Hospital

John Dempsey Hospital of the University of Connecticut

Listed in its price file as “State of Connecticut”.

John Dempsey Hospital of the University of Connecticut in Farmington, CT publishes cash prices for 433 common procedures listed here, from its own machine-readable price file updated Jul 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Connecticut median for 247 of 411 procedures and above it for 141. By typical cash price it ranks #8 of 16 Connecticut hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.

263 Farmington Avenue, Farmington CT 06030 Collected Sep 22, 2026 Source price file Check a bill from this hospital (860) 679-1145

Acute care hospital Government-owned hospital Emergency department CMS star rating 3 of 5 CCN 070036 · CMS hospital register NPI 1669466561

Financial assistance

Public hospital: ask for its charity care or sliding-scale discount

John Dempsey Hospital of the University of Connecticut is government-owned (CMS register). The federal financial assistance rules for nonprofit hospitals do not always apply to public ones, but many public hospitals run charity care or sliding-scale discounts for uninsured and low-income patients. Ask the billing office for its financial assistance or charity care policy and application before you pay. Letters you can copy.

State law

This state limits hospital bills for lower-income patients

Connecticut law (C.G.S. §19a-673): if you are uninsured, your income is at or below 250% of the federal poverty level and Medicaid has turned you down, a hospital and the clinicians billing through it may collect no more than the cost of your care (its charges times its cost-to-charge ratio), which is usually well below its list price. Ask the billing office to apply it. Other states' laws.

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Connecticut	Off list
Abdominal CT scan without and with contrast CPT 74170 HC CT ABDOMEN W/O & W/CONTRAST MATERIAL	$2,022.60	$3,371.00	$210.27–$3,519.00	10% below	40%
Abdominal X-ray, 2 views CPT 74019 HC RADIOLOGIC EXAM ABDOMEN 2 VIEWS	$568.20	$947.00	$125.33–$3,519.00	45% above	40%
Ankle X-ray, complete, 3 or more views CPT 73610 HC RADEX ANKLE COMPLETE MINIMUM 3 VIEWS	$337.20	$562.00	$104.33–$3,519.00	6% above	40%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HC NON-INVAS PHYSIOLOGIC STD EXTREMITY ART 2 LEVEL	$321.00	$535.00	$154.10–$164.29	43% below	40%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 HC CT UPPER EXTREMITY W/O CONTRAST MATERIAL	$1,271.40	$2,119.00	$125.33–$3,519.00	7% below	40%
Barium swallow (esophagus X-ray with contrast) CPT 74220 HC RADIOLOGIC EXAM ESOPHAGUS SINGLE CONTRAST STUDY	$577.80	$963.00	$210.27–$3,519.00	10% below	40%
Bone scan, whole body (nuclear medicine) CPT 78306 HC BONE &/JOINT IMAGING WHOLE BODY	$1,461.00	$2,435.00	$479.25–$3,519.00	8% below	40%
Breast ultrasound, complete, one breast CPT 76641 HC US BREAST UNI REAL TIME WITH IMAGE COMPLETE	$250.80	$418.00	$125.33–$3,519.00	23% below	40%
Breast ultrasound, limited (one breast or one area) CPT 76642 HC US BREAST UNI REAL TIME WITH IMAGE LIMITED	$250.80	$418.00	$104.33–$3,519.00	1% above	40%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 HC CT ANGIO ABD&PLVIS CNTRST MTRL W/WO CNTRST IMG	$2,677.20	$4,462.00	$418.24–$3,519.00	13% below	40%
CT angiography (CTA) of the head CPT 70496 HC CT ANGIOGRAPHY HEAD W/CONTRAST/NONCONTRAST	$1,377.60	$2,296.00	$210.27–$3,519.00	35% below	40%
CT angiography (CTA) of the neck CPT 70498 HC CT ANGIOGRAPHY NECK W/CONTRAST/NONCONTRAST	$1,377.60	$2,296.00	$210.27–$3,519.00	43% below	40%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CT ANGIOGRAPHY CHEST W/CONTRAST/NONCONTRAST	$1,689.00	$2,815.00	$210.27–$3,519.00	2% below	40%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HC CTA HRT CORNRY ART/BYPASS GRFTS CONTRST 3D POST	$1,171.80	$1,953.00	$418.24–$3,519.00	15% below	40%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 HC CT HEART NO CONTRAST QUANT EVAL CORONRY CALCIUM	$78.00	$130.00	$104.33–$3,519.00	55% below	40%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT ABDOMEN & PELVIS W/O CONTRAST MATERIAL	$1,791.60	$2,986.00	$286.04–$3,519.00	40% above	40%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT ABDOMEN & PELVIS W/CONTRAST MATERIAL	$2,157.60	$3,596.00	$418.24–$3,519.00	at median	40%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT ABDOMEN & PELVIS W/O CONTRST 1/> BODY RE	$2,526.60	$4,211.00	$418.24–$3,519.00	11% below	40%
CT scan of the abdomen with contrast CPT 74160 HC CT ABDOMEN W/CONTRAST MATERIAL	$1,727.40	$2,879.00	$210.27–$3,519.00	26% above	40%
CT scan of the abdomen without contrast CPT 74150 HC CT ABDOMEN W/O CONTRAST MATERIAL	$1,432.20	$2,387.00	$125.33–$3,519.00	40% above	40%
CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT MAXILLOFACIAL W/O CONTRAST MATERIAL	$940.80	$1,568.00	$125.33–$3,519.00	11% below	40%
CT scan of the head or brain, no contrast dye CPT 70450 HC CT HEAD/BRAIN W/O CONTRAST MATERIAL	$966.60	$1,611.00	$125.33–$3,519.00	17% above	40%
CT scan of the head with contrast CPT 70460 HC CT HEAD/BRAIN W/CONTRAST MATERIAL	$1,168.80	$1,948.00	$210.27–$3,519.00	3% below	40%
CT scan of the head without and with contrast CPT 70470 HC CT HEAD/BRAIN W/O & W/CONTRAST MATERIAL	$1,374.00	$2,290.00	$210.27–$3,519.00	at median	40%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT LUMBAR SPINE W/O CONTRAST MATERIAL	$1,338.60	$2,231.00	$125.33–$3,519.00	29% above	40%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT CERVICAL SPINE W/O CONTRAST MATERIAL	$1,338.60	$2,231.00	$125.33–$3,519.00	28% above	40%
CT scan of the pelvis, with contrast dye CPT 72193 HC CT PELVIS W/CONTRAST MATERIAL	$1,271.40	$2,119.00	$210.27–$3,519.00	27% below	40%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HC DUPLEX SCAN EXTRACRANIAL ART COMPL BI STUDY	$1,027.20	$1,712.00	$286.04–$294.62	—	40%
Chest CT scan without and with contrast CPT 71270 HC DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX C-/C+	$1,551.00	$2,585.00	$210.27–$3,519.00	12% below	40%
Chest X-ray, 2 views CPT 71046 HC RADIOLOGIC EXAM CHEST 2 VIEWS	$346.80	$578.00	$104.33–$3,519.00	at median	40%
Chest X-ray, single view CPT 71045 HC RADIOLOGIC EXAM CHEST SINGLE VIEW	$263.40	$439.00	$104.33–$3,519.00	8% below	40%
Collarbone (clavicle) X-ray, complete CPT 73000 HC RADEX CLAVICLE COMPLETE	$295.80	$493.00	$104.33–$3,519.00	4% above	40%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC US RETROPERITONEAL REAL TIME W/IMAGE COMPLETE	$420.60	$701.00	$125.33–$3,519.00	12% above	40%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC DXA BONE DENSITY STUDY 1/> SITES AXIAL SKEL	$574.80	$958.00	$125.33–$3,519.00	123% above	40%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HC DXA BONE DENSITY STUDY 1/>SITES APPENDICLR SKEL	$270.00	$450.00	$104.33–$3,519.00	38% above	40%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 HC US PREG UTERUS W/DETAIL FETAL ANAT 1ST GESTATION	$513.60	$856.00	$286.04–$3,519.00	29% above	40%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX W/O CNTRST	$523.80	$873.00	$125.33–$3,519.00	63% below	40%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX W/CONTRAST	$1,412.40	$2,354.00	$210.27–$3,519.00	at median	40%
Diagnostic mammogram, both breasts both sides CPT 77066 HC DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI	$456.00	$760.00	$165.62–$3,519.00	—	40%
Diagnostic mammogram, one breast CPT 77065 HC DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI	$382.20	$637.00	$131.46–$3,519.00	6% below	40%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HC DUP-SCAN LXTR ART/ARTL BPGS COMPL BI STUDY	$706.20	$1,177.00	$286.04–$294.62	—	40%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC DUP-SCAN XTR VEINS COMPLETE BILATERAL STUDY	$754.80	$1,258.00	$286.04–$294.62	—	40%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC TTE W/DOPPLER W/CONTRAST	$1,155.60	$1,926.00	$1,249.97–$1,825.08	41% below	40%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC ECHO TTHRC R-T 2D W/WOM-MODE COMPL SPEC&COLR D	$1,213.80	$2,023.00	$1,312.93–$1,916.99	38% below	40%
Elbow X-ray, 2 views CPT 73070 HC RADEX ELBOW 2 VIEWS	$337.20	$562.00	$104.33–$3,519.00	18% above	40%
Elbow X-ray, complete, 3 or more views CPT 73080 HC RADEX ELBOW COMPLETE MINIMUM 3 VIEWS	$398.40	$664.00	$104.33–$3,519.00	25% above	40%
Eye socket (orbit) CT scan without contrast CPT 70480 HC CT ORBIT SELLA/POST FOSSA/EAR W/O CONTRAST MATRL	$1,271.40	$2,119.00	$125.33–$3,519.00	3% above	40%
Facial bones X-ray, complete, 3 or more views CPT 70150 HC RADEX FACIAL BONES COMPLETE MINIMUM 3 VIEWS	$420.60	$701.00	$125.33–$3,519.00	3% above	40%
Forearm X-ray (radius and ulna), 2 views CPT 73090 HC RADEX FOREARM 2 VIEWS	$356.40	$594.00	$104.33–$3,519.00	20% above	40%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC HEPATOBILIARY SYST IMAGING INCLUDING GALLBLADDER	$802.80	$1,338.00	$479.25–$3,519.00	35% below	40%
Hand X-ray, 2 views CPT 73120 HC RADEX HAND 2 VIEWS	$308.40	$514.00	$125.33–$3,519.00	6% below	40%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HC RADEX CALCANEUS MINIMUM 2 VIEWS	$308.40	$514.00	$104.33–$3,519.00	2% above	40%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HC SLEEP STD AIRFLOW HRT RATE&O2 SAT EFFORT UNATT	$2,693.40	$4,489.00	$179.77–$1,500.08	118% above	40%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HC POLYSOM 6/>YRS SLEEP W/CPAP 4/> ADDL PARAM ATTND	$5,046.60	$8,411.00	$1,029.47–$4,367.00	4% below	40%
Knee X-ray, 3 views CPT 73562 HC RADIOLOGIC EXAMINATION KNEE 3 VIEWS	$398.40	$664.00	$104.33–$3,519.00	28% above	40%
Knee X-ray, complete, 4 or more views CPT 73564 HC RADIOLOGIC EXAM KNEE COMPLETE 4/MORE VIEWS	$449.40	$749.00	$125.33–$3,519.00	16% above	40%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 HC CT LOWER EXTREMITY W/O CONTRAST MATERIAL	$1,271.40	$2,119.00	$125.33–$3,519.00	23% above	40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US ABDOMINAL REAL TIME W/IMAGE LIMITED	$456.00	$760.00	$125.33–$3,519.00	45% above	40%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC US LMTD JOINT/OTH NONVASC XTR STRUX R-T W/IMG	$173.40	$289.00	$125.33–$3,519.00	3% below	40%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HC COMPUTED TOMOGRAPHY THORAX LW DOSE LNG CA SCR C-	$523.80	$873.00	$125.33–$3,519.00	23% below	40%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HC RADIOLOGIC EXAMINATION TIBIA & FIBULA 2 VIEWS	$273.00	$455.00	$104.33–$3,519.00	8% below	40%
MR angiography (MRA) of the head without contrast CPT 70544 HC MRA HEAD W/O CONTRST MATERIAL	$2,122.20	$3,537.00	$286.04–$1,176.00	15% above	40%
MRI of both breasts, without and then with contrast dye both sides CPT 77049 MRI BREAST W/CONTRAST, INC. CAD , BILATERAL	$1,103.40	$1,839.00	$3,167.00–$3,519.00	—	40%
MRI of both breasts, without and then with contrast dye both sides CPT 77049 MRI BREAST, W/&W/O INC. CAD, BILATERAL	$1,252.20	$2,087.00	$3,167.00–$3,519.00	—	40%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI ANY JT LOWER EXTREM W/O CONTRAST MATRL	$2,122.20	$3,537.00	$286.04–$3,519.00	31% above	40%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI ANY JT LOWER EXTREM W/O & W/CONTRAST MATRL	$2,963.40	$4,939.00	$418.24–$3,519.00	9% below	40%
MRI of the abdomen without contrast CPT 74181 HC MRI ABDOMEN W/O CONTRAST MATERIAL	$1,698.60	$2,831.00	$286.04–$3,519.00	21% above	40%
MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI ABDOMEN W/O & W/CONTRAST MATERIAL	$2,472.00	$4,120.00	$418.24–$3,519.00	13% below	40%
MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN BRAIN STEM W/O CONTRAST MATERIAL	$2,122.20	$3,537.00	$286.04–$3,519.00	43% above	40%
MRI of the brain, with and without contrast dye CPT 70553 HC MRI BRAIN BRAIN STEM W/O W/CONTRAST MATERIAL	$3,085.20	$5,142.00	$418.24–$3,519.00	23% above	40%
MRI of the lower back, no contrast dye CPT 72148 HC MRI SPINAL CANAL LUMBAR W/O CONTRAST MATERIAL	$2,122.20	$3,537.00	$286.04–$3,519.00	48% above	40%
MRI of the lower back, without and then with contrast dye CPT 72158 HC MRI SPINAL CANAL LUMBAR W/O & W/CONTR MATRL	$3,085.20	$5,142.00	$418.24–$3,519.00	22% above	40%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MRI SPINAL CANAL THORACIC W/O CONTRAST MATRL	$2,122.20	$3,537.00	$286.04–$3,519.00	48% above	40%
MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MRI SPINAL CANAL CERVICAL W/O & W/CONTR MATRL	$2,472.00	$4,120.00	$418.24–$3,519.00	3% below	40%
MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MRI SPINAL CANAL CERVICAL W/O CONTRAST MATRL	$2,122.20	$3,537.00	$286.04–$3,519.00	48% above	40%
MRI of the pelvis without and with contrast CPT 72197 HC MRI PELVIS W/O & W/CONTRAST MATERIAL	$2,472.00	$4,120.00	$418.24–$3,519.00	12% below	40%
MRI of the pelvis, no contrast dye CPT 72195 HC MRI PELVIS W/O CONTRAST MATERIAL	$1,698.60	$2,831.00	$286.04–$3,519.00	16% above	40%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI ANY JT UPPER EXTREMITY W/O CONTRAST MATRL	$2,122.20	$3,537.00	$286.04–$3,519.00	31% above	40%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HC RADEX SPINE CERVICAL 4 OR 5 VIEWS	$581.40	$969.00	$125.33–$3,519.00	41% above	40%
Neck soft tissue CT scan with contrast CPT 70491 HC CT SOFT TISSUE NECK W/CONTRAST MATERIAL	$1,537.80	$2,563.00	$210.27–$3,519.00	1% above	40%
Neck soft tissue CT scan without contrast CPT 70490 HC CT SOFT TISSUE NECK W/O CONTRAST MATERIAL	$1,271.40	$2,119.00	$125.33–$3,519.00	12% above	40%
Neck soft tissue X-ray CPT 70360 HC RADIOLOGIC EXAMINATION NECK SOFT TISSUE	$321.00	$535.00	$104.33–$3,519.00	17% above	40%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC MYOCARDIAL SPECT MULTIPLE STUDIES	$2,953.20	$4,922.00	$1,552.04–$3,519.00	16% below	40%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 HC PET IMAGING CT ATTENUATION SKULL BASE MID-THIGH	$5,727.00	$9,545.00	$1,714.24–$6,367.00	21% below	40%
Pelvic CT scan without contrast CPT 72192 HC CT PELVIS W/O CONTRAST MATERIAL	$1,062.60	$1,771.00	$125.33–$3,519.00	3% above	40%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC US PELVIC NONOBSTETRIC IMAGE DCMTN LIMITED/F/U	$270.00	$450.00	$125.33–$3,519.00	12% above	40%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC US PELVIC NONOBSTETRIC REAL-TIME IMAGE COMPLETE	$436.80	$728.00	$125.33–$3,519.00	26% above	40%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US PREG UTERUS AFTER 1ST TRIMEST 1/1ST GESTATION	$543.00	$905.00	$125.33–$3,519.00	29% above	40%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC US PREGNANT UTERUS 14 WK TRANSABDL 1/1ST GESTAT	$366.00	$610.00	$125.33–$3,519.00	9% above	40%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC US PREGNANT UTERUS,LIMITED, 1/> FETUSES	$260.40	$434.00	$125.33–$3,519.00	9% above	40%
Rib X-ray, one side, 2 views one side CPT 71100 HC RADEX RIBS UNILATERAL 2 VIEWS	$411.00	$685.00	$104.33–$3,519.00	26% above	40%
Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 HC RADEX RIBS UNI W/POSTEROANT CH MINIMUM 3 VIEWS	$501.00	$835.00	$125.33–$3,519.00	28% above	40%
Screening mammogram, both breasts both sides CPT 77067 HC SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD	$360.00	$600.00	$134.36–$3,519.00	—	40%
Shoulder X-ray, complete, 2 or more views CPT 73030 HC RADEX SHOULDER COMPLETE MINIMUM 2 VIEWS	$286.20	$477.00	$104.33–$3,519.00	4% below	40%
Sinus X-ray, complete, 3 or more views CPT 70220 HC RADEX SINUSES PARANASAL COMPL MINIMUM 3 VIEWS	$507.60	$846.00	$104.33–$3,519.00	29% above	40%
Skull X-ray, fewer than 4 views CPT 70250 HC RADIOLOGIC EXAMINATION SKULL 4/> VIEWS	$298.80	$498.00	$125.33–$3,519.00	16% below	40%
Sleep study in a lab (polysomnography) CPT 95810 HC POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND	$4,507.20	$7,512.00	$1,029.47–$4,367.00	15% below	40%
Swallow study (modified barium swallow, video X-ray) CPT 74230 HC RADIOLOGIC EXAM SWALLOW FUNCTION CONTRAST STUDY	$558.60	$931.00	$210.27–$3,519.00	7% below	40%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 HC RADIOLOGIC EXAMINATION FEMUR MINIMUM 2 VIEWS	$436.80	$728.00	$104.33–$3,519.00	41% above	40%
Thoracic spine (mid back) CT scan without contrast CPT 72128 HC CT THORACIC SPINE W/O CONTRAST MATERIAL	$1,338.60	$2,231.00	$125.33–$3,519.00	29% above	40%
Toe X-ray, 2 or more views CPT 73660 HC RADEX TOE MINIMUM 2 VIEWS	$282.60	$471.00	$104.33–$3,519.00	4% above	40%
Transvaginal pelvic ultrasound CPT 76830 HC US TRANSVAGINAL	$757.80	$1,263.00	$125.33–$3,519.00	83% above	40%
Transvaginal ultrasound during pregnancy CPT 76817 HC US PREG UTERUS REAL TIME W/IMAGE DCMTN TRANSVAG	$405.00	$675.00	$125.33–$3,519.00	49% above	40%
Ultrasound of the abdomen, complete CPT 76700 HC US ABDOMINAL REAL TIME W/IMAGE DOCUMENTATION	$523.80	$873.00	$125.33–$3,519.00	35% above	40%
Ultrasound of the scrotum and testicles CPT 76870 HC US SCROTUM & CONTENTS	$745.20	$1,242.00	$125.33–$3,519.00	105% above	40%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US SOFT TISSUE HEAD & NECK REAL TIME IMGE DOCM	$543.00	$905.00	$125.33–$3,519.00	34% above	40%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC RADIOLOGIC EXAM UPR GI TRC SINGLE CONTRAST STUDY	$828.60	$1,381.00	$210.27–$3,519.00	16% above	40%
Upper arm X-ray (humerus), 2 views CPT 73060 HC RADEX HUMERUS MINIMUM 2 VIEWS	$356.40	$594.00	$104.33–$3,519.00	12% above	40%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HC DUP-SCAN XTR VEINS UNILATERAL/LIMITED STUDY	$478.80	$798.00	$125.33–$129.09	35% below	40%
Wrist X-ray, 2 views CPT 73100 HC RADEX WRIST 2 VIEWS	$343.80	$573.00	$104.33–$3,519.00	21% above	40%
Wrist X-ray, complete, 3 or more views CPT 73110 HC RADEX WRIST COMPLETE MINIMUM 3 VIEWS	$398.40	$664.00	$104.33–$3,519.00	25% above	40%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HC RADEX HIP UNILATERAL WITH PELVIS 2-3 VIEWS	$436.80	$728.00	$104.33–$3,519.00	19% above	40%
X-ray of the abdomen, 1 view CPT 74018 HC RADIOLOGIC EXAM ABDOMEN 1 VIEW	$263.40	$439.00	$104.33–$3,519.00	8% below	40%
X-ray of the ankle, 2 views CPT 73600 HC RADIOLOGIC EXAMINATION ANKLE 2 VIEWS	$253.80	$423.00	$104.33–$3,519.00	6% below	40%
X-ray of the finger(s), 2 or more views CPT 73140 HC RADEX FINGR MINIMUM 2 VIEWS	$324.60	$541.00	$104.33–$3,519.00	18% above	40%
X-ray of the foot, 2 views CPT 73620 HC RADIOLOGIC EXAMINATION FOOT 2 VIEWS	$253.80	$423.00	$104.33–$3,519.00	1% below	40%
X-ray of the foot, complete, 3 or more views CPT 73630 HC RADEX FOOT COMPLETE MINIMUM 3 VIEWS	$289.20	$482.00	$104.33–$3,519.00	4% below	40%
X-ray of the hand, 3 or more views CPT 73130 HC RADEX HAND MINIMUM 3 VIEWS	$398.40	$664.00	$104.33–$3,519.00	12% above	40%
X-ray of the knee, 1 or 2 views CPT 73560 HC RADIOLOGIC EXAMINATION KNEE 1/2 VIEWS	$337.20	$562.00	$104.33–$3,519.00	12% above	40%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC RADEX SPINE LUMBOSACRAL 2/3 VIEWS	$382.20	$637.00	$125.33–$3,519.00	at median	40%
X-ray of the lower back, 4 or more views CPT 72110 HC RADEX SPINE LUMBOSACRAL MINIMUM 4 VIEWS	$639.00	$1,065.00	$125.33–$3,519.00	33% above	40%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC RADEX SPINE THORACIC 2 VIEWS	$327.60	$546.00	$125.33–$3,519.00	5% below	40%
X-ray of the nasal bones, 3 or more views CPT 70160 HC RADEX NASAL BONES COMPLETE MINIMUM 3 VIEWS	$282.60	$471.00	$104.33–$3,519.00	1% below	40%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC RADEX SPINE CERVICAL 2 OR 3 VIEWS	$385.20	$642.00	$104.33–$3,519.00	16% above	40%
X-ray of the pelvis, 1 or 2 views CPT 72170 HC RADIOLOGIC EXAMINATION PELVIS 1/2 VIEWS	$250.80	$418.00	$125.33–$3,519.00	19% below	40%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC RADEX SACRUM & COCCYX MINIMUM 2 VIEWS	$398.40	$664.00	$104.33–$3,519.00	23% above	40%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Connecticut	Off list
ACTH blood test CPT 82024 HC ACTH	$115.20	$192.00	$17.29–$105.93	45% below	40%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC ALT (RL)	$22.80	$38.00	$2.37–$14.54	20% below	40%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC ALT (SGPT)ALANINE AMINOTRANS	$22.80	$38.00	$5.30	20% below	40%
AST (aspartate aminotransferase) enzyme test CPT 84450 HC AST(SGOT) ASPARTATE AMINOTRANS	$22.80	$38.00	$5.18	18% below	40%
AST (aspartate aminotransferase) enzyme test CPT 84450 HC AST (RL)	$22.80	$38.00	$2.32–$14.21	18% below	40%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC HEPATITIS PANEL,ACUTE	$100.20	$167.00	$21.32–$130.65	60% below	40%
Albumin blood test CPT 82040 HC ALBUMIN	$18.00	$30.00	$4.95	39% below	40%
Albumin blood test CPT 82040 HC ALBUMIN SERUM	$18.00	$30.00	$2.21–$13.58	39% below	40%
Aldosterone blood test CPT 82088 HC ALDOSTERONE URINE	$126.60	$211.00	$18.24–$111.78	32% below	40%
Aldosterone blood test CPT 82088 HC ALDOSTERONE SERUM	$126.60	$211.00	$18.24–$111.78	32% below	40%
Alkaline phosphatase (ALP) blood test CPT 84075 HC PHOSPHATASE, ALKALINE	$22.80	$38.00	$5.18	15% below	40%
Alkaline phosphatase (ALP) blood test CPT 84075 HC ALKALINE PHOSPHATASE	$22.80	$38.00	$2.32–$14.21	15% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, TREE, OAK TREE	$16.20	$27.00	$5.22	16% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE CRUDE ALLERGEN EXTRACT EACH	$16.20	$27.00	$2.34–$14.32	16% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN,PEDIATRIC INHALANTS,SOUTHWEST	$16.20	$27.00	$2.34–$14.32	16% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN FOOD: TROUT (ONCORHYNCHUS MYKISS (SALMO GAIRDNIERI))	$16.20	$27.00	$2.34–$14.32	16% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN FOOD: SALMON (SALMO SALAR) IGE (KU/L)	$16.20	$27.00	$2.34–$14.32	16% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN FOOD: HALIBUT (HIPPOGLOSSUS HIPPOGLOSSUS) IGE (KU/L)	$16.20	$27.00	$2.34–$14.32	16% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN FOOD: MACKEREL (SCOMBER SCOMBRUS) IGE (KU/L)	$16.20	$27.00	$2.34–$14.32	16% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, WEED, SHEEP SORREL IGE	$16.20	$27.00	$2.34–$14.32	16% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, WEED, PIGWEED IGE	$16.20	$27.00	$2.34–$14.32	16% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, TREE, WHITE ASH TREE IGE	$16.20	$27.00	$2.34–$14.32	16% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, TREE, WHITE MULBERRY TREE IGE	$16.20	$27.00	$2.34–$14.32	16% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, TREE, MOUNTAIN CEDAR TREE IGE	$16.20	$27.00	$2.34–$14.32	16% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, TREE, SYCAMORE TREE IGE	$16.20	$27.00	$2.34–$14.32	16% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, TREE, COTTONWOOD TREE IGE	$16.20	$27.00	$2.34–$14.32	16% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, GRASS, BERMUDA GRASS IGE	$16.20	$27.00	$2.34–$14.32	16% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, FUNGI/MOLD, P. NOTATUM IGE	$16.20	$27.00	$2.34–$14.32	16% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, ANIMAL, FEATHER MIX IGE	$16.20	$27.00	$2.34–$14.32	16% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, FOOD, CHESTNUT IGE	$16.20	$27.00	$2.34–$14.32	16% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, FOOD, PECAN IGE	$16.20	$27.00	$2.34–$14.32	16% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, FOOD, CASHEW IGE	$16.20	$27.00	$2.34–$14.32	16% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, FOOD, BRAZIL NUT IGE	$16.20	$27.00	$2.34–$14.32	16% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, FOOD, ALMOND IGE	$16.20	$27.00	$2.34–$14.32	16% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, FOOD, RYE IGE	$16.20	$27.00	$2.34–$14.32	16% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, FOOD, RICE IGE	$16.20	$27.00	$2.34–$14.32	16% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, FOOD, POTATO IGE	$16.20	$27.00	$2.34–$14.32	16% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, FOOD, OAT IGE	$16.20	$27.00	$2.34–$14.32	16% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, FOOD, LETTUCE IGE	$16.20	$27.00	$2.34–$14.32	16% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, FOOD, CABBAGE IGE	$16.20	$27.00	$2.34–$14.32	16% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, FOOD, PEPPER C. ANNUUM IGE	$16.20	$27.00	$2.34–$14.32	16% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, FOOD, BARLEY IGE	$16.20	$27.00	$2.34–$14.32	16% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, FUNGI/MOLD, A.NIGER IGE	$16.20	$27.00	$5.22	16% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, FUNGI/MOLD, MUCORACEMOSUS	$16.20	$27.00	$5.22	16% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, FOOD, TUNA	$16.20	$27.00	$5.22	16% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, FOOD, TOMATO	$16.20	$27.00	$5.22	16% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, FOOD, SESAME SEED	$16.20	$27.00	$5.22	16% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, FOOD, PISTACHIO	$16.20	$27.00	$5.22	16% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, FOOD, ORANGE	$16.20	$27.00	$5.22	16% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, FOOD, LIMA BEAN/WHITE BEAN	$16.20	$27.00	$5.22	16% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, FOOD, GRAPE	$16.20	$27.00	$5.22	16% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, FOOD, GLUTEN	$16.20	$27.00	$5.22	16% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, FOOD, CODFISH IGE	$16.20	$27.00	$5.22	16% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, FOOD, CHICKEN	$16.20	$27.00	$5.22	16% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, FOOD, CARROT	$16.20	$27.00	$5.22	16% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, ANIMAL, MOUSE EPITHELIUM	$16.20	$27.00	$5.22	16% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, FOOD, EGG WHOLE	$16.20	$27.00	$2.34–$14.32	16% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, FOOD, WALNUT	$16.20	$27.00	$5.22	16% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, TREE, WALNUT TREE	$16.20	$27.00	$2.34–$14.32	16% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, FOOD, PORK	$16.20	$27.00	$5.22	16% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, FOOD, BEEF	$16.20	$27.00	$5.22	16% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, FOOD, WHEAT	$16.20	$27.00	$5.22	16% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, FOOD, SOYBEAN	$16.20	$27.00	$5.22	16% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, FOOD, SHRIMP	$16.20	$27.00	$5.22	16% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, FOOD, SCALLOP	$16.20	$27.00	$5.22	16% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, FOOD, PEANUT	$16.20	$27.00	$5.22	16% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, FOOD, MILK (COW'S)	$16.20	$27.00	$5.22	16% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, FOOD, CORN	$16.20	$27.00	$5.22	16% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, FOOD, CODFISH/WHITEFISH	$16.20	$27.00	$5.22	16% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, FOOD, EGG WHITE	$16.20	$27.00	$5.22	16% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, FOOD, CLAM	$16.20	$27.00	$5.22	16% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, HOUSE DUST	$16.20	$27.00	$5.22	16% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, MITES, D. FARINAE	$16.20	$27.00	$5.22	16% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, CANDIDA ALBICANS	$16.20	$27.00	$5.22	16% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, HORMODENDRUM	$16.20	$27.00	$5.22	16% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, COMMON SHORT RAGWEED	$16.20	$27.00	$5.22	16% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, MITES, D. PTERONYSSINUS	$16.20	$27.00	$5.22	16% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, ANIMAL, DOG DANDER	$16.20	$27.00	$5.22	16% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, INSECT, COCKROACH GERMAN	$16.20	$27.00	$5.22	16% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, ANIMAL, CAT DANDER	$16.20	$27.00	$5.22	16% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, ALTERNARIA ALTERNATE	$16.20	$27.00	$5.22	16% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, INSECT, AMERICAN COCKROACH	$16.20	$27.00	$5.22	16% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, TIMOTHY GRASS	$16.20	$27.00	$5.22	16% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, RUSSIAN THISTLE	$16.20	$27.00	$5.22	16% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, PERENNIAL RYE GRASS	$16.20	$27.00	$5.22	16% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, ORCHARD GRASS/COCKSF	$16.20	$27.00	$5.22	16% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, MUGWORT	$16.20	$27.00	$5.22	16% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, MEADOW FESCUE	$16.20	$27.00	$5.22	16% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, TREE, BOX/ELDER/MAPLE TREE	$16.20	$27.00	$5.22	16% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, LAMB'S QUARTERS	$16.20	$27.00	$5.22	16% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, JUNE GRASS/KENTUCKY B	$16.20	$27.00	$5.22	16% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, GIANT RAGWEED	$16.20	$27.00	$5.22	16% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, ENGLISH PLANTAIN	$16.20	$27.00	$5.22	16% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, TREE, ELM TREE	$16.20	$27.00	$5.22	16% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, TREE, BIRCH TREE	$16.20	$27.00	$5.22	16% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC LATEX ALLERGEN	$16.20	$27.00	$5.22	16% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN,EPIDERMALS AND ANIMAL PROTEINS, MOUSE URINE IGE	$17.40	$29.00	$2.34–$14.32	10% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, FOOD, BLUE MUSSEL	$36.60	$61.00	$5.22	89% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, FOOD, OYSTER	$36.60	$61.00	$5.22	89% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, FOOD, LOBSTER	$36.60	$61.00	$5.22	89% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, TREE, HAZELNUT IGE	$36.60	$61.00	$5.22	89% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, FOOD, CRAB	$36.60	$61.00	$5.22	89% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN, FUNGI/MOLD, A FUMIGATUS	$36.60	$61.00	$5.22	89% above	40%
Alpha-fetoprotein (AFP) blood test CPT 82105 HC MATERNAL SERUM SCRN, AFP ONLY	$79.80	$133.00	$7.50–$46.00	8% above	40%
Alpha-fetoprotein (AFP) blood test CPT 82105 HC A-FETOPROTEIN TUMOR MARKER	$84.60	$141.00	$16.77	14% above	40%
Ammonia blood test CPT 82140 HC AMMONIA	$43.20	$72.00	$14.57	43% below	40%
Amylase blood test CPT 82150 HC AMYLASE	$36.60	$61.00	$2.90–$17.77	22% below	40%
Amylase blood test CPT 82150 HC AMYLASE, FLUID	$36.60	$61.00	$2.90–$17.77	22% below	40%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC CCP IGG ANTIBODY	$54.60	$91.00	$5.79–$35.52	50% above	40%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANA QUAL (ARUP)	$35.40	$59.00	$5.41–$33.16	9% above	40%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANA QUAL	$35.40	$59.00	$5.41–$33.16	9% above	40%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC B NATRIUETIC PEPTIDE (BNP)	$157.20	$262.00	$15.19–$107.69	5% above	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC HELICOBACTER PYLORI CULTURE	$27.60	$46.00	$3.86–$23.64	46% below	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC EAR CULTURE	$73.20	$122.00	$3.86–$23.64	43% above	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC TISSUE CULTURE	$73.20	$122.00	$3.86–$23.64	43% above	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC HC SINUS CULTURE	$73.20	$122.00	$3.86–$23.64	43% above	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC WOUND CULTURE, DEEP	$73.20	$122.00	$3.86–$23.64	43% above	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC EYE CULTURE	$73.20	$122.00	$3.86–$23.64	43% above	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC WOUND CULTURE, SUPERFICIAL	$73.20	$122.00	$3.86–$23.64	43% above	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC BORRELIA CULTURE	$76.80	$128.00	$3.86–$23.64	50% above	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC SPINAL FLUID CULTURE	$77.40	$129.00	$3.86–$23.64	51% above	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC GENITAL CULTURE	$77.40	$129.00	$3.86–$23.64	51% above	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC RESPIRATORY CULTURE	$77.40	$129.00	$8.62	51% above	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC STERILITY CULTURE	$77.40	$129.00	$8.62	51% above	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC THROAT CULTURE	$77.40	$129.00	$8.62	51% above	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC NORCARDIA-AEROBIC CULT	$77.40	$129.00	$3.86–$23.64	51% above	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC BODY FLUID CULTURE	$77.40	$129.00	$3.86–$23.64	51% above	40%
Basic metabolic panel (blood test) CPT 80048 HC BASIC METABOLIC PANEL CALCIUM TOTAL	$140.40	$234.00	$3.79–$23.21	19% below	40%
Bilirubin blood test, total CPT 82247 HC BILIRUBIN, TOTAL	$15.60	$26.00	$5.02	48% below	40%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC SURGPATH,GROSS & MICRO PROSTAT	$256.20	$427.00	$38.38–$117.38	17% above	40%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC LEVEL IV, GROSS + MICRO EXAM	$256.20	$427.00	$62.47–$64.35	17% above	40%
Blood culture for bacteria CPT 87040 HC BLOOD CULTURE	$66.60	$111.00	$4.62–$28.31	1% below	40%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC VENIPUNCTURE	$7.80	$13.00	$8.20–$10.82	48% below	40%
Blood glucose (sugar) test CPT 82947 HC GLUCOSE	$9.60	$16.00	$3.93	59% below	40%
Blood glucose (sugar) test CPT 82947 HC GUCOSE,ISTAT	$19.80	$33.00	$1.76–$10.78	15% below	40%
Blood glucose (sugar) test CPT 82947 HC GLUCOSE, QUANTITAVE BLOOD	$20.40	$34.00	$3.93	13% below	40%
Blood lead test CPT 83655 HC LEAD(BLOOD PANEL)	$28.80	$48.00	$5.42–$33.22	36% below	40%
Blood lead test CPT 83655 HC LEAD WHOLE BLOOD	$31.20	$52.00	$12.11	30% below	40%
Blood lead test CPT 83655 HC LEAD URINE	$57.00	$95.00	$5.42–$33.22	27% above	40%
Blood lead test CPT 83655 HC LEAD, BLOOD (CAPILLARY)	$78.00	$130.00	$5.42–$33.22	74% above	40%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC ABO TYPE (ARC)	$26.40	$44.00	$1.34–$8.20	10% above	40%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC ABO TYPING	$72.60	$121.00	$1.34–$8.20	202% above	40%
Blood urea nitrogen (BUN) test CPT 84520 HC UREA NITROGEN, QUANT	$16.80	$28.00	$3.95	30% below	40%
Blood urea nitrogen (BUN) test CPT 84520 HC BUN (RL)	$30.60	$51.00	$1.77–$10.83	28% above	40%
Blood urea nitrogen (BUN) test CPT 84520 HC BUN (POCT)	$31.20	$52.00	$3.95	30% above	40%
C-peptide blood test CPT 84681 HC C-PEPTIDE SERUM	$66.60	$111.00	$20.81	32% below	40%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC CRP	$42.60	$71.00	$2.32–$14.21	1% below	40%
C. difficile toxin gene test (stool PCR) CPT 87493 HC C.DIF NAP1 (EXPLSN)	$96.60	$161.00	$15.71–$102.23	34% below	40%
C. difficile toxin gene test (stool PCR) CPT 87493 HC C.DIF TOXIGENIC (EXPLSN)	$96.60	$161.00	$15.71–$102.23	34% below	40%
CA 19-9 blood test (tumor marker) CPT 86301 HC CA-GI(CA19-9)	$99.60	$166.00	$20.81	at median	40%
CA-125 blood test (ovarian cancer marker) CPT 86304 HC CANCER ANTIGEN 125	$120.60	$201.00	$9.32–$57.08	6% below	40%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC SARS-COV-2, RNA	$103.80	$173.00	$109.08–$143.94	16% below	40%
Calcium blood test, total CPT 82310 HC CALCIUM, TOTAL (CA)	$23.40	$39.00	$2.31–$14.15	16% below	40%
Carcinoembryonic antigen (CEA) test CPT 82378 HC CARCINOEMBRYONIC ANTIGEN, FLUID	$81.60	$136.00	$8.48–$52.01	14% below	40%
Carcinoembryonic antigen (CEA) test CPT 82378 HC CARCINOEMBRYONIC ANTIGEN	$81.60	$136.00	$18.96	14% below	40%
Chickenpox (varicella) immunity blood test CPT 86787 HC VZV IGG AB	$86.40	$144.00	$5.76–$35.33	33% above	40%
Chickenpox (varicella) immunity blood test CPT 86787 HC VARICELLA ZOSTER VIRUS LGM	$86.40	$144.00	$5.76–$35.33	33% above	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC C. TRACHOMATIS BY TMA	$70.20	$117.00	$15.71–$96.25	35% below	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC PCR - CHLAMYDIA TRACHOMATIS	$109.80	$183.00	$35.09	2% above	40%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL	$65.40	$109.00	$8.19–$36.73	27% below	40%
Complete blood count (CBC) with differential CPT 85025 HC CBC & DIFFERENTIAL SCREEN	$35.40	$59.00	$3.48–$21.31	14% below	40%
Complete blood count (CBC), no differential CPT 85027 HC CBC, ONLY	$21.60	$36.00	$6.47	41% below	40%
Comprehensive metabolic panel (blood test) CPT 80053 HC COMPREHENSIVE METABOLIC PANEL	$281.40	$469.00	$4.73–$28.97	13% below	40%
Cortisol blood test, total CPT 82533 HC CORTISOL,	$75.60	$126.00	$16.30	3% below	40%
Cortisol blood test, total CPT 82533 HC CORTISOL, SALIVA	$99.60	$166.00	$7.30–$44.71	27% above	40%
Creatine kinase (CK) blood test, total CPT 82550 HC CREATINE KINASE (CK)	$24.00	$40.00	$6.51	43% below	40%
Creatinine blood test CPT 82565 HC CREATININE, WHOLE BLOOD (POCT)	$21.00	$35.00	$5.12	32% below	40%
Creatinine blood test CPT 82565 HC CREATININE	$21.00	$35.00	$2.29–$14.04	32% below	40%
Cytomegalovirus (CMV) antibody test CPT 86644 HC CMV ANTIBODY IGG	$97.80	$163.00	$6.44–$39.47	46% above	40%
D-dimer blood test (blood clot marker) CPT 85379 HC D-DIMER QUANT	$42.60	$71.00	$10.18	22% below	40%
DHEA sulfate (DHEA-S) blood test CPT 82627 HC DHEA SULFATE SERUM	$60.60	$101.00	$9.95–$60.98	27% below	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC ETHYL GLUC SCRN W/RFLX TO CONF, URINE	$23.40	$39.00	$26.04–$170.45	67% below	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC CONTININE	$52.20	$87.00	$26.04–$170.45	26% below	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC SALICYLATE CLASS	$52.20	$87.00	$26.04–$170.45	26% below	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC OPIATES CLASS	$52.20	$87.00	$26.04–$170.45	26% below	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC ETHANOL CLASS	$52.20	$87.00	$26.04–$170.45	26% below	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC COCAINE CLASS	$52.20	$87.00	$26.04–$170.45	26% below	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC CANNABINOID CLASS	$52.20	$87.00	$26.04–$170.45	26% below	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC BENZODIAZEPINE CLASS	$52.20	$87.00	$26.04–$170.45	26% below	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC BARBITURATES CLASS	$52.20	$87.00	$26.04–$170.45	26% below	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC AMPHETAMINE/METHAMPHETAMINE CLASS	$52.20	$87.00	$26.04–$170.45	26% below	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC ACETAMINOPHEN CLASS	$52.20	$87.00	$26.04–$170.45	26% below	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG PANEL, SCREEN W/RFLX TO CONF	$66.00	$110.00	$26.04–$170.45	6% below	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC PAIN HYB 2	$103.80	$173.00	$26.04–$170.45	47% above	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC AMPHETAMINE/METHAMPHETAMINE	$109.80	$183.00	$26.04–$170.45	56% above	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC SALICYLATE	$109.80	$183.00	$26.04–$170.45	56% above	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC ETHANOL	$109.80	$183.00	$26.04–$170.45	56% above	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC ACETAMINOPHEN	$109.80	$183.00	$26.04–$170.45	56% above	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC PAIN HYB U	$131.40	$219.00	$62.14	87% above	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC FENTANYL, URINE SCREEN W REFLEX TO QUANT	$134.40	$224.00	$26.04–$170.45	91% above	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC COCAINE	$168.00	$280.00	$26.04–$170.45	139% above	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC OPIATES (QUAL) UR	$168.00	$280.00	$26.04–$170.45	139% above	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC CANNABINOID (QUAL) URINE	$168.00	$280.00	$26.04–$170.45	139% above	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC COCAINE METABOLITE (QUAL) UR	$168.00	$280.00	$26.04–$170.45	139% above	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC OXYCODONE/OXYMORPHONE SCRN ONLY, URINE	$168.00	$280.00	$26.04–$170.45	139% above	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC BARBITURATES,QL UR	$168.00	$280.00	$26.04–$170.45	139% above	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC BENZODIAZEPINE (QUAL/URINE)	$168.00	$280.00	$26.04–$170.45	139% above	40%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HC ELECTROLYTE PANEL	$66.00	$110.00	$3.14–$19.23	37% below	40%
Epstein-Barr virus (EBV) antibody test CPT 86665 HC EBV AB TO VCA IGM	$56.40	$94.00	$8.12–$49.76	40% below	40%
Epstein-Barr virus (EBV) antibody test CPT 86665 HC EBV AB TO VCA IGG	$56.40	$94.00	$8.12–$49.76	40% below	40%
Estradiol blood test CPT 82670 HC ASSAY OF TOTAL ESTRADIOL	$97.20	$162.00	$27.94	41% below	40%
FSH (follicle-stimulating hormone) test CPT 83001 HC FOLLICLE STIM HORM (FSH), SE	$84.60	$141.00	$18.58	10% below	40%
Fecal calprotectin (stool inflammation test) CPT 83993 HC CALPROTECTIN, FECAL	$150.00	$250.00	$8.79–$53.85	8% below	40%
Ferritin blood test (iron stores) CPT 82728 HC FERRITIN	$55.80	$93.00	$13.63	29% below	40%
Fibrinogen blood test CPT 85384 HC FIBRINOGEN	$26.40	$44.00	$9.72	53% below	40%
Folate (folic acid) blood test CPT 82746 HC FOLATE,SERUM	$60.60	$101.00	$6.58–$40.32	19% below	40%
Free T3 thyroid hormone test CPT 84481 HC T3, FREE	$44.40	$74.00	$7.59–$46.47	27% below	40%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC T4, FREE	$38.40	$64.00	$4.03–$24.74	38% below	40%
Free testosterone test CPT 84402 HC TESTOSTERONE,FREE	$55.80	$93.00	$11.40–$69.86	43% below	40%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC GGT (RL)	$30.60	$51.00	$3.23–$19.75	26% below	40%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC G-GLUTAMYL TRANSPEPTIDASE	$31.20	$52.00	$7.20	25% below	40%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 HC GENERAL HEALTH PANEL	$382.20	$637.00	$393.60–$529.98	26% below	40%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC GLUCOSE, POST CHALLENGE	$9.60	$16.00	$2.12–$13.03	63% below	40%
Glucose tolerance test, 3 samples CPT 82951 HC GLUCOSE TOLERANCE TEST,THREE S	$43.20	$72.00	$12.87	4% below	40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC N. GONORRHOEAE BY TMA	$70.20	$117.00	$15.71–$96.25	35% below	40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC PCR, N GONORRHOEAE	$84.00	$140.00	$15.71–$96.25	22% below	40%
H. pylori antibody blood test CPT 86677 HC HELICOBACTER PYLORI ANTIBODY	$86.40	$144.00	$16.85	92% above	40%
H. pylori stool antigen test CPT 87338 HC HI PYLORI AG	$78.00	$130.00	$6.44–$39.44	2% below	40%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC HIV	$360.60	$601.00	$85.10	4% above	40%
HIV-1 and HIV-2 antibody test CPT 86703 HC DONOR, HIV 1/2 PLUS O ANTIBODY SCREEN	$34.80	$58.00	$6.14–$37.61	18% below	40%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC HIV AG W HIV 1/2AB	$71.40	$119.00	$24.08	26% below	40%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HC HPV W/16&18 BY PCR, THINPREP	$113.40	$189.00	$35.09	3% below	40%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HC HPV	$133.80	$223.00	$15.71–$96.25	14% above	40%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC HEMOGLOBIN GLYCATED	$35.40	$59.00	$9.71	34% below	40%
Hemoglobin blood test CPT 85018 HC HEMOGLOBIN	$18.00	$30.00	$1.06–$6.50	7% above	40%
Hepatitis B core antibody test (total) CPT 86704 HC HEPATITIS B CORE ANTIBODY	$54.00	$90.00	$12.05	5% below	40%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC HEP B AB QUANT	$31.80	$53.00	$10.74	55% below	40%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HC HEPATITIS B SURFACE ANTIGEN	$52.80	$88.00	$10.33	11% below	40%
Hepatitis C antibody blood test (screening) CPT 86803 HC HEPATITIS C ANTIBODY	$52.20	$87.00	$14.27	28% below	40%
Hepatitis C viral load (HCV RNA) test CPT 87522 HC HCV QUANTITATIVE	$269.40	$449.00	$42.84	47% above	40%
Herpes blood test, HSV-1 antibody CPT 86695 HC HSV IGG GLYCOPROT TYPE 1	$41.40	$69.00	$5.90–$36.18	20% below	40%
Herpes blood test, HSV-2 antibody CPT 86696 HC HSV IGG GLYCOPROT TYPE 2	$54.60	$91.00	$8.67–$53.08	16% below	40%
High-sensitivity CRP (hs-CRP) test CPT 86141 HC CRP,HIGH SENSITIVIY	$42.60	$71.00	$5.79–$35.52	11% below	40%
Homocysteine blood test CPT 83090 HC HOMOCYST(E)INE PLASMA TOTAL	$49.20	$82.00	$7.55–$49.15	30% below	40%
Insulin blood test CPT 83525 HC INSULIN 120 MINUTES	$33.00	$55.00	$11.43	53% below	40%
Insulin blood test CPT 83525 HC INSULIN 30 MINUTES	$33.00	$55.00	$11.43	53% below	40%
Insulin blood test CPT 83525 HC INSULIN 60 MINUTES	$33.00	$55.00	$11.43	53% below	40%
Insulin blood test CPT 83525 HC INSULIM RANDOM	$33.60	$56.00	$11.43	52% below	40%
Insulin blood test CPT 83525 HC INSULIN FASTING	$33.60	$56.00	$11.43	52% below	40%
Iron blood test (serum iron) CPT 83540 HC IRON (FE)	$27.00	$45.00	$6.47	23% below	40%
Iron-binding capacity (TIBC) test CPT 83550 HC IRON BINDING CAPACITY (TIBC)	$30.60	$51.00	$8.74	33% below	40%
Kidney function blood test panel CPT 80069 HC RENAL FUNCTION PANEL	$179.40	$299.00	$3.89–$23.81	at median	40%
LH (luteinizing hormone) test CPT 83002 HC LUTEINIZING HORMONE (LH)	$71.40	$119.00	$18.52	28% below	40%
Lactate (lactic acid) blood test CPT 83605 HC LACTATE	$48.00	$80.00	$11.57	33% below	40%
Lactate dehydrogenase (LDH) blood test CPT 83615 HC LACTATE DEHYDROG. (LDH)	$24.00	$40.00	$6.04	45% below	40%
Lipase blood test (pancreas enzyme) CPT 83690 HC LIPASE	$38.40	$64.00	$6.89	12% below	40%
Liver function blood test panel CPT 80076 HC HEPATIC FUNCTION PANEL	$135.00	$225.00	$3.66–$22.41	17% below	40%
Lyme disease antibody test CPT 86618 HC LYME ANTIBODY IGM/IGG	$41.40	$69.00	$17.03	40% below	40%
Lyme disease antibody test CPT 86618 HC LYME ANTIBODY IGG-EIA	$42.00	$70.00	$17.03	39% below	40%
Lyme disease antibody test CPT 86618 HC LYME ANTIBODIES -IMMUNOASSAY	$83.40	$139.00	$7.62–$46.71	20% above	40%
Magnesium blood test CPT 83735 HC MAGNESIUM (MG)	$16.80	$28.00	$6.70	52% below	40%
Magnesium blood test CPT 83735 HC MAGNESIUM URINE	$19.80	$33.00	$6.70	43% below	40%
Magnesium blood test CPT 83735 HC MAGNESIUM, RBC	$44.40	$74.00	$3.00–$18.38	27% above	40%
Measles (rubeola) antibody test CPT 86765 HC MEASLES(RUBEOLA)AB IGM	$31.20	$52.00	$5.76–$35.33	28% below	40%
Measles (rubeola) antibody test CPT 86765 HC MEASLES IGG ANTIBODY	$54.00	$90.00	$5.76–$35.33	24% above	40%
Mono test (heterophile antibody, Monospot) CPT 86308 HC MONO, SCREENING	$17.40	$29.00	$2.32–$14.21	56% below	40%
Mono test (heterophile antibody, Monospot) CPT 86308 HC INFECTIOUS MONO SCREEN	$48.60	$81.00	$5.18	24% above	40%
Mumps immunity blood test CPT 86735 HC MUMPS IGG ANTIBODY	$54.00	$90.00	$5.84–$35.80	10% below	40%
Mumps immunity blood test CPT 86735 HC MUMPS VIRUS AB, IGM	$74.40	$124.00	$5.84–$35.80	23% above	40%
PSA (prostate-specific antigen) blood test, free CPT 84154 HC PSA FREE	$54.00	$90.00	$18.39	25% below	40%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC PROSTATIC SPECIFIC ANTIGEN	$81.60	$136.00	$8.23–$50.44	3% below	40%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA	$81.60	$136.00	$18.39	3% below	40%
Pap test (liquid-based, automated screening with review) CPT 88175 HC CYTOPATH THPR PAP DIAGNOSTIC, INSTRUMENT	$96.60	$161.00	$13.61–$72.99	25% below	40%
Pap test (liquid-based, automated screening with review) CPT 88175 HC CYTOPATH THPR PAP SCREENING, INSTRUMENT	$96.60	$161.00	$13.61–$72.99	25% below	40%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HC CYTOPATH THPR PAP SCREENING, MANUAL	$111.60	$186.00	$10.41–$55.57	11% above	40%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HC CYTOPATH THPR PAP DIAGNOSTIC, MANUAL	$111.60	$186.00	$10.41–$55.57	11% above	40%
Parathyroid hormone (PTH) blood test CPT 83970 HC INTRAOPERATIVE PTH	$168.00	$280.00	$41.28	7% below	40%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC PART. THROMBOPLSN TIME (PTT)	$39.60	$66.00	$2.69–$16.49	4% below	40%
Phosphorus (phosphate) blood test CPT 84100 HC PHOSPHORUS INORGANIC (PO4)	$22.20	$37.00	$4.74	13% below	40%
Potassium blood test CPT 84132 HC POTASSIUM (K+)	$13.80	$23.00	$2.06–$13.06	47% below	40%
Potassium blood test CPT 84132 HC POTASSIUM, WHOLE BLD (POCT)	$18.00	$30.00	$4.76	31% below	40%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 HC NON-INVASIVE PRENATAL ANEUPLOIDY SCREEN (NIPT)	$1,566.60	$2,611.00	$453.20–$2,082.07	—	40%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 HC QNATAL ADVANCED	$1,906.80	$3,178.00	$759.05	—	40%
Progesterone blood test CPT 84144 HC PROGESTERONE	$63.60	$106.00	$9.34–$57.22	42% below	40%
Prolactin blood test CPT 84146 HC PROLACTIN	$94.80	$158.00	$8.67–$53.16	8% below	40%
Prolactin blood test CPT 84146 HC MACROPROLACTIN	$151.20	$252.00	$8.67–$53.16	47% above	40%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME	$18.00	$30.00	$4.29	32% below	40%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME (PT)	$19.20	$32.00	$1.76–$11.77	27% below	40%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 HC POCT DRUG SCREEN 12	$27.60	$46.00	$4.88–$34.56	—	40%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 HC SALIVA ALCOHOL TEST	$27.60	$46.00	$4.88–$34.56	—	40%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 HC POCT URINE DRUG SCREEN COCAINE	$34.80	$58.00	$4.88–$34.56	—	40%
Rapid flu test (influenza antigen) CPT 87804 HC RAPID, INFLUENZA	$34.80	$58.00	$6.00–$45.40	18% below	40%
Rapid flu test (influenza antigen) CPT 87804 HC INFLUENZA A RAPID AG TST	$54.00	$90.00	$16.55	28% above	40%
Rapid flu test (influenza antigen) CPT 87804 HC INFLUENZA B RAPID AG TEST.	$54.00	$90.00	$16.55	28% above	40%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC RAPID, STREP	$33.00	$55.00	$5.99–$45.34	29% below	40%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC STREP, GP A ANTIGEN SCREEN	$46.80	$78.00	$16.53	at median	40%
Renin blood test CPT 84244 HC RENIN ACTIVITY OR DIRECT	$65.40	$109.00	$21.99	30% below	40%
Rh blood typing CPT 86901 HC RH TYPE (ARC)	$22.20	$37.00	$1.34–$8.20	8% below	40%
Rh blood typing CPT 86901 HC RH TYPING	$27.60	$46.00	$1.34–$8.20	15% above	40%
Rheumatoid factor (RF) test CPT 86431 HC RHEUMATOID FACTOR ASSAY, QT	$48.00	$80.00	$5.67	2% above	40%
Rubella antibody test (immunity check) CPT 86762 HC RUBELLA AB LGM	$42.60	$71.00	$6.44–$39.47	30% below	40%
Rubella antibody test (immunity check) CPT 86762 HC RUBELLA ANTIBODY	$54.00	$90.00	$6.44–$39.47	11% below	40%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HC SED RATE AUTOMATED	$16.20	$27.00	$1.21–$7.41	44% below	40%
Sodium blood test CPT 84295 HC SODIUM	$13.80	$23.00	$2.16–$13.19	52% below	40%
Sodium blood test CPT 84295 HC SODIUM, WHOLE BLD (POCT)	$14.40	$24.00	$4.81	50% below	40%
Stool ova and parasites exam CPT 87177 HC OVA & PARASITES, FECAL	$94.20	$157.00	$8.90	118% above	40%
Stool test for hidden blood (guaiac FOBT) CPT 82270 HC HEMOGLOBIN,FECES (1-3X)	$16.20	$27.00	$4.38	10% below	40%
Stool test for hidden blood (guaiac FOBT) CPT 82270 HC HEMOGLOBIN, FECES	$16.20	$27.00	$1.59–$12.01	10% below	40%
Stool test for hidden blood (guaiac FOBT) CPT 82270 HC BLD OCLT FECES SCREEN,CONSEC C	$20.40	$34.00	$1.59–$12.01	13% above	40%
Stool test for hidden blood (guaiac FOBT) CPT 82270 HC HEMOCCULT TEST	$21.00	$35.00	$4.38	17% above	40%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC FECAL OCCULT BLD	$48.60	$81.00	$7.12–$43.67	at median	40%
Syphilis antibody test (Treponema pallidum) CPT 86780 HC T. PALLIDUM IGG+IGM AB [PRESENCE] SERUM BY IMMUNNOASSY	$27.60	$46.00	$5.93–$36.32	55% below	40%
Syphilis antibody test (Treponema pallidum) CPT 86780 HC T.PALLIDUM AB (FTA-ABS), SER,IGG	$41.40	$69.00	$5.93–$36.32	32% below	40%
Syphilis antibody test (Treponema pallidum) CPT 86780 HC TREPONEMA PALLIDUM AB, IGG BY ELISA	$75.60	$126.00	$5.93–$36.32	24% above	40%
Syphilis antibody test (Treponema pallidum) CPT 86780 HC TREPONEMA PALLIDUM AB BY TP-PA	$75.60	$126.00	$5.93–$36.32	24% above	40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC RPR	$19.80	$33.00	$4.27	26% below	40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC VDRL-SERUM	$22.20	$37.00	$1.91–$11.71	17% below	40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC VDRL CSF	$23.40	$39.00	$1.91–$11.71	13% below	40%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC QUANTIFERON(R)-TB GOLD	$123.60	$206.00	$27.74–$170.01	39% below	40%
Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE, ADULT MALE (RL)	$121.20	$202.00	$11.56–$70.80	at median	40%
Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE TOTAL (FEMALE)	$128.40	$214.00	$25.81	6% above	40%
Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE	$128.40	$214.00	$11.56–$70.80	6% above	40%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC TPO ANTIBODY (RL)	$67.20	$112.00	$6.51–$39.91	29% below	40%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC LIVER KIDNEY MICROSOME AB	$71.40	$119.00	$6.51–$39.91	25% below	40%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH (RL)	$36.60	$61.00	$7.52–$46.08	59% below	40%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC THYROID STIM. HORMONE	$66.60	$111.00	$7.52–$46.08	26% below	40%
Total IgE blood test CPT 82785 HC IGE TOTAL SERUM	$48.60	$81.00	$7.37–$45.15	31% below	40%
Total cholesterol blood test CPT 82465 HC CHOLESTEROL, TOTAL	$14.40	$24.00	$4.35	45% below	40%
Total thyroxine (T4) blood test CPT 84436 HC THYROXINE (T-4)	$33.60	$56.00	$3.07–$18.84	1% below	40%
Total triiodothyronine (T3) blood test CPT 84480 HC TRIIODOTHYRONINE (T3 TOTAL)	$65.40	$109.00	$6.34–$38.90	14% below	40%
Transferrin blood test CPT 84466 HC TRANSFERRIN	$31.80	$53.00	$5.71–$35.00	45% below	40%
Trichomonas test (NAAT) CPT 87661 HC TRICHOMONAS VAGINALIS BY TMA	$70.20	$117.00	$15.71–$96.25	15% above	40%
Trichomonas test (NAAT) CPT 87661 HC VAGINAL PATHOGEN PANEL TRICHOMONAS VAGINALIS BY TMA	$72.60	$121.00	$15.71–$96.25	19% above	40%
Triglycerides blood test CPT 84478 HC TRIGLYCERIDE - FLUID	$27.00	$45.00	$2.57–$15.74	11% below	40%
Triglycerides blood test CPT 84478 HC TRIGLYCERIDES	$27.00	$45.00	$5.74	11% below	40%
Troponin test, quantitative CPT 84484 HC TROPONIN	$87.60	$146.00	$4.52–$34.21	2% below	40%
Uric acid blood test CPT 84550 HC URIC ACID, BLOOD	$22.20	$37.00	$4.52	19% below	40%
Urinalysis with microscope exam, automated CPT 81001 HC URINALYSIS	$26.40	$44.00	$3.17	94% above	40%
Urinalysis without microscope exam, automated CPT 81003 HC MACROSCOPIC URINALYSIS	$12.60	$21.00	$2.25	32% below	40%
Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS MACRO ANALY	$12.60	$21.00	$1.01–$6.17	32% below	40%
Urinalysis without microscope exam, manual CPT 81002 HC SPECIFIC GRAVITY	$11.40	$19.00	$1.26–$9.55	47% below	40%
Urinalysis without microscope exam, manual CPT 81002 HC URINE DIPS NON-AUTO W/O SCOPE	$22.80	$38.00	$1.26–$9.55	7% above	40%
Urine culture for bacteria, with colony count CPT 87086 HC URINE CULTURE, COLONY COUNT	$44.40	$74.00	$8.07	6% below	40%
Urine microalbumin (albumin) test CPT 82043 HC MICROALBUMIN	$31.20	$52.00	$5.78	39% below	40%
Urine pregnancy test, read by color change CPT 81025 HC HCG-B SUBUNIT (QUAL)	$31.80	$53.00	$3.12–$23.62	24% below	40%
Vitamin B12 (cobalamin) blood test CPT 82607 HC VITAMIN B12	$57.00	$95.00	$6.74–$41.36	36% below	40%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC VITAMIN D3 25-OH	$86.40	$144.00	$15.21–$81.19	22% below	40%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 HC VIT D, 1,25 DIHYDROXY	$112.20	$187.00	$17.23–$105.61	22% below	40%
Zinc blood test CPT 84630 HC ZINC SERUM	$30.60	$51.00	$11.39	43% below	40%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC HCG-B SUBUNIT (QUANT)	$60.60	$101.00	$15.05	20% below	40%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC BETA-HCG, SERUM QUANT TUMOR MRKR	$100.80	$168.00	$6.74–$41.28	33% above	40%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Connecticut	Off list
Botox injections for chronic migraine CPT 64615 HC CHEMODERVATE FACIAL/TRIGEM/CERV MUSC MIGRAINE	$700.20	$1,167.00	$352.89–$3,701.00	5% below	40%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 HC BX BREAST W/DEVICE 1ST LESION STEREOTACTIC GUID	$2,992.20	$4,987.00	$1,936.96–$9,440.00	44% below	40%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 HC CLTX DSTL FIBULAR FX LAT MALLS W/O MANJ	$462.60	$771.00	$286.77–$3,701.00	78% above	40%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 HC CLOSED TX METATARSAL FRACTURE W/O MANIPULATION	$355.20	$592.00	$286.77–$11,901.00	13% below	40%
Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 HC CORRJ HALLUX VALGUS W/SESMDC W/DIST METAR OSTEOT	$3,315.00	$5,525.00	$3,878.87–$18,294.00	—	40%
Bunion correction with removal of part of the big toe joint CPT 28292 HC CORRJ HLX VLGS BNCTY SESMDC RESCJ PROX PHLX BASE	$3,517.80	$5,863.00	$3,878.87–$18,294.00	25% above	40%
Cardiac catheterization with coronary angiogram CPT 93458 HC CATH PLMT L HRT & ARTS W/NJX & ANGIO IMG S&I	$12,175.80	$20,293.00	$3,845.15–$16,127.00	8% above	40%
Cardioversion, elective (restoring heart rhythm) CPT 92960 HC CARDIOVERSION ELECTIVE ARRHYTHMIA EXTERNAL	$1,872.00	$3,120.00	$1,927.85–$2,956.51	34% above	40%
Carpal tunnel release, open surgery CPT 64721 HC NEUROPLASTY &/TRANSPOS MEDIAN NRV CARPAL TUNNE	$5,136.00	$8,560.00	$2,334.50–$9,384.00	at median	40%
Catheter ablation for atrial fibrillation CPT 93656 HC COMPRE EP EVAL ABLTJ ATR FIB PULM VEIN ISOLATION	$37,601.40	$62,669.00	$14,514.00–$32,274.50	24% below	40%
Cervical biopsy CPT 57500 HC BIOPSY CERVIX SINGLE/MULT/EXCISION OF LESION SPX	$1,325.40	$2,209.00	$1,040.95–$3,701.00	48% below	40%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HC CIRCUMCISION W/O BLOCK	$3,717.00	$6,195.00	$2,448.95–$3,701.00	302% above	40%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HC CIRCUMCISION W/BLOCK	$3,717.60	$6,196.00	$2,448.95–$3,701.00	302% above	40%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HC CLTX DSTL RADIAL FX/EPIPHYSL SEP W/O MANJ	$433.80	$723.00	$286.77–$3,701.00	45% below	40%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 HC COLPOSCOPY CERVIX VAG LOOP ELTRD BX CERVIX	$3,421.80	$5,703.00	$3,801.06–$6,685.00	50% below	40%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 HC COLPOSCOPY CERVIX BX CERVIX & ENDOCRV CURRETAGE	$729.00	$1,215.00	$363.65–$5,101.00	36% below	40%
Coronary stent placement, one artery CPT 92928 HC PRQ TRLUML CORONARY STENT W/ANGIO ONE ART/BRNCH	$36,809.40	$61,349.00	$11,102.00–$59,804.00	150% above	40%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 HC CYSTOURETHROSCOPY	$1,399.80	$2,333.00	$797.95–$3,701.00	at median	40%
D&C (dilation and curettage), not related to pregnancy CPT 58120 HC DILATION & CURETTAGE DX&/THER NONOBSTETRIC	$5,355.60	$8,926.00	$3,801.06–$5,845.00	3% above	40%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 HC DESTRUCTION PREMALIGNANT LESION 1ST	$289.20	$482.00	$237.54–$3,701.00	26% above	40%
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 HC REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT	$115.80	$193.00	$70.72–$3,701.00	at median	40%
Earwax removal with instruments, one ear one side CPT 69210 HC REMOVAL IMPACTED CERUMEN INSTRUMENTATION UNILAT	$115.80	$193.00	$70.72–$3,701.00	32% below	40%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 HC ENDOMETRIAL BX W/WO ENDOCERVIX BX W/O DILAT SPX	$334.80	$558.00	$240.49–$11,901.00	16% below	40%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HC NJX DX/THER SBST INTRLMNR CRV/THRC W/IMG GDN	$3,210.00	$5,350.00	$827.89–$11,901.00	6% below	40%
Eye injection into the vitreous (intravitreal injection) CPT 67028 HC INTRAVITREAL NJX PHARMACOLOGIC AGT SPX	$751.20	$1,252.00	$395.98–$3,701.00	—	40%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HC NJX DX/THER AGT PVRT FACET JT LMBR/SAC 1 LEVEL	$4,815.00	$8,025.00	$1,060.32–$11,901.00	84% above	40%
Hammertoe correction surgery CPT 28285 HC CORRECTION HAMMERTOE	$2,267.40	$3,779.00	$3,878.87–$11,901.00	at median	40%
Hemorrhoid banding (rubber band ligation) CPT 46221 HC HEMORRHOIDECTOMY INTERNAL RUBBER BAND LIGATIONS	$1,171.80	$1,953.00	$1,089.93–$3,701.00	64% below	40%
Hysterectomy through an abdominal incision (total) CPT 58150 HC ADBOMINAL HYSTERECTOMY	$5,062.20	$8,437.00	$14,514.00–$16,127.00	—	40%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HC CATH & SALINE/CONTRAST SONOHYSTER/HYSTEROSALPI	$170.40	$284.00	$888.00–$11,901.00	60% below	40%
IUD insertion (the device itself billed separately) CPT 58300 HC INSERTION INTRAUTERINE DEVICE IUD	$1,072.20	$1,787.00	$3,331.00–$3,701.00	63% above	40%
Incision and drainage of a simple or single skin abscess CPT 10060 HC INCISION & DRAINAGE ABSCESS SIMPLE/SINGLE	$504.00	$840.00	$237.54–$3,701.00	21% above	40%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC INJECTION 1 TENDON SHEATH/LIGAMENT APONEUROSIS	$645.60	$1,076.00	$352.89–$11,901.00	20% below	40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US	$2,568.00	$4,280.00	$352.89–$11,901.00	294% above	40%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 HC INSERTION, DRUG-DELIVERY IMPLANT	$273.00	$455.00	$154.10–$3,701.00	33% below	40%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US	$745.20	$1,242.00	$352.89–$3,701.00	18% above	40%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC ARTHROCENTESIS ASPIR&/INJ SMALL JT/BURSA W/O US	$745.20	$1,242.00	$352.89–$3,701.00	13% below	40%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC REPAIR INTERMEDIATE S/A/T/E 2.5 CM/<	$585.00	$975.00	$477.63–$3,701.00	20% below	40%
Left heart catheterization, diagnostic CPT 93452 HC L HRT CATH W/NJX L VENTRICULOGRAPHY IMG S&I	$10,320.60	$17,201.00	$3,845.15–$16,127.00	at median	40%
Lower-back epidural injection, with imaging guidance CPT 62323 HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN	$4,500.00	$7,500.00	$827.89–$11,901.00	56% above	40%
Lower-back epidural injection, without imaging guidance CPT 62322 HC INJ SINGLE LUMB/SACR (CD)	$4,494.00	$7,490.00	$1,060.32–$11,901.00	141% above	40%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC NJX ANES&/STRD W/IMG TFRML EDRL LMBR/SAC 1 LVL	$4,173.00	$6,955.00	$1,060.32–$3,701.00	70% above	40%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC NJX AA&/STRD TFRML EPI LUMBAR/SACRAL 1 LEVEL	$4,173.00	$6,955.00	$1,060.32–$11,901.00	70% above	40%
Miscarriage treatment with D&C, first trimester CPT 59820 HC MISSED ABORTION, 1ST TRIMESTER	$5,698.20	$9,497.00	$3,801.06–$10,068.00	14% below	40%
Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals CPT 17311 HC MOHS MICROGRAPHIC H/N/H/F/G 1ST STAGE 5 BLOCKS	$730.20	$1,217.00	$731.79–$5,101.00	—	40%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 HC EXC B9 LESION MRGN XCP SK TG T/A/L 0.5 CM/<	$1,018.80	$1,698.00	$841.13–$3,701.00	31% below	40%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 HC EXC B9 LESION MRGN XCP SK TG F/E/E/N/L/M 0.5CM/<	$681.00	$1,135.00	$841.13–$5,101.00	21% below	40%
Nail removal (partial or complete), one nail CPT 11730 HC AVULSION NAIL PLATE PARTIAL/COMPLETE SIMPLE 1	$504.00	$840.00	$237.54–$3,701.00	24% above	40%
Occipital nerve block (injection for headaches) CPT 64405 HC INJECTION AA&/STRD GREATER OCCIPITAL NERVE	$805.80	$1,343.00	$352.89–$3,701.00	at median	40%
Pacemaker implant (dual chamber) CPT 33208 HC INS NEW/RPLCMT PRM PM W/TRANSV ELTRD ATRIAL&VENT	$18,830.40	$31,384.00	$12,511.09–$42,216.00	8% below	40%
Paracentesis with imaging guidance CPT 49083 HC ABDOM PARACENTESIS DX/THER W/IMAGING GUIDANCE	$1,500.60	$2,501.00	$1,087.31–$11,901.00	36% below	40%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC EXCISION NAIL MATRIX PERMANENT REMOVAL	$1,002.00	$1,670.00	$477.63–$3,701.00	21% above	40%
Prostate biopsy CPT 55700 HC BIOPSY OF PROSTATE	$3,703.20	$6,172.00	$2,448.95–$5,845.00	33% below	40%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 HC DSTR NROLYTC AGNT PARVERTEB FCT SNGL LMBR/SACRAL	$3,496.20	$5,827.00	$2,334.50–$11,616.00	42% below	40%
Removal of a breast lump, open surgery CPT 19120 HC EXC CYST/ABERRANT BREAST TISSUE OPEN 1/> LESION	$4,905.00	$8,175.00	$3,014.00–$9,440.00	57% below	40%
Removal of a foreign object under the skin, simple CPT 10120 HC INCISION & REMOVAL FOREIGN BODY SUBQ TISS SIMPLE	$1,002.00	$1,670.00	$477.63–$3,701.00	56% above	40%
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 HC ESWL (EXTRACORPOREAL SHOCK WAVE LITHOTRIPSY)	$7,006.80	$11,678.00	$4,123.17–$14,030.00	50% below	40%
Short arm cast (elbow to hand) CPT 29075 HC APPLICATION CAST ELBOW FINGER SHORT ARM	$324.00	$540.00	$333.67–$511.70	38% below	40%
Short arm splint (forearm and hand) CPT 29125 HC APPLICATION SHORT ARM SPLINT FOREARM-HAND STATIC	$278.40	$464.00	$286.71–$439.69	at median	40%
Short arm splint (forearm and hand) CPT 29125 HC APPLY SHORT ARM SPLINT	$366.00	$610.00	$376.92–$578.04	31% above	40%
Short leg cast (below the knee) CPT 29405 HC APPLICATION SHORT LEG CAST BELOW KNEE-TOE	$501.60	$836.00	$516.56–$792.19	24% below	40%
Short leg splint (calf to foot) CPT 29515 HC APPLICATION SHORT LEG SPLINT CALF FOOT	$398.40	$664.00	$410.29–$629.21	8% below	40%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/<	$504.00	$840.00	$237.54–$3,701.00	27% above	40%
Skin biopsy, punch, one lesion CPT 11104 HC PUNCH BIOPSY OF SKIN;SINGLE LESION	$1,002.00	$1,670.00	$477.63–$3,701.00	138% above	40%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 HC EXCISION MAL LESION TRUNK/ARM/LEG 0.5 CM/<	$907.20	$1,512.00	$841.13–$4,735.00	at median	40%
Skin tag removal, up to 15 tags CPT 11200 HC REMOVAL SKN TAGS MLT FIBRQ TAGS ANY AREA UPW/15	$289.20	$482.00	$237.54–$3,701.00	2% above	40%
Spinal tap (lumbar puncture), diagnostic CPT 62270 HC DIAGNOSTIC LUMBAR SPINAL PUNCTURE	$1,168.20	$1,947.00	$827.89–$11,901.00	2% above	40%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM	$504.00	$840.00	$237.54–$247.74	47% above	40%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC SIMPLE EAR REPAIR	$489.00	$815.00	$503.59–$772.29	17% above	40%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC SIMPLE REPAIR F/E/E/N/L/M 2.5CM/<	$491.40	$819.00	$237.54–$247.74	18% above	40%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC TANGENTIAL BIOPSY OF SKIN; SINGLE LESION	$585.00	$975.00	$237.54–$3,701.00	45% above	40%
Thoracentesis with imaging guidance CPT 32555 HC THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING	$1,345.20	$2,242.00	$739.12–$11,901.00	7% above	40%
Trigger point injections, 1 or 2 muscles CPT 20552 HC INJECTION SINGLE/MLT TRIGGER POINT 1/2 MUSCLES	$674.40	$1,124.00	$352.89–$3,701.00	5% above	40%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HC BX BREAST W/DEVICE 1ST LESION ULTRASOUND GUID	$3,624.60	$6,041.00	$1,936.96–$9,440.00	35% below	40%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 HC EGD BALLOON DILATION ESOPHAGUS <30 MM DIAM	$1,955.40	$3,259.00	$2,267.81–$5,845.00	70% below	40%
Upper endoscopy (EGD) with biopsy CPT 43239 HC EGD TRANSORAL BIOPSY SINGLE/MULTIPLE	$1,470.60	$2,451.00	$1,087.31–$5,845.00	55% below	40%
Upper endoscopy (EGD), diagnostic CPT 43235 HC ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC	$1,423.20	$2,372.00	$1,087.31–$3,701.00	57% below	40%
Vein ablation, radiofrequency, first vein CPT 36475 HC ENDOVEN ABLTJ INCMPTNT VEIN XTR RF 1ST VEIN	$9,145.80	$15,243.00	$3,762.77–$7,053.00	at median	40%
Wart removal, up to 14 warts CPT 17110 HC DESTRUCTION BENIGN LESIONS UP TO 14	$289.20	$482.00	$237.54–$3,701.00	55% below	40%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM/<	$1,002.00	$1,670.00	$477.63–$5,845.00	15% above	40%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Connecticut	Off list
Blood transfusion (giving blood or blood components) CPT 36430 HC TRANSFUSION, BLOOD PRODUCTS	$867.00	$1,445.00	$522.64–$3,701.00	28% below	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC PRESSURIZED/NONPRESSURIZED INHALATION TREATMENT	$362.40	$604.00	$243.15–$270.39	68% above	40%
Chemotherapy IV infusion, first hour CPT 96413 HC CHEMOTX ADMN IV NFS TQ UP 1 HR 1/1ST SBST/DRUG	$793.20	$1,322.00	$278.79–$1,081.00	28% below	40%
Critical care, first 30 to 74 minutes CPT 99291 HC ED VISIT LEVEL VI - CRITICAL CARE	$2,067.60	$3,446.00	$2,172.70–$3,265.43	11% below	40%
EEG (brain wave test), awake and drowsy, routine CPT 95816 HC ELECTROENCEPHALOGRAM W/REC AWAKE&DROWSY	$1,252.20	$2,087.00	$1,315.85–$1,977.64	at median	40%
EEG (brain wave test), awake and drowsy, routine CPT 95816 HC EEG,W/AWAKE & DROWSY RECORD (IP UNIT)	$1,518.60	$2,531.00	$258.85–$372.27	21% above	40%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC ECG ROUTINE ECG W/LEAST 12 LDS TRCG ONLY W/O I&R	$144.60	$241.00	$156.41–$228.37	29% below	40%
Electroconvulsive therapy (ECT), one session CPT 90870 HC ELECTROCONVULSIVE THERAPY	$1,500.00	$2,500.00	$824.00–$2,211.00	29% below	40%
Electroconvulsive therapy (ECT), one session inpatient CPT 90870 HC ELECTROCONVULSIVE THERAPY	$1,500.00	$2,500.00	$824.00–$2,211.00	—	40%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC EMR DPT VST MAYX REQ PHY/QHP	$501.00	$835.00	$101.09–$965.00	10% below	40%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC EMERGENCY DEPT VISIT SF MDM	$719.40	$1,199.00	$184.07–$1,283.00	15% below	40%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC EMERGENCY DEPT VISIT LOW MDM	$1,033.80	$1,723.00	$327.25–$1,987.00	30% below	40%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC EMERGENCY DEPT VISIT MOD MDM	$1,294.20	$2,157.00	$500.22–$2,018.00	46% below	40%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC EMERGENCY DEPT VISIT HI MDM	$1,990.20	$3,317.00	$713.93–$2,445.00	48% below	40%
Exercise stress test, tracing only, the hospital charge CPT 93017 HC CV STRS TST XERS&/OR RX CONT ECG TRCG ONLY	$1,095.00	$1,825.00	$1,209.98–$1,729.37	at median	40%
Family therapy with the patient, 50 minutes CPT 90847 HC FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 MINS	$256.80	$428.00	$192.08–$219.17	21% below	40%
Family therapy without the patient, 50 minutes CPT 90846 HC FAMILY PSYCHOTHERAPY W/O PATIENT PRESENT 50 MINS	$260.40	$434.00	$192.08–$219.17	1% above	40%
Group psychotherapy session CPT 90853 HC GROUP PSYCHOTHERAPY	$158.40	$264.00	$110.58–$125.44	2% above	40%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC IV HYDRATION INIT (31MIN TO 1HR)	$405.00	$675.00	$251.88–$262.64	18% below	40%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC IV HYDRATION INIT (31MIN TO 1HR) - 2ND SITE	$405.00	$675.00	$251.88–$262.64	18% below	40%
IV infusion of a medicine, first hour CPT 96365 HC IV INFUSION OF MEDICATION - 1ST HR	$428.40	$714.00	$251.88–$262.64	36% below	40%
IV push of a medicine, first drug CPT 96374 HC IV PUSH - INITIAL	$352.20	$587.00	$362.71–$556.24	40% below	40%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC INJECTION - SQ/IM	$119.40	$199.00	$122.96–$188.57	42% below	40%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 HC PSYCHIATRIC DIAGNOSTIC EVALUATION	$241.20	$402.00	$192.08–$219.17	28% below	40%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 HC NERVE CONDUCTION STUDIES 7-8 STUDIES	$537.00	$895.00	$564.30–$848.10	56% below	40%
Neuromuscular re-education, 15 minutes CPT 97112 HC THER PX 1/> AREAS EACH 15 MIN NEUROMUSC REEDUCA	$124.80	$208.00	$55.97–$85.25	7% below	40%
New patient office visit, about 30 minutes CPT 99203 HC OFFICE/OUTPATIENT NEW LOW MDM 30-44 MINUTES	$199.20	$332.00	$209.33–$314.60	3% below	40%
New patient office visit, about 30 minutes CPT 99203 HC OFFICE/OUTPATIENT NEW LOW MDM 30 MINUTES	$204.00	$340.00	$214.37–$322.18	at median	40%
New patient office visit, about 45 minutes CPT 99204 HC OFFICE/OUTPATIENT NEW MODERATE MDM 45 MINUTES	$301.20	$502.00	$316.51–$475.70	10% below	40%
New patient office visit, about 60 minutes CPT 99205 HC OFFICE/OUTPATIENT NEW HIGH MDM 60 MINUTES	$408.60	$681.00	$429.37–$645.32	10% below	40%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC OFFICE/OUTPATIENT NEW SF MDM 15 MINUTES	$152.40	$254.00	$160.15–$240.69	27% above	40%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC MED NUTR THER, 1ST, INDIV, EA 15 MIN	$78.00	$130.00	$27.45–$40.94	6% above	40%
Occupational therapy evaluation, low complexity CPT 97165 HC OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS	$144.60	$241.00	$144.12–$256.47	63% below	40%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS	$170.40	$284.00	$102.51–$126.19	59% below	40%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS	$144.60	$241.00	$102.51–$126.19	64% below	40%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS	$154.80	$258.00	$102.51–$126.19	61% below	40%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC MANUAL THERAPY TQS 1/> REGIONS EACH 15 MINUTES	$122.40	$204.00	$50.09–$74.71	at median	40%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC THERAPEUTIC PX 1/> AREAS EACH 15 MIN EXERCISES	$156.60	$261.00	$53.76–$80.20	27% above	40%
Psychiatric evaluation with medical services CPT 90792 HC PSYCHIATRIC DIAGNOSTIC EVAL W/MEDICAL SERVICES	$253.80	$423.00	$192.08–$219.17	29% below	40%
Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 HC PSYCHOLOGICAL TST EVAL SVC PHYS/QHP FIRST HOUR	$501.00	$835.00	$258.85–$372.27	at median	40%
Psychotherapy for crisis, first 60 minutes CPT 90839 HC PSYCHOTHERAPY FOR CRISIS INITIAL 60 MINUTES	$259.20	$432.00	$192.08–$219.17	16% below	40%
Psychotherapy session, 30 minutes CPT 90832 HC PSYCHOTHERAPY W/PATIENT 30 MINUTES	$183.00	$305.00	$192.08–$219.17	4% below	40%
Psychotherapy session, 45 minutes CPT 90834 HC PSYCHOTHERAPY W/PATIENT 45 MINUTES	$231.60	$386.00	$192.08–$219.17	12% below	40%
Psychotherapy session, 60 minutes CPT 90837 HC PSYCHOTHERAPY W/PATIENT 60 MINUTES	$273.00	$455.00	$192.08–$219.17	30% below	40%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 HC TOBACCO USE CESSATION INTERMEDIATE 3-10 MINUTES	$74.40	$124.00	$35.61–$46.27	46% above	40%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC OFFICE/OUTPATIENT ESTABLISHED HIGH MDM 40 MIN	$355.80	$593.00	$373.89–$561.93	at median	40%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20 MIN	$190.80	$318.00	$200.50–$301.34	12% above	40%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC OFFICE/OUTPATIENT ESTABLISHED MOD MDM 30 MIN	$270.00	$450.00	$283.73–$426.42	at median	40%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC OFFICE/OUTPATIENT ESTABLISHED SF MDM 10 MIN	$143.40	$239.00	$150.69–$226.48	51% above	40%
Speech and language evaluation CPT 92523 HC EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION	$112.80	$188.00	$235.66–$292.08	83% below	40%
Speech therapy session, individual CPT 92507 HC TX SPEECH LANG VOICE COMMJ &/AUDITORY PROC IND	$128.40	$214.00	$148.00–$252.00	42% below	40%
Spirometry (breathing test) CPT 94010 HC SPMTRY W/VC EXPIRATORY FLO W/WO MXML VOL VNTJ	$310.80	$518.00	$187.04–$266.62	2% below	40%
Spirometry before and after a bronchodilator CPT 94060 HC BRNCDILAT RSPSE SPMTRY PRE&POST-BRNCDILAT ADMN	$617.40	$1,029.00	$635.82–$975.08	5% above	40%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN	$131.40	$219.00	$67.02–$99.98	8% above	40%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC PHLEBOTOMY THERAPEUTIC SEPARATE PROCEDURE	$220.20	$367.00	$154.10–$164.29	15% below	40%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Connecticut	Off list
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 FLUAD TRIV 2024-25(65Y UP)(PF) 45 MCG (15 MCG X 3)/0.5 ML IM SYRINGE	$152.87	$254.78	$99.77–$211.98	30% above	40%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 FLUAD TRIV 2024-25(65Y UP)(PF) 45 MCG (15 MCG X 3)/0.5 ML IM SYRINGE	$152.87	$254.78	$99.77–$211.98	30% above	40%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 HC IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE	$165.00	$275.00	$107.69–$228.80	40% above	40%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 HC IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE	$165.00	$275.00	$107.69–$228.80	40% above	40%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 FLUAD TRIV 2024-25(65Y UP)(PF) 45 MCG (15 MCG X 3)/0.5 ML IM SYRINGE	$152.87	$254.78	$99.77–$211.98	—	40%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 HC IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE	$165.00	$275.00	$107.69–$228.80	—	40%
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 SPIKEVAX 2024-2025(12Y UP)(PF) 50 MCG/0.5 ML INTRAMUSCULAR SYRINGE	$273.54	$455.90	$178.53–$379.31	—	40%
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 SPIKEVAX 2024-2025(12Y UP)(PF) 50 MCG/0.5 ML INTRAMUSCULAR SYRINGE	$273.54	$455.90	$178.53–$379.31	—	40%
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 HC SARSCOV2 VACCINE 50 MCG/0.5 ML FOR IM USE-MODERNA	$381.00	$635.00	$248.67–$528.32	—	40%
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 HC SARSCOV2 VACCINE 50 MCG/0.5 ML FOR IM USE-MODERNA	$381.00	$635.00	$248.67–$528.32	—	40%
COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 SPIKEVAX 2024-2025(12Y UP)(PF) 50 MCG/0.5 ML INTRAMUSCULAR SYRINGE	$273.54	$455.90	$178.53–$379.31	—	40%
COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 HC SARSCOV2 VACCINE 50 MCG/0.5 ML FOR IM USE-MODERNA	$381.00	$635.00	$248.67–$528.32	—	40%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARIVAX (PF) 1350 UNIT/0.5 ML SUBCUTANEOUS SUSPENSION	$332.93	$554.89	$217.29–$461.67	9% below	40%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARIVAX (PF) 1350 UNIT/0.5 ML SUBCUTANEOUS SUSPENSION	$332.93	$554.89	$217.29–$461.67	9% below	40%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 HC VAR VACCINE LIVE FOR SUBCUTANEOUS USE	$339.00	$565.00	$221.25–$470.08	7% below	40%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 HC VAR VACCINE LIVE FOR SUBCUTANEOUS USE	$339.00	$565.00	$221.25–$470.08	7% below	40%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARIVAX (PF) 1350 UNIT/0.5 ML SUBCUTANEOUS SUSPENSION	$332.93	$554.89	$217.29–$461.67	—	40%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 HC VAR VACCINE LIVE FOR SUBCUTANEOUS USE	$339.00	$565.00	$221.25–$470.08	—	40%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 HC DTAP-IPV VACCINE CHILD 4-6 YRS FOR IM USE	$312.60	$521.00	$204.02–$433.47	—	40%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 HC DTAP-IPV VACCINE CHILD 4-6 YRS FOR IM USE	$312.60	$521.00	$204.02–$433.47	—	40%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 HC DTAP-IPV VACCINE CHILD 4-6 YRS FOR IM USE	$312.60	$521.00	$204.02–$433.47	—	40%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 INFANRIX (DTAP)(PF) 25 LF UNIT-58MCG-10 LF/0.5ML INTRAMUSCULAR SYRINGE	$61.71	$102.85	$40.28–$85.57	at median	40%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 INFANRIX (DTAP)(PF) 25 LF UNIT-58MCG-10 LF/0.5ML INTRAMUSCULAR SYRINGE	$61.71	$102.85	$40.28–$85.57	at median	40%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 INFANRIX (DTAP)(PF) 25 LF UNIT-58MCG-10 LF/0.5ML INTRAMUSCULAR SYRINGE	$61.71	$102.85	$40.28–$85.57	—	40%
DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 PENTACEL DTAP-IPV COMPONENT (PF) 15 LF-48 MCG-62 DU/0.5 ML IM SUSP	$114.71	$191.18	$74.87–$159.06	—	40%
DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 PENTACEL DTAP-IPV COMPONENT (PF) 15 LF-48 MCG-62 DU/0.5 ML IM SUSP	$114.71	$191.18	$74.87–$159.06	—	40%
DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 PENTACEL (PF) 15 LF UNIT-20 MCG-5 LF /0.5 ML INTRAMUSCULAR KIT	$134.06	$223.43	$87.50–$185.89	—	40%
DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 PENTACEL (PF) 15 LF UNIT-20 MCG-5 LF /0.5 ML INTRAMUSCULAR KIT	$134.06	$223.43	$87.50–$185.89	—	40%
DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 PENTACEL (PF) 15 LF-20 MCG-5 LF-62 DU-10 MCG/0.5 ML INTRAMUSCULAR KIT	$134.08	$223.47	$87.51–$185.93	—	40%
DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 PENTACEL (PF) 15 LF-20 MCG-5 LF-62 DU-10 MCG/0.5 ML INTRAMUSCULAR KIT	$134.08	$223.47	$87.51–$185.93	—	40%
DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 PENTACEL ACTHIB COMPONENT (PF) 10 MCG/0.5 ML INTRAMUSCULAR SOLUTION	$268.11	$446.85	$174.99–$371.78	—	40%
DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 PENTACEL ACTHIB COMPONENT (PF) 10 MCG/0.5 ML INTRAMUSCULAR SOLUTION	$268.11	$446.85	$174.99–$371.78	—	40%
DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 HC DTAP-IPV/HIB VACCINE FOR INTRAMUSCULAR USE	$269.40	$449.00	$175.83–$373.57	—	40%
DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 HC DTAP-IPV/HIB VACCINE FOR INTRAMUSCULAR USE	$269.40	$449.00	$175.83–$373.57	—	40%
DTaP, polio and Hib combination vaccine (Pentacel) inpatient CPT 90698 PENTACEL DTAP-IPV COMPONENT (PF) 15 LF-48 MCG-62 DU/0.5 ML IM SUSP	$114.71	$191.18	$74.87–$159.06	—	40%
DTaP, polio and Hib combination vaccine (Pentacel) inpatient CPT 90698 PENTACEL (PF) 15 LF UNIT-20 MCG-5 LF /0.5 ML INTRAMUSCULAR KIT	$134.06	$223.43	$87.50–$185.89	—	40%
DTaP, polio and Hib combination vaccine (Pentacel) inpatient CPT 90698 PENTACEL (PF) 15 LF-20 MCG-5 LF-62 DU-10 MCG/0.5 ML INTRAMUSCULAR KIT	$134.08	$223.47	$87.51–$185.93	—	40%
DTaP, polio and Hib combination vaccine (Pentacel) inpatient CPT 90698 PENTACEL ACTHIB COMPONENT (PF) 10 MCG/0.5 ML INTRAMUSCULAR SOLUTION	$268.11	$446.85	$174.99–$371.78	—	40%
DTaP, polio and Hib combination vaccine (Pentacel) inpatient CPT 90698 HC DTAP-IPV/HIB VACCINE FOR INTRAMUSCULAR USE	$269.40	$449.00	$175.83–$373.57	—	40%
DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) CPT 90697 VAXELIS (PF) 15 UNIT-5 UNIT-10 MCG/0.5 ML INTRAMUSCULAR SUSPENSION	$299.85	$499.75	$195.70–$415.79	6% below	40%
DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) CPT 90697 VAXELIS (PF) 15 UNIT-5 UNIT-10 MCG/0.5 ML INTRAMUSCULAR SUSPENSION	$299.85	$499.75	$195.70–$415.79	6% below	40%
DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) inpatient CPT 90697 VAXELIS (PF) 15 UNIT-5 UNIT-10 MCG/0.5 ML INTRAMUSCULAR SUSPENSION	$299.85	$499.75	$195.70–$415.79	—	40%
Flu shot, recombinant, egg-free (Flublok) CPT 90673 HC RIV3 VACCINE PRESERVATIVE FREE FOR IM USE	$189.00	$315.00	$123.35–$262.08	—	40%
Flu shot, recombinant, egg-free (Flublok) CPT 90673 HC RIV3 VACCINE PRESERVATIVE FREE FOR IM USE	$189.00	$315.00	$123.35–$262.08	—	40%
Flu shot, recombinant, egg-free (Flublok) inpatient CPT 90673 HC RIV3 VACCINE PRESERVATIVE FREE FOR IM USE	$189.00	$315.00	$123.35–$262.08	—	40%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLUZONE TRIV 2024-2025 (PF) 45 MCG (15 MCG X 3)/0.5 ML IM SYRINGE	$39.58	$65.96	$25.83–$54.88	36% below	40%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLUZONE TRIV 2024-2025 (PF) 45 MCG (15 MCG X 3)/0.5 ML IM SYRINGE	$39.58	$65.96	$25.83–$54.88	36% below	40%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLUARIX TRIV 2024-2025 (PF) 45 MCG (15 MCG X 3)/0.5 ML IM SYRINGE	$39.58	$65.96	$25.83–$54.88	36% below	40%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLUARIX TRIV 2024-2025 (PF) 45 MCG (15 MCG X 3)/0.5 ML IM SYRINGE	$39.58	$65.96	$25.83–$54.88	36% below	40%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 AFLURIA TRIV 2024-2025 (PF) 45 MCG (15 MCG X 3)/0.5 ML IM SYRINGE	$41.47	$69.12	$27.07–$57.51	33% below	40%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 AFLURIA TRIV 2024-2025 (PF) 45 MCG (15 MCG X 3)/0.5 ML IM SYRINGE	$41.47	$69.12	$27.07–$57.51	33% below	40%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 HC IIV3 VACC PRESERVATIVE FREE 0.5 ML DOSAGE IM USE	$45.00	$75.00	$29.37–$62.40	27% below	40%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 HC IIV3 VACC PRESERVATIVE FREE 0.5 ML DOSAGE IM USE	$45.00	$75.00	$29.37–$62.40	27% below	40%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLUZONE TRIV 2024-2025 (PF) 45 MCG (15 MCG X 3)/0.5 ML IM SYRINGE	$39.58	$65.96	$25.83–$54.88	—	40%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLUARIX TRIV 2024-2025 (PF) 45 MCG (15 MCG X 3)/0.5 ML IM SYRINGE	$39.58	$65.96	$25.83–$54.88	—	40%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 AFLURIA TRIV 2024-2025 (PF) 45 MCG (15 MCG X 3)/0.5 ML IM SYRINGE	$41.47	$69.12	$27.07–$57.51	—	40%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 HC IIV3 VACC PRESERVATIVE FREE 0.5 ML DOSAGE IM USE	$45.00	$75.00	$29.37–$62.40	—	40%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 GARDASIL 9 (PF) 0.5 ML INTRAMUSCULAR SUSPENSION	$561.28	$935.47	$366.33–$778.31	2% below	40%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 GARDASIL 9 (PF) 0.5 ML INTRAMUSCULAR SUSPENSION	$561.28	$935.47	$366.33–$778.31	2% below	40%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 GARDASIL 9 (PF) 0.5 ML INTRAMUSCULAR SYRINGE	$561.28	$935.47	$366.33–$778.31	2% below	40%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 GARDASIL 9 (PF) 0.5 ML INTRAMUSCULAR SYRINGE	$561.28	$935.47	$366.33–$778.31	2% below	40%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HC 9VHPV VACC 2/3 DOSE SCHED IM USE	$765.00	$1,275.00	$499.29–$1,060.80	34% above	40%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HC 9VHPV VACC 2/3 DOSE SCHED IM USE	$765.00	$1,275.00	$499.29–$1,060.80	34% above	40%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 GARDASIL 9 (PF) 0.5 ML INTRAMUSCULAR SUSPENSION	$561.28	$935.47	$366.33–$778.31	—	40%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 GARDASIL 9 (PF) 0.5 ML INTRAMUSCULAR SYRINGE	$561.28	$935.47	$366.33–$778.31	—	40%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HC 9VHPV VACC 2/3 DOSE SCHED IM USE	$765.00	$1,275.00	$499.29–$1,060.80	—	40%
Hepatitis A vaccine, adult dose CPT 90632 HAVRIX (PF) 1440 ELISA UNIT/ML INTRAMUSCULAR SYRINGE	$183.25	$305.41	$119.60–$254.10	44% above	40%
Hepatitis A vaccine, adult dose CPT 90632 HAVRIX (PF) 1440 ELISA UNIT/ML INTRAMUSCULAR SYRINGE	$183.25	$305.41	$119.60–$254.10	44% above	40%
Hepatitis A vaccine, adult dose CPT 90632 HC HEPA VACCINE ADULT DOSE FOR INTRAMUSCULAR USE	$234.00	$390.00	$152.72–$324.48	84% above	40%
Hepatitis A vaccine, adult dose CPT 90632 HC HEPA VACCINE ADULT DOSE FOR INTRAMUSCULAR USE	$234.00	$390.00	$152.72–$324.48	84% above	40%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HAVRIX (PF) 1440 ELISA UNIT/ML INTRAMUSCULAR SYRINGE	$183.25	$305.41	$119.60–$254.10	—	40%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HC HEPA VACCINE ADULT DOSE FOR INTRAMUSCULAR USE	$234.00	$390.00	$152.72–$324.48	—	40%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HC HEPA VACCINE 2 DOSE SCHEDULE PED/ADOLESC IM USE	$108.00	$180.00	$70.49–$149.76	at median	40%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HC HEPA VACCINE 2 DOSE SCHEDULE PED/ADOLESC IM USE	$108.00	$180.00	$70.49–$149.76	at median	40%
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 HC HEPA VACCINE 2 DOSE SCHEDULE PED/ADOLESC IM USE	$108.00	$180.00	$70.49–$149.76	—	40%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 ENGERIX-B (PF) 20 MCG/ML INTRAMUSCULAR SYRINGE	$163.24	$272.07	$106.54–$226.36	53% above	40%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 ENGERIX-B (PF) 20 MCG/ML INTRAMUSCULAR SYRINGE	$163.24	$272.07	$106.54–$226.36	53% above	40%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 ENGERIX-B (PF) 20 MCG/ML INTRAMUSCULAR SUSPENSION	$165.59	$275.99	$108.08–$229.62	55% above	40%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 ENGERIX-B (PF) 20 MCG/ML INTRAMUSCULAR SUSPENSION	$165.59	$275.99	$108.08–$229.62	55% above	40%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HC HEPB VACCINE ADULT 3 DOSE SCHEDULE FOR IM USE	$195.00	$325.00	$127.27–$270.40	83% above	40%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HC HEPB VACCINE ADULT 3 DOSE SCHEDULE FOR IM USE	$195.00	$325.00	$127.27–$270.40	83% above	40%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 ENGERIX-B (PF) 20 MCG/ML INTRAMUSCULAR SYRINGE	$163.24	$272.07	$106.54–$226.36	—	40%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 ENGERIX-B (PF) 20 MCG/ML INTRAMUSCULAR SUSPENSION	$165.59	$275.99	$108.08–$229.62	—	40%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HC HEPB VACCINE ADULT 3 DOSE SCHEDULE FOR IM USE	$195.00	$325.00	$127.27–$270.40	—	40%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 HEPLISAV-B (PF) 20 MCG/0.5 ML INTRAMUSCULAR SYRINGE	$309.70	$516.16	$202.13–$429.45	12% above	40%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 HEPLISAV-B (PF) 20 MCG/0.5 ML INTRAMUSCULAR SYRINGE	$309.70	$516.16	$202.13–$429.45	12% above	40%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 HC HEPB VACCINE ADULT 2 DOSE SCHEDULE FOR IM USE	$366.00	$610.00	$238.88–$507.52	32% above	40%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 HC HEPB VACCINE ADULT 2 DOSE SCHEDULE FOR IM USE	$366.00	$610.00	$238.88–$507.52	32% above	40%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) inpatient CPT 90739 HEPLISAV-B (PF) 20 MCG/0.5 ML INTRAMUSCULAR SYRINGE	$309.70	$516.16	$202.13–$429.45	—	40%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) inpatient CPT 90739 HC HEPB VACCINE ADULT 2 DOSE SCHEDULE FOR IM USE	$366.00	$610.00	$238.88–$507.52	—	40%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 ENGERIX-B PEDIATRIC (PF) 10 MCG/0.5 ML INTRAMUSCULAR SYRINGE	$66.68	$111.13	$43.52–$92.46	20% below	40%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 ENGERIX-B PEDIATRIC (PF) 10 MCG/0.5 ML INTRAMUSCULAR SYRINGE	$66.68	$111.13	$43.52–$92.46	20% below	40%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HC HEPB VACCINE PED/ADOLESC 3 DOSE SCHEDULE IM	$80.40	$134.00	$52.47–$111.49	3% below	40%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HC HEPB VACCINE PED/ADOLESC 3 DOSE SCHEDULE IM	$80.40	$134.00	$52.47–$111.49	3% below	40%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 ENGERIX-B PEDIATRIC (PF) 10 MCG/0.5 ML INTRAMUSCULAR SYRINGE	$66.68	$111.13	$43.52–$92.46	—	40%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HC HEPB VACCINE PED/ADOLESC 3 DOSE SCHEDULE IM	$80.40	$134.00	$52.47–$111.49	—	40%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HC HIB PRP-T VACCINE 4 DOSE SCHEDULE IM USE	$36.00	$60.00	$23.50–$49.92	8% below	40%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HC HIB PRP-T VACCINE 4 DOSE SCHEDULE IM USE	$36.00	$60.00	$23.50–$49.92	8% below	40%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HC HIB PRP-T VACCINE 4 DOSE SCHEDULE IM USE	$36.00	$60.00	$23.50–$49.92	—	40%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 HC IIV VACCINE PRESERV FREE INCREASED AG COUNT IM	$161.40	$269.00	$105.34–$223.81	32% below	40%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 HC IIV VACCINE PRESERV FREE INCREASED AG COUNT IM	$161.40	$269.00	$105.34–$223.81	32% below	40%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 HC IIV VACCINE PRESERV FREE INCREASED AG COUNT IM	$161.40	$269.00	$105.34–$223.81	—	40%
Japanese encephalitis vaccine (Ixiaro), 2-dose schedule CPT 90738 HC JAPANESE ENCEPHALITIS VACCINE INACTIVATED IM	$195.00	$325.00	$127.27–$270.40	70% below	40%
Japanese encephalitis vaccine (Ixiaro), 2-dose schedule CPT 90738 HC JAPANESE ENCEPHALITIS VACCINE INACTIVATED IM	$195.00	$325.00	$127.27–$270.40	70% below	40%
Japanese encephalitis vaccine (Ixiaro), 2-dose schedule inpatient CPT 90738 HC JAPANESE ENCEPHALITIS VACCINE INACTIVATED IM	$195.00	$325.00	$127.27–$270.40	—	40%
MMR vaccine (measles, mumps and rubella), live CPT 90707 M-M-R II (PF) 1000-12500 TCID50/0.5 ML SUBCUTANEOUS SOLUTION	$188.51	$314.19	$123.04–$261.41	at median	40%
MMR vaccine (measles, mumps and rubella), live CPT 90707 M-M-R II (PF) 1000-12500 TCID50/0.5 ML SUBCUTANEOUS SOLUTION	$188.51	$314.19	$123.04–$261.41	at median	40%
MMR vaccine (measles, mumps and rubella), live CPT 90707 HC MEASLES MUMPS RUBELLA VIRUS VACCINE LIVE SUBQ	$192.00	$320.00	$125.31–$266.24	2% above	40%
MMR vaccine (measles, mumps and rubella), live CPT 90707 HC MEASLES MUMPS RUBELLA VIRUS VACCINE LIVE SUBQ	$192.00	$320.00	$125.31–$266.24	2% above	40%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 M-M-R II (PF) 1000-12500 TCID50/0.5 ML SUBCUTANEOUS SOLUTION	$188.51	$314.19	$123.04–$261.41	—	40%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 HC MEASLES MUMPS RUBELLA VIRUS VACCINE LIVE SUBQ	$192.00	$320.00	$125.31–$266.24	—	40%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 HC MEASLES MUMPS RUBELLA VARICELLA VACC LIVE SUBQ	$212.40	$354.00	$138.63–$294.53	—	40%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 HC MEASLES MUMPS RUBELLA VARICELLA VACC LIVE SUBQ	$212.40	$354.00	$138.63–$294.53	—	40%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) inpatient CPT 90710 HC MEASLES MUMPS RUBELLA VARICELLA VACC LIVE SUBQ	$212.40	$354.00	$138.63–$294.53	—	40%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENACTRA (PF) 4 MCG/0.5 ML INTRAMUSCULAR SOLUTION	$326.74	$544.56	$213.25–$453.07	96% above	40%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENACTRA (PF) 4 MCG/0.5 ML INTRAMUSCULAR SOLUTION	$326.74	$544.56	$213.25–$453.07	96% above	40%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENVEO A-C-Y-W-135-DIP (PF) 10 MCG-5 MCG/0.5 ML IM KIT (2 VIALS)	$346.29	$577.15	$226.01–$480.19	108% above	40%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENVEO A-C-Y-W-135-DIP (PF) 10 MCG-5 MCG/0.5 ML IM KIT (2 VIALS)	$346.29	$577.15	$226.01–$480.19	108% above	40%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 HC MCV4/MENACWY CONJ VACC GRPS ACYW-135 IM USE	$432.00	$720.00	$281.95–$599.04	159% above	40%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 HC MCV4/MENACWY CONJ VACC GRPS ACYW-135 IM USE	$432.00	$720.00	$281.95–$599.04	159% above	40%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENACTRA (PF) 4 MCG/0.5 ML INTRAMUSCULAR SOLUTION	$326.74	$544.56	$213.25–$453.07	—	40%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENVEO A-C-Y-W-135-DIP (PF) 10 MCG-5 MCG/0.5 ML IM KIT (2 VIALS)	$346.29	$577.15	$226.01–$480.19	—	40%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 HC MCV4/MENACWY CONJ VACC GRPS ACYW-135 IM USE	$432.00	$720.00	$281.95–$599.04	—	40%
Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 HC MENACWY-TT CONJ VACC SEROGROUPS ACWY FOR IM USE	$378.00	$630.00	$246.71–$524.16	—	40%
Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 HC MENACWY-TT CONJ VACC SEROGROUPS ACWY FOR IM USE	$378.00	$630.00	$246.71–$524.16	—	40%
Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 MENQUADFI (PF) 10 MCG/0.5 ML INTRAMUSCULAR SOLUTION	$1,542.30	$2,570.50	$1,006.61–$2,138.66	—	40%
Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 MENQUADFI (PF) 10 MCG/0.5 ML INTRAMUSCULAR SOLUTION	$1,542.30	$2,570.50	$1,006.61–$2,138.66	—	40%
Meningococcal ACWY vaccine (MenQuadfi) inpatient CPT 90619 HC MENACWY-TT CONJ VACC SEROGROUPS ACWY FOR IM USE	$378.00	$630.00	$246.71–$524.16	—	40%
Meningococcal ACWY vaccine (MenQuadfi) inpatient CPT 90619 MENQUADFI (PF) 10 MCG/0.5 ML INTRAMUSCULAR SOLUTION	$1,542.30	$2,570.50	$1,006.61–$2,138.66	—	40%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 BEXSERO 50 MCG-50 MCG-50 MCG-25 MCG/0.5 ML INTRAMUSCULAR SYRINGE	$465.60	$776.00	$303.88–$645.63	3% above	40%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 BEXSERO 50 MCG-50 MCG-50 MCG-25 MCG/0.5 ML INTRAMUSCULAR SYRINGE	$465.60	$776.00	$303.88–$645.63	3% above	40%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 HC MENB-4C RECOMBNT PROT & OUTER MEMB VESIC VACC IM	$579.00	$965.00	$377.89–$802.88	28% above	40%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 HC MENB-4C RECOMBNT PROT & OUTER MEMB VESIC VACC IM	$579.00	$965.00	$377.89–$802.88	28% above	40%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 BEXSERO 50 MCG-50 MCG-50 MCG-25 MCG/0.5 ML INTRAMUSCULAR SYRINGE	$465.60	$776.00	$303.88–$645.63	—	40%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 HC MENB-4C RECOMBNT PROT & OUTER MEMB VESIC VACC IM	$579.00	$965.00	$377.89–$802.88	—	40%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 PREVNAR 13 (PF) 0.5 ML INTRAMUSCULAR SYRINGE	$540.34	$900.56	$352.66–$749.27	—	40%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 PREVNAR 13 (PF) 0.5 ML INTRAMUSCULAR SYRINGE	$540.34	$900.56	$352.66–$749.27	—	40%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 HC PCV13 VACCINE FOR INTRAMUSCULAR USE	$657.00	$1,095.00	$428.80–$911.04	—	40%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 HC PCV13 VACCINE FOR INTRAMUSCULAR USE	$657.00	$1,095.00	$428.80–$911.04	—	40%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 PREVNAR 13 (PF) 0.5 ML INTRAMUSCULAR SYRINGE	$540.34	$900.56	$352.66–$749.27	—	40%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 HC PCV13 VACCINE FOR INTRAMUSCULAR USE	$657.00	$1,095.00	$428.80–$911.04	—	40%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PREVNAR 20 (PF) 0.5 ML INTRAMUSCULAR SYRINGE	$671.73	$1,119.55	$438.42–$931.47	38% above	40%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PREVNAR 20 (PF) 0.5 ML INTRAMUSCULAR SYRINGE	$671.73	$1,119.55	$438.42–$931.47	38% above	40%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 HC PCV20 VACCINE FOR INTRAMUSCULAR USE	$1,143.00	$1,905.00	$746.00–$1,584.96	134% above	40%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 HC PCV20 VACCINE FOR INTRAMUSCULAR USE	$1,143.00	$1,905.00	$746.00–$1,584.96	134% above	40%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PREVNAR 20 (PF) 0.5 ML INTRAMUSCULAR SYRINGE	$671.73	$1,119.55	$438.42–$931.47	—	40%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 HC PCV20 VACCINE FOR INTRAMUSCULAR USE	$1,143.00	$1,905.00	$746.00–$1,584.96	—	40%
Pneumonia vaccine, 21-valent conjugate (Capvaxive) CPT 90684 HC PCV21 VACCINE FOR INTRAMUSCULAR USE	$492.00	$820.00	$321.11–$777.03	1% above	40%
Pneumonia vaccine, 21-valent conjugate (Capvaxive) CPT 90684 HC PCV21 VACCINE FOR INTRAMUSCULAR USE	$492.00	$820.00	$321.11–$777.03	1% above	40%
Pneumonia vaccine, 21-valent conjugate (Capvaxive) inpatient CPT 90684 HC PCV21 VACCINE FOR INTRAMUSCULAR USE	$492.00	$820.00	$321.11–$777.03	—	40%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOVAX-23 25 MCG/0.5 ML INJECTION SYRINGE	$243.60	$406.00	$158.99–$337.79	21% below	40%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOVAX-23 25 MCG/0.5 ML INJECTION SYRINGE	$243.60	$406.00	$158.99–$337.79	21% below	40%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOVAX-23 25 MCG/0.5 ML INJECTION SOLUTION	$252.33	$420.55	$164.69–$349.90	19% below	40%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOVAX-23 25 MCG/0.5 ML INJECTION SOLUTION	$252.33	$420.55	$164.69–$349.90	19% below	40%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 HC PPSV23 VACCINE 2 YRS OR OLDER FOR SUBQ/IM USE	$333.00	$555.00	$217.34–$461.76	8% above	40%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 HC PPSV23 VACCINE 2 YRS OR OLDER FOR SUBQ/IM USE	$333.00	$555.00	$217.34–$461.76	8% above	40%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOVAX-23 25 MCG/0.5 ML INJECTION SYRINGE	$243.60	$406.00	$158.99–$337.79	—	40%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOVAX-23 25 MCG/0.5 ML INJECTION SOLUTION	$252.33	$420.55	$164.69–$349.90	—	40%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 HC PPSV23 VACCINE 2 YRS OR OLDER FOR SUBQ/IM USE	$333.00	$555.00	$217.34–$461.76	—	40%
Polio vaccine, inactivated (IPV) CPT 90713 HC POLIOVIRUS VACCINE INACTIVATED SUBQ/IM	$114.00	$190.00	$74.40–$158.08	14% below	40%
Polio vaccine, inactivated (IPV) CPT 90713 HC POLIOVIRUS VACCINE INACTIVATED SUBQ/IM	$114.00	$190.00	$74.40–$158.08	14% below	40%
Polio vaccine, inactivated (IPV) CPT 90713 IPOL 40 UNIT-8 UNIT-32 UNIT/0.5 ML SUSPENSION FOR INJECTION	$943.42	$1,572.37	$615.74–$1,308.21	609% above	40%
Polio vaccine, inactivated (IPV) CPT 90713 IPOL 40 UNIT-8 UNIT-32 UNIT/0.5 ML SUSPENSION FOR INJECTION	$943.42	$1,572.37	$615.74–$1,308.21	609% above	40%
Polio vaccine, inactivated (IPV) inpatient CPT 90713 HC POLIOVIRUS VACCINE INACTIVATED SUBQ/IM	$114.00	$190.00	$74.40–$158.08	—	40%
Polio vaccine, inactivated (IPV) inpatient CPT 90713 IPOL 40 UNIT-8 UNIT-32 UNIT/0.5 ML SUSPENSION FOR INJECTION	$943.42	$1,572.37	$615.74–$1,308.21	—	40%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 HC RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE	$867.00	$1,445.00	$565.86–$1,202.24	219% above	40%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 HC RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE	$867.00	$1,445.00	$565.86–$1,202.24	219% above	40%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 HC RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE	$867.00	$1,445.00	$565.86–$1,202.24	—	40%
RSV vaccine with adjuvant (Arexvy), one dose for older adults CPT 90679 HC RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE	$805.80	$1,343.00	$525.92–$1,117.38	—	40%
RSV vaccine with adjuvant (Arexvy), one dose for older adults CPT 90679 HC RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE	$805.80	$1,343.00	$525.92–$1,117.38	—	40%
RSV vaccine with adjuvant (Arexvy), one dose for older adults CPT 90679 ABRYSVO (PF) 120 MCG/0.5 ML INTRAMUSCULAR SOLUTION	$808.98	$1,348.30	$527.99–$1,121.79	—	40%
RSV vaccine with adjuvant (Arexvy), one dose for older adults CPT 90679 ABRYSVO (PF) 120 MCG/0.5 ML INTRAMUSCULAR SOLUTION	$808.98	$1,348.30	$527.99–$1,121.79	—	40%
RSV vaccine with adjuvant (Arexvy), one dose for older adults inpatient CPT 90679 HC RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE	$805.80	$1,343.00	$525.92–$1,117.38	—	40%
RSV vaccine with adjuvant (Arexvy), one dose for older adults inpatient CPT 90679 ABRYSVO (PF) 120 MCG/0.5 ML INTRAMUSCULAR SOLUTION	$808.98	$1,348.30	$527.99–$1,121.79	—	40%
Rabies vaccine, one dose CPT 90675 HC RABIES VACCINE INTRAMUSCULAR	$849.00	$1,415.00	$554.11–$1,177.28	92% above	40%
Rabies vaccine, one dose CPT 90675 HC RABIES VACCINE INTRAMUSCULAR	$849.00	$1,415.00	$554.11–$1,177.28	92% above	40%
Rabies vaccine, one dose CPT 90675 RABAVERT (PF) 2.5 UNIT IM SUSPENSION	$1,032.65	$1,721.08	$673.97–$1,431.94	134% above	40%
Rabies vaccine, one dose CPT 90675 RABAVERT (PF) 2.5 UNIT IM SUSPENSION	$1,032.65	$1,721.08	$673.97–$1,431.94	134% above	40%
Rabies vaccine, one dose inpatient CPT 90675 HC RABIES VACCINE INTRAMUSCULAR	$849.00	$1,415.00	$554.11–$1,177.28	—	40%
Rabies vaccine, one dose inpatient CPT 90675 RABAVERT (PF) 2.5 UNIT IM SUSPENSION	$1,032.65	$1,721.08	$673.97–$1,431.94	—	40%
Rotavirus vaccine, oral, 2-dose schedule (Rotarix) CPT 90681 ROTARIX 10EXP6 CCID50/ML SUSPENSION	$290.59	$484.31	$189.66–$402.95	—	40%
Rotavirus vaccine, oral, 2-dose schedule (Rotarix) CPT 90681 ROTARIX 10EXP6 CCID50/ML SUSPENSION	$290.59	$484.31	$189.66–$402.95	—	40%
Rotavirus vaccine, oral, 2-dose schedule (Rotarix) CPT 90681 HC RV1 VACCINE 2 DOSE SCHEDULE LIVE FOR ORAL USE	$390.60	$651.00	$254.93–$541.63	—	40%
Rotavirus vaccine, oral, 2-dose schedule (Rotarix) CPT 90681 HC RV1 VACCINE 2 DOSE SCHEDULE LIVE FOR ORAL USE	$390.60	$651.00	$254.93–$541.63	—	40%
Rotavirus vaccine, oral, 2-dose schedule (Rotarix) inpatient CPT 90681 ROTARIX 10EXP6 CCID50/ML SUSPENSION	$290.59	$484.31	$189.66–$402.95	—	40%
Rotavirus vaccine, oral, 2-dose schedule (Rotarix) inpatient CPT 90681 HC RV1 VACCINE 2 DOSE SCHEDULE LIVE FOR ORAL USE	$390.60	$651.00	$254.93–$541.63	—	40%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 ROTATEQ VACCINE 2 ML ORAL SOLUTION	$204.53	$340.89	$133.49–$283.62	—	40%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 ROTATEQ VACCINE 2 ML ORAL SOLUTION	$204.53	$340.89	$133.49–$283.62	—	40%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 HC RV5 VACCINE 3 DOSE SCHEDULE LIVE FOR ORAL USE	$243.60	$406.00	$158.99–$337.79	—	40%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 HC RV5 VACCINE 3 DOSE SCHEDULE LIVE FOR ORAL USE	$243.60	$406.00	$158.99–$337.79	—	40%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) inpatient CPT 90680 ROTATEQ VACCINE 2 ML ORAL SOLUTION	$204.53	$340.89	$133.49–$283.62	—	40%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) inpatient CPT 90680 HC RV5 VACCINE 3 DOSE SCHEDULE LIVE FOR ORAL USE	$243.60	$406.00	$158.99–$337.79	—	40%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 SHINGRIX (PF) 50 MCG/0.5 ML INTRAMUSCULAR SUSPENSION KIT	$404.87	$674.79	$264.25–$561.43	87% above	40%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 SHINGRIX (PF) 50 MCG/0.5 ML INTRAMUSCULAR SUSPENSION KIT	$404.87	$674.79	$264.25–$561.43	87% above	40%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 SHINGRIX GE ANTIGEN COMPONENT 50 MCG IM SUSPENSION	$407.40	$679.00	$265.90–$564.93	88% above	40%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 SHINGRIX GE ANTIGEN COMPONENT 50 MCG IM SUSPENSION	$407.40	$679.00	$265.90–$564.93	88% above	40%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 HC HZV ZOSTER VACC RECOMBINANT ADJUVANTED IM	$471.00	$785.00	$307.41–$653.12	117% above	40%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 HC HZV ZOSTER VACC RECOMBINANT ADJUVANTED IM	$471.00	$785.00	$307.41–$653.12	117% above	40%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 SHINGRIX (PF) 50 MCG/0.5 ML INTRAMUSCULAR SUSPENSION KIT	$404.87	$674.79	$264.25–$561.43	—	40%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 SHINGRIX GE ANTIGEN COMPONENT 50 MCG IM SUSPENSION	$407.40	$679.00	$265.90–$564.93	—	40%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 HC HZV ZOSTER VACC RECOMBINANT ADJUVANTED IM	$471.00	$785.00	$307.41–$653.12	—	40%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TENIVAC (PF) 5 LF UNIT-2 LF UNIT/0.5 ML INTRAMUSCULAR SYRINGE	$89.71	$149.51	$58.55–$124.39	29% below	40%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TENIVAC (PF) 5 LF UNIT-2 LF UNIT/0.5 ML INTRAMUSCULAR SYRINGE	$89.71	$149.51	$58.55–$124.39	29% below	40%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 HC TD VACCINE PRSRV FREE 7 YRS OR OLDER FOR IM USE	$105.00	$175.00	$68.53–$145.60	17% below	40%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 HC TD VACCINE PRSRV FREE 7 YRS OR OLDER FOR IM USE	$105.00	$175.00	$68.53–$145.60	17% below	40%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TENIVAC (PF) 5 LF UNIT-2 LF UNIT/0.5 ML INTRAMUSCULAR SYRINGE	$89.71	$149.51	$58.55–$124.39	—	40%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 HC TD VACCINE PRSRV FREE 7 YRS OR OLDER FOR IM USE	$105.00	$175.00	$68.53–$145.60	—	40%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 BOOSTRIX TDAP 2.5 LF UNIT-8 MCG-5 LF/0.5 ML INTRAMUSCULAR SUSPENSION	$105.81	$176.35	$69.06–$146.72	21% below	40%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 BOOSTRIX TDAP 2.5 LF UNIT-8 MCG-5 LF/0.5 ML INTRAMUSCULAR SUSPENSION	$105.81	$176.35	$69.06–$146.72	21% below	40%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 BOOSTRIX TDAP 2.5 LF UNIT-8 MCG-5 LF/0.5 ML INTRAMUSCULAR SYRINGE	$113.32	$188.86	$73.96–$157.13	15% below	40%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 BOOSTRIX TDAP 2.5 LF UNIT-8 MCG-5 LF/0.5 ML INTRAMUSCULAR SYRINGE	$113.32	$188.86	$73.96–$157.13	15% below	40%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 ADACEL (TDAP ADOLESN/ADULT)(PF)2LF-(2.5-5-3-5MCG)-5 LF/0.5 ML IM SUSP	$119.95	$199.92	$78.29–$166.33	10% below	40%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 ADACEL (TDAP ADOLESN/ADULT)(PF)2LF-(2.5-5-3-5MCG)-5 LF/0.5 ML IM SUSP	$119.95	$199.92	$78.29–$166.33	10% below	40%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 ADACEL (TDAP ADOLESN/ADULT)(PF)2 LF-(2.5-5-3-5)-5 LF/0.5 ML IM SYRINGE	$120.29	$200.49	$78.51–$166.81	10% below	40%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 ADACEL (TDAP ADOLESN/ADULT)(PF)2 LF-(2.5-5-3-5)-5 LF/0.5 ML IM SYRINGE	$120.29	$200.49	$78.51–$166.81	10% below	40%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 HC TDAP VACCINE 7 YRS/> IM	$129.00	$215.00	$84.19–$178.88	4% below	40%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 HC TDAP VACCINE 7 YRS/> IM	$129.00	$215.00	$84.19–$178.88	4% below	40%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 BOOSTRIX TDAP 2.5 LF UNIT-8 MCG-5 LF/0.5 ML INTRAMUSCULAR SUSPENSION	$105.81	$176.35	$69.06–$146.72	—	40%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 BOOSTRIX TDAP 2.5 LF UNIT-8 MCG-5 LF/0.5 ML INTRAMUSCULAR SYRINGE	$113.32	$188.86	$73.96–$157.13	—	40%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 ADACEL (TDAP ADOLESN/ADULT)(PF)2LF-(2.5-5-3-5MCG)-5 LF/0.5 ML IM SUSP	$119.95	$199.92	$78.29–$166.33	—	40%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 ADACEL (TDAP ADOLESN/ADULT)(PF)2 LF-(2.5-5-3-5)-5 LF/0.5 ML IM SYRINGE	$120.29	$200.49	$78.51–$166.81	—	40%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 HC TDAP VACCINE 7 YRS/> IM	$129.00	$215.00	$84.19–$178.88	—	40%
Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 TYPHIM VI 25 MCG/0.5 ML INTRAMUSCULAR SYRINGE	$300.55	$500.91	$196.16–$416.76	3% below	40%
Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 TYPHIM VI 25 MCG/0.5 ML INTRAMUSCULAR SYRINGE	$300.55	$500.91	$196.16–$416.76	3% below	40%
Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 HC TYPHOID VACCINE VI CAPSULAR POLYSACCHARIDE IM	$357.00	$595.00	$233.00–$495.04	15% above	40%
Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 HC TYPHOID VACCINE VI CAPSULAR POLYSACCHARIDE IM	$357.00	$595.00	$233.00–$495.04	15% above	40%
Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 TYPHIM VI 25 MCG/0.5 ML INTRAMUSCULAR SOLUTION	$3,726.84	$6,211.40	$2,432.38–$5,167.88	1104% above	40%
Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 TYPHIM VI 25 MCG/0.5 ML INTRAMUSCULAR SOLUTION	$3,726.84	$6,211.40	$2,432.38–$5,167.88	1104% above	40%
Typhoid vaccine, injectable (Vi polysaccharide) inpatient CPT 90691 TYPHIM VI 25 MCG/0.5 ML INTRAMUSCULAR SYRINGE	$300.55	$500.91	$196.16–$416.76	—	40%
Typhoid vaccine, injectable (Vi polysaccharide) inpatient CPT 90691 HC TYPHOID VACCINE VI CAPSULAR POLYSACCHARIDE IM	$357.00	$595.00	$233.00–$495.04	—	40%
Typhoid vaccine, injectable (Vi polysaccharide) inpatient CPT 90691 TYPHIM VI 25 MCG/0.5 ML INTRAMUSCULAR SOLUTION	$3,726.84	$6,211.40	$2,432.38–$5,167.88	—	40%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC ADMIN HEPA B VACCINE	$70.80	$118.00	$85.08–$88.90	15% below	40%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC IM ADM PRQ ID SUBQ/IM NJXS 1 VACCINE	$70.80	$118.00	$72.91–$111.82	15% below	40%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC ADMIN INFLUENZA VACCINE	$70.80	$118.00	$85.08–$88.90	15% below	40%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC ADMIN PNEUMOCOCCAL VACCINE	$70.80	$118.00	$85.08–$88.90	15% below	40%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC IM ADM PRQ ID SUBQ/IM NJXS EA VACCINE	$39.60	$66.00	$40.78–$62.54	75% above	40%
Yellow fever vaccine, live CPT 90717 HC YELLOW FEVER VACCINE LIVE SUBQ	$555.00	$925.00	$362.23–$769.60	167% above	40%
Yellow fever vaccine, live CPT 90717 HC YELLOW FEVER VACCINE LIVE SUBQ	$555.00	$925.00	$362.23–$769.60	167% above	40%
Yellow fever vaccine, live inpatient CPT 90717 HC YELLOW FEVER VACCINE LIVE SUBQ	$555.00	$925.00	$362.23–$769.60	—	40%

Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More

Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More

List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More

Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More

Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.

Off list How much lower the cash price is than the list price.

No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More

At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More

Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.

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