Hospital El Centro, CA

Pioneers Memorial Hospital

Pioneers Memorial Hospital in Brawley, CA publishes cash prices for 329 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 California median for 311 of 324 procedures and above it for 13. By typical cash price it ranks #7 of 213 California hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

207 W. Legion Rd, Brawley, CA 92227 Collected Sep 27, 2026 Source price file (760) 351-3333

Acute care hospital Emergency department CMS star rating 3 of 5 CCN 050342 · CMS hospital register NPI 1184429185

CMS price transparency record

The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 3 actions for a hospital named Pioneers Memorial Hospital in Brawley, CA:

Jan 16, 2026 Warning notice
Apr 21, 2026 Corrective action plan requested
Jun 23, 2026 Case closed

Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. Corrective action plan requested: CMS asked the hospital to submit a plan to fix the problems it found. Case closed: CMS closed the case after the hospital addressed the problems.

A notice records a step in a CMS review; it is not a court finding. Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes, actions through Jul 31, 2026.

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs California	Off list
Abdominal CT scan without and with contrast CPT 74170 CT Pancreas w/ + w/o Contrast	$400.96	$1,145.61	$178.23–$1,394.75	86% below	65%
Abdominal CT scan without and with contrast CPT 74170 CT Abdomen w/ + w/o Contrast	$1,569.23	$4,483.50	$178.23–$2,457.00	45% below	65%
Abdominal CT scan without and with contrast CPT 74170 CT Multi-Phase Liver w/ + w/o Contrast	$1,569.23	$4,483.50	$178.23–$2,457.00	45% below	65%
Abdominal CT scan without and with contrast inpatient CPT 74170 CT Pancreas w/ + w/o Contrast	$400.96	$1,145.61	$178.23–$1,394.75	—	65%
Abdominal CT scan without and with contrast inpatient CPT 74170 CT Multi-Phase Liver w/ + w/o Contrast	$1,569.23	$4,483.50	$178.23–$2,457.00	—	65%
Abdominal CT scan without and with contrast inpatient CPT 74170 CT Abdomen w/ + w/o Contrast	$1,569.23	$4,483.50	$178.23–$2,457.00	—	65%
Abdominal X-ray, 2 views CPT 74019 XR Abdomen 2 Views	$79.10	$226.00	$20.14–$172.89	82% below	65%
Abdominal X-ray, 2 views inpatient CPT 74019 XR Abdomen 2 Views	$79.10	$226.00	$20.14–$172.89	—	65%
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR Ankle Complete 3 Plus Views Right	$106.75	$305.00	$26.32–$155.55	80% below	65%
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR Ankle Complete 3 Plus Views Left	$106.75	$305.00	$26.32–$155.55	80% below	65%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR Ankle Complete 3 Plus Views Right	$106.75	$305.00	$26.32–$155.55	—	65%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR Ankle Complete 3 Plus Views Left	$106.75	$305.00	$26.32–$155.55	—	65%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US Ankle Brachial Index	$122.15	$349.00	$50.82–$267.63	78% below	65%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 US Ankle Brachial Index	$122.15	$349.00	$50.82–$267.63	—	65%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Upper Extremity w/o Contrast Right	$764.55	$2,184.42	$117.34–$2,184.42	66% below	65%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Upper Extremity w/o Contrast Left	$764.55	$2,184.42	$117.34–$2,184.42	66% below	65%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Upper Extremity w/o Contrast Left	$764.55	$2,184.42	$117.34–$2,184.42	—	65%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Upper Extremity w/o Contrast Right	$764.55	$2,184.42	$117.34–$2,184.42	—	65%
Barium swallow (esophagus X-ray with contrast) CPT 74220 XR Esophagus	$114.45	$327.00	$40.98–$277.76	81% below	65%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 XR Esophagus	$114.45	$327.00	$40.98–$277.76	—	65%
Bone scan, whole body (nuclear medicine) CPT 78306 NM Bone Imaging Whole Body Injection	$341.05	$974.43	$171.95–$692.70	84% below	65%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM Bone Imaging Whole Body Injection	$341.05	$974.43	$171.95–$692.70	—	65%
Breast ultrasound, complete, one breast one side CPT 76641 US Breast Complete Right.	$94.11	$268.88	$65.44–$391.62	87% below	65%
Breast ultrasound, complete, one breast one side CPT 76641 PION US BREAST COMPLETE RIGHT	$94.11	$268.88	$65.44–$391.62	87% below	65%
Breast ultrasound, complete, one breast one side CPT 76641 US Breast Complete Left.	$94.11	$268.88	$65.44–$391.62	87% below	65%
Breast ultrasound, complete, one breast one side CPT 76641 PION US Breast Complete Unilateral	$94.11	$268.88	$65.44–$391.62	87% below	65%
Breast ultrasound, complete, one breast one side CPT 76641 76641 Ultrasound Complete Right Breast	$197.51	$438.90	$65.44–$165.56	73% below	55%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 PION US Breast Complete Unilateral	$94.11	$268.88	$65.44–$391.62	—	65%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 PION US BREAST COMPLETE RIGHT	$94.11	$268.88	$65.44–$391.62	—	65%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US Breast Complete Left.	$94.11	$268.88	$65.44–$391.62	—	65%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US Breast Complete Right.	$94.11	$268.88	$65.44–$391.62	—	65%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US Breast Limited Right	$94.11	$268.88	$49.43–$299.79	83% below	65%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US Breast Complete Right	$94.11	$268.88	$49.43–$299.79	83% below	65%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US Breast Limited Left.	$94.11	$268.88	$49.43–$299.79	83% below	65%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US Breast Limited Left	$94.11	$268.88	$49.43–$299.79	83% below	65%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 PION US Breast Limited Unilateral	$94.11	$268.88	$49.43–$299.79	83% below	65%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US Breast Limited Right.	$94.11	$268.88	$49.43–$299.79	83% below	65%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US Breast Complete Left	$94.11	$268.88	$49.43–$299.79	83% below	65%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US Breast Limited Right.	$94.11	$268.88	$49.43–$299.79	—	65%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 PION US Breast Limited Unilateral	$94.11	$268.88	$49.43–$299.79	—	65%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US Breast Complete Left	$94.11	$268.88	$49.43–$299.79	—	65%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US Breast Complete Right	$94.11	$268.88	$49.43–$299.79	—	65%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US Breast Limited Left	$94.11	$268.88	$49.43–$299.79	—	65%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US Breast Limited Left.	$94.11	$268.88	$49.43–$299.79	—	65%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US Breast Limited Right	$94.11	$268.88	$49.43–$299.79	—	65%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CT Angio Abdomen and Pelvis	$728.00	$2,080.00	$256.80–$2,090.07	87% below	65%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CT Angio Abdomen and Pelvis	$728.00	$2,080.00	$256.80–$2,090.07	—	65%
CT angiography (CTA) of the head CPT 70496 CT Angio Brain/Head	$1,127.53	$3,221.51	$191.53–$2,457.00	64% below	65%
CT angiography (CTA) of the head inpatient CPT 70496 CT Angio Brain/Head	$1,127.53	$3,221.51	$191.53–$2,457.00	—	65%
CT angiography (CTA) of the neck CPT 70498 CT Angio Neck	$1,127.53	$3,221.51	$190.93–$2,457.00	62% below	65%
CT angiography (CTA) of the neck inpatient CPT 70498 CT Angio Neck	$1,127.53	$3,221.51	$190.93–$2,457.00	—	65%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT Angio Chest	$477.72	$1,364.90	$192.35–$1,758.17	86% below	65%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT Angio Chest PE w/ Contrast	$1,084.05	$3,097.29	$192.35–$2,457.00	68% below	65%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT Angio Chest	$477.72	$1,364.90	$192.35–$1,758.17	—	65%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT Angio Chest PE w/ Contrast	$1,084.05	$3,097.29	$192.35–$2,457.00	—	65%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT Angio Heart/Coronary Arteries	$282.69	$807.68	$227.85–$1,780.05	90% below	65%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CT Angio Heart/Coronary Arteries	$282.69	$807.68	$227.85–$1,780.05	—	65%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT Heart Calcium Scoring	$119.00	$340.00	$59.37–$354.03	71% below	65%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT Heart Calcium Scoring	$119.00	$340.00	$59.37–$354.03	—	65%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT Urogram	$1,052.41	$3,006.89	$101.10–$2,457.00	65% below	65%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT Abdomen and Pelvis w/o Contrast	$1,442.40	$4,121.15	$101.10–$2,457.00	53% below	65%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT Abdomen and Pelvis w/ Oral Contrast	$1,442.40	$4,121.15	$101.10–$2,457.00	53% below	65%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT Urogram	$1,052.41	$3,006.89	$101.10–$2,457.00	—	65%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT Abdomen and Pelvis w/ Oral Contrast	$1,442.40	$4,121.15	$101.10–$2,457.00	—	65%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT Abdomen and Pelvis w/o Contrast	$1,442.40	$4,121.15	$101.10–$2,457.00	—	65%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abdomen and Pelvis w/ Rectal & IV	$1,594.44	$4,555.53	$202.90–$2,457.00	61% below	65%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abdomen and Pelvis w/ Contrast + Oral	$1,594.44	$4,555.53	$202.90–$2,457.00	61% below	65%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abdomen and Pelvis w/ Contrast	$1,594.44	$4,555.53	$202.90–$2,457.00	61% below	65%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Abdomen and Pelvis w/ Contrast	$1,594.44	$4,555.53	$202.90–$2,457.00	—	65%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Abdomen and Pelvis w/ Rectal & IV	$1,594.44	$4,555.53	$202.90–$2,457.00	—	65%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Abdomen and Pelvis w/ Contrast + Oral	$1,594.44	$4,555.53	$202.90–$2,457.00	—	65%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT Enterography w/ + w/o Contrast	$435.61	$1,244.60	$233.05–$1,464.65	90% below	65%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT Abdomen and Pelvis w/ + w/o Contrast	$1,745.44	$4,986.98	$233.05–$2,498.48	61% below	65%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT Enterography w/ + w/o Contrast	$435.61	$1,244.60	$233.05–$1,464.65	—	65%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT Abdomen and Pelvis w/ + w/o Contrast	$1,745.44	$4,986.98	$233.05–$2,498.48	—	65%
CT scan of the abdomen with contrast CPT 74160 CT Abdomen w/ Contrast	$1,161.23	$3,317.79	$154.48–$2,457.00	54% below	65%
CT scan of the abdomen with contrast inpatient CPT 74160 CT Abdomen w/ Contrast	$1,161.23	$3,317.79	$154.48–$2,457.00	—	65%
CT scan of the abdomen without contrast CPT 74150 CT Abdomen w/ Oral Contrast Only	$1,143.22	$3,266.34	$81.33–$2,457.00	40% below	65%
CT scan of the abdomen without contrast CPT 74150 CT Abdomen w/o Contrast	$1,143.22	$3,266.34	$81.33–$2,457.00	40% below	65%
CT scan of the abdomen without contrast inpatient CPT 74150 CT Abdomen w/ Oral Contrast Only	$1,143.22	$3,266.34	$81.33–$2,457.00	—	65%
CT scan of the abdomen without contrast inpatient CPT 74150 CT Abdomen w/o Contrast	$1,143.22	$3,266.34	$81.33–$2,457.00	—	65%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT Maxillofacial w/o Contrast	$244.65	$699.00	$87.58–$780.75	89% below	65%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT Mandible w/o Contrast	$630.78	$1,802.22	$87.58–$1,802.22	71% below	65%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT Para Nasal Sinus w/o Contrast	$734.19	$2,097.69	$87.58–$2,097.69	66% below	65%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT Sinus w/o Contrast	$811.37	$2,318.19	$87.58–$2,318.19	63% below	65%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT Maxillofacial w/o Contrast	$244.65	$699.00	$87.58–$780.75	—	65%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT Mandible w/o Contrast	$630.78	$1,802.22	$87.58–$1,802.22	—	65%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT Para Nasal Sinus w/o Contrast	$734.19	$2,097.69	$87.58–$2,097.69	—	65%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT Sinus w/o Contrast	$811.37	$2,318.19	$87.58–$2,318.19	—	65%
CT scan of the head or brain, no contrast dye CPT 70450 CT Brain/Head Stroke Alert	$847.38	$2,421.09	$65.83–$2,421.09	63% below	65%
CT scan of the head or brain, no contrast dye CPT 70450 CT Brain/Head w/o Contrast	$847.38	$2,421.09	$65.83–$2,421.09	63% below	65%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Brain/Head w/o Contrast	$847.38	$2,421.09	$65.83–$2,421.09	—	65%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Brain/Head Stroke Alert	$847.38	$2,421.09	$65.83–$2,421.09	—	65%
CT scan of the head with contrast CPT 70460 CT Brain/Head w/ Contrast	$952.08	$2,720.24	$95.70–$2,457.00	65% below	65%
CT scan of the head with contrast inpatient CPT 70460 CT Brain/Head w/ Contrast	$952.08	$2,720.24	$95.70–$2,457.00	—	65%
CT scan of the head without and with contrast CPT 70470 CT Brain/Head w/ + w/o Contrast	$1,168.94	$3,339.84	$114.27–$2,457.00	62% below	65%
CT scan of the head without and with contrast inpatient CPT 70470 CT Brain/Head w/ + w/o Contrast	$1,168.94	$3,339.84	$114.27–$2,457.00	—	65%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT Spine Lumbar w/o Contrast	$1,039.80	$2,970.87	$92.01–$2,457.00	64% below	65%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT Spine Lumbar w/o Contrast	$1,039.80	$2,970.87	$92.01–$2,457.00	—	65%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT Spine Cervical w/o Contrast	$1,143.10	$3,266.00	$89.99–$2,457.00	61% below	65%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT Spine Cervical w/o Contrast	$1,143.10	$3,266.00	$89.99–$2,457.00	—	65%
CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis w/ Contrast	$270.38	$772.50	$155.38–$1,125.22	89% below	65%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT Pelvis w/ Contrast	$270.38	$772.50	$155.38–$1,125.22	—	65%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 US Carotid Duplex Bilateral	$736.25	$2,103.57	$168.51–$1,072.82	—	65%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 US Carotid Duplex Bilateral	$736.25	$2,103.57	$168.51–$1,072.82	—	65%
Chest CT scan without and with contrast CPT 71270 CT Chest w/ + w/o Contrast	$1,237.37	$3,535.35	$145.62–$2,457.00	60% below	65%
Chest CT scan without and with contrast inpatient CPT 71270 CT Chest w/ + w/o Contrast	$1,237.37	$3,535.35	$145.62–$2,457.00	—	65%
Chest X-ray, 2 views CPT 71046 XR Chest 2 Views	$222.60	$636.00	$18.13–$324.36	46% below	65%
Chest X-ray, 2 views CPT 71046 XR Chest 2 Views w/ Fluoro	$222.60	$636.00	$18.13–$324.36	46% below	65%
Chest X-ray, 2 views inpatient CPT 71046 XR Chest 2 Views	$222.60	$636.00	$18.13–$324.36	—	65%
Chest X-ray, 2 views inpatient CPT 71046 XR Chest 2 Views w/ Fluoro	$222.60	$636.00	$18.13–$324.36	—	65%
Chest X-ray, single view CPT 71045 XR Chest 1 View Portable	$202.30	$578.00	$9.71–$442.17	44% below	65%
Chest X-ray, single view CPT 71045 XR Chest 1 View	$202.30	$578.00	$9.71–$442.17	44% below	65%
Chest X-ray, single view inpatient CPT 71045 XR Chest 1 View Portable	$202.30	$578.00	$9.71–$442.17	—	65%
Chest X-ray, single view inpatient CPT 71045 XR Chest 1 View	$202.30	$578.00	$9.71–$442.17	—	65%
Collarbone (clavicle) X-ray, complete one side CPT 73000 XR Clavicle Right	$129.15	$369.00	$21.16–$188.19	73% below	65%
Collarbone (clavicle) X-ray, complete one side CPT 73000 XR Clavicle Left	$129.15	$369.00	$21.16–$188.19	73% below	65%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XR Clavicle Right	$129.15	$369.00	$21.16–$188.19	—	65%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XR Clavicle Left	$129.15	$369.00	$21.16–$188.19	—	65%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US Renal Vascular	$138.40	$395.43	$79.89–$328.33	84% below	65%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 PION US RENAL	$138.40	$395.43	$79.89–$328.33	84% below	65%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US Renal	$138.40	$395.43	$79.89–$328.33	84% below	65%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US Renal Vascular	$138.40	$395.43	$79.89–$328.33	—	65%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 PION US RENAL	$138.40	$395.43	$79.89–$328.33	—	65%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US Renal	$138.40	$395.43	$79.89–$328.33	—	65%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 BD Bone Density DEXA Axial Skeleton	$512.75	$1,465.00	$26.05–$747.15	2% above	65%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 BD Bone Density DEXA Axial Skeleton	$512.75	$1,465.00	$26.05–$747.15	—	65%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 BD Bone Density DEXA App Skeleton	$233.10	$666.00	$15.81–$339.66	16% below	65%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 BD Bone Density DEXA App Skeleton	$233.10	$666.00	$15.81–$339.66	—	65%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 PION US Fetal Anatomy Scan Addtnl	$208.98	$597.08	$77.75–$618.34	77% below	65%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US Fetal Anatomy Scan	$208.98	$597.08	$77.75–$618.34	77% below	65%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 PION US Fetal Anatomy Scan Addtnl	$208.98	$597.08	$77.75–$618.34	—	65%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 US Fetal Anatomy Scan	$208.98	$597.08	$77.75–$618.34	—	65%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Chest w/o Contrast	$1,045.21	$2,986.31	$92.94–$2,457.00	48% below	65%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Chest High Resolution w/o Contrast	$1,045.21	$2,986.31	$92.94–$2,457.00	48% below	65%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT Chest High Resolution w/o Contrast	$1,045.21	$2,986.31	$92.94–$2,457.00	—	65%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT Chest w/o Contrast	$1,045.21	$2,986.31	$92.94–$2,457.00	—	65%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT Chest w/ Contrast	$1,084.05	$3,097.29	$119.10–$2,457.00	63% below	65%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT Chest w/ Contrast	$1,084.05	$3,097.29	$119.10–$2,457.00	—	65%
Diagnostic mammogram, both breasts both sides CPT 77066 MG Additional Projections Bilat,	$155.98	$445.66	$108.06–$542.57	—	65%
Diagnostic mammogram, both breasts both sides CPT 77066 MG Mammo Digital Diagnostic Bilat.	$170.80	$488.00	$108.06–$542.57	—	65%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MG Additional Projections Bilat,	$155.98	$445.66	$108.06–$542.57	—	65%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MG Mammo Digital Diagnostic Bilat.	$170.80	$488.00	$108.06–$542.57	—	65%
Diagnostic mammogram, one breast one side CPT 77065 MG Additional Projections Right.	$133.35	$381.00	$84.30–$423.84	64% below	65%
Diagnostic mammogram, one breast one side CPT 77065 MG Mammo Digital Diagnostic Right.	$133.35	$381.00	$84.30–$423.84	64% below	65%
Diagnostic mammogram, one breast one side CPT 77065 MG Mammo Digital Diagnostic Left.	$133.35	$381.00	$84.30–$423.84	64% below	65%
Diagnostic mammogram, one breast one side CPT 77065 MG Additional Projections Left.	$133.35	$381.00	$84.30–$423.84	64% below	65%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MG Mammo Digital Diagnostic Left.	$133.35	$381.00	$84.30–$423.84	—	65%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MG Additional Projections Right.	$133.35	$381.00	$84.30–$423.84	—	65%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MG Mammo Digital Diagnostic Right.	$133.35	$381.00	$84.30–$423.84	—	65%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MG Additional Projections Left.	$133.35	$381.00	$84.30–$423.84	—	65%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US Lower Ext Arterial Duplex Bilateral	$194.61	$556.03	$104.21–$782.15	—	65%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 US Lower Ext Arterial Duplex Bilateral	$194.61	$556.03	$104.21–$782.15	—	65%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US Lower Ext Venous Duplex Bilateral	$194.61	$556.03	$173.75–$739.74	—	65%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US Upper Ext Venous Duplex Bilateral	$194.61	$556.03	$173.75–$739.74	—	65%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US Venous Insufficiency Bilateral	$194.61	$556.03	$173.75–$739.74	—	65%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US Lower Ext Venous Duplex Bilateral	$194.61	$556.03	$173.75–$739.74	—	65%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US Upper Ext Venous Duplex Bilateral	$194.61	$556.03	$173.75–$739.74	—	65%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US Venous Insufficiency Bilateral	$194.61	$556.03	$173.75–$739.74	—	65%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Echo Complete/ with Bubble Study	$309.91	$1,239.63	$177.42–$1,293.65	88% below	75%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Echocardiogram Complete	$309.91	$1,239.63	$177.42–$1,293.65	88% below	75%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Echocardiogram Pediatric	$355.16	$1,420.63	$177.42–$1,293.65	87% below	75%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 93306 Echo, transthoracic, w/ image, includes M-mode, with spectral Doppler, w/ color flow Doppler	$575.91	$1,279.80	$177.42–$865.29	79% below	55%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Echocardiogram Complete	$309.91	$1,239.63	$177.42–$1,293.65	—	75%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Echo Complete/ with Bubble Study	$309.91	$1,239.63	$177.42–$1,293.65	—	75%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Echocardiogram Pediatric	$355.16	$1,420.63	$177.42–$1,293.65	—	75%
Elbow X-ray, 2 views one side CPT 73070 XR Elbow 2 Views Right	$141.05	$403.00	$21.46–$205.53	64% below	65%
Elbow X-ray, 2 views one side CPT 73070 XR Elbow 2 Views Left	$141.05	$403.00	$21.46–$205.53	64% below	65%
Elbow X-ray, 2 views inpatient one side CPT 73070 XR Elbow 2 Views Left	$141.05	$403.00	$21.46–$205.53	—	65%
Elbow X-ray, 2 views inpatient one side CPT 73070 XR Elbow 2 Views Right	$141.05	$403.00	$21.46–$205.53	—	65%
Elbow X-ray, complete, 3 or more views one side CPT 73080 XR Elbow Complete 3+ Views Left	$141.05	$403.00	$27.20–$205.53	71% below	65%
Elbow X-ray, complete, 3 or more views one side CPT 73080 XR Elbow Complete 3+ Views Right	$141.05	$403.00	$27.20–$205.53	71% below	65%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XR Elbow Complete 3+ Views Right	$141.05	$403.00	$27.20–$205.53	—	65%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XR Elbow Complete 3+ Views Left	$141.05	$403.00	$27.20–$205.53	—	65%
Eye socket (orbit) CT scan without contrast CPT 70480 CT Orbits Sella w/o Contrast	$244.65	$699.00	$112.73–$782.19	89% below	65%
Eye socket (orbit) CT scan without contrast CPT 70480 CT Temporal Bones w/o Contrast	$244.65	$699.00	$112.73–$782.19	89% below	65%
Eye socket (orbit) CT scan without contrast CPT 70480 CT Orbit Sella etc. or IAC w/o Cont	$877.74	$2,507.82	$112.73–$2,457.00	62% below	65%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT Orbits Sella w/o Contrast	$244.65	$699.00	$112.73–$782.19	—	65%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT Temporal Bones w/o Contrast	$244.65	$699.00	$112.73–$782.19	—	65%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT Orbit Sella etc. or IAC w/o Cont	$877.74	$2,507.82	$112.73–$2,457.00	—	65%
Facial bones X-ray, complete, 3 or more views CPT 70150 XR Facial Bones 3+ Views	$106.75	$305.00	$25.72–$165.56	78% below	65%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 XR Facial Bones 3+ Views	$106.75	$305.00	$25.72–$165.56	—	65%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR Forearm 2 Views Right	$115.15	$329.00	$20.57–$167.79	71% below	65%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR Forearm 2 Views Left	$115.15	$329.00	$20.57–$167.79	71% below	65%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XR Forearm 2 Views Right	$115.15	$329.00	$20.57–$167.79	—	65%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XR Forearm 2 Views Left	$115.15	$329.00	$20.57–$167.79	—	65%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM Hepatobiliary Imaging	$382.87	$1,093.90	$261.91–$1,340.60	79% below	65%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NM Hepatobiliary Imaging	$382.87	$1,093.90	$261.91–$1,340.60	—	65%
Hand X-ray, 2 views both sides CPT 73120 XR Hand 2 Views Bilateral	$106.75	$305.00	$17.12–$165.56	—	65%
Hand X-ray, 2 views one side CPT 73120 XR Hand 2 Views Right	$106.75	$305.00	$17.12–$165.56	74% below	65%
Hand X-ray, 2 views one side CPT 73120 XR Hand 2 Views Left	$106.75	$305.00	$17.12–$165.56	74% below	65%
Hand X-ray, 2 views inpatient both sides CPT 73120 XR Hand 2 Views Bilateral	$106.75	$305.00	$17.12–$165.56	—	65%
Hand X-ray, 2 views inpatient one side CPT 73120 XR Hand 2 Views Left	$106.75	$305.00	$17.12–$165.56	—	65%
Hand X-ray, 2 views inpatient one side CPT 73120 XR Hand 2 Views Right	$106.75	$305.00	$17.12–$165.56	—	65%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR Calcaneus Left	$66.85	$191.00	$19.37–$137.81	81% below	65%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 XR Calcaneus Left	$66.85	$191.00	$19.37–$137.81	—	65%
Knee X-ray, 3 views one side CPT 73562 XR Patella Left	$106.75	$305.00	$25.15–$155.55	77% below	65%
Knee X-ray, 3 views one side CPT 73562 XR Patella Right	$106.75	$305.00	$25.15–$155.55	77% below	65%
Knee X-ray, 3 views one side CPT 73562 XR Knee 3 Views Left	$106.75	$305.00	$25.15–$155.55	77% below	65%
Knee X-ray, 3 views one side CPT 73562 XR Knee 3 Views Right	$106.75	$305.00	$25.15–$155.55	77% below	65%
Knee X-ray, 3 views inpatient one side CPT 73562 XR Patella Left	$106.75	$305.00	$25.15–$155.55	—	65%
Knee X-ray, 3 views inpatient one side CPT 73562 XR Knee 3 Views Right	$106.75	$305.00	$25.15–$155.55	—	65%
Knee X-ray, 3 views inpatient one side CPT 73562 XR Patella Right	$106.75	$305.00	$25.15–$155.55	—	65%
Knee X-ray, 3 views inpatient one side CPT 73562 XR Knee 3 Views Left	$106.75	$305.00	$25.15–$155.55	—	65%
Knee X-ray, complete, 4 or more views one side CPT 73564 XR Knee Complete 4 Plus Views Right	$106.75	$305.00	$29.01–$165.56	82% below	65%
Knee X-ray, complete, 4 or more views one side CPT 73564 XR Knee Complete 4 Plus Views Left	$106.75	$305.00	$29.01–$165.56	82% below	65%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XR Knee Complete 4 Plus Views Right	$106.75	$305.00	$29.01–$165.56	—	65%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XR Knee Complete 4 Plus Views Left	$106.75	$305.00	$29.01–$165.56	—	65%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Lower Extremity w/o Contrast Left	$235.49	$672.83	$92.01–$819.14	89% below	65%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Lower Extremity w/o Contrast Right	$235.49	$672.83	$92.01–$819.14	89% below	65%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Lower Extremity w/o Contrast Right	$235.49	$672.83	$92.01–$819.14	—	65%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Lower Extremity w/o Contrast Left	$235.49	$672.83	$92.01–$819.14	—	65%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Abdomen Limited	$67.94	$194.12	$60.12–$236.41	92% below	65%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Appendix	$67.94	$194.12	$60.12–$236.41	92% below	65%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Abdomen Limited w/ Complete Doppler	$67.94	$194.12	$60.12–$236.41	92% below	65%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Pyloric Stenosis	$67.94	$194.12	$60.12–$236.41	92% below	65%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Abdomen Limited w/ Complete Doppler	$67.94	$194.12	$60.12–$236.41	—	65%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Abdomen Limited	$67.94	$194.12	$60.12–$236.41	—	65%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Pyloric Stenosis	$67.94	$194.12	$60.12–$236.41	—	65%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Appendix	$67.94	$194.12	$60.12–$236.41	—	65%
Limited ultrasound of an arm or leg (non-vascular) both sides CPT 76882 US Extremity Nonvascular Limited Bilat	$94.11	$268.88	$8.66–$165.56	—	65%
Limited ultrasound of an arm or leg (non-vascular) both sides CPT 76882 US Axilla Bilateral	$101.85	$291.00	$8.66–$165.56	—	65%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 PION US EXTREMITY NON VASC LMTD	$94.11	$268.88	$8.66–$165.56	81% below	65%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 PION US AXILLA LEFT	$67.90	$194.00	$8.66–$165.56	87% below	65%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US Axilla Right	$67.90	$194.00	$8.66–$165.56	87% below	65%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 PION US AXILLA RIGHT	$67.90	$194.00	$8.66–$165.56	87% below	65%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US Axilla Left	$67.90	$194.00	$8.66–$165.56	87% below	65%
Limited ultrasound of an arm or leg (non-vascular) inpatient both sides CPT 76882 US Extremity Nonvascular Limited Bilat	$94.11	$268.88	$8.66–$165.56	—	65%
Limited ultrasound of an arm or leg (non-vascular) inpatient both sides CPT 76882 US Axilla Bilateral	$101.85	$291.00	$8.66–$165.56	—	65%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 PION US EXTREMITY NON VASC LMTD	$94.11	$268.88	$8.66–$165.56	—	65%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 PION US AXILLA RIGHT	$67.90	$194.00	$8.66–$165.56	—	65%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US Axilla Left	$67.90	$194.00	$8.66–$165.56	—	65%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US Axilla Right	$67.90	$194.00	$8.66–$165.56	—	65%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 PION US AXILLA LEFT	$67.90	$194.00	$8.66–$165.56	—	65%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT Low Dose Lung Screening	$121.10	$346.00	$86.98–$346.00	63% below	65%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT Low Dose Lung Screening	$121.10	$346.00	$86.98–$346.00	—	65%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR Tibia/Fibula Left	$66.85	$191.00	$21.46–$137.81	85% below	65%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR Tibia/Fibula Right	$66.85	$191.00	$21.46–$137.81	85% below	65%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR Tibia/Fibula Right	$66.85	$191.00	$21.46–$137.81	—	65%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR Tibia/Fibula Left	$66.85	$191.00	$21.46–$137.81	—	65%
MR angiography (MRA) of the head without contrast CPT 70544 MRA Brain/Head w/o Contrast	$678.83	$1,939.50	$181.41–$1,939.50	77% below	65%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA Brain/Head w/o Contrast	$678.83	$1,939.50	$181.41–$1,939.50	—	65%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Ankle w/o Contrast Left	$670.50	$1,915.70	$143.75–$1,915.70	79% below	65%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Ankle w/o Contrast Right	$670.50	$1,915.70	$143.75–$1,915.70	79% below	65%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Foot w/o Contrast Left	$670.50	$1,915.70	$143.75–$1,915.70	79% below	65%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Foot w/o Contrast Right	$670.50	$1,915.70	$143.75–$1,915.70	79% below	65%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Hip w/o Contrast Left	$670.50	$1,915.70	$143.75–$1,915.70	79% below	65%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Hip w/o Contrast Right	$670.50	$1,915.70	$143.75–$1,915.70	79% below	65%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Knee w/o Contrast Left	$670.50	$1,915.70	$143.75–$1,915.70	79% below	65%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Knee w/o Contrast Right	$670.50	$1,915.70	$143.75–$1,915.70	79% below	65%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Ankle w/o Contrast Left	$670.50	$1,915.70	$143.75–$1,915.70	—	65%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Ankle w/o Contrast Right	$670.50	$1,915.70	$143.75–$1,915.70	—	65%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Foot w/o Contrast Left	$670.50	$1,915.70	$143.75–$1,915.70	—	65%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Foot w/o Contrast Right	$670.50	$1,915.70	$143.75–$1,915.70	—	65%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Hip w/o Contrast Left	$670.50	$1,915.70	$143.75–$1,915.70	—	65%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Hip w/o Contrast Right	$670.50	$1,915.70	$143.75–$1,915.70	—	65%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Knee w/o Contrast Left	$670.50	$1,915.70	$143.75–$1,915.70	—	65%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Knee w/o Contrast Right	$670.50	$1,915.70	$143.75–$1,915.70	—	65%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Knee w/ + w/o Contrast Left	$1,489.01	$4,254.30	$300.20–$4,150.04	68% below	65%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Knee w/ + w/o Contrast Right	$1,489.01	$4,254.30	$300.20–$4,150.04	68% below	65%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Hip w/ + w/o Contrast Right	$1,489.01	$4,254.30	$300.20–$4,150.04	68% below	65%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Hip w/ + w/o Contrast Left	$1,489.01	$4,254.30	$300.20–$4,150.04	68% below	65%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Foot w/ + w/o Contrast Right	$1,489.01	$4,254.30	$300.20–$4,150.04	68% below	65%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Foot w/ + w/o Contrast Left	$1,489.01	$4,254.30	$300.20–$4,150.04	68% below	65%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Ankle w/ + w/o Contrast Right	$1,489.01	$4,254.30	$300.20–$4,150.04	68% below	65%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Ankle w/ + w/o Contrast Left	$1,489.01	$4,254.30	$300.20–$4,150.04	68% below	65%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Knee w/ + w/o Contrast Left	$1,489.01	$4,254.30	$300.20–$4,150.04	—	65%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Knee w/ + w/o Contrast Right	$1,489.01	$4,254.30	$300.20–$4,150.04	—	65%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Hip w/ + w/o Contrast Right	$1,489.01	$4,254.30	$300.20–$4,150.04	—	65%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Ankle w/ + w/o Contrast Left	$1,489.01	$4,254.30	$300.20–$4,150.04	—	65%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Ankle w/ + w/o Contrast Right	$1,489.01	$4,254.30	$300.20–$4,150.04	—	65%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Foot w/ + w/o Contrast Left	$1,489.01	$4,254.30	$300.20–$4,150.04	—	65%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Foot w/ + w/o Contrast Right	$1,489.01	$4,254.30	$300.20–$4,150.04	—	65%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Hip w/ + w/o Contrast Left	$1,489.01	$4,254.30	$300.20–$4,150.04	—	65%
MRI of the abdomen without contrast CPT 74181 MRI MRCP w/o Contrast	$673.00	$1,922.85	$150.86–$1,922.85	76% below	65%
MRI of the abdomen without contrast CPT 74181 MRI Abdomen w/o Contrast	$673.00	$1,922.85	$150.86–$1,922.85	76% below	65%
MRI of the abdomen without contrast inpatient CPT 74181 MRI MRCP w/o Contrast	$673.00	$1,922.85	$150.86–$1,922.85	—	65%
MRI of the abdomen without contrast inpatient CPT 74181 MRI Abdomen w/o Contrast	$673.00	$1,922.85	$150.86–$1,922.85	—	65%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI Abdomen w/ + w/o Contrast	$1,492.34	$4,263.82	$263.48–$4,157.63	66% below	65%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI Abdomen w/ + w/o Contrast	$1,492.34	$4,263.82	$263.48–$4,157.63	—	65%
MRI of the brain, no contrast dye CPT 70551 MRI Brain w/o Contrast	$678.83	$1,939.50	$131.21–$1,939.50	77% below	65%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI Brain w/o Contrast	$678.83	$1,939.50	$131.21–$1,939.50	—	65%
MRI of the brain, with and without contrast dye CPT 70553 MRI Brain w/ + w/o Contrast	$1,508.58	$4,310.24	$220.85–$3,621.93	66% below	65%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI Brain w/ + w/o Contrast	$1,508.58	$4,310.24	$220.85–$3,621.93	—	65%
MRI of the lower back, no contrast dye CPT 72148 MRI Spine Lumbar w/o Contrast	$753.09	$2,151.68	$126.48–$2,151.68	76% below	65%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI Spine Lumbar w/o Contrast	$753.09	$2,151.68	$126.48–$2,151.68	—	65%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI Spine Lumbar w/ + w/o Contrast	$1,508.58	$4,310.24	$221.73–$3,621.93	67% below	65%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI Spine Lumbar w/ + w/o Contrast	$1,508.58	$4,310.24	$221.73–$3,621.93	—	65%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI Spine Thoracic w/o Contrast	$753.09	$2,151.68	$127.89–$2,151.68	75% below	65%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI Spine Thoracic w/o Contrast	$753.09	$2,151.68	$127.89–$2,151.68	—	65%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI Spine Cervical w/ + w/o Contrast	$1,508.58	$4,310.24	$222.40–$3,620.52	66% below	65%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI Spine Cervical w/ + w/o Contrast	$1,508.58	$4,310.24	$222.40–$3,620.52	—	65%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI Spine Cervical w/o Contrast	$678.83	$1,939.50	$126.24–$1,939.50	78% below	65%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI Spine Cervical w/o Contrast	$678.83	$1,939.50	$126.24–$1,939.50	—	65%
MRI of the pelvis without and with contrast CPT 72197 MRI Prostate w/ + w/o Contrast	$1,492.34	$4,263.82	$263.00–$4,157.63	65% below	65%
MRI of the pelvis without and with contrast CPT 72197 MRI Pelvis w/ + w/o Contrast	$1,492.34	$4,263.82	$263.00–$4,157.63	65% below	65%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI Pelvis w/ + w/o Contrast	$1,492.34	$4,263.82	$263.00–$4,157.63	—	65%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI Prostate w/ + w/o Contrast	$1,492.34	$4,263.82	$263.00–$4,157.63	—	65%
MRI of the pelvis, no contrast dye CPT 72195 MRI Pelvis w/o Contrast	$673.00	$1,922.85	$185.60–$1,922.85	74% below	65%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI Pelvis w/o Contrast	$673.00	$1,922.85	$185.60–$1,922.85	—	65%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Wrist w/o Contrast Right	$670.50	$1,915.70	$144.00–$1,915.70	75% below	65%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Wrist w/o Contrast Left	$670.50	$1,915.70	$144.00–$1,915.70	75% below	65%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Shoulder w/o Contrast Left	$670.50	$1,915.70	$144.00–$1,915.70	75% below	65%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Hand w/o Contrast Right	$670.50	$1,915.70	$144.00–$1,915.70	75% below	65%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Hand w/o Contrast Left	$670.50	$1,915.70	$144.00–$1,915.70	75% below	65%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Elbow w/o Contrast Right	$670.50	$1,915.70	$144.00–$1,915.70	75% below	65%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Elbow w/o Contrast Left	$670.50	$1,915.70	$144.00–$1,915.70	75% below	65%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Shoulder w/o Contrast Right	$670.50	$1,915.70	$144.00–$1,915.70	75% below	65%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Wrist w/o Contrast Left	$670.50	$1,915.70	$144.00–$1,915.70	—	65%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Shoulder w/o Contrast Right	$670.50	$1,915.70	$144.00–$1,915.70	—	65%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Shoulder w/o Contrast Left	$670.50	$1,915.70	$144.00–$1,915.70	—	65%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Wrist w/o Contrast Right	$670.50	$1,915.70	$144.00–$1,915.70	—	65%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Hand w/o Contrast Left	$670.50	$1,915.70	$144.00–$1,915.70	—	65%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Hand w/o Contrast Right	$670.50	$1,915.70	$144.00–$1,915.70	—	65%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Elbow w/o Contrast Right	$670.50	$1,915.70	$144.00–$1,915.70	—	65%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Elbow w/o Contrast Left	$670.50	$1,915.70	$144.00–$1,915.70	—	65%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 XR Spine Cervical 4 or 5 Views	$247.10	$706.00	$26.80–$360.06	60% below	65%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 XR Spine Cervical 4 or 5 Views	$247.10	$706.00	$26.80–$360.06	—	65%
Neck soft tissue CT scan with contrast CPT 70491 CT Neck Soft Tissue w/ Contrast	$930.48	$2,658.50	$128.56–$2,457.00	64% below	65%
Neck soft tissue CT scan with contrast inpatient CPT 70491 CT Neck Soft Tissue w/ Contrast	$930.48	$2,658.50	$128.56–$2,457.00	—	65%
Neck soft tissue CT scan without contrast CPT 70490 CT Neck Soft Tissue w/o Contrast	$818.06	$2,337.30	$97.93–$2,337.30	60% below	65%
Neck soft tissue CT scan without contrast inpatient CPT 70490 CT Neck Soft Tissue w/o Contrast	$818.06	$2,337.30	$97.93–$2,337.30	—	65%
Neck soft tissue X-ray CPT 70360 XR Neck Soft Tissue	$66.85	$191.00	$17.62–$137.81	79% below	65%
Neck soft tissue X-ray inpatient CPT 70360 XR Neck Soft Tissue	$66.85	$191.00	$17.62–$137.81	—	65%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM Myocardial SPECT Drug Stress Multi	$1,170.54	$3,344.40	$295.90–$2,050.17	71% below	65%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM Myocardial SPECT Drug Stress Multi	$1,170.54	$3,344.40	$295.90–$2,050.17	—	65%
Pelvic CT scan without contrast CPT 72192 CT Cystogram w/o Contrast	$954.91	$2,728.32	$81.66–$2,457.00	51% below	65%
Pelvic CT scan without contrast CPT 72192 CT Pelvis w/o Contrast	$954.91	$2,728.32	$81.66–$2,457.00	51% below	65%
Pelvic CT scan without contrast CPT 72192 CT Pelvis w/ Oral Contrast Only	$954.91	$2,728.32	$81.66–$2,457.00	51% below	65%
Pelvic CT scan without contrast inpatient CPT 72192 CT Pelvis w/o Contrast	$954.91	$2,728.32	$81.66–$2,457.00	—	65%
Pelvic CT scan without contrast inpatient CPT 72192 CT Cystogram w/o Contrast	$954.91	$2,728.32	$81.66–$2,457.00	—	65%
Pelvic CT scan without contrast inpatient CPT 72192 CT Pelvis w/ Oral Contrast Only	$954.91	$2,728.32	$81.66–$2,457.00	—	65%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 76857 US EXAM PELVIC LIMITED	$49.29	$197.16	$21.09–$223.31	91% below	75%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US Pelvic Ltd	$49.29	$197.16	$21.09–$223.31	91% below	75%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US Bladder	$49.29	$197.16	$21.09–$223.31	91% below	75%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 76857 US Pelvic - Limited	$49.29	$197.16	$21.09–$223.31	91% below	75%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 76857 Echography, Pelvic, B-Scan and/or real time w/ image doc	$130.52	$290.05	$21.09–$165.56	77% below	55%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 76857 US EXAM PELVIC LIMITED	$49.29	$197.16	$21.09–$223.31	—	75%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US Bladder	$49.29	$197.16	$21.09–$223.31	—	75%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US Pelvic Ltd	$49.29	$197.16	$21.09–$223.31	—	75%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US Pelvic Comp w/Transvag if indicated	$69.01	$197.16	$67.93–$254.87	93% below	65%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US Pelvic Complete w/ Transvag + Doppler	$69.01	$197.16	$67.93–$254.87	93% below	65%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US Pelvic Complete w/ Transvag	$69.01	$197.16	$67.93–$254.87	93% below	65%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US Pelvic Comp + Doppler	$69.01	$197.16	$67.93–$254.87	93% below	65%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US Pelvic Comp	$69.01	$197.16	$67.93–$254.87	93% below	65%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 76856 US Pelvic - Complete	$111.15	$247.00	$67.93–$165.56	88% below	55%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 76856 US EXAM PELVIC COMPLETE - PION	$111.15	$247.00	$67.93–$165.56	88% below	55%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 76856 Ultrasound, Pelvic, B-Scan; Complete	$128.33	$285.18	$67.93–$165.56	86% below	55%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US Pelvic Comp w/Transvag if indicated	$69.01	$197.16	$67.93–$254.87	—	65%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US Pelvic Complete w/ Transvag	$69.01	$197.16	$67.93–$254.87	—	65%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US Pelvic Comp	$69.01	$197.16	$67.93–$254.87	—	65%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US Pelvic Comp + Doppler	$69.01	$197.16	$67.93–$254.87	—	65%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US Pelvic Complete w/ Transvag + Doppler	$69.01	$197.16	$67.93–$254.87	—	65%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB Greater Than 14 Weeks	$138.40	$395.43	$90.65–$340.60	85% below	65%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 76805 OB US >= 14 WKS SNGL FETUS - PION	$152.55	$339.00	$90.65–$165.56	83% below	55%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 76805 Ultrasound, Pregnant Uterus, Complete	$236.64	$525.87	$90.65–$165.56	74% below	55%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB Greater Than 14 Weeks	$138.40	$395.43	$90.65–$340.60	—	65%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB Less Than 14 Weeks	$138.40	$395.43	$47.84–$302.63	83% below	65%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB < 14 Weeks + Doppler	$138.40	$395.43	$47.84–$302.63	83% below	65%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 76801 OB US < 14 WKS SINGLE FETUS - PION	$152.55	$339.00	$47.84–$165.56	81% below	55%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 76801 US OB transabdominal < 14 weeks, comp 1st gestation	$152.55	$339.00	$47.84–$165.56	81% below	55%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 76801 DESC US LESS THAN 14WKS PREG TRANSABD POC	$214.63	$476.95	$47.84–$165.56	74% below	55%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US OB Less Than 14 Weeks	$138.40	$395.43	$47.84–$302.63	—	65%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US OB < 14 Weeks + Doppler	$138.40	$395.43	$47.84–$302.63	—	65%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 76815 OB US LIMITED FETUS(S) - PION	$103.95	$231.00	$56.89–$165.56	83% below	55%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 PION US OB Limited	$138.40	$395.43	$56.89–$225.97	77% below	65%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB Limited w/ Biophysical Profile	$138.40	$395.43	$56.89–$225.97	77% below	65%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB Limited	$138.40	$395.43	$56.89–$225.97	77% below	65%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 76815 Ultrasound, pregnant uterus, real time with image documentation, limited, 1 or more fetuses	$170.54	$378.97	$56.89–$165.56	72% below	55%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US OB Limited w/ Biophysical Profile	$138.40	$395.43	$56.89–$225.97	—	65%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US OB Limited	$138.40	$395.43	$56.89–$225.97	—	65%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 PION US OB Limited	$138.40	$395.43	$56.89–$225.97	—	65%
Rib X-ray, one side, 2 views one side CPT 71100 XR Ribs 2 Views Left	$186.20	$532.00	$18.20–$271.32	60% below	65%
Rib X-ray, one side, 2 views one side CPT 71100 XR Ribs 2 Views Right	$186.20	$532.00	$18.20–$271.32	60% below	65%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 XR Ribs 2 Views Right	$186.20	$532.00	$18.20–$271.32	—	65%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 XR Ribs 2 Views Left	$186.20	$532.00	$18.20–$271.32	—	65%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR Ribs 3 Views Right	$226.45	$647.00	$20.68–$329.97	63% below	65%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR Ribs 3 Views Left	$226.45	$647.00	$20.68–$329.97	63% below	65%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 XR Ribs 3 Views Left	$226.45	$647.00	$20.68–$329.97	—	65%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 XR Ribs 3 Views Right	$226.45	$647.00	$20.68–$329.97	—	65%
Screening mammogram, both breasts both sides CPT 77067 MG Mammo Digital Screening Bilateral.	$141.05	$403.00	$88.39–$448.12	—	65%
Screening mammogram, both breasts inpatient both sides CPT 77067 MG Mammo Digital Screening Bilateral.	$141.05	$403.00	$88.39–$448.12	—	65%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR Shoulder Complete 2 Plus Views Right	$154.70	$442.00	$17.84–$225.42	73% below	65%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR Shoulder Complete 2 Plus Views Left	$154.70	$442.00	$17.84–$225.42	73% below	65%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR Shoulder Complete 2 Plus Views Left	$154.70	$442.00	$17.84–$225.42	—	65%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR Shoulder Complete 2 Plus Views Right	$154.70	$442.00	$17.84–$225.42	—	65%
Sinus X-ray, complete, 3 or more views CPT 70220 XR Sinuses Paranasal Complete	$106.75	$305.00	$22.68–$155.55	77% below	65%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 XR Sinuses Paranasal Complete	$106.75	$305.00	$22.68–$155.55	—	65%
Skull X-ray, fewer than 4 views CPT 70250 XR Skull < 4 Views	$106.75	$305.00	$24.60–$165.56	75% below	65%
Skull X-ray, fewer than 4 views inpatient CPT 70250 XR Skull < 4 Views	$106.75	$305.00	$24.60–$165.56	—	65%
Swallow study (modified barium swallow, video X-ray) CPT 74230 XR Modified Barium Swallow	$114.45	$327.00	$59.57–$277.76	83% below	65%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 XR Modified Barium Swallow	$114.45	$327.00	$59.57–$277.76	—	65%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR Femur 2 Views Left	$66.85	$191.00	$20.99–$146.22	83% below	65%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR Femur 2 Views Right	$66.85	$191.00	$20.99–$146.22	83% below	65%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 XR Femur 2 Views Left	$66.85	$191.00	$20.99–$146.22	—	65%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 XR Femur 2 Views Right	$66.85	$191.00	$20.99–$146.22	—	65%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT Spine Thoracic w/o Contrast	$933.82	$2,668.05	$92.26–$2,457.00	67% below	65%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT Spine Thoracic w/o Contrast	$933.82	$2,668.05	$92.26–$2,457.00	—	65%
Toe X-ray, 2 or more views one side CPT 73660 XR Toes 2+ Views 5th Digit Left	$66.85	$191.00	$17.22–$137.81	80% below	65%
Toe X-ray, 2 or more views one side CPT 73660 XR Toes 2+ Views 5th Digit Right	$66.85	$191.00	$17.22–$137.81	80% below	65%
Toe X-ray, 2 or more views one side CPT 73660 XR Toes 2+ Views Great Left	$66.85	$191.00	$17.22–$137.81	80% below	65%
Toe X-ray, 2 or more views one side CPT 73660 XR Toes 2+ Views 3rd Digit Left	$66.85	$191.00	$17.22–$137.81	80% below	65%
Toe X-ray, 2 or more views one side CPT 73660 XR Toes 2+ Views 2nd Digit Right	$66.85	$191.00	$17.22–$137.81	80% below	65%
Toe X-ray, 2 or more views one side CPT 73660 XR Toes 2+ Views Great Right	$66.85	$191.00	$17.22–$137.81	80% below	65%
Toe X-ray, 2 or more views one side CPT 73660 XR Toes 2+ Views 3rd Digit Right	$66.85	$191.00	$17.22–$137.81	80% below	65%
Toe X-ray, 2 or more views one side CPT 73660 XR Toes 2+ Views 4th Digit Left	$66.85	$191.00	$17.22–$137.81	80% below	65%
Toe X-ray, 2 or more views one side CPT 73660 XR Toes 2+ Views 2nd Digit Left	$66.85	$191.00	$17.22–$137.81	80% below	65%
Toe X-ray, 2 or more views one side CPT 73660 XR Toes 2+ Views 4th Digit Right	$66.85	$191.00	$17.22–$137.81	80% below	65%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toes 2+ Views 4th Digit Right	$66.85	$191.00	$17.22–$137.81	—	65%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toes 2+ Views 2nd Digit Left	$66.85	$191.00	$17.22–$137.81	—	65%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toes 2+ Views 2nd Digit Right	$66.85	$191.00	$17.22–$137.81	—	65%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toes 2+ Views 3rd Digit Left	$66.85	$191.00	$17.22–$137.81	—	65%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toes 2+ Views 3rd Digit Right	$66.85	$191.00	$17.22–$137.81	—	65%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toes 2+ Views 4th Digit Left	$66.85	$191.00	$17.22–$137.81	—	65%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toes 2+ Views 5th Digit Left	$66.85	$191.00	$17.22–$137.81	—	65%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toes 2+ Views 5th Digit Right	$66.85	$191.00	$17.22–$137.81	—	65%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toes 2+ Views Great Left	$66.85	$191.00	$17.22–$137.81	—	65%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toes 2+ Views Great Right	$66.85	$191.00	$17.22–$137.81	—	65%
Transvaginal pelvic ultrasound CPT 76830 76830 TRANSVAGINAL US NON-OB - PION	$111.15	$247.00	$70.84–$165.56	84% below	55%
Transvaginal pelvic ultrasound CPT 76830 US Transvaginal Non-OB	$138.40	$395.43	$70.84–$254.87	81% below	65%
Transvaginal pelvic ultrasound CPT 76830 PION US TRANSVAGINAL NON OB	$138.40	$395.43	$70.84–$254.87	81% below	65%
Transvaginal pelvic ultrasound CPT 76830 76830 Transvaginal us non-ob.	$218.16	$484.80	$70.84–$165.56	70% below	55%
Transvaginal pelvic ultrasound inpatient CPT 76830 US Transvaginal Non-OB	$138.40	$395.43	$70.84–$254.87	—	65%
Transvaginal pelvic ultrasound inpatient CPT 76830 PION US TRANSVAGINAL NON OB	$138.40	$395.43	$70.84–$254.87	—	65%
Transvaginal ultrasound during pregnancy CPT 76817 76817 Ultrasound, pregnant uterus, real time with image doc, transvaginal	$109.35	$243.00	$51.77–$165.56	84% below	55%
Transvaginal ultrasound during pregnancy CPT 76817 76817 TRANSVAGINAL US OBSTETRIC - PION	$109.35	$243.00	$51.77–$165.56	84% below	55%
Transvaginal ultrasound during pregnancy CPT 76817 US OB Transvaginal	$138.40	$395.43	$51.77–$260.14	80% below	65%
Transvaginal ultrasound during pregnancy CPT 76817 PION US OB CERVICAL LENGTH	$138.40	$395.43	$51.77–$260.14	80% below	65%
Transvaginal ultrasound during pregnancy CPT 76817 US OB < 14 Weeks	$138.40	$395.43	$51.77–$260.14	80% below	65%
Transvaginal ultrasound during pregnancy CPT 76817 PION US OB TRANSVAGINAL	$138.40	$395.43	$51.77–$260.14	80% below	65%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US OB Transvaginal	$138.40	$395.43	$51.77–$260.14	—	65%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 PION US OB CERVICAL LENGTH	$138.40	$395.43	$51.77–$260.14	—	65%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 PION US OB TRANSVAGINAL	$138.40	$395.43	$51.77–$260.14	—	65%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US OB < 14 Weeks	$138.40	$395.43	$51.77–$260.14	—	65%
Ultrasound of the abdomen, complete CPT 76700 US Abdomen Complete w/ Complete Doppler	$138.40	$395.43	$82.35–$328.33	88% below	65%
Ultrasound of the abdomen, complete CPT 76700 US Abdomen Complete	$138.40	$395.43	$82.35–$328.33	88% below	65%
Ultrasound of the abdomen, complete inpatient CPT 76700 US Abdomen Complete w/ Complete Doppler	$138.40	$395.43	$82.35–$328.33	—	65%
Ultrasound of the abdomen, complete inpatient CPT 76700 US Abdomen Complete	$138.40	$395.43	$82.35–$328.33	—	65%
Ultrasound of the scrotum and testicles CPT 76870 US Scrotum (Contents)	$138.40	$395.43	$32.88–$228.36	84% below	65%
Ultrasound of the scrotum and testicles CPT 76870 US Scrotum (Contents) w/ Doppler if ind	$138.40	$395.43	$32.88–$228.36	84% below	65%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US Scrotum (Contents)	$138.40	$395.43	$32.88–$228.36	—	65%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US Scrotum (Contents) w/ Doppler if ind	$138.40	$395.43	$32.88–$228.36	—	65%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Thyroid	$69.01	$197.16	$65.98–$236.41	92% below	65%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Head/Neck Soft Tissue	$69.01	$197.16	$65.98–$236.41	92% below	65%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US Thyroid	$69.01	$197.16	$65.98–$236.41	—	65%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US Head/Neck Soft Tissue	$69.01	$197.16	$65.98–$236.41	—	65%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR Upper GI	$435.75	$1,245.00	$72.44–$634.95	29% below	65%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 XR Upper GI	$435.75	$1,245.00	$72.44–$634.95	—	65%
Upper arm X-ray (humerus), 2 views one side CPT 73060 XR Humerus Right	$66.85	$191.00	$21.46–$137.81	84% below	65%
Upper arm X-ray (humerus), 2 views one side CPT 73060 XR Humerus Left	$66.85	$191.00	$21.46–$137.81	84% below	65%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XR Humerus Left	$66.85	$191.00	$21.46–$137.81	—	65%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XR Humerus Right	$66.85	$191.00	$21.46–$137.81	—	65%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Upper Ext Venous Duplex Left	$68.25	$195.00	$68.25–$577.45	92% below	65%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Upper Ext Venous Duplex Right	$68.25	$195.00	$68.25–$577.45	92% below	65%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Vein Mapping Upper Extremity Left	$166.01	$474.30	$101.89–$577.45	81% below	65%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Lower Ext Venous Duplex Left	$166.01	$474.30	$101.89–$577.45	81% below	65%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Vein Mapping Upper Extremity Right	$166.01	$474.30	$101.89–$577.45	81% below	65%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Lower Ext Venous Duplex Right	$166.01	$474.30	$101.89–$577.45	81% below	65%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Venous Insufficiency Right	$200.90	$574.00	$101.89–$577.45	78% below	65%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Venous Insufficiency Left	$200.90	$574.00	$101.89–$577.45	78% below	65%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US Upper Ext Venous Duplex Left	$68.25	$195.00	$68.25–$577.45	—	65%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US Upper Ext Venous Duplex Right	$68.25	$195.00	$68.25–$577.45	—	65%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US Lower Ext Venous Duplex Right	$166.01	$474.30	$101.89–$577.45	—	65%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US Lower Ext Venous Duplex Left	$166.01	$474.30	$101.89–$577.45	—	65%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US Vein Mapping Upper Extremity Right	$166.01	$474.30	$101.89–$577.45	—	65%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US Vein Mapping Upper Extremity Left	$166.01	$474.30	$101.89–$577.45	—	65%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US Venous Insufficiency Left	$200.90	$574.00	$101.89–$577.45	—	65%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US Venous Insufficiency Right	$200.90	$574.00	$101.89–$577.45	—	65%
Wrist X-ray, 2 views both sides CPT 73100 XR Wrist 2 Views Bilateral	$203.35	$581.00	$17.87–$296.31	—	65%
Wrist X-ray, 2 views one side CPT 73100 XR Wrist 2 Views Right	$66.85	$191.00	$17.87–$137.81	83% below	65%
Wrist X-ray, 2 views one side CPT 73100 XR Wrist 2 Views Left	$66.85	$191.00	$17.87–$137.81	83% below	65%
Wrist X-ray, 2 views inpatient both sides CPT 73100 XR Wrist 2 Views Bilateral	$203.35	$581.00	$17.87–$296.31	—	65%
Wrist X-ray, 2 views inpatient one side CPT 73100 XR Wrist 2 Views Left	$66.85	$191.00	$17.87–$137.81	—	65%
Wrist X-ray, 2 views inpatient one side CPT 73100 XR Wrist 2 Views Right	$66.85	$191.00	$17.87–$137.81	—	65%
Wrist X-ray, complete, 3 or more views both sides CPT 73110 XR Wrist Complete 3+ Views Bilateral	$215.60	$616.00	$27.41–$314.16	—	65%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist Complete 3+ Views Left	$143.85	$411.00	$27.41–$209.61	71% below	65%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist Complete 3 Plus Views Right	$143.85	$411.00	$27.41–$209.61	71% below	65%
Wrist X-ray, complete, 3 or more views inpatient both sides CPT 73110 XR Wrist Complete 3+ Views Bilateral	$215.60	$616.00	$27.41–$314.16	—	65%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR Wrist Complete 3+ Views Left	$143.85	$411.00	$27.41–$209.61	—	65%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR Wrist Complete 3 Plus Views Right	$143.85	$411.00	$27.41–$209.61	—	65%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip 2-3 Views Right	$66.85	$191.00	$27.59–$192.12	84% below	65%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip 2-3 Views Left	$66.85	$191.00	$27.59–$192.12	84% below	65%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR Hip 2-3 Views Left	$66.85	$191.00	$27.59–$192.12	—	65%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR Hip 2-3 Views Right	$66.85	$191.00	$27.59–$192.12	—	65%
X-ray of the abdomen, 1 view CPT 74018 XR Sitz Marker	$36.08	$103.08	$16.73–$137.81	88% below	65%
X-ray of the abdomen, 1 view CPT 74018 XR NG Tube Place w/ Fluoro	$39.55	$113.00	$16.73–$137.81	87% below	65%
X-ray of the abdomen, 1 view CPT 74018 XR Abdomen 1 View	$39.55	$113.00	$16.73–$137.81	87% below	65%
X-ray of the abdomen, 1 view inpatient CPT 74018 XR Sitz Marker	$36.08	$103.08	$16.73–$137.81	—	65%
X-ray of the abdomen, 1 view inpatient CPT 74018 XR NG Tube Place w/ Fluoro	$39.55	$113.00	$16.73–$137.81	—	65%
X-ray of the abdomen, 1 view inpatient CPT 74018 XR Abdomen 1 View	$39.55	$113.00	$16.73–$137.81	—	65%
X-ray of the ankle, 2 views one side CPT 73600 XR Ankle 2 Views Right	$106.75	$305.00	$19.92–$155.55	73% below	65%
X-ray of the ankle, 2 views one side CPT 73600 XR Ankle 2 Views Left	$106.75	$305.00	$19.92–$155.55	73% below	65%
X-ray of the ankle, 2 views inpatient one side CPT 73600 XR Ankle 2 Views Left	$106.75	$305.00	$19.92–$155.55	—	65%
X-ray of the ankle, 2 views inpatient one side CPT 73600 XR Ankle 2 Views Right	$106.75	$305.00	$19.92–$155.55	—	65%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger 2+ Views 4th Digit Right	$57.05	$163.00	$17.67–$137.81	85% below	65%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger 2+ Views 4th Digit Left	$57.05	$163.00	$17.67–$137.81	85% below	65%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger 2+ Views 3rd Digit Right	$57.05	$163.00	$17.67–$137.81	85% below	65%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger 2+ Views Thumb Left	$57.05	$163.00	$17.67–$137.81	85% below	65%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger 2+ Views Thumb Right	$57.05	$163.00	$17.67–$137.81	85% below	65%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger 2+ Views 3rd Digit Left	$57.05	$163.00	$17.67–$137.81	85% below	65%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger 2+ Views 5th Digit Left	$57.05	$163.00	$17.67–$137.81	85% below	65%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger 2+ Views 5th Digit Right	$57.05	$163.00	$17.67–$137.81	85% below	65%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger 2+ Views 2nd Digit Right	$57.05	$163.00	$17.67–$137.81	85% below	65%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger 2+ Views 2nd Digit Left	$57.05	$163.00	$17.67–$137.81	85% below	65%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger 2+ Views 5th Digit Left	$57.05	$163.00	$17.67–$137.81	—	65%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger 2+ Views Thumb Right	$57.05	$163.00	$17.67–$137.81	—	65%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger 2+ Views 5th Digit Right	$57.05	$163.00	$17.67–$137.81	—	65%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger 2+ Views Thumb Left	$57.05	$163.00	$17.67–$137.81	—	65%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger 2+ Views 3rd Digit Left	$57.05	$163.00	$17.67–$137.81	—	65%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger 2+ Views 2nd Digit Left	$57.05	$163.00	$17.67–$137.81	—	65%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger 2+ Views 2nd Digit Right	$57.05	$163.00	$17.67–$137.81	—	65%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger 2+ Views 4th Digit Left	$57.05	$163.00	$17.67–$137.81	—	65%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger 2+ Views 4th Digit Right	$57.05	$163.00	$17.67–$137.81	—	65%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger 2+ Views 3rd Digit Right	$57.05	$163.00	$17.67–$137.81	—	65%
X-ray of the foot, 2 views one side CPT 73620 XR Foot 2 Views Left	$66.85	$191.00	$17.87–$137.81	84% below	65%
X-ray of the foot, 2 views one side CPT 73620 XR Foot 2 Views Right	$66.85	$191.00	$17.87–$137.81	84% below	65%
X-ray of the foot, 2 views inpatient one side CPT 73620 XR Foot 2 Views Left	$66.85	$191.00	$17.87–$137.81	—	65%
X-ray of the foot, 2 views inpatient one side CPT 73620 XR Foot 2 Views Right	$66.85	$191.00	$17.87–$137.81	—	65%
X-ray of the foot, complete, 3 or more views both sides CPT 73630 XR Foot Complete 3+ Views Bilateral	$66.85	$191.00	$25.01–$137.81	—	65%
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR Foot Complete 3 plus Views Right	$66.85	$191.00	$25.01–$137.81	87% below	65%
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR Foot Complete 3 Plus Views Left	$66.85	$191.00	$25.01–$137.81	87% below	65%
X-ray of the foot, complete, 3 or more views inpatient both sides CPT 73630 XR Foot Complete 3+ Views Bilateral	$66.85	$191.00	$25.01–$137.81	—	65%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR Foot Complete 3 Plus Views Left	$66.85	$191.00	$25.01–$137.81	—	65%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR Foot Complete 3 plus Views Right	$66.85	$191.00	$25.01–$137.81	—	65%
X-ray of the hand, 3 or more views both sides CPT 73130 XR Hand Complete 3+ Views Bilateral	$205.80	$588.00	$26.32–$299.88	—	65%
X-ray of the hand, 3 or more views one side CPT 73130 XR Hand Complete 3 Plus Views Right	$137.20	$392.00	$26.32–$199.92	73% below	65%
X-ray of the hand, 3 or more views one side CPT 73130 XR Hand Complete 3 Views Left	$137.20	$392.00	$26.32–$199.92	73% below	65%
X-ray of the hand, 3 or more views inpatient both sides CPT 73130 XR Hand Complete 3+ Views Bilateral	$205.80	$588.00	$26.32–$299.88	—	65%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR Hand Complete 3 Views Left	$137.20	$392.00	$26.32–$199.92	—	65%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR Hand Complete 3 Plus Views Right	$137.20	$392.00	$26.32–$199.92	—	65%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR Knee 1 or 2 Views Left	$66.85	$191.00	$20.19–$137.81	83% below	65%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR Knee 1 or 2 Views Right	$66.85	$191.00	$20.19–$137.81	83% below	65%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR Knee 1 or 2 Views Right	$66.85	$191.00	$20.19–$137.81	—	65%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR Knee 1 or 2 Views Left	$66.85	$191.00	$20.19–$137.81	—	65%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR Spine Lumbosacral 2 or 3 Views	$91.00	$260.00	$29.98–$165.56	82% below	65%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR Spine Lumbosacral 2 or 3 Views	$91.00	$260.00	$29.98–$165.56	—	65%
X-ray of the lower back, 4 or more views CPT 72110 XR Spine Lumbosacral 4 Plus Views	$286.30	$818.00	$30.26–$417.18	58% below	65%
X-ray of the lower back, 4 or more views inpatient CPT 72110 XR Spine Lumbosacral 4 Plus Views	$286.30	$818.00	$30.26–$417.18	—	65%
X-ray of the nasal bones, 3 or more views CPT 70160 XR Nasal Bones 3+ Views	$66.85	$191.00	$26.31–$137.81	85% below	65%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XR Nasal Bones 3+ Views	$66.85	$191.00	$26.31–$137.81	—	65%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR Spine Cervical 2 or 3 Views	$91.00	$260.00	$24.97–$137.81	80% below	65%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR Spine Cervical 2 or 3 Views	$91.00	$260.00	$24.97–$137.81	—	65%
X-ray of the pelvis, 1 or 2 views CPT 72170 XR Pelvis 1 View	$91.00	$260.00	$22.95–$165.56	77% below	65%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR Pelvis 1 View	$91.00	$260.00	$22.95–$165.56	—	65%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR Sacrum/Coccyx 2+ Views	$57.05	$163.00	$17.51–$137.81	88% below	65%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR Sacrum/Coccyx 2+ Views	$57.05	$163.00	$17.51–$137.81	—	65%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs California	Off list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Alanine aminotransferase	$9.26	$26.47	$3.66–$41.59	79% below	65%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Alanine aminotransferase	$9.26	$26.47	$3.66–$41.59	—	65%
AST (aspartate aminotransferase) enzyme test CPT 84450 Aspartate aminotransferase	$22.97	$65.63	$3.53–$40.58	49% below	65%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Aspartate aminotransferase	$22.97	$65.63	$3.53–$40.58	—	65%
Albumin blood test CPT 82040 Albumin, Serum QSTS	$8.56	$24.45	$3.22–$38.89	66% below	65%
Albumin blood test CPT 82040 Albumin Level	$21.50	$61.43	$3.22–$38.89	14% below	65%
Albumin blood test CPT 82040 Albumin QST	$21.50	$61.43	$3.22–$38.89	14% below	65%
Albumin blood test inpatient CPT 82040 Albumin, Serum QSTS	$8.56	$24.45	$3.22–$38.89	—	65%
Albumin blood test inpatient CPT 82040 Albumin QST	$21.50	$61.43	$3.22–$38.89	—	65%
Albumin blood test inpatient CPT 82040 Albumin Level	$21.50	$61.43	$3.22–$38.89	—	65%
Aldosterone blood test CPT 82088 Aldosterone, LC/MS/MS QSTS	$13.99	$39.98	$13.99–$320.00	65% below	65%
Aldosterone blood test inpatient CPT 82088 Aldosterone, LC/MS/MS QSTS	$13.99	$39.98	$13.99–$320.00	—	65%
Alkaline phosphatase (ALP) blood test CPT 84075 Alkaline Phosphatase	$22.42	$64.05	$3.30–$40.63	39% below	65%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Alkaline Phosphatase	$22.42	$64.05	$3.30–$40.63	—	65%
Allergy blood test, specific IgE, per allergen CPT 86003 Cat Dander (e1) IgE Class QSTS	$2.37	$6.76	$2.37–$91.80	72% below	65%
Allergy blood test, specific IgE, per allergen CPT 86003 D. pteronyssinus (d1) Ige Class QSTS	$2.37	$6.76	$2.37–$91.80	72% below	65%
Allergy blood test, specific IgE, per allergen CPT 86003 D. farinae (d2) IgE Class QSTS	$2.37	$6.76	$2.37–$91.80	72% below	65%
Allergy blood test, specific IgE, per allergen CPT 86003 Dog Dander (e5) IgE Class QSTS	$2.37	$6.76	$2.37–$91.80	72% below	65%
Allergy blood test, specific IgE, per allergen CPT 86003 Cow'S Milk (F2) IgE QST	$2.42	$6.91	$2.42–$91.80	71% below	65%
Allergy blood test, specific IgE, per allergen CPT 86003 Cow'S Milk (F2) IgE QSTS	$2.42	$6.91	$2.42–$91.80	71% below	65%
Allergy blood test, specific IgE, per allergen CPT 86003 Crab (F23) IgE QSTS	$2.51	$7.18	$2.51–$91.80	70% below	65%
Allergy blood test, specific IgE, per allergen CPT 86003 Lobster (F80) IgE QSTS	$2.51	$7.18	$2.51–$91.80	70% below	65%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen (IgE) - Pinto Bean QSTS	$2.78	$7.94	$2.78–$91.80	67% below	65%
Allergy blood test, specific IgE, per allergen CPT 86003 Cashew Nut (F202) IgE QST	$2.87	$8.20	$2.87–$91.80	66% below	65%
Allergy blood test, specific IgE, per allergen CPT 86003 Mugwort (W6) IgE QST	$2.87	$8.20	$2.87–$91.80	66% below	65%
Allergy blood test, specific IgE, per allergen CPT 86003 Dog Dander (E5) IgE QST	$2.87	$8.20	$2.87–$91.80	66% below	65%
Allergy blood test, specific IgE, per allergen CPT 86003 Cat Dander (E1) IgE QST	$2.87	$8.20	$2.87–$91.80	66% below	65%
Allergy blood test, specific IgE, per allergen CPT 86003 Mouse Urine Proteins (E72) IgE QST	$2.87	$8.20	$2.87–$91.80	66% below	65%
Allergy blood test, specific IgE, per allergen CPT 86003 Cat Dander (e1) IgE (Eval 8) QSTS	$2.87	$8.20	$2.87–$91.80	66% below	65%
Allergy blood test, specific IgE, per allergen CPT 86003 Mountain Cedar (T6) IgE QST	$2.87	$8.20	$2.87–$91.80	66% below	65%
Allergy blood test, specific IgE, per allergen CPT 86003 Mountain Cedar (T6) IgE (Eval 8) QSTS	$2.87	$8.20	$2.87–$91.80	66% below	65%
Allergy blood test, specific IgE, per allergen CPT 86003 Egg White (F1) IgE QST	$2.87	$8.20	$2.87–$91.80	66% below	65%
Allergy blood test, specific IgE, per allergen CPT 86003 Elm (T8) IgE QST	$2.87	$8.20	$2.87–$91.80	66% below	65%
Allergy blood test, specific IgE, per allergen CPT 86003 False Ragweed (W4) IgE QSTS	$2.87	$8.20	$2.87–$91.80	66% below	65%
Allergy blood test, specific IgE, per allergen CPT 86003 Hazelnut (F17) IgE QST	$2.87	$8.20	$2.87–$91.80	66% below	65%
Allergy blood test, specific IgE, per allergen CPT 86003 Honey Bee (I1) IgE QST	$2.87	$8.20	$2.87–$91.80	66% below	65%
Allergy blood test, specific IgE, per allergen CPT 86003 Honey Bee (I1) IgE QSTS	$2.87	$8.20	$2.87–$91.80	66% below	65%
Allergy blood test, specific IgE, per allergen CPT 86003 Immunoglobulin E QST	$2.87	$8.20	$2.87–$91.80	66% below	65%
Allergy blood test, specific IgE, per allergen CPT 86003 Lobster (F80)IgE QST	$2.87	$8.20	$2.87–$91.80	66% below	65%
Allergy blood test, specific IgE, per allergen CPT 86003 Johnson Grass (G10) IgE QST	$2.87	$8.20	$2.87–$91.80	66% below	65%
Allergy blood test, specific IgE, per allergen CPT 86003 Lettuce (F215) IgE QST	$2.87	$8.20	$2.87–$91.80	66% below	65%
Allergy blood test, specific IgE, per allergen CPT 86003 Celery (F85) IgE QST	$2.87	$8.20	$2.87–$91.80	66% below	65%
Allergy blood test, specific IgE, per allergen CPT 86003 Cladosporium Herbarum (M2) IgE QST	$2.87	$8.20	$2.87–$91.80	66% below	65%
Allergy blood test, specific IgE, per allergen CPT 86003 Cockroach (I6) IgE QST	$2.87	$8.20	$2.87–$91.80	66% below	65%
Allergy blood test, specific IgE, per allergen CPT 86003 Coconut (F36) IgE QST	$2.87	$8.20	$2.87–$91.80	66% below	65%
Allergy blood test, specific IgE, per allergen CPT 86003 Codfish (F3) IgE QST	$2.87	$8.20	$2.87–$91.80	66% below	65%
Allergy blood test, specific IgE, per allergen CPT 86003 Common Pigweed (W14) IgE (Eval 8) QSTS	$2.87	$8.20	$2.87–$91.80	66% below	65%
Allergy blood test, specific IgE, per allergen CPT 86003 Yellow Jacket (I3) IgE QSTS	$2.87	$8.20	$2.87–$91.80	66% below	65%
Allergy blood test, specific IgE, per allergen CPT 86003 Common Ragweed (Short) (W1) IgE QST	$2.87	$8.20	$2.87–$91.80	66% below	65%
Allergy blood test, specific IgE, per allergen CPT 86003 Cottonwood (T14) IgE QST	$2.87	$8.20	$2.87–$91.80	66% below	65%
Allergy blood test, specific IgE, per allergen CPT 86003 Yellow Jacket (I3) IgE QST	$2.87	$8.20	$2.87–$91.80	66% below	65%
Allergy blood test, specific IgE, per allergen CPT 86003 Yellow Hornet (I5) IgE QSTS	$2.87	$8.20	$2.87–$91.80	66% below	65%
Allergy blood test, specific IgE, per allergen CPT 86003 Yellow Hornet (I5) IgE QST	$2.87	$8.20	$2.87–$91.80	66% below	65%
Allergy blood test, specific IgE, per allergen CPT 86003 White-Faced Hornet (I2) IgE QST	$2.87	$8.20	$2.87–$91.80	66% below	65%
Allergy blood test, specific IgE, per allergen CPT 86003 Cow's Milk (F2) IgE QST	$2.87	$8.20	$2.87–$91.80	66% below	65%
Allergy blood test, specific IgE, per allergen CPT 86003 Wheat (F4) IgE QST	$2.87	$8.20	$2.87–$91.80	66% below	65%
Allergy blood test, specific IgE, per allergen CPT 86003 Acacia (T19) IGE QST	$2.87	$8.20	$2.87–$91.80	66% below	65%
Allergy blood test, specific IgE, per allergen CPT 86003 Wh-Faced Hornet (I2) IgE QSTS	$2.87	$8.20	$2.87–$91.80	66% below	65%
Allergy blood test, specific IgE, per allergen CPT 86003 Walnut (F256) IgE QST	$2.87	$8.20	$2.87–$91.80	66% below	65%
Allergy blood test, specific IgE, per allergen CPT 86003 Crab (F23) IgE QST	$2.87	$8.20	$2.87–$91.80	66% below	65%
Allergy blood test, specific IgE, per allergen CPT 86003 Tuna (F40) IgE QST	$2.87	$8.20	$2.87–$91.80	66% below	65%
Allergy blood test, specific IgE, per allergen CPT 86003 Tomato (F25) IgE QST	$2.87	$8.20	$2.87–$91.80	66% below	65%
Allergy blood test, specific IgE, per allergen CPT 86003 Squid (F258) IgE QSTS	$2.87	$8.20	$2.87–$91.80	66% below	65%
Allergy blood test, specific IgE, per allergen CPT 86003 Soybean (F14) IgE QST	$2.87	$8.20	$2.87–$91.80	66% below	65%
Allergy blood test, specific IgE, per allergen CPT 86003 D. farinae (D2) IgE (Eval 8) QSTS	$2.87	$8.20	$2.87–$91.80	66% below	65%
Allergy blood test, specific IgE, per allergen CPT 86003 Shrimp (F24) IgE QST	$2.87	$8.20	$2.87–$91.80	66% below	65%
Allergy blood test, specific IgE, per allergen CPT 86003 Almond (F20) IgE QST	$2.87	$8.20	$2.87–$91.80	66% below	65%
Allergy blood test, specific IgE, per allergen CPT 86003 Sesame Seed (F10) IgE QST	$2.87	$8.20	$2.87–$91.80	66% below	65%
Allergy blood test, specific IgE, per allergen CPT 86003 Scallop (F338) IgE QST	$2.87	$8.20	$2.87–$91.80	66% below	65%
Allergy blood test, specific IgE, per allergen CPT 86003 Alternaria Alternata (M6) IgE QST	$2.87	$8.20	$2.87–$91.80	66% below	65%
Allergy blood test, specific IgE, per allergen CPT 86003 Salmon (F41) IgE QST	$2.87	$8.20	$2.87–$91.80	66% below	65%
Allergy blood test, specific IgE, per allergen CPT 86003 Aspergillus Fumigatus (M3) IgE QST	$2.87	$8.20	$2.87–$91.80	66% below	65%
Allergy blood test, specific IgE, per allergen CPT 86003 Russian Thistle (W11) IgE QST	$2.87	$8.20	$2.87–$91.80	66% below	65%
Allergy blood test, specific IgE, per allergen CPT 86003 Bermuda Grass (G2) IgE (Eval 8) QSTS	$2.87	$8.20	$2.87–$91.80	66% below	65%
Allergy blood test, specific IgE, per allergen CPT 86003 Rough Pigweed (W14) IgE QST	$2.87	$8.20	$2.87–$91.80	66% below	65%
Allergy blood test, specific IgE, per allergen CPT 86003 Bermuda Grass (G2) IgE QST	$2.87	$8.20	$2.87–$91.80	66% below	65%
Allergy blood test, specific IgE, per allergen CPT 86003 Perennial Rye Grass (G5) IGE QST	$2.87	$8.20	$2.87–$91.80	66% below	65%
Allergy blood test, specific IgE, per allergen CPT 86003 Perennial Rye (G5) IgE QSTS	$2.87	$8.20	$2.87–$91.80	66% below	65%
Allergy blood test, specific IgE, per allergen CPT 86003 Perennial Rye (G5) IgE (Eval 8) QSTS	$2.87	$8.20	$2.87–$91.80	66% below	65%
Allergy blood test, specific IgE, per allergen CPT 86003 Penicillium Notatum (M1) IgE QST	$2.87	$8.20	$2.87–$91.80	66% below	65%
Allergy blood test, specific IgE, per allergen CPT 86003 Pecan Nut (F201) IgE QST	$2.87	$8.20	$2.87–$91.80	66% below	65%
Allergy blood test, specific IgE, per allergen CPT 86003 Peanut (F13) IgE QST	$2.87	$8.20	$2.87–$91.80	66% below	65%
Allergy blood test, specific IgE, per allergen CPT 86003 Dermatophagoides Farinae (D2) IgE QST	$2.87	$8.20	$2.87–$91.80	66% below	65%
Allergy blood test, specific IgE, per allergen CPT 86003 Parsley (F86) IgE QST	$2.87	$8.20	$2.87–$91.80	66% below	65%
Allergy blood test, specific IgE, per allergen CPT 86003 Paper Wasp (I4) IgE QSTS	$2.87	$8.20	$2.87–$91.80	66% below	65%
Allergy blood test, specific IgE, per allergen CPT 86003 Paper Wasp (I4) IgE QST	$2.87	$8.20	$2.87–$91.80	66% below	65%
Allergy blood test, specific IgE, per allergen CPT 86003 Dermatophagoides Pteronyssinu D1 IgE QST	$2.87	$8.20	$2.87–$91.80	66% below	65%
Allergy blood test, specific IgE, per allergen CPT 86003 Dog Dander (E5) IgE (Eval 8) QSTS	$2.87	$8.20	$2.87–$91.80	66% below	65%
Allergy blood test, specific IgE, per allergen CPT 86003 Orange (F33) IgE QST	$2.87	$8.20	$2.87–$91.80	66% below	65%
Allergy blood test, specific IgE, per allergen CPT 86003 Oak (T7) IgE QST	$2.87	$8.20	$2.87–$91.80	66% below	65%
Allergy blood test, specific IgE, per allergen CPT 86003 OLIVE TREE (T9) IGE QST	$2.87	$8.20	$2.87–$91.80	66% below	65%
Allergy blood test, specific IgE, per allergen CPT 86003 Cladosporium Herbarum M2 IgE Class QST	$3.28	$9.38	$3.28–$91.80	61% below	65%
Allergy blood test, specific IgE, per allergen CPT 86003 Orange (F33) IgE QSTS	$3.52	$10.05	$3.52–$91.80	58% below	65%
Allergy blood test, specific IgE, per allergen CPT 86003 Tomato (F25) IgE QSTS	$3.52	$10.05	$3.52–$91.80	58% below	65%
Allergy blood test, specific IgE, per allergen CPT 86003 Coconut (F36) IgE QSTS	$3.52	$10.05	$3.52–$91.80	58% below	65%
Allergy blood test, specific IgE, per allergen CPT 86003 Parsley (f86) IgE QSTS	$3.52	$10.05	$3.52–$91.80	58% below	65%
Allergy blood test, specific IgE, per allergen CPT 86003 Pecan Nut (F201) IgE QSTS	$3.52	$10.05	$3.52–$91.80	58% below	65%
Allergy blood test, specific IgE, per allergen CPT 86003 Lettuce (F215) IgE QSTS	$3.52	$10.05	$3.52–$91.80	58% below	65%
Allergy blood test, specific IgE, per allergen CPT 86003 Celery (F85) IgE QSTS	$3.52	$10.05	$3.52–$91.80	58% below	65%
Allergy blood test, specific IgE, per allergen CPT 86003 Soybean (f14) IgE QSTS	$3.72	$10.64	$3.71–$91.80	55% below	65%
Allergy blood test, specific IgE, per allergen CPT 86003 D. farinae (d2) IgE QSTS	$3.72	$10.64	$3.71–$91.80	55% below	65%
Allergy blood test, specific IgE, per allergen CPT 86003 Cat Dander (e1) IgE QSTS	$3.72	$10.64	$3.71–$91.80	55% below	65%
Allergy blood test, specific IgE, per allergen CPT 86003 Peanut (f13) IgE QSTS	$3.72	$10.64	$3.71–$91.80	55% below	65%
Allergy blood test, specific IgE, per allergen CPT 86003 Dog Dander (e5) IgE QSTS	$3.72	$10.64	$3.71–$91.80	55% below	65%
Allergy blood test, specific IgE, per allergen CPT 86003 Wheat (f4) IGE QSTS	$3.72	$10.64	$3.71–$91.80	55% below	65%
Allergy blood test, specific IgE, per allergen CPT 86003 A. alternata (m6) IgE QSTS	$3.72	$10.64	$3.71–$91.80	55% below	65%
Allergy blood test, specific IgE, per allergen CPT 86003 Cow's Milk (f2) IgE QSTS	$3.72	$10.64	$3.71–$91.80	55% below	65%
Allergy blood test, specific IgE, per allergen CPT 86003 Walnut (f256) IgE QSTS	$3.72	$10.64	$3.71–$91.80	55% below	65%
Allergy blood test, specific IgE, per allergen CPT 86003 C. herbarum (M2) IgE QSTS	$3.72	$10.64	$3.71–$91.80	55% below	65%
Allergy blood test, specific IgE, per allergen CPT 86003 Codfish (f3) IgE QSTS	$3.72	$10.64	$3.71–$91.80	55% below	65%
Allergy blood test, specific IgE, per allergen CPT 86003 Cockroach (i6) IgE QSTS	$3.72	$10.64	$3.71–$91.80	55% below	65%
Allergy blood test, specific IgE, per allergen CPT 86003 Shrimp (f24) IgE QSTS	$3.72	$10.64	$3.71–$91.80	55% below	65%
Allergy blood test, specific IgE, per allergen CPT 86003 Egg White (f1) IgE QSTS	$3.72	$10.64	$3.71–$91.80	55% below	65%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen IgE, Sunflower Seed QSTS	$5.23	$14.95	$3.71–$91.80	37% below	65%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen (IgE) ImmunoCAP Whitefish QSTS	$5.23	$14.95	$3.71–$91.80	37% below	65%
Allergy blood test, specific IgE, per allergen CPT 86003 Salmon (f41) IgE QSTS	$7.00	$20.00	$3.71–$91.80	16% below	65%
Allergy blood test, specific IgE, per allergen CPT 86003 Hazelnut (f17) IgE QSTS	$7.00	$20.00	$3.71–$91.80	16% below	65%
Allergy blood test, specific IgE, per allergen CPT 86003 Sesame Seed (f10) IgE QSTS	$7.00	$20.00	$3.71–$91.80	16% below	65%
Allergy blood test, specific IgE, per allergen CPT 86003 Almond (f20) IgE QSTS	$7.00	$20.00	$3.71–$91.80	16% below	65%
Allergy blood test, specific IgE, per allergen CPT 86003 Cashew Nut (f202) IgE QSTS	$7.00	$20.00	$3.71–$91.80	16% below	65%
Allergy blood test, specific IgE, per allergen CPT 86003 Tuna (f40) IgE QSTS	$7.00	$20.00	$3.71–$91.80	16% below	65%
Allergy blood test, specific IgE, per allergen CPT 86003 Scallop (f338) IgE QSTS	$7.00	$20.00	$3.71–$91.80	16% below	65%
Allergy blood test, specific IgE, per allergen CPT 86003 S. botryosum (M10) IgE QSTS	$7.54	$21.53	$3.71–$91.80	9% below	65%
Allergy blood test, specific IgE, per allergen CPT 86003 C. herbarum (M2) IgE Class QST	$7.54	$21.53	$7.54–$91.80	9% below	65%
Allergy blood test, specific IgE, per allergen CPT 86003 Mucor racemosus (M4) IgE QSTS	$7.54	$21.53	$3.71–$91.80	9% below	65%
Allergy blood test, specific IgE, per allergen CPT 86003 Mucor racemosus (M4) IgE Class QST	$7.54	$21.53	$7.54–$91.80	9% below	65%
Allergy blood test, specific IgE, per allergen CPT 86003 P. notatum (m1) IgE QSTS	$7.54	$21.53	$3.71–$91.80	9% below	65%
Allergy blood test, specific IgE, per allergen CPT 86003 P. notatum (m1) IgE Class QST	$7.54	$21.53	$7.54–$91.80	9% below	65%
Allergy blood test, specific IgE, per allergen CPT 86003 S. botryosum (M10) IgE Class QST	$7.54	$21.53	$7.54–$91.80	9% below	65%
Allergy blood test, specific IgE, per allergen CPT 86003 A. fumigatus (M3) IgE QSTS	$7.54	$21.53	$3.71–$91.80	9% below	65%
Allergy blood test, specific IgE, per allergen CPT 86003 D. pteronyssinus (d1) Ige QSTS	$15.13	$43.23	$3.71–$91.80	82% above	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cat Dander (e1) IgE Class QSTS	$2.37	$6.76	$2.37–$91.80	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Dog Dander (e5) IgE Class QSTS	$2.37	$6.76	$2.37–$91.80	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 D. pteronyssinus (d1) Ige Class QSTS	$2.37	$6.76	$2.37–$91.80	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 D. farinae (d2) IgE Class QSTS	$2.37	$6.76	$2.37–$91.80	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cow'S Milk (F2) IgE QSTS	$2.42	$6.91	$2.42–$91.80	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cow'S Milk (F2) IgE QST	$2.42	$6.91	$2.42–$91.80	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Lobster (F80) IgE QSTS	$2.51	$7.18	$2.51–$91.80	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Crab (F23) IgE QSTS	$2.51	$7.18	$2.51–$91.80	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen (IgE) - Pinto Bean QSTS	$2.78	$7.94	$2.78–$91.80	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cockroach (I6) IgE QST	$2.87	$8.20	$2.87–$91.80	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Yellow Jacket (I3) IgE QSTS	$2.87	$8.20	$2.87–$91.80	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Yellow Jacket (I3) IgE QST	$2.87	$8.20	$2.87–$91.80	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Yellow Hornet (I5) IgE QSTS	$2.87	$8.20	$2.87–$91.80	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Yellow Hornet (I5) IgE QST	$2.87	$8.20	$2.87–$91.80	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 White-Faced Hornet (I2) IgE QST	$2.87	$8.20	$2.87–$91.80	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Wheat (F4) IgE QST	$2.87	$8.20	$2.87–$91.80	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Wh-Faced Hornet (I2) IgE QSTS	$2.87	$8.20	$2.87–$91.80	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Walnut (F256) IgE QST	$2.87	$8.20	$2.87–$91.80	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Tuna (F40) IgE QST	$2.87	$8.20	$2.87–$91.80	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Tomato (F25) IgE QST	$2.87	$8.20	$2.87–$91.80	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Squid (F258) IgE QSTS	$2.87	$8.20	$2.87–$91.80	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Soybean (F14) IgE QST	$2.87	$8.20	$2.87–$91.80	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Shrimp (F24) IgE QST	$2.87	$8.20	$2.87–$91.80	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Sesame Seed (F10) IgE QST	$2.87	$8.20	$2.87–$91.80	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Scallop (F338) IgE QST	$2.87	$8.20	$2.87–$91.80	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Salmon (F41) IgE QST	$2.87	$8.20	$2.87–$91.80	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Russian Thistle (W11) IgE QST	$2.87	$8.20	$2.87–$91.80	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Rough Pigweed (W14) IgE QST	$2.87	$8.20	$2.87–$91.80	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Perennial Rye Grass (G5) IGE QST	$2.87	$8.20	$2.87–$91.80	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Perennial Rye (G5) IgE QSTS	$2.87	$8.20	$2.87–$91.80	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Perennial Rye (G5) IgE (Eval 8) QSTS	$2.87	$8.20	$2.87–$91.80	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Penicillium Notatum (M1) IgE QST	$2.87	$8.20	$2.87–$91.80	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Pecan Nut (F201) IgE QST	$2.87	$8.20	$2.87–$91.80	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Peanut (F13) IgE QST	$2.87	$8.20	$2.87–$91.80	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Parsley (F86) IgE QST	$2.87	$8.20	$2.87–$91.80	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Paper Wasp (I4) IgE QSTS	$2.87	$8.20	$2.87–$91.80	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Paper Wasp (I4) IgE QST	$2.87	$8.20	$2.87–$91.80	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Orange (F33) IgE QST	$2.87	$8.20	$2.87–$91.80	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Oak (T7) IgE QST	$2.87	$8.20	$2.87–$91.80	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 OLIVE TREE (T9) IGE QST	$2.87	$8.20	$2.87–$91.80	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Mugwort (W6) IgE QST	$2.87	$8.20	$2.87–$91.80	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Mouse Urine Proteins (E72) IgE QST	$2.87	$8.20	$2.87–$91.80	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Mountain Cedar (T6) IgE QST	$2.87	$8.20	$2.87–$91.80	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Mountain Cedar (T6) IgE (Eval 8) QSTS	$2.87	$8.20	$2.87–$91.80	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Lobster (F80)IgE QST	$2.87	$8.20	$2.87–$91.80	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Lettuce (F215) IgE QST	$2.87	$8.20	$2.87–$91.80	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Johnson Grass (G10) IgE QST	$2.87	$8.20	$2.87–$91.80	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Immunoglobulin E QST	$2.87	$8.20	$2.87–$91.80	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Honey Bee (I1) IgE QSTS	$2.87	$8.20	$2.87–$91.80	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Honey Bee (I1) IgE QST	$2.87	$8.20	$2.87–$91.80	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hazelnut (F17) IgE QST	$2.87	$8.20	$2.87–$91.80	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 False Ragweed (W4) IgE QSTS	$2.87	$8.20	$2.87–$91.80	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Elm (T8) IgE QST	$2.87	$8.20	$2.87–$91.80	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Egg White (F1) IgE QST	$2.87	$8.20	$2.87–$91.80	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Dog Dander (E5) IgE QST	$2.87	$8.20	$2.87–$91.80	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Dog Dander (E5) IgE (Eval 8) QSTS	$2.87	$8.20	$2.87–$91.80	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Dermatophagoides Pteronyssinu D1 IgE QST	$2.87	$8.20	$2.87–$91.80	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Dermatophagoides Farinae (D2) IgE QST	$2.87	$8.20	$2.87–$91.80	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 D. farinae (D2) IgE (Eval 8) QSTS	$2.87	$8.20	$2.87–$91.80	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Crab (F23) IgE QST	$2.87	$8.20	$2.87–$91.80	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cow's Milk (F2) IgE QST	$2.87	$8.20	$2.87–$91.80	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cottonwood (T14) IgE QST	$2.87	$8.20	$2.87–$91.80	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Common Ragweed (Short) (W1) IgE QST	$2.87	$8.20	$2.87–$91.80	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Common Pigweed (W14) IgE (Eval 8) QSTS	$2.87	$8.20	$2.87–$91.80	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Codfish (F3) IgE QST	$2.87	$8.20	$2.87–$91.80	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Coconut (F36) IgE QST	$2.87	$8.20	$2.87–$91.80	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cladosporium Herbarum (M2) IgE QST	$2.87	$8.20	$2.87–$91.80	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Celery (F85) IgE QST	$2.87	$8.20	$2.87–$91.80	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cat Dander (e1) IgE (Eval 8) QSTS	$2.87	$8.20	$2.87–$91.80	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cat Dander (E1) IgE QST	$2.87	$8.20	$2.87–$91.80	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cashew Nut (F202) IgE QST	$2.87	$8.20	$2.87–$91.80	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Bermuda Grass (G2) IgE QST	$2.87	$8.20	$2.87–$91.80	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Bermuda Grass (G2) IgE (Eval 8) QSTS	$2.87	$8.20	$2.87–$91.80	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aspergillus Fumigatus (M3) IgE QST	$2.87	$8.20	$2.87–$91.80	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Alternaria Alternata (M6) IgE QST	$2.87	$8.20	$2.87–$91.80	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Almond (F20) IgE QST	$2.87	$8.20	$2.87–$91.80	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Acacia (T19) IGE QST	$2.87	$8.20	$2.87–$91.80	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cladosporium Herbarum M2 IgE Class QST	$3.28	$9.38	$3.28–$91.80	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Celery (F85) IgE QSTS	$3.52	$10.05	$3.52–$91.80	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Orange (F33) IgE QSTS	$3.52	$10.05	$3.52–$91.80	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Tomato (F25) IgE QSTS	$3.52	$10.05	$3.52–$91.80	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Parsley (f86) IgE QSTS	$3.52	$10.05	$3.52–$91.80	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Coconut (F36) IgE QSTS	$3.52	$10.05	$3.52–$91.80	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Lettuce (F215) IgE QSTS	$3.52	$10.05	$3.52–$91.80	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Pecan Nut (F201) IgE QSTS	$3.52	$10.05	$3.52–$91.80	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cockroach (i6) IgE QSTS	$3.72	$10.64	$3.71–$91.80	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Dog Dander (e5) IgE QSTS	$3.72	$10.64	$3.71–$91.80	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Peanut (f13) IgE QSTS	$3.72	$10.64	$3.71–$91.80	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 D. farinae (d2) IgE QSTS	$3.72	$10.64	$3.71–$91.80	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Shrimp (f24) IgE QSTS	$3.72	$10.64	$3.71–$91.80	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Soybean (f14) IgE QSTS	$3.72	$10.64	$3.71–$91.80	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Egg White (f1) IgE QSTS	$3.72	$10.64	$3.71–$91.80	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cow's Milk (f2) IgE QSTS	$3.72	$10.64	$3.71–$91.80	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Walnut (f256) IgE QSTS	$3.72	$10.64	$3.71–$91.80	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 A. alternata (m6) IgE QSTS	$3.72	$10.64	$3.71–$91.80	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Wheat (f4) IGE QSTS	$3.72	$10.64	$3.71–$91.80	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Codfish (f3) IgE QSTS	$3.72	$10.64	$3.71–$91.80	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 C. herbarum (M2) IgE QSTS	$3.72	$10.64	$3.71–$91.80	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cat Dander (e1) IgE QSTS	$3.72	$10.64	$3.71–$91.80	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen (IgE) ImmunoCAP Whitefish QSTS	$5.23	$14.95	$3.71–$91.80	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen IgE, Sunflower Seed QSTS	$5.23	$14.95	$3.71–$91.80	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Almond (f20) IgE QSTS	$7.00	$20.00	$3.71–$91.80	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Salmon (f41) IgE QSTS	$7.00	$20.00	$3.71–$91.80	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cashew Nut (f202) IgE QSTS	$7.00	$20.00	$3.71–$91.80	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hazelnut (f17) IgE QSTS	$7.00	$20.00	$3.71–$91.80	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Sesame Seed (f10) IgE QSTS	$7.00	$20.00	$3.71–$91.80	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Tuna (f40) IgE QSTS	$7.00	$20.00	$3.71–$91.80	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Scallop (f338) IgE QSTS	$7.00	$20.00	$3.71–$91.80	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 S. botryosum (M10) IgE Class QST	$7.54	$21.53	$7.54–$91.80	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Mucor racemosus (M4) IgE Class QST	$7.54	$21.53	$7.54–$91.80	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 P. notatum (m1) IgE Class QST	$7.54	$21.53	$7.54–$91.80	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Mucor racemosus (M4) IgE QSTS	$7.54	$21.53	$3.71–$91.80	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 A. fumigatus (M3) IgE QSTS	$7.54	$21.53	$3.71–$91.80	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 S. botryosum (M10) IgE QSTS	$7.54	$21.53	$3.71–$91.80	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 C. herbarum (M2) IgE Class QST	$7.54	$21.53	$7.54–$91.80	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 P. notatum (m1) IgE QSTS	$7.54	$21.53	$3.71–$91.80	—	65%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 D. pteronyssinus (d1) Ige QSTS	$15.13	$43.23	$3.71–$91.80	—	65%
Ammonia blood test CPT 82140 Ammonia Level	$63.21	$180.60	$10.36–$114.42	65% below	65%
Ammonia blood test inpatient CPT 82140 Ammonia Level	$63.21	$180.60	$10.36–$114.42	—	65%
Amylase blood test CPT 82150 Amylase Level	$28.12	$80.33	$4.58–$50.92	58% below	65%
Amylase blood test inpatient CPT 82150 Amylase Level	$28.12	$80.33	$4.58–$50.92	—	65%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP Antibody (IgG) QSTS	$21.53	$61.50	$5.68–$101.67	10% below	65%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Cyclic Citrullinated Peptide Ab IgG QST	$21.53	$61.50	$5.68–$101.67	10% below	65%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP Ab (IgG) QST	$26.78	$76.50	$5.68–$101.67	12% above	65%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Rheumatoid Factor QST	$26.78	$76.50	$5.68–$101.67	12% above	65%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP Ab (IgG) QSTS	$26.78	$76.50	$5.68–$101.67	12% above	65%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Cyclic Citrullinated Peptide Ab IgG QST	$21.53	$61.50	$5.68–$101.67	—	65%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP Antibody (IgG) QSTS	$21.53	$61.50	$5.68–$101.67	—	65%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP Ab (IgG) QST	$26.78	$76.50	$5.68–$101.67	—	65%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP Ab (IgG) QSTS	$26.78	$76.50	$5.68–$101.67	—	65%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Rheumatoid Factor QST	$26.78	$76.50	$5.68–$101.67	—	65%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA Screen, IFA QSTS	$21.53	$61.50	$8.50–$94.92	59% below	65%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA Screen, IFA QST	$21.53	$61.50	$8.50–$94.92	59% below	65%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA Screen, IFA QST	$21.53	$61.50	$8.50–$94.92	—	65%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA Screen, IFA QSTS	$21.53	$61.50	$8.50–$94.92	—	65%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 N-Terminal Pro B-Type Natriuretic Peptide	$86.11	$246.04	$24.12–$266.56	59% below	65%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B-Type Natriuretic Peptide	$86.11	$246.04	$24.12–$266.56	59% below	65%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 N-Terminal Pro B-Type Natriuretic Peptide	$86.11	$246.04	$24.12–$266.56	—	65%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 B-Type Natriuretic Peptide	$86.11	$246.04	$24.12–$266.56	—	65%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Optochin disk	$21.84	$62.40	$6.01–$67.61	84% below	65%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Catheter Tip Culture	$37.30	$106.58	$6.01–$67.61	72% below	65%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Genital Culture	$37.30	$106.58	$6.01–$67.61	72% below	65%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Eye Culture	$37.30	$106.58	$6.01–$67.61	72% below	65%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Group B Strep Culture	$37.30	$106.58	$6.01–$67.61	72% below	65%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Nasal Culture	$37.30	$106.58	$6.01–$67.61	72% below	65%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Respiratory Culture	$37.30	$106.58	$6.01–$67.61	72% below	65%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Ear Culture	$37.30	$106.58	$6.01–$67.61	72% below	65%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Cerebrospinal Fluid Culture	$37.30	$106.58	$6.01–$67.61	72% below	65%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Sputum Culture	$37.30	$106.58	$6.01–$67.61	72% below	65%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Throat Culture	$37.30	$106.58	$6.01–$67.61	72% below	65%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Tissue Culture	$37.30	$106.58	$6.01–$67.61	72% below	65%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Wound Culture	$37.30	$106.58	$6.01–$67.61	72% below	65%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Bone Marrow Culture	$37.30	$106.58	$6.01–$67.61	72% below	65%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Body Fluid Culture	$37.30	$106.58	$6.01–$67.61	72% below	65%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Optochin disk	$21.84	$62.40	$6.01–$67.61	—	65%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Nasal Culture	$37.30	$106.58	$6.01–$67.61	—	65%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Tissue Culture	$37.30	$106.58	$6.01–$67.61	—	65%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Cerebrospinal Fluid Culture	$37.30	$106.58	$6.01–$67.61	—	65%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Throat Culture	$37.30	$106.58	$6.01–$67.61	—	65%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Catheter Tip Culture	$37.30	$106.58	$6.01–$67.61	—	65%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Respiratory Culture	$37.30	$106.58	$6.01–$67.61	—	65%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Bone Marrow Culture	$37.30	$106.58	$6.01–$67.61	—	65%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Group B Strep Culture	$37.30	$106.58	$6.01–$67.61	—	65%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Genital Culture	$37.30	$106.58	$6.01–$67.61	—	65%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Body Fluid Culture	$37.30	$106.58	$6.01–$67.61	—	65%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Wound Culture	$37.30	$106.58	$6.01–$67.61	—	65%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Eye Culture	$37.30	$106.58	$6.01–$67.61	—	65%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Sputum Culture	$37.30	$106.58	$6.01–$67.61	—	65%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Ear Culture	$37.30	$106.58	$6.01–$67.61	—	65%
Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Panel	$36.57	$104.48	$5.82–$66.48	81% below	65%
Basic metabolic panel (blood test) inpatient CPT 80048 Basic Metabolic Panel	$36.57	$104.48	$5.82–$66.48	—	65%
Bilirubin blood test, total CPT 82247 Bilirubin Total	$8.77	$25.06	$3.27–$39.45	81% below	65%
Bilirubin blood test, total CPT 82247 Bilirubin Indirect	$8.77	$25.06	$3.27–$39.45	81% below	65%
Bilirubin blood test, total CPT 82247 Neonatal Bilirubin	$12.74	$36.41	$3.27–$39.45	72% below	65%
Bilirubin blood test, total CPT 82247 Bilirubin Neonatal	$12.74	$36.41	$3.27–$39.45	72% below	65%
Bilirubin blood test, total CPT 82247 Bilirubin, Body Fluid QST	$35.28	$100.80	$3.27–$51.41	22% below	65%
Bilirubin blood test, total CPT 82247 Bilirubin, Body Fluid QSTS	$35.28	$100.80	$3.27–$51.41	22% below	65%
Bilirubin blood test, total inpatient CPT 82247 Bilirubin Total	$8.77	$25.06	$3.27–$39.45	—	65%
Bilirubin blood test, total inpatient CPT 82247 Bilirubin Indirect	$8.77	$25.06	$3.27–$39.45	—	65%
Bilirubin blood test, total inpatient CPT 82247 Bilirubin Neonatal	$12.74	$36.41	$3.27–$39.45	—	65%
Bilirubin blood test, total inpatient CPT 82247 Neonatal Bilirubin	$12.74	$36.41	$3.27–$39.45	—	65%
Bilirubin blood test, total inpatient CPT 82247 Bilirubin, Body Fluid QSTS	$35.28	$100.80	$3.27–$51.41	—	65%
Bilirubin blood test, total inpatient CPT 82247 Bilirubin, Body Fluid QST	$35.28	$100.80	$3.27–$51.41	—	65%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 88305 AP Bill Bone Marrow Biopsy	$30.01	$85.75	$8.20–$1,156.00	77% below	65%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 88305 AP Bill Non-Gyn Cytology Cell Block	$55.71	$159.18	$8.20–$1,156.00	57% below	65%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 88305 AP Bill Surgical Pathology Level IV Complexity	$122.20	$349.13	$8.20–$1,156.00	6% below	65%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 88305 AP Bill Bone Marrow Biopsy	$30.01	$85.75	$8.20–$1,156.00	—	65%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 88305 AP Bill Non-Gyn Cytology Cell Block	$55.71	$159.18	$8.20–$1,156.00	—	65%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 88305 AP Bill Surgical Pathology Level IV Complexity	$122.20	$349.13	$8.20–$1,156.00	—	65%
Blood culture for bacteria CPT 87040 Oxidase	$17.23	$49.23	$7.18–$81.04	94% below	65%
Blood culture for bacteria CPT 87040 Catalase	$17.23	$49.23	$7.18–$81.04	94% below	65%
Blood culture for bacteria CPT 87040 Blood Culture x2	$44.65	$127.58	$7.18–$81.04	84% below	65%
Blood culture for bacteria CPT 87040 Blood Culture	$44.65	$127.58	$7.18–$81.04	84% below	65%
Blood culture for bacteria CPT 87040 Blood Unit Culture	$44.65	$127.58	$7.18–$81.04	84% below	65%
Blood culture for bacteria inpatient CPT 87040 Catalase	$17.23	$49.23	$7.18–$81.04	—	65%
Blood culture for bacteria inpatient CPT 87040 Oxidase	$17.23	$49.23	$7.18–$81.04	—	65%
Blood culture for bacteria inpatient CPT 87040 Blood Unit Culture	$44.65	$127.58	$7.18–$81.04	—	65%
Blood culture for bacteria inpatient CPT 87040 Blood Culture x2	$44.65	$127.58	$7.18–$81.04	—	65%
Blood culture for bacteria inpatient CPT 87040 Blood Culture	$44.65	$127.58	$7.18–$81.04	—	65%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 36415 VENIPUNCTURE INFUSION CHARGE	$5.51	$15.75	$5.51–$16.86	72% below	65%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 ROUTINE VENIPUN	$5.51	$15.75	$5.51–$16.86	72% below	65%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLLECTION: Venous Draw	$9.19	$26.25	$9.19–$16.86	54% below	65%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Alcohol Legal Draw SO	$9.19	$26.25	$9.19–$16.86	54% below	65%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Bill Only COLLECTION: Venous Draw	$9.19	$26.25	$9.19–$16.86	54% below	65%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 36415 VENIPUNCTURE INFUSION CHARGE	$5.51	$15.75	$5.51–$16.86	—	65%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 ROUTINE VENIPUN	$5.51	$15.75	$5.51–$16.86	—	65%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Bill Only COLLECTION: Venous Draw	$9.19	$26.25	$9.19–$16.86	—	65%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 COLLECTION: Venous Draw	$9.19	$26.25	$9.19–$16.86	—	65%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Alcohol Legal Draw SO	$9.19	$26.25	$9.19–$16.86	—	65%
Blood glucose (sugar) test CPT 82947 Fasting Glucose	$17.09	$48.83	$2.64–$30.80	54% below	65%
Blood glucose (sugar) test CPT 82947 Glucose 1 Hour 50gm	$17.09	$48.83	$2.64–$30.80	54% below	65%
Blood glucose (sugar) test CPT 82947 Glucose 1 Hour 75gm	$17.09	$48.83	$2.64–$30.80	54% below	65%
Blood glucose (sugar) test CPT 82947 Glucose 2 Hour Post Prandial	$17.09	$48.83	$2.64–$30.80	54% below	65%
Blood glucose (sugar) test CPT 82947 Glucose Level	$17.09	$48.83	$2.64–$30.80	54% below	65%
Blood glucose (sugar) test inpatient CPT 82947 Glucose 2 Hour Post Prandial	$17.09	$48.83	$2.64–$30.80	—	65%
Blood glucose (sugar) test inpatient CPT 82947 Glucose 1 Hour 75gm	$17.09	$48.83	$2.64–$30.80	—	65%
Blood glucose (sugar) test inpatient CPT 82947 Glucose Level	$17.09	$48.83	$2.64–$30.80	—	65%
Blood glucose (sugar) test inpatient CPT 82947 Glucose 1 Hour 50gm	$17.09	$48.83	$2.64–$30.80	—	65%
Blood glucose (sugar) test inpatient CPT 82947 Fasting Glucose	$17.09	$48.83	$2.64–$30.80	—	65%
Blood lead test CPT 83655 Lead, Blood QST	$25.11	$71.73	$8.50–$95.03	109% above	65%
Blood lead test CPT 83655 Creatinine, Random Urine QST	$25.11	$71.73	$8.50–$95.03	109% above	65%
Blood lead test CPT 83655 Lead Level Clinic POC (RE)	$25.11	$71.73	$8.50–$95.03	109% above	65%
Blood lead test inpatient CPT 83655 Lead, Blood QST	$25.11	$71.73	$8.50–$95.03	—	65%
Blood lead test inpatient CPT 83655 Lead Level Clinic POC (RE)	$25.11	$71.73	$8.50–$95.03	—	65%
Blood lead test inpatient CPT 83655 Creatinine, Random Urine QST	$25.11	$71.73	$8.50–$95.03	—	65%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Beta hCG Qualitative	$23.89	$68.25	$5.17–$58.95	86% below	65%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Beta hCG Qualitative	$23.89	$68.25	$5.17–$58.95	—	65%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Bill only- ABO Typing	$9.80	$28.00	$1.90–$210.69	91% below	65%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Neonatal ABORh	$12.86	$36.75	$1.90–$210.69	88% below	65%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO Only	$12.86	$36.75	$1.90–$210.69	88% below	65%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO	$12.86	$36.75	$1.90–$210.69	88% below	65%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO/Rh Retype	$12.86	$36.75	$1.90–$210.69	88% below	65%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Cord Blood ABORh	$12.86	$36.75	$1.90–$210.69	88% below	65%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Neonatal ABO/Rh	$12.86	$36.75	$1.90–$210.69	88% below	65%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Neonatal ABO/Rh.	$12.86	$36.75	$1.90–$210.69	88% below	65%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Blood Type ABO/Rh Typing	$12.86	$36.75	$1.90–$210.69	88% below	65%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Cord ABO/Rh	$12.86	$36.75	$1.90–$210.69	88% below	65%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Cord ABORh	$12.86	$36.75	$1.90–$210.69	88% below	65%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 REF ABO/Rh	$55.30	$158.00	$1.90–$210.69	47% below	65%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Bill only- ABO Discrepancy Resolution	$57.05	$163.00	$1.90–$210.69	46% below	65%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Bill only- ABO Typing	$9.80	$28.00	$1.90–$210.69	—	65%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Neonatal ABO/Rh.	$12.86	$36.75	$1.90–$210.69	—	65%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO	$12.86	$36.75	$1.90–$210.69	—	65%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Neonatal ABORh	$12.86	$36.75	$1.90–$210.69	—	65%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Neonatal ABO/Rh	$12.86	$36.75	$1.90–$210.69	—	65%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Cord Blood ABORh	$12.86	$36.75	$1.90–$210.69	—	65%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Cord ABORh	$12.86	$36.75	$1.90–$210.69	—	65%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Cord ABO/Rh	$12.86	$36.75	$1.90–$210.69	—	65%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Blood Type ABO/Rh Typing	$12.86	$36.75	$1.90–$210.69	—	65%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO/Rh Retype	$12.86	$36.75	$1.90–$210.69	—	65%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO Only	$12.86	$36.75	$1.90–$210.69	—	65%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 REF ABO/Rh	$55.30	$158.00	$1.90–$210.69	—	65%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Bill only- ABO Discrepancy Resolution	$57.05	$163.00	$1.90–$210.69	—	65%
Blood urea nitrogen (BUN) test CPT 84520 Blood Urea Nitrogen	$17.09	$48.83	$2.52–$30.97	53% below	65%
Blood urea nitrogen (BUN) test inpatient CPT 84520 Blood Urea Nitrogen	$17.09	$48.83	$2.52–$30.97	—	65%
C-peptide blood test CPT 84681 C-Peptide	$35.00	$100.00	$14.26–$143.98	45% below	65%
C-peptide blood test inpatient CPT 84681 C-Peptide	$35.00	$100.00	$14.26–$143.98	—	65%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-Reactive Protein	$20.60	$58.85	$3.68–$40.63	70% below	65%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-Reactive Protein	$20.60	$58.85	$3.68–$40.63	—	65%
C. difficile toxin gene test (stool PCR) CPT 87493 C difficile/Epi (GeneXpert)	$123.90	$354.00	$22.91–$398.90	19% below	65%
C. difficile toxin gene test (stool PCR) CPT 87493 C difficile PCR	$123.90	$354.00	$22.91–$398.90	19% below	65%
C. difficile toxin gene test (stool PCR) CPT 87493 Clostridioides Difficile Toxins by PCR	$123.90	$354.00	$22.91–$398.90	19% below	65%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C difficile/Epi (GeneXpert)	$123.90	$354.00	$22.91–$398.90	—	65%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 Clostridioides Difficile Toxins by PCR	$123.90	$354.00	$22.91–$398.90	—	65%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C difficile PCR	$123.90	$354.00	$22.91–$398.90	—	65%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-CoV-2 (COVID-19) PCR (GeneXpert)	$71.05	$203.00	$51.31–$155.30	23% below	65%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-CoV-2 (COVID-19) -BioFire	$71.05	$203.00	$51.31–$155.30	23% below	65%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-CoV-2 (COVID-19) PCR (GeneXpert)	$71.05	$203.00	$51.31–$155.30	—	65%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-CoV-2 (COVID-19) -BioFire	$71.05	$203.00	$51.31–$155.30	—	65%
Calcium blood test, total CPT 82310 Calcium, Pediatric Urine QSTS	$5.72	$16.35	$3.28–$40.46	91% below	65%
Calcium blood test, total CPT 82310 Calcium Level Total	$22.42	$64.05	$3.28–$40.46	64% below	65%
Calcium blood test, total inpatient CPT 82310 Calcium, Pediatric Urine QSTS	$5.72	$16.35	$3.28–$40.46	—	65%
Calcium blood test, total inpatient CPT 82310 Calcium Level Total	$22.42	$64.05	$3.28–$40.46	—	65%
Carcinoembryonic antigen (CEA) test CPT 82378 CEA, Peritoneal Fluid QSTS	$12.66	$36.16	$12.66–$148.99	88% below	65%
Carcinoembryonic antigen (CEA) test CPT 82378 Carcinoembryonic Antigen	$31.62	$90.34	$13.48–$148.99	70% below	65%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CEA, Peritoneal Fluid QSTS	$12.66	$36.16	$12.66–$148.99	—	65%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 Carcinoembryonic Antigen	$31.62	$90.34	$13.48–$148.99	—	65%
Chickenpox (varicella) immunity blood test CPT 86787 VZV Antibody (IgG) QSTS	$10.91	$31.16	$9.10–$101.16	71% below	65%
Chickenpox (varicella) immunity blood test CPT 86787 Varicella Zoster Virus Ab (IgM) QST	$10.91	$31.16	$9.10–$101.16	71% below	65%
Chickenpox (varicella) immunity blood test CPT 86787 VZV Antibody (IgM) QSTS	$10.91	$31.16	$9.10–$101.16	71% below	65%
Chickenpox (varicella) immunity blood test CPT 86787 Bill Only Varicella Zoster Virus Ab (IgM) QST	$10.91	$31.16	$9.10–$101.16	71% below	65%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 Bill Only Varicella Zoster Virus Ab (IgM) QST	$10.91	$31.16	$9.10–$101.16	—	65%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 Varicella Zoster Virus Ab (IgM) QST	$10.91	$31.16	$9.10–$101.16	—	65%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VZV Antibody (IgG) QSTS	$10.91	$31.16	$9.10–$101.16	—	65%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VZV Antibody (IgM) QSTS	$10.91	$31.16	$9.10–$101.16	—	65%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CT PCR	$75.25	$215.00	$20.47–$275.60	38% above	65%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 C.trachomatis (CT/NG) -GeneXpert	$75.25	$215.00	$20.47–$275.60	38% above	65%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 C.trachomatis (CT/NG) -GeneXpert	$75.25	$215.00	$20.47–$275.60	—	65%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CT PCR	$75.25	$215.00	$20.47–$275.60	—	65%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Cholesterol, Total QSTS	$11.74	$33.54	$9.23–$105.21	90% below	65%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Pnl	$33.99	$97.11	$9.23–$105.21	70% below	65%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Cholesterol, Total QSTS	$11.74	$33.54	$9.23–$105.21	—	65%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Pnl	$33.99	$97.11	$9.23–$105.21	—	65%
Complete blood count (CBC) with differential CPT 85025 CBC w/ Differential	$55.30	$158.00	$5.40–$80.58	50% below	65%
Complete blood count (CBC) with differential CPT 85025 CBC w/ Manual Differential	$55.30	$158.00	$5.40–$80.58	50% below	65%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC w/ Differential	$55.30	$158.00	$5.40–$80.58	—	65%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC w/ Manual Differential	$55.30	$158.00	$5.40–$80.58	—	65%
Complete blood count (CBC), no differential CPT 85027 CBC without Differential	$28.12	$80.33	$4.57–$50.80	68% below	65%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC without Differential	$28.12	$80.33	$4.57–$50.80	—	65%
Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive Metabolic Panel	$85.75	$245.00	$7.35–$124.95	66% below	65%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 Comprehensive Metabolic Panel	$85.75	$245.00	$7.35–$124.95	—	65%
Cortisol blood test, total CPT 82533 Cortisol	$70.75	$202.13	$11.59–$128.02	28% below	65%
Cortisol blood test, total CPT 82533 Cortisol PM	$70.75	$202.13	$11.59–$128.02	28% below	65%
Cortisol blood test, total CPT 82533 Cortisol AM	$70.75	$202.13	$11.59–$128.02	28% below	65%
Cortisol blood test, total inpatient CPT 82533 Cortisol AM	$70.75	$202.13	$11.59–$128.02	—	65%
Cortisol blood test, total inpatient CPT 82533 Cortisol PM	$70.75	$202.13	$11.59–$128.02	—	65%
Cortisol blood test, total inpatient CPT 82533 Cortisol	$70.75	$202.13	$11.59–$128.02	—	65%
Creatine kinase (CK) blood test, total CPT 82550 Creatine Kinase	$28.30	$80.85	$4.63–$51.14	68% below	65%
Creatine kinase (CK) blood test, total inpatient CPT 82550 Creatine Kinase	$28.30	$80.85	$4.63–$51.14	—	65%
Creatinine blood test CPT 82565 Creatinine	$22.24	$63.53	$3.45–$40.24	53% below	65%
Creatinine blood test inpatient CPT 82565 Creatinine	$22.24	$63.53	$3.45–$40.24	—	65%
Cytomegalovirus (CMV) antibody test CPT 86644 Ref CMV Neg	$15.75	$45.00	$9.90–$113.02	50% below	65%
Cytomegalovirus (CMV) antibody test CPT 86644 Cytomegalovirus Antibody (IgG) QST	$15.75	$45.00	$9.90–$113.02	50% below	65%
Cytomegalovirus (CMV) antibody test CPT 86644 Cytomegalovirus Ab (IgG) QSTS	$15.75	$45.00	$9.90–$113.02	50% below	65%
Cytomegalovirus (CMV) antibody test CPT 86644 CMV Negative - Bill Only	$17.50	$50.00	$9.90–$113.02	44% below	65%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 Cytomegalovirus Ab (IgG) QSTS	$15.75	$45.00	$9.90–$113.02	—	65%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 Ref CMV Neg	$15.75	$45.00	$9.90–$113.02	—	65%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 Cytomegalovirus Antibody (IgG) QST	$15.75	$45.00	$9.90–$113.02	—	65%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV Negative - Bill Only	$17.50	$50.00	$9.90–$113.02	—	65%
D-dimer blood test (blood clot marker) CPT 85379 D-Dimer	$30.69	$87.68	$7.24–$79.92	79% below	65%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-Dimer	$30.69	$87.68	$7.24–$79.92	—	65%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DSP 9, MECONIUM	$25.55	$73.00	$25.55–$571.04	64% below	65%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Result	$25.55	$73.00	$25.55–$571.04	64% below	65%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Meconium CoC SO	$25.55	$73.00	$25.55–$571.04	64% below	65%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Alcohol, Ethyl, Ql w/Confirm Ur QSTS	$26.52	$75.77	$26.52–$571.04	63% below	65%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Fentanyl Screen Urine	$36.11	$103.17	$36.11–$571.04	49% below	65%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Urine Fentanyl Screen w/ Interp	$36.11	$103.17	$36.11–$571.04	49% below	65%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Result	$25.55	$73.00	$25.55–$571.04	—	65%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DSP 9, MECONIUM	$25.55	$73.00	$25.55–$571.04	—	65%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Meconium CoC SO	$25.55	$73.00	$25.55–$571.04	—	65%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Alcohol, Ethyl, Ql w/Confirm Ur QSTS	$26.52	$75.77	$26.52–$571.04	—	65%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Urine Fentanyl Screen w/ Interp	$36.11	$103.17	$36.11–$571.04	—	65%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Fentanyl Screen Urine	$36.11	$103.17	$36.11–$571.04	—	65%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Electrolyte Panel	$30.50	$87.15	$4.98–$55.08	65% below	65%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 Electrolyte Panel	$30.50	$87.15	$4.98–$55.08	—	65%
Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin, Stool QST	$62.78	$179.38	$13.96–$154.10	14% below	65%
Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin, Stool QSTS	$62.78	$179.38	$13.96–$154.10	14% below	65%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Calprotectin, Stool QSTS	$62.78	$179.38	$13.96–$154.10	—	65%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Calprotectin, Stool QST	$62.78	$179.38	$13.96–$154.10	—	65%
Ferritin blood test (iron stores) CPT 82728 Ferritin	$58.99	$168.53	$9.66–$106.95	45% below	65%
Ferritin blood test (iron stores) inpatient CPT 82728 Ferritin	$58.99	$168.53	$9.66–$106.95	—	65%
Folate (folic acid) blood test CPT 82746 Folate Level	$63.76	$182.18	$10.46–$115.43	42% below	65%
Folate (folic acid) blood test inpatient CPT 82746 Folate Level	$63.76	$182.18	$10.46–$115.43	—	65%
Free T4 (free thyroxine) thyroid blood test CPT 84439 Free T4 Level	$22.88	$65.36	$6.33–$70.81	66% below	65%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Free T4 Level	$22.88	$65.36	$6.33–$70.81	—	65%
Free testosterone test CPT 84402 Testosterone, Total, MS QST	$36.30	$103.72	$18.11–$199.90	22% above	65%
Free testosterone test CPT 84402 Testosterone, Free QSTS	$36.30	$103.72	$18.11–$199.90	22% above	65%
Free testosterone test CPT 84402 Testosterone, Free QST	$36.30	$103.72	$18.11–$199.90	22% above	65%
Free testosterone test inpatient CPT 84402 Testosterone, Free QST	$36.30	$103.72	$18.11–$199.90	—	65%
Free testosterone test inpatient CPT 84402 Testosterone, Total, MS QST	$36.30	$103.72	$18.11–$199.90	—	65%
Free testosterone test inpatient CPT 84402 Testosterone, Free QSTS	$36.30	$103.72	$18.11–$199.90	—	65%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 Gamma Glutamyl Transferase	$31.24	$89.25	$5.12–$56.54	30% below	65%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 Gamma Glutamyl Transferase	$31.24	$89.25	$5.12–$56.54	—	65%
Glucose tolerance test, 3 samples CPT 82951 Glucose 2 Hour 75gm	$32.67	$93.33	$9.02–$101.10	76% below	65%
Glucose tolerance test, 3 samples CPT 82951 Glucose 3 Hour 100gm	$32.67	$93.33	$9.02–$101.10	76% below	65%
Glucose tolerance test, 3 samples inpatient CPT 82951 Glucose 2 Hour 75gm	$32.67	$93.33	$9.02–$101.10	—	65%
Glucose tolerance test, 3 samples inpatient CPT 82951 Glucose 3 Hour 100gm	$32.67	$93.33	$9.02–$101.10	—	65%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NG PCR	$75.25	$215.00	$20.29–$275.60	14% above	65%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.gonorrhoeae (CT/NG) -GeneXpert	$75.25	$215.00	$20.29–$275.60	14% above	65%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N.gonorrhoeae (CT/NG) -GeneXpert	$75.25	$215.00	$20.29–$275.60	—	65%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NG PCR	$75.25	$215.00	$20.29–$275.60	—	65%
H. pylori antibody blood test CPT 86677 Estriol, Serum QST	$18.45	$52.72	$10.36–$113.97	84% below	65%
H. pylori antibody blood test CPT 86677 Helicobacter Pylori Antibody IgG	$62.84	$179.55	$10.36–$113.97	45% below	65%
H. pylori antibody blood test inpatient CPT 86677 Estriol, Serum QST	$18.45	$52.72	$10.36–$113.97	—	65%
H. pylori antibody blood test inpatient CPT 86677 Helicobacter Pylori Antibody IgG	$62.84	$179.55	$10.36–$113.97	—	65%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV 1 RNA, Quant Real Time PCR QST	$52.50	$150.00	$52.50–$668.16	52% below	65%
HIV viral load test (HIV-1 RNA, quantitative) one side CPT 87536 HIV 1 RNA, Quant RT PCR QSTS	$52.50	$150.00	$52.50–$668.16	52% below	65%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV 1 RNA, Quant Real Time PCR QST	$52.50	$150.00	$52.50–$668.16	—	65%
HIV viral load test (HIV-1 RNA, quantitative) inpatient one side CPT 87536 HIV 1 RNA, Quant RT PCR QSTS	$52.50	$150.00	$52.50–$668.16	—	65%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 1/2 Ag/Ab, Fourth Gen w/Rfl QST	$9.63	$27.50	$9.63–$191.75	89% below	65%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 1/2 Antibody Screen	$9.63	$27.50	$9.63–$191.75	89% below	65%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV 1/2 Antibody Screen	$9.63	$27.50	$9.63–$191.75	—	65%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV 1/2 Ag/Ab, Fourth Gen w/Rfl QST	$9.63	$27.50	$9.63–$191.75	—	65%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1C QST	$7.22	$20.64	$6.83–$76.21	89% below	65%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1c	$42.12	$120.33	$6.83–$76.21	35% below	65%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hemoglobin A1C QST	$7.22	$20.64	$6.83–$76.21	—	65%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hemoglobin A1c	$42.12	$120.33	$6.83–$76.21	—	65%
Hemoglobin blood test CPT 85018 Hemoglobin Clinic POC (RE)	$3.66	$8.13	$1.66–$2.02	91% below	55%
Hemoglobin blood test CPT 85018 Hemoglobin	$10.29	$29.40	$1.66–$18.60	74% below	65%
Hemoglobin blood test inpatient CPT 85018 Hemoglobin	$10.29	$29.40	$1.66–$18.60	—	65%
Hepatitis B core antibody test (total) CPT 86704 Hepatitis B Core Antibody Total IgG and IgM	$30.58	$87.36	$8.57–$94.64	19% below	65%
Hepatitis B core antibody test (total) inpatient CPT 86704 Hepatitis B Core Antibody Total IgG and IgM	$30.58	$87.36	$8.57–$94.64	—	65%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B Surface Antigen	$26.20	$74.85	$7.30–$81.10	63% below	65%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hep B Surface Ag	$26.20	$74.85	$7.30–$81.10	63% below	65%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B Surface Antigen w/ Interp	$26.20	$74.85	$7.30–$81.10	63% below	65%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hepatitis B Surface Antigen	$26.20	$74.85	$7.30–$81.10	—	65%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hepatitis B Surface Antigen w/ Interp	$26.20	$74.85	$7.30–$81.10	—	65%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hep B Surface Ag	$26.20	$74.85	$7.30–$81.10	—	65%
Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C Antibody w/ Interp	$36.20	$103.44	$10.06–$112.06	38% below	65%
Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C Ab	$36.20	$103.44	$10.06–$112.06	38% below	65%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hepatitis C Antibody w/ Interp	$36.20	$103.44	$10.06–$112.06	—	65%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hepatitis C Ab	$36.20	$103.44	$10.06–$112.06	—	65%
Hepatitis C viral load (HCV RNA) test CPT 87522 Hep C Viral RNA Qn Real Time PCR rfx QST	$34.65	$99.00	$25.21–$336.36	61% below	65%
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA, Quant Real Time PCR QST	$34.65	$99.00	$25.21–$336.36	61% below	65%
Hepatitis C viral load (HCV RNA) test one side CPT 87522 Hep C Viral RNA Qn RT PCR rfx QSTS	$34.65	$99.00	$25.21–$336.36	61% below	65%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV RNA, Quant Real Time PCR QST	$34.65	$99.00	$25.21–$336.36	—	65%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hep C Viral RNA Qn Real Time PCR rfx QST	$34.65	$99.00	$25.21–$336.36	—	65%
Hepatitis C viral load (HCV RNA) test inpatient one side CPT 87522 Hep C Viral RNA Qn RT PCR rfx QSTS	$34.65	$99.00	$25.21–$336.36	—	65%
Herpes blood test, HSV-1 antibody CPT 86695 HSV 1 IgG Index: QSTS	$8.54	$24.39	$8.54–$103.58	56% below	65%
Herpes blood test, HSV-1 antibody CPT 86695 HSV1 IgG Type Specific Ab QSTS	$10.24	$29.26	$9.38–$103.58	47% below	65%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV 1 IgG Index: QSTS	$8.54	$24.39	$8.54–$103.58	—	65%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV1 IgG Type Specific Ab QSTS	$10.24	$29.26	$9.38–$103.58	—	65%
Herpes blood test, HSV-2 antibody CPT 86696 HSV 2 IgG Index: QSTS	$8.54	$24.39	$8.54–$152.02	64% below	65%
Herpes blood test, HSV-2 antibody CPT 86696 HSV2 IgG Type Specific Ab QSTS	$10.24	$29.26	$10.24–$152.02	57% below	65%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV 2 IgG Index: QSTS	$8.54	$24.39	$8.54–$152.02	—	65%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV2 IgG Type Specific Ab QSTS	$10.24	$29.26	$10.24–$152.02	—	65%
High-sensitivity CRP (hs-CRP) test CPT 86141 C-Reactive Protein High Sensitivity	$56.05	$160.13	$8.85–$101.67	17% below	65%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C-Reactive Protein High Sensitivity	$56.05	$160.13	$8.85–$101.67	—	65%
Insulin blood test CPT 83525 Insulin, Intact, LC/MS/MS QST	$23.10	$66.00	$6.40–$89.81	49% below	65%
Insulin blood test CPT 83525 Insulin Level Total	$23.80	$68.00	$6.40–$89.81	47% below	65%
Insulin blood test inpatient CPT 83525 Insulin, Intact, LC/MS/MS QST	$23.10	$66.00	$6.40–$89.81	—	65%
Insulin blood test inpatient CPT 83525 Insulin Level Total	$23.80	$68.00	$6.40–$89.81	—	65%
Iron blood test (serum iron) CPT 83540 Iron Level	$28.12	$80.33	$4.58–$50.86	52% below	65%
Iron blood test (serum iron) inpatient CPT 83540 Iron Level	$28.12	$80.33	$4.58–$50.86	—	65%
Iron-binding capacity (TIBC) test CPT 83550 Total Iron Binding Capacity	$18.76	$53.59	$5.51–$58.05	75% below	65%
Iron-binding capacity (TIBC) test inpatient CPT 83550 Total Iron Binding Capacity	$18.76	$53.59	$5.51–$58.05	—	65%
Kidney function blood test panel CPT 80069 Renal Function Panel	$37.67	$107.63	$6.08–$68.17	74% below	65%
Kidney function blood test panel inpatient CPT 80069 Renal Function Panel	$37.67	$107.63	$6.08–$68.17	—	65%
Lactate (lactic acid) blood test CPT 83605 Lactic Acid Venous	$46.31	$132.30	$7.53–$83.85	67% below	65%
Lactate (lactic acid) blood test inpatient CPT 83605 Lactic Acid Venous	$46.31	$132.30	$7.53–$83.85	—	65%
Lactate dehydrogenase (LDH) blood test CPT 83615 Lactate Dehydrogenase Body Fluid	$26.09	$74.55	$4.30–$47.43	23% below	65%
Lactate dehydrogenase (LDH) blood test CPT 83615 Lactate Dehydrogenase	$26.09	$74.55	$4.30–$47.43	23% below	65%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Lactate Dehydrogenase	$26.09	$74.55	$4.30–$47.43	—	65%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Lactate Dehydrogenase Body Fluid	$26.09	$74.55	$4.30–$47.43	—	65%
Lipase blood test (pancreas enzyme) CPT 83690 Lipase Level	$29.95	$85.58	$4.86–$54.06	73% below	65%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase Level	$29.95	$85.58	$4.86–$54.06	—	65%
Liver function blood test panel CPT 80076 Hepatic Function Panel	$35.47	$101.33	$5.10–$64.18	77% below	65%
Liver function blood test panel inpatient CPT 80076 Hepatic Function Panel	$35.47	$101.33	$5.10–$64.18	—	65%
Magnesium blood test CPT 83735 Magnesium Level	$29.03	$82.95	$4.77–$52.60	63% below	65%
Magnesium blood test inpatient CPT 83735 Magnesium Level	$29.03	$82.95	$4.77–$52.60	—	65%
Measles (rubeola) antibody test CPT 86765 Measles Ab (IgM) QSTS	$14.31	$40.89	$9.16–$101.16	57% below	65%
Measles (rubeola) antibody test inpatient CPT 86765 Measles Ab (IgM) QSTS	$14.31	$40.89	$9.16–$101.16	—	65%
Mono test (heterophile antibody, Monospot) CPT 86308 Mononucleosis Screen	$21.18	$60.50	$3.59–$40.63	80% below	65%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Mononucleosis Screen	$21.18	$60.50	$3.59–$40.63	—	65%
Mumps immunity blood test CPT 86735 Mumps Virus Ab (IgM) QSTS	$5.88	$16.81	$5.88–$102.45	70% below	65%
Mumps immunity blood test CPT 86735 Mumps Virus Ab (IgM) QST	$5.88	$16.81	$5.88–$102.45	70% below	65%
Mumps immunity blood test inpatient CPT 86735 Mumps Virus Ab (IgM) QST	$5.88	$16.81	$5.88–$102.45	—	65%
Mumps immunity blood test inpatient CPT 86735 Mumps Virus Ab (IgM) QSTS	$5.88	$16.81	$5.88–$102.45	—	65%
PSA (prostate-specific antigen) blood test, total CPT 84153 Prostate Specific Antigen Total	$46.67	$133.33	$13.08–$144.43	20% below	65%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Prostate Specific Antigen Total	$46.67	$133.33	$13.08–$144.43	—	65%
Parathyroid hormone (PTH) blood test CPT 83970 Parathyroid Hormone Intact	$178.79	$510.83	$27.87–$324.11	62% above	65%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 Parathyroid Hormone Intact	$178.79	$510.83	$27.87–$324.11	—	65%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT-LA Screen QSTS	$5.25	$15.00	$4.27–$47.10	92% below	65%
Partial thromboplastin time (PTT) clotting test CPT 85730 Activated PTT	$26.09	$74.55	$4.27–$47.10	61% below	65%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT, Activated QSTS	$32.97	$94.19	$4.27–$48.04	50% below	65%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT, Activated QST	$43.51	$124.31	$4.27–$63.40	35% below	65%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT-LA Screen QSTS	$5.25	$15.00	$4.27–$47.10	—	65%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Activated PTT	$26.09	$74.55	$4.27–$47.10	—	65%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT, Activated QSTS	$32.97	$94.19	$4.27–$48.04	—	65%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT, Activated QST	$43.51	$124.31	$4.27–$63.40	—	65%
Phosphorus (phosphate) blood test CPT 84100 Phosphorus Level	$20.58	$58.80	$3.37–$37.26	73% below	65%
Phosphorus (phosphate) blood test inpatient CPT 84100 Phosphorus Level	$20.58	$58.80	$3.37–$37.26	—	65%
Potassium blood test CPT 84132 Potassium Level	$19.85	$56.70	$2.75–$36.08	73% below	65%
Potassium blood test inpatient CPT 84132 Potassium Level	$19.85	$56.70	$2.75–$36.08	—	65%
Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time and INR	$17.09	$48.83	$2.79–$30.85	74% below	65%
Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time	$17.09	$48.83	$2.79–$30.85	74% below	65%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time and INR	$17.09	$48.83	$2.79–$30.85	—	65%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time	$17.09	$48.83	$2.79–$30.85	—	65%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 Strep A, Rapid	$40.24	$114.98	$5.59–$72.95	64% below	65%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Strep A, Rapid	$40.24	$114.98	$5.59–$72.95	—	65%
Renin blood test CPT 84244 PRA,LC/MS/MS QSTS	$13.99	$39.98	$13.99–$172.70	44% below	65%
Renin blood test inpatient CPT 84244 PRA,LC/MS/MS QSTS	$13.99	$39.98	$13.99–$172.70	—	65%
Rh blood typing CPT 86901 Bill only- Rh Typing	$8.31	$23.75	$1.97–$59.15	88% below	65%
Rh blood typing CPT 86901 Rh Only	$12.86	$36.75	$1.97–$59.15	82% below	65%
Rh blood typing CPT 86901 Weak D Tube	$12.86	$36.75	$1.97–$59.15	82% below	65%
Rh blood typing CPT 86901 86901 Rh	$12.86	$36.75	$1.97–$59.15	82% below	65%
Rh blood typing CPT 86901 Bill only- Rh Discrepancy Resolution	$29.31	$83.75	$1.97–$59.15	59% below	65%
Rh blood typing inpatient CPT 86901 Bill only- Rh Typing	$8.31	$23.75	$1.97–$59.15	—	65%
Rh blood typing inpatient CPT 86901 86901 Rh	$12.86	$36.75	$1.97–$59.15	—	65%
Rh blood typing inpatient CPT 86901 Rh Only	$12.86	$36.75	$1.97–$59.15	—	65%
Rh blood typing inpatient CPT 86901 Weak D Tube	$12.86	$36.75	$1.97–$59.15	—	65%
Rh blood typing inpatient CPT 86901 Bill only- Rh Discrepancy Resolution	$29.31	$83.75	$1.97–$59.15	—	65%
Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor QSTS	$21.53	$61.50	$4.02–$44.57	63% above	65%
Rheumatoid factor (RF) test CPT 86431 MCV Ab QST	$38.13	$108.93	$4.02–$55.55	189% above	65%
Rheumatoid factor (RF) test inpatient CPT 86431 Rheumatoid Factor QSTS	$21.53	$61.50	$4.02–$44.57	—	65%
Rheumatoid factor (RF) test inpatient CPT 86431 MCV Ab QST	$38.13	$108.93	$4.02–$55.55	—	65%
Rubella antibody test (immunity check) CPT 86762 Rubella Antibody (IgM) QSTS	$23.62	$67.48	$10.23–$113.02	58% below	65%
Rubella antibody test (immunity check) CPT 86762 Rubella Ab IgM QST	$23.62	$67.48	$10.23–$113.02	58% below	65%
Rubella antibody test (immunity check) CPT 86762 Rubella IgG	$27.25	$77.86	$10.23–$113.02	52% below	65%
Rubella antibody test (immunity check) CPT 86762 Rubella IgG Antibody	$61.93	$176.93	$10.23–$113.02	10% above	65%
Rubella antibody test (immunity check) CPT 86762 Rubella IgG Antibody w/ Interp	$61.93	$176.93	$10.23–$113.02	10% above	65%
Rubella antibody test (immunity check) inpatient CPT 86762 Rubella Ab IgM QST	$23.62	$67.48	$10.23–$113.02	—	65%
Rubella antibody test (immunity check) inpatient CPT 86762 Rubella Antibody (IgM) QSTS	$23.62	$67.48	$10.23–$113.02	—	65%
Rubella antibody test (immunity check) inpatient CPT 86762 Rubella IgG	$27.25	$77.86	$10.23–$113.02	—	65%
Rubella antibody test (immunity check) inpatient CPT 86762 Rubella IgG Antibody w/ Interp	$61.93	$176.93	$10.23–$113.02	—	65%
Rubella antibody test (immunity check) inpatient CPT 86762 Rubella IgG Antibody	$61.93	$176.93	$10.23–$113.02	—	65%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Erythrocyte Sedimentation Rate (ESR)	$15.44	$44.10	$1.92–$22.49	72% below	65%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 Erythrocyte Sedimentation Rate (ESR)	$15.44	$44.10	$1.92–$22.49	—	65%
Sodium blood test CPT 84295 Sodium Level	$20.95	$59.85	$2.81–$37.77	68% below	65%
Sodium blood test inpatient CPT 84295 Sodium Level	$20.95	$59.85	$2.81–$37.77	—	65%
Stool test for hidden blood (guaiac FOBT) CPT 82270 Stool For Occult Blood Clinic POC (RE)	$11.70	$26.00	$2.34–$2.85	70% below	55%
Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult Blood Stool Screen	$14.15	$40.43	$2.34–$25.51	64% below	65%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Occult Blood Stool Screen	$14.15	$40.43	$2.34–$25.51	—	65%
Syphilis antibody test (Treponema pallidum) CPT 86780 T. pallidum IgG QSTS	$18.27	$52.20	$9.12–$160.80	19% below	65%
Syphilis antibody test (Treponema pallidum) CPT 86780 T. pallidum IgM QSTS	$18.27	$52.20	$9.12–$160.80	19% below	65%
Syphilis antibody test (Treponema pallidum) CPT 86780 Syphilis Ab Cascading Rfx QSTS	$24.40	$69.70	$9.12–$160.80	8% above	65%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 T. pallidum IgM QSTS	$18.27	$52.20	$9.12–$160.80	—	65%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 T. pallidum IgG QSTS	$18.27	$52.20	$9.12–$160.80	—	65%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Syphilis Ab Cascading Rfx QSTS	$24.40	$69.70	$9.12–$160.80	—	65%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL, Serum QSTS	$4.16	$11.89	$2.54–$33.50	80% below	65%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL, Serum QST	$4.16	$11.89	$2.54–$33.50	80% below	65%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL, CSF QSTS	$5.02	$14.35	$2.54–$33.50	76% below	65%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL, CSF QST	$5.02	$14.35	$2.54–$33.50	76% below	65%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Rapid Plasma Reagin	$18.38	$52.50	$2.54–$33.50	12% below	65%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Rapid Plasma Reagin Qualitative w/ Reflex	$18.38	$52.50	$2.54–$33.50	12% below	65%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL, Serum QST	$4.16	$11.89	$2.54–$33.50	—	65%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL, Serum QSTS	$4.16	$11.89	$2.54–$33.50	—	65%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL, CSF QSTS	$5.02	$14.35	$2.54–$33.50	—	65%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL, CSF QST	$5.02	$14.35	$2.54–$33.50	—	65%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Rapid Plasma Reagin Qualitative w/ Reflex	$18.38	$52.50	$2.54–$33.50	—	65%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Rapid Plasma Reagin	$18.38	$52.50	$2.54–$33.50	—	65%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB Gold (QuantiFERON)	$115.16	$329.02	$34.71–$486.64	19% above	65%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Quantiferon Gold-TB SO	$115.16	$329.02	$34.71–$486.64	19% above	65%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 TB Gold (QuantiFERON)	$115.16	$329.02	$34.71–$486.64	—	65%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 Quantiferon Gold-TB SO	$115.16	$329.02	$34.71–$486.64	—	65%
Thyroid peroxidase (TPO) antibody test CPT 86376 Liver Kidney Microsome LKM-1 Ab IgG QSTS	$12.25	$35.00	$10.34–$114.25	46% below	65%
Thyroid peroxidase (TPO) antibody test CPT 86376 Liver Kidney Microsome LKM-1 Ab IgG QST	$12.25	$35.00	$10.34–$114.25	46% below	65%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Liver Kidney Microsome LKM-1 Ab IgG QST	$12.25	$35.00	$10.34–$114.25	—	65%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Liver Kidney Microsome LKM-1 Ab IgG QSTS	$12.25	$35.00	$10.34–$114.25	—	65%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Stimulating Hormone	$42.61	$121.75	$11.81–$131.90	61% below	65%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH with Reflex to FT4	$42.61	$121.75	$11.81–$131.90	61% below	65%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH with Reflex to FT4	$42.61	$121.75	$11.81–$131.90	—	65%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Thyroid Stimulating Hormone	$42.61	$121.75	$11.81–$131.90	—	65%
Total IgE blood test CPT 82785 D. farinae (d2) IgE QSTS	$15.13	$43.23	$11.68–$129.32	76% below	65%
Total IgE blood test inpatient CPT 82785 D. farinae (d2) IgE QSTS	$15.13	$43.23	$11.68–$129.32	—	65%
Total cholesterol blood test CPT 82465 Hdl Cholesterol QST	$3.91	$11.18	$3.10–$34.17	91% below	65%
Total cholesterol blood test CPT 82465 Cholesterol, Total QST	$3.91	$11.18	$3.10–$34.17	91% below	65%
Total cholesterol blood test CPT 82465 Cholesterol, Total QSTS	$6.55	$18.70	$3.10–$34.17	85% below	65%
Total cholesterol blood test CPT 82465 Cholesterol Total	$18.74	$53.55	$3.10–$34.17	58% below	65%
Total cholesterol blood test inpatient CPT 82465 Cholesterol, Total QST	$3.91	$11.18	$3.10–$34.17	—	65%
Total cholesterol blood test inpatient CPT 82465 Hdl Cholesterol QST	$3.91	$11.18	$3.10–$34.17	—	65%
Total cholesterol blood test inpatient CPT 82465 Cholesterol, Total QSTS	$6.55	$18.70	$3.10–$34.17	—	65%
Total cholesterol blood test inpatient CPT 82465 Cholesterol Total	$18.74	$53.55	$3.10–$34.17	—	65%
Total triiodothyronine (T3) blood test CPT 84480 T3 Total	$144.45	$412.70	$10.07–$210.48	85% above	65%
Total triiodothyronine (T3) blood test inpatient CPT 84480 T3 Total	$144.45	$412.70	$10.07–$210.48	—	65%
Transferrin blood test CPT 84466 Transferrin	$55.31	$158.03	$8.81–$100.26	12% below	65%
Transferrin blood test inpatient CPT 84466 Transferrin	$55.31	$158.03	$8.81–$100.26	—	65%
Triglycerides blood test CPT 84478 Triglycerides QSTS	$6.55	$18.70	$4.02–$45.18	84% below	65%
Triglycerides blood test CPT 84478 Triglyceride	$24.99	$71.40	$4.02–$45.18	39% below	65%
Triglycerides blood test inpatient CPT 84478 Triglycerides QSTS	$6.55	$18.70	$4.02–$45.18	—	65%
Triglycerides blood test inpatient CPT 84478 Triglyceride	$24.99	$71.40	$4.02–$45.18	—	65%
Troponin test, quantitative CPT 84484 Troponin-I	$42.63	$121.80	$6.78–$110.80	76% below	65%
Troponin test, quantitative inpatient CPT 84484 Troponin-I	$42.63	$121.80	$6.78–$110.80	—	65%
Uric acid blood test CPT 84550 Uric Acid	$19.66	$56.18	$3.21–$35.46	70% below	65%
Uric acid blood test inpatient CPT 84550 Uric Acid	$19.66	$56.18	$3.21–$35.46	—	65%
Urinalysis with microscope exam, automated CPT 81001 UA Complete w Cult if Ind	$13.78	$39.38	$2.22–$24.90	83% below	65%
Urinalysis with microscope exam, automated inpatient CPT 81001 UA Complete w Cult if Ind	$13.78	$39.38	$2.22–$24.90	—	65%
Urinalysis with microscope exam, manual CPT 81000 Urine Dipstick POC	$8.42	$18.71	$2.06–$2.52	73% below	55%
Urinalysis with microscope exam, manual CPT 81000 Urine Dipstick Clinic POC (RE)	$8.42	$18.71	$2.06–$2.52	73% below	55%
Urinalysis without microscope exam, automated CPT 81003 Urinalysis Automated w/o Micro Clinic POC (RE)	$7.33	$16.29	$1.57–$1.91	87% below	55%
Urinalysis without microscope exam, manual CPT 81002 POCT Urinalysis Dipstick	$10.00	$40.00	$1.72–$20.40	71% below	75%
Urinalysis without microscope exam, manual inpatient CPT 81002 POCT Urinalysis Dipstick	$10.00	$40.00	$1.72–$20.40	—	75%
Urine culture for bacteria, with colony count CPT 87086 Urine Culture	$34.91	$99.75	$4.52–$63.39	75% below	65%
Urine culture for bacteria, with colony count inpatient CPT 87086 Urine Culture	$34.91	$99.75	$4.52–$63.39	—	65%
Urine microalbumin (albumin) test CPT 82043 Microalbumin Level Urine	$30.77	$87.90	$4.06–$45.47	14% below	65%
Urine microalbumin (albumin) test inpatient CPT 82043 Microalbumin Level Urine	$30.77	$87.90	$4.06–$45.47	—	65%
Urine pregnancy test, read by color change CPT 81025 Urine Pregnancy POCT	$6.55	$18.71	$2.80–$43.27	93% below	65%
Urine pregnancy test, read by color change CPT 81025 Beta hCG Qualitative Urine	$23.89	$68.25	$2.80–$43.27	73% below	65%
Urine pregnancy test, read by color change CPT 81025 Urine Pregnancy Test Clinic POC (RE)	$30.71	$68.25	$2.80–$3.42	65% below	55%
Urine pregnancy test, read by color change inpatient CPT 81025 Urine Pregnancy POCT	$6.55	$18.71	$2.80–$43.27	—	65%
Urine pregnancy test, read by color change inpatient CPT 81025 Beta hCG Qualitative Urine	$23.89	$68.25	$2.80–$43.27	—	65%
Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B12 Level	$65.23	$186.38	$10.66–$118.36	30% below	65%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vitamin B12 Level	$65.23	$186.38	$10.66–$118.36	—	65%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D 25 Hydroxy Level	$75.09	$214.55	$23.78–$232.44	15% above	65%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D 25 Hydroxy Level	$75.09	$214.55	$23.78–$232.44	—	65%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 hCG, Total, Qn QST	$14.00	$40.00	$10.59–$118.19	92% below	65%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 hCG, Total, Qn QSTS	$14.00	$40.00	$10.59–$118.19	92% below	65%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Beta hCG Quantitative	$32.34	$92.40	$10.59–$118.19	82% below	65%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Total hCG Quantitative	$65.23	$186.38	$10.59–$118.19	64% below	65%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 hCG, Total, Qn QST	$14.00	$40.00	$10.59–$118.19	—	65%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 hCG, Total, Qn QSTS	$14.00	$40.00	$10.59–$118.19	—	65%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Beta hCG Quantitative	$32.34	$92.40	$10.59–$118.19	—	65%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Total hCG Quantitative	$65.23	$186.38	$10.59–$118.19	—	65%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs California	Off list
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 MG Breast Biopsy w/ Stereo Guide Bilater	$1,206.45	$3,447.00	$632.17–$3,447.00	72% below	65%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 19081 Biopsy, breast, w/ localization device; first lesion, including stereotactic guidance	$1,307.75	$5,231.00	$632.17–$5,231.00	70% below	75%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 MG Breast Biopsy w/ Stereo Guide Left	$786.93	$3,147.71	$632.17–$3,409.09	82% below	75%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 MG Breast Biopsy w/ Stereo Guide Right	$786.93	$3,147.71	$632.17–$3,409.09	82% below	75%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 MG Breast Biopsy w/ Stereo Guide Bilater	$1,206.45	$3,447.00	$632.17–$3,447.00	—	65%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 MG Breast Biopsy w/ Stereo Guide Left	$786.93	$3,147.71	$632.17–$3,409.09	—	75%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 MG Breast Biopsy w/ Stereo Guide Right	$786.93	$3,147.71	$632.17–$3,409.09	—	75%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 27786-Distal Fibular w/o Manipulation	$205.50	$822.00	$249.47–$411.82	62% below	75%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 28470 - Metatarsal w/o manipulation	$129.75	$519.00	$181.65–$390.62	76% below	75%
Cardiac catheterization with coronary angiogram CPT 93458 93458 LHC CORONARY ANGIO, W/VENTRIC WHEN PERFORMED	$3,052.25	$12,209.00	$693.51–$12,209.00	76% below	75%
Cardioversion, elective (restoring heart rhythm) CPT 92960 92960 - CARDIOVERSION ELECTIVE ARRHYTHMIA EXTERNAL	$230.00	$920.00	$175.66–$1,046.65	88% below	75%
Cardioversion, elective (restoring heart rhythm) CPT 92960 92960 - Cardioversion; Elective	$230.00	$920.00	$175.66–$1,046.65	88% below	75%
Cervical biopsy CPT 57500 57500 Biopsy of cervix	$316.56	$1,055.21	$58.15–$1,225.18	80% below	70%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 54150 Circumcision using clamp or devise	$834.70	$2,782.32	$2,648.22–$2,780.63	23% below	70%
Circumcision, surgical, older than a newborn CPT 54160 54160 Circumcision neonate	$281.40	$938.01	$883.38–$927.54	31% below	70%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 25600-Distal Radial w/o Manipulation	$150.25	$601.00	$210.35–$390.62	75% below	75%
Colonoscopy with polyp removal CPT 45385 45385 - Colonoscopy; w/removal of tumor/polyp	$460.75	$1,843.00	$574.08–$1,894.97	80% below	75%
Colonoscopy with polyp removal inpatient CPT 45385 Colonoscopy Flexible w/ Removal Charge	$438.75	$1,755.00	$614.25–$879.26	—	75%
Colonoscopy, diagnostic CPT 45378 45378 - Colonoscopy; w/collection of specimen	$286.50	$1,146.00	$401.10–$1,472.66	86% below	75%
Colonoscopy, diagnostic inpatient CPT 45378 Colonoscopy Flexible Diagnostic Charge	$272.75	$1,091.00	$381.85–$546.59	—	75%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 57460 Bx of cervix w/scope leep	$1,272.35	$4,241.16	$268.19–$4,306.03	73% below	70%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 57454 Bx/curett of cervix w/scope	$131.38	$437.94	$123.56–$405.35	86% below	70%
Coronary stent placement, one artery CPT 92928 92928 PERC CARD STENT W/ANGIOPLASTY 1 VSL	$10,762.00	$43,048.00	$483.05–$21,567.05	28% below	75%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 52000 Cystoscopy.	$281.40	$938.01	$124.43–$927.54	83% below	70%
D&C (dilation and curettage), not related to pregnancy CPT 58120 Dilatation and Curettage	$1,219.25	$4,877.00	$319.79–$5,126.22	71% below	75%
Earwax removal by irrigation (rinsing), one ear CPT 69209 69209 Ear Lavage	$16.81	$56.04	$11.54–$78.47	91% below	70%
Earwax removal by irrigation (rinsing), one ear CPT 69209 69209-Cerumen Irrigation/Lavage	$24.00	$96.00	$11.54–$93.42	86% below	75%
Earwax removal with instruments, one ear one side CPT 69210 69210 Removal impacted cerumen (ear wax) requiring instrumentation, unilateral	$25.87	$86.22	$43.79–$78.47	85% below	70%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 58100 Biopsy of uterus lining.	$80.16	$267.20	$58.87–$268.93	85% below	70%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 62321 INJECTION(S), OF DIAGNOSTIC OR THERAPEUTIC SUBSTANCE(S) DIAG/CERV/THORAC	$654.38	$2,617.50	$223.38–$2,617.50	67% below	75%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 62321 SINGLE CERV/THOR W IMAGING CHARGE	$689.93	$2,759.70	$223.38–$2,759.70	65% below	75%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 64493 INJ PARAVER LUM/SAC 1ST LEVEL	$380.82	$1,523.26	$144.45–$2,547.45	82% below	75%
Hemorrhoid banding (rubber band ligation) CPT 46221 46224-Hemorrhoidectomy, internal	$310.44	$1,241.76	$110.55–$1,472.66	83% below	75%
Hysterectomy through an abdominal incision (total) CPT 58150 58150 Total Abd Hysterectomy (PION)	$2,509.20	$5,576.00	$1,162.90–$1,418.73	5% below	55%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 58340 - CATHETER FOR HYSTEROGRAPHY	$654.38	$2,617.50	$266.01–$6,293.70	1% above	75%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 58558 Hysteroscopy, surgical; w/ biopsy of endometrium and/or polypectomy, with or w/o D & C	$1,272.35	$4,241.16	$251.48–$4,306.03	82% below	70%
IUD insertion (the device itself billed separately) CPT 58300 58300 Insert intrauterine device	$215.74	$479.43	$168.22–$205.23	63% below	55%
IUD insertion (the device itself billed separately) CPT 58300 58300: IUD Insertion - Admin Other Charge	$258.94	$575.43	$168.22–$205.23	56% below	55%
Incision and drainage of a simple or single skin abscess CPT 10060 10060 Drainage Skin Abscess Simple	$81.26	$270.87	$60.88–$266.88	83% below	70%
Incision and drainage of a simple or single skin abscess CPT 10060 10060 DRAINAGE OF SKIN ABSCESS CHARGE	$108.68	$362.25	$60.88–$362.25	77% below	70%
Incision and drainage of a simple or single skin abscess CPT 10060 10060 I & D OF ABSCESS SIMPLE CHARGE	$108.68	$362.25	$60.88–$362.25	77% below	70%
Incision and drainage of a simple or single skin abscess CPT 10060 10060-I&D Abscess/Cyst/Hematoma Simple	$138.75	$555.00	$60.88–$317.72	70% below	75%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 20550 - Inj single tendon/ligament	$107.00	$427.98	$65.68–$486.08	84% below	75%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 20550: Injection(s); tendon sheath - Admin Other Charge	$122.35	$407.84	$65.68–$408.31	81% below	70%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 20610 Arthrocentesis, aspiration and/or injection, major joint or bursa	$107.00	$427.98	$65.68–$786.71	89% below	75%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 20610-Major Joint Aspirate/Inject w/o US	$107.00	$427.98	$65.68–$486.08	89% below	75%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 20610 Arthrocentesis, aspiration and/or injection, major joint or bursa.	$107.00	$427.98	$65.68–$786.71	89% below	75%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 20610 Aspiration-Injection Major Joint- Bursa	$107.00	$427.98	$65.68–$786.71	89% below	75%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 20610: Large Joint - Admin Other Charge	$122.35	$407.84	$65.68–$408.31	87% below	70%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 20610 INJECT MAJOR JOINT	$128.39	$427.98	$65.68–$486.08	87% below	70%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 XR Hip Injection/Asp Right	$117.25	$469.00	$65.68–$786.71	88% below	75%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 XR Hip Injection/Asp Left	$164.15	$469.00	$65.68–$786.71	83% below	65%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 IR Joint/Bursa Intmd Arthr/Asp/Inj Left	$1,190.00	$4,760.00	$65.68–$4,760.00	25% above	75%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 IR Joint/Bursa Major Arthr/Asp/Inj Right	$1,190.00	$4,760.00	$65.68–$4,760.00	25% above	75%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 IR Joint/Bursa Major Arthr/Asp/Inj Left	$1,190.00	$4,760.00	$65.68–$4,760.00	25% above	75%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 XR Hip Injection/Asp Right	$117.25	$469.00	$65.68–$786.71	—	75%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 XR Hip Injection/Asp Left	$164.15	$469.00	$65.68–$786.71	—	65%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 IR Joint/Bursa Intmd Arthr/Asp/Inj Left	$1,190.00	$4,760.00	$65.68–$4,760.00	—	75%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 IR Joint/Bursa Major Arthr/Asp/Inj Left	$1,190.00	$4,760.00	$65.68–$4,760.00	—	75%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 IR Joint/Bursa Major Arthr/Asp/Inj Right	$1,190.00	$4,760.00	$65.68–$4,760.00	—	75%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 11981: Insert drug delivery implant - Admin Other Charge	$52.25	$174.17	$168.55–$286.14	82% below	70%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 11981 Insert Drug Implant Device	$52.25	$174.17	$168.55–$286.14	82% below	70%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 20605-Intermediate Aspiration/Inj w/o US	$81.25	$325.00	$54.46–$486.08	87% below	75%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 20605: Medium Joint - Admin Other Charge	$122.35	$407.84	$54.46–$408.31	80% below	70%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 20605 ASP / INJ INTERMEDIATE BURSA	$185.80	$619.33	$54.46–$619.33	69% below	70%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 20605 Fluoro Guide Joint	$919.69	$3,678.75	$54.46–$3,678.75	51% above	75%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 20600-Small Joint Aspirate/Inject w/o US	$107.00	$427.98	$46.46–$486.08	85% below	75%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 20600: Small Joint - Admin Other Charge	$122.35	$407.84	$46.46–$408.31	83% below	70%
Joint injection or drainage, small joint (fingers, toes) one side CPT 20600 IR Joint/Bursa Small Arthr/Asp/Inj Right	$1,190.00	$4,760.00	$46.46–$4,760.00	63% above	75%
Joint injection or drainage, small joint (fingers, toes) inpatient one side CPT 20600 IR Joint/Bursa Small Arthr/Asp/Inj Right	$1,190.00	$4,760.00	$46.46–$4,760.00	—	75%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 12031-Scalp/Trunk/Extremity Less Than/Equal to 2.5 cm	$138.75	$555.00	$121.22–$643.75	84% below	75%
Left heart catheterization, diagnostic one side CPT 93452 93452 LEFT HEART CATH W/VENTRIC. ONLY	$3,052.25	$12,209.00	$549.26–$10,671.00	69% below	75%
Lower-back epidural injection, with imaging guidance CPT 62323 62323 LUMBAR EPIDURAL INJECTION W/ GUIDANCE CHARGE	$275.00	$1,100.00	$220.03–$2,547.45	88% below	75%
Lower-back epidural injection, with imaging guidance CPT 62323 62323 INJECTION(S), OF DIAGNOSTIC OR THERAPEUTIC SUBSTANCE(S) LUMB/SACR	$654.38	$2,617.50	$220.03–$2,617.50	71% below	75%
Lower-back epidural injection, with imaging guidance CPT 62323 62323 SINGLE LUMB/CAUD W IMAGING CHARGE	$689.93	$2,759.70	$220.03–$2,759.70	69% below	75%
Lower-back epidural injection, without imaging guidance CPT 62322 Epidural - Anesthesia Type OB	$258.25	$1,033.00	$138.50–$2,547.45	84% below	75%
Lower-back epidural injection, without imaging guidance CPT 62322 62322 INJECTION(S), OF DIAGNOSTIC OR THERAPEUTIC SUBSTANCE(S) LUM/SAC W/O IMAG	$654.38	$2,617.50	$138.50–$2,617.50	60% below	75%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 64483 INJ TRANFORM LUM/SAC SNG LEVEL	$380.82	$1,523.26	$205.61–$2,547.45	80% below	75%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 11400 Exc Benign Lesion < 0.5 CM	$292.04	$973.46	$83.31–$941.96	78% below	70%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 11400 EXCISION BENIGN LESION TRUNK ARM LEGS	$300.57	$1,001.91	$83.31–$1,121.38	77% below	70%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 11400 EXC BENIGN LES-T/A/L 0.5CM OR < CHARGE FACILITY	$333.02	$1,110.05	$83.31–$1,121.38	75% below	70%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 11400-Excision Lesion Benign Trunk/Extremity <= 0.5 cm	$404.35	$1,617.38	$83.31–$1,121.38	70% below	75%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 11440 EXC BENGN LES-F/E/N/L/MM 0.5CM/< CHARGE	$300.57	$1,001.91	$92.39–$1,121.38	80% below	70%
Nail removal (partial or complete), one nail CPT 11730 11730-Avulsion Nail Plate Single	$63.50	$254.00	$45.93–$317.72	87% below	75%
Nail removal (partial or complete), one nail CPT 11730 11730 Avulsion Nail Plate Simple Single	$81.26	$270.87	$45.93–$266.88	83% below	70%
Nail removal (partial or complete), one nail CPT 11730 11730 AVULSION OF NAIL PLATE SINGLE	$115.61	$385.35	$45.93–$362.69	76% below	70%
Occipital nerve block (injection for headaches) CPT 64405 64405-Inject Nerve Block Great Occipital	$106.75	$427.00	$90.25–$486.08	88% below	75%
Occipital nerve block (injection for headaches) CPT 64405 64405 Injection greater occipital nerve	$122.35	$407.84	$90.25–$408.31	86% below	70%
Occipital nerve block (injection for headaches) CPT 64405 64405 NERV BLK GRTR OCCIPITAL NERV CHARGE	$201.23	$804.92	$90.25–$804.92	77% below	75%
Pacemaker implant (dual chamber) CPT 33208 33208 - INS OF NEW OR REPCMT OF PERM PM IN ATRIAL & VENTR ELECTRODE(S)	$9,931.25	$39,725.00	$1,068.05–$19,902.23	39% below	75%
Paracentesis with imaging guidance CPT 49083 49083 ABD PARACENTESIS W/I CHARGE	$919.69	$3,678.75	$89.72–$3,678.75	50% below	75%
Paracentesis with imaging guidance CPT 49083 49083-Abdominal Paracentesis w/ Imaging Guide	$919.69	$3,678.75	$89.72–$1,843.05	50% below	75%
Paracentesis with imaging guidance CPT 49083 49083 ABD PARACENTESIS WITH IMAGING CHARGE	$919.69	$3,678.75	$89.72–$3,678.75	50% below	75%
Paracentesis with imaging guidance CPT 49083 IR Paracentesis	$919.69	$3,678.75	$89.72–$3,678.75	50% below	75%
Paracentesis with imaging guidance CPT 49083 US Guided Paracentesis	$1,287.56	$3,678.75	$89.72–$3,678.75	30% below	65%
Paracentesis with imaging guidance inpatient CPT 49083 IR Paracentesis	$919.69	$3,678.75	$89.72–$3,678.75	—	75%
Paracentesis with imaging guidance inpatient CPT 49083 US Guided Paracentesis	$1,287.56	$3,678.75	$89.72–$3,678.75	—	65%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 11750 Exc Nail Matrix Partial or Complete	$171.00	$570.00	$121.22–$540.75	87% below	70%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 11750-Excision Nail & Matrix	$216.50	$866.00	$121.22–$643.75	83% below	75%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 11750 EXCISION NAIL MATRIX PERMANENT CHARGE	$351.86	$1,172.85	$121.22–$1,172.85	73% below	70%
Removal of a breast lump, open surgery CPT 19120 19120 Excision Breast Lesion (PION)	$1,390.80	$4,636.00	$302.26–$5,208.31	67% below	70%
Removal of a foreign object under the skin, simple CPT 10120 10120-Subcutaneous Tissue Simple	$138.75	$555.00	$74.23–$643.75	86% below	75%
Removal of a foreign object under the skin, simple CPT 10120 10120 Incision and Removal FB, Subq, Simple	$167.88	$559.61	$74.23–$540.75	83% below	70%
Removal of a foreign object under the skin, simple CPT 10120 10120 INCISION AND REMOVAL OF FOREIGN BODY CHARGE	$635.08	$2,116.92	$74.23–$2,116.92	35% below	70%
Short arm cast (elbow to hand) CPT 29075 29075-Cast Application Elbow to Finger (short arm)	$209.50	$838.00	$118.55–$442.91	58% below	75%
Short arm splint (forearm and hand) CPT 29125 29125 Application of short arm splint (forearm to hand); static	$52.25	$174.17	$75.84–$176.98	87% below	70%
Short arm splint (forearm and hand) CPT 29125 29125-Short Arm	$116.00	$464.00	$75.84–$232.46	71% below	75%
Short leg cast (below the knee) CPT 29405 29405 APPL SHORT LEF CAST	$206.64	$688.80	$122.30–$648.30	59% below	70%
Short leg cast (below the knee) CPT 29405 29405-App of Short Leg Cast (below knee to toes)	$209.50	$838.00	$122.30–$442.91	58% below	75%
Short leg splint (calf to foot) CPT 29515 29515 Application of short leg splint (calf to foot)	$65.59	$218.64	$81.17–$216.16	87% below	70%
Short leg splint (calf to foot) CPT 29515 29515 APPLICATION OF SHORT LEG CAST CHARGE	$78.11	$260.38	$81.17–$257.33	84% below	70%
Short leg splint (calf to foot) CPT 29515 29515-Short Leg	$116.00	$464.00	$81.17–$257.33	77% below	75%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 12001 Laceration Repair < 2.5 CM	$81.26	$270.87	$100.39–$266.88	85% below	70%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 12001 Repair Superficial Wound 2.5 cm or less	$99.95	$333.17	$100.39–$333.17	82% below	70%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 12001-Scalp/Neck/Trunk/Genital/Extremity <= 2.5 cm	$138.75	$555.00	$100.39–$317.72	75% below	75%
Skin biopsy, punch, one lesion CPT 11104 11104 Punch biopsy of skin single lesion	$108.99	$363.30	$112.06–$643.75	85% below	70%
Skin biopsy, punch, one lesion CPT 11104 11104 Punch biopsy of skin (including simple closure, when performed); single lesion	$167.88	$559.61	$112.06–$540.75	77% below	70%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 11600 Exc Malignant Lesion < 0.5 CM	$292.04	$973.46	$99.33–$941.96	85% below	70%
Skin tag removal, up to 15 tags CPT 11200 11200-Removal Skin Tag up to 15	$37.50	$150.00	$45.40–$317.72	91% below	75%
Skin tag removal, up to 15 tags CPT 11200 11200 Remove Skin Tags Up to 15 Lesions	$81.26	$270.87	$45.40–$266.88	79% below	70%
Spinal tap (lumbar puncture), diagnostic CPT 62270 62270 LUMBAR PUNCTURE DIAGNOSTIC CHARGE	$262.50	$1,050.00	$117.49–$2,547.45	80% below	75%
Spinal tap (lumbar puncture), diagnostic CPT 62270 62270 LUMBAR PUNCTURE DIAGNOSTIC	$262.50	$1,050.00	$117.49–$2,547.45	80% below	75%
Spinal tap (lumbar puncture), diagnostic CPT 62270 62270-Lumbar Puncture Diagnostic	$314.00	$1,256.00	$117.49–$1,117.81	76% below	75%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 12002 Laceration Repair 2.6 to 7.5 CM	$81.26	$270.87	$106.81–$266.88	89% below	70%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 12002 REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM CHARGE	$100.64	$335.45	$106.81–$335.45	87% below	70%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 12002-Scalp/Neck/Trunk/Genital/Extremity 2.6-7.5 cm	$138.75	$555.00	$106.81–$317.72	81% below	75%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 12011 Laceration Repair Face < 2.5 CM	$81.26	$270.87	$104.67–$266.88	88% below	70%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 12011-Face/Ear/Eyelid/Nose/Lip Less Than/Equal to 2.5 cm	$138.75	$555.00	$104.67–$317.72	79% below	75%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 11102 Tangential biopsy of skin single lesion	$108.99	$363.30	$89.35–$643.75	80% below	70%
Thoracentesis with imaging guidance CPT 32555 32555-Thoracentesis w/ Imaging Guidance	$267.85	$1,071.38	$92.33–$993.38	87% below	75%
Thoracentesis with imaging guidance CPT 32555 32555 ASPIRATE PLEURA W/IM CHARGE	$654.38	$2,617.50	$92.33–$2,617.50	68% below	75%
Thoracentesis with imaging guidance CPT 32555 32555 Thoracentesis, needle or catheter, aspiration of the pleural space; with imaging guida.	$654.38	$2,617.50	$92.33–$2,617.50	68% below	75%
Thoracentesis with imaging guidance CPT 32555 IR Thoracentesis	$654.38	$2,617.50	$92.33–$2,617.50	68% below	75%
Thoracentesis with imaging guidance CPT 32555 US Guided Thoracentesis	$916.13	$2,617.50	$92.33–$2,617.50	55% below	65%
Thoracentesis with imaging guidance inpatient CPT 32555 IR Thoracentesis	$654.38	$2,617.50	$92.33–$2,617.50	—	75%
Thoracentesis with imaging guidance inpatient CPT 32555 US Guided Thoracentesis	$916.13	$2,617.50	$92.33–$2,617.50	—	65%
Trigger point injections, 1 or 2 muscles CPT 20552 20552-Inject Trigger Point 1-2 Muscles	$47.75	$191.00	$52.49–$486.08	92% below	75%
Trigger point injections, 1 or 2 muscles CPT 20552 20552: Inj Trigger Points One or Two Muscles - Admin Other Charge	$122.35	$407.84	$52.49–$408.31	80% below	70%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 19083 - BX BREAST 1ST LESION US IMAG	$957.50	$3,830.00	$613.92–$3,830.00	70% below	75%
Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 US Breast Biopsy w/ US Guide Right	$1,101.70	$3,147.71	$613.92–$3,409.09	66% below	65%
Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 US Breast Biopsy w/ US Guide Left	$1,101.70	$3,147.71	$613.92–$3,409.09	66% below	65%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 US Breast Biopsy w/ US Guide Right	$1,101.70	$3,147.71	$613.92–$3,409.09	—	65%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 US Breast Biopsy w/ US Guide Left	$1,101.70	$3,147.71	$613.92–$3,409.09	—	65%
Vasectomy, one or both sides, including follow-up semen testing CPT 55250 55250 Removal of sperm duct(s)	$834.70	$2,782.32	$373.82–$2,780.63	68% below	70%
Wart removal, up to 14 warts CPT 17110 17110 Destruct Benign Up tp 14 Lesions	$81.26	$270.87	$99.78–$266.88	77% below	70%
Wart removal, up to 14 warts CPT 17110 17110 DESTRUCTION BENIGN LESION 1-14	$88.65	$295.49	$99.78–$317.72	75% below	70%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 11042-SQ Tissue Less Than/Equal to 1st 20 sq cm	$167.75	$671.00	$103.87–$643.75	75% below	75%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 11042 DEB SQ TISSUE-1ST 20SQCM/< CHARGE	$315.00	$1,050.00	$103.87–$1,050.00	54% below	70%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs California	Off list
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUS BLD/COMP LEV 1	$408.25	$1,633.00	$558.91–$818.13	53% below	75%
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUS BLD/COMP LEV 2	$620.25	$2,481.00	$558.91–$1,242.98	29% below	75%
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUS BLD/COMP LEV 3	$725.75	$2,903.00	$558.91–$1,454.40	17% below	75%
Blood transfusion (giving blood or blood components) CPT 36430 36430 - Transfusion, blood	$745.00	$2,980.00	$558.91–$1,492.98	15% below	75%
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUS BLD/COMP LEV 4	$1,226.25	$4,905.00	$558.91–$2,457.41	40% above	75%
Breathing treatment (nebulizer or inhaler) for airway obstruction one side CPT 94640 Initial - RT CHARGE Aerosol Therapy	$185.15	$529.00	$16.78–$346.77	43% below	65%
Breathing treatment (nebulizer or inhaler) for airway obstruction one side CPT 94640 Initial - RT CHARGE MDI	$185.15	$529.00	$16.78–$346.77	43% below	65%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient one side CPT 94640 Initial - RT CHARGE MDI	$185.15	$529.00	$16.78–$346.77	—	65%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient one side CPT 94640 Initial - RT CHARGE Aerosol Therapy	$185.15	$529.00	$16.78–$346.77	—	65%
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG	$263.13	$1,052.52	$56.37–$536.79	74% below	75%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG	$263.13	$1,052.52	$56.37–$536.79	—	75%
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 ER EKG	$57.53	$230.10	$28.70–$155.45	36% below	75%
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 93005-ED EKG	$57.53	$230.10	$28.70–$155.45	36% below	75%
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 Electrocardiogram 12 Lead	$69.66	$278.63	$28.70–$155.45	22% below	75%
Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 Electrocardiogram 12 Lead	$69.66	$278.63	$28.70–$155.45	—	75%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG POC.	$38.80	$86.22	$23.52–$93.42	89% below	55%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 93005 EKG w/ 12 plus leads Tracing Only	$38.80	$86.22	$23.52–$93.42	89% below	55%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 99281 Emergency Department Visit. Level 1	$114.00	$456.00	$21.77–$2,457.00	73% below	75%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 99282 - Level 2	$139.75	$559.00	$34.97–$2,457.00	84% below	75%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 99283 - Level 3	$349.50	$1,398.00	$63.97–$2,457.00	77% below	75%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 99284 - Level 4	$407.50	$1,630.00	$98.04–$2,457.00	85% below	75%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 99285 - Level 5	$641.00	$2,564.00	$155.03–$2,457.00	82% below	75%
Exercise stress test, tracing only, the hospital charge CPT 93017 Exercise Stress Test	$174.50	$698.00	$52.50–$355.98	87% below	75%
Exercise stress test, tracing only, the hospital charge CPT 93017 Pharmacological Stress Test	$174.50	$698.00	$52.50–$355.98	87% below	75%
Exercise stress test, tracing only, the hospital charge CPT 93017 93017 Cardiovascular stress test; tracing only, without interpretation and report	$189.04	$420.09	$52.50–$341.93	86% below	55%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360 IV HYDRATION INITIAL UP TO 1 HR CHARGE	$83.60	$334.41	$51.30–$336.83	83% below	75%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360 - Hydration, first hour	$83.60	$334.41	$51.30–$336.83	83% below	75%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360-59 IV Hydration Initial Addl Site w/ Modification	$83.60	$334.41	$51.30–$336.83	83% below	75%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360-IV Hydration Initial 31 min - 1 hr	$83.60	$334.41	$51.30–$336.83	83% below	75%
IV infusion of a medicine, first hour CPT 96365 96365- IV tx, first hour	$83.60	$334.41	$62.60–$336.83	86% below	75%
IV infusion of a medicine, first hour CPT 96365 96365-Infusion Drug Initial up to 1 hr Greater Than 15 mins	$83.60	$334.41	$62.60–$336.83	86% below	75%
IV infusion of a medicine, first hour CPT 96365 96365-59 Infusion Initial Addl Site w/ Modification	$83.60	$334.41	$62.60–$336.83	86% below	75%
IV infusion of a medicine, first hour CPT 96365 96365 IV INFUSION INITIAL UP TO 1 HR CHARGE	$83.60	$334.41	$62.60–$336.83	86% below	75%
IV infusion of a medicine, first hour CPT 96365 96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis	$92.96	$309.86	$62.60–$282.94	84% below	70%
IV infusion of a medicine, first hour CPT 96365 96365 IV Infusion Initial Hr.	$100.32	$334.41	$62.60–$336.83	83% below	70%
IV push of a medicine, first drug CPT 96374 96374- IV Injection, single/initial	$64.25	$257.00	$49.82–$336.83	82% below	75%
IV push of a medicine, first drug CPT 96374 96374 INITIAL IV PUSH CHARGE	$64.25	$257.00	$49.82–$336.83	82% below	75%
IV push of a medicine, first drug CPT 96374 96374-IV Push Initial Drug	$64.25	$257.00	$49.82–$336.83	82% below	75%
IV push of a medicine, first drug CPT 96374 96374-59 IV Push Initial Drug Addl Site w/ Modification	$64.25	$257.00	$49.82–$336.83	82% below	75%
IV push of a medicine, first drug CPT 96374 96374 Therapeutic, prophylactic, or diagnostic injection; IV push, single or initial substance/drug	$92.96	$309.86	$49.82–$282.94	74% below	70%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 IM/SUBQ INJECTION CHARGE	$12.50	$50.00	$17.50–$114.02	93% below	75%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372-59 SQ/IM Injection w/ Modification	$12.50	$50.00	$17.50–$114.02	93% below	75%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372-Injection/SQ/IM	$12.50	$50.00	$17.50–$114.02	93% below	75%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372- Subq/IM Injection	$12.50	$50.00	$17.50–$114.02	93% below	75%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372: SUBQ/IM - Admin Other Charge	$15.00	$50.00	$18.75–$95.78	92% below	70%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 INJECTION SUBQ/IM CHARGE	$15.00	$50.00	$17.50–$114.02	92% below	70%
New patient office visit, about 30 minutes CPT 99203 99203 New OFFICE VISIT-Level 3	$56.42	$188.06	$65.82–$210.83	74% below	70%
New patient office visit, about 30 minutes CPT 99203 99203 New patient visit- level 3	$130.19	$289.32	$71.00–$159.60	39% below	55%
New patient office visit, about 30 minutes inpatient CPT 99203 99203 NEW VISIT 30-44 MIN	$37.80	$126.00	$44.10–$63.13	—	70%
New patient office visit, about 45 minutes CPT 99204 99204 New OFFICE VISIT-Level 4	$83.66	$278.88	$97.61–$262.48	66% below	70%
New patient office visit, about 45 minutes CPT 99204 99204 New patient visit- level 4	$193.07	$429.05	$71.00–$159.60	21% below	55%
New patient office visit, about 45 minutes inpatient CPT 99204 99204 NEW VISIT 45MIN	$50.40	$168.00	$58.80–$84.17	—	70%
New patient office visit, about 60 minutes CPT 99205 New Patient Level 5	$110.31	$367.69	$118.62–$346.07	63% below	70%
New patient office visit, about 60 minutes CPT 99205 99205 New patient visit- level 5	$254.56	$565.68	$71.00–$159.60	14% below	55%
New patient office visit, about 60 minutes inpatient CPT 99205 99205 NEW VISIT 60-74 MIN	$63.00	$210.00	$73.50–$105.21	—	70%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 99202 New OFFICE VISIT-Level 2	$36.77	$122.57	$42.90–$210.83	75% below	70%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 99202 New patient visit- level 2	$84.86	$188.57	$49.20–$159.60	42% below	55%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 99202 NEW VISIT 15-29 MIN	$25.20	$84.00	$29.40–$42.08	—	70%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OB CHECK: NEW VISIT 15-29 MIN CHARGE	$75.90	$253.00	$88.55–$126.75	—	70%
Preventive checkup, new patient aged 18–39 CPT 99385 99385 Initial Comp Preventive Med 18 to 39 years New	$84.38	$187.50	$114.10–$156.32	46% below	55%
Preventive checkup, new patient aged 40–64 CPT 99386 99386 Initial Comp Preventive Med 40 to 64 years New	$89.53	$198.96	$132.20–$181.11	50% below	55%
Preventive checkup, new patient aged 65 or older CPT 99387 99387 Initial Comprehensive Preventive Medicine 65+ yrs New	$97.09	$215.76	$143.00–$195.91	44% below	55%
Preventive checkup, returning patient aged 18–39 CPT 99395 99395 Periodic Comp Preventive Med 18 to 39 years Est	$69.64	$154.76	$102.90–$125.54	55% below	55%
Preventive checkup, returning patient aged 40–64 CPT 99396 99396 Periodic Comp Preventive Med 40 to 64 years Est	$74.18	$164.84	$109.90–$150.56	53% below	55%
Preventive checkup, returning patient aged 65 or older CPT 99397 99397 Periodic Comp Preventive Med 65+ years Est	$79.85	$177.45	$118.40–$162.21	49% below	55%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 99215 Office Visit Established Pt. Level 5	$138.95	$463.15	$82.05–$435.92	36% below	70%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 99215 Established patient visit- level 5	$208.42	$463.15	$71.00–$159.60	5% below	55%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 99213 Office Visit Established Pt. Level 3	$45.70	$152.33	$34.43–$210.83	68% below	70%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 99213 TELEMEDICINE-ESTABLISHED, 20-29 MINUTES	$75.94	$168.75	$34.43–$159.60	48% below	55%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 99213 Established patient visit- level 3	$105.46	$234.35	$34.43–$159.60	27% below	55%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 99214 Office Visit Established Pt. Level 4	$99.32	$331.08	$53.79–$311.61	43% below	70%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 99214 Established patient visit- level 4	$148.99	$331.08	$53.79–$159.60	15% below	55%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 99212 Office Visit Established Pt. Level 2	$44.28	$147.60	$25.96–$210.83	59% below	70%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 99212 TELEMEDICINE-ESTABLISHED, 10-19 MINUTES	$60.75	$135.00	$25.96–$159.60	44% below	55%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 99212 Established patient visit- level 2	$66.42	$147.60	$25.96–$159.60	39% below	55%
Specialist consultation, low complexity or 30+ minutes CPT 99243 99243 Office Consult New or Est. L3 Pt 40 min	$72.00	$160.00	$85.35–$104.12	58% below	55%
Spirometry (breathing test) CPT 94010 94010 PFT W/O BRONCHODILATOR CHARGE	$118.23	$472.93	$21.17–$341.93	67% below	75%
Spirometry before and after a bronchodilator CPT 94060 94060 PFT W/ BRONCHODILATION CHARGE	$173.64	$694.55	$38.75–$590.92	78% below	75%
Spirometry before and after a bronchodilator CPT 94060 94060 PFT PRE & POST BRONCHODILATOR CHARGE	$173.64	$694.55	$38.75–$590.92	78% below	75%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 99195 THERAPEUTIC PHLEBOTOMY CHARGE	$54.75	$219.00	$23.52–$210.69	83% below	75%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs California	Off list
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Influenza Vaccine (Trivalent) 2025-2026, 0.5 mL Injection [PION]	$51.69	$147.70	$51.69–$75.33	26% above	65%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 Influenza Vaccine (Trivalent) 2025-2026, 0.5 mL Injection [PION]	$51.69	$147.70	$51.69–$75.33	—	65%
Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) CPT 90671 Pneumococcal 15 valent Conjugate Vaccine, 0.5mL [PION]	$468.67	$1,339.05	$468.67–$682.92	13% above	65%
Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) inpatient CPT 90671 Pneumococcal 15 valent Conjugate Vaccine, 0.5mL [PION]	$468.67	$1,339.05	$468.67–$682.92	—	65%
Rabies vaccine, one dose CPT 90675 Rabies Vaccine 2.5 units/mL Injection, 1 mL [PION]	$569.61	$1,627.45	$569.61–$830.00	19% below	65%
Rabies vaccine, one dose inpatient CPT 90675 Rabies Vaccine 2.5 units/mL Injection, 1 mL [PION]	$569.61	$1,627.45	$569.61–$830.00	—	65%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 IMMUNIZATION ADMIN CHARGE	$12.50	$50.00	$4.46–$114.02	88% below	75%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471-Vaccine Administration	$12.50	$50.00	$4.46–$114.02	88% below	75%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471: IM/SUBQ First dose - Admin Immunization Charge	$22.50	$50.00	$4.46–$114.02	78% below	55%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472-Vaccine Administration Each Addl	$12.50	$50.00	$17.50–$25.05	84% below	75%

Source file: https://pmhd.org/wp-content/uploads/2026/05/994231206_Pioneers-Memorial-Hospital-standardcharges2026B.csv