SelfPayRates
Hospital

McCurtain Memorial Hospital

McCurtain Memorial Hospital in Idabel, OK publishes cash prices for 260 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 Oklahoma median for 199 of 258 procedures and above it for 53. By typical cash price it ranks #6 of 60 Oklahoma hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

1301 East Lincoln Rd, Idabel, OK 74745 Collected Sep 27, 2026 Source price file (580) 286-7623

Critical access hospital (rural, 25 beds or fewer) Emergency department CMS star rating 4 of 5 CCN 371342 · CMS hospital register NPI 1063900975

Scans and imaging

ProcedureCash price List priceInsurers payvs OklahomaOff list
Ankle X-ray, complete, 3 or more views both sides CPT 73610 ANKLE BILAT COMPL MIN 3 VIEWS $173.16 $346.32 $65.80–$294.37 — 50%
Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE RT COMPL MIN 3 VIEWS $173.16 $346.32 $65.80–$294.37 1% below 50%
Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE LT COMPL MIN 3 VIEWS $173.16 $346.32 $65.80–$294.37 1% below 50%
Ankle X-ray, complete, 3 or more views inpatient both sides CPT 73610 ANKLE BILAT COMPL MIN 3 VIEWS $173.16 $346.32 $65.80–$294.37 — 50%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 ANKLE RT COMPL MIN 3 VIEWS $173.16 $346.32 $65.80–$294.37 — 50%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 ANKLE LT COMPL MIN 3 VIEWS $173.16 $346.32 $65.80–$294.37 — 50%
Barium swallow (esophagus X-ray with contrast) CPT 74220 ESOPH W/GASTRIGRA $350.12 $700.24 $133.05–$595.20 22% above 50%
Barium swallow (esophagus X-ray with contrast) CPT 74220 ESOPH W/BARIUM $350.12 $700.24 $133.05–$595.20 22% above 50%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 ESOPH W/GASTRIGRA $350.12 $700.24 $133.05–$595.20 — 50%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 ESOPH W/BARIUM $350.12 $700.24 $133.05–$595.20 — 50%
Breast ultrasound, complete, one breast CPT 76641 US BREAST $209.50 $419.00 $79.61–$356.15 40% below 50%
Breast ultrasound, complete, one breast one side CPT 76641 US GUIDE LT NDL BX BREAST $209.50 $419.00 $79.61–$356.15 40% below 50%
Breast ultrasound, complete, one breast one side CPT 76641 US GUIDE RT NDL BX BREAST $209.50 $419.00 $79.61–$356.15 40% below 50%
Breast ultrasound, complete, one breast inpatient CPT 76641 US BREAST $209.50 $419.00 $79.61–$356.15 — 50%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US GUIDE RT NDL BX BREAST $209.50 $419.00 $79.61–$356.15 — 50%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US GUIDE LT NDL BX BREAST $209.50 $419.00 $79.61–$356.15 — 50%
Breast ultrasound, limited (one breast or one area) CPT 76642 US Breast Limited Diagnostic $267.71 $535.41 $101.73–$455.10 20% below 50%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 US Breast Limited Diagnostic $267.71 $535.41 $101.73–$455.10 — 50%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST FOR PE $774.50 $1,549.00 $294.31–$1,316.65 48% below 50%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST W/O+W CONTR 71275 $774.50 $1,549.00 $294.31–$1,316.65 48% below 50%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA CHEST FOR PE $774.50 $1,549.00 $294.31–$1,316.65 — 50%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA CHEST W/O+W CONTR 71275 $774.50 $1,549.00 $294.31–$1,316.65 — 50%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT CALCIUM SCORING W/O CONTR 7 $118.50 $237.00 $45.03–$201.45 27% above 50%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT CALCIUM SCORING W/O CONTR 7 $118.50 $237.00 $45.03–$201.45 — 50%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABDOMEN & PELVIS W/O CONTR $839.50 $1,679.00 $319.01–$1,427.15 37% below 50%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT KIDNEY STONE W/O CONTR $839.50 $1,679.00 $319.01–$1,427.15 37% below 50%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABDOMEN & PELVIS W/O CONTR $839.50 $1,679.00 $319.01–$1,427.15 — 50%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT KIDNEY STONE W/O CONTR $839.50 $1,679.00 $319.01–$1,427.15 — 50%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT APPENDICITIS W/CONTR 74177 $907.25 $1,814.50 $344.76–$1,542.33 45% below 50%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN & PELVIS W/CONTR 74 $907.25 $1,814.50 $344.76–$1,542.33 45% below 50%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT APPENDICITIS W/CONTR 74177 $907.25 $1,814.50 $344.76–$1,542.33 — 50%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABDOMEN & PELVIS W/CONTR 74 $907.25 $1,814.50 $344.76–$1,542.33 — 50%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABDOMEN & PELVIS W/O+W CONT $964.50 $1,929.00 $366.51–$1,639.65 52% below 50%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABDOMEN & PELVIS W/O+W CONT $964.50 $1,929.00 $366.51–$1,639.65 — 50%
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/CON 74160 $605.00 $1,210.00 $158.53–$1,028.50 43% below 50%
CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN W/CON 74160 $605.00 $1,210.00 $158.53–$1,028.50 — 50%
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O CONTR 74150 $559.50 $1,119.00 $212.61–$951.15 43% below 50%
CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN W/O CONTR 74150 $559.50 $1,119.00 $212.61–$951.15 — 50%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT CRANIAL M FACIAL W/O CONTR $559.75 $1,119.50 $212.71–$951.58 41% below 50%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT CRANIAL M FACIAL W/O CONTR $559.75 $1,119.50 $212.71–$951.58 — 50%
CT scan of the head or brain, no contrast dye CPT 70450 CT BRAIN W/O CONTR 70450 $559.75 $1,119.50 $212.71–$951.58 41% below 50%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT BRAIN W/O CONTR 70450 $559.75 $1,119.50 $212.71–$951.58 — 50%
CT scan of the head with contrast CPT 70460 CT BRAIN W/CONTR 70460 $605.00 $1,210.00 $229.90–$1,028.50 48% below 50%
CT scan of the head with contrast inpatient CPT 70460 CT BRAIN W/CONTR 70460 $605.00 $1,210.00 $229.90–$1,028.50 — 50%
CT scan of the head without and with contrast CPT 70470 CT BRAIN W/O+W CONTR 70470 $643.50 $1,287.00 $244.53–$1,093.95 50% below 50%
CT scan of the head without and with contrast inpatient CPT 70470 CT BRAIN W/O+W CONTR 70470 $643.50 $1,287.00 $244.53–$1,093.95 — 50%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR SPINE W/O CONTR 7213 $559.75 $1,119.50 $94.70–$951.58 45% below 50%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT LUMBAR SPINE W/O CONTR 7213 $559.75 $1,119.50 $94.70–$951.58 — 50%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT CERVICAL SPINE W/O CONTR 72 $559.75 $1,119.50 $212.71–$951.58 48% below 50%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT CERVICAL SPINE W/O CONTR 72 $559.75 $1,119.50 $212.71–$951.58 — 50%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/CONTR 72193 $605.00 $1,210.00 $158.53–$1,028.50 44% below 50%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W/CONTR 72193 $605.00 $1,210.00 $158.53–$1,028.50 — 50%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 US CAROTID DOPPLER $466.94 $933.88 $177.44–$793.80 1% below 50%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 US CAROTID DOPPLER $466.94 $933.88 $177.44–$793.80 — 50%
Chest X-ray, 2 views CPT 71046 CHEST 2 VIEWS - PA AND LATERAL $75.00 $150.00 $28.50–$127.50 58% below 50%
Chest X-ray, 2 views inpatient CPT 71046 CHEST 2 VIEWS - PA AND LATERAL $75.00 $150.00 $28.50–$127.50 — 50%
Chest X-ray, single view CPT 71045 CHEST 1 VIEW $173.16 $346.32 $65.80–$294.37 at median 50%
Chest X-ray, single view inpatient CPT 71045 CHEST 1 VIEW $173.16 $346.32 $65.80–$294.37 — 50%
Complete ultrasound of the back of the abdomen, such as both kidneys both sides CPT 76770 US BILAT KIDNEY & BLADDER $209.50 $419.00 $79.61–$356.15 — 50%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient both sides CPT 76770 US BILAT KIDNEY & BLADDER $209.50 $419.00 $79.61–$356.15 — 50%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 BONE DENSITY HIPS/PEL/SPINE/AX $209.50 $419.00 $79.61–$356.15 4% above 50%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 BONE DENSITY HIPS/PEL/SPINE/AX $209.50 $419.00 $79.61–$356.15 — 50%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST W/O CONTR 71250 $559.75 $1,119.50 $212.71–$951.58 41% below 50%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST W/O CONTR 71250 $559.75 $1,119.50 $212.71–$951.58 — 50%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W/CONTR 71260 $605.00 $1,210.00 $158.53–$1,028.50 46% below 50%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST W/CONTR 71260 $605.00 $1,210.00 $158.53–$1,028.50 — 50%
Diagnostic mammogram, both breasts CPT 77066 MM BIL DIAG DIGITAL $289.24 $578.48 $109.91–$491.71 3% below 50%
Diagnostic mammogram, both breasts inpatient CPT 77066 MM BIL DIAG DIGITAL $289.24 $578.48 $109.91–$491.71 — 50%
Diagnostic mammogram, one breast one side CPT 77065 MM RT BREAST DX DIGITAL $386.49 $772.97 $146.86–$657.02 91% above 50%
Diagnostic mammogram, one breast one side CPT 77065 MM LT BREAST DX DIGITAL $386.49 $772.97 $146.86–$657.02 91% above 50%
Diagnostic mammogram, one breast one side CPT 77065 MM LT BREAST MAG DIGITAL $386.49 $772.97 $146.86–$657.02 91% above 50%
Diagnostic mammogram, one breast one side CPT 77065 MM RT BREAST MAG DIGITAL $386.49 $772.97 $146.86–$657.02 91% above 50%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MM RT BREAST MAG DIGITAL $386.49 $772.97 $146.86–$657.02 — 50%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MM LT BREAST MAG DIGITAL $386.49 $772.97 $146.86–$657.02 — 50%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MM RT BREAST DX DIGITAL $386.49 $772.97 $146.86–$657.02 — 50%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MM LT BREAST DX DIGITAL $386.49 $772.97 $146.86–$657.02 — 50%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US LWR EXT BILAT ART $1,051.26 $2,102.52 $399.48–$1,787.14 — 50%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 US LWR EXT BILAT ART $1,051.26 $2,102.52 $399.48–$1,787.14 — 50%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US LEG EXT BILAT VEINS $362.50 $725.00 $177.44–$793.80 — 50%
Duplex ultrasound of the leg veins, both legs CPT 93970 US EXT NVS $362.50 $725.00 $232.30–$1,039.24 39% below 50%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US LEG EXT BILAT VEINS $362.50 $725.00 $177.44–$793.80 — 50%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 US EXT NVS $362.50 $725.00 $232.30–$1,039.24 — 50%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 TTE Echo Comp/2D/CLR FLW Dopp $725.00 $1,450.00 $275.50–$1,232.50 33% below 50%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 TTE Echo Comp/2D/CLR FLW Dopp $725.00 $1,450.00 $275.50–$1,232.50 — 50%
Knee X-ray, 3 views both sides CPT 73562 KNEE BILAT 3 VIEWS $173.16 $346.32 $65.80–$294.37 — 50%
Knee X-ray, 3 views one side CPT 73562 X-RAY EXAM OF KNEE 3 RT $173.16 $346.32 $65.80–$294.37 11% below 50%
Knee X-ray, 3 views one side CPT 73562 KNEE LT 3 VIEWS $173.16 $346.32 $65.80–$294.37 11% below 50%
Knee X-ray, 3 views one side CPT 73562 KNEE RT 3 VIEWS $173.16 $346.32 $65.80–$294.37 11% below 50%
Knee X-ray, 3 views one side CPT 73562 X-RAY EXAM OF KNEE 3 LT $367.95 $735.89 $139.82–$625.51 90% above 50%
Knee X-ray, 3 views inpatient both sides CPT 73562 KNEE BILAT 3 VIEWS $173.16 $346.32 $65.80–$294.37 — 50%
Knee X-ray, 3 views inpatient one side CPT 73562 X-RAY EXAM OF KNEE 3 RT $173.16 $346.32 $65.80–$294.37 — 50%
Knee X-ray, 3 views inpatient one side CPT 73562 KNEE LT 3 VIEWS $173.16 $346.32 $65.80–$294.37 — 50%
Knee X-ray, 3 views inpatient one side CPT 73562 KNEE RT 3 VIEWS $173.16 $346.32 $65.80–$294.37 — 50%
Knee X-ray, 3 views inpatient one side CPT 73562 X-RAY EXAM OF KNEE 3 LT $367.95 $735.89 $139.82–$625.51 — 50%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN (LTD) $209.50 $419.00 $79.61–$356.15 46% below 50%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABDOMEN (LTD) $209.50 $419.00 $79.61–$356.15 — 50%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT Low Dose Lung Cancer Scr $150.00 $300.00 $57.00–$255.00 57% below 50%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT Low Dose Lung Cancer Scr $150.00 $300.00 $57.00–$255.00 — 50%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI LWR EXTR ANY JOINT W/O 737 $940.75 $1,881.50 $357.49–$1,599.28 30% below 50%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI LWR EXTR ANY JOINT W/O 737 $940.75 $1,881.50 $357.49–$1,599.28 — 50%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI LWR EXTR ANY JOINT WWO $1,168.50 $2,337.00 $444.03–$1,986.45 35% below 50%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI LWR EXTR ANY JOINT WWO $1,168.50 $2,337.00 $444.03–$1,986.45 — 50%
MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O 74181 $1,089.75 $2,179.50 $414.11–$1,852.58 6% below 50%
MRI of the abdomen without contrast inpatient CPT 74181 MRI ABDOMEN W/O 74181 $1,089.75 $2,179.50 $414.11–$1,852.58 — 50%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN W/O+W 74183 $1,168.50 $2,337.00 $444.03–$1,986.45 38% below 50%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ABDOMEN W/O+W 74183 $1,168.50 $2,337.00 $444.03–$1,986.45 — 50%
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN W/O 70551 $1,089.75 $2,179.50 $414.11–$1,852.58 at median 50%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN W/O 70551 $1,089.75 $2,179.50 $414.11–$1,852.58 — 50%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W/O+W 70553 $1,168.50 $2,337.00 $444.03–$1,986.45 21% below 50%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN W/O+W 70553 $1,168.50 $2,337.00 $444.03–$1,986.45 — 50%
MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR SPINAL CANAL W/O 72 $1,362.13 $2,724.25 $517.61–$2,315.61 14% above 50%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI LUMBAR SPINAL CANAL W/O 72 $1,362.13 $2,724.25 $517.61–$2,315.61 — 50%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI LUMBAR SPINE W/O+W 72158 $1,168.50 $2,337.00 $444.03–$1,986.45 25% below 50%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI LUMBAR SPINE W/O+W 72158 $1,168.50 $2,337.00 $444.03–$1,986.45 — 50%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI THORACIC SPNL CANAL WO $1,089.75 $2,179.50 $414.11–$1,852.58 at median 50%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI THORACIC SPNL CANAL WO $1,089.75 $2,179.50 $414.11–$1,852.58 — 50%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI CERV-SPINAL CANAL WWO $1,168.50 $2,337.00 $444.03–$1,986.45 27% below 50%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI CERV-SPINAL CANAL WWO $1,168.50 $2,337.00 $444.03–$1,986.45 — 50%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI CERV-SPINAL CANAL W/O 7214 $1,089.75 $2,179.50 $414.11–$1,852.58 3% below 50%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI CERV-SPINAL CANAL W/O 7214 $1,089.75 $2,179.50 $414.11–$1,852.58 — 50%
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W/O+W 72197 $1,168.50 $2,337.00 $444.03–$1,986.45 25% below 50%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS W/O+W 72197 $1,168.50 $2,337.00 $444.03–$1,986.45 — 50%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI UPPER EXTREMITY ANY JNT W/ $940.75 $1,881.50 $357.49–$1,599.28 33% below 50%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MRI UPPER EXTREMITY ANY JNT W/ $940.75 $1,881.50 $357.49–$1,599.28 — 50%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Bladder Scan (Med Surg) $58.28 $116.56 $22.15–$99.08 81% below 50%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US EXAM PELVIC LIMITED $209.50 $419.00 $79.61–$356.15 30% below 50%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Us exam pelvic limited $209.50 $419.00 $79.61–$356.15 30% below 50%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 Bladder Scan (Med Surg) $58.28 $116.56 $22.15–$99.08 — 50%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US EXAM PELVIC LIMITED $209.50 $419.00 $79.61–$356.15 — 50%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 Us exam pelvic limited $209.50 $419.00 $79.61–$356.15 — 50%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC $209.50 $419.00 $79.61–$356.15 57% below 50%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIC $209.50 $419.00 $79.61–$356.15 — 50%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB GYN > 1ST TRIMESTER $209.50 $419.00 $79.61–$356.15 53% below 50%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB GYN > 1ST TRIMESTER $209.50 $419.00 $79.61–$356.15 — 50%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB GYN 1ST TRIMESTER $209.50 $419.00 $79.61–$356.15 45% below 50%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US OB GYN 1ST TRIMESTER $209.50 $419.00 $79.61–$356.15 — 50%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OB US LIMITED FETUS(ES) $209.50 $419.00 $79.61–$356.15 38% below 50%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 OB US LIMITED FETUS(ES) $209.50 $419.00 $79.61–$356.15 — 50%
Screening mammogram, both breasts CPT 77067 MM BIL SCREEN DIGITAL $386.49 $772.97 $146.86–$657.02 113% above 50%
Screening mammogram, both breasts CPT 77067 MM UNI SCREEN DIGITAL $386.49 $772.97 $146.86–$657.02 113% above 50%
Screening mammogram, both breasts inpatient CPT 77067 MM BIL SCREEN DIGITAL $386.49 $772.97 $146.86–$657.02 — 50%
Screening mammogram, both breasts inpatient CPT 77067 MM UNI SCREEN DIGITAL $386.49 $772.97 $146.86–$657.02 — 50%
Shoulder X-ray, complete, 2 or more views both sides CPT 73030 SHOULDER BILAT COMPL MIN 2V $173.16 $346.32 $65.80–$294.37 — 50%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER LT COMPL MIN 2 VIEWS $173.16 $346.32 $65.80–$294.37 18% below 50%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER RT COMPL MIN 2 VIEWS $173.16 $346.32 $65.80–$294.37 18% below 50%
Shoulder X-ray, complete, 2 or more views inpatient both sides CPT 73030 SHOULDER BILAT COMPL MIN 2V $173.16 $346.32 $65.80–$294.37 — 50%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 SHOULDER RT COMPL MIN 2 VIEWS $173.16 $346.32 $65.80–$294.37 — 50%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 SHOULDER LT COMPL MIN 2 VIEWS $173.16 $346.32 $65.80–$294.37 — 50%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 Stress Echo $754.50 $1,509.00 $286.71–$1,282.65 35% below 50%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 Stress Echo $754.50 $1,509.00 $286.71–$1,282.65 — 50%
Swallow study (modified barium swallow, video X-ray) CPT 74230 BARIUM SWALLOW MODIFIED $350.12 $700.24 $133.05–$595.20 7% above 50%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 BARIUM SWALLOW MODIFIED $350.12 $700.24 $133.05–$595.20 — 50%
Transvaginal pelvic ultrasound CPT 76830 US PELVIC VAGINAL $209.50 $419.00 $79.61–$356.15 47% below 50%
Transvaginal pelvic ultrasound inpatient CPT 76830 US PELVIC VAGINAL $209.50 $419.00 $79.61–$356.15 — 50%
Ultrasound of the abdomen, complete CPT 76700 US COMPL ABDOMEN $209.50 $419.00 $79.61–$356.15 60% below 50%
Ultrasound of the abdomen, complete inpatient CPT 76700 US COMPL ABDOMEN $209.50 $419.00 $79.61–$356.15 — 50%
Ultrasound of the scrotum and testicles CPT 76870 US SCROTAL $209.50 $419.00 $79.61–$356.15 41% below 50%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US SCROTAL $209.50 $419.00 $79.61–$356.15 — 50%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Us exam of head and neck $209.50 $419.00 $526.41–$2,354.99 49% below 50%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US NECK OR HEAD $209.50 $419.00 $1,375.54–$6,153.72 49% below 50%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US NECK OR HEAD $209.50 $419.00 $1,375.54–$6,153.72 — 50%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 Us exam of head and neck $209.50 $419.00 $526.41–$2,354.99 — 50%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 X-RAY XM UPR GI TRC 1CNTRST $350.12 $700.24 $133.05–$595.20 8% below 50%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UPPER GI SERIES W/ KUB $350.12 $700.24 $133.05–$595.20 8% below 50%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 UPPER GI SERIES W/ KUB $350.12 $700.24 $133.05–$595.20 — 50%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 X-RAY XM UPR GI TRC 1CNTRST $350.12 $700.24 $133.05–$595.20 — 50%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US UE OR LE VEIN UNI OR LTD LT $159.50 $319.00 $94.70–$1,039.24 66% below 50%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US UE OR LE VEIN UNI OR LTD RT $159.50 $319.00 $94.70–$1,039.24 66% below 50%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US UE OR LE VEIN UNI OR LTD LT $159.50 $319.00 $94.70–$1,039.24 — 50%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US UE OR LE VEIN UNI OR LTD RT $159.50 $319.00 $94.70–$1,039.24 — 50%
Wrist X-ray, complete, 3 or more views both sides CPT 73110 WRIST BILAT COMPL MIN 3 VIEWS $173.16 $346.32 $65.80–$294.37 — 50%
Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST LT COMPL MIN 3 VIEWS $173.16 $346.32 $65.80–$294.37 7% below 50%
Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST RT COMPL MIN 3 VIEWS $173.16 $346.32 $65.80–$294.37 7% below 50%
Wrist X-ray, complete, 3 or more views inpatient both sides CPT 73110 WRIST BILAT COMPL MIN 3 VIEWS $173.16 $346.32 $65.80–$294.37 — 50%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 WRIST LT COMPL MIN 3 VIEWS $173.16 $346.32 $65.80–$294.37 — 50%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 WRIST RT COMPL MIN 3 VIEWS $173.16 $346.32 $65.80–$294.37 — 50%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP RT PINNING OR $173.16 $346.32 $65.80–$294.37 9% below 50%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP LT PINNING OR $173.16 $346.32 $65.80–$294.37 9% below 50%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP LT COMPL MIN 2 VIEWS $173.16 $346.32 $65.80–$294.37 9% below 50%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP RT COMPL MIN 2 VIEWS $173.16 $346.32 $65.80–$294.37 9% below 50%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP LT PINNING OR $173.16 $346.32 $65.80–$294.37 — 50%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP RT COMPL MIN 2 VIEWS $173.16 $346.32 $65.80–$294.37 — 50%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP LT COMPL MIN 2 VIEWS $173.16 $346.32 $65.80–$294.37 — 50%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP RT PINNING OR $173.16 $346.32 $65.80–$294.37 — 50%
X-ray of the abdomen, 1 view CPT 74018 ABD KUB SCOUT FILM $173.16 $346.32 $65.80–$294.37 2% above 50%
X-ray of the abdomen, 1 view CPT 74018 ABDOMEN 1 VIEW $173.16 $346.32 $65.80–$294.37 2% above 50%
X-ray of the abdomen, 1 view inpatient CPT 74018 ABDOMEN 1 VIEW $173.16 $346.32 $65.80–$294.37 — 50%
X-ray of the abdomen, 1 view inpatient CPT 74018 ABD KUB SCOUT FILM $173.16 $346.32 $65.80–$294.37 — 50%
X-ray of the ankle, 2 views CPT 73600 Lumbar Puncture with Fluro $173.16 $346.32 $65.80–$294.37 1% below 50%
X-ray of the ankle, 2 views one side CPT 73600 2v LT FOOT $173.16 $346.32 $65.80–$294.37 1% below 50%
X-ray of the ankle, 2 views inpatient CPT 73600 Lumbar Puncture with Fluro $173.16 $346.32 $65.80–$294.37 — 50%
X-ray of the ankle, 2 views inpatient one side CPT 73600 2v LT FOOT $173.16 $346.32 $65.80–$294.37 — 50%
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER 3RD DIGIT LT MIN 2V $173.16 $346.32 $65.80–$294.37 7% above 50%
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER 4TH DIGIT RT MIN 2V $173.16 $346.32 $65.80–$294.37 7% above 50%
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER 2ND DIGIT RT MIN 2V $173.16 $346.32 $65.80–$294.37 7% above 50%
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER 5TH DIGIT LT MIN 2V $173.16 $346.32 $65.80–$294.37 7% above 50%
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER 4TH DIGIT LT MIN 2V $173.16 $346.32 $65.80–$294.37 7% above 50%
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER 3RD DIGIT RT MIN 2V $173.16 $346.32 $65.80–$294.37 7% above 50%
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER 2ND DIGIT LT MIN 2V $173.16 $346.32 $65.80–$294.37 7% above 50%
X-ray of the finger(s), 2 or more views one side CPT 73140 THUMB RT MIN 2 VIEWS $173.16 $346.32 $65.80–$294.37 7% above 50%
X-ray of the finger(s), 2 or more views one side CPT 73140 THUMB LT MIN 2 VIEWS $173.16 $346.32 $65.80–$294.37 7% above 50%
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER 5TH DIGIT RT MIN 2V $173.16 $346.32 $65.80–$294.37 7% above 50%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 THUMB LT MIN 2 VIEWS $173.16 $346.32 $65.80–$294.37 — 50%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER 5TH DIGIT RT MIN 2V $173.16 $346.32 $65.80–$294.37 — 50%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER 2ND DIGIT LT MIN 2V $173.16 $346.32 $65.80–$294.37 — 50%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 THUMB RT MIN 2 VIEWS $173.16 $346.32 $65.80–$294.37 — 50%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER 5TH DIGIT LT MIN 2V $173.16 $346.32 $65.80–$294.37 — 50%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER 2ND DIGIT RT MIN 2V $173.16 $346.32 $65.80–$294.37 — 50%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER 4TH DIGIT RT MIN 2V $173.16 $346.32 $65.80–$294.37 — 50%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER 3RD DIGIT RT MIN 2V $173.16 $346.32 $65.80–$294.37 — 50%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER 3RD DIGIT LT MIN 2V $173.16 $346.32 $65.80–$294.37 — 50%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER 4TH DIGIT LT MIN 2V $173.16 $346.32 $65.80–$294.37 — 50%
X-ray of the foot, complete, 3 or more views both sides CPT 73630 FEET BILAT COMPL MIN 3 VIEWS $173.16 $346.32 $65.80–$294.37 — 50%
X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT LT COMPL MIN 3 VIEWS $173.16 $346.32 $65.80–$294.37 20% below 50%
X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT RT COMPL MIN 3 VIEWS $173.16 $346.32 $65.80–$294.37 20% below 50%
X-ray of the foot, complete, 3 or more views inpatient both sides CPT 73630 FEET BILAT COMPL MIN 3 VIEWS $173.16 $346.32 $65.80–$294.37 — 50%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 FOOT RT COMPL MIN 3 VIEWS $173.16 $346.32 $65.80–$294.37 — 50%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 FOOT LT COMPL MIN 3 VIEWS $173.16 $346.32 $65.80–$294.37 — 50%
X-ray of the hand, 3 or more views both sides CPT 73130 HAND BILAT MIN 3 VIEWS $173.16 $346.32 $65.80–$294.37 — 50%
X-ray of the hand, 3 or more views one side CPT 73130 HAND LT MIN 3 VIEWS $173.16 $346.32 $65.80–$294.37 18% below 50%
X-ray of the hand, 3 or more views one side CPT 73130 HAND RT MIN 3 VIEWS $261.91 $523.81 $99.52–$445.24 24% above 50%
X-ray of the hand, 3 or more views inpatient both sides CPT 73130 HAND BILAT MIN 3 VIEWS $173.16 $346.32 $65.80–$294.37 — 50%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 HAND LT MIN 3 VIEWS $173.16 $346.32 $65.80–$294.37 — 50%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 HAND RT MIN 3 VIEWS $261.91 $523.81 $99.52–$445.24 — 50%
X-ray of the knee, 1 or 2 views both sides CPT 73560 KNEE BILAT 1-2 VIEWS $173.16 $346.32 $65.80–$294.37 — 50%
X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE LT 1-2 VIEWS $173.16 $346.32 $65.80–$294.37 2% below 50%
X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE RT 1-2 VIEWS $173.16 $346.32 $65.80–$294.37 2% below 50%
X-ray of the knee, 1 or 2 views inpatient both sides CPT 73560 KNEE BILAT 1-2 VIEWS $173.16 $346.32 $65.80–$294.37 — 50%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 KNEE RT 1-2 VIEWS $173.16 $346.32 $65.80–$294.37 — 50%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 KNEE LT 1-2 VIEWS $173.16 $346.32 $65.80–$294.37 — 50%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 LUMBAR SPINE OBL 2-3 VIEWS $209.50 $419.00 $79.61–$356.15 1% below 50%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 LUMBAR SPINE SERIES 2-3 VIEWS $209.50 $419.00 $79.61–$356.15 1% below 50%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 LUMBAR SPINE OBL 2-3 VIEWS $209.50 $419.00 $79.61–$356.15 — 50%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 LUMBAR SPINE SERIES 2-3 VIEWS $209.50 $419.00 $79.61–$356.15 — 50%
X-ray of the lower back, 4 or more views CPT 72110 L SPINE MIN 4 VIEWS $209.50 $419.00 $79.61–$356.15 32% below 50%
X-ray of the lower back, 4 or more views CPT 72110 L-Spine 4 View $209.50 $419.00 $79.61–$356.15 32% below 50%
X-ray of the lower back, 4 or more views inpatient CPT 72110 L-Spine 4 View $209.50 $419.00 $79.61–$356.15 — 50%
X-ray of the lower back, 4 or more views inpatient CPT 72110 L SPINE MIN 4 VIEWS $209.50 $419.00 $79.61–$356.15 — 50%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 T SPINE AP/L 2 VIEWS $209.50 $419.00 $79.61–$356.15 1% below 50%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 T SPINE AP/L 2 VIEWS $209.50 $419.00 $79.61–$356.15 — 50%
X-ray of the nasal bones, 3 or more views CPT 70160 NASAL BONES COMPL MIN 3 VIEWS $173.16 $346.32 $65.80–$294.37 6% above 50%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 NASAL BONES COMPL MIN 3 VIEWS $173.16 $346.32 $65.80–$294.37 — 50%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 CERVICAL SPINE 2-3 VIEWS $173.16 $346.32 $65.80–$294.37 15% below 50%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 CERVICAL SPINE 2-3 VIEWS $173.16 $346.32 $65.80–$294.37 — 50%
X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS 1-2 VIEWS $209.50 $419.00 $79.61–$356.15 9% above 50%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 PELVIS 1-2 VIEWS $209.50 $419.00 $79.61–$356.15 — 50%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM & COCCYX MIN 2 VIEWS $173.16 $346.32 $65.80–$294.37 3% below 50%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 SACRUM & COCCYX MIN 2 VIEWS $173.16 $346.32 $65.80–$294.37 — 50%

Lab tests

ProcedureCash price List priceInsurers payvs OklahomaOff list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT $14.50 $29.00 $5.51–$24.65 56% below 50%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 CH ALT $20.75 $41.50 $7.89–$35.28 37% below 50%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT $26.50 $53.00 $10.07–$45.05 20% below 50%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT $14.50 $29.00 $5.51–$24.65 — 50%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 CH ALT $20.75 $41.50 $7.89–$35.28 — 50%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 SGPT $26.50 $53.00 $10.07–$45.05 — 50%
AST (aspartate aminotransferase) enzyme test CPT 84450 AST $14.00 $28.00 $5.32–$23.80 63% below 50%
AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT $20.50 $41.00 $7.79–$34.85 46% below 50%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST $14.00 $28.00 $5.32–$23.80 — 50%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 SGOT $20.50 $41.00 $7.79–$34.85 — 50%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 RL ACUTE HEP PANEL W/REFLEX $71.45 $142.89 $27.15–$121.46 61% below 50%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 RL ACUTE HEP PANEL W/REFLEX $71.45 $142.89 $27.15–$121.46 — 50%
Allergy blood test, specific IgE, per allergen CPT 86003 GOAT DANDER ALLERGEN $7.75 $15.50 $2.95–$13.18 64% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 COW DANDER ALLERGEN $7.75 $15.50 $2.95–$13.18 64% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 ROUGH PIGWEED ALLERGEN $7.75 $15.50 $2.95–$13.18 64% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 SHEEP DANDER ALLERGEN $7.75 $15.50 $2.95–$13.18 64% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 MARSH ELDER ALLERGEN $7.75 $15.50 $2.95–$13.18 64% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 PIG DANDER ALLERGEN $7.75 $15.50 $2.95–$13.18 64% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 HORSE DANDER ALLERGEN $7.75 $15.50 $2.95–$13.18 64% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 RL PENICILLIUM NOTATUM M1 IGE $7.83 $15.66 $2.98–$13.31 64% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 RL MOUSE URINE PROTEIN E72 IGE $7.83 $15.66 $2.98–$13.31 64% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 RL CLADOSPORIUM HERBARU M2 IGE $7.83 $15.66 $2.98–$13.31 64% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 RL EGG WHITE F1 IGE $7.83 $15.66 $2.98–$13.31 64% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 RL ASPERGILLU FUMIGATUS M3 IGE $7.83 $15.66 $2.98–$13.31 64% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 RL PEANUT F13 IGE $7.83 $15.66 $2.98–$13.31 64% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 RL ALTERNARIA ALTERNATA M6 IGE $7.83 $15.66 $2.98–$13.31 64% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 RL WHEAT F4 IGE $7.83 $15.66 $2.98–$13.31 64% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 RL CAT DANDER E1 IGE $7.83 $15.66 $2.98–$13.31 64% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 RL WALNUT F256 IGE $7.83 $15.66 $2.98–$13.31 64% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 RL DOG DANDER E5 IGE $7.83 $15.66 $2.98–$13.31 64% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 RL CODFISH F3 IGE $7.83 $15.66 $2.98–$13.31 64% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 RL COCKROACH I6 IGE $7.83 $15.66 $2.98–$13.31 64% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 RL COW'S MILK F2 IGE $7.83 $15.66 $2.98–$13.31 64% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 RL MAPLE (BOX ELDER) T1 IGE $7.83 $15.66 $2.98–$13.31 64% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 RL SOYBEAN F14 IGE $7.83 $15.66 $2.98–$13.31 64% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 RL TUNA F40 IGE $7.83 $15.66 $2.98–$13.31 64% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 RL SHRIMP F24 IGE $7.83 $15.66 $2.98–$13.31 64% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 RL SALMON F41 IGE $7.83 $15.66 $2.98–$13.31 64% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 RL SCALLOP F338 IGE $7.83 $15.66 $2.98–$13.31 64% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 RL ALMOND F20 IGE $7.83 $15.66 $2.98–$13.31 64% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 RL SESAME SEED F10 IGE $7.83 $15.66 $2.98–$13.31 64% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 RL CASHEW NUT F202 IGE $7.83 $15.66 $2.98–$13.31 64% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 RL ELM T8 IGE $7.83 $15.66 $2.98–$13.31 64% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 RL HAZELNUT F17 IGE $7.83 $15.66 $2.98–$13.31 64% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 RL ROUGH MARSH ELDER W16 IGE $7.83 $15.66 $2.98–$13.31 64% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 RL OAK T7 IGE $7.83 $15.66 $2.98–$13.31 64% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 RL WHITE ASH T15 IGE $7.83 $15.66 $2.98–$13.31 64% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 RL TIMOTHY GRASS G6 IGE $7.83 $15.66 $2.98–$13.31 64% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 RL COMMON RAGWEED SHORT W1 IGE $7.83 $15.66 $2.98–$13.31 64% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 RL ROUGH PIGWEED W14 IGE $7.83 $15.66 $2.98–$13.31 64% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 RL BERMUDA GRASS G2 IGE $7.83 $15.66 $2.98–$13.31 64% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 RL WHITE MULBERRY T70 IGE $7.83 $15.66 $2.98–$13.31 64% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 RL HICKORY/PECAN TREE T22 IGE $7.83 $15.66 $2.98–$13.31 64% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 RL COTTONWOOD T14 IGE $7.83 $15.66 $2.98–$13.31 64% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 RL GALACTOSE ALPHA 13 IGE $7.83 $15.66 $2.98–$13.31 64% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 RL MOUNTAIN CEDAR T6 IGE $7.83 $15.66 $2.98–$13.31 64% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 RL ASPERGILLUS FUMIGATUS IGE $7.83 $15.66 $2.98–$13.31 64% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 RL BIRCH T3 IGE $7.83 $15.66 $2.98–$13.31 64% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 RL DERMAT PTERONYSSINUS D1 IGE $7.83 $15.66 $2.98–$13.31 64% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 RL SHEEP SORREL W18 IGE $7.83 $15.66 $2.98–$13.31 64% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 RL DERMAT FARINAE D2 IGE $7.83 $15.66 $2.98–$13.31 64% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 RL NETTLE W20 IGE $7.83 $15.66 $2.98–$13.31 64% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 PEACH ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 32% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 PEAR ALLERGEN $14.75 $29.50 $5.61–$25.08 32% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 PINEAPPLE ALLERGEN $14.75 $29.50 $5.61–$25.08 32% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 PLUM ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 32% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 STRAWBERRY ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 32% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 PAPAYA ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 32% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 ASPERGILLIS FUMIGATIS ALLERGEN $14.75 $29.50 $5.61–$25.08 32% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 LAMB ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 32% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 RABBIT MEAT ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 32% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 TUNA ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 32% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 SWORDFISH ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 32% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 TROUT ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 32% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 SALMON ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 32% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 CODFISH ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 32% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 HALIBUT ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 32% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 SCALLOP ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 32% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 SQUID ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 32% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 SHRIMP ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 32% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 CRAB ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 32% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 CLAM ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 32% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 LOBSTER ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 32% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 OYSTER ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 32% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 ASPARAGUS ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 32% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 BROCOLLI ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 32% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 CABBAGE ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 32% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 CARROT ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 32% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 CELERY ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 32% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 CUCUMBER ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 32% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 EGGPLANT ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 32% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 GREEN BEAN ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 32% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 GREEN PEPPER ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 32% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 MUSHROOM ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 32% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 ONION ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 32% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 SPINACH ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 32% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 SWEET POTATO ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 32% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 MALT ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 32% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 LETTUCE ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 32% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 GLUTEN ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 32% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 OAT ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 32% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 PEA ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 32% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 RICE ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 32% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 BUCKWHEAT ALLERGEN $14.75 $29.50 $5.61–$25.08 32% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 PARSLEY ALLERGEN $14.75 $29.50 $5.61–$25.08 32% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 SESAME SEED ALLERGEN $14.75 $29.50 $5.61–$25.08 32% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 COCONUT ALLERGEN $14.75 $29.50 $5.61–$25.08 32% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 PECAN ALLERGEN $14.75 $29.50 $5.61–$25.08 32% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 BARLEY ALLERGEN $14.75 $29.50 $5.61–$25.08 32% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 CAULIFLOWER ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 32% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 BIRCH TREE ALLERGEN $14.75 $29.50 $5.61–$25.08 32% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 MOUNTAIN CEDAR TREE ALLERGEN $14.75 $29.50 $5.61–$25.08 32% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 BAHIA GRASS ALLERGEN $14.75 $29.50 $5.61–$25.08 32% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 FESCUE GRASS ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 32% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 CULTIVATED RYE GRASS ALLERGEN $14.75 $29.50 $5.61–$25.08 32% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 WILD RYE GRASS ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 32% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 TIMOTHY GRASS ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 32% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 WILLOW TREE ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 32% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 SYCAMORE TREE ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 32% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 ELM TREE ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 32% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 OAK TREE ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 32% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 CEDAR TREE ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 32% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 JOHNSON GRASS ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 32% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 JUNE GRASS ALLERGEN $14.75 $29.50 $5.61–$25.08 32% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 BERMUDA GRASS ALLERGEN $14.75 $29.50 $5.61–$25.08 32% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 MILK ALLERGY TEST (IGE) $14.75 $29.50 $5.61–$25.08 32% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 WHEAT DUST ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 32% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 TOMATO ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 32% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 POTATO ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 32% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 CORN ALLERGEN $14.75 $29.50 $5.61–$25.08 32% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 MILK ALLERGEN $14.75 $29.50 $5.61–$25.08 32% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 EGG YOLK ALLERGEN $14.75 $29.50 $5.61–$25.08 32% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 EGG WHITE ALLERGEN $14.75 $29.50 $5.61–$25.08 32% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IgE $14.75 $29.50 $5.61–$25.08 32% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 MULBERRY TREE ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 32% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 WHITE ASH TREE ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 32% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 MAPLE TREE ALLERGEN $14.75 $29.50 $5.61–$25.08 32% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 SOY BEAN ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 32% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 WHEAT ALLERGY TEST (IGE) $14.75 $29.50 $5.61–$25.08 32% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 DOG DANDER ALLERGEN $14.75 $29.50 $5.61–$25.08 32% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 CAT DANDER ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 32% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 COCKROACH ALLERGEN $14.75 $29.50 $5.61–$25.08 32% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 COMMON RAGWEED ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 32% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 GIANT RAGWEED ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 32% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 DANDELION ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 32% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 PEANUT ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 32% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 CASHEW ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 32% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 BEEF ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 32% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 CHICKEN ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 32% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 PORK ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 32% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 LINTEL ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 32% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 LATEX ALLERGEN IGE $14.75 $29.50 $5.61–$25.08 32% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 WALNUT ALLERGEN $14.75 $29.50 $5.61–$25.08 32% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 ALMOND ALLERGEN $14.75 $29.50 $5.61–$25.08 32% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 BRAZIL NUT ALLERGEN $14.75 $29.50 $5.61–$25.08 32% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 CHESTNUT ALLERGEN $14.75 $29.50 $5.61–$25.08 32% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 APPLE ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 32% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 BANANA ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 32% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 APRICOT ALLERGEN $14.75 $29.50 $5.61–$25.08 32% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 AVOCADO ALLERGEN $14.75 $29.50 $5.61–$25.08 32% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 BLACKBERRY ALLERGEN $14.75 $29.50 $5.61–$25.08 32% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 BLUEBERRY ALLERGEN $14.75 $29.50 $5.61–$25.08 32% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 CHERRY ALLERGEN $14.75 $29.50 $5.61–$25.08 32% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 GRAPE ALLERGEN $14.75 $29.50 $5.61–$25.08 32% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 KIWI ALLERGEN $14.75 $29.50 $5.61–$25.08 32% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 LEMON ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 32% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 LIME ALLERGEN $14.75 $29.50 $5.61–$25.08 32% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 MANDARIN ORANGE ALLERGEN $14.75 $29.50 $5.61–$25.08 32% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 MANGO ALLERGEN $14.75 $29.50 $5.61–$25.08 32% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 MELON ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 32% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 ORANGE ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 32% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 PASSION FRUIT ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 32% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 WEED ALLERGY PANEL $20.25 $40.50 $7.70–$34.43 6% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 DUST ALLERGY SCREEN $20.25 $40.50 $7.70–$34.43 6% below 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GOAT DANDER ALLERGEN $7.75 $15.50 $2.95–$13.18 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ROUGH PIGWEED ALLERGEN $7.75 $15.50 $2.95–$13.18 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COW DANDER ALLERGEN $7.75 $15.50 $2.95–$13.18 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PIG DANDER ALLERGEN $7.75 $15.50 $2.95–$13.18 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SHEEP DANDER ALLERGEN $7.75 $15.50 $2.95–$13.18 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HORSE DANDER ALLERGEN $7.75 $15.50 $2.95–$13.18 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MARSH ELDER ALLERGEN $7.75 $15.50 $2.95–$13.18 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL COW'S MILK F2 IGE $7.83 $15.66 $2.98–$13.31 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL COCKROACH I6 IGE $7.83 $15.66 $2.98–$13.31 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL CODFISH F3 IGE $7.83 $15.66 $2.98–$13.31 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL DOG DANDER E5 IGE $7.83 $15.66 $2.98–$13.31 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL WALNUT F256 IGE $7.83 $15.66 $2.98–$13.31 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL CAT DANDER E1 IGE $7.83 $15.66 $2.98–$13.31 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL WHEAT F4 IGE $7.83 $15.66 $2.98–$13.31 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL ALTERNARIA ALTERNATA M6 IGE $7.83 $15.66 $2.98–$13.31 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL PEANUT F13 IGE $7.83 $15.66 $2.98–$13.31 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL ASPERGILLU FUMIGATUS M3 IGE $7.83 $15.66 $2.98–$13.31 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL EGG WHITE F1 IGE $7.83 $15.66 $2.98–$13.31 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL CLADOSPORIUM HERBARU M2 IGE $7.83 $15.66 $2.98–$13.31 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL MOUSE URINE PROTEIN E72 IGE $7.83 $15.66 $2.98–$13.31 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL PENICILLIUM NOTATUM M1 IGE $7.83 $15.66 $2.98–$13.31 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL NETTLE W20 IGE $7.83 $15.66 $2.98–$13.31 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL DERMAT FARINAE D2 IGE $7.83 $15.66 $2.98–$13.31 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL SHEEP SORREL W18 IGE $7.83 $15.66 $2.98–$13.31 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL DERMAT PTERONYSSINUS D1 IGE $7.83 $15.66 $2.98–$13.31 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL ROUGH MARSH ELDER W16 IGE $7.83 $15.66 $2.98–$13.31 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL TUNA F40 IGE $7.83 $15.66 $2.98–$13.31 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL BIRCH T3 IGE $7.83 $15.66 $2.98–$13.31 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL ASPERGILLUS FUMIGATUS IGE $7.83 $15.66 $2.98–$13.31 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL MOUNTAIN CEDAR T6 IGE $7.83 $15.66 $2.98–$13.31 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL GALACTOSE ALPHA 13 IGE $7.83 $15.66 $2.98–$13.31 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL COTTONWOOD T14 IGE $7.83 $15.66 $2.98–$13.31 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL WHITE ASH T15 IGE $7.83 $15.66 $2.98–$13.31 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL OAK T7 IGE $7.83 $15.66 $2.98–$13.31 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL ROUGH PIGWEED W14 IGE $7.83 $15.66 $2.98–$13.31 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL ELM T8 IGE $7.83 $15.66 $2.98–$13.31 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL HICKORY/PECAN TREE T22 IGE $7.83 $15.66 $2.98–$13.31 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL WHITE MULBERRY T70 IGE $7.83 $15.66 $2.98–$13.31 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL BERMUDA GRASS G2 IGE $7.83 $15.66 $2.98–$13.31 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL TIMOTHY GRASS G6 IGE $7.83 $15.66 $2.98–$13.31 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL HAZELNUT F17 IGE $7.83 $15.66 $2.98–$13.31 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL COMMON RAGWEED SHORT W1 IGE $7.83 $15.66 $2.98–$13.31 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL SESAME SEED F10 IGE $7.83 $15.66 $2.98–$13.31 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL CASHEW NUT F202 IGE $7.83 $15.66 $2.98–$13.31 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL SCALLOP F338 IGE $7.83 $15.66 $2.98–$13.31 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL ALMOND F20 IGE $7.83 $15.66 $2.98–$13.31 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL SHRIMP F24 IGE $7.83 $15.66 $2.98–$13.31 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL SALMON F41 IGE $7.83 $15.66 $2.98–$13.31 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL SOYBEAN F14 IGE $7.83 $15.66 $2.98–$13.31 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL MAPLE (BOX ELDER) T1 IGE $7.83 $15.66 $2.98–$13.31 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 DOG DANDER ALLERGEN $14.75 $29.50 $5.61–$25.08 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CAULIFLOWER ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BARLEY ALLERGEN $14.75 $29.50 $5.61–$25.08 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PECAN ALLERGEN $14.75 $29.50 $5.61–$25.08 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COCONUT ALLERGEN $14.75 $29.50 $5.61–$25.08 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SESAME SEED ALLERGEN $14.75 $29.50 $5.61–$25.08 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PARSLEY ALLERGEN $14.75 $29.50 $5.61–$25.08 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BUCKWHEAT ALLERGEN $14.75 $29.50 $5.61–$25.08 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RICE ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PEA ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 OAT ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GLUTEN ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LETTUCE ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MALT ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SWEET POTATO ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SPINACH ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ONION ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MUSHROOM ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GREEN PEPPER ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GREEN BEAN ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 EGGPLANT ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CUCUMBER ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CELERY ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CARROT ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CABBAGE ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BROCOLLI ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ASPARAGUS ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 OYSTER ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LOBSTER ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CLAM ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CRAB ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SHRIMP ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SQUID ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SCALLOP ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HALIBUT ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CODFISH ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SALMON ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TROUT ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SWORDFISH ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TUNA ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RABBIT MEAT ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LAMB ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ASPERGILLIS FUMIGATIS ALLERGEN $14.75 $29.50 $5.61–$25.08 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PAPAYA ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 STRAWBERRY ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PLUM ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PINEAPPLE ALLERGEN $14.75 $29.50 $5.61–$25.08 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PEAR ALLERGEN $14.75 $29.50 $5.61–$25.08 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PEACH ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PASSION FRUIT ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ORANGE ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MELON ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MANGO ALLERGEN $14.75 $29.50 $5.61–$25.08 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MANDARIN ORANGE ALLERGEN $14.75 $29.50 $5.61–$25.08 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LIME ALLERGEN $14.75 $29.50 $5.61–$25.08 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LEMON ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 KIWI ALLERGEN $14.75 $29.50 $5.61–$25.08 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GRAPE ALLERGEN $14.75 $29.50 $5.61–$25.08 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHERRY ALLERGEN $14.75 $29.50 $5.61–$25.08 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BLUEBERRY ALLERGEN $14.75 $29.50 $5.61–$25.08 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BLACKBERRY ALLERGEN $14.75 $29.50 $5.61–$25.08 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 AVOCADO ALLERGEN $14.75 $29.50 $5.61–$25.08 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 APRICOT ALLERGEN $14.75 $29.50 $5.61–$25.08 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BANANA ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 APPLE ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHESTNUT ALLERGEN $14.75 $29.50 $5.61–$25.08 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BRAZIL NUT ALLERGEN $14.75 $29.50 $5.61–$25.08 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALMOND ALLERGEN $14.75 $29.50 $5.61–$25.08 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WALNUT ALLERGEN $14.75 $29.50 $5.61–$25.08 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LATEX ALLERGEN IGE $14.75 $29.50 $5.61–$25.08 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LINTEL ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PORK ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHICKEN ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BEEF ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CASHEW ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PEANUT ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 DANDELION ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GIANT RAGWEED ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COMMON RAGWEED ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COCKROACH ALLERGEN $14.75 $29.50 $5.61–$25.08 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CAT DANDER ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MOUNTAIN CEDAR TREE ALLERGEN $14.75 $29.50 $5.61–$25.08 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WHEAT ALLERGY TEST (IGE) $14.75 $29.50 $5.61–$25.08 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SOY BEAN ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MAPLE TREE ALLERGEN $14.75 $29.50 $5.61–$25.08 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BIRCH TREE ALLERGEN $14.75 $29.50 $5.61–$25.08 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WHITE ASH TREE ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MULBERRY TREE ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPECIFIC IgE $14.75 $29.50 $5.61–$25.08 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 EGG WHITE ALLERGEN $14.75 $29.50 $5.61–$25.08 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 EGG YOLK ALLERGEN $14.75 $29.50 $5.61–$25.08 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MILK ALLERGEN $14.75 $29.50 $5.61–$25.08 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CORN ALLERGEN $14.75 $29.50 $5.61–$25.08 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 POTATO ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TOMATO ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WHEAT DUST ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MILK ALLERGY TEST (IGE) $14.75 $29.50 $5.61–$25.08 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BERMUDA GRASS ALLERGEN $14.75 $29.50 $5.61–$25.08 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 JUNE GRASS ALLERGEN $14.75 $29.50 $5.61–$25.08 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 JOHNSON GRASS ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CEDAR TREE ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 OAK TREE ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ELM TREE ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SYCAMORE TREE ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WILLOW TREE ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TIMOTHY GRASS ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WILD RYE GRASS ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CULTIVATED RYE GRASS ALLERGEN $14.75 $29.50 $5.61–$25.08 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FESCUE GRASS ALLERGEN SCREEN $14.75 $29.50 $5.61–$25.08 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BAHIA GRASS ALLERGEN $14.75 $29.50 $5.61–$25.08 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WEED ALLERGY PANEL $20.25 $40.50 $7.70–$34.43 — 50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 DUST ALLERGY SCREEN $20.25 $40.50 $7.70–$34.43 — 50%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 RL CCP ANTIBODY IGG $19.43 $38.85 $7.38–$33.02 70% below 50%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULLINATE PEPTIDE AB $76.00 $152.00 $28.88–$129.20 16% above 50%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 RL CCP ANTIBODY IGG $19.43 $38.85 $7.38–$33.02 — 50%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRULLINATE PEPTIDE AB $76.00 $152.00 $28.88–$129.20 — 50%
Antinuclear antibody (ANA) blood test, screen CPT 86038 RL ANA SCREEN IFA $18.14 $36.27 $6.89–$30.83 70% below 50%
Antinuclear antibody (ANA) blood test, screen CPT 86038 CH ANA $46.50 $93.00 $17.67–$79.05 24% below 50%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA SCREEN $47.00 $94.00 $17.86–$79.90 23% below 50%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 RL ANA SCREEN IFA $18.14 $36.27 $6.89–$30.83 — 50%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 CH ANA $46.50 $93.00 $17.67–$79.05 — 50%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA SCREEN $47.00 $94.00 $17.86–$79.90 — 50%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 RL NT PROBNP $58.89 $117.78 $22.38–$100.11 48% below 50%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B-TYPE NATURETIC PEPTIDE BNP $128.75 $257.50 $48.93–$218.88 14% above 50%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 PRO-BNP $128.75 $257.50 $48.93–$218.88 14% above 50%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 RL NT PROBNP $58.89 $117.78 $22.38–$100.11 — 50%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 B-TYPE NATURETIC PEPTIDE BNP $128.75 $257.50 $48.93–$218.88 — 50%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 PRO-BNP $128.75 $257.50 $48.93–$218.88 — 50%
Basic metabolic panel (blood test) CPT 80048 CH CHEM 7 $89.50 $179.00 $34.01–$152.15 96% above 50%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL $89.50 $179.00 $34.01–$152.15 96% above 50%
Basic metabolic panel (blood test) CPT 80048 CHEM 7 BASIC METABOLIC $89.50 $179.00 $34.01–$152.15 96% above 50%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL $89.50 $179.00 $34.01–$152.15 — 50%
Basic metabolic panel (blood test) inpatient CPT 80048 CHEM 7 BASIC METABOLIC $89.50 $179.00 $34.01–$152.15 — 50%
Basic metabolic panel (blood test) inpatient CPT 80048 CH CHEM 7 $89.50 $179.00 $34.01–$152.15 — 50%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 CYTOLOGY CELL BLOCK $40.50 $81.00 $15.39–$68.85 71% below 50%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 TISSUE EXAM BY PATH LEVEL IV $40.98 $81.96 $15.57–$69.67 70% below 50%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 CYTOLOGY CELL BLOCK $40.50 $81.00 $15.39–$68.85 — 50%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 TISSUE EXAM BY PATH LEVEL IV $40.98 $81.96 $15.57–$69.67 — 50%
Blood culture for bacteria CPT 87040 CULTURE BLOOD $40.50 $81.00 $15.39–$68.85 45% below 50%
Blood culture for bacteria CPT 87040 CULTURE ARD BLOOD $47.75 $95.50 $18.15–$81.18 35% below 50%
Blood culture for bacteria inpatient CPT 87040 CULTURE BLOOD $40.50 $81.00 $15.39–$68.85 — 50%
Blood culture for bacteria inpatient CPT 87040 CULTURE ARD BLOOD $47.75 $95.50 $18.15–$81.18 — 50%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE $6.00 $12.00 $2.28–$10.20 42% below 50%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE $6.00 $12.00 $2.28–$10.20 — 50%
Blood glucose (sugar) test CPT 82947 GLUCOSE $16.50 $33.00 $6.27–$28.05 37% below 50%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE $16.50 $33.00 $6.27–$28.05 — 50%
Blood lead test CPT 83655 CH LEAD $12.00 $24.00 $4.56–$20.40 74% below 50%
Blood lead test CPT 83655 RL LEAD (VENOUS) $18.17 $36.33 $6.90–$30.88 61% below 50%
Blood lead test CPT 83655 RL LEAD 24 HOUR URINE $18.17 $36.33 $6.90–$30.88 61% below 50%
Blood lead test CPT 83655 RL LEAD URINE $18.17 $36.33 $6.90–$30.88 61% below 50%
Blood lead test CPT 83655 LEAD LEVEL CONFIRMATORY $32.75 $65.50 $12.45–$55.68 29% below 50%
Blood lead test CPT 83655 LEAD-BLOOD LEVEL $32.75 $65.50 $12.45–$55.68 29% below 50%
Blood lead test inpatient CPT 83655 CH LEAD $12.00 $24.00 $4.56–$20.40 — 50%
Blood lead test inpatient CPT 83655 RL LEAD 24 HOUR URINE $18.17 $36.33 $6.90–$30.88 — 50%
Blood lead test inpatient CPT 83655 RL LEAD URINE $18.17 $36.33 $6.90–$30.88 — 50%
Blood lead test inpatient CPT 83655 RL LEAD (VENOUS) $18.17 $36.33 $6.90–$30.88 — 50%
Blood lead test inpatient CPT 83655 LEAD-BLOOD LEVEL $32.75 $65.50 $12.45–$55.68 — 50%
Blood lead test inpatient CPT 83655 LEAD LEVEL CONFIRMATORY $32.75 $65.50 $12.45–$55.68 — 50%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG SERUM $27.75 $55.50 $10.55–$47.18 39% below 50%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG SERUM $27.75 $55.50 $10.55–$47.18 — 50%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BB ABO TYPING (CHARGE ONLY) $105.80 $211.60 $40.20–$179.86 80% above 50%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BB ABO TYPING (CHARGE ONLY) $105.80 $211.60 $40.20–$179.86 — 50%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 RL C-REACTIVE PROTEIN $7.77 $15.54 $2.95–$13.21 80% below 50%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN $32.25 $64.50 $12.26–$54.83 15% below 50%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 RCRP $32.25 $64.50 $12.26–$54.83 15% below 50%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CH CRP $32.25 $64.50 $12.26–$54.83 15% below 50%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 RL C-REACTIVE PROTEIN $7.77 $15.54 $2.95–$13.21 — 50%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 RCRP $32.25 $64.50 $12.26–$54.83 — 50%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 CH CRP $32.25 $64.50 $12.26–$54.83 — 50%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN $32.25 $64.50 $12.26–$54.83 — 50%
CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 CARBOHYDRATE ANTIGEN $56.50 $113.00 $21.47–$96.05 38% below 50%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9 CARBOHYDRATE ANTIGEN $56.50 $113.00 $21.47–$96.05 — 50%
CA-125 blood test (ovarian cancer marker) CPT 86304 RL CA 125 $31.22 $62.43 $11.86–$53.07 62% below 50%
CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 CANCER ANTIGEN $56.50 $113.00 $21.47–$96.05 31% below 50%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 RL CA 125 $31.22 $62.43 $11.86–$53.07 — 50%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125 CANCER ANTIGEN $56.50 $113.00 $21.47–$96.05 — 50%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 (MMH) $100.00 $200.00 $38.00–$170.00 25% above 50%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-CoV-2 RNA $103.50 $207.00 $39.33–$175.95 29% above 50%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID-19 (MMH) $100.00 $200.00 $38.00–$170.00 — 50%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-CoV-2 RNA $103.50 $207.00 $39.33–$175.95 — 50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 RL CHLAMYDIA TRACHOMATIS $52.64 $105.27 $20.00–$89.48 34% below 50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 RL CHLAMYDIA RNA TMA UROGEN $52.64 $105.27 $20.00–$89.48 34% below 50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA DNA PROBE $78.50 $157.00 $29.83–$133.45 2% below 50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 RL CHLAMYDIA RNA TMA UROGEN $52.64 $105.27 $20.00–$89.48 — 50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 RL CHLAMYDIA TRACHOMATIS $52.64 $105.27 $20.00–$89.48 — 50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA DNA PROBE $78.50 $157.00 $29.83–$133.45 — 50%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PROFILE $47.00 $94.00 $17.86–$79.90 29% below 50%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PROFILE $47.00 $94.00 $17.86–$79.90 — 50%
Complete blood count (CBC) with differential CPT 85025 CBC W/ AUTO DIFF (CHARGE ONLY) $29.00 $58.00 $11.02–$49.30 36% below 50%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC W/ AUTO DIFF (CHARGE ONLY) $29.00 $58.00 $11.02–$49.30 — 50%
Complete blood count (CBC), no differential CPT 85027 CBC W/ MANUAL DIFF (CHARGE ONL $31.50 $63.00 $11.97–$53.55 26% below 50%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC W/ MANUAL DIFF (CHARGE ONL $31.50 $63.00 $11.97–$53.55 — 50%
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC $97.75 $195.50 $37.15–$166.18 41% above 50%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC $97.75 $195.50 $37.15–$166.18 — 50%
D-dimer blood test (blood clot marker) CPT 85379 FIBRIN D-DIMER QUANTITATIVE $51.75 $103.50 $19.67–$87.98 46% below 50%
D-dimer blood test (blood clot marker) inpatient CPT 85379 FIBRIN D-DIMER QUANTITATIVE $51.75 $103.50 $19.67–$87.98 — 50%
DHEA sulfate (DHEA-S) blood test CPT 82627 RL DHEA SULFATE $33.35 $66.69 $12.67–$56.69 56% below 50%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-SULFATE $34.00 $68.00 $12.92–$57.80 55% below 50%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 RL DHEA SULFATE $33.35 $66.69 $12.67–$56.69 — 50%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA-SULFATE $34.00 $68.00 $12.92–$57.80 — 50%
Estradiol blood test CPT 82670 RL ESTRADIOL $41.91 $83.82 $15.93–$71.25 53% below 50%
Estradiol blood test CPT 82670 ESTRADIOL SERUM $95.00 $190.00 $36.10–$161.50 6% above 50%
Estradiol blood test inpatient CPT 82670 RL ESTRADIOL $41.91 $83.82 $15.93–$71.25 — 50%
Estradiol blood test inpatient CPT 82670 ESTRADIOL SERUM $95.00 $190.00 $36.10–$161.50 — 50%
FSH (follicle-stimulating hormone) test CPT 83001 RL FSH $27.87 $55.74 $10.59–$47.38 59% below 50%
FSH (follicle-stimulating hormone) test CPT 83001 FSH SERUM $70.00 $140.00 $26.60–$119.00 2% above 50%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 RL FSH $27.87 $55.74 $10.59–$47.38 — 50%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH SERUM $70.00 $140.00 $26.60–$119.00 — 50%
Fecal calprotectin (stool inflammation test) CPT 83993 RL CALPROTECTIN STOOL $29.45 $58.89 $11.19–$50.06 80% below 50%
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN, STOOL $120.00 $240.00 $45.60–$204.00 17% below 50%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 RL CALPROTECTIN STOOL $29.45 $58.89 $11.19–$50.06 — 50%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN, STOOL $120.00 $240.00 $45.60–$204.00 — 50%
Ferritin blood test (iron stores) CPT 82728 RL FERRITIN $20.45 $40.89 $7.77–$34.76 68% below 50%
Ferritin blood test (iron stores) CPT 82728 CH FERRITIN $37.00 $74.00 $14.06–$62.90 43% below 50%
Ferritin blood test (iron stores) CPT 82728 FERRITIN $37.00 $74.00 $14.06–$62.90 43% below 50%
Ferritin blood test (iron stores) inpatient CPT 82728 RL FERRITIN $20.45 $40.89 $7.77–$34.76 — 50%
Ferritin blood test (iron stores) inpatient CPT 82728 CH FERRITIN $37.00 $74.00 $14.06–$62.90 — 50%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN $37.00 $74.00 $14.06–$62.90 — 50%
Folate (folic acid) blood test CPT 82746 RL FOLATE SERUM $22.05 $44.10 $8.38–$37.49 64% below 50%
Folate (folic acid) blood test CPT 82746 FOLIC ACID $41.75 $83.50 $15.87–$70.98 33% below 50%
Folate (folic acid) blood test CPT 82746 CH FOLATE $41.75 $83.50 $15.87–$70.98 33% below 50%
Folate (folic acid) blood test inpatient CPT 82746 RL FOLATE SERUM $22.05 $44.10 $8.38–$37.49 — 50%
Folate (folic acid) blood test inpatient CPT 82746 FOLIC ACID $41.75 $83.50 $15.87–$70.98 — 50%
Folate (folic acid) blood test inpatient CPT 82746 CH FOLATE $41.75 $83.50 $15.87–$70.98 — 50%
Free T3 thyroid hormone test CPT 84481 T3 (FREE) $15.00 $30.00 $5.70–$25.50 83% below 50%
Free T3 thyroid hormone test CPT 84481 RL T3 FREE $25.41 $50.82 $9.66–$43.20 72% below 50%
Free T3 thyroid hormone test inpatient CPT 84481 T3 (FREE) $15.00 $30.00 $5.70–$25.50 — 50%
Free T3 thyroid hormone test inpatient CPT 84481 RL T3 FREE $25.41 $50.82 $9.66–$43.20 — 50%
Free T4 (free thyroxine) thyroid blood test CPT 84439 RL T4 FREE $13.53 $27.06 $5.14–$23.00 78% below 50%
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 - FREE $24.50 $49.00 $9.31–$41.65 60% below 50%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 RL T4 FREE $13.53 $27.06 $5.14–$23.00 — 50%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4 - FREE $24.50 $49.00 $9.31–$41.65 — 50%
Free testosterone test CPT 84402 RL TESTOSTERONE FREE $38.21 $76.41 $14.52–$64.95 56% below 50%
Free testosterone test CPT 84402 TESTOSTERONE, FREE $109.00 $218.00 $41.42–$185.30 26% above 50%
Free testosterone test inpatient CPT 84402 RL TESTOSTERONE FREE $38.21 $76.41 $14.52–$64.95 — 50%
Free testosterone test inpatient CPT 84402 TESTOSTERONE, FREE $109.00 $218.00 $41.42–$185.30 — 50%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL $141.50 $283.00 $53.77–$240.55 28% below 50%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 GENERAL HEALTH PANEL $141.50 $283.00 $53.77–$240.55 — 50%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE CHALLENGE (OB) $37.00 $74.00 $14.06–$62.90 26% above 50%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 1 HOUR TOLERANCE $39.50 $79.00 $15.01–$67.15 35% above 50%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 2 HOUR TOLERANCE $42.50 $85.00 $16.15–$72.25 45% above 50%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE CHALLENGE (OB) $37.00 $74.00 $14.06–$62.90 — 50%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE 1 HOUR TOLERANCE $39.50 $79.00 $15.01–$67.15 — 50%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE 2 HOUR TOLERANCE $42.50 $85.00 $16.15–$72.25 — 50%
Glucose tolerance test, 3 samples CPT 82951 CH GTT 3 SPECIMENS W/GLUCOSE $37.75 $75.50 $14.35–$64.18 40% below 50%
Glucose tolerance test, 3 samples inpatient CPT 82951 CH GTT 3 SPECIMENS W/GLUCOSE $37.75 $75.50 $14.35–$64.18 — 50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 RL N GONORRHOEA RNA TMA UROGEN $52.64 $105.27 $20.00–$89.48 37% below 50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 RL NEISSERIA GONORRHOEAE $52.64 $105.27 $20.00–$89.48 37% below 50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC DNA PROBE $78.50 $157.00 $29.83–$133.45 6% below 50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 RL N GONORRHOEA RNA TMA UROGEN $52.64 $105.27 $20.00–$89.48 — 50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 RL NEISSERIA GONORRHOEAE $52.64 $105.27 $20.00–$89.48 — 50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GC DNA PROBE $78.50 $157.00 $29.83–$133.45 — 50%
H. pylori antibody blood test CPT 86677 H. PYLORI IGG ANTIBODIES $53.50 $107.00 $20.33–$90.95 36% below 50%
H. pylori antibody blood test CPT 86677 H PYLORI SCREEN $53.50 $107.00 $20.33–$90.95 36% below 50%
H. pylori antibody blood test CPT 86677 H. PYLORI IgM ANTIBODIES $115.50 $231.00 $43.89–$196.35 39% above 50%
H. pylori antibody blood test inpatient CPT 86677 H PYLORI SCREEN $53.50 $107.00 $20.33–$90.95 — 50%
H. pylori antibody blood test inpatient CPT 86677 H. PYLORI IGG ANTIBODIES $53.50 $107.00 $20.33–$90.95 — 50%
H. pylori antibody blood test inpatient CPT 86677 H. PYLORI IgM ANTIBODIES $115.50 $231.00 $43.89–$196.35 — 50%
H. pylori stool antigen test CPT 87338 RL H PYLORI AG EIA STOOL $21.57 $43.14 $8.20–$36.67 81% below 50%
H. pylori stool antigen test CPT 87338 H PYLORI ANTIGEN (STOOL) $39.00 $78.00 $14.82–$66.30 65% below 50%
H. pylori stool antigen test inpatient CPT 87338 RL H PYLORI AG EIA STOOL $21.57 $43.14 $8.20–$36.67 — 50%
H. pylori stool antigen test inpatient CPT 87338 H PYLORI ANTIGEN (STOOL) $39.00 $78.00 $14.82–$66.30 — 50%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 RNA BY PCR QUANT $106.00 $212.00 $40.28–$180.20 46% below 50%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 RL HIV 1 RNA QN REAL TIME PCR $127.65 $255.30 $48.51–$217.01 35% below 50%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 RNA BY PCR QUANT $106.00 $212.00 $40.28–$180.20 — 50%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 RL HIV 1 RNA QN REAL TIME PCR $127.65 $255.30 $48.51–$217.01 — 50%
HIV-1 and HIV-2 antibody test CPT 86703 HIV-EIA SCREEN $45.50 $91.00 $17.29–$77.35 7% below 50%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV-EIA SCREEN $45.50 $91.00 $17.29–$77.35 — 50%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 RL HIV AG/AB 4TH GEN $36.12 $72.24 $13.73–$61.40 25% below 50%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 RL HIV AG/AB 4TH GEN $36.12 $72.24 $13.73–$61.40 — 50%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV DNA PROBE $114.50 $229.00 $43.51–$194.65 31% above 50%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV DNA PROBE $114.50 $229.00 $43.51–$194.65 — 50%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOHEMOGLOBIN HGB A1C $43.00 $86.00 $16.34–$73.10 at median 50%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 GLYCOHEMOGLOBIN HGB A1C $43.00 $86.00 $16.34–$73.10 — 50%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 RL HEP B SURFACE AB QL $16.11 $32.22 $6.12–$27.39 64% below 50%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 RL HEP B SURFACE ANTIBODY QL $16.11 $32.22 $6.12–$27.39 64% below 50%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE ANTIBODY $36.50 $73.00 $13.87–$62.05 18% below 50%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 RL HEP B SURFACE AB QL $16.11 $32.22 $6.12–$27.39 — 50%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 RL HEP B SURFACE ANTIBODY QL $16.11 $32.22 $6.12–$27.39 — 50%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURFACE ANTIBODY $36.50 $73.00 $13.87–$62.05 — 50%
Hepatitis B surface antigen (HBsAg) test CPT 87340 RL HEP B SURFACE AG W/REFL $15.50 $30.99 $5.89–$26.34 63% below 50%
Hepatitis B surface antigen (HBsAg) test CPT 87340 RL HEPATITIS B SURFACE ANTIGEN $15.50 $30.99 $5.89–$26.34 63% below 50%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE ANTIGEN (H $36.50 $73.00 $13.87–$62.05 12% below 50%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 RL HEP B SURFACE AG W/REFL $15.50 $30.99 $5.89–$26.34 — 50%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 RL HEPATITIS B SURFACE ANTIGEN $15.50 $30.99 $5.89–$26.34 — 50%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE ANTIGEN (H $36.50 $73.00 $13.87–$62.05 — 50%
Hepatitis C antibody blood test (screening) CPT 86803 RL HEPATITIS C ANTIBODY $21.40 $42.80 $8.13–$36.38 58% below 50%
Hepatitis C antibody blood test (screening) CPT 86803 RL HEP C AB W/REFL HCV QN PCR $21.41 $42.81 $8.13–$36.39 58% below 50%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY $25.00 $50.00 $9.50–$42.50 51% below 50%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 RL HEPATITIS C ANTIBODY $21.40 $42.80 $8.13–$36.38 — 50%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 RL HEP C AB W/REFL HCV QN PCR $21.41 $42.81 $8.13–$36.39 — 50%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C ANTIBODY $25.00 $50.00 $9.50–$42.50 — 50%
Hepatitis C viral load (HCV RNA) test CPT 87522 RL HCV RNA QN PCR $64.26 $128.52 $24.42–$109.24 71% below 50%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C RNA PCR VIRAL LOAD $235.25 $470.50 $89.40–$399.93 6% above 50%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 RL HCV RNA QN PCR $64.26 $128.52 $24.42–$109.24 — 50%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEP C RNA PCR VIRAL LOAD $235.25 $470.50 $89.40–$399.93 — 50%
Herpes blood test, HSV-1 antibody CPT 86695 RL HSV 1 IGM SCREEN $19.79 $39.57 $7.52–$33.63 66% below 50%
Herpes blood test, HSV-1 antibody CPT 86695 RL HSV 1 IGG TYPE SPECIFIC AB $19.79 $39.57 $7.52–$33.63 66% below 50%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX I ANTIBODY IgM $23.75 $47.50 $9.03–$40.38 59% below 50%
Herpes blood test, HSV-1 antibody CPT 86695 HSV 1 IgG AB $23.75 $47.50 $9.03–$40.38 59% below 50%
Herpes blood test, HSV-1 antibody CPT 86695 CH HSV I IGM $23.75 $47.50 $9.03–$40.38 59% below 50%
Herpes blood test, HSV-1 antibody CPT 86695 HSV 1 IgM AB $23.75 $47.50 $9.03–$40.38 59% below 50%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 RL HSV 1 IGM SCREEN $19.79 $39.57 $7.52–$33.63 — 50%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 RL HSV 1 IGG TYPE SPECIFIC AB $19.79 $39.57 $7.52–$33.63 — 50%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV 1 IgG AB $23.75 $47.50 $9.03–$40.38 — 50%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX I ANTIBODY IgM $23.75 $47.50 $9.03–$40.38 — 50%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV 1 IgM AB $23.75 $47.50 $9.03–$40.38 — 50%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 CH HSV I IGM $23.75 $47.50 $9.03–$40.38 — 50%
Herpes blood test, HSV-2 antibody CPT 86696 RL HSV 2 IGM SCREEN $29.03 $58.05 $11.03–$49.34 48% below 50%
Herpes blood test, HSV-2 antibody CPT 86696 RL HSV 2 IGG TYPE SPECIFIC AB $29.03 $58.05 $11.03–$49.34 48% below 50%
Herpes blood test, HSV-2 antibody CPT 86696 HSV 2 IgM AB $45.50 $91.00 $17.29–$77.35 18% below 50%
Herpes blood test, HSV-2 antibody CPT 86696 CH HSV II IGM $45.50 $91.00 $17.29–$77.35 18% below 50%
Herpes blood test, HSV-2 antibody CPT 86696 HSV 2 IgG AB $45.50 $91.00 $17.29–$77.35 18% below 50%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX II ANTIBODY IgM $45.50 $91.00 $17.29–$77.35 18% below 50%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 RL HSV 2 IGM SCREEN $29.03 $58.05 $11.03–$49.34 — 50%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 RL HSV 2 IGG TYPE SPECIFIC AB $29.03 $58.05 $11.03–$49.34 — 50%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 CH HSV II IGM $45.50 $91.00 $17.29–$77.35 — 50%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV 2 IgM AB $45.50 $91.00 $17.29–$77.35 — 50%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV 2 IgG AB $45.50 $91.00 $17.29–$77.35 — 50%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX II ANTIBODY IgM $45.50 $91.00 $17.29–$77.35 — 50%
High-sensitivity CRP (hs-CRP) test CPT 86141 CRP-HS $49.75 $99.50 $18.91–$84.58 8% below 50%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CRP-HS $49.75 $99.50 $18.91–$84.58 — 50%
Homocysteine blood test CPT 83090 RL HOMOCYSTEINE $26.88 $53.76 $10.21–$45.70 78% below 50%
Homocysteine blood test CPT 83090 HOMOCYSTEINE $67.50 $135.00 $25.65–$114.75 45% below 50%
Homocysteine blood test inpatient CPT 83090 RL HOMOCYSTEINE $26.88 $53.76 $10.21–$45.70 — 50%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE $67.50 $135.00 $25.65–$114.75 — 50%
Insulin blood test CPT 83525 RL INSULIN $17.15 $34.29 $6.52–$29.15 64% below 50%
Insulin blood test CPT 83525 INSULIN LEVEL $46.00 $92.00 $17.48–$78.20 3% below 50%
Insulin blood test inpatient CPT 83525 RL INSULIN $17.15 $34.29 $6.52–$29.15 — 50%
Insulin blood test inpatient CPT 83525 INSULIN LEVEL $46.00 $92.00 $17.48–$78.20 — 50%
Iron blood test (serum iron) CPT 83540 IRON $21.00 $42.00 $7.98–$35.70 42% below 50%
Iron blood test (serum iron) CPT 83540 CH IRON $21.00 $42.00 $7.98–$35.70 42% below 50%
Iron blood test (serum iron) inpatient CPT 83540 IRON $21.00 $42.00 $7.98–$35.70 — 50%
Iron blood test (serum iron) inpatient CPT 83540 CH IRON $21.00 $42.00 $7.98–$35.70 — 50%
Iron-binding capacity (TIBC) test CPT 83550 TIBC $33.00 $66.00 $12.54–$56.10 29% below 50%
Iron-binding capacity (TIBC) test CPT 83550 CH TIBC $33.00 $66.00 $12.54–$56.10 29% below 50%
Iron-binding capacity (TIBC) test inpatient CPT 83550 CH TIBC $33.00 $66.00 $12.54–$56.10 — 50%
Iron-binding capacity (TIBC) test inpatient CPT 83550 TIBC $33.00 $66.00 $12.54–$56.10 — 50%
Kidney function blood test panel CPT 80069 RENAL PANEL $95.00 $190.00 $36.10–$161.50 36% above 50%
Kidney function blood test panel inpatient CPT 80069 RENAL PANEL $95.00 $190.00 $36.10–$161.50 — 50%
LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE $20.75 $41.50 $7.89–$35.28 72% below 50%
LH (luteinizing hormone) test CPT 83002 RL LH $27.78 $55.56 $10.56–$47.23 62% below 50%
LH (luteinizing hormone) test inpatient CPT 83002 LUTEINIZING HORMONE $20.75 $41.50 $7.89–$35.28 — 50%
LH (luteinizing hormone) test inpatient CPT 83002 RL LH $27.78 $55.56 $10.56–$47.23 — 50%
Lipase blood test (pancreas enzyme) CPT 83690 RL LIPASE RANDOM URINE $10.34 $20.67 $3.93–$17.57 81% below 50%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE BLOOD $21.50 $43.00 $8.17–$36.55 60% below 50%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE URINARY $21.50 $43.00 $8.17–$36.55 60% below 50%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 RL LIPASE RANDOM URINE $10.34 $20.67 $3.93–$17.57 — 50%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE BLOOD $21.50 $43.00 $8.17–$36.55 — 50%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE URINARY $21.50 $43.00 $8.17–$36.55 — 50%
Liver function blood test panel CPT 80076 CH HEPATIC PANEL $100.75 $201.50 $38.29–$171.28 85% above 50%
Liver function blood test panel CPT 80076 HEPATIC PANEL $100.75 $201.50 $38.29–$171.28 85% above 50%
Liver function blood test panel inpatient CPT 80076 CH HEPATIC PANEL $100.75 $201.50 $38.29–$171.28 — 50%
Liver function blood test panel inpatient CPT 80076 HEPATIC PANEL $100.75 $201.50 $38.29–$171.28 — 50%
Lyme disease antibody test CPT 86618 RL LYME AB SCREEN $25.55 $51.09 $9.71–$43.43 68% below 50%
Lyme disease antibody test CPT 86618 LYMES ANTIBODY SCREEN $66.25 $132.50 $25.18–$112.63 18% below 50%
Lyme disease antibody test inpatient CPT 86618 RL LYME AB SCREEN $25.55 $51.09 $9.71–$43.43 — 50%
Lyme disease antibody test inpatient CPT 86618 LYMES ANTIBODY SCREEN $66.25 $132.50 $25.18–$112.63 — 50%
Magnesium blood test CPT 83735 CH MAGNESIUM URINE $7.25 $14.50 $2.76–$12.33 79% below 50%
Magnesium blood test CPT 83735 RL MAGNESIUM 24HR W CREATIN $10.05 $20.10 $3.82–$17.09 71% below 50%
Magnesium blood test CPT 83735 MAGNESIUM $22.00 $44.00 $8.36–$37.40 36% below 50%
Magnesium blood test inpatient CPT 83735 CH MAGNESIUM URINE $7.25 $14.50 $2.76–$12.33 — 50%
Magnesium blood test inpatient CPT 83735 RL MAGNESIUM 24HR W CREATIN $10.05 $20.10 $3.82–$17.09 — 50%
Magnesium blood test inpatient CPT 83735 MAGNESIUM $22.00 $44.00 $8.36–$37.40 — 50%
Measles (rubeola) antibody test CPT 86765 RUBEOLA IgG ANTIBODY $18.00 $36.00 $6.84–$30.60 56% below 50%
Measles (rubeola) antibody test CPT 86765 RL MEASLES AB IGG IMMUNE STAT $19.32 $38.64 $7.34–$32.84 53% below 50%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA IgG ANTIBODY $18.00 $36.00 $6.84–$30.60 — 50%
Measles (rubeola) antibody test inpatient CPT 86765 RL MEASLES AB IGG IMMUNE STAT $19.32 $38.64 $7.34–$32.84 — 50%
Mono test (heterophile antibody, Monospot) CPT 86308 MONO TEST (DLO) $20.75 $41.50 $7.89–$35.28 42% below 50%
Mono test (heterophile antibody, Monospot) CPT 86308 MONO TEST $20.75 $41.50 $7.89–$35.28 42% below 50%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONO TEST (DLO) $20.75 $41.50 $7.89–$35.28 — 50%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONO TEST $20.75 $41.50 $7.89–$35.28 — 50%
Obstetric blood test panel CPT 80055 CH OB PROFILE $36.50 $73.00 $13.87–$62.05 75% below 50%
Obstetric blood test panel inpatient CPT 80055 CH OB PROFILE $36.50 $73.00 $13.87–$62.05 — 50%
PSA (prostate-specific antigen) blood test, free CPT 84154 RL PSA FREE $27.59 $55.17 $10.48–$46.89 69% below 50%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA (FREE) $31.00 $62.00 $11.78–$52.70 66% below 50%
PSA (prostate-specific antigen) blood test, free CPT 84154 CH PSA FREE $31.00 $62.00 $11.78–$52.70 66% below 50%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA-FREE $38.75 $77.50 $14.73–$65.88 57% below 50%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 RL PSA FREE $27.59 $55.17 $10.48–$46.89 — 50%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA (FREE) $31.00 $62.00 $11.78–$52.70 — 50%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 CH PSA FREE $31.00 $62.00 $11.78–$52.70 — 50%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA-FREE $38.75 $77.50 $14.73–$65.88 — 50%
PSA (prostate-specific antigen) blood test, total CPT 84153 RL PSA TOTAL $27.59 $55.17 $10.48–$46.89 64% below 50%
PSA (prostate-specific antigen) blood test, total CPT 84153 CH PSA TOTAL $31.25 $62.50 $11.88–$53.13 59% below 50%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA $31.25 $62.50 $11.88–$53.13 59% below 50%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA/TOTAL $39.13 $78.25 $14.87–$66.51 49% below 50%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 RL PSA TOTAL $27.59 $55.17 $10.48–$46.89 — 50%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA $31.25 $62.50 $11.88–$53.13 — 50%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 CH PSA TOTAL $31.25 $62.50 $11.88–$53.13 — 50%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA/TOTAL $39.13 $78.25 $14.87–$66.51 — 50%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 PAP SMEAR $43.00 $86.00 $16.34–$73.10 39% below 50%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 PAP SMEAR $43.00 $86.00 $16.34–$73.10 — 50%
Parathyroid hormone (PTH) blood test CPT 83970 CH PTH INTACT $24.50 $49.00 $9.31–$41.65 82% below 50%
Parathyroid hormone (PTH) blood test CPT 83970 RL PARATHYROID HORMONE INTACT $61.92 $123.84 $23.53–$105.26 56% below 50%
Parathyroid hormone (PTH) blood test CPT 83970 PTH INTACT w/o CALCIUM $73.75 $147.50 $28.03–$125.38 47% below 50%
Parathyroid hormone (PTH) blood test CPT 83970 PTH-N TERMINAL (DISCONTINUED) $121.00 $242.00 $45.98–$205.70 13% below 50%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE INTACT $147.75 $295.50 $56.15–$251.18 6% above 50%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 CH PTH INTACT $24.50 $49.00 $9.31–$41.65 — 50%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 RL PARATHYROID HORMONE INTACT $61.92 $123.84 $23.53–$105.26 — 50%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH INTACT w/o CALCIUM $73.75 $147.50 $28.03–$125.38 — 50%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH-N TERMINAL (DISCONTINUED) $121.00 $242.00 $45.98–$205.70 — 50%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHYROID HORMONE INTACT $147.75 $295.50 $56.15–$251.18 — 50%
Partial thromboplastin time (PTT) clotting test CPT 85730 CH PTT $6.00 $12.00 $2.28–$10.20 81% below 50%
Partial thromboplastin time (PTT) clotting test CPT 85730 RL PTT-LA SCREEN $9.03 $18.06 $3.43–$15.35 72% below 50%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT $20.75 $41.50 $7.89–$35.28 36% below 50%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 CH PTT $6.00 $12.00 $2.28–$10.20 — 50%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 RL PTT-LA SCREEN $9.03 $18.06 $3.43–$15.35 — 50%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT $20.75 $41.50 $7.89–$35.28 — 50%
Progesterone blood test CPT 84144 RL PROGESTERONE $31.29 $62.58 $11.89–$53.19 57% below 50%
Progesterone blood test CPT 84144 PROGESTERONE SERUM $90.75 $181.50 $34.49–$154.28 25% above 50%
Progesterone blood test inpatient CPT 84144 RL PROGESTERONE $31.29 $62.58 $11.89–$53.19 — 50%
Progesterone blood test inpatient CPT 84144 PROGESTERONE SERUM $90.75 $181.50 $34.49–$154.28 — 50%
Prolactin blood test CPT 84146 RL PROLACTIN $29.07 $58.14 $11.05–$49.42 69% below 50%
Prolactin blood test CPT 84146 PROLACTIN SERUM $109.75 $219.50 $41.71–$186.58 17% above 50%
Prolactin blood test inpatient CPT 84146 RL PROLACTIN $29.07 $58.14 $11.05–$49.42 — 50%
Prolactin blood test inpatient CPT 84146 PROLACTIN SERUM $109.75 $219.50 $41.71–$186.58 — 50%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME W/INR $14.00 $28.00 $5.32–$23.80 57% below 50%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME W/INR $14.00 $28.00 $5.32–$23.80 — 50%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 TRIAGE DRUG SCREEN $59.50 $119.00 $22.61–$101.15 22% above 50%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 TRIAGE DRUG SCREEN $59.50 $119.00 $22.61–$101.15 — 50%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA TYPE A $31.25 $62.50 $11.88–$53.13 42% below 50%
Rapid flu test (influenza antigen) CPT 87804 Influenza Type B $31.25 $62.50 $11.88–$53.13 42% below 50%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA TYPE B $31.25 $62.50 $11.88–$53.13 42% below 50%
Rapid flu test (influenza antigen) inpatient CPT 87804 Influenza Type B $31.25 $62.50 $11.88–$53.13 — 50%
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA TYPE A $31.25 $62.50 $11.88–$53.13 — 50%
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA TYPE B $31.25 $62.50 $11.88–$53.13 — 50%
Rheumatoid factor (RF) test CPT 86431 RL RHEUMATOID FACTOR QUANT $8.51 $17.01 $3.23–$14.46 70% below 50%
Rheumatoid factor (RF) test CPT 86431 RL RHEUMATOID FACTOR $8.51 $17.01 $3.23–$14.46 70% below 50%
Rheumatoid factor (RF) test CPT 86431 RA TITER $23.00 $46.00 $8.74–$39.10 20% below 50%
Rheumatoid factor (RF) test CPT 86431 CH-RHEUMATOID FACTOR $28.38 $56.75 $10.78–$48.24 1% below 50%
Rheumatoid factor (RF) test inpatient CPT 86431 RL RHEUMATOID FACTOR QUANT $8.51 $17.01 $3.23–$14.46 — 50%
Rheumatoid factor (RF) test inpatient CPT 86431 RL RHEUMATOID FACTOR $8.51 $17.01 $3.23–$14.46 — 50%
Rheumatoid factor (RF) test inpatient CPT 86431 RA TITER $23.00 $46.00 $8.74–$39.10 — 50%
Rheumatoid factor (RF) test inpatient CPT 86431 CH-RHEUMATOID FACTOR $28.38 $56.75 $10.78–$48.24 — 50%
Rubella antibody test (immunity check) CPT 86762 RL RUBELLA AB IGG IMMUNE STAT $21.59 $43.17 $8.20–$36.69 59% below 50%
Rubella antibody test (immunity check) CPT 86762 RL RUBELLA ANTIBODY (IGM) $21.59 $43.17 $8.20–$36.69 59% below 50%
Rubella antibody test (immunity check) CPT 86762 RL RUBELLA ANTIBODY IGG DX $21.59 $43.17 $8.20–$36.69 59% below 50%
Rubella antibody test (immunity check) CPT 86762 RUBELLA IMMUNITY (SCREEN) $28.75 $57.50 $10.93–$48.88 45% below 50%
Rubella antibody test (immunity check) CPT 86762 RUBELLA IMMUNITY (DLO) $28.75 $57.50 $10.93–$48.88 45% below 50%
Rubella antibody test (immunity check) CPT 86762 RUBELLA AB IgG & IgM $28.75 $57.50 $10.93–$48.88 45% below 50%
Rubella antibody test (immunity check) inpatient CPT 86762 RL RUBELLA ANTIBODY (IGM) $21.59 $43.17 $8.20–$36.69 — 50%
Rubella antibody test (immunity check) inpatient CPT 86762 RL RUBELLA AB IGG IMMUNE STAT $21.59 $43.17 $8.20–$36.69 — 50%
Rubella antibody test (immunity check) inpatient CPT 86762 RL RUBELLA ANTIBODY IGG DX $21.59 $43.17 $8.20–$36.69 — 50%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA AB IgG & IgM $28.75 $57.50 $10.93–$48.88 — 50%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA IMMUNITY (SCREEN) $28.75 $57.50 $10.93–$48.88 — 50%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA IMMUNITY (DLO) $28.75 $57.50 $10.93–$48.88 — 50%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN ANALYSIS $26.00 $52.00 $9.88–$44.20 78% below 50%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 FERTILITY TEST SEMEN $26.50 $53.00 $10.07–$45.05 78% below 50%
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 SEMEN ANALYSIS $26.00 $52.00 $9.88–$44.20 — 50%
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 FERTILITY TEST SEMEN $26.50 $53.00 $10.07–$45.05 — 50%
Stool ova and parasites exam CPT 87177 OVA & PARASITES $28.25 $56.50 $10.74–$48.03 54% below 50%
Stool ova and parasites exam inpatient CPT 87177 OVA & PARASITES $28.25 $56.50 $10.74–$48.03 — 50%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD FECES $6.58 $13.15 $2.50–$11.18 71% below 50%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLOOD FECES $6.58 $13.15 $2.50–$11.18 — 50%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RL RPR DX W/REFL TITER $6.41 $12.81 $2.43–$10.89 78% below 50%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 PREMARITAL BLOOD TEST $16.00 $32.00 $6.08–$27.20 45% below 50%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR $19.00 $38.00 $7.22–$32.30 34% below 50%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RL RPR DX W/REFL TITER $6.41 $12.81 $2.43–$10.89 — 50%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 PREMARITAL BLOOD TEST $16.00 $32.00 $6.08–$27.20 — 50%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR $19.00 $38.00 $7.22–$32.30 — 50%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON TB GOLD $52.00 $104.00 $19.76–$88.40 70% below 50%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 RL QUANTIFERON TB GOLD +1 TUBE $92.97 $185.94 $35.33–$158.05 46% below 50%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON TB GOLD $52.00 $104.00 $19.76–$88.40 — 50%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 RL QUANTIFERON TB GOLD +1 TUBE $92.97 $185.94 $35.33–$158.05 — 50%
Testosterone blood test, total (not free testosterone) CPT 84403 RL TESTOSTERONE TOTAL MS $38.87 $77.73 $14.77–$66.07 57% below 50%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE SERUM $110.25 $220.50 $41.90–$187.43 23% above 50%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 RL TESTOSTERONE TOTAL MS $38.87 $77.73 $14.77–$66.07 — 50%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE SERUM $110.25 $220.50 $41.90–$187.43 — 50%
Thyroid peroxidase (TPO) antibody test CPT 86376 RL THYROID PEROXIDASE AB $21.83 $43.65 $8.29–$37.10 64% below 50%
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE ANTIBODIES $30.00 $60.00 $11.40–$51.00 50% below 50%
Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTOBODIES $78.25 $156.50 $29.74–$133.03 31% above 50%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 RL THYROID PEROXIDASE AB $21.83 $43.65 $8.29–$37.10 — 50%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID PEROXIDASE ANTIBODIES $30.00 $60.00 $11.40–$51.00 — 50%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 MICROSOMAL ANTOBODIES $78.25 $156.50 $29.74–$133.03 — 50%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 CH TSH $23.00 $46.00 $8.74–$39.10 57% below 50%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH SERUM 3RD GENERATION $38.50 $77.00 $14.63–$65.45 28% below 50%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 CH TSH $23.00 $46.00 $8.74–$39.10 — 50%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH SERUM 3RD GENERATION $38.50 $77.00 $14.63–$65.45 — 50%
Trichomonas test (NAAT) CPT 87661 RL TRICHOMONAS VAGINALIS $52.64 $105.27 $20.00–$89.48 40% below 50%
Trichomonas test (NAAT) CPT 87661 RL SURESWAB TRICH VAG RNA QL $52.64 $105.27 $20.00–$89.48 40% below 50%
Trichomonas test (NAAT) CPT 87661 T. VAGINALIS RNA $78.50 $157.00 $29.83–$133.45 11% below 50%
Trichomonas test (NAAT) inpatient CPT 87661 RL TRICHOMONAS VAGINALIS $52.64 $105.27 $20.00–$89.48 — 50%
Trichomonas test (NAAT) inpatient CPT 87661 RL SURESWAB TRICH VAG RNA QL $52.64 $105.27 $20.00–$89.48 — 50%
Trichomonas test (NAAT) inpatient CPT 87661 T. VAGINALIS RNA $78.50 $157.00 $29.83–$133.45 — 50%
Uric acid blood test CPT 84550 URIC ACID $21.00 $42.00 $7.98–$35.70 20% below 50%
Uric acid blood test CPT 84550 CH URIC ACID $21.00 $42.00 $7.98–$35.70 20% below 50%
Uric acid blood test inpatient CPT 84550 URIC ACID $21.00 $42.00 $7.98–$35.70 — 50%
Uric acid blood test inpatient CPT 84550 CH URIC ACID $21.00 $42.00 $7.98–$35.70 — 50%
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS WITH MICROSCOPY $19.00 $38.00 $7.22–$32.30 33% below 50%
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS W REFLEX CULT $19.00 $38.00 $7.22–$32.30 33% below 50%
Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS W REFLEX CULT $19.00 $38.00 $7.22–$32.30 — 50%
Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS WITH MICROSCOPY $19.00 $38.00 $7.22–$32.30 — 50%
Urinalysis without microscope exam, automated CPT 81003 SPECIFIC GRAVITY URINE $9.75 $19.50 $3.71–$16.58 32% below 50%
Urinalysis without microscope exam, automated inpatient CPT 81003 SPECIFIC GRAVITY URINE $9.75 $19.50 $3.71–$16.58 — 50%
Urinalysis without microscope exam, manual CPT 81002 BILE URINE QUAL $3.25 $6.50 $1.24–$5.53 77% below 50%
Urinalysis without microscope exam, manual CPT 81002 CLINITEST REDUCING SUGAR $3.75 $7.50 $1.43–$6.38 73% below 50%
Urinalysis without microscope exam, manual CPT 81002 URINALYSIS WO MICRO MANUAL $5.50 $11.00 $2.09–$9.35 61% below 50%
Urinalysis without microscope exam, manual CPT 81002 ALBUMIN URINE QUAL $6.50 $13.00 $2.47–$11.05 54% below 50%
Urinalysis without microscope exam, manual CPT 81002 ACETONE URINE QUAL (ACETEST) $7.50 $15.00 $2.85–$12.75 46% below 50%
Urinalysis without microscope exam, manual inpatient CPT 81002 BILE URINE QUAL $3.25 $6.50 $1.24–$5.53 — 50%
Urinalysis without microscope exam, manual inpatient CPT 81002 CLINITEST REDUCING SUGAR $3.75 $7.50 $1.43–$6.38 — 50%
Urinalysis without microscope exam, manual inpatient CPT 81002 URINALYSIS WO MICRO MANUAL $5.50 $11.00 $2.09–$9.35 — 50%
Urinalysis without microscope exam, manual inpatient CPT 81002 ALBUMIN URINE QUAL $6.50 $13.00 $2.47–$11.05 — 50%
Urinalysis without microscope exam, manual inpatient CPT 81002 ACETONE URINE QUAL (ACETEST) $7.50 $15.00 $2.85–$12.75 — 50%
Urine culture for bacteria, with colony count CPT 87086 CULTURE URINE $28.75 $57.50 $10.93–$48.88 40% below 50%
Urine culture for bacteria, with colony count inpatient CPT 87086 CULTURE URINE $28.75 $57.50 $10.93–$48.88 — 50%
Urine pregnancy test, read by color change CPT 81025 UCG URINE $27.75 $55.50 $10.55–$47.18 3% above 50%
Urine pregnancy test, read by color change inpatient CPT 81025 UCG URINE $27.75 $55.50 $10.55–$47.18 — 50%
Vitamin B12 (cobalamin) blood test CPT 82607 RL VITAMIN B12 $22.62 $45.24 $8.60–$38.45 63% below 50%
Vitamin B12 (cobalamin) blood test CPT 82607 B12 (VITAMIN) $24.00 $48.00 $9.12–$40.80 61% below 50%
Vitamin B12 (cobalamin) blood test CPT 82607 CH B-12 VITAMIN $24.00 $48.00 $9.12–$40.80 61% below 50%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 RL VITAMIN B12 $22.62 $45.24 $8.60–$38.45 — 50%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 CH B-12 VITAMIN $24.00 $48.00 $9.12–$40.80 — 50%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 B12 (VITAMIN) $24.00 $48.00 $9.12–$40.80 — 50%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 RL QUESTASSURED 25-OH VIT D $44.40 $88.80 $16.87–$75.48 66% below 50%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 RL VITAMIN D25-OH TOTAL IA $44.40 $88.80 $16.87–$75.48 66% below 50%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D-25-HYDROXY(D2,D3) $44.40 $88.80 $16.87–$75.48 66% below 50%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D-25-OH $150.25 $300.50 $57.10–$255.43 15% above 50%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D-25-HYDROXY(D2,D3) $44.40 $88.80 $16.87–$75.48 — 50%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 RL QUESTASSURED 25-OH VIT D $44.40 $88.80 $16.87–$75.48 — 50%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 RL VITAMIN D25-OH TOTAL IA $44.40 $88.80 $16.87–$75.48 — 50%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D-25-OH $150.25 $300.50 $57.10–$255.43 — 50%
Zinc blood test CPT 84630 RL ZINC $17.09 $34.17 $6.49–$29.04 70% below 50%
Zinc blood test CPT 84630 RL ZINC RBC $17.09 $34.17 $6.49–$29.04 70% below 50%
Zinc blood test CPT 84630 ZINC LEVEL RBC $54.00 $108.00 $20.52–$91.80 7% below 50%
Zinc blood test CPT 84630 ZINC LEVEL SERUM $54.00 $108.00 $20.52–$91.80 7% below 50%
Zinc blood test inpatient CPT 84630 RL ZINC $17.09 $34.17 $6.49–$29.04 — 50%
Zinc blood test inpatient CPT 84630 RL ZINC RBC $17.09 $34.17 $6.49–$29.04 — 50%
Zinc blood test inpatient CPT 84630 ZINC LEVEL SERUM $54.00 $108.00 $20.52–$91.80 — 50%
Zinc blood test inpatient CPT 84630 ZINC LEVEL RBC $54.00 $108.00 $20.52–$91.80 — 50%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG SERUM QUANT BETA SUB UNIT $53.50 $107.00 $20.33–$90.95 12% below 50%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG SERUM QUANT BETA SUB UNIT $53.50 $107.00 $20.33–$90.95 — 50%

Surgery and procedures

ProcedureCash price List priceInsurers payvs OklahomaOff list
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 MM LT STEREO BREAST BX $3,089.50 $6,179.00 $1,174.01–$5,252.15 55% above 50%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 MM RT STEREO BREAST BX $3,089.50 $6,179.00 $1,174.01–$5,252.15 55% above 50%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 MM LT STEREO BREAST BX $3,089.50 $6,179.00 $1,174.01–$5,252.15 — 50%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 MM RT STEREO BREAST BX $3,089.50 $6,179.00 $1,174.01–$5,252.15 — 50%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 CLS TRT DISTL FIB FX WO MAN $208.00 $416.00 $79.04–$353.60 21% below 50%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 CLS TRT DISTL FIB FX WO MAN $208.00 $416.00 $79.04–$353.60 — 50%
Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion $562.00 $1,124.00 $213.56–$955.40 3% below 50%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Cardioversion $562.00 $1,124.00 $213.56–$955.40 — 50%
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 CIRCUM >28 DAYS OR OLDER $2,910.99 $5,821.98 $1,106.18–$4,948.68 at median 50%
Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 CIRCUM >28 DAYS OR OLDER $2,910.99 $5,821.98 $1,106.18–$4,948.68 — 50%
Circumcision, surgical, older than a newborn CPT 54160 Circumcision<28 Days $976.29 $1,952.58 $370.99–$1,659.69 84% above 50%
Circumcision, surgical, older than a newborn inpatient CPT 54160 Circumcision<28 Days $976.29 $1,952.58 $370.99–$1,659.69 — 50%
Colonoscopy with polyp removal CPT 45385 COLNSCPY LESN REMOV SNARE $1,105.50 $2,211.00 $420.09–$1,879.35 36% below 50%
Colonoscopy with polyp removal inpatient CPT 45385 COLNSCPY LESN REMOV SNARE $1,105.50 $2,211.00 $420.09–$1,879.35 — 50%
Colonoscopy with tissue sample CPT 45380 COLNSCPY FLEX SPLEN BX $1,105.50 $2,211.00 $420.09–$1,879.35 29% below 50%
Colonoscopy with tissue sample inpatient CPT 45380 COLNSCPY FLEX SPLEN BX $1,105.50 $2,211.00 $420.09–$1,879.35 — 50%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 BX OF CERVIX W/SCOPE LEEP $2,062.80 $4,125.60 $783.86–$3,506.76 at median 50%
Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 BX OF CERVIX W/SCOPE LEEP $2,062.80 $4,125.60 $783.86–$3,506.76 — 50%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOURETHROSCOPY $808.50 $1,617.00 $307.23–$1,374.45 27% above 50%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 CYSTOURETHROSCOPY $808.50 $1,617.00 $307.23–$1,374.45 — 50%
D&C (dilation and curettage), not related to pregnancy CPT 58120 DILATION AND CURRETAGE NONOBS $4,468.16 $8,936.31 $1,697.90–$7,595.86 18% above 50%
D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 DILATION AND CURRETAGE NONOBS $4,468.16 $8,936.31 $1,697.90–$7,595.86 — 50%
Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVE IMPACTED EAR WAX UNI $55.66 $111.32 $21.15–$94.62 10% below 50%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 REMOVE IMPACTED EAR WAX UNI $55.66 $111.32 $21.15–$94.62 — 50%
Earwax removal with instruments, one ear CPT 69210 REMOVE IMPACTED CERUMEN $64.00 $128.00 $24.32–$108.80 18% below 50%
Earwax removal with instruments, one ear inpatient CPT 69210 REMOVE IMPACTED CERUMEN $64.00 $128.00 $24.32–$108.80 — 50%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 ENDOMETRIAL SAMPLING BX $284.00 $568.00 $107.92–$482.80 4% above 50%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 ENDOMETRIAL SAMPLING BX $284.00 $568.00 $107.92–$482.80 — 50%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 SIGMOID FLEX DIAGNOSTIC $691.50 $1,383.00 $262.77–$1,175.55 32% below 50%
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 SIGMOID FLEX DIAGNOSTIC $691.50 $1,383.00 $262.77–$1,175.55 — 50%
Gallbladder removal, laparoscopic CPT 47562 LAP CHOLECYSTECTOMY $3,016.49 $6,032.97 $1,146.26–$5,195.58 66% below 50%
Gallbladder removal, laparoscopic inpatient CPT 47562 LAP CHOLECYSTECTOMY $3,016.49 $6,032.97 $1,146.26–$5,195.58 — 50%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 LAP CHOLE W/ GRAPH $8,246.39 $16,492.77 $3,133.63–$14,018.85 7% below 50%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery inpatient CPT 47563 LAP CHOLE W/ GRAPH $8,246.39 $16,492.77 $3,133.63–$14,018.85 — 50%
Hysterectomy through an abdominal incision (total) CPT 58150 TOTAL ABDOM HYSTERECTOMY $3,185.50 $6,371.00 $1,210.49–$5,415.35 4% above 50%
Hysterectomy through an abdominal incision (total) inpatient CPT 58150 TOTAL ABDOM HYSTERECTOMY $3,185.50 $6,371.00 $1,210.49–$5,415.35 — 50%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 HYSTEROSCOPY SURGICAL W SAMP $2,645.00 $5,290.00 $1,005.10–$4,496.50 53% below 50%
Hysteroscopy with uterine lining sampling and/or polyp removal inpatient CPT 58558 HYSTEROSCOPY SURGICAL W SAMP $2,645.00 $5,290.00 $1,005.10–$4,496.50 — 50%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SGL SIMP $191.50 $383.00 $72.77–$325.55 15% below 50%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSCESS SGL SIMP $191.50 $383.00 $72.77–$325.55 — 50%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Injection Single Tendon Sheath $262.00 $524.00 $99.56–$445.40 15% above 50%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 Injection Single Tendon Sheath $262.00 $524.00 $99.56–$445.40 — 50%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENT ASPIR INJ MAJ JNT $242.75 $485.50 $92.25–$412.68 3% below 50%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHROCENT ASPIR INJ MAJ JNT $242.75 $485.50 $92.25–$412.68 — 50%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJ MED JNT/BURSA WO US $261.17 $522.34 $99.24–$443.99 3% below 50%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 DRAIN/INJ MED JNT/BURSA WO US $261.17 $522.34 $99.24–$443.99 — 50%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 DRAIN/INJ SM JNT/BURSA WO US $261.17 $522.34 $99.24–$443.99 33% above 50%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 DRAIN/INJ SM JNT/BURSA WO US $261.17 $522.34 $99.24–$443.99 — 50%
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 Laparoscopic Appendectomy $7,590.68 $15,181.35 $2,884.46–$12,904.15 12% below 50%
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 LAPAROSCOPY APPENDECTOMY $8,246.39 $16,492.77 $3,133.63–$14,018.85 4% below 50%
Laparoscopic appendectomy (appendix removal through small cuts) inpatient CPT 44970 Laparoscopic Appendectomy $7,590.68 $15,181.35 $2,884.46–$12,904.15 — 50%
Laparoscopic appendectomy (appendix removal through small cuts) inpatient CPT 44970 LAPAROSCOPY APPENDECTOMY $8,246.39 $16,492.77 $3,133.63–$14,018.85 — 50%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 LYR CLS S/T/A/E <2.5 CM $238.75 $477.50 $90.73–$405.88 30% below 50%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 LYR CLS S/T/A/E <2.5 CM $238.75 $477.50 $90.73–$405.88 — 50%
Lower-back epidural injection, without imaging guidance CPT 62322 NJX INTERLAMINAR LMBR/SAC $1,302.68 $2,605.35 $495.02–$2,214.55 108% above 50%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 NJX INTERLAMINAR LMBR/SAC $1,302.68 $2,605.35 $495.02–$2,214.55 — 50%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 NJX AA&/STRD TFRM EPI L/S 1 $1,302.68 $2,605.35 $495.02–$2,214.55 37% above 50%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 NJX AA&/STRD TFRM EPI L/S 1 $1,302.68 $2,605.35 $495.02–$2,214.55 — 50%
Lumpectomy (partial mastectomy) CPT 19301 PARTIAL MASTECTOMY $4,224.02 $8,448.03 $1,605.13–$7,180.83 6% above 50%
Lumpectomy (partial mastectomy) inpatient CPT 19301 PARTIAL MASTECTOMY $4,224.02 $8,448.03 $1,605.13–$7,180.83 — 50%
Miscarriage treatment with D&C, first trimester CPT 59820 CARE OF MISCARRIAGE $1,867.03 $3,734.05 $709.47–$3,173.94 40% below 50%
Miscarriage treatment with D&C, first trimester inpatient CPT 59820 CARE OF MISCARRIAGE $1,867.03 $3,734.05 $709.47–$3,173.94 — 50%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Excision, benign lesion $922.00 $1,844.00 $350.36–$1,567.40 219% above 50%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 Excision, benign lesion $922.00 $1,844.00 $350.36–$1,567.40 — 50%
Nail removal (partial or complete), one nail CPT 11730 AVULSION NAIL PLATE SGL SIMP $176.75 $353.50 $67.17–$300.48 9% above 50%
Nail removal (partial or complete), one nail inpatient CPT 11730 AVULSION NAIL PLATE SGL SIMP $176.75 $353.50 $67.17–$300.48 — 50%
Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGING $1,295.54 $2,591.07 $492.30–$2,202.41 51% above 50%
Paracentesis with imaging guidance inpatient CPT 49083 ABD PARACENTESIS W/IMAGING $1,295.54 $2,591.07 $492.30–$2,202.41 — 50%
Removal of a breast lump, open surgery CPT 19120 REMOVAL BREAST LESION $5,447.69 $10,895.37 $2,070.12–$9,261.06 376% above 50%
Removal of a breast lump, open surgery inpatient CPT 19120 REMOVAL BREAST LESION $5,447.69 $10,895.37 $2,070.12–$9,261.06 — 50%
Removal of a foreign object under the skin, simple CPT 10120 INCIS REMOV FB SUBQ SIMP $329.50 $659.00 $125.21–$560.15 8% above 50%
Removal of a foreign object under the skin, simple inpatient CPT 10120 INCIS REMOV FB SUBQ SIMP $329.50 $659.00 $125.21–$560.15 — 50%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLONOSCOPY CA SCRN NT HI-RISK $385.25 $770.50 $146.40–$654.93 71% below 50%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLON CA SCRN NOT HI RISK IND $970.00 $1,940.00 $368.60–$1,649.00 27% below 50%
Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 COLONOSCOPY CA SCRN NT HI-RISK $385.25 $770.50 $146.40–$654.93 — 50%
Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 COLON CA SCRN NOT HI RISK IND $970.00 $1,940.00 $368.60–$1,649.00 — 50%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 CA SCRN HIGH RISK COLONSCPY $970.00 $1,940.00 $368.60–$1,649.00 29% below 50%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 CA SCRN HIGH RISK COLONSCPY $970.00 $1,940.00 $368.60–$1,649.00 — 50%
Short arm splint (forearm and hand) CPT 29125 APPLYSHORT ARM SPLINT STATIC $120.50 $241.00 $45.79–$204.85 6% below 50%
Short arm splint (forearm and hand) inpatient CPT 29125 APPLYSHORT ARM SPLINT STATIC $120.50 $241.00 $45.79–$204.85 — 50%
Short leg splint (calf to foot) CPT 29515 APPLY SHORT LEG SPLINT $120.50 $241.00 $45.79–$204.85 18% below 50%
Short leg splint (calf to foot) inpatient CPT 29515 APPLY SHORT LEG SPLINT $120.50 $241.00 $45.79–$204.85 — 50%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 REP SIMP SCLP TRNK XTRM<2.5CM $100.50 $201.00 $38.19–$176.95 49% below 50%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 REP SIMP SCLP TRNK XTRM<2.5CM $100.50 $201.00 $38.19–$176.95 — 50%
Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCTURE LUMBAR DIAG $424.75 $849.50 $161.41–$722.08 29% below 50%
Spinal tap (lumbar puncture), diagnostic CPT 62270 DX LMBR SPI PNXR $988.35 $1,976.70 $375.57–$1,680.20 65% above 50%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL PUNCTURE LUMBAR DIAG $424.75 $849.50 $161.41–$722.08 — 50%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 DX LMBR SPI PNXR $988.35 $1,976.70 $375.57–$1,680.20 — 50%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 REP SIMP SCLP TRNK XTRM 2.6 7. $100.50 $201.00 $38.19–$176.95 52% below 50%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 REP SIMP SCLP TRNK XTRM 2.6 7. $100.50 $201.00 $38.19–$176.95 — 50%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 REP SIMP FACE <2.5 CM $100.50 $201.00 $38.19–$176.95 56% below 50%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 REP SIMP FACE <2.5 CM $100.50 $201.00 $38.19–$176.95 — 50%
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W-IMAGING $930.02 $1,860.03 $353.41–$1,581.03 38% above 50%
Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS W-IMAGING $930.02 $1,860.03 $353.41–$1,581.03 — 50%
Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER POINT 1-2 MUSCL $371.22 $742.44 $92.25–$412.68 60% above 50%
Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER POINTS 1-2 MUSCLES $371.22 $742.44 $141.06–$631.07 60% above 50%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJ TRIGGER POINTS 1-2 MUSCLES $371.22 $742.44 $141.06–$631.07 — 50%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJ TRIGGER POINT 1-2 MUSCL $371.22 $742.44 $92.25–$412.68 — 50%
Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 LAP FULGURATION OF OVIDUCTS $7,818.23 $15,636.45 $2,970.93–$13,290.98 10% above 50%
Tubal ligation, laparoscopic (tubes sealed by cautery) inpatient CPT 58670 LAP FULGURATION OF OVIDUCTS $7,818.23 $15,636.45 $2,970.93–$13,290.98 — 50%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 US GUIDE BX BREAST $3,089.50 $6,179.00 $1,174.01–$5,252.15 72% above 50%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 US GUIDE BX BREAST $3,089.50 $6,179.00 $1,174.01–$5,252.15 — 50%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 EGD BALLOON DIL <30MM $1,519.50 $3,039.00 $577.41–$2,583.15 20% below 50%
Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 EGD BALLOON DIL <30MM $1,519.50 $3,039.00 $577.41–$2,583.15 — 50%
Upper endoscopy (EGD) with biopsy CPT 43239 EGD TRANSORAL W BX $1,005.50 $2,011.00 $382.09–$1,709.35 at median 50%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 EGD TRANSORAL W BX $1,005.50 $2,011.00 $382.09–$1,709.35 — 50%
Upper endoscopy (EGD) with injection into the lining CPT 43236 UPPER GI ENDO W SUBMUCOSAL INJ $1,005.50 $2,011.00 $382.09–$1,709.35 35% below 50%
Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 UPPER GI ENDO W SUBMUCOSAL INJ $1,005.50 $2,011.00 $382.09–$1,709.35 — 50%
Upper endoscopy (EGD), diagnostic CPT 43235 UPPER GI ENDO DIAG BRUSH WASH $1,005.50 $2,011.00 $382.09–$1,709.35 12% below 50%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 UPPER GI ENDO DIAG BRUSH WASH $1,005.50 $2,011.00 $382.09–$1,709.35 — 50%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEB SUBQ TISS 20 SQ CM/< $471.12 $942.24 $179.03–$800.90 16% above 50%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEB SUBQ TISS 20 SQ CM/< $471.12 $942.24 $179.03–$800.90 — 50%

Doctor visits and therapy

ProcedureCash price List priceInsurers payvs OklahomaOff list
Blood transfusion (giving blood or blood components) CPT 36430 BB BLOOD PRODUCT ADMIN $814.10 $1,628.20 $309.36–$1,383.97 12% above 50%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD COMP DERIV ADMIN PER DAY $814.10 $1,628.20 $309.36–$1,383.97 12% above 50%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD COMP DERIV ADMIN PER DAY $814.10 $1,628.20 $309.36–$1,383.97 — 50%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BB BLOOD PRODUCT ADMIN $814.10 $1,628.20 $309.36–$1,383.97 — 50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HAND HELD NEB TX $304.83 $609.66 $0.49–$2.21 131% above 50%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HAND HELD NEB TX $304.83 $609.66 $0.49–$2.21 — 50%
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE FIRST 30 74 MIN $762.00 $1,524.00 $289.56–$1,295.40 17% below 50%
Critical care, first 30 to 74 minutes CPT 99291 Critical Care $900.41 $1,800.81 $342.15–$1,530.69 2% below 50%
Critical care, first 30 to 74 minutes inpatient CPT 99291 CRITICAL CARE FIRST 30 74 MIN $762.00 $1,524.00 $289.56–$1,295.40 — 50%
Critical care, first 30 to 74 minutes inpatient CPT 99291 Critical Care $900.41 $1,800.81 $342.15–$1,530.69 — 50%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG W/O INTERPRETATION $57.80 $115.60 $21.96–$98.26 55% below 50%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG W/O INTERPRETATION $57.80 $115.60 $21.96–$98.26 — 50%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER VISIT LEVEL 1 W/25 $66.75 $133.50 $25.37–$113.48 53% below 50%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER VISIT LEVEL 1 $71.50 $143.00 $27.17–$121.55 50% below 50%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Emergency Dept Level I $91.33 $182.67 $34.71–$155.27 36% below 50%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ER VISIT LEVEL 1 W/25 $66.75 $133.50 $25.37–$113.48 — 50%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ER VISIT LEVEL 1 $71.50 $143.00 $27.17–$121.55 — 50%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 Emergency Dept Level I $91.33 $182.67 $34.71–$155.27 — 50%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER VISIT LEVEL 2 $121.25 $242.50 $46.08–$206.13 60% below 50%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER VISIT LEVEL 2 W 25 $121.25 $242.50 $46.08–$206.13 60% below 50%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Emergency Dept Level II $176.93 $353.86 $67.23–$300.78 42% below 50%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ER VISIT LEVEL 2 W 25 $121.25 $242.50 $46.08–$206.13 — 50%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ER VISIT LEVEL 2 $121.25 $242.50 $46.08–$206.13 — 50%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 Emergency Dept Level II $176.93 $353.86 $67.23–$300.78 — 50%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER VISIT LEVEL 3 $179.50 $359.00 $68.21–$305.15 65% below 50%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER VISIT LEVEL 3 W 25 $179.50 $359.00 $68.21–$305.15 65% below 50%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Emergency Dept Level III $298.95 $597.89 $113.60–$508.21 41% below 50%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ER VISIT LEVEL 3 W 25 $179.50 $359.00 $68.21–$305.15 — 50%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ER VISIT LEVEL 3 $179.50 $359.00 $68.21–$305.15 — 50%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 Emergency Dept Level III $298.95 $597.89 $113.60–$508.21 — 50%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER VISIT LEVEL4 $352.50 $705.00 $133.95–$599.25 52% below 50%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER VISIT LEVEL 4 W 25 $352.50 $705.00 $133.95–$599.25 52% below 50%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Emergency Dept Level IV $508.17 $1,016.35 $193.11–$863.89 31% below 50%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ER VISIT LEVEL 4 W 25 $352.50 $705.00 $133.95–$599.25 — 50%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ER VISIT LEVEL4 $352.50 $705.00 $133.95–$599.25 — 50%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 Emergency Dept Level IV $508.17 $1,016.35 $193.11–$863.89 — 50%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER VISIT LEVEL 5 W 25 $547.25 $1,094.50 $207.96–$930.33 53% below 50%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER VISIT LEVEL 5 $547.25 $1,094.50 $207.96–$930.33 53% below 50%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Emergency Dept Level V $741.03 $1,482.06 $281.59–$1,259.75 36% below 50%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ER VISIT LEVEL 5 W 25 $547.25 $1,094.50 $207.96–$930.33 — 50%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ER VISIT LEVEL 5 $547.25 $1,094.50 $207.96–$930.33 — 50%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Emergency Dept Level V $741.03 $1,482.06 $281.59–$1,259.75 — 50%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV Hydration initial OP/Obs $313.40 $626.80 $119.09–$532.78 82% above 50%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV Hydration initial ER $313.40 $626.80 $119.09–$532.78 82% above 50%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 MS IV HYDRATE INI 31MIN-1HOUR $313.40 $626.80 $119.09–$532.78 82% above 50%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 OB IV HYDRATE INI 31 MIN-1HR $313.40 $626.80 $119.09–$532.78 82% above 50%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 OB IV HYDRATE INI 31 MIN-1HR $313.40 $626.80 $119.09–$532.78 — 50%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV Hydration initial OP/Obs $313.40 $626.80 $119.09–$532.78 — 50%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 MS IV HYDRATE INI 31MIN-1HOUR $313.40 $626.80 $119.09–$532.78 — 50%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV Hydration initial ER $313.40 $626.80 $119.09–$532.78 — 50%
IV infusion of a medicine, first hour CPT 96365 SW IV INF THER/PRO/DX INI 1HR $167.75 $335.50 $63.75–$285.18 28% below 50%
IV infusion of a medicine, first hour CPT 96365 MS IV INF THER/PRO/DX INI 1HR $167.75 $335.50 $63.75–$285.18 28% below 50%
IV infusion of a medicine, first hour CPT 96365 IV Ini inf >15 min OBS/Outpati $167.75 $335.50 $63.75–$285.18 28% below 50%
IV infusion of a medicine, first hour CPT 96365 OB IV INF THER/PRO/DX INI 1HR $167.75 $335.50 $63.75–$285.18 28% below 50%
IV infusion of a medicine, first hour CPT 96365 IV Initial ther inf >15 min ER $206.75 $413.50 $78.57–$351.48 12% below 50%
IV infusion of a medicine, first hour inpatient CPT 96365 OB IV INF THER/PRO/DX INI 1HR $167.75 $335.50 $63.75–$285.18 — 50%
IV infusion of a medicine, first hour inpatient CPT 96365 IV Ini inf >15 min OBS/Outpati $167.75 $335.50 $63.75–$285.18 — 50%
IV infusion of a medicine, first hour inpatient CPT 96365 SW IV INF THER/PRO/DX INI 1HR $167.75 $335.50 $63.75–$285.18 — 50%
IV infusion of a medicine, first hour inpatient CPT 96365 MS IV INF THER/PRO/DX INI 1HR $167.75 $335.50 $63.75–$285.18 — 50%
IV infusion of a medicine, first hour inpatient CPT 96365 IV Initial ther inf >15 min ER $206.75 $413.50 $78.57–$351.48 — 50%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM/SQ injections ER $52.50 $105.00 $19.95–$89.25 16% below 50%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM/SQ injections OP/Obs $52.50 $105.00 $19.95–$89.25 16% below 50%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 IM/SQ injections OP/Obs $52.50 $105.00 $19.95–$89.25 — 50%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 IM/SQ injections ER $52.50 $105.00 $19.95–$89.25 — 50%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 EMER ORDER OF DETENTION $150.50 $301.00 $57.19–$255.85 6% above 50%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 EMER ORDER OF DETENTION $150.50 $301.00 $57.19–$255.85 — 50%
Neuromuscular re-education, 15 minutes CPT 97112 NEURO MOTION BALANCE EA 15 MIN $24.88 $49.75 $9.45–$42.29 64% below 50%
Neuromuscular re-education, 15 minutes CPT 97112 OT NEURO MOTION/BALANCE $59.17 $118.33 $22.48–$100.58 15% below 50%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEURO MOTION BALANCE EA 15 MIN $24.88 $49.75 $9.45–$42.29 — 50%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 OT NEURO MOTION/BALANCE $59.17 $118.33 $22.48–$100.58 — 50%
New patient office visit, about 30 minutes CPT 99203 OB CLINIC NEW PT LEVEL 3 $133.59 $267.17 $50.76–$227.09 19% below 50%
New patient office visit, about 30 minutes inpatient CPT 99203 OB CLINIC NEW PT LEVEL 3 $133.59 $267.17 $50.76–$227.09 — 50%
New patient office visit, about 45 minutes CPT 99204 OB CLINIC NEW PT LEVEL 4 $148.43 $296.85 $56.40–$252.32 34% below 50%
New patient office visit, about 45 minutes inpatient CPT 99204 OB CLINIC NEW PT LEVEL 4 $148.43 $296.85 $56.40–$252.32 — 50%
New patient office visit, about 60 minutes CPT 99205 OB CLINIC NEW PT LEVEL 5 $163.27 $326.54 $62.04–$277.56 41% below 50%
New patient office visit, about 60 minutes inpatient CPT 99205 OB CLINIC NEW PT LEVEL 5 $163.27 $326.54 $62.04–$277.56 — 50%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OB CLINIC NEW PT LEVEL 2 $118.74 $237.48 $45.12–$201.86 10% above 50%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OB CLINIC NEW PT LEVEL 2 $118.74 $237.48 $45.12–$201.86 — 50%
Occupational therapy evaluation, low complexity CPT 97165 OT EVAL LOW $144.67 $289.33 $54.97–$245.93 33% above 50%
Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVAL LOW $144.67 $289.33 $54.97–$245.93 — 50%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PHYSICAL THERAPY EVALUATION HI $116.38 $232.75 $44.22–$197.84 26% below 50%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH COMPLEX $116.38 $232.75 $44.22–$197.84 26% below 50%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL HIGH COMPLEX $116.38 $232.75 $44.22–$197.84 — 50%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PHYSICAL THERAPY EVALUATION HI $116.38 $232.75 $44.22–$197.84 — 50%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PHYSICAL THERAPY EVAL LOW $116.38 $232.75 $44.22–$197.84 4% above 50%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PHYSICAL THERAPY EVAL LOW $116.38 $232.75 $44.22–$197.84 — 50%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PHYSICAL THERAPY EVALUATION MO $116.38 $232.75 $44.22–$197.84 11% below 50%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MODERATE COM $116.38 $232.75 $44.22–$197.84 11% below 50%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL MODERATE COM $116.38 $232.75 $44.22–$197.84 — 50%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PHYSICAL THERAPY EVALUATION MO $116.38 $232.75 $44.22–$197.84 — 50%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 TRACTION MANUAL CERV/LUMBAR/PE $30.38 $60.75 $11.54–$51.64 56% below 50%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT MANUAL THER EA 15 MIN $47.40 $94.80 $18.01–$80.58 31% below 50%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 TRACTION MANUAL CERV/LUMBAR/PE $30.38 $60.75 $11.54–$51.64 — 50%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 OT MANUAL THER EA 15 MIN $47.40 $94.80 $18.01–$80.58 — 50%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 EXERCISE THERAPEUTIC EA 15 MIN $24.88 $49.75 $9.45–$42.29 63% below 50%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT EXERCISE THERAPEUTIC EA 15 $52.08 $104.15 $19.79–$88.53 22% below 50%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 EXERCISE THERAPEUTIC EA 15 MIN $24.88 $49.75 $9.45–$42.29 — 50%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT EXERCISE THERAPEUTIC EA 15 $52.08 $104.15 $19.79–$88.53 — 50%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OB CLINIC EST PT LEVEL 5 $148.43 $296.85 $56.40–$252.32 32% below 50%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 OB CLINIC EST PT LEVEL 5 $148.43 $296.85 $56.40–$252.32 — 50%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OB CLINIC EST PT LEVEL 3 $118.74 $237.48 $45.12–$201.86 11% below 50%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OB CLINIC EST PT LEVEL 3 $118.74 $237.48 $45.12–$201.86 — 50%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OB CLINIC EST PT LEVEL 4 $133.59 $267.17 $50.76–$227.09 21% below 50%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OB CLINIC EST PT LEVEL 4 $133.59 $267.17 $50.76–$227.09 — 50%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OB CLINIC EST PT LEVEL 2 $103.90 $207.80 $39.48–$176.63 22% above 50%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OB CLINIC EST PT LEVEL 2 $103.90 $207.80 $39.48–$176.63 — 50%
Speech and language evaluation CPT 92523 SP EVAL SND PROD W/ LANG COMP $299.49 $598.98 $113.81–$509.13 67% above 50%
Speech and language evaluation CPT 92523 SP EVAL SPEECH SOUND PROD W/LA $299.49 $598.98 $113.81–$509.13 67% above 50%
Speech and language evaluation inpatient CPT 92523 SP EVAL SPEECH SOUND PROD W/LA $299.49 $598.98 $113.81–$509.13 — 50%
Speech and language evaluation inpatient CPT 92523 SP EVAL SND PROD W/ LANG COMP $299.49 $598.98 $113.81–$509.13 — 50%
Speech therapy session, individual CPT 92507 SPEECH LANG THER 30 MINUTES $120.56 $241.11 $45.81–$204.94 3% above 50%
Speech therapy session, individual inpatient CPT 92507 SPEECH LANG THER 30 MINUTES $120.56 $241.11 $45.81–$204.94 — 50%
Spirometry (breathing test) CPT 94010 PFT BASIC SPIROMETRY $80.88 $161.75 $30.73–$137.49 55% below 50%
Spirometry (breathing test) inpatient CPT 94010 PFT BASIC SPIROMETRY $80.88 $161.75 $30.73–$137.49 — 50%
Spirometry before and after a bronchodilator CPT 94060 PFT PRE&POST BD $173.75 $347.50 $66.03–$295.38 54% below 50%
Spirometry before and after a bronchodilator inpatient CPT 94060 PFT PRE&POST BD $173.75 $347.50 $66.03–$295.38 — 50%
Therapeutic activities (functional training), 15 minutes CPT 97530 EXERCISE KINETIC 1-ON-1 EA 15 $27.63 $55.25 $10.50–$46.96 54% below 50%
Therapeutic activities (functional training), 15 minutes CPT 97530 Physical Therapy Visit Adult $62.50 $125.00 $23.75–$106.25 4% above 50%
Therapeutic activities (functional training), 15 minutes CPT 97530 OT EXERCISE KINETIC 1 ON 1 EA $66.61 $133.21 $25.31–$113.23 11% above 50%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 EXERCISE KINETIC 1-ON-1 EA 15 $27.63 $55.25 $10.50–$46.96 — 50%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Physical Therapy Visit Adult $62.50 $125.00 $23.75–$106.25 — 50%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OT EXERCISE KINETIC 1 ON 1 EA $66.61 $133.21 $25.31–$113.23 — 50%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 BB THERAPEUTIC PHLEBOTOMY $84.25 $168.50 $32.02–$143.23 31% below 50%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 BB THERAPEUTIC PHLEBOTOMY $84.25 $168.50 $32.02–$143.23 — 50%

Vaccines

ProcedureCash price List priceInsurers payvs OklahomaOff list
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL 23 VACCINE INJ : $103.35 $206.70 $88.98–$398.07 38% below 50%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL 23 VACCINE INJ : $103.35 $206.70 $88.98–$398.07 — 50%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 DIPHTH TET TOX INJ ADULT $28.88 $57.75 $10.97–$49.09 60% below 50%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS & DIPHTHERIA INJ : ADU $43.75 $87.50 $21.27–$95.17 40% below 50%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 DIPHTH TET TOX INJ ADULT $28.88 $57.75 $10.97–$49.09 — 50%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS & DIPHTHERIA INJ : ADU $43.75 $87.50 $21.27–$95.17 — 50%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN IMMUN INITIAL VACCINE $52.50 $105.00 $19.95–$89.25 12% below 50%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN IMMUN INITIAL VACCINE $52.50 $105.00 $19.95–$89.25 — 50%

Source file: https://pricetransparency.online/wp-content/uploads/2025/07/736617937_mccurtain-memorial-hospital_standardcharges.csv