Midstate Medical Center
Midstate Medical Center in Meriden, CT publishes cash prices for 370 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are above the Connecticut median for 203 of 345 procedures and below it for 46. By typical cash price it ranks #12 of 18 Connecticut hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
455 LEWIS AVENUE, MERIDEN, CT 06451 Collected Sep 27, 2026 Source price file (203) 694-8200
Acute care hospital Emergency department CMS star rating 4 of 5 CCN 070017 · CMS hospital register NPI 1669524187
The price file shows no self-pay discount
For 721 of the 721 prices listed here, the cash price in Midstate Medical Center's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing. Other US hospitals whose cash price is their full list price.
CMS price transparency record
The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 1 action for a hospital named Midstate Medical Center in Meriden, CT:
- Feb 5, 2025 Met requirements
Met requirements: CMS reviewed the hospital and found it met the requirements, so no further action was taken.
A notice records a step in a CMS review; it is not a court finding. Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes, actions through Jul 31, 2026.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Connecticut | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 HC CT ABDOMEN W/O & W/CONTRAST MATERIAL | $2,475.00 | $2,475.00 | $71.68–$741.06 | at median | — |
| Abdominal X-ray, 2 views CPT 74019 HC ABDOMEN 2 VIEWS, RADIOLOGIC EXAM | $412.00 | $412.00 | $42.72–$167.60 | 3% above | — |
| Ankle X-ray, complete, 3 or more views CPT 73610 HC RADEX ANKLE COMPLETE MINIMUM 3 VIEWS | $410.00 | $410.00 | $35.56–$138.53 | 31% above | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HC NON-INVAS PHYSIOLOGIC STD EXTREMITY ART 2 LEVEL | $1,007.35 | $1,007.35 | $54.37–$204.85 | 80% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 HC CT UPPER EXTREMITY W/O CONTRAST MATERIAL | $1,473.00 | $1,473.00 | $42.72–$436.27 | at median | — |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 HC RADEX ESOPHAGUS | $714.00 | $714.00 | $71.68–$282.71 | 13% above | — |
| Bone scan, whole body (nuclear medicine) CPT 78306 HC BONE &/JOINT IMAGING WHOLE BODY | $2,364.00 | $2,364.00 | $163.37–$830.34 | 42% above | — |
| Breast ultrasound, complete, one breast CPT 76641 HC US BREAST REAL TIME W/IMAGE DOCUMENTATION | $325.00 | $325.00 | $42.72–$365.20 | at median | — |
| Breast ultrasound, limited (one breast or one area) CPT 76642 HC US BREAST UNI REAL TIME WITH IMAGE LIMITED | $249.00 | $249.00 | $35.56–$280.52 | at median | — |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 HC CT ANGIO ABD&PLVIS CNTRST MTRL W/WO CNTRST IMG | $3,465.00 | $3,465.00 | $142.57–$1,058.67 | at median | — |
| CT angiography (CTA) of the neck CPT 70498 HC CT ANGIOGRAPHY NECK W/CONTRAST/NONCONTRAST | $2,405.00 | $2,405.00 | $71.68–$743.72 | at median | — |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HC CTA HRT CORNRY ART/BYPASS GRFTS CONTRST 3D POST | $3,220.00 | $3,220.00 | $142.57–$808.82 | 129% above | — |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 HC CT HEART NO CONTRAST QUANT EVAL CORONRY CALCIUM | $350.00 | $350.00 | $35.56–$280.08 | 104% above | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT ABDOMEN & PELVIS W/O CONTRAST MATERIAL | $1,278.00 | $1,278.00 | $97.51–$392.55 | at median | — |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT ABDOMEN & PELVIS W/O CONTRST 1/> BODY RE | $3,140.00 | $3,140.00 | $142.57–$932.37 | at median | — |
| CT scan of the abdomen without contrast CPT 74150 HC CT ABDOMEN W/O CONTRAST MATERIAL | $1,022.00 | $1,022.00 | $42.72–$309.96 | at median | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT MAXILLOFACIAL W/O CONTRAST MATERIAL | $1,099.00 | $1,099.00 | $42.72–$336.19 | at median | — |
| CT scan of the head with contrast CPT 70460 HC CT HEAD/BRAIN W/CONTRAST MATERIAL | $1,201.00 | $1,201.00 | $71.68–$366.28 | at median | — |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT LUMBAR SPINE W/O CONTRAST MATERIAL | $1,037.00 | $1,037.00 | $42.72–$317.43 | at median | — |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT CERVICAL SPINE W/O CONTRAST MATERIAL | $1,045.00 | $1,045.00 | $42.72–$319.94 | at median | — |
| CT scan of the pelvis, with contrast dye CPT 72193 HC CT PELVIS W/CONTRAST MATERIAL | $2,192.00 | $2,192.00 | $71.68–$658.62 | 5% above | — |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HC DUPLEX SCAN EXTRACRANIAL ART COMPL BI STUDY | $1,407.34 | $1,407.34 | $97.51–$452.85 | — | — |
| Chest CT scan without and with contrast CPT 71270 HC CT THORAX W/O & W/CONTRAST MATERIAL | $1,756.00 | $1,756.00 | $71.68–$526.22 | at median | — |
| Chest X-ray, 2 views CPT 71046 HC CHEST 2 VIEWS, RADIOLOGIC EXAM | $374.00 | $374.00 | $35.56–$138.53 | 8% above | — |
| Chest X-ray, single view CPT 71045 HC CHEST SINGLE VIEW, RADIOLOGIC EXAMINATION | $285.00 | $285.00 | $35.56–$138.53 | at median | — |
| Collarbone (clavicle) X-ray, complete CPT 73000 HC RADEX CLAVICLE COMPLETE | $360.00 | $360.00 | $35.56–$138.53 | 22% above | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC US RETROPERITONEAL REAL TIME W/IMAGE COMPLETE | $351.00 | $351.00 | $42.72–$262.30 | 12% below | — |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 HC US PREG UTERUS W/DETAIL FETAL ANAT 1ST GESTATION | $384.00 | $384.00 | $97.51–$373.55 | 4% below | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT THORAX W/O CONTRAST MATERIAL | $1,689.90 | $1,689.90 | $42.72–$316.19 | at median | — |
| Diagnostic mammogram, both breasts both sides CPT 77066 HC DIAGNOSTIC MAMMOGRAPHY, INCLUDING COMPUTER-AIDED DETECTION (CAD) WHEN PERFORMED; BILATERAL | $521.00 | $521.00 | $176.03–$395.87 | — | — |
| Diagnostic mammogram, one breast one side CPT 77065 HC DIAGNOSTIC MAMMOGRAPHY, INCLUDING COMPUTER-AIDED DETECTION (CAD) WHEN PERFORMED; UNILATERAL | $407.00 | $407.00 | $137.26–$310.84 | at median | — |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HC DUP-SCAN LXTR ART/ARTL BPGS COMPL BI STUDY | $1,361.56 | $1,361.56 | $97.51–$608.50 | — | — |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC DUP-SCAN XTR VEINS COMPLETE BILATERAL STUDY | $2,596.51 | $2,596.51 | $97.51–$454.88 | — | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC ECHO TTHRC R-T 2D W/WOM-MODE COMPL SPEC&COLR D W/ CONTRAST | $2,152.77 | $2,152.77 | $223.30–$228.88 | 11% above | — |
| Elbow X-ray, 2 views CPT 73070 HC RADEX ELBOW 2 VIEWS | $325.00 | $325.00 | $35.56–$138.53 | 31% above | — |
| Elbow X-ray, complete, 3 or more views CPT 73080 HC RADEX ELBOW COMPLETE MINIMUM 3 VIEWS | $360.00 | $360.00 | $35.56–$138.53 | 16% above | — |
| Eye socket (orbit) CT scan without contrast CPT 70480 HC CT ORBIT SELLA/POST FOSSA/EAR W/O CONTRAST MATRL | $1,239.00 | $1,239.00 | $42.72–$378.78 | at median | — |
| Facial bones X-ray, complete, 3 or more views CPT 70150 HC RADEX FACIAL BONES COMPLETE MINIMUM 3 VIEWS | $528.00 | $528.00 | $42.72–$167.60 | 26% above | — |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 HC RADEX FOREARM 2 VIEWS | $325.00 | $325.00 | $35.56–$138.53 | 5% above | — |
| Hand X-ray, 2 views CPT 73120 HC RADEX HAND 2 VIEWS | $348.00 | $348.00 | $42.72–$167.60 | 4% above | — |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HC RADEX CALCANEUS MINIMUM 2 VIEWS | $321.00 | $321.00 | $35.56–$138.53 | 9% above | — |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HC SLEEP STD AIRFLOW HRT RATE&O2 SAT EFFORT UNATT | $1,235.16 | $1,235.16 | $88.24–$500.00 | at median | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HC POLYSOM 6/>YRS SLEEP W/CPAP 4/> ADDL PARAM ATTND | $5,287.76 | $5,287.76 | $350.94–$3,000.00 | at median | — |
| Knee X-ray, 3 views CPT 73562 HC RADIOLOGIC EXAMINATION KNEE 3 VIEWS | $453.00 | $453.00 | $35.56–$138.53 | 46% above | — |
| Knee X-ray, complete, 4 or more views CPT 73564 HC RADIOLOGIC EXAM KNEE COMPLETE 4/MORE VIEWS | $514.00 | $514.00 | $42.72–$167.60 | 32% above | — |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 HC CT LOWER EXTREMITY W/O CONTRAST MATERIAL | $1,037.00 | $1,037.00 | $42.72–$318.71 | at median | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC ULTRASOUND ABDOMINAL REAL TIME W/IMAGE LIMITED | $284.00 | $284.00 | $42.72–$212.88 | 18% below | — |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC US EXTREMITY NON-VASC REAL-TIME IMG LMTD | $151.00 | $151.00 | $30.45–$167.60 | 18% below | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HC COMPUTED TOMOGRAPHY THORAX LW DOSE LNG CA SCR WO/C- | $677.00 | $677.00 | $42.72–$333.82 | at median | — |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HC RADIOLOGIC EXAMINATION TIBIA & FIBULA 2 VIEWS | $352.00 | $352.00 | $35.56–$138.53 | 25% above | — |
| MR angiography (MRA) of the head without contrast CPT 70544 HC MRA HEAD W/O CONTRST MATERIAL | $1,853.00 | $1,853.00 | $97.51–$792.72 | at median | — |
| MRI of both breasts, without and then with contrast dye both sides CPT 77049 HC MRI BREAST WITHOUT&WITH CONTRAST W/CAD BILATERAL | $2,833.00 | $2,833.00 | $384.54–$1,161.22 | — | — |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI ANY JT LOWER EXTREM W/O CONTRAST MATRL | $1,619.00 | $1,619.00 | $97.51–$695.29 | at median | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI ANY JT LOWER EXTREM W/O & W/CONTRAST MATRL | $3,452.00 | $3,452.00 | $142.57–$1,399.83 | 3% above | — |
| MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI ABDOMEN W/O & W/CONTRAST MATERIAL | $2,826.00 | $2,826.00 | $142.57–$1,164.44 | at median | — |
| MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN BRAIN STEM W/O CONTRAST MATERIAL | $1,486.00 | $1,486.00 | $97.51–$633.47 | at median | — |
| MRI of the brain, with and without contrast dye CPT 70553 HC MRI BRAIN BRAIN STEM W/O W/CONTRAST MATERIAL | $2,504.00 | $2,504.00 | $142.57–$1,050.82 | at median | — |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MRI SPINAL CANAL CERVICAL W/O & W/CONTR MATRL | $2,539.00 | $2,539.00 | $142.57–$1,054.04 | at median | — |
| MRI of the pelvis without and with contrast CPT 72197 HC MRI PELVIS W/O & W/CONTRAST MATERIAL | $2,819.00 | $2,819.00 | $142.57–$1,157.96 | at median | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI ANY JT UPPER EXTREMITY W/O CONTRAST MATRL | $1,622.00 | $1,622.00 | $97.51–$696.95 | at median | — |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HC RADEX SPINE CERVICAL 4 OR 5 VIEWS | $590.00 | $590.00 | $42.72–$171.33 | 39% above | — |
| Neck soft tissue X-ray CPT 70360 HC RADIOLOGIC EXAMINATION NECK SOFT TISSUE | $352.00 | $352.00 | $35.56–$138.53 | 48% above | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 HC PET IMAGING CT ATTENUATION SKULL BASE MID-THIGH | $8,882.00 | $8,882.00 | $584.37–$8,381.00 | 22% above | — |
| Pelvic CT scan without contrast CPT 72192 HC CT PELVIS W/O CONTRAST MATERIAL | $1,033.00 | $1,033.00 | $42.72–$314.95 | at median | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC US PELVIC NONOBSTETRIC IMAGE DCMTN LIMITED/F/U | $129.64 | $129.64 | $42.72–$167.60 | 48% below | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC US PELVIC NONOBSTETRIC REAL-TIME IMAGE COMPLETE | $348.00 | $348.00 | $42.72–$258.77 | at median | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US PREG UTERUS AFTER 1ST TRIMEST 1/1ST GESTATION | $420.00 | $420.00 | $42.72–$314.02 | at median | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC US PREGNANT UTERUS 14 WK TRANSABDL 1/1ST GESTAT | $336.00 | $336.00 | $42.72–$251.69 | at median | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC US PREGNANT UTERUS LIMITED 1/> FETUSES | $239.00 | $239.00 | $42.72–$178.76 | at median | — |
| Rib X-ray, one side, 2 views one side CPT 71100 HC RADEX RIBS UNILATERAL 2 VIEWS | $409.00 | $409.00 | $35.56–$138.53 | 11% above | — |
| Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 HC RADEX RIBS UNI W/POSTEROANT CH MINIMUM 3 VIEWS | $470.00 | $470.00 | $42.72–$167.60 | 18% above | — |
| Screening mammogram, both breasts both sides CPT 77067 HC SCR MAMMO BI INCL CAD | $430.00 | $430.00 | $145.12–$327.23 | — | — |
| Shoulder X-ray, complete, 2 or more views CPT 73030 HC RADEX SHOULDER COMPLETE MINIMUM 2 VIEWS | $383.00 | $383.00 | $35.56–$138.53 | 29% above | — |
| Sinus X-ray, complete, 3 or more views CPT 70220 HC RADEX SINUSES PARANASAL COMPL MINIMUM 3 VIEWS | $420.00 | $420.00 | $35.56–$138.53 | at median | — |
| Skull X-ray, fewer than 4 views CPT 70250 HC RADIOLOGIC EXAMINATION SKULL 4/> VIEWS | $398.00 | $398.00 | $42.72–$167.60 | 22% above | — |
| Sleep study in a lab (polysomnography) CPT 95810 HC POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND | $5,287.76 | $5,287.76 | $350.94–$3,000.00 | at median | — |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 HC SWALLOWING FUNCJ W/CINERADIOGRAPY/VIDRADIOG | $714.00 | $714.00 | $71.68–$403.79 | 8% above | — |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 HC RADIOLOGIC EXAM, FEMUR; 2 VIEWS | $394.00 | $394.00 | $35.56–$138.53 | 27% above | — |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 HC CT THORACIC SPINE W/O CONTRAST MATERIAL | $1,041.00 | $1,041.00 | $42.72–$318.71 | at median | — |
| Toe X-ray, 2 or more views CPT 73660 HC RADEX TOE MINIMUM 2 VIEWS | $326.00 | $326.00 | $35.56–$138.53 | 15% above | — |
| Transvaginal pelvic ultrasound CPT 76830 HC ULTRASOUND TRANSVAGINAL | $413.00 | $413.00 | $42.72–$308.16 | at median | — |
| Transvaginal ultrasound during pregnancy CPT 76817 HC US PREG UTERUS REAL TIME W/IMAGE DCMTN TRANSVAG | $272.00 | $272.00 | $42.72–$202.29 | at median | — |
| Ultrasound of the abdomen, complete CPT 76700 HC US ABDOMINAL REAL TIME W/IMAGE DOCUMENTATION | $378.00 | $378.00 | $42.72–$278.74 | 5% below | — |
| Ultrasound of the scrotum and testicles CPT 76870 HC ULTRASOUND SCROTUM & CONTENTS | $337.00 | $337.00 | $42.72–$250.52 | 14% below | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US SOFT TISSUE HEAD & NECK REAL TIME IMGE DOCM | $406.00 | $406.00 | $42.72–$298.75 | at median | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC RADEX GI TRACT UPPER W/WO DELAYED FILMS W/O KUB | $714.00 | $714.00 | $71.68–$345.34 | at median | — |
| Upper arm X-ray (humerus), 2 views CPT 73060 HC RADEX HUMERUS MINIMUM 2 VIEWS | $360.00 | $360.00 | $35.56–$138.53 | 10% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HC DUP-SCAN XTR VEINS UNILATERAL/LIMITED STUDY | $1,337.31 | $1,337.31 | $42.72–$282.15 | 76% above | — |
| Wrist X-ray, 2 views CPT 73100 HC RADEX WRIST 2 VIEWS | $379.00 | $379.00 | $35.56–$138.53 | 46% above | — |
| Wrist X-ray, complete, 3 or more views CPT 73110 HC RADEX WRIST COMPLETE MINIMUM 3 VIEWS | $453.00 | $453.00 | $35.56–$138.53 | 39% above | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HC RADIOLOGIC EXAM, HIP, UNILATERAL, WITH PELVIS WHEN PERFORMED; 2 OR 3 VIEWS | $522.00 | $522.00 | $35.56–$154.64 | 39% above | — |
| X-ray of the abdomen, 1 view CPT 74018 HC ABDOMEN 1 VIEW, RADIOLOGIC EXAM | $332.00 | $332.00 | $35.56–$138.53 | 7% above | — |
| X-ray of the ankle, 2 views CPT 73600 HC RADIOLOGIC EXAMINATION ANKLE 2 VIEWS | $364.00 | $364.00 | $35.56–$138.53 | 40% above | — |
| X-ray of the finger(s), 2 or more views CPT 73140 HC RADEX FINGR MINIMUM 2 VIEWS | $419.00 | $419.00 | $35.56–$138.53 | 35% above | — |
| X-ray of the foot, 2 views CPT 73620 HC RADIOLOGIC EXAMINATION FOOT 2 VIEWS | $317.00 | $317.00 | $35.56–$138.53 | 25% above | — |
| X-ray of the foot, complete, 3 or more views CPT 73630 HC RADEX FOOT COMPLETE MINIMUM 3 VIEWS | $383.00 | $383.00 | $35.56–$138.53 | 25% above | — |
| X-ray of the hand, 3 or more views CPT 73130 HC RADEX HAND MINIMUM 3 VIEWS | $406.00 | $406.00 | $35.56–$138.53 | 23% above | — |
| X-ray of the knee, 1 or 2 views CPT 73560 HC RADIOLOGIC EXAMINATION KNEE 1/2 VIEWS | $300.00 | $300.00 | $35.56–$138.53 | at median | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC RADEX SPINE LUMBOSACRAL 2/3 VIEWS | $444.00 | $444.00 | $42.72–$167.60 | 15% above | — |
| X-ray of the lower back, 4 or more views CPT 72110 HC RADEX SPINE LUMBOSACRAL MINIMUM 4 VIEWS | $567.00 | $567.00 | $42.72–$167.60 | 40% above | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC RADEX SPINE THORACIC 2 VIEWS | $363.00 | $363.00 | $42.72–$167.60 | 11% above | — |
| X-ray of the nasal bones, 3 or more views CPT 70160 HC RADEX NASAL BONES COMPLETE MINIMUM 3 VIEWS | $426.00 | $426.00 | $35.56–$138.53 | 48% above | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC RADEX SPINE CERVICAL 2 OR 3 VIEWS | $440.00 | $440.00 | $35.56–$138.53 | 31% above | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 HC RADIOLOGIC EXAMINATION PELVIS 1/2 VIEWS | $309.00 | $309.00 | $42.72–$167.60 | at median | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC RADEX SACRUM & COCCYX MINIMUM 2 VIEWS | $360.00 | $360.00 | $35.56–$138.53 | 12% above | — |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Connecticut | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 HC ADRENOCORTICOTROPIC HORMONE ACTH | $321.83 | $321.83 | $36.69–$53.10 | 95% above | — |
| ACTH blood test CPT 82024 HC ADRENOCORTICOTROPIC HORMONE ACTH | $321.83 | $321.83 | $38.62 | 95% above | — |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC TRANSFERASE ALANINE AMINO ALT SGPT | $32.00 | $32.00 | $5.30 | 35% above | — |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC TRANSFERASE ALANINE AMINO ALT SGPT | $32.00 | $32.00 | $5.03–$7.27 | 35% above | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 HC TRANSFERASE ASPARTATE AMINO AST SGOT | $31.00 | $31.00 | $4.92–$7.11 | 30% above | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 HC TRANSFERASE ASPARTATE AMINO AST SGOT | $31.00 | $31.00 | $5.18 | 30% above | — |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC ACUTE HEPATITIS PANEL | $287.00 | $287.00 | $45.25–$65.47 | 21% above | — |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC ACUTE HEPATITIS PANEL | $287.00 | $287.00 | $47.63 | 21% above | — |
| Albumin blood test CPT 82040 HC ALBUMIN SERUM PLASMA/WHOLE BLOOD | $30.00 | $30.00 | $4.95 | 3% above | — |
| Albumin blood test CPT 82040 HC ALBUMIN SERUM PLASMA/WHOLE BLOOD | $30.00 | $30.00 | $4.70–$6.27 | 3% above | — |
| Albumin blood test CPT 82040 HC SQ LYME DISEASE ANTIBODY INDEX FOR CNS INFECTION, Q SO | $125.00 | $125.00 | $4.70–$6.27 | 330% above | — |
| Albumin blood test CPT 82040 HC SQ LYME DISEASE ANTIBODY INDEX FOR CNS INFECTION, Q SO | $125.00 | $125.00 | $4.95 | 330% above | — |
| Aldosterone blood test CPT 82088 HC ASSAY OF ALDOSTERONE | $339.60 | $339.60 | $38.71–$56.02 | 82% above | — |
| Aldosterone blood test CPT 82088 HC ASSAY OF ALDOSTERONE | $339.60 | $339.60 | $40.75 | 82% above | — |
| Alkaline phosphatase (ALP) blood test CPT 84075 HC ASSAY OF PHOSPHATASE ALKALINE | $31.00 | $31.00 | $4.92–$7.11 | 39% above | — |
| Alkaline phosphatase (ALP) blood test CPT 84075 HC ASSAY OF PHOSPHATASE ALKALINE | $31.00 | $31.00 | $5.18 | 39% above | — |
| Alpha-fetoprotein (AFP) blood test CPT 82105 HC ALPHA-FETOPROTEIN SERUM AFP-TUMOR | $139.80 | $139.80 | $15.93–$23.06 | 89% above | — |
| Alpha-fetoprotein (AFP) blood test CPT 82105 HC ALPHA-FETOPROTEIN SERUM AFP-TUMOR | $139.80 | $139.80 | $16.77 | 89% above | — |
| Ammonia blood test CPT 82140 HC ASSAY OF AMMONIA | $121.43 | $121.43 | $13.84–$20.03 | 96% above | — |
| Ammonia blood test CPT 82140 HC ASSAY OF AMMONIA | $121.43 | $121.43 | $14.57 | 96% above | — |
| Amylase blood test CPT 82150 HC ASSAY OF AMYLASE | $54.00 | $54.00 | $6.48 | 22% above | — |
| Amylase blood test CPT 82150 HC ASSAY OF AMYLASE | $54.00 | $54.00 | $6.16–$8.91 | 22% above | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC REF CYCLIC CITRULLINATED PEPTIDE IGG AB | $21.59 | $21.59 | $12.30–$17.80 | 53% below | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC REF CYCLIC CITRULLINATED PEPTIDE IGG AB | $21.59 | $21.59 | $12.95 | 53% below | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC CYCLIC CITRULLINATED PEPTIDE ANTIBODY | $144.00 | $144.00 | $12.30–$17.80 | 215% above | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC CYCLIC CITRULLINATED PEPTIDE ANTIBODY | $144.00 | $144.00 | $12.95 | 215% above | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HC REF ANA IFA SCREEN | $20.15 | $20.15 | $12.09 | 48% below | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HC REF ANA IFA SCREEN | $20.15 | $20.15 | $11.49–$16.62 | 48% below | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANTINUCLEAR ANTIBODIES ANA | $100.73 | $100.73 | $11.49–$16.62 | 158% above | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANTINUCLEAR ANTIBODIES ANA | $100.73 | $100.73 | $12.09 | 158% above | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC NATRIURETIC PEPTIDE | $294.45 | $294.45 | $39.26 | 97% above | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC NATRIURETIC PEPTIDE | $294.45 | $294.45 | $34.99–$46.66 | 97% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CUL BACT XCPT URINE BLOOD/STOOL AEROBIC ISOL CULT-LOWER RESP | $71.78 | $71.78 | $7.77–$10.36 | 49% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CUL BACT XCPT URINE BLOOD/STOOL AEROBIC ISOL CULTURE-FLUID | $71.78 | $71.78 | $7.77–$10.36 | 49% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CUL BACT XCPT URINE BLOOD/STOOL AEROBIC ISOL CULTURE-WOUND | $71.78 | $71.78 | $8.62 | 49% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CUL BACT XCPT URINE BLOOD/STOOL AEROBIC ISOL CULTURE-GENITAL | $71.78 | $71.78 | $7.77–$10.36 | 49% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CUL BACT XCPT URINE BLOOD/STOOL AEROBIC ISOL CULT-LOWER RESP | $71.78 | $71.78 | $8.62 | 49% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CUL BACT XCPT URINE BLOOD/STOOL AEROBIC ISOL CULTURE-FLUID | $71.78 | $71.78 | $8.62 | 49% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CUL BACT XCPT URINE BLOOD/STOOL AEROBIC ISOL CULTURE-GENITAL | $71.78 | $71.78 | $8.62 | 49% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CUL BACT XCPT URINE BLOOD/STOOL AEROBIC ISOL CULTURE-WOUND | $71.78 | $71.78 | $7.77–$10.36 | 49% above | — |
| Basic metabolic panel (blood test) CPT 80048 HC BASIC METABOLIC PANEL CALCIUM TOTAL | $232.00 | $232.00 | $8.04–$11.63 | 65% above | — |
| Basic metabolic panel (blood test) CPT 80048 HC BASIC METABOLIC PANEL CALCIUM TOTAL | $232.00 | $232.00 | $8.46 | 65% above | — |
| Bilirubin blood test, total CPT 82247 HC BILIRUBIN TOTAL | $30.00 | $30.00 | $5.02 | at median | — |
| Bilirubin blood test, total CPT 82247 HC BILIRUBIN TOTAL | $30.00 | $30.00 | $4.77–$6.90 | at median | — |
| Bilirubin blood test, total CPT 82247 HC BILIRUBIN TOTAL - BODY FLUID | $41.78 | $41.78 | $4.77–$6.90 | 39% above | — |
| Bilirubin blood test, total CPT 82247 HC BILIRUBIN TOTAL - BODY FLUID | $41.78 | $41.78 | $5.02 | 39% above | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC LEVEL IV SURG PATHOLOGY GROSS&MICROSCOPIC EXAM | $382.35 | $382.35 | $21.30–$51.63 | 75% above | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC LEVEL IV SURG PATHOLOGY GROSS&MICROSCOPIC EXAM, COLUMBIA REFERENCE | $382.35 | $382.35 | $21.30–$51.63 | 75% above | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC LEVEL IV SURG PATHOLOGY GROSS&MICROSCOPIC EXAM UCONN | $382.35 | $382.35 | $21.30–$51.63 | 75% above | — |
| Blood culture for bacteria CPT 87040 HC CULTURE BACTERIAL BLOOD AEROBIC W/ID ISOLATES | $86.03 | $86.03 | $10.32 | 29% above | — |
| Blood culture for bacteria CPT 87040 HC CULTURE BACTERIAL BLOOD AEROBIC W/ID ISOLATES | $86.03 | $86.03 | $9.60–$12.80 | 29% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC COLLECTION VENOUS BLOOD VENIPUNCTURE | $15.00 | $15.00 | $3.00–$9.34 | at median | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC COLLECTION VENOUS BLOOD VENIPUNCTURE | $15.00 | $15.00 | $9.34 | at median | — |
| Blood glucose (sugar) test CPT 82947 HC GLUCOSE QUANTITATIVE BLOOD XCPT REAGENT STRIP | $31.00 | $31.00 | $3.93 | 37% above | — |
| Blood glucose (sugar) test CPT 82947 HC GLUCOSE QUANTITATIVE BLOOD XCPT REAGENT STRIP GLUCOSE, BLOOD | $31.00 | $31.00 | $3.93 | 37% above | — |
| Blood glucose (sugar) test CPT 82947 HC GLUCOSE QUANTITATIVE BLOOD XCPT REAGENT STRIP GLUCOSE, BLOOD | $31.00 | $31.00 | $3.73–$5.39 | 37% above | — |
| Blood glucose (sugar) test CPT 82947 HC GLUCOSE QUANTITATIVE BLOOD XCPT REAGENT STRIP | $31.00 | $31.00 | $3.73–$5.39 | 37% above | — |
| Blood glucose (sugar) test CPT 82947 HC GLUCOSE QUANTITATIVE BLOOD XCPT REAGENT STRIP I STAT GLUCOSE | $32.78 | $32.78 | $3.93 | 44% above | — |
| Blood glucose (sugar) test CPT 82947 HC GLUCOSE QUANTITATIVE BLOOD XCPT REAGENT STRIP I STAT GLUCOSE | $32.78 | $32.78 | $3.73–$5.39 | 44% above | — |
| Blood lead test CPT 83655 HC ASSAY OF LEAD | $100.88 | $100.88 | $11.50–$16.64 | 125% above | — |
| Blood lead test CPT 83655 HC ASSAY OF LEAD | $100.88 | $100.88 | $12.11 | 125% above | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC GONADOTROPIN CHORIONIC QUALITATIVE HCG,QUALITATIVE | $83.60 | $83.60 | $7.14–$10.33 | 75% above | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC GONADOTROPIN CHORIONIC QUALITATIVE HCG,QUALITATIVE | $83.60 | $83.60 | $7.52 | 75% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC BLOOD TYPING ABO | $24.00 | $24.00 | — | at median | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC BLOOD TYPING ABO | $24.00 | $24.00 | $2.84–$55.73 | at median | — |
| Blood urea nitrogen (BUN) test CPT 84520 HC ASSAY OF UREA NITROGEN QUANTITATIVE | $24.00 | $24.00 | $3.95 | at median | — |
| Blood urea nitrogen (BUN) test CPT 84520 HC ASSAY OF UREA NITROGEN QUANTITATIVE | $24.00 | $24.00 | $3.75–$5.43 | at median | — |
| C-peptide blood test CPT 84681 HC ASSAY OF C-PEPTIDE | $173.48 | $173.48 | $19.77–$28.61 | 81% above | — |
| C-peptide blood test CPT 84681 HC ASSAY OF C-PEPTIDE | $173.48 | $173.48 | $20.81 | 81% above | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C-REACTIVE PROTEIN | $43.13 | $43.13 | $5.18 | at median | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C-REACTIVE PROTEIN | $43.13 | $43.13 | $4.92–$7.11 | at median | — |
| C. difficile toxin gene test (stool PCR) CPT 87493 HC INF AGENT DET NUCLEIC ACID CLOSTRIDIUM AMP PROBE | $292.43 | $292.43 | $35.41–$48.24 | 100% above | — |
| C. difficile toxin gene test (stool PCR) CPT 87493 HC INF AGENT DET NUCLEIC ACID CLOSTRIDIUM AMP PROBE | $292.43 | $292.43 | $37.27 | 100% above | — |
| CA 19-9 blood test (tumor marker) CPT 86301 HC IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE CA 19-9 | $157.00 | $157.00 | $20.81 | 58% above | — |
| CA 19-9 blood test (tumor marker) CPT 86301 HC IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE CA 19-9 | $157.00 | $157.00 | $19.77–$28.61 | 58% above | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 HC IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE CA 125 | $173.48 | $173.48 | $19.77–$28.61 | 35% above | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 HC IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE CA 125 | $173.48 | $173.48 | $20.81 | 35% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC SQ XPERT XPRESS SARS-COV-2 | $123.00 | $123.00 | $38.48–$55.47 | at median | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC SQ XPERT XPRESS SARS-COV-2 | $123.00 | $123.00 | $51.31 | at median | — |
| Calcium blood test, total CPT 82310 HC CALCIUM TOTAL | $31.00 | $31.00 | $5.16 | 25% above | — |
| Calcium blood test, total CPT 82310 HC CALCIUM TOTAL | $31.00 | $31.00 | $4.90–$7.09 | 25% above | — |
| Carcinoembryonic antigen (CEA) test CPT 82378 HC CARCINOEMBRYONIC ANTIGEN CEA | $158.03 | $158.03 | $18.01–$26.08 | 68% above | — |
| Carcinoembryonic antigen (CEA) test CPT 82378 HC CARCINOEMBRYONIC ANTIGEN CEA | $158.03 | $158.03 | $18.96 | 68% above | — |
| Chickenpox (varicella) immunity blood test CPT 86787 HC ANTIBODY VARICELLA-ZOSTER - VARICELLA ZOSTER (VZV) ANTIBODY IGG | $107.33 | $107.33 | $12.88 | 78% above | — |
| Chickenpox (varicella) immunity blood test CPT 86787 HC ANTIBODY VARICELLA-ZOSTER - VARICELLA TOTAL & IGM ANTIBODY, CSF | $107.33 | $107.33 | $12.24–$17.71 | 78% above | — |
| Chickenpox (varicella) immunity blood test CPT 86787 HC ANTIBODY VARICELLA-ZOSTER - VARICELLA ZOSTER (VZV) ANTIBODY IGG | $107.33 | $107.33 | $12.24–$17.71 | 78% above | — |
| Chickenpox (varicella) immunity blood test CPT 86787 HC ANTIBODY VARICELLA-ZOSTER - VARICELLA TOTAL & IGM ANTIBODY, CSF | $107.33 | $107.33 | $12.88 | 78% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC IADNA CHLAMYDIA TRACHOMATIS AMPLIFIED PROBE TQ CHLAMYOIA, DNA | $292.43 | $292.43 | $35.09 | 192% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC IADNA CHLAMYDIA TRACHOMATIS AMPLIFIED PROBE TQ CHLAMYOIA, DNA | $292.43 | $292.43 | $33.34–$48.24 | 192% above | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL - LIPID PANEL | $118.00 | $118.00 | $12.72–$18.42 | 38% above | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL - LIPID PANEL | $118.00 | $118.00 | $13.39 | 38% above | — |
| Complete blood count (CBC) with differential CPT 85025 HC BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC | $47.00 | $47.00 | $7.77 | at median | — |
| Complete blood count (CBC) with differential CPT 85025 HC BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC | $47.00 | $47.00 | $7.38–$10.69 | at median | — |
| Complete blood count (CBC) with differential CPT 85025 HC POCT BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC | $64.73 | $64.73 | $7.38–$10.69 | 38% above | — |
| Complete blood count (CBC) with differential CPT 85025 HC POCT BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC | $64.73 | $64.73 | $7.77 | 38% above | — |
| Complete blood count (CBC), no differential CPT 85027 HC BLOOD COUNT COMPLETE AUTOMATED | $39.00 | $39.00 | $6.15–$8.89 | 7% above | — |
| Complete blood count (CBC), no differential CPT 85027 HC BLOOD COUNT COMPLETE AUTOMATED | $39.00 | $39.00 | $6.47 | 7% above | — |
| Comprehensive metabolic panel (blood test) CPT 80053 HC COMPREHENSIVE METABOLIC PANEL | $415.00 | $415.00 | $10.03–$14.53 | 47% above | — |
| Comprehensive metabolic panel (blood test) CPT 80053 HC COMPREHENSIVE METABOLIC PANEL | $415.00 | $415.00 | $10.56 | 47% above | — |
| Cortisol blood test, total CPT 82533 HC CORTISOL TOTAL | $135.83 | $135.83 | $16.30 | 80% above | — |
| Cortisol blood test, total CPT 82533 HC CORTISOL TOTAL | $135.83 | $135.83 | $15.48–$22.41 | 80% above | — |
| Creatine kinase (CK) blood test, total CPT 82550 HC CREATINE KINASE TOTAL | $54.23 | $54.23 | $6.51 | 56% above | — |
| Creatine kinase (CK) blood test, total CPT 82550 HC CREATINE KINASE TOTAL | $54.23 | $54.23 | $6.18–$8.95 | 56% above | — |
| Creatinine blood test CPT 82565 HC CREATININE BLOOD POC | $31.00 | $31.00 | $4.86–$7.04 | at median | — |
| Creatinine blood test CPT 82565 HC CREATININE BLOOD | $31.00 | $31.00 | $5.12 | at median | — |
| Creatinine blood test CPT 82565 HC CREATININE BLOOD POC | $31.00 | $31.00 | $5.12 | at median | — |
| Creatinine blood test CPT 82565 HC CREATININE BLOOD | $31.00 | $31.00 | $4.86–$7.04 | at median | — |
| Cytomegalovirus (CMV) antibody test CPT 86644 HC ANTIBODY CYTOMEGALOVIRUS CMV | $119.93 | $119.93 | $14.39 | 79% above | — |
| Cytomegalovirus (CMV) antibody test CPT 86644 HC ANTIBODY CYTOMEGALOVIRUS CMV | $119.93 | $119.93 | $13.67–$19.79 | 79% above | — |
| D-dimer blood test (blood clot marker) CPT 85379 HC FIBRIN DGRADJ PRODUCTS D-DIMER QUANTITATIVE | $113.10 | $113.10 | $10.18 | 106% above | — |
| D-dimer blood test (blood clot marker) CPT 85379 HC FIBRIN DGRADJ PRODUCTS D-DIMER QUANTITATIVE | $113.10 | $113.10 | $9.67–$13.99 | 106% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCR QUAL 1 DRUG CLASS METH EA DRUG CLASS CANNABINIOD-SCRN | $96.98 | $96.98 | $43.14–$67.18 | 22% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCR QUAL 1 DRUG CLASS METH EA DRUG CLASS OPIATES SCREEN | $96.98 | $96.98 | $43.14–$67.18 | 22% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC SQ ETHYL GLUCURONIDE SCREEN, UR | $96.98 | $96.98 | $62.14 | 22% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCR QUAL 1 DRUG CLASS METH EA DRUG CLASS TRICYCLICS-URINE | $96.98 | $96.98 | $43.14–$67.18 | 22% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCR QUAL MLT DRUG CLASSES CHROM EA PX METHADONE SCREEN | $96.98 | $96.98 | $43.14–$67.18 | 22% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC SQ ETHYL GLUCURONIDE SCREEN, UR | $96.98 | $96.98 | $43.14–$67.18 | 22% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCR QUAL 1 DRUG CLASS METH EA DRUG CLASS BUPRENORPHINE SCREEN, URINE | $96.98 | $96.98 | $62.14 | 22% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCR QUAL 1 DRUG CLASS METH EA DRUG CLASS TRICYCLICS-URINE | $96.98 | $96.98 | $62.14 | 22% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCR QUAL 1 DRUG CLASS METH EA DRUG CLASS BUPRENORPHINE SCREEN, URINE | $96.98 | $96.98 | $43.14–$67.18 | 22% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCR QUAL 1 DRUG CLASS METH EA DRUG CLASS OPIATES SCREEN | $96.98 | $96.98 | $62.14 | 22% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCR QUAL 1 DRUG CLASS METH EA DRUG CLASS CANNABINIOD-SCRN | $96.98 | $96.98 | $62.14 | 22% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCR QUAL MLT DRUG CLASSES CHROM EA PX METHADONE SCREEN | $96.98 | $96.98 | $62.14 | 22% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCR QUAL 1 DRUG CLASS METH EA DRUG CLASS BENZODIAZEPINE-UR | $96.98 | $96.98 | $62.14 | 22% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCR QUAL 1 DRUG CLASS METH EA DRUG CLASS BENZODIAZEPINE-UR | $96.98 | $96.98 | $43.14–$67.18 | 22% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCR QUAL 1 DRUG CLASS METH EA DRUG CLASS PCP SCREEN | $193.95 | $193.95 | $43.14–$67.18 | 145% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC SQ DRUG SCREEN CHEM ANALYZ - QUAL - FENTANYL - URINE | $193.95 | $193.95 | $62.14 | 145% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCR QUAL 1 DRUG CLASS METH EA DRUG CLASS | $193.95 | $193.95 | $43.14–$67.18 | 145% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCR QUAL 1 DRUG CLASS METH EA DRUG CLASS PCP SCREEN | $193.95 | $193.95 | $62.14 | 145% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCR QUAL 1 DRUG CLASS METH EA DRUG CLASS COCAINE SCREEN | $193.95 | $193.95 | $62.14 | 145% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCR QUAL 1 DRUG CLASS METH EA DRUG CLASS BARBITURATES-UR | $193.95 | $193.95 | $43.14–$67.18 | 145% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCR QUAL 1 DRUG CLASS METH EA DRUG CLASS COCAINE SCREEN | $193.95 | $193.95 | $43.14–$67.18 | 145% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCR QUAL 1 DRUG CLASS METH EA DRUG CLASS BARBITURATES-UR | $193.95 | $193.95 | $62.14 | 145% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCR QUAL 1 DRUG CLASS METH EA DRUG CLASS | $193.95 | $193.95 | $62.14 | 145% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC SQ DRUG SCREEN CHEM ANALYZ - QUAL - FENTANYL - URINE | $193.95 | $193.95 | $43.14–$67.18 | 145% above | — |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HC ELECTROLYTE PANEL | $115.00 | $115.00 | $7.01 | 16% above | — |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HC ELECTROLYTE PANEL | $115.00 | $115.00 | $6.66–$9.64 | 16% above | — |
| Epstein-Barr virus (EBV) antibody test CPT 86665 HC ANTIBODY EPSTEIN-BARR EB VIRUS VIRAL CAPSID VCA EBV-VCA IGM | $151.20 | $151.20 | $18.14 | 56% above | — |
| Epstein-Barr virus (EBV) antibody test CPT 86665 HC ANTIBODY EPSTEIN-BARR EB VIRUS VIRAL CAPSID VCA EBV-VCA, IGG | $151.20 | $151.20 | $17.23–$24.94 | 56% above | — |
| Epstein-Barr virus (EBV) antibody test CPT 86665 HC ANTIBODY EPSTEIN-BARR EB VIRUS VIRAL CAPSID VCA EBV-VCA, IGG | $151.20 | $151.20 | $18.14 | 56% above | — |
| Epstein-Barr virus (EBV) antibody test CPT 86665 HC ANTIBODY EPSTEIN-BARR EB VIRUS VIRAL CAPSID VCA EBV-VCA IGM | $151.20 | $151.20 | $17.23–$24.94 | 56% above | — |
| Ferritin blood test (iron stores) CPT 82728 HC ASSAY OF FERRITIN | $113.63 | $113.63 | $13.63 | 48% above | — |
| Ferritin blood test (iron stores) CPT 82728 HC ASSAY OF FERRITIN | $113.63 | $113.63 | $12.95–$18.73 | 48% above | — |
| Fibrinogen blood test CPT 85384 HC FIBRINOGEN ACTIVITY | $72.90 | $72.90 | $8.76–$11.68 | 30% above | — |
| Fibrinogen blood test CPT 85384 HC FIBRINOGEN ACTIVITY | $72.90 | $72.90 | $9.72 | 30% above | — |
| Folate (folic acid) blood test CPT 82746 HC ASSAY OF FOLIC ACID SERUM | $122.55 | $122.55 | $14.70 | 99% above | — |
| Folate (folic acid) blood test CPT 82746 HC ASSAY OF FOLIC ACID SERUM | $122.55 | $122.55 | $13.96–$20.21 | 99% above | — |
| Free T3 thyroid hormone test CPT 84481 HC ASSAY OF TRIIODOTHYRONINE T3 FREE | $188.20 | $188.20 | $16.94 | 199% above | — |
| Free T3 thyroid hormone test CPT 84481 HC ASSAY OF TRIIODOTHYRONINE T3 FREE | $188.20 | $188.20 | $16.09–$23.29 | 199% above | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 HC ASSAY OF FREE THYROXINE | $100.20 | $100.20 | $8.57–$12.40 | 80% above | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 HC ASSAY OF FREE THYROXINE | $100.20 | $100.20 | $9.02 | 80% above | — |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC ASSAY OF GLUTAMYLTRASE GAMMA | $60.00 | $60.00 | $6.84–$9.61 | 56% above | — |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC ASSAY OF GLUTAMYLTRASE GAMMA | $60.00 | $60.00 | $7.20 | 56% above | — |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 HC SQ GENERAL HEALTH PANEL | $610.00 | $610.00 | $30.62–$48.44 | 23% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC IADNA NEISSERIA GONORRHOEAE AMPLIFIED PROBE TQ | $292.43 | $292.43 | $33.34–$48.24 | 192% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC IADNA NEISSERIA GONORRHOEAE AMPLIFIED PROBE TQ | $292.43 | $292.43 | $35.09 | 192% above | — |
| H. pylori stool antigen test CPT 87338 HC IAAD EIA HPYLORI STOOL | $119.85 | $119.85 | $13.66–$19.77 | 51% above | — |
| H. pylori stool antigen test CPT 87338 HC IAAD EIA HPYLORI STOOL | $119.85 | $119.85 | $14.38 | 51% above | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC IADNA HIV-1 QUANT & REVERSE TRANSCRIPTION | $348.00 | $348.00 | $85.10 | 18% above | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC IADNA HIV-1 QUANT & REVERSE TRANSCRIPTION | $348.00 | $348.00 | $80.84–$116.96 | 18% above | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC IAAD EIA HIV-1 AG W/HIV-1 & HIV-2 ANTBDY SINGLE HIV 1/2 AG/AB | $144.00 | $144.00 | $22.88–$33.11 | 50% above | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC IAAD EIA HIV-1 AG W/HIV-1 & HIV-2 ANTBDY SINGLE HIV 1/2 AG/AB | $144.00 | $144.00 | $24.08 | 50% above | — |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HC HPV HIGH RISK | $117.00 | $117.00 | $33.34–$47.76 | 2% above | — |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HC HPV HIGH RISK | $117.00 | $117.00 | $35.09 | 2% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC HEMOGLOBIN GLYCOSYLATED A1C | $80.93 | $80.93 | $9.22–$13.34 | 94% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC HEMOGLOBIN GLYCOSYLATED A1C | $80.93 | $80.93 | $9.71 | 94% above | — |
| Hemoglobin blood test CPT 85018 HC BLOOD COUNT HEMOGLOBIN | $26.30 | $26.30 | $2.25–$3.26 | 56% above | — |
| Hemoglobin blood test CPT 85018 HC BLOOD COUNT HEMOGLOBIN | $26.30 | $26.30 | $2.37 | 56% above | — |
| Hepatitis B core antibody test (total) CPT 86704 HC HEPATITIS B CORE ANTIBODY HBCAB TOTAL | $100.43 | $100.43 | $11.45–$16.57 | 79% above | — |
| Hepatitis B core antibody test (total) CPT 86704 HC HEPATITIS B CORE ANTIBODY HBCAB TOTAL | $100.43 | $100.43 | $12.05 | 79% above | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC HEPATITIS B SURF ANTIBODY HBSAB | $89.48 | $89.48 | $10.74 | 60% above | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC HEPATITIS B SURF ANTIBODY HBSAB | $89.48 | $89.48 | $10.20–$14.76 | 60% above | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HC IAAD EIA HEPATITIS B SURFACE ANTIGEN | $62.00 | $62.00 | $10.33 | 11% above | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HC IAAD EIA HEPATITIS B SURFACE ANTIGEN | $62.00 | $62.00 | $9.81–$14.20 | 11% above | — |
| Hepatitis C antibody blood test (screening) CPT 86803 HC HEPATITIS C ANTIBODY | $86.00 | $86.00 | $14.27 | 48% above | — |
| Hepatitis C antibody blood test (screening) CPT 86803 HC HEPATITIS C ANTIBODY | $86.00 | $86.00 | $13.56–$19.62 | 48% above | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HC IADNA HEPATITIS C QUANT & REVERSE TRANSCRIPTION | $476.00 | $476.00 | $42.84 | 160% above | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HC IADNA HEPATITIS C QUANT & REVERSE TRANSCRIPTION | $476.00 | $476.00 | $40.70–$58.88 | 160% above | — |
| Herpes blood test, HSV-1 antibody CPT 86695 HC ANTIBODY HERPES SMPLX TYPE 1 | $109.88 | $109.88 | $13.19 | 113% above | — |
| Herpes blood test, HSV-1 antibody CPT 86695 HC ANTIBODY HERPES SMPLX TYPE 1 | $109.88 | $109.88 | $12.53–$18.13 | 113% above | — |
| Herpes blood test, HSV-1 antibody CPT 86695 HC ANTIBODY HERPES SMPLX TYPE 1 HSV TYPE 1/2 AB | $109.88 | $109.88 | $12.53–$18.13 | 113% above | — |
| Herpes blood test, HSV-1 antibody CPT 86695 HC ANTIBODY HERPES SMPLX TYPE 1 HSV TYPE 1/2 AB | $109.88 | $109.88 | $13.19 | 113% above | — |
| Herpes blood test, HSV-2 antibody CPT 86696 HC ANTIBODY HERPES SMPLX TYPE 2 | $161.33 | $161.33 | $18.38–$26.60 | 140% above | — |
| Herpes blood test, HSV-2 antibody CPT 86696 HC ANTIBODY HERPES SMPLX TYPE 2 HSV TYPE 1/2 AB | $161.33 | $161.33 | $18.38–$26.60 | 140% above | — |
| Herpes blood test, HSV-2 antibody CPT 86696 HC ANTIBODY HERPES SMPLX TYPE 2 | $161.33 | $161.33 | $19.35 | 140% above | — |
| Herpes blood test, HSV-2 antibody CPT 86696 HC ANTIBODY HERPES SMPLX TYPE 2 HSV TYPE 1/2 AB | $161.33 | $161.33 | $19.35 | 140% above | — |
| Homocysteine blood test CPT 83090 HC ASSAY OF HOMOCYSTEINE | $187.40 | $187.40 | $17.02–$23.19 | 168% above | — |
| Homocysteine blood test CPT 83090 HC ASSAY OF HOMOCYSTEINE | $187.40 | $187.40 | $17.92 | 168% above | — |
| Insulin blood test CPT 83525 HC ASSAY OF INSULIN TOTAL | $95.25 | $95.25 | $10.86–$15.71 | 73% above | — |
| Insulin blood test CPT 83525 HC ASSAY OF INSULIN TOTAL | $95.25 | $95.25 | $11.43 | 73% above | — |
| Iron blood test (serum iron) CPT 83540 HC ASSAY OF IRON | $71.90 | $71.90 | $6.15–$8.90 | 151% above | — |
| Iron blood test (serum iron) CPT 83540 HC ASSAY OF IRON | $71.90 | $71.90 | $6.47 | 151% above | — |
| Iron-binding capacity (TIBC) test CPT 83550 HC IRON BINDING CAPACITY | $72.83 | $72.83 | $8.74 | 101% above | — |
| Iron-binding capacity (TIBC) test CPT 83550 HC IRON BINDING CAPACITY | $72.83 | $72.83 | $8.30–$12.02 | 101% above | — |
| Kidney function blood test panel CPT 80069 HC RENAL FUNCTION PANEL | $290.00 | $290.00 | $8.25–$11.94 | 103% above | — |
| Kidney function blood test panel CPT 80069 HC RENAL FUNCTION PANEL | $290.00 | $290.00 | $8.68 | 103% above | — |
| Lactate (lactic acid) blood test CPT 83605 HC ASSAY OF LACTATE | $89.03 | $89.03 | $11.57 | 37% above | — |
| Lactate (lactic acid) blood test CPT 83605 HC ASSAY OF LACTATE | $89.03 | $89.03 | $10.99–$14.68 | 37% above | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 HC LACTATE DEHYDROGENASE LDH | $50.33 | $50.33 | $6.04 | 17% above | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 HC LACTATE DEHYDROGENASE LDH - LACTATE DEHYDROGENASE (LDH), BODY FLUID | $50.33 | $50.33 | $6.04 | 17% above | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 HC LACTATE DEHYDROGENASE LDH - LACTATE DEHYDROGENASE (LDH), BODY FLUID | $50.33 | $50.33 | $5.74–$8.30 | 17% above | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 HC LACTATE DEHYDROGENASE LDH | $50.33 | $50.33 | $5.74–$8.30 | 17% above | — |
| Lipase blood test (pancreas enzyme) CPT 83690 HC ASSAY OF LIPASE | $76.50 | $76.50 | $6.55–$9.47 | 72% above | — |
| Lipase blood test (pancreas enzyme) CPT 83690 HC ASSAY OF LIPASE | $76.50 | $76.50 | $6.89 | 72% above | — |
| Liver function blood test panel CPT 80076 HC HEPATIC FUNCTION PANEL | $213.00 | $213.00 | $7.76–$11.23 | 58% above | — |
| Liver function blood test panel CPT 80076 HC HEPATIC FUNCTION PANEL | $213.00 | $213.00 | $8.17 | 58% above | — |
| Lyme disease antibody test CPT 86618 HC ANTIBODY BORRELIA BURGDORFERI LYME DISEASE LYME REFLEX WB | $141.90 | $141.90 | $16.18–$23.41 | 107% above | — |
| Lyme disease antibody test CPT 86618 HC ANTIBODY BORRELIA BURGDORFERI LYME DISEASE LYME REFLEX WB | $141.90 | $141.90 | $17.03 | 107% above | — |
| Magnesium blood test CPT 83735 HC ASSAY OF MAGNESIUM - POCT | $35.00 | $35.00 | $6.70 | at median | — |
| Magnesium blood test CPT 83735 HC ASSAY OF MAGNESIUM - POCT | $35.00 | $35.00 | $6.37–$9.21 | at median | — |
| Magnesium blood test CPT 83735 HC ASSAY OF MAGNESIUM - MAGNESIUM | $55.80 | $55.80 | $6.70 | 59% above | — |
| Magnesium blood test CPT 83735 HC ASSAY OF MAGNESIUM - MAGNESIUM | $55.80 | $55.80 | $6.37–$9.21 | 59% above | — |
| Measles (rubeola) antibody test CPT 86765 HC ANTIBODY RUBEOLA - RUBEOLA ANTIBODY, IGM | $107.33 | $107.33 | $12.24–$17.71 | 147% above | — |
| Measles (rubeola) antibody test CPT 86765 HC ANTIBODY RUBEOLA - RUBEOLA ANTIBODY, IGM | $107.33 | $107.33 | $12.88 | 147% above | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 HC HETEROPHILE ANTIBODIES SCREEN | $57.50 | $57.50 | $5.18 | 61% above | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 HC HETEROPHILE ANTIBODIES SCREEN | $57.50 | $57.50 | $4.92–$7.11 | 61% above | — |
| Mumps immunity blood test CPT 86735 HC ANTIBODY MUMPS - MUMPS ANTIBODY, IGM | $108.75 | $108.75 | $12.40–$17.94 | 71% above | — |
| Mumps immunity blood test CPT 86735 HC ANTIBODY MUMPS | $108.75 | $108.75 | $13.05 | 71% above | — |
| Mumps immunity blood test CPT 86735 HC ANTIBODY MUMPS - MUMPS ANTIBODY, IGM | $108.75 | $108.75 | $13.05 | 71% above | — |
| Mumps immunity blood test CPT 86735 HC ANTIBODY MUMPS | $108.75 | $108.75 | $12.40–$17.94 | 71% above | — |
| Pap test (liquid-based, automated screening with review) CPT 88175 HC CYTP C/V AUTO THIN LYR PREPJ SCR MNL RESCR PHYS VAG/CERV AUTO PAP | $220.80 | $220.80 | $25.28–$36.41 | 87% above | — |
| Pap test (liquid-based, automated screening with review) CPT 88175 HC CYTP C/V AUTO THIN LYR PREPJ SCR MNL RESCR PHYS VAG/CERV AUTO PAP | $220.80 | $220.80 | $26.61 | 87% above | — |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HC CYTP CERV/VAG AUTO THIN LAYER PREP MNL SCREEN VAG/CERV THIN PRE | $168.83 | $168.83 | $20.26 | 82% above | — |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HC CYTP CERV/VAG AUTO THIN LAYER PREP MNL SCREEN VAG/CERV THIN PRE | $168.83 | $168.83 | $19.25–$27.85 | 82% above | — |
| Parathyroid hormone (PTH) blood test CPT 83970 HC ASSAY OF PARATHORMONE | $343.95 | $343.95 | $41.28 | 90% above | — |
| Parathyroid hormone (PTH) blood test CPT 83970 HC ASSAY OF PARATHORMONE | $343.95 | $343.95 | $39.22–$56.74 | 90% above | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD - LUPUS ANTICOAGULANT SCREEN W/ REFLEX | $50.03 | $50.03 | $5.71–$8.25 | 26% above | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD - LUPUS ANTICOAGULANT SCREEN W/ REFLEX | $50.03 | $50.03 | $6.01 | 26% above | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD | $50.03 | $50.03 | $5.71–$8.25 | 26% above | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD | $50.03 | $50.03 | $6.01 | 26% above | — |
| Phosphorus (phosphate) blood test CPT 84100 HC ASSAY OF PHOSPHORUS INORGANIC | $28.00 | $28.00 | $4.74 | 21% above | — |
| Phosphorus (phosphate) blood test CPT 84100 HC ASSAY OF PHOSPHORUS INORGANIC | $28.00 | $28.00 | $4.50–$6.52 | 21% above | — |
| Potassium blood test CPT 84132 HC POTASSIUM SERUM PLASMA/WHOLE BLOOD | $29.00 | $29.00 | $4.76 | 25% above | — |
| Potassium blood test CPT 84132 HC POTASSIUM SERUM PLASMA/WHOLE BLOOD | $29.00 | $29.00 | $4.52–$6.32 | 25% above | — |
| Prolactin blood test CPT 84146 HC ASSAY OF PROLACTIN | $161.48 | $161.48 | $19.38 | 67% above | — |
| Prolactin blood test CPT 84146 HC ASSAY OF PROLACTIN | $161.48 | $161.48 | $18.41–$26.64 | 67% above | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME | $32.78 | $32.78 | $4.05–$5.40 | 44% above | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME | $32.78 | $32.78 | $4.29 | 44% above | — |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC IAADIADOO STREPTOCOCCUS GROUP A | $123.98 | $123.98 | $12.37–$17.87 | 201% above | — |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC IAADIADOO STREPTOCOCCUS GROUP A | $123.98 | $123.98 | $16.53 | 201% above | — |
| Renin blood test CPT 84244 HC ASSAY OF RENIN - PLASMA RENIN ACTIVITY | $183.30 | $183.30 | $20.89–$30.24 | 95% above | — |
| Renin blood test CPT 84244 HC ASSAY OF RENIN - PLASMA RENIN ACTIVITY | $183.30 | $183.30 | $21.99 | 95% above | — |
| Rh blood typing CPT 86901 HC BLOOD TYPING RH (D) | $24.00 | $24.00 | $2.84–$15.65 | at median | — |
| Rh blood typing CPT 86901 HC BLOOD TYPING RH (D) | $24.00 | $24.00 | — | at median | — |
| Rheumatoid factor (RF) test CPT 86431 HC RHEUMATOID FACTOR QUANTITATIVE - IGM | $63.00 | $63.00 | $5.67 | 38% above | — |
| Rheumatoid factor (RF) test CPT 86431 HC RHEUMATOID FACTOR QUANTITATIVE | $63.00 | $63.00 | $5.39–$7.80 | 38% above | — |
| Rheumatoid factor (RF) test CPT 86431 HC RHEUMATOID FACTOR QUANTITATIVE - IGA | $63.00 | $63.00 | $5.39–$7.80 | 38% above | — |
| Rheumatoid factor (RF) test CPT 86431 HC RHEUMATOID FACTOR QUANTITATIVE - IGM | $63.00 | $63.00 | $5.39–$7.80 | 38% above | — |
| Rheumatoid factor (RF) test CPT 86431 HC RHEUMATOID FACTOR QUANTITATIVE | $63.00 | $63.00 | $5.67 | 38% above | — |
| Rheumatoid factor (RF) test CPT 86431 HC RHEUMATOID FACTOR QUANTITATIVE - IGA | $63.00 | $63.00 | $5.67 | 38% above | — |
| Rubella antibody test (immunity check) CPT 86762 HC ANTIBODY RUBELLA | $86.00 | $86.00 | $13.67–$19.79 | 48% above | — |
| Rubella antibody test (immunity check) CPT 86762 HC ANTIBODY RUBELLA | $86.00 | $86.00 | $14.39 | 48% above | — |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HC SEDIMENTATION RATE RBC AUTOMATED | $30.00 | $30.00 | $2.56–$3.71 | 8% above | — |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HC SEDIMENTATION RATE RBC AUTOMATED | $30.00 | $30.00 | $2.70 | 8% above | — |
| Sodium blood test CPT 84295 HC SODIUM SERUM PLASMA OR WHOLE BLOOD | $29.00 | $29.00 | $4.81 | at median | — |
| Sodium blood test CPT 84295 HC SODIUM SERUM PLASMA OR WHOLE BLOOD | $29.00 | $29.00 | $4.57–$6.62 | at median | — |
| Stool ova and parasites exam CPT 87177 HC OVA&PARASITES DIRECT SMEARS CONCENTRATION & ID | $74.18 | $74.18 | $8.46–$12.23 | 83% above | — |
| Stool ova and parasites exam CPT 87177 HC OVA&PARASITES DIRECT SMEARS CONCENTRATION & ID | $74.18 | $74.18 | $8.90 | 83% above | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 HC BLOOD OCCULT PEROXIDASE ACTV QUAL FECES 1 DETER | $32.85 | $32.85 | $4.38 | 92% above | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 HC BLOOD OCCULT PEROXIDASE ACTV QUAL FECES 1 DETER | $32.85 | $32.85 | $3.36–$4.74 | 92% above | — |
| Syphilis antibody test (Treponema pallidum) CPT 86780 HC ANTIBODY TREPONEMA PALLIDUM TPPA | $79.00 | $79.00 | $13.24 | 30% above | — |
| Syphilis antibody test (Treponema pallidum) CPT 86780 HC ANTIBODY TREPONEMA PALLIDUM TPPA | $79.00 | $79.00 | $12.58–$18.20 | 30% above | — |
| Syphilis antibody test (Treponema pallidum) CPT 86780 HC ANTIBODY TREPONEMA PALLIDUM | $110.33 | $110.33 | $13.24 | 81% above | — |
| Syphilis antibody test (Treponema pallidum) CPT 86780 HC ANTIBODY TREPONEMA PALLIDUM | $110.33 | $110.33 | $12.58–$18.20 | 81% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC SYPHILIS TEST NON-TREPONEMAL ANTIBODY QUAL | $34.00 | $34.00 | $4.06–$5.87 | 10% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC SYPHILIS TEST NON-TREPONEMAL ANTIBODY QUAL | $34.00 | $34.00 | $4.27 | 10% above | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC TB CELL MEDIATED ANTIGN RESPNSE GAMMA INTERFERON | $206.61 | $206.61 | $61.98 | 4% above | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC TB CELL MEDIATED ANTIGN RESPNSE GAMMA INTERFERON | $206.61 | $206.61 | $58.88–$85.20 | 4% above | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 HC ASSAY OF TESTOSTERONE TOTAL | $215.10 | $215.10 | $24.52–$35.49 | 86% above | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 HC ASSAY OF TESTOSTERONE TOTAL | $215.10 | $215.10 | $25.81 | 86% above | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC MICROSOMAL ANTIBODIES EACH THYR PEROX AB | $121.28 | $121.28 | $14.55 | 34% above | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC MICROSOMAL ANTIBODIES EACH THYR PEROX AB | $121.28 | $121.28 | $12.95–$17.26 | 34% above | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC MICROSOMAL ANTIBODIES EACH LIV/KID MICRO AB | $161.70 | $161.70 | $12.95–$17.26 | 79% above | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC MICROSOMAL ANTIBODIES EACH LIV/KID MICRO AB | $161.70 | $161.70 | $14.55 | 79% above | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC ASSAY OF THYROID STIMULATING HORMONE TSH | $101.00 | $101.00 | $15.96–$23.10 | 28% above | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC ASSAY OF THYROID STIMULATING HORMONE TSH | $101.00 | $101.00 | $16.80 | 28% above | — |
| Total thyroxine (T4) blood test CPT 84436 HC ASSAY OF THYROXINE TOTAL | $57.23 | $57.23 | $6.87 | 70% above | — |
| Total thyroxine (T4) blood test CPT 84436 HC ASSAY OF THYROXINE TOTAL | $57.23 | $57.23 | $6.53–$9.44 | 70% above | — |
| Total triiodothyronine (T3) blood test CPT 84480 HC ASSAY OF TRIIODOTHYRONINE T3 TOTAL TT3 | $118.13 | $118.13 | $13.47–$19.49 | 63% above | — |
| Total triiodothyronine (T3) blood test CPT 84480 HC ASSAY OF TRIIODOTHYRONINE T3 TOTAL TT3 | $118.13 | $118.13 | $14.18 | 63% above | — |
| Transferrin blood test CPT 84466 HC ASSAY OF L7383TRANSFERRIN | $106.35 | $106.35 | $12.12–$17.55 | 84% above | — |
| Transferrin blood test CPT 84466 HC ASSAY OF L7383TRANSFERRIN | $106.35 | $106.35 | $12.76 | 84% above | — |
| Trichomonas test (NAAT) CPT 87661 LAB / PATHOLOGY - CLINICAL DIAGNOSTIC: BACTERIOLOGY/MICROBIOLOGY | $61.00 | $61.00 | $35.09 | 7% below | — |
| Trichomonas test (NAAT) CPT 87661 LAB / PATHOLOGY - CLINICAL DIAGNOSTIC: BACTERIOLOGY/MICROBIOLOGY | $61.00 | $61.00 | $33.34–$47.87 | 7% below | — |
| Triglycerides blood test CPT 84478 HC ASSAY OF TRIGLYCERIDES - TRIGLYCERIDE, BODY FLUID | $34.00 | $34.00 | $5.74 | 26% above | — |
| Triglycerides blood test CPT 84478 HC ASSAY OF TRIGLYCERIDES - TRIGLYCERIDE, BODY FLUID | $34.00 | $34.00 | $5.45–$7.90 | 26% above | — |
| Triglycerides blood test CPT 84478 HC ASSAY OF TRIGLYCERIDES | $47.85 | $47.85 | $5.45–$7.90 | 77% above | — |
| Triglycerides blood test CPT 84478 HC ASSAY OF TRIGLYCERIDES | $47.85 | $47.85 | $5.74 | 77% above | — |
| Troponin test, quantitative CPT 84484 HC HIGH SENSITIVITY TROPONIN T | $124.70 | $124.70 | $12.47 | 42% above | — |
| Troponin test, quantitative CPT 84484 HC HIGH SENSITIVITY TROPONIN T | $124.70 | $124.70 | $10.15–$13.53 | 42% above | — |
| Uric acid blood test CPT 84550 HC ASSAY OF BLOOD/URIC ACID | $37.65 | $37.65 | $4.29–$6.21 | 57% above | — |
| Uric acid blood test CPT 84550 HC ASSAY OF BLOOD/URIC ACID | $37.65 | $37.65 | $4.52 | 57% above | — |
| Urinalysis without microscope exam, automated CPT 81003 HC URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY | $24.90 | $24.90 | $2.14–$3.09 | 35% above | — |
| Urinalysis without microscope exam, automated CPT 81003 HC URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY | $24.90 | $24.90 | $2.25 | 35% above | — |
| Urinalysis without microscope exam, manual CPT 81002 HC URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP | $26.10 | $26.10 | $2.64–$3.76 | 30% above | — |
| Urinalysis without microscope exam, manual CPT 81002 HC URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP | $26.10 | $26.10 | $3.48 | 30% above | — |
| Urine culture for bacteria, with colony count CPT 87086 HC CULTURE BACTERIAL QUANTTATIVE COLONY COUNT URINE | $67.28 | $67.28 | $8.07 | 52% above | — |
| Urine culture for bacteria, with colony count CPT 87086 HC CULTURE BACTERIAL QUANTTATIVE COLONY COUNT URINE | $67.28 | $67.28 | $7.67–$11.10 | 52% above | — |
| Urine microalbumin (albumin) test CPT 82043 HC ALBUMIN URINE MICROALBUMIN QUANTIATIVE | $64.20 | $64.20 | $5.78 | 33% above | — |
| Urine microalbumin (albumin) test CPT 82043 HC ALBUMIN URINE MICROALBUMIN QUANTIATIVE | $64.20 | $64.20 | $5.49–$7.95 | 33% above | — |
| Urine pregnancy test, read by color change CPT 81025 HC URINE PREGNANCY TEST VISUAL COLOR CMPRSN METHS | $64.58 | $64.58 | $6.52–$9.31 | 56% above | — |
| Urine pregnancy test, read by color change CPT 81025 HC URINE PREGNANCY TEST VISUAL COLOR CMPRSN METHS | $64.58 | $64.58 | $8.61 | 56% above | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 HC CYANOCOBALAMIN VITAMIN B-12 | $125.63 | $125.63 | $14.33–$20.72 | 87% above | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 HC CYANOCOBALAMIN VITAMIN B-12 | $125.63 | $125.63 | $15.08 | 87% above | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC 25 HYDROXY INCLUDES FRACTIONS IF PERFORMED | $246.68 | $246.68 | $29.60 | 106% above | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC 25 HYDROXY INCLUDES FRACTIONS IF PERFORMED | $246.68 | $246.68 | $28.12–$40.70 | 106% above | — |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 HC 1 25 DIHYDROXY INCLUDES FRACTIONS IF PERFORMED | $320.85 | $320.85 | $38.50 | 122% above | — |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 HC 1 25 DIHYDROXY INCLUDES FRACTIONS IF PERFORMED | $320.85 | $320.85 | $36.57–$52.92 | 122% above | — |
| Zinc blood test CPT 84630 HC ASSAY OF ZINC | $94.88 | $94.88 | $11.39 | 86% above | — |
| Zinc blood test CPT 84630 HC ASSAY OF ZINC | $94.88 | $94.88 | $10.82–$15.65 | 86% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC GONADOTROPIN CHORIONIC QUANTITATIVE HCG, QUANTITATIVE | $125.48 | $125.48 | $12.02–$16.27 | 69% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC GONADOTROPIN CHORIONIC QUANTITATIVE HCG, QUANTITATIVE | $125.48 | $125.48 | $15.05 | 69% above | — |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Connecticut | Off list |
|---|---|---|---|---|---|
| Anterior cervical discectomy and fusion (ACDF), one level CPT 22551 ARTHRD ANT NTRBDY CERVICAL | $11,260.00 | $11,260.00 | $2,569.05–$4,967.83 | at median | — |
| Anterior cervical discectomy and fusion (ACDF), one level inpatient CPT 22551 ARTHRD ANT NTRBDY CERVICAL | $11,260.00 | $11,260.00 | $2,569.05–$4,967.83 | — | — |
| Arthroscopic ACL reconstruction or repair of the knee CPT 29888 KNEE ARTHROSCOPY/SURGERY | $5,630.00 | $5,630.00 | $1,475.08–$2,948.76 | at median | — |
| Arthroscopic ACL reconstruction or repair of the knee inpatient CPT 29888 KNEE ARTHROSCOPY/SURGERY | $5,630.00 | $5,630.00 | $1,475.08–$2,948.76 | — | — |
| Arthroscopic rotator cuff repair of the shoulder CPT 29827 SHO ARTHRS SRG RT8TR CUF RPR | $6,175.00 | $6,175.00 | $1,610.05–$3,212.17 | at median | — |
| Arthroscopic rotator cuff repair of the shoulder inpatient CPT 29827 SHO ARTHRS SRG RT8TR CUF RPR | $6,175.00 | $6,175.00 | $1,610.05–$3,212.17 | — | — |
| Botox injections for chronic migraine CPT 64615 HC CHEMODERVATE FACIAL/TRIGEM/CERV MUSC MIGRAINE | $755.55 | $755.55 | — | 2% above | — |
| Botox injections for chronic migraine CPT 64615 HC CHEMODERVATE FACIAL/TRIGEM/CERV MUSC MIGRAINE | $755.55 | $755.55 | $125.44–$8,935.00 | 2% above | — |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 HC BX BREAST W DEVICE 1ST LESION STEREOTACTIC GUIDE | $5,717.00 | $5,717.00 | — | 7% above | — |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 HC BX BREAST W DEVICE 1ST LESION STEREOTACTIC GUIDE | $5,717.00 | $5,717.00 | $674.95–$8,935.00 | 7% above | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 HC CARDIOVERSION ELECTIVE ARRHYTHMIA EXTERNAL | $1,958.96 | $1,958.96 | — | 40% above | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 HC CARDIOVERSION ELECTIVE ARRHYTHMIA EXTERNAL | $1,958.96 | $1,958.96 | $270.10–$276.86 | 40% above | — |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HC CLTX DSTL RADIAL FX/EPIPHYSL SEP W/O MANJ | $837.68 | $837.68 | — | 6% above | — |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HC CLTX DSTL RADIAL FX/EPIPHYSL SEP W/O MANJ | $837.68 | $837.68 | $100.80–$103.32 | 6% above | — |
| Colonoscopy with polyp removal CPT 45385 HC COLSC FLX PROX SPLENIC FLXR RMVL LES SNARE TQ | $4,213.56 | $4,213.56 | — | at median | — |
| Colonoscopy with polyp removal CPT 45385 HC COLSC FLX PROX SPLENIC FLXR RMVL LES SNARE TQ | $4,213.56 | $4,213.56 | $489.02–$8,935.00 | at median | — |
| Colonoscopy with tissue sample CPT 45380 HC COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE | $4,213.56 | $4,213.56 | $489.02–$8,935.00 | at median | — |
| Colonoscopy with tissue sample CPT 45380 HC COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE | $4,213.56 | $4,213.56 | — | at median | — |
| Colonoscopy, diagnostic CPT 45378 HC COLONOSCOPY FLX DX W/WO COLLJ SPECIMENS | $3,224.78 | $3,224.78 | $380.04–$8,935.00 | at median | — |
| Colonoscopy, diagnostic CPT 45378 HC COLONOSCOPY FLX DX W/WO COLLJ SPECIMENS | $3,224.78 | $3,224.78 | — | at median | — |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 HC CYSTOURETHROSCOPY | $2,335.64 | $2,335.64 | — | 67% above | — |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 HC CYSTOURETHROSCOPY | $2,335.64 | $2,335.64 | $284.96–$8,935.00 | 67% above | — |
| D&C (dilation and curettage), not related to pregnancy CPT 58120 DILATION AND CURETTAGE | $1,340.00 | $1,340.00 | $321.09–$651.62 | 74% below | — |
| D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 DILATION AND CURETTAGE | $1,340.00 | $1,340.00 | $321.09–$651.62 | — | — |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVE IMPACTED EAR WAX UNI | $95.00 | $95.00 | $22.02–$37.64 | 18% below | — |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 REMOVE IMPACTED EAR WAX UNI | $95.00 | $95.00 | $22.02–$37.64 | — | — |
| Earwax removal with instruments, one ear CPT 69210 REMOVE IMPACTED EAR WAX UNI | $185.00 | $185.00 | $50.25–$79.24 | 9% above | — |
| Earwax removal with instruments, one ear one side CPT 69210 HC REMOVAL IMPACTED CERUMEN INSTRUMENTATION UNILAT | $344.93 | $344.93 | — | 102% above | — |
| Earwax removal with instruments, one ear one side CPT 69210 HC REMOVAL IMPACTED CERUMEN INSTRUMENTATION UNILAT | $344.93 | $344.93 | $24.11–$24.71 | 102% above | — |
| Earwax removal with instruments, one ear inpatient CPT 69210 REMOVE IMPACTED EAR WAX UNI | $185.00 | $185.00 | $50.25–$79.24 | — | — |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 BIOPSY OF UTERUS LINING | $360.00 | $360.00 | $90.27–$262.16 | 9% below | — |
| Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 BIOPSY OF UTERUS LINING | $360.00 | $360.00 | $90.27–$262.16 | — | — |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HC NJX DX/THER SBST INTRLMNR CRV/THRC W/IMG GDN | $3,657.30 | $3,657.30 | — | 7% above | — |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HC NJX DX/THER SBST INTRLMNR CRV/THRC W/IMG GDN | $3,657.30 | $3,657.30 | $288.47–$8,935.00 | 7% above | — |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HC NJX DX/THER AGT PVRT FACET JT LMBR/SAC 1 LEVEL | $3,140.49 | $3,140.49 | $361.45–$8,935.00 | 20% above | — |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HC NJX DX/THER AGT PVRT FACET JT LMBR/SAC 1 LEVEL | $3,140.49 | $3,140.49 | — | 20% above | — |
| First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 RPR AA HRN 1ST 3-10 RDC | $3,275.00 | $3,275.00 | $891.27–$1,485.87 | — | — |
| First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm inpatient CPT 49593 RPR AA HRN 1ST 3-10 RDC | $3,275.00 | $3,275.00 | $891.27–$1,485.87 | — | — |
| First repair of a front abdominal hernia larger than 10 cm CPT 49595 RPR AA HRN 1ST > 10 RDC | $4,415.00 | $4,415.00 | $1,197.30–$1,995.42 | — | — |
| First repair of a front abdominal hernia larger than 10 cm inpatient CPT 49595 RPR AA HRN 1ST > 10 RDC | $4,415.00 | $4,415.00 | $1,197.30–$1,995.42 | — | — |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 RPR AA HRN 1ST < 3 CM RDC | $1,960.00 | $1,960.00 | $532.65–$889.33 | — | — |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm inpatient CPT 49591 RPR AA HRN 1ST < 3 CM RDC | $1,960.00 | $1,960.00 | $532.65–$889.33 | — | — |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 HC SIGMOIDOSCOPY FLX DX W/WO COLLJ SPECIMENS | $3,224.78 | $3,224.78 | $380.04–$8,935.00 | at median | — |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 HC SIGMOIDOSCOPY FLX DX W/WO COLLJ SPECIMENS | $3,224.78 | $3,224.78 | — | at median | — |
| Gallbladder removal, laparoscopic CPT 47562 LAPAROSCOPIC CHOLECYSTECTOMY | $3,820.00 | $3,820.00 | $1,005.39–$1,713.06 | 49% below | — |
| Gallbladder removal, laparoscopic inpatient CPT 47562 LAPAROSCOPIC CHOLECYSTECTOMY | $3,820.00 | $3,820.00 | $1,005.39–$1,713.06 | — | — |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 LAPARO CHOLECYSTECTOMY/GRAPH | $4,155.00 | $4,155.00 | $1,094.14–$1,752.99 | — | — |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery inpatient CPT 47563 LAPARO CHOLECYSTECTOMY/GRAPH | $4,155.00 | $4,155.00 | $1,094.14–$1,752.99 | — | — |
| Gallbladder removal, open surgery through a larger incision CPT 47600 CHOLECYSTECTOMY | $6,165.00 | $6,165.00 | $1,465.02–$2,441.91 | — | — |
| Gallbladder removal, open surgery through a larger incision inpatient CPT 47600 CHOLECYSTECTOMY | $6,165.00 | $6,165.00 | $1,465.02–$2,441.91 | — | — |
| Hemorrhoid banding (rubber band ligation) CPT 46221 HC HEMORRHOIDECTOMY INTERNAL RUBBER BAND LIGATIONS | $3,224.78 | $3,224.78 | $380.04–$8,935.00 | at median | — |
| Hemorrhoid banding (rubber band ligation) CPT 46221 HC HEMORRHOIDECTOMY INTERNAL RUBBER BAND LIGATIONS | $3,224.78 | $3,224.78 | — | at median | — |
| Hip replacement after an earlier hip surgery (conversion to total hip) CPT 27132 TOTAL HIP ARTHROPLASTY | $9,605.00 | $9,605.00 | $2,518.19–$4,545.37 | at median | — |
| Hip replacement after an earlier hip surgery (conversion to total hip) inpatient CPT 27132 TOTAL HIP ARTHROPLASTY | $9,605.00 | $9,605.00 | $2,518.19–$4,545.37 | — | — |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HC CATH & SALINE/CONTRAST SONOHYSTER/HYSTEROSALPI | $423.77 | $423.77 | — | at median | — |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HC CATH & SALINE/CONTRAST SONOHYSTER/HYSTEROSALPI | $423.77 | $423.77 | $55.10 | at median | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 HC INCISION & DRAINAGE ABSCESS SIMPLE/SINGLE | $430.95 | $430.95 | $81.99–$8,935.00 | 2% above | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 HC INCISION & DRAINAGE ABSCESS SIMPLE/SINGLE | $430.95 | $430.95 | — | 2% above | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 ID ABSCESS SIMPLE/SINGLE | $620.00 | $620.00 | $117.88–$235.49 | 46% above | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 ID ABSCESS SIMPLE/SINGLE | $620.00 | $620.00 | $117.88–$235.49 | — | — |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 PRP I/HERN INIT REDUC >5 YR | $3,040.00 | $3,040.00 | $766.53–$1,197.49 | 50% below | — |
| Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 PRP I/HERN INIT REDUC >5 YR | $3,040.00 | $3,040.00 | $766.53–$1,197.49 | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJ JOINT/BURSA W/O US | $260.00 | $260.00 | $68.25–$134.69 | 64% below | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC ARTHROCENTESIS ASPIR&/INJECTION MAJOR JT/BURSA WO/US GUIDANCE | $1,061.06 | $1,061.06 | — | 48% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC ARTHROCENTESIS ASPIR&/INJECTION MAJOR JT/BURSA WO/US GUIDANCE | $1,061.06 | $1,061.06 | $125.44–$8,935.00 | 48% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 DRAIN/INJ JOINT/BURSA W/O US | $260.00 | $260.00 | $68.25–$134.69 | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJ JOINT/BURSA W/O US | $210.00 | $210.00 | $55.72–$112.19 | 67% below | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC ARTHROCENTESIS ASPIR&/INJECTION INTERM JT/BURS WO/US GUIDANCE | $1,061.06 | $1,061.06 | $125.44–$8,935.00 | 69% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC ARTHROCENTESIS ASPIR&/INJECTION INTERM JT/BURS WO/US GUIDANCE | $1,856.86 | $1,856.86 | — | 195% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 DRAIN/INJ JOINT/BURSA W/O US | $210.00 | $210.00 | $55.72–$112.19 | — | — |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC ARTHROCENTESIS ASPIR&/INJECTION SMALL JT/BURSA WO/US GUIDANCE | $1,061.06 | $1,061.06 | — | 24% above | — |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC ARTHROCENTESIS ASPIR&/INJECTION SMALL JT/BURSA WO/US GUIDANCE | $1,061.06 | $1,061.06 | $125.44–$8,935.00 | 24% above | — |
| Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 KNEE ARTHROSCOPY/SURGERY | $4,015.00 | $4,015.00 | $1,042.77–$2,081.07 | — | — |
| Knee arthroscopy with meniscus repair (one side of the knee) inpatient CPT 29882 KNEE ARTHROSCOPY/SURGERY | $4,015.00 | $4,015.00 | $1,042.77–$2,081.07 | — | — |
| Knee arthroscopy with meniscus trim CPT 29881 KNEE ARTHROSCOPY/SURGERY | $3,175.00 | $3,175.00 | $816.14–$1,689.30 | at median | — |
| Knee arthroscopy with meniscus trim inpatient CPT 29881 KNEE ARTHROSCOPY/SURGERY | $3,175.00 | $3,175.00 | $816.14–$1,689.30 | — | — |
| Knee arthroscopy with removal of both torn meniscus parts CPT 29880 KNEE ARTHROSCOPY/SURGERY | $3,290.00 | $3,290.00 | $846.62–$1,811.99 | at median | — |
| Knee arthroscopy with removal of both torn meniscus parts inpatient CPT 29880 KNEE ARTHROSCOPY/SURGERY | $3,290.00 | $3,290.00 | $846.62–$1,811.99 | — | — |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 KNEE ARTHROSCOPY/SURGERY | $3,635.00 | $3,635.00 | $936.02–$1,855.28 | — | — |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) inpatient CPT 29877 KNEE ARTHROSCOPY/SURGERY | $3,635.00 | $3,635.00 | $936.02–$1,855.28 | — | — |
| Laparoscopic Roux-en-Y gastric bypass, standard limb length CPT 43644 LAP GASTRIC BYPASS/ROUX-EN-Y | $9,955.00 | $9,955.00 | $2,646.98–$4,053.62 | — | — |
| Laparoscopic Roux-en-Y gastric bypass, standard limb length inpatient CPT 43644 LAP GASTRIC BYPASS/ROUX-EN-Y | $9,955.00 | $9,955.00 | $2,646.98–$4,053.62 | — | — |
| Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 LAPAROSCOPY APPENDECTOMY | $3,485.00 | $3,485.00 | $916.76–$1,373.65 | 47% below | — |
| Laparoscopic appendectomy (appendix removal through small cuts) inpatient CPT 44970 LAPAROSCOPY APPENDECTOMY | $3,485.00 | $3,485.00 | $916.76–$1,373.65 | — | — |
| Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 LAPAROSCOPY FUNDOPLASTY | $6,180.00 | $6,180.00 | $1,645.29–$2,383.83 | — | — |
| Laparoscopic fundoplication (anti-reflux surgery) inpatient CPT 43280 LAPAROSCOPY FUNDOPLASTY | $6,180.00 | $6,180.00 | $1,645.29–$2,383.83 | — | — |
| Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 TLH UTERUS 250 G OR LESS | $4,615.00 | $4,615.00 | $1,122.19–$2,771.20 | — | — |
| Laparoscopic hysterectomy (uterus 250 g or less) inpatient CPT 58570 TLH UTERUS 250 G OR LESS | $4,615.00 | $4,615.00 | $1,122.19–$2,771.20 | — | — |
| Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 TLH W/T/O 250 G OR LESS | $5,185.00 | $5,185.00 | $1,265.95–$3,080.49 | — | — |
| Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries inpatient CPT 58571 TLH W/T/O 250 G OR LESS | $5,185.00 | $5,185.00 | $1,265.95–$3,080.49 | — | — |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 LAP ING HERNIA REPAIR INIT | $2,525.00 | $2,525.00 | $656.91–$989.80 | — | — |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side inpatient CPT 49650 LAP ING HERNIA REPAIR INIT | $2,525.00 | $2,525.00 | $656.91–$989.80 | — | — |
| Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 LAP ING HERNIA REPAIR RECUR | $3,290.00 | $3,290.00 | $855.15–$1,276.43 | — | — |
| Laparoscopic inguinal (groin) hernia repair, recurrent hernia inpatient CPT 49651 LAP ING HERNIA REPAIR RECUR | $3,290.00 | $3,290.00 | $855.15–$1,276.43 | — | — |
| Laparoscopic removal of an adjustable gastric band and its port CPT 43774 LAP RMVL GASTR ADJ ALL PARTS | $5,540.00 | $5,540.00 | $1,465.39–$2,248.72 | — | — |
| Laparoscopic removal of an adjustable gastric band and its port inpatient CPT 43774 LAP RMVL GASTR ADJ ALL PARTS | $5,540.00 | $5,540.00 | $1,465.39–$2,248.72 | — | — |
| Laparoscopic sleeve gastrectomy for weight loss CPT 43775 LAP SLEEVE GASTRECTOMY | $6,295.00 | $6,295.00 | $1,695.02–$3,340.70 | — | — |
| Laparoscopic sleeve gastrectomy for weight loss inpatient CPT 43775 LAP SLEEVE GASTRECTOMY | $6,295.00 | $6,295.00 | $1,695.02–$3,340.70 | — | — |
| Lower-back epidural injection, with imaging guidance CPT 62323 HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN | $3,726.37 | $3,726.37 | $288.47–$8,935.00 | 29% above | — |
| Lower-back epidural injection, with imaging guidance CPT 62323 HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN | $3,726.37 | $3,726.37 | — | 29% above | — |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC NJX ANES&/STRD W/IMG TFRML EDRL LMBR/SAC 1 LVL | $2,454.73 | $2,454.73 | $361.45–$8,935.00 | at median | — |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC NJX ANES&/STRD W/IMG TFRML EDRL LMBR/SAC 1 LVL | $2,454.73 | $2,454.73 | — | at median | — |
| Lumbar discectomy or laminotomy to free a nerve root, one level CPT 63030 LOW BACK DISK SURGERY | $6,115.00 | $6,115.00 | $1,376.45–$2,541.61 | at median | — |
| Lumbar discectomy or laminotomy to free a nerve root, one level inpatient CPT 63030 LOW BACK DISK SURGERY | $6,115.00 | $6,115.00 | $1,376.45–$2,541.61 | — | — |
| Lumbar fusion with interbody cage and posterolateral graft (TLIF), one level CPT 22633 ARTHRD CMBN 1NTRSPC LUMBAR | $11,970.00 | $11,970.00 | $2,790.28–$5,292.66 | at median | — |
| Lumbar fusion with interbody cage and posterolateral graft (TLIF), one level inpatient CPT 22633 ARTHRD CMBN 1NTRSPC LUMBAR | $11,970.00 | $11,970.00 | $2,790.28–$5,292.66 | — | — |
| Lumbar laminectomy (spinal decompression), one level CPT 63047 LAM FACETEC FORAMOT LUMBAR | $7,370.00 | $7,370.00 | $1,560.39–$2,894.92 | at median | — |
| Lumbar laminectomy (spinal decompression), one level inpatient CPT 63047 LAM FACETEC FORAMOT LUMBAR | $7,370.00 | $7,370.00 | $1,560.39–$2,894.92 | — | — |
| Lumbar spinal fusion (posterior), one level CPT 22612 ARTHRD PST TQ 1NTRSPC LUMBAR | $10,425.00 | $10,425.00 | $2,393.02–$4,200.95 | at median | — |
| Lumbar spinal fusion (posterior), one level inpatient CPT 22612 ARTHRD PST TQ 1NTRSPC LUMBAR | $10,425.00 | $10,425.00 | $2,393.02–$4,200.95 | — | — |
| Lumpectomy (partial mastectomy) CPT 19301 PARTIAL MASTECTOMY | $3,815.00 | $3,815.00 | $975.86–$1,459.32 | — | — |
| Lumpectomy (partial mastectomy) inpatient CPT 19301 PARTIAL MASTECTOMY | $3,815.00 | $3,815.00 | $975.86–$1,459.32 | — | — |
| Mastectomy (total removal of the breast) CPT 19303 MAST SIMPLE COMPLETE | $5,540.00 | $5,540.00 | $1,444.85–$2,113.63 | — | — |
| Mastectomy (total removal of the breast) inpatient CPT 19303 MAST SIMPLE COMPLETE | $5,540.00 | $5,540.00 | $1,444.85–$2,113.63 | — | — |
| Nail removal (partial or complete), one nail CPT 11730 REMOVAL OF NAIL PLATE | $305.00 | $305.00 | $63.83–$135.81 | 25% below | — |
| Nail removal (partial or complete), one nail CPT 11730 HC AVULSION NAIL PLATE PARTIAL/COMPLETE SIMPLE 1 | $729.27 | $729.27 | $81.99–$84.04 | 80% above | — |
| Nail removal (partial or complete), one nail CPT 11730 HC AVULSION NAIL PLATE PARTIAL/COMPLETE SIMPLE 1 | $729.27 | $729.27 | — | 80% above | — |
| Nail removal (partial or complete), one nail inpatient CPT 11730 REMOVAL OF NAIL PLATE | $305.00 | $305.00 | $63.83–$135.81 | — | — |
| Occipital nerve block (injection for headaches) CPT 64405 NJX AA/STRD GR OCPL NRV | $285.00 | $285.00 | $75.09–$152.24 | 65% below | — |
| Occipital nerve block (injection for headaches) CPT 64405 HC INJECTION ANESTHETIC AGENT GREATER OCCIPITAL NRV | $981.12 | $981.12 | $125.44–$8,935.00 | 22% above | — |
| Occipital nerve block (injection for headaches) CPT 64405 HC INJECTION ANESTHETIC AGENT GREATER OCCIPITAL NRV | $1,716.96 | $1,716.96 | — | 114% above | — |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 NJX AA/STRD GR OCPL NRV | $285.00 | $285.00 | $75.09–$152.24 | — | — |
| Pacemaker implant (dual chamber) CPT 33208 HC INS NEW/RPLCMT PRM PM W/TRANSV ELTRD ATRIAL&VENT | $20,477.00 | $20,477.00 | — | at median | — |
| Pacemaker implant (dual chamber) CPT 33208 HC INS NEW/RPLCMT PRM PM W/TRANSV ELTRD ATRIAL&VENT | $20,477.00 | $20,477.00 | $4,271.35–$29,948.00 | at median | — |
| Paracentesis with imaging guidance CPT 49083 HC ABDOM PARACENTESIS DX/THER W/IMAGING GUIDANCE | $3,728.48 | $3,728.48 | $370.65–$8,935.00 | 83% above | — |
| Paracentesis with imaging guidance CPT 49083 HC ABDOM PARACENTESIS DX/THER W/IMAGING GUIDANCE | $3,728.48 | $3,728.48 | — | 83% above | — |
| Partial knee replacement (one compartment) CPT 27446 REVISION OF KNEE JOINT | $6,630.00 | $6,630.00 | $1,741.84–$2,997.30 | at median | — |
| Partial knee replacement (one compartment) inpatient CPT 27446 REVISION OF KNEE JOINT | $6,630.00 | $6,630.00 | $1,741.84–$2,997.30 | — | — |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 REMOVAL OF NAIL BED | $540.00 | $540.00 | $151.22–$361.13 | 35% below | — |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC EXCISION NAIL MATRIX PERMANENT REMOVAL | $1,404.89 | $1,404.89 | $166.13–$170.28 | 70% above | — |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC EXCISION NAIL MATRIX PERMANENT REMOVAL | $1,404.89 | $1,404.89 | — | 70% above | — |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 REMOVAL OF NAIL BED | $540.00 | $540.00 | $151.22–$361.13 | — | — |
| Prostate removal (prostatectomy), laparoscopic CPT 55866 LAPS SURG PRST8ECT RPBIC RAD | $6,250.00 | $6,250.00 | $2,173.14–$4,297.45 | — | — |
| Prostate removal (prostatectomy), laparoscopic inpatient CPT 55866 LAPS SURG PRST8ECT RPBIC RAD | $6,250.00 | $6,250.00 | $2,173.14–$4,297.45 | — | — |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 HC DSTR NROLYTC AGNT PARVERTEB FCT SNGL LMBR/SACRAL | $8,424.00 | $8,424.00 | — | 40% above | — |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 HC DSTR NROLYTC AGNT PARVERTEB FCT SNGL LMBR/SACRAL | $8,424.00 | $8,424.00 | $798.01–$8,935.00 | 40% above | — |
| Removal of a foreign object under the skin, simple CPT 10120 INCRMVL FB SUBQ TISS SMPL | $610.00 | $610.00 | $113.57–$233.41 | 5% below | — |
| Removal of a foreign object under the skin, simple CPT 10120 HC INCISION & REMOVAL FOREIGN BODY SUBQ TISS SIMPLE | $642.28 | $642.28 | $166.13–$648.00 | at median | — |
| Removal of a foreign object under the skin, simple CPT 10120 HC INCISION & REMOVAL FOREIGN BODY SUBQ TISS SIMPLE | $642.28 | $642.28 | — | at median | — |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 INCRMVL FB SUBQ TISS SMPL | $610.00 | $610.00 | $113.57–$233.41 | — | — |
| Removal of one lobe of the thyroid (lobectomy) CPT 60220 PARTIAL REMOVAL OF THYROID | $3,785.00 | $3,785.00 | $1,074.37–$1,753.54 | — | — |
| Removal of one lobe of the thyroid (lobectomy) inpatient CPT 60220 PARTIAL REMOVAL OF THYROID | $3,785.00 | $3,785.00 | $1,074.37–$1,753.54 | — | — |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 HC CRCTAL SRN-NOHRSK | $3,224.78 | $3,224.78 | — | at median | — |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 HC CRCTAL SRN-NOHRSK | $3,224.78 | $3,224.78 | $380.04–$8,935.00 | at median | — |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 HC CRECTAL SRN-HRISK | $3,224.78 | $3,224.78 | — | at median | — |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 HC CRECTAL SRN-HRISK | $3,224.78 | $3,224.78 | $380.04–$8,935.00 | at median | — |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 HC LITHOTRIPSY XTRCORP SHOCK WAVE | $15,544.62 | $15,544.62 | $1,440.53–$14,193.00 | 11% above | — |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 HC LITHOTRIPSY XTRCORP SHOCK WAVE | $15,544.62 | $15,544.62 | — | 11% above | — |
| Short arm splint (forearm and hand) CPT 29125 APPLY FOREARM SPLINT | $235.00 | $235.00 | $59.16–$116.59 | 16% below | — |
| Short arm splint (forearm and hand) CPT 29125 HC APPLICATION SHORT ARM SPLINT FOREARM-HAND STATIC | $455.52 | $455.52 | $54.37–$55.73 | 64% above | — |
| Short arm splint (forearm and hand) CPT 29125 HC APPLICATION SHORT ARM SPLINT FOREARM-HAND STATIC | $455.52 | $455.52 | — | 64% above | — |
| Short arm splint (forearm and hand) inpatient CPT 29125 APPLY FOREARM SPLINT | $235.00 | $235.00 | $59.16–$116.59 | — | — |
| Short leg cast (below the knee) CPT 29405 APPLY SHORT LEG CAST | $345.00 | $345.00 | $88.29–$177.98 | 43% below | — |
| Short leg cast (below the knee) inpatient CPT 29405 APPLY SHORT LEG CAST | $345.00 | $345.00 | $88.29–$177.98 | — | — |
| Short leg splint (calf to foot) CPT 29515 APPLICATION LOWER LEG SPLINT | $290.00 | $290.00 | $73.93–$146.17 | 33% below | — |
| Short leg splint (calf to foot) CPT 29515 HC APPLICATION SHORT LEG SPLINT CALF FOOT | $573.78 | $573.78 | $66.41–$68.07 | 32% above | — |
| Short leg splint (calf to foot) CPT 29515 HC APPLICATION SHORT LEG SPLINT CALF FOOT | $573.78 | $573.78 | — | 32% above | — |
| Short leg splint (calf to foot) inpatient CPT 29515 APPLICATION LOWER LEG SPLINT | $290.00 | $290.00 | $73.93–$146.17 | — | — |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 SHO ARTHRS SRG DSTL CLAVICLC | $3,960.00 | $3,960.00 | $1,017.23–$2,020.15 | at median | — |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) inpatient CPT 29824 SHO ARTHRS SRG DSTL CLAVICLC | $3,960.00 | $3,960.00 | $1,017.23–$2,020.15 | — | — |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 SHO ARTHRS SRG DECOMPRESSION | $975.00 | $975.00 | $261.11–$1,778.09 | at median | — |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 SHO ARTHRS SRG DECOMPRESSION | $975.00 | $975.00 | $261.11–$1,778.09 | — | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 DX LMBR SPI PNXR | $420.00 | $420.00 | $86.26–$191.08 | 63% below | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 HC SPINAL PUNCTURE LUMBAR DIAGNOSTIC | $1,111.05 | $1,111.05 | — | 3% below | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 HC SPINAL PUNCTURE LUMBAR DIAGNOSTIC | $1,111.05 | $1,111.05 | $288.47–$8,935.00 | 3% below | — |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 DX LMBR SPI PNXR | $420.00 | $420.00 | $86.26–$191.08 | — | — |
| 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 | $335.00 | $335.00 | $80.86–$255.99 | 2% below | — |
| 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 | $335.00 | $335.00 | $80.86–$255.99 | — | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 RPR F/E/E/N/L/M 2.5 CM/< | $320.00 | $320.00 | $76.18–$237.93 | 23% below | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 RPR F/E/E/N/L/M 2.5 CM/< | $320.00 | $320.00 | $76.18–$237.93 | — | — |
| Thoracentesis with imaging guidance CPT 32555 ASPIRATE PLEURA W/ IMAGING | $600.00 | $600.00 | $288.36 | 53% below | — |
| Thoracentesis with imaging guidance CPT 32555 HC THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING | $1,296.45 | $1,296.45 | $256.36–$8,935.00 | 2% above | — |
| Thoracentesis with imaging guidance CPT 32555 HC THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING | $1,296.45 | $1,296.45 | — | 2% above | — |
| Thoracentesis with imaging guidance inpatient CPT 32555 ASPIRATE PLEURA W/ IMAGING | $600.00 | $600.00 | $288.36 | — | — |
| Total hip replacement CPT 27130 TOTAL HIP ARTHROPLASTY | $7,400.00 | $7,400.00 | $2,038.23–$3,903.57 | at median | — |
| Total hip replacement inpatient CPT 27130 TOTAL HIP ARTHROPLASTY | $7,400.00 | $7,400.00 | $2,038.23–$3,903.57 | — | — |
| Total knee replacement CPT 27447 TOTAL KNEE ARTHROPLASTY | $7,390.00 | $7,390.00 | $2,035.53–$4,170.18 | at median | — |
| Total knee replacement inpatient CPT 27447 TOTAL KNEE ARTHROPLASTY | $7,390.00 | $7,390.00 | $2,035.53–$4,170.18 | — | — |
| Total shoulder replacement CPT 23472 RECONSTRUCT SHOULDER JOINT | $8,310.00 | $8,310.00 | $2,182.58–$4,096.04 | at median | — |
| Total shoulder replacement inpatient CPT 23472 RECONSTRUCT SHOULDER JOINT | $8,310.00 | $8,310.00 | $2,182.58–$4,096.04 | — | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 HC INJECTION SINGLE/MLT TRIGGER POINT 1/2 MUSCLES | $1,061.06 | $1,061.06 | — | 66% above | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 HC INJECTION SINGLE/MLT TRIGGER POINT 1/2 MUSCLES | $1,061.06 | $1,061.06 | $125.44–$128.58 | 66% above | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HC BX BREAST W DEVICE 1ST LESION ULTRASOUND GUIDE | $5,717.00 | $5,717.00 | — | 3% above | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HC BX BREAST W DEVICE 1ST LESION ULTRASOUND GUIDE | $5,717.00 | $5,717.00 | $674.95–$8,935.00 | 3% above | — |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 HC EDG BALLOON DILATION ESOPHAGUS <30 MM DIAM | $6,601.76 | $6,601.76 | — | at median | — |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 HC EDG BALLOON DILATION ESOPHAGUS <30 MM DIAM | $6,601.76 | $6,601.76 | $784.19–$8,935.00 | at median | — |
| Upper endoscopy (EGD) with biopsy CPT 43239 HC EDG TRANSORAL BIOPSY SINGLE/MULTIPLE | $3,288.29 | $3,288.29 | $370.65–$8,935.00 | at median | — |
| Upper endoscopy (EGD) with biopsy CPT 43239 HC EDG TRANSORAL BIOPSY SINGLE/MULTIPLE | $3,288.29 | $3,288.29 | — | at median | — |
| Upper endoscopy (EGD) with injection into the lining CPT 43236 HC ESOPHAGOGASTRODUODENOSCOPY SUBMUCOSAL INJECTION | $3,288.29 | $3,288.29 | — | at median | — |
| Upper endoscopy (EGD) with injection into the lining CPT 43236 HC ESOPHAGOGASTRODUODENOSCOPY SUBMUCOSAL INJECTION | $3,288.29 | $3,288.29 | $370.65–$8,935.00 | at median | — |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 HC EDG REMOVAL TUMOR POLYP/OTHER LESION SNARE TECH | $6,601.76 | $6,601.76 | $784.19–$8,935.00 | at median | — |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 HC EDG REMOVAL TUMOR POLYP/OTHER LESION SNARE TECH | $6,601.76 | $6,601.76 | — | at median | — |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 HC EDG INSERT GUIDE WIRE DILATOR PASSAGE ESOPHAGUS | $3,288.29 | $3,288.29 | — | at median | — |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 HC EDG INSERT GUIDE WIRE DILATOR PASSAGE ESOPHAGUS | $3,288.29 | $3,288.29 | $370.65–$8,935.00 | at median | — |
| Upper endoscopy (EGD), diagnostic CPT 43235 HC ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC | $3,288.29 | $3,288.29 | — | at median | — |
| Upper endoscopy (EGD), diagnostic CPT 43235 HC ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC | $3,288.29 | $3,288.29 | $370.65–$8,935.00 | at median | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DBRDMT SUBQ TIS 1ST 20SQCM/< | $345.00 | $345.00 | $76.43–$128.09 | 60% below | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM/< | $1,405.98 | $1,405.98 | — | 63% above | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM/< | $1,405.98 | $1,405.98 | $166.13–$170.28 | 63% above | — |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DBRDMT SUBQ TIS 1ST 20SQCM/< | $345.00 | $345.00 | $76.43–$128.09 | — | — |
| Wrist fracture surgery (plate and screws), distal radius CPT 25607 OPTX DST RD XARTC FX/EPI SEP | $4,365.00 | $4,365.00 | $1,109.14–$1,978.45 | at median | — |
| Wrist fracture surgery (plate and screws), distal radius inpatient CPT 25607 OPTX DST RD XARTC FX/EPI SEP | $4,365.00 | $4,365.00 | $1,109.14–$1,978.45 | — | — |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Connecticut | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 HC TRANSFUSION BLOOD/BLOOD COMPONENTS | $1,200.34 | $1,200.34 | $43.67–$184.80 | at median | — |
| Blood transfusion (giving blood or blood components) CPT 36430 HC TRANSFUSION BLOOD/BLOOD COMPONENTS | $1,200.34 | $1,200.34 | — | at median | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC PRESSURIZED/NONPRESSURIZED INHALATION TREATMENT | $213.53 | $213.53 | — | 1% below | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC PRESSURIZED/NONPRESSURIZED INHALATION TREATMENT | $213.53 | $213.53 | $89.49–$2,308.00 | 1% below | — |
| Chemotherapy IV infusion, first hour CPT 96413 HC CHEMOTX ADMN IV NFS TQ UP 1 HR 1/1ST SBST/DRUG | $1,104.86 | $1,104.86 | — | at median | — |
| Chemotherapy IV infusion, first hour CPT 96413 HC CHEMOTX ADMN IV NFS TQ UP 1 HR 1/1ST SBST/DRUG | $1,104.86 | $1,104.86 | $134.98–$456.37 | at median | — |
| Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE FIRST HOUR | $920.00 | $920.00 | $317.67–$456.46 | 60% below | — |
| Critical care, first 30 to 74 minutes CPT 99291 HC CRITICAL CARE ILL/INJURED PATIENT INIT 30-74 MIN | $5,890.00 | $5,890.00 | $337.57–$5,812.00 | 153% above | — |
| Critical care, first 30 to 74 minutes CPT 99291 HC CRITICAL CARE ILL/INJURED PATIENT INIT 30-74 MIN | $5,890.00 | $5,890.00 | — | 153% above | — |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 CRITICAL CARE FIRST HOUR | $920.00 | $920.00 | $317.67–$456.46 | — | — |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 HC ELECTROENCEPHALOGRAM W/REC AWAKE&DROWSY | $1,448.69 | $1,448.69 | $88.24–$90.45 | 16% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC ECG ROUTINE ECG W/LEAST 12 LDS TRCG ONLY W/O I&R | $232.14 | $232.14 | $24.11–$24.71 | 15% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC ECG ROUTINE ECG W/LEAST 12 LDS TRCG ONLY W/O I&R | $232.14 | $232.14 | — | 15% above | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC EMERGENCY DEPARTMENT VISIT LEVEL 1 - ED | $614.00 | $614.00 | $34.46–$763.00 | 23% above | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC EMERGENCY DEPARTMENT VISIT LEVEL 1 - ED | $614.00 | $614.00 | — | 23% above | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC EMERGENCY DEPARTMENT VISIT LEVEL 2 - ED | $975.00 | $975.00 | $62.75–$763.00 | 15% above | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC EMERGENCY DEPARTMENT VISIT LEVEL 2 - ED | $975.00 | $975.00 | — | 15% above | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC EMERGENCY DEPARTMENT VISIT LEVEL 3 - ED | $2,167.00 | $2,167.00 | $111.56–$4,638.00 | 46% above | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC EMERGENCY DEPARTMENT VISIT LEVEL 3 - URGENT CARE | $2,167.00 | $2,167.00 | — | 46% above | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC EMERGENCY DEPARTMENT VISIT LEVEL 3 - ED | $2,167.00 | $2,167.00 | — | 46% above | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC EMERGENCY DEPARTMENT VISIT LEVEL 3 - URGENT CARE | $2,167.00 | $2,167.00 | $111.56–$4,638.00 | 46% above | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC EMERGENCY DEPARTMENT VISIT LEVEL 4 - ED | $3,483.00 | $3,483.00 | — | 46% above | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC EMERGENCY DEPARTMENT VISIT LEVEL 4 - ED | $3,483.00 | $3,483.00 | $170.52–$4,638.00 | 46% above | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC EMERGENCY DEPARTMENT VISIT LEVEL 5 - ED | $4,646.00 | $4,646.00 | $243.37–$5,030.00 | 22% above | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC EMERGENCY DEPARTMENT VISIT LEVEL 5 - ED | $4,646.00 | $4,646.00 | — | 22% above | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HC CV STRS TST XERS&/OR RX CONT ECG TRCG ONLY | $1,231.88 | $1,231.88 | — | 13% above | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HC CV STRS TST XERS&/OR RX CONT ECG TRCG ONLY | $1,231.88 | $1,231.88 | $88.24–$90.45 | 13% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC IV INFUSION HYDRATION INITIAL 31 MIN-1 HOUR | $671.24 | $671.24 | $86.92–$89.10 | 35% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC IV INFUSION HYDRATION INITIAL 31 MIN-1 HOUR | $671.24 | $671.24 | — | 35% above | — |
| IV infusion of a medicine, first hour CPT 96365 HC IV INFUSION THERAPY/PROPHYLAXIS /DX 1ST TO 1 HR | $671.24 | $671.24 | $86.92–$89.10 | at median | — |
| IV infusion of a medicine, first hour CPT 96365 HC IV INFUSION THERAPY/PROPHYLAXIS /DX 1ST TO 1 HR | $671.24 | $671.24 | — | at median | — |
| IV push of a medicine, first drug CPT 96374 HC THER PROPH/DX NJX IV PUSH SINGLE/1ST SBST/DRUG | $671.24 | $671.24 | — | 15% above | — |
| IV push of a medicine, first drug CPT 96374 HC THER PROPH/DX NJX IV PUSH SINGLE/1ST SBST/DRUG | $671.24 | $671.24 | $86.92–$89.10 | 15% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC THERAPEUTIC PROPHYLACTIC/DX INJECTION SUBQ/IM | $204.77 | $204.77 | $29.42–$30.16 | at median | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC THERAPEUTIC PROPHYLACTIC/DX INJECTION SUBQ/IM | $204.77 | $204.77 | — | at median | — |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCH DIAGNOSTIC EVALUATION | $555.00 | $555.00 | $117.44–$378.01 | 67% above | — |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 PSYCH DIAGNOSTIC EVALUATION | $555.00 | $555.00 | $117.44–$378.01 | — | — |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 HC NERVE CONDUCTION STUDIES 7-8 STUDIES | $1,226.88 | $1,226.88 | $152.50–$156.31 | 1% above | — |
| Neuromuscular re-education, 15 minutes CPT 97112 HC THER PX 1/> AREAS EACH 15 MIN NEUROMUSC REEDUCA | $142.56 | $142.56 | $159.00–$233.00 | 7% above | — |
| Neuromuscular re-education, 15 minutes CPT 97112 HC THER PX 1/> AREAS EACH 15 MIN NEUROMUSC REEDUCA | $142.56 | $142.56 | $34.35 | 7% above | — |
| New patient office visit, about 30 minutes CPT 99203 OFFICE O/P NEW LOW 30 MIN | $205.00 | $205.00 | $109.12–$144.56 | at median | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 OFFICE O/P NEW LOW 30 MIN | $205.00 | $205.00 | $109.12–$144.56 | — | — |
| New patient office visit, about 45 minutes CPT 99204 OFFICE O/P NEW MOD 45 MIN | $335.00 | $335.00 | $186.61–$241.50 | at median | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 OFFICE O/P NEW MOD 45 MIN | $335.00 | $335.00 | $186.61–$241.50 | — | — |
| New patient office visit, about 60 minutes CPT 99205 OFFICE O/P NEW HI 60 MIN | $455.00 | $455.00 | $242.88–$314.11 | at median | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 OFFICE O/P NEW HI 60 MIN | $455.00 | $455.00 | $242.88–$314.11 | — | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE O/P NEW SF 15 MIN | $120.00 | $120.00 | $72.98–$95.81 | at median | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OFFICE O/P NEW SF 15 MIN | $120.00 | $120.00 | $72.98–$95.81 | — | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC MEDICAL NUTRITION ASSMT&IVNTJ INDIV EACH 15 MI | $65.98 | $65.98 | — | 10% below | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC MEDICAL NUTRITION ASSMT&IVNTJ INDIV EACH 15 MI | $65.98 | $65.98 | $27.45 | 10% below | — |
| Occupational therapy evaluation, low complexity CPT 97165 HC OT EVAL LOW COMPLEX 30 MIN | $398.52 | $398.52 | $105.39 | 2% above | — |
| Occupational therapy evaluation, low complexity CPT 97165 HC OT EVAL LOW COMPLEX 30 MIN | $398.52 | $398.52 | $159.00–$233.00 | 2% above | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC PT EVAL HIGH COMPLEX 45 MIN | $412.56 | $412.56 | $159.00–$233.00 | at median | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC PT EVAL HIGH COMPLEX 45 MIN | $412.56 | $412.56 | $102.51 | at median | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC PT EVAL LOW COMPLEX 20 MIN | $412.56 | $412.56 | $102.51 | 4% above | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC PT EVAL LOW COMPLEX 20 MIN | $412.56 | $412.56 | $159.00–$233.00 | 4% above | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC PT EVAL MOD COMPLEX 30 MIN | $412.56 | $412.56 | $102.51 | 3% above | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC PT EVAL MOD COMPLEX 30 MIN | $412.56 | $412.56 | $159.00–$233.00 | 3% above | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC THERAPEUTIC PX 1/> AREAS EACH 15 MIN EXERCISES | $123.12 | $123.12 | $159.00–$233.00 | at median | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC THERAPEUTIC PX 1/> AREAS EACH 15 MIN EXERCISES | $123.12 | $123.12 | $30.48 | at median | — |
| Psychiatric evaluation with medical services CPT 90792 PSYCH DIAG EVAL W/MED SRVCS | $640.00 | $640.00 | $121.19–$435.39 | 87% above | — |
| Psychiatric evaluation with medical services inpatient CPT 90792 PSYCH DIAG EVAL W/MED SRVCS | $640.00 | $640.00 | $121.19–$435.39 | — | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFFICE O/P EST HI 40 MIN | $360.00 | $360.00 | $159.30–$222.47 | 2% above | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 OFFICE O/P EST HI 40 MIN | $360.00 | $360.00 | $159.30–$222.47 | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE O/P EST SF 10 MIN | $90.00 | $90.00 | $37.23–$54.44 | 10% below | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OFFICE O/P EST SF 10 MIN | $90.00 | $90.00 | $37.23–$54.44 | — | — |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 OFF/OP CNSLTJ NEW/EST LOW 30 | $370.00 | $370.00 | $135.42–$206.85 | at median | — |
| Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 OFF/OP CNSLTJ NEW/EST LOW 30 | $370.00 | $370.00 | $135.42–$206.85 | — | — |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 OFF/OP CNSLTJ NEW/EST MOD 40 | $500.00 | $500.00 | $206.37–$327.29 | at median | — |
| Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 OFF/OP CNSLTJ NEW/EST MOD 40 | $500.00 | $500.00 | $206.37–$327.29 | — | — |
| Speech and language evaluation CPT 92523 HC EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION | $948.24 | $948.24 | $236.63 | 39% above | — |
| Speech and language evaluation CPT 92523 HC EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION | $948.24 | $948.24 | $101.25–$233.00 | 39% above | — |
| Speech therapy session, individual CPT 92507 HC TX SPEECH LANG VOICE COMMJ &/AUDITORY PROC IND | $314.28 | $314.28 | $101.25–$233.00 | 42% above | — |
| Speech therapy session, individual CPT 92507 HC TX SPEECH LANG VOICE COMMJ &/AUDITORY PROC IND | $314.28 | $314.28 | $79.59 | 42% above | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN | $160.92 | $160.92 | $36.98 | 32% above | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN | $160.92 | $160.92 | $159.00–$233.00 | 32% above | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC PHLEBOTOMY THERAPEUTIC SEPARATE PROCEDURE | $185.85 | $185.85 | $54.37–$55.73 | 29% below | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC PHLEBOTOMY THERAPEUTIC SEPARATE PROCEDURE | $185.85 | $185.85 | — | 29% below | — |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Connecticut | Off list |
|---|---|---|---|---|---|
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 INFLUENZA VAC A&B SURF ANT ADJ 0.5 ML IM SUSY | $117.90 | $117.90 | $71.04–$168.30 | at median | — |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPHTH-ACELL PERTUSSIS-TETANUS 25-58-10 LF-MCG/0.5 IM SUSP | $87.93 | $87.93 | $37.45–$61.12 | 42% above | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 DRUGS REQUIRE SPECIFIC ID: DRUGS REQUIRING DETAIL CODING | $66.00 | $66.00 | $23.59–$39.81 | 7% above | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUENZA VIRUS VACC SPLIT PF 0.5 ML IM SUSY | $75.23 | $75.23 | $23.59–$39.81 | 22% above | — |
| Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VACCINE 1440 EL U/ML IM SUSP | $127.34 | $127.34 | $87.76–$126.08 | 1% below | — |
| Hepatitis A vaccine, adult dose CPT 90632 HEPA VACCINE ADULT IM | $185.00 | $185.00 | $73.79–$91.08 | 43% above | — |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPA VACCINE ADULT IM | $185.00 | $185.00 | $73.79–$91.08 | — | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VAC RECOMBINANT 10 MCG/0.5ML IJ SUSY | $87.35 | $87.35 | $91.39–$128.84 | 18% below | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VAC RECOMBINANT 20 MCG/ML IJ SUSP/SUSY WRAPPER | $106.79 | $106.79 | $91.39–$128.84 | at median | — |
| Japanese encephalitis vaccine (Ixiaro), 2-dose schedule CPT 90738 JAPANESE ENCEPHALITIS VAC INAC IM SUSP | $647.45 | $647.45 | $373.45–$505.91 | at median | — |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES, MUMPS & RUBELLA VAC IJ SOLR | $135.33 | $135.33 | $120.48–$193.28 | 30% below | — |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOCCAL A C Y&W-135 OLIG IM SOLR | $166.12 | $166.12 | $211.04–$349.64 | 1% below | — |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL B RECOMB OMV ADJ IM SUSY | $453.40 | $453.40 | $300.12–$497.34 | at median | — |
| Pneumonia vaccine, 21-valent conjugate (Capvaxive) CPT 90684 PNEUMOCOCCAL 21-VAL CONJ VACC 0.5 ML IM SOSY | $486.54 | $486.54 | $382.34–$590.22 | at median | — |
| Polio vaccine, inactivated (IPV) CPT 90713 POLIOVIRUS VACCINE INACTIVATED IJ INJ | $133.12 | $133.12 | $60.51–$94.41 | at median | — |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE, PCEC IM SUSR | $404.41 | $404.41 | $127.90–$550.04 | 8% below | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS-DIPHTHERIA TOXOIDS TD 5-2 LFU IM INJ | $126.33 | $126.33 | $46.50–$66.81 | at median | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2-15.5 LF-MCG/0.5 IM SUSP | $147.07 | $147.07 | $47.36–$68.05 | 9% above | — |
| Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 TYPHOID VI POLYSACCHARIDE VACC 25 MCG/0.5ML IM SOSY | $309.62 | $309.62 | $147.59–$277.06 | at median | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC IMADM PRQ ID SUBQ/IM NJXS 1 VACCINE - GENERAL VACCINE | $84.86 | $84.86 | — | 3% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC IMADM PRQ ID SUBQ/IM NJXS 1 VACCINE - GENERAL VACCINE | $84.86 | $84.86 | $29.42–$30.16 | 3% above | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC IMADM PRQ ID SUBQ/IM NJXS EA VACCINE - GENERAL VACCINE | $21.00 | $21.00 | — | 7% below | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC IMADM PRQ ID SUBQ/IM NJXS EA VACCINE - GENERAL VACCINE | $21.00 | $21.00 | $17.03 | 7% below | — |
| Yellow fever vaccine, live CPT 90717 YELLOW FEVER VACCINE SC INJ | $207.67 | $207.67 | $324.41–$507.54 | at median | — |
Source file: https://hartfordhealthcare.org/file%20library/price%20data/060646715_midstate_medical_center_standardcharges.csv