Grant County Public Hospital District 1
Grant County Public Hospital District 1 in Moses Lake, WA publishes cash prices for 375 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 above the Washington median for 196 of 375 procedures and below it for 174. By typical cash price it ranks #30 of 46 Washington hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
2000 S Clover Dr, Moses Lake, WA 98837 Collected Sep 27, 2026 Source price file
The price file shows no self-pay discount
For 1759 of the 1759 prices listed here, the cash price in Grant County Public Hospital District 1's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Washington | Off list |
|---|---|---|---|---|---|
| Ankle X-ray, complete, 3 or more views CPT 73610 X-ray of ankle, minimum of 3 views | $724.00 | $724.00 | — | 145% above | — |
| Ankle X-ray, complete, 3 or more views CPT 73610 X-ray of ankle, minimum of 3 views | $724.00 | $724.00 | $8.88–$687.80 | 145% above | — |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 X-ray of ankle, minimum of 3 views | $724.00 | $724.00 | — | — | — |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 HC PR 74220 Radex Esophagus | $46.00 | $46.00 | — | 92% below | — |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 HC PR 74220 Radex Esophagus | $46.00 | $46.00 | $25.53–$528.20 | 92% below | — |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 Single contrast X-ray of esophagus | $556.00 | $556.00 | — | 4% below | — |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 Single contrast X-ray of esophagus | $556.00 | $556.00 | $25.53–$528.20 | 4% below | — |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HC PR 74220 Radex Esophagus | $46.00 | $46.00 | — | — | — |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 Single contrast X-ray of esophagus | $556.00 | $556.00 | — | — | — |
| Bone scan, whole body (nuclear medicine) CPT 78306 Nuclear medicine study of bone and/or joint whole body | $1,884.00 | $1,884.00 | $40.52–$1,789.80 | 22% above | — |
| Bone scan, whole body (nuclear medicine) CPT 78306 Nuclear medicine study of bone and/or joint whole body | $1,884.00 | $1,884.00 | — | 22% above | — |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 Nuclear medicine study of bone and/or joint whole body | $1,884.00 | $1,884.00 | — | — | — |
| Breast ultrasound, complete, one breast CPT 76641 HC PR 76641 Ultrasound Uni Breast Complete | $62.00 | $62.00 | — | 84% below | — |
| Breast ultrasound, complete, one breast CPT 76641 HC PR 76641 Ultrasound Uni Breast Complete | $62.00 | $62.00 | $49.60–$296.10 | 84% below | — |
| Breast ultrasound, complete, one breast CPT 76641 HC US Breast Uni Complete | $329.00 | $329.00 | — | 16% below | — |
| Breast ultrasound, complete, one breast CPT 76641 HC US Breast Uni Complete | $329.00 | $329.00 | $49.60–$296.10 | 16% below | — |
| Breast ultrasound, complete, one breast inpatient CPT 76641 HC PR 76641 Ultrasound Uni Breast Complete | $62.00 | $62.00 | — | — | — |
| Breast ultrasound, complete, one breast inpatient CPT 76641 HC US Breast Uni Complete | $329.00 | $329.00 | — | — | — |
| Breast ultrasound, limited (one breast or one area) CPT 76642 HC PR 76642 Ultrasound Uni Breast Limited | $58.00 | $58.00 | $32.19–$557.65 | 82% below | — |
| Breast ultrasound, limited (one breast or one area) CPT 76642 HC PR 76642 Ultrasound Uni Breast Limited | $58.00 | $58.00 | — | 82% below | — |
| Breast ultrasound, limited (one breast or one area) CPT 76642 Limited ultrasound scan of 1 breast | $587.00 | $587.00 | $32.19–$557.65 | 82% above | — |
| Breast ultrasound, limited (one breast or one area) CPT 76642 Limited ultrasound scan of 1 breast | $587.00 | $587.00 | — | 82% above | — |
| Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 HC PR 76642 Ultrasound Uni Breast Limited | $58.00 | $58.00 | — | — | — |
| Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 Limited ultrasound scan of 1 breast | $587.00 | $587.00 | — | — | — |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT blood vessels chest with contrast | $3,686.00 | $3,686.00 | — | 58% above | — |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT blood vessels chest with contrast | $3,686.00 | $3,686.00 | $85.47–$3,501.70 | 58% above | — |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT blood vessels chest with contrast | $3,686.00 | $3,686.00 | — | — | — |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT scan of heart, coronary arteries and bypass graft | $2,557.00 | $2,557.00 | — | 132% above | — |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT scan of heart, coronary arteries and bypass graft | $2,557.00 | $2,557.00 | $2,045.60–$2,301.30 | 132% above | — |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CT scan of heart, coronary arteries and bypass graft | $2,557.00 | $2,557.00 | — | — | — |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT scan of heart with evaluation of blood vessel calcium | $357.00 | $357.00 | — | 186% above | — |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT scan of heart with evaluation of blood vessel calcium | $357.00 | $357.00 | $285.60–$321.30 | 186% above | — |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT scan of heart with evaluation of blood vessel calcium | $357.00 | $357.00 | — | — | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT scan of abdomen and pelvis without contrast | $3,150.00 | $3,150.00 | — | 26% above | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT scan of abdomen and pelvis without contrast | $3,150.00 | $3,150.00 | $82.70–$2,992.50 | 26% above | — |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT scan of abdomen and pelvis without contrast | $3,150.00 | $3,150.00 | — | — | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT scan of abdomen and pelvis with contrast | $4,993.00 | $4,993.00 | — | 68% above | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT scan of abdomen and pelvis with contrast | $4,993.00 | $4,993.00 | $86.03–$4,743.35 | 68% above | — |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT scan of abdomen and pelvis with contrast | $4,993.00 | $4,993.00 | — | — | — |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT scan of abdomen and pelvis before and after contrast | $4,736.00 | $4,736.00 | — | 28% above | — |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT scan of abdomen and pelvis before and after contrast | $4,736.00 | $4,736.00 | $94.91–$4,499.20 | 28% above | — |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT scan of abdomen and pelvis before and after contrast | $4,736.00 | $4,736.00 | — | — | — |
| CT scan of the abdomen with contrast CPT 74160 CT scan of abdomen with contrast | $2,877.00 | $2,877.00 | $60.50–$2,733.15 | 60% above | — |
| CT scan of the abdomen with contrast CPT 74160 CT scan of abdomen with contrast | $2,877.00 | $2,877.00 | — | 60% above | — |
| CT scan of the abdomen with contrast inpatient CPT 74160 CT scan of abdomen with contrast | $2,877.00 | $2,877.00 | — | — | — |
| CT scan of the abdomen without contrast CPT 74150 CT scan of abdomen without contrast | $1,428.00 | $1,428.00 | — | 2% above | — |
| CT scan of the abdomen without contrast CPT 74150 CT scan of abdomen without contrast | $1,428.00 | $1,428.00 | $56.06–$1,356.60 | 2% above | — |
| CT scan of the abdomen without contrast inpatient CPT 74150 CT scan of abdomen without contrast | $1,428.00 | $1,428.00 | — | — | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT scan of face without contrast | $1,654.00 | $1,654.00 | $38.30–$1,571.30 | 89% above | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT scan of face without contrast | $1,654.00 | $1,654.00 | — | 89% above | — |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT scan of face without contrast | $1,654.00 | $1,654.00 | — | — | — |
| CT scan of the head or brain, no contrast dye CPT 70450 CT scan head or brain without contrast | $1,638.00 | $1,638.00 | — | 37% above | — |
| CT scan of the head or brain, no contrast dye CPT 70450 CT scan head or brain without contrast | $1,638.00 | $1,638.00 | $40.52–$1,556.10 | 37% above | — |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT scan head or brain without contrast | $1,638.00 | $1,638.00 | — | — | — |
| CT scan of the head with contrast CPT 70460 CT scan head or brain with contrast | $2,704.00 | $2,704.00 | — | 112% above | — |
| CT scan of the head with contrast CPT 70460 CT scan head or brain with contrast | $2,704.00 | $2,704.00 | $53.28–$2,568.80 | 112% above | — |
| CT scan of the head with contrast inpatient CPT 70460 CT scan head or brain with contrast | $2,704.00 | $2,704.00 | — | — | — |
| CT scan of the head without and with contrast CPT 70470 CT scan of head or brain before and after contrast | $3,318.00 | $3,318.00 | — | 126% above | — |
| CT scan of the head without and with contrast CPT 70470 CT scan of head or brain before and after contrast | $3,318.00 | $3,318.00 | $60.50–$3,152.10 | 126% above | — |
| CT scan of the head without and with contrast inpatient CPT 70470 CT scan of head or brain before and after contrast | $3,318.00 | $3,318.00 | — | — | — |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT scan of lower spine without contrast | $1,140.00 | $1,140.00 | — | 11% below | — |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT scan of lower spine without contrast | $1,140.00 | $1,140.00 | $47.73–$1,083.00 | 11% below | — |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT scan of lower spine without contrast | $1,140.00 | $1,140.00 | — | — | — |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT scan of upper spine without contrast | $1,192.00 | $1,192.00 | $50.51–$1,132.40 | 13% below | — |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT scan of upper spine without contrast | $1,192.00 | $1,192.00 | — | 13% below | — |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT scan of upper spine without contrast | $1,192.00 | $1,192.00 | — | — | — |
| CT scan of the pelvis, with contrast dye CPT 72193 CT scan of pelvis with contrast | $3,166.00 | $3,166.00 | $54.95–$3,007.70 | 83% above | — |
| CT scan of the pelvis, with contrast dye CPT 72193 CT scan of pelvis with contrast | $3,166.00 | $3,166.00 | — | 83% above | — |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT scan of pelvis with contrast | $3,166.00 | $3,166.00 | — | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 Ultrasound of both sides of head and neck blood flow | $964.00 | $964.00 | $535.02–$915.80 | 19% above | — |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 Ultrasound of both sides of head and neck blood flow | $964.00 | $964.00 | — | 19% above | — |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 Ultrasound of both sides of head and neck blood flow | $964.00 | $964.00 | — | — | — |
| Chest X-ray, 2 views CPT 71046 X-ray of chest, 2 views | $513.00 | $513.00 | — | 93% above | — |
| Chest X-ray, 2 views CPT 71046 X-ray of chest, 2 views | $513.00 | $513.00 | $10.55–$487.35 | 93% above | — |
| Chest X-ray, 2 views inpatient CPT 71046 X-ray of chest, 2 views | $513.00 | $513.00 | — | — | — |
| Chest X-ray, single view CPT 71045 X-ray of chest, 1 view | $401.00 | $401.00 | $8.88–$409.38 | 73% above | — |
| Chest X-ray, single view CPT 71045 X-ray of chest, 1 view | $401.00 | $401.00 | — | 73% above | — |
| Chest X-ray, single view inpatient CPT 71045 X-ray of chest, 1 view | $401.00 | $401.00 | — | — | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC PR Retroperitoneal Real Time W/Image Complete | $63.00 | $63.00 | — | 88% below | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC PR Retroperitoneal Real Time W/Image Complete | $63.00 | $63.00 | $34.97–$751.45 | 88% below | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Complete ultrasound scan behind abdominal cavity | $791.00 | $791.00 | $34.97–$751.45 | 45% above | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Complete ultrasound scan behind abdominal cavity | $791.00 | $791.00 | — | 45% above | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC PR Retroperitoneal Real Time W/Image Complete | $63.00 | $63.00 | — | — | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 Complete ultrasound scan behind abdominal cavity | $791.00 | $791.00 | — | — | — |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC Xr DXA Bone Density Study Axial | $502.00 | $502.00 | — | 25% above | — |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC Xr DXA Bone Density Study Axial | $502.00 | $502.00 | $9.99–$476.90 | 25% above | — |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HC Xr DXA Bone Density Study Axial | $502.00 | $502.00 | — | — | — |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HC PR 77081 DXA Bone Density Study 1/Gt Sites Appendiclr Skel | $51.00 | $51.00 | $28.31–$111.15 | 71% below | — |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HC PR 77081 DXA Bone Density Study 1/Gt Sites Appendiclr Skel | $51.00 | $51.00 | — | 71% below | — |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DXA bone density measurement of forearm, finger, hand, foot | $117.00 | $117.00 | $28.31–$111.15 | 33% below | — |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DXA bone density measurement of forearm, finger, hand, foot | $117.00 | $117.00 | — | 33% below | — |
| DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 HC PR 77081 DXA Bone Density Study 1/Gt Sites Appendiclr Skel | $51.00 | $51.00 | — | — | — |
| DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 DXA bone density measurement of forearm, finger, hand, foot | $117.00 | $117.00 | — | — | — |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 HC PR 76811 US OB Detailed Single Fetus | $167.00 | $167.00 | $92.69–$1,329.05 | 76% below | — |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 HC PR 76811 US OB Detailed Single Fetus | $167.00 | $167.00 | — | 76% below | — |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 Ultrasound OB detailed single fetus | $1,399.00 | $1,399.00 | $92.69–$1,329.05 | 103% above | — |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 Ultrasound OB detailed single fetus | $1,399.00 | $1,399.00 | — | 103% above | — |
| Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 HC PR 76811 US OB Detailed Single Fetus | $167.00 | $167.00 | — | — | — |
| Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 Ultrasound OB detailed single fetus | $1,399.00 | $1,399.00 | — | — | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT scan of chest without contrast | $1,423.00 | $1,423.00 | $53.28–$1,351.85 | 1% above | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT scan of chest without contrast | $1,423.00 | $1,423.00 | — | 1% above | — |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT scan of chest without contrast | $1,423.00 | $1,423.00 | — | — | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT scan of chest with contrast | $3,208.00 | $3,208.00 | $59.39–$3,047.60 | 80% above | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT scan of chest with contrast | $3,208.00 | $3,208.00 | — | 80% above | — |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT scan of chest with contrast | $3,208.00 | $3,208.00 | — | — | — |
| Diagnostic mammogram, both breasts both sides CPT 77066 HC PR Mammo Diag Bilat Incl Cad | $83.00 | $83.00 | — | — | — |
| Diagnostic mammogram, both breasts both sides CPT 77066 HC PR Mammo Diag Bilat Incl Cad | $83.00 | $83.00 | $46.07–$449.35 | — | — |
| Diagnostic mammogram, both breasts CPT 77066 Diagnostic mammography of both breasts | $473.00 | $473.00 | — | at median | — |
| Diagnostic mammogram, both breasts CPT 77066 Diagnostic mammography of both breasts | $473.00 | $473.00 | $46.07–$449.35 | at median | — |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC PR Mammo Diag Bilat Incl Cad | $83.00 | $83.00 | — | — | — |
| Diagnostic mammogram, both breasts inpatient CPT 77066 Diagnostic mammography of both breasts | $473.00 | $473.00 | — | — | — |
| Diagnostic mammogram, one breast CPT 77065 Diagnostic mammography of 1 breast | $430.00 | $430.00 | $37.74–$408.50 | 10% above | — |
| Diagnostic mammogram, one breast CPT 77065 Diagnostic mammography of 1 breast | $430.00 | $430.00 | — | 10% above | — |
| Diagnostic mammogram, one breast one side CPT 77065 HC PR Mammo Diag Unilat Incl Cad | $68.00 | $68.00 | $37.74–$408.50 | 83% below | — |
| Diagnostic mammogram, one breast one side CPT 77065 HC PR Mammo Diag Unilat Incl Cad | $68.00 | $68.00 | — | 83% below | — |
| Diagnostic mammogram, one breast inpatient CPT 77065 Diagnostic mammography of 1 breast | $430.00 | $430.00 | — | — | — |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 HC PR Mammo Diag Unilat Incl Cad | $68.00 | $68.00 | — | — | — |
| Duplex ultrasound of the leg veins, both legs CPT 93970 Ultrasound arm or leg veins with compression and maneuvers | $964.00 | $964.00 | $535.02–$915.80 | 7% below | — |
| Duplex ultrasound of the leg veins, both legs CPT 93970 Ultrasound arm or leg veins with compression and maneuvers | $964.00 | $964.00 | — | 7% below | — |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 Ultrasound arm or leg veins with compression and maneuvers | $964.00 | $964.00 | — | — | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Echo Tte 2d W/Color & Dop | $403.00 | $403.00 | $67.16–$2,163.15 | 75% below | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Echo Tte 2d W/Color & Dop | $403.00 | $403.00 | — | 75% below | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Ultrasound heart w/color blood flow, rate, direction | $2,277.00 | $2,277.00 | $67.16–$2,163.15 | 42% above | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Ultrasound heart w/color blood flow, rate, direction | $2,277.00 | $2,277.00 | — | 42% above | — |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Echo Tte 2d W/Color & Dop | $403.00 | $403.00 | — | — | — |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Ultrasound heart w/color blood flow, rate, direction | $2,277.00 | $2,277.00 | — | — | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Nuclear medicine study of liver and bile duct system | $1,524.00 | $1,524.00 | $34.41–$1,447.80 | 26% above | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Nuclear medicine study of liver and bile duct system | $1,524.00 | $1,524.00 | — | 26% above | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 Nuclear medicine study of liver and bile duct system | $1,524.00 | $1,524.00 | — | — | — |
| Knee X-ray, 3 views CPT 73562 X-ray of knee, 3 views | $428.00 | $428.00 | $9.44–$406.60 | 38% above | — |
| Knee X-ray, 3 views CPT 73562 X-ray of knee, 3 views | $428.00 | $428.00 | — | 38% above | — |
| Knee X-ray, 3 views inpatient CPT 73562 X-ray of knee, 3 views | $428.00 | $428.00 | — | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC PR 76705 Echo Exam of Abdomen | $51.00 | $51.00 | $28.31–$925.30 | 89% below | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC PR 76705 Echo Exam of Abdomen | $51.00 | $51.00 | — | 89% below | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Limited ultrasound scan of abdomen | $974.00 | $974.00 | — | 106% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Limited ultrasound scan of abdomen | $974.00 | $974.00 | $28.31–$925.30 | 106% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC PR 76705 Echo Exam of Abdomen | $51.00 | $51.00 | — | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Limited ultrasound scan of abdomen | $974.00 | $974.00 | — | — | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Low dose CT scan of chest for lung cancer screening | $4,269.00 | $4,269.00 | $3,415.20–$3,842.10 | 1826% above | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Low dose CT scan of chest for lung cancer screening | $4,269.00 | $4,269.00 | — | 1826% above | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 Low dose CT scan of chest for lung cancer screening | $4,269.00 | $4,269.00 | — | — | — |
| MRI of both breasts, without and then with contrast dye both sides CPT 77049 HC PR 77049 MRI Breast Without&With Contrast W/Cad Bilateral | $195.00 | $195.00 | — | — | — |
| MRI of both breasts, without and then with contrast dye both sides CPT 77049 HC PR 77049 MRI Breast Without&With Contrast W/Cad Bilateral | $195.00 | $195.00 | $108.23–$4,753.80 | — | — |
| MRI of both breasts, without and then with contrast dye CPT 77049 MRI scan of both breast with CAD | $5,004.00 | $5,004.00 | $108.23–$4,753.80 | 169% above | — |
| MRI of both breasts, without and then with contrast dye CPT 77049 MRI scan of both breast with CAD | $5,004.00 | $5,004.00 | — | 169% above | — |
| MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 HC PR 77049 MRI Breast Without&With Contrast W/Cad Bilateral | $195.00 | $195.00 | — | — | — |
| MRI of both breasts, without and then with contrast dye inpatient CPT 77049 MRI scan of both breast with CAD | $5,004.00 | $5,004.00 | — | — | — |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI scan of leg joint without contrast | $1,397.00 | $1,397.00 | $64.38–$1,327.15 | 18% below | — |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI scan of leg joint without contrast | $1,397.00 | $1,397.00 | — | 18% below | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI scan of leg joint without contrast | $1,397.00 | $1,397.00 | — | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI scan of leg joint before and after contrast | $4,883.00 | $4,883.00 | $101.57–$4,638.85 | 65% above | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI scan of leg joint before and after contrast | $4,883.00 | $4,883.00 | — | 65% above | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI scan of leg joint before and after contrast | $4,883.00 | $4,883.00 | — | — | — |
| MRI of the abdomen without contrast CPT 74181 MRI scan of abdomen without contrast | $2,715.00 | $2,715.00 | — | 38% above | — |
| MRI of the abdomen without contrast CPT 74181 MRI scan of abdomen without contrast | $2,715.00 | $2,715.00 | $68.82–$2,579.25 | 38% above | — |
| MRI of the abdomen without contrast inpatient CPT 74181 MRI scan of abdomen without contrast | $2,715.00 | $2,715.00 | — | — | — |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI scan of abdomen before and after contrast | $4,883.00 | $4,883.00 | $107.12–$4,638.85 | 61% above | — |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI scan of abdomen before and after contrast | $4,883.00 | $4,883.00 | — | 61% above | — |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI scan of abdomen before and after contrast | $4,883.00 | $4,883.00 | — | — | — |
| MRI of the brain, no contrast dye CPT 70551 MRI scan of brain without contrast | $2,720.00 | $2,720.00 | $69.93–$2,584.00 | 51% above | — |
| MRI of the brain, no contrast dye CPT 70551 MRI scan of brain without contrast | $2,720.00 | $2,720.00 | — | 51% above | — |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI scan of brain without contrast | $2,720.00 | $2,720.00 | — | — | — |
| MRI of the brain, with and without contrast dye CPT 70553 MRI scan of brain before and after contrast | $4,284.00 | $4,284.00 | — | 62% above | — |
| MRI of the brain, with and without contrast dye CPT 70553 MRI scan of brain before and after contrast | $4,284.00 | $4,284.00 | $108.23–$4,069.80 | 62% above | — |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI scan of brain before and after contrast | $4,284.00 | $4,284.00 | — | — | — |
| MRI of the lower back, no contrast dye CPT 72148 MRI scan of lower spinal canal without contrast | $1,434.00 | $1,434.00 | — | 31% below | — |
| MRI of the lower back, no contrast dye CPT 72148 MRI scan of lower spinal canal without contrast | $1,434.00 | $1,434.00 | $69.93–$1,362.30 | 31% below | — |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI scan of lower spinal canal without contrast | $1,434.00 | $1,434.00 | — | — | — |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI scan of lower spinal canal before and after contrast | $3,938.00 | $3,938.00 | — | 30% above | — |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI scan of lower spinal canal before and after contrast | $3,938.00 | $3,938.00 | $108.23–$3,741.10 | 30% above | — |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI scan of lower spinal canal before and after contrast | $3,938.00 | $3,938.00 | — | — | — |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI scan of middle spinal canal without contrast | $2,342.00 | $2,342.00 | — | 11% above | — |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI scan of middle spinal canal without contrast | $2,342.00 | $2,342.00 | $69.93–$2,224.90 | 11% above | — |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI scan of middle spinal canal without contrast | $2,342.00 | $2,342.00 | — | — | — |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI scan of upper spinal canal before and after contrast | $3,901.00 | $3,901.00 | $108.23–$3,705.95 | 29% above | — |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI scan of upper spinal canal before and after contrast | $3,901.00 | $3,901.00 | — | 29% above | — |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI scan of upper spinal canal before and after contrast | $3,901.00 | $3,901.00 | — | — | — |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI scan of upper spinal canal without contrast | $2,258.00 | $2,258.00 | — | 13% above | — |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI scan of upper spinal canal without contrast | $2,258.00 | $2,258.00 | $69.93–$2,145.10 | 13% above | — |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI scan of upper spinal canal without contrast | $2,258.00 | $2,258.00 | — | — | — |
| MRI of the pelvis without and with contrast CPT 72197 MRI scan of pelvis before and after contrast | $3,712.00 | $3,712.00 | — | 18% above | — |
| MRI of the pelvis without and with contrast CPT 72197 MRI scan of pelvis before and after contrast | $3,712.00 | $3,712.00 | $107.12–$3,526.40 | 18% above | — |
| MRI of the pelvis without and with contrast inpatient CPT 72197 MRI scan of pelvis before and after contrast | $3,712.00 | $3,712.00 | — | — | — |
| MRI of the pelvis, no contrast dye CPT 72195 MRI scan of pelvis without contrast | $2,200.00 | $2,200.00 | $79.37–$2,090.00 | 16% above | — |
| MRI of the pelvis, no contrast dye CPT 72195 MRI scan of pelvis without contrast | $2,200.00 | $2,200.00 | — | 16% above | — |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI scan of pelvis without contrast | $2,200.00 | $2,200.00 | — | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI scan of arm joint without contrast | $1,423.00 | $1,423.00 | — | 21% below | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI scan of arm joint without contrast | $1,423.00 | $1,423.00 | $64.38–$1,351.85 | 21% below | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MRI scan of arm joint without contrast | $1,423.00 | $1,423.00 | — | — | — |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Nuclear medicine myocardial perfuse SPECT | $1,524.00 | $1,524.00 | — | 51% below | — |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Nuclear medicine myocardial perfuse SPECT | $1,524.00 | $1,524.00 | $74.37–$1,447.80 | 51% below | — |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 Nuclear medicine myocardial perfuse SPECT | $1,524.00 | $1,524.00 | — | — | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC PR 76857 US Exam Pelvic Limited | $44.00 | $44.00 | $24.42–$695.40 | 88% below | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC PR 76857 US Exam Pelvic Limited | $44.00 | $44.00 | — | 88% below | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Limited ultrasound scan of pelvis | $732.00 | $732.00 | — | 98% above | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Limited ultrasound scan of pelvis | $732.00 | $732.00 | $24.42–$695.40 | 98% above | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC PR 76857 US Exam Pelvic Limited | $44.00 | $44.00 | — | — | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 Limited ultrasound scan of pelvis | $732.00 | $732.00 | — | — | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC PR 76856 US Exam Pelvic Complete | $59.00 | $59.00 | $32.75–$1,039.30 | 89% below | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC PR 76856 US Exam Pelvic Complete | $59.00 | $59.00 | — | 89% below | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Complete ultrasound scan of pelvis | $1,094.00 | $1,094.00 | — | 101% above | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Complete ultrasound scan of pelvis | $1,094.00 | $1,094.00 | $32.75–$1,039.30 | 101% above | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HC PR 76856 US Exam Pelvic Complete | $59.00 | $59.00 | — | — | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 Complete ultrasound scan of pelvis | $1,094.00 | $1,094.00 | — | — | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC PR 76805 US OB After 1st Trimest 1/1st Fetus | $87.00 | $87.00 | — | 84% below | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC PR 76805 US OB After 1st Trimest 1/1st Fetus | $87.00 | $87.00 | $48.29–$919.60 | 84% below | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Ultrasound OB after 14 wks single fetus | $968.00 | $968.00 | — | 80% above | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Ultrasound OB after 14 wks single fetus | $968.00 | $968.00 | $48.29–$919.60 | 80% above | — |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC PR 76805 US OB After 1st Trimest 1/1st Fetus | $87.00 | $87.00 | — | — | — |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 Ultrasound OB after 14 wks single fetus | $968.00 | $968.00 | — | — | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Ultrasound OB < 14 wks single fetus | $1,022.00 | $1,022.00 | $47.73–$970.90 | 104% above | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Ultrasound OB < 14 wks single fetus | $1,022.00 | $1,022.00 | — | 104% above | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby one side CPT 76801 HC PR 76801 US OB Lt/14 Wks Single Fetus | $86.00 | $86.00 | — | 83% below | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby one side CPT 76801 HC PR 76801 US OB Lt/14 Wks Single Fetus | $86.00 | $86.00 | $47.73–$970.90 | 83% below | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 Ultrasound OB < 14 wks single fetus | $1,022.00 | $1,022.00 | — | — | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient one side CPT 76801 HC PR 76801 US OB Lt/14 Wks Single Fetus | $86.00 | $86.00 | — | — | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC PR 76815 US OB Limited Fetus(S) | $56.00 | $56.00 | $31.08–$751.45 | 85% below | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC PR 76815 US OB Limited Fetus(S) | $56.00 | $56.00 | — | 85% below | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Ultrasound OB limited 1 or more fetuses | $791.00 | $791.00 | $31.08–$751.45 | 113% above | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Ultrasound OB limited 1 or more fetuses | $791.00 | $791.00 | — | 113% above | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC PR 76815 US OB Limited Fetus(S) | $56.00 | $56.00 | — | — | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 Ultrasound OB limited 1 or more fetuses | $791.00 | $791.00 | — | — | — |
| Screening mammogram, both breasts both sides CPT 77067 HC PR Mammo Screen Bilat Incl Cad | $63.00 | $63.00 | — | — | — |
| Screening mammogram, both breasts both sides CPT 77067 HC PR Mammo Screen Bilat Incl Cad | $63.00 | $63.00 | $34.97–$442.70 | — | — |
| Screening mammogram, both breasts CPT 77067 Screening mammography | $466.00 | $466.00 | — | 43% above | — |
| Screening mammogram, both breasts CPT 77067 Screening mammography | $466.00 | $466.00 | $34.97–$442.70 | 43% above | — |
| Screening mammogram, both breasts inpatient both sides CPT 77067 HC PR Mammo Screen Bilat Incl Cad | $63.00 | $63.00 | — | — | — |
| Screening mammogram, both breasts inpatient CPT 77067 Screening mammography | $466.00 | $466.00 | — | — | — |
| Shoulder X-ray, complete, 2 or more views CPT 73030 HC PR 73030 Xr Shouler 2 Views | $33.00 | $33.00 | — | 89% below | — |
| Shoulder X-ray, complete, 2 or more views CPT 73030 HC PR 73030 Xr Shouler 2 Views | $33.00 | $33.00 | $18.32–$540.55 | 89% below | — |
| Shoulder X-ray, complete, 2 or more views CPT 73030 X-ray of shoulder, minimum of 2 views | $569.00 | $569.00 | $18.32–$540.55 | 93% above | — |
| Shoulder X-ray, complete, 2 or more views CPT 73030 X-ray of shoulder, minimum of 2 views | $569.00 | $569.00 | — | 93% above | — |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HC PR 73030 Xr Shouler 2 Views | $33.00 | $33.00 | — | — | — |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 X-ray of shoulder, minimum of 2 views | $569.00 | $569.00 | — | — | — |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 Imaging for evaluation of swallowing function | $534.00 | $534.00 | $25.53–$507.30 | at median | — |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 Imaging for evaluation of swallowing function | $534.00 | $534.00 | — | at median | — |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 Imaging for evaluation of swallowing function | $534.00 | $534.00 | — | — | — |
| Transvaginal pelvic ultrasound CPT 76830 HC PR 76830 US Transvaginal Non-OB | $59.00 | $59.00 | — | 87% below | — |
| Transvaginal pelvic ultrasound CPT 76830 HC PR 76830 US Transvaginal Non-OB | $59.00 | $59.00 | $32.75–$1,009.85 | 87% below | — |
| Transvaginal pelvic ultrasound CPT 76830 Ultrasound uterus, ovaries, tubes, cervix and pelvic area | $1,063.00 | $1,063.00 | — | 132% above | — |
| Transvaginal pelvic ultrasound CPT 76830 Ultrasound uterus, ovaries, tubes, cervix and pelvic area | $1,063.00 | $1,063.00 | $32.75–$1,009.85 | 132% above | — |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HC PR 76830 US Transvaginal Non-OB | $59.00 | $59.00 | — | — | — |
| Transvaginal pelvic ultrasound inpatient CPT 76830 Ultrasound uterus, ovaries, tubes, cervix and pelvic area | $1,063.00 | $1,063.00 | — | — | — |
| Transvaginal ultrasound during pregnancy CPT 76817 HC PR 76817 US OB Transvaginal | $66.00 | $66.00 | $36.63–$985.15 | 85% below | — |
| Transvaginal ultrasound during pregnancy CPT 76817 HC PR 76817 US OB Transvaginal | $66.00 | $66.00 | — | 85% below | — |
| Transvaginal ultrasound during pregnancy CPT 76817 Ultrasound of pregnant uterus | $1,037.00 | $1,037.00 | $36.63–$985.15 | 138% above | — |
| Transvaginal ultrasound during pregnancy CPT 76817 Ultrasound of pregnant uterus | $1,037.00 | $1,037.00 | — | 138% above | — |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 HC PR 76817 US OB Transvaginal | $66.00 | $66.00 | — | — | — |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 Ultrasound of pregnant uterus | $1,037.00 | $1,037.00 | — | — | — |
| Ultrasound of the abdomen, complete CPT 76700 HC PR 76700 US Abdominal Real Time W/Image Documentation | $69.00 | $69.00 | $38.30–$851.20 | 89% below | — |
| Ultrasound of the abdomen, complete CPT 76700 HC PR 76700 US Abdominal Real Time W/Image Documentation | $69.00 | $69.00 | — | 89% below | — |
| Ultrasound of the abdomen, complete CPT 76700 Complete ultrasound scan of abdomen | $896.00 | $896.00 | $38.30–$851.20 | 42% above | — |
| Ultrasound of the abdomen, complete CPT 76700 Complete ultrasound scan of abdomen | $896.00 | $896.00 | — | 42% above | — |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HC PR 76700 US Abdominal Real Time W/Image Documentation | $69.00 | $69.00 | — | — | — |
| Ultrasound of the abdomen, complete inpatient CPT 76700 Complete ultrasound scan of abdomen | $896.00 | $896.00 | — | — | — |
| Ultrasound of the scrotum and testicles CPT 76870 HC PR 76870 US Exam Scrotum & Contents | $55.00 | $55.00 | $30.53–$1,036.45 | 88% below | — |
| Ultrasound of the scrotum and testicles CPT 76870 HC PR 76870 US Exam Scrotum & Contents | $55.00 | $55.00 | — | 88% below | — |
| Ultrasound of the scrotum and testicles CPT 76870 Ultrasound scan of scrotum | $1,091.00 | $1,091.00 | $30.53–$1,036.45 | 130% above | — |
| Ultrasound of the scrotum and testicles CPT 76870 Ultrasound scan of scrotum | $1,091.00 | $1,091.00 | — | 130% above | — |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 HC PR 76870 US Exam Scrotum & Contents | $55.00 | $55.00 | — | — | — |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 Ultrasound scan of scrotum | $1,091.00 | $1,091.00 | — | — | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Ultrasound scan of head and neck soft tissue | $1,034.00 | $1,034.00 | — | 118% above | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Ultrasound scan of head and neck soft tissue | $1,034.00 | $1,034.00 | $27.20–$982.30 | 118% above | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 Ultrasound scan of head and neck soft tissue | $1,034.00 | $1,034.00 | — | — | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC PR 74240 Xr Radiologic Exam Upr GI Trc Single Contrast Study Cdm | $60.00 | $60.00 | — | 91% below | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC PR 74240 Xr Radiologic Exam Upr GI Trc Single Contrast Study Cdm | $60.00 | $60.00 | $33.30–$611.80 | 91% below | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Single contrast X-ray of upper digestive tract | $644.00 | $644.00 | — | 4% below | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Single contrast X-ray of upper digestive tract | $644.00 | $644.00 | $33.30–$611.80 | 4% below | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HC PR 74240 Xr Radiologic Exam Upr GI Trc Single Contrast Study Cdm | $60.00 | $60.00 | — | — | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 Single contrast X-ray of upper digestive tract | $644.00 | $644.00 | — | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 Ultrasound one limb veins w/compression and maneuvers | $712.00 | $712.00 | — | 11% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 Ultrasound one limb veins w/compression and maneuvers | $712.00 | $712.00 | $395.16–$676.40 | 11% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 Ultrasound one limb veins w/compression and maneuvers | $712.00 | $712.00 | — | — | — |
| Wrist X-ray, complete, 3 or more views CPT 73110 X-ray of wrist, minimum of 3 views | $497.00 | $497.00 | — | 60% above | — |
| Wrist X-ray, complete, 3 or more views CPT 73110 X-ray of wrist, minimum of 3 views | $497.00 | $497.00 | $8.88–$472.15 | 60% above | — |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 X-ray of wrist, minimum of 3 views | $497.00 | $497.00 | — | — | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 X-ray of hip, 2-3 views | $394.00 | $394.00 | $11.10–$409.38 | 36% above | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 X-ray of hip, 2-3 views | $394.00 | $394.00 | — | 36% above | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 X-ray of hip, 2-3 views | $394.00 | $394.00 | — | — | — |
| X-ray of the abdomen, 1 view CPT 74018 X-ray of abdomen, 1 view | $478.00 | $478.00 | $8.88–$454.10 | 102% above | — |
| X-ray of the abdomen, 1 view CPT 74018 X-ray of abdomen, 1 view | $478.00 | $478.00 | — | 102% above | — |
| X-ray of the abdomen, 1 view inpatient CPT 74018 X-ray of abdomen, 1 view | $478.00 | $478.00 | — | — | — |
| X-ray of the ankle, 2 views CPT 73600 X-ray of ankle, 2 views | $567.00 | $567.00 | $8.33–$538.65 | 115% above | — |
| X-ray of the ankle, 2 views CPT 73600 X-ray of ankle, 2 views | $567.00 | $567.00 | — | 115% above | — |
| X-ray of the ankle, 2 views inpatient CPT 73600 X-ray of ankle, 2 views | $567.00 | $567.00 | — | — | — |
| X-ray of the finger(s), 2 or more views CPT 73140 X-ray of finger, minimum of 2 views | $265.00 | $265.00 | — | 3% above | — |
| X-ray of the finger(s), 2 or more views CPT 73140 X-ray of finger, minimum of 2 views | $265.00 | $265.00 | $7.22–$257.76 | 3% above | — |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 X-ray of finger, minimum of 2 views | $265.00 | $265.00 | — | — | — |
| X-ray of the foot, 2 views CPT 73620 X-ray foot, 2 views | $493.00 | $493.00 | — | 99% above | — |
| X-ray of the foot, 2 views CPT 73620 X-ray of foot, 2 views | $493.00 | $493.00 | $7.77–$468.35 | 99% above | — |
| X-ray of the foot, 2 views CPT 73620 X-ray foot, 2 views | $493.00 | $493.00 | $7.77–$468.35 | 99% above | — |
| X-ray of the foot, 2 views CPT 73620 X-ray of foot, 2 views | $493.00 | $493.00 | — | 99% above | — |
| X-ray of the foot, 2 views inpatient CPT 73620 X-ray foot, 2 views | $493.00 | $493.00 | — | — | — |
| X-ray of the foot, 2 views inpatient CPT 73620 X-ray of foot, 2 views | $493.00 | $493.00 | — | — | — |
| X-ray of the foot, complete, 3 or more views CPT 73630 X-ray of foot, minimum of 3 views | $516.00 | $516.00 | $8.33–$490.20 | 92% above | — |
| X-ray of the foot, complete, 3 or more views CPT 73630 X-ray of foot, minimum of 3 views | $516.00 | $516.00 | — | 92% above | — |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 X-ray of foot, minimum of 3 views | $516.00 | $516.00 | — | — | — |
| X-ray of the hand, 3 or more views CPT 73130 X-ray of hand, minimum of 3 views | $608.00 | $608.00 | — | 123% above | — |
| X-ray of the hand, 3 or more views CPT 73130 X-ray of hand, minimum of 3 views | $608.00 | $608.00 | $8.88–$577.60 | 123% above | — |
| X-ray of the hand, 3 or more views inpatient CPT 73130 X-ray of hand, minimum of 3 views | $608.00 | $608.00 | — | — | — |
| X-ray of the knee, 1 or 2 views CPT 73560 X-ray of knee, 1-2 views | $314.00 | $314.00 | $8.33–$298.30 | 21% above | — |
| X-ray of the knee, 1 or 2 views CPT 73560 X-ray of knee, 1-2 views | $314.00 | $314.00 | — | 21% above | — |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 X-ray of knee, 1-2 views | $314.00 | $314.00 | — | — | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 X-ray of lower and sacral spine, 2-3 views | $411.00 | $411.00 | — | 34% above | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 X-ray of lower and sacral spine, 2-3 views | $411.00 | $411.00 | $11.10–$390.45 | 34% above | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 X-ray of lower and sacral spine, 2-3 views | $411.00 | $411.00 | — | — | — |
| X-ray of the lower back, 4 or more views CPT 72110 X-ray of lower and sacral spine, minimum of 4 views | $637.00 | $637.00 | — | 45% above | — |
| X-ray of the lower back, 4 or more views CPT 72110 X-ray of lower and sacral spine, minimum of 4 views | $637.00 | $637.00 | $15.54–$605.15 | 45% above | — |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 X-ray of lower and sacral spine, minimum of 4 views | $637.00 | $637.00 | — | — | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 X-ray of middle spine, 2 views | $298.00 | $298.00 | $11.10–$409.38 | 7% above | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 X-ray of middle spine, 2 views | $298.00 | $298.00 | — | 7% above | — |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 X-ray of middle spine, 2 views | $298.00 | $298.00 | — | — | — |
| X-ray of the nasal bones, 3 or more views CPT 70160 X-ray of nose bones, minimum of 3 views | $436.00 | $436.00 | $8.88–$414.20 | 75% above | — |
| X-ray of the nasal bones, 3 or more views CPT 70160 X-ray of nose bones, minimum of 3 views | $436.00 | $436.00 | — | 75% above | — |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 X-ray of nose bones, minimum of 3 views | $436.00 | $436.00 | — | — | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 X-ray of upper spine, 2-3 views | $516.00 | $516.00 | $11.10–$490.20 | 65% above | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 X-ray of upper spine, 2-3 views | $516.00 | $516.00 | — | 65% above | — |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 X-ray of upper spine, 2-3 views | $516.00 | $516.00 | — | — | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 X-ray of pelvis, 1-2 views | $471.00 | $471.00 | — | 71% above | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 X-ray of pelvis, 1-2 views | $471.00 | $471.00 | $8.88–$447.45 | 71% above | — |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 X-ray of pelvis, 1-2 views | $471.00 | $471.00 | — | — | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 X-ray of sacrum and tailbone, minimum of 2 views | $418.00 | $418.00 | — | 86% above | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 X-ray of sacrum and tailbone, minimum of 2 views | $418.00 | $418.00 | $8.88–$397.10 | 86% above | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 X-ray of sacrum and tailbone, minimum of 2 views | $418.00 | $418.00 | — | — | — |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Washington | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Liver enzyme (SGPT), level | $51.00 | $51.00 | $7.08–$48.45 | 33% above | — |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Liver enzyme (SGPT), level | $51.00 | $51.00 | — | 33% above | — |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Liver enzyme (SGPT), level | $51.00 | $51.00 | — | — | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Liver enzyme (SGOT), level | $55.00 | $55.00 | $6.92–$52.25 | 51% above | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Liver enzyme (SGOT), level | $55.00 | $55.00 | — | 51% above | — |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Liver enzyme (SGOT), level | $55.00 | $55.00 | — | — | — |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Acute hepatitis panel | $471.00 | $471.00 | — | 97% above | — |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Acute hepatitis panel | $471.00 | $471.00 | $63.59–$447.45 | 97% above | — |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Acute hepatitis panel | $471.00 | $471.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Measure antibody to allergic, crude allergen extract, each | $39.00 | $39.00 | — | 46% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Measure antibody to allergic, crude allergen extract, each | $39.00 | $39.00 | $6.97–$257.76 | 46% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Measure antibody to allergic crude allergen extract each | $39.00 | $39.00 | $6.97–$257.76 | 46% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Measure antibody to allergic crude allergen extract each | $39.00 | $39.00 | — | 46% above | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Measure antibody to allergic crude allergen extract each | $39.00 | $39.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Measure antibody to allergic, crude allergen extract, each | $39.00 | $39.00 | — | — | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Measurement of antibody for rheumatoid arthritis assessment | $118.00 | $118.00 | — | 52% above | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Measurement of antibody for rheumatoid arthritis assessment | $118.00 | $118.00 | $17.29–$257.76 | 52% above | — |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Measurement of antibody for rheumatoid arthritis assessment | $118.00 | $118.00 | — | — | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Screening test for autoimmune disorder | $93.00 | $93.00 | $16.14–$88.35 | 47% above | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Screening test for autoimmune disorder | $93.00 | $93.00 | — | 47% above | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Screening test for autoimmune disorder | $93.00 | $93.00 | — | — | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Natriuretic peptide (heart and blood vessel protein) level | $284.00 | $284.00 | $52.41–$409.38 | 53% above | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Natriuretic peptide (heart and blood vessel protein) level | $284.00 | $284.00 | — | 53% above | — |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 Natriuretic peptide (heart and blood vessel protein) level | $284.00 | $284.00 | — | — | — |
| Basic metabolic panel (blood test) CPT 80048 Blood test, basic group of blood chemicals | $91.00 | $91.00 | — | 27% above | — |
| Basic metabolic panel (blood test) CPT 80048 Blood test, basic group of blood chemicals | $91.00 | $91.00 | $11.29–$86.45 | 27% above | — |
| Basic metabolic panel (blood test) inpatient CPT 80048 Blood test, basic group of blood chemicals | $91.00 | $91.00 | — | — | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Pathology exam tissue w/microscope intermediate complexity | $225.00 | $225.00 | — | 26% above | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Pathology exam tissue w/microscope intermediate complexity | $225.00 | $225.00 | $124.88–$213.75 | 26% above | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Pathology exam tissue w/microscope intermediate complexity | $225.00 | $225.00 | — | — | — |
| Blood culture for bacteria CPT 87040 Bacterial blood culture | $108.00 | $108.00 | $13.78–$102.60 | 15% below | — |
| Blood culture for bacteria CPT 87040 Bacterial blood culture | $108.00 | $108.00 | — | 15% below | — |
| Blood culture for bacteria inpatient CPT 87040 Bacterial blood culture | $108.00 | $108.00 | — | — | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC PR Routine Venipuncture | $10.00 | $10.00 | — | 60% below | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC PR Routine Venipuncture | $10.00 | $10.00 | $5.55–$257.76 | 60% below | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Insert needle into vein for collection of blood sample | $28.00 | $28.00 | — | 12% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Insert needle into vein for collection of blood sample | $28.00 | $28.00 | $5.55–$257.76 | 12% above | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC PR Routine Venipuncture | $10.00 | $10.00 | — | — | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Insert needle into vein for collection of blood sample | $28.00 | $28.00 | — | — | — |
| Blood glucose (sugar) test CPT 82947 Blood glucose (sugar) level | $49.00 | $49.00 | — | 40% above | — |
| Blood glucose (sugar) test CPT 82947 Blood glucose (sugar) level | $49.00 | $49.00 | $5.25–$46.55 | 40% above | — |
| Blood glucose (sugar) test inpatient CPT 82947 Blood glucose (sugar) level | $49.00 | $49.00 | — | — | — |
| Blood lead test CPT 83655 Lead level | $30.00 | $30.00 | $16.17–$102.60 | 46% below | — |
| Blood lead test CPT 83655 Lead level | $30.00 | $30.00 | — | 46% below | — |
| Blood lead test inpatient CPT 83655 Lead level | $30.00 | $30.00 | — | — | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Gonadotropin (reproductive hormone) analysis | $101.00 | $101.00 | $10.04–$95.95 | 43% above | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Gonadotropin (reproductive hormone) analysis | $101.00 | $101.00 | — | 43% above | — |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Gonadotropin (reproductive hormone) analysis | $101.00 | $101.00 | — | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Blood group typing (ABO) | $257.00 | $257.00 | — | 300% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Blood group typing (ABO) | $257.00 | $257.00 | $3.99–$244.15 | 300% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Blood group typing (ABO) | $257.00 | $257.00 | — | — | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 Measure C-reactive protein to detect infection/inflammation | $73.00 | $73.00 | — | 32% above | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 Measure C-reactive protein to detect infection/inflammation | $73.00 | $73.00 | $6.92–$69.35 | 32% above | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 Measure C-reactive protein to detect infection/inflammation | $73.00 | $73.00 | — | — | — |
| C. difficile toxin gene test (stool PCR) CPT 87493 Test by nucleic acid for clostridium difficile amplified | $104.00 | $104.00 | — | 40% below | — |
| C. difficile toxin gene test (stool PCR) CPT 87493 Test by nucleic acid for clostridium difficile amplified | $104.00 | $104.00 | $49.76–$98.80 | 40% below | — |
| C. difficile toxin gene test (stool PCR) CPT 87493 Test by nucleic acid for clostridium difficile, amplified | $104.00 | $104.00 | — | 40% below | — |
| C. difficile toxin gene test (stool PCR) CPT 87493 Test by nucleic acid for clostridium difficile, amplified | $104.00 | $104.00 | $49.76–$98.80 | 40% below | — |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 Test by nucleic acid for clostridium difficile amplified | $104.00 | $104.00 | — | — | — |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 Test by nucleic acid for clostridium difficile, amplified | $104.00 | $104.00 | — | — | — |
| CA 19-9 blood test (tumor marker) CPT 86301 Immunologic analysis tumor antigen, quantitative; CA 19-9 | $192.00 | $192.00 | — | 75% above | — |
| CA 19-9 blood test (tumor marker) CPT 86301 Immunologic analysis tumor antigen, quantitative; CA 19-9 | $192.00 | $192.00 | $27.78–$182.40 | 75% above | — |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 Immunologic analysis tumor antigen, quantitative; CA 19-9 | $192.00 | $192.00 | — | — | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 Immunologic analysis of tumor antigen, quantitative; CA 125 | $159.00 | $159.00 | $27.78–$151.05 | 35% above | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 Immunologic analysis of tumor antigen, quantitative; CA 125 | $159.00 | $159.00 | — | 35% above | — |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Immunologic analysis of tumor antigen, quantitative; CA 125 | $159.00 | $159.00 | — | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Amplifed DNA or RNA probe of (Covid-19) antigen | $221.00 | $221.00 | $68.50–$257.76 | 157% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Amplifed DNA or RNA probe of (Covid-19) antigen | $221.00 | $221.00 | — | 157% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Amplifed DNA or RNA probe of (Covid-19) antigen | $221.00 | $221.00 | — | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Test bynucleic acid for chlamydia trachomatis, amplified | $281.00 | $281.00 | — | 109% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Test bynucleic acid for chlamydia trachomatis, amplified | $281.00 | $281.00 | $46.85–$409.38 | 109% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Test bynucleic acid for chlamydia trachomatis, amplified | $281.00 | $281.00 | — | — | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Blood test, lipids (cholesterol and triglycerides) | $161.00 | $161.00 | — | 83% above | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Blood test, lipids (cholesterol and triglycerides) | $161.00 | $161.00 | $17.88–$152.95 | 83% above | — |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Blood test, lipids (cholesterol and triglycerides) | $161.00 | $161.00 | — | — | — |
| Complete blood count (CBC) with differential CPT 85025 CBC, automated test and differential WBC count | $110.00 | $110.00 | $10.37–$104.50 | 100% above | — |
| Complete blood count (CBC) with differential CPT 85025 CBC, automated test and differential WBC count | $110.00 | $110.00 | — | 100% above | — |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC, automated test and differential WBC count | $110.00 | $110.00 | — | — | — |
| Complete blood count (CBC), no differential CPT 85027 Complete blood cell count, automated test | $91.00 | $91.00 | $8.64–$409.38 | 103% above | — |
| Complete blood count (CBC), no differential CPT 85027 Complete blood cell count, automated test | $91.00 | $91.00 | — | 103% above | — |
| Complete blood count (CBC), no differential inpatient CPT 85027 Complete blood cell count, automated test | $91.00 | $91.00 | — | — | — |
| Comprehensive metabolic panel (blood test) CPT 80053 Blood test, comprehensive group of blood chemicals | $117.00 | $117.00 | $14.10–$111.15 | 40% above | — |
| Comprehensive metabolic panel (blood test) CPT 80053 Blood test, comprehensive group of blood chemicals | $117.00 | $117.00 | — | 40% above | — |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 Blood test, comprehensive group of blood chemicals | $117.00 | $117.00 | — | — | — |
| D-dimer blood test (blood clot marker) CPT 85379 Coagulation function measurement, D-dimer; quantitative | $93.00 | $93.00 | $13.59–$257.76 | 19% below | — |
| D-dimer blood test (blood clot marker) CPT 85379 Coagulation function measurement, D-dimer; quantitative | $93.00 | $93.00 | — | 19% below | — |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 Coagulation function measurement, D-dimer; quantitative | $93.00 | $93.00 | — | — | — |
| DHEA sulfate (DHEA-S) blood test CPT 82627 Dehydroepiandrosterone (DHEA-S) hormone level | $239.00 | $239.00 | $29.68–$227.05 | 80% above | — |
| DHEA sulfate (DHEA-S) blood test CPT 82627 Dehydroepiandrosterone (DHEA-S) hormone level | $239.00 | $239.00 | — | 80% above | — |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 Dehydroepiandrosterone (DHEA-S) hormone level | $239.00 | $239.00 | — | — | — |
| Estradiol blood test CPT 82670 Measurement of total estradiol (hormone) | $300.00 | $300.00 | — | 116% above | — |
| Estradiol blood test CPT 82670 Measurement of total estradiol (hormone) | $300.00 | $300.00 | $37.30–$285.00 | 116% above | — |
| Estradiol blood test inpatient CPT 82670 Measurement of total estradiol (hormone) | $300.00 | $300.00 | — | — | — |
| FSH (follicle-stimulating hormone) test CPT 83001 Gonadotropin, follicle stimulating level | $184.00 | $184.00 | — | 92% above | — |
| FSH (follicle-stimulating hormone) test CPT 83001 Gonadotropin, follicle stimulating level | $184.00 | $184.00 | $24.80–$174.80 | 92% above | — |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 Gonadotropin, follicle stimulating level | $184.00 | $184.00 | — | — | — |
| Fecal calprotectin (stool inflammation test) CPT 83993 Stool calprotectin (protein) level | $214.00 | $214.00 | $26.21–$203.30 | 21% above | — |
| Fecal calprotectin (stool inflammation test) CPT 83993 Stool calprotectin (protein) level | $214.00 | $214.00 | — | 21% above | — |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Stool calprotectin (protein) level | $214.00 | $214.00 | — | — | — |
| Ferritin blood test (iron stores) CPT 82728 Ferritin (blood protein) level | $189.00 | $189.00 | — | 98% above | — |
| Ferritin blood test (iron stores) CPT 82728 Ferritin (blood protein) level | $189.00 | $189.00 | $18.20–$179.55 | 98% above | — |
| Ferritin blood test (iron stores) inpatient CPT 82728 Ferritin (blood protein) level | $189.00 | $189.00 | — | — | — |
| Folate (folic acid) blood test CPT 82746 Folic acid level, serum | $133.00 | $133.00 | $19.62–$126.35 | 25% above | — |
| Folate (folic acid) blood test CPT 82746 Folic acid level, serum | $133.00 | $133.00 | — | 25% above | — |
| Folate (folic acid) blood test inpatient CPT 82746 Folic acid level, serum | $133.00 | $133.00 | — | — | — |
| Free T3 thyroid hormone test CPT 84481 Thyroid hormone, T3 measurement, free | $87.00 | $87.00 | — | at median | — |
| Free T3 thyroid hormone test CPT 84481 Thyroid hormone, T3 measurement, free | $87.00 | $87.00 | $22.61–$82.65 | at median | — |
| Free T3 thyroid hormone test inpatient CPT 84481 Thyroid hormone, T3 measurement, free | $87.00 | $87.00 | — | — | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Thyroxine (thyroid chemical), free | $105.00 | $105.00 | — | 64% above | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Thyroxine (thyroid chemical), free | $105.00 | $105.00 | $12.04–$99.75 | 64% above | — |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Thyroxine (thyroid chemical), free | $105.00 | $105.00 | — | — | — |
| Free testosterone test CPT 84402 Testosterone (hormone) level, free | $265.00 | $265.00 | — | 112% above | — |
| Free testosterone test CPT 84402 Testosterone (hormone) level, free | $265.00 | $265.00 | $34.00–$251.75 | 112% above | — |
| Free testosterone test inpatient CPT 84402 Testosterone (hormone) level, free | $265.00 | $265.00 | — | — | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Blood glucose level after receiving glucose | $58.00 | $58.00 | — | 62% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Blood glucose level after receiving glucose | $58.00 | $58.00 | $6.34–$55.10 | 62% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Blood glucose level after receiving glucose | $58.00 | $58.00 | — | — | — |
| Glucose tolerance test, 3 samples CPT 82951 Blood glucose (sugar) tolerance test, 3 specimens | $141.00 | $141.00 | $17.18–$133.95 | 116% above | — |
| Glucose tolerance test, 3 samples CPT 82951 Blood glucose (sugar) tolerance test, 3 specimens | $141.00 | $141.00 | — | 116% above | — |
| Glucose tolerance test, 3 samples inpatient CPT 82951 Blood glucose (sugar) tolerance test, 3 specimens | $141.00 | $141.00 | — | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Test by nucleic acid for Neisseria gonorrhoeae amplified | $256.00 | $256.00 | $46.85–$409.38 | 91% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Test by nucleic acid for Neisseria gonorrhoeae, amplified | $256.00 | $256.00 | $46.85–$409.38 | 91% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Test by nucleic acid for Neisseria gonorrhoeae, amplified | $256.00 | $256.00 | — | 91% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Test by nucleic acid for Neisseria gonorrhoeae amplified | $256.00 | $256.00 | — | 91% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Detection test by nucleic acid for Neisseria gonorrhoeae | $281.00 | $281.00 | $46.85–$409.38 | 109% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Detection test by nucleic acid for Neisseria gonorrhoeae | $281.00 | $281.00 | — | 109% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Test by nucleic acid for Neisseria gonorrhoeae, amplified | $256.00 | $256.00 | — | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Test by nucleic acid for Neisseria gonorrhoeae amplified | $256.00 | $256.00 | — | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Detection test by nucleic acid for Neisseria gonorrhoeae | $281.00 | $281.00 | — | — | — |
| H. pylori stool antigen test CPT 87338 Test by immunoassay for Helicobacter pylori in stool | $104.00 | $104.00 | — | 25% below | — |
| H. pylori stool antigen test CPT 87338 Test by immunoassay for Helicobacter pylori in stool | $104.00 | $104.00 | $19.20–$257.76 | 25% below | — |
| H. pylori stool antigen test inpatient CPT 87338 Test by immunoassay for Helicobacter pylori in stool | $104.00 | $104.00 | — | — | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Test by nucleic acid for HIV-1 virus, quantification | $768.00 | $768.00 | $113.61–$729.60 | 102% above | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Test by nucleic acid for HIV-1 virus, quantification | $768.00 | $768.00 | — | 102% above | — |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Test by nucleic acid for HIV-1 virus, quantification | $768.00 | $768.00 | — | — | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Test by immunoassay HIV-1 antigen HIV-1/HIV-2 antibodies | $61.00 | $61.00 | — | 37% below | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Test by immunoassay HIV-1 antigen HIV-1/HIV-2 antibodies | $61.00 | $61.00 | $32.15–$409.38 | 37% below | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 Test by immunoassay HIV-1 antigen HIV-1/HIV-2 antibodies | $61.00 | $61.00 | — | — | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1C level | $81.00 | $81.00 | — | 16% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1C level | $81.00 | $81.00 | $12.96–$76.95 | 16% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hemoglobin A1C level | $81.00 | $81.00 | — | — | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B surface antibody measurement | $70.00 | $70.00 | — | 1% above | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B surface antibody measurement | $70.00 | $70.00 | $14.34–$66.50 | 1% above | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hepatitis B surface antibody measurement | $70.00 | $70.00 | — | — | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Test byimmunoassay for hepatitis B surface antigen | $124.00 | $124.00 | $13.79–$117.80 | 87% above | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Test byimmunoassay for hepatitis B surface antigen | $124.00 | $124.00 | — | 87% above | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Test by immunoassay for hepatitis B surface antigen | $124.00 | $124.00 | — | 87% above | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Test by immunoassay for hepatitis B surface antigen | $124.00 | $124.00 | $13.79–$117.80 | 87% above | — |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Test by immunoassay for hepatitis B surface antigen | $124.00 | $124.00 | — | — | — |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Test byimmunoassay for hepatitis B surface antigen | $124.00 | $124.00 | — | — | — |
| Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C antibody measurement | $174.00 | $174.00 | $19.05–$165.30 | 109% above | — |
| Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C antibody measurement | $174.00 | $174.00 | — | 109% above | — |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hepatitis C antibody measurement | $174.00 | $174.00 | — | — | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 Test by nucleic acid for Hepatitis C virus, quantification | $602.00 | $602.00 | — | 87% above | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 Test by nucleic acid for Hepatitis C virus, quantification | $602.00 | $602.00 | $57.19–$571.90 | 87% above | — |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Test by nucleic acid for Hepatitis C virus, quantification | $602.00 | $602.00 | — | — | — |
| Herpes blood test, HSV-1 antibody CPT 86695 Analysis for antibody to Herpes simplex virus, type 1 | $161.00 | $161.00 | — | 133% above | — |
| Herpes blood test, HSV-1 antibody CPT 86695 Analysis for antibody to Herpes simplex virus, type 1 | $161.00 | $161.00 | $17.61–$409.38 | 133% above | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 Analysis for antibody to Herpes simplex virus, type 1 | $161.00 | $161.00 | — | — | — |
| Herpes blood test, HSV-2 antibody CPT 86696 Analysis for antibody to Herpes simplex virus, type 2 | $238.00 | $238.00 | $25.83–$409.38 | 175% above | — |
| Herpes blood test, HSV-2 antibody CPT 86696 Analysis for antibody to Herpes simplex virus, type 2 | $238.00 | $238.00 | — | 175% above | — |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 Analysis for antibody to Herpes simplex virus, type 2 | $238.00 | $238.00 | — | — | — |
| High-sensitivity CRP (hs-CRP) test CPT 86141 Measure C-reactive protein for detection of infection | $163.00 | $163.00 | — | 141% above | — |
| High-sensitivity CRP (hs-CRP) test CPT 86141 Measure C-reactive protein for detection of infection | $163.00 | $163.00 | $17.29–$154.85 | 141% above | — |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 Measure C-reactive protein for detection of infection | $163.00 | $163.00 | — | — | — |
| Homocysteine blood test CPT 83090 Homocysteine (amino acid) level | $179.00 | $179.00 | — | 53% above | — |
| Homocysteine blood test CPT 83090 Homocysteine (amino acid) level | $179.00 | $179.00 | $23.92–$170.05 | 53% above | — |
| Homocysteine blood test inpatient CPT 83090 Homocysteine (amino acid) level | $179.00 | $179.00 | — | — | — |
| Insulin blood test CPT 83525 Insulin measurement, total | $110.00 | $110.00 | — | 38% above | — |
| Insulin blood test CPT 83525 Insulin measurement, total | $110.00 | $110.00 | $15.26–$104.50 | 38% above | — |
| Insulin blood test inpatient CPT 83525 Insulin measurement, total | $110.00 | $110.00 | — | — | — |
| Iron blood test (serum iron) CPT 83540 Iron level | $87.00 | $87.00 | — | 85% above | — |
| Iron blood test (serum iron) CPT 83540 Iron level | $87.00 | $87.00 | $8.64–$82.65 | 85% above | — |
| Iron blood test (serum iron) inpatient CPT 83540 Iron level | $87.00 | $87.00 | — | — | — |
| Iron-binding capacity (TIBC) test CPT 83550 Iron binding capacity | $52.00 | $52.00 | — | 13% below | — |
| Iron-binding capacity (TIBC) test CPT 83550 Iron binding capacity | $52.00 | $52.00 | $11.67–$49.40 | 13% below | — |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 Iron binding capacity | $52.00 | $52.00 | — | — | — |
| Kidney function blood test panel CPT 80069 Kidney function blood test panel | $65.00 | $65.00 | — | at median | — |
| Kidney function blood test panel CPT 80069 Kidney function blood test panel | $65.00 | $65.00 | $11.59–$61.75 | at median | — |
| Kidney function blood test panel inpatient CPT 80069 Kidney function blood test panel | $65.00 | $65.00 | — | — | — |
| LH (luteinizing hormone) test CPT 83002 Gonadotropin, luteinizing (reproductive hormone) level | $186.00 | $186.00 | $24.72–$176.70 | 105% above | — |
| LH (luteinizing hormone) test CPT 83002 Gonadotropin, luteinizing (reproductive hormone) level | $186.00 | $186.00 | — | 105% above | — |
| LH (luteinizing hormone) test inpatient CPT 83002 Gonadotropin, luteinizing (reproductive hormone) level | $186.00 | $186.00 | — | — | — |
| Lipase blood test (pancreas enzyme) CPT 83690 Lipase (fat enzyme) level | $100.00 | $100.00 | $9.20–$95.00 | 41% above | — |
| Lipase blood test (pancreas enzyme) CPT 83690 Lipase (fat enzyme) level | $100.00 | $100.00 | — | 41% above | — |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase (fat enzyme) level | $100.00 | $100.00 | — | — | — |
| Liver function blood test panel CPT 80076 Liver function blood test panel | $88.00 | $88.00 | $10.91–$83.60 | 50% above | — |
| Liver function blood test panel CPT 80076 Liver function blood test panel | $88.00 | $88.00 | — | 50% above | — |
| Liver function blood test panel inpatient CPT 80076 Liver function blood test panel | $88.00 | $88.00 | — | — | — |
| Lyme disease antibody test CPT 86618 Analysis for antibody Borrelia burgdorferi | $184.00 | $184.00 | — | 106% above | — |
| Lyme disease antibody test CPT 86618 Analysis for antibody Borrelia burgdorferi | $184.00 | $184.00 | $22.74–$174.80 | 106% above | — |
| Lyme disease antibody test inpatient CPT 86618 Analysis for antibody Borrelia burgdorferi | $184.00 | $184.00 | — | — | — |
| Magnesium blood test CPT 83735 Magnesium level | $72.00 | $72.00 | — | 43% above | — |
| Magnesium blood test CPT 83735 Magnesium level | $72.00 | $72.00 | $8.94–$68.40 | 43% above | — |
| Magnesium blood test inpatient CPT 83735 Magnesium level | $72.00 | $72.00 | — | — | — |
| Measles (rubeola) antibody test CPT 86765 Analysis for antibody to Rubeola (measles virus) | $95.00 | $95.00 | $17.19–$90.25 | 34% above | — |
| Measles (rubeola) antibody test CPT 86765 Analysis for antibody to Rubeola (measles virus) | $95.00 | $95.00 | — | 34% above | — |
| Measles (rubeola) antibody test inpatient CPT 86765 Analysis for antibody to Rubeola (measles virus) | $95.00 | $95.00 | — | — | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 Screening test for mononucleosis (mono) | $73.00 | $73.00 | $6.92–$257.76 | 63% above | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 Screening test for mononucleosis (mono) | $73.00 | $73.00 | — | 63% above | — |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Screening test for mononucleosis (mono) | $73.00 | $73.00 | — | — | — |
| Obstetric blood test panel CPT 80055 Obstetric blood test panel | $80.00 | $80.00 | — | 36% below | — |
| Obstetric blood test panel CPT 80055 Obstetric blood test panel | $80.00 | $80.00 | $63.83–$72.00 | 36% below | — |
| Obstetric blood test panel inpatient CPT 80055 Obstetric blood test panel | $80.00 | $80.00 | — | — | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA (prostate specific antigen) measurement free | $207.00 | $207.00 | — | 122% above | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA (prostate specific antigen) measurement, free | $207.00 | $207.00 | — | 122% above | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA (prostate specific antigen) measurement, free | $207.00 | $207.00 | $24.55–$196.65 | 122% above | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA (prostate specific antigen) measurement free | $207.00 | $207.00 | $24.55–$196.65 | 122% above | — |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA (prostate specific antigen) measurement free | $207.00 | $207.00 | — | — | — |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA (prostate specific antigen) measurement, free | $207.00 | $207.00 | — | — | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA (prostate specific antigen) measurement total | $207.00 | $207.00 | $24.55–$257.76 | 101% above | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA (prostate specific antigen) measurement, total | $207.00 | $207.00 | $24.55–$257.76 | 101% above | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA (prostate specific antigen) measurement, total | $207.00 | $207.00 | — | 101% above | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA (prostate specific antigen) measurement total | $207.00 | $207.00 | — | 101% above | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA (prostate specific antigen) measurement, total | $207.00 | $207.00 | — | — | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA (prostate specific antigen) measurement total | $207.00 | $207.00 | — | — | — |
| Parathyroid hormone (PTH) blood test CPT 83970 Parathormone (parathyroid hormone) level | $297.00 | $297.00 | — | 35% above | — |
| Parathyroid hormone (PTH) blood test CPT 83970 Parathormone (parathyroid hormone) level | $297.00 | $297.00 | $55.11–$282.15 | 35% above | — |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 Parathormone (parathyroid hormone) level | $297.00 | $297.00 | — | — | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Coagulation assessment blood test plasma or whole blood | $83.00 | $83.00 | $8.02–$78.85 | 114% above | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Coagulation assessment blood test plasma or whole blood | $83.00 | $83.00 | — | 114% above | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Coagulation assessment blood test, plasma or whole blood | $83.00 | $83.00 | — | 114% above | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Coagulation assessment blood test, plasma or whole blood | $83.00 | $83.00 | $8.02–$78.85 | 114% above | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Coagulation assessment blood test, plasma or whole blood | $83.00 | $83.00 | — | — | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Coagulation assessment blood test plasma or whole blood | $83.00 | $83.00 | — | — | — |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 Test for detecting genes associated w/ fetal disease | $785.00 | $785.00 | $628.00–$1,062.67 | 2% above | — |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 Test for detecting genes associated w/ fetal disease | $785.00 | $785.00 | — | 2% above | — |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 Test for detecting genes associated w/ fetal disease | $785.00 | $785.00 | — | — | — |
| Progesterone blood test CPT 84144 Progesterone (reproductive hormone) level | $220.00 | $220.00 | — | 125% above | — |
| Progesterone blood test CPT 84144 Progesterone (reproductive hormone) level | $220.00 | $220.00 | $27.85–$209.00 | 125% above | — |
| Progesterone blood test inpatient CPT 84144 Progesterone (reproductive hormone) level | $220.00 | $220.00 | — | — | — |
| Prolactin blood test CPT 84146 Prolactin (milk producing hormone) level | $187.00 | $187.00 | $25.87–$177.65 | 86% above | — |
| Prolactin blood test CPT 84146 Prolactin (milk producing hormone) level | $187.00 | $187.00 | — | 86% above | — |
| Prolactin blood test inpatient CPT 84146 Prolactin (milk producing hormone) level | $187.00 | $187.00 | — | — | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 Blood test, clotting time | $11.00 | $11.00 | $5.73–$38.95 | 72% below | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 Blood test, clotting time | $11.00 | $11.00 | — | 72% below | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 Blood test clotting time | $41.00 | $41.00 | — | 2% above | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 Blood test clotting time | $41.00 | $41.00 | $5.73–$38.95 | 2% above | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Blood test, clotting time | $11.00 | $11.00 | — | — | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Blood test clotting time | $41.00 | $41.00 | — | — | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Drug testing read by direct observation | $155.00 | $155.00 | — | 106% above | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Drug testing, read by direct observation | $155.00 | $155.00 | — | 106% above | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Drug testing, read by direct observation | $155.00 | $155.00 | $16.82–$147.25 | 106% above | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Drug testing read by direct observation | $155.00 | $155.00 | $16.82–$147.25 | 106% above | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 Drug testing, read by direct observation | $155.00 | $155.00 | — | — | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 Drug testing read by direct observation | $155.00 | $155.00 | — | — | — |
| Rapid flu test (influenza antigen) CPT 87804 Test by immunoassay w/direct observation influenza virus | $79.00 | $79.00 | $22.09–$257.76 | 18% above | — |
| Rapid flu test (influenza antigen) CPT 87804 Test by immunoassay w/direct observation influenza virus | $79.00 | $79.00 | — | 18% above | — |
| Rapid flu test (influenza antigen) inpatient CPT 87804 Test by immunoassay w/direct observation influenza virus | $79.00 | $79.00 | — | — | — |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 Test by immunoassay w/ direct visual observation for Strep | $158.00 | $158.00 | — | 107% above | — |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 Test by immunoassay w/ direct visual observation for Strep | $158.00 | $158.00 | $22.07–$257.76 | 107% above | — |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Test by immunoassay w/ direct visual observation for Strep | $158.00 | $158.00 | — | — | — |
| Rheumatoid factor (RF) test CPT 86431 Rheumatoid factor level | $71.00 | $71.00 | $7.57–$257.76 | 97% above | — |
| Rheumatoid factor (RF) test CPT 86431 Rheumatoid factor level | $71.00 | $71.00 | — | 97% above | — |
| Rheumatoid factor (RF) test inpatient CPT 86431 Rheumatoid factor level | $71.00 | $71.00 | — | — | — |
| Rubella antibody test (immunity check) CPT 86762 Analysis for antibody to Rubella (German measles virus) | $130.00 | $130.00 | $19.21–$123.50 | 90% above | — |
| Rubella antibody test (immunity check) CPT 86762 Analysis for antibody to Rubella (German measles virus) | $130.00 | $130.00 | — | 90% above | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 Analysis for antibody to Rubella (German measles virus) | $130.00 | $130.00 | — | — | — |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 RBC sedimentation rate, to detect inflammation, automated | $38.00 | $38.00 | $3.60–$257.76 | 37% above | — |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 RBC sedimentation rate, to detect inflammation, automated | $38.00 | $38.00 | — | 37% above | — |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 RBC sedimentation rate, to detect inflammation, automated | $38.00 | $38.00 | — | — | — |
| Stool ova and parasites exam CPT 87177 Smear for parasites | $98.00 | $98.00 | — | 73% above | — |
| Stool ova and parasites exam CPT 87177 Smear for parasites | $98.00 | $98.00 | $11.88–$257.76 | 73% above | — |
| Stool ova and parasites exam inpatient CPT 87177 Smear for parasites | $98.00 | $98.00 | — | — | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Stool analysis for blood to screen for colon tumors | $31.00 | $31.00 | — | 14% above | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Stool analysis for blood to screen for colon tumors | $31.00 | $31.00 | $5.85–$29.45 | 14% above | — |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Stool analysis for blood to screen for colon tumors | $31.00 | $31.00 | — | — | — |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 Blood stool analysis, by fecal hemoglobin determination | $193.00 | $193.00 | — | 156% above | — |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 Blood stool analysis, by fecal hemoglobin determination | $193.00 | $193.00 | $21.25–$183.35 | 156% above | — |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Blood stool analysis, by fecal hemoglobin determination | $193.00 | $193.00 | — | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Syphilis detection test | $54.00 | $54.00 | $5.70–$51.30 | 100% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Syphilis detection test | $54.00 | $54.00 | — | 100% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Syphilis detection test | $54.00 | $54.00 | — | — | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Tuberculosis test, gamma interferon | $454.00 | $454.00 | $82.74–$431.30 | 121% above | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Tuberculosis test, gamma interferon | $454.00 | $454.00 | — | 121% above | — |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 Tuberculosis test, gamma interferon | $454.00 | $454.00 | — | — | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone (hormone) level total | $267.00 | $267.00 | — | 126% above | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone (hormone) level, total | $267.00 | $267.00 | $34.46–$253.65 | 126% above | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone (hormone) level, total | $267.00 | $267.00 | — | 126% above | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone (hormone) level total | $267.00 | $267.00 | $34.46–$253.65 | 126% above | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone (hormone) level, total | $267.00 | $267.00 | — | — | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone (hormone) level total | $267.00 | $267.00 | — | — | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Microsomal antibodies (autoantibody) measurement | $158.00 | $158.00 | $19.42–$150.10 | 104% above | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Microsomal antibodies (autoantibody) measurement | $158.00 | $158.00 | — | 104% above | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Microsomal antibodies (autoantibody) measurement | $158.00 | $158.00 | — | — | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Blood test, thyroid stimulating hormone (TSH) | $105.00 | $105.00 | $22.43–$99.75 | at median | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Blood test, thyroid stimulating hormone (TSH) | $105.00 | $105.00 | — | at median | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Blood test, thyroid stimulating hormone (TSH) | $105.00 | $105.00 | — | — | — |
| Trichomonas test (NAAT) CPT 87661 Test by nucleic acid for Trichomonas vaginalis amplified | $378.00 | $378.00 | $46.85–$359.10 | 247% above | — |
| Trichomonas test (NAAT) CPT 87661 Test by nucleic acid for Trichomonas vaginalis , amplified | $378.00 | $378.00 | — | 247% above | — |
| Trichomonas test (NAAT) CPT 87661 Test by nucleic acid for Trichomonas vaginalis amplified | $378.00 | $378.00 | — | 247% above | — |
| Trichomonas test (NAAT) CPT 87661 Test by nucleic acid for Trichomonas vaginalis , amplified | $378.00 | $378.00 | $46.85–$359.10 | 247% above | — |
| Trichomonas test (NAAT) inpatient CPT 87661 Test by nucleic acid for Trichomonas vaginalis , amplified | $378.00 | $378.00 | — | — | — |
| Trichomonas test (NAAT) inpatient CPT 87661 Test by nucleic acid for Trichomonas vaginalis amplified | $378.00 | $378.00 | — | — | — |
| Uric acid blood test CPT 84550 Uric acid level, blood | $61.00 | $61.00 | — | 68% above | — |
| Uric acid blood test CPT 84550 Uric acid level, blood | $61.00 | $61.00 | $6.03–$257.76 | 68% above | — |
| Uric acid blood test inpatient CPT 84550 Uric acid level, blood | $61.00 | $61.00 | — | — | — |
| Urinalysis with microscope exam, automated CPT 81001 Manual urinalysis test w/exam using microscope, automated | $38.00 | $38.00 | — | 4% above | — |
| Urinalysis with microscope exam, automated CPT 81001 Manual urinalysis test w/exam using microscope, automated | $38.00 | $38.00 | $4.23–$36.10 | 4% above | — |
| Urinalysis with microscope exam, automated CPT 81001 Manual urinalysis test w/exam using microscope automated | $38.00 | $38.00 | $4.23–$36.10 | 4% above | — |
| Urinalysis with microscope exam, automated CPT 81001 Manual urinalysis test w/exam using microscope automated | $38.00 | $38.00 | — | 4% above | — |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Manual urinalysis test w/exam using microscope, automated | $38.00 | $38.00 | — | — | — |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Manual urinalysis test w/exam using microscope automated | $38.00 | $38.00 | — | — | — |
| Urinalysis without microscope exam, automated CPT 81003 HC PR 81003 Urinalysis Auto W/O Scope | $10.00 | $10.00 | $3.00–$257.76 | 64% below | — |
| Urinalysis without microscope exam, automated CPT 81003 HC PR 81003 Urinalysis Auto W/O Scope | $10.00 | $10.00 | — | 64% below | — |
| Urinalysis without microscope exam, automated CPT 81003 Automated urinalysis test | $27.00 | $27.00 | $3.00–$257.76 | 2% below | — |
| Urinalysis without microscope exam, automated CPT 81003 Automated urinalysis test | $27.00 | $27.00 | — | 2% below | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC PR 81003 Urinalysis Auto W/O Scope | $10.00 | $10.00 | — | — | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Automated urinalysis test | $27.00 | $27.00 | — | — | — |
| Urinalysis without microscope exam, manual CPT 81002 Urinalysis, manual test | $38.00 | $38.00 | $4.65–$36.10 | 95% above | — |
| Urinalysis without microscope exam, manual CPT 81002 Urinalysis, manual test | $38.00 | $38.00 | — | 95% above | — |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Urinalysis, manual test | $38.00 | $38.00 | — | — | — |
| Urine culture for bacteria, with colony count CPT 87086 Bacterial colony count, urine | $110.00 | $110.00 | $10.77–$104.50 | 46% above | — |
| Urine culture for bacteria, with colony count CPT 87086 Bacterial colony count, urine | $110.00 | $110.00 | — | 46% above | — |
| Urine culture for bacteria, with colony count inpatient CPT 87086 Bacterial colony count, urine | $110.00 | $110.00 | — | — | — |
| Urine pregnancy test, read by color change CPT 81025 Urine pregnancy test | $27.00 | $27.00 | — | 44% below | — |
| Urine pregnancy test, read by color change CPT 81025 Urine pregnancy test | $27.00 | $27.00 | $11.49–$25.65 | 44% below | — |
| Urine pregnancy test, read by color change inpatient CPT 81025 Urine pregnancy test | $27.00 | $27.00 | — | — | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 Cyanocobalamin (vitamin B-12) level | $133.00 | $133.00 | — | 30% above | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 Cyanocobalamin (vitamin B-12) level | $133.00 | $133.00 | $20.13–$126.35 | 30% above | — |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Cyanocobalamin (vitamin B-12) level | $133.00 | $133.00 | — | — | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D-3 level | $248.00 | $248.00 | $39.52–$235.60 | 81% above | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D-3 level | $248.00 | $248.00 | — | 81% above | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D-3 level | $248.00 | $248.00 | — | — | — |
| Zinc blood test CPT 84630 Zinc level | $94.00 | $94.00 | — | 32% above | — |
| Zinc blood test CPT 84630 Zinc level | $94.00 | $94.00 | $15.21–$89.30 | 32% above | — |
| Zinc blood test inpatient CPT 84630 Zinc level | $94.00 | $94.00 | — | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Gonadotropin, chorionic (reproductive hormone) level | $182.00 | $182.00 | $20.09–$409.38 | 68% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Gonadotropin, chorionic (reproductive hormone) level | $182.00 | $182.00 | — | 68% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Gonadotropin, chorionic (reproductive hormone) level | $182.00 | $182.00 | — | — | — |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Washington | Off list |
|---|---|---|---|---|---|
| Appendectomy for a ruptured appendix with abscess or peritonitis CPT 44960 HC PR 44960 Appendectomy, Ruptured | $2,104.00 | $2,104.00 | — | 9% below | — |
| Appendectomy for a ruptured appendix with abscess or peritonitis CPT 44960 HC PR 44960 Appendectomy, Ruptured | $2,104.00 | $2,104.00 | $1,683.20–$1,893.60 | 9% below | — |
| Appendectomy for a ruptured appendix with abscess or peritonitis inpatient CPT 44960 HC PR 44960 Appendectomy, Ruptured | $2,104.00 | $2,104.00 | — | — | — |
| Appendectomy, open surgery CPT 44950 HC PR 44950 Appendectomy | $1,546.00 | $1,546.00 | — | 74% below | — |
| Appendectomy, open surgery CPT 44950 HC PR 44950 Appendectomy | $1,546.00 | $1,546.00 | $1,236.80–$1,391.40 | 74% below | — |
| Appendectomy, open surgery inpatient CPT 44950 HC PR 44950 Appendectomy | $1,546.00 | $1,546.00 | — | — | — |
| Arthroscopic ACL reconstruction or repair of the knee CPT 29888 HC PR 29888 Knee Scope,Aid Ant Cruciate Repair | $4,148.00 | $4,148.00 | — | 60% below | — |
| Arthroscopic ACL reconstruction or repair of the knee CPT 29888 HC PR 29888 Knee Scope,Aid Ant Cruciate Repair | $4,148.00 | $4,148.00 | $573.03–$1,460.22 | 60% below | — |
| Arthroscopic ACL reconstruction or repair of the knee inpatient CPT 29888 HC PR 29888 Knee Scope,Aid Ant Cruciate Repair | $4,148.00 | $4,148.00 | — | — | — |
| Arthroscopic rotator cuff repair of the shoulder CPT 29827 HC PR 29827 Arthroscop Rotator Cuff Repr | $2,645.00 | $2,645.00 | $625.43–$1,562.47 | 7% above | — |
| Arthroscopic rotator cuff repair of the shoulder CPT 29827 HC PR 29827 Shldr Arthroscop,Surg,W/Rotat Cuff Repr | $2,645.00 | $2,645.00 | — | 7% above | — |
| Arthroscopic rotator cuff repair of the shoulder CPT 29827 HC PR 29827 Shldr Arthroscop,Surg,W/Rotat Cuff Repr | $2,645.00 | $2,645.00 | $625.43–$1,562.47 | 7% above | — |
| Arthroscopic rotator cuff repair of the shoulder CPT 29827 HC PR 29827 Arthroscop Rotator Cuff Repr | $2,645.00 | $2,645.00 | — | 7% above | — |
| Arthroscopic rotator cuff repair of the shoulder inpatient CPT 29827 HC PR 29827 Shldr Arthroscop,Surg,W/Rotat Cuff Repr | $2,645.00 | $2,645.00 | — | — | — |
| Arthroscopic rotator cuff repair of the shoulder inpatient CPT 29827 HC PR 29827 Arthroscop Rotator Cuff Repr | $2,645.00 | $2,645.00 | — | — | — |
| Botox injections for chronic migraine CPT 64615 HC PR Chemodenerv Musc Migraine | $371.00 | $371.00 | $182.26–$273.00 | 11% below | — |
| Botox injections for chronic migraine CPT 64615 HC PR Chemodenerv Musc Migraine | $371.00 | $371.00 | — | 11% below | — |
| Botox injections for chronic migraine CPT 64615 HC PR 64615 Chemodervate Facial/Trigem/Cerv Musc Migraine Rhc | $371.00 | $371.00 | — | 11% below | — |
| Botox injections for chronic migraine CPT 64615 HC PR 64615 Chemodervate Facial/Trigem/Cerv Musc Migraine Rhc | $371.00 | $371.00 | $182.26–$273.00 | 11% below | — |
| Botox injections for chronic migraine inpatient CPT 64615 HC PR Chemodenerv Musc Migraine | $371.00 | $371.00 | — | — | — |
| Botox injections for chronic migraine inpatient CPT 64615 HC PR 64615 Chemodervate Facial/Trigem/Cerv Musc Migraine Rhc | $371.00 | $371.00 | — | — | — |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 Biopsy breast using X-ray with needle first growth | $4,900.00 | $4,900.00 | — | 50% above | — |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 Biopsy breast using X-ray with needle first growth | $4,900.00 | $4,900.00 | $2,719.50–$4,655.00 | 50% above | — |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 Biopsy breast using X-ray with needle first growth | $4,900.00 | $4,900.00 | — | — | — |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 HC PR 27786 Cltx Dstl Fibular Fx Lat Malls W/O Manj Rhc | $1,298.00 | $1,298.00 | — | 95% above | — |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 HC PR 27786 Cltx Dstl Fibular Fx Lat Malls W/O Manj Rhc | $1,298.00 | $1,298.00 | $257.76–$462.93 | 95% above | — |
| Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 HC PR 27786 Cltx Dstl Fibular Fx Lat Malls W/O Manj Rhc | $1,298.00 | $1,298.00 | — | — | — |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 HC PR 28470 Closed Tx Metatarsal Fracture W/O Manipulation Rhc | $869.00 | $869.00 | $257.76–$322.67 | 57% above | — |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 HC PR 28470 Closed Tx Metatarsal Fracture W/O Manipulation Rhc | $869.00 | $869.00 | — | 57% above | — |
| Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 HC PR 28470 Closed Tx Metatarsal Fracture W/O Manipulation Rhc | $869.00 | $869.00 | — | — | — |
| Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 HC PR 28296 Corrj Hallux Valgus W/Sesmdc W/Dist Metar Osteot | $3,082.00 | $3,082.00 | $2,465.60–$2,773.80 | 38% below | — |
| Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 HC PR 28296 Corrj Hallux Valgus W/Sesmdc W/Dist Metar Osteot | $3,082.00 | $3,082.00 | — | 38% below | — |
| Bunion correction with a bone cut near the head of the first metatarsal inpatient CPT 28296 HC PR 28296 Corrj Hallux Valgus W/Sesmdc W/Dist Metar Osteot | $3,082.00 | $3,082.00 | — | — | — |
| Bunion correction with removal of part of the big toe joint CPT 28292 HC PR 28292 Correction of Bunion | $1,442.00 | $1,442.00 | $500.63–$1,168.90 | 62% below | — |
| Bunion correction with removal of part of the big toe joint CPT 28292 HC PR 28292 Correction of Bunion | $1,442.00 | $1,442.00 | — | 62% below | — |
| Bunion correction with removal of part of the big toe joint inpatient CPT 28292 HC PR 28292 Correction of Bunion | $1,442.00 | $1,442.00 | — | — | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 HC PR 92960 Cardioversion Elective Arrhythmia External Cdm | $362.00 | $362.00 | — | 64% below | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 HC PR 92960 Cardioversion Elective Arrhythmia External Cdm | $362.00 | $362.00 | $289.60–$1,947.60 | 64% below | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 HC PR ED 92960 Cardioversion Elective External Cdm | $374.00 | $374.00 | — | 63% below | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 HC PR ED 92960 Cardioversion Elective External Cdm | $374.00 | $374.00 | $289.60–$1,947.60 | 63% below | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 HC Cardioversion Elective Arrhythmia External | $2,164.00 | $2,164.00 | $289.60–$1,947.60 | 115% above | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 HC Cardioversion Elective Arrhythmia External | $2,164.00 | $2,164.00 | — | 115% above | — |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC PR 92960 Cardioversion Elective Arrhythmia External Cdm | $362.00 | $362.00 | — | — | — |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC PR ED 92960 Cardioversion Elective External Cdm | $374.00 | $374.00 | — | — | — |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC Cardioversion Elective Arrhythmia External | $2,164.00 | $2,164.00 | — | — | — |
| Carpal tunnel release, open surgery CPT 64721 HC PR 64721 Carpal Tunnel Surgery, Separate Proc | $1,983.00 | $1,983.00 | — | 32% below | — |
| Carpal tunnel release, open surgery CPT 64721 HC PR 64721 Carpal Tunnel Surgery, Separate Proc | $1,983.00 | $1,983.00 | $252.61–$632.49 | 32% below | — |
| Carpal tunnel release, open surgery inpatient CPT 64721 HC PR 64721 Carpal Tunnel Surgery, Separate Proc | $1,983.00 | $1,983.00 | — | — | — |
| Cervical biopsy CPT 57500 HC PR 57500 Biopsy Cervix Single/Mult/Excision of Lesion Spx Rhc | $299.00 | $299.00 | — | 68% below | — |
| Cervical biopsy CPT 57500 HC PR 57500 Biopsy Cervix Single/Mult/Excision of Lesion Spx Rhc | $299.00 | $299.00 | $172.99–$273.00 | 68% below | — |
| Cervical biopsy inpatient CPT 57500 HC PR 57500 Biopsy Cervix Single/Mult/Excision of Lesion Spx Rhc | $299.00 | $299.00 | — | — | — |
| Cesarean delivery, including prenatal and postpartum care CPT 59510 HC PR 59510 Total OB/Cesarean Delivery/Pp Car | $5,874.00 | $5,874.00 | — | at median | — |
| Cesarean delivery, including prenatal and postpartum care CPT 59510 HC PR 59510 Total OB/Cesarean Delivery/Pp Car | $5,874.00 | $5,874.00 | $4,699.20–$5,286.60 | at median | — |
| Cesarean delivery, including prenatal and postpartum care CPT 59510 HC PR 59510 OB Antepartum Care Cesarean Dlvr & Postpartum | $5,874.00 | $5,874.00 | — | at median | — |
| Cesarean delivery, including prenatal and postpartum care CPT 59510 HC PR 59510 OB Antepartum Care Cesarean Dlvr & Postpartum | $5,874.00 | $5,874.00 | $4,699.20–$5,286.60 | at median | — |
| Cesarean delivery, including prenatal and postpartum care inpatient CPT 59510 HC PR 59510 Total OB/Cesarean Delivery/Pp Car | $5,874.00 | $5,874.00 | — | — | — |
| Cesarean delivery, including prenatal and postpartum care inpatient CPT 59510 HC PR 59510 OB Antepartum Care Cesarean Dlvr & Postpartum | $5,874.00 | $5,874.00 | — | — | — |
| Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 HC PR 54161 Circumcision Age >28 Days Rhc | $488.00 | $488.00 | — | 85% below | — |
| Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 HC PR 54161 Circumcision Age >28 Days Cdm | $488.00 | $488.00 | — | 85% below | — |
| Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 HC PR 54161 Circumcision Age >28 Days Cdm | $488.00 | $488.00 | $115.21–$290.30 | 85% below | — |
| Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 HC PR 54161 Circumcision Age >28 Days Rhc | $488.00 | $488.00 | $115.21–$290.30 | 85% below | — |
| Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 HC PR 54161 Circumcision Age >28 Days Cdm | $488.00 | $488.00 | — | — | — |
| Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 HC PR 54161 Circumcision Age >28 Days Rhc | $488.00 | $488.00 | — | — | — |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HC PR 54150 Circumcision W/Clamp/Oth Dev W/Block Rhc | $389.00 | $389.00 | $200.23–$273.00 | 22% below | — |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HC PR 54150 Circumcision W/Clamp/Oth Dev W/Block Rhc | $389.00 | $389.00 | — | 22% below | — |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 HC PR 54150 Circumcision W/Clamp/Oth Dev W/Block Rhc | $389.00 | $389.00 | — | — | — |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HC PR 25600 Cltx Dstl Radial Fx/Epiphysl Sep W/O Manj Rhc | $554.00 | $554.00 | $257.76–$478.86 | 7% below | — |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HC PR 25600 Cltx Dstl Radial Fx/Epiphysl Sep W/O Manj Rhc | $554.00 | $554.00 | — | 7% below | — |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 HC PR 25600 Cltx Dstl Radial Fx/Epiphysl Sep W/O Manj Rhc | $554.00 | $554.00 | — | — | — |
| Colonoscopy with polyp removal CPT 45385 HC PR 45385 Colsc Flx W/Rmvl of Tumor Polyp Lesion Snare Tq Cdm | $1,061.00 | $1,061.00 | $148.61–$717.26 | 32% below | — |
| Colonoscopy with polyp removal CPT 45385 HC PR 45385 Colsc Flx W/Rmvl of Tumor Polyp Lesion Snare Tq Cdm | $1,061.00 | $1,061.00 | — | 32% below | — |
| Colonoscopy with polyp removal inpatient CPT 45385 HC PR 45385 Colsc Flx W/Rmvl of Tumor Polyp Lesion Snare Tq Cdm | $1,061.00 | $1,061.00 | — | — | — |
| Colonoscopy with tissue sample CPT 45380 HC PR 45380 Colonoscopy Flexible W/Biopsy Single/Multiple Cdm | $1,010.00 | $1,010.00 | — | 42% below | — |
| Colonoscopy with tissue sample CPT 45380 HC PR 45380 Colonoscopy W/Biopsy Single/Multiple Cdm | $1,010.00 | $1,010.00 | — | 42% below | — |
| Colonoscopy with tissue sample CPT 45380 HC PR 45380 Colonoscopy Flexible W/Biopsy Single/Multiple Cdm | $1,010.00 | $1,010.00 | $117.21–$683.87 | 42% below | — |
| Colonoscopy with tissue sample CPT 45380 HC PR 45380 Colonoscopy W/Biopsy Single/Multiple Cdm | $1,010.00 | $1,010.00 | $117.21–$683.87 | 42% below | — |
| Colonoscopy with tissue sample inpatient CPT 45380 HC PR 45380 Colonoscopy W/Biopsy Single/Multiple Cdm | $1,010.00 | $1,010.00 | — | — | — |
| Colonoscopy with tissue sample inpatient CPT 45380 HC PR 45380 Colonoscopy Flexible W/Biopsy Single/Multiple Cdm | $1,010.00 | $1,010.00 | — | — | — |
| Colonoscopy, diagnostic CPT 45378 HC PR 45378 Dx Colonoscopy Flexible W/Colltn Spec When Pfrmd Cdm | $787.00 | $787.00 | — | 52% below | — |
| Colonoscopy, diagnostic CPT 45378 HC PR 45378 Colonoscopy Flx Dx W/Collj Spec When Pfrmd Cdm | $787.00 | $787.00 | — | 52% below | — |
| Colonoscopy, diagnostic CPT 45378 HC PR 45378 Colonoscopy Flx Dx W/Collj Spec When Pfrmd Cdm | $787.00 | $787.00 | $108.21–$553.36 | 52% below | — |
| Colonoscopy, diagnostic CPT 45378 HC PR 45378 Dx Colonoscopy Flexible W/Colltn Spec When Pfrmd Cdm | $787.00 | $787.00 | $108.21–$553.36 | 52% below | — |
| Colonoscopy, diagnostic inpatient CPT 45378 HC PR 45378 Colonoscopy Flx Dx W/Collj Spec When Pfrmd Cdm | $787.00 | $787.00 | — | — | — |
| Colonoscopy, diagnostic inpatient CPT 45378 HC PR 45378 Dx Colonoscopy Flexible W/Colltn Spec When Pfrmd Cdm | $787.00 | $787.00 | — | — | — |
| Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 HC PR 57460 Bx of Cervix W/Scope Leep | $470.00 | $470.00 | — | 86% below | — |
| Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 HC PR 57460 Bx of Cervix W/Scope Leep | $470.00 | $470.00 | $93.80–$410.53 | 86% below | — |
| Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 HC PR 57460 Bx of Cervix W/Scope Leep | $470.00 | $470.00 | — | — | — |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 HC PR 57454 Colposcopy Cervix Bx Cervix & Endocrv Curretage Rhc | $684.00 | $684.00 | $200.60–$273.00 | 45% above | — |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 HC PR 57454 Colposcopy Cervix Bx Cervix & Endocrv Curretage Rhc | $684.00 | $684.00 | — | 45% above | — |
| Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 HC PR 57454 Colposcopy Cervix Bx Cervix & Endocrv Curretage Rhc | $684.00 | $684.00 | — | — | — |
| Cystoscopy with ureteral stent placement CPT 52332 HC PR 52332 Cystourethroscopy W/ Insertion of Indwelling Ureteral Sten | $1,109.00 | $1,109.00 | $90.20–$713.38 | 75% below | — |
| Cystoscopy with ureteral stent placement CPT 52332 HC PR 52332 Cystourethroscopy W/ Insertion of Indwelling Ureteral Sten | $1,109.00 | $1,109.00 | — | 75% below | — |
| Cystoscopy with ureteral stent placement inpatient CPT 52332 HC PR 52332 Cystourethroscopy W/ Insertion of Indwelling Ureteral Sten | $1,109.00 | $1,109.00 | — | — | — |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 HC PR 52000 Cystourethroscopy Rhc | $514.00 | $514.00 | $235.24–$331.14 | 45% below | — |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 HC PR 52000 Cystourethroscopy Rhc | $514.00 | $514.00 | — | 45% below | — |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 HC PR 52000 Cystourethroscopy Cdm | $514.00 | $514.00 | — | 45% below | — |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 HC PR 52000 Cystourethroscopy Cdm | $514.00 | $514.00 | $235.24–$331.14 | 45% below | — |
| Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 HC PR 52000 Cystourethroscopy Cdm | $514.00 | $514.00 | — | — | — |
| Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 HC PR 52000 Cystourethroscopy Rhc | $514.00 | $514.00 | — | — | — |
| D&C (dilation and curettage), not related to pregnancy CPT 58120 HC PR 58120 Dilation and Curettage | $470.00 | $470.00 | — | 82% below | — |
| D&C (dilation and curettage), not related to pregnancy CPT 58120 HC PR 58120 Dilation and Curettage | $470.00 | $470.00 | $376.00–$423.00 | 82% below | — |
| D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 HC PR 58120 Dilation and Curettage | $470.00 | $470.00 | — | — | — |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 HC PR 17000 Destruct Premalg Lesion First Lesion | $212.00 | $212.00 | — | 14% above | — |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 HC PR 17000 Destruction Premalignant Lesion 1st Rhc | $212.00 | $212.00 | $89.63–$273.00 | 14% above | — |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 HC PR 17000 Destruct Premalg Lesion First Lesion | $212.00 | $212.00 | $89.63–$273.00 | 14% above | — |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 HC PR 17000 Destruction Premalignant Lesion 1st Rhc | $212.00 | $212.00 | — | 14% above | — |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 HC PR 17000 Destruction Premalignant Lesion 1st Rhc | $212.00 | $212.00 | — | — | — |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 HC PR 17000 Destruct Premalg Lesion First Lesion | $212.00 | $212.00 | — | — | — |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 Removal of impacted ear wax by washing | $415.00 | $415.00 | $8.40–$273.00 | 270% above | — |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 Removal of impacted ear wax by washing | $415.00 | $415.00 | — | 270% above | — |
| Earwax removal by irrigation (rinsing), one ear one side CPT 69209 HC PR 69209 Removal Impacted Cerumen Irrigation/Lvg Unilat Rhc | $62.00 | $62.00 | $8.40–$273.00 | 45% below | — |
| Earwax removal by irrigation (rinsing), one ear one side CPT 69209 HC PR 69209 Removal Impacted Cerumen Irrigation/Lvg Unilat Rhc | $62.00 | $62.00 | — | 45% below | — |
| Earwax removal by irrigation (rinsing), one ear one side CPT 69209 HC PR ED 69209 Removal Impacted Cerumen Irrigation/Lvg Unilat Cdm | $62.00 | $62.00 | — | 45% below | — |
| Earwax removal by irrigation (rinsing), one ear one side CPT 69209 HC PR ED 69209 Removal Impacted Cerumen Irrigation/Lvg Unilat Cdm | $62.00 | $62.00 | $8.40–$273.00 | 45% below | — |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 Removal of impacted ear wax by washing | $415.00 | $415.00 | — | — | — |
| Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 HC PR ED 69209 Removal Impacted Cerumen Irrigation/Lvg Unilat Cdm | $62.00 | $62.00 | — | — | — |
| Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 HC PR 69209 Removal Impacted Cerumen Irrigation/Lvg Unilat Rhc | $62.00 | $62.00 | — | — | — |
| Earwax removal with instruments, one ear CPT 69210 Remove Impacted Ear Wax | $133.00 | $133.00 | $19.40–$273.00 | 22% below | — |
| Earwax removal with instruments, one ear CPT 69210 Remove Impacted Ear Wax | $133.00 | $133.00 | — | 22% below | — |
| Earwax removal with instruments, one ear CPT 69210 Removal of impacted ear wax | $415.00 | $415.00 | — | 144% above | — |
| Earwax removal with instruments, one ear CPT 69210 Removal of impacted ear wax | $415.00 | $415.00 | $19.40–$273.00 | 144% above | — |
| Earwax removal with instruments, one ear one side CPT 69210 HC PR 69210 Removal Impacted Cerumen Instrumentation Unilat Cdm Cdm | $133.00 | $133.00 | — | 22% below | — |
| Earwax removal with instruments, one ear one side CPT 69210 HC PR 69210 Removal Impacted Cerumen Instrumentation Unilat Rhc | $133.00 | $133.00 | — | 22% below | — |
| Earwax removal with instruments, one ear one side CPT 69210 HC PR 69210 Removal Impacted Cerumen Instrumentation Unilat Rhc | $133.00 | $133.00 | $19.40–$273.00 | 22% below | — |
| Earwax removal with instruments, one ear one side CPT 69210 HC PR 69210 Removal Impacted Cerumen Instrumentation Unilat Cdm Cdm | $133.00 | $133.00 | $19.40–$273.00 | 22% below | — |
| Earwax removal with instruments, one ear inpatient CPT 69210 Remove Impacted Ear Wax | $133.00 | $133.00 | — | — | — |
| Earwax removal with instruments, one ear inpatient CPT 69210 Removal of impacted ear wax | $415.00 | $415.00 | — | — | — |
| Earwax removal with instruments, one ear inpatient one side CPT 69210 HC PR 69210 Removal Impacted Cerumen Instrumentation Unilat Cdm Cdm | $133.00 | $133.00 | — | — | — |
| Earwax removal with instruments, one ear inpatient one side CPT 69210 HC PR 69210 Removal Impacted Cerumen Instrumentation Unilat Rhc | $133.00 | $133.00 | — | — | — |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 HC PR 58100 Endometrial Bx W/WO Endocervix Bx W/O Dilat Spx Rhc | $305.00 | $305.00 | $139.07–$273.00 | 4% above | — |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 HC PR 58100 Endometrial Bx W/WO Endocervix Bx W/O Dilat Spx Rhc | $305.00 | $305.00 | — | 4% above | — |
| Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 HC PR 58100 Endometrial Bx W/WO Endocervix Bx W/O Dilat Spx Rhc | $305.00 | $305.00 | — | — | — |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HC PR 62321 Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn | $615.00 | $615.00 | — | 60% below | — |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HC PR 62321 Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn | $615.00 | $615.00 | $62.60–$362.74 | 60% below | — |
| Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 HC PR 62321 Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn | $615.00 | $615.00 | — | — | — |
| Eye injection into the vitreous (intravitreal injection) CPT 67028 Injection of drug into eye | $910.00 | $910.00 | $728.00–$819.00 | 14% above | — |
| Eye injection into the vitreous (intravitreal injection) CPT 67028 Injection of drug into eye | $910.00 | $910.00 | — | 14% above | — |
| Eye injection into the vitreous (intravitreal injection) inpatient CPT 67028 Injection of drug into eye | $910.00 | $910.00 | — | — | — |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HC PR 64493 Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level | $422.00 | $422.00 | — | 83% below | — |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HC PR 64493 Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level | $422.00 | $422.00 | $52.60–$253.30 | 83% below | — |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 HC PR 64493 Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level | $422.00 | $422.00 | — | — | — |
| First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 HC PR 49593 Rpr Aa Hernia 1st 3-10 Cm Reducible Cdm | $1,062.00 | $1,062.00 | — | 87% below | — |
| First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 HC PR 49593 Rpr Aa Hernia 1st 3-10 Cm Reducible Cdm | $1,062.00 | $1,062.00 | $774.18 | 87% below | — |
| First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm inpatient CPT 49593 HC PR 49593 Rpr Aa Hernia 1st 3-10 Cm Reducible Cdm | $1,062.00 | $1,062.00 | — | — | — |
| First repair of a front abdominal hernia larger than 10 cm CPT 49595 HC PR 49595 Rpr Aa Hernia 1st > 10 Cm Reducible Cdm | $1,257.00 | $1,257.00 | — | 85% below | — |
| First repair of a front abdominal hernia larger than 10 cm CPT 49595 HC PR 49595 Rpr Aa Hernia 1st > 10 Cm Reducible Cdm | $1,257.00 | $1,257.00 | $1,040.54 | 85% below | — |
| First repair of a front abdominal hernia larger than 10 cm inpatient CPT 49595 HC PR 49595 Rpr Aa Hernia 1st > 10 Cm Reducible Cdm | $1,257.00 | $1,257.00 | — | — | — |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 HC PR 49591 Rpr Aa Hernia 1st < 3 Cm Reducible Cdm | $560.00 | $560.00 | — | 91% below | — |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 HC PR 49591 Rpr Aa Hernia 1st < 3 Cm Reducible Cdm | $560.00 | $560.00 | $462.06 | 91% below | — |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm inpatient CPT 49591 HC PR 49591 Rpr Aa Hernia 1st < 3 Cm Reducible Cdm | $560.00 | $560.00 | — | — | — |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 HC PR 45330 Diagnostic Sigmoidoscopy | $418.00 | $418.00 | $32.80–$243.54 | 58% below | — |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 HC PR 45330 Diagnostic Sigmoidoscopy | $418.00 | $418.00 | — | 58% below | — |
| Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 HC PR 45330 Diagnostic Sigmoidoscopy | $418.00 | $418.00 | — | — | — |
| Gallbladder removal, laparoscopic CPT 47562 HC PR 47562 Laparoscopic Cholecystectomy | $1,798.00 | $1,798.00 | $384.42–$979.30 | 84% below | — |
| Gallbladder removal, laparoscopic CPT 47562 HC PR 47562 Laparoscopic Cholecystectomy | $1,798.00 | $1,798.00 | — | 84% below | — |
| Gallbladder removal, laparoscopic inpatient CPT 47562 HC PR 47562 Laparoscopic Cholecystectomy | $1,798.00 | $1,798.00 | — | — | — |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 HC PR 47563 Laparoscopy Cholecystectomy/Graph | $1,816.00 | $1,816.00 | $418.42–$1,064.08 | 83% below | — |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 HC PR 47563 Laparoscopy Cholecystectomy/Graph | $1,816.00 | $1,816.00 | — | 83% below | — |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery inpatient CPT 47563 HC PR 47563 Laparoscopy Cholecystectomy/Graph | $1,816.00 | $1,816.00 | — | — | — |
| Gallbladder removal, open surgery through a larger incision CPT 47600 HC PR 47600 Cholecystectomy | $2,602.00 | $2,602.00 | $2,081.60–$2,341.80 | 7% below | — |
| Gallbladder removal, open surgery through a larger incision CPT 47600 HC PR 47600 Cholecystectomy | $2,602.00 | $2,602.00 | — | 7% below | — |
| Gallbladder removal, open surgery through a larger incision inpatient CPT 47600 HC PR 47600 Cholecystectomy | $2,602.00 | $2,602.00 | — | — | — |
| Hammertoe correction surgery CPT 28285 HC PR 28285 Repair of Hammertoe | $1,388.00 | $1,388.00 | — | 30% below | — |
| Hammertoe correction surgery CPT 28285 HC PR 28285 Repair of Hammertoe | $1,388.00 | $1,388.00 | $393.30–$792.79 | 30% below | — |
| Hammertoe correction surgery inpatient CPT 28285 HC PR 28285 Repair of Hammertoe | $1,388.00 | $1,388.00 | — | — | — |
| Hemorrhoid banding (rubber band ligation) CPT 46221 HC PR ED 46221 Ligation of Hemorrhoid(S) Cdm | $871.00 | $871.00 | — | 29% below | — |
| Hemorrhoid banding (rubber band ligation) CPT 46221 HC PR 46221 Hemorrhoidectomy Internal Rubber Band Ligations Cdm Cdm | $871.00 | $871.00 | — | 29% below | — |
| Hemorrhoid banding (rubber band ligation) CPT 46221 HC PR ED 46221 Ligation of Hemorrhoid(S) Cdm | $871.00 | $871.00 | $696.80–$783.90 | 29% below | — |
| Hemorrhoid banding (rubber band ligation) CPT 46221 HC PR 46221 Hemorrhoidectomy Internal Rubber Band Ligations Cdm Cdm | $871.00 | $871.00 | $696.80–$783.90 | 29% below | — |
| Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 HC PR 46221 Hemorrhoidectomy Internal Rubber Band Ligations Cdm Cdm | $871.00 | $871.00 | — | — | — |
| Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 HC PR ED 46221 Ligation of Hemorrhoid(S) Cdm | $871.00 | $871.00 | — | — | — |
| Hemorrhoidectomy (internal and external), one area CPT 46255 HC PR 46255 Remove Internal/External Hemorroid Single Group | $905.00 | $905.00 | — | 76% below | — |
| Hemorrhoidectomy (internal and external), one area CPT 46255 HC PR 46255 Remove Internal/External Hemorroid Single Group | $905.00 | $905.00 | $208.81–$745.01 | 76% below | — |
| Hemorrhoidectomy (internal and external), one area inpatient CPT 46255 HC PR 46255 Remove Internal/External Hemorroid Single Group | $905.00 | $905.00 | — | — | — |
| Hip replacement after an earlier hip surgery (conversion to total hip) CPT 27132 HC PR 27132 Conversion Prev Hip Surg to Tot Hip Arthroplas Cdm | $3,012.00 | $3,012.00 | $2,409.60–$2,710.80 | 4% below | — |
| Hip replacement after an earlier hip surgery (conversion to total hip) CPT 27132 HC PR 27132 Conversion Prev Hip Surg to Tot Hip Arthroplas Cdm | $3,012.00 | $3,012.00 | — | 4% below | — |
| Hip replacement after an earlier hip surgery (conversion to total hip) inpatient CPT 27132 HC PR 27132 Conversion Prev Hip Surg to Tot Hip Arthroplas Cdm | $3,012.00 | $3,012.00 | — | — | — |
| Hysterectomy through an abdominal incision (total) CPT 58150 Remove uterus cervix via abdomen w/wo tubes or ovaries | $3,547.00 | $3,547.00 | $589.63–$1,482.83 | 10% below | — |
| Hysterectomy through an abdominal incision (total) CPT 58150 Remove uterus cervix via abdomen w/wo tubes or ovaries | $3,547.00 | $3,547.00 | — | 10% below | — |
| Hysterectomy through an abdominal incision (total) inpatient CPT 58150 Remove uterus cervix via abdomen w/wo tubes or ovaries | $3,547.00 | $3,547.00 | — | — | — |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HC PR 58340 Catheter for Hysterography | $378.00 | $378.00 | — | 56% above | — |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HC PR 58340 Catheter for Hysterography | $378.00 | $378.00 | $209.79–$1,000.35 | 56% above | — |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 Introduce contrast for X-ray uterus and fallopian tubes | $1,053.00 | $1,053.00 | $209.79–$1,000.35 | 335% above | — |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 Introduce contrast for X-ray uterus and fallopian tubes | $1,053.00 | $1,053.00 | — | 335% above | — |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HC PR 58340 Catheter for Hysterography | $378.00 | $378.00 | — | — | — |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 Introduce contrast for X-ray uterus and fallopian tubes | $1,053.00 | $1,053.00 | — | — | — |
| Hysteroscopy with endometrial ablation CPT 58563 HC PR 58563 Hysteroscopy Ablation | $4,564.00 | $4,564.00 | $144.41–$2,415.37 | 10% below | — |
| Hysteroscopy with endometrial ablation CPT 58563 HC PR 58563 Hysteroscopy Ablation | $4,564.00 | $4,564.00 | — | 10% below | — |
| Hysteroscopy with endometrial ablation CPT 58563 HC PR 58563 Hysteroscopy Endometrial Ablation Rhc | $4,564.00 | $4,564.00 | — | 10% below | — |
| Hysteroscopy with endometrial ablation CPT 58563 HC PR 58563 Hysteroscopy Endometrial Ablation Rhc | $4,564.00 | $4,564.00 | $144.41–$2,415.37 | 10% below | — |
| Hysteroscopy with endometrial ablation inpatient CPT 58563 HC PR 58563 Hysteroscopy Ablation | $4,564.00 | $4,564.00 | — | — | — |
| Hysteroscopy with endometrial ablation inpatient CPT 58563 HC PR 58563 Hysteroscopy Endometrial Ablation Rhc | $4,564.00 | $4,564.00 | — | — | — |
| Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 HC PR 58558 Hysteroscopy Biopsy | $2,351.00 | $2,351.00 | — | 32% below | — |
| Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 HC PR 58558 Hysteroscopy Biopsy | $2,351.00 | $2,351.00 | $135.61–$1,926.00 | 32% below | — |
| Hysteroscopy with uterine lining sampling and/or polyp removal inpatient CPT 58558 HC PR 58558 Hysteroscopy Biopsy | $2,351.00 | $2,351.00 | — | — | — |
| IUD insertion (the device itself billed separately) CPT 58300 HC PR 58300 Insert Intrauterine Device | $324.00 | $324.00 | $95.60–$329.20 | 3% above | — |
| IUD insertion (the device itself billed separately) CPT 58300 HC PR 58300 Insert Intrauterine Device | $324.00 | $324.00 | — | 3% above | — |
| IUD insertion (the device itself billed separately) CPT 58300 HC PR 58300 Insertion Intrauterine Device Iud Rhc | $324.00 | $324.00 | — | 3% above | — |
| IUD insertion (the device itself billed separately) CPT 58300 HC PR 58300 Insertion Intrauterine Device Iud Rhc | $324.00 | $324.00 | $95.60–$329.20 | 3% above | — |
| IUD insertion (the device itself billed separately) inpatient CPT 58300 HC PR 58300 Insertion Intrauterine Device Iud Rhc | $324.00 | $324.00 | — | — | — |
| IUD insertion (the device itself billed separately) inpatient CPT 58300 HC PR 58300 Insert Intrauterine Device | $324.00 | $324.00 | — | — | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 HC PR 10060 Incision & Drainage Abscess Simple/Single Cdm Cdm | $342.00 | $342.00 | $59.00–$273.00 | 7% below | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 HC PR 10060 Incision & Drainage Abscess Simple/Single Rhc | $342.00 | $342.00 | $59.00–$273.00 | 7% below | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 HC PR ED 10060 Drainage of Skin Abscess Simple or Single Cdm | $342.00 | $342.00 | $59.00–$273.00 | 7% below | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 HC PR 10060 Incision & Drainage Abscess Simple/Single Cdm Cdm | $342.00 | $342.00 | — | 7% below | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 HC PR 10060 Incision & Drainage Abscess Simple/Single Rhc | $342.00 | $342.00 | — | 7% below | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 HC PR ED 10060 Drainage of Skin Abscess Simple or Single Cdm | $342.00 | $342.00 | — | 7% below | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 Simple or single drainage of skin abscess | $540.00 | $540.00 | — | 46% above | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 Simple or single drainage of skin abscess | $540.00 | $540.00 | $59.00–$273.00 | 46% above | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC PR 10060 Incision & Drainage Abscess Simple/Single Rhc | $342.00 | $342.00 | — | — | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC PR ED 10060 Drainage of Skin Abscess Simple or Single Cdm | $342.00 | $342.00 | — | — | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC PR 10060 Incision & Drainage Abscess Simple/Single Cdm Cdm | $342.00 | $342.00 | — | — | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 Simple or single drainage of skin abscess | $540.00 | $540.00 | — | — | — |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 Repair initial inguinal hernia, age 5 years or older; reducible | $1,245.00 | $1,245.00 | $304.62–$774.30 | 84% below | — |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 Repair initial inguinal hernia, age 5 years or older; reducible | $1,245.00 | $1,245.00 | — | 84% below | — |
| Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 Repair initial inguinal hernia, age 5 years or older; reducible | $1,245.00 | $1,245.00 | — | — | — |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC PR 20550 Injection 1 Tendon Sheath/Ligament Aponeurosis Rhc | $129.00 | $129.00 | — | 51% below | — |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC PR 20550 Injection 1 Tendon Sheath/Ligament Aponeurosis Cdm | $129.00 | $129.00 | $68.19–$273.00 | 51% below | — |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC PR 20550 Injection 1 Tendon Sheath/Ligament Aponeurosis Rhc | $129.00 | $129.00 | $68.19–$273.00 | 51% below | — |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC PR 20550 Injection 1 Tendon Sheath/Ligament Aponeurosis Cdm | $129.00 | $129.00 | — | 51% below | — |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HC PR 20550 Injection 1 Tendon Sheath/Ligament Aponeurosis Cdm | $129.00 | $129.00 | — | — | — |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HC PR 20550 Injection 1 Tendon Sheath/Ligament Aponeurosis Rhc | $129.00 | $129.00 | — | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC PR 20610 Drain/Inject Joint/Bursa Major Joint W/O Ultrasound Guidance | $242.00 | $242.00 | — | 50% below | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC PR ED 20610 Drain/Inject Joint/Bursa Major Joint W/O US Guidance Cdm | $242.00 | $242.00 | — | 50% below | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC PR ED 20610 Drain/Inject Joint/Bursa Major Cdm | $242.00 | $242.00 | — | 50% below | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC PR ED 20610 Drain/Inj Joint/Bursa W/O US Cdm | $242.00 | $242.00 | — | 50% below | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC PR 20610 Arthrocentesis Aspir&/Inj Major Jt/Bursa W/O US Cdm | $242.00 | $242.00 | — | 50% below | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC PR 20610 Arthrocentesis Aspir&/Inj Major Jt/Bursa W/O US Rhc | $242.00 | $242.00 | — | 50% below | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC PR 20610 Drain/Inject Joint/Bursa Major Joint W/O Ultrasound Guidance | $242.00 | $242.00 | $78.25–$273.00 | 50% below | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC PR ED 20610 Drain/Inject Joint/Bursa Major Joint W/O US Guidance Cdm | $242.00 | $242.00 | $78.25–$273.00 | 50% below | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC PR ED 20610 Drain/Inject Joint/Bursa Major Cdm | $242.00 | $242.00 | $78.25–$273.00 | 50% below | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC PR 20610 Arthrocentesis Aspir&/Inj Major Jt/Bursa W/O US Rhc | $242.00 | $242.00 | $78.25–$273.00 | 50% below | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC PR 20610 Arthrocentesis Aspir&/Inj Major Jt/Bursa W/O US Cdm | $242.00 | $242.00 | $78.25–$273.00 | 50% below | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC PR ED 20610 Drain/Inj Joint/Bursa W/O US Cdm | $242.00 | $242.00 | $78.25–$273.00 | 50% below | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Aspiration and/or injection of fluid from large joint | $1,216.00 | $1,216.00 | $78.25–$273.00 | 151% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Aspiration and/or injection of fluid from large joint | $1,216.00 | $1,216.00 | — | 151% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC PR 20610 Arthrocentesis Aspir&/Inj Major Jt/Bursa W/O US Rhc | $242.00 | $242.00 | — | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC PR ED 20610 Drain/Inject Joint/Bursa Major Cdm | $242.00 | $242.00 | — | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC PR ED 20610 Drain/Inj Joint/Bursa W/O US Cdm | $242.00 | $242.00 | — | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC PR 20610 Arthrocentesis Aspir&/Inj Major Jt/Bursa W/O US Cdm | $242.00 | $242.00 | — | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC PR ED 20610 Drain/Inject Joint/Bursa Major Joint W/O US Guidance Cdm | $242.00 | $242.00 | — | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC PR 20610 Drain/Inject Joint/Bursa Major Joint W/O Ultrasound Guidance | $242.00 | $242.00 | — | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Aspiration and/or injection of fluid from large joint | $1,216.00 | $1,216.00 | — | — | — |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 HC PR 11981 Insj Non-Biodegradable Drug Delivery Implant Rhc | $348.00 | $348.00 | $136.35–$273.00 | 30% above | — |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 HC PR 11981 Insj Non-Biodegradable Drug Delivery Implant Rhc | $348.00 | $348.00 | — | 30% above | — |
| Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 HC PR 11981 Insj Non-Biodegradable Drug Delivery Implant Rhc | $348.00 | $348.00 | — | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC PR ED 20605 Drain/Inject Joint/Bursa Interm W/O Ultrasound Guidance Cdm | $206.00 | $206.00 | $65.30–$273.00 | 56% below | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC PR 20605 Inj Med Joint | $206.00 | $206.00 | $65.30–$273.00 | 56% below | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC PR 20605 Inj Med Joint | $206.00 | $206.00 | — | 56% below | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC PR 20605 Arthrocentesis Aspir&/Inj Interm Jt/Burs W/O US Rhc | $206.00 | $206.00 | $65.30–$273.00 | 56% below | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC PR 20605 Arthrocentesis Aspir&/Inj Interm Jt/Burs W/O US Rhc | $206.00 | $206.00 | — | 56% below | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC PR ED 20605 Drain/Inject Joint/Bursa Interm W/O Ultrasound Guidance Cdm | $206.00 | $206.00 | — | 56% below | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Aspiration and/or injection of fluid from medium joint | $1,034.00 | $1,034.00 | $65.30–$273.00 | 122% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Aspiration and/or injection of fluid from medium joint | $1,034.00 | $1,034.00 | — | 122% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC PR 20605 Inj Med Joint | $206.00 | $206.00 | — | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC PR ED 20605 Drain/Inject Joint/Bursa Interm W/O Ultrasound Guidance Cdm | $206.00 | $206.00 | — | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC PR 20605 Arthrocentesis Aspir&/Inj Interm Jt/Burs W/O US Rhc | $206.00 | $206.00 | — | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Aspiration and/or injection of fluid from medium joint | $1,034.00 | $1,034.00 | — | — | — |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC PR 20600 Drain/Inject Joint/Bursa Small W/O Ultrasound Guidan | $199.00 | $199.00 | $62.15–$273.00 | 48% below | — |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC PR 20600 Arthrocentesis Aspir&/Inj Small Jt/Bursa W/O US Rhc | $199.00 | $199.00 | — | 48% below | — |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC PR ED 20600 Drain/Inject Joint/Bursa Small W/O Ultrasound Guidance Cdm | $199.00 | $199.00 | — | 48% below | — |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC PR 20600 Drain/Inject Joint/Bursa Small W/O Ultrasound Guidan | $199.00 | $199.00 | — | 48% below | — |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC PR 20600 Arthrocentesis Aspir&/Inj Small Jt/Bursa W/O US Rhc | $199.00 | $199.00 | $62.15–$273.00 | 48% below | — |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC PR ED 20600 Drain/Inject Joint/Bursa Small W/O Ultrasound Guidance Cdm | $199.00 | $199.00 | $62.15–$273.00 | 48% below | — |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 Aspiration and/or injection of fluid from small joint | $1,025.00 | $1,025.00 | $62.15–$273.00 | 168% above | — |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 Aspiration and/or injection of fluid from small joint | $1,025.00 | $1,025.00 | — | 168% above | — |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC PR ED 20600 Drain/Inject Joint/Bursa Small W/O Ultrasound Guidance Cdm | $199.00 | $199.00 | — | — | — |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC PR 20600 Drain/Inject Joint/Bursa Small W/O Ultrasound Guidan | $199.00 | $199.00 | — | — | — |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC PR 20600 Arthrocentesis Aspir&/Inj Small Jt/Bursa W/O US Rhc | $199.00 | $199.00 | — | — | — |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Aspiration and/or injection of fluid from small joint | $1,025.00 | $1,025.00 | — | — | — |
| Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 HC PR 29882 Arthroscopy Knee W/Meniscus Rpr Medial/Lateral | $2,469.00 | $2,469.00 | $405.02–$1,036.85 | 38% below | — |
| Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 HC PR 29882 Arthroscopy Knee W/Meniscus Rpr Medial/Lateral | $2,469.00 | $2,469.00 | — | 38% below | — |
| Knee arthroscopy with meniscus repair (one side of the knee) inpatient CPT 29882 HC PR 29882 Arthroscopy Knee W/Meniscus Rpr Medial/Lateral | $2,469.00 | $2,469.00 | — | — | — |
| Knee arthroscopy with meniscus trim CPT 29881 HC PR 29881 Arthrs Kne Surg W/Meniscectomy Med/Lat W/Shvg | $2,436.00 | $2,436.00 | $317.02–$801.01 | 8% above | — |
| Knee arthroscopy with meniscus trim CPT 29881 HC PR 29881 Arthrs Kne Surg W/Meniscectomy Med/Lat W/Shvg | $2,436.00 | $2,436.00 | — | 8% above | — |
| Knee arthroscopy with meniscus trim inpatient CPT 29881 HC PR 29881 Arthrs Kne Surg W/Meniscectomy Med/Lat W/Shvg | $2,436.00 | $2,436.00 | — | — | — |
| Knee arthroscopy with removal of both torn meniscus parts CPT 29880 HC PR 29880 Arthrs Knee W/Meniscectomy Med&Lat W/Shaving | $2,634.00 | $2,634.00 | — | 21% below | — |
| Knee arthroscopy with removal of both torn meniscus parts CPT 29880 HC PR 29880 Arthrs Knee W/Meniscectomy Med&Lat W/Shaving | $2,634.00 | $2,634.00 | $329.02–$831.33 | 21% below | — |
| Knee arthroscopy with removal of both torn meniscus parts inpatient CPT 29880 HC PR 29880 Arthrs Knee W/Meniscectomy Med&Lat W/Shaving | $2,634.00 | $2,634.00 | — | — | — |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 Arthroscopy knee surgical/debridement/shaving of articular carti | $2,304.00 | $2,304.00 | — | 52% below | — |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 Arthroscopy knee surgical/debridement/shaving of articular carti | $2,304.00 | $2,304.00 | $363.62–$920.22 | 52% below | — |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 HC PR 29877 Knee Arthroscopy/Chondroplasty | $2,304.00 | $2,304.00 | — | 52% below | — |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 HC PR 29877 Knee Arthroscopy/Chondroplasty | $2,304.00 | $2,304.00 | $363.62–$920.22 | 52% below | — |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) inpatient CPT 29877 Arthroscopy knee surgical/debridement/shaving of articular carti | $2,304.00 | $2,304.00 | — | — | — |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) inpatient CPT 29877 HC PR 29877 Knee Arthroscopy/Chondroplasty | $2,304.00 | $2,304.00 | — | — | — |
| Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 HC PR 44970 Laparoscopy Appendectomy | $1,497.00 | $1,497.00 | — | 71% below | — |
| Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 HC PR 44970 Laparoscopy Appendectomy | $1,497.00 | $1,497.00 | $350.82–$895.04 | 71% below | — |
| Laparoscopic appendectomy (appendix removal through small cuts) inpatient CPT 44970 HC PR 44970 Laparoscopy Appendectomy | $1,497.00 | $1,497.00 | — | — | — |
| Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 HC PR 43280 Laparoscopy Fundoplasty | $2,609.00 | $2,609.00 | — | 93% below | — |
| Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 HC PR 43280 Laparoscopy Fundoplasty | $2,609.00 | $2,609.00 | $629.03–$1,613.33 | 93% below | — |
| Laparoscopic fundoplication (anti-reflux surgery) inpatient CPT 43280 HC PR 43280 Laparoscopy Fundoplasty | $2,609.00 | $2,609.00 | — | — | — |
| Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 HC PR 58570 Tlh Uterus 250 G or Less | $1,311.00 | $1,311.00 | $1,048.80–$1,179.90 | 94% below | — |
| Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 HC PR 58570 Tlh Uterus 250 G or Less | $1,311.00 | $1,311.00 | — | 94% below | — |
| Laparoscopic hysterectomy (uterus 250 g or less) inpatient CPT 58570 HC PR 58570 Tlh Uterus 250 G or Less | $1,311.00 | $1,311.00 | — | — | — |
| Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 HC PR 58571 Tlh W/T/O 250 G or Less | $1,519.00 | $1,519.00 | $523.43–$1,314.30 | 92% below | — |
| Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 HC PR 58571 Tlh W/T/O 250 G or Less | $1,519.00 | $1,519.00 | — | 92% below | — |
| Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries inpatient CPT 58571 HC PR 58571 Tlh W/T/O 250 G or Less | $1,519.00 | $1,519.00 | — | — | — |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 HC PR 49650 Laparoscopy Inguinal Hernia Repair, Initial | $1,023.00 | $1,023.00 | — | 89% below | — |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 HC PR 49650 Laparoscopy Inguinal Hernia Repair, Initial | $1,023.00 | $1,023.00 | $251.41–$636.60 | 89% below | — |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side inpatient CPT 49650 HC PR 49650 Laparoscopy Inguinal Hernia Repair, Initial | $1,023.00 | $1,023.00 | — | — | — |
| Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 HC PR 49651 Laparoscopy Inguinal Hernia Repair, Recurrent | $956.00 | $956.00 | — | 64% below | — |
| Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 HC PR 49651 Laparoscopy Inguinal Hernia Repair, Recurrent | $956.00 | $956.00 | $327.42–$827.22 | 64% below | — |
| Laparoscopic inguinal (groin) hernia repair, recurrent hernia inpatient CPT 49651 HC PR 49651 Laparoscopy Inguinal Hernia Repair, Recurrent | $956.00 | $956.00 | — | — | — |
| Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 HC PR 58661 Laparoscopy Remove Adnexa | $2,202.00 | $2,202.00 | $379.82–$948.99 | 78% below | — |
| Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 HC PR 58661 Laparoscopy Remove Adnexa | $2,202.00 | $2,202.00 | — | 78% below | — |
| Laparoscopic removal of fallopian tubes and/or ovaries inpatient CPT 58661 HC PR 58661 Laparoscopy Remove Adnexa | $2,202.00 | $2,202.00 | — | — | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC PR 12031 Repair Intermediate S/a/T/E 2.5 Cm/< Cdm Cdm | $697.00 | $697.00 | $89.20–$344.25 | 10% above | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC PR 12031 Repair Intermediate Sclp/Axl/Trk/Extm Lte 2.5 Cm Rhc | $697.00 | $697.00 | $89.20–$344.25 | 10% above | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC PR ED 12031 Intmd Wnd Repair S/Tr/Ext Up to 2.5cm Cdm | $697.00 | $697.00 | — | 10% above | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC PR ED 12031 Intmd Wnd Repair S/Tr/Ext Up to 2.5cm Cdm | $697.00 | $697.00 | $89.20–$344.25 | 10% above | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC PR 12031 Repair Intermediate S/a/T/E 2.5 Cm/< Cdm Cdm | $697.00 | $697.00 | — | 10% above | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC PR 12031 Repair Intermediate Sclp/Axl/Trk/Extm Lte 2.5 Cm Rhc | $697.00 | $697.00 | — | 10% above | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Repair wound of scalp, underarms, trunk, limbs, <2.5cm | $999.00 | $999.00 | — | 58% above | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Repair wound of scalp, underarms, trunk, limbs, <2.5cm | $999.00 | $999.00 | $89.20–$344.25 | 58% above | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 HC PR 12031 Repair Intermediate S/a/T/E 2.5 Cm/< Cdm Cdm | $697.00 | $697.00 | — | — | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 HC PR 12031 Repair Intermediate Sclp/Axl/Trk/Extm Lte 2.5 Cm Rhc | $697.00 | $697.00 | — | — | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 HC PR ED 12031 Intmd Wnd Repair S/Tr/Ext Up to 2.5cm Cdm | $697.00 | $697.00 | — | — | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 Repair wound of scalp, underarms, trunk, limbs, <2.5cm | $999.00 | $999.00 | — | — | — |
| Lower-back epidural injection, with imaging guidance CPT 62323 HC PR Inj W/Ndl or Cath Plcmnt Epidrl L/S W/Img | $609.00 | $609.00 | $58.00–$356.06 | 60% below | — |
| Lower-back epidural injection, with imaging guidance CPT 62323 HC PR 62323 Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn Cdm | $609.00 | $609.00 | $58.00–$356.06 | 60% below | — |
| Lower-back epidural injection, with imaging guidance CPT 62323 HC PR Inj W/Ndl or Cath Plcmnt Epidrl L/S W/Img | $609.00 | $609.00 | — | 60% below | — |
| Lower-back epidural injection, with imaging guidance CPT 62323 HC PR 62323 Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn Cdm | $609.00 | $609.00 | — | 60% below | — |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC PR 62323 Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn Cdm | $609.00 | $609.00 | — | — | — |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC PR Inj W/Ndl or Cath Plcmnt Epidrl L/S W/Img | $609.00 | $609.00 | — | — | — |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC PR 64483 Njx Anes&/Strd W/Img Tfrml Edrl Lmbr/Sac 1 Lvl | $551.00 | $551.00 | $65.20–$321.64 | 68% below | — |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC PR 64483 Njx Anes&/Strd W/Img Tfrml Edrl Lmbr/Sac 1 Lvl | $551.00 | $551.00 | — | 68% below | — |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC PR 64483 Njx Anes&/Strd W/Img Tfrml Edrl Lmbr/Sac 1 Lvl | $551.00 | $551.00 | — | — | — |
| Lumpectomy (partial mastectomy) CPT 19301 HC PR 19301 Mastectomy Partial Cdm Cdm | $1,543.00 | $1,543.00 | — | 72% below | — |
| Lumpectomy (partial mastectomy) CPT 19301 HC PR 19301 Mastectomy Partial Cdm Cdm | $1,543.00 | $1,543.00 | $382.42–$966.46 | 72% below | — |
| Lumpectomy (partial mastectomy) inpatient CPT 19301 HC PR 19301 Mastectomy Partial Cdm Cdm | $1,543.00 | $1,543.00 | — | — | — |
| Mastectomy (total removal of the breast) CPT 19303 HC PR 19303 Mast Simple Complete | $2,718.00 | $2,718.00 | $558.23–$1,496.70 | 46% below | — |
| Mastectomy (total removal of the breast) CPT 19303 HC PR 19303 Mast Simple Complete | $2,718.00 | $2,718.00 | — | 46% below | — |
| Mastectomy (total removal of the breast) inpatient CPT 19303 HC PR 19303 Mast Simple Complete | $2,718.00 | $2,718.00 | — | — | — |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 HC Pr11400 Exc B9 Lesion Mrgn Xcp Sk Tg T/a/L 0.5 Cm/or Less Rhc | $321.00 | $321.00 | — | 56% below | — |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 HC Pr11400 Exc B9 Lesion Mrgn Xcp Sk Tg T/a/L 0.5 Cm/or Less Rhc | $321.00 | $321.00 | — | — | — |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Excision-other benign lesions face/ears/eyelids/nose/lips | $351.00 | $351.00 | — | 56% below | — |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Excision-other benign lesions face/ears/eyelids/nose/lips | $351.00 | $351.00 | $60.60–$273.00 | 56% below | — |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 HC PR 11440 Exc B9 Lesion Mrgn Xcp Sk Tg F/E/E/N/L/M 0.5cm/or Less Rhc | $351.00 | $351.00 | $60.60–$273.00 | 56% below | — |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 HC PR 11440 Exc B9 Lesion Mrgn Xcp Sk Tg F/E/E/N/L/M 0.5cm/or Less Rhc | $351.00 | $351.00 | — | 56% below | — |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 Excision-other benign lesions face/ears/eyelids/nose/lips | $351.00 | $351.00 | — | — | — |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 HC PR 11440 Exc B9 Lesion Mrgn Xcp Sk Tg F/E/E/N/L/M 0.5cm/or Less Rhc | $351.00 | $351.00 | — | — | — |
| Nail removal (partial or complete), one nail CPT 11730 HC PR 11730 Removal of Nail Plate | $265.00 | $265.00 | $31.80–$273.00 | 5% below | — |
| Nail removal (partial or complete), one nail CPT 11730 HC PR 11730 Avulsion Nail Plate Partial/Complete Simple 1 Rhc | $265.00 | $265.00 | — | 5% below | — |
| Nail removal (partial or complete), one nail CPT 11730 HC PR ED 11730 Removal of Nail Plate Cdm | $265.00 | $265.00 | — | 5% below | — |
| Nail removal (partial or complete), one nail CPT 11730 HC PR 11730 Removal of Nail Plate | $265.00 | $265.00 | — | 5% below | — |
| Nail removal (partial or complete), one nail CPT 11730 HC PR 11730 Avulsion Nail Plate Partial/Complete Simple 1 Rhc | $265.00 | $265.00 | $31.80–$273.00 | 5% below | — |
| Nail removal (partial or complete), one nail CPT 11730 HC PR ED 11730 Removal of Nail Plate Cdm | $265.00 | $265.00 | $31.80–$273.00 | 5% below | — |
| Nail removal (partial or complete), one nail CPT 11730 Simple separation fingernail or toenail, 1st nail | $540.00 | $540.00 | — | 93% above | — |
| Nail removal (partial or complete), one nail CPT 11730 Simple separation fingernail or toenail, 1st nail | $540.00 | $540.00 | $31.80–$273.00 | 93% above | — |
| Nail removal (partial or complete), one nail inpatient CPT 11730 HC PR 11730 Avulsion Nail Plate Partial/Complete Simple 1 Rhc | $265.00 | $265.00 | — | — | — |
| Nail removal (partial or complete), one nail inpatient CPT 11730 HC PR 11730 Removal of Nail Plate | $265.00 | $265.00 | — | — | — |
| Nail removal (partial or complete), one nail inpatient CPT 11730 HC PR ED 11730 Removal of Nail Plate Cdm | $265.00 | $265.00 | — | — | — |
| Nail removal (partial or complete), one nail inpatient CPT 11730 Simple separation fingernail or toenail, 1st nail | $540.00 | $540.00 | — | — | — |
| Occipital nerve block (injection for headaches) CPT 64405 HC PR ED 64405 Nerve Block Inj Occipital Cdm | $992.00 | $992.00 | — | 52% above | — |
| Occipital nerve block (injection for headaches) CPT 64405 HC PR 64405 Injection Anesthetic Agent Greater Occipital Nrv Cdm Cdm | $992.00 | $992.00 | $101.47–$273.00 | 52% above | — |
| Occipital nerve block (injection for headaches) CPT 64405 HC PR 64405 Injection Anesthetic Agent Greater Occipital Nrv Rhc | $992.00 | $992.00 | — | 52% above | — |
| Occipital nerve block (injection for headaches) CPT 64405 HC PR 64405 Injection Anesthetic Agent Greater Occipital Nrv Cdm Cdm | $992.00 | $992.00 | — | 52% above | — |
| Occipital nerve block (injection for headaches) CPT 64405 HC PR 64405 Injection Anesthetic Agent Greater Occipital Nrv Rhc | $992.00 | $992.00 | $101.47–$273.00 | 52% above | — |
| Occipital nerve block (injection for headaches) CPT 64405 HC PR ED 64405 Nerve Block Inj Occipital Cdm | $992.00 | $992.00 | $101.47–$273.00 | 52% above | — |
| Occipital nerve block (injection for headaches) CPT 64405 Inject anesthetic agent/steroid, neck & head nerve | $1,034.00 | $1,034.00 | — | 59% above | — |
| Occipital nerve block (injection for headaches) CPT 64405 Inject anesthetic agent/steroid, neck & head nerve | $1,034.00 | $1,034.00 | $101.47–$273.00 | 59% above | — |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 HC PR 64405 Injection Anesthetic Agent Greater Occipital Nrv Cdm Cdm | $992.00 | $992.00 | — | — | — |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 HC PR 64405 Injection Anesthetic Agent Greater Occipital Nrv Rhc | $992.00 | $992.00 | — | — | — |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 HC PR ED 64405 Nerve Block Inj Occipital Cdm | $992.00 | $992.00 | — | — | — |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 Inject anesthetic agent/steroid, neck & head nerve | $1,034.00 | $1,034.00 | — | — | — |
| Paracentesis with imaging guidance CPT 49083 HC PR 49083 Abdom Paracentesis Dx/Ther W/Imaging Guidance Cdm | $502.00 | $502.00 | — | 55% below | — |
| Paracentesis with imaging guidance CPT 49083 HC PR 49083 Abdom Paracentesis Dx/Ther W/Imaging Guidance Cdm | $502.00 | $502.00 | $278.61–$1,960.80 | 55% below | — |
| Paracentesis with imaging guidance CPT 49083 HC PR 49083 Abd Paracent W/Imag Guidance | $502.00 | $502.00 | $278.61–$1,960.80 | 55% below | — |
| Paracentesis with imaging guidance CPT 49083 HC PR 49083 Abd Paracent W/Imag Guidance | $502.00 | $502.00 | — | 55% below | — |
| Paracentesis with imaging guidance CPT 49083 HC PR ED 49083 Abd Paracent W/Imag Guidance Cdm | $502.00 | $502.00 | — | 55% below | — |
| Paracentesis with imaging guidance CPT 49083 HC PR ED 49083 Abd Paracent W/Imag Guidance Cdm | $502.00 | $502.00 | $278.61–$1,960.80 | 55% below | — |
| Paracentesis with imaging guidance CPT 49083 Drainage of fluid from abdominal cavity | $2,064.00 | $2,064.00 | — | 84% above | — |
| Paracentesis with imaging guidance CPT 49083 Drainage of fluid from abdominal cavity w/ imaging guidance | $2,064.00 | $2,064.00 | — | 84% above | — |
| Paracentesis with imaging guidance CPT 49083 Drainage of fluid from abdominal cavity | $2,064.00 | $2,064.00 | $278.61–$1,960.80 | 84% above | — |
| Paracentesis with imaging guidance CPT 49083 Drainage of fluid from abdominal cavity w/ imaging guidance | $2,064.00 | $2,064.00 | $278.61–$1,960.80 | 84% above | — |
| Paracentesis with imaging guidance inpatient CPT 49083 HC PR 49083 Abd Paracent W/Imag Guidance | $502.00 | $502.00 | — | — | — |
| Paracentesis with imaging guidance inpatient CPT 49083 HC PR ED 49083 Abd Paracent W/Imag Guidance Cdm | $502.00 | $502.00 | — | — | — |
| Paracentesis with imaging guidance inpatient CPT 49083 HC PR 49083 Abdom Paracentesis Dx/Ther W/Imaging Guidance Cdm | $502.00 | $502.00 | — | — | — |
| Paracentesis with imaging guidance inpatient CPT 49083 Drainage of fluid from abdominal cavity | $2,064.00 | $2,064.00 | — | — | — |
| Paracentesis with imaging guidance inpatient CPT 49083 Drainage of fluid from abdominal cavity w/ imaging guidance | $2,064.00 | $2,064.00 | — | — | — |
| Partial knee replacement (one compartment) CPT 27446 HC PR 27446 Revision of Knee Joint | $2,618.00 | $2,618.00 | $2,094.40–$2,356.20 | 23% below | — |
| Partial knee replacement (one compartment) CPT 27446 HC PR 27446 Revision of Knee Joint | $2,618.00 | $2,618.00 | — | 23% below | — |
| Partial knee replacement (one compartment) CPT 27446 HC PR 27446 Plasty Knee Med or Lat Compartmt (27446) Cdm | $2,618.00 | $2,618.00 | — | 23% below | — |
| Partial knee replacement (one compartment) CPT 27446 HC PR 27446 Plasty Knee Med or Lat Compartmt (27446) Cdm | $2,618.00 | $2,618.00 | $2,094.40–$2,356.20 | 23% below | — |
| Partial knee replacement (one compartment) inpatient CPT 27446 HC PR 27446 Plasty Knee Med or Lat Compartmt (27446) Cdm | $2,618.00 | $2,618.00 | — | — | — |
| Partial knee replacement (one compartment) inpatient CPT 27446 HC PR 27446 Revision of Knee Joint | $2,618.00 | $2,618.00 | — | — | — |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC PR ED 11750 Removal of Nail Bed Cdm | $615.00 | $615.00 | — | 15% below | — |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC PR 11750 Excision Nail Matrix Permanent Removal Cdm Cdm | $615.00 | $615.00 | $215.63–$273.00 | 15% below | — |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC PR 11750 Excision Nail Matrix Permanent Removal Rhc | $615.00 | $615.00 | — | 15% below | — |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC PR 11750 Excision Nail Matrix Permanent Removal Cdm Cdm | $615.00 | $615.00 | — | 15% below | — |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC PR 11750 Excision Nail Matrix Permanent Removal Rhc | $615.00 | $615.00 | $215.63–$273.00 | 15% below | — |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC PR ED 11750 Removal of Nail Bed Cdm | $615.00 | $615.00 | $215.63–$273.00 | 15% below | — |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 Permanent removal fingernail or toenail | $1,034.00 | $1,034.00 | $215.63–$273.00 | 44% above | — |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 Permanent removal fingernail or toenail | $1,034.00 | $1,034.00 | — | 44% above | — |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC PR ED 11750 Removal of Nail Bed Cdm | $615.00 | $615.00 | — | — | — |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC PR 11750 Excision Nail Matrix Permanent Removal Cdm Cdm | $615.00 | $615.00 | — | — | — |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC PR 11750 Excision Nail Matrix Permanent Removal Rhc | $615.00 | $615.00 | — | — | — |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 Permanent removal fingernail or toenail | $1,034.00 | $1,034.00 | — | — | — |
| Prostate biopsy CPT 55700 HC PR 55700 Prostate Needle Biopsy Any Approach Cdm | $607.00 | $607.00 | — | 67% below | — |
| Prostate biopsy CPT 55700 HC PR 55700 Prostate Needle Biopsy Any Approach Cdm | $607.00 | $607.00 | $257.76–$357.00 | 67% below | — |
| Prostate biopsy CPT 55700 HC PR 55700 Prostate Needle Biopsy Any Approach Rhc | $607.00 | $607.00 | $257.76–$357.00 | 67% below | — |
| Prostate biopsy CPT 55700 HC PR 55700 Prostate Needle Biopsy Any Approach Rhc | $607.00 | $607.00 | — | 67% below | — |
| Prostate biopsy inpatient CPT 55700 HC PR 55700 Prostate Needle Biopsy Any Approach Cdm | $607.00 | $607.00 | — | — | — |
| Prostate biopsy inpatient CPT 55700 HC PR 55700 Prostate Needle Biopsy Any Approach Rhc | $607.00 | $607.00 | — | — | — |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 HC PR 64635 Destroy Lumb/Sac Facet Jnt | $1,005.00 | $1,005.00 | $129.61–$612.45 | 68% below | — |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 HC PR 64635 Destroy Lumb/Sac Facet Jnt | $1,005.00 | $1,005.00 | — | 68% below | — |
| Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 HC PR 64635 Destroy Lumb/Sac Facet Jnt | $1,005.00 | $1,005.00 | — | — | — |
| Removal of a breast lump, open surgery CPT 19120 HC PR 19120 Exc Cyst/Aberrant Breast Tissue Open 1/> Lesion Rhc | $1,363.00 | $1,363.00 | — | 67% below | — |
| Removal of a breast lump, open surgery CPT 19120 HC PR 19120 Exc Cyst/Aberrant Breast Tissue Open 1/> Lesion Rhc | $1,363.00 | $1,363.00 | $241.81–$724.97 | 67% below | — |
| Removal of a breast lump, open surgery CPT 19120 HC PR 19120 Exc Cyst/Aberrant Breast Tissue Open 1/> Lesion Cdm Cdm | $1,363.00 | $1,363.00 | $241.81–$724.97 | 67% below | — |
| Removal of a breast lump, open surgery CPT 19120 HC PR 19120 Exc Cyst/Aberrant Breast Tissue Open 1/> Lesion Cdm Cdm | $1,363.00 | $1,363.00 | — | 67% below | — |
| Removal of a breast lump, open surgery inpatient CPT 19120 HC PR 19120 Exc Cyst/Aberrant Breast Tissue Open 1/> Lesion Cdm Cdm | $1,363.00 | $1,363.00 | — | — | — |
| Removal of a breast lump, open surgery inpatient CPT 19120 HC PR 19120 Exc Cyst/Aberrant Breast Tissue Open 1/> Lesion Rhc | $1,363.00 | $1,363.00 | — | — | — |
| Removal of a foreign object under the skin, simple CPT 10120 HC PR 10120 Incision & Removal Foreign Body Subq Tiss Simple Cdm Cdm | $395.00 | $395.00 | $60.40–$273.00 | 28% below | — |
| Removal of a foreign object under the skin, simple CPT 10120 HC PR 10120 Incision & Removal Foreign Body Subq Tiss Simple Rhc | $395.00 | $395.00 | $60.40–$273.00 | 28% below | — |
| Removal of a foreign object under the skin, simple CPT 10120 HC PR ED 10120 Remove Foreign Body Simple Cdm | $395.00 | $395.00 | $60.40–$273.00 | 28% below | — |
| Removal of a foreign object under the skin, simple CPT 10120 HC PR 10120 Incision & Removal Foreign Body Subq Tiss Simple Rhc | $395.00 | $395.00 | — | 28% below | — |
| Removal of a foreign object under the skin, simple CPT 10120 HC PR ED 10120 Remove Foreign Body Simple Cdm | $395.00 | $395.00 | — | 28% below | — |
| Removal of a foreign object under the skin, simple CPT 10120 HC PR 10120 Incision & Removal Foreign Body Subq Tiss Simple Cdm Cdm | $395.00 | $395.00 | — | 28% below | — |
| Removal of a foreign object under the skin, simple CPT 10120 Remove foreign body from tissue under skin, simple | $1,034.00 | $1,034.00 | — | 89% above | — |
| Removal of a foreign object under the skin, simple CPT 10120 Remove foreign body from tissue under skin, simple | $1,034.00 | $1,034.00 | $60.40–$273.00 | 89% above | — |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 HC PR 10120 Incision & Removal Foreign Body Subq Tiss Simple Cdm Cdm | $395.00 | $395.00 | — | — | — |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 HC PR ED 10120 Remove Foreign Body Simple Cdm | $395.00 | $395.00 | — | — | — |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 HC PR 10120 Incision & Removal Foreign Body Subq Tiss Simple Rhc | $395.00 | $395.00 | — | — | — |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 Remove foreign body from tissue under skin, simple | $1,034.00 | $1,034.00 | — | — | — |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 HC PR G0121 Colorectal Scrn Not Hi Risk Ind | $672.00 | $672.00 | — | 52% below | — |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 HC PR G0121 Colorectal Scrn Not Hi Risk Ind | $672.00 | $672.00 | $108.41–$553.36 | 52% below | — |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 HC PR G0121 Colorectal Scrn Not Hi Risk Ind Cdm | $672.00 | $672.00 | $108.41–$553.36 | 52% below | — |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 HC PR G0121 Colorectal Scrn Not Hi Risk Ind Cdm | $672.00 | $672.00 | — | 52% below | — |
| Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 HC PR G0121 Colorectal Scrn Not Hi Risk Ind Cdm | $672.00 | $672.00 | — | — | — |
| Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 HC PR G0121 Colorectal Scrn Not Hi Risk Ind | $672.00 | $672.00 | — | — | — |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 HC PR G0105 Colorectal Scrn Hi Risk Ind Cdm | $672.00 | $672.00 | $108.01–$552.85 | 55% below | — |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 HC PR G0105 Colorectal Scrn Hi Risk Ind | $672.00 | $672.00 | $108.01–$552.85 | 55% below | — |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 HC PR G0105 Colorectal Scrn Hi Risk Ind | $672.00 | $672.00 | — | 55% below | — |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 HC PR G0105 Colorectal Scrn Hi Risk Ind Cdm | $672.00 | $672.00 | — | 55% below | — |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 HC PR G0105 Colorectal Scrn Hi Risk Ind | $672.00 | $672.00 | — | — | — |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 HC PR G0105 Colorectal Scrn Hi Risk Ind Cdm | $672.00 | $672.00 | — | — | — |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 HC PR 50590 Lithotripsy Xtrcorp Shock Wave Cdm | $1,813.00 | $1,813.00 | — | 73% below | — |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 HC PR 50590 Lithotripsy Xtrcorp Shock Wave Cdm | $1,813.00 | $1,813.00 | $332.82–$1,054.83 | 73% below | — |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 HC PR 50590 Lithotripsy Xtrcorp Shock Wave Cdm | $1,813.00 | $1,813.00 | — | — | — |
| Short arm cast (elbow to hand) CPT 29075 HC PR 29075 Application Cast Elbow Finger Short Arm Rhc | $283.00 | $283.00 | $115.06–$273.00 | 36% below | — |
| Short arm cast (elbow to hand) CPT 29075 HC PR 29075 Application Cast Elbow Finger Short Arm Rhc | $283.00 | $283.00 | — | 36% below | — |
| Short arm cast (elbow to hand) inpatient CPT 29075 HC PR 29075 Application Cast Elbow Finger Short Arm Rhc | $283.00 | $283.00 | — | — | — |
| Short arm splint (forearm and hand) CPT 29125 HC PR 29125 Application Short Arm Splint Forearm-Hand Static Rhc | $186.00 | $186.00 | — | 20% below | — |
| Short arm splint (forearm and hand) CPT 29125 HC PR 29125 Application Short Arm Splint Forearm-Hand Static Rhc | $186.00 | $186.00 | $23.00–$273.00 | 20% below | — |
| Short arm splint (forearm and hand) CPT 29125 HC PR ED 29125 Short Arm Splint Application Cdm | $186.00 | $186.00 | $23.00–$273.00 | 20% below | — |
| Short arm splint (forearm and hand) CPT 29125 HC PR ED 29125 Short Arm Splint Application Cdm | $186.00 | $186.00 | — | 20% below | — |
| Short arm splint (forearm and hand) CPT 29125 Application of nonmoveable forearm to hand splint | $415.00 | $415.00 | $23.00–$273.00 | 78% above | — |
| Short arm splint (forearm and hand) CPT 29125 Application of nonmoveable forearm to hand splint | $415.00 | $415.00 | — | 78% above | — |
| Short arm splint (forearm and hand) inpatient CPT 29125 HC PR ED 29125 Short Arm Splint Application Cdm | $186.00 | $186.00 | — | — | — |
| Short arm splint (forearm and hand) inpatient CPT 29125 HC PR 29125 Application Short Arm Splint Forearm-Hand Static Rhc | $186.00 | $186.00 | — | — | — |
| Short arm splint (forearm and hand) inpatient CPT 29125 Application of nonmoveable forearm to hand splint | $415.00 | $415.00 | — | — | — |
| Short leg cast (below the knee) CPT 29405 HC PR 29405 Application Short Leg Cast Below Knee-Toe Rhc | $349.00 | $349.00 | — | 1% below | — |
| Short leg cast (below the knee) CPT 29405 HC PR 29405 Short Leg Cast Application | $349.00 | $349.00 | $105.55–$273.00 | 1% below | — |
| Short leg cast (below the knee) CPT 29405 HC PR 29405 Short Leg Cast Application | $349.00 | $349.00 | — | 1% below | — |
| Short leg cast (below the knee) CPT 29405 HC PR ED 29405 Short Leg Cast Application Cdm | $349.00 | $349.00 | — | 1% below | — |
| Short leg cast (below the knee) CPT 29405 HC PR 29405 Application Short Leg Cast Below Knee-Toe Rhc | $349.00 | $349.00 | $105.55–$273.00 | 1% below | — |
| Short leg cast (below the knee) CPT 29405 HC PR ED 29405 Short Leg Cast Application Cdm | $349.00 | $349.00 | $105.55–$273.00 | 1% below | — |
| Short leg cast (below the knee) inpatient CPT 29405 HC PR 29405 Application Short Leg Cast Below Knee-Toe Rhc | $349.00 | $349.00 | — | — | — |
| Short leg cast (below the knee) inpatient CPT 29405 HC PR ED 29405 Short Leg Cast Application Cdm | $349.00 | $349.00 | — | — | — |
| Short leg cast (below the knee) inpatient CPT 29405 HC PR 29405 Short Leg Cast Application | $349.00 | $349.00 | — | — | — |
| Short leg splint (calf to foot) CPT 29515 HC PR 29515 Short Leg Splint Application | $225.00 | $225.00 | — | 36% below | — |
| Short leg splint (calf to foot) CPT 29515 HC PR 29515 Application Short Leg Splint Calf Foot Rhc | $225.00 | $225.00 | — | 36% below | — |
| Short leg splint (calf to foot) CPT 29515 HC PR 29515 Application Short Leg Splint Calf Foot Rhc | $225.00 | $225.00 | $94.22–$273.00 | 36% below | — |
| Short leg splint (calf to foot) CPT 29515 HC PR ED 29515 Short Leg Splint Application Cdm | $225.00 | $225.00 | — | 36% below | — |
| Short leg splint (calf to foot) CPT 29515 HC PR ED 29515 Short Leg Splint Application Cdm | $225.00 | $225.00 | $94.22–$273.00 | 36% below | — |
| Short leg splint (calf to foot) CPT 29515 HC PR 29515 Short Leg Splint Application | $225.00 | $225.00 | $94.22–$273.00 | 36% below | — |
| Short leg splint (calf to foot) CPT 29515 Application of short leg splint from calf to foot | $546.00 | $546.00 | — | 54% above | — |
| Short leg splint (calf to foot) CPT 29515 Application of short leg splint from calf to foot | $546.00 | $546.00 | $94.22–$273.00 | 54% above | — |
| Short leg splint (calf to foot) inpatient CPT 29515 HC PR 29515 Application Short Leg Splint Calf Foot Rhc | $225.00 | $225.00 | — | — | — |
| Short leg splint (calf to foot) inpatient CPT 29515 HC PR 29515 Short Leg Splint Application | $225.00 | $225.00 | — | — | — |
| Short leg splint (calf to foot) inpatient CPT 29515 HC PR ED 29515 Short Leg Splint Application Cdm | $225.00 | $225.00 | — | — | — |
| Short leg splint (calf to foot) inpatient CPT 29515 Application of short leg splint from calf to foot | $546.00 | $546.00 | — | — | — |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 HC PR 29824 Shoulder Arthroscopy/Surgery | $1,085.00 | $1,085.00 | — | 27% below | — |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 HC PR 29824 Shoulder Arthroscopy/Surgery | $1,085.00 | $1,085.00 | $395.22–$985.47 | 27% below | — |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) inpatient CPT 29824 HC PR 29824 Shoulder Arthroscopy/Surgery | $1,085.00 | $1,085.00 | — | — | — |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 HC PR 29826 Arthroscopy Shoulder W/Coracoacrm Ligmnt Release | $419.00 | $419.00 | — | 74% below | — |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 HC PR 29826 Arthroscopy Shoulder W/Coracoacrm Ligmnt Release | $419.00 | $419.00 | $101.41–$261.52 | 74% below | — |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 HC PR 29826 Arthroscopy Shoulder W/Coracoacrm Ligmnt Release | $419.00 | $419.00 | — | — | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC PR ED 12001 Repair Superfic Wound(S)< 2.5cm Slp Nk Ax Exgen Trnk Ex Cdm | $378.00 | $378.00 | — | 12% above | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC PR ED 12001 Repair Superfic Wound(S)< 2.5cm Slp Nk Ax Exgen Trnk Ex Cdm | $378.00 | $378.00 | $26.00–$273.00 | 12% above | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC PR 12001 Simple Repair Scalp/Neck/Ax/Genit/Trunk 2.5cm/or Less Rhc | $378.00 | $378.00 | — | 12% above | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC PR 12001 Simple Repair Scalp/Neck/Ax/Genit/Trunk 2.5cm/or Less Rhc | $378.00 | $378.00 | $26.00–$273.00 | 12% above | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC PR 12001 Simple Repair Scalp/Neck/Ax/Genit/Trunk 2.5cm/< Cdm | $378.00 | $378.00 | — | 12% above | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC PR 12001 Simple Repair Scalp/Neck/Ax/Genit/Trunk 2.5cm/< Cdm | $378.00 | $378.00 | $26.00–$273.00 | 12% above | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Simple repair of surface wound of body, 2.5 cm or less | $540.00 | $540.00 | $26.00–$273.00 | 59% above | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Simple repair of surface wound of body, 2.5 cm or less | $540.00 | $540.00 | — | 59% above | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC PR 12001 Simple Repair Scalp/Neck/Ax/Genit/Trunk 2.5cm/or Less Rhc | $378.00 | $378.00 | — | — | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC PR ED 12001 Repair Superfic Wound(S)< 2.5cm Slp Nk Ax Exgen Trnk Ex Cdm | $378.00 | $378.00 | — | — | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC PR 12001 Simple Repair Scalp/Neck/Ax/Genit/Trunk 2.5cm/< Cdm | $378.00 | $378.00 | — | — | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Simple repair of surface wound of body, 2.5 cm or less | $540.00 | $540.00 | — | — | — |
| Skin biopsy, punch, one lesion CPT 11104 HC PR 11104 Punch Biopsy Skin Single Lesion Rhc | $303.00 | $303.00 | — | 11% below | — |
| Skin biopsy, punch, one lesion CPT 11104 HC PR 11104 Punch Biopsy Skin Single Lesion | $303.00 | $303.00 | — | 11% below | — |
| Skin biopsy, punch, one lesion CPT 11104 HC PR 11104 Punch Biopsy Skin Single Lesion Rhc | $303.00 | $303.00 | $170.57–$409.38 | 11% below | — |
| Skin biopsy, punch, one lesion CPT 11104 HC PR 11104 Punch Biopsy Skin Single Lesion | $303.00 | $303.00 | $170.57–$409.38 | 11% below | — |
| Skin biopsy, punch, one lesion inpatient CPT 11104 HC PR 11104 Punch Biopsy Skin Single Lesion Rhc | $303.00 | $303.00 | — | — | — |
| Skin biopsy, punch, one lesion inpatient CPT 11104 HC PR 11104 Punch Biopsy Skin Single Lesion | $303.00 | $303.00 | — | — | — |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 HC PR 11600 Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/or Less Rhc | $324.00 | $324.00 | $70.60–$279.51 | 58% below | — |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 HC PR 11600 Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/or Less Rhc | $324.00 | $324.00 | — | 58% below | — |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 HC PR 11600 Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/or Less | $324.00 | $324.00 | — | 58% below | — |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 HC PR 11600 Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/or Less | $324.00 | $324.00 | $70.60–$279.51 | 58% below | — |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 HC PR 11600 Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/or Less Rhc | $324.00 | $324.00 | — | — | — |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 HC PR 11600 Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/or Less | $324.00 | $324.00 | — | — | — |
| Skin tag removal, up to 15 tags CPT 11200 HC PR ED 11200 Removal of Skin Tags Cdm | $157.00 | $157.00 | — | 14% below | — |
| Skin tag removal, up to 15 tags CPT 11200 HC PR ED 11200 Removal of Skin Tags Cdm | $157.00 | $157.00 | $118.91–$409.38 | 14% below | — |
| Skin tag removal, up to 15 tags CPT 11200 HC PR 11200 Removal of Skin Tags | $226.00 | $226.00 | — | 23% above | — |
| Skin tag removal, up to 15 tags CPT 11200 HC PR 11200 Removal of Skin Tags | $226.00 | $226.00 | $118.91–$409.38 | 23% above | — |
| Skin tag removal, up to 15 tags CPT 11200 HC PR 11200 Removal Skn Tags Mlt Fibrq Tags Any Area Upw/15 Rhc | $226.00 | $226.00 | — | 23% above | — |
| Skin tag removal, up to 15 tags CPT 11200 HC PR 11200 Removal Skn Tags Mlt Fibrq Tags Any Area Upw/15 Rhc | $226.00 | $226.00 | $118.91–$409.38 | 23% above | — |
| Skin tag removal, up to 15 tags CPT 11200 Removal of skin tag, 1-15 skin tags | $492.00 | $492.00 | $118.91–$409.38 | 169% above | — |
| Skin tag removal, up to 15 tags CPT 11200 Removal of skin tag, 1-15 skin tags | $492.00 | $492.00 | — | 169% above | — |
| Skin tag removal, up to 15 tags inpatient CPT 11200 HC PR ED 11200 Removal of Skin Tags Cdm | $157.00 | $157.00 | — | — | — |
| Skin tag removal, up to 15 tags inpatient CPT 11200 HC PR 11200 Removal Skn Tags Mlt Fibrq Tags Any Area Upw/15 Rhc | $226.00 | $226.00 | — | — | — |
| Skin tag removal, up to 15 tags inpatient CPT 11200 HC PR 11200 Removal of Skin Tags | $226.00 | $226.00 | — | — | — |
| Skin tag removal, up to 15 tags inpatient CPT 11200 Removal of skin tag, 1-15 skin tags | $492.00 | $492.00 | — | — | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 HC PR 62270 Spinal Fluid Tap Diagnostic | $348.00 | $348.00 | — | 54% below | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 HC PR 62270 Anes/Spinal Punc | $348.00 | $348.00 | $278.40–$2,411.10 | 54% below | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 HC PR 62270 Spinal Puncture Lumbar Diagnostic Cdm Cdm | $348.00 | $348.00 | $278.40–$2,411.10 | 54% below | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 HC PR ED 62270 Spinal Fluid Tap Diagnostic Cdm | $348.00 | $348.00 | $278.40–$2,411.10 | 54% below | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 HC PR 62270 Spinal Fluid Tap Diagnostic | $348.00 | $348.00 | $278.40–$2,411.10 | 54% below | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 HC PR ED 62270 Spinal Fluid Tap Diagnostic Cdm | $348.00 | $348.00 | — | 54% below | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 HC PR 62270 Anes/Spinal Punc | $348.00 | $348.00 | — | 54% below | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 HC PR 62270 Spinal Puncture Lumbar Diagnostic Cdm Cdm | $348.00 | $348.00 | — | 54% below | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 Remove cerebrospinal fluid with lower back spinal tap | $2,679.00 | $2,679.00 | $278.40–$2,411.10 | 252% above | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 Remove cerebrospinal fluid w/ lower back spinal tap | $2,679.00 | $2,679.00 | — | 252% above | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 Remove cerebrospinal fluid with lower back spinal tap | $2,679.00 | $2,679.00 | — | 252% above | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 Remove cerebrospinal fluid w/ lower back spinal tap | $2,679.00 | $2,679.00 | $278.40–$2,411.10 | 252% above | — |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC PR ED 62270 Spinal Fluid Tap Diagnostic Cdm | $348.00 | $348.00 | — | — | — |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC PR 62270 Spinal Puncture Lumbar Diagnostic Cdm Cdm | $348.00 | $348.00 | — | — | — |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC PR 62270 Spinal Fluid Tap Diagnostic | $348.00 | $348.00 | — | — | — |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC PR 62270 Anes/Spinal Punc | $348.00 | $348.00 | — | — | — |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Remove cerebrospinal fluid w/ lower back spinal tap | $2,679.00 | $2,679.00 | — | — | — |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Remove cerebrospinal fluid with lower back spinal tap | $2,679.00 | $2,679.00 | — | — | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC PR 12002 Smpl Repair Scalp/Neck/Ax/Genit/Trunk 2.6-7.5cm Rhc | $456.00 | $456.00 | — | 16% above | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC PR 12002 Repair Superficial Wound(S) 2.6 to 7.5cm Slp Nk Ax E | $456.00 | $456.00 | $34.40–$273.00 | 16% above | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC PR ED 12002 Repair Superfic Wound(S) 2.6 to 7.5cm Slp Nk Ax Exgen T Cdm | $456.00 | $456.00 | $34.40–$273.00 | 16% above | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC PR 12002 Smpl Repair Scalp/Neck/Ax/Genit/Trunk 2.6-7.5cm Rhc | $456.00 | $456.00 | $34.40–$273.00 | 16% above | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC PR 12002 Repair Superficial Wound(S) 2.6 to 7.5cm Slp Nk Ax E | $456.00 | $456.00 | — | 16% above | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC PR ED 12002 Repair Superfic Wound(S) 2.6 to 7.5cm Slp Nk Ax Exgen T Cdm | $456.00 | $456.00 | — | 16% above | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Simple repair of surface wound of body, 2.6-7.5 cm | $540.00 | $540.00 | $34.40–$273.00 | 38% above | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Simple repair of surface wound of body, 2.6-7.5 cm | $540.00 | $540.00 | — | 38% above | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 HC PR 12002 Repair Superficial Wound(S) 2.6 to 7.5cm Slp Nk Ax E | $456.00 | $456.00 | — | — | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 HC PR ED 12002 Repair Superfic Wound(S) 2.6 to 7.5cm Slp Nk Ax Exgen T Cdm | $456.00 | $456.00 | — | — | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 HC PR 12002 Smpl Repair Scalp/Neck/Ax/Genit/Trunk 2.6-7.5cm Rhc | $456.00 | $456.00 | — | — | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 Simple repair of surface wound of body, 2.6-7.5 cm | $540.00 | $540.00 | — | — | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC PR 12011 Simple Repair F/E/E/N/L/M 2.5cm/< Cdm Cdm | $456.00 | $456.00 | $32.40–$273.00 | 24% above | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC PR 12011 Simple Repair F/E/E/N/L/M 2.5cm/or Less Rhc | $456.00 | $456.00 | — | 24% above | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC PR 12011 Simple Repair F/E/E/N/L/M 2.5cm/< Cdm Cdm | $456.00 | $456.00 | — | 24% above | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC PR ED 12011 Repair Superfic Wound(S) <2.5 Face Ers Eyld Nse Lps Muc Cdm | $456.00 | $456.00 | $32.40–$273.00 | 24% above | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC PR ED 12011 Repair Superfic Wound(S) <2.5 Face Ers Eyld Nse Lps Muc Cdm | $456.00 | $456.00 | — | 24% above | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC PR 12011 Simple Repair F/E/E/N/L/M 2.5cm/or Less Rhc | $456.00 | $456.00 | $32.40–$273.00 | 24% above | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Simple repair of surface wound of head, 2.5 cm or less | $540.00 | $540.00 | — | 46% above | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Simple repair of surface wound of head, 2.5 cm or less | $540.00 | $540.00 | $32.40–$273.00 | 46% above | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 HC PR 12011 Simple Repair F/E/E/N/L/M 2.5cm/< Cdm Cdm | $456.00 | $456.00 | — | — | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 HC PR 12011 Simple Repair F/E/E/N/L/M 2.5cm/or Less Rhc | $456.00 | $456.00 | — | — | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 HC PR ED 12011 Repair Superfic Wound(S) <2.5 Face Ers Eyld Nse Lps Muc Cdm | $456.00 | $456.00 | — | — | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 Simple repair of surface wound of head, 2.5 cm or less | $540.00 | $540.00 | — | — | — |
| TURP (transurethral resection of the prostate) CPT 52601 HC PR 52601 Trurl Electrosurg Rescj Prostate Bleed Complete Cdm | $1,802.00 | $1,802.00 | — | 66% below | — |
| TURP (transurethral resection of the prostate) CPT 52601 HC PR 52601 Trurl Electrosurg Rescj Prostate Bleed Complete Cdm | $1,802.00 | $1,802.00 | $425.82–$1,249.05 | 66% below | — |
| TURP (transurethral resection of the prostate) inpatient CPT 52601 HC PR 52601 Trurl Electrosurg Rescj Prostate Bleed Complete Cdm | $1,802.00 | $1,802.00 | — | — | — |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC PR 11102 Tangential Biopsy Skin Single Lesion Rhc | $241.00 | $241.00 | — | 11% below | — |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC PR 11102 Tangential Biopsy Skin Single Lesion Rhc | $241.00 | $241.00 | $135.66–$273.00 | 11% below | — |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 HC PR 11102 Tangential Biopsy Skin Single Lesion Rhc | $241.00 | $241.00 | — | — | — |
| Thoracentesis with imaging guidance CPT 32555 HC PR ED 32555 Thoracentesis/Aspir W Img Gd Cdm | $1,855.00 | $1,855.00 | — | 36% above | — |
| Thoracentesis with imaging guidance CPT 32555 HC PR 32555 Thorancentesis Needle/Cath Pleura W Imaging | $1,855.00 | $1,855.00 | $1,029.53–$2,342.70 | 36% above | — |
| Thoracentesis with imaging guidance CPT 32555 HC PR ED 32555 Thoracentesis/Aspir W Img Gd Cdm | $1,855.00 | $1,855.00 | $1,029.53–$2,342.70 | 36% above | — |
| Thoracentesis with imaging guidance CPT 32555 HC PR 32555 Thorancentesis Needle/Cath Pleura W Imaging | $1,855.00 | $1,855.00 | — | 36% above | — |
| Thoracentesis with imaging guidance CPT 32555 Aspiration of fluid from chest cavity w/imaging | $2,211.00 | $2,211.00 | — | 62% above | — |
| Thoracentesis with imaging guidance CPT 32555 Aspiration of fluid from chest cavity w/imaging | $2,211.00 | $2,211.00 | $1,029.53–$2,342.70 | 62% above | — |
| Thoracentesis with imaging guidance CPT 32555 Aspiration of fluid from chest cavity | $2,466.00 | $2,466.00 | $1,029.53–$2,342.70 | 81% above | — |
| Thoracentesis with imaging guidance CPT 32555 Aspiration of fluid from chest cavity | $2,466.00 | $2,466.00 | — | 81% above | — |
| Thoracentesis with imaging guidance inpatient CPT 32555 HC PR ED 32555 Thoracentesis/Aspir W Img Gd Cdm | $1,855.00 | $1,855.00 | — | — | — |
| Thoracentesis with imaging guidance inpatient CPT 32555 HC PR 32555 Thorancentesis Needle/Cath Pleura W Imaging | $1,855.00 | $1,855.00 | — | — | — |
| Thoracentesis with imaging guidance inpatient CPT 32555 Aspiration of fluid from chest cavity w/imaging | $2,211.00 | $2,211.00 | — | — | — |
| Thoracentesis with imaging guidance inpatient CPT 32555 Aspiration of fluid from chest cavity | $2,466.00 | $2,466.00 | — | — | — |
| Total hip replacement CPT 27130 HC PR 27130 Total Hip Arthroplasty | $6,641.00 | $6,641.00 | $790.84–$2,009.99 | 49% below | — |
| Total hip replacement CPT 27130 HC PR 27130 Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft | $6,641.00 | $6,641.00 | $790.84–$2,009.99 | 49% below | — |
| Total hip replacement CPT 27130 HC PR 27130 Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft | $6,641.00 | $6,641.00 | — | 49% below | — |
| Total hip replacement CPT 27130 HC PR 27130 Total Hip Arthroplasty | $6,641.00 | $6,641.00 | — | 49% below | — |
| Total hip replacement inpatient CPT 27130 HC PR 27130 Total Hip Arthroplasty | $6,641.00 | $6,641.00 | — | — | — |
| Total hip replacement inpatient CPT 27130 HC PR 27130 Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft | $6,641.00 | $6,641.00 | — | — | — |
| Total knee replacement CPT 27447 HC PR 27447 Arthrp Kne Condyle&Platu Medial&Lat Compartments | $6,000.00 | $6,000.00 | — | 58% below | — |
| Total knee replacement CPT 27447 Total Knee Arthroplasty | $6,000.00 | $6,000.00 | $789.84–$2,009.47 | 58% below | — |
| Total knee replacement CPT 27447 HC PR 27447 Arthrp Kne Condyle&Platu Medial&Lat Compartments | $6,000.00 | $6,000.00 | $789.84–$2,009.47 | 58% below | — |
| Total knee replacement CPT 27447 Total Knee Arthroplasty | $6,000.00 | $6,000.00 | — | 58% below | — |
| Total knee replacement inpatient CPT 27447 HC PR 27447 Arthrp Kne Condyle&Platu Medial&Lat Compartments | $6,000.00 | $6,000.00 | — | — | — |
| Total knee replacement inpatient CPT 27447 Total Knee Arthroplasty | $6,000.00 | $6,000.00 | — | — | — |
| Total shoulder replacement CPT 23472 HC PR 23472 Arthroplasty Glenohumeral Joint Total Shoulder | $3,538.00 | $3,538.00 | — | 78% below | — |
| Total shoulder replacement CPT 23472 HC PR 23472 Arthroplasty Glenohumeral Joint Total Shoulder | $3,538.00 | $3,538.00 | $847.44–$2,157.96 | 78% below | — |
| Total shoulder replacement inpatient CPT 23472 HC PR 23472 Arthroplasty Glenohumeral Joint Total Shoulder | $3,538.00 | $3,538.00 | — | — | — |
| Trigger finger release surgery CPT 26055 HC PR 26055 Tendon Sheath Incision Rhc | $1,461.00 | $1,461.00 | $257.76–$813.35 | 45% below | — |
| Trigger finger release surgery CPT 26055 HC PR 26055 Incise Finger Tendon Sheath | $1,461.00 | $1,461.00 | — | 45% below | — |
| Trigger finger release surgery CPT 26055 HC PR 26055 Incise Finger Tendon Sheath (26055) Cdm | $1,461.00 | $1,461.00 | — | 45% below | — |
| Trigger finger release surgery CPT 26055 HC PR 26055 Tendon Sheath Incision Rhc | $1,461.00 | $1,461.00 | — | 45% below | — |
| Trigger finger release surgery CPT 26055 HC PR 26055 Incise Finger Tendon Sheath | $1,461.00 | $1,461.00 | $257.76–$813.35 | 45% below | — |
| Trigger finger release surgery CPT 26055 HC PR 26055 Incise Finger Tendon Sheath (26055) Cdm | $1,461.00 | $1,461.00 | $257.76–$813.35 | 45% below | — |
| Trigger finger release surgery inpatient CPT 26055 HC PR 26055 Tendon Sheath Incision Rhc | $1,461.00 | $1,461.00 | — | — | — |
| Trigger finger release surgery inpatient CPT 26055 HC PR 26055 Incise Finger Tendon Sheath (26055) Cdm | $1,461.00 | $1,461.00 | — | — | — |
| Trigger finger release surgery inpatient CPT 26055 HC PR 26055 Incise Finger Tendon Sheath | $1,461.00 | $1,461.00 | — | — | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 HC PR 20552 Inj Trigger Point 1/2 Muscl | $219.00 | $219.00 | $72.03–$273.00 | 35% below | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 HC PR 20552 Inj Trigger Point 1/2 Muscl | $219.00 | $219.00 | — | 35% below | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 HC PR 20552 Injection Single/Mlt Trigger Point 1/2 Muscles Rhc | $219.00 | $219.00 | — | 35% below | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 HC PR ED 20552 Inj Trigger Point 1/2 Muscl Cdm | $219.00 | $219.00 | — | 35% below | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 HC PR 20552 Injection Single/Mlt Trigger Point 1/2 Muscles Rhc | $219.00 | $219.00 | $72.03–$273.00 | 35% below | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 HC PR ED 20552 Inj Trigger Point 1/2 Muscl Cdm | $219.00 | $219.00 | $72.03–$273.00 | 35% below | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 Injection of trigger points, 1-2 muscles | $1,034.00 | $1,034.00 | $72.03–$273.00 | 209% above | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 Injection of trigger points, 1-2 muscles | $1,034.00 | $1,034.00 | — | 209% above | — |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC PR 20552 Injection Single/Mlt Trigger Point 1/2 Muscles Rhc | $219.00 | $219.00 | — | — | — |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC PR 20552 Inj Trigger Point 1/2 Muscl | $219.00 | $219.00 | — | — | — |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC PR ED 20552 Inj Trigger Point 1/2 Muscl Cdm | $219.00 | $219.00 | — | — | — |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Injection of trigger points, 1-2 muscles | $1,034.00 | $1,034.00 | — | — | — |
| Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 HC PR 58670 Laparoscopy Tubal Cautery | $1,417.00 | $1,417.00 | $216.21–$531.27 | 67% below | — |
| Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 HC PR 58670 Laparoscopy Tubal Cautery | $1,417.00 | $1,417.00 | — | 67% below | — |
| Tubal ligation, laparoscopic (tubes sealed by cautery) inpatient CPT 58670 HC PR 58670 Laparoscopy Tubal Cautery | $1,417.00 | $1,417.00 | — | — | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HC PR 19083 Bx Breast W/Device 1st Lesion Ultrasound Guid Rhc | $1,077.00 | $1,077.00 | — | 65% below | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HC PR 19083 Bx Breast W/Device 1st Lesion Ultrasound Guid Rhc | $1,077.00 | $1,077.00 | $597.74–$3,933.00 | 65% below | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HC PR 19083 Bx Breast 1st Lesion US Imag | $1,077.00 | $1,077.00 | $597.74–$3,933.00 | 65% below | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HC PR 19083 Bx Breast 1st Lesion US Imag | $1,077.00 | $1,077.00 | — | 65% below | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 Biopsy breast using ultrasound, first growth | $4,140.00 | $4,140.00 | $597.74–$3,933.00 | 34% above | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 Biopsy breast using ultrasound, first growth | $4,140.00 | $4,140.00 | — | 34% above | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 HC PR 19083 Bx Breast W/Device 1st Lesion Ultrasound Guid Rhc | $1,077.00 | $1,077.00 | — | — | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 HC PR 19083 Bx Breast 1st Lesion US Imag | $1,077.00 | $1,077.00 | — | — | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 Biopsy breast using ultrasound, first growth | $4,140.00 | $4,140.00 | — | — | — |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 HC PR 43249 Egd Balloon Dilation Esophagus/Less Than 30mm | $1,823.00 | $1,823.00 | — | 6% below | — |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 HC PR 43249 Egd Balloon Dilation Esophagus/Less Than 30mm | $1,823.00 | $1,823.00 | $89.60–$1,565.03 | 6% below | — |
| Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 HC PR 43249 Egd Balloon Dilation Esophagus/Less Than 30mm | $1,823.00 | $1,823.00 | — | — | — |
| Upper endoscopy (EGD) with biopsy CPT 43239 HC PR 43239 Egd Transoral Biopsy Single/Multiple Cdm | $873.00 | $873.00 | — | 50% below | — |
| Upper endoscopy (EGD) with biopsy CPT 43239 HC PR 43239 Egd Biopsy Single/Multiple | $873.00 | $873.00 | $80.80–$579.57 | 50% below | — |
| Upper endoscopy (EGD) with biopsy CPT 43239 HC PR 43239 Egd Transoral Biopsy Single/Multiple Cdm | $873.00 | $873.00 | $80.80–$579.57 | 50% below | — |
| Upper endoscopy (EGD) with biopsy CPT 43239 HC PR 43239 Egd Biopsy Single/Multiple | $873.00 | $873.00 | — | 50% below | — |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 HC PR 43239 Egd Transoral Biopsy Single/Multiple Cdm | $873.00 | $873.00 | — | — | — |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 HC PR 43239 Egd Biopsy Single/Multiple | $873.00 | $873.00 | — | — | — |
| Upper endoscopy (EGD) with injection into the lining CPT 43236 HC PR 43236 Upper GI Scope W/Submuc Inj | $857.00 | $857.00 | $80.80–$565.18 | 39% below | — |
| Upper endoscopy (EGD) with injection into the lining CPT 43236 HC PR 43236 Upper GI Scope W/Submuc Inj | $857.00 | $857.00 | — | 39% below | — |
| Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 HC PR 43236 Upper GI Scope W/Submuc Inj | $857.00 | $857.00 | — | — | — |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 HC PR 43251 Egd Remove Lesion Snare | $885.00 | $885.00 | — | 32% below | — |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 HC PR 43251 Egd Remove Lesion Snare | $885.00 | $885.00 | $114.61–$727.54 | 32% below | — |
| Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 HC PR 43251 Egd Remove Lesion Snare | $885.00 | $885.00 | — | — | — |
| Upper endoscopy (EGD), diagnostic CPT 43235 HC PR 43235 Egd Diagnostic Brush Wash | $651.00 | $651.00 | — | 36% below | — |
| Upper endoscopy (EGD), diagnostic CPT 43235 HC PR 43235 Egd Diagnostic Brush Wash | $651.00 | $651.00 | $71.60–$454.20 | 36% below | — |
| Upper endoscopy (EGD), diagnostic CPT 43235 HC PR 43235 Esophagogastroduodenoscopy Transoral Diagnostic Cdm | $651.00 | $651.00 | — | 36% below | — |
| Upper endoscopy (EGD), diagnostic CPT 43235 HC PR 43235 Esophagogastroduodenoscopy Transoral Diagnostic Cdm | $651.00 | $651.00 | $71.60–$454.20 | 36% below | — |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 HC PR 43235 Esophagogastroduodenoscopy Transoral Diagnostic Cdm | $651.00 | $651.00 | — | — | — |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 HC PR 43235 Egd Diagnostic Brush Wash | $651.00 | $651.00 | — | — | — |
| Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 HC PR 52353 Cysto W/Ureteroscopy W/Lithotripsy Cdm | $969.00 | $969.00 | $228.01–$580.59 | 85% below | — |
| Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 HC PR 52353 Cysto W/Ureteroscopy W/Lithotripsy Cdm | $969.00 | $969.00 | — | 85% below | — |
| Ureteroscopy with laser stone breaking (lithotripsy) inpatient CPT 52353 HC PR 52353 Cysto W/Ureteroscopy W/Lithotripsy Cdm | $969.00 | $969.00 | — | — | — |
| Ureteroscopy with laser stone breaking and stent placement CPT 52356 HC PR 52356 Cysto/Uretero W/Lithotripsy | $1,026.00 | $1,026.00 | — | 88% below | — |
| Ureteroscopy with laser stone breaking and stent placement CPT 52356 HC PR 52356 Cysto/Uretero W/Lithotripsy | $1,026.00 | $1,026.00 | $241.61–$616.05 | 88% below | — |
| Ureteroscopy with laser stone breaking and stent placement inpatient CPT 52356 HC PR 52356 Cysto/Uretero W/Lithotripsy | $1,026.00 | $1,026.00 | — | — | — |
| Vaginal birth after cesarean (VBAC), including prenatal and postpartum care CPT 59610 HC PR 59610 Total OB/Vbac/Pp Care | $5,539.00 | $5,539.00 | $4,431.20–$4,985.10 | 18% above | — |
| Vaginal birth after cesarean (VBAC), including prenatal and postpartum care CPT 59610 HC PR 59610 Total OB/Vbac/Pp Care | $5,539.00 | $5,539.00 | — | 18% above | — |
| Vaginal birth after cesarean (VBAC), including prenatal and postpartum care inpatient CPT 59610 HC PR 59610 Total OB/Vbac/Pp Care | $5,539.00 | $5,539.00 | — | — | — |
| Vaginal delivery, including prenatal and postpartum care CPT 59400 HC PR 59400 Total OB/Vaginal Delivery/Pp Care | $5,318.00 | $5,318.00 | — | at median | — |
| Vaginal delivery, including prenatal and postpartum care CPT 59400 HC PR 59400 Total OB/Vaginal Delivery/Pp Care | $5,318.00 | $5,318.00 | $4,254.40–$4,786.20 | at median | — |
| Vaginal delivery, including prenatal and postpartum care CPT 59400 HC PR 59400 OB Care Antepartum Vag Dlvr & Postpartum | $5,318.00 | $5,318.00 | — | at median | — |
| Vaginal delivery, including prenatal and postpartum care CPT 59400 HC PR 59400 OB Care Antepartum Vag Dlvr & Postpartum | $5,318.00 | $5,318.00 | $4,254.40–$4,786.20 | at median | — |
| Vaginal delivery, including prenatal and postpartum care inpatient CPT 59400 HC PR 59400 Total OB/Vaginal Delivery/Pp Care | $5,318.00 | $5,318.00 | — | — | — |
| Vaginal delivery, including prenatal and postpartum care inpatient CPT 59400 HC PR 59400 OB Care Antepartum Vag Dlvr & Postpartum | $5,318.00 | $5,318.00 | — | — | — |
| Vasectomy, one or both sides, including follow-up semen testing both sides CPT 55250 HC PR 55250 Vasectomy Uni/Bi Spx W/Postop Semen Exams Rhc | $886.00 | $886.00 | $257.76–$560.56 | — | — |
| Vasectomy, one or both sides, including follow-up semen testing both sides CPT 55250 HC PR 55250 Vasectomy Uni/Bi Spx W/Postop Semen Exams Rhc | $886.00 | $886.00 | — | — | — |
| Vasectomy, one or both sides, including follow-up semen testing CPT 55250 HC PR 55250 Removal of Sperm Duct(S) | $886.00 | $886.00 | $257.76–$560.56 | 58% below | — |
| Vasectomy, one or both sides, including follow-up semen testing CPT 55250 HC PR 55250 Removal of Sperm Duct(S) | $886.00 | $886.00 | — | 58% below | — |
| Vasectomy, one or both sides, including follow-up semen testing inpatient both sides CPT 55250 HC PR 55250 Vasectomy Uni/Bi Spx W/Postop Semen Exams Rhc | $886.00 | $886.00 | — | — | — |
| Vasectomy, one or both sides, including follow-up semen testing inpatient CPT 55250 HC PR 55250 Removal of Sperm Duct(S) | $886.00 | $886.00 | — | — | — |
| Wart removal, up to 14 warts CPT 17110 HC PR 17110 Destruction Benign Lesions Up to 14 Rhc | $290.00 | $290.00 | $39.40–$409.38 | 22% above | — |
| Wart removal, up to 14 warts CPT 17110 HC PR 17110 Destruct B9 Lesion 1-14 | $290.00 | $290.00 | $39.40–$409.38 | 22% above | — |
| Wart removal, up to 14 warts CPT 17110 HC PR 17110 Destruction Benign Lesions Up to 14 Rhc | $290.00 | $290.00 | — | 22% above | — |
| Wart removal, up to 14 warts CPT 17110 HC PR 17110 Destruct B9 Lesion 1-14 | $290.00 | $290.00 | — | 22% above | — |
| Wart removal, up to 14 warts CPT 17110 HC PR 17110 Destruction Benign Lesions Up to 14 Cdm Cdm | $290.00 | $290.00 | — | 22% above | — |
| Wart removal, up to 14 warts CPT 17110 HC PR 17110 Destruction Benign Lesions Up to 14 Cdm Cdm | $290.00 | $290.00 | $39.40–$409.38 | 22% above | — |
| Wart removal, up to 14 warts inpatient CPT 17110 HC PR 17110 Destruct B9 Lesion 1-14 | $290.00 | $290.00 | — | — | — |
| Wart removal, up to 14 warts inpatient CPT 17110 HC PR 17110 Destruction Benign Lesions Up to 14 Cdm Cdm | $290.00 | $290.00 | — | — | — |
| Wart removal, up to 14 warts inpatient CPT 17110 HC PR 17110 Destruction Benign Lesions Up to 14 Rhc | $290.00 | $290.00 | — | — | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC PR 11042 Debridement Subcutaneous Tissue 20 Sq Cm or Less Rhc | $304.00 | $304.00 | $157.18–$273.00 | 51% below | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC PR ED 11042 Deb Subq Tissue 20 Sq Cm/< Cdm | $304.00 | $304.00 | $157.18–$273.00 | 51% below | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debridement Subcutaneous Tissue 20 Sq Cm or Less Cdm | $304.00 | $304.00 | $157.18–$273.00 | 51% below | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC PR ED 11042 Deb Subq Tissue 20 Sq Cm/< Cdm | $304.00 | $304.00 | — | 51% below | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC PR 11042 Debridement Subcutaneous Tissue 20 Sq Cm or Less Rhc | $304.00 | $304.00 | — | 51% below | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debridement Subcutaneous Tissue 20 Sq Cm or Less Cdm | $304.00 | $304.00 | — | 51% below | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Removal of skin and tissue, 20.0 sq cm or less | $916.00 | $916.00 | — | 49% above | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Removal of skin and tissue, 20.0 sq cm or less | $916.00 | $916.00 | $157.18–$273.00 | 49% above | — |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC PR 11042 Debridement Subcutaneous Tissue 20 Sq Cm or Less Rhc | $304.00 | $304.00 | — | — | — |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Debridement Subcutaneous Tissue 20 Sq Cm or Less Cdm | $304.00 | $304.00 | — | — | — |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC PR ED 11042 Deb Subq Tissue 20 Sq Cm/< Cdm | $304.00 | $304.00 | — | — | — |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Removal of skin and tissue, 20.0 sq cm or less | $916.00 | $916.00 | — | — | — |
| Wrist fracture surgery (plate and screws), distal radius CPT 25607 HC PR 25607 Optx Dstl Radl X-Artic Fx/Epiphysl Sep Cdm | $1,802.00 | $1,802.00 | — | 82% below | — |
| Wrist fracture surgery (plate and screws), distal radius CPT 25607 HC PR 25607 Treat Fx Rad Extra-Articul | $1,802.00 | $1,802.00 | $431.02–$1,082.58 | 82% below | — |
| Wrist fracture surgery (plate and screws), distal radius CPT 25607 HC PR 25607 Treat Fx Rad Extra-Articul | $1,802.00 | $1,802.00 | — | 82% below | — |
| Wrist fracture surgery (plate and screws), distal radius CPT 25607 HC PR 25607 Optx Dstl Radl X-Artic Fx/Epiphysl Sep Cdm | $1,802.00 | $1,802.00 | $431.02–$1,082.58 | 82% below | — |
| Wrist fracture surgery (plate and screws), distal radius inpatient CPT 25607 HC PR 25607 Treat Fx Rad Extra-Articul | $1,802.00 | $1,802.00 | — | — | — |
| Wrist fracture surgery (plate and screws), distal radius inpatient CPT 25607 HC PR 25607 Optx Dstl Radl X-Artic Fx/Epiphysl Sep Cdm | $1,802.00 | $1,802.00 | — | — | — |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Washington | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 HC PR ED 36430 Blood Transfusion Service Cdm | $150.00 | $150.00 | — | 84% below | — |
| Blood transfusion (giving blood or blood components) CPT 36430 HC PR ED 36430 Blood Transfusion Service Cdm | $150.00 | $150.00 | $83.25–$1,024.10 | 84% below | — |
| Blood transfusion (giving blood or blood components) CPT 36430 Transfusion of blood or blood products | $1,078.00 | $1,078.00 | — | 13% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 Transfusion of blood or blood products | $1,078.00 | $1,078.00 | $83.25–$1,024.10 | 13% above | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC PR ED 36430 Blood Transfusion Service Cdm | $150.00 | $150.00 | — | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Transfusion of blood or blood products | $1,078.00 | $1,078.00 | — | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC PR 94640 Airway Inhalation Treatment | $51.00 | $51.00 | $10.60–$273.00 | 74% below | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC PR 94640 Airway Inhalation Treatment Rhc | $51.00 | $51.00 | $10.60–$273.00 | 74% below | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC PR 94640 Airway Inhalation Treatment Rhc | $51.00 | $51.00 | — | 74% below | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC PR 94640 Airway Inhalation Treatment | $51.00 | $51.00 | — | 74% below | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Inhalation for airway obstruction or sputum production | $996.00 | $996.00 | — | 405% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Inhalation treatment for airway obstruction | $996.00 | $996.00 | $10.60–$273.00 | 405% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Inhalation treatment for airway obstruction | $996.00 | $996.00 | — | 405% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Inhalation for airway obstruction or sputum production | $996.00 | $996.00 | $10.60–$273.00 | 405% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC PR 94640 Airway Inhalation Treatment | $51.00 | $51.00 | — | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC PR 94640 Airway Inhalation Treatment Rhc | $51.00 | $51.00 | — | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Inhalation for airway obstruction or sputum production | $996.00 | $996.00 | — | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Inhalation treatment for airway obstruction | $996.00 | $996.00 | — | — | — |
| Chemotherapy IV infusion, first hour CPT 96413 HC Chemo IV Infusion Initial Hr Cdm | $1,275.00 | $1,275.00 | $707.63–$1,211.25 | 79% above | — |
| Chemotherapy IV infusion, first hour CPT 96413 Administration of chemotherapy into vein, 1 hour or less | $1,275.00 | $1,275.00 | $707.63–$1,211.25 | 79% above | — |
| Chemotherapy IV infusion, first hour CPT 96413 Administration of chemotherapy into vein, 1 hour or less | $1,275.00 | $1,275.00 | — | 79% above | — |
| Chemotherapy IV infusion, first hour CPT 96413 HC Chemo IV Infusion Initial Hr Cdm | $1,275.00 | $1,275.00 | — | 79% above | — |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 HC Chemo IV Infusion Initial Hr Cdm | $1,275.00 | $1,275.00 | — | — | — |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 Administration of chemotherapy into vein, 1 hour or less | $1,275.00 | $1,275.00 | — | — | — |
| Critical care, first 30 to 74 minutes CPT 99291 HC PR 99291 Critical Care Ill/Injured Patient Init 30-74 Min Cdm | $693.00 | $693.00 | — | 77% below | — |
| Critical care, first 30 to 74 minutes CPT 99291 Critical care first 30-74 minutes | $693.00 | $693.00 | — | 77% below | — |
| Critical care, first 30 to 74 minutes CPT 99291 HC PR ED 99291 Critical Care First Hour Cdm | $693.00 | $693.00 | — | 77% below | — |
| Critical care, first 30 to 74 minutes CPT 99291 Critical care, first 30-74 minutes | $3,276.00 | $3,276.00 | — | 8% above | — |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 HC PR 99291 Critical Care Ill/Injured Patient Init 30-74 Min Cdm | $693.00 | $693.00 | — | — | — |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 Critical care first 30-74 minutes | $693.00 | $693.00 | — | — | — |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 HC PR ED 99291 Critical Care First Hour Cdm | $693.00 | $693.00 | — | — | — |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 Critical care, first 30-74 minutes | $3,276.00 | $3,276.00 | — | — | — |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 HC PR 93000 Aviation Ekg (12ld Tracing Only) | $60.00 | $60.00 | $33.30–$257.76 | 17% below | — |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 HC PR 93000 Aviation Ekg (12ld Tracing Only) | $60.00 | $60.00 | — | 17% below | — |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 HC PR 93000 Ecg 12 Lead W/Interp & Report | $78.00 | $78.00 | $33.30–$257.76 | 8% above | — |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 HC PR 93000 Ecg 12 Lead W/Interp & Report | $78.00 | $78.00 | — | 8% above | — |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 HC PR 93000 Ecg Routine Ecg W/Least 12 Lds W/I&R Rhc | $91.00 | $91.00 | — | 26% above | — |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 HC PR 93000 Ecg Routine Ecg W/Least 12 Lds W/I&R Rhc | $91.00 | $91.00 | $33.30–$257.76 | 26% above | — |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 Routine electrocardiogram using at least 12 leads | $95.00 | $95.00 | $33.30–$257.76 | 31% above | — |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 Routine electrocardiogram using at least 12 leads | $95.00 | $95.00 | — | 31% above | — |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 HC PR 93000 Aviation Ekg (12ld Tracing Only) | $60.00 | $60.00 | — | — | — |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 HC PR 93000 Ecg 12 Lead W/Interp & Report | $78.00 | $78.00 | — | — | — |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 HC PR 93000 Ecg Routine Ecg W/Least 12 Lds W/I&R Rhc | $91.00 | $91.00 | — | — | — |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 Routine electrocardiogram using at least 12 leads | $95.00 | $95.00 | — | — | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC PR Om Faa -Aviation Class 1 Ekg (12ld Tracingonly) | $60.00 | $60.00 | $33.30–$276.45 | 67% below | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC PR Om Faa -Aviation Class 1 Ekg (12ld Tracingonly) | $60.00 | $60.00 | — | 67% below | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Routine electrocardiogram using at least 12 leads w/tracing | $291.00 | $291.00 | — | 61% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Routine electrocardiogram using at least 12 leads w/tracing | $291.00 | $291.00 | $33.30–$276.45 | 61% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC PR Om Faa -Aviation Class 1 Ekg (12ld Tracingonly) | $60.00 | $60.00 | — | — | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Routine electrocardiogram using at least 12 leads w/tracing | $291.00 | $291.00 | — | — | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC PR ED 99281 Visit Minor Problem May Not Req Phys/Qhp Cdm | $95.00 | $95.00 | — | 58% below | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC PR ED 99281 Visit Minor Problem May Not Req Phys/Qhp Cdm | $95.00 | $95.00 | $76.00–$396.90 | 58% below | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Emergency department visit Level 1 | $441.00 | $441.00 | $76.00–$396.90 | 94% above | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Emergency department visit Level 1 | $441.00 | $441.00 | — | 94% above | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC PR ED 99281 Visit Minor Problem May Not Req Phys/Qhp Cdm | $95.00 | $95.00 | — | — | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 Emergency department visit Level 1 | $441.00 | $441.00 | — | — | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC PR ED 99282 Emergency Department Visit Straightforward Mdm Cdm | $220.00 | $220.00 | — | 43% below | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC PR ED 99282 Emergency Department Visit Straightforward Mdm Cdm | $220.00 | $220.00 | $176.00–$793.80 | 43% below | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Emergency department visit level 2 | $882.00 | $882.00 | — | 128% above | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Emergency department visit level 2 | $882.00 | $882.00 | $176.00–$793.80 | 128% above | — |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC PR ED 99282 Emergency Department Visit Straightforward Mdm Cdm | $220.00 | $220.00 | — | — | — |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 Emergency department visit level 2 | $882.00 | $882.00 | — | — | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC PR ED 99283 Visit Low Mdm Cdm | $331.00 | $331.00 | — | 56% below | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC PR ED 99283 Visit Low Mdm Cdm | $331.00 | $331.00 | $183.71–$1,256.85 | 56% below | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Emergency department visit level 3 | $1,323.00 | $1,323.00 | $183.71–$1,256.85 | 75% above | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Emergency department visit level 3 | $1,323.00 | $1,323.00 | — | 75% above | — |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC PR ED 99283 Visit Low Mdm Cdm | $331.00 | $331.00 | — | — | — |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 Emergency department visit level 3 | $1,323.00 | $1,323.00 | — | — | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC PR ED 99284 Visit Moderate Mdm Cdm | $513.00 | $513.00 | $410.40–$1,587.60 | 58% below | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC PR ED 99284 Visit Moderate Mdm Cdm | $513.00 | $513.00 | — | 58% below | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Emergency department visit level 4 | $1,764.00 | $1,764.00 | $410.40–$1,587.60 | 45% above | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Emergency department visit level 4 | $1,764.00 | $1,764.00 | — | 45% above | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC PR ED 99284 Visit Moderate Mdm Cdm | $513.00 | $513.00 | — | — | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 Emergency department visit level 4 | $1,764.00 | $1,764.00 | — | — | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC PR ED 99285 Visit High Mdm Cdm | $750.00 | $750.00 | — | 62% below | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Emergency department visit level 5 | $2,205.00 | $2,205.00 | — | 11% above | — |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC PR ED 99285 Visit High Mdm Cdm | $750.00 | $750.00 | — | — | — |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Emergency department visit level 5 | $2,205.00 | $2,205.00 | — | — | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Exercise or drug-induced heart stress test with ECG | $459.00 | $459.00 | $254.75–$436.05 | 22% below | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Exercise or drug-induced heart stress test with ECG | $459.00 | $459.00 | — | 22% below | — |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Exercise or drug-induced heart stress test with ECG | $459.00 | $459.00 | — | — | — |
| Family therapy with the patient, 50 minutes CPT 90847 HC PR 90847 Family Psychotherapy W/Patient Present 50 Mins | $273.00 | $273.00 | — | 32% above | — |
| Family therapy with the patient, 50 minutes CPT 90847 Family psychotherapy with patient, 50 m | $273.00 | $273.00 | — | 32% above | — |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 Family psychotherapy with patient, 50 m | $273.00 | $273.00 | — | — | — |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HC PR 90847 Family Psychotherapy W/Patient Present 50 Mins | $273.00 | $273.00 | — | — | — |
| Family therapy without the patient, 50 minutes CPT 90846 HC PR 90846 Family Psychotherapy W/O Patient Present 50 Mins | $264.00 | $264.00 | — | 41% above | — |
| Family therapy without the patient, 50 minutes CPT 90846 Family psychotherapy without patient, 50 m | $264.00 | $264.00 | — | 41% above | — |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 Family psychotherapy without patient, 50 m | $264.00 | $264.00 | — | — | — |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 HC PR 90846 Family Psychotherapy W/O Patient Present 50 Mins | $264.00 | $264.00 | — | — | — |
| Holter monitor, heart rhythm recording up to 48 hours, with report CPT 93224 HC PR 93224 Xtrnl Ecg & 48 Hr Record Scan Stor W/R&I Rhc | $154.00 | $154.00 | — | 5% below | — |
| Holter monitor, heart rhythm recording up to 48 hours, with report inpatient CPT 93224 HC PR 93224 Xtrnl Ecg & 48 Hr Record Scan Stor W/R&I Rhc | $154.00 | $154.00 | — | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC PR 96360 IV Infusion Hydration Initial 31 Min-1 Hour Rhc | $125.00 | $125.00 | — | 62% below | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC PR 96360 IV Infusion Hydration Initial 31 Min-1 Hour Rhc | $125.00 | $125.00 | $69.38–$700.15 | 62% below | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV Hydration, initial hr | $516.00 | $516.00 | $69.38–$700.15 | 57% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV Hydration, initial hr | $516.00 | $516.00 | — | 57% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC IV Hydration Initial Hr Cdm | $737.00 | $737.00 | — | 124% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC IV Hydration Initial Hr Cdm | $737.00 | $737.00 | $69.38–$700.15 | 124% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC PR 96360 IV Infusion Hydration Initial 31 Min-1 Hour Rhc | $125.00 | $125.00 | — | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV Hydration, initial hr | $516.00 | $516.00 | — | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC IV Hydration Initial Hr Cdm | $737.00 | $737.00 | — | — | — |
| IV infusion of a medicine, first hour CPT 96365 HC PR 96365 IV Infusion Therapy/Prophylaxis /Dx 1st to 1 Hr Rhc | $159.00 | $159.00 | — | 58% below | — |
| IV infusion of a medicine, first hour CPT 96365 HC PR 96365 IV Infusion Therapy/Prophylaxis /Dx 1st to 1 Hr Rhc | $159.00 | $159.00 | $88.25–$784.70 | 58% below | — |
| IV infusion of a medicine, first hour CPT 96365 HC IV Infusion Initial Hr Cdm | $826.00 | $826.00 | — | 116% above | — |
| IV infusion of a medicine, first hour CPT 96365 IV IV initial hr | $826.00 | $826.00 | $88.25–$784.70 | 116% above | — |
| IV infusion of a medicine, first hour CPT 96365 HC PR 96365 Ther/Proph/Diag IV Inf Init | $826.00 | $826.00 | $88.25–$784.70 | 116% above | — |
| IV infusion of a medicine, first hour CPT 96365 HC IV Infusion Initial Hr Cdm | $826.00 | $826.00 | $88.25–$784.70 | 116% above | — |
| IV infusion of a medicine, first hour CPT 96365 HC PR 96365 Ther/Proph/Diag IV Inf Init | $826.00 | $826.00 | — | 116% above | — |
| IV infusion of a medicine, first hour CPT 96365 IV IV initial hr | $826.00 | $826.00 | — | 116% above | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 HC PR 96365 IV Infusion Therapy/Prophylaxis /Dx 1st to 1 Hr Rhc | $159.00 | $159.00 | — | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 HC PR 96365 Ther/Proph/Diag IV Inf Init | $826.00 | $826.00 | — | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 HC IV Infusion Initial Hr Cdm | $826.00 | $826.00 | — | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV IV initial hr | $826.00 | $826.00 | — | — | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC PR 96372 Therapeutic Prophylactic/Dx Injection Subq/Im Rhc | $56.00 | $56.00 | $19.03–$273.00 | 45% below | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Therapeutic or diagnostic injection ; subcutaneous or intramuscu | $56.00 | $56.00 | — | 45% below | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Therapeutic or diagnostic injection ; subcutaneous or intramuscu | $56.00 | $56.00 | $19.03–$273.00 | 45% below | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC PR 96372 Therapeutic Prophylactic/Dx Injection Subq/Im Rhc | $56.00 | $56.00 | — | 45% below | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Injection of drug or substance under skin or into muscle | $374.00 | $374.00 | — | 267% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Injection of drug or substance under skin or into muscle | $374.00 | $374.00 | $19.03–$273.00 | 267% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Inject drug or substance under skin or into muscle | $374.00 | $374.00 | $19.03–$273.00 | 267% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Inject drug or substance under skin or into muscle | $374.00 | $374.00 | — | 267% above | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Therapeutic or diagnostic injection ; subcutaneous or intramuscu | $56.00 | $56.00 | — | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC PR 96372 Therapeutic Prophylactic/Dx Injection Subq/Im Rhc | $56.00 | $56.00 | — | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Inject drug or substance under skin or into muscle | $374.00 | $374.00 | — | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Injection of drug or substance under skin or into muscle | $374.00 | $374.00 | — | — | — |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 Psychiatric diagnostic evaluation | $315.00 | $315.00 | $142.66–$273.00 | 32% above | — |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 Psychiatric Diagnostic Evaluation | $315.00 | $315.00 | — | 32% above | — |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 Psychiatric diagnostic evaluation | $315.00 | $315.00 | — | 32% above | — |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 Psychiatric Diagnostic Evaluation | $315.00 | $315.00 | $142.66–$273.00 | 32% above | — |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 Psychiatric diagnostic evaluation | $315.00 | $315.00 | — | — | — |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 Psychiatric Diagnostic Evaluation | $315.00 | $315.00 | — | — | — |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 HC PR 95910 Nerve Conduction Studies 7-8 Studies Rhc | $344.00 | $344.00 | $241.00–$282.50 | 42% below | — |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 HC PR 95910 Nerve Conduction Studies 7-8 Studies Rhc | $344.00 | $344.00 | — | 42% below | — |
| Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 HC PR 95910 Nerve Conduction Studies 7-8 Studies Rhc | $344.00 | $344.00 | — | — | — |
| Neuromuscular re-education, 15 minutes CPT 97112 Neuromuscular reeducation of movement | $186.00 | $186.00 | $103.23–$176.70 | 91% above | — |
| Neuromuscular re-education, 15 minutes CPT 97112 Neuromuscular reeducation of movement | $186.00 | $186.00 | — | 91% above | — |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 Neuromuscular reeducation of movement | $186.00 | $186.00 | — | — | — |
| New patient office visit, about 30 minutes CPT 99203 HC PR 99203 Office Outpatient New Rhc | $247.00 | $247.00 | $141.89–$273.00 | 39% above | — |
| New patient office visit, about 30 minutes CPT 99203 HC PR 99203 Office Outpatient New Rhc | $247.00 | $247.00 | — | 39% above | — |
| New patient office visit, about 30 minutes CPT 99203 HC PR 99203 New Pt Visit - Level 3 | $273.00 | $273.00 | — | 54% above | — |
| New patient office visit, about 30 minutes CPT 99203 HC PR 99203 New Pt Visit - Level 3 | $273.00 | $273.00 | $141.89–$273.00 | 54% above | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 HC PR 99203 Office Outpatient New Rhc | $247.00 | $247.00 | — | — | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 HC PR 99203 New Pt Visit - Level 3 | $273.00 | $273.00 | — | — | — |
| New patient office visit, about 45 minutes CPT 99204 HC PR General/Pre Emplyment Exam Std. Physical 3 | $150.00 | $150.00 | — | 41% below | — |
| New patient office visit, about 45 minutes CPT 99204 HC PR General/Pre Emplyment Exam Std. Physical 3 | $150.00 | $150.00 | $211.44–$273.00 | 41% below | — |
| New patient office visit, about 45 minutes CPT 99204 HC PR 99204 Office Outpatient New Rhc | $375.00 | $375.00 | — | 49% above | — |
| New patient office visit, about 45 minutes CPT 99204 HC PR 99204 Office Outpatient New Rhc | $375.00 | $375.00 | $211.44–$273.00 | 49% above | — |
| New patient office visit, about 45 minutes CPT 99204 HC PR New Pt Visit /or Gen Emplymnt Phys - Level 4 | $414.00 | $414.00 | $211.44–$273.00 | 64% above | — |
| New patient office visit, about 45 minutes CPT 99204 HC PR New Pt Visit /or Gen Emplymnt Phys - Level 4 | $414.00 | $414.00 | — | 64% above | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 HC PR General/Pre Emplyment Exam Std. Physical 3 | $150.00 | $150.00 | — | — | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 HC PR 99204 Office Outpatient New Rhc | $375.00 | $375.00 | — | — | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 HC PR New Pt Visit /or Gen Emplymnt Phys - Level 4 | $414.00 | $414.00 | — | — | — |
| New patient office visit, about 60 minutes CPT 99205 New Pt Visit - Level 5 | $364.00 | $364.00 | $257.76–$299.03 | 7% above | — |
| New patient office visit, about 60 minutes CPT 99205 New Pt Visit - Level 5 | $364.00 | $364.00 | — | 7% above | — |
| New patient office visit, about 60 minutes CPT 99205 HC PR 99205 Office Outpatient New Rhc | $469.00 | $469.00 | — | 38% above | — |
| New patient office visit, about 60 minutes CPT 99205 HC PR 99205 Office Outpatient New Rhc | $469.00 | $469.00 | $257.76–$299.03 | 38% above | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 New Pt Visit - Level 5 | $364.00 | $364.00 | — | — | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 HC PR 99205 Office Outpatient New Rhc | $469.00 | $469.00 | — | — | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC PR 99202 Office Outpatient New Rhc | $170.00 | $170.00 | $26.98–$273.00 | 12% above | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC PR 99202 Office Outpatient New Rhc | $170.00 | $170.00 | — | 12% above | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 New Pt Visit - Level 2 | $188.00 | $188.00 | — | 24% above | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 New Pt Visit - Level 2 | $188.00 | $188.00 | $26.98–$273.00 | 24% above | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HC PR 99202 Office Outpatient New Rhc | $170.00 | $170.00 | — | — | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 New Pt Visit - Level 2 | $188.00 | $188.00 | — | — | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Med Nutrition Assmt&Ivntj Initial Indivtherapy Each15min | $94.00 | $94.00 | $52.17–$95.00 | 48% above | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Med Nutrition Assmt&Ivntj Initial Indivtherapy Each15min | $94.00 | $94.00 | — | 48% above | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Therapy procedure nutrition management - each 15m | $100.00 | $100.00 | — | 57% above | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Therapy procedure nutrition management - each 15m | $100.00 | $100.00 | $52.17–$95.00 | 57% above | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 Med Nutrition Assmt&Ivntj Initial Indivtherapy Each15min | $94.00 | $94.00 | — | — | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 Therapy procedure nutrition management - each 15m | $100.00 | $100.00 | — | — | — |
| Occupational therapy evaluation, low complexity CPT 97165 Evaluation for occupational therapy - low complexity | $309.00 | $309.00 | — | 43% above | — |
| Occupational therapy evaluation, low complexity CPT 97165 Evaluation for occupational therapy - low complexity | $309.00 | $309.00 | $171.50–$293.55 | 43% above | — |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 Evaluation for occupational therapy - low complexity | $309.00 | $309.00 | — | — | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Evaluation for physical therapy - high complexity | $373.00 | $373.00 | — | 35% above | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Evaluation for physical therapy - high complexity | $373.00 | $373.00 | $298.40–$335.70 | 35% above | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 Evaluation for physical therapy - high complexity | $373.00 | $373.00 | — | — | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Evaluation for physical therapy - low complexity | $373.00 | $373.00 | $207.02–$354.35 | 70% above | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Evaluation for physical therapy - low complexity | $373.00 | $373.00 | — | 70% above | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 Evaluation for physical therapy - low complexity | $373.00 | $373.00 | — | — | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Evaluation for physical therapy - mod complexity | $373.00 | $373.00 | $207.02–$354.35 | 55% above | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Evaluation for physical therapy - mod complexity | $373.00 | $373.00 | — | 55% above | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 Evaluation for physical therapy - mod complexity | $373.00 | $373.00 | — | — | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Manual therapy techniques | $317.00 | $317.00 | — | 352% above | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Manual therapy techniques | $317.00 | $317.00 | $175.94–$301.15 | 352% above | — |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Manual therapy techniques | $317.00 | $317.00 | — | — | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Therapeutic exercises | $245.00 | $245.00 | — | 162% above | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Therapeutic exercises | $245.00 | $245.00 | $135.98–$232.75 | 162% above | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Therapeutic exercises | $245.00 | $245.00 | — | — | — |
| Preventive checkup, new patient aged 18–39 CPT 99385 HC PR 99385 Initial Preventive Medicine New Pt Age 18-39yrs Rhc | $258.00 | $258.00 | — | 140% above | — |
| Preventive checkup, new patient aged 18–39 CPT 99385 HC PR 99385 Initial Preventive Medicine New Pt Age 18-39yrs Rhc | $258.00 | $258.00 | $172.63–$273.00 | 140% above | — |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 HC PR 99385 Initial Preventive Medicine New Pt Age 18-39yrs Rhc | $258.00 | $258.00 | — | — | — |
| Preventive checkup, new patient aged 40–64 CPT 99386 HC PR 99386 Preventive Visit New 40-64 Rhc | $301.00 | $301.00 | $199.94–$273.00 | 180% above | — |
| Preventive checkup, new patient aged 40–64 CPT 99386 HC PR 99386 Preventive Visit New 40-64 Rhc | $301.00 | $301.00 | — | 180% above | — |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 HC PR 99386 Preventive Visit New 40-64 Rhc | $301.00 | $301.00 | — | — | — |
| Preventive checkup, new patient aged 65 or older CPT 99387 HC PR 99387 Initial Preventive Medicine New Patient 65yrs&> Rhc | $333.00 | $333.00 | $216.89–$273.00 | 176% above | — |
| Preventive checkup, new patient aged 65 or older CPT 99387 HC PR 99387 Initial Preventive Medicine New Patient 65yrs&> Rhc | $333.00 | $333.00 | — | 176% above | — |
| Preventive checkup, new patient aged 65 or older inpatient CPT 99387 HC PR 99387 Initial Preventive Medicine New Patient 65yrs&> Rhc | $333.00 | $333.00 | — | — | — |
| Preventive checkup, returning patient aged 18–39 CPT 99395 HC PR 99395 Preventive Visit Est 18-39 Rhc | $228.00 | $228.00 | $155.68–$273.00 | 181% above | — |
| Preventive checkup, returning patient aged 18–39 CPT 99395 HC PR 99395 Preventive Visit Est 18-39 Rhc | $228.00 | $228.00 | — | 181% above | — |
| Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 HC PR 99395 Preventive Visit Est 18-39 Rhc | $228.00 | $228.00 | — | — | — |
| Preventive checkup, returning patient aged 40–64 CPT 99396 HC PR 99396 Preventive Visit Est 40-64 Rhc | $249.00 | $249.00 | $165.71–$273.00 | 132% above | — |
| Preventive checkup, returning patient aged 40–64 CPT 99396 HC PR 99396 Preventive Visit Est 40-64 Rhc | $249.00 | $249.00 | — | 132% above | — |
| Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 HC PR 99396 Preventive Visit Est 40-64 Rhc | $249.00 | $249.00 | — | — | — |
| Preventive checkup, returning patient aged 65 or older CPT 99397 HC PR 99397 Preventive Visit Est 65 & Over Rhc | $281.00 | $281.00 | — | 133% above | — |
| Preventive checkup, returning patient aged 65 or older CPT 99397 HC PR 99397 Preventive Visit Est 65 & Over Rhc | $281.00 | $281.00 | $178.53–$273.00 | 133% above | — |
| Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 HC PR 99397 Preventive Visit Est 65 & Over Rhc | $281.00 | $281.00 | — | — | — |
| Psychiatric evaluation with medical services CPT 90792 HC PR 90792 Psychiatric Diagnostic Eval W/Medical Services | $353.00 | $353.00 | $159.84–$273.00 | 28% above | — |
| Psychiatric evaluation with medical services CPT 90792 HC PR 90792 Psychiatric Diagnostic Eval W/Medical Services | $353.00 | $353.00 | — | 28% above | — |
| Psychiatric evaluation with medical services CPT 90792 Psychiatric diagnostic evaluation with medical services | $353.00 | $353.00 | — | 28% above | — |
| Psychiatric evaluation with medical services CPT 90792 Psychiatric diagnostic evaluation with medical services | $353.00 | $353.00 | $159.84–$273.00 | 28% above | — |
| Psychiatric evaluation with medical services inpatient CPT 90792 Psychiatric diagnostic evaluation with medical services | $353.00 | $353.00 | — | — | — |
| Psychiatric evaluation with medical services inpatient CPT 90792 HC PR 90792 Psychiatric Diagnostic Eval W/Medical Services | $353.00 | $353.00 | — | — | — |
| Psychotherapy for crisis, first 60 minutes CPT 90839 HC PR 90839 Psychotherapy for Crisis Initial 60 Min | $351.00 | $351.00 | — | 38% above | — |
| Psychotherapy for crisis, first 60 minutes CPT 90839 Psychotherapy for crisis, first hour | $351.00 | $351.00 | — | 38% above | — |
| Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 HC PR 90839 Psychotherapy for Crisis Initial 60 Min | $351.00 | $351.00 | — | — | — |
| Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 Psychotherapy for crisis, first hour | $351.00 | $351.00 | — | — | — |
| Psychotherapy session, 30 minutes CPT 90832 Psychotherapy, 30 minutes | $159.00 | $159.00 | $69.10–$273.00 | 11% above | — |
| Psychotherapy session, 30 minutes CPT 90832 HC PR 90832 Psychotherapy W/Patient 30 Minutes | $159.00 | $159.00 | $69.10–$273.00 | 11% above | — |
| Psychotherapy session, 30 minutes CPT 90832 Psychotherapy, 30 minutes | $159.00 | $159.00 | — | 11% above | — |
| Psychotherapy session, 30 minutes CPT 90832 HC PR 90832 Psychotherapy W/Patient 30 Minutes | $159.00 | $159.00 | — | 11% above | — |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HC PR 90832 Psychotherapy W/Patient 30 Minutes | $159.00 | $159.00 | — | — | — |
| Psychotherapy session, 30 minutes inpatient CPT 90832 Psychotherapy, 30 minutes | $159.00 | $159.00 | — | — | — |
| Psychotherapy session, 45 minutes CPT 90834 HC PR 90834 Psychotherapy W/Patient 45 Minutes | $212.00 | $212.00 | $113.60–$273.00 | at median | — |
| Psychotherapy session, 45 minutes CPT 90834 HC PR 90834 Psychotherapy W/Patient 45 Minutes | $212.00 | $212.00 | — | at median | — |
| Psychotherapy session, 45 minutes CPT 90834 Psychotherapy, 45 minutes | $212.00 | $212.00 | — | at median | — |
| Psychotherapy session, 45 minutes CPT 90834 Psychotherapy, 45 minutes | $212.00 | $212.00 | $113.60–$273.00 | at median | — |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HC PR 90834 Psychotherapy W/Patient 45 Minutes | $212.00 | $212.00 | — | — | — |
| Psychotherapy session, 45 minutes inpatient CPT 90834 Psychotherapy, 45 minutes | $212.00 | $212.00 | — | — | — |
| Psychotherapy session, 60 minutes CPT 90837 HC PR 90837 Psychotherapy W/Patient 60 Minutes | $326.00 | $326.00 | — | 16% above | — |
| Psychotherapy session, 60 minutes CPT 90837 Psychotherapy, 1 hour | $326.00 | $326.00 | — | 16% above | — |
| Psychotherapy session, 60 minutes CPT 90837 HC PR 90837 Psychotherapy W/Patient 60 Minutes | $326.00 | $326.00 | $138.53–$273.00 | 16% above | — |
| Psychotherapy session, 60 minutes CPT 90837 Psychotherapy, 1 hour | $326.00 | $326.00 | $138.53–$273.00 | 16% above | — |
| Psychotherapy session, 60 minutes inpatient CPT 90837 Psychotherapy, 1 hour | $326.00 | $326.00 | — | — | — |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HC PR 90837 Psychotherapy W/Patient 60 Minutes | $326.00 | $326.00 | — | — | — |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 Behav Chng Smoking 3-10 Min | $69.00 | $69.00 | $18.89–$409.38 | 110% above | — |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 HC PR 99406 Behav Chng Smoking 3-10 Min Rhc | $69.00 | $69.00 | $18.89–$409.38 | 110% above | — |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 Behav Chng Smoking 3-10 Min | $69.00 | $69.00 | — | 110% above | — |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 HC PR 99406 Behav Chng Smoking 3-10 Min Rhc | $69.00 | $69.00 | — | 110% above | — |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 HC PR 99406 Behav Chng Smoking 3-10 Min Rhc | $69.00 | $69.00 | — | — | — |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Behav Chng Smoking 3-10 Min | $69.00 | $69.00 | — | — | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC PR 99215 Office Outpatient Visit Rhc | $327.00 | $327.00 | $189.62–$273.00 | 36% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC PR 99215 Office Outpatient Visit Rhc | $327.00 | $327.00 | — | 36% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 Estab Pt Visit - Level 5 | $344.00 | $344.00 | — | 43% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 Estab Pt Visit - Level 5 | $344.00 | $344.00 | $189.62–$273.00 | 43% above | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC PR 99215 Office Outpatient Visit Rhc | $327.00 | $327.00 | — | — | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Estab Pt Visit - Level 5 | $344.00 | $344.00 | — | — | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC PR 99213 Office Outpatient Visit Rhc | $166.00 | $166.00 | $27.35–$273.00 | 14% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC PR 99213 Office Outpatient Visit Rhc | $166.00 | $166.00 | — | 14% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Estab Pt Visit - Level 3 | $184.00 | $184.00 | $27.35–$273.00 | 26% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Estab Pt Visit - Level 3 | $184.00 | $184.00 | — | 26% above | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC PR 99213 Office Outpatient Visit Rhc | $166.00 | $166.00 | — | — | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Estab Pt Visit - Level 3 | $184.00 | $184.00 | — | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC PR 99214 Office Outpatient Visit Rhc | $244.00 | $244.00 | $141.40–$273.00 | 36% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC PR 99214 Office Outpatient Visit Rhc | $244.00 | $244.00 | — | 36% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC PR 99214 Estab Pt Visit - Level 4 | $270.00 | $270.00 | — | 50% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC PR 99214 Estab Pt Visit - Level 4 | $270.00 | $270.00 | $141.40–$273.00 | 50% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC PR 99214 Office Outpatient Visit Rhc | $244.00 | $244.00 | — | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC PR 99214 Estab Pt Visit - Level 4 | $270.00 | $270.00 | — | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC PR 99212 Office Outpatient Visit Rhc | $109.00 | $109.00 | $58.11–$273.00 | 1% below | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC PR 99212 Office Outpatient Visit Rhc | $109.00 | $109.00 | — | 1% below | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Estab Pt Visit - Level 2 | $115.00 | $115.00 | $58.11–$273.00 | 4% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Estab Pt Visit - Level 2 | $115.00 | $115.00 | — | 4% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC PR 99212 Office Outpatient Visit Rhc | $109.00 | $109.00 | — | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Estab Pt Visit - Level 2 | $115.00 | $115.00 | — | — | — |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 HC PR 99243 Office/OP Consltj New/Est Pt Low Mdm 30 Minutes Cdm | $261.00 | $261.00 | $208.80–$234.90 | 23% above | — |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 HC PR 99243 Office/OP Consltj New/Est Pt Low Mdm 30 Minutes Cdm | $261.00 | $261.00 | — | 23% above | — |
| Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 HC PR 99243 Office/OP Consltj New/Est Pt Low Mdm 30 Minutes Cdm | $261.00 | $261.00 | — | — | — |
| Speech and language evaluation CPT 92523 Evaluate sound production w/comprehension/expression | $460.00 | $460.00 | $255.30–$437.00 | 19% above | — |
| Speech and language evaluation CPT 92523 Evaluate sound production w/comprehension/expression | $460.00 | $460.00 | — | 19% above | — |
| Speech and language evaluation inpatient CPT 92523 Evaluate sound production w/comprehension/expression | $460.00 | $460.00 | — | — | — |
| Speech therapy session, individual CPT 92507 Treat speech/language/voice/communication/hearing - individual | $306.00 | $306.00 | $169.83–$290.70 | 40% above | — |
| Speech therapy session, individual CPT 92507 Treat speech/language/voice/communication/hearing - individual | $306.00 | $306.00 | — | 40% above | — |
| Speech therapy session, individual inpatient CPT 92507 Treat speech/language/voice/communication/hearing - individual | $306.00 | $306.00 | — | — | — |
| Spirometry (breathing test) CPT 94010 HC PR 94010 Spmtry W/Vc Expiratory Flo W/WO Mxml Vol Vntj Rhc | $65.00 | $65.00 | — | 68% below | — |
| Spirometry (breathing test) CPT 94010 HC PR Spirometry/Pft Vit Cap Test | $65.00 | $65.00 | $52.00–$648.00 | 68% below | — |
| Spirometry (breathing test) CPT 94010 HC PR 94010 Spmtry W/Vc Expiratory Flo W/WO Mxml Vol Vntj Rhc | $65.00 | $65.00 | $52.00–$648.00 | 68% below | — |
| Spirometry (breathing test) CPT 94010 HC PR Spirometry/Pft Vit Cap Test | $65.00 | $65.00 | — | 68% below | — |
| Spirometry (breathing test) CPT 94010 Test to measure expiratory airflow and volume | $720.00 | $720.00 | — | 255% above | — |
| Spirometry (breathing test) CPT 94010 Test to measure expiratory airflow and volume | $720.00 | $720.00 | $52.00–$648.00 | 255% above | — |
| Spirometry (breathing test) inpatient CPT 94010 HC PR Spirometry/Pft Vit Cap Test | $65.00 | $65.00 | — | — | — |
| Spirometry (breathing test) inpatient CPT 94010 HC PR 94010 Spmtry W/Vc Expiratory Flo W/WO Mxml Vol Vntj Rhc | $65.00 | $65.00 | — | — | — |
| Spirometry (breathing test) inpatient CPT 94010 Test to measure expiratory airflow and volume | $720.00 | $720.00 | — | — | — |
| Spirometry before and after a bronchodilator CPT 94060 HC PR 94060 Spirometry Pre Post Bronchodilator | $183.00 | $183.00 | — | 50% below | — |
| Spirometry before and after a bronchodilator CPT 94060 HC PR 94060 Spirometry Pre Post Bronchodilator | $183.00 | $183.00 | $101.57–$959.50 | 50% below | — |
| Spirometry before and after a bronchodilator CPT 94060 HC PR 94060 Brncdilat Rspse Spmtry Pre&Post-Brncdilat Admn Rhc | $346.00 | $346.00 | $101.57–$959.50 | 6% below | — |
| Spirometry before and after a bronchodilator CPT 94060 HC PR 94060 Brncdilat Rspse Spmtry Pre&Post-Brncdilat Admn Rhc | $346.00 | $346.00 | — | 6% below | — |
| Spirometry before and after a bronchodilator CPT 94060 Measure total volume of air exhaled after inhaling | $1,010.00 | $1,010.00 | $101.57–$959.50 | 174% above | — |
| Spirometry before and after a bronchodilator CPT 94060 Measure total volume of air exhaled after inhaling | $1,010.00 | $1,010.00 | — | 174% above | — |
| Spirometry before and after a bronchodilator inpatient CPT 94060 HC PR 94060 Spirometry Pre Post Bronchodilator | $183.00 | $183.00 | — | — | — |
| Spirometry before and after a bronchodilator inpatient CPT 94060 HC PR 94060 Brncdilat Rspse Spmtry Pre&Post-Brncdilat Admn Rhc | $346.00 | $346.00 | — | — | — |
| Spirometry before and after a bronchodilator inpatient CPT 94060 Measure total volume of air exhaled after inhaling | $1,010.00 | $1,010.00 | — | — | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Therapeutic activities -ea 15mins | $220.00 | $220.00 | — | 110% above | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Therapeutic activities -ea 15mins | $220.00 | $220.00 | $122.10–$209.00 | 110% above | — |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Therapeutic activities -ea 15mins | $220.00 | $220.00 | — | — | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Drawing of blood for a medical problem | $192.00 | $192.00 | — | 5% below | — |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Drawing of blood for a medical problem | $192.00 | $192.00 | — | — | — |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Washington | Off list |
|---|---|---|---|---|---|
| COVID-19 vaccine (Moderna), age 12 and older CPT 91322 HC PR Rx Covid-19 Vaccine Single Dose (Moderna) Pf Im 50 Mcg/0.5 Ml | $113.00 | $113.00 | $90.40–$101.70 | 19% below | — |
| COVID-19 vaccine (Moderna), age 12 and older CPT 91322 HC PR Rx Covid-19 Vaccine Single Dose (Moderna) Pf Im 50 Mcg/0.5 Ml | $113.00 | $113.00 | — | 19% below | — |
| COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 HC PR Rx Covid-19 Vaccine Single Dose (Moderna) Pf Im 50 Mcg/0.5 Ml | $113.00 | $113.00 | — | — | — |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 HC PR Rx Covid-19 Vaccine Single Dose (Pfizer) Pf Tris-Suc Im 30 Mcg/0.3 Ml | $207.00 | $207.00 | — | 20% above | — |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 HC PR Rx Covid-19 Vaccine Single Dose (Pfizer) Pf Tris-Suc Im 30 Mcg/0.3 Ml | $207.00 | $207.00 | $168.37–$273.00 | 20% above | — |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 HC PR Rx Covid-19 Vaccine Single Dose (Pfizer) Pf Tris-Suc Im 30 Mcg/0.3 Ml | $207.00 | $207.00 | — | — | — |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 HC PR Rx Varicella Vaccine Live Sq 0.5 Ml | $72.00 | $72.00 | — | 64% below | — |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 HC PR Rx Varicella Vaccine Live Sq 0.5 Ml | $72.00 | $72.00 | $107.38–$273.00 | 64% below | — |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VIRUS VACCINE LIVE 1350 PFU/0.5ML INJECTION SUSR | $270.00 | $270.00 | — | 34% above | — |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VIRUS VACCINE LIVE 1350 PFU/0.5ML INJECTION SUSR | $270.00 | $270.00 | $107.38–$273.00 | 34% above | — |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 HC PR Rx Varicella Vaccine Live Sq 0.5 Ml | $72.00 | $72.00 | — | — | — |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VIRUS VACCINE LIVE 1350 PFU/0.5ML INJECTION SUSR | $270.00 | $270.00 | — | — | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 HC PR Rx Influenza Trivalent Iiv3 Split Virus Pf Im 0.5 Ml | $27.00 | $27.00 | — | 20% above | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 HC PR Rx Influenza Trivalent Iiv3 Split Virus Pf Im 0.5 Ml | $27.00 | $27.00 | $17.69–$273.00 | 20% above | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 HC PR Rx Influenza Trivalent Iiv3 Split Virus Pf Im 0.5 Ml | $27.00 | $27.00 | — | — | — |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HC PR Rx 9vhpv Vaccine 2/3 Dose Im 0.5 Ml | $391.00 | $391.00 | $243.95–$322.38 | 44% above | — |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HC PR Rx 9vhpv Vaccine 2/3 Dose Im 0.5 Ml | $391.00 | $391.00 | — | 44% above | — |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HPV 9-VALENT RECOMB VACCINE IM SUSY | $553.75 | $553.75 | — | 104% above | — |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HPV 9-VALENT RECOMB VACCINE IM SUSY | $553.75 | $553.75 | $243.95–$322.38 | 104% above | — |
| HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HC PR Rx 9vhpv Vaccine 2/3 Dose Im 0.5 Ml | $391.00 | $391.00 | — | — | — |
| HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HPV 9-VALENT RECOMB VACCINE IM SUSY | $553.75 | $553.75 | — | — | — |
| Hepatitis A vaccine, adult dose CPT 90632 HC PR Rx Hepatitis a Vaccine Adult Im 1 Ml | $72.00 | $72.00 | $60.70–$273.00 | 2% below | — |
| Hepatitis A vaccine, adult dose CPT 90632 HC PR Rx Hepatitis a Vaccine Adult Im 1 Ml | $72.00 | $72.00 | — | 2% below | — |
| Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VACCINE 1440 EL U/ML IM SUSY | $149.75 | $149.75 | $60.70–$273.00 | 105% above | — |
| Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VACCINE 1440 EL U/ML IM SUSY | $149.75 | $149.75 | — | 105% above | — |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 HC PR Rx Hepatitis a Vaccine Adult Im 1 Ml | $72.00 | $72.00 | — | — | — |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VACCINE 1440 EL U/ML IM SUSY | $149.75 | $149.75 | — | — | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HC PR Rx Hepb Vaccine Adult 3 Dose Im 1 Ml | $55.00 | $55.00 | $69.65–$409.38 | 33% below | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HC PR Rx Hepb Vaccine Adult 3 Dose Im 1 Ml | $55.00 | $55.00 | — | 33% below | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VAC RECOMBINANT 20 MCG/ML INJECTION SUSP/SUSY (WRAPPER) | $159.25 | $159.25 | $69.65–$409.38 | 94% above | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VAC RECOMBINANT 20 MCG/ML INJECTION SUSP/SUSY (WRAPPER) | $159.25 | $159.25 | — | 94% above | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HC PR Rx Hepb Vaccine Adult 3 Dose Im 1 Ml | $55.00 | $55.00 | — | — | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VAC RECOMBINANT 20 MCG/ML INJECTION SUSP/SUSY (WRAPPER) | $159.25 | $159.25 | — | — | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 HC PR Rx Iiv Vaccine Pf Increased Ag Content Im 1 Ea | $86.00 | $86.00 | — | 26% above | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 HC PR Rx Iiv Vaccine Pf Increased Ag Content Im 1 Ea | $86.00 | $86.00 | $51.89–$273.00 | 26% above | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 INFLUENZA VAC SPLIT HIGH-DOSE 0.5 ML IM SUSY | $782.50 | $782.50 | — | 1045% above | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 INFLUENZA VAC SPLIT HIGH-DOSE 0.5 ML IM SUSY | $782.50 | $782.50 | $51.89–$273.00 | 1045% above | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 HC PR Rx Iiv Vaccine Pf Increased Ag Content Im 1 Ea | $86.00 | $86.00 | — | — | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 INFLUENZA VAC SPLIT HIGH-DOSE 0.5 ML IM SUSY | $782.50 | $782.50 | — | — | — |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 HC PR Rx Measles Mumps Rubella Vaccine Live Sq 1 Ea | $91.00 | $91.00 | $73.47–$273.00 | 47% below | — |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 HC PR Rx Measles Mumps Rubella Vaccine Live Sq 1 Ea | $91.00 | $91.00 | — | 47% below | — |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES, MUMPS & RUBELLA VAC SUBQ SUSR | $172.00 | $172.00 | — | at median | — |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES, MUMPS & RUBELLA VAC SUBQ SUSR | $172.00 | $172.00 | $73.47–$273.00 | at median | — |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 HC PR Rx Measles Mumps Rubella Vaccine Live Sq 1 Ea | $91.00 | $91.00 | — | — | — |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES, MUMPS & RUBELLA VAC SUBQ SUSR | $172.00 | $172.00 | — | — | — |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 HC PR Rx Menacwyd/Menacwy-CRM Conj Vaccine Grps Acyw Im 0.5 Ml | $109.00 | $109.00 | — | 43% below | — |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENING ACY&W-135 TETANUS CONJ IM SOLN | $217.25 | $217.25 | — | 13% above | — |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 HC PR Rx Menacwyd/Menacwy-CRM Conj Vaccine Grps Acyw Im 0.5 Ml | $109.00 | $109.00 | — | — | — |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENING ACY&W-135 TETANUS CONJ IM SOLN | $217.25 | $217.25 | — | — | — |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 HC PR Rx Menb-4c Recombnt Prot & Outer Memb Vesic Vacc Im 0.5 Ml | $293.00 | $293.00 | $182.71–$273.00 | 17% below | — |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 HC PR Rx Menb-4c Recombnt Prot & Outer Memb Vesic Vacc Im 0.5 Ml | $293.00 | $293.00 | — | 17% below | — |
| Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 HC PR Rx Menb-4c Recombnt Prot & Outer Memb Vesic Vacc Im 0.5 Ml | $293.00 | $293.00 | — | — | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 HC PR Rx Pneumococcal Conj 20 Valent Vaccine (Pcv20) Im 1 Ea | $289.00 | $289.00 | $257.76–$409.38 | 39% below | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 HC PR Rx Pneumococcal Conj 20 Valent Vaccine (Pcv20) Im 1 Ea | $289.00 | $289.00 | — | 39% below | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML IM SUSY | $2,087.75 | $2,087.75 | $257.76–$409.38 | 342% above | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML IM SUSY | $2,087.75 | $2,087.75 | — | 342% above | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 HC PR Rx Pneumococcal Conj 20 Valent Vaccine (Pcv20) Im 1 Ea | $289.00 | $289.00 | — | — | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML IM SUSY | $2,087.75 | $2,087.75 | — | — | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 HC PR Rx Pneumococcal Vaccine 23 Valent 2 Yrs or Older Sq/Im 0.5 | $182.00 | $182.00 | — | 15% above | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 HC PR Rx Pneumococcal Vaccine 23 Valent 2 Yrs or Older Sq/Im 0.5 | $182.00 | $182.00 | $118.17–$273.00 | 15% above | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL VAC POLYVALENT 25 MCG/0.5ML INJECTION SOSY | $202.50 | $202.50 | — | 28% above | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL VAC POLYVALENT 25 MCG/0.5ML INJECTION SOSY | $202.50 | $202.50 | $118.17–$273.00 | 28% above | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 HC PR Rx Pneumococcal Vaccine 23 Valent 2 Yrs or Older Sq/Im 0.5 | $182.00 | $182.00 | — | — | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL VAC POLYVALENT 25 MCG/0.5ML INJECTION SOSY | $202.50 | $202.50 | — | — | — |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 HC PR Rx Rsv Monoclonal Antibody Im 0.5 Ml | $914.00 | $914.00 | — | 22% above | — |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 HC PR Rx Rsv Monoclonal Antibody Im 0.5 Ml | $914.00 | $914.00 | $257.76–$273.00 | 22% above | — |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 NIRSEVIMAB-ALIP 50 MG/0.5ML IM SOSY | $4,271.50 | $4,271.50 | $257.76–$273.00 | 472% above | — |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 NIRSEVIMAB-ALIP 50 MG/0.5ML IM SOSY | $4,271.50 | $4,271.50 | — | 472% above | — |
| RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 HC PR Rx Rsv Monoclonal Antibody Im 0.5 Ml | $914.00 | $914.00 | — | — | — |
| RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 NIRSEVIMAB-ALIP 50 MG/0.5ML IM SOSY | $4,271.50 | $4,271.50 | — | — | — |
| Rabies vaccine, one dose CPT 90675 HC PR Rx Rabies Vaccine Im 1 Ml | $214.00 | $214.00 | — | 66% below | — |
| Rabies vaccine, one dose CPT 90675 HC PR Rx Rabies Vaccine Im 1 Ml | $214.00 | $214.00 | $273.00–$418.89 | 66% below | — |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE, PCEC IM SUSR | $508.25 | $508.25 | — | 20% below | — |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE, PCEC IM SUSR | $508.25 | $508.25 | $273.00–$418.89 | 20% below | — |
| Rabies vaccine, one dose inpatient CPT 90675 HC PR Rx Rabies Vaccine Im 1 Ml | $214.00 | $214.00 | — | — | — |
| Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE, PCEC IM SUSR | $508.25 | $508.25 | — | — | — |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 HC PR Rx Hzv Zoster Vaccine Recombinant Adjuvanted Im 0.5 Ml | $243.00 | $243.00 | $154.44–$409.38 | 38% above | — |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 HC PR Rx Hzv Zoster Vaccine Recombinant Adjuvanted Im 0.5 Ml | $243.00 | $243.00 | — | 38% above | — |
| Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 HC PR Rx Hzv Zoster Vaccine Recombinant Adjuvanted Im 0.5 Ml | $243.00 | $243.00 | — | — | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 HC PR Rx Td Vaccine Pf 7 Yrs or Older Im 0.5 Ml | $27.00 | $27.00 | $25.37–$273.00 | 48% below | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 HC PR Rx Td Vaccine Pf 7 Yrs or Older Im 0.5 Ml | $27.00 | $27.00 | — | 48% below | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS-DIPHTHERIA TOXOIDS TD 5-2 LF/0.5ML IM SUSP | $140.75 | $140.75 | — | 170% above | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS-DIPHTHERIA TOXOIDS TD 5-2 LF/0.5ML IM SUSP | $140.75 | $140.75 | $25.37–$273.00 | 170% above | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 HC PR Rx Td Vaccine Pf 7 Yrs or Older Im 0.5 Ml | $27.00 | $27.00 | — | — | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS-DIPHTHERIA TOXOIDS TD 5-2 LF/0.5ML IM SUSP | $140.75 | $140.75 | — | — | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 HC PR Rx Tdap Vaccine 7 Yrs or Older Im 0.5 Ml | $53.00 | $53.00 | $34.06–$273.00 | 36% below | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 HC PR Rx Tdap Vaccine 7 Yrs or Older Im 0.5 Ml | $53.00 | $53.00 | — | 36% below | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2-15.5 LF-MCG/0.5 IM SUSP/SUSY (WRAPPER) | $163.00 | $163.00 | $34.06–$273.00 | 97% above | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2-15.5 LF-MCG/0.5 IM SUSP/SUSY (WRAPPER) | $163.00 | $163.00 | — | 97% above | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 HC PR Rx Tdap Vaccine 7 Yrs or Older Im 0.5 Ml | $53.00 | $53.00 | — | — | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2-15.5 LF-MCG/0.5 IM SUSP/SUSY (WRAPPER) | $163.00 | $163.00 | — | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC PR Admin Vaccine Initial Cdm | $30.00 | $30.00 | $22.20–$273.00 | 37% below | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC PR Admin Vaccine Initial Cdm | $30.00 | $30.00 | — | 37% below | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC PR 90471 Immunization Admin | $56.00 | $56.00 | $22.20–$273.00 | 18% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC PR Admin Vaccine Initial Vfc Cdm | $56.00 | $56.00 | $22.20–$273.00 | 18% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC PR Admin Vaccine Influenza Cdm | $56.00 | $56.00 | $22.20–$273.00 | 18% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC PR Admin Vaccine Pneumonia Cdm | $56.00 | $56.00 | $22.20–$273.00 | 18% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC PR Admin Vaccine Hepatitis B Cdm | $56.00 | $56.00 | $22.20–$273.00 | 18% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC PR 90471 Immunization Admin | $56.00 | $56.00 | — | 18% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC PR Admin Vaccine Initial Vfc Cdm | $56.00 | $56.00 | — | 18% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC PR Admin Vaccine Influenza Cdm | $56.00 | $56.00 | — | 18% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC PR Admin Vaccine Pneumonia Cdm | $56.00 | $56.00 | — | 18% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC PR Admin Vaccine Hepatitis B Cdm | $56.00 | $56.00 | — | 18% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Administration of vaccine | $206.00 | $206.00 | — | 335% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Administration of vaccine | $206.00 | $206.00 | $22.20–$273.00 | 335% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC PR Admin Vaccine Initial Cdm | $30.00 | $30.00 | — | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC PR Admin Vaccine Pneumonia Cdm | $56.00 | $56.00 | — | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC PR 90471 Immunization Admin | $56.00 | $56.00 | — | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC PR Admin Vaccine Influenza Cdm | $56.00 | $56.00 | — | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC PR Admin Vaccine Initial Vfc Cdm | $56.00 | $56.00 | — | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC PR Admin Vaccine Hepatitis B Cdm | $56.00 | $56.00 | — | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Administration of vaccine | $206.00 | $206.00 | — | — | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Administration of vaccine, each additional | $27.00 | $27.00 | $16.29–$273.00 | 33% below | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Administration of vaccine, each additional | $27.00 | $27.00 | — | 33% below | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Administration of vaccine, each additional vaccine | $74.00 | $74.00 | — | 83% above | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Administration of vaccine, each additional vaccine | $74.00 | $74.00 | $16.29–$273.00 | 83% above | — |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Administration of vaccine, each additional | $27.00 | $27.00 | — | — | — |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Administration of vaccine, each additional vaccine | $74.00 | $74.00 | — | — | — |