SelfPayRates
Hospital Kiryas Joel-Poughkeepsie-Newburgh, NY

Garnet Health Medical Center

Garnet Health Medical Center in Middletown, NY publishes cash prices for 252 common procedures listed here, from its own machine-readable price file updated Apr 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the New York median for 190 of 251 procedures and above it for 61. By typical cash price it ranks #35 of 93 New York hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

707 East Main Street, Middletown, NY 10940 Collected Sep 27, 2026 Source price file (845) 343-2424

Acute care hospital Emergency department CMS star rating 4 of 5 CCN 330126 · CMS hospital register

CMS price transparency record

The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 1 action for a hospital named Garnet Health Medical Center in Middletown, NY:

  • Apr 24, 2025 Met requirements

Met requirements: CMS reviewed the hospital and found it met the requirements, so no further action was taken.

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

Scans and imaging

ProcedureCash price List priceInsurers payvs New YorkOff list
Ankle X-ray, complete, 3 or more views CPT 73610 Hc Ankle Min 3 View $49.50 $198.00 — 75% below 75%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 Hc Ankle Min 3 View $49.50 $198.00 — — 75%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Hc Ankle-Brachial Index $434.25 $1,737.00 — 61% above 75%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Hc Us_Pvr Ext No Exer $434.25 $1,737.00 — 61% above 75%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Hc Us Pvr Low Ext Art $434.25 $1,737.00 — 61% above 75%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 Hc Us Pvr Low Ext Art $434.25 $1,737.00 — — 75%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 Hc Ankle-Brachial Index $434.25 $1,737.00 — — 75%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 Hc Us_Pvr Ext No Exer $434.25 $1,737.00 — — 75%
Barium swallow (esophagus X-ray with contrast) CPT 74220 Hc Esophagram $349.75 $1,399.00 — 4% above 75%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 Hc Esophagram $349.75 $1,399.00 — — 75%
Bone scan, whole body (nuclear medicine) CPT 78306 Hc Nm Bone Scan Whole Body $570.00 $2,280.00 — 33% below 75%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 Hc Nm Bone Scan Whole Body $570.00 $2,280.00 — — 75%
Breast ultrasound, complete, one breast one side CPT 76641 Hc Breast Us Complete Unilateral $222.50 $890.00 — 30% below 75%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 Hc Breast Us Complete Unilateral $222.50 $890.00 — — 75%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 Hc Us Eval Breast Mass Unilateral $222.50 $890.00 — at median 75%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 Hc Us Eval Breast Mass Unilateral $222.50 $890.00 — — 75%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Hc Ct_Cta Chest $1,067.75 $4,271.00 — 6% below 75%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 Hc Ct_Cta Chest $1,067.75 $4,271.00 — — 75%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 Hc Ct Angio Hrt W/3D Image $1,823.75 $7,295.00 — 77% above 75%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 Hc Ccta W/Wo Art Only No Ca $1,823.75 $7,295.00 — 77% above 75%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 Hc Ct Angio Hrt W/3D Image $1,823.75 $7,295.00 — — 75%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 Hc Ccta W/Wo Art Only No Ca $1,823.75 $7,295.00 — — 75%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 Hc Ct Heart No Contrast Quant Eval Coronry Calcium $120.75 $483.00 — 25% below 75%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 Hc Ct Heart No Contrast Quant Eval Coronry Calcium $120.75 $483.00 — — 75%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 Hc Ct Abdomen/Pelvis Without Contrast $478.25 $1,913.00 — 54% below 75%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 Hc Ct Abdomen/Pelvis Without Contrast $478.25 $1,913.00 — — 75%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 Hc Ct Abdomen/Pelvis With Contrast $619.50 $2,478.00 — 60% below 75%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 Hc Ct Abdomen/Pelvis With Contrast $619.50 $2,478.00 — — 75%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Hc Ct Abd/Pel W/O Contrast Then With Contrast $747.25 $2,989.00 — 54% below 75%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 Hc Ct Abd/Pel W/O Contrast Then With Contrast $747.25 $2,989.00 — — 75%
CT scan of the abdomen with contrast CPT 74160 Hc Ct_Abdomen W Contrast $670.50 $2,682.00 — 34% below 75%
CT scan of the abdomen with contrast inpatient CPT 74160 Hc Ct_Abdomen W Contrast $670.50 $2,682.00 — — 75%
CT scan of the abdomen without contrast CPT 74150 Hc Ct_Abdomen Wo Contrast $465.50 $1,862.00 — 42% below 75%
CT scan of the abdomen without contrast inpatient CPT 74150 Hc Ct_Abdomen Wo Contrast $465.50 $1,862.00 — — 75%
CT scan of the face and sinuses, no contrast dye CPT 70486 Hc Ct_Facial Bones Wo Contrast $217.25 $869.00 — 69% below 75%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 Hc Ct_Facial Bones Wo Contrast $217.25 $869.00 — — 75%
CT scan of the head or brain, no contrast dye CPT 70450 Hc Ct_Brain Wo Contrast $396.25 $1,585.00 — 43% below 75%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 Hc Ct_Brain Wo Contrast $396.25 $1,585.00 — — 75%
CT scan of the head with contrast CPT 70460 Hc Ct_Brain W Contrast $426.75 $1,707.00 — 51% below 75%
CT scan of the head with contrast inpatient CPT 70460 Hc Ct_Brain W Contrast $426.75 $1,707.00 — — 75%
CT scan of the head without and with contrast CPT 70470 Hc Ct_Brain Wo&W Contrast $457.00 $1,828.00 — 56% below 75%
CT scan of the head without and with contrast inpatient CPT 70470 Hc Ct_Brain Wo&W Contrast $457.00 $1,828.00 — — 75%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 Hc Ct_L Spine Wo Contrast $478.25 $1,913.00 — 43% below 75%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 Hc Ct_L Spine Wo Contrast $478.25 $1,913.00 — — 75%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 Hc Ct_C Spine Wo Contrast $217.25 $869.00 — 74% below 75%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 Hc Ct_C Spine Wo Contrast $217.25 $869.00 — — 75%
CT scan of the pelvis, with contrast dye CPT 72193 Hc Ct_Pelvis W Contrast $585.25 $2,341.00 — 35% below 75%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 Hc Ct_Pelvis W Contrast $585.25 $2,341.00 — — 75%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 Hc Us_Carotid Doppler Bil $346.00 $1,384.00 — 37% below 75%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 Hc Us_Carotid Doppler Bil $346.00 $1,384.00 — — 75%
Chest X-ray, 2 views CPT 71046 Hc X-Ray Exam Chest 2 Views $125.50 $502.00 — 38% below 75%
Chest X-ray, 2 views inpatient CPT 71046 Hc X-Ray Exam Chest 2 Views $125.50 $502.00 — — 75%
Chest X-ray, single view CPT 71045 Hc X-Ray Exam Chest 1 View $86.25 $345.00 — 54% below 75%
Chest X-ray, single view inpatient CPT 71045 Hc X-Ray Exam Chest 1 View $86.25 $345.00 — — 75%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Hc Us Abd Backwall Complete $214.75 $859.00 — 40% below 75%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 Hc Us Abd Backwall Complete $214.75 $859.00 — — 75%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 Hc Bone Mineral Density-Dexa $127.25 $509.00 — 47% below 75%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 Hc Bone Mineral Density-Dexa $127.25 $509.00 — — 75%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 Hc Bone Density-Dexa-Extremi $128.00 $512.00 — 11% below 75%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 Hc Bone Density-Dexa-Extremi $128.00 $512.00 — — 75%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 Hc Ct_Thorax Wo Contrast $833.00 $3,332.00 — 2% above 75%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 Hc Ct_Thorax Wo Contrast $833.00 $3,332.00 — — 75%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 Hc Ct_Thorax W Contrast $897.25 $3,589.00 — 13% below 75%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 Hc Ct_Thorax W Contrast $897.25 $3,589.00 — — 75%
Diagnostic mammogram, both breasts CPT 77066 Hc Digital Mam Bil Dx $191.25 $765.00 — 19% below 75%
Diagnostic mammogram, both breasts inpatient CPT 77066 Hc Digital Mam Bil Dx $191.25 $765.00 — — 75%
Diagnostic mammogram, one breast CPT 77065 Hc Digital Mam Uni Dx $164.00 $656.00 — 38% below 75%
Diagnostic mammogram, one breast inpatient CPT 77065 Hc Digital Mam Uni Dx $164.00 $656.00 — — 75%
Duplex ultrasound of the leg arteries, both legs CPT 93925 Hc Us_Lower Ext_Art_Bil Dop $494.75 $1,979.00 — at median 75%
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 Hc Us_Lower Ext_Art_Bil Dop $494.75 $1,979.00 — — 75%
Duplex ultrasound of the leg veins, both legs CPT 93970 Hc Us_Venous Doppler Bil $418.00 $1,672.00 — 16% below 75%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 Hc Us_Venous Doppler Bil $418.00 $1,672.00 — — 75%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Hc Echo Doppler 2D Mode W Color F $842.00 $3,368.00 — 23% below 75%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Hc Echo Doppler 2D Mode W Color F $842.00 $3,368.00 — — 75%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Hc Nm Gb Biliary Scan $479.00 $1,916.00 — 50% below 75%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 Hc Nm Gb Biliary Scan $479.00 $1,916.00 — — 75%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 Hc Sleep Study Unattended $208.75 $835.00 — 35% below 75%
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 Hc Sleep Study Unattended $208.75 $835.00 — — 75%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Hc Polysomnography 6Yrs Or Older Initiation Cpap/B $1,800.00 $7,200.00 — 18% below 75%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 Hc Polysomnography 6Yrs Or Older Initiation Cpap/B $1,800.00 $7,200.00 — — 75%
Knee X-ray, 3 views CPT 73562 Hc Knee 3 Views $68.75 $275.00 — 59% below 75%
Knee X-ray, 3 views inpatient CPT 73562 Hc Knee 3 Views $68.75 $275.00 — — 75%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Hc Us_Spleen $335.25 $1,341.00 — 9% above 75%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Hc Us_Gallbladder $335.25 $1,341.00 — 9% above 75%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Hc Us Abdomen Limited $335.25 $1,341.00 — 9% above 75%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Hc Us_Pancreas $335.25 $1,341.00 — 9% above 75%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Hc Us_Neonatal Stomach $335.25 $1,341.00 — 9% above 75%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Hc Us_Fluid Localization $335.25 $1,341.00 — 9% above 75%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Hc Us_Pancreas $335.25 $1,341.00 — — 75%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Hc Us_Neonatal Stomach $335.25 $1,341.00 — — 75%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Hc Us_Spleen $335.25 $1,341.00 — — 75%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Hc Us Abdomen Limited $335.25 $1,341.00 — — 75%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Hc Us_Gallbladder $335.25 $1,341.00 — — 75%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Hc Us_Fluid Localization $335.25 $1,341.00 — — 75%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Hc Ct Thorax Lung Cancer Scr $462.50 $1,850.00 — 10% above 75%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 Hc Ct Thorax Lung Cancer Scr $462.50 $1,850.00 — — 75%
MRI of both breasts, without and then with contrast dye both sides CPT 77049 Hc Mri Breast W/O & W Contrast W/Cad Bilateral $1,932.75 $7,731.00 — — 75%
MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 Hc Mri Breast W/O & W Contrast W/Cad Bilateral $1,932.75 $7,731.00 — — 75%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 Hc Mri_Lo Ext Joint Wo Contr $890.00 $3,560.00 — 12% below 75%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 Hc Mri_Lo Ext Joint Wo Contr $890.00 $3,560.00 — — 75%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 Hc Mri_Lo Ext Joint Wo&W Con $1,379.75 $5,519.00 — 25% below 75%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 Hc Mri_Lo Ext Joint Wo&W Con $1,379.75 $5,519.00 — — 75%
MRI of the abdomen without contrast CPT 74181 Hc Mri_Abdomen Wo Contrast $890.00 $3,560.00 — 13% below 75%
MRI of the abdomen without contrast inpatient CPT 74181 Hc Mri_Abdomen Wo Contrast $890.00 $3,560.00 — — 75%
MRI of the abdomen, without and then with contrast dye CPT 74183 Hc Mri_Abdomen Wo/W Contrast $1,288.00 $5,152.00 — 22% below 75%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 Hc Mri_Abdomen Wo/W Contrast $1,288.00 $5,152.00 — — 75%
MRI of the brain, no contrast dye CPT 70551 Hc Mri_Brain Wo Contrast $813.25 $3,253.00 — 18% below 75%
MRI of the brain, no contrast dye inpatient CPT 70551 Hc Mri_Brain Wo Contrast $813.25 $3,253.00 — — 75%
MRI of the brain, with and without contrast dye CPT 70553 Hc Mri_Brain Wo&W Contrast $1,260.75 $5,043.00 — 21% below 75%
MRI of the brain, with and without contrast dye inpatient CPT 70553 Hc Mri_Brain Wo&W Contrast $1,260.75 $5,043.00 — — 75%
MRI of the lower back, no contrast dye CPT 72148 Hc Mri_L Spine Wo Contrast $890.00 $3,560.00 — 17% below 75%
MRI of the lower back, no contrast dye inpatient CPT 72148 Hc Mri_L Spine Wo Contrast $890.00 $3,560.00 — — 75%
MRI of the lower back, without and then with contrast dye CPT 72158 Hc Mri_L Spine Wo&W Contrast $1,379.75 $5,519.00 — 16% below 75%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 Hc Mri_L Spine Wo&W Contrast $1,379.75 $5,519.00 — — 75%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 Hc Mri_ T Spine Wo Contrast $890.00 $3,560.00 — 12% below 75%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 Hc Mri_ T Spine Wo Contrast $890.00 $3,560.00 — — 75%
MRI of the neck (cervical spine) without and with contrast CPT 72156 Hc Mri_C Spine Wo&W Contrast $1,260.75 $5,043.00 — 22% below 75%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 Hc Mri_C Spine Wo&W Contrast $1,260.75 $5,043.00 — — 75%
MRI of the neck (cervical spine), no contrast dye CPT 72141 Hc Mri_C Spine Wo Contrast $813.25 $3,253.00 — 19% below 75%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 Hc Mri_C Spine Wo Contrast $813.25 $3,253.00 — — 75%
MRI of the pelvis without and with contrast CPT 72197 Hc Mri_Pelvis Wo&W Contrast $1,809.50 $7,238.00 — 18% above 75%
MRI of the pelvis without and with contrast inpatient CPT 72197 Hc Mri_Pelvis Wo&W Contrast $1,809.50 $7,238.00 — — 75%
MRI of the pelvis, no contrast dye CPT 72195 Hc Mri_Pelvis Wo Contrast $1,734.25 $6,937.00 — 75% above 75%
MRI of the pelvis, no contrast dye inpatient CPT 72195 Hc Mri_Pelvis Wo Contrast $1,734.25 $6,937.00 — — 75%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 Hc Mri_Up Ext Joint Wo Contr $890.00 $3,560.00 — 26% below 75%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 Hc Mri_Up Ext Joint Wo Contr $890.00 $3,560.00 — — 75%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Hc Cardiac Thallium Viablilty $1,438.50 $5,754.00 — 35% below 75%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Hc Card Perf Strs &/Or Rest Multi $1,438.50 $5,754.00 — 35% below 75%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 Hc Card Perf Strs &/Or Rest Multi $1,438.50 $5,754.00 — — 75%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 Hc Cardiac Thallium Viablilty $1,438.50 $5,754.00 — — 75%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 Hc Pet/Ct Skull-Thigh $2,042.50 $8,170.00 — 45% below 75%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 Hc Pet/Ct Skull Thigh Sub $2,042.50 $8,170.00 — 45% below 75%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 Hc Pet/Ct Skull-Thigh $2,042.50 $8,170.00 — — 75%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 Hc Pet/Ct Skull Thigh Sub $2,042.50 $8,170.00 — — 75%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Hc Us Pelvis Non Ob Limited $170.25 $681.00 — 33% below 75%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 Hc Us Pelvis Non Ob Limited $170.25 $681.00 — — 75%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Hc Us_Pelvic Sono $202.75 $811.00 — 44% below 75%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 Hc Us_Pelvic Sono $202.75 $811.00 — — 75%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Hc Us_Ob > 14 Weeks 1St Gest $210.50 $842.00 — 35% below 75%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 Hc Us_Ob > 14 Weeks 1St Gest $210.50 $842.00 — — 75%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Hc Us_Ob 1St Trimester Init Gest $183.75 $735.00 — 40% below 75%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 Hc Us_Ob 1St Trimester Init Gest $183.75 $735.00 — — 75%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Hc Us Ob Limited $293.50 $1,174.00 — 5% below 75%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Hc Bedside Sonogram $293.50 $1,174.00 — 5% below 75%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Hc Ob Us Lmtd $293.50 $1,174.00 — 5% below 75%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 Hc Bedside Sonogram $293.50 $1,174.00 — — 75%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 Hc Us Ob Limited $293.50 $1,174.00 — — 75%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 Hc Ob Us Lmtd $293.50 $1,174.00 — — 75%
Screening mammogram, both breasts CPT 77067 Hc Digital Screening Mam $142.50 $570.00 — 39% below 75%
Screening mammogram, both breasts inpatient CPT 77067 Hc Digital Screening Mam $142.50 $570.00 — — 75%
Shoulder X-ray, complete, 2 or more views CPT 73030 Hc Shoulder Complete Min 2 V $75.75 $303.00 — 62% below 75%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 Hc Shoulder Complete Min 2 V $75.75 $303.00 — — 75%
Sleep study in a lab (polysomnography) CPT 95810 Hc Polysomnography 6Yrs Or Older W 4 Or More Parm $1,800.00 $7,200.00 — 14% below 75%
Sleep study in a lab (polysomnography) inpatient CPT 95810 Hc Polysomnography 6Yrs Or Older W 4 Or More Parm $1,800.00 $7,200.00 — — 75%
Swallow study (modified barium swallow, video X-ray) CPT 74230 Hc Swallowing Function Stdy $533.25 $2,133.00 — 58% above 75%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 Hc Swallowing Function Stdy $533.25 $2,133.00 — — 75%
Transvaginal pelvic ultrasound CPT 76830 Hc Us_Transvaginal $202.75 $811.00 — 42% below 75%
Transvaginal pelvic ultrasound inpatient CPT 76830 Hc Us_Transvaginal $202.75 $811.00 — — 75%
Transvaginal ultrasound during pregnancy CPT 76817 Hc Us Pregnancy Trans Vag $223.50 $894.00 — 20% below 75%
Transvaginal ultrasound during pregnancy CPT 76817 Hc Pregnancy Trans Vag $223.50 $894.00 — 20% below 75%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 Hc Us Pregnancy Trans Vag $223.50 $894.00 — — 75%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 Hc Pregnancy Trans Vag $223.50 $894.00 — — 75%
Ultrasound of the abdomen, complete CPT 76700 Hc Us Abd B-Scan Complete $383.00 $1,532.00 — 10% below 75%
Ultrasound of the abdomen, complete CPT 76700 Hc Us_Abdomen Sonogram $383.00 $1,532.00 — 10% below 75%
Ultrasound of the abdomen, complete inpatient CPT 76700 Hc Us Abd B-Scan Complete $383.00 $1,532.00 — — 75%
Ultrasound of the abdomen, complete inpatient CPT 76700 Hc Us_Abdomen Sonogram $383.00 $1,532.00 — — 75%
Ultrasound of the scrotum and testicles CPT 76870 Hc Us_Scrotum Sonogram $207.00 $828.00 — 41% below 75%
Ultrasound of the scrotum and testicles inpatient CPT 76870 Hc Us_Scrotum Sonogram $207.00 $828.00 — — 75%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Hc Us_Lymph Node Sonogram $202.75 $811.00 — 35% below 75%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Hc Us_Thyroid $202.75 $811.00 — 35% below 75%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 Hc Us_Lymph Node Sonogram $202.75 $811.00 — — 75%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 Hc Us_Thyroid $202.75 $811.00 — — 75%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Hc Ugi Wo/W Films W Kub $489.50 $1,958.00 — 17% above 75%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Hc Ugi Wo/W Films Wo Kub $489.50 $1,958.00 — 17% above 75%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Hc Ugi Series W/O Air W Sm Bwl $489.50 $1,958.00 — 17% above 75%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 Hc Ugi Series W/O Air W Sm Bwl $489.50 $1,958.00 — — 75%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 Hc Ugi Wo/W Films W Kub $489.50 $1,958.00 — — 75%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 Hc Ugi Wo/W Films Wo Kub $489.50 $1,958.00 — — 75%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 Hc Us_Venous Doppler Uni $286.50 $1,146.00 — 18% below 75%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 Hc Us_Venous Doppler Uni $286.50 $1,146.00 — — 75%
Wrist X-ray, complete, 3 or more views CPT 73110 Hc Wrist Complete Min 3 Vws $50.00 $200.00 — 74% below 75%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 Hc Wrist Complete Min 3 Vws $50.00 $200.00 — — 75%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Hc Unilateral Hip & Pelvis 2-3 Views $181.69 $726.75 — at median 75%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 Hc Unilateral Hip & Pelvis 2-3 Views $181.69 $726.75 — — 75%
X-ray of the abdomen, 1 view CPT 74018 Hc X-Ray Exam Abdomen 1 View $303.50 $1,214.00 — 50% above 75%
X-ray of the abdomen, 1 view inpatient CPT 74018 Hc X-Ray Exam Abdomen 1 View $303.50 $1,214.00 — — 75%
X-ray of the ankle, 2 views CPT 73600 Hc Ankle 2 Views $21.50 $86.00 — 86% below 75%
X-ray of the ankle, 2 views inpatient CPT 73600 Hc Ankle 2 Views $21.50 $86.00 — — 75%
X-ray of the finger(s), 2 or more views CPT 73140 Hc Finger Min 2 Views $41.75 $167.00 — 74% below 75%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 Hc Finger Min 2 Views $41.75 $167.00 — — 75%
X-ray of the foot, 2 views CPT 73620 Hc Foot 2 Views $43.75 $175.00 — 74% below 75%
X-ray of the foot, 2 views inpatient CPT 73620 Hc Foot 2 Views $43.75 $175.00 — — 75%
X-ray of the foot, complete, 3 or more views CPT 73630 Hc Foot Complete Min 3 Vws $47.75 $191.00 — 73% below 75%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 Hc Foot Complete Min 3 Vws $47.75 $191.00 — — 75%
X-ray of the hand, 3 or more views CPT 73130 Hc Hand Min 3 Views $51.50 $206.00 — 74% below 75%
X-ray of the hand, 3 or more views inpatient CPT 73130 Hc Hand Min 3 Views $51.50 $206.00 — — 75%
X-ray of the knee, 1 or 2 views CPT 73560 Hc Knee Ap & Lateral $60.25 $241.00 — 67% below 75%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 Hc Knee Ap & Lateral $60.25 $241.00 — — 75%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Hc Spine Ls 2 Or 3 Views $47.75 $191.00 — 82% below 75%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 Hc Spine Ls 2 Or 3 Views $47.75 $191.00 — — 75%
X-ray of the lower back, 4 or more views CPT 72110 Hc Spine Ls Min 4 Views $65.00 $260.00 — 76% below 75%
X-ray of the lower back, 4 or more views inpatient CPT 72110 Hc Spine Ls Min 4 Views $65.00 $260.00 — — 75%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 Hc Spine Thoracic 2 Views $88.75 $355.00 — 56% below 75%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 Hc Spine Thoracic 2 Views $88.75 $355.00 — — 75%
X-ray of the nasal bones, 3 or more views CPT 70160 Hc Nasal Bones Comp Min3Vw $93.25 $373.00 — 54% below 75%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 Hc Nasal Bones Comp Min3Vw $93.25 $373.00 — — 75%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Hc C Spine Min 4 View $87.00 $348.00 — 57% below 75%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 Hc C Spine Min 4 View $87.00 $348.00 — — 75%
X-ray of the pelvis, 1 or 2 views CPT 72170 Hc Pelvis 1 Or 2 Views $31.50 $126.00 — 86% below 75%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 Hc Pelvis 1 Or 2 Views $31.50 $126.00 — — 75%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Hc Sacrum & Coccyx Min 2 Vw $82.00 $328.00 — 59% below 75%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 Hc Sacrum & Coccyx Min 2 Vw $82.00 $328.00 — — 75%

Lab tests

ProcedureCash price List priceInsurers payvs New YorkOff list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Hc Sgpt Alt- Blood $19.00 $76.00 — 19% below 75%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Hc Hep C 84460 $20.00 $80.00 — 14% below 75%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Hc Sgpt Alt- Blood $19.00 $76.00 — — 75%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Hc Hep C 84460 $20.00 $80.00 — — 75%
AST (aspartate aminotransferase) enzyme test CPT 84450 Hc Sgot Ast-Blood $19.00 $76.00 — 24% below 75%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Hc Sgot Ast-Blood $19.00 $76.00 — — 75%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Hc Acute Hepatitis Panel $236.25 $945.00 — 37% above 75%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Hc Acute Hepatitis Panel $236.25 $945.00 — — 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc A Alternata $2.50 $10.00 — 84% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Allergen Ige (Quest) $2.50 $10.00 — 84% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Lima Bean $3.25 $13.00 — 80% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc White Bean $3.25 $13.00 — 80% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Lentil $3.25 $13.00 — 80% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Allergen Specific Ige (Mayo) $4.00 $16.00 — 75% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc H Brazilien Ige $5.00 $20.00 — 69% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Trichoderma $5.75 $23.00 — 64% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Trichophyton $5.75 $23.00 — 64% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Sesame Seed (F10) Ige $7.00 $28.00 — 56% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Mustard (Labcorp) $8.00 $32.00 — 50% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Red Kidney Bean Ige $8.00 $32.00 — 50% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc E. Purpurascens Ige $8.25 $33.00 — 48% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Cherry (F242) Ige $8.25 $33.00 — 48% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Coconut (F36) Ige $8.25 $33.00 — 48% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Melon (F87) Ige $8.25 $33.00 — 48% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Pear (F94) Ige $8.25 $33.00 — 48% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Plum (F255) Ige $8.25 $33.00 — 48% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Barley Ige $8.25 $33.00 — 48% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Turkey Meat Ige $8.25 $33.00 — 48% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Russian Thistle Ige $8.25 $33.00 — 48% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Lemon Ige $8.25 $33.00 — 48% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Watermelon Ige $8.25 $33.00 — 48% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Rye Ige $8.25 $33.00 — 48% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Apricot (F237) Ige $8.25 $33.00 — 48% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Pineapple Ige $8.25 $33.00 — 48% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Grapefruit (F209) Ige $8.25 $33.00 — 48% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Mango Fruit (F91) Ige $8.25 $33.00 — 48% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Bell Pepper Ige $8.25 $33.00 — 48% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Lactalbumin Ige $8.25 $33.00 — 48% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Casein Ige $8.50 $34.00 — 47% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Mucor Racemosus Ige $8.50 $34.00 — 47% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Walnut Tree Ige $8.50 $34.00 — 47% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Mulberry Ige $8.50 $34.00 — 47% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Bahia Grass Ige $8.50 $34.00 — 47% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Blackberry (F211) Ige $8.50 $34.00 — 47% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc S Botryosum Ige $8.50 $34.00 — 47% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Nettle Ige $8.50 $34.00 — 47% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Allergen A Alternata $8.50 $34.00 — 47% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Cockroach Ige $8.50 $34.00 — 47% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Blueberry (F288) Ige $8.50 $34.00 — 47% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Candida Albicans Ige $8.50 $34.00 — 47% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Mountain Cedar Ige $8.50 $34.00 — 47% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Allergen Profile Legume $9.75 $39.00 — 39% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Clam (F207) Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Tomato (F25) Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Chocolate (F93) Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Chicken Meat (F83) Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Timothy Grass (G6) Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Chicken Feathers (E85) Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Allergen Testing $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Chick Pea (Rf309) Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Thyme (F273) Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Chestnut (Sweet) (F299) Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Cheese Mold Type (F82) Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Tea (F222) Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Chedder Cheese (F81) Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Cayenne Pepper Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Sycamore (T11) Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Catfish Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Cashew Nut (F202) Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Swt Vernal Grass (G1) Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Casein/Cow Milk (F78)Igg $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Almond (F20) Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Carrot (F31) Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Strawberry(F44) Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Spinach (F214) Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Apple (F49) Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Soybean Igg $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Soybean (F14) Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Sole (Rf337) Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Asp Fumigatus (M3) $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Shrimp (F24) Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Aust Parrot Feathers Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Sheep Sorrel (W18) Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Dog Dander (E5) Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc L Destructor (D71) Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Kiwi Fruit (F84) Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc June Grass (G8) Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Johnson Grass (G10) Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc House Dust (H2) Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Yellow Jacket (I3) Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc House Dust (H1) Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Honey Bee Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Cabbage (F126) Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Yellow Hornet (I5) Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Hazelnut (F17) Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Hamster Epith (E84) Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Yeast (F45) Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Halibut (S303) Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Green Bean (F315) Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc White-Face Hornet (I1) Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Grape (F259) Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Goose Feathers (E70) Igg $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc White Pine(T16) Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Goldedrod (W12) Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Gluten (F79) Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc White Ash (T15) Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Giant Ragweed (W3) Igg $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Garlic (F47) Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Wheat (Gf4) Igg $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Flounder Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Ferret Epith (E217) Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Wheat (F4) Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Elm (T8) Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Ehg Plantain (W9) Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Western Equine Igg $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Egg Yolk (F75) Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Egg White (F1) Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Eastern Equine $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Duck Feathers (E86) Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Walnut (F256) Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Dog Epith (E2) Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Vanilla (F234) Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Dandelion (W8) Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc D Pterony (D1) Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc D Farinae (D2) Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Crab (F23)Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Turkey Meat (F284) Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Cow Dander (E4) Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Cottonwood T14 Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Tuna (F40) Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Common Ragweed (W1) Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Common Pigweed (W14) Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Codfish (F3) Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Cockatiel Droppings Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Cockatiel Feathers Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Avocado (F96) Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Scallop (F338) Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Salmon (F41) Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Rice (F9) Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Rgh Marsh Elder (W16) Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Red Top Grass (G9) Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Blue Mussel (F37) Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Goat Milk Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Red Kidney Bean (F287) Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Cat Epithe/Dander (E1) Igg $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Rabbit Epith (E82) Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Potato (F35) Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Pork (F26) Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Botrytis Cinerea (M7) Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Banana (F92) Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Pistachio (F203) Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Pinto Bean Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Pineapple (F210) Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Brazil Nut (F18)Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Pine Nut (Rf253) Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Pernl Rye Grass (G5) Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Penicilloyl V (C2) Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Penicilloyl G (C1) Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Penicillium Notat (M1) Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Pecan Tree Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Pecan Nut (F201) Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Basil (F269) Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Peanut (F13) Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Peach (F95) Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Beech (T5) Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Pea (F12) Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Parrot Prot (E79) Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Beef (F27) Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Parrot Drop (E77) Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Paprika (F218) Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Bermuda Grass (G2) $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Paper Wasp (I4) Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Oyster (F290) Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Orchard Grass (G3) Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Orange (F33) Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Birch (T3) Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Onion (F48) Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Oat ( F7) Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Oak (T7) Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Mugwort (W6) Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Black Pepper (F280) Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Mtn Ceder (T6) Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Milk (F2) Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Meadow Fescue (G4) Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Maple (T1) Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Buckwheat (F11) Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc C Albicans (M5) Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Maize/Corn (F8) Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Macadamia Nut (Rf345) Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Lobster (F80) Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Lettuce (F215) Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Lambs Quart (W10) Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Lamb (F88) Ige $11.25 $45.00 — 30% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Sunflower Pollen $11.75 $47.00 — 27% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Red Maple Ige $13.00 $52.00 — 19% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Amoxicillin Ige $15.25 $61.00 — 5% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Poplar Ige $15.50 $62.00 — 3% below 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Pine Nut Ige $18.00 $72.00 — 12% above 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Allergy Food 86003 $18.00 $72.00 — 12% above 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Epidermophyton $18.50 $74.00 — 16% above 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Fusarium Oxysporum $18.50 $74.00 — 16% above 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Red Cedar Ige $18.50 $74.00 — 16% above 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Hickory White Tree Ige $18.50 $74.00 — 16% above 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Rast Cephalosporin $19.00 $76.00 — 19% above 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Black Bean Ige $19.00 $76.00 — 19% above 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Allergen Profile Grains $19.75 $79.00 — 23% above 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Allergen Profile, Pediatric, Birth To Three Yea $19.75 $79.00 — 23% above 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Cinnamon $20.00 $80.00 — 25% above 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Allergen Profile, Food - Fish $23.00 $92.00 — 44% above 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Hickory Shagbark (Quest) $25.00 $100.00 — 56% above 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Helminthosporium Sativum (Quest) $25.00 $100.00 — 56% above 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Penicillin V, Ige (Labcorp) $27.25 $109.00 — 70% above 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Allergen Profile, Mold $41.50 $166.00 — 159% above 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Allergy Panel Pediatric $50.00 $200.00 — 212% above 75%
Allergy blood test, specific IgE, per allergen CPT 86003 Hc Allergen Profile, Perennial (Labcorp) $51.75 $207.00 — 223% above 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc A Alternata $2.50 $10.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Allergen Ige (Quest) $2.50 $10.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Lentil $3.25 $13.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc White Bean $3.25 $13.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Lima Bean $3.25 $13.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Allergen Specific Ige (Mayo) $4.00 $16.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc H Brazilien Ige $5.00 $20.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Trichoderma $5.75 $23.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Trichophyton $5.75 $23.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Sesame Seed (F10) Ige $7.00 $28.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Red Kidney Bean Ige $8.00 $32.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Mustard (Labcorp) $8.00 $32.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Turkey Meat Ige $8.25 $33.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Plum (F255) Ige $8.25 $33.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Apricot (F237) Ige $8.25 $33.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Barley Ige $8.25 $33.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Mango Fruit (F91) Ige $8.25 $33.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Coconut (F36) Ige $8.25 $33.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Rye Ige $8.25 $33.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Watermelon Ige $8.25 $33.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Grapefruit (F209) Ige $8.25 $33.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Lemon Ige $8.25 $33.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Cherry (F242) Ige $8.25 $33.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Lactalbumin Ige $8.25 $33.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Pear (F94) Ige $8.25 $33.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Pineapple Ige $8.25 $33.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Bell Pepper Ige $8.25 $33.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Russian Thistle Ige $8.25 $33.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Melon (F87) Ige $8.25 $33.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc E. Purpurascens Ige $8.25 $33.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Blueberry (F288) Ige $8.50 $34.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Blackberry (F211) Ige $8.50 $34.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Allergen A Alternata $8.50 $34.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Bahia Grass Ige $8.50 $34.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Casein Ige $8.50 $34.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc S Botryosum Ige $8.50 $34.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Mountain Cedar Ige $8.50 $34.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Cockroach Ige $8.50 $34.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Nettle Ige $8.50 $34.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Candida Albicans Ige $8.50 $34.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Mucor Racemosus Ige $8.50 $34.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Mulberry Ige $8.50 $34.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Walnut Tree Ige $8.50 $34.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Allergen Profile Legume $9.75 $39.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Swt Vernal Grass (G1) Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Cat Epithe/Dander (E1) Igg $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Yellow Jacket (I3) Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Yellow Hornet (I5) Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Yeast (F45) Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc White-Face Hornet (I1) Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc White Pine(T16) Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc White Ash (T15) Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Wheat (Gf4) Igg $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Wheat (F4) Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Western Equine Igg $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Walnut (F256) Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Vanilla (F234) Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Turkey Meat (F284) Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Tuna (F40) Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Tomato (F25) Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Timothy Grass (G6) Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Thyme (F273) Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Tea (F222) Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Sycamore (T11) Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Strawberry(F44) Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Spinach (F214) Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Soybean Igg $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Soybean (F14) Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Sole (Rf337) Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Shrimp (F24) Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Sheep Sorrel (W18) Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Scallop (F338) Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Salmon (F41) Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Rice (F9) Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Rgh Marsh Elder (W16) Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Red Top Grass (G9) Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Red Kidney Bean (F287) Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Rabbit Epith (E82) Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Potato (F35) Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Pork (F26) Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Pistachio (F203) Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Pinto Bean Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Pineapple (F210) Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Pine Nut (Rf253) Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Pernl Rye Grass (G5) Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Penicilloyl V (C2) Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Penicilloyl G (C1) Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Penicillium Notat (M1) Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Pecan Tree Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Pecan Nut (F201) Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Peanut (F13) Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Peach (F95) Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Pea (F12) Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Parrot Prot (E79) Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Parrot Drop (E77) Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Paprika (F218) Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Paper Wasp (I4) Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Oyster (F290) Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Orchard Grass (G3) Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Orange (F33) Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Onion (F48) Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Oat ( F7) Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Oak (T7) Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Mugwort (W6) Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Mtn Ceder (T6) Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Milk (F2) Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Meadow Fescue (G4) Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Maple (T1) Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Maize/Corn (F8) Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Macadamia Nut (Rf345) Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Lobster (F80) Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Lettuce (F215) Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Lambs Quart (W10) Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Lamb (F88) Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc L Destructor (D71) Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Kiwi Fruit (F84) Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc June Grass (G8) Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Johnson Grass (G10) Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc House Dust (H2) Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc House Dust (H1) Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Honey Bee Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Hazelnut (F17) Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Hamster Epith (E84) Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Halibut (S303) Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Green Bean (F315) Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Grape (F259) Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Goose Feathers (E70) Igg $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Goldedrod (W12) Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Gluten (F79) Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Giant Ragweed (W3) Igg $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Garlic (F47) Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Flounder Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Ferret Epith (E217) Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Elm (T8) Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Ehg Plantain (W9) Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Egg Yolk (F75) Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Egg White (F1) Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Eastern Equine $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Duck Feathers (E86) Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Dog Epith (E2) Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Dog Dander (E5) Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Dandelion (W8) Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc D Pterony (D1) Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc D Farinae (D2) Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Crab (F23)Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Cow Dander (E4) Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Cottonwood T14 Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Common Ragweed (W1) Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Common Pigweed (W14) Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Codfish (F3) Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Cockatiel Droppings Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Cockatiel Feathers Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Clam (F207) Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Chocolate (F93) Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Chicken Meat (F83) Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Chicken Feathers (E85) Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Chick Pea (Rf309) Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Chestnut (Sweet) (F299) Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Cheese Mold Type (F82) Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Chedder Cheese (F81) Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Cayenne Pepper Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Catfish Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Cashew Nut (F202) Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Casein/Cow Milk (F78)Igg $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Carrot (F31) Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Cabbage (F126) Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc C Albicans (M5) Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Buckwheat (F11) Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Brazil Nut (F18)Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Botrytis Cinerea (M7) Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Blue Mussel (F37) Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Black Pepper (F280) Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Birch (T3) Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Bermuda Grass (G2) $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Beef (F27) Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Beech (T5) Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Basil (F269) Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Banana (F92) Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Avocado (F96) Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Aust Parrot Feathers Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Asp Fumigatus (M3) $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Apple (F49) Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Almond (F20) Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Allergen Testing $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Goat Milk Ige $11.25 $45.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Sunflower Pollen $11.75 $47.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Red Maple Ige $13.00 $52.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Amoxicillin Ige $15.25 $61.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Poplar Ige $15.50 $62.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Pine Nut Ige $18.00 $72.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Allergy Food 86003 $18.00 $72.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Fusarium Oxysporum $18.50 $74.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Red Cedar Ige $18.50 $74.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Epidermophyton $18.50 $74.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Hickory White Tree Ige $18.50 $74.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Rast Cephalosporin $19.00 $76.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Black Bean Ige $19.00 $76.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Allergen Profile Grains $19.75 $79.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Allergen Profile, Pediatric, Birth To Three Yea $19.75 $79.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Cinnamon $20.00 $80.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Allergen Profile, Food - Fish $23.00 $92.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Helminthosporium Sativum (Quest) $25.00 $100.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Hickory Shagbark (Quest) $25.00 $100.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Penicillin V, Ige (Labcorp) $27.25 $109.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Allergen Profile, Mold $41.50 $166.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Allergy Panel Pediatric $50.00 $200.00 — — 75%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Allergen Profile, Perennial (Labcorp) $51.75 $207.00 — — 75%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Hc Ccp Ab, Igg & Iga (Arup) $9.83 $39.33 — 79% below 75%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Hc Anti Ccp Antibodies (Labcorp) $12.25 $49.00 — 74% below 75%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Hc Ra Diag 86200 $22.75 $91.00 — 51% below 75%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Hc Ccp Ab, Igg & Iga (Arup) $9.83 $39.33 — — 75%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Hc Anti Ccp Antibodies (Labcorp) $12.25 $49.00 — — 75%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Hc Ra Diag 86200 $22.75 $91.00 — — 75%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Hc Anticentromere Abs $61.50 $246.00 — 41% above 75%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Hc Ana-Antinuclear Abs $61.50 $246.00 — 41% above 75%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Hc Lup Pnl 86038 $61.50 $246.00 — 41% above 75%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Hc Ana W/ Reflex $61.50 $246.00 — 41% above 75%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Hc Ana W/ Reflex $61.50 $246.00 — — 75%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Hc Ana-Antinuclear Abs $61.50 $246.00 — — 75%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Hc Anticentromere Abs $61.50 $246.00 — — 75%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Hc Lup Pnl 86038 $61.50 $246.00 — — 75%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Hc Brain Natriuretic Peptide $59.50 $238.00 — 52% below 75%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Hc Probnp N Terminal $62.75 $251.00 — 49% below 75%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 Hc Brain Natriuretic Peptide $59.50 $238.00 — — 75%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 Hc Probnp N Terminal $62.75 $251.00 — — 75%
Basic metabolic panel (blood test) CPT 80048 Hc Basic Metabolic Profile $28.25 $113.00 — 54% below 75%
Basic metabolic panel (blood test) inpatient CPT 80048 Hc Basic Metabolic Profile $28.25 $113.00 — — 75%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Hc Surgical Path Lev Iv $152.50 $610.00 — 15% below 75%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Hc Renal Biopsy Woem-3 $152.50 $610.00 — 15% below 75%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Hc Cell Block $152.50 $610.00 — 15% below 75%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Hc Lvl 4 Tissue Exam By Pathologist $152.50 $610.00 — 15% below 75%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Hc Renal Biopsy Woem-3 $152.50 $610.00 — — 75%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Hc Lvl 4 Tissue Exam By Pathologist $152.50 $610.00 — — 75%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Hc Cell Block $152.50 $610.00 — — 75%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Hc Surgical Path Lev Iv $152.50 $610.00 — — 75%
Blood culture for bacteria CPT 87040 Hc Culture Blood $97.75 $391.00 — 40% above 75%
Blood culture for bacteria inpatient CPT 87040 Hc Culture Blood $97.75 $391.00 — — 75%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Hc Ref Lab Collection/Process $3.00 $12.00 — 81% below 75%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Hc Quest Processing Gps $3.25 $13.00 — 79% below 75%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Hc Venipuncture $11.00 $44.00 — 30% below 75%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Hc Sobriety Test Venipuncture Only $11.00 $44.00 — 30% below 75%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Hc Ref Lab Collection/Process $3.00 $12.00 — — 75%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Hc Quest Processing Gps $3.25 $13.00 — — 75%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Hc Sobriety Test Venipuncture Only $11.00 $44.00 — — 75%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Hc Venipuncture $11.00 $44.00 — — 75%
Blood glucose (sugar) test CPT 82947 Hc Glucose - Blood (Quest) $5.50 $22.00 — 69% below 75%
Blood glucose (sugar) test CPT 82947 Hc Glucose 24Hr Urine $10.25 $41.00 — 43% below 75%
Blood glucose (sugar) test CPT 82947 Hc Glucose - Blood $10.50 $42.00 — 42% below 75%
Blood glucose (sugar) test inpatient CPT 82947 Hc Glucose - Blood (Quest) $5.50 $22.00 — — 75%
Blood glucose (sugar) test inpatient CPT 82947 Hc Glucose 24Hr Urine $10.25 $41.00 — — 75%
Blood glucose (sugar) test inpatient CPT 82947 Hc Glucose - Blood $10.50 $42.00 — — 75%
Blood lead test CPT 83655 Hc Lead - Blood $5.50 $22.00 — 87% below 75%
Blood lead test CPT 83655 Hc Lead (Mayo) $7.00 $28.00 — 84% below 75%
Blood lead test CPT 83655 Hc Lead Urine $9.50 $38.00 — 78% below 75%
Blood lead test CPT 83655 Hc H Metals 24Ur 83655 $39.00 $156.00 — 9% below 75%
Blood lead test CPT 83655 Hc Lead - Hms Blood $46.25 $185.00 — 7% above 75%
Blood lead test inpatient CPT 83655 Hc Lead - Blood $5.50 $22.00 — — 75%
Blood lead test inpatient CPT 83655 Hc Lead (Mayo) $7.00 $28.00 — — 75%
Blood lead test inpatient CPT 83655 Hc Lead Urine $9.50 $38.00 — — 75%
Blood lead test inpatient CPT 83655 Hc H Metals 24Ur 83655 $39.00 $156.00 — — 75%
Blood lead test inpatient CPT 83655 Hc Lead - Hms Blood $46.25 $185.00 — — 75%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Hc Pregnancy Test - Urine $31.50 $126.00 — 11% below 75%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Hc Pregnancy Test - Blood $31.50 $126.00 — 11% below 75%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Hc Poct - Urine Pregnancy $31.50 $126.00 — 11% below 75%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Hc Pregnancy Test - Urine $31.50 $126.00 — — 75%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Hc Poct - Urine Pregnancy $31.50 $126.00 — — 75%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Hc Pregnancy Test - Blood $31.50 $126.00 — — 75%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Hc Type-Abo $47.00 $188.00 — 69% below 75%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Hc Unit Abo Recheck $47.00 $188.00 — 69% below 75%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Hc Type-Abo $47.00 $188.00 — — 75%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Hc Unit Abo Recheck $47.00 $188.00 — — 75%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 Hc C Reactive Protein $24.50 $98.00 — 17% below 75%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 Hc C Reactive Protein $24.50 $98.00 — — 75%
C. difficile toxin gene test (stool PCR) CPT 87493 Hc Clostridium Difficile, Amplified Probe $121.00 $484.00 — 4% below 75%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 Hc Clostridium Difficile, Amplified Probe $121.00 $484.00 — — 75%
CA 19-9 blood test (tumor marker) CPT 86301 Hc Ca 19-9 $71.25 $285.00 — 5% below 75%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 Hc Ca 19-9 $71.25 $285.00 — — 75%
CA-125 blood test (ovarian cancer marker) CPT 86304 Hc Ca 125 $84.00 $336.00 — 2% above 75%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Hc Ca 125 $84.00 $336.00 — — 75%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Hc Sars-Cov2 Covid-19 Amp Prm $63.75 $255.00 — 45% below 75%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Hc Sars-Cov2 Covid-19 Amp Prm $63.75 $255.00 — — 75%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Hc Chlamydia Rna (Mayo) $25.25 $101.00 — 71% below 75%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Hc Chlymd Trach Dna Amp Probe $31.50 $126.00 — 64% below 75%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Hc Chlamydia Trach Tma $40.50 $162.00 — 53% below 75%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Hc Chl Gc Dna Ur 87491 $145.75 $583.00 — 69% above 75%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Hc Chlam Gc 87491 $157.00 $628.00 — 82% above 75%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Hc Chlamydia Rna (Mayo) $25.25 $101.00 — — 75%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Hc Chlymd Trach Dna Amp Probe $31.50 $126.00 — — 75%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Hc Chlamydia Trach Tma $40.50 $162.00 — — 75%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Hc Chl Gc Dna Ur 87491 $145.75 $583.00 — — 75%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Hc Chlam Gc 87491 $157.00 $628.00 — — 75%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Hc Lipid Profile $55.00 $220.00 — 25% below 75%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Hc Lipid Prof $58.00 $232.00 — 21% below 75%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Hc Lipid Profile $55.00 $220.00 — — 75%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Hc Lipid Prof $58.00 $232.00 — — 75%
Complete blood count (CBC) with differential CPT 85025 Hc Cbc/Auto Diff $44.75 $179.00 — 8% above 75%
Complete blood count (CBC) with differential inpatient CPT 85025 Hc Cbc/Auto Diff $44.75 $179.00 — — 75%
Complete blood count (CBC), no differential CPT 85027 Hc Cbc $32.00 $128.00 — 3% above 75%
Complete blood count (CBC), no differential inpatient CPT 85027 Hc Cbc $32.00 $128.00 — — 75%
Comprehensive metabolic panel (blood test) CPT 80053 Hc Comp Metabolic Profile $48.50 $194.00 — 49% below 75%
Comprehensive metabolic panel (blood test) CPT 80053 Hc Quest Cmp $51.00 $204.00 — 46% below 75%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 Hc Comp Metabolic Profile $48.50 $194.00 — — 75%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 Hc Quest Cmp $51.00 $204.00 — — 75%
D-dimer blood test (blood clot marker) CPT 85379 Hc D-Dimer $63.25 $253.00 — 71% above 75%
D-dimer blood test (blood clot marker) CPT 85379 Hc Dimer (Mayo) $146.50 $586.00 — 296% above 75%
D-dimer blood test (blood clot marker) inpatient CPT 85379 Hc D-Dimer $63.25 $253.00 — — 75%
D-dimer blood test (blood clot marker) inpatient CPT 85379 Hc Dimer (Mayo) $146.50 $586.00 — — 75%
DHEA sulfate (DHEA-S) blood test CPT 82627 Hc Dhea Sulfate $72.00 $288.00 — 26% below 75%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 Hc Dhea Sulfate $72.00 $288.00 — — 75%
Estradiol blood test CPT 82670 Hc Estradiol, Lcms (Quest) $21.00 $84.00 — 79% below 75%
Estradiol blood test CPT 82670 Hc Assay Of Total Estradiol $135.00 $540.00 — 34% above 75%
Estradiol blood test inpatient CPT 82670 Hc Estradiol, Lcms (Quest) $21.00 $84.00 — — 75%
Estradiol blood test inpatient CPT 82670 Hc Assay Of Total Estradiol $135.00 $540.00 — — 75%
FSH (follicle-stimulating hormone) test CPT 83001 Hc Fsh $39.50 $158.00 — 48% below 75%
FSH (follicle-stimulating hormone) test CPT 83001 Hc Follicle Stimulating Horm $39.50 $158.00 — 48% below 75%
FSH (follicle-stimulating hormone) test CPT 83001 Hc Pituitary Grwth Hrm A Sub $39.50 $158.00 — 48% below 75%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 Hc Follicle Stimulating Horm $39.50 $158.00 — — 75%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 Hc Pituitary Grwth Hrm A Sub $39.50 $158.00 — — 75%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 Hc Fsh $39.50 $158.00 — — 75%
Fecal calprotectin (stool inflammation test) CPT 83993 Hc Calprotectin, Fecal $93.25 $373.00 — 13% below 75%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Hc Calprotectin, Fecal $93.25 $373.00 — — 75%
Ferritin blood test (iron stores) CPT 82728 Hc Ferritin $37.00 $148.00 — 45% below 75%
Ferritin blood test (iron stores) inpatient CPT 82728 Hc Ferritin $37.00 $148.00 — — 75%
Folate (folic acid) blood test CPT 82746 Hc Folic Acid $65.25 $261.00 — 6% above 75%
Folate (folic acid) blood test inpatient CPT 82746 Hc Folic Acid $65.25 $261.00 — — 75%
Free T3 thyroid hormone test CPT 84481 Hc Ft3D Free $59.50 $238.00 — 33% below 75%
Free T3 thyroid hormone test CPT 84481 Hc T3 Free $59.50 $238.00 — 33% below 75%
Free T3 thyroid hormone test inpatient CPT 84481 Hc T3 Free $59.50 $238.00 — — 75%
Free T3 thyroid hormone test inpatient CPT 84481 Hc Ft3D Free $59.50 $238.00 — — 75%
Free T4 (free thyroxine) thyroid blood test CPT 84439 Hc T4 Thyroxine - Free $41.25 $165.00 — 35% below 75%
Free T4 (free thyroxine) thyroid blood test CPT 84439 Hc T4 Free By Dialysis $43.50 $174.00 — 31% below 75%
Free T4 (free thyroxine) thyroid blood test CPT 84439 Hc T4 Free By Dialysis (Mayo) $43.50 $174.00 — 31% below 75%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Hc T4 Thyroxine - Free $41.25 $165.00 — — 75%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Hc T4 Free By Dialysis $43.50 $174.00 — — 75%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Hc T4 Free By Dialysis (Mayo) $43.50 $174.00 — — 75%
Free testosterone test CPT 84402 Hc Testosterone Free $82.25 $329.00 — 11% below 75%
Free testosterone test inpatient CPT 84402 Hc Testosterone Free $82.25 $329.00 — — 75%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 Hc General Health Panel $121.00 $484.00 — 23% below 75%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 Hc General Health Panel $121.00 $484.00 — — 75%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Hc Glucose Post Glucose Dose (Includes Glucose) $10.50 $42.00 — 51% below 75%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Hc Glucose Post Glucose Dose (Includes Glucose) $10.50 $42.00 — — 75%
Glucose tolerance test, 3 samples CPT 82951 Hc Glucose Tolerance (Gtt) 3 Specimens (Includes G $27.00 $108.00 — 55% below 75%
Glucose tolerance test, 3 samples inpatient CPT 82951 Hc Glucose Tolerance (Gtt) 3 Specimens (Includes G $27.00 $108.00 — — 75%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Hc Neisseria Gon Rna (Mayo) $25.25 $101.00 — 75% below 75%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Hc N Gonorrhoeae Dna Amp Prob $38.50 $154.00 — 62% below 75%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Hc N Gonnor Rna Tma $40.50 $162.00 — 60% below 75%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Hc Neisseria Gonorrhoeae Acid Amp Probe $133.00 $532.00 — 32% above 75%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Hc Chl Gc Dna Ur 87591 $133.00 $532.00 — 32% above 75%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Hc Neisseria Gon Rna (Mayo) $25.25 $101.00 — — 75%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Hc N Gonorrhoeae Dna Amp Prob $38.50 $154.00 — — 75%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Hc N Gonnor Rna Tma $40.50 $162.00 — — 75%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Hc Neisseria Gonorrhoeae Acid Amp Probe $133.00 $532.00 — — 75%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Hc Chl Gc Dna Ur 87591 $133.00 $532.00 — — 75%
H. pylori antibody blood test CPT 86677 Hc H.Pylori Ab,Igg $51.25 $205.00 — 2% below 75%
H. pylori antibody blood test CPT 86677 Hc H Pylori Iga $51.25 $205.00 — 2% below 75%
H. pylori antibody blood test CPT 86677 Hc H.Pylori Ab,Igm $51.25 $205.00 — 2% below 75%
H. pylori antibody blood test inpatient CPT 86677 Hc H.Pylori Ab,Igm $51.25 $205.00 — — 75%
H. pylori antibody blood test inpatient CPT 86677 Hc H.Pylori Ab,Igg $51.25 $205.00 — — 75%
H. pylori antibody blood test inpatient CPT 86677 Hc H Pylori Iga $51.25 $205.00 — — 75%
H. pylori stool antigen test CPT 87338 Hc H Pylori Ag Feces $181.75 $727.00 — 190% above 75%
H. pylori stool antigen test inpatient CPT 87338 Hc H Pylori Ag Feces $181.75 $727.00 — — 75%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Hc Hiv-1 Rna Quant Rflx To Resist (Mayo) $64.75 $259.00 — 72% below 75%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Hc Hiv Rna 87536 $207.50 $830.00 — 11% below 75%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Hc Viral Ab Id Rna By Pcr $320.00 $1,280.00 — 37% above 75%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Hc Hiv-1 Quantification $651.00 $2,604.00 — 178% above 75%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Hc Hiv-1 Rna Quant Rflx To Resist (Mayo) $64.75 $259.00 — — 75%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Hc Hiv Rna 87536 $207.50 $830.00 — — 75%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Hc Viral Ab Id Rna By Pcr $320.00 $1,280.00 — — 75%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Hc Hiv-1 Quantification $651.00 $2,604.00 — — 75%
HIV-1 and HIV-2 antibody test CPT 86703 Hc Hiv 1/2 Eia Screen W/Rfly $27.25 $109.00 — 52% below 75%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 Hc Hiv 1/2 Eia Screen W/Rfly $27.25 $109.00 — — 75%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Hc Hiv 1/2 Ag/Ab $50.00 $200.00 — 39% below 75%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Hc Hiv-1/2 Antigen And Antibodies $65.75 $263.00 — 19% below 75%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 Hc Hiv 1/2 Ag/Ab $50.00 $200.00 — — 75%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 Hc Hiv-1/2 Antigen And Antibodies $65.75 $263.00 — — 75%
HPV test for high-risk types, one combined (pooled) result CPT 87624 Hc Hpv Hr $22.00 $88.00 — 75% below 75%
HPV test for high-risk types, one combined (pooled) result CPT 87624 Hc Hpvg Pcr W/Pap Rflx Thinprep (Mayo) $32.25 $129.00 — 64% below 75%
HPV test for high-risk types, one combined (pooled) result CPT 87624 Hc Infectious Agent Detct Dna/Rna Hpv High-Risk Ty $86.50 $346.00 — 3% below 75%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 Hc Hpv Hr $22.00 $88.00 — — 75%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 Hc Hpvg Pcr W/Pap Rflx Thinprep (Mayo) $32.25 $129.00 — — 75%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 Hc Infectious Agent Detct Dna/Rna Hpv High-Risk Ty $86.50 $346.00 — — 75%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hc Hgb A1C With Eag $9.50 $38.00 — 77% below 75%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hc Gly Hemoglobin A1C $36.75 $147.00 — 11% below 75%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hc Hgb A1C With Eag $9.50 $38.00 — — 75%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hc Gly Hemoglobin A1C $36.75 $147.00 — — 75%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hc Hep Bs Ab, Qn (Quest) $30.55 $122.20 — 29% below 75%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hc Hbv Cp 5 $50.25 $201.00 — 17% above 75%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hc Hepatitis B Antibody $50.25 $201.00 — 17% above 75%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hc Hep Bs Ab, Quant $60.25 $241.00 — 40% above 75%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hc Hep Bs Ab, Qn (Quest) $30.55 $122.20 — — 75%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hc Hbv Cp 5 $50.25 $201.00 — — 75%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hc Hepatitis B Antibody $50.25 $201.00 — — 75%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hc Hep Bs Ab, Quant $60.25 $241.00 — — 75%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hc Hbv Cp 3 $87.75 $351.00 — 135% above 75%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hc Hep B S Ag $100.25 $401.00 — 168% above 75%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hc Hbv Cp 3 $87.75 $351.00 — — 75%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hc Hep B S Ag $100.25 $401.00 — — 75%
Hepatitis C antibody blood test (screening) CPT 86803 Hc Hep C Ab $45.00 $180.00 — 24% below 75%
Hepatitis C antibody blood test (screening) CPT 86803 Hc Hepatitis C Antibody $83.75 $335.00 — 41% above 75%
Hepatitis C antibody blood test (screening) CPT 86803 Hc Hepatitis C Screening $83.75 $335.00 — 41% above 75%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hc Hep C Ab $45.00 $180.00 — — 75%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hc Hepatitis C Antibody $83.75 $335.00 — — 75%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hc Hepatitis C Screening $83.75 $335.00 — — 75%
Hepatitis C viral load (HCV RNA) test CPT 87522 Hc Ngi Hcv Superquant,Hep C,Rna Quant $57.50 $230.00 — 57% below 75%
Hepatitis C viral load (HCV RNA) test CPT 87522 Hc Hep C- Qnt Hepc Pcr $251.75 $1,007.00 — 90% above 75%
Hepatitis C viral load (HCV RNA) test CPT 87522 Hc Heptimax $475.50 $1,902.00 — 259% above 75%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hc Ngi Hcv Superquant,Hep C,Rna Quant $57.50 $230.00 — — 75%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hc Hep C- Qnt Hepc Pcr $251.75 $1,007.00 — — 75%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hc Heptimax $475.50 $1,902.00 — — 75%
Herpes blood test, HSV-1 antibody CPT 86695 Hc Hsv1 Igg Ab (Quest $7.25 $29.00 — 82% below 75%
Herpes blood test, HSV-1 antibody CPT 86695 Hc Enceph 86695 $22.75 $91.00 — 43% below 75%
Herpes blood test, HSV-1 antibody CPT 86695 Hc Herpes Ab Igg Csf 1 $62.75 $251.00 — 58% above 75%
Herpes blood test, HSV-1 antibody CPT 86695 Hc Hsv 1/2 Ab Csf 2 $72.00 $288.00 — 82% above 75%
Herpes blood test, HSV-1 antibody CPT 86695 Hc Hsv Herpes Simplex 1 $72.00 $288.00 — 82% above 75%
Herpes blood test, HSV-1 antibody CPT 86695 Hc Hsv 1/2 Ab Csf 1 $72.00 $288.00 — 82% above 75%
Herpes blood test, HSV-1 antibody CPT 86695 Hc Herpes Simplex Ab I Igg $72.00 $288.00 — 82% above 75%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 Hc Hsv1 Igg Ab (Quest $7.25 $29.00 — — 75%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 Hc Enceph 86695 $22.75 $91.00 — — 75%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 Hc Herpes Ab Igg Csf 1 $62.75 $251.00 — — 75%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 Hc Hsv 1/2 Ab Csf 2 $72.00 $288.00 — — 75%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 Hc Hsv 1/2 Ab Csf 1 $72.00 $288.00 — — 75%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 Hc Herpes Simplex Ab I Igg $72.00 $288.00 — — 75%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 Hc Hsv Herpes Simplex 1 $72.00 $288.00 — — 75%
Herpes blood test, HSV-2 antibody CPT 86696 Hc Herpes Simplex Ab Ii $62.75 $251.00 — 6% above 75%
Herpes blood test, HSV-2 antibody CPT 86696 Hc Herpes Ab Igg Csf 2 $62.75 $251.00 — 6% above 75%
Herpes blood test, HSV-2 antibody CPT 86696 Hc Enceph 86696 $62.75 $251.00 — 6% above 75%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 Hc Enceph 86696 $62.75 $251.00 — — 75%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 Hc Herpes Simplex Ab Ii $62.75 $251.00 — — 75%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 Hc Herpes Ab Igg Csf 2 $62.75 $251.00 — — 75%
High-sensitivity CRP (hs-CRP) test CPT 86141 Hc C Reactive Protein Cardio (Mayo) $12.25 $49.00 — 74% below 75%
High-sensitivity CRP (hs-CRP) test CPT 86141 Hc C Reactive Protein Cardio $24.50 $98.00 — 48% below 75%
High-sensitivity CRP (hs-CRP) test CPT 86141 Hc Hs Crp $29.25 $117.00 — 38% below 75%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 Hc C Reactive Protein Cardio (Mayo) $12.25 $49.00 — — 75%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 Hc C Reactive Protein Cardio $24.50 $98.00 — — 75%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 Hc Hs Crp $29.25 $117.00 — — 75%
Homocysteine blood test CPT 83090 Hc Homocystine - Blood $55.25 $221.00 — 28% below 75%
Homocysteine blood test CPT 83090 Hc Homocysteine - Quest $55.25 $221.00 — 28% below 75%
Homocysteine blood test inpatient CPT 83090 Hc Homocysteine - Quest $55.25 $221.00 — — 75%
Homocysteine blood test inpatient CPT 83090 Hc Homocystine - Blood $55.25 $221.00 — — 75%
Insulin blood test CPT 83525 Hc Insulin Total $56.00 $224.00 — 20% above 75%
Insulin blood test CPT 83525 Hc Insulin Level $56.00 $224.00 — 20% above 75%
Insulin blood test CPT 83525 Hc Insulin $56.00 $224.00 — 20% above 75%
Insulin blood test inpatient CPT 83525 Hc Insulin $56.00 $224.00 — — 75%
Insulin blood test inpatient CPT 83525 Hc Insulin Level $56.00 $224.00 — — 75%
Insulin blood test inpatient CPT 83525 Hc Insulin Total $56.00 $224.00 — — 75%
Iron blood test (serum iron) CPT 83540 Hc Iron - Blood $98.50 $394.00 — 222% above 75%
Iron blood test (serum iron) CPT 83540 Hc Iron Liver Tissue $103.75 $415.00 — 239% above 75%
Iron blood test (serum iron) inpatient CPT 83540 Hc Iron - Blood $98.50 $394.00 — — 75%
Iron blood test (serum iron) inpatient CPT 83540 Hc Iron Liver Tissue $103.75 $415.00 — — 75%
Iron-binding capacity (TIBC) test CPT 83550 Hc Iron Binding Capacity $16.50 $66.00 — 60% below 75%
Iron-binding capacity (TIBC) test inpatient CPT 83550 Hc Iron Binding Capacity $16.50 $66.00 — — 75%
Kidney function blood test panel CPT 80069 Hc Renal Function Panel $34.75 $139.00 — 47% below 75%
Kidney function blood test panel inpatient CPT 80069 Hc Renal Function Panel $34.75 $139.00 — — 75%
LH (luteinizing hormone) test CPT 83002 Hc Lh $54.50 $218.00 — 29% below 75%
LH (luteinizing hormone) test CPT 83002 Hc Luteinizing Hormone $54.50 $218.00 — 29% below 75%
LH (luteinizing hormone) test CPT 83002 Hc Lh (Mayo) $68.50 $274.00 — 11% below 75%
LH (luteinizing hormone) test inpatient CPT 83002 Hc Lh $54.50 $218.00 — — 75%
LH (luteinizing hormone) test inpatient CPT 83002 Hc Luteinizing Hormone $54.50 $218.00 — — 75%
LH (luteinizing hormone) test inpatient CPT 83002 Hc Lh (Mayo) $68.50 $274.00 — — 75%
Lipase blood test (pancreas enzyme) CPT 83690 Hc Lipase $31.50 $126.00 — 7% below 75%
Lipase blood test (pancreas enzyme) CPT 83690 Hc Lipase Pleural Fluid $33.25 $133.00 — 2% below 75%
Lipase blood test (pancreas enzyme) CPT 83690 Hc Lipase Peritoneal Fld $33.25 $133.00 — 2% below 75%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 Hc Lipase $31.50 $126.00 — — 75%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 Hc Lipase Pleural Fluid $33.25 $133.00 — — 75%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 Hc Lipase Peritoneal Fld $33.25 $133.00 — — 75%
Liver function blood test panel CPT 80076 Hc Hepatic Function Panel $24.00 $96.00 — 68% below 75%
Liver function blood test panel inpatient CPT 80076 Hc Hepatic Function Panel $24.00 $96.00 — — 75%
Lyme disease antibody test CPT 86618 Hc Lyme Ab 2 Tier Eia S (Mayo) $13.50 $54.00 — 71% below 75%
Lyme disease antibody test CPT 86618 Hc Lyme Disease Ab Igm $23.50 $94.00 — 49% below 75%
Lyme disease antibody test CPT 86618 Hc Lyme Can Infection Igg (Mayo) $25.25 $101.00 — 45% below 75%
Lyme disease antibody test CPT 86618 Hc Lyme Disease Ab W/ Rfx $37.00 $148.00 — 19% below 75%
Lyme disease antibody test CPT 86618 Hc Lyme Disease (Borrelia Burgdorferi) $48.00 $192.00 — 5% above 75%
Lyme disease antibody test CPT 86618 Hc B Burgdorferi Ab Csf $83.75 $335.00 — 82% above 75%
Lyme disease antibody test CPT 86618 Hc Lyme Ab Eia $97.50 $390.00 — 112% above 75%
Lyme disease antibody test inpatient CPT 86618 Hc Lyme Ab 2 Tier Eia S (Mayo) $13.50 $54.00 — — 75%
Lyme disease antibody test inpatient CPT 86618 Hc Lyme Disease Ab Igm $23.50 $94.00 — — 75%
Lyme disease antibody test inpatient CPT 86618 Hc Lyme Can Infection Igg (Mayo) $25.25 $101.00 — — 75%
Lyme disease antibody test inpatient CPT 86618 Hc Lyme Disease Ab W/ Rfx $37.00 $148.00 — — 75%
Lyme disease antibody test inpatient CPT 86618 Hc Lyme Disease (Borrelia Burgdorferi) $48.00 $192.00 — — 75%
Lyme disease antibody test inpatient CPT 86618 Hc B Burgdorferi Ab Csf $83.75 $335.00 — — 75%
Lyme disease antibody test inpatient CPT 86618 Hc Lyme Ab Eia $97.50 $390.00 — — 75%
Magnesium blood test CPT 83735 Hc Magnesium $27.25 $109.00 — 7% below 75%
Magnesium blood test CPT 83735 Hc Magnesium Random Urine 83735 $28.75 $115.00 — 1% below 75%
Magnesium blood test CPT 83735 Hc 24 Hr Ur Kid St/Ur Sat 7 $28.75 $115.00 — 1% below 75%
Magnesium blood test CPT 83735 Hc Stool Pnl Elect Mg Osmo4 $28.75 $115.00 — 1% below 75%
Magnesium blood test CPT 83735 Hc Magnesium Rbc $28.75 $115.00 — 1% below 75%
Magnesium blood test CPT 83735 Hc Magnesium 24Hr Urine $28.75 $115.00 — 1% below 75%
Magnesium blood test CPT 83735 Hc Stool Magnesium $66.50 $266.00 — 128% above 75%
Magnesium blood test inpatient CPT 83735 Hc Magnesium $27.25 $109.00 — — 75%
Magnesium blood test inpatient CPT 83735 Hc Magnesium 24Hr Urine $28.75 $115.00 — — 75%
Magnesium blood test inpatient CPT 83735 Hc Magnesium Random Urine 83735 $28.75 $115.00 — — 75%
Magnesium blood test inpatient CPT 83735 Hc Magnesium Rbc $28.75 $115.00 — — 75%
Magnesium blood test inpatient CPT 83735 Hc Stool Pnl Elect Mg Osmo4 $28.75 $115.00 — — 75%
Magnesium blood test inpatient CPT 83735 Hc 24 Hr Ur Kid St/Ur Sat 7 $28.75 $115.00 — — 75%
Magnesium blood test inpatient CPT 83735 Hc Stool Magnesium $66.50 $266.00 — — 75%
Measles (rubeola) antibody test CPT 86765 Hc Rubeola Igm $67.50 $270.00 — 49% above 75%
Measles (rubeola) antibody test CPT 86765 Hc Enceph 86765 $77.50 $310.00 — 71% above 75%
Measles (rubeola) antibody test CPT 86765 Hc Rubeloa Ab Igg $77.50 $310.00 — 71% above 75%
Measles (rubeola) antibody test CPT 86765 Hc Rubeola Ab-Igm Acute $77.50 $310.00 — 71% above 75%
Measles (rubeola) antibody test CPT 86765 Hc Rubeola (Mayo $77.50 $310.00 — 71% above 75%
Measles (rubeola) antibody test inpatient CPT 86765 Hc Rubeola Igm $67.50 $270.00 — — 75%
Measles (rubeola) antibody test inpatient CPT 86765 Hc Enceph 86765 $77.50 $310.00 — — 75%
Measles (rubeola) antibody test inpatient CPT 86765 Hc Rubeola (Mayo $77.50 $310.00 — — 75%
Measles (rubeola) antibody test inpatient CPT 86765 Hc Rubeola Ab-Igm Acute $77.50 $310.00 — — 75%
Measles (rubeola) antibody test inpatient CPT 86765 Hc Rubeloa Ab Igg $77.50 $310.00 — — 75%
Mono test (heterophile antibody, Monospot) CPT 86308 Hc Heterophile Antibodies $33.75 $135.00 — 10% below 75%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Hc Heterophile Antibodies $33.75 $135.00 — — 75%
PSA (prostate-specific antigen) blood test, total CPT 84153 Hc Psa Total $65.25 $261.00 — 1% below 75%
PSA (prostate-specific antigen) blood test, total CPT 84153 Hc Ultrasensitive Psa 2 $68.75 $275.00 — 5% above 75%
PSA (prostate-specific antigen) blood test, total CPT 84153 Hc Ultrasensitive Psa 1 $68.75 $275.00 — 5% above 75%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Hc Psa Total $65.25 $261.00 — — 75%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Hc Ultrasensitive Psa 1 $68.75 $275.00 — — 75%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Hc Ultrasensitive Psa 2 $68.75 $275.00 — — 75%
Pap test (liquid-based, automated screening with review) CPT 88175 Hc Cytopath C/V Auto Fluid Redo $20.50 $82.00 — 68% below 75%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 Hc Cytopath C/V Auto Fluid Redo $20.50 $82.00 — — 75%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Hc Cytopath C/V Thin Layer $40.75 $163.00 — 44% below 75%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Hc Cytology Thin Prep Pap $43.00 $172.00 — 41% below 75%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 Hc Cytopath C/V Thin Layer $40.75 $163.00 — — 75%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 Hc Cytology Thin Prep Pap $43.00 $172.00 — — 75%
Parathyroid hormone (PTH) blood test CPT 83970 Hc Pth Intact (Inhouse) $86.25 $345.00 — 36% below 75%
Parathyroid hormone (PTH) blood test CPT 83970 Hc Pth Intact $90.75 $363.00 — 33% below 75%
Parathyroid hormone (PTH) blood test CPT 83970 Hc Pth Intact Fna $90.75 $363.00 — 33% below 75%
Parathyroid hormone (PTH) blood test CPT 83970 Hc Pth C-Terminal $90.75 $363.00 — 33% below 75%
Parathyroid hormone (PTH) blood test CPT 83970 Hc Pth Mid Molecule $90.75 $363.00 — 33% below 75%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 Hc Pth Intact (Inhouse) $86.25 $345.00 — — 75%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 Hc Pth C-Terminal $90.75 $363.00 — — 75%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 Hc Pth Mid Molecule $90.75 $363.00 — — 75%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 Hc Pth Intact Fna $90.75 $363.00 — — 75%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 Hc Pth Intact $90.75 $363.00 — — 75%
Partial thromboplastin time (PTT) clotting test CPT 85730 Hc Aptt Ref $34.75 $139.00 — 17% above 75%
Partial thromboplastin time (PTT) clotting test CPT 85730 Hc Aptt $42.50 $170.00 — 43% above 75%
Partial thromboplastin time (PTT) clotting test CPT 85730 Hc Activated Partial Thrmbompl Time (Mayo) $86.25 $345.00 — 190% above 75%
Partial thromboplastin time (PTT) clotting test CPT 85730 Hc Vw Panel 6-1 $92.25 $369.00 — 210% above 75%
Partial thromboplastin time (PTT) clotting test CPT 85730 Hc Lupus Anticoagulant $210.75 $843.00 — 608% above 75%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Hc Aptt Ref $34.75 $139.00 — — 75%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Hc Aptt $42.50 $170.00 — — 75%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Hc Activated Partial Thrmbompl Time (Mayo) $86.25 $345.00 — — 75%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Hc Vw Panel 6-1 $92.25 $369.00 — — 75%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Hc Lupus Anticoagulant $210.75 $843.00 — — 75%
Progesterone blood test CPT 84144 Hc Progesterone $72.25 $289.00 — 18% below 75%
Progesterone blood test inpatient CPT 84144 Hc Progesterone $72.25 $289.00 — — 75%
Prolactin blood test CPT 84146 Hc Macroprolactin 84146 (Mayo) $51.25 $205.00 — 28% below 75%
Prolactin blood test CPT 84146 Hc Macroprolactin 84146 $58.00 $232.00 — 19% below 75%
Prolactin blood test CPT 84146 Hc Prolactin $72.25 $289.00 — 1% above 75%
Prolactin blood test CPT 84146 Hc Prolactin Dilution Study $92.25 $369.00 — 29% above 75%
Prolactin blood test inpatient CPT 84146 Hc Macroprolactin 84146 (Mayo) $51.25 $205.00 — — 75%
Prolactin blood test inpatient CPT 84146 Hc Macroprolactin 84146 $58.00 $232.00 — — 75%
Prolactin blood test inpatient CPT 84146 Hc Prolactin $72.25 $289.00 — — 75%
Prolactin blood test inpatient CPT 84146 Hc Prolactin Dilution Study $92.25 $369.00 — — 75%
Prothrombin time (PT/INR) clotting test CPT 85610 Hc Prothrombin Time + Inr $33.75 $135.00 — 78% above 75%
Prothrombin time (PT/INR) clotting test CPT 85610 Hc Prothrombin Time (Mayo) $61.75 $247.00 — 225% above 75%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Hc Prothrombin Time + Inr $33.75 $135.00 — — 75%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Hc Prothrombin Time (Mayo) $61.75 $247.00 — — 75%
Rapid flu test (influenza antigen) CPT 87804 Hc Influenza Ag Crp A $47.00 $188.00 — 16% above 75%
Rapid flu test (influenza antigen) CPT 87804 Hc Influenza A Or B $47.00 $188.00 — 16% above 75%
Rapid flu test (influenza antigen) CPT 87804 Hc Influenza Ag B $47.00 $188.00 — 16% above 75%
Rapid flu test (influenza antigen) inpatient CPT 87804 Hc Influenza A Or B $47.00 $188.00 — — 75%
Rapid flu test (influenza antigen) inpatient CPT 87804 Hc Influenza Ag Crp A $47.00 $188.00 — — 75%
Rapid flu test (influenza antigen) inpatient CPT 87804 Hc Influenza Ag B $47.00 $188.00 — — 75%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 Hc Rapid Strep Gp A Test $32.00 $128.00 — 19% below 75%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Hc Rapid Strep Gp A Test $32.00 $128.00 — — 75%
Rheumatoid factor (RF) test CPT 86431 Hc Rheumatoid Factor Quant $17.25 $69.00 — 37% below 75%
Rheumatoid factor (RF) test CPT 86431 Hc Ra Diag 86431 $46.25 $185.00 — 68% above 75%
Rheumatoid factor (RF) test CPT 86431 Hc Rheumataoid Factor Syd Fld $46.25 $185.00 — 68% above 75%
Rheumatoid factor (RF) test CPT 86431 Hc Lup Pnl 86431 $46.25 $185.00 — 68% above 75%
Rheumatoid factor (RF) test CPT 86431 Hc Rat Quant Titer $55.50 $222.00 — 102% above 75%
Rheumatoid factor (RF) test inpatient CPT 86431 Hc Rheumatoid Factor Quant $17.25 $69.00 — — 75%
Rheumatoid factor (RF) test inpatient CPT 86431 Hc Ra Diag 86431 $46.25 $185.00 — — 75%
Rheumatoid factor (RF) test inpatient CPT 86431 Hc Rheumataoid Factor Syd Fld $46.25 $185.00 — — 75%
Rheumatoid factor (RF) test inpatient CPT 86431 Hc Lup Pnl 86431 $46.25 $185.00 — — 75%
Rheumatoid factor (RF) test inpatient CPT 86431 Hc Rat Quant Titer $55.50 $222.00 — — 75%
Rubella antibody test (immunity check) CPT 86762 Hc Rubella (Mayo) $10.75 $43.00 — 75% below 75%
Rubella antibody test (immunity check) CPT 86762 Hc Rubella Igg - Quest $25.50 $102.00 — 40% below 75%
Rubella antibody test (immunity check) CPT 86762 Hc Rubella Ab(Igm) $28.75 $115.00 — 32% below 75%
Rubella antibody test (immunity check) CPT 86762 Hc Torch Profile Igm 3 $28.75 $115.00 — 32% below 75%
Rubella antibody test (immunity check) CPT 86762 Hc Torch Profile (Igg)2 $28.75 $115.00 — 32% below 75%
Rubella antibody test (immunity check) CPT 86762 Hc Rubella Ab Igg $47.25 $189.00 — 11% above 75%
Rubella antibody test (immunity check) inpatient CPT 86762 Hc Rubella (Mayo) $10.75 $43.00 — — 75%
Rubella antibody test (immunity check) inpatient CPT 86762 Hc Rubella Igg - Quest $25.50 $102.00 — — 75%
Rubella antibody test (immunity check) inpatient CPT 86762 Hc Torch Profile Igm 3 $28.75 $115.00 — — 75%
Rubella antibody test (immunity check) inpatient CPT 86762 Hc Rubella Ab(Igm) $28.75 $115.00 — — 75%
Rubella antibody test (immunity check) inpatient CPT 86762 Hc Torch Profile (Igg)2 $28.75 $115.00 — — 75%
Rubella antibody test (immunity check) inpatient CPT 86762 Hc Rubella Ab Igg $47.25 $189.00 — — 75%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Hc Sedimentation Rate Autom $29.75 $119.00 — 20% above 75%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 Hc Sedimentation Rate Autom $29.75 $119.00 — — 75%
Stool ova and parasites exam CPT 87177 Hc Ova And Parasites $91.25 $365.00 — 135% above 75%
Stool ova and parasites exam CPT 87177 Hc O&P 87177 $91.25 $365.00 — 135% above 75%
Stool ova and parasites exam inpatient CPT 87177 Hc Ova And Parasites $91.25 $365.00 — — 75%
Stool ova and parasites exam inpatient CPT 87177 Hc O&P 87177 $91.25 $365.00 — — 75%
Stool test for hidden blood (guaiac FOBT) CPT 82270 Hc Occult Blood Bld Screen $10.50 $42.00 — 31% below 75%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Hc Occult Blood Bld Screen $10.50 $42.00 — — 75%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 Hc Fecal Hgb Determination By Ia $21.50 $86.00 — 52% below 75%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 Hc Fecal Hgb Det By Immunoassay $22.75 $91.00 — 49% below 75%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Hc Fecal Hgb Determination By Ia $21.50 $86.00 — — 75%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Hc Fecal Hgb Det By Immunoassay $22.75 $91.00 — — 75%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Hc Vdrl, Serum (Quest) $15.50 $62.00 — 16% below 75%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Hc Vdrl Csf $28.25 $113.00 — 53% above 75%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Hc Syphilis Test Qualitative $33.75 $135.00 — 83% above 75%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Hc Vdrl, Serum (Quest) $15.50 $62.00 — — 75%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Hc Vdrl Csf $28.25 $113.00 — — 75%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Hc Syphilis Test Qualitative $33.75 $135.00 — — 75%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Hc Quantiferon Tb Gold $104.25 $417.00 — 30% below 75%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 Hc Quantiferon Tb Gold $104.25 $417.00 — — 75%
Testosterone blood test, total (not free testosterone) CPT 84403 Hc Testosterone Total $76.25 $305.00 — 12% below 75%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Hc Testosterone Total $76.25 $305.00 — — 75%
Thyroid peroxidase (TPO) antibody test CPT 86376 Hc Thyroid Peroxidase Abs (Quest) $9.75 $39.00 — 81% below 75%
Thyroid peroxidase (TPO) antibody test CPT 86376 Hc Antimicrosomal Ab $68.25 $273.00 — 36% above 75%
Thyroid peroxidase (TPO) antibody test CPT 86376 Hc Microsomal Abs $68.25 $273.00 — 36% above 75%
Thyroid peroxidase (TPO) antibody test CPT 86376 Hc Lup Pnl 86376 $68.25 $273.00 — 36% above 75%
Thyroid peroxidase (TPO) antibody test CPT 86376 Hc Liver Kidney Micros Ab $68.25 $273.00 — 36% above 75%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Hc Thyroid Peroxidase Abs (Quest) $9.75 $39.00 — — 75%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Hc Liver Kidney Micros Ab $68.25 $273.00 — — 75%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Hc Antimicrosomal Ab $68.25 $273.00 — — 75%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Hc Lup Pnl 86376 $68.25 $273.00 — — 75%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Hc Microsomal Abs $68.25 $273.00 — — 75%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Hc Thyroid Stim Hormone $57.50 $230.00 — 27% below 75%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Hc Tsh Third Gen Serum $60.50 $242.00 — 23% below 75%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Hc Tsh 3Rd Generation $60.50 $242.00 — 23% below 75%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Hc Thyroid Stim Hormone $57.50 $230.00 — — 75%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Hc Tsh 3Rd Generation $60.50 $242.00 — — 75%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Hc Tsh Third Gen Serum $60.50 $242.00 — — 75%
Trichomonas test (NAAT) CPT 87661 Hc Trichamonas Vaginalis Rna, Ql, Tma (Quest) $37.50 $150.00 — 49% below 75%
Trichomonas test (NAAT) CPT 87661 Hc Infectious Agent Detection By Nucleaic Acid Dna $64.00 $256.00 — 13% below 75%
Trichomonas test (NAAT) inpatient CPT 87661 Hc Trichamonas Vaginalis Rna, Ql, Tma (Quest) $37.50 $150.00 — — 75%
Trichomonas test (NAAT) inpatient CPT 87661 Hc Infectious Agent Detection By Nucleaic Acid Dna $64.00 $256.00 — — 75%
Uric acid blood test CPT 84550 Hc Uric Acid - Bld $18.00 $72.00 — 23% below 75%
Uric acid blood test inpatient CPT 84550 Hc Uric Acid - Bld $18.00 $72.00 — — 75%
Urinalysis with microscope exam, automated CPT 81001 Hc Urinalysis With Micro $15.75 $63.00 — 47% below 75%
Urinalysis with microscope exam, automated inpatient CPT 81001 Hc Urinalysis With Micro $15.75 $63.00 — — 75%
Urinalysis without microscope exam, automated CPT 81003 Hc Specific Gravity - Urine $15.75 $63.00 — 7% below 75%
Urinalysis without microscope exam, automated CPT 81003 Hc Urinalysis Routine $15.75 $63.00 — 7% below 75%
Urinalysis without microscope exam, automated inpatient CPT 81003 Hc Urinalysis Routine $15.75 $63.00 — — 75%
Urinalysis without microscope exam, automated inpatient CPT 81003 Hc Specific Gravity - Urine $15.75 $63.00 — — 75%
Urinalysis without microscope exam, manual CPT 81002 Hc Acetone Urine $12.00 $48.00 — 2% above 75%
Urinalysis without microscope exam, manual CPT 81002 Hc 24 Hr Ur Kid St Ur Sat 1 $12.75 $51.00 — 8% above 75%
Urinalysis without microscope exam, manual inpatient CPT 81002 Hc Acetone Urine $12.00 $48.00 — — 75%
Urinalysis without microscope exam, manual inpatient CPT 81002 Hc 24 Hr Ur Kid St Ur Sat 1 $12.75 $51.00 — — 75%
Urine culture for bacteria, with colony count CPT 87086 Hc Urine Culture (Quest) $7.50 $30.00 — 82% below 75%
Urine culture for bacteria, with colony count CPT 87086 Hc Culture Urine $87.00 $348.00 — 105% above 75%
Urine culture for bacteria, with colony count CPT 87086 Hc Culture Urine Ped <1 Year $87.00 $348.00 — 105% above 75%
Urine culture for bacteria, with colony count inpatient CPT 87086 Hc Urine Culture (Quest) $7.50 $30.00 — — 75%
Urine culture for bacteria, with colony count inpatient CPT 87086 Hc Culture Urine Ped <1 Year $87.00 $348.00 — — 75%
Urine culture for bacteria, with colony count inpatient CPT 87086 Hc Culture Urine $87.00 $348.00 — — 75%
Vitamin B12 (cobalamin) blood test CPT 82607 Hc Vitamin B12 $238.75 $955.00 — 271% above 75%
Vitamin B12 (cobalamin) blood test CPT 82607 Hc Vitamin B12 Cascade $251.25 $1,005.00 — 291% above 75%
Vitamin B12 (cobalamin) blood test CPT 82607 Hc Hlc Class Ii Typing, Low Resolution, One Antige $251.25 $1,005.00 — 291% above 75%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Hc Vitamin B12 $238.75 $955.00 — — 75%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Hc Hlc Class Ii Typing, Low Resolution, One Antige $251.25 $1,005.00 — — 75%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Hc Vitamin B12 Cascade $251.25 $1,005.00 — — 75%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Hc Vitamin D 25 Hydrox $111.50 $446.00 — 25% above 75%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Hc Vitamin D 25 Hydrox $111.50 $446.00 — — 75%
Zinc blood test CPT 84630 Hc Zinc, Red Blod Cells (Arup) $28.75 $115.00 — 17% below 75%
Zinc blood test CPT 84630 Hc Zinc-Blood $41.00 $164.00 — 19% above 75%
Zinc blood test CPT 84630 Hc Zinc 24Hr Ur $41.00 $164.00 — 19% above 75%
Zinc blood test inpatient CPT 84630 Hc Zinc, Red Blod Cells (Arup) $28.75 $115.00 — — 75%
Zinc blood test inpatient CPT 84630 Hc Zinc-Blood $41.00 $164.00 — — 75%
Zinc blood test inpatient CPT 84630 Hc Zinc 24Hr Ur $41.00 $164.00 — — 75%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hc Hcg - Beta Sub Unit Quant $42.25 $169.00 — 31% below 75%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hc Chorionic Gonadotropin Be $44.50 $178.00 — 27% below 75%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hc Hcg Beta Subunitserial $44.50 $178.00 — 27% below 75%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Hc Hcg - Beta Sub Unit Quant $42.25 $169.00 — — 75%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Hc Chorionic Gonadotropin Be $44.50 $178.00 — — 75%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Hc Hcg Beta Subunitserial $44.50 $178.00 — — 75%

Surgery and procedures

ProcedureCash price List priceInsurers payvs New YorkOff list
Cardiac catheterization with coronary angiogram one side CPT 93458 Hc Cath Plmnt Lt Heart $3,606.00 $14,424.00 — 38% below 75%
Cardiac catheterization with coronary angiogram inpatient one side CPT 93458 Hc Cath Plmnt Lt Heart $3,606.00 $14,424.00 — — 75%
Cardioversion, elective (restoring heart rhythm) CPT 92960 Hc Ekg Electrical Cardioversion $524.50 $2,098.00 — 47% below 75%
Cardioversion, elective (restoring heart rhythm) CPT 92960 Hc Cardioversion/External $524.50 $2,098.00 — 47% below 75%
Cardioversion, elective (restoring heart rhythm) CPT 92960 Hc Echo Cardioversion Elective $524.50 $2,098.00 — 47% below 75%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Hc Echo Cardioversion Elective $524.50 $2,098.00 — — 75%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Hc Ekg Electrical Cardioversion $524.50 $2,098.00 — — 75%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Hc Cardioversion/External $524.50 $2,098.00 — — 75%
Catheter ablation for atrial fibrillation CPT 93656 Hc Af Ablation (Pulmonay Vein Isolation) $14,624.50 $58,498.00 — 50% below 75%
Catheter ablation for atrial fibrillation inpatient CPT 93656 Hc Af Ablation (Pulmonay Vein Isolation) $14,624.50 $58,498.00 — — 75%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 Hc Colposcopy With Biopsy/Curettage $1,014.00 $4,056.00 — 157% above 75%
Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 Hc Colposcopy With Biopsy/Curettage $1,014.00 $4,056.00 — — 75%
Coronary stent placement, one artery CPT 92928 Hc Pl Stnt Sgl Ves Non Drug $8,775.25 $35,101.00 — 37% below 75%
Coronary stent placement, one artery CPT 92928 Hc Pl Stnt Sgl Ves Drug Elut $8,775.25 $35,101.00 — 37% below 75%
Coronary stent placement, one artery inpatient CPT 92928 Hc Pl Stnt Sgl Ves Drug Elut $8,775.25 $35,101.00 — — 75%
Coronary stent placement, one artery inpatient CPT 92928 Hc Pl Stnt Sgl Ves Non Drug $8,775.25 $35,101.00 — — 75%
Incision and drainage of a simple or single skin abscess CPT 10060 Hc Incision And Drainage Simple $658.25 $2,633.00 — 81% above 75%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 Hc Incision And Drainage Simple $658.25 $2,633.00 — — 75%
Left heart catheterization, diagnostic one side CPT 93452 Hc Left Heart Cath $3,606.00 $14,424.00 — 41% below 75%
Left heart catheterization, diagnostic inpatient one side CPT 93452 Hc Left Heart Cath $3,606.00 $14,424.00 — — 75%
Nail removal (partial or complete), one nail CPT 11730 Hc Removal Of Nail Plate $626.50 $2,506.00 — 121% above 75%
Nail removal (partial or complete), one nail inpatient CPT 11730 Hc Removal Of Nail Plate $626.50 $2,506.00 — — 75%
Paracentesis with imaging guidance CPT 49083 Hc Abdominal Paracentesis W/Imaging $1,336.00 $5,344.00 — 8% above 75%
Paracentesis with imaging guidance inpatient CPT 49083 Hc Abdominal Paracentesis W/Imaging $1,336.00 $5,344.00 — — 75%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 Hc Permanent Removal Of Nail Bed $658.25 $2,633.00 — 13% above 75%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 Hc Permanent Removal Of Nail Bed $658.25 $2,633.00 — — 75%
Removal of a foreign object under the skin, simple CPT 10120 Hc Inc & Rem Fb Sq Simpl $658.25 $2,633.00 — 19% above 75%
Removal of a foreign object under the skin, simple inpatient CPT 10120 Hc Inc & Rem Fb Sq Simpl $658.25 $2,633.00 — — 75%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Hc Repair Lac Smp S/N/A/G/Tr/E < 2.5 Cm $797.75 $3,191.00 — 181% above 75%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Hc Repair Lac Smp S/N/A/G/Tr/E < 2.5 Cm $797.75 $3,191.00 — — 75%
Skin biopsy, punch, one lesion CPT 11104 Hc Punch Biopsy Skin Single Lesion $692.50 $2,770.00 — 22% above 75%
Skin biopsy, punch, one lesion inpatient CPT 11104 Hc Punch Biopsy Skin Single Lesion $692.50 $2,770.00 — — 75%
Skin tag removal, up to 15 tags CPT 11200 Hc Rem Skin Tags To 15 $72.25 $289.00 — 75% below 75%
Skin tag removal, up to 15 tags inpatient CPT 11200 Hc Rem Skin Tags To 15 $72.25 $289.00 — — 75%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Hc Repair Lac Smp S/N/A/G/Tr/E 2.6 -7.5 Cm $797.75 $3,191.00 — 131% above 75%
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 Repair Lac Smp S/N/A/G/Tr/E 2.6 -7.5 Cm $797.75 $3,191.00 — — 75%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 Noncdm Charge Record $515.43 $2,061.72 — 14% above 75%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 Noncdm Charge Record $515.43 $2,061.72 — — 75%
Thoracentesis with imaging guidance CPT 32555 Hc Thoracentesis Needle/Cath Pleura W/Imaging $1,484.50 $5,938.00 — 21% above 75%
Thoracentesis with imaging guidance inpatient CPT 32555 Hc Thoracentesis Needle/Cath Pleura W/Imaging $1,484.50 $5,938.00 — — 75%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Hc Debride Skin/Subq Tissue 1St 20 Sq Cm $837.50 $3,350.00 — 16% above 75%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Hc Debride Skin/Subq Tissue 1St 20 Sq Cm $837.50 $3,350.00 — — 75%

Doctor visits and therapy

ProcedureCash price List priceInsurers payvs New YorkOff list
Blood transfusion (giving blood or blood components) CPT 36430 Hc Blood Transfusion Proc Daily $252.50 $1,010.00 — 65% below 75%
Blood transfusion (giving blood or blood components) CPT 36430 Hc Blood Transfusion $252.50 $1,010.00 — 65% below 75%
Blood transfusion (giving blood or blood components) CPT 36430 Hc Blood Banking Administration $252.50 $1,010.00 — 65% below 75%
Blood transfusion (giving blood or blood components) CPT 36430 Hc 2Nd Vt Blood Trans Proc Daily $252.50 $1,010.00 — 65% below 75%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Hc Blood Banking Administration $252.50 $1,010.00 — — 75%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Hc Blood Transfusion Proc Daily $252.50 $1,010.00 — — 75%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Hc Blood Transfusion $252.50 $1,010.00 — — 75%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Hc 2Nd Vt Blood Trans Proc Daily $252.50 $1,010.00 — — 75%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Hc Mdi Subs Ea Day $60.25 $241.00 — 73% below 75%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Hc Sputum Induction $60.25 $241.00 — 73% below 75%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Hc Aerosol/Mdi 1St Treatment $60.25 $241.00 — 73% below 75%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Hc Aerosol/Mdi Addtl.Treatment-Acute Episode $60.25 $241.00 — 73% below 75%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Hc Hand Held Nebul Subseq $60.25 $241.00 — 73% below 75%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Hc Hand Held Nebu Initial $60.25 $241.00 — 73% below 75%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Hc Mdi 1St 1 Ea Day $60.25 $241.00 — 73% below 75%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Hc Aerosol/Mdi Addtl.Treatment-Acute Episode $60.25 $241.00 — — 75%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Hc Hand Held Nebu Initial $60.25 $241.00 — — 75%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Hc Hand Held Nebul Subseq $60.25 $241.00 — — 75%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Hc Aerosol/Mdi 1St Treatment $60.25 $241.00 — — 75%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Hc Sputum Induction $60.25 $241.00 — — 75%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Hc Mdi Subs Ea Day $60.25 $241.00 — — 75%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Hc Mdi 1St 1 Ea Day $60.25 $241.00 — — 75%
Chemotherapy IV infusion, first hour CPT 96413 Hc 2Nd Vt Chemo Inf 1St Hr One Pharm $125.50 $502.00 — 79% below 75%
Chemotherapy IV infusion, first hour CPT 96413 Hc Chemo Inf Up To 1Hr One Pharm $125.50 $502.00 — 79% below 75%
Chemotherapy IV infusion, first hour inpatient CPT 96413 Hc Chemo Inf Up To 1Hr One Pharm $125.50 $502.00 — — 75%
Chemotherapy IV infusion, first hour inpatient CPT 96413 Hc 2Nd Vt Chemo Inf 1St Hr One Pharm $125.50 $502.00 — — 75%
Critical care, first 30 to 74 minutes CPT 99291 Hc Level 7 Trauma $1,875.00 $7,500.00 — 22% above 75%
Critical care, first 30 to 74 minutes CPT 99291 Hc Level 6 Critical Care $1,875.00 $7,500.00 — 22% above 75%
Critical care, first 30 to 74 minutes CPT 99291 Hc Obx Level Six $2,062.50 $8,250.00 — 34% above 75%
Critical care, first 30 to 74 minutes inpatient CPT 99291 Hc Level 6 Critical Care $1,875.00 $7,500.00 — — 75%
Critical care, first 30 to 74 minutes inpatient CPT 99291 Hc Level 7 Trauma $1,875.00 $7,500.00 — — 75%
Critical care, first 30 to 74 minutes inpatient CPT 99291 Hc Obx Level Six $2,062.50 $8,250.00 — — 75%
EEG (brain wave test), awake and drowsy, routine CPT 95816 Hc Eeg_Awk/Drwsy Hyper/Photo $249.25 $997.00 — 54% below 75%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 Hc Eeg_Awk/Drwsy Hyper/Photo $249.25 $997.00 — — 75%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Hc Ekg Ecg Routine 12 Lead $74.75 $299.00 — 48% below 75%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Hc Ekg By Lab Staff Pob $74.75 $299.00 — 48% below 75%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Hc Ekg Ecg Routine 12 Lead $74.75 $299.00 — — 75%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Hc Ekg By Lab Staff Pob $74.75 $299.00 — — 75%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Hc Level 1 $406.25 $1,625.00 — 180% above 75%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 Hc Level 1 $406.25 $1,625.00 — — 75%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Hc Obx Level Two $593.75 $2,375.00 — 90% above 75%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Hc Level 2 $593.75 $2,375.00 — 90% above 75%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 Hc Level 2 $593.75 $2,375.00 — — 75%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 Hc Obx Level Two $593.75 $2,375.00 — — 75%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Hc Level 3 $687.50 $2,750.00 — 51% above 75%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Hc Obx Level Three $687.50 $2,750.00 — 51% above 75%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 Hc Level 3 $687.50 $2,750.00 — — 75%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 Hc Obx Level Three $687.50 $2,750.00 — — 75%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Hc Level 4 $843.75 $3,375.00 — 27% above 75%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Hc Obx Level Four $843.75 $3,375.00 — 27% above 75%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 Hc Level 4 $843.75 $3,375.00 — — 75%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 Hc Obx Level Four $843.75 $3,375.00 — — 75%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Hc Lv Ii Trauma Response In/House Activation $2,343.75 $9,375.00 — 175% above 75%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Hc Level 5 $2,343.75 $9,375.00 — 175% above 75%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Hc Lv I Trauma Response In/House Activation $2,343.75 $9,375.00 — 175% above 75%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Hc Obx Level Five $2,343.75 $9,375.00 — 175% above 75%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Hc Level 5 $2,343.75 $9,375.00 — — 75%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Hc Lv Ii Trauma Response In/House Activation $2,343.75 $9,375.00 — — 75%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Hc Obx Level Five $2,343.75 $9,375.00 — — 75%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Hc Lv I Trauma Response In/House Activation $2,343.75 $9,375.00 — — 75%
Exercise stress test, tracing only, the hospital charge CPT 93017 Hc Stress Test Exercise $195.50 $782.00 — 66% below 75%
Exercise stress test, tracing only, the hospital charge CPT 93017 Hc Stress Treadmill Nuc &/Or Pharm $195.50 $782.00 — 66% below 75%
Exercise stress test, tracing only, the hospital charge CPT 93017 Hc Stress Test Treadmill Or Pharmacological $195.50 $782.00 — 66% below 75%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Hc Stress Test Exercise $195.50 $782.00 — — 75%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Hc Stress Treadmill Nuc &/Or Pharm $195.50 $782.00 — — 75%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Hc Stress Test Treadmill Or Pharmacological $195.50 $782.00 — — 75%
Family therapy with the patient, 50 minutes CPT 90847 Hc Family Therapy Child/50 Min $206.75 $827.00 — 18% below 75%
Family therapy with the patient, 50 minutes CPT 90847 Hc Individual Session Collateral W Pat 30Min $206.75 $827.00 — 18% below 75%
Family therapy with the patient, 50 minutes inpatient CPT 90847 Hc Family Therapy Child/50 Min $206.75 $827.00 — — 75%
Family therapy with the patient, 50 minutes inpatient CPT 90847 Hc Individual Session Collateral W Pat 30Min $206.75 $827.00 — — 75%
Family therapy without the patient, 50 minutes CPT 90846 Hc Individual Session Collateral W/O Pat 30 Min $169.50 $678.00 — 33% below 75%
Family therapy without the patient, 50 minutes CPT 90846 Hc Family Thrpy Wo Pt Child $169.50 $678.00 — 33% below 75%
Family therapy without the patient, 50 minutes inpatient CPT 90846 Hc Family Thrpy Wo Pt Child $169.50 $678.00 — — 75%
Family therapy without the patient, 50 minutes inpatient CPT 90846 Hc Individual Session Collateral W/O Pat 30 Min $169.50 $678.00 — — 75%
Group psychotherapy session CPT 90853 Hc Bhu In Pat Group Therapy $93.75 $375.00 — 37% below 75%
Group psychotherapy session CPT 90853 Hc Group Therapy $93.75 $375.00 — 37% below 75%
Group psychotherapy session inpatient CPT 90853 Hc Group Therapy $93.75 $375.00 — — 75%
Group psychotherapy session inpatient CPT 90853 Hc Bhu In Pat Group Therapy $93.75 $375.00 — — 75%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Hc 2Nd Vt Iv Inf Hydr 1St Hr $71.00 $284.00 — 80% below 75%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Hc Iv Hydration Up To 1 Hr $71.00 $284.00 — 80% below 75%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Hc Iv Inf Non Pharm Hydr Up To 1Hr (Echo) $71.00 $284.00 — 80% below 75%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Hc Hydration Up To 1 Hr $71.00 $284.00 — 80% below 75%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Hc Hydration Up To 1 Hr $71.00 $284.00 — — 75%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Hc 2Nd Vt Iv Inf Hydr 1St Hr $71.00 $284.00 — — 75%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Hc Iv Hydration Up To 1 Hr $71.00 $284.00 — — 75%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Hc Iv Inf Non Pharm Hydr Up To 1Hr (Echo) $71.00 $284.00 — — 75%
IV infusion of a medicine, first hour CPT 96365 Hc Iv Infusion - Up To 1 Hr $71.00 $284.00 — 81% below 75%
IV infusion of a medicine, first hour CPT 96365 Hc 2Nd Vt Iv Inf Pharm 1St Hr $71.00 $284.00 — 81% below 75%
IV infusion of a medicine, first hour CPT 96365 Hc Iv Inf Pharm Up To 1Hr One Pharm - Echo $71.00 $284.00 — 81% below 75%
IV infusion of a medicine, first hour CPT 96365 Hc Iv Inf Pharm Up To 1 Hr $71.00 $284.00 — 81% below 75%
IV infusion of a medicine, first hour CPT 96365 Hc Iv Inf Pharm Up To 1Hr Sbo $71.00 $284.00 — 81% below 75%
IV infusion of a medicine, first hour inpatient CPT 96365 Hc Iv Inf Pharm Up To 1 Hr $71.00 $284.00 — — 75%
IV infusion of a medicine, first hour inpatient CPT 96365 Hc Iv Inf Pharm Up To 1Hr One Pharm - Echo $71.00 $284.00 — — 75%
IV infusion of a medicine, first hour inpatient CPT 96365 Hc Iv Inf Pharm Up To 1Hr Sbo $71.00 $284.00 — — 75%
IV infusion of a medicine, first hour inpatient CPT 96365 Hc 2Nd Vt Iv Inf Pharm 1St Hr $71.00 $284.00 — — 75%
IV infusion of a medicine, first hour inpatient CPT 96365 Hc Iv Infusion - Up To 1 Hr $71.00 $284.00 — — 75%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Hc Injections $22.50 $90.00 — 73% below 75%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Hc Sub Q Or Im Injection $22.50 $90.00 — 73% below 75%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Hc Injection (Non-Chemo) W/ Chemo $22.50 $90.00 — 73% below 75%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Hc Inject Subcutaneous $22.50 $90.00 — 73% below 75%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Hc Sub Q Or Im Injection $22.50 $90.00 — — 75%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Hc Injections $22.50 $90.00 — — 75%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Hc Inject Subcutaneous $22.50 $90.00 — — 75%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Hc Injection (Non-Chemo) W/ Chemo $22.50 $90.00 — — 75%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 Hc Evaluation & Asmnt $271.50 $1,086.00 — 25% above 75%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 Hc Psych Dx Interview & Evaluation $271.50 $1,086.00 — 25% above 75%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 Hc Evaluation & Asmnt $271.50 $1,086.00 — — 75%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 Hc Psych Dx Interview & Evaluation $271.50 $1,086.00 — — 75%
Neuromuscular re-education, 15 minutes CPT 97112 Hc Ot Neuromusc Reeduc 15 Min $47.50 $190.00 — 43% below 75%
Neuromuscular re-education, 15 minutes CPT 97112 Hc Pt Neuromusc Reeduc 15 Min $47.50 $190.00 — 43% below 75%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 Hc Ot Neuromusc Reeduc 15 Min $47.50 $190.00 — — 75%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 Hc Pt Neuromusc Reeduc 15 Min $47.50 $190.00 — — 75%
New patient office visit, about 30 minutes CPT 99203 Hc New Consult Non Diabetes $193.50 $774.00 — 2% below 75%
New patient office visit, about 30 minutes CPT 99203 Hc Diab Mgmt Indiv $193.50 $774.00 — 2% below 75%
New patient office visit, about 30 minutes CPT 99203 Hc Diab In Preg Initial $193.50 $774.00 — 2% below 75%
New patient office visit, about 30 minutes CPT 99203 Hc New Patient Level Iii $193.50 $774.00 — 2% below 75%
New patient office visit, about 30 minutes CPT 99203 Hc Pump Assessment $193.50 $774.00 — 2% below 75%
New patient office visit, about 30 minutes CPT 99203 Hc Rad Onc Level 3 Visit - N $241.75 $967.00 — 23% above 75%
New patient office visit, about 30 minutes inpatient CPT 99203 Hc Diab Mgmt Indiv $193.50 $774.00 — — 75%
New patient office visit, about 30 minutes inpatient CPT 99203 Hc Pump Assessment $193.50 $774.00 — — 75%
New patient office visit, about 30 minutes inpatient CPT 99203 Hc New Consult Non Diabetes $193.50 $774.00 — — 75%
New patient office visit, about 30 minutes inpatient CPT 99203 Hc Diab In Preg Initial $193.50 $774.00 — — 75%
New patient office visit, about 30 minutes inpatient CPT 99203 Hc New Patient Level Iii $193.50 $774.00 — — 75%
New patient office visit, about 30 minutes inpatient CPT 99203 Hc Rad Onc Level 3 Visit - N $241.75 $967.00 — — 75%
New patient office visit, about 45 minutes CPT 99204 Hc New Patient Level Iv $304.25 $1,217.00 — 6% above 75%
New patient office visit, about 45 minutes inpatient CPT 99204 Hc New Patient Level Iv $304.25 $1,217.00 — — 75%
New patient office visit, about 60 minutes CPT 99205 Hc New Patient Level V $346.25 $1,385.00 — 23% above 75%
New patient office visit, about 60 minutes inpatient CPT 99205 Hc New Patient Level V $346.25 $1,385.00 — — 75%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 Hc New Patient Level Ii $161.25 $645.00 — 2% above 75%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 Hc Rad Onc Level 2 New Visit $201.75 $807.00 — 28% above 75%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 Hc New Patient Level Ii $161.25 $645.00 — — 75%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 Hc Rad Onc Level 2 New Visit $201.75 $807.00 — — 75%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Hc Nutritional Assessment $78.50 $314.00 — 37% above 75%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Hc Mnt Initial Indiv 15 Min $78.50 $314.00 — 37% above 75%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Hc Initial Mnt Each 15 Min $78.50 $314.00 — 37% above 75%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Hc Mnt Preg Indiv 15 Min $78.50 $314.00 — 37% above 75%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Hc Med Nut Initial Ea 15Min $78.50 $314.00 — 37% above 75%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 Hc Mnt Preg Indiv 15 Min $78.50 $314.00 — — 75%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 Hc Initial Mnt Each 15 Min $78.50 $314.00 — — 75%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 Hc Nutritional Assessment $78.50 $314.00 — — 75%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 Hc Mnt Initial Indiv 15 Min $78.50 $314.00 — — 75%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 Hc Med Nut Initial Ea 15Min $78.50 $314.00 — — 75%
Occupational therapy evaluation, low complexity CPT 97165 Hc Ot Eval Low Complex 30 Min $102.00 $408.00 — 40% below 75%
Occupational therapy evaluation, low complexity inpatient CPT 97165 Hc Ot Eval Low Complex 30 Min $102.00 $408.00 — — 75%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Hc Pt Eval High Complex 45 Min $101.00 $404.00 — 65% below 75%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 Hc Pt Eval High Complex 45 Min $101.00 $404.00 — — 75%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Hc Pt Eval Low Complex 20 Min $101.00 $404.00 — 44% below 75%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 Hc Pt Eval Low Complex 20 Min $101.00 $404.00 — — 75%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Hc Pt Eval Mod Complex 30 Min $101.00 $404.00 — 58% below 75%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 Hc Pt Eval Mod Complex 30 Min $101.00 $404.00 — — 75%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Hc Pt Manual Therapy 15 Min $42.75 $171.00 — 49% below 75%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Hc Ot Manual Therapy 15 Min $42.75 $171.00 — 49% below 75%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Hc Ot Manual Therapy 15 Min $42.75 $171.00 — — 75%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Hc Pt Manual Therapy 15 Min $42.75 $171.00 — — 75%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Hc Pt Therapeutic Ex 15 Min $57.00 $228.00 — 30% below 75%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Hc Ot Therapeutic Ex 15 Min $57.00 $228.00 — 30% below 75%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Hc Ot Therapeutic Ex 15 Min $57.00 $228.00 — — 75%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Hc Pt Therapeutic Ex 15 Min $57.00 $228.00 — — 75%
Psychiatric evaluation with medical services CPT 90792 Hc Med Management W Evaluation $128.00 $512.00 — 55% below 75%
Psychiatric evaluation with medical services inpatient CPT 90792 Hc Med Management W Evaluation $128.00 $512.00 — — 75%
Psychotherapy for crisis, first 60 minutes CPT 90839 Hc Crisis Intervention Initial 30-74 Min $161.25 $645.00 — 32% below 75%
Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 Hc Crisis Intervention Initial 30-74 Min $161.25 $645.00 — — 75%
Psychotherapy session, 30 minutes CPT 90832 Hc Ext Eval & Assmnt 16-37 Min $152.00 $608.00 — 23% below 75%
Psychotherapy session, 30 minutes CPT 90832 Hc Individual Session 16-37 Min $152.00 $608.00 — 23% below 75%
Psychotherapy session, 30 minutes inpatient CPT 90832 Hc Individual Session 16-37 Min $152.00 $608.00 — — 75%
Psychotherapy session, 30 minutes inpatient CPT 90832 Hc Ext Eval & Assmnt 16-37 Min $152.00 $608.00 — — 75%
Psychotherapy session, 45 minutes CPT 90834 Hc Individual Session 38-52 Min $174.75 $699.00 — 31% below 75%
Psychotherapy session, 45 minutes inpatient CPT 90834 Hc Individual Session 38-52 Min $174.75 $699.00 — — 75%
Psychotherapy session, 60 minutes CPT 90837 Hc Individual Session > 53 Min $198.00 $792.00 — 33% below 75%
Psychotherapy session, 60 minutes inpatient CPT 90837 Hc Individual Session > 53 Min $198.00 $792.00 — — 75%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 Hc Smoking And Tobacco Use Cessation Intermediate $114.00 $456.00 — 170% above 75%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Hc Smoking And Tobacco Use Cessation Intermediate $114.00 $456.00 — — 75%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Hc Pre Eclampsia $238.75 $955.00 — 2% above 75%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Hc Dsme 3 $251.50 $1,006.00 — 7% above 75%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Hc Medication Management Visit Lev 5 $251.50 $1,006.00 — 7% above 75%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Hc Dsme 2 $251.50 $1,006.00 — 7% above 75%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Hc Dsme 1 $251.50 $1,006.00 — 7% above 75%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Hc Est Patient Level V $251.50 $1,006.00 — 7% above 75%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Hc Pre Eclampsia $238.75 $955.00 — — 75%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Hc Dsme 1 $251.50 $1,006.00 — — 75%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Hc Est Patient Level V $251.50 $1,006.00 — — 75%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Hc Dsme 3 $251.50 $1,006.00 — — 75%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Hc Medication Management Visit Lev 5 $251.50 $1,006.00 — — 75%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Hc Dsme 2 $251.50 $1,006.00 — — 75%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Hc Medication Management Visit Lev 3 $144.75 $579.00 — 15% below 75%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Hc Diab Follow Up $144.75 $579.00 — 15% below 75%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Hc Est Consult Non Diabetes $144.75 $579.00 — 15% below 75%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Hc Diab In Preg F/Up $144.75 $579.00 — 15% below 75%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Hc Rad Onc Level 3 Est Visi $181.00 $724.00 — 6% above 75%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Hc Est Patient Level Iii $181.00 $724.00 — 6% above 75%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Hc Diab Follow Up $144.75 $579.00 — — 75%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Hc Medication Management Visit Lev 3 $144.75 $579.00 — — 75%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Hc Diab In Preg F/Up $144.75 $579.00 — — 75%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Hc Est Consult Non Diabetes $144.75 $579.00 — — 75%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Hc Est Patient Level Iii $181.00 $724.00 — — 75%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Hc Rad Onc Level 3 Est Visi $181.00 $724.00 — — 75%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Hc Medication Management Visit Lev 4 $166.75 $667.00 — 13% below 75%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Hc Est Patient Level Iv $166.75 $667.00 — 13% below 75%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Hc Canceled Proc Medical Reason $208.25 $833.00 — 8% above 75%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Hc Procedure Level 4 $1,464.25 $5,857.00 — 663% above 75%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Hc Est Patient Level Iv $166.75 $667.00 — — 75%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Hc Medication Management Visit Lev 4 $166.75 $667.00 — — 75%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Hc Canceled Proc Medical Reason $208.25 $833.00 — — 75%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Hc Procedure Level 4 $1,464.25 $5,857.00 — — 75%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Hc Est Patient Level Ii $157.50 $630.00 — 22% above 75%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Hc Rad Onc Level 2 Est Visit $169.25 $677.00 — 31% above 75%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Hc Est Patient Level Ii $157.50 $630.00 — — 75%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Hc Rad Onc Level 2 Est Visit $169.25 $677.00 — — 75%
Speech and language evaluation CPT 92523 Hc Eval Of Speech Language Only $378.75 $1,515.00 — 4% below 75%
Speech and language evaluation CPT 92523 Hc Speech Sound Lang Comprehen $378.75 $1,515.00 — 4% below 75%
Speech and language evaluation inpatient CPT 92523 Hc Eval Of Speech Language Only $378.75 $1,515.00 — — 75%
Speech and language evaluation inpatient CPT 92523 Hc Speech Sound Lang Comprehen $378.75 $1,515.00 — — 75%
Speech therapy session, individual CPT 92507 Hc Treatment Of Speech/Langu $188.00 $752.00 — 4% above 75%
Speech therapy session, individual inpatient CPT 92507 Hc Treatment Of Speech/Langu $188.00 $752.00 — — 75%
Spirometry (breathing test) CPT 94010 Hc Peak Flow $63.50 $254.00 — 73% below 75%
Spirometry (breathing test) inpatient CPT 94010 Hc Peak Flow $63.50 $254.00 — — 75%
Spirometry before and after a bronchodilator CPT 94060 Hc Spirometry Pre/Post $199.50 $798.00 — 47% below 75%
Spirometry before and after a bronchodilator CPT 94060 Hc Basic Spirometry- Pulm $199.50 $798.00 — 47% below 75%
Spirometry before and after a bronchodilator CPT 94060 Hc Basic Spirometry- Resp $199.50 $798.00 — 47% below 75%
Spirometry before and after a bronchodilator inpatient CPT 94060 Hc Basic Spirometry- Pulm $199.50 $798.00 — — 75%
Spirometry before and after a bronchodilator inpatient CPT 94060 Hc Spirometry Pre/Post $199.50 $798.00 — — 75%
Spirometry before and after a bronchodilator inpatient CPT 94060 Hc Basic Spirometry- Resp $199.50 $798.00 — — 75%
Therapeutic activities (functional training), 15 minutes CPT 97530 Hc Ot Therapeutic Activities $50.00 $200.00 — 47% below 75%
Therapeutic activities (functional training), 15 minutes CPT 97530 Hc Pt Therapeutic Activites 15 Min $50.00 $200.00 — 47% below 75%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Hc Ot Therapeutic Activities $50.00 $200.00 — — 75%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Hc Pt Therapeutic Activites 15 Min $50.00 $200.00 — — 75%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Hc Therapeutic Phlebotomy $1,187.50 $4,750.00 — 459% above 75%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Hc Therapeutic Phlebotomy $1,187.50 $4,750.00 — — 75%

Vaccines

ProcedureCash price List priceInsurers payvs New YorkOff list
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Hc Immunization Administration $15.75 $63.00 — 79% below 75%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Hc Emp Hlth Tdap Immun Injection $15.75 $63.00 — 79% below 75%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Hc Influenza Immunization Admin (Single) $15.75 $63.00 — 79% below 75%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Hc Admin Hepatitis B Vaccine $15.75 $63.00 — 79% below 75%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Hc Pneumaoccal Immunization Admin $15.75 $63.00 — 79% below 75%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Hc Influenza Immunization Admin (Single) $15.75 $63.00 — — 75%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Hc Pneumaoccal Immunization Admin $15.75 $63.00 — — 75%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Hc Admin Hepatitis B Vaccine $15.75 $63.00 — — 75%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Hc Emp Hlth Tdap Immun Injection $15.75 $63.00 — — 75%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Hc Immunization Administration $15.75 $63.00 — — 75%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Hc Immunization Administration - Each Additional V $14.00 $56.00 — 56% below 75%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Hc Immunization Admin Ea Addl Vaccine $14.00 $56.00 — 56% below 75%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Hc Immunization Administration - Each Additional V $14.00 $56.00 — — 75%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Hc Immunization Admin Ea Addl Vaccine $14.00 $56.00 — — 75%

Source file: https://www.garnethealth.org/sites/default/files/cms-hpt/141364536_garnet-health-medical-center_standardcharges.csv