SelfPayRates
Hospital Seattle-Tacoma-Bellevue, WA

Snoqualmie Valley Hospital

Listed in its price file as “Public Hospital District No 4 King County WA”.

Snoqualmie Valley Hospital in Snoqualmie, WA publishes cash prices for 262 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are below the Washington median for 215 of 262 procedures and above it for 45. By typical cash price it ranks #3 of 46 Washington hospitals and #2 of 17 hospitals in the Seattle, WA area, cheapest first. Click a procedure to compare it with other hospitals nearby.

9801 Frontier Ave SE, Snoqualmie, WA, 98065 Collected Sep 27, 2026 Source price file (425) 831-2300

Critical access hospital (rural, 25 beds or fewer) Emergency department CCN 501338 · CMS hospital register

Scans and imaging

ProcedureCash price List priceInsurers payvs WashingtonOff list
Ankle X-ray, complete, 3 or more views both sides CPT 73610 Facility Fee HC ANKLE COMPLETE 3 VWS, BILATERAL $767.74 $1,323.69 $43.33–$1,217.79 — 42%
Ankle X-ray, complete, 3 or more views CPT 73610 PB HOSPITAL PRO FEE CHG RADEX ANKLE COMPLETE MINIMUM 3 VIEWS $47.47 $81.85 $21.87–$65.48 84% below 42%
Ankle X-ray, complete, 3 or more views CPT 73610 Facility Fee HC ANKLE COMPLETE 3 VWS $383.87 $661.85 $43.33–$608.90 30% above 42%
Ankle X-ray, complete, 3 or more views inpatient both sides CPT 73610 Facility Fee HC ANKLE COMPLETE 3 VWS, BILATERAL $767.74 $1,323.69 $43.33–$1,217.79 — 42%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 PB HOSPITAL PRO FEE CHG RADEX ANKLE COMPLETE MINIMUM 3 VIEWS $47.47 $81.85 $21.87–$65.48 — 42%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 Facility Fee HC ANKLE COMPLETE 3 VWS $383.87 $661.85 $43.33–$608.90 — 42%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Facility Fee HC NON INV U/L EXT ART 2 LEVELS $433.25 $746.99 $97.94–$687.23 20% above 42%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Facility Fee HC NON INV U/L EXT ART 1-2 LVLS UNI $433.25 $746.99 $97.94–$687.23 20% above 42%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 Facility Fee HC NON INV U/L EXT ART 2 LEVELS $433.25 $746.99 $97.94–$687.23 — 42%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 Facility Fee HC NON INV U/L EXT ART 1-2 LVLS UNI $433.25 $746.99 $97.94–$687.23 — 42%
Breast ultrasound, limited (one breast or one area) CPT 76642 PB HOSPITAL PRO FEE CHG US BREAST UNI REAL TIME WITH IMAGE LIMITED $157.62 $271.76 $50.65–$217.41 51% below 42%
Breast ultrasound, limited (one breast or one area) CPT 76642 Facility Fee HC US BREAST; LTD/FOCUSED UNI $157.62 $271.76 $95.91–$250.02 51% below 42%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 PB HOSPITAL PRO FEE CHG US BREAST UNI REAL TIME WITH IMAGE LIMITED $157.62 $271.76 $50.65–$217.41 — 42%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 Facility Fee HC US BREAST; LTD/FOCUSED UNI $157.62 $271.76 $95.91–$250.02 — 42%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 PB HOSPITAL PRO FEE CHG CT ANGIOGRAPHY CHEST W/CONTRAST/NONCONTRAST $247.29 $426.36 $171.96–$426.36 89% below 42%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Facility Fee HC CTA CHEST W/CON INC NONCON IF DONE $2,778.52 $4,790.56 $325.24–$4,407.32 19% above 42%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 PB HOSPITAL PRO FEE CHG CT ANGIOGRAPHY CHEST W/CONTRAST/NONCONTRAST $247.29 $426.36 $171.96–$426.36 — 42%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 Facility Fee HC CTA CHEST W/CON INC NONCON IF DONE $2,778.52 $4,790.56 $325.24–$4,407.32 — 42%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 Facility Fee HC CT ABD & PELVIS WO CON $2,917.74 $5,030.59 $208.77–$4,628.14 17% above 42%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 Facility Fee HC CT ABD & PELVIS WO CON $2,917.74 $5,030.59 $208.77–$4,628.14 — 42%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 Facility Fee HC CT ABD & PELVIS WITH CON $3,810.70 $6,570.18 $349.07–$6,044.57 28% above 42%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 Facility Fee HC CT ABD & PELVIS WITH CON $3,810.70 $6,570.18 $349.07–$6,044.57 — 42%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 PB HOSPITAL PRO FEE CHG CT ABD&PLV W/O CNTRST 1/BTH FLWD CNTRST 1/BTH $346.64 $597.65 $206.35–$504.17 91% below 42%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Facility Fee HC CT ABD & PELVIS WO/W CON $4,431.50 $7,640.52 $393.09–$7,029.28 20% above 42%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 PB HOSPITAL PRO FEE CHG CT ABD&PLV W/O CNTRST 1/BTH FLWD CNTRST 1/BTH $346.64 $597.65 $206.35–$504.17 — 42%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 Facility Fee HC CT ABD & PELVIS WO/W CON $4,431.50 $7,640.52 $393.09–$7,029.28 — 42%
CT scan of the abdomen with contrast CPT 74160 PB HOSPITAL PRO FEE CHG CT ABDOMEN W/CONTRAST MATERIAL $171.86 $296.31 $124.86–$328.13 90% below 42%
CT scan of the abdomen with contrast CPT 74160 Facility Fee HC CT ABDOMEN WITH CON $2,177.46 $3,754.24 $268.33–$3,453.90 21% above 42%
CT scan of the abdomen with contrast inpatient CPT 74160 PB HOSPITAL PRO FEE CHG CT ABDOMEN W/CONTRAST MATERIAL $171.86 $296.31 $124.86–$328.13 — 42%
CT scan of the abdomen with contrast inpatient CPT 74160 Facility Fee HC CT ABDOMEN WITH CON $2,177.46 $3,754.24 $268.33–$3,453.90 — 42%
CT scan of the abdomen without contrast CPT 74150 PB HOSPITAL PRO FEE CHG CT ABDOMEN W/O CONTRAST MATERIAL $155.46 $268.03 $82.62–$268.03 89% below 42%
CT scan of the abdomen without contrast CPT 74150 Facility Fee HC CT ABDOMEN WO CON $1,666.78 $2,873.76 $156.07–$2,643.86 19% above 42%
CT scan of the abdomen without contrast inpatient CPT 74150 PB HOSPITAL PRO FEE CHG CT ABDOMEN W/O CONTRAST MATERIAL $155.46 $268.03 $82.62–$268.03 — 42%
CT scan of the abdomen without contrast inpatient CPT 74150 Facility Fee HC CT ABDOMEN WO CON $1,666.78 $2,873.76 $156.07–$2,643.86 — 42%
CT scan of the face and sinuses, no contrast dye CPT 70486 PB HOSPITAL PRO FEE CHG CT MAXILLOFACIAL W/O CONTRAST MATERIAL $152.99 $263.77 $78.13–$260.24 83% below 42%
CT scan of the face and sinuses, no contrast dye CPT 70486 Facility Fee HC CT MAXILLOFACIAL WO CON $1,384.45 $2,386.98 $148.62–$2,196.02 58% above 42%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 PB HOSPITAL PRO FEE CHG CT MAXILLOFACIAL W/O CONTRAST MATERIAL $152.99 $263.77 $78.13–$260.24 — 42%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 Facility Fee HC CT MAXILLOFACIAL WO CON $1,384.45 $2,386.98 $148.62–$2,196.02 — 42%
CT scan of the head or brain, no contrast dye CPT 70450 Facility Fee HC CT HEAD OR BRAIN WO CON $1,719.33 $2,964.37 $122.51–$2,727.22 44% above 42%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 Facility Fee HC CT HEAD OR BRAIN WO CON $1,719.33 $2,964.37 $122.51–$2,727.22 — 42%
CT scan of the head with contrast CPT 70460 PB HOSPITAL PRO FEE CHG CT HEAD/BRAIN W/CONTRAST MATERIAL $151.94 $261.96 $90.28–$261.96 88% below 42%
CT scan of the head with contrast CPT 70460 Facility Fee HC CT HEAD OR BRAIN WITH CON $1,887.99 $3,255.15 $170.75–$2,994.74 48% above 42%
CT scan of the head with contrast inpatient CPT 70460 PB HOSPITAL PRO FEE CHG CT HEAD/BRAIN W/CONTRAST MATERIAL $151.94 $261.96 $90.28–$261.96 — 42%
CT scan of the head with contrast inpatient CPT 70460 Facility Fee HC CT HEAD OR BRAIN WITH CON $1,887.99 $3,255.15 $170.75–$2,994.74 — 42%
CT scan of the head without and with contrast CPT 70470 PB HOSPITAL PRO FEE CHG CT HEAD/BRAIN W/O & W/CONTRAST MATERIAL $171.86 $296.31 $105.42–$296.31 88% below 42%
CT scan of the head without and with contrast CPT 70470 Facility Fee HC CT HEAD OR BRAIN WO/W CON $2,395.65 $4,130.43 $199.66–$3,800.00 63% above 42%
CT scan of the head without and with contrast inpatient CPT 70470 PB HOSPITAL PRO FEE CHG CT HEAD/BRAIN W/O & W/CONTRAST MATERIAL $171.86 $296.31 $105.42–$296.31 — 42%
CT scan of the head without and with contrast inpatient CPT 70470 Facility Fee HC CT HEAD OR BRAIN WO/W CON $2,395.65 $4,130.43 $199.66–$3,800.00 — 42%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 PB HOSPITAL PRO FEE CHG CT LUMBAR SPINE W/O CONTRAST MATERIAL $155.46 $268.03 $78.69–$268.03 88% below 42%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 Facility Fee HC CT LUMBAR SPINE WO CON $1,547.02 $2,667.28 $149.62–$2,453.90 21% above 42%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 PB HOSPITAL PRO FEE CHG CT LUMBAR SPINE W/O CONTRAST MATERIAL $155.46 $268.03 $78.69–$268.03 — 42%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 Facility Fee HC CT LUMBAR SPINE WO CON $1,547.02 $2,667.28 $149.62–$2,453.90 — 42%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 PB HOSPITAL PRO FEE CHG CT CERVICAL SPINE W/O CONTRAST MATERIAL $155.46 $268.03 $79.06–$268.03 89% below 42%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 Facility Fee HC CT CERVICAL SPINE WO CON $1,547.02 $2,667.28 $150.42–$2,453.90 13% above 42%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 PB HOSPITAL PRO FEE CHG CT CERVICAL SPINE W/O CONTRAST MATERIAL $155.46 $268.03 $79.06–$268.03 — 42%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 Facility Fee HC CT CERVICAL SPINE WO CON $1,547.02 $2,667.28 $150.42–$2,453.90 — 42%
CT scan of the pelvis, with contrast dye CPT 72193 Facility Fee HC CT PELVIS WITH CON $2,177.46 $3,754.24 $263.75–$3,453.90 26% above 42%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 Facility Fee HC CT PELVIS WITH CON $2,177.46 $3,754.24 $263.75–$3,453.90 — 42%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 Facility Fee HC CAROTID DUPL SCAN EXTCR ART BIL $1,090.05 $1,879.40 $221.46–$1,729.05 34% above 42%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 Facility Fee HC CAROTID DUPL SCAN EXTCR ART BIL $1,090.05 $1,879.40 $221.46–$1,729.05 — 42%
Chest X-ray, 2 views CPT 71046 PB HOSPITAL PRO FEE CHG RADIOLOGIC EXAM CHEST 2 VIEWS $58.04 $100.07 $20.19–$80.06 78% below 42%
Chest X-ray, 2 views CPT 71046 Facility Fee HC CHEST 2 VWS $396.53 $683.68 $38.28–$628.99 49% above 42%
Chest X-ray, 2 views inpatient CPT 71046 PB HOSPITAL PRO FEE CHG RADIOLOGIC EXAM CHEST 2 VIEWS $58.04 $100.07 $20.19–$80.06 — 42%
Chest X-ray, 2 views inpatient CPT 71046 Facility Fee HC CHEST 2 VWS $396.53 $683.68 $38.28–$628.99 — 42%
Chest X-ray, single view CPT 71045 PB HOSPITAL PRO FEE CHG RADIOLOGIC EXAM CHEST SINGLE VIEW $45.47 $78.39 $15.51–$62.71 80% below 42%
Chest X-ray, single view CPT 71045 Facility Fee HC CHEST 1 VIEW $346.14 $596.79 $29.21–$549.05 49% above 42%
Chest X-ray, single view inpatient CPT 71045 PB HOSPITAL PRO FEE CHG RADIOLOGIC EXAM CHEST SINGLE VIEW $45.47 $78.39 $15.51–$62.71 — 42%
Chest X-ray, single view inpatient CPT 71045 Facility Fee HC CHEST 1 VIEW $346.14 $596.79 $29.21–$549.05 — 42%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 PB HOSPITAL PRO FEE CHG US RETROPERITONEAL REAL TIME W/IMAGE COMPLETE $70.28 $121.17 $51.06–$148.53 87% below 42%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Facility Fee HC US RETROPERITONEAL COMPLETE $170.26 $293.55 $122.87–$270.07 69% below 42%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 PB HOSPITAL PRO FEE CHG US RETROPERITONEAL REAL TIME W/IMAGE COMPLETE $70.28 $121.17 $51.06–$148.53 — 42%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 Facility Fee HC US RETROPERITONEAL COMPLETE $170.26 $293.55 $122.87–$270.07 — 42%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 PB HOSPITAL PRO FEE CHG DXA BONE DENSITY STUDY 1/> SITES AXIAL SKEL $81.11 $139.85 $23.74–$111.88 80% below 42%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 Facility Fee HC DEXA AXIAL 1+ SITES $509.80 $878.96 $45.96–$808.64 27% above 42%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 PB HOSPITAL PRO FEE CHG DXA BONE DENSITY STUDY 1/> SITES AXIAL SKEL $81.11 $139.85 $23.74–$111.88 — 42%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 Facility Fee HC DEXA AXIAL 1+ SITES $509.80 $878.96 $45.96–$808.64 — 42%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 PB HOSPITAL PRO FEE CHG DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX W/O CNTRST $155.46 $268.03 $80.75–$268.03 89% below 42%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 Facility Fee HC CT THORAX WO CON $1,660.70 $2,863.28 $152.43–$2,634.22 18% above 42%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 PB HOSPITAL PRO FEE CHG DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX W/O CNTRST $155.46 $268.03 $80.75–$268.03 — 42%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 Facility Fee HC CT THORAX WO CON $1,660.70 $2,863.28 $152.43–$2,634.22 — 42%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 PB HOSPITAL PRO FEE CHG DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX W/CONTRAST $166.74 $287.48 $101.68–$287.48 91% below 42%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 Facility Fee HC CT THORAX WITH CON $2,197.98 $3,789.62 $192.66–$3,486.45 23% above 42%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 PB HOSPITAL PRO FEE CHG DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX W/CONTRAST $166.74 $287.48 $101.68–$287.48 — 42%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 Facility Fee HC CT THORAX WITH CON $2,197.98 $3,789.62 $192.66–$3,486.45 — 42%
Duplex ultrasound of the leg arteries, both legs CPT 93925 Facility Fee HC DUPLEX LE ARTERY/GRAFT BIL $1,139.99 $1,965.50 $230.56–$1,808.26 20% above 42%
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 Facility Fee HC DUPLEX LE ARTERY/GRAFT BIL $1,139.99 $1,965.50 $230.56–$1,808.26 — 42%
Duplex ultrasound of the leg veins, both legs CPT 93970 Facility Fee HC DUPLEX EXTREMITY VEINS BIL $1,076.44 $1,855.93 $216.15–$1,707.46 4% above 42%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 Facility Fee HC DUPLEX EXTREMITY VEINS BIL $1,076.44 $1,855.93 $216.15–$1,707.46 — 42%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Facility Fee HC ECHO COMPLETE $677.56 $1,168.20 $227.26–$1,074.74 58% below 42%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Facility Fee HC ECHO COMPLETE $677.56 $1,168.20 $227.26–$1,074.74 — 42%
Knee X-ray, 3 views both sides CPT 73562 Facility Fee HC KNEE 3 VWS, BILATERAL $651.50 $1,123.27 $49.70–$1,033.41 — 42%
Knee X-ray, 3 views CPT 73562 PB HOSPITAL PRO FEE CHG RADIOLOGIC EXAMINATION KNEE 3 VIEWS $48.49 $83.60 $24.49–$66.88 84% below 42%
Knee X-ray, 3 views CPT 73562 Facility Fee HC KNEE 3 VWS $325.75 $561.63 $49.70–$516.70 5% above 42%
Knee X-ray, 3 views inpatient both sides CPT 73562 Facility Fee HC KNEE 3 VWS, BILATERAL $651.50 $1,123.27 $49.70–$1,033.41 — 42%
Knee X-ray, 3 views inpatient CPT 73562 PB HOSPITAL PRO FEE CHG RADIOLOGIC EXAMINATION KNEE 3 VIEWS $48.49 $83.60 $24.49–$66.88 — 42%
Knee X-ray, 3 views inpatient CPT 73562 Facility Fee HC KNEE 3 VWS $325.75 $561.63 $49.70–$516.70 — 42%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 PB HOSPITAL PRO FEE CHG US ABDOMINAL REAL TIME W/IMAGE LIMITED $163.68 $282.20 $51.96–$225.76 65% below 42%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Facility Fee HC US ABDOMEN LIMITED $505.41 $871.39 $99.72–$801.68 7% above 42%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 PB HOSPITAL PRO FEE CHG US ABDOMINAL REAL TIME W/IMAGE LIMITED $163.68 $282.20 $51.96–$225.76 — 42%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Facility Fee HC US ABDOMEN LIMITED $505.41 $871.39 $99.72–$801.68 — 42%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Facility Fee HC LOW DOSE CT LUNG CA SCREEN $164.46 $283.55 $119.49–$260.87 26% below 42%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 PB HOSPITAL PRO FEE CHG COMPUTED TOMOGRAPHY THORAX LW DOSE LNG CA SCR C- $204.55 $352.67 $83.55–$282.14 8% below 42%
MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 Facility Fee HC MRI LOW EXTREM JOINT WO CON BILATERAL $3,226.05 $5,562.15 $236.94–$5,117.18 — 42%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 PB HOSPITAL PRO FEE CHG MRI ANY JT LOWER EXTREM W/O CONTRAST MATRL $409.32 $705.72 $123.92–$564.58 76% below 42%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 Facility Fee HC MRI LOW EXTREM JOINT WO CON $2,151.05 $3,708.70 $236.94–$3,412.00 26% above 42%
MRI of knee or other lower-limb joint, no contrast dye inpatient both sides CPT 73721 Facility Fee HC MRI LOW EXTREM JOINT WO CON BILATERAL $3,226.05 $5,562.15 $236.94–$5,117.18 — 42%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 PB HOSPITAL PRO FEE CHG MRI ANY JT LOWER EXTREM W/O CONTRAST MATRL $409.32 $705.72 $123.92–$564.58 — 42%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 Facility Fee HC MRI LOW EXTREM JOINT WO CON $2,151.05 $3,708.70 $236.94–$3,412.00 — 42%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 PB HOSPITAL PRO FEE CHG MRI ANY JT LOWER EXTREM W/O & W/CONTRAST MATRL $654.52 $1,128.48 $234.20–$1,128.48 78% below 42%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 Facility Fee HC MRI LOW EXTREM JOINT WO/W CON $3,075.63 $5,302.81 $444.49–$4,878.59 4% above 42%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 PB HOSPITAL PRO FEE CHG MRI ANY JT LOWER EXTREM W/O & W/CONTRAST MATRL $654.52 $1,128.48 $234.20–$1,128.48 — 42%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 Facility Fee HC MRI LOW EXTREM JOINT WO/W CON $3,075.63 $5,302.81 $444.49–$4,878.59 — 42%
MRI of the abdomen without contrast CPT 74181 PB HOSPITAL PRO FEE CHG MRI ABDOMEN W/O CONTRAST MATERIAL $441.50 $761.20 $118.88–$608.96 78% below 42%
MRI of the abdomen without contrast CPT 74181 Facility Fee HC MRI ABDOMEN WO CON $2,128.15 $3,669.23 $223.51–$3,375.69 8% above 42%
MRI of the abdomen without contrast inpatient CPT 74181 PB HOSPITAL PRO FEE CHG MRI ABDOMEN W/O CONTRAST MATERIAL $441.50 $761.20 $118.88–$608.96 — 42%
MRI of the abdomen without contrast inpatient CPT 74181 Facility Fee HC MRI ABDOMEN WO CON $2,128.15 $3,669.23 $223.51–$3,375.69 — 42%
MRI of the abdomen, without and then with contrast dye CPT 74183 PB HOSPITAL PRO FEE CHG MRI ABDOMEN W/O CONTRAST FLWD BY W/CONTRAST $629.48 $1,085.31 $205.79–$1,085.31 79% below 42%
MRI of the abdomen, without and then with contrast dye CPT 74183 Facility Fee HC MRI ABDOMEN WO/W CON $3,305.57 $5,699.25 $389.44–$5,243.31 9% above 42%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 PB HOSPITAL PRO FEE CHG MRI ABDOMEN W/O CONTRAST FLWD BY W/CONTRAST $629.48 $1,085.31 $205.79–$1,085.31 — 42%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 Facility Fee HC MRI ABDOMEN WO/W CON $3,305.57 $5,699.25 $389.44–$5,243.31 — 42%
MRI of the brain, no contrast dye CPT 70551 PB HOSPITAL PRO FEE CHG MRI BRAIN BRAIN STEM W/O CONTRAST MATERIAL $451.60 $778.62 $119.44–$622.90 75% below 42%
MRI of the brain, no contrast dye CPT 70551 Facility Fee HC MRI BRAIN INCL BS WO CON $2,935.53 $5,061.25 $225.27–$4,656.35 63% above 42%
MRI of the brain, no contrast dye inpatient CPT 70551 PB HOSPITAL PRO FEE CHG MRI BRAIN BRAIN STEM W/O CONTRAST MATERIAL $451.60 $778.62 $119.44–$622.90 — 42%
MRI of the brain, no contrast dye inpatient CPT 70551 Facility Fee HC MRI BRAIN INCL BS WO CON $2,935.53 $5,061.25 $225.27–$4,656.35 — 42%
MRI of the brain, with and without contrast dye CPT 70553 PB HOSPITAL PRO FEE CHG MRI BRAIN BRAIN STEM W/O W/CONTRAST MATERIAL $717.76 $1,237.52 $194.01–$1,173.88 73% below 42%
MRI of the brain, with and without contrast dye CPT 70553 Facility Fee HC MRI BRAIN INCL BS WO/W CON $4,356.62 $7,511.41 $366.08–$6,910.50 65% above 42%
MRI of the brain, with and without contrast dye inpatient CPT 70553 PB HOSPITAL PRO FEE CHG MRI BRAIN BRAIN STEM W/O W/CONTRAST MATERIAL $717.76 $1,237.52 $194.01–$1,173.88 — 42%
MRI of the brain, with and without contrast dye inpatient CPT 70553 Facility Fee HC MRI BRAIN INCL BS WO/W CON $4,356.62 $7,511.41 $366.08–$6,910.50 — 42%
MRI of the lower back, no contrast dye CPT 72148 PB HOSPITAL PRO FEE CHG MRI SPINAL CANAL LUMBAR W/O CONTRAST MATERIAL $451.60 $778.62 $116.26–$622.90 78% below 42%
MRI of the lower back, no contrast dye CPT 72148 Facility Fee HC MRI LUMBAR SPINE WO CON $3,160.80 $5,449.66 $220.85–$5,013.69 51% above 42%
MRI of the lower back, no contrast dye inpatient CPT 72148 PB HOSPITAL PRO FEE CHG MRI SPINAL CANAL LUMBAR W/O CONTRAST MATERIAL $451.60 $778.62 $116.26–$622.90 — 42%
MRI of the lower back, no contrast dye inpatient CPT 72148 Facility Fee HC MRI LUMBAR SPINE WO CON $3,160.80 $5,449.66 $220.85–$5,013.69 — 42%
MRI of the lower back, without and then with contrast dye CPT 72158 PB HOSPITAL PRO FEE CHG MRI SPINAL CANAL LUMBAR W/O & W/CONTR MATRL $717.76 $1,237.52 $194.20–$1,173.88 76% below 42%
MRI of the lower back, without and then with contrast dye CPT 72158 Facility Fee HC MRI LUMBAR SPINE WO/W CON $4,356.62 $7,511.41 $367.69–$6,910.50 43% above 42%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 PB HOSPITAL PRO FEE CHG MRI SPINAL CANAL LUMBAR W/O & W/CONTR MATRL $717.76 $1,237.52 $194.20–$1,173.88 — 42%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 Facility Fee HC MRI LUMBAR SPINE WO/W CON $4,356.62 $7,511.41 $367.69–$6,910.50 — 42%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 PB HOSPITAL PRO FEE CHG MRI SPINAL CANAL THORACIC W/O CONTRAST MATRL $486.28 $838.41 $115.89–$670.73 77% below 42%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 Facility Fee HC MRI THORACIC SPINE WO CON $3,161.30 $5,450.51 $219.25–$5,014.47 49% above 42%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 PB HOSPITAL PRO FEE CHG MRI SPINAL CANAL THORACIC W/O CONTRAST MATRL $486.28 $838.41 $115.89–$670.73 — 42%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 Facility Fee HC MRI THORACIC SPINE WO CON $3,161.30 $5,450.51 $219.25–$5,014.47 — 42%
MRI of the neck (cervical spine) without and with contrast CPT 72156 PB HOSPITAL PRO FEE CHG MRI SPINAL CANAL CERVICAL W/O & W/CONTR MATRL $693.77 $1,196.16 $194.58–$1,185.42 77% below 42%
MRI of the neck (cervical spine) without and with contrast CPT 72156 Facility Fee HC MRI CERVICAL SPINE WO/W CON $4,083.40 $7,040.35 $367.28–$6,477.12 35% above 42%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 PB HOSPITAL PRO FEE CHG MRI SPINAL CANAL CERVICAL W/O & W/CONTR MATRL $693.77 $1,196.16 $194.58–$1,185.42 — 42%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 Facility Fee HC MRI CERVICAL SPINE WO/W CON $4,083.40 $7,040.35 $367.28–$6,477.12 — 42%
MRI of the neck (cervical spine), no contrast dye CPT 72141 PB HOSPITAL PRO FEE CHG MRI SPINAL CANAL CERVICAL W/O CONTRAST MATRL $486.28 $838.41 $115.70–$670.73 76% below 42%
MRI of the neck (cervical spine), no contrast dye CPT 72141 Facility Fee HC MRI CERVICAL SPINE WO CON $3,160.80 $5,449.66 $219.65–$5,013.69 58% above 42%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 PB HOSPITAL PRO FEE CHG MRI SPINAL CANAL CERVICAL W/O CONTRAST MATRL $486.28 $838.41 $115.70–$670.73 — 42%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 Facility Fee HC MRI CERVICAL SPINE WO CON $3,160.80 $5,449.66 $219.65–$5,013.69 — 42%
MRI of the pelvis without and with contrast CPT 72197 PB HOSPITAL PRO FEE CHG MRI PELVIS W/O & W/CONTRAST MATERIAL $685.59 $1,182.06 $205.04–$1,152.78 78% below 42%
MRI of the pelvis without and with contrast CPT 72197 Facility Fee HC MRI PELVIS WO/W CON $3,093.04 $5,332.82 $387.43–$4,906.19 2% below 42%
MRI of the pelvis without and with contrast inpatient CPT 72197 PB HOSPITAL PRO FEE CHG MRI PELVIS W/O & W/CONTRAST MATERIAL $685.59 $1,182.06 $205.04–$1,152.78 — 42%
MRI of the pelvis without and with contrast inpatient CPT 72197 Facility Fee HC MRI PELVIS WO/W CON $3,093.04 $5,332.82 $387.43–$4,906.19 — 42%
MRI of the pelvis, no contrast dye CPT 72195 PB HOSPITAL PRO FEE CHG MRI PELVIS W/O CONTRAST MATERIAL $441.50 $761.20 $139.06–$608.96 77% below 42%
MRI of the pelvis, no contrast dye CPT 72195 Facility Fee HC MRI PELVIS WO CON $2,128.15 $3,669.23 $264.08–$3,375.69 12% above 42%
MRI of the pelvis, no contrast dye inpatient CPT 72195 PB HOSPITAL PRO FEE CHG MRI PELVIS W/O CONTRAST MATERIAL $441.50 $761.20 $139.06–$608.96 — 42%
MRI of the pelvis, no contrast dye inpatient CPT 72195 Facility Fee HC MRI PELVIS WO CON $2,128.15 $3,669.23 $264.08–$3,375.69 — 42%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 PB HOSPITAL PRO FEE CHG MRI ANY JT UPPER EXTREMITY W/O CONTRAST MATRL $409.32 $705.72 $124.11–$564.58 77% below 42%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 PB HOSPITAL PRO FEE CHG MRI UPPER EXTREM OTHER THAN JT W/O & W/CONTRAS $654.52 $1,128.48 $124.11–$902.78 64% below 42%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 Facility Fee HC MRI UP EXTREM JOINT WO CON $2,048.60 $3,532.07 $237.75–$3,249.50 14% above 42%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 PB HOSPITAL PRO FEE CHG MRI ANY JT UPPER EXTREMITY W/O CONTRAST MATRL $409.32 $705.72 $124.11–$564.58 — 42%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 PB HOSPITAL PRO FEE CHG MRI UPPER EXTREM OTHER THAN JT W/O & W/CONTRAS $654.52 $1,128.48 $124.11–$902.78 — 42%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 Facility Fee HC MRI UP EXTREM JOINT WO CON $2,048.60 $3,532.07 $237.75–$3,249.50 — 42%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 PB HOSPITAL PRO FEE CHG US PELVIC NONOBSTETRIC IMAGE DCMTN LIMITED/F/U $158.37 $273.06 $29.72–$218.45 57% below 42%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Facility Fee HC US PELVIS (NON-OB) LTD $626.77 $1,080.64 $58.07–$994.19 70% above 42%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 PB HOSPITAL PRO FEE CHG US PELVIC NONOBSTETRIC IMAGE DCMTN LIMITED/F/U $158.37 $273.06 $29.72–$218.45 — 42%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 Facility Fee HC US PELVIS (NON-OB) LTD $626.77 $1,080.64 $58.07–$994.19 — 42%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 PB HOSPITAL PRO FEE CHG US PELVIC NONOBSTETRIC REAL-TIME IMAGE COMPLETE $83.50 $143.96 $60.66–$144.41 85% below 42%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Facility Fee HC US PELVIS (NON-OB) COMPLETE $719.52 $1,240.56 $121.96–$1,141.32 32% above 42%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 PB HOSPITAL PRO FEE CHG US PELVIC NONOBSTETRIC REAL-TIME IMAGE COMPLETE $83.50 $143.96 $60.66–$144.41 — 42%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 Facility Fee HC US PELVIS (NON-OB) COMPLETE $719.52 $1,240.56 $121.96–$1,141.32 — 42%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 PB HOSPITAL PRO FEE CHG US PREG UTERUS AFTER 1ST TRIMEST 1/1ST GESTATION $117.51 $202.60 $80.37–$187.11 78% below 42%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Facility Fee HC US OB F&M EVALUATION >14 WKS SNGL GEST $551.02 $950.04 $156.91–$874.04 2% above 42%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 PB HOSPITAL PRO FEE CHG US PREG UTERUS AFTER 1ST TRIMEST 1/1ST GESTATION $117.51 $202.60 $80.37–$187.11 — 42%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 Facility Fee HC US OB F&M EVALUATION >14 WKS SNGL GEST $551.02 $950.04 $156.91–$874.04 — 42%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 PB HOSPITAL PRO FEE CHG US PREGNANT UTERUS 14 WK TRANSABDL 1/1ST GESTAT $117.51 $202.60 $69.53–$164.35 77% below 42%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Facility Fee HC US OB F&M EVALUATION <14 WKS SNGL GEST $452.90 $780.86 $134.14–$718.39 9% below 42%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 PB HOSPITAL PRO FEE CHG US PREGNANT UTERUS 14 WK TRANSABDL 1/1ST GESTAT $117.51 $202.60 $69.53–$164.35 — 42%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 Facility Fee HC US OB F&M EVALUATION <14 WKS SNGL GEST $452.90 $780.86 $134.14–$718.39 — 42%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 PB HOSPITAL PRO FEE CHG US PREGNANT UTERUS LIMITED 1/> FETUSES $76.29 $131.53 $48.22–$113.05 79% below 42%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Facility Fee HC US OB LIMITED W/AFI >=1 FETUS $563.19 $971.01 $93.68–$893.33 52% above 42%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 PB HOSPITAL PRO FEE CHG US PREGNANT UTERUS LIMITED 1/> FETUSES $76.29 $131.53 $48.22–$113.05 — 42%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 Facility Fee HC US OB LIMITED W/AFI >=1 FETUS $563.19 $971.01 $93.68–$893.33 — 42%
Screening mammogram, both breasts both sides CPT 77067 PB HOSPITAL PRO FEE CHG SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD $74.00 $127.58 $53.76–$175.49 — 42%
Screening mammogram, both breasts both sides CPT 77067 Facility Fee HC SCREEN MAMMO DDI BILATERAL INC CAD $284.99 $491.36 $109.52–$452.05 — 42%
Screening mammogram, both breasts CPT 77067 Facility Fee HC SCREEN MAMMO DDI UNI INCL CAD $213.74 $368.52 $109.52–$339.04 34% below 42%
Shoulder X-ray, complete, 2 or more views both sides CPT 73030 Facility Fee HC SHOULDER COMPLETE MIN 2 VWS, BILATERAL $698.39 $1,204.12 $41.66–$1,107.79 — 42%
Shoulder X-ray, complete, 2 or more views CPT 73030 PB HOSPITAL PRO FEE CHG RADEX SHOULDER COMPLETE MINIMUM 2 VIEWS $48.49 $83.60 $20.93–$66.88 84% below 42%
Shoulder X-ray, complete, 2 or more views CPT 73030 Facility Fee HC SHOULDER COMPLETE MIN 2 VWS $349.19 $602.06 $41.66–$553.90 18% above 42%
Shoulder X-ray, complete, 2 or more views inpatient both sides CPT 73030 Facility Fee HC SHOULDER COMPLETE MIN 2 VWS, BILATERAL $698.39 $1,204.12 $41.66–$1,107.79 — 42%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 PB HOSPITAL PRO FEE CHG RADEX SHOULDER COMPLETE MINIMUM 2 VIEWS $48.49 $83.60 $20.93–$66.88 — 42%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 Facility Fee HC SHOULDER COMPLETE MIN 2 VWS $349.19 $602.06 $41.66–$553.90 — 42%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 PB HOSPITAL PRO FEE PR ECHO TTHRC R-T 2D W/WO M-MODE REST&STRS CONT ECG $197.62 $340.72 $137.38–$349.28 79% below 42%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 Facility Fee HC STRESS TTE COMPLETE $700.76 $1,208.21 $269.49–$1,111.55 25% below 42%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 PB HOSPITAL PRO FEE PR ECHO TTHRC R-T 2D W/WO M-MODE REST&STRS CONT ECG $197.62 $340.72 $137.38–$349.28 — 42%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 Facility Fee HC STRESS TTE COMPLETE $700.76 $1,208.21 $269.49–$1,111.55 — 42%
Swallow study (modified barium swallow, video X-ray) CPT 74230 PB HOSPITAL PRO FEE CHG RADIOLOGIC EXAM SWALLOW FUNCTION CONTRAST STUDY $47.93 $82.64 $34.83–$170.92 91% below 42%
Swallow study (modified barium swallow, video X-ray) CPT 74230 Facility Fee HC MODIFIED BARIUM SWALLOW $539.29 $929.81 $141.04–$855.43 1% above 42%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 PB HOSPITAL PRO FEE CHG RADIOLOGIC EXAM SWALLOW FUNCTION CONTRAST STUDY $47.93 $82.64 $34.83–$170.92 — 42%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 Facility Fee HC MODIFIED BARIUM SWALLOW $539.29 $929.81 $141.04–$855.43 — 42%
Transvaginal pelvic ultrasound CPT 76830 PB HOSPITAL PRO FEE CHG US TRANSVAGINAL $82.53 $142.30 $59.97–$163.61 82% below 42%
Transvaginal pelvic ultrasound CPT 76830 Facility Fee HC US TRANSVAGINAL NON OB $543.74 $937.48 $136.69–$862.48 19% above 42%
Transvaginal pelvic ultrasound inpatient CPT 76830 PB HOSPITAL PRO FEE CHG US TRANSVAGINAL $82.53 $142.30 $59.97–$163.61 — 42%
Transvaginal pelvic ultrasound inpatient CPT 76830 Facility Fee HC US TRANSVAGINAL NON OB $543.74 $937.48 $136.69–$862.48 — 42%
Transvaginal ultrasound during pregnancy CPT 76817 PB HOSPITAL PRO FEE CHG US PREG UTERUS REAL TIME W/IMAGE DCMTN TRANSVAG $87.90 $151.55 $54.77–$129.68 80% below 42%
Transvaginal ultrasound during pregnancy CPT 76817 Facility Fee HC US OB TRANSVAGINAL APPROACH $543.74 $937.48 $106.75–$862.48 25% above 42%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 PB HOSPITAL PRO FEE CHG US PREG UTERUS REAL TIME W/IMAGE DCMTN TRANSVAG $87.90 $151.55 $54.77–$129.68 — 42%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 Facility Fee HC US OB TRANSVAGINAL APPROACH $543.74 $937.48 $106.75–$862.48 — 42%
Ultrasound of the abdomen, complete CPT 76700 PB HOSPITAL PRO FEE CHG US ABDOMINAL REAL TIME W/IMAGE DOCUMENTATION $97.12 $167.45 $69.16–$163.09 85% below 42%
Ultrasound of the abdomen, complete CPT 76700 Facility Fee HC US ABDOMEN COMPLETE $816.09 $1,407.06 $131.98–$1,294.50 29% above 42%
Ultrasound of the abdomen, complete inpatient CPT 76700 PB HOSPITAL PRO FEE CHG US ABDOMINAL REAL TIME W/IMAGE DOCUMENTATION $97.12 $167.45 $69.16–$163.09 — 42%
Ultrasound of the abdomen, complete inpatient CPT 76700 Facility Fee HC US ABDOMEN COMPLETE $816.09 $1,407.06 $131.98–$1,294.50 — 42%
Ultrasound of the scrotum and testicles CPT 76870 PB HOSPITAL PRO FEE CHG US SCROTUM & CONTENTS $77.26 $133.20 $56.13–$137.10 84% below 42%
Ultrasound of the scrotum and testicles CPT 76870 Facility Fee HC US SCROTUM & CONTENTS $665.59 $1,147.57 $114.22–$1,055.76 40% above 42%
Ultrasound of the scrotum and testicles inpatient CPT 76870 PB HOSPITAL PRO FEE CHG US SCROTUM & CONTENTS $77.26 $133.20 $56.13–$137.10 — 42%
Ultrasound of the scrotum and testicles inpatient CPT 76870 Facility Fee HC US SCROTUM & CONTENTS $665.59 $1,147.57 $114.22–$1,055.76 — 42%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 PB HOSPITAL PRO FEE CHG US SOFT TISSUE HEAD & NECK REAL TIME IMGE DOCM $66.09 $113.95 $48.02–$151.27 86% below 42%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Facility Fee HC US SOFT TISSUE HEAD AND NECK $608.82 $1,049.69 $126.81–$965.71 28% above 42%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 PB HOSPITAL PRO FEE CHG US SOFT TISSUE HEAD & NECK REAL TIME IMGE DOCM $66.09 $113.95 $48.02–$151.27 — 42%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 Facility Fee HC US SOFT TISSUE HEAD AND NECK $608.82 $1,049.69 $126.81–$965.71 — 42%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 Facility Fee HC DUPLEX EXTREMITY VEINS UNI/LTD $733.66 $1,264.93 $136.54–$1,163.74 14% above 42%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 Facility Fee HC DUPLEX EXTREMITY VEINS UNI/LTD $733.66 $1,264.93 $136.54–$1,163.74 — 42%
Wrist X-ray, complete, 3 or more views both sides CPT 73110 Facility Fee HC WRIST COMPLETE MIN 3 VWS, BILATERAL $738.24 $1,272.82 $50.16–$1,170.99 — 42%
Wrist X-ray, complete, 3 or more views CPT 73110 PB HOSPITAL PRO FEE CHG RADEX WRIST COMPLETE MINIMUM 3 VIEWS $45.21 $77.94 $24.86–$62.35 85% below 42%
Wrist X-ray, complete, 3 or more views CPT 73110 Facility Fee HC WRIST COMPLETE MIN 3 VWS $369.12 $636.41 $50.16–$585.50 19% above 42%
Wrist X-ray, complete, 3 or more views inpatient both sides CPT 73110 Facility Fee HC WRIST COMPLETE MIN 3 VWS, BILATERAL $738.24 $1,272.82 $50.16–$1,170.99 — 42%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 PB HOSPITAL PRO FEE CHG RADEX WRIST COMPLETE MINIMUM 3 VIEWS $45.21 $77.94 $24.86–$62.35 — 42%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 Facility Fee HC WRIST COMPLETE MIN 3 VWS $369.12 $636.41 $50.16–$585.50 — 42%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 Facility Fee HC HIP UNI COMPLETE MIN 2 VWS $127.62 $220.03 $57.15–$202.43 56% below 42%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 PB HOSPITAL PRO FEE CHG RADEX HIP UNILATERAL WITH PELVIS 2-3 VIEWS $44.38 $76.51 $28.78–$65.35 85% below 42%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 Facility Fee HC HIP UNI COMPLETE MIN 2 VWS $127.62 $220.03 $57.15–$202.43 — 42%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 PB HOSPITAL PRO FEE CHG RADEX HIP UNILATERAL WITH PELVIS 2-3 VIEWS $44.38 $76.51 $28.78–$65.35 — 42%
X-ray of the abdomen, 1 view CPT 74018 PB HOSPITAL PRO FEE CHG RADIOLOGIC EXAM ABDOMEN 1 VIEW $48.49 $83.60 $17.94–$66.88 80% below 42%
X-ray of the abdomen, 1 view CPT 74018 Facility Fee HC ABDOMEN 1 VIEW $298.21 $514.15 $34.44–$473.02 26% above 42%
X-ray of the abdomen, 1 view inpatient CPT 74018 PB HOSPITAL PRO FEE CHG RADIOLOGIC EXAM ABDOMEN 1 VIEW $48.49 $83.60 $17.94–$66.88 — 42%
X-ray of the abdomen, 1 view inpatient CPT 74018 Facility Fee HC ABDOMEN 1 VIEW $298.21 $514.15 $34.44–$473.02 — 42%
X-ray of the ankle, 2 views both sides CPT 73600 Facility Fee HC ANKLE 2 VWS, BILATERAL $506.75 $873.70 $37.76–$803.80 — 42%
X-ray of the ankle, 2 views CPT 73600 PB HOSPITAL PRO FEE CHG RADIOLOGIC EXAMINATION ANKLE 2 VIEWS $26.26 $45.27 $19.08–$44.35 90% below 42%
X-ray of the ankle, 2 views CPT 73600 Facility Fee HC ANKLE 2 VWS $253.37 $436.85 $37.76–$401.90 4% below 42%
X-ray of the ankle, 2 views inpatient both sides CPT 73600 Facility Fee HC ANKLE 2 VWS, BILATERAL $506.75 $873.70 $37.76–$803.80 — 42%
X-ray of the ankle, 2 views inpatient CPT 73600 PB HOSPITAL PRO FEE CHG RADIOLOGIC EXAMINATION ANKLE 2 VIEWS $26.26 $45.27 $19.08–$44.35 — 42%
X-ray of the ankle, 2 views inpatient CPT 73600 Facility Fee HC ANKLE 2 VWS $253.37 $436.85 $37.76–$401.90 — 42%
X-ray of the finger(s), 2 or more views both sides CPT 73140 Facility Fee HC FINGER(S) MIN 2 VWS, BILATERAL $402.64 $694.21 $46.37–$638.67 — 42%
X-ray of the finger(s), 2 or more views CPT 73140 PB HOSPITAL PRO FEE CHG RADEX FINGR MINIMUM 2 VIEWS $34.72 $59.86 $23.18–$52.56 87% below 42%
X-ray of the finger(s), 2 or more views CPT 73140 Facility Fee HC FINGER(S) MIN 2 VWS $201.32 $347.11 $46.37–$319.34 22% below 42%
X-ray of the finger(s), 2 or more views inpatient both sides CPT 73140 Facility Fee HC FINGER(S) MIN 2 VWS, BILATERAL $402.64 $694.21 $46.37–$638.67 — 42%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 PB HOSPITAL PRO FEE CHG RADEX FINGR MINIMUM 2 VIEWS $34.72 $59.86 $23.18–$52.56 — 42%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 Facility Fee HC FINGER(S) MIN 2 VWS $201.32 $347.11 $46.37–$319.34 — 42%
X-ray of the foot, 2 views both sides CPT 73620 Facility Fee HC FOOT 2 VWS, BILATERAL $587.27 $1,012.54 $33.35–$931.54 — 42%
X-ray of the foot, 2 views CPT 73620 PB HOSPITAL PRO FEE CHG RADIOLOGIC EXAMINATION FOOT 2 VIEWS $43.37 $74.77 $17.01–$59.82 82% below 42%
X-ray of the foot, 2 views CPT 73620 Facility Fee HC FOOT 2 VWS $293.64 $506.27 $33.35–$465.77 19% above 42%
X-ray of the foot, 2 views inpatient both sides CPT 73620 Facility Fee HC FOOT 2 VWS, BILATERAL $587.27 $1,012.54 $33.35–$931.54 — 42%
X-ray of the foot, 2 views inpatient CPT 73620 PB HOSPITAL PRO FEE CHG RADIOLOGIC EXAMINATION FOOT 2 VIEWS $43.37 $74.77 $17.01–$59.82 — 42%
X-ray of the foot, 2 views inpatient CPT 73620 Facility Fee HC FOOT 2 VWS $293.64 $506.27 $33.35–$465.77 — 42%
X-ray of the foot, complete, 3 or more views both sides CPT 73630 Facility Fee HC FOOT COMPLETE MIN 3 VWS, BILATERAL $584.25 $1,007.33 $39.71–$926.74 — 42%
X-ray of the foot, complete, 3 or more views CPT 73630 PB HOSPITAL PRO FEE CHG RADEX FOOT COMPLETE MINIMUM 3 VIEWS $47.47 $81.85 $20.37–$65.48 82% below 42%
X-ray of the foot, complete, 3 or more views CPT 73630 Facility Fee HC FOOT COMPLETE MIN 3 VWS $292.13 $503.67 $39.71–$463.38 9% above 42%
X-ray of the foot, complete, 3 or more views inpatient both sides CPT 73630 Facility Fee HC FOOT COMPLETE MIN 3 VWS, BILATERAL $584.25 $1,007.33 $39.71–$926.74 — 42%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 PB HOSPITAL PRO FEE CHG RADEX FOOT COMPLETE MINIMUM 3 VIEWS $47.47 $81.85 $20.37–$65.48 — 42%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 Facility Fee HC FOOT COMPLETE MIN 3 VWS $292.13 $503.67 $39.71–$463.38 — 42%
X-ray of the hand, 3 or more views both sides CPT 73130 Facility Fee HC HAND MIN 3 VWS, BILATERAL $617.87 $1,065.30 $44.53–$980.08 — 42%
X-ray of the hand, 3 or more views CPT 73130 PB HOSPITAL PRO FEE CHG RADEX HAND MINIMUM 3 VIEWS $47.47 $81.85 $22.43–$65.48 83% below 42%
X-ray of the hand, 3 or more views CPT 73130 Facility Fee HC HAND MIN 3 VWS $308.94 $532.65 $44.53–$490.04 13% above 42%
X-ray of the hand, 3 or more views inpatient both sides CPT 73130 Facility Fee HC HAND MIN 3 VWS, BILATERAL $617.87 $1,065.30 $44.53–$980.08 — 42%
X-ray of the hand, 3 or more views inpatient CPT 73130 PB HOSPITAL PRO FEE CHG RADEX HAND MINIMUM 3 VIEWS $47.47 $81.85 $22.43–$65.48 — 42%
X-ray of the hand, 3 or more views inpatient CPT 73130 Facility Fee HC HAND MIN 3 VWS $308.94 $532.65 $44.53–$490.04 — 42%
X-ray of the knee, 1 or 2 views both sides CPT 73560 Facility Fee HC KNEE 1 OR 2 VWS, BILATERAL $404.76 $697.87 $40.17–$642.04 — 42%
X-ray of the knee, 1 or 2 views CPT 73560 PB HOSPITAL PRO FEE CHG RADIOLOGIC EXAMINATION KNEE 1/2 VIEWS $47.47 $81.85 $20.56–$65.48 82% below 42%
X-ray of the knee, 1 or 2 views CPT 73560 Facility Fee HC KNEE 1 OR 2 VWS $202.39 $348.94 $40.17–$321.02 22% below 42%
X-ray of the knee, 1 or 2 views inpatient both sides CPT 73560 Facility Fee HC KNEE 1 OR 2 VWS, BILATERAL $404.76 $697.87 $40.17–$642.04 — 42%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 PB HOSPITAL PRO FEE CHG RADIOLOGIC EXAMINATION KNEE 1/2 VIEWS $47.47 $81.85 $20.56–$65.48 — 42%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 Facility Fee HC KNEE 1 OR 2 VWS $202.39 $348.94 $40.17–$321.02 — 42%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 PB HOSPITAL PRO FEE CHG RADEX SPINE LUMBOSACRAL 2/3 VIEWS $58.04 $100.07 $23.92–$80.06 81% below 42%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Facility Fee HC SPINE LUMBOSACRAL 2 OR 3 VWS $449.12 $774.35 $47.11–$712.40 47% above 42%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 PB HOSPITAL PRO FEE CHG RADEX SPINE LUMBOSACRAL 2/3 VIEWS $58.04 $100.07 $23.92–$80.06 — 42%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 Facility Fee HC SPINE LUMBOSACRAL 2 OR 3 VWS $449.12 $774.35 $47.11–$712.40 — 42%
X-ray of the lower back, 4 or more views CPT 72110 PB HOSPITAL PRO FEE CHG RADEX SPINE LUMBOSACRAL MINIMUM 4 VIEWS $82.12 $141.58 $31.40–$113.26 81% below 42%
X-ray of the lower back, 4 or more views CPT 72110 Facility Fee HC SPINE LUMBOSACRAL MIN 4 VWS $543.40 $936.89 $62.41–$861.94 23% above 42%
X-ray of the lower back, 4 or more views inpatient CPT 72110 PB HOSPITAL PRO FEE CHG RADEX SPINE LUMBOSACRAL MINIMUM 4 VIEWS $82.12 $141.58 $31.40–$113.26 — 42%
X-ray of the lower back, 4 or more views inpatient CPT 72110 Facility Fee HC SPINE LUMBOSACRAL MIN 4 VWS $543.40 $936.89 $62.41–$861.94 — 42%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 PB HOSPITAL PRO FEE CHG RADEX SPINE THORACIC 2 VIEWS $55.32 $95.38 $19.81–$76.30 80% below 42%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 Facility Fee HC SPINE THORACIC 2 VWS $373.65 $644.22 $38.34–$592.68 34% above 42%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 PB HOSPITAL PRO FEE CHG RADEX SPINE THORACIC 2 VIEWS $55.32 $95.38 $19.81–$76.30 — 42%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 Facility Fee HC SPINE THORACIC 2 VWS $373.65 $644.22 $38.34–$592.68 — 42%
X-ray of the nasal bones, 3 or more views CPT 70160 PB HOSPITAL PRO FEE CHG RADEX NASAL BONES COMPLETE MINIMUM 3 VIEWS $47.47 $81.85 $22.62–$65.48 81% below 42%
X-ray of the nasal bones, 3 or more views CPT 70160 Facility Fee HC NASAL BONES COMPLETE MIN 3VWS $408.36 $704.07 $43.73–$647.74 64% above 42%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 PB HOSPITAL PRO FEE CHG RADEX NASAL BONES COMPLETE MINIMUM 3 VIEWS $47.47 $81.85 $22.62–$65.48 — 42%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 Facility Fee HC NASAL BONES COMPLETE MIN 3VWS $408.36 $704.07 $43.73–$647.74 — 42%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 PB HOSPITAL PRO FEE CHG RADEX SPINE CERVICAL 2 OR 3 VIEWS $58.04 $100.07 $23.92–$80.06 81% below 42%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Facility Fee HC SPINE CERVICAL 2 OR 3 VIEWS $395.07 $681.16 $46.30–$626.67 27% above 42%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 PB HOSPITAL PRO FEE CHG RADEX SPINE CERVICAL 2 OR 3 VIEWS $58.04 $100.07 $23.92–$80.06 — 42%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 Facility Fee HC SPINE CERVICAL 2 OR 3 VIEWS $395.07 $681.16 $46.30–$626.67 — 42%
X-ray of the pelvis, 1 or 2 views CPT 72170 PB HOSPITAL PRO FEE CHG RADIOLOGIC EXAMINATION PELVIS 1/2 VIEWS $47.47 $81.85 $16.82–$65.48 83% below 42%
X-ray of the pelvis, 1 or 2 views CPT 72170 Facility Fee HC PELVIS 1 OR 2 VWS $260.92 $449.87 $32.49–$413.88 5% below 42%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 PB HOSPITAL PRO FEE CHG RADIOLOGIC EXAMINATION PELVIS 1/2 VIEWS $47.47 $81.85 $16.82–$65.48 — 42%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 Facility Fee HC PELVIS 1 OR 2 VWS $260.92 $449.87 $32.49–$413.88 — 42%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 PB HOSPITAL PRO FEE CHG RADEX SACRUM & COCCYX MINIMUM 2 VIEWS $47.47 $81.85 $19.63–$65.48 79% below 42%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Facility Fee HC SACRUM & COCCYX MIN 2 VWS $417.51 $719.84 $37.30–$662.25 86% above 42%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 PB HOSPITAL PRO FEE CHG RADEX SACRUM & COCCYX MINIMUM 2 VIEWS $47.47 $81.85 $19.63–$65.48 — 42%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 Facility Fee HC SACRUM & COCCYX MIN 2 VWS $417.51 $719.84 $37.30–$662.25 — 42%

Lab tests

ProcedureCash price List priceInsurers payvs WashingtonOff list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Facility Fee HC ALT(SGPT)-LC $27.14 $46.79 $5.19–$43.05 29% below 42%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Facility Fee HC TRANSFERASE ALANINE AMINO (ALT) (SGPT) $27.14 $46.79 $5.19–$43.05 29% below 42%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Facility Fee HC TRANSFERASE ALANINE AMINO (ALT) (SGPT) $27.14 $46.79 $5.19–$43.05 — 42%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Facility Fee HC ALT(SGPT)-LC $27.14 $46.79 $5.19–$43.05 — 42%
AST (aspartate aminotransferase) enzyme test CPT 84450 Facility Fee HC TRANSFERASE ASPARTATE AMINO (AST) (SGOT) $26.54 $45.75 $5.08–$42.09 27% below 42%
AST (aspartate aminotransferase) enzyme test CPT 84450 Facility Fee HC AST (SGOT)-LC $26.54 $45.75 $5.08–$42.09 27% below 42%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Facility Fee HC AST (SGOT)-LC $26.54 $45.75 $5.08–$42.09 — 42%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Facility Fee HC TRANSFERASE ASPARTATE AMINO (AST) (SGOT) $26.54 $45.75 $5.08–$42.09 — 42%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Facility Fee HC HEPATITIS PANEL ACUTE (4) $243.94 $420.58 $46.68–$386.93 2% above 42%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Facility Fee HC HEPATITIS PANEL ACUTE (4) $243.94 $420.58 $46.68–$386.93 — 42%
Allergy blood test, specific IgE, per allergen CPT 86003 Facility Fee HC ALLERGENS (17) LAB3196 $26.74 $46.11 $5.12–$42.42 at median 42%
Allergy blood test, specific IgE, per allergen CPT 86003 Facility Fee HC SEASONAL ALLRGNS, SUMMER GRASS $26.74 $46.11 $5.12–$42.42 at median 42%
Allergy blood test, specific IgE, per allergen CPT 86003 Facility Fee HC PENICILLIN PANEL $26.74 $46.11 $5.12–$42.42 at median 42%
Allergy blood test, specific IgE, per allergen CPT 86003 Facility Fee HC IGE HAZELNUT W/ COMPONENTS RFLX LAB6716 $26.74 $46.11 $5.12–$42.42 at median 42%
Allergy blood test, specific IgE, per allergen CPT 86003 Facility Fee HC T012 IGE WILLOW LAB6714 $26.74 $46.11 $5.12–$42.42 at median 42%
Allergy blood test, specific IgE, per allergen CPT 86003 Facility Fee HC M046 IGE BIPOLARIS LAB6713 $26.74 $46.11 $5.12–$42.42 at median 42%
Allergy blood test, specific IgE, per allergen CPT 86003 Facility Fee HC F042 IGE HADDOCK LAB6712 $26.74 $46.11 $5.12–$42.42 at median 42%
Allergy blood test, specific IgE, per allergen CPT 86003 Facility Fee HC F414 IGE TILAPIA LAB6711 $26.74 $46.11 $5.12–$42.42 at median 42%
Allergy blood test, specific IgE, per allergen CPT 86003 Facility Fee HC ALLERGEN SPEC IGE CRUDE ALLERGEN EXTRACT EACH $26.74 $46.11 $5.12–$42.42 at median 42%
Allergy blood test, specific IgE, per allergen CPT 86003 Facility Fee HC M002-IGE CLADOSPORIUM HERBARUM $26.74 $46.11 $5.12–$42.42 at median 42%
Allergy blood test, specific IgE, per allergen CPT 86003 Facility Fee HC W010 IGE LAMB'S QUARTERS LAB6710 $26.74 $46.11 $5.12–$42.42 at median 42%
Allergy blood test, specific IgE, per allergen CPT 86003 Facility Fee HC F017 IGE HAZELNUT (FILBERT) LAB6709 $26.74 $46.11 $5.12–$42.42 at median 42%
Allergy blood test, specific IgE, per allergen CPT 86003 Facility Fee HC 1206 IGE COCKROACH AMERICAN LAB6708 $26.74 $46.11 $5.12–$42.42 at median 42%
Allergy blood test, specific IgE, per allergen CPT 86003 Facility Fee HC C001-IGE PENICILLOYL G $26.74 $46.11 $5.12–$42.42 at median 42%
Allergy blood test, specific IgE, per allergen CPT 86003 Facility Fee HC ALLERGEN SPEC IGE CRUDE ALLERGEN EXT RFLX EA LAB4838 $26.74 $46.11 $5.12–$42.42 at median 42%
Allergy blood test, specific IgE, per allergen CPT 86003 Facility Fee HC ALLERGEN SPEC IGE CRUDE ALLERGEN EXTRACT EACH LAB3284 $26.74 $46.11 $5.12–$42.42 at median 42%
Allergy blood test, specific IgE, per allergen CPT 86003 Facility Fee HC ALLERGEN SPEC IGE CRUDE ALLERGEN EXTRACT EACH LAB4353 $26.74 $46.11 $5.12–$42.42 at median 42%
Allergy blood test, specific IgE, per allergen CPT 86003 Facility Fee HC POLLOCK WHITE IGE LAB6717 $26.74 $46.11 $5.12–$42.42 at median 42%
Allergy blood test, specific IgE, per allergen CPT 86003 Facility Fee HC ALLERGENS(35)FOODS W/COMPRFLX LAB4399 $26.74 $46.11 $5.12–$42.42 at median 42%
Allergy blood test, specific IgE, per allergen CPT 86003 Facility Fee HC ALLERGENS (35) FOODS LAB4397 $26.74 $46.11 $5.12–$42.42 at median 42%
Allergy blood test, specific IgE, per allergen CPT 86003 Facility Fee HC ALLERGENS (15) FOODS LAB4396 $26.74 $46.11 $5.12–$42.42 at median 42%
Allergy blood test, specific IgE, per allergen CPT 86003 Facility Fee HC ALLERGENS(11) FOODS LAB4409 $26.74 $46.11 $5.12–$42.42 at median 42%
Allergy blood test, specific IgE, per allergen CPT 86003 Facility Fee HC ASPERGILLUS FLAVUS IGE $26.74 $46.11 $5.12–$42.42 at median 42%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Facility Fee HC ALLERGENS(11) FOODS LAB4409 $26.74 $46.11 $5.12–$42.42 — 42%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Facility Fee HC ALLERGEN SPEC IGE CRUDE ALLERGEN EXT RFLX EA LAB4838 $26.74 $46.11 $5.12–$42.42 — 42%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Facility Fee HC M046 IGE BIPOLARIS LAB6713 $26.74 $46.11 $5.12–$42.42 — 42%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Facility Fee HC ALLERGEN SPEC IGE CRUDE ALLERGEN EXTRACT EACH LAB3284 $26.74 $46.11 $5.12–$42.42 — 42%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Facility Fee HC IGE HAZELNUT W/ COMPONENTS RFLX LAB6716 $26.74 $46.11 $5.12–$42.42 — 42%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Facility Fee HC ALLERGEN SPEC IGE CRUDE ALLERGEN EXTRACT EACH LAB4353 $26.74 $46.11 $5.12–$42.42 — 42%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Facility Fee HC T012 IGE WILLOW LAB6714 $26.74 $46.11 $5.12–$42.42 — 42%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Facility Fee HC ALLERGENS(35)FOODS W/COMPRFLX LAB4399 $26.74 $46.11 $5.12–$42.42 — 42%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Facility Fee HC F042 IGE HADDOCK LAB6712 $26.74 $46.11 $5.12–$42.42 — 42%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Facility Fee HC PENICILLIN PANEL $26.74 $46.11 $5.12–$42.42 — 42%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Facility Fee HC SEASONAL ALLRGNS, SUMMER GRASS $26.74 $46.11 $5.12–$42.42 — 42%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Facility Fee HC ALLERGENS (17) LAB3196 $26.74 $46.11 $5.12–$42.42 — 42%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Facility Fee HC ALLERGENS (15) FOODS LAB4396 $26.74 $46.11 $5.12–$42.42 — 42%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Facility Fee HC 1206 IGE COCKROACH AMERICAN LAB6708 $26.74 $46.11 $5.12–$42.42 — 42%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Facility Fee HC ASPERGILLUS FLAVUS IGE $26.74 $46.11 $5.12–$42.42 — 42%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Facility Fee HC C001-IGE PENICILLOYL G $26.74 $46.11 $5.12–$42.42 — 42%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Facility Fee HC F414 IGE TILAPIA LAB6711 $26.74 $46.11 $5.12–$42.42 — 42%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Facility Fee HC M002-IGE CLADOSPORIUM HERBARUM $26.74 $46.11 $5.12–$42.42 — 42%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Facility Fee HC ALLERGEN SPEC IGE CRUDE ALLERGEN EXTRACT EACH $26.74 $46.11 $5.12–$42.42 — 42%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Facility Fee HC ALLERGENS (35) FOODS LAB4397 $26.74 $46.11 $5.12–$42.42 — 42%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Facility Fee HC W010 IGE LAMB'S QUARTERS LAB6710 $26.74 $46.11 $5.12–$42.42 — 42%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Facility Fee HC POLLOCK WHITE IGE LAB6717 $26.74 $46.11 $5.12–$42.42 — 42%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Facility Fee HC F017 IGE HAZELNUT (FILBERT) LAB6709 $26.74 $46.11 $5.12–$42.42 — 42%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Facility Fee HC CCP ANTIBODIES IGG/IGA $66.32 $114.35 $12.69–$105.20 15% below 42%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Facility Fee HC CYCLIC CIRULLINATED PEPTIDE ANTIBODY LAB6263 $66.32 $114.35 $12.69–$105.20 15% below 42%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Facility Fee HC CYCLIC CIRULLINATED PEPTIDE ANTIBODY LAB6262 $66.32 $114.35 $12.69–$105.20 15% below 42%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Facility Fee HC CYCLIC CIRULLINATED PEPTIDE ANTIBODY LAB6262 $66.32 $114.35 $12.69–$105.20 — 42%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Facility Fee HC CYCLIC CIRULLINATED PEPTIDE ANTIBODY LAB6263 $66.32 $114.35 $12.69–$105.20 — 42%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Facility Fee HC CCP ANTIBODIES IGG/IGA $66.32 $114.35 $12.69–$105.20 — 42%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Facility Fee HC ANA 12 PLUS PROFILE (RDL) $61.92 $106.76 $11.85–$98.22 2% below 42%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Facility Fee HC ANTINUCLEAR ANTIBODIES ANA LAB6698 $61.92 $106.76 $11.85–$98.22 2% below 42%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Facility Fee HC ANTINUCLEAR AB, QUAL BY MULTIPLX IMMUNOASSAY $61.92 $106.76 $11.85–$98.22 2% below 42%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Facility Fee HC ANTINUCLEAR ANTIBODIES, IFA $61.92 $106.76 $11.85–$98.22 2% below 42%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Facility Fee HC ANA W/RFX TO ALL IF POSITIVE $61.92 $106.76 $11.85–$98.22 2% below 42%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Facility Fee HC ANA 12 PLUS PROFILE (RDL) $61.92 $106.76 $11.85–$98.22 — 42%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Facility Fee HC ANTINUCLEAR ANTIBODIES, IFA $61.92 $106.76 $11.85–$98.22 — 42%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Facility Fee HC ANTINUCLEAR ANTIBODIES ANA LAB6698 $61.92 $106.76 $11.85–$98.22 — 42%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Facility Fee HC ANA W/RFX TO ALL IF POSITIVE $61.92 $106.76 $11.85–$98.22 — 42%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Facility Fee HC ANTINUCLEAR AB, QUAL BY MULTIPLX IMMUNOASSAY $61.92 $106.76 $11.85–$98.22 — 42%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Facility Fee HC NATRIURETIC PEPTIDE $201.05 $346.64 $38.47–$318.91 8% above 42%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Facility Fee HC NT-PROBNP $201.05 $346.64 $38.47–$318.91 8% above 42%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 Facility Fee HC NT-PROBNP $201.05 $346.64 $38.47–$318.91 — 42%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 Facility Fee HC NATRIURETIC PEPTIDE $201.05 $346.64 $38.47–$318.91 — 42%
Basic metabolic panel (blood test) CPT 80048 Facility Fee HC BASIC METABOLIC PANEL CALCIUM TOTAL-LC $43.33 $74.70 $8.29–$68.72 40% below 42%
Basic metabolic panel (blood test) CPT 80048 Facility Fee HC BASIC METABOLIC PANEL CALCIUM TOTAL $43.33 $74.70 $8.29–$68.72 40% below 42%
Basic metabolic panel (blood test) inpatient CPT 80048 Facility Fee HC BASIC METABOLIC PANEL CALCIUM TOTAL-LC $43.33 $74.70 $8.29–$68.72 — 42%
Basic metabolic panel (blood test) inpatient CPT 80048 Facility Fee HC BASIC METABOLIC PANEL CALCIUM TOTAL $43.33 $74.70 $8.29–$68.72 — 42%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Facility Fee HC SURG PATH,LEVEL IV $353.78 $609.96 $79.84–$561.16 98% above 42%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Facility Fee HC SURG PATH,LEVEL IV $353.78 $609.96 $79.84–$561.16 — 42%
Blood culture for bacteria CPT 87040 Facility Fee HC CULTURE BLOOD-LC $52.86 $91.13 $10.11–$83.84 59% below 42%
Blood culture for bacteria CPT 87040 Facility Fee HC CULTURE BLOOD $52.86 $91.13 $10.11–$83.84 59% below 42%
Blood culture for bacteria inpatient CPT 87040 Facility Fee HC CULTURE BLOOD-LC $52.86 $91.13 $10.11–$83.84 — 42%
Blood culture for bacteria inpatient CPT 87040 Facility Fee HC CULTURE BLOOD $52.86 $91.13 $10.11–$83.84 — 42%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Facility Fee HC COLLECTION VENOUS BLOOD VENIPUNCTURE $10.76 $18.56 $4.50–$17.08 57% below 42%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Facility Fee HC COLLECTION VENOUS BLOOD VENIPUNCTURE $10.76 $18.56 $4.50–$17.08 — 42%
Blood glucose (sugar) test CPT 82947 Facility Fee HC ASSAY QUANTITATIVE,BLOOD GLUCOSE $20.14 $34.73 $3.85–$31.95 42% below 42%
Blood glucose (sugar) test CPT 82947 Facility Fee HC GLUCOSE FASTING-LC $20.14 $34.73 $3.85–$31.95 42% below 42%
Blood glucose (sugar) test CPT 82947 Facility Fee HC GLUCOSE - LC $20.14 $34.73 $3.85–$31.95 42% below 42%
Blood glucose (sugar) test CPT 82947 Facility Fee HC GLUCOSE, RANDOM $20.14 $34.73 $3.85–$31.95 42% below 42%
Blood glucose (sugar) test inpatient CPT 82947 Facility Fee HC ASSAY QUANTITATIVE,BLOOD GLUCOSE $20.14 $34.73 $3.85–$31.95 — 42%
Blood glucose (sugar) test inpatient CPT 82947 Facility Fee HC GLUCOSE, RANDOM $20.14 $34.73 $3.85–$31.95 — 42%
Blood glucose (sugar) test inpatient CPT 82947 Facility Fee HC GLUCOSE - LC $20.14 $34.73 $3.85–$31.95 — 42%
Blood glucose (sugar) test inpatient CPT 82947 Facility Fee HC GLUCOSE FASTING-LC $20.14 $34.73 $3.85–$31.95 — 42%
Blood lead test CPT 83655 Facility Fee HC LEAD, BLOOD (ADULT) $62.03 $106.94 $11.87–$98.38 11% above 42%
Blood lead test CPT 83655 Facility Fee HC ASSAY OF LEAD LAB4404 $62.03 $106.94 $11.87–$98.38 11% above 42%
Blood lead test CPT 83655 Facility Fee HC ASSAY OF LEAD LAB4402 $62.03 $106.94 $11.87–$98.38 11% above 42%
Blood lead test inpatient CPT 83655 Facility Fee HC ASSAY OF LEAD LAB4404 $62.03 $106.94 $11.87–$98.38 — 42%
Blood lead test inpatient CPT 83655 Facility Fee HC ASSAY OF LEAD LAB4402 $62.03 $106.94 $11.87–$98.38 — 42%
Blood lead test inpatient CPT 83655 Facility Fee HC LEAD, BLOOD (ADULT) $62.03 $106.94 $11.87–$98.38 — 42%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Facility Fee HC CHORIONIC GONADOTROPIN, QUAL $38.51 $66.39 $7.37–$61.08 46% below 42%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Facility Fee HC HCG,BETA SUBUNIT,QUAL,SERUM-LC $38.51 $66.39 $7.37–$61.08 46% below 42%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Facility Fee HC CHORIONIC GONADOTROPIN, QUAL $38.51 $66.39 $7.37–$61.08 — 42%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Facility Fee HC HCG,BETA SUBUNIT,QUAL,SERUM-LC $38.51 $66.39 $7.37–$61.08 — 42%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Facility Fee CHG BLOOD TYPING SEROLOGIC ABO $10.72 $18.49 $2.93–$17.01 83% below 42%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Facility Fee CHG BLOOD TYPING SEROLOGIC ABO $10.72 $18.49 $2.93–$17.01 — 42%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 Facility Fee HC C-REACTIVE PROTEIN $26.54 $45.75 $5.08–$42.09 52% below 42%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 Facility Fee HC C-REACTIVE PROTEIN, QUANT-LC $26.54 $45.75 $5.08–$42.09 52% below 42%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 Facility Fee HC C-REACTIVE PROTEIN $26.54 $45.75 $5.08–$42.09 — 42%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 Facility Fee HC C-REACTIVE PROTEIN, QUANT-LC $26.54 $45.75 $5.08–$42.09 — 42%
C. difficile toxin gene test (stool PCR) CPT 87493 Facility Fee HC CLOSTRIDIUM DIFFICILE PCR-LC $271.46 $468.04 $36.52–$430.60 56% above 42%
C. difficile toxin gene test (stool PCR) CPT 87493 Facility Fee HC CLOSTRIDIUM DIFFICILE PCR (REFLEX EIA) $271.46 $468.04 $36.52–$430.60 56% above 42%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 Facility Fee HC CLOSTRIDIUM DIFFICILE PCR-LC $271.46 $468.04 $36.52–$430.60 — 42%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 Facility Fee HC CLOSTRIDIUM DIFFICILE PCR (REFLEX EIA) $271.46 $468.04 $36.52–$430.60 — 42%
CA 19-9 blood test (tumor marker) CPT 86301 Facility Fee HC CANCER ANTIGEN 19-9 $106.57 $183.74 $20.39–$169.04 3% below 42%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 Facility Fee HC CANCER ANTIGEN 19-9 $106.57 $183.74 $20.39–$169.04 — 42%
CA-125 blood test (ovarian cancer marker) CPT 86304 Facility Fee HC CANCER ANTIGEN 125 $106.57 $183.74 $20.39–$169.04 10% below 42%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Facility Fee HC CANCER ANTIGEN 125 $106.57 $183.74 $20.39–$169.04 — 42%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Facility Fee HC IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ $67.74 $116.80 $49.22–$107.46 21% below 42%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Facility Fee HC IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ $67.74 $116.80 $49.22–$107.46 — 42%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Facility Fee HC CHYLMD TRACH, DNA, AMP PROBE LAB5084 $179.71 $309.84 $34.39–$285.05 34% above 42%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Facility Fee HC CHYLMD TRACH, DNA, AMP PROBE LAB5085 $179.71 $309.84 $34.39–$285.05 34% above 42%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Facility Fee HC CHYLMD TRACH, DNA, AMP PROBE LAB6673 $179.71 $309.84 $34.39–$285.05 34% above 42%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Facility Fee HC SVH CHLAMYD TRACH AMPLIFIED PROBE TQ LAB6456 $179.71 $309.84 $34.39–$285.05 34% above 42%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Facility Fee HC CHYLMD TRACH, DNA, AMP PROBE LAB3062 $179.71 $309.84 $34.39–$285.05 34% above 42%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Facility Fee HC CHYLMD TRACH, DNA, AMP PROBE LAB4977 $179.71 $309.84 $34.39–$285.05 34% above 42%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Facility Fee HC SVH CHYLMD TRACH, DNA, AMP PROBE_LC $179.71 $309.84 $34.39–$285.05 34% above 42%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Facility Fee HC CHYLMD TRACH, DNA, AMP PROBE LAB4976 $179.71 $309.84 $34.39–$285.05 34% above 42%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Facility Fee HC CHLAMYDIA TRACHOMATIS, NAA $179.71 $309.84 $34.39–$285.05 34% above 42%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Facility Fee HC CHYLMD TRACH, DNA, AMP PROBE LAB5087 $179.71 $309.84 $34.39–$285.05 34% above 42%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Facility Fee HC CHYLMD TRACH, DNA, AMP PROBE LAB6673 $179.71 $309.84 $34.39–$285.05 — 42%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Facility Fee HC CHYLMD TRACH, DNA, AMP PROBE LAB4977 $179.71 $309.84 $34.39–$285.05 — 42%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Facility Fee HC CHYLMD TRACH, DNA, AMP PROBE LAB4976 $179.71 $309.84 $34.39–$285.05 — 42%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Facility Fee HC CHLAMYDIA TRACHOMATIS, NAA $179.71 $309.84 $34.39–$285.05 — 42%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Facility Fee HC SVH CHLAMYD TRACH AMPLIFIED PROBE TQ LAB6456 $179.71 $309.84 $34.39–$285.05 — 42%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Facility Fee HC CHYLMD TRACH, DNA, AMP PROBE LAB5084 $179.71 $309.84 $34.39–$285.05 — 42%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Facility Fee HC CHYLMD TRACH, DNA, AMP PROBE LAB5087 $179.71 $309.84 $34.39–$285.05 — 42%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Facility Fee HC SVH CHYLMD TRACH, DNA, AMP PROBE_LC $179.71 $309.84 $34.39–$285.05 — 42%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Facility Fee HC CHYLMD TRACH, DNA, AMP PROBE LAB3062 $179.71 $309.84 $34.39–$285.05 — 42%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Facility Fee HC CHYLMD TRACH, DNA, AMP PROBE LAB5085 $179.71 $309.84 $34.39–$285.05 — 42%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Facility Fee HC LIPID PANEL LAB3244 $68.58 $118.24 $13.12–$108.78 22% below 42%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Facility Fee HC LIPID PANEL-LC $68.58 $118.24 $13.12–$108.78 22% below 42%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Facility Fee HC LIPID PANEL $68.58 $118.24 $13.12–$108.78 22% below 42%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Facility Fee HC LIPID PANEL LAB4617 $68.58 $118.24 $13.12–$108.78 22% below 42%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Facility Fee HC LIPID PANEL-LC $68.58 $118.24 $13.12–$108.78 — 42%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Facility Fee HC LIPID PANEL LAB4617 $68.58 $118.24 $13.12–$108.78 — 42%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Facility Fee HC LIPID PANEL LAB3244 $68.58 $118.24 $13.12–$108.78 — 42%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Facility Fee HC LIPID PANEL $68.58 $118.24 $13.12–$108.78 — 42%
Complete blood count (CBC) with differential CPT 85025 Facility Fee HC COMPLETE CBC & AUTO DIFF WBC $39.80 $68.62 $7.61–$63.13 28% below 42%
Complete blood count (CBC) with differential CPT 85025 Facility Fee HC CBC WITH AUTO DIFFERENTIAL-LC $39.80 $68.62 $7.61–$63.13 28% below 42%
Complete blood count (CBC) with differential inpatient CPT 85025 Facility Fee HC COMPLETE CBC & AUTO DIFF WBC $39.80 $68.62 $7.61–$63.13 — 42%
Complete blood count (CBC) with differential inpatient CPT 85025 Facility Fee HC CBC WITH AUTO DIFFERENTIAL-LC $39.80 $68.62 $7.61–$63.13 — 42%
Complete blood count (CBC), no differential CPT 85027 Facility Fee HC COMPLETE CBC $33.15 $57.15 $6.34–$52.58 26% below 42%
Complete blood count (CBC), no differential CPT 85027 Facility Fee HC COMPLETE CBC-LC $33.15 $57.15 $6.34–$52.58 26% below 42%
Complete blood count (CBC), no differential CPT 85027 Facility Fee HC COMPLETE CBC LAB6161 $33.15 $57.15 $6.34–$52.58 26% below 42%
Complete blood count (CBC), no differential inpatient CPT 85027 Facility Fee HC COMPLETE CBC $33.15 $57.15 $6.34–$52.58 — 42%
Complete blood count (CBC), no differential inpatient CPT 85027 Facility Fee HC COMPLETE CBC-LC $33.15 $57.15 $6.34–$52.58 — 42%
Complete blood count (CBC), no differential inpatient CPT 85027 Facility Fee HC COMPLETE CBC LAB6161 $33.15 $57.15 $6.34–$52.58 — 42%
Comprehensive metabolic panel (blood test) CPT 80053 Facility Fee HC METABOLIC PANEL,COMPREHENSIVE $54.08 $93.24 $10.35–$85.78 35% below 42%
Comprehensive metabolic panel (blood test) CPT 80053 Facility Fee HC COMPREHENSIVE METABOLIC PANEL-LC $54.08 $93.24 $10.35–$85.78 35% below 42%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 Facility Fee HC METABOLIC PANEL,COMPREHENSIVE $54.08 $93.24 $10.35–$85.78 — 42%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 Facility Fee HC COMPREHENSIVE METABOLIC PANEL-LC $54.08 $93.24 $10.35–$85.78 — 42%
D-dimer blood test (blood clot marker) CPT 85379 Facility Fee HC D-DIMER $52.14 $89.89 $9.98–$82.70 55% below 42%
D-dimer blood test (blood clot marker) CPT 85379 Facility Fee HC D-DIMER-LC $52.14 $89.89 $9.98–$82.70 55% below 42%
D-dimer blood test (blood clot marker) inpatient CPT 85379 Facility Fee HC D-DIMER $52.14 $89.89 $9.98–$82.70 — 42%
D-dimer blood test (blood clot marker) inpatient CPT 85379 Facility Fee HC D-DIMER-LC $52.14 $89.89 $9.98–$82.70 — 42%
DHEA sulfate (DHEA-S) blood test CPT 82627 Facility Fee HC DEHYDROEPIANDROSTERONE-SULFATE $113.84 $196.28 $21.79–$180.58 14% below 42%
DHEA sulfate (DHEA-S) blood test CPT 82627 Facility Fee HC DEHYDROEPIANDROSTERONE-SULFATE (DHEA-S) LAB6169 $113.84 $196.28 $21.79–$180.58 14% below 42%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 Facility Fee HC DEHYDROEPIANDROSTERONE-SULFATE $113.84 $196.28 $21.79–$180.58 — 42%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 Facility Fee HC DEHYDROEPIANDROSTERONE-SULFATE (DHEA-S) LAB6169 $113.84 $196.28 $21.79–$180.58 — 42%
Estradiol blood test CPT 82670 Facility Fee HC ESTRADIOL $143.09 $246.70 $27.38–$226.96 3% above 42%
Estradiol blood test CPT 82670 Facility Fee HC ESTRADIOL LAB980 $143.09 $246.70 $27.38–$226.96 3% above 42%
Estradiol blood test inpatient CPT 82670 Facility Fee HC ESTRADIOL $143.09 $246.70 $27.38–$226.96 — 42%
Estradiol blood test inpatient CPT 82670 Facility Fee HC ESTRADIOL LAB980 $143.09 $246.70 $27.38–$226.96 — 42%
FSH (follicle-stimulating hormone) test CPT 83001 Facility Fee HC GONADOTROPIN (FSH) SERUM $95.15 $164.05 $18.21–$150.93 1% below 42%
FSH (follicle-stimulating hormone) test CPT 83001 Facility Fee HC FOLLICLE STIMULATING HORMONE $95.15 $164.05 $18.21–$150.93 1% below 42%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 Facility Fee HC FOLLICLE STIMULATING HORMONE $95.15 $164.05 $18.21–$150.93 — 42%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 Facility Fee HC GONADOTROPIN (FSH) SERUM $95.15 $164.05 $18.21–$150.93 — 42%
Fecal calprotectin (stool inflammation test) CPT 83993 Facility Fee HC CALPROTECTIN, FECAL-LC $100.54 $173.34 $19.24–$159.47 43% below 42%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Facility Fee HC CALPROTECTIN, FECAL-LC $100.54 $173.34 $19.24–$159.47 — 42%
Ferritin blood test (iron stores) CPT 82728 Facility Fee HC ASSAY OF FERRITIN $69.81 $120.36 $13.36–$110.73 27% below 42%
Ferritin blood test (iron stores) CPT 82728 Facility Fee HC FERRITIN, SERUM-LC $69.81 $120.36 $13.36–$110.73 27% below 42%
Ferritin blood test (iron stores) inpatient CPT 82728 Facility Fee HC FERRITIN, SERUM-LC $69.81 $120.36 $13.36–$110.73 — 42%
Ferritin blood test (iron stores) inpatient CPT 82728 Facility Fee HC ASSAY OF FERRITIN $69.81 $120.36 $13.36–$110.73 — 42%
Folate (folic acid) blood test CPT 82746 Facility Fee HC BLOOD FOLIC ACID SERUM $75.28 $129.80 $14.41–$119.42 29% below 42%
Folate (folic acid) blood test CPT 82746 Facility Fee HC FOLATE-LC $75.28 $129.80 $14.41–$119.42 29% below 42%
Folate (folic acid) blood test CPT 82746 Facility Fee HC BLOOD FOLIC ACID SERUM LAB3323 $75.28 $129.80 $14.41–$119.42 29% below 42%
Folate (folic acid) blood test inpatient CPT 82746 Facility Fee HC BLOOD FOLIC ACID SERUM LAB3323 $75.28 $129.80 $14.41–$119.42 — 42%
Folate (folic acid) blood test inpatient CPT 82746 Facility Fee HC FOLATE-LC $75.28 $129.80 $14.41–$119.42 — 42%
Folate (folic acid) blood test inpatient CPT 82746 Facility Fee HC BLOOD FOLIC ACID SERUM $75.28 $129.80 $14.41–$119.42 — 42%
Free T3 thyroid hormone test CPT 84481 Facility Fee HC T3, FREE $86.74 $149.56 $16.60–$137.60 at median 42%
Free T3 thyroid hormone test CPT 84481 Facility Fee HC TRIIODOTHYRONINE,FREE,SERUM $86.74 $149.56 $16.60–$137.60 at median 42%
Free T3 thyroid hormone test inpatient CPT 84481 Facility Fee HC T3, FREE $86.74 $149.56 $16.60–$137.60 — 42%
Free T3 thyroid hormone test inpatient CPT 84481 Facility Fee HC TRIIODOTHYRONINE,FREE,SERUM $86.74 $149.56 $16.60–$137.60 — 42%
Free T4 (free thyroxine) thyroid blood test CPT 84439 Facility Fee HC T4, FREE-LC $46.19 $79.64 $8.84–$73.27 28% below 42%
Free T4 (free thyroxine) thyroid blood test CPT 84439 Facility Fee HC FREE T4 BY DIALYSIS/MASS SPEC $46.19 $79.64 $8.84–$73.27 28% below 42%
Free T4 (free thyroxine) thyroid blood test CPT 84439 Facility Fee HC ASSAY OF FREE THYROXINE $46.19 $79.64 $8.84–$73.27 28% below 42%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Facility Fee HC FREE T4 BY DIALYSIS/MASS SPEC $46.19 $79.64 $8.84–$73.27 — 42%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Facility Fee HC T4, FREE-LC $46.19 $79.64 $8.84–$73.27 — 42%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Facility Fee HC ASSAY OF FREE THYROXINE $46.19 $79.64 $8.84–$73.27 — 42%
Free testosterone test CPT 84402 Facility Fee HC ASSAY OF TESTOSTERONE LAB173 $130.44 $224.90 $24.96–$206.91 4% above 42%
Free testosterone test CPT 84402 Facility Fee HC ASSAY OF TESTOSTERONE LAB6169 $130.44 $224.90 $24.96–$206.91 4% above 42%
Free testosterone test CPT 84402 Facility Fee HC ASSAY OF TESTOSTERONE LAB6158 $130.44 $224.90 $24.96–$206.91 4% above 42%
Free testosterone test CPT 84402 Facility Fee HC TESTOSTERONE, FREE, DIRECT $130.44 $224.90 $24.96–$206.91 4% above 42%
Free testosterone test inpatient CPT 84402 Facility Fee HC ASSAY OF TESTOSTERONE LAB6169 $130.44 $224.90 $24.96–$206.91 — 42%
Free testosterone test inpatient CPT 84402 Facility Fee HC TESTOSTERONE, FREE, DIRECT $130.44 $224.90 $24.96–$206.91 — 42%
Free testosterone test inpatient CPT 84402 Facility Fee HC ASSAY OF TESTOSTERONE LAB6158 $130.44 $224.90 $24.96–$206.91 — 42%
Free testosterone test inpatient CPT 84402 Facility Fee HC ASSAY OF TESTOSTERONE LAB173 $130.44 $224.90 $24.96–$206.91 — 42%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Facility Fee HC GEST. DIABETES 1-HR SCREEN-LC $24.34 $41.96 $4.66–$38.60 32% below 42%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Facility Fee HC GLUCOSE TEST $24.34 $41.96 $4.66–$38.60 32% below 42%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Facility Fee HC GEST. DIABETES 1-HR SCREEN-LC $24.34 $41.96 $4.66–$38.60 — 42%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Facility Fee HC GLUCOSE TEST $24.34 $41.96 $4.66–$38.60 — 42%
Glucose tolerance test, 3 samples CPT 82951 Facility Fee HC GLUCOSE TOLERANCE TEST, 3 SPECIMENS LAB3154 $65.92 $113.65 $12.61–$104.56 1% above 42%
Glucose tolerance test, 3 samples CPT 82951 Facility Fee HC GLUCOSE TOLERANCE TEST (GTT) $65.92 $113.65 $12.61–$104.56 1% above 42%
Glucose tolerance test, 3 samples CPT 82951 Facility Fee HC GESTATIONAL 2 HOUR GTT $65.92 $113.65 $12.61–$104.56 1% above 42%
Glucose tolerance test, 3 samples inpatient CPT 82951 Facility Fee HC GLUCOSE TOLERANCE TEST, 3 SPECIMENS LAB3154 $65.92 $113.65 $12.61–$104.56 — 42%
Glucose tolerance test, 3 samples inpatient CPT 82951 Facility Fee HC GESTATIONAL 2 HOUR GTT $65.92 $113.65 $12.61–$104.56 — 42%
Glucose tolerance test, 3 samples inpatient CPT 82951 Facility Fee HC GLUCOSE TOLERANCE TEST (GTT) $65.92 $113.65 $12.61–$104.56 — 42%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Facility Fee HC N.GONORRHOEAE, DNA, AMP PROB LAB4977 $179.71 $309.84 $34.39–$285.05 34% above 42%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Facility Fee HC SVH N.GONORRHOEAE, DNA, AMP PROB_LC $179.71 $309.84 $34.39–$285.05 34% above 42%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Facility Fee HC N.GONORRHOEAE, DNA, AMP PROB LAB4976 $179.71 $309.84 $34.39–$285.05 34% above 42%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Facility Fee HC SVH N.GONORRHOEAE, DNA, AMP PROB LAB6456 $179.71 $309.84 $34.39–$285.05 34% above 42%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Facility Fee HC NEISSERIA GONORRHOEAE, NAA $179.71 $309.84 $34.39–$285.05 34% above 42%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Facility Fee HC N.GONORRHOEAE, DNA, AMP PROB LAB6673 $179.71 $309.84 $34.39–$285.05 34% above 42%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Facility Fee HC N.GONORRHOEAE, DNA, AMP PROB LAB5087 $179.71 $309.84 $34.39–$285.05 34% above 42%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Facility Fee HC N.GONORRHOEAE, DNA, AMP PROB LAB5085 $179.71 $309.84 $34.39–$285.05 34% above 42%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Facility Fee HC N.GONORRHOEAE, DNA, AMP PROB LAB5084 $179.71 $309.84 $34.39–$285.05 34% above 42%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Facility Fee HC N.GONORRHOEAE, DNA, AMP PROB LAB3062 $179.71 $309.84 $34.39–$285.05 34% above 42%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Facility Fee HC N.GONORRHOEAE, DNA, AMP PROB LAB6673 $179.71 $309.84 $34.39–$285.05 — 42%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Facility Fee HC NEISSERIA GONORRHOEAE, NAA $179.71 $309.84 $34.39–$285.05 — 42%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Facility Fee HC N.GONORRHOEAE, DNA, AMP PROB LAB4976 $179.71 $309.84 $34.39–$285.05 — 42%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Facility Fee HC N.GONORRHOEAE, DNA, AMP PROB LAB4977 $179.71 $309.84 $34.39–$285.05 — 42%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Facility Fee HC N.GONORRHOEAE, DNA, AMP PROB LAB3062 $179.71 $309.84 $34.39–$285.05 — 42%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Facility Fee HC N.GONORRHOEAE, DNA, AMP PROB LAB5084 $179.71 $309.84 $34.39–$285.05 — 42%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Facility Fee HC N.GONORRHOEAE, DNA, AMP PROB LAB5085 $179.71 $309.84 $34.39–$285.05 — 42%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Facility Fee HC N.GONORRHOEAE, DNA, AMP PROB LAB5087 $179.71 $309.84 $34.39–$285.05 — 42%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Facility Fee HC SVH N.GONORRHOEAE, DNA, AMP PROB_LC $179.71 $309.84 $34.39–$285.05 — 42%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Facility Fee HC SVH N.GONORRHOEAE, DNA, AMP PROB LAB6456 $179.71 $309.84 $34.39–$285.05 — 42%
H. pylori antibody blood test CPT 86677 Facility Fee HC H.PYLORI,IGG/IGA ABS LAB3163 $86.29 $148.78 $16.51–$136.88 4% above 42%
H. pylori antibody blood test CPT 86677 Facility Fee HC HELICOBACTER PYLORI, IGG ABS $86.29 $148.78 $16.51–$136.88 4% above 42%
H. pylori antibody blood test CPT 86677 Facility Fee HC HELICOBACTER PYLORI, IGM AB $86.29 $148.78 $16.51–$136.88 4% above 42%
H. pylori antibody blood test CPT 86677 Facility Fee HC HELICOBACTER PYLORI, IGA $86.29 $148.78 $16.51–$136.88 4% above 42%
H. pylori antibody blood test inpatient CPT 86677 Facility Fee HC HELICOBACTER PYLORI, IGA $86.29 $148.78 $16.51–$136.88 — 42%
H. pylori antibody blood test inpatient CPT 86677 Facility Fee HC HELICOBACTER PYLORI, IGM AB $86.29 $148.78 $16.51–$136.88 — 42%
H. pylori antibody blood test inpatient CPT 86677 Facility Fee HC HELICOBACTER PYLORI, IGG ABS $86.29 $148.78 $16.51–$136.88 — 42%
H. pylori antibody blood test inpatient CPT 86677 Facility Fee HC H.PYLORI,IGG/IGA ABS LAB3163 $86.29 $148.78 $16.51–$136.88 — 42%
H. pylori stool antigen test CPT 87338 Facility Fee HC H PYLORI ANTIGEN STOOL-LC $73.65 $126.98 $14.09–$116.82 47% below 42%
H. pylori stool antigen test inpatient CPT 87338 Facility Fee HC H PYLORI ANTIGEN STOOL-LC $73.65 $126.98 $14.09–$116.82 — 42%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Facility Fee HC HIV-1 RNA, PCR (GRAPH) RFX/GENO $619.82 $1,068.66 $83.40–$983.17 63% above 42%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Facility Fee HC QUANT, RNA PCR RFLX LAB4955 $619.82 $1,068.66 $83.40–$983.17 63% above 42%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Facility Fee HC HIV-1 RNA, REAL TIME PCR (NON-GRAPH) $619.82 $1,068.66 $83.40–$983.17 63% above 42%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Facility Fee HC QUANT, RNA PCR RFLX LAB4836 $619.82 $1,068.66 $83.40–$983.17 63% above 42%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Facility Fee HC HIV-1 RNA, PCR (NONGRAPH) RFX/GENO $619.82 $1,068.66 $83.40–$983.17 63% above 42%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Facility Fee HC QUANT, RNA PCR RFLX LAB4836 $619.82 $1,068.66 $83.40–$983.17 — 42%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Facility Fee HC QUANT, RNA PCR RFLX LAB4955 $619.82 $1,068.66 $83.40–$983.17 — 42%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Facility Fee HC HIV-1 RNA, PCR (NONGRAPH) RFX/GENO $619.82 $1,068.66 $83.40–$983.17 — 42%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Facility Fee HC HIV-1 RNA, REAL TIME PCR (NON-GRAPH) $619.82 $1,068.66 $83.40–$983.17 — 42%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Facility Fee HC HIV-1 RNA, PCR (GRAPH) RFX/GENO $619.82 $1,068.66 $83.40–$983.17 — 42%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Facility Fee HC IAAD IA HIV-1 AG W/HIV-1 & HIV-2 ANTBDY SINGLE $123.33 $212.63 $23.60–$195.62 27% above 42%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 Facility Fee HC IAAD IA HIV-1 AG W/HIV-1 & HIV-2 ANTBDY SINGLE $123.33 $212.63 $23.60–$195.62 — 42%
HPV test for high-risk types, one combined (pooled) result CPT 87624 Facility Fee HC SVH IADNA HUMAN PAPILLOMAVIRUS HIGH-RISK TYPES_LC $179.71 $309.84 $34.39–$285.05 27% above 42%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 Facility Fee HC SVH IADNA HUMAN PAPILLOMAVIRUS HIGH-RISK TYPES_LC $179.71 $309.84 $34.39–$285.05 — 42%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Facility Fee HC HEMOGLOBIN A1C -LC $49.74 $85.76 $9.52–$78.90 29% below 42%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Facility Fee HC HEMOGLOBIN A1C $49.74 $85.76 $9.52–$78.90 29% below 42%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Facility Fee HC HB A1C RFLX LAB6217 $49.74 $85.76 $9.52–$78.90 29% below 42%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Facility Fee HC HEMOGLOBIN A1C -LC $49.74 $85.76 $9.52–$78.90 — 42%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Facility Fee HC HEMOGLOBIN A1C $49.74 $85.76 $9.52–$78.90 — 42%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Facility Fee HC HB A1C RFLX LAB6217 $49.74 $85.76 $9.52–$78.90 — 42%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Facility Fee HC HEPATITIS B SURFACE AB TEST LAB3176 $55.01 $94.85 $10.53–$87.26 20% below 42%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Facility Fee HC HEP B SURFACE AB $55.01 $94.85 $10.53–$87.26 20% below 42%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Facility Fee HC HEP B SURFACE AB $55.01 $94.85 $10.53–$87.26 — 42%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Facility Fee HC HEPATITIS B SURFACE AB TEST LAB3176 $55.01 $94.85 $10.53–$87.26 — 42%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Facility Fee HC HEPATITIS B SURFACE AG, EIA LAB3172 $52.91 $91.22 $10.12–$83.92 20% below 42%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Facility Fee HC HEPATITIS B SURFACE AG (HBSAG), SCREEN $52.91 $91.22 $10.12–$83.92 20% below 42%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Facility Fee HC HEPATITIS B SURFACE AG, EIA LAB3176 $52.91 $91.22 $10.12–$83.92 20% below 42%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Facility Fee HC HEPATITIS B SURFACE AG, EIA LAB3172 $52.91 $91.22 $10.12–$83.92 — 42%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Facility Fee HC HEPATITIS B SURFACE AG (HBSAG), SCREEN $52.91 $91.22 $10.12–$83.92 — 42%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Facility Fee HC HEPATITIS B SURFACE AG, EIA LAB3176 $52.91 $91.22 $10.12–$83.92 — 42%
Hepatitis C antibody blood test (screening) CPT 86803 Facility Fee HC HCV ANTIBODY $73.08 $126.00 $13.98–$115.92 12% below 42%
Hepatitis C antibody blood test (screening) CPT 86803 Facility Fee HC HEPATITIS C ANTIBODY TEST LAB3176 $73.08 $126.00 $13.98–$115.92 12% below 42%
Hepatitis C antibody blood test (screening) CPT 86803 Facility Fee HC HEPATITIS C ANTIBODY TEST LAB3172 $73.08 $126.00 $13.98–$115.92 12% below 42%
Hepatitis C antibody blood test (screening) CPT 86803 Facility Fee HC HEP C VIRUS AB W/RFLX TO QUANT REAL-TIME PCR $73.08 $126.00 $13.98–$115.92 12% below 42%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 Facility Fee HC HCV ANTIBODY $73.08 $126.00 $13.98–$115.92 — 42%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 Facility Fee HC HEPATITIS C ANTIBODY TEST LAB3176 $73.08 $126.00 $13.98–$115.92 — 42%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 Facility Fee HC HEPATITIS C ANTIBODY TEST LAB3172 $73.08 $126.00 $13.98–$115.92 — 42%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 Facility Fee HC HEP C VIRUS AB W/RFLX TO QUANT REAL-TIME PCR $73.08 $126.00 $13.98–$115.92 — 42%
Hepatitis C viral load (HCV RNA) test CPT 87522 Facility Fee HC HCV RNA BY PCR, QN RFX GENO $219.39 $378.26 $41.98–$348.00 32% below 42%
Hepatitis C viral load (HCV RNA) test CPT 87522 Facility Fee HC HCV REALTIME ABBOTT $219.39 $378.26 $41.98–$348.00 32% below 42%
Hepatitis C viral load (HCV RNA) test one side CPT 87522 Facility Fee HC HCV RT-PCR, QUANT (NON-GRAPH) $219.39 $378.26 $41.98–$348.00 32% below 42%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Facility Fee HC HCV REALTIME ABBOTT $219.39 $378.26 $41.98–$348.00 — 42%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Facility Fee HC HCV RNA BY PCR, QN RFX GENO $219.39 $378.26 $41.98–$348.00 — 42%
Hepatitis C viral load (HCV RNA) test inpatient one side CPT 87522 Facility Fee HC HCV RT-PCR, QUANT (NON-GRAPH) $219.39 $378.26 $41.98–$348.00 — 42%
Herpes blood test, HSV-1 antibody CPT 86695 Facility Fee HC HERPES SIMPLEX TEST, TYPE 1 LAB3185 $67.55 $116.47 $12.93–$107.15 2% below 42%
Herpes blood test, HSV-1 antibody CPT 86695 Facility Fee HC HERPES SIMPLEX TEST, TYPE 1 LAB6020 $67.55 $116.47 $12.93–$107.15 2% below 42%
Herpes blood test, HSV-1 antibody CPT 86695 Facility Fee HC HERPES SIMPLEX TEST, TYPE 1 LAB3312 $67.55 $116.47 $12.93–$107.15 2% below 42%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 Facility Fee HC HERPES SIMPLEX TEST, TYPE 1 LAB3312 $67.55 $116.47 $12.93–$107.15 — 42%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 Facility Fee HC HERPES SIMPLEX TEST, TYPE 1 LAB3185 $67.55 $116.47 $12.93–$107.15 — 42%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 Facility Fee HC HERPES SIMPLEX TEST, TYPE 1 LAB6020 $67.55 $116.47 $12.93–$107.15 — 42%
Herpes blood test, HSV-2 antibody CPT 86696 Facility Fee HC HERPES SIMPLEX TEST, TYPE 2 LAB3185 $99.09 $170.85 $18.96–$157.18 15% above 42%
Herpes blood test, HSV-2 antibody CPT 86696 Facility Fee HC HERPES SIMPLEX TEST, TYPE 2 LAB3312 $99.09 $170.85 $18.96–$157.18 15% above 42%
Herpes blood test, HSV-2 antibody CPT 86696 Facility Fee HC HERPES SIMPLEX TEST, TYPE 2 LAB6020 $99.09 $170.85 $18.96–$157.18 15% above 42%
Herpes blood test, HSV-2 antibody CPT 86696 Facility Fee HC HSV-2 TYPE SPEC AB, IGG W/RFLX $99.09 $170.85 $18.96–$157.18 15% above 42%
Herpes blood test, HSV-2 antibody CPT 86696 Facility Fee HC HSV-2 IGG RFLX LAB5089 $99.09 $170.85 $18.96–$157.18 15% above 42%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 Facility Fee HC HERPES SIMPLEX TEST, TYPE 2 LAB6020 $99.09 $170.85 $18.96–$157.18 — 42%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 Facility Fee HC HSV-2 IGG RFLX LAB5089 $99.09 $170.85 $18.96–$157.18 — 42%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 Facility Fee HC HERPES SIMPLEX TEST, TYPE 2 LAB3312 $99.09 $170.85 $18.96–$157.18 — 42%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 Facility Fee HC HERPES SIMPLEX TEST, TYPE 2 LAB3185 $99.09 $170.85 $18.96–$157.18 — 42%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 Facility Fee HC HSV-2 TYPE SPEC AB, IGG W/RFLX $99.09 $170.85 $18.96–$157.18 — 42%
High-sensitivity CRP (hs-CRP) test CPT 86141 Facility Fee HC C-REACTIVE PROTEIN, CARDIAC $66.32 $114.35 $12.69–$105.20 2% below 42%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 Facility Fee HC C-REACTIVE PROTEIN, CARDIAC $66.32 $114.35 $12.69–$105.20 — 42%
Homocysteine blood test CPT 83090 Facility Fee HC ASSAY OF HOMOCYSTINE LAB6183 $91.77 $158.22 $17.56–$145.56 22% below 42%
Homocysteine blood test CPT 83090 Facility Fee HC ASSAY OF HOMOCYSTINE LAB3188 $91.77 $158.22 $17.56–$145.56 22% below 42%
Homocysteine blood test CPT 83090 Facility Fee HC HOMOCYST(E)INE, PLASMA $91.77 $158.22 $17.56–$145.56 22% below 42%
Homocysteine blood test inpatient CPT 83090 Facility Fee HC ASSAY OF HOMOCYSTINE LAB6183 $91.77 $158.22 $17.56–$145.56 — 42%
Homocysteine blood test inpatient CPT 83090 Facility Fee HC ASSAY OF HOMOCYSTINE LAB3188 $91.77 $158.22 $17.56–$145.56 — 42%
Homocysteine blood test inpatient CPT 83090 Facility Fee HC HOMOCYST(E)INE, PLASMA $91.77 $158.22 $17.56–$145.56 — 42%
Insulin blood test CPT 83525 Facility Fee HC ASSAY OF INSULIN,TOTAL $58.54 $100.93 $11.20–$92.86 26% below 42%
Insulin blood test inpatient CPT 83525 Facility Fee HC ASSAY OF INSULIN,TOTAL $58.54 $100.93 $11.20–$92.86 — 42%
Iron blood test (serum iron) CPT 83540 Facility Fee HC ASSAY OF IRON $33.15 $57.15 $6.34–$52.58 30% below 42%
Iron blood test (serum iron) CPT 83540 Facility Fee HC IRON, LIVER $33.15 $57.15 $6.34–$52.58 30% below 42%
Iron blood test (serum iron) CPT 83540 Facility Fee HC ASSAY OF IRON LAB3199 $33.15 $57.15 $6.34–$52.58 30% below 42%
Iron blood test (serum iron) CPT 83540 Facility Fee HC IRON, TOTAL-LC $33.15 $57.15 $6.34–$52.58 30% below 42%
Iron blood test (serum iron) inpatient CPT 83540 Facility Fee HC ASSAY OF IRON LAB3199 $33.15 $57.15 $6.34–$52.58 — 42%
Iron blood test (serum iron) inpatient CPT 83540 Facility Fee HC IRON, TOTAL-LC $33.15 $57.15 $6.34–$52.58 — 42%
Iron blood test (serum iron) inpatient CPT 83540 Facility Fee HC ASSAY OF IRON $33.15 $57.15 $6.34–$52.58 — 42%
Iron blood test (serum iron) inpatient CPT 83540 Facility Fee HC IRON, LIVER $33.15 $57.15 $6.34–$52.58 — 42%
Iron-binding capacity (TIBC) test CPT 83550 Facility Fee HC IRON BINDING TEST LAB3199 $44.76 $77.17 $8.57–$71.00 25% below 42%
Iron-binding capacity (TIBC) test CPT 83550 Facility Fee HC IRON BINDING TEST $44.76 $77.17 $8.57–$71.00 25% below 42%
Iron-binding capacity (TIBC) test inpatient CPT 83550 Facility Fee HC IRON BINDING TEST $44.76 $77.17 $8.57–$71.00 — 42%
Iron-binding capacity (TIBC) test inpatient CPT 83550 Facility Fee HC IRON BINDING TEST LAB3199 $44.76 $77.17 $8.57–$71.00 — 42%
Kidney function blood test panel CPT 80069 Facility Fee HC RENAL FUNCTION PANEL $44.45 $76.64 $8.51–$70.51 32% below 42%
Kidney function blood test panel CPT 80069 Facility Fee HC RENAL FUNCTION PANEL-LC $44.45 $76.64 $8.51–$70.51 32% below 42%
Kidney function blood test panel inpatient CPT 80069 Facility Fee HC RENAL FUNCTION PANEL-LC $44.45 $76.64 $8.51–$70.51 — 42%
Kidney function blood test panel inpatient CPT 80069 Facility Fee HC RENAL FUNCTION PANEL $44.45 $76.64 $8.51–$70.51 — 42%
LH (luteinizing hormone) test CPT 83002 Facility Fee HC LUTEINIZING HORMONE(LH), S $94.85 $163.53 $18.15–$150.45 4% above 42%
LH (luteinizing hormone) test inpatient CPT 83002 Facility Fee HC LUTEINIZING HORMONE(LH), S $94.85 $163.53 $18.15–$150.45 — 42%
Lipase blood test (pancreas enzyme) CPT 83690 Facility Fee HC LIPASE, FLUID $35.29 $60.85 $6.75–$55.98 50% below 42%
Lipase blood test (pancreas enzyme) CPT 83690 Facility Fee HC LIPASE-LC $35.29 $60.85 $6.75–$55.98 50% below 42%
Lipase blood test (pancreas enzyme) CPT 83690 Facility Fee HC ASSAY OF LIPASE $35.29 $60.85 $6.75–$55.98 50% below 42%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 Facility Fee HC LIPASE-LC $35.29 $60.85 $6.75–$55.98 — 42%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 Facility Fee HC ASSAY OF LIPASE $35.29 $60.85 $6.75–$55.98 — 42%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 Facility Fee HC LIPASE, FLUID $35.29 $60.85 $6.75–$55.98 — 42%
Liver function blood test panel CPT 80076 Facility Fee HC HEPATIC FUNCTION PANEL $41.85 $72.15 $8.01–$66.38 28% below 42%
Liver function blood test panel CPT 80076 Facility Fee HC HEPATIC FUNCTION PANEL-LC $41.85 $72.15 $8.01–$66.38 28% below 42%
Liver function blood test panel inpatient CPT 80076 Facility Fee HC HEPATIC FUNCTION PANEL-LC $41.85 $72.15 $8.01–$66.38 — 42%
Liver function blood test panel inpatient CPT 80076 Facility Fee HC HEPATIC FUNCTION PANEL $41.85 $72.15 $8.01–$66.38 — 42%
Lyme disease antibody test CPT 86618 Facility Fee HC ABS TO B.BURGDORFERI,ELISA,CSF $87.22 $150.38 $16.69–$138.35 2% below 42%
Lyme disease antibody test CPT 86618 Facility Fee HC LYME, TOTAL AB TEST/REFLEX $87.22 $150.38 $16.69–$138.35 2% below 42%
Lyme disease antibody test inpatient CPT 86618 Facility Fee HC LYME, TOTAL AB TEST/REFLEX $87.22 $150.38 $16.69–$138.35 — 42%
Lyme disease antibody test inpatient CPT 86618 Facility Fee HC ABS TO B.BURGDORFERI,ELISA,CSF $87.22 $150.38 $16.69–$138.35 — 42%
Magnesium blood test CPT 83735 Facility Fee HC ASSAY OF MAGNESIUM $34.32 $59.17 $6.57–$54.44 32% below 42%
Magnesium blood test CPT 83735 Facility Fee HC MAGNESIUM, RBC $34.32 $59.17 $6.57–$54.44 32% below 42%
Magnesium blood test CPT 83735 Facility Fee HC ASSAY OF MAGNESIUM-LC $34.32 $59.17 $6.57–$54.44 32% below 42%
Magnesium blood test CPT 83735 Facility Fee HC MAGNESIUM, U $34.32 $59.17 $6.57–$54.44 32% below 42%
Magnesium blood test inpatient CPT 83735 Facility Fee HC ASSAY OF MAGNESIUM $34.32 $59.17 $6.57–$54.44 — 42%
Magnesium blood test inpatient CPT 83735 Facility Fee HC MAGNESIUM, RBC $34.32 $59.17 $6.57–$54.44 — 42%
Magnesium blood test inpatient CPT 83735 Facility Fee HC ASSAY OF MAGNESIUM-LC $34.32 $59.17 $6.57–$54.44 — 42%
Magnesium blood test inpatient CPT 83735 Facility Fee HC MAGNESIUM, U $34.32 $59.17 $6.57–$54.44 — 42%
Measles (rubeola) antibody test CPT 86765 Facility Fee HC RUBEOLA ANTIBODIES, IGM $65.96 $113.73 $12.62–$104.63 7% below 42%
Measles (rubeola) antibody test CPT 86765 Facility Fee HC RUBEOLA ANTIBODY IGG $65.96 $113.73 $12.62–$104.63 7% below 42%
Measles (rubeola) antibody test CPT 86765 Facility Fee HC ANTIBODY RUBEOLA LAB4903 $65.96 $113.73 $12.62–$104.63 7% below 42%
Measles (rubeola) antibody test inpatient CPT 86765 Facility Fee HC ANTIBODY RUBEOLA LAB4903 $65.96 $113.73 $12.62–$104.63 — 42%
Measles (rubeola) antibody test inpatient CPT 86765 Facility Fee HC RUBEOLA ANTIBODIES, IGM $65.96 $113.73 $12.62–$104.63 — 42%
Measles (rubeola) antibody test inpatient CPT 86765 Facility Fee HC RUBEOLA ANTIBODY IGG $65.96 $113.73 $12.62–$104.63 — 42%
Mono test (heterophile antibody, Monospot) CPT 86308 Facility Fee HC MONONUCLEOSIS TEST, QUAL-LC $92.64 $159.73 $5.08–$146.95 106% above 42%
Mono test (heterophile antibody, Monospot) CPT 86308 Facility Fee HC MONONUCLEOSIS SCREEN $92.64 $159.73 $5.08–$146.95 106% above 42%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Facility Fee HC MONONUCLEOSIS SCREEN $92.64 $159.73 $5.08–$146.95 — 42%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Facility Fee HC MONONUCLEOSIS TEST, QUAL-LC $92.64 $159.73 $5.08–$146.95 — 42%
PSA (prostate-specific antigen) blood test, free CPT 84154 Facility Fee HC FPSA REFLEX RFLX LAB4821 $94.19 $162.39 $18.02–$149.40 1% above 42%
PSA (prostate-specific antigen) blood test, free CPT 84154 Facility Fee HC PROSTATE SPECIFIC ANTIGEN,FREE LAB171 $94.19 $162.39 $18.02–$149.40 1% above 42%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 Facility Fee HC FPSA REFLEX RFLX LAB4821 $94.19 $162.39 $18.02–$149.40 — 42%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 Facility Fee HC PROSTATE SPECIFIC ANTIGEN,FREE LAB171 $94.19 $162.39 $18.02–$149.40 — 42%
PSA (prostate-specific antigen) blood test, total CPT 84153 Facility Fee HC PSA (SERIAL MONITOR) $94.19 $162.39 $18.02–$149.40 8% below 42%
PSA (prostate-specific antigen) blood test, total CPT 84153 Facility Fee HC PROSTATE SPECIFIC ANTIGEN,TOTAL LAB171 $94.19 $162.39 $18.02–$149.40 8% below 42%
PSA (prostate-specific antigen) blood test, total CPT 84153 Facility Fee HC PSA, ULTRASENSITIVE W/O SERIAL $94.19 $162.39 $18.02–$149.40 8% below 42%
PSA (prostate-specific antigen) blood test, total CPT 84153 Facility Fee HC PROSTATE-SPECIFIC AG, SERUM $94.19 $162.39 $18.02–$149.40 8% below 42%
PSA (prostate-specific antigen) blood test, total CPT 84153 Facility Fee HC PSA TOTAL (REFLEX TO FREE) $94.19 $162.39 $18.02–$149.40 8% below 42%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Facility Fee HC PSA TOTAL (REFLEX TO FREE) $94.19 $162.39 $18.02–$149.40 — 42%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Facility Fee HC PSA, ULTRASENSITIVE W/O SERIAL $94.19 $162.39 $18.02–$149.40 — 42%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Facility Fee HC PROSTATE SPECIFIC ANTIGEN,TOTAL LAB171 $94.19 $162.39 $18.02–$149.40 — 42%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Facility Fee HC PSA (SERIAL MONITOR) $94.19 $162.39 $18.02–$149.40 — 42%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Facility Fee HC PROSTATE-SPECIFIC AG, SERUM $94.19 $162.39 $18.02–$149.40 — 42%
Pap test (liquid-based, automated screening with review) CPT 88175 Facility Fee HC CYTOPAT,CER/VAG,THIN LAYER,MAN RES,INTER_LC $136.28 $234.97 $26.08–$216.17 65% above 42%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 Facility Fee HC CYTOPAT,CER/VAG,THIN LAYER,MAN RES,INTER_LC $136.28 $234.97 $26.08–$216.17 — 42%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Facility Fee HC PAP MANUAL TO LABCORP $54.94 $94.72 $19.85–$87.14 24% below 42%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Facility Fee HC CYTOPATH CERV/VAG THIN LAYER $62.91 $108.46 $19.85–$99.78 13% below 42%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 Facility Fee HC PAP MANUAL TO LABCORP $54.94 $94.72 $19.85–$87.14 — 42%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 Facility Fee HC CYTOPATH CERV/VAG THIN LAYER $62.91 $108.46 $19.85–$99.78 — 42%
Parathyroid hormone (PTH) blood test CPT 83970 Facility Fee HC IPTH, PARATHYROID ASPIRATE $211.41 $364.50 $40.45–$335.34 4% below 42%
Parathyroid hormone (PTH) blood test CPT 83970 Facility Fee HC PARATHORMONE (PTH) INTACT $211.41 $364.50 $40.45–$335.34 4% below 42%
Parathyroid hormone (PTH) blood test CPT 83970 Facility Fee HC ASSAY OF PARATHORMONE LAB5026 $211.41 $364.50 $40.45–$335.34 4% below 42%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 Facility Fee HC IPTH, PARATHYROID ASPIRATE $211.41 $364.50 $40.45–$335.34 — 42%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 Facility Fee HC PARATHORMONE (PTH) INTACT $211.41 $364.50 $40.45–$335.34 — 42%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 Facility Fee HC ASSAY OF PARATHORMONE LAB5026 $211.41 $364.50 $40.45–$335.34 — 42%
Partial thromboplastin time (PTT) clotting test CPT 85730 Facility Fee HC THROMBOPLAS TIME PARTIAL $28.00 $48.28 $5.89–$44.42 28% below 42%
Partial thromboplastin time (PTT) clotting test CPT 85730 Facility Fee HC THROMBOPLAS TIME PARTIAL LAB6183 $30.78 $53.07 $5.89–$48.82 21% below 42%
Partial thromboplastin time (PTT) clotting test CPT 85730 Facility Fee HC PTT, ACTIVATED-LC $30.78 $53.07 $5.89–$48.82 21% below 42%
Partial thromboplastin time (PTT) clotting test CPT 85730 Facility Fee HC THROMBOPLAS TIME PARTIAL LAB3188 $30.78 $53.07 $5.89–$48.82 21% below 42%
Partial thromboplastin time (PTT) clotting test CPT 85730 Facility Fee HC THROMBOPLAS TIME PARTIAL LAB6187 $30.78 $53.07 $5.89–$48.82 21% below 42%
Partial thromboplastin time (PTT) clotting test CPT 85730 Facility Fee HC THROMBOPLAS TIME PARTIAL LAB6186 $30.78 $53.07 $5.89–$48.82 21% below 42%
Partial thromboplastin time (PTT) clotting test CPT 85730 Facility Fee HC THROMBOPLAS TIME PARTIAL LAB6188 $30.78 $53.07 $5.89–$48.82 21% below 42%
Partial thromboplastin time (PTT) clotting test CPT 85730 Facility Fee HC THROMBOPLAS TIME PARTIAL LAB4619 $30.78 $53.07 $5.89–$48.82 21% below 42%
Partial thromboplastin time (PTT) clotting test CPT 85730 Facility Fee HC THROMBOPLAS TIME PARTIAL LAB6191 $30.78 $53.07 $5.89–$48.82 21% below 42%
Partial thromboplastin time (PTT) clotting test CPT 85730 Facility Fee HC THROMBOPLAS TIME PARTIAL LAB6190 $30.78 $53.07 $5.89–$48.82 21% below 42%
Partial thromboplastin time (PTT) clotting test CPT 85730 Facility Fee HC THROMBOPLAS TIME PARTIAL LAB6787 $30.78 $53.07 $5.89–$48.82 21% below 42%
Partial thromboplastin time (PTT) clotting test CPT 85730 Facility Fee HC THROMBOPLAS TIME PARTIAL LAB6189 $30.78 $53.07 $5.89–$48.82 21% below 42%
Partial thromboplastin time (PTT) clotting test CPT 85730 Facility Fee HC THROMBOPLAS TIME PARTIAL LAB6180 $30.78 $53.07 $5.89–$48.82 21% below 42%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Facility Fee HC THROMBOPLAS TIME PARTIAL $28.00 $48.28 $5.89–$44.42 — 42%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Facility Fee HC THROMBOPLAS TIME PARTIAL LAB6186 $30.78 $53.07 $5.89–$48.82 — 42%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Facility Fee HC THROMBOPLAS TIME PARTIAL LAB6187 $30.78 $53.07 $5.89–$48.82 — 42%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Facility Fee HC THROMBOPLAS TIME PARTIAL LAB6183 $30.78 $53.07 $5.89–$48.82 — 42%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Facility Fee HC THROMBOPLAS TIME PARTIAL LAB6180 $30.78 $53.07 $5.89–$48.82 — 42%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Facility Fee HC THROMBOPLAS TIME PARTIAL LAB4619 $30.78 $53.07 $5.89–$48.82 — 42%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Facility Fee HC THROMBOPLAS TIME PARTIAL LAB6188 $30.78 $53.07 $5.89–$48.82 — 42%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Facility Fee HC THROMBOPLAS TIME PARTIAL LAB6787 $30.78 $53.07 $5.89–$48.82 — 42%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Facility Fee HC THROMBOPLAS TIME PARTIAL LAB6189 $30.78 $53.07 $5.89–$48.82 — 42%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Facility Fee HC THROMBOPLAS TIME PARTIAL LAB6190 $30.78 $53.07 $5.89–$48.82 — 42%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Facility Fee HC THROMBOPLAS TIME PARTIAL LAB3188 $30.78 $53.07 $5.89–$48.82 — 42%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Facility Fee HC THROMBOPLAS TIME PARTIAL LAB6191 $30.78 $53.07 $5.89–$48.82 — 42%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Facility Fee HC PTT, ACTIVATED-LC $30.78 $53.07 $5.89–$48.82 — 42%
Progesterone blood test CPT 84144 Facility Fee HC ASSAY OF PROGESTERONE $106.82 $184.18 $20.44–$169.45 9% above 42%
Progesterone blood test inpatient CPT 84144 Facility Fee HC ASSAY OF PROGESTERONE $106.82 $184.18 $20.44–$169.45 — 42%
Prolactin blood test CPT 84146 Facility Fee HC PROLACTIN-LC $99.25 $171.12 $18.99–$157.43 1% below 42%
Prolactin blood test CPT 84146 Facility Fee HC ASSAY OF PROLACTIN $99.25 $171.12 $18.99–$157.43 1% below 42%
Prolactin blood test CPT 84146 Facility Fee HC MACROPROLACTIN LAB6273 $99.25 $171.12 $18.99–$157.43 1% below 42%
Prolactin blood test inpatient CPT 84146 Facility Fee HC PROLACTIN-LC $99.25 $171.12 $18.99–$157.43 — 42%
Prolactin blood test inpatient CPT 84146 Facility Fee HC MACROPROLACTIN LAB6273 $99.25 $171.12 $18.99–$157.43 — 42%
Prolactin blood test inpatient CPT 84146 Facility Fee HC ASSAY OF PROLACTIN $99.25 $171.12 $18.99–$157.43 — 42%
Prothrombin time (PT/INR) clotting test CPT 85610 Facility Fee HC PROTHROMBIN TIME LAB478 $21.98 $37.90 $4.20–$34.87 45% below 42%
Prothrombin time (PT/INR) clotting test CPT 85610 Facility Fee HC PROTHROMBIN TIME LAB4619 $21.98 $37.90 $4.20–$34.87 45% below 42%
Prothrombin time (PT/INR) clotting test CPT 85610 Facility Fee HC PROTHROMBIN TIME $21.98 $37.90 $4.20–$34.87 45% below 42%
Prothrombin time (PT/INR) clotting test CPT 85610 Facility Fee HC PROTHROMBIN TIME LAB6180 $21.98 $37.90 $4.20–$34.87 45% below 42%
Prothrombin time (PT/INR) clotting test CPT 85610 Facility Fee HC PROTHROMBIN TIME LAB6187 $21.98 $37.90 $4.20–$34.87 45% below 42%
Prothrombin time (PT/INR) clotting test CPT 85610 Facility Fee HC PROTHROMBIN TIME (PT)-LC $21.98 $37.90 $4.20–$34.87 45% below 42%
Prothrombin time (PT/INR) clotting test CPT 85610 Facility Fee HC PROTHROMBIN TIME LAB3043 $21.98 $37.90 $4.20–$34.87 45% below 42%
Prothrombin time (PT/INR) clotting test CPT 85610 Facility Fee HC PROTHROMBIN TIME LAB6787 $21.99 $37.91 $4.20–$34.88 45% below 42%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Facility Fee HC PROTHROMBIN TIME LAB478 $21.98 $37.90 $4.20–$34.87 — 42%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Facility Fee HC PROTHROMBIN TIME LAB3043 $21.98 $37.90 $4.20–$34.87 — 42%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Facility Fee HC PROTHROMBIN TIME LAB4619 $21.98 $37.90 $4.20–$34.87 — 42%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Facility Fee HC PROTHROMBIN TIME $21.98 $37.90 $4.20–$34.87 — 42%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Facility Fee HC PROTHROMBIN TIME LAB6180 $21.98 $37.90 $4.20–$34.87 — 42%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Facility Fee HC PROTHROMBIN TIME (PT)-LC $21.98 $37.90 $4.20–$34.87 — 42%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Facility Fee HC PROTHROMBIN TIME LAB6187 $21.98 $37.90 $4.20–$34.87 — 42%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Facility Fee HC PROTHROMBIN TIME LAB6787 $21.99 $37.91 $4.20–$34.88 — 42%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Facility Fee HC POCT - DRUG SCREEN URINE (W/THC) $41.08 $70.83 $12.35–$65.16 46% below 42%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Facility Fee HC SVH FENTANYL SCREEN URINE $64.53 $111.26 $12.35–$102.36 14% below 42%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 Facility Fee HC POCT - DRUG SCREEN URINE (W/THC) $41.08 $70.83 $12.35–$65.16 — 42%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 Facility Fee HC SVH FENTANYL SCREEN URINE $64.53 $111.26 $12.35–$102.36 — 42%
Rapid flu test (influenza antigen) CPT 87804 Facility Fee HC INFLUENZA A+B AG, EIA-LC $84.76 $146.14 $16.22–$134.45 27% above 42%
Rapid flu test (influenza antigen) inpatient CPT 87804 Facility Fee HC INFLUENZA A+B AG, EIA-LC $84.76 $146.14 $16.22–$134.45 — 42%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 Facility Fee HC RAPID STREP A SCREEN $84.66 $145.96 $16.20–$134.28 11% above 42%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 Facility Fee HC STREP GP A AG, IA W/REFLEX-LC $84.66 $145.96 $16.20–$134.28 11% above 42%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Facility Fee HC STREP GP A AG, IA W/REFLEX-LC $84.66 $145.96 $16.20–$134.28 — 42%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Facility Fee HC RAPID STREP A SCREEN $84.66 $145.96 $16.20–$134.28 — 42%
Rheumatoid factor (RF) test CPT 86431 Facility Fee HC RHEUMATOID FACTOR, QUANT LAB6263 $29.05 $50.08 $5.56–$46.07 19% below 42%
Rheumatoid factor (RF) test CPT 86431 Facility Fee HC RHEUMATOID ARTHRITIS FACTOR $29.05 $50.08 $5.56–$46.07 19% below 42%
Rheumatoid factor (RF) test CPT 86431 Facility Fee HC RHEUMATOID FACTOR, QUANT LAB6262 $29.05 $50.08 $5.56–$46.07 19% below 42%
Rheumatoid factor (RF) test CPT 86431 Facility Fee HC RHEUMATOID FACTOR ISOTYPES, IGG, IGA, & IGM BY EIA $29.05 $50.08 $5.56–$46.07 19% below 42%
Rheumatoid factor (RF) test inpatient CPT 86431 Facility Fee HC RHEUMATOID FACTOR, QUANT LAB6262 $29.05 $50.08 $5.56–$46.07 — 42%
Rheumatoid factor (RF) test inpatient CPT 86431 Facility Fee HC RHEUMATOID FACTOR ISOTYPES, IGG, IGA, & IGM BY EIA $29.05 $50.08 $5.56–$46.07 — 42%
Rheumatoid factor (RF) test inpatient CPT 86431 Facility Fee HC RHEUMATOID ARTHRITIS FACTOR $29.05 $50.08 $5.56–$46.07 — 42%
Rheumatoid factor (RF) test inpatient CPT 86431 Facility Fee HC RHEUMATOID FACTOR, QUANT LAB6263 $29.05 $50.08 $5.56–$46.07 — 42%
Rubella antibody test (immunity check) CPT 86762 Facility Fee HC ANTIBODY RUBELLA LAB3312 $73.70 $127.07 $14.10–$116.90 8% above 42%
Rubella antibody test (immunity check) CPT 86762 Facility Fee HC RUBELLA ANTIBODIES, IGG $73.70 $127.07 $14.10–$116.90 8% above 42%
Rubella antibody test (immunity check) CPT 86762 Facility Fee HC RUBELLA ANTIBODIES, IGM $73.70 $127.07 $14.10–$116.90 8% above 42%
Rubella antibody test (immunity check) CPT 86762 Facility Fee HC ANTIBODY RUBELLA LAB4903 $73.70 $127.07 $14.10–$116.90 8% above 42%
Rubella antibody test (immunity check) inpatient CPT 86762 Facility Fee HC ANTIBODY RUBELLA LAB3312 $73.70 $127.07 $14.10–$116.90 — 42%
Rubella antibody test (immunity check) inpatient CPT 86762 Facility Fee HC ANTIBODY RUBELLA LAB4903 $73.70 $127.07 $14.10–$116.90 — 42%
Rubella antibody test (immunity check) inpatient CPT 86762 Facility Fee HC RUBELLA ANTIBODIES, IGG $73.70 $127.07 $14.10–$116.90 — 42%
Rubella antibody test (immunity check) inpatient CPT 86762 Facility Fee HC RUBELLA ANTIBODIES, IGM $73.70 $127.07 $14.10–$116.90 — 42%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Facility Fee HC SEDIMENTATION RATE -LC $13.83 $23.85 $2.65–$21.94 50% below 42%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 Facility Fee HC SEDIMENTATION RATE -LC $13.83 $23.85 $2.65–$21.94 — 42%
Stool ova and parasites exam CPT 87177 Facility Fee HC OVA AND PARASITES SMEARS LAB955 $45.58 $78.59 $8.72–$72.30 20% below 42%
Stool ova and parasites exam CPT 87177 Facility Fee HC OVA AND PARASITES SMEARS $45.58 $78.59 $8.72–$72.30 20% below 42%
Stool ova and parasites exam CPT 87177 Facility Fee HC OVA AND PARASITES SMEARS RFLX LAB6320 $45.58 $78.59 $8.72–$72.30 20% below 42%
Stool ova and parasites exam inpatient CPT 87177 Facility Fee HC OVA AND PARASITES SMEARS $45.58 $78.59 $8.72–$72.30 — 42%
Stool ova and parasites exam inpatient CPT 87177 Facility Fee HC OVA AND PARASITES SMEARS LAB955 $45.58 $78.59 $8.72–$72.30 — 42%
Stool ova and parasites exam inpatient CPT 87177 Facility Fee HC OVA AND PARASITES SMEARS RFLX LAB6320 $45.58 $78.59 $8.72–$72.30 — 42%
Stool test for hidden blood (guaiac FOBT) CPT 82270 Facility Fee HC SVH HEMOCCULT $22.44 $38.69 $4.29–$35.59 18% below 42%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Facility Fee HC SVH HEMOCCULT $22.44 $38.69 $4.29–$35.59 — 42%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 Facility Fee HC SVH HEMOCCULT FIT $81.52 $140.56 $15.60–$129.32 8% above 42%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 Facility Fee HC OCCULT BLOOD STOOL IFOBT $81.52 $140.56 $15.60–$129.32 8% above 42%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Facility Fee HC SVH HEMOCCULT FIT $81.52 $140.56 $15.60–$129.32 — 42%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Facility Fee HC OCCULT BLOOD STOOL IFOBT $81.52 $140.56 $15.60–$129.32 — 42%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Facility Fee HC VDRL CSF $21.87 $37.71 $4.18–$34.69 19% below 42%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Facility Fee HC RPR RFLX LAB4775 $21.87 $37.71 $4.18–$34.69 19% below 42%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Facility Fee HC RPR, RFX QN RPR/CONFIRM TP $21.87 $37.71 $4.18–$34.69 19% below 42%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Facility Fee HC RPR, RFX QN RPR/CONFIRM TP $21.87 $37.71 $4.18–$34.69 — 42%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Facility Fee HC RPR RFLX LAB4775 $21.87 $37.71 $4.18–$34.69 — 42%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Facility Fee HC VDRL CSF $21.87 $37.71 $4.18–$34.69 — 42%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Facility Fee HC QUANTIFERON TB GOLD-LC $317.42 $547.27 $60.74–$503.49 54% above 42%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 Facility Fee HC QUANTIFERON TB GOLD-LC $317.42 $547.27 $60.74–$503.49 — 42%
Testosterone blood test, total (not free testosterone) CPT 84403 Facility Fee HC ASSAY OF TOTAL TESTOSTERONE LAB6158 $132.19 $227.91 $25.29–$209.68 12% above 42%
Testosterone blood test, total (not free testosterone) CPT 84403 Facility Fee HC TESTOSTERONE, SERUM (TOTAL) $132.19 $227.91 $25.29–$209.68 12% above 42%
Testosterone blood test, total (not free testosterone) CPT 84403 Facility Fee HC ASSAY OF TOTAL TESTOSTERONE LAB173 $132.19 $227.91 $25.29–$209.68 12% above 42%
Testosterone blood test, total (not free testosterone) CPT 84403 Facility Fee HC TESTOSTERONE, TOTAL, LC/MS $132.19 $227.91 $25.29–$209.68 12% above 42%
Testosterone blood test, total (not free testosterone) CPT 84403 Facility Fee HC TESTOSTERONE; TOTAL $132.19 $227.91 $25.29–$209.68 12% above 42%
Testosterone blood test, total (not free testosterone) CPT 84403 Facility Fee HC ASSAY OF TOTAL TESTOSTERONE LAB6169 $132.19 $227.91 $25.29–$209.68 12% above 42%
Testosterone blood test, total (not free testosterone) CPT 84403 Facility Fee HC ASSAY OF TOTAL TESTOSTERONE LAB6164 $132.19 $227.91 $25.29–$209.68 12% above 42%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Facility Fee HC ASSAY OF TOTAL TESTOSTERONE LAB173 $132.19 $227.91 $25.29–$209.68 — 42%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Facility Fee HC TESTOSTERONE; TOTAL $132.19 $227.91 $25.29–$209.68 — 42%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Facility Fee HC ASSAY OF TOTAL TESTOSTERONE LAB6164 $132.19 $227.91 $25.29–$209.68 — 42%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Facility Fee HC ASSAY OF TOTAL TESTOSTERONE LAB6169 $132.19 $227.91 $25.29–$209.68 — 42%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Facility Fee HC ASSAY OF TOTAL TESTOSTERONE LAB6158 $132.19 $227.91 $25.29–$209.68 — 42%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Facility Fee HC TESTOSTERONE, TOTAL, LC/MS $132.19 $227.91 $25.29–$209.68 — 42%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Facility Fee HC TESTOSTERONE, SERUM (TOTAL) $132.19 $227.91 $25.29–$209.68 — 42%
Thyroid peroxidase (TPO) antibody test CPT 86376 Facility Fee HC MICROSOMAL ANTIBODY LAB6263 $74.52 $128.48 $14.26–$118.20 4% below 42%
Thyroid peroxidase (TPO) antibody test CPT 86376 Facility Fee HC MICROSOMAL ANTIBODY LAB3309 $74.52 $128.48 $14.26–$118.20 4% below 42%
Thyroid peroxidase (TPO) antibody test CPT 86376 Facility Fee HC LIVER-KIDNEY MICROSOMAL AB $74.52 $128.48 $14.26–$118.20 4% below 42%
Thyroid peroxidase (TPO) antibody test CPT 86376 Facility Fee HC THYROID PEROXIDASE (TPO) AB $74.52 $128.48 $14.26–$118.20 4% below 42%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Facility Fee HC MICROSOMAL ANTIBODY LAB6263 $74.52 $128.48 $14.26–$118.20 — 42%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Facility Fee HC THYROID PEROXIDASE (TPO) AB $74.52 $128.48 $14.26–$118.20 — 42%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Facility Fee HC LIVER-KIDNEY MICROSOMAL AB $74.52 $128.48 $14.26–$118.20 — 42%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Facility Fee HC MICROSOMAL ANTIBODY LAB3309 $74.52 $128.48 $14.26–$118.20 — 42%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Facility Fee HC ASSAY THYROID STIM HORMONE $86.04 $148.34 $16.46–$136.47 18% below 42%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Facility Fee HC THYROID STIMULATING HORMONE REFLEX-LC $86.04 $148.34 $16.46–$136.47 18% below 42%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Facility Fee HC TSH-LC $86.04 $148.34 $16.46–$136.47 18% below 42%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Facility Fee HC THYROID STIMULATING HORMONE REFLEX-LC $86.04 $148.34 $16.46–$136.47 — 42%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Facility Fee HC ASSAY THYROID STIM HORMONE $86.04 $148.34 $16.46–$136.47 — 42%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Facility Fee HC TSH-LC $86.04 $148.34 $16.46–$136.47 — 42%
Trichomonas test (NAAT) CPT 87661 Facility Fee HC SVH IADNA TRICHOMONAS VAGINALIS AMPLIFIED PROBE TECH LAB6406 $108.96 $187.86 $34.39–$172.83 at median 42%
Trichomonas test (NAAT) CPT 87661 Facility Fee HC IADNA TRICHOMONAS VAGINALIS AMP PROBE LAB5086 $255.58 $440.66 $34.39–$405.41 135% above 42%
Trichomonas test (NAAT) CPT 87661 Facility Fee HC IADNA TRICHOMONAS VAGINALIS AMPLIFIED PROBE TECH LAB6237 $255.58 $440.66 $34.39–$405.41 135% above 42%
Trichomonas test (NAAT) CPT 87661 Facility Fee HC TRICHOMONAS VAGINALIS_LC $255.58 $440.66 $34.39–$405.41 135% above 42%
Trichomonas test (NAAT) CPT 87661 Facility Fee HC IADNA TRICHOMONAS VAGINALIS AMPLIFIED PROBE LAB6673 $255.58 $440.66 $34.39–$405.41 135% above 42%
Trichomonas test (NAAT) CPT 87661 Facility Fee HC IADNA TRICHOMONAS VAGINALIS AMP PROBE LAB5087 $255.58 $440.66 $34.39–$405.41 135% above 42%
Trichomonas test (NAAT) CPT 87661 Facility Fee HC SVH IADNA TRICHOMONAS VAGINALIS AMP PROBE LAB6456 $255.58 $440.66 $34.39–$405.41 135% above 42%
Trichomonas test (NAAT) CPT 87661 Facility Fee HC IADNA TRICHOMONAS VAGINALIS AMP PROBE LAB5084 $255.58 $440.66 $34.39–$405.41 135% above 42%
Trichomonas test (NAAT) CPT 87661 Facility Fee HC IADNA TRICHOMONAS VAGINALIS AMP PROBE LAB5085 $255.58 $440.66 $34.39–$405.41 135% above 42%
Trichomonas test (NAAT) inpatient CPT 87661 Facility Fee HC SVH IADNA TRICHOMONAS VAGINALIS AMPLIFIED PROBE TECH LAB6406 $108.96 $187.86 $34.39–$172.83 — 42%
Trichomonas test (NAAT) inpatient CPT 87661 Facility Fee HC IADNA TRICHOMONAS VAGINALIS AMP PROBE LAB5085 $255.58 $440.66 $34.39–$405.41 — 42%
Trichomonas test (NAAT) inpatient CPT 87661 Facility Fee HC IADNA TRICHOMONAS VAGINALIS AMPLIFIED PROBE LAB6673 $255.58 $440.66 $34.39–$405.41 — 42%
Trichomonas test (NAAT) inpatient CPT 87661 Facility Fee HC SVH IADNA TRICHOMONAS VAGINALIS AMP PROBE LAB6456 $255.58 $440.66 $34.39–$405.41 — 42%
Trichomonas test (NAAT) inpatient CPT 87661 Facility Fee HC TRICHOMONAS VAGINALIS_LC $255.58 $440.66 $34.39–$405.41 — 42%
Trichomonas test (NAAT) inpatient CPT 87661 Facility Fee HC IADNA TRICHOMONAS VAGINALIS AMPLIFIED PROBE TECH LAB6237 $255.58 $440.66 $34.39–$405.41 — 42%
Trichomonas test (NAAT) inpatient CPT 87661 Facility Fee HC IADNA TRICHOMONAS VAGINALIS AMP PROBE LAB5087 $255.58 $440.66 $34.39–$405.41 — 42%
Trichomonas test (NAAT) inpatient CPT 87661 Facility Fee HC IADNA TRICHOMONAS VAGINALIS AMP PROBE LAB5086 $255.58 $440.66 $34.39–$405.41 — 42%
Trichomonas test (NAAT) inpatient CPT 87661 Facility Fee HC IADNA TRICHOMONAS VAGINALIS AMP PROBE LAB5084 $255.58 $440.66 $34.39–$405.41 — 42%
Uric acid blood test CPT 84550 Facility Fee HC ASSAY OF URIC ACID, BLOOD-LC $23.15 $39.92 $4.43–$36.73 36% below 42%
Uric acid blood test CPT 84550 Facility Fee HC ASSAY OF URIC ACID, BLOOD $23.15 $39.92 $4.43–$36.73 36% below 42%
Uric acid blood test inpatient CPT 84550 Facility Fee HC ASSAY OF URIC ACID, BLOOD-LC $23.15 $39.92 $4.43–$36.73 — 42%
Uric acid blood test inpatient CPT 84550 Facility Fee HC ASSAY OF URIC ACID, BLOOD $23.15 $39.92 $4.43–$36.73 — 42%
Urinalysis with microscope exam, automated CPT 81001 Facility Fee HC URINALYSIS, COMPLETE $16.23 $27.99 $3.11–$25.75 55% below 42%
Urinalysis with microscope exam, automated CPT 81001 Facility Fee HC URINALYSIS WITH MICROSCOPY $16.23 $27.99 $3.11–$25.75 55% below 42%
Urinalysis with microscope exam, automated CPT 81001 Facility Fee HC URINALYSIS, AUTO, W/SCOPE-LC $16.23 $27.99 $3.11–$25.75 55% below 42%
Urinalysis with microscope exam, automated CPT 81001 Facility Fee HC URINALYSIS, COMPLETE WITH MICROSCOPIC, WITH REFLEX TO CULTURE- $16.23 $27.99 $3.11–$25.75 55% below 42%
Urinalysis with microscope exam, automated inpatient CPT 81001 Facility Fee HC URINALYSIS, AUTO, W/SCOPE-LC $16.23 $27.99 $3.11–$25.75 — 42%
Urinalysis with microscope exam, automated inpatient CPT 81001 Facility Fee HC URINALYSIS, COMPLETE WITH MICROSCOPIC, WITH REFLEX TO CULTURE- $16.23 $27.99 $3.11–$25.75 — 42%
Urinalysis with microscope exam, automated inpatient CPT 81001 Facility Fee HC URINALYSIS, COMPLETE $16.23 $27.99 $3.11–$25.75 — 42%
Urinalysis with microscope exam, automated inpatient CPT 81001 Facility Fee HC URINALYSIS WITH MICROSCOPY $16.23 $27.99 $3.11–$25.75 — 42%
Urinalysis without microscope exam, automated CPT 81003 Facility Fee HC URINALYSIS DIPSTICK ONLY NO CULTURE $11.53 $19.88 $2.20–$18.29 58% below 42%
Urinalysis without microscope exam, automated inpatient CPT 81003 Facility Fee HC URINALYSIS DIPSTICK ONLY NO CULTURE $11.53 $19.88 $2.20–$18.29 — 42%
Urine culture for bacteria, with colony count CPT 87086 Facility Fee HC CULTURE URINE COLONY COUNT $41.33 $71.26 $7.91–$65.56 45% below 42%
Urine culture for bacteria, with colony count CPT 87086 Facility Fee HC CULTURE URINE-LC $41.33 $71.26 $7.91–$65.56 45% below 42%
Urine culture for bacteria, with colony count inpatient CPT 87086 Facility Fee HC CULTURE URINE-LC $41.33 $71.26 $7.91–$65.56 — 42%
Urine culture for bacteria, with colony count inpatient CPT 87086 Facility Fee HC CULTURE URINE COLONY COUNT $41.33 $71.26 $7.91–$65.56 — 42%
Urine pregnancy test, read by color change CPT 81025 Facility Fee HC POCT - PREGNANCY SCREEN, URINE $44.10 $76.04 $8.44–$69.96 8% below 42%
Urine pregnancy test, read by color change inpatient CPT 81025 Facility Fee HC POCT - PREGNANCY SCREEN, URINE $44.10 $76.04 $8.44–$69.96 — 42%
Vitamin B12 (cobalamin) blood test CPT 82607 Facility Fee HC VITAMIN B-12 $77.23 $133.16 $14.78–$122.51 25% below 42%
Vitamin B12 (cobalamin) blood test CPT 82607 Facility Fee HC VITAMIN B12-LC $77.23 $133.16 $14.78–$122.51 25% below 42%
Vitamin B12 (cobalamin) blood test CPT 82607 Facility Fee HC VITAMIN B-12 LAB3323 $77.23 $133.16 $14.78–$122.51 25% below 42%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Facility Fee HC VITAMIN B-12 $77.23 $133.16 $14.78–$122.51 — 42%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Facility Fee HC VITAMIN B12-LC $77.23 $133.16 $14.78–$122.51 — 42%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Facility Fee HC VITAMIN B-12 LAB3323 $77.23 $133.16 $14.78–$122.51 — 42%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Facility Fee HC 25-HYDROXYVITAMIN D LCMS D2+D3 $151.59 $261.37 $29.01–$240.46 10% above 42%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Facility Fee HC VITAMIN D 25 HYDROXY $151.59 $261.37 $29.01–$240.46 10% above 42%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Facility Fee HC VITAMIN D, 25-HYDROXY $151.59 $261.37 $29.01–$240.46 10% above 42%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Facility Fee HC VITAMIN D, 25-HYDROXY $151.59 $261.37 $29.01–$240.46 — 42%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Facility Fee HC 25-HYDROXYVITAMIN D LCMS D2+D3 $151.59 $261.37 $29.01–$240.46 — 42%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Facility Fee HC VITAMIN D 25 HYDROXY $151.59 $261.37 $29.01–$240.46 — 42%
Zinc blood test CPT 84630 Facility Fee HC ZINC, PLASMA OR SERUM $58.33 $100.57 $11.16–$92.52 18% below 42%
Zinc blood test inpatient CPT 84630 Facility Fee HC ZINC, PLASMA OR SERUM $58.33 $100.57 $11.16–$92.52 — 42%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Facility Fee HC CHORIONIC GONADOTROPIN, QUANT LAB5060 $77.08 $132.90 $14.75–$122.27 29% below 42%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Facility Fee HC CHORIONIC GONADOTROPIN, QUANT $77.08 $132.90 $14.75–$122.27 29% below 42%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Facility Fee HC HCG,TUMOR MARKER $77.08 $132.90 $14.75–$122.27 29% below 42%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Facility Fee HC HCG,BETA SUBUNIT, QNT, SERUM-LC $77.08 $132.90 $14.75–$122.27 29% below 42%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Facility Fee HC CHORIONIC GONADOTROPIN, QUANT LAB6154 $77.08 $132.90 $14.75–$122.27 29% below 42%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Facility Fee HC CHORIONIC GONADOTROPIN, QUANT LAB6153 $77.08 $132.90 $14.75–$122.27 29% below 42%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Facility Fee HC CHORIONIC GONADOTROPIN, QUANT LAB6152 $77.08 $132.90 $14.75–$122.27 29% below 42%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Facility Fee HC CHORIONIC GONADOTROPIN, QUANT $77.08 $132.90 $14.75–$122.27 — 42%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Facility Fee HC CHORIONIC GONADOTROPIN, QUANT LAB6152 $77.08 $132.90 $14.75–$122.27 — 42%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Facility Fee HC CHORIONIC GONADOTROPIN, QUANT LAB6153 $77.08 $132.90 $14.75–$122.27 — 42%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Facility Fee HC CHORIONIC GONADOTROPIN, QUANT LAB6154 $77.08 $132.90 $14.75–$122.27 — 42%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Facility Fee HC HCG,BETA SUBUNIT, QNT, SERUM-LC $77.08 $132.90 $14.75–$122.27 — 42%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Facility Fee HC HCG,TUMOR MARKER $77.08 $132.90 $14.75–$122.27 — 42%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Facility Fee HC CHORIONIC GONADOTROPIN, QUANT LAB5060 $77.08 $132.90 $14.75–$122.27 — 42%

Surgery and procedures

ProcedureCash price List priceInsurers payvs WashingtonOff list
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 PB HOSPITAL PRO FEE PR CLTX DSTL FIBULAR FX LAT MALLS W/O MANJ $659.88 $1,137.72 $194.39–$910.18 1% below 42%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 Facility Fee HC CL TX DIST FIB FX WO MANIP $1,228.39 $2,117.91 $396.63–$1,948.48 84% above 42%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 PB HOSPITAL PRO FEE PR CLTX DSTL FIBULAR FX LAT MALLS W/O MANJ $659.88 $1,137.72 $194.39–$910.18 — 42%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 Facility Fee HC CL TX DIST FIB FX WO MANIP $1,228.39 $2,117.91 $396.63–$1,948.48 — 42%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 PB HOSPITAL PRO FEE PR CLTX METATARSAL FRACTURE W/O MANIPULATION EACH $473.01 $815.53 $134.58–$652.42 15% below 42%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 Facility Fee HC CL TX METATARSAL FX WO MANIP EA $638.28 $1,100.48 $269.79–$1,012.44 15% above 42%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 PB HOSPITAL PRO FEE PR CLTX METATARSAL FRACTURE W/O MANIPULATION EACH $473.01 $815.53 $134.58–$652.42 — 42%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 Facility Fee HC CL TX METATARSAL FX WO MANIP EA $638.28 $1,100.48 $269.79–$1,012.44 — 42%
Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 PB HOSPITAL PRO FEE PR CORRJ HLX VLGS BNCTY SESMDC DSTL METAR OSTEOT $1,587.12 $2,736.42 $932.57–$2,189.14 68% below 42%
Bunion correction with a bone cut near the head of the first metatarsal inpatient CPT 28296 PB HOSPITAL PRO FEE PR CORRJ HLX VLGS BNCTY SESMDC DSTL METAR OSTEOT $1,587.12 $2,736.42 $932.57–$2,189.14 — 42%
Cardioversion, elective (restoring heart rhythm) CPT 92960 PB HOSPITAL PRO FEE PR CARDIOVERSION ELECTIVE ARRHYTHMIA EXTERNAL $350.90 $605.00 $89.72–$484.00 65% below 42%
Cardioversion, elective (restoring heart rhythm) CPT 92960 Facility Fee HC CARDIOVERSION EXTERNAL $1,096.33 $1,890.23 $172.65–$1,739.01 9% above 42%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 PB HOSPITAL PRO FEE PR CARDIOVERSION ELECTIVE ARRHYTHMIA EXTERNAL $350.90 $605.00 $89.72–$484.00 — 42%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Facility Fee HC CARDIOVERSION EXTERNAL $1,096.33 $1,890.23 $172.65–$1,739.01 — 42%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 PB HOSPITAL PRO FEE PR CLTX DSTL RADIAL FX/EPIPHYSL SEP W/O MNPJ $600.27 $1,034.95 $213.08–$827.96 1% above 42%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Facility Fee HC CL TX DIST RADIAL FX WO MANIP $1,505.58 $2,595.83 $440.40–$2,388.16 154% above 42%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 PB HOSPITAL PRO FEE PR CLTX DSTL RADIAL FX/EPIPHYSL SEP W/O MNPJ $600.27 $1,034.95 $213.08–$827.96 — 42%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 Facility Fee HC CL TX DIST RADIAL FX WO MANIP $1,505.58 $2,595.83 $440.40–$2,388.16 — 42%
Colonoscopy with polyp removal CPT 45385 PB HOSPITAL PRO FEE PR COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ $870.55 $1,500.94 $265.23–$1,200.75 44% below 42%
Colonoscopy with polyp removal CPT 45385 Facility Fee HC 45385 COLON SNARE $2,348.34 $4,048.87 $568.56–$3,724.96 50% above 42%
Colonoscopy with polyp removal inpatient CPT 45385 PB HOSPITAL PRO FEE PR COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ $870.55 $1,500.94 $265.23–$1,200.75 — 42%
Colonoscopy with polyp removal inpatient CPT 45385 Facility Fee HC 45385 COLON SNARE $2,348.34 $4,048.87 $568.56–$3,724.96 — 42%
Colonoscopy with tissue sample CPT 45380 PB HOSPITAL PRO FEE PR COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE $732.16 $1,262.35 $254.01–$1,009.88 58% below 42%
Colonoscopy with tissue sample CPT 45380 Facility Fee HC 45380 COLON BIOPSY $1,986.31 $3,424.68 $551.41–$3,150.71 14% above 42%
Colonoscopy with tissue sample inpatient CPT 45380 PB HOSPITAL PRO FEE PR COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE $732.16 $1,262.35 $254.01–$1,009.88 — 42%
Colonoscopy with tissue sample inpatient CPT 45380 Facility Fee HC 45380 COLON BIOPSY $1,986.31 $3,424.68 $551.41–$3,150.71 — 42%
Colonoscopy, diagnostic CPT 45378 PB HOSPITAL PRO FEE PR COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD $613.36 $1,057.51 $199.81–$846.01 62% below 42%
Colonoscopy, diagnostic CPT 45378 Facility Fee HC 45378 COLON DIAG/BRUSHING $2,492.62 $4,297.62 $430.72–$3,953.81 53% above 42%
Colonoscopy, diagnostic inpatient CPT 45378 PB HOSPITAL PRO FEE PR COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD $613.36 $1,057.51 $199.81–$846.01 — 42%
Colonoscopy, diagnostic inpatient CPT 45378 Facility Fee HC 45378 COLON DIAG/BRUSHING $2,492.62 $4,297.62 $430.72–$3,953.81 — 42%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 PB HOSPITAL PRO FEE PR DESTRUCTION PREMALIGNANT LESION 1ST $116.63 $201.08 $40.75–$160.86 37% below 42%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 PB HOSPITAL PRO FEE PR DESTRUCTION PREMALIGNANT LESION 1ST $116.63 $201.08 $40.75–$160.86 — 42%
Earwax removal by irrigation (rinsing), one ear CPT 69209 Facility Fee HC REM IMPACT CERUMEN/LAVAGE, UNI $133.46 $230.10 $20.34–$230.10 19% above 42%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 Facility Fee HC REM IMPACT CERUMEN/LAVAGE, UNI $133.46 $230.10 $20.34–$230.10 — 42%
Earwax removal with instruments, one ear CPT 69210 Facility Fee HC REM IMPACT CERUMEN INST, UNI $146.81 $253.12 $53.08–$253.12 14% below 42%
Earwax removal with instruments, one ear one side CPT 69210 PB HOSPITAL PRO FEE PR REMOVAL IMPACTED CERUMEN INSTRUMENTATION UNILAT $87.39 $150.67 $28.22–$120.54 49% below 42%
Earwax removal with instruments, one ear inpatient CPT 69210 Facility Fee HC REM IMPACT CERUMEN INST, UNI $146.81 $253.12 $53.08–$253.12 — 42%
Earwax removal with instruments, one ear inpatient one side CPT 69210 PB HOSPITAL PRO FEE PR REMOVAL IMPACTED CERUMEN INSTRUMENTATION UNILAT $87.39 $150.67 $28.22–$120.54 — 42%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 PB HOSPITAL PRO FEE PR SIGMOIDOSCOPY FLX DX W/COLLJ SPEC BR/WA IF PFRMD $395.47 $681.84 $111.77–$545.47 60% below 42%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Facility Fee HC 45330 FLEX SIG DIAG/BRUSHING $918.74 $1,584.03 $252.29–$1,457.31 8% below 42%
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 PB HOSPITAL PRO FEE PR SIGMOIDOSCOPY FLX DX W/COLLJ SPEC BR/WA IF PFRMD $395.47 $681.84 $111.77–$545.47 — 42%
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 Facility Fee HC 45330 FLEX SIG DIAG/BRUSHING $918.74 $1,584.03 $252.29–$1,457.31 — 42%
Hammertoe correction surgery CPT 28285 PB HOSPITAL PRO FEE PR CORRECTION HAMMERTOE $803.60 $1,385.52 $532.11–$1,108.42 59% below 42%
Hammertoe correction surgery inpatient CPT 28285 PB HOSPITAL PRO FEE PR CORRECTION HAMMERTOE $803.60 $1,385.52 $532.11–$1,108.42 — 42%
Incision and drainage of a simple or single skin abscess CPT 10060 PB HOSPITAL PRO FEE PR INCISION & DRAINAGE ABSCESS SIMPLE/SINGLE $219.14 $377.83 $75.89–$302.26 41% below 42%
Incision and drainage of a simple or single skin abscess CPT 10060 Facility Fee HC I&D ABSCESS SIMPLE OR SINGLE $504.08 $869.10 $145.99–$799.57 37% above 42%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 PB HOSPITAL PRO FEE PR INCISION & DRAINAGE ABSCESS SIMPLE/SINGLE $219.14 $377.83 $75.89–$302.26 — 42%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 Facility Fee HC I&D ABSCESS SIMPLE OR SINGLE $504.08 $869.10 $145.99–$799.57 — 42%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 PB HOSPITAL PRO FEE PR INJECTION 1 TENDON SHEATH/LIGAMENT APONEUROSIS $102.51 $176.74 $34.20–$141.39 61% below 42%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Facility Fee HC INJ SGL TENDON SHEATH/LIGAMENT $402.37 $693.74 $67.26–$638.24 53% above 42%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 PB HOSPITAL PRO FEE PR INJECTION 1 TENDON SHEATH/LIGAMENT APONEUROSIS $102.51 $176.74 $34.20–$141.39 — 42%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 Facility Fee HC INJ SGL TENDON SHEATH/LIGAMENT $402.37 $693.74 $67.26–$638.24 — 42%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 PB HOSPITAL PRO FEE PR ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US $128.26 $221.14 $38.13–$176.91 74% below 42%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Facility Fee HC 20610 ARTHROCENTESIS MJR JT/BURSA $465.43 $802.47 $76.53–$738.27 4% below 42%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 PB HOSPITAL PRO FEE PR ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US $128.26 $221.14 $38.13–$176.91 — 42%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Facility Fee HC 20610 ARTHROCENTESIS MJR JT/BURSA $465.43 $802.47 $76.53–$738.27 — 42%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 PB HOSPITAL PRO FEE PR ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US $109.58 $188.93 $32.34–$151.14 76% below 42%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Facility Fee HC ARTHROCENTESIS INTMD JT/BURSA $465.43 $802.47 $63.78–$738.27 at median 42%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 PB HOSPITAL PRO FEE PR ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US $109.58 $188.93 $32.34–$151.14 — 42%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Facility Fee HC ARTHROCENTESIS INTMD JT/BURSA $465.43 $802.47 $63.78–$738.27 — 42%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 PB HOSPITAL PRO FEE PR ARTHROCENTESIS ASPIR&/INJ SMALL JT/BURSA W/O US $104.51 $180.19 $31.78–$144.15 73% below 42%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Facility Fee HC ARTHROCENTESIS SM JT/BURSA $402.37 $693.74 $62.69–$638.24 5% above 42%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 PB HOSPITAL PRO FEE PR ARTHROCENTESIS ASPIR&/INJ SMALL JT/BURSA W/O US $104.51 $180.19 $31.78–$144.15 — 42%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Facility Fee HC ARTHROCENTESIS SM JT/BURSA $402.37 $693.74 $62.69–$638.24 — 42%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Facility Fee HC LAYER CLOSE SCLP TRNK <=2.5CM $343.58 $592.38 $249.63–$544.99 46% below 42%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 PB HOSPITAL PRO FEE PR REPAIR INTERMEDIATE S/A/T/E 2.5 CM/< $354.92 $611.93 $155.51–$489.54 44% below 42%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 Facility Fee HC LAYER CLOSE SCLP TRNK <=2.5CM $343.58 $592.38 $249.63–$544.99 — 42%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 PB HOSPITAL PRO FEE PR REPAIR INTERMEDIATE S/A/T/E 2.5 CM/< $354.92 $611.93 $155.51–$489.54 — 42%
Lower-back epidural injection, without imaging guidance CPT 62322 PB HOSPITAL PRO FEE PR NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN $116.96 $201.66 $77.57–$201.66 90% below 42%
Lower-back epidural injection, without imaging guidance CPT 62322 Facility Fee HC 62322 INJ INTERLAMINAR LUMB/SAC W/O IMAGING $231.18 $398.59 $164.35–$398.59 80% below 42%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 PB HOSPITAL PRO FEE PR NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN $116.96 $201.66 $77.57–$201.66 — 42%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 Facility Fee HC 62322 INJ INTERLAMINAR LUMB/SAC W/O IMAGING $231.18 $398.59 $164.35–$398.59 — 42%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 PB HOSPITAL PRO FEE PR EXC B9 LESION MRGN XCP SK TG T/A/L 0.5 CM/< $217.19 $374.47 $76.45–$299.58 70% below 42%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Facility Fee HC EXC BGN LES TRNK ARM LEG <=0.5CM $796.27 $1,372.88 $147.25–$1,263.05 10% above 42%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 PB HOSPITAL PRO FEE PR EXC B9 LESION MRGN XCP SK TG T/A/L 0.5 CM/< $217.19 $374.47 $76.45–$299.58 — 42%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 Facility Fee HC EXC BGN LES TRNK ARM LEG <=0.5CM $796.27 $1,372.88 $147.25–$1,263.05 — 42%
Nail removal (partial or complete), one nail CPT 11730 PB HOSPITAL PRO FEE PR AVULSION NAIL PLATE PARTIAL/COMPLETE SIMPLE 1 $146.87 $253.23 $67.85–$202.58 48% below 42%
Nail removal (partial or complete), one nail CPT 11730 Facility Fee HC AVULSION NAIL PLATE SINGLE $216.24 $372.82 $127.16–$372.82 23% below 42%
Nail removal (partial or complete), one nail inpatient CPT 11730 PB HOSPITAL PRO FEE PR AVULSION NAIL PLATE PARTIAL/COMPLETE SIMPLE 1 $146.87 $253.23 $67.85–$202.58 — 42%
Nail removal (partial or complete), one nail inpatient CPT 11730 Facility Fee HC AVULSION NAIL PLATE SINGLE $216.24 $372.82 $127.16–$372.82 — 42%
Occipital nerve block (injection for headaches) CPT 64405 Facility Fee HC 64405 INJ ANES/STER GRTR OCCIPITAL NERVE $82.57 $142.36 $59.99–$142.36 87% below 42%
Occipital nerve block (injection for headaches) CPT 64405 PB HOSPITAL PRO FEE PR INJECTION AA&/STRD GREATER OCCIPITAL NERVE $123.04 $212.14 $43.92–$169.71 81% below 42%
Occipital nerve block (injection for headaches) inpatient CPT 64405 Facility Fee HC 64405 INJ ANES/STER GRTR OCCIPITAL NERVE $82.57 $142.36 $59.99–$142.36 — 42%
Occipital nerve block (injection for headaches) inpatient CPT 64405 PB HOSPITAL PRO FEE PR INJECTION AA&/STRD GREATER OCCIPITAL NERVE $123.04 $212.14 $43.92–$169.71 — 42%
Paracentesis with imaging guidance CPT 49083 PB HOSPITAL PRO FEE PR ABDOM PARACENTESIS DX/THER W/IMAGING GUIDANCE $189.03 $325.91 $137.34–$455.46 83% below 42%
Paracentesis with imaging guidance CPT 49083 Facility Fee HC ABD PARACENTESIS W IMAGING $1,147.63 $1,978.67 $327.67–$1,820.38 2% above 42%
Paracentesis with imaging guidance inpatient CPT 49083 PB HOSPITAL PRO FEE PR ABDOM PARACENTESIS DX/THER W/IMAGING GUIDANCE $189.03 $325.91 $137.34–$455.46 — 42%
Paracentesis with imaging guidance inpatient CPT 49083 Facility Fee HC ABD PARACENTESIS W IMAGING $1,147.63 $1,978.67 $327.67–$1,820.38 — 42%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 PB HOSPITAL PRO FEE PR EXCISION NAIL&NAIL MATRIX PRTL/COMPL PERM RMVL $382.21 $658.99 $94.95–$527.19 47% below 42%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 Facility Fee HC NAIL BED REMOVAL $813.76 $1,403.04 $178.77–$1,290.80 13% above 42%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 PB HOSPITAL PRO FEE PR EXCISION NAIL&NAIL MATRIX PRTL/COMPL PERM RMVL $382.21 $658.99 $94.95–$527.19 — 42%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 Facility Fee HC NAIL BED REMOVAL $813.76 $1,403.04 $178.77–$1,290.80 — 42%
Removal of a foreign object under the skin, simple CPT 10120 Facility Fee HC FB REMOVAL SUBQ SIMPLE $194.46 $335.27 $141.29–$335.27 64% below 42%
Removal of a foreign object under the skin, simple CPT 10120 PB HOSPITAL PRO FEE PR INCISION & REMOVAL FOREIGN BODY SUBQ TISS SIMPLE $287.85 $496.30 $90.28–$397.04 47% below 42%
Removal of a foreign object under the skin, simple inpatient CPT 10120 Facility Fee HC FB REMOVAL SUBQ SIMPLE $194.46 $335.27 $141.29–$335.27 — 42%
Removal of a foreign object under the skin, simple inpatient CPT 10120 PB HOSPITAL PRO FEE PR INCISION & REMOVAL FOREIGN BODY SUBQ TISS SIMPLE $287.85 $496.30 $90.28–$397.04 — 42%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 PB HOSPITAL PRO FEE PR COLON CA SCRN NOT HI RSK IND $613.36 $1,057.51 $200.00–$846.01 56% below 42%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 Facility Fee HC G0121 SCREEN COLONOSCOPY NOT HI RISK $2,492.62 $4,297.62 $430.98–$3,953.81 79% above 42%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 PB HOSPITAL PRO FEE PR COLORECTAL SCRN; HI RISK IND $613.36 $1,057.51 $199.81–$846.01 59% below 42%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 Facility Fee HC G0105 SCREEN COLONOSCOPY HI RISK $2,492.62 $4,297.62 $430.72–$3,953.81 66% above 42%
Short arm cast (elbow to hand) CPT 29075 PB HOSPITAL PRO FEE PR APPLICATION CAST ELBOW TO FINGER SHORT ARM $157.55 $271.64 $54.20–$217.31 65% below 42%
Short arm cast (elbow to hand) CPT 29075 Facility Fee HC APPLY CAST SHORT ARM $371.58 $640.65 $111.05–$640.65 16% below 42%
Short arm cast (elbow to hand) inpatient CPT 29075 PB HOSPITAL PRO FEE PR APPLICATION CAST ELBOW TO FINGER SHORT ARM $157.55 $271.64 $54.20–$217.31 — 42%
Short arm cast (elbow to hand) inpatient CPT 29075 Facility Fee HC APPLY CAST SHORT ARM $371.58 $640.65 $111.05–$640.65 — 42%
Short arm splint (forearm and hand) CPT 29125 PB HOSPITAL PRO FEE PR APPLICATION SHORT ARM SPLINT FOREARM-HAND STATIC $102.51 $176.74 $41.31–$141.39 56% below 42%
Short arm splint (forearm and hand) CPT 29125 Facility Fee HC APPLY SPLINT SHORT ARM STATIC $389.72 $671.93 $91.14–$671.93 67% above 42%
Short arm splint (forearm and hand) inpatient CPT 29125 PB HOSPITAL PRO FEE PR APPLICATION SHORT ARM SPLINT FOREARM-HAND STATIC $102.51 $176.74 $41.31–$141.39 — 42%
Short arm splint (forearm and hand) inpatient CPT 29125 Facility Fee HC APPLY SPLINT SHORT ARM STATIC $389.72 $671.93 $91.14–$671.93 — 42%
Short leg cast (below the knee) CPT 29405 Facility Fee HC APPLY CAST SHORT LEG $106.04 $182.83 $77.05–$182.83 70% below 42%
Short leg cast (below the knee) CPT 29405 PB HOSPITAL PRO FEE PR APPLICATION SHORT LEG CAST BELOW KNEE-TOE $150.08 $258.75 $49.16–$207.00 57% below 42%
Short leg cast (below the knee) inpatient CPT 29405 Facility Fee HC APPLY CAST SHORT LEG $106.04 $182.83 $77.05–$182.83 — 42%
Short leg cast (below the knee) inpatient CPT 29405 PB HOSPITAL PRO FEE PR APPLICATION SHORT LEG CAST BELOW KNEE-TOE $150.08 $258.75 $49.16–$207.00 — 42%
Short leg splint (calf to foot) CPT 29515 Facility Fee HC SVH PT APPLY SPLINT SHORT LEG $110.21 $190.01 $80.07–$174.81 69% below 42%
Short leg splint (calf to foot) CPT 29515 PB HOSPITAL PRO FEE PR APPLICATION SHORT LEG SPLINT CALF TO FOOT $125.77 $216.85 $44.49–$173.48 64% below 42%
Short leg splint (calf to foot) CPT 29515 Facility Fee HC APPLY SPLINT SHORT LEG $303.81 $523.81 $93.48–$523.81 14% below 42%
Short leg splint (calf to foot) inpatient CPT 29515 Facility Fee HC SVH PT APPLY SPLINT SHORT LEG $110.21 $190.01 $80.07–$174.81 — 42%
Short leg splint (calf to foot) inpatient CPT 29515 PB HOSPITAL PRO FEE PR APPLICATION SHORT LEG SPLINT CALF TO FOOT $125.77 $216.85 $44.49–$173.48 — 42%
Short leg splint (calf to foot) inpatient CPT 29515 Facility Fee HC APPLY SPLINT SHORT LEG $303.81 $523.81 $93.48–$523.81 — 42%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Facility Fee HC REP SIMPL SCLP NCK TRNK<=2.5CM $68.73 $118.50 $49.94–$118.50 80% below 42%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 PB HOSPITAL PRO FEE PR SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/< $256.45 $442.15 $55.51–$353.72 24% below 42%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Facility Fee HC REP SIMPL SCLP NCK TRNK<=2.5CM $68.73 $118.50 $49.94–$118.50 — 42%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 PB HOSPITAL PRO FEE PR SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/< $256.45 $442.15 $55.51–$353.72 — 42%
Skin biopsy, punch, one lesion CPT 11104 Facility Fee HC PUNCH BX SKIN, SGL LES $82.85 $142.84 $60.19–$139.90 76% below 42%
Skin biopsy, punch, one lesion CPT 11104 PB HOSPITAL PRO FEE PR PUNCH BIOPSY SKIN SINGLE LESION $234.27 $403.91 $73.64–$323.13 31% below 42%
Skin biopsy, punch, one lesion inpatient CPT 11104 Facility Fee HC PUNCH BX SKIN, SGL LES $82.85 $142.84 $60.19–$139.90 — 42%
Skin biopsy, punch, one lesion inpatient CPT 11104 PB HOSPITAL PRO FEE PR PUNCH BIOPSY SKIN SINGLE LESION $234.27 $403.91 $73.64–$323.13 — 42%
Skin tag removal, up to 15 tags CPT 11200 PB HOSPITAL PRO FEE PR RMVL SKIN TAGS MLT FIBRQ TAGS ANY UP TO&INC 15 $150.03 $258.68 $98.05–$206.94 18% below 42%
Skin tag removal, up to 15 tags CPT 11200 Facility Fee HC REMOVAL SKIN TAG <= 15 $281.00 $484.48 $105.14–$484.48 54% above 42%
Skin tag removal, up to 15 tags inpatient CPT 11200 PB HOSPITAL PRO FEE PR RMVL SKIN TAGS MLT FIBRQ TAGS ANY UP TO&INC 15 $150.03 $258.68 $98.05–$206.94 — 42%
Skin tag removal, up to 15 tags inpatient CPT 11200 Facility Fee HC REMOVAL SKIN TAG <= 15 $281.00 $484.48 $105.14–$484.48 — 42%
Spinal tap (lumbar puncture), diagnostic CPT 62270 PB HOSPITAL PRO FEE PR DIAGNOSTIC LUMBAR SPINAL PUNCTURE $186.84 $322.13 $86.17–$257.70 75% below 42%
Spinal tap (lumbar puncture), diagnostic CPT 62270 Facility Fee HC LUMBAR PUNCTURE DIAGNOSTIC $847.75 $1,461.64 $187.62–$1,344.71 11% above 42%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 PB HOSPITAL PRO FEE PR DIAGNOSTIC LUMBAR SPINAL PUNCTURE $186.84 $322.13 $86.17–$257.70 — 42%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Facility Fee HC LUMBAR PUNCTURE DIAGNOSTIC $847.75 $1,461.64 $187.62–$1,344.71 — 42%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 PB HOSPITAL PRO FEE PR SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM $285.76 $492.69 $67.29–$394.15 27% below 42%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Facility Fee HC REP SIMPL SCLP NCK TRNK2.6-7.5CM $653.66 $1,127.00 $157.83–$1,036.84 67% above 42%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 PB HOSPITAL PRO FEE PR SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM $285.76 $492.69 $67.29–$394.15 — 42%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 Facility Fee HC REP SIMPL SCLP NCK TRNK2.6-7.5CM $653.66 $1,127.00 $157.83–$1,036.84 — 42%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 PB HOSPITAL PRO FEE PR SIMPLE REPAIR F/E/E/N/L/M 2.5CM/< $262.01 $451.74 $66.17–$361.39 29% below 42%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Facility Fee HC REP SIMPLE FACE <= 2.5CM $596.45 $1,028.36 $158.77–$946.09 62% above 42%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 PB HOSPITAL PRO FEE PR SIMPLE REPAIR F/E/E/N/L/M 2.5CM/< $262.01 $451.74 $66.17–$361.39 — 42%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 Facility Fee HC REP SIMPLE FACE <= 2.5CM $596.45 $1,028.36 $158.77–$946.09 — 42%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 Facility Fee HC TANGNT BX SKIN, EX SHAVE; SGL LES $67.07 $115.63 $48.73–$110.36 75% below 42%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 PB HOSPITAL PRO FEE PR TANGENTIAL BIOPSY SKIN SINGLE LESION $186.08 $320.83 $59.06–$256.66 31% below 42%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 Facility Fee HC TANGNT BX SKIN, EX SHAVE; SGL LES $67.07 $115.63 $48.73–$110.36 — 42%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 PB HOSPITAL PRO FEE PR TANGENTIAL BIOPSY SKIN SINGLE LESION $186.08 $320.83 $59.06–$256.66 — 42%
Thoracentesis with imaging guidance CPT 32555 Facility Fee HC THORACENTESIS W/ IMAGING $168.39 $290.33 $122.34–$290.33 88% below 42%
Thoracentesis with imaging guidance CPT 32555 PB HOSPITAL PRO FEE PR THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING $486.30 $838.45 $183.17–$838.45 64% below 42%
Thoracentesis with imaging guidance inpatient CPT 32555 Facility Fee HC THORACENTESIS W/ IMAGING $168.39 $290.33 $122.34–$290.33 — 42%
Thoracentesis with imaging guidance inpatient CPT 32555 PB HOSPITAL PRO FEE PR THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING $486.30 $838.45 $183.17–$838.45 — 42%
Trigger point injections, 1 or 2 muscles CPT 20552 PB HOSPITAL PRO FEE PR INJECTION SINGLE/MLT TRIGGER POINT 1/2 MUSCLES $88.89 $153.26 $30.65–$122.61 73% below 42%
Trigger point injections, 1 or 2 muscles CPT 20552 Facility Fee HC 20552 TRIGGER POINT INJ 1-2 MUSCLES $402.37 $693.74 $57.60–$638.24 20% above 42%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 PB HOSPITAL PRO FEE PR INJECTION SINGLE/MLT TRIGGER POINT 1/2 MUSCLES $88.89 $153.26 $30.65–$122.61 — 42%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Facility Fee HC 20552 TRIGGER POINT INJ 1-2 MUSCLES $402.37 $693.74 $57.60–$638.24 — 42%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 PB HOSPITAL PRO FEE PR EGD BALLOON DILATION ESOPHAGUS <30 MM DIAM $482.40 $831.72 $229.49–$1,770.03 75% below 42%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 Facility Fee HC 43249 EGD BALLOON DILAT ESOPH <30MM $2,594.93 $4,474.01 $699.00–$4,116.09 33% above 42%
Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 PB HOSPITAL PRO FEE PR EGD BALLOON DILATION ESOPHAGUS <30 MM DIAM $482.40 $831.72 $229.49–$1,770.03 — 42%
Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 Facility Fee HC 43249 EGD BALLOON DILAT ESOPH <30MM $2,594.93 $4,474.01 $699.00–$4,116.09 — 42%
Upper endoscopy (EGD) with biopsy CPT 43239 PB HOSPITAL PRO FEE PR EGD TRANSORAL BIOPSY SINGLE/MULTIPLE $480.87 $829.08 $220.37–$663.26 72% below 42%
Upper endoscopy (EGD) with biopsy CPT 43239 Facility Fee HC 43239 EGD BIOPSY $1,984.79 $3,422.06 $486.52–$3,148.30 15% above 42%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 PB HOSPITAL PRO FEE PR EGD TRANSORAL BIOPSY SINGLE/MULTIPLE $480.87 $829.08 $220.37–$663.26 — 42%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 Facility Fee HC 43239 EGD BIOPSY $1,984.79 $3,422.06 $486.52–$3,148.30 — 42%
Upper endoscopy (EGD) with injection into the lining CPT 43236 PB HOSPITAL PRO FEE PR ESOPHAGOGASTRODUODENOSCOPY SUBMUCOSAL INJECTION $571.41 $985.19 $234.57–$788.15 59% below 42%
Upper endoscopy (EGD) with injection into the lining CPT 43236 Facility Fee HC 43236 EGD SUBMUCOS INJ ANY SUBST $1,885.01 $3,250.02 $519.46–$2,990.02 35% above 42%
Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 PB HOSPITAL PRO FEE PR ESOPHAGOGASTRODUODENOSCOPY SUBMUCOSAL INJECTION $571.41 $985.19 $234.57–$788.15 — 42%
Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 Facility Fee HC 43236 EGD SUBMUCOS INJ ANY SUBST $1,885.01 $3,250.02 $519.46–$2,990.02 — 42%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 PB HOSPITAL PRO FEE PR EGD REMOVAL TUMOR POLYP/OTHER LESION SNARE TECH $704.04 $1,213.86 $288.03–$971.09 46% below 42%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 Facility Fee HC 43251 EGD SNARE $1,819.37 $3,136.84 $631.45–$2,885.89 39% above 42%
Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 PB HOSPITAL PRO FEE PR EGD REMOVAL TUMOR POLYP/OTHER LESION SNARE TECH $704.04 $1,213.86 $288.03–$971.09 — 42%
Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 Facility Fee HC 43251 EGD SNARE $1,819.37 $3,136.84 $631.45–$2,885.89 — 42%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 Facility Fee HC 43248 EGD WIRE DILATION $255.06 $439.76 $185.32–$439.76 71% below 42%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 PB HOSPITAL PRO FEE PR EGD INSERT GUIDE WIRE DILATOR PASSAGE ESOPHAGUS $731.22 $1,260.72 $241.86–$1,008.58 17% below 42%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 Facility Fee HC 43248 EGD WIRE DILATION $255.06 $439.76 $185.32–$439.76 — 42%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 PB HOSPITAL PRO FEE PR EGD INSERT GUIDE WIRE DILATOR PASSAGE ESOPHAGUS $731.22 $1,260.72 $241.86–$1,008.58 — 42%
Upper endoscopy (EGD), diagnostic CPT 43235 PB HOSPITAL PRO FEE PR ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC $405.07 $698.40 $169.90–$558.72 60% below 42%
Upper endoscopy (EGD), diagnostic CPT 43235 Facility Fee HC 43235 EGD DIAG/BRUSHING $1,907.94 $3,289.56 $372.94–$3,026.40 86% above 42%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 PB HOSPITAL PRO FEE PR ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC $405.07 $698.40 $169.90–$558.72 — 42%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 Facility Fee HC 43235 EGD DIAG/BRUSHING $1,907.94 $3,289.56 $372.94–$3,026.40 — 42%
Wart removal, up to 14 warts CPT 17110 Facility Fee HC WARTS/CRYO UP TO <= 14 $125.40 $216.21 $91.11–$216.21 47% below 42%
Wart removal, up to 14 warts CPT 17110 PB HOSPITAL PRO FEE PR DESTRUCTION BENIGN LESIONS UP TO 14 $158.39 $273.08 $68.04–$218.46 33% below 42%
Wart removal, up to 14 warts inpatient CPT 17110 Facility Fee HC WARTS/CRYO UP TO <= 14 $125.40 $216.21 $91.11–$216.21 — 42%
Wart removal, up to 14 warts inpatient CPT 17110 PB HOSPITAL PRO FEE PR DESTRUCTION BENIGN LESIONS UP TO 14 $158.39 $273.08 $68.04–$218.46 — 42%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 PB HOSPITAL PRO FEE PR DEBRIDEMENT SUBCUTANEOUS TISSUE 1ST 20 SQ CM/< $219.08 $377.73 $76.82–$302.18 64% below 42%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Facility Fee HC DEBRIDE SUBQ FIRST 20 SQCM $628.76 $1,084.07 $152.03–$997.34 2% above 42%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 PB HOSPITAL PRO FEE PR DEBRIDEMENT SUBCUTANEOUS TISSUE 1ST 20 SQ CM/< $219.08 $377.73 $76.82–$302.18 — 42%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Facility Fee HC DEBRIDE SUBQ FIRST 20 SQCM $628.76 $1,084.07 $152.03–$997.34 — 42%

Doctor visits and therapy

ProcedureCash price List priceInsurers payvs WashingtonOff list
Blood transfusion (giving blood or blood components) CPT 36430 Facility Fee HC BLOOD ADMINISTRATION <2 HRS $605.87 $1,044.60 $56.62–$961.03 36% below 42%
Blood transfusion (giving blood or blood components) CPT 36430 Facility Fee HC BLOOD ADMINISTRATION 2-4 HRS $706.84 $1,218.69 $56.62–$1,121.19 26% below 42%
Blood transfusion (giving blood or blood components) CPT 36430 Facility Fee HC BLOOD ADMINISTRATION 4-6 HRS $807.42 $1,392.10 $56.62–$1,280.73 15% below 42%
Blood transfusion (giving blood or blood components) CPT 36430 Facility Fee HC BLOOD ADMINISTRATION >6 HRS $908.01 $1,565.54 $56.62–$1,440.30 5% below 42%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Facility Fee HC BLOOD ADMINISTRATION <2 HRS $605.87 $1,044.60 $56.62–$961.03 — 42%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Facility Fee HC BLOOD ADMINISTRATION 2-4 HRS $706.84 $1,218.69 $56.62–$1,121.19 — 42%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Facility Fee HC BLOOD ADMINISTRATION 4-6 HRS $807.42 $1,392.10 $56.62–$1,280.73 — 42%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Facility Fee HC BLOOD ADMINISTRATION >6 HRS $908.01 $1,565.54 $56.62–$1,440.30 — 42%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Facility Fee HC METER DOSE INHALER INITIAL $194.21 $334.84 $10.31–$308.05 2% below 42%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Facility Fee HC METER DOSE INHALER INITIAL $194.21 $334.84 $10.31–$308.05 — 42%
Chemotherapy IV infusion, first hour CPT 96413 Facility Fee HC CHEMO IV INFUS <= 1HR INITIAL $439.70 $758.11 $157.69–$697.46 38% below 42%
Chemotherapy IV infusion, first hour inpatient CPT 96413 Facility Fee HC CHEMO IV INFUS <= 1HR INITIAL $439.70 $758.11 $157.69–$697.46 — 42%
Critical care, first 30 to 74 minutes CPT 99291 PB HOSPITAL PRO FEE PR CRITICAL CARE ILL/INJURED PATIENT INIT 30-74 MIN $915.07 $1,577.71 $158.88–$1,262.17 70% below 42%
Critical care, first 30 to 74 minutes CPT 99291 Facility Fee HC CRITICAL CARE $3,943.51 $6,799.15 $339.27–$6,255.22 30% above 42%
Critical care, first 30 to 74 minutes inpatient CPT 99291 PB HOSPITAL PRO FEE PR CRITICAL CARE ILL/INJURED PATIENT INIT 30-74 MIN $915.07 $1,577.71 $158.88–$1,262.17 — 42%
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 PB HOSPITAL PRO FEE PR ECG ROUTINE ECG W/LEAST 12 LDS W/I&R $35.35 $60.95 $8.41–$48.76 51% below 42%
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 Facility Fee HC SVH CARDIO CLINIC EKG 12_MEDICAID/MGD MEDICAID $208.31 $359.15 $17.22–$330.42 188% above 42%
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 Facility Fee HC SVH CARDIO CLINIC EKG 12_MCR/MGD MCR (GLOBAL) $243.66 $420.10 $17.22–$336.08 237% above 42%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Facility Fee HC EKG 12 LEAD TRACING ONLY $208.31 $359.15 $8.30–$330.42 15% above 42%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Facility Fee HC SVH RHC CLINCS EKG 12 LEAD TRACING ONLY $208.31 $359.15 $3.74–$287.32 15% above 42%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Facility Fee HC EKG 12 LEAD TRACING ONLY $208.31 $359.15 $8.30–$330.42 — 42%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 PB HOSPITAL PRO FEE PR EMERGENCY DEPARTMENT VISIT MAY NOT REQ PHYS/QHP $66.62 $114.86 $6.36–$91.89 71% below 42%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Facility Fee HC LOW LEVEL ED VISITS LEVEL 1 $311.22 $536.58 $11.41–$536.58 37% above 42%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 PB HOSPITAL PRO FEE PR EMERGENCY DEPARTMENT VISIT STRAIGHTFORWARD MDM $109.58 $188.93 $23.74–$151.14 72% below 42%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Facility Fee HC LOW LEVEL ED VISITS-LEVEL 2 $450.60 $776.89 $41.73–$776.89 17% above 42%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 PB HOSPITAL PRO FEE PR EMERGENCY DEPARTMENT VISIT LOW MDM $165.14 $284.73 $40.00–$227.78 78% below 42%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Facility Fee HC MID LEVEL ED VISITS-LEVEL 3 $770.37 $1,328.22 $71.59–$1,221.96 2% above 42%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 PB HOSPITAL PRO FEE PR EMERGENCY DEPARTMENT VISIT MODERATE MDM $257.53 $444.01 $68.22–$355.21 79% below 42%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Facility Fee HC HIGH LEVEL ED VISITS-LEVEL 4 $1,620.63 $2,794.19 $121.61–$2,570.65 33% above 42%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 PB HOSPITAL PRO FEE PR EMERGENCY DEPARTMENT VISIT HIGH MDM $402.90 $694.65 $98.69–$555.72 80% below 42%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Facility Fee HC HIGH LEVEL ED VISITS-LEVEL 5 $2,677.09 $4,615.67 $176.42–$4,246.42 34% above 42%
Exercise stress test, tracing only, the hospital charge CPT 93017 Facility Fee HC STRESS TEST W/WO PHARM TRACING $566.09 $976.02 $46.73–$897.94 3% below 42%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Facility Fee HC STRESS TEST W/WO PHARM TRACING $566.09 $976.02 $46.73–$897.94 — 42%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Facility Fee HC IV INFUS HYDRAT INIT 31MN-1HR $163.77 $282.36 $39.04–$259.77 50% below 42%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Facility Fee HC IV INFUS HYDRAT INIT 31MN-1HR $163.77 $282.36 $39.04–$259.77 — 42%
IV infusion of a medicine, first hour CPT 96365 Facility Fee HC INFUSION THERAPY INIT 1ST HR $332.38 $573.07 $78.98–$527.22 13% below 42%
IV infusion of a medicine, first hour inpatient CPT 96365 Facility Fee HC INFUSION THERAPY INIT 1ST HR $332.38 $573.07 $78.98–$527.22 — 42%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 PB HOSPITAL PRO FEE PR THERAPEUTIC PROPHYLACTIC/DX INJECTION SUBQ/IM $47.63 $82.12 $8.41–$65.70 53% below 42%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Facility Fee HC INJECTION IM/SUB-Q $47.63 $82.12 $17.36–$75.55 53% below 42%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 PB HOSPITAL PRO FEE PR THERAPEUTIC PROPHYLACTIC/DX INJECTION SUBQ/IM $47.63 $82.12 $8.41–$65.70 — 42%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Facility Fee HC INJECTION IM/SUB-Q $47.63 $82.12 $17.36–$75.55 — 42%
Neuromuscular re-education, 15 minutes CPT 97112 Facility Fee HC NEUROMUSC RE-EDUCAT EA 15MIN $132.52 $228.49 $36.33–$210.21 36% above 42%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 Facility Fee HC NEUROMUSC RE-EDUCAT EA 15MIN $132.52 $228.49 $36.33–$210.21 — 42%
New patient office visit, about 30 minutes CPT 99203 Facility Fee HC SVH MCR SPEC CLINIC FAC NEW LVL 3 $28.07 $48.40 $20.39–$47.43 84% below 42%
New patient office visit, about 30 minutes CPT 99203 PB HOSPITAL PRO FEE PR OFFICE/OUTPATIENT NEW LOW MDM 30 MINUTES $41.91 $72.25 $30.45–$145.22 76% below 42%
New patient office visit, about 30 minutes CPT 99203 Facility Fee HC SVH MCR SPEC CLINIC PRO NEW LVL 3 $252.65 $435.61 $85.71–$348.49 42% above 42%
New patient office visit, about 45 minutes CPT 99204 Facility Fee HC SHC NEW PATIENT LEVEL 4 $39.88 $68.76 $28.98–$67.38 84% below 42%
New patient office visit, about 45 minutes CPT 99204 Facility Fee HC SVH MCR SPEC CLINIC FAC NEW LVL 4 $39.88 $68.76 $28.98–$67.38 84% below 42%
New patient office visit, about 45 minutes CPT 99204 PB HOSPITAL PRO FEE PR OFFICE/OUTPATIENT NEW MODERATE MDM 45 MINUTES $51.06 $88.04 $37.10–$217.62 80% below 42%
New patient office visit, about 45 minutes CPT 99204 Facility Fee HC SVH MCR SPEC CLINIC PRO NEW LVL 4 $358.89 $618.78 $140.63–$495.02 42% above 42%
New patient office visit, about 60 minutes CPT 99205 Facility Fee HC SVH MCR SPEC CLINIC FAC NEW LVL 5 $54.61 $94.16 $39.68–$92.28 84% below 42%
New patient office visit, about 60 minutes CPT 99205 PB HOSPITAL PRO FEE PR OFFICE/OUTPATIENT NEW HIGH MDM 60 MINUTES $66.39 $114.47 $48.24–$286.98 80% below 42%
New patient office visit, about 60 minutes CPT 99205 Facility Fee HC SVH MCR SPEC CLINIC PRO NEW LVL 5 $491.55 $847.50 $192.83–$678.00 44% above 42%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 Facility Fee HC SVH MCR SPEC CLINIC FAC NEW LVL 2 $19.77 $34.09 $14.37–$33.41 87% below 42%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 PB HOSPITAL PRO FEE PR OFFICE/OUTPATIENT NEW SF MDM 15 MINUTES $29.06 $50.11 $21.12–$94.07 81% below 42%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 Facility Fee HC SVH MCR SPEC CLINIC PRO NEW LVL 2 $177.93 $306.78 $49.53–$245.42 17% above 42%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Facility Fee HC MNT INIT ASSESSMENT EA 15MIN $35.72 $61.59 $25.95–$56.66 44% below 42%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 Facility Fee HC MNT INIT ASSESSMENT EA 15MIN $35.72 $61.59 $25.95–$56.66 — 42%
Occupational therapy evaluation, low complexity CPT 97165 Facility Fee HC OT EVAL LOW COMPLEX $155.32 $267.80 $111.84–$246.38 28% below 42%
Occupational therapy evaluation, low complexity inpatient CPT 97165 Facility Fee HC OT EVAL LOW COMPLEX $155.32 $267.80 $111.84–$246.38 — 42%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Facility Fee HC PT EVAL HIGH COMPLEX $228.96 $394.76 $108.62–$363.18 17% below 42%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 Facility Fee HC PT EVAL HIGH COMPLEX $228.96 $394.76 $108.62–$363.18 — 42%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Facility Fee HC PT EVAL LOW COMPLEX $153.24 $264.20 $108.62–$243.06 30% below 42%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 Facility Fee HC PT EVAL LOW COMPLEX $153.24 $264.20 $108.62–$243.06 — 42%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Facility Fee HC PT EVAL MOD COMPLEX $179.66 $309.75 $108.62–$284.97 25% below 42%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 Facility Fee HC PT EVAL MOD COMPLEX $179.66 $309.75 $108.62–$284.97 — 42%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Facility Fee HC MANUAL TX TECHNIQUE EA 15MIN $147.11 $253.63 $30.71–$233.34 110% above 42%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Facility Fee HC MANUAL TX TECHNIQUE EA 15MIN $147.11 $253.63 $30.71–$233.34 — 42%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Facility Fee HC THERAPEUTIC PROCEDURE EA 15MIN $116.50 $200.86 $32.20–$184.79 24% above 42%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Facility Fee HC THERAPEUTIC PROCEDURE EA 15MIN $116.50 $200.86 $32.20–$184.79 — 42%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 Facility Fee HC SMOKE CESSATION;ASYM;INTMD 3-10M $20.68 $35.65 $15.02–$32.80 37% below 42%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 PB HOSPITAL PRO FEE PR TOBACCO USE CESSATION INTERMEDIATE 3-10 MINUTES $26.68 $46.00 $15.36–$36.80 19% below 42%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Facility Fee HC SMOKE CESSATION;ASYM;INTMD 3-10M $20.68 $35.65 $15.02–$32.80 — 42%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 PB HOSPITAL PRO FEE PR TOBACCO USE CESSATION INTERMEDIATE 3-10 MINUTES $26.68 $46.00 $15.36–$36.80 — 42%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Facility Fee HC SVH MCR SPEC CLINIC FAC EST LVL 5 $24.96 $43.04 $18.14–$42.18 90% below 42%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 PB HOSPITAL PRO FEE PR OFFICE/OUTPATIENT ESTABLISHED HIGH MDM 40 MIN $56.10 $96.73 $40.76–$234.96 77% below 42%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Facility Fee HC SVH MCD SPEC CLINIC FAC EST LVL 5 $206.03 $355.23 $149.70–$326.81 15% below 42%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Facility Fee HC SVH MCR SPEC CLINIC PRO EST LVL 5 $224.69 $387.39 $151.77–$309.91 7% below 42%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Facility Fee HC SVH MCR SPEC CLINIC FAC EST LVL 3 $14.49 $24.99 $10.54–$24.49 90% below 42%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 PB HOSPITAL PRO FEE PR OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20 MIN $28.39 $48.95 $20.63–$118.35 81% below 42%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Facility Fee HC SVH MCD SPEC CLINIC FAC EST LVL 3 $123.81 $213.47 $89.95–$196.39 15% below 42%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Facility Fee HC SVH MCR SPEC CLINIC PRO EST LVL 3 $130.46 $224.93 $69.39–$179.94 11% below 42%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 PB HOSPITAL PRO FEE PR OFFICE/OUTPATIENT ESTABLISHED MOD MDM 30 MIN $41.77 $72.02 $30.35–$166.90 77% below 42%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Facility Fee HC SVH MCD SPEC CLINIC FAC EST LVL 4 $143.16 $246.82 $104.01–$227.07 20% below 42%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Facility Fee HC SVH MCR SPEC CLINIC PRO EST LVL 4 $158.49 $273.26 $101.90–$218.61 12% below 42%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Facility Fee HC SVH MCR SPEC CLINIC FAC EST LVL 2 $10.76 $18.56 $7.82–$18.19 90% below 42%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Facility Fee HC SVH MCD SPEC CLINIC FAC EST LVL 2 $95.99 $165.50 $66.63–$152.26 13% below 42%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Facility Fee HC SVH MCR SPEC CLINIC PRO EST LVL 2 $117.75 $203.02 $37.36–$162.42 7% above 42%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 PB HOSPITAL PRO FEE PR OFFICE/OUTPATIENT ESTABLISHED SF MDM 10 MIN $117.76 $203.03 $25.84–$162.42 7% above 42%
Speech and language evaluation CPT 92523 Facility Fee HC EVAL SPEECH SOUND LANG COMP $383.87 $661.85 $249.93–$608.90 1% below 42%
Speech and language evaluation inpatient CPT 92523 Facility Fee HC EVAL SPEECH SOUND LANG COMP $383.87 $661.85 $249.93–$608.90 — 42%
Speech therapy session, individual CPT 92507 Facility Fee HC SPEECH/LANG TREATMENT; INDIVID $372.09 $641.54 $83.91–$590.22 70% above 42%
Speech therapy session, individual inpatient CPT 92507 Facility Fee HC SPEECH/LANG TREATMENT; INDIVID $372.09 $641.54 $83.91–$590.22 — 42%
Spirometry (breathing test) CPT 94010 Facility Fee HC SPIROMETRY $260.28 $448.76 $34.50–$412.86 28% above 42%
Spirometry (breathing test) inpatient CPT 94010 Facility Fee HC SPIROMETRY $260.28 $448.76 $34.50–$412.86 — 42%
Therapeutic activities (functional training), 15 minutes CPT 97530 Facility Fee HC THERAPEUTIC ACTIVITY EA 15MIN $127.75 $220.25 $39.48–$202.63 22% above 42%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Facility Fee HC THERAPEUTIC ACTIVITY EA 15MIN $127.75 $220.25 $39.48–$202.63 — 42%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Facility Fee HC THERAPEUTIC PHLEBOTOMY $188.33 $324.70 $117.41–$298.72 7% below 42%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Facility Fee HC THERAPEUTIC PHLEBOTOMY $188.33 $324.70 $117.41–$298.72 — 42%
Treadmill or drug stress test with ECG, supervision and report CPT 93015 PB HOSPITAL PRO FEE PR CV STRESS TST XERS&/RX CONT ECG W/SI&R $72.15 $124.39 $43.36–$124.39 59% below 42%
Treadmill or drug stress test with ECG, supervision and report inpatient CPT 93015 PB HOSPITAL PRO FEE PR CV STRESS TST XERS&/RX CONT ECG W/SI&R $72.15 $124.39 $43.36–$124.39 — 42%

Vaccines

ProcedureCash price List priceInsurers payvs WashingtonOff list
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 Facility Fee HC SVH SARSCOV2 VAC 50 MCG/0.5ML IM $127.21 $219.33 $92.42–$201.78 9% below 42%
COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 Facility Fee HC SVH SARSCOV2 VAC 50 MCG/0.5ML IM $127.21 $219.33 $92.42–$201.78 — 42%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 Facility Fee HC SVH SARSCV2 VAC 30MCG TRS-SUC IM $127.21 $219.33 $92.42–$201.78 26% below 42%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 Facility Fee HC SVH SARSCV2 VAC 30MCG TRS-SUC IM $127.21 $219.33 $92.42–$201.78 — 42%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Facility Fee HC SVH IIV VACCINE PRESERV FREE INCREASED AG COUNT IM $43.05 $74.23 $31.28–$73.40 37% below 42%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 PB HOSPITAL PRO FEE PR IIV VACCINE PRESERV FREE INCREASED AG CONTENT IM $43.05 $74.23 $31.28–$98.16 37% below 42%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 Facility Fee HC SVH IIV VACCINE PRESERV FREE INCREASED AG COUNT IM $43.05 $74.23 $31.28–$73.40 — 42%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 PB HOSPITAL PRO FEE PR IIV VACCINE PRESERV FREE INCREASED AG CONTENT IM $43.05 $74.23 $31.28–$98.16 — 42%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Facility Fee HC VACCINE ADMIN (FIRST INJ) $30.79 $53.09 $22.37–$42.47 35% below 42%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Facility Fee HC VACCINE ADMIN (FIRST INJ) $30.79 $53.09 $22.37–$42.47 — 42%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Facility Fee HC VACCINE ADMIN EA ADD'L $22.68 $39.11 $16.48–$31.29 44% below 42%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Facility Fee HC VACCINE ADMIN EA ADD'L $22.68 $39.11 $16.48–$31.29 — 42%

Source file: https://snoqualmievalleyhealth.org/wp-content/uploads/2026/04/910908129_PublicHospitalDistrictNo4KingCountyWA_standardcharges.csv