Livingston Hospital and Healthcare Services
Livingston Hospital and Healthcare Services in Salem, KY publishes cash prices for 281 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are below the Kentucky median for 224 of 276 procedures and above it for 46. By typical cash price it ranks #11 of 59 Kentucky hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
131 Hospital Drive, Salem, KY 42078 Collected Sep 27, 2026 Source price file (270) 988-2299
Critical access hospital (rural, 25 beds or fewer) Emergency department CMS star rating 4 of 5 CCN 181320 · CMS hospital register
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Kentucky | Off list |
|---|---|---|---|---|---|
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XR Ankle Complete 3+ Views Left | $146.55 | $244.25 | $134.34–$207.61 | 58% below | 40% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XR Ankle Complete 3+ Views Right | $146.55 | $244.25 | $134.34–$207.61 | 58% below | 40% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XR Ankle Complete 3+ Views Left | $146.55 | $244.25 | $134.34–$207.61 | 58% below | 40% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XR Ankle Complete 3+ Views Right | $146.55 | $244.25 | $134.34–$207.61 | 58% below | 40% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR Ankle Complete 3+ Views Right | $146.55 | $244.25 | $134.34–$207.61 | — | 40% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR Ankle Complete 3+ Views Left | $146.55 | $244.25 | $134.34–$207.61 | — | 40% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR Ankle Complete 3+ Views Right | $146.55 | $244.25 | $134.34–$207.61 | — | 40% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR Ankle Complete 3+ Views Left | $146.55 | $244.25 | $134.34–$207.61 | — | 40% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 XR Esophagus | $287.85 | $479.75 | $263.86–$407.79 | 32% below | 40% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 XR Esophagus | $287.85 | $479.75 | $263.86–$407.79 | 32% below | 40% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 XR Esophagus | $287.85 | $479.75 | $263.86–$407.79 | — | 40% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 XR Esophagus | $287.85 | $479.75 | $263.86–$407.79 | — | 40% |
| Breast ultrasound, complete, one breast one side CPT 76641 US Breast Complete Right. | $208.95 | $348.25 | $191.54–$296.01 | 46% below | 40% |
| Breast ultrasound, complete, one breast one side CPT 76641 US Breast Complete Left. | $208.95 | $348.25 | $191.54–$296.01 | 46% below | 40% |
| Breast ultrasound, complete, one breast one side CPT 76641 US Breast Complete Left. | $208.95 | $348.25 | $191.54–$296.01 | 46% below | 40% |
| Breast ultrasound, complete, one breast one side CPT 76641 US Breast Complete Right. | $208.95 | $348.25 | $191.54–$296.01 | 46% below | 40% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 US Breast Complete Right. | $208.95 | $348.25 | $191.54–$296.01 | — | 40% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 US Breast Complete Left. | $208.95 | $348.25 | $191.54–$296.01 | — | 40% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 US Breast Complete Left. | $208.95 | $348.25 | $191.54–$296.01 | — | 40% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 US Breast Complete Right. | $208.95 | $348.25 | $191.54–$296.01 | — | 40% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US Breast Limited Right. | $208.95 | $348.25 | $191.54–$296.01 | 36% below | 40% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US Breast Limited Right. | $208.95 | $348.25 | $191.54–$296.01 | 36% below | 40% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US Breast Limited Left. | $208.95 | $348.25 | $191.54–$296.01 | 36% below | 40% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US Breast Limited Left. | $208.95 | $348.25 | $191.54–$296.01 | 36% below | 40% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US Breast Limited Left. | $208.95 | $348.25 | $191.54–$296.01 | — | 40% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US Breast Limited Left. | $208.95 | $348.25 | $191.54–$296.01 | — | 40% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US Breast Limited Right. | $208.95 | $348.25 | $191.54–$296.01 | — | 40% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US Breast Limited Right. | $208.95 | $348.25 | $191.54–$296.01 | — | 40% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT Angio Chest PE Protocol | $1,495.80 | $2,493.00 | $452.00–$2,119.05 | 1% above | 40% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT Angio Chest PE Protocol | $1,495.80 | $2,493.00 | $452.00–$2,119.05 | 1% above | 40% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT Angio Chest PE Protocol | $1,495.80 | $2,493.00 | $452.00–$2,119.05 | — | 40% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT Angio Chest PE Protocol | $1,495.80 | $2,493.00 | $452.00–$2,119.05 | — | 40% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 75574 CTA Interpretation and Reporting | $182.10 | $303.50 | $89.81–$343.08 | 86% below | 40% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT Angio Coronary Artery Str/Mph/Fnt Cnt | $182.10 | $303.50 | $89.81–$343.08 | 86% below | 40% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT Angio Coronary Artery Str/Mph/Fnt Cnt - Report | $187.50 | $312.50 | $89.81–$343.08 | 86% below | 40% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT Angio Coronary Artery Str/Mph/Fnt Cnt - Report | $187.50 | $312.50 | $89.81–$343.08 | 86% below | 40% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT Angio Coronary Artery Str/Mph/Fnt Cnt | $1,909.65 | $3,182.75 | $452.00–$2,705.34 | 44% above | 40% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 75574 CTA Interpretation and Reporting | $1,909.65 | $3,182.75 | $1,750.51–$2,546.20 | 44% above | 40% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 75574 CTA Interpretation and Reporting | $182.10 | $303.50 | $89.81–$343.08 | — | 40% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 75574 CTA Interpretation and Reporting | $182.10 | $303.50 | $89.81–$343.08 | — | 40% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CT Angio Coronary Artery Str/Mph/Fnt Cnt | $182.10 | $303.50 | $89.81–$343.08 | — | 40% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CT Angio Coronary Artery Str/Mph/Fnt Cnt - Report | $187.50 | $312.50 | $89.81–$343.08 | — | 40% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CT Angio Coronary Artery Str/Mph/Fnt Cnt - Report | $187.50 | $312.50 | $89.81–$343.08 | — | 40% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CT Angio Coronary Artery Str/Mph/Fnt Cnt | $1,909.65 | $3,182.75 | $452.00–$2,705.34 | — | 40% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT Heart Calcium Scoring | $59.40 | $99.00 | $54.45–$552.00 | 46% below | 40% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT Heart Calcium Scoring | $59.40 | $99.00 | $54.45–$552.00 | 46% below | 40% |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT Heart Calcium Scoring | $59.40 | $99.00 | $54.45–$552.00 | — | 40% |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT Heart Calcium Scoring | $59.40 | $99.00 | $54.45–$552.00 | — | 40% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT Abdomen and Pelvis w/o Contrast | $1,617.15 | $2,695.25 | $452.00–$2,290.96 | 22% below | 40% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT Abdomen and Pelvis w/o Contrast | $1,617.15 | $2,695.25 | $452.00–$2,290.96 | 22% below | 40% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT Abdomen and Pelvis w/o Contrast | $1,617.15 | $2,695.25 | $452.00–$2,290.96 | — | 40% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT Abdomen and Pelvis w/o Contrast | $1,617.15 | $2,695.25 | $452.00–$2,290.96 | — | 40% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abdomen and Pelvis w/ Contrast | $1,834.50 | $3,057.50 | $452.00–$2,598.88 | 26% below | 40% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abdomen and Pelvis w/ Contrast | $1,834.50 | $3,057.50 | $452.00–$2,598.88 | 26% below | 40% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Abdomen and Pelvis w/ Contrast | $1,834.50 | $3,057.50 | $452.00–$2,598.88 | — | 40% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Abdomen and Pelvis w/ Contrast | $1,834.50 | $3,057.50 | $452.00–$2,598.88 | — | 40% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT Abdomen and Pelvis w/ + w/o Contrast | $2,711.85 | $4,519.75 | $452.00–$3,841.79 | 1% below | 40% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT Abdomen and Pelvis w/ + w/o Contrast | $2,711.85 | $4,519.75 | $452.00–$3,841.79 | 1% below | 40% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT Abdomen and Pelvis w/ + w/o Contrast | $2,711.85 | $4,519.75 | $452.00–$3,841.79 | — | 40% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT Abdomen and Pelvis w/ + w/o Contrast | $2,711.85 | $4,519.75 | $452.00–$3,841.79 | — | 40% |
| CT scan of the abdomen with contrast CPT 74160 CT Abdomen w/ Contrast | $1,049.85 | $1,749.75 | $452.00–$1,487.29 | 19% below | 40% |
| CT scan of the abdomen with contrast CPT 74160 CT Abdomen w/ Contrast | $1,049.85 | $1,749.75 | $452.00–$1,487.29 | 19% below | 40% |
| CT scan of the abdomen with contrast inpatient CPT 74160 CT Abdomen w/ Contrast | $1,049.85 | $1,749.75 | $452.00–$1,487.29 | — | 40% |
| CT scan of the abdomen with contrast inpatient CPT 74160 CT Abdomen w/ Contrast | $1,049.85 | $1,749.75 | $452.00–$1,487.29 | — | 40% |
| CT scan of the abdomen without contrast CPT 74150 CT Abdomen w/o Contrast | $982.35 | $1,637.25 | $452.00–$1,391.66 | 19% below | 40% |
| CT scan of the abdomen without contrast CPT 74150 CT Abdomen w/o Contrast | $982.35 | $1,637.25 | $452.00–$1,391.66 | 19% below | 40% |
| CT scan of the abdomen without contrast inpatient CPT 74150 CT Abdomen w/o Contrast | $982.35 | $1,637.25 | $452.00–$1,391.66 | — | 40% |
| CT scan of the abdomen without contrast inpatient CPT 74150 CT Abdomen w/o Contrast | $982.35 | $1,637.25 | $452.00–$1,391.66 | — | 40% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT Maxillofacial w/o Contrast | $1,054.35 | $1,757.25 | $452.00–$1,493.66 | 9% below | 40% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT Maxillofacial w/o Contrast | $1,054.35 | $1,757.25 | $452.00–$1,493.66 | 9% below | 40% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT Maxillofacial w/o Contrast | $1,054.35 | $1,757.25 | $452.00–$1,493.66 | — | 40% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT Maxillofacial w/o Contrast | $1,054.35 | $1,757.25 | $452.00–$1,493.66 | — | 40% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT Head w/o Contrast | $900.00 | $1,500.00 | $452.00–$1,275.00 | 22% below | 40% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT Head w/o Contrast | $900.00 | $1,500.00 | $452.00–$1,275.00 | 22% below | 40% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Head w/o Contrast | $900.00 | $1,500.00 | $452.00–$1,275.00 | — | 40% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Head w/o Contrast | $900.00 | $1,500.00 | $452.00–$1,275.00 | — | 40% |
| CT scan of the head with contrast CPT 70460 CT Head w/ Contrast | $926.25 | $1,543.75 | $452.00–$1,312.19 | 29% below | 40% |
| CT scan of the head with contrast CPT 70460 CT Head w/ Contrast | $926.25 | $1,543.75 | $452.00–$1,312.19 | 29% below | 40% |
| CT scan of the head with contrast inpatient CPT 70460 CT Head w/ Contrast | $926.25 | $1,543.75 | $452.00–$1,312.19 | — | 40% |
| CT scan of the head with contrast inpatient CPT 70460 CT Head w/ Contrast | $926.25 | $1,543.75 | $452.00–$1,312.19 | — | 40% |
| CT scan of the head without and with contrast CPT 70470 CT Head w/ + w/o Contrast | $1,440.30 | $2,400.50 | $452.00–$2,040.43 | 4% below | 40% |
| CT scan of the head without and with contrast CPT 70470 CT Head w/ + w/o Contrast | $1,440.30 | $2,400.50 | $452.00–$2,040.43 | 4% below | 40% |
| CT scan of the head without and with contrast inpatient CPT 70470 CT Head w/ + w/o Contrast | $1,440.30 | $2,400.50 | $452.00–$2,040.43 | — | 40% |
| CT scan of the head without and with contrast inpatient CPT 70470 CT Head w/ + w/o Contrast | $1,440.30 | $2,400.50 | $452.00–$2,040.43 | — | 40% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT Spine Lumbar w/o Contrast | $1,386.30 | $2,310.50 | $452.00–$1,963.93 | at median | 40% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT Spine Lumbar w/o Contrast | $1,386.30 | $2,310.50 | $452.00–$1,963.93 | at median | 40% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT Spine Lumbar w/o Contrast | $1,386.30 | $2,310.50 | $452.00–$1,963.93 | — | 40% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT Spine Lumbar w/o Contrast | $1,386.30 | $2,310.50 | $452.00–$1,963.93 | — | 40% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT Spine Cervical w/o Contrast | $1,437.15 | $2,395.25 | $452.00–$2,035.96 | 5% above | 40% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT Spine Cervical w/o Contrast | $1,437.15 | $2,395.25 | $452.00–$2,035.96 | 5% above | 40% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT Spine Cervical w/o Contrast | $1,437.15 | $2,395.25 | $452.00–$2,035.96 | — | 40% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT Spine Cervical w/o Contrast | $1,437.15 | $2,395.25 | $452.00–$2,035.96 | — | 40% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis w/ Contrast | $786.30 | $1,310.50 | $452.00–$1,113.93 | 42% below | 40% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis w/ Contrast | $786.30 | $1,310.50 | $452.00–$1,113.93 | 42% below | 40% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT Pelvis w/ Contrast | $786.30 | $1,310.50 | $452.00–$1,113.93 | — | 40% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT Pelvis w/ Contrast | $786.30 | $1,310.50 | $452.00–$1,113.93 | — | 40% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 US Temporal Artery Bilat | $827.10 | $1,378.50 | $758.18–$1,171.73 | — | 40% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 US Temporal Artery Bilat | $827.10 | $1,378.50 | $758.18–$1,171.73 | — | 40% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 US Carotid Duplex Bilateral | $827.10 | $1,378.50 | $758.18–$1,171.73 | — | 40% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 US Carotid Duplex Bilateral | $827.10 | $1,378.50 | $758.18–$1,171.73 | — | 40% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 US Temporal Artery Bilat | $827.10 | $1,378.50 | $758.18–$1,171.73 | — | 40% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 US Temporal Artery Bilat | $827.10 | $1,378.50 | $758.18–$1,171.73 | — | 40% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 US Carotid Duplex Bilateral | $827.10 | $1,378.50 | $758.18–$1,171.73 | — | 40% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 US Carotid Duplex Bilateral | $827.10 | $1,378.50 | $758.18–$1,171.73 | — | 40% |
| Chest X-ray, 2 views CPT 71046 XR Chest 2 Views | $146.55 | $244.25 | $134.34–$207.61 | 42% below | 40% |
| Chest X-ray, 2 views CPT 71046 XR Chest 2 Views | $146.55 | $244.25 | $134.34–$207.61 | 42% below | 40% |
| Chest X-ray, 2 views inpatient CPT 71046 XR Chest 2 Views | $146.55 | $244.25 | $134.34–$207.61 | — | 40% |
| Chest X-ray, 2 views inpatient CPT 71046 XR Chest 2 Views | $146.55 | $244.25 | $134.34–$207.61 | — | 40% |
| Chest X-ray, single view CPT 71045 XR Chest 1 View | $106.20 | $177.00 | $97.35–$150.45 | 43% below | 40% |
| Chest X-ray, single view CPT 71045 XR Chest 1 View | $106.20 | $177.00 | $97.35–$150.45 | 43% below | 40% |
| Chest X-ray, single view inpatient CPT 71045 XR Chest 1 View | $106.20 | $177.00 | $97.35–$150.45 | — | 40% |
| Chest X-ray, single view inpatient CPT 71045 XR Chest 1 View | $106.20 | $177.00 | $97.35–$150.45 | — | 40% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US Retroperitoneal Complete | $694.20 | $1,157.00 | $636.35–$983.45 | 2% below | 40% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US Retroperitoneal Complete | $694.20 | $1,157.00 | $636.35–$983.45 | 2% below | 40% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US Retroperitoneal Complete | $694.20 | $1,157.00 | $636.35–$983.45 | — | 40% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US Retroperitoneal Complete | $694.20 | $1,157.00 | $636.35–$983.45 | — | 40% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Chest High Resolution | $798.45 | $1,330.75 | $452.00–$1,131.14 | 26% below | 40% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Chest High Resolution | $798.45 | $1,330.75 | $452.00–$1,131.14 | 26% below | 40% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Chest w/o Contrast | $957.15 | $1,595.25 | $452.00–$1,355.96 | 12% below | 40% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Chest w/o Contrast | $957.15 | $1,595.25 | $452.00–$1,355.96 | 12% below | 40% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT Chest High Resolution | $798.45 | $1,330.75 | $452.00–$1,131.14 | — | 40% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT Chest High Resolution | $798.45 | $1,330.75 | $452.00–$1,131.14 | — | 40% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT Chest w/o Contrast | $957.15 | $1,595.25 | $452.00–$1,355.96 | — | 40% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT Chest w/o Contrast | $957.15 | $1,595.25 | $452.00–$1,355.96 | — | 40% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT Chest w/ Contrast | $1,049.85 | $1,749.75 | $452.00–$1,487.29 | 21% below | 40% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT Chest w/ Contrast | $1,049.85 | $1,749.75 | $452.00–$1,487.29 | 21% below | 40% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT Chest w/ Contrast | $1,049.85 | $1,749.75 | $452.00–$1,487.29 | — | 40% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT Chest w/ Contrast | $1,049.85 | $1,749.75 | $452.00–$1,487.29 | — | 40% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MG Mammo Digital Diagnostic Bilat. | $266.70 | $444.50 | $244.48–$377.83 | — | 40% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MG Mammo Diagnostic Bilateral w/ Tomo. | $266.70 | $444.50 | $244.48–$377.83 | — | 40% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MG Mammo Digital Diagnostic Bilat. | $266.70 | $444.50 | $244.48–$377.83 | — | 40% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MG Mammo Implant Diag Bilateral w/ Tomo. | $266.70 | $444.50 | $244.48–$377.83 | — | 40% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MG Mammo Diagnostic Bilateral w/ Tomo. | $266.70 | $444.50 | $244.48–$377.83 | — | 40% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MG Mammo Implant Diag Bilateral w/ Tomo. | $266.70 | $444.50 | $244.48–$377.83 | — | 40% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MG Mammo Diagnostic Bilateral w/ Tomo. | $266.70 | $444.50 | $244.48–$377.83 | — | 40% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MG Mammo Digital Diagnostic Bilat. | $266.70 | $444.50 | $244.48–$377.83 | — | 40% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MG Mammo Implant Diag Bilateral w/ Tomo. | $266.70 | $444.50 | $244.48–$377.83 | — | 40% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MG Mammo Implant Diag Bilateral w/ Tomo. | $266.70 | $444.50 | $244.48–$377.83 | — | 40% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MG Mammo Digital Diagnostic Bilat. | $266.70 | $444.50 | $244.48–$377.83 | — | 40% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MG Mammo Diagnostic Bilateral w/ Tomo. | $266.70 | $444.50 | $244.48–$377.83 | — | 40% |
| Diagnostic mammogram, one breast one side CPT 77065 MG Mammo Implant Diag Right w/ Tomo. | $259.95 | $433.25 | $238.29–$368.26 | 12% above | 40% |
| Diagnostic mammogram, one breast one side CPT 77065 MG Mammo Implant Diag Left w/ Tomo. | $259.95 | $433.25 | $238.29–$368.26 | 12% above | 40% |
| Diagnostic mammogram, one breast one side CPT 77065 MG Mammo Digital Diagnostic Left. | $259.95 | $433.25 | $238.29–$368.26 | 12% above | 40% |
| Diagnostic mammogram, one breast one side CPT 77065 MG Mammo Digital Diagnostic Right. | $259.95 | $433.25 | $238.29–$368.26 | 12% above | 40% |
| Diagnostic mammogram, one breast one side CPT 77065 MG Mammo Implant Diag Left w/ Tomo. | $259.95 | $433.25 | $238.29–$368.26 | 12% above | 40% |
| Diagnostic mammogram, one breast one side CPT 77065 MG Mammo Implant Diag Right w/ Tomo. | $259.95 | $433.25 | $238.29–$368.26 | 12% above | 40% |
| Diagnostic mammogram, one breast one side CPT 77065 MG Mammo Digital Diagnostic Right. | $259.95 | $433.25 | $238.29–$368.26 | 12% above | 40% |
| Diagnostic mammogram, one breast one side CPT 77065 MG Mammo Diagnostic Right w/ Tomo. | $259.95 | $433.25 | $238.29–$368.26 | 12% above | 40% |
| Diagnostic mammogram, one breast one side CPT 77065 MG Mammo Diagnostic Left w/ Tomo. | $259.95 | $433.25 | $238.29–$368.26 | 12% above | 40% |
| Diagnostic mammogram, one breast one side CPT 77065 MG Mammo Digital Diagnostic Left. | $259.95 | $433.25 | $238.29–$368.26 | 12% above | 40% |
| Diagnostic mammogram, one breast one side CPT 77065 MG Mammo Diagnostic Right w/ Tomo. | $259.95 | $433.25 | $238.29–$368.26 | 12% above | 40% |
| Diagnostic mammogram, one breast one side CPT 77065 MG Mammo Diagnostic Left w/ Tomo. | $259.95 | $433.25 | $238.29–$368.26 | 12% above | 40% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MG Mammo Implant Diag Right w/ Tomo. | $259.95 | $433.25 | $238.29–$368.26 | — | 40% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MG Mammo Implant Diag Right w/ Tomo. | $259.95 | $433.25 | $238.29–$368.26 | — | 40% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MG Mammo Implant Diag Left w/ Tomo. | $259.95 | $433.25 | $238.29–$368.26 | — | 40% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MG Mammo Digital Diagnostic Right. | $259.95 | $433.25 | $238.29–$368.26 | — | 40% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MG Mammo Digital Diagnostic Left. | $259.95 | $433.25 | $238.29–$368.26 | — | 40% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MG Mammo Diagnostic Left w/ Tomo. | $259.95 | $433.25 | $238.29–$368.26 | — | 40% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MG Mammo Diagnostic Right w/ Tomo. | $259.95 | $433.25 | $238.29–$368.26 | — | 40% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MG Mammo Digital Diagnostic Left. | $259.95 | $433.25 | $238.29–$368.26 | — | 40% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MG Mammo Digital Diagnostic Right. | $259.95 | $433.25 | $238.29–$368.26 | — | 40% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MG Mammo Implant Diag Left w/ Tomo. | $259.95 | $433.25 | $238.29–$368.26 | — | 40% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MG Mammo Diagnostic Right w/ Tomo. | $259.95 | $433.25 | $238.29–$368.26 | — | 40% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MG Mammo Diagnostic Left w/ Tomo. | $259.95 | $433.25 | $238.29–$368.26 | — | 40% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US Lower Ext Arterial Duplex Bilateral | $1,001.10 | $1,668.50 | $917.68–$1,418.23 | — | 40% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US Lower Ext Arterial Duplex Bilateral | $1,001.10 | $1,668.50 | $917.68–$1,418.23 | — | 40% |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 US Lower Ext Arterial Duplex Bilateral | $1,001.10 | $1,668.50 | $917.68–$1,418.23 | — | 40% |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 US Lower Ext Arterial Duplex Bilateral | $1,001.10 | $1,668.50 | $917.68–$1,418.23 | — | 40% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US Upper Ext Venous Duplex Bilateral | $1,001.10 | $1,668.50 | $917.68–$1,418.23 | — | 40% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US Upper Ext Venous Duplex Bilateral | $1,001.10 | $1,668.50 | $917.68–$1,418.23 | — | 40% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US Lower Ext Venous Duplex Bilateral | $1,001.10 | $1,668.50 | $917.68–$1,418.23 | — | 40% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US Lower Ext Venous Duplex Bilateral | $1,001.10 | $1,668.50 | $917.68–$1,418.23 | — | 40% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US Upper Ext Venous Duplex Bilateral | $1,001.10 | $1,668.50 | $917.68–$1,418.23 | — | 40% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US Upper Ext Venous Duplex Bilateral | $1,001.10 | $1,668.50 | $917.68–$1,418.23 | — | 40% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US Lower Ext Venous Duplex Bilateral | $1,001.10 | $1,668.50 | $917.68–$1,418.23 | — | 40% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US Lower Ext Venous Duplex Bilateral | $1,001.10 | $1,668.50 | $917.68–$1,418.23 | — | 40% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 US Echo 2D Complete | $1,752.30 | $2,920.50 | $1,606.28–$2,482.43 | 2% above | 40% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 US Echo 2D Complete | $1,752.30 | $2,920.50 | $1,606.28–$2,482.43 | 2% above | 40% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 US Echo 2D Complete | $1,752.30 | $2,920.50 | $1,606.28–$2,482.43 | — | 40% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 US Echo 2D Complete | $1,752.30 | $2,920.50 | $1,606.28–$2,482.43 | — | 40% |
| Knee X-ray, 3 views one side CPT 73562 XR Knee 3 Views Left | $113.25 | $188.75 | $103.81–$160.44 | 68% below | 40% |
| Knee X-ray, 3 views one side CPT 73562 XR Knee 3 Views Right | $113.25 | $188.75 | $103.81–$160.44 | 68% below | 40% |
| Knee X-ray, 3 views one side CPT 73562 XR Knee 3 Views Left | $113.25 | $188.75 | $103.81–$160.44 | 68% below | 40% |
| Knee X-ray, 3 views one side CPT 73562 XR Knee 3 Views Right | $113.25 | $188.75 | $103.81–$160.44 | 68% below | 40% |
| Knee X-ray, 3 views inpatient one side CPT 73562 XR Knee 3 Views Right | $113.25 | $188.75 | $103.81–$160.44 | — | 40% |
| Knee X-ray, 3 views inpatient one side CPT 73562 XR Knee 3 Views Left | $113.25 | $188.75 | $103.81–$160.44 | — | 40% |
| Knee X-ray, 3 views inpatient one side CPT 73562 XR Knee 3 Views Right | $113.25 | $188.75 | $103.81–$160.44 | — | 40% |
| Knee X-ray, 3 views inpatient one side CPT 73562 XR Knee 3 Views Left | $113.25 | $188.75 | $103.81–$160.44 | — | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Pancreas | $243.90 | $406.50 | $223.58–$345.53 | 59% below | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Pancreas | $243.90 | $406.50 | $223.58–$345.53 | 59% below | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Gallbladder/Pancreas | $253.65 | $422.75 | $232.51–$359.34 | 57% below | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Gallbladder/Liver/Pancreas | $253.65 | $422.75 | $232.51–$359.34 | 57% below | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Gallbladder/Pancreas | $253.65 | $422.75 | $232.51–$359.34 | 57% below | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US LUQ | $253.65 | $422.75 | $232.51–$359.34 | 57% below | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Liver/Pancreas | $253.65 | $422.75 | $232.51–$359.34 | 57% below | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US LUQ | $253.65 | $422.75 | $232.51–$359.34 | 57% below | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Liver/Pancreas | $253.65 | $422.75 | $232.51–$359.34 | 57% below | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Gallbladder/Liver | $253.65 | $422.75 | $232.51–$359.34 | 57% below | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Gallbladder | $253.65 | $422.75 | $232.51–$359.34 | 57% below | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Spleen | $253.65 | $422.75 | $232.51–$359.34 | 57% below | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Abdomen Limited | $253.65 | $422.75 | $232.51–$359.34 | 57% below | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Gallbladder/Liver | $253.65 | $422.75 | $232.51–$359.34 | 57% below | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Fast Abdomen | $253.65 | $422.75 | $232.51–$359.34 | 57% below | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Fast Abdomen | $253.65 | $422.75 | $232.51–$359.34 | 57% below | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Liver (Hepatic) | $253.65 | $422.75 | $232.51–$359.34 | 57% below | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Gallbladder/Liver/Pancreas | $253.65 | $422.75 | $232.51–$359.34 | 57% below | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Gallbladder | $253.65 | $422.75 | $232.51–$359.34 | 57% below | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Appendix | $253.65 | $422.75 | $232.51–$359.34 | 57% below | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Spleen | $253.65 | $422.75 | $232.51–$359.34 | 57% below | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Abdomen Limited | $253.65 | $422.75 | $232.51–$359.34 | 57% below | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Liver (Hepatic) | $253.65 | $422.75 | $232.51–$359.34 | 57% below | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Appendix | $253.65 | $422.75 | $232.51–$359.34 | 57% below | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABI | $253.65 | $422.75 | $232.51–$359.34 | 57% below | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABI | $253.65 | $422.75 | $232.51–$359.34 | 57% below | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder one side CPT 76705 US RUQ Right Upper Quadrant | $253.65 | $422.75 | $232.51–$359.34 | 57% below | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder one side CPT 76705 US RUQ Right Upper Quadrant | $253.65 | $422.75 | $232.51–$359.34 | 57% below | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Pancreas | $243.90 | $406.50 | $223.58–$345.53 | — | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Pancreas | $243.90 | $406.50 | $223.58–$345.53 | — | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABI | $253.65 | $422.75 | $232.51–$359.34 | — | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Liver/Pancreas | $253.65 | $422.75 | $232.51–$359.34 | — | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Abdomen Limited | $253.65 | $422.75 | $232.51–$359.34 | — | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Appendix | $253.65 | $422.75 | $232.51–$359.34 | — | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABI | $253.65 | $422.75 | $232.51–$359.34 | — | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Liver (Hepatic) | $253.65 | $422.75 | $232.51–$359.34 | — | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Spleen | $253.65 | $422.75 | $232.51–$359.34 | — | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Gallbladder | $253.65 | $422.75 | $232.51–$359.34 | — | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Fast Abdomen | $253.65 | $422.75 | $232.51–$359.34 | — | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Gallbladder/Liver | $253.65 | $422.75 | $232.51–$359.34 | — | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Gallbladder/Liver/Pancreas | $253.65 | $422.75 | $232.51–$359.34 | — | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Gallbladder/Pancreas | $253.65 | $422.75 | $232.51–$359.34 | — | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US LUQ | $253.65 | $422.75 | $232.51–$359.34 | — | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Liver/Pancreas | $253.65 | $422.75 | $232.51–$359.34 | — | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Abdomen Limited | $253.65 | $422.75 | $232.51–$359.34 | — | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Appendix | $253.65 | $422.75 | $232.51–$359.34 | — | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Liver (Hepatic) | $253.65 | $422.75 | $232.51–$359.34 | — | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Spleen | $253.65 | $422.75 | $232.51–$359.34 | — | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Gallbladder | $253.65 | $422.75 | $232.51–$359.34 | — | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Fast Abdomen | $253.65 | $422.75 | $232.51–$359.34 | — | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Gallbladder/Liver | $253.65 | $422.75 | $232.51–$359.34 | — | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Gallbladder/Liver/Pancreas | $253.65 | $422.75 | $232.51–$359.34 | — | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Gallbladder/Pancreas | $253.65 | $422.75 | $232.51–$359.34 | — | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US LUQ | $253.65 | $422.75 | $232.51–$359.34 | — | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient one side CPT 76705 US RUQ Right Upper Quadrant | $253.65 | $422.75 | $232.51–$359.34 | — | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient one side CPT 76705 US RUQ Right Upper Quadrant | $253.65 | $422.75 | $232.51–$359.34 | — | 40% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT Low Dose Lung Scan | $133.05 | $221.75 | $121.96–$552.00 | 75% below | 40% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT Low Dose Lung Scan | $133.05 | $221.75 | $121.96–$552.00 | 75% below | 40% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT Low Dose Lung Scan | $133.05 | $221.75 | $121.96–$552.00 | — | 40% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT Low Dose Lung Scan | $133.05 | $221.75 | $121.96–$552.00 | — | 40% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LE Joint w/o Contrast Left | $1,421.40 | $2,369.00 | $565.00–$2,013.65 | 12% below | 40% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LE Joint w/o Contrast Right | $1,421.40 | $2,369.00 | $565.00–$2,013.65 | 12% below | 40% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LE Joint w/o Contrast Left | $1,421.40 | $2,369.00 | $565.00–$2,013.65 | 12% below | 40% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LE Joint w/o Contrast Right | $1,421.40 | $2,369.00 | $565.00–$2,013.65 | 12% below | 40% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Ankle w/o Contrast Left | $1,460.85 | $2,434.75 | $565.00–$2,069.54 | 9% below | 40% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Ankle w/o Contrast Left | $1,460.85 | $2,434.75 | $565.00–$2,069.54 | 9% below | 40% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Ankle w/o Contrast Right | $1,460.85 | $2,434.75 | $565.00–$2,069.54 | 9% below | 40% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Knee w/o Contrast Right | $1,460.85 | $2,434.75 | $565.00–$2,069.54 | 9% below | 40% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Knee w/o Contrast Left | $1,460.85 | $2,434.75 | $565.00–$2,069.54 | 9% below | 40% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Hip w/o Contrast Right | $1,460.85 | $2,434.75 | $565.00–$2,069.54 | 9% below | 40% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Hip w/o Contrast Left | $1,460.85 | $2,434.75 | $565.00–$2,069.54 | 9% below | 40% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Ankle w/o Contrast Right | $1,460.85 | $2,434.75 | $565.00–$2,069.54 | 9% below | 40% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Knee w/o Contrast Right | $1,460.85 | $2,434.75 | $565.00–$2,069.54 | 9% below | 40% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Knee w/o Contrast Left | $1,460.85 | $2,434.75 | $565.00–$2,069.54 | 9% below | 40% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Hip w/o Contrast Left | $1,460.85 | $2,434.75 | $565.00–$2,069.54 | 9% below | 40% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Hip w/o Contrast Right | $1,460.85 | $2,434.75 | $565.00–$2,069.54 | 9% below | 40% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI LE Joint w/o Contrast Right | $1,421.40 | $2,369.00 | $565.00–$2,013.65 | — | 40% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI LE Joint w/o Contrast Right | $1,421.40 | $2,369.00 | $565.00–$2,013.65 | — | 40% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI LE Joint w/o Contrast Left | $1,421.40 | $2,369.00 | $565.00–$2,013.65 | — | 40% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI LE Joint w/o Contrast Left | $1,421.40 | $2,369.00 | $565.00–$2,013.65 | — | 40% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Hip w/o Contrast Right | $1,460.85 | $2,434.75 | $565.00–$2,069.54 | — | 40% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Ankle w/o Contrast Left | $1,460.85 | $2,434.75 | $565.00–$2,069.54 | — | 40% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Ankle w/o Contrast Right | $1,460.85 | $2,434.75 | $565.00–$2,069.54 | — | 40% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Hip w/o Contrast Left | $1,460.85 | $2,434.75 | $565.00–$2,069.54 | — | 40% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Knee w/o Contrast Left | $1,460.85 | $2,434.75 | $565.00–$2,069.54 | — | 40% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Knee w/o Contrast Right | $1,460.85 | $2,434.75 | $565.00–$2,069.54 | — | 40% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Ankle w/o Contrast Left | $1,460.85 | $2,434.75 | $565.00–$2,069.54 | — | 40% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Ankle w/o Contrast Right | $1,460.85 | $2,434.75 | $565.00–$2,069.54 | — | 40% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Hip w/o Contrast Left | $1,460.85 | $2,434.75 | $565.00–$2,069.54 | — | 40% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Hip w/o Contrast Right | $1,460.85 | $2,434.75 | $565.00–$2,069.54 | — | 40% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Knee w/o Contrast Left | $1,460.85 | $2,434.75 | $565.00–$2,069.54 | — | 40% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Knee w/o Contrast Right | $1,460.85 | $2,434.75 | $565.00–$2,069.54 | — | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Knee w/ + w/o Contrast Left | $1,854.00 | $3,090.00 | $565.00–$2,626.50 | 19% below | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Knee w/ + w/o Contrast Left | $1,854.00 | $3,090.00 | $565.00–$2,626.50 | 19% below | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Knee w/ + w/o Contrast Right | $1,854.00 | $3,090.00 | $565.00–$2,626.50 | 19% below | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI LE Joint w/ + w/o Contrast Left | $1,854.00 | $3,090.00 | $565.00–$2,626.50 | 19% below | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI LE Joint w/ + w/o Contrast Right | $1,854.00 | $3,090.00 | $565.00–$2,626.50 | 19% below | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI LE Joint w/ + w/o Contrast Right | $1,854.00 | $3,090.00 | $565.00–$2,626.50 | 19% below | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI LE Joint w/ + w/o Contrast Left | $1,854.00 | $3,090.00 | $565.00–$2,626.50 | 19% below | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Knee w/ + w/o Contrast Right | $1,854.00 | $3,090.00 | $565.00–$2,626.50 | 19% below | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Ankle w/ + w/o Contrast Right | $2,246.10 | $3,743.50 | $565.00–$3,181.98 | 2% below | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Hip w/ + w/o Contrast Right | $2,246.10 | $3,743.50 | $565.00–$3,181.98 | 2% below | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Hip w/ + w/o Contrast Left | $2,246.10 | $3,743.50 | $565.00–$3,181.98 | 2% below | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Hip w/ + w/o Contrast Right | $2,246.10 | $3,743.50 | $565.00–$3,181.98 | 2% below | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Ankle w/ + w/o Contrast Right | $2,246.10 | $3,743.50 | $565.00–$3,181.98 | 2% below | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Ankle w/ + w/o Contrast Left | $2,246.10 | $3,743.50 | $565.00–$3,181.98 | 2% below | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Ankle w/ + w/o Contrast Left | $2,246.10 | $3,743.50 | $565.00–$3,181.98 | 2% below | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Hip w/ + w/o Contrast Left | $2,246.10 | $3,743.50 | $565.00–$3,181.98 | 2% below | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Knee w/ + w/o Contrast Left | $1,854.00 | $3,090.00 | $565.00–$2,626.50 | — | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI LE Joint w/ + w/o Contrast Left | $1,854.00 | $3,090.00 | $565.00–$2,626.50 | — | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI LE Joint w/ + w/o Contrast Right | $1,854.00 | $3,090.00 | $565.00–$2,626.50 | — | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Knee w/ + w/o Contrast Left | $1,854.00 | $3,090.00 | $565.00–$2,626.50 | — | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI LE Joint w/ + w/o Contrast Right | $1,854.00 | $3,090.00 | $565.00–$2,626.50 | — | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Knee w/ + w/o Contrast Right | $1,854.00 | $3,090.00 | $565.00–$2,626.50 | — | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Knee w/ + w/o Contrast Right | $1,854.00 | $3,090.00 | $565.00–$2,626.50 | — | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI LE Joint w/ + w/o Contrast Left | $1,854.00 | $3,090.00 | $565.00–$2,626.50 | — | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Hip w/ + w/o Contrast Left | $2,246.10 | $3,743.50 | $565.00–$3,181.98 | — | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Ankle w/ + w/o Contrast Left | $2,246.10 | $3,743.50 | $565.00–$3,181.98 | — | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Ankle w/ + w/o Contrast Right | $2,246.10 | $3,743.50 | $565.00–$3,181.98 | — | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Hip w/ + w/o Contrast Right | $2,246.10 | $3,743.50 | $565.00–$3,181.98 | — | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Hip w/ + w/o Contrast Right | $2,246.10 | $3,743.50 | $565.00–$3,181.98 | — | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Hip w/ + w/o Contrast Left | $2,246.10 | $3,743.50 | $565.00–$3,181.98 | — | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Ankle w/ + w/o Contrast Right | $2,246.10 | $3,743.50 | $565.00–$3,181.98 | — | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Ankle w/ + w/o Contrast Left | $2,246.10 | $3,743.50 | $565.00–$3,181.98 | — | 40% |
| MRI of the abdomen without contrast CPT 74181 MRI MRCP | $1,404.75 | $2,341.25 | $565.00–$1,990.06 | 15% below | 40% |
| MRI of the abdomen without contrast CPT 74181 MRI MRCP | $1,404.75 | $2,341.25 | $565.00–$1,990.06 | 15% below | 40% |
| MRI of the abdomen without contrast CPT 74181 MRI Abdomen w/o Contrast | $1,460.85 | $2,434.75 | $565.00–$2,069.54 | 12% below | 40% |
| MRI of the abdomen without contrast CPT 74181 MRI Abdomen w/o Contrast | $1,460.85 | $2,434.75 | $565.00–$2,069.54 | 12% below | 40% |
| MRI of the abdomen without contrast inpatient CPT 74181 MRI MRCP | $1,404.75 | $2,341.25 | $565.00–$1,990.06 | — | 40% |
| MRI of the abdomen without contrast inpatient CPT 74181 MRI MRCP | $1,404.75 | $2,341.25 | $565.00–$1,990.06 | — | 40% |
| MRI of the abdomen without contrast inpatient CPT 74181 MRI Abdomen w/o Contrast | $1,460.85 | $2,434.75 | $565.00–$2,069.54 | — | 40% |
| MRI of the abdomen without contrast inpatient CPT 74181 MRI Abdomen w/o Contrast | $1,460.85 | $2,434.75 | $565.00–$2,069.54 | — | 40% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI Abdomen w/ + w/o Contrast | $2,470.95 | $4,118.25 | $565.00–$3,500.51 | 9% above | 40% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI Abdomen w/ + w/o Contrast | $2,470.95 | $4,118.25 | $565.00–$3,500.51 | 9% above | 40% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI Abdomen w/ + w/o Contrast | $2,470.95 | $4,118.25 | $565.00–$3,500.51 | — | 40% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI Abdomen w/ + w/o Contrast | $2,470.95 | $4,118.25 | $565.00–$3,500.51 | — | 40% |
| MRI of the brain, no contrast dye CPT 70551 MRI Brain w/o Contrast | $1,460.85 | $2,434.75 | $565.00–$2,069.54 | 11% below | 40% |
| MRI of the brain, no contrast dye CPT 70551 MRI Brain w/o Contrast | $1,460.85 | $2,434.75 | $565.00–$2,069.54 | 11% below | 40% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI Brain w/o Contrast | $1,460.85 | $2,434.75 | $565.00–$2,069.54 | — | 40% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI Brain w/o Contrast | $1,460.85 | $2,434.75 | $565.00–$2,069.54 | — | 40% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI Brain w/ + w/o Contrast | $2,635.05 | $4,391.75 | $565.00–$3,732.99 | 22% above | 40% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI Brain w/ + w/o Contrast | $2,635.05 | $4,391.75 | $565.00–$3,732.99 | 22% above | 40% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI Brain w/ + w/o Contrast | $2,635.05 | $4,391.75 | $565.00–$3,732.99 | — | 40% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI Brain w/ + w/o Contrast | $2,635.05 | $4,391.75 | $565.00–$3,732.99 | — | 40% |
| MRI of the lower back, no contrast dye CPT 72148 MRI Spine Lumbar w/o Contrast | $1,460.85 | $2,434.75 | $565.00–$2,069.54 | 10% below | 40% |
| MRI of the lower back, no contrast dye CPT 72148 MRI Spine Lumbar w/o Contrast | $1,460.85 | $2,434.75 | $565.00–$2,069.54 | 10% below | 40% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI Spine Lumbar w/o Contrast | $1,460.85 | $2,434.75 | $565.00–$2,069.54 | — | 40% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI Spine Lumbar w/o Contrast | $1,460.85 | $2,434.75 | $565.00–$2,069.54 | — | 40% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI Spine Lumbar w/ + w/o Contrast | $2,246.10 | $3,743.50 | $565.00–$3,181.98 | 1% below | 40% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI Spine Lumbar w/ + w/o Contrast | $2,246.10 | $3,743.50 | $565.00–$3,181.98 | 1% below | 40% |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI Spine Lumbar w/ + w/o Contrast | $2,246.10 | $3,743.50 | $565.00–$3,181.98 | — | 40% |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI Spine Lumbar w/ + w/o Contrast | $2,246.10 | $3,743.50 | $565.00–$3,181.98 | — | 40% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI Spine Thoracic w/o Contrast | $1,460.85 | $2,434.75 | $565.00–$2,069.54 | 17% below | 40% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI Spine Thoracic w/o Contrast | $1,460.85 | $2,434.75 | $565.00–$2,069.54 | 17% below | 40% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI Spine Thoracic w/o Contrast | $1,460.85 | $2,434.75 | $565.00–$2,069.54 | — | 40% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI Spine Thoracic w/o Contrast | $1,460.85 | $2,434.75 | $565.00–$2,069.54 | — | 40% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI Spine Cervical w/ + w/o Contrast | $2,246.10 | $3,743.50 | $565.00–$3,181.98 | 2% below | 40% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI Spine Cervical w/ + w/o Contrast | $2,246.10 | $3,743.50 | $565.00–$3,181.98 | 2% below | 40% |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI Spine Cervical w/ + w/o Contrast | $2,246.10 | $3,743.50 | $565.00–$3,181.98 | — | 40% |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI Spine Cervical w/ + w/o Contrast | $2,246.10 | $3,743.50 | $565.00–$3,181.98 | — | 40% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI Spine Cervical w/o Contrast | $1,460.85 | $2,434.75 | $565.00–$2,069.54 | 8% below | 40% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI Spine Cervical w/o Contrast | $1,460.85 | $2,434.75 | $565.00–$2,069.54 | 8% below | 40% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI Spine Cervical w/o Contrast | $1,460.85 | $2,434.75 | $565.00–$2,069.54 | — | 40% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI Spine Cervical w/o Contrast | $1,460.85 | $2,434.75 | $565.00–$2,069.54 | — | 40% |
| MRI of the pelvis without and with contrast CPT 72197 MRI Pelvis w/ + w/o Contrast | $1,854.00 | $3,090.00 | $565.00–$2,626.50 | 17% below | 40% |
| MRI of the pelvis without and with contrast CPT 72197 MRI Pelvis w/ + w/o Contrast | $1,854.00 | $3,090.00 | $565.00–$2,626.50 | 17% below | 40% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 MRI Pelvis w/ + w/o Contrast | $1,854.00 | $3,090.00 | $565.00–$2,626.50 | — | 40% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 MRI Pelvis w/ + w/o Contrast | $1,854.00 | $3,090.00 | $565.00–$2,626.50 | — | 40% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI Pelvis w/o Contrast | $1,421.40 | $2,369.00 | $565.00–$2,013.65 | 17% below | 40% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI Pelvis w/o Contrast | $1,421.40 | $2,369.00 | $565.00–$2,013.65 | 17% below | 40% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI Pelvis w/o Contrast | $1,421.40 | $2,369.00 | $565.00–$2,013.65 | — | 40% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI Pelvis w/o Contrast | $1,421.40 | $2,369.00 | $565.00–$2,013.65 | — | 40% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Shoulder w/o Contrast Right | $1,359.60 | $2,266.00 | $565.00–$1,926.10 | 15% below | 40% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Shoulder w/o Contrast Left | $1,359.60 | $2,266.00 | $565.00–$1,926.10 | 15% below | 40% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Shoulder w/o Contrast Left | $1,359.60 | $2,266.00 | $565.00–$1,926.10 | 15% below | 40% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Shoulder w/o Contrast Right | $1,359.60 | $2,266.00 | $565.00–$1,926.10 | 15% below | 40% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Wrist w/o Contrast Left | $1,421.40 | $2,369.00 | $565.00–$2,013.65 | 11% below | 40% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Wrist w/o Contrast Right | $1,421.40 | $2,369.00 | $565.00–$2,013.65 | 11% below | 40% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Wrist w/o Contrast Right | $1,421.40 | $2,369.00 | $565.00–$2,013.65 | 11% below | 40% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Wrist w/o Contrast Left | $1,421.40 | $2,369.00 | $565.00–$2,013.65 | 11% below | 40% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Elbow w/o Contrast Right | $1,514.10 | $2,523.50 | $565.00–$2,144.98 | 6% below | 40% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Elbow w/o Contrast Left | $1,514.10 | $2,523.50 | $565.00–$2,144.98 | 6% below | 40% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Elbow w/o Contrast Right | $1,514.10 | $2,523.50 | $565.00–$2,144.98 | 6% below | 40% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Elbow w/o Contrast Left | $1,514.10 | $2,523.50 | $565.00–$2,144.98 | 6% below | 40% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UE Joint w/o Contrast Right | $1,540.35 | $2,567.25 | $565.00–$2,182.16 | 4% below | 40% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UE Joint w/o Contrast Left | $1,540.35 | $2,567.25 | $565.00–$2,182.16 | 4% below | 40% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UE Joint w/o Contrast Left | $1,540.35 | $2,567.25 | $565.00–$2,182.16 | 4% below | 40% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UE Joint w/o Contrast Right | $1,540.35 | $2,567.25 | $565.00–$2,182.16 | 4% below | 40% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Shoulder w/o Contrast Right | $1,359.60 | $2,266.00 | $565.00–$1,926.10 | — | 40% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Shoulder w/o Contrast Right | $1,359.60 | $2,266.00 | $565.00–$1,926.10 | — | 40% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Shoulder w/o Contrast Left | $1,359.60 | $2,266.00 | $565.00–$1,926.10 | — | 40% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Shoulder w/o Contrast Left | $1,359.60 | $2,266.00 | $565.00–$1,926.10 | — | 40% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Wrist w/o Contrast Right | $1,421.40 | $2,369.00 | $565.00–$2,013.65 | — | 40% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Wrist w/o Contrast Left | $1,421.40 | $2,369.00 | $565.00–$2,013.65 | — | 40% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Wrist w/o Contrast Right | $1,421.40 | $2,369.00 | $565.00–$2,013.65 | — | 40% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Wrist w/o Contrast Left | $1,421.40 | $2,369.00 | $565.00–$2,013.65 | — | 40% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Elbow w/o Contrast Left | $1,514.10 | $2,523.50 | $565.00–$2,144.98 | — | 40% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Elbow w/o Contrast Right | $1,514.10 | $2,523.50 | $565.00–$2,144.98 | — | 40% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Elbow w/o Contrast Left | $1,514.10 | $2,523.50 | $565.00–$2,144.98 | — | 40% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Elbow w/o Contrast Right | $1,514.10 | $2,523.50 | $565.00–$2,144.98 | — | 40% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI UE Joint w/o Contrast Left | $1,540.35 | $2,567.25 | $565.00–$2,182.16 | — | 40% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI UE Joint w/o Contrast Right | $1,540.35 | $2,567.25 | $565.00–$2,182.16 | — | 40% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI UE Joint w/o Contrast Left | $1,540.35 | $2,567.25 | $565.00–$2,182.16 | — | 40% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI UE Joint w/o Contrast Right | $1,540.35 | $2,567.25 | $565.00–$2,182.16 | — | 40% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US Pelvic Ltd | $237.00 | $395.00 | $217.25–$335.75 | 41% below | 40% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US Pelvic Ltd | $237.00 | $395.00 | $217.25–$335.75 | 41% below | 40% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US Bladder Scan | $345.60 | $576.00 | $316.80–$489.60 | 14% below | 40% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US Bladder Scan | $345.60 | $576.00 | $316.80–$489.60 | 14% below | 40% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US Pelvic Ltd | $237.00 | $395.00 | $217.25–$335.75 | — | 40% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US Pelvic Ltd | $237.00 | $395.00 | $217.25–$335.75 | — | 40% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US Bladder Scan | $345.60 | $576.00 | $316.80–$489.60 | — | 40% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US Bladder Scan | $345.60 | $576.00 | $316.80–$489.60 | — | 40% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US Pelvic Complete | $360.15 | $600.25 | $330.14–$510.21 | 45% below | 40% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US Pelvic Complete | $360.15 | $600.25 | $330.14–$510.21 | 45% below | 40% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US Pelvic Complete | $360.15 | $600.25 | $330.14–$510.21 | — | 40% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US Pelvic Complete | $360.15 | $600.25 | $330.14–$510.21 | — | 40% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB Greater Than 14 Weeks | $297.90 | $496.50 | $273.08–$422.03 | 31% below | 40% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB Greater Than 14 Weeks | $297.90 | $496.50 | $273.08–$422.03 | 31% below | 40% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB Greater Than 14 Weeks | $297.90 | $496.50 | $273.08–$422.03 | — | 40% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB Greater Than 14 Weeks | $297.90 | $496.50 | $273.08–$422.03 | — | 40% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB < 14 weeks | $297.90 | $496.50 | $273.08–$422.03 | 43% below | 40% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB < 14 weeks | $297.90 | $496.50 | $273.08–$422.03 | 43% below | 40% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US OB < 14 weeks | $297.90 | $496.50 | $273.08–$422.03 | — | 40% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US OB < 14 weeks | $297.90 | $496.50 | $273.08–$422.03 | — | 40% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB Limited | $297.90 | $496.50 | $273.08–$422.03 | 39% below | 40% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB Limited | $297.90 | $496.50 | $273.08–$422.03 | 39% below | 40% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US OB Limited | $297.90 | $496.50 | $273.08–$422.03 | — | 40% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US OB Limited | $297.90 | $496.50 | $273.08–$422.03 | — | 40% |
| Screening mammogram, both breasts both sides CPT 77067 MG Mammo Screening Bilateral w/ Tomo. | $266.70 | $444.50 | $244.48–$377.83 | — | 40% |
| Screening mammogram, both breasts both sides CPT 77067 MG Mammo Digital Screening Bilateral. | $266.70 | $444.50 | $244.48–$377.83 | — | 40% |
| Screening mammogram, both breasts both sides CPT 77067 MG Mammo Screening Bilateral w/ Tomo. | $266.70 | $444.50 | $244.48–$377.83 | — | 40% |
| Screening mammogram, both breasts both sides CPT 77067 MG Mammo Digital Screening Bilateral. | $266.70 | $444.50 | $244.48–$377.83 | — | 40% |
| Screening mammogram, both breasts CPT 77067 MG Mammo Implant Screening Bil w/ Tomo. | $266.70 | $444.50 | $244.48–$377.83 | 49% above | 40% |
| Screening mammogram, both breasts CPT 77067 MG Mammo Implant Screening Bil w/ Tomo. | $266.70 | $444.50 | $244.48–$377.83 | 49% above | 40% |
| Screening mammogram, both breasts one side CPT 77067 MG Mammo Screening Right w/ Tomo. | $266.70 | $444.50 | $244.48–$377.83 | 49% above | 40% |
| Screening mammogram, both breasts one side CPT 77067 MG Mammo Screening Left w/ Tomo. | $266.70 | $444.50 | $244.48–$377.83 | 49% above | 40% |
| Screening mammogram, both breasts one side CPT 77067 MG Mammo Implant Screening Rt w/ Tomo. | $266.70 | $444.50 | $244.48–$377.83 | 49% above | 40% |
| Screening mammogram, both breasts one side CPT 77067 MG Mammo Implant Screening Lt w/ Tomo. | $266.70 | $444.50 | $244.48–$377.83 | 49% above | 40% |
| Screening mammogram, both breasts one side CPT 77067 MG Mammo Screening Right w/ Tomo. | $266.70 | $444.50 | $244.48–$377.83 | 49% above | 40% |
| Screening mammogram, both breasts one side CPT 77067 MG Mammo Implant Screening Lt w/ Tomo. | $266.70 | $444.50 | $244.48–$377.83 | 49% above | 40% |
| Screening mammogram, both breasts one side CPT 77067 MG Mammo Implant Screening Rt w/ Tomo. | $266.70 | $444.50 | $244.48–$377.83 | 49% above | 40% |
| Screening mammogram, both breasts one side CPT 77067 MG Mammo Screening Left w/ Tomo. | $266.70 | $444.50 | $244.48–$377.83 | 49% above | 40% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 MG Mammo Screening Bilateral w/ Tomo. | $266.70 | $444.50 | $244.48–$377.83 | — | 40% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 MG Mammo Screening Bilateral w/ Tomo. | $266.70 | $444.50 | $244.48–$377.83 | — | 40% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 MG Mammo Digital Screening Bilateral. | $266.70 | $444.50 | $244.48–$377.83 | — | 40% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 MG Mammo Digital Screening Bilateral. | $266.70 | $444.50 | $244.48–$377.83 | — | 40% |
| Screening mammogram, both breasts inpatient CPT 77067 MG Mammo Implant Screening Bil w/ Tomo. | $266.70 | $444.50 | $244.48–$377.83 | — | 40% |
| Screening mammogram, both breasts inpatient CPT 77067 MG Mammo Implant Screening Bil w/ Tomo. | $266.70 | $444.50 | $244.48–$377.83 | — | 40% |
| Screening mammogram, both breasts inpatient one side CPT 77067 MG Mammo Implant Screening Lt w/ Tomo. | $266.70 | $444.50 | $244.48–$377.83 | — | 40% |
| Screening mammogram, both breasts inpatient one side CPT 77067 MG Mammo Screening Right w/ Tomo. | $266.70 | $444.50 | $244.48–$377.83 | — | 40% |
| Screening mammogram, both breasts inpatient one side CPT 77067 MG Mammo Implant Screening Rt w/ Tomo. | $266.70 | $444.50 | $244.48–$377.83 | — | 40% |
| Screening mammogram, both breasts inpatient one side CPT 77067 MG Mammo Screening Left w/ Tomo. | $266.70 | $444.50 | $244.48–$377.83 | — | 40% |
| Screening mammogram, both breasts inpatient one side CPT 77067 MG Mammo Screening Right w/ Tomo. | $266.70 | $444.50 | $244.48–$377.83 | — | 40% |
| Screening mammogram, both breasts inpatient one side CPT 77067 MG Mammo Implant Screening Rt w/ Tomo. | $266.70 | $444.50 | $244.48–$377.83 | — | 40% |
| Screening mammogram, both breasts inpatient one side CPT 77067 MG Mammo Implant Screening Lt w/ Tomo. | $266.70 | $444.50 | $244.48–$377.83 | — | 40% |
| Screening mammogram, both breasts inpatient one side CPT 77067 MG Mammo Screening Left w/ Tomo. | $266.70 | $444.50 | $244.48–$377.83 | — | 40% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR Shoulder Complete 2+ Views Left | $127.65 | $212.75 | $117.01–$180.84 | 64% below | 40% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR Shoulder Complete 2+ Views Right | $127.65 | $212.75 | $117.01–$180.84 | 64% below | 40% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR Shoulder Complete 2+ Views Left | $127.65 | $212.75 | $117.01–$180.84 | 64% below | 40% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR Shoulder Complete 2+ Views Right | $127.65 | $212.75 | $117.01–$180.84 | 64% below | 40% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR Shoulder Complete 2+ Views Right | $127.65 | $212.75 | $117.01–$180.84 | — | 40% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR Shoulder Complete 2+ Views Left | $127.65 | $212.75 | $117.01–$180.84 | — | 40% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR Shoulder Complete 2+ Views Right | $127.65 | $212.75 | $117.01–$180.84 | — | 40% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR Shoulder Complete 2+ Views Left | $127.65 | $212.75 | $117.01–$180.84 | — | 40% |
| Transvaginal pelvic ultrasound CPT 76830 US Transvaginal Non-OB | $451.95 | $753.25 | $414.29–$640.26 | 22% below | 40% |
| Transvaginal pelvic ultrasound CPT 76830 US Transvaginal Non-OB | $451.95 | $753.25 | $414.29–$640.26 | 22% below | 40% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US Transvaginal Non-OB | $451.95 | $753.25 | $414.29–$640.26 | — | 40% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US Transvaginal Non-OB | $451.95 | $753.25 | $414.29–$640.26 | — | 40% |
| Transvaginal ultrasound during pregnancy CPT 76817 US OB Transvaginal | $297.90 | $496.50 | $273.08–$422.03 | 31% below | 40% |
| Transvaginal ultrasound during pregnancy CPT 76817 US OB Transvaginal | $297.90 | $496.50 | $273.08–$422.03 | 31% below | 40% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 US OB Transvaginal | $297.90 | $496.50 | $273.08–$422.03 | — | 40% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 US OB Transvaginal | $297.90 | $496.50 | $273.08–$422.03 | — | 40% |
| Ultrasound of the abdomen, complete CPT 76700 US Gallbladder/Pancreas/Spleen | $571.20 | $952.00 | $523.60–$809.20 | 30% below | 40% |
| Ultrasound of the abdomen, complete CPT 76700 US Gallbladder/Pancreas/Spleen | $571.20 | $952.00 | $523.60–$809.20 | 30% below | 40% |
| Ultrasound of the abdomen, complete CPT 76700 US Abdomen Complete | $669.15 | $1,115.25 | $613.39–$947.96 | 18% below | 40% |
| Ultrasound of the abdomen, complete CPT 76700 US Abdomen Complete | $669.15 | $1,115.25 | $613.39–$947.96 | 18% below | 40% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US Gallbladder/Pancreas/Spleen | $571.20 | $952.00 | $523.60–$809.20 | — | 40% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US Gallbladder/Pancreas/Spleen | $571.20 | $952.00 | $523.60–$809.20 | — | 40% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US Abdomen Complete | $669.15 | $1,115.25 | $613.39–$947.96 | — | 40% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US Abdomen Complete | $669.15 | $1,115.25 | $613.39–$947.96 | — | 40% |
| Ultrasound of the scrotum and testicles CPT 76870 US Scrotum (Contents) | $360.15 | $600.25 | $330.14–$510.21 | 37% below | 40% |
| Ultrasound of the scrotum and testicles CPT 76870 US Scrotum (Contents) w/ Doppler if ind | $360.15 | $600.25 | $330.14–$510.21 | 37% below | 40% |
| Ultrasound of the scrotum and testicles CPT 76870 US Scrotum (Contents) w/ Doppler if ind | $360.15 | $600.25 | $330.14–$510.21 | 37% below | 40% |
| Ultrasound of the scrotum and testicles CPT 76870 US Scrotum (Contents) | $360.15 | $600.25 | $330.14–$510.21 | 37% below | 40% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 US Scrotum (Contents) w/ Doppler if ind | $360.15 | $600.25 | $330.14–$510.21 | — | 40% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 US Scrotum (Contents) | $360.15 | $600.25 | $330.14–$510.21 | — | 40% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 US Scrotum (Contents) w/ Doppler if ind | $360.15 | $600.25 | $330.14–$510.21 | — | 40% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 US Scrotum (Contents) | $360.15 | $600.25 | $330.14–$510.21 | — | 40% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Thyroid | $360.15 | $600.25 | $330.14–$510.21 | 36% below | 40% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Head/Neck Soft Tissue | $360.15 | $600.25 | $330.14–$510.21 | 36% below | 40% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Thyroid | $360.15 | $600.25 | $330.14–$510.21 | 36% below | 40% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Head/Neck Soft Tissue | $360.15 | $600.25 | $330.14–$510.21 | 36% below | 40% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US Thyroid | $360.15 | $600.25 | $330.14–$510.21 | — | 40% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US Head/Neck Soft Tissue | $360.15 | $600.25 | $330.14–$510.21 | — | 40% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US Thyroid | $360.15 | $600.25 | $330.14–$510.21 | — | 40% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US Head/Neck Soft Tissue | $360.15 | $600.25 | $330.14–$510.21 | — | 40% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR Upper GI | $226.50 | $377.50 | $207.63–$320.88 | 47% below | 40% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR Upper GI w/ Small Bowel | $226.50 | $377.50 | $207.63–$320.88 | 47% below | 40% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR Upper GI | $226.50 | $377.50 | $207.63–$320.88 | 47% below | 40% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR Upper GI w/ Small Bowel | $226.50 | $377.50 | $207.63–$320.88 | 47% below | 40% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 XR Upper GI w/ Small Bowel | $226.50 | $377.50 | $207.63–$320.88 | — | 40% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 XR Upper GI | $226.50 | $377.50 | $207.63–$320.88 | — | 40% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 XR Upper GI w/ Small Bowel | $226.50 | $377.50 | $207.63–$320.88 | — | 40% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 XR Upper GI | $226.50 | $377.50 | $207.63–$320.88 | — | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Upper Ext Venous Duplex Right | $777.75 | $1,296.25 | $712.94–$1,101.81 | 32% above | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Lower Ext Venous Duplex Left | $777.75 | $1,296.25 | $712.94–$1,101.81 | 32% above | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Lower Ext Venous Duplex Right | $777.75 | $1,296.25 | $712.94–$1,101.81 | 32% above | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Upper Ext Venous Duplex Left | $777.75 | $1,296.25 | $712.94–$1,101.81 | 32% above | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Upper Ext Venous Duplex Right | $777.75 | $1,296.25 | $712.94–$1,101.81 | 32% above | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Lower Ext Venous Duplex Left | $777.75 | $1,296.25 | $712.94–$1,101.81 | 32% above | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Lower Ext Venous Duplex Right | $777.75 | $1,296.25 | $712.94–$1,101.81 | 32% above | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Upper Ext Venous Duplex Left | $777.75 | $1,296.25 | $712.94–$1,101.81 | 32% above | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US Upper Ext Venous Duplex Left | $777.75 | $1,296.25 | $712.94–$1,101.81 | — | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US Lower Ext Venous Duplex Left | $777.75 | $1,296.25 | $712.94–$1,101.81 | — | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US Lower Ext Venous Duplex Right | $777.75 | $1,296.25 | $712.94–$1,101.81 | — | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US Upper Ext Venous Duplex Right | $777.75 | $1,296.25 | $712.94–$1,101.81 | — | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US Upper Ext Venous Duplex Left | $777.75 | $1,296.25 | $712.94–$1,101.81 | — | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US Lower Ext Venous Duplex Right | $777.75 | $1,296.25 | $712.94–$1,101.81 | — | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US Lower Ext Venous Duplex Left | $777.75 | $1,296.25 | $712.94–$1,101.81 | — | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US Upper Ext Venous Duplex Right | $777.75 | $1,296.25 | $712.94–$1,101.81 | — | 40% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist Complete 3+ Views Left | $127.65 | $212.75 | $117.01–$180.84 | 61% below | 40% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist Complete 3+ Views Right | $127.65 | $212.75 | $117.01–$180.84 | 61% below | 40% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist Complete 3+ Views Right | $127.65 | $212.75 | $117.01–$180.84 | 61% below | 40% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist Complete 3+ Views Left | $127.65 | $212.75 | $117.01–$180.84 | 61% below | 40% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR Wrist Complete 3+ Views Right | $127.65 | $212.75 | $117.01–$180.84 | — | 40% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR Wrist Complete 3+ Views Left | $127.65 | $212.75 | $117.01–$180.84 | — | 40% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR Wrist Complete 3+ Views Right | $127.65 | $212.75 | $117.01–$180.84 | — | 40% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR Wrist Complete 3+ Views Left | $127.65 | $212.75 | $117.01–$180.84 | — | 40% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip 2-3 Views w/AP Pelvis Left | $117.15 | $195.25 | $107.39–$165.96 | 50% below | 40% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip 2-3 Views w/AP Pelvis Right | $117.15 | $195.25 | $107.39–$165.96 | 50% below | 40% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip 2-3 Views w/AP Pelvis Left | $117.15 | $195.25 | $107.39–$165.96 | 50% below | 40% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip 2-3 Views w/AP Pelvis Right | $117.15 | $195.25 | $107.39–$165.96 | 50% below | 40% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR Hip 2-3 Views w/AP Pelvis Left | $117.15 | $195.25 | $107.39–$165.96 | — | 40% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR Hip 2-3 Views w/AP Pelvis Right | $117.15 | $195.25 | $107.39–$165.96 | — | 40% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR Hip 2-3 Views w/AP Pelvis Left | $117.15 | $195.25 | $107.39–$165.96 | — | 40% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR Hip 2-3 Views w/AP Pelvis Right | $117.15 | $195.25 | $107.39–$165.96 | — | 40% |
| X-ray of the abdomen, 1 view CPT 74018 XR Abdomen 1 View | $94.95 | $158.25 | $87.04–$134.51 | 64% below | 40% |
| X-ray of the abdomen, 1 view CPT 74018 XR Abdomen 1 View | $94.95 | $158.25 | $87.04–$134.51 | 64% below | 40% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 XR Abdomen 1 View | $94.95 | $158.25 | $87.04–$134.51 | — | 40% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 XR Abdomen 1 View | $94.95 | $158.25 | $87.04–$134.51 | — | 40% |
| X-ray of the ankle, 2 views one side CPT 73600 XR Ankle 2 Views Left | $103.50 | $172.50 | $94.88–$146.63 | 61% below | 40% |
| X-ray of the ankle, 2 views one side CPT 73600 XR Ankle 2 Views Right | $103.50 | $172.50 | $94.88–$146.63 | 61% below | 40% |
| X-ray of the ankle, 2 views one side CPT 73600 XR Ankle 2 Views Left | $103.50 | $172.50 | $94.88–$146.63 | 61% below | 40% |
| X-ray of the ankle, 2 views one side CPT 73600 XR Ankle 2 Views Right | $103.50 | $172.50 | $94.88–$146.63 | 61% below | 40% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 XR Ankle 2 Views Left | $103.50 | $172.50 | $94.88–$146.63 | — | 40% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 XR Ankle 2 Views Left | $103.50 | $172.50 | $94.88–$146.63 | — | 40% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 XR Ankle 2 Views Right | $103.50 | $172.50 | $94.88–$146.63 | — | 40% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 XR Ankle 2 Views Right | $103.50 | $172.50 | $94.88–$146.63 | — | 40% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger(s) 2+ Views Left | $127.65 | $212.75 | $117.01–$180.84 | 47% below | 40% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger(s) 2+ Views Right | $127.65 | $212.75 | $117.01–$180.84 | 47% below | 40% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger(s) 2+ Views Left | $127.65 | $212.75 | $117.01–$180.84 | 47% below | 40% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger(s) 2+ Views Right | $127.65 | $212.75 | $117.01–$180.84 | 47% below | 40% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger(s) 2+ Views Left | $127.65 | $212.75 | $117.01–$180.84 | — | 40% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger(s) 2+ Views Left | $127.65 | $212.75 | $117.01–$180.84 | — | 40% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger(s) 2+ Views Right | $127.65 | $212.75 | $117.01–$180.84 | — | 40% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger(s) 2+ Views Right | $127.65 | $212.75 | $117.01–$180.84 | — | 40% |
| X-ray of the foot, 2 views one side CPT 73620 XR Foot 2 Views Right | $113.25 | $188.75 | $103.81–$160.44 | 62% below | 40% |
| X-ray of the foot, 2 views one side CPT 73620 XR Foot 2 Views Left | $113.25 | $188.75 | $103.81–$160.44 | 62% below | 40% |
| X-ray of the foot, 2 views one side CPT 73620 XR Foot 2 Views Left | $113.25 | $188.75 | $103.81–$160.44 | 62% below | 40% |
| X-ray of the foot, 2 views one side CPT 73620 XR Foot 2 Views Right | $113.25 | $188.75 | $103.81–$160.44 | 62% below | 40% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 XR Foot 2 Views Right | $113.25 | $188.75 | $103.81–$160.44 | — | 40% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 XR Foot 2 Views Left | $113.25 | $188.75 | $103.81–$160.44 | — | 40% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 XR Foot 2 Views Right | $113.25 | $188.75 | $103.81–$160.44 | — | 40% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 XR Foot 2 Views Left | $113.25 | $188.75 | $103.81–$160.44 | — | 40% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XR Foot Complete 3+ Views Left | $146.55 | $244.25 | $134.34–$207.61 | 56% below | 40% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XR Foot Complete 3+ Views Right | $146.55 | $244.25 | $134.34–$207.61 | 56% below | 40% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XR Foot Complete 3+ Views Left | $146.55 | $244.25 | $134.34–$207.61 | 56% below | 40% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XR Foot Complete 3+ Views Right | $146.55 | $244.25 | $134.34–$207.61 | 56% below | 40% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR Foot Complete 3+ Views Left | $146.55 | $244.25 | $134.34–$207.61 | — | 40% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR Foot Complete 3+ Views Right | $146.55 | $244.25 | $134.34–$207.61 | — | 40% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR Foot Complete 3+ Views Left | $146.55 | $244.25 | $134.34–$207.61 | — | 40% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR Foot Complete 3+ Views Right | $146.55 | $244.25 | $134.34–$207.61 | — | 40% |
| X-ray of the hand, 3 or more views one side CPT 73130 XR Hand Complete 3+ Views Left | $146.55 | $244.25 | $134.34–$207.61 | 60% below | 40% |
| X-ray of the hand, 3 or more views one side CPT 73130 XR Hand Complete 3+ Views Right | $146.55 | $244.25 | $134.34–$207.61 | 60% below | 40% |
| X-ray of the hand, 3 or more views one side CPT 73130 XR Hand Complete 3+ Views Left | $146.55 | $244.25 | $134.34–$207.61 | 60% below | 40% |
| X-ray of the hand, 3 or more views one side CPT 73130 XR Hand Complete 3+ Views Right | $146.55 | $244.25 | $134.34–$207.61 | 60% below | 40% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR Hand Complete 3+ Views Left | $146.55 | $244.25 | $134.34–$207.61 | — | 40% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR Hand Complete 3+ Views Right | $146.55 | $244.25 | $134.34–$207.61 | — | 40% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR Hand Complete 3+ Views Left | $146.55 | $244.25 | $134.34–$207.61 | — | 40% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR Hand Complete 3+ Views Right | $146.55 | $244.25 | $134.34–$207.61 | — | 40% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR Knee 1 or 2 Views Left | $89.55 | $149.25 | $82.09–$126.86 | 68% below | 40% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR Knee 1 or 2 Views Right | $89.55 | $149.25 | $82.09–$126.86 | 68% below | 40% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR Knee 1 or 2 Views Right | $89.55 | $149.25 | $82.09–$126.86 | 68% below | 40% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR Knee 1 or 2 Views Left | $89.55 | $149.25 | $82.09–$126.86 | 68% below | 40% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR Knee 1 or 2 Views Right | $89.55 | $149.25 | $82.09–$126.86 | — | 40% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR Knee 1 or 2 Views Left | $89.55 | $149.25 | $82.09–$126.86 | — | 40% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR Knee 1 or 2 Views Right | $89.55 | $149.25 | $82.09–$126.86 | — | 40% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR Knee 1 or 2 Views Left | $89.55 | $149.25 | $82.09–$126.86 | — | 40% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR Spine Lumbosacral 2 or 3 Views | $133.50 | $222.50 | $122.38–$189.13 | 62% below | 40% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR Spine Lumbosacral 2 or 3 Views | $133.50 | $222.50 | $122.38–$189.13 | 62% below | 40% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR Spine Lumbosacral 2 or 3 Views | $133.50 | $222.50 | $122.38–$189.13 | — | 40% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR Spine Lumbosacral 2 or 3 Views | $133.50 | $222.50 | $122.38–$189.13 | — | 40% |
| X-ray of the lower back, 4 or more views CPT 72110 XR Spine Lumbosacral 4+ Views | $114.75 | $191.25 | $105.19–$162.56 | 78% below | 40% |
| X-ray of the lower back, 4 or more views CPT 72110 XR Spine Lumbosacral 4+ Views | $114.75 | $191.25 | $105.19–$162.56 | 78% below | 40% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 XR Spine Lumbosacral 4+ Views | $114.75 | $191.25 | $105.19–$162.56 | — | 40% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 XR Spine Lumbosacral 4+ Views | $114.75 | $191.25 | $105.19–$162.56 | — | 40% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR Spine Thoracic 2 Views | $67.50 | $112.50 | $61.88–$95.63 | 78% below | 40% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR Spine Thoracic 2 Views | $67.50 | $112.50 | $61.88–$95.63 | 78% below | 40% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XR Spine Thoracic 2 Views | $67.50 | $112.50 | $61.88–$95.63 | — | 40% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XR Spine Thoracic 2 Views | $67.50 | $112.50 | $61.88–$95.63 | — | 40% |
| X-ray of the nasal bones, 3 or more views CPT 70160 XR Nasal Bones 3+ Views | $173.25 | $288.75 | $158.81–$245.44 | 43% below | 40% |
| X-ray of the nasal bones, 3 or more views CPT 70160 XR Nasal Bones 3+ Views | $173.25 | $288.75 | $158.81–$245.44 | 43% below | 40% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XR Nasal Bones 3+ Views | $173.25 | $288.75 | $158.81–$245.44 | — | 40% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XR Nasal Bones 3+ Views | $173.25 | $288.75 | $158.81–$245.44 | — | 40% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR Spine Cervical 2 or 3 Views | $187.50 | $312.50 | $171.88–$265.63 | 45% below | 40% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR Spine Cervical 2 or 3 Views | $187.50 | $312.50 | $171.88–$265.63 | 45% below | 40% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR Spine Cervical 2 or 3 Views | $187.50 | $312.50 | $171.88–$265.63 | — | 40% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR Spine Cervical 2 or 3 Views | $187.50 | $312.50 | $171.88–$265.63 | — | 40% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 XR Pelvis 1 or 2 Views | $161.85 | $269.75 | $148.36–$229.29 | 35% below | 40% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 XR Pelvis 1 or 2 Views | $161.85 | $269.75 | $148.36–$229.29 | 35% below | 40% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR Pelvis 1 or 2 Views | $161.85 | $269.75 | $148.36–$229.29 | — | 40% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR Pelvis 1 or 2 Views | $161.85 | $269.75 | $148.36–$229.29 | — | 40% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR Sacrum/Coccyx 2+ Views | $119.85 | $199.75 | $109.86–$169.79 | 59% below | 40% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR Sacrum/Coccyx 2+ Views | $119.85 | $199.75 | $109.86–$169.79 | 59% below | 40% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR Sacrum/Coccyx 2+ Views | $119.85 | $199.75 | $109.86–$169.79 | — | 40% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR Sacrum/Coccyx 2+ Views | $119.85 | $199.75 | $109.86–$169.79 | — | 40% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Kentucky | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Alanine aminotransferase | $45.60 | $76.00 | $4.50–$64.60 | 31% below | 40% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Alanine aminotransferase | $45.60 | $76.00 | $4.50–$64.60 | 31% below | 40% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Alanine aminotransferase | $45.60 | $76.00 | $4.50–$64.60 | — | 40% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Alanine aminotransferase | $45.60 | $76.00 | $4.50–$64.60 | — | 40% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Aspartate aminotransferase | $45.60 | $76.00 | $4.40–$64.60 | 31% below | 40% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Aspartate aminotransferase | $45.60 | $76.00 | $4.40–$64.60 | 31% below | 40% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Aspartate aminotransferase | $45.60 | $76.00 | $4.40–$64.60 | — | 40% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Aspartate aminotransferase | $45.60 | $76.00 | $4.40–$64.60 | — | 40% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Hep Panel (4) LC | $105.45 | $175.75 | $40.48–$149.39 | 66% below | 40% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Hep Panel (4) LC | $105.45 | $175.75 | $40.48–$149.39 | 66% below | 40% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Hep Panel (4) LC | $105.45 | $175.75 | $40.48–$149.39 | — | 40% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Hep Panel (4) LC | $105.45 | $175.75 | $40.48–$149.39 | — | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F001-IgE Egg White LC | $60.75 | $101.25 | $4.43–$86.06 | 390% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F001-IgE Egg White LC | $60.75 | $101.25 | $4.43–$86.06 | 390% above | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F001-IgE Egg White LC | $60.75 | $101.25 | $4.43–$86.06 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F001-IgE Egg White LC | $60.75 | $101.25 | $4.43–$86.06 | — | 40% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP Antibodies IgG/IgA LC | $101.70 | $169.50 | $11.00–$144.08 | 16% above | 40% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP Antibodies IgG/IgA LC | $101.70 | $169.50 | $11.00–$144.08 | 16% above | 40% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP Antibodies IgG/IgA LC | $101.70 | $169.50 | $11.00–$144.08 | — | 40% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP Antibodies IgG/IgA LC | $101.70 | $169.50 | $11.00–$144.08 | — | 40% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Antinuclear Ab (ANA) Qual, Multi Immunoassay LC | $13.05 | $21.75 | $10.27–$18.49 | 84% below | 40% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Antinuclear Ab (ANA) Qual, Multi Immunoassay LC | $13.05 | $21.75 | $10.27–$18.49 | 84% below | 40% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 86038 LC | $113.40 | $189.00 | $10.27–$160.65 | 37% above | 40% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 86038 LC | $113.40 | $189.00 | $10.27–$160.65 | 37% above | 40% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA w/Reflex if Positive LC T164863 Multiplex | $127.65 | $212.75 | $10.27–$180.84 | 55% above | 40% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA Direct LC | $127.65 | $212.75 | $10.27–$180.84 | 55% above | 40% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Anti-Nuclear Ab by IFA (RDL) LC | $127.65 | $212.75 | $10.27–$180.84 | 55% above | 40% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Anti-Nuclear Ab by IFA (RDL) LC | $127.65 | $212.75 | $10.27–$180.84 | 55% above | 40% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA w/Reflex if Positive LC T164863 Multiplex | $127.65 | $212.75 | $10.27–$180.84 | 55% above | 40% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Antinuclear Antibodies, IFA LC | $127.65 | $212.75 | $10.27–$180.84 | 55% above | 40% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA Direct LC | $127.65 | $212.75 | $10.27–$180.84 | 55% above | 40% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Antinuclear Antibodies, IFA LC | $127.65 | $212.75 | $10.27–$180.84 | 55% above | 40% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Antinuclear Ab (ANA) Qual, Multi Immunoassay LC | $13.05 | $21.75 | $10.27–$18.49 | — | 40% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Antinuclear Ab (ANA) Qual, Multi Immunoassay LC | $13.05 | $21.75 | $10.27–$18.49 | — | 40% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 86038 LC | $113.40 | $189.00 | $10.27–$160.65 | — | 40% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 86038 LC | $113.40 | $189.00 | $10.27–$160.65 | — | 40% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Antinuclear Antibodies, IFA LC | $127.65 | $212.75 | $10.27–$180.84 | — | 40% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA Direct LC | $127.65 | $212.75 | $10.27–$180.84 | — | 40% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Anti-Nuclear Ab by IFA (RDL) LC | $127.65 | $212.75 | $10.27–$180.84 | — | 40% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA w/Reflex if Positive LC T164863 Multiplex | $127.65 | $212.75 | $10.27–$180.84 | — | 40% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Antinuclear Antibodies, IFA LC | $127.65 | $212.75 | $10.27–$180.84 | — | 40% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA Direct LC | $127.65 | $212.75 | $10.27–$180.84 | — | 40% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Anti-Nuclear Ab by IFA (RDL) LC | $127.65 | $212.75 | $10.27–$180.84 | — | 40% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA w/Reflex if Positive LC T164863 Multiplex | $127.65 | $212.75 | $10.27–$180.84 | — | 40% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B-Type Natriuretic Peptide | $181.35 | $302.25 | $28.85–$256.91 | 8% below | 40% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B-Type Natriuretic Peptide | $181.35 | $302.25 | $28.85–$256.91 | 8% below | 40% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 N-Terminal Pro B-Type Natriuretic Peptide | $181.35 | $302.25 | $28.85–$256.91 | 8% below | 40% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 N-Terminal Pro B-Type Natriuretic Peptide | $181.35 | $302.25 | $28.85–$256.91 | 8% below | 40% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 B-Type Natriuretic Peptide | $181.35 | $302.25 | $28.85–$256.91 | — | 40% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 N-Terminal Pro B-Type Natriuretic Peptide | $181.35 | $302.25 | $28.85–$256.91 | — | 40% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 B-Type Natriuretic Peptide | $181.35 | $302.25 | $28.85–$256.91 | — | 40% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 N-Terminal Pro B-Type Natriuretic Peptide | $181.35 | $302.25 | $28.85–$256.91 | — | 40% |
| Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Panel | $109.35 | $182.25 | $5.69–$154.91 | 2% above | 40% |
| Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Panel | $109.35 | $182.25 | $5.69–$154.91 | 2% above | 40% |
| Basic metabolic panel (blood test) inpatient CPT 80048 Basic Metabolic Panel | $109.35 | $182.25 | $5.69–$154.91 | — | 40% |
| Basic metabolic panel (blood test) inpatient CPT 80048 Basic Metabolic Panel | $109.35 | $182.25 | $5.69–$154.91 | — | 40% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Bill Only 88305 Surg Path Level IV | $46.35 | $77.25 | $42.49–$65.66 | 74% below | 40% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Bill Only 88305 Surg Path Level IV | $46.35 | $77.25 | $42.49–$65.66 | 74% below | 40% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Bill Only 88305 Surg Path Level IV | $46.35 | $77.25 | $42.49–$65.66 | — | 40% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Bill Only 88305 Surg Path Level IV | $46.35 | $77.25 | $42.49–$65.66 | — | 40% |
| Blood culture for bacteria CPT 87040 Blood Culture, Routine LC | $64.65 | $107.75 | $8.77–$91.59 | 50% below | 40% |
| Blood culture for bacteria CPT 87040 Blood Culture, Routine LC | $64.65 | $107.75 | $8.77–$91.59 | 50% below | 40% |
| Blood culture for bacteria inpatient CPT 87040 Blood Culture, Routine LC | $64.65 | $107.75 | $8.77–$91.59 | — | 40% |
| Blood culture for bacteria inpatient CPT 87040 Blood Culture, Routine LC | $64.65 | $107.75 | $8.77–$91.59 | — | 40% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Bill Only Venipuncture | $12.60 | $21.00 | $5.00–$17.85 | 28% below | 40% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLLECTION: Venous Draw | $12.60 | $21.00 | $5.00–$17.85 | 28% below | 40% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLLECTION: Venous Draw | $12.60 | $21.00 | $5.00–$17.85 | 28% below | 40% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Bill Only Venipuncture | $12.60 | $21.00 | $5.00–$17.85 | 28% below | 40% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 36415 Collection of venous blood by venipuncture | $12.60 | $21.00 | $5.00–$16.80 | 28% below | 40% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 COLLECTION: Venous Draw | $12.60 | $21.00 | $5.00–$17.85 | — | 40% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Bill Only Venipuncture | $12.60 | $21.00 | $5.00–$17.85 | — | 40% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 COLLECTION: Venous Draw | $12.60 | $21.00 | $5.00–$17.85 | — | 40% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Bill Only Venipuncture | $12.60 | $21.00 | $5.00–$17.85 | — | 40% |
| Blood glucose (sugar) test CPT 82947 Glucose Level | $25.05 | $41.75 | $3.34–$35.49 | 59% below | 40% |
| Blood glucose (sugar) test CPT 82947 Glucose Level | $25.05 | $41.75 | $3.34–$35.49 | 59% below | 40% |
| Blood glucose (sugar) test inpatient CPT 82947 Glucose Level | $25.05 | $41.75 | $3.34–$35.49 | — | 40% |
| Blood glucose (sugar) test inpatient CPT 82947 Glucose Level | $25.05 | $41.75 | $3.34–$35.49 | — | 40% |
| Blood lead test CPT 83655 Lead, Bld (Adult) LC | $96.45 | $160.75 | $10.29–$136.64 | 6% above | 40% |
| Blood lead test CPT 83655 Arsenic Inorg Ur LC | $96.45 | $160.75 | $10.29–$136.64 | 6% above | 40% |
| Blood lead test CPT 83655 Lead Blood LC | $96.45 | $160.75 | $10.29–$136.64 | 6% above | 40% |
| Blood lead test CPT 83655 Lead Blood LC | $96.45 | $160.75 | $10.29–$136.64 | 6% above | 40% |
| Blood lead test CPT 83655 Lead, Bld (Adult) LC | $96.45 | $160.75 | $10.29–$136.64 | 6% above | 40% |
| Blood lead test CPT 83655 Arsenic Inorg Ur LC | $96.45 | $160.75 | $10.29–$136.64 | 6% above | 40% |
| Blood lead test inpatient CPT 83655 Lead, Bld (Adult) LC | $96.45 | $160.75 | $10.29–$136.64 | — | 40% |
| Blood lead test inpatient CPT 83655 Lead, Bld (Adult) LC | $96.45 | $160.75 | $10.29–$136.64 | — | 40% |
| Blood lead test inpatient CPT 83655 Lead Blood LC | $96.45 | $160.75 | $10.29–$136.64 | — | 40% |
| Blood lead test inpatient CPT 83655 Arsenic Inorg Ur LC | $96.45 | $160.75 | $10.29–$136.64 | — | 40% |
| Blood lead test inpatient CPT 83655 Lead Blood LC | $96.45 | $160.75 | $10.29–$136.64 | — | 40% |
| Blood lead test inpatient CPT 83655 Arsenic Inorg Ur LC | $96.45 | $160.75 | $10.29–$136.64 | — | 40% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Beta hCG Qualitative | $53.10 | $88.50 | $6.38–$75.23 | 43% below | 40% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Beta hCG Qualitative | $53.10 | $88.50 | $6.38–$75.23 | 43% below | 40% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Beta hCG Qualitative | $53.10 | $88.50 | $6.38–$75.23 | — | 40% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Beta hCG Qualitative | $53.10 | $88.50 | $6.38–$75.23 | — | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO/Rh | $47.70 | $79.50 | $2.54–$67.58 | 13% below | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO/Rh | $47.70 | $79.50 | $2.54–$67.58 | 13% below | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO/Rh | $47.70 | $79.50 | $2.54–$67.58 | — | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO/Rh | $47.70 | $79.50 | $2.54–$67.58 | — | 40% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CRP, Quant LC | $54.75 | $91.25 | $3.25–$77.56 | 17% below | 40% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CRP, Quant LC | $54.75 | $91.25 | $3.25–$77.56 | 17% below | 40% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 CRP, Quant LC | $54.75 | $91.25 | $3.25–$77.56 | — | 40% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 CRP, Quant LC | $54.75 | $91.25 | $3.25–$77.56 | — | 40% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C difficile Toxin Gene NAA LC | $219.15 | $365.25 | $29.83–$310.46 | 112% above | 40% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C difficile Toxin Gene NAA LC | $219.15 | $365.25 | $29.83–$310.46 | 112% above | 40% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C difficile Toxin Gene NAA LC | $219.15 | $365.25 | $29.83–$310.46 | — | 40% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C difficile Toxin Gene NAA LC | $219.15 | $365.25 | $29.83–$310.46 | — | 40% |
| CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 LC | $171.60 | $286.00 | $17.69–$243.10 | 9% above | 40% |
| CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 LC | $171.60 | $286.00 | $17.69–$243.10 | 9% above | 40% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9 LC | $171.60 | $286.00 | $17.69–$243.10 | — | 40% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9 LC | $171.60 | $286.00 | $17.69–$243.10 | — | 40% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 Cancer Antigen (CA) 125 LC | $168.00 | $280.00 | $17.69–$238.00 | 2% below | 40% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 Cancer Antigen (CA) 125 LC | $168.00 | $280.00 | $17.69–$238.00 | 2% below | 40% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Cancer Antigen (CA) 125 LC | $168.00 | $280.00 | $17.69–$238.00 | — | 40% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Cancer Antigen (CA) 125 LC | $168.00 | $280.00 | $17.69–$238.00 | — | 40% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-CoV-2 (COVID-19) RNA (ID Now) | $168.90 | $281.50 | $20.52–$239.28 | 79% above | 40% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-CoV-2, NAA LC | $168.90 | $281.50 | $20.52–$239.28 | 79% above | 40% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-CoV-2, NAA LC | $168.90 | $281.50 | $20.52–$239.28 | 79% above | 40% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 Testing Send Out | $168.90 | $281.50 | $20.52–$239.28 | 79% above | 40% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 RNA (ID NOW) POCT | $168.90 | $281.50 | $20.52–$239.28 | 79% above | 40% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-CoV-2 (COVID-19) RNA (ID Now) | $168.90 | $281.50 | $20.52–$239.28 | 79% above | 40% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 RNA (ID NOW) POCT | $168.90 | $281.50 | $20.52–$239.28 | 79% above | 40% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 Testing Send Out | $168.90 | $281.50 | $20.52–$239.28 | 79% above | 40% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-CoV-2, NAA LC | $168.90 | $281.50 | $20.52–$239.28 | — | 40% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID-19 Testing Send Out | $168.90 | $281.50 | $20.52–$239.28 | — | 40% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-CoV-2 (COVID-19) RNA (ID Now) | $168.90 | $281.50 | $20.52–$239.28 | — | 40% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID-19 RNA (ID NOW) POCT | $168.90 | $281.50 | $20.52–$239.28 | — | 40% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID-19 RNA (ID NOW) POCT | $168.90 | $281.50 | $20.52–$239.28 | — | 40% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-CoV-2 (COVID-19) RNA (ID Now) | $168.90 | $281.50 | $20.52–$239.28 | — | 40% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID-19 Testing Send Out | $168.90 | $281.50 | $20.52–$239.28 | — | 40% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-CoV-2, NAA LC | $168.90 | $281.50 | $20.52–$239.28 | — | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Gonococcus NAA LC | $28.95 | $48.25 | $26.54–$41.01 | 76% below | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia NAA LC | $28.95 | $48.25 | $26.54–$41.01 | 76% below | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Gonococcus NAA LC | $28.95 | $48.25 | $26.54–$41.01 | 76% below | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia NAA LC | $28.95 | $48.25 | $26.54–$41.01 | 76% below | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Atopobium vaginae LC | $77.25 | $128.75 | $29.83–$109.44 | 35% below | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Atopobium vaginae LC | $77.25 | $128.75 | $29.83–$109.44 | 35% below | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia trachomatis, NAA LC | $77.25 | $128.75 | $29.83–$109.44 | 35% below | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia trachomatis, NAA LC | $77.25 | $128.75 | $29.83–$109.44 | 35% below | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia NAA LC | $28.95 | $48.25 | $26.54–$41.01 | — | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Gonococcus NAA LC | $28.95 | $48.25 | $26.54–$41.01 | — | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Gonococcus NAA LC | $28.95 | $48.25 | $26.54–$41.01 | — | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia NAA LC | $28.95 | $48.25 | $26.54–$41.01 | — | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Atopobium vaginae LC | $77.25 | $128.75 | $29.83–$109.44 | — | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Atopobium vaginae LC | $77.25 | $128.75 | $29.83–$109.44 | — | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia trachomatis, NAA LC | $77.25 | $128.75 | $29.83–$109.44 | — | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia trachomatis, NAA LC | $77.25 | $128.75 | $29.83–$109.44 | — | 40% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel LC | $130.50 | $217.50 | $9.68–$184.88 | 9% below | 40% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel | $130.50 | $217.50 | $9.68–$184.88 | 9% below | 40% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel With LDL/HDL Ratio LC T235010 | $130.50 | $217.50 | $9.68–$184.88 | 9% below | 40% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel | $130.50 | $217.50 | $9.68–$184.88 | 9% below | 40% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel With LDL/HDL Ratio LC T235010 | $130.50 | $217.50 | $9.68–$184.88 | 9% below | 40% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel LC | $130.50 | $217.50 | $9.68–$184.88 | 9% below | 40% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel With LDL/HDL Ratio LC T235010 | $130.50 | $217.50 | $9.68–$184.88 | — | 40% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel | $130.50 | $217.50 | $9.68–$184.88 | — | 40% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel With LDL/HDL Ratio LC T235010 | $130.50 | $217.50 | $9.68–$184.88 | — | 40% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel LC | $130.50 | $217.50 | $9.68–$184.88 | — | 40% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel | $130.50 | $217.50 | $9.68–$184.88 | — | 40% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel LC | $130.50 | $217.50 | $9.68–$184.88 | — | 40% |
| Complete blood count (CBC) with differential CPT 85025 CBC w/ Differential | $58.95 | $98.25 | $6.61–$83.51 | 9% below | 40% |
| Complete blood count (CBC) with differential CPT 85025 CBC w/ Differential | $58.95 | $98.25 | $6.61–$83.51 | 9% below | 40% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC w/ Differential | $58.95 | $98.25 | $6.61–$83.51 | — | 40% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC w/ Differential | $58.95 | $98.25 | $6.61–$83.51 | — | 40% |
| Complete blood count (CBC), no differential CPT 85027 CBC w/ Manual Differential | $55.50 | $92.50 | $5.50–$78.63 | 12% below | 40% |
| Complete blood count (CBC), no differential CPT 85027 CBC without Differential | $55.50 | $92.50 | $5.50–$78.63 | 12% below | 40% |
| Complete blood count (CBC), no differential CPT 85027 CBC without Differential | $55.50 | $92.50 | $5.50–$78.63 | 12% below | 40% |
| Complete blood count (CBC), no differential CPT 85027 CBC w/ Manual Differential | $55.50 | $92.50 | $5.50–$78.63 | 12% below | 40% |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC w/ Manual Differential | $55.50 | $92.50 | $5.50–$78.63 | — | 40% |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC without Differential | $55.50 | $92.50 | $5.50–$78.63 | — | 40% |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC w/ Manual Differential | $55.50 | $92.50 | $5.50–$78.63 | — | 40% |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC without Differential | $55.50 | $92.50 | $5.50–$78.63 | — | 40% |
| Comprehensive metabolic panel (blood test) CPT 80053 CMP | $117.75 | $196.25 | $7.15–$166.81 | 19% below | 40% |
| Comprehensive metabolic panel (blood test) CPT 80053 CMP | $117.75 | $196.25 | $7.15–$166.81 | 19% below | 40% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 CMP | $117.75 | $196.25 | $7.15–$166.81 | — | 40% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 CMP | $117.75 | $196.25 | $7.15–$166.81 | — | 40% |
| D-dimer blood test (blood clot marker) CPT 85379 D-Dimer | $182.40 | $304.00 | $8.65–$258.40 | 70% above | 40% |
| D-dimer blood test (blood clot marker) CPT 85379 D-Dimer | $182.40 | $304.00 | $8.65–$258.40 | 70% above | 40% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 D-Dimer | $182.40 | $304.00 | $8.65–$258.40 | — | 40% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 D-Dimer | $182.40 | $304.00 | $8.65–$258.40 | — | 40% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-Sulfate, Serum LC | $100.95 | $168.25 | $18.89–$143.01 | 36% below | 40% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-Sulfate, Serum LC | $100.95 | $168.25 | $18.89–$143.01 | 36% below | 40% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA-Sulfate, Serum LC | $100.95 | $168.25 | $18.89–$143.01 | — | 40% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA-Sulfate, Serum LC | $100.95 | $168.25 | $18.89–$143.01 | — | 40% |
| Estradiol blood test CPT 82670 Estradiol LC | $65.40 | $109.00 | $23.75–$92.65 | 57% below | 40% |
| Estradiol blood test CPT 82670 Estradiol LC | $65.40 | $109.00 | $23.75–$92.65 | 57% below | 40% |
| Estradiol blood test inpatient CPT 82670 Estradiol LC | $65.40 | $109.00 | $23.75–$92.65 | — | 40% |
| Estradiol blood test inpatient CPT 82670 Estradiol LC | $65.40 | $109.00 | $23.75–$92.65 | — | 40% |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH LC | $45.60 | $76.00 | $15.79–$64.60 | 81% below | 40% |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH LC | $45.60 | $76.00 | $15.79–$64.60 | 81% below | 40% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH LC | $45.60 | $76.00 | $15.79–$64.60 | — | 40% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH LC | $45.60 | $76.00 | $15.79–$64.60 | — | 40% |
| Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin, Fecal LC | $337.80 | $563.00 | $16.68–$478.55 | 37% above | 40% |
| Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin, Fecal LC | $337.80 | $563.00 | $16.68–$478.55 | 37% above | 40% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Calprotectin, Fecal LC | $337.80 | $563.00 | $16.68–$478.55 | — | 40% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Calprotectin, Fecal LC | $337.80 | $563.00 | $16.68–$478.55 | — | 40% |
| Ferritin blood test (iron stores) CPT 82728 Ferritin, Serum LC | $63.75 | $106.25 | $11.58–$90.31 | 58% below | 40% |
| Ferritin blood test (iron stores) CPT 82728 Ferritin, Serum LC | $63.75 | $106.25 | $11.58–$90.31 | 58% below | 40% |
| Ferritin blood test (iron stores) inpatient CPT 82728 Ferritin, Serum LC | $63.75 | $106.25 | $11.58–$90.31 | — | 40% |
| Ferritin blood test (iron stores) inpatient CPT 82728 Ferritin, Serum LC | $63.75 | $106.25 | $11.58–$90.31 | — | 40% |
| Folate (folic acid) blood test CPT 82746 Folate LC | $62.25 | $103.75 | $12.49–$88.19 | 55% below | 40% |
| Folate (folic acid) blood test CPT 82746 Folate LC | $62.25 | $103.75 | $12.49–$88.19 | 55% below | 40% |
| Folate (folic acid) blood test CPT 82746 Folate (Folic Acid) LC | $64.20 | $107.00 | $12.49–$90.95 | 54% below | 40% |
| Folate (folic acid) blood test CPT 82746 Folate (Folic Acid) LC | $64.20 | $107.00 | $12.49–$90.95 | 54% below | 40% |
| Folate (folic acid) blood test inpatient CPT 82746 Folate LC | $62.25 | $103.75 | $12.49–$88.19 | — | 40% |
| Folate (folic acid) blood test inpatient CPT 82746 Folate LC | $62.25 | $103.75 | $12.49–$88.19 | — | 40% |
| Folate (folic acid) blood test inpatient CPT 82746 Folate (Folic Acid) LC | $64.20 | $107.00 | $12.49–$90.95 | — | 40% |
| Folate (folic acid) blood test inpatient CPT 82746 Folate (Folic Acid) LC | $64.20 | $107.00 | $12.49–$90.95 | — | 40% |
| Free T3 thyroid hormone test CPT 84481 Triiodothyronine (T3), Free LC | $58.95 | $98.25 | $14.40–$83.51 | 71% below | 40% |
| Free T3 thyroid hormone test CPT 84481 Triiodothyronine (T3), Free LC | $58.95 | $98.25 | $14.40–$83.51 | 71% below | 40% |
| Free T3 thyroid hormone test inpatient CPT 84481 Triiodothyronine (T3), Free LC | $58.95 | $98.25 | $14.40–$83.51 | — | 40% |
| Free T3 thyroid hormone test inpatient CPT 84481 Triiodothyronine (T3), Free LC | $58.95 | $98.25 | $14.40–$83.51 | — | 40% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Free T4 Level | $73.80 | $123.00 | $7.66–$104.55 | 23% below | 40% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Free T4 Level | $73.80 | $123.00 | $7.66–$104.55 | 23% below | 40% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Thyroxine (T4) Free Direct LC | $73.80 | $123.00 | $7.66–$104.55 | 23% below | 40% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Thyroxine (T4) Free Direct LC | $73.80 | $123.00 | $7.66–$104.55 | 23% below | 40% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Free T4 Level | $73.80 | $123.00 | $7.66–$104.55 | — | 40% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Free T4 Level | $73.80 | $123.00 | $7.66–$104.55 | — | 40% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Thyroxine (T4) Free Direct LC | $73.80 | $123.00 | $7.66–$104.55 | — | 40% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Thyroxine (T4) Free Direct LC | $73.80 | $123.00 | $7.66–$104.55 | — | 40% |
| Free testosterone test CPT 84402 Testosterone, Free, Direct LC | $45.90 | $76.50 | $21.64–$65.03 | 44% below | 40% |
| Free testosterone test CPT 84402 Testosterone, Free, Direct LC | $45.90 | $76.50 | $21.64–$65.03 | 44% below | 40% |
| Free testosterone test CPT 84402 Testost., Free, Calc LC | $45.90 | $76.50 | $21.64–$65.03 | 44% below | 40% |
| Free testosterone test CPT 84402 Testost., Free, Calc LC | $45.90 | $76.50 | $21.64–$65.03 | 44% below | 40% |
| Free testosterone test inpatient CPT 84402 Testost., Free, Calc LC | $45.90 | $76.50 | $21.64–$65.03 | — | 40% |
| Free testosterone test inpatient CPT 84402 Testosterone, Free, Direct LC | $45.90 | $76.50 | $21.64–$65.03 | — | 40% |
| Free testosterone test inpatient CPT 84402 Testosterone, Free, Direct LC | $45.90 | $76.50 | $21.64–$65.03 | — | 40% |
| Free testosterone test inpatient CPT 84402 Testost., Free, Calc LC | $45.90 | $76.50 | $21.64–$65.03 | — | 40% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 Bill Only General Health Panel | $282.90 | $471.50 | $10.26–$400.78 | 1% above | 40% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 Bill Only General Health Panel | $282.90 | $471.50 | $10.26–$400.78 | 1% above | 40% |
| General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 Bill Only General Health Panel | $282.90 | $471.50 | $10.26–$400.78 | — | 40% |
| General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 Bill Only General Health Panel | $282.90 | $471.50 | $10.26–$400.78 | — | 40% |
| Glucose tolerance test, 3 samples CPT 82951 Glucose Fasting | $154.05 | $256.75 | $10.94–$218.24 | 1% above | 40% |
| Glucose tolerance test, 3 samples CPT 82951 Glucose Fasting | $154.05 | $256.75 | $10.94–$218.24 | 1% above | 40% |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE, 3 HOUR | $154.05 | $256.75 | $10.94–$218.24 | 1% above | 40% |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE, 3 HOUR | $154.05 | $256.75 | $10.94–$218.24 | 1% above | 40% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOLERANCE, 3 HOUR | $154.05 | $256.75 | $10.94–$218.24 | — | 40% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 Glucose Fasting | $154.05 | $256.75 | $10.94–$218.24 | — | 40% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 Glucose Fasting | $154.05 | $256.75 | $10.94–$218.24 | — | 40% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOLERANCE, 3 HOUR | $154.05 | $256.75 | $10.94–$218.24 | — | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Chlamydia/Gonococcus Amplification LC | $28.95 | $48.25 | $26.54–$41.01 | 74% below | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Chlamydia/Gonococcus Amplification LC | $28.95 | $48.25 | $26.54–$41.01 | 74% below | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 BVAB 2 LC | $77.25 | $128.75 | $29.83–$109.44 | 32% below | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 BVAB 2 LC | $77.25 | $128.75 | $29.83–$109.44 | 32% below | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Chlamydia/Gonococcus Amplification LC | $28.95 | $48.25 | $26.54–$41.01 | — | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Chlamydia/Gonococcus Amplification LC | $28.95 | $48.25 | $26.54–$41.01 | — | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 BVAB 2 LC | $77.25 | $128.75 | $29.83–$109.44 | — | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 BVAB 2 LC | $77.25 | $128.75 | $29.83–$109.44 | — | 40% |
| H. pylori stool antigen test CPT 87338 Helicobacter pylori Stool Ag, EIA LC | $191.40 | $319.00 | $12.22–$271.15 | 7% above | 40% |
| H. pylori stool antigen test CPT 87338 Helicobacter pylori Stool Ag, EIA LC | $191.40 | $319.00 | $12.22–$271.15 | 7% above | 40% |
| H. pylori stool antigen test inpatient CPT 87338 Helicobacter pylori Stool Ag, EIA LC | $191.40 | $319.00 | $12.22–$271.15 | — | 40% |
| H. pylori stool antigen test inpatient CPT 87338 Helicobacter pylori Stool Ag, EIA LC | $191.40 | $319.00 | $12.22–$271.15 | — | 40% |
| HIV viral load test (HIV-1 RNA, quantitative) one side CPT 87536 RNA, RT PCR (Non-Graph) LC | $168.90 | $281.50 | $72.31–$239.28 | 35% below | 40% |
| HIV viral load test (HIV-1 RNA, quantitative) one side CPT 87536 RNA, RT PCR (Non-Graph) LC | $168.90 | $281.50 | $72.31–$239.28 | 35% below | 40% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient one side CPT 87536 RNA, RT PCR (Non-Graph) LC | $168.90 | $281.50 | $72.31–$239.28 | — | 40% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient one side CPT 87536 RNA, RT PCR (Non-Graph) LC | $168.90 | $281.50 | $72.31–$239.28 | — | 40% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1/O/2, 4th Generation LC | $58.65 | $97.75 | $20.47–$83.09 | 43% below | 40% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1/O/2, 4th Generation LC | $58.65 | $97.75 | $20.47–$83.09 | 43% below | 40% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1/2 With Rfx (Geenius(T LC 083955 | $58.65 | $97.75 | $20.47–$83.09 | 43% below | 40% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1/2 With Rfx (Geenius(T LC 083955 | $58.65 | $97.75 | $20.47–$83.09 | 43% below | 40% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV-1/2 With Rfx (Geenius(T LC 083955 | $58.65 | $97.75 | $20.47–$83.09 | — | 40% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV-1/2 With Rfx (Geenius(T LC 083955 | $58.65 | $97.75 | $20.47–$83.09 | — | 40% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV-1/O/2, 4th Generation LC | $58.65 | $97.75 | $20.47–$83.09 | — | 40% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV-1/O/2, 4th Generation LC | $58.65 | $97.75 | $20.47–$83.09 | — | 40% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Glucose POC | $70.05 | $116.75 | $8.25–$93.40 | 4% below | 40% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1C | $88.80 | $148.00 | $8.25–$125.80 | 21% above | 40% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1c LC | $88.80 | $148.00 | $8.25–$125.80 | 21% above | 40% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1c LC | $88.80 | $148.00 | $8.25–$125.80 | 21% above | 40% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1C | $88.80 | $148.00 | $8.25–$125.80 | 21% above | 40% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hemoglobin A1c LC | $88.80 | $148.00 | $8.25–$125.80 | — | 40% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hemoglobin A1C | $88.80 | $148.00 | $8.25–$125.80 | — | 40% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hemoglobin A1c LC | $88.80 | $148.00 | $8.25–$125.80 | — | 40% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hemoglobin A1C | $88.80 | $148.00 | $8.25–$125.80 | — | 40% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hep B Surf Ab LC | $90.60 | $151.00 | $9.13–$128.35 | 21% below | 40% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hep B Surf Ab LC | $90.60 | $151.00 | $9.13–$128.35 | 21% below | 40% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hep B Surf Ab LC | $90.60 | $151.00 | $9.13–$128.35 | — | 40% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hep B Surf Ab LC | $90.60 | $151.00 | $9.13–$128.35 | — | 40% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Hep B Surf Antigen Scr LC | $69.90 | $116.50 | $8.78–$99.03 | 31% below | 40% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Hep B Surf Antigen Scr LC | $69.90 | $116.50 | $8.78–$99.03 | 31% below | 40% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hep B Surf Antigen Scr LC | $69.90 | $116.50 | $8.78–$99.03 | — | 40% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hep B Surf Antigen Scr LC | $69.90 | $116.50 | $8.78–$99.03 | — | 40% |
| Hepatitis C antibody blood test (screening) CPT 86803 HCV Antibody RFX to Quant PCR LC Test 144050 | $9.90 | $16.50 | $9.08–$14.03 | 92% below | 40% |
| Hepatitis C antibody blood test (screening) CPT 86803 HCV Antibody RFX to Quant PCR LC Test 144050 | $9.90 | $16.50 | $9.08–$14.03 | 92% below | 40% |
| Hepatitis C antibody blood test (screening) CPT 86803 HCV Ab w/Rflx to Verification LC | $94.20 | $157.00 | $12.13–$133.45 | 28% below | 40% |
| Hepatitis C antibody blood test (screening) CPT 86803 HCV Ab LC | $94.20 | $157.00 | $12.13–$133.45 | 28% below | 40% |
| Hepatitis C antibody blood test (screening) CPT 86803 HCV Ab w/Rflx to Verification LC | $94.20 | $157.00 | $12.13–$133.45 | 28% below | 40% |
| Hepatitis C antibody blood test (screening) CPT 86803 HCV Ab LC | $94.20 | $157.00 | $12.13–$133.45 | 28% below | 40% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HCV Antibody RFX to Quant PCR LC Test 144050 | $9.90 | $16.50 | $9.08–$14.03 | — | 40% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HCV Antibody RFX to Quant PCR LC Test 144050 | $9.90 | $16.50 | $9.08–$14.03 | — | 40% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HCV Ab w/Rflx to Verification LC | $94.20 | $157.00 | $12.13–$133.45 | — | 40% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HCV Ab LC | $94.20 | $157.00 | $12.13–$133.45 | — | 40% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HCV Ab LC | $94.20 | $157.00 | $12.13–$133.45 | — | 40% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HCV Ab w/Rflx to Verification LC | $94.20 | $157.00 | $12.13–$133.45 | — | 40% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA Diagnosis, NAA LC | $193.50 | $322.50 | $36.40–$274.13 | 29% below | 40% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA Diagnosis, NAA LC | $193.50 | $322.50 | $36.40–$274.13 | 29% below | 40% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HCV Quant GT1a NS5A Profile LC | $447.45 | $745.75 | $36.40–$633.89 | 64% above | 40% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HCV Quant GT1a NS5A Profile LC | $447.45 | $745.75 | $36.40–$633.89 | 64% above | 40% |
| Hepatitis C viral load (HCV RNA) test one side CPT 87522 HCV RT-PCR, Quant (Non-Graph) LC | $447.45 | $745.75 | $36.40–$633.89 | 64% above | 40% |
| Hepatitis C viral load (HCV RNA) test one side CPT 87522 HCV RT-PCR, Quant (Non-Graph) LC | $447.45 | $745.75 | $36.40–$633.89 | 64% above | 40% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV RNA Diagnosis, NAA LC | $193.50 | $322.50 | $36.40–$274.13 | — | 40% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV RNA Diagnosis, NAA LC | $193.50 | $322.50 | $36.40–$274.13 | — | 40% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV Quant GT1a NS5A Profile LC | $447.45 | $745.75 | $36.40–$633.89 | — | 40% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV Quant GT1a NS5A Profile LC | $447.45 | $745.75 | $36.40–$633.89 | — | 40% |
| Hepatitis C viral load (HCV RNA) test inpatient one side CPT 87522 HCV RT-PCR, Quant (Non-Graph) LC | $447.45 | $745.75 | $36.40–$633.89 | — | 40% |
| Hepatitis C viral load (HCV RNA) test inpatient one side CPT 87522 HCV RT-PCR, Quant (Non-Graph) LC | $447.45 | $745.75 | $36.40–$633.89 | — | 40% |
| Herpes blood test, HSV-1 antibody CPT 86695 HSV 1 IgM Abs LC | $80.10 | $133.50 | $11.21–$113.48 | 15% above | 40% |
| Herpes blood test, HSV-1 antibody CPT 86695 HSV 1 IgG Type Spec LC | $80.10 | $133.50 | $11.21–$113.48 | 15% above | 40% |
| Herpes blood test, HSV-1 antibody CPT 86695 HSV 1 IgM Abs LC | $80.10 | $133.50 | $11.21–$113.48 | 15% above | 40% |
| Herpes blood test, HSV-1 antibody CPT 86695 HSV 1 IgG Type Spec LC | $80.10 | $133.50 | $11.21–$113.48 | 15% above | 40% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV 1 IgG Type Spec LC | $80.10 | $133.50 | $11.21–$113.48 | — | 40% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV 1 IgM Abs LC | $80.10 | $133.50 | $11.21–$113.48 | — | 40% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV 1 IgG Type Spec LC | $80.10 | $133.50 | $11.21–$113.48 | — | 40% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV 1 IgM Abs LC | $80.10 | $133.50 | $11.21–$113.48 | — | 40% |
| Herpes blood test, HSV-2 antibody CPT 86696 HSV 2 IgM Abs LC | $80.10 | $133.50 | $16.45–$113.48 | at median | 40% |
| Herpes blood test, HSV-2 antibody CPT 86696 HSV 2 IgG Type Spec LC | $80.10 | $133.50 | $16.45–$113.48 | at median | 40% |
| Herpes blood test, HSV-2 antibody CPT 86696 .HSV-2 IgG Supplemental 163006 LC | $80.10 | $133.50 | $16.45–$113.48 | at median | 40% |
| Herpes blood test, HSV-2 antibody CPT 86696 HSV 2 IgG Type Spec LC | $80.10 | $133.50 | $16.45–$113.48 | at median | 40% |
| Herpes blood test, HSV-2 antibody CPT 86696 .HSV-2 IgG Supplemental 163006 LC | $80.10 | $133.50 | $16.45–$113.48 | at median | 40% |
| Herpes blood test, HSV-2 antibody CPT 86696 HSV 2 IgM Abs LC | $80.10 | $133.50 | $16.45–$113.48 | at median | 40% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV 2 IgM Abs LC | $80.10 | $133.50 | $16.45–$113.48 | — | 40% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 .HSV-2 IgG Supplemental 163006 LC | $80.10 | $133.50 | $16.45–$113.48 | — | 40% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV 2 IgG Type Spec LC | $80.10 | $133.50 | $16.45–$113.48 | — | 40% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV 2 IgM Abs LC | $80.10 | $133.50 | $16.45–$113.48 | — | 40% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 .HSV-2 IgG Supplemental 163006 LC | $80.10 | $133.50 | $16.45–$113.48 | — | 40% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV 2 IgG Type Spec LC | $80.10 | $133.50 | $16.45–$113.48 | — | 40% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-reactive Protein, Cardiac LC | $54.75 | $91.25 | $11.00–$77.56 | 43% below | 40% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-reactive Protein, Cardiac LC | $54.75 | $91.25 | $11.00–$77.56 | 43% below | 40% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C-reactive Protein, Cardiac LC | $54.75 | $91.25 | $11.00–$77.56 | — | 40% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C-reactive Protein, Cardiac LC | $54.75 | $91.25 | $11.00–$77.56 | — | 40% |
| Homocysteine blood test CPT 83090 Homocyst(e)ine LC | $106.20 | $177.00 | $14.33–$150.45 | 36% below | 40% |
| Homocysteine blood test CPT 83090 Homocyst(e)ine LC | $106.20 | $177.00 | $14.33–$150.45 | 36% below | 40% |
| Homocysteine blood test inpatient CPT 83090 Homocyst(e)ine LC | $106.20 | $177.00 | $14.33–$150.45 | — | 40% |
| Homocysteine blood test inpatient CPT 83090 Homocyst(e)ine LC | $106.20 | $177.00 | $14.33–$150.45 | — | 40% |
| Insulin blood test CPT 83525 Insulin LC Test 004333 | $77.55 | $129.25 | $9.71–$109.86 | 30% below | 40% |
| Insulin blood test CPT 83525 Insulin LC Test 004333 | $77.55 | $129.25 | $9.71–$109.86 | 30% below | 40% |
| Insulin blood test inpatient CPT 83525 Insulin LC Test 004333 | $77.55 | $129.25 | $9.71–$109.86 | — | 40% |
| Insulin blood test inpatient CPT 83525 Insulin LC Test 004333 | $77.55 | $129.25 | $9.71–$109.86 | — | 40% |
| Iron blood test (serum iron) CPT 83540 Iron LC | $21.60 | $36.00 | $5.51–$30.60 | 70% below | 40% |
| Iron blood test (serum iron) CPT 83540 Iron LC | $21.60 | $36.00 | $5.51–$30.60 | 70% below | 40% |
| Iron blood test (serum iron) inpatient CPT 83540 Iron LC | $21.60 | $36.00 | $5.51–$30.60 | — | 40% |
| Iron blood test (serum iron) inpatient CPT 83540 Iron LC | $21.60 | $36.00 | $5.51–$30.60 | — | 40% |
| Iron-binding capacity (TIBC) test CPT 83550 Iron Bind.Cap.(TIBC) LC | $45.60 | $76.00 | $7.43–$64.60 | 54% below | 40% |
| Iron-binding capacity (TIBC) test CPT 83550 Iron Bind.Cap.(TIBC) LC | $45.60 | $76.00 | $7.43–$64.60 | 54% below | 40% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 Iron Bind.Cap.(TIBC) LC | $45.60 | $76.00 | $7.43–$64.60 | — | 40% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 Iron Bind.Cap.(TIBC) LC | $45.60 | $76.00 | $7.43–$64.60 | — | 40% |
| Kidney function blood test panel CPT 80069 Renal Pnl | $88.20 | $147.00 | $5.69–$124.95 | 15% below | 40% |
| Kidney function blood test panel CPT 80069 Renal Pnl | $88.20 | $147.00 | $5.69–$124.95 | 15% below | 40% |
| Kidney function blood test panel inpatient CPT 80069 Renal Pnl | $88.20 | $147.00 | $5.69–$124.95 | — | 40% |
| Kidney function blood test panel inpatient CPT 80069 Renal Pnl | $88.20 | $147.00 | $5.69–$124.95 | — | 40% |
| LH (luteinizing hormone) test CPT 83002 LH LC | $45.60 | $76.00 | $15.74–$64.60 | 78% below | 40% |
| LH (luteinizing hormone) test CPT 83002 LH LC | $45.60 | $76.00 | $15.74–$64.60 | 78% below | 40% |
| LH (luteinizing hormone) test inpatient CPT 83002 LH LC | $45.60 | $76.00 | $15.74–$64.60 | — | 40% |
| LH (luteinizing hormone) test inpatient CPT 83002 LH LC | $45.60 | $76.00 | $15.74–$64.60 | — | 40% |
| Lipase blood test (pancreas enzyme) CPT 83690 Lipase Level | $45.60 | $76.00 | $5.86–$64.60 | 46% below | 40% |
| Lipase blood test (pancreas enzyme) CPT 83690 Lipase, Fluid LC | $45.60 | $76.00 | $5.86–$64.60 | 46% below | 40% |
| Lipase blood test (pancreas enzyme) CPT 83690 Lipase Level | $45.60 | $76.00 | $5.86–$64.60 | 46% below | 40% |
| Lipase blood test (pancreas enzyme) CPT 83690 Lipase, Fluid LC | $45.60 | $76.00 | $5.86–$64.60 | 46% below | 40% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase Level | $45.60 | $76.00 | $5.86–$64.60 | — | 40% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase Level | $45.60 | $76.00 | $5.86–$64.60 | — | 40% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase, Fluid LC | $45.60 | $76.00 | $5.86–$64.60 | — | 40% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase, Fluid LC | $45.60 | $76.00 | $5.86–$64.60 | — | 40% |
| Liver function blood test panel CPT 80076 Hep Fnct Pnl | $90.60 | $151.00 | $5.69–$128.35 | 25% below | 40% |
| Liver function blood test panel CPT 80076 Hep Fnct Pnl | $90.60 | $151.00 | $5.69–$128.35 | 25% below | 40% |
| Liver function blood test panel inpatient CPT 80076 Hep Fnct Pnl | $90.60 | $151.00 | $5.69–$128.35 | — | 40% |
| Liver function blood test panel inpatient CPT 80076 Hep Fnct Pnl | $90.60 | $151.00 | $5.69–$128.35 | — | 40% |
| Lyme disease antibody test CPT 86618 Lyme, Total Ab Test/Reflex LC | $99.45 | $165.75 | $14.47–$140.89 | 52% above | 40% |
| Lyme disease antibody test CPT 86618 Lyme, Total Ab Test/Reflex LC | $99.45 | $165.75 | $14.47–$140.89 | 52% above | 40% |
| Lyme disease antibody test CPT 86618 Lyme Disease Total Antibody with reflex LC | $190.50 | $317.50 | $14.47–$269.88 | 191% above | 40% |
| Lyme disease antibody test CPT 86618 Lyme Disease Total Antibody with reflex LC | $190.50 | $317.50 | $14.47–$269.88 | 191% above | 40% |
| Lyme disease antibody test inpatient CPT 86618 Lyme, Total Ab Test/Reflex LC | $99.45 | $165.75 | $14.47–$140.89 | — | 40% |
| Lyme disease antibody test inpatient CPT 86618 Lyme, Total Ab Test/Reflex LC | $99.45 | $165.75 | $14.47–$140.89 | — | 40% |
| Lyme disease antibody test inpatient CPT 86618 Lyme Disease Total Antibody with reflex LC | $190.50 | $317.50 | $14.47–$269.88 | — | 40% |
| Lyme disease antibody test inpatient CPT 86618 Lyme Disease Total Antibody with reflex LC | $190.50 | $317.50 | $14.47–$269.88 | — | 40% |
| Magnesium blood test CPT 83735 Magnesium, RBC LC | $43.20 | $72.00 | $5.69–$61.20 | 22% below | 40% |
| Magnesium blood test CPT 83735 Magnesium Level | $43.20 | $72.00 | $5.69–$61.20 | 22% below | 40% |
| Magnesium blood test CPT 83735 Magnesium, RBC LC | $43.20 | $72.00 | $5.69–$61.20 | 22% below | 40% |
| Magnesium blood test CPT 83735 Magnesium Level | $43.20 | $72.00 | $5.69–$61.20 | 22% below | 40% |
| Magnesium blood test inpatient CPT 83735 Magnesium Level | $43.20 | $72.00 | $5.69–$61.20 | — | 40% |
| Magnesium blood test inpatient CPT 83735 Magnesium Level | $43.20 | $72.00 | $5.69–$61.20 | — | 40% |
| Magnesium blood test inpatient CPT 83735 Magnesium, RBC LC | $43.20 | $72.00 | $5.69–$61.20 | — | 40% |
| Magnesium blood test inpatient CPT 83735 Magnesium, RBC LC | $43.20 | $72.00 | $5.69–$61.20 | — | 40% |
| Measles (rubeola) antibody test CPT 86765 Rubeola IgG Ab LC | $26.85 | $44.75 | $10.95–$38.04 | 51% below | 40% |
| Measles (rubeola) antibody test CPT 86765 Rubeola IgG Ab LC | $26.85 | $44.75 | $10.95–$38.04 | 51% below | 40% |
| Measles (rubeola) antibody test inpatient CPT 86765 Rubeola IgG Ab LC | $26.85 | $44.75 | $10.95–$38.04 | — | 40% |
| Measles (rubeola) antibody test inpatient CPT 86765 Rubeola IgG Ab LC | $26.85 | $44.75 | $10.95–$38.04 | — | 40% |
| Mono test (heterophile antibody, Monospot) CPT 86308 Monospot POCT | $27.30 | $45.50 | $4.40–$38.68 | 57% below | 40% |
| Mono test (heterophile antibody, Monospot) CPT 86308 Monospot POC | $27.30 | $45.50 | $4.40–$38.68 | 57% below | 40% |
| Mono test (heterophile antibody, Monospot) CPT 86308 Monospot POC | $27.30 | $45.50 | $4.40–$38.68 | 57% below | 40% |
| Mono test (heterophile antibody, Monospot) CPT 86308 Monospot POCT | $27.30 | $45.50 | $4.40–$38.68 | 57% below | 40% |
| Mono test (heterophile antibody, Monospot) CPT 86308 Mononucleosis Screen | $44.10 | $73.50 | $4.40–$62.48 | 30% below | 40% |
| Mono test (heterophile antibody, Monospot) CPT 86308 Mononucleosis Screen | $44.10 | $73.50 | $4.40–$62.48 | 30% below | 40% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Monospot POCT | $27.30 | $45.50 | $4.40–$38.68 | — | 40% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Monospot POC | $27.30 | $45.50 | $4.40–$38.68 | — | 40% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Monospot POCT | $27.30 | $45.50 | $4.40–$38.68 | — | 40% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Monospot POC | $27.30 | $45.50 | $4.40–$38.68 | — | 40% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Mononucleosis Screen | $44.10 | $73.50 | $4.40–$62.48 | — | 40% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Mononucleosis Screen | $44.10 | $73.50 | $4.40–$62.48 | — | 40% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 .%fPSA Reflex LC | $96.45 | $160.75 | $15.64–$136.64 | 19% below | 40% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA Free LC | $96.45 | $160.75 | $15.64–$136.64 | 19% below | 40% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA Free LC | $96.45 | $160.75 | $15.64–$136.64 | 19% below | 40% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 .%fPSA Reflex LC | $96.45 | $160.75 | $15.64–$136.64 | 19% below | 40% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 .%fPSA Reflex LC | $96.45 | $160.75 | $15.64–$136.64 | — | 40% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA Free LC | $96.45 | $160.75 | $15.64–$136.64 | — | 40% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 .%fPSA Reflex LC | $96.45 | $160.75 | $15.64–$136.64 | — | 40% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA Free LC | $96.45 | $160.75 | $15.64–$136.64 | — | 40% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA Total (Reflex To Free) LC | $81.30 | $135.50 | $15.64–$115.18 | 45% below | 40% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 % Free PSA LC | $81.30 | $135.50 | $15.64–$115.18 | 45% below | 40% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA Total (Reflex To Free) LC | $81.30 | $135.50 | $15.64–$115.18 | 45% below | 40% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 % Free PSA LC | $81.30 | $135.50 | $15.64–$115.18 | 45% below | 40% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA Total (Reflex To Free) LC | $81.30 | $135.50 | $15.64–$115.18 | — | 40% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 % Free PSA LC | $81.30 | $135.50 | $15.64–$115.18 | — | 40% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA Total (Reflex To Free) LC | $81.30 | $135.50 | $15.64–$115.18 | — | 40% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 % Free PSA LC | $81.30 | $135.50 | $15.64–$115.18 | — | 40% |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH, Intact LC | $95.85 | $159.75 | $35.08–$135.79 | 60% below | 40% |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH, Intact LC | $95.85 | $159.75 | $35.08–$135.79 | 60% below | 40% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH, Intact LC | $95.85 | $159.75 | $35.08–$135.79 | — | 40% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH, Intact LC | $95.85 | $159.75 | $35.08–$135.79 | — | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Partial Thromboplastin Time | $73.80 | $123.00 | $5.10–$104.55 | 14% below | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Partial Thromboplastin Time | $73.80 | $123.00 | $5.10–$104.55 | 14% below | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Partial Thromboplastin Time | $73.80 | $123.00 | $5.10–$104.55 | — | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Partial Thromboplastin Time | $73.80 | $123.00 | $5.10–$104.55 | — | 40% |
| Progesterone blood test CPT 84144 % Free Progesterone (Dialysis) LC | $108.00 | $180.00 | $17.73–$153.00 | 37% below | 40% |
| Progesterone blood test CPT 84144 Progesterone LC | $108.00 | $180.00 | $17.73–$153.00 | 37% below | 40% |
| Progesterone blood test CPT 84144 % Free Progesterone (Dialysis) LC | $108.00 | $180.00 | $17.73–$153.00 | 37% below | 40% |
| Progesterone blood test CPT 84144 Progesterone LC | $108.00 | $180.00 | $17.73–$153.00 | 37% below | 40% |
| Progesterone blood test inpatient CPT 84144 Progesterone LC | $108.00 | $180.00 | $17.73–$153.00 | — | 40% |
| Progesterone blood test inpatient CPT 84144 % Free Progesterone (Dialysis) LC | $108.00 | $180.00 | $17.73–$153.00 | — | 40% |
| Progesterone blood test inpatient CPT 84144 Progesterone LC | $108.00 | $180.00 | $17.73–$153.00 | — | 40% |
| Progesterone blood test inpatient CPT 84144 % Free Progesterone (Dialysis) LC | $108.00 | $180.00 | $17.73–$153.00 | — | 40% |
| Prolactin blood test CPT 84146 Prolactin LC | $153.45 | $255.75 | $16.47–$217.39 | 4% below | 40% |
| Prolactin blood test CPT 84146 Prolactin LC | $153.45 | $255.75 | $16.47–$217.39 | 4% below | 40% |
| Prolactin blood test inpatient CPT 84146 Prolactin LC | $153.45 | $255.75 | $16.47–$217.39 | — | 40% |
| Prolactin blood test inpatient CPT 84146 Prolactin LC | $153.45 | $255.75 | $16.47–$217.39 | — | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PT/INR POC | $31.65 | $52.75 | $3.34–$42.20 | 40% below | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time and INR | $32.55 | $54.25 | $3.34–$46.11 | 38% below | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time and INR | $32.55 | $54.25 | $3.34–$46.11 | 38% below | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time and INR | $32.55 | $54.25 | $3.34–$46.11 | — | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time and INR | $32.55 | $54.25 | $3.34–$46.11 | — | 40% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Drug Screen POC | $21.00 | $35.00 | $6.43–$28.00 | 46% below | 40% |
| Rapid flu test (influenza antigen) CPT 87804 Influenza A/B POC | $48.60 | $81.00 | $9.73–$68.85 | 1% below | 40% |
| Rapid flu test (influenza antigen) CPT 87804 Influenza A & B POCT | $48.60 | $81.00 | $9.73–$68.85 | 1% below | 40% |
| Rapid flu test (influenza antigen) CPT 87804 Influenza A & B POCT | $48.60 | $81.00 | $9.73–$68.85 | 1% below | 40% |
| Rapid flu test (influenza antigen) CPT 87804 Influenza A/B POC | $48.60 | $81.00 | $9.73–$68.85 | 1% below | 40% |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA A | $55.35 | $92.25 | $9.73–$78.41 | 13% above | 40% |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA B | $55.35 | $92.25 | $9.73–$78.41 | 13% above | 40% |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA B | $55.35 | $92.25 | $9.73–$78.41 | 13% above | 40% |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA A | $55.35 | $92.25 | $9.73–$78.41 | 13% above | 40% |
| Rapid flu test (influenza antigen) CPT 87804 Influenza A & B | $110.10 | $183.50 | $9.73–$155.98 | 124% above | 40% |
| Rapid flu test (influenza antigen) CPT 87804 Influenza A & B | $110.10 | $183.50 | $9.73–$155.98 | 124% above | 40% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 Influenza A & B POCT | $48.60 | $81.00 | $9.73–$68.85 | — | 40% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 Influenza A/B POC | $48.60 | $81.00 | $9.73–$68.85 | — | 40% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 Influenza A & B POCT | $48.60 | $81.00 | $9.73–$68.85 | — | 40% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 Influenza A/B POC | $48.60 | $81.00 | $9.73–$68.85 | — | 40% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA A | $55.35 | $92.25 | $9.73–$78.41 | — | 40% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA B | $55.35 | $92.25 | $9.73–$78.41 | — | 40% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA A | $55.35 | $92.25 | $9.73–$78.41 | — | 40% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA B | $55.35 | $92.25 | $9.73–$78.41 | — | 40% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 Influenza A & B | $110.10 | $183.50 | $9.73–$155.98 | — | 40% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 Influenza A & B | $110.10 | $183.50 | $9.73–$155.98 | — | 40% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 Rapid Strep POC | $33.90 | $56.50 | $9.73–$45.20 | 47% below | 40% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 87880 IAADIADOO STREPTOCOCCUS GROUP A TechFee | $34.95 | $58.25 | $9.73–$49.51 | 45% below | 40% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 87880 IAADIADOO STREPTOCOCCUS GROUP A TechFee | $34.95 | $58.25 | $9.73–$49.51 | 45% below | 40% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 Strep A POCT | $34.95 | $58.25 | $9.73–$49.51 | 45% below | 40% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 Strep A POCT | $34.95 | $58.25 | $9.73–$49.51 | 45% below | 40% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 Strep A Rapid | $48.60 | $81.00 | $9.73–$68.85 | 24% below | 40% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 Strep A Rapid | $48.60 | $81.00 | $9.73–$68.85 | 24% below | 40% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Strep A POCT | $34.95 | $58.25 | $9.73–$49.51 | — | 40% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 87880 IAADIADOO STREPTOCOCCUS GROUP A TechFee | $34.95 | $58.25 | $9.73–$49.51 | — | 40% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Strep A POCT | $34.95 | $58.25 | $9.73–$49.51 | — | 40% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 87880 IAADIADOO STREPTOCOCCUS GROUP A TechFee | $34.95 | $58.25 | $9.73–$49.51 | — | 40% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Strep A Rapid | $48.60 | $81.00 | $9.73–$68.85 | — | 40% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Strep A Rapid | $48.60 | $81.00 | $9.73–$68.85 | — | 40% |
| Rheumatoid factor (RF) test CPT 86431 Rheumatoid Arthritis Factor LC | $33.60 | $56.00 | $4.82–$47.60 | 36% below | 40% |
| Rheumatoid factor (RF) test CPT 86431 Rheumatoid Arthritis Factor LC | $33.60 | $56.00 | $4.82–$47.60 | 36% below | 40% |
| Rheumatoid factor (RF) test inpatient CPT 86431 Rheumatoid Arthritis Factor LC | $33.60 | $56.00 | $4.82–$47.60 | — | 40% |
| Rheumatoid factor (RF) test inpatient CPT 86431 Rheumatoid Arthritis Factor LC | $33.60 | $56.00 | $4.82–$47.60 | — | 40% |
| Rubella antibody test (immunity check) CPT 86762 Rubella Antibodies, IgG LC | $74.40 | $124.00 | $12.23–$105.40 | 25% below | 40% |
| Rubella antibody test (immunity check) CPT 86762 Rubella IgG Abs LC | $74.40 | $124.00 | $12.23–$105.40 | 25% below | 40% |
| Rubella antibody test (immunity check) CPT 86762 Rubella Antibodies, IgG LC | $74.40 | $124.00 | $12.23–$105.40 | 25% below | 40% |
| Rubella antibody test (immunity check) CPT 86762 Rubella IgG Abs LC | $74.40 | $124.00 | $12.23–$105.40 | 25% below | 40% |
| Rubella antibody test (immunity check) inpatient CPT 86762 Rubella IgG Abs LC | $74.40 | $124.00 | $12.23–$105.40 | — | 40% |
| Rubella antibody test (immunity check) inpatient CPT 86762 Rubella IgG Abs LC | $74.40 | $124.00 | $12.23–$105.40 | — | 40% |
| Rubella antibody test (immunity check) inpatient CPT 86762 Rubella Antibodies, IgG LC | $74.40 | $124.00 | $12.23–$105.40 | — | 40% |
| Rubella antibody test (immunity check) inpatient CPT 86762 Rubella Antibodies, IgG LC | $74.40 | $124.00 | $12.23–$105.40 | — | 40% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 ESR Automated | $39.45 | $65.75 | $2.30–$55.89 | 2% below | 40% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 ESR Automated | $39.45 | $65.75 | $2.30–$55.89 | 2% below | 40% |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 ESR Automated | $39.45 | $65.75 | $2.30–$55.89 | — | 40% |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 ESR Automated | $39.45 | $65.75 | $2.30–$55.89 | — | 40% |
| Stool ova and parasites exam CPT 87177 Ova + Parasite Status LC | $135.30 | $225.50 | $7.42–$191.68 | 45% above | 40% |
| Stool ova and parasites exam CPT 87177 Ova + Parasite Status LC | $135.30 | $225.50 | $7.42–$191.68 | 45% above | 40% |
| Stool ova and parasites exam inpatient CPT 87177 Ova + Parasite Status LC | $135.30 | $225.50 | $7.42–$191.68 | — | 40% |
| Stool ova and parasites exam inpatient CPT 87177 Ova + Parasite Status LC | $135.30 | $225.50 | $7.42–$191.68 | — | 40% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Stool for Occult Blood POC | $38.25 | $63.75 | $2.77–$51.00 | 43% above | 40% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult Blood Stool POCT | $39.45 | $65.75 | $2.77–$55.89 | 47% above | 40% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 82270 BLOOD OCCULT PEROXIDASE ACTV QUAL FECES 1 DETER TechFee | $39.45 | $65.75 | $2.77–$55.89 | 47% above | 40% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult Blood Stool POCT | $39.45 | $65.75 | $2.77–$55.89 | 47% above | 40% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 82270 BLOOD OCCULT PEROXIDASE ACTV QUAL FECES 1 DETER TechFee | $39.45 | $65.75 | $2.77–$55.89 | 47% above | 40% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult Blood Stool Diagnostic | $43.20 | $72.00 | $2.77–$61.20 | 61% above | 40% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult Blood Stool Diagnostic | $43.20 | $72.00 | $2.77–$61.20 | 61% above | 40% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult Blood Stool Screen | $43.20 | $72.00 | $2.77–$61.20 | 61% above | 40% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult Blood Stool Screen | $43.20 | $72.00 | $2.77–$61.20 | 61% above | 40% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Occult Blood Stool POCT | $39.45 | $65.75 | $2.77–$55.89 | — | 40% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 82270 BLOOD OCCULT PEROXIDASE ACTV QUAL FECES 1 DETER TechFee | $39.45 | $65.75 | $2.77–$55.89 | — | 40% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 82270 BLOOD OCCULT PEROXIDASE ACTV QUAL FECES 1 DETER TechFee | $39.45 | $65.75 | $2.77–$55.89 | — | 40% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Occult Blood Stool POCT | $39.45 | $65.75 | $2.77–$55.89 | — | 40% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Occult Blood Stool Screen | $43.20 | $72.00 | $2.77–$61.20 | — | 40% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Occult Blood Stool Diagnostic | $43.20 | $72.00 | $2.77–$61.20 | — | 40% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Occult Blood Stool Screen | $43.20 | $72.00 | $2.77–$61.20 | — | 40% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Occult Blood Stool Diagnostic | $43.20 | $72.00 | $2.77–$61.20 | — | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR, Rfx Qn RPR/Confirm TP Ab LC Test 012005 | $54.75 | $91.25 | $3.63–$77.56 | 14% above | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR Syphilis: RPR With Reflex to RPR Titer LC Test006072 | $54.75 | $91.25 | $3.63–$77.56 | 14% above | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR, Rfx Qn RPR/Confirm TP Ab LC Test 012005 | $54.75 | $91.25 | $3.63–$77.56 | 14% above | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR Syphilis: RPR With Reflex to RPR Titer LC Test006072 | $54.75 | $91.25 | $3.63–$77.56 | 14% above | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR Syphilis: RPR With Reflex to RPR Titer LC Test006072 | $54.75 | $91.25 | $3.63–$77.56 | — | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR, Rfx Qn RPR/Confirm TP Ab LC Test 012005 | $54.75 | $91.25 | $3.63–$77.56 | — | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR, Rfx Qn RPR/Confirm TP Ab LC Test 012005 | $54.75 | $91.25 | $3.63–$77.56 | — | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR Syphilis: RPR With Reflex to RPR Titer LC Test006072 | $54.75 | $91.25 | $3.63–$77.56 | — | 40% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QuantiFERON-TB Gold Plus LC | $84.90 | $141.50 | $52.67–$120.28 | 45% below | 40% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QuantiFERON-TB Gold Plus LC | $84.90 | $141.50 | $52.67–$120.28 | 45% below | 40% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QuantiFERON-TB Gold Plus LC | $84.90 | $141.50 | $52.67–$120.28 | — | 40% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QuantiFERON-TB Gold Plus LC | $84.90 | $141.50 | $52.67–$120.28 | — | 40% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone Tot LC/MS LC | $54.00 | $90.00 | $21.94–$76.50 | 51% below | 40% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone Tot LC/MS LC | $54.00 | $90.00 | $21.94–$76.50 | 51% below | 40% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone LC | $54.00 | $90.00 | $21.94–$76.50 | 51% below | 40% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone LC | $54.00 | $90.00 | $21.94–$76.50 | 51% below | 40% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone LC | $54.00 | $90.00 | $21.94–$76.50 | — | 40% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone Tot LC/MS LC | $54.00 | $90.00 | $21.94–$76.50 | — | 40% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone Tot LC/MS LC | $54.00 | $90.00 | $21.94–$76.50 | — | 40% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone LC | $54.00 | $90.00 | $21.94–$76.50 | — | 40% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 TPO Ab LC | $100.95 | $168.25 | $12.37–$143.01 | 9% above | 40% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroid Peroxidase (TPO) Ab LC | $100.95 | $168.25 | $12.37–$143.01 | 9% above | 40% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 TPO Ab LC | $100.95 | $168.25 | $12.37–$143.01 | 9% above | 40% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroid Peroxidase (TPO) Ab LC | $100.95 | $168.25 | $12.37–$143.01 | 9% above | 40% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Thyroid Peroxidase (TPO) Ab LC | $100.95 | $168.25 | $12.37–$143.01 | — | 40% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 TPO Ab LC | $100.95 | $168.25 | $12.37–$143.01 | — | 40% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Thyroid Peroxidase (TPO) Ab LC | $100.95 | $168.25 | $12.37–$143.01 | — | 40% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 TPO Ab LC | $100.95 | $168.25 | $12.37–$143.01 | — | 40% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH LC | $101.70 | $169.50 | $14.28–$144.08 | 22% below | 40% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH | $101.70 | $169.50 | $14.28–$144.08 | 22% below | 40% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH LC | $101.70 | $169.50 | $14.28–$144.08 | 22% below | 40% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH | $101.70 | $169.50 | $14.28–$144.08 | 22% below | 40% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH | $101.70 | $169.50 | $14.28–$144.08 | — | 40% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH | $101.70 | $169.50 | $14.28–$144.08 | — | 40% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH LC | $101.70 | $169.50 | $14.28–$144.08 | — | 40% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH LC | $101.70 | $169.50 | $14.28–$144.08 | — | 40% |
| Trichomonas test (NAAT) CPT 87661 Candida albicans, NAA LC | $77.25 | $128.75 | $47.87–$109.44 | 1% above | 40% |
| Trichomonas test (NAAT) CPT 87661 Candida albicans, NAA LC | $77.25 | $128.75 | $47.87–$109.44 | 1% above | 40% |
| Trichomonas test (NAAT) CPT 87661 Trich vag NAA LC | $96.00 | $160.00 | $47.87–$136.00 | 26% above | 40% |
| Trichomonas test (NAAT) CPT 87661 Trich vag NAA LC | $96.00 | $160.00 | $47.87–$136.00 | 26% above | 40% |
| Trichomonas test (NAAT) inpatient CPT 87661 Candida albicans, NAA LC | $77.25 | $128.75 | $47.87–$109.44 | — | 40% |
| Trichomonas test (NAAT) inpatient CPT 87661 Candida albicans, NAA LC | $77.25 | $128.75 | $47.87–$109.44 | — | 40% |
| Trichomonas test (NAAT) inpatient CPT 87661 Trich vag NAA LC | $96.00 | $160.00 | $47.87–$136.00 | — | 40% |
| Trichomonas test (NAAT) inpatient CPT 87661 Trich vag NAA LC | $96.00 | $160.00 | $47.87–$136.00 | — | 40% |
| Uric acid blood test CPT 84550 Uric Acid | $45.60 | $76.00 | $3.84–$64.60 | 20% below | 40% |
| Uric acid blood test CPT 84550 Uric Acid | $45.60 | $76.00 | $3.84–$64.60 | 20% below | 40% |
| Uric acid blood test inpatient CPT 84550 Uric Acid | $45.60 | $76.00 | $3.84–$64.60 | — | 40% |
| Uric acid blood test inpatient CPT 84550 Uric Acid | $45.60 | $76.00 | $3.84–$64.60 | — | 40% |
| Urinalysis with microscope exam, automated CPT 81001 Urinalysis with Microscopic | $58.95 | $98.25 | $2.69–$83.51 | 7% above | 40% |
| Urinalysis with microscope exam, automated CPT 81001 Urinalysis with Microscopic | $58.95 | $98.25 | $2.69–$83.51 | 7% above | 40% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis with Microscopic | $58.95 | $98.25 | $2.69–$83.51 | — | 40% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis with Microscopic | $58.95 | $98.25 | $2.69–$83.51 | — | 40% |
| Urinalysis without microscope exam, automated CPT 81003 Urinalysis Complete with Culture if Indicated | $38.70 | $64.50 | $1.91–$54.83 | 44% above | 40% |
| Urinalysis without microscope exam, automated CPT 81003 Urinalysis With Micro if Indicated and Culture if Indicated | $38.70 | $64.50 | $1.91–$54.83 | 44% above | 40% |
| Urinalysis without microscope exam, automated CPT 81003 Urinalysis Complete with Culture if Indicated | $38.70 | $64.50 | $1.91–$54.83 | 44% above | 40% |
| Urinalysis without microscope exam, automated CPT 81003 Urinalysis With Micro if Indicated and Culture if Indicated | $38.70 | $64.50 | $1.91–$54.83 | 44% above | 40% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis Complete with Culture if Indicated | $38.70 | $64.50 | $1.91–$54.83 | — | 40% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis With Micro if Indicated and Culture if Indicated | $38.70 | $64.50 | $1.91–$54.83 | — | 40% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis With Micro if Indicated and Culture if Indicated | $38.70 | $64.50 | $1.91–$54.83 | — | 40% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis Complete with Culture if Indicated | $38.70 | $64.50 | $1.91–$54.83 | — | 40% |
| Urinalysis without microscope exam, manual CPT 81002 Urine Dipstick POC | $16.95 | $28.25 | $2.05–$22.60 | 1% below | 40% |
| Urinalysis without microscope exam, manual CPT 81002 81002 URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP TechFee | $17.40 | $29.00 | $2.05–$24.65 | 2% above | 40% |
| Urinalysis without microscope exam, manual CPT 81002 Urinalysis Dipstick POCT | $17.40 | $29.00 | $2.05–$24.65 | 2% above | 40% |
| Urinalysis without microscope exam, manual CPT 81002 81002 URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP TechFee | $17.40 | $29.00 | $2.05–$24.65 | 2% above | 40% |
| Urinalysis without microscope exam, manual CPT 81002 Urinalysis Dipstick POCT | $17.40 | $29.00 | $2.05–$24.65 | 2% above | 40% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 81002 URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP TechFee | $17.40 | $29.00 | $2.05–$24.65 | — | 40% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Urinalysis Dipstick POCT | $17.40 | $29.00 | $2.05–$24.65 | — | 40% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 81002 URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP TechFee | $17.40 | $29.00 | $2.05–$24.65 | — | 40% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Urinalysis Dipstick POCT | $17.40 | $29.00 | $2.05–$24.65 | — | 40% |
| Urine culture for bacteria, with colony count CPT 87086 Urine Culture, Routine LC | $82.80 | $138.00 | $6.86–$117.30 | 17% below | 40% |
| Urine culture for bacteria, with colony count CPT 87086 Urine Culture, Routine LC | $82.80 | $138.00 | $6.86–$117.30 | 17% below | 40% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 Urine Culture, Routine LC | $82.80 | $138.00 | $6.86–$117.30 | — | 40% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 Urine Culture, Routine LC | $82.80 | $138.00 | $6.86–$117.30 | — | 40% |
| Urine pregnancy test, read by color change CPT 81025 Urine Pregnancy Test POC | $51.60 | $86.00 | $1.02–$68.80 | 19% below | 40% |
| Urine pregnancy test, read by color change CPT 81025 81025 URINE PREGNANCY TEST VISUAL COLOR CMPRSN METHS TechFee | $53.10 | $88.50 | $1.02–$75.23 | 17% below | 40% |
| Urine pregnancy test, read by color change CPT 81025 Beta hCG Urine POCT | $53.10 | $88.50 | $1.02–$75.23 | 17% below | 40% |
| Urine pregnancy test, read by color change CPT 81025 hCG Qualitative | $53.10 | $88.50 | $1.02–$75.23 | 17% below | 40% |
| Urine pregnancy test, read by color change CPT 81025 Beta hCG Urine POCT | $53.10 | $88.50 | $1.02–$75.23 | 17% below | 40% |
| Urine pregnancy test, read by color change CPT 81025 Beta hCG Qualitative Urine | $53.10 | $88.50 | $1.02–$75.23 | 17% below | 40% |
| Urine pregnancy test, read by color change CPT 81025 81025 URINE PREGNANCY TEST VISUAL COLOR CMPRSN METHS TechFee | $53.10 | $88.50 | $1.02–$75.23 | 17% below | 40% |
| Urine pregnancy test, read by color change CPT 81025 hCG Qualitative | $53.10 | $88.50 | $1.02–$75.23 | 17% below | 40% |
| Urine pregnancy test, read by color change CPT 81025 Beta hCG Qualitative Urine | $53.10 | $88.50 | $1.02–$75.23 | 17% below | 40% |
| Urine pregnancy test, read by color change inpatient CPT 81025 Beta hCG Qualitative Urine | $53.10 | $88.50 | $1.02–$75.23 | — | 40% |
| Urine pregnancy test, read by color change inpatient CPT 81025 81025 URINE PREGNANCY TEST VISUAL COLOR CMPRSN METHS TechFee | $53.10 | $88.50 | $1.02–$75.23 | — | 40% |
| Urine pregnancy test, read by color change inpatient CPT 81025 81025 URINE PREGNANCY TEST VISUAL COLOR CMPRSN METHS TechFee | $53.10 | $88.50 | $1.02–$75.23 | — | 40% |
| Urine pregnancy test, read by color change inpatient CPT 81025 Beta hCG Urine POCT | $53.10 | $88.50 | $1.02–$75.23 | — | 40% |
| Urine pregnancy test, read by color change inpatient CPT 81025 Beta hCG Urine POCT | $53.10 | $88.50 | $1.02–$75.23 | — | 40% |
| Urine pregnancy test, read by color change inpatient CPT 81025 Beta hCG Qualitative Urine | $53.10 | $88.50 | $1.02–$75.23 | — | 40% |
| Urine pregnancy test, read by color change inpatient CPT 81025 hCG Qualitative | $53.10 | $88.50 | $1.02–$75.23 | — | 40% |
| Urine pregnancy test, read by color change inpatient CPT 81025 hCG Qualitative | $53.10 | $88.50 | $1.02–$75.23 | — | 40% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D, 25-Hydroxy LC | $46.35 | $77.25 | $23.22–$65.66 | 66% below | 40% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D, 25-Hydroxy LC | $46.35 | $77.25 | $23.22–$65.66 | 66% below | 40% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 25-Hydroxyvitamin D LCMS D2+D3 LC | $181.65 | $302.75 | $23.22–$257.34 | 34% above | 40% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 25-Hydroxyvitamin D LCMS D2+D3 LC | $181.65 | $302.75 | $23.22–$257.34 | 34% above | 40% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D, 25-Hydroxy LC | $46.35 | $77.25 | $23.22–$65.66 | — | 40% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D, 25-Hydroxy LC | $46.35 | $77.25 | $23.22–$65.66 | — | 40% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 25-Hydroxyvitamin D LCMS D2+D3 LC | $181.65 | $302.75 | $23.22–$257.34 | — | 40% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 25-Hydroxyvitamin D LCMS D2+D3 LC | $181.65 | $302.75 | $23.22–$257.34 | — | 40% |
| Zinc blood test CPT 84630 Zinc, Whole Blood LC | $162.60 | $271.00 | $9.67–$230.35 | 38% above | 40% |
| Zinc blood test CPT 84630 Zinc, Whole Blood LC | $162.60 | $271.00 | $9.67–$230.35 | 38% above | 40% |
| Zinc blood test inpatient CPT 84630 Zinc, Whole Blood LC | $162.60 | $271.00 | $9.67–$230.35 | — | 40% |
| Zinc blood test inpatient CPT 84630 Zinc, Whole Blood LC | $162.60 | $271.00 | $9.67–$230.35 | — | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Beta hCG Quantitative | $127.65 | $212.75 | $12.80–$180.84 | 22% below | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Beta hCG Quantitative | $127.65 | $212.75 | $12.80–$180.84 | 22% below | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Beta hCG Quantitative | $127.65 | $212.75 | $12.80–$180.84 | — | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Beta hCG Quantitative | $127.65 | $212.75 | $12.80–$180.84 | — | 40% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Kentucky | Off list |
|---|---|---|---|---|---|
| Botox injections for chronic migraine both sides CPT 64615 64615 Chemodenervation of muscle(s); muscle(s) innervated nerves, bilateral | $99.75 | $166.25 | $91.44–$133.00 | — | 40% |
| Botox injections for chronic migraine both sides CPT 64615 64615 Chemodenervation of muscle(s); muscle(s) innervated nerves, bilateral | $119.70 | $199.50 | $101.83–$169.58 | — | 40% |
| Botox injections for chronic migraine inpatient both sides CPT 64615 64615 Chemodenervation of muscle(s); muscle(s) innervated nerves, bilateral | $119.70 | $199.50 | $101.83–$169.58 | — | 40% |
| Botox injections for chronic migraine inpatient both sides CPT 64615 64615 Chemodenervation of muscle(s); muscle(s) innervated nerves, bilateral | $119.70 | $199.50 | $101.83–$169.58 | — | 40% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 27786 Closed treatment of distal fibular fracture (lateral malleolus); without manipulation | $239.10 | $398.50 | $219.18–$318.80 | 7% below | 40% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 27786 Closed treatment of distal fibular fracture (lateral malleolus); without manipulation | $287.10 | $478.50 | $121.08–$406.73 | 12% above | 40% |
| Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 27786 Closed treatment of distal fibular fracture (lateral malleolus); without manipulation | $287.10 | $478.50 | $121.08–$406.73 | — | 40% |
| Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 27786 Closed treatment of distal fibular fracture (lateral malleolus); without manipulation | $287.10 | $478.50 | $121.08–$406.73 | — | 40% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 28470 Closed treatment of metatarsal fracture; without manipulation, each | $168.90 | $281.50 | $154.83–$225.20 | 36% below | 40% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 28470 Closed treatment of metatarsal fracture; without manipulation, each | $202.50 | $337.50 | $81.37–$286.88 | 23% below | 40% |
| Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 28470 Closed treatment of metatarsal fracture; without manipulation, each | $202.50 | $337.50 | $81.37–$286.88 | — | 40% |
| Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 28470 Closed treatment of metatarsal fracture; without manipulation, each | $202.50 | $337.50 | $81.37–$286.88 | — | 40% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion, elective, electrical conversion of arrhythmia, external BCE | $137.40 | $229.00 | $91.69–$194.65 | 85% below | 40% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion, elective, electrical conversion of arrhythmia, external BCE | $137.40 | $229.00 | $91.69–$194.65 | 85% below | 40% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion, elective, electrical conversion of arrhythmia, external | $137.40 | $229.00 | $91.69–$194.65 | 85% below | 40% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion, elective, electrical conversion of arrhythmia, external Physician | $168.90 | $281.50 | $91.69–$239.28 | 82% below | 40% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion, elective, electrical conversion of arrhythmia, external Physician | $168.90 | $281.50 | $91.69–$239.28 | 82% below | 40% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 92960 Cardioversion, elective, electrical conversion of arrhythmia; external | $241.20 | $402.00 | $221.10–$321.60 | 74% below | 40% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 92960 - Cardioversion; Elective | $519.45 | $865.75 | $476.16–$735.89 | 44% below | 40% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 92960 - Cardioversion; Elective | $519.45 | $865.75 | $476.16–$735.89 | 44% below | 40% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion, elective, electrical conversion of arrhythmia, external | $1,145.55 | $1,909.25 | $1,050.09–$1,622.86 | 23% above | 40% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Cardioversion, elective, electrical conversion of arrhythmia, external BCE | $137.40 | $229.00 | $91.69–$194.65 | — | 40% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Cardioversion, elective, electrical conversion of arrhythmia, external BCE | $137.40 | $229.00 | $91.69–$194.65 | — | 40% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Cardioversion, elective, electrical conversion of arrhythmia, external | $137.40 | $229.00 | $91.69–$194.65 | — | 40% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Cardioversion, elective, electrical conversion of arrhythmia, external Physician | $168.90 | $281.50 | $91.69–$239.28 | — | 40% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Cardioversion, elective, electrical conversion of arrhythmia, external Physician | $168.90 | $281.50 | $91.69–$239.28 | — | 40% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 92960 - Cardioversion; Elective | $519.45 | $865.75 | $476.16–$735.89 | — | 40% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 92960 - Cardioversion; Elective | $519.45 | $865.75 | $476.16–$735.89 | — | 40% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Cardioversion, elective, electrical conversion of arrhythmia, external | $1,145.55 | $1,909.25 | $1,050.09–$1,622.86 | — | 40% |
| Carpal tunnel release, open surgery CPT 64721 64721 NEUROPLASTY AND/OR TRANSPOSITION; MEDIAN NERVE AT CARPAL TUNNEL ProFee | $675.00 | $1,125.00 | $618.75–$956.25 | 43% below | 40% |
| Carpal tunnel release, open surgery CPT 64721 Decompression Nerve Median with Carpal Tunnel Release | $675.00 | $1,125.00 | $284.77–$956.25 | 43% below | 40% |
| Carpal tunnel release, open surgery CPT 64721 64721 NEUROPLASTY AND/OR TRANSPOSITION; MEDIAN NERVE AT CARPAL TUNNEL ProFee | $675.00 | $1,125.00 | $284.77–$956.25 | 43% below | 40% |
| Carpal tunnel release, open surgery CPT 64721 Decompression Nerve Median with Carpal Tunnel Release | $675.00 | $1,125.00 | $284.77–$956.25 | 43% below | 40% |
| Carpal tunnel release, open surgery inpatient CPT 64721 Decompression Nerve Median with Carpal Tunnel Release | $675.00 | $1,125.00 | $284.77–$956.25 | — | 40% |
| Carpal tunnel release, open surgery inpatient CPT 64721 64721 NEUROPLASTY AND/OR TRANSPOSITION; MEDIAN NERVE AT CARPAL TUNNEL ProFee | $675.00 | $1,125.00 | $284.77–$956.25 | — | 40% |
| Carpal tunnel release, open surgery inpatient CPT 64721 Decompression Nerve Median with Carpal Tunnel Release | $675.00 | $1,125.00 | $284.77–$956.25 | — | 40% |
| Carpal tunnel release, open surgery inpatient CPT 64721 64721 NEUROPLASTY AND/OR TRANSPOSITION; MEDIAN NERVE AT CARPAL TUNNEL ProFee | $675.00 | $1,125.00 | $618.75–$956.25 | — | 40% |
| Cervical biopsy CPT 57500 57500 BIOPSY CERVIX SINGLE/MULT/EXCISION OF LESION SPX Tech Fee | $322.95 | $538.25 | $296.04–$457.51 | 63% below | 40% |
| Cervical biopsy CPT 57500 57500 BIOPSY CERVIX SINGLE/MULT/EXCISION OF LESION SPX Tech Fee | $322.95 | $538.25 | $296.04–$457.51 | 63% below | 40% |
| Cervical biopsy inpatient CPT 57500 57500 BIOPSY CERVIX SINGLE/MULT/EXCISION OF LESION SPX Tech Fee | $322.95 | $538.25 | $296.04–$457.51 | — | 40% |
| Cervical biopsy inpatient CPT 57500 57500 BIOPSY CERVIX SINGLE/MULT/EXCISION OF LESION SPX Tech Fee | $322.95 | $538.25 | $296.04–$457.51 | — | 40% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 25600 Closed treatment of distal radial fracture; without manipulation | $270.75 | $451.25 | $248.19–$361.00 | 6% below | 40% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 25600 Closed treatment of distal radial fracture; without manipulation | $324.75 | $541.25 | $194.55–$460.06 | 13% above | 40% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 25600-Distal Radial w/o Manipulation | $1,202.40 | $2,004.00 | $1,102.20–$1,703.40 | 318% above | 40% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 25600-Distal Radial w/o Manipulation | $1,202.40 | $2,004.00 | $1,102.20–$1,703.40 | 318% above | 40% |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 25600 Closed treatment of distal radial fracture; without manipulation | $324.75 | $541.25 | $194.55–$460.06 | — | 40% |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 25600 Closed treatment of distal radial fracture; without manipulation | $324.75 | $541.25 | $194.55–$460.06 | — | 40% |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 25600-Distal Radial w/o Manipulation | $1,202.40 | $2,004.00 | $1,102.20–$1,703.40 | — | 40% |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 25600-Distal Radial w/o Manipulation | $1,202.40 | $2,004.00 | $1,102.20–$1,703.40 | — | 40% |
| Colonoscopy with polyp removal CPT 45385 Colonoscopy with Snare Technique BCE per 1 hour | $323.40 | $539.00 | $215.63–$458.15 | 73% below | 40% |
| Colonoscopy with polyp removal CPT 45385 Colonoscopy with Snare Technique per 1 hour | $323.40 | $539.00 | $215.63–$458.15 | 73% below | 40% |
| Colonoscopy with polyp removal CPT 45385 Colonoscopy with Snare Technique BCE per 1 hour | $323.40 | $539.00 | $215.63–$458.15 | 73% below | 40% |
| Colonoscopy with polyp removal CPT 45385 Colonoscopy with Snare Technique per 1 hour | $323.40 | $539.00 | $215.63–$458.15 | 73% below | 40% |
| Colonoscopy with polyp removal CPT 45385 Colonoscopy with Snare Technique | $1,232.40 | $2,054.00 | $1,129.70–$1,745.90 | 2% above | 40% |
| Colonoscopy with polyp removal CPT 45385 Colonoscopy with Snare Technique | $1,232.40 | $2,054.00 | $1,129.70–$1,745.90 | 2% above | 40% |
| Colonoscopy with polyp removal inpatient CPT 45385 Colonoscopy with Snare Technique per 1 hour | $323.40 | $539.00 | $215.63–$458.15 | — | 40% |
| Colonoscopy with polyp removal inpatient CPT 45385 Colonoscopy with Snare Technique per 1 hour | $323.40 | $539.00 | $215.63–$458.15 | — | 40% |
| Colonoscopy with polyp removal inpatient CPT 45385 Colonoscopy with Snare Technique BCE per 1 hour | $323.40 | $539.00 | $215.63–$458.15 | — | 40% |
| Colonoscopy with polyp removal inpatient CPT 45385 Colonoscopy with Snare Technique BCE per 1 hour | $323.40 | $539.00 | $215.63–$458.15 | — | 40% |
| Colonoscopy with polyp removal inpatient CPT 45385 Colonoscopy with Snare Technique | $1,232.40 | $2,054.00 | $1,129.70–$1,745.90 | — | 40% |
| Colonoscopy with polyp removal inpatient CPT 45385 Colonoscopy with Snare Technique | $1,232.40 | $2,054.00 | $1,129.70–$1,745.90 | — | 40% |
| Colonoscopy with tissue sample CPT 45380 Colonoscopy Biopsy per 1 hour | $256.80 | $428.00 | $171.20–$363.80 | 84% below | 40% |
| Colonoscopy with tissue sample CPT 45380 Colonoscopy Biopsy BCE per 1 hour | $256.80 | $428.00 | $171.20–$363.80 | 84% below | 40% |
| Colonoscopy with tissue sample CPT 45380 Colonoscopy Biopsy BCE per 1 hour | $256.80 | $428.00 | $171.20–$363.80 | 84% below | 40% |
| Colonoscopy with tissue sample CPT 45380 Colonoscopy Biopsy per 1 hour | $256.80 | $428.00 | $171.20–$363.80 | 84% below | 40% |
| Colonoscopy with tissue sample CPT 45380 Colonoscopy Biopsy | $1,232.25 | $2,053.75 | $1,129.56–$1,745.69 | 24% below | 40% |
| Colonoscopy with tissue sample CPT 45380 Colonoscopy Biopsy | $1,232.25 | $2,053.75 | $1,129.56–$1,745.69 | 24% below | 40% |
| Colonoscopy with tissue sample inpatient CPT 45380 Colonoscopy Biopsy per 1 hour | $256.80 | $428.00 | $171.20–$363.80 | — | 40% |
| Colonoscopy with tissue sample inpatient CPT 45380 Colonoscopy Biopsy BCE per 1 hour | $256.80 | $428.00 | $171.20–$363.80 | — | 40% |
| Colonoscopy with tissue sample inpatient CPT 45380 Colonoscopy Biopsy per 1 hour | $256.80 | $428.00 | $171.20–$363.80 | — | 40% |
| Colonoscopy with tissue sample inpatient CPT 45380 Colonoscopy Biopsy BCE per 1 hour | $256.80 | $428.00 | $171.20–$363.80 | — | 40% |
| Colonoscopy with tissue sample inpatient CPT 45380 Colonoscopy Biopsy | $1,232.25 | $2,053.75 | $1,129.56–$1,745.69 | — | 40% |
| Colonoscopy with tissue sample inpatient CPT 45380 Colonoscopy Biopsy | $1,232.25 | $2,053.75 | $1,129.56–$1,745.69 | — | 40% |
| Colonoscopy, diagnostic CPT 45378 45378 Colonoscopy per 1 hour | $237.60 | $396.00 | $158.53–$336.60 | 90% below | 40% |
| Colonoscopy, diagnostic CPT 45378 45378 Colonoscopy BCE per 1 hour | $237.60 | $396.00 | $158.53–$336.60 | 90% below | 40% |
| Colonoscopy, diagnostic CPT 45378 45378 Colonoscopy per 1 hour | $237.60 | $396.00 | $158.53–$336.60 | 90% below | 40% |
| Colonoscopy, diagnostic CPT 45378 45378 Colonoscopy BCE per 1 hour | $237.60 | $396.00 | $158.53–$336.60 | 90% below | 40% |
| Colonoscopy, diagnostic CPT 45378 Colonoscopy Excision Lesion per 15 min | $237.90 | $396.50 | $158.53–$337.03 | 90% below | 40% |
| Colonoscopy, diagnostic CPT 45378 Colonoscopy Excision Lesion BCE per 15 min | $237.90 | $396.50 | $158.53–$337.03 | 90% below | 40% |
| Colonoscopy, diagnostic CPT 45378 Colonoscopy Excision Lesion per 15 min | $237.90 | $396.50 | $158.53–$337.03 | 90% below | 40% |
| Colonoscopy, diagnostic CPT 45378 Colonoscopy Excision Lesion BCE per 15 min | $237.90 | $396.50 | $158.53–$337.03 | 90% below | 40% |
| Colonoscopy, diagnostic CPT 45378 Colonoscopy Excision Lesion | $1,152.45 | $1,920.75 | $1,056.41–$1,632.64 | 51% below | 40% |
| Colonoscopy, diagnostic CPT 45378 Colonoscopy Excision Lesion | $1,152.45 | $1,920.75 | $1,056.41–$1,632.64 | 51% below | 40% |
| Colonoscopy, diagnostic CPT 45378 45378 Colonoscopy | $1,152.45 | $1,920.75 | $1,056.41–$1,632.64 | 51% below | 40% |
| Colonoscopy, diagnostic CPT 45378 45378 Colonoscopy | $1,152.45 | $1,920.75 | $1,056.41–$1,632.64 | 51% below | 40% |
| Colonoscopy, diagnostic inpatient CPT 45378 45378 Colonoscopy per 1 hour | $237.60 | $396.00 | $158.53–$336.60 | — | 40% |
| Colonoscopy, diagnostic inpatient CPT 45378 45378 Colonoscopy BCE per 1 hour | $237.60 | $396.00 | $158.53–$336.60 | — | 40% |
| Colonoscopy, diagnostic inpatient CPT 45378 45378 Colonoscopy per 1 hour | $237.60 | $396.00 | $158.53–$336.60 | — | 40% |
| Colonoscopy, diagnostic inpatient CPT 45378 45378 Colonoscopy BCE per 1 hour | $237.60 | $396.00 | $158.53–$336.60 | — | 40% |
| Colonoscopy, diagnostic inpatient CPT 45378 Colonoscopy Excision Lesion BCE per 15 min | $237.90 | $396.50 | $158.53–$337.03 | — | 40% |
| Colonoscopy, diagnostic inpatient CPT 45378 Colonoscopy Excision Lesion per 15 min | $237.90 | $396.50 | $158.53–$337.03 | — | 40% |
| Colonoscopy, diagnostic inpatient CPT 45378 Colonoscopy Excision Lesion BCE per 15 min | $237.90 | $396.50 | $158.53–$337.03 | — | 40% |
| Colonoscopy, diagnostic inpatient CPT 45378 Colonoscopy Excision Lesion per 15 min | $237.90 | $396.50 | $158.53–$337.03 | — | 40% |
| Colonoscopy, diagnostic inpatient CPT 45378 45378 Colonoscopy | $1,152.45 | $1,920.75 | $1,056.41–$1,632.64 | — | 40% |
| Colonoscopy, diagnostic inpatient CPT 45378 Colonoscopy Excision Lesion | $1,152.45 | $1,920.75 | $1,056.41–$1,632.64 | — | 40% |
| Colonoscopy, diagnostic inpatient CPT 45378 45378 Colonoscopy | $1,152.45 | $1,920.75 | $1,056.41–$1,632.64 | — | 40% |
| Colonoscopy, diagnostic inpatient CPT 45378 Colonoscopy Excision Lesion | $1,152.45 | $1,920.75 | $1,056.41–$1,632.64 | — | 40% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 17000 Destruction premalignant lesions; first lesion | $97.35 | $162.25 | $89.24–$129.80 | 31% below | 40% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 69209 Removal impacted cerumen using irrigation/lavage | $16.50 | $27.50 | $15.13–$22.00 | 85% below | 40% |
| Earwax removal with instruments, one ear CPT 69210 Ear Irrigation POC | $64.95 | $108.25 | $59.54–$86.60 | 57% below | 40% |
| Earwax removal with instruments, one ear CPT 69210 69210 REMOVE IMPACTED CERUMEN TechFee | $66.90 | $111.50 | $61.33–$94.78 | 56% below | 40% |
| Earwax removal with instruments, one ear CPT 69210 69210 REMOVE IMPACTED CERUMEN TechFee | $66.90 | $111.50 | $61.33–$94.78 | 56% below | 40% |
| Earwax removal with instruments, one ear CPT 69210 69210-Cerumen w/ Instrumentation | $213.45 | $355.75 | $195.66–$302.39 | 41% above | 40% |
| Earwax removal with instruments, one ear CPT 69210 69210-Cerumen w/ Instrumentation | $213.45 | $355.75 | $195.66–$302.39 | 41% above | 40% |
| Earwax removal with instruments, one ear inpatient CPT 69210 69210 REMOVE IMPACTED CERUMEN TechFee | $66.90 | $111.50 | $61.33–$94.78 | — | 40% |
| Earwax removal with instruments, one ear inpatient CPT 69210 69210 REMOVE IMPACTED CERUMEN TechFee | $66.90 | $111.50 | $61.33–$94.78 | — | 40% |
| Earwax removal with instruments, one ear inpatient CPT 69210 69210-Cerumen w/ Instrumentation | $213.45 | $355.75 | $195.66–$302.39 | — | 40% |
| Earwax removal with instruments, one ear inpatient CPT 69210 69210-Cerumen w/ Instrumentation | $213.45 | $355.75 | $195.66–$302.39 | — | 40% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 58100 ENDOMETRIAL BX W/WO ENDOCERVIX BX W/O DILAT SPX Tech Fee | $270.60 | $451.00 | $248.05–$383.35 | 23% above | 40% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 58100 ENDOMETRIAL BX W/WO ENDOCERVIX BX W/O DILAT SPX Tech Fee | $270.60 | $451.00 | $248.05–$383.35 | 23% above | 40% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 58100 ENDOMETRIAL BX W/WO ENDOCERVIX BX W/O DILAT SPX Tech Fee | $270.60 | $451.00 | $248.05–$383.35 | — | 40% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 58100 ENDOMETRIAL BX W/WO ENDOCERVIX BX W/O DILAT SPX Tech Fee | $270.60 | $451.00 | $248.05–$383.35 | — | 40% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Sigmoidoscopy Flexible | $740.85 | $1,234.75 | $679.11–$1,049.54 | 31% below | 40% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Sigmoidoscopy Flexible | $740.85 | $1,234.75 | $679.11–$1,049.54 | 31% below | 40% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 Sigmoidoscopy Flexible | $740.85 | $1,234.75 | $679.11–$1,049.54 | — | 40% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 Sigmoidoscopy Flexible | $740.85 | $1,234.75 | $679.11–$1,049.54 | — | 40% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 Hemorrhoidal Banding | $235.35 | $392.25 | $215.74–$333.41 | 74% below | 40% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 HEMORRHOIDAL BANDING SINGLE PROC MINOR OP | $235.35 | $392.25 | $215.74–$333.41 | 74% below | 40% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 Hemorrhoidal Banding | $235.35 | $392.25 | $215.74–$333.41 | 74% below | 40% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 HEMORRHOIDAL BANDING SINGLE PROC MINOR OP | $235.35 | $392.25 | $215.74–$333.41 | 74% below | 40% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 Hemorrhoidal Banding per 1 hour | $276.00 | $460.00 | $52.75–$391.00 | 69% below | 40% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 Hemorrhoid Banding BCE per 1 hour | $276.00 | $460.00 | $52.75–$391.00 | 69% below | 40% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 HEMORRHOIDAL BANDING SINGLE PROC MINOR OP BCE per 1 hour | $276.00 | $460.00 | $52.75–$391.00 | 69% below | 40% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 Hemorrhoidal Banding per 1 hour | $276.00 | $460.00 | $52.75–$391.00 | 69% below | 40% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 HEMORRHOIDAL BANDING SINGLE PROC MINOR OP per 1 hour | $276.00 | $460.00 | $52.75–$391.00 | 69% below | 40% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 Hemorrhoid Banding per 1 hour | $276.00 | $460.00 | $52.75–$391.00 | 69% below | 40% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 Hemorrhoidal Banding BCE per 1 hour | $276.00 | $460.00 | $52.75–$391.00 | 69% below | 40% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 Hemorrhoid Banding BCE per 1 hour | $276.00 | $460.00 | $52.75–$391.00 | 69% below | 40% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 HEMORRHOIDAL BANDING SINGLE PROC MINOR OP BCE per 1 hour | $276.00 | $460.00 | $52.75–$391.00 | 69% below | 40% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 HEMORRHOIDAL BANDING SINGLE PROC MINOR OP per 1 hour | $276.00 | $460.00 | $52.75–$391.00 | 69% below | 40% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 Hemorrhoid Banding per 1 hour | $276.00 | $460.00 | $52.75–$391.00 | 69% below | 40% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 Hemorrhoidal Banding BCE per 1 hour | $276.00 | $460.00 | $52.75–$391.00 | 69% below | 40% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 Hemorrhoid Banding | $312.60 | $521.00 | $286.55–$442.85 | 65% below | 40% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 Hemorrhoid Banding | $312.60 | $521.00 | $286.55–$442.85 | 65% below | 40% |
| Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 Hemorrhoidal Banding | $235.35 | $392.25 | $215.74–$333.41 | — | 40% |
| Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 Hemorrhoidal Banding | $235.35 | $392.25 | $215.74–$333.41 | — | 40% |
| Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 HEMORRHOIDAL BANDING SINGLE PROC MINOR OP | $235.35 | $392.25 | $215.74–$333.41 | — | 40% |
| Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 HEMORRHOIDAL BANDING SINGLE PROC MINOR OP | $235.35 | $392.25 | $215.74–$333.41 | — | 40% |
| Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 Hemorrhoid Banding BCE per 1 hour | $276.00 | $460.00 | $52.75–$391.00 | — | 40% |
| Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 Hemorrhoidal Banding BCE per 1 hour | $276.00 | $460.00 | $52.75–$391.00 | — | 40% |
| Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 Hemorrhoid Banding BCE per 1 hour | $276.00 | $460.00 | $52.75–$391.00 | — | 40% |
| Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 Hemorrhoid Banding per 1 hour | $276.00 | $460.00 | $52.75–$391.00 | — | 40% |
| Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 HEMORRHOIDAL BANDING SINGLE PROC MINOR OP BCE per 1 hour | $276.00 | $460.00 | $52.75–$391.00 | — | 40% |
| Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 HEMORRHOIDAL BANDING SINGLE PROC MINOR OP per 1 hour | $276.00 | $460.00 | $52.75–$391.00 | — | 40% |
| Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 Hemorrhoidal Banding per 1 hour | $276.00 | $460.00 | $52.75–$391.00 | — | 40% |
| Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 HEMORRHOIDAL BANDING SINGLE PROC MINOR OP BCE per 1 hour | $276.00 | $460.00 | $52.75–$391.00 | — | 40% |
| Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 Hemorrhoidal Banding per 1 hour | $276.00 | $460.00 | $52.75–$391.00 | — | 40% |
| Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 HEMORRHOIDAL BANDING SINGLE PROC MINOR OP per 1 hour | $276.00 | $460.00 | $52.75–$391.00 | — | 40% |
| Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 Hemorrhoid Banding per 1 hour | $276.00 | $460.00 | $52.75–$391.00 | — | 40% |
| Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 Hemorrhoidal Banding BCE per 1 hour | $276.00 | $460.00 | $52.75–$391.00 | — | 40% |
| Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 Hemorrhoid Banding | $312.60 | $521.00 | $286.55–$442.85 | — | 40% |
| Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 Hemorrhoid Banding | $312.60 | $521.00 | $286.55–$442.85 | — | 40% |
| IUD insertion (the device itself billed separately) CPT 58300 58300 Insertion of intrauterine device (IUD) | $221.70 | $369.50 | $203.23–$295.60 | 86% below | 40% |
| Incision and drainage of a simple or single skin abscess CPT 10060 10060 Incision and drainage of abscess; simple or single | $85.20 | $142.00 | $78.10–$113.60 | 71% below | 40% |
| Incision and drainage of a simple or single skin abscess CPT 10060 10060 Incision and drainage of abscess; simple or single | $102.15 | $170.25 | $39.74–$144.71 | 66% below | 40% |
| Incision and drainage of a simple or single skin abscess CPT 10060 10060 I & D ABSCESS SIMPLE/SINGLE | $152.70 | $254.50 | $139.98–$216.33 | 48% below | 40% |
| Incision and drainage of a simple or single skin abscess CPT 10060 10060 I & D ABSCESS SIMPLE/SINGLE | $152.70 | $254.50 | $139.98–$216.33 | 48% below | 40% |
| Incision and drainage of a simple or single skin abscess CPT 10060 10060-I&D Abscess/Cyst/Hematoma Simple | $209.70 | $349.50 | $192.23–$297.08 | 29% below | 40% |
| Incision and drainage of a simple or single skin abscess CPT 10060 10060-I&D Abscess/Cyst/Hematoma Simple | $209.70 | $349.50 | $192.23–$297.08 | 29% below | 40% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 10060 Incision and drainage of abscess; simple or single | $102.15 | $170.25 | $39.74–$144.71 | — | 40% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 10060 Incision and drainage of abscess; simple or single | $102.15 | $170.25 | $39.74–$144.71 | — | 40% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 10060 I & D ABSCESS SIMPLE/SINGLE | $152.70 | $254.50 | $139.98–$216.33 | — | 40% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 10060 I & D ABSCESS SIMPLE/SINGLE | $152.70 | $254.50 | $139.98–$216.33 | — | 40% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 10060-I&D Abscess/Cyst/Hematoma Simple | $209.70 | $349.50 | $192.23–$297.08 | — | 40% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 10060-I&D Abscess/Cyst/Hematoma Simple | $209.70 | $349.50 | $192.23–$297.08 | — | 40% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 20550 Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar fascia) | $37.65 | $62.75 | $31.93–$53.34 | 92% below | 40% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 20550 INJECTION 1 TENDON SHEATH/LIGAMENT APONEUROSIS TechFee | $85.50 | $142.50 | $78.38–$121.13 | 81% below | 40% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 20550 INJECTION 1 TENDON SHEATH/LIGAMENT APONEUROSIS TechFee | $85.50 | $142.50 | $78.38–$121.13 | 81% below | 40% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 20550 Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar fascia) | $37.65 | $62.75 | $31.93–$53.34 | — | 40% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 20550 Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar fascia) | $37.65 | $62.75 | $31.93–$53.34 | — | 40% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 20550 INJECTION 1 TENDON SHEATH/LIGAMENT APONEUROSIS TechFee | $85.50 | $142.50 | $78.38–$121.13 | — | 40% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 20550 INJECTION 1 TENDON SHEATH/LIGAMENT APONEUROSIS TechFee | $85.50 | $142.50 | $78.38–$121.13 | — | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Arthrocentesis BCE per 15 min | $57.60 | $96.00 | $38.30–$81.60 | 88% below | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Arthrocentesis BCE per 15 min | $57.60 | $96.00 | $38.30–$81.60 | 88% below | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Arthrocentesis per 15 min | $57.60 | $96.00 | $38.30–$81.60 | 88% below | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Arthrocentesis per 15 min | $57.60 | $96.00 | $38.30–$81.60 | 88% below | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 20610 Arthrocentesis, aspiration and/or injection, major joint or bursa; without ultrasound guidance | $185.25 | $308.75 | $38.30–$262.44 | 61% below | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 20610-Major Joint Aspirate/Inject w/o US | $228.60 | $381.00 | $209.55–$323.85 | 51% below | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 20610-Major Joint Aspirate/Inject w/o US | $228.60 | $381.00 | $209.55–$323.85 | 51% below | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 20610 ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US TechFee | $238.95 | $398.25 | $219.04–$338.51 | 49% below | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Arthrocentesis | $238.95 | $398.25 | $219.04–$338.51 | 49% below | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Arthrocentesis | $238.95 | $398.25 | $219.04–$338.51 | 49% below | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 20610 ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US TechFee | $238.95 | $398.25 | $219.04–$338.51 | 49% below | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Arthrocentesis BCE per 15 min | $57.60 | $96.00 | $38.30–$81.60 | — | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Arthrocentesis per 15 min | $57.60 | $96.00 | $38.30–$81.60 | — | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Arthrocentesis BCE per 15 min | $57.60 | $96.00 | $38.30–$81.60 | — | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Arthrocentesis per 15 min | $57.60 | $96.00 | $38.30–$81.60 | — | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 20610 Arthrocentesis, aspiration and/or injection, major joint or bursa; without ultrasound guidance | $185.25 | $308.75 | $38.30–$262.44 | — | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 20610 Arthrocentesis, aspiration and/or injection, major joint or bursa; without ultrasound guidance | $185.25 | $308.75 | $38.30–$262.44 | — | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 20610-Major Joint Aspirate/Inject w/o US | $228.60 | $381.00 | $209.55–$323.85 | — | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 20610-Major Joint Aspirate/Inject w/o US | $228.60 | $381.00 | $209.55–$323.85 | — | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 20610 ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US TechFee | $238.95 | $398.25 | $219.04–$338.51 | — | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Arthrocentesis | $238.95 | $398.25 | $219.04–$338.51 | — | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Arthrocentesis | $238.95 | $398.25 | $219.04–$338.51 | — | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 20610 ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US TechFee | $238.95 | $398.25 | $219.04–$338.51 | — | 40% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 11981 Insertion, non-biodegradable drug delivery implant | $221.70 | $369.50 | $203.23–$295.60 | 53% above | 40% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 20605 Arthrocentesis, aspiration and/or injection, intermediate joint or bursa. | $202.20 | $337.00 | $27.20–$286.45 | 49% below | 40% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 20605 Arthrocentesis, aspiration and/or injection, intermediate joint or bursa (eg, temporomandibula | $202.20 | $337.00 | $27.20–$286.45 | 49% below | 40% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 20605-Intermediate Aspiration/Inj w/o US | $273.60 | $456.00 | $250.80–$387.60 | 31% below | 40% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 20605-Intermediate Aspiration/Inj w/o US | $273.60 | $456.00 | $250.80–$387.60 | 31% below | 40% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 20605 Arthrocentesis, aspiration and/or injection, intermediate joint or bursa (eg, temporomandibula | $202.20 | $337.00 | $27.20–$286.45 | — | 40% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 20605 Arthrocentesis, aspiration and/or injection, intermediate joint or bursa. | $202.20 | $337.00 | $27.20–$286.45 | — | 40% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 20605 Arthrocentesis, aspiration and/or injection, intermediate joint or bursa. | $202.20 | $337.00 | $27.20–$286.45 | — | 40% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 20605 Arthrocentesis, aspiration and/or injection, intermediate joint or bursa (eg, temporomandibula | $202.20 | $337.00 | $27.20–$286.45 | — | 40% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 20605-Intermediate Aspiration/Inj w/o US | $273.60 | $456.00 | $250.80–$387.60 | — | 40% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 20605-Intermediate Aspiration/Inj w/o US | $273.60 | $456.00 | $250.80–$387.60 | — | 40% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 20600 ARTHROCENTESIS, ASPIRATION AND/OR INJECTION, SMALL JOINT OR BURSA (EG, FINGERS, TOES); ProFee | $62.55 | $104.25 | $57.34–$83.40 | 83% below | 40% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 20600-Small Joint Aspirate/Inject w/o US | $248.25 | $413.75 | $227.56–$351.69 | 33% below | 40% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 20600-Small Joint Aspirate/Inject w/o US | $248.25 | $413.75 | $227.56–$351.69 | 33% below | 40% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 20600-Small Joint Aspirate/Inject w/o US | $248.25 | $413.75 | $227.56–$351.69 | — | 40% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 20600-Small Joint Aspirate/Inject w/o US | $248.25 | $413.75 | $227.56–$351.69 | — | 40% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 12031 Repair, intermediate; wounds of scalp, axillae, trunk, extremities; <2.5cm | $122.25 | $203.75 | $112.06–$163.00 | 59% below | 40% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 12031 Repair, intermediate; wounds of scalp, axillae, trunk, extremities; <2.5cm | $146.55 | $244.25 | $72.98–$207.61 | 51% below | 40% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 12031-Scalp/Trunk/Extremity Less Than/Equal to 2.5 cm | $281.10 | $468.50 | $257.68–$398.23 | 7% below | 40% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 12031-Scalp/Trunk/Extremity Less Than/Equal to 2.5 cm | $281.10 | $468.50 | $257.68–$398.23 | 7% below | 40% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 12031 Repair, intermediate; wounds of scalp, axillae, trunk, extremities; <2.5cm | $146.55 | $244.25 | $72.98–$207.61 | — | 40% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 12031 Repair, intermediate; wounds of scalp, axillae, trunk, extremities; <2.5cm | $146.55 | $244.25 | $72.98–$207.61 | — | 40% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 12031-Scalp/Trunk/Extremity Less Than/Equal to 2.5 cm | $281.10 | $468.50 | $257.68–$398.23 | — | 40% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 12031-Scalp/Trunk/Extremity Less Than/Equal to 2.5 cm | $281.10 | $468.50 | $257.68–$398.23 | — | 40% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 11400 Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, a | $129.00 | $215.00 | $118.25–$172.00 | 65% below | 40% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 11400 EXC B9 LESION MRGN XCP SK TG T/A/L 0.5 CM/ TechFee | $132.90 | $221.50 | $121.83–$188.28 | 64% below | 40% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 11400 EXC B9 LESION MRGN XCP SK TG T/A/L 0.5 CM/ TechFee | $132.90 | $221.50 | $121.83–$188.28 | 64% below | 40% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 11400 EXC B9 LESION MRGN XCP SK TG T/A/L 0.5 CM/ TechFee | $132.90 | $221.50 | $121.83–$188.28 | — | 40% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 11400 EXC B9 LESION MRGN XCP SK TG T/A/L 0.5 CM/ TechFee | $132.90 | $221.50 | $121.83–$188.28 | — | 40% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 11440 Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), fa | $186.45 | $310.75 | $170.91–$248.60 | 61% below | 40% |
| Nail removal (partial or complete), one nail CPT 11730 11730 Avulsion of nail plate, partial or complete, simple; single | $43.05 | $71.75 | $39.46–$57.40 | 83% below | 40% |
| Nail removal (partial or complete), one nail CPT 11730 11730 Avulsion of nail plate, partial or complete, simple; single | $55.05 | $91.75 | $40.17–$77.99 | 79% below | 40% |
| Nail removal (partial or complete), one nail CPT 11730 11730-Avulsion Nail Plate Single | $95.85 | $159.75 | $87.86–$135.79 | 63% below | 40% |
| Nail removal (partial or complete), one nail CPT 11730 11730-Avulsion Nail Plate Single | $95.85 | $159.75 | $87.86–$135.79 | 63% below | 40% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 11730 Avulsion of nail plate, partial or complete, simple; single | $55.05 | $91.75 | $40.17–$77.99 | — | 40% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 11730 Avulsion of nail plate, partial or complete, simple; single | $55.05 | $91.75 | $40.17–$77.99 | — | 40% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 11730-Avulsion Nail Plate Single | $95.85 | $159.75 | $87.86–$135.79 | — | 40% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 11730-Avulsion Nail Plate Single | $95.85 | $159.75 | $87.86–$135.79 | — | 40% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 11750 Excision of nail and nail matrix, partial or complete (eg, ingrown or deformed nail), for perm | $81.00 | $135.00 | $74.25–$108.00 | 84% below | 40% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 11750 Excision of nail and nail matrix, partial or complete (eg, ingrown or deformed nail), for perm | $223.50 | $372.50 | $81.49–$316.63 | 55% below | 40% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 11750 EXCISION NAIL MATRIX PERMANENT REMOVAL TechFee | $313.65 | $522.75 | $287.51–$444.34 | 37% below | 40% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 11750 EXCISION NAIL MATRIX PERMANENT REMOVAL TechFee | $313.65 | $522.75 | $287.51–$444.34 | 37% below | 40% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 11750-Excision Nail & Matrix | $451.35 | $752.25 | $413.74–$639.41 | 10% below | 40% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 11750-Excision Nail & Matrix | $451.35 | $752.25 | $413.74–$639.41 | 10% below | 40% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 11750 Excision of nail and nail matrix, partial or complete (eg, ingrown or deformed nail), for perm | $223.50 | $372.50 | $81.49–$316.63 | — | 40% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 11750 Excision of nail and nail matrix, partial or complete (eg, ingrown or deformed nail), for perm | $223.50 | $372.50 | $81.49–$316.63 | — | 40% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 11750 EXCISION NAIL MATRIX PERMANENT REMOVAL TechFee | $313.65 | $522.75 | $287.51–$444.34 | — | 40% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 11750 EXCISION NAIL MATRIX PERMANENT REMOVAL TechFee | $313.65 | $522.75 | $287.51–$444.34 | — | 40% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 11750-Excision Nail & Matrix | $451.35 | $752.25 | $413.74–$639.41 | — | 40% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 11750-Excision Nail & Matrix | $451.35 | $752.25 | $413.74–$639.41 | — | 40% |
| Removal of a breast lump, open surgery CPT 19120 19120 REMOVAL OF BREAST LESION TechFee | $1,552.05 | $2,586.75 | $1,422.71–$2,198.74 | at median | 40% |
| Removal of a breast lump, open surgery CPT 19120 19120 REMOVAL OF BREAST LESION TechFee | $1,552.05 | $2,586.75 | $1,422.71–$2,198.74 | at median | 40% |
| Removal of a breast lump, open surgery inpatient CPT 19120 19120 REMOVAL OF BREAST LESION TechFee | $1,552.05 | $2,586.75 | $1,422.71–$2,198.74 | — | 40% |
| Removal of a breast lump, open surgery inpatient CPT 19120 19120 REMOVAL OF BREAST LESION TechFee | $1,552.05 | $2,586.75 | $1,422.71–$2,198.74 | — | 40% |
| Removal of a foreign object under the skin, simple CPT 10120 10120 Incision and removal of foreign body, subcutaneous tissues; simple | $85.20 | $142.00 | $78.10–$113.60 | 80% below | 40% |
| Removal of a foreign object under the skin, simple CPT 10120 10120 Incision and removal of foreign body, subcutaneous tissues; simple | $102.15 | $170.25 | $42.30–$144.71 | 76% below | 40% |
| Removal of a foreign object under the skin, simple CPT 10120 10120 INCISION & REMOVAL FOREIGN BODY SUBQ TISS SIMPLE TechFee | $136.80 | $228.00 | $125.40–$193.80 | 68% below | 40% |
| Removal of a foreign object under the skin, simple CPT 10120 10120 INCISION & REMOVAL FOREIGN BODY SUBQ TISS SIMPLE TechFee | $136.80 | $228.00 | $125.40–$193.80 | 68% below | 40% |
| Removal of a foreign object under the skin, simple CPT 10120 10120-Subcutaneous Tissue Simple | $216.45 | $360.75 | $198.41–$306.64 | 49% below | 40% |
| Removal of a foreign object under the skin, simple CPT 10120 10120-Subcutaneous Tissue Simple | $216.45 | $360.75 | $198.41–$306.64 | 49% below | 40% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 10120 Incision and removal of foreign body, subcutaneous tissues; simple | $102.15 | $170.25 | $42.30–$144.71 | — | 40% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 10120 Incision and removal of foreign body, subcutaneous tissues; simple | $102.15 | $170.25 | $42.30–$144.71 | — | 40% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 10120 INCISION & REMOVAL FOREIGN BODY SUBQ TISS SIMPLE TechFee | $136.80 | $228.00 | $125.40–$193.80 | — | 40% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 10120 INCISION & REMOVAL FOREIGN BODY SUBQ TISS SIMPLE TechFee | $136.80 | $228.00 | $125.40–$193.80 | — | 40% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 10120-Subcutaneous Tissue Simple | $216.45 | $360.75 | $198.41–$306.64 | — | 40% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 10120-Subcutaneous Tissue Simple | $216.45 | $360.75 | $198.41–$306.64 | — | 40% |
| Short arm cast (elbow to hand) CPT 29075 29075 Application, cast; elbow to finger (short arm) | $51.00 | $85.00 | $46.75–$68.00 | 68% below | 40% |
| Short arm cast (elbow to hand) CPT 29075 29075 Application, cast; elbow to finger (short arm) | $61.20 | $102.00 | $33.21–$86.70 | 61% below | 40% |
| Short arm cast (elbow to hand) CPT 29075 29075 APPLICATION CAST ELBOW FINGER SHORT ARM TechFee | $498.45 | $830.75 | $456.91–$706.14 | 216% above | 40% |
| Short arm cast (elbow to hand) CPT 29075 29075 APPLICATION CAST ELBOW FINGER SHORT ARM TechFee | $498.45 | $830.75 | $456.91–$706.14 | 216% above | 40% |
| Short arm cast (elbow to hand) inpatient CPT 29075 29075 Application, cast; elbow to finger (short arm) | $61.20 | $102.00 | $33.21–$86.70 | — | 40% |
| Short arm cast (elbow to hand) inpatient CPT 29075 29075 Application, cast; elbow to finger (short arm) | $61.20 | $102.00 | $33.21–$86.70 | — | 40% |
| Short arm cast (elbow to hand) inpatient CPT 29075 29075 APPLICATION CAST ELBOW FINGER SHORT ARM TechFee | $498.45 | $830.75 | $456.91–$706.14 | — | 40% |
| Short arm cast (elbow to hand) inpatient CPT 29075 29075 APPLICATION CAST ELBOW FINGER SHORT ARM TechFee | $498.45 | $830.75 | $456.91–$706.14 | — | 40% |
| Short arm splint (forearm and hand) CPT 29125 29125 Application of short arm splint (forearm to hand); static | $32.70 | $54.50 | $29.98–$43.60 | 83% below | 40% |
| Short arm splint (forearm and hand) CPT 29125 29125 Application of short arm splint (forearm to hand); static | $39.30 | $65.50 | $23.49–$55.68 | 79% below | 40% |
| Short arm splint (forearm and hand) CPT 29125 29125-Short Arm | $195.30 | $325.50 | $179.03–$276.68 | 4% above | 40% |
| Short arm splint (forearm and hand) CPT 29125 29125-Short Arm | $195.30 | $325.50 | $179.03–$276.68 | 4% above | 40% |
| Short arm splint (forearm and hand) CPT 29125 29125 APPLICATION SHORT ARM SPLINT FOREARM-HAND STATIC TechFee | $201.45 | $335.75 | $184.66–$285.39 | 7% above | 40% |
| Short arm splint (forearm and hand) CPT 29125 29125 APPLICATION SHORT ARM SPLINT FOREARM-HAND STATIC TechFee | $201.45 | $335.75 | $184.66–$285.39 | 7% above | 40% |
| Short arm splint (forearm and hand) inpatient CPT 29125 29125 Application of short arm splint (forearm to hand); static | $39.30 | $65.50 | $23.49–$55.68 | — | 40% |
| Short arm splint (forearm and hand) inpatient CPT 29125 29125 Application of short arm splint (forearm to hand); static | $39.30 | $65.50 | $23.49–$55.68 | — | 40% |
| Short arm splint (forearm and hand) inpatient CPT 29125 29125-Short Arm | $195.30 | $325.50 | $179.03–$276.68 | — | 40% |
| Short arm splint (forearm and hand) inpatient CPT 29125 29125-Short Arm | $195.30 | $325.50 | $179.03–$276.68 | — | 40% |
| Short arm splint (forearm and hand) inpatient CPT 29125 29125 APPLICATION SHORT ARM SPLINT FOREARM-HAND STATIC TechFee | $201.45 | $335.75 | $184.66–$285.39 | — | 40% |
| Short arm splint (forearm and hand) inpatient CPT 29125 29125 APPLICATION SHORT ARM SPLINT FOREARM-HAND STATIC TechFee | $201.45 | $335.75 | $184.66–$285.39 | — | 40% |
| Short leg cast (below the knee) CPT 29405 29405 Application of short leg cast (below knee to toes); | $47.10 | $78.50 | $43.18–$62.80 | 75% below | 40% |
| Short leg cast (below the knee) CPT 29405 29405 Application of short leg cast (below knee to toes); | $56.70 | $94.50 | $38.75–$80.33 | 69% below | 40% |
| Short leg cast (below the knee) inpatient CPT 29405 29405 Application of short leg cast (below knee to toes); | $56.70 | $94.50 | $38.75–$80.33 | — | 40% |
| Short leg cast (below the knee) inpatient CPT 29405 29405 Application of short leg cast (below knee to toes); | $56.70 | $94.50 | $38.75–$80.33 | — | 40% |
| Short leg splint (calf to foot) CPT 29515 29515 Application of short leg splint (calf to foot) | $39.90 | $66.50 | $36.58–$53.20 | 82% below | 40% |
| Short leg splint (calf to foot) CPT 29515 29515 Application of short leg splint (calf to foot) | $47.70 | $79.50 | $29.18–$67.58 | 78% below | 40% |
| Short leg splint (calf to foot) CPT 29515 29515-Short Leg | $117.90 | $196.50 | $108.08–$167.03 | 46% below | 40% |
| Short leg splint (calf to foot) CPT 29515 29515-Short Leg | $117.90 | $196.50 | $108.08–$167.03 | 46% below | 40% |
| Short leg splint (calf to foot) CPT 29515 29515 APPLICATION SHORT LEG SPLINT CALF FOOT TechFee | $201.60 | $336.00 | $184.80–$285.60 | 7% below | 40% |
| Short leg splint (calf to foot) CPT 29515 29515 APPLICATION SHORT LEG SPLINT CALF FOOT TechFee | $201.60 | $336.00 | $184.80–$285.60 | 7% below | 40% |
| Short leg splint (calf to foot) inpatient CPT 29515 29515 Application of short leg splint (calf to foot) | $47.70 | $79.50 | $29.18–$67.58 | — | 40% |
| Short leg splint (calf to foot) inpatient CPT 29515 29515 Application of short leg splint (calf to foot) | $47.70 | $79.50 | $29.18–$67.58 | — | 40% |
| Short leg splint (calf to foot) inpatient CPT 29515 29515-Short Leg | $117.90 | $196.50 | $108.08–$167.03 | — | 40% |
| Short leg splint (calf to foot) inpatient CPT 29515 29515-Short Leg | $117.90 | $196.50 | $108.08–$167.03 | — | 40% |
| Short leg splint (calf to foot) inpatient CPT 29515 29515 APPLICATION SHORT LEG SPLINT CALF FOOT TechFee | $201.60 | $336.00 | $184.80–$285.60 | — | 40% |
| Short leg splint (calf to foot) inpatient CPT 29515 29515 APPLICATION SHORT LEG SPLINT CALF FOOT TechFee | $201.60 | $336.00 | $184.80–$285.60 | — | 40% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 12001 Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or | $268.95 | $448.25 | $246.54–$381.01 | 3% below | 40% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 12001 Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or | $268.95 | $448.25 | $246.54–$381.01 | 3% below | 40% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 12001-Scalp/Neck/Trunk/Genital/Extremity <= 2.5 cm | $272.55 | $454.25 | $249.84–$386.11 | 1% below | 40% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 12001-Scalp/Neck/Trunk/Genital/Extremity <= 2.5 cm | $272.55 | $454.25 | $249.84–$386.11 | 1% below | 40% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 12001 Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or | $268.95 | $448.25 | $246.54–$381.01 | — | 40% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 12001 Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or | $268.95 | $448.25 | $246.54–$381.01 | — | 40% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 12001-Scalp/Neck/Trunk/Genital/Extremity <= 2.5 cm | $272.55 | $454.25 | $249.84–$386.11 | — | 40% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 12001-Scalp/Neck/Trunk/Genital/Extremity <= 2.5 cm | $272.55 | $454.25 | $249.84–$386.11 | — | 40% |
| Skin biopsy, punch, one lesion CPT 11104 11104 Punch biopsy of skin (including simple closure, when performed); single lesion | $37.65 | $62.75 | $34.51–$50.20 | 85% below | 40% |
| Skin biopsy, punch, one lesion CPT 11104 11104 Punch biopsy of skin (including simple closure, when performed); single lesion | $45.30 | $75.50 | $36.93–$64.18 | 82% below | 40% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 11104 Punch biopsy of skin (including simple closure, when performed); single lesion | $45.30 | $75.50 | $36.93–$64.18 | — | 40% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 11104 Punch biopsy of skin (including simple closure, when performed); single lesion | $45.30 | $75.50 | $36.93–$64.18 | — | 40% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 11600 Excision, malignant lesion including margins, trunk, arms, or legs; < 0.5cm | $149.40 | $249.00 | $136.95–$199.20 | 27% below | 40% |
| Skin tag removal, up to 15 tags CPT 11200 11200 Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions | $111.90 | $186.50 | $102.58–$149.20 | 22% below | 40% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 Lumbar Puncture per 1 hour | $85.20 | $142.00 | $50.19–$120.70 | 90% below | 40% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 Lumbar Puncture per 1 hour | $85.20 | $142.00 | $50.19–$120.70 | 90% below | 40% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 Lumbar Puncture BCE per 1 hour | $151.20 | $252.00 | $50.19–$214.20 | 81% below | 40% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 Lumbar Puncture BCE per 1 hour | $151.20 | $252.00 | $50.19–$214.20 | 81% below | 40% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 Lumbar Puncture | $468.90 | $781.50 | $429.83–$664.28 | 43% below | 40% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 Lumbar Puncture | $468.90 | $781.50 | $429.83–$664.28 | 43% below | 40% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Lumbar Puncture per 1 hour | $85.20 | $142.00 | $50.19–$120.70 | — | 40% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Lumbar Puncture per 1 hour | $85.20 | $142.00 | $50.19–$120.70 | — | 40% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Lumbar Puncture BCE per 1 hour | $151.20 | $252.00 | $50.19–$214.20 | — | 40% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Lumbar Puncture BCE per 1 hour | $151.20 | $252.00 | $50.19–$214.20 | — | 40% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Lumbar Puncture | $468.90 | $781.50 | $429.83–$664.28 | — | 40% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Lumbar Puncture | $468.90 | $781.50 | $429.83–$664.28 | — | 40% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 12002 Simple repair of wounds; scalp, neck, axillae, genitalia, trunk, extremeties; 2.6-7.5cm | $255.30 | $425.50 | $234.03–$340.40 | 15% below | 40% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 12002 SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM TechFee | $262.95 | $438.25 | $241.04–$372.51 | 13% below | 40% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 12002 SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM TechFee | $262.95 | $438.25 | $241.04–$372.51 | 13% below | 40% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 12002-Scalp/Neck/Trunk/Genital/Extremity 2.6-7.5 cm | $327.60 | $546.00 | $300.30–$464.10 | 9% above | 40% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 12002-Scalp/Neck/Trunk/Genital/Extremity 2.6-7.5 cm | $327.60 | $546.00 | $300.30–$464.10 | 9% above | 40% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 12002 SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM TechFee | $262.95 | $438.25 | $241.04–$372.51 | — | 40% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 12002 SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM TechFee | $262.95 | $438.25 | $241.04–$372.51 | — | 40% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 12002-Scalp/Neck/Trunk/Genital/Extremity 2.6-7.5 cm | $327.60 | $546.00 | $300.30–$464.10 | — | 40% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 12002-Scalp/Neck/Trunk/Genital/Extremity 2.6-7.5 cm | $327.60 | $546.00 | $300.30–$464.10 | — | 40% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 12011 Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes | $261.15 | $435.25 | $239.39–$348.20 | 10% below | 40% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 12011-Face/Ear/Eyelid/Nose/Lip Less Than/Equal to 2.5 cm | $262.05 | $436.75 | $240.21–$371.24 | 9% below | 40% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 12011-Face/Ear/Eyelid/Nose/Lip Less Than/Equal to 2.5 cm | $262.05 | $436.75 | $240.21–$371.24 | 9% below | 40% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 12011 SIMPLE REPAIR F/E/E/N/L/M 2.5CM/< | $268.95 | $448.25 | $246.54–$381.01 | 7% below | 40% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 12011 SIMPLE REPAIR F/E/E/N/L/M 2.5CM/< | $268.95 | $448.25 | $246.54–$381.01 | 7% below | 40% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 12011-Face/Ear/Eyelid/Nose/Lip Less Than/Equal to 2.5 cm | $262.05 | $436.75 | $240.21–$371.24 | — | 40% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 12011-Face/Ear/Eyelid/Nose/Lip Less Than/Equal to 2.5 cm | $262.05 | $436.75 | $240.21–$371.24 | — | 40% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 12011 SIMPLE REPAIR F/E/E/N/L/M 2.5CM/< | $268.95 | $448.25 | $246.54–$381.01 | — | 40% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 12011 SIMPLE REPAIR F/E/E/N/L/M 2.5CM/< | $268.95 | $448.25 | $246.54–$381.01 | — | 40% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 11100 Biopsy of skin, subcutaneous tissue and/or mucous membrane; single lesion | $96.45 | $160.75 | $88.41–$128.60 | 62% below | 40% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 11100 BX SKIN SUBCUTANEOUS&/MUCOUS MEMBRANE 1 LESION TechFee | $302.40 | $504.00 | $277.20–$428.40 | 19% above | 40% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 11100 BX SKIN SUBCUTANEOUS&/MUCOUS MEMBRANE 1 LESION TechFee | $302.40 | $504.00 | $277.20–$428.40 | 19% above | 40% |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 11100 BX SKIN SUBCUTANEOUS&/MUCOUS MEMBRANE 1 LESION TechFee | $302.40 | $504.00 | $277.20–$428.40 | — | 40% |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 11100 BX SKIN SUBCUTANEOUS&/MUCOUS MEMBRANE 1 LESION TechFee | $302.40 | $504.00 | $277.20–$428.40 | — | 40% |
| Thoracentesis with imaging guidance CPT 32555 Thoracentesis with US image Guidance per 1 hour | $137.70 | $229.50 | $91.46–$195.08 | 89% below | 40% |
| Thoracentesis with imaging guidance CPT 32555 Thoracentesis with US image Guidance BCE per 1 hour | $137.70 | $229.50 | $91.46–$195.08 | 89% below | 40% |
| Thoracentesis with imaging guidance CPT 32555 Thoracentesis with US image Guidance BCE per 1 hour | $137.70 | $229.50 | $91.46–$195.08 | 89% below | 40% |
| Thoracentesis with imaging guidance CPT 32555 Thoracentesis with US image Guidance per 1 hour | $137.70 | $229.50 | $91.46–$195.08 | 89% below | 40% |
| Thoracentesis with imaging guidance CPT 32555 US Thoracentesis | $708.75 | $1,181.25 | $649.69–$1,004.06 | 45% below | 40% |
| Thoracentesis with imaging guidance CPT 32555 Thoracentesis with US image Guidance | $708.75 | $1,181.25 | $649.69–$1,004.06 | 45% below | 40% |
| Thoracentesis with imaging guidance CPT 32555 Thoracentesis with US image Guidance | $708.75 | $1,181.25 | $649.69–$1,004.06 | 45% below | 40% |
| Thoracentesis with imaging guidance CPT 32555 US Thoracentesis | $708.75 | $1,181.25 | $649.69–$1,004.06 | 45% below | 40% |
| Thoracentesis with imaging guidance CPT 32555 XR Thoracentesis | $708.75 | $1,181.25 | $649.69–$1,004.06 | 45% below | 40% |
| Thoracentesis with imaging guidance CPT 32555 CT Thoracentesis w/ CT Guidance | $708.75 | $1,181.25 | $452.00–$1,004.06 | 45% below | 40% |
| Thoracentesis with imaging guidance CPT 32555 CT Thoracentesis w/ CT Guidance | $708.75 | $1,181.25 | $452.00–$1,004.06 | 45% below | 40% |
| Thoracentesis with imaging guidance CPT 32555 XR Thoracentesis | $708.75 | $1,181.25 | $649.69–$1,004.06 | 45% below | 40% |
| Thoracentesis with imaging guidance inpatient CPT 32555 Thoracentesis with US image Guidance per 1 hour | $137.70 | $229.50 | $91.46–$195.08 | — | 40% |
| Thoracentesis with imaging guidance inpatient CPT 32555 Thoracentesis with US image Guidance per 1 hour | $137.70 | $229.50 | $91.46–$195.08 | — | 40% |
| Thoracentesis with imaging guidance inpatient CPT 32555 Thoracentesis with US image Guidance BCE per 1 hour | $137.70 | $229.50 | $91.46–$195.08 | — | 40% |
| Thoracentesis with imaging guidance inpatient CPT 32555 Thoracentesis with US image Guidance BCE per 1 hour | $137.70 | $229.50 | $91.46–$195.08 | — | 40% |
| Thoracentesis with imaging guidance inpatient CPT 32555 US Thoracentesis | $708.75 | $1,181.25 | $649.69–$1,004.06 | — | 40% |
| Thoracentesis with imaging guidance inpatient CPT 32555 XR Thoracentesis | $708.75 | $1,181.25 | $649.69–$1,004.06 | — | 40% |
| Thoracentesis with imaging guidance inpatient CPT 32555 CT Thoracentesis w/ CT Guidance | $708.75 | $1,181.25 | $452.00–$1,004.06 | — | 40% |
| Thoracentesis with imaging guidance inpatient CPT 32555 CT Thoracentesis w/ CT Guidance | $708.75 | $1,181.25 | $452.00–$1,004.06 | — | 40% |
| Thoracentesis with imaging guidance inpatient CPT 32555 XR Thoracentesis | $708.75 | $1,181.25 | $649.69–$1,004.06 | — | 40% |
| Thoracentesis with imaging guidance inpatient CPT 32555 Thoracentesis with US image Guidance | $708.75 | $1,181.25 | $649.69–$1,004.06 | — | 40% |
| Thoracentesis with imaging guidance inpatient CPT 32555 Thoracentesis with US image Guidance | $708.75 | $1,181.25 | $649.69–$1,004.06 | — | 40% |
| Thoracentesis with imaging guidance inpatient CPT 32555 US Thoracentesis | $708.75 | $1,181.25 | $649.69–$1,004.06 | — | 40% |
| Trigger finger release surgery CPT 26055 Tenotomy | $450.30 | $750.50 | $176.70–$637.93 | 70% below | 40% |
| Trigger finger release surgery CPT 26055 Tenotomy | $450.30 | $750.50 | $176.70–$637.93 | 70% below | 40% |
| Trigger finger release surgery CPT 26055 26055 ER INCISE FINGER TENDON SHEATH | $450.30 | $750.50 | $412.78–$637.93 | 70% below | 40% |
| Trigger finger release surgery CPT 26055 26055 ER INCISE FINGER TENDON SHEATH | $450.30 | $750.50 | $176.70–$637.93 | 70% below | 40% |
| Trigger finger release surgery inpatient CPT 26055 Tenotomy | $450.30 | $750.50 | $176.70–$637.93 | — | 40% |
| Trigger finger release surgery inpatient CPT 26055 26055 ER INCISE FINGER TENDON SHEATH | $450.30 | $750.50 | $176.70–$637.93 | — | 40% |
| Trigger finger release surgery inpatient CPT 26055 Tenotomy | $450.30 | $750.50 | $176.70–$637.93 | — | 40% |
| Trigger finger release surgery inpatient CPT 26055 26055 ER INCISE FINGER TENDON SHEATH | $450.30 | $750.50 | $412.78–$637.93 | — | 40% |
| Trigger point injections, 1 or 2 muscles CPT 20552 Injection Trigger Point BCE per 1 hour | $51.30 | $85.50 | $34.21–$72.68 | 91% below | 40% |
| Trigger point injections, 1 or 2 muscles CPT 20552 Injection Trigger Point BCE per 1 hour | $51.30 | $85.50 | $34.21–$72.68 | 91% below | 40% |
| Trigger point injections, 1 or 2 muscles CPT 20552 Injection Trigger Point per 1 hour | $51.30 | $85.50 | $34.21–$72.68 | 91% below | 40% |
| Trigger point injections, 1 or 2 muscles CPT 20552 Injection Trigger Point per 1 hour | $51.30 | $85.50 | $34.21–$72.68 | 91% below | 40% |
| Trigger point injections, 1 or 2 muscles CPT 20552 20552 Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s) | $94.05 | $156.75 | $34.21–$133.24 | 84% below | 40% |
| Trigger point injections, 1 or 2 muscles CPT 20552 Injection Trigger Point | $129.00 | $215.00 | $118.25–$182.75 | 78% below | 40% |
| Trigger point injections, 1 or 2 muscles CPT 20552 Injection Trigger Point | $129.00 | $215.00 | $118.25–$182.75 | 78% below | 40% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Injection Trigger Point per 1 hour | $51.30 | $85.50 | $34.21–$72.68 | — | 40% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Injection Trigger Point per 1 hour | $51.30 | $85.50 | $34.21–$72.68 | — | 40% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Injection Trigger Point BCE per 1 hour | $51.30 | $85.50 | $34.21–$72.68 | — | 40% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Injection Trigger Point BCE per 1 hour | $51.30 | $85.50 | $34.21–$72.68 | — | 40% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 20552 Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s) | $94.05 | $156.75 | $34.21–$133.24 | — | 40% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 20552 Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s) | $94.05 | $156.75 | $34.21–$133.24 | — | 40% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Injection Trigger Point | $129.00 | $215.00 | $118.25–$182.75 | — | 40% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Injection Trigger Point | $129.00 | $215.00 | $118.25–$182.75 | — | 40% |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 Esophagogastroduodenoscopy Guided Dilatation | $978.60 | $1,631.00 | $897.05–$1,386.35 | 42% below | 40% |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 Esophagogastroduodenoscopy Balloon Dilatation | $978.60 | $1,631.00 | $897.05–$1,386.35 | 42% below | 40% |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 Esophagogastroduodenoscopy Balloon Dilatation w/Biopsy | $978.60 | $1,631.00 | $897.05–$1,386.35 | 42% below | 40% |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 Esophagogastroduodenoscopy Balloon Dilatation w/Biopsy | $978.60 | $1,631.00 | $897.05–$1,386.35 | 42% below | 40% |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 Esophagogastroduodenoscopy Guided Dilatation | $978.60 | $1,631.00 | $897.05–$1,386.35 | 42% below | 40% |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 Esophagogastroduodenoscopy Balloon Dilatation | $978.60 | $1,631.00 | $897.05–$1,386.35 | 42% below | 40% |
| Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 Esophagogastroduodenoscopy Balloon Dilatation w/Biopsy | $978.60 | $1,631.00 | $897.05–$1,386.35 | — | 40% |
| Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 Esophagogastroduodenoscopy Balloon Dilatation | $978.60 | $1,631.00 | $897.05–$1,386.35 | — | 40% |
| Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 Esophagogastroduodenoscopy Guided Dilatation | $978.60 | $1,631.00 | $897.05–$1,386.35 | — | 40% |
| Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 Esophagogastroduodenoscopy Balloon Dilatation w/Biopsy | $978.60 | $1,631.00 | $897.05–$1,386.35 | — | 40% |
| Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 Esophagogastroduodenoscopy Balloon Dilatation | $978.60 | $1,631.00 | $897.05–$1,386.35 | — | 40% |
| Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 Esophagogastroduodenoscopy Guided Dilatation | $978.60 | $1,631.00 | $897.05–$1,386.35 | — | 40% |
| Upper endoscopy (EGD) with biopsy CPT 43239 Esophagogastroduodenoscopy Biopsy BCE per 1 hour | $178.20 | $297.00 | $118.74–$252.45 | 87% below | 40% |
| Upper endoscopy (EGD) with biopsy CPT 43239 Esophagogastroduodenoscopy Biopsy BCE per 1 hour | $178.20 | $297.00 | $118.74–$252.45 | 87% below | 40% |
| Upper endoscopy (EGD) with biopsy CPT 43239 Esophagogastroduodenoscopy Biopsy per 1 hour | $178.20 | $297.00 | $118.74–$252.45 | 87% below | 40% |
| Upper endoscopy (EGD) with biopsy CPT 43239 Esophagogastroduodenoscopy Biopsy per 1 hour | $178.20 | $297.00 | $118.74–$252.45 | 87% below | 40% |
| Upper endoscopy (EGD) with biopsy CPT 43239 Esophagogastroduodenoscopy Biopsy | $992.70 | $1,654.50 | $909.98–$1,406.33 | 29% below | 40% |
| Upper endoscopy (EGD) with biopsy CPT 43239 Esophagogastroduodenoscopy Biopsy | $992.70 | $1,654.50 | $909.98–$1,406.33 | 29% below | 40% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 Esophagogastroduodenoscopy Biopsy BCE per 1 hour | $178.20 | $297.00 | $118.74–$252.45 | — | 40% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 Esophagogastroduodenoscopy Biopsy per 1 hour | $178.20 | $297.00 | $118.74–$252.45 | — | 40% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 Esophagogastroduodenoscopy Biopsy per 1 hour | $178.20 | $297.00 | $118.74–$252.45 | — | 40% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 Esophagogastroduodenoscopy Biopsy BCE per 1 hour | $178.20 | $297.00 | $118.74–$252.45 | — | 40% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 Esophagogastroduodenoscopy Biopsy | $992.70 | $1,654.50 | $909.98–$1,406.33 | — | 40% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 Esophagogastroduodenoscopy Biopsy | $992.70 | $1,654.50 | $909.98–$1,406.33 | — | 40% |
| Upper endoscopy (EGD) with injection into the lining CPT 43236 Esophagogastroduodenoscopy with directed submucosal injection per 15 min | $178.20 | $297.00 | $118.74–$252.45 | 91% below | 40% |
| Upper endoscopy (EGD) with injection into the lining CPT 43236 Esophagogastroduodenoscopy Injection Therapeutic Agent per 1 hour | $178.20 | $297.00 | $118.74–$252.45 | 91% below | 40% |
| Upper endoscopy (EGD) with injection into the lining CPT 43236 Esophagogastroduodenoscopy with directed submucosal injection per 15 min | $178.20 | $297.00 | $118.74–$252.45 | 91% below | 40% |
| Upper endoscopy (EGD) with injection into the lining CPT 43236 Esophagogastroduodenoscopy with directed submucosal injection BCE per 15 min | $178.20 | $297.00 | $118.74–$252.45 | 91% below | 40% |
| Upper endoscopy (EGD) with injection into the lining CPT 43236 Esophagogastroduodenoscopy Injection Therapeutic Agent BCE per 1 hour | $178.20 | $297.00 | $118.74–$252.45 | 91% below | 40% |
| Upper endoscopy (EGD) with injection into the lining CPT 43236 Esophagogastroduodenoscopy Injection Therapeutic Agent per 1 hour | $178.20 | $297.00 | $118.74–$252.45 | 91% below | 40% |
| Upper endoscopy (EGD) with injection into the lining CPT 43236 Esophagogastroduodenoscopy with directed submucosal injection BCE per 15 min | $178.20 | $297.00 | $118.74–$252.45 | 91% below | 40% |
| Upper endoscopy (EGD) with injection into the lining CPT 43236 Esophagogastroduodenoscopy Injection Therapeutic Agent BCE per 1 hour | $178.20 | $297.00 | $118.74–$252.45 | 91% below | 40% |
| Upper endoscopy (EGD) with injection into the lining CPT 43236 Esophagogastroduodenoscopy with directed submucosal injection | $945.45 | $1,575.75 | $866.66–$1,339.39 | 51% below | 40% |
| Upper endoscopy (EGD) with injection into the lining CPT 43236 Esophagogastroduodenoscopy Injection Therapeutic Agent | $945.45 | $1,575.75 | $866.66–$1,339.39 | 51% below | 40% |
| Upper endoscopy (EGD) with injection into the lining CPT 43236 Esophagogastroduodenoscopy Injection Therapeutic Agent | $945.45 | $1,575.75 | $866.66–$1,339.39 | 51% below | 40% |
| Upper endoscopy (EGD) with injection into the lining CPT 43236 Esophagogastroduodenoscopy with directed submucosal injection | $945.45 | $1,575.75 | $866.66–$1,339.39 | 51% below | 40% |
| Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 Esophagogastroduodenoscopy with directed submucosal injection per 15 min | $178.20 | $297.00 | $118.74–$252.45 | — | 40% |
| Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 Esophagogastroduodenoscopy Injection Therapeutic Agent per 1 hour | $178.20 | $297.00 | $118.74–$252.45 | — | 40% |
| Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 Esophagogastroduodenoscopy Injection Therapeutic Agent per 1 hour | $178.20 | $297.00 | $118.74–$252.45 | — | 40% |
| Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 Esophagogastroduodenoscopy Injection Therapeutic Agent BCE per 1 hour | $178.20 | $297.00 | $118.74–$252.45 | — | 40% |
| Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 Esophagogastroduodenoscopy with directed submucosal injection BCE per 15 min | $178.20 | $297.00 | $118.74–$252.45 | — | 40% |
| Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 Esophagogastroduodenoscopy with directed submucosal injection per 15 min | $178.20 | $297.00 | $118.74–$252.45 | — | 40% |
| Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 Esophagogastroduodenoscopy Injection Therapeutic Agent BCE per 1 hour | $178.20 | $297.00 | $118.74–$252.45 | — | 40% |
| Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 Esophagogastroduodenoscopy with directed submucosal injection BCE per 15 min | $178.20 | $297.00 | $118.74–$252.45 | — | 40% |
| Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 Esophagogastroduodenoscopy with directed submucosal injection | $945.45 | $1,575.75 | $866.66–$1,339.39 | — | 40% |
| Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 Esophagogastroduodenoscopy with directed submucosal injection | $945.45 | $1,575.75 | $866.66–$1,339.39 | — | 40% |
| Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 Esophagogastroduodenoscopy Injection Therapeutic Agent | $945.45 | $1,575.75 | $866.66–$1,339.39 | — | 40% |
| Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 Esophagogastroduodenoscopy Injection Therapeutic Agent | $945.45 | $1,575.75 | $866.66–$1,339.39 | — | 40% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 EGD Biopsy with Esophageal Dilation per 15 min | $213.60 | $356.00 | $142.37–$302.60 | 90% below | 40% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 EGD with Savory Dilation per 1 hour | $213.60 | $356.00 | $142.37–$302.60 | 90% below | 40% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 EGD with Savory Dilation BCE per 1 hour | $213.60 | $356.00 | $142.37–$302.60 | 90% below | 40% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 EGD Biopsy with Esophageal Dilation BCE per 1 hour | $213.60 | $356.00 | $142.37–$302.60 | 90% below | 40% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 EGD with Savory Dilation per 1 hour | $213.60 | $356.00 | $142.37–$302.60 | 90% below | 40% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 EGD Biopsy with Esophageal Dilation per 15 min | $213.60 | $356.00 | $142.37–$302.60 | 90% below | 40% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 EGD Biopsy with Esophageal Dilation BCE per 1 hour | $213.60 | $356.00 | $142.37–$302.60 | 90% below | 40% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 EGD with Savory Dilation BCE per 1 hour | $213.60 | $356.00 | $142.37–$302.60 | 90% below | 40% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 EGD Biopsy with Esophageal Dilation | $978.60 | $1,631.00 | $897.05–$1,386.35 | 55% below | 40% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 EGD with Savory Dilation | $978.60 | $1,631.00 | $897.05–$1,386.35 | 55% below | 40% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 EGD Biopsy with Esophageal Dilation | $978.60 | $1,631.00 | $897.05–$1,386.35 | 55% below | 40% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 EGD with Savory Dilation | $978.60 | $1,631.00 | $897.05–$1,386.35 | 55% below | 40% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 EGD Biopsy with Esophageal Dilation per 15 min | $213.60 | $356.00 | $142.37–$302.60 | — | 40% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 EGD with Savory Dilation per 1 hour | $213.60 | $356.00 | $142.37–$302.60 | — | 40% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 EGD with Savory Dilation per 1 hour | $213.60 | $356.00 | $142.37–$302.60 | — | 40% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 EGD Biopsy with Esophageal Dilation per 15 min | $213.60 | $356.00 | $142.37–$302.60 | — | 40% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 EGD Biopsy with Esophageal Dilation BCE per 1 hour | $213.60 | $356.00 | $142.37–$302.60 | — | 40% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 EGD with Savory Dilation BCE per 1 hour | $213.60 | $356.00 | $142.37–$302.60 | — | 40% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 EGD Biopsy with Esophageal Dilation BCE per 1 hour | $213.60 | $356.00 | $142.37–$302.60 | — | 40% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 EGD with Savory Dilation BCE per 1 hour | $213.60 | $356.00 | $142.37–$302.60 | — | 40% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 EGD with Savory Dilation | $978.60 | $1,631.00 | $897.05–$1,386.35 | — | 40% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 EGD with Savory Dilation | $978.60 | $1,631.00 | $897.05–$1,386.35 | — | 40% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 EGD Biopsy with Esophageal Dilation | $978.60 | $1,631.00 | $897.05–$1,386.35 | — | 40% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 EGD Biopsy with Esophageal Dilation | $978.60 | $1,631.00 | $897.05–$1,386.35 | — | 40% |
| Upper endoscopy (EGD), diagnostic CPT 43235 Esophagogastroduodenoscopy per 1 hour | $159.00 | $265.00 | $106.06–$225.25 | 85% below | 40% |
| Upper endoscopy (EGD), diagnostic CPT 43235 Esophagogastroduodenoscopy BCE per 1 hour | $159.00 | $265.00 | $106.06–$225.25 | 85% below | 40% |
| Upper endoscopy (EGD), diagnostic CPT 43235 Esophagogastroduodenoscopy per 1 hour | $159.00 | $265.00 | $106.06–$225.25 | 85% below | 40% |
| Upper endoscopy (EGD), diagnostic CPT 43235 Esophagogastroduodenoscopy BCE per 1 hour | $159.00 | $265.00 | $106.06–$225.25 | 85% below | 40% |
| Upper endoscopy (EGD), diagnostic CPT 43235 Esophagogastroduodenoscopy | $978.60 | $1,631.00 | $897.05–$1,386.35 | 6% below | 40% |
| Upper endoscopy (EGD), diagnostic CPT 43235 Esophagogastroduodenoscopy | $978.60 | $1,631.00 | $897.05–$1,386.35 | 6% below | 40% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 Esophagogastroduodenoscopy per 1 hour | $159.00 | $265.00 | $106.06–$225.25 | — | 40% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 Esophagogastroduodenoscopy per 1 hour | $159.00 | $265.00 | $106.06–$225.25 | — | 40% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 Esophagogastroduodenoscopy BCE per 1 hour | $159.00 | $265.00 | $106.06–$225.25 | — | 40% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 Esophagogastroduodenoscopy BCE per 1 hour | $159.00 | $265.00 | $106.06–$225.25 | — | 40% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 Esophagogastroduodenoscopy | $978.60 | $1,631.00 | $897.05–$1,386.35 | — | 40% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 Esophagogastroduodenoscopy | $978.60 | $1,631.00 | $897.05–$1,386.35 | — | 40% |
| Wart removal, up to 14 warts CPT 17110 17110 Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettemen | $54.30 | $90.50 | $49.78–$72.40 | 53% below | 40% |
| Wart removal, up to 14 warts CPT 17110 17110 Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettemen | $65.10 | $108.50 | $22.23–$92.23 | 44% below | 40% |
| Wart removal, up to 14 warts inpatient CPT 17110 17110 Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettemen | $65.10 | $108.50 | $22.23–$92.23 | — | 40% |
| Wart removal, up to 14 warts inpatient CPT 17110 17110 Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettemen | $65.10 | $108.50 | $22.23–$92.23 | — | 40% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 11042 DEBRIDEMENT, SUBCUTANEOUS TISSUE (INCLUDES EPIDERMIS AND DERMIS, IF PERFORMED); FIRST ProFee | $80.10 | $133.50 | $73.43–$113.48 | 84% below | 40% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 11042 DEBRIDEMENT, SUBCUTANEOUS TISSUE (INCLUDES EPIDERMIS AND DERMIS, IF PERFORMED); FIRST ProFee | $80.10 | $133.50 | $73.43–$113.48 | 84% below | 40% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 11042 Debridement, subcutaneous tissue; first 20 sq cm or less | $180.00 | $300.00 | $165.00–$255.00 | 64% below | 40% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 11042 Debridement, subcutaneous tissue; first 20 sq cm or less | $180.00 | $300.00 | $165.00–$255.00 | 64% below | 40% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 11042-SQ Tissue Less Than/Equal to 1st 20 sq cm | $303.00 | $505.00 | $277.75–$429.25 | 40% below | 40% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 11042-SQ Tissue Less Than/Equal to 1st 20 sq cm | $303.00 | $505.00 | $277.75–$429.25 | 40% below | 40% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 11042 DEBRIDEMENT, SUBCUTANEOUS TISSUE (INCLUDES EPIDERMIS AND DERMIS, IF PERFORMED); FIRST ProFee | $80.10 | $133.50 | $73.43–$113.48 | — | 40% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 11042 DEBRIDEMENT, SUBCUTANEOUS TISSUE (INCLUDES EPIDERMIS AND DERMIS, IF PERFORMED); FIRST ProFee | $80.10 | $133.50 | $73.43–$113.48 | — | 40% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 11042 Debridement, subcutaneous tissue; first 20 sq cm or less | $180.00 | $300.00 | $165.00–$255.00 | — | 40% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 11042 Debridement, subcutaneous tissue; first 20 sq cm or less | $180.00 | $300.00 | $165.00–$255.00 | — | 40% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 11042-SQ Tissue Less Than/Equal to 1st 20 sq cm | $303.00 | $505.00 | $277.75–$429.25 | — | 40% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 11042-SQ Tissue Less Than/Equal to 1st 20 sq cm | $303.00 | $505.00 | $277.75–$429.25 | — | 40% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Kentucky | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 Transfuse Platelet Product | $813.60 | $1,356.00 | $745.80–$1,152.60 | 35% above | 40% |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Product Administration | $813.60 | $1,356.00 | $745.80–$1,152.60 | 35% above | 40% |
| Blood transfusion (giving blood or blood components) CPT 36430 Transfuse Cryoprecipitate Product | $813.60 | $1,356.00 | $745.80–$1,152.60 | 35% above | 40% |
| Blood transfusion (giving blood or blood components) CPT 36430 Transfuse Fresh Frozen Plasma | $813.60 | $1,356.00 | $745.80–$1,152.60 | 35% above | 40% |
| Blood transfusion (giving blood or blood components) CPT 36430 Transfuse Red Blood Cells Leukoreduced | $813.60 | $1,356.00 | $745.80–$1,152.60 | 35% above | 40% |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Product Administration | $813.60 | $1,356.00 | $745.80–$1,152.60 | 35% above | 40% |
| Blood transfusion (giving blood or blood components) CPT 36430 Transfuse Cryoprecipitate Product | $813.60 | $1,356.00 | $745.80–$1,152.60 | 35% above | 40% |
| Blood transfusion (giving blood or blood components) CPT 36430 Transfuse Fresh Frozen Plasma | $813.60 | $1,356.00 | $745.80–$1,152.60 | 35% above | 40% |
| Blood transfusion (giving blood or blood components) CPT 36430 Transfuse Platelet Product | $813.60 | $1,356.00 | $745.80–$1,152.60 | 35% above | 40% |
| Blood transfusion (giving blood or blood components) CPT 36430 Transfuse Red Blood Cells Leukoreduced | $813.60 | $1,356.00 | $745.80–$1,152.60 | 35% above | 40% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Transfuse Cryoprecipitate Product | $813.60 | $1,356.00 | $745.80–$1,152.60 | — | 40% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Transfuse Cryoprecipitate Product | $813.60 | $1,356.00 | $745.80–$1,152.60 | — | 40% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Transfuse Fresh Frozen Plasma | $813.60 | $1,356.00 | $745.80–$1,152.60 | — | 40% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Transfuse Platelet Product | $813.60 | $1,356.00 | $745.80–$1,152.60 | — | 40% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Transfuse Red Blood Cells Leukoreduced | $813.60 | $1,356.00 | $745.80–$1,152.60 | — | 40% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Product Administration | $813.60 | $1,356.00 | $745.80–$1,152.60 | — | 40% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Transfuse Red Blood Cells Leukoreduced | $813.60 | $1,356.00 | $745.80–$1,152.60 | — | 40% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Transfuse Platelet Product | $813.60 | $1,356.00 | $745.80–$1,152.60 | — | 40% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Transfuse Fresh Frozen Plasma | $813.60 | $1,356.00 | $745.80–$1,152.60 | — | 40% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Product Administration | $813.60 | $1,356.00 | $745.80–$1,152.60 | — | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeuti | $26.55 | $44.25 | $24.34–$35.40 | 83% below | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 94640 ED NEBULIZER IPPB DEVICE | $27.30 | $45.50 | $25.03–$38.68 | 82% below | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 94640 ED NEBULIZER IPPB DEVICE | $27.30 | $45.50 | $25.03–$38.68 | 82% below | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 94664 MDI SUBSEQUENT CHARGE | $30.45 | $50.75 | $27.91–$43.14 | 80% below | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 94664 MDI SUBSEQUENT CHARGE | $30.45 | $50.75 | $27.91–$43.14 | 80% below | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 94640 ED NEBULIZER IPPB DEVICE | $27.30 | $45.50 | $25.03–$38.68 | — | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 94640 ED NEBULIZER IPPB DEVICE | $27.30 | $45.50 | $25.03–$38.68 | — | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 94664 MDI SUBSEQUENT CHARGE | $30.45 | $50.75 | $27.91–$43.14 | — | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 94664 MDI SUBSEQUENT CHARGE | $30.45 | $50.75 | $27.91–$43.14 | — | 40% |
| Critical care, first 30 to 74 minutes CPT 99291 99291 - Critical Care, 30-74 | $1,033.95 | $1,723.25 | $947.79–$1,464.76 | 48% below | 40% |
| Critical care, first 30 to 74 minutes CPT 99291 99291 - Critical Care, 30-74 | $1,033.95 | $1,723.25 | $947.79–$1,464.76 | 48% below | 40% |
| Critical care, first 30 to 74 minutes CPT 99291 99291 TRAUMA CRITICAL CARE E&M FIRST 30-74 TechFee | $1,580.10 | $2,633.50 | $1,448.43–$2,238.48 | 20% below | 40% |
| Critical care, first 30 to 74 minutes CPT 99291 99291 TRAUMA CRITICAL CARE E&M FIRST 30-74 TechFee | $1,580.10 | $2,633.50 | $1,448.43–$2,238.48 | 20% below | 40% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 99291 - Critical Care, 30-74 | $1,033.95 | $1,723.25 | $947.79–$1,464.76 | — | 40% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 99291 - Critical Care, 30-74 | $1,033.95 | $1,723.25 | $947.79–$1,464.76 | — | 40% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 99291 TRAUMA CRITICAL CARE E&M FIRST 30-74 TechFee | $1,580.10 | $2,633.50 | $1,448.43–$2,238.48 | — | 40% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 99291 TRAUMA CRITICAL CARE E&M FIRST 30-74 TechFee | $1,580.10 | $2,633.50 | $1,448.43–$2,238.48 | — | 40% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Electrocardiogram 12 Lead | $146.10 | $243.50 | $133.93–$206.98 | 24% below | 40% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Electrocardiogram 12 Lead | $146.10 | $243.50 | $133.93–$206.98 | 24% below | 40% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 93005 ELECTROCARDIOGRAM CHARGE | $150.45 | $250.75 | $137.91–$213.14 | 22% below | 40% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 93005 ELECTROCARDIOGRAM CHARGE | $150.45 | $250.75 | $137.91–$213.14 | 22% below | 40% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Electrocardiogram 12 Lead | $146.10 | $243.50 | $133.93–$206.98 | — | 40% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Electrocardiogram 12 Lead | $146.10 | $243.50 | $133.93–$206.98 | — | 40% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 93005 ELECTROCARDIOGRAM CHARGE | $150.45 | $250.75 | $137.91–$213.14 | — | 40% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 93005 ELECTROCARDIOGRAM CHARGE | $150.45 | $250.75 | $137.91–$213.14 | — | 40% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 99281 - Level 1 | $89.55 | $149.25 | $82.09–$126.86 | 38% below | 40% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 99281 - Level 1 | $89.55 | $149.25 | $82.09–$126.86 | 38% below | 40% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 99281 - Level 1 | $89.55 | $149.25 | $82.09–$126.86 | — | 40% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 99281 - Level 1 | $89.55 | $149.25 | $82.09–$126.86 | — | 40% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 99282 - Level 2 | $164.85 | $274.75 | $151.11–$233.54 | 43% below | 40% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 99282 - Level 2 | $164.85 | $274.75 | $151.11–$233.54 | 43% below | 40% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 99282 - Level 2 | $164.85 | $274.75 | $151.11–$233.54 | — | 40% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 99282 - Level 2 | $164.85 | $274.75 | $151.11–$233.54 | — | 40% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 99283 - Level 3 | $334.95 | $558.25 | $307.04–$474.51 | 21% below | 40% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 99283 - Level 3 | $334.95 | $558.25 | $307.04–$474.51 | 21% below | 40% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 99283 - Level 3 | $334.95 | $558.25 | $307.04–$474.51 | — | 40% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 99283 - Level 3 | $334.95 | $558.25 | $307.04–$474.51 | — | 40% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 99284 Emergency Department Visit, Level 4 | $195.45 | $325.75 | $179.16–$260.60 | 83% below | 40% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 99284 - Emergency department visit for the evaluation and management of a patient | $195.45 | $325.75 | $74.05–$276.89 | 83% below | 40% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 99284 - Emergency department visit for the evaluation and management of a patient | $195.45 | $325.75 | $74.05–$276.89 | 83% below | 40% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 99284 Emergency Department Visit, Level 4 | $195.45 | $325.75 | $74.05–$276.89 | 83% below | 40% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 99284 TRAUMA EVALUATION TechFee | $521.85 | $869.75 | $478.36–$739.29 | 54% below | 40% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 99284 TRAUMA EVALUATION TechFee | $521.85 | $869.75 | $478.36–$739.29 | 54% below | 40% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 99284 - Level 4 | $521.85 | $869.75 | $478.36–$739.29 | 54% below | 40% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 99284 - Level 4 | $521.85 | $869.75 | $478.36–$739.29 | 54% below | 40% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 99284 Emergency Department Visit, Level 4 | $195.45 | $325.75 | $74.05–$276.89 | — | 40% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 99284 Emergency Department Visit, Level 4 | $195.45 | $325.75 | $74.05–$276.89 | — | 40% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 99284 - Emergency department visit for the evaluation and management of a patient | $195.45 | $325.75 | $74.05–$276.89 | — | 40% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 99284 - Emergency department visit for the evaluation and management of a patient | $195.45 | $325.75 | $74.05–$276.89 | — | 40% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 99284 - Level 4 | $521.85 | $869.75 | $478.36–$739.29 | — | 40% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 99284 - Level 4 | $521.85 | $869.75 | $478.36–$739.29 | — | 40% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 99284 TRAUMA EVALUATION TechFee | $521.85 | $869.75 | $478.36–$739.29 | — | 40% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 99284 TRAUMA EVALUATION TechFee | $521.85 | $869.75 | $478.36–$739.29 | — | 40% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 99285 - Level 5 | $890.40 | $1,484.00 | $816.20–$1,261.40 | 24% below | 40% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 99285 - Level 5 | $890.40 | $1,484.00 | $816.20–$1,261.40 | 24% below | 40% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 99285 - Level 5 | $890.40 | $1,484.00 | $816.20–$1,261.40 | — | 40% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 99285 - Level 5 | $890.40 | $1,484.00 | $816.20–$1,261.40 | — | 40% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Stress Test/Nuclear Stress Test | $445.80 | $743.00 | $408.65–$631.55 | 44% below | 40% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Stress Test/Nuclear Stress Test | $445.80 | $743.00 | $408.65–$631.55 | 44% below | 40% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 93017 CARDIOLOGY STRESS TEST CHARGE | $459.15 | $765.25 | $420.89–$650.46 | 42% below | 40% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 93017 CARDIOLOGY STRESS TEST CHARGE | $459.15 | $765.25 | $420.89–$650.46 | 42% below | 40% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Stress Test/Nuclear Stress Test | $445.80 | $743.00 | $408.65–$631.55 | — | 40% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Stress Test/Nuclear Stress Test | $445.80 | $743.00 | $408.65–$631.55 | — | 40% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 93017 CARDIOLOGY STRESS TEST CHARGE | $459.15 | $765.25 | $420.89–$650.46 | — | 40% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 93017 CARDIOLOGY STRESS TEST CHARGE | $459.15 | $765.25 | $420.89–$650.46 | — | 40% |
| Family therapy with the patient, 50 minutes CPT 90847 90847 FAMILY PSYCHOTHERAPY WITH PATIENT CHARGE-Gen | $261.30 | $435.50 | $239.53–$370.18 | 28% below | 40% |
| Family therapy with the patient, 50 minutes CPT 90847 90847 FAMILY PSYCHOTHERAPY WITH PATIENT CHARGE-Gen | $261.30 | $435.50 | $239.53–$370.18 | 28% below | 40% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 90847 FAMILY PSYCHOTHERAPY WITH PATIENT CHARGE-Gen | $261.30 | $435.50 | $239.53–$370.18 | — | 40% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 90847 FAMILY PSYCHOTHERAPY WITH PATIENT CHARGE-Gen | $261.30 | $435.50 | $239.53–$370.18 | — | 40% |
| Family therapy without the patient, 50 minutes CPT 90846 90846 FAMILY PSYCHOTHERAPY WITHOUT PATIENT PRESENT CHARGE-Gen | $223.35 | $372.25 | $204.74–$316.41 | 27% below | 40% |
| Family therapy without the patient, 50 minutes CPT 90846 90846 FAMILY PSYCHOTHERAPY WITHOUT PATIENT PRESENT CHARGE-Gen | $223.35 | $372.25 | $204.74–$316.41 | 27% below | 40% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 90846 FAMILY PSYCHOTHERAPY WITHOUT PATIENT PRESENT CHARGE-Gen | $223.35 | $372.25 | $204.74–$316.41 | — | 40% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 90846 FAMILY PSYCHOTHERAPY WITHOUT PATIENT PRESENT CHARGE-Gen | $223.35 | $372.25 | $204.74–$316.41 | — | 40% |
| Group psychotherapy session CPT 90853 90853 GROUP PSYCHOTHERAPY | $260.55 | $434.25 | $238.84–$369.11 | 35% above | 40% |
| Group psychotherapy session CPT 90853 90853 GROUP PSYCHOTHERAPY | $260.55 | $434.25 | $238.84–$369.11 | 35% above | 40% |
| Group psychotherapy session inpatient CPT 90853 90853 GROUP PSYCHOTHERAPY | $260.55 | $434.25 | $238.84–$369.11 | — | 40% |
| Group psychotherapy session inpatient CPT 90853 90853 GROUP PSYCHOTHERAPY | $260.55 | $434.25 | $238.84–$369.11 | — | 40% |
| Holter monitor, heart rhythm recording up to 48 hours, with report CPT 93224 93224 Holter ECG Monitor, up to 48 hr, w/ scan, interp, and report | $112.80 | $188.00 | $61.04–$159.80 | 33% below | 40% |
| Holter monitor, heart rhythm recording up to 48 hours, with report CPT 93224 93224 Holter ECG Monitor, up to 48 hr, w/ scan, interp, and report | $112.80 | $188.00 | $61.04–$159.80 | 33% below | 40% |
| Holter monitor, heart rhythm recording up to 48 hours, with report inpatient CPT 93224 93224 Holter ECG Monitor, up to 48 hr, w/ scan, interp, and report | $112.80 | $188.00 | $61.04–$159.80 | — | 40% |
| Holter monitor, heart rhythm recording up to 48 hours, with report inpatient CPT 93224 93224 Holter ECG Monitor, up to 48 hr, w/ scan, interp, and report | $112.80 | $188.00 | $61.04–$159.80 | — | 40% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360 IV Infusion, Hydration, Initial, 31 min to 1 hr | $115.05 | $191.75 | $105.46–$153.40 | 60% below | 40% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360 IV INF HYDRATION 31 MIN TO 1HR CHARGE | $118.50 | $197.50 | $108.63–$167.88 | 59% below | 40% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360 Hydration, first hour | $118.50 | $197.50 | $108.63–$167.88 | 59% below | 40% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360 IV INF HYDRATION 31 MIN TO 1HR CHARGE | $118.50 | $197.50 | $108.63–$167.88 | 59% below | 40% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360 Hydration, first hour | $118.50 | $197.50 | $108.63–$167.88 | 59% below | 40% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 96360 IV INF HYDRATION 31 MIN TO 1HR CHARGE | $118.50 | $197.50 | $108.63–$167.88 | — | 40% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 96360 IV INF HYDRATION 31 MIN TO 1HR CHARGE | $118.50 | $197.50 | $108.63–$167.88 | — | 40% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 96360 Hydration, first hour | $118.50 | $197.50 | $108.63–$167.88 | — | 40% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 96360 Hydration, first hour | $118.50 | $197.50 | $108.63–$167.88 | — | 40% |
| IV infusion of a medicine, first hour CPT 96365 96365 IV tx, first hour | $145.95 | $243.25 | $133.79–$206.76 | 60% below | 40% |
| IV infusion of a medicine, first hour CPT 96365 96365 - IV INFUSION THERAPY/PROPHYLAXIS /DX 1ST >1 HOUR CHARGE | $145.95 | $243.25 | $133.79–$206.76 | 60% below | 40% |
| IV infusion of a medicine, first hour CPT 96365 96365 IV tx, first hour | $145.95 | $243.25 | $133.79–$206.76 | 60% below | 40% |
| IV infusion of a medicine, first hour CPT 96365 96365 - IV INFUSION THERAPY/PROPHYLAXIS /DX 1ST >1 HOUR CHARGE | $145.95 | $243.25 | $133.79–$206.76 | 60% below | 40% |
| IV infusion of a medicine, first hour inpatient CPT 96365 96365 - IV INFUSION THERAPY/PROPHYLAXIS /DX 1ST >1 HOUR CHARGE | $145.95 | $243.25 | $133.79–$206.76 | — | 40% |
| IV infusion of a medicine, first hour inpatient CPT 96365 96365 IV tx, first hour | $145.95 | $243.25 | $133.79–$206.76 | — | 40% |
| IV infusion of a medicine, first hour inpatient CPT 96365 96365 - IV INFUSION THERAPY/PROPHYLAXIS /DX 1ST >1 HOUR CHARGE | $145.95 | $243.25 | $133.79–$206.76 | — | 40% |
| IV infusion of a medicine, first hour inpatient CPT 96365 96365 IV tx, first hour | $145.95 | $243.25 | $133.79–$206.76 | — | 40% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Inj Admin Charge 96372 - AMB Only Inj Med Admin Charge | $57.75 | $96.25 | $52.94–$81.81 | 40% below | 40% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous o | $57.75 | $96.25 | $52.94–$81.81 | 40% below | 40% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 Subq/IM Injection | $57.75 | $96.25 | $52.94–$81.81 | 40% below | 40% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Inj Admin Charge 96372 - AMB Only Inj Med Admin Charge | $57.75 | $96.25 | $52.94–$81.81 | 40% below | 40% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous o | $57.75 | $96.25 | $52.94–$81.81 | 40% below | 40% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 Subq/IM Injection | $57.75 | $96.25 | $52.94–$81.81 | 40% below | 40% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 Subq/IM Injection | $57.75 | $96.25 | $52.94–$81.81 | — | 40% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Inj Admin Charge 96372 - AMB Only Inj Med Admin Charge | $57.75 | $96.25 | $52.94–$81.81 | — | 40% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous o | $57.75 | $96.25 | $52.94–$81.81 | — | 40% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Inj Admin Charge 96372 - AMB Only Inj Med Admin Charge | $57.75 | $96.25 | $52.94–$81.81 | — | 40% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous o | $57.75 | $96.25 | $52.94–$81.81 | — | 40% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 Subq/IM Injection | $57.75 | $96.25 | $52.94–$81.81 | — | 40% |
| Neuromuscular re-education, 15 minutes CPT 97112 Neuromuscular Reeducation Units | $71.40 | $119.00 | $65.45–$101.15 | 36% below | 40% |
| Neuromuscular re-education, 15 minutes CPT 97112 Neuromuscular Reeducation Units | $71.40 | $119.00 | $65.45–$101.15 | 36% below | 40% |
| Neuromuscular re-education, 15 minutes CPT 97112 PT Neuromuscular Reeducation Units | $71.40 | $119.00 | $65.45–$101.15 | 36% below | 40% |
| Neuromuscular re-education, 15 minutes CPT 97112 PT Neuromuscular Reeducation Units | $71.40 | $119.00 | $65.45–$101.15 | 36% below | 40% |
| Neuromuscular re-education, 15 minutes CPT 97112 OT Neuromuscular Reeducation Units | $80.40 | $134.00 | $73.70–$113.90 | 28% below | 40% |
| Neuromuscular re-education, 15 minutes CPT 97112 97112 OT Neuromuscular Re-education Units | $80.40 | $134.00 | $73.70–$113.90 | 28% below | 40% |
| Neuromuscular re-education, 15 minutes CPT 97112 OT Neuromuscular Reeducation Units | $80.40 | $134.00 | $73.70–$113.90 | 28% below | 40% |
| Neuromuscular re-education, 15 minutes CPT 97112 97112 OT Neuromuscular Re-education Units | $80.40 | $134.00 | $73.70–$113.90 | 28% below | 40% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT Neuromuscular Reeducation Units | $71.40 | $119.00 | $65.45–$101.15 | — | 40% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 Neuromuscular Reeducation Units | $71.40 | $119.00 | $65.45–$101.15 | — | 40% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT Neuromuscular Reeducation Units | $71.40 | $119.00 | $65.45–$101.15 | — | 40% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 Neuromuscular Reeducation Units | $71.40 | $119.00 | $65.45–$101.15 | — | 40% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 97112 OT Neuromuscular Re-education Units | $80.40 | $134.00 | $73.70–$113.90 | — | 40% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 OT Neuromuscular Reeducation Units | $80.40 | $134.00 | $73.70–$113.90 | — | 40% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 OT Neuromuscular Reeducation Units | $80.40 | $134.00 | $73.70–$113.90 | — | 40% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 97112 OT Neuromuscular Re-education Units | $80.40 | $134.00 | $73.70–$113.90 | — | 40% |
| New patient office visit, about 30 minutes CPT 99203 99203 Office/Outpatient Visit - New Patient, Level 3 (30 min) | $65.85 | $109.75 | $60.36–$93.29 | 49% below | 40% |
| New patient office visit, about 30 minutes CPT 99203 99203 Office/Outpatient Visit - New Patient, Level 3 (30 min) | $65.85 | $109.75 | $60.36–$87.80 | 49% below | 40% |
| New patient office visit, about 30 minutes CPT 99203 99203 OFFICE VISIT LEVEL 3 NEW PATIENT WALK IN CLINIC | $149.55 | $249.25 | $137.09–$211.86 | 15% above | 40% |
| New patient office visit, about 30 minutes CPT 99203 99203 OFFICE VISIT LEVEL 3 NEW PATIENT WALK IN CLINIC | $149.55 | $249.25 | $137.09–$211.86 | 15% above | 40% |
| New patient office visit, about 30 minutes inpatient CPT 99203 99203 Office/Outpatient Visit - New Patient, Level 3 (30 min) | $65.85 | $109.75 | $60.36–$93.29 | — | 40% |
| New patient office visit, about 30 minutes inpatient CPT 99203 99203 Office/Outpatient Visit - New Patient, Level 3 (30 min) | $65.85 | $109.75 | $60.36–$93.29 | — | 40% |
| New patient office visit, about 30 minutes inpatient CPT 99203 99203 OFFICE VISIT LEVEL 3 NEW PATIENT WALK IN CLINIC | $149.55 | $249.25 | $137.09–$211.86 | — | 40% |
| New patient office visit, about 30 minutes inpatient CPT 99203 99203 OFFICE VISIT LEVEL 3 NEW PATIENT WALK IN CLINIC | $149.55 | $249.25 | $137.09–$211.86 | — | 40% |
| New patient office visit, about 45 minutes CPT 99204 99204 Office/Outpatient Visit - New Patient, Level 4 (45 min) | $106.80 | $178.00 | $97.90–$151.30 | 48% below | 40% |
| New patient office visit, about 45 minutes CPT 99204 99204 Office/Outpatient Visit - New Patient, Level 4 (45 min) | $106.80 | $178.00 | $97.90–$142.40 | 48% below | 40% |
| New patient office visit, about 45 minutes CPT 99204 99204 Consultation Comprehensive | $130.95 | $218.25 | $120.04–$185.51 | 36% below | 40% |
| New patient office visit, about 45 minutes CPT 99204 99204 Consultation Comprehensive | $130.95 | $218.25 | $120.04–$185.51 | 36% below | 40% |
| New patient office visit, about 45 minutes CPT 99204 99204 OFFICE VISIT LEVEL 4 NEW PATIENT WALK IN CLINIC | $189.30 | $315.50 | $173.53–$268.18 | 7% below | 40% |
| New patient office visit, about 45 minutes CPT 99204 99204 OFFICE VISIT LEVEL 4 NEW PATIENT WALK IN CLINIC | $189.30 | $315.50 | $173.53–$268.18 | 7% below | 40% |
| New patient office visit, about 45 minutes inpatient CPT 99204 99204 Office/Outpatient Visit - New Patient, Level 4 (45 min) | $106.80 | $178.00 | $97.90–$151.30 | — | 40% |
| New patient office visit, about 45 minutes inpatient CPT 99204 99204 Office/Outpatient Visit - New Patient, Level 4 (45 min) | $106.80 | $178.00 | $97.90–$151.30 | — | 40% |
| New patient office visit, about 45 minutes inpatient CPT 99204 99204 Consultation Comprehensive | $130.95 | $218.25 | $120.04–$185.51 | — | 40% |
| New patient office visit, about 45 minutes inpatient CPT 99204 99204 Consultation Comprehensive | $130.95 | $218.25 | $120.04–$185.51 | — | 40% |
| New patient office visit, about 45 minutes inpatient CPT 99204 99204 OFFICE VISIT LEVEL 4 NEW PATIENT WALK IN CLINIC | $189.30 | $315.50 | $173.53–$268.18 | — | 40% |
| New patient office visit, about 45 minutes inpatient CPT 99204 99204 OFFICE VISIT LEVEL 4 NEW PATIENT WALK IN CLINIC | $189.30 | $315.50 | $173.53–$268.18 | — | 40% |
| New patient office visit, about 60 minutes CPT 99205 99205 Office/Outpatient Visit - New Patient, Level 5 (60 min) | $144.90 | $241.50 | $132.83–$193.20 | 38% below | 40% |
| New patient office visit, about 60 minutes CPT 99205 99205 Office/Outpatient Visit - New Patient, Level 5 (60 min) | $174.00 | $290.00 | $131.98–$246.50 | 26% below | 40% |
| New patient office visit, about 60 minutes CPT 99205 99205 OFFICE VISIT LEVEL 5 NEW PATIENT WALK IN CLINIC | $262.20 | $437.00 | $240.35–$371.45 | 12% above | 40% |
| New patient office visit, about 60 minutes CPT 99205 99205 OFFICE VISIT LEVEL 5 NEW PATIENT WALK IN CLINIC | $262.20 | $437.00 | $240.35–$371.45 | 12% above | 40% |
| New patient office visit, about 60 minutes inpatient CPT 99205 99205 Office/Outpatient Visit - New Patient, Level 5 (60 min) | $174.00 | $290.00 | $131.98–$246.50 | — | 40% |
| New patient office visit, about 60 minutes inpatient CPT 99205 99205 Office/Outpatient Visit - New Patient, Level 5 (60 min) | $174.00 | $290.00 | $131.98–$246.50 | — | 40% |
| New patient office visit, about 60 minutes inpatient CPT 99205 99205 OFFICE VISIT LEVEL 5 NEW PATIENT WALK IN CLINIC | $262.20 | $437.00 | $240.35–$371.45 | — | 40% |
| New patient office visit, about 60 minutes inpatient CPT 99205 99205 OFFICE VISIT LEVEL 5 NEW PATIENT WALK IN CLINIC | $262.20 | $437.00 | $240.35–$371.45 | — | 40% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 99202 Office/Outpatient Visit - New Patient, Level 2 (20 min) | $38.70 | $64.50 | $35.48–$54.83 | 60% below | 40% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 99202 Office/Outpatient Visit - New Patient, Level 2 (20 min) | $38.70 | $64.50 | $35.48–$51.60 | 60% below | 40% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 99202 OFFICE VISIT LEVEL 2 NEW PATIENT WALK IN CLINIC | $38.70 | $64.50 | $35.48–$54.83 | 60% below | 40% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 99202 OFFICE VISIT LEVEL 2 NEW PATIENT WALK IN CLINIC | $99.90 | $166.50 | $91.58–$141.53 | 3% above | 40% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 99202 OFFICE VISIT LEVEL 2 NEW PATIENT WALK IN CLINIC | $38.70 | $64.50 | $35.48–$54.83 | — | 40% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 99202 Office/Outpatient Visit - New Patient, Level 2 (20 min) | $38.70 | $64.50 | $35.48–$54.83 | — | 40% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 99202 Office/Outpatient Visit - New Patient, Level 2 (20 min) | $38.70 | $64.50 | $35.48–$54.83 | — | 40% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 99202 OFFICE VISIT LEVEL 2 NEW PATIENT WALK IN CLINIC | $99.90 | $166.50 | $91.58–$141.53 | — | 40% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 97802 MEDICAL NUTRITION INDIVID INITIAL CHARGE | $25.05 | $41.75 | $22.96–$35.49 | 20% below | 40% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 97802 MEDICAL NUTRITION INDIVID INITIAL CHARGE | $25.05 | $41.75 | $22.96–$35.49 | 20% below | 40% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 97802 MEDICAL NUTRITION INDIVID INITIAL CHARGE | $25.05 | $41.75 | $22.96–$35.49 | — | 40% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 97802 MEDICAL NUTRITION INDIVID INITIAL CHARGE | $25.05 | $41.75 | $22.96–$35.49 | — | 40% |
| Occupational therapy evaluation, low complexity CPT 97165 97165 OCCUPATIONAL THERAPY EVALUATION, LOW COMPLEXITY | $204.60 | $341.00 | $187.55–$289.85 | at median | 40% |
| Occupational therapy evaluation, low complexity CPT 97165 OT Evaluation Units, Low Complexity | $204.60 | $341.00 | $187.55–$289.85 | at median | 40% |
| Occupational therapy evaluation, low complexity CPT 97165 97165 OCCUPATIONAL THERAPY EVALUATION, LOW COMPLEXITY | $204.60 | $341.00 | $187.55–$289.85 | at median | 40% |
| Occupational therapy evaluation, low complexity CPT 97165 OT Evaluation Units, Low Complexity | $204.60 | $341.00 | $187.55–$289.85 | at median | 40% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 OT Evaluation Units, Low Complexity | $204.60 | $341.00 | $187.55–$289.85 | — | 40% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 97165 OCCUPATIONAL THERAPY EVALUATION, LOW COMPLEXITY | $204.60 | $341.00 | $187.55–$289.85 | — | 40% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 97165 OCCUPATIONAL THERAPY EVALUATION, LOW COMPLEXITY | $204.60 | $341.00 | $187.55–$289.85 | — | 40% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 OT Evaluation Units, Low Complexity | $204.60 | $341.00 | $187.55–$289.85 | — | 40% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT Evaluation Units, High Complexity | $303.90 | $506.50 | $278.58–$430.53 | 17% above | 40% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT Evaluation Units, High Complexity | $303.90 | $506.50 | $278.58–$430.53 | 17% above | 40% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT Evaluation Units, High Complexity | $303.90 | $506.50 | $278.58–$430.53 | — | 40% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT Evaluation Units, High Complexity | $303.90 | $506.50 | $278.58–$430.53 | — | 40% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT Evaluation Units, Low Complexity | $264.30 | $440.50 | $242.28–$374.43 | 32% above | 40% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT Evaluation Units, Low Complexity | $264.30 | $440.50 | $242.28–$374.43 | 32% above | 40% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT Evaluation Units, Low Complexity | $264.30 | $440.50 | $242.28–$374.43 | — | 40% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT Evaluation Units, Low Complexity | $264.30 | $440.50 | $242.28–$374.43 | — | 40% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT Evaluation Units, Moderate Complexity | $287.10 | $478.50 | $263.18–$406.73 | 7% above | 40% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT Evaluation Units, Moderate Complexity | $287.10 | $478.50 | $263.18–$406.73 | 7% above | 40% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT Evaluation Units, Moderate Complexity | $287.10 | $478.50 | $263.18–$406.73 | — | 40% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT Evaluation Units, Moderate Complexity | $287.10 | $478.50 | $263.18–$406.73 | — | 40% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT MANUAL THERAPY | $69.90 | $116.50 | $64.08–$99.03 | 27% below | 40% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT Manual Therapy Units | $69.90 | $116.50 | $64.08–$99.03 | 27% below | 40% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT MANUAL THERAPY | $69.90 | $116.50 | $64.08–$99.03 | 27% below | 40% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT Manual Therapy Units | $69.90 | $116.50 | $64.08–$99.03 | 27% below | 40% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT Manual Therapy Units | $69.90 | $116.50 | $64.08–$99.03 | 27% below | 40% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT Manual Therapy Units | $69.90 | $116.50 | $64.08–$99.03 | 27% below | 40% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 OT Manual Therapy Units | $69.90 | $116.50 | $64.08–$99.03 | — | 40% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 OT Manual Therapy Units | $69.90 | $116.50 | $64.08–$99.03 | — | 40% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT Manual Therapy Units | $69.90 | $116.50 | $64.08–$99.03 | — | 40% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 OT MANUAL THERAPY | $69.90 | $116.50 | $64.08–$99.03 | — | 40% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT Manual Therapy Units | $69.90 | $116.50 | $64.08–$99.03 | — | 40% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 OT MANUAL THERAPY | $69.90 | $116.50 | $64.08–$99.03 | — | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT Therapeutic Exercise Units | $45.60 | $76.00 | $41.80–$64.60 | 54% below | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 97110 OCCUPATIONAL THERAPY THERAPEUTIC EXERCISE 15 MINUTES | $45.60 | $76.00 | $41.80–$64.60 | 54% below | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT Therapeutic Exercise Units | $45.60 | $76.00 | $41.80–$64.60 | 54% below | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 97110 OCCUPATIONAL THERAPY THERAPEUTIC EXERCISE 15 MINUTES | $45.60 | $76.00 | $41.80–$64.60 | 54% below | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT Therapeutic Exercise Units | $67.50 | $112.50 | $61.88–$95.63 | 32% below | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 97110 PT THER EX INDIVIDUAL CHARGE | $67.50 | $112.50 | $61.88–$95.63 | 32% below | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 97110 PT THER EX INDIVIDUAL CHARGE | $67.50 | $112.50 | $61.88–$95.63 | 32% below | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT Therapeutic Exercise Units | $67.50 | $112.50 | $61.88–$95.63 | 32% below | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 97110 OCCUPATIONAL THERAPY THERAPEUTIC EXERCISE 15 MINUTES | $45.60 | $76.00 | $41.80–$64.60 | — | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 97110 OCCUPATIONAL THERAPY THERAPEUTIC EXERCISE 15 MINUTES | $45.60 | $76.00 | $41.80–$64.60 | — | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT Therapeutic Exercise Units | $45.60 | $76.00 | $41.80–$64.60 | — | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT Therapeutic Exercise Units | $45.60 | $76.00 | $41.80–$64.60 | — | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 97110 PT THER EX INDIVIDUAL CHARGE | $67.50 | $112.50 | $61.88–$95.63 | — | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT Therapeutic Exercise Units | $67.50 | $112.50 | $61.88–$95.63 | — | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 97110 PT THER EX INDIVIDUAL CHARGE | $67.50 | $112.50 | $61.88–$95.63 | — | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT Therapeutic Exercise Units | $67.50 | $112.50 | $61.88–$95.63 | — | 40% |
| Preventive checkup, new patient aged 18–39 CPT 99385 99385 Preventive Evaluation, New Pt; 18-39 Yrs | $157.95 | $263.25 | $144.79–$210.60 | 36% above | 40% |
| Preventive checkup, new patient aged 40–64 CPT 99386 99386 Preventive Evaluation new Pt; 40-64 Yrs | $176.85 | $294.75 | $162.11–$235.80 | 27% above | 40% |
| Preventive checkup, new patient aged 40–64 CPT 99386 99386 Preventive Evaluation, New Pt; 40-64 Yrs | $176.85 | $294.75 | $162.11–$235.80 | 27% above | 40% |
| Preventive checkup, new patient aged 65 or older CPT 99387 99387 New Patient Wellness Exam 65 years and older (non Medicare) | $176.85 | $294.75 | $162.11–$235.80 | at median | 40% |
| Preventive checkup, returning patient aged 18–39 CPT 99395 99395 Preventive Evaluation, Established Pt; 18-39 Yrs | $118.80 | $198.00 | $108.90–$158.40 | at median | 40% |
| Preventive checkup, returning patient aged 40–64 CPT 99396 99396 Preventive Evaluation, Established Pt; 40-64 Yrs | $157.95 | $263.25 | $144.79–$210.60 | 30% above | 40% |
| Preventive checkup, returning patient aged 65 or older CPT 99397 99397 Preventive Evaluation, Established Pt; 65+ Yrs | $160.95 | $268.25 | $147.54–$214.60 | 22% above | 40% |
| Psychiatric evaluation with medical services CPT 90792 90792 Psychiatric diagnostic evaluation with medical services | $145.50 | $242.50 | $133.38–$194.00 | 41% below | 40% |
| Psychiatric evaluation with medical services CPT 90792 90792 Evaluation Assessment Psych Diagnostic | $348.60 | $581.00 | $319.55–$493.85 | 42% above | 40% |
| Psychiatric evaluation with medical services CPT 90792 90792 Evaluation Assessment Psych Diagnostic | $348.60 | $581.00 | $319.55–$493.85 | 42% above | 40% |
| Psychiatric evaluation with medical services inpatient CPT 90792 90792 Evaluation Assessment Psych Diagnostic | $348.60 | $581.00 | $319.55–$493.85 | — | 40% |
| Psychiatric evaluation with medical services inpatient CPT 90792 90792 Evaluation Assessment Psych Diagnostic | $348.60 | $581.00 | $319.55–$493.85 | — | 40% |
| Psychotherapy for crisis, first 60 minutes CPT 90839 90839 Psychotherapy for crisis; first 60 minutes | $133.05 | $221.75 | $121.96–$177.40 | 47% below | 40% |
| Psychotherapy session, 30 minutes CPT 90832 90832 Psychotherapy, 16-37 minutes with patient and/or family member | $63.60 | $106.00 | $58.30–$84.80 | 60% below | 40% |
| Psychotherapy session, 30 minutes CPT 90832 90832 INDIVIDUAL THERAPY 30 MINUTES CHARGE | $155.55 | $259.25 | $142.59–$220.36 | 3% below | 40% |
| Psychotherapy session, 30 minutes CPT 90832 90832 INDIVIDUAL THERAPY 30 MINUTES CHARGE | $155.55 | $259.25 | $142.59–$220.36 | 3% below | 40% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 90832 INDIVIDUAL THERAPY 30 MINUTES CHARGE | $155.55 | $259.25 | $142.59–$220.36 | — | 40% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 90832 INDIVIDUAL THERAPY 30 MINUTES CHARGE | $155.55 | $259.25 | $142.59–$220.36 | — | 40% |
| Psychotherapy session, 45 minutes CPT 90834 90834 INDIVIDUAL THERAPY 45 MINUTES CHARGE | $237.00 | $395.00 | $217.25–$335.75 | 22% above | 40% |
| Psychotherapy session, 45 minutes CPT 90834 90834 INDIVIDUAL THERAPY 45 MINUTES CHARGE | $237.00 | $395.00 | $217.25–$335.75 | 22% above | 40% |
| Psychotherapy session, 45 minutes CPT 90834 90834 Psychotherapy, 38-52 minutes with patient and/or family member | $237.00 | $395.00 | $217.25–$316.00 | 22% above | 40% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 90834 INDIVIDUAL THERAPY 45 MINUTES CHARGE | $237.00 | $395.00 | $217.25–$335.75 | — | 40% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 90834 INDIVIDUAL THERAPY 45 MINUTES CHARGE | $237.00 | $395.00 | $217.25–$335.75 | — | 40% |
| Psychotherapy session, 60 minutes CPT 90837 90837 Psychotherapy, 53-67 minutes with patient and/or family member | $254.55 | $424.25 | $233.34–$339.40 | 2% below | 40% |
| Psychotherapy session, 60 minutes CPT 90837 90837 INDIVIDUAL THERAPY 60 MINUTES CHARGE | $254.55 | $424.25 | $233.34–$360.61 | 2% below | 40% |
| Psychotherapy session, 60 minutes CPT 90837 90837 INDIVIDUAL THERAPY 60 MINUTES CHARGE | $254.55 | $424.25 | $233.34–$360.61 | 2% below | 40% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 90837 INDIVIDUAL THERAPY 60 MINUTES CHARGE | $254.55 | $424.25 | $233.34–$360.61 | — | 40% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 90837 INDIVIDUAL THERAPY 60 MINUTES CHARGE | $254.55 | $424.25 | $233.34–$360.61 | — | 40% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 99406 Smoking and tobacco use cessation visit:intermediate, > 3 min up to 10 min | $20.55 | $34.25 | $18.84–$27.40 | 36% below | 40% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 99215 Comprehensive Problem Office Visit | $81.90 | $136.50 | $75.08–$140.54 | 51% below | 40% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 99215 Office/Outpatient Visit - Established Patient, Level 5 (40 min) | $81.90 | $136.50 | $75.08–$140.54 | 51% below | 40% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 99215 Office/Outpatient Visit - Established Patient, Level 5 (40 min) | $110.25 | $183.75 | $101.06–$147.00 | 35% below | 40% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 99215 Comprehensive Problem Office Visit | $110.25 | $183.75 | $101.06–$147.00 | 35% below | 40% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 99215 OFFICE VISIT LEVEL 5 ESTABLISHED PATIENT WALK IN CLINIC | $177.15 | $295.25 | $162.39–$250.96 | 5% above | 40% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 99215 OFFICE VISIT LEVEL 5 ESTABLISHED PATIENT WALK IN CLINIC | $177.15 | $295.25 | $162.39–$250.96 | 5% above | 40% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 99215 Office/Outpatient Visit - Established Patient, Level 5 (40 min) | $81.90 | $136.50 | $75.08–$140.54 | — | 40% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 99215 Comprehensive Problem Office Visit | $81.90 | $136.50 | $75.08–$140.54 | — | 40% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 99215 Comprehensive Problem Office Visit | $81.90 | $136.50 | $75.08–$140.54 | — | 40% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 99215 Office/Outpatient Visit - Established Patient, Level 5 (40 min) | $81.90 | $136.50 | $75.08–$140.54 | — | 40% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 99215 OFFICE VISIT LEVEL 5 ESTABLISHED PATIENT WALK IN CLINIC | $177.15 | $295.25 | $162.39–$250.96 | — | 40% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 99215 OFFICE VISIT LEVEL 5 ESTABLISHED PATIENT WALK IN CLINIC | $177.15 | $295.25 | $162.39–$250.96 | — | 40% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 99213 Expanded Problem Office Visit | $52.80 | $88.00 | $48.40–$70.40 | 39% below | 40% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 99213 Expanded Problem Office Visit | $52.80 | $88.00 | $40.36–$74.80 | 39% below | 40% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 COVID-19 Related | $59.70 | $99.50 | $54.73–$79.60 | 31% below | 40% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 99213 Office/Outpatient Visit - Established Patient, Level 3 (15 min) | $61.50 | $102.50 | $56.38–$87.13 | 29% below | 40% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 99213 Office/Outpatient Visit - Established Patient, Level 3 (15 min) | $61.50 | $102.50 | $56.38–$87.13 | 29% below | 40% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 99213 OFFICE VISIT LEVEL 3 ESTABLISHED PATIENT WALK IN CLINIC | $85.80 | $143.00 | $78.65–$121.55 | 1% below | 40% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 99213 OFFICE VISIT LEVEL 3 ESTABLISHED PATIENT WALK IN CLINIC | $85.80 | $143.00 | $78.65–$121.55 | 1% below | 40% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 99213 Expanded Problem Office Visit | $52.80 | $88.00 | $40.36–$74.80 | — | 40% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 99213 Expanded Problem Office Visit | $52.80 | $88.00 | $40.36–$74.80 | — | 40% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 99213 Office/Outpatient Visit - Established Patient, Level 3 (15 min) | $61.50 | $102.50 | $56.38–$87.13 | — | 40% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 99213 Office/Outpatient Visit - Established Patient, Level 3 (15 min) | $61.50 | $102.50 | $56.38–$87.13 | — | 40% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 99213 OFFICE VISIT LEVEL 3 ESTABLISHED PATIENT WALK IN CLINIC | $85.80 | $143.00 | $78.65–$121.55 | — | 40% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 99213 OFFICE VISIT LEVEL 3 ESTABLISHED PATIENT WALK IN CLINIC | $85.80 | $143.00 | $78.65–$121.55 | — | 40% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 99214 Office/Outpatient Visit - Established Patient, Level 4 (25 min) | $75.75 | $126.25 | $61.98–$107.31 | 37% below | 40% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 99214 Detailed Problem Office Visit | $75.75 | $126.25 | $69.44–$101.00 | 37% below | 40% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 99214 Detailed Problem Office Visit | $75.75 | $126.25 | $61.98–$107.31 | 37% below | 40% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 99214 Office/Outpatient Visit - Established Patient, Level 4 (25 min) | $78.00 | $130.00 | $71.50–$104.00 | 35% below | 40% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 99214 OFFICE VISIT LEVEL 4 ESTABLISHED PATIENT WALK IN CLINIC | $105.90 | $176.50 | $97.08–$150.03 | 12% below | 40% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 99214 OFFICE VISIT LEVEL 4 ESTABLISHED PATIENT WALK IN CLINIC | $105.90 | $176.50 | $97.08–$150.03 | 12% below | 40% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 99214 Office/Outpatient Visit - Established Patient, Level 4 (25 min) | $75.75 | $126.25 | $61.98–$107.31 | — | 40% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 99214 Office/Outpatient Visit - Established Patient, Level 4 (25 min) | $75.75 | $126.25 | $61.98–$107.31 | — | 40% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 99214 Detailed Problem Office Visit | $75.75 | $126.25 | $61.98–$107.31 | — | 40% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 99214 Detailed Problem Office Visit | $75.75 | $126.25 | $61.98–$107.31 | — | 40% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 99214 OFFICE VISIT LEVEL 4 ESTABLISHED PATIENT WALK IN CLINIC | $105.90 | $176.50 | $97.08–$150.03 | — | 40% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 99214 OFFICE VISIT LEVEL 4 ESTABLISHED PATIENT WALK IN CLINIC | $105.90 | $176.50 | $97.08–$150.03 | — | 40% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 99212 Office/Outpatient Visit - Established Patient, Level 2 (10 min) | $28.50 | $47.50 | $26.13–$38.00 | 60% below | 40% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 99212 Office/Outpatient Visit - Established Patient, Level 2 (10 min) | $34.20 | $57.00 | $20.41–$48.45 | 52% below | 40% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 99212 OFFICE VISIT LEVEL 2 ESTABLISHED PATIENT WALK IN CLINIC | $72.15 | $120.25 | $66.14–$102.21 | 1% above | 40% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 99212 OFFICE VISIT LEVEL 2 ESTABLISHED PATIENT WALK IN CLINIC | $72.15 | $120.25 | $66.14–$102.21 | 1% above | 40% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 99212 LEVEL 2 VISIT EST PT ProFee | $72.15 | $120.25 | $66.14–$102.21 | 1% above | 40% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 99212 LEVEL 2 VISIT EST PT ProFee | $72.15 | $120.25 | $66.14–$102.21 | 1% above | 40% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 99212 Office/Outpatient Visit - Established Patient, Level 2 (10 min) | $34.20 | $57.00 | $20.41–$48.45 | — | 40% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 99212 Office/Outpatient Visit - Established Patient, Level 2 (10 min) | $34.20 | $57.00 | $20.41–$48.45 | — | 40% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 99212 OFFICE VISIT LEVEL 2 ESTABLISHED PATIENT WALK IN CLINIC | $72.15 | $120.25 | $66.14–$102.21 | — | 40% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 99212 LEVEL 2 VISIT EST PT ProFee | $72.15 | $120.25 | $66.14–$102.21 | — | 40% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 99212 OFFICE VISIT LEVEL 2 ESTABLISHED PATIENT WALK IN CLINIC | $72.15 | $120.25 | $66.14–$102.21 | — | 40% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 99212 LEVEL 2 VISIT EST PT ProFee | $72.15 | $120.25 | $66.14–$102.21 | — | 40% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 99243 Office Consultation, Level 3 | $70.95 | $118.25 | $65.04–$94.60 | 5% below | 40% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 99244 Office Consultation, Level 4 | $108.30 | $180.50 | $99.28–$144.40 | at median | 40% |
| Speech and language evaluation CPT 92523 SLP Eval Lang Comprehension,Express Unit | $317.10 | $528.50 | $290.68–$449.23 | 7% below | 40% |
| Speech and language evaluation CPT 92523 SLP Eval Lang Comprehension,Express Unit | $317.10 | $528.50 | $290.68–$449.23 | 7% below | 40% |
| Speech and language evaluation CPT 92523 92523 Evaluation of Speech sound production with evaluation of language comprehension and expression | $317.13 | $528.55 | $290.70–$449.27 | 7% below | 40% |
| Speech and language evaluation CPT 92523 92523 Evaluation of Speech sound production with evaluation of language comprehension and expression | $317.13 | $528.55 | $290.70–$449.27 | 7% below | 40% |
| Speech and language evaluation inpatient CPT 92523 SLP Eval Lang Comprehension,Express Unit | $317.10 | $528.50 | $290.68–$449.23 | — | 40% |
| Speech and language evaluation inpatient CPT 92523 SLP Eval Lang Comprehension,Express Unit | $317.10 | $528.50 | $290.68–$449.23 | — | 40% |
| Speech and language evaluation inpatient CPT 92523 92523 Evaluation of Speech sound production with evaluation of language comprehension and expression | $317.13 | $528.55 | $290.70–$449.27 | — | 40% |
| Speech and language evaluation inpatient CPT 92523 92523 Evaluation of Speech sound production with evaluation of language comprehension and expression | $317.13 | $528.55 | $290.70–$449.27 | — | 40% |
| Speech therapy session, individual CPT 92507 92507 TREATMENT OF SPEECH, LANGUAGE, VOICE | $123.60 | $206.00 | $113.30–$175.10 | 35% below | 40% |
| Speech therapy session, individual CPT 92507 92507 TREATMENT OF SPEECH, LANGUAGE, VOICE | $123.60 | $206.00 | $113.30–$175.10 | 35% below | 40% |
| Speech therapy session, individual CPT 92507 SLP Auditory Processing Tx Units | $182.70 | $304.50 | $167.48–$258.83 | 4% below | 40% |
| Speech therapy session, individual CPT 92507 SLP Auditory Processing Tx Units | $182.70 | $304.50 | $167.48–$258.83 | 4% below | 40% |
| Speech therapy session, individual inpatient CPT 92507 92507 TREATMENT OF SPEECH, LANGUAGE, VOICE | $123.60 | $206.00 | $113.30–$175.10 | — | 40% |
| Speech therapy session, individual inpatient CPT 92507 92507 TREATMENT OF SPEECH, LANGUAGE, VOICE | $123.60 | $206.00 | $113.30–$175.10 | — | 40% |
| Speech therapy session, individual inpatient CPT 92507 SLP Auditory Processing Tx Units | $182.70 | $304.50 | $167.48–$258.83 | — | 40% |
| Speech therapy session, individual inpatient CPT 92507 SLP Auditory Processing Tx Units | $182.70 | $304.50 | $167.48–$258.83 | — | 40% |
| Spirometry (breathing test) CPT 94010 94010 PFT SIMPLE CHARGE | $326.25 | $543.75 | $299.06–$462.19 | 12% above | 40% |
| Spirometry (breathing test) CPT 94010 94010 PFT SIMPLE CHARGE | $326.25 | $543.75 | $299.06–$462.19 | 12% above | 40% |
| Spirometry (breathing test) one side CPT 94010 Spirometry - RT CHARGE PFT | $326.25 | $543.75 | $299.06–$462.19 | 12% above | 40% |
| Spirometry (breathing test) one side CPT 94010 Spirometry - RT CHARGE PFT | $326.25 | $543.75 | $299.06–$462.19 | 12% above | 40% |
| Spirometry (breathing test) inpatient CPT 94010 94010 PFT SIMPLE CHARGE | $326.25 | $543.75 | $299.06–$462.19 | — | 40% |
| Spirometry (breathing test) inpatient CPT 94010 94010 PFT SIMPLE CHARGE | $326.25 | $543.75 | $299.06–$462.19 | — | 40% |
| Spirometry (breathing test) inpatient one side CPT 94010 Spirometry - RT CHARGE PFT | $326.25 | $543.75 | $299.06–$462.19 | — | 40% |
| Spirometry (breathing test) inpatient one side CPT 94010 Spirometry - RT CHARGE PFT | $326.25 | $543.75 | $299.06–$462.19 | — | 40% |
| Spirometry before and after a bronchodilator CPT 94060 94060 PFT COMPLETE CHARGE | $753.75 | $1,256.25 | $690.94–$1,067.81 | 65% above | 40% |
| Spirometry before and after a bronchodilator CPT 94060 94060 PFT COMPLETE CHARGE | $753.75 | $1,256.25 | $690.94–$1,067.81 | 65% above | 40% |
| Spirometry before and after a bronchodilator one side CPT 94060 Spirometry before & after - RT CHARGE PFT | $753.75 | $1,256.25 | $690.94–$1,067.81 | 65% above | 40% |
| Spirometry before and after a bronchodilator one side CPT 94060 Spirometry before & after - RT CHARGE PFT | $753.75 | $1,256.25 | $690.94–$1,067.81 | 65% above | 40% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 94060 PFT COMPLETE CHARGE | $753.75 | $1,256.25 | $690.94–$1,067.81 | — | 40% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 94060 PFT COMPLETE CHARGE | $753.75 | $1,256.25 | $690.94–$1,067.81 | — | 40% |
| Spirometry before and after a bronchodilator inpatient one side CPT 94060 Spirometry before & after - RT CHARGE PFT | $753.75 | $1,256.25 | $690.94–$1,067.81 | — | 40% |
| Spirometry before and after a bronchodilator inpatient one side CPT 94060 Spirometry before & after - RT CHARGE PFT | $753.75 | $1,256.25 | $690.94–$1,067.81 | — | 40% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 PT Therapeutic Activity Units | $67.50 | $112.50 | $61.88–$95.63 | 29% below | 40% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 PT Therapeutic Activity Units | $67.50 | $112.50 | $61.88–$95.63 | 29% below | 40% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 97530 THERAPEUTIC ACTIVITIES, DIRECT (ONE-ON-ONE) PATIENT CONTACT (USE OF DYNAMIC ACTIVITIES TO IMPR | $78.90 | $131.50 | $72.33–$111.78 | 17% below | 40% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 97530 THERAPEUTIC ACTIVITIES, DIRECT (ONE-ON-ONE) PATIENT CONTACT (USE OF DYNAMIC ACTIVITIES TO IMPR | $78.90 | $131.50 | $72.33–$111.78 | 17% below | 40% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 OT Therapeutic Activities Units | $78.90 | $131.50 | $72.33–$111.78 | 17% below | 40% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 OT Therapeutic Activities Units | $78.90 | $131.50 | $72.33–$111.78 | 17% below | 40% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT Therapeutic Activity Units | $67.50 | $112.50 | $61.88–$95.63 | — | 40% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT Therapeutic Activity Units | $67.50 | $112.50 | $61.88–$95.63 | — | 40% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 97530 THERAPEUTIC ACTIVITIES, DIRECT (ONE-ON-ONE) PATIENT CONTACT (USE OF DYNAMIC ACTIVITIES TO IMPR | $78.90 | $131.50 | $72.33–$111.78 | — | 40% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 97530 THERAPEUTIC ACTIVITIES, DIRECT (ONE-ON-ONE) PATIENT CONTACT (USE OF DYNAMIC ACTIVITIES TO IMPR | $78.90 | $131.50 | $72.33–$111.78 | — | 40% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OT Therapeutic Activities Units | $78.90 | $131.50 | $72.33–$111.78 | — | 40% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OT Therapeutic Activities Units | $78.90 | $131.50 | $72.33–$111.78 | — | 40% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Therapeutic Phleb | $87.90 | $146.50 | $80.58 | 44% below | 40% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Therapeutic Phlebotomy | $87.90 | $146.50 | $80.58 | 44% below | 40% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Therapeutic Phlebotomy | $87.90 | $146.50 | $80.58 | — | 40% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Therapeutic Phleb | $87.90 | $146.50 | $80.58 | — | 40% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Kentucky | Off list |
|---|---|---|---|---|---|
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 90656 Influenza virus Vaccine, quadrivalent (ccIIV4), derived from cell cultures, subunit preservati | $34.05 | $56.75 | $31.21–$45.40 | 15% below | 40% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 90656 Fluzone PF Quadrivalent | $39.30 | $65.50 | $36.03–$52.40 | 2% below | 40% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 90746 Hepatitis B vaccine (HepB), adult dosage, 3 dose schedule, for intramuscular use | $123.90 | $206.50 | $113.58–$165.20 | 23% below | 40% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 influenza virus vaccine, inactivated high-dose PF trivalent [LSHH] | $131.83 | $219.72 | $120.84–$186.76 | 1% below | 40% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 influenza virus vaccine, inactivated high-dose PF trivalent [LSHH] | $131.83 | $219.72 | $120.84–$186.76 | 1% below | 40% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 90662 Fluzone High-Dose Quadrivalent PF Medication Charge | $139.80 | $233.00 | $128.15–$198.05 | 5% above | 40% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 90662 Fluzone High-Dose Quadrivalent PF Medication Charge | $139.80 | $233.00 | $128.15–$198.05 | 5% above | 40% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 influenza virus vaccine, inactivated high-dose preservative-free trivalent Sus | $142.28 | $237.14 | $130.43–$201.57 | 7% above | 40% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 influenza virus vaccine, inactivated high-dose preservative-free trivalent Sus | $142.28 | $237.14 | $130.43–$201.57 | 7% above | 40% |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 influenza virus vaccine, inactivated high-dose PF trivalent [LSHH] | $131.83 | $219.72 | $120.84–$186.76 | — | 40% |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 influenza virus vaccine, inactivated high-dose PF trivalent [LSHH] | $131.83 | $219.72 | $120.84–$186.76 | — | 40% |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 90662 Fluzone High-Dose Quadrivalent PF Medication Charge | $139.80 | $233.00 | $128.15–$198.05 | — | 40% |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 90662 Fluzone High-Dose Quadrivalent PF Medication Charge | $139.80 | $233.00 | $128.15–$198.05 | — | 40% |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 influenza virus vaccine, inactivated high-dose preservative-free trivalent Sus | $142.28 | $237.14 | $130.43–$201.57 | — | 40% |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 influenza virus vaccine, inactivated high-dose preservative-free trivalent Sus | $142.28 | $237.14 | $130.43–$201.57 | — | 40% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 pneumococcal 20-valent conjugate vaccine (Prevnar-20) - Sus [LSHH] | $555.32 | $925.53 | $509.04–$786.70 | 2% below | 40% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 pneumococcal 20-valent conjugate vaccine (Prevnar-20) - Sus [LSHH] | $555.32 | $925.53 | $509.04–$786.70 | 2% below | 40% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 pneumococcal 20-valent conjugate vaccine (Prevnar-20) - Sus [LSHH] | $555.32 | $925.53 | $509.04–$786.70 | — | 40% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 pneumococcal 20-valent conjugate vaccine (Prevnar-20) - Sus [LSHH] | $555.32 | $925.53 | $509.04–$786.70 | — | 40% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumovax-23 25 mcg/0.5 mL injection syringe [LSHH] | $210.75 | $351.24 | $193.18–$298.56 | 17% below | 40% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumovax-23 25 mcg/0.5 mL injection syringe [LSHH] | $210.75 | $351.24 | $193.18–$298.56 | 17% below | 40% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 90732 Pneumovax 23-Pneumococcal poly vac, 23-valent (PPSV23), adult or immunosuppressed patient | $223.50 | $372.50 | $204.88–$298.00 | 12% below | 40% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 Pneumovax-23 25 mcg/0.5 mL injection syringe [LSHH] | $210.75 | $351.24 | $193.18–$298.56 | — | 40% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 Pneumovax-23 25 mcg/0.5 mL injection syringe [LSHH] | $210.75 | $351.24 | $193.18–$298.56 | — | 40% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 90714 Tetanus and diphtheria toxoids adsorbed (Td), preservative free, when administered to individu | $80.85 | $134.75 | $74.11–$107.80 | 27% above | 40% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Boostrix Tdap 2.5 Lf unit-8 mcg-5 Lf/0.5 mL intramuscular syringe [LSHH] | $90.68 | $151.13 | $83.12–$128.46 | 15% below | 40% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Boostrix Tdap 2.5 Lf unit-8 mcg-5 Lf/0.5 mL intramuscular syringe [LSHH] | $90.68 | $151.13 | $83.12–$128.46 | 15% below | 40% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 90715 Tetanus, diphtheria toxoids & acellular pertussis vac (Tdap), Individs 10 years & Old | $93.45 | $155.75 | $85.66–$132.39 | 12% below | 40% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 90715 Tetanus, diphtheria toxoids & acellular pertussis vac (Tdap), Individs 10 years & Old | $93.45 | $155.75 | $85.66–$132.39 | 12% below | 40% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Boostrix Tdap 2.5 Lf unit-8 mcg-5 Lf/0.5 mL intramuscular syringe [LSHH] | $90.68 | $151.13 | $83.12–$128.46 | — | 40% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Boostrix Tdap 2.5 Lf unit-8 mcg-5 Lf/0.5 mL intramuscular syringe [LSHH] | $90.68 | $151.13 | $83.12–$128.46 | — | 40% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 90715 Tetanus, diphtheria toxoids & acellular pertussis vac (Tdap), Individs 10 years & Old | $93.45 | $155.75 | $85.66–$132.39 | — | 40% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 90715 Tetanus, diphtheria toxoids & acellular pertussis vac (Tdap), Individs 10 years & Old | $93.45 | $155.75 | $85.66–$132.39 | — | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 Immunization administration; first vaccine | $31.20 | $52.00 | $20.24–$44.20 | 58% below | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 Immunization administration; first vaccine | $31.20 | $52.00 | $28.60–$41.60 | 58% below | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471-Vaccine Administration | $31.35 | $52.25 | $28.74–$44.41 | 58% below | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 IM ADM PRQ ID SUBQ/IM NJXS 1 VACCINE TechFee | $31.35 | $52.25 | $28.74–$44.41 | 58% below | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 IM ADM PRQ ID SUBQ/IM NJXS 1 VACCINE TechFee | $31.35 | $52.25 | $28.74–$44.41 | 58% below | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471-Vaccine Administration | $31.35 | $52.25 | $28.74–$44.41 | 58% below | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471 Immunization administration; first vaccine | $31.20 | $52.00 | $20.24–$44.20 | — | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471 Immunization administration; first vaccine | $31.20 | $52.00 | $20.24–$44.20 | — | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471 IM ADM PRQ ID SUBQ/IM NJXS 1 VACCINE TechFee | $31.35 | $52.25 | $28.74–$44.41 | — | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471-Vaccine Administration | $31.35 | $52.25 | $28.74–$44.41 | — | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471-Vaccine Administration | $31.35 | $52.25 | $28.74–$44.41 | — | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471 IM ADM PRQ ID SUBQ/IM NJXS 1 VACCINE TechFee | $31.35 | $52.25 | $28.74–$44.41 | — | 40% |