20	$240.65	$8.02–$44.02	81% above	70%
Insulin blood test CPT 83525 INSULIN LEVEL	$72.20	$240.65	$8.02–$44.02	81% above	70%
Insulin blood test inpatient CPT 83525 INSULIN LEVEL	$72.20	$240.65	$8.02–$44.02	—	70%
Iron blood test (serum iron) CPT 83540 IRON	$32.96	$109.85	$4.54–$24.85	at median	70%
Iron blood test (serum iron) CPT 83540 IRON	$32.96	$109.85	$4.54–$24.85	at median	70%
Iron blood test (serum iron) CPT 83540 IRON TISSUE	$247.92	$826.40	$4.54–$24.85	652% above	70%
Iron blood test (serum iron) CPT 83540 IRON TISSUE	$247.92	$826.40	$4.54–$24.85	652% above	70%
Iron blood test (serum iron) CPT 83540 IRON LIVER	$449.37	$1,497.90	$4.54–$24.85	1263% above	70%
Iron blood test (serum iron) CPT 83540 IRON LIVER	$449.37	$1,497.90	$4.54–$24.85	1263% above	70%
Iron blood test (serum iron) inpatient CPT 83540 IRON	$32.96	$109.85	$4.54–$24.85	—	70%
Iron blood test (serum iron) inpatient CPT 83540 IRON TISSUE	$247.92	$826.40	$4.54–$24.85	—	70%
Iron blood test (serum iron) inpatient CPT 83540 IRON LIVER	$449.37	$1,497.90	$4.54–$24.85	—	70%
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY	$49.31	$164.35	$6.13–$33.86	7% above	70%
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY	$49.31	$164.35	$6.13–$33.86	7% above	70%
Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CAPACITY	$49.31	$164.35	$6.13–$33.86	—	70%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL	$72.72	$242.40	$6.09–$33.86	5% above	70%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL	$72.72	$242.40	$6.09–$33.86	5% above	70%
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL	$72.72	$242.40	$6.09–$33.86	—	70%
LH (luteinizing hormone) test CPT 83002 LEUTINIZING HORMONE	$62.01	$206.70	$12.99–$72.24	at median	70%
LH (luteinizing hormone) test CPT 83002 LEUTINIZING HORMONE	$62.01	$206.70	$12.99–$72.24	at median	70%
LH (luteinizing hormone) test inpatient CPT 83002 LEUTINIZING HORMONE	$62.01	$206.70	$12.99–$72.24	—	70%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE LEVEL	$41.90	$139.65	$4.83–$27.07	19% above	70%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE LEVEL	$41.90	$139.65	$4.83–$27.07	19% above	70%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE LEVEL	$41.90	$139.65	$4.83–$27.07	—	70%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL	$105.26	$350.85	$5.73–$31.60	10% above	70%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL	$105.26	$350.85	$5.73–$31.60	10% above	70%
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL	$105.26	$350.85	$5.73–$31.60	—	70%
Lyme disease antibody test CPT 86618 LYME AB SCREEN W REFLEX WB	$57.81	$192.70	$11.94–$65.46	40% above	70%
Lyme disease antibody test CPT 86618 LYME AB SCREEN W REFLEX WB	$57.81	$192.70	$11.94–$65.46	40% above	70%
Lyme disease antibody test CPT 86618 LYME AB SCREEN W/REFLEX TO WB	$210.80	$702.65	$11.94–$65.46	409% above	70%
Lyme disease antibody test CPT 86618 LYME AB SCREEN W/REFLEX TO WB	$210.80	$702.65	$11.94–$65.46	409% above	70%
Lyme disease antibody test inpatient CPT 86618 LYME AB SCREEN W REFLEX WB	$57.81	$192.70	$11.94–$65.46	—	70%
Lyme disease antibody test inpatient CPT 86618 LYME AB SCREEN W/REFLEX TO WB	$210.80	$702.65	$11.94–$65.46	—	70%
Magnesium blood test CPT 83735 MAGNESIUM RBC	$5.64	$18.80	$4.70–$17.82	72% below	70%
Magnesium blood test CPT 83735 MAGNESIUM RBC	$5.64	$18.80	$4.70–$17.82	72% below	70%
Magnesium blood test CPT 83735 MAGNESIUM	$25.76	$85.85	$4.70–$25.96	28% above	70%
Magnesium blood test CPT 83735 MAGNESIUM	$25.76	$85.85	$4.70–$25.96	28% above	70%
Magnesium blood test CPT 83735 MAGNESIUM RANDUM URINE	$26.96	$89.85	$4.70–$25.96	34% above	70%
Magnesium blood test CPT 83735 MAGNESIUM RANDUM URINE	$26.96	$89.85	$4.70–$25.96	34% above	70%
Magnesium blood test CPT 83735 MAGNESIUM 24 HR URINE	$73.44	$244.80	$4.70–$25.96	265% above	70%
Magnesium blood test CPT 83735 MAGNESIUM 24 HR URINE	$73.44	$244.80	$4.70–$25.96	265% above	70%
Magnesium blood test inpatient CPT 83735 MAGNESIUM RBC	$5.64	$18.80	$4.70–$17.82	—	70%
Magnesium blood test inpatient CPT 83735 MAGNESIUM	$25.76	$85.85	$4.70–$25.96	—	70%
Magnesium blood test inpatient CPT 83735 MAGNESIUM RANDUM URINE	$26.96	$89.85	$4.70–$25.96	—	70%
Magnesium blood test inpatient CPT 83735 MAGNESIUM 24 HR URINE	$73.44	$244.80	$4.70–$25.96	—	70%
Measles (rubeola) antibody test CPT 86765 MEASLES IGG	$60.69	$202.30	$9.04–$49.66	54% above	70%
Measles (rubeola) antibody test CPT 86765 MEASLES IGG	$60.69	$202.30	$9.04–$49.66	54% above	70%
Measles (rubeola) antibody test CPT 86765 MEASLES IGM	$64.07	$213.55	$9.04–$49.66	63% above	70%
Measles (rubeola) antibody test CPT 86765 MEASLES IGM	$64.07	$213.55	$9.04–$49.66	63% above	70%
Measles (rubeola) antibody test CPT 86765 RUBEOLA IGM	$74.43	$248.10	$9.04–$49.66	89% above	70%
Measles (rubeola) antibody test CPT 86765 RUBEOLA IGM	$74.43	$248.10	$9.04–$49.66	89% above	70%
Measles (rubeola) antibody test CPT 86765 RUBEOLA IGG	$74.43	$248.10	$9.04–$49.66	89% above	70%
Measles (rubeola) antibody test CPT 86765 RUBEOLA IGG	$74.43	$248.10	$9.04–$49.66	89% above	70%
Measles (rubeola) antibody test inpatient CPT 86765 MEASLES IGG	$60.69	$202.30	$9.04–$49.66	—	70%
Measles (rubeola) antibody test inpatient CPT 86765 MEASLES IGM	$64.07	$213.55	$9.04–$49.66	—	70%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA IGM	$74.43	$248.10	$9.04–$49.66	—	70%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA IGG	$74.43	$248.10	$9.04–$49.66	—	70%
Mono test (heterophile antibody, Monospot) CPT 86308 MONOSPOT	$59.15	$197.15	$3.63–$20.32	51% above	70%
Mono test (heterophile antibody, Monospot) CPT 86308 MONOSPOT	$59.15	$197.15	$3.63–$20.32	51% above	70%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONOSPOT	$59.15	$197.15	$3.63–$20.32	—	70%
Obstetric blood test panel CPT 80055 PRENATAL PANEL	$97.91	$326.35	$14.45–$185.10	36% above	70%
Obstetric blood test panel CPT 80055 PRENATAL PANEL	$97.91	$326.35	$14.45–$185.10	36% above	70%
Obstetric blood test panel inpatient CPT 80055 PRENATAL PANEL	$97.91	$326.35	$14.45–$185.10	—	70%
PSA (prostate-specific antigen) blood test, free CPT 84154 FREE PSA	$65.19	$217.30	$12.90–$71.10	41% above	70%
PSA (prostate-specific antigen) blood test, free CPT 84154 FREE PSA	$65.19	$217.30	$12.90–$71.10	41% above	70%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 FREE PSA	$65.19	$217.30	$12.90–$71.10	—	70%
PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATIC SPECIFIC ANTIGEN	$61.53	$205.10	$12.90–$71.10	9% above	70%
PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATIC SPECIFIC ANTIGEN	$61.53	$205.10	$12.90–$71.10	9% above	70%
PSA (prostate-specific antigen) blood test, total CPT 84153 TOTAL PSA	$65.19	$217.30	$12.90–$71.10	16% above	70%
PSA (prostate-specific antigen) blood test, total CPT 84153 TOTAL PSA	$65.19	$217.30	$12.90–$71.10	16% above	70%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATIC SPECIFIC ANTIGEN	$61.53	$205.10	$12.90–$71.10	—	70%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 TOTAL PSA	$65.19	$217.30	$12.90–$71.10	—	70%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CYTOLOGY SM FLUID BASE THIN PR	$39.51	$131.70	$14.21–$77.88	12% above	70%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CYTOLOGY SM FLUID BASE THIN PR	$39.51	$131.70	$14.21–$77.88	12% above	70%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 REFERENCE THIN PREP PAP	$121.64	$405.45	$14.21–$77.88	244% above	70%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 REFERENCE THIN PREP PAP	$121.64	$405.45	$14.21–$77.88	244% above	70%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 CYTOLOGY SM FLUID BASE THIN PR	$39.51	$131.70	$14.21–$77.88	—	70%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 REFERENCE THIN PREP PAP	$121.64	$405.45	$14.21–$77.88	—	70%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE ASPIRATE	$34.77	$115.90	$28.94–$109.80	70% below	70%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE ASPIRATE	$34.77	$115.90	$28.94–$109.80	70% below	70%
Parathyroid hormone (PTH) blood test CPT 83970 PTH INTACT	$138.12	$460.40	$28.94–$160.29	20% above	70%
Parathyroid hormone (PTH) blood test CPT 83970 PTH INTACT	$138.12	$460.40	$28.94–$160.29	20% above	70%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHYROID HORMONE ASPIRATE	$34.77	$115.90	$28.94–$109.80	—	70%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH INTACT	$138.12	$460.40	$28.94–$160.29	—	70%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT-LA SCREEN	$9.74	$32.45	$4.21–$23.70	61% below	70%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT-LA SCREEN	$9.74	$32.45	$4.21–$23.70	61% below	70%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT-D HEPARIN	$11.01	$36.70	$4.21–$23.70	56% below	70%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT-D HEPARIN	$11.01	$36.70	$4.21–$23.70	56% below	70%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT	$34.04	$113.45	$4.21–$23.70	37% above	70%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT	$34.04	$113.45	$4.21–$23.70	37% above	70%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT-LA SCREEN	$9.74	$32.45	$4.21–$23.70	—	70%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT-D HEPARIN	$11.01	$36.70	$4.21–$23.70	—	70%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT	$34.04	$113.45	$4.21–$23.70	—	70%
Progesterone blood test CPT 84144 PROGESTERONE LC/MS/MS	$63.71	$212.35	$14.63–$81.26	at median	70%
Progesterone blood test CPT 84144 PROGESTERONE LC/MS/MS	$63.71	$212.35	$14.63–$81.26	at median	70%
Progesterone blood test CPT 84144 PROGESTERONE LEVEL SERUM	$69.86	$232.85	$14.63–$81.26	10% above	70%
Progesterone blood test CPT 84144 PROGESTERONE LEVEL SERUM	$69.86	$232.85	$14.63–$81.26	10% above	70%
Progesterone blood test inpatient CPT 84144 PROGESTERONE LC/MS/MS	$63.71	$212.35	$14.63–$81.26	—	70%
Progesterone blood test inpatient CPT 84144 PROGESTERONE LEVEL SERUM	$69.86	$232.85	$14.63–$81.26	—	70%
Prolactin blood test CPT 84146 PROLACTIN LEVEL	$136.59	$455.30	$13.59–$74.51	64% above	70%
Prolactin blood test CPT 84146 PROLACTIN LEVEL	$136.59	$455.30	$13.59–$74.51	64% above	70%
Prolactin blood test inpatient CPT 84146 PROLACTIN LEVEL	$136.59	$455.30	$13.59–$74.51	—	70%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME	$9.66	$32.20	$2.75–$14.69	51% below	70%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME	$9.66	$32.20	$2.75–$14.69	51% below	70%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME-PT	$40.08	$133.60	$2.75–$14.69	103% above	70%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME-PT	$40.08	$133.60	$2.75–$14.69	103% above	70%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME	$9.66	$32.20	$2.75–$14.69	—	70%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME-PT	$40.08	$133.60	$2.75–$14.69	—	70%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACT	$20.64	$68.80	$3.98–$21.44	30% below	70%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACT	$20.64	$68.80	$3.98–$21.44	30% below	70%
Rheumatoid factor (RF) test CPT 86431 RA	$44.87	$149.55	$3.98–$21.44	52% above	70%
Rheumatoid factor (RF) test CPT 86431 RA	$44.87	$149.55	$3.98–$21.44	52% above	70%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACT	$20.64	$68.80	$3.98–$21.44	—	70%
Rheumatoid factor (RF) test inpatient CPT 86431 RA	$44.87	$149.55	$3.98–$21.44	—	70%
Rubella antibody test (immunity check) CPT 86762 RUBELLA IGM AB	$29.87	$99.55	$9.33–$55.30	6% below	70%
Rubella antibody test (immunity check) CPT 86762 RUBELLA IGM AB	$29.87	$99.55	$9.33–$55.30	6% below	70%
Rubella antibody test (immunity check) CPT 86762 RUBELLA VIRUS IGG AB	$51.12	$170.40	$9.33–$55.30	61% above	70%
Rubella antibody test (immunity check) CPT 86762 RUBELLA VIRUS IGG AB	$51.12	$170.40	$9.33–$55.30	61% above	70%
Rubella antibody test (immunity check) CPT 86762 RUBELLA IGG ANTIBODY	$52.40	$174.65	$9.33–$55.30	65% above	70%
Rubella antibody test (immunity check) CPT 86762 RUBELLA IGG ANTIBODY	$52.40	$174.65	$9.33–$55.30	65% above	70%
Rubella antibody test (immunity check) CPT 86762 RUBELLA IGM ANTIBODY	$73.10	$243.65	$9.33–$55.30	130% above	70%
Rubella antibody test (immunity check) CPT 86762 RUBELLA IGM ANTIBODY	$73.10	$243.65	$9.33–$55.30	130% above	70%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA IGM AB	$29.87	$99.55	$9.33–$55.30	—	70%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA VIRUS IGG AB	$51.12	$170.40	$9.33–$55.30	—	70%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA IGG ANTIBODY	$52.40	$174.65	$9.33–$55.30	—	70%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA IGM ANTIBODY	$73.10	$243.65	$9.33–$55.30	—	70%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN ANALYSIS	$62.78	$209.25	$8.45–$46.28	at median	70%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN ANALYSIS	$62.78	$209.25	$8.45–$46.28	at median	70%
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 SEMEN ANALYSIS	$62.78	$209.25	$8.45–$46.28	—	70%
Stool ova and parasites exam CPT 87177 OVA AND PARASITE, FECAL INTERP	$30.00	$100.00	$6.24–$35.01	at median	70%
Stool ova and parasites exam CPT 87177 OVA AND PARASITE, FECAL INTERP	$30.00	$100.00	$6.24–$35.01	at median	70%
Stool ova and parasites exam CPT 87177 OVA AND PARASITE	$63.83	$212.75	$6.24–$35.01	113% above	70%
Stool ova and parasites exam CPT 87177 OVA AND PARASITE	$63.83	$212.75	$6.24–$35.01	113% above	70%
Stool ova and parasites exam inpatient CPT 87177 OVA AND PARASITE, FECAL INTERP	$30.00	$100.00	$6.24–$35.01	—	70%
Stool ova and parasites exam inpatient CPT 87177 OVA AND PARASITE	$63.83	$212.75	$6.24–$35.01	—	70%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD SCREEN 1 3	$46.43	$154.75	$2.29–$13.54	146% above	70%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD SCREEN 1 3	$46.43	$154.75	$2.29–$13.54	146% above	70%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLOOD SCREEN 1 3	$46.43	$154.75	$2.29–$13.54	—	70%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 FECAL OCCULT BLOOD IMMUNOASSAY	$10.13	$33.75	$11.16–$32.55	66% below	70%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 FECAL OCCULT BLOOD IMMUNOASSAY	$10.13	$33.75	$11.16–$32.55	66% below	70%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 FECAL OCCULT BLOOD IMMUNOASSAY	$10.13	$33.75	$11.16–$32.55	—	70%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL	$43.98	$146.60	$3.00–$16.95	70% above	70%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL	$43.98	$146.60	$3.00–$16.95	70% above	70%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR	$52.64	$175.45	$3.00–$16.95	104% above	70%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR	$52.64	$175.45	$3.00–$16.95	104% above	70%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL	$43.98	$146.60	$3.00–$16.95	—	70%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR	$52.64	$175.45	$3.00–$16.95	—	70%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON TB GOLD	$166.46	$554.85	$43.46–$240.43	35% above	70%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON TB GOLD	$166.46	$554.85	$43.46–$240.43	35% above	70%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON TB GOLD	$166.46	$554.85	$43.46–$240.43	—	70%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL FEMALE/CHIL	$27.24	$90.80	$18.11–$77.37	62% below	70%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL FEMALE/CHIL	$27.24	$90.80	$18.11–$77.37	62% below	70%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL	$139.34	$464.45	$18.11–$100.47	94% above	70%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL	$139.34	$464.45	$18.11–$100.47	94% above	70%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL FEMALE/CHIL	$27.24	$90.80	$18.11–$77.37	—	70%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL	$139.34	$464.45	$18.11–$100.47	—	70%
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE AB	$51.71	$172.35	$10.21–$56.45	27% above	70%
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE AB	$51.71	$172.35	$10.21–$56.45	27% above	70%
Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER-KIDNEY-MICROSOME AUTOABS	$88.13	$293.75	$10.21–$56.45	116% above	70%
Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER-KIDNEY-MICROSOME AUTOABS	$88.13	$293.75	$10.21–$56.45	116% above	70%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID PEROXIDASE AB	$51.71	$172.35	$10.21–$56.45	—	70%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LIVER-KIDNEY-MICROSOME AUTOABS	$88.13	$293.75	$10.21–$56.45	—	70%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMULATING HORMONE	$74.27	$247.55	$11.78–$65.46	46% above	70%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMULATING HORMONE	$74.27	$247.55	$11.78–$65.46	46% above	70%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIMULATING HORMONE	$74.27	$247.55	$11.78–$65.46	—	70%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS TMA	$178.68	$595.60	$23.70–$135.44	188% above	70%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS TMA	$178.68	$595.60	$23.70–$135.44	188% above	70%
Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGINALIS TMA	$178.68	$595.60	$23.70–$135.44	—	70%
Uric acid blood test CPT 84550 URIC ACID, SERUM	$42.81	$142.70	$3.17–$18.06	46% above	70%
Uric acid blood test CPT 84550 URIC ACID, SERUM	$42.81	$142.70	$3.17–$18.06	46% above	70%
Uric acid blood test inpatient CPT 84550 URIC ACID, SERUM	$42.81	$142.70	$3.17–$18.06	—	70%
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS	$48.14	$160.45	$2.22–$12.42	57% above	70%
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS	$48.14	$160.45	$2.22–$12.42	57% above	70%
Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS	$48.14	$160.45	$2.22–$12.42	—	70%
Urinalysis without microscope exam, automated CPT 81003 KETONES-URINE	$26.24	$87.45	$1.57–$9.01	143% above	70%
Urinalysis without microscope exam, automated CPT 81003 KETONES-URINE	$26.24	$87.45	$1.57–$9.01	143% above	70%
Urinalysis without microscope exam, automated CPT 81003 PH URINE	$28.19	$93.95	$1.57–$9.01	161% above	70%
Urinalysis without microscope exam, automated CPT 81003 PH URINE	$28.19	$93.95	$1.57–$9.01	161% above	70%
Urinalysis without microscope exam, automated CPT 81003 SPECIFIC GRAVITY URINE	$32.81	$109.35	$1.57–$9.01	204% above	70%
Urinalysis without microscope exam, automated CPT 81003 SPECIFIC GRAVITY URINE	$32.81	$109.35	$1.57–$9.01	204% above	70%
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS W/OUT MICROSCOPIC	$34.80	$116.00	$1.57–$9.01	222% above	70%
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS W/OUT MICROSCOPIC	$34.80	$116.00	$1.57–$9.01	222% above	70%
Urinalysis without microscope exam, automated inpatient CPT 81003 KETONES-URINE	$26.24	$87.45	$1.57–$9.01	—	70%
Urinalysis without microscope exam, automated inpatient CPT 81003 PH URINE	$28.19	$93.95	$1.57–$9.01	—	70%
Urinalysis without microscope exam, automated inpatient CPT 81003 SPECIFIC GRAVITY URINE	$32.81	$109.35	$1.57–$9.01	—	70%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS W/OUT MICROSCOPIC	$34.80	$116.00	$1.57–$9.01	—	70%
Urine culture for bacteria, with colony count CPT 87086 URINE CULTURE	$36.56	$121.85	$5.66–$31.60	at median	70%
Urine culture for bacteria, with colony count CPT 87086 URINE CULTURE	$36.56	$121.85	$5.66–$31.60	at median	70%
Urine culture for bacteria, with colony count inpatient CPT 87086 URINE CULTURE	$36.56	$121.85	$5.66–$31.60	—	70%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 LEVEL	$50.55	$168.50	$10.57–$58.71	1% above	70%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 LEVEL	$50.55	$168.50	$10.57–$58.71	1% above	70%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12 LEVEL	$50.55	$168.50	$10.57–$58.71	—	70%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYD D2 D3	$74.27	$247.55	$20.76–$115.12	1% above	70%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYD D2 D3	$74.27	$247.55	$20.76–$115.12	1% above	70%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY	$81.87	$272.90	$20.76–$115.12	12% above	70%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY	$81.87	$272.90	$20.76–$115.12	12% above	70%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25 HYD D2 D3	$74.27	$247.55	$20.76–$115.12	—	70%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25 HYDROXY	$81.87	$272.90	$20.76–$115.12	—	70%
Zinc blood test CPT 84630 ZINC	$74.40	$248.00	$7.98–$44.02	117% above	70%
Zinc blood test CPT 84630 ZINC	$74.40	$248.00	$7.98–$44.02	117% above	70%
Zinc blood test inpatient CPT 84630 ZINC	$74.40	$248.00	$7.98–$44.02	—	70%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG	$53.36	$177.85	$10.56–$58.71	3% below	70%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG	$53.36	$177.85	$10.56–$58.71	3% below	70%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BETA HCG-QUANTITATIVE	$104.48	$348.25	$10.56–$58.71	90% above	70%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BETA HCG-QUANTITATIVE	$104.48	$348.25	$10.56–$58.71	90% above	70%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG	$53.36	$177.85	$10.56–$58.71	—	70%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 BETA HCG-QUANTITATIVE	$104.48	$348.25	$10.56–$58.71	—	70%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Tennessee	Off list
Cardioversion, elective (restoring heart rhythm) CPT 92960 ELECTIVE CARDIOVERSION EXT	$968.87	$3,229.55	$130.97–$440.34	89% above	70%
Cardioversion, elective (restoring heart rhythm) CPT 92960 ELECTIVE CARDIOVERSION EXT	$968.87	$3,229.55	$130.97–$440.34	89% above	70%
Cardioversion, elective (restoring heart rhythm) CPT 92960 ELEC CARDIOVERSION	$1,045.47	$3,484.90	$130.97–$440.34	103% above	70%
Cardioversion, elective (restoring heart rhythm) CPT 92960 ELEC CARDIOVERSION	$1,045.47	$3,484.90	$130.97–$440.34	103% above	70%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 ELECTIVE CARDIOVERSION EXT	$968.87	$3,229.55	$130.97–$440.34	—	70%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 ELEC CARDIOVERSION	$1,045.47	$3,484.90	$130.97–$440.34	—	70%
Colonoscopy with polyp removal CPT 45385 COLONSCOPY W/LESION RMVL SNARE	$1,261.31	$4,204.35	$394.93–$2,984.00	at median	70%
Colonoscopy with tissue sample CPT 45380 COLONOSCOPY W/BIOPSY	$1,261.31	$4,204.35	$394.93–$2,984.00	30% above	70%
Colonoscopy, diagnostic CPT 45378 INCOMPLETE COLONOSCOPY	$1,261.31	$4,204.35	$394.93–$2,984.00	at median	70%
Colonoscopy, diagnostic CPT 45378 COLONSCOPY DCBA	$1,261.31	$4,204.35	$394.93–$2,984.00	at median	70%
Colonoscopy, diagnostic CPT 45378 COLONSCOPY W/WO BRUSH WASH	$1,261.31	$4,204.35	$394.93–$2,984.00	at median	70%
Colonoscopy, diagnostic CPT 45378 COLONSCOPY DCAA	$1,261.31	$4,204.35	$394.93–$2,984.00	at median	70%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 FLEX SIG DCBA	$672.75	$2,242.50	$37.88–$1,467.00	at median	70%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 FLEX SIG DCAA	$672.75	$2,242.50	$37.88–$1,467.00	at median	70%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 FLEX SIG W/WO BRUSH/WASH	$672.75	$2,242.50	$37.88–$1,467.00	at median	70%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 ARTH JNTBRS MJR WO US LT	$395.57	$1,318.55	$20.30–$1,004.50	28% above	70%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 ARTH JNTBRS MJR WO US RT	$395.57	$1,318.55	$20.30–$1,004.50	28% above	70%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCTESIS INTER (LT)	$388.16	$1,293.85	$18.94–$1,004.50	33% above	70%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCTESIS INTER (RT)	$388.16	$1,293.85	$18.94–$1,004.50	33% above	70%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHROCENTESIS SML (RT)	$388.16	$1,293.85	$18.94–$1,004.50	57% above	70%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHROCENTESIS SML (LT)	$388.16	$1,293.85	$18.94–$1,004.50	57% above	70%
Paracentesis with imaging guidance CPT 49083 PARACENTESIS W IMAGE	$1,668.08	$5,560.25	$244.68–$1,467.00	213% above	70%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 SCREENING COLONSC NO RISK FX	$1,093.16	$3,643.85	$237.14–$2,984.00	at median	70%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 SCREEN COLONSC NO RISK FX DCAB	$1,093.16	$3,643.85	$237.14–$2,984.00	at median	70%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 SCREEN COLONSC NO RISK FX DCAA	$1,093.16	$3,643.85	$237.14–$2,984.00	at median	70%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 SCREENING COLONSCPY HI RISK	$1,093.16	$3,643.85	$237.14–$2,984.00	at median	70%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 SCREEN COLONSC HIGH RISK DCAA	$1,093.16	$3,643.85	$237.14–$2,984.00	at median	70%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 SCREEN COLONSC HIGH RISK DCBA	$1,093.16	$3,643.85	$237.14–$2,984.00	at median	70%
Short arm splint (forearm and hand) CPT 29125 APP SH ARM SPL STATIC OT	$97.34	$324.45	$16.24–$137.13	at median	70%
Short arm splint (forearm and hand) CPT 29125 APP SH ARM SPL STATIC OT	$97.34	$324.45	$16.24–$137.13	at median	70%
Short arm splint (forearm and hand) inpatient CPT 29125 APP SH ARM SPL STATIC OT	$97.34	$324.45	$16.24–$137.13	—	70%
Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE-DIAG	$401.66	$1,338.85	$29.77–$1,004.50	10% above	70%
Spinal tap (lumbar puncture), diagnostic CPT 62270 PUNCTURE LUMBAR DX	$696.02	$2,320.05	$29.77–$1,467.00	91% above	70%
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W/ IMAG (LT)	$633.65	$2,112.15	$244.68–$1,467.00	25% above	70%
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W/ IMAG (RT)	$633.65	$2,112.15	$244.68–$1,467.00	25% above	70%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 US BRST BX 1ST LESION	$3,012.38	$10,041.25	$526.32–$3,099.00	204% above	70%
Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 MAM ULTRASOUND BIOPSY LEFT	$3,012.38	$10,041.25	$526.32–$3,099.00	204% above	70%
Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 MAM ULTRASOUND BIOPSY RIGHT	$3,012.38	$10,041.25	$526.32–$3,099.00	204% above	70%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 EGD W/BAL DIL ESO < 30MM	$1,093.16	$3,643.85	$532.43–$2,984.00	at median	70%
Upper endoscopy (EGD) with biopsy CPT 43239 EGD W/BIOPSY	$1,093.16	$3,643.85	$372.80–$2,984.00	16% above	70%
Upper endoscopy (EGD) with injection into the lining CPT 43236 EGD W/SUBMUCOSAL INJ(S) ANY	$1,093.16	$3,643.85	$372.80–$2,984.00	at median	70%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 EGD W/REMOVAL LESION BY SNARE	$1,093.16	$3,643.85	$532.43–$2,984.00	at median	70%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 EGD W/ESOPH DILATION GUIDEWIRE	$1,093.16	$3,643.85	$372.80–$2,984.00	13% above	70%
Upper endoscopy (EGD), diagnostic CPT 43235 EGD DCAA	$1,093.16	$3,643.85	$372.80–$1,467.00	13% above	70%
Upper endoscopy (EGD), diagnostic CPT 43235 EGD DCBA	$1,093.16	$3,643.85	$372.80–$1,467.00	13% above	70%
Upper endoscopy (EGD), diagnostic CPT 43235 EGD FLEX W/WO BRUSH/WASH	$1,093.16	$3,643.85	$372.80–$1,467.00	13% above	70%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Tennessee	Off list
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD PRODUCT ADMINISTRATION	$375.00	$1,250.00	$30.61–$1,004.50	at median	70%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD PRODUCT ADMINISTRATION	$375.00	$1,250.00	$30.61–$1,004.50	at median	70%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD PRODUCT ADMINISTRATION	$375.00	$1,250.00	$30.61–$1,004.50	—	70%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AEROSOL TX	$72.00	$240.00	$12.53–$37.42	27% below	70%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AEROSOL TX	$72.00	$240.00	$12.53–$37.42	27% below	70%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 PAP INHALATION	$75.56	$251.85	$12.53–$37.42	23% below	70%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RC-AEROSOL TX	$75.56	$251.85	$12.53–$37.42	23% below	70%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RC-AEROSOL TX	$75.56	$251.85	$12.53–$37.42	23% below	70%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 PNEUMATIC NEB	$75.56	$251.85	$12.53–$37.42	23% below	70%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 PNEUMATIC NEB	$75.56	$251.85	$12.53–$37.42	23% below	70%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RC-SPUTUM INDUCTION	$75.56	$251.85	$12.53–$37.42	23% below	70%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RC-SPUTUM INDUCTION	$75.56	$251.85	$12.53–$37.42	23% below	70%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI VENT	$75.56	$251.85	$12.53–$37.42	23% below	70%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI VENT	$75.56	$251.85	$12.53–$37.42	23% below	70%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 PAP INHALATION	$75.56	$251.85	$12.53–$37.42	23% below	70%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AEROSOL TX	$72.00	$240.00	$12.53–$37.42	—	70%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 PNEUMATIC NEB	$75.56	$251.85	$12.53–$37.42	—	70%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MDI VENT	$75.56	$251.85	$12.53–$37.42	—	70%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RC-SPUTUM INDUCTION	$75.56	$251.85	$12.53–$37.42	—	70%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 PAP INHALATION	$75.56	$251.85	$12.53–$37.42	—	70%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RC-AEROSOL TX	$75.56	$251.85	$12.53–$37.42	—	70%
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE 30 TO 74 MIN	$976.02	$3,253.40	$326.00–$1,483.00	5% below	70%
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE 30 TO 74 MIN	$976.02	$3,253.40	$326.00–$1,483.00	5% below	70%
Critical care, first 30 to 74 minutes inpatient CPT 99291 CRITICAL CARE 30 TO 74 MIN	$976.02	$3,253.40	$326.00–$1,483.00	—	70%
EEG (brain wave test), awake and drowsy, routine CPT 95816 ROUTINE EEG	$297.48	$991.60	$40.40–$610.95	at median	70%
EEG (brain wave test), awake and drowsy, routine CPT 95816 ROUTINE EEG	$297.48	$991.60	$40.40–$610.95	at median	70%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 ROUTINE EEG	$297.48	$991.60	$40.40–$610.95	—	70%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 REPEAT EKG-DIFFERENT MD	$106.86	$356.20	$13.36–$181.66	at median	70%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG	$106.86	$356.20	$13.36–$181.66	at median	70%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 REPEAT EKG - SAME MD	$106.86	$356.20	$13.36–$181.66	at median	70%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 REPEAT EKG - DIFFERENT MD	$106.86	$356.20	$13.36–$181.66	at median	70%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 REPEAT EKG-SAME MD	$106.86	$356.20	$13.36–$181.66	at median	70%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 REPEAT EKG-DIFFERENT MD	$106.86	$356.20	$13.36–$181.66	at median	70%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG	$106.86	$356.20	$13.36–$181.66	at median	70%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 REPEAT EKG - SAME MD	$106.86	$356.20	$13.36–$181.66	at median	70%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 REPEAT EKG - DIFFERENT MD	$106.86	$356.20	$13.36–$181.66	at median	70%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 REPEAT EKG-SAME MD	$106.86	$356.20	$13.36–$181.66	at median	70%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 REPEAT EKG - SAME MD	$106.86	$356.20	$13.36–$181.66	—	70%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 REPEAT EKG-DIFFERENT MD	$106.86	$356.20	$13.36–$181.66	—	70%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 REPEAT EKG-SAME MD	$106.86	$356.20	$13.36–$181.66	—	70%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 REPEAT EKG - DIFFERENT MD	$106.86	$356.20	$13.36–$181.66	—	70%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG	$106.86	$356.20	$13.36–$181.66	—	70%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER CARE I	$207.69	$692.30	$19.26–$692.30	52% above	70%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER CARE I	$207.69	$692.30	$19.26–$692.30	52% above	70%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ER CARE I	$207.69	$692.30	$19.26–$692.30	—	70%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER CARE II	$573.00	$1,910.00	$37.71–$1,910.00	176% above	70%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER CARE II	$573.00	$1,910.00	$37.71–$1,910.00	176% above	70%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ER CARE II	$573.00	$1,910.00	$37.71–$1,910.00	—	70%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER CARE III	$735.00	$2,450.00	$56.40–$2,450.00	95% above	70%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER CARE III	$735.00	$2,450.00	$56.40–$2,450.00	95% above	70%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ER CARE III	$735.00	$2,450.00	$56.40–$2,450.00	—	70%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMER RM CARE IV	$945.00	$3,150.00	$107.34–$3,150.00	50% above	70%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMER RM CARE IV	$945.00	$3,150.00	$107.34–$3,150.00	50% above	70%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 EMER RM CARE IV	$945.00	$3,150.00	$107.34–$3,150.00	—	70%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMER RM CARE V	$960.02	$3,200.05	$158.13–$3,200.05	4% above	70%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMER RM CARE V	$960.02	$3,200.05	$158.13–$3,200.05	4% above	70%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 EMER RM CARE V	$960.02	$3,200.05	$158.13–$3,200.05	—	70%
Exercise stress test, tracing only, the hospital charge CPT 93017 STRESS TEST	$614.06	$2,046.85	$51.25–$1,043.89	81% above	70%
Exercise stress test, tracing only, the hospital charge CPT 93017 STRESS TEST	$614.06	$2,046.85	$51.25–$1,043.89	81% above	70%
Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIO STRESS	$713.28	$2,377.60	$51.25–$1,212.58	111% above	70%
Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIO STRESS	$713.28	$2,377.60	$51.25–$1,212.58	111% above	70%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 STRESS TEST	$614.06	$2,046.85	$51.25–$1,043.89	—	70%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 CARDIO STRESS	$713.28	$2,377.60	$51.25–$1,212.58	—	70%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRAT INIT UP TO 1H	$148.43	$494.75	$36.35–$439.07	38% above	70%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 INFUSION HYDRATION INIT HOUR	$148.43	$494.75	$36.35–$439.07	38% above	70%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 INFUSION HYDRATION INIT HR	$148.43	$494.75	$36.35–$439.07	38% above	70%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 INFUSION HYDRATION INIT HR	$148.43	$494.75	$36.35–$439.07	38% above	70%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 INFUSION HYDRATION INIT HOUR	$148.43	$494.75	$36.35–$439.07	38% above	70%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRAT INIT UP TO 1H	$148.43	$494.75	$36.35–$439.07	38% above	70%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYDRAT INIT UP TO 1H	$148.43	$494.75	$36.35–$439.07	—	70%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 INFUSION HYDRATION INIT HR	$148.43	$494.75	$36.35–$439.07	—	70%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 INFUSION HYDRATION INIT HOUR	$148.43	$494.75	$36.35–$439.07	—	70%
IV infusion of a medicine, first hour CPT 96365 IV INITIAL UP TO 1 HOUR	$148.43	$494.75	$53.47–$95.00	at median	70%
IV infusion of a medicine, first hour CPT 96365 INFUSION INITIAL DRUG INIT HR	$148.43	$494.75	$53.47–$95.00	at median	70%
IV infusion of a medicine, first hour CPT 96365 INFUSION INITIAL DRUG INIT HR	$148.43	$494.75	$53.47–$95.00	at median	70%
IV infusion of a medicine, first hour CPT 96365 INFUSION INIT DRUG 1ST HOUR	$148.43	$494.75	$53.47–$87.00	at median	70%
IV infusion of a medicine, first hour CPT 96365 INFUSION INIT DRUG 1ST HOUR	$148.43	$494.75	$53.47–$87.00	at median	70%
IV infusion of a medicine, first hour CPT 96365 IV INITIAL UP TO 1 HOUR	$148.43	$494.75	$53.47–$95.00	at median	70%
IV infusion of a medicine, first hour CPT 96365 INFUSION INIT DRUG INIT HOUR	$148.43	$494.75	$53.47–$87.00	at median	70%
IV infusion of a medicine, first hour CPT 96365 INFUSION INIT DRUG INIT HOUR	$148.43	$494.75	$53.47–$87.00	at median	70%
IV infusion of a medicine, first hour inpatient CPT 96365 INFUSION INIT DRUG 1ST HOUR	$148.43	$494.75	$53.47–$87.00	—	70%
IV infusion of a medicine, first hour inpatient CPT 96365 IV INITIAL UP TO 1 HOUR	$148.43	$494.75	$53.47–$95.00	—	70%
IV infusion of a medicine, first hour inpatient CPT 96365 INFUSION INIT DRUG INIT HOUR	$148.43	$494.75	$53.47–$87.00	—	70%
IV infusion of a medicine, first hour inpatient CPT 96365 INFUSION INITIAL DRUG INIT HR	$148.43	$494.75	$53.47–$95.00	—	70%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION THERAPEUTIC SUBQ/IM	$55.98	$186.60	$16.71–$95.00	at median	70%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION THERAPEUTIC SUBQ/IM	$55.98	$186.60	$16.71–$95.00	at median	70%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM ADMINISTRATION ANTIBIOTIC	$56.00	$186.65	$16.71–$87.00	at median	70%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION IM OR SQ	$56.00	$186.65	$16.71–$95.00	at median	70%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM ADMINISTRATION ANTIBIOTIC	$56.00	$186.65	$16.71–$87.00	at median	70%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM SQ ADMINISTRATION	$56.00	$186.65	$16.71–$95.00	at median	70%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION IM OR SQ	$56.00	$186.65	$16.71–$95.00	at median	70%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM SQ ADMINISTRATION	$56.00	$186.65	$16.71–$95.00	at median	70%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION THERAPEUTIC SUBQ/IM	$55.98	$186.60	$16.71–$95.00	—	70%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 IM SQ ADMINISTRATION	$56.00	$186.65	$16.71–$95.00	—	70%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION IM OR SQ	$56.00	$186.65	$16.71–$95.00	—	70%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 IM ADMINISTRATION ANTIBIOTIC	$56.00	$186.65	$16.71–$87.00	—	70%
Neuromuscular re-education, 15 minutes CPT 97112 COTA NEUROMUSCULAR RE-ED	$42.80	$142.65	$15.11–$73.03	8% below	70%
Neuromuscular re-education, 15 minutes CPT 97112 COTA NEUROMUSCULAR RE-ED	$42.80	$142.65	$15.11–$73.03	8% below	70%
Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSC REEDUCT 15 MIN PT	$44.01	$146.70	$15.11–$73.03	6% below	70%
Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSC REEDUCT 15 MIN OT	$44.01	$146.70	$15.11–$73.03	6% below	70%
Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSC REEDUCT 15 MIN PT	$44.01	$146.70	$15.11–$73.03	6% below	70%
Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSC REEDUCT 15 MIN OT	$44.01	$146.70	$15.11–$73.03	6% below	70%
Neuromuscular re-education, 15 minutes CPT 97112 PTA NEUROMUSCULAR RE-ED	$46.65	$155.50	$15.11–$73.03	at median	70%
Neuromuscular re-education, 15 minutes CPT 97112 PTA NEUROMUSCULAR RE-ED	$46.65	$155.50	$15.11–$73.03	at median	70%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 COTA NEUROMUSCULAR RE-ED	$42.80	$142.65	$15.11–$73.03	—	70%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUROMUSC REEDUCT 15 MIN PT	$44.01	$146.70	$15.11–$73.03	—	70%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUROMUSC REEDUCT 15 MIN OT	$44.01	$146.70	$15.11–$73.03	—	70%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 PTA NEUROMUSCULAR RE-ED	$46.65	$155.50	$15.11–$73.03	—	70%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MNT INIT IND EA 15 MIN	$28.62	$95.40	$15.83–$76.31	8% above	70%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MNT INIT IND EA 15 MIN	$28.62	$95.40	$15.83–$76.31	8% above	70%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 MNT INIT IND EA 15 MIN	$28.62	$95.40	$15.83–$76.31	—	70%
Occupational therapy evaluation, low complexity CPT 97165 OT EVALUATION LOW COMPLEXITY	$129.60	$432.00	$64.77–$170.98	3% below	70%
Occupational therapy evaluation, low complexity CPT 97165 OT EVALUATION LOW COMPLEXITY	$129.60	$432.00	$64.77–$170.98	3% below	70%
Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVALUATION LOW COMPLEXITY	$129.60	$432.00	$64.77–$170.98	—	70%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVALUATION HIGH COMPLEXITY	$129.60	$432.00	$66.74–$176.18	at median	70%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVALUATION HIGH COMPLEXITY	$129.60	$432.00	$66.74–$176.18	at median	70%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVALUATION HIGH COMPLEXITY	$129.60	$432.00	$66.74–$176.18	—	70%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVALUATION LOW COMPLEXITY	$129.60	$432.00	$66.74–$176.18	2% above	70%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVALUATION LOW COMPLEXITY	$129.60	$432.00	$66.74–$176.18	2% above	70%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVALUATION LOW COMPLEXITY	$129.60	$432.00	$66.74–$176.18	—	70%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVALUATION MODERATE COMPLEX	$129.60	$432.00	$66.74–$176.18	at median	70%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVALUATION MODERATE COMPLEX	$129.60	$432.00	$66.74–$176.18	at median	70%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVALUATION MODERATE COMPLEX	$129.60	$432.00	$66.74–$176.18	—	70%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 COTA MANUAL THERAPY	$42.78	$142.60	$19.99–$65.46	8% below	70%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 COTA MANUAL THERAPY	$42.78	$142.60	$19.99–$65.46	8% below	70%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PTA MANUAL THERAPY	$52.62	$175.40	$19.99–$65.46	13% above	70%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PTA MANUAL THERAPY	$52.62	$175.40	$19.99–$65.46	13% above	70%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THER TECH 15 MIN OT	$54.83	$182.75	$19.99–$65.46	18% above	70%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THER TECH 15 MIN OT	$54.83	$182.75	$19.99–$65.46	18% above	70%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THER TECH 15 MIN PT	$54.83	$182.75	$19.99–$65.46	18% above	70%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THER TECH 15 MIN PT	$54.83	$182.75	$19.99–$65.46	18% above	70%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 COTA MANUAL THERAPY	$42.78	$142.60	$19.99–$65.46	—	70%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PTA MANUAL THERAPY	$52.62	$175.40	$19.99–$65.46	—	70%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THER TECH 15 MIN OT	$54.83	$182.75	$19.99–$65.46	—	70%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THER TECH 15 MIN PT	$54.83	$182.75	$19.99–$65.46	—	70%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 COTA THERAPEUTIC EXERCISE	$42.78	$142.60	$20.30–$70.06	9% below	70%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 COTA THERAPEUTIC EXERCISE	$42.78	$142.60	$20.30–$70.06	9% below	70%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PTA THER EXERCISE	$46.82	$156.05	$20.30–$70.06	at median	70%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PTA THER EXERCISE	$46.82	$156.05	$20.30–$70.06	at median	70%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THER EXERCISES 15 MIN PT	$53.57	$178.55	$20.30–$70.06	14% above	70%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THER EXERCISES 15 MIN PT	$53.57	$178.55	$20.30–$70.06	14% above	70%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THER EXERCISES 15 MIN OT	$53.57	$178.55	$20.30–$70.06	14% above	70%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THER EXERCISES 15 MIN OT	$53.57	$178.55	$20.30–$70.06	14% above	70%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 COTA THERAPEUTIC EXERCISE	$42.78	$142.60	$20.30–$70.06	—	70%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PTA THER EXERCISE	$46.82	$156.05	$20.30–$70.06	—	70%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THER EXERCISES 15 MIN PT	$53.57	$178.55	$20.30–$70.06	—	70%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THER EXERCISES 15 MIN OT	$53.57	$178.55	$20.30–$70.06	—	70%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKING CESSATION <10 MIN	$20.19	$67.30	$10.48–$30.98	28% below	70%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKING CESSATION <10 MIN	$20.19	$67.30	$10.48–$30.98	28% below	70%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 SMOKING CESSATION <10 MIN	$20.19	$67.30	$10.48–$30.98	—	70%
Speech and language evaluation CPT 92523 SP/EVAL SND W/ LANG EVAL	$148.26	$494.20	$159.52–$421.11	20% below	70%
Speech and language evaluation CPT 92523 SP/EVAL SND W/ LANG EVAL	$148.26	$494.20	$159.52–$421.11	20% below	70%
Speech and language evaluation inpatient CPT 92523 SP/EVAL SND W/ LANG EVAL	$148.26	$494.20	$159.52–$421.11	—	70%
Speech therapy session, individual CPT 92507 TX SPEECH INDIVIDUAL SP	$76.77	$255.90	$28.05–$175.24	44% below	70%
Speech therapy session, individual CPT 92507 TX SPEECH INDIVIDUAL SP	$76.77	$255.90	$28.05–$175.24	44% below	70%
Speech therapy session, individual inpatient CPT 92507 TX SPEECH INDIVIDUAL SP	$76.77	$255.90	$28.05–$175.24	—	70%
Spirometry (breathing test) CPT 94010 PFT	$170.06	$566.85	$12.81–$56.67	56% above	70%
Spirometry (breathing test) CPT 94010 PFT	$170.06	$566.85	$12.81–$56.67	56% above	70%
Spirometry (breathing test) inpatient CPT 94010 PFT	$170.06	$566.85	$12.81–$56.67	—	70%
Spirometry before and after a bronchodilator CPT 94060 PFT PRE/POST	$536.34	$1,787.80	$28.35–$98.10	108% above	70%
Spirometry before and after a bronchodilator CPT 94060 PFT PRE/POST	$536.34	$1,787.80	$28.35–$98.10	108% above	70%
Spirometry before and after a bronchodilator inpatient CPT 94060 PFT PRE/POST	$536.34	$1,787.80	$28.35–$98.10	—	70%
Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPUTIC ACTIVITY EA 15 MINS	$35.75	$119.15	$22.01–$75.90	23% below	70%
Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPUTIC ACTIVITY EA 15 MINS	$35.75	$119.15	$22.01–$75.90	23% below	70%
Therapeutic activities (functional training), 15 minutes CPT 97530 COTA THER ACTIVITY	$40.92	$136.40	$22.01–$75.90	12% below	70%
Therapeutic activities (functional training), 15 minutes CPT 97530 COTA THER ACTIVITY	$40.92	$136.40	$22.01–$75.90	12% below	70%
Therapeutic activities (functional training), 15 minutes CPT 97530 PTA THER ACTIVITY	$46.82	$156.05	$22.01–$75.90	1% above	70%
Therapeutic activities (functional training), 15 minutes CPT 97530 PTA THER ACTIVITY	$46.82	$156.05	$22.01–$75.90	1% above	70%
Therapeutic activities (functional training), 15 minutes CPT 97530 THER ACTIV DIR 15 MIN OT	$58.22	$194.05	$22.01–$75.90	26% above	70%
Therapeutic activities (functional training), 15 minutes CPT 97530 THER ACTIV DIR 15 MIN OT	$58.22	$194.05	$22.01–$75.90	26% above	70%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPUTIC ACTIVITY EA 15 MINS	$35.75	$119.15	$22.01–$75.90	—	70%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 COTA THER ACTIVITY	$40.92	$136.40	$22.01–$75.90	—	70%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PTA THER ACTIVITY	$46.82	$156.05	$22.01–$75.90	—	70%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THER ACTIV DIR 15 MIN OT	$58.22	$194.05	$22.01–$75.90	—	70%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Tennessee	Off list
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 SPIKEVAX VAC 50 MCG/0.5ML IM	$275.10	$917.00	$178.02–$313.73	at median	70%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 COMIRNATY VAC 30MCG TRS-SUC IM	$247.16	$823.85	$159.94–$281.87	49% above	70%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUENZA VACC (FLULAVAL)	$18.36	$61.20	$6.19–$35.26	40% below	70%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUENZA VACC (FLULAVAL)	$18.36	$61.20	$6.19–$35.26	40% below	70%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUENZA VIRUS VACC (FLUZONE)	$44.18	$147.25	$6.19–$35.26	45% above	70%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUENZA VIRUS VACC (FLUZONE)	$44.18	$147.25	$6.19–$35.26	45% above	70%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 INFLUENZA VACC (FLULAVAL)	$18.36	$61.20	$6.19–$35.26	—	70%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 INFLUENZA VIRUS VACC (FLUZONE)	$44.18	$147.25	$6.19–$35.26	—	70%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 INFLUENZA VACC (FLUZONE HD)	$157.41	$524.70	$15.46–$157.81	84% above	70%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 INFLUENZA VACC (FLUZONE HD)	$157.41	$524.70	$15.46–$157.81	84% above	70%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 INFLUENZA VACC (FLUZONE HD)	$157.41	$524.70	$15.46–$157.81	—	70%
Rabies vaccine, one dose CPT 90675 RABIES VAC CHICK 2.5 UNITS	$889.58	$2,965.25	$98.42–$727.75	64% above	70%
Rabies vaccine, one dose CPT 90675 RABIES VAC CHICK 2.5 UNITS	$889.58	$2,965.25	$98.42–$727.75	64% above	70%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VAC CHICK 2.5 UNITS	$889.58	$2,965.25	$98.42–$727.75	—	70%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 BOOSTRIX (TET-DIP-PERT)VACCINE	$101.06	$336.85	$46.71–$82.32	18% above	70%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 BOOSTRIX (TET-DIP-PERT)VACCINE	$101.06	$336.85	$46.71–$82.32	18% above	70%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 BOOSTRIX (TET-DIP-PERT)VACCINE	$101.06	$336.85	$46.71–$82.32	—	70%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VACCINE ADMIN INITIAL	$43.88	$146.25	$4.06–$52.92	33% above	70%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VACCINE ADMIN INITIAL	$43.88	$146.25	$4.06–$52.92	33% above	70%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION TETANUS	$43.88	$146.25	$4.06–$52.92	33% above	70%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION RABIES	$43.88	$146.25	$4.06–$52.92	33% above	70%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION TETANUS	$43.88	$146.25	$4.06–$52.92	33% above	70%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION RABIES	$43.88	$146.25	$4.06–$52.92	33% above	70%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION RABIES	$43.88	$146.25	$4.06–$52.92	—	70%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 VACCINE ADMIN INITIAL	$43.88	$146.25	$4.06–$52.92	—	70%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION TETANUS	$43.88	$146.25	$4.06–$52.92	—	70%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 VACCINE ADMIN EA ADDITIONAL	$43.89	$146.30	$4.57–$26.84	42% above	70%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 VACCINE ADMIN EACH ADDL	$43.89	$146.30	$4.57–$26.84	42% above	70%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 VACCINE ADMIN EACH ADDL	$43.89	$146.30	$4.57–$26.84	42% above	70%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 VACCINE ADMIN EA ADDITIONAL	$43.89	$146.30	$4.57–$26.84	42% above	70%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 VACCINE ADMIN EACH ADDL	$43.89	$146.30	$4.57–$26.84	—	70%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 VACCINE ADMIN EA ADDITIONAL	$43.89	$146.30	$4.57–$26.84	—	70%

Source file: https://healthcare.ascension.org/-/media/project/ascension/healthcare/price-transparency-files/tn-csv/620475842_saint-thomas-stones-river-hospital-llc_standardcharges.csv