Hospital Bangor, ME

Northern Light Eastern Maine Medical Center

Listed in its price file as “Eastern Maine Medical Center”.

Northern Light Eastern Maine Medical Center in Bangor, ME publishes cash prices for 443 common procedures listed here, from its own machine-readable price file updated Feb 3, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Maine median for 415 of 431 procedures and above it for 10. By typical cash price it ranks #3 of 28 Maine hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.

489 State St Bangor, ME 04401 Collected Sep 22, 2026 Source price file Check a bill from this hospital (207) 973-7000

Acute care hospital Nonprofit hospital Emergency department CMS star rating 5 of 5 CCN 200033 · CMS hospital register NPI 1790789147

Financial assistance

Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply

Northern Light Eastern Maine Medical Center is a nonprofit hospital in the CMS register. Under section 501(r) of the federal tax code it must have a written Financial Assistance Policy with a free application, publish both on its website, and charge patients who qualify no more than the amounts generally billed to insured patients for emergency and other medically necessary care. Who qualifies depends on household income; the policy states the limits.

You can apply up to 240 days after the first bill. Before collection actions such as credit reporting or a lawsuit, the hospital must tell you about the policy and wait at least 120 days after that bill. Ask the billing office for the policy and the application before you pay, or search the hospital's website for “financial assistance”. Letters you can copy.

Source: IRS, section 501(r) requirements for nonprofit hospitals.

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Maine	Off list
Abdominal CT scan without and with contrast CPT 74170 CT ABDOMEN W/ AND W/O CONTRAST	$347.13	$1,653.00	$841.38–$1,335.62	75% below	79%
Abdominal CT scan without and with contrast inpatient CPT 74170 CT ABDOMEN W/ AND W/O CONTRAST	$347.13	$1,653.00	$1,074.45–$1,233.14	—	79%
Abdominal X-ray, 2 views CPT 74019 ABDOMEN OBLIQUE AND CONE	$101.43	$483.00	$245.85–$390.26	58% below	79%
Abdominal X-ray, 2 views CPT 74019 ABDOMEN COMPLETE	$101.43	$483.00	$245.85–$390.26	58% below	79%
Abdominal X-ray, 2 views CPT 74019 ABDOMEN OBL & CONED	$101.43	$483.00	$245.85–$390.26	58% below	79%
Abdominal X-ray, 2 views inpatient CPT 74019 ABDOMEN OBL & CONED	$101.43	$483.00	$313.95–$360.32	—	79%
Abdominal X-ray, 2 views inpatient CPT 74019 ABDOMEN COMPLETE	$101.43	$483.00	$313.95–$360.32	—	79%
Abdominal X-ray, 2 views inpatient CPT 74019 ABDOMEN OBLIQUE AND CONE	$101.43	$483.00	$313.95–$360.32	—	79%
Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE XRAY MIN 3 VIEWS RT	$81.27	$387.00	$196.98–$312.70	62% below	79%
Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE MIN 3 VIEWS LT	$81.27	$387.00	$196.98–$312.70	62% below	79%
Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE XRAY MIN 3 VIEWS LT	$81.27	$387.00	$196.98–$312.70	62% below	79%
Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE MIN 3 VIEWS RT	$81.27	$387.00	$196.98–$312.70	62% below	79%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 ANKLE MIN 3 VIEWS RT	$81.27	$387.00	$251.55–$288.70	—	79%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 ANKLE MIN 3 VIEWS LT	$81.27	$387.00	$251.55–$288.70	—	79%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 ANKLE XRAY MIN 3 VIEWS RT	$81.27	$387.00	$251.55–$288.70	—	79%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 ANKLE XRAY MIN 3 VIEWS LT	$81.27	$387.00	$251.55–$288.70	—	79%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 PVR SING LVL, INTRA OP, POST	$93.03	$443.00	$225.49–$357.94	36% below	79%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 PVR SING LVL, INTRA OP, POST	$93.03	$443.00	$287.95–$330.48	—	79%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT EXTREMITY UPPER LT	$195.09	$929.00	$472.86–$750.63	83% below	79%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT EXTREMITY UPPER RT	$195.09	$929.00	$472.86–$750.63	83% below	79%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT EXTREMITY UPPER LT	$195.09	$929.00	$603.85–$693.03	—	79%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT EXTREMITY UPPER RT	$195.09	$929.00	$603.85–$693.03	—	79%
Barium swallow (esophagus X-ray with contrast) CPT 74220 ESOPHAGUS	$164.22	$782.00	$398.04–$631.86	54% below	79%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 ESOPHAGUS	$164.22	$782.00	$508.30–$583.37	—	79%
Bone scan, whole body (nuclear medicine) CPT 78306 BONE SCAN	$368.13	$1,753.00	$892.28–$1,416.42	69% below	79%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 BONE SCAN	$368.13	$1,753.00	$1,139.45–$1,307.74	—	79%
Breast ultrasound, complete, one breast CPT 76641 HC BPS U/S BREAST COMPLETE	$154.35	$735.00	$374.12–$593.88	24% below	79%
Breast ultrasound, complete, one breast CPT 76641 U/S BREAST COMPLETE	$201.18	$958.00	$487.62–$774.06	1% below	79%
Breast ultrasound, complete, one breast one side CPT 76641 HC U/S BREAST COMPLETE-RIGHT	$154.35	$735.00	$374.12–$593.88	24% below	79%
Breast ultrasound, complete, one breast one side CPT 76641 BREAST SONOGRAM COMPLETE RT	$154.35	$735.00	$374.12–$593.88	24% below	79%
Breast ultrasound, complete, one breast one side CPT 76641 BREAST SONOGRAM COMPLETE LT	$154.35	$735.00	$374.12–$593.88	24% below	79%
Breast ultrasound, complete, one breast one side CPT 76641 HC U/S BREAST COMPLETE-LEFT	$154.35	$735.00	$374.12–$593.88	24% below	79%
Breast ultrasound, complete, one breast inpatient CPT 76641 HC BPS U/S BREAST COMPLETE	$154.35	$735.00	$477.75–$548.31	—	79%
Breast ultrasound, complete, one breast inpatient CPT 76641 U/S BREAST COMPLETE	$201.18	$958.00	$622.70–$714.67	—	79%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 HC U/S BREAST COMPLETE-RIGHT	$154.35	$735.00	$477.75–$548.31	—	79%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 HC U/S BREAST COMPLETE-LEFT	$154.35	$735.00	$477.75–$548.31	—	79%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 BREAST SONOGRAM COMPLETE LT	$154.35	$735.00	$477.75–$548.31	—	79%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 BREAST SONOGRAM COMPLETE RT	$154.35	$735.00	$477.75–$548.31	—	79%
Breast ultrasound, limited (one breast or one area) CPT 76642 HC BPS U/S BREAST LIMITED	$119.70	$570.00	$290.13–$460.56	49% below	79%
Breast ultrasound, limited (one breast or one area) CPT 76642 HC ULTRASOUND BREAST LMTD-BIL	$119.70	$570.00	$290.13–$460.56	49% below	79%
Breast ultrasound, limited (one breast or one area) CPT 76642 U/S BREAST LIMITED	$149.31	$711.00	$361.90–$574.49	37% below	79%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 BREAST SONOGRAM LIMITED LT	$119.70	$570.00	$290.13–$460.56	49% below	79%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 HC U/S BREAST LIMITED-LEFT	$119.70	$570.00	$290.13–$460.56	49% below	79%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 HC POCUS U/S BREAST LMTD-LT	$119.70	$570.00	$290.13–$460.56	49% below	79%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 HC POCUS U/S BREAST LMTD-RT	$119.70	$570.00	$290.13–$460.56	49% below	79%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 HC U/S BREAST LIMITED-RIGHT	$119.70	$570.00	$290.13–$460.56	49% below	79%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 BREAST SONOGRAM LIMITED RT	$119.70	$570.00	$290.13–$460.56	49% below	79%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 HC BPS U/S BREAST LIMITED	$119.70	$570.00	$370.50–$425.22	—	79%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 HC ULTRASOUND BREAST LMTD-BIL	$119.70	$570.00	$370.50–$425.22	—	79%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 U/S BREAST LIMITED	$149.31	$711.00	$462.15–$530.41	—	79%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 BREAST SONOGRAM LIMITED RT	$119.70	$570.00	$370.50–$425.22	—	79%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 HC POCUS U/S BREAST LMTD-RT	$119.70	$570.00	$370.50–$425.22	—	79%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 HC POCUS U/S BREAST LMTD-LT	$119.70	$570.00	$370.50–$425.22	—	79%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 HC U/S BREAST LIMITED-LEFT	$119.70	$570.00	$370.50–$425.22	—	79%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 HC U/S BREAST LIMITED-RIGHT	$119.70	$570.00	$370.50–$425.22	—	79%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 BREAST SONOGRAM LIMITED LT	$119.70	$570.00	$370.50–$425.22	—	79%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA ABDOMEN/PELVIS W &WO CONTR	$828.87	$3,947.00	$2,009.02–$3,189.18	46% below	79%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CTA ABDOMEN/PELVIS W &WO CONTR	$828.87	$3,947.00	$2,565.55–$2,944.46	—	79%
CT angiography (CTA) of the head CPT 70496 CTA HEAD W & WO CONTRAST	$417.48	$1,988.00	$1,011.89–$1,606.30	73% below	79%
CT angiography (CTA) of the head inpatient CPT 70496 CTA HEAD W & WO CONTRAST	$417.48	$1,988.00	$1,292.20–$1,483.05	—	79%
CT angiography (CTA) of the neck CPT 70498 CTA NECK W & WO CONTRAST	$335.16	$1,596.00	$812.36–$1,289.57	79% below	79%
CT angiography (CTA) of the neck inpatient CPT 70498 CTA NECK W & WO CONTRAST	$335.16	$1,596.00	$1,037.40–$1,190.62	—	79%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST W & WO CONTRAST	$543.69	$2,589.00	$1,317.80–$2,091.91	70% below	79%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA CHEST W & WO CONTRAST	$543.69	$2,589.00	$1,682.85–$1,931.39	—	79%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CTA CORONARY ARTERY	$380.52	$1,812.00	$922.31–$1,464.10	28% below	79%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CTA CORONARY ARTERY	$380.52	$1,812.00	$1,177.80–$1,351.75	—	79%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT CORONARY CALCIUM SCORING	$62.16	$296.00	$150.66–$239.17	53% below	79%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT CORONARY CALCIUM SCORING	$62.16	$296.00	$192.40–$220.82	—	79%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD/PELV W/O CONTRAST	$365.19	$1,739.00	$885.15–$1,405.11	74% below	79%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABD/PELV W/O CONTRAST	$365.19	$1,739.00	$1,130.35–$1,297.29	—	79%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD/PELV WITH CONTRAST	$763.35	$3,635.00	$1,850.22–$2,937.08	62% below	79%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD/PELV WITH CONTRAST	$763.35	$3,635.00	$2,362.75–$2,711.71	—	79%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD W/WO CONTR PELV W/CONTR	$789.39	$3,759.00	$1,913.33–$3,037.27	64% below	79%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD/PELV W/O & WITH CONTRST	$789.39	$3,759.00	$1,913.33–$3,037.27	64% below	79%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABD W/WO CONTR PELV W/CONTR	$789.39	$3,759.00	$2,443.35–$2,804.21	—	79%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABD/PELV W/O & WITH CONTRST	$789.39	$3,759.00	$2,443.35–$2,804.21	—	79%
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN WITH CONTRAST	$313.53	$1,493.00	$759.94–$1,206.34	72% below	79%
CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN WITH CONTRAST	$313.53	$1,493.00	$970.45–$1,113.78	—	79%
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O CONTRAST	$183.12	$872.00	$443.85–$704.58	78% below	79%
CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN W/O CONTRAST	$183.12	$872.00	$566.80–$650.51	—	79%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL W/O CONTRAST	$183.12	$872.00	$443.85–$704.58	79% below	79%
CT scan of the face and sinuses, no contrast dye CPT 70486 XR MAXILLOFACIAL CONE BEAM	$183.12	$872.00	$443.85–$704.58	79% below	79%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 XR MAXILLOFACIAL CONE BEAM	$183.12	$872.00	$566.80–$650.51	—	79%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MAXILLOFACIAL W/O CONTRAST	$183.12	$872.00	$566.80–$650.51	—	79%
CT scan of the head or brain, no contrast dye CPT 70450 CT BRAIN	$305.76	$1,456.00	$741.10–$1,176.45	69% below	79%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT BRAIN	$305.76	$1,456.00	$946.40–$1,086.18	—	79%
CT scan of the head with contrast CPT 70460 CT BRAIN W/CONTRAST	$322.35	$1,535.00	$781.32–$1,240.28	70% below	79%
CT scan of the head with contrast inpatient CPT 70460 CT BRAIN W/CONTRAST	$322.35	$1,535.00	$997.75–$1,145.11	—	79%
CT scan of the head without and with contrast CPT 70470 CT BRAIN WITH & W/O CONTRAST	$379.47	$1,807.00	$919.76–$1,460.06	74% below	79%
CT scan of the head without and with contrast inpatient CPT 70470 CT BRAIN WITH & W/O CONTRAST	$379.47	$1,807.00	$1,174.55–$1,348.02	—	79%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT SPINE LUMBAR	$183.12	$872.00	$443.85–$704.58	81% below	79%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT SPINE LUMBAR	$183.12	$872.00	$566.80–$650.51	—	79%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT SPINE CERVICAL	$183.12	$872.00	$443.85–$704.58	81% below	79%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT SPINE CERVICAL	$183.12	$872.00	$566.80–$650.51	—	79%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/CONTRAST	$334.95	$1,595.00	$811.86–$1,288.76	67% below	79%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W/CONTRAST	$334.95	$1,595.00	$1,036.75–$1,189.87	—	79%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 CAROTID ARTERY SONOGRAM BILAT	$219.87	$1,047.00	$532.92–$845.98	—	79%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 DUPLEX EXTRACRANIAL ART COM BI	$219.87	$1,047.00	$532.92–$845.98	—	79%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 DUPLEX EXTRACRANIAL ART COM BI	$219.87	$1,047.00	$680.55–$781.06	—	79%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 CAROTID ARTERY SONOGRAM BILAT	$219.87	$1,047.00	$680.55–$781.06	—	79%
Chest CT scan without and with contrast CPT 71270 CT CHEST W/ AND W/O CONTRAST	$438.27	$2,087.00	$1,062.28–$1,686.30	74% below	79%
Chest CT scan without and with contrast inpatient CPT 71270 CT CHEST W/ AND W/O CONTRAST	$438.27	$2,087.00	$1,356.55–$1,556.90	—	79%
Chest X-ray, 2 views CPT 71046 CHEST,TWO VIEWS	$102.90	$490.00	$249.41–$395.92	51% below	79%
Chest X-ray, 2 views CPT 71046 CHEST 2 VIEWS	$102.90	$490.00	$249.41–$395.92	51% below	79%
Chest X-ray, 2 views inpatient CPT 71046 CHEST 2 VIEWS	$102.90	$490.00	$318.50–$365.54	—	79%
Chest X-ray, 2 views inpatient CPT 71046 CHEST,TWO VIEWS	$102.90	$490.00	$318.50–$365.54	—	79%
Chest X-ray, single view CPT 71045 CHEST, SINGLE VIEW	$83.16	$396.00	$201.56–$319.97	59% below	79%
Chest X-ray, single view CPT 71045 CHEST SINGLE VIEW	$83.16	$396.00	$201.56–$319.97	59% below	79%
Chest X-ray, single view inpatient CPT 71045 CHEST SINGLE VIEW	$83.16	$396.00	$257.40–$295.42	—	79%
Chest X-ray, single view inpatient CPT 71045 CHEST, SINGLE VIEW	$83.16	$396.00	$257.40–$295.42	—	79%
Collarbone (clavicle) X-ray, complete one side CPT 73000 CLAVICLE RT	$81.27	$387.00	$196.98–$312.70	63% below	79%
Collarbone (clavicle) X-ray, complete one side CPT 73000 CLAVICLE XRAY LT	$81.27	$387.00	$196.98–$312.70	63% below	79%
Collarbone (clavicle) X-ray, complete one side CPT 73000 CLAVICLE XRAY	$81.27	$387.00	$196.98–$312.70	63% below	79%
Collarbone (clavicle) X-ray, complete one side CPT 73000 CLAVICLE LT	$81.27	$387.00	$196.98–$312.70	63% below	79%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 CLAVICLE LT	$81.27	$387.00	$251.55–$288.70	—	79%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 CLAVICLE XRAY LT	$81.27	$387.00	$251.55–$288.70	—	79%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 CLAVICLE RT	$81.27	$387.00	$251.55–$288.70	—	79%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 CLAVICLE XRAY	$81.27	$387.00	$251.55–$288.70	—	79%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US EXAM ABDO BACK WALL-OFC	$178.71	$851.00	$433.16–$687.61	61% below	79%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US EXAM ABDO BACK WALL-OFC	$178.71	$851.00	$553.15–$634.85	—	79%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA BONE DENSITOMETRY AXIAL	$98.28	$468.00	$238.21–$378.14	61% below	79%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 DXA BONE DENSITOMETRY AXIAL	$98.28	$468.00	$304.20–$349.13	—	79%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DXA BONE DENSITOMETRY PERIPH	$74.76	$356.00	$181.20–$287.65	54% below	79%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 DXA BONE DENSITOMETRY PERIPH	$74.76	$356.00	$231.40–$265.58	—	79%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 OB PREG COMPLETE	$218.82	$1,042.00	$530.38–$841.94	47% below	79%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US PREGNANT UTERUS-FULL	$218.82	$1,042.00	$530.38–$841.94	47% below	79%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 OB PREG US COMPLETE	$218.82	$1,042.00	$530.38–$841.94	47% below	79%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 OB PREG COMPLETE	$218.82	$1,042.00	$677.30–$777.33	—	79%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 US PREGNANT UTERUS-FULL	$218.82	$1,042.00	$677.30–$777.33	—	79%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 OB PREG US COMPLETE	$218.82	$1,042.00	$677.30–$777.33	—	79%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST W/O CONTRAST DIAGNST	$183.12	$872.00	$443.85–$704.58	81% below	79%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST W/O CONTRAST DIAGNST	$183.12	$872.00	$566.80–$650.51	—	79%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W/CONTRAST DIAGNST	$313.53	$1,493.00	$759.94–$1,206.34	76% below	79%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST W/CONTRAST DIAGNST	$313.53	$1,493.00	$970.45–$1,113.78	—	79%
Diagnostic mammogram, both breasts both sides CPT 77066 DX DIGITAL MAMMO BILAT	$132.72	$632.00	$321.69–$510.66	—	79%
Diagnostic mammogram, both breasts CPT 77066 DX DIGITAL MAMMO BIL	$132.72	$632.00	$321.69–$510.66	32% below	79%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 DX DIGITAL MAMMO BILAT	$132.72	$632.00	$410.80–$471.47	—	79%
Diagnostic mammogram, both breasts inpatient CPT 77066 DX DIGITAL MAMMO BIL	$132.72	$632.00	$410.80–$471.47	—	79%
Diagnostic mammogram, one breast one side CPT 77065 DX MAMMO INCL CAD UNI-LT	$103.74	$494.00	$251.45–$399.15	34% below	79%
Diagnostic mammogram, one breast one side CPT 77065 DX MAMMO INCL CAD UNI-RT	$103.74	$494.00	$251.45–$399.15	34% below	79%
Diagnostic mammogram, one breast inpatient one side CPT 77065 DX MAMMO INCL CAD UNI-LT	$103.74	$494.00	$321.10–$368.52	—	79%
Diagnostic mammogram, one breast inpatient one side CPT 77065 DX MAMMO INCL CAD UNI-RT	$103.74	$494.00	$321.10–$368.52	—	79%
Duplex ultrasound of the leg arteries, both legs CPT 93925 EXT ART LOWER COMPLETE	$218.82	$1,042.00	$530.38–$841.94	41% below	79%
Duplex ultrasound of the leg arteries, both legs CPT 93925 US EXT ART LOWER COMPLETE	$218.82	$1,042.00	$530.38–$841.94	41% below	79%
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 US EXT ART LOWER COMPLETE	$218.82	$1,042.00	$677.30–$777.33	—	79%
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 EXT ART LOWER COMPLETE	$218.82	$1,042.00	$677.30–$777.33	—	79%
Duplex ultrasound of the leg veins, both legs CPT 93970 DUPLEX EXT VEINS COMPLETE	$223.86	$1,066.00	$542.59–$861.33	57% below	79%
Duplex ultrasound of the leg veins, both legs CPT 93970 ER EXTREMITY VEIN DUPLEX-TC	$223.86	$1,066.00	$542.59–$861.33	57% below	79%
Duplex ultrasound of the leg veins, both legs CPT 93970 US EXT VEINS COMPLETE	$223.86	$1,066.00	$542.59–$861.33	57% below	79%
Duplex ultrasound of the leg veins, both legs CPT 93970 HC DPLX EXT VNS COMP CMPL BIL	$223.86	$1,066.00	$542.59–$861.33	57% below	79%
Duplex ultrasound of the leg veins, both legs CPT 93970 EXT VEINS COMPLETE	$223.86	$1,066.00	$542.59–$861.33	57% below	79%
Duplex ultrasound of the leg veins, both legs CPT 93970 ERM EXTREMITY VEIN DUPLEX	$297.57	$1,417.00	$721.25–$1,144.94	42% below	79%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 DUPLEX EXT VEINS COMPLETE	$223.86	$1,066.00	$692.90–$795.24	—	79%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 HC DPLX EXT VNS COMP CMPL BIL	$223.86	$1,066.00	$692.90–$795.24	—	79%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 US EXT VEINS COMPLETE	$223.86	$1,066.00	$692.90–$795.24	—	79%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 EXT VEINS COMPLETE	$223.86	$1,066.00	$692.90–$795.24	—	79%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 ER EXTREMITY VEIN DUPLEX-TC	$223.86	$1,066.00	$692.90–$795.24	—	79%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 ERM EXTREMITY VEIN DUPLEX	$297.57	$1,417.00	$921.05–$1,057.08	—	79%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC TTE 2D W/O CT DOP/COL FLW	$567.00	$2,700.00	$1,374.30–$2,181.60	48% below	79%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC TTE 2D W/O CT DOP/COL FLW	$567.00	$2,700.00	$1,755.00–$2,014.20	—	79%
Elbow X-ray, 2 views one side CPT 73070 ELBOW LT 2 VIEWS	$76.86	$366.00	$186.29–$295.73	65% below	79%
Elbow X-ray, 2 views one side CPT 73070 ELBOW RT 2 VIEWS	$76.86	$366.00	$186.29–$295.73	65% below	79%
Elbow X-ray, 2 views inpatient one side CPT 73070 ELBOW RT 2 VIEWS	$76.86	$366.00	$237.90–$273.04	—	79%
Elbow X-ray, 2 views inpatient one side CPT 73070 ELBOW LT 2 VIEWS	$76.86	$366.00	$237.90–$273.04	—	79%
Elbow X-ray, complete, 3 or more views one side CPT 73080 ELBOW MIN 3 VIEWS LT	$81.27	$387.00	$196.98–$312.70	63% below	79%
Elbow X-ray, complete, 3 or more views one side CPT 73080 ELBOW MIN 3 VIEWS RT	$81.27	$387.00	$196.98–$312.70	63% below	79%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 ELBOW MIN 3 VIEWS LT	$81.27	$387.00	$251.55–$288.70	—	79%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 ELBOW MIN 3 VIEWS RT	$81.27	$387.00	$251.55–$288.70	—	79%
Eye socket (orbit) CT scan without contrast CPT 70480 CT ORBIT, EAR, SELLA	$183.12	$872.00	$443.85–$704.58	81% below	79%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT ORBIT, EAR, SELLA	$183.12	$872.00	$566.80–$650.51	—	79%
Facial bones X-ray, complete, 3 or more views CPT 70150 FACIAL/ORBIT MIN 3 VIEWS	$90.93	$433.00	$220.40–$349.86	60% below	79%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 FACIAL/ORBIT MIN 3 VIEWS	$90.93	$433.00	$281.45–$323.02	—	79%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 FOREARM LT 2 VIEWS	$81.27	$387.00	$196.98–$312.70	62% below	79%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 FOREARM RT 2 VIEWS	$81.27	$387.00	$196.98–$312.70	62% below	79%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 FOREARM LT 2 VIEWS	$81.27	$387.00	$251.55–$288.70	—	79%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 FOREARM RT 2 VIEWS	$81.27	$387.00	$251.55–$288.70	—	79%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HEPATOBILIARY SCAN	$368.13	$1,753.00	$892.28–$1,416.42	63% below	79%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HEPATOBILIARY SCAN	$368.13	$1,753.00	$1,139.45–$1,307.74	—	79%
Hand X-ray, 2 views one side CPT 73120 HAND 2 VIEWS LT	$57.33	$273.00	$138.96–$220.58	73% below	79%
Hand X-ray, 2 views one side CPT 73120 HAND 2 VIEWS RT	$57.33	$273.00	$138.96–$220.58	73% below	79%
Hand X-ray, 2 views one side CPT 73120 HAND LT 2 VIEWS	$57.33	$273.00	$138.96–$220.58	73% below	79%
Hand X-ray, 2 views one side CPT 73120 HAND RT 2 VIEWS	$57.33	$273.00	$138.96–$220.58	73% below	79%
Hand X-ray, 2 views inpatient one side CPT 73120 HAND 2 VIEWS RT	$57.33	$273.00	$177.45–$203.66	—	79%
Hand X-ray, 2 views inpatient one side CPT 73120 HAND 2 VIEWS LT	$57.33	$273.00	$177.45–$203.66	—	79%
Hand X-ray, 2 views inpatient one side CPT 73120 HAND RT 2 VIEWS	$57.33	$273.00	$177.45–$203.66	—	79%
Hand X-ray, 2 views inpatient one side CPT 73120 HAND LT 2 VIEWS	$57.33	$273.00	$177.45–$203.66	—	79%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 HEEL MIN 2 VIEWS LT	$71.61	$341.00	$173.57–$275.53	66% below	79%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 HEEL MIN 2 VIEWS RT	$71.61	$341.00	$173.57–$275.53	66% below	79%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 HEEL MIN 2 VIEWS LT	$71.61	$341.00	$221.65–$254.39	—	79%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 HEEL MIN 2 VIEWS RT	$71.61	$341.00	$221.65–$254.39	—	79%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HC HOME SLEEP STUDY-UNATTENDED	$167.58	$798.00	$406.18–$644.78	40% below	79%
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 HC HOME SLEEP STUDY-UNATTENDED	$167.58	$798.00	$518.70–$595.31	—	79%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HC POLYSOM 4+/CPAP ATTEND	$976.50	$4,650.00	$2,366.85–$3,757.20	44% below	79%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HC POLYSOM CPAP PEDS >6 YRS	$976.50	$4,650.00	$2,366.85–$3,757.20	44% below	79%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 HC POLYSOM CPAP PEDS >6 YRS	$976.50	$4,650.00	$3,022.50–$3,468.90	—	79%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 HC POLYSOM 4+/CPAP ATTEND	$976.50	$4,650.00	$3,022.50–$3,468.90	—	79%
Knee X-ray, 3 views one side CPT 73562 KNEE MIN 3 VIEWS RT	$91.35	$435.00	$221.42–$351.48	60% below	79%
Knee X-ray, 3 views one side CPT 73562 KNEE MIN 3 VIEWS LT	$91.35	$435.00	$221.42–$351.48	60% below	79%
Knee X-ray, 3 views inpatient one side CPT 73562 KNEE MIN 3 VIEWS RT	$91.35	$435.00	$282.75–$324.51	—	79%
Knee X-ray, 3 views inpatient one side CPT 73562 KNEE MIN 3 VIEWS LT	$91.35	$435.00	$282.75–$324.51	—	79%
Knee X-ray, complete, 4 or more views one side CPT 73564 KNEE MIN 4 VIEWS RT	$122.85	$585.00	$297.76–$472.68	51% below	79%
Knee X-ray, complete, 4 or more views one side CPT 73564 KNEE MIN 4 VIEWS LT	$122.85	$585.00	$297.76–$472.68	51% below	79%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 KNEE MIN 4 VIEWS RT	$122.85	$585.00	$380.25–$436.41	—	79%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 KNEE MIN 4 VIEWS LT	$122.85	$585.00	$380.25–$436.41	—	79%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT EXTREMITY LOWER LT	$183.12	$872.00	$443.85–$704.58	83% below	79%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT EXTREMITY LOWER RT	$183.12	$872.00	$443.85–$704.58	83% below	79%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT EXTREMITY LOWER RT	$183.12	$872.00	$566.80–$650.51	—	79%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT EXTREMITY LOWER LT	$183.12	$872.00	$566.80–$650.51	—	79%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC ECHO EXAM ABDOMEN/LOW BACK	$120.96	$576.00	$293.18–$465.41	50% below	79%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ABD SONOGRAM LIMITED	$120.96	$576.00	$293.18–$465.41	50% below	79%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC POCUS GALLBLADDER	$120.96	$576.00	$293.18–$465.41	50% below	79%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 ABD SONOGRAM LIMITED	$120.96	$576.00	$374.40–$429.70	—	79%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC ECHO EXAM ABDOMEN/LOW BACK	$120.96	$576.00	$374.40–$429.70	—	79%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC POCUS GALLBLADDER	$120.96	$576.00	$374.40–$429.70	—	79%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC US EXTRM NON-VASC LMTD	$98.28	$468.00	$238.21–$378.14	41% below	79%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC US LMTD JT/FCL EVL NVSC XTR	$98.28	$468.00	$238.21–$378.14	41% below	79%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC US XTR NON-VASC LMTD	$98.28	$468.00	$238.21–$378.14	41% below	79%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 HC POCUS MSK/SOFT TISSUE RT	$98.28	$468.00	$238.21–$378.14	41% below	79%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US EXT NON-VASC LIMITED LT	$98.28	$468.00	$238.21–$378.14	41% below	79%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 HC POCUS MSK/SOFT TISSUE LT	$98.28	$468.00	$238.21–$378.14	41% below	79%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US EXT NON-VASC LIMITED RT	$98.28	$468.00	$238.21–$378.14	41% below	79%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 HC US LMTD JT/FCL EVL NVSC XTR	$98.28	$468.00	$304.20–$349.13	—	79%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 HC US EXTRM NON-VASC LMTD	$98.28	$468.00	$304.20–$349.13	—	79%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 HC US XTR NON-VASC LMTD	$98.28	$468.00	$304.20–$349.13	—	79%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US EXT NON-VASC LIMITED RT	$98.28	$468.00	$304.20–$349.13	—	79%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 HC POCUS MSK/SOFT TISSUE RT	$98.28	$468.00	$304.20–$349.13	—	79%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 HC POCUS MSK/SOFT TISSUE LT	$98.28	$468.00	$304.20–$349.13	—	79%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US EXT NON-VASC LIMITED LT	$98.28	$468.00	$304.20–$349.13	—	79%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT LUNG SCREENING	$98.28	$468.00	$238.21–$378.14	57% below	79%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT LUNG SCREENING	$98.28	$468.00	$304.20–$349.13	—	79%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 LEG LT 2 VIEWS	$81.27	$387.00	$196.98–$312.70	62% below	79%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 LEG RT 2 VIEWS	$81.27	$387.00	$196.98–$312.70	62% below	79%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 LEG LT 2 VIEWS	$81.27	$387.00	$251.55–$288.70	—	79%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 LEG RT 2 VIEWS	$81.27	$387.00	$251.55–$288.70	—	79%
MR angiography (MRA) of the head without contrast CPT 70544 MRA HEAD, W/O CONTRAST	$377.58	$1,798.00	$915.18–$1,452.78	78% below	79%
MR angiography (MRA) of the head without contrast CPT 70544 MRA HEAD W/O CONTRAST	$377.58	$1,798.00	$915.18–$1,452.78	78% below	79%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA HEAD, W/O CONTRAST	$377.58	$1,798.00	$1,168.70–$1,341.31	—	79%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA HEAD W/O CONTRAST	$377.58	$1,798.00	$1,168.70–$1,341.31	—	79%
MRI of both breasts, without and then with contrast dye both sides CPT 77049 MRI BREAST W&W/OCONTRST BILAT	$997.71	$4,751.00	$2,418.26–$3,838.81	—	79%
MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 MRI BREAST W&W/OCONTRST BILAT	$997.71	$4,751.00	$3,088.15–$3,544.25	—	79%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI HIP W/O CONTRAST LT	$527.52	$2,512.00	$1,278.61–$2,029.70	65% below	79%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI ANKLE W/O CONTRAST RT	$527.52	$2,512.00	$1,278.61–$2,029.70	65% below	79%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI ANKLE W/O CONTRAST LT	$527.52	$2,512.00	$1,278.61–$2,029.70	65% below	79%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI HIP W/O CONTRAST RT	$527.52	$2,512.00	$1,278.61–$2,029.70	65% below	79%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI KNEE W/O CONTR LIMITED LT	$527.52	$2,512.00	$1,278.61–$2,029.70	65% below	79%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI KNEE W/O CONTR LIMITED RT	$527.52	$2,512.00	$1,278.61–$2,029.70	65% below	79%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI KNEE W/O CONTRAST LT	$527.52	$2,512.00	$1,278.61–$2,029.70	65% below	79%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI KNEE W/O CONTRAST RT	$527.52	$2,512.00	$1,278.61–$2,029.70	65% below	79%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI KNEE W/O CONTRAST RT	$527.52	$2,512.00	$1,632.80–$1,873.95	—	79%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI KNEE W/O CONTRAST LT	$527.52	$2,512.00	$1,632.80–$1,873.95	—	79%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI KNEE W/O CONTR LIMITED RT	$527.52	$2,512.00	$1,632.80–$1,873.95	—	79%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI KNEE W/O CONTR LIMITED LT	$527.52	$2,512.00	$1,632.80–$1,873.95	—	79%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI HIP W/O CONTRAST RT	$527.52	$2,512.00	$1,632.80–$1,873.95	—	79%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI HIP W/O CONTRAST LT	$527.52	$2,512.00	$1,632.80–$1,873.95	—	79%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI ANKLE W/O CONTRAST RT	$527.52	$2,512.00	$1,632.80–$1,873.95	—	79%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI ANKLE W/O CONTRAST LT	$527.52	$2,512.00	$1,632.80–$1,873.95	—	79%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI ANKLE W&W/O CONTRAST LT	$589.05	$2,805.00	$1,427.74–$2,266.44	77% below	79%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI KNEE W & W/O CONTRAST RT	$589.05	$2,805.00	$1,427.74–$2,266.44	77% below	79%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI HIP W & W/O CONTRAST LT	$589.05	$2,805.00	$1,427.74–$2,266.44	77% below	79%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI ANKLE W&W/O CONTRAST RT	$589.05	$2,805.00	$1,427.74–$2,266.44	77% below	79%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI HIP W & W/O CONTRAST RT	$589.05	$2,805.00	$1,427.74–$2,266.44	77% below	79%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI KNEE W & W/O CONTRAST LT	$589.05	$2,805.00	$1,427.74–$2,266.44	77% below	79%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI ANKLE W&W/O CONTRAST LT	$589.05	$2,805.00	$1,823.25–$2,092.53	—	79%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI KNEE W & W/O CONTRAST LT	$589.05	$2,805.00	$1,823.25–$2,092.53	—	79%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI KNEE W & W/O CONTRAST RT	$589.05	$2,805.00	$1,823.25–$2,092.53	—	79%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI ANKLE W&W/O CONTRAST RT	$589.05	$2,805.00	$1,823.25–$2,092.53	—	79%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI HIP W & W/O CONTRAST LT	$589.05	$2,805.00	$1,823.25–$2,092.53	—	79%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI HIP W & W/O CONTRAST RT	$589.05	$2,805.00	$1,823.25–$2,092.53	—	79%
MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN	$377.58	$1,798.00	$915.18–$1,452.78	78% below	79%
MRI of the abdomen without contrast inpatient CPT 74181 MRI ABDOMEN	$377.58	$1,798.00	$1,168.70–$1,341.31	—	79%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN WITH &W/O CONTRAST	$590.31	$2,811.00	$1,430.80–$2,271.29	73% below	79%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN W/WO CONTRAST	$590.31	$2,811.00	$1,430.80–$2,271.29	73% below	79%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ABDOMEN W/WO CONTRAST	$590.31	$2,811.00	$1,827.15–$2,097.01	—	79%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ABDOMEN WITH &W/O CONTRAST	$590.31	$2,811.00	$1,827.15–$2,097.01	—	79%
MRI of the brain, no contrast dye CPT 70551 MRI,BRAIN W/O CONTRAST MATERIA	$361.83	$1,723.00	$877.01–$1,392.18	75% below	79%
MRI of the brain, no contrast dye CPT 70551 MRI HEAD	$361.83	$1,723.00	$877.01–$1,392.18	75% below	79%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI HEAD	$361.83	$1,723.00	$1,119.95–$1,285.36	—	79%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI,BRAIN W/O CONTRAST MATERIA	$361.83	$1,723.00	$1,119.95–$1,285.36	—	79%
MRI of the brain, with and without contrast dye CPT 70553 MRI HEAD W/WO CONTRAST	$770.28	$3,668.00	$1,867.01–$2,963.74	65% below	79%
MRI of the brain, with and without contrast dye CPT 70553 MRI,BRAIN W/O CONTRAST-W/CONT	$770.28	$3,668.00	$1,867.01–$2,963.74	65% below	79%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI HEAD W/WO CONTRAST	$770.28	$3,668.00	$2,384.20–$2,736.33	—	79%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI,BRAIN W/O CONTRAST-W/CONT	$770.28	$3,668.00	$2,384.20–$2,736.33	—	79%
MRI of the lower back, no contrast dye CPT 72148 MRI SPINAL CANAL-LUMB W/O CONT	$362.88	$1,728.00	$879.55–$1,396.22	74% below	79%
MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR SPINE	$362.88	$1,728.00	$879.55–$1,396.22	74% below	79%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI SPINAL CANAL-LUMB W/O CONT	$362.88	$1,728.00	$1,123.20–$1,289.09	—	79%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI LUMBAR SPINE	$362.88	$1,728.00	$1,123.20–$1,289.09	—	79%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI LUMBAR SPINE W/WO CONT	$507.57	$2,417.00	$1,230.25–$1,952.94	78% below	79%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI SPINAL CANAL-LUMB W&WO CON	$507.57	$2,417.00	$1,230.25–$1,952.94	78% below	79%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI LUMBAR SPINE W/WO CONT	$507.57	$2,417.00	$1,571.05–$1,803.08	—	79%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI SPINAL CANAL-LUMB W&WO CON	$507.57	$2,417.00	$1,571.05–$1,803.08	—	79%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI THORACIC SPINE	$348.81	$1,661.00	$845.45–$1,342.09	75% below	79%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI SPINAL CANAL-THOR W/O CONT	$348.81	$1,661.00	$845.45–$1,342.09	75% below	79%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI THORACIC SPINE	$348.81	$1,661.00	$1,079.65–$1,239.11	—	79%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI SPINAL CANAL-THOR W/O CONT	$348.81	$1,661.00	$1,079.65–$1,239.11	—	79%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI SPINAL CANAL-CERV W&WO CON	$518.07	$2,467.00	$1,255.70–$1,993.34	75% below	79%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI CERVICAL SPINE W/WO CONT	$518.07	$2,467.00	$1,255.70–$1,993.34	75% below	79%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI SPINAL CANAL-CERV W&WO CON	$518.07	$2,467.00	$1,603.55–$1,840.38	—	79%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI CERVICAL SPINE W/WO CONT	$518.07	$2,467.00	$1,603.55–$1,840.38	—	79%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI SPINAL CANAL-CERV W/O CONT	$367.71	$1,751.00	$891.26–$1,414.81	74% below	79%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI CERVICAL SPINE	$367.71	$1,751.00	$891.26–$1,414.81	74% below	79%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI SPINAL CANAL-CERV W/O CONT	$367.71	$1,751.00	$1,138.15–$1,306.25	—	79%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI CERVICAL SPINE	$367.71	$1,751.00	$1,138.15–$1,306.25	—	79%
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS WITH & W/O CONTRAST	$494.97	$2,357.00	$1,199.71–$1,904.46	79% below	79%
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W/WO CONTRAST	$494.97	$2,357.00	$1,199.71–$1,904.46	79% below	79%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS WITH & W/O CONTRAST	$494.97	$2,357.00	$1,532.05–$1,758.32	—	79%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS W/WO CONTRAST	$494.97	$2,357.00	$1,532.05–$1,758.32	—	79%
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS	$377.58	$1,798.00	$915.18–$1,452.78	76% below	79%
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O CONTRAST	$377.58	$1,798.00	$915.18–$1,452.78	76% below	79%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PELVIS	$377.58	$1,798.00	$1,168.70–$1,341.31	—	79%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PELVIS W/O CONTRAST	$377.58	$1,798.00	$1,168.70–$1,341.31	—	79%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI WRIST W/O CONTRAST LT	$294.00	$1,400.00	$712.60–$1,131.20	80% below	79%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI WRIST W/O CONTRAST RT	$294.00	$1,400.00	$712.60–$1,131.20	80% below	79%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI ELBOW W/O CONTRAST LT	$294.00	$1,400.00	$712.60–$1,131.20	80% below	79%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI SHOULDER W/O CONTRAST LT	$294.00	$1,400.00	$712.60–$1,131.20	80% below	79%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI ELBOW W/O CONTRAST RT	$294.00	$1,400.00	$712.60–$1,131.20	80% below	79%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI SHOULDER W/O CONTRAST RT	$294.00	$1,400.00	$712.60–$1,131.20	80% below	79%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI WRIST W/O CONTRAST LT	$294.00	$1,400.00	$910.00–$1,044.40	—	79%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI WRIST W/O CONTRAST RT	$294.00	$1,400.00	$910.00–$1,044.40	—	79%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI SHOULDER W/O CONTRAST RT	$294.00	$1,400.00	$910.00–$1,044.40	—	79%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI ELBOW W/O CONTRAST LT	$294.00	$1,400.00	$910.00–$1,044.40	—	79%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI ELBOW W/O CONTRAST RT	$294.00	$1,400.00	$910.00–$1,044.40	—	79%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI SHOULDER W/O CONTRAST LT	$294.00	$1,400.00	$910.00–$1,044.40	—	79%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 CERVICAL SPINE MIN 4 VIEWS	$105.84	$504.00	$256.54–$407.23	64% below	79%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 CERVICAL SPINE MINIMUM 4 VIEWS	$105.84	$504.00	$256.54–$407.23	64% below	79%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 CERVICAL SPINE MIN 4 VIEWS	$105.84	$504.00	$327.60–$375.98	—	79%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 CERVICAL SPINE MINIMUM 4 VIEWS	$105.84	$504.00	$327.60–$375.98	—	79%
Neck soft tissue CT scan with contrast CPT 70491 CT NECK W/CONTRAST	$313.53	$1,493.00	$759.94–$1,206.34	76% below	79%
Neck soft tissue CT scan with contrast inpatient CPT 70491 CT NECK W/CONTRAST	$313.53	$1,493.00	$970.45–$1,113.78	—	79%
Neck soft tissue CT scan without contrast CPT 70490 CT NECK	$183.12	$872.00	$443.85–$704.58	82% below	79%
Neck soft tissue CT scan without contrast inpatient CPT 70490 CT NECK	$183.12	$872.00	$566.80–$650.51	—	79%
Neck soft tissue X-ray CPT 70360 NASOPHARYNX/NECK SOFT TISSUE	$73.71	$351.00	$178.66–$283.61	65% below	79%
Neck soft tissue X-ray inpatient CPT 70360 NASOPHARYNX/NECK SOFT TISSUE	$73.71	$351.00	$228.15–$261.85	—	79%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC MYOCARD PERFUS MULTI SPECT	$1,126.23	$5,363.00	$2,729.77–$4,333.30	45% below	79%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HC MYOCARD PERFUS MULTI SPECT	$1,126.23	$5,363.00	$3,485.95–$4,000.80	—	79%
Pelvic CT scan without contrast CPT 72192 CT PELVIS	$204.75	$975.00	$496.28–$787.80	78% below	79%
Pelvic CT scan without contrast inpatient CPT 72192 CT PELVIS	$204.75	$975.00	$633.75–$727.35	—	79%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC POCUS PST VOID RSDUAL BLDDR	$110.67	$527.00	$268.24–$425.82	37% below	79%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 OBPS US PELVIC(NONOB) F/UP	$127.68	$608.00	$309.47–$491.26	27% below	79%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC POCUS PST VOID RSDUAL BLDDR	$110.67	$527.00	$342.55–$393.14	—	79%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 OBPS US PELVIC(NONOB) F/UP	$127.68	$608.00	$395.20–$453.57	—	79%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 OBPS US PELVIC (NONOB) CMPL	$174.09	$829.00	$421.96–$669.83	56% below	79%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 OBPS US PELVIC (NONOB) CMPL	$174.09	$829.00	$538.85–$618.43	—	79%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 ULTRASOUND COMPLETE	$112.77	$537.00	$273.33–$433.90	74% below	79%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US PRG UT>=14WKS SNG/1ST GS	$112.77	$537.00	$273.33–$433.90	74% below	79%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OBSTETRICAL ULTRASOUND	$112.77	$537.00	$273.33–$433.90	74% below	79%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC US PRG UT>=14WKS SNG/1ST GS	$112.77	$537.00	$349.05–$400.60	—	79%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 ULTRASOUND COMPLETE	$112.77	$537.00	$349.05–$400.60	—	79%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 OBSTETRICAL ULTRASOUND	$112.77	$537.00	$349.05–$400.60	—	79%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC US PRG UT<14 WKS SGL/1ST GS	$104.79	$499.00	$253.99–$403.19	66% below	79%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 PREG<14WKS TRANSABDOMINAL	$104.79	$499.00	$253.99–$403.19	66% below	79%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US PREGNANT UTERUS < 14 WKS	$104.79	$499.00	$253.99–$403.19	66% below	79%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 PREG<14WKS TRANSABDOMINAL US	$104.79	$499.00	$253.99–$403.19	66% below	79%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 PREG<14WKS TRANSABDOMINAL US	$104.79	$499.00	$324.35–$372.25	—	79%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US PREGNANT UTERUS < 14 WKS	$104.79	$499.00	$324.35–$372.25	—	79%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 PREG<14WKS TRANSABDOMINAL	$104.79	$499.00	$324.35–$372.25	—	79%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HC US PRG UT<14 WKS SGL/1ST GS	$104.79	$499.00	$324.35–$372.25	—	79%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC POCUS PRGNANT TRANSABDOMNAL	$101.64	$484.00	$246.36–$391.07	47% below	79%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OBPS US PREGNANT UTERUS LMTD	$138.60	$660.00	$335.94–$533.28	28% below	79%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC POCUS PRGNANT TRANSABDOMNAL	$101.64	$484.00	$314.60–$361.06	—	79%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 OBPS US PREGNANT UTERUS LMTD	$138.60	$660.00	$429.00–$492.36	—	79%
Rib X-ray, one side, 2 views one side CPT 71100 RIBS 2 VIEWS RT	$81.27	$387.00	$196.98–$312.70	65% below	79%
Rib X-ray, one side, 2 views one side CPT 71100 RIBS 2 VIEWS LT	$81.27	$387.00	$196.98–$312.70	65% below	79%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 RIBS 2 VIEWS LT	$81.27	$387.00	$251.55–$288.70	—	79%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 RIBS 2 VIEWS RT	$81.27	$387.00	$251.55–$288.70	—	79%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 RIBS W/CHEST MIN 3 V RT	$98.28	$468.00	$238.21–$378.14	70% below	79%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 RIBS W/CHEST MIN 3 VIEWS LT	$98.28	$468.00	$238.21–$378.14	70% below	79%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 RIBS W/CHEST MIN 3 VIEWS RT	$98.28	$468.00	$238.21–$378.14	70% below	79%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 RIBS W/CHEST MIN 3V LT	$98.28	$468.00	$238.21–$378.14	70% below	79%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 RIBS W/CHEST MIN 3 V LT	$98.28	$468.00	$238.21–$378.14	70% below	79%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 RIBS W/CHEST MIN 3 VIEWS LT	$98.28	$468.00	$304.20–$349.13	—	79%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 RIBS W/CHEST MIN 3 V LT	$98.28	$468.00	$304.20–$349.13	—	79%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 RIBS W/CHEST MIN 3 VIEWS RT	$98.28	$468.00	$304.20–$349.13	—	79%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 RIBS W/CHEST MIN 3 V RT	$98.28	$468.00	$304.20–$349.13	—	79%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 RIBS W/CHEST MIN 3V LT	$98.28	$468.00	$304.20–$349.13	—	79%
Screening mammogram, both breasts both sides CPT 77067 SCREENING DIGITAL MAMMO BILAT	$109.62	$522.00	$265.70–$421.78	—	79%
Screening mammogram, both breasts CPT 77067 SCREENING DIGITAL MAMO UNI	$109.62	$522.00	$265.70–$421.78	35% below	79%
Screening mammogram, both breasts CPT 77067 SCREENING DIGITAL MAMMO BIL	$109.62	$522.00	$265.70–$421.78	35% below	79%
Screening mammogram, both breasts inpatient both sides CPT 77067 SCREENING DIGITAL MAMMO BILAT	$109.62	$522.00	$339.30–$389.41	—	79%
Screening mammogram, both breasts inpatient CPT 77067 SCREENING DIGITAL MAMO UNI	$109.62	$522.00	$339.30–$389.41	—	79%
Screening mammogram, both breasts inpatient CPT 77067 SCREENING DIGITAL MAMMO BIL	$109.62	$522.00	$339.30–$389.41	—	79%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER MIN 2 VIEWS LT	$81.27	$387.00	$196.98–$312.70	64% below	79%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER XRAY MIN 2 VIEWS RT	$81.27	$387.00	$196.98–$312.70	64% below	79%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER MIN 2 VIEWS RT	$81.27	$387.00	$196.98–$312.70	64% below	79%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER XRAY MIN 2 VIEWS LT	$81.27	$387.00	$196.98–$312.70	64% below	79%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 SHOULDER XRAY MIN 2 VIEWS RT	$81.27	$387.00	$251.55–$288.70	—	79%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 SHOULDER XRAY MIN 2 VIEWS LT	$81.27	$387.00	$251.55–$288.70	—	79%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 SHOULDER MIN 2 VIEWS RT	$81.27	$387.00	$251.55–$288.70	—	79%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 SHOULDER MIN 2 VIEWS LT	$81.27	$387.00	$251.55–$288.70	—	79%
Sinus X-ray, complete, 3 or more views CPT 70220 SINUSES MIN 3 VIEWS	$86.52	$412.00	$209.71–$332.90	62% below	79%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 SINUSES MIN 3 VIEWS	$86.52	$412.00	$267.80–$307.35	—	79%
Skull X-ray, fewer than 4 views CPT 70250 SKULL < 4 VIEWS	$85.68	$408.00	$207.67–$329.66	60% below	79%
Skull X-ray, fewer than 4 views inpatient CPT 70250 SKULL < 4 VIEWS	$85.68	$408.00	$265.20–$304.37	—	79%
Sleep study in a lab (polysomnography) CPT 95810 HC POLYSOM 4+ ATT PEDS<6 YRS	$933.03	$4,443.00	$2,261.49–$3,589.94	43% below	79%
Sleep study in a lab (polysomnography) CPT 95810 HC POLYSOMN 4+ ATTEND-ADLT	$933.03	$4,443.00	$2,261.49–$3,589.94	43% below	79%
Sleep study in a lab (polysomnography) CPT 95810 HC POLYSOM 4+ ATT PEDS >6 YRS	$933.03	$4,443.00	$2,261.49–$3,589.94	43% below	79%
Sleep study in a lab (polysomnography) inpatient CPT 95810 HC POLYSOMN 4+ ATTEND-ADLT	$933.03	$4,443.00	$2,887.95–$3,314.48	—	79%
Sleep study in a lab (polysomnography) inpatient CPT 95810 HC POLYSOM 4+ ATT PEDS<6 YRS	$933.03	$4,443.00	$2,887.95–$3,314.48	—	79%
Sleep study in a lab (polysomnography) inpatient CPT 95810 HC POLYSOM 4+ ATT PEDS >6 YRS	$933.03	$4,443.00	$2,887.95–$3,314.48	—	79%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 HC TTE W/OR W/O CNT RS/STR/ECG	$492.45	$2,345.00	$1,193.60–$1,894.76	56% below	79%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 HC TTE REST/STRESS/ECG WO CONT	$492.45	$2,345.00	$1,193.60–$1,894.76	56% below	79%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 HC TTE W/OR W/O CNT RS/STR/ECG	$492.45	$2,345.00	$1,524.25–$1,749.37	—	79%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 HC TTE REST/STRESS/ECG WO CONT	$492.45	$2,345.00	$1,524.25–$1,749.37	—	79%
Swallow study (modified barium swallow, video X-ray) CPT 74230 ESOPHAGUS WITH VIDEO	$164.22	$782.00	$398.04–$631.86	63% below	79%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 ESOPHAGUS WITH VIDEO	$164.22	$782.00	$508.30–$583.37	—	79%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 FEMUR RT 2 VIEWS	$67.83	$323.00	$164.41–$260.98	68% below	79%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 FEMUR LT 2 VIEWS	$67.83	$323.00	$164.41–$260.98	68% below	79%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 FEMUR RT 2 VIEWS	$67.83	$323.00	$209.95–$240.96	—	79%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 FEMUR LT 2 VIEWS	$67.83	$323.00	$209.95–$240.96	—	79%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT SPINE THORACIC	$183.12	$872.00	$443.85–$704.58	83% below	79%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT SPINE THORACIC	$183.12	$872.00	$566.80–$650.51	—	79%
Toe X-ray, 2 or more views one side CPT 73660 TOE 2-4 VIEWS LT	$81.27	$387.00	$196.98–$312.70	55% below	79%
Toe X-ray, 2 or more views one side CPT 73660 TOE 2/4 VIEWS RT	$81.27	$387.00	$196.98–$312.70	55% below	79%
Toe X-ray, 2 or more views one side CPT 73660 TOE 2/4 VIEWS LT	$81.27	$387.00	$196.98–$312.70	55% below	79%
Toe X-ray, 2 or more views one side CPT 73660 TOE 2-4 VIEWS RT	$81.27	$387.00	$196.98–$312.70	55% below	79%
Toe X-ray, 2 or more views inpatient one side CPT 73660 TOE 2-4 VIEWS LT	$81.27	$387.00	$251.55–$288.70	—	79%
Toe X-ray, 2 or more views inpatient one side CPT 73660 TOE 2/4 VIEWS RT	$81.27	$387.00	$251.55–$288.70	—	79%
Toe X-ray, 2 or more views inpatient one side CPT 73660 TOE 2/4 VIEWS LT	$81.27	$387.00	$251.55–$288.70	—	79%
Toe X-ray, 2 or more views inpatient one side CPT 73660 TOE 2-4 VIEWS RT	$81.27	$387.00	$251.55–$288.70	—	79%
Transvaginal pelvic ultrasound CPT 76830 HC POCUS NON-PRGNANT TRNSVGNAL	$154.98	$738.00	$375.64–$596.30	59% below	79%
Transvaginal pelvic ultrasound CPT 76830 OBPS ULTRASOUND TRANSVAGINAL	$187.53	$893.00	$454.54–$721.54	50% below	79%
Transvaginal pelvic ultrasound inpatient CPT 76830 HC POCUS NON-PRGNANT TRNSVGNAL	$154.98	$738.00	$479.70–$550.55	—	79%
Transvaginal pelvic ultrasound inpatient CPT 76830 OBPS ULTRASOUND TRANSVAGINAL	$187.53	$893.00	$580.45–$666.18	—	79%
Transvaginal ultrasound during pregnancy CPT 76817 HC POCUS PREGNANT TRANSVAGINAL	$103.95	$495.00	$251.96–$399.96	66% below	79%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 HC POCUS PREGNANT TRANSVAGINAL	$103.95	$495.00	$321.75–$369.27	—	79%
Ultrasound of the abdomen, complete CPT 76700 ABDOMINAL SONOGRAM	$160.44	$764.00	$388.88–$617.31	66% below	79%
Ultrasound of the abdomen, complete CPT 76700 ABDOMINAL SONOGRAPHY	$160.44	$764.00	$388.88–$617.31	66% below	79%
Ultrasound of the abdomen, complete inpatient CPT 76700 ABDOMINAL SONOGRAM	$160.44	$764.00	$496.60–$569.94	—	79%
Ultrasound of the abdomen, complete inpatient CPT 76700 ABDOMINAL SONOGRAPHY	$160.44	$764.00	$496.60–$569.94	—	79%
Ultrasound of the scrotum and testicles CPT 76870 HC POCUS US EXAM SCROTUM-I&R	$110.46	$526.00	$267.73–$425.01	76% below	79%
Ultrasound of the scrotum and testicles CPT 76870 TESTICULAR SONOGRAM	$110.46	$526.00	$267.73–$425.01	76% below	79%
Ultrasound of the scrotum and testicles CPT 76870 US EXAM SCROTUM	$144.90	$690.00	$351.21–$557.52	68% below	79%
Ultrasound of the scrotum and testicles inpatient CPT 76870 HC POCUS US EXAM SCROTUM-I&R	$110.46	$526.00	$341.90–$392.40	—	79%
Ultrasound of the scrotum and testicles inpatient CPT 76870 TESTICULAR SONOGRAM	$110.46	$526.00	$341.90–$392.40	—	79%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US EXAM SCROTUM	$144.90	$690.00	$448.50–$514.74	—	79%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US EXAM OF HEAD AND NECK	$121.38	$578.00	$294.20–$467.02	70% below	79%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC US EXAM OF HEAD AND NECK	$121.38	$578.00	$375.70–$431.19	—	79%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 X-RAY UPPER GI DELAY W/O KUB	$180.60	$860.00	$437.74–$694.88	59% below	79%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 X-RAY UPPER GI DELAY W/O KUB	$180.60	$860.00	$559.00–$641.56	—	79%
Upper arm X-ray (humerus), 2 views one side CPT 73060 HUMERUS MIN 2 VIEWS RT	$81.27	$387.00	$196.98–$312.70	61% below	79%
Upper arm X-ray (humerus), 2 views one side CPT 73060 HUMERUS MIN 2 VIEWS LT	$81.27	$387.00	$196.98–$312.70	61% below	79%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 HUMERUS MIN 2 VIEWS RT	$81.27	$387.00	$251.55–$288.70	—	79%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 HUMERUS MIN 2 VIEWS LT	$81.27	$387.00	$251.55–$288.70	—	79%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HC POCUS FOCUSED DVT STUDY RT	$123.69	$589.00	$299.80–$475.91	75% below	79%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US EXT VEINS UNILAT RT	$123.69	$589.00	$299.80–$475.91	75% below	79%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US EXT VEINS UNILAT LT	$123.69	$589.00	$299.80–$475.91	75% below	79%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HC POCUS FOCUSED DVT STUDY LT	$123.69	$589.00	$299.80–$475.91	75% below	79%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 EXT VEINS UNILAT LT	$123.69	$589.00	$299.80–$475.91	75% below	79%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 EXT VEINS UNILAT RT	$123.69	$589.00	$299.80–$475.91	75% below	79%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 DUP EXT VEINS UNI RT	$123.69	$589.00	$299.80–$475.91	75% below	79%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 DUP EXT VEINS UNI LT	$123.69	$589.00	$299.80–$475.91	75% below	79%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HC POCUS FOCUSED DVT STUDY RT	$123.69	$589.00	$382.85–$439.39	—	79%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 EXT VEINS UNILAT RT	$123.69	$589.00	$382.85–$439.39	—	79%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 EXT VEINS UNILAT LT	$123.69	$589.00	$382.85–$439.39	—	79%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US EXT VEINS UNILAT LT	$123.69	$589.00	$382.85–$439.39	—	79%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US EXT VEINS UNILAT RT	$123.69	$589.00	$382.85–$439.39	—	79%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HC POCUS FOCUSED DVT STUDY LT	$123.69	$589.00	$382.85–$439.39	—	79%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 DUP EXT VEINS UNI LT	$123.69	$589.00	$382.85–$439.39	—	79%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 DUP EXT VEINS UNI RT	$123.69	$589.00	$382.85–$439.39	—	79%
Wrist X-ray, 2 views one side CPT 73100 WRIST RT 2 VIEWS	$51.66	$246.00	$125.21–$198.77	77% below	79%
Wrist X-ray, 2 views one side CPT 73100 WRIST LT 2 VIEWS	$51.66	$246.00	$125.21–$198.77	77% below	79%
Wrist X-ray, 2 views inpatient one side CPT 73100 WRIST LT 2 VIEWS	$51.66	$246.00	$159.90–$183.52	—	79%
Wrist X-ray, 2 views inpatient one side CPT 73100 WRIST RT 2 VIEWS	$51.66	$246.00	$159.90–$183.52	—	79%
Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST MIN 3 VIEWS LT	$81.27	$387.00	$196.98–$312.70	63% below	79%
Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST MIN 3 VIEWS RT	$81.27	$387.00	$196.98–$312.70	63% below	79%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 WRIST MIN 3 VIEWS RT	$81.27	$387.00	$251.55–$288.70	—	79%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 WRIST MIN 3 VIEWS LT	$81.27	$387.00	$251.55–$288.70	—	79%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP MIN 2 VIEWS LT	$81.27	$387.00	$196.98–$312.70	60% below	79%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP MIN 2 VIEWS RT	$81.27	$387.00	$196.98–$312.70	60% below	79%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP MIN 2 VIEWS RT	$81.27	$387.00	$251.55–$288.70	—	79%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP MIN 2 VIEWS LT	$81.27	$387.00	$251.55–$288.70	—	79%
X-ray of the abdomen, 1 view CPT 74018 SITZMARKER MOTILITY STUDY	$82.11	$391.00	$199.02–$315.93	61% below	79%
X-ray of the abdomen, 1 view CPT 74018 ABDOMEN SINGLE VIEW	$82.11	$391.00	$199.02–$315.93	61% below	79%
X-ray of the abdomen, 1 view inpatient CPT 74018 SITZMARKER MOTILITY STUDY	$82.11	$391.00	$254.15–$291.69	—	79%
X-ray of the abdomen, 1 view inpatient CPT 74018 ABDOMEN SINGLE VIEW	$82.11	$391.00	$254.15–$291.69	—	79%
X-ray of the ankle, 2 views one side CPT 73600 ANKLE LT 2 VIEWS	$65.94	$314.00	$159.83–$253.71	68% below	79%
X-ray of the ankle, 2 views one side CPT 73600 ANKLE RT 2 VIEWS	$65.94	$314.00	$159.83–$253.71	68% below	79%
X-ray of the ankle, 2 views inpatient one side CPT 73600 ANKLE RT 2 VIEWS	$65.94	$314.00	$204.10–$234.24	—	79%
X-ray of the ankle, 2 views inpatient one side CPT 73600 ANKLE LT 2 VIEWS	$65.94	$314.00	$204.10–$234.24	—	79%
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER MIN 2 VIEWS LT	$81.27	$387.00	$196.98–$312.70	59% below	79%
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER MIN 2 VIEWS RT	$81.27	$387.00	$196.98–$312.70	59% below	79%
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER MIN 2 VIEWSRT	$81.27	$387.00	$196.98–$312.70	59% below	79%
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER MIN 2 VIEWS	$81.27	$387.00	$196.98–$312.70	59% below	79%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER MIN 2 VIEWS LT	$81.27	$387.00	$251.55–$288.70	—	79%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER MIN 2 VIEWS RT	$81.27	$387.00	$251.55–$288.70	—	79%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER MIN 2 VIEWSRT	$81.27	$387.00	$251.55–$288.70	—	79%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER MIN 2 VIEWS	$81.27	$387.00	$251.55–$288.70	—	79%
X-ray of the foot, 2 views one side CPT 73620 FOOT RT 2 VIEWS	$65.94	$314.00	$159.83–$253.71	68% below	79%
X-ray of the foot, 2 views one side CPT 73620 FOOT LT 2 VIEWS	$65.94	$314.00	$159.83–$253.71	68% below	79%
X-ray of the foot, 2 views inpatient one side CPT 73620 FOOT RT 2 VIEWS	$65.94	$314.00	$204.10–$234.24	—	79%
X-ray of the foot, 2 views inpatient one side CPT 73620 FOOT LT 2 VIEWS	$65.94	$314.00	$204.10–$234.24	—	79%
X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT MIN 3 VIEWS RT	$81.69	$389.00	$198.00–$314.31	62% below	79%
X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT MIN 3 VIEWS LT	$81.69	$389.00	$198.00–$314.31	62% below	79%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 FOOT MIN 3 VIEWS RT	$81.69	$389.00	$252.85–$290.19	—	79%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 FOOT MIN 3 VIEWS LT	$81.69	$389.00	$252.85–$290.19	—	79%
X-ray of the hand, 3 or more views one side CPT 73130 HAND MIN 3 VIEWS RT	$82.74	$394.00	$200.55–$318.35	62% below	79%
X-ray of the hand, 3 or more views one side CPT 73130 HAND MIN 3 VIEWS LT	$82.74	$394.00	$200.55–$318.35	62% below	79%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 HAND MIN 3 VIEWS RT	$82.74	$394.00	$256.10–$293.92	—	79%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 HAND MIN 3 VIEWS LT	$82.74	$394.00	$256.10–$293.92	—	79%
X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE 1-2 VIEW RT	$88.41	$421.00	$214.29–$340.17	60% below	79%
X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE 1-2 VIEWS LT	$88.41	$421.00	$214.29–$340.17	60% below	79%
X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE 1-2 VIEWS RT	$88.41	$421.00	$214.29–$340.17	60% below	79%
X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE 1-2 VIEW LT	$88.41	$421.00	$214.29–$340.17	60% below	79%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 KNEE 1-2 VIEW RT	$88.41	$421.00	$273.65–$314.07	—	79%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 KNEE 1-2 VIEW LT	$88.41	$421.00	$273.65–$314.07	—	79%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 KNEE 1-2 VIEWS LT	$88.41	$421.00	$273.65–$314.07	—	79%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 KNEE 1-2 VIEWS RT	$88.41	$421.00	$273.65–$314.07	—	79%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 LUMBAR SPINE 2 VIEWS	$98.28	$468.00	$238.21–$378.14	60% below	79%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 LUMBAR SPINE 2 VIEWS	$98.28	$468.00	$304.20–$349.13	—	79%
X-ray of the lower back, 4 or more views CPT 72110 LUMBAR SPINE MIN 4 VIEWS	$132.93	$633.00	$322.20–$511.46	59% below	79%
X-ray of the lower back, 4 or more views CPT 72110 LUMBAR SPINE 4 VIEWS	$132.93	$633.00	$322.20–$511.46	59% below	79%
X-ray of the lower back, 4 or more views inpatient CPT 72110 LUMBAR SPINE MIN 4 VIEWS	$132.93	$633.00	$411.45–$472.22	—	79%
X-ray of the lower back, 4 or more views inpatient CPT 72110 LUMBAR SPINE 4 VIEWS	$132.93	$633.00	$411.45–$472.22	—	79%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 THORACIC SPINE 2 VIEWS	$98.28	$468.00	$238.21–$378.14	57% below	79%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 THORACIC SPINE 2 VIEWS	$98.28	$468.00	$304.20–$349.13	—	79%
X-ray of the nasal bones, 3 or more views CPT 70160 NASAL BONE MIN 3 VIEWS	$81.27	$387.00	$196.98–$312.70	64% below	79%
X-ray of the nasal bones, 3 or more views CPT 70160 NASAL BONES MIN 3 VIEWS	$81.27	$387.00	$196.98–$312.70	64% below	79%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 NASAL BONES MIN 3 VIEWS	$81.27	$387.00	$251.55–$288.70	—	79%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 NASAL BONE MIN 3 VIEWS	$81.27	$387.00	$251.55–$288.70	—	79%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 CERVICAL SPINE 2-3 VIEWS	$72.03	$343.00	$174.59–$277.14	66% below	79%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 CERVICAL SPINE 2 3 VIEWS	$72.03	$343.00	$174.59–$277.14	66% below	79%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 C-SPINE 2 3 VIEWS	$72.03	$343.00	$174.59–$277.14	66% below	79%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 CERVICAL SPINE 2 3 VIEWS	$72.03	$343.00	$222.95–$255.88	—	79%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 C-SPINE 2 3 VIEWS	$72.03	$343.00	$222.95–$255.88	—	79%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 CERVICAL SPINE 2-3 VIEWS	$72.03	$343.00	$222.95–$255.88	—	79%
X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS 1 OR 2 VIEWS	$84.00	$400.00	$203.60–$323.20	60% below	79%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 PELVIS 1 OR 2 VIEWS	$84.00	$400.00	$260.00–$298.40	—	79%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM / CCOCYX	$84.42	$402.00	$204.62–$324.82	63% below	79%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM/COCCYX	$84.42	$402.00	$204.62–$324.82	63% below	79%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 SACRUM / CCOCYX	$84.42	$402.00	$261.30–$299.89	—	79%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 SACRUM/COCCYX	$84.42	$402.00	$261.30–$299.89	—	79%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Maine	Off list
ACTH blood test CPT 82024 ACTH/LAB	$53.76	$256.00	$130.30–$206.85	66% below	79%
ACTH blood test inpatient CPT 82024 ACTH/LAB	$53.76	$256.00	$166.40–$190.98	—	79%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT (ALT) LAB	$14.07	$67.00	$34.10–$54.14	58% below	79%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 FIBROSURE ALT/LAB	$14.07	$67.00	$34.10–$54.14	58% below	79%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 FIBROMETER ALT/LAB	$14.07	$67.00	$34.10–$54.14	58% below	79%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALANINE AMINOTRANSFERASE-Q	$14.07	$67.00	$34.10–$54.14	58% below	79%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 SGPT (ALT) LAB	$14.07	$67.00	$43.55–$49.98	—	79%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 FIBROSURE ALT/LAB	$14.07	$67.00	$43.55–$49.98	—	79%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 FIBROMETER ALT/LAB	$14.07	$67.00	$43.55–$49.98	—	79%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALANINE AMINOTRANSFERASE-Q	$14.07	$67.00	$43.55–$49.98	—	79%
AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT (AST) LAB	$9.45	$45.00	$22.90–$36.36	69% below	79%
AST (aspartate aminotransferase) enzyme test CPT 84450 FIBROSURE AST/LAB	$9.45	$45.00	$22.90–$36.36	69% below	79%
AST (aspartate aminotransferase) enzyme test CPT 84450 FIBROMETER AST/LAB	$9.45	$45.00	$22.90–$36.36	69% below	79%
AST (aspartate aminotransferase) enzyme test CPT 84450 ASPARTATE AMINOTRANSFERASE-Q	$9.45	$45.00	$22.90–$36.36	69% below	79%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 SGOT (AST) LAB	$9.45	$45.00	$29.25–$33.57	—	79%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 FIBROSURE AST/LAB	$9.45	$45.00	$29.25–$33.57	—	79%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 FIBROMETER AST/LAB	$9.45	$45.00	$29.25–$33.57	—	79%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 ASPARTATE AMINOTRANSFERASE-Q	$9.45	$45.00	$29.25–$33.57	—	79%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PAN	$46.62	$222.00	$113.00–$179.38	71% below	79%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 ACUTE HEPATITIS PAN	$46.62	$222.00	$144.30–$165.61	—	79%
Albumin blood test CPT 82040 ALBUMIN/LAB	$5.04	$24.00	$12.22–$19.39	78% below	79%
Albumin blood test CPT 82040 ALBUMIN, SERUM	$5.04	$24.00	$12.22–$19.39	78% below	79%
Albumin blood test CPT 82040 ALBUMIN LEVEL-Q	$5.04	$24.00	$12.22–$19.39	78% below	79%
Albumin blood test inpatient CPT 82040 ALBUMIN, SERUM	$5.04	$24.00	$15.60–$17.90	—	79%
Albumin blood test inpatient CPT 82040 ALBUMIN/LAB	$5.04	$24.00	$15.60–$17.90	—	79%
Albumin blood test inpatient CPT 82040 ALBUMIN LEVEL-Q	$5.04	$24.00	$15.60–$17.90	—	79%
Aldosterone blood test CPT 82088 ALDOSTERONE/LAB	$36.54	$174.00	$88.57–$140.59	77% below	79%
Aldosterone blood test inpatient CPT 82088 ALDOSTERONE/LAB	$36.54	$174.00	$113.10–$129.80	—	79%
Alkaline phosphatase (ALP) blood test CPT 84075 BONE SPECIFIC ALKALINE PHOS	$7.56	$36.00	$18.32–$29.09	72% below	79%
Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSPHATASE-Q	$10.92	$52.00	$26.47–$42.02	60% below	79%
Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSPHATASE	$10.92	$52.00	$26.47–$42.02	60% below	79%
Alkaline phosphatase (ALP) blood test CPT 84075 ALK PHOS ISO,TOTAL	$10.92	$52.00	$26.47–$42.02	60% below	79%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 BONE SPECIFIC ALKALINE PHOS	$7.56	$36.00	$23.40–$26.86	—	79%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALKALINE PHOSPHATASE	$10.92	$52.00	$33.80–$38.79	—	79%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALK PHOS ISO,TOTAL	$10.92	$52.00	$33.80–$38.79	—	79%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALKALINE PHOSPHATASE-Q	$10.92	$52.00	$33.80–$38.79	—	79%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST ALLERGENS/LAB	$14.70	$70.00	$35.63–$56.56	36% below	79%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST ALLERGENS/LAB	$14.70	$70.00	$45.50–$52.22	—	79%
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA FETOPROTEIN/LAB	$15.12	$72.00	$36.65–$58.18	77% below	79%
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA-FETOPROTEIN	$15.12	$72.00	$36.65–$58.18	77% below	79%
Alpha-fetoprotein (AFP) blood test CPT 82105 AFP,TUMOR MARKER/LAB	$15.12	$72.00	$36.65–$58.18	77% below	79%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA FETOPROTEIN/LAB	$15.12	$72.00	$46.80–$53.71	—	79%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA-FETOPROTEIN	$15.12	$72.00	$46.80–$53.71	—	79%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 AFP,TUMOR MARKER/LAB	$15.12	$72.00	$46.80–$53.71	—	79%
Ammonia blood test CPT 82140 AMMONIA/LAB	$20.16	$96.00	$48.86–$77.57	78% below	79%
Ammonia blood test CPT 82140 STONE ANALYSIS AMMONIA	$20.16	$96.00	$48.86–$77.57	78% below	79%
Ammonia blood test inpatient CPT 82140 AMMONIA/LAB	$20.16	$96.00	$62.40–$71.62	—	79%
Ammonia blood test inpatient CPT 82140 STONE ANALYSIS AMMONIA	$20.16	$96.00	$62.40–$71.62	—	79%
Amylase blood test CPT 82150 AMYLASE BODY FLUID-Q	$15.33	$73.00	$37.16–$58.98	63% below	79%
Amylase blood test CPT 82150 AMYLASE URINE/LAB	$15.33	$73.00	$37.16–$58.98	63% below	79%
Amylase blood test CPT 82150 AMYLASE,SERUM/LAB	$15.33	$73.00	$37.16–$58.98	63% below	79%
Amylase blood test CPT 82150 AMYLASE, BODY FLUID	$15.33	$73.00	$37.16–$58.98	63% below	79%
Amylase blood test CPT 82150 AMYLASE LEVEL-Q	$15.33	$73.00	$37.16–$58.98	63% below	79%
Amylase blood test CPT 82150 AMYLASE LEVEL RANDOM URINE-Q	$15.33	$73.00	$37.16–$58.98	63% below	79%
Amylase blood test inpatient CPT 82150 AMYLASE LEVEL RANDOM URINE-Q	$15.33	$73.00	$47.45–$54.46	—	79%
Amylase blood test inpatient CPT 82150 AMYLASE, BODY FLUID	$15.33	$73.00	$47.45–$54.46	—	79%
Amylase blood test inpatient CPT 82150 AMYLASE LEVEL-Q	$15.33	$73.00	$47.45–$54.46	—	79%
Amylase blood test inpatient CPT 82150 AMYLASE URINE/LAB	$15.33	$73.00	$47.45–$54.46	—	79%
Amylase blood test inpatient CPT 82150 AMYLASE,SERUM/LAB	$15.33	$73.00	$47.45–$54.46	—	79%
Amylase blood test inpatient CPT 82150 AMYLASE BODY FLUID-Q	$15.33	$73.00	$47.45–$54.46	—	79%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULINATED PEPTIDE	$15.12	$72.00	$36.65–$58.18	79% below	79%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRULINATED PEPTIDE	$15.12	$72.00	$46.80–$53.71	—	79%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA/LAB	$22.05	$105.00	$53.44–$84.84	60% below	79%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA/LAB	$22.05	$105.00	$68.25–$78.33	—	79%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B-TYPE NATRIURETIC PEPTIDE	$55.65	$265.00	$134.88–$214.12	65% below	79%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 B-TYPE NATRIURETIC PEPTIDE	$55.65	$265.00	$172.25–$197.69	—	79%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 GENITAL CULTURE	$14.70	$70.00	$35.63–$56.56	73% below	79%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE, ROUTINE/LAB	$14.70	$70.00	$35.63–$56.56	73% below	79%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE, ROUTINE/LAB	$14.70	$70.00	$45.50–$52.22	—	79%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 GENITAL CULTURE	$14.70	$70.00	$45.50–$52.22	—	79%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL-Q	$64.47	$307.00	$156.26–$248.06	17% below	79%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PAN	$64.47	$307.00	$156.26–$248.06	17% below	79%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PAN	$64.47	$307.00	$199.55–$229.02	—	79%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL-Q	$64.47	$307.00	$199.55–$229.02	—	79%
Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL-Q	$23.31	$111.00	$56.50–$89.69	25% below	79%
Bilirubin blood test, total CPT 82247 BILIRUBIN, TOTAL	$23.31	$111.00	$56.50–$89.69	25% below	79%
Bilirubin blood test, total CPT 82247 FIBROSURE TOTAL BILIRUBIN/LAB	$23.31	$111.00	$56.50–$89.69	25% below	79%
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN TOTAL-Q	$23.31	$111.00	$72.15–$82.81	—	79%
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN, TOTAL	$23.31	$111.00	$72.15–$82.81	—	79%
Bilirubin blood test, total inpatient CPT 82247 FIBROSURE TOTAL BILIRUBIN/LAB	$23.31	$111.00	$72.15–$82.81	—	79%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 RENAL BIOPSY LEVEL IV	$81.90	$390.00	$198.51–$315.12	41% below	79%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURG PATH LEVEL 4	$81.90	$390.00	$198.51–$315.12	41% below	79%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 RENAL BIOPSY LEVEL IV	$81.90	$390.00	$253.50–$290.94	—	79%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 SURG PATH LEVEL 4	$81.90	$390.00	$253.50–$290.94	—	79%
Blood culture for bacteria CPT 87040 BLOOD CULTURE	$41.58	$198.00	$100.78–$159.98	51% below	79%
Blood culture for bacteria inpatient CPT 87040 BLOOD CULTURE	$41.58	$198.00	$128.70–$147.71	—	79%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 NESP ROUTINE VENIPUNCTURE	$4.83	$23.00	$11.71–$18.58	66% below	79%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC VENIPUNCTURE	$4.83	$23.00	$11.71–$18.58	66% below	79%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE	$4.83	$23.00	$11.71–$18.58	66% below	79%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 LAB BLOOD DRAW	$4.83	$23.00	$11.71–$18.58	66% below	79%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 BLOOD DRAW/LAB	$4.83	$23.00	$11.71–$18.58	66% below	79%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 ROUTINE VENIPUNCTURE RN	$4.83	$23.00	$11.71–$18.58	66% below	79%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 BLOOD DRAW/LAB	$4.83	$23.00	$14.95–$17.16	—	79%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 NESP ROUTINE VENIPUNCTURE	$4.83	$23.00	$14.95–$17.16	—	79%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC VENIPUNCTURE	$4.83	$23.00	$14.95–$17.16	—	79%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 ROUTINE VENIPUNCTURE RN	$4.83	$23.00	$14.95–$17.16	—	79%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE	$4.83	$23.00	$14.95–$17.16	—	79%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 LAB BLOOD DRAW	$4.83	$23.00	$14.95–$17.16	—	79%
Blood glucose (sugar) test CPT 82947 ISTAT GLUCOSE/LAB	$10.71	$51.00	$25.96–$41.21	54% below	79%
Blood glucose (sugar) test CPT 82947 GLUCOSE,SERUM/LAB	$10.71	$51.00	$25.96–$41.21	54% below	79%
Blood glucose (sugar) test CPT 82947 GLUCOSE LEVEL-Q	$10.71	$51.00	$25.96–$41.21	54% below	79%
Blood glucose (sugar) test CPT 82947 FIBROSURE GLUCOSE/LAB	$10.71	$51.00	$25.96–$41.21	54% below	79%
Blood glucose (sugar) test CPT 82947 GEM GLUCOSE/LAB	$10.71	$51.00	$25.96–$41.21	54% below	79%
Blood glucose (sugar) test CPT 82947 HC GLUCOSE QN BLOOD WO STRIP	$10.71	$51.00	$25.96–$41.21	54% below	79%
Blood glucose (sugar) test inpatient CPT 82947 GEM GLUCOSE/LAB	$10.71	$51.00	$33.15–$38.05	—	79%
Blood glucose (sugar) test inpatient CPT 82947 ISTAT GLUCOSE/LAB	$10.71	$51.00	$33.15–$38.05	—	79%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE LEVEL-Q	$10.71	$51.00	$33.15–$38.05	—	79%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE,SERUM/LAB	$10.71	$51.00	$33.15–$38.05	—	79%
Blood glucose (sugar) test inpatient CPT 82947 FIBROSURE GLUCOSE/LAB	$10.71	$51.00	$33.15–$38.05	—	79%
Blood glucose (sugar) test inpatient CPT 82947 HC GLUCOSE QN BLOOD WO STRIP	$10.71	$51.00	$33.15–$38.05	—	79%
Blood lead test CPT 83655 LEAD,INDUSTRIAL EXP	$17.22	$82.00	$41.74–$66.26	62% below	79%
Blood lead test CPT 83655 LEAD, WHOLE BLOOD	$17.22	$82.00	$41.74–$66.26	62% below	79%
Blood lead test CPT 83655 LEAD, URINE	$17.22	$82.00	$41.74–$66.26	62% below	79%
Blood lead test CPT 83655 LEAD, STATE LAB	$17.22	$82.00	$41.74–$66.26	62% below	79%
Blood lead test inpatient CPT 83655 LEAD, STATE LAB	$17.22	$82.00	$53.30–$61.17	—	79%
Blood lead test inpatient CPT 83655 LEAD, WHOLE BLOOD	$17.22	$82.00	$53.30–$61.17	—	79%
Blood lead test inpatient CPT 83655 LEAD,INDUSTRIAL EXP	$17.22	$82.00	$53.30–$61.17	—	79%
Blood lead test inpatient CPT 83655 LEAD, URINE	$17.22	$82.00	$53.30–$61.17	—	79%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREGNANCY TEST SERUM/LAB	$19.74	$94.00	$47.85–$75.95	54% below	79%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 BETA HCG QUALITATIVE-Q	$19.74	$94.00	$47.85–$75.95	54% below	79%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 BETA HCG QUALITATIVE-Q	$19.74	$94.00	$61.10–$70.12	—	79%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 PREGNANCY TEST SERUM/LAB	$19.74	$94.00	$61.10–$70.12	—	79%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO TYPE ARC REF	$114.24	$544.00	$276.90–$439.55	131% above	79%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO TYPE	$114.24	$544.00	$276.90–$439.55	131% above	79%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO TYPE	$114.24	$544.00	$353.60–$405.82	—	79%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO TYPE ARC REF	$114.24	$544.00	$353.60–$405.82	—	79%
Blood urea nitrogen (BUN) test CPT 84520 UREA NITROGEN/LAB	$5.46	$26.00	$13.23–$21.01	78% below	79%
Blood urea nitrogen (BUN) test CPT 84520 UREA NITROGEN (BUN)-Q	$5.46	$26.00	$13.23–$21.01	78% below	79%
Blood urea nitrogen (BUN) test CPT 84520 ISTAT BUN/LAB	$5.46	$26.00	$13.23–$21.01	78% below	79%
Blood urea nitrogen (BUN) test CPT 84520 FIBROMETER BUN/LAB	$5.46	$26.00	$13.23–$21.01	78% below	79%
Blood urea nitrogen (BUN) test inpatient CPT 84520 UREA NITROGEN (BUN)-Q	$5.46	$26.00	$16.90–$19.40	—	79%
Blood urea nitrogen (BUN) test inpatient CPT 84520 ISTAT BUN/LAB	$5.46	$26.00	$16.90–$19.40	—	79%
Blood urea nitrogen (BUN) test inpatient CPT 84520 UREA NITROGEN/LAB	$5.46	$26.00	$16.90–$19.40	—	79%
Blood urea nitrogen (BUN) test inpatient CPT 84520 FIBROMETER BUN/LAB	$5.46	$26.00	$16.90–$19.40	—	79%
C-peptide blood test CPT 84681 C-PEPTIDE REACTIVITY	$18.69	$89.00	$45.30–$71.91	73% below	79%
C-peptide blood test inpatient CPT 84681 C-PEPTIDE REACTIVITY	$18.69	$89.00	$57.85–$66.39	—	79%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN MG/L-Q	$12.18	$58.00	$29.52–$46.86	67% below	79%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C REACTIVE PROTEIN	$12.18	$58.00	$29.52–$46.86	67% below	79%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN/LAB	$12.18	$58.00	$29.52–$46.86	67% below	79%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN MG/L-Q	$12.18	$58.00	$37.70–$43.27	—	79%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C REACTIVE PROTEIN	$12.18	$58.00	$37.70–$43.27	—	79%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN/LAB	$12.18	$58.00	$37.70–$43.27	—	79%
C. difficile toxin gene test (stool PCR) CPT 87493 C-DIFFIICILE AMPLIFIED PROBE	$36.12	$172.00	$87.55–$138.98	65% below	79%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C-DIFFIICILE AMPLIFIED PROBE	$36.12	$172.00	$111.80–$128.31	—	79%
CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9	$19.95	$95.00	$48.36–$76.76	69% below	79%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9	$19.95	$95.00	$61.75–$70.87	—	79%
CA-125 blood test (ovarian cancer marker) CPT 86304 CA, 125	$28.56	$136.00	$69.22–$109.89	67% below	79%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA, 125	$28.56	$136.00	$88.40–$101.46	—	79%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID CEPHEID	$21.00	$100.00	$50.90–$80.80	76% below	79%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID AMPLIFIED PROBE	$27.09	$129.00	$65.66–$104.23	69% below	79%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID CEPHEID	$21.00	$100.00	$65.00–$74.60	—	79%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID AMPLIFIED PROBE	$27.09	$129.00	$83.85–$96.23	—	79%
Calcium blood test, total CPT 82310 CALCIUM LEVEL TOTAL-Q	$6.09	$29.00	$14.76–$23.43	78% below	79%
Calcium blood test, total CPT 82310 CALCIUM/LAB	$6.09	$29.00	$14.76–$23.43	78% below	79%
Calcium blood test, total inpatient CPT 82310 CALCIUM LEVEL TOTAL-Q	$6.09	$29.00	$18.85–$21.63	—	79%
Calcium blood test, total inpatient CPT 82310 CALCIUM/LAB	$6.09	$29.00	$18.85–$21.63	—	79%
Carcinoembryonic antigen (CEA) test CPT 82378 CEA/LAB	$29.19	$139.00	$70.75–$112.31	67% below	79%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CEA/LAB	$29.19	$139.00	$90.35–$103.69	—	79%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER IGG	$37.17	$177.00	$90.09–$143.02	24% below	79%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER IGM/LAB	$37.17	$177.00	$90.09–$143.02	24% below	79%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOSTER IGG	$37.17	$177.00	$115.05–$132.04	—	79%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOSTER IGM/LAB	$37.17	$177.00	$115.05–$132.04	—	79%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TMA THROAT/RECTAL	$32.55	$155.00	$78.90–$125.24	55% below	79%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA DIRECT/LAB	$32.55	$155.00	$78.90–$125.24	55% below	79%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA DIRECT/LAB	$32.55	$155.00	$100.75–$115.63	—	79%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TMA THROAT/RECTAL	$32.55	$155.00	$100.75–$115.63	—	79%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HDL PROFILE	$31.29	$149.00	$75.84–$120.39	58% below	79%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HDL PROFILE	$31.29	$149.00	$96.85–$111.15	—	79%
Complete blood count (CBC) with differential CPT 85025 CBC WITH DIFF-Q	$24.99	$119.00	$60.57–$96.15	47% below	79%
Complete blood count (CBC) with differential CPT 85025 CBC/AUTO DIFF	$24.99	$119.00	$60.57–$96.15	47% below	79%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC/AUTO DIFF	$24.99	$119.00	$77.35–$88.77	—	79%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC WITH DIFF-Q	$24.99	$119.00	$77.35–$88.77	—	79%
Complete blood count (CBC), no differential CPT 85027 CBC WITHOUT DIFFERENTIAL-Q	$17.01	$81.00	$41.23–$65.45	45% below	79%
Complete blood count (CBC), no differential CPT 85027 HEMOGRAM	$17.01	$81.00	$41.23–$65.45	45% below	79%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC WITHOUT DIFFERENTIAL-Q	$17.01	$81.00	$52.65–$60.43	—	79%
Complete blood count (CBC), no differential inpatient CPT 85027 HEMOGRAM	$17.01	$81.00	$52.65–$60.43	—	79%
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANL-Q	$69.93	$333.00	$169.50–$269.06	33% below	79%
Comprehensive metabolic panel (blood test) CPT 80053 COMP METABOLIC PAN	$69.93	$333.00	$169.50–$269.06	33% below	79%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMP METABOLIC PAN	$69.93	$333.00	$216.45–$248.42	—	79%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANL-Q	$69.93	$333.00	$216.45–$248.42	—	79%
Cortisol blood test, total CPT 82533 CORTISOL,PLASMA/LAB	$26.46	$126.00	$64.13–$101.81	62% below	79%
Cortisol blood test, total CPT 82533 CORTISOL, SALIVA/LAB	$26.46	$126.00	$64.13–$101.81	62% below	79%
Cortisol blood test, total CPT 82533 CORTISOL PEDS COSYNTROPIN TEST	$26.46	$126.00	$64.13–$101.81	62% below	79%
Cortisol blood test, total CPT 82533 ACTH STIMULATION	$26.46	$126.00	$64.13–$101.81	62% below	79%
Cortisol blood test, total inpatient CPT 82533 CORTISOL,PLASMA/LAB	$26.46	$126.00	$81.90–$94.00	—	79%
Cortisol blood test, total inpatient CPT 82533 CORTISOL PEDS COSYNTROPIN TEST	$26.46	$126.00	$81.90–$94.00	—	79%
Cortisol blood test, total inpatient CPT 82533 ACTH STIMULATION	$26.46	$126.00	$81.90–$94.00	—	79%
Cortisol blood test, total inpatient CPT 82533 CORTISOL, SALIVA/LAB	$26.46	$126.00	$81.90–$94.00	—	79%
Creatine kinase (CK) blood test, total CPT 82550 TOTAL CK (ARUP)	$15.33	$73.00	$37.16–$58.98	66% below	79%
Creatine kinase (CK) blood test, total CPT 82550 CREATINE KINASE TOTAL-Q	$15.33	$73.00	$37.16–$58.98	66% below	79%
Creatine kinase (CK) blood test, total CPT 82550 CPK/LAB	$15.33	$73.00	$37.16–$58.98	66% below	79%
Creatine kinase (CK) blood test, total inpatient CPT 82550 CPK/LAB	$15.33	$73.00	$47.45–$54.46	—	79%
Creatine kinase (CK) blood test, total inpatient CPT 82550 CREATINE KINASE TOTAL-Q	$15.33	$73.00	$47.45–$54.46	—	79%
Creatine kinase (CK) blood test, total inpatient CPT 82550 TOTAL CK (ARUP)	$15.33	$73.00	$47.45–$54.46	—	79%
Creatinine blood test CPT 82565 CREATININE SERUM-Q	$9.03	$43.00	$21.89–$34.74	69% below	79%
Creatinine blood test CPT 82565 ISTAT CREATININE/LAB	$9.03	$43.00	$21.89–$34.74	69% below	79%
Creatinine blood test CPT 82565 CREATININE, SERUM	$9.03	$43.00	$21.89–$34.74	69% below	79%
Creatinine blood test inpatient CPT 82565 ISTAT CREATININE/LAB	$9.03	$43.00	$27.95–$32.08	—	79%
Creatinine blood test inpatient CPT 82565 CREATININE, SERUM	$9.03	$43.00	$27.95–$32.08	—	79%
Creatinine blood test inpatient CPT 82565 CREATININE SERUM-Q	$9.03	$43.00	$27.95–$32.08	—	79%
Cytomegalovirus (CMV) antibody test CPT 86644 CMV ANTIBODY, IGG	$27.51	$131.00	$66.68–$105.85	56% below	79%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV ANTIBODY, IGG	$27.51	$131.00	$85.15–$97.73	—	79%
D-dimer blood test (blood clot marker) CPT 85379 D DIMER	$19.95	$95.00	$48.36–$76.76	72% below	79%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D DIMER	$19.95	$95.00	$61.75–$70.87	—	79%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA SULFATE/LAB	$59.01	$281.00	$143.03–$227.05	35% below	79%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA SULFATE/LAB	$59.01	$281.00	$182.65–$209.63	—	79%
Drug screen by lab instrument (any number of drug classes) CPT 80307 TRICYCLIC ANTIDEPRESS,URNE/LAB	$40.32	$192.00	$97.73–$155.14	58% below	79%
Drug screen by lab instrument (any number of drug classes) CPT 80307 COTININE SCREEN URINE/LAB	$49.98	$238.00	$121.14–$192.30	49% below	79%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG MECONIUM PANEL/LAB	$49.98	$238.00	$121.14–$192.30	49% below	79%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN RAPID/LAB	$49.98	$238.00	$121.14–$192.30	49% below	79%
Drug screen by lab instrument (any number of drug classes) CPT 80307 ETHYL GLUCURONIDE URINE/LAB	$49.98	$238.00	$121.14–$192.30	49% below	79%
Drug screen by lab instrument (any number of drug classes) CPT 80307 ETHANOL LEVEL URINE-Q	$50.40	$240.00	$122.16–$193.92	48% below	79%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 TRICYCLIC ANTIDEPRESS,URNE/LAB	$40.32	$192.00	$124.80–$143.23	—	79%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG MECONIUM PANEL/LAB	$49.98	$238.00	$154.70–$177.55	—	79%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN RAPID/LAB	$49.98	$238.00	$154.70–$177.55	—	79%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 COTININE SCREEN URINE/LAB	$49.98	$238.00	$154.70–$177.55	—	79%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 ETHYL GLUCURONIDE URINE/LAB	$49.98	$238.00	$154.70–$177.55	—	79%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 ETHANOL LEVEL URINE-Q	$50.40	$240.00	$156.00–$179.04	—	79%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTE PANEL	$8.40	$40.00	$20.36–$32.32	83% below	79%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYES-Q	$8.40	$40.00	$20.36–$32.32	83% below	79%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYES-Q	$8.40	$40.00	$26.00–$29.84	—	79%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYTE PANEL	$8.40	$40.00	$26.00–$29.84	—	79%
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV AB V.CAPSID AG	$37.59	$179.00	$91.11–$144.63	38% below	79%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV AB V.CAPSID AG	$37.59	$179.00	$116.35–$133.53	—	79%
Estradiol blood test CPT 82670 ESTRADIOL/LAB	$65.31	$311.00	$158.30–$251.29	36% below	79%
Estradiol blood test inpatient CPT 82670 ESTRADIOL/LAB	$65.31	$311.00	$202.15–$232.01	—	79%
FSH (follicle-stimulating hormone) test CPT 83001 FSH/LAB	$53.34	$254.00	$129.29–$205.23	33% below	79%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH/LAB	$53.34	$254.00	$165.10–$189.48	—	79%
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN/LAB	$39.06	$186.00	$94.67–$150.29	75% below	79%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN/LAB	$39.06	$186.00	$120.90–$138.76	—	79%
Ferritin blood test (iron stores) CPT 82728 FERRITIN/LAB	$22.05	$105.00	$53.44–$84.84	70% below	79%
Ferritin blood test (iron stores) CPT 82728 FIBROSURE FERRITIN/LAB	$22.05	$105.00	$53.44–$84.84	70% below	79%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN/LAB	$22.05	$105.00	$68.25–$78.33	—	79%
Ferritin blood test (iron stores) inpatient CPT 82728 FIBROSURE FERRITIN/LAB	$22.05	$105.00	$68.25–$78.33	—	79%
Fibrinogen blood test CPT 85384 FIBRINOGEN ACTIVITY (TEG)	$12.60	$60.00	$30.54–$48.48	79% below	79%
Fibrinogen blood test CPT 85384 FIBRINOGEN, ACTIVITY	$12.60	$60.00	$30.54–$48.48	79% below	79%
Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN, ACTIVITY	$12.60	$60.00	$39.00–$44.76	—	79%
Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN ACTIVITY (TEG)	$12.60	$60.00	$39.00–$44.76	—	79%
Folate (folic acid) blood test CPT 82746 FOLATE,SERUM/LAB	$22.89	$109.00	$55.48–$88.07	69% below	79%
Folate (folic acid) blood test inpatient CPT 82746 FOLATE,SERUM/LAB	$22.89	$109.00	$70.85–$81.31	—	79%
Free T3 thyroid hormone test CPT 84481 T3 FREE	$36.75	$175.00	$89.08–$141.40	57% below	79%
Free T3 thyroid hormone test inpatient CPT 84481 T3 FREE	$36.75	$175.00	$113.75–$130.55	—	79%
Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T4/LAB	$15.12	$72.00	$36.65–$58.18	75% below	79%
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE DIRECT DIALYSIS	$15.12	$72.00	$36.65–$58.18	75% below	79%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4 FREE DIRECT DIALYSIS	$15.12	$72.00	$46.80–$53.71	—	79%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 FREE T4/LAB	$15.12	$72.00	$46.80–$53.71	—	79%
Free testosterone test CPT 84402 TESTOSTERONE, FREE	$17.22	$82.00	$41.74–$66.26	83% below	79%
Free testosterone test inpatient CPT 84402 TESTOSTERONE, FREE	$17.22	$82.00	$53.30–$61.17	—	79%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GAMMA GLUTAMYL TRANSFERASE-Q	$17.01	$81.00	$41.23–$65.45	62% below	79%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGT/LAB	$17.01	$81.00	$41.23–$65.45	62% below	79%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 FIBROSURE GGT/LAB	$17.01	$81.00	$41.23–$65.45	62% below	79%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 FIBROMETER GGT/LAB	$17.01	$81.00	$41.23–$65.45	62% below	79%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GAMMA GLUTAMYL TRANSFERASE-Q	$17.01	$81.00	$52.65–$60.43	—	79%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 FIBROSURE GGT/LAB	$17.01	$81.00	$52.65–$60.43	—	79%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 FIBROMETER GGT/LAB	$17.01	$81.00	$52.65–$60.43	—	79%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GGT/LAB	$17.01	$81.00	$52.65–$60.43	—	79%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE POST DOSE	$14.91	$71.00	$36.14–$57.37	60% below	79%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE POST DOSE	$14.91	$71.00	$46.15–$52.97	—	79%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOL. HYPOGLY	$49.35	$235.00	$119.62–$189.88	23% below	79%
Glucose tolerance test, 3 samples CPT 82951 LACTOSE TOLERANCE TEST-Q	$49.35	$235.00	$119.62–$189.88	23% below	79%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLER HYPOGLYCMIA POC	$49.35	$235.00	$119.62–$189.88	23% below	79%
Glucose tolerance test, 3 samples CPT 82951 LACTOSE TOLERANCE	$49.35	$235.00	$119.62–$189.88	23% below	79%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOL. GEST.	$49.35	$235.00	$119.62–$189.88	23% below	79%
Glucose tolerance test, 3 samples inpatient CPT 82951 LACTOSE TOLERANCE	$49.35	$235.00	$152.75–$175.31	—	79%
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOL. GEST.	$49.35	$235.00	$152.75–$175.31	—	79%
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOL. HYPOGLY	$49.35	$235.00	$152.75–$175.31	—	79%
Glucose tolerance test, 3 samples inpatient CPT 82951 LACTOSE TOLERANCE TEST-Q	$49.35	$235.00	$152.75–$175.31	—	79%
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOLER HYPOGLYCMIA POC	$49.35	$235.00	$152.75–$175.31	—	79%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC DIRECT/LAB	$31.50	$150.00	$76.35–$121.20	52% below	79%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NG BY TMA THROAT/RECTAL ONLY	$31.50	$150.00	$76.35–$121.20	52% below	79%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NG BY TMA THROAT/RECTAL ONLY	$31.50	$150.00	$97.50–$111.90	—	79%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GC DIRECT/LAB	$31.50	$150.00	$97.50–$111.90	—	79%
H. pylori antibody blood test CPT 86677 H PYLORI ANTIBODY	$23.73	$113.00	$57.52–$91.30	69% below	79%
H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI AB /LAB	$23.73	$113.00	$57.52–$91.30	69% below	79%
H. pylori antibody blood test inpatient CPT 86677 H PYLORI ANTIBODY	$23.73	$113.00	$73.45–$84.30	—	79%
H. pylori antibody blood test inpatient CPT 86677 HELICOBACTER PYLORI AB /LAB	$23.73	$113.00	$73.45–$84.30	—	79%
H. pylori stool antigen test CPT 87338 HELICOBACTER PYLORI FECAL/LAB	$52.71	$251.00	$127.76–$202.81	54% below	79%
H. pylori stool antigen test inpatient CPT 87338 HELICOBACTER PYLORI FECAL/LAB	$52.71	$251.00	$163.15–$187.25	—	79%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 RNA QUANT/PCR	$83.16	$396.00	$201.56–$319.97	64% below	79%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 RNA QUANT/PCR	$83.16	$396.00	$257.40–$295.42	—	79%
HIV-1 and HIV-2 antibody test CPT 86703 HIV-1 AND HIV-2 ANTIBODY	$12.39	$59.00	$30.03–$47.67	73% below	79%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV-1 AND HIV-2 ANTIBODY	$12.39	$59.00	$38.35–$44.01	—	79%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV COMBO ANTIGEN/ANTIBODY REF	$17.64	$84.00	$42.76–$67.87	63% below	79%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV COMBO ANTIGEN/ANTIBODY REF	$17.64	$84.00	$54.60–$62.66	—	79%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV DNA ASSAY/LAB	$22.26	$106.00	$53.95–$85.65	69% below	79%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV DNA ASSAY/LAB	$22.26	$106.00	$68.90–$79.08	—	79%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN, GLYCOSYLATED (A1C)	$16.80	$80.00	$40.72–$64.64	68% below	79%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN, GLYCOSYLATED (A1C)	$16.80	$80.00	$52.00–$59.68	—	79%
Hemoglobin blood test CPT 85018 GEM HEMOGLOBIN/LAB	$4.20	$20.00	$10.18–$16.16	72% below	79%
Hemoglobin blood test CPT 85018 HEMOGLOBIN-Q	$4.20	$20.00	$10.18–$16.16	72% below	79%
Hemoglobin blood test CPT 85018 HEMOGLOBIN/LAB	$4.20	$20.00	$10.18–$16.16	72% below	79%
Hemoglobin blood test inpatient CPT 85018 GEM HEMOGLOBIN/LAB	$4.20	$20.00	$13.00–$14.92	—	79%
Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN/LAB	$4.20	$20.00	$13.00–$14.92	—	79%
Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN-Q	$4.20	$20.00	$13.00–$14.92	—	79%
Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B ABY, TOT	$17.85	$85.00	$43.26–$68.68	71% below	79%
Hepatitis B core antibody test (total) inpatient CPT 86704 HEPATITIS B ABY, TOT	$17.85	$85.00	$55.25–$63.41	—	79%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE ABY	$15.54	$74.00	$37.67–$59.79	69% below	79%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEP B SURFACE ABY	$15.54	$74.00	$48.10–$55.20	—	79%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B ANTIGEN	$15.33	$73.00	$37.16–$58.98	69% below	79%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B ANTIGEN	$15.33	$73.00	$47.45–$54.46	—	79%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ABY	$28.56	$136.00	$69.22–$109.89	61% below	79%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C ABY	$28.56	$136.00	$88.40–$101.46	—	79%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C RNA, QUANT	$63.00	$300.00	$152.70–$242.40	63% below	79%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEP C RNA, QUANT	$63.00	$300.00	$195.00–$223.80	—	79%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX TYPE 1	$32.55	$155.00	$78.90–$125.24	38% below	79%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX TYPE 1	$32.55	$155.00	$100.75–$115.63	—	79%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2	$33.18	$158.00	$80.42–$127.66	53% below	79%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX TYPE 2	$33.18	$158.00	$102.70–$117.87	—	79%
High-sensitivity CRP (hs-CRP) test CPT 86141 CRP HIGH SENSITIVITY Q	$24.99	$119.00	$60.57–$96.15	52% below	79%
High-sensitivity CRP (hs-CRP) test CPT 86141 CRP-HIGH SENSITIVITY-Q	$24.99	$119.00	$60.57–$96.15	52% below	79%
High-sensitivity CRP (hs-CRP) test CPT 86141 CRP HIGH SENSITIVITY	$24.99	$119.00	$60.57–$96.15	52% below	79%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CRP-HIGH SENSITIVITY-Q	$24.99	$119.00	$77.35–$88.77	—	79%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CRP HIGH SENSITIVITY	$24.99	$119.00	$77.35–$88.77	—	79%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CRP HIGH SENSITIVITY Q	$24.99	$119.00	$77.35–$88.77	—	79%
Homocysteine blood test CPT 83090 HOMOCYSTEINE	$57.12	$272.00	$138.45–$219.78	21% below	79%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE	$57.12	$272.00	$176.80–$202.91	—	79%
Insulin blood test CPT 83525 INSULIN/LAB	$41.79	$199.00	$101.29–$160.79	36% below	79%
Insulin blood test inpatient CPT 83525 INSULIN/LAB	$41.79	$199.00	$129.35–$148.45	—	79%
Iron blood test (serum iron) CPT 83540 IRON, LIVER TISSUE	$10.71	$51.00	$25.96–$41.21	71% below	79%
Iron blood test (serum iron) CPT 83540 IRON/LAB	$10.71	$51.00	$25.96–$41.21	71% below	79%
Iron blood test (serum iron) inpatient CPT 83540 IRON/LAB	$10.71	$51.00	$33.15–$38.05	—	79%
Iron blood test (serum iron) inpatient CPT 83540 IRON, LIVER TISSUE	$10.71	$51.00	$33.15–$38.05	—	79%
Iron-binding capacity (TIBC) test CPT 83550 IBC/LAB	$14.49	$69.00	$35.12–$55.75	64% below	79%
Iron-binding capacity (TIBC) test inpatient CPT 83550 IBC/LAB	$14.49	$69.00	$44.85–$51.47	—	79%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL-Q	$24.99	$119.00	$60.57–$96.15	63% below	79%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL	$24.99	$119.00	$60.57–$96.15	63% below	79%
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL	$24.99	$119.00	$77.35–$88.77	—	79%
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL-Q	$24.99	$119.00	$77.35–$88.77	—	79%
LH (luteinizing hormone) test CPT 83002 LH/LAB	$53.55	$255.00	$129.80–$206.04	37% below	79%
LH (luteinizing hormone) test inpatient CPT 83002 LH/LAB	$53.55	$255.00	$165.75–$190.23	—	79%
Lactate (lactic acid) blood test CPT 83605 CSF LACTIC ACID/LAB	$20.16	$96.00	$48.86–$77.57	65% below	79%
Lactate (lactic acid) blood test CPT 83605 ISTAT LACTATE/LAB	$20.16	$96.00	$48.86–$77.57	65% below	79%
Lactate (lactic acid) blood test CPT 83605 GEM LACTATE/LAB	$20.16	$96.00	$48.86–$77.57	65% below	79%
Lactate (lactic acid) blood test CPT 83605 LACTIC ACID/LAB	$20.16	$96.00	$48.86–$77.57	65% below	79%
Lactate (lactic acid) blood test inpatient CPT 83605 GEM LACTATE/LAB	$20.16	$96.00	$62.40–$71.62	—	79%
Lactate (lactic acid) blood test inpatient CPT 83605 LACTIC ACID/LAB	$20.16	$96.00	$62.40–$71.62	—	79%
Lactate (lactic acid) blood test inpatient CPT 83605 ISTAT LACTATE/LAB	$20.16	$96.00	$62.40–$71.62	—	79%
Lactate (lactic acid) blood test inpatient CPT 83605 CSF LACTIC ACID/LAB	$20.16	$96.00	$62.40–$71.62	—	79%
Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE DEHYDROGENASE (LDH)-Q	$9.66	$46.00	$23.41–$37.17	73% below	79%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH,BODY FLUID/LAB	$9.66	$46.00	$23.41–$37.17	73% below	79%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH,SPINAL FLUID/LAB	$9.66	$46.00	$23.41–$37.17	73% below	79%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH,SERUM/LAB	$9.66	$46.00	$23.41–$37.17	73% below	79%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH BODY FLUID-Q	$9.66	$46.00	$23.41–$37.17	73% below	79%
Lactate dehydrogenase (LDH) blood test CPT 83615 TOTAL LD (ARUP)	$9.66	$46.00	$23.41–$37.17	73% below	79%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LACTATE DEHYDROGENASE (LDH)-Q	$9.66	$46.00	$29.90–$34.32	—	79%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH,SPINAL FLUID/LAB	$9.66	$46.00	$29.90–$34.32	—	79%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 TOTAL LD (ARUP)	$9.66	$46.00	$29.90–$34.32	—	79%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH,SERUM/LAB	$9.66	$46.00	$29.90–$34.32	—	79%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH BODY FLUID-Q	$9.66	$46.00	$29.90–$34.32	—	79%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH,BODY FLUID/LAB	$9.66	$46.00	$29.90–$34.32	—	79%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE LEVEL-Q	$12.18	$58.00	$29.52–$46.86	74% below	79%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE/LAB	$12.18	$58.00	$29.52–$46.86	74% below	79%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE LEVEL-Q	$12.18	$58.00	$37.70–$43.27	—	79%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE/LAB	$12.18	$58.00	$37.70–$43.27	—	79%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PAN	$11.13	$53.00	$26.98–$42.82	87% below	79%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL-Q	$11.13	$53.00	$26.98–$42.82	87% below	79%
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PAN	$11.13	$53.00	$34.45–$39.54	—	79%
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL-Q	$11.13	$53.00	$34.45–$39.54	—	79%
Lyme disease antibody test CPT 86618 LYME DIS TITER/LAB	$32.13	$153.00	$77.88–$123.62	59% below	79%
Lyme disease antibody test CPT 86618 LYME DISEASE CSF/LAB	$32.13	$153.00	$77.88–$123.62	59% below	79%
Lyme disease antibody test inpatient CPT 86618 LYME DISEASE CSF/LAB	$32.13	$153.00	$99.45–$114.14	—	79%
Lyme disease antibody test inpatient CPT 86618 LYME DIS TITER/LAB	$32.13	$153.00	$99.45–$114.14	—	79%
Magnesium blood test CPT 83735 MAGNESIUM/LAB	$21.42	$102.00	$51.92–$82.42	47% below	79%
Magnesium blood test CPT 83735 MAGNESIUM URINE RNDM COLLECT-Q	$21.42	$102.00	$51.92–$82.42	47% below	79%
Magnesium blood test CPT 83735 MAGNESIUM URINE TIMED-Q	$21.42	$102.00	$51.92–$82.42	47% below	79%
Magnesium blood test CPT 83735 URINE MAGNESIUM/LAB	$21.42	$102.00	$51.92–$82.42	47% below	79%
Magnesium blood test CPT 83735 MAGNESIUM LEVEL-Q	$21.42	$102.00	$51.92–$82.42	47% below	79%
Magnesium blood test CPT 83735 MAGNESIUM, RBC/LAB	$21.42	$102.00	$51.92–$82.42	47% below	79%
Magnesium blood test CPT 83735 STONE ANALYSIS MAGNESIUM	$21.42	$102.00	$51.92–$82.42	47% below	79%
Magnesium blood test inpatient CPT 83735 MAGNESIUM URINE TIMED-Q	$21.42	$102.00	$66.30–$76.09	—	79%
Magnesium blood test inpatient CPT 83735 MAGNESIUM/LAB	$21.42	$102.00	$66.30–$76.09	—	79%
Magnesium blood test inpatient CPT 83735 STONE ANALYSIS MAGNESIUM	$21.42	$102.00	$66.30–$76.09	—	79%
Magnesium blood test inpatient CPT 83735 MAGNESIUM, RBC/LAB	$21.42	$102.00	$66.30–$76.09	—	79%
Magnesium blood test inpatient CPT 83735 MAGNESIUM LEVEL-Q	$21.42	$102.00	$66.30–$76.09	—	79%
Magnesium blood test inpatient CPT 83735 URINE MAGNESIUM/LAB	$21.42	$102.00	$66.30–$76.09	—	79%
Magnesium blood test inpatient CPT 83735 MAGNESIUM URINE RNDM COLLECT-Q	$21.42	$102.00	$66.30–$76.09	—	79%
Measles (rubeola) antibody test CPT 86765 RUBEOLA, IGM ANTIBOD	$23.73	$113.00	$57.52–$91.30	33% below	79%
Measles (rubeola) antibody test CPT 86765 RUBEOLA SCREEN/LAB	$23.73	$113.00	$57.52–$91.30	33% below	79%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA SCREEN/LAB	$23.73	$113.00	$73.45–$84.30	—	79%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA, IGM ANTIBOD	$23.73	$113.00	$73.45–$84.30	—	79%
Mono test (heterophile antibody, Monospot) CPT 86308 INFECTIOUS MONO/LAB	$14.49	$69.00	$35.12–$55.75	60% below	79%
Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE AB SCRN	$14.49	$69.00	$35.12–$55.75	60% below	79%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 INFECTIOUS MONO/LAB	$14.49	$69.00	$44.85–$51.47	—	79%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HETEROPHILE AB SCRN	$14.49	$69.00	$44.85–$51.47	—	79%
Mumps immunity blood test CPT 86735 MUMPS IGG	$28.14	$134.00	$68.21–$108.27	24% below	79%
Mumps immunity blood test CPT 86735 MUMPS IGM/LAB	$28.14	$134.00	$68.21–$108.27	24% below	79%
Mumps immunity blood test inpatient CPT 86735 MUMPS IGG	$28.14	$134.00	$87.10–$99.96	—	79%
Mumps immunity blood test inpatient CPT 86735 MUMPS IGM/LAB	$28.14	$134.00	$87.10–$99.96	—	79%
Obstetric blood test panel CPT 80055 PRENATAL PROFILE	$58.17	$277.00	$140.99–$223.82	59% below	79%
Obstetric blood test panel inpatient CPT 80055 PRENATAL PROFILE	$58.17	$277.00	$180.05–$206.64	—	79%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA, FREE	$22.47	$107.00	$54.46–$86.46	76% below	79%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA, FREE	$22.47	$107.00	$69.55–$79.82	—	79%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL (PART OF PSA FREE)	$15.33	$73.00	$37.16–$58.98	79% below	79%
PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATIC SPE-AG/LAB	$15.33	$73.00	$37.16–$58.98	79% below	79%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATIC SPE-AG/LAB	$15.33	$73.00	$47.45–$54.46	—	79%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA TOTAL (PART OF PSA FREE)	$15.33	$73.00	$47.45–$54.46	—	79%
Pap test (liquid-based, automated screening with review) CPT 88175 THIN PREP TEST IMAGINE	$23.31	$111.00	$56.50–$89.69	64% below	79%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 THIN PREP TEST IMAGINE	$23.31	$111.00	$72.15–$82.81	—	79%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CYTOPATHOLOGY PAP SMEAR	$26.25	$125.00	$63.62–$101.00	63% below	79%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 CYTOPATHOLOGY PAP SMEAR	$26.25	$125.00	$81.25–$93.25	—	79%
Parathyroid hormone (PTH) blood test CPT 83970 PTH INTACT	$58.17	$277.00	$140.99–$223.82	41% below	79%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH INTACT	$58.17	$277.00	$180.05–$206.64	—	79%
Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME PARTIAL	$15.12	$72.00	$36.65–$58.18	65% below	79%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT SUBSTITUTION, EA	$15.12	$72.00	$36.65–$58.18	65% below	79%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT/LAB	$15.12	$72.00	$36.65–$58.18	65% below	79%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT SUBSTITUTION, EA	$15.12	$72.00	$46.80–$53.71	—	79%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT/LAB	$15.12	$72.00	$46.80–$53.71	—	79%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLASTIN TIME PARTIAL	$15.12	$72.00	$46.80–$53.71	—	79%
Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS/LAB	$10.50	$50.00	$25.45–$40.40	62% below	79%
Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS LEVEL-Q	$10.50	$50.00	$25.45–$40.40	62% below	79%
Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHORUS/LAB	$10.50	$50.00	$32.50–$37.30	—	79%
Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHORUS LEVEL-Q	$10.50	$50.00	$32.50–$37.30	—	79%
Potassium blood test CPT 84132 POTASSIUM LEVEL-Q	$6.30	$30.00	$15.27–$24.24	74% below	79%
Potassium blood test CPT 84132 GEM POTASSIUM/LAB	$6.30	$30.00	$15.27–$24.24	74% below	79%
Potassium blood test CPT 84132 ISTAT POTASSIUM/LAB	$6.30	$30.00	$15.27–$24.24	74% below	79%
Potassium blood test CPT 84132 POTASSIUM,SERUM/LAB	$6.30	$30.00	$15.27–$24.24	74% below	79%
Potassium blood test inpatient CPT 84132 POTASSIUM LEVEL-Q	$6.30	$30.00	$19.50–$22.38	—	79%
Potassium blood test inpatient CPT 84132 GEM POTASSIUM/LAB	$6.30	$30.00	$19.50–$22.38	—	79%
Potassium blood test inpatient CPT 84132 ISTAT POTASSIUM/LAB	$6.30	$30.00	$19.50–$22.38	—	79%
Potassium blood test inpatient CPT 84132 POTASSIUM,SERUM/LAB	$6.30	$30.00	$19.50–$22.38	—	79%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 NIPT FETAL ANEUPLOIDY	$480.48	$2,288.00	$1,164.59–$1,848.70	54% below	79%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 NON-INVSVE PRENATAL ANEUPLOIDY	$480.48	$2,288.00	$1,164.59–$1,848.70	54% below	79%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 NIPT FETAL ANEUPLOIDY	$480.48	$2,288.00	$1,487.20–$1,706.85	—	79%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 NON-INVSVE PRENATAL ANEUPLOIDY	$480.48	$2,288.00	$1,487.20–$1,706.85	—	79%
Progesterone blood test CPT 84144 PROGESTERONE/LAB	$46.83	$223.00	$113.51–$180.18	47% below	79%
Progesterone blood test inpatient CPT 84144 PROGESTERONE/LAB	$46.83	$223.00	$144.95–$166.36	—	79%
Prolactin blood test CPT 84146 PROLACTIN/LAB	$32.13	$153.00	$77.88–$123.62	57% below	79%
Prolactin blood test CPT 84146 PROLACTIN DILUTION STUDY	$32.13	$153.00	$77.88–$123.62	57% below	79%
Prolactin blood test inpatient CPT 84146 PROLACTIN DILUTION STUDY	$32.13	$153.00	$99.45–$114.14	—	79%
Prolactin blood test inpatient CPT 84146 PROLACTIN/LAB	$32.13	$153.00	$99.45–$114.14	—	79%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME/LAB	$11.34	$54.00	$27.49–$43.63	61% below	79%
Prothrombin time (PT/INR) clotting test CPT 85610 ISTAT INR/LAB	$11.34	$54.00	$27.49–$43.63	61% below	79%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 ISTAT INR/LAB	$11.34	$54.00	$35.10–$40.28	—	79%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME/LAB	$11.34	$54.00	$35.10–$40.28	—	79%
Renin blood test CPT 84244 RENIN 1/LAB	$30.03	$143.00	$72.79–$115.54	59% below	79%
Renin blood test inpatient CPT 84244 RENIN 1/LAB	$30.03	$143.00	$92.95–$106.68	—	79%
Rh blood typing CPT 86901 RH TYPE	$17.43	$83.00	$42.25–$67.06	52% below	79%
Rh blood typing CPT 86901 RH TYPE ARC REF	$17.43	$83.00	$42.25–$67.06	52% below	79%
Rh blood typing inpatient CPT 86901 RH TYPE ARC REF	$17.43	$83.00	$53.95–$61.92	—	79%
Rh blood typing inpatient CPT 86901 RH TYPE	$17.43	$83.00	$53.95–$61.92	—	79%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUANT	$24.36	$116.00	$59.04–$93.73	28% below	79%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR QUANT	$24.36	$116.00	$75.40–$86.54	—	79%
Rubella antibody test (immunity check) CPT 86762 RUBELLA TITER/LAB	$20.58	$98.00	$49.88–$79.18	59% below	79%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA TITER/LAB	$20.58	$98.00	$63.70–$73.11	—	79%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN ANALYSIS/LAB	$24.36	$116.00	$59.04–$93.73	71% below	79%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 SPERM MORPHOLOGY	$24.36	$116.00	$59.04–$93.73	71% below	79%
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 SEMEN ANALYSIS/LAB	$24.36	$116.00	$75.40–$86.54	—	79%
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 SPERM MORPHOLOGY	$24.36	$116.00	$75.40–$86.54	—	79%
Sodium blood test CPT 84295 ISTAT SODIUM/LAB	$6.51	$31.00	$15.78–$25.05	73% below	79%
Sodium blood test CPT 84295 GEM SODIUM/LAB	$6.51	$31.00	$15.78–$25.05	73% below	79%
Sodium blood test CPT 84295 SODIUM LEVEL-Q	$6.51	$31.00	$15.78–$25.05	73% below	79%
Sodium blood test CPT 84295 SODIUM,SERUM/LAB	$6.51	$31.00	$15.78–$25.05	73% below	79%
Sodium blood test inpatient CPT 84295 GEM SODIUM/LAB	$6.51	$31.00	$20.15–$23.13	—	79%
Sodium blood test inpatient CPT 84295 SODIUM LEVEL-Q	$6.51	$31.00	$20.15–$23.13	—	79%
Sodium blood test inpatient CPT 84295 SODIUM,SERUM/LAB	$6.51	$31.00	$20.15–$23.13	—	79%
Sodium blood test inpatient CPT 84295 ISTAT SODIUM/LAB	$6.51	$31.00	$20.15–$23.13	—	79%
Stool ova and parasites exam CPT 87177 OVA & PARASITE COMP	$13.65	$65.00	$33.08–$52.52	63% below	79%
Stool ova and parasites exam inpatient CPT 87177 OVA & PARASITE COMP	$13.65	$65.00	$42.25–$48.49	—	79%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD ANNUAL SCREEN/LAB	$3.36	$16.00	$8.14–$12.93	84% below	79%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD FECES	$3.36	$16.00	$8.14–$12.93	84% below	79%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLOOD ANNUAL SCREEN/LAB	$3.36	$16.00	$10.40–$11.94	—	79%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLOOD FECES	$3.36	$16.00	$10.40–$11.94	—	79%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 OCCULT BLOOD-FECAL/LAB	$18.27	$87.00	$44.28–$70.30	55% below	79%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 OCCULT BLOOD-FECAL/LAB	$18.27	$87.00	$56.55–$64.90	—	79%
Syphilis antibody test (Treponema pallidum) CPT 86780 RPR-FTA-ABS/LAB	$14.91	$71.00	$36.14–$57.37	72% below	79%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 RPR-FTA-ABS/LAB	$14.91	$71.00	$46.15–$52.97	—	79%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR/LAB	$23.31	$111.00	$56.50–$89.69	25% below	79%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL/LAB	$23.31	$111.00	$56.50–$89.69	25% below	79%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR/LAB	$23.31	$111.00	$72.15–$82.81	—	79%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL/LAB	$23.31	$111.00	$72.15–$82.81	—	79%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB QUANTIFERON GOLD/LAB	$70.35	$335.00	$170.52–$270.68	40% below	79%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 TB QUANTIFERON GOLD/LAB	$70.35	$335.00	$217.75–$249.91	—	79%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE, TOTAL	$47.04	$224.00	$114.02–$180.99	48% below	79%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE/LAB	$47.04	$224.00	$114.02–$180.99	48% below	79%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE, TOTAL	$47.04	$224.00	$145.60–$167.10	—	79%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE/LAB	$47.04	$224.00	$145.60–$167.10	—	79%
Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER-KIDNEY MICROSOME AB/LAB	$36.75	$175.00	$89.08–$141.40	57% below	79%
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID AUTOANTIBODY	$36.75	$175.00	$89.08–$141.40	57% below	79%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LIVER-KIDNEY MICROSOME AB/LAB	$36.75	$175.00	$113.75–$130.55	—	79%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID AUTOANTIBODY	$36.75	$175.00	$113.75–$130.55	—	79%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH/LAB	$36.33	$173.00	$88.06–$139.78	53% below	79%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH/LAB	$36.33	$173.00	$112.45–$129.06	—	79%
Total IgE blood test CPT 82785 IGE	$33.18	$158.00	$80.42–$127.66	48% below	79%
Total IgE blood test inpatient CPT 82785 IGE	$33.18	$158.00	$102.70–$117.87	—	79%
Total cholesterol blood test CPT 82465 CHOLESTEROL/LAB	$10.29	$49.00	$24.94–$39.59	58% below	79%
Total cholesterol blood test CPT 82465 CHOLESTEROL (LDL SUBCLASS)/LAB	$10.29	$49.00	$24.94–$39.59	58% below	79%
Total cholesterol blood test CPT 82465 FIBROSURE CHOLESTEROL/LAB	$10.29	$49.00	$24.94–$39.59	58% below	79%
Total cholesterol blood test CPT 82465 BODY FLUID CHOL	$10.29	$49.00	$24.94–$39.59	58% below	79%
Total cholesterol blood test CPT 82465 CHOLESTEROL TOTAL-Q	$10.29	$49.00	$24.94–$39.59	58% below	79%
Total cholesterol blood test inpatient CPT 82465 FIBROSURE CHOLESTEROL/LAB	$10.29	$49.00	$31.85–$36.55	—	79%
Total cholesterol blood test inpatient CPT 82465 BODY FLUID CHOL	$10.29	$49.00	$31.85–$36.55	—	79%
Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL/LAB	$10.29	$49.00	$31.85–$36.55	—	79%
Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL TOTAL-Q	$10.29	$49.00	$31.85–$36.55	—	79%
Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL (LDL SUBCLASS)/LAB	$10.29	$49.00	$31.85–$36.55	—	79%
Total thyroxine (T4) blood test CPT 84436 T4/LAB	$12.39	$59.00	$30.03–$47.67	75% below	79%
Total thyroxine (T4) blood test inpatient CPT 84436 T4/LAB	$12.39	$59.00	$38.35–$44.01	—	79%
Total triiodothyronine (T3) blood test CPT 84480 T3 TOTAL	$28.56	$136.00	$69.22–$109.89	66% below	79%
Total triiodothyronine (T3) blood test inpatient CPT 84480 T3 TOTAL	$28.56	$136.00	$88.40–$101.46	—	79%
Transferrin blood test CPT 84466 TRANSFERRIN/LAB	$17.85	$85.00	$43.26–$68.68	69% below	79%
Transferrin blood test inpatient CPT 84466 TRANSFERRIN/LAB	$17.85	$85.00	$55.25–$63.41	—	79%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS BY PCR/LAB	$43.47	$207.00	$105.36–$167.26	51% below	79%
Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS BY PCR/LAB	$43.47	$207.00	$134.55–$154.42	—	79%
Triglycerides blood test CPT 84478 BODY FLUID TRIG	$13.65	$65.00	$33.08–$52.52	69% below	79%
Triglycerides blood test CPT 84478 FIBROSURE TRIGLYCERIDE/LAB	$13.65	$65.00	$33.08–$52.52	69% below	79%
Triglycerides blood test CPT 84478 TRIGLYCERIDES/LAB	$13.65	$65.00	$33.08–$52.52	69% below	79%
Triglycerides blood test inpatient CPT 84478 FIBROSURE TRIGLYCERIDE/LAB	$13.65	$65.00	$42.25–$48.49	—	79%
Triglycerides blood test inpatient CPT 84478 BODY FLUID TRIG	$13.65	$65.00	$42.25–$48.49	—	79%
Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDES/LAB	$13.65	$65.00	$42.25–$48.49	—	79%
Troponin test, quantitative CPT 84484 ISTAT TROPONIN/LAB	$41.37	$197.00	$100.27–$159.18	48% below	79%
Troponin test, quantitative CPT 84484 TROPONIN T HS (RANDOM)-Q	$41.37	$197.00	$100.27–$159.18	48% below	79%
Troponin test, quantitative CPT 84484 TROPONIN	$41.37	$197.00	$100.27–$159.18	48% below	79%
Troponin test, quantitative inpatient CPT 84484 ISTAT TROPONIN/LAB	$41.37	$197.00	$128.05–$146.96	—	79%
Troponin test, quantitative inpatient CPT 84484 TROPONIN	$41.37	$197.00	$128.05–$146.96	—	79%
Troponin test, quantitative inpatient CPT 84484 TROPONIN T HS (RANDOM)-Q	$41.37	$197.00	$128.05–$146.96	—	79%
Uric acid blood test CPT 84550 URIC ACID,SERUM/LAB	$10.71	$51.00	$25.96–$41.21	65% below	79%
Uric acid blood test CPT 84550 URIC ACID-Q	$10.71	$51.00	$25.96–$41.21	65% below	79%
Uric acid blood test inpatient CPT 84550 URIC ACID-Q	$10.71	$51.00	$33.15–$38.05	—	79%
Uric acid blood test inpatient CPT 84550 URIC ACID,SERUM/LAB	$10.71	$51.00	$33.15–$38.05	—	79%
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS REFLEX TO CULTURE-Q	$6.51	$31.00	$15.78–$25.05	81% below	79%
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS COMPLETE AUTOMATED	$6.51	$31.00	$15.78–$25.05	81% below	79%
Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS REFLEX TO CULTURE-Q	$6.51	$31.00	$20.15–$23.13	—	79%
Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS COMPLETE AUTOMATED	$6.51	$31.00	$20.15–$23.13	—	79%
Urinalysis with microscope exam, manual CPT 81000 URINALYSIS COMPLETE NON-AUTO	$5.67	$27.00	$13.74–$21.82	77% below	79%
Urinalysis with microscope exam, manual inpatient CPT 81000 URINALYSIS COMPLETE NON-AUTO	$5.67	$27.00	$17.55–$20.14	—	79%
Urinalysis without microscope exam, automated CPT 81003 URINE PH/LAB	$4.41	$21.00	$10.69–$16.97	80% below	79%
Urinalysis without microscope exam, automated CPT 81003 SPECIFIC GRAVITY/LAB	$4.41	$21.00	$10.69–$16.97	80% below	79%
Urinalysis without microscope exam, automated CPT 81003 URINE SCREEN/LAB	$4.41	$21.00	$10.69–$16.97	80% below	79%
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS	$4.41	$21.00	$10.69–$16.97	80% below	79%
Urinalysis without microscope exam, automated CPT 81003 PH URINE-Q	$4.41	$21.00	$10.69–$16.97	80% below	79%
Urinalysis without microscope exam, automated CPT 81003 SPECIFIC GRAVITY URINE-Q	$4.41	$21.00	$10.69–$16.97	80% below	79%
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS MACROSCOPIC-Q	$4.41	$21.00	$10.69–$16.97	80% below	79%
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS W/MICROSCOPIC-Q	$4.41	$21.00	$10.69–$16.97	80% below	79%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINE SCREEN/LAB	$4.41	$21.00	$13.65–$15.67	—	79%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS	$4.41	$21.00	$13.65–$15.67	—	79%
Urinalysis without microscope exam, automated inpatient CPT 81003 PH URINE-Q	$4.41	$21.00	$13.65–$15.67	—	79%
Urinalysis without microscope exam, automated inpatient CPT 81003 SPECIFIC GRAVITY URINE-Q	$4.41	$21.00	$13.65–$15.67	—	79%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS MACROSCOPIC-Q	$4.41	$21.00	$13.65–$15.67	—	79%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS W/MICROSCOPIC-Q	$4.41	$21.00	$13.65–$15.67	—	79%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINE PH/LAB	$4.41	$21.00	$13.65–$15.67	—	79%
Urinalysis without microscope exam, automated inpatient CPT 81003 SPECIFIC GRAVITY/LAB	$4.41	$21.00	$13.65–$15.67	—	79%
Urinalysis without microscope exam, manual CPT 81002 OBPS U/A NONAUTO W/O SCOPE	$2.52	$12.00	$6.11–$9.70	84% below	79%
Urinalysis without microscope exam, manual CPT 81002 URINE SUGAR/LAB	$2.52	$12.00	$6.11–$9.70	84% below	79%
Urinalysis without microscope exam, manual inpatient CPT 81002 URINE SUGAR/LAB	$2.52	$12.00	$7.80–$8.95	—	79%
Urinalysis without microscope exam, manual inpatient CPT 81002 OBPS U/A NONAUTO W/O SCOPE	$2.52	$12.00	$7.80–$8.95	—	79%
Urine culture for bacteria, with colony count CPT 87086 URINE CULTURE/LAB	$15.96	$76.00	$38.68–$61.41	75% below	79%
Urine culture for bacteria, with colony count inpatient CPT 87086 URINE CULTURE/LAB	$15.96	$76.00	$49.40–$56.70	—	79%
Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN, URINE	$12.60	$60.00	$30.54–$48.48	75% below	79%
Urine microalbumin (albumin) test CPT 82043 MICROALBUMN URNE RNDM COLLCT-Q	$12.60	$60.00	$30.54–$48.48	75% below	79%
Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN URINE TIMED-Q	$12.60	$60.00	$30.54–$48.48	75% below	79%
Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN, URINE	$12.60	$60.00	$39.00–$44.76	—	79%
Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN URINE TIMED-Q	$12.60	$60.00	$39.00–$44.76	—	79%
Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMN URNE RNDM COLLCT-Q	$12.60	$60.00	$39.00–$44.76	—	79%
Urine pregnancy test, read by color change CPT 81025 PREGNANCY TEST,URINE/LAB	$12.39	$59.00	$30.03–$47.67	56% below	79%
Urine pregnancy test, read by color change CPT 81025 BETA HCG QUALITATIVE URINE-Q	$12.39	$59.00	$30.03–$47.67	56% below	79%
Urine pregnancy test, read by color change CPT 81025 OBPS URINE PREGNANCY	$12.39	$59.00	$30.03–$47.67	56% below	79%
Urine pregnancy test, read by color change CPT 81025 HC PREGNANCY TEST UR	$12.39	$59.00	$30.03–$47.67	56% below	79%
Urine pregnancy test, read by color change inpatient CPT 81025 OBPS URINE PREGNANCY	$12.39	$59.00	$38.35–$44.01	—	79%
Urine pregnancy test, read by color change inpatient CPT 81025 BETA HCG QUALITATIVE URINE-Q	$12.39	$59.00	$38.35–$44.01	—	79%
Urine pregnancy test, read by color change inpatient CPT 81025 HC PREGNANCY TEST UR	$12.39	$59.00	$38.35–$44.01	—	79%
Urine pregnancy test, read by color change inpatient CPT 81025 PREGNANCY TEST,URINE/LAB	$12.39	$59.00	$38.35–$44.01	—	79%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12/LAB	$23.31	$111.00	$56.50–$89.69	73% below	79%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 REFLEX	$23.31	$111.00	$56.50–$89.69	73% below	79%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12/LAB	$23.31	$111.00	$72.15–$82.81	—	79%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12 REFLEX	$23.31	$111.00	$72.15–$82.81	—	79%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D, 25-HYDROXY/LAB	$42.21	$201.00	$102.31–$162.41	63% below	79%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D2 AND D3 LCMS/LAB	$42.21	$201.00	$102.31–$162.41	63% below	79%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D, 25-HYDROXY/LAB	$42.21	$201.00	$130.65–$149.95	—	79%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D2 AND D3 LCMS/LAB	$42.21	$201.00	$130.65–$149.95	—	79%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 VITAMIN D, 1, 25-DIHYDROXY/LAB	$34.44	$164.00	$83.48–$132.51	74% below	79%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 VITAMIN D, 1, 25-DIHYDROXY/LAB	$34.44	$164.00	$106.60–$122.34	—	79%
Zinc blood test CPT 84630 ZINC RBC/LAB	$10.29	$49.00	$24.94–$39.59	76% below	79%
Zinc blood test CPT 84630 ZINC/LAB	$10.29	$49.00	$24.94–$39.59	76% below	79%
Zinc blood test inpatient CPT 84630 ZINC/LAB	$10.29	$49.00	$31.85–$36.55	—	79%
Zinc blood test inpatient CPT 84630 ZINC RBC/LAB	$10.29	$49.00	$31.85–$36.55	—	79%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 ISTAT BETA HCG/LAB	$40.95	$195.00	$99.26–$157.56	50% below	79%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BHCG/LAB	$40.95	$195.00	$99.26–$157.56	50% below	79%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG-BETA SUBUNIT/LAB	$40.95	$195.00	$99.26–$157.56	50% below	79%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BETA HCG QUANTITATIVE SERUM-Q	$40.95	$195.00	$99.26–$157.56	50% below	79%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 BHCG/LAB	$40.95	$195.00	$126.75–$145.47	—	79%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 BETA HCG QUANTITATIVE SERUM-Q	$40.95	$195.00	$126.75–$145.47	—	79%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG-BETA SUBUNIT/LAB	$40.95	$195.00	$126.75–$145.47	—	79%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 ISTAT BETA HCG/LAB	$40.95	$195.00	$126.75–$145.47	—	79%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Maine	Off list
Botox injections for chronic migraine CPT 64615 HC CHEMODENERV MUSC MIGRAINE	$161.49	$769.00	$391.42–$621.35	24% below	79%
Botox injections for chronic migraine CPT 64615 HC CHEMODENERV MUSC-MIGRAINE	$161.49	$769.00	$391.42–$621.35	24% below	79%
Botox injections for chronic migraine CPT 64615 HC CHEMDN MSCL(S FAC/TRIG/CERV	$161.49	$769.00	$391.42–$621.35	24% below	79%
Botox injections for chronic migraine CPT 64615 CHMDNRV MUSC FACE/TRGM-BIL-OFC	$231.00	$1,100.00	$559.90–$888.80	9% above	79%
Botox injections for chronic migraine inpatient CPT 64615 HC CHEMDN MSCL(S FAC/TRIG/CERV	$161.49	$769.00	$499.85–$573.67	—	79%
Botox injections for chronic migraine inpatient CPT 64615 HC CHEMODENERV MUSC MIGRAINE	$161.49	$769.00	$499.85–$573.67	—	79%
Botox injections for chronic migraine inpatient CPT 64615 HC CHEMODENERV MUSC-MIGRAINE	$161.49	$769.00	$499.85–$573.67	—	79%
Botox injections for chronic migraine inpatient CPT 64615 CHMDNRV MUSC FACE/TRGM-BIL-OFC	$231.00	$1,100.00	$715.00–$820.60	—	79%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 BIOP BR LOC AND STERO GUID	$982.80	$4,680.00	$2,382.12–$3,781.44	47% below	79%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 BX BREAST 1ST LSN STRTCTC-LT	$982.80	$4,680.00	$2,382.12–$3,781.44	47% below	79%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 BX BREAST 1ST LSN STRTCTC-RT	$982.80	$4,680.00	$2,382.12–$3,781.44	47% below	79%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 BIOP BR LOC AND STERO GUID	$982.80	$4,680.00	$3,042.00–$3,491.28	—	79%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 BX BREAST 1ST LSN STRTCTC-LT	$982.80	$4,680.00	$3,042.00–$3,491.28	—	79%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 BX BREAST 1ST LSN STRTCTC-RT	$982.80	$4,680.00	$3,042.00–$3,491.28	—	79%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 HC CL TRT DIST FIB FX WO MAN	$163.80	$780.00	$397.02–$630.24	41% below	79%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 HC CL DST FB FX LAT MAL W/O MN	$163.80	$780.00	$397.02–$630.24	41% below	79%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 TREATMENT OF ANKLE FRACTURE	$196.56	$936.00	$476.42–$756.29	29% below	79%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 TSO OFF TX LM FX NO REDUX	$317.10	$1,510.00	$768.59–$1,220.08	15% above	79%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 HC CL DST FB FX LAT MAL W/O MN	$163.80	$780.00	$507.00–$581.88	—	79%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 HC CL TRT DIST FIB FX WO MAN	$163.80	$780.00	$507.00–$581.88	—	79%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 TREATMENT OF ANKLE FRACTURE	$196.56	$936.00	$608.40–$698.26	—	79%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 TSO OFF TX LM FX NO REDUX	$317.10	$1,510.00	$981.50–$1,126.46	—	79%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 HC CL TRT METATAR FX EA WO MN	$173.04	$824.00	$419.42–$665.79	29% below	79%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 HC CLSTX METATARSAL FX W/O MN	$173.04	$824.00	$419.42–$665.79	29% below	79%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 TREAT METATARSAL FRACTURE	$207.69	$989.00	$503.40–$799.11	15% below	79%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 TSO OFF TX MTARSAL FX NO REDUX	$272.58	$1,298.00	$660.68–$1,048.78	12% above	79%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 HC CLSTX METATARSAL FX W/O MN	$173.04	$824.00	$535.60–$614.70	—	79%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 HC CL TRT METATAR FX EA WO MN	$173.04	$824.00	$535.60–$614.70	—	79%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 TREAT METATARSAL FRACTURE	$207.69	$989.00	$642.85–$737.79	—	79%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 TSO OFF TX MTARSAL FX NO REDUX	$272.58	$1,298.00	$843.70–$968.31	—	79%
Cardiac catheterization with coronary angiogram one side CPT 93458 LEFT HEART CATH WITH COR ANGIO	$2,054.01	$9,781.00	$4,978.53–$7,903.05	46% below	79%
Cardiac catheterization with coronary angiogram one side CPT 93458 LEFT HRT CATH W/COR ANG W/PCI	$2,054.01	$9,781.00	$4,978.53–$7,903.05	46% below	79%
Cardiac catheterization with coronary angiogram inpatient one side CPT 93458 LEFT HRT CATH W/COR ANG W/PCI	$2,054.01	$9,781.00	$6,357.65–$7,296.63	—	79%
Cardiac catheterization with coronary angiogram inpatient one side CPT 93458 LEFT HEART CATH WITH COR ANGIO	$2,054.01	$9,781.00	$6,357.65–$7,296.63	—	79%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIVERSION EXTERNAL ELECTIVE	$389.55	$1,855.00	$944.20–$1,498.84	20% below	79%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIVERSION EXTERNAL	$389.55	$1,855.00	$944.20–$1,498.84	20% below	79%
Cardioversion, elective (restoring heart rhythm) CPT 92960 ER EXTERNAL CARDIOVERSION	$467.46	$2,226.00	$1,133.03–$1,798.61	4% below	79%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIVERSION EXTERNAL ELECTIVE	$389.55	$1,855.00	$1,205.75–$1,383.83	—	79%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIVERSION EXTERNAL	$389.55	$1,855.00	$1,205.75–$1,383.83	—	79%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 ER EXTERNAL CARDIOVERSION	$467.46	$2,226.00	$1,446.90–$1,660.60	—	79%
Carpal tunnel release, open surgery CPT 64721 HC REL/TRNSP CTNL MEDIAN NRVE	$725.55	$3,455.00	$1,758.60–$2,791.64	27% below	79%
Carpal tunnel release, open surgery CPT 64721 HC CARPAL TUNNEL SURGERY	$869.19	$4,139.00	$2,106.75–$3,344.31	13% below	79%
Carpal tunnel release, open surgery inpatient CPT 64721 HC REL/TRNSP CTNL MEDIAN NRVE	$725.55	$3,455.00	$2,245.75–$2,577.43	—	79%
Carpal tunnel release, open surgery inpatient CPT 64721 HC CARPAL TUNNEL SURGERY	$869.19	$4,139.00	$2,690.35–$3,087.69	—	79%
Cataract surgery with lens implant CPT 66984 CATARACT RMV W/IOL 1 STAGE-OFC	$1,778.70	$8,470.00	$4,311.23–$6,843.76	at median	79%
Cataract surgery with lens implant inpatient CPT 66984 CATARACT RMV W/IOL 1 STAGE-OFC	$1,778.70	$8,470.00	$5,505.50–$6,318.62	—	79%
Catheter ablation for atrial fibrillation CPT 93656 EP & AFIB ABLATION	$5,708.43	$27,183.00	$13,836.15–$21,963.86	—	79%
Catheter ablation for atrial fibrillation inpatient CPT 93656 EP & AFIB ABLATION	$5,708.43	$27,183.00	$17,668.95–$20,278.52	—	79%
Cervical biopsy CPT 57500 HC BX CERVIX/LOCAL EXC LESION	$259.14	$1,234.00	$628.11–$997.07	29% below	79%
Cervical biopsy CPT 57500 HC BIOPSY(S) OF CERVIX	$259.14	$1,234.00	$628.11–$997.07	29% below	79%
Cervical biopsy CPT 57500 ER BX CRVX SGL/MULT/EXCSN LESN	$311.01	$1,481.00	$753.83–$1,196.65	14% below	79%
Cervical biopsy CPT 57500 OBPS BIOPSY CERVIX	$319.83	$1,523.00	$775.21–$1,230.58	12% below	79%
Cervical biopsy inpatient CPT 57500 HC BX CERVIX/LOCAL EXC LESION	$259.14	$1,234.00	$802.10–$920.56	—	79%
Cervical biopsy inpatient CPT 57500 HC BIOPSY(S) OF CERVIX	$259.14	$1,234.00	$802.10–$920.56	—	79%
Cervical biopsy inpatient CPT 57500 ER BX CRVX SGL/MULT/EXCSN LESN	$311.01	$1,481.00	$962.65–$1,104.83	—	79%
Cervical biopsy inpatient CPT 57500 OBPS BIOPSY CERVIX	$319.83	$1,523.00	$989.95–$1,136.16	—	79%
Circumcision, surgical, older than a newborn CPT 54160 CIRCUMCISION NEONATE-RES	$112.56	$536.00	$272.82–$433.09	30% below	79%
Circumcision, surgical, older than a newborn CPT 54160 PSF CIRCUMCISION NEONATE	$112.56	$536.00	$272.82–$433.09	30% below	79%
Circumcision, surgical, older than a newborn CPT 54160 HC CIRCUMCISION W/O NEONATE	$112.56	$536.00	$272.82–$433.09	30% below	79%
Circumcision, surgical, older than a newborn CPT 54160 HC CIRCUMCISION NEONATE	$112.56	$536.00	$272.82–$433.09	30% below	79%
Circumcision, surgical, older than a newborn CPT 54160 HC NEONATE CIRCUMCISION	$112.56	$536.00	$272.82–$433.09	30% below	79%
Circumcision, surgical, older than a newborn inpatient CPT 54160 HC CIRCUMCISION NEONATE	$112.56	$536.00	$348.40–$399.86	—	79%
Circumcision, surgical, older than a newborn inpatient CPT 54160 HC CIRCUMCISION W/O NEONATE	$112.56	$536.00	$348.40–$399.86	—	79%
Circumcision, surgical, older than a newborn inpatient CPT 54160 CIRCUMCISION NEONATE-RES	$112.56	$536.00	$348.40–$399.86	—	79%
Circumcision, surgical, older than a newborn inpatient CPT 54160 PSF CIRCUMCISION NEONATE	$112.56	$536.00	$348.40–$399.86	—	79%
Circumcision, surgical, older than a newborn inpatient CPT 54160 HC NEONATE CIRCUMCISION	$112.56	$536.00	$348.40–$399.86	—	79%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HC CLTX DSTL RD FX/EPI W/O MN	$210.63	$1,003.00	$510.53–$810.42	29% below	79%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HC CL TRT DIST RAD FX WO MAN	$210.63	$1,003.00	$510.53–$810.42	29% below	79%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CLSD TRTMT RADIUS FX WO MANIP	$252.84	$1,204.00	$612.84–$972.83	15% below	79%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 TREAT FRACTURE RADIUS/ULNA	$367.29	$1,749.00	$890.24–$1,413.19	24% above	79%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 TSO OFF TX FX RAD/ULN NO REDUX	$367.29	$1,749.00	$890.24–$1,413.19	24% above	79%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 HC CL TRT DIST RAD FX WO MAN	$210.63	$1,003.00	$651.95–$748.24	—	79%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 HC CLTX DSTL RD FX/EPI W/O MN	$210.63	$1,003.00	$651.95–$748.24	—	79%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 CLSD TRTMT RADIUS FX WO MANIP	$252.84	$1,204.00	$782.60–$898.18	—	79%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 TREAT FRACTURE RADIUS/ULNA	$367.29	$1,749.00	$1,136.85–$1,304.75	—	79%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 TSO OFF TX FX RAD/ULN NO REDUX	$367.29	$1,749.00	$1,136.85–$1,304.75	—	79%
Colonoscopy, diagnostic CPT 45378 HC CLNSCPY FLX DX BRSH/WSH HR	$918.96	$4,376.00	$2,227.38–$3,535.81	27% below	79%
Colonoscopy, diagnostic inpatient CPT 45378 HC CLNSCPY FLX DX BRSH/WSH HR	$918.96	$4,376.00	$2,844.40–$3,264.50	—	79%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 HC CLPSCPY W/BX ELCTRD LP CRVX	$1,162.98	$5,538.00	$2,818.84–$4,474.70	38% above	79%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 HC BX OF CERVIX W/SCOPE LEEP	$1,162.98	$5,538.00	$2,818.84–$4,474.70	38% above	79%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 BX CER W/SCOPE, LEEP-FACILITY	$1,395.66	$6,646.00	$3,382.81–$5,369.97	66% above	79%
Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 HC BX OF CERVIX W/SCOPE LEEP	$1,162.98	$5,538.00	$3,599.70–$4,131.35	—	79%
Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 HC CLPSCPY W/BX ELCTRD LP CRVX	$1,162.98	$5,538.00	$3,599.70–$4,131.35	—	79%
Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 BX CER W/SCOPE, LEEP-FACILITY	$1,395.66	$6,646.00	$4,319.90–$4,957.92	—	79%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 HC COLP W/BX CRV&ENDO CUR	$168.00	$800.00	$407.20–$646.40	20% below	79%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 HC BX/CURETTAGE CERVIX-SCOPE	$168.00	$800.00	$407.20–$646.40	20% below	79%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 HC CLPSCPY W/BX CRVX&EDCRV CRT	$168.00	$800.00	$407.20–$646.40	20% below	79%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 FP COLPOSCOPY CERVX BX/ECC RES	$168.00	$800.00	$407.20–$646.40	20% below	79%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 OBPS BX/CUR CERV W/SCOPE	$244.23	$1,163.00	$591.97–$939.70	17% above	79%
Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 HC BX/CURETTAGE CERVIX-SCOPE	$168.00	$800.00	$520.00–$596.80	—	79%
Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 HC CLPSCPY W/BX CRVX&EDCRV CRT	$168.00	$800.00	$520.00–$596.80	—	79%
Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 FP COLPOSCOPY CERVX BX/ECC RES	$168.00	$800.00	$520.00–$596.80	—	79%
Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 HC COLP W/BX CRV&ENDO CUR	$168.00	$800.00	$520.00–$596.80	—	79%
Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 OBPS BX/CUR CERV W/SCOPE	$244.23	$1,163.00	$755.95–$867.60	—	79%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOSCOPY	$310.38	$1,478.00	$752.30–$1,194.22	44% below	79%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOSCOPY-FC	$310.38	$1,478.00	$752.30–$1,194.22	44% below	79%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 OBPS CYSTOSCOPY	$342.51	$1,631.00	$830.18–$1,317.85	38% below	79%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 CYSTOSCOPY	$310.38	$1,478.00	$960.70–$1,102.59	—	79%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 CYSTOSCOPY-FC	$310.38	$1,478.00	$960.70–$1,102.59	—	79%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 OBPS CYSTOSCOPY	$342.51	$1,631.00	$1,060.15–$1,216.73	—	79%
D&C (dilation and curettage), not related to pregnancy CPT 58120 OBPS DILAT & CURRETAGE OFC	$1,187.34	$5,654.00	$2,877.89–$4,568.43	25% below	79%
D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 OBPS DILAT & CURRETAGE OFC	$1,187.34	$5,654.00	$3,675.10–$4,217.88	—	79%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 HC DSTRC PREMAL LES 1ST LES	$51.66	$246.00	$125.21–$198.77	44% below	79%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRUCT B LES 1ST-FACILITY	$51.66	$246.00	$125.21–$198.77	44% below	79%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 HC DSTRC PRMALIGNT LES FRST LS	$51.66	$246.00	$125.21–$198.77	44% below	79%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 HC DSTR PREMALG LS FST LS	$51.66	$246.00	$125.21–$198.77	44% below	79%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 HC DESTROY PREMALIG LESION 1ST	$51.66	$246.00	$125.21–$198.77	44% below	79%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 HC DESTROY PREMALG LES 1ST	$51.66	$246.00	$125.21–$198.77	44% below	79%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTROY PREMALIG LESION	$51.66	$246.00	$125.21–$198.77	44% below	79%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 ER DES LES BENIGN 1ST	$61.95	$295.00	$150.16–$238.36	33% below	79%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 OBPS DEST SKIN LESION	$73.92	$352.00	$179.17–$284.42	20% below	79%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRUCT PREMALG LESION 1ST	$73.92	$352.00	$179.17–$284.42	20% below	79%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 HC DSTR PREMALG LS FST LS	$51.66	$246.00	$159.90–$183.52	—	79%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 HC DESTROY PREMALIG LESION 1ST	$51.66	$246.00	$159.90–$183.52	—	79%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 HC DESTROY PREMALG LES 1ST	$51.66	$246.00	$159.90–$183.52	—	79%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 HC DSTRC PREMAL LES 1ST LES	$51.66	$246.00	$159.90–$183.52	—	79%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 DESTROY PREMALIG LESION	$51.66	$246.00	$159.90–$183.52	—	79%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 HC DSTRC PRMALIGNT LES FRST LS	$51.66	$246.00	$159.90–$183.52	—	79%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 DESTRUCT B LES 1ST-FACILITY	$51.66	$246.00	$159.90–$183.52	—	79%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 ER DES LES BENIGN 1ST	$61.95	$295.00	$191.75–$220.07	—	79%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 DESTRUCT PREMALG LESION 1ST	$73.92	$352.00	$228.80–$262.59	—	79%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 OBPS DEST SKIN LESION	$73.92	$352.00	$228.80–$262.59	—	79%
Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 TYMPANOSTOMY	$375.48	$1,788.00	$910.09–$1,444.70	9% above	79%
Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 TYMPANOSTMY LOC/TOPIC ANES-OFC	$404.67	$1,927.00	$980.84–$1,557.02	18% above	79%
Ear tube placement (tympanostomy) with local anesthesia, one ear inpatient CPT 69433 TYMPANOSTOMY	$375.48	$1,788.00	$1,162.20–$1,333.85	—	79%
Ear tube placement (tympanostomy) with local anesthesia, one ear inpatient CPT 69433 TYMPANOSTMY LOC/TOPIC ANES-OFC	$404.67	$1,927.00	$1,252.55–$1,437.54	—	79%
Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVE IMPACT EAR WAX UNI-NSG	$48.72	$232.00	$118.09–$187.46	3% below	79%
Earwax removal by irrigation (rinsing), one ear CPT 69209 RMV IMPACTED EAR WAX UNI-NSG	$48.72	$232.00	$118.09–$187.46	3% below	79%
Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVE IMPACTED EAR WAX UNI	$48.72	$232.00	$118.09–$187.46	3% below	79%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 REMOVE IMPACT EAR WAX UNI-NSG	$48.72	$232.00	$150.80–$173.07	—	79%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 RMV IMPACTED EAR WAX UNI-NSG	$48.72	$232.00	$150.80–$173.07	—	79%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 REMOVE IMPACTED EAR WAX UNI	$58.38	$278.00	$180.70–$207.39	—	79%
Earwax removal with instruments, one ear CPT 69210 HC RMVL IMPACT CERUMEN UNI	$29.19	$139.00	$70.75–$112.31	50% below	79%
Earwax removal with instruments, one ear CPT 69210 HC RMV IMPCT CRMN RQ INSTR UNI	$29.19	$139.00	$70.75–$112.31	50% below	79%
Earwax removal with instruments, one ear CPT 69210 HC REMOVE IMPACTED EAR WAX	$29.19	$139.00	$70.75–$112.31	50% below	79%
Earwax removal with instruments, one ear CPT 69210 HC RMVL IMPCT CERUMEN INST UNI	$29.19	$139.00	$70.75–$112.31	50% below	79%
Earwax removal with instruments, one ear CPT 69210 HC REMOVE IMPACTED EAR WAX-RES	$29.19	$139.00	$70.75–$112.31	50% below	79%
Earwax removal with instruments, one ear CPT 69210 ER IMPACT. CERUMEN REMOVAL	$35.07	$167.00	$85.00–$134.94	40% below	79%
Earwax removal with instruments, one ear CPT 69210 CERUMEN REMOVAL-OFC	$51.87	$247.00	$125.72–$199.58	11% below	79%
Earwax removal with instruments, one ear CPT 69210 WIC IMPACTED CERUMEN REMOVAL	$51.87	$247.00	$125.72–$199.58	11% below	79%
Earwax removal with instruments, one ear inpatient CPT 69210 HC RMVL IMPCT CERUMEN INST UNI	$29.19	$139.00	$90.35–$103.69	—	79%
Earwax removal with instruments, one ear inpatient CPT 69210 HC REMOVE IMPACTED EAR WAX	$29.19	$139.00	$90.35–$103.69	—	79%
Earwax removal with instruments, one ear inpatient CPT 69210 HC REMOVE IMPACTED EAR WAX-RES	$29.19	$139.00	$90.35–$103.69	—	79%
Earwax removal with instruments, one ear inpatient CPT 69210 HC RMV IMPCT CRMN RQ INSTR UNI	$29.19	$139.00	$90.35–$103.69	—	79%
Earwax removal with instruments, one ear inpatient CPT 69210 HC RMVL IMPACT CERUMEN UNI	$29.19	$139.00	$90.35–$103.69	—	79%
Earwax removal with instruments, one ear inpatient CPT 69210 ER IMPACT. CERUMEN REMOVAL	$35.07	$167.00	$108.55–$124.58	—	79%
Earwax removal with instruments, one ear inpatient CPT 69210 CERUMEN REMOVAL-OFC	$51.87	$247.00	$160.55–$184.26	—	79%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 HC ENDOMETRL SAMPL W/O CRV DIL	$99.96	$476.00	$242.28–$384.61	50% below	79%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 HC BIOPSY OF UTERUS LINING	$99.96	$476.00	$242.28–$384.61	50% below	79%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 FP ENDOMETRIAL BIOPSY RES	$99.96	$476.00	$242.28–$384.61	50% below	79%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 OBPS BIOPSY, ENDOMETRIUM	$155.40	$740.00	$376.66–$597.92	22% below	79%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 FP ENDOMETRIAL BIOPSY RES	$99.96	$476.00	$309.40–$355.10	—	79%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 HC ENDOMETRL SAMPL W/O CRV DIL	$99.96	$476.00	$309.40–$355.10	—	79%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 HC BIOPSY OF UTERUS LINING	$99.96	$476.00	$309.40–$355.10	—	79%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 OBPS BIOPSY, ENDOMETRIUM	$155.40	$740.00	$481.00–$552.04	—	79%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 INJ SP CERV/THOR W/FLUORO-FC	$740.67	$3,527.00	$1,795.24–$2,849.82	21% below	79%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 INJ SP CERV/THOR W/FLUORO-FC	$740.67	$3,527.00	$2,292.55–$2,631.14	—	79%
Eye injection into the vitreous (intravitreal injection) CPT 67028 INJECTION OPHTHALMIC DRUG-OFC	$234.99	$1,119.00	$569.57–$904.15	—	79%
Eye injection into the vitreous (intravitreal injection) CPT 67028 RET INTRAVITREAL INJ (SEP PRO)	$234.99	$1,119.00	$569.57–$904.15	—	79%
Eye injection into the vitreous (intravitreal injection) inpatient CPT 67028 INJECTION OPHTHALMIC DRUG-OFC	$234.99	$1,119.00	$727.35–$834.77	—	79%
Eye injection into the vitreous (intravitreal injection) inpatient CPT 67028 RET INTRAVITREAL INJ (SEP PRO)	$234.99	$1,119.00	$727.35–$834.77	—	79%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJ FCT JNT L/S 1ST LVL-FAC	$681.66	$3,246.00	$1,652.21–$2,622.77	31% below	79%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJ PARAVERT F JNT L/S 1 LEV	$681.66	$3,246.00	$1,652.21–$2,622.77	31% below	79%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 INJ PARAVERT F JNT L/S 1 LEV	$681.66	$3,246.00	$2,109.90–$2,421.52	—	79%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 INJ FCT JNT L/S 1ST LVL-FAC	$681.66	$3,246.00	$2,109.90–$2,421.52	—	79%
Hemorrhoid banding (rubber band ligation) CPT 46221 LIGATION OF HEMORRHOID(S)-OFC	$577.71	$2,751.00	$1,400.26–$2,222.81	24% below	79%
Hemorrhoid banding (rubber band ligation) CPT 46221 HEMORRHOIDECTOMY SIM LIG-OFC	$577.71	$2,751.00	$1,400.26–$2,222.81	24% below	79%
Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 LIGATION OF HEMORRHOID(S)-OFC	$577.71	$2,751.00	$1,788.15–$2,052.25	—	79%
Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 HEMORRHOIDECTOMY SIM LIG-OFC	$577.71	$2,751.00	$1,788.15–$2,052.25	—	79%
Hemorrhoidectomy (internal and external), one area CPT 46255 REMOVE INT/EXT HEM 1 GROUP	$1,300.95	$6,195.00	$3,153.26–$5,005.56	5% below	79%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 INTRO CATH HYSTEROSONOGRAM	$38.43	$183.00	$93.15–$147.86	89% below	79%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HYSTEROSALPINGOGRAM INJECTION	$38.43	$183.00	$93.15–$147.86	89% below	79%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HYSTEROGRAPHY INJECTION-FAC	$46.20	$220.00	$111.98–$177.76	86% below	79%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 INJECTION HYSTERO	$46.20	$220.00	$111.98–$177.76	86% below	79%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 INTRO CATH HYSTEROSONOGRAM	$38.43	$183.00	$118.95–$136.52	—	79%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HYSTEROSALPINGOGRAM INJECTION	$38.43	$183.00	$118.95–$136.52	—	79%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 INJECTION HYSTERO	$46.20	$220.00	$143.00–$164.12	—	79%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HYSTEROGRAPHY INJECTION-FAC	$46.20	$220.00	$143.00–$164.12	—	79%
Hysteroscopy with endometrial ablation CPT 58563 HYSTEROSCOPY/ABLATION-FACIL	$2,240.70	$10,670.00	$5,431.03–$8,621.36	at median	79%
Hysteroscopy with endometrial ablation inpatient CPT 58563 HYSTEROSCOPY/ABLATION-FACIL	$2,240.70	$10,670.00	$6,935.50–$7,959.82	—	79%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 HYSTEROSCOPY/BIOPSY-FACIL	$1,456.56	$6,936.00	$3,530.42–$5,604.29	13% above	79%
Hysteroscopy with uterine lining sampling and/or polyp removal inpatient CPT 58558 HYSTEROSCOPY/BIOPSY-FACIL	$1,456.56	$6,936.00	$4,508.40–$5,174.26	—	79%
IUD insertion (the device itself billed separately) CPT 58300 HC INSERT INTRAUTERINE DEVICE	$30.24	$144.00	$73.30–$116.35	82% below	79%
IUD insertion (the device itself billed separately) CPT 58300 FP INSERTION OF IUD RES	$30.24	$144.00	$73.30–$116.35	82% below	79%
IUD insertion (the device itself billed separately) CPT 58300 HC INS INTRAUTERINE DEVICE	$30.24	$144.00	$73.30–$116.35	82% below	79%
IUD insertion (the device itself billed separately) CPT 58300 HC INS INTRAUTERINE DEV-ADD WK	$30.24	$144.00	$73.30–$116.35	82% below	79%
IUD insertion (the device itself billed separately) CPT 58300 OBPS HC IUD INSERTION	$30.24	$144.00	$73.30–$116.35	82% below	79%
IUD insertion (the device itself billed separately) inpatient CPT 58300 HC INSERT INTRAUTERINE DEVICE	$30.24	$144.00	$93.60–$107.42	—	79%
IUD insertion (the device itself billed separately) inpatient CPT 58300 OBPS HC IUD INSERTION	$30.24	$144.00	$93.60–$107.42	—	79%
IUD insertion (the device itself billed separately) inpatient CPT 58300 HC INS INTRAUTERINE DEV-ADD WK	$30.24	$144.00	$93.60–$107.42	—	79%
IUD insertion (the device itself billed separately) inpatient CPT 58300 HC INS INTRAUTERINE DEVICE	$30.24	$144.00	$93.60–$107.42	—	79%
IUD insertion (the device itself billed separately) inpatient CPT 58300 FP INSERTION OF IUD RES	$30.24	$144.00	$93.60–$107.42	—	79%
Incision and drainage of a simple or single skin abscess CPT 10060 FP I&D CYST/ABSCESS SIMP RES	$113.61	$541.00	$275.37–$437.13	29% below	79%
Incision and drainage of a simple or single skin abscess CPT 10060 HC I&D ABSC SMPL/SNGL	$113.61	$541.00	$275.37–$437.13	29% below	79%
Incision and drainage of a simple or single skin abscess CPT 10060 LDR I&D SKIN ABSCESS-SIMP/SING	$113.61	$541.00	$275.37–$437.13	29% below	79%
Incision and drainage of a simple or single skin abscess CPT 10060 HC DRAIN ABSCESS SIMPLE	$113.61	$541.00	$275.37–$437.13	29% below	79%
Incision and drainage of a simple or single skin abscess CPT 10060 HC I&D ABSCESS SIMPLE/SINGLE	$113.61	$541.00	$275.37–$437.13	29% below	79%
Incision and drainage of a simple or single skin abscess CPT 10060 HC DRAIN SKIN ABSC SIMPLE	$113.61	$541.00	$275.37–$437.13	29% below	79%
Incision and drainage of a simple or single skin abscess CPT 10060 HC DRAIN SKIN ABSCESS	$113.61	$541.00	$275.37–$437.13	29% below	79%
Incision and drainage of a simple or single skin abscess CPT 10060 HC I&D SUPERFICIAL SKN ABSCESS	$113.61	$541.00	$275.37–$437.13	29% below	79%
Incision and drainage of a simple or single skin abscess CPT 10060 ER ABSCESS I&D SIMPLE	$136.29	$649.00	$330.34–$524.39	15% below	79%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SIMP/SINGLE-OFC	$170.10	$810.00	$412.29–$654.48	6% above	79%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D SKIN ABSCESS SIMPLE-OFC	$170.10	$810.00	$412.29–$654.48	6% above	79%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SIMPLE/SINGLE-OFC	$170.10	$810.00	$412.29–$654.48	6% above	79%
Incision and drainage of a simple or single skin abscess CPT 10060 OBPS I& D SKIN ABSCESS	$170.10	$810.00	$412.29–$654.48	6% above	79%
Incision and drainage of a simple or single skin abscess CPT 10060 DRAINAGE SKIN ABSCESS-OFC	$170.10	$810.00	$412.29–$654.48	6% above	79%
Incision and drainage of a simple or single skin abscess CPT 10060 DRAIN SKIN ABSC SIMPLE-OFC	$170.10	$810.00	$412.29–$654.48	6% above	79%
Incision and drainage of a simple or single skin abscess CPT 10060 WIC DRAIN ABSCESS	$170.10	$810.00	$412.29–$654.48	6% above	79%
Incision and drainage of a simple or single skin abscess CPT 10060 TSP OFF I&D ABSC SIMPLE/SINGLE	$170.10	$810.00	$412.29–$654.48	6% above	79%
Incision and drainage of a simple or single skin abscess CPT 10060 VSP DRAIN ABSCESS SKIN SIM/SNG	$170.10	$810.00	$412.29–$654.48	6% above	79%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 FP I&D CYST/ABSCESS SIMP RES	$113.61	$541.00	$351.65–$403.59	—	79%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC I&D SUPERFICIAL SKN ABSCESS	$113.61	$541.00	$351.65–$403.59	—	79%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC I&D ABSC SMPL/SNGL	$113.61	$541.00	$351.65–$403.59	—	79%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC DRAIN ABSCESS SIMPLE	$113.61	$541.00	$351.65–$403.59	—	79%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC I&D ABSCESS SIMPLE/SINGLE	$113.61	$541.00	$351.65–$403.59	—	79%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC DRAIN SKIN ABSC SIMPLE	$113.61	$541.00	$351.65–$403.59	—	79%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 LDR I&D SKIN ABSCESS-SIMP/SING	$113.61	$541.00	$351.65–$403.59	—	79%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC DRAIN SKIN ABSCESS	$113.61	$541.00	$351.65–$403.59	—	79%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 ER ABSCESS I&D SIMPLE	$136.29	$649.00	$421.85–$484.15	—	79%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D SKIN ABSCESS SIMPLE-OFC	$170.10	$810.00	$526.50–$604.26	—	79%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 OBPS I& D SKIN ABSCESS	$170.10	$810.00	$526.50–$604.26	—	79%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 DRAINAGE SKIN ABSCESS-OFC	$170.10	$810.00	$526.50–$604.26	—	79%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 TSP OFF I&D ABSC SIMPLE/SINGLE	$170.10	$810.00	$526.50–$604.26	—	79%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 VSP DRAIN ABSCESS SKIN SIM/SNG	$170.10	$810.00	$526.50–$604.26	—	79%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 DRAIN SKIN ABSC SIMPLE-OFC	$170.10	$810.00	$526.50–$604.26	—	79%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSCESS SIMP/SINGLE-OFC	$170.10	$810.00	$526.50–$604.26	—	79%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSCESS SIMPLE/SINGLE-OFC	$170.10	$810.00	$526.50–$604.26	—	79%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC INJ(S) S TEN SHE/LIG APON	$166.11	$791.00	$402.62–$639.13	12% below	79%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC INJ SNG TND SHTH/LIG APNEUR	$166.11	$791.00	$402.62–$639.13	12% below	79%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC TENDON SHEATH/LIGMT	$166.11	$791.00	$402.62–$639.13	12% below	79%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC INJ TENDON SHEATH/LIGMNT	$166.11	$791.00	$402.62–$639.13	12% below	79%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC INJ(S) SNGL TND SHTH/LIG AP	$166.11	$791.00	$402.62–$639.13	12% below	79%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 FP INJ TENDON SHEATH/LIGA RES	$166.11	$791.00	$402.62–$639.13	12% below	79%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC INJ TNDN SHEATH/LIGAMNT	$166.11	$791.00	$402.62–$639.13	12% below	79%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC INJ TENDON SHEATH/LIGAMENT	$166.11	$791.00	$402.62–$639.13	12% below	79%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJECTION TENDON/LIGAMENT	$166.11	$791.00	$402.62–$639.13	12% below	79%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 WIC TENDON/LIGAMENT/BURSA INJ	$192.15	$915.00	$465.74–$739.32	2% above	79%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ SINGLE TEND/LIGMNT-FAC	$199.29	$949.00	$483.04–$766.79	6% above	79%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 ER TENDON/LIG/BURSA-INJ	$199.29	$949.00	$483.04–$766.79	6% above	79%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 FP INJ TENDON SHEATH/LIGA RES	$166.11	$791.00	$514.15–$590.09	—	79%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HC INJ TNDN SHEATH/LIGAMNT	$166.11	$791.00	$514.15–$590.09	—	79%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HC INJ SNG TND SHTH/LIG APNEUR	$166.11	$791.00	$514.15–$590.09	—	79%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HC INJ(S) S TEN SHE/LIG APON	$166.11	$791.00	$514.15–$590.09	—	79%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HC TENDON SHEATH/LIGMT	$166.11	$791.00	$514.15–$590.09	—	79%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HC INJ TENDON SHEATH/LIGMNT	$166.11	$791.00	$514.15–$590.09	—	79%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HC INJ(S) SNGL TND SHTH/LIG AP	$166.11	$791.00	$514.15–$590.09	—	79%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HC INJ TENDON SHEATH/LIGAMENT	$166.11	$791.00	$514.15–$590.09	—	79%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJECTION TENDON/LIGAMENT	$166.11	$791.00	$514.15–$590.09	—	79%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJ SINGLE TEND/LIGMNT-FAC	$199.29	$949.00	$616.85–$707.95	—	79%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 ER TENDON/LIG/BURSA-INJ	$199.29	$949.00	$616.85–$707.95	—	79%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 HC DRAIN/INJ LG JOINT/BURSA-RT	$264.39	$1,259.00	$640.83–$1,017.27	at median	79%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 HC DRAIN/INJ LG JOINT/BURSA-LT	$264.39	$1,259.00	$640.83–$1,017.27	at median	79%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 HC DRAIN/INJ LG JOINT/BURSA-RT	$264.39	$1,259.00	$818.35–$939.21	—	79%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 HC DRAIN/INJ LG JOINT/BURSA-LT	$264.39	$1,259.00	$818.35–$939.21	—	79%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 HC INSERT DRUG DLVR IMPLANT	$66.78	$318.00	$161.86–$256.94	42% below	79%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 HC INS DRG IMPL DEV BIO/NONBIO	$66.78	$318.00	$161.86–$256.94	42% below	79%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 HC INSRT BIO/NBIO RX DEV IMPL	$66.78	$318.00	$161.86–$256.94	42% below	79%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 HC INS DRG IMPLT DEV BIO/NBIO	$66.78	$318.00	$161.86–$256.94	42% below	79%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INS DRG IMPL DV BIO/NONBIO-RES	$66.78	$318.00	$161.86–$256.94	42% below	79%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 HC INS NONBIODG RX DL IMPL	$66.78	$318.00	$161.86–$256.94	42% below	79%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INS DRG IMPLANT DEV BIO/NONBIO	$130.20	$620.00	$315.58–$500.96	13% above	79%
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 INS DRG IMPL DV BIO/NONBIO-RES	$66.78	$318.00	$206.70–$237.23	—	79%
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 HC INSERT DRUG DLVR IMPLANT	$66.78	$318.00	$206.70–$237.23	—	79%
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 HC INS DRG IMPL DEV BIO/NONBIO	$66.78	$318.00	$206.70–$237.23	—	79%
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 HC INS NONBIODG RX DL IMPL	$66.78	$318.00	$206.70–$237.23	—	79%
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 HC INS DRG IMPLT DEV BIO/NBIO	$66.78	$318.00	$206.70–$237.23	—	79%
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 HC INSRT BIO/NBIO RX DEV IMPL	$66.78	$318.00	$206.70–$237.23	—	79%
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 INS DRG IMPLANT DEV BIO/NONBIO	$130.20	$620.00	$403.00–$462.52	—	79%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC DRAIN/INJECT JOINT/BURSA	$136.08	$648.00	$329.83–$523.58	25% below	79%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC ART ASP/INJ INT JNT/B WO US	$136.08	$648.00	$329.83–$523.58	25% below	79%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC DRN/INJ MED JNT/BURSA	$136.08	$648.00	$329.83–$523.58	25% below	79%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC INJ INTERMD JNT/BURSA-BIL	$136.08	$648.00	$329.83–$523.58	25% below	79%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC ART ASP/INJ INTM JNT W/O US	$136.08	$648.00	$329.83–$523.58	25% below	79%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 FP ASPIR/INJ INTERM JOINT RES	$136.08	$648.00	$329.83–$523.58	25% below	79%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC DRAIN/INJ JOINT/BURSA-MED	$136.08	$648.00	$329.83–$523.58	25% below	79%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC DRAIN/INJ MED JOINT/BURSA	$136.08	$648.00	$329.83–$523.58	25% below	79%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 INJECTION INTERMEDIATE JOINT	$136.08	$648.00	$329.83–$523.58	25% below	79%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 TSO INJ ASP MED JOINT-OFC	$161.07	$767.00	$390.40–$619.74	11% below	79%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 WIC DRAIN/INJ INTM JOINT/BURSA	$161.07	$767.00	$390.40–$619.74	11% below	79%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN INJECT MED JNT-OFC	$161.07	$767.00	$390.40–$619.74	11% below	79%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 INJ INTERMED JNT/BURS-FAC	$163.38	$778.00	$396.00–$628.62	10% below	79%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ER ARTHROCENTESIS/INJ-IM JT	$163.38	$778.00	$396.00–$628.62	10% below	79%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC INJ INTERMD JNT/BURSA-BIL	$136.08	$648.00	$421.20–$483.41	—	79%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 INJECTION INTERMEDIATE JOINT	$136.08	$648.00	$421.20–$483.41	—	79%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC ART ASP/INJ INTM JNT W/O US	$136.08	$648.00	$421.20–$483.41	—	79%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 FP ASPIR/INJ INTERM JOINT RES	$136.08	$648.00	$421.20–$483.41	—	79%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC ART ASP/INJ INT JNT/B WO US	$136.08	$648.00	$421.20–$483.41	—	79%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC DRN/INJ MED JNT/BURSA	$136.08	$648.00	$421.20–$483.41	—	79%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC DRAIN/INJ MED JOINT/BURSA	$136.08	$648.00	$421.20–$483.41	—	79%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC DRAIN/INJECT JOINT/BURSA	$136.08	$648.00	$421.20–$483.41	—	79%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC DRAIN/INJ JOINT/BURSA-MED	$136.08	$648.00	$421.20–$483.41	—	79%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 DRAIN INJECT MED JNT-OFC	$161.07	$767.00	$498.55–$572.18	—	79%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 TSO INJ ASP MED JOINT-OFC	$161.07	$767.00	$498.55–$572.18	—	79%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ER ARTHROCENTESIS/INJ-IM JT	$163.38	$778.00	$505.70–$580.39	—	79%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 INJ INTERMED JNT/BURS-FAC	$163.38	$778.00	$505.70–$580.39	—	79%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 KPO3 ARTHROCENTESIS/INJ-SM JT	$131.25	$625.00	$318.12–$505.00	35% below	79%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 G4 ARTHROCENTESIS/INJ-SM JT	$131.25	$625.00	$318.12–$505.00	35% below	79%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 CCU ARTHROCENTESIS/INJ-SM JT	$131.25	$625.00	$318.12–$505.00	35% below	79%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC ART ASP/INJ SML JNT/B WO US	$131.25	$625.00	$318.12–$505.00	35% below	79%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 G7 ARTHROCENTESIS/INJ-SM JT	$131.25	$625.00	$318.12–$505.00	35% below	79%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 1PIPR ARTHROCENTESIS/INJ-SM JT	$131.25	$625.00	$318.12–$505.00	35% below	79%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC DRAIN/INJ JOINT/BURSA-SMALL	$131.25	$625.00	$318.12–$505.00	35% below	79%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC DRAIN/INJ SM JNT/BURSA	$131.25	$625.00	$318.12–$505.00	35% below	79%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC DRAIN/INJECT JOINT/BURSA	$131.25	$625.00	$318.12–$505.00	35% below	79%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC ARTH ASP/INJ SML JNT W/O US	$131.25	$625.00	$318.12–$505.00	35% below	79%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 FP ASPIR/INJ SM JOINT RES	$131.25	$625.00	$318.12–$505.00	35% below	79%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 G5 ARTHROCENTESIS/INJ-SM JT	$131.25	$625.00	$318.12–$505.00	35% below	79%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 PICU ARTHROCENTESIS/INJ-SM JT	$131.25	$625.00	$318.12–$505.00	35% below	79%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 NICU ARTHROCENTESIS/INJ-SM JT	$131.25	$625.00	$318.12–$505.00	35% below	79%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC DRAIN/INJ SM JT/BURSA	$131.25	$625.00	$318.12–$505.00	35% below	79%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC DRAIN/INJ SMALL JOINT/BURSA	$131.25	$625.00	$318.12–$505.00	35% below	79%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 M3S ARTHROCENTESIS/INJ-SM JT	$131.25	$625.00	$318.12–$505.00	35% below	79%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 M3C ARTHROCENTESIS/INJ-SM JT	$131.25	$625.00	$318.12–$505.00	35% below	79%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ICU ARTHROCENTESIS/INJ-SM JT	$131.25	$625.00	$318.12–$505.00	35% below	79%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 G8 ARTHROCENTESIS/INJ-SM JT	$131.25	$625.00	$318.12–$505.00	35% below	79%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 6CARD ARTHROCENTESIS/INJ-SM JT	$131.25	$625.00	$318.12–$505.00	35% below	79%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 G6OR ARTHROCENTESIS/INJ-SM JT	$131.25	$625.00	$318.12–$505.00	35% below	79%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 WIC DRAIN/INJ SM JOINT/BURSA	$156.03	$743.00	$378.19–$600.34	22% below	79%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 INJ SMALL JOINT/BURSA-FAC	$157.50	$750.00	$381.75–$606.00	22% below	79%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ER ARTHROCENTESIS/INJ-SM JT	$157.50	$750.00	$381.75–$606.00	22% below	79%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC DRAIN/INJECT JOINT/BURSA	$131.25	$625.00	$406.25–$466.25	—	79%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC ARTH ASP/INJ SML JNT W/O US	$131.25	$625.00	$406.25–$466.25	—	79%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 G6OR ARTHROCENTESIS/INJ-SM JT	$131.25	$625.00	$406.25–$466.25	—	79%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 KPO3 ARTHROCENTESIS/INJ-SM JT	$131.25	$625.00	$406.25–$466.25	—	79%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 G4 ARTHROCENTESIS/INJ-SM JT	$131.25	$625.00	$406.25–$466.25	—	79%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 CCU ARTHROCENTESIS/INJ-SM JT	$131.25	$625.00	$406.25–$466.25	—	79%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 6CARD ARTHROCENTESIS/INJ-SM JT	$131.25	$625.00	$406.25–$466.25	—	79%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 1PIPR ARTHROCENTESIS/INJ-SM JT	$131.25	$625.00	$406.25–$466.25	—	79%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC DRAIN/INJ SM JT/BURSA	$131.25	$625.00	$406.25–$466.25	—	79%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC DRAIN/INJ JOINT/BURSA-SMALL	$131.25	$625.00	$406.25–$466.25	—	79%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 G7 ARTHROCENTESIS/INJ-SM JT	$131.25	$625.00	$406.25–$466.25	—	79%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 G8 ARTHROCENTESIS/INJ-SM JT	$131.25	$625.00	$406.25–$466.25	—	79%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ICU ARTHROCENTESIS/INJ-SM JT	$131.25	$625.00	$406.25–$466.25	—	79%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 M3C ARTHROCENTESIS/INJ-SM JT	$131.25	$625.00	$406.25–$466.25	—	79%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 M3S ARTHROCENTESIS/INJ-SM JT	$131.25	$625.00	$406.25–$466.25	—	79%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 NICU ARTHROCENTESIS/INJ-SM JT	$131.25	$625.00	$406.25–$466.25	—	79%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 PICU ARTHROCENTESIS/INJ-SM JT	$131.25	$625.00	$406.25–$466.25	—	79%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 G5 ARTHROCENTESIS/INJ-SM JT	$131.25	$625.00	$406.25–$466.25	—	79%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC DRAIN/INJ SMALL JOINT/BURSA	$131.25	$625.00	$406.25–$466.25	—	79%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 FP ASPIR/INJ SM JOINT RES	$131.25	$625.00	$406.25–$466.25	—	79%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC ART ASP/INJ SML JNT/B WO US	$131.25	$625.00	$406.25–$466.25	—	79%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC DRAIN/INJ SM JNT/BURSA	$131.25	$625.00	$406.25–$466.25	—	79%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ER ARTHROCENTESIS/INJ-SM JT	$157.50	$750.00	$487.50–$559.50	—	79%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 INJ SMALL JOINT/BURSA-FAC	$157.50	$750.00	$487.50–$559.50	—	79%
Laser treatment of clouding after cataract surgery (YAG) CPT 66821 YAG CAPSULOTOMY	$323.61	$1,541.00	$784.37–$1,245.13	at median	79%
Laser treatment of clouding after cataract surgery (YAG) CPT 66821 AFTER CATARACT LASER SURG-OFC	$417.90	$1,990.00	$1,012.91–$1,607.92	29% above	79%
Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 YAG CAPSULOTOMY	$323.61	$1,541.00	$1,001.65–$1,149.59	—	79%
Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 AFTER CATARACT LASER SURG-OFC	$417.90	$1,990.00	$1,293.50–$1,484.54	—	79%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC RPR INTRMED 2.5< SATE	$94.29	$449.00	$228.54–$362.79	67% below	79%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC LAY CLS WNDS SCLP 2.5CM	$94.29	$449.00	$228.54–$362.79	67% below	79%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC LYR CLOSURE WOUND(S)<2.5CM	$94.29	$449.00	$228.54–$362.79	67% below	79%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 LAYER CLOSURE WOUND(S) <2.5CM	$94.29	$449.00	$228.54–$362.79	67% below	79%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC RPR INTM WND S/A/T 2.5CM/<	$94.29	$449.00	$228.54–$362.79	67% below	79%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC RPR INTM WD SAT 2.5CM/<	$94.29	$449.00	$228.54–$362.79	67% below	79%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC LAY CLOS WNDS SCLP <2.5 CM	$94.29	$449.00	$228.54–$362.79	67% below	79%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 ER LAC(STE) < 2.6I	$113.19	$539.00	$274.35–$435.51	61% below	79%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INT CLS WND SCLP < 2.5-OFC	$142.59	$679.00	$345.61–$548.63	51% below	79%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 LAY CLOS WNDS SCLP<2.5-OFC	$142.59	$679.00	$345.61–$548.63	51% below	79%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 LACERATION REPAIR 2.5CM	$142.59	$679.00	$345.61–$548.63	51% below	79%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 HC RPR INTRMED 2.5< SATE	$94.29	$449.00	$291.85–$334.95	—	79%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 HC LYR CLOSURE WOUND(S)<2.5CM	$94.29	$449.00	$291.85–$334.95	—	79%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 HC LAY CLOS WNDS SCLP <2.5 CM	$94.29	$449.00	$291.85–$334.95	—	79%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 LAYER CLOSURE WOUND(S) <2.5CM	$94.29	$449.00	$291.85–$334.95	—	79%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 HC RPR INTM WND S/A/T 2.5CM/<	$94.29	$449.00	$291.85–$334.95	—	79%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 HC RPR INTM WD SAT 2.5CM/<	$94.29	$449.00	$291.85–$334.95	—	79%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 HC LAY CLS WNDS SCLP 2.5CM	$94.29	$449.00	$291.85–$334.95	—	79%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 ER LAC(STE) < 2.6I	$113.19	$539.00	$350.35–$402.09	—	79%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 LAY CLOS WNDS SCLP<2.5-OFC	$142.59	$679.00	$441.35–$506.53	—	79%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 INT CLS WND SCLP < 2.5-OFC	$142.59	$679.00	$441.35–$506.53	—	79%
Left heart catheterization, diagnostic one side CPT 93452 LEFT HEART CATH ADD ON	$1,657.11	$7,891.00	$4,016.52–$6,375.93	32% below	79%
Left heart catheterization, diagnostic one side CPT 93452 LEFT HEART CATH	$1,657.11	$7,891.00	$4,016.52–$6,375.93	32% below	79%
Left heart catheterization, diagnostic inpatient one side CPT 93452 LEFT HEART CATH ADD ON	$1,657.11	$7,891.00	$5,129.15–$5,886.69	—	79%
Left heart catheterization, diagnostic inpatient one side CPT 93452 LEFT HEART CATH	$1,657.11	$7,891.00	$5,129.15–$5,886.69	—	79%
Lower-back epidural injection, with imaging guidance CPT 62323 HC XRB TOFERSEN INJECTION	$475.44	$2,264.00	$1,152.38–$1,829.31	49% below	79%
Lower-back epidural injection, with imaging guidance CPT 62323 INJ SP LUMB/SAC W/FLUORO-FC	$594.51	$2,831.00	$1,440.98–$2,287.45	36% below	79%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC XRB TOFERSEN INJECTION	$475.44	$2,264.00	$1,471.60–$1,688.94	—	79%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 INJ SP LUMB/SAC W/FLUORO-FC	$594.51	$2,831.00	$1,840.15–$2,111.93	—	79%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 INJ TRANSFORAM L/S SNG-FAC	$756.21	$3,601.00	$1,832.91–$2,909.61	22% below	79%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 INJ TRANSFORAM L/S SNG-FAC	$756.21	$3,601.00	$2,340.65–$2,686.35	—	79%
Miscarriage treatment with D&C, first trimester CPT 59820 TREATMENT OF MISCARRIAGE	$1,329.09	$6,329.00	$3,221.46–$5,113.83	19% below	79%
Miscarriage treatment with D&C, first trimester CPT 59820 OBPS MISCARRIAGE 1ST TRI	$1,405.11	$6,691.00	$3,405.72–$5,406.33	14% below	79%
Miscarriage treatment with D&C, first trimester inpatient CPT 59820 TREATMENT OF MISCARRIAGE	$1,329.09	$6,329.00	$4,113.85–$4,721.43	—	79%
Miscarriage treatment with D&C, first trimester inpatient CPT 59820 OBPS MISCARRIAGE 1ST TRI	$1,405.11	$6,691.00	$4,349.15–$4,991.49	—	79%
Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals CPT 17311 MOHS 1 STAGE H/N/HF/G-OFC	$666.96	$3,176.00	$1,616.58–$2,566.21	—	79%
Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals inpatient CPT 17311 MOHS 1 STAGE H/N/HF/G-OFC	$666.96	$3,176.00	$2,064.40–$2,369.30	—	79%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 HC EXC BGN LS TAL0.5CM/LSS	$140.91	$671.00	$341.54–$542.17	18% below	79%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 HC EXC BEN LES 0.5 OR<TAL	$140.91	$671.00	$341.54–$542.17	18% below	79%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 HC EXC TR-EXT BEN LSN <0.5 CM	$140.91	$671.00	$341.54–$542.17	18% below	79%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 HC EXCISE BENIGN LESION<0.5CM	$140.91	$671.00	$341.54–$542.17	18% below	79%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 HC EXC BNG LS T/A/L 0.5CM/LESS	$140.91	$671.00	$341.54–$542.17	18% below	79%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 FP EX LES TAL 0 - .5 RES	$140.91	$671.00	$341.54–$542.17	18% below	79%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 HC EXC BENIGN TR/ARM/LEG < .5	$140.91	$671.00	$341.54–$542.17	18% below	79%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 HC EXC BNGN LES TAL 0.5CM/LESS	$140.91	$671.00	$341.54–$542.17	18% below	79%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 HC EXC BENIGN LES TRK/EXT<0.5	$140.91	$671.00	$341.54–$542.17	18% below	79%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 ER EXCISION LES(TAL) < .6	$169.05	$805.00	$409.74–$650.44	1% below	79%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC TR-EXT BEN LESN< 0.5-OFC	$185.64	$884.00	$449.96–$714.27	9% above	79%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 WIC EXCISION BEN LES(TAL)< 0.6	$185.64	$884.00	$449.96–$714.27	9% above	79%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 HC EXC BGN LS TAL0.5CM/LSS	$140.91	$671.00	$436.15–$500.57	—	79%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 HC EXC BENIGN TR/ARM/LEG < .5	$140.91	$671.00	$436.15–$500.57	—	79%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 FP EX LES TAL 0 - .5 RES	$140.91	$671.00	$436.15–$500.57	—	79%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 HC EXC BNG LS T/A/L 0.5CM/LESS	$140.91	$671.00	$436.15–$500.57	—	79%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 HC EXC BEN LES 0.5 OR<TAL	$140.91	$671.00	$436.15–$500.57	—	79%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 HC EXC TR-EXT BEN LSN <0.5 CM	$140.91	$671.00	$436.15–$500.57	—	79%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 HC EXCISE BENIGN LESION<0.5CM	$140.91	$671.00	$436.15–$500.57	—	79%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 HC EXC BNGN LES TAL 0.5CM/LESS	$140.91	$671.00	$436.15–$500.57	—	79%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 ER EXCISION LES(TAL) < .6	$169.05	$805.00	$523.25–$600.53	—	79%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 EXC TR-EXT BEN LESN< 0.5-OFC	$185.64	$884.00	$574.60–$659.46	—	79%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 HC EXC BEN LES 0.5/<FEENLM	$254.94	$1,214.00	$617.93–$980.91	5% below	79%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 HC EXC BNGN LS FELM<=0.5CM	$254.94	$1,214.00	$617.93–$980.91	5% below	79%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 HC EXC BNG LS F/E/E/N/L<=0.5CM	$254.94	$1,214.00	$617.93–$980.91	5% below	79%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 HC EXCISE BENIGN LESION<0.5CM	$254.94	$1,214.00	$617.93–$980.91	5% below	79%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 HC EXC BENIGN FACE LSN 0.5< CM	$254.94	$1,214.00	$617.93–$980.91	5% below	79%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXCIS FACE LESN BEN <0.5CM-OFC	$313.32	$1,492.00	$759.43–$1,205.54	16% above	79%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXC FACE-MM BEN LESN<0.5-OFC	$313.32	$1,492.00	$759.43–$1,205.54	16% above	79%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXC BENIGN LES-FACE<0.5 CM-OFC	$313.32	$1,492.00	$759.43–$1,205.54	16% above	79%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 HC EXC BENIGN FACE LSN 0.5< CM	$254.94	$1,214.00	$789.10–$905.64	—	79%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 HC EXC BNGN LS FELM<=0.5CM	$254.94	$1,214.00	$789.10–$905.64	—	79%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 HC EXC BNG LS F/E/E/N/L<=0.5CM	$254.94	$1,214.00	$789.10–$905.64	—	79%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 HC EXCISE BENIGN LESION<0.5CM	$254.94	$1,214.00	$789.10–$905.64	—	79%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 HC EXC BEN LES 0.5/<FEENLM	$254.94	$1,214.00	$789.10–$905.64	—	79%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 EXC BENIGN LES-FACE<0.5 CM-OFC	$313.32	$1,492.00	$969.80–$1,113.03	—	79%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 EXCIS FACE LESN BEN <0.5CM-OFC	$313.32	$1,492.00	$969.80–$1,113.03	—	79%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 EXC FACE-MM BEN LESN<0.5-OFC	$313.32	$1,492.00	$969.80–$1,113.03	—	79%
Nail removal (partial or complete), one nail CPT 11730 HC AVLSN NL PLT PRT/CMPL SNG	$55.86	$266.00	$135.39–$214.93	57% below	79%
Nail removal (partial or complete), one nail CPT 11730 HC REMOVAL OF NAIL PLATE	$55.86	$266.00	$135.39–$214.93	57% below	79%
Nail removal (partial or complete), one nail CPT 11730 FP NAIL AVULSION RES	$55.86	$266.00	$135.39–$214.93	57% below	79%
Nail removal (partial or complete), one nail CPT 11730 HC AVULS NL PLT PTL/CMP SS	$55.86	$266.00	$135.39–$214.93	57% below	79%
Nail removal (partial or complete), one nail CPT 11730 HC AVLS NL PRTL/CMPL SMPL SNGL	$55.86	$266.00	$135.39–$214.93	57% below	79%
Nail removal (partial or complete), one nail CPT 11730 ER NAIL AVULSION	$66.99	$319.00	$162.37–$257.75	49% below	79%
Nail removal (partial or complete), one nail CPT 11730 VSP REMOVAL OF NAIL PLATE	$100.59	$479.00	$243.81–$387.03	23% below	79%
Nail removal (partial or complete), one nail CPT 11730 WIC NAIL AVULSION	$100.59	$479.00	$243.81–$387.03	23% below	79%
Nail removal (partial or complete), one nail inpatient CPT 11730 FP NAIL AVULSION RES	$55.86	$266.00	$172.90–$198.44	—	79%
Nail removal (partial or complete), one nail inpatient CPT 11730 HC AVLSN NL PLT PRT/CMPL SNG	$55.86	$266.00	$172.90–$198.44	—	79%
Nail removal (partial or complete), one nail inpatient CPT 11730 HC AVLS NL PRTL/CMPL SMPL SNGL	$55.86	$266.00	$172.90–$198.44	—	79%
Nail removal (partial or complete), one nail inpatient CPT 11730 HC AVULS NL PLT PTL/CMP SS	$55.86	$266.00	$172.90–$198.44	—	79%
Nail removal (partial or complete), one nail inpatient CPT 11730 HC REMOVAL OF NAIL PLATE	$55.86	$266.00	$172.90–$198.44	—	79%
Nail removal (partial or complete), one nail inpatient CPT 11730 ER NAIL AVULSION	$66.99	$319.00	$207.35–$237.97	—	79%
Nail removal (partial or complete), one nail inpatient CPT 11730 VSP REMOVAL OF NAIL PLATE	$100.59	$479.00	$311.35–$357.33	—	79%
Occipital nerve block (injection for headaches) CPT 64405 HC NJX AA&/STRD GR OCPL NRV	$180.39	$859.00	$437.23–$694.07	39% below	79%
Occipital nerve block (injection for headaches) CPT 64405 HC INJ ANS AGT GRTR OCCPTL NRV	$180.39	$859.00	$437.23–$694.07	39% below	79%
Occipital nerve block (injection for headaches) CPT 64405 HC INJ ANES AGNT GRTR OCCL NRV	$180.39	$859.00	$437.23–$694.07	39% below	79%
Occipital nerve block (injection for headaches) CPT 64405 NERVE BLOCK INJ.-OCCIPITAL	$216.51	$1,031.00	$524.78–$833.05	27% below	79%
Occipital nerve block (injection for headaches) CPT 64405 N BLOCK INJ OCCIPITAL-FAC	$216.51	$1,031.00	$524.78–$833.05	27% below	79%
Occipital nerve block (injection for headaches) CPT 64405 NERVE BLOCK INJ OCCIPITAL	$263.76	$1,256.00	$639.30–$1,014.85	11% below	79%
Occipital nerve block (injection for headaches) inpatient CPT 64405 HC INJ ANES AGNT GRTR OCCL NRV	$180.39	$859.00	$558.35–$640.81	—	79%
Occipital nerve block (injection for headaches) inpatient CPT 64405 HC INJ ANS AGT GRTR OCCPTL NRV	$180.39	$859.00	$558.35–$640.81	—	79%
Occipital nerve block (injection for headaches) inpatient CPT 64405 HC NJX AA&/STRD GR OCPL NRV	$180.39	$859.00	$558.35–$640.81	—	79%
Occipital nerve block (injection for headaches) inpatient CPT 64405 N BLOCK INJ OCCIPITAL-FAC	$216.51	$1,031.00	$670.15–$769.13	—	79%
Occipital nerve block (injection for headaches) inpatient CPT 64405 NERVE BLOCK INJ.-OCCIPITAL	$216.51	$1,031.00	$670.15–$769.13	—	79%
Occipital nerve block (injection for headaches) inpatient CPT 64405 NERVE BLOCK INJ OCCIPITAL	$263.76	$1,256.00	$816.40–$936.98	—	79%
Pacemaker implant (dual chamber) CPT 33208 PACER IMPLANT A&V	$3,531.57	$16,817.00	$8,559.85–$13,588.14	64% below	79%
Pacemaker implant (dual chamber) inpatient CPT 33208 PACER IMPLANT A&V	$3,531.57	$16,817.00	$10,931.05–$12,545.48	—	79%
Paracentesis with imaging guidance CPT 49083 G8 PARACENTESIS(ABD)W/IMGNG	$808.92	$3,852.00	$1,960.67–$3,112.42	1% below	79%
Paracentesis with imaging guidance CPT 49083 M3C PARACENTESIS(ABD)W/IMGNG	$808.92	$3,852.00	$1,960.67–$3,112.42	1% below	79%
Paracentesis with imaging guidance CPT 49083 ICU PARACENTESIS(ABD)W/IMGNG	$808.92	$3,852.00	$1,960.67–$3,112.42	1% below	79%
Paracentesis with imaging guidance CPT 49083 G7 PARACENTESIS(ABD)W/IMGNG	$808.92	$3,852.00	$1,960.67–$3,112.42	1% below	79%
Paracentesis with imaging guidance CPT 49083 G6OR PARACENTESIS(ABD)W/IMGNG	$808.92	$3,852.00	$1,960.67–$3,112.42	1% below	79%
Paracentesis with imaging guidance CPT 49083 KPO3 PARACENTESIS(ABD)W/IMGNG	$808.92	$3,852.00	$1,960.67–$3,112.42	1% below	79%
Paracentesis with imaging guidance CPT 49083 G4 PARACENTESIS(ABD)W/IMGNG	$808.92	$3,852.00	$1,960.67–$3,112.42	1% below	79%
Paracentesis with imaging guidance CPT 49083 CCU PARACENTESIS(ABD)W/IMGNG	$808.92	$3,852.00	$1,960.67–$3,112.42	1% below	79%
Paracentesis with imaging guidance CPT 49083 6CARD PARACENTESIS(ABD)W/IMGNG	$808.92	$3,852.00	$1,960.67–$3,112.42	1% below	79%
Paracentesis with imaging guidance CPT 49083 1PIPR PARACENTESIS(ABD)W/IMGNG	$808.92	$3,852.00	$1,960.67–$3,112.42	1% below	79%
Paracentesis with imaging guidance CPT 49083 PARACENTESIS W/IMAGING	$808.92	$3,852.00	$1,960.67–$3,112.42	1% below	79%
Paracentesis with imaging guidance CPT 49083 M3S PARACENTESIS(ABD)W/IMGNG	$808.92	$3,852.00	$1,960.67–$3,112.42	1% below	79%
Paracentesis with imaging guidance CPT 49083 NICU PARACENTESIS(ABD)W/IMGNG	$808.92	$3,852.00	$1,960.67–$3,112.42	1% below	79%
Paracentesis with imaging guidance CPT 49083 PICU PARACENTESIS(ABD)W/IMGNG	$808.92	$3,852.00	$1,960.67–$3,112.42	1% below	79%
Paracentesis with imaging guidance CPT 49083 G5 PARACENTESIS(ABD)W/IMGNG	$808.92	$3,852.00	$1,960.67–$3,112.42	1% below	79%
Paracentesis with imaging guidance CPT 49083 HC ABD PARACENTESIS W/IMG	$808.92	$3,852.00	$1,960.67–$3,112.42	1% below	79%
Paracentesis with imaging guidance CPT 49083 PARACENTESIS(ABD)W/IMGNG	$808.92	$3,852.00	$1,960.67–$3,112.42	1% below	79%
Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGING	$970.62	$4,622.00	$2,352.60–$3,734.58	19% above	79%
Paracentesis with imaging guidance CPT 49083 ABDOMINAL PARACENTESIS	$970.62	$4,622.00	$2,352.60–$3,734.58	19% above	79%
Paracentesis with imaging guidance inpatient CPT 49083 NICU PARACENTESIS(ABD)W/IMGNG	$808.92	$3,852.00	$2,503.80–$2,873.59	—	79%
Paracentesis with imaging guidance inpatient CPT 49083 M3S PARACENTESIS(ABD)W/IMGNG	$808.92	$3,852.00	$2,503.80–$2,873.59	—	79%
Paracentesis with imaging guidance inpatient CPT 49083 M3C PARACENTESIS(ABD)W/IMGNG	$808.92	$3,852.00	$2,503.80–$2,873.59	—	79%
Paracentesis with imaging guidance inpatient CPT 49083 ICU PARACENTESIS(ABD)W/IMGNG	$808.92	$3,852.00	$2,503.80–$2,873.59	—	79%
Paracentesis with imaging guidance inpatient CPT 49083 G8 PARACENTESIS(ABD)W/IMGNG	$808.92	$3,852.00	$2,503.80–$2,873.59	—	79%
Paracentesis with imaging guidance inpatient CPT 49083 PARACENTESIS W/IMAGING	$808.92	$3,852.00	$2,503.80–$2,873.59	—	79%
Paracentesis with imaging guidance inpatient CPT 49083 CCU PARACENTESIS(ABD)W/IMGNG	$808.92	$3,852.00	$2,503.80–$2,873.59	—	79%
Paracentesis with imaging guidance inpatient CPT 49083 HC ABD PARACENTESIS W/IMG	$808.92	$3,852.00	$2,503.80–$2,873.59	—	79%
Paracentesis with imaging guidance inpatient CPT 49083 G6OR PARACENTESIS(ABD)W/IMGNG	$808.92	$3,852.00	$2,503.80–$2,873.59	—	79%
Paracentesis with imaging guidance inpatient CPT 49083 G4 PARACENTESIS(ABD)W/IMGNG	$808.92	$3,852.00	$2,503.80–$2,873.59	—	79%
Paracentesis with imaging guidance inpatient CPT 49083 PARACENTESIS(ABD)W/IMGNG	$808.92	$3,852.00	$2,503.80–$2,873.59	—	79%
Paracentesis with imaging guidance inpatient CPT 49083 KPO3 PARACENTESIS(ABD)W/IMGNG	$808.92	$3,852.00	$2,503.80–$2,873.59	—	79%
Paracentesis with imaging guidance inpatient CPT 49083 G5 PARACENTESIS(ABD)W/IMGNG	$808.92	$3,852.00	$2,503.80–$2,873.59	—	79%
Paracentesis with imaging guidance inpatient CPT 49083 G7 PARACENTESIS(ABD)W/IMGNG	$808.92	$3,852.00	$2,503.80–$2,873.59	—	79%
Paracentesis with imaging guidance inpatient CPT 49083 PICU PARACENTESIS(ABD)W/IMGNG	$808.92	$3,852.00	$2,503.80–$2,873.59	—	79%
Paracentesis with imaging guidance inpatient CPT 49083 1PIPR PARACENTESIS(ABD)W/IMGNG	$808.92	$3,852.00	$2,503.80–$2,873.59	—	79%
Paracentesis with imaging guidance inpatient CPT 49083 6CARD PARACENTESIS(ABD)W/IMGNG	$808.92	$3,852.00	$2,503.80–$2,873.59	—	79%
Paracentesis with imaging guidance inpatient CPT 49083 ABDOMINAL PARACENTESIS	$970.62	$4,622.00	$3,004.30–$3,448.01	—	79%
Paracentesis with imaging guidance inpatient CPT 49083 ABD PARACENTESIS W/IMAGING	$970.62	$4,622.00	$3,004.30–$3,448.01	—	79%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 FP INGROWN NAIL REMOVAL RES	$239.61	$1,141.00	$580.77–$921.93	27% below	79%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC EXC NAIL&NAIL MTRX PRM RMVL	$239.61	$1,141.00	$580.77–$921.93	27% below	79%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC EXC NAIL MATRX PTL/COMP	$239.61	$1,141.00	$580.77–$921.93	27% below	79%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC REMOVAL OF NAIL BED	$239.61	$1,141.00	$580.77–$921.93	27% below	79%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC EXC NAIL&MATRX PERM RMV	$239.61	$1,141.00	$580.77–$921.93	27% below	79%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC EXC NL& MATRIX FOR PERM RMV	$239.61	$1,141.00	$580.77–$921.93	27% below	79%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC EXC NAIL MATRIX PARTL/COMPL	$239.61	$1,141.00	$580.77–$921.93	27% below	79%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 ER NAIL EXCISION PARTIAL/COMP	$287.49	$1,369.00	$696.82–$1,106.15	12% below	79%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 WIC NAIL EXCISION PART/COMP	$302.19	$1,439.00	$732.45–$1,162.71	8% below	79%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC EXC NL& MATRIX FOR PERM RMV	$239.61	$1,141.00	$741.65–$851.19	—	79%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC EXC NAIL MATRX PTL/COMP	$239.61	$1,141.00	$741.65–$851.19	—	79%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC REMOVAL OF NAIL BED	$239.61	$1,141.00	$741.65–$851.19	—	79%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC EXC NAIL MATRIX PARTL/COMPL	$239.61	$1,141.00	$741.65–$851.19	—	79%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 FP INGROWN NAIL REMOVAL RES	$239.61	$1,141.00	$741.65–$851.19	—	79%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC EXC NAIL&NAIL MTRX PRM RMVL	$239.61	$1,141.00	$741.65–$851.19	—	79%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC EXC NAIL&MATRX PERM RMV	$239.61	$1,141.00	$741.65–$851.19	—	79%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 ER NAIL EXCISION PARTIAL/COMP	$287.49	$1,369.00	$889.85–$1,021.27	—	79%
Prostate biopsy CPT 55700 BIOPSY OF PROSTATE-FC	$724.29	$3,449.00	$1,755.54–$2,786.79	65% above	79%
Prostate biopsy CPT 55700 NEEDLE BX/TRANSRECTAL	$724.29	$3,449.00	$1,755.54–$2,786.79	65% above	79%
Prostate biopsy CPT 55700 ER BX PROSTATE NDLE ANY APRCH	$869.19	$4,139.00	$2,106.75–$3,344.31	98% above	79%
Prostate biopsy inpatient CPT 55700 NEEDLE BX/TRANSRECTAL	$724.29	$3,449.00	$2,241.85–$2,572.95	—	79%
Prostate biopsy inpatient CPT 55700 BIOPSY OF PROSTATE-FC	$724.29	$3,449.00	$2,241.85–$2,572.95	—	79%
Prostate biopsy inpatient CPT 55700 ER BX PROSTATE NDLE ANY APRCH	$869.19	$4,139.00	$2,690.35–$3,087.69	—	79%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 DESTR L/S FACET JNT-FAC	$870.66	$4,146.00	$2,110.31–$3,349.97	40% below	79%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 DESTR L/S FACET JNT-FAC	$870.66	$4,146.00	$2,694.90–$3,092.92	—	79%
Removal of a breast lump, open surgery CPT 19120 HC REMOVAL OF BREAST LESN	$1,421.70	$6,770.00	$3,445.93–$5,470.16	at median	79%
Removal of a breast lump, open surgery inpatient CPT 19120 HC REMOVAL OF BREAST LESN	$1,421.70	$6,770.00	$4,400.50–$5,050.42	—	79%
Removal of a foreign object under the skin, simple CPT 10120 HC INCIS & REM FOREIGN BODY	$93.24	$444.00	$226.00–$358.75	59% below	79%
Removal of a foreign object under the skin, simple CPT 10120 HC REMOVE FOREIGN BODY	$116.55	$555.00	$282.50–$448.44	49% below	79%
Removal of a foreign object under the skin, simple CPT 10120 INCSION/REM FB SQ TIS SIM-RES	$116.55	$555.00	$282.50–$448.44	49% below	79%
Removal of a foreign object under the skin, simple CPT 10120 HC REMOVE FOREIGN BODY-SIMPLE	$116.55	$555.00	$282.50–$448.44	49% below	79%
Removal of a foreign object under the skin, simple CPT 10120 HC REMOVE FOREIGN BODY-SIMPLE	$116.55	$555.00	$282.50–$448.44	49% below	79%
Removal of a foreign object under the skin, simple CPT 10120 HC RMVL FB SUBQ TISSUE SIMPLE	$116.55	$555.00	$282.50–$448.44	49% below	79%
Removal of a foreign object under the skin, simple CPT 10120 HC INC & RMVL FB SC TISS SMPL	$116.55	$555.00	$282.50–$448.44	49% below	79%
Removal of a foreign object under the skin, simple CPT 10120 HC I&R FB SUBCU TISS SIMPLE	$116.55	$555.00	$282.50–$448.44	49% below	79%
Removal of a foreign object under the skin, simple CPT 10120 FP REM FOREIGN BODY SIMP RES	$116.55	$555.00	$282.50–$448.44	49% below	79%
Removal of a foreign object under the skin, simple CPT 10120 HC INC&RM FB SC TISS SMPL	$116.55	$555.00	$282.50–$448.44	49% below	79%
Removal of a foreign object under the skin, simple CPT 10120 ER FB SKIN/TISSUE-SIMPLE	$139.86	$666.00	$338.99–$538.13	39% below	79%
Removal of a foreign object under the skin, simple CPT 10120 TSP OFF I&R FB SUBC TIS SIMPLE	$184.80	$880.00	$447.92–$711.04	19% below	79%
Removal of a foreign object under the skin, simple CPT 10120 REM FOREIGN BODY SUBQ-OFC	$184.80	$880.00	$447.92–$711.04	19% below	79%
Removal of a foreign object under the skin, simple CPT 10120 I&D FB SUBC TISSUE SIMPLE-OFC	$184.80	$880.00	$447.92–$711.04	19% below	79%
Removal of a foreign object under the skin, simple CPT 10120 WIC INCISION/REM FB TISSUE	$184.80	$880.00	$447.92–$711.04	19% below	79%
Removal of a foreign object under the skin, simple CPT 10120 REMV FOREIGN BODY SKIN-OFC	$184.80	$880.00	$447.92–$711.04	19% below	79%
Removal of a foreign object under the skin, simple inpatient CPT 10120 HC INCIS & REM FOREIGN BODY	$93.24	$444.00	$288.60–$331.22	—	79%
Removal of a foreign object under the skin, simple inpatient CPT 10120 HC I&R FB SUBCU TISS SIMPLE	$116.55	$555.00	$360.75–$414.03	—	79%
Removal of a foreign object under the skin, simple inpatient CPT 10120 FP REM FOREIGN BODY SIMP RES	$116.55	$555.00	$360.75–$414.03	—	79%
Removal of a foreign object under the skin, simple inpatient CPT 10120 HC INC&RM FB SC TISS SMPL	$116.55	$555.00	$360.75–$414.03	—	79%
Removal of a foreign object under the skin, simple inpatient CPT 10120 HC INC & RMVL FB SC TISS SMPL	$116.55	$555.00	$360.75–$414.03	—	79%
Removal of a foreign object under the skin, simple inpatient CPT 10120 HC RMVL FB SUBQ TISSUE SIMPLE	$116.55	$555.00	$360.75–$414.03	—	79%
Removal of a foreign object under the skin, simple inpatient CPT 10120 HC REMOVE FOREIGN BODY-SIMPLE	$116.55	$555.00	$360.75–$414.03	—	79%
Removal of a foreign object under the skin, simple inpatient CPT 10120 HC REMOVE FOREIGN BODY-SIMPLE	$116.55	$555.00	$360.75–$414.03	—	79%
Removal of a foreign object under the skin, simple inpatient CPT 10120 HC REMOVE FOREIGN BODY	$116.55	$555.00	$360.75–$414.03	—	79%
Removal of a foreign object under the skin, simple inpatient CPT 10120 ER FB SKIN/TISSUE-SIMPLE	$139.86	$666.00	$432.90–$496.84	—	79%
Removal of a foreign object under the skin, simple inpatient CPT 10120 I&D FB SUBC TISSUE SIMPLE-OFC	$184.80	$880.00	$572.00–$656.48	—	79%
Removal of a foreign object under the skin, simple inpatient CPT 10120 REMV FOREIGN BODY SKIN-OFC	$184.80	$880.00	$572.00–$656.48	—	79%
Removal of a foreign object under the skin, simple inpatient CPT 10120 REM FOREIGN BODY SUBQ-OFC	$184.80	$880.00	$572.00–$656.48	—	79%
Removal of a foreign object under the skin, simple inpatient CPT 10120 TSP OFF I&R FB SUBC TIS SIMPLE	$184.80	$880.00	$572.00–$656.48	—	79%
Septoplasty to straighten the nasal septum CPT 30520 SEPTOPLASTY W OR W/O GRFT	$1,442.49	$6,869.00	$3,496.32–$5,550.15	—	79%
Septoplasty to straighten the nasal septum inpatient CPT 30520 SEPTOPLASTY W OR W/O GRFT	$1,442.49	$6,869.00	$4,464.85–$5,124.27	—	79%
Short arm cast (elbow to hand) CPT 29075 HC APPLICATION FOREARM CAST	$167.16	$796.00	$405.16–$643.17	5% below	79%
Short arm cast (elbow to hand) CPT 29075 APPL OF FOREARM CAST-FAC	$167.16	$796.00	$405.16–$643.17	5% below	79%
Short arm cast (elbow to hand) CPT 29075 OTHER PROV SHORT ARM CST APP	$167.16	$796.00	$405.16–$643.17	5% below	79%
Short arm cast (elbow to hand) CPT 29075 APPLY FOREARM CAST-FACILITY	$167.16	$796.00	$405.16–$643.17	5% below	79%
Short arm cast (elbow to hand) CPT 29075 OT SHORT ARM CAST UNITS	$167.16	$796.00	$405.16–$643.17	5% below	79%
Short arm cast (elbow to hand) CPT 29075 APPL SHORT ARM CAST	$200.55	$955.00	$486.10–$771.64	14% above	79%
Short arm cast (elbow to hand) CPT 29075 APPLICATION OF FOREARM CAST	$213.57	$1,017.00	$517.65–$821.74	22% above	79%
Short arm cast (elbow to hand) CPT 29075 APPLICATION FOREARM CAST-OFC	$213.57	$1,017.00	$517.65–$821.74	22% above	79%
Short arm cast (elbow to hand) inpatient CPT 29075 APPL OF FOREARM CAST-FAC	$167.16	$796.00	$517.40–$593.82	—	79%
Short arm cast (elbow to hand) inpatient CPT 29075 HC APPLICATION FOREARM CAST	$167.16	$796.00	$517.40–$593.82	—	79%
Short arm cast (elbow to hand) inpatient CPT 29075 OTHER PROV SHORT ARM CST APP	$167.16	$796.00	$517.40–$593.82	—	79%
Short arm cast (elbow to hand) inpatient CPT 29075 OT SHORT ARM CAST UNITS	$167.16	$796.00	$517.40–$593.82	—	79%
Short arm cast (elbow to hand) inpatient CPT 29075 APPLY FOREARM CAST-FACILITY	$167.16	$796.00	$517.40–$593.82	—	79%
Short arm cast (elbow to hand) inpatient CPT 29075 APPL SHORT ARM CAST	$200.55	$955.00	$620.75–$712.43	—	79%
Short arm cast (elbow to hand) inpatient CPT 29075 APPLICATION OF FOREARM CAST	$213.57	$1,017.00	$661.05–$758.68	—	79%
Short arm cast (elbow to hand) inpatient CPT 29075 APPLICATION FOREARM CAST-OFC	$213.57	$1,017.00	$661.05–$758.68	—	79%
Short arm splint (forearm and hand) CPT 29125 OTHER PROV SHRT ARM SPLNT APP	$58.80	$280.00	$142.52–$226.24	49% below	79%
Short arm splint (forearm and hand) CPT 29125 APPLY FOREARM SPLINT-FAC	$58.80	$280.00	$142.52–$226.24	49% below	79%
Short arm splint (forearm and hand) CPT 29125 HC APPLY FOREARM SPLINT	$58.80	$280.00	$142.52–$226.24	49% below	79%
Short arm splint (forearm and hand) CPT 29125 APPLY FOREARM SPLINT RESDNT	$58.80	$280.00	$142.52–$226.24	49% below	79%
Short arm splint (forearm and hand) CPT 29125 HC SPLNT APL SHRT AR/FRM-HD ST	$58.80	$280.00	$142.52–$226.24	49% below	79%
Short arm splint (forearm and hand) CPT 29125 APPLY FOREARM SPLNT-FAC	$58.80	$280.00	$142.52–$226.24	49% below	79%
Short arm splint (forearm and hand) CPT 29125 HC APPLY FA SPLINT STATIC	$58.80	$280.00	$142.52–$226.24	49% below	79%
Short arm splint (forearm and hand) CPT 29125 OT SHORT ARM SPLINT UNITS	$58.80	$280.00	$142.52–$226.24	49% below	79%
Short arm splint (forearm and hand) CPT 29125 PTA APPL SHRT STATIC FH ASST	$58.80	$280.00	$142.52–$226.24	49% below	79%
Short arm splint (forearm and hand) CPT 29125 PT SPLNT SHRT ARM FOREARM-HND	$58.80	$280.00	$142.52–$226.24	49% below	79%
Short arm splint (forearm and hand) CPT 29125 ER SPLINT SHORT ARM	$70.56	$336.00	$171.02–$271.49	39% below	79%
Short arm splint (forearm and hand) CPT 29125 APPLY FOREARM SPLINT	$110.46	$526.00	$267.73–$425.01	4% below	79%
Short arm splint (forearm and hand) CPT 29125 WIC SPLINT-SHORT ARM	$110.46	$526.00	$267.73–$425.01	4% below	79%
Short arm splint (forearm and hand) inpatient CPT 29125 APPLY FOREARM SPLNT-FAC	$58.80	$280.00	$182.00–$208.88	—	79%
Short arm splint (forearm and hand) inpatient CPT 29125 OTHER PROV SHRT ARM SPLNT APP	$58.80	$280.00	$182.00–$208.88	—	79%
Short arm splint (forearm and hand) inpatient CPT 29125 HC APPLY FA SPLINT STATIC	$58.80	$280.00	$182.00–$208.88	—	79%
Short arm splint (forearm and hand) inpatient CPT 29125 OT SHORT ARM SPLINT UNITS	$58.80	$280.00	$182.00–$208.88	—	79%
Short arm splint (forearm and hand) inpatient CPT 29125 PTA APPL SHRT STATIC FH ASST	$58.80	$280.00	$182.00–$208.88	—	79%
Short arm splint (forearm and hand) inpatient CPT 29125 PT SPLNT SHRT ARM FOREARM-HND	$58.80	$280.00	$182.00–$208.88	—	79%
Short arm splint (forearm and hand) inpatient CPT 29125 HC SPLNT APL SHRT AR/FRM-HD ST	$58.80	$280.00	$182.00–$208.88	—	79%
Short arm splint (forearm and hand) inpatient CPT 29125 APPLY FOREARM SPLINT RESDNT	$58.80	$280.00	$182.00–$208.88	—	79%
Short arm splint (forearm and hand) inpatient CPT 29125 HC APPLY FOREARM SPLINT	$58.80	$280.00	$182.00–$208.88	—	79%
Short arm splint (forearm and hand) inpatient CPT 29125 APPLY FOREARM SPLINT-FAC	$58.80	$280.00	$182.00–$208.88	—	79%
Short arm splint (forearm and hand) inpatient CPT 29125 ER SPLINT SHORT ARM	$70.56	$336.00	$218.40–$250.66	—	79%
Short arm splint (forearm and hand) inpatient CPT 29125 APPLY FOREARM SPLINT	$110.46	$526.00	$341.90–$392.40	—	79%
Short leg cast (below the knee) CPT 29405 APPLY SHORT LEG CAST-FAC	$75.60	$360.00	$183.24–$290.88	53% below	79%
Short leg cast (below the knee) CPT 29405 OTHER PROV SHORT LEG CAST APP	$75.60	$360.00	$183.24–$290.88	53% below	79%
Short leg cast (below the knee) CPT 29405 APP SHRT LEG BLW KNEE CAST-FAC	$75.60	$360.00	$183.24–$290.88	53% below	79%
Short leg cast (below the knee) CPT 29405 PTA SHORT LEG CAST APP ASST	$75.60	$360.00	$183.24–$290.88	53% below	79%
Short leg cast (below the knee) CPT 29405 APPL SHORT LEG CAST	$90.72	$432.00	$219.89–$349.06	44% below	79%
Short leg cast (below the knee) CPT 29405 APPLY SHORT LEG CAST	$111.72	$532.00	$270.79–$429.86	30% below	79%
Short leg cast (below the knee) inpatient CPT 29405 OTHER PROV SHORT LEG CAST APP	$75.60	$360.00	$234.00–$268.56	—	79%
Short leg cast (below the knee) inpatient CPT 29405 PTA SHORT LEG CAST APP ASST	$75.60	$360.00	$234.00–$268.56	—	79%
Short leg cast (below the knee) inpatient CPT 29405 APP SHRT LEG BLW KNEE CAST-FAC	$75.60	$360.00	$234.00–$268.56	—	79%
Short leg cast (below the knee) inpatient CPT 29405 APPLY SHORT LEG CAST-FAC	$75.60	$360.00	$234.00–$268.56	—	79%
Short leg cast (below the knee) inpatient CPT 29405 APPL SHORT LEG CAST	$90.72	$432.00	$280.80–$322.27	—	79%
Short leg cast (below the knee) inpatient CPT 29405 APPLY SHORT LEG CAST	$111.72	$532.00	$345.80–$396.87	—	79%
Short leg splint (calf to foot) CPT 29515 APPLY LOWER LEG SPLINT-FAC	$98.28	$468.00	$238.21–$378.14	22% below	79%
Short leg splint (calf to foot) CPT 29515 APPL LOWER LEG SPLINT-FACILITY	$98.28	$468.00	$238.21–$378.14	22% below	79%
Short leg splint (calf to foot) CPT 29515 HC SPLNT APPL SHRT LEG CALF-FT	$98.28	$468.00	$238.21–$378.14	22% below	79%
Short leg splint (calf to foot) CPT 29515 APPL LOWER LEG SPLINT-FAC	$98.28	$468.00	$238.21–$378.14	22% below	79%
Short leg splint (calf to foot) CPT 29515 PTA SHORT LEG SPLINT APP ASST	$98.28	$468.00	$238.21–$378.14	22% below	79%
Short leg splint (calf to foot) CPT 29515 PT SPLINT SHRT LEG CALF-FOOT	$98.28	$468.00	$238.21–$378.14	22% below	79%
Short leg splint (calf to foot) CPT 29515 ER SPLINT SHORT LEG	$118.02	$562.00	$286.06–$454.10	7% below	79%
Short leg splint (calf to foot) CPT 29515 APPLICA LOWER LEG SPLINT	$136.71	$651.00	$331.36–$526.01	8% above	79%
Short leg splint (calf to foot) CPT 29515 WIC SPLINT-SHORT LEG	$136.71	$651.00	$331.36–$526.01	8% above	79%
Short leg splint (calf to foot) inpatient CPT 29515 APPL LOWER LEG SPLINT-FACILITY	$98.28	$468.00	$304.20–$349.13	—	79%
Short leg splint (calf to foot) inpatient CPT 29515 PT SPLINT SHRT LEG CALF-FOOT	$98.28	$468.00	$304.20–$349.13	—	79%
Short leg splint (calf to foot) inpatient CPT 29515 APPL LOWER LEG SPLINT-FAC	$98.28	$468.00	$304.20–$349.13	—	79%
Short leg splint (calf to foot) inpatient CPT 29515 PTA SHORT LEG SPLINT APP ASST	$98.28	$468.00	$304.20–$349.13	—	79%
Short leg splint (calf to foot) inpatient CPT 29515 APPLY LOWER LEG SPLINT-FAC	$98.28	$468.00	$304.20–$349.13	—	79%
Short leg splint (calf to foot) inpatient CPT 29515 HC SPLNT APPL SHRT LEG CALF-FT	$98.28	$468.00	$304.20–$349.13	—	79%
Short leg splint (calf to foot) inpatient CPT 29515 ER SPLINT SHORT LEG	$118.02	$562.00	$365.30–$419.25	—	79%
Short leg splint (calf to foot) inpatient CPT 29515 APPLICA LOWER LEG SPLINT	$136.71	$651.00	$423.15–$485.65	—	79%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC RPR SF WND SHFG 2.5CM/LESS	$93.45	$445.00	$226.50–$359.56	37% below	79%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC RP SF WND S/H/F/G 2.5CM/<	$93.45	$445.00	$226.50–$359.56	37% below	79%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC RPR SF WD SHFG 2.5CM/LS	$93.45	$445.00	$226.50–$359.56	37% below	79%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 WND 2.5CM OR LESS FACILITY	$93.45	$445.00	$226.50–$359.56	37% below	79%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC RP SF WN S/H/F/G 2.5/<DERMA	$93.45	$445.00	$226.50–$359.56	37% below	79%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC RPR SUPERFCL WND(S)<2.5CM	$93.45	$445.00	$226.50–$359.56	37% below	79%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC REP SIM WOUND <=2.5CM DERMA	$93.45	$445.00	$226.50–$359.56	37% below	79%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC RPR S/N/AX/GEN/TRNK 2.5CM/<	$93.45	$445.00	$226.50–$359.56	37% below	79%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC RPR SIMPL 2.5CM< SNAGTE	$93.45	$445.00	$226.50–$359.56	37% below	79%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC REP SIM WND SC/TR < 2.5CM	$93.45	$445.00	$226.50–$359.56	37% below	79%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 ER LAC(ESNT) < 2.6S	$112.14	$534.00	$271.81–$431.47	25% below	79%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 WIC WND 2.5CM OR LESS ESNT	$182.49	$869.00	$442.32–$702.15	23% above	79%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 WIC WND <2.5CM DERMA ESNT	$182.49	$869.00	$442.32–$702.15	23% above	79%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 RPR WOUND < 2.5CM DERMA-OFC	$182.49	$869.00	$442.32–$702.15	23% above	79%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 REP SIMPLE WOUND < 2.5-OFC	$182.49	$869.00	$442.32–$702.15	23% above	79%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC RPR S/N/AX/GEN/TRNK 2.5CM/<	$93.45	$445.00	$289.25–$331.97	—	79%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC RPR SF WND SHFG 2.5CM/LESS	$93.45	$445.00	$289.25–$331.97	—	79%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC RPR SF WD SHFG 2.5CM/LS	$93.45	$445.00	$289.25–$331.97	—	79%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC REP SIM WOUND <=2.5CM DERMA	$93.45	$445.00	$289.25–$331.97	—	79%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC RP SF WN S/H/F/G 2.5/<DERMA	$93.45	$445.00	$289.25–$331.97	—	79%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 WND 2.5CM OR LESS FACILITY	$93.45	$445.00	$289.25–$331.97	—	79%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC REP SIM WND SC/TR < 2.5CM	$93.45	$445.00	$289.25–$331.97	—	79%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC RPR SIMPL 2.5CM< SNAGTE	$93.45	$445.00	$289.25–$331.97	—	79%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC RP SF WND S/H/F/G 2.5CM/<	$93.45	$445.00	$289.25–$331.97	—	79%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC RPR SUPERFCL WND(S)<2.5CM	$93.45	$445.00	$289.25–$331.97	—	79%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 ER LAC(ESNT) < 2.6S	$112.14	$534.00	$347.10–$398.36	—	79%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 RPR WOUND < 2.5CM DERMA-OFC	$182.49	$869.00	$564.85–$648.27	—	79%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 REP SIMPLE WOUND < 2.5-OFC	$182.49	$869.00	$564.85–$648.27	—	79%
Skin biopsy, punch, one lesion CPT 11104 HC PUNCH BX SKIN SINGLE LES	$133.98	$638.00	$324.74–$515.50	48% below	79%
Skin biopsy, punch, one lesion CPT 11104 HC PUNCH BX SKIN SNGL LESION	$133.98	$638.00	$324.74–$515.50	48% below	79%
Skin biopsy, punch, one lesion CPT 11104 HC PUNCH BX OF SKIN SNGL	$133.98	$638.00	$324.74–$515.50	48% below	79%
Skin biopsy, punch, one lesion CPT 11104 HC PUNCH BX SKIN SNGL LS	$133.98	$638.00	$324.74–$515.50	48% below	79%
Skin biopsy, punch, one lesion CPT 11104 HC PUNCH BX SKIN SINGLE LESION	$133.98	$638.00	$324.74–$515.50	48% below	79%
Skin biopsy, punch, one lesion CPT 11104 HC PUNCH BX OF SKIN SINGLE	$133.98	$638.00	$324.74–$515.50	48% below	79%
Skin biopsy, punch, one lesion CPT 11104 ER PUNCH BX SKIN SINGLE LES	$160.86	$766.00	$389.89–$618.93	37% below	79%
Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SINGLE LES-OFC	$170.73	$813.00	$413.82–$656.90	34% below	79%
Skin biopsy, punch, one lesion inpatient CPT 11104 HC PUNCH BX SKIN SINGLE LESION	$133.98	$638.00	$414.70–$475.95	—	79%
Skin biopsy, punch, one lesion inpatient CPT 11104 HC PUNCH BX OF SKIN SINGLE	$133.98	$638.00	$414.70–$475.95	—	79%
Skin biopsy, punch, one lesion inpatient CPT 11104 HC PUNCH BX SKIN SINGLE LES	$133.98	$638.00	$414.70–$475.95	—	79%
Skin biopsy, punch, one lesion inpatient CPT 11104 HC PUNCH BX SKIN SNGL LESION	$133.98	$638.00	$414.70–$475.95	—	79%
Skin biopsy, punch, one lesion inpatient CPT 11104 HC PUNCH BX OF SKIN SNGL	$133.98	$638.00	$414.70–$475.95	—	79%
Skin biopsy, punch, one lesion inpatient CPT 11104 HC PUNCH BX SKIN SNGL LS	$133.98	$638.00	$414.70–$475.95	—	79%
Skin biopsy, punch, one lesion inpatient CPT 11104 ER PUNCH BX SKIN SINGLE LES	$160.86	$766.00	$497.90–$571.44	—	79%
Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BX SKIN SINGLE LES-OFC	$170.73	$813.00	$528.45–$606.50	—	79%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 HC EXC MALIG LS T/A/L<=0.5CM	$119.28	$568.00	$289.11–$458.94	63% below	79%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 HC EXCISE MALIGN LESION<0.5CM	$119.28	$568.00	$289.11–$458.94	63% below	79%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 HC EXC MALIG LES TAL <=0.5CM	$119.28	$568.00	$289.11–$458.94	63% below	79%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 HC EXC MLG LS TAL <=0.5CM	$119.28	$568.00	$289.11–$458.94	63% below	79%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 HC EXC MALIG LS T/A/L<=0.5CM	$119.28	$568.00	$369.20–$423.73	—	79%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 HC EXC MLG LS TAL <=0.5CM	$119.28	$568.00	$369.20–$423.73	—	79%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 HC EXC MALIG LES TAL <=0.5CM	$119.28	$568.00	$369.20–$423.73	—	79%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 HC EXCISE MALIGN LESION<0.5CM	$119.28	$568.00	$369.20–$423.73	—	79%
Skin tag removal, up to 15 tags CPT 11200 HC RMVL SKIN TAGS UP-15 LES	$60.48	$288.00	$146.59–$232.70	54% below	79%
Skin tag removal, up to 15 tags CPT 11200 FP REM SKIN TAGS 15-RES	$60.48	$288.00	$146.59–$232.70	54% below	79%
Skin tag removal, up to 15 tags CPT 11200 HC RMVL SKIN TAGS UP-15 LS	$60.48	$288.00	$146.59–$232.70	54% below	79%
Skin tag removal, up to 15 tags CPT 11200 HC REMOVE SKIN TAGS 1-15	$60.48	$288.00	$146.59–$232.70	54% below	79%
Skin tag removal, up to 15 tags CPT 11200 HC REMOVE SKIN TAGS UP TO 15	$60.48	$288.00	$146.59–$232.70	54% below	79%
Skin tag removal, up to 15 tags CPT 11200 HC REM SKIN TAGS UP TO 15	$60.48	$288.00	$146.59–$232.70	54% below	79%
Skin tag removal, up to 15 tags CPT 11200 HC REMOVAL OF SKIN TAGS	$60.48	$288.00	$146.59–$232.70	54% below	79%
Skin tag removal, up to 15 tags CPT 11200 ER EXCISION SKIN TAGS < 16	$72.66	$346.00	$176.11–$279.57	45% below	79%
Skin tag removal, up to 15 tags CPT 11200 REMOVE SKIN TAGS 1-15-OFC	$107.73	$513.00	$261.12–$414.50	18% below	79%
Skin tag removal, up to 15 tags CPT 11200 REMOVAL SKIN TAGS <15-OFC	$107.73	$513.00	$261.12–$414.50	18% below	79%
Skin tag removal, up to 15 tags CPT 11200 REMOVE SKIN TAGS UP TO 15-OFC	$107.73	$513.00	$261.12–$414.50	18% below	79%
Skin tag removal, up to 15 tags CPT 11200 REMOVE SKIN TAGS-OFC	$107.73	$513.00	$261.12–$414.50	18% below	79%
Skin tag removal, up to 15 tags CPT 11200 WIC EXCISION SKIN TAG LES <16	$107.73	$513.00	$261.12–$414.50	18% below	79%
Skin tag removal, up to 15 tags CPT 11200 REMVL SKIN TAGS UP TO/=15-OFC	$107.73	$513.00	$261.12–$414.50	18% below	79%
Skin tag removal, up to 15 tags inpatient CPT 11200 HC RMVL SKIN TAGS UP-15 LES	$60.48	$288.00	$187.20–$214.85	—	79%
Skin tag removal, up to 15 tags inpatient CPT 11200 FP REM SKIN TAGS 15-RES	$60.48	$288.00	$187.20–$214.85	—	79%
Skin tag removal, up to 15 tags inpatient CPT 11200 HC REMOVAL OF SKIN TAGS	$60.48	$288.00	$187.20–$214.85	—	79%
Skin tag removal, up to 15 tags inpatient CPT 11200 HC REM SKIN TAGS UP TO 15	$60.48	$288.00	$187.20–$214.85	—	79%
Skin tag removal, up to 15 tags inpatient CPT 11200 HC REMOVE SKIN TAGS 1-15	$60.48	$288.00	$187.20–$214.85	—	79%
Skin tag removal, up to 15 tags inpatient CPT 11200 HC RMVL SKIN TAGS UP-15 LS	$60.48	$288.00	$187.20–$214.85	—	79%
Skin tag removal, up to 15 tags inpatient CPT 11200 HC REMOVE SKIN TAGS UP TO 15	$60.48	$288.00	$187.20–$214.85	—	79%
Skin tag removal, up to 15 tags inpatient CPT 11200 ER EXCISION SKIN TAGS < 16	$72.66	$346.00	$224.90–$258.12	—	79%
Skin tag removal, up to 15 tags inpatient CPT 11200 REMVL SKIN TAGS UP TO/=15-OFC	$107.73	$513.00	$333.45–$382.70	—	79%
Skin tag removal, up to 15 tags inpatient CPT 11200 REMOVE SKIN TAGS-OFC	$107.73	$513.00	$333.45–$382.70	—	79%
Skin tag removal, up to 15 tags inpatient CPT 11200 REMOVE SKIN TAGS UP TO 15-OFC	$107.73	$513.00	$333.45–$382.70	—	79%
Skin tag removal, up to 15 tags inpatient CPT 11200 REMOVAL SKIN TAGS <15-OFC	$107.73	$513.00	$333.45–$382.70	—	79%
Skin tag removal, up to 15 tags inpatient CPT 11200 REMOVE SKIN TAGS 1-15-OFC	$107.73	$513.00	$333.45–$382.70	—	79%
Spinal tap (lumbar puncture), diagnostic CPT 62270 M3C LUMBAR PNCTR(SPINAL TAP)	$313.95	$1,495.00	$760.96–$1,207.96	36% below	79%
Spinal tap (lumbar puncture), diagnostic CPT 62270 G6OR LUMBAR PNCTR(SPINAL TAP)	$313.95	$1,495.00	$760.96–$1,207.96	36% below	79%
Spinal tap (lumbar puncture), diagnostic CPT 62270 KPO3 LUMBAR PNCTR(SPINAL TAP)	$313.95	$1,495.00	$760.96–$1,207.96	36% below	79%
Spinal tap (lumbar puncture), diagnostic CPT 62270 G4 LUMBAR PNCTR(SPINAL TAP)	$313.95	$1,495.00	$760.96–$1,207.96	36% below	79%
Spinal tap (lumbar puncture), diagnostic CPT 62270 CCU LUMBAR PNCTR(SPINAL TAP)	$313.95	$1,495.00	$760.96–$1,207.96	36% below	79%
Spinal tap (lumbar puncture), diagnostic CPT 62270 6CARD LUMBAR PNCTR(SPINAL TAP)	$313.95	$1,495.00	$760.96–$1,207.96	36% below	79%
Spinal tap (lumbar puncture), diagnostic CPT 62270 1PIPR LUMBAR PNCTR(SPINAL TAP)	$313.95	$1,495.00	$760.96–$1,207.96	36% below	79%
Spinal tap (lumbar puncture), diagnostic CPT 62270 HC SPNL PUNCTURE LUMBAR DX	$313.95	$1,495.00	$760.96–$1,207.96	36% below	79%
Spinal tap (lumbar puncture), diagnostic CPT 62270 HC DX SPINAL TAP (LP)	$313.95	$1,495.00	$760.96–$1,207.96	36% below	79%
Spinal tap (lumbar puncture), diagnostic CPT 62270 OOU LUMBAR PUNCTURE DIAGNOSTIC	$313.95	$1,495.00	$760.96–$1,207.96	36% below	79%
Spinal tap (lumbar puncture), diagnostic CPT 62270 HC DX LUMBAR SPINAL PUNCTURE	$313.95	$1,495.00	$760.96–$1,207.96	36% below	79%
Spinal tap (lumbar puncture), diagnostic CPT 62270 G5 LUMBAR PNCTR(SPINAL TAP)	$313.95	$1,495.00	$760.96–$1,207.96	36% below	79%
Spinal tap (lumbar puncture), diagnostic CPT 62270 HC SPINAL PUNCUTRE LUMBAR DX	$313.95	$1,495.00	$760.96–$1,207.96	36% below	79%
Spinal tap (lumbar puncture), diagnostic CPT 62270 ICU LUMBAR PNCTR(SPINAL TAP)	$313.95	$1,495.00	$760.96–$1,207.96	36% below	79%
Spinal tap (lumbar puncture), diagnostic CPT 62270 M3S LUMBAR PNCTR(SPINAL TAP)	$313.95	$1,495.00	$760.96–$1,207.96	36% below	79%
Spinal tap (lumbar puncture), diagnostic CPT 62270 NICU LUMBAR PNCTR(SPINAL TAP)	$313.95	$1,495.00	$760.96–$1,207.96	36% below	79%
Spinal tap (lumbar puncture), diagnostic CPT 62270 PICU LUMBAR PNCTR(SPINAL TAP)	$313.95	$1,495.00	$760.96–$1,207.96	36% below	79%
Spinal tap (lumbar puncture), diagnostic CPT 62270 G8 LUMBAR PNCTR(SPINAL TAP)	$313.95	$1,495.00	$760.96–$1,207.96	36% below	79%
Spinal tap (lumbar puncture), diagnostic CPT 62270 G7 LUMBAR PNCTR(SPINAL TAP)	$313.95	$1,495.00	$760.96–$1,207.96	36% below	79%
Spinal tap (lumbar puncture), diagnostic CPT 62270 ER SPINAL PUNCTURE	$376.74	$1,794.00	$913.15–$1,449.55	23% below	79%
Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCTURE DIAGNOSTIC	$376.74	$1,794.00	$913.15–$1,449.55	23% below	79%
Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL TAP DIAGNOSTIC-OFC	$384.72	$1,832.00	$932.49–$1,480.26	21% below	79%
Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCTURE LUMBAR DX	$384.72	$1,832.00	$932.49–$1,480.26	21% below	79%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 OOU LUMBAR PUNCTURE DIAGNOSTIC	$313.95	$1,495.00	$971.75–$1,115.27	—	79%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC DX LUMBAR SPINAL PUNCTURE	$313.95	$1,495.00	$971.75–$1,115.27	—	79%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 CCU LUMBAR PNCTR(SPINAL TAP)	$313.95	$1,495.00	$971.75–$1,115.27	—	79%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 G7 LUMBAR PNCTR(SPINAL TAP)	$313.95	$1,495.00	$971.75–$1,115.27	—	79%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 G6OR LUMBAR PNCTR(SPINAL TAP)	$313.95	$1,495.00	$971.75–$1,115.27	—	79%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 ICU LUMBAR PNCTR(SPINAL TAP)	$313.95	$1,495.00	$971.75–$1,115.27	—	79%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 G8 LUMBAR PNCTR(SPINAL TAP)	$313.95	$1,495.00	$971.75–$1,115.27	—	79%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 KPO3 LUMBAR PNCTR(SPINAL TAP)	$313.95	$1,495.00	$971.75–$1,115.27	—	79%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 M3C LUMBAR PNCTR(SPINAL TAP)	$313.95	$1,495.00	$971.75–$1,115.27	—	79%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 M3S LUMBAR PNCTR(SPINAL TAP)	$313.95	$1,495.00	$971.75–$1,115.27	—	79%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 NICU LUMBAR PNCTR(SPINAL TAP)	$313.95	$1,495.00	$971.75–$1,115.27	—	79%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 PICU LUMBAR PNCTR(SPINAL TAP)	$313.95	$1,495.00	$971.75–$1,115.27	—	79%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 G5 LUMBAR PNCTR(SPINAL TAP)	$313.95	$1,495.00	$971.75–$1,115.27	—	79%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC SPINAL PUNCUTRE LUMBAR DX	$313.95	$1,495.00	$971.75–$1,115.27	—	79%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC SPNL PUNCTURE LUMBAR DX	$313.95	$1,495.00	$971.75–$1,115.27	—	79%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC DX SPINAL TAP (LP)	$313.95	$1,495.00	$971.75–$1,115.27	—	79%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 6CARD LUMBAR PNCTR(SPINAL TAP)	$313.95	$1,495.00	$971.75–$1,115.27	—	79%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 1PIPR LUMBAR PNCTR(SPINAL TAP)	$313.95	$1,495.00	$971.75–$1,115.27	—	79%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 G4 LUMBAR PNCTR(SPINAL TAP)	$313.95	$1,495.00	$971.75–$1,115.27	—	79%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 ER SPINAL PUNCTURE	$376.74	$1,794.00	$1,166.10–$1,338.32	—	79%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL PUNCTURE DIAGNOSTIC	$376.74	$1,794.00	$1,166.10–$1,338.32	—	79%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL PUNCTURE LUMBAR DX	$384.72	$1,832.00	$1,190.80–$1,366.67	—	79%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL TAP DIAGNOSTIC-OFC	$384.72	$1,832.00	$1,190.80–$1,366.67	—	79%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC REPR SUPRFCL WND(S)2.6-7.5C	$100.59	$479.00	$243.81–$387.03	46% below	79%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC RPR SF WD SHFG 2.6-7.5C	$100.59	$479.00	$243.81–$387.03	46% below	79%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC RP SF WND S/H/F/G 2.6-7.5CM	$100.59	$479.00	$243.81–$387.03	46% below	79%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC REP SIM WND SC/TR 2.6-7.5	$100.59	$479.00	$243.81–$387.03	46% below	79%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC RPR SUPRFC WND(S)2.6-7.5CM	$100.59	$479.00	$243.81–$387.03	46% below	79%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC RPR SUPRFCL WND(S)2.6-7.5CM	$100.59	$479.00	$243.81–$387.03	46% below	79%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 RPR S/N/AX/GEN/TRNK2.6-7.5CM	$120.75	$575.00	$292.68–$464.60	35% below	79%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 ER LAC(ESNT)2.6-7.5S	$120.75	$575.00	$292.68–$464.60	35% below	79%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 RPR WOUND 2.6-7.5CM DERMA-OFC	$201.81	$961.00	$489.15–$776.49	8% above	79%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 WIC WND 2.6-7.5CM ESNT	$201.81	$961.00	$489.15–$776.49	8% above	79%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 WIC WND 2.6-7.5CM DERMA ESNT	$201.81	$961.00	$489.15–$776.49	8% above	79%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 HC REP SIM WND SC/TR 2.6-7.5	$100.59	$479.00	$311.35–$357.33	—	79%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 HC RPR SUPRFC WND(S)2.6-7.5CM	$100.59	$479.00	$311.35–$357.33	—	79%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 HC RPR SUPRFCL WND(S)2.6-7.5CM	$100.59	$479.00	$311.35–$357.33	—	79%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 HC REPR SUPRFCL WND(S)2.6-7.5C	$100.59	$479.00	$311.35–$357.33	—	79%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 HC RPR SF WD SHFG 2.6-7.5C	$100.59	$479.00	$311.35–$357.33	—	79%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 HC RP SF WND S/H/F/G 2.6-7.5CM	$100.59	$479.00	$311.35–$357.33	—	79%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 RPR S/N/AX/GEN/TRNK2.6-7.5CM	$120.75	$575.00	$373.75–$428.95	—	79%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 ER LAC(ESNT)2.6-7.5S	$120.75	$575.00	$373.75–$428.95	—	79%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 RPR WOUND 2.6-7.5CM DERMA-OFC	$201.81	$961.00	$624.65–$716.91	—	79%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC RP SF WND F/E/E/N/L 2.5CM/<	$88.83	$423.00	$215.31–$341.78	46% below	79%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC RPR SF WND FEENL 2.5CM/LESS	$88.83	$423.00	$215.31–$341.78	46% below	79%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC RPR SF WD FEENL 2.5C/LS	$88.83	$423.00	$215.31–$341.78	46% below	79%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC RPR SUPERFCL WND(S)<2.5CM	$88.83	$423.00	$215.31–$341.78	46% below	79%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC RPR SIMPL 2.5CM<FEENLM	$88.83	$423.00	$215.31–$341.78	46% below	79%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC RPR F/E/E/N/L/M 2.5CM/<	$88.83	$423.00	$215.31–$341.78	46% below	79%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SUPRFCL WND<2.5CM-DRMA-FAC	$88.83	$423.00	$215.31–$341.78	46% below	79%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 ER LAC(FENELM) < 2.6S	$106.68	$508.00	$258.57–$410.46	35% below	79%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 WIC WND <2.5CM DERMA FENELM	$166.74	$794.00	$404.15–$641.55	1% above	79%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 REPR WOUND SIMP FEN < 2.6-OFC	$166.74	$794.00	$404.15–$641.55	1% above	79%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 WIC WND 2.5CM OR LESS FENELM	$166.74	$794.00	$404.15–$641.55	1% above	79%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 HC RP SF WND F/E/E/N/L 2.5CM/<	$88.83	$423.00	$274.95–$315.56	—	79%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 HC RPR SIMPL 2.5CM<FEENLM	$88.83	$423.00	$274.95–$315.56	—	79%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 HC RPR SUPERFCL WND(S)<2.5CM	$88.83	$423.00	$274.95–$315.56	—	79%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 HC RPR F/E/E/N/L/M 2.5CM/<	$88.83	$423.00	$274.95–$315.56	—	79%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 HC RPR SF WND FEENL 2.5CM/LESS	$88.83	$423.00	$274.95–$315.56	—	79%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 HC RPR SF WD FEENL 2.5C/LS	$88.83	$423.00	$274.95–$315.56	—	79%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 ER LAC(FENELM) < 2.6S	$106.68	$508.00	$330.20–$378.97	—	79%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 REPR WOUND SIMP FEN < 2.6-OFC	$166.74	$794.00	$516.10–$592.32	—	79%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC BX OF SKIN TANGTL SNGL	$136.71	$651.00	$331.36–$526.01	30% below	79%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 BX SKIN TANGTL SINGLE-OFC RES	$136.71	$651.00	$331.36–$526.01	30% below	79%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC BX OF SKIN TANGTL SINGLE	$136.71	$651.00	$331.36–$526.01	30% below	79%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC TANGENTIAL BX SKIN SNGL LSN	$136.71	$651.00	$331.36–$526.01	30% below	79%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC TANGENTIAL BX SKIN SNGL LS	$136.71	$651.00	$331.36–$526.01	30% below	79%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC TANG BX SKIN SNGL LSION	$136.71	$651.00	$331.36–$526.01	30% below	79%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 ER BX OF SKIN TANGTL SINGLE	$164.01	$781.00	$397.53–$631.05	16% below	79%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 BX OF SKIN TANGTL SINGLE-OFC	$182.49	$869.00	$442.32–$702.15	7% below	79%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 HC BX OF SKIN TANGTL SINGLE	$136.71	$651.00	$423.15–$485.65	—	79%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 BX SKIN TANGTL SINGLE-OFC RES	$136.71	$651.00	$423.15–$485.65	—	79%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 HC TANG BX SKIN SNGL LSION	$136.71	$651.00	$423.15–$485.65	—	79%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 HC TANGENTIAL BX SKIN SNGL LSN	$136.71	$651.00	$423.15–$485.65	—	79%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 HC BX OF SKIN TANGTL SNGL	$136.71	$651.00	$423.15–$485.65	—	79%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 HC TANGENTIAL BX SKIN SNGL LS	$136.71	$651.00	$423.15–$485.65	—	79%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 ER BX OF SKIN TANGTL SINGLE	$164.01	$781.00	$507.65–$582.63	—	79%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 BX OF SKIN TANGTL SINGLE-OFC	$182.49	$869.00	$564.85–$648.27	—	79%
Thoracentesis with imaging guidance CPT 32555 G8 THORACENTESIS W IMAGING	$505.89	$2,409.00	$1,226.18–$1,946.47	25% below	79%
Thoracentesis with imaging guidance CPT 32555 M3C THORACENTESIS W IMAGING	$505.89	$2,409.00	$1,226.18–$1,946.47	25% below	79%
Thoracentesis with imaging guidance CPT 32555 HC THORACENT ASP PLRL SP W/IMG	$505.89	$2,409.00	$1,226.18–$1,946.47	25% below	79%
Thoracentesis with imaging guidance CPT 32555 G5 THORACENTESIS W IMAGING	$505.89	$2,409.00	$1,226.18–$1,946.47	25% below	79%
Thoracentesis with imaging guidance CPT 32555 M3S THORACENTESIS W IMAGING	$505.89	$2,409.00	$1,226.18–$1,946.47	25% below	79%
Thoracentesis with imaging guidance CPT 32555 NICU THORACENTESIS W IMAGING	$505.89	$2,409.00	$1,226.18–$1,946.47	25% below	79%
Thoracentesis with imaging guidance CPT 32555 PICU THORACENTESIS W IMAGING	$505.89	$2,409.00	$1,226.18–$1,946.47	25% below	79%
Thoracentesis with imaging guidance CPT 32555 CT THORACENTESIS W/ASPIRATION	$505.89	$2,409.00	$1,226.18–$1,946.47	25% below	79%
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W/ASPIRATION US	$505.89	$2,409.00	$1,226.18–$1,946.47	25% below	79%
Thoracentesis with imaging guidance CPT 32555 1PIPR THORACENTESIS W IMAGING	$505.89	$2,409.00	$1,226.18–$1,946.47	25% below	79%
Thoracentesis with imaging guidance CPT 32555 6CARD THORACENTESIS W IMAGING	$505.89	$2,409.00	$1,226.18–$1,946.47	25% below	79%
Thoracentesis with imaging guidance CPT 32555 CCU THORACENTESIS W IMAGING	$505.89	$2,409.00	$1,226.18–$1,946.47	25% below	79%
Thoracentesis with imaging guidance CPT 32555 G4 THORACENTESIS W IMAGING	$505.89	$2,409.00	$1,226.18–$1,946.47	25% below	79%
Thoracentesis with imaging guidance CPT 32555 KPO3 THORACENTESIS W IMAGING	$505.89	$2,409.00	$1,226.18–$1,946.47	25% below	79%
Thoracentesis with imaging guidance CPT 32555 G6OR THORACENTESIS W IMAGING	$505.89	$2,409.00	$1,226.18–$1,946.47	25% below	79%
Thoracentesis with imaging guidance CPT 32555 G7 THORACENTESIS W IMAGING	$505.89	$2,409.00	$1,226.18–$1,946.47	25% below	79%
Thoracentesis with imaging guidance CPT 32555 ICU THORACENTESIS W IMAGING	$505.89	$2,409.00	$1,226.18–$1,946.47	25% below	79%
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W/ASPIRATION IR	$607.11	$2,891.00	$1,471.52–$2,335.93	10% below	79%
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W/IMAGING	$607.11	$2,891.00	$1,471.52–$2,335.93	10% below	79%
Thoracentesis with imaging guidance CPT 32555 ASPIRATE PLEURA W/IMAGE	$607.11	$2,891.00	$1,471.52–$2,335.93	10% below	79%
Thoracentesis with imaging guidance inpatient CPT 32555 PICU THORACENTESIS W IMAGING	$505.89	$2,409.00	$1,565.85–$1,797.11	—	79%
Thoracentesis with imaging guidance inpatient CPT 32555 NICU THORACENTESIS W IMAGING	$505.89	$2,409.00	$1,565.85–$1,797.11	—	79%
Thoracentesis with imaging guidance inpatient CPT 32555 M3S THORACENTESIS W IMAGING	$505.89	$2,409.00	$1,565.85–$1,797.11	—	79%
Thoracentesis with imaging guidance inpatient CPT 32555 M3C THORACENTESIS W IMAGING	$505.89	$2,409.00	$1,565.85–$1,797.11	—	79%
Thoracentesis with imaging guidance inpatient CPT 32555 CT THORACENTESIS W/ASPIRATION	$505.89	$2,409.00	$1,565.85–$1,797.11	—	79%
Thoracentesis with imaging guidance inpatient CPT 32555 HC THORACENT ASP PLRL SP W/IMG	$505.89	$2,409.00	$1,565.85–$1,797.11	—	79%
Thoracentesis with imaging guidance inpatient CPT 32555 G5 THORACENTESIS W IMAGING	$505.89	$2,409.00	$1,565.85–$1,797.11	—	79%
Thoracentesis with imaging guidance inpatient CPT 32555 G4 THORACENTESIS W IMAGING	$505.89	$2,409.00	$1,565.85–$1,797.11	—	79%
Thoracentesis with imaging guidance inpatient CPT 32555 CCU THORACENTESIS W IMAGING	$505.89	$2,409.00	$1,565.85–$1,797.11	—	79%
Thoracentesis with imaging guidance inpatient CPT 32555 6CARD THORACENTESIS W IMAGING	$505.89	$2,409.00	$1,565.85–$1,797.11	—	79%
Thoracentesis with imaging guidance inpatient CPT 32555 1PIPR THORACENTESIS W IMAGING	$505.89	$2,409.00	$1,565.85–$1,797.11	—	79%
Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS W/ASPIRATION US	$505.89	$2,409.00	$1,565.85–$1,797.11	—	79%
Thoracentesis with imaging guidance inpatient CPT 32555 ICU THORACENTESIS W IMAGING	$505.89	$2,409.00	$1,565.85–$1,797.11	—	79%
Thoracentesis with imaging guidance inpatient CPT 32555 G8 THORACENTESIS W IMAGING	$505.89	$2,409.00	$1,565.85–$1,797.11	—	79%
Thoracentesis with imaging guidance inpatient CPT 32555 G7 THORACENTESIS W IMAGING	$505.89	$2,409.00	$1,565.85–$1,797.11	—	79%
Thoracentesis with imaging guidance inpatient CPT 32555 G6OR THORACENTESIS W IMAGING	$505.89	$2,409.00	$1,565.85–$1,797.11	—	79%
Thoracentesis with imaging guidance inpatient CPT 32555 KPO3 THORACENTESIS W IMAGING	$505.89	$2,409.00	$1,565.85–$1,797.11	—	79%
Thoracentesis with imaging guidance inpatient CPT 32555 ASPIRATE PLEURA W/IMAGE	$607.11	$2,891.00	$1,879.15–$2,156.69	—	79%
Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS W/IMAGING	$607.11	$2,891.00	$1,879.15–$2,156.69	—	79%
Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS W/ASPIRATION IR	$607.11	$2,891.00	$1,879.15–$2,156.69	—	79%
Trigger finger release surgery CPT 26055 HC INCISE FINGER TENDON SHEATH	$608.16	$2,896.00	$1,474.06–$2,339.97	75% below	79%
Trigger finger release surgery CPT 26055 HC INCISE FING TND SHTH	$608.16	$2,896.00	$1,474.06–$2,339.97	75% below	79%
Trigger finger release surgery inpatient CPT 26055 HC INCISE FINGER TENDON SHEATH	$608.16	$2,896.00	$1,882.40–$2,160.42	—	79%
Trigger finger release surgery inpatient CPT 26055 HC INCISE FING TND SHTH	$608.16	$2,896.00	$1,882.40–$2,160.42	—	79%
Trigger point injections, 1 or 2 muscles CPT 20552 HC INJ SML TRIG POINT 1/2 MSCL	$136.08	$648.00	$329.83–$523.58	29% below	79%
Trigger point injections, 1 or 2 muscles CPT 20552 HC INJ SNG/MLT TRG PT 1/2 MSCL	$136.08	$648.00	$329.83–$523.58	29% below	79%
Trigger point injections, 1 or 2 muscles CPT 20552 HC INJ(S) S/M TP 1/2 MS(S)	$136.08	$648.00	$329.83–$523.58	29% below	79%
Trigger point injections, 1 or 2 muscles CPT 20552 HC INJ TRIGGER POINT 1-2 MUSCL	$136.08	$648.00	$329.83–$523.58	29% below	79%
Trigger point injections, 1 or 2 muscles CPT 20552 HC INJ TRIGGER POINT(S)1-2-OFC	$136.08	$648.00	$329.83–$523.58	29% below	79%
Trigger point injections, 1 or 2 muscles CPT 20552 HC INJ TRIGGER POINT 1/2 MUSCL	$136.08	$648.00	$329.83–$523.58	29% below	79%
Trigger point injections, 1 or 2 muscles CPT 20552 FP TRIGGER PT 1-2 MUSC GRP RES	$136.08	$648.00	$329.83–$523.58	29% below	79%
Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER POINT-1/2 MUSCLE	$163.38	$778.00	$396.00–$628.62	15% below	79%
Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGR PNT 1-2 MUSC-FAC	$163.38	$778.00	$396.00–$628.62	15% below	79%
Trigger point injections, 1 or 2 muscles CPT 20552 WIC INJ TRIGGER POINT 1 OR 2	$164.43	$783.00	$398.55–$632.66	14% below	79%
Trigger point injections, 1 or 2 muscles CPT 20552 TRIGGER POINT INJ 1-2 MUSC-OFC	$164.43	$783.00	$398.55–$632.66	14% below	79%
Trigger point injections, 1 or 2 muscles CPT 20552 TRIGGER POINT INJ 1-2 MUSCLES	$164.43	$783.00	$398.55–$632.66	14% below	79%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC INJ(S) S/M TP 1/2 MS(S)	$136.08	$648.00	$421.20–$483.41	—	79%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC INJ SML TRIG POINT 1/2 MSCL	$136.08	$648.00	$421.20–$483.41	—	79%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC INJ SNG/MLT TRG PT 1/2 MSCL	$136.08	$648.00	$421.20–$483.41	—	79%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 FP TRIGGER PT 1-2 MUSC GRP RES	$136.08	$648.00	$421.20–$483.41	—	79%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC INJ TRIGGER POINT(S)1-2-OFC	$136.08	$648.00	$421.20–$483.41	—	79%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC INJ TRIGGER POINT 1/2 MUSCL	$136.08	$648.00	$421.20–$483.41	—	79%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC INJ TRIGGER POINT 1-2 MUSCL	$136.08	$648.00	$421.20–$483.41	—	79%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJ TRIGR PNT 1-2 MUSC-FAC	$163.38	$778.00	$505.70–$580.39	—	79%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJ TRIGGER POINT-1/2 MUSCLE	$163.38	$778.00	$505.70–$580.39	—	79%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 TRIGGER POINT INJ 1-2 MUSC-OFC	$164.43	$783.00	$508.95–$584.12	—	79%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 TRIGGER POINT INJ 1-2 MUSCLES	$164.43	$783.00	$508.95–$584.12	—	79%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BX BREAST 1ST LESION US IMAG	$754.53	$3,593.00	$1,828.84–$2,903.14	45% below	79%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HC BX BREAST 1ST LSN US IMG	$905.52	$4,312.00	$2,194.81–$3,484.10	35% below	79%
Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 BX BREAST 1ST LESION US IMG-RT	$754.53	$3,593.00	$1,828.84–$2,903.14	45% below	79%
Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 BX BREAST 1ST LESION US IMG-LT	$754.53	$3,593.00	$1,828.84–$2,903.14	45% below	79%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 BX BREAST 1ST LESION US IMAG	$754.53	$3,593.00	$2,335.45–$2,680.38	—	79%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 HC BX BREAST 1ST LSN US IMG	$905.52	$4,312.00	$2,802.80–$3,216.75	—	79%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 BX BREAST 1ST LESION US IMG-LT	$754.53	$3,593.00	$2,335.45–$2,680.38	—	79%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 BX BREAST 1ST LESION US IMG-RT	$754.53	$3,593.00	$2,335.45–$2,680.38	—	79%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 ESOPH EGD DILATION <30 MM FAC	$1,090.11	$5,191.00	$2,642.22–$4,194.33	10% below	79%
Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 ESOPH EGD DILATION <30 MM FAC	$1,090.11	$5,191.00	$3,374.15–$3,872.49	—	79%
Upper endoscopy (EGD) with biopsy CPT 43239 HC EGD BIOPSY SINGLE/MULTIPLE	$1,059.66	$5,046.00	$2,568.41–$4,077.17	10% below	79%
Upper endoscopy (EGD) with biopsy CPT 43239 HC EGD TRANSORAL BX SNGL/MULTI	$1,059.66	$5,046.00	$2,568.41–$4,077.17	10% below	79%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 HC EGD BIOPSY SINGLE/MULTIPLE	$1,059.66	$5,046.00	$3,279.90–$3,764.32	—	79%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 HC EGD TRANSORAL BX SNGL/MULTI	$1,059.66	$5,046.00	$3,279.90–$3,764.32	—	79%
Upper endoscopy (EGD), diagnostic CPT 43235 HC UPPER GI ENDOSCOPY DX	$970.62	$4,622.00	$2,352.60–$3,734.58	5% below	79%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 HC UPPER GI ENDOSCOPY DX	$970.62	$4,622.00	$3,004.30–$3,448.01	—	79%
Ureteroscopy with laser stone breaking and stent placement CPT 52356 HC CYSTOURET LITHOTRIP LASER	$5,124.21	$24,401.00	$12,420.11–$19,716.01	—	79%
Ureteroscopy with laser stone breaking and stent placement inpatient CPT 52356 HC CYSTOURET LITHOTRIP LASER	$5,124.21	$24,401.00	$15,860.65–$18,203.15	—	79%
Vasectomy, one or both sides, including follow-up semen testing CPT 55250 HC REMOVAL OF SPERM DUCT(S)	$724.29	$3,449.00	$1,755.54–$2,786.79	43% above	79%
Vasectomy, one or both sides, including follow-up semen testing CPT 55250 REM OF SPERM DUCT(S)-FC	$724.29	$3,449.00	$1,755.54–$2,786.79	43% above	79%
Vasectomy, one or both sides, including follow-up semen testing CPT 55250 HC VASECTOMY UNI/BIL W/SMN EXM	$724.29	$3,449.00	$1,755.54–$2,786.79	43% above	79%
Vasectomy, one or both sides, including follow-up semen testing inpatient CPT 55250 HC REMOVAL OF SPERM DUCT(S)	$724.29	$3,449.00	$2,241.85–$2,572.95	—	79%
Vasectomy, one or both sides, including follow-up semen testing inpatient CPT 55250 REM OF SPERM DUCT(S)-FC	$724.29	$3,449.00	$2,241.85–$2,572.95	—	79%
Vasectomy, one or both sides, including follow-up semen testing inpatient CPT 55250 HC VASECTOMY UNI/BIL W/SMN EXM	$724.29	$3,449.00	$2,241.85–$2,572.95	—	79%
Vein ablation, radiofrequency, first vein CPT 36475 HC ENDOVENOUS RF 1ST VEIN	$1,004.85	$4,785.00	$2,435.56–$3,866.28	74% below	79%
Vein ablation, radiofrequency, first vein inpatient CPT 36475 HC ENDOVENOUS RF 1ST VEIN	$1,004.85	$4,785.00	$3,110.25–$3,569.61	—	79%
Wart removal, up to 14 warts CPT 17110 HC DESTROY BENIGN LESIONS 1-14	$57.96	$276.00	$140.48–$223.01	66% below	79%
Wart removal, up to 14 warts CPT 17110 DESTRCT BENIGN LESION 1-14-FC	$57.96	$276.00	$140.48–$223.01	66% below	79%
Wart removal, up to 14 warts CPT 17110 DESTROY BENIGN LESIONS 1-14	$57.96	$276.00	$140.48–$223.01	66% below	79%
Wart removal, up to 14 warts CPT 17110 HC DESTROY BEN LESION 1-14	$57.96	$276.00	$140.48–$223.01	66% below	79%
Wart removal, up to 14 warts CPT 17110 HC DSTRC BENIGN LES UP-14 LES	$57.96	$276.00	$140.48–$223.01	66% below	79%
Wart removal, up to 14 warts CPT 17110 HC DSTRC BNGN LS UP-14 LS	$57.96	$276.00	$140.48–$223.01	66% below	79%
Wart removal, up to 14 warts CPT 17110 HC DSTRC BENIGN LES UP 14 LES	$57.96	$276.00	$140.48–$223.01	66% below	79%
Wart removal, up to 14 warts CPT 17110 DESTRUCT BENIGN LESION 1-14	$69.51	$331.00	$168.48–$267.45	59% below	79%
Wart removal, up to 14 warts CPT 17110 DESTRUCT BENIGN LES 1-14-OFC	$102.90	$490.00	$249.41–$395.92	39% below	79%
Wart removal, up to 14 warts CPT 17110 DESTRUCT BENIGN LESN 1-14	$102.90	$490.00	$249.41–$395.92	39% below	79%
Wart removal, up to 14 warts inpatient CPT 17110 HC DESTROY BENIGN LESIONS 1-14	$57.96	$276.00	$179.40–$205.90	—	79%
Wart removal, up to 14 warts inpatient CPT 17110 DESTRCT BENIGN LESION 1-14-FC	$57.96	$276.00	$179.40–$205.90	—	79%
Wart removal, up to 14 warts inpatient CPT 17110 HC DESTROY BEN LESION 1-14	$57.96	$276.00	$179.40–$205.90	—	79%
Wart removal, up to 14 warts inpatient CPT 17110 HC DSTRC BENIGN LES UP 14 LES	$57.96	$276.00	$179.40–$205.90	—	79%
Wart removal, up to 14 warts inpatient CPT 17110 DESTROY BENIGN LESIONS 1-14	$57.96	$276.00	$179.40–$205.90	—	79%
Wart removal, up to 14 warts inpatient CPT 17110 HC DSTRC BNGN LS UP-14 LS	$57.96	$276.00	$179.40–$205.90	—	79%
Wart removal, up to 14 warts inpatient CPT 17110 HC DSTRC BENIGN LES UP-14 LES	$57.96	$276.00	$179.40–$205.90	—	79%
Wart removal, up to 14 warts inpatient CPT 17110 DESTRUCT BENIGN LESION 1-14	$69.51	$331.00	$215.15–$246.93	—	79%
Wart removal, up to 14 warts inpatient CPT 17110 DESTRUCT BENIGN LES 1-14-OFC	$102.90	$490.00	$318.50–$365.54	—	79%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC DEB SKIN & SUBCU TISSUE	$96.18	$458.00	$233.12–$370.06	48% below	79%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC DEB SUBQ TISSUE 20 SQ CM/<	$162.33	$773.00	$393.46–$624.58	13% below	79%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDE SKIN SUBCUTANEOUS	$162.33	$773.00	$393.46–$624.58	13% below	79%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC DEB SUB TISS <=20 SQCM	$162.33	$773.00	$393.46–$624.58	13% below	79%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC DEBRIDE SUB TISS <=20 SQCM	$162.33	$773.00	$393.46–$624.58	13% below	79%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC DEBRID SC TISS 20SQCM/LESS	$162.33	$773.00	$393.46–$624.58	13% below	79%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC DBR SC TISS 1ST 20SQCM/LESS	$162.33	$773.00	$393.46–$624.58	13% below	79%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 ER DEBRIDE SKIN SUBCUTANEOUS	$194.88	$928.00	$472.35–$749.82	5% above	79%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 TSP OFF DEB SKIN & SUBC TISSUE	$220.29	$1,049.00	$533.94–$847.59	18% above	79%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 WIC DEBRIDE SKIN & SUBCUT	$220.29	$1,049.00	$533.94–$847.59	18% above	79%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEB SUBCUT TISS <=20 SQCM-OFC	$220.29	$1,049.00	$533.94–$847.59	18% above	79%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC DEB SKIN & SUBCU TISSUE	$96.18	$458.00	$297.70–$341.67	—	79%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC DEBRIDE SUB TISS <=20 SQCM	$162.33	$773.00	$502.45–$576.66	—	79%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC DEB SUB TISS <=20 SQCM	$162.33	$773.00	$502.45–$576.66	—	79%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC DEB SUBQ TISSUE 20 SQ CM/<	$162.33	$773.00	$502.45–$576.66	—	79%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDE SKIN SUBCUTANEOUS	$162.33	$773.00	$502.45–$576.66	—	79%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC DEBRID SC TISS 20SQCM/LESS	$162.33	$773.00	$502.45–$576.66	—	79%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC DBR SC TISS 1ST 20SQCM/LESS	$162.33	$773.00	$502.45–$576.66	—	79%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 ER DEBRIDE SKIN SUBCUTANEOUS	$194.88	$928.00	$603.20–$692.29	—	79%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEB SUBCUT TISS <=20 SQCM-OFC	$220.29	$1,049.00	$681.85–$782.55	—	79%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 TSP OFF DEB SKIN & SUBC TISSUE	$220.29	$1,049.00	$681.85–$782.55	—	79%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Maine	Off list
Blood transfusion (giving blood or blood components) CPT 36430 HC TRANSFUSION BLD/BLD CPNT(S)	$274.68	$1,308.00	$665.77–$1,056.86	44% below	79%
Blood transfusion (giving blood or blood components) CPT 36430 ICU BLOOD TRANSFUSION	$343.35	$1,635.00	$832.22–$1,321.08	30% below	79%
Blood transfusion (giving blood or blood components) CPT 36430 G5 BLOOD TRANSFUSION	$343.35	$1,635.00	$832.22–$1,321.08	30% below	79%
Blood transfusion (giving blood or blood components) CPT 36430 PICU BLOOD TRANSFUSION	$343.35	$1,635.00	$832.22–$1,321.08	30% below	79%
Blood transfusion (giving blood or blood components) CPT 36430 NICU BLOOD TRANSFUSION	$343.35	$1,635.00	$832.22–$1,321.08	30% below	79%
Blood transfusion (giving blood or blood components) CPT 36430 M3S BLOOD TRANSFUSION	$343.35	$1,635.00	$832.22–$1,321.08	30% below	79%
Blood transfusion (giving blood or blood components) CPT 36430 M3C BLOOD TRANSFUSION	$343.35	$1,635.00	$832.22–$1,321.08	30% below	79%
Blood transfusion (giving blood or blood components) CPT 36430 HC BLOOD TRANSFUSION SRV	$343.35	$1,635.00	$832.22–$1,321.08	30% below	79%
Blood transfusion (giving blood or blood components) CPT 36430 G8 BLOOD TRANSFUSION	$343.35	$1,635.00	$832.22–$1,321.08	30% below	79%
Blood transfusion (giving blood or blood components) CPT 36430 G7 BLOOD TRANSFUSION	$343.35	$1,635.00	$832.22–$1,321.08	30% below	79%
Blood transfusion (giving blood or blood components) CPT 36430 KPO3 BLOOD TRANSFUSION	$343.35	$1,635.00	$832.22–$1,321.08	30% below	79%
Blood transfusion (giving blood or blood components) CPT 36430 G4 BLOOD TRANSFUSION	$343.35	$1,635.00	$832.22–$1,321.08	30% below	79%
Blood transfusion (giving blood or blood components) CPT 36430 CCU BLOOD TRANSFUSION	$343.35	$1,635.00	$832.22–$1,321.08	30% below	79%
Blood transfusion (giving blood or blood components) CPT 36430 6CARD BLOOD TRANSFUSION	$343.35	$1,635.00	$832.22–$1,321.08	30% below	79%
Blood transfusion (giving blood or blood components) CPT 36430 1PIPR BLOOD TRANSFUSION	$343.35	$1,635.00	$832.22–$1,321.08	30% below	79%
Blood transfusion (giving blood or blood components) CPT 36430 HC BLOOD TRANSFUSION SERVICE	$343.35	$1,635.00	$832.22–$1,321.08	30% below	79%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC TRANSFUSION BLD/BLD CPNT(S)	$274.68	$1,308.00	$850.20–$975.77	—	79%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC BLOOD TRANSFUSION SRV	$343.35	$1,635.00	$1,062.75–$1,219.71	—	79%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 G7 BLOOD TRANSFUSION	$343.35	$1,635.00	$1,062.75–$1,219.71	—	79%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 G8 BLOOD TRANSFUSION	$343.35	$1,635.00	$1,062.75–$1,219.71	—	79%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 ICU BLOOD TRANSFUSION	$343.35	$1,635.00	$1,062.75–$1,219.71	—	79%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 M3C BLOOD TRANSFUSION	$343.35	$1,635.00	$1,062.75–$1,219.71	—	79%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 M3S BLOOD TRANSFUSION	$343.35	$1,635.00	$1,062.75–$1,219.71	—	79%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 NICU BLOOD TRANSFUSION	$343.35	$1,635.00	$1,062.75–$1,219.71	—	79%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 PICU BLOOD TRANSFUSION	$343.35	$1,635.00	$1,062.75–$1,219.71	—	79%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 G5 BLOOD TRANSFUSION	$343.35	$1,635.00	$1,062.75–$1,219.71	—	79%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC BLOOD TRANSFUSION SERVICE	$343.35	$1,635.00	$1,062.75–$1,219.71	—	79%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 1PIPR BLOOD TRANSFUSION	$343.35	$1,635.00	$1,062.75–$1,219.71	—	79%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 6CARD BLOOD TRANSFUSION	$343.35	$1,635.00	$1,062.75–$1,219.71	—	79%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 CCU BLOOD TRANSFUSION	$343.35	$1,635.00	$1,062.75–$1,219.71	—	79%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 G4 BLOOD TRANSFUSION	$343.35	$1,635.00	$1,062.75–$1,219.71	—	79%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 KPO3 BLOOD TRANSFUSION	$343.35	$1,635.00	$1,062.75–$1,219.71	—	79%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 ER RESP TX DIFF VISIT SAME DAY	$190.47	$907.00	$461.66–$732.86	4% above	79%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 CC INHALATION TREATMENT	$190.47	$907.00	$461.66–$732.86	4% above	79%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 FP RESP TX DIFF VISIT SAME DAY	$190.47	$907.00	$461.66–$732.86	4% above	79%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEBULIZER TREATMENT RN	$190.47	$907.00	$461.66–$732.86	4% above	79%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RESP THERAPIST ADMIN MDI	$190.47	$907.00	$461.66–$732.86	4% above	79%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEBULIZER TREAT	$190.47	$907.00	$461.66–$732.86	4% above	79%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 SPUTUM INDUCTION	$190.47	$907.00	$461.66–$732.86	4% above	79%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INHALER VIA VENT	$190.47	$907.00	$461.66–$732.86	4% above	79%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 IPPB TREATMENT	$190.47	$907.00	$461.66–$732.86	4% above	79%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INHALATION TREATMENT	$190.47	$907.00	$461.66–$732.86	4% above	79%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 WIC RESP TX	$190.47	$907.00	$461.66–$732.86	4% above	79%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 WIC RESP TX DIFF VISIT SAMEDAY	$190.47	$907.00	$461.66–$732.86	4% above	79%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC INH TRMNT PRESS/NONPRESS	$190.47	$907.00	$461.66–$732.86	4% above	79%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AIRWAY INHALATION TREATMENT	$190.47	$907.00	$461.66–$732.86	4% above	79%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NHU AIRWAY INHALATION TX MA	$190.47	$907.00	$461.66–$732.86	4% above	79%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NPE AIRWAY INHALATION TX MA	$190.47	$907.00	$461.66–$732.86	4% above	79%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NHI AIRWAY INHALATION TX MA	$190.47	$907.00	$461.66–$732.86	4% above	79%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AIRWAY INHALATION TX-OFC	$190.47	$907.00	$461.66–$732.86	4% above	79%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 OPCH INHALATION TREATMENT	$190.47	$907.00	$461.66–$732.86	4% above	79%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 ER RESPIRATORY TX	$190.47	$907.00	$461.66–$732.86	4% above	79%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 WIC RESP TX	$190.47	$907.00	$589.55–$676.62	—	79%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 OPCH INHALATION TREATMENT	$190.47	$907.00	$589.55–$676.62	—	79%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 ER RESPIRATORY TX	$190.47	$907.00	$589.55–$676.62	—	79%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 ER RESP TX DIFF VISIT SAME DAY	$190.47	$907.00	$589.55–$676.62	—	79%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 FP RESP TX DIFF VISIT SAME DAY	$190.47	$907.00	$589.55–$676.62	—	79%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 NHI AIRWAY INHALATION TX MA	$190.47	$907.00	$589.55–$676.62	—	79%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 NPE AIRWAY INHALATION TX MA	$190.47	$907.00	$589.55–$676.62	—	79%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 INHALATION TREATMENT	$190.47	$907.00	$589.55–$676.62	—	79%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 WIC RESP TX DIFF VISIT SAMEDAY	$190.47	$907.00	$589.55–$676.62	—	79%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 CC INHALATION TREATMENT	$190.47	$907.00	$589.55–$676.62	—	79%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 NHU AIRWAY INHALATION TX MA	$190.47	$907.00	$589.55–$676.62	—	79%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 IPPB TREATMENT	$190.47	$907.00	$589.55–$676.62	—	79%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 INHALER VIA VENT	$190.47	$907.00	$589.55–$676.62	—	79%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AIRWAY INHALATION TREATMENT	$190.47	$907.00	$589.55–$676.62	—	79%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC INH TRMNT PRESS/NONPRESS	$190.47	$907.00	$589.55–$676.62	—	79%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 SPUTUM INDUCTION	$190.47	$907.00	$589.55–$676.62	—	79%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AIRWAY INHALATION TX-OFC	$190.47	$907.00	$589.55–$676.62	—	79%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 NEBULIZER TREAT	$190.47	$907.00	$589.55–$676.62	—	79%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RESP THERAPIST ADMIN MDI	$190.47	$907.00	$589.55–$676.62	—	79%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 NEBULIZER TREATMENT RN	$190.47	$907.00	$589.55–$676.62	—	79%
Chemotherapy IV infusion, first hour CPT 96413 IV CHEMO INFUSION INITIAL HR	$227.85	$1,085.00	$552.26–$876.68	42% below	79%
Chemotherapy IV infusion, first hour CPT 96413 CHEMO INFUSION TO 1 HR	$227.85	$1,085.00	$552.26–$876.68	42% below	79%
Chemotherapy IV infusion, first hour CPT 96413 IV CHEMO INITIAL DRUG 16-90 MI	$227.85	$1,085.00	$552.26–$876.68	42% below	79%
Chemotherapy IV infusion, first hour CPT 96413 IV CHEMO INITIAL DRUG16-90 MIN	$227.85	$1,085.00	$552.26–$876.68	42% below	79%
Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV INFUSION 1 HR	$227.85	$1,085.00	$552.26–$876.68	42% below	79%
Chemotherapy IV infusion, first hour CPT 96413 H3 CHEMO IV INFUSION-1 HR	$227.85	$1,085.00	$552.26–$876.68	42% below	79%
Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV INFUSION-1 HR	$227.85	$1,085.00	$552.26–$876.68	42% below	79%
Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO IV INFUSION-1 HR	$227.85	$1,085.00	$705.25–$809.41	—	79%
Chemotherapy IV infusion, first hour inpatient CPT 96413 IV CHEMO INFUSION INITIAL HR	$227.85	$1,085.00	$705.25–$809.41	—	79%
Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO INFUSION TO 1 HR	$227.85	$1,085.00	$705.25–$809.41	—	79%
Chemotherapy IV infusion, first hour inpatient CPT 96413 IV CHEMO INITIAL DRUG 16-90 MI	$227.85	$1,085.00	$705.25–$809.41	—	79%
Chemotherapy IV infusion, first hour inpatient CPT 96413 IV CHEMO INITIAL DRUG16-90 MIN	$227.85	$1,085.00	$705.25–$809.41	—	79%
Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO IV INFUSION 1 HR	$227.85	$1,085.00	$705.25–$809.41	—	79%
Chemotherapy IV infusion, first hour inpatient CPT 96413 H3 CHEMO IV INFUSION-1 HR	$227.85	$1,085.00	$705.25–$809.41	—	79%
Comprehensive eye exam by an eye doctor, new patient CPT 92004 RET NEW OPHTHALMIC EXAM COMPRE	$148.47	$707.00	$359.86–$571.26	—	79%
Comprehensive eye exam by an eye doctor, new patient CPT 92004 EYE EXAM NEW PT COMPREHENSIVE	$148.47	$707.00	$359.86–$571.26	—	79%
Comprehensive eye exam, returning patient CPT 92014 EYE EXAM EST PT COMPREHENSIVE	$137.97	$657.00	$334.41–$530.86	—	79%
Comprehensive eye exam, returning patient CPT 92014 RET RETURN OPHTH EXAM COMP	$137.97	$657.00	$334.41–$530.86	—	79%
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 HC COMP. AUDIO PT AIR/BONE/SP	$90.51	$431.00	$219.38–$348.25	28% below	79%
Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 HC COMP. AUDIO PT AIR/BONE/SP	$90.51	$431.00	$280.15–$321.53	—	79%
Critical care, first 30 to 74 minutes CPT 99291 CRITCAL/TRAUMA CARE 1ST 30-74M	$974.40	$4,640.00	$2,361.76–$3,749.12	5% below	79%
Critical care, first 30 to 74 minutes inpatient CPT 99291 CRITCAL/TRAUMA CARE 1ST 30-74M	$974.40	$4,640.00	$3,016.00–$3,461.44	—	79%
EEG (brain wave test), awake and drowsy, routine CPT 95816 HC EEG INCL RECRD AWAKE&DROWSY	$319.83	$1,523.00	$775.21–$1,230.58	10% below	79%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 HC EEG INCL RECRD AWAKE&DROWSY	$319.83	$1,523.00	$989.95–$1,136.16	—	79%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC ECG RTN 12LDS TRC ONLY ADLT	$61.32	$292.00	$148.63–$235.94	45% below	79%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC ECG RTN 12 LDS TRACING ONLY	$61.32	$292.00	$148.63–$235.94	45% below	79%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC ADLT ECG 12 LEAD TRACE ONLY	$61.32	$292.00	$148.63–$235.94	45% below	79%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC PED ECG 12 LEAD TRACE ONLY	$61.32	$292.00	$148.63–$235.94	45% below	79%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ECG PEDIATRIC-USI	$61.32	$292.00	$148.63–$235.94	45% below	79%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 PEDIATRIC ECG	$61.32	$292.00	$148.63–$235.94	45% below	79%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG 12 LEAD TRACING ONLY	$61.32	$292.00	$148.63–$235.94	45% below	79%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge one side CPT 93005 HC ECG RT 12 LEAD TRACING ONLY	$61.32	$292.00	$148.63–$235.94	45% below	79%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ECG PEDIATRIC-USI	$61.32	$292.00	$189.80–$217.83	—	79%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC ECG RTN 12 LDS TRACING ONLY	$61.32	$292.00	$189.80–$217.83	—	79%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC ECG RTN 12LDS TRC ONLY ADLT	$61.32	$292.00	$189.80–$217.83	—	79%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG 12 LEAD TRACING ONLY	$61.32	$292.00	$189.80–$217.83	—	79%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 PEDIATRIC ECG	$61.32	$292.00	$189.80–$217.83	—	79%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC ADLT ECG 12 LEAD TRACE ONLY	$61.32	$292.00	$189.80–$217.83	—	79%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC PED ECG 12 LEAD TRACE ONLY	$61.32	$292.00	$189.80–$217.83	—	79%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient one side CPT 93005 HC ECG RT 12 LEAD TRACING ONLY	$61.32	$292.00	$189.80–$217.83	—	79%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 OSMP EMERGENCY DEPT VST L1-FAC	$83.37	$397.00	$202.07–$320.78	19% below	79%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER ACUITY LEVEL I (1-5)	$83.37	$397.00	$202.07–$320.78	19% below	79%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 PSF EMERGENCY DEPT VST L1	$83.37	$397.00	$202.07–$320.78	19% below	79%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ER ACUITY LEVEL I (1-5)	$83.37	$397.00	$258.05–$296.16	—	79%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 OSMP EMERGENCY DEPT VST L1-FAC	$83.37	$397.00	$258.05–$296.16	—	79%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 PSF EMERGENCY DEPT VST L1	$83.37	$397.00	$258.05–$296.16	—	79%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER ACUITY LEVEL II (6-11)	$177.24	$844.00	$429.60–$681.95	15% below	79%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 PSF EMERGENCY DEPT VST L2	$177.24	$844.00	$429.60–$681.95	15% below	79%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 OSMP EMERGENCY DEPT VST L2-FAC	$177.24	$844.00	$429.60–$681.95	15% below	79%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 OSMP EMERGENCY DEPT VST L2-FAC	$177.24	$844.00	$548.60–$629.62	—	79%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 PSF EMERGENCY DEPT VST L2	$177.24	$844.00	$548.60–$629.62	—	79%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ER ACUITY LEVEL II (6-11)	$177.24	$844.00	$548.60–$629.62	—	79%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER ACUITY LEVEL III(12-18)	$335.37	$1,597.00	$812.87–$1,290.38	at median	79%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 OSMP EMERGENCY DEPT VST L3-FAC	$335.37	$1,597.00	$812.87–$1,290.38	at median	79%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 PSF EMERGENCY DEPT VST L3	$335.37	$1,597.00	$812.87–$1,290.38	at median	79%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 OSMP EMERGENCY DEPT VST L3-FAC	$335.37	$1,597.00	$1,038.05–$1,191.36	—	79%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 PSF EMERGENCY DEPT VST L3	$335.37	$1,597.00	$1,038.05–$1,191.36	—	79%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ER ACUITY LEVEL III(12-18)	$335.37	$1,597.00	$1,038.05–$1,191.36	—	79%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER ACUITY LEVEL IV (19-27)	$781.20	$3,720.00	$1,893.48–$3,005.76	28% above	79%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 OSMP EMERGENCY DEPT VST L4-FAC	$781.20	$3,720.00	$1,893.48–$3,005.76	28% above	79%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 PSF EMERGENCY DEPT VST L4	$781.20	$3,720.00	$1,893.48–$3,005.76	28% above	79%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 OSMP EMERGENCY DEPT VST L4-FAC	$781.20	$3,720.00	$2,418.00–$2,775.12	—	79%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ER ACUITY LEVEL IV (19-27)	$781.20	$3,720.00	$2,418.00–$2,775.12	—	79%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 PSF EMERGENCY DEPT VST L4	$781.20	$3,720.00	$2,418.00–$2,775.12	—	79%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER ACUITY LEVEL V (28-36)	$1,310.40	$6,240.00	$3,176.16–$5,041.92	33% above	79%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 OSMP EMERGENCY DEPT VST L5-FAC	$1,310.40	$6,240.00	$3,176.16–$5,041.92	33% above	79%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 PSF EMERGENCY DEPT VST L5	$1,310.40	$6,240.00	$3,176.16–$5,041.92	33% above	79%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 PSF EMERGENCY DEPT VST L5	$1,310.40	$6,240.00	$4,056.00–$4,655.04	—	79%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 OSMP EMERGENCY DEPT VST L5-FAC	$1,310.40	$6,240.00	$4,056.00–$4,655.04	—	79%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ER ACUITY LEVEL V (28-36)	$1,310.40	$6,240.00	$4,056.00–$4,655.04	—	79%
Exercise stress test, tracing only, the hospital charge CPT 93017 HC CV STRESS TEST TRACING ONLY	$280.14	$1,334.00	$679.01–$1,077.87	52% below	79%
Exercise stress test, tracing only, the hospital charge CPT 93017 CV STRESS TEST	$280.14	$1,334.00	$679.01–$1,077.87	52% below	79%
Exercise stress test, tracing only, the hospital charge CPT 93017 CV STRESS TEST TRACING ONLY	$280.14	$1,334.00	$679.01–$1,077.87	52% below	79%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 CV STRESS TEST TRACING ONLY	$280.14	$1,334.00	$867.10–$995.16	—	79%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC CV STRESS TEST TRACING ONLY	$280.14	$1,334.00	$867.10–$995.16	—	79%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 CV STRESS TEST	$280.14	$1,334.00	$867.10–$995.16	—	79%
Eye exam, returning patient, intermediate CPT 92012 EYE EXAM EST PT INTERMEDIATE	$94.50	$450.00	$229.05–$363.60	—	79%
Eye exam, returning patient, intermediate CPT 92012 RET RETURN OPHTH EXAM INTRMED	$94.50	$450.00	$229.05–$363.60	—	79%
Family therapy with the patient, 50 minutes CPT 90847 MROC FAMILY PSYCH W/PT	$88.20	$420.00	$213.78–$339.36	50% below	79%
Family therapy with the patient, 50 minutes CPT 90847 FAM PSYTX W/PT 50 MIN-FACIL	$88.20	$420.00	$213.78–$339.36	50% below	79%
Family therapy with the patient, 50 minutes CPT 90847 HC FAMILY PSYCHOTHR W/PT 50M	$88.20	$420.00	$213.78–$339.36	50% below	79%
Family therapy with the patient, 50 minutes CPT 90847 HC FMLY PSYCHTHRPY W/PT 50M	$88.20	$420.00	$213.78–$339.36	50% below	79%
Family therapy with the patient, 50 minutes CPT 90847 HC FMILY PSYCHTHRPY W/PT 1.5HR	$88.20	$420.00	$213.78–$339.36	50% below	79%
Family therapy with the patient, 50 minutes CPT 90847 MRE FAMILY PSYCH W/PT	$88.20	$420.00	$213.78–$339.36	50% below	79%
Family therapy with the patient, 50 minutes CPT 90847 FP PSYCHOTHERAPY FAMILY	$88.20	$420.00	$213.78–$339.36	50% below	79%
Family therapy with the patient, 50 minutes CPT 90847 HC FAMILY PSYTX W/PT 50M	$88.20	$420.00	$213.78–$339.36	50% below	79%
Family therapy with the patient, 50 minutes CPT 90847 HC FAMILY PSYCH THERAPY W/PT	$88.20	$420.00	$213.78–$339.36	50% below	79%
Family therapy with the patient, 50 minutes CPT 90847 FAMILY PSYCH THERAPY W/PT	$88.20	$420.00	$213.78–$339.36	50% below	79%
Family therapy with the patient, 50 minutes CPT 90847 FAMILY PSYCH THER W/PT	$88.20	$420.00	$213.78–$339.36	50% below	79%
Family therapy with the patient, 50 minutes CPT 90847 PSP FAM PSYCHOTH W/PT 50MIN	$88.20	$420.00	$213.78–$339.36	50% below	79%
Family therapy with the patient, 50 minutes CPT 90847 MRBM FAMILY PSYCH W/PT	$140.91	$671.00	$341.54–$542.17	21% below	79%
Family therapy with the patient, 50 minutes inpatient CPT 90847 MROC FAMILY PSYCH W/PT	$88.20	$420.00	$273.00–$313.32	—	79%
Family therapy with the patient, 50 minutes inpatient CPT 90847 PSP FAM PSYCHOTH W/PT 50MIN	$88.20	$420.00	$273.00–$313.32	—	79%
Family therapy with the patient, 50 minutes inpatient CPT 90847 HC FAMILY PSYCHOTHR W/PT 50M	$88.20	$420.00	$273.00–$313.32	—	79%
Family therapy with the patient, 50 minutes inpatient CPT 90847 FP PSYCHOTHERAPY FAMILY	$88.20	$420.00	$273.00–$313.32	—	79%
Family therapy with the patient, 50 minutes inpatient CPT 90847 HC FMLY PSYCHTHRPY W/PT 50M	$88.20	$420.00	$273.00–$313.32	—	79%
Family therapy with the patient, 50 minutes inpatient CPT 90847 HC FMILY PSYCHTHRPY W/PT 1.5HR	$88.20	$420.00	$273.00–$313.32	—	79%
Family therapy with the patient, 50 minutes inpatient CPT 90847 MRE FAMILY PSYCH W/PT	$88.20	$420.00	$273.00–$313.32	—	79%
Family therapy with the patient, 50 minutes inpatient CPT 90847 FAMILY PSYCH THER W/PT	$88.20	$420.00	$273.00–$313.32	—	79%
Family therapy with the patient, 50 minutes inpatient CPT 90847 FAMILY PSYCH THERAPY W/PT	$88.20	$420.00	$273.00–$313.32	—	79%
Family therapy with the patient, 50 minutes inpatient CPT 90847 HC FAMILY PSYCH THERAPY W/PT	$88.20	$420.00	$273.00–$313.32	—	79%
Family therapy with the patient, 50 minutes inpatient CPT 90847 HC FAMILY PSYTX W/PT 50M	$88.20	$420.00	$273.00–$313.32	—	79%
Family therapy with the patient, 50 minutes inpatient CPT 90847 MRBM FAMILY PSYCH W/PT	$140.91	$671.00	$436.15–$500.57	—	79%
Family therapy without the patient, 50 minutes CPT 90846 HC FAM PSYCHOTHR W/O PT 50M	$83.79	$399.00	$203.09–$322.39	38% below	79%
Family therapy without the patient, 50 minutes CPT 90846 HC FAMILY PSYTX W/O PT 50MIN	$83.79	$399.00	$203.09–$322.39	38% below	79%
Family therapy without the patient, 50 minutes CPT 90846 MRE FAMILY PSYCH W/O PT	$83.79	$399.00	$203.09–$322.39	38% below	79%
Family therapy without the patient, 50 minutes CPT 90846 HC FMLY PSYCHTHRPY W/O PT 1.5H	$83.79	$399.00	$203.09–$322.39	38% below	79%
Family therapy without the patient, 50 minutes CPT 90846 HC FMLY PSYCHTHRPY W/O PT 50M	$83.79	$399.00	$203.09–$322.39	38% below	79%
Family therapy without the patient, 50 minutes CPT 90846 PSP FAM PSYCHOTH W/O 50MIN	$83.79	$399.00	$203.09–$322.39	38% below	79%
Family therapy without the patient, 50 minutes CPT 90846 FAMILY PSYCH THER W/O PT	$83.79	$399.00	$203.09–$322.39	38% below	79%
Family therapy without the patient, 50 minutes CPT 90846 MROC FAMILY PSYCH W/O PT	$83.79	$399.00	$203.09–$322.39	38% below	79%
Family therapy without the patient, 50 minutes CPT 90846 HC FAMILY PSYTX W/O PT 50M	$83.79	$399.00	$203.09–$322.39	38% below	79%
Family therapy without the patient, 50 minutes CPT 90846 HC FAMILY PSYCH THER W/O PT	$83.79	$399.00	$203.09–$322.39	38% below	79%
Family therapy without the patient, 50 minutes CPT 90846 MRBM FAMILY PSYCH W/O PT	$107.73	$513.00	$261.12–$414.50	21% below	79%
Family therapy without the patient, 50 minutes inpatient CPT 90846 HC FAM PSYCHOTHR W/O PT 50M	$83.79	$399.00	$259.35–$297.65	—	79%
Family therapy without the patient, 50 minutes inpatient CPT 90846 HC FMLY PSYCHTHRPY W/O PT 50M	$83.79	$399.00	$259.35–$297.65	—	79%
Family therapy without the patient, 50 minutes inpatient CPT 90846 HC FMLY PSYCHTHRPY W/O PT 1.5H	$83.79	$399.00	$259.35–$297.65	—	79%
Family therapy without the patient, 50 minutes inpatient CPT 90846 MRE FAMILY PSYCH W/O PT	$83.79	$399.00	$259.35–$297.65	—	79%
Family therapy without the patient, 50 minutes inpatient CPT 90846 MROC FAMILY PSYCH W/O PT	$83.79	$399.00	$259.35–$297.65	—	79%
Family therapy without the patient, 50 minutes inpatient CPT 90846 HC FAMILY PSYTX W/O PT 50M	$83.79	$399.00	$259.35–$297.65	—	79%
Family therapy without the patient, 50 minutes inpatient CPT 90846 HC FAMILY PSYCH THER W/O PT	$83.79	$399.00	$259.35–$297.65	—	79%
Family therapy without the patient, 50 minutes inpatient CPT 90846 FAMILY PSYCH THER W/O PT	$83.79	$399.00	$259.35–$297.65	—	79%
Family therapy without the patient, 50 minutes inpatient CPT 90846 PSP FAM PSYCHOTH W/O 50MIN	$83.79	$399.00	$259.35–$297.65	—	79%
Family therapy without the patient, 50 minutes inpatient CPT 90846 HC FAMILY PSYTX W/O PT 50MIN	$83.79	$399.00	$259.35–$297.65	—	79%
Family therapy without the patient, 50 minutes inpatient CPT 90846 MRBM FAMILY PSYCH W/O PT	$107.73	$513.00	$333.45–$382.70	—	79%
Group psychotherapy session CPT 90853 MRBM GROUP PSYCH	$34.86	$166.00	$84.49–$134.13	43% below	79%
Group psychotherapy session CPT 90853 HC GROUP PSYCHOTHERAPY-LCSW	$36.12	$172.00	$87.55–$138.98	41% below	79%
Group psychotherapy session CPT 90853 GROUP PSYCHOTHERAPY-FACILITY	$36.12	$172.00	$87.55–$138.98	41% below	79%
Group psychotherapy session inpatient CPT 90853 MRBM GROUP PSYCH	$34.86	$166.00	$107.90–$123.84	—	79%
Group psychotherapy session inpatient CPT 90853 HC GROUP PSYCHOTHERAPY-LCSW	$36.12	$172.00	$111.80–$128.31	—	79%
Group psychotherapy session inpatient CPT 90853 GROUP PSYCHOTHERAPY-FACILITY	$36.12	$172.00	$111.80–$128.31	—	79%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC IV INF HYDRA IN 31M-1HR	$141.96	$676.00	$344.08–$546.21	33% below	79%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INFUSION INIT HR	$141.96	$676.00	$344.08–$546.21	33% below	79%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION 1ST 60-90 MIN	$141.96	$676.00	$344.08–$546.21	33% below	79%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 NSG HYDRATION INFUS INIT 1HR	$141.96	$676.00	$344.08–$546.21	33% below	79%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION INF INIT 1-HR	$141.96	$676.00	$344.08–$546.21	33% below	79%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION 1ST 60-90 MINUTES	$141.96	$676.00	$344.08–$546.21	33% below	79%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INITIAL 16-90M	$141.96	$676.00	$344.08–$546.21	33% below	79%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 H3 HYDRATION INFUS INIT 1HR	$141.96	$676.00	$344.08–$546.21	33% below	79%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INITIAL 16-90	$141.96	$676.00	$344.08–$546.21	33% below	79%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION INFUSION UP TO 1HR	$141.96	$676.00	$344.08–$546.21	33% below	79%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION INFUSION TO 1HR	$141.96	$676.00	$344.08–$546.21	33% below	79%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION 1ST 60-90 MN	$141.96	$676.00	$344.08–$546.21	33% below	79%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 LDR HYDRATION IV INFUSION INIT	$141.96	$676.00	$344.08–$546.21	33% below	79%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION INFUSION INITIAL 1HR	$170.31	$811.00	$412.80–$655.29	19% below	79%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATION IV INFUSION INIT HR	$141.96	$676.00	$439.40–$504.30	—	79%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC IV INF HYDRA IN 31M-1HR	$141.96	$676.00	$439.40–$504.30	—	79%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 H3 HYDRATION INFUS INIT 1HR	$141.96	$676.00	$439.40–$504.30	—	79%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATION INF INIT 1-HR	$141.96	$676.00	$439.40–$504.30	—	79%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYDRATION 1ST 60-90 MIN	$141.96	$676.00	$439.40–$504.30	—	79%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYDRATION 1ST 60-90 MINUTES	$141.96	$676.00	$439.40–$504.30	—	79%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATION INFUSION UP TO 1HR	$141.96	$676.00	$439.40–$504.30	—	79%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATION IV INITIAL 16-90	$141.96	$676.00	$439.40–$504.30	—	79%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATION IV INITIAL 16-90M	$141.96	$676.00	$439.40–$504.30	—	79%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATION INFUSION TO 1HR	$141.96	$676.00	$439.40–$504.30	—	79%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYDRATION 1ST 60-90 MN	$141.96	$676.00	$439.40–$504.30	—	79%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 LDR HYDRATION IV INFUSION INIT	$141.96	$676.00	$439.40–$504.30	—	79%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 NSG HYDRATION INFUS INIT 1HR	$141.96	$676.00	$439.40–$504.30	—	79%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATION INFUSION INITIAL 1HR	$170.31	$811.00	$527.15–$605.01	—	79%
IV infusion of a medicine, first hour CPT 96365 THERAPEUTIC INFUS INIT 16-90M	$194.46	$926.00	$471.33–$748.21	40% below	79%
IV infusion of a medicine, first hour CPT 96365 H3 INFUSION THER INIT 1ST HR	$194.46	$926.00	$471.33–$748.21	40% below	79%
IV infusion of a medicine, first hour CPT 96365 NSG INFUSION THER INIT 1ST HR	$194.46	$926.00	$471.33–$748.21	40% below	79%
IV infusion of a medicine, first hour CPT 96365 OOU INF W/CARD MONIT UP TO 1HR	$194.46	$926.00	$471.33–$748.21	40% below	79%
IV infusion of a medicine, first hour CPT 96365 THER/PROPH/DIAG IV INF INIT	$194.46	$926.00	$471.33–$748.21	40% below	79%
IV infusion of a medicine, first hour CPT 96365 IV THERAPYINF TO 90 MN INITIAL	$194.46	$926.00	$471.33–$748.21	40% below	79%
IV infusion of a medicine, first hour CPT 96365 NON CHEMO INFUSION TO 1 HR	$194.46	$926.00	$471.33–$748.21	40% below	79%
IV infusion of a medicine, first hour CPT 96365 INFUS W/CARD MONIT UP TO 1HR	$194.46	$926.00	$471.33–$748.21	40% below	79%
IV infusion of a medicine, first hour CPT 96365 NONCHEMO INFUSION INITIAL 1HR	$194.46	$926.00	$471.33–$748.21	40% below	79%
IV infusion of a medicine, first hour CPT 96365 IV INFUSION UP TO 1 HR	$194.46	$926.00	$471.33–$748.21	40% below	79%
IV infusion of a medicine, first hour CPT 96365 OPC INFUSION THERAPY INIT. 1HR	$194.46	$926.00	$471.33–$748.21	40% below	79%
IV infusion of a medicine, first hour CPT 96365 IV THERAP INF TO 90 MM INITIAL	$194.46	$926.00	$471.33–$748.21	40% below	79%
IV infusion of a medicine, first hour CPT 96365 IV INFUSION-TX/DX UP TO 1HR	$194.46	$926.00	$471.33–$748.21	40% below	79%
IV infusion of a medicine, first hour CPT 96365 IV THERAPYINF TO 90 MM INITIAL	$194.46	$926.00	$471.33–$748.21	40% below	79%
IV infusion of a medicine, first hour CPT 96365 THER/PROPH/DIAG IV INF INITIAL	$194.46	$926.00	$471.33–$748.21	40% below	79%
IV infusion of a medicine, first hour CPT 96365 HC IV INF THR/PRPH/DX <=1H	$194.46	$926.00	$471.33–$748.21	40% below	79%
IV infusion of a medicine, first hour CPT 96365 WIC INFUSION THERAPY INIT. 1HR	$194.46	$926.00	$471.33–$748.21	40% below	79%
IV infusion of a medicine, first hour CPT 96365 INFUSION THERAPY INITIAL 1-HR	$233.31	$1,111.00	$565.50–$897.69	28% below	79%
IV infusion of a medicine, first hour inpatient CPT 96365 THER/PROPH/DIAG IV INF INIT	$194.46	$926.00	$601.90–$690.80	—	79%
IV infusion of a medicine, first hour inpatient CPT 96365 OOU INF W/CARD MONIT UP TO 1HR	$194.46	$926.00	$601.90–$690.80	—	79%
IV infusion of a medicine, first hour inpatient CPT 96365 NSG INFUSION THER INIT 1ST HR	$194.46	$926.00	$601.90–$690.80	—	79%
IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION UP TO 1 HR	$194.46	$926.00	$601.90–$690.80	—	79%
IV infusion of a medicine, first hour inpatient CPT 96365 WIC INFUSION THERAPY INIT. 1HR	$194.46	$926.00	$601.90–$690.80	—	79%
IV infusion of a medicine, first hour inpatient CPT 96365 OPC INFUSION THERAPY INIT. 1HR	$194.46	$926.00	$601.90–$690.80	—	79%
IV infusion of a medicine, first hour inpatient CPT 96365 IV THERAP INF TO 90 MM INITIAL	$194.46	$926.00	$601.90–$690.80	—	79%
IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION-TX/DX UP TO 1HR	$194.46	$926.00	$601.90–$690.80	—	79%
IV infusion of a medicine, first hour inpatient CPT 96365 THERAPEUTIC INFUS INIT 16-90M	$194.46	$926.00	$601.90–$690.80	—	79%
IV infusion of a medicine, first hour inpatient CPT 96365 IV THERAPYINF TO 90 MM INITIAL	$194.46	$926.00	$601.90–$690.80	—	79%
IV infusion of a medicine, first hour inpatient CPT 96365 THER/PROPH/DIAG IV INF INITIAL	$194.46	$926.00	$601.90–$690.80	—	79%
IV infusion of a medicine, first hour inpatient CPT 96365 HC IV INF THR/PRPH/DX <=1H	$194.46	$926.00	$601.90–$690.80	—	79%
IV infusion of a medicine, first hour inpatient CPT 96365 NONCHEMO INFUSION INITIAL 1HR	$194.46	$926.00	$601.90–$690.80	—	79%
IV infusion of a medicine, first hour inpatient CPT 96365 INFUS W/CARD MONIT UP TO 1HR	$194.46	$926.00	$601.90–$690.80	—	79%
IV infusion of a medicine, first hour inpatient CPT 96365 NON CHEMO INFUSION TO 1 HR	$194.46	$926.00	$601.90–$690.80	—	79%
IV infusion of a medicine, first hour inpatient CPT 96365 H3 INFUSION THER INIT 1ST HR	$194.46	$926.00	$601.90–$690.80	—	79%
IV infusion of a medicine, first hour inpatient CPT 96365 IV THERAPYINF TO 90 MN INITIAL	$194.46	$926.00	$601.90–$690.80	—	79%
IV infusion of a medicine, first hour inpatient CPT 96365 INFUSION THERAPY INITIAL 1-HR	$233.31	$1,111.00	$722.15–$828.81	—	79%
IV push of a medicine, first drug CPT 96374 HC THER/PROPH/DIAG INJ IV PUSH	$73.29	$349.00	$177.64–$281.99	63% below	79%
IV push of a medicine, first drug CPT 96374 IV THERAPEUTIC INJECT-INITIAL	$191.52	$912.00	$464.21–$736.90	3% below	79%
IV push of a medicine, first drug CPT 96374 NON-CHEMO IVP INITIAL DRUG	$191.52	$912.00	$464.21–$736.90	3% below	79%
IV push of a medicine, first drug CPT 96374 IV PUSH INJECTION ADMIN	$191.52	$912.00	$464.21–$736.90	3% below	79%
IV push of a medicine, first drug CPT 96374 NSG THERAPEUTIC INJ IVP-INITL	$191.52	$912.00	$464.21–$736.90	3% below	79%
IV push of a medicine, first drug CPT 96374 NON-CHEMO IV PUSH INITIAL DRUG	$191.52	$912.00	$464.21–$736.90	3% below	79%
IV push of a medicine, first drug CPT 96374 IV PUSH INITIAL DRUG	$191.52	$912.00	$464.21–$736.90	3% below	79%
IV push of a medicine, first drug CPT 96374 NON-CHEMO IV PUSH-INITIAL DRUG	$191.52	$912.00	$464.21–$736.90	3% below	79%
IV push of a medicine, first drug CPT 96374 THER/PROPH/DIAG INJ IV PUSH	$191.52	$912.00	$464.21–$736.90	3% below	79%
IV push of a medicine, first drug CPT 96374 THERAPEUTIC IV INIT PUSH 1-15M	$191.52	$912.00	$464.21–$736.90	3% below	79%
IV push of a medicine, first drug CPT 96374 THERAPEUTIC INJ IV	$191.52	$912.00	$464.21–$736.90	3% below	79%
IV push of a medicine, first drug CPT 96374 H3 THERAPEUTIC INJ IVP-INITL	$191.52	$912.00	$464.21–$736.90	3% below	79%
IV push of a medicine, first drug CPT 96374 IV PUSH INITIAL/SNGL DRUG	$191.52	$912.00	$464.21–$736.90	3% below	79%
IV push of a medicine, first drug CPT 96374 CHC THER/PRPH/DIAG INJ IV PUSH	$191.52	$912.00	$464.21–$736.90	3% below	79%
IV push of a medicine, first drug CPT 96374 THERAPEUTIC INJECTION IV	$229.74	$1,094.00	$556.85–$883.95	17% above	79%
IV push of a medicine, first drug inpatient CPT 96374 HC THER/PROPH/DIAG INJ IV PUSH	$73.29	$349.00	$226.85–$260.35	—	79%
IV push of a medicine, first drug inpatient CPT 96374 NON-CHEMO IV PUSH INITIAL DRUG	$191.52	$912.00	$592.80–$680.35	—	79%
IV push of a medicine, first drug inpatient CPT 96374 NSG THERAPEUTIC INJ IVP-INITL	$191.52	$912.00	$592.80–$680.35	—	79%
IV push of a medicine, first drug inpatient CPT 96374 IV PUSH INJECTION ADMIN	$191.52	$912.00	$592.80–$680.35	—	79%
IV push of a medicine, first drug inpatient CPT 96374 NON-CHEMO IVP INITIAL DRUG	$191.52	$912.00	$592.80–$680.35	—	79%
IV push of a medicine, first drug inpatient CPT 96374 IV THERAPEUTIC INJECT-INITIAL	$191.52	$912.00	$592.80–$680.35	—	79%
IV push of a medicine, first drug inpatient CPT 96374 CHC THER/PRPH/DIAG INJ IV PUSH	$191.52	$912.00	$592.80–$680.35	—	79%
IV push of a medicine, first drug inpatient CPT 96374 IV PUSH INITIAL/SNGL DRUG	$191.52	$912.00	$592.80–$680.35	—	79%
IV push of a medicine, first drug inpatient CPT 96374 H3 THERAPEUTIC INJ IVP-INITL	$191.52	$912.00	$592.80–$680.35	—	79%
IV push of a medicine, first drug inpatient CPT 96374 NON-CHEMO IV PUSH-INITIAL DRUG	$191.52	$912.00	$592.80–$680.35	—	79%
IV push of a medicine, first drug inpatient CPT 96374 THER/PROPH/DIAG INJ IV PUSH	$191.52	$912.00	$592.80–$680.35	—	79%
IV push of a medicine, first drug inpatient CPT 96374 THERAPEUTIC IV INIT PUSH 1-15M	$191.52	$912.00	$592.80–$680.35	—	79%
IV push of a medicine, first drug inpatient CPT 96374 IV PUSH INITIAL DRUG	$191.52	$912.00	$592.80–$680.35	—	79%
IV push of a medicine, first drug inpatient CPT 96374 THERAPEUTIC INJECTION IV	$229.74	$1,094.00	$711.10–$816.12	—	79%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 NPE THER/PROPH/DIAG INJ, SC/IM	$34.65	$165.00	$83.98–$133.32	50% below	79%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 PED THERAPEUTIC INJ NON-CHEMO	$34.65	$165.00	$83.98–$133.32	50% below	79%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 ADJUST GASTRIC RESTRICT DEVICE	$34.65	$165.00	$83.98–$133.32	50% below	79%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 H3 THERAPEUTIC INJ SQ/IM	$34.65	$165.00	$83.98–$133.32	50% below	79%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAPEUTIC INJ NON-CHEMO	$34.65	$165.00	$83.98–$133.32	50% below	79%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PROPH/DIAG INJ SC/IM	$34.65	$165.00	$83.98–$133.32	50% below	79%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 CC NON-CHEMO SUBCUT/IM #INJ	$34.65	$165.00	$83.98–$133.32	50% below	79%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 DEN MEDICATION INJECTION IM	$34.65	$165.00	$83.98–$133.32	50% below	79%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC THER/PROPH/DX INJ SC/IM	$34.65	$165.00	$83.98–$133.32	50% below	79%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC THER/PROPHYL/DX INJ SC/IM	$34.65	$165.00	$83.98–$133.32	50% below	79%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 FP ADMIN PTS OWN MED-IM/SC	$34.65	$165.00	$83.98–$133.32	50% below	79%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 FP THER/PROPH/DIAG INJ, SC/IM	$34.65	$165.00	$83.98–$133.32	50% below	79%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 SC/IM THERAPEUTIC INJECTION	$34.65	$165.00	$83.98–$133.32	50% below	79%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 PDP THER/PROPH INJ NON CHEMO	$34.65	$165.00	$83.98–$133.32	50% below	79%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 RRC SQ/IM INJECTION NON-CHEMO	$34.65	$165.00	$83.98–$133.32	50% below	79%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC THERAPEUTIC INJ NON-CHEMO	$34.65	$165.00	$83.98–$133.32	50% below	79%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 NSG THERAPEUTIC INJ SQ/IM	$34.65	$165.00	$83.98–$133.32	50% below	79%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 OOU ADMIN ARANESP	$34.65	$165.00	$83.98–$133.32	50% below	79%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 OOU ADMIN ACTH INJ	$34.65	$165.00	$83.98–$133.32	50% below	79%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 OOU ADMIN EPO	$34.65	$165.00	$83.98–$133.32	50% below	79%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 OOU INJECTION-NON VACCINE	$34.65	$165.00	$83.98–$133.32	50% below	79%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 LDR INJECTION IM/SQ	$34.65	$165.00	$83.98–$133.32	50% below	79%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PRO/DIA INJ SC/IM-OFC NSE	$34.65	$165.00	$83.98–$133.32	50% below	79%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 OPCH NON-CHEMO SUBCUT/IM #INJ	$34.65	$165.00	$83.98–$133.32	50% below	79%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 NON-CHEMO THERAPEUTIC INJ	$34.65	$165.00	$83.98–$133.32	50% below	79%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC THR/PRPHYLC/DX INJ SC/IM	$34.65	$165.00	$83.98–$133.32	50% below	79%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC THERAPEUTIC INJECTION SP/IM	$34.65	$165.00	$83.98–$133.32	50% below	79%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC THER/PROPH/DIAG INJ SC/IM	$34.65	$165.00	$83.98–$133.32	50% below	79%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION-NON VACCINE	$34.65	$165.00	$83.98–$133.32	50% below	79%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC THER INJ SC/IM	$34.65	$165.00	$83.98–$133.32	50% below	79%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 NHI THER/PROPH/DIAG INJ, SC/IM	$34.65	$165.00	$83.98–$133.32	50% below	79%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 NHU THER/PROPH/DIAG INJ, SC/IM	$34.65	$165.00	$83.98–$133.32	50% below	79%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PROPH/DIAG INJECT-SC/IM	$34.65	$165.00	$83.98–$133.32	50% below	79%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/DX/PROPHYL INJ SC/IM	$34.65	$165.00	$83.98–$133.32	50% below	79%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PROPH/DIAG INJ SC/IM-OFC	$34.65	$165.00	$83.98–$133.32	50% below	79%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 OBPS THERAPEUTIC INJ SQ/IM	$34.65	$165.00	$83.98–$133.32	50% below	79%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 PDP THER/PROPH/DIAG INJ SC/IM	$34.65	$165.00	$83.98–$133.32	50% below	79%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PROPH/DIAG INJ-SC/IM	$34.65	$165.00	$83.98–$133.32	50% below	79%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 PNP THERAPEUTIC INJ SQ/IM	$34.65	$165.00	$83.98–$133.32	50% below	79%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 WIC THERAPEUTIC INJ SQ/IM	$34.65	$165.00	$83.98–$133.32	50% below	79%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 OPC THERAPEUTIC INJ SQ/IM	$34.65	$165.00	$83.98–$133.32	50% below	79%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 ER THERAPEUTIC INJECTION SQ/IM	$41.58	$198.00	$100.78–$159.98	40% below	79%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 NON-CHEMO THERAPEUTIC INJ	$34.65	$165.00	$107.25–$123.09	—	79%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 OPCH NON-CHEMO SUBCUT/IM #INJ	$34.65	$165.00	$107.25–$123.09	—	79%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THER/PRO/DIA INJ SC/IM-OFC NSE	$34.65	$165.00	$107.25–$123.09	—	79%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC THERAPEUTIC INJ NON-CHEMO	$34.65	$165.00	$107.25–$123.09	—	79%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC THER/PROPHYL/DX INJ SC/IM	$34.65	$165.00	$107.25–$123.09	—	79%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC THR/PRPHYLC/DX INJ SC/IM	$34.65	$165.00	$107.25–$123.09	—	79%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 RRC SQ/IM INJECTION NON-CHEMO	$34.65	$165.00	$107.25–$123.09	—	79%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 PED THERAPEUTIC INJ NON-CHEMO	$34.65	$165.00	$107.25–$123.09	—	79%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 ADJUST GASTRIC RESTRICT DEVICE	$34.65	$165.00	$107.25–$123.09	—	79%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 H3 THERAPEUTIC INJ SQ/IM	$34.65	$165.00	$107.25–$123.09	—	79%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAPEUTIC INJ NON-CHEMO	$34.65	$165.00	$107.25–$123.09	—	79%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 PDP THER/PROPH INJ NON CHEMO	$34.65	$165.00	$107.25–$123.09	—	79%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 SC/IM THERAPEUTIC INJECTION	$34.65	$165.00	$107.25–$123.09	—	79%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 FP THER/PROPH/DIAG INJ, SC/IM	$34.65	$165.00	$107.25–$123.09	—	79%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 FP ADMIN PTS OWN MED-IM/SC	$34.65	$165.00	$107.25–$123.09	—	79%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THER/PROPH/DIAG INJ SC/IM	$34.65	$165.00	$107.25–$123.09	—	79%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 CC NON-CHEMO SUBCUT/IM #INJ	$34.65	$165.00	$107.25–$123.09	—	79%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 DEN MEDICATION INJECTION IM	$34.65	$165.00	$107.25–$123.09	—	79%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC THER/PROPH/DX INJ SC/IM	$34.65	$165.00	$107.25–$123.09	—	79%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THER/PROPH/DIAG INJECT-SC/IM	$34.65	$165.00	$107.25–$123.09	—	79%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 NHU THER/PROPH/DIAG INJ, SC/IM	$34.65	$165.00	$107.25–$123.09	—	79%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 NPE THER/PROPH/DIAG INJ, SC/IM	$34.65	$165.00	$107.25–$123.09	—	79%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 NHI THER/PROPH/DIAG INJ, SC/IM	$34.65	$165.00	$107.25–$123.09	—	79%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC THER INJ SC/IM	$34.65	$165.00	$107.25–$123.09	—	79%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION-NON VACCINE	$34.65	$165.00	$107.25–$123.09	—	79%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC THER/PROPH/DIAG INJ SC/IM	$34.65	$165.00	$107.25–$123.09	—	79%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC THERAPEUTIC INJECTION SP/IM	$34.65	$165.00	$107.25–$123.09	—	79%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 LDR INJECTION IM/SQ	$34.65	$165.00	$107.25–$123.09	—	79%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 OOU INJECTION-NON VACCINE	$34.65	$165.00	$107.25–$123.09	—	79%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 OOU ADMIN EPO	$34.65	$165.00	$107.25–$123.09	—	79%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 OOU ADMIN ACTH INJ	$34.65	$165.00	$107.25–$123.09	—	79%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 OOU ADMIN ARANESP	$34.65	$165.00	$107.25–$123.09	—	79%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 NSG THERAPEUTIC INJ SQ/IM	$34.65	$165.00	$107.25–$123.09	—	79%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 ER THERAPEUTIC INJECTION SQ/IM	$41.58	$198.00	$128.70–$147.71	—	79%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 HC PSYCH DIAGNOSTIC EVAL	$95.13	$453.00	$230.58–$366.02	56% below	79%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCH DIAGNOSTIC EVAL	$95.13	$453.00	$230.58–$366.02	56% below	79%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 HC PSYCH DIAGNOSTIC EVAL-LCSW	$95.13	$453.00	$230.58–$366.02	56% below	79%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 ER PSYCH ASSESSMENT	$95.13	$453.00	$230.58–$366.02	56% below	79%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCH DIAGNOSTIC EVAL-FACILITY	$95.13	$453.00	$230.58–$366.02	56% below	79%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 BH PSYCH DIAGNOSTIC EVAL	$95.13	$453.00	$230.58–$366.02	56% below	79%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 HC PSYCHIATRIC DX EVAL-PHD	$95.13	$453.00	$230.58–$366.02	56% below	79%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 MROC PSYCH DIAG INTERVIEW	$95.13	$453.00	$230.58–$366.02	56% below	79%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 MRE PSYCH DIAG INTERVIEW	$95.13	$453.00	$230.58–$366.02	56% below	79%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 MRBM PSYCH DIAG INTERVIEW	$146.58	$698.00	$355.28–$563.98	32% below	79%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 MRE PSYCH DIAG INTERVIEW	$95.13	$453.00	$294.45–$337.94	—	79%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 MROC PSYCH DIAG INTERVIEW	$95.13	$453.00	$294.45–$337.94	—	79%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 BH PSYCH DIAGNOSTIC EVAL	$95.13	$453.00	$294.45–$337.94	—	79%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 PSYCH DIAGNOSTIC EVAL-FACILITY	$95.13	$453.00	$294.45–$337.94	—	79%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 ER PSYCH ASSESSMENT	$95.13	$453.00	$294.45–$337.94	—	79%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HC PSYCH DIAGNOSTIC EVAL-LCSW	$95.13	$453.00	$294.45–$337.94	—	79%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 PSYCH DIAGNOSTIC EVAL	$95.13	$453.00	$294.45–$337.94	—	79%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HC PSYCHIATRIC DX EVAL-PHD	$95.13	$453.00	$294.45–$337.94	—	79%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HC PSYCH DIAGNOSTIC EVAL	$95.13	$453.00	$294.45–$337.94	—	79%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 MRBM PSYCH DIAG INTERVIEW	$146.58	$698.00	$453.70–$520.71	—	79%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 HC MTR NRV CND TEST 7-8 TST	$215.67	$1,027.00	$522.74–$829.82	at median	79%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 HC NRV CONDCT 7-8 STUDIES	$215.67	$1,027.00	$522.74–$829.82	at median	79%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 HC MOTOR&SENS 7-8 NRV TST	$215.67	$1,027.00	$522.74–$829.82	at median	79%
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 HC NRV CONDCT 7-8 STUDIES	$215.67	$1,027.00	$667.55–$766.14	—	79%
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 HC MOTOR&SENS 7-8 NRV TST	$215.67	$1,027.00	$667.55–$766.14	—	79%
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 HC MTR NRV CND TEST 7-8 TST	$215.67	$1,027.00	$667.55–$766.14	—	79%
Neuromuscular re-education, 15 minutes CPT 97112 OT NEUROMUSCULAR REED 1UNIT	$20.16	$96.00	$48.86–$77.57	80% below	79%
Neuromuscular re-education, 15 minutes CPT 97112 OTA NEUROMUSCULAR REED 1UNIT	$20.16	$96.00	$48.86–$77.57	80% below	79%
Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR REED	$20.16	$96.00	$48.86–$77.57	80% below	79%
Neuromuscular re-education, 15 minutes CPT 97112 OTA NEUROMUSCULAR REED	$20.16	$96.00	$48.86–$77.57	80% below	79%
Neuromuscular re-education, 15 minutes CPT 97112 SP NEUROMUSCULAR RE-ED 15 MIN	$20.16	$96.00	$48.86–$77.57	80% below	79%
Neuromuscular re-education, 15 minutes CPT 97112 HC PT NEUROMSC REEDUCAT 1 UNIT	$20.16	$96.00	$48.86–$77.57	80% below	79%
Neuromuscular re-education, 15 minutes CPT 97112 PTA NEUROMUSC REEDUCATN 1UNIT	$20.16	$96.00	$48.86–$77.57	80% below	79%
Neuromuscular re-education, 15 minutes CPT 97112 PT NEUROMUSC REEDUCATION 1UNIT	$20.16	$96.00	$48.86–$77.57	80% below	79%
Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSC RE-ED	$20.16	$96.00	$48.86–$77.57	80% below	79%
Neuromuscular re-education, 15 minutes CPT 97112 PTA NEUROMUSC RE-ED	$20.16	$96.00	$48.86–$77.57	80% below	79%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT NEUROMUSC REEDUCATION 1UNIT	$20.16	$96.00	$62.40–$71.62	—	79%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 PTA NEUROMUSC REEDUCATN 1UNIT	$20.16	$96.00	$62.40–$71.62	—	79%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC PT NEUROMSC REEDUCAT 1 UNIT	$20.16	$96.00	$62.40–$71.62	—	79%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUROMUSCULAR REED	$20.16	$96.00	$62.40–$71.62	—	79%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 OTA NEUROMUSCULAR REED	$20.16	$96.00	$62.40–$71.62	—	79%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 SP NEUROMUSCULAR RE-ED 15 MIN	$20.16	$96.00	$62.40–$71.62	—	79%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUROMUSC RE-ED	$20.16	$96.00	$62.40–$71.62	—	79%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 PTA NEUROMUSC RE-ED	$20.16	$96.00	$62.40–$71.62	—	79%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 OT NEUROMUSCULAR REED 1UNIT	$20.16	$96.00	$62.40–$71.62	—	79%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 OTA NEUROMUSCULAR REED 1UNIT	$20.16	$96.00	$62.40–$71.62	—	79%
New patient office visit, about 30 minutes CPT 99203 OFF/OP VISIT NEW L3-FAC	$37.38	$178.00	$90.60–$143.82	74% below	79%
New patient office visit, about 30 minutes CPT 99203 OFF/OP HOME VISIT NEW LVL 3	$37.38	$178.00	$90.60–$143.82	74% below	79%
New patient office visit, about 30 minutes CPT 99203 OFFICE VISIT NEW LEVEL 3	$37.38	$178.00	$90.60–$143.82	74% below	79%
New patient office visit, about 30 minutes CPT 99203 HC OP CLINIC VISIT NEW/EST L3	$37.38	$178.00	$90.60–$143.82	74% below	79%
New patient office visit, about 30 minutes CPT 99203 HC OFFICE VISIT NEW LVL3	$37.38	$178.00	$90.60–$143.82	74% below	79%
New patient office visit, about 30 minutes CPT 99203 HC OP INITL OB VISIT NEW LEVL3	$37.38	$178.00	$90.60–$143.82	74% below	79%
New patient office visit, about 30 minutes CPT 99203 WIC OFFICE VISIT NEW LVL 3 RES	$37.38	$178.00	$90.60–$143.82	74% below	79%
New patient office visit, about 30 minutes CPT 99203 CC THORACIC ONC NEW PT FAC L3	$37.38	$178.00	$90.60–$143.82	74% below	79%
New patient office visit, about 30 minutes CPT 99203 CC GENETICS NEW PT FAC L3	$37.38	$178.00	$90.60–$143.82	74% below	79%
New patient office visit, about 30 minutes CPT 99203 PLC OUTPT VISIT-NEW LVL 3	$37.38	$178.00	$90.60–$143.82	74% below	79%
New patient office visit, about 30 minutes CPT 99203 HC OFFICE VISIT NEW PT LVL 3	$37.38	$178.00	$90.60–$143.82	74% below	79%
New patient office visit, about 30 minutes CPT 99203 MRMS NEW VISIT LEVEL 3-FAC	$37.38	$178.00	$90.60–$143.82	74% below	79%
New patient office visit, about 30 minutes CPT 99203 HC OP OFFICE VISIT NEW LVL3	$37.38	$178.00	$90.60–$143.82	74% below	79%
New patient office visit, about 30 minutes CPT 99203 HC OFFICE VISIT LVL 3 NEW RES	$37.38	$178.00	$90.60–$143.82	74% below	79%
New patient office visit, about 30 minutes CPT 99203 VWF OFFICE OUTPATIENT - NEW L3	$37.38	$178.00	$90.60–$143.82	74% below	79%
New patient office visit, about 30 minutes CPT 99203 AMWELL OP VISIT NEW LEVEL 3	$37.38	$178.00	$90.60–$143.82	74% below	79%
New patient office visit, about 30 minutes CPT 99203 HC OUTPT CLINIC VISIT NEW LVL3	$37.38	$178.00	$90.60–$143.82	74% below	79%
New patient office visit, about 30 minutes CPT 99203 HC OFF VISIT NEW PATIENT L3	$37.38	$178.00	$90.60–$143.82	74% below	79%
New patient office visit, about 30 minutes CPT 99203 HC OFFICE VISIT NEW LEVEL 3	$37.38	$178.00	$90.60–$143.82	74% below	79%
New patient office visit, about 30 minutes CPT 99203 OFFICE/OUTPATIENT VISIT NEW L3	$87.78	$418.00	$212.76–$337.74	39% below	79%
New patient office visit, about 30 minutes CPT 99203 PLC OUTPT VISIT- NEW LVL3	$87.78	$418.00	$212.76–$337.74	39% below	79%
New patient office visit, about 30 minutes CPT 99203 OFFICE VISIT NEW-LVL 3	$87.78	$418.00	$212.76–$337.74	39% below	79%
New patient office visit, about 30 minutes CPT 99203 CCP GEN NEW PT OV FNP L-3	$87.78	$418.00	$212.76–$337.74	39% below	79%
New patient office visit, about 30 minutes CPT 99203 OFFICE VISIT L3 NEW	$87.78	$418.00	$212.76–$337.74	39% below	79%
New patient office visit, about 30 minutes CPT 99203 OFFICE/OUTPT VISIT NEW L3	$87.78	$418.00	$212.76–$337.74	39% below	79%
New patient office visit, about 30 minutes CPT 99203 RET NEW PATIENT LEVEL 3	$87.78	$418.00	$212.76–$337.74	39% below	79%
New patient office visit, about 30 minutes CPT 99203 OFFICE/OUTPT VISIT-NEW LVL 3	$87.78	$418.00	$212.76–$337.74	39% below	79%
New patient office visit, about 30 minutes CPT 99203 OBPS OFF VISIT NEW PATIENT L3	$87.78	$418.00	$212.76–$337.74	39% below	79%
New patient office visit, about 30 minutes CPT 99203 OFF/OP VISIT NEW LVL 3	$87.78	$418.00	$212.76–$337.74	39% below	79%
New patient office visit, about 30 minutes CPT 99203 NEW PATIENT VISIT L3	$87.78	$418.00	$212.76–$337.74	39% below	79%
New patient office visit, about 30 minutes CPT 99203 CARP OFFICE/OUTPT VISIT-NEW L3	$87.78	$418.00	$212.76–$337.74	39% below	79%
New patient office visit, about 30 minutes CPT 99203 STRCT HRT NEW PT VISIT 3	$87.78	$418.00	$212.76–$337.74	39% below	79%
New patient office visit, about 30 minutes CPT 99203 WIC OFFICE VISIT NEW LVL 3	$87.78	$418.00	$212.76–$337.74	39% below	79%
New patient office visit, about 30 minutes CPT 99203 INFD OFF VISIT NEW PATIENT L3	$87.78	$418.00	$212.76–$337.74	39% below	79%
New patient office visit, about 30 minutes CPT 99203 OFFICE/OUTPT VISIT NEW LVL 3	$87.78	$418.00	$212.76–$337.74	39% below	79%
New patient office visit, about 30 minutes CPT 99203 OFFICE/OUTPT VISIT-NEW LEVEL 3	$87.78	$418.00	$212.76–$337.74	39% below	79%
New patient office visit, about 30 minutes CPT 99203 TSP OFF VISIT NEW PATIENT L3	$87.78	$418.00	$212.76–$337.74	39% below	79%
New patient office visit, about 30 minutes CPT 99203 VSP OFF/OUTPT VISIT/NEW LVL 3	$87.78	$418.00	$212.76–$337.74	39% below	79%
New patient office visit, about 30 minutes CPT 99203 DES OV NEW LEVEL 3-GLOBAL	$87.78	$418.00	$212.76–$337.74	39% below	79%
New patient office visit, about 30 minutes CPT 99203 NEW PATIENT OFFICE VISIT L3	$87.78	$418.00	$212.76–$337.74	39% below	79%
New patient office visit, about 45 minutes CPT 99204 HC OP OFFICE VISIT NEW LVL4	$51.03	$243.00	$123.69–$196.34	76% below	79%
New patient office visit, about 45 minutes CPT 99204 HC OP CLINIC VISIT NEW/EST L4	$51.03	$243.00	$123.69–$196.34	76% below	79%
New patient office visit, about 45 minutes CPT 99204 WIC OFFICE VISIT NEW LVL 4 RES	$51.03	$243.00	$123.69–$196.34	76% below	79%
New patient office visit, about 45 minutes CPT 99204 OFFICE VISIT NEW LEVEL 4	$51.03	$243.00	$123.69–$196.34	76% below	79%
New patient office visit, about 45 minutes CPT 99204 CC THORACIC ONC NEW PT FAC L4	$51.03	$243.00	$123.69–$196.34	76% below	79%
New patient office visit, about 45 minutes CPT 99204 CC GENETICS NEW PT FAC L4	$51.03	$243.00	$123.69–$196.34	76% below	79%
New patient office visit, about 45 minutes CPT 99204 PLC OUTPT VISIT-NEW LVL 4	$51.03	$243.00	$123.69–$196.34	76% below	79%
New patient office visit, about 45 minutes CPT 99204 HC OFFICE/OUTPT VISIT NEW L4	$51.03	$243.00	$123.69–$196.34	76% below	79%
New patient office visit, about 45 minutes CPT 99204 HC OFFICE VISIT NEW PT LEVEL 4	$51.03	$243.00	$123.69–$196.34	76% below	79%
New patient office visit, about 45 minutes CPT 99204 MRMS NEW VISIT LEVEL 4-FAC	$51.03	$243.00	$123.69–$196.34	76% below	79%
New patient office visit, about 45 minutes CPT 99204 VWF OFFICE OUTPATIENT-NEW L4	$51.03	$243.00	$123.69–$196.34	76% below	79%
New patient office visit, about 45 minutes CPT 99204 OFF/OP HOME VISIT NEW LVL 4	$51.03	$243.00	$123.69–$196.34	76% below	79%
New patient office visit, about 45 minutes CPT 99204 HC OFFICE VISIT NEW LEVEL 4	$51.03	$243.00	$123.69–$196.34	76% below	79%
New patient office visit, about 45 minutes CPT 99204 FP OFFICE VISIT LVL 4 NEW RES	$51.03	$243.00	$123.69–$196.34	76% below	79%
New patient office visit, about 45 minutes CPT 99204 HC OP INITL OB VISIT NEW LEVL4	$51.03	$243.00	$123.69–$196.34	76% below	79%
New patient office visit, about 45 minutes CPT 99204 HC OFF VISIT NEW PATIENT L4	$51.03	$243.00	$123.69–$196.34	76% below	79%
New patient office visit, about 45 minutes CPT 99204 HC OUTPT CLINIC VISIT NEW LVL4	$51.03	$243.00	$123.69–$196.34	76% below	79%
New patient office visit, about 45 minutes CPT 99204 OFF/OP VISIT NEW L4-FAC	$51.03	$243.00	$123.69–$196.34	76% below	79%
New patient office visit, about 45 minutes CPT 99204 AMWELL OP VISIT NEW LEVEL 4	$51.03	$243.00	$123.69–$196.34	76% below	79%
New patient office visit, about 45 minutes CPT 99204 HC OFFICE VISIT NEW LVL4	$51.03	$243.00	$123.69–$196.34	76% below	79%
New patient office visit, about 45 minutes CPT 99204 CARP OFFICE/OUTPT VISIT-NEW L4	$126.84	$604.00	$307.44–$488.03	39% below	79%
New patient office visit, about 45 minutes CPT 99204 OFFICE VISIT L4 NEW	$126.84	$604.00	$307.44–$488.03	39% below	79%
New patient office visit, about 45 minutes CPT 99204 CCP GEN NEW PT OV FNP L-4	$126.84	$604.00	$307.44–$488.03	39% below	79%
New patient office visit, about 45 minutes CPT 99204 OFFICE VISIT NEW-LVL 4	$126.84	$604.00	$307.44–$488.03	39% below	79%
New patient office visit, about 45 minutes CPT 99204 PLC OUTPT VISIT- NEW LVL4	$126.84	$604.00	$307.44–$488.03	39% below	79%
New patient office visit, about 45 minutes CPT 99204 NEW PATIENT OFFICE VISIT L4	$126.84	$604.00	$307.44–$488.03	39% below	79%
New patient office visit, about 45 minutes CPT 99204 DES OV NEW LEVEL 4-GLOBAL	$126.84	$604.00	$307.44–$488.03	39% below	79%
New patient office visit, about 45 minutes CPT 99204 OFFICE/OUTPATIENT VISIT NEW L4	$126.84	$604.00	$307.44–$488.03	39% below	79%
New patient office visit, about 45 minutes CPT 99204 VSP OFF/OUTPT VISIT/NEW LVL 4	$126.84	$604.00	$307.44–$488.03	39% below	79%
New patient office visit, about 45 minutes CPT 99204 TSP OFF VISIT NEW PATIENT L4	$126.84	$604.00	$307.44–$488.03	39% below	79%
New patient office visit, about 45 minutes CPT 99204 OFFICE/OUTPT VISIT-NEW LEVEL 4	$126.84	$604.00	$307.44–$488.03	39% below	79%
New patient office visit, about 45 minutes CPT 99204 OFFICE/OUTPT VISIT NEW LVL 4	$126.84	$604.00	$307.44–$488.03	39% below	79%
New patient office visit, about 45 minutes CPT 99204 INFD OFF VISIT NEW PATIENT L4	$126.84	$604.00	$307.44–$488.03	39% below	79%
New patient office visit, about 45 minutes CPT 99204 WIC OFFICE VISIT NEW LVL 4	$126.84	$604.00	$307.44–$488.03	39% below	79%
New patient office visit, about 45 minutes CPT 99204 STRCT HRT NEW PT VISIT 4	$126.84	$604.00	$307.44–$488.03	39% below	79%
New patient office visit, about 45 minutes CPT 99204 NEW PATIENT VISIT L4	$126.84	$604.00	$307.44–$488.03	39% below	79%
New patient office visit, about 45 minutes CPT 99204 OFF/OP VISIT NEW LVL 4	$126.84	$604.00	$307.44–$488.03	39% below	79%
New patient office visit, about 45 minutes CPT 99204 OBPS OFF VISIT NEW PATIENT L4	$126.84	$604.00	$307.44–$488.03	39% below	79%
New patient office visit, about 45 minutes CPT 99204 OFFICE/OUTPT VISIT-NEW LVL 4	$126.84	$604.00	$307.44–$488.03	39% below	79%
New patient office visit, about 45 minutes CPT 99204 RET NEW PATIENT LEVEL 4	$126.84	$604.00	$307.44–$488.03	39% below	79%
New patient office visit, about 45 minutes CPT 99204 OFFICE/OUTPT VISIT NEW L4	$126.84	$604.00	$307.44–$488.03	39% below	79%
New patient office visit, about 60 minutes CPT 99205 HC OFFICE VISIT NEW LVL5	$89.88	$428.00	$217.85–$345.82	73% below	79%
New patient office visit, about 60 minutes CPT 99205 HC OFFICE/OP VISIT NEW L5	$89.88	$428.00	$217.85–$345.82	73% below	79%
New patient office visit, about 60 minutes CPT 99205 HC OUTPT CLINIC VISIT NEW LVL5	$89.88	$428.00	$217.85–$345.82	73% below	79%
New patient office visit, about 60 minutes CPT 99205 PLC OUTPT VISIT-NEW LVL 5	$89.88	$428.00	$217.85–$345.82	73% below	79%
New patient office visit, about 60 minutes CPT 99205 CC GENETICS NEW PT FAC L5	$89.88	$428.00	$217.85–$345.82	73% below	79%
New patient office visit, about 60 minutes CPT 99205 OFFICE VISIT NEW LEVEL 5	$89.88	$428.00	$217.85–$345.82	73% below	79%
New patient office visit, about 60 minutes CPT 99205 OFF/OP HOME VISIT NEW LVL 5	$89.88	$428.00	$217.85–$345.82	73% below	79%
New patient office visit, about 60 minutes CPT 99205 HC NEW PT OFFICE VISIT L5	$89.88	$428.00	$217.85–$345.82	73% below	79%
New patient office visit, about 60 minutes CPT 99205 WIC OFFICE VISIT NEW LVL 5 RES	$89.88	$428.00	$217.85–$345.82	73% below	79%
New patient office visit, about 60 minutes CPT 99205 CC THORACIC ONC NEW PT FAC L5	$89.88	$428.00	$217.85–$345.82	73% below	79%
New patient office visit, about 60 minutes CPT 99205 HC OP OFFICE VISIT NEW LVL5	$89.88	$428.00	$217.85–$345.82	73% below	79%
New patient office visit, about 60 minutes CPT 99205 MRMS NEW VISIT LEVEL 5-FAC	$89.88	$428.00	$217.85–$345.82	73% below	79%
New patient office visit, about 60 minutes CPT 99205 HC OFFICE VISIT NEW PT LVL 5	$89.88	$428.00	$217.85–$345.82	73% below	79%
New patient office visit, about 60 minutes CPT 99205 HC OFFICE VISIT NEW LEVEL 5	$89.88	$428.00	$217.85–$345.82	73% below	79%
New patient office visit, about 60 minutes CPT 99205 HC OFF VISIT NEW PATIENT L5	$89.88	$428.00	$217.85–$345.82	73% below	79%
New patient office visit, about 60 minutes CPT 99205 VWF OFFICE OUTPATIENT-NEW L5	$89.88	$428.00	$217.85–$345.82	73% below	79%
New patient office visit, about 60 minutes CPT 99205 FP OFFICE VISIT LVL 5 NEW RES	$89.88	$428.00	$217.85–$345.82	73% below	79%
New patient office visit, about 60 minutes CPT 99205 FP INITIAL OB VISIT NEW PT RES	$89.88	$428.00	$217.85–$345.82	73% below	79%
New patient office visit, about 60 minutes CPT 99205 HC OP INITL OB VISIT NEW LVL5	$89.88	$428.00	$217.85–$345.82	73% below	79%
New patient office visit, about 60 minutes CPT 99205 AMWELL OP VISIT NEW LEVEL 5	$89.88	$428.00	$217.85–$345.82	73% below	79%
New patient office visit, about 60 minutes CPT 99205 RET NEW PATIENT LEVEL 5	$189.42	$902.00	$459.12–$728.82	43% below	79%
New patient office visit, about 60 minutes CPT 99205 OFFICE/OUTPT VISIT NEW L5	$189.42	$902.00	$459.12–$728.82	43% below	79%
New patient office visit, about 60 minutes CPT 99205 OFFICE/OUTPT VISIT-NEW LVL 5	$189.42	$902.00	$459.12–$728.82	43% below	79%
New patient office visit, about 60 minutes CPT 99205 OBPS OFF VISIT NEW PATIENT L5	$189.42	$902.00	$459.12–$728.82	43% below	79%
New patient office visit, about 60 minutes CPT 99205 OFF/OP VISIT NEW LVL 5	$189.42	$902.00	$459.12–$728.82	43% below	79%
New patient office visit, about 60 minutes CPT 99205 NEW PATIENT VISIT L5	$189.42	$902.00	$459.12–$728.82	43% below	79%
New patient office visit, about 60 minutes CPT 99205 CARP OFFICE/OUTPT VISIT-NEW L5	$189.42	$902.00	$459.12–$728.82	43% below	79%
New patient office visit, about 60 minutes CPT 99205 STRCT HRT NEW PT VISIT 5	$189.42	$902.00	$459.12–$728.82	43% below	79%
New patient office visit, about 60 minutes CPT 99205 WIC OFFICE VISIT NEW LVL 5	$189.42	$902.00	$459.12–$728.82	43% below	79%
New patient office visit, about 60 minutes CPT 99205 INFD OFF VISIT NEW PATIENT L5	$189.42	$902.00	$459.12–$728.82	43% below	79%
New patient office visit, about 60 minutes CPT 99205 OFFICE/OUTPT VISIT NEW LVL 5	$189.42	$902.00	$459.12–$728.82	43% below	79%
New patient office visit, about 60 minutes CPT 99205 OFFICE/OUTPT VISIT-NEW LEVEL 5	$189.42	$902.00	$459.12–$728.82	43% below	79%
New patient office visit, about 60 minutes CPT 99205 TSP OFF VISIT NEW PATIENT L5	$189.42	$902.00	$459.12–$728.82	43% below	79%
New patient office visit, about 60 minutes CPT 99205 VSP OFF/OUTPT VISIT/NEW LVL 5	$189.42	$902.00	$459.12–$728.82	43% below	79%
New patient office visit, about 60 minutes CPT 99205 NEW PATIENT OFFICE VISIT L5	$189.42	$902.00	$459.12–$728.82	43% below	79%
New patient office visit, about 60 minutes CPT 99205 DES OV NEW LEVEL 5-GLOBAL	$189.42	$902.00	$459.12–$728.82	43% below	79%
New patient office visit, about 60 minutes CPT 99205 OFFICE/OUTPATIENT VISIT NEW L5	$189.42	$902.00	$459.12–$728.82	43% below	79%
New patient office visit, about 60 minutes CPT 99205 PLC OUTPT VISIT- NEW LVL5	$189.42	$902.00	$459.12–$728.82	43% below	79%
New patient office visit, about 60 minutes CPT 99205 CCP GEN NEW PT OV FNP L-5	$189.42	$902.00	$459.12–$728.82	43% below	79%
New patient office visit, about 60 minutes CPT 99205 OFFICE VISIT L5 NEW PT	$189.42	$902.00	$459.12–$728.82	43% below	79%
New patient office visit, about 60 minutes CPT 99205 OFFICE VISIT NEW-LVL 5	$189.42	$902.00	$459.12–$728.82	43% below	79%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC OP OFFICE VISIT NEW LVL2	$31.71	$151.00	$76.86–$122.01	64% below	79%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 PLC OUTPT VISIT-NEW LVL 2	$31.71	$151.00	$76.86–$122.01	64% below	79%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC OUTPT CLINIC VST NEW LVL2	$31.71	$151.00	$76.86–$122.01	64% below	79%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC OFFICE VISIT LVL 2 NEW RES	$31.71	$151.00	$76.86–$122.01	64% below	79%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC OP INITL OB VISIT NEW LEVL2	$31.71	$151.00	$76.86–$122.01	64% below	79%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFF/OP VISIT NEW L2-FAC	$31.71	$151.00	$76.86–$122.01	64% below	79%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC OUTPT CLINIC VISIT NEW LVL2	$31.71	$151.00	$76.86–$122.01	64% below	79%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC OFF VISIT NEW PATIENT L2	$31.71	$151.00	$76.86–$122.01	64% below	79%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC OFFICE VISIT NEW LEVEL 2	$31.71	$151.00	$76.86–$122.01	64% below	79%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE VISIT NEW LEVEL 2	$31.71	$151.00	$76.86–$122.01	64% below	79%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFF/OP HOME VISIT NEW LVL 2	$31.71	$151.00	$76.86–$122.01	64% below	79%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 CC THORACIC ONC NEW PT FAC L2	$31.71	$151.00	$76.86–$122.01	64% below	79%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 WIC OFFICE VISIT NEW LVL 2 RES	$31.71	$151.00	$76.86–$122.01	64% below	79%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 MRMS NEW VISIT LEVEL 2-FAC	$31.71	$151.00	$76.86–$122.01	64% below	79%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC OP CLINIC VISIT NEW/EST L2	$31.71	$151.00	$76.86–$122.01	64% below	79%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 AMWELL OP VISIT NEW LEVEL 2	$31.71	$151.00	$76.86–$122.01	64% below	79%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 CC GENETICS NEW PT FAC L2	$31.71	$151.00	$76.86–$122.01	64% below	79%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 VWF OFFICE OUTPATIENT-NEW L2	$31.71	$151.00	$76.86–$122.01	64% below	79%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC OFFICE VISIT NEW LVL2	$31.71	$151.00	$76.86–$122.01	64% below	79%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 VSP OFF/OUTPT VISIT/NEW LVL 2	$64.05	$305.00	$155.24–$246.44	27% below	79%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 CARP OFFICE/OUTPT VISIT-NEW L2	$64.05	$305.00	$155.24–$246.44	27% below	79%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 PLC OUTPT VISIT- NEW LVL2	$64.05	$305.00	$155.24–$246.44	27% below	79%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE VISIT NEW-LVL 2	$64.05	$305.00	$155.24–$246.44	27% below	79%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 STRCT HRT NEW PT VISIT 2	$64.05	$305.00	$155.24–$246.44	27% below	79%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 WIC OFFICE VISIT NEW LVL 2	$64.05	$305.00	$155.24–$246.44	27% below	79%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 INFD OFF VISIT NEW PATIENT L2	$64.05	$305.00	$155.24–$246.44	27% below	79%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PATIENT VISIT L2	$64.05	$305.00	$155.24–$246.44	27% below	79%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC NEW PT OFFICE VISIT L2	$64.05	$305.00	$155.24–$246.44	27% below	79%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE/OUTPT VISIT NEW LVL 2	$64.05	$305.00	$155.24–$246.44	27% below	79%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE/OUTPT VISIT-NEW LEVEL 2	$64.05	$305.00	$155.24–$246.44	27% below	79%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 TSP OFF VISIT NEW PATIENT L2	$64.05	$305.00	$155.24–$246.44	27% below	79%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE/OUTPT VISIT NEW L2	$64.05	$305.00	$155.24–$246.44	27% below	79%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 RET NEW PATIENT LEVEL 2	$64.05	$305.00	$155.24–$246.44	27% below	79%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE/OUTPT VISIT-NEW LVL 2	$64.05	$305.00	$155.24–$246.44	27% below	79%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE VISIT L2 NEW	$64.05	$305.00	$155.24–$246.44	27% below	79%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 CCP GEN NEW PT OV FNP L-2	$64.05	$305.00	$155.24–$246.44	27% below	79%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OBPS OFF VISIT NEW PATIENT L2	$64.05	$305.00	$155.24–$246.44	27% below	79%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFF/OP VISIT NEW LVL 2	$64.05	$305.00	$155.24–$246.44	27% below	79%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PATIENT OFFICE VISIT L2	$64.05	$305.00	$155.24–$246.44	27% below	79%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 DES OV NEW LEVEL 2-GLOBAL	$64.05	$305.00	$155.24–$246.44	27% below	79%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE/OUTPATIENT VISIT NEW L2	$64.05	$305.00	$155.24–$246.44	27% below	79%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OFFICE VISIT NEW-LVL 2	$64.05	$305.00	$198.25–$227.53	—	79%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 PLC OUTPT VISIT- NEW LVL2	$64.05	$305.00	$198.25–$227.53	—	79%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC MEDICAL NUTR THERAPY INIT	$16.80	$80.00	$40.72–$64.64	63% below	79%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC MNT INIT INDIV W/BC EA 15M	$16.80	$80.00	$40.72–$64.64	63% below	79%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HC MNT INIT INDIV W/BC EA 15M	$16.80	$80.00	$52.00–$59.68	—	79%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HC MEDICAL NUTR THERAPY INIT	$16.80	$80.00	$52.00–$59.68	—	79%
Occupational therapy evaluation, low complexity CPT 97165 MROC OT EVAL LOW COMPLEXITY	$63.42	$302.00	$153.72–$244.02	72% below	79%
Occupational therapy evaluation, low complexity CPT 97165 MROC OT CO FEED EVAL LOW COMP	$63.42	$302.00	$153.72–$244.02	72% below	79%
Occupational therapy evaluation, low complexity CPT 97165 OT EVALUATION LOW COMPLEXITY	$63.42	$302.00	$153.72–$244.02	72% below	79%
Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVALUATION LOW COMPLEXITY	$63.42	$302.00	$196.30–$225.29	—	79%
Occupational therapy evaluation, low complexity inpatient CPT 97165 MROC OT EVAL LOW COMPLEXITY	$63.42	$302.00	$196.30–$225.29	—	79%
Occupational therapy evaluation, low complexity inpatient CPT 97165 MROC OT CO FEED EVAL LOW COMP	$63.42	$302.00	$196.30–$225.29	—	79%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC PT EVAL HIGH COMPLEXITY	$70.35	$335.00	$170.52–$270.68	75% below	79%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVALUATION HIGH COMPLEXITY	$70.35	$335.00	$170.52–$270.68	75% below	79%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 MROC PT EVAL HIGH COMPLEXITY	$70.35	$335.00	$170.52–$270.68	75% below	79%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC PHYS THR EVL HIGH CMPLX 45M	$70.35	$335.00	$170.52–$270.68	75% below	79%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC PT EVAL HIGH COMPLEXITY	$70.35	$335.00	$217.75–$249.91	—	79%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 MROC PT EVAL HIGH COMPLEXITY	$70.35	$335.00	$217.75–$249.91	—	79%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC PHYS THR EVL HIGH CMPLX 45M	$70.35	$335.00	$217.75–$249.91	—	79%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVALUATION HIGH COMPLEXITY	$70.35	$335.00	$217.75–$249.91	—	79%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVALUATION LOW COMPLEXITY	$52.92	$252.00	$128.27–$203.62	76% below	79%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 MROC PT EVAL LOW COMPLEXITY	$52.92	$252.00	$128.27–$203.62	76% below	79%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC PT EVAL LOW COMPLEXITY	$52.92	$252.00	$128.27–$203.62	76% below	79%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC PHYSL THR EVL LOW CMPLX 20M	$52.92	$252.00	$128.27–$203.62	76% below	79%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC PHYSL THR EVL LOW CMPLX 20M	$52.92	$252.00	$163.80–$187.99	—	79%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC PT EVAL LOW COMPLEXITY	$52.92	$252.00	$163.80–$187.99	—	79%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVALUATION LOW COMPLEXITY	$52.92	$252.00	$163.80–$187.99	—	79%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 MROC PT EVAL LOW COMPLEXITY	$52.92	$252.00	$163.80–$187.99	—	79%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC PT EVAL MOD COMPLEXITY	$65.52	$312.00	$158.81–$252.10	76% below	79%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC PHYSL THR EVL MOD CMPLX 30M	$65.52	$312.00	$158.81–$252.10	76% below	79%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 MROC PT EVAL MOD COMPLEXITY	$65.52	$312.00	$158.81–$252.10	76% below	79%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVALUATION MOD COMPLEXITY	$65.52	$312.00	$158.81–$252.10	76% below	79%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 MROC PT EVAL MOD COMPLEXITY	$65.52	$312.00	$202.80–$232.75	—	79%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC PHYSL THR EVL MOD CMPLX 30M	$65.52	$312.00	$202.80–$232.75	—	79%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVALUATION MOD COMPLEXITY	$65.52	$312.00	$202.80–$232.75	—	79%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC PT EVAL MOD COMPLEXITY	$65.52	$312.00	$202.80–$232.75	—	79%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC PT MANUAL THERAPY I UNIT	$26.25	$125.00	$63.62–$101.00	73% below	79%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT DECONGESTIVE THERAPY 1 UNIT	$26.25	$125.00	$63.62–$101.00	73% below	79%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT MANUAL THERAPY I UNIT	$26.25	$125.00	$63.62–$101.00	73% below	79%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PTA MANUAL THERAPY I UNIT	$26.25	$125.00	$63.62–$101.00	73% below	79%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 DECONGESTIVE THERAPY 1 UNIT	$26.25	$125.00	$63.62–$101.00	73% below	79%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MROC PT MANUAL THERAPY 1 UNIT	$26.25	$125.00	$63.62–$101.00	73% below	79%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PTA MROC PT MANUL THERPY 1 UNT	$26.25	$125.00	$63.62–$101.00	73% below	79%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT MANUAL THERAPY-1 UNIT	$26.25	$125.00	$63.62–$101.00	73% below	79%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PTA MANUAL THERAPY-1 UNIT	$26.25	$125.00	$63.62–$101.00	73% below	79%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OTA MANUAL THERAPY ASST UNITS	$26.25	$125.00	$63.62–$101.00	73% below	79%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT MANUAL THERPY EA 15M	$26.25	$125.00	$63.62–$101.00	73% below	79%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MYOFASCIAL RELEASE 1 UNIT	$26.25	$125.00	$63.62–$101.00	73% below	79%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 OT MANUAL THERPY EA 15M	$26.25	$125.00	$81.25–$93.25	—	79%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PTA MANUAL THERAPY I UNIT	$26.25	$125.00	$81.25–$93.25	—	79%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 OTA MANUAL THERAPY ASST UNITS	$26.25	$125.00	$81.25–$93.25	—	79%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PTA MANUAL THERAPY-1 UNIT	$26.25	$125.00	$81.25–$93.25	—	79%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC PT MANUAL THERAPY I UNIT	$26.25	$125.00	$81.25–$93.25	—	79%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT MANUAL THERAPY I UNIT	$26.25	$125.00	$81.25–$93.25	—	79%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT MANUAL THERAPY-1 UNIT	$26.25	$125.00	$81.25–$93.25	—	79%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PTA MROC PT MANUL THERPY 1 UNT	$26.25	$125.00	$81.25–$93.25	—	79%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MROC PT MANUAL THERAPY 1 UNIT	$26.25	$125.00	$81.25–$93.25	—	79%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 DECONGESTIVE THERAPY 1 UNIT	$26.25	$125.00	$81.25–$93.25	—	79%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MYOFASCIAL RELEASE 1 UNIT	$26.25	$125.00	$81.25–$93.25	—	79%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT DECONGESTIVE THERAPY 1 UNIT	$26.25	$125.00	$81.25–$93.25	—	79%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PTA THERAPEUTIC PROC 1UNIT	$19.95	$95.00	$48.36–$76.76	71% below	79%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC PROC	$19.95	$95.00	$48.36–$76.76	71% below	79%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PTA THERAPEUTIC PROC	$19.95	$95.00	$48.36–$76.76	71% below	79%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT THERAPEUTIC PROCEDURE 1UNIT	$19.95	$95.00	$48.36–$76.76	71% below	79%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OTA THERAPEUTC PROCEDUR 1UNIT	$19.95	$95.00	$48.36–$76.76	71% below	79%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC PROCED	$19.95	$95.00	$48.36–$76.76	71% below	79%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OTA THERAPEUTIC PROCED	$19.95	$95.00	$48.36–$76.76	71% below	79%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 SP THER PROC 15 MIN EXERC(S)	$19.95	$95.00	$48.36–$76.76	71% below	79%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC PT THERAPEUTIC PROC 1UNIT	$19.95	$95.00	$48.36–$76.76	71% below	79%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT THERAPEUTIC PROC 1UNIT	$19.95	$95.00	$48.36–$76.76	71% below	79%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC PT THERAPEUTIC PROC 1UNIT	$19.95	$95.00	$61.75–$70.87	—	79%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PTA THERAPEUTIC PROC 1UNIT	$19.95	$95.00	$61.75–$70.87	—	79%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PTA THERAPEUTIC PROC	$19.95	$95.00	$61.75–$70.87	—	79%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT THERAPEUTIC PROCEDURE 1UNIT	$19.95	$95.00	$61.75–$70.87	—	79%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OTA THERAPEUTC PROCEDUR 1UNIT	$19.95	$95.00	$61.75–$70.87	—	79%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC PROCED	$19.95	$95.00	$61.75–$70.87	—	79%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 SP THER PROC 15 MIN EXERC(S)	$19.95	$95.00	$61.75–$70.87	—	79%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OTA THERAPEUTIC PROCED	$19.95	$95.00	$61.75–$70.87	—	79%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT THERAPEUTIC PROC 1UNIT	$19.95	$95.00	$61.75–$70.87	—	79%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC PROC	$19.95	$95.00	$61.75–$70.87	—	79%
Preventive checkup, new patient aged 18–39 CPT 99385 HC INT PRVNT VST NEW PT 18-39Y	$26.25	$125.00	$63.62–$101.00	82% below	79%
Preventive checkup, new patient aged 18–39 CPT 99385 FP WELL CARE 18-39 YRS NEW-RES	$30.24	$144.00	$73.30–$116.35	79% below	79%
Preventive checkup, new patient aged 18–39 CPT 99385 HC INT PREVMED NEW 18-39YR	$30.24	$144.00	$73.30–$116.35	79% below	79%
Preventive checkup, new patient aged 18–39 CPT 99385 HC PREVENTIVE VIST NEW-18-39YR	$30.24	$144.00	$73.30–$116.35	79% below	79%
Preventive checkup, new patient aged 18–39 CPT 99385 HC INT PRVNT MD NEW PT 18-39YR	$30.24	$144.00	$73.30–$116.35	79% below	79%
Preventive checkup, new patient aged 18–39 CPT 99385 HC PREVENT VISIT NEW 18-39YR	$30.24	$144.00	$73.30–$116.35	79% below	79%
Preventive checkup, new patient aged 18–39 CPT 99385 NHI HC PREV VISIT NEW 18-39	$30.24	$144.00	$73.30–$116.35	79% below	79%
Preventive checkup, new patient aged 18–39 CPT 99385 NEW PREVENTIVE VST/PELV 18-39	$30.24	$144.00	$73.30–$116.35	79% below	79%
Preventive checkup, new patient aged 18–39 CPT 99385 NEW PREVENTIVE VST/PAP 18-39	$30.24	$144.00	$73.30–$116.35	79% below	79%
Preventive checkup, new patient aged 18–39 CPT 99385 NEW PREVENTIVE/PAP/PELV 18-39	$30.24	$144.00	$73.30–$116.35	79% below	79%
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 HC INT PREVMED NEW 18-39YR	$30.24	$144.00	$93.60–$107.42	—	79%
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 HC PREVENTIVE VIST NEW-18-39YR	$30.24	$144.00	$93.60–$107.42	—	79%
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 HC INT PRVNT MD NEW PT 18-39YR	$30.24	$144.00	$93.60–$107.42	—	79%
Preventive checkup, new patient aged 40–64 CPT 99386 HC PREVENTIVE VIST NEW-40-64YR	$31.71	$151.00	$76.86–$122.01	82% below	79%
Preventive checkup, new patient aged 40–64 CPT 99386 HC INT PRVNT VST NEW PT 40-64Y	$31.71	$151.00	$76.86–$122.01	82% below	79%
Preventive checkup, new patient aged 40–64 CPT 99386 HC WELL CARE 40-64 YRS NEW	$36.54	$174.00	$88.57–$140.59	79% below	79%
Preventive checkup, new patient aged 40–64 CPT 99386 NEW PREVENTIVE VST/PELV 40-64	$36.54	$174.00	$88.57–$140.59	79% below	79%
Preventive checkup, new patient aged 40–64 CPT 99386 NEW PREVENTIVE VST/PAP 40-64	$36.54	$174.00	$88.57–$140.59	79% below	79%
Preventive checkup, new patient aged 40–64 CPT 99386 FP WELL CARE 40-64 YRS NEW-RES	$36.54	$174.00	$88.57–$140.59	79% below	79%
Preventive checkup, new patient aged 40–64 CPT 99386 HC PREVENT VISIT NEW-40-64 YR	$36.54	$174.00	$88.57–$140.59	79% below	79%
Preventive checkup, new patient aged 40–64 CPT 99386 NHI HC PREV VISIT NEW 40-64	$36.54	$174.00	$88.57–$140.59	79% below	79%
Preventive checkup, new patient aged 40–64 CPT 99386 NEW PREVENTIVE/DRE 40-64	$36.54	$174.00	$88.57–$140.59	79% below	79%
Preventive checkup, new patient aged 40–64 CPT 99386 NEW PREVENTIVE/PAP/PELV 40-64	$36.54	$174.00	$88.57–$140.59	79% below	79%
Preventive checkup, new patient aged 40–64 CPT 99386 HC INT PREVMED NEW 40-64YR	$36.54	$174.00	$88.57–$140.59	79% below	79%
Preventive checkup, new patient aged 40–64 CPT 99386 HC INT PRVNT MD NEW PT 40-64YR	$36.54	$174.00	$88.57–$140.59	79% below	79%
Preventive checkup, new patient aged 40–64 inpatient CPT 99386 HC PREVENTIVE VIST NEW-40-64YR	$31.71	$151.00	$98.15–$112.65	—	79%
Preventive checkup, new patient aged 40–64 inpatient CPT 99386 HC INT PRVNT MD NEW PT 40-64YR	$36.54	$174.00	$113.10–$129.80	—	79%
Preventive checkup, new patient aged 40–64 inpatient CPT 99386 HC INT PREVMED NEW 40-64YR	$36.54	$174.00	$113.10–$129.80	—	79%
Preventive checkup, new patient aged 65 or older CPT 99387 HC INT PRVNT VST NEW PT 60+YR	$34.23	$163.00	$82.97–$131.70	72% below	79%
Preventive checkup, new patient aged 65 or older CPT 99387 HC INT PRVNT MD NEW PT >65YR	$39.27	$187.00	$95.18–$151.10	67% below	79%
Preventive checkup, new patient aged 65 or older CPT 99387 HC PREVENT VISIT NEW-65+YR	$39.27	$187.00	$95.18–$151.10	67% below	79%
Preventive checkup, new patient aged 65 or older CPT 99387 NHI HC PREV VISIT NEW 65&OVER	$39.27	$187.00	$95.18–$151.10	67% below	79%
Preventive checkup, new patient aged 65 or older CPT 99387 NEW PREVENTIVE VST/PELV 65+	$39.27	$187.00	$95.18–$151.10	67% below	79%
Preventive checkup, new patient aged 65 or older CPT 99387 NEW PREVENTIVE VST/PAP 65+	$39.27	$187.00	$95.18–$151.10	67% below	79%
Preventive checkup, new patient aged 65 or older CPT 99387 NEW PREVENTIVE/PAP/PELV 65+	$39.27	$187.00	$95.18–$151.10	67% below	79%
Preventive checkup, new patient aged 65 or older CPT 99387 NEW PREVENTIVE/DRE 65+	$39.27	$187.00	$95.18–$151.10	67% below	79%
Preventive checkup, new patient aged 65 or older CPT 99387 FP WELL CARE 65 YRS > NEW-RES	$39.27	$187.00	$95.18–$151.10	67% below	79%
Preventive checkup, new patient aged 65 or older CPT 99387 HC PREVENTIVE VISIT NEW-65+YR	$39.27	$187.00	$95.18–$151.10	67% below	79%
Preventive checkup, new patient aged 65 or older CPT 99387 HC INT PREV MED NEW 65YR&>	$39.27	$187.00	$95.18–$151.10	67% below	79%
Preventive checkup, new patient aged 65 or older inpatient CPT 99387 HC INT PREV MED NEW 65YR&>	$39.27	$187.00	$121.55–$139.50	—	79%
Preventive checkup, new patient aged 65 or older inpatient CPT 99387 HC PREVENTIVE VISIT NEW-65+YR	$39.27	$187.00	$121.55–$139.50	—	79%
Preventive checkup, new patient aged 65 or older inpatient CPT 99387 HC INT PRVNT MD NEW PT >65YR	$39.27	$187.00	$121.55–$139.50	—	79%
Preventive checkup, returning patient aged 18–39 CPT 99395 HC PREVENT VISIT EST 18-39YR	$21.84	$104.00	$52.94–$84.03	81% below	79%
Preventive checkup, returning patient aged 18–39 CPT 99395 HC PREVENT VISIT EST/18-39 YR	$25.20	$120.00	$61.08–$96.96	78% below	79%
Preventive checkup, returning patient aged 18–39 CPT 99395 HC PRD PRVNT MD EST PT 18-39YR	$25.20	$120.00	$61.08–$96.96	78% below	79%
Preventive checkup, returning patient aged 18–39 CPT 99395 FP WELL CARE 18-39 YRS EST-RES	$25.20	$120.00	$61.08–$96.96	78% below	79%
Preventive checkup, returning patient aged 18–39 CPT 99395 ESTB PREVENTIVE/PAP/PELV 18-39	$25.20	$120.00	$61.08–$96.96	78% below	79%
Preventive checkup, returning patient aged 18–39 CPT 99395 ESTB PREVENTIVE VST/PAP 18-39	$25.20	$120.00	$61.08–$96.96	78% below	79%
Preventive checkup, returning patient aged 18–39 CPT 99395 ESTB PREVENTIVE VST/PELV 18-39	$25.20	$120.00	$61.08–$96.96	78% below	79%
Preventive checkup, returning patient aged 18–39 CPT 99395 PREVENTIVE VISIT ESTB/18-39 YR	$25.20	$120.00	$61.08–$96.96	78% below	79%
Preventive checkup, returning patient aged 18–39 CPT 99395 HC PREVENTIVE VISIT EST 18-39Y	$25.20	$120.00	$61.08–$96.96	78% below	79%
Preventive checkup, returning patient aged 18–39 CPT 99395 NHI PREV VISIT EST 18-39	$25.20	$120.00	$61.08–$96.96	78% below	79%
Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 HC PRD PRVNT MD EST PT 18-39YR	$25.20	$120.00	$78.00–$89.52	—	79%
Preventive checkup, returning patient aged 40–64 CPT 99396 HC PREVENT VISIT EST 40-64YR	$23.73	$113.00	$57.52–$91.30	79% below	79%
Preventive checkup, returning patient aged 40–64 CPT 99396 HC PREVENT VISIT EST/40-64 YR	$27.30	$130.00	$66.17–$105.04	76% below	79%
Preventive checkup, returning patient aged 40–64 CPT 99396 FP WELL CARE 40-64 YRS EST-RES	$27.30	$130.00	$66.17–$105.04	76% below	79%
Preventive checkup, returning patient aged 40–64 CPT 99396 ESTB PREVENTIVE/DRE 40-64	$27.30	$130.00	$66.17–$105.04	76% below	79%
Preventive checkup, returning patient aged 40–64 CPT 99396 ESTB PREVENTIVE/PAP/PELV 40-64	$27.30	$130.00	$66.17–$105.04	76% below	79%
Preventive checkup, returning patient aged 40–64 CPT 99396 ESTB PREVENTIVE VST/PAP 40-64	$27.30	$130.00	$66.17–$105.04	76% below	79%
Preventive checkup, returning patient aged 40–64 CPT 99396 ESTB PREVENTIVE VST/PELV 40-64	$27.30	$130.00	$66.17–$105.04	76% below	79%
Preventive checkup, returning patient aged 40–64 CPT 99396 NBR PREV VIS EST 40-64	$27.30	$130.00	$66.17–$105.04	76% below	79%
Preventive checkup, returning patient aged 40–64 CPT 99396 PREVENTIVE VISIT ESTB/40-64 YR	$27.30	$130.00	$66.17–$105.04	76% below	79%
Preventive checkup, returning patient aged 40–64 CPT 99396 PREV VISIT ESTAB 40-64YR W/PAP	$27.30	$130.00	$66.17–$105.04	76% below	79%
Preventive checkup, returning patient aged 40–64 CPT 99396 FP WELL CARE 40-64 YRS EST-FAC	$27.30	$130.00	$66.17–$105.04	76% below	79%
Preventive checkup, returning patient aged 40–64 CPT 99396 HC PREVENTIVE VISIT EST 40-64Y	$27.30	$130.00	$66.17–$105.04	76% below	79%
Preventive checkup, returning patient aged 40–64 CPT 99396 NHI PREV VISIT EST 40-64	$27.30	$130.00	$66.17–$105.04	76% below	79%
Preventive checkup, returning patient aged 65 or older CPT 99397 FP WELL CARE 65 YRS > EST-RES	$28.56	$136.00	$69.22–$109.89	81% below	79%
Preventive checkup, returning patient aged 65 or older CPT 99397 HC PREVENT VISIT EST 65+YR	$28.56	$136.00	$69.22–$109.89	81% below	79%
Preventive checkup, returning patient aged 65 or older CPT 99397 NHI PREV VISIT EST 65+	$28.56	$136.00	$69.22–$109.89	81% below	79%
Preventive checkup, returning patient aged 65 or older CPT 99397 FP WELL CARE 65 YRS > EST-FAC	$28.56	$136.00	$69.22–$109.89	81% below	79%
Preventive checkup, returning patient aged 65 or older CPT 99397 HC PREV VISIT ESTAB 65+YR	$28.56	$136.00	$69.22–$109.89	81% below	79%
Preventive checkup, returning patient aged 65 or older CPT 99397 PREV VST EST 65+YR	$28.56	$136.00	$69.22–$109.89	81% below	79%
Preventive checkup, returning patient aged 65 or older CPT 99397 EST PREVENTIVE VST/PELV 65+	$28.56	$136.00	$69.22–$109.89	81% below	79%
Preventive checkup, returning patient aged 65 or older CPT 99397 EST PREVENTIVE VST/PAP 65+	$28.56	$136.00	$69.22–$109.89	81% below	79%
Preventive checkup, returning patient aged 65 or older CPT 99397 EST PREVENTIVE/PAP/PELV 65+	$28.56	$136.00	$69.22–$109.89	81% below	79%
Preventive checkup, returning patient aged 65 or older CPT 99397 HC PER PREVMED EST 65Y&OLD	$28.56	$136.00	$69.22–$109.89	81% below	79%
Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 HC PER PREVMED EST 65Y&OLD	$28.56	$136.00	$88.40–$101.46	—	79%
Psychiatric evaluation with medical services CPT 90792 PSYCH DIAG EVAL W/E&M	$107.73	$513.00	$261.12–$414.50	52% below	79%
Psychiatric evaluation with medical services CPT 90792 PSYCH DIAG EVAL W/E&M-TM	$107.73	$513.00	$261.12–$414.50	52% below	79%
Psychiatric evaluation with medical services CPT 90792 HC PSYCH DIAG EVAL W/E&M	$107.73	$513.00	$261.12–$414.50	52% below	79%
Psychiatric evaluation with medical services CPT 90792 BH PSYCH DIAG EVAL W MED SERV	$107.73	$513.00	$261.12–$414.50	52% below	79%
Psychiatric evaluation with medical services CPT 90792 HC PSYCH DIAG EVAL W/MED SRVCS	$107.73	$513.00	$261.12–$414.50	52% below	79%
Psychiatric evaluation with medical services CPT 90792 PSYCH DIAG EVAL W/EM	$107.73	$513.00	$261.12–$414.50	52% below	79%
Psychiatric evaluation with medical services CPT 90792 PSYCH DX EVAL W/ E&M-FACILITY	$129.36	$616.00	$313.54–$497.73	43% below	79%
Psychiatric evaluation with medical services CPT 90792 PSYCH DIAG EVL W/EM	$194.88	$928.00	$472.35–$749.82	14% below	79%
Psychiatric evaluation with medical services inpatient CPT 90792 PSYCH DIAG EVAL W/E&M	$107.73	$513.00	$333.45–$382.70	—	79%
Psychiatric evaluation with medical services inpatient CPT 90792 PSYCH DIAG EVAL W/EM	$107.73	$513.00	$333.45–$382.70	—	79%
Psychiatric evaluation with medical services inpatient CPT 90792 HC PSYCH DIAG EVAL W/MED SRVCS	$107.73	$513.00	$333.45–$382.70	—	79%
Psychiatric evaluation with medical services inpatient CPT 90792 BH PSYCH DIAG EVAL W MED SERV	$107.73	$513.00	$333.45–$382.70	—	79%
Psychiatric evaluation with medical services inpatient CPT 90792 HC PSYCH DIAG EVAL W/E&M	$107.73	$513.00	$333.45–$382.70	—	79%
Psychiatric evaluation with medical services inpatient CPT 90792 PSYCH DIAG EVAL W/E&M-TM	$107.73	$513.00	$333.45–$382.70	—	79%
Psychiatric evaluation with medical services inpatient CPT 90792 PSYCH DX EVAL W/ E&M-FACILITY	$129.36	$616.00	$400.40–$459.54	—	79%
Psychiatric evaluation with medical services inpatient CPT 90792 PSYCH DIAG EVL W/EM	$194.88	$928.00	$603.20–$692.29	—	79%
Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 PSYCL TST EVAL PHY 1ST HR	$141.33	$673.00	$342.56–$543.78	4% below	79%
Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 HC PSYCH TEST EVAL 1ST HR	$141.33	$673.00	$342.56–$543.78	4% below	79%
Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 HC PSYCH TEST EVL 1ST HR	$141.33	$673.00	$342.56–$543.78	4% below	79%
Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 PSYCL TST EVAL PHY 1ST HR-OFC	$194.67	$927.00	$471.84–$749.02	32% above	79%
Psychological testing evaluation by a psychologist or physician, first hour inpatient CPT 96130 HC PSYCH TEST EVAL 1ST HR	$141.33	$673.00	$437.45–$502.06	—	79%
Psychological testing evaluation by a psychologist or physician, first hour inpatient CPT 96130 HC PSYCH TEST EVL 1ST HR	$141.33	$673.00	$437.45–$502.06	—	79%
Psychological testing evaluation by a psychologist or physician, first hour inpatient CPT 96130 PSYCL TST EVAL PHY 1ST HR	$141.33	$673.00	$437.45–$502.06	—	79%
Psychological testing evaluation by a psychologist or physician, first hour inpatient CPT 96130 PSYCL TST EVAL PHY 1ST HR-OFC	$194.67	$927.00	$602.55–$691.54	—	79%
Psychotherapy for crisis, first 60 minutes CPT 90839 HC PSYTX CRISIS INIT 60MIN	$78.75	$375.00	$190.88–$303.00	72% below	79%
Psychotherapy for crisis, first 60 minutes CPT 90839 HC PSYTX CRISIS INITIAL 60MIN	$78.75	$375.00	$190.88–$303.00	72% below	79%
Psychotherapy for crisis, first 60 minutes CPT 90839 PSYTX CRISIS INITIAL 60MIN	$141.33	$673.00	$342.56–$543.78	49% below	79%
Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 HC PSYTX CRISIS INITIAL 60MIN	$78.75	$375.00	$243.75–$279.75	—	79%
Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 HC PSYTX CRISIS INIT 60MIN	$78.75	$375.00	$243.75–$279.75	—	79%
Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 PSYTX CRISIS INITIAL 60MIN	$141.33	$673.00	$437.45–$502.06	—	79%
Psychotherapy session, 30 minutes CPT 90832 PSYTX PT&/FAMILY 30 MIN	$47.04	$224.00	$114.02–$180.99	65% below	79%
Psychotherapy session, 30 minutes CPT 90832 HC PSYCH THERAPY 30MIN	$47.04	$224.00	$114.02–$180.99	65% below	79%
Psychotherapy session, 30 minutes CPT 90832 HC PSYTX W PT 30 MINUTES	$47.04	$224.00	$114.02–$180.99	65% below	79%
Psychotherapy session, 30 minutes CPT 90832 PSYCH THERAPY 30 MIN	$47.04	$224.00	$114.02–$180.99	65% below	79%
Psychotherapy session, 30 minutes CPT 90832 PSP PSYTX PT 30 MIN	$47.04	$224.00	$114.02–$180.99	65% below	79%
Psychotherapy session, 30 minutes CPT 90832 HC PSYCHOTHERAPY W/PATIENT 30M	$47.04	$224.00	$114.02–$180.99	65% below	79%
Psychotherapy session, 30 minutes CPT 90832 HC PSYCHOTHERAPY W/PT 30MIN	$47.04	$224.00	$114.02–$180.99	65% below	79%
Psychotherapy session, 30 minutes CPT 90832 HC PSYTX PT&/FAMILY 30MIN	$47.04	$224.00	$114.02–$180.99	65% below	79%
Psychotherapy session, 30 minutes CPT 90832 BH PSYCH THERAPY 30 MIN	$47.04	$224.00	$114.02–$180.99	65% below	79%
Psychotherapy session, 30 minutes CPT 90832 MRE HC NSY PSYTX PT&/FAM 30M	$47.04	$224.00	$114.02–$180.99	65% below	79%
Psychotherapy session, 30 minutes CPT 90832 MROC PSYTX PT&/FAMILY 30 MIN	$47.04	$224.00	$114.02–$180.99	65% below	79%
Psychotherapy session, 30 minutes CPT 90832 HC BH PSYCHOTHER W/PT 30M	$47.04	$224.00	$114.02–$180.99	65% below	79%
Psychotherapy session, 30 minutes CPT 90832 MRBM PSYTX PT&/FAMILY 30 MIN	$80.64	$384.00	$195.46–$310.27	40% below	79%
Psychotherapy session, 30 minutes inpatient CPT 90832 HC PSYCHOTHERAPY W/PATIENT 30M	$47.04	$224.00	$145.60–$167.10	—	79%
Psychotherapy session, 30 minutes inpatient CPT 90832 HC PSYCHOTHERAPY W/PT 30MIN	$47.04	$224.00	$145.60–$167.10	—	79%
Psychotherapy session, 30 minutes inpatient CPT 90832 HC BH PSYCHOTHER W/PT 30M	$47.04	$224.00	$145.60–$167.10	—	79%
Psychotherapy session, 30 minutes inpatient CPT 90832 HC PSYTX PT&/FAMILY 30MIN	$47.04	$224.00	$145.60–$167.10	—	79%
Psychotherapy session, 30 minutes inpatient CPT 90832 BH PSYCH THERAPY 30 MIN	$47.04	$224.00	$145.60–$167.10	—	79%
Psychotherapy session, 30 minutes inpatient CPT 90832 PSYTX PT&/FAMILY 30 MIN	$47.04	$224.00	$145.60–$167.10	—	79%
Psychotherapy session, 30 minutes inpatient CPT 90832 MROC PSYTX PT&/FAMILY 30 MIN	$47.04	$224.00	$145.60–$167.10	—	79%
Psychotherapy session, 30 minutes inpatient CPT 90832 PSP PSYTX PT 30 MIN	$47.04	$224.00	$145.60–$167.10	—	79%
Psychotherapy session, 30 minutes inpatient CPT 90832 PSYCH THERAPY 30 MIN	$47.04	$224.00	$145.60–$167.10	—	79%
Psychotherapy session, 30 minutes inpatient CPT 90832 MRE HC NSY PSYTX PT&/FAM 30M	$47.04	$224.00	$145.60–$167.10	—	79%
Psychotherapy session, 30 minutes inpatient CPT 90832 HC PSYTX W PT 30 MINUTES	$47.04	$224.00	$145.60–$167.10	—	79%
Psychotherapy session, 30 minutes inpatient CPT 90832 HC PSYCH THERAPY 30MIN	$47.04	$224.00	$145.60–$167.10	—	79%
Psychotherapy session, 30 minutes inpatient CPT 90832 MRBM PSYTX PT&/FAMILY 30 MIN	$80.64	$384.00	$249.60–$286.46	—	79%
Psychotherapy session, 45 minutes CPT 90834 HC PSYCHOTHERAPY W/PT 45MIN	$61.95	$295.00	$150.16–$238.36	64% below	79%
Psychotherapy session, 45 minutes CPT 90834 MROC PSYTX PT&/FAMILY 45 MIN	$61.95	$295.00	$150.16–$238.36	64% below	79%
Psychotherapy session, 45 minutes CPT 90834 MRE HC NSY PSYTX PT&/FAM 45M	$61.95	$295.00	$150.16–$238.36	64% below	79%
Psychotherapy session, 45 minutes CPT 90834 BH PSYCH THERAPY 45 MIN	$61.95	$295.00	$150.16–$238.36	64% below	79%
Psychotherapy session, 45 minutes CPT 90834 PSYTX W PT 45 MINUTES-FACILITY	$61.95	$295.00	$150.16–$238.36	64% below	79%
Psychotherapy session, 45 minutes CPT 90834 HC PSYCHOTHERAPY W/PATIENT 45M	$61.95	$295.00	$150.16–$238.36	64% below	79%
Psychotherapy session, 45 minutes CPT 90834 PSP PSYTX PT 45 MIN	$61.95	$295.00	$150.16–$238.36	64% below	79%
Psychotherapy session, 45 minutes CPT 90834 PSYCH THERAPY 45 MIN	$61.95	$295.00	$150.16–$238.36	64% below	79%
Psychotherapy session, 45 minutes CPT 90834 HC PSYCH THERAPY 45MIN	$61.95	$295.00	$150.16–$238.36	64% below	79%
Psychotherapy session, 45 minutes CPT 90834 HC BH PSYCHOTHER W/PT 45M	$61.95	$295.00	$150.16–$238.36	64% below	79%
Psychotherapy session, 45 minutes CPT 90834 MRBM PSYTX PT&/FAMILY 45 MIN	$107.94	$514.00	$261.63–$415.31	38% below	79%
Psychotherapy session, 45 minutes inpatient CPT 90834 BH PSYCH THERAPY 45 MIN	$61.95	$295.00	$191.75–$220.07	—	79%
Psychotherapy session, 45 minutes inpatient CPT 90834 HC PSYCHOTHERAPY W/PATIENT 45M	$61.95	$295.00	$191.75–$220.07	—	79%
Psychotherapy session, 45 minutes inpatient CPT 90834 HC PSYCHOTHERAPY W/PT 45MIN	$61.95	$295.00	$191.75–$220.07	—	79%
Psychotherapy session, 45 minutes inpatient CPT 90834 PSP PSYTX PT 45 MIN	$61.95	$295.00	$191.75–$220.07	—	79%
Psychotherapy session, 45 minutes inpatient CPT 90834 PSYCH THERAPY 45 MIN	$61.95	$295.00	$191.75–$220.07	—	79%
Psychotherapy session, 45 minutes inpatient CPT 90834 HC BH PSYCHOTHER W/PT 45M	$61.95	$295.00	$191.75–$220.07	—	79%
Psychotherapy session, 45 minutes inpatient CPT 90834 HC PSYCH THERAPY 45MIN	$61.95	$295.00	$191.75–$220.07	—	79%
Psychotherapy session, 45 minutes inpatient CPT 90834 PSYTX W PT 45 MINUTES-FACILITY	$61.95	$295.00	$191.75–$220.07	—	79%
Psychotherapy session, 45 minutes inpatient CPT 90834 MRE HC NSY PSYTX PT&/FAM 45M	$61.95	$295.00	$191.75–$220.07	—	79%
Psychotherapy session, 45 minutes inpatient CPT 90834 MROC PSYTX PT&/FAMILY 45 MIN	$61.95	$295.00	$191.75–$220.07	—	79%
Psychotherapy session, 45 minutes inpatient CPT 90834 MRBM PSYTX PT&/FAMILY 45 MIN	$107.94	$514.00	$334.10–$383.44	—	79%
Psychotherapy session, 60 minutes CPT 90837 PSYTX W PT 60 MINUTES-FACILITY	$76.86	$366.00	$186.29–$295.73	55% below	79%
Psychotherapy session, 60 minutes CPT 90837 HC PSYCHOTHERAPY W/PATIENT 60M	$76.86	$366.00	$186.29–$295.73	55% below	79%
Psychotherapy session, 60 minutes CPT 90837 PSP PSYTX PT 60 MIN	$76.86	$366.00	$186.29–$295.73	55% below	79%
Psychotherapy session, 60 minutes CPT 90837 PSYCH THERAPY 60 MIN	$76.86	$366.00	$186.29–$295.73	55% below	79%
Psychotherapy session, 60 minutes CPT 90837 HC PSYCH THERAPY 60MIN	$76.86	$366.00	$186.29–$295.73	55% below	79%
Psychotherapy session, 60 minutes CPT 90837 BH PSYCH THERAPY 60 MIN	$76.86	$366.00	$186.29–$295.73	55% below	79%
Psychotherapy session, 60 minutes CPT 90837 MRE HC NSY PSYTX PT&/FAM 60M	$76.86	$366.00	$186.29–$295.73	55% below	79%
Psychotherapy session, 60 minutes CPT 90837 MROC PSYTX PT&/FAMILY 60 MIN	$76.86	$366.00	$186.29–$295.73	55% below	79%
Psychotherapy session, 60 minutes CPT 90837 HC BH PSYCHOTHER W/PT 60M	$76.86	$366.00	$186.29–$295.73	55% below	79%
Psychotherapy session, 60 minutes CPT 90837 HC PSYCHOTHERAPY W/PT 60MIN	$76.86	$366.00	$186.29–$295.73	55% below	79%
Psychotherapy session, 60 minutes CPT 90837 MRBM PSYTX PT&/FAMILY 60 MIN	$145.74	$694.00	$353.25–$560.75	14% below	79%
Psychotherapy session, 60 minutes inpatient CPT 90837 PSP PSYTX PT 60 MIN	$76.86	$366.00	$237.90–$273.04	—	79%
Psychotherapy session, 60 minutes inpatient CPT 90837 HC BH PSYCHOTHER W/PT 60M	$76.86	$366.00	$237.90–$273.04	—	79%
Psychotherapy session, 60 minutes inpatient CPT 90837 MROC PSYTX PT&/FAMILY 60 MIN	$76.86	$366.00	$237.90–$273.04	—	79%
Psychotherapy session, 60 minutes inpatient CPT 90837 MRE HC NSY PSYTX PT&/FAM 60M	$76.86	$366.00	$237.90–$273.04	—	79%
Psychotherapy session, 60 minutes inpatient CPT 90837 BH PSYCH THERAPY 60 MIN	$76.86	$366.00	$237.90–$273.04	—	79%
Psychotherapy session, 60 minutes inpatient CPT 90837 PSYTX W PT 60 MINUTES-FACILITY	$76.86	$366.00	$237.90–$273.04	—	79%
Psychotherapy session, 60 minutes inpatient CPT 90837 HC PSYCHOTHERAPY W/PT 60MIN	$76.86	$366.00	$237.90–$273.04	—	79%
Psychotherapy session, 60 minutes inpatient CPT 90837 HC PSYCHOTHERAPY W/PATIENT 60M	$76.86	$366.00	$237.90–$273.04	—	79%
Psychotherapy session, 60 minutes inpatient CPT 90837 PSYCH THERAPY 60 MIN	$76.86	$366.00	$237.90–$273.04	—	79%
Psychotherapy session, 60 minutes inpatient CPT 90837 HC PSYCH THERAPY 60MIN	$76.86	$366.00	$237.90–$273.04	—	79%
Psychotherapy session, 60 minutes inpatient CPT 90837 MRBM PSYTX PT&/FAMILY 60 MIN	$145.74	$694.00	$451.10–$517.72	—	79%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 HC SMOKE/TOBACCO CESS>3/<10M	$9.03	$43.00	$21.89–$34.74	64% below	79%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 HC SMOKE-TOB CES COUN 3-10MIN	$9.03	$43.00	$21.89–$34.74	64% below	79%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 HC SMOKG/TOB CESS INTS>3/<10MN	$9.03	$43.00	$21.89–$34.74	64% below	79%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKE-TOB CES COUN 3-10MIN	$10.29	$49.00	$24.94–$39.59	59% below	79%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 RT BEHAV CHNG SMOKING 3-10 MIN	$10.29	$49.00	$24.94–$39.59	59% below	79%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 TOB CESS COUNSL 3-10MIN RES	$10.29	$49.00	$24.94–$39.59	59% below	79%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKE-TOB CES COUN 3-10MIN FAC	$10.29	$49.00	$24.94–$39.59	59% below	79%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKE-TOB CES COUN 3-10MIN RES	$10.29	$49.00	$24.94–$39.59	59% below	79%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 BEHAV CHNG SMOKING 3-10 MIN	$16.17	$77.00	$39.19–$62.22	35% below	79%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKE/TOBACCO COUNSEL 3-10 MIN	$18.06	$86.00	$43.77–$69.49	27% below	79%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKE-TOB CES COUN 3-10MN	$18.06	$86.00	$43.77–$69.49	27% below	79%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 BEHAV CHNG SMOKE 3-10 MIN-OFC	$18.06	$86.00	$43.77–$69.49	27% below	79%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKING CESS CNSL 3-10MIN	$18.06	$86.00	$43.77–$69.49	27% below	79%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 HC SMOKE-TOB CES COUN 3-10MIN	$9.03	$43.00	$27.95–$32.08	—	79%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 HC SMOKG/TOB CESS INTS>3/<10MN	$9.03	$43.00	$27.95–$32.08	—	79%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 HC SMOKE/TOBACCO CESS>3/<10M	$9.03	$43.00	$27.95–$32.08	—	79%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 TOB CESS COUNSL 3-10MIN RES	$10.29	$49.00	$31.85–$36.55	—	79%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 SMOKE-TOB CES COUN 3-10MIN	$10.29	$49.00	$31.85–$36.55	—	79%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 RT BEHAV CHNG SMOKING 3-10 MIN	$10.29	$49.00	$31.85–$36.55	—	79%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 SMOKE-TOB CES COUN 3-10MIN RES	$10.29	$49.00	$31.85–$36.55	—	79%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 SMOKE-TOB CES COUN 3-10MIN FAC	$10.29	$49.00	$31.85–$36.55	—	79%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 BEHAV CHNG SMOKING 3-10 MIN	$16.17	$77.00	$50.05–$57.44	—	79%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 SMOKE/TOBACCO COUNSEL 3-10 MIN	$18.06	$86.00	$55.90–$64.16	—	79%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 SMOKE-TOB CES COUN 3-10MN	$18.06	$86.00	$55.90–$64.16	—	79%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 BEHAV CHNG SMOKE 3-10 MIN-OFC	$18.06	$86.00	$55.90–$64.16	—	79%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 SMOKING CESS CNSL 3-10MIN	$18.06	$86.00	$55.90–$64.16	—	79%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 AMWELL OP VISIT EST LEVEL 5	$68.67	$327.00	$166.44–$264.22	53% below	79%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 MRMS ESTAB VISIT LEVEL 5-FAC	$68.67	$327.00	$166.44–$264.22	53% below	79%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC OFFICE VISIT ESTAB LEVEL 5	$68.67	$327.00	$166.44–$264.22	53% below	79%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OOU ESTAB PT - LEVEL 5	$68.67	$327.00	$166.44–$264.22	53% below	79%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC OFFICE VISIT EST LVL5	$68.67	$327.00	$166.44–$264.22	53% below	79%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC OFFICE VISIT EST LEVEL 5	$68.67	$327.00	$166.44–$264.22	53% below	79%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 LAC OP LACTAT F/U VISIT-EST 90	$68.67	$327.00	$166.44–$264.22	53% below	79%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC OUTPT CLINIC VISIT EST LVL5	$68.67	$327.00	$166.44–$264.22	53% below	79%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFF/OP VISIT EST L5-FAC	$68.67	$327.00	$166.44–$264.22	53% below	79%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 REMOVAL G-TUBE	$68.67	$327.00	$166.44–$264.22	53% below	79%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OPCH EST PT VISIT LEVEL 5	$68.67	$327.00	$166.44–$264.22	53% below	79%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OP VISIT-RN 60+MIN-FAC	$68.67	$327.00	$166.44–$264.22	53% below	79%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC OUTPT CLIN VIS EST LEVEL 5	$68.67	$327.00	$166.44–$264.22	53% below	79%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 CC GENETICS EST PT FAC L5	$68.67	$327.00	$166.44–$264.22	53% below	79%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 PLC OUTPT VISIT-EST LVL 5	$68.67	$327.00	$166.44–$264.22	53% below	79%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 CC EST PATIENT LEVEL 5	$68.67	$327.00	$166.44–$264.22	53% below	79%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OP WOUND CARE LEVEL 5	$68.67	$327.00	$166.44–$264.22	53% below	79%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OSTOMY CLINIC VISIT 5	$68.67	$327.00	$166.44–$264.22	53% below	79%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 CC THORACIC ONC OV EST FAC L5	$68.67	$327.00	$166.44–$264.22	53% below	79%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC OP OFFICE VISIT EST LVL 5	$68.67	$327.00	$166.44–$264.22	53% below	79%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC EST PT OFFICE VISIT LEVEL 5	$68.67	$327.00	$166.44–$264.22	53% below	79%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC ESTAB PT OFFICE VISIT LVL 5	$68.67	$327.00	$166.44–$264.22	53% below	79%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFF/OP HOME VISIT EST LVL 5	$68.67	$327.00	$166.44–$264.22	53% below	79%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFFICE VISIT EST LEVEL 5	$68.67	$327.00	$166.44–$264.22	53% below	79%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 WIC OFFICE VISIT EST LVL 5 RES	$68.67	$327.00	$166.44–$264.22	53% below	79%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 EST PT VST > 60 MIN RN/MA	$68.67	$327.00	$166.44–$264.22	53% below	79%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 EST PATIENT VISIT LEVEL 5 FAC	$68.67	$327.00	$166.44–$264.22	53% below	79%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 VWF EST PAT VIS LVL 5 FAC	$68.67	$327.00	$166.44–$264.22	53% below	79%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 FP OFFICE VISIT LVL 5 EST RES	$68.67	$327.00	$166.44–$264.22	53% below	79%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 FP INITIAL OB EST PATIENT RES	$68.67	$327.00	$166.44–$264.22	53% below	79%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 ASTHMA EDUC ESTAB PT-60+MIN	$68.67	$327.00	$166.44–$264.22	53% below	79%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC ESTAB PT OFFICE VISIT L5	$68.67	$327.00	$166.44–$264.22	53% below	79%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OBPS OFF VISIT EST PATIENT L5	$140.28	$668.00	$340.01–$539.74	3% below	79%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFF/OP VISIT EST LVL 5	$140.28	$668.00	$340.01–$539.74	3% below	79%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 ESTAB PATIENT VISIT L5	$140.28	$668.00	$340.01–$539.74	3% below	79%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 CARP OFFICE/OUTPT VISIT-EST L5	$140.28	$668.00	$340.01–$539.74	3% below	79%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 STRCT HRT ESTAB PT VISIT 5	$140.28	$668.00	$340.01–$539.74	3% below	79%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFFICE/OUTPT VISIT EST L5	$140.28	$668.00	$340.01–$539.74	3% below	79%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFFICE VISIT L5 ESTAB PT	$140.28	$668.00	$340.01–$539.74	3% below	79%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 CCP GEN EST PT OV FNP L-5	$140.28	$668.00	$340.01–$539.74	3% below	79%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFFICE/OUTPT VISIT EST L-5	$140.28	$668.00	$340.01–$539.74	3% below	79%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFFICE VISIT ESTAB-LVL 5	$140.28	$668.00	$340.01–$539.74	3% below	79%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 PLC OUTPT VISIT-ESTAB LVL5	$140.28	$668.00	$340.01–$539.74	3% below	79%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 ESTAB PATIENT OFFICE VISIT L5	$140.28	$668.00	$340.01–$539.74	3% below	79%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 DES OV ESTAB LEVEL 5-GLOBAL	$140.28	$668.00	$340.01–$539.74	3% below	79%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFFICE/OUTPATIENT VISIT EST L5	$140.28	$668.00	$340.01–$539.74	3% below	79%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 VSP OFF/OUTPT VISIT/ESTB LVL 5	$140.28	$668.00	$340.01–$539.74	3% below	79%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 TSP OFF VISIT EST PATIENT L5	$140.28	$668.00	$340.01–$539.74	3% below	79%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFFICE/OUTPT VISIT EST LVL 5	$140.28	$668.00	$340.01–$539.74	3% below	79%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 ESTAB PT OFFICE VISIT L5-NP	$140.28	$668.00	$340.01–$539.74	3% below	79%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 INFD OFF VISIT EST PATIENT L5	$140.28	$668.00	$340.01–$539.74	3% below	79%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 WIC OFFICE VISIT EST LVL 5	$140.28	$668.00	$340.01–$539.74	3% below	79%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFFICE/OUTPT VISIT ESTAB L5	$140.28	$668.00	$340.01–$539.74	3% below	79%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 RET ESTAB PATIENT LVL 5	$140.28	$668.00	$340.01–$539.74	3% below	79%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFFICE/OUTPT VISIT-ESTAB LVL 5	$140.28	$668.00	$340.01–$539.74	3% below	79%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC EST PT OFFICE VISIT LEVEL 3	$34.44	$164.00	$83.48–$132.51	53% below	79%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC OUTPT CLIN VIS EST LEVEL 3	$34.44	$164.00	$83.48–$132.51	53% below	79%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC OFFICE VISIT ESTAB LEVEL 3	$34.44	$164.00	$83.48–$132.51	53% below	79%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC OP CLINIC VISIT EST LEVEL 3	$34.44	$164.00	$83.48–$132.51	53% below	79%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 STRCT HRT FACILITY LV 3	$34.44	$164.00	$83.48–$132.51	53% below	79%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 PLC OUTPT VISIT-EST LVL 3	$34.44	$164.00	$83.48–$132.51	53% below	79%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 CC GENETICS EST PT FAC L3	$34.44	$164.00	$83.48–$132.51	53% below	79%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 CC THORACIC ONC OV EST FAC L3	$34.44	$164.00	$83.48–$132.51	53% below	79%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 AMWELL OP VISIT EST LEVEL 3	$34.44	$164.00	$83.48–$132.51	53% below	79%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OSTOMY CLINIC VISIT 3	$34.44	$164.00	$83.48–$132.51	53% below	79%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 EST PT VST 31-45 MIN RN/MA	$34.44	$164.00	$83.48–$132.51	53% below	79%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC OP CLINIC VISIT EST LVL3	$34.44	$164.00	$83.48–$132.51	53% below	79%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC OFFICE VISIT EST LEVEL 3	$34.44	$164.00	$83.48–$132.51	53% below	79%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 LAC OP LACTAT F/U VISIT-EST 45	$34.44	$164.00	$83.48–$132.51	53% below	79%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC ESTAB PT OFFICE VISIT L3	$34.44	$164.00	$83.48–$132.51	53% below	79%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 WIC OFFICE VISIT EST LVL 3 RES	$34.44	$164.00	$83.48–$132.51	53% below	79%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 ASTHMA EDUC ESTAB PT-45 MIN	$34.44	$164.00	$83.48–$132.51	53% below	79%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 MRMS ESTAB VISIT LEVEL 3-FAC	$34.44	$164.00	$83.48–$132.51	53% below	79%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC OFFICE VISIT LVL 3 EST RES	$34.44	$164.00	$83.48–$132.51	53% below	79%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OP WOUND CARE LEVEL 3	$34.44	$164.00	$83.48–$132.51	53% below	79%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC OUTPT CLINIC VISIT EST LVL3	$34.44	$164.00	$83.48–$132.51	53% below	79%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 VWF EST PAT VIS LVL 3 FAC	$34.44	$164.00	$83.48–$132.51	53% below	79%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 EST PATIENT VISIT LEVEL 3 FAC	$34.44	$164.00	$83.48–$132.51	53% below	79%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 CC EST PATIENT LEVEL 3	$34.44	$164.00	$83.48–$132.51	53% below	79%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFF/OP VISIT EST L3-FAC	$34.44	$164.00	$83.48–$132.51	53% below	79%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OPCH EST PT VISIT LEVEL 3	$34.44	$164.00	$83.48–$132.51	53% below	79%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC OP OFFICE VISIT EST LVL 3	$34.44	$164.00	$83.48–$132.51	53% below	79%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OOU ESTAB PT - LEVEL 3	$34.44	$164.00	$83.48–$132.51	53% below	79%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC OFFICE VISIT EST LVL3	$34.44	$164.00	$83.48–$132.51	53% below	79%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE VISIT EST LEVEL 3	$34.44	$164.00	$83.48–$132.51	53% below	79%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFF/OP HOME VISIT EST LVL 3	$34.44	$164.00	$83.48–$132.51	53% below	79%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC ESTAB PT OFFICE VISIT LVL 3	$34.44	$164.00	$83.48–$132.51	53% below	79%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 EST OFFICE/OUTPT VISIT L3-FC	$34.44	$164.00	$83.48–$132.51	53% below	79%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 ESTAB PATIENT VISIT L3	$70.77	$337.00	$171.53–$272.30	3% below	79%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE/OUTPATIENT VISIT EST L3	$70.77	$337.00	$171.53–$272.30	3% below	79%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 DES OV ESTAB LEVEL 3-GLOBAL	$70.77	$337.00	$171.53–$272.30	3% below	79%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 ESTAB PATIENT OFFICE VISIT L3	$70.77	$337.00	$171.53–$272.30	3% below	79%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE VISIT ESTAB-LVL 3	$70.77	$337.00	$171.53–$272.30	3% below	79%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE/OUTPT VISIT EST L-3	$70.77	$337.00	$171.53–$272.30	3% below	79%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 CCP GEN EST PT OV FNP L-3	$70.77	$337.00	$171.53–$272.30	3% below	79%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE VISIT L3 ESTAB PT	$70.77	$337.00	$171.53–$272.30	3% below	79%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 PLC OUTPT VISIT-ESTAB LVL3	$70.77	$337.00	$171.53–$272.30	3% below	79%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OBPS OFF VISIT EST PATIENT L3	$70.77	$337.00	$171.53–$272.30	3% below	79%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFF/OP VISIT EST LVL 3	$70.77	$337.00	$171.53–$272.30	3% below	79%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE/OUTPT VISIT ESTAB L3	$70.77	$337.00	$171.53–$272.30	3% below	79%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 CARP OFFICE/OUTPT VISIT-EST L3	$70.77	$337.00	$171.53–$272.30	3% below	79%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 STRCT HRT ESTAB PT VISIT 3	$70.77	$337.00	$171.53–$272.30	3% below	79%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE/OUTPT VISIT EST L3	$70.77	$337.00	$171.53–$272.30	3% below	79%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 WIC OFFICE VISIT EST LVL 3	$70.77	$337.00	$171.53–$272.30	3% below	79%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 INFD OFF VISIT EST PATIENT L3	$70.77	$337.00	$171.53–$272.30	3% below	79%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 RET ESTAB PATIENT LVL 3	$70.77	$337.00	$171.53–$272.30	3% below	79%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE/OUTPT VISIT-ESTAB LVL 3	$70.77	$337.00	$171.53–$272.30	3% below	79%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 ESTAB PT OFFICE VISIT L3-NP	$70.77	$337.00	$171.53–$272.30	3% below	79%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE/OUTPT VISIT EST LVL 3	$70.77	$337.00	$171.53–$272.30	3% below	79%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 TSP OFF VISIT EST PATIENT L3	$70.77	$337.00	$171.53–$272.30	3% below	79%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 VSP OFF/OUTPT VISIT/ESTB LVL 3	$70.77	$337.00	$171.53–$272.30	3% below	79%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 PLC OUTPT VISIT-ESTAB LVL3	$70.77	$337.00	$219.05–$251.40	—	79%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 AMWELL OP VISIT EST LEVEL 4	$45.15	$215.00	$109.44–$173.72	57% below	79%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC OUTPT CLINIC VISIT EST LVL4	$45.15	$215.00	$109.44–$173.72	57% below	79%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 EST PT VST 46-60 MIN RN/MA	$45.15	$215.00	$109.44–$173.72	57% below	79%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFF/OP VISIT EST L4-FAC	$45.15	$215.00	$109.44–$173.72	57% below	79%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC OUTPT CLIN VIS EST LEVEL 4	$45.15	$215.00	$109.44–$173.72	57% below	79%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC OP OFFICE VISIT EST LVL 4	$45.15	$215.00	$109.44–$173.72	57% below	79%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 CC THORACIC ONC OV EST FAC L4	$45.15	$215.00	$109.44–$173.72	57% below	79%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 CC GENETICS EST PT FAC L4	$45.15	$215.00	$109.44–$173.72	57% below	79%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 PLC OUTPT VISIT-EST LVL 4	$45.15	$215.00	$109.44–$173.72	57% below	79%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 CC EST PATIENT LEVEL 4	$45.15	$215.00	$109.44–$173.72	57% below	79%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OP WOUND CARE LEVEL 4	$45.15	$215.00	$109.44–$173.72	57% below	79%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OSTOMY CLINIC VISIT 4	$45.15	$215.00	$109.44–$173.72	57% below	79%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC OFFICE VISIT ESTAB LEVEL 4	$45.15	$215.00	$109.44–$173.72	57% below	79%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 MRMS ESTAB VISIT LEVEL 4-FAC	$45.15	$215.00	$109.44–$173.72	57% below	79%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 EST PATIENT VISIT LEVEL 4 FAC	$45.15	$215.00	$109.44–$173.72	57% below	79%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 VWF EST PAT VIS LVL 4 FAC	$45.15	$215.00	$109.44–$173.72	57% below	79%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 FP OFFICE VISIT LVL 4 EST RES	$45.15	$215.00	$109.44–$173.72	57% below	79%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ASTHMA EDUC ESTAB PT-60 MIN	$45.15	$215.00	$109.44–$173.72	57% below	79%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC ESTAB PT OFFICE VISIT L4	$45.15	$215.00	$109.44–$173.72	57% below	79%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 LAC OP LACTAT F/U VISIT-EST 60	$45.15	$215.00	$109.44–$173.72	57% below	79%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC OFFICE VISIT EST LVL4	$45.15	$215.00	$109.44–$173.72	57% below	79%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OOU ESTAB PT - LEVEL 4	$45.15	$215.00	$109.44–$173.72	57% below	79%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE VISIT EST LEVEL 4	$45.15	$215.00	$109.44–$173.72	57% below	79%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFF/OP HOME VISIT EST LVL 4	$45.15	$215.00	$109.44–$173.72	57% below	79%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC ESTAB PT OFFICE VISIT LVL 4	$45.15	$215.00	$109.44–$173.72	57% below	79%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC OFF/OUTPT VISIT EST LVL 4	$45.15	$215.00	$109.44–$173.72	57% below	79%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 EST OFFICE/OUTPT VISIT L4-FC	$45.15	$215.00	$109.44–$173.72	57% below	79%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC EST PT OFFICE VISIT LEVEL 4	$45.15	$215.00	$109.44–$173.72	57% below	79%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OPCH EST PT VISIT LEVEL 4	$45.15	$215.00	$109.44–$173.72	57% below	79%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 WIC OFFICE VISIT EST LVL 4 RES	$45.15	$215.00	$109.44–$173.72	57% below	79%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC OP CLINIC VISIT EST LVL4	$45.15	$215.00	$109.44–$173.72	57% below	79%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC OFFICE VISIT EST LEVEL 4	$45.15	$215.00	$109.44–$173.72	57% below	79%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE/OUTPT VISIT ESTAB L4	$96.39	$459.00	$233.63–$370.87	9% below	79%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 RET ESTAB PATIENT LVL 4	$96.39	$459.00	$233.63–$370.87	9% below	79%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE/OUTPT VISIT-ESTAB LVL 4	$96.39	$459.00	$233.63–$370.87	9% below	79%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OBPS OFF VISIT EST PATIENT L4	$96.39	$459.00	$233.63–$370.87	9% below	79%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFF/OP VISIT EST LVL 4	$96.39	$459.00	$233.63–$370.87	9% below	79%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ESTAB PATIENT VISIT L4	$96.39	$459.00	$233.63–$370.87	9% below	79%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 CARP OFFICE/OUTPT VISIT-EST L4	$96.39	$459.00	$233.63–$370.87	9% below	79%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 STRCT HRT ESTAB PT VISIT 4	$96.39	$459.00	$233.63–$370.87	9% below	79%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE/OUTPT VISIT EST L4	$96.39	$459.00	$233.63–$370.87	9% below	79%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 WIC OFFICE VISIT EST LVL 4	$96.39	$459.00	$233.63–$370.87	9% below	79%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ESTAB PT OFFICE VISIT L4-NP	$96.39	$459.00	$233.63–$370.87	9% below	79%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE/OUTPT VISIT EST LVL 4	$96.39	$459.00	$233.63–$370.87	9% below	79%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 TSP OFF VISIT EST PATIENT L4	$96.39	$459.00	$233.63–$370.87	9% below	79%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 VSP OFF/OUTPT VISIT/ESTB LVL 4	$96.39	$459.00	$233.63–$370.87	9% below	79%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE/OUTPATIENT VISIT EST L4	$96.39	$459.00	$233.63–$370.87	9% below	79%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 DES OV ESTAB LEVEL 4-GLOBAL	$96.39	$459.00	$233.63–$370.87	9% below	79%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ESTAB PATIENT OFFICE VISIT L4	$96.39	$459.00	$233.63–$370.87	9% below	79%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 PLC OUTPT VISIT-ESTAB LVL4	$96.39	$459.00	$233.63–$370.87	9% below	79%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE VISIT ESTAB-LVL 4	$96.39	$459.00	$233.63–$370.87	9% below	79%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE/OUTPT VISIT EST L-4	$96.39	$459.00	$233.63–$370.87	9% below	79%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 CCP GEN EST PT OV FNP L-4	$96.39	$459.00	$233.63–$370.87	9% below	79%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE VISIT L4 ESTAB PT	$96.39	$459.00	$233.63–$370.87	9% below	79%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 CC EST PATIENT LEVEL 2	$26.67	$127.00	$64.64–$102.62	53% below	79%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 CC THORACIC ONC OV EST FAC L2	$26.67	$127.00	$64.64–$102.62	53% below	79%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC OP OFFICE VISIT EST LVL 2	$26.67	$127.00	$64.64–$102.62	53% below	79%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC OUTPT CLIN VIS EST LEVEL 2	$26.67	$127.00	$64.64–$102.62	53% below	79%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC OFFICE VISIT ESTAB LEVEL 2	$26.67	$127.00	$64.64–$102.62	53% below	79%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 MRMS ESTAB VISIT LEVEL 2-FAC	$26.67	$127.00	$64.64–$102.62	53% below	79%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 EST PATIENT VISIT LEVEL 2 FAC	$26.67	$127.00	$64.64–$102.62	53% below	79%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 VWF EST PAT VIS LVL 2 FAC	$26.67	$127.00	$64.64–$102.62	53% below	79%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC OFFICE VISIT LVL 2 EST RES	$26.67	$127.00	$64.64–$102.62	53% below	79%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ASTHMA EDUC ESTAB PT-30 MIN	$26.67	$127.00	$64.64–$102.62	53% below	79%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC ESTAB PT OFFICE VISIT L2	$26.67	$127.00	$64.64–$102.62	53% below	79%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 AMWELL OP VISIT EST LEVEL 2	$26.67	$127.00	$64.64–$102.62	53% below	79%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 WIC OFFICE VISIT EST LVL 2 RES	$26.67	$127.00	$64.64–$102.62	53% below	79%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC OP CLINIC VISIT EST LVL2	$26.67	$127.00	$64.64–$102.62	53% below	79%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 EST PT VST 16-30 MIN RN/MA	$26.67	$127.00	$64.64–$102.62	53% below	79%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC OFFICE VISIT EST LVL2	$26.67	$127.00	$64.64–$102.62	53% below	79%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OOU ESTAB PT - LEVEL 2	$26.67	$127.00	$64.64–$102.62	53% below	79%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OPCH EST PT VISIT LEVEL 2	$26.67	$127.00	$64.64–$102.62	53% below	79%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFF/OP VISIT EST L2-FAC	$26.67	$127.00	$64.64–$102.62	53% below	79%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC OUTPT CLINIC VISIT EST LVL2	$26.67	$127.00	$64.64–$102.62	53% below	79%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 CC GENETICS EST PT FAC L2	$26.67	$127.00	$64.64–$102.62	53% below	79%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 PLC OUTPT VISIT-EST LVL 2	$26.67	$127.00	$64.64–$102.62	53% below	79%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 LAC OP LACTAT F/U VISIT-EST 30	$26.67	$127.00	$64.64–$102.62	53% below	79%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC OFFICE VISIT EST LEVEL 2	$26.67	$127.00	$64.64–$102.62	53% below	79%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC EST PT OFFICE VISIT LEVEL 2	$26.67	$127.00	$64.64–$102.62	53% below	79%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC ESTAB PT OFFICE VISIT LVL 2	$26.67	$127.00	$64.64–$102.62	53% below	79%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OP WOUND CARE LEVEL 2	$26.67	$127.00	$64.64–$102.62	53% below	79%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OSTOMY CLINIC VISIT 2	$26.67	$127.00	$64.64–$102.62	53% below	79%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFF/OP HOME VISIT EST LVL 2	$26.67	$127.00	$64.64–$102.62	53% below	79%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE VISIT EST LEVEL 2	$26.67	$127.00	$64.64–$102.62	53% below	79%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 TRACH CHANGE PROC	$31.92	$152.00	$77.37–$122.82	43% below	79%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 INFD OFF VISIT EST PATIENT L2	$48.09	$229.00	$116.56–$185.03	15% below	79%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 WIC OFFICE VISIT EST LVL 2	$48.09	$229.00	$116.56–$185.03	15% below	79%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE/OUTPT VISIT EST L2	$48.09	$229.00	$116.56–$185.03	15% below	79%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 STRCT HRT ESTAB PT VISIT 2	$48.09	$229.00	$116.56–$185.03	15% below	79%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 CARP OFFICE/OUTPT VISIT-EST L2	$48.09	$229.00	$116.56–$185.03	15% below	79%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ESTAB PATIENT VISIT L2	$48.09	$229.00	$116.56–$185.03	15% below	79%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE/OUTPT VISIT-ESTAB LVL 2	$48.09	$229.00	$116.56–$185.03	15% below	79%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFF/OP VISIT EST LVL 2	$48.09	$229.00	$116.56–$185.03	15% below	79%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 RET ESTAB PATIENT LVL 2	$48.09	$229.00	$116.56–$185.03	15% below	79%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE/OUTPT VISIT ESTAB L2	$48.09	$229.00	$116.56–$185.03	15% below	79%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OBPS OFF VISIT EST PATIENT L2	$48.09	$229.00	$116.56–$185.03	15% below	79%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 CCP GEN EST PT OV FNP L-2	$48.09	$229.00	$116.56–$185.03	15% below	79%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE VISIT ESTAB-LVL 2	$48.09	$229.00	$116.56–$185.03	15% below	79%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 PLC OUTPT VISIT-ESTAB LVL2	$48.09	$229.00	$116.56–$185.03	15% below	79%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE/OUTPATIENT VISIT EST L2	$48.09	$229.00	$116.56–$185.03	15% below	79%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 DES OV ESTAB LEVEL 2-GLOBAL	$48.09	$229.00	$116.56–$185.03	15% below	79%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ESTAB PATIENT OFFICE VISIT L2	$48.09	$229.00	$116.56–$185.03	15% below	79%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE/OUTPT VISIT EST L-2	$48.09	$229.00	$116.56–$185.03	15% below	79%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE VISIT L2 ESTAB PT	$48.09	$229.00	$116.56–$185.03	15% below	79%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 VSP OFF/OUTPT VISIT/ESTB LVL 2	$48.09	$229.00	$116.56–$185.03	15% below	79%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 TSP OFF VISIT EST PATIENT L2	$48.09	$229.00	$116.56–$185.03	15% below	79%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE/OUTPT VISIT EST LVL 2	$48.09	$229.00	$116.56–$185.03	15% below	79%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ESTAB PT OFFICE VISIT L2-NP	$48.09	$229.00	$116.56–$185.03	15% below	79%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 TRACH CHANGE PROC	$31.92	$152.00	$98.80–$113.39	—	79%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 PLC OUTPT VISIT-ESTAB LVL2	$48.09	$229.00	$148.85–$170.83	—	79%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OFFICE VISIT ESTAB-LVL 2	$48.09	$229.00	$148.85–$170.83	—	79%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 CCP GEN EST PT OV FNP L-2	$48.09	$229.00	$148.85–$170.83	—	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 NHI HC EST OFFICE CONSULT LVL3	$39.06	$186.00	$94.67–$150.29	14% below	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 NEW OP CONSULT LEVEL 3	$39.06	$186.00	$94.67–$150.29	14% below	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 EST OP CONSULT LEVEL 3	$39.06	$186.00	$94.67–$150.29	14% below	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 HC NEW OP CONSULT LEVEL 3	$39.06	$186.00	$94.67–$150.29	14% below	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 HC NEW/EST OFFICE CONSULT LVL3	$39.06	$186.00	$94.67–$150.29	14% below	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 MRMS NEW CONSULT LEVEL 3-FAC	$39.06	$186.00	$94.67–$150.29	14% below	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 MRMS EST CONSULT LEVEL 3-FAC	$39.06	$186.00	$94.67–$150.29	14% below	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 HC NEW/EST OFFICE CNSLT L3	$39.06	$186.00	$94.67–$150.29	14% below	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 HC BDC EST OP CONSULT LVL3	$39.06	$186.00	$94.67–$150.29	14% below	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 HC BDC NEW OP CONSULT LVL3	$39.06	$186.00	$94.67–$150.29	14% below	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 PLC OP EST CONSULT LEVEL 3	$39.06	$186.00	$94.67–$150.29	14% below	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 PLC NEW OP CONSULT LEVEL 3	$39.06	$186.00	$94.67–$150.29	14% below	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 HC OP CONSULT NEW/EST LVL 3	$39.06	$186.00	$94.67–$150.29	14% below	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 HC OFFICE CONSULT LEVEL 3	$39.06	$186.00	$94.67–$150.29	14% below	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 HC NEW/EST CONSULT L3	$39.06	$186.00	$94.67–$150.29	14% below	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 HC HC NEW/EST CONSULT L3	$39.06	$186.00	$94.67–$150.29	14% below	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 HC EST OP CONSULT L3	$39.06	$186.00	$94.67–$150.29	14% below	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 HC NEW OP CONSULT L3	$39.06	$186.00	$94.67–$150.29	14% below	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 HC EST OP CONSULT L3	$39.06	$186.00	$94.67–$150.29	14% below	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 HC NEW OP CONSULT L3	$39.06	$186.00	$94.67–$150.29	14% below	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 HC EST OP CONSULT LEVEL 3	$39.06	$186.00	$94.67–$150.29	14% below	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 HC NEW OP CONSULT L 3	$39.06	$186.00	$94.67–$150.29	14% below	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 HC EST OP CONSULT L 3	$39.06	$186.00	$94.67–$150.29	14% below	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 HC NEW/EST OP CONSULT LEVEL 3	$39.06	$186.00	$94.67–$150.29	14% below	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 HC OFFICE CNSLT NEW/EST PT 40M	$39.06	$186.00	$94.67–$150.29	14% below	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 NHI HC NEW OFFICE CONSULT LVL3	$39.06	$186.00	$94.67–$150.29	14% below	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 NEW OP CONSULT L3-FAC	$39.06	$186.00	$94.67–$150.29	14% below	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 EST OP CONSULT L3-FAC	$39.06	$186.00	$94.67–$150.29	14% below	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 HC NEW/EST OFFICE CONSULT L3	$39.06	$186.00	$94.67–$150.29	14% below	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 NEW OP CONSULT LEVEL 3-RES	$39.06	$186.00	$94.67–$150.29	14% below	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 HC NEW/EST OFFICE CNSLT LVL3	$39.06	$186.00	$94.67–$150.29	14% below	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 EST OP CONSULT LEVEL 3-RES	$39.06	$186.00	$94.67–$150.29	14% below	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 HC NEW OFFICE CONSULT LEVEL 3	$39.06	$186.00	$94.67–$150.29	14% below	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 HC EST OFFICE CONSULT LEVEL 3	$39.06	$186.00	$94.67–$150.29	14% below	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 STRCT HRT NEW OP CONS LV3	$98.70	$470.00	$239.23–$379.76	119% above	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 EST OP CONSULT LEVEL 3	$98.70	$470.00	$239.23–$379.76	119% above	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 EST OP CONSULT LVL 3	$98.70	$470.00	$239.23–$379.76	119% above	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 NEW OP CONSULT LVL 3	$98.70	$470.00	$239.23–$379.76	119% above	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 STRCT HRT EST OP CONS LV3	$98.70	$470.00	$239.23–$379.76	119% above	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 NEW OP CONSULT L 3-OFC	$98.70	$470.00	$239.23–$379.76	119% above	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 EST PLC OP CONSULT LEVEL 3	$98.70	$470.00	$239.23–$379.76	119% above	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 TSP OFF CONSULT L3	$98.70	$470.00	$239.23–$379.76	119% above	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 NEW PLC OP CONSULT LEVEL 3	$98.70	$470.00	$239.23–$379.76	119% above	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 EST OP CONSULT L 3-OFC	$98.70	$470.00	$239.23–$379.76	119% above	79%
Specialist consultation, low complexity or 30+ minutes CPT 99243 NEW OP CONSULT LEVEL 3	$98.70	$470.00	$239.23–$379.76	119% above	79%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 HC EST OP CONSULT L3	$39.06	$186.00	$120.90–$138.76	—	79%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 HC NEW OP CONSULT L3	$39.06	$186.00	$120.90–$138.76	—	79%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 HC EST OP CONSULT LEVEL 3	$39.06	$186.00	$120.90–$138.76	—	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 HC OFFICE CONSULT LEVEL 4	$30.66	$146.00	$74.31–$117.97	52% below	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 NEW OP CONSULT LEVEL 4-RES	$53.34	$254.00	$129.29–$205.23	17% below	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 HC EST OP CONSULT L4	$53.34	$254.00	$129.29–$205.23	17% below	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 HC NEW OP CONSULT L4	$53.34	$254.00	$129.29–$205.23	17% below	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 HC EST OP CONSULT L4	$53.34	$254.00	$129.29–$205.23	17% below	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 HC HC NEW/EST CONSULT L4	$53.34	$254.00	$129.29–$205.23	17% below	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 HC NEW OP CONSULT L4	$53.34	$254.00	$129.29–$205.23	17% below	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 HC NEW/EST CONSULT L4	$53.34	$254.00	$129.29–$205.23	17% below	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 HC OP CONSULT NEW/EST LVL 4	$53.34	$254.00	$129.29–$205.23	17% below	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 PLC NEW OP CONSULT LEVEL 4	$53.34	$254.00	$129.29–$205.23	17% below	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 PLC OP EST CONSULT LEVEL 4	$53.34	$254.00	$129.29–$205.23	17% below	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 HC BDC NEW OP CONSULT LVL4	$53.34	$254.00	$129.29–$205.23	17% below	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 HC BDC EST OP CONSULT LVL4	$53.34	$254.00	$129.29–$205.23	17% below	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 HC NEW/EST OFFICE CNSLT L4	$53.34	$254.00	$129.29–$205.23	17% below	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 MRMS EST CONSULT LEVEL 4-FAC	$53.34	$254.00	$129.29–$205.23	17% below	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 MRMS NEW CONSULT LEVEL 4-FAC	$53.34	$254.00	$129.29–$205.23	17% below	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 EST OP CONSULT LEVEL 4-RES	$53.34	$254.00	$129.29–$205.23	17% below	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 HC NEW/EST OFFICE CNSLT LVL4	$53.34	$254.00	$129.29–$205.23	17% below	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 HC NEW/EST OFFICE CONSULT L4	$53.34	$254.00	$129.29–$205.23	17% below	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 EST OP CONSULT L4-FAC	$53.34	$254.00	$129.29–$205.23	17% below	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 NEW OP CONSULT L4-FAC	$53.34	$254.00	$129.29–$205.23	17% below	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 HC OFFICE CNSLT NEW/EST PT 60M	$53.34	$254.00	$129.29–$205.23	17% below	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 HC NEW/EST OP CONSULT LEVEL 4	$53.34	$254.00	$129.29–$205.23	17% below	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 LAC OP LACTATION CONSULT	$53.34	$254.00	$129.29–$205.23	17% below	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 HC EST OP CONSULT L 4	$53.34	$254.00	$129.29–$205.23	17% below	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 HC NEW OP CONSULT L 4	$53.34	$254.00	$129.29–$205.23	17% below	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 EST OP CONSULT LEVEL 4	$53.34	$254.00	$129.29–$205.23	17% below	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 NEW OP CONSULT LEVEL 4	$53.34	$254.00	$129.29–$205.23	17% below	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 HC EST OP CONSULT LEVEL 4	$53.34	$254.00	$129.29–$205.23	17% below	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 HC NEW OP CONSULT LEVEL 4	$53.34	$254.00	$129.29–$205.23	17% below	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 HC EST OP CONSULT LEVEL 4	$53.34	$254.00	$129.29–$205.23	17% below	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 HC NEW/EST OFFICE CONSULT LVL4	$53.34	$254.00	$129.29–$205.23	17% below	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 HC NEW OFFICE CONSULT LEVEL 4	$53.34	$254.00	$129.29–$205.23	17% below	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 HC EST OFFICE CONSULT LEVEL 4	$53.34	$254.00	$129.29–$205.23	17% below	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 STRCT HRT EST OP CONS LV4	$142.59	$679.00	$345.61–$548.63	122% above	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 NEW OP CONSULT L 4-OFC	$142.59	$679.00	$345.61–$548.63	122% above	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 EST OP CONSULT L 4-OFC	$142.59	$679.00	$345.61–$548.63	122% above	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 NEW PLC OP CONSULT LEVEL 4	$142.59	$679.00	$345.61–$548.63	122% above	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 STRCT HRT NEW OP CONS LV4	$142.59	$679.00	$345.61–$548.63	122% above	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 EST PLC OP CONSULT LEVEL 4	$142.59	$679.00	$345.61–$548.63	122% above	79%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 EST OP CONSULT LEVEL 4	$142.59	$679.00	$345.61–$548.63	122% above	79%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 HC EST OP CONSULT L4	$53.34	$254.00	$165.10–$189.48	—	79%
Speech and language evaluation CPT 92523 HC EVAL SOUND PRD W/EVL COMP-8	$119.70	$570.00	$290.13–$460.56	63% below	79%
Speech and language evaluation CPT 92523 SP EVAL SND PRODCTN W/COMPRHEN	$119.70	$570.00	$290.13–$460.56	63% below	79%
Speech and language evaluation CPT 92523 HC EVAL SOUND PRD W/EVL COMP-6	$119.70	$570.00	$290.13–$460.56	63% below	79%
Speech and language evaluation CPT 92523 HC EVAL SOUND PRD W/EVL COMP-4	$119.70	$570.00	$290.13–$460.56	63% below	79%
Speech and language evaluation CPT 92523 SPEECH SOUND LANG COMPREH120M	$119.70	$570.00	$290.13–$460.56	63% below	79%
Speech and language evaluation CPT 92523 SPEECH SOUND LANG COMPREH 90M	$119.70	$570.00	$290.13–$460.56	63% below	79%
Speech and language evaluation CPT 92523 SPEECH SOUND LANG COMPREH 75M	$119.70	$570.00	$290.13–$460.56	63% below	79%
Speech and language evaluation CPT 92523 SPEECH SOUND LANG COMPREH 60M	$119.70	$570.00	$290.13–$460.56	63% below	79%
Speech and language evaluation CPT 92523 SPEECH SOUND LANG COMPREH 45M	$119.70	$570.00	$290.13–$460.56	63% below	79%
Speech and language evaluation CPT 92523 SPEECH SOUND LANG COMPREH 30M	$119.70	$570.00	$290.13–$460.56	63% below	79%
Speech and language evaluation CPT 92523 SPEECH SOUND LANG COMPREH 15M	$119.70	$570.00	$290.13–$460.56	63% below	79%
Speech and language evaluation inpatient CPT 92523 SPEECH SOUND LANG COMPREH120M	$119.70	$570.00	$370.50–$425.22	—	79%
Speech and language evaluation inpatient CPT 92523 SPEECH SOUND LANG COMPREH 90M	$119.70	$570.00	$370.50–$425.22	—	79%
Speech and language evaluation inpatient CPT 92523 SPEECH SOUND LANG COMPREH 75M	$119.70	$570.00	$370.50–$425.22	—	79%
Speech and language evaluation inpatient CPT 92523 SPEECH SOUND LANG COMPREH 60M	$119.70	$570.00	$370.50–$425.22	—	79%
Speech and language evaluation inpatient CPT 92523 SPEECH SOUND LANG COMPREH 45M	$119.70	$570.00	$370.50–$425.22	—	79%
Speech and language evaluation inpatient CPT 92523 SPEECH SOUND LANG COMPREH 30M	$119.70	$570.00	$370.50–$425.22	—	79%
Speech and language evaluation inpatient CPT 92523 SPEECH SOUND LANG COMPREH 15M	$119.70	$570.00	$370.50–$425.22	—	79%
Speech and language evaluation inpatient CPT 92523 HC EVAL SOUND PRD W/EVL COMP-8	$119.70	$570.00	$370.50–$425.22	—	79%
Speech and language evaluation inpatient CPT 92523 HC EVAL SOUND PRD W/EVL COMP-6	$119.70	$570.00	$370.50–$425.22	—	79%
Speech and language evaluation inpatient CPT 92523 HC EVAL SOUND PRD W/EVL COMP-4	$119.70	$570.00	$370.50–$425.22	—	79%
Speech and language evaluation inpatient CPT 92523 SP EVAL SND PRODCTN W/COMPRHEN	$119.70	$570.00	$370.50–$425.22	—	79%
Speech therapy session, individual CPT 92507 SP TRMNT SP/LANG COMM PROC IND	$47.67	$227.00	$115.54–$183.42	71% below	79%
Speech therapy session, individual CPT 92507 SPEECH/LANGUAGE-6	$47.67	$227.00	$115.54–$183.42	71% below	79%
Speech therapy session, individual CPT 92507 SPEECH/LANGUAGE-5	$47.67	$227.00	$115.54–$183.42	71% below	79%
Speech therapy session, individual CPT 92507 SPEECH/LANGUAGE 6	$47.67	$227.00	$115.54–$183.42	71% below	79%
Speech therapy session, individual CPT 92507 SPEECH/LANGUAGE 5	$47.67	$227.00	$115.54–$183.42	71% below	79%
Speech therapy session, individual CPT 92507 SPEECH/LANGUAGE 1	$47.67	$227.00	$115.54–$183.42	71% below	79%
Speech therapy session, individual CPT 92507 SPEECH/LANGUAGE-1	$47.67	$227.00	$115.54–$183.42	71% below	79%
Speech therapy session, individual CPT 92507 SPEECH/LANGUAGE 3	$47.67	$227.00	$115.54–$183.42	71% below	79%
Speech therapy session, individual CPT 92507 SPEECH/LANGUAGE 4	$47.67	$227.00	$115.54–$183.42	71% below	79%
Speech therapy session, individual CPT 92507 SPEECH/LANGUAGE-3	$47.67	$227.00	$115.54–$183.42	71% below	79%
Speech therapy session, individual CPT 92507 SP AUDTRY PROCESSING TX UNITS	$47.67	$227.00	$115.54–$183.42	71% below	79%
Speech therapy session, individual CPT 92507 SPEECH/LANGUAGE-4	$47.67	$227.00	$115.54–$183.42	71% below	79%
Speech therapy session, individual inpatient CPT 92507 SPEECH/LANGUAGE-1	$47.67	$227.00	$147.55–$169.34	—	79%
Speech therapy session, individual inpatient CPT 92507 SPEECH/LANGUAGE 5	$47.67	$227.00	$147.55–$169.34	—	79%
Speech therapy session, individual inpatient CPT 92507 SPEECH/LANGUAGE 6	$47.67	$227.00	$147.55–$169.34	—	79%
Speech therapy session, individual inpatient CPT 92507 SPEECH/LANGUAGE-5	$47.67	$227.00	$147.55–$169.34	—	79%
Speech therapy session, individual inpatient CPT 92507 SPEECH/LANGUAGE-6	$47.67	$227.00	$147.55–$169.34	—	79%
Speech therapy session, individual inpatient CPT 92507 SPEECH/LANGUAGE 4	$47.67	$227.00	$147.55–$169.34	—	79%
Speech therapy session, individual inpatient CPT 92507 SP AUDTRY PROCESSING TX UNITS	$47.67	$227.00	$147.55–$169.34	—	79%
Speech therapy session, individual inpatient CPT 92507 SPEECH/LANGUAGE 3	$47.67	$227.00	$147.55–$169.34	—	79%
Speech therapy session, individual inpatient CPT 92507 SP TRMNT SP/LANG COMM PROC IND	$47.67	$227.00	$147.55–$169.34	—	79%
Speech therapy session, individual inpatient CPT 92507 SPEECH/LANGUAGE-3	$47.67	$227.00	$147.55–$169.34	—	79%
Speech therapy session, individual inpatient CPT 92507 SPEECH/LANGUAGE-4	$47.67	$227.00	$147.55–$169.34	—	79%
Speech therapy session, individual inpatient CPT 92507 SPEECH/LANGUAGE 1	$47.67	$227.00	$147.55–$169.34	—	79%
Spirometry (breathing test) CPT 94010 BREATHING CAPACITY TEST	$139.65	$665.00	$338.48–$537.32	1% below	79%
Spirometry (breathing test) CPT 94010 HC SPIROMETRY SMPL	$139.65	$665.00	$338.48–$537.32	1% below	79%
Spirometry (breathing test) CPT 94010 HC BREATHING CAPACITY TEST	$139.65	$665.00	$338.48–$537.32	1% below	79%
Spirometry (breathing test) inpatient CPT 94010 HC SPIROMETRY SMPL	$139.65	$665.00	$432.25–$496.09	—	79%
Spirometry (breathing test) inpatient CPT 94010 BREATHING CAPACITY TEST	$139.65	$665.00	$432.25–$496.09	—	79%
Spirometry (breathing test) inpatient CPT 94010 HC BREATHING CAPACITY TEST	$139.65	$665.00	$432.25–$496.09	—	79%
Spirometry before and after a bronchodilator CPT 94060 HC SPIROMTRY/PFT PRE&PST BRNCH	$280.14	$1,334.00	$679.01–$1,077.87	13% below	79%
Spirometry before and after a bronchodilator CPT 94060 HC EVALUATION OF WHEEZING	$280.14	$1,334.00	$679.01–$1,077.87	13% below	79%
Spirometry before and after a bronchodilator inpatient CPT 94060 HC SPIROMTRY/PFT PRE&PST BRNCH	$280.14	$1,334.00	$867.10–$995.16	—	79%
Spirometry before and after a bronchodilator inpatient CPT 94060 HC EVALUATION OF WHEEZING	$280.14	$1,334.00	$867.10–$995.16	—	79%
Therapeutic activities (functional training), 15 minutes CPT 97530 OTA THERAPEUTIC ACT	$29.19	$139.00	$70.75–$112.31	74% below	79%
Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACT	$29.19	$139.00	$70.75–$112.31	74% below	79%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC PT THERAPEUTIC ACTIVITIES	$29.19	$139.00	$70.75–$112.31	74% below	79%
Therapeutic activities (functional training), 15 minutes CPT 97530 OT THERAPEUTIC ACTIVITIES 1UNI	$29.19	$139.00	$70.75–$112.31	74% below	79%
Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITIES	$29.19	$139.00	$70.75–$112.31	74% below	79%
Therapeutic activities (functional training), 15 minutes CPT 97530 OTA THERAPEUTC ACTIVITS 1UNIT	$29.19	$139.00	$70.75–$112.31	74% below	79%
Therapeutic activities (functional training), 15 minutes CPT 97530 PT THERAPEUTIC ACTIVITIES	$29.19	$139.00	$70.75–$112.31	74% below	79%
Therapeutic activities (functional training), 15 minutes CPT 97530 PTA THERAPEUTIC ACTIVITIES	$29.19	$139.00	$70.75–$112.31	74% below	79%
Therapeutic activities (functional training), 15 minutes CPT 97530 SP THER ACT PAT CONT 15 MIN	$29.19	$139.00	$70.75–$112.31	74% below	79%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OT THERAPEUTIC ACTIVITIES 1UNI	$29.19	$139.00	$90.35–$103.69	—	79%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OTA THERAPEUTIC ACT	$29.19	$139.00	$90.35–$103.69	—	79%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPEUTIC ACT	$29.19	$139.00	$90.35–$103.69	—	79%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OTA THERAPEUTC ACTIVITS 1UNIT	$29.19	$139.00	$90.35–$103.69	—	79%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 SP THER ACT PAT CONT 15 MIN	$29.19	$139.00	$90.35–$103.69	—	79%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPEUTIC ACTIVITIES	$29.19	$139.00	$90.35–$103.69	—	79%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PTA THERAPEUTIC ACTIVITIES	$29.19	$139.00	$90.35–$103.69	—	79%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT THERAPEUTIC ACTIVITIES	$29.19	$139.00	$90.35–$103.69	—	79%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC PT THERAPEUTIC ACTIVITIES	$29.19	$139.00	$90.35–$103.69	—	79%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPEUTIC PHLEBOTOMY	$114.24	$544.00	$276.90–$439.55	26% below	79%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 CC THERAPEUTIC PHLEBOTOMY	$114.24	$544.00	$276.90–$439.55	26% below	79%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPUTIC PHLEBOTOM	$114.24	$544.00	$276.90–$439.55	26% below	79%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 OPCH THERAPEUTIC PHLEBOTOMY	$114.24	$544.00	$276.90–$439.55	26% below	79%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 THERAPEUTIC PHLEBOTOMY	$114.24	$544.00	$353.60–$405.82	—	79%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 OPCH THERAPEUTIC PHLEBOTOMY	$114.24	$544.00	$353.60–$405.82	—	79%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 THERAPUTIC PHLEBOTOM	$114.24	$544.00	$353.60–$405.82	—	79%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 CC THERAPEUTIC PHLEBOTOMY	$114.24	$544.00	$353.60–$405.82	—	79%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Maine	Off list
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 FLUAD IIV ADJUVANT VAC HD IM	$10.30	$49.05	$24.97–$39.63	—	79%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 FLUAD IIV ADJUVANT VAC HD IM	$10.30	$49.05	$31.88–$36.59	—	79%
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 SPIKEVAX PF (CVX 312) 0.5 ML	$53.60	$255.24	$129.92–$206.23	66% below	79%
COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 SPIKEVAX PF (CVX 312) 0.5 ML	$53.60	$255.24	$165.91–$190.41	—	79%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 CHICKEN POX VACCINE	$60.43	$287.76	$146.47–$232.51	61% below	79%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VACCINE	$60.43	$287.76	$146.47–$232.51	61% below	79%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 NHI VAC VARICELLA OFFICE	$60.43	$287.76	$146.47–$232.51	61% below	79%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 CHICKEN POX VACCINE	$60.43	$287.76	$187.04–$214.67	—	79%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VACCINE	$60.43	$287.76	$187.04–$214.67	—	79%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 NHI VAC VARICELLA OFFICE	$60.43	$287.76	$187.04–$214.67	—	79%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 FP KINRIX 0.5ML INJ	$21.32	$101.50	$51.66–$82.01	66% below	79%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 NPE KINRIX 0.5ML INJ	$21.32	$101.50	$51.66–$82.01	66% below	79%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 CHC KINRIX 0.5ML INJ	$21.32	$101.50	$51.66–$82.01	66% below	79%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 FP KINRIX 0.5ML INJ	$21.32	$101.50	$65.98–$75.72	—	79%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 CHC KINRIX 0.5ML INJ	$21.32	$101.50	$65.98–$75.72	—	79%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 NPE KINRIX 0.5ML INJ	$21.32	$101.50	$65.98–$75.72	—	79%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 NPE VAC DTAP OFFICE	$12.77	$60.80	$30.95–$49.13	46% below	79%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DTAP VACCINE 0.5ML	$12.77	$60.80	$30.95–$49.13	46% below	79%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DTAP VACCINE <7 YR OFFICE	$12.77	$60.80	$30.95–$49.13	46% below	79%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 NHU VAC DTAP OFFICE	$12.77	$60.80	$30.95–$49.13	46% below	79%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 NOR VAC DTAP OFFICE	$12.77	$60.80	$30.95–$49.13	46% below	79%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 NHU VAC DTAP OFFICE	$12.77	$60.80	$39.52–$45.36	—	79%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 NOR VAC DTAP OFFICE	$12.77	$60.80	$39.52–$45.36	—	79%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DTAP VACCINE 0.5ML	$12.77	$60.80	$39.52–$45.36	—	79%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DTAP VACCINE <7 YR OFFICE	$12.77	$60.80	$39.52–$45.36	—	79%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 NPE VAC DTAP OFFICE	$12.77	$60.80	$39.52–$45.36	—	79%
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 PEDIARIX VACCINE	$33.60	$159.99	$81.43–$129.27	72% below	79%
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 NPE PEDIARIX IM VAC OFFICE	$33.60	$159.99	$81.43–$129.27	72% below	79%
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 FP PEDIARIX IM VAC OFFICE	$33.60	$159.99	$81.43–$129.27	72% below	79%
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 PEDIARIX 0.5ML INJ (PED)	$33.60	$159.99	$81.43–$129.27	72% below	79%
DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 PEDIARIX VACCINE	$33.60	$159.99	$103.99–$119.35	—	79%
DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 NPE PEDIARIX IM VAC OFFICE	$33.60	$159.99	$103.99–$119.35	—	79%
DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 FP PEDIARIX IM VAC OFFICE	$33.60	$159.99	$103.99–$119.35	—	79%
DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 PEDIARIX 0.5ML INJ (PED)	$33.60	$159.99	$103.99–$119.35	—	79%
DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 DTAP-IPB/HIB VACCINE	$39.90	$189.99	$96.70–$153.51	41% below	79%
DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 PENTACEL VACCINE OFFICE	$39.90	$189.99	$96.70–$153.51	41% below	79%
DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 NHU VAC PENTACEL OFFICE	$39.90	$189.99	$96.70–$153.51	41% below	79%
DTaP, polio and Hib combination vaccine (Pentacel) inpatient CPT 90698 PENTACEL VACCINE OFFICE	$39.90	$189.99	$123.49–$141.73	—	79%
DTaP, polio and Hib combination vaccine (Pentacel) inpatient CPT 90698 NHU VAC PENTACEL OFFICE	$39.90	$189.99	$123.49–$141.73	—	79%
DTaP, polio and Hib combination vaccine (Pentacel) inpatient CPT 90698 DTAP-IPB/HIB VACCINE	$39.90	$189.99	$123.49–$141.73	—	79%
DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) CPT 90697 VAXELIS 0.5ML INJ	$55.13	$262.51	$133.62–$212.11	—	79%
DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) CPT 90697 DTAP-IPV-HIB-HEPB 0.5ML IM	$57.33	$273.00	$138.96–$220.58	—	79%
DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) inpatient CPT 90697 VAXELIS 0.5ML INJ	$55.13	$262.51	$170.63–$195.83	—	79%
DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) inpatient CPT 90697 DTAP-IPV-HIB-HEPB 0.5ML IM	$57.33	$273.00	$177.45–$203.66	—	79%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUENZA VAC PF TIV 0.5 ML	$7.46	$35.51	$18.07–$28.69	66% below	79%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUENZA VAC PF 0.5ML TIV PF	$7.46	$35.51	$18.07–$28.69	66% below	79%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 INFLUENZA VAC PF TIV 0.5 ML	$7.46	$35.51	$23.08–$26.49	—	79%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 INFLUENZA VAC PF 0.5ML TIV PF	$7.46	$35.51	$23.08–$26.49	—	79%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 GARDASIL 9	$101.55	$483.57	$246.14–$390.72	32% below	79%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 VAC HPV-GARD NONAVALENT-OFC	$101.55	$483.57	$246.14–$390.72	32% below	79%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 VAC HPV-GARD NONAVALENT-OF	$101.55	$483.57	$246.14–$390.72	32% below	79%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HPV-GARDISL NONAVALENT VACCINE	$101.55	$483.57	$246.14–$390.72	32% below	79%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HPV-GARDISL NONAVALENT VACCINE	$101.55	$483.57	$314.32–$360.74	—	79%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 GARDASIL 9	$101.55	$483.57	$314.32–$360.74	—	79%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 VAC HPV-GARD NONAVALENT-OFC	$101.55	$483.57	$314.32–$360.74	—	79%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 VAC HPV-GARD NONAVALENT-OF	$101.55	$483.57	$314.32–$360.74	—	79%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 HEP A/HEP B VACC, ADULT IM	$45.32	$215.82	$109.85–$174.38	65% below	79%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 HEP A/HEP B VACCINE	$45.32	$215.82	$109.85–$174.38	65% below	79%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 HEP A/HEP B VACCINE-ADULT IM	$45.32	$215.82	$109.85–$174.38	65% below	79%
Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 HEP A/HEP B VACCINE	$45.32	$215.82	$140.28–$161.00	—	79%
Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 HEP A/HEP B VACCINE-ADULT IM	$45.32	$215.82	$140.28–$161.00	—	79%
Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 HEP A/HEP B VACC, ADULT IM	$45.32	$215.82	$140.28–$161.00	—	79%
Hepatitis A vaccine, adult dose CPT 90632 HEP A VACCINE ADULT-IM	$29.85	$142.13	$72.34–$114.84	70% below	79%
Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS-A (ADULT) INJ 1ML	$29.85	$142.13	$72.34–$114.84	70% below	79%
Hepatitis A vaccine, adult dose CPT 90632 HEP A VACCINE ADULT IM	$29.85	$142.13	$72.34–$114.84	70% below	79%
Hepatitis A vaccine, adult dose CPT 90632 HEP A VACCINE ADULT	$29.85	$142.13	$72.34–$114.84	70% below	79%
Hepatitis A vaccine, adult dose CPT 90632 FP HEPATITIS A VACCINE-EMMC	$29.85	$142.13	$72.34–$114.84	70% below	79%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HEP A VACCINE ADULT-IM	$29.85	$142.13	$92.38–$106.03	—	79%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HEP A VACCINE ADULT	$29.85	$142.13	$92.38–$106.03	—	79%
Hepatitis A vaccine, adult dose inpatient CPT 90632 FP HEPATITIS A VACCINE-EMMC	$29.85	$142.13	$92.38–$106.03	—	79%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HEP A VACCINE ADULT IM	$29.85	$142.13	$92.38–$106.03	—	79%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS-A (ADULT) INJ 1ML	$29.85	$142.13	$92.38–$106.03	—	79%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 NPE VAC HEP A PED/ADOL,2D,OFC	$13.67	$65.11	$33.14–$52.61	63% below	79%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HEPATITIS A VACCINE-PEDS DOSE	$13.67	$65.11	$33.14–$52.61	63% below	79%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 NHU VAC HEP A PED/ADOL 2D OFC	$13.67	$65.11	$33.14–$52.61	63% below	79%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 FP VAC HEP A PED/ADOL,2 D, OFC	$13.67	$65.11	$33.14–$52.61	63% below	79%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HEPATITIS-A (PEDS) 0.5ML INJ	$13.67	$65.11	$33.14–$52.61	63% below	79%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HEP A VAC (VAQTA)25UNITS/0.5ML	$14.26	$67.92	$34.57–$54.88	61% below	79%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HEP A VACC(VAQTA)25UNITS/0.5ML	$14.26	$67.92	$34.57–$54.88	61% below	79%
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 HEPATITIS-A (PEDS) 0.5ML INJ	$13.67	$65.11	$42.32–$48.57	—	79%
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 FP VAC HEP A PED/ADOL,2 D, OFC	$13.67	$65.11	$42.32–$48.57	—	79%
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 HEPATITIS A VACCINE-PEDS DOSE	$13.67	$65.11	$42.32–$48.57	—	79%
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 NPE VAC HEP A PED/ADOL,2D,OFC	$13.67	$65.11	$42.32–$48.57	—	79%
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 NHU VAC HEP A PED/ADOL 2D OFC	$13.67	$65.11	$42.32–$48.57	—	79%
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 HEP A VAC (VAQTA)25UNITS/0.5ML	$14.26	$67.92	$44.15–$50.67	—	79%
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 HEP A VACC(VAQTA)25UNITS/0.5ML	$14.26	$67.92	$44.15–$50.67	—	79%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPB VACCINE ADULT-OFFICE	$24.98	$118.97	$60.56–$96.13	61% below	79%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 ENGERIX-B ADULT HEP B VACCINE	$24.98	$118.97	$60.56–$96.13	61% below	79%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 FP HEPATITIS B VACCINE-EMMC	$24.98	$118.97	$60.56–$96.13	61% below	79%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPB VACCINE ADULT	$24.98	$118.97	$60.56–$96.13	61% below	79%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 NHI VAC HEPB ADULT OFFICE	$24.98	$118.97	$60.56–$96.13	61% below	79%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 NHU VAC HEPB ADULT OFFICE	$24.98	$118.97	$60.56–$96.13	61% below	79%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEP B VACCINE ADULT-IM	$24.98	$118.97	$60.56–$96.13	61% below	79%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VACCINE 20MCG INJ	$24.98	$118.97	$60.56–$96.13	61% below	79%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 ENGERIX-B ADULT HEP B VACCINE	$24.98	$118.97	$77.33–$88.75	—	79%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPB VACCINE ADULT-OFFICE	$24.98	$118.97	$77.33–$88.75	—	79%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VACCINE 20MCG INJ	$24.98	$118.97	$77.33–$88.75	—	79%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPB VACCINE ADULT	$24.98	$118.97	$77.33–$88.75	—	79%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 NHU VAC HEPB ADULT OFFICE	$24.98	$118.97	$77.33–$88.75	—	79%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 NHI VAC HEPB ADULT OFFICE	$24.98	$118.97	$77.33–$88.75	—	79%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEP B VACCINE ADULT-IM	$24.98	$118.97	$77.33–$88.75	—	79%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 FP HEPATITIS B VACCINE-EMMC	$24.98	$118.97	$77.33–$88.75	—	79%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPB VACCINE PED/ADOL 3DOSES	$10.06	$47.90	$24.38–$38.70	72% below	79%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPB VACCINE PED/ADOL-OFFICE	$10.06	$47.90	$24.38–$38.70	72% below	79%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPB VAC PED/ADOL 3DOSE OFFICE	$10.06	$47.90	$24.38–$38.70	72% below	79%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 NBR VAC HEPB PED/ADOL OFFICE	$10.06	$47.90	$24.38–$38.70	72% below	79%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPB VACCINE PED/ADOL 3DOSES	$10.06	$47.90	$31.14–$35.73	—	79%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 NBR VAC HEPB PED/ADOL OFFICE	$10.06	$47.90	$31.14–$35.73	—	79%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPB VAC PED/ADOL 3DOSE OFFICE	$10.06	$47.90	$31.14–$35.73	—	79%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPB VACCINE PED/ADOL-OFFICE	$10.06	$47.90	$31.14–$35.73	—	79%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HAEMOPHILUS B PRP-T VACCINE	$5.07	$24.14	$12.29–$19.51	74% below	79%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HIB/PRPT VACCINE OFFICE	$6.85	$32.60	$16.59–$26.34	65% below	79%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 NHU VAC HIB/PRPT OFFICE	$6.85	$32.60	$16.59–$26.34	65% below	79%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HAEMOPHILUS B PRP-T VACCINE	$5.07	$24.14	$15.69–$18.01	—	79%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 NHU VAC HIB/PRPT OFFICE	$6.85	$32.60	$21.19–$24.32	—	79%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HIB/PRPT VACCINE OFFICE	$6.85	$32.60	$21.19–$24.32	—	79%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLUZONE HD VACCINE	$23.19	$110.43	$56.21–$89.23	68% below	79%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 INFLUENZA VAC-PFHIGHDOSE65YRS+	$27.68	$131.83	$67.10–$106.52	61% below	79%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 FLUZONE HD VACCINE	$23.19	$110.43	$71.78–$82.38	—	79%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 INFLUENZA VAC-PFHIGHDOSE65YRS+	$27.68	$131.83	$85.69–$98.35	—	79%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES/MUMP/RUBELLA VAC 0.5ML	$33.83	$161.08	$81.99–$130.15	74% below	79%
MMR vaccine (measles, mumps and rubella), live CPT 90707 CC MEASLES/MUMPS/RUBELLA VACC	$33.83	$161.08	$81.99–$130.15	74% below	79%
MMR vaccine (measles, mumps and rubella), live CPT 90707 NHI VAC MMR OFFICE	$33.83	$161.08	$81.99–$130.15	74% below	79%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MMR VACCINE	$33.83	$161.08	$81.99–$130.15	74% below	79%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES/MUMP/RUBELLA VAC 0.5ML	$33.83	$161.08	$104.70–$120.17	—	79%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MMR VACCINE	$33.83	$161.08	$104.70–$120.17	—	79%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 NHI VAC MMR OFFICE	$33.83	$161.08	$104.70–$120.17	—	79%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 CC MEASLES/MUMPS/RUBELLA VACC	$33.83	$161.08	$104.70–$120.17	—	79%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 CHC VAC MMR/VZV COMB OFFICE	$98.99	$471.36	$239.92–$380.86	56% below	79%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 VACCINE MMR/VZV COMB OFFICE	$98.99	$471.36	$239.92–$380.86	56% below	79%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 MMR/VARICELLA(PRO-QUAD) 0.5INJ	$102.12	$486.27	$247.51–$392.91	55% below	79%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) inpatient CPT 90710 VACCINE MMR/VZV COMB OFFICE	$98.99	$471.36	$306.38–$351.63	—	79%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) inpatient CPT 90710 CHC VAC MMR/VZV COMB OFFICE	$98.99	$471.36	$306.38–$351.63	—	79%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) inpatient CPT 90710 MMR/VARICELLA(PRO-QUAD) 0.5INJ	$102.12	$486.27	$316.08–$362.76	—	79%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 INFD MENVEO A/C/Y/W-135 VACC	$55.85	$265.93	$135.36–$214.87	46% below	79%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 NHI VAC MENACTRA OFFICE	$55.85	$265.93	$135.36–$214.87	46% below	79%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 NPE MENVEO A/C/Y/W-135 VACC	$55.85	$265.93	$135.36–$214.87	46% below	79%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENACTRA VACCINE	$55.85	$265.93	$135.36–$214.87	46% below	79%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENACTRA VACCINE-OFFICE	$55.85	$265.93	$135.36–$214.87	46% below	79%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 NHU VAC MENACTRA OFFICE	$55.85	$265.93	$135.36–$214.87	46% below	79%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 FP MENVEO A/C/Y/W-135 VACC	$55.85	$265.93	$135.36–$214.87	46% below	79%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENVEO (A,C,Y AND W-135) 0.5ML	$59.19	$281.88	$143.48–$227.76	43% below	79%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 NPE MENVEO A/C/Y/W-135 VACC	$55.85	$265.93	$172.85–$198.38	—	79%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENACTRA VACCINE	$55.85	$265.93	$172.85–$198.38	—	79%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENACTRA VACCINE-OFFICE	$55.85	$265.93	$172.85–$198.38	—	79%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 FP MENVEO A/C/Y/W-135 VACC	$55.85	$265.93	$172.85–$198.38	—	79%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 INFD MENVEO A/C/Y/W-135 VACC	$55.85	$265.93	$172.85–$198.38	—	79%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 NHI VAC MENACTRA OFFICE	$55.85	$265.93	$172.85–$198.38	—	79%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 NHU VAC MENACTRA OFFICE	$55.85	$265.93	$172.85–$198.38	—	79%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENVEO (A,C,Y AND W-135) 0.5ML	$59.19	$281.88	$183.22–$210.28	—	79%
Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 MENACWY-TT (MENQUADFI) INJ	$56.16	$267.45	$136.13–$216.10	53% below	79%
Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 MENINGOCOCCAL (MENQUADFI) VAC	$58.96	$280.77	$142.91–$226.86	51% below	79%
Meningococcal ACWY vaccine (MenQuadfi) inpatient CPT 90619 MENACWY-TT (MENQUADFI) INJ	$56.16	$267.45	$173.84–$199.52	—	79%
Meningococcal ACWY vaccine (MenQuadfi) inpatient CPT 90619 MENINGOCOCCAL (MENQUADFI) VAC	$58.96	$280.77	$182.50–$209.45	—	79%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL VACCINE BEXSERO	$79.60	$379.03	$192.93–$306.26	59% below	79%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL-BEXSERO VAC	$79.60	$379.03	$192.93–$306.26	59% below	79%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 BEXSERO GROUP B VAC IM INJ	$79.60	$379.03	$192.93–$306.26	59% below	79%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 BEXSERO GROUP B VAC IM INJ	$79.60	$379.03	$246.37–$282.76	—	79%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENINGOCOCCAL VACCINE BEXSERO	$79.60	$379.03	$246.37–$282.76	—	79%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENINGOCOCCAL-BEXSERO VAC	$79.60	$379.03	$246.37–$282.76	—	79%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20 VACCINE 0.5ML	$95.72	$455.79	$232.00–$368.28	75% below	79%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20 VALENT 0.5ML	$95.72	$455.79	$232.00–$368.28	75% below	79%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 INFD PNEUMOCOCCAL 20 VAL 0.5ML	$95.72	$455.79	$232.00–$368.28	75% below	79%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 INFD PNEUMOCOCCAL 20 VAL 0.5ML	$95.72	$455.79	$296.26–$340.02	—	79%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL 20 VACCINE 0.5ML	$95.72	$455.79	$296.26–$340.02	—	79%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL 20 VALENT 0.5ML	$95.72	$455.79	$296.26–$340.02	—	79%
Pneumonia vaccine, 21-valent conjugate (Capvaxive) CPT 90684 PNEUMOCOCCAL 21-(CVX 327)	$108.49	$516.60	$262.95–$417.41	46% below	79%
Pneumonia vaccine, 21-valent conjugate (Capvaxive) inpatient CPT 90684 PNEUMOCOCCAL 21-(CVX 327)	$108.49	$516.60	$335.79–$385.38	—	79%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 NHU VAC PNEUMO OFFICE	$44.26	$210.75	$107.27–$170.29	54% below	79%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 FP PNEUMOVAX 23 2YR+ OFFICE	$44.26	$210.75	$107.27–$170.29	54% below	79%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL VACCINE-OFFICE	$44.26	$210.75	$107.27–$170.29	54% below	79%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL VACCINE	$44.26	$210.75	$107.27–$170.29	54% below	79%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 NHI VAC PNEUMO OFFICE	$44.26	$210.75	$107.27–$170.29	54% below	79%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL VACCINE-OFFICE	$44.26	$210.75	$136.99–$157.22	—	79%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL VACCINE	$44.26	$210.75	$136.99–$157.22	—	79%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 NHU VAC PNEUMO OFFICE	$44.26	$210.75	$136.99–$157.22	—	79%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 NHI VAC PNEUMO OFFICE	$44.26	$210.75	$136.99–$157.22	—	79%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 FP PNEUMOVAX 23 2YR+ OFFICE	$44.26	$210.75	$136.99–$157.22	—	79%
Polio vaccine, inactivated (IPV) CPT 90713 POLIOVIRUS VACC 0.5ML INJ	$10.32	$49.16	$25.02–$39.72	76% below	79%
Polio vaccine, inactivated (IPV) CPT 90713 FP IPV-EMMC	$14.60	$69.51	$35.38–$56.16	66% below	79%
Polio vaccine, inactivated (IPV) CPT 90713 CC POLIOVIRUS VACCINE INJ	$14.60	$69.51	$35.38–$56.16	66% below	79%
Polio vaccine, inactivated (IPV) CPT 90713 POLIO IPV VACCINE	$14.60	$69.51	$35.38–$56.16	66% below	79%
Polio vaccine, inactivated (IPV) CPT 90713 NHU VAC POLIO IPV OFFICE	$14.60	$69.51	$35.38–$56.16	66% below	79%
Polio vaccine, inactivated (IPV) CPT 90713 POLIOVIRUS VACCINE INJ	$15.32	$72.93	$37.12–$58.93	65% below	79%
Polio vaccine, inactivated (IPV) inpatient CPT 90713 POLIOVIRUS VACC 0.5ML INJ	$10.32	$49.16	$31.95–$36.67	—	79%
Polio vaccine, inactivated (IPV) inpatient CPT 90713 FP IPV-EMMC	$14.60	$69.51	$45.18–$51.85	—	79%
Polio vaccine, inactivated (IPV) inpatient CPT 90713 POLIO IPV VACCINE	$14.60	$69.51	$45.18–$51.85	—	79%
Polio vaccine, inactivated (IPV) inpatient CPT 90713 CC POLIOVIRUS VACCINE INJ	$14.60	$69.51	$45.18–$51.85	—	79%
Polio vaccine, inactivated (IPV) inpatient CPT 90713 NHU VAC POLIO IPV OFFICE	$14.60	$69.51	$45.18–$51.85	—	79%
Polio vaccine, inactivated (IPV) inpatient CPT 90713 POLIOVIRUS VACCINE INJ	$15.32	$72.93	$47.40–$54.41	—	79%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 RSV VACCINE, PREF A-PREF B	$107.73	$513.00	$261.12–$414.50	42% below	79%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 ABRYSVO PF 60 MCG-60 MCG INJ	$107.73	$513.00	$261.12–$414.50	42% below	79%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 ABRYSVO PF 60 MCG-60 MCG INJ	$107.73	$513.00	$333.45–$382.70	—	79%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 RSV VACCINE, PREF A-PREF B	$107.73	$513.00	$333.45–$382.70	—	79%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE 2.5UNIT/1ML INJ	$143.28	$682.28	$347.28–$551.28	81% below	79%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE IM	$143.28	$682.28	$347.28–$551.28	81% below	79%
Rabies vaccine, one dose CPT 90675 RABIES VACC(IMOVAX)	$143.28	$682.28	$347.28–$551.28	81% below	79%
Rabies vaccine, one dose CPT 90675 VACCINE, RABIES IM	$143.28	$682.28	$347.28–$551.28	81% below	79%
Rabies vaccine, one dose CPT 90675 VACCINE RABIES IM	$143.28	$682.28	$347.28–$551.28	81% below	79%
Rabies vaccine, one dose CPT 90675 RABAVERT VACCINE INJ	$156.46	$745.04	$379.23–$601.99	79% below	79%
Rabies vaccine, one dose inpatient CPT 90675 VACCINE, RABIES IM	$143.28	$682.28	$443.48–$508.98	—	79%
Rabies vaccine, one dose inpatient CPT 90675 VACCINE RABIES IM	$143.28	$682.28	$443.48–$508.98	—	79%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE IM	$143.28	$682.28	$443.48–$508.98	—	79%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE 2.5UNIT/1ML INJ	$143.28	$682.28	$443.48–$508.98	—	79%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACC(IMOVAX)	$143.28	$682.28	$443.48–$508.98	—	79%
Rabies vaccine, one dose inpatient CPT 90675 RABAVERT VACCINE INJ	$156.46	$745.04	$484.28–$555.80	—	79%
Rotavirus vaccine, oral, 2-dose schedule (Rotarix) CPT 90681 FP VAC ROTARIX 2D-OFC	$50.64	$241.15	$122.75–$194.85	51% below	79%
Rotavirus vaccine, oral, 2-dose schedule (Rotarix) inpatient CPT 90681 FP VAC ROTARIX 2D-OFC	$50.64	$241.15	$156.75–$179.90	—	79%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 NHU VAC ORAL ROTATEQ OFFICE	$35.18	$167.51	$85.26–$135.35	51% below	79%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 ROTAVIRUS ORAL VACCINE	$36.27	$172.73	$87.92–$139.57	49% below	79%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) inpatient CPT 90680 NHU VAC ORAL ROTATEQ OFFICE	$35.18	$167.51	$108.88–$124.96	—	79%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) inpatient CPT 90680 ROTAVIRUS ORAL VACCINE	$36.27	$172.73	$112.27–$128.86	—	79%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 SHINGRIX VACCINE 0.5ML INJ	$69.33	$330.13	$168.04–$266.75	19% below	79%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 SHINGRIX VACCINE 0.5ML INJ	$69.33	$330.13	$214.58–$246.28	—	79%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 CC DIPTHERIA-TETANUS TOXOID	$10.58	$50.37	$25.64–$40.70	74% below	79%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TD VACCINE PRESERV FREE-OFFICE	$10.58	$50.37	$25.64–$40.70	74% below	79%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS-DIPH TOXOID 0.5ML INJ	$10.58	$50.37	$25.64–$40.70	74% below	79%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TD VACC NO PRESV 7 YRS+ IM	$10.58	$50.37	$25.64–$40.70	74% below	79%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TD VACCINE PRESERV FREE-OFFICE	$10.58	$50.37	$32.74–$37.58	—	79%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TD VACC NO PRESV 7 YRS+ IM	$10.58	$50.37	$32.74–$37.58	—	79%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 CC DIPTHERIA-TETANUS TOXOID	$10.58	$50.37	$32.74–$37.58	—	79%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS-DIPH TOXOID 0.5ML INJ	$10.58	$50.37	$32.74–$37.58	—	79%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 NHI BOOSTRIX 0.5ML OFFICE	$16.57	$78.89	$40.16–$63.74	63% below	79%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP VACCINE (ADACEL)	$16.57	$78.89	$40.16–$63.74	63% below	79%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 NBR BOOSTRIX 0.5ML OFFICE	$16.57	$78.89	$40.16–$63.74	63% below	79%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 NHU BOOSTRIX 0.5ML OFFICE	$16.57	$78.89	$40.16–$63.74	63% below	79%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 NPE BOOSTRIX 0.5ML OFFICE	$16.57	$78.89	$40.16–$63.74	63% below	79%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP VACCINE 7 YRS/> IM	$16.57	$78.89	$40.16–$63.74	63% below	79%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 OBPS TDAP VACCINE>7IM (ADACEL)	$16.57	$78.89	$40.16–$63.74	63% below	79%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP VACCINE >7 IM	$16.57	$78.89	$40.16–$63.74	63% below	79%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 FP BOOSTRIX 0.5ML OFFICE	$16.57	$78.89	$40.16–$63.74	63% below	79%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 BOOSTRIX (TDAP) 0.5ML INJ	$16.57	$78.89	$40.16–$63.74	63% below	79%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 HFM BOOSTRIX 0.5ML OFFICE	$16.57	$78.89	$40.16–$63.74	63% below	79%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 CHC BOOSTRIX 0.5ML OFFICE	$16.57	$78.89	$40.16–$63.74	63% below	79%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 BOOSTRIX 0.5ML	$16.57	$78.89	$40.16–$63.74	63% below	79%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 OBPS TDAP VACCINE>7IM (ADACEL)	$16.57	$78.89	$51.28–$58.85	—	79%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TDAP VACCINE 7 YRS/> IM	$16.57	$78.89	$51.28–$58.85	—	79%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 NHI BOOSTRIX 0.5ML OFFICE	$16.57	$78.89	$51.28–$58.85	—	79%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 NPE BOOSTRIX 0.5ML OFFICE	$16.57	$78.89	$51.28–$58.85	—	79%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 NHU BOOSTRIX 0.5ML OFFICE	$16.57	$78.89	$51.28–$58.85	—	79%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 NBR BOOSTRIX 0.5ML OFFICE	$16.57	$78.89	$51.28–$58.85	—	79%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TDAP VACCINE (ADACEL)	$16.57	$78.89	$51.28–$58.85	—	79%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 BOOSTRIX 0.5ML	$16.57	$78.89	$51.28–$58.85	—	79%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 CHC BOOSTRIX 0.5ML OFFICE	$16.57	$78.89	$51.28–$58.85	—	79%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 HFM BOOSTRIX 0.5ML OFFICE	$16.57	$78.89	$51.28–$58.85	—	79%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 BOOSTRIX (TDAP) 0.5ML INJ	$16.57	$78.89	$51.28–$58.85	—	79%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 FP BOOSTRIX 0.5ML OFFICE	$16.57	$78.89	$51.28–$58.85	—	79%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TDAP VACCINE >7 IM	$16.57	$78.89	$51.28–$58.85	—	79%
Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 TYPHOID VACCINE IM INJ	$20.27	$96.54	$49.14–$78.00	86% below	79%
Typhoid vaccine, injectable (Vi polysaccharide) inpatient CPT 90691 TYPHOID VACCINE IM INJ	$20.27	$96.54	$62.75–$72.02	—	79%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 OOU ADMIN PNEUMOVAX	$20.37	$97.00	$49.37–$78.38	15% above	79%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VACCINE ADMIN	$20.37	$97.00	$49.37–$78.38	15% above	79%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 NHI VAC ADMINISTRATION	$20.37	$97.00	$49.37–$78.38	15% above	79%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 NPE VAC ADMINISTRATION	$20.37	$97.00	$49.37–$78.38	15% above	79%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 NHU VAC ADMINISTRATION	$20.37	$97.00	$49.37–$78.38	15% above	79%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN HEPATITIS B VACCINE	$20.37	$97.00	$49.37–$78.38	15% above	79%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VACCINE ADMINISTRATION	$20.37	$97.00	$49.37–$78.38	15% above	79%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN VACCINE	$20.37	$97.00	$49.37–$78.38	15% above	79%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VACCINE ADMIN LPN RN	$20.37	$97.00	$49.37–$78.38	15% above	79%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMINISTRATION	$20.37	$97.00	$49.37–$78.38	15% above	79%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 OPCH ADMIN PNEUMOCCAL VACCINE	$20.37	$97.00	$49.37–$78.38	15% above	79%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 OPCH ADMIN OTHER VACCINE	$20.37	$97.00	$49.37–$78.38	15% above	79%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 G7 PNEUMOCOCCAL VACCINE ADMIN	$20.37	$97.00	$49.37–$78.38	15% above	79%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 H3 VACCINE ADMIN (SQ/IM)	$20.37	$97.00	$49.37–$78.38	15% above	79%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 OOU ADMIN OTHER VACCINE	$20.37	$97.00	$49.37–$78.38	15% above	79%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 NSG VACCINE ADMIN (SQ/IM)	$20.37	$97.00	$49.37–$78.38	15% above	79%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 SC/IM INJECTION ADMIN	$20.37	$97.00	$49.37–$78.38	15% above	79%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 WIC ADM OF IMMUNIZATION(SQ/IM)	$20.37	$97.00	$49.37–$78.38	15% above	79%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 OPC ADM OF IMMUNIZATION(SQ/IM)	$20.37	$97.00	$49.37–$78.38	15% above	79%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 PNEUMOVAX VACCINE ADMIN	$20.37	$97.00	$49.37–$78.38	15% above	79%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN PNEUMOCOCCAL VACCINE	$20.37	$97.00	$49.37–$78.38	15% above	79%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN	$20.37	$97.00	$49.37–$78.38	15% above	79%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN PNEUMOVAX MEDICARE	$20.37	$97.00	$49.37–$78.38	15% above	79%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 FP ADMIN VAC	$20.37	$97.00	$49.37–$78.38	15% above	79%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC ADM VAC PRC/IM/SC/INTRADRML	$20.37	$97.00	$49.37–$78.38	15% above	79%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 CC ADMIN PNEUMONIA VACCINE	$20.37	$97.00	$49.37–$78.38	15% above	79%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 CC IMMUNIZATION ADMINISTRATION	$20.37	$97.00	$49.37–$78.38	15% above	79%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VACCCINE ADMINISTRATION	$20.37	$97.00	$49.37–$78.38	15% above	79%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN INFLUENZA VAC	$20.37	$97.00	$49.37–$78.38	15% above	79%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMINISTRATION OF IMMUNIZATION	$20.37	$97.00	$49.37–$78.38	15% above	79%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ER ADM OF IMMUNIZATION (SQ/IM)	$24.36	$116.00	$59.04–$93.73	38% above	79%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 VACCINE ADMINISTRATION	$20.37	$97.00	$63.05–$72.36	—	79%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 VACCCINE ADMINISTRATION	$20.37	$97.00	$63.05–$72.36	—	79%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN INFLUENZA VAC	$20.37	$97.00	$63.05–$72.36	—	79%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMINISTRATION OF IMMUNIZATION	$20.37	$97.00	$63.05–$72.36	—	79%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 H3 VACCINE ADMIN (SQ/IM)	$20.37	$97.00	$63.05–$72.36	—	79%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 CC ADMIN PNEUMONIA VACCINE	$20.37	$97.00	$63.05–$72.36	—	79%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 FP ADMIN VAC	$20.37	$97.00	$63.05–$72.36	—	79%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 CC IMMUNIZATION ADMINISTRATION	$20.37	$97.00	$63.05–$72.36	—	79%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN PNEUMOVAX MEDICARE	$20.37	$97.00	$63.05–$72.36	—	79%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMIN	$20.37	$97.00	$63.05–$72.36	—	79%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN PNEUMOCOCCAL VACCINE	$20.37	$97.00	$63.05–$72.36	—	79%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 PNEUMOVAX VACCINE ADMIN	$20.37	$97.00	$63.05–$72.36	—	79%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC ADM VAC PRC/IM/SC/INTRADRML	$20.37	$97.00	$63.05–$72.36	—	79%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 OPC ADM OF IMMUNIZATION(SQ/IM)	$20.37	$97.00	$63.05–$72.36	—	79%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 WIC ADM OF IMMUNIZATION(SQ/IM)	$20.37	$97.00	$63.05–$72.36	—	79%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 SC/IM INJECTION ADMIN	$20.37	$97.00	$63.05–$72.36	—	79%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 NSG VACCINE ADMIN (SQ/IM)	$20.37	$97.00	$63.05–$72.36	—	79%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 OOU ADMIN OTHER VACCINE	$20.37	$97.00	$63.05–$72.36	—	79%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 OOU ADMIN PNEUMOVAX	$20.37	$97.00	$63.05–$72.36	—	79%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 G7 PNEUMOCOCCAL VACCINE ADMIN	$20.37	$97.00	$63.05–$72.36	—	79%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 OPCH ADMIN OTHER VACCINE	$20.37	$97.00	$63.05–$72.36	—	79%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 OPCH ADMIN PNEUMOCCAL VACCINE	$20.37	$97.00	$63.05–$72.36	—	79%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMINISTRATION	$20.37	$97.00	$63.05–$72.36	—	79%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 VACCINE ADMIN LPN RN	$20.37	$97.00	$63.05–$72.36	—	79%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN VACCINE	$20.37	$97.00	$63.05–$72.36	—	79%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 VACCINE ADMIN	$20.37	$97.00	$63.05–$72.36	—	79%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 NHU VAC ADMINISTRATION	$20.37	$97.00	$63.05–$72.36	—	79%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN HEPATITIS B VACCINE	$20.37	$97.00	$63.05–$72.36	—	79%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 NHI VAC ADMINISTRATION	$20.37	$97.00	$63.05–$72.36	—	79%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 NPE VAC ADMINISTRATION	$20.37	$97.00	$63.05–$72.36	—	79%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ER ADM OF IMMUNIZATION (SQ/IM)	$24.36	$116.00	$75.40–$86.54	—	79%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 FP ADMIN VAC EA ADDL (STATE)	$4.53	$21.58	$10.98–$17.44	74% below	79%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 NHU VAC ADMIN EA ADDL STATE	$4.53	$21.58	$10.98–$17.44	74% below	79%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 VAC ADMIN EA ADDL-STATE SUPP	$4.53	$21.58	$10.98–$17.44	74% below	79%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 NPE VAC ADMIN EA ADDL STATE	$4.53	$21.58	$10.98–$17.44	74% below	79%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADMIN-ADDITIONAL	$11.13	$53.00	$26.98–$42.82	37% below	79%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 CC VACCINE ADMIN-ADD'L	$11.13	$53.00	$26.98–$42.82	37% below	79%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC ADMIN IMMUNIZATION ADDL	$11.13	$53.00	$26.98–$42.82	37% below	79%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 FP ADMIN VACCINE EACH ADD'L	$11.13	$53.00	$26.98–$42.82	37% below	79%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADM EA ADDL	$11.13	$53.00	$26.98–$42.82	37% below	79%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ADMIN ADDITIONAL VACCINE	$11.13	$53.00	$26.98–$42.82	37% below	79%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 OPC EACH ADD'L IMMUNIZATION	$11.13	$53.00	$26.98–$42.82	37% below	79%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 WIC EACH ADD'L IMMUNIZATION	$11.13	$53.00	$26.98–$42.82	37% below	79%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 OOU ADMIN EA ADDL VACCINE	$11.13	$53.00	$26.98–$42.82	37% below	79%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 OPCH IMMUNIZATION EA ADDITION	$11.13	$53.00	$26.98–$42.82	37% below	79%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADMIN EACH ADD	$11.13	$53.00	$26.98–$42.82	37% below	79%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 VACCINE ADMINISTRATION EA ADDL	$11.13	$53.00	$26.98–$42.82	37% below	79%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ADMIN EA ADDL VACCINE	$11.13	$53.00	$26.98–$42.82	37% below	79%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 VACCINE ADMIN EA ADDITIONAL	$11.13	$53.00	$26.98–$42.82	37% below	79%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 NHI VAC ADMIN EA ADDL	$11.13	$53.00	$26.98–$42.82	37% below	79%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 NPE VAC ADMIN EA ADDL	$11.13	$53.00	$26.98–$42.82	37% below	79%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 NHU VAC ADMIN EA ADDL	$11.13	$53.00	$26.98–$42.82	37% below	79%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADMIN EACH ADDL	$13.44	$64.00	$32.58–$51.71	24% below	79%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 NHU VAC ADMIN EA ADDL STATE	$4.53	$21.58	$14.03–$16.10	—	79%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 VAC ADMIN EA ADDL-STATE SUPP	$4.53	$21.58	$14.03–$16.10	—	79%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 FP ADMIN VAC EA ADDL (STATE)	$4.53	$21.58	$14.03–$16.10	—	79%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 NPE VAC ADMIN EA ADDL STATE	$4.53	$21.58	$14.03–$16.10	—	79%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUNIZATION ADM EA ADDL	$11.13	$53.00	$34.45–$39.54	—	79%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC ADMIN IMMUNIZATION ADDL	$11.13	$53.00	$34.45–$39.54	—	79%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 VACCINE ADMINISTRATION EA ADDL	$11.13	$53.00	$34.45–$39.54	—	79%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 FP ADMIN VACCINE EACH ADD'L	$11.13	$53.00	$34.45–$39.54	—	79%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 CC VACCINE ADMIN-ADD'L	$11.13	$53.00	$34.45–$39.54	—	79%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 OOU ADMIN EA ADDL VACCINE	$11.13	$53.00	$34.45–$39.54	—	79%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 WIC EACH ADD'L IMMUNIZATION	$11.13	$53.00	$34.45–$39.54	—	79%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 OPC EACH ADD'L IMMUNIZATION	$11.13	$53.00	$34.45–$39.54	—	79%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 ADMIN ADDITIONAL VACCINE	$11.13	$53.00	$34.45–$39.54	—	79%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 NHU VAC ADMIN EA ADDL	$11.13	$53.00	$34.45–$39.54	—	79%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 NPE VAC ADMIN EA ADDL	$11.13	$53.00	$34.45–$39.54	—	79%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 NHI VAC ADMIN EA ADDL	$11.13	$53.00	$34.45–$39.54	—	79%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 VACCINE ADMIN EA ADDITIONAL	$11.13	$53.00	$34.45–$39.54	—	79%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 ADMIN EA ADDL VACCINE	$11.13	$53.00	$34.45–$39.54	—	79%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUNIZATION ADMIN EACH ADD	$11.13	$53.00	$34.45–$39.54	—	79%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUNIZATION ADMIN-ADDITIONAL	$11.13	$53.00	$34.45–$39.54	—	79%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 OPCH IMMUNIZATION EA ADDITION	$11.13	$53.00	$34.45–$39.54	—	79%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUNIZATION ADMIN EACH ADDL	$13.44	$64.00	$41.60–$47.74	—	79%

Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More

Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More

List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More

Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More

Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.

Off list How much lower the cash price is than the list price.

No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More

At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More

Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.

Source file: https://northernlighthealth.org/NLH/media/Price-Transparency/010211501_Eastern-Maine-Medical-Center_standardcharges.csv