Paulding County Hospital
Paulding County Hospital in Paulidng, OH publishes cash prices for 286 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are below the Ohio median for 154 of 280 procedures and above it for 126. By typical cash price it ranks #27 of 116 Ohio hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
1035 West Wayne Street Paulidng OH 45879 Collected Sep 27, 2026 Source price file (419) 399-4080
Critical access hospital (rural, 25 beds or fewer) Emergency department CCN 361300 · CMS hospital register
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Ohio | Off list |
|---|---|---|---|---|---|
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HC UPR/L XTREMITY ART 2 LEVELS TECH | $130.22 | $153.20 | $153.20–$130.22 | 73% below | 15% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HC UPR/L XTREMITY ART 2 LEVELS | $195.33 | $229.80 | $229.80–$195.33 | 59% below | 15% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HC U/S ANKLE/BRACHIAL INDEX | $325.55 | $383.00 | $383.00–$325.55 | 32% below | 15% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 HC UPR/L XTREMITY ART 2 LEVELS TECH | $130.22 | $153.20 | $153.20–$130.22 | — | 15% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 HC UPR/L XTREMITY ART 2 LEVELS | $195.33 | $229.80 | $229.80–$195.33 | — | 15% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 HC U/S ANKLE/BRACHIAL INDEX | $325.55 | $383.00 | $383.00–$325.55 | — | 15% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 HC X-RAY EXAM ESOPHAGUS SINGLE CONT INC SCOUT FILMS STUDY | $546.55 | $643.00 | $643.00–$546.55 | 27% above | 15% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HC X-RAY EXAM ESOPHAGUS SINGLE CONT INC SCOUT FILMS STUDY | $546.55 | $643.00 | $643.00–$546.55 | — | 15% |
| Bone scan, whole body (nuclear medicine) CPT 78306 HC BONE SCAN - WHOLE BODY | $1,607.35 | $1,891.00 | $1,891.00–$1,607.35 | 5% above | 15% |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 HC BONE SCAN - WHOLE BODY | $1,607.35 | $1,891.00 | $1,891.00–$1,607.35 | — | 15% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CTA-CHEST | $1,771.40 | $2,084.00 | $2,084.00–$1,771.40 | 25% above | 15% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HC CTA-CHEST | $1,771.40 | $2,084.00 | $2,084.00–$1,771.40 | — | 15% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT ABD & PELV/STONE W/O CONTR | $2,689.40 | $3,164.00 | $3,164.00–$2,689.40 | 71% above | 15% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT ABD & PELVIS W/O CONTRAST | $2,689.40 | $3,164.00 | $3,164.00–$2,689.40 | 71% above | 15% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HC CT ABD & PELV/STONE W/O CONTR | $2,689.40 | $3,164.00 | $3,164.00–$2,689.40 | — | 15% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HC CT ABD & PELVIS W/O CONTRAST | $2,689.40 | $3,164.00 | $3,164.00–$2,689.40 | — | 15% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT ABD & PELVIS W/CONTRAST | $2,689.40 | $3,164.00 | $3,164.00–$2,689.40 | 39% above | 15% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT ABD & PELVIS W/CONTRAST | $2,689.40 | $3,164.00 | $3,164.00–$2,689.40 | — | 15% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT ABD & PELVIS W/WO CONTRAST | $2,689.40 | $3,164.00 | $3,164.00–$2,689.40 | 28% above | 15% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HC CT ABD & PELVIS W/WO CONTRAST | $2,689.40 | $3,164.00 | $3,164.00–$2,689.40 | — | 15% |
| CT scan of the abdomen with contrast CPT 74160 HC CT ABDOMEN W CONTRAST | $1,399.95 | $1,647.00 | $1,647.00–$1,399.95 | 26% above | 15% |
| CT scan of the abdomen with contrast inpatient CPT 74160 HC CT ABDOMEN W CONTRAST | $1,399.95 | $1,647.00 | $1,647.00–$1,399.95 | — | 15% |
| CT scan of the abdomen without contrast CPT 74150 HC CT ABDOMEN W/O CONTRAST | $1,399.95 | $1,647.00 | $1,647.00–$1,399.95 | 34% above | 15% |
| CT scan of the abdomen without contrast inpatient CPT 74150 HC CT ABDOMEN W/O CONTRAST | $1,399.95 | $1,647.00 | $1,647.00–$1,399.95 | — | 15% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT FACE W/O CONTRAST | $1,630.30 | $1,918.00 | $1,918.00–$1,630.30 | 86% above | 15% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT FACE W/O CONTRAST | $1,630.30 | $1,918.00 | $1,918.00–$1,630.30 | — | 15% |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT HEAD SCAN W/O CONTRAST | $1,355.75 | $1,595.00 | $1,595.00–$1,355.75 | 63% above | 15% |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT HEAD ATTN FACE W/O CON | $1,355.75 | $1,595.00 | $1,595.00–$1,355.75 | 63% above | 15% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT HEAD ATTN FACE W/O CON | $1,355.75 | $1,595.00 | $1,595.00–$1,355.75 | — | 15% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT HEAD SCAN W/O CONTRAST | $1,355.75 | $1,595.00 | $1,595.00–$1,355.75 | — | 15% |
| CT scan of the head with contrast CPT 70460 HC CT HEAD SCAN W/CONTRAST | $2,051.90 | $2,414.00 | $2,414.00–$2,051.90 | 104% above | 15% |
| CT scan of the head with contrast inpatient CPT 70460 HC CT HEAD SCAN W/CONTRAST | $2,051.90 | $2,414.00 | $2,414.00–$2,051.90 | — | 15% |
| CT scan of the head without and with contrast CPT 70470 HC CT HEAD SCAN W/WO CONTRAST | $2,323.05 | $2,733.00 | $2,733.00–$2,323.05 | 114% above | 15% |
| CT scan of the head without and with contrast CPT 70470 HC CT HEAD ATTN IAC W/WO CON | $2,323.05 | $2,733.00 | $2,733.00–$2,323.05 | 114% above | 15% |
| CT scan of the head without and with contrast inpatient CPT 70470 HC CT HEAD ATTN IAC W/WO CON | $2,323.05 | $2,733.00 | $2,733.00–$2,323.05 | — | 15% |
| CT scan of the head without and with contrast inpatient CPT 70470 HC CT HEAD SCAN W/WO CONTRAST | $2,323.05 | $2,733.00 | $2,733.00–$2,323.05 | — | 15% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT LUMBAR SPINE-STRGHT W/O CON | $1,896.35 | $2,231.00 | $2,231.00–$1,896.35 | 81% above | 15% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT LUMBAR SPINE-ANGLES W/O CON | $1,896.35 | $2,231.00 | $2,231.00–$1,896.35 | 81% above | 15% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HC CT LUMBAR SPINE-STRGHT W/O CON | $1,896.35 | $2,231.00 | $2,231.00–$1,896.35 | — | 15% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HC CT LUMBAR SPINE-ANGLES W/O CON | $1,896.35 | $2,231.00 | $2,231.00–$1,896.35 | — | 15% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT CERVICAL SPINE W/O CONTRAST | $1,518.95 | $1,787.00 | $1,787.00–$1,518.95 | 47% above | 15% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HC CT CERVICAL SPINE W/O CONTRAST | $1,518.95 | $1,787.00 | $1,787.00–$1,518.95 | — | 15% |
| CT scan of the pelvis, with contrast dye CPT 72193 HC CT PELVIS W/CONTRAST | $1,399.95 | $1,647.00 | $1,647.00–$1,399.95 | 25% above | 15% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT PELVIS W/CONTRAST | $1,399.95 | $1,647.00 | $1,647.00–$1,399.95 | — | 15% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HC U/S CAROTID DOPPLER BILATERAL | $1,124.55 | $1,323.00 | $1,323.00–$1,124.55 | — | 15% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 HC U/S CAROTID DOPPLER BILATERAL | $1,124.55 | $1,323.00 | $1,323.00–$1,124.55 | — | 15% |
| Chest X-ray, 2 views CPT 71046 HC X-RAY EXAM CHEST 2 VIEWS | $262.65 | $309.00 | $309.00–$262.65 | 1% above | 15% |
| Chest X-ray, 2 views inpatient CPT 71046 HC X-RAY EXAM CHEST 2 VIEWS | $262.65 | $309.00 | $309.00–$262.65 | — | 15% |
| Chest X-ray, single view CPT 71045 HC X-RAY EXAM CHEST 1 VIEW | $131.75 | $155.00 | $155.00–$131.75 | 39% below | 15% |
| Chest X-ray, single view inpatient CPT 71045 HC X-RAY EXAM CHEST 1 VIEW | $131.75 | $155.00 | $155.00–$131.75 | — | 15% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC U/S RETROPERITONEAL COMPLETE | $1,302.20 | $1,532.00 | $1,532.00–$1,302.20 | 93% above | 15% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC U/S RETROPERITONEAL COMPLETE | $1,302.20 | $1,532.00 | $1,532.00–$1,302.20 | — | 15% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC DEXA-BONE MINERAL ANALYSIS | $526.15 | $619.00 | $619.00–$526.15 | 16% above | 15% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HC DEXA-BONE MINERAL ANALYSIS | $526.15 | $619.00 | $619.00–$526.15 | — | 15% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HC DEXA-BONE DENSITY PERIPHERAL | $388.45 | $457.00 | $457.00–$388.45 | 53% above | 15% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 HC DEXA-BONE DENSITY PERIPHERAL | $388.45 | $457.00 | $457.00–$388.45 | — | 15% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 HC U/S MATERNITY LEVEL III INITIAL GESTATION | $1,353.20 | $1,592.00 | $1,592.00–$1,353.20 | 60% above | 15% |
| Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 HC U/S MATERNITY LEVEL III INITIAL GESTATION | $1,353.20 | $1,592.00 | $1,592.00–$1,353.20 | — | 15% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT CHEST W/O CONTRAST | $1,555.50 | $1,830.00 | $1,830.00–$1,555.50 | 73% above | 15% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC CT CHEST W/O CONTRAST | $1,555.50 | $1,830.00 | $1,830.00–$1,555.50 | — | 15% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CT CHEST W/CONTRAST | $2,709.80 | $3,188.00 | $3,188.00–$2,709.80 | 143% above | 15% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HC CT CHEST W/CONTRAST | $2,709.80 | $3,188.00 | $3,188.00–$2,709.80 | — | 15% |
| Diagnostic mammogram, both breasts both sides CPT 77066 HC MAMMOGRAM DX INCL CAD BILATERAL | $413.95 | $487.00 | $487.00–$413.95 | — | 15% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC MAMMOGRAM DX INCL CAD BILATERAL | $413.95 | $487.00 | $487.00–$413.95 | — | 15% |
| Diagnostic mammogram, one breast one side CPT 77065 HC MAMMOGRAM DX INCL CAD UNILATERAL | $302.60 | $356.00 | $356.00–$302.60 | 8% below | 15% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 HC MAMMOGRAM DX INCL CAD UNILATERAL | $302.60 | $356.00 | $356.00–$302.60 | — | 15% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 HC U/S VENOUS IMAGING LWR EXT BIL | $1,430.55 | $1,683.00 | $1,683.00–$1,430.55 | 69% above | 15% |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 HC U/S VENOUS IMAGING LWR EXT BIL | $1,430.55 | $1,683.00 | $1,683.00–$1,430.55 | — | 15% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC 2D&M-MODE W/SPCTRL & CF DPLR | $1,348.95 | $1,587.00 | $1,587.00–$1,348.95 | 20% below | 15% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC 2D&M-MODE W/SPCTRL & CF DPLR | $1,348.95 | $1,587.00 | $1,587.00–$1,348.95 | — | 15% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC HEPATOBILIARY SYSTEM IMAGING | $2,250.80 | $2,648.00 | $2,648.00–$2,250.80 | 51% above | 15% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HC HEPATOBILIARY SYSTEM IMAGING | $2,250.80 | $2,648.00 | $2,648.00–$2,250.80 | — | 15% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HC SLEEP STUDY UNATT&RESP EFFT TECH | $86.02 | $101.20 | $101.20–$86.02 | 87% below | 15% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HC SLEEP STUDY UNATT&RESP EFFT | $129.03 | $151.80 | $151.80–$129.03 | 81% below | 15% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HC HOME SLEEP STUDY | $602.65 | $709.00 | $709.00–$602.65 | 12% below | 15% |
| Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 HC SLEEP STUDY UNATT&RESP EFFT TECH | $86.02 | $101.20 | $101.20–$86.02 | — | 15% |
| Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 HC SLEEP STUDY UNATT&RESP EFFT | $129.03 | $151.80 | $151.80–$129.03 | — | 15% |
| Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 HC HOME SLEEP STUDY | $602.65 | $709.00 | $709.00–$602.65 | — | 15% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HC SLP STUDY 6/>YRS CPAP 4/> PARM 6+ HRS RECORDING | $5,395.80 | $6,348.00 | $6,348.00–$5,395.80 | 50% above | 15% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 HC SLP STUDY 6/>YRS CPAP 4/> PARM 6+ HRS RECORDING | $5,395.80 | $6,348.00 | $6,348.00–$5,395.80 | — | 15% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC U/S ABDOMEN LIMITED | $943.50 | $1,110.00 | $1,110.00–$943.50 | 71% above | 15% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC U/S ABDOMEN LIMITED | $943.50 | $1,110.00 | $1,110.00–$943.50 | — | 15% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HC CT LUNG CANCER SCREENING | $84.15 | $99.00 | $99.00–$84.15 | 68% below | 15% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 HC CT LUNG CANCER SCREENING | $84.15 | $99.00 | $99.00–$84.15 | — | 15% |
| MRI of the abdomen without contrast CPT 74181 HC MRI-ABDOMEN W/O CONTRAST | $3,802.05 | $4,473.00 | $4,473.00–$3,802.05 | 133% above | 15% |
| MRI of the abdomen without contrast inpatient CPT 74181 HC MRI-ABDOMEN W/O CONTRAST | $3,802.05 | $4,473.00 | $4,473.00–$3,802.05 | — | 15% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI-ABDOMEN W/WO CONTRAST | $4,618.05 | $5,433.00 | $5,433.00–$4,618.05 | 125% above | 15% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HC MRI-ABDOMEN W/WO CONTRAST | $4,618.05 | $5,433.00 | $5,433.00–$4,618.05 | — | 15% |
| MRI of the brain, no contrast dye CPT 70551 HC MRI-BRAIN & CSF FLOW STUDY W/O CONTRAST | $2,977.55 | $3,503.00 | $3,503.00–$2,977.55 | 111% above | 15% |
| MRI of the brain, no contrast dye CPT 70551 HC MRI-BRAIN W/O CONTRAST | $2,977.55 | $3,503.00 | $3,503.00–$2,977.55 | 111% above | 15% |
| MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI-BRAIN W/O CONTRAST | $2,977.55 | $3,503.00 | $3,503.00–$2,977.55 | — | 15% |
| MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI-BRAIN & CSF FLOW STUDY W/O CONTRAST | $2,977.55 | $3,503.00 | $3,503.00–$2,977.55 | — | 15% |
| MRI of the brain, with and without contrast dye CPT 70553 HC MRI- IAC W/WO CON | $4,700.50 | $5,530.00 | $5,530.00–$4,700.50 | 132% above | 15% |
| MRI of the brain, with and without contrast dye CPT 70553 HC MRI-BRAIN W/WO CONTRAST | $4,700.50 | $5,530.00 | $5,530.00–$4,700.50 | 132% above | 15% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI- IAC W/WO CON | $4,700.50 | $5,530.00 | $5,530.00–$4,700.50 | — | 15% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI-BRAIN W/WO CONTRAST | $4,700.50 | $5,530.00 | $5,530.00–$4,700.50 | — | 15% |
| MRI of the lower back, no contrast dye CPT 72148 HC MRI-LUMBAR SPINE W/O CONTRAST | $3,272.50 | $3,850.00 | $3,850.00–$3,272.50 | 150% above | 15% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI-LUMBAR SPINE W/O CONTRAST | $3,272.50 | $3,850.00 | $3,850.00–$3,272.50 | — | 15% |
| MRI of the lower back, without and then with contrast dye CPT 72158 HC MRI-LUMBAR SPINE W/WO CONTRAST | $4,717.50 | $5,550.00 | $5,550.00–$4,717.50 | 123% above | 15% |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HC MRI-LUMBAR SPINE W/WO CONTRAST | $4,717.50 | $5,550.00 | $5,550.00–$4,717.50 | — | 15% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MRI-THORACIC SPINE W/O CON | $3,699.20 | $4,352.00 | $4,352.00–$3,699.20 | 159% above | 15% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HC MRI-THORACIC SPINE W/O CON | $3,699.20 | $4,352.00 | $4,352.00–$3,699.20 | — | 15% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MRI-CERVICAL SPINE W/WO CON | $4,717.50 | $5,550.00 | $5,550.00–$4,717.50 | 116% above | 15% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MRI-CERV SPINE & CSF FLOW STUDY W/WO CON | $4,717.50 | $5,550.00 | $5,550.00–$4,717.50 | 116% above | 15% |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HC MRI-CERV SPINE & CSF FLOW STUDY W/WO CON | $4,717.50 | $5,550.00 | $5,550.00–$4,717.50 | — | 15% |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HC MRI-CERVICAL SPINE W/WO CON | $4,717.50 | $5,550.00 | $5,550.00–$4,717.50 | — | 15% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MRI-CERV SPINE & CSF FLOW STUDY W/O CON | $3,699.20 | $4,352.00 | $4,352.00–$3,699.20 | 172% above | 15% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MRI-CERVICAL SPINE W/O CON | $3,699.20 | $4,352.00 | $4,352.00–$3,699.20 | 172% above | 15% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HC MRI-CERVICAL SPINE W/O CON | $3,699.20 | $4,352.00 | $4,352.00–$3,699.20 | — | 15% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HC MRI-CERV SPINE & CSF FLOW STUDY W/O CON | $3,699.20 | $4,352.00 | $4,352.00–$3,699.20 | — | 15% |
| MRI of the pelvis without and with contrast CPT 72197 HC MRI-PELVIS W/WO CONTRAST | $4,618.05 | $5,433.00 | $5,433.00–$4,618.05 | 144% above | 15% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 HC MRI-PELVIS W/WO CONTRAST | $4,618.05 | $5,433.00 | $5,433.00–$4,618.05 | — | 15% |
| MRI of the pelvis, no contrast dye CPT 72195 HC MRI-PELVIS W/O CONTRAST | $3,699.20 | $4,352.00 | $4,352.00–$3,699.20 | 166% above | 15% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 HC MRI-PELVIS W/O CONTRAST | $3,699.20 | $4,352.00 | $4,352.00–$3,699.20 | — | 15% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC HEART SCAN SPECT MULTIPLE | $2,417.40 | $2,844.00 | $2,844.00–$2,417.40 | 34% below | 15% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HC HEART SCAN SPECT MULTIPLE | $2,417.40 | $2,844.00 | $2,844.00–$2,417.40 | — | 15% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC U/S SOFT TISSUE PELVIS | $753.10 | $886.00 | $886.00–$753.10 | 80% above | 15% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC U/S PELVIC LIMITED | $753.10 | $886.00 | $886.00–$753.10 | 80% above | 15% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC U/S PELVIC LIMITED | $753.10 | $886.00 | $886.00–$753.10 | — | 15% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC U/S SOFT TISSUE PELVIS | $753.10 | $886.00 | $886.00–$753.10 | — | 15% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC U/S PELVIC | $1,259.70 | $1,482.00 | $1,482.00–$1,259.70 | 164% above | 15% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HC U/S PELVIC | $1,259.70 | $1,482.00 | $1,482.00–$1,259.70 | — | 15% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC U/S MATERNITY > 14 WEEKS INITIAL GESTATION | $1,119.45 | $1,317.00 | $1,317.00–$1,119.45 | 117% above | 15% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC U/S MATERNITY > 14 WEEKS INITIAL GESTATION | $1,119.45 | $1,317.00 | $1,317.00–$1,119.45 | — | 15% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC U/S MATERNITY < 14 WEEKS INITIAL GESTATION | $1,181.50 | $1,390.00 | $1,390.00–$1,181.50 | 136% above | 15% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HC U/S MATERNITY < 14 WEEKS INITIAL GESTATION | $1,181.50 | $1,390.00 | $1,390.00–$1,181.50 | — | 15% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC U/S MATERNITY LIMITED 1 OR MORE FETUS(S) | $1,259.70 | $1,482.00 | $1,482.00–$1,259.70 | 164% above | 15% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC U/S MATERNITY LIMITED 1 OR MORE FETUS(S) | $1,259.70 | $1,482.00 | $1,482.00–$1,259.70 | — | 15% |
| Screening mammogram, both breasts both sides CPT 77067 HC MAMMOGRAM SCREENING INCL CAD BILATERAL | $204.85 | $241.00 | $241.00–$204.85 | — | 15% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 HC MAMMOGRAM SCREENING INCL CAD BILATERAL | $204.85 | $241.00 | $241.00–$204.85 | — | 15% |
| Sleep study in a lab (polysomnography) CPT 95810 HC SLEEP STUDY 6/> YRS 4/> PARAM 6+ HRS RECORDING | $5,333.75 | $6,275.00 | $6,275.00–$5,333.75 | 56% above | 15% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 HC SLEEP STUDY 6/> YRS 4/> PARAM 6+ HRS RECORDING | $5,333.75 | $6,275.00 | $6,275.00–$5,333.75 | — | 15% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 HC X-RAY-REHAB ESOPHOGRAM | $827.90 | $974.00 | $974.00–$827.90 | 64% above | 15% |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HC X-RAY-REHAB ESOPHOGRAM | $827.90 | $974.00 | $974.00–$827.90 | — | 15% |
| Transvaginal pelvic ultrasound CPT 76830 HC U/S TRANSVAGINAL NON-MATERNITY | $1,071.00 | $1,260.00 | $1,260.00–$1,071.00 | 100% above | 15% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HC U/S TRANSVAGINAL NON-MATERNITY | $1,071.00 | $1,260.00 | $1,260.00–$1,071.00 | — | 15% |
| Transvaginal ultrasound during pregnancy CPT 76817 HC U/S TRANSVAGINAL MATERNITY | $1,001.30 | $1,178.00 | $1,178.00–$1,001.30 | 110% above | 15% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 HC U/S TRANSVAGINAL MATERNITY | $1,001.30 | $1,178.00 | $1,178.00–$1,001.30 | — | 15% |
| Ultrasound of the abdomen, complete CPT 76700 HC U/S ABDOMEN COMPLETE | $1,435.65 | $1,689.00 | $1,689.00–$1,435.65 | 153% above | 15% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HC U/S ABDOMEN COMPLETE | $1,435.65 | $1,689.00 | $1,689.00–$1,435.65 | — | 15% |
| Ultrasound of the scrotum and testicles CPT 76870 HC U/S TESTICULAR | $993.65 | $1,169.00 | $1,169.00–$993.65 | 97% above | 15% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 HC U/S TESTICULAR | $993.65 | $1,169.00 | $1,169.00–$993.65 | — | 15% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC U/S THYROID | $993.65 | $1,169.00 | $1,169.00–$993.65 | 80% above | 15% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC U/S NECK OR HEAD - SOFT TISSUE | $993.65 | $1,169.00 | $1,169.00–$993.65 | 80% above | 15% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC U/S NECK OR HEAD - SOFT TISSUE | $993.65 | $1,169.00 | $1,169.00–$993.65 | — | 15% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC U/S THYROID | $993.65 | $1,169.00 | $1,169.00–$993.65 | — | 15% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC X-RAY UPPER GI SINGLE CONTRAST W/O KUB | $296.65 | $349.00 | $349.00–$296.65 | 48% below | 15% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HC X-RAY UPPER GI SINGLE CONTRAST W/O KUB | $296.65 | $349.00 | $349.00–$296.65 | — | 15% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 HC U/S VENOUS IMAGING LOW EXT UNI | $720.80 | $848.00 | $848.00–$720.80 | 1% below | 15% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 HC U/S VENOUS IMAGING LOW EXT UNI | $720.80 | $848.00 | $848.00–$720.80 | — | 15% |
| X-ray of the abdomen, 1 view CPT 74018 HC X-RAY EXAM ABDOMEN 1 VIEW | $204.00 | $240.00 | $240.00–$204.00 | 17% below | 15% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 HC X-RAY EXAM ABDOMEN 1 VIEW | $204.00 | $240.00 | $240.00–$204.00 | — | 15% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC X-RAY-LS SPINE 2 OR 3 VIEWS | $410.55 | $483.00 | $483.00–$410.55 | 39% above | 15% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HC X-RAY-LS SPINE 2 OR 3 VIEWS | $410.55 | $483.00 | $483.00–$410.55 | — | 15% |
| X-ray of the lower back, 4 or more views CPT 72110 HC X-RAY-LS SPINE MIN 4 VIEWS | $560.15 | $659.00 | $659.00–$560.15 | 30% above | 15% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HC X-RAY-LS SPINE MIN 4 VIEWS | $560.15 | $659.00 | $659.00–$560.15 | — | 15% |
| X-ray of the nasal bones, 3 or more views CPT 70160 HC X-RAY-NASAL BONES 3+ VIEWS | $406.30 | $478.00 | $478.00–$406.30 | 43% above | 15% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HC X-RAY-NASAL BONES 3+ VIEWS | $406.30 | $478.00 | $478.00–$406.30 | — | 15% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC X-RAY-CERV SPINE 2 OR 3 VIEWS | $451.35 | $531.00 | $531.00–$451.35 | 53% above | 15% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC X-RAY-CERV SPINE 2 OR 3 VIEWS | $451.35 | $531.00 | $531.00–$451.35 | — | 15% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 HC X-RAY-PELVIS 1 OR 2 VIEWS | $353.60 | $416.00 | $416.00–$353.60 | 43% above | 15% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 HC X-RAY-PELVIS RADIUM 1-2 VIEWS | $353.60 | $416.00 | $416.00–$353.60 | 43% above | 15% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC X-RAY-PELVIS RADIUM 1-2 VIEWS | $353.60 | $416.00 | $416.00–$353.60 | — | 15% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC X-RAY-PELVIS 1 OR 2 VIEWS | $353.60 | $416.00 | $416.00–$353.60 | — | 15% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC X-RAY-SACRUM / COCCYX 2+ VIEWS | $451.35 | $531.00 | $531.00–$451.35 | 58% above | 15% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HC X-RAY-SACRUM / COCCYX 2+ VIEWS | $451.35 | $531.00 | $531.00–$451.35 | — | 15% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Ohio | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC ALT (SGPT) | $88.40 | $104.00 | $104.00–$88.40 | 220% above | 15% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC ALT (SGPT) | $88.40 | $104.00 | $104.00–$88.40 | — | 15% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 HC AST (SGOT) | $39.95 | $47.00 | $47.00–$39.95 | 59% above | 15% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC AST (SGOT) | $39.95 | $47.00 | $47.00–$39.95 | — | 15% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC ACUTE HEPATITIS PANEL | $257.55 | $303.00 | $303.00–$257.55 | 20% above | 15% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HC ACUTE HEPATITIS PANEL | $257.55 | $303.00 | $303.00–$257.55 | — | 15% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN INDIVIDUAL | $19.55 | $23.00 | $23.00–$19.55 | 16% below | 15% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN INDIVIDUAL | $19.55 | $23.00 | $23.00–$19.55 | — | 15% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC CYCLIC CITRIC PEPTIDE | $143.65 | $169.00 | $169.00–$143.65 | 148% above | 15% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC CYCLIC CITRIC PEPTIDE | $143.65 | $169.00 | $169.00–$143.65 | — | 15% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANA SCREEN | $48.45 | $57.00 | $57.00–$48.45 | 10% below | 15% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANA SCREEN | $48.45 | $57.00 | $57.00–$48.45 | — | 15% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC B-TYPE NATRIURETIC PEPTIDE BNP | $510.85 | $601.00 | $601.00–$510.85 | 258% above | 15% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC B-TYPE NATRIURETIC PEPTIDE BNP | $510.85 | $601.00 | $601.00–$510.85 | — | 15% |
| Basic metabolic panel (blood test) CPT 80048 HC BASIC METABOLIC PANEL | $151.30 | $178.00 | $178.00–$151.30 | 154% above | 15% |
| Basic metabolic panel (blood test) inpatient CPT 80048 HC BASIC METABOLIC PANEL | $151.30 | $178.00 | $178.00–$151.30 | — | 15% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC G&M SURG PATH-LEVEL IV | $130.05 | $153.00 | $153.00–$130.05 | 28% below | 15% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC G&M SURG PATH-LEVEL IV | $130.05 | $153.00 | $153.00–$130.05 | — | 15% |
| Blood culture for bacteria CPT 87040 HC CULTURE BLOOD | $73.95 | $87.00 | $87.00–$73.95 | 21% below | 15% |
| Blood culture for bacteria inpatient CPT 87040 HC CULTURE BLOOD | $73.95 | $87.00 | $87.00–$73.95 | — | 15% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC VENIPUNCTURE | $28.05 | $33.00 | $33.00–$28.05 | 90% above | 15% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC VENIPUNCTURE FOR SPEC | $28.05 | $33.00 | $33.00–$28.05 | 90% above | 15% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC VENIPUNCTURE FOR SPEC | $28.05 | $33.00 | $33.00–$28.05 | — | 15% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC VENIPUNCTURE | $28.05 | $33.00 | $33.00–$28.05 | — | 15% |
| Blood glucose (sugar) test CPT 82947 HC GLUCOSE | $23.80 | $28.00 | $28.00–$23.80 | 13% above | 15% |
| Blood glucose (sugar) test inpatient CPT 82947 HC GLUCOSE | $23.80 | $28.00 | $28.00–$23.80 | — | 15% |
| Blood lead test CPT 83655 HC 9327-HEAVY METAL LEAD | $46.75 | $55.00 | $55.00–$46.75 | 17% above | 15% |
| Blood lead test CPT 83655 HC LEAD WHOLE BLOOD | $46.75 | $55.00 | $55.00–$46.75 | 17% above | 15% |
| Blood lead test CPT 83655 HC LEAD BLOOD | $46.75 | $55.00 | $55.00–$46.75 | 17% above | 15% |
| Blood lead test inpatient CPT 83655 HC 9327-HEAVY METAL LEAD | $46.75 | $55.00 | $55.00–$46.75 | — | 15% |
| Blood lead test inpatient CPT 83655 HC LEAD BLOOD | $46.75 | $55.00 | $55.00–$46.75 | — | 15% |
| Blood lead test inpatient CPT 83655 HC LEAD WHOLE BLOOD | $46.75 | $55.00 | $55.00–$46.75 | — | 15% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC HCG QUALITATIVE - SERUM | $54.40 | $64.00 | $64.00–$54.40 | 11% above | 15% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC PREGNANCY TEST URINE | $54.40 | $64.00 | $64.00–$54.40 | 11% above | 15% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC PREGNANCY TEST URINE | $54.40 | $64.00 | $64.00–$54.40 | — | 15% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC HCG QUALITATIVE - SERUM | $54.40 | $64.00 | $64.00–$54.40 | — | 15% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC ABO | $49.30 | $58.00 | $58.00–$49.30 | 1% above | 15% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC ABO | $49.30 | $58.00 | $58.00–$49.30 | — | 15% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C-REACTIVE PROTEIN | $73.95 | $87.00 | $87.00–$73.95 | 70% above | 15% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC C-REACTIVE PROTEIN | $73.95 | $87.00 | $87.00–$73.95 | — | 15% |
| C. difficile toxin gene test (stool PCR) CPT 87493 HC CDFE2 ENDO C DIFF AMPLIFIED PROBE | $163.20 | $192.00 | $192.00–$163.20 | 26% above | 15% |
| C. difficile toxin gene test (stool PCR) CPT 87493 HC CLOSTRIDIUM DIFFICILE DNA | $163.20 | $192.00 | $192.00–$163.20 | 26% above | 15% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HC CDFE2 ENDO C DIFF AMPLIFIED PROBE | $163.20 | $192.00 | $192.00–$163.20 | — | 15% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HC CLOSTRIDIUM DIFFICILE DNA | $163.20 | $192.00 | $192.00–$163.20 | — | 15% |
| CA 19-9 blood test (tumor marker) CPT 86301 HC CA 19-9 | $90.95 | $107.00 | $107.00–$90.95 | 34% above | 15% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 HC CA 19-9 | $90.95 | $107.00 | $107.00–$90.95 | — | 15% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 HC CA 125 | $90.95 | $107.00 | $107.00–$90.95 | 3% below | 15% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC CA 125 | $90.95 | $107.00 | $107.00–$90.95 | — | 15% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC OMNI-SARS-COV-2 | $107.10 | $126.00 | $126.00–$107.10 | 24% below | 15% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC OMNI-SARS-COV-2 | $107.10 | $126.00 | $126.00–$107.10 | — | 15% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLAMYDIA RNA PROBE | $64.60 | $76.00 | $76.00–$64.60 | 30% below | 15% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHLAMYDIA RNA PROBE | $64.60 | $76.00 | $76.00–$64.60 | — | 15% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PROFILE | $170.00 | $200.00 | $200.00–$170.00 | 227% above | 15% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PROFILE | $170.00 | $200.00 | $200.00–$170.00 | — | 15% |
| Complete blood count (CBC) with differential CPT 85025 HC HEMAGRAM/AUTO DIFFERENTIAL | $93.50 | $110.00 | $110.00–$93.50 | 166% above | 15% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC HEMAGRAM/AUTO DIFFERENTIAL | $93.50 | $110.00 | $110.00–$93.50 | — | 15% |
| Complete blood count (CBC), no differential CPT 85027 HC HEMAGRAM W/PLATELETS | $59.50 | $70.00 | $70.00–$59.50 | 84% above | 15% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC HEMAGRAM W/PLATELETS | $59.50 | $70.00 | $70.00–$59.50 | — | 15% |
| Comprehensive metabolic panel (blood test) CPT 80053 HC HF COMPREHENSIVE HEALTH PN | $25.50 | $30.00 | $30.00–$25.50 | 58% below | 15% |
| Comprehensive metabolic panel (blood test) CPT 80053 HC COMPREHENSIVE METABOLIC PANEL | $194.65 | $229.00 | $229.00–$194.65 | 222% above | 15% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC HF COMPREHENSIVE HEALTH PN | $25.50 | $30.00 | $30.00–$25.50 | — | 15% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC COMPREHENSIVE METABOLIC PANEL | $194.65 | $229.00 | $229.00–$194.65 | — | 15% |
| D-dimer blood test (blood clot marker) CPT 85379 HC D-DIMER QUANTITATIVE | $330.65 | $389.00 | $389.00–$330.65 | 377% above | 15% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 HC D-DIMER QUANTITATIVE | $330.65 | $389.00 | $389.00–$330.65 | — | 15% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 HC DHEA SULFATE | $141.95 | $167.00 | $167.00–$141.95 | 45% above | 15% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HC DHEA SULFATE | $141.95 | $167.00 | $167.00–$141.95 | — | 15% |
| Estradiol blood test CPT 82670 HC ESTRADIOL S | $113.05 | $133.00 | $133.00–$113.05 | 9% above | 15% |
| Estradiol blood test inpatient CPT 82670 HC ESTRADIOL S | $113.05 | $133.00 | $133.00–$113.05 | — | 15% |
| FSH (follicle-stimulating hormone) test CPT 83001 HC FSH | $58.65 | $69.00 | $69.00–$58.65 | 31% below | 15% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 HC FSH | $58.65 | $69.00 | $69.00–$58.65 | — | 15% |
| Fecal calprotectin (stool inflammation test) CPT 83993 HC CALPROTECTIN, FECES | $353.60 | $416.00 | $416.00–$353.60 | 137% above | 15% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HC CALPROTECTIN, FECES | $353.60 | $416.00 | $416.00–$353.60 | — | 15% |
| Ferritin blood test (iron stores) CPT 82728 HC FERRITIN | $100.30 | $118.00 | $118.00–$100.30 | 33% above | 15% |
| Ferritin blood test (iron stores) inpatient CPT 82728 HC FERRITIN | $100.30 | $118.00 | $118.00–$100.30 | — | 15% |
| Folate (folic acid) blood test CPT 82746 HC FOLIC ACID | $150.45 | $177.00 | $177.00–$150.45 | 129% above | 15% |
| Folate (folic acid) blood test inpatient CPT 82746 HC FOLIC ACID | $150.45 | $177.00 | $177.00–$150.45 | — | 15% |
| Free T3 thyroid hormone test CPT 84481 HC T3 FREE DIALYSIS | $87.55 | $103.00 | $103.00–$87.55 | 28% above | 15% |
| Free T3 thyroid hormone test inpatient CPT 84481 HC T3 FREE DIALYSIS | $87.55 | $103.00 | $103.00–$87.55 | — | 15% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 HC T4 FREE DIALYSIS | $107.95 | $127.00 | $127.00–$107.95 | 168% above | 15% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 HC T 4 FREE | $107.95 | $127.00 | $127.00–$107.95 | 168% above | 15% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC T 4 FREE | $107.95 | $127.00 | $127.00–$107.95 | — | 15% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC T4 FREE DIALYSIS | $107.95 | $127.00 | $127.00–$107.95 | — | 15% |
| Free testosterone test CPT 84402 HC TESTOSTERONE FREE | $316.20 | $372.00 | $372.00–$316.20 | 236% above | 15% |
| Free testosterone test inpatient CPT 84402 HC TESTOSTERONE FREE | $316.20 | $372.00 | $372.00–$316.20 | — | 15% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC GLUCOSE 1HR POST 50GMS GLUCOSE | $49.30 | $58.00 | $58.00–$49.30 | 69% above | 15% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HC GLUCOSE 1HR POST 50GMS GLUCOSE | $49.30 | $58.00 | $58.00–$49.30 | — | 15% |
| Glucose tolerance test, 3 samples CPT 82951 HC GLUCOSE TOL-FIRST 3 SPECIMENS | $149.60 | $176.00 | $176.00–$149.60 | 159% above | 15% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 HC GLUCOSE TOL-FIRST 3 SPECIMENS | $149.60 | $176.00 | $176.00–$149.60 | — | 15% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC GONORRHEA RNA PROBE | $64.60 | $76.00 | $76.00–$64.60 | 31% below | 15% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC GONORRHEA RNA PROBE | $64.60 | $76.00 | $76.00–$64.60 | — | 15% |
| H. pylori antibody blood test CPT 86677 HC H PYLORI IGA | $56.95 | $67.00 | $67.00–$56.95 | 17% below | 15% |
| H. pylori antibody blood test CPT 86677 HC H. PYLORI IGG | $56.95 | $67.00 | $67.00–$56.95 | 17% below | 15% |
| H. pylori antibody blood test CPT 86677 HC H. PYLORI 1GM ABS | $56.95 | $67.00 | $67.00–$56.95 | 17% below | 15% |
| H. pylori antibody blood test inpatient CPT 86677 HC H PYLORI IGA | $56.95 | $67.00 | $67.00–$56.95 | — | 15% |
| H. pylori antibody blood test inpatient CPT 86677 HC H. PYLORI 1GM ABS | $56.95 | $67.00 | $67.00–$56.95 | — | 15% |
| H. pylori antibody blood test inpatient CPT 86677 HC H. PYLORI IGG | $56.95 | $67.00 | $67.00–$56.95 | — | 15% |
| H. pylori stool antigen test CPT 87338 HC H. PYLORI AG STOOL | $391.85 | $461.00 | $461.00–$391.85 | 490% above | 15% |
| H. pylori stool antigen test inpatient CPT 87338 HC H. PYLORI AG STOOL | $391.85 | $461.00 | $461.00–$391.85 | — | 15% |
| HIV viral load test (HIV-1 RNA, quantitative) one side CPT 87536 HC RTPCR -HIV-1 RNA QN RT BY PCR | $128.35 | $151.00 | $151.00–$128.35 | 62% below | 15% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient one side CPT 87536 HC RTPCR -HIV-1 RNA QN RT BY PCR | $128.35 | $151.00 | $151.00–$128.35 | — | 15% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC HIV 1&2 ANTIBODY | $105.40 | $124.00 | $124.00–$105.40 | 61% above | 15% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC VIRAL AG/AB I/II | $105.40 | $124.00 | $124.00–$105.40 | 61% above | 15% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC HIV 1&2 ANTIBODY | $105.40 | $124.00 | $124.00–$105.40 | — | 15% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC VIRAL AG/AB I/II | $105.40 | $124.00 | $124.00–$105.40 | — | 15% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HC HUMAN PAPILLOMA VIRUS (HPV) TYPE DETECT 3.0 | $130.90 | $154.00 | $154.00–$130.90 | 16% above | 15% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC HUMAN PAPILLOMA VIRUS (HPV) TYPE DETECT 3.0 | $130.90 | $154.00 | $154.00–$130.90 | — | 15% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC HF HEMOGLOBIN A1C | $12.75 | $15.00 | $15.00–$12.75 | 71% below | 15% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC GLYCOSYLATED HGB | $118.15 | $139.00 | $139.00–$118.15 | 170% above | 15% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC GHCF GLYCOHGB CONFIRM CONFIRM | $118.15 | $139.00 | $139.00–$118.15 | 170% above | 15% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC HF HEMOGLOBIN A1C | $12.75 | $15.00 | $15.00–$12.75 | — | 15% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC GLYCOSYLATED HGB | $118.15 | $139.00 | $139.00–$118.15 | — | 15% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC GHCF GLYCOHGB CONFIRM CONFIRM | $118.15 | $139.00 | $139.00–$118.15 | — | 15% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC HEP B SURFACE AB | $35.70 | $42.00 | $42.00–$35.70 | 26% below | 15% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC HEP B SURFACE AB | $35.70 | $42.00 | $42.00–$35.70 | — | 15% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HC HEP B SURF AG | $39.10 | $46.00 | $46.00–$39.10 | 15% below | 15% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC HEP B SURF AG | $39.10 | $46.00 | $46.00–$39.10 | — | 15% |
| Hepatitis C antibody blood test (screening) CPT 86803 HC HF HEPATITIS C SCREEN | $12.75 | $15.00 | $15.00–$12.75 | 80% below | 15% |
| Hepatitis C antibody blood test (screening) CPT 86803 HC HEPATITIS C IGG | $131.75 | $155.00 | $155.00–$131.75 | 107% above | 15% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC HF HEPATITIS C SCREEN | $12.75 | $15.00 | $15.00–$12.75 | — | 15% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC HEPATITIS C IGG | $131.75 | $155.00 | $155.00–$131.75 | — | 15% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HC HEPATITIS C RNA QUANT | $637.50 | $750.00 | $750.00–$637.50 | 231% above | 15% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC HEPATITIS C RNA QUANT | $637.50 | $750.00 | $750.00–$637.50 | — | 15% |
| Herpes blood test, HSV-1 antibody CPT 86695 HC HSV 1 SPEC AB, IGG | $49.30 | $58.00 | $58.00–$49.30 | 17% below | 15% |
| Herpes blood test, HSV-1 antibody CPT 86695 HC HSV 1 SPEC AB, IGM | $49.30 | $58.00 | $58.00–$49.30 | 17% below | 15% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HSV 1 SPEC AB, IGM | $49.30 | $58.00 | $58.00–$49.30 | — | 15% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HSV 1 SPEC AB, IGG | $49.30 | $58.00 | $58.00–$49.30 | — | 15% |
| Herpes blood test, HSV-2 antibody CPT 86696 HC HERPES SIMPLEX TYPE 2 TEST | $17.85 | $21.00 | $21.00–$17.85 | 73% below | 15% |
| Herpes blood test, HSV-2 antibody CPT 86696 HC HSV 2, SPEC AB, IGG | $56.10 | $66.00 | $66.00–$56.10 | 15% below | 15% |
| Herpes blood test, HSV-2 antibody CPT 86696 HC HSV 2,SPEC AB, IGM | $56.10 | $66.00 | $66.00–$56.10 | 15% below | 15% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HERPES SIMPLEX TYPE 2 TEST | $17.85 | $21.00 | $21.00–$17.85 | — | 15% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HSV 2, SPEC AB, IGG | $56.10 | $66.00 | $66.00–$56.10 | — | 15% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HSV 2,SPEC AB, IGM | $56.10 | $66.00 | $66.00–$56.10 | — | 15% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 HC ULTRASENSITIVE CRP | $129.20 | $152.00 | $152.00–$129.20 | 116% above | 15% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HC ULTRASENSITIVE CRP | $129.20 | $152.00 | $152.00–$129.20 | — | 15% |
| Homocysteine blood test CPT 83090 HC SERUM HOMOCYSTEINE | $289.85 | $341.00 | $341.00–$289.85 | 271% above | 15% |
| Homocysteine blood test inpatient CPT 83090 HC SERUM HOMOCYSTEINE | $289.85 | $341.00 | $341.00–$289.85 | — | 15% |
| Insulin blood test CPT 83525 HC INSULIN LEVEL TOTAL | $109.65 | $129.00 | $129.00–$109.65 | 114% above | 15% |
| Insulin blood test inpatient CPT 83525 HC INSULIN LEVEL TOTAL | $109.65 | $129.00 | $129.00–$109.65 | — | 15% |
| Iron blood test (serum iron) CPT 83540 HC IRON | $61.20 | $72.00 | $72.00–$61.20 | 80% above | 15% |
| Iron blood test (serum iron) inpatient CPT 83540 HC IRON | $61.20 | $72.00 | $72.00–$61.20 | — | 15% |
| Iron-binding capacity (TIBC) test CPT 83550 HC TOTAL IRON BINDING CAPACITY | $90.95 | $107.00 | $107.00–$90.95 | 133% above | 15% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 HC TOTAL IRON BINDING CAPACITY | $90.95 | $107.00 | $107.00–$90.95 | — | 15% |
| Kidney function blood test panel CPT 80069 HC RENAL FUNCTION PANEL | $170.00 | $200.00 | $200.00–$170.00 | 172% above | 15% |
| Kidney function blood test panel inpatient CPT 80069 HC RENAL FUNCTION PANEL | $170.00 | $200.00 | $200.00–$170.00 | — | 15% |
| LH (luteinizing hormone) test CPT 83002 HC LH | $53.55 | $63.00 | $63.00–$53.55 | 44% below | 15% |
| LH (luteinizing hormone) test inpatient CPT 83002 HC LH | $53.55 | $63.00 | $63.00–$53.55 | — | 15% |
| Lipase blood test (pancreas enzyme) CPT 83690 HC LIPASE | $83.30 | $98.00 | $98.00–$83.30 | 63% above | 15% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC LIPASE | $83.30 | $98.00 | $98.00–$83.30 | — | 15% |
| Liver function blood test panel CPT 80076 HC LIVER PROFILE | $169.15 | $199.00 | $199.00–$169.15 | 201% above | 15% |
| Liver function blood test panel inpatient CPT 80076 HC LIVER PROFILE | $169.15 | $199.00 | $199.00–$169.15 | — | 15% |
| Lyme disease antibody test CPT 86618 HC LYME SCREEN IGG/IGM | $107.10 | $126.00 | $126.00–$107.10 | 40% above | 15% |
| Lyme disease antibody test CPT 86618 HC LYME DISEASE | $107.10 | $126.00 | $126.00–$107.10 | 40% above | 15% |
| Lyme disease antibody test inpatient CPT 86618 HC LYME DISEASE | $107.10 | $126.00 | $126.00–$107.10 | — | 15% |
| Lyme disease antibody test inpatient CPT 86618 HC LYME SCREEN IGG/IGM | $107.10 | $126.00 | $126.00–$107.10 | — | 15% |
| Magnesium blood test CPT 83735 HC MAGNESIUM | $39.10 | $46.00 | $46.00–$39.10 | 23% above | 15% |
| Magnesium blood test CPT 83735 HC MAGR RBC MAGNESIUM | $39.10 | $46.00 | $46.00–$39.10 | 23% above | 15% |
| Magnesium blood test inpatient CPT 83735 HC MAGR RBC MAGNESIUM | $39.10 | $46.00 | $46.00–$39.10 | — | 15% |
| Magnesium blood test inpatient CPT 83735 HC MAGNESIUM | $39.10 | $46.00 | $46.00–$39.10 | — | 15% |
| Measles (rubeola) antibody test CPT 86765 HC RUBEOLA IGG AB | $38.25 | $45.00 | $45.00–$38.25 | 27% below | 15% |
| Measles (rubeola) antibody test inpatient CPT 86765 HC RUBEOLA IGG AB | $38.25 | $45.00 | $45.00–$38.25 | — | 15% |
| Mono test (heterophile antibody, Monospot) CPT 86308 HC MONOSCREEN | $255.85 | $301.00 | $301.00–$255.85 | 396% above | 15% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC MONOSCREEN | $255.85 | $301.00 | $301.00–$255.85 | — | 15% |
| Obstetric blood test panel CPT 80055 HC OBSTETRIC PANEL | $93.50 | $110.00 | $110.00–$93.50 | 53% below | 15% |
| Obstetric blood test panel inpatient CPT 80055 HC OBSTETRIC PANEL | $93.50 | $110.00 | $110.00–$93.50 | — | 15% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC PSA - FREE | $62.05 | $73.00 | $73.00–$62.05 | 23% below | 15% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC PSA FREE (SLI) | $62.05 | $73.00 | $73.00–$62.05 | 23% below | 15% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC PSA - FREE | $62.05 | $73.00 | $73.00–$62.05 | — | 15% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC PSA FREE (SLI) | $62.05 | $73.00 | $73.00–$62.05 | — | 15% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC HF PSA | $17.00 | $20.00 | $20.00–$17.00 | 78% below | 15% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA-PROSTATE-SPECIFIC ANTIGEN | $64.60 | $76.00 | $76.00–$64.60 | 16% below | 15% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA SCREEN | $64.60 | $76.00 | $76.00–$64.60 | 16% below | 15% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC HF PSA | $17.00 | $20.00 | $20.00–$17.00 | — | 15% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA-PROSTATE-SPECIFIC ANTIGEN | $64.60 | $76.00 | $76.00–$64.60 | — | 15% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA SCREEN | $64.60 | $76.00 | $76.00–$64.60 | — | 15% |
| Pap test (liquid-based, automated screening with review) CPT 88175 HC LIQUID PAPSMEAR-BCCP | $56.95 | $67.00 | $67.00–$56.95 | 40% below | 15% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 HC LIQUID PAPSMEAR-BCCP | $56.95 | $67.00 | $67.00–$56.95 | — | 15% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HC PAP SCREEN SUREPATH | $62.05 | $73.00 | $73.00–$62.05 | 31% below | 15% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 HC PAP SCREEN SUREPATH | $62.05 | $73.00 | $73.00–$62.05 | — | 15% |
| Parathyroid hormone (PTH) blood test CPT 83970 HC INTACT PTH | $171.70 | $202.00 | $202.00–$171.70 | 25% above | 15% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC INTACT PTH | $171.70 | $202.00 | $202.00–$171.70 | — | 15% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC LUPUS ANTICOAG 85730 | $54.40 | $64.00 | $64.00–$54.40 | 56% above | 15% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC APTT | $54.40 | $64.00 | $64.00–$54.40 | 56% above | 15% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC APTT | $54.40 | $64.00 | $64.00–$54.40 | — | 15% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC LUPUS ANTICOAG 85730 | $54.40 | $64.00 | $64.00–$54.40 | — | 15% |
| Progesterone blood test CPT 84144 HC PROGESTERONE | $53.55 | $63.00 | $63.00–$53.55 | 24% below | 15% |
| Progesterone blood test inpatient CPT 84144 HC PROGESTERONE | $53.55 | $63.00 | $63.00–$53.55 | — | 15% |
| Prolactin blood test CPT 84146 HC PROLACTIN | $82.45 | $97.00 | $97.00–$82.45 | 2% above | 15% |
| Prolactin blood test inpatient CPT 84146 HC PROLACTIN | $82.45 | $97.00 | $97.00–$82.45 | — | 15% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME | $47.60 | $56.00 | $56.00–$47.60 | 103% above | 15% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC LUPUS ANTICOAG 85610 | $47.60 | $56.00 | $56.00–$47.60 | 103% above | 15% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME | $47.60 | $56.00 | $56.00–$47.60 | — | 15% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC LUPUS ANTICOAG 85610 | $47.60 | $56.00 | $56.00–$47.60 | — | 15% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 HC ONSITE DRUG SCREEN | $11.90 | $14.00 | $14.00–$11.90 | 79% below | 15% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 HC DRUG SCREEN | $34.00 | $40.00 | $40.00–$34.00 | 41% below | 15% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 HC DRUG SCREEN - MEDICAL | $96.05 | $113.00 | $113.00–$96.05 | 66% above | 15% |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 HC ONSITE DRUG SCREEN | $11.90 | $14.00 | $14.00–$11.90 | — | 15% |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 HC DRUG SCREEN | $34.00 | $40.00 | $40.00–$34.00 | — | 15% |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 HC DRUG SCREEN - MEDICAL | $96.05 | $113.00 | $113.00–$96.05 | — | 15% |
| Rapid flu test (influenza antigen) CPT 87804 HC RAPID FLU TEST | $36.55 | $43.00 | $43.00–$36.55 | 44% below | 15% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 HC RAPID FLU TEST | $36.55 | $43.00 | $43.00–$36.55 | — | 15% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC STREP A - DIRECT | $118.15 | $139.00 | $139.00–$118.15 | 107% above | 15% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC STREP A - DIRECT | $118.15 | $139.00 | $139.00–$118.15 | — | 15% |
| Rheumatoid factor (RF) test CPT 86431 HC RA TITER | $39.10 | $46.00 | $46.00–$39.10 | 25% above | 15% |
| Rheumatoid factor (RF) test inpatient CPT 86431 HC RA TITER | $39.10 | $46.00 | $46.00–$39.10 | — | 15% |
| Rubella antibody test (immunity check) CPT 86762 HC RUBELLA SCREEN | $61.20 | $72.00 | $72.00–$61.20 | 78% above | 15% |
| Rubella antibody test (immunity check) CPT 86762 HC RUBELLA IGM | $61.20 | $72.00 | $72.00–$61.20 | 78% above | 15% |
| Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA SCREEN | $61.20 | $72.00 | $72.00–$61.20 | — | 15% |
| Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA IGM | $61.20 | $72.00 | $72.00–$61.20 | — | 15% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HC SED RATE AUTOMATED | $64.60 | $76.00 | $76.00–$64.60 | 97% above | 15% |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 HC SED RATE AUTOMATED | $64.60 | $76.00 | $76.00–$64.60 | — | 15% |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 HC SEMEN ANALYSIS; COMPLETE | $129.20 | $152.00 | $152.00–$129.20 | 3% below | 15% |
| Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 HC SEMEN ANALYSIS; COMPLETE | $129.20 | $152.00 | $152.00–$129.20 | — | 15% |
| Stool ova and parasites exam CPT 87177 HC OVPA OVA&PARASITES DIRECT | $58.65 | $69.00 | $69.00–$58.65 | 48% above | 15% |
| Stool ova and parasites exam inpatient CPT 87177 HC OVPA OVA&PARASITES DIRECT | $58.65 | $69.00 | $69.00–$58.65 | — | 15% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 HC HEMOCCULT CARDS X3 | $32.30 | $38.00 | $38.00–$32.30 | 27% above | 15% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 HC OCCULT BLOOD (FECAL) SCREEN | $32.30 | $38.00 | $38.00–$32.30 | 27% above | 15% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC HEMOCCULT CARDS X3 | $32.30 | $38.00 | $38.00–$32.30 | — | 15% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC OCCULT BLOOD (FECAL) SCREEN | $32.30 | $38.00 | $38.00–$32.30 | — | 15% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC BLOOD,OCCULT,FECAL HGB,FECES,1-3 SIMULT | $27.20 | $32.00 | $32.00–$27.20 | 46% below | 15% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HC BLOOD,OCCULT,FECAL HGB,FECES,1-3 SIMULT | $27.20 | $32.00 | $32.00–$27.20 | — | 15% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC RPR | $60.35 | $71.00 | $71.00–$60.35 | 220% above | 15% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC VDRL CSF QUAL | $60.35 | $71.00 | $71.00–$60.35 | 220% above | 15% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC VDRL CSF QUAL | $60.35 | $71.00 | $71.00–$60.35 | — | 15% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC RPR | $60.35 | $71.00 | $71.00–$60.35 | — | 15% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC QGOLD-QUANTIFERON GOLD | $73.95 | $87.00 | $87.00–$73.95 | 33% below | 15% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC QGOLD-QUANTIFERON GOLD | $73.95 | $87.00 | $87.00–$73.95 | — | 15% |
| Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE TOTAL | $170.00 | $200.00 | $200.00–$170.00 | 96% above | 15% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE TOTAL | $170.00 | $200.00 | $200.00–$170.00 | — | 15% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC LIVER-KIDNEY IGG MICROSOMAL | $85.00 | $100.00 | $100.00–$85.00 | 45% above | 15% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC ANTI-MICROSOMAL ANTIBODIES | $85.00 | $100.00 | $100.00–$85.00 | 45% above | 15% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC LIVER-KIDNEY IGG MICROSOMAL | $85.00 | $100.00 | $100.00–$85.00 | — | 15% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC ANTI-MICROSOMAL ANTIBODIES | $85.00 | $100.00 | $100.00–$85.00 | — | 15% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC HF THYROID SCREEN | $12.75 | $15.00 | $15.00–$12.75 | 81% below | 15% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC THY STIM HORMONE | $160.65 | $189.00 | $189.00–$160.65 | 133% above | 15% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC HF THYROID SCREEN | $12.75 | $15.00 | $15.00–$12.75 | — | 15% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC THY STIM HORMONE | $160.65 | $189.00 | $189.00–$160.65 | — | 15% |
| Trichomonas test (NAAT) CPT 87661 HC TRICHOMONAS VAGINALIS BY TMA | $120.70 | $142.00 | $142.00–$120.70 | 41% above | 15% |
| Trichomonas test (NAAT) inpatient CPT 87661 HC TRICHOMONAS VAGINALIS BY TMA | $120.70 | $142.00 | $142.00–$120.70 | — | 15% |
| Uric acid blood test CPT 84550 HC URIC ACID | $73.10 | $86.00 | $86.00–$73.10 | 114% above | 15% |
| Uric acid blood test inpatient CPT 84550 HC URIC ACID | $73.10 | $86.00 | $86.00–$73.10 | — | 15% |
| Urinalysis with microscope exam, automated CPT 81001 HC URINALYSIS (WITH MICRO) | $53.55 | $63.00 | $63.00–$53.55 | 103% above | 15% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HC URINALYSIS (WITH MICRO) | $53.55 | $63.00 | $63.00–$53.55 | — | 15% |
| Urinalysis with microscope exam, manual CPT 81000 HC URINALYSIS W/MICRO | $21.25 | $25.00 | $25.00–$21.25 | 17% above | 15% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 HC URINALYSIS W/MICRO | $21.25 | $25.00 | $25.00–$21.25 | — | 15% |
| Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS | $5.10 | $6.00 | $6.00–$5.10 | 78% below | 15% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINALYSIS | $5.10 | $6.00 | $6.00–$5.10 | — | 15% |
| Urinalysis without microscope exam, manual CPT 81002 HC URINE DIPSTICK NON AUTOMA | $17.00 | $20.00 | $20.00–$17.00 | 9% above | 15% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HC URINE DIPSTICK NON AUTOMA | $17.00 | $20.00 | $20.00–$17.00 | — | 15% |
| Urine culture for bacteria, with colony count CPT 87086 HC CULTURE URINE | $46.75 | $55.00 | $55.00–$46.75 | 15% below | 15% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 HC CULTURE URINE | $46.75 | $55.00 | $55.00–$46.75 | — | 15% |
| Urine pregnancy test, read by color change CPT 81025 HC URINE PREG BY COLOR COMPARISON | $59.50 | $70.00 | $70.00–$59.50 | 31% above | 15% |
| Urine pregnancy test, read by color change inpatient CPT 81025 HC URINE PREG BY COLOR COMPARISON | $59.50 | $70.00 | $70.00–$59.50 | — | 15% |
| Vitamin B12 (cobalamin) blood test CPT 82607 HC VITAMIN B12 | $130.90 | $154.00 | $154.00–$130.90 | 82% above | 15% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC VITAMIN B12 | $130.90 | $154.00 | $154.00–$130.90 | — | 15% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC HF VITAMIN D | $17.00 | $20.00 | $20.00–$17.00 | 78% below | 15% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC 25-HYDROXY VITAMIN D | $107.10 | $126.00 | $126.00–$107.10 | 36% above | 15% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC HF VITAMIN D | $17.00 | $20.00 | $20.00–$17.00 | — | 15% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC 25-HYDROXY VITAMIN D | $107.10 | $126.00 | $126.00–$107.10 | — | 15% |
| Zinc blood test CPT 84630 HC ZINC | $105.40 | $124.00 | $124.00–$105.40 | 150% above | 15% |
| Zinc blood test inpatient CPT 84630 HC ZINC | $105.40 | $124.00 | $124.00–$105.40 | — | 15% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC HCG TUMOR MARKER | $107.10 | $126.00 | $126.00–$107.10 | 58% above | 15% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC HCG QUANTITATIVE - SERUM | $107.10 | $126.00 | $126.00–$107.10 | 58% above | 15% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC HCG TUMOR MARKER | $107.10 | $126.00 | $126.00–$107.10 | — | 15% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC HCG QUANTITATIVE - SERUM | $107.10 | $126.00 | $126.00–$107.10 | — | 15% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Ohio | Off list |
|---|---|---|---|---|---|
| Appendectomy for a ruptured appendix with abscess or peritonitis inpatient CPT 44960 HC APPENDECTOMY TECH | $810.22 | $953.20 | $953.20–$810.22 | — | 15% |
| Appendectomy for a ruptured appendix with abscess or peritonitis inpatient CPT 44960 HC APPENDECTOMY | $1,215.33 | $1,429.80 | $1,429.80–$1,215.33 | — | 15% |
| Appendectomy, open surgery CPT 44950 HC APPENDECTOMY TECH | $638.52 | $751.20 | $751.20–$638.52 | 68% below | 15% |
| Appendectomy, open surgery CPT 44950 HC APPENDECTOMY | $957.78 | $1,126.80 | $1,126.80–$957.78 | 51% below | 15% |
| Appendectomy, open surgery inpatient CPT 44950 HC APPENDECTOMY TECH | $638.52 | $751.20 | $751.20–$638.52 | — | 15% |
| Appendectomy, open surgery inpatient CPT 44950 HC APPENDECTOMY | $957.78 | $1,126.80 | $1,126.80–$957.78 | — | 15% |
| Botox injections for chronic migraine CPT 64615 HC CHEMODENERV MUSC MIGRAINE IN OR | $543.15 | $639.00 | $639.00–$543.15 | 2% above | 15% |
| Botox injections for chronic migraine CPT 64615 HC CHEMODENERV MUSC MIGRAINE IN CLINIC | $543.15 | $639.00 | $639.00–$543.15 | 2% above | 15% |
| Botox injections for chronic migraine inpatient CPT 64615 HC CHEMODENERV MUSC MIGRAINE IN OR | $543.15 | $639.00 | $639.00–$543.15 | — | 15% |
| Botox injections for chronic migraine inpatient CPT 64615 HC CHEMODENERV MUSC MIGRAINE IN CLINIC | $543.15 | $639.00 | $639.00–$543.15 | — | 15% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 HC CLOSED RX DIST FIBULA FX TECH | $331.50 | $390.00 | $390.00–$331.50 | 12% below | 15% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 HC CLOSED RX DIST FIBULA FX | $497.25 | $585.00 | $585.00–$497.25 | 33% above | 15% |
| Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 HC CLOSED RX DIST FIBULA FX TECH | $331.50 | $390.00 | $390.00–$331.50 | — | 15% |
| Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 HC CLOSED RX DIST FIBULA FX | $497.25 | $585.00 | $585.00–$497.25 | — | 15% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 HC TREAT METATARSAL FRACTURE TECH | $221.00 | $260.00 | $260.00–$221.00 | 39% below | 15% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 HC TREAT METATARSAL FRACTURE | $331.50 | $390.00 | $390.00–$331.50 | 9% below | 15% |
| Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 HC TREAT METATARSAL FRACTURE TECH | $221.00 | $260.00 | $260.00–$221.00 | — | 15% |
| Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 HC TREAT METATARSAL FRACTURE | $331.50 | $390.00 | $390.00–$331.50 | — | 15% |
| Cervical biopsy CPT 57500 HC BIOPSY OF CERVIX TECH | $172.38 | $202.80 | $202.80–$172.38 | 91% below | 15% |
| Cervical biopsy CPT 57500 HC BIOPSY OF CERVIX | $258.57 | $304.20 | $304.20–$258.57 | 86% below | 15% |
| Cervical biopsy inpatient CPT 57500 HC BIOPSY OF CERVIX TECH | $172.38 | $202.80 | $202.80–$172.38 | — | 15% |
| Cervical biopsy inpatient CPT 57500 HC BIOPSY OF CERVIX | $258.57 | $304.20 | $304.20–$258.57 | — | 15% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HC CLOSED RX DIST RAD/ULNA FX TECH | $314.50 | $370.00 | $370.00–$314.50 | 22% below | 15% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HC CLOSED RX DIST RAD/ULNA FX | $471.75 | $555.00 | $555.00–$471.75 | 17% above | 15% |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 HC CLOSED RX DIST RAD/ULNA FX TECH | $314.50 | $370.00 | $370.00–$314.50 | — | 15% |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 HC CLOSED RX DIST RAD/ULNA FX | $471.75 | $555.00 | $555.00–$471.75 | — | 15% |
| Colonoscopy with polyp removal CPT 45385 HC LESION REMOVAL COLONOSCOPY TECH | $685.10 | $806.00 | $806.00–$685.10 | 80% below | 15% |
| Colonoscopy with polyp removal CPT 45385 HC LESION REMOVAL COLONOSCOPY | $1,027.65 | $1,209.00 | $1,209.00–$1,027.65 | 69% below | 15% |
| Colonoscopy with polyp removal inpatient CPT 45385 HC LESION REMOVAL COLONOSCOPY TECH | $685.10 | $806.00 | $806.00–$685.10 | — | 15% |
| Colonoscopy with polyp removal inpatient CPT 45385 HC LESION REMOVAL COLONOSCOPY | $1,027.65 | $1,209.00 | $1,209.00–$1,027.65 | — | 15% |
| Colonoscopy with tissue sample CPT 45380 HC COLONOSCOPY AND BIOPSY TECH | $532.78 | $626.80 | $626.80–$532.78 | 84% below | 15% |
| Colonoscopy with tissue sample CPT 45380 HC COLONOSCOPY AND BIOPSY | $799.17 | $940.20 | $940.20–$799.17 | 76% below | 15% |
| Colonoscopy with tissue sample inpatient CPT 45380 HC COLONOSCOPY AND BIOPSY TECH | $532.78 | $626.80 | $626.80–$532.78 | — | 15% |
| Colonoscopy with tissue sample inpatient CPT 45380 HC COLONOSCOPY AND BIOPSY | $799.17 | $940.20 | $940.20–$799.17 | — | 15% |
| Colonoscopy, diagnostic CPT 45378 HC DIAGNOSTIC COLONOSCOPY TECH | $429.42 | $505.20 | $505.20–$429.42 | 84% below | 15% |
| Colonoscopy, diagnostic CPT 45378 HC DIAGNOSTIC COLONOSCOPY | $644.13 | $757.80 | $757.80–$644.13 | 76% below | 15% |
| Colonoscopy, diagnostic inpatient CPT 45378 HC DIAGNOSTIC COLONOSCOPY TECH | $429.42 | $505.20 | $505.20–$429.42 | — | 15% |
| Colonoscopy, diagnostic inpatient CPT 45378 HC DIAGNOSTIC COLONOSCOPY | $644.13 | $757.80 | $757.80–$644.13 | — | 15% |
| Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 HC COLPOSCOPY CERVIX VAG LOOP ELTRD BX CERVIX TECH | $259.42 | $305.20 | $305.20–$259.42 | 93% below | 15% |
| Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 HC COLPOSCOPY CERVIX VAG LOOP ELTRD BX CERVIX | $389.13 | $457.80 | $457.80–$389.13 | 90% below | 15% |
| Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 HC COLPOSCOPY CERVIX VAG LOOP ELTRD BX CERVIX TECH | $259.42 | $305.20 | $305.20–$259.42 | — | 15% |
| Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 HC COLPOSCOPY CERVIX VAG LOOP ELTRD BX CERVIX | $389.13 | $457.80 | $457.80–$389.13 | — | 15% |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 HC BX/CURETT OF CERVIX W/SCOPE TECH | $235.96 | $277.60 | $277.60–$235.96 | 74% below | 15% |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 HC BX/CURETT OF CERVIX W/SCOPE | $353.94 | $416.40 | $416.40–$353.94 | 61% below | 15% |
| Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 HC BX/CURETT OF CERVIX W/SCOPE TECH | $235.96 | $277.60 | $277.60–$235.96 | — | 15% |
| Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 HC BX/CURETT OF CERVIX W/SCOPE | $353.94 | $416.40 | $416.40–$353.94 | — | 15% |
| Cystoscopy with ureteral stent placement CPT 52332 HC CYSTOSCOPY AND TREATMENT | $480.25 | $565.00 | $565.00–$480.25 | 92% below | 15% |
| Cystoscopy with ureteral stent placement inpatient CPT 52332 HC CYSTOSCOPY AND TREATMENT | $480.25 | $565.00 | $565.00–$480.25 | — | 15% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 HC CYSTOSCOPY TECH | $221.00 | $260.00 | $260.00–$221.00 | 89% below | 15% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 HC CYSTOSCOPY | $331.50 | $390.00 | $390.00–$331.50 | 83% below | 15% |
| Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 HC CYSTOSCOPY TECH | $221.00 | $260.00 | $260.00–$221.00 | — | 15% |
| Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 HC CYSTOSCOPY | $331.50 | $390.00 | $390.00–$331.50 | — | 15% |
| D&C (dilation and curettage), not related to pregnancy CPT 58120 HC DILATION AND CURETTAGE TECH | $344.08 | $404.80 | $404.80–$344.08 | 95% below | 15% |
| D&C (dilation and curettage), not related to pregnancy CPT 58120 HC DILATION AND CURETTAGE | $516.12 | $607.20 | $607.20–$516.12 | 93% below | 15% |
| D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 HC DILATION AND CURETTAGE TECH | $344.08 | $404.80 | $404.80–$344.08 | — | 15% |
| D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 HC DILATION AND CURETTAGE | $516.12 | $607.20 | $607.20–$516.12 | — | 15% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 HC DESTRUCT PREMALG LESION TECH | $56.95 | $67.00 | $67.00–$56.95 | 72% below | 15% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 HC DESTRUCT PREMALG LESION | $85.00 | $100.00 | $100.00–$85.00 | 58% below | 15% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 HC DESTRUCT PREMALG LESION TECH | $56.95 | $67.00 | $67.00–$56.95 | — | 15% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 HC DESTRUCT PREMALG LESION | $85.00 | $100.00 | $100.00–$85.00 | — | 15% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 HC REMOVAL IMP CERUMEN IRRIGATION TECH | $10.20 | $12.00 | $12.00–$10.20 | 93% below | 15% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 HC REMOVAL IMP CERUMEN IRRIGATION | $15.30 | $18.00 | $18.00–$15.30 | 90% below | 15% |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 HC REMOVAL IMP CERUMEN IRRIGATION TECH | $10.20 | $12.00 | $12.00–$10.20 | — | 15% |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 HC REMOVAL IMP CERUMEN IRRIGATION | $15.30 | $18.00 | $18.00–$15.30 | — | 15% |
| Earwax removal with instruments, one ear CPT 69210 HC REMOVE IMPACTED EAR WAX UNI TECH | $41.65 | $49.00 | $49.00–$41.65 | 73% below | 15% |
| Earwax removal with instruments, one ear CPT 69210 HC REMOVE IMPACTED EAR WAX UNI | $62.90 | $74.00 | $74.00–$62.90 | 59% below | 15% |
| Earwax removal with instruments, one ear inpatient CPT 69210 HC REMOVE IMPACTED EAR WAX UNI TECH | $41.65 | $49.00 | $49.00–$41.65 | — | 15% |
| Earwax removal with instruments, one ear inpatient CPT 69210 HC REMOVE IMPACTED EAR WAX UNI | $62.90 | $74.00 | $74.00–$62.90 | — | 15% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 HC BIOPSY OF UTERUS LINING TECH | $123.42 | $145.20 | $145.20–$123.42 | 67% below | 15% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 HC BIOPSY OF UTERUS LINING | $185.13 | $217.80 | $217.80–$185.13 | 51% below | 15% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 HC BIOPSY OF UTERUS LINING TECH | $123.42 | $145.20 | $145.20–$123.42 | — | 15% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 HC BIOPSY OF UTERUS LINING | $185.13 | $217.80 | $217.80–$185.13 | — | 15% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HC NJX INTERLAMINAR CRV/THRC IN OR | $989.40 | $1,164.00 | $1,164.00–$989.40 | 56% below | 15% |
| Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 HC NJX INTERLAMINAR CRV/THRC IN OR | $989.40 | $1,164.00 | $1,164.00–$989.40 | — | 15% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HC INJ PARAVERT F JNT L/S 1 LEV TECH | $622.88 | $732.80 | $732.80–$622.88 | 70% below | 15% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HC INJ PARAVERT F JNT L/S 1 LEV | $934.32 | $1,099.20 | $1,099.20–$934.32 | 56% below | 15% |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 HC INJ PARAVERT F JNT L/S 1 LEV TECH | $622.88 | $732.80 | $732.80–$622.88 | — | 15% |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 HC INJ PARAVERT F JNT L/S 1 LEV | $934.32 | $1,099.20 | $1,099.20–$934.32 | — | 15% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 HC DIAGNOSTIC SIGMOIDOSCOPY TECH | $103.70 | $122.00 | $122.00–$103.70 | 96% below | 15% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 HC DIAGNOSTIC SIGMOIDOSCOPY | $155.55 | $183.00 | $183.00–$155.55 | 94% below | 15% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 HC DIAGNOSTIC SIGMOIDOSCOPY TECH | $103.70 | $122.00 | $122.00–$103.70 | — | 15% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 HC DIAGNOSTIC SIGMOIDOSCOPY | $155.55 | $183.00 | $183.00–$155.55 | — | 15% |
| Gallbladder removal, laparoscopic CPT 47562 HC LAPAROSCOPIC CHOLECYSTECTOMY TECH | $1,153.62 | $1,357.20 | $1,357.20–$1,153.62 | 93% below | 15% |
| Gallbladder removal, laparoscopic CPT 47562 HC LAPAROSCOPIC CHOLECYSTECTOMY | $1,730.43 | $2,035.80 | $2,035.80–$1,730.43 | 90% below | 15% |
| Gallbladder removal, laparoscopic inpatient CPT 47562 HC LAPAROSCOPIC CHOLECYSTECTOMY TECH | $1,153.62 | $1,357.20 | $1,357.20–$1,153.62 | — | 15% |
| Gallbladder removal, laparoscopic inpatient CPT 47562 HC LAPAROSCOPIC CHOLECYSTECTOMY | $1,730.43 | $2,035.80 | $2,035.80–$1,730.43 | — | 15% |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 HC LAPARO CHOLECYSTECTOMY/GRAPH TECH | $1,227.40 | $1,444.00 | $1,444.00–$1,227.40 | 93% below | 15% |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 HC LAPARO CHOLECYSTECTOMY/GRAPH | $1,841.10 | $2,166.00 | $2,166.00–$1,841.10 | 89% below | 15% |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery inpatient CPT 47563 HC LAPARO CHOLECYSTECTOMY/GRAPH TECH | $1,227.40 | $1,444.00 | $1,444.00–$1,227.40 | — | 15% |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery inpatient CPT 47563 HC LAPARO CHOLECYSTECTOMY/GRAPH | $1,841.10 | $2,166.00 | $2,166.00–$1,841.10 | — | 15% |
| Gallbladder removal, open surgery through a larger incision inpatient CPT 47600 HC REMOVAL OF GALLBLADDER TECH | $1,251.88 | $1,472.80 | $1,472.80–$1,251.88 | — | 15% |
| Gallbladder removal, open surgery through a larger incision inpatient CPT 47600 HC REMOVAL OF GALLBLADDER | $1,877.82 | $2,209.20 | $2,209.20–$1,877.82 | — | 15% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 HC LIGATION OF HEMORRHOID(S) TECH | $159.80 | $188.00 | $188.00–$159.80 | 92% below | 15% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 HC LIGATION OF HEMORRHOID(S) | $239.70 | $282.00 | $282.00–$239.70 | 88% below | 15% |
| Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 HC LIGATION OF HEMORRHOID(S) TECH | $159.80 | $188.00 | $188.00–$159.80 | — | 15% |
| Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 HC LIGATION OF HEMORRHOID(S) | $239.70 | $282.00 | $282.00–$239.70 | — | 15% |
| Hysterectomy through an abdominal incision (total) inpatient CPT 58150 HC TOTAL HYSTERECTOMY TECH | $1,227.40 | $1,444.00 | $1,444.00–$1,227.40 | — | 15% |
| Hysterectomy through an abdominal incision (total) inpatient CPT 58150 HC TOTAL HYSTERECTOMY | $1,841.10 | $2,166.00 | $2,166.00–$1,841.10 | — | 15% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HC CATHETER FOR HYSTEROGRAPHY TECH | $184.28 | $216.80 | $216.80–$184.28 | 52% below | 15% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HC CATHETER FOR HYSTEROGRAPHY | $276.42 | $325.20 | $325.20–$276.42 | 28% below | 15% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HC CATHETER FOR HYSTEROGRAPHY TECH | $184.28 | $216.80 | $216.80–$184.28 | — | 15% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HC CATHETER FOR HYSTEROGRAPHY | $276.42 | $325.20 | $325.20–$276.42 | — | 15% |
| Hysteroscopy with endometrial ablation CPT 58563 HC HYSTEROSCOPY ABLATION TECH | $1,718.36 | $2,021.60 | $2,021.60–$1,718.36 | 87% below | 15% |
| Hysteroscopy with endometrial ablation CPT 58563 HC HYSTEROSCOPY ABLATION | $2,577.54 | $3,032.40 | $3,032.40–$2,577.54 | 80% below | 15% |
| Hysteroscopy with endometrial ablation inpatient CPT 58563 HC HYSTEROSCOPY ABLATION TECH | $1,718.36 | $2,021.60 | $2,021.60–$1,718.36 | — | 15% |
| Hysteroscopy with endometrial ablation inpatient CPT 58563 HC HYSTEROSCOPY ABLATION | $2,577.54 | $3,032.40 | $3,032.40–$2,577.54 | — | 15% |
| Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 HC HYSTEROSCOPY BIOPSY TECH | $491.98 | $578.80 | $578.80–$491.98 | 95% below | 15% |
| Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 HC HYSTEROSCOPY BIOPSY | $737.97 | $868.20 | $868.20–$737.97 | 92% below | 15% |
| Hysteroscopy with uterine lining sampling and/or polyp removal inpatient CPT 58558 HC HYSTEROSCOPY BIOPSY TECH | $491.98 | $578.80 | $578.80–$491.98 | — | 15% |
| Hysteroscopy with uterine lining sampling and/or polyp removal inpatient CPT 58558 HC HYSTEROSCOPY BIOPSY | $737.97 | $868.20 | $868.20–$737.97 | — | 15% |
| IUD insertion (the device itself billed separately) CPT 58300 HC INSERT INTRAUTERINE DEVICE TECH | $123.25 | $145.00 | $145.00–$123.25 | 64% below | 15% |
| IUD insertion (the device itself billed separately) CPT 58300 HC INSERT INTRAUTERINE DEVICE | $185.30 | $218.00 | $218.00–$185.30 | 45% below | 15% |
| IUD insertion (the device itself billed separately) inpatient CPT 58300 HC INSERT INTRAUTERINE DEVICE TECH | $123.25 | $145.00 | $145.00–$123.25 | — | 15% |
| IUD insertion (the device itself billed separately) inpatient CPT 58300 HC INSERT INTRAUTERINE DEVICE | $185.30 | $218.00 | $218.00–$185.30 | — | 15% |
| Incision and drainage of a simple or single skin abscess CPT 10060 HC DRAINAGE OF SKIN ABSCESS TECH | $81.60 | $96.00 | $96.00–$81.60 | 78% below | 15% |
| Incision and drainage of a simple or single skin abscess CPT 10060 HC DRAINAGE OF SKIN ABSCESS | $122.40 | $144.00 | $144.00–$122.40 | 68% below | 15% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC DRAINAGE OF SKIN ABSCESS TECH | $81.60 | $96.00 | $96.00–$81.60 | — | 15% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC DRAINAGE OF SKIN ABSCESS | $122.40 | $144.00 | $144.00–$122.40 | — | 15% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 HC PRP I/HERN INIT REDUC >5 YR TECH | $614.38 | $722.80 | $722.80–$614.38 | 94% below | 15% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 HC PRP I/HERN INIT REDUC >5 YR | $921.57 | $1,084.20 | $1,084.20–$921.57 | 91% below | 15% |
| Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 HC PRP I/HERN INIT REDUC >5 YR TECH | $614.38 | $722.80 | $722.80–$614.38 | — | 15% |
| Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 HC PRP I/HERN INIT REDUC >5 YR | $921.57 | $1,084.20 | $1,084.20–$921.57 | — | 15% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC INJ TENDON SHEATH/LIGAMENT TECH | $47.60 | $56.00 | $56.00–$47.60 | 86% below | 15% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC INJ TENDON SHEATH/LIGAMENT | $72.25 | $85.00 | $85.00–$72.25 | 79% below | 15% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC INJ TENDON SHEATH/LIGAMENT IN OR | $543.15 | $639.00 | $639.00–$543.15 | 60% above | 15% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC INJ TENDON SHEATH/LIGAMENT IN CLINIC | $543.15 | $639.00 | $639.00–$543.15 | 60% above | 15% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HC INJ TENDON SHEATH/LIGAMENT TECH | $47.60 | $56.00 | $56.00–$47.60 | — | 15% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HC INJ TENDON SHEATH/LIGAMENT | $72.25 | $85.00 | $85.00–$72.25 | — | 15% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HC INJ TENDON SHEATH/LIGAMENT IN CLINIC | $543.15 | $639.00 | $639.00–$543.15 | — | 15% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HC INJ TENDON SHEATH/LIGAMENT IN OR | $543.15 | $639.00 | $639.00–$543.15 | — | 15% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC DRAIN/INJECT JOINT/BURSA TECH | $88.40 | $104.00 | $104.00–$88.40 | 87% below | 15% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC DRAIN/INJECT JOINT/BURSA | $132.60 | $156.00 | $156.00–$132.60 | 81% below | 15% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC DRAIN/INJECT JOINT/BURSA TECH | $88.40 | $104.00 | $104.00–$88.40 | — | 15% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC DRAIN/INJECT JOINT/BURSA | $132.60 | $156.00 | $156.00–$132.60 | — | 15% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 HC INSERTION DRUG DLVR IMPLANT TECH | $82.96 | $97.60 | $97.60–$82.96 | 81% below | 15% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 HC INSERTION DRUG DLVR IMPLANT | $124.44 | $146.40 | $146.40–$124.44 | 71% below | 15% |
| Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 HC INSERTION DRUG DLVR IMPLANT TECH | $82.96 | $97.60 | $97.60–$82.96 | — | 15% |
| Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 HC INSERTION DRUG DLVR IMPLANT | $124.44 | $146.40 | $146.40–$124.44 | — | 15% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC DRAIN/INJECT JOINT/BURSA TECH | $76.50 | $90.00 | $90.00–$76.50 | 88% below | 15% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC DRAIN/INJECT JOINT/BURSA | $113.90 | $134.00 | $134.00–$113.90 | 82% below | 15% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC DRAIN/INJECT JOINT/BURSA TECH | $76.50 | $90.00 | $90.00–$76.50 | — | 15% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC DRAIN/INJECT JOINT/BURSA | $113.90 | $134.00 | $134.00–$113.90 | — | 15% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC DRAIN/INJECT JOINT/BURSA TECH | $147.05 | $173.00 | $173.00–$147.05 | 70% below | 15% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC DRAIN/INJECT JOINT/BURSA | $221.00 | $260.00 | $260.00–$221.00 | 55% below | 15% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC DRAIN/INJECT JOINT/BURSA TECH | $147.05 | $173.00 | $173.00–$147.05 | — | 15% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC DRAIN/INJECT JOINT/BURSA | $221.00 | $260.00 | $260.00–$221.00 | — | 15% |
| Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 HC LAPAROSCOPY APPENDECTOMY TECH | $614.38 | $722.80 | $722.80–$614.38 | 96% below | 15% |
| Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 HC LAPAROSCOPY APPENDECTOMY | $921.57 | $1,084.20 | $1,084.20–$921.57 | 95% below | 15% |
| Laparoscopic appendectomy (appendix removal through small cuts) inpatient CPT 44970 HC LAPAROSCOPY APPENDECTOMY TECH | $614.38 | $722.80 | $722.80–$614.38 | — | 15% |
| Laparoscopic appendectomy (appendix removal through small cuts) inpatient CPT 44970 HC LAPAROSCOPY APPENDECTOMY | $921.57 | $1,084.20 | $1,084.20–$921.57 | — | 15% |
| Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 HC TLH UTERUS 250 G OR LESS TECH | $680.00 | $800.00 | $800.00–$680.00 | 97% below | 15% |
| Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 HC TLH UTERUS 250 G OR LESS | $1,020.00 | $1,200.00 | $1,200.00–$1,020.00 | 96% below | 15% |
| Laparoscopic hysterectomy (uterus 250 g or less) inpatient CPT 58570 HC TLH UTERUS 250 G OR LESS TECH | $680.00 | $800.00 | $800.00–$680.00 | — | 15% |
| Laparoscopic hysterectomy (uterus 250 g or less) inpatient CPT 58570 HC TLH UTERUS 250 G OR LESS | $1,020.00 | $1,200.00 | $1,200.00–$1,020.00 | — | 15% |
| Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 HC LAPAROSCOPY REMOVE ADNEXA TECH | $1,178.78 | $1,386.80 | $1,386.80–$1,178.78 | 95% below | 15% |
| Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 HC LAPAROSCOPY REMOVE ADNEXA | $1,768.17 | $2,080.20 | $2,080.20–$1,768.17 | 92% below | 15% |
| Laparoscopic removal of fallopian tubes and/or ovaries inpatient CPT 58661 HC LAPAROSCOPY REMOVE ADNEXA TECH | $1,178.78 | $1,386.80 | $1,386.80–$1,178.78 | — | 15% |
| Laparoscopic removal of fallopian tubes and/or ovaries inpatient CPT 58661 HC LAPAROSCOPY REMOVE ADNEXA | $1,768.17 | $2,080.20 | $2,080.20–$1,768.17 | — | 15% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC INTMD RPR S/A/T/EXT 2.5 CM/< TECH | $143.65 | $169.00 | $169.00–$143.65 | 73% below | 15% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC INTMD RPR S/A/T/EXT 2.5 CM/< | $215.05 | $253.00 | $253.00–$215.05 | 60% below | 15% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 HC INTMD RPR S/A/T/EXT 2.5 CM/< TECH | $143.65 | $169.00 | $169.00–$143.65 | — | 15% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 HC INTMD RPR S/A/T/EXT 2.5 CM/< | $215.05 | $253.00 | $253.00–$215.05 | — | 15% |
| Lower-back epidural injection, with imaging guidance CPT 62323 HC NJX INTERLAMINAR LMBR/SAC IN OR | $1,236.75 | $1,455.00 | $1,455.00–$1,236.75 | 39% below | 15% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC NJX INTERLAMINAR LMBR/SAC IN OR | $1,236.75 | $1,455.00 | $1,455.00–$1,236.75 | — | 15% |
| Lower-back epidural injection, without imaging guidance CPT 62322 HC NJX INTERLAMINAR LMBR/SAC IN OR | $1,236.75 | $1,455.00 | $1,455.00–$1,236.75 | 24% below | 15% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HC NJX INTERLAMINAR LMBR/SAC IN OR | $1,236.75 | $1,455.00 | $1,455.00–$1,236.75 | — | 15% |
| Lumpectomy (partial mastectomy) CPT 19301 HC PARTIAL MASTECTOMY TECH | $803.08 | $944.80 | $944.80–$803.08 | 95% below | 15% |
| Lumpectomy (partial mastectomy) CPT 19301 HC PARTIAL MASTECTOMY | $1,204.62 | $1,417.20 | $1,417.20–$1,204.62 | 92% below | 15% |
| Lumpectomy (partial mastectomy) inpatient CPT 19301 HC PARTIAL MASTECTOMY TECH | $803.08 | $944.80 | $944.80–$803.08 | — | 15% |
| Lumpectomy (partial mastectomy) inpatient CPT 19301 HC PARTIAL MASTECTOMY | $1,204.62 | $1,417.20 | $1,417.20–$1,204.62 | — | 15% |
| Miscarriage treatment with D&C, first trimester CPT 59820 HC CARE OF MISCARRIAGE TECH | $552.50 | $650.00 | $650.00–$552.50 | 92% below | 15% |
| Miscarriage treatment with D&C, first trimester CPT 59820 HC CARE OF MISCARRIAGE | $828.75 | $975.00 | $975.00–$828.75 | 88% below | 15% |
| Miscarriage treatment with D&C, first trimester inpatient CPT 59820 HC CARE OF MISCARRIAGE TECH | $552.50 | $650.00 | $650.00–$552.50 | — | 15% |
| Miscarriage treatment with D&C, first trimester inpatient CPT 59820 HC CARE OF MISCARRIAGE | $828.75 | $975.00 | $975.00–$828.75 | — | 15% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 HC EXC TR-EXT B9+MARG 0.5 CM< TECH | $93.50 | $110.00 | $110.00–$93.50 | 93% below | 15% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 HC EXC TR-EXT B9+MARG 0.5 CM< | $140.25 | $165.00 | $165.00–$140.25 | 90% below | 15% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 HC EXC TR-EXT B9+MARG 0.5 CM< TECH | $93.50 | $110.00 | $110.00–$93.50 | — | 15% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 HC EXC TR-EXT B9+MARG 0.5 CM< | $140.25 | $165.00 | $165.00–$140.25 | — | 15% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 HC EXC FACE-MM B9+MARG 0.5 CM/< TECH | $119.00 | $140.00 | $140.00–$119.00 | 91% below | 15% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 HC EXC FACE-MM B9+MARG 0.5 CM/< | $179.35 | $211.00 | $211.00–$179.35 | 87% below | 15% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 HC EXC FACE-MM B9+MARG 0.5 CM/< TECH | $119.00 | $140.00 | $140.00–$119.00 | — | 15% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 HC EXC FACE-MM B9+MARG 0.5 CM/< | $179.35 | $211.00 | $211.00–$179.35 | — | 15% |
| Nail removal (partial or complete), one nail CPT 11730 HC REMOVAL OF NAIL PLATE TECH | $71.40 | $84.00 | $84.00–$71.40 | 78% below | 15% |
| Nail removal (partial or complete), one nail CPT 11730 HC REMOVAL OF NAIL PLATE | $107.10 | $126.00 | $126.00–$107.10 | 66% below | 15% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 HC REMOVAL OF NAIL PLATE TECH | $71.40 | $84.00 | $84.00–$71.40 | — | 15% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 HC REMOVAL OF NAIL PLATE | $107.10 | $126.00 | $126.00–$107.10 | — | 15% |
| Occipital nerve block (injection for headaches) CPT 64405 HC N BLOCK INJ OCCIPITAL IN CLINIC | $543.15 | $639.00 | $639.00–$543.15 | 46% below | 15% |
| Occipital nerve block (injection for headaches) CPT 64405 HC N BLOCK INJ OCCIPITAL IN OR | $543.15 | $639.00 | $639.00–$543.15 | 46% below | 15% |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 HC N BLOCK INJ OCCIPITAL IN CLINIC | $543.15 | $639.00 | $639.00–$543.15 | — | 15% |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 HC N BLOCK INJ OCCIPITAL IN OR | $543.15 | $639.00 | $639.00–$543.15 | — | 15% |
| Paracentesis with imaging guidance CPT 49083 HC ABD PARACENTESIS W/IMAGING | $1,785.00 | $2,100.00 | $2,100.00–$1,785.00 | 4% above | 15% |
| Paracentesis with imaging guidance inpatient CPT 49083 HC ABD PARACENTESIS W/IMAGING | $1,785.00 | $2,100.00 | $2,100.00–$1,785.00 | — | 15% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC REMOVAL OF NAIL BED TECH | $147.90 | $174.00 | $174.00–$147.90 | 81% below | 15% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC REMOVAL OF NAIL BED | $221.00 | $260.00 | $260.00–$221.00 | 72% below | 15% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC REMOVAL OF NAIL BED TECH | $147.90 | $174.00 | $174.00–$147.90 | — | 15% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC REMOVAL OF NAIL BED | $221.00 | $260.00 | $260.00–$221.00 | — | 15% |
| Removal of a breast lump, open surgery CPT 19120 HC REMOVAL OF BREAST LESION TECH | $614.38 | $722.80 | $722.80–$614.38 | 84% below | 15% |
| Removal of a breast lump, open surgery CPT 19120 HC REMOVAL OF BREAST LESION | $921.57 | $1,084.20 | $1,084.20–$921.57 | 76% below | 15% |
| Removal of a breast lump, open surgery inpatient CPT 19120 HC REMOVAL OF BREAST LESION TECH | $614.38 | $722.80 | $722.80–$614.38 | — | 15% |
| Removal of a breast lump, open surgery inpatient CPT 19120 HC REMOVAL OF BREAST LESION | $921.57 | $1,084.20 | $1,084.20–$921.57 | — | 15% |
| Removal of a foreign object under the skin, simple CPT 10120 HC REMOVE FOREIGN BODY TECH | $107.95 | $127.00 | $127.00–$107.95 | 83% below | 15% |
| Removal of a foreign object under the skin, simple CPT 10120 HC REMOVE FOREIGN BODY | $162.35 | $191.00 | $191.00–$162.35 | 75% below | 15% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 HC REMOVE FOREIGN BODY TECH | $107.95 | $127.00 | $127.00–$107.95 | — | 15% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 HC REMOVE FOREIGN BODY | $162.35 | $191.00 | $191.00–$162.35 | — | 15% |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 HC COLON CA SCRN NOT HI RSK IND TECH | $447.78 | $526.80 | $526.80–$447.78 | 83% below | 15% |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 HC COLON CA SCRN NOT HI RSK IND | $671.67 | $790.20 | $790.20–$671.67 | 74% below | 15% |
| Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 HC COLON CA SCRN NOT HI RSK IND TECH | $447.78 | $526.80 | $526.80–$447.78 | — | 15% |
| Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 HC COLON CA SCRN NOT HI RSK IND | $671.67 | $790.20 | $790.20–$671.67 | — | 15% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 HC COLORECTAL SCRN; HI RISK IND TECH | $447.78 | $526.80 | $526.80–$447.78 | 83% below | 15% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 HC COLORECTAL SCRN; HI RISK IND | $671.67 | $790.20 | $790.20–$671.67 | 74% below | 15% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 HC COLORECTAL SCRN; HI RISK IND TECH | $447.78 | $526.80 | $526.80–$447.78 | — | 15% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 HC COLORECTAL SCRN; HI RISK IND | $671.67 | $790.20 | $790.20–$671.67 | — | 15% |
| Short arm cast (elbow to hand) CPT 29075 HC APPLICATION OF FOREARM CAST TECH | $98.60 | $116.00 | $116.00–$98.60 | 66% below | 15% |
| Short arm cast (elbow to hand) CPT 29075 HC APPLICATION OF FOREARM CAST | $147.90 | $174.00 | $174.00–$147.90 | 48% below | 15% |
| Short arm cast (elbow to hand) inpatient CPT 29075 HC APPLICATION OF FOREARM CAST TECH | $98.60 | $116.00 | $116.00–$98.60 | — | 15% |
| Short arm cast (elbow to hand) inpatient CPT 29075 HC APPLICATION OF FOREARM CAST | $147.90 | $174.00 | $174.00–$147.90 | — | 15% |
| Short arm splint (forearm and hand) CPT 29125 HC APPLY FOREARM SPLINT TECH | $68.85 | $81.00 | $81.00–$68.85 | 76% below | 15% |
| Short arm splint (forearm and hand) CPT 29125 HC APPLY FOREARM SPLINT | $103.70 | $122.00 | $122.00–$103.70 | 64% below | 15% |
| Short arm splint (forearm and hand) inpatient CPT 29125 HC APPLY FOREARM SPLINT TECH | $68.85 | $81.00 | $81.00–$68.85 | — | 15% |
| Short arm splint (forearm and hand) inpatient CPT 29125 HC APPLY FOREARM SPLINT | $103.70 | $122.00 | $122.00–$103.70 | — | 15% |
| Short leg cast (below the knee) CPT 29405 HC APPLY SHORT LEG CAST TECH | $109.65 | $129.00 | $129.00–$109.65 | 69% below | 15% |
| Short leg cast (below the knee) CPT 29405 HC APPLY SHORT LEG CAST | $164.05 | $193.00 | $193.00–$164.05 | 54% below | 15% |
| Short leg cast (below the knee) inpatient CPT 29405 HC APPLY SHORT LEG CAST TECH | $109.65 | $129.00 | $129.00–$109.65 | — | 15% |
| Short leg cast (below the knee) inpatient CPT 29405 HC APPLY SHORT LEG CAST | $164.05 | $193.00 | $193.00–$164.05 | — | 15% |
| Short leg splint (calf to foot) CPT 29515 HC APPLICATION LOWER LEG SPLINT TECH | $62.05 | $73.00 | $73.00–$62.05 | 80% below | 15% |
| Short leg splint (calf to foot) CPT 29515 HC APPLICATION LOWER LEG SPLINT | $93.50 | $110.00 | $110.00–$93.50 | 69% below | 15% |
| Short leg splint (calf to foot) inpatient CPT 29515 HC APPLICATION LOWER LEG SPLINT TECH | $62.05 | $73.00 | $73.00–$62.05 | — | 15% |
| Short leg splint (calf to foot) inpatient CPT 29515 HC APPLICATION LOWER LEG SPLINT | $93.50 | $110.00 | $110.00–$93.50 | — | 15% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC RPR S/N/AX/GEN/TRNK 2.5CM/< TECH | $123.25 | $145.00 | $145.00–$123.25 | 63% below | 15% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC RPR S/N/AX/GEN/TRNK 2.5CM/< | $184.45 | $217.00 | $217.00–$184.45 | 44% below | 15% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC RPR S/N/AX/GEN/TRNK 2.5CM/< TECH | $123.25 | $145.00 | $145.00–$123.25 | — | 15% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC RPR S/N/AX/GEN/TRNK 2.5CM/< | $184.45 | $217.00 | $217.00–$184.45 | — | 15% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 HC EXC TR-EXT MAL+MARG 0.5 CM/< TECH | $167.45 | $197.00 | $197.00–$167.45 | 88% below | 15% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 HC EXC TR-EXT MAL+MARG 0.5 CM/< | $251.60 | $296.00 | $296.00–$251.60 | 82% below | 15% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 HC EXC TR-EXT MAL+MARG 0.5 CM/< TECH | $167.45 | $197.00 | $197.00–$167.45 | — | 15% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 HC EXC TR-EXT MAL+MARG 0.5 CM/< | $251.60 | $296.00 | $296.00–$251.60 | — | 15% |
| Skin tag removal, up to 15 tags CPT 11200 HC REMOVAL OF SKIN TAGS <W/15 TECH | $67.15 | $79.00 | $79.00–$67.15 | 77% below | 15% |
| Skin tag removal, up to 15 tags CPT 11200 HC REMOVAL OF SKIN TAGS <W/15 | $100.30 | $118.00 | $118.00–$100.30 | 66% below | 15% |
| Skin tag removal, up to 15 tags inpatient CPT 11200 HC REMOVAL OF SKIN TAGS <W/15 TECH | $67.15 | $79.00 | $79.00–$67.15 | — | 15% |
| Skin tag removal, up to 15 tags inpatient CPT 11200 HC REMOVAL OF SKIN TAGS <W/15 | $100.30 | $118.00 | $118.00–$100.30 | — | 15% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 HC SPINAL FLUID TAP DIAGNOSTIC TECH | $208.76 | $245.60 | $245.60–$208.76 | 80% below | 15% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 HC SPINAL FLUID TAP DIAGNOSTIC | $313.14 | $368.40 | $368.40–$313.14 | 70% below | 15% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC SPINAL FLUID TAP DIAGNOSTIC TECH | $208.76 | $245.60 | $245.60–$208.76 | — | 15% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC SPINAL FLUID TAP DIAGNOSTIC | $313.14 | $368.40 | $368.40–$313.14 | — | 15% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC RPR S/N/AX/GEN/TRNK2.6-7.5CM TECH | $147.90 | $174.00 | $174.00–$147.90 | 58% below | 15% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC RPR S/N/AX/GEN/TRNK2.6-7.5CM | $221.00 | $260.00 | $260.00–$221.00 | 37% below | 15% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 HC RPR S/N/AX/GEN/TRNK2.6-7.5CM TECH | $147.90 | $174.00 | $174.00–$147.90 | — | 15% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 HC RPR S/N/AX/GEN/TRNK2.6-7.5CM | $221.00 | $260.00 | $260.00–$221.00 | — | 15% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC RPR F/E/E/N/L/M 2.5 CM/< TECH | $147.90 | $174.00 | $174.00–$147.90 | 53% below | 15% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC RPR F/E/E/N/L/M 2.5 CM/< | $221.00 | $260.00 | $260.00–$221.00 | 30% below | 15% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 HC RPR F/E/E/N/L/M 2.5 CM/< TECH | $147.90 | $174.00 | $174.00–$147.90 | — | 15% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 HC RPR F/E/E/N/L/M 2.5 CM/< | $221.00 | $260.00 | $260.00–$221.00 | — | 15% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC TANGENTIAL BIOPSY SKIN SINGLE LESION TECH | $60.35 | $71.00 | $71.00–$60.35 | 80% below | 15% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC TANGENTIAL BIOPSY SKIN SINGLE LESION | $90.95 | $107.00 | $107.00–$90.95 | 70% below | 15% |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 HC TANGENTIAL BIOPSY SKIN SINGLE LESION TECH | $60.35 | $71.00 | $71.00–$60.35 | — | 15% |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 HC TANGENTIAL BIOPSY SKIN SINGLE LESION | $90.95 | $107.00 | $107.00–$90.95 | — | 15% |
| Thoracentesis with imaging guidance CPT 32555 HC THORACENTESIS W/ IMAGING | $244.80 | $288.00 | $288.00–$244.80 | 87% below | 15% |
| Thoracentesis with imaging guidance inpatient CPT 32555 HC THORACENTESIS W/ IMAGING | $244.80 | $288.00 | $288.00–$244.80 | — | 15% |
| Trigger point injections, 1 or 2 muscles CPT 20552 HC INJ TRIGGER POINT 1/2 MUSCL TECH | $61.20 | $72.00 | $72.00–$61.20 | 92% below | 15% |
| Trigger point injections, 1 or 2 muscles CPT 20552 HC INJ TRIGGER POINT 1/2 MUSCL | $91.80 | $108.00 | $108.00–$91.80 | 88% below | 15% |
| Trigger point injections, 1 or 2 muscles CPT 20552 HC INJ TRIGGER POINT 1/2 MUSCL IN OR | $543.15 | $639.00 | $639.00–$543.15 | 26% below | 15% |
| Trigger point injections, 1 or 2 muscles CPT 20552 HC INJ TRIGGER POINT 1/2 MUSCL IN CLINIC | $543.15 | $639.00 | $639.00–$543.15 | 26% below | 15% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC INJ TRIGGER POINT 1/2 MUSCL TECH | $61.20 | $72.00 | $72.00–$61.20 | — | 15% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC INJ TRIGGER POINT 1/2 MUSCL | $91.80 | $108.00 | $108.00–$91.80 | — | 15% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC INJ TRIGGER POINT 1/2 MUSCL IN CLINIC | $543.15 | $639.00 | $639.00–$543.15 | — | 15% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC INJ TRIGGER POINT 1/2 MUSCL IN OR | $543.15 | $639.00 | $639.00–$543.15 | — | 15% |
| Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 HC LAPAROSCOPY TUBAL CAUTERY TECH | $1,031.90 | $1,214.00 | $1,214.00–$1,031.90 | 55% below | 15% |
| Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 HC LAPAROSCOPY TUBAL CAUTERY | $1,547.85 | $1,821.00 | $1,821.00–$1,547.85 | 33% below | 15% |
| Tubal ligation, laparoscopic (tubes sealed by cautery) inpatient CPT 58670 HC LAPAROSCOPY TUBAL CAUTERY TECH | $1,031.90 | $1,214.00 | $1,214.00–$1,031.90 | — | 15% |
| Tubal ligation, laparoscopic (tubes sealed by cautery) inpatient CPT 58670 HC LAPAROSCOPY TUBAL CAUTERY | $1,547.85 | $1,821.00 | $1,821.00–$1,547.85 | — | 15% |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 HC ESOPH EGD DILATION <30 MM TECH | $356.32 | $419.20 | $419.20–$356.32 | 90% below | 15% |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 HC ESOPH EGD DILATION <30 MM | $534.48 | $628.80 | $628.80–$534.48 | 85% below | 15% |
| Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 HC ESOPH EGD DILATION <30 MM TECH | $356.32 | $419.20 | $419.20–$356.32 | — | 15% |
| Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 HC ESOPH EGD DILATION <30 MM | $534.48 | $628.80 | $628.80–$534.48 | — | 15% |
| Upper endoscopy (EGD) with biopsy CPT 43239 HC EGD BIOPSY SINGLE/MULTIPLE TECH | $307.02 | $361.20 | $361.20–$307.02 | 89% below | 15% |
| Upper endoscopy (EGD) with biopsy CPT 43239 HC EGD BIOPSY SINGLE/MULTIPLE | $460.53 | $541.80 | $541.80–$460.53 | 84% below | 15% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 HC EGD BIOPSY SINGLE/MULTIPLE TECH | $307.02 | $361.20 | $361.20–$307.02 | — | 15% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 HC EGD BIOPSY SINGLE/MULTIPLE | $460.53 | $541.80 | $541.80–$460.53 | — | 15% |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 HC EGD REMOVE LESION SNARE TECH | $393.38 | $462.80 | $462.80–$393.38 | 88% below | 15% |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 HC EGD REMOVE LESION SNARE | $590.07 | $694.20 | $694.20–$590.07 | 82% below | 15% |
| Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 HC EGD REMOVE LESION SNARE TECH | $393.38 | $462.80 | $462.80–$393.38 | — | 15% |
| Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 HC EGD REMOVE LESION SNARE | $590.07 | $694.20 | $694.20–$590.07 | — | 15% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 HC EGD GUIDE WIRE INSERTION TECH | $320.28 | $376.80 | $376.80–$320.28 | 89% below | 15% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 HC EGD GUIDE WIRE INSERTION | $480.42 | $565.20 | $565.20–$480.42 | 83% below | 15% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 HC EGD GUIDE WIRE INSERTION TECH | $320.28 | $376.80 | $376.80–$320.28 | — | 15% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 HC EGD GUIDE WIRE INSERTION | $480.42 | $565.20 | $565.20–$480.42 | — | 15% |
| Upper endoscopy (EGD), diagnostic CPT 43235 HC EGD DIAGNOSTIC BRUSH WASH TECH | $270.64 | $318.40 | $318.40–$270.64 | 90% below | 15% |
| Upper endoscopy (EGD), diagnostic CPT 43235 HC EGD DIAGNOSTIC BRUSH WASH | $405.96 | $477.60 | $477.60–$405.96 | 84% below | 15% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 HC EGD DIAGNOSTIC BRUSH WASH TECH | $270.64 | $318.40 | $318.40–$270.64 | — | 15% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 HC EGD DIAGNOSTIC BRUSH WASH | $405.96 | $477.60 | $477.60–$405.96 | — | 15% |
| Vasectomy, one or both sides, including follow-up semen testing CPT 55250 HC REMOVAL OF SPERM DUCT(S) TECH | $453.90 | $534.00 | $534.00–$453.90 | 86% below | 15% |
| Vasectomy, one or both sides, including follow-up semen testing CPT 55250 HC REMOVAL OF SPERM DUCT(S) | $681.70 | $802.00 | $802.00–$681.70 | 79% below | 15% |
| Vasectomy, one or both sides, including follow-up semen testing inpatient CPT 55250 HC REMOVAL OF SPERM DUCT(S) TECH | $453.90 | $534.00 | $534.00–$453.90 | — | 15% |
| Vasectomy, one or both sides, including follow-up semen testing inpatient CPT 55250 HC REMOVAL OF SPERM DUCT(S) | $681.70 | $802.00 | $802.00–$681.70 | — | 15% |
| Wart removal, up to 14 warts CPT 17110 HC DESTRUCT B9 LESION 1-14 TECH | $64.60 | $76.00 | $76.00–$64.60 | 76% below | 15% |
| Wart removal, up to 14 warts CPT 17110 HC DESTRUCT B9 LESION 1-14 | $96.05 | $113.00 | $113.00–$96.05 | 65% below | 15% |
| Wart removal, up to 14 warts inpatient CPT 17110 HC DESTRUCT B9 LESION 1-14 TECH | $64.60 | $76.00 | $76.00–$64.60 | — | 15% |
| Wart removal, up to 14 warts inpatient CPT 17110 HC DESTRUCT B9 LESION 1-14 | $96.05 | $113.00 | $113.00–$96.05 | — | 15% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC DEB SUBQ TISSUE 20 SQ CM/< TECH | $110.50 | $130.00 | $130.00–$110.50 | 86% below | 15% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC DEB SUBQ TISSUE 20 SQ CM/< | $166.60 | $196.00 | $196.00–$166.60 | 79% below | 15% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC DEB SUBQ TISSUE 20 SQ CM/< TECH | $110.50 | $130.00 | $130.00–$110.50 | — | 15% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC DEB SUBQ TISSUE 20 SQ CM/< | $166.60 | $196.00 | $196.00–$166.60 | — | 15% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Ohio | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 HC BLOOD TRANSFUSION | $170.00 | $200.00 | $200.00–$170.00 | 85% below | 15% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC BLOOD TRANSFUSION | $170.00 | $200.00 | $200.00–$170.00 | — | 15% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC NEBULIZER AERSOL TREATMEN | $63.75 | $75.00 | $75.00–$63.75 | 64% below | 15% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC METERED DOSE INHALER | $63.75 | $75.00 | $75.00–$63.75 | 64% below | 15% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC DRUG AEROSOL | $68.00 | $80.00 | $80.00–$68.00 | 62% below | 15% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC NEBULIZER AERSOL TREATMEN | $63.75 | $75.00 | $75.00–$63.75 | — | 15% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC METERED DOSE INHALER | $63.75 | $75.00 | $75.00–$63.75 | — | 15% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC DRUG AEROSOL | $68.00 | $80.00 | $80.00–$68.00 | — | 15% |
| Chemotherapy IV infusion, first hour CPT 96413 HC CHEMO INFUS INIT 16-60 MIN | $356.15 | $419.00 | $419.00–$356.15 | 52% below | 15% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 HC CHEMO INFUS INIT 16-60 MIN | $356.15 | $419.00 | $419.00–$356.15 | — | 15% |
| Critical care, first 30 to 74 minutes CPT 99291 HC ED CRITICAL CARE:INIT 30-74 MN | $590.75 | $695.00 | $695.00–$590.75 | 80% below | 15% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 HC ED CRITICAL CARE:INIT 30-74 MN | $590.75 | $695.00 | $695.00–$590.75 | — | 15% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 HC EEG AWAKE & DROWSY | $303.45 | $357.00 | $357.00–$303.45 | 71% below | 15% |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 HC EEG AWAKE & DROWSY | $303.45 | $357.00 | $357.00–$303.45 | — | 15% |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 HC EKG W/INTERP & REPORT 12 | $211.65 | $249.00 | $249.00–$211.65 | 16% below | 15% |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 HC EKG WITH INTER & REPORT | $211.65 | $249.00 | $249.00–$211.65 | 16% below | 15% |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 HC EKG WITH INTER & REPORT | $211.65 | $249.00 | $249.00–$211.65 | — | 15% |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 HC EKG W/INTERP & REPORT 12 | $211.65 | $249.00 | $249.00–$211.65 | — | 15% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC EKG TRACING ONLY W/O INTE | $192.10 | $226.00 | $226.00–$192.10 | 4% above | 15% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC ELECTROCARDIOGRAM | $192.10 | $226.00 | $226.00–$192.10 | 4% above | 15% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC ELECTROCARDIOGRAM | $192.10 | $226.00 | $226.00–$192.10 | — | 15% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC EKG TRACING ONLY W/O INTE | $192.10 | $226.00 | $226.00–$192.10 | — | 15% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC ED LEVEL 1 | $154.70 | $182.00 | $182.00–$154.70 | 46% below | 15% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC ED LEVEL 1 | $154.70 | $182.00 | $182.00–$154.70 | — | 15% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC ED LEVEL 2 | $246.50 | $290.00 | $290.00–$246.50 | 52% below | 15% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC ED LEVEL 2 | $246.50 | $290.00 | $290.00–$246.50 | — | 15% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC ED LEVEL 3 | $368.05 | $433.00 | $433.00–$368.05 | 57% below | 15% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC ED LEVEL 3 | $368.05 | $433.00 | $433.00–$368.05 | — | 15% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC ED LEVEL 4 | $492.15 | $579.00 | $579.00–$492.15 | 63% below | 15% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC ED LEVEL 4 | $492.15 | $579.00 | $579.00–$492.15 | — | 15% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC ED LEVEL 5 | $705.50 | $830.00 | $830.00–$705.50 | 55% below | 15% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC CRITICAL TEAM RESPONSE<30 MIN (!!PH,PCH,CMCH USE ONLY) | $705.50 | $830.00 | $830.00–$705.50 | 55% below | 15% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC ED LEVEL 5 | $705.50 | $830.00 | $830.00–$705.50 | — | 15% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC CRITICAL TEAM RESPONSE<30 MIN (!!PH,PCH,CMCH USE ONLY) | $705.50 | $830.00 | $830.00–$705.50 | — | 15% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HC EKG STRESS TEST | $985.15 | $1,159.00 | $1,159.00–$985.15 | 11% above | 15% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC EKG STRESS TEST | $985.15 | $1,159.00 | $1,159.00–$985.15 | — | 15% |
| Holter monitor, heart rhythm recording up to 48 hours, with report CPT 93224 HC HOLTER WITH REPORT | $454.75 | $535.00 | $535.00–$454.75 | 19% below | 15% |
| Holter monitor, heart rhythm recording up to 48 hours, with report inpatient CPT 93224 HC HOLTER WITH REPORT | $454.75 | $535.00 | $535.00–$454.75 | — | 15% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC HYDRATION IV INFUSION INIT TECH | $94.35 | $111.00 | $111.00–$94.35 | 77% below | 15% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC IV INF HYD INIT 31-60 MINS | $235.45 | $277.00 | $277.00–$235.45 | 44% below | 15% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC ED IV INF HYD INIT 31-60 MINS | $235.45 | $277.00 | $277.00–$235.45 | 44% below | 15% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC HYDRATION IV INFUSION INIT TECH | $94.35 | $111.00 | $111.00–$94.35 | — | 15% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC ED IV INF HYD INIT 31-60 MINS | $235.45 | $277.00 | $277.00–$235.45 | — | 15% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC IV INF HYD INIT 31-60 MINS | $235.45 | $277.00 | $277.00–$235.45 | — | 15% |
| IV infusion of a medicine, first hour CPT 96365 HC ED IV INF THER INIT 16-60 MINS | $204.00 | $240.00 | $240.00–$204.00 | 53% below | 15% |
| IV infusion of a medicine, first hour CPT 96365 HC IV INF THER INIT 16-60 MINS | $204.00 | $240.00 | $240.00–$204.00 | 53% below | 15% |
| IV infusion of a medicine, first hour inpatient CPT 96365 HC IV INF THER INIT 16-60 MINS | $204.00 | $240.00 | $240.00–$204.00 | — | 15% |
| IV infusion of a medicine, first hour inpatient CPT 96365 HC ED IV INF THER INIT 16-60 MINS | $204.00 | $240.00 | $240.00–$204.00 | — | 15% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC ED SQ/IM INJECTION | $68.00 | $80.00 | $80.00–$68.00 | 53% below | 15% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC THER/PROPH/DIAG INJ SC/IM TECH | $68.00 | $80.00 | $80.00–$68.00 | 53% below | 15% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC SQ/IM INJECTION | $68.00 | $80.00 | $80.00–$68.00 | 53% below | 15% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC THER/PROPH/DIAG INJ SC/IM TECH | $68.00 | $80.00 | $80.00–$68.00 | — | 15% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC SQ/IM INJECTION | $68.00 | $80.00 | $80.00–$68.00 | — | 15% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC ED SQ/IM INJECTION | $68.00 | $80.00 | $80.00–$68.00 | — | 15% |
| New patient office visit, about 30 minutes CPT 99203 HC OFFICE/OUTPATIENT VISI | $57.80 | $68.00 | $68.00–$57.80 | 42% below | 15% |
| New patient office visit, about 30 minutes CPT 99203 HC OFFICE/OUTPATIENT VISIT NEW | $86.70 | $102.00 | $102.00–$86.70 | 13% below | 15% |
| New patient office visit, about 30 minutes CPT 99203 HC MY HEALTHCARE MY WAY VISIT NEW LEVEL 3 | $144.50 | $170.00 | $170.00–$144.50 | 45% above | 15% |
| New patient office visit, about 30 minutes CPT 99203 HC OFFICE/OUTPATIENT VISIT NEW LEVEL 3 | $144.50 | $170.00 | $170.00–$144.50 | 45% above | 15% |
| New patient office visit, about 30 minutes inpatient CPT 99203 HC OFFICE/OUTPATIENT VISI | $57.80 | $68.00 | $68.00–$57.80 | — | 15% |
| New patient office visit, about 30 minutes inpatient CPT 99203 HC OFFICE/OUTPATIENT VISIT NEW | $86.70 | $102.00 | $102.00–$86.70 | — | 15% |
| New patient office visit, about 30 minutes inpatient CPT 99203 HC OFFICE/OUTPATIENT VISIT NEW LEVEL 3 | $144.50 | $170.00 | $170.00–$144.50 | — | 15% |
| New patient office visit, about 30 minutes inpatient CPT 99203 HC MY HEALTHCARE MY WAY VISIT NEW LEVEL 3 | $144.50 | $170.00 | $170.00–$144.50 | — | 15% |
| New patient office visit, about 45 minutes CPT 99204 HC OFFICE/OUTPATIENT VISI | $67.15 | $79.00 | $79.00–$67.15 | 51% below | 15% |
| New patient office visit, about 45 minutes CPT 99204 HC OFFICE/OUTPATIENT VISIT NEW | $100.30 | $118.00 | $118.00–$100.30 | 27% below | 15% |
| New patient office visit, about 45 minutes CPT 99204 HC MY HEALTHCARE MY WAY VISIT NEW LEVEL 4 | $167.45 | $197.00 | $197.00–$167.45 | 22% above | 15% |
| New patient office visit, about 45 minutes CPT 99204 HC OFFICE/OUTPATIENT VISIT NEW LEVEL 4 | $167.45 | $197.00 | $197.00–$167.45 | 22% above | 15% |
| New patient office visit, about 45 minutes inpatient CPT 99204 HC OFFICE/OUTPATIENT VISI | $67.15 | $79.00 | $79.00–$67.15 | — | 15% |
| New patient office visit, about 45 minutes inpatient CPT 99204 HC OFFICE/OUTPATIENT VISIT NEW | $100.30 | $118.00 | $118.00–$100.30 | — | 15% |
| New patient office visit, about 45 minutes inpatient CPT 99204 HC MY HEALTHCARE MY WAY VISIT NEW LEVEL 4 | $167.45 | $197.00 | $197.00–$167.45 | — | 15% |
| New patient office visit, about 45 minutes inpatient CPT 99204 HC OFFICE/OUTPATIENT VISIT NEW LEVEL 4 | $167.45 | $197.00 | $197.00–$167.45 | — | 15% |
| New patient office visit, about 60 minutes CPT 99205 HC OFFICE/OUTPATIENT VISI | $77.35 | $91.00 | $91.00–$77.35 | 60% below | 15% |
| New patient office visit, about 60 minutes CPT 99205 HC OFFICE/OUTPATIENT VISIT NEW | $115.60 | $136.00 | $136.00–$115.60 | 40% below | 15% |
| New patient office visit, about 60 minutes CPT 99205 HC OFFICE/OUTPATIENT VISIT NEW LEVEL 5 | $192.95 | $227.00 | $227.00–$192.95 | 1% above | 15% |
| New patient office visit, about 60 minutes CPT 99205 HC MY HEALTHCARE MY WAY VISIT NEW LEVEL 5 | $192.95 | $227.00 | $227.00–$192.95 | 1% above | 15% |
| New patient office visit, about 60 minutes inpatient CPT 99205 HC OFFICE/OUTPATIENT VISI | $77.35 | $91.00 | $91.00–$77.35 | — | 15% |
| New patient office visit, about 60 minutes inpatient CPT 99205 HC OFFICE/OUTPATIENT VISIT NEW | $115.60 | $136.00 | $136.00–$115.60 | — | 15% |
| New patient office visit, about 60 minutes inpatient CPT 99205 HC MY HEALTHCARE MY WAY VISIT NEW LEVEL 5 | $192.95 | $227.00 | $227.00–$192.95 | — | 15% |
| New patient office visit, about 60 minutes inpatient CPT 99205 HC OFFICE/OUTPATIENT VISIT NEW LEVEL 5 | $192.95 | $227.00 | $227.00–$192.95 | — | 15% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC OFFICE/OUTPATIENT VISI | $47.60 | $56.00 | $56.00–$47.60 | 47% below | 15% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC OFFICE/OUTPATIENT VISIT NEW | $71.40 | $84.00 | $84.00–$71.40 | 21% below | 15% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC OFFICE/OUTPATIENT VISIT NEW LEVEL 2 | $119.00 | $140.00 | $140.00–$119.00 | 32% above | 15% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC MY HEALTHCARE MY WAY VISIT NEW LEVEL 2 | $119.00 | $140.00 | $140.00–$119.00 | 32% above | 15% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HC OFFICE/OUTPATIENT VISI | $47.60 | $56.00 | $56.00–$47.60 | — | 15% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HC OFFICE/OUTPATIENT VISIT NEW | $71.40 | $84.00 | $84.00–$71.40 | — | 15% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HC OFFICE/OUTPATIENT VISIT NEW LEVEL 2 | $119.00 | $140.00 | $140.00–$119.00 | — | 15% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HC MY HEALTHCARE MY WAY VISIT NEW LEVEL 2 | $119.00 | $140.00 | $140.00–$119.00 | — | 15% |
| Preventive checkup, new patient aged 18–39 CPT 99385 HC PREV VISIT NEW AGE 18- | $87.55 | $103.00 | $103.00–$87.55 | 27% below | 15% |
| Preventive checkup, new patient aged 18–39 CPT 99385 HC PREV VISIT NEW AGE 18-39 | $131.75 | $155.00 | $155.00–$131.75 | 10% above | 15% |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 HC PREV VISIT NEW AGE 18- | $87.55 | $103.00 | $103.00–$87.55 | — | 15% |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 HC PREV VISIT NEW AGE 18-39 | $131.75 | $155.00 | $155.00–$131.75 | — | 15% |
| Preventive checkup, new patient aged 40–64 CPT 99386 HC PREV VISIT NEW AGE 40- | $96.90 | $114.00 | $114.00–$96.90 | 35% below | 15% |
| Preventive checkup, new patient aged 40–64 CPT 99386 HC PREV VISIT NEW AGE 40-64 | $144.50 | $170.00 | $170.00–$144.50 | 3% below | 15% |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 HC PREV VISIT NEW AGE 40- | $96.90 | $114.00 | $114.00–$96.90 | — | 15% |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 HC PREV VISIT NEW AGE 40-64 | $144.50 | $170.00 | $170.00–$144.50 | — | 15% |
| Preventive checkup, new patient aged 65 or older CPT 99387 HC INIT PM E/M NEW PAT 65 | $106.25 | $125.00 | $125.00–$106.25 | 32% below | 15% |
| Preventive checkup, new patient aged 65 or older CPT 99387 HC INIT PM E/M NEW PAT 65+ YRS | $158.95 | $187.00 | $187.00–$158.95 | 1% above | 15% |
| Preventive checkup, new patient aged 65 or older inpatient CPT 99387 HC INIT PM E/M NEW PAT 65 | $106.25 | $125.00 | $125.00–$106.25 | — | 15% |
| Preventive checkup, new patient aged 65 or older inpatient CPT 99387 HC INIT PM E/M NEW PAT 65+ YRS | $158.95 | $187.00 | $187.00–$158.95 | — | 15% |
| Preventive checkup, returning patient aged 18–39 CPT 99395 HC PREV VISIT EST AGE 18- | $73.10 | $86.00 | $86.00–$73.10 | 42% below | 15% |
| Preventive checkup, returning patient aged 18–39 CPT 99395 HC PREV VISIT EST AGE 18-39 | $109.65 | $129.00 | $129.00–$109.65 | 13% below | 15% |
| Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 HC PREV VISIT EST AGE 18- | $73.10 | $86.00 | $86.00–$73.10 | — | 15% |
| Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 HC PREV VISIT EST AGE 18-39 | $109.65 | $129.00 | $129.00–$109.65 | — | 15% |
| Preventive checkup, returning patient aged 40–64 CPT 99396 HC PREV VISIT EST AGE 40- | $79.05 | $93.00 | $93.00–$79.05 | 41% below | 15% |
| Preventive checkup, returning patient aged 40–64 CPT 99396 HC PREV VISIT EST AGE 40-64 | $118.15 | $139.00 | $139.00–$118.15 | 11% below | 15% |
| Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 HC PREV VISIT EST AGE 40- | $79.05 | $93.00 | $93.00–$79.05 | — | 15% |
| Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 HC PREV VISIT EST AGE 40-64 | $118.15 | $139.00 | $139.00–$118.15 | — | 15% |
| Preventive checkup, returning patient aged 65 or older CPT 99397 HC PER PM REEVAL EST PAT | $86.02 | $101.20 | $101.20–$86.02 | 33% below | 15% |
| Preventive checkup, returning patient aged 65 or older CPT 99397 HC PER PM REEVAL EST PAT 65+ YR | $129.03 | $151.80 | $151.80–$129.03 | at median | 15% |
| Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 HC PER PM REEVAL EST PAT | $86.02 | $101.20 | $101.20–$86.02 | — | 15% |
| Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 HC PER PM REEVAL EST PAT 65+ YR | $129.03 | $151.80 | $151.80–$129.03 | — | 15% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 HC BEHAV CHNG SMOKING 3-10 MIN TECH | $24.82 | $29.20 | $29.20–$24.82 | 42% below | 15% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 HC BEHAV CHNG SMOKING 3-10 MIN | $37.23 | $43.80 | $43.80–$37.23 | 13% below | 15% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 HC BEHAV CHNG SMOKING 3-10 MIN TECH | $24.82 | $29.20 | $29.20–$24.82 | — | 15% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 HC BEHAV CHNG SMOKING 3-10 MIN | $37.23 | $43.80 | $43.80–$37.23 | — | 15% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC OFFICE/OUTPATIENT VISI | $57.80 | $68.00 | $68.00–$57.80 | 66% below | 15% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC OFFICE/OUTPATIENT VISIT EST | $87.55 | $103.00 | $103.00–$87.55 | 48% below | 15% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC MY HEALTHCARE MY WAY VISIT EST LEVEL 5 | $145.35 | $171.00 | $171.00–$145.35 | 14% below | 15% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC OFFICE/OUTPATIENT VISIT EST LEVEL 5 | $145.35 | $171.00 | $171.00–$145.35 | 14% below | 15% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC OFFICE/OUTPATIENT VISI | $57.80 | $68.00 | $68.00–$57.80 | — | 15% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC OFFICE/OUTPATIENT VISIT EST | $87.55 | $103.00 | $103.00–$87.55 | — | 15% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC MY HEALTHCARE MY WAY VISIT EST LEVEL 5 | $145.35 | $171.00 | $171.00–$145.35 | — | 15% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC OFFICE/OUTPATIENT VISIT EST LEVEL 5 | $145.35 | $171.00 | $171.00–$145.35 | — | 15% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC OFFICE/OUTPATIENT VISI | $38.25 | $45.00 | $45.00–$38.25 | 65% below | 15% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC OFFICE/OUTPATIENT VISIT EST | $57.80 | $68.00 | $68.00–$57.80 | 47% below | 15% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC OFFICE/OUTPATIENT VISIT EST LEVEL 3 | $96.05 | $113.00 | $113.00–$96.05 | 11% below | 15% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC MY HEALTHCARE MY WAY VISIT EST LEVEL 3 | $96.05 | $113.00 | $113.00–$96.05 | 11% below | 15% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC OFFICE/OUTPATIENT VISI | $38.25 | $45.00 | $45.00–$38.25 | — | 15% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC OFFICE/OUTPATIENT VISIT EST | $57.80 | $68.00 | $68.00–$57.80 | — | 15% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC OFFICE/OUTPATIENT VISIT EST LEVEL 3 | $96.05 | $113.00 | $113.00–$96.05 | — | 15% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC MY HEALTHCARE MY WAY VISIT EST LEVEL 3 | $96.05 | $113.00 | $113.00–$96.05 | — | 15% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC OFFICE/OUTPATIENT VISI | $48.45 | $57.00 | $57.00–$48.45 | 66% below | 15% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC OFFICE/OUTPATIENT VISIT EST | $72.25 | $85.00 | $85.00–$72.25 | 49% below | 15% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC MY HEALTHCARE MY WAY VISIT EST LEVEL 4 | $120.70 | $142.00 | $142.00–$120.70 | 15% below | 15% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC OFFICE/OUTPATIENT VISIT EST LEVEL 4 | $120.70 | $142.00 | $142.00–$120.70 | 15% below | 15% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC OFFICE/OUTPATIENT VISI | $48.45 | $57.00 | $57.00–$48.45 | — | 15% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC OFFICE/OUTPATIENT VISIT EST | $72.25 | $85.00 | $85.00–$72.25 | — | 15% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC MY HEALTHCARE MY WAY VISIT EST LEVEL 4 | $120.70 | $142.00 | $142.00–$120.70 | — | 15% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC OFFICE/OUTPATIENT VISIT EST LEVEL 4 | $120.70 | $142.00 | $142.00–$120.70 | — | 15% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC OFFICE/OUTPATIENT VISI | $28.90 | $34.00 | $34.00–$28.90 | 70% below | 15% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC OFFICE/OUTPATIENT VISIT EST | $43.35 | $51.00 | $51.00–$43.35 | 56% below | 15% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC MY HEALTHCARE MY WAY VISIT EST LEVEL 2 | $72.25 | $85.00 | $85.00–$72.25 | 26% below | 15% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC OFFICE/OUTPATIENT VISIT EST LEVEL 2 | $72.25 | $85.00 | $85.00–$72.25 | 26% below | 15% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC OFFICE/OUTPATIENT VISI | $28.90 | $34.00 | $34.00–$28.90 | — | 15% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC OFFICE/OUTPATIENT VISIT EST | $43.35 | $51.00 | $51.00–$43.35 | — | 15% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC MY HEALTHCARE MY WAY VISIT EST LEVEL 2 | $72.25 | $85.00 | $85.00–$72.25 | — | 15% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC OFFICE/OUTPATIENT VISIT EST LEVEL 2 | $72.25 | $85.00 | $85.00–$72.25 | — | 15% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 HC OFFICE CONSULTATION TECH | $103.70 | $122.00 | $122.00–$103.70 | 20% below | 15% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 HC OFFICE CONSULTATION | $155.55 | $183.00 | $183.00–$155.55 | 20% above | 15% |
| Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 HC OFFICE CONSULTATION TECH | $103.70 | $122.00 | $122.00–$103.70 | — | 15% |
| Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 HC OFFICE CONSULTATION | $155.55 | $183.00 | $183.00–$155.55 | — | 15% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 HC OFFICE CONSULTATION TECH | $132.60 | $156.00 | $156.00–$132.60 | 28% below | 15% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 HC OFFICE CONSULTATION | $198.90 | $234.00 | $234.00–$198.90 | 8% above | 15% |
| Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 HC OFFICE CONSULTATION TECH | $132.60 | $156.00 | $156.00–$132.60 | — | 15% |
| Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 HC OFFICE CONSULTATION | $198.90 | $234.00 | $234.00–$198.90 | — | 15% |
| Speech and language evaluation CPT 92523 HC EVAL OF LANG COMPRESSION AND EXPRESSION | $666.40 | $784.00 | $784.00–$666.40 | 111% above | 15% |
| Speech and language evaluation inpatient CPT 92523 HC EVAL OF LANG COMPRESSION AND EXPRESSION | $666.40 | $784.00 | $784.00–$666.40 | — | 15% |
| Spirometry (breathing test) CPT 94010 HC BREATHING CAPACITY TEST TECH | $66.30 | $78.00 | $78.00–$66.30 | 77% below | 15% |
| Spirometry (breathing test) CPT 94010 HC PFT SPIROMETRY | $85.00 | $100.00 | $100.00–$85.00 | 71% below | 15% |
| Spirometry (breathing test) CPT 94010 HC BREATHING CAPACITY TEST | $100.30 | $118.00 | $118.00–$100.30 | 65% below | 15% |
| Spirometry (breathing test) CPT 94010 HC PFS SPIROMETRY TEC | $166.60 | $196.00 | $196.00–$166.60 | 42% below | 15% |
| Spirometry (breathing test) inpatient CPT 94010 HC BREATHING CAPACITY TEST TECH | $66.30 | $78.00 | $78.00–$66.30 | — | 15% |
| Spirometry (breathing test) inpatient CPT 94010 HC PFT SPIROMETRY | $85.00 | $100.00 | $100.00–$85.00 | — | 15% |
| Spirometry (breathing test) inpatient CPT 94010 HC BREATHING CAPACITY TEST | $100.30 | $118.00 | $118.00–$100.30 | — | 15% |
| Spirometry (breathing test) inpatient CPT 94010 HC PFS SPIROMETRY TEC | $166.60 | $196.00 | $196.00–$166.60 | — | 15% |
| Spirometry before and after a bronchodilator CPT 94060 HC EVALUATION OF WHEEZING TECH | $47.60 | $56.00 | $56.00–$47.60 | 92% below | 15% |
| Spirometry before and after a bronchodilator CPT 94060 HC EVALUATION OF WHEEZING | $70.55 | $83.00 | $83.00–$70.55 | 88% below | 15% |
| Spirometry before and after a bronchodilator CPT 94060 HC BRONCHOSPASM EVAL; SPIROMETRY | $118.15 | $139.00 | $139.00–$118.15 | 79% below | 15% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 HC EVALUATION OF WHEEZING TECH | $47.60 | $56.00 | $56.00–$47.60 | — | 15% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 HC EVALUATION OF WHEEZING | $70.55 | $83.00 | $83.00–$70.55 | — | 15% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 HC BRONCHOSPASM EVAL; SPIROMETRY | $118.15 | $139.00 | $139.00–$118.15 | — | 15% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC THERAPEUTIC PHLEBOTOMY | $136.85 | $161.00 | $161.00–$136.85 | 44% below | 15% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HC THERAPEUTIC PHLEBOTOMY | $136.85 | $161.00 | $161.00–$136.85 | — | 15% |
| Treadmill or drug stress test with ECG, supervision and report CPT 93015 HC TREADMILL | $2,575.50 | $3,030.00 | $3,030.00–$2,575.50 | 313% above | 15% |
| Treadmill or drug stress test with ECG, supervision and report inpatient CPT 93015 HC TREADMILL | $2,575.50 | $3,030.00 | $3,030.00–$2,575.50 | — | 15% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Ohio | Off list |
|---|---|---|---|---|---|
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC INJECTION FLU SPECIAL | $16.15 | $19.00 | $19.00–$16.15 | 60% below | 15% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC IMMUNIZATION ADMIN IM/SQ >8Y | $16.15 | $19.00 | $19.00–$16.15 | 60% below | 15% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC FLU SHOT ADMIN FEE | $16.15 | $19.00 | $19.00–$16.15 | 60% below | 15% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC IMMUNIZATION ADMIN IM/SQ >8Y | $16.15 | $19.00 | $19.00–$16.15 | — | 15% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC FLU SHOT ADMIN FEE | $16.15 | $19.00 | $19.00–$16.15 | — | 15% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC INJECTION FLU SPECIAL | $16.15 | $19.00 | $19.00–$16.15 | — | 15% |
Source file: https://pauldingcountyhospital.com/wp-content/uploads/2025/11/346405718_Paulding-County-Hospital_standardcharges.csv