SelfPayRates
Hospital San Francisco-Oakland-Fremont, CA

St. Rose Hospital

Listed in its price file as “Hayward Sisters Hospital”.

St. Rose Hospital in Hayward, CA publishes cash prices for 269 common procedures listed here, from its own machine-readable price file updated Feb 23, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the California median for 248 of 266 procedures and above it for 18. By typical cash price it ranks #37 of 226 California hospitals and #1 of 26 hospitals in the San Francisco, CA area, cheapest first. Select a procedure to compare it with other hospitals nearby.

27200 Calaroga Ave Hayward Ca 94545 Collected Sep 22, 2026 Source price file Check a bill from this hospital (510) 782-6200

Acute care hospital Nonprofit hospital No emergency department CMS star rating 1 of 5 CCN 050002 · CMS hospital register NPI 1942298153

Financial assistance

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

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

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

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

State law

This state limits hospital bills for lower-income patients

California law (Health and Safety Code §127405): if you are uninsured or have high medical costs and your family income is at or below 400% of the federal poverty level, a hospital may not expect you to pay more than it would expect from Medicare or Medi-Cal, whichever is greater. That can be less than the cash prices below; ask the hospital for its discount payment policy. A separate physician fee may still apply. Other states' laws.

Scans and imaging

ProcedureCash priceList priceInsurers payvs CaliforniaOff list
Abdominal CT scan without and with contrast CPT 74170 CT PANCREAS 3-PHASE $2,204.69 $7,348.95 $251.11–$6,246.61 22% below 70%
Abdominal CT scan without and with contrast CPT 74170 CTABDOMENWITHW/OCONTRAST $2,204.69 $7,348.95 $251.11–$6,246.61 22% below 70%
Abdominal CT scan without and with contrast inpatient CPT 74170 CTABDOMENWITHW/OCONTRAST $2,204.69 $7,348.95 $5,144.27–$5,658.69 — 70%
Abdominal CT scan without and with contrast inpatient CPT 74170 CT PANCREAS 3-PHASE $2,204.69 $7,348.95 $5,144.27–$5,658.69 — 70%
Abdominal X-ray, 2 views CPT 74019 XR ABDOMEN MIN 2V $187.01 $623.38 $27.92–$529.87 57% below 70%
Abdominal X-ray, 2 views inpatient CPT 74019 XR ABDOMEN MIN 2V $187.01 $623.38 $436.37–$480.00 — 70%
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE LT STRESS VIEW $96.18 $320.59 $29.31–$272.50 81% below 70%
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE RT STRESS VIEW $96.18 $320.59 $29.31–$272.50 81% below 70%
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE LT MIN 3V $96.18 $320.59 $29.31–$272.50 81% below 70%
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE RT MIN 3V $96.18 $320.59 $29.31–$272.50 81% below 70%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR ANKLE LT STRESS VIEW $96.18 $320.59 $224.41–$246.85 — 70%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR ANKLE RT STRESS VIEW $96.18 $320.59 $224.41–$246.85 — 70%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR ANKLE LT MIN 3V $96.18 $320.59 $224.41–$246.85 — 70%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR ANKLE RT MIN 3V $96.18 $320.59 $224.41–$246.85 — 70%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 VL ARTERIAL PHYS UE SINGLE $926.95 $3,089.84 $99.23–$2,626.36 66% above 70%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 VL ARTERIAL PHYS UE SINGLE $926.95 $3,089.84 $2,162.89–$2,379.18 — 70%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT HAND RT WO CON $1,146.92 $3,823.05 $168.69–$3,249.59 50% below 70%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT FOREARM RT WO CON $1,146.92 $3,823.05 $168.69–$3,249.59 50% below 70%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UPPER EXTREMITY LT WO CON $1,146.92 $3,823.05 $168.69–$3,249.59 50% below 70%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT WRIST LT WO CON $1,146.92 $3,823.05 $168.69–$3,249.59 50% below 70%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT ELBOW RT W/O CONTRAST $1,146.92 $3,823.05 $168.69–$3,249.59 50% below 70%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT HUMERUS RIGHT WO CON $1,146.92 $3,823.05 $168.69–$3,249.59 50% below 70%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT HUMERUS LT WO CON $1,146.92 $3,823.05 $168.69–$3,249.59 50% below 70%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT SHOULDER RT WO CON $1,146.92 $3,823.05 $168.69–$3,249.59 50% below 70%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT SHOULDER LT WO CON $1,146.92 $3,823.05 $168.69–$3,249.59 50% below 70%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UE RT WO CON $1,146.92 $3,823.05 $168.69–$3,249.59 50% below 70%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT FOREARM LT WO CON $1,146.92 $3,823.05 $168.69–$3,249.59 50% below 70%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT HAND LT WO CON $1,146.92 $3,823.05 $168.69–$3,249.59 50% below 70%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT ELBOW LT WO CON $1,146.92 $3,823.05 $168.69–$3,249.59 50% below 70%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT WRIST RT WO CON $1,146.92 $3,823.05 $168.69–$3,249.59 50% below 70%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT UPPER EXTREMITY LT WO CON $1,146.92 $3,823.05 $2,676.14–$2,943.75 — 70%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT FOREARM RT WO CON $1,146.92 $3,823.05 $2,676.14–$2,943.75 — 70%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT HAND RT WO CON $1,146.92 $3,823.05 $2,676.14–$2,943.75 — 70%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT WRIST RT WO CON $1,146.92 $3,823.05 $2,676.14–$2,943.75 — 70%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT ELBOW LT WO CON $1,146.92 $3,823.05 $2,676.14–$2,943.75 — 70%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT FOREARM LT WO CON $1,146.92 $3,823.05 $2,676.14–$2,943.75 — 70%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT UE RT WO CON $1,146.92 $3,823.05 $2,676.14–$2,943.75 — 70%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT HUMERUS LT WO CON $1,146.92 $3,823.05 $2,676.14–$2,943.75 — 70%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT SHOULDER LT WO CON $1,146.92 $3,823.05 $2,676.14–$2,943.75 — 70%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT HUMERUS RIGHT WO CON $1,146.92 $3,823.05 $2,676.14–$2,943.75 — 70%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT ELBOW RT W/O CONTRAST $1,146.92 $3,823.05 $2,676.14–$2,943.75 — 70%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT SHOULDER RT WO CON $1,146.92 $3,823.05 $2,676.14–$2,943.75 — 70%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT HAND LT WO CON $1,146.92 $3,823.05 $2,676.14–$2,943.75 — 70%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT WRIST LT WO CON $1,146.92 $3,823.05 $2,676.14–$2,943.75 — 70%
Barium swallow (esophagus X-ray with contrast) CPT 74220 FL ESOPHAGUS STUDY $397.85 $1,326.15 $84.87–$1,127.23 34% below 70%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 FL ESOPHAGUS STUDY $397.85 $1,326.15 $928.31–$1,021.14 — 70%
Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE SCAN WHOLE BODY $1,441.13 $4,803.75 $274.16–$4,083.19 32% below 70%
Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE/JOINT MULTIPLE $1,441.13 $4,803.75 $274.16–$4,083.19 32% below 70%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM BONE SCAN WHOLE BODY $1,441.13 $4,803.75 $3,362.63–$3,698.89 — 70%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM BONE/JOINT MULTIPLE $1,441.13 $4,803.75 $3,362.63–$3,698.89 — 70%
Breast ultrasound, complete, one breast one side CPT 76641 USUNIBREASTCOMPLETERT $204.74 $682.45 $93.20–$580.08 71% below 70%
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST RT COMPLETE $204.74 $682.45 $93.20–$580.08 71% below 70%
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST LT COMPLETE $204.74 $682.45 $93.20–$580.08 71% below 70%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 USUNIBREASTCOMPLETERT $204.74 $682.45 $477.72–$525.49 — 70%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST LT COMPLETE $204.74 $682.45 $477.72–$525.49 — 70%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST RT COMPLETE $204.74 $682.45 $477.72–$525.49 — 70%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST LT LIMITED $204.74 $682.45 $70.98–$580.08 62% below 70%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 USUNIBREASTLIMITEDRT $204.74 $682.45 $70.98–$580.08 62% below 70%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 USUNIBREASTLIMITEDRT $204.74 $682.45 $477.72–$525.49 — 70%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST LT LIMITED $204.74 $682.45 $477.72–$525.49 — 70%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTANGIOABDPELVWO O RWCONTR WRE $1,806.53 $6,021.75 $364.23–$5,118.49 67% below 70%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CT ANGIO ABDPELV WO/W DISSECT $1,806.53 $6,021.75 $364.23–$5,118.49 67% below 70%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CTANGIOABDPELVWO O RWCONTR WRE $1,806.53 $6,021.75 $4,215.23–$4,636.75 — 70%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CT ANGIO ABDPELV WO/W DISSECT $1,806.53 $6,021.75 $4,215.23–$4,636.75 — 70%
CT angiography (CTA) of the head CPT 70496 CT ANGIO HEAD $1,594.53 $5,315.10 $267.92–$4,517.84 47% below 70%
CT angiography (CTA) of the head inpatient CPT 70496 CT ANGIO HEAD $1,594.53 $5,315.10 $3,720.57–$4,092.63 — 70%
CT angiography (CTA) of the neck CPT 70498 CT ANGIO NECK $1,594.53 $5,315.10 $266.99–$4,517.84 46% below 70%
CT angiography (CTA) of the neck inpatient CPT 70498 CT ANGIO NECK $1,594.53 $5,315.10 $3,720.57–$4,092.63 — 70%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTPULMONARY(CHEST)ANGIOGRAM $2,360.93 $7,869.75 $272.55–$6,689.29 31% below 70%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTPULMONARY(CHEST)ANGIOGRAM $2,360.93 $7,869.75 $5,508.83–$6,059.71 — 70%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CTANGIOGRAPHYHEARTBYPASSW/CONT $3,564.23 $11,880.75 $332.20–$10,098.64 32% above 70%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CTANGIOGRAPHYHEARTBYPASSW/CONT $3,564.23 $11,880.75 $8,316.53–$9,148.18 — 70%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT HEART CALCIUM SCORE $96.18 $320.59 $58.10–$750.00 74% below 70%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT HEART CALCIUM SCORE $96.18 $320.59 $224.41–$246.85 — 70%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CTABDOMEN PELVISWOCONTRAST $1,671.39 $5,571.30 $147.85–$4,735.61 48% below 70%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABDOMEN PELVIS W/OUT CONT. $1,671.39 $5,571.30 $147.85–$4,735.61 48% below 70%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CTABDOMEN PELVISWOCONTRAST $1,671.39 $5,571.30 $3,899.91–$4,289.90 — 70%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABDOMEN PELVIS W/OUT CONT. $1,671.39 $5,571.30 $3,899.91–$4,289.90 — 70%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CTABDOMEN PELVISWCONTRAST $1,849.05 $6,163.50 $287.70–$5,238.97 55% below 70%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CTABD PELW/IVCONTONLY $1,849.05 $6,163.50 $287.70–$5,238.97 55% below 70%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CTABD PELW/IVCONTONLY $1,849.05 $6,163.50 $4,314.45–$4,745.90 — 70%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CTABDOMEN PELVISWCONTRAST $1,849.05 $6,163.50 $4,314.45–$4,745.90 — 70%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CTABDOMEN PELVISWO/WCONTRAST $3,207.02 $10,690.05 $329.96–$9,086.54 32% below 70%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CTABDOMEN PELVISWO/WCONTRAST $3,207.02 $10,690.05 $7,483.04–$8,231.34 — 70%
CT scan of the abdomen with contrast CPT 74160 CTABDW/IVCONTRASTONLY $1,201.41 $4,004.70 $218.23–$3,403.99 52% below 70%
CT scan of the abdomen with contrast CPT 74160 CTABDOMENWITHCONTRAST $1,201.41 $4,004.70 $218.23–$3,403.99 52% below 70%
CT scan of the abdomen with contrast inpatient CPT 74160 CTABDW/IVCONTRASTONLY $1,201.41 $4,004.70 $2,803.29–$3,083.62 — 70%
CT scan of the abdomen with contrast inpatient CPT 74160 CTABDOMENWITHCONTRAST $1,201.41 $4,004.70 $2,803.29–$3,083.62 — 70%
CT scan of the abdomen without contrast CPT 74150 CTABDOMENW/OCONTRAST $1,161.72 $3,872.40 $117.29–$3,291.54 39% below 70%
CT scan of the abdomen without contrast CPT 74150 CTABDW/ORALCONTONLY $1,161.72 $3,872.40 $117.29–$3,291.54 39% below 70%
CT scan of the abdomen without contrast inpatient CPT 74150 CTABDOMENW/OCONTRAST $1,161.72 $3,872.40 $2,710.68–$2,981.75 — 70%
CT scan of the abdomen without contrast inpatient CPT 74150 CTABDW/ORALCONTONLY $1,161.72 $3,872.40 $2,710.68–$2,981.75 — 70%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT SINUS W/OUT CONTRAST $1,185.98 $3,953.25 $125.62–$3,360.26 46% below 70%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT FACIAL BONES W/OUT CONTRAST $1,185.98 $3,953.25 $125.62–$3,360.26 46% below 70%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT SINUS W/OUT CONTRAST $1,185.98 $3,953.25 $2,767.28–$3,044.00 — 70%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT FACIAL BONES W/OUT CONTRAST $1,185.98 $3,953.25 $2,767.28–$3,044.00 — 70%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD/ BRAIN W/O CONTRAST $1,197.00 $3,990.00 $95.52–$3,391.50 48% below 70%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD/ BRAIN W/O CONTRAST $1,197.00 $3,990.00 $2,793.00–$3,072.30 — 70%
CT scan of the head with contrast CPT 70460 CTHEADW/CONTRAST $1,269.77 $4,232.55 $138.59–$3,597.67 53% below 70%
CT scan of the head with contrast inpatient CPT 70460 CTHEADW/CONTRAST $1,269.77 $4,232.55 $2,962.79–$3,259.06 — 70%
CT scan of the head without and with contrast CPT 70470 CTHEADWITH/WITHOUTCONTRAST $1,557.05 $5,190.15 $166.84–$4,411.63 50% below 70%
CT scan of the head without and with contrast inpatient CPT 70470 CTHEADWITH/WITHOUTCONTRAST $1,557.05 $5,190.15 $3,633.10–$3,996.42 — 70%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CTLUMBARSPINEW/OCONTRAST $1,299.69 $4,332.30 $169.15–$3,682.45 55% below 70%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CTLUMBARSPINEW/OCONTRAST $1,299.69 $4,332.30 $3,032.61–$3,335.87 — 70%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CTCERVICALSPINEW/OCONTRAST $1,374.98 $4,583.25 $171.00–$3,895.76 53% below 70%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CTCERVICALSPINEW/OCONTRAST $1,374.98 $4,583.25 $3,208.28–$3,529.10 — 70%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W CONTRAST $1,236.38 $4,121.25 $218.70–$3,503.06 51% below 70%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W IV ORAL CONTRAST $1,236.38 $4,121.25 $218.70–$3,503.06 51% below 70%
CT scan of the pelvis, with contrast dye CPT 72193 CT CYSTOGRAM $1,236.38 $4,121.25 $218.70–$3,503.06 51% below 70%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT CYSTOGRAM $1,236.38 $4,121.25 $2,884.88–$3,173.36 — 70%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W IV ORAL CONTRAST $1,236.38 $4,121.25 $2,884.88–$3,173.36 — 70%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W CONTRAST $1,236.38 $4,121.25 $2,884.88–$3,173.36 — 70%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 VL CAROTID DUPLEX BI $953.19 $3,177.30 $192.98–$2,700.70 — 70%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 VL CAROTID DUPLEX BI $953.19 $3,177.30 $2,224.11–$2,446.52 — 70%
Chest CT scan without and with contrast CPT 71270 CTCHESTANEURYSMORDISSECTION $1,746.05 $5,820.15 $216.85–$4,947.13 47% below 70%
Chest CT scan without and with contrast inpatient CPT 71270 CTCHESTANEURYSMORDISSECTION $1,746.05 $5,820.15 $4,074.10–$4,481.52 — 70%
Chest X-ray, 2 views CPT 71046 XR Chest Xray 2 Views $97.82 $326.08 $25.14–$277.17 76% below 70%
Chest X-ray, 2 views inpatient CPT 71046 XR Chest Xray 2 Views $97.82 $326.08 $228.26–$251.08 — 70%
Chest X-ray, single view CPT 71045 XR CHEST 1V PORTABLE $97.82 $326.08 $13.57–$277.17 73% below 70%
Chest X-ray, single view CPT 71045 XRCHESTSINGLEVIEW $97.82 $326.08 $13.57–$277.17 73% below 70%
Chest X-ray, single view CPT 71045 XR CHEST 1V $97.82 $326.08 $13.57–$277.17 73% below 70%
Chest X-ray, single view inpatient CPT 71045 XRCHESTSINGLEVIEW $97.82 $326.08 $228.26–$251.08 — 70%
Chest X-ray, single view inpatient CPT 71045 XR CHEST 1V PORTABLE $97.82 $326.08 $228.26–$251.08 — 70%
Chest X-ray, single view inpatient CPT 71045 XR CHEST 1V $97.82 $326.08 $228.26–$251.08 — 70%
Collarbone (clavicle) X-ray, complete one side CPT 73000 XR CLAVICLE RT $230.27 $767.55 $25.14–$652.42 52% below 70%
Collarbone (clavicle) X-ray, complete one side CPT 73000 XR CLAVICLE LT $230.27 $767.55 $25.14–$652.42 52% below 70%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XR CLAVICLE LT $230.27 $767.55 $537.28–$591.01 — 70%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XR CLAVICLE RT $230.27 $767.55 $537.28–$591.01 — 70%
Complete ultrasound of the back of the abdomen, such as both kidneys both sides CPT 76770 US RENAL BI $482.58 $1,608.60 $100.61–$1,367.31 — 70%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEAL COMP $482.58 $1,608.60 $100.61–$1,367.31 43% below 70%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US AORTA ONLY $482.58 $1,608.60 $100.61–$1,367.31 43% below 70%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient both sides CPT 76770 US RENAL BI $482.58 $1,608.60 $1,126.02–$1,238.62 — 70%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US AORTA ONLY $482.58 $1,608.60 $1,126.02–$1,238.62 — 70%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RETROPERITONEAL COMP $482.58 $1,608.60 $1,126.02–$1,238.62 — 70%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST W/OUT CONTRAST $1,548.54 $5,161.80 $136.28–$4,387.53 24% below 70%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT LUNG $1,548.54 $5,161.80 $136.28–$4,387.53 24% below 70%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT LUNG $1,548.54 $5,161.80 $3,613.26–$3,974.59 — 70%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST W/OUT CONTRAST $1,548.54 $5,161.80 $3,613.26–$3,974.59 — 70%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST WITH CON $1,660.05 $5,533.50 $175.17–$4,703.47 42% below 70%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST WITH CON $1,660.05 $5,533.50 $3,873.45–$4,260.80 — 70%
Diagnostic mammogram, both breasts both sides CPT 77066 MM DIGITAL DIAG BILATERAL $158.66 $528.88 $145.11–$449.55 — 70%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MM DIGITAL DIAG BILATERAL $158.66 $528.88 $370.22–$407.24 — 70%
Diagnostic mammogram, one breast one side CPT 77065 MM DIGITAL DIAG UNILATERAL $125.30 $417.65 $113.28–$355.00 67% below 70%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MM DIGITAL DIAG UNILATERAL $125.30 $417.65 $292.36–$321.59 — 70%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 VL ARTERIAL DUPLEX LE BI $1,939.24 $6,464.12 $192.72–$5,494.50 — 70%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 VL ARTERIAL DUPLEX LE BI $1,939.24 $6,464.12 $4,524.88–$4,977.37 — 70%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 VL VENOUS DUPLEX LE BI $2,053.83 $6,846.10 $192.98–$5,819.19 — 70%
Duplex ultrasound of the leg veins, both legs CPT 93970 VL SAPHENOUS VEIN BL $259.35 $864.50 $192.98–$734.82 78% below 70%
Duplex ultrasound of the leg veins, both legs CPT 93970 VLPREOPVEINMAPPINGUP/LOWBILAT $594.09 $1,980.30 $192.98–$1,683.25 50% below 70%
Duplex ultrasound of the leg veins, both legs CPT 93970 VLVENOUSDUPLEXBILATERALU.E. $2,053.83 $6,846.10 $192.98–$5,819.19 73% above 70%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 VL VENOUS DUPLEX LE BI $2,053.83 $6,846.10 $4,792.27–$5,271.50 — 70%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 VL SAPHENOUS VEIN BL $259.35 $864.50 $605.15–$665.66 — 70%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 VLPREOPVEINMAPPINGUP/LOWBILAT $594.09 $1,980.30 $1,386.21–$1,524.83 — 70%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 VLVENOUSDUPLEXBILATERALU.E. $2,053.83 $6,846.10 $4,792.27–$5,271.50 — 70%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 CA COLOR FLOW DOPPLER $583.90 $1,946.33 $178.08–$1,654.38 78% below 70%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 CA ECHO COMPLETE $1,319.22 $4,397.40 $178.08–$3,737.79 51% below 70%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHOCARDIOGRAM COMPLETE $1,319.22 $4,397.40 $178.08–$3,737.79 51% below 70%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 CA COLOR FLOW DOPPLER $583.90 $1,946.33 $1,362.43–$1,498.67 — 70%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 CA ECHO COMPLETE $1,319.22 $4,397.40 $3,078.18–$3,386.00 — 70%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 ECHOCARDIOGRAM COMPLETE $1,319.22 $4,397.40 $3,078.18–$3,386.00 — 70%
Elbow X-ray, 2 views one side CPT 73070 XR ELBOW RT 2V $159.08 $530.25 $24.67–$450.71 60% below 70%
Elbow X-ray, 2 views one side CPT 73070 XR ELBOW LT 2V $159.08 $530.25 $24.67–$450.71 60% below 70%
Elbow X-ray, 2 views inpatient one side CPT 73070 XR ELBOW LT 2V $159.08 $530.25 $371.18–$408.29 — 70%
Elbow X-ray, 2 views inpatient one side CPT 73070 XR ELBOW RT 2V $159.08 $530.25 $371.18–$408.29 — 70%
Elbow X-ray, complete, 3 or more views one side CPT 73080 XR ELBOW RT MIN 3V $280.98 $936.60 $29.31–$796.11 42% below 70%
Elbow X-ray, complete, 3 or more views one side CPT 73080 XR ELBOW LT MIN 3V $280.98 $936.60 $29.31–$796.11 42% below 70%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XR ELBOW RT MIN 3V $280.98 $936.60 $655.62–$721.18 — 70%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XR ELBOW LT MIN 3V $280.98 $936.60 $655.62–$721.18 — 70%
Eye socket (orbit) CT scan without contrast both sides CPT 70480 CT ORBIT BI W/O CONTRAST $975.87 $3,252.90 $220.55–$2,764.97 — 70%
Eye socket (orbit) CT scan without contrast CPT 70480 CT CELLA TURCICA $975.87 $3,252.90 $220.55–$2,764.97 57% below 70%
Eye socket (orbit) CT scan without contrast CPT 70480 CT POSTERIO FOSS WO CON $975.87 $3,252.90 $220.55–$2,764.97 57% below 70%
Eye socket (orbit) CT scan without contrast CPT 70480 CT INTERNAL AUDITORY CANALS $975.87 $3,252.90 $220.55–$2,764.97 57% below 70%
Eye socket (orbit) CT scan without contrast inpatient both sides CPT 70480 CT ORBIT BI W/O CONTRAST $975.87 $3,252.90 $2,277.03–$2,504.73 — 70%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT INTERNAL AUDITORY CANALS $975.87 $3,252.90 $2,277.03–$2,504.73 — 70%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT POSTERIO FOSS WO CON $975.87 $3,252.90 $2,277.03–$2,504.73 — 70%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT CELLA TURCICA $975.87 $3,252.90 $2,277.03–$2,504.73 — 70%
Facial bones X-ray, complete, 3 or more views CPT 70150 XR FACIAL BONES MIN 3 $412.97 $1,376.55 $36.25–$1,170.07 16% below 70%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 XR FACIAL BONES MIN 3 $412.97 $1,376.55 $963.58–$1,059.94 — 70%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR FOREARM RT 2V $253.26 $844.20 $22.36–$717.57 41% below 70%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR FOREARM LT 2V $253.26 $844.20 $22.36–$717.57 41% below 70%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XR FOREARM RT 2V $253.26 $844.20 $590.94–$650.03 — 70%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XR FOREARM LT 2V $253.26 $844.20 $590.94–$650.03 — 70%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM HEPATOBILIARY W/O PHARM $843.89 $2,812.95 $371.87–$2,391.01 53% below 70%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM HIDA SCAN $843.89 $2,812.95 $371.87–$2,391.01 53% below 70%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NM HIDA SCAN $843.89 $2,812.95 $1,969.06–$2,165.97 — 70%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NM HEPATOBILIARY W/O PHARM $843.89 $2,812.95 $1,969.06–$2,165.97 — 70%
Hand X-ray, 2 views one side CPT 73120 XR HAND LT 2V $142.38 $474.60 $25.60–$403.41 65% below 70%
Hand X-ray, 2 views one side CPT 73120 XR HAND RT 2V $285.08 $950.25 $25.60–$807.71 30% below 70%
Hand X-ray, 2 views one side CPT 73120 XR HAND LT MIN 3V $285.08 $950.25 $25.60–$807.71 30% below 70%
Hand X-ray, 2 views inpatient one side CPT 73120 XR HAND LT 2V $142.38 $474.60 $332.22–$365.44 — 70%
Hand X-ray, 2 views inpatient one side CPT 73120 XR HAND LT MIN 3V $285.08 $950.25 $665.18–$731.69 — 70%
Hand X-ray, 2 views inpatient one side CPT 73120 XR HAND RT 2V $285.08 $950.25 $665.18–$731.69 — 70%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR CALCANEIUS LT MN 2V $198.77 $662.55 $24.67–$563.17 44% below 70%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR CALCANEUS RT MIN 2V $198.77 $662.55 $24.67–$563.17 44% below 70%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 XR CALCANEIUS LT MN 2V $198.77 $662.55 $463.78–$510.16 — 70%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 XR CALCANEUS RT MIN 2V $198.77 $662.55 $463.78–$510.16 — 70%
Knee X-ray, 3 views one side CPT 73562 XR KNEE LT 3V $266.18 $887.25 $33.93–$754.16 42% below 70%
Knee X-ray, 3 views one side CPT 73562 XR KNEE RT 3V $266.18 $887.25 $33.93–$754.16 42% below 70%
Knee X-ray, 3 views inpatient one side CPT 73562 XR KNEE LT 3V $266.18 $887.25 $621.08–$683.18 — 70%
Knee X-ray, 3 views inpatient one side CPT 73562 XR KNEE RT 3V $266.18 $887.25 $621.08–$683.18 — 70%
Knee X-ray, complete, 4 or more views one side CPT 73564 XR KNEE RT COMPLETE 4V $315.00 $1,050.00 $36.72–$892.50 46% below 70%
Knee X-ray, complete, 4 or more views one side CPT 73564 XR KNEE LT COMPLETE 4V $315.00 $1,050.00 $36.72–$892.50 46% below 70%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XR KNEE RT COMPLETE 4V $315.00 $1,050.00 $735.00–$808.50 — 70%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XR KNEE LT COMPLETE 4V $315.00 $1,050.00 $735.00–$808.50 — 70%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT ANKLE LT W/O CONTRAST $1,125.18 $3,750.60 $169.15–$3,188.01 47% below 70%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT KNEE LT WO CON $1,125.18 $3,750.60 $169.15–$3,188.01 47% below 70%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT HIP LT WO CON $1,125.18 $3,750.60 $169.15–$3,188.01 47% below 70%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT FEMUR LT WO CON $1,125.18 $3,750.60 $169.15–$3,188.01 47% below 70%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT FOOT LT WO CON $1,125.18 $3,750.60 $169.15–$3,188.01 47% below 70%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT HIP RT WO CON $1,125.18 $3,750.60 $169.15–$3,188.01 47% below 70%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT KNEE RT WO CON $1,125.18 $3,750.60 $169.15–$3,188.01 47% below 70%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LE RT WO CON $1,125.18 $3,750.60 $169.15–$3,188.01 47% below 70%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT ANKLE RT WO CON $1,125.18 $3,750.60 $169.15–$3,188.01 47% below 70%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT FEMUR RT WO CON $1,125.18 $3,750.60 $169.15–$3,188.01 47% below 70%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT FOOT RT WO CON $1,125.18 $3,750.60 $169.15–$3,188.01 47% below 70%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CE LE LT WO CON $1,125.18 $3,750.60 $169.15–$3,188.01 47% below 70%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT FEMUR LT WO CON $1,125.18 $3,750.60 $2,625.42–$2,887.96 — 70%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT HIP LT WO CON $1,125.18 $3,750.60 $2,625.42–$2,887.96 — 70%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT KNEE LT WO CON $1,125.18 $3,750.60 $2,625.42–$2,887.96 — 70%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CE LE LT WO CON $1,125.18 $3,750.60 $2,625.42–$2,887.96 — 70%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT ANKLE LT W/O CONTRAST $1,125.18 $3,750.60 $2,625.42–$2,887.96 — 70%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT FOOT RT WO CON $1,125.18 $3,750.60 $2,625.42–$2,887.96 — 70%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT FEMUR RT WO CON $1,125.18 $3,750.60 $2,625.42–$2,887.96 — 70%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT ANKLE RT WO CON $1,125.18 $3,750.60 $2,625.42–$2,887.96 — 70%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT LE RT WO CON $1,125.18 $3,750.60 $2,625.42–$2,887.96 — 70%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT KNEE RT WO CON $1,125.18 $3,750.60 $2,625.42–$2,887.96 — 70%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT HIP RT WO CON $1,125.18 $3,750.60 $2,625.42–$2,887.96 — 70%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT FOOT LT WO CON $1,125.18 $3,750.60 $2,625.42–$2,887.96 — 70%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN LIMITED $261.45 $871.50 $81.63–$740.77 68% below 70%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US APPENDIX $261.45 $871.50 $81.63–$740.77 68% below 70%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US PANCREAS $261.45 $871.50 $81.63–$740.77 68% below 70%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US GALL BLADDER $261.45 $871.50 $81.63–$740.77 68% below 70%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US GALL BLADDER $261.45 $871.50 $610.05–$671.06 — 70%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US PANCREAS $261.45 $871.50 $610.05–$671.06 — 70%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US APPENDIX $261.45 $871.50 $610.05–$671.06 — 70%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABDOMEN LIMITED $261.45 $871.50 $610.05–$671.06 — 70%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 USNONVASCULARLIMITED $241.61 $805.35 $13.57–$684.55 56% below 70%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US EXTREMITY NONVASC LT $116.36 $387.87 $13.57–$329.69 79% below 70%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 USNONVASCULARLIMITED $241.61 $805.35 $563.75–$620.12 — 70%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US EXTREMITY NONVASC LT $116.36 $387.87 $271.51–$298.66 — 70%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT CHST LO DS CA SCRN LOCFIRE $116.36 $387.87 $205.63–$750.00 67% below 70%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT CHEST LOW DOSE CA SCREEN $128.32 $427.72 $205.63–$750.00 64% below 70%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT CHST LO DS CA SCRN LOCFIRE $116.36 $387.87 $271.51–$298.66 — 70%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT CHEST LOW DOSE CA SCREEN $128.32 $427.72 $299.40–$329.34 — 70%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR TIBIA FIBULA LT 2V $258.62 $862.05 $24.81–$732.74 40% below 70%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR TIBIA FIBULA RT 2V $258.62 $862.05 $24.81–$732.74 40% below 70%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR TIBIA FIBULA LT 2V $258.62 $862.05 $603.44–$663.78 — 70%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR TIBIA FIBULA RT 2V $258.62 $862.05 $603.44–$663.78 — 70%
MR angiography (MRA) of the head without contrast CPT 70544 MR venography head wo con $899.96 $2,999.85 $349.88–$2,549.87 69% below 70%
MR angiography (MRA) of the head without contrast CPT 70544 MR angio head wo con $899.96 $2,999.85 $349.88–$2,549.87 69% below 70%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MR angio head wo con $899.96 $2,999.85 $2,099.90–$2,309.88 — 70%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MR venography head wo con $899.96 $2,999.85 $2,099.90–$2,309.88 — 70%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MR ankle RT wo con $899.01 $2,996.70 $221.15–$2,547.19 70% below 70%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MR ankle LT wo con $899.01 $2,996.70 $221.15–$2,547.19 70% below 70%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MR hip RT wo con $899.01 $2,996.70 $221.15–$2,547.19 70% below 70%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MR hip LT wo con $899.01 $2,996.70 $221.15–$2,547.19 70% below 70%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MR knee LT wo con $899.01 $2,996.70 $221.15–$2,547.19 70% below 70%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MR knee RT wo con $899.01 $2,996.70 $221.15–$2,547.19 70% below 70%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MR ankle LT wo con $899.01 $2,996.70 $2,097.69–$2,307.46 — 70%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MR hip LT wo con $899.01 $2,996.70 $2,097.69–$2,307.46 — 70%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MR knee LT wo con $899.01 $2,996.70 $2,097.69–$2,307.46 — 70%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MR knee RT wo con $899.01 $2,996.70 $2,097.69–$2,307.46 — 70%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MR ankle RT wo con $899.01 $2,996.70 $2,097.69–$2,307.46 — 70%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MR hip RT wo con $899.01 $2,996.70 $2,097.69–$2,307.46 — 70%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MR ankle LT wo/w con $1,284.26 $4,280.85 $474.44–$3,638.72 72% below 70%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MR hip LT wo/w con $1,284.26 $4,280.85 $474.44–$3,638.72 72% below 70%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MR hip RT wo/w con $1,284.26 $4,280.85 $474.44–$3,638.72 72% below 70%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MR knee RT wo/w con $1,284.26 $4,280.85 $474.44–$3,638.72 72% below 70%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MR ankle RT wo/w con $1,284.26 $4,280.85 $474.44–$3,638.72 72% below 70%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MR knee LT wo/w con $1,284.26 $4,280.85 $474.44–$3,638.72 72% below 70%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MR hip RT wo/w con $1,284.26 $4,280.85 $2,996.60–$3,296.25 — 70%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MR hip LT wo/w con $1,284.26 $4,280.85 $2,996.60–$3,296.25 — 70%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MR knee LT wo/w con $1,284.26 $4,280.85 $2,996.60–$3,296.25 — 70%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MR ankle RT wo/w con $1,284.26 $4,280.85 $2,996.60–$3,296.25 — 70%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MR ankle LT wo/w con $1,284.26 $4,280.85 $2,996.60–$3,296.25 — 70%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MR knee RT wo/w con $1,284.26 $4,280.85 $2,996.60–$3,296.25 — 70%
MRI of the abdomen without contrast CPT 74181 MR MRCP $1,052.42 $3,508.05 $273.80–$2,981.84 62% below 70%
MRI of the abdomen without contrast CPT 74181 MR abdomen wo con $1,052.42 $3,508.05 $273.80–$2,981.84 62% below 70%
MRI of the abdomen without contrast CPT 74181 MR kidney wo con $1,052.42 $3,508.05 $273.80–$3,508.05 62% below 70%
MRI of the abdomen without contrast inpatient CPT 74181 MR kidney wo con $1,052.42 $3,508.05 $2,455.64–$2,701.20 — 70%
MRI of the abdomen without contrast inpatient CPT 74181 MR abdomen wo con $1,052.42 $3,508.05 $2,455.64–$2,701.20 — 70%
MRI of the abdomen without contrast inpatient CPT 74181 MR MRCP $1,052.42 $3,508.05 $2,455.64–$2,701.20 — 70%
MRI of the abdomen, without and then with contrast dye CPT 74183 MR kidney wo/w con $1,134.95 $3,783.15 $414.70–$3,215.68 74% below 70%
MRI of the abdomen, without and then with contrast dye CPT 74183 MR abdomen wo/w con $1,134.95 $3,783.15 $414.70–$3,215.68 74% below 70%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MR abdomen wo/w con $1,134.95 $3,783.15 $2,648.21–$2,913.03 — 70%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MR kidney wo/w con $1,134.95 $3,783.15 $2,648.21–$2,913.03 — 70%
MRI of the brain, no contrast dye CPT 70551 MR head/brain wo con $899.96 $2,999.85 $204.81–$2,549.87 69% below 70%
MRI of the brain, no contrast dye inpatient CPT 70551 MR head/brain wo con $899.96 $2,999.85 $2,099.90–$2,309.88 — 70%
MRI of the brain, with and without contrast dye CPT 70553 MR head/brain wo/w con $1,157.31 $3,857.70 $344.78–$3,279.04 73% below 70%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MR head/brain wo/w con $1,157.31 $3,857.70 $2,700.39–$2,970.43 — 70%
MRI of the lower back, no contrast dye CPT 72148 MR lumbar spine wo con $899.96 $2,999.85 $196.47–$2,999.85 71% below 70%
MRI of the lower back, no contrast dye inpatient CPT 72148 MR lumbar spine wo con $899.96 $2,999.85 $2,099.90–$2,309.88 — 70%
MRI of the lower back, without and then with contrast dye CPT 72158 MR lumbar spine wo/w con $1,220.94 $4,069.80 $346.17–$4,069.80 73% below 70%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MR lumbar spine wo/w con $1,220.94 $4,069.80 $2,848.86–$3,133.75 — 70%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MR thoracic spine wo con $899.96 $2,999.85 $196.94–$2,999.85 69% below 70%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MR thoracic spine wo con $899.96 $2,999.85 $2,099.90–$2,309.88 — 70%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MR cervical spine wo/w con $1,285.83 $4,286.10 $347.57–$4,286.10 71% below 70%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MR cervical spine wo/w con $1,285.83 $4,286.10 $3,000.27–$3,300.30 — 70%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MR cervical spine wo con $971.46 $3,238.20 $196.47–$3,238.20 68% below 70%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MR cervical spine wo con $971.46 $3,238.20 $2,266.74–$2,493.41 — 70%
MRI of the pelvis without and with contrast CPT 72197 MR sacrum wo/w con $1,285.83 $4,286.10 $413.32–$3,643.19 69% below 70%
MRI of the pelvis without and with contrast CPT 72197 MR pelvis wo/w con $1,285.83 $4,286.10 $413.32–$3,643.19 69% below 70%
MRI of the pelvis without and with contrast inpatient CPT 72197 MR sacrum wo/w con $1,285.83 $4,286.10 $3,000.27–$3,300.30 — 70%
MRI of the pelvis without and with contrast inpatient CPT 72197 MR pelvis wo/w con $1,285.83 $4,286.10 $3,000.27–$3,300.30 — 70%
MRI of the pelvis, no contrast dye CPT 72195 MR sacrum wo con $899.96 $2,999.85 $318.72–$2,549.87 65% below 70%
MRI of the pelvis, no contrast dye CPT 72195 MR pelvis wo con $899.96 $2,999.85 $318.72–$2,549.87 65% below 70%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MR pelvis wo con $899.96 $2,999.85 $2,099.90–$2,309.88 — 70%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MR sacrum wo con $899.96 $2,999.85 $2,099.90–$2,309.88 — 70%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MR wrist LT wo con $899.96 $2,999.85 $221.15–$2,549.87 66% below 70%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MR shoulder LT wo con $899.96 $2,999.85 $221.15–$2,549.87 66% below 70%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MR elbow RT wo con $899.96 $2,999.85 $221.15–$2,549.87 66% below 70%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MR shoulder RT wo con $899.96 $2,999.85 $221.15–$2,549.87 66% below 70%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MR wrist RT wo con $899.96 $2,999.85 $221.15–$2,549.87 66% below 70%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MR elbow LT wo con $899.96 $2,999.85 $221.15–$2,549.87 66% below 70%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MR elbow RT wo con $899.96 $2,999.85 $2,099.90–$2,309.88 — 70%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MR wrist LT wo con $899.96 $2,999.85 $2,099.90–$2,309.88 — 70%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MR shoulder RT wo con $899.96 $2,999.85 $2,099.90–$2,309.88 — 70%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MR wrist RT wo con $899.96 $2,999.85 $2,099.90–$2,309.88 — 70%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MR elbow LT wo con $899.96 $2,999.85 $2,099.90–$2,309.88 — 70%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MR shoulder LT wo con $899.96 $2,999.85 $2,099.90–$2,309.88 — 70%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 XR CERVICAL SPINE 5V $246.33 $821.10 $38.10–$697.93 62% below 70%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 XR CERVICAL SPINE 5V $246.33 $821.10 $574.77–$632.25 — 70%
Neck soft tissue CT scan with contrast CPT 70491 CT SOFT TISSUE NECK W/ CONT. $1,413.09 $4,710.30 $174.70–$4,003.76 48% below 70%
Neck soft tissue CT scan with contrast inpatient CPT 70491 CT SOFT TISSUE NECK W/ CONT. $1,413.09 $4,710.30 $3,297.21–$3,626.93 — 70%
Neck soft tissue CT scan without contrast CPT 70490 CT SOFT TISSUE NECK W/O CONT. $1,344.74 $4,482.45 $135.35–$3,810.08 36% below 70%
Neck soft tissue CT scan without contrast inpatient CPT 70490 CT SOFT TISSUE NECK W/O CONT. $1,344.74 $4,482.45 $3,137.72–$3,451.49 — 70%
Neck soft tissue X-ray CPT 70360 XR SOFT TISSUE NECK $182.39 $607.95 $24.38–$516.76 44% below 70%
Neck soft tissue X-ray inpatient CPT 70360 XR SOFT TISSUE NECK $182.39 $607.95 $425.57–$468.12 — 70%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 CA LEXISCAN THALLIUM $1,502.91 $5,009.70 $537.48–$4,258.24 63% below 70%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM Myo perf SPECT restorstress $1,502.91 $5,009.70 $537.48–$4,258.24 63% below 70%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM REST THALIUM STRESS GATE $1,502.91 $5,009.70 $537.48–$4,258.24 63% below 70%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 CA LEXISCAN THALLIUM $1,502.91 $5,009.70 $3,506.79–$3,857.47 — 70%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM Myo perf SPECT restorstress $1,502.91 $5,009.70 $3,506.79–$3,857.47 — 70%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM REST THALIUM STRESS GATE $1,502.91 $5,009.70 $3,506.79–$3,857.47 — 70%
Pelvic CT scan without contrast CPT 72192 CT PELVIS W/OUT CONTRAST $1,087.07 $3,623.55 $119.14–$3,080.02 45% below 70%
Pelvic CT scan without contrast inpatient CPT 72192 CT PELVIS W/OUT CONTRAST $1,087.07 $3,623.55 $2,536.49–$2,790.13 — 70%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US BLADDER $283.82 $946.05 $30.69–$804.14 47% below 70%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC LIMITED $283.82 $946.05 $30.69–$804.14 47% below 70%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US BLADDER $283.82 $946.05 $662.24–$728.46 — 70%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PELVIC LIMITED $283.82 $946.05 $662.24–$728.46 — 70%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIS COMP W/TRANSVAG $614.25 $2,047.50 $99.69–$1,740.38 35% below 70%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC COMPLETE $614.25 $2,047.50 $99.69–$1,740.38 35% below 70%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIC COMPLETE $614.25 $2,047.50 $1,433.25–$1,576.58 — 70%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIS COMP W/TRANSVAG $614.25 $2,047.50 $1,433.25–$1,576.58 — 70%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB >14 WKS FETUS $124.74 $415.80 $120.99–$353.43 86% below 70%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB >14 WKS FETUS $124.74 $415.80 $291.06–$320.17 — 70%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB <14WKS FETUS $124.74 $415.80 $89.06–$353.43 84% below 70%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US OB <14WKS FETUS $124.74 $415.80 $291.06–$320.17 — 70%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US FETAL LIMITED OR FU $124.74 $415.80 $68.20–$353.43 79% below 70%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US FETAL LIMITED OR FU $124.74 $415.80 $291.06–$320.17 — 70%
Rib X-ray, one side, 2 views one side CPT 71100 XR RIBS LT 2V $270.90 $903.00 $28.27–$767.55 41% below 70%
Rib X-ray, one side, 2 views one side CPT 71100 XR RIBS RT 2V $270.90 $903.00 $28.27–$767.55 41% below 70%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 XR RIBS LT 2V $270.90 $903.00 $632.10–$695.31 — 70%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 XR RIBS RT 2V $270.90 $903.00 $632.10–$695.31 — 70%
Rib X-ray, one side, with a chest view, 3 or more views both sides CPT 71101 XR RIBS BI 2V $324.77 $1,082.55 $31.63–$920.17 — 70%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR RIBS RT MIN 3V W CXR1V $324.77 $1,082.55 $31.63–$920.17 47% below 70%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR RIBS LT MIN 3V W CXR1V $324.77 $1,082.55 $31.63–$920.17 47% below 70%
Rib X-ray, one side, with a chest view, 3 or more views inpatient both sides CPT 71101 XR RIBS BI 2V $324.77 $1,082.55 $757.79–$833.56 — 70%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 XR RIBS RT MIN 3V W CXR1V $324.77 $1,082.55 $757.79–$833.56 — 70%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 XR RIBS LT MIN 3V W CXR1V $324.77 $1,082.55 $757.79–$833.56 — 70%
Screening mammogram, both breasts CPT 77067 MAMMOGRAPHYSCREENING $128.54 $428.48 $119.39–$364.21 59% below 70%
Screening mammogram, both breasts inpatient CPT 77067 MAMMOGRAPHYSCREENING $128.54 $428.48 $299.94–$329.93 — 70%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER LT MIN 2V $275.94 $919.80 $25.60–$781.83 50% below 70%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR SHOULDER LT MIN 2V $275.94 $919.80 $643.86–$708.25 — 70%
Sinus X-ray, complete, 3 or more views CPT 70220 XRSINUSESMIN3VIEW $311.22 $1,037.40 $32.08–$881.79 32% below 70%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 XRSINUSESMIN3VIEW $311.22 $1,037.40 $726.18–$798.80 — 70%
Skull X-ray, fewer than 4 views CPT 70250 XR SKULL <4V $257.36 $857.85 $30.69–$729.17 37% below 70%
Skull X-ray, fewer than 4 views inpatient CPT 70250 XR SKULL <4V $257.36 $857.85 $600.50–$660.54 — 70%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 CA DOBUTAMINE STRESS ECHO $1,663.83 $5,546.10 $194.42–$4,714.19 48% below 70%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 CA DOBUTAMINE STRESS ECHO $1,663.83 $5,546.10 $3,882.27–$4,270.50 — 70%
Swallow study (modified barium swallow, video X-ray) CPT 74230 FL MBS W/SPEECH $417.06 $1,390.20 $86.20–$1,181.67 37% below 70%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 FL MBS W/SPEECH $417.06 $1,390.20 $973.14–$1,070.45 — 70%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR FEMUR RT 2V $95.76 $319.20 $30.23–$271.32 77% below 70%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR FEMUR LT 2V $95.76 $319.20 $30.23–$271.32 77% below 70%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 XR FEMUR LT 2V $95.76 $319.20 $223.44–$245.78 — 70%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 XR FEMUR RT 2V $95.76 $319.20 $223.44–$245.78 — 70%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CTTHORACICSPINEW/OCONTRAST $1,247.40 $4,158.00 $170.08–$3,534.30 56% below 70%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CTTHORACICSPINEW/OCONTRAST $1,247.40 $4,158.00 $2,910.60–$3,201.66 — 70%
Toe X-ray, 2 or more views one side CPT 73660 XR TOE RT MIN 2V $186.48 $621.60 $27.92–$528.36 44% below 70%
Toe X-ray, 2 or more views one side CPT 73660 XR TOE LT MIN 2V $186.48 $621.60 $27.92–$528.36 44% below 70%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR TOE RT MIN 2V $186.48 $621.60 $435.12–$478.63 — 70%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR TOE LT MIN 2V $186.48 $621.60 $435.12–$478.63 — 70%
Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL $339.57 $1,131.90 $114.97–$962.12 53% below 70%
Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL $339.57 $1,131.90 $792.33–$871.56 — 70%
Transvaginal ultrasound during pregnancy CPT 76817 US OB TRANSVAGINAL $124.74 $415.80 $77.93–$353.43 81% below 70%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US OB TRANSVAGINAL $124.74 $415.80 $291.06–$320.17 — 70%
Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE $760.10 $2,533.65 $108.02–$2,153.60 31% below 70%
Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMEN COMPLETE $760.10 $2,533.65 $1,773.56–$1,950.91 — 70%
Ultrasound of the scrotum and testicles CPT 76870 US Scrotum Doppler $459.27 $1,530.90 $46.90–$1,301.27 48% below 70%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US Scrotum Doppler $459.27 $1,530.90 $1,071.63–$1,178.79 — 70%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US BIOPSY SOFT TISSUE NECK $124.74 $415.80 $115.50–$353.43 85% below 70%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US THYROID $124.74 $415.80 $115.50–$353.43 85% below 70%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US SOFT TISSUE NECK $124.74 $415.80 $115.50–$353.43 85% below 70%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US THYROID $124.74 $415.80 $291.06–$320.17 — 70%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US BIOPSY SOFT TISSUE NECK $124.74 $415.80 $291.06–$320.17 — 70%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US SOFT TISSUE NECK $124.74 $415.80 $291.06–$320.17 — 70%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 FL UPPER GI W/KUB $491.72 $1,639.05 $101.55–$1,393.19 20% below 70%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 FL UPPER GI W/KUB $491.72 $1,639.05 $1,147.34–$1,262.07 — 70%
Upper arm X-ray (humerus), 2 views one side CPT 73060 XR HUMERUS RT $254.21 $847.35 $26.52–$720.25 41% below 70%
Upper arm X-ray (humerus), 2 views one side CPT 73060 XR HUMERUS LT $254.21 $847.35 $26.52–$720.25 41% below 70%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XR HUMERUS RT $254.21 $847.35 $593.15–$652.46 — 70%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XR HUMERUS LT $254.21 $847.35 $593.15–$652.46 — 70%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VL DUPLEX RT $116.36 $387.87 $122.08–$329.69 87% below 70%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VL SAPHENOUS VEIN LT $116.36 $387.87 $122.08–$329.69 87% below 70%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VL SAPHENOUS VEIN RT $116.36 $387.87 $122.08–$329.69 87% below 70%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VL PREOP MAPPINGUP/LOWUNILT $285.30 $951.00 $122.08–$808.35 68% below 70%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VLPREOPVIEWMAPPINGUP/LOWUNIRT $285.30 $951.00 $122.08–$808.35 68% below 70%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VENOUS DUPLEX UE RT $377.69 $1,258.95 $122.08–$1,070.11 58% below 70%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VENOUS DUPLEX LE RT $377.69 $1,258.95 $122.08–$1,070.11 58% below 70%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VLVENOUSDUPLEXUNIL.E.LT $377.69 $1,258.95 $122.08–$1,070.11 58% below 70%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VL VENOUS DUPLEX LE RT $377.69 $1,258.95 $122.08–$1,070.11 58% below 70%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VENOUS DUPLEX UE LT $377.69 $1,258.95 $122.08–$1,070.11 58% below 70%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VENOUS DUPLEX LE LT $377.69 $1,258.95 $122.08–$1,070.11 58% below 70%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VL DUPLEX LE LT $1,441.13 $4,803.75 $122.08–$4,083.19 60% above 70%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VL VENOUS DUPLE UE RT $1,441.13 $4,803.75 $122.08–$4,083.19 60% above 70%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 VL SAPHENOUS VEIN RT $116.36 $387.87 $271.51–$298.66 — 70%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 VL SAPHENOUS VEIN LT $116.36 $387.87 $271.51–$298.66 — 70%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 VL DUPLEX RT $116.36 $387.87 $271.51–$298.66 — 70%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 VLPREOPVIEWMAPPINGUP/LOWUNIRT $285.30 $951.00 $665.70–$732.27 — 70%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 VL PREOP MAPPINGUP/LOWUNILT $285.30 $951.00 $665.70–$732.27 — 70%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 VLVENOUSDUPLEXUNIL.E.LT $377.69 $1,258.95 $881.27–$969.39 — 70%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US VENOUS DUPLEX LE RT $377.69 $1,258.95 $881.27–$969.39 — 70%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US VENOUS DUPLEX UE RT $377.69 $1,258.95 $881.27–$969.39 — 70%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US VENOUS DUPLEX UE LT $377.69 $1,258.95 $881.27–$969.39 — 70%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US VENOUS DUPLEX LE LT $377.69 $1,258.95 $881.27–$969.39 — 70%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 VL VENOUS DUPLEX LE RT $377.69 $1,258.95 $881.27–$969.39 — 70%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 VL DUPLEX LE LT $1,441.13 $4,803.75 $3,362.63–$3,698.89 — 70%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 VL VENOUS DUPLE UE RT $1,441.13 $4,803.75 $3,362.63–$3,698.89 — 70%
Wrist X-ray, 2 views one side CPT 73100 XR WRIST RT 2V $157.82 $526.05 $29.31–$447.14 59% below 70%
Wrist X-ray, 2 views one side CPT 73100 XR WRIST LT 2V $157.82 $526.05 $29.31–$447.14 59% below 70%
Wrist X-ray, 2 views inpatient one side CPT 73100 XR WRIST LT 2V $157.82 $526.05 $368.24–$405.06 — 70%
Wrist X-ray, 2 views inpatient one side CPT 73100 XR WRIST RT 2V $157.82 $526.05 $368.24–$405.06 — 70%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST RT MIN 3V $300.83 $1,002.75 $33.93–$852.34 40% below 70%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST RT W SCAPHOID $300.83 $1,002.75 $33.93–$852.34 40% below 70%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST LT W SCAPHOID $300.83 $1,002.75 $33.93–$852.34 40% below 70%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST LT MIN 3V $300.83 $1,002.75 $33.93–$852.34 40% below 70%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR WRIST RT W SCAPHOID $300.83 $1,002.75 $701.92–$772.12 — 70%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR WRIST RT MIN 3V $300.83 $1,002.75 $701.92–$772.12 — 70%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR WRIST LT MIN 3V $300.83 $1,002.75 $701.92–$772.12 — 70%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR WRIST LT W SCAPHOID $300.83 $1,002.75 $701.92–$772.12 — 70%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP RT MIN 2V $95.76 $319.20 $39.03–$271.32 76% below 70%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP LT MIN 2V $95.76 $319.20 $39.03–$271.32 76% below 70%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR HIP RT MIN 2V $95.76 $319.20 $223.44–$245.78 — 70%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR HIP LT MIN 2V $95.76 $319.20 $223.44–$245.78 — 70%
X-ray of the abdomen, 1 view CPT 74018 XR ABDOMEN 1V $116.24 $387.45 $23.28–$329.33 62% below 70%
X-ray of the abdomen, 1 view CPT 74018 XR KUB PORTABLE $116.24 $387.45 $23.28–$329.33 62% below 70%
X-ray of the abdomen, 1 view CPT 74018 XR KUB $116.24 $387.45 $23.28–$329.33 62% below 70%
X-ray of the abdomen, 1 view inpatient CPT 74018 XR KUB $116.24 $387.45 $271.22–$298.34 — 70%
X-ray of the abdomen, 1 view inpatient CPT 74018 XR ABDOMEN 1V $116.24 $387.45 $271.22–$298.34 — 70%
X-ray of the abdomen, 1 view inpatient CPT 74018 XR KUB PORTABLE $116.24 $387.45 $271.22–$298.34 — 70%
X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE LT 2V $247.91 $826.35 $26.97–$702.40 37% below 70%
X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE RT 2V $247.91 $826.35 $26.97–$702.40 37% below 70%
X-ray of the ankle, 2 views inpatient one side CPT 73600 XR ANKLE RT 2V $247.91 $826.35 $578.45–$636.29 — 70%
X-ray of the ankle, 2 views inpatient one side CPT 73600 XR ANKLE LT 2V $247.91 $826.35 $578.45–$636.29 — 70%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER RT MIN 2V $193.10 $643.65 $32.55–$547.10 47% below 70%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER LT MIN 2V $193.10 $643.65 $32.55–$547.10 47% below 70%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR FINGER LT MIN 2V $193.10 $643.65 $450.56–$495.61 — 70%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR FINGER RT MIN 2V $193.10 $643.65 $450.56–$495.61 — 70%
X-ray of the foot, 2 views one side CPT 73620 XR FOOT LT 2V $179.87 $599.55 $23.75–$509.62 56% below 70%
X-ray of the foot, 2 views one side CPT 73620 XR FOOT RT 2V $179.87 $599.55 $23.75–$509.62 56% below 70%
X-ray of the foot, 2 views inpatient one side CPT 73620 XR FOOT LT 2V $179.87 $599.55 $419.68–$461.65 — 70%
X-ray of the foot, 2 views inpatient one side CPT 73620 XR FOOT RT 2V $179.87 $599.55 $419.68–$461.65 — 70%
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT RT MIN 3V $272.16 $907.20 $26.99–$771.12 45% below 70%
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT LT MIN 3V $272.16 $907.20 $26.99–$771.12 45% below 70%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR FOOT RT MIN 3V $272.16 $907.20 $635.04–$698.54 — 70%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR FOOT LT MIN 3V $272.16 $907.20 $635.04–$698.54 — 70%
X-ray of the hand, 3 or more views one side CPT 73130 XR HAND RT MIN 3V $285.08 $950.25 $29.77–$807.71 44% below 70%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR HAND RT MIN 3V $285.08 $950.25 $665.18–$731.69 — 70%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE LT LIMITED 1-2V $137.97 $459.90 $28.27–$390.91 65% below 70%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE RT LIMITED 1-2V $137.97 $459.90 $28.27–$390.91 65% below 70%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR KNEE RT LIMITED 1-2V $137.97 $459.90 $321.93–$354.12 — 70%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR KNEE LT LIMITED 1-2V $137.97 $459.90 $321.93–$354.12 — 70%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR LUMBAR SPINE LIMITED 2-3V $262.71 $875.70 $30.69–$744.35 44% below 70%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR LUMBAR SPINE LIMITED 2-3V $262.71 $875.70 $612.99–$674.29 — 70%
X-ray of the lower back, 4 or more views CPT 72110 XR LUMBAR SPINE COMPT MIN4V $506.21 $1,687.35 $42.73–$1,434.25 22% below 70%
X-ray of the lower back, 4 or more views inpatient CPT 72110 XR LUMBAR SPINE COMPT MIN4V $506.21 $1,687.35 $1,181.14–$1,299.26 — 70%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR THORACIC SPINE LIMITED 2V $325.40 $1,084.65 $29.31–$921.95 30% below 70%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XR THORACIC SPINE LIMITED 2V $325.40 $1,084.65 $759.26–$835.18 — 70%
X-ray of the nasal bones, 3 or more views CPT 70160 XR NASAL BONES MIN 3V $271.22 $904.05 $31.16–$768.44 37% below 70%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XR NASAL BONES MIN 3V $271.22 $904.05 $632.84–$696.12 — 70%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR CERIVCAL SPINE 2V $246.33 $821.10 $28.38–$697.93 45% below 70%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR CERVICAL SPINE LIMITED 2-3V $246.33 $821.10 $28.38–$697.93 45% below 70%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR CERVICAL SPINE LIMITED 2-3V $246.33 $821.10 $574.77–$632.25 — 70%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR CERIVCAL SPINE 2V $246.33 $821.10 $574.77–$632.25 — 70%
X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS 1-2V $181.76 $605.85 $22.65–$514.97 53% below 70%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR PELVIS 1-2V $181.76 $605.85 $424.10–$466.50 — 70%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR SACRUM COCCYX MIN 2V $291.06 $970.20 $25.14–$824.67 38% below 70%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR SACRUM COCCYX MIN 2V $291.06 $970.20 $679.14–$747.05 — 70%

Lab tests

ProcedureCash priceList priceInsurers payvs CaliforniaOff list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 TRANSFERASE ALA.AMINO(SGPT) $64.58 $215.25 $4.93–$182.96 50% above 70%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 TRANSFERASE ALA.AMINO(SGPT) $64.58 $215.25 $150.68–$165.74 — 70%
AST (aspartate aminotransferase) enzyme test CPT 84450 TRANSFERASE ASP.AMINO(SGOT) $64.58 $215.25 $4.82–$182.96 42% above 70%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 TRANSFERASE ASP.AMINO(SGOT) $64.58 $215.25 $150.68–$165.74 — 70%
Albumin blood test CPT 82040 LC ASSAY OF SERUM ALBUMIN $8.15 $27.15 $4.61–$23.08 67% below 70%
Albumin blood test CPT 82040 LC-ASSAY OF SERUM ALBUMIN $8.15 $27.16 $4.61–$23.09 67% below 70%
Albumin blood test CPT 82040 ALBUMINBLOOD $35.28 $117.60 $4.61–$99.96 41% above 70%
Albumin blood test inpatient CPT 82040 LC ASSAY OF SERUM ALBUMIN $8.15 $27.15 $19.01–$20.91 — 70%
Albumin blood test inpatient CPT 82040 LC-ASSAY OF SERUM ALBUMIN $8.15 $27.16 $19.01–$20.91 — 70%
Albumin blood test inpatient CPT 82040 ALBUMINBLOOD $35.28 $117.60 $82.32–$90.55 — 70%
Aldosterone blood test CPT 82088 LC -ALDOSTERONE $12.61 $42.03 $21.02–$101.88 58% below 70%
Aldosterone blood test CPT 82088 LC-ALDOSTERONRENINACTIVITYRATI $14.72 $49.06 $24.53–$101.88 51% below 70%
Aldosterone blood test inpatient CPT 82088 LC -ALDOSTERONE $12.61 $42.03 $29.42–$32.36 — 70%
Aldosterone blood test inpatient CPT 82088 LC-ALDOSTERONRENINACTIVITYRATI $14.72 $49.06 $34.34–$37.78 — 70%
Alkaline phosphatase (ALP) blood test CPT 84075 PHOSPHATASEALKALINE $43.16 $143.85 $4.82–$122.27 17% above 70%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 PHOSPHATASEALKALINE $43.16 $143.85 $100.70–$110.76 — 70%
Allergy blood test, specific IgE, per allergen CPT 86003 LC-ALLERGEN MILK COMPONENT $1.26 $4.20 $2.10–$10.50 75% below 70%
Allergy blood test, specific IgE, per allergen CPT 86003 LC - ALLERGEN PROFILE SHELLFIS $11.34 $37.81 $4.86–$37.81 127% above 70%
Allergy blood test, specific IgE, per allergen CPT 86003 LC - PEANUT COMPONENT PNL $66.15 $220.50 $4.86–$187.42 1223% above 70%
Allergy blood test, specific IgE, per allergen CPT 86003 LC- FOOD ALLERGY PANEL $91.67 $305.55 $4.86–$259.72 1733% above 70%
Allergy blood test, specific IgE, per allergen CPT 86003 LC-ALLERGEN SPECIFIC ICE $104.46 $348.21 $4.86–$295.98 1989% above 70%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LC-ALLERGEN MILK COMPONENT $1.26 $4.20 $2.94–$3.23 — 70%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LC - ALLERGEN PROFILE SHELLFIS $11.34 $37.81 $26.47–$29.11 — 70%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LC - PEANUT COMPONENT PNL $66.15 $220.50 $154.35–$169.78 — 70%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LC- FOOD ALLERGY PANEL $91.67 $305.55 $213.89–$235.27 — 70%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LC-ALLERGEN SPECIFIC ICE $104.46 $348.21 $243.75–$268.12 — 70%
Ammonia blood test CPT 82140 AMMONIA $10.93 $36.43 $13.56–$36.43 94% below 70%
Ammonia blood test CPT 82140 KSL - AMMONIA $51.30 $171.00 $13.56–$145.35 72% below 70%
Ammonia blood test CPT 82140 WHS-AMMONIA $63.70 $212.32 $13.56–$180.47 65% below 70%
Ammonia blood test inpatient CPT 82140 AMMONIA $10.93 $36.43 $25.50–$28.05 — 70%
Ammonia blood test inpatient CPT 82140 KSL - AMMONIA $51.30 $171.00 $119.70–$131.67 — 70%
Ammonia blood test inpatient CPT 82140 WHS-AMMONIA $63.70 $212.32 $148.62–$163.49 — 70%
Amylase blood test CPT 82150 LC-AMYLASE ISOENZYMES $8.70 $29.00 $6.04–$24.65 83% below 70%
Amylase blood test CPT 82150 AMYLASEBLOOD $43.79 $145.95 $6.04–$124.06 14% below 70%
Amylase blood test CPT 82150 AMYLASEOTHERFLUID $43.79 $145.95 $6.04–$124.06 14% below 70%
Amylase blood test inpatient CPT 82150 LC-AMYLASE ISOENZYMES $8.70 $29.00 $20.30–$22.33 — 70%
Amylase blood test inpatient CPT 82150 AMYLASEOTHERFLUID $43.79 $145.95 $102.16–$112.38 — 70%
Amylase blood test inpatient CPT 82150 AMYLASEBLOOD $43.79 $145.95 $102.16–$112.38 — 70%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 LC -CYCLICCITRUL.PEPTIDEAB $4.73 $15.75 $7.88–$32.38 77% below 70%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 LC-CCP ANTIBODY $17.88 $59.59 $12.05–$50.65 12% below 70%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 LC -CYCLICCITRUL.PEPTIDEAB $4.73 $15.75 $11.02–$12.13 — 70%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 LC-CCP ANTIBODY $17.88 $59.59 $41.71–$45.88 — 70%
Antinuclear antibody (ANA) blood test, screen CPT 86038 LC-ANTINUCLEAR ANTIBODIES ANA $17.88 $59.59 $11.26–$50.65 45% below 70%
Antinuclear antibody (ANA) blood test, screen CPT 86038 LC -ANA CCP(IGG/A)ANTIBODI $42.29 $140.96 $11.26–$119.82 31% above 70%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 LC-ANTINUCLEAR ANTIBODIES ANA $17.88 $59.59 $41.71–$45.88 — 70%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 LC -ANA CCP(IGG/A)ANTIBODI $42.29 $140.96 $98.67–$108.54 — 70%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 WHS-BNP $22.50 $75.00 $36.55–$98.15 88% below 70%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BRAINNATRIURETICPEPTIDE(BNP) $95.45 $318.15 $36.55–$270.43 48% below 70%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 WHS-BNP $22.50 $75.00 $52.50–$57.75 — 70%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 BRAINNATRIURETICPEPTIDE(BNP) $95.45 $318.15 $222.70–$244.98 — 70%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 LC-GRAM STAIN UPPER $28.27 $94.24 $8.03–$80.10 77% below 70%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 LC-TISSUE AEROBIC CULTURE-CH $30.95 $103.16 $8.03–$87.69 74% below 70%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 LC-GRAM STAIN LOWER RESP CULT $32.29 $107.62 $8.03–$91.48 73% below 70%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 LC-GENITAL CULTURE GRAM STAI $32.29 $107.62 $8.03–$91.48 73% below 70%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 LC-BODY FL AEROBIC CULTURE-CH $35.12 $117.08 $8.03–$99.52 71% below 70%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTUREDEEPWOUND/ABSCESS $55.76 $185.85 $8.03–$157.97 54% below 70%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTBODYFLUID $55.76 $185.85 $8.03–$157.97 54% below 70%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURETISSUE/STERILESITE $55.76 $185.85 $8.03–$157.97 54% below 70%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTUREDIALYSISQUALITYCHK $55.76 $185.85 $8.03–$157.97 54% below 70%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTUREBACTERIALDEFINITIVE $55.76 $185.85 $8.03–$157.97 54% below 70%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTCSF $55.76 $185.85 $8.03–$157.97 54% below 70%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTIVLINES $55.76 $185.85 $8.03–$157.97 54% below 70%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURERESPIRATORY $55.76 $185.85 $8.03–$157.97 54% below 70%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTGENITAL $55.76 $185.85 $8.03–$157.97 54% below 70%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 THROATCULTUREW/ISOLATIONID $55.76 $185.85 $8.03–$157.97 54% below 70%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULT BACTERIALOTHSRCEISOL ID $59.85 $199.50 $8.03–$169.57 50% below 70%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 LC-GRAM STAIN UPPER $28.27 $94.24 $65.97–$72.56 — 70%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 LC-TISSUE AEROBIC CULTURE-CH $30.95 $103.16 $72.21–$79.43 — 70%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 LC-GRAM STAIN LOWER RESP CULT $32.29 $107.62 $75.33–$82.87 — 70%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 LC-GENITAL CULTURE GRAM STAI $32.29 $107.62 $75.33–$82.87 — 70%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 LC-BODY FL AEROBIC CULTURE-CH $35.12 $117.08 $81.96–$90.15 — 70%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 THROATCULTUREW/ISOLATIONID $55.76 $185.85 $130.10–$143.10 — 70%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURERESPIRATORY $55.76 $185.85 $130.10–$143.10 — 70%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTBODYFLUID $55.76 $185.85 $130.10–$143.10 — 70%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURETISSUE/STERILESITE $55.76 $185.85 $130.10–$143.10 — 70%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTIVLINES $55.76 $185.85 $130.10–$143.10 — 70%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTUREDEEPWOUND/ABSCESS $55.76 $185.85 $130.10–$143.10 — 70%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTUREDIALYSISQUALITYCHK $55.76 $185.85 $130.10–$143.10 — 70%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTGENITAL $55.76 $185.85 $130.10–$143.10 — 70%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTUREBACTERIALDEFINITIVE $55.76 $185.85 $130.10–$143.10 — 70%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTCSF $55.76 $185.85 $130.10–$143.10 — 70%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULT BACTERIALOTHSRCEISOL ID $59.85 $199.50 $139.65–$153.62 — 70%
Basic metabolic panel (blood test) CPT 80048 BASICMETABOLICPANEL $91.04 $303.45 $7.88–$257.93 54% below 70%
Basic metabolic panel (blood test) inpatient CPT 80048 BASICMETABOLICPANEL $91.04 $303.45 $212.42–$233.66 — 70%
Bilirubin blood test, total CPT 82247 BILIRUBINTOTALCORDBLOOD $50.72 $169.05 $4.67–$143.69 12% above 70%
Bilirubin blood test, total CPT 82247 BILIRUBINTOTAL $50.72 $169.05 $4.67–$143.69 12% above 70%
Bilirubin blood test, total inpatient CPT 82247 BILIRUBINTOTAL $50.72 $169.05 $118.34–$130.17 — 70%
Bilirubin blood test, total inpatient CPT 82247 BILIRUBINTOTALCORDBLOOD $50.72 $169.05 $118.34–$130.17 — 70%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 BONEMARROWBIOPINTPRTONLY $120.33 $401.10 $38.28–$340.94 7% below 70%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 GRP4SING/COMP/MULTI/DISSECT $120.33 $401.10 $38.28–$340.94 7% below 70%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 GRP4SUBMITTEDSURGPATH $120.33 $401.10 $38.28–$340.94 7% below 70%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 GRP4SUBSURGPATHDERM $120.33 $401.10 $38.28–$340.94 7% below 70%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 CS Kidney Biopsy $315.00 $1,050.00 $38.28–$892.50 142% above 70%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 BONEMARROWBIOPINTPRTONLY $120.33 $401.10 $280.77–$308.85 — 70%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 GRP4SING/COMP/MULTI/DISSECT $120.33 $401.10 $280.77–$308.85 — 70%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 GRP4SUBMITTEDSURGPATH $120.33 $401.10 $280.77–$308.85 — 70%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 GRP4SUBSURGPATHDERM $120.33 $401.10 $280.77–$308.85 — 70%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 CS Kidney Biopsy $315.00 $1,050.00 $735.00–$808.50 — 70%
Blood culture for bacteria CPT 87040 CULTBLOOD $126.32 $421.05 $9.60–$357.89 54% below 70%
Blood culture for bacteria inpatient CPT 87040 CULTBLOOD $126.32 $421.05 $294.74–$324.21 — 70%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 LC - PEDIVENIPUNCTURE<2MONTHS $4.11 $13.70 $2.85–$23.35 80% below 70%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE $6.62 $22.08 $2.85–$23.35 69% below 70%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 LC - PEDIVENIPUNCTURE<2MONTHS $4.11 $13.70 $9.59–$10.55 — 70%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE $6.62 $22.08 $15.46–$17.00 — 70%
Blood glucose (sugar) test CPT 82947 GLUCOSEBLOOD $31.50 $105.00 $3.66–$89.25 16% below 70%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSEBLOOD $31.50 $105.00 $73.50–$80.85 — 70%
Blood lead test CPT 83655 LC -LEADBLOODQUANT $8.77 $29.23 $11.27–$30.27 14% below 70%
Blood lead test inpatient CPT 83655 LC -LEADBLOODQUANT $8.77 $29.23 $20.46–$22.51 — 70%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREGNANCY(HCG)SCREENSERUM $19.53 $65.10 $7.00–$55.33 88% below 70%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREGNANCY(HCG)SCREENURINE $19.53 $65.10 $7.00–$55.33 88% below 70%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 PREGNANCY(HCG)SCREENURINE $19.53 $65.10 $45.57–$50.13 — 70%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 PREGNANCY(HCG)SCREENSERUM $19.53 $65.10 $45.57–$50.13 — 70%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 WHS-ABO $11.03 $36.75 $3.89–$31.24 89% below 70%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO/RHCORDBLOOD $135.20 $450.67 $3.89–$383.07 31% above 70%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOODTYPING ABO $135.20 $450.67 $3.89–$383.07 31% above 70%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABOGROUP $135.20 $450.67 $3.89–$383.07 31% above 70%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 WHS-ABO $11.03 $36.75 $25.72–$28.30 — 70%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BLOODTYPING ABO $135.20 $450.67 $315.47–$347.02 — 70%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABOGROUP $135.20 $450.67 $315.47–$347.02 — 70%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO/RHCORDBLOOD $135.20 $450.67 $315.47–$347.02 — 70%
Blood urea nitrogen (BUN) test CPT 84520 UREANITROGEN QUANTITATIVE $53.24 $177.45 $3.67–$150.83 61% above 70%
Blood urea nitrogen (BUN) test inpatient CPT 84520 UREANITROGEN QUANTITATIVE $53.24 $177.45 $124.22–$136.64 — 70%
C. difficile toxin gene test (stool PCR) CPT 87493 LC -C.DIFFTOXINGENENAA $29.93 $99.75 $34.70–$99.75 80% below 70%
C. difficile toxin gene test (stool PCR) CPT 87493 LC- CDIFFAMPLIFIEDPROBE(PCR) $75.98 $253.26 $34.70–$215.27 50% below 70%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 LC -C.DIFFTOXINGENENAA $29.93 $99.75 $69.82–$76.81 — 70%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 LC- CDIFFAMPLIFIEDPROBE(PCR) $75.98 $253.26 $177.28–$195.01 — 70%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 LC COVID-19NAA $16.16 $53.88 $26.94–$128.28 83% below 70%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS COV-2 BY PCR $40.32 $134.40 $47.77–$128.28 57% below 70%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 ST -MISC COVID TESTING PCR $63.00 $210.00 $47.77–$178.50 33% below 70%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 LC COVID-19NAA $16.16 $53.88 $37.72–$41.49 — 70%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS COV-2 BY PCR $40.32 $134.40 $94.08–$103.49 — 70%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 ST -MISC COVID TESTING PCR $63.00 $210.00 $147.00–$161.70 — 70%
Calcium blood test, total CPT 82310 CALCIUMTOTAL $36.86 $122.85 $4.80–$104.42 40% below 70%
Calcium blood test, total inpatient CPT 82310 CALCIUMTOTAL $36.86 $122.85 $86.00–$94.59 — 70%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 LC-CHLMYD TRACH DNA AMP PRB $18.42 $61.40 $30.70–$87.73 66% below 70%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 LC-CHLAMYDIA N.GON AND TRICH $18.90 $63.00 $31.50–$87.73 65% below 70%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 LC- CHLAMYDIA/GCGENPROBE $23.63 $78.75 $32.67–$87.73 57% below 70%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 LC-CHLMYD TRACH DNA AMP PROBE $30.54 $101.80 $32.67–$96.34 44% below 70%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 LC-CHLMYD TRACH DNA AMP PRB $18.42 $61.40 $42.98–$47.28 — 70%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 LC-CHLAMYDIA N.GON AND TRICH $18.90 $63.00 $44.10–$48.51 — 70%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 LC- CHLAMYDIA/GCGENPROBE $23.63 $78.75 $55.13–$60.64 — 70%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 LC-CHLMYD TRACH DNA AMP PROBE $30.54 $101.80 $71.26–$78.39 — 70%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LC - LIPIDCASCADEW/REFLEXAPOB $7.98 $26.61 $12.47–$33.48 92% below 70%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 CORONARYRISKPANEL $47.88 $159.60 $12.47–$135.66 53% below 70%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LC - LIPIDCASCADEW/REFLEXAPOB $7.98 $26.61 $18.63–$20.49 — 70%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 CORONARYRISKPANEL $47.88 $159.60 $111.72–$122.89 — 70%
Complete blood count (CBC) with differential CPT 85025 HEMGRMPLT CMPLTDIFFAUTO $7.55 $25.17 $7.23–$22.06 93% below 70%
Complete blood count (CBC) with differential CPT 85025 HEMGRMPLAT MANUALDIFFWBC $49.61 $165.36 $7.23–$140.56 55% below 70%
Complete blood count (CBC) with differential inpatient CPT 85025 HEMGRMPLT CMPLTDIFFAUTO $7.55 $25.17 $17.62–$19.38 — 70%
Complete blood count (CBC) with differential inpatient CPT 85025 HEMGRMPLAT MANUALDIFFWBC $49.61 $165.36 $115.75–$127.33 — 70%
Complete blood count (CBC), no differential CPT 85027 LC-CBC AUTOMATED $18.65 $62.16 $6.03–$52.84 79% below 70%
Complete blood count (CBC), no differential CPT 85027 HEMGRM PLATELETCTAUTOMAT $52.61 $175.35 $6.03–$149.05 40% below 70%
Complete blood count (CBC), no differential inpatient CPT 85027 LC-CBC AUTOMATED $18.65 $62.16 $43.51–$47.86 — 70%
Complete blood count (CBC), no differential inpatient CPT 85027 HEMGRM PLATELETCTAUTOMAT $52.61 $175.35 $122.74–$135.02 — 70%
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVEMETABOLICPANEL $132.93 $443.10 $9.83–$376.63 48% below 70%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVEMETABOLICPANEL $132.93 $443.10 $310.17–$341.19 — 70%
Cortisol blood test, total CPT 82533 CORTISOLTOTAL $75.92 $253.05 $15.18–$215.09 21% below 70%
Cortisol blood test, total inpatient CPT 82533 CORTISOLTOTAL $75.92 $253.05 $177.14–$194.85 — 70%
Creatine kinase (CK) blood test, total CPT 82550 CREATINEKINASE TOTAL $61.74 $205.80 $6.06–$174.93 29% below 70%
Creatine kinase (CK) blood test, total inpatient CPT 82550 CREATINEKINASE TOTAL $61.74 $205.80 $144.06–$158.47 — 70%
Creatinine blood test CPT 82565 CREATININEBLOOD $31.50 $105.00 $4.76–$89.25 32% below 70%
Creatinine blood test inpatient CPT 82565 CREATININEBLOOD $31.50 $105.00 $73.50–$80.85 — 70%
D-dimer blood test (blood clot marker) CPT 85379 WHS-D-DIMER $50.74 $169.12 $9.48–$143.75 65% below 70%
D-dimer blood test (blood clot marker) CPT 85379 DDIMERQUANTITATIVE $75.60 $252.00 $9.48–$214.20 47% below 70%
D-dimer blood test (blood clot marker) inpatient CPT 85379 WHS-D-DIMER $50.74 $169.12 $118.38–$130.22 — 70%
D-dimer blood test (blood clot marker) inpatient CPT 85379 DDIMERQUANTITATIVE $75.60 $252.00 $176.40–$194.04 — 70%
Drug screen by lab instrument (any number of drug classes) CPT 80307 LC-COCAINE SCREEN WB $15.75 $52.50 $26.25–$131.25 75% below 70%
Drug screen by lab instrument (any number of drug classes) CPT 80307 LC-FENTANYL SCREEN URINE $18.27 $60.90 $30.45–$152.25 71% below 70%
Drug screen by lab instrument (any number of drug classes) CPT 80307 LC-FENTANYL CONFIRMATION URINE $37.76 $125.85 $57.85–$155.35 39% below 70%
Drug screen by lab instrument (any number of drug classes) CPT 80307 FENTANYL URINE $46.61 $155.35 $57.85–$155.35 25% below 70%
Drug screen by lab instrument (any number of drug classes) CPT 80307 LC-DRUG SCREENANDCONFIRMATION $64.59 $215.29 $57.85–$183.00 4% above 70%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUGTESTPRSMYCHEMANALYZER $124.13 $413.75 $57.85–$351.69 100% above 70%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 LC-COCAINE SCREEN WB $15.75 $52.50 $36.75–$40.43 — 70%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 LC-FENTANYL SCREEN URINE $18.27 $60.90 $42.63–$46.89 — 70%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 LC-FENTANYL CONFIRMATION URINE $37.76 $125.85 $88.10–$96.90 — 70%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 FENTANYL URINE $46.61 $155.35 $108.74–$119.62 — 70%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 LC-DRUG SCREENANDCONFIRMATION $64.59 $215.29 $150.70–$165.77 — 70%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUGTESTPRSMYCHEMANALYZER $124.13 $413.75 $289.62–$318.59 — 70%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTEPANEL $67.10 $223.65 $6.53–$190.10 20% below 70%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYTEPANEL $67.10 $223.65 $156.56–$172.21 — 70%
Fecal calprotectin (stool inflammation test) CPT 83993 LC-FECAL CALPROTECTIN $45.00 $150.00 $18.28–$127.50 38% below 70%
Fecal calprotectin (stool inflammation test) CPT 83993 LC - CALPROTECTIN $47.25 $157.50 $18.28–$133.88 35% below 70%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 LC-FECAL CALPROTECTIN $45.00 $150.00 $105.00–$115.50 — 70%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 LC - CALPROTECTIN $47.25 $157.50 $110.25–$121.28 — 70%
Ferritin blood test (iron stores) CPT 82728 LC-ASSAY OF FERRITIN $18.65 $62.17 $12.69–$52.84 83% below 70%
Ferritin blood test (iron stores) CPT 82728 FERRITIN $75.92 $253.05 $12.69–$215.09 29% below 70%
Ferritin blood test (iron stores) inpatient CPT 82728 LC-ASSAY OF FERRITIN $18.65 $62.17 $43.52–$47.87 — 70%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN $75.92 $253.05 $177.14–$194.85 — 70%
Fibrinogen blood test CPT 85384 WHS-FIBRINOGEN ACTIVITY $36.00 $120.00 $9.05–$102.00 73% below 70%
Fibrinogen blood test CPT 85384 FIBRINOGENACTIVITY $67.10 $223.65 $9.05–$190.10 50% below 70%
Fibrinogen blood test inpatient CPT 85384 WHS-FIBRINOGEN ACTIVITY $36.00 $120.00 $84.00–$92.40 — 70%
Fibrinogen blood test inpatient CPT 85384 FIBRINOGENACTIVITY $67.10 $223.65 $156.56–$172.21 — 70%
Folate (folic acid) blood test CPT 82746 FOLICACIDSERUM $32.13 $107.10 $13.68–$91.03 71% below 70%
Folate (folic acid) blood test inpatient CPT 82746 FOLICACIDSERUM $32.13 $107.10 $74.97–$82.47 — 70%
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4FREE $77.49 $258.30 $8.40–$219.56 14% above 70%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4FREE $77.49 $258.30 $180.81–$198.89 — 70%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GLUTAMYLTRANSFERASEGAMMA $63.00 $210.00 $6.70–$178.50 38% above 70%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GLUTAMYLTRANSFERASEGAMMA $63.00 $210.00 $147.00–$161.70 — 70%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSELOADTEST $23.94 $79.80 $4.42–$67.83 54% below 70%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSELOADTEST $23.94 $79.80 $55.86–$61.45 — 70%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSETOLERANCE2HRGESTATION $9.65 $32.18 $11.99–$32.18 93% below 70%
Glucose tolerance test, 3 samples CPT 82951 GTT 3 SPECIMENS $10.14 $33.79 $11.99–$33.79 93% below 70%
Glucose tolerance test, 3 samples CPT 82951 GLUCTOLSTD $93.56 $311.85 $11.99–$265.07 32% below 70%
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSETOLERANCE2HRGESTATION $9.65 $32.18 $22.53–$24.78 — 70%
Glucose tolerance test, 3 samples inpatient CPT 82951 GTT 3 SPECIMENS $10.14 $33.79 $23.65–$26.02 — 70%
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCTOLSTD $93.56 $311.85 $218.30–$240.12 — 70%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 LC-N.GONORRH DNA AMP PRB $18.42 $61.40 $30.70–$87.73 69% below 70%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 LC-N. GONORRHOEAE DNA AMP PROB $30.54 $101.80 $32.67–$96.34 49% below 70%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 LC-N.GONORRH DNA AMP PRB $18.42 $61.40 $42.98–$47.28 — 70%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 LC-N. GONORRHOEAE DNA AMP PROB $30.54 $101.80 $71.26–$78.39 — 70%
H. pylori stool antigen test CPT 87338 LC -H.PYLORISTOOLAGEIA $10.08 $33.60 $13.39–$35.95 87% below 70%
H. pylori stool antigen test inpatient CPT 87338 LC -H.PYLORISTOOLAGEIA $10.08 $33.60 $23.52–$25.87 — 70%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 LC - HIV VIRAL LOAD $37.01 $123.38 $61.69–$212.75 63% below 70%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 LC - RNARealTimePCR(NonGraph) $37.80 $126.00 $63.00–$212.75 63% below 70%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 LC- HIV PCR $121.59 $405.30 $73.40–$344.50 21% above 70%
HIV viral load test (HIV-1 RNA, quantitative) one side CPT 87536 LC-HIV VIRUS QUANT RT PCR $30.87 $102.90 $51.45–$212.75 69% below 70%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 LC - HIV VIRAL LOAD $37.01 $123.38 $86.37–$95.00 — 70%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 LC - RNARealTimePCR(NonGraph) $37.80 $126.00 $88.20–$97.02 — 70%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 LC- HIV PCR $121.59 $405.30 $283.71–$312.08 — 70%
HIV viral load test (HIV-1 RNA, quantitative) inpatient one side CPT 87536 LC-HIV VIRUS QUANT RT PCR $30.87 $102.90 $72.03–$79.23 — 70%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOHEMOGLOBIN(HbAC) $75.29 $250.95 $9.04–$213.31 15% above 70%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 GLYCOHEMOGLOBIN(HbAC) $75.29 $250.95 $175.67–$193.23 — 70%
Hepatitis C antibody blood test (screening) CPT 86803 LC- HCVAbrfxHCVRTPR $10.45 $34.83 $13.29–$35.67 81% below 70%
Hepatitis C antibody blood test (screening) CPT 86803 HEPCVIRUSIBEXPOSED $10.70 $35.68 $13.29–$35.68 80% below 70%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 LC- HCVAbrfxHCVRTPR $10.45 $34.83 $24.38–$26.82 — 70%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPCVIRUSIBEXPOSED $10.70 $35.68 $24.98–$27.47 — 70%
Hepatitis C viral load (HCV RNA) test CPT 87522 LC - HCVRTPCRQuant(NonGraph) $44.09 $146.96 $39.89–$124.92 50% below 70%
Hepatitis C viral load (HCV RNA) test CPT 87522 LC-HEPCRNAPCRWUAONGRWREFLTOGEN $141.12 $470.40 $39.89–$399.84 61% above 70%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 LC - HCVRTPCRQuant(NonGraph) $44.09 $146.96 $102.87–$113.16 — 70%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 LC-HEPCRNAPCRWUAONGRWREFLTOGEN $141.12 $470.40 $329.28–$362.21 — 70%
Herpes blood test, HSV-1 antibody CPT 86695 LC HERPES SIMPLEX TYPE 1 TEST $8.51 $28.35 $12.28–$32.98 56% below 70%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 LC HERPES SIMPLEX TYPE 1 TEST $8.51 $28.35 $19.85–$21.83 — 70%
Herpes blood test, HSV-2 antibody CPT 86696 LC-HSV TYPE 2 AB IGG $6.81 $22.70 $11.35–$48.38 71% below 70%
Herpes blood test, HSV-2 antibody CPT 86696 LC HERPES SIMPLEX TYPE 2 TEST $8.51 $28.35 $14.18–$48.38 64% below 70%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 LC-HSV TYPE 2 AB IGG $6.81 $22.70 $15.89–$17.48 — 70%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 LC HERPES SIMPLEX TYPE 2 TEST $8.51 $28.35 $19.85–$21.83 — 70%
High-sensitivity CRP (hs-CRP) test CPT 86141 CREACTIVEPROTHISENS(CRP) $66.15 $220.50 $12.05–$187.42 8% above 70%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CREACTIVEPROTHISENS(CRP) $66.15 $220.50 $154.35–$169.78 — 70%
Homocysteine blood test CPT 83090 LC ASSAY OF HOMOCYSTINE $35.74 $119.13 $16.68–$101.26 53% below 70%
Homocysteine blood test CPT 83090 LC-ASSAY OF HOMOCYSTINE $163.85 $546.18 $16.68–$464.25 115% above 70%
Homocysteine blood test inpatient CPT 83090 LC ASSAY OF HOMOCYSTINE $35.74 $119.13 $83.39–$91.73 — 70%
Homocysteine blood test inpatient CPT 83090 LC-ASSAY OF HOMOCYSTINE $163.85 $546.18 $382.33–$420.56 — 70%
Iron blood test (serum iron) CPT 83540 IRONTOTAL $46.31 $154.35 $6.03–$131.20 20% below 70%
Iron blood test (serum iron) inpatient CPT 83540 IRONTOTAL $46.31 $154.35 $108.04–$118.85 — 70%
Kidney function blood test panel CPT 80069 RENALFUNCTIONPANEL $112.14 $373.80 $8.08–$317.73 21% below 70%
Kidney function blood test panel inpatient CPT 80069 RENALFUNCTIONPANEL $112.14 $373.80 $261.66–$287.83 — 70%
Lactate (lactic acid) blood test CPT 83605 LACTICACIDPLASMA $84.11 $280.35 $10.77–$238.30 37% below 70%
Lactate (lactic acid) blood test inpatient CPT 83605 LACTICACIDPLASMA $84.11 $280.35 $196.25–$215.87 — 70%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDHOTHERFLUID $36.23 $120.75 $5.63–$102.64 at median 70%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH $36.23 $120.75 $5.63–$102.64 at median 70%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH $36.23 $120.75 $84.52–$92.98 — 70%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDHOTHERFLUID $36.23 $120.75 $84.52–$92.98 — 70%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE $75.92 $253.05 $6.42–$215.09 21% below 70%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE $75.92 $253.05 $177.14–$194.85 — 70%
Liver function blood test panel CPT 80076 HEPATICFUNCTIONPANEL $69.93 $233.10 $7.60–$198.13 54% below 70%
Liver function blood test panel inpatient CPT 80076 HEPATICFUNCTIONPANEL $69.93 $233.10 $163.17–$179.49 — 70%
Magnesium blood test CPT 83735 MAGNESIUM $64.58 $215.25 $6.24–$182.96 2% above 70%
Magnesium blood test inpatient CPT 83735 MAGNESIUM $64.58 $215.25 $150.68–$165.74 — 70%
Mono test (heterophile antibody, Monospot) CPT 86308 WHS-INFECTIOUS MONONUCLEOSIS $26.19 $87.29 $4.82–$74.20 75% below 70%
Mono test (heterophile antibody, Monospot) CPT 86308 LC-HETEROPHILE ANTIBODY SCREEN $33.67 $112.24 $4.82–$95.40 67% below 70%
Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILEANTIBODIES SCREEN $42.53 $141.75 $4.82–$120.49 59% below 70%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 WHS-INFECTIOUS MONONUCLEOSIS $26.19 $87.29 $61.10–$67.21 — 70%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 LC-HETEROPHILE ANTIBODY SCREEN $33.67 $112.24 $78.57–$86.42 — 70%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HETEROPHILEANTIBODIES SCREEN $42.53 $141.75 $99.22–$109.15 — 70%
Mumps immunity blood test CPT 86735 LC -MUMPS(IGG/M) $6.93 $23.10 $11.55–$32.62 57% below 70%
Mumps immunity blood test inpatient CPT 86735 LC -MUMPS(IGG/M) $6.93 $23.10 $16.17–$17.79 — 70%
PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATESPECIFICAGMONITOR $14.48 $48.28 $17.12–$48.28 76% below 70%
PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATESPECIFICANTIGENSCRN $14.48 $48.28 $17.12–$48.28 76% below 70%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATESPECIFICANTIGENSCRN $14.48 $48.28 $33.80–$37.18 — 70%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATESPECIFICAGMONITOR $14.48 $48.28 $33.80–$37.18 — 70%
Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTINTIMEPARTIAL $30.87 $102.90 $5.60–$87.47 51% below 70%
Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTINTIMEPART(PTT) $30.87 $102.90 $5.60–$87.47 51% below 70%
Partial thromboplastin time (PTT) clotting test CPT 85730 LC THROMBOPLASTIN TIME PARTIAL $35.74 $119.13 $5.60–$101.26 43% below 70%
Partial thromboplastin time (PTT) clotting test CPT 85730 LC-THROMBIN TIME PARTIAL $38.66 $128.87 $5.60–$109.54 38% below 70%
Partial thromboplastin time (PTT) clotting test CPT 85730 WHS-APTT $61.13 $203.78 $5.60–$173.21 2% below 70%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLASTINTIMEPARTIAL $30.87 $102.90 $72.03–$79.23 — 70%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLASTINTIMEPART(PTT) $30.87 $102.90 $72.03–$79.23 — 70%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 LC THROMBOPLASTIN TIME PARTIAL $35.74 $119.13 $83.39–$91.73 — 70%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 LC-THROMBIN TIME PARTIAL $38.66 $128.87 $90.21–$99.23 — 70%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 WHS-APTT $61.13 $203.78 $142.65–$156.91 — 70%
Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS $35.91 $119.70 $4.41–$101.75 52% below 70%
Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHORUS $35.91 $119.70 $83.79–$92.17 — 70%
Potassium blood test CPT 84132 POTASSIUMBLOOD $53.24 $177.45 $4.43–$150.83 27% below 70%
Potassium blood test inpatient CPT 84132 POTASSIUMBLOOD $53.24 $177.45 $124.22–$136.64 — 70%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 LC-CELL FREE FETAL DNA GEN SEQ $250.43 $834.75 $417.38–$1,897.62 86% below 70%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 LC-CELL FREE FETAL DNA GEN SEQ $250.43 $834.75 $584.33–$642.76 — 70%
Prothrombin time (PT/INR) clotting test CPT 85610 WHS-PT INR $7.88 $26.25 $4.00–$22.31 86% below 70%
Prothrombin time (PT/INR) clotting test CPT 85610 LC-PT MIXING STUDY $18.91 $63.02 $4.00–$53.57 66% below 70%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME $29.93 $99.75 $4.00–$84.79 45% below 70%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBINTIMESERIES $29.93 $99.75 $4.00–$84.79 45% below 70%
Prothrombin time (PT/INR) clotting test CPT 85610 LC-PROTHROMBIN TIME $38.66 $128.88 $4.00–$109.55 30% below 70%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 WHS-PT INR $7.88 $26.25 $18.38–$20.21 — 70%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 LC-PT MIXING STUDY $18.91 $63.02 $44.11–$48.53 — 70%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBINTIMESERIES $29.93 $99.75 $69.82–$76.81 — 70%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTIME $29.93 $99.75 $69.82–$76.81 — 70%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 LC-PROTHROMBIN TIME $38.66 $128.88 $90.22–$99.24 — 70%
Rh blood typing CPT 86901 ARC RHTYPE(REFLAB) $6.30 $21.00 $3.89–$17.88 89% below 70%
Rh blood typing CPT 86901 WHS-ANTIBODY SCREEN $15.75 $52.50 $3.89–$44.63 72% below 70%
Rh blood typing CPT 86901 BLOODTYPING RH $119.76 $399.21 $3.89–$339.33 115% above 70%
Rh blood typing CPT 86901 BLOOD TYPING SEROLOGIC RH(D) $126.00 $420.00 $3.89–$357.00 126% above 70%
Rh blood typing inpatient CPT 86901 ARC RHTYPE(REFLAB) $6.30 $21.00 $14.70–$16.17 — 70%
Rh blood typing inpatient CPT 86901 WHS-ANTIBODY SCREEN $15.75 $52.50 $36.75–$40.43 — 70%
Rh blood typing inpatient CPT 86901 BLOODTYPING RH $119.76 $399.21 $279.45–$307.39 — 70%
Rh blood typing inpatient CPT 86901 BLOOD TYPING SEROLOGIC RH(D) $126.00 $420.00 $294.00–$323.40 — 70%
Rheumatoid factor (RF) test CPT 86431 LC-RHEUMATOID FACTOR QUANT $17.55 $58.50 $5.28–$49.73 33% above 70%
Rheumatoid factor (RF) test CPT 86431 LC-RHEUMATOID FACTOR-QUANT $17.88 $59.59 $5.28–$50.65 35% above 70%
Rheumatoid factor (RF) test CPT 86431 RHEUM.ARTHRITISFACTRTITER $42.84 $142.80 $5.28–$121.38 225% above 70%
Rheumatoid factor (RF) test inpatient CPT 86431 LC-RHEUMATOID FACTOR QUANT $17.55 $58.50 $40.95–$45.05 — 70%
Rheumatoid factor (RF) test inpatient CPT 86431 LC-RHEUMATOID FACTOR-QUANT $17.88 $59.59 $41.71–$45.88 — 70%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUM.ARTHRITISFACTRTITER $42.84 $142.80 $99.96–$109.96 — 70%
Rubella antibody test (immunity check) CPT 86762 RUBELLAANTIBODY $16.38 $54.60 $13.40–$46.41 68% below 70%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLAANTIBODY $16.38 $54.60 $38.22–$42.04 — 70%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMENANAL $64.89 $216.30 $11.46–$183.86 53% below 70%
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 SEMENANAL $64.89 $216.30 $151.41–$166.55 — 70%
Sodium blood test CPT 84295 SODIUMSERUM $53.87 $179.55 $4.48–$152.62 18% below 70%
Sodium blood test inpatient CPT 84295 SODIUMSERUM $53.87 $179.55 $125.69–$138.25 — 70%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 FecalOccultBlood(FOB) $56.70 $189.00 $7.12–$160.65 16% above 70%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 FecalOccultBlood(FOB) $56.70 $189.00 $132.30–$145.53 — 70%
Syphilis antibody test (Treponema pallidum) CPT 86780 LCT pallidum Screening Cascade $7.79 $25.96 $12.33–$33.10 52% below 70%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 LCT pallidum Screening Cascade $7.79 $25.96 $18.17–$19.99 — 70%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 LC -RPRRFX QN PRP/CONFIRM TP $2.69 $8.95 $3.98–$10.67 80% below 70%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 LC -VDRLCSF(LCA) $2.94 $9.80 $3.98–$10.67 78% below 70%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 LC-RPR WITH REFLX TO RPR TITER $7.42 $24.72 $3.98–$21.01 45% below 70%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 LC -RPRRFX QN PRP/CONFIRM TP $2.69 $8.95 $6.26–$6.89 — 70%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 LC -VDRLCSF(LCA) $2.94 $9.80 $6.86–$7.55 — 70%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 LC-RPR WITH REFLX TO RPR TITER $7.42 $24.72 $17.30–$19.03 — 70%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROIDSTIMHORMONE(TSH)(SMC $12.60 $42.00 $15.64–$42.00 86% below 70%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROIDSTIMULATINGHORMO(TSH) $34.97 $116.55 $15.64–$99.07 62% below 70%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROIDSTIMHORMONE(TSH)(SMC $12.60 $42.00 $29.40–$32.34 — 70%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROIDSTIMULATINGHORMO(TSH) $34.97 $116.55 $81.59–$89.74 — 70%
Total IgE blood test CPT 82785 LC-ASSAY OF IGE $104.46 $348.20 $15.33–$295.97 66% above 70%
Total IgE blood test CPT 82785 LC-ALLERGEN PROFILE AREA 17 $208.92 $696.41 $15.33–$591.95 233% above 70%
Total IgE blood test inpatient CPT 82785 LC-ASSAY OF IGE $104.46 $348.20 $243.74–$268.11 — 70%
Total IgE blood test inpatient CPT 82785 LC-ALLERGEN PROFILE AREA 17 $208.92 $696.41 $487.49–$536.24 — 70%
Total cholesterol blood test CPT 82465 CHOLESTEROLBLOODTOTAL $31.50 $105.00 $4.05–$89.25 25% below 70%
Total cholesterol blood test inpatient CPT 82465 CHOLESTEROLBLOODTOTAL $31.50 $105.00 $73.50–$80.85 — 70%
Transferrin blood test CPT 84466 TRANSFERRIN $41.58 $138.60 $11.88–$117.81 23% below 70%
Transferrin blood test inpatient CPT 84466 TRANSFERRIN $41.58 $138.60 $97.02–$106.72 — 70%
Trichomonas test (NAAT) CPT 87661 LC-TRICHOMONAS VAG AMP PROBE $8.98 $29.92 $14.96–$74.80 91% below 70%
Trichomonas test (NAAT) CPT 87661 LC-TRICHOMON VAG AMP PRB $18.42 $61.40 $30.70–$87.73 81% below 70%
Trichomonas test (NAAT) CPT 87661 LC-TRICHOMONAS VAGINALIS AMPLI $30.54 $101.80 $32.67–$87.73 69% below 70%
Trichomonas test (NAAT) inpatient CPT 87661 LC-TRICHOMONAS VAG AMP PROBE $8.98 $29.92 $20.94–$23.04 — 70%
Trichomonas test (NAAT) inpatient CPT 87661 LC-TRICHOMON VAG AMP PRB $18.42 $61.40 $42.98–$47.28 — 70%
Trichomonas test (NAAT) inpatient CPT 87661 LC-TRICHOMONAS VAGINALIS AMPLI $30.54 $101.80 $71.26–$78.39 — 70%
Triglycerides blood test CPT 84478 TRIGLYCERIDES $57.02 $190.05 $5.34–$161.54 39% above 70%
Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDES $57.02 $190.05 $133.04–$146.34 — 70%
Troponin test, quantitative CPT 84484 TROPONIN I HIGH SENSITIVITY $9.82 $32.74 $11.61–$32.74 95% below 70%
Troponin test, quantitative CPT 84484 TROPONINI 3 $42.21 $140.70 $11.61–$119.59 76% below 70%
Troponin test, quantitative CPT 84484 TROPONINI $42.21 $140.70 $11.61–$119.59 76% below 70%
Troponin test, quantitative CPT 84484 TROPONINI 4 $42.21 $140.70 $11.61–$119.59 76% below 70%
Troponin test, quantitative CPT 84484 TROPONINI 2 $42.21 $140.70 $11.61–$119.59 76% below 70%
Troponin test, quantitative inpatient CPT 84484 TROPONIN I HIGH SENSITIVITY $9.82 $32.74 $22.92–$25.21 — 70%
Troponin test, quantitative inpatient CPT 84484 TROPONINI 4 $42.21 $140.70 $98.49–$108.34 — 70%
Troponin test, quantitative inpatient CPT 84484 TROPONINI 3 $42.21 $140.70 $98.49–$108.34 — 70%
Troponin test, quantitative inpatient CPT 84484 TROPONINI $42.21 $140.70 $98.49–$108.34 — 70%
Troponin test, quantitative inpatient CPT 84484 TROPONINI 2 $42.21 $140.70 $98.49–$108.34 — 70%
Uric acid blood test CPT 84550 LC-URIC ACID LEVELBLOOD $17.88 $59.59 $4.20–$50.65 73% below 70%
Uric acid blood test CPT 84550 URICACIDSERUM $63.00 $210.00 $4.20–$178.50 5% below 70%
Uric acid blood test inpatient CPT 84550 LC-URIC ACID LEVELBLOOD $17.88 $59.59 $41.71–$45.88 — 70%
Uric acid blood test inpatient CPT 84550 URICACIDSERUM $63.00 $210.00 $147.00–$161.70 — 70%
Urinalysis with microscope exam, automated CPT 81001 URINALYSISAUTOWITHMICRO $37.80 $126.00 $2.95–$107.10 54% below 70%
Urinalysis with microscope exam, automated CPT 81001 UADIPAUTOW/MICRO $37.80 $126.00 $2.95–$107.10 54% below 70%
Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSISAUTOWITHMICRO $37.80 $126.00 $88.20–$97.02 — 70%
Urinalysis with microscope exam, automated inpatient CPT 81001 UADIPAUTOW/MICRO $37.80 $126.00 $88.20–$97.02 — 70%
Urinalysis without microscope exam, automated CPT 81003 URINALYSISAUTOW/OMICRO $22.05 $73.50 $2.10–$62.48 61% below 70%
Urinalysis without microscope exam, automated CPT 81003 UA/CULTUREPROTOCOL $22.05 $73.50 $2.10–$62.48 61% below 70%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSISAUTOW/OMICRO $22.05 $73.50 $51.45–$56.59 — 70%
Urinalysis without microscope exam, automated inpatient CPT 81003 UA/CULTUREPROTOCOL $22.05 $73.50 $51.45–$56.59 — 70%
Urine microalbumin (albumin) test CPT 82043 MICROALBUMINURINERANDOMQNT $41.90 $139.65 $5.38–$118.70 14% above 70%
Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMINURINERANDOMQNT $41.90 $139.65 $97.76–$107.53 — 70%
Urine pregnancy test, read by color change CPT 81025 PREGNANCYURINEDIPSTICK $10.08 $33.60 $7.20–$28.56 89% below 70%
Urine pregnancy test, read by color change CPT 81025 PREGNANCYSCREENUR $10.08 $33.60 $7.20–$28.56 89% below 70%
Urine pregnancy test, read by color change inpatient CPT 81025 PREGNANCYURINEDIPSTICK $10.08 $33.60 $23.52–$25.87 — 70%
Urine pregnancy test, read by color change inpatient CPT 81025 PREGNANCYSCREENUR $10.08 $33.60 $23.52–$25.87 — 70%
Vitamin B12 (cobalamin) blood test CPT 82607 LC -VITAMINB12(CYANOCOBALAMIN) $32.13 $107.10 $14.04–$91.03 66% below 70%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 LC -VITAMINB12(CYANOCOBALAMIN) $32.13 $107.10 $74.97–$82.47 — 70%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D $23.31 $77.70 $27.56–$77.70 64% below 70%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D $23.31 $77.70 $54.39–$59.83 — 70%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 GONADOTROPINCHORIONIC QUANT $57.33 $191.10 $14.01–$162.44 68% below 70%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 GONADOTROPINCHORIONIC QUANT $57.33 $191.10 $133.77–$147.15 — 70%

Surgery and procedures

ProcedureCash priceList priceInsurers payvs CaliforniaOff list
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 CLSD TX LAT MALLE FX W/O MANIP $249.60 $831.99 $319.97–$1,107.00 53% below 70%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 CLSD TX LAT MALLE FX W/O MANIP $249.60 $831.99 $582.39–$640.63 — 70%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 CLSD TX METATARSAL FX W/O MANI $249.60 $831.99 $215.84–$1,107.00 54% below 70%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 CLSD TX METATARSAL FX W/O MANI $249.60 $831.99 $582.39–$640.63 — 70%
Cardiac catheterization with coronary angiogram CPT 93458 CL-L HRT ARTERY/VENTRICL ANGIO $9,637.80 $32,126.00 $931.28–$28,913.40 25% below 70%
Cardiac catheterization with coronary angiogram inpatient CPT 93458 CL-L HRT ARTERY/VENTRICL ANGIO $9,637.80 $32,126.00 $22,488.20–$24,737.02 — 70%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CL-CARDIOVERSION ELECTRIC EXT $1,352.40 $4,508.00 $122.24–$3,831.80 29% below 70%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION $1,554.21 $5,180.70 $122.24–$4,403.59 19% below 70%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CL-CARDIOVERSION ELECTRIC EXT $1,352.40 $4,508.00 $3,155.60–$3,471.16 — 70%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION $1,554.21 $5,180.70 $3,626.49–$3,989.14 — 70%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CLSD TX COLLES/SMTH FX W/O MAN $249.60 $831.99 $338.95–$1,107.00 55% below 70%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 CLSD TX COLLES/SMTH FX W/O MAN $249.60 $831.99 $582.39–$640.63 — 70%
Coronary stent placement, one artery CPT 92928 CL-PRQ CARD STENT W/ANGIO 1VSL $12,720.44 $42,401.48 $613.09–$36,041.26 15% below 70%
Coronary stent placement, one artery inpatient CPT 92928 CL-PRQ CARD STENT W/ANGIO 1VSL $12,720.44 $42,401.48 $29,681.04–$32,649.14 — 70%
Cystoscopy with ureteral stent placement CPT 52332 CYSTO W/INSERT URETERAL STENT $3,689.79 $12,299.31 $1,240.00–$10,454.41 51% below 70%
Cystoscopy with ureteral stent placement inpatient CPT 52332 CYSTO W/INSERT URETERAL STENT $3,689.79 $12,299.31 $8,609.52–$9,470.47 — 70%
Earwax removal by irrigation (rinsing), one ear CPT 69209 RMVL IMPACT EARWAX IRR/LAV UNI $64.74 $215.80 $151.06–$1,107.00 64% below 70%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 RMVL IMPACT EARWAX IRR/LAV UNI $64.74 $215.80 $151.06–$166.17 — 70%
Earwax removal with instruments, one ear CPT 69210 REMOVEIMPACTEDEARWAXUNI $64.74 $215.80 $34.51–$1,107.00 66% below 70%
Earwax removal with instruments, one ear inpatient CPT 69210 REMOVEIMPACTEDEARWAXUNI $64.74 $215.80 $151.06–$166.17 — 70%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 CL-NJX INTERLAMINAR CRV/THRC $731.94 $2,439.81 $521.16–$2,073.84 70% below 70%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 IR INJ THER CERV/THORACICW/IMG $731.94 $2,439.81 $521.16–$2,073.84 70% below 70%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 CL-NJX INTERLAMINAR CRV/THRC $731.94 $2,439.81 $1,707.87–$1,878.65 — 70%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 IR INJ THER CERV/THORACICW/IMG $731.94 $2,439.81 $1,707.87–$1,878.65 — 70%
Incision and drainage of a simple or single skin abscess CPT 10060 INCISION AND DRAINAGE SIMPLE $211.90 $706.32 $106.31–$600.37 55% below 70%
Incision and drainage of a simple or single skin abscess CPT 10060 I D ABSCESS SMPL/SGL $211.90 $706.32 $106.31–$1,107.00 55% below 70%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 INCISION AND DRAINAGE SIMPLE $211.90 $706.32 $494.42–$543.87 — 70%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I D ABSCESS SMPL/SGL $211.90 $706.32 $494.42–$543.87 — 70%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJECT SGL TENDON SHEATH/LIGA $313.48 $1,044.94 $43.45–$1,107.00 53% below 70%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJECT SGL TENDON SHEATH/LIGA $313.48 $1,044.94 $731.46–$804.60 — 70%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 INJECT/ASPIR MAJOR JNT W/O US $313.48 $1,044.94 $53.30–$1,107.00 67% below 70%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENTESISMAJJOINT/BURSA $327.92 $1,093.05 $52.38–$2,485.00 66% below 70%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 INJECT/ASPIR MAJOR JNT W/O US $313.48 $1,044.94 $731.46–$804.60 — 70%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHROCENTESISMAJJOINT/BURSA $327.92 $1,093.05 $765.14–$841.65 — 70%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 INJECT/ASPIR INTMED JNT W/O US $313.48 $1,044.94 $43.60–$1,107.00 48% below 70%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 INJECT/ASPIR INTMED JNT W/O US $313.48 $1,044.94 $731.46–$804.60 — 70%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 INJECT/ASPIR SM JOINT W/O US $313.48 $1,044.94 $41.45–$1,107.00 57% below 70%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 INJECT/ASPIR SM JOINT W/O US $313.48 $1,044.94 $731.46–$804.60 — 70%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INTMD RPR S/AX/TRK/EXT 2.5CM</ $422.04 $1,406.79 $169.24–$1,195.77 51% below 70%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 INTMD RPR S/AX/TRK/EXT 2.5CM</ $422.04 $1,406.79 $984.75–$1,083.23 — 70%
Left heart catheterization, diagnostic one side CPT 93452 CL-LT HRT CATH W/VENTRCLGRPHY $6,672.30 $22,241.00 $768.16–$20,016.90 33% below 70%
Left heart catheterization, diagnostic inpatient one side CPT 93452 CL-LT HRT CATH W/VENTRCLGRPHY $6,672.30 $22,241.00 $15,568.70–$17,125.57 — 70%
Lower-back epidural injection, with imaging guidance CPT 62323 CL-NJX INTERLAMINAR LMBR/SAC $731.94 $2,439.81 $521.16–$2,073.84 67% below 70%
Lower-back epidural injection, with imaging guidance CPT 62323 IR INJ THERAPEUT LUMBAR W/IMG $731.94 $2,439.81 $521.16–$2,073.84 67% below 70%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 CL-NJX INTERLAMINAR LMBR/SAC $731.94 $2,439.81 $1,707.87–$1,878.65 — 70%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 IR INJ THERAPEUT LUMBAR W/IMG $731.94 $2,439.81 $1,707.87–$1,878.65 — 70%
Nail removal (partial or complete), one nail CPT 11730 RMVL NAIL PLATE SMPL 1ST NAIL $211.90 $706.32 $53.48–$1,107.00 58% below 70%
Nail removal (partial or complete), one nail inpatient CPT 11730 RMVL NAIL PLATE SMPL 1ST NAIL $211.90 $706.32 $494.42–$543.87 — 70%
Pacemaker implant (dual chamber) CPT 33208 CL-INSRT HEART PM ATRIAL VENT $11,462.61 $38,208.70 $556.64–$32,477.39 39% below 70%
Pacemaker implant (dual chamber) inpatient CPT 33208 CL-INSRT HEART PM ATRIAL VENT $11,462.61 $38,208.70 $26,746.09–$29,420.70 — 70%
Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS DX/THER W/IMG $959.43 $3,198.11 $115.03–$2,718.39 48% below 70%
Paracentesis with imaging guidance CPT 49083 IR PARACENTESIS ABD W/IMAGE $959.43 $3,198.11 $669.64–$2,718.39 48% below 70%
Paracentesis with imaging guidance CPT 49083 USPARACENTESIS $959.43 $3,198.11 $115.03–$2,718.39 48% below 70%
Paracentesis with imaging guidance CPT 49083 CL-ABD PARACENTESIS W/IMAGING $959.43 $3,198.11 $669.64–$2,718.39 48% below 70%
Paracentesis with imaging guidance inpatient CPT 49083 USPARACENTESIS $959.43 $3,198.11 $2,238.68–$2,462.54 — 70%
Paracentesis with imaging guidance inpatient CPT 49083 IR PARACENTESIS ABD W/IMAGE $959.43 $3,198.11 $2,238.68–$2,462.54 — 70%
Paracentesis with imaging guidance inpatient CPT 49083 ABD PARACENTESIS DX/THER W/IMG $959.43 $3,198.11 $2,238.68–$2,462.54 — 70%
Paracentesis with imaging guidance inpatient CPT 49083 CL-ABD PARACENTESIS W/IMAGING $959.43 $3,198.11 $2,238.68–$2,462.54 — 70%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 RMVL INGROWN NAIL FOR PRMNT $422.04 $1,406.79 $191.90–$1,195.77 67% below 70%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 RMVL INGROWN NAIL FOR PRMNT $422.04 $1,406.79 $984.75–$1,083.23 — 70%
Removal of a foreign object under the skin, simple CPT 10120 INC RMVL FB SQ SMPL $422.04 $1,406.79 $102.84–$1,195.77 57% below 70%
Removal of a foreign object under the skin, simple inpatient CPT 10120 INC RMVL FB SQ SMPL $422.04 $1,406.79 $984.75–$1,083.23 — 70%
Short arm cast (elbow to hand) CPT 29075 APPLY CAST SHORT ARM $284.25 $947.49 $68.92–$1,107.00 43% below 70%
Short arm cast (elbow to hand) inpatient CPT 29075 APPLY CAST SHORT ARM $284.25 $947.49 $663.24–$729.57 — 70%
Short arm splint (forearm and hand) CPT 29125 APPLY SPLINT SHORT ARM STATIC $135.20 $450.67 $43.39–$1,107.00 68% below 70%
Short arm splint (forearm and hand) inpatient CPT 29125 APPLY SPLINT SHORT ARM STATIC $135.20 $450.67 $315.47–$347.02 — 70%
Short leg cast (below the knee) CPT 29405 APPLY CAST SHORT LEG $284.25 $947.49 $66.44–$1,107.00 43% below 70%
Short leg cast (below the knee) inpatient CPT 29405 APPLY CAST SHORT LEG $284.25 $947.49 $663.24–$729.57 — 70%
Short leg splint (calf to foot) CPT 29515 APPLY SPLINT SHORT LEG $166.77 $555.91 $53.89–$1,107.00 66% below 70%
Short leg splint (calf to foot) inpatient CPT 29515 APPLY SPLINT SHORT LEG $166.77 $555.91 $389.14–$428.05 — 70%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SMPL RPR S/N/AX/GEN/TR 2.5CM/< $211.90 $706.32 $52.34–$1,107.00 62% below 70%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 SMPL RPR S/N/AX/GEN/TR 2.5CM/< $211.90 $706.32 $494.42–$543.87 — 70%
Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCTURE LUM DX W/O IMG $731.94 $2,439.81 $81.81–$2,073.84 45% below 70%
Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE ASSIST $731.94 $2,439.81 $521.16–$2,073.84 45% below 70%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL PUNCTURE LUM DX W/O IMG $731.94 $2,439.81 $1,707.87–$1,878.65 — 70%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 LUMBAR PUNCTURE ASSIST $731.94 $2,439.81 $1,707.87–$1,878.65 — 70%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SMPL RPR S/N/AX/G/TR 2.6-7.5CM $211.90 $706.32 $67.52–$1,107.00 72% below 70%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 SMPL RPR S/N/AX/G/TR 2.6-7.5CM $211.90 $706.32 $494.42–$543.87 — 70%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SMPL RPR FACE/EARS 2.5CM/< $211.90 $706.32 $63.35–$1,107.00 68% below 70%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 SMPL RPR FACE/EARS 2.5CM/< $211.90 $706.32 $494.42–$543.87 — 70%
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W/IMAG GUID $664.90 $2,216.34 $1,107.00–$1,883.89 67% below 70%
Thoracentesis with imaging guidance CPT 32555 IR THORAENTESIS W IMAGE $664.90 $2,216.34 $463.48–$2,000.00 67% below 70%
Thoracentesis with imaging guidance CPT 32555 CL-ASPIRATE PLEURA W/ IMAGING $664.90 $2,216.34 $463.48–$2,000.00 67% below 70%
Thoracentesis with imaging guidance inpatient CPT 32555 CL-ASPIRATE PLEURA W/ IMAGING $664.90 $2,216.34 $1,551.44–$1,706.58 — 70%
Thoracentesis with imaging guidance inpatient CPT 32555 IR THORAENTESIS W IMAGE $664.90 $2,216.34 $1,551.44–$1,706.58 — 70%
Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS W/IMAG GUID $664.90 $2,216.34 $1,551.44–$1,706.58 — 70%
Trigger point injections, 1 or 2 muscles CPT 20552 INJECT TRIGGER POINTS 1-2 MUSC $313.48 $1,044.94 $39.72–$1,107.00 51% below 70%
Trigger point injections, 1 or 2 muscles CPT 20552 IR INJECTION MUSCLE 1-2 POINTS $313.48 $1,044.94 $37.93–$2,000.00 51% below 70%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJECT TRIGGER POINTS 1-2 MUSC $313.48 $1,044.94 $731.46–$804.60 — 70%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 IR INJECTION MUSCLE 1-2 POINTS $313.48 $1,044.94 $731.46–$804.60 — 70%
Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 IR BXBREAST 1STLESION W US RT $1,715.99 $5,719.98 $998.09–$4,861.98 47% below 70%
Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 IR BXBREAST 1STLESION W US LT $1,715.99 $5,719.98 $998.09–$4,861.98 47% below 70%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 IR BXBREAST 1STLESION W US RT $1,715.99 $5,719.98 $4,003.99–$4,404.38 — 70%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 IR BXBREAST 1STLESION W US LT $1,715.99 $5,719.98 $4,003.99–$4,404.38 — 70%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDESUBCUT1ST20SQCMORLESS $422.04 $1,406.79 $63.72–$1,195.77 38% below 70%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDE SQ TISSUE 1ST 20 SQ CM $422.04 $1,406.79 $63.72–$1,195.77 38% below 70%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDE SQ TISSUE 1ST 20 SQ CM $422.04 $1,406.79 $984.75–$1,083.23 — 70%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDESUBCUT1ST20SQCMORLESS $422.04 $1,406.79 $984.75–$1,083.23 — 70%

Doctor visits and therapy

ProcedureCash priceList priceInsurers payvs CaliforniaOff list
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSIONBLOODORBLDCOMP $459.46 $1,531.54 $43.40–$1,301.81 47% below 70%
Blood transfusion (giving blood or blood components) CPT 36430 INFUSIONBLOODOFBLDCOMP $459.46 $1,531.54 $43.40–$1,301.81 47% below 70%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSIONBLOODORBLDCOMP $459.46 $1,531.54 $1,072.08–$1,179.29 — 70%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 INFUSIONBLOODOFBLDCOMP $459.46 $1,531.54 $1,072.08–$1,179.29 — 70%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HHNTXINITIAL $259.18 $863.94 $22.21–$734.35 20% below 70%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 METEREDDOSESUBSEQUENTTX $259.18 $863.94 $22.21–$734.35 20% below 70%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HHNTXINITIAL $259.18 $863.94 $604.76–$665.23 — 70%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 METEREDDOSESUBSEQUENTTX $259.18 $863.94 $604.76–$665.23 — 70%
Chemotherapy IV infusion, first hour CPT 96413 CHEMOINFUSIONINITIAL1STHR $358.45 $1,194.84 $180.92–$1,015.61 59% below 70%
Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMOINFUSIONINITIAL1STHR $358.45 $1,194.84 $836.39–$920.03 — 70%
Critical care, first 30 to 74 minutes CPT 99291 CATEGORYVIFIRST3074MIN $1,419.71 $4,732.35 $1,107.00–$4,022.50 74% below 70%
Critical care, first 30 to 74 minutes inpatient CPT 99291 CATEGORYVIFIRST3074MIN $1,419.71 $4,732.35 $3,312.65–$3,643.91 — 70%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 CL MERGE CATH PROCEDURE $64.74 $215.80 $10.78–$183.43 81% below 70%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ROUTINEEKGED $207.59 $691.95 $10.78–$588.16 39% below 70%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG12LEADTRACING $207.59 $691.95 $10.78–$588.16 39% below 70%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ROUTINEEKG $207.59 $691.95 $10.78–$588.16 39% below 70%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 CL MERGE CATH PROCEDURE $64.74 $215.80 $151.06–$166.17 — 70%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ROUTINEEKGED $207.59 $691.95 $484.37–$532.80 — 70%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG12LEADTRACING $207.59 $691.95 $484.37–$532.80 — 70%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ROUTINEEKG $207.59 $691.95 $484.37–$532.80 — 70%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 CATEGORYI $214.83 $716.10 $501.27–$1,107.00 49% below 70%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 CATEGORYI $214.83 $716.10 $501.27–$551.40 — 70%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 CATEGORYII $356.90 $1,189.65 $700.00–$1,107.00 59% below 70%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 CATEGORYII $356.90 $1,189.65 $832.76–$916.03 — 70%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 CATEGORYIII $519.75 $1,732.50 $1,212.75–$1,685.00 65% below 70%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 CATEGORYIII $519.75 $1,732.50 $1,212.75–$1,334.03 — 70%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 CATEGORYIV $822.47 $2,741.55 $1,685.00–$2,330.32 70% below 70%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 CATEGORYIV $822.47 $2,741.55 $1,919.09–$2,110.99 — 70%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 CATEGORYV $1,272.60 $4,242.00 $1,900.00–$3,605.70 64% below 70%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 CATEGORYV $1,272.60 $4,242.00 $2,969.40–$3,266.34 — 70%
Exercise stress test, tracing only, the hospital charge CPT 93017 CA THALLIUM TREADMILL $703.08 $2,343.60 $44.58–$1,992.06 50% below 70%
Exercise stress test, tracing only, the hospital charge CPT 93017 THALLIUM STRESS TEST $703.08 $2,343.60 $44.58–$1,992.06 50% below 70%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 THALLIUM STRESS TEST $703.08 $2,343.60 $1,640.52–$1,804.57 — 70%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 CA THALLIUM TREADMILL $703.08 $2,343.60 $1,640.52–$1,804.57 — 70%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IVHYDRATION3160MININITIAL $226.86 $756.20 $70.40–$1,107.00 54% below 70%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IVHYDRATION3160INITIAL $226.86 $756.20 $58.89–$756.20 54% below 70%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IVHYDRATION3160INITIAL $226.86 $756.20 $529.34–$582.27 — 70%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IVHYDRATION3160MININITIAL $226.86 $756.20 $529.34–$582.27 — 70%
IV infusion of a medicine, first hour CPT 96365 IVINFTX/PRO/DXINITIALHR $387.14 $1,290.45 $89.53–$1,107.00 34% below 70%
IV infusion of a medicine, first hour CPT 96365 IVINFTX/PRO/DXINITIAL1HR $387.14 $1,290.45 $89.53–$1,290.45 34% below 70%
IV infusion of a medicine, first hour CPT 96365 IVINFTXDXUPTO1HR $387.14 $1,290.45 $89.53–$1,290.45 34% below 70%
IV infusion of a medicine, first hour CPT 96365 IV INFUSION THX/PX/DX FS HR $387.14 $1,290.45 $89.53–$1,290.45 34% below 70%
IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION THX/PX/DX FS HR $387.14 $1,290.45 $903.32–$993.65 — 70%
IV infusion of a medicine, first hour inpatient CPT 96365 IVINFTX/PRO/DXINITIAL1HR $387.14 $1,290.45 $903.32–$993.65 — 70%
IV infusion of a medicine, first hour inpatient CPT 96365 IVINFTXDXUPTO1HR $387.14 $1,290.45 $903.32–$993.65 — 70%
IV infusion of a medicine, first hour inpatient CPT 96365 IVINFTX/PRO/DXINITIALHR $387.14 $1,290.45 $903.32–$993.65 — 70%
IV push of a medicine, first drug CPT 96374 IVINJPUSHINITIALDRUG $226.86 $756.20 $58.33–$756.20 36% below 70%
IV push of a medicine, first drug CPT 96374 THER/PROPH/DIAGINJIVPUSH INT $226.86 $756.20 $58.33–$756.20 36% below 70%
IV push of a medicine, first drug CPT 96374 IVP INITIAL<15 MIN $226.86 $756.20 $68.59–$1,107.00 36% below 70%
IV push of a medicine, first drug CPT 96374 IVPINJECTIONINITIAL $226.86 $756.20 $58.33–$756.20 36% below 70%
IV push of a medicine, first drug inpatient CPT 96374 IVP INITIAL<15 MIN $226.86 $756.20 $529.34–$582.27 — 70%
IV push of a medicine, first drug inpatient CPT 96374 THER/PROPH/DIAGINJIVPUSH INT $226.86 $756.20 $529.34–$582.27 — 70%
IV push of a medicine, first drug inpatient CPT 96374 IVPINJECTIONINITIAL $226.86 $756.20 $529.34–$582.27 — 70%
IV push of a medicine, first drug inpatient CPT 96374 IVINJPUSHINITIALDRUG $226.86 $756.20 $529.34–$582.27 — 70%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM INJECTION $74.56 $248.54 $24.95–$7,000.00 58% below 70%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM/SQ INJECTION $74.56 $248.54 $24.95–$435.00 58% below 70%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM/SQINJECTION $74.56 $248.54 $29.00–$1,107.00 58% below 70%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 IM INJECTION $74.56 $248.54 $173.98–$191.38 — 70%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 IM/SQ INJECTION $74.56 $248.54 $173.98–$191.38 — 70%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 IM/SQINJECTION $74.56 $248.54 $173.98–$191.38 — 70%
Speech and language evaluation CPT 92523 SPEECHEVALORREEVAL $291.06 $970.20 $184.00–$824.67 36% below 70%
Speech and language evaluation inpatient CPT 92523 SPEECHEVALORREEVAL $291.06 $970.20 $679.14–$747.05 — 70%
Spirometry (breathing test) CPT 94010 PFTSCREENINGSPIROMETRY $165.33 $551.10 $35.19–$468.44 57% below 70%
Spirometry (breathing test) inpatient CPT 94010 PFTSCREENINGSPIROMETRY $165.33 $551.10 $385.77–$424.35 — 70%
Spirometry before and after a bronchodilator CPT 94060 PFTSPIROMETRY/A PBRONCHO $332.21 $1,107.37 $61.12–$941.26 58% below 70%
Spirometry before and after a bronchodilator inpatient CPT 94060 PFTSPIROMETRY/A PBRONCHO $332.21 $1,107.37 $775.16–$852.67 — 70%

Vaccines

ProcedureCash priceList priceInsurers payvs CaliforniaOff list
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITISB(PEDI)VACC10MCGINJ $8.30 $27.67 $9.78–$27.67 86% below 70%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITISB(PEDI)VACC10MCGINJ $8.30 $27.67 $8.30–$21.31 — 70%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLESMUMPSRUBELLAVACCINE $27.07 $90.24 $27.07–$76.70 81% below 70%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLESMUMPSRUBELLAVACCINE $27.07 $90.24 $27.07–$69.48 — 70%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCALVACCINE23VAL $35.12 $117.08 $41.42–$117.08 78% below 70%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCALVACCINE23VAL $35.12 $117.08 $35.12–$90.15 — 70%
Rabies vaccine, one dose CPT 90675 RABIESVAC(RABAVERT)PRE/POST $113.71 $379.04 $189.52–$338.93 84% below 70%
Rabies vaccine, one dose CPT 90675 RABIESVACCINEINJ2.5UNIT $130.14 $433.81 $201.82–$368.74 82% below 70%
Rabies vaccine, one dose inpatient CPT 90675 RABIESVAC(RABAVERT)PRE/POST $113.71 $379.04 $113.71–$291.86 — 70%
Rabies vaccine, one dose inpatient CPT 90675 RABIESVACCINEINJ2.5UNIT $130.14 $433.81 $130.14–$334.03 — 70%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIP/PER(ACEL)TETVAC0.5ML $13.54 $45.14 $13.54–$42.07 88% below 70%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIP/PER(ACEL)TETVAC0.5ML $13.54 $45.14 $13.54–$34.76 — 70%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 INJ VACCINE INT $74.56 $248.54 $24.95–$211.26 29% below 70%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATIONADMINISTRATION $74.56 $248.54 $24.95–$211.26 29% below 70%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATIONADMINISTRATION $74.56 $248.54 $173.98–$191.38 — 70%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 INJ VACCINE INT $74.56 $248.54 $173.98–$191.38 — 70%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNADMINEAADDVACCINE $42.54 $141.80 $13.60–$120.53 47% below 70%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 INJ VACCINE EACH ADDIT $42.54 $141.80 $13.60–$120.53 47% below 70%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 INJ VACCINE EACH ADDIT $42.54 $141.80 $99.26–$109.19 — 70%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUNADMINEAADDVACCINE $42.54 $141.80 $99.26–$109.19 — 70%
Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.
Off list How much lower the cash price is than the list price.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.

Source file: https://strosehospital.org/wp-content/uploads/2026/02/941668344_hayward-sisters-hospital-_standardcharges.csv