Hospital

County of Meeker

County of Meeker in Litchfield, MN publishes cash prices for 328 common procedures listed here, from its own machine-readable price file updated Dec 28, 2025. Compared with other hospitals in the state, its outpatient cash prices are below the Minnesota median for 283 of 326 procedures and above it for 39. By typical cash price it ranks #15 of 79 Minnesota hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

612 South Sibley Avenue, Litchfield, MN 55355 Collected Sep 27, 2026 Source price file (320) 693-4500

Critical access hospital (rural, 25 beds or fewer) Emergency department CCN 241366 · CMS hospital register

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Minnesota	Off list
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 NON-INVASIVE STUDIES UPPER OR LOWER EXTREMITY ARTERIES SINGLE LE	$155.52	$243.00	$111.78–$235.71	58% below	36%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US DOP ANKLE BRACHIAL INDEX	$382.72	$598.00	$275.08–$580.06	3% above	36%
Barium swallow (esophagus X-ray with contrast) CPT 74220 XR ESOPHAGRAM BARIUM	$293.12	$458.00	$210.68–$444.26	at median	36%
Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE SCAN WHOLE BODY	$946.56	$1,479.00	$680.34–$1,434.63	23% below	36%
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST UNILATERAL COMPLETE	$348.80	$545.00	$250.70–$528.65	8% below	36%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST UNILATERAL LIMITED	$303.36	$474.00	$218.04–$459.78	4% below	36%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA PULMONARY EMBOLISM STUDY	$845.44	$1,321.00	$607.66–$1,281.37	49% below	36%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST	$944.00	$1,475.00	$678.50–$1,430.75	43% below	36%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD AND PELVIS WITHOUT IV CONTRAST	$1,073.92	$1,678.00	$771.88–$1,627.66	44% below	36%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD AND PELVIS WITH IV CONTRAST	$1,473.28	$2,302.00	$1,058.92–$2,232.94	40% below	36%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD AND PELVIS WO W IV CONTRAST	$1,576.96	$2,464.00	$1,133.44–$2,390.08	39% below	36%
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W IV CONTRAST	$846.72	$1,323.00	$608.58–$1,283.31	42% below	36%
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN ROUTINE WO IV CONTRAST	$655.36	$1,024.00	$471.04–$993.28	44% below	36%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT SINUS WO IV CONTRAST	$912.64	$1,426.00	$655.96–$1,383.22	27% below	36%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT FACIAL BONES WO IV CONTRAST	$912.64	$1,426.00	$655.96–$1,383.22	27% below	36%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD ROUTINE WO IV CONTRAST	$761.60	$1,190.00	$547.40–$1,154.30	39% below	36%
CT scan of the head with contrast CPT 70460 CT HEAD W IV CONTRAST	$1,081.60	$1,690.00	$777.40–$1,639.30	17% below	36%
CT scan of the head without and with contrast CPT 70470 CT HEAD WO W IV CONTRAST	$1,107.84	$1,731.00	$796.26–$1,679.07	30% below	36%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR SPINE ROUTINE WITHOUT CONTRAST	$912.64	$1,426.00	$655.96–$1,383.22	33% below	36%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT CERVICAL SPINE ROUTINE WITHOUT CONTRAST	$932.48	$1,457.00	$670.22–$1,413.29	31% below	36%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W IV CONTRAST	$912.00	$1,425.00	$655.50–$1,382.25	38% below	36%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 US CAROTID BILATERAL ROUTINE	$611.20	$955.00	$439.30–$926.35	—	36%
Chest X-ray, 2 views CPT 71046 XR CHEST PA AND LAT	$128.00	$200.00	$92.00–$194.00	45% below	36%
Chest X-ray, single view CPT 71045 XR CHEST LAT ONLY	$128.00	$200.00	$92.00–$194.00	28% below	36%
Chest X-ray, single view CPT 71045 XR CHEST DECUBITUS	$128.00	$200.00	$92.00–$194.00	28% below	36%
Chest X-ray, single view CPT 71045 XR CHEST ONE VIEW	$128.00	$200.00	$92.00–$194.00	28% below	36%
Chest X-ray, single view CPT 71045 XR CHEST APICAL LORDOTIC	$128.00	$200.00	$92.00–$194.00	28% below	36%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RENAL BIL	$428.80	$670.00	$308.20–$649.90	18% below	36%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DEXA HIP AND SPINE	$118.40	$185.00	$85.10–$179.45	62% below	36%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DEXA FOREARM	$85.12	$133.00	$61.18–$129.01	56% below	36%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST WO IV CONTRAST	$752.00	$1,175.00	$540.50–$1,139.75	40% below	36%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST HIGH RESOL WO IV CONTRAST	$888.32	$1,388.00	$638.48–$1,346.36	29% below	36%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT PULMONARY EMBOLI W IV CONTRAST	$840.32	$1,313.00	$603.98–$1,273.61	44% below	36%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W IV CONTRAST	$969.60	$1,515.00	$696.90–$1,469.55	35% below	36%
Diagnostic mammogram, both breasts CPT 77066 MAMMO DIAG BIL	$343.04	$536.00	$246.56–$519.92	7% above	36%
Diagnostic mammogram, one breast CPT 77065 MAMMO DIAG POST CLIP OR WIRE PLACEMENT	$279.68	$437.00	$201.02–$423.89	10% below	36%
Diagnostic mammogram, one breast CPT 77065 MAMMO DIAG UNI	$279.68	$437.00	$201.02–$423.89	10% below	36%
Diagnostic mammogram, one breast CPT 77065 MAMMO DIAG W IMPLANTS UNI	$279.68	$437.00	$201.02–$423.89	10% below	36%
Duplex ultrasound of the leg arteries, both legs CPT 93925 US DOP ARTERY LEG BIL	$691.84	$1,081.00	$497.26–$1,048.57	14% below	36%
Duplex ultrasound of the leg veins, both legs CPT 93970 US DOP VEIN COMPETENCE STUDY BIL	$740.48	$1,157.00	$532.22–$1,122.29	17% below	36%
Duplex ultrasound of the leg veins, both legs CPT 93970 US DOP VEIN LEG BIL	$740.48	$1,157.00	$532.22–$1,122.29	17% below	36%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 COMPLETE ECHO (2D/C/D)	$960.00	$1,500.00	$690.00–$1,455.00	24% below	36%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHOCARDIOGRAM, PEDIATRIC	$1,024.00	$1,600.00	$736.00–$1,552.00	19% below	36%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM HEPATOBILIARY SCAN	$862.08	$1,347.00	$619.62–$1,306.59	36% below	36%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLEEP STUDY, UNATTENDED	$515.20	$805.00	$370.30–$780.85	16% below	36%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLY/SPLIT	$2,677.12	$4,183.00	$1,924.18–$4,057.51	23% below	36%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABD LTD	$360.96	$564.00	$259.44–$547.08	14% below	36%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT LUNG CANCER SCREENING	$665.60	$1,040.00	$408.30–$1,008.80	15% above	36%
MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN ROUTINE WO CONTRAST	$1,452.80	$2,270.00	$1,044.20–$2,201.90	33% below	36%
MRI of the abdomen without contrast CPT 74181 MRI MRCP WITHOUT CONTRAST	$1,452.80	$2,270.00	$1,044.20–$2,201.90	33% below	36%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN WO W CONTRAST	$2,163.20	$3,380.00	$1,554.80–$3,278.60	27% below	36%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI PANCREAS MRCP WO W CONTRAST	$2,163.20	$3,380.00	$1,554.80–$3,278.60	27% below	36%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI LIVER WITHOUT AND WITH CONTRAST	$2,163.20	$3,380.00	$1,554.80–$3,278.60	27% below	36%
MRI of the brain, no contrast dye CPT 70551 MRI HEAD ROUTINE WO CONTRAST	$1,229.44	$1,921.00	$883.66–$1,863.37	40% below	36%
MRI of the brain, with and without contrast dye CPT 70553 MRI HEAD WO W CONTRAST	$1,744.00	$2,725.00	$1,253.50–$2,643.25	35% below	36%
MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR SPINE ROUTINE WO CONTRAST	$1,373.44	$2,146.00	$987.16–$2,081.62	34% below	36%
MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR SPINE LIMITED	$1,373.44	$2,146.00	$987.16–$2,081.62	34% below	36%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI LUMBAR SPINE WO W CONTRAST	$1,989.76	$3,109.00	$1,430.14–$3,015.73	22% below	36%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI THORACIC SPINE ROUTINE WO CONTRAST	$1,306.88	$2,042.00	$939.32–$1,980.74	38% below	36%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI CERVICAL SPINE WO W CONTRAST	$1,802.88	$2,817.00	$1,295.82–$2,732.49	28% below	36%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI CERVICAL SPINE ROUTINE WO CONTRAST	$1,336.32	$2,088.00	$960.48–$2,025.36	37% below	36%
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS WO W CONTRAST	$1,796.48	$2,807.00	$1,291.22–$2,722.79	32% below	36%
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS LIMITED WITHOUT CONTRAST	$1,551.36	$2,424.00	$1,115.04–$2,351.28	27% below	36%
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS ROUTINE WO CONTRAST	$1,551.36	$2,424.00	$1,115.04–$2,351.28	27% below	36%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 MYOCARDIAL PERFUSION SCAN SPECT MULTIPLE	$2,264.96	$3,539.00	$1,627.94–$3,432.83	20% below	36%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US BLADDER	$263.04	$411.00	$189.06–$398.67	14% below	36%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC LTD NON OB	$263.04	$411.00	$189.06–$398.67	14% below	36%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC NON OB	$407.68	$637.00	$293.02–$617.89	13% below	36%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB OVER 14 WKS COMP	$471.68	$737.00	$339.02–$714.89	1% below	36%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB UNDER 14 WKS COMP	$333.44	$521.00	$239.66–$505.37	20% below	36%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB LTD	$330.88	$517.00	$237.82–$501.49	3% above	36%
Screening mammogram, both breasts CPT 77067 MAMMO SCREEN BIL	$294.40	$460.00	$230.00–$446.20	13% below	36%
Screening mammogram, both breasts CPT 77067 MAMMO SCREEN W IMPLANTS BIL	$307.20	$480.00	$240.00–$465.60	9% below	36%
Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNOGRAPHY	$2,555.52	$3,993.00	$1,836.78–$3,873.21	17% below	36%
Swallow study (modified barium swallow, video X-ray) CPT 74230 XR VIDEO SWALLOW EVAL	$382.08	$597.00	$274.62–$579.09	29% above	36%
Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL NON OB	$358.40	$560.00	$257.60–$543.20	8% below	36%
Transvaginal ultrasound during pregnancy CPT 76817 US OB TRANSVAGINAL	$347.52	$543.00	$249.78–$526.71	4% above	36%
Ultrasound of the abdomen, complete CPT 76700 US ABD COMPLETE	$456.32	$713.00	$327.98–$691.61	22% below	36%
Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM	$353.92	$553.00	$254.38–$536.41	23% below	36%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US THYROID	$373.12	$583.00	$268.18–$565.51	18% below	36%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US HEAD NECK SOFT TISSUE	$373.12	$583.00	$268.18–$565.51	18% below	36%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR UPPER GI	$300.16	$469.00	$215.74–$454.93	6% below	36%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR UPPER GI AND ESOPHAGRAM	$424.96	$664.00	$305.44–$644.08	33% above	36%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 US DOP VEIN COMPETENCE STUDY UNI	$548.48	$857.00	$394.22–$831.29	at median	36%
X-ray of the abdomen, 1 view CPT 74018 XR KIDNEYS URETERS AND BLADDER	$138.88	$217.00	$99.82–$210.49	34% below	36%
X-ray of the abdomen, 1 view CPT 74018 XR ABDOMEN ONE VIEW	$138.88	$217.00	$99.82–$210.49	34% below	36%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR LUMBAR SPINE 2 OR 3 VIEWS	$136.96	$214.00	$98.44–$207.58	48% below	36%
X-ray of the lower back, 4 or more views CPT 72110 XR LUMBAR SPINE W OBLIQ 4 OR MORE VIEWS	$144.00	$225.00	$103.50–$218.25	58% below	36%
X-ray of the lower back, 4 or more views CPT 72110 XR LUMBAR SPINE 4 VIEWS	$144.00	$225.00	$103.50–$218.25	58% below	36%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR THORACIC SPINE AP AND LAT	$89.60	$140.00	$64.40–$135.80	64% below	36%
X-ray of the nasal bones, 3 or more views CPT 70160 XR NASAL BONES	$154.88	$242.00	$111.32–$234.74	29% below	36%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR CERVICAL SPINE 2 OR 3 VIEWS	$148.48	$232.00	$106.72–$225.04	40% below	36%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR CERVICAL SPINE FLEX AND EXT ONLY 2 OR 3 VIEWS	$148.48	$232.00	$106.72–$225.04	40% below	36%
X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS ROUTINE 1 OR 2 VIEWS	$145.92	$228.00	$104.88–$221.16	27% below	36%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR SACRUM AND OR COCCYX	$119.04	$186.00	$85.56–$180.42	48% below	36%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Minnesota	Off list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALANINE AMINOTRANSFERASE (ALT)	$24.96	$39.00	$17.94–$37.83	45% below	36%
AST (aspartate aminotransferase) enzyme test CPT 84450 ASPARTIMINE AMINOTRANSFERASE (AST)	$29.44	$46.00	$21.16–$44.62	34% below	36%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS PANEL, ACUTE	$119.68	$187.00	$86.02–$181.39	49% below	36%
Allergy blood test, specific IgE, per allergen CPT 86003 ORCHARD GRASS, IGE	$38.40	$60.00	$27.60–$58.20	153% above	36%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULLINATED PEPTIDE	$37.76	$59.00	$27.14–$57.23	10% below	36%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR AB SCREEN	$44.16	$69.00	$31.74–$66.93	2% below	36%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NT PRO B-TYPE NATRIURETIC PEPTIDE	$75.52	$118.00	$54.28–$114.46	44% below	36%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE B	$83.20	$130.00	$59.80–$126.10	38% below	36%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL	$51.20	$80.00	$36.80–$77.60	43% below	36%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 LEVEL IV - SURGICAL PATHOLOGY, GROSS AND MICROSCOPIC EXAMINATION	$138.24	$216.00	$99.36–$209.52	32% above	36%
Blood culture for bacteria CPT 87040 BLOOD CULTURE	$99.84	$156.00	$71.76–$151.32	9% below	36%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 ROUTINE VENIPUNCTURE (RHC)	$18.56	$29.00	$13.34–$28.13	11% below	36%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE	$18.56	$29.00	$13.34–$28.13	11% below	36%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLLECTION OF VENOUS BLOOD BY VENIPUNCTURE	$18.56	$29.00	$13.34–$28.13	11% below	36%
Blood glucose (sugar) test CPT 82947 GLUCOSE	$21.12	$33.00	$15.18–$32.01	52% below	36%
Blood lead test CPT 83655 LEAD	$58.88	$92.00	$42.32–$89.24	89% above	36%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG, QUALITATIVE, SERUM	$32.00	$50.00	$23.00–$48.50	54% below	36%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING, SEROLOGIC; ABO (BB)	$31.36	$49.00	$22.54–$47.53	41% below	36%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C REACTIVE PROTEIN, INFLAMMATORY	$47.36	$74.00	$34.04–$71.78	13% below	36%
C. difficile toxin gene test (stool PCR) CPT 87493 CLOSTRIDIUM DIFFICILE, PCR	$114.56	$179.00	$82.34–$173.63	14% below	36%
CA-125 blood test (ovarian cancer marker) CPT 86304 CANCER AG 125	$55.04	$86.00	$39.56–$83.42	46% below	36%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19/SARS-COV2, NAAT	$118.40	$185.00	$85.10–$179.45	1% below	36%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS AND NEISSERIA GONORRHOEAE, GENITAL AND URI	$89.60	$140.00	$64.40–$135.80	5% below	36%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL	$47.36	$74.00	$34.04–$71.78	49% below	36%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL WITH DIRECT LDL	$53.76	$84.00	$38.64–$81.48	42% below	36%
Complete blood count (CBC) with differential CPT 85025 CBC WITH DIFFERENTIAL AND PLATELET COUNT	$64.00	$100.00	$46.00–$97.00	23% below	36%
Complete blood count (CBC), no differential CPT 85027 HEMOGRAM WITH PLATELET COUNT	$51.20	$80.00	$36.80–$77.60	22% below	36%
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL	$76.80	$120.00	$55.20–$116.40	19% below	36%
D-dimer blood test (blood clot marker) CPT 85379 D DIMER	$61.44	$96.00	$44.16–$93.12	38% below	36%
Estradiol blood test CPT 82670 ESTRADIOL; TOTAL	$54.40	$85.00	$39.10–$82.45	18% below	36%
FSH (follicle-stimulating hormone) test CPT 83001 FOLLICLE STIMULATING	$58.24	$91.00	$41.86–$88.27	18% below	36%
Ferritin blood test (iron stores) CPT 82728 FERRITIN	$73.60	$115.00	$52.90–$111.55	18% below	36%
Folate (folic acid) blood test CPT 82746 FOLATE	$52.48	$82.00	$37.72–$79.54	34% below	36%
Free T3 thyroid hormone test CPT 84481 TRIIODOTHYRONINE (T3) FREE	$51.84	$81.00	$37.26–$78.57	49% below	36%
Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE (T4) FREE	$37.12	$58.00	$26.68–$56.26	46% below	36%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL	$59.52	$93.00	$42.78–$90.21	76% below	36%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE; POST GLUCOSE DOSE (INCLUDES GLUCOSE)	$36.48	$57.00	$26.22–$55.29	13% below	36%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE; TOLERANCE TEST (GTT), 3 SPECIMENS (INCLUDES GLUCOSE)	$59.52	$93.00	$42.78–$90.21	38% below	36%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONORRHOEAE, NAAT	$73.60	$115.00	$52.90–$111.55	13% below	36%
H. pylori stool antigen test CPT 87338 HELICOBACTER PYLORI AG, STOOL	$87.68	$137.00	$63.02–$132.89	19% below	36%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 1/2 AB/HIV 1/2 AG	$48.64	$76.00	$34.96–$73.72	23% below	36%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C	$36.48	$57.00	$26.22–$55.29	37% below	36%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B VIRUS SURFACE AB	$34.56	$54.00	$24.84–$52.38	47% below	36%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B VIRUS SURFACE AG	$44.80	$70.00	$32.20–$67.90	16% below	36%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C VIRUS AB	$51.84	$81.00	$37.26–$78.57	35% below	36%
Herpes blood test, HSV-1 antibody CPT 86695 ANTIBODY; HERPES SIMPLEX TYPE 1	$20.48	$32.00	$14.72–$31.04	56% below	36%
Herpes blood test, HSV-2 antibody CPT 86696 ANTIBODY; HERPES SIMPLEX TYPE 2	$16.64	$26.00	$11.96–$25.22	71% below	36%
High-sensitivity CRP (hs-CRP) test CPT 86141 C REACTIVE PROTEIN, CARDIAC HIGH SENSITIVITY	$44.16	$69.00	$31.74–$66.93	38% below	36%
Insulin blood test CPT 83525 INSULIN	$53.12	$83.00	$38.18–$80.51	3% below	36%
Iron blood test (serum iron) CPT 83540 IRON	$28.16	$44.00	$20.24–$42.68	45% below	36%
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY	$33.92	$53.00	$24.38–$51.41	48% below	36%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL	$42.88	$67.00	$30.82–$64.99	59% below	36%
LH (luteinizing hormone) test CPT 83002 LUTROPIN (LH)	$81.28	$127.00	$58.42–$123.19	at median	36%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE, BODY FLUID	$45.44	$71.00	$32.66–$68.87	23% below	36%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE	$45.44	$71.00	$32.66–$68.87	23% below	36%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL	$49.92	$78.00	$35.88–$75.66	51% below	36%
Lyme disease antibody test CPT 86618 BORRELIA BURGDORFERI SEROLOGY, EVALUATION WITH REFLEX	$54.40	$85.00	$39.10–$82.45	16% below	36%
Magnesium blood test CPT 83735 MAGNESIUM	$38.40	$60.00	$27.60–$58.20	23% above	36%
Magnesium blood test CPT 83735 MAGNESIUM, URINE, 24 HR	$55.04	$86.00	$39.56–$83.42	76% above	36%
Measles (rubeola) antibody test CPT 86765 MEASLES VIRUS IGG AB	$29.44	$46.00	$21.16–$44.62	19% below	36%
Mono test (heterophile antibody, Monospot) CPT 86308 INFECTIOUS MONONUCLEOSIS SCREEN	$30.72	$48.00	$22.08–$46.56	40% below	36%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA, SCREENING	$48.64	$76.00	$34.96–$73.72	40% below	36%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA, DIAGNOSTIC	$53.12	$83.00	$38.18–$80.51	34% below	36%
Pap test (liquid-based, automated screening with review) CPT 88175 CYTOPATHOLOGY, CERVICAL OR VAGINAL, PRESERVE FLD, THIN PREP; AU	$96.64	$151.00	$69.46–$146.47	13% above	36%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CYTOPATHOLOGY, CERVICAL OR VAGINAL, PRESERVE FLD, THIN PREP; MA	$48.00	$75.00	$34.50–$72.75	38% below	36%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHYRIN INTACT	$94.72	$148.00	$68.08–$143.56	19% below	36%
Partial thromboplastin time (PTT) clotting test CPT 85730 ACTIVATED PARTIAL THROMBOPLASTIN TIME (APTT)	$40.96	$64.00	$29.44–$62.08	30% below	36%
Progesterone blood test CPT 84144 PROGESTERONE	$37.76	$59.00	$27.14–$57.23	53% below	36%
Prolactin blood test CPT 84146 PROLACTIN	$47.36	$74.00	$34.04–$71.78	27% below	36%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME (RHC)	$26.88	$42.00	$19.32–$40.74	11% below	36%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME;	$26.88	$42.00	$19.32–$40.74	11% below	36%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME/INR (PBB)	$26.88	$42.00	$19.32–$40.74	11% below	36%
Prothrombin time (PT/INR) clotting test CPT 85610 ANTI COAG PROTHROMBIN TIM	$26.88	$42.00	$19.32–$40.74	11% below	36%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME	$26.88	$42.00	$19.32–$40.74	11% below	36%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME/INR (REFLEX ONLY)	$41.60	$65.00	$29.90–$63.05	37% above	36%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA A AND B AG	$39.68	$62.00	$28.52–$60.14	29% below	36%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 GROUP A STREP SCREEN ONLY	$36.48	$57.00	$26.22–$55.29	32% below	36%
Rheumatoid factor (RF) test CPT 86431 RA(RHEUMATOID FACTOR)	$28.80	$45.00	$20.70–$43.65	41% below	36%
Rubella antibody test (immunity check) CPT 86762 RUBELLA AB, IGG	$39.68	$62.00	$28.52–$60.14	16% below	36%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN ANALYSIS WITH MORPHOLOGY	$180.48	$282.00	$129.72–$273.54	29% above	36%
Stool ova and parasites exam CPT 87177 OVA AND PARASITES	$49.92	$78.00	$35.88–$75.66	42% above	36%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT,BLOOD, STOOL, CONSECUTIVE, FOR COLORECTAL NEOPLASM SCREEN	$27.52	$43.00	$19.78–$41.71	22% below	36%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 BLOOD OCCULT FECAL DETERMINE BY IMMUNOASSAY, QUALITATIVE (RHC)	$46.08	$72.00	$33.12–$69.84	20% below	36%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 BLOOD, OCCULT, FECAL HGB DETERMINATION BY IMMUNOASSAY, QUALITATI	$46.08	$72.00	$33.12–$69.84	20% below	36%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 OCCULT BLOOD, FIT	$60.16	$94.00	$43.24–$91.18	4% above	36%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RAPID PLASMA REAGIN	$32.64	$51.00	$23.46–$49.47	10% above	36%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB TEST, CELL MEDIATED IMMUNITY ANTIGEN RESP MEAS; QUANTIFERON	$98.56	$154.00	$70.84–$149.38	20% below	36%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE	$71.68	$112.00	$51.52–$108.64	15% above	36%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMULATING HORMONE	$60.16	$94.00	$43.24–$91.18	36% below	36%
Uric acid blood test CPT 84550 URIC ACID	$25.60	$40.00	$18.40–$38.80	41% below	36%
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS, MACROSCOPIC WITH MICROSCOPIC, REFLEX TO CULTURE	$31.36	$49.00	$22.54–$47.53	37% below	36%
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS, AUTOMATED, WITH MICROSCOPY	$31.36	$49.00	$22.54–$47.53	37% below	36%
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS WITH MACROSCOPIC, REFLEX TO MICROSCOPIC (MANUAL MICRO	$21.12	$33.00	$15.18–$32.01	17% below	36%
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS, MACROSCOPIC, AUTOMATED	$21.12	$33.00	$15.18–$32.01	17% below	36%
Urinalysis without microscope exam, manual CPT 81002 URINALYSIS, BY DIP STICK/TABLET FOR BILI, GLUC, HGB, KET, LEUK,	$19.20	$30.00	$13.80–$29.10	13% below	36%
Urinalysis without microscope exam, manual CPT 81002 URINALYSIS (DIPSTICK) (RHC)	$19.20	$30.00	$13.80–$29.10	13% below	36%
Urine culture for bacteria, with colony count CPT 87086 CULTURE, URINE	$55.04	$86.00	$39.56–$83.42	at median	36%
Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST, BY VISUAL COLOR COMPARISON METHODS	$41.60	$65.00	$29.90–$63.05	7% above	36%
Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST (RHC)	$41.60	$65.00	$29.90–$63.05	7% above	36%
Urine pregnancy test, read by color change CPT 81025 HCG, QUALITATIVE, URINE	$44.80	$70.00	$32.20–$67.90	15% above	36%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12	$44.80	$70.00	$32.20–$67.90	50% below	36%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25-HYDROXY, TOTAL	$92.16	$144.00	$66.24–$139.68	5% below	36%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BETA-HCG, QUANTITATIVE	$46.72	$73.00	$33.58–$70.81	49% below	36%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Minnesota	Off list
Appendectomy, open surgery CPT 44950 APPENDECTOMY;	$976.00	$1,525.00	$701.50–$1,479.25	21% below	36%
Appendectomy, open surgery CPT 44950 APPENDECTOMY (PRO CAH)	$976.00	$1,525.00	$701.50–$1,479.25	21% below	36%
Arthroscopic ACL reconstruction or repair of the knee CPT 29888 ARTHROSCOPICALLY AIDED ANTERIOR CRUCIATE LIGAMENT REPAIR/AUGMENT	$2,082.56	$3,254.00	$1,496.84–$3,156.38	39% below	36%
Arthroscopic ACL reconstruction or repair of the knee CPT 29888 ARTHROSCOPICALLY AIDED ANTERIOR CRUCIATELIGAMENT REPAIR/AUGMENTA	$2,082.56	$3,254.00	$1,496.84–$3,156.38	39% below	36%
Arthroscopic rotator cuff repair of the shoulder CPT 29827 ARTHROSCOPY, SHOULDER; WITH ROTATOR CUFF REPAIR (PRO CAH)	$1,271.04	$1,986.00	$913.56–$1,926.42	50% below	36%
Arthroscopic rotator cuff repair of the shoulder CPT 29827 ARTHROSCOPY, SHOULDER, SURGICAL; WITH ROTATOR CUFF REPAIR	$1,271.04	$1,986.00	$913.56–$1,926.42	50% below	36%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 BIOPSY, BREAST, W/PLACEMENT OF BREAST LOCALIZATION DEVICE, WHEN	$430.72	$673.00	$309.58–$652.81	75% below	36%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 BIOPSY, BREAST W/PLACEMENT LOCALIZATION DEVICE PERQ, 1ST LESION,	$430.72	$673.00	$309.58–$652.81	75% below	36%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 CLOSED TREATMENT LATERAL MALLEOLUS FX W/O MANI (PBB)	$335.36	$524.00	$241.04–$508.28	28% below	36%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 CLOSED TREATMENT OF DISTAL FIBULAR FRACTURE; WITHOUT MANIPULATIO	$598.40	$935.00	$430.10–$906.95	28% above	36%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 CLOSED TREATMENT OF DISTAL FIBULAR FRACTURE (LATERAL MALLEOLUS);	$598.40	$935.00	$430.10–$906.95	28% above	36%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 CLOSED TREATMENT METATARSAL FX WO MANIPULATION (PBB)	$229.76	$359.00	$165.14–$348.23	38% below	36%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 CLOSED TREATMENT OF METATARSAL FRACTURE; WITHOUT MANIPULATION, E	$487.68	$762.00	$350.52–$739.14	31% above	36%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 CLOSED TREATMENT OF METATARSAL FRACTURE; WITHOUT MANIPULATION	$487.68	$762.00	$350.52–$739.14	31% above	36%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION (PRO CAH)	$197.12	$308.00	$141.68–$298.76	81% below	36%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION	$1,071.36	$1,674.00	$770.04–$1,623.78	4% above	36%
Carpal tunnel release, open surgery CPT 64721 NEUROPLASTY AND/OR TRANSPOSITION MEDIAN NERVE AT CARPAL TUNNEL (	$887.68	$1,387.00	$638.02–$1,345.39	39% below	36%
Carpal tunnel release, open surgery CPT 64721 NEUROPLASTY AND/OR TRANSPOSITION; MEDIAN NERVE AT CARPAL TUNNEL	$887.68	$1,387.00	$638.02–$1,345.39	39% below	36%
Cervical biopsy CPT 57500 BIOPSY OF CERVIX, SINGLE OR MULTIPLE, OR LOCAL EXCISION OF LESIO	$243.20	$380.00	$174.80–$368.60	43% below	36%
Cesarean delivery, including prenatal and postpartum care CPT 59510 ROUTINE OB CARE INCLUDING ANTEPARTUM CARE, CESAREAN DELIVERY, AN	$4,160.00	$6,500.00	$2,551.90–$6,305.00	14% above	36%
Cesarean delivery, including prenatal and postpartum care CPT 59510 ROUTINE OBSTETRIC CARE INCLUDING ANTEPARTUM CARE, CESAREAN DELIV	$4,160.00	$6,500.00	$2,551.90–$6,305.00	14% above	36%
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 CIRCUMCISION, SURGICAL EXCISION OTHER THAN CLAMP, DEVICE/DORSAL	$267.52	$418.00	$192.28–$405.46	81% below	36%
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 CIRCUMCISION, SURGICAL EXCISION OTHER THAN CLAMP, DEVICE, OR DOR	$267.52	$418.00	$192.28–$405.46	81% below	36%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION WITH REGIONAL BLOCK	$169.60	$265.00	$121.90–$257.05	30% below	36%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION, USING CLAMP OR OTHER DEVICE WITH REGIONAL DORSAL P	$182.40	$285.00	$131.10–$276.45	25% below	36%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION, USING CLAMP OR OTHER DEVICE W/REGIONAL DORSAL PENI	$182.40	$285.00	$131.10–$276.45	25% below	36%
Circumcision, surgical, older than a newborn CPT 54160 CIRCUMCISION, SURGICAL EXCISION OTHER THAN CLAMP, DEVICE, OR DOR	$279.04	$436.00	$200.56–$422.92	46% below	36%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CLOSED TREATMENT DISTAL RADIAL FX W/O MANI (PBB)	$230.40	$360.00	$165.60–$349.20	53% below	36%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CLOSED TREATMENT OF DISTAL RADIAL FX OR EPIPHYSEAL SEPARATION; W	$488.32	$763.00	$350.98–$740.11	1% below	36%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CLOSED TREATMENT OF DISTAL RADIAL FRACTURE OR EPIPHYSEAL SEPARAT	$488.32	$763.00	$350.98–$740.11	1% below	36%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CLOSED TX DISTAL RADIAL FX/EPIPHYSEAL SEPARATION, INC CLOSED TX	$488.32	$763.00	$350.98–$740.11	1% below	36%
Colonoscopy with polyp removal CPT 45385 COLONOSCOPY, FLEXIBLE;WITH REMOVAL OF TUMOR,POLYP,OR OTHER LESIO	$675.20	$1,055.00	$485.30–$1,023.35	46% below	36%
Colonoscopy with polyp removal CPT 45385 COLONOSCOPY, FLEXIBLE; W/REMOVAL OF TUMOR, POLYP, LESION BY SNAR	$675.20	$1,055.00	$485.30–$1,023.35	46% below	36%
Colonoscopy with tissue sample CPT 45380 COLONOSCOPY, FLEXIBLE; W/BIOPSY, SINGLE OR MULTIPLE	$645.12	$1,008.00	$463.68–$977.76	49% below	36%
Colonoscopy with tissue sample CPT 45380 COLONOSCOPY, FLEXIBLE; WITH BIOPSY, SINGLE OR MULTIPLE (PRO CAH)	$645.12	$1,008.00	$463.68–$977.76	49% below	36%
Colonoscopy, diagnostic CPT 45378 COLONOSCOPY, FLEXIBLE; DIAGNOSTIC, INCLUDING COLLECTION SPECIMEN	$645.12	$1,008.00	$463.68–$977.76	47% below	36%
Colonoscopy, diagnostic CPT 45378 COLONOSCOPY, FLEXIBLE; DIAG, W/COLLECTION SPECIMEN BY BRUSHING O	$645.12	$1,008.00	$463.68–$977.76	47% below	36%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 COLPOSCOPY OF CERVIX INCLUDING UPPER/ADJACENT VAGINA; W LOOP ELE	$520.96	$814.00	$374.44–$789.58	28% below	36%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 COLPOSCOPY OF THE CERVIX INCLUDING UPPER/ADJACENT VAGINA; W/LOOP	$520.96	$814.00	$374.44–$789.58	28% below	36%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 COLPOSCOPY OF CERVIX INCL UPPER/ADJACENT VAGINA; W BIOPSY CERVIX	$212.48	$332.00	$152.72–$322.04	61% below	36%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 COLPOSCOPY OF THE CERVIX INCLUDING UPPER/ADJACENT VAGINA; W/BIOP	$340.48	$532.00	$244.72–$516.04	38% below	36%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 COLPOSCOPY OF THE CERVIX INCLUDING UPPER/ADJACENT VAGINA; WITH B	$340.48	$532.00	$244.72–$516.04	38% below	36%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOURETHROSCOPY	$288.64	$451.00	$207.46–$437.47	61% below	36%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOURETHROSCOPY (SEPARATE PROCEDURE) (PRO CAH)	$419.84	$656.00	$301.76–$636.32	44% below	36%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOURETHROSCOPY (SEPARATE PROCEDURE)	$419.84	$656.00	$301.76–$636.32	44% below	36%
D&C (dilation and curettage), not related to pregnancy CPT 58120 DILATION AND CURETTAGE, DIAGNOSTIC AND/OR THERAPEUTIC (NONOBSTET	$335.00	$523.43	$240.78–$507.73	77% below	36%
D&C (dilation and curettage), not related to pregnancy CPT 58120 DILATION AND CURETTAGE, DIAGNOSTIC AND/OR THERAPEUTIC (NONOB)	$335.00	$523.43	$240.78–$507.73	77% below	36%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRUCTION PREMALIGNANT LESIONS; 1ST LESION (PBB)	$30.08	$47.00	$21.62–$45.59	83% below	36%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRUCTION, PREMALIGNANT LESIONS (EG, ACTINIC KERATOSES); FIRST	$78.08	$122.00	$56.12–$118.34	57% below	36%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRUCTION PREMALIGNANT LESIONS; 1ST LESION	$78.08	$122.00	$56.12–$118.34	57% below	36%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRUCT PREMALIGNANT LESIONS 1ST LESION (RHC)	$78.08	$122.00	$56.12–$118.34	57% below	36%
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 REMOVAL IMPACTED CERUMEN USING IRRIGATION/LAVAGE, UNILATERAL (PB	$33.28	$52.00	$23.92–$50.44	57% below	36%
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 REMOVAL IMPACTED CERUMEN USING IRRIGATION/LAVAGE, UNILATERAL (PR	$55.68	$87.00	$40.02–$84.39	28% below	36%
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 REMOVAL IMPACTED CERUMEN USING IRRIGATION/LAVAGE, UNILATERAL (RH	$55.68	$87.00	$40.02–$84.39	28% below	36%
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 REMOVAL IMPACTED CERUMEN USING IRRIGATION/LAVAGE, UNILATERAL	$55.68	$87.00	$40.02–$84.39	28% below	36%
Earwax removal with instruments, one ear CPT 69210 REMOVAL IMPACTED CERUMEN	$97.92	$153.00	$70.38–$148.41	21% below	36%
Earwax removal with instruments, one ear one side CPT 69210 REMOVAL IMPACTED CERUMEN REQUIRING INSTRUMENTATION, UNILATERAL	$63.36	$99.00	$45.54–$96.03	49% below	36%
Earwax removal with instruments, one ear one side CPT 69210 REMOVAL IMPACTED CERUMEN REQUIRING INSTRUMENTATION, UNILATERAL (	$63.36	$99.00	$45.54–$96.03	49% below	36%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 ENDOMETRIAL BIOPSY W/WO ENDOCERVICAL BIOPSY WO DILATION (PBB)	$58.88	$92.00	$42.32–$89.24	76% below	36%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 ENDOMETRIAL BIOPSY W OR W/O ENDOCERVICAL SAMPLING, WITHOUT CERVI	$148.48	$232.00	$106.72–$225.04	40% below	36%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 ENDOMETRIAL BIOPSY; W/WO ENDOCERVICAL BIOPSY, W/O CERVICAL DILAT	$148.48	$232.00	$106.72–$225.04	40% below	36%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 SC ENDOMETRIAL BIOPSY; W/WO ENDOCERVICAL BIOPSY, W/O CERVICAL DI	$172.80	$270.00	$124.20–$261.90	30% below	36%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 REPAIR ANTERIOR ABD HERNIA, ANY APPROACH, INITIAL, INCL IMPLANT	$672.37	$1,050.58	$412.46–$1,019.06	57% below	36%
First repair of a front abdominal hernia larger than 10 cm CPT 49595 REPAIR ANT ABD HERNIA, ANY APPROACH, INITIAL, INCL IMPLANTATION	$903.68	$1,412.00	$554.35–$1,369.64	48% below	36%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 SIGMOIDOSCOPY, FLEXIBLE; DIAGNOSTIC, INCLUDING COLLECTION OF SPE	$346.84	$541.94	$249.29–$525.68	59% below	36%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 SIGMOIDOSCOPY, FLEXIBLE; DIAGNOSTIC, INCLUDING COLLECTION SPECIM	$346.84	$541.94	$249.29–$525.68	59% below	36%
Gallbladder removal, laparoscopic CPT 47562 LAPAROSCOPY, SURGICAL; CHOLECYSTECTOMY	$1,062.40	$1,660.00	$763.60–$1,610.20	36% below	36%
Gallbladder removal, laparoscopic CPT 47562 LAPAROSCOPY, SURGICAL; CHOLECYSTECTOMY (PRO CAH)	$1,062.40	$1,660.00	$763.60–$1,610.20	36% below	36%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 LAPAROSCOPY, SURGICAL; CHOLECYSTECTOMY WITH CHOLANGIOGRAPHY	$1,152.00	$1,800.00	$828.00–$1,746.00	42% below	36%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 LAPAROSCOPY, SURGICAL; CHOLECYSTECTOMY WITH CHOLANGIOGRAPHY (PRO	$1,152.00	$1,800.00	$828.00–$1,746.00	42% below	36%
Gallbladder removal, open surgery through a larger incision CPT 47600 CHOLECYSTECTOMY;	$1,718.08	$2,684.50	$1,234.87–$2,603.97	at median	36%
Hemorrhoid banding (rubber band ligation) CPT 46221 HEMORRHOIDECTOMY, INTERNAL, BY RUBBER BAND LIGATION(S) (PBB)	$310.40	$485.00	$223.10–$470.45	62% below	36%
Hemorrhoid banding (rubber band ligation) CPT 46221 HEMORRHOID BANDING	$497.92	$778.00	$357.88–$754.66	39% below	36%
Hemorrhoid banding (rubber band ligation) CPT 46221 HEMORRHOIDECTOMY, INTERNAL, BY RUBBER BAND LIGATION(S) (PRO CAH)	$497.92	$778.00	$357.88–$754.66	39% below	36%
Hemorrhoid banding (rubber band ligation) CPT 46221 HEMORRHOIDECTOMY, INTERNAL, BY RUBBER BAND LIGATION(S) (RHC)	$497.92	$778.00	$357.88–$754.66	39% below	36%
Hemorrhoid banding (rubber band ligation) CPT 46221 HEMORRHOIDECTOMY, INTERNAL, BY RUBBER BAND LIGATION(S)	$497.92	$778.00	$357.88–$754.66	39% below	36%
Hysterectomy through an abdominal incision (total) CPT 58150 TOTAL ABD HYSTERECTOMY, W/WO REMOVAL OF TUBES, W/WO REMOVAL OF O	$1,679.36	$2,624.00	$1,207.04–$2,545.28	23% below	36%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 SC INJ UTERUS TUBE XRAY	$223.36	$349.00	$160.54–$338.53	26% below	36%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 CATHETERIZATION AND INTRODUCTION SALINE/CONTRAST MATERIAL FOR SI	$289.28	$452.00	$207.92–$438.44	4% below	36%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 CATHETERIZATION AND INTRO OF SALINE OR CONTRAST FOR SONOHYSTEROG	$289.28	$452.00	$207.92–$438.44	4% below	36%
Hysteroscopy with endometrial ablation CPT 58563 HYSTEROSCOPY, SURGICAL; W/ENDOMETRIAL ABLATION	$2,203.52	$3,443.00	$1,583.78–$3,339.71	34% below	36%
Hysteroscopy with endometrial ablation CPT 58563 HYSTEROSCOPY W ENDOMETRIAL ABLATION (PRO CAH)	$2,203.52	$3,443.00	$1,583.78–$3,339.71	34% below	36%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 HYSTEROSCOPY, SURGICAL; W/SAMPLING, W/W/O D&C (PRO CAH)	$732.16	$1,144.00	$526.24–$1,109.68	67% below	36%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 HYSTEROSCOPY, SURGICAL; W/BIOPSY OF ENDOMETRIUM AND/OR POLYPECTO	$732.16	$1,144.00	$526.24–$1,109.68	67% below	36%
IUD insertion (the device itself billed separately) CPT 58300 INSERTION OF INTRAUTERINE DEVICE (PBB)	$102.40	$160.00	$73.60–$155.20	60% below	36%
IUD insertion (the device itself billed separately) CPT 58300 INSERTION OF INTRAUTERINE DEVICE (RHC)	$164.48	$257.00	$118.22–$249.29	35% below	36%
IUD insertion (the device itself billed separately) CPT 58300 INSERTION OF INTRAUTERINE DEVICE	$164.48	$257.00	$118.22–$249.29	35% below	36%
IUD insertion (the device itself billed separately) CPT 58300 INSERTION OF INTRAUTERINE DEVICE (IUD) (PRO CAH)	$164.48	$257.00	$118.22–$249.29	35% below	36%
IUD insertion (the device itself billed separately) CPT 58300 US INSERTION OF INTRAUTERINE DEVICE (IUD)	$712.32	$1,113.00	$511.98–$1,079.61	181% above	36%
Incision and drainage of a simple or single skin abscess CPT 10060 I & D OF ABSCESS SIMPLE	$148.99	$232.80	$107.09–$225.82	48% below	36%
Incision and drainage of a simple or single skin abscess CPT 10060 INCISION & DRAINAGE ABSCESS; SIMPLE (PBB)	$169.60	$265.00	$121.90–$257.05	41% below	36%
Incision and drainage of a simple or single skin abscess CPT 10060 INCISION AND DRAINAGE OF ABSCESS; SIMPLE OR SINGLE (RHC)	$248.32	$388.00	$178.48–$376.36	14% below	36%
Incision and drainage of a simple or single skin abscess CPT 10060 INCISION AND DRAINAGE OF ABSCESS; SIMPLE OR SINGLE (PRO CAH)	$248.32	$388.00	$178.48–$376.36	14% below	36%
Incision and drainage of a simple or single skin abscess CPT 10060 INCISION AND DRAINAGE OF ABSCESS; SIMPLE OR SINGLE	$248.32	$388.00	$178.48–$376.36	14% below	36%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 REPAIR INITIAL INGUINAL HERNIA, 5 YR OR OLDER; REDUCIBLE	$1,193.60	$1,865.00	$857.90–$1,809.05	31% below	36%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 REPAIR INITIAL INGUINAL HERNIA, AGE 5 YEARS OR OLDER; REDUCIBLE	$1,193.60	$1,865.00	$857.90–$1,809.05	31% below	36%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 SC INJ TENDON SHEATH OR LIGAMENT	$87.68	$137.00	$63.02–$132.89	76% below	36%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJECTION-MUSCLE,TRIGGER POINT,TENDON SHEATH (PBB)	$88.96	$139.00	$63.94–$134.83	76% below	36%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJECTION(S); SINGLE TENDON SHEATH, OR LIGAMENT, APONEUROSIS	$165.76	$259.00	$119.14–$251.23	55% below	36%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJECTION; SINGLE TENDON SHEATH, OR LIGAMENT, APONEUROSIS (EG, P	$165.76	$259.00	$119.14–$251.23	55% below	36%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJECTION(S); SINGLE TENDON SHEATH, OR LIGAMENT, APONEUROSIS (EG	$165.76	$259.00	$119.14–$251.23	55% below	36%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENTESIS; MAJOR JOINT OR BURSA W/O US GUIDANCE (PBB)	$115.84	$181.00	$83.26–$175.57	68% below	36%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENTESIS, ASPIRATION AND/OR INJECTION, MAJOR JOINT OR BURS	$172.16	$269.00	$123.74–$260.93	53% below	36%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 SC INJ ASPIRATE LARGE JOINT	$277.12	$433.00	$199.18–$420.01	24% below	36%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INSERTION, DRUG-DELIVERY IMPLANT (IE, BIORESORBABLE, BIODEGRADAB	$247.68	$387.00	$178.02–$375.39	10% below	36%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCENTESIS MEDIUM JOINT W/O US GUIDANCE (PBB)	$80.64	$126.00	$57.96–$122.22	74% below	36%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCENTESIS, ASPIRATION AND/OR INJECTION, INTERMEDIATE JT OR	$126.72	$198.00	$91.08–$192.06	58% below	36%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCENTESIS, ASPIRATION AND/OR INJECTION, INTERMEDIATE JOINT/	$126.72	$198.00	$91.08–$192.06	58% below	36%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCENTESIS, ASPIRATION AND/OR INJECTION, INTERMEDIATE JOINT	$126.72	$198.00	$91.08–$192.06	58% below	36%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 SC INJ ASPIRATE MEDIUM JOINT	$145.92	$228.00	$104.88–$221.16	52% below	36%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 SC INJ ASPIRATE SMALL JOINT	$120.96	$189.00	$86.94–$183.33	63% below	36%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHROCENTESIS SMALL JOINT W/O ULTRASOUND GUIDANCE (PBB)	$133.12	$208.00	$95.68–$201.76	59% below	36%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHROCENTESIS, ASPIRATION AND/OR INJECTION, SMALL JOINT/BURSA;	$175.36	$274.00	$126.04–$265.78	46% below	36%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHROCENTESIS, ASPIRATION AND/OR INJECTION, SMALL JOINT OR BURS	$175.36	$274.00	$126.04–$265.78	46% below	36%
Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 ARTHROSCOPY, KNEE, SURGICAL; WITH MENISCUS REPAIR (MEDIAL OR LAT	$1,479.04	$2,311.00	$1,063.06–$2,241.67	39% below	36%
Knee arthroscopy with meniscus trim CPT 29881 KNEE ARTHROSCOPY; W/ MENISCECTOMY, MEDIAL OR LATERAL (PRO CAH)	$669.44	$1,046.00	$481.16–$1,014.62	66% below	36%
Knee arthroscopy with meniscus trim CPT 29881 ARTHROSCOPY, KNEE, SURGICAL; W/MENISCECTOMY (MEDIAL OR LATERAL)	$669.44	$1,046.00	$481.16–$1,014.62	66% below	36%
Knee arthroscopy with removal of both torn meniscus parts CPT 29880 ARTHROSCOPY, KNEE, SURGICAL; W/MENISCECTOMY (MEDIAL AND LATERAL)	$1,288.32	$2,013.00	$925.98–$1,952.61	46% below	36%
Knee arthroscopy with removal of both torn meniscus parts CPT 29880 ARTHROSCOPY, KNEE; W MENISCECTOMY INC DEBRIDE/SHAVE ARTICULAR CA	$1,288.32	$2,013.00	$925.98–$1,952.61	46% below	36%
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 ARTHROSCOPY, KNEE, SURGICAL; DEBRIDEMENT/SHAVING OF ARTICULAR CA	$1,322.88	$2,067.00	$950.82–$2,004.99	26% below	36%
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 LAPAROSCOPY, SURGICAL, APPENDECTOMY	$976.00	$1,525.00	$701.50–$1,479.25	26% below	36%
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 LAPAROSCOPY, SURGICAL, APPENDECTOMY (PRO CAH)	$976.00	$1,525.00	$701.50–$1,479.25	26% below	36%
Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 LAPAROSCOPY, SURGICAL, ESOPHAGOGASTRIC FUNDOPLASTY	$1,231.26	$1,923.84	$884.97–$1,866.12	55% below	36%
Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 LAPAROSCOPY, SURGICAL, ESOPHAGOGASTRIC FUNDOPLASTY (PRO CAH)	$1,231.26	$1,923.84	$884.97–$1,866.12	55% below	36%
Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 LAPAROSCOPY, SURGICAL, W/TOTAL HYSTERECTOMY, UTERUS 250G OR LESS	$1,331.92	$2,081.13	$957.32–$2,018.70	5% below	36%
Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 LAPAROSCOPY, SURGICAL, W/TOTAL HYSTERECTOMY, FOR UTERUS 250 G OR	$1,331.92	$2,081.13	$957.32–$2,018.70	5% below	36%
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 LAPAROSCOPY, SURGICAL, W/TOTAL HYSTERECTOMY 250G OR LESS W/REMOV	$1,500.05	$2,343.83	$1,078.16–$2,273.52	25% below	36%
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 LAPAROSCOPY, SURGICAL, W/TOTAL HYSTERECTOMY, FOR UTERUS 250 G OR	$1,500.05	$2,343.83	$1,078.16–$2,273.52	25% below	36%
Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 LAPAROSCOPY, SURGICAL; W/REMOVAL OF ADNEXAL STRUCTURES	$1,274.88	$1,992.00	$916.32–$1,932.24	26% below	36%
Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 LAP WITH REMOVAL ADNEXAL STRUCTURES (PRO CAH)	$1,274.88	$1,992.00	$916.32–$1,932.24	26% below	36%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 LAYER CLOSURE WOUND SCALP,TRUNK,EXTREMITIES; 2.5 CM OR LESS (PBB	$140.80	$220.00	$101.20–$213.40	69% below	36%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 REPAIR, INTERMEDIATE, WOUNDS OF SCALP, AXILLAE, TRUNK AND/OR EXT	$228.48	$357.00	$164.22–$346.29	50% below	36%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 LAYER CLOSURE WOUND SCALP,TRUNK,EXTREMITIES; 2.5 CM OR LESS (RHC	$228.48	$357.00	$164.22–$346.29	50% below	36%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 WOUND SCALP,TRUNK,EXTREMITIES; 2.5 CM OR LESS	$228.48	$357.00	$164.22–$346.29	50% below	36%
Lower-back epidural injection, with imaging guidance CPT 62323 INJECTION, DIAG OR THERAPEUTIC SUBST, W/O NEUROLYTIC SUB, EPID/S	$209.28	$327.00	$150.42–$317.19	78% below	36%
Lower-back epidural injection, with imaging guidance CPT 62323 XR EPIDURAL LUMBAR OR SACRAL INJ	$1,006.08	$1,572.00	$723.12–$1,524.84	6% above	36%
Lumbar discectomy or laminotomy to free a nerve root, one level CPT 63030 LAMINOTOMY, W/DECOMPRESS OF NERVE ROOT, W/FACETECTOMY, FORAMINOT	$1,082.88	$1,692.00	$778.32–$1,641.24	78% below	36%
Lumbar laminectomy (spinal decompression), one level CPT 63047 LAMINECTOMY, FACETECTOMY, FORAMINOTOMY, SINGLE VERTEBRAL SEGMENT	$1,299.20	$2,030.00	$933.80–$1,969.10	76% below	36%
Lumpectomy (partial mastectomy) CPT 19301 MASTECTOMY, PARTIAL;	$960.00	$1,500.00	$690.00–$1,455.00	35% below	36%
Lumpectomy (partial mastectomy) CPT 19301 MASTECTOMY, PARTIAL (PRO CAH)	$960.00	$1,500.00	$690.00–$1,455.00	35% below	36%
Mastectomy (total removal of the breast) CPT 19303 MASTECTOMY, SIMPLE, COMPLETE (PRO CAH)	$1,144.97	$1,789.02	$822.95–$1,735.35	57% below	36%
Mastectomy (total removal of the breast) CPT 19303 MASTECTOMY, SIMPLE COMPLETE	$1,144.97	$1,789.02	$822.95–$1,735.35	57% below	36%
Miscarriage treatment with D&C, first trimester CPT 59820 TREATMENT OF MISSED DELIVERY OF FETUS,COMPLETED SURGICALLY,1ST T	$705.92	$1,103.00	$507.38–$1,069.91	12% below	36%
Miscarriage treatment with D&C, first trimester CPT 59820 TREATMENT OF MISSED ABORTION, COMPLETED SURGICALLY; 1 TRIMESTER	$705.92	$1,103.00	$507.38–$1,069.91	12% below	36%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXCISION,BENIGN,LESION TRUNK/ARM/LEG; .5 CM OR LESS (PBB)	$94.72	$148.00	$68.08–$143.56	77% below	36%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC BENIGN LESION TRUNK/ARM/LEG < = .5 CM (RHC)	$151.04	$236.00	$108.56–$228.92	63% below	36%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXCISION, BENIGN LESION INCL MARG,EXCEPT SKIN TAG,TRUNK,ARM/LEG;	$151.04	$236.00	$108.56–$228.92	63% below	36%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXCISION, BENIGN LESION INCLUDING MARGINS, TRUNK, ARMS OR LEGS;	$151.04	$236.00	$108.56–$228.92	63% below	36%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXCISION,BENIGN,LESION FACE/EARS/EYELIDS; .5 CM OR LESS (PBB)	$57.60	$90.00	$41.40–$87.30	89% below	36%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXCISION, OTHER BENIGN LESION INCLUDING MARGINS, FACE, EARS, EYE	$112.00	$175.00	$80.50–$169.75	79% below	36%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXCISION, BENIGN LESION, FACE, EARS, EYELIDS, NOSE, LIPS, MUCOUS	$112.00	$175.00	$80.50–$169.75	79% below	36%
Nail removal (partial or complete), one nail CPT 11730 AVULSION NAIL PLATE	$52.48	$82.00	$37.72–$79.54	81% below	36%
Nail removal (partial or complete), one nail CPT 11730 REMOVAL OF SINGLE NAIL PLATE (PBB)	$133.12	$208.00	$95.68–$201.76	52% below	36%
Nail removal (partial or complete), one nail CPT 11730 AVULSION OF NAIL PLATE, PARTIAL OR COMPLETE, SIMPLE; SINGLE (RHC	$211.20	$330.00	$151.80–$320.10	24% below	36%
Nail removal (partial or complete), one nail CPT 11730 AVULSION OF NAIL PLATE, PARTIAL OR COMPLETE, SIMPLE; SINGLE	$211.20	$330.00	$151.80–$320.10	24% below	36%
Nail removal (partial or complete), one nail CPT 11730 AVULSION OF NAIL PLATE, PARTIAL OR COMPLETE, SIMPLE; SINGLE (PRO	$211.20	$330.00	$151.80–$320.10	24% below	36%
Occipital nerve block (injection for headaches) CPT 64405 INJECTION(S), ANESTHETIC AGENT(S) AND/OR STEROID; GREATER OCCIPI	$183.04	$286.00	$131.56–$277.42	70% below	36%
Paracentesis with imaging guidance CPT 49083 ABDOMINAL PARACENTESIS (DIAG OR THERAPEUTIC) W IMAGING GUIDANCE	$467.20	$730.00	$335.80–$708.10	46% below	36%
Paracentesis with imaging guidance CPT 49083 ABDOMINAL PARACENTESIS (DIAGNOSTIC OR THERAPEUTIC); WITH IMAGING	$467.20	$730.00	$335.80–$708.10	46% below	36%
Paracentesis with imaging guidance CPT 49083 US GUIDE PARACENTESIS ABDOMEN	$938.24	$1,466.00	$674.36–$1,422.02	8% above	36%
Paracentesis with imaging guidance CPT 49083 ABDOMINAL PARACENTESIS, WITH IMAGING GUIDANCE	$1,219.84	$1,906.00	$876.76–$1,848.82	40% above	36%
Partial knee replacement (one compartment) CPT 27446 ARTHROPLASTY, KNEE, CONDYLE AND PLATEAU; MEDIAL OR LATERAL COMPA	$2,238.72	$3,498.00	$1,609.08–$3,393.06	34% below	36%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 NAIL REMOVAL PART OR TOTAL	$180.48	$282.00	$129.72–$273.54	64% below	36%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXCISION NAIL AND NAIL MATRIX, PART OF COMP, FOR PERMANENT REMOV	$180.48	$282.00	$129.72–$273.54	64% below	36%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXCISION NAIL AND MATRIX, PARTIAL/COMPLETE, PERMANENT REMOVAL;	$277.76	$434.00	$199.64–$420.98	45% below	36%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXCISION OF NAIL AND NAIL MATRIX, PARTIAL OR COMPLETE, FOR PERMA	$277.76	$434.00	$199.64–$420.98	45% below	36%
Removal of a breast lump, open surgery CPT 19120 REMOVAL OF BREAST LESION; 1 OR MORE LESIONS (PBB)	$390.40	$610.00	$280.60–$591.70	74% below	36%
Removal of a breast lump, open surgery CPT 19120 EXCISION CYST, FIBROADENOMA, OTHER BENIGN OR MALIGNANT TUMOR, OP	$896.64	$1,401.00	$644.46–$1,358.97	39% below	36%
Removal of a breast lump, open surgery CPT 19120 EXC CYST, FIBROADENOMA, OTHER BENIGN OR MALIGNANT TUMOR, OPEN, M	$896.64	$1,401.00	$644.46–$1,358.97	39% below	36%
Removal of a breast lump, open surgery CPT 19120 EXCISION CYST, FIBROADENOMA, BENIGN/MALIGNANT, 1 OR MORE LESIONS	$896.64	$1,401.00	$644.46–$1,358.97	39% below	36%
Removal of a foreign object under the skin, simple CPT 10120 INCISION & REMOVAL FB, SUBQ TISSUE; SIMPLE (PBB)	$109.44	$171.00	$78.66–$165.87	73% below	36%
Removal of a foreign object under the skin, simple CPT 10120 INCISION AND REMOVAL FOREIGN BODY, SUBQ TISSUE; SIMPLE	$193.92	$303.00	$139.38–$293.91	52% below	36%
Removal of a foreign object under the skin, simple CPT 10120 INCISION AND REMOVAL OF FOREIGN BODY, SUBCUTANEOUS TISSUES; SIMP	$193.92	$303.00	$139.38–$293.91	52% below	36%
Removal of one lobe of the thyroid (lobectomy) CPT 60220 TOTAL THYROID LOBECTOMY (PRO CAH)	$838.73	$1,310.52	$602.84–$1,271.20	39% below	36%
Removal of one lobe of the thyroid (lobectomy) one side CPT 60220 TOTAL THYROID LOBECTOMY, UNILATERAL; W/W/O ISTHMUSECTOMY	$838.73	$1,310.52	$602.84–$1,271.20	39% below	36%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLORECTAL CANCER SCREENING; COLONOSCOPY ON PT NOT MEETING CRITE	$374.40	$585.00	$269.10–$567.45	66% below	36%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLORECTAL CANCER SCREENING;COLONOSCOPY NOT HIGH RISK PATIENT (P	$374.40	$585.00	$269.10–$567.45	66% below	36%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL AT HIGH R	$374.40	$585.00	$269.10–$567.45	68% below	36%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 COLORECTAL CANCER SCREENING;COLONOSCOPY ON INDIVIDUAL AT HIGH RI	$374.40	$585.00	$269.10–$567.45	68% below	36%
Short arm cast (elbow to hand) CPT 29075 APPLICATION, CAST; ELBOW TO FINGER (SHORT ARM) (PBB)	$43.52	$68.00	$31.28–$65.96	82% below	36%
Short arm cast (elbow to hand) CPT 29075 APP CAST SHORT ARM (RHC)	$92.52	$144.56	$66.50–$140.22	61% below	36%
Short arm cast (elbow to hand) CPT 29075 APPLICATION, CAST; ELBOW TO FINGER (SHORT ARM)	$92.52	$144.56	$66.50–$140.22	61% below	36%
Short arm cast (elbow to hand) CPT 29075 APPLICATION, CAST; ELBOW TO FINGER (SHORT ARM) (PRO CAH)	$92.52	$144.56	$66.50–$140.22	61% below	36%
Short arm splint (forearm and hand) CPT 29125 APPL SPLINT SHORT ARM (PBB)	$96.00	$150.00	$69.00–$145.50	52% below	36%
Short arm splint (forearm and hand) CPT 29125 APPLICATION OF SHORT ARM SPLINT (FOREARM TO HAND); STATIC (RHC)	$152.96	$239.00	$109.94–$231.83	23% below	36%
Short arm splint (forearm and hand) CPT 29125 APPLICATION OF SHORT ARM SPLINT (FOREARM TO HAND); STATIC	$152.96	$239.00	$109.94–$231.83	23% below	36%
Short arm splint (forearm and hand) CPT 29125 APPLICATION OF SHORT ARM SPLINT (FOREARM TO HAND); STATIC (PRO C	$152.96	$239.00	$109.94–$231.83	23% below	36%
Short leg cast (below the knee) CPT 29405 APPL SHORT LEG CAST (PBB)	$64.00	$100.00	$46.00–$97.00	77% below	36%
Short leg cast (below the knee) CPT 29405 APPLICATION OF SHORT LEG CAST (BELOW KNEE TO TOES) (PRO CAH)	$124.54	$194.60	$89.52–$188.76	54% below	36%
Short leg cast (below the knee) CPT 29405 APPLICATION OF SHORT LEG CAST (BELOW KNEE TO TOES);	$124.54	$194.60	$89.52–$188.76	54% below	36%
Short leg cast (below the knee) CPT 29405 APPLICATION OF SHORT LEG CAST (BELOW KNEE TO TOES) (RHC)	$124.54	$194.60	$89.52–$188.76	54% below	36%
Short leg splint (calf to foot) CPT 29515 APPLICATION SHORT LEG SPLINT (PBB)	$47.36	$74.00	$34.04–$71.78	79% below	36%
Short leg splint (calf to foot) CPT 29515 APPLICATION OF SHORT LEG SPLINT (CALF TO FOOT) (PRO CAH)	$75.80	$118.44	$54.48–$114.89	66% below	36%
Short leg splint (calf to foot) CPT 29515 APPLICATION OF SHORT LEG SPLINT (CALF TO FOOT)	$75.80	$118.44	$54.48–$114.89	66% below	36%
Short leg splint (calf to foot) CPT 29515 APP SHORT LEG SPLINT (CALF TO FOOT) (RHC)	$75.80	$118.44	$54.48–$114.89	66% below	36%
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 ARTHROSCOPY, SHOULDER; DISTAL CLAVICULECTOMY INCLUDING DISTAL AR	$1,357.44	$2,121.00	$975.66–$2,057.37	36% below	36%
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 ARTHROSCOPY, SHOULDER, DISTAL CLAVICULECTOMY	$1,357.44	$2,121.00	$975.66–$2,057.37	36% below	36%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 ARTHROSCOPY, SHOULDER, DISTAL CLAVICULECTOMY DECOMPRESSION OF SU	$553.60	$865.00	$397.90–$839.05	50% below	36%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 ARTHROSCOPY,SHOULDER;DECOMP SUBACROMIAL SP W PART ACROMIOPLASTY,	$553.60	$865.00	$397.90–$839.05	50% below	36%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SIMPLE REPAIR WOUND SCALP,NECK,TRUNK,EXTREMITIES; 2.5 CM OR LESS	$176.64	$276.00	$126.96–$267.72	35% below	36%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SIMPLE REPAIR WOUND (RHC)	$258.56	$404.00	$185.84–$391.88	4% below	36%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SIMPLE REPAIR WOUNDS SCALP, NK, AXILLAE, EXT GENITALIA, TRUNK, E	$258.56	$404.00	$185.84–$391.88	4% below	36%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SIMPLE REPAIR WOUND SCALP, NECK, AXILLAE, EXT GENITALIA, TRUNK O	$258.56	$404.00	$185.84–$391.88	4% below	36%
Skin biopsy, punch, one lesion CPT 11104 PUNCH BIOPSY OF SKIN; SINGLE LESION	$71.68	$112.00	$51.52–$108.64	75% below	36%
Skin biopsy, punch, one lesion CPT 11104 PUNCH BIOPSY OF SKIN (INCLUDING SIMPLE CLOSURE, WHEN PERFORMED);	$139.52	$218.00	$100.28–$211.46	52% below	36%
Skin tag removal, up to 15 tags CPT 11200 REMOVAL SKIN TAGS; UP TO AND INCLUDING 15 LESIONS (PBB)	$64.64	$101.00	$46.46–$97.97	67% below	36%
Skin tag removal, up to 15 tags CPT 11200 REMOVAL OF SKIN TAGS, MULTIPLE FIBROCUTANEOUS TAGS, ANY AREA; UP	$122.24	$191.00	$87.86–$185.27	38% below	36%
Skin tag removal, up to 15 tags CPT 11200 REMOVAL SKIN TAGS, MULTIPLE FIBROCUTANEOUS TAGS; UP TO AND INCLI	$122.24	$191.00	$87.86–$185.27	38% below	36%
Skin tag removal, up to 15 tags CPT 11200 REMOVAL OF SKIN TAGS UP TO 15	$166.40	$260.00	$119.60–$252.20	15% below	36%
Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCTURE, LUMBAR, DIAGNOSTIC	$249.60	$390.00	$179.40–$378.30	66% below	36%
Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCTURE LUMBAR (PRO CAH)	$249.60	$390.00	$179.40–$378.30	66% below	36%
Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE	$704.00	$1,100.00	$506.00–$1,067.00	3% below	36%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SIMPLE REPAIR WOUND SCALP,NECK,TRUNK,EXTREMITIES; 2.6-7.5 CM (PB	$213.12	$333.00	$153.18–$323.01	31% below	36%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SIMPLE REPAIR WOUND SCALP, NECK, AXILLAE, EXT GENITALIA, TRUNK O	$311.68	$487.00	$224.02–$472.39	1% above	36%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SIMPLE REPAIR WOUNDS SCALP, NK, AXILLAE, EXT GENITALIA, TRUNK,EX	$311.68	$487.00	$224.02–$472.39	1% above	36%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SIMPLE REPAIR WOUND SCALP,NECK,TRUNK,EXTREMITIES; 2.6-7.5 CM (RH	$311.68	$487.00	$224.02–$472.39	1% above	36%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SIMPLE REPAIR WOUND FACE,EAR,EYELID,NOSE; 2.5 CM OR LESS (PBB)	$175.36	$274.00	$126.04–$265.78	36% below	36%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SIMPLE REPAIR WOUND FACE,EAR,EYELID,NOSE; 2.5 CM OR LESS (RHC)	$256.64	$401.00	$184.46–$388.97	6% below	36%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SIMPLE REPAIR WOUNDS FACE, EARS, EYELIDS, NOSE, LIPS, MUCOUS MEM	$256.64	$401.00	$184.46–$388.97	6% below	36%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SIMPLE REPAIR WOUND FACE, EARS, EYELIDS, NOSE, LIPS; 2.5 CM OR L	$256.64	$401.00	$184.46–$388.97	6% below	36%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGENTIAL BIOPSY OF SKIN (EG, SHAVE, SCOOP, SAUCERIZE, CURETTE)	$107.52	$168.00	$77.28–$162.96	56% below	36%
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS, NEEDLE OR CATHETER, ASPIRATION OF THE PLEURAL SPA	$768.00	$1,200.00	$552.00–$1,164.00	14% below	36%
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS WITH IMAGING GUIDANCE	$985.60	$1,540.00	$708.40–$1,493.80	10% above	36%
Thoracentesis with imaging guidance CPT 32555 US THORACENTESIS W IMAGING GUIDANCE	$1,361.92	$2,128.00	$978.88–$2,064.16	52% above	36%
Total hip replacement CPT 27130 ARTHROPLASTY, ACETABULAR & PROXIMAL FEMORAL PROSTHETIC REPLCMT W	$3,937.92	$6,153.00	$2,830.38–$5,968.41	1% above	36%
Total hip replacement CPT 27130 ARTHROPLASTY, ACETABULAR & PROXIMAL FEMORAL PROSTHETIC REPLCMNT,	$3,937.92	$6,153.00	$2,830.38–$5,968.41	1% above	36%
Total knee replacement CPT 27447 ARTHROPLASTY, KNEE, CONDYLE AND PLATEAU; MEDIAL AND LATERAL COMP	$3,937.92	$6,153.00	$2,830.38–$5,968.41	5% above	36%
Total knee replacement CPT 27447 ARTHROPLASTY, KNEE, CONDYLE & PLATEAU;MEDIAL & LATERAL COMPARTME	$3,937.92	$6,153.00	$2,830.38–$5,968.41	5% above	36%
Total shoulder replacement CPT 23472 ARTHROPLASTY, GLENOHUMERAL JOINT; TOTAL SHOULDER	$3,937.92	$6,153.00	$2,830.38–$5,968.41	4% below	36%
Total shoulder replacement CPT 23472 ARTHROPLASTY, GLENOHUMERAL JOINT; TOTAL SHOULDER (PRO CAH)	$3,937.92	$6,153.00	$2,830.38–$5,968.41	4% below	36%
Total thyroid removal (thyroidectomy) CPT 60240 THYROIDECTOMY TOTAL OR COMPLETE (PRO CAH)	$1,460.99	$2,282.80	$1,050.09–$2,214.32	33% below	36%
Total thyroid removal (thyroidectomy) CPT 60240 THYROIDECTOMY, TOTAL OR COMPLETE	$1,460.99	$2,282.80	$1,050.09–$2,214.32	33% below	36%
Trigger finger release surgery CPT 26055 TENDON SHEATH INCISION (EG, FOR TRIGGER FINGER) (PRO CAH)	$902.40	$1,410.00	$648.60–$1,367.70	30% below	36%
Trigger finger release surgery CPT 26055 TENDON SHEATH INCISION	$902.40	$1,410.00	$648.60–$1,367.70	30% below	36%
Trigger point injections, 1 or 2 muscles CPT 20552 INJECTION - TENDON,SINGLE/MULTIPLE TRIGGER POINTS, ONE OR TWO MU	$66.56	$104.00	$47.84–$100.88	78% below	36%
Trigger point injections, 1 or 2 muscles CPT 20552 INJECTION(S); SINGLE OR MULTIPLE TRIGGER POINTS, 1 OR 2 MUSCLE(S	$104.96	$164.00	$75.44–$159.08	66% below	36%
Trigger point injections, 1 or 2 muscles CPT 20552 INJECTION; SINGLE OR MULTIPLE TRIGGER POINT, 1 OR 2 MUSCLE (RHC)	$104.96	$164.00	$75.44–$159.08	66% below	36%
Trigger point injections, 1 or 2 muscles CPT 20552 INJECTION(S); SINGLE OR MULTIPLE TRIGGER POINT(S), 1 OR 2 MUSCLE	$104.96	$164.00	$75.44–$159.08	66% below	36%
Trigger point injections, 1 or 2 muscles CPT 20552 XR TRIGGER POINT 1 OR 2	$324.48	$507.00	$233.22–$491.79	5% above	36%
Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 LAPAROSCOPY; W/FULGURATION OF OVIDUCTS (PRO CAH)	$777.60	$1,215.00	$558.90–$1,178.55	at median	36%
Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 LAPAROSCOPY, SURGICAL; W/FULGURATION OF OVIDUCTS	$777.60	$1,215.00	$558.90–$1,178.55	at median	36%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BIOPSY, BREAST,W PLACEMENT BREAST LOC DEVICE/IMGI BX SPECI,PERCU	$736.00	$1,150.00	$529.00–$1,115.50	55% below	36%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BIOPSY, BREAST, W/PLACEMENT OF BREAST LOCALIZATION DEVICE, WHEN	$736.00	$1,150.00	$529.00–$1,115.50	55% below	36%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 US GUIDE BREAST BX	$1,048.32	$1,638.00	$753.48–$1,588.86	36% below	36%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 UGI ENDOSCOPY; W BALLOON DILATION OF ESOPHAGUS (LESS THAN 30 MM)	$1,616.00	$2,525.00	$1,161.50–$2,449.25	10% below	36%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 EGD, FLEXIBLE, TRANSORAL; W TRANSENDOSCOPIC BALLOON DILATION OF	$1,616.00	$2,525.00	$1,161.50–$2,449.25	10% below	36%
Upper endoscopy (EGD) with biopsy CPT 43239 UGI ENDOSCOPY; W/BIOPSY, SINGLE OR MULTIPLE	$544.00	$850.00	$391.00–$824.50	48% below	36%
Upper endoscopy (EGD) with biopsy CPT 43239 EGD, FLEXIBLE, TRANSORAL; WITH BIOPSY, SINGLE OR MULTIPLE (PRO C	$544.00	$850.00	$391.00–$824.50	48% below	36%
Upper endoscopy (EGD) with injection into the lining CPT 43236 UGI ENDOSCOPY; W/DIRECTED SUBMUCOSAL INJECT, ANY SUBSTANCE	$556.80	$870.00	$400.20–$843.90	56% below	36%
Upper endoscopy (EGD) with injection into the lining CPT 43236 UGI ENDOSCOPY; W/DIRECTED SUBMUCOSAL INJECT, ANY SUBSTANCE (PRO	$556.80	$870.00	$400.20–$843.90	56% below	36%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 UGI ENDOSCOPY; W/REMOVAL OF TUMOR, POLYP OR LESION BY SNARE TECH	$700.80	$1,095.00	$503.70–$1,062.15	60% below	36%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 EGD, FLEXIBLE, TRANSORAL; W REMOVAL OF TUMOR(S), POLYP(S), OR OT	$700.80	$1,095.00	$503.70–$1,062.15	60% below	36%
Upper endoscopy (EGD), diagnostic CPT 43235 UGI ENDOSCOPY; DIAGNOSTIC W/W/O COLLECTION OF SPECIMEN BY BRUSHI	$342.40	$535.00	$246.10–$518.95	64% below	36%
Upper endoscopy (EGD), diagnostic CPT 43235 EGD, FLEXIBLE, TRANSORAL; DIAG, INCL COLLECT SPECIMEN BRUSH/WASH	$342.40	$535.00	$246.10–$518.95	64% below	36%
Vaginal delivery, including prenatal and postpartum care CPT 59400 ROUTINE OB CARE INCLUDING ANTEPARTUM, VAGINAL DELIVERY AND POSTP	$3,584.00	$5,600.00	$2,576.00–$5,432.00	15% above	36%
Vaginal delivery, including prenatal and postpartum care CPT 59400 ROUTINE OBSTETRIC CARE INCLUDING ANTEPARTUM CARE, VAGINAL DELIVE	$3,584.00	$5,600.00	$2,576.00–$5,432.00	15% above	36%
Vasectomy, one or both sides, including follow-up semen testing both sides CPT 55250 VASECTOMY, UNILATERAL OR BILATERAL, INCLUDING POSTOPERATIVE SEME	$405.12	$633.00	$291.18–$614.01	—	36%
Vein ablation, radiofrequency, first vein CPT 36475 ENDOVENOUS ABLATION THERAPY OF INCOMPETENT VEIN, EXTREMITY; FIRS	$1,959.68	$3,062.00	$1,408.52–$2,970.14	48% below	36%
Vein ablation, radiofrequency, first vein CPT 36475 ENDOVENOUS ABLATION THERAPY OF INCOMPETENT VEIN, EXTREMITY, FIRS	$1,959.68	$3,062.00	$1,408.52–$2,970.14	48% below	36%
Wart removal, up to 14 warts CPT 17110 DESTRUCTION 0F BENIGN LESIONS (OTHER THAN SKIN TAGS); UP TO 14 L	$53.12	$83.00	$38.18–$80.51	73% below	36%
Wart removal, up to 14 warts CPT 17110 DESTRUCTION BENIGN LESIONS OTHER THAN SKIN TAGS OR CUTANEOUS VAS	$117.76	$184.00	$84.64–$178.48	40% below	36%
Wart removal, up to 14 warts CPT 17110 DESTRUCTION OF BENIGN LESIONS (OTHER THAN SKIN TAGS); UP TO 14 L	$117.76	$184.00	$84.64–$178.48	40% below	36%
Wart removal, up to 14 warts CPT 17110 DESTRUCTION BENIGN LESIONS; UP TO 14 LESIONS (RHC)	$117.76	$184.00	$84.64–$178.48	40% below	36%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 SKIN DEBRIDEMENT SUBQ TISSUE 1ST 20CM2	$180.48	$282.00	$129.72–$273.54	60% below	36%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDEMENT SUBQ TISSUE; 1ST 20CM OR LESS (PBB)	$180.48	$282.00	$129.72–$273.54	60% below	36%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDEMENT, SUBCUTANEOUS TISSUE; FIRST 20 SQ CM OR LESS (RHC)	$264.32	$413.00	$189.98–$400.61	41% below	36%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDEMENT, SUBQ TISSUE; FIRST 20 SQ CM OR LESS	$264.32	$413.00	$189.98–$400.61	41% below	36%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDEMENT, SUBCUTANEOUS TISSUE; FIRST 20 SQ CM OR LESS (PRO CA	$264.32	$413.00	$189.98–$400.61	41% below	36%
Wrist fracture surgery (plate and screws), distal radius CPT 25607 OPEN TREATMENT OF DISTAL RADIAL EXTRA-ARTICULAR FX OR EPIPHYSEAL	$1,233.92	$1,928.00	$886.88–$1,870.16	48% below	36%
Wrist fracture surgery (plate and screws), distal radius CPT 25607 OPEN TX DISTAL RADIAL EXTRA-ARTICULAR FRACTURE OR EPIPHYSEAL SEP	$1,233.92	$1,928.00	$886.88–$1,870.16	48% below	36%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Minnesota	Off list
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD/BLOOD PRODUCT ADMINISTRATION	$821.12	$1,283.00	$590.18–$1,244.51	15% above	36%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INHALATION TREATMENT ACUTE AIRWAY OBSTRUCTION (PBB)	$64.00	$100.00	$46.00–$97.00	45% below	36%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEBULIZER TREATMENT INITIAL	$80.00	$125.00	$57.50–$121.25	32% below	36%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 PRESSUR/NONPRESSURIZED INHALATION TREATMENT ACUTE AIRWAY OBSTRUC	$94.13	$147.08	$67.66–$142.67	20% below	36%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INHAL TRMT ACUTE AIRWAY OBSTRUCTION (RHC)	$94.13	$147.08	$67.66–$142.67	20% below	36%
Chemotherapy IV infusion, first hour CPT 96413 CHEMOTHERAPY ADMINISTRATION, INTRAVENOUS INFUSION TECH; UP TO 1	$374.40	$585.00	$269.10–$567.45	27% below	36%
Chemotherapy IV infusion, first hour CPT 96413 CHEMOTHERAPY ADMIN IV INFUSION PRIMARY UP TO 1 HOUR	$433.28	$677.00	$311.42–$656.69	15% below	36%
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE, E&M OF CRITICALLY INJURED PATIENT; FIRST 30-74 MI	$448.00	$700.00	$274.82–$679.00	71% below	36%
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE, EVALUATION AND MANAGEMENT OF THE CRITICALLY ILL O	$448.00	$700.00	$274.82–$679.00	71% below	36%
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE 30 - 74 MINUTES	$1,216.00	$1,900.00	$745.94–$1,843.00	21% below	36%
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 ELECTROCARDIOGRAM, ROUTINE ECG W/AT LEAST12 LEADS; W/INTERPRETAT	$80.74	$126.15	$58.03–$122.37	38% below	36%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG TRACING ONLY (RHC)	$41.60	$65.00	$29.90–$63.05	76% below	36%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ELECTROCARDIOGRAM, ROUTINE ECG W/AT LEAST12 LEADS; TRACING ONLY,	$41.60	$65.00	$29.90–$63.05	76% below	36%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ELECTROCARDIOGRAM W AT LEAST 12 LEADS TRACING ONLY (PBB)	$41.60	$65.00	$29.90–$63.05	76% below	36%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ECG TRACING	$128.00	$200.00	$92.00–$194.00	26% below	36%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMERGENT LEVEL 1	$160.00	$250.00	$98.15–$242.50	17% below	36%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENCY DEPARTMENT VISIT, STRAIGHTFORWARD MDM (PRO CAH)	$115.20	$180.00	$70.67–$174.60	54% below	36%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENCY DEPARTMENT VISIT, STRAIGHTFORWARD MDM	$115.20	$180.00	$70.67–$174.60	54% below	36%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENT LEVEL 2	$416.00	$650.00	$255.19–$630.50	68% above	36%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY DEPARTMENT VISIT, LIMITED MDM	$179.20	$280.00	$109.93–$271.60	55% below	36%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY DEPARTMENT VISIT, LIMITED MDM (PRO CAH)	$179.20	$280.00	$109.93–$271.60	55% below	36%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENT LEVEL 3	$544.00	$850.00	$333.71–$824.50	38% above	36%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENCY DEPARTMENT VISIT, MODERATE MDM (PRO CAH)	$243.20	$380.00	$149.19–$368.60	62% below	36%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENCY DEPARTMENT VISIT, MODERATE MDM	$243.20	$380.00	$149.19–$368.60	62% below	36%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENT LEVEL 4	$672.00	$1,050.00	$412.23–$1,018.50	6% above	36%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENCY DEPARTMENT VISIT, HIGH MDM (PRO CAH)	$288.00	$450.00	$176.67–$436.50	70% below	36%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENCY DEPARTMENT VISIT, HIGH MDM	$288.00	$450.00	$176.67–$436.50	70% below	36%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENT LEVEL 5	$832.00	$1,300.00	$510.38–$1,261.00	12% below	36%
Exercise stress test, tracing only, the hospital charge CPT 93017 STRESS TEST	$627.20	$980.00	$450.80–$950.60	13% below	36%
Family therapy with the patient, 50 minutes CPT 90847 FAMILY PSYCHOTHERAPY (CONJOINT PSYCHOTHERAPY) (WITH PATIENT PRES	$204.16	$319.00	$146.74–$309.43	5% above	36%
Family therapy without the patient, 50 minutes CPT 90846 FAMILY PSYCHOTHERAPY (WITHOUT THE PATIENT PRESENT), 50 MINUTES	$176.00	$275.00	$126.50–$266.75	4% below	36%
Family therapy without the patient, 50 minutes CPT 90846 FAMILY PSYCHOTHERAPY (WITHOUT THE PATIENT PRESENT), 50 MIN (RHC)	$176.00	$275.00	$126.50–$266.75	4% below	36%
Holter monitor, heart rhythm recording up to 48 hours, with report CPT 93224 EXTERNAL ELECTROCARDIOGRAPHIC RECORD UP TO 48HRS CONTINUOUS RHYT	$88.32	$138.00	$63.48–$133.86	61% below	36%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INFUSION HYDRATION INITIAL HR (RHC)	$201.60	$315.00	$144.90–$305.55	26% below	36%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 INTRAVENOUS INFUSION, HYDRATION; INITIAL, 31 MINUTES-1 HOUR	$201.60	$315.00	$144.90–$305.55	26% below	36%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INFUSION HYDRATION PRIMARY UP TO 1 HOUR	$224.64	$351.00	$161.46–$340.47	18% below	36%
IV infusion of a medicine, first hour CPT 96365 INTRAVENOUS INFUSION, FOR THERAPY, PROPHYLAXIS, OR DIAGNOSIS; IN	$257.28	$402.00	$184.92–$389.94	22% below	36%
IV infusion of a medicine, first hour CPT 96365 IV INFUSION THERAPY PRIMARY UP TO 1 HOUR	$334.72	$523.00	$240.58–$507.31	2% above	36%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAPEUTIC, PROPHYLACTIC, OR DX INJ (SPECIFY SUBSTANCE OR DRUG)	$52.48	$82.00	$37.72–$79.54	32% below	36%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAPEUTIC, PROPHYLACTIC, OR DIAGNOSTIC INJECTION; SUBCUTANEOUS	$52.48	$82.00	$37.72–$79.54	32% below	36%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM/SQ MED INJECTION	$108.80	$170.00	$78.20–$164.90	41% above	36%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCHIATRIC DIAGNOSTIC EVALUATION	$208.00	$325.00	$149.50–$315.25	19% below	36%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCHIATRIC DIAGNOSTIC EVALUATION - NO MEDICAL (RHC)	$208.00	$325.00	$149.50–$315.25	19% below	36%
New patient office visit, about 30 minutes CPT 99203 NEW PT LEVEL 3 OFFICE/OTHER OUTPT VISIT EVAL AND MGMT, LOW LEVEL	$142.08	$222.00	$87.16–$215.34	22% above	36%
New patient office visit, about 45 minutes CPT 99204 NEW PT LEVEL 4 OFFICE/OTHER OUTPT VISIT EVAL AND MGMT, MODERATE	$273.92	$428.00	$168.03–$415.16	60% above	36%
New patient office visit, about 60 minutes CPT 99205 NEW PT LEVEL 5 OFFICE/OTHER OUTPT VISIT EVAL AND MGMT, HIGH LEVE	$428.80	$670.00	$263.04–$649.90	82% above	36%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PT LEVEL 2 OFFICE/OTHER OUTPT VISIT EVAL AND MGMT, STRAIGHTF	$110.72	$173.00	$67.92–$167.81	45% above	36%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MEDICAL NUTRITION THERAPY (MNT) INITIAL	$46.08	$72.00	$33.12–$69.84	26% below	36%
Preventive checkup, new patient aged 18–39 CPT 99385 INITIAL PREVENTIVE CARE; 18-39 YRS (PBB)	$106.88	$167.00	$65.56–$161.99	34% below	36%
Preventive checkup, new patient aged 18–39 CPT 99385 INITIAL PREVENTIVE CARE 18 - 39 YRS (RHC)	$189.44	$296.00	$116.21–$287.12	16% above	36%
Preventive checkup, new patient aged 18–39 CPT 99385 NEW PT - 18-39 YRS INITIAL PREVENTIVE MEDICINE EVALUATION AND MA	$189.44	$296.00	$116.21–$287.12	16% above	36%
Preventive checkup, new patient aged 40–64 CPT 99386 INITIAL PREVENTIVE CARE 40 - 64 YRS (RHC)	$264.32	$413.00	$162.14–$400.61	20% above	36%
Preventive checkup, new patient aged 40–64 CPT 99386 NEW PT - 40-64 YRS INITIAL PREVENTIVE MEDICINE EVALUATION AND MA	$264.32	$413.00	$162.14–$400.61	20% above	36%
Preventive checkup, new patient aged 65 or older CPT 99387 INITIAL PREVENTIVE CARE 65+ YRS (RHC)	$286.72	$448.00	$175.88–$434.56	9% above	36%
Preventive checkup, new patient aged 65 or older CPT 99387 NEW PT - 65+ YRS INITIAL PREVENTIVE MEDICINE EVALUATION AND MANA	$286.72	$448.00	$175.88–$434.56	9% above	36%
Preventive checkup, returning patient aged 18–39 CPT 99395 PERIODIC PREVENTIVE CARE; 18-39 YRS (PBB)	$114.56	$179.00	$70.28–$173.63	12% below	36%
Preventive checkup, returning patient aged 18–39 CPT 99395 PERIODIC PREVENTIVE CARE 18 - 39 YRS (RHC)	$194.56	$304.00	$119.35–$294.88	50% above	36%
Preventive checkup, returning patient aged 18–39 CPT 99395 EST PT - 18-39 YRS PERIODIC PREVENTIVE MEDICINE REEVALUATION AND	$194.56	$304.00	$119.35–$294.88	50% above	36%
Preventive checkup, returning patient aged 40–64 CPT 99396 PERIODIC PREVENTIVE CARE 40 - 64 YRS (RHC)	$247.68	$387.00	$151.94–$375.39	70% above	36%
Preventive checkup, returning patient aged 40–64 CPT 99396 EST PT - 40-64 YRS PERIODIC PREVENTIVE MEDICINE REEVALUATION AND	$247.68	$387.00	$151.94–$375.39	70% above	36%
Preventive checkup, returning patient aged 65 or older CPT 99397 EST PT - 65+ YRS PERIODIC PREVENTIVE MEDICINE REEVALUATION AND M	$227.20	$355.00	$139.37–$344.35	6% above	36%
Preventive checkup, returning patient aged 65 or older CPT 99397 PERIODIC PREVENTIVE CARE 65 YRS & UP (RHC)	$227.20	$355.00	$139.37–$344.35	6% above	36%
Psychiatric evaluation with medical services CPT 90792 PSYCHIATRIC DIAGNOSTIC EVALUATION - W/ MEDICAL (RHC)	$239.36	$374.00	$172.04–$362.78	20% above	36%
Psychiatric evaluation with medical services CPT 90792 PSYCHIATRIC DIAGNOSTIC EVALUATION WITH MEDICAL SERVICES	$239.36	$374.00	$172.04–$362.78	20% above	36%
Psychotherapy session, 30 minutes CPT 90832 PSYCHOTHERAPY, 30 MINUTES WITH PATIENT (RHC)	$112.00	$175.00	$80.50–$169.75	2% below	36%
Psychotherapy session, 30 minutes CPT 90832 PSYCHOTHERAPY, 30 MINUTES WITH PATIENT	$112.00	$175.00	$80.50–$169.75	2% below	36%
Psychotherapy session, 45 minutes CPT 90834 PSYCHOTHERAPY, 45 MINUTES WITH PATIENT	$160.00	$250.00	$115.00–$242.50	7% above	36%
Psychotherapy session, 45 minutes CPT 90834 PSYCHOTHERAPY, 45 MINUTES WITH PATIENT (RHC)	$160.00	$250.00	$115.00–$242.50	7% above	36%
Psychotherapy session, 60 minutes CPT 90837 PSYCHOTHERAPY, 60 MINUTES WITH PATIENT	$176.00	$275.00	$126.50–$266.75	3% below	36%
Psychotherapy session, 60 minutes CPT 90837 PSYCHOTHERAPY, 60 MINUTES WITH PATIENT (RHC)	$176.00	$275.00	$126.50–$266.75	3% below	36%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKING TOBACCO USE CESSATION COUNSELING VISIT INTERMEDIATE GREA	$39.04	$61.00	$28.06–$59.17	18% above	36%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKING AND TOBACCO USE CESSATION COUNSELING VISIT; INTERMEDIATE	$39.04	$61.00	$28.06–$59.17	18% above	36%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 CERTIFIED LACTATION COUNSELING ESTABLISHED PATIENT LEVEL 5	$78.72	$123.00	$48.29–$119.31	53% below	36%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 EST PT LEVEL 5 OFFICE/OTHER OUTPT VISIT EVAL AND MGMT, HIGH LEVE	$121.60	$190.00	$74.59–$184.30	28% below	36%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 CLINICAL NURSING LEVEL 5 (EP)	$157.44	$246.00	$96.58–$238.62	7% below	36%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 CERTIFIED LACTATION COUNSELING ESTABLISHED PATIENT LEVEL 3	$65.28	$102.00	$40.05–$98.94	31% below	36%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 CLINICAL NURSING LEVEL 3 (EP)	$77.44	$121.00	$47.50–$117.37	18% below	36%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 EST PT LEVEL 3 OFFICE/OTHER OUTPT VISIT EVAL AND MGMT, LOW LEVEL	$96.00	$150.00	$58.89–$145.50	2% above	36%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 CERTIFIED LACTATION COUNSELING ESTABLISHED PATIENT LEVEL 4	$71.68	$112.00	$43.97–$108.64	40% below	36%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 CLINICAL NURSING LEVEL 4 (EP)	$74.88	$117.00	$45.93–$113.49	38% below	36%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 EST PT LEVEL 4 OFFICE/OTHER OUTPT VISIT EVAL AND MGMT, MODERATE	$108.80	$170.00	$66.74–$164.90	10% below	36%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 EST PT LEVEL 2 OFFICE/OTHER OUTPT VISIT EVAL AND MGMT, STRAIGHTF	$83.20	$130.00	$51.04–$126.10	2% above	36%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 CERTIFIED LACTATION COUNSELING ESTABLISHED PATIENT LEVEL 2	$83.20	$130.00	$51.04–$126.10	2% above	36%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 CLINICAL NURSING LEVEL 2 (EP)	$211.20	$330.00	$129.56–$320.10	159% above	36%
Specialist consultation, low complexity or 30+ minutes CPT 99243 OFFICE OR OUTPT CONSULT, NEW OR EST PT, LOW MDM OR 30-39 MINS (P	$113.92	$178.00	$69.88–$172.66	38% below	36%
Specialist consultation, low complexity or 30+ minutes CPT 99243 OFFICE OR OUTPT CONSULT, NEW OR EST PT, LOW MDM OR 30-39 MINS (R	$211.20	$330.00	$129.56–$320.10	16% above	36%
Specialist consultation, low complexity or 30+ minutes CPT 99243 OFFICE OR OUTPT CONSULT, NEW OR EST PT, LOW MDM OR 30-39 MINS	$211.20	$330.00	$129.56–$320.10	16% above	36%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 OFFICE OR OUTPT CONSULT, NEW OR EST PT, MODERATE MDM OR 40-54 MI	$261.76	$409.00	$160.57–$396.73	27% above	36%
Spirometry (breathing test) CPT 94010 SPIROMETRY (PBB)	$46.08	$72.00	$33.12–$69.84	71% below	36%
Spirometry (breathing test) CPT 94010 SPIROMETRY (RHC)	$67.20	$105.00	$48.30–$101.85	58% below	36%
Spirometry (breathing test) CPT 94010 SPIROMETRY, W/GRAPHIC REC, TOTAL/TIMED VITAL CAPACITY, EXPIRATOR	$67.20	$105.00	$48.30–$101.85	58% below	36%
Spirometry before and after a bronchodilator CPT 94060 BRONCHODILATION RESPONSIVENESS, PRE AND POST BRONCHODILATOR ADMI	$70.40	$110.00	$50.60–$106.70	76% below	36%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTMY, THERAPEUTIC (PBB)	$168.32	$263.00	$120.98–$255.11	20% below	36%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY, THERAPUETIC	$200.96	$314.00	$144.44–$304.58	5% below	36%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY, THERAPEUTIC	$255.36	$399.00	$183.54–$387.03	21% above	36%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY, THERAPEUTIC (SEPARATE PROCEDURE) (RHC)	$255.36	$399.00	$183.54–$387.03	21% above	36%
Treadmill or drug stress test with ECG, supervision and report CPT 93015 CARDIOVASCULAR STRESS TEST W/MAX/SUBMAX EXER, CONTIN MONITOR OR	$380.80	$595.00	$273.70–$577.15	231% above	36%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Minnesota	Off list
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 INFLUENZA VACCINE, INACTIVATED (IIV), SUBUNIT, ADJUVANTED, FOR I	$36.90	$57.65	$22.63–$55.92	52% below	36%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 INFLUENZA VACCINE, INACTIVATED, SUBUNIT, ADJUVANTED, FOR INTRAMU	$36.90	$57.65	$26.52–$55.92	52% below	36%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 INFLUENZA VACCINE, INACTIVATED (IIV), SUBUNIT, ADJUVANTED, FOR I	$36.90	$57.65	$22.63–$55.92	52% below	36%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 FLU VAC 2025 65UP-ADJMF59C(PF) 45 MCG (15 MCG X 3)/0.5 ML IM SYRG	$120.45	$188.21	$73.89–$182.56	56% above	36%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 FLU VAC 2025 65UP-ADJMF59C(PF) 45 MCG (15 MCG X 3)/0.5 ML IM SYRG	$120.45	$188.21	$73.89–$182.56	56% above	36%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 INFLUENZA VACCINE, INACTIVATED (IIV), SUBUNIT, ADJUVANTED, FOR I	$36.90	$57.65	$22.63–$55.92	—	36%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 INFLUENZA VACCINE, INACTIVATED (IIV), SUBUNIT, ADJUVANTED, FOR I	$36.90	$57.65	$22.63–$55.92	—	36%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 FLU VAC 2025 65UP-ADJMF59C(PF) 45 MCG (15 MCG X 3)/0.5 ML IM SYRG	$120.45	$188.21	$73.89–$182.56	—	36%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 FLU VAC 2025 65UP-ADJMF59C(PF) 45 MCG (15 MCG X 3)/0.5 ML IM SYRG	$120.45	$188.21	$73.89–$182.56	—	36%
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 SARS-COV-2, COVID-19 VACCINE, MRNA-LNP, 50 MCG/0.5 ML DOSAGE, IM	$59.56	$93.06	$36.54–$90.27	68% below	36%
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 SARS-COV-2, COVID-19 VACCINE, MRNA-LNP, 50 MCG/0.5 ML DOSAGE, IM	$59.56	$93.06	$36.54–$90.27	68% below	36%
COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 SARS-COV-2, COVID-19 VACCINE, MRNA-LNP, 50 MCG/0.5 ML DOSAGE, IM	$59.56	$93.06	—	—	36%
COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 SARS-COV-2, COVID-19 VACCINE, MRNA-LNP, 50 MCG/0.5 ML DOSAGE, IM	$59.56	$93.06	$36.54–$90.27	—	36%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VIRUS SQ (RHC)	$95.90	$149.85	$58.83–$145.35	60% below	36%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VIRUS SQ (RHC)	$95.90	$149.85	$58.83–$145.35	60% below	36%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VIRUS VACCINE, LIVE, FOR SUBCUTANEOUS USE	$95.90	$149.85	$68.93–$145.35	60% below	36%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VIRUS VACC LIVE (PF) 1350 UNIT/0.5 ML SUBQ SUSR	$139.97	$218.70	$85.86–$212.14	41% below	36%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VIRUS VACC LIVE (PF) 1350 UNIT/0.5 ML SUBQ SUSR	$139.97	$218.70	$85.86–$212.14	41% below	36%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VIRUS SQ (RHC)	$95.90	$149.85	$58.83–$145.35	—	36%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VIRUS SQ (RHC)	$95.90	$149.85	$58.83–$145.35	—	36%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VIRUS VACC LIVE (PF) 1350 UNIT/0.5 ML SUBQ SUSR	$139.97	$218.70	$85.86–$212.14	—	36%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VIRUS VACC LIVE (PF) 1350 UNIT/0.5 ML SUBQ SUSR	$139.97	$218.70	$85.86–$212.14	—	36%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU VACCINE, TRIVALENT, SV, PF, 0.5ML FOR IM USE (RHC)	$9.15	$14.30	$5.61–$13.87	59% below	36%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU VACCINE, TRIVALENT, SV, PF, 0.5ML FOR IM USE (RHC)	$9.15	$14.30	$5.61–$13.87	59% below	36%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUENZA VIRUS VACCINE, TRIVALENT, SPLIT VIRUS, PRESERVATIVE FR	$9.15	$14.30	$6.58–$13.87	59% below	36%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU VAC TS 2025-26(6MOS UP)-PF 45 MCG (15 MCG X 3)/0.5 ML IM SYRG	$30.32	$47.37	$18.60–$45.95	37% above	36%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU VAC TS 2025-26(6MOS UP)-PF 45 MCG (15 MCG X 3)/0.5 ML IM SYRG	$30.32	$47.37	$18.60–$45.95	37% above	36%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLU VACCINE, TRIVALENT, SV, PF, 0.5ML FOR IM USE (RHC)	$9.15	$14.30	$5.61–$13.87	—	36%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLU VACCINE, TRIVALENT, SV, PF, 0.5ML FOR IM USE (RHC)	$9.15	$14.30	$5.61–$13.87	—	36%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLU VAC TS 2025-26(6MOS UP)-PF 45 MCG (15 MCG X 3)/0.5 ML IM SYRG	$30.32	$47.37	$18.60–$45.95	—	36%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLU VAC TS 2025-26(6MOS UP)-PF 45 MCG (15 MCG X 3)/0.5 ML IM SYRG	$30.32	$47.37	$18.60–$45.95	—	36%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HUMAN PAPILLOMAVIRUS VACCINE (9VHPV),2 OR 3 DOSE SCHEDULE (PER D	$220.46	$344.47	$135.24–$334.14	42% below	36%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HUMAN PAPILLOMAVIRUS VACCINE TYPES 6, 11, 16, 18, 31, 33, 45, 52	$220.46	$344.47	$158.46–$334.14	42% below	36%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HUMAN PAPILLOMAVIRUS VACCINE (9VHPV),2 OR 3 DOSE SCHEDULE (PER D	$220.46	$344.47	$135.24–$334.14	42% below	36%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HUMAN PAPILLOMAVIRUS VACCINE (9VHPV),2 OR 3 DOSE SCHEDULE (PER D	$220.46	$344.47	$135.24–$334.14	—	36%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HUMAN PAPILLOMAVIRUS VACCINE (9VHPV),2 OR 3 DOSE SCHEDULE (PER D	$220.46	$344.47	$135.24–$334.14	—	36%
Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VAC ADULT DOSAGE IM (RHC)	$125.13	$195.51	$76.76–$189.64	20% above	36%
Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VACCINE, ADULT DOSAGE, FOR IM USE	$125.13	$195.51	$89.93–$189.64	20% above	36%
Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VAC ADULT DOSAGE IM (RHC)	$125.13	$195.51	$76.76–$189.64	20% above	36%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VAC ADULT DOSAGE IM (RHC)	$125.13	$195.51	$76.76–$189.64	—	36%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VAC ADULT DOSAGE IM (RHC)	$125.13	$195.51	$76.76–$189.64	—	36%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B ADULT DOSE IM (3 DOSE SCHEDULE) (RHC)	$50.43	$78.80	$30.94–$76.44	55% below	36%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VACCINE, ADULT DOSAGE (3 DOSE SCHEDULE), FOR IM USE	$50.43	$78.80	$36.25–$76.44	55% below	36%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B ADULT DOSE IM (3 DOSE SCHEDULE) (RHC)	$50.43	$78.80	$30.94–$76.44	55% below	36%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B ADULT DOSE IM (3 DOSE SCHEDULE) (RHC)	$50.43	$78.80	$30.94–$76.44	—	36%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B ADULT DOSE IM (3 DOSE SCHEDULE) (RHC)	$50.43	$78.80	$30.94–$76.44	—	36%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 INFLUENZA VIRUS VACCINE, SPLIT VIRUS, PRESERVATIVE FREE, INCREAS	$28.94	$45.22	$20.80–$43.86	61% below	36%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 INFLUENZA VACCINE SPLIT PRESERV FREE ENHANCED FOR IM USE (RHC)	$28.94	$45.22	$17.75–$43.86	61% below	36%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 INFLUENZA VACCINE SPLIT PRESERV FREE ENHANCED FOR IM USE (RHC)	$28.94	$45.22	$17.75–$43.86	61% below	36%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 INFLUENZA VACCINE SPLIT PRESERV FREE ENHANCED FOR IM USE (RHC)	$28.94	$45.22	$17.75–$43.86	—	36%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 INFLUENZA VACCINE SPLIT PRESERV FREE ENHANCED FOR IM USE (RHC)	$28.94	$45.22	$17.75–$43.86	—	36%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MMR VACCINE SUBQ OR JET (RHC)	$67.42	$105.34	$41.36–$102.18	46% below	36%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MMR VACCINE SUBQ OR JET (RHC)	$67.42	$105.34	$41.36–$102.18	46% below	36%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES, MUMPS, RUBELLA VIRUS VACCINE (MMR), LIVE, FOR SUBCUTANE	$67.42	$105.34	$48.46–$102.18	46% below	36%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLESMUMPSRUBELLA VACC(PF) 1000-12500 TCID50/0.5 ML SUBQ SOLR	$71.39	$111.54	$43.79–$108.19	43% below	36%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLESMUMPSRUBELLA VACC(PF) 1000-12500 TCID50/0.5 ML SUBQ SOLR	$71.39	$111.54	$43.79–$108.19	43% below	36%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MMR VACCINE SUBQ OR JET (RHC)	$67.42	$105.34	$41.36–$102.18	—	36%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MMR VACCINE SUBQ OR JET (RHC)	$67.42	$105.34	$41.36–$102.18	—	36%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLESMUMPSRUBELLA VACC(PF) 1000-12500 TCID50/0.5 ML SUBQ SOLR	$71.39	$111.54	$43.79–$108.19	—	36%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLESMUMPSRUBELLA VACC(PF) 1000-12500 TCID50/0.5 ML SUBQ SOLR	$71.39	$111.54	$43.79–$108.19	—	36%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENING CONJ VACCINE,SEROGROUPS A,C,W Y,QUADRIVALENT,DIPHTHERIA T	$184.13	$287.70	$112.95–$279.07	6% below	36%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOCCAL CONJUGATE VACCINE, SEROGROUPS A, C, Y AND W-135, Q	$184.13	$287.70	$132.34–$279.07	6% below	36%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENING CONJ VACCINE,SEROGROUPS A,C,W Y,QUADRIVALENT,DIPHTHERIA T	$184.13	$287.70	$112.95–$279.07	6% below	36%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENING CONJ VACCINE,SEROGROUPS A,C,W Y,QUADRIVALENT,DIPHTHERIA T	$184.13	$287.70	$112.95–$279.07	—	36%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENING CONJ VACCINE,SEROGROUPS A,C,W Y,QUADRIVALENT,DIPHTHERIA T	$184.13	$287.70	$112.95–$279.07	—	36%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL RECOMBINANT PROTEIN AND OUTER MEM VESICLE VACCINE,	$124.80	$195.00	$76.56–$189.15	59% below	36%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL RECOMBINANT PROTEIN AND OUTER MEM VESICLE VACCINE,	$124.80	$195.00	$76.56–$189.15	59% below	36%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL RECOMBINANT PROTEIN AND OUTER MEMBRANE VESICLE VAC	$124.80	$195.00	$89.70–$189.15	59% below	36%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENINGOCOCCAL RECOMBINANT PROTEIN AND OUTER MEM VESICLE VACCINE,	$124.80	$195.00	$76.56–$189.15	—	36%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENINGOCOCCAL RECOMBINANT PROTEIN AND OUTER MEM VESICLE VACCINE,	$124.80	$195.00	$76.56–$189.15	—	36%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL CONJUGATE VACCINE, 20 VALENT (PCV20), FOR INTRAMUSC	$226.97	$354.64	$139.23–$344.00	44% below	36%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL CONJUGATE VACCINE, 20 VALENT (PCV20), FOR INTRAMUSC	$226.97	$354.64	$139.23–$344.00	44% below	36%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL CONJUGATE VACCINE, 20 VALENT (PCV20), FOR INTRAMUSC	$226.97	$354.64	—	—	36%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL CONJUGATE VACCINE, 20 VALENT (PCV20), FOR INTRAMUSC	$226.97	$354.64	$139.23–$344.00	—	36%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL VACCINE SQ OR IM (RHC)	$39.58	$61.84	$24.28–$59.98	70% below	36%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL VACCINE SQ OR IM (RHC)	$39.58	$61.84	$24.28–$59.98	70% below	36%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL POLYSACCHARIDE VACCINE, 23-VALENT, ADULT/IMMUNOSUPP	$39.58	$61.84	$28.45–$59.98	70% below	36%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL VACCINE SQ OR IM (RHC)	$39.58	$61.84	$24.28–$59.98	—	36%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL VACCINE SQ OR IM (RHC)	$39.58	$61.84	$24.28–$59.98	—	36%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 RESPIRATORY SYNCYTIAL VIRUS, MONOCLONAL ANTIBODY, SEASONAL DOSE;	$308.16	$481.50	$189.04–$467.06	41% below	36%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 RESPIRATORY SYNCYTIAL VIRUS, MONOCLONAL ANTIBODY, SEASONAL DOSE;	$308.16	$481.50	$189.04–$467.06	41% below	36%
RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 RESPIRATORY SYNCYTIAL VIRUS, MONOCLONAL ANTIBODY, SEASONAL DOSE;	$308.16	$481.50	$189.04–$467.06	—	36%
RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 RESPIRATORY SYNCYTIAL VIRUS, MONOCLONAL ANTIBODY, SEASONAL DOSE;	$308.16	$481.50	—	—	36%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 RESPIRATORY SYNCYTIAL VIRUS VACCINE, PREF, SUBUNIT, BIVALENT, FO	$157.41	$245.96	$96.56–$238.58	29% below	36%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 RESPIRATORY SYNCYTIAL VIRUS VACCINE, PREF, SUBUNIT, BIVALENT, FO	$157.41	$245.96	$96.56–$238.58	29% below	36%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 RESPIRATORY SYNCYTIAL VIRUS VACCINE, PREF, SUBUNIT, BIVALENT, FO	$157.41	$245.96	—	—	36%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 RESPIRATORY SYNCYTIAL VIRUS VACCINE, PREF, SUBUNIT, BIVALENT, FO	$157.41	$245.96	$96.56–$238.58	—	36%
RSV vaccine with adjuvant (Arexvy), one dose for older adults CPT 90679 RESPIRATORY SYNCYTIAL VIRUS VACCINE, PREF, RECOMBINANT, SUBUNIT,	$155.14	$242.40	$95.17–$235.13	18% above	36%
RSV vaccine with adjuvant (Arexvy), one dose for older adults CPT 90679 RESPIRATORY SYNCYTIAL VIRUS VACCINE, PREF, RECOMBINANT, SUBUNIT,	$155.14	$242.40	$95.17–$235.13	18% above	36%
RSV vaccine with adjuvant (Arexvy), one dose for older adults inpatient CPT 90679 RESPIRATORY SYNCYTIAL VIRUS VACCINE, PREF, RECOMBINANT, SUBUNIT,	$155.14	$242.40	—	—	36%
RSV vaccine with adjuvant (Arexvy), one dose for older adults inpatient CPT 90679 RESPIRATORY SYNCYTIAL VIRUS VACCINE, PREF, RECOMBINANT, SUBUNIT,	$155.14	$242.40	$95.17–$235.13	—	36%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE FOR INTRAMUSCULAR USE (RHC)	$177.28	$277.00	$108.75–$268.69	68% below	36%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE, FOR IM USE	$177.28	$277.00	$127.42–$268.69	68% below	36%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE FOR INTRAMUSCULAR USE (RHC)	$177.28	$277.00	$108.75–$268.69	68% below	36%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE PCEC (PF) 2.5 UNIT IM SUSR	$333.78	$521.53	$204.75–$505.88	39% below	36%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE PCEC (PF) 2.5 UNIT IM SUSR	$333.78	$521.53	$204.75–$505.88	39% below	36%
Rabies vaccine, one dose CPT 90675 RABIES VACCHUMAN DIPLOID (PF) 2.5 UNIT IM SOLR	$346.49	$541.39	$212.55–$525.15	37% below	36%
Rabies vaccine, one dose CPT 90675 RABIES VACCHUMAN DIPLOID (PF) 2.5 UNIT IM SOLR	$346.49	$541.39	$212.55–$525.15	37% below	36%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE FOR INTRAMUSCULAR USE (RHC)	$177.28	$277.00	$108.75–$268.69	—	36%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE FOR INTRAMUSCULAR USE (RHC)	$177.28	$277.00	$108.75–$268.69	—	36%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE PCEC (PF) 2.5 UNIT IM SUSR	$333.78	$521.53	$204.75–$505.88	—	36%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE PCEC (PF) 2.5 UNIT IM SUSR	$333.78	$521.53	$204.75–$505.88	—	36%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCHUMAN DIPLOID (PF) 2.5 UNIT IM SOLR	$346.49	$541.39	$212.55–$525.15	—	36%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCHUMAN DIPLOID (PF) 2.5 UNIT IM SOLR	$346.49	$541.39	$212.55–$525.15	—	36%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 VARICELLA-ZOSTER GE-AS01B (PF) 50 MCG/0.5 ML IM SUSR	$165.51	$258.61	$101.53–$250.85	28% below	36%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 VARICELLA-ZOSTER GE-AS01B (PF) 50 MCG/0.5 ML IM SUSR	$165.51	$258.61	$101.53–$250.85	28% below	36%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 ZOSTER (SHINGLES) VACCINE (HZV), RECOMBINANT, SUB-UNIT, ADJUVANT	$177.28	$277.00	$127.42–$268.69	23% below	36%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 ZOSTER (SHINGLES) VACCINE (HZV) FOR IM USE (RHC)	$177.28	$277.00	$108.75–$268.69	23% below	36%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 ZOSTER (SHINGLES) VACCINE (HZV) FOR IM USE (RHC)	$177.28	$277.00	$108.75–$268.69	23% below	36%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 VARICELLA-ZOSTER GE-AS01B (PF) 50 MCG/0.5 ML IM SUSR	$165.51	$258.61	$101.53–$250.85	—	36%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 VARICELLA-ZOSTER GE-AS01B (PF) 50 MCG/0.5 ML IM SUSR	$165.51	$258.61	$101.53–$250.85	—	36%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 ZOSTER (SHINGLES) VACCINE (HZV) FOR IM USE (RHC)	$177.28	$277.00	$108.75–$268.69	—	36%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 ZOSTER (SHINGLES) VACCINE (HZV) FOR IM USE (RHC)	$177.28	$277.00	$108.75–$268.69	—	36%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS & DIPTHERIA TOXOIDS (RHC)	$35.75	$55.86	$21.93–$54.18	43% below	36%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS & DIPTHERIA TOXOIDS (RHC)	$35.75	$55.86	$21.93–$54.18	43% below	36%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS & DIPTHERIA TOXOIDS (TD) ADSORBED, PRESERVATIVE FREE >7Y	$35.75	$55.86	$21.93–$54.18	43% below	36%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS & DIPTHERIA TOXOIDS (TD) ADSORBED, PRESERVATIVE FREE >7Y	$35.75	$55.86	$21.93–$54.18	43% below	36%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS AND DIPHTHERIA TOXOIDS (TD) ADSORBED, PRESERVATIVE FREE,	$35.75	$55.86	$25.70–$54.18	43% below	36%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS AND DIPHTHER. TOX (PF) 5-2 LF UNIT/0.5 ML IM SYRG	$62.59	$97.79	$38.39–$94.86	at median	36%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS AND DIPHTHER. TOX (PF) 5-2 LF UNIT/0.5 ML IM SYRG	$62.59	$97.79	$38.39–$94.86	at median	36%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS & DIPTHERIA TOXOIDS (TD) ADSORBED, PRESERVATIVE FREE >7Y	$35.75	$55.86	$21.93–$54.18	—	36%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS & DIPTHERIA TOXOIDS (TD) ADSORBED, PRESERVATIVE FREE >7Y	$35.75	$55.86	$21.93–$54.18	—	36%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS & DIPTHERIA TOXOIDS (RHC)	$35.75	$55.86	$21.93–$54.18	—	36%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS & DIPTHERIA TOXOIDS (RHC)	$35.75	$55.86	$21.93–$54.18	—	36%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS AND DIPHTHER. TOX (PF) 5-2 LF UNIT/0.5 ML IM SYRG	$62.59	$97.79	$38.39–$94.86	—	36%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS AND DIPHTHER. TOX (PF) 5-2 LF UNIT/0.5 ML IM SYRG	$62.59	$97.79	$38.39–$94.86	—	36%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS DIP TOX & ACE PERT TDAP > = 7 YRS (RHC)	$52.36	$81.82	$32.12–$79.37	33% below	36%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS,DIPTHERIA TOXOIDS AND ACELLULAR PERTUSSIS VAC TDAP 7 YRS	$52.36	$81.82	$32.12–$79.37	33% below	36%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS DIP TOX & ACE PERT TDAP > = 7 YRS (RHC)	$52.36	$81.82	$32.12–$79.37	33% below	36%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS,DIPTHERIA TOXOIDS AND ACELLULAR PERTUSSIS VAC TDAP 7 YRS	$52.36	$81.82	$32.12–$79.37	33% below	36%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS, DIPTHERIA TOXOIDS AND ACELLULAR PERTUSSIS VACCINE (TDAP	$52.36	$81.82	$37.64–$79.37	33% below	36%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 BOOSTRIX TDAP 2.5-8-5 LF-MCG-LF/0.5ML IM SYRG	$71.42	$111.59	$43.81–$108.24	9% below	36%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 BOOSTRIX TDAP 2.5-8-5 LF-MCG-LF/0.5ML IM SYRG	$71.42	$111.59	$43.81–$108.24	9% below	36%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TETANUS,DIPTHERIA TOXOIDS AND ACELLULAR PERTUSSIS VAC TDAP 7 YRS	$52.36	$81.82	$32.12–$79.37	—	36%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TETANUS,DIPTHERIA TOXOIDS AND ACELLULAR PERTUSSIS VAC TDAP 7 YRS	$52.36	$81.82	$32.12–$79.37	—	36%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TETANUS DIP TOX & ACE PERT TDAP > = 7 YRS (RHC)	$52.36	$81.82	$32.12–$79.37	—	36%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TETANUS DIP TOX & ACE PERT TDAP > = 7 YRS (RHC)	$52.36	$81.82	$32.12–$79.37	—	36%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 BOOSTRIX TDAP 2.5-8-5 LF-MCG-LF/0.5ML IM SYRG	$71.42	$111.59	$43.81–$108.24	—	36%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 BOOSTRIX TDAP 2.5-8-5 LF-MCG-LF/0.5ML IM SYRG	$71.42	$111.59	$43.81–$108.24	—	36%
Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 TYPHOID VACCINE, VI CAPSULAR POLYSACCHARIDE (VICPS), FOR IM USE	$62.72	$98.00	$45.08–$95.06	57% below	36%
Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 TYPHOID VACCINE, INTRAMUSCULAR (RHC)	$62.72	$98.00	$38.47–$95.06	57% below	36%
Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 TYPHOID VACCINE, INTRAMUSCULAR (RHC)	$62.72	$98.00	$38.47–$95.06	57% below	36%
Typhoid vaccine, injectable (Vi polysaccharide) inpatient CPT 90691 TYPHOID VACCINE, INTRAMUSCULAR (RHC)	$62.72	$98.00	$38.47–$95.06	—	36%
Typhoid vaccine, injectable (Vi polysaccharide) inpatient CPT 90691 TYPHOID VACCINE, INTRAMUSCULAR (RHC)	$62.72	$98.00	$38.47–$95.06	—	36%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMINISTRATION HEPATITIS B VACCINE	$44.16	$69.00	$34.50–$66.93	8% above	36%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMINISTRATION VACCINE	$44.16	$69.00	$34.50–$66.93	8% above	36%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN SINGLE OR COMBINATION VAC/TOXIOD (PBB)	$44.16	$69.00	$34.50–$66.93	8% above	36%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMINISTRATION PNEUMOCOCCAL VACCINE	$44.16	$69.00	$34.50–$66.93	8% above	36%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMINISTRATION INFLUENZA VACCINE	$44.16	$69.00	$34.50–$66.93	8% above	36%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMINISTRATION OF HEPATITIS B VACCINE (RHC)	$44.16	$69.00	$34.50–$66.93	8% above	36%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 INFLUENZA ADMINISTRATION (RHC)	$44.16	$69.00	$34.50–$66.93	8% above	36%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMINISTRATION; 1 VACCINE (SINGLE OR COMBINATION VA	$44.16	$69.00	$31.74–$66.93	8% above	36%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN; 1 VACCINE (SINGLE OR COMBINATION VAC/TOXIOD)	$44.16	$69.00	$31.74–$66.93	8% above	36%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN OF PNEUMOCOCCAL VACCINE (RHC)	$44.16	$69.00	$34.50–$66.93	8% above	36%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ADMINISTRATION VACCINE - EA ADDITIONAL VACCINE	$16.64	$26.00	$13.00–$25.22	34% below	36%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADMIN; EACH ADDTL VACCINE (SINGLE OR COMBINATION VA	$18.56	$29.00	$13.34–$28.13	26% below	36%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADMIN; EACH ADDTL SINGLE OR COMBINATION VAC/TOXIOD	$18.56	$29.00	$13.34–$28.13	26% below	36%

Source file: https://meeker.pt.panaceainc.com/MRFDownload/meeker/meeker