Hospital El Paso, TX

University Medical Center Surgical Hospital

University Medical Center Surgical Hospital in Dieter El Paso, TX publishes cash prices for 416 common procedures listed here, from its own machine-readable price file updated Mar 16, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Texas median for 410 of 411 procedures. By typical cash price it ranks #1 of 299 Texas hospitals and #1 of 5 hospitals in the El Paso, TX area, cheapest first. Select a procedure to compare it with other hospitals nearby.

1416 George Dieter El Paso, TX 79936 Collected Sep 22, 2026 Source price file Check a bill from this hospital

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Texas	Off list
Abdominal CT scan without and with contrast CPT 74170 CT ABD W&W/O CONTRAST	$635.18	$3,175.90	$126.03–$1,746.75	78% below	80%
Abdominal CT scan without and with contrast inpatient CPT 74170 CT ABD W&W/O CONTRAST	$635.18	$3,175.90	$126.03–$1,746.75	—	80%
Abdominal X-ray, 2 views CPT 74019 XR ABD 3 VIEW	$41.28	$206.41	$33.97–$359.78	89% below	80%
Abdominal X-ray, 2 views CPT 74019 ED XR ABD 3V	$41.28	$206.41	$33.97–$359.78	89% below	80%
Abdominal X-ray, 2 views inpatient CPT 74019 ED XR ABD 3V	$41.28	$206.41	$33.97–$359.78	—	80%
Abdominal X-ray, 2 views inpatient CPT 74019 XR ABD 3 VIEW	$41.28	$206.41	$33.97–$359.78	—	80%
Ankle X-ray, complete, 3 or more views CPT 73610 RAD ANKLE 3+V	$79.56	$397.79	$33.86–$256.19	78% below	80%
Ankle X-ray, complete, 3 or more views CPT 73610 ED XR ANKLE 3+V	$79.56	$397.79	$33.86–$256.19	78% below	80%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 ED XR ANKLE 3+V	$79.56	$397.79	$33.86–$256.19	—	80%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 RAD ANKLE 3+V	$79.56	$397.79	$33.86–$256.19	—	80%
Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 WC ANKLE/BRACHIAL INDICES BILAT	$55.24	$276.18	$52.47–$340.00	—	80%
Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 SH ANKLE/BRACHIAL INDICES BILAT	$66.41	$332.03	$63.09–$340.00	—	80%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 WS ANKLE BRACHIAL INDEX (ABI)	$44.27	$221.36	$42.06–$323.82	93% below	80%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 UCC ESLK US ANKLE BRACHIAL INDEX (ABI)	$44.27	$221.36	$42.06–$323.82	93% below	80%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 NE ANKLE BRACHIAL INDEX (ABI)	$44.27	$221.36	$42.06–$323.82	93% below	80%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 REN ANKLE BRACHIAL INDEX (ABI)	$44.27	$221.36	$42.06–$323.82	93% below	80%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 ES ANKLE BRACHIAL INDEX (ABI)	$44.27	$221.36	$42.06–$350.00	93% below	80%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 SH ANKLE BRACHIAL INDEX (ABI)	$44.27	$221.36	$42.06–$323.82	93% below	80%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 WC ANKLE/BRACHIAL INDICES BILAT	$55.24	$276.18	$52.47–$340.00	—	80%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 SH ANKLE/BRACHIAL INDICES BILAT	$66.41	$332.03	$63.09–$340.00	—	80%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 REN ANKLE BRACHIAL INDEX (ABI)	$44.27	$221.36	$42.06–$323.82	—	80%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 ES ANKLE BRACHIAL INDEX (ABI)	$44.27	$221.36	$42.06–$350.00	—	80%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 UCC ESLK US ANKLE BRACHIAL INDEX (ABI)	$44.27	$221.36	$42.06–$323.82	—	80%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 WS ANKLE BRACHIAL INDEX (ABI)	$44.27	$221.36	$42.06–$323.82	—	80%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 NE ANKLE BRACHIAL INDEX (ABI)	$44.27	$221.36	$42.06–$323.82	—	80%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 SH ANKLE BRACHIAL INDEX (ABI)	$44.27	$221.36	$42.06–$323.82	—	80%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT UPR EXT W/O	$376.61	$1,883.07	$75.28–$1,035.69	77% below	80%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT WRST/HAND W/O CNTRST LEFT	$446.18	$2,230.89	$75.28–$1,226.99	73% below	80%
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 CT UPR EXT W/O	$376.61	$1,883.07	$75.28–$1,035.69	—	80%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT WRST/HAND W/O CNTRST LEFT	$446.18	$2,230.89	$75.28–$1,226.99	—	80%
Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE WB	$540.25	$2,701.26	$248.04–$1,485.69	66% below	80%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM BONE WB	$540.25	$2,701.26	$248.04–$1,485.69	—	80%
Breast ultrasound, complete, one breast one side CPT 76641 REN US BREAST UNILAT COMPL LT	$55.11	$275.53	$52.35–$359.78	88% below	80%
Breast ultrasound, complete, one breast one side CPT 76641 REN US BREAST UNILAT CMPL RT	$55.11	$275.53	$52.35–$359.78	88% below	80%
Breast ultrasound, complete, one breast one side CPT 76641 WS US BREAST UNILAT CMPL RT	$62.38	$311.91	$59.26–$359.78	86% below	80%
Breast ultrasound, complete, one breast one side CPT 76641 REN US BREAST UNILATERAL CMPL	$62.38	$311.91	$59.26–$359.78	86% below	80%
Breast ultrasound, complete, one breast one side CPT 76641 WS US BREAST UNILAT COMPL LT	$62.38	$311.91	$59.26–$359.78	86% below	80%
Breast ultrasound, complete, one breast one side CPT 76641 WS US BREAST UNILATERAL CMPL	$62.38	$311.91	$59.26–$359.78	86% below	80%
Breast ultrasound, complete, one breast one side CPT 76641 ES US BREAST UNILAT COMPL LT	$63.37	$316.86	$60.20–$359.78	86% below	80%
Breast ultrasound, complete, one breast one side CPT 76641 USD BREAST UNILAT COMPLETE LT	$66.75	$333.74	$63.41–$359.78	85% below	80%
Breast ultrasound, complete, one breast one side CPT 76641 MAM US BREAST UNILAT COM BIL	$66.75	$333.74	$63.41–$359.78	85% below	80%
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST UNILAT COMPLETE LT	$66.75	$333.74	$63.41–$359.78	85% below	80%
Breast ultrasound, complete, one breast one side CPT 76641 MAMMO US BREAST UNILAT COMPLETE RT	$66.75	$333.74	$63.41–$359.78	85% below	80%
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST UNILAT COM BIL	$66.75	$333.74	$63.41–$359.78	85% below	80%
Breast ultrasound, complete, one breast one side CPT 76641 ES US BREAST UNILATERAL CMPL	$67.81	$339.04	$64.42–$359.78	85% below	80%
Breast ultrasound, complete, one breast one side CPT 76641 SH US BREAST UNILAT COMPL LT	$67.81	$339.04	$64.42–$359.78	85% below	80%
Breast ultrasound, complete, one breast one side CPT 76641 ES US BREAST UNILAT CMPL RT	$67.81	$339.04	$64.42–$359.78	85% below	80%
Breast ultrasound, complete, one breast one side CPT 76641 UCC ESLK US BREAST UNILAT CMPL RT	$67.81	$339.04	$64.42–$359.78	85% below	80%
Breast ultrasound, complete, one breast one side CPT 76641 NE US BREAST UNILAT COMPL LT	$67.81	$339.04	$64.42–$359.78	85% below	80%
Breast ultrasound, complete, one breast one side CPT 76641 UCC ESLK US BREAST UNILATERAL CMPL	$67.81	$339.04	$64.42–$359.78	85% below	80%
Breast ultrasound, complete, one breast one side CPT 76641 UCC ESLK US BREAST UNILAT COMPL LT	$67.81	$339.04	$64.42–$359.78	85% below	80%
Breast ultrasound, complete, one breast one side CPT 76641 NE US BREAST UNILATERAL CMPL	$67.81	$339.04	$64.42–$359.78	85% below	80%
Breast ultrasound, complete, one breast one side CPT 76641 USD BREAST UNILAT COMPLETE RT	$71.20	$356.00	$67.64–$359.78	84% below	80%
Breast ultrasound, complete, one breast one side CPT 76641 NE US BREAST UNILAT CMPL RT	$225.98	$1,129.92	$75.28–$621.46	49% below	80%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 REN US BREAST UNILAT CMPL RT	$55.11	$275.53	$52.35–$359.78	—	80%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 REN US BREAST UNILAT COMPL LT	$55.11	$275.53	$52.35–$359.78	—	80%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 WS US BREAST UNILATERAL CMPL	$62.38	$311.91	$59.26–$359.78	—	80%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 WS US BREAST UNILAT COMPL LT	$62.38	$311.91	$59.26–$359.78	—	80%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 WS US BREAST UNILAT CMPL RT	$62.38	$311.91	$59.26–$359.78	—	80%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 REN US BREAST UNILATERAL CMPL	$62.38	$311.91	$59.26–$359.78	—	80%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 ES US BREAST UNILAT COMPL LT	$63.37	$316.86	$60.20–$359.78	—	80%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST UNILAT COM BIL	$66.75	$333.74	$63.41–$359.78	—	80%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 MAMMO US BREAST UNILAT COMPLETE RT	$66.75	$333.74	$63.41–$359.78	—	80%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 MAM US BREAST UNILAT COM BIL	$66.75	$333.74	$63.41–$359.78	—	80%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 USD BREAST UNILAT COMPLETE LT	$66.75	$333.74	$63.41–$359.78	—	80%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST UNILAT COMPLETE LT	$66.75	$333.74	$63.41–$359.78	—	80%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 SH US BREAST UNILAT COMPL LT	$67.81	$339.04	$64.42–$359.78	—	80%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 ES US BREAST UNILAT CMPL RT	$67.81	$339.04	$64.42–$359.78	—	80%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 ES US BREAST UNILATERAL CMPL	$67.81	$339.04	$64.42–$359.78	—	80%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 NE US BREAST UNILATERAL CMPL	$67.81	$339.04	$64.42–$359.78	—	80%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 NE US BREAST UNILAT COMPL LT	$67.81	$339.04	$64.42–$359.78	—	80%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 UCC ESLK US BREAST UNILAT COMPL LT	$67.81	$339.04	$64.42–$359.78	—	80%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 UCC ESLK US BREAST UNILAT CMPL RT	$67.81	$339.04	$64.42–$359.78	—	80%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 UCC ESLK US BREAST UNILATERAL CMPL	$67.81	$339.04	$64.42–$359.78	—	80%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 USD BREAST UNILAT COMPLETE RT	$71.20	$356.00	$67.64–$359.78	—	80%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 NE US BREAST UNILAT CMPL RT	$225.98	$1,129.92	$75.28–$621.46	—	80%
Breast ultrasound, limited (one breast or one area) CPT 76642 MAM US BREAST UNIL LTD BIL	$51.72	$258.60	$49.13–$256.19	85% below	80%
Breast ultrasound, limited (one breast or one area) CPT 76642 US BREAST UNI LTD BIL	$51.72	$258.60	$49.13–$256.19	85% below	80%
Breast ultrasound, limited (one breast or one area) CPT 76642 UCC ESLK US BREAST UNIL LTD BIL	$66.13	$330.63	$62.33–$256.19	81% below	80%
Breast ultrasound, limited (one breast or one area) CPT 76642 NE US BREAST UNIL LTD BIL	$66.13	$330.63	$62.33–$256.19	81% below	80%
Breast ultrasound, limited (one breast or one area) CPT 76642 ES US BREAST UNIL LTD BIL	$66.13	$330.63	$62.33–$256.19	81% below	80%
Breast ultrasound, limited (one breast or one area) CPT 76642 REN US BREAST UNIL LTD BIL	$66.13	$330.63	$62.33–$256.19	81% below	80%
Breast ultrasound, limited (one breast or one area) CPT 76642 WS US BREAST UNIL LTD BIL	$66.13	$330.63	$62.33–$256.19	81% below	80%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 MAMMO US BREAST UNILAT LIMITED RT	$51.72	$258.60	$49.13–$256.19	85% below	80%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 USD BREAST UNILAT LIMITED RT	$51.72	$258.60	$49.13–$256.19	85% below	80%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 MAMMO US BREAST UNILAT LIMITED LT	$51.72	$258.60	$49.13–$256.19	85% below	80%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 SH US BREAST UNILAT LTD LT	$57.99	$289.94	$55.09–$256.19	83% below	80%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 USD BREAST UNILAT LIMITED LT	$60.89	$304.43	$57.84–$256.19	82% below	80%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 WS US BREAST UNILAT LTD LT	$66.13	$330.63	$62.33–$256.19	81% below	80%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 REN US BREAST UNILAT LTD RT	$66.13	$330.63	$62.33–$256.19	81% below	80%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 REN US BREAST UNILAT LTD LT	$66.13	$330.63	$62.33–$256.19	81% below	80%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 NE US BREAST UNILAT LTD RT	$66.13	$330.63	$62.33–$256.19	81% below	80%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 ES US BREAST UNILAT LTD LT	$66.13	$330.63	$62.33–$256.19	81% below	80%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 UCC ESLK US BREAST UNILAT LTD LT	$66.13	$330.63	$62.33–$256.19	81% below	80%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 WS US BREAST UNILAT LTD RT	$66.13	$330.63	$62.33–$256.19	81% below	80%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 NE US BREAST UNILAT LTD LT	$66.13	$330.63	$62.33–$256.19	81% below	80%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 UCC ESLK US BREAST UNILAT LTD RT	$66.13	$330.63	$62.33–$256.19	81% below	80%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 ES US BREAST UNILAT LTD RT	$70.75	$353.77	$62.33–$256.19	80% below	80%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST LMTD W/AXILA RT	$74.29	$371.46	$62.33–$256.19	79% below	80%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 EDE US BREAST LIMITED UNILATERAL LEFT	$120.90	$604.48	$62.33–$332.46	65% below	80%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 US BREAST UNI LTD BIL	$51.72	$258.60	$49.13–$256.19	—	80%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 MAM US BREAST UNIL LTD BIL	$51.72	$258.60	$49.13–$256.19	—	80%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 REN US BREAST UNIL LTD BIL	$66.13	$330.63	$62.33–$256.19	—	80%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 UCC ESLK US BREAST UNIL LTD BIL	$66.13	$330.63	$62.33–$256.19	—	80%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 NE US BREAST UNIL LTD BIL	$66.13	$330.63	$62.33–$256.19	—	80%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 WS US BREAST UNIL LTD BIL	$66.13	$330.63	$62.33–$256.19	—	80%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 ES US BREAST UNIL LTD BIL	$66.13	$330.63	$62.33–$256.19	—	80%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 USD BREAST UNILAT LIMITED RT	$51.72	$258.60	$49.13–$256.19	—	80%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 MAMMO US BREAST UNILAT LIMITED LT	$51.72	$258.60	$49.13–$256.19	—	80%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 MAMMO US BREAST UNILAT LIMITED RT	$51.72	$258.60	$49.13–$256.19	—	80%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 SH US BREAST UNILAT LTD LT	$57.99	$289.94	$55.09–$256.19	—	80%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 USD BREAST UNILAT LIMITED LT	$60.89	$304.43	$57.84–$256.19	—	80%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 NE US BREAST UNILAT LTD LT	$66.13	$330.63	$62.33–$256.19	—	80%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 WS US BREAST UNILAT LTD RT	$66.13	$330.63	$62.33–$256.19	—	80%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 WS US BREAST UNILAT LTD LT	$66.13	$330.63	$62.33–$256.19	—	80%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 ES US BREAST UNILAT LTD LT	$66.13	$330.63	$62.33–$256.19	—	80%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 UCC ESLK US BREAST UNILAT LTD RT	$66.13	$330.63	$62.33–$256.19	—	80%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 UCC ESLK US BREAST UNILAT LTD LT	$66.13	$330.63	$62.33–$256.19	—	80%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 REN US BREAST UNILAT LTD RT	$66.13	$330.63	$62.33–$256.19	—	80%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 REN US BREAST UNILAT LTD LT	$66.13	$330.63	$62.33–$256.19	—	80%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 NE US BREAST UNILAT LTD RT	$66.13	$330.63	$62.33–$256.19	—	80%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 ES US BREAST UNILAT LTD RT	$70.75	$353.77	$62.33–$256.19	—	80%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST LMTD W/AXILA RT	$74.29	$371.46	$62.33–$256.19	—	80%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 EDE US BREAST LIMITED UNILATERAL LEFT	$120.90	$604.48	$62.33–$332.46	—	80%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 ES CT ABD/PEL W/WO CONTRST PST	$849.79	$4,248.97	$252.83–$2,336.93	79% below	80%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 NE CT ABD/PEL W/WO CONT	$849.79	$4,248.97	$252.83–$2,336.93	79% below	80%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA ABD/PEL W/WO CONTRAST POST	$899.90	$4,499.49	$252.83–$2,474.72	78% below	80%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 SH CT ABD/PEL W/WO CONT	$909.28	$4,546.40	$252.83–$2,500.52	77% below	80%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 REN CT ABD/PEL W/WO CONT	$988.66	$4,943.29	$252.83–$2,718.81	75% below	80%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 ES CT ABD/PEL W/WO CONTR POST	$1,026.13	$5,130.63	$252.83–$2,821.85	75% below	80%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 ES CT ABD/PEL W/WO CONTRST PST	$849.79	$4,248.97	$252.83–$2,336.93	—	80%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 NE CT ABD/PEL W/WO CONT	$849.79	$4,248.97	$252.83–$2,336.93	—	80%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CTA ABD/PEL W/WO CONTRAST POST	$899.90	$4,499.49	$252.83–$2,474.72	—	80%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 SH CT ABD/PEL W/WO CONT	$909.28	$4,546.40	$252.83–$2,500.52	—	80%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 REN CT ABD/PEL W/WO CONT	$988.66	$4,943.29	$252.83–$2,718.81	—	80%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 ES CT ABD/PEL W/WO CONTR POST	$1,026.13	$5,130.63	$252.83–$2,821.85	—	80%
CT angiography (CTA) of the head CPT 70496 SH CTA HEAD W/CON & W/O IF PERFOR	$414.77	$2,073.85	$126.03–$1,097.07	83% below	80%
CT angiography (CTA) of the head CPT 70496 CTA HEAD W&W/O CONTRAST	$445.78	$2,228.90	$126.03–$1,225.90	81% below	80%
CT angiography (CTA) of the head CPT 70496 MSU CTA HEAD W/CON & W/O IF PERFOR	$772.03	$3,860.15	$126.03–$2,123.08	68% below	80%
CT angiography (CTA) of the head inpatient CPT 70496 SH CTA HEAD W/CON & W/O IF PERFOR	$414.77	$2,073.85	$126.03–$1,097.07	—	80%
CT angiography (CTA) of the head inpatient CPT 70496 CTA HEAD W&W/O CONTRAST	$445.78	$2,228.90	$126.03–$1,225.90	—	80%
CT angiography (CTA) of the head inpatient CPT 70496 MSU CTA HEAD W/CON & W/O IF PERFOR	$772.03	$3,860.15	$126.03–$2,123.08	—	80%
CT angiography (CTA) of the neck CPT 70498 CTA NECK W&W/O CONTRAST	$606.05	$3,030.25	$126.03–$1,666.64	75% below	80%
CT angiography (CTA) of the neck CPT 70498 MSU CTA NECK W/CON & W/O IF PERFOR	$669.56	$3,347.79	$126.03–$1,841.28	72% below	80%
CT angiography (CTA) of the neck inpatient CPT 70498 CTA NECK W&W/O CONTRAST	$606.05	$3,030.25	$126.03–$1,666.64	—	80%
CT angiography (CTA) of the neck inpatient CPT 70498 MSU CTA NECK W/CON & W/O IF PERFOR	$669.56	$3,347.79	$126.03–$1,841.28	—	80%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST W/CONTRAST	$424.22	$2,121.11	$126.03–$1,166.61	84% below	80%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA CHEST W/CONTRAST	$424.22	$2,121.11	$126.03–$1,166.61	—	80%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 REN CTA HRT CORNRY ART/BYPASS	$411.42	$2,057.08	$175.06–$1,131.39	75% below	80%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 ES CTA HRT CORNRY ART/BYPASS G	$411.42	$2,057.08	$175.06–$1,131.39	75% below	80%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 WS CTA HRT CORNRY ART/BYPASS G	$411.42	$2,057.08	$175.06–$1,131.39	75% below	80%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 NE CTA HRT CORNRY ART/BYPASS G	$411.42	$2,057.08	$175.06–$1,131.39	75% below	80%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT ANGIO HRT W/3D IMAGE	$420.06	$2,100.30	$175.06–$1,155.17	75% below	80%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 SH CTA HRT CORNRY ART/BYPASS G	$440.22	$2,201.08	$175.06–$1,210.59	73% below	80%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 ES CTA HRT CORNRY ART/BYPASS G	$411.42	$2,057.08	$175.06–$1,131.39	—	80%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 WS CTA HRT CORNRY ART/BYPASS G	$411.42	$2,057.08	$175.06–$1,131.39	—	80%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 REN CTA HRT CORNRY ART/BYPASS	$411.42	$2,057.08	$175.06–$1,131.39	—	80%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 NE CTA HRT CORNRY ART/BYPASS G	$411.42	$2,057.08	$175.06–$1,131.39	—	80%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CT ANGIO HRT W/3D IMAGE	$420.06	$2,100.30	$175.06–$1,155.17	—	80%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 SH CTA HRT CORNRY ART/BYPASS G	$440.22	$2,201.08	$175.06–$1,210.59	—	80%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT HRT W/O CNTRST W/CA	$45.76	$228.82	$43.48–$909.00	76% below	80%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 ES CT HEART NO CNTR QUANT EVA	$49.76	$248.78	$47.27–$909.00	74% below	80%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 REN CT HEART NO CNTR QUANT EVA	$49.76	$248.78	$47.27–$909.00	74% below	80%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 WS CT HEART NO CNTR QUANT EVA	$49.76	$248.78	$47.27–$909.00	74% below	80%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 NE CT HEART NO CNTR QUANT EVA	$49.76	$248.78	$47.27–$909.00	74% below	80%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 SH CT HEART NO CNTR QUANT EVA	$53.24	$266.19	$50.58–$909.00	72% below	80%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT HRT W/O CNTRST W/CA	$45.76	$228.82	$43.48–$909.00	—	80%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 WS CT HEART NO CNTR QUANT EVA	$49.76	$248.78	$47.27–$909.00	—	80%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 NE CT HEART NO CNTR QUANT EVA	$49.76	$248.78	$47.27–$909.00	—	80%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 REN CT HEART NO CNTR QUANT EVA	$49.76	$248.78	$47.27–$909.00	—	80%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 ES CT HEART NO CNTR QUANT EVA	$49.76	$248.78	$47.27–$909.00	—	80%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 SH CT HEART NO CNTR QUANT EVA	$53.24	$266.19	$50.58–$909.00	—	80%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD & PELVIS W/O	$1,163.41	$5,817.06	$171.12–$3,199.38	59% below	80%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABD & PELVIS W/O	$1,163.41	$5,817.06	$171.12–$3,199.38	—	80%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 REN ABDOMEN PELVIS W CONTR	$306.47	$1,532.35	$252.83–$1,519.76	92% below	80%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 ES ABDOMEN PELVIS W CONTR	$306.47	$1,532.35	$252.83–$1,519.76	92% below	80%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 SH CT ABD & PELVIS W/ ENTEROGRAPHY	$944.34	$4,721.69	$252.83–$2,596.93	75% below	80%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 ES RAD CT ABD & PELVIS W/ ENTEROGRAPHY	$1,025.03	$5,125.13	$252.83–$2,818.82	73% below	80%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 NE CT ABD & PELVIS W/ ENTEROGRAPHY	$1,065.69	$5,328.44	$252.83–$2,930.64	72% below	80%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD & PELVIS WITH CONTRAST	$1,148.56	$5,742.78	$252.83–$3,158.53	70% below	80%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD & PELVIS W/ CONT	$1,231.28	$6,156.41	$252.83–$3,386.03	68% below	80%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD & PELVIS W ENTEROGRAPHY	$1,415.97	$7,079.87	$252.83–$3,893.93	63% below	80%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 REN ABDOMEN PELVIS W CONTR	$306.47	$1,532.35	$252.83–$1,519.76	—	80%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 ES ABDOMEN PELVIS W CONTR	$306.47	$1,532.35	$252.83–$1,519.76	—	80%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 SH CT ABD & PELVIS W/ ENTEROGRAPHY	$944.34	$4,721.69	$252.83–$2,596.93	—	80%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 ES RAD CT ABD & PELVIS W/ ENTEROGRAPHY	$1,025.03	$5,125.13	$252.83–$2,818.82	—	80%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 NE CT ABD & PELVIS W/ ENTEROGRAPHY	$1,065.69	$5,328.44	$252.83–$2,930.64	—	80%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD & PELVIS WITH CONTRAST	$1,148.56	$5,742.78	$252.83–$3,158.53	—	80%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD & PELVIS W/ CONT	$1,231.28	$6,156.41	$252.83–$3,386.03	—	80%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD & PELVIS W ENTEROGRAPHY	$1,415.97	$7,079.87	$252.83–$3,893.93	—	80%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 REN ABD & PELVIS W & WO CONTR	$344.20	$1,720.98	$252.83–$1,519.76	91% below	80%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 ES ABD & PELVIS W & WO CONTR	$344.20	$1,720.98	$252.83–$1,519.76	91% below	80%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 SH ABD & PELVIS W & WO CONTR	$361.29	$1,806.43	$252.83–$1,519.76	90% below	80%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 NE ABD & PELVIS W & WO CONTR	$368.29	$1,841.45	$252.83–$1,519.76	90% below	80%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD & PELV W&W/O CONT	$1,298.47	$6,492.36	$252.83–$3,570.80	66% below	80%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 ES ABD & PELVIS W & WO CONTR	$344.20	$1,720.98	$252.83–$1,519.76	—	80%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 REN ABD & PELVIS W & WO CONTR	$344.20	$1,720.98	$252.83–$1,519.76	—	80%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 SH ABD & PELVIS W & WO CONTR	$361.29	$1,806.43	$252.83–$1,519.76	—	80%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 NE ABD & PELVIS W & WO CONTR	$368.29	$1,841.45	$252.83–$1,519.76	—	80%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABD & PELV W&W/O CONT	$1,298.47	$6,492.36	$252.83–$3,570.80	—	80%
CT scan of the abdomen with contrast CPT 74160 CT ABD W/CONTRAST	$515.92	$2,579.59	$126.03–$1,418.77	79% below	80%
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/CONTRAST	$627.28	$3,136.39	$126.03–$1,725.01	75% below	80%
CT scan of the abdomen with contrast inpatient CPT 74160 CT ABD W/CONTRAST	$515.92	$2,579.59	$126.03–$1,418.77	—	80%
CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN W/CONTRAST	$627.28	$3,136.39	$126.03–$1,725.01	—	80%
CT scan of the abdomen without contrast CPT 74150 CT ABD W/O CONTRAST	$437.35	$2,186.73	$75.28–$1,202.70	78% below	80%
CT scan of the abdomen without contrast inpatient CPT 74150 CT ABD W/O CONTRAST	$437.35	$2,186.73	$75.28–$1,202.70	—	80%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXFACIAL W/O	$719.13	$3,595.63	$75.28–$1,977.60	56% below	80%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MAXFACIAL W/O	$719.13	$3,595.63	$75.28–$1,977.60	—	80%
CT scan of the head or brain, no contrast dye CPT 70450 MSU CT HEAD/BRAIN W/O CONTRAST	$459.92	$2,299.60	$75.28–$1,264.78	72% below	80%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD WITHOUTCONTRAST	$629.74	$3,148.71	$75.28–$1,731.79	62% below	80%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 MSU CT HEAD/BRAIN W/O CONTRAST	$459.92	$2,299.60	$75.28–$1,264.78	—	80%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD WITHOUTCONTRAST	$629.74	$3,148.71	$75.28–$1,731.79	—	80%
CT scan of the head with contrast CPT 70460 REN HEAD/BRAIN W CONT	$153.49	$767.47	$126.03–$909.00	91% below	80%
CT scan of the head with contrast CPT 70460 ES HEAD/BRAIN W CONT	$153.49	$767.47	$126.03–$909.00	91% below	80%
CT scan of the head with contrast CPT 70460 WS HEAD/BRAIN W CONT	$164.24	$821.19	$126.03–$909.00	90% below	80%
CT scan of the head with contrast CPT 70460 CT HEAD W/CONTRAST	$587.92	$2,939.61	$126.03–$1,616.79	65% below	80%
CT scan of the head with contrast inpatient CPT 70460 REN HEAD/BRAIN W CONT	$153.49	$767.47	$126.03–$909.00	—	80%
CT scan of the head with contrast inpatient CPT 70460 ES HEAD/BRAIN W CONT	$153.49	$767.47	$126.03–$909.00	—	80%
CT scan of the head with contrast inpatient CPT 70460 WS HEAD/BRAIN W CONT	$164.24	$821.19	$126.03–$909.00	—	80%
CT scan of the head with contrast inpatient CPT 70460 CT HEAD W/CONTRAST	$587.92	$2,939.61	$126.03–$1,616.79	—	80%
CT scan of the head without and with contrast CPT 70470 SH HEAD/BRAIN W W/O CONT	$180.90	$904.52	$126.03–$909.00	91% below	80%
CT scan of the head without and with contrast CPT 70470 WS HEAD/BRAIN W W/O CONT	$184.42	$922.10	$126.03–$909.00	91% below	80%
CT scan of the head without and with contrast CPT 70470 CT HEAD W&W/O CONTRAST	$719.63	$3,598.16	$126.03–$1,978.99	65% below	80%
CT scan of the head without and with contrast inpatient CPT 70470 SH HEAD/BRAIN W W/O CONT	$180.90	$904.52	$126.03–$909.00	—	80%
CT scan of the head without and with contrast inpatient CPT 70470 WS HEAD/BRAIN W W/O CONT	$184.42	$922.10	$126.03–$909.00	—	80%
CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD W&W/O CONTRAST	$719.63	$3,598.16	$126.03–$1,978.99	—	80%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 SH EDE CT RECONSTRUCTED LUMBAR SPINE W/O CONTRAST	$483.72	$2,418.61	$75.28–$1,330.24	72% below	80%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT RECONSTRUCTED LUMBAR SPINE W/O CONTRAST	$516.18	$2,580.91	$75.28–$1,419.50	70% below	80%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 EDE CT RECONSTRUCTED LUMBAR SPINE W/O CONTRAST	$584.09	$2,920.46	$75.28–$1,606.25	66% below	80%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 NE LUMBAR SPN WO CONT POST MYE	$608.30	$3,041.48	$75.28–$1,672.81	65% below	80%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 REN LUMBAR SPN WO CONT POST MY	$608.30	$3,041.48	$75.28–$1,672.81	65% below	80%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 ES LUMBAR SPN WO CONT POST MYE	$608.30	$3,041.48	$75.28–$1,672.81	65% below	80%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 WS LUMBAR SPN WO CONT POST MYE	$608.30	$3,041.48	$75.28–$1,672.81	65% below	80%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 SH LUMBAR SPN WO CONT POST MYE	$650.88	$3,254.38	$75.28–$1,789.91	62% below	80%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT L-SPINE W/O CONTRAST	$884.60	$4,423.02	$75.28–$2,432.66	49% below	80%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CTSCAN L-SPINE W/O CONTRAST	$884.60	$4,423.02	$75.28–$2,432.66	49% below	80%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 SH EDE CT RECONSTRUCTED LUMBAR SPINE W/O CONTRAST	$483.72	$2,418.61	$75.28–$1,330.24	—	80%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT RECONSTRUCTED LUMBAR SPINE W/O CONTRAST	$516.18	$2,580.91	$75.28–$1,419.50	—	80%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 EDE CT RECONSTRUCTED LUMBAR SPINE W/O CONTRAST	$584.09	$2,920.46	$75.28–$1,606.25	—	80%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 NE LUMBAR SPN WO CONT POST MYE	$608.30	$3,041.48	$75.28–$1,672.81	—	80%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 REN LUMBAR SPN WO CONT POST MY	$608.30	$3,041.48	$75.28–$1,672.81	—	80%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 ES LUMBAR SPN WO CONT POST MYE	$608.30	$3,041.48	$75.28–$1,672.81	—	80%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 WS LUMBAR SPN WO CONT POST MYE	$608.30	$3,041.48	$75.28–$1,672.81	—	80%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 SH LUMBAR SPN WO CONT POST MYE	$650.88	$3,254.38	$75.28–$1,789.91	—	80%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT L-SPINE W/O CONTRAST	$884.60	$4,423.02	$75.28–$2,432.66	—	80%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CTSCAN L-SPINE W/O CONTRAST	$884.60	$4,423.02	$75.28–$2,432.66	—	80%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 SH CT SPINE CERVICAL W/O CONTRAST	$440.36	$2,201.80	$75.28–$1,210.99	78% below	80%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 WS CERVICAL W/O CONT POST MYEL	$571.92	$2,859.58	$75.28–$1,572.77	72% below	80%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 ES CERVICAL W/O CONT POST MYEL	$571.92	$2,859.58	$75.28–$1,572.77	72% below	80%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 REN CERVICAL W/O CONT POST MYE	$571.92	$2,859.58	$75.28–$1,572.77	72% below	80%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 NE CERVICAL W/O CONT POST MYEL	$571.92	$2,859.58	$75.28–$1,572.77	72% below	80%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 SH CERVICAL W/O CONT POST MYEL	$611.95	$3,059.75	$75.28–$1,682.86	70% below	80%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT C-SPINE W/O CONT	$724.09	$3,620.44	$75.28–$1,991.24	65% below	80%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT C-SPINE W/O -CONT	$832.70	$4,163.51	$75.28–$2,289.93	59% below	80%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 SH CT SPINE CERVICAL W/O CONTRAST	$440.36	$2,201.80	$75.28–$1,210.99	—	80%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 NE CERVICAL W/O CONT POST MYEL	$571.92	$2,859.58	$75.28–$1,572.77	—	80%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 REN CERVICAL W/O CONT POST MYE	$571.92	$2,859.58	$75.28–$1,572.77	—	80%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 WS CERVICAL W/O CONT POST MYEL	$571.92	$2,859.58	$75.28–$1,572.77	—	80%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 ES CERVICAL W/O CONT POST MYEL	$571.92	$2,859.58	$75.28–$1,572.77	—	80%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 SH CERVICAL W/O CONT POST MYEL	$611.95	$3,059.75	$75.28–$1,682.86	—	80%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT C-SPINE W/O CONT	$724.09	$3,620.44	$75.28–$1,991.24	—	80%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT C-SPINE W/O -CONT	$832.70	$4,163.51	$75.28–$2,289.93	—	80%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/CONTRAST	$512.80	$2,564.02	$126.03–$1,410.21	76% below	80%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W/CONTRAST	$512.80	$2,564.02	$126.03–$1,410.21	—	80%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 SH CAROTID DOPPLER BILATERAL	$97.96	$489.79	$93.06–$488.09	—	80%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 NE CAROTID DOPPLER BILATERAL	$237.96	$1,189.82	$175.31–$785.28	—	80%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 UCC ESLK US CAROTID DOPPLER BILATERAL	$237.96	$1,189.82	$175.31–$785.28	—	80%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 WS CAROTID DOPPLER BILATERAL	$237.96	$1,189.82	$175.31–$785.28	—	80%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 ES CAROTID DOPPLER BILATERAL	$237.96	$1,189.82	$175.31–$785.28	—	80%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 REN CAROTID DOPPLER BILATERAL	$254.62	$1,273.11	$175.31–$840.25	—	80%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 DUPX EXTRACRANIAL BI	$259.86	$1,299.28	$175.31–$857.52	—	80%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 SH CAROTID DOPPLER BILATERAL	$97.96	$489.79	$93.06–$488.09	—	80%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 WS CAROTID DOPPLER BILATERAL	$237.96	$1,189.82	$175.31–$785.28	—	80%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 ES CAROTID DOPPLER BILATERAL	$237.96	$1,189.82	$175.31–$785.28	—	80%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 NE CAROTID DOPPLER BILATERAL	$237.96	$1,189.82	$175.31–$785.28	—	80%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 UCC ESLK US CAROTID DOPPLER BILATERAL	$237.96	$1,189.82	$175.31–$785.28	—	80%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 REN CAROTID DOPPLER BILATERAL	$254.62	$1,273.11	$175.31–$840.25	—	80%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 DUPX EXTRACRANIAL BI	$259.86	$1,299.28	$175.31–$857.52	—	80%
Chest CT scan without and with contrast CPT 71270 CT THORAX W&W/O	$305.42	$1,527.11	$126.03–$909.00	88% below	80%
Chest CT scan without and with contrast inpatient CPT 71270 CT THORAX W&W/O	$305.42	$1,527.11	$126.03–$909.00	—	80%
Chest X-ray, 2 views CPT 71046 RAD CHEST 2V	$40.15	$200.74	$31.20–$256.19	90% below	80%
Chest X-ray, 2 views CPT 71046 XR CHEST 2V PORT	$68.72	$343.60	$31.20–$256.19	82% below	80%
Chest X-ray, 2 views CPT 71046 ED XR CHEST 2V PORT	$68.72	$343.60	$31.20–$256.19	82% below	80%
Chest X-ray, 2 views CPT 71046 ED XR CHEST 2V	$68.72	$343.60	$31.20–$256.19	82% below	80%
Chest X-ray, 2 views inpatient CPT 71046 RAD CHEST 2V	$40.15	$200.74	$31.20–$256.19	—	80%
Chest X-ray, 2 views inpatient CPT 71046 ED XR CHEST 2V PORT	$68.72	$343.60	$31.20–$256.19	—	80%
Chest X-ray, 2 views inpatient CPT 71046 ED XR CHEST 2V	$68.72	$343.60	$31.20–$256.19	—	80%
Chest X-ray, 2 views inpatient CPT 71046 XR CHEST 2V PORT	$68.72	$343.60	$31.20–$256.19	—	80%
Chest X-ray, single view CPT 71045 XR RAD CHEST 1V PORT	$42.37	$211.87	$23.80–$256.19	87% below	80%
Chest X-ray, single view CPT 71045 ES CHEST DECUB 1 VIEW	$45.34	$226.70	$23.80–$256.19	86% below	80%
Chest X-ray, single view CPT 71045 SH CCI XR CHEST 1V	$45.34	$226.70	$23.80–$256.19	86% below	80%
Chest X-ray, single view CPT 71045 NE CHEST DECUB 1 VIEW	$45.34	$226.70	$23.80–$256.19	86% below	80%
Chest X-ray, single view CPT 71045 CCI XR CHEST 1V	$45.34	$226.70	$23.80–$256.19	86% below	80%
Chest X-ray, single view CPT 71045 XR CHEST DECUB 1V	$61.64	$308.18	$23.80–$256.19	81% below	80%
Chest X-ray, single view CPT 71045 ED XR CHEST 1V PORT	$61.64	$308.18	$23.80–$256.19	81% below	80%
Chest X-ray, single view CPT 71045 XR CHEST SINGLE VIEW	$61.64	$308.18	$23.80–$256.19	81% below	80%
Chest X-ray, single view CPT 71045 ED XR CHEST DECUB 1V	$61.64	$308.18	$23.80–$256.19	81% below	80%
Chest X-ray, single view CPT 71045 RAD CHEST 1V	$61.64	$308.18	$23.80–$256.19	81% below	80%
Chest X-ray, single view CPT 71045 ED CHEST 1V PORT	$61.64	$308.18	$23.80–$256.19	81% below	80%
Chest X-ray, single view CPT 71045 XR CHEST DECUBITUS	$61.64	$308.18	$23.80–$256.19	81% below	80%
Chest X-ray, single view CPT 71045 XR RSI CHEST	$70.73	$353.64	$23.80–$256.19	78% below	80%
Chest X-ray, single view inpatient CPT 71045 XR RAD CHEST 1V PORT	$42.37	$211.87	$23.80–$256.19	—	80%
Chest X-ray, single view inpatient CPT 71045 CCI XR CHEST 1V	$45.34	$226.70	$23.80–$256.19	—	80%
Chest X-ray, single view inpatient CPT 71045 NE CHEST DECUB 1 VIEW	$45.34	$226.70	$23.80–$256.19	—	80%
Chest X-ray, single view inpatient CPT 71045 ES CHEST DECUB 1 VIEW	$45.34	$226.70	$23.80–$256.19	—	80%
Chest X-ray, single view inpatient CPT 71045 SH CCI XR CHEST 1V	$45.34	$226.70	$23.80–$256.19	—	80%
Chest X-ray, single view inpatient CPT 71045 ED XR CHEST 1V PORT	$61.64	$308.18	$23.80–$256.19	—	80%
Chest X-ray, single view inpatient CPT 71045 ED CHEST 1V PORT	$61.64	$308.18	$23.80–$256.19	—	80%
Chest X-ray, single view inpatient CPT 71045 XR CHEST DECUBITUS	$61.64	$308.18	$23.80–$256.19	—	80%
Chest X-ray, single view inpatient CPT 71045 ED XR CHEST DECUB 1V	$61.64	$308.18	$23.80–$256.19	—	80%
Chest X-ray, single view inpatient CPT 71045 RAD CHEST 1V	$61.64	$308.18	$23.80–$256.19	—	80%
Chest X-ray, single view inpatient CPT 71045 XR CHEST DECUB 1V	$61.64	$308.18	$23.80–$256.19	—	80%
Chest X-ray, single view inpatient CPT 71045 XR CHEST SINGLE VIEW	$61.64	$308.18	$23.80–$256.19	—	80%
Chest X-ray, single view inpatient CPT 71045 XR RSI CHEST	$70.73	$353.64	$23.80–$256.19	—	80%
Collarbone (clavicle) X-ray, complete CPT 73000 ED XR CLAVICLE CMPL	$42.46	$212.32	$30.18–$256.19	86% below	80%
Collarbone (clavicle) X-ray, complete CPT 73000 XR CLAVICLE LTD	$42.46	$212.32	$30.18–$256.19	86% below	80%
Collarbone (clavicle) X-ray, complete CPT 73000 RAD XR CLAVICLE CMPL	$42.46	$212.32	$30.18–$256.19	86% below	80%
Collarbone (clavicle) X-ray, complete CPT 73000 ED CLAVICLE LTD	$42.46	$212.32	$30.18–$256.19	86% below	80%
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 RAD XR CLAVICLE CMPL	$42.46	$212.32	$30.18–$256.19	—	80%
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 XR CLAVICLE LTD	$42.46	$212.32	$30.18–$256.19	—	80%
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 ED CLAVICLE LTD	$42.46	$212.32	$30.18–$256.19	—	80%
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 ED XR CLAVICLE CMPL	$42.46	$212.32	$30.18–$256.19	—	80%
Complete ultrasound of the back of the abdomen, such as both kidneys both sides CPT 76770 US KIDNEY BI	$181.73	$908.67	$75.28–$499.77	—	80%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient both sides CPT 76770 US KIDNEY BI	$181.73	$908.67	$75.28–$499.77	—	80%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 XR BONE DENSITY AXIAL	$76.76	$383.81	$36.05–$286.92	81% below	80%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 ES BONE DENSITY AXIAL	$101.01	$505.04	$36.05–$286.92	75% below	80%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 WS BONE DENSITY AXIAL	$101.01	$505.04	$36.05–$286.92	75% below	80%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 NE XR BONE DENSITY AXIAL	$129.35	$646.76	$36.05–$355.72	68% below	80%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 XR BONE DENSITY AXIAL	$76.76	$383.81	$36.05–$286.92	—	80%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 WS BONE DENSITY AXIAL	$101.01	$505.04	$36.05–$286.92	—	80%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 ES BONE DENSITY AXIAL	$101.01	$505.04	$36.05–$286.92	—	80%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 NE XR BONE DENSITY AXIAL	$129.35	$646.76	$36.05–$355.72	—	80%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 XR BONE DENSITY APPENDICULAR	$44.43	$222.16	$29.33–$204.31	80% below	80%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 ES BONE DENSITY APPENDICULAR	$48.26	$241.29	$29.33–$204.31	78% below	80%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 WS BONE DENSITY APPENDICULAR	$48.26	$241.29	$29.33–$204.31	78% below	80%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 XR BONE DENSITY APPENDICULAR	$44.43	$222.16	$29.33–$204.31	—	80%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 ES BONE DENSITY APPENDICULAR	$48.26	$241.29	$29.33–$204.31	—	80%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 WS BONE DENSITY APPENDICULAR	$48.26	$241.29	$29.33–$204.31	—	80%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 WS PREGNANCY W FETAL DTL ANATO	$68.22	$341.09	$64.81–$596.58	90% below	80%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US PREG DETAILED SGL	$68.22	$341.09	$64.81–$596.58	90% below	80%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 EST US PRGNCY DETAIL SGL	$72.99	$364.97	$69.34–$596.58	89% below	80%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 ES PREGNANCY W FETAL DTL ANATO	$72.99	$364.97	$69.34–$596.58	89% below	80%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 UCC ESLK US PREGNANCY W FETAL DTL ANATO	$72.99	$364.97	$69.34–$596.58	89% below	80%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 REN PREGNANCY W FETAL DTL ANAT	$110.53	$552.66	$105.01–$596.58	84% below	80%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 SH PREGNANCY W FETAL DTL ANATO	$118.27	$591.35	$112.36–$596.58	83% below	80%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 NE PREGNANCY W FETAL DTL ANATO	$118.27	$591.35	$112.36–$596.58	83% below	80%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US PREGNANCY DETAILED SGL	$124.18	$620.91	$117.97–$596.58	82% below	80%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 WS PREGNANCY W FETAL DTL ANATO	$68.22	$341.09	$64.81–$596.58	—	80%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 US PREG DETAILED SGL	$68.22	$341.09	$64.81–$596.58	—	80%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 ES PREGNANCY W FETAL DTL ANATO	$72.99	$364.97	$69.34–$596.58	—	80%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 UCC ESLK US PREGNANCY W FETAL DTL ANATO	$72.99	$364.97	$69.34–$596.58	—	80%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 EST US PRGNCY DETAIL SGL	$72.99	$364.97	$69.34–$596.58	—	80%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 REN PREGNANCY W FETAL DTL ANAT	$110.53	$552.66	$105.01–$596.58	—	80%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 SH PREGNANCY W FETAL DTL ANATO	$118.27	$591.35	$112.36–$596.58	—	80%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 NE PREGNANCY W FETAL DTL ANATO	$118.27	$591.35	$112.36–$596.58	—	80%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 US PREGNANCY DETAILED SGL	$124.18	$620.91	$117.97–$596.58	—	80%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX W/O CONTRAST	$575.41	$2,877.06	$75.28–$1,582.38	62% below	80%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT THORAX W/O CONTRAST	$575.41	$2,877.06	$75.28–$1,582.38	—	80%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W/CONTRAST	$673.24	$3,366.22	$126.03–$1,851.42	66% below	80%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W/ CONTRAST	$698.70	$3,493.49	$126.03–$1,921.42	65% below	80%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST W/CONTRAST	$673.24	$3,366.22	$126.03–$1,851.42	—	80%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST W/ CONTRAST	$698.70	$3,493.49	$126.03–$1,921.42	—	80%
Diagnostic mammogram, both breasts both sides CPT 77066 MAMMO DX BI	$56.14	$280.70	$53.33–$386.39	—	80%
Diagnostic mammogram, both breasts both sides CPT 77066 MAMMO BILAT DIG IMAGE	$116.31	$581.53	$110.49–$386.39	—	80%
Diagnostic mammogram, both breasts both sides CPT 77066 MG MAMMO DX BI	$116.31	$581.53	$110.49–$386.39	—	80%
Diagnostic mammogram, both breasts both sides CPT 77066 ES MA DIAG MG DIG BILAT	$119.02	$595.12	$113.07–$386.39	—	80%
Diagnostic mammogram, both breasts both sides CPT 77066 WS MA DIAG MG DIG BILAT	$119.02	$595.12	$113.07–$386.39	—	80%
Diagnostic mammogram, both breasts both sides CPT 77066 MA DIAG MG DIG BILAT	$119.02	$595.12	$113.07–$386.39	—	80%
Diagnostic mammogram, both breasts both sides CPT 77066 NE MA DIAG MG DIG BILAT	$119.02	$595.12	$113.07–$386.39	—	80%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MAMMO DX BI	$56.14	$280.70	$53.33–$386.39	—	80%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MG MAMMO DX BI	$116.31	$581.53	$110.49–$386.39	—	80%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MAMMO BILAT DIG IMAGE	$116.31	$581.53	$110.49–$386.39	—	80%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 WS MA DIAG MG DIG BILAT	$119.02	$595.12	$113.07–$386.39	—	80%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 ES MA DIAG MG DIG BILAT	$119.02	$595.12	$113.07–$386.39	—	80%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MA DIAG MG DIG BILAT	$119.02	$595.12	$113.07–$386.39	—	80%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 NE MA DIAG MG DIG BILAT	$119.02	$595.12	$113.07–$386.39	—	80%
Diagnostic mammogram, one breast CPT 77065 MAMMO DX UNI	$51.37	$256.85	$48.80–$301.93	81% below	80%
Diagnostic mammogram, one breast CPT 77065 MG MAMMO DX UNI	$51.37	$256.85	$48.80–$301.93	81% below	80%
Diagnostic mammogram, one breast one side CPT 77065 MAMMO UNILAT DIG IMAGE LT	$51.37	$256.85	$48.80–$301.93	81% below	80%
Diagnostic mammogram, one breast one side CPT 77065 MAMMO UNILAT DIG IMAGE RT	$51.37	$256.85	$48.80–$301.93	81% below	80%
Diagnostic mammogram, one breast one side CPT 77065 NE MA DIAG MG DIG RT	$90.79	$453.94	$86.25–$301.93	67% below	80%
Diagnostic mammogram, one breast one side CPT 77065 WS MA DIAG MG DIG LT	$90.79	$453.94	$86.25–$301.93	67% below	80%
Diagnostic mammogram, one breast one side CPT 77065 WS MA DIAG MG DIG RT	$90.79	$453.94	$86.25–$301.93	67% below	80%
Diagnostic mammogram, one breast one side CPT 77065 ES MA DIAG MG DIG RT	$90.79	$453.94	$86.25–$301.93	67% below	80%
Diagnostic mammogram, one breast one side CPT 77065 ES MA DIAG MG DIG LT	$90.79	$453.94	$86.25–$301.93	67% below	80%
Diagnostic mammogram, one breast one side CPT 77065 NE MA DIAG MG DIG LT	$90.79	$453.94	$86.25–$301.93	67% below	80%
Diagnostic mammogram, one breast one side CPT 77065 MA DIAG MG DIG LT	$90.79	$453.94	$86.25–$301.93	67% below	80%
Diagnostic mammogram, one breast one side CPT 77065 MA DIAG MG DIG RT	$90.79	$453.94	$86.25–$301.93	67% below	80%
Diagnostic mammogram, one breast inpatient CPT 77065 MAMMO DX UNI	$51.37	$256.85	$48.80–$301.93	—	80%
Diagnostic mammogram, one breast inpatient CPT 77065 MG MAMMO DX UNI	$51.37	$256.85	$48.80–$301.93	—	80%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MAMMO UNILAT DIG IMAGE LT	$51.37	$256.85	$48.80–$301.93	—	80%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MAMMO UNILAT DIG IMAGE RT	$51.37	$256.85	$48.80–$301.93	—	80%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MA DIAG MG DIG RT	$90.79	$453.94	$86.25–$301.93	—	80%
Diagnostic mammogram, one breast inpatient one side CPT 77065 NE MA DIAG MG DIG RT	$90.79	$453.94	$86.25–$301.93	—	80%
Diagnostic mammogram, one breast inpatient one side CPT 77065 ES MA DIAG MG DIG RT	$90.79	$453.94	$86.25–$301.93	—	80%
Diagnostic mammogram, one breast inpatient one side CPT 77065 ES MA DIAG MG DIG LT	$90.79	$453.94	$86.25–$301.93	—	80%
Diagnostic mammogram, one breast inpatient one side CPT 77065 WS MA DIAG MG DIG RT	$90.79	$453.94	$86.25–$301.93	—	80%
Diagnostic mammogram, one breast inpatient one side CPT 77065 WS MA DIAG MG DIG LT	$90.79	$453.94	$86.25–$301.93	—	80%
Diagnostic mammogram, one breast inpatient one side CPT 77065 NE MA DIAG MG DIG LT	$90.79	$453.94	$86.25–$301.93	—	80%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MA DIAG MG DIG LT	$90.79	$453.94	$86.25–$301.93	—	80%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 DUPX ARTERY LWR EXT BI	$124.61	$623.05	$118.38–$656.13	—	80%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 DUPX ARTERY LWR EXT BI	$124.61	$623.05	$118.38–$656.13	—	80%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 REN PERIPH VEIN DOPP UP EXT BI	$233.42	$1,167.09	$172.39–$770.28	—	80%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 ES PERIPH VEIN DOPP LWR EXT BI	$233.42	$1,167.09	$172.39–$770.28	—	80%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 WS PERIPH VEIN DOPP LWR EXT BI	$233.42	$1,167.09	$172.39–$770.28	—	80%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 NE PERIPH VEIN DOPP LWR EXT BI	$233.42	$1,167.09	$172.39–$770.28	—	80%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US DUPX VEIN EXT BI	$337.30	$1,686.51	$172.39–$1,113.10	—	80%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 USD DUPX VEIN EXT BI	$337.30	$1,686.51	$172.39–$1,113.10	—	80%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 DUPX VEIN EXT BI	$337.30	$1,686.51	$172.39–$1,113.10	—	80%
Duplex ultrasound of the leg veins, both legs CPT 93970 ES PERIPH VEIN DOPP UP EXT BIL	$233.42	$1,167.09	$172.39–$770.28	85% below	80%
Duplex ultrasound of the leg veins, both legs CPT 93970 WS PERIPH VEIN DOPP UP EXT BIL	$249.76	$1,248.79	$172.39–$824.20	84% below	80%
Duplex ultrasound of the leg veins, both legs CPT 93970 NE PERIPH VEIN DOPP UP EXT BIL	$249.76	$1,248.79	$172.39–$824.20	84% below	80%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 ES PERIPH VEIN DOPP LWR EXT BI	$233.42	$1,167.09	$172.39–$770.28	—	80%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 WS PERIPH VEIN DOPP LWR EXT BI	$233.42	$1,167.09	$172.39–$770.28	—	80%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 NE PERIPH VEIN DOPP LWR EXT BI	$233.42	$1,167.09	$172.39–$770.28	—	80%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 REN PERIPH VEIN DOPP UP EXT BI	$233.42	$1,167.09	$172.39–$770.28	—	80%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 USD DUPX VEIN EXT BI	$337.30	$1,686.51	$172.39–$1,113.10	—	80%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US DUPX VEIN EXT BI	$337.30	$1,686.51	$172.39–$1,113.10	—	80%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 DUPX VEIN EXT BI	$337.30	$1,686.51	$172.39–$1,113.10	—	80%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 ES PERIPH VEIN DOPP UP EXT BIL	$233.42	$1,167.09	$172.39–$770.28	—	80%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 WS PERIPH VEIN DOPP UP EXT BIL	$249.76	$1,248.79	$172.39–$824.20	—	80%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 NE PERIPH VEIN DOPP UP EXT BIL	$249.76	$1,248.79	$172.39–$824.20	—	80%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 SH ECHO 2D W/SPEC/COLOR COMPL	$561.00	$2,805.01	$182.28–$1,851.31	71% below	80%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ES ECHO 2D W/SPEC/COLOR COMPL	$677.33	$3,386.66	$182.28–$2,235.20	65% below	80%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 UCC ESLK US ECHO 2D W/SPEC/COLOR COMPL	$677.33	$3,386.66	$182.28–$2,235.20	65% below	80%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 WS ECHO 2D W/SPEC/COLOR COMPL	$677.33	$3,386.66	$182.28–$2,235.20	65% below	80%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ESL 2D W/SPEC/COLOR COMPL	$724.75	$3,623.73	$182.28–$2,391.66	62% below	80%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO 2D W/SPEC/COLOR COMPL	$724.75	$3,623.73	$182.28–$2,391.66	62% below	80%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 SH ECHO 2D W/SPEC/COLOR COMPL	$561.00	$2,805.01	$182.28–$1,851.31	—	80%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 UCC ESLK US ECHO 2D W/SPEC/COLOR COMPL	$677.33	$3,386.66	$182.28–$2,235.20	—	80%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 WS ECHO 2D W/SPEC/COLOR COMPL	$677.33	$3,386.66	$182.28–$2,235.20	—	80%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 ES ECHO 2D W/SPEC/COLOR COMPL	$677.33	$3,386.66	$182.28–$2,235.20	—	80%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 ECHO 2D W/SPEC/COLOR COMPL	$724.75	$3,623.73	$182.28–$2,391.66	—	80%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 ESL 2D W/SPEC/COLOR COMPL	$724.75	$3,623.73	$182.28–$2,391.66	—	80%
Elbow X-ray, 2 views CPT 73070 WS ELBOW 2 VIEWS	$22.15	$110.75	$21.04–$256.19	93% below	80%
Elbow X-ray, 2 views CPT 73070 ES ELBOW 2 VIEWS	$22.15	$110.75	$21.04–$256.19	93% below	80%
Elbow X-ray, 2 views CPT 73070 UCC ESLK XR ELBOW 2 VIEWS	$22.15	$110.75	$21.04–$256.19	93% below	80%
Elbow X-ray, 2 views CPT 73070 UCC ESLK XR ELBOW ONE VIEW SPECIFY	$22.15	$110.75	$21.04–$256.19	93% below	80%
Elbow X-ray, 2 views CPT 73070 ED XR ELBOW 2VIEW	$67.39	$336.94	$27.12–$256.19	79% below	80%
Elbow X-ray, 2 views CPT 73070 XR ELBOW 2V	$67.39	$336.94	$27.12–$256.19	79% below	80%
Elbow X-ray, 2 views CPT 73070 ED XR ELBOW 1V	$67.39	$336.94	$27.12–$256.19	79% below	80%
Elbow X-ray, 2 views CPT 73070 XR ELBOW 1VIEW	$67.39	$336.94	$27.12–$256.19	79% below	80%
Elbow X-ray, 2 views inpatient CPT 73070 WS ELBOW 2 VIEWS	$22.15	$110.75	$21.04–$256.19	—	80%
Elbow X-ray, 2 views inpatient CPT 73070 UCC ESLK XR ELBOW 2 VIEWS	$22.15	$110.75	$21.04–$256.19	—	80%
Elbow X-ray, 2 views inpatient CPT 73070 UCC ESLK XR ELBOW ONE VIEW SPECIFY	$22.15	$110.75	$21.04–$256.19	—	80%
Elbow X-ray, 2 views inpatient CPT 73070 ES ELBOW 2 VIEWS	$22.15	$110.75	$21.04–$256.19	—	80%
Elbow X-ray, 2 views inpatient CPT 73070 ED XR ELBOW 2VIEW	$67.39	$336.94	$27.12–$256.19	—	80%
Elbow X-ray, 2 views inpatient CPT 73070 XR ELBOW 2V	$67.39	$336.94	$27.12–$256.19	—	80%
Elbow X-ray, 2 views inpatient CPT 73070 ED XR ELBOW 1V	$67.39	$336.94	$27.12–$256.19	—	80%
Elbow X-ray, 2 views inpatient CPT 73070 XR ELBOW 1VIEW	$67.39	$336.94	$27.12–$256.19	—	80%
Elbow X-ray, complete, 3 or more views CPT 73080 ED XR ELBOW CMPL 3+V	$75.86	$379.32	$30.50–$256.19	80% below	80%
Elbow X-ray, complete, 3 or more views CPT 73080 XR ELBOW CMPL 3+VIEWS	$75.86	$379.32	$30.50–$256.19	80% below	80%
Elbow X-ray, complete, 3 or more views inpatient CPT 73080 ED XR ELBOW CMPL 3+V	$75.86	$379.32	$30.50–$256.19	—	80%
Elbow X-ray, complete, 3 or more views inpatient CPT 73080 XR ELBOW CMPL 3+VIEWS	$75.86	$379.32	$30.50–$256.19	—	80%
Eye socket (orbit) CT scan without contrast CPT 70480 CTD FOS/SEL/EAR WITHOUT	$539.15	$2,695.73	$75.28–$1,482.65	64% below	80%
Eye socket (orbit) CT scan without contrast CPT 70480 CT FOS/SEL/EAR WITHOUT	$539.15	$2,695.73	$75.28–$1,482.65	64% below	80%
Eye socket (orbit) CT scan without contrast CPT 70480 CTD FOS/SEL/EAR W/O	$539.15	$2,695.73	$75.28–$1,482.65	64% below	80%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CTD FOS/SEL/EAR WITHOUT	$539.15	$2,695.73	$75.28–$1,482.65	—	80%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT FOS/SEL/EAR WITHOUT	$539.15	$2,695.73	$75.28–$1,482.65	—	80%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CTD FOS/SEL/EAR W/O	$539.15	$2,695.73	$75.28–$1,482.65	—	80%
Facial bones X-ray, complete, 3 or more views CPT 70150 XR FACIAL CMPL 3+VIEWS	$36.57	$182.85	$34.74–$359.78	91% below	80%
Facial bones X-ray, complete, 3 or more views CPT 70150 XR FACIAL CMPL 3+V	$63.84	$319.22	$43.79–$359.78	84% below	80%
Facial bones X-ray, complete, 3 or more views CPT 70150 ED XR FACIAL CMPL 3+V	$63.84	$319.22	$43.79–$359.78	84% below	80%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 XR FACIAL CMPL 3+VIEWS	$36.57	$182.85	$34.74–$359.78	—	80%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 ED XR FACIAL CMPL 3+V	$63.84	$319.22	$43.79–$359.78	—	80%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 XR FACIAL CMPL 3+V	$63.84	$319.22	$43.79–$359.78	—	80%
Forearm X-ray (radius and ulna), 2 views CPT 73090 EDE XR FOREARM 1VRT	$73.74	$368.69	$27.12–$256.19	80% below	80%
Forearm X-ray (radius and ulna), 2 views CPT 73090 ED XR FOREARM 1V	$73.89	$369.47	$27.12–$256.19	80% below	80%
Forearm X-ray (radius and ulna), 2 views CPT 73090 XR FOREARM 1VIEW	$73.89	$369.47	$27.12–$256.19	80% below	80%
Forearm X-ray (radius and ulna), 2 views CPT 73090 XR FOREARM 2V	$73.89	$369.47	$27.12–$256.19	80% below	80%
Forearm X-ray (radius and ulna), 2 views CPT 73090 ED XR FOREARM 2VIEWS	$73.89	$369.47	$27.12–$256.19	80% below	80%
Forearm X-ray (radius and ulna), 2 views CPT 73090 XR RSI FOREARM	$86.99	$434.96	$27.12–$256.19	77% below	80%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 SH EDE XR FOREARM ONE VIEW LEFT	$49.26	$246.32	$27.12–$256.19	87% below	80%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 EDE XR FOREARM ONE VIEW RIGHT	$51.73	$258.64	$27.12–$256.19	86% below	80%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 EDE XR FOREARM ONE VIEW LEFT	$51.73	$258.64	$27.12–$256.19	86% below	80%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 EDE XR FOREARM 1V LT	$73.74	$368.69	$27.12–$256.19	80% below	80%
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 EDE XR FOREARM 1VRT	$73.74	$368.69	$27.12–$256.19	—	80%
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 ED XR FOREARM 2VIEWS	$73.89	$369.47	$27.12–$256.19	—	80%
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 ED XR FOREARM 1V	$73.89	$369.47	$27.12–$256.19	—	80%
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 XR FOREARM 2V	$73.89	$369.47	$27.12–$256.19	—	80%
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 XR FOREARM 1VIEW	$73.89	$369.47	$27.12–$256.19	—	80%
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 XR RSI FOREARM	$86.99	$434.96	$27.12–$256.19	—	80%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 SH EDE XR FOREARM ONE VIEW LEFT	$49.26	$246.32	$27.12–$256.19	—	80%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 EDE XR FOREARM ONE VIEW LEFT	$51.73	$258.64	$27.12–$256.19	—	80%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 EDE XR FOREARM ONE VIEW RIGHT	$51.73	$258.64	$27.12–$256.19	—	80%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 EDE XR FOREARM 1V LT	$73.74	$368.69	$27.12–$256.19	—	80%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM HEPATOBILI SYSTEM IMG	$299.41	$1,497.03	$272.85–$981.01	81% below	80%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NUC HEPATOBILIARY SYSTEM IMG	$299.41	$1,497.03	$272.85–$981.01	81% below	80%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM HEPATOBILIARY R/O BILE LEAK	$507.55	$2,537.73	$272.85–$1,395.75	68% below	80%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NM HEPATOBILI SYSTEM IMG	$299.41	$1,497.03	$272.85–$981.01	—	80%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NUC HEPATOBILIARY SYSTEM IMG	$299.41	$1,497.03	$272.85–$981.01	—	80%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NM HEPATOBILIARY R/O BILE LEAK	$507.55	$2,537.73	$272.85–$1,395.75	—	80%
Hand X-ray, 2 views CPT 73120 WS HAND 2 VIEWS	$22.15	$110.75	$21.04–$359.78	93% below	80%
Hand X-ray, 2 views CPT 73120 ED XR HAND LTD 2V	$42.63	$213.14	$29.26–$359.78	87% below	80%
Hand X-ray, 2 views CPT 73120 XR HAND LTD 2VIEWS	$73.25	$366.25	$29.26–$359.78	77% below	80%
Hand X-ray, 2 views CPT 73120 XR HAND LTD 1V	$73.25	$366.25	$29.26–$359.78	77% below	80%
Hand X-ray, 2 views CPT 73120 ED XR HAND LTD 1V	$73.25	$366.25	$29.26–$359.78	77% below	80%
Hand X-ray, 2 views inpatient CPT 73120 WS HAND 2 VIEWS	$22.15	$110.75	$21.04–$359.78	—	80%
Hand X-ray, 2 views inpatient CPT 73120 ED XR HAND LTD 2V	$42.63	$213.14	$29.26–$359.78	—	80%
Hand X-ray, 2 views inpatient CPT 73120 XR HAND LTD 1V	$73.25	$366.25	$29.26–$359.78	—	80%
Hand X-ray, 2 views inpatient CPT 73120 XR HAND LTD 2VIEWS	$73.25	$366.25	$29.26–$359.78	—	80%
Hand X-ray, 2 views inpatient CPT 73120 ED XR HAND LTD 1V	$73.25	$366.25	$29.26–$359.78	—	80%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 ED XR CALCANEUS 2+V	$37.64	$188.19	$26.52–$256.19	87% below	80%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 RAD CALCANEUS 2+V	$37.64	$188.19	$26.52–$256.19	87% below	80%
Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 ED XR CALCANEUS 2+V	$37.64	$188.19	$26.52–$256.19	—	80%
Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 RAD CALCANEUS 2+V	$37.64	$188.19	$26.52–$256.19	—	80%
Knee X-ray, 3 views CPT 73562 ED XR KNEE 3VIEWS	$82.37	$411.83	$37.84–$256.19	78% below	80%
Knee X-ray, 3 views CPT 73562 XR KNEE 3V	$82.37	$411.83	$37.84–$256.19	78% below	80%
Knee X-ray, 3 views inpatient CPT 73562 ED XR KNEE 3VIEWS	$82.37	$411.83	$37.84–$256.19	—	80%
Knee X-ray, 3 views inpatient CPT 73562 XR KNEE 3V	$82.37	$411.83	$37.84–$256.19	—	80%
Knee X-ray, complete, 4 or more views CPT 73564 XR KNEE CMPL 4+V	$81.72	$408.62	$43.72–$359.78	81% below	80%
Knee X-ray, complete, 4 or more views CPT 73564 ED XR KNEE CMPL 4+VIEWS	$81.72	$408.62	$43.72–$359.78	81% below	80%
Knee X-ray, complete, 4 or more views inpatient CPT 73564 ED XR KNEE CMPL 4+VIEWS	$81.72	$408.62	$43.72–$359.78	—	80%
Knee X-ray, complete, 4 or more views inpatient CPT 73564 XR KNEE CMPL 4+V	$81.72	$408.62	$43.72–$359.78	—	80%
Leg CT scan without contrast (hip to foot, any part) both sides CPT 73700 CT LWR EXT W/O CNTRST BI	$413.10	$2,065.50	$75.28–$1,136.03	—	80%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT LWR EXT W/O CNTRST	$413.10	$2,065.50	$75.28–$1,136.03	75% below	80%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 SH CT KNEE RIGHT MAKO PROTOCOL	$406.08	$2,030.38	$75.28–$1,116.71	75% below	80%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 SH CT HIP RIGHT MAKO PROTOCOL	$406.08	$2,030.38	$75.28–$1,116.71	75% below	80%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 SH CT KNEE LEFT MAKO PROTOCOL	$406.08	$2,030.38	$75.28–$1,116.71	75% below	80%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 SH CT HIP LEFT MAKO PROTOCOL	$406.08	$2,030.38	$75.28–$1,116.71	75% below	80%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 REN LOWER LEG W/O CONTRAST RIGHT	$431.03	$2,155.17	$75.28–$1,185.34	74% below	80%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 REN LOWER LEG W/O CONTRAST LEFT	$446.94	$2,234.71	$75.28–$1,229.09	73% below	80%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 NE CT ANKLE/FOOT W/O CONTRAST LEFT	$452.07	$2,260.34	$75.28–$1,243.19	73% below	80%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 ES CT KNEE W/O CONTRAST RT	$474.25	$2,371.24	$75.28–$1,304.18	71% below	80%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 ES CT KNEE W/O CONTRAST LT	$474.25	$2,371.24	$75.28–$1,304.18	71% below	80%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 REN CT HIP W/O CONTRAST RIGHT	$474.86	$2,374.30	$75.28–$1,305.87	71% below	80%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 REN CT HIP W/O CONTRAST LEFT	$474.86	$2,374.30	$75.28–$1,305.87	71% below	80%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT KNEE W/O CONTRAST LEFT	$489.36	$2,446.82	$75.28–$1,345.75	70% below	80%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT ANKLE/FOOT W/O CONTRST RT	$489.36	$2,446.82	$75.28–$1,345.75	70% below	80%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LWR EXTSFTTISS W/OCNTRST LT	$489.36	$2,446.82	$75.28–$1,345.75	70% below	80%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT ANKLE/FOOT W/O CONTRST LT	$489.36	$2,446.82	$75.28–$1,345.75	70% below	80%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LWR LEG W/O CONTRAST LEFT	$489.36	$2,446.82	$75.28–$1,345.75	70% below	80%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LWR LEG W/O CONTRAST RIGHT	$489.36	$2,446.82	$75.28–$1,345.75	70% below	80%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LWR EXTSFTTISS W/OCNTRST RT	$489.36	$2,446.82	$75.28–$1,345.75	70% below	80%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT HIP W/O CONTRAST LEFT	$489.36	$2,446.82	$75.28–$1,345.75	70% below	80%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT HIP W/O CONTRAST RIGHT	$489.36	$2,446.82	$75.28–$1,345.75	70% below	80%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LWR LONG BONE W/O CONTRAST LEFT	$489.36	$2,446.82	$75.28–$1,345.75	70% below	80%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOWER LONG BONE W/O CONTRAST RIGHT	$489.36	$2,446.82	$75.28–$1,345.75	70% below	80%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT KNEE W/O CONTRAST RIGHT	$489.36	$2,446.82	$75.28–$1,345.75	70% below	80%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 REN CT KNEE W/O CONTRAST RIGHT	$517.87	$2,589.37	$75.28–$1,424.15	69% below	80%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 ES CT HIP W/O CONTRAST LEFT	$519.99	$2,599.93	$75.28–$1,429.96	68% below	80%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 ES CT HIP W/O CONTRAST RIGHT	$519.99	$2,599.93	$75.28–$1,429.96	68% below	80%
Leg CT scan without contrast (hip to foot, any part) inpatient both sides CPT 73700 CT LWR EXT W/O CNTRST BI	$413.10	$2,065.50	$75.28–$1,136.03	—	80%
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 CT LWR EXT W/O CNTRST	$413.10	$2,065.50	$75.28–$1,136.03	—	80%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 SH CT HIP LEFT MAKO PROTOCOL	$406.08	$2,030.38	$75.28–$1,116.71	—	80%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 SH CT KNEE LEFT MAKO PROTOCOL	$406.08	$2,030.38	$75.28–$1,116.71	—	80%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 SH CT HIP RIGHT MAKO PROTOCOL	$406.08	$2,030.38	$75.28–$1,116.71	—	80%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 SH CT KNEE RIGHT MAKO PROTOCOL	$406.08	$2,030.38	$75.28–$1,116.71	—	80%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 REN LOWER LEG W/O CONTRAST RIGHT	$431.03	$2,155.17	$75.28–$1,185.34	—	80%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 REN LOWER LEG W/O CONTRAST LEFT	$446.94	$2,234.71	$75.28–$1,229.09	—	80%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 NE CT ANKLE/FOOT W/O CONTRAST LEFT	$452.07	$2,260.34	$75.28–$1,243.19	—	80%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 ES CT KNEE W/O CONTRAST LT	$474.25	$2,371.24	$75.28–$1,304.18	—	80%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 ES CT KNEE W/O CONTRAST RT	$474.25	$2,371.24	$75.28–$1,304.18	—	80%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 REN CT HIP W/O CONTRAST RIGHT	$474.86	$2,374.30	$75.28–$1,305.87	—	80%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 REN CT HIP W/O CONTRAST LEFT	$474.86	$2,374.30	$75.28–$1,305.87	—	80%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT KNEE W/O CONTRAST LEFT	$489.36	$2,446.82	$75.28–$1,345.75	—	80%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT LWR LEG W/O CONTRAST LEFT	$489.36	$2,446.82	$75.28–$1,345.75	—	80%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT LWR LEG W/O CONTRAST RIGHT	$489.36	$2,446.82	$75.28–$1,345.75	—	80%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT LWR EXTSFTTISS W/OCNTRST RT	$489.36	$2,446.82	$75.28–$1,345.75	—	80%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT ANKLE/FOOT W/O CONTRST RT	$489.36	$2,446.82	$75.28–$1,345.75	—	80%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT LWR EXTSFTTISS W/OCNTRST LT	$489.36	$2,446.82	$75.28–$1,345.75	—	80%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT HIP W/O CONTRAST LEFT	$489.36	$2,446.82	$75.28–$1,345.75	—	80%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT ANKLE/FOOT W/O CONTRST LT	$489.36	$2,446.82	$75.28–$1,345.75	—	80%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT HIP W/O CONTRAST RIGHT	$489.36	$2,446.82	$75.28–$1,345.75	—	80%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT LWR LONG BONE W/O CONTRAST LEFT	$489.36	$2,446.82	$75.28–$1,345.75	—	80%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT LOWER LONG BONE W/O CONTRAST RIGHT	$489.36	$2,446.82	$75.28–$1,345.75	—	80%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT KNEE W/O CONTRAST RIGHT	$489.36	$2,446.82	$75.28–$1,345.75	—	80%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 REN CT KNEE W/O CONTRAST RIGHT	$517.87	$2,589.37	$75.28–$1,424.15	—	80%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 ES CT HIP W/O CONTRAST RIGHT	$519.99	$2,599.93	$75.28–$1,429.96	—	80%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 ES CT HIP W/O CONTRAST LEFT	$519.99	$2,599.93	$75.28–$1,429.96	—	80%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 UM US ABDOMEN LTD	$76.66	$383.30	$72.83–$359.78	87% below	80%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ERD US ABDOMEN LTD	$82.03	$410.13	$77.92–$359.78	86% below	80%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN LTD HERNIA	$82.03	$410.13	$75.28–$359.78	86% below	80%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 EDN US ABDOMEN LTD	$110.84	$554.19	$80.67–$365.77	82% below	80%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 EDE US ABDOMEN LTD	$110.84	$554.19	$80.67–$365.77	82% below	80%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US LIVER	$118.03	$590.16	$75.28–$359.78	80% below	80%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US GALLBLADDER	$118.03	$590.16	$75.28–$359.78	80% below	80%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ZAT US ABDOMEN LTD	$186.81	$934.07	$75.28–$513.74	69% below	80%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 WST US ABDOMEN LIMITED	$212.49	$1,062.47	$75.28–$584.36	65% below	80%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 UM US ABDOMEN LTD	$76.66	$383.30	$72.83–$359.78	—	80%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 ERD US ABDOMEN LTD	$82.03	$410.13	$77.92–$359.78	—	80%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABDOMEN LTD HERNIA	$82.03	$410.13	$75.28–$359.78	—	80%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 EDN US ABDOMEN LTD	$110.84	$554.19	$80.67–$365.77	—	80%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 EDE US ABDOMEN LTD	$110.84	$554.19	$80.67–$365.77	—	80%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US LIVER	$118.03	$590.16	$75.28–$359.78	—	80%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US GALLBLADDER	$118.03	$590.16	$75.28–$359.78	—	80%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 ZAT US ABDOMEN LTD	$186.81	$934.07	$75.28–$513.74	—	80%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 WST US ABDOMEN LIMITED	$212.49	$1,062.47	$75.28–$584.36	—	80%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 REN US EXTRMTY NON VASCL LIMI	$34.13	$170.67	$30.35–$359.78	91% below	80%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 NE US EXTRMTY NON VASCL LIMI	$34.19	$170.93	$30.35–$359.78	91% below	80%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 UCC ESLK US EXTRMTY NON VASCL LIMI	$34.19	$170.93	$30.35–$359.78	91% below	80%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 ES US EXTRMTY NON VASCL LIMI	$34.19	$170.93	$30.35–$359.78	91% below	80%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 WS US EXTRMTY NON VASCL LIMI	$34.19	$170.93	$30.35–$359.78	91% below	80%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US EXT NON VAS LIMITED	$43.07	$215.37	$30.35–$359.78	89% below	80%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 REN US EXTRMTY NON VASCL LIMI	$34.13	$170.67	$30.35–$359.78	—	80%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 NE US EXTRMTY NON VASCL LIMI	$34.19	$170.93	$30.35–$359.78	—	80%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 WS US EXTRMTY NON VASCL LIMI	$34.19	$170.93	$30.35–$359.78	—	80%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 UCC ESLK US EXTRMTY NON VASCL LIMI	$34.19	$170.93	$30.35–$359.78	—	80%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 ES US EXTRMTY NON VASCL LIMI	$34.19	$170.93	$30.35–$359.78	—	80%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 US EXT NON VAS LIMITED	$43.07	$215.37	$30.35–$359.78	—	80%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 ES CT THORAX LUNG CA SCREEN W/O	$97.58	$487.90	$75.28–$909.00	59% below	80%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 REN CT THORAX LUNG CA SCREEN W/O	$103.89	$519.45	$75.28–$909.00	57% below	80%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT THORAX LUNG CA SCREEN W/O	$109.80	$549.01	$75.28–$909.00	54% below	80%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 ES CT THORAX LUNG CA SCREEN W/O	$97.58	$487.90	$75.28–$909.00	—	80%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 REN CT THORAX LUNG CA SCREEN W/O	$103.89	$519.45	$75.28–$909.00	—	80%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT THORAX LUNG CA SCREEN W/O	$109.80	$549.01	$75.28–$909.00	—	80%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 NE LOWER LEG ONE VIEW SPECIMEN	$52.47	$262.36	$29.26–$256.19	85% below	80%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 ED XR TIB/FIB 2V	$52.47	$262.36	$29.26–$256.19	85% below	80%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 XR TIB/FIB 2V	$71.73	$358.63	$29.26–$256.19	79% below	80%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 ED XR TIB/FIB 1V	$71.73	$358.63	$29.26–$256.19	79% below	80%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 XR TIB/FIB 1V	$71.73	$358.63	$29.26–$256.19	79% below	80%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 XR RSI TIBIA FIBULA	$89.97	$449.87	$29.26–$256.19	74% below	80%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 ES XR LOWER LEG AP/LAT (ROUTINE) RIGHT	$85.55	$427.75	$29.26–$256.19	75% below	80%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 ES XR LOWER LEG AP/LAT (ROUTINE) LEFT	$85.55	$427.75	$29.26–$256.19	75% below	80%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 ED XR TIB/FIB 2V	$52.47	$262.36	$29.26–$256.19	—	80%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 NE LOWER LEG ONE VIEW SPECIMEN	$52.47	$262.36	$29.26–$256.19	—	80%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 ED XR TIB/FIB 1V	$71.73	$358.63	$29.26–$256.19	—	80%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 XR TIB/FIB 2V	$71.73	$358.63	$29.26–$256.19	—	80%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 XR TIB/FIB 1V	$71.73	$358.63	$29.26–$256.19	—	80%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 XR RSI TIBIA FIBULA	$89.97	$449.87	$29.26–$256.19	—	80%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 ES XR LOWER LEG AP/LAT (ROUTINE) LEFT	$85.55	$427.75	$29.26–$256.19	—	80%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 ES XR LOWER LEG AP/LAT (ROUTINE) RIGHT	$85.55	$427.75	$29.26–$256.19	—	80%
MR angiography (MRA) of the head without contrast CPT 70544 NE MRV HEAD W/O CONTRAST	$227.70	$1,138.48	$171.12–$1,119.00	87% below	80%
MR angiography (MRA) of the head without contrast CPT 70544 REN MRV HEAD W/O CONTRAST	$227.70	$1,138.48	$171.12–$1,119.00	87% below	80%
MR angiography (MRA) of the head without contrast CPT 70544 WS MRV HEAD W/O CONTRAST	$227.70	$1,138.48	$171.12–$1,119.00	87% below	80%
MR angiography (MRA) of the head without contrast CPT 70544 ES MRV HEAD W/O CONTRAST	$227.70	$1,138.48	$171.12–$1,119.00	87% below	80%
MR angiography (MRA) of the head without contrast CPT 70544 MRA HEAD W/O	$241.11	$1,205.53	$171.12–$1,119.00	87% below	80%
MR angiography (MRA) of the head without contrast CPT 70544 SH MRV HEAD W/O CONTRAST	$243.63	$1,218.17	$171.12–$1,119.00	86% below	80%
MR angiography (MRA) of the head without contrast CPT 70544 MRI MRA HEAD W/O	$294.19	$1,470.94	$171.12–$1,119.00	84% below	80%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 ES MRV HEAD W/O CONTRAST	$227.70	$1,138.48	$171.12–$1,119.00	—	80%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 NE MRV HEAD W/O CONTRAST	$227.70	$1,138.48	$171.12–$1,119.00	—	80%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 REN MRV HEAD W/O CONTRAST	$227.70	$1,138.48	$171.12–$1,119.00	—	80%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 WS MRV HEAD W/O CONTRAST	$227.70	$1,138.48	$171.12–$1,119.00	—	80%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA HEAD W/O	$241.11	$1,205.53	$171.12–$1,119.00	—	80%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 SH MRV HEAD W/O CONTRAST	$243.63	$1,218.17	$171.12–$1,119.00	—	80%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRI MRA HEAD W/O	$294.19	$1,470.94	$171.12–$1,119.00	—	80%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 NE MRI KNEE UNI W/O CONT	$189.93	$949.64	$171.12–$1,119.00	91% below	80%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 NE MRI EXT LOWER JT W/O CONT	$189.93	$949.64	$171.12–$1,119.00	91% below	80%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI LWR EXT JT W/O	$518.83	$2,594.13	$171.12–$1,426.77	76% below	80%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI LWR EXT JT WITHOUT	$518.83	$2,594.13	$171.12–$1,426.77	76% below	80%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 WS MRI KNEE UNI W/O CONT	$563.46	$2,817.31	$171.12–$1,549.52	74% below	80%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 REN MRI KNEE UNI W/O CONT	$563.46	$2,817.31	$171.12–$1,549.52	74% below	80%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 WS MRI EXT LOWER JT W/O CONT	$563.46	$2,817.31	$171.12–$1,549.52	74% below	80%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 ES MRI EXT LOWER JT W/O CONT	$563.46	$2,817.31	$171.12–$1,549.52	74% below	80%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 ES MRI KNEE UNI W/O CONT	$563.46	$2,817.31	$171.12–$1,549.52	74% below	80%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 REN MRI EXT LOWER JT W/O CONT	$563.46	$2,817.31	$171.12–$1,549.52	74% below	80%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 NE MRI EXT LOWER JT W/O CONT	$189.93	$949.64	$171.12–$1,119.00	—	80%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 NE MRI KNEE UNI W/O CONT	$189.93	$949.64	$171.12–$1,119.00	—	80%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI LWR EXT JT WITHOUT	$518.83	$2,594.13	$171.12–$1,426.77	—	80%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI LWR EXT JT W/O	$518.83	$2,594.13	$171.12–$1,426.77	—	80%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 WS MRI EXT LOWER JT W/O CONT	$563.46	$2,817.31	$171.12–$1,549.52	—	80%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 WS MRI KNEE UNI W/O CONT	$563.46	$2,817.31	$171.12–$1,549.52	—	80%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 ES MRI EXT LOWER JT W/O CONT	$563.46	$2,817.31	$171.12–$1,549.52	—	80%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 ES MRI KNEE UNI W/O CONT	$563.46	$2,817.31	$171.12–$1,549.52	—	80%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 REN MRI EXT LOWER JT W/O CONT	$563.46	$2,817.31	$171.12–$1,549.52	—	80%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 REN MRI KNEE UNI W/O CONT	$563.46	$2,817.31	$171.12–$1,549.52	—	80%
MRI of knee or other lower-limb joint, without and then with contrast dye both sides CPT 73723 MRI LWR EXT JT W&W/O BI	$745.81	$3,729.06	$252.83–$2,050.98	—	80%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI LWR EXT JT W&W/O	$611.28	$3,056.42	$252.83–$1,681.03	80% below	80%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI MRA LWR EXT JT W&W/O	$611.28	$3,056.42	$252.83–$1,681.03	80% below	80%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 NE MRI KNEE BILATW/WO CONT	$663.83	$3,319.14	$252.83–$1,825.53	78% below	80%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 ES MRI EXT LOWER JT W/WO CONT	$663.83	$3,319.14	$252.83–$1,825.53	78% below	80%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 REN MRI KNEE BILATW/WO CONT	$663.83	$3,319.14	$252.83–$1,825.53	78% below	80%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 ES MRI KNEE BILATW/WO CONT	$663.83	$3,319.14	$252.83–$1,825.53	78% below	80%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 WS MRI EXT LOWER JT W/WO CONT	$663.83	$3,319.14	$252.83–$1,825.53	78% below	80%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 REN MRI KNEE UNI W/WO CONT	$663.83	$3,319.14	$252.83–$1,825.53	78% below	80%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 WS MRI KNEE UNI W/WO CONT	$663.83	$3,319.14	$252.83–$1,825.53	78% below	80%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 REN MRI EXT LOWER JT W/WO CONT	$663.83	$3,319.14	$252.83–$1,825.53	78% below	80%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 WS MRI KNEE BILATW/WO CONT	$663.83	$3,319.14	$252.83–$1,825.53	78% below	80%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 ES MRI KNEE UNI W/WO CONT	$663.83	$3,319.14	$252.83–$1,825.53	78% below	80%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 SH MRI KNEE BILATW/WO CONT	$710.30	$3,551.48	$252.83–$1,953.31	76% below	80%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient both sides CPT 73723 MRI LWR EXT JT W&W/O BI	$745.81	$3,729.06	$252.83–$2,050.98	—	80%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI LWR EXT JT W&W/O	$611.28	$3,056.42	$252.83–$1,681.03	—	80%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI MRA LWR EXT JT W&W/O	$611.28	$3,056.42	$252.83–$1,681.03	—	80%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 ES MRI KNEE BILATW/WO CONT	$663.83	$3,319.14	$252.83–$1,825.53	—	80%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 REN MRI EXT LOWER JT W/WO CONT	$663.83	$3,319.14	$252.83–$1,825.53	—	80%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 NE MRI KNEE BILATW/WO CONT	$663.83	$3,319.14	$252.83–$1,825.53	—	80%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 WS MRI EXT LOWER JT W/WO CONT	$663.83	$3,319.14	$252.83–$1,825.53	—	80%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 REN MRI KNEE BILATW/WO CONT	$663.83	$3,319.14	$252.83–$1,825.53	—	80%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 WS MRI KNEE BILATW/WO CONT	$663.83	$3,319.14	$252.83–$1,825.53	—	80%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 WS MRI KNEE UNI W/WO CONT	$663.83	$3,319.14	$252.83–$1,825.53	—	80%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 REN MRI KNEE UNI W/WO CONT	$663.83	$3,319.14	$252.83–$1,825.53	—	80%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 ES MRI EXT LOWER JT W/WO CONT	$663.83	$3,319.14	$252.83–$1,825.53	—	80%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 ES MRI KNEE UNI W/WO CONT	$663.83	$3,319.14	$252.83–$1,825.53	—	80%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 SH MRI KNEE BILATW/WO CONT	$710.30	$3,551.48	$252.83–$1,953.31	—	80%
MRI of the abdomen without contrast CPT 74181 ES MRI ABDOMEN W/O CONT	$364.87	$1,824.35	$171.12–$1,119.00	82% below	80%
MRI of the abdomen without contrast CPT 74181 REN MRI ABDOMEN W/O CONT	$364.87	$1,824.35	$171.12–$1,119.00	82% below	80%
MRI of the abdomen without contrast CPT 74181 WS MRI ABDOMEN W/O CONT	$364.87	$1,824.35	$171.12–$1,119.00	82% below	80%
MRI of the abdomen without contrast CPT 74181 MRI ABD W/O	$386.42	$1,932.08	$171.12–$1,119.00	81% below	80%
MRI of the abdomen without contrast inpatient CPT 74181 REN MRI ABDOMEN W/O CONT	$364.87	$1,824.35	$171.12–$1,119.00	—	80%
MRI of the abdomen without contrast inpatient CPT 74181 ES MRI ABDOMEN W/O CONT	$364.87	$1,824.35	$171.12–$1,119.00	—	80%
MRI of the abdomen without contrast inpatient CPT 74181 WS MRI ABDOMEN W/O CONT	$364.87	$1,824.35	$171.12–$1,119.00	—	80%
MRI of the abdomen without contrast inpatient CPT 74181 MRI ABD W/O	$386.42	$1,932.08	$171.12–$1,119.00	—	80%
MRI of the abdomen, without and then with contrast dye CPT 74183 ES MRI ABDOMEN W W/O CONT	$496.37	$2,481.87	$252.83–$1,519.76	84% below	80%
MRI of the abdomen, without and then with contrast dye CPT 74183 REN MRI ABDOMEN W W/O CONT	$496.37	$2,481.87	$252.83–$1,519.76	84% below	80%
MRI of the abdomen, without and then with contrast dye CPT 74183 WS MRI ABDOMEN W W/O CONT	$496.37	$2,481.87	$252.83–$1,519.76	84% below	80%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABD W&W/O	$722.63	$3,613.15	$252.83–$1,987.23	76% below	80%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 REN MRI ABDOMEN W W/O CONT	$496.37	$2,481.87	$252.83–$1,519.76	—	80%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 WS MRI ABDOMEN W W/O CONT	$496.37	$2,481.87	$252.83–$1,519.76	—	80%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 ES MRI ABDOMEN W W/O CONT	$496.37	$2,481.87	$252.83–$1,519.76	—	80%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ABD W&W/O	$722.63	$3,613.15	$252.83–$1,987.23	—	80%
MRI of the brain, no contrast dye CPT 70551 WS MRI BRAIN WO CONT	$338.98	$1,694.88	$171.12–$1,119.00	82% below	80%
MRI of the brain, no contrast dye CPT 70551 REN MRI BRAIN WO CONT	$338.98	$1,694.88	$171.12–$1,119.00	82% below	80%
MRI of the brain, no contrast dye CPT 70551 ES MRI BRAIN WO CONT	$338.98	$1,694.88	$171.12–$1,119.00	82% below	80%
MRI of the brain, no contrast dye CPT 70551 MRI LIMITED BRAIN W/O PORTABLE	$684.73	$3,423.65	$171.12–$1,883.01	63% below	80%
MRI of the brain, no contrast dye inpatient CPT 70551 ES MRI BRAIN WO CONT	$338.98	$1,694.88	$171.12–$1,119.00	—	80%
MRI of the brain, no contrast dye inpatient CPT 70551 WS MRI BRAIN WO CONT	$338.98	$1,694.88	$171.12–$1,119.00	—	80%
MRI of the brain, no contrast dye inpatient CPT 70551 REN MRI BRAIN WO CONT	$338.98	$1,694.88	$171.12–$1,119.00	—	80%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI LIMITED BRAIN W/O PORTABLE	$684.73	$3,423.65	$171.12–$1,883.01	—	80%
MRI of the brain, with and without contrast dye CPT 70553 WS MRI BRAIN W/WO CONT	$825.61	$4,128.06	$252.83–$2,270.43	71% below	80%
MRI of the brain, with and without contrast dye CPT 70553 REN MRI BRAIN W/WO CONT	$825.61	$4,128.06	$252.83–$2,270.43	71% below	80%
MRI of the brain, with and without contrast dye CPT 70553 ES MRI BRAIN W/WO CONT	$825.61	$4,128.06	$252.83–$2,270.43	71% below	80%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W&W/O	$1,202.00	$6,009.98	$252.83–$3,305.49	58% below	80%
MRI of the brain, with and without contrast dye inpatient CPT 70553 REN MRI BRAIN W/WO CONT	$825.61	$4,128.06	$252.83–$2,270.43	—	80%
MRI of the brain, with and without contrast dye inpatient CPT 70553 WS MRI BRAIN W/WO CONT	$825.61	$4,128.06	$252.83–$2,270.43	—	80%
MRI of the brain, with and without contrast dye inpatient CPT 70553 ES MRI BRAIN W/WO CONT	$825.61	$4,128.06	$252.83–$2,270.43	—	80%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN W&W/O	$1,202.00	$6,009.98	$252.83–$3,305.49	—	80%
MRI of the lower back, no contrast dye CPT 72148 WS MRI LUMBAR SPINE W/O CONT	$435.49	$2,177.45	$171.12–$1,197.60	80% below	80%
MRI of the lower back, no contrast dye CPT 72148 ES MRI LUMBAR SPINE W/O CONT	$435.49	$2,177.45	$171.12–$1,197.60	80% below	80%
MRI of the lower back, no contrast dye CPT 72148 REN MRI LUMBAR SPIW/O CONT	$435.49	$2,177.45	$171.12–$1,197.60	80% below	80%
MRI of the lower back, no contrast dye CPT 72148 MRI L-SPINE W/O	$461.08	$2,305.40	$171.12–$1,267.97	79% below	80%
MRI of the lower back, no contrast dye inpatient CPT 72148 WS MRI LUMBAR SPINE W/O CONT	$435.49	$2,177.45	$171.12–$1,197.60	—	80%
MRI of the lower back, no contrast dye inpatient CPT 72148 ES MRI LUMBAR SPINE W/O CONT	$435.49	$2,177.45	$171.12–$1,197.60	—	80%
MRI of the lower back, no contrast dye inpatient CPT 72148 REN MRI LUMBAR SPIW/O CONT	$435.49	$2,177.45	$171.12–$1,197.60	—	80%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI L-SPINE W/O	$461.08	$2,305.40	$171.12–$1,267.97	—	80%
MRI of the lower back, without and then with contrast dye CPT 72158 ES MRI LUMBAR SPINE W/WO CONT	$719.15	$3,595.74	$252.83–$1,977.66	77% below	80%
MRI of the lower back, without and then with contrast dye CPT 72158 REN MRI LUMBAR SPIW/WO CONT	$719.15	$3,595.74	$252.83–$1,977.66	77% below	80%
MRI of the lower back, without and then with contrast dye CPT 72158 WS MRI LUMBAR SPINE W/WO CONT	$719.15	$3,595.74	$252.83–$1,977.66	77% below	80%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI L-SPINE W&W/O	$1,047.06	$5,235.32	$252.83–$2,879.43	67% below	80%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 REN MRI LUMBAR SPIW/WO CONT	$719.15	$3,595.74	$252.83–$1,977.66	—	80%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 WS MRI LUMBAR SPINE W/WO CONT	$719.15	$3,595.74	$252.83–$1,977.66	—	80%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 ES MRI LUMBAR SPINE W/WO CONT	$719.15	$3,595.74	$252.83–$1,977.66	—	80%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI L-SPINE W&W/O	$1,047.06	$5,235.32	$252.83–$2,879.43	—	80%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 REN MRI THORACIC SPIW/O CONT	$624.77	$3,123.87	$171.12–$1,718.13	69% below	80%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 ES MRI THORACIC SPINE W/O CONT	$624.77	$3,123.87	$171.12–$1,718.13	69% below	80%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 WS MRI THORACIC SPINE W/O CONT	$624.77	$3,123.87	$171.12–$1,718.13	69% below	80%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI T-SPINE W/O	$661.62	$3,308.12	$171.12–$1,819.47	67% below	80%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 WS MRI THORACIC SPINE W/O CONT	$624.77	$3,123.87	$171.12–$1,718.13	—	80%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 ES MRI THORACIC SPINE W/O CONT	$624.77	$3,123.87	$171.12–$1,718.13	—	80%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 REN MRI THORACIC SPIW/O CONT	$624.77	$3,123.87	$171.12–$1,718.13	—	80%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI T-SPINE W/O	$661.62	$3,308.12	$171.12–$1,819.47	—	80%
MRI of the neck (cervical spine) without and with contrast CPT 72156 NE MRI CERVICAL SPN W/WO CONT	$290.52	$1,452.58	$252.83–$1,519.76	91% below	80%
MRI of the neck (cervical spine) without and with contrast CPT 72156 SH MRI CERVICAL SPN W/WO CONT	$290.52	$1,452.58	$252.83–$1,519.76	91% below	80%
MRI of the neck (cervical spine) without and with contrast CPT 72156 REN MRI CERVICAL SPN W/WO CONT	$1,011.04	$5,055.22	$252.83–$2,780.37	69% below	80%
MRI of the neck (cervical spine) without and with contrast CPT 72156 ES MRI CERVICAL SPN W/WO CONT	$1,011.04	$5,055.22	$252.83–$2,780.37	69% below	80%
MRI of the neck (cervical spine) without and with contrast CPT 72156 WS MRI CERVICAL SPN W/WO CONT	$1,011.04	$5,055.22	$252.83–$2,780.37	69% below	80%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI C-SPINE W&W/O	$1,472.06	$7,360.29	$252.83–$4,048.16	55% below	80%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 SH MRI CERVICAL SPN W/WO CONT	$290.52	$1,452.58	$252.83–$1,519.76	—	80%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 NE MRI CERVICAL SPN W/WO CONT	$290.52	$1,452.58	$252.83–$1,519.76	—	80%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 WS MRI CERVICAL SPN W/WO CONT	$1,011.04	$5,055.22	$252.83–$2,780.37	—	80%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 REN MRI CERVICAL SPN W/WO CONT	$1,011.04	$5,055.22	$252.83–$2,780.37	—	80%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 ES MRI CERVICAL SPN W/WO CONT	$1,011.04	$5,055.22	$252.83–$2,780.37	—	80%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI C-SPINE W&W/O	$1,472.06	$7,360.29	$252.83–$4,048.16	—	80%
MRI of the neck (cervical spine), no contrast dye CPT 72141 ES MRI CERVICAL SPINE W/O CONT	$486.64	$2,433.18	$171.12–$1,338.25	79% below	80%
MRI of the neck (cervical spine), no contrast dye CPT 72141 WS MRI CERVICAL SPINE W/O CONT	$486.64	$2,433.18	$171.12–$1,338.25	79% below	80%
MRI of the neck (cervical spine), no contrast dye CPT 72141 REN MRI CERVICAL SPIW/O CONT	$486.64	$2,433.18	$171.12–$1,338.25	79% below	80%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 ES MRI CERVICAL SPINE W/O CONT	$486.64	$2,433.18	$171.12–$1,338.25	—	80%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 REN MRI CERVICAL SPIW/O CONT	$486.64	$2,433.18	$171.12–$1,338.25	—	80%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 WS MRI CERVICAL SPINE W/O CONT	$486.64	$2,433.18	$171.12–$1,338.25	—	80%
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O	$550.36	$2,751.82	$171.12–$1,513.50	77% below	80%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PELVIS W/O	$550.36	$2,751.82	$171.12–$1,513.50	—	80%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI UPR EXT JT WITHOUT	$228.13	$1,140.65	$171.12–$1,119.00	87% below	80%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI UPR EXT JT W/O	$228.13	$1,140.65	$171.12–$1,119.00	87% below	80%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 ES MRI SHOULDER W/O CONT	$247.71	$1,238.53	$171.12–$1,119.00	86% below	80%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 WS MRI EXT UPPER JT W/O CONT	$247.71	$1,238.53	$171.12–$1,119.00	86% below	80%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 WS MRI SHOULDER W/O CONT	$247.71	$1,238.53	$171.12–$1,119.00	86% below	80%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 ES MRI EXT UPPER JT W/O CONT	$247.71	$1,238.53	$171.12–$1,119.00	86% below	80%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 REN MRI EXT UPPER JT W/O CONT	$247.71	$1,238.53	$171.12–$1,119.00	86% below	80%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 REN MRI SHOULDER W/O CONT	$247.71	$1,238.53	$171.12–$1,119.00	86% below	80%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MRI UPR EXT JT WITHOUT	$228.13	$1,140.65	$171.12–$1,119.00	—	80%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MRI UPR EXT JT W/O	$228.13	$1,140.65	$171.12–$1,119.00	—	80%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 REN MRI EXT UPPER JT W/O CONT	$247.71	$1,238.53	$171.12–$1,119.00	—	80%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 REN MRI SHOULDER W/O CONT	$247.71	$1,238.53	$171.12–$1,119.00	—	80%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 ES MRI EXT UPPER JT W/O CONT	$247.71	$1,238.53	$171.12–$1,119.00	—	80%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 ES MRI SHOULDER W/O CONT	$247.71	$1,238.53	$171.12–$1,119.00	—	80%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 WS MRI SHOULDER W/O CONT	$247.71	$1,238.53	$171.12–$1,119.00	—	80%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 WS MRI EXT UPPER JT W/O CONT	$247.71	$1,238.53	$171.12–$1,119.00	—	80%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 XR C-SPINE 4+V	$70.98	$354.91	$49.60–$359.78	87% below	80%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 ED XR C-SPINE 4+V	$152.05	$760.24	$49.60–$418.13	72% below	80%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 RAD C-SPINE 4+V	$152.05	$760.24	$49.60–$418.13	72% below	80%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 XR C-SPINE 4+V	$70.98	$354.91	$49.60–$359.78	—	80%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 RAD C-SPINE 4+V	$152.05	$760.24	$49.60–$418.13	—	80%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 ED XR C-SPINE 4+V	$152.05	$760.24	$49.60–$418.13	—	80%
Neck soft tissue CT scan with contrast CPT 70491 CT NECK W/CONTRAST	$513.64	$2,568.19	$126.03–$1,412.50	74% below	80%
Neck soft tissue CT scan with contrast inpatient CPT 70491 CT NECK W/CONTRAST	$513.64	$2,568.19	$126.03–$1,412.50	—	80%
Neck soft tissue CT scan without contrast CPT 70490 CT NECK W/O CONTRAST	$320.93	$1,604.64	$75.28–$909.00	79% below	80%
Neck soft tissue CT scan without contrast CPT 70490 SH CT SOFT TISSUE NECK W/O CONTRAST	$400.44	$2,002.20	$75.28–$1,101.21	74% below	80%
Neck soft tissue CT scan without contrast inpatient CPT 70490 CT NECK W/O CONTRAST	$320.93	$1,604.64	$75.28–$909.00	—	80%
Neck soft tissue CT scan without contrast inpatient CPT 70490 SH CT SOFT TISSUE NECK W/O CONTRAST	$400.44	$2,002.20	$75.28–$1,101.21	—	80%
Neck soft tissue X-ray CPT 70360 RAD NECK SOFT TISSUE	$53.38	$266.88	$28.99–$256.19	78% below	80%
Neck soft tissue X-ray CPT 70360 ED XR NECK SOFT TISSUE	$53.38	$266.88	$28.99–$256.19	78% below	80%
Neck soft tissue X-ray CPT 70360 XR RSI NECK SOFT TISSUE	$79.13	$395.63	$28.99–$256.19	67% below	80%
Neck soft tissue X-ray inpatient CPT 70360 ED XR NECK SOFT TISSUE	$53.38	$266.88	$28.99–$256.19	—	80%
Neck soft tissue X-ray inpatient CPT 70360 RAD NECK SOFT TISSUE	$53.38	$266.88	$28.99–$256.19	—	80%
Neck soft tissue X-ray inpatient CPT 70360 XR RSI NECK SOFT TISSUE	$79.13	$395.63	$28.99–$256.19	—	80%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM MYOCARD PER MSPEC	$876.75	$4,383.73	$300.00–$3,256.81	79% below	80%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM THALLIUM STRESS W/VIABILITY	$876.75	$4,383.73	$300.00–$3,256.81	79% below	80%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM THALLIUM STRESS W/VIABILITY	$876.75	$4,383.73	$300.00–$3,256.81	—	80%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM MYOCARD PER MSPEC	$876.75	$4,383.73	$300.00–$3,256.81	—	80%
Pelvic CT scan without contrast CPT 72192 CT PELVIS WITHOUT CONTRAST	$428.28	$2,141.40	$75.28–$1,177.77	74% below	80%
Pelvic CT scan without contrast inpatient CPT 72192 CT PELVIS WITHOUT CONTRAST	$428.28	$2,141.40	$75.28–$1,177.77	—	80%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 WS US PELVIS NON-OB LTD	$49.81	$249.04	$46.04–$359.78	90% below	80%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 UCC ESLK US URINARY BLADDER	$49.81	$249.04	$46.04–$359.78	90% below	80%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 UCC ESLK US PELVIS NON OB LIMITED	$49.81	$249.04	$46.04–$359.78	90% below	80%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 UCC ESLK US PELVIS NON-OB LTD	$49.81	$249.04	$46.04–$359.78	90% below	80%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 ES US PELVIS NON-OB LTD	$49.81	$249.04	$46.04–$359.78	90% below	80%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 WS URINARY BLADDER	$49.81	$249.04	$46.04–$359.78	90% below	80%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 ES US PELVIS NON OB LIMITED	$49.81	$249.04	$46.04–$359.78	90% below	80%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 WS US PELVIS NON OB LIMITED	$49.81	$249.04	$46.04–$359.78	90% below	80%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 ES URINARY BLADDER	$49.81	$249.04	$46.04–$359.78	90% below	80%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 REN US PELVIS NON-OB LTD	$49.86	$249.31	$46.04–$359.78	90% below	80%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 REN US PELVIS NON OB LIMITED	$49.86	$249.31	$46.04–$359.78	90% below	80%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 SH PELVIS NON-OB LTD	$53.35	$266.76	$46.04–$359.78	89% below	80%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 EDE US PELVIS NON-OB LTD	$56.02	$280.10	$46.04–$359.78	88% below	80%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 ERD US PELVIS NON-OB LTD	$56.02	$280.10	$46.04–$359.78	88% below	80%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 EDN US PELVIS NON-OB LTD	$56.02	$280.10	$46.04–$359.78	88% below	80%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 SH URINARY BLADDER	$61.29	$306.45	$46.04–$359.78	87% below	80%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 SH US PELVIS NON OB LIMITED	$61.29	$306.45	$46.04–$359.78	87% below	80%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 NE URINARY BLADDER	$66.89	$334.47	$46.04–$359.78	86% below	80%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 REN URINARY BLADDER	$66.89	$334.47	$46.04–$359.78	86% below	80%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 NE US PELVIS NON OB LIMITED	$66.89	$334.47	$46.04–$359.78	86% below	80%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 ERD US PELVIS NON-OB LTD W MOD	$71.58	$357.88	$46.04–$359.78	85% below	80%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 WST PELVIS NONOB LMTD US	$71.58	$357.88	$46.04–$359.78	85% below	80%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 EST PELVIS NONOB LMTD US	$71.58	$357.88	$46.04–$359.78	85% below	80%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 ZAT PELVIS NONOB LMTD US	$71.58	$357.88	$46.04–$359.78	85% below	80%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 USD PELVIS NON-OB LTD	$71.58	$357.88	$46.04–$359.78	85% below	80%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIS NON-OB LMTED	$71.58	$357.88	$46.04–$359.78	85% below	80%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 SISD PELVIS NONOB LMTD US	$74.44	$372.19	$46.04–$359.78	85% below	80%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US URINARY BLADDER	$94.10	$470.50	$46.04–$359.78	81% below	80%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 PELVIS NONOB LMTD US	$100.25	$501.24	$46.04–$359.78	79% below	80%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 FAB PELVIS NONOB LMTD US	$105.26	$526.30	$46.04–$359.78	78% below	80%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIS NON-OB LTD	$201.80	$1,009.01	$46.04–$554.96	58% below	80%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 ES US PELVIS NON OB LIMITED	$49.81	$249.04	$46.04–$359.78	—	80%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 ES US PELVIS NON-OB LTD	$49.81	$249.04	$46.04–$359.78	—	80%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 UCC ESLK US PELVIS NON-OB LTD	$49.81	$249.04	$46.04–$359.78	—	80%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 UCC ESLK US PELVIS NON OB LIMITED	$49.81	$249.04	$46.04–$359.78	—	80%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 UCC ESLK US URINARY BLADDER	$49.81	$249.04	$46.04–$359.78	—	80%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 WS US PELVIS NON-OB LTD	$49.81	$249.04	$46.04–$359.78	—	80%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 WS US PELVIS NON OB LIMITED	$49.81	$249.04	$46.04–$359.78	—	80%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 ES URINARY BLADDER	$49.81	$249.04	$46.04–$359.78	—	80%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 WS URINARY BLADDER	$49.81	$249.04	$46.04–$359.78	—	80%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 REN US PELVIS NON OB LIMITED	$49.86	$249.31	$46.04–$359.78	—	80%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 REN US PELVIS NON-OB LTD	$49.86	$249.31	$46.04–$359.78	—	80%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 SH PELVIS NON-OB LTD	$53.35	$266.76	$46.04–$359.78	—	80%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 ERD US PELVIS NON-OB LTD	$56.02	$280.10	$46.04–$359.78	—	80%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 EDE US PELVIS NON-OB LTD	$56.02	$280.10	$46.04–$359.78	—	80%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 EDN US PELVIS NON-OB LTD	$56.02	$280.10	$46.04–$359.78	—	80%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 SH URINARY BLADDER	$61.29	$306.45	$46.04–$359.78	—	80%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 SH US PELVIS NON OB LIMITED	$61.29	$306.45	$46.04–$359.78	—	80%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 NE US PELVIS NON OB LIMITED	$66.89	$334.47	$46.04–$359.78	—	80%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 NE URINARY BLADDER	$66.89	$334.47	$46.04–$359.78	—	80%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 REN URINARY BLADDER	$66.89	$334.47	$46.04–$359.78	—	80%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PELVIS NON-OB LMTED	$71.58	$357.88	$46.04–$359.78	—	80%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 ZAT PELVIS NONOB LMTD US	$71.58	$357.88	$46.04–$359.78	—	80%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 USD PELVIS NON-OB LTD	$71.58	$357.88	$46.04–$359.78	—	80%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 ERD US PELVIS NON-OB LTD W MOD	$71.58	$357.88	$46.04–$359.78	—	80%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 EST PELVIS NONOB LMTD US	$71.58	$357.88	$46.04–$359.78	—	80%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 WST PELVIS NONOB LMTD US	$71.58	$357.88	$46.04–$359.78	—	80%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 SISD PELVIS NONOB LMTD US	$74.44	$372.19	$46.04–$359.78	—	80%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US URINARY BLADDER	$94.10	$470.50	$46.04–$359.78	—	80%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 PELVIS NONOB LMTD US	$100.25	$501.24	$46.04–$359.78	—	80%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 FAB PELVIS NONOB LMTD US	$105.26	$526.30	$46.04–$359.78	—	80%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PELVIS NON-OB LTD	$201.80	$1,009.01	$46.04–$554.96	—	80%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 SH PROSTATE TRANS ABDOMINAL	$61.14	$305.69	$58.08–$359.78	92% below	80%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 WS PROSTATE TRANS ABDOMINAL	$66.22	$331.10	$62.91–$359.78	91% below	80%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 WS PELVIC NON-OB TRANSAB	$66.22	$331.10	$62.91–$359.78	91% below	80%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 REN PELVIC NON-OB TRANSAB	$66.22	$331.10	$62.91–$359.78	91% below	80%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 NE PELVIC NON-OB TRANSAB	$70.24	$351.21	$66.73–$359.78	91% below	80%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 ES PROSTATE TRANS ABDOMINAL	$70.24	$351.21	$66.73–$359.78	91% below	80%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 UCC ESLK US PROSTATE TRANS ABDOMINAL	$70.24	$351.21	$66.73–$359.78	91% below	80%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 ES PELVIC NON-OB TRANSAB	$70.24	$351.21	$66.73–$359.78	91% below	80%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 SH PELVIC NON-OB TRANSAB	$70.24	$351.21	$66.73–$359.78	91% below	80%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 UCC ESLK US PELVIC NON-OB TRANSAB	$70.24	$351.21	$66.73–$359.78	91% below	80%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US TRANSREC- PROSTATE	$70.86	$354.28	$67.31–$359.78	91% below	80%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 ZAT PELVIC NON-OB TRANSAB	$70.86	$354.28	$67.31–$359.78	91% below	80%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 WST PELVIC NON-OB TRANSAB	$70.86	$354.28	$67.31–$359.78	91% below	80%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 EST PELVIC NON-OB TRANSAB	$70.86	$354.28	$67.31–$359.78	91% below	80%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 SISD PELVIC NON-OB TRANSAB	$74.44	$372.19	$70.72–$359.78	90% below	80%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 ESP PELVIC NON-OB TRANSAB#PF#	$83.38	$416.90	$75.28–$359.78	89% below	80%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 ZAR PELVIC NON-OB TRANSAB#PF#	$83.38	$416.90	$75.28–$359.78	89% below	80%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 PELVIC NON-OB TRANSAB	$89.22	$446.08	$75.28–$359.78	88% below	80%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 WSP PELVIC NON-OB TRANSAB#PF#	$93.68	$468.39	$75.28–$359.78	88% below	80%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 FAB PELVIC NON-OB TRANSAB#PF#	$93.68	$468.39	$75.28–$359.78	88% below	80%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 FAB PELVIC NON-OB TRANSAB	$100.24	$501.18	$75.28–$359.78	87% below	80%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIS NON OB	$115.86	$579.28	$75.28–$359.78	85% below	80%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 SH PROSTATE TRANS ABDOMINAL	$61.14	$305.69	$58.08–$359.78	—	80%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 WS PROSTATE TRANS ABDOMINAL	$66.22	$331.10	$62.91–$359.78	—	80%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 WS PELVIC NON-OB TRANSAB	$66.22	$331.10	$62.91–$359.78	—	80%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 REN PELVIC NON-OB TRANSAB	$66.22	$331.10	$62.91–$359.78	—	80%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 SH PELVIC NON-OB TRANSAB	$70.24	$351.21	$66.73–$359.78	—	80%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 UCC ESLK US PROSTATE TRANS ABDOMINAL	$70.24	$351.21	$66.73–$359.78	—	80%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 ES PELVIC NON-OB TRANSAB	$70.24	$351.21	$66.73–$359.78	—	80%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 ES PROSTATE TRANS ABDOMINAL	$70.24	$351.21	$66.73–$359.78	—	80%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 NE PELVIC NON-OB TRANSAB	$70.24	$351.21	$66.73–$359.78	—	80%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 UCC ESLK US PELVIC NON-OB TRANSAB	$70.24	$351.21	$66.73–$359.78	—	80%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 WST PELVIC NON-OB TRANSAB	$70.86	$354.28	$67.31–$359.78	—	80%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 EST PELVIC NON-OB TRANSAB	$70.86	$354.28	$67.31–$359.78	—	80%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US TRANSREC- PROSTATE	$70.86	$354.28	$67.31–$359.78	—	80%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 ZAT PELVIC NON-OB TRANSAB	$70.86	$354.28	$67.31–$359.78	—	80%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 SISD PELVIC NON-OB TRANSAB	$74.44	$372.19	$70.72–$359.78	—	80%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 ZAR PELVIC NON-OB TRANSAB#PF#	$83.38	$416.90	$75.28–$359.78	—	80%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 ESP PELVIC NON-OB TRANSAB#PF#	$83.38	$416.90	$75.28–$359.78	—	80%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 PELVIC NON-OB TRANSAB	$89.22	$446.08	$75.28–$359.78	—	80%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 FAB PELVIC NON-OB TRANSAB#PF#	$93.68	$468.39	$75.28–$359.78	—	80%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 WSP PELVIC NON-OB TRANSAB#PF#	$93.68	$468.39	$75.28–$359.78	—	80%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 FAB PELVIC NON-OB TRANSAB	$100.24	$501.18	$75.28–$359.78	—	80%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIS NON OB	$115.86	$579.28	$75.28–$359.78	—	80%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 ZAT OB US >= 14 WK SNGL FTS	$55.58	$277.92	$52.80–$293.84	91% below	80%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 ZAR US >= 14 WK SNG FTS#PF#	$74.14	$370.70	$70.43–$293.84	88% below	80%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 USD PREG >14W SINGLE	$75.22	$376.12	$71.46–$293.84	88% below	80%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB US >= 14 WK SNGL FTS	$79.33	$396.65	$75.28–$293.84	87% below	80%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 ESP US >= 14 WK SNG FTS#PF#	$83.30	$416.49	$75.28–$293.84	86% below	80%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 WSP US >= 14 WK SNG FTS#PF#	$83.30	$416.49	$75.28–$293.84	86% below	80%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 FAB US >= 14 WK SNG FTS#PF#	$83.30	$416.49	$75.28–$293.84	86% below	80%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 EST OB US >= 14 WK SNGL FTS	$89.13	$445.64	$75.28–$293.84	85% below	80%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 WST OB US >= 14 WK SNGL FTS	$89.13	$445.64	$75.28–$293.84	85% below	80%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 FAB OB US >= 14 WK SNGL FTS	$89.13	$445.64	$75.28–$293.84	85% below	80%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 ZAT OB US >= 14 WK SNGL FTS	$55.58	$277.92	$52.80–$293.84	—	80%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 ZAR US >= 14 WK SNG FTS#PF#	$74.14	$370.70	$70.43–$293.84	—	80%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 USD PREG >14W SINGLE	$75.22	$376.12	$71.46–$293.84	—	80%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 OB US >= 14 WK SNGL FTS	$79.33	$396.65	$75.28–$293.84	—	80%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 WSP US >= 14 WK SNG FTS#PF#	$83.30	$416.49	$75.28–$293.84	—	80%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 FAB US >= 14 WK SNG FTS#PF#	$83.30	$416.49	$75.28–$293.84	—	80%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 ESP US >= 14 WK SNG FTS#PF#	$83.30	$416.49	$75.28–$293.84	—	80%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 EST OB US >= 14 WK SNGL FTS	$89.13	$445.64	$75.28–$293.84	—	80%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 WST OB US >= 14 WK SNGL FTS	$89.13	$445.64	$75.28–$293.84	—	80%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 FAB OB US >= 14 WK SNGL FTS	$89.13	$445.64	$75.28–$293.84	—	80%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US PREG <14W SGL	$58.92	$294.58	$55.97–$286.92	90% below	80%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 ERD US PREGNANCY <14 WEEKS SGL	$170.95	$854.73	$75.28–$470.10	71% below	80%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US PREG <14W SGL	$58.92	$294.58	$55.97–$286.92	—	80%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 ERD US PREGNANCY <14 WEEKS SGL	$170.95	$854.73	$75.28–$470.10	—	80%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 WSP US OB LMT 1> FETUS #PF#	$52.58	$262.92	$49.95–$359.78	89% below	80%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 ESP US OB LMT 1> FETUS #PF#	$52.58	$262.92	$49.95–$359.78	89% below	80%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 ZAR US OB LMT 1> FETUS #PF#	$52.58	$262.92	$49.95–$359.78	89% below	80%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 ZAT US OB LMT 1> FETUS	$74.44	$372.19	$70.72–$359.78	84% below	80%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 WST US OB LMT 1> FETUS	$74.44	$372.19	$70.72–$359.78	84% below	80%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 EST US OB LMT 1> FETUS	$74.44	$372.19	$70.72–$359.78	84% below	80%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 UCC ESLK US PREGANCY LIMITED	$74.44	$372.19	$70.72–$359.78	84% below	80%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB LMT 1> FETUS	$74.44	$372.19	$70.72–$359.78	84% below	80%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 ZAR US OB LMT 1> FETUS #PF#	$52.58	$262.92	$49.95–$359.78	—	80%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 ESP US OB LMT 1> FETUS #PF#	$52.58	$262.92	$49.95–$359.78	—	80%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 WSP US OB LMT 1> FETUS #PF#	$52.58	$262.92	$49.95–$359.78	—	80%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 EST US OB LMT 1> FETUS	$74.44	$372.19	$70.72–$359.78	—	80%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 ZAT US OB LMT 1> FETUS	$74.44	$372.19	$70.72–$359.78	—	80%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 WST US OB LMT 1> FETUS	$74.44	$372.19	$70.72–$359.78	—	80%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US OB LMT 1> FETUS	$74.44	$372.19	$70.72–$359.78	—	80%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 UCC ESLK US PREGANCY LIMITED	$74.44	$372.19	$70.72–$359.78	—	80%
Rib X-ray, one side, 2 views CPT 71100 XR RIBS 2VIEWS UNI	$66.60	$333.01	$33.95–$256.19	78% below	80%
Rib X-ray, one side, 2 views CPT 71100 ED XR RIBS 2V UNI	$66.60	$333.01	$33.95–$256.19	78% below	80%
Rib X-ray, one side, 2 views inpatient CPT 71100 XR RIBS 2VIEWS UNI	$66.60	$333.01	$33.95–$256.19	—	80%
Rib X-ray, one side, 2 views inpatient CPT 71100 ED XR RIBS 2V UNI	$66.60	$333.01	$33.95–$256.19	—	80%
Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 XR RIBS W/CXR 3+V UNI	$79.80	$399.02	$39.23–$359.78	80% below	80%
Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 ED XR RIBS W/CXR 3+VIEWS UNI	$79.80	$399.02	$39.23–$359.78	80% below	80%
Rib X-ray, one side, with a chest view, 3 or more views inpatient CPT 71101 ED XR RIBS W/CXR 3+VIEWS UNI	$79.80	$399.02	$39.23–$359.78	—	80%
Rib X-ray, one side, with a chest view, 3 or more views inpatient CPT 71101 XR RIBS W/CXR 3+V UNI	$79.80	$399.02	$39.23–$359.78	—	80%
Screening mammogram, both breasts both sides CPT 77067 ES MAMMO SCREEN BILAT W/CAD	$32.67	$163.35	$31.04–$319.30	—	80%
Screening mammogram, both breasts both sides CPT 77067 WS MAMMO SCREEN BILAT W/CAD	$32.67	$163.35	$31.04–$319.30	—	80%
Screening mammogram, both breasts both sides CPT 77067 MAMMO SCRN BI	$35.10	$175.51	$33.35–$319.30	—	80%
Screening mammogram, both breasts both sides CPT 77067 MAMMO SCREEN BILAT DIG IMAGE	$50.16	$250.78	$47.65–$319.30	—	80%
Screening mammogram, both breasts both sides CPT 77067 MG MAMMO SCRN BI	$72.55	$362.73	$68.92–$319.30	—	80%
Screening mammogram, both breasts CPT 77067 ES MAMMOGRAPHY SCRNING/PREPAY	$31.24	$156.22	$29.68–$319.30	89% below	80%
Screening mammogram, both breasts CPT 77067 WS MAMMOGRAPHY SCRNING/PREPAY	$31.24	$156.22	$29.68–$319.30	89% below	80%
Screening mammogram, both breasts CPT 77067 REN MAMMOGRAPHY SCREENING	$31.24	$156.22	$29.68–$319.30	89% below	80%
Screening mammogram, both breasts CPT 77067 REN MAMMOGRAPHY SCRNING/PREPAY	$31.24	$156.22	$29.68–$319.30	89% below	80%
Screening mammogram, both breasts CPT 77067 WS MAMMOGRAPHY SCREENING	$32.67	$163.35	$31.04–$319.30	89% below	80%
Screening mammogram, both breasts CPT 77067 NE MAMMOGRAPHY SCREENING	$32.67	$163.35	$31.04–$319.30	89% below	80%
Screening mammogram, both breasts CPT 77067 ES MAMMOGRAPHY SCREENING	$32.67	$163.35	$31.04–$319.30	89% below	80%
Screening mammogram, both breasts CPT 77067 NE MAMMOGRAPHY SCRNING/PREPAY	$50.16	$250.78	$47.65–$319.30	83% below	80%
Screening mammogram, both breasts CPT 77067 MA SCRN MG DIG	$60.35	$301.73	$57.33–$319.30	80% below	80%
Screening mammogram, both breasts CPT 77067 NE MA SCREENING DIG TOMO BIL PROMO	$87.89	$439.44	$83.49–$319.30	70% below	80%
Screening mammogram, both breasts CPT 77067 ES MA SCREENING DIG TOMO BIL PROMO	$87.89	$439.44	$83.49–$319.30	70% below	80%
Screening mammogram, both breasts CPT 77067 WS MA SCREENNG DIGITAL BIL PROMO	$87.89	$439.44	$83.49–$319.30	70% below	80%
Screening mammogram, both breasts CPT 77067 ES MA SCRN MG DIG	$89.60	$448.00	$85.12–$319.30	70% below	80%
Screening mammogram, both breasts CPT 77067 NE MA SCRN MG DIG	$89.60	$448.00	$85.12–$319.30	70% below	80%
Screening mammogram, both breasts CPT 77067 WS MA SCRN MG DIG	$89.60	$448.00	$85.12–$319.30	70% below	80%
Screening mammogram, both breasts CPT 77067 RAD MA SCREENING DIG TOMO BIL PROMO	$98.74	$493.71	$93.80–$319.30	67% below	80%
Screening mammogram, both breasts one side CPT 77067 NE MA SCRN MG DIG LT	$89.60	$448.00	$85.12–$319.30	70% below	80%
Screening mammogram, both breasts one side CPT 77067 ES MA SCRN MG DIG RT	$89.60	$448.00	$85.12–$319.30	70% below	80%
Screening mammogram, both breasts one side CPT 77067 WS MA SCRN MG DIG LT	$89.60	$448.00	$85.12–$319.30	70% below	80%
Screening mammogram, both breasts one side CPT 77067 NE MA SCRN MG DIG RT	$89.60	$448.00	$85.12–$319.30	70% below	80%
Screening mammogram, both breasts one side CPT 77067 ES MA SCRN MG DIG LT	$89.60	$448.00	$85.12–$319.30	70% below	80%
Screening mammogram, both breasts one side CPT 77067 WS MA SCRN MG DIG RT	$89.60	$448.00	$85.12–$319.30	70% below	80%
Screening mammogram, both breasts inpatient both sides CPT 77067 ES MAMMO SCREEN BILAT W/CAD	$32.67	$163.35	$31.04–$319.30	—	80%
Screening mammogram, both breasts inpatient both sides CPT 77067 WS MAMMO SCREEN BILAT W/CAD	$32.67	$163.35	$31.04–$319.30	—	80%
Screening mammogram, both breasts inpatient both sides CPT 77067 MAMMO SCRN BI	$35.10	$175.51	$33.35–$319.30	—	80%
Screening mammogram, both breasts inpatient both sides CPT 77067 MAMMO SCREEN BILAT DIG IMAGE	$50.16	$250.78	$47.65–$319.30	—	80%
Screening mammogram, both breasts inpatient both sides CPT 77067 MG MAMMO SCRN BI	$72.55	$362.73	$68.92–$319.30	—	80%
Screening mammogram, both breasts inpatient CPT 77067 ES MAMMOGRAPHY SCRNING/PREPAY	$31.24	$156.22	$29.68–$319.30	—	80%
Screening mammogram, both breasts inpatient CPT 77067 REN MAMMOGRAPHY SCRNING/PREPAY	$31.24	$156.22	$29.68–$319.30	—	80%
Screening mammogram, both breasts inpatient CPT 77067 REN MAMMOGRAPHY SCREENING	$31.24	$156.22	$29.68–$319.30	—	80%
Screening mammogram, both breasts inpatient CPT 77067 WS MAMMOGRAPHY SCRNING/PREPAY	$31.24	$156.22	$29.68–$319.30	—	80%
Screening mammogram, both breasts inpatient CPT 77067 NE MAMMOGRAPHY SCREENING	$32.67	$163.35	$31.04–$319.30	—	80%
Screening mammogram, both breasts inpatient CPT 77067 ES MAMMOGRAPHY SCREENING	$32.67	$163.35	$31.04–$319.30	—	80%
Screening mammogram, both breasts inpatient CPT 77067 WS MAMMOGRAPHY SCREENING	$32.67	$163.35	$31.04–$319.30	—	80%
Screening mammogram, both breasts inpatient CPT 77067 NE MAMMOGRAPHY SCRNING/PREPAY	$50.16	$250.78	$47.65–$319.30	—	80%
Screening mammogram, both breasts inpatient CPT 77067 MA SCRN MG DIG	$60.35	$301.73	$57.33–$319.30	—	80%
Screening mammogram, both breasts inpatient CPT 77067 ES MA SCREENING DIG TOMO BIL PROMO	$87.89	$439.44	$83.49–$319.30	—	80%
Screening mammogram, both breasts inpatient CPT 77067 WS MA SCREENNG DIGITAL BIL PROMO	$87.89	$439.44	$83.49–$319.30	—	80%
Screening mammogram, both breasts inpatient CPT 77067 NE MA SCREENING DIG TOMO BIL PROMO	$87.89	$439.44	$83.49–$319.30	—	80%
Screening mammogram, both breasts inpatient CPT 77067 WS MA SCRN MG DIG	$89.60	$448.00	$85.12–$319.30	—	80%
Screening mammogram, both breasts inpatient CPT 77067 ES MA SCRN MG DIG	$89.60	$448.00	$85.12–$319.30	—	80%
Screening mammogram, both breasts inpatient CPT 77067 NE MA SCRN MG DIG	$89.60	$448.00	$85.12–$319.30	—	80%
Screening mammogram, both breasts inpatient CPT 77067 RAD MA SCREENING DIG TOMO BIL PROMO	$98.74	$493.71	$93.80–$319.30	—	80%
Screening mammogram, both breasts inpatient one side CPT 77067 NE MA SCRN MG DIG RT	$89.60	$448.00	$85.12–$319.30	—	80%
Screening mammogram, both breasts inpatient one side CPT 77067 ES MA SCRN MG DIG LT	$89.60	$448.00	$85.12–$319.30	—	80%
Screening mammogram, both breasts inpatient one side CPT 77067 WS MA SCRN MG DIG LT	$89.60	$448.00	$85.12–$319.30	—	80%
Screening mammogram, both breasts inpatient one side CPT 77067 NE MA SCRN MG DIG LT	$89.60	$448.00	$85.12–$319.30	—	80%
Screening mammogram, both breasts inpatient one side CPT 77067 WS MA SCRN MG DIG RT	$89.60	$448.00	$85.12–$319.30	—	80%
Screening mammogram, both breasts inpatient one side CPT 77067 ES MA SCRN MG DIG RT	$89.60	$448.00	$85.12–$319.30	—	80%
Shoulder X-ray, complete, 2 or more views CPT 73030 XR SHLDR CMPL 2+VIEWS	$46.84	$234.19	$32.35–$256.19	85% below	80%
Shoulder X-ray, complete, 2 or more views CPT 73030 ED RAD SHLDR CMPL 2+V	$80.84	$404.19	$32.35–$256.19	75% below	80%
Shoulder X-ray, complete, 2 or more views CPT 73030 ED XR SHLDR CMPL 2+V	$80.84	$404.19	$32.35–$256.19	75% below	80%
Shoulder X-ray, complete, 2 or more views CPT 73030 XR SHLDR CMPLETE 2+V	$80.84	$404.19	$32.35–$256.19	75% below	80%
Shoulder X-ray, complete, 2 or more views CPT 73030 XR SHLDR CMPL 2+V	$80.84	$404.19	$32.35–$256.19	75% below	80%
Shoulder X-ray, complete, 2 or more views CPT 73030 XRAY SHLDR CMPL 2+VIEWS	$80.84	$404.19	$32.35–$256.19	75% below	80%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 WS XR SHLDER AP/INT/EXT RT NON TRMA	$92.05	$460.24	$32.35–$256.19	71% below	80%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 WS XR SHLDER AP/INT/EXT LT NON TRMA	$92.05	$460.24	$32.35–$256.19	71% below	80%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 XR SHLDR CMPL 2+VIEWS	$46.84	$234.19	$32.35–$256.19	—	80%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 ED RAD SHLDR CMPL 2+V	$80.84	$404.19	$32.35–$256.19	—	80%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 ED XR SHLDR CMPL 2+V	$80.84	$404.19	$32.35–$256.19	—	80%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 XRAY SHLDR CMPL 2+VIEWS	$80.84	$404.19	$32.35–$256.19	—	80%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 XR SHLDR CMPL 2+V	$80.84	$404.19	$32.35–$256.19	—	80%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 XR SHLDR CMPLETE 2+V	$80.84	$404.19	$32.35–$256.19	—	80%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 WS XR SHLDER AP/INT/EXT RT NON TRMA	$92.05	$460.24	$32.35–$256.19	—	80%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 WS XR SHLDER AP/INT/EXT LT NON TRMA	$92.05	$460.24	$32.35–$256.19	—	80%
Sinus X-ray, complete, 3 or more views CPT 70220 XR SINUSES 3+V	$85.32	$426.60	$34.86–$256.19	79% below	80%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 XR SINUSES 3+V	$85.32	$426.60	$34.86–$256.19	—	80%
Skull X-ray, fewer than 4 views CPT 70250 XR SKULL LTD <4V	$42.46	$212.32	$33.26–$359.78	87% below	80%
Skull X-ray, fewer than 4 views CPT 70250 ED XR SKULL 1V	$42.46	$212.32	$33.26–$359.78	87% below	80%
Skull X-ray, fewer than 4 views CPT 70250 XR SKULL 1V	$42.46	$212.32	$33.26–$359.78	87% below	80%
Skull X-ray, fewer than 4 views CPT 70250 ED XR SKULL LTD <4V	$42.46	$212.32	$33.26–$359.78	87% below	80%
Skull X-ray, fewer than 4 views CPT 70250 WS SKULL 2 VIEWS	$46.12	$230.59	$33.26–$359.78	86% below	80%
Skull X-ray, fewer than 4 views CPT 70250 REN SKULL SINGLE VIEW SPECIFY	$46.12	$230.59	$33.26–$359.78	86% below	80%
Skull X-ray, fewer than 4 views CPT 70250 REN SKULL 2 VIEWS	$46.12	$230.59	$33.26–$359.78	86% below	80%
Skull X-ray, fewer than 4 views CPT 70250 ES SKULL SINGLE VIEW SPECIFY	$46.12	$230.59	$33.26–$359.78	86% below	80%
Skull X-ray, fewer than 4 views CPT 70250 ES SKULL 2 VIEWS	$46.12	$230.59	$33.26–$359.78	86% below	80%
Skull X-ray, fewer than 4 views CPT 70250 WS SKULL SINGLE VIEW SPECIFY	$46.12	$230.59	$33.26–$359.78	86% below	80%
Skull X-ray, fewer than 4 views CPT 70250 NE SKULL SINGLE VIEW SPECIFY	$46.12	$230.59	$33.26–$359.78	86% below	80%
Skull X-ray, fewer than 4 views CPT 70250 NE SKULL 2 VIEWS	$46.12	$230.59	$33.26–$359.78	86% below	80%
Skull X-ray, fewer than 4 views CPT 70250 UCC ESLK XR SKULL SINGLE VIEW SPECIFY	$46.12	$230.59	$33.26–$359.78	86% below	80%
Skull X-ray, fewer than 4 views CPT 70250 UCC ESLK XR SKULL 2 VIEWS	$46.12	$230.59	$33.26–$359.78	86% below	80%
Skull X-ray, fewer than 4 views CPT 70250 SH SKULL SINGLE VIEW SPECIFY	$49.35	$246.73	$33.26–$359.78	85% below	80%
Skull X-ray, fewer than 4 views CPT 70250 SH SKULL 2 VIEWS	$49.35	$246.73	$33.26–$359.78	85% below	80%
Skull X-ray, fewer than 4 views CPT 70250 XR RSI SKULL SINGLE VIEW	$96.48	$482.41	$33.26–$359.78	70% below	80%
Skull X-ray, fewer than 4 views inpatient CPT 70250 XR SKULL 1V	$42.46	$212.32	$33.26–$359.78	—	80%
Skull X-ray, fewer than 4 views inpatient CPT 70250 ED XR SKULL 1V	$42.46	$212.32	$33.26–$359.78	—	80%
Skull X-ray, fewer than 4 views inpatient CPT 70250 ED XR SKULL LTD <4V	$42.46	$212.32	$33.26–$359.78	—	80%
Skull X-ray, fewer than 4 views inpatient CPT 70250 XR SKULL LTD <4V	$42.46	$212.32	$33.26–$359.78	—	80%
Skull X-ray, fewer than 4 views inpatient CPT 70250 WS SKULL 2 VIEWS	$46.12	$230.59	$33.26–$359.78	—	80%
Skull X-ray, fewer than 4 views inpatient CPT 70250 ES SKULL 2 VIEWS	$46.12	$230.59	$33.26–$359.78	—	80%
Skull X-ray, fewer than 4 views inpatient CPT 70250 WS SKULL SINGLE VIEW SPECIFY	$46.12	$230.59	$33.26–$359.78	—	80%
Skull X-ray, fewer than 4 views inpatient CPT 70250 NE SKULL 2 VIEWS	$46.12	$230.59	$33.26–$359.78	—	80%
Skull X-ray, fewer than 4 views inpatient CPT 70250 REN SKULL 2 VIEWS	$46.12	$230.59	$33.26–$359.78	—	80%
Skull X-ray, fewer than 4 views inpatient CPT 70250 UCC ESLK XR SKULL SINGLE VIEW SPECIFY	$46.12	$230.59	$33.26–$359.78	—	80%
Skull X-ray, fewer than 4 views inpatient CPT 70250 REN SKULL SINGLE VIEW SPECIFY	$46.12	$230.59	$33.26–$359.78	—	80%
Skull X-ray, fewer than 4 views inpatient CPT 70250 UCC ESLK XR SKULL 2 VIEWS	$46.12	$230.59	$33.26–$359.78	—	80%
Skull X-ray, fewer than 4 views inpatient CPT 70250 ES SKULL SINGLE VIEW SPECIFY	$46.12	$230.59	$33.26–$359.78	—	80%
Skull X-ray, fewer than 4 views inpatient CPT 70250 NE SKULL SINGLE VIEW SPECIFY	$46.12	$230.59	$33.26–$359.78	—	80%
Skull X-ray, fewer than 4 views inpatient CPT 70250 SH SKULL 2 VIEWS	$49.35	$246.73	$33.26–$359.78	—	80%
Skull X-ray, fewer than 4 views inpatient CPT 70250 SH SKULL SINGLE VIEW SPECIFY	$49.35	$246.73	$33.26–$359.78	—	80%
Skull X-ray, fewer than 4 views inpatient CPT 70250 XR RSI SKULL SINGLE VIEW	$96.48	$482.41	$33.26–$359.78	—	80%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 SH ECHO REST & STRESS W/PF	$304.44	$1,522.18	$215.44–$1,004.64	89% below	80%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 ESL ECHO REST & STRESS W/PF	$305.28	$1,526.42	$215.44–$1,007.44	89% below	80%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 SH ECHO REST & STRESS W/PF	$304.44	$1,522.18	$215.44–$1,004.64	—	80%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 ESL ECHO REST & STRESS W/PF	$305.28	$1,526.42	$215.44–$1,007.44	—	80%
Swallow study (modified barium swallow, video X-ray) CPT 74230 XR SWALLOW CINE	$81.28	$406.41	$77.22–$584.93	86% below	80%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 XR SWALLOW CINE	$81.28	$406.41	$77.22–$584.93	—	80%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 XR FEMUR MIN 2 VIEWS	$60.05	$300.25	$32.96–$256.19	82% below	80%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 REN XR FEMUR MIN 2 VWS	$93.42	$467.12	$32.96–$256.92	71% below	80%
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 XR FEMUR MIN 2 VIEWS	$60.05	$300.25	$32.96–$256.19	—	80%
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 REN XR FEMUR MIN 2 VWS	$93.42	$467.12	$32.96–$256.92	—	80%
Thoracic spine (mid back) CT scan without contrast CPT 72128 NE CT RECONSTRUCTED THORACIC SPINE W/O CONTRAST	$482.98	$2,414.88	$75.28–$1,328.18	74% below	80%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT RECONSTRUCTED THORACIC SPINE W/O CONTRAST	$504.86	$2,524.30	$75.28–$1,388.37	73% below	80%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CTSCAN T-SPINE W/O	$795.70	$3,978.48	$75.28–$2,188.16	58% below	80%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 NE CT RECONSTRUCTED THORACIC SPINE W/O CONTRAST	$482.98	$2,414.88	$75.28–$1,328.18	—	80%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT RECONSTRUCTED THORACIC SPINE W/O CONTRAST	$504.86	$2,524.30	$75.28–$1,388.37	—	80%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CTSCAN T-SPINE W/O	$795.70	$3,978.48	$75.28–$2,188.16	—	80%
Toe X-ray, 2 or more views CPT 73660 WS TOES 2 VIEWS	$19.93	$99.67	$18.94–$256.19	93% below	80%
Toe X-ray, 2 or more views CPT 73660 XR TOE(S) 2+V	$34.04	$170.20	$27.07–$256.19	87% below	80%
Toe X-ray, 2 or more views CPT 73660 ED XR TOE(S) 2+V	$34.04	$170.20	$27.07–$256.19	87% below	80%
Toe X-ray, 2 or more views inpatient CPT 73660 WS TOES 2 VIEWS	$19.93	$99.67	$18.94–$256.19	—	80%
Toe X-ray, 2 or more views inpatient CPT 73660 XR TOE(S) 2+V	$34.04	$170.20	$27.07–$256.19	—	80%
Toe X-ray, 2 or more views inpatient CPT 73660 ED XR TOE(S) 2+V	$34.04	$170.20	$27.07–$256.19	—	80%
Transvaginal pelvic ultrasound CPT 76830 SH PELVIC NON-OB TRANSVAGINAL	$52.86	$264.31	$50.22–$286.92	91% below	80%
Transvaginal pelvic ultrasound CPT 76830 EST US TRANSVAGINAL	$65.56	$327.81	$62.28–$286.92	89% below	80%
Transvaginal pelvic ultrasound CPT 76830 WST US TRANSVAGINAL	$65.56	$327.81	$62.28–$286.92	89% below	80%
Transvaginal pelvic ultrasound CPT 76830 EST US TRANSVAGINAL	$65.56	$327.81	$62.28–$286.92	89% below	80%
Transvaginal pelvic ultrasound CPT 76830 ZAT US TRANSVAGINAL	$65.56	$327.81	$62.28–$286.92	89% below	80%
Transvaginal pelvic ultrasound CPT 76830 NE US TRANSVAGINAL #PF#	$83.89	$419.44	$75.28–$286.92	86% below	80%
Transvaginal pelvic ultrasound CPT 76830 ZAR US TRANSVAGINAL #PF#	$90.00	$450.00	$75.28–$286.92	85% below	80%
Transvaginal pelvic ultrasound CPT 76830 WSP US TRANSVAGINAL #PF#	$90.00	$450.00	$75.28–$286.92	85% below	80%
Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL	$98.56	$492.78	$75.28–$286.92	84% below	80%
Transvaginal pelvic ultrasound CPT 76830 ESP US TRANSVAGINAL #PF#	$101.12	$505.58	$75.28–$286.92	83% below	80%
Transvaginal pelvic ultrasound CPT 76830 FAB US TRANSVAGINAL #PF#	$101.12	$505.58	$75.28–$286.92	83% below	80%
Transvaginal pelvic ultrasound CPT 76830 FAB US TRANSVAGINAL	$108.19	$540.97	$75.28–$297.53	82% below	80%
Transvaginal pelvic ultrasound inpatient CPT 76830 SH PELVIC NON-OB TRANSVAGINAL	$52.86	$264.31	$50.22–$286.92	—	80%
Transvaginal pelvic ultrasound inpatient CPT 76830 WST US TRANSVAGINAL	$65.56	$327.81	$62.28–$286.92	—	80%
Transvaginal pelvic ultrasound inpatient CPT 76830 ZAT US TRANSVAGINAL	$65.56	$327.81	$62.28–$286.92	—	80%
Transvaginal pelvic ultrasound inpatient CPT 76830 EST US TRANSVAGINAL	$65.56	$327.81	$62.28–$286.92	—	80%
Transvaginal pelvic ultrasound inpatient CPT 76830 EST US TRANSVAGINAL	$65.56	$327.81	$62.28–$286.92	—	80%
Transvaginal pelvic ultrasound inpatient CPT 76830 NE US TRANSVAGINAL #PF#	$83.89	$419.44	$75.28–$286.92	—	80%
Transvaginal pelvic ultrasound inpatient CPT 76830 ZAR US TRANSVAGINAL #PF#	$90.00	$450.00	$75.28–$286.92	—	80%
Transvaginal pelvic ultrasound inpatient CPT 76830 WSP US TRANSVAGINAL #PF#	$90.00	$450.00	$75.28–$286.92	—	80%
Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL	$98.56	$492.78	$75.28–$286.92	—	80%
Transvaginal pelvic ultrasound inpatient CPT 76830 ESP US TRANSVAGINAL #PF#	$101.12	$505.58	$75.28–$286.92	—	80%
Transvaginal pelvic ultrasound inpatient CPT 76830 FAB US TRANSVAGINAL #PF#	$101.12	$505.58	$75.28–$286.92	—	80%
Transvaginal pelvic ultrasound inpatient CPT 76830 FAB US TRANSVAGINAL	$108.19	$540.97	$75.28–$297.53	—	80%
Transvaginal ultrasound during pregnancy CPT 76817 US PREG TRANSVAGINAL	$57.83	$289.17	$54.94–$359.78	89% below	80%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US PREG TRANSVAGINAL	$57.83	$289.17	$54.94–$359.78	—	80%
Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN CMPL	$148.54	$742.71	$75.28–$408.49	81% below	80%
Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMEN CMPL	$148.54	$742.71	$75.28–$408.49	—	80%
Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM	$61.38	$306.89	$58.31–$359.78	90% below	80%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US SCROTUM	$61.38	$306.89	$58.31–$359.78	—	80%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 SH US SOFT TISSUE HEAD/NECK	$171.50	$857.51	$75.28–$471.63	73% below	80%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 SH US SOFT TISSUE HEAD/NECK	$171.50	$857.51	$75.28–$471.63	—	80%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR UGI W/KUB	$61.61	$308.04	$58.53–$584.93	91% below	80%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR UGI W/SM BOWEL	$129.51	$647.54	$113.69–$584.93	82% below	80%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 ED XR UGI W/SM BOWEL	$129.51	$647.54	$113.69–$584.93	82% below	80%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR UGI W/O KUB	$129.51	$647.54	$113.69–$584.93	82% below	80%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 XR UGI W/KUB	$61.61	$308.04	$58.53–$584.93	—	80%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 ED XR UGI W/SM BOWEL	$129.51	$647.54	$113.69–$584.93	—	80%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 XR UGI W/SM BOWEL	$129.51	$647.54	$113.69–$584.93	—	80%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 XR UGI W/O KUB	$129.51	$647.54	$113.69–$584.93	—	80%
Upper arm X-ray (humerus), 2 views CPT 73060 ED XR HUMERUS 1V	$73.25	$366.25	$29.58–$256.19	79% below	80%
Upper arm X-ray (humerus), 2 views CPT 73060 XR HUMERUS 2+V	$73.25	$366.25	$29.58–$256.19	79% below	80%
Upper arm X-ray (humerus), 2 views CPT 73060 XR HUMERUS 1VIEW	$73.25	$366.25	$29.58–$256.19	79% below	80%
Upper arm X-ray (humerus), 2 views CPT 73060 ED XR HUMERUS 2+VIEWS	$73.25	$366.25	$29.58–$256.19	79% below	80%
Upper arm X-ray (humerus), 2 views CPT 73060 XR RSI HUMERUS	$86.88	$434.42	$29.58–$256.19	75% below	80%
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 XR HUMERUS 2+V	$73.25	$366.25	$29.58–$256.19	—	80%
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 ED XR HUMERUS 1V	$73.25	$366.25	$29.58–$256.19	—	80%
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 ED XR HUMERUS 2+VIEWS	$73.25	$366.25	$29.58–$256.19	—	80%
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 XR HUMERUS 1VIEW	$73.25	$366.25	$29.58–$256.19	—	80%
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 XR RSI HUMERUS	$86.88	$434.42	$29.58–$256.19	—	80%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 WS PERIPH VEIN DOPPLER LWR EXT	$51.99	$259.95	$49.39–$340.00	93% below	80%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 WS PERIPH VEIN DOPP UPPR EXTRM	$51.99	$259.95	$49.39–$340.00	93% below	80%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 DUPX VEIN EXT UNI/LMTD	$181.03	$905.13	$104.56–$597.39	77% below	80%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 US DUPX VEIN EXT UNI/LIMITED	$194.63	$973.17	$104.56–$642.29	75% below	80%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 WS PERIPH VEIN DOPPLER LWR EXT	$51.99	$259.95	$49.39–$340.00	—	80%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 WS PERIPH VEIN DOPP UPPR EXTRM	$51.99	$259.95	$49.39–$340.00	—	80%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 DUPX VEIN EXT UNI/LMTD	$181.03	$905.13	$104.56–$597.39	—	80%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 US DUPX VEIN EXT UNI/LIMITED	$194.63	$973.17	$104.56–$642.29	—	80%
Wrist X-ray, 2 views CPT 73100 NE WRIST ONE VIEW SPECIFY	$84.10	$420.50	$31.40–$256.19	72% below	80%
Wrist X-ray, 2 views CPT 73100 ED XR WRIST 1V	$90.59	$452.95	$31.40–$256.19	69% below	80%
Wrist X-ray, 2 views CPT 73100 XR WRIST 2V	$90.59	$452.95	$31.40–$256.19	69% below	80%
Wrist X-ray, 2 views CPT 73100 XR WRIST 1V	$90.59	$452.95	$31.40–$256.19	69% below	80%
Wrist X-ray, 2 views CPT 73100 ED XR WRIST 2V	$90.59	$452.95	$31.40–$256.19	69% below	80%
Wrist X-ray, 2 views inpatient CPT 73100 NE WRIST ONE VIEW SPECIFY	$84.10	$420.50	$31.40–$256.19	—	80%
Wrist X-ray, 2 views inpatient CPT 73100 ED XR WRIST 1V	$90.59	$452.95	$31.40–$256.19	—	80%
Wrist X-ray, 2 views inpatient CPT 73100 XR WRIST 2V	$90.59	$452.95	$31.40–$256.19	—	80%
Wrist X-ray, 2 views inpatient CPT 73100 ED XR WRIST 2V	$90.59	$452.95	$31.40–$256.19	—	80%
Wrist X-ray, 2 views inpatient CPT 73100 XR WRIST 1V	$90.59	$452.95	$31.40–$256.19	—	80%
Wrist X-ray, complete, 3 or more views CPT 73110 XR WRIST CMPL 3+V	$78.23	$391.14	$38.13–$256.19	79% below	80%
Wrist X-ray, complete, 3 or more views CPT 73110 ERD XR WRIST CMPL 3+V	$78.23	$391.14	$38.13–$256.19	79% below	80%
Wrist X-ray, complete, 3 or more views CPT 73110 XR NAVICULAR STUDY 3+V	$78.23	$391.14	$38.13–$256.19	79% below	80%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 ERD XR WRIST CMPL 3+V	$78.23	$391.14	$38.13–$256.19	—	80%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 XR NAVICULAR STUDY 3+V	$78.23	$391.14	$38.13–$256.19	—	80%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 XR WRIST CMPL 3+V	$78.23	$391.14	$38.13–$256.19	—	80%
X-ray of the abdomen, 1 view CPT 74018 XR ABD AP (KUB)	$32.02	$160.08	$28.08–$256.19	91% below	80%
X-ray of the abdomen, 1 view CPT 74018 ED XR ABD 1V	$33.70	$168.48	$28.08–$256.19	90% below	80%
X-ray of the abdomen, 1 view CPT 74018 XR ABD 1 VIEW	$33.70	$168.48	$28.08–$256.19	90% below	80%
X-ray of the abdomen, 1 view CPT 74018 XR ABD 1V	$33.70	$168.48	$28.08–$256.19	90% below	80%
X-ray of the abdomen, 1 view CPT 74018 CCI XR ABD 1V	$33.70	$168.48	$28.08–$256.19	90% below	80%
X-ray of the abdomen, 1 view CPT 74018 SH CCI XR ABD 1V	$33.70	$168.48	$28.08–$256.19	90% below	80%
X-ray of the abdomen, 1 view CPT 74018 XR RSI ABDOMEN	$80.05	$400.27	$28.08–$256.19	76% below	80%
X-ray of the abdomen, 1 view inpatient CPT 74018 XR ABD AP (KUB)	$32.02	$160.08	$28.08–$256.19	—	80%
X-ray of the abdomen, 1 view inpatient CPT 74018 CCI XR ABD 1V	$33.70	$168.48	$28.08–$256.19	—	80%
X-ray of the abdomen, 1 view inpatient CPT 74018 XR ABD 1V	$33.70	$168.48	$28.08–$256.19	—	80%
X-ray of the abdomen, 1 view inpatient CPT 74018 XR ABD 1 VIEW	$33.70	$168.48	$28.08–$256.19	—	80%
X-ray of the abdomen, 1 view inpatient CPT 74018 ED XR ABD 1V	$33.70	$168.48	$28.08–$256.19	—	80%
X-ray of the abdomen, 1 view inpatient CPT 74018 SH CCI XR ABD 1V	$33.70	$168.48	$28.08–$256.19	—	80%
X-ray of the abdomen, 1 view inpatient CPT 74018 XR RSI ABDOMEN	$80.05	$400.27	$28.08–$256.19	—	80%
X-ray of the ankle, 2 views CPT 73600 ES ANKLE 2 VIEWS AP/LAT	$22.15	$110.75	$21.04–$256.19	93% below	80%
X-ray of the ankle, 2 views CPT 73600 UCC ESLK XR ANKLE ONE VIEW AP/LAT	$22.15	$110.75	$21.04–$256.19	93% below	80%
X-ray of the ankle, 2 views CPT 73600 UCC ESLK XR ANKLE TWO VIEW SPECIFY	$22.15	$110.75	$21.04–$256.19	93% below	80%
X-ray of the ankle, 2 views CPT 73600 NE ANKLE 2 VIEWS AP/LAT	$22.15	$110.75	$21.04–$256.19	93% below	80%
X-ray of the ankle, 2 views CPT 73600 SH ANKLE 2 VIEWS AP/LAT	$23.70	$118.50	$22.52–$256.19	92% below	80%
X-ray of the ankle, 2 views CPT 73600 ED XR ANKLE 1V	$62.42	$312.08	$29.88–$256.19	79% below	80%
X-ray of the ankle, 2 views CPT 73600 ED RAD ANKLE 2V	$62.42	$312.08	$29.88–$256.19	79% below	80%
X-ray of the ankle, 2 views CPT 73600 XR ANKLE 2V	$62.42	$312.08	$29.88–$256.19	79% below	80%
X-ray of the ankle, 2 views CPT 73600 RAD ANKLE 1V	$62.42	$312.08	$29.88–$256.19	79% below	80%
X-ray of the ankle, 2 views inpatient CPT 73600 ES ANKLE 2 VIEWS AP/LAT	$22.15	$110.75	$21.04–$256.19	—	80%
X-ray of the ankle, 2 views inpatient CPT 73600 NE ANKLE 2 VIEWS AP/LAT	$22.15	$110.75	$21.04–$256.19	—	80%
X-ray of the ankle, 2 views inpatient CPT 73600 UCC ESLK XR ANKLE TWO VIEW SPECIFY	$22.15	$110.75	$21.04–$256.19	—	80%
X-ray of the ankle, 2 views inpatient CPT 73600 UCC ESLK XR ANKLE ONE VIEW AP/LAT	$22.15	$110.75	$21.04–$256.19	—	80%
X-ray of the ankle, 2 views inpatient CPT 73600 SH ANKLE 2 VIEWS AP/LAT	$23.70	$118.50	$22.52–$256.19	—	80%
X-ray of the ankle, 2 views inpatient CPT 73600 XR ANKLE 2V	$62.42	$312.08	$29.88–$256.19	—	80%
X-ray of the ankle, 2 views inpatient CPT 73600 RAD ANKLE 1V	$62.42	$312.08	$29.88–$256.19	—	80%
X-ray of the ankle, 2 views inpatient CPT 73600 ED XR ANKLE 1V	$62.42	$312.08	$29.88–$256.19	—	80%
X-ray of the ankle, 2 views inpatient CPT 73600 ED RAD ANKLE 2V	$62.42	$312.08	$29.88–$256.19	—	80%
X-ray of the finger(s), 2 or more views CPT 73140 ES FINGER	$19.26	$96.30	$18.30–$256.19	92% below	80%
X-ray of the finger(s), 2 or more views CPT 73140 UCC ESLK XR FINGER	$19.26	$96.30	$18.30–$256.19	92% below	80%
X-ray of the finger(s), 2 or more views CPT 73140 REN FINGER	$19.26	$96.30	$18.30–$256.19	92% below	80%
X-ray of the finger(s), 2 or more views CPT 73140 NE FINGER	$19.26	$96.30	$18.30–$256.19	92% below	80%
X-ray of the finger(s), 2 or more views CPT 73140 WS FINGER	$22.15	$110.75	$21.04–$256.19	91% below	80%
X-ray of the finger(s), 2 or more views CPT 73140 ED XR FINGER(S) 2+VIEWS	$65.22	$326.10	$35.32–$256.19	73% below	80%
X-ray of the finger(s), 2 or more views CPT 73140 XR FINGER(S) 2+V	$65.22	$326.10	$35.32–$256.19	73% below	80%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 UCC ESLK XR FINGER	$19.26	$96.30	$18.30–$256.19	—	80%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 NE FINGER	$19.26	$96.30	$18.30–$256.19	—	80%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 ES FINGER	$19.26	$96.30	$18.30–$256.19	—	80%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 REN FINGER	$19.26	$96.30	$18.30–$256.19	—	80%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 WS FINGER	$22.15	$110.75	$21.04–$256.19	—	80%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 XR FINGER(S) 2+V	$65.22	$326.10	$35.32–$256.19	—	80%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 ED XR FINGER(S) 2+VIEWS	$65.22	$326.10	$35.32–$256.19	—	80%
X-ray of the foot, 2 views CPT 73620 SH FOOT ONE VIEW SPECIFY	$20.61	$103.04	$19.58–$256.19	94% below	80%
X-ray of the foot, 2 views CPT 73620 NE FOOT 2 VIEWS	$22.15	$110.75	$21.04–$256.19	93% below	80%
X-ray of the foot, 2 views CPT 73620 SH FOOT 2 VIEWS	$23.70	$118.50	$22.52–$256.19	93% below	80%
X-ray of the foot, 2 views CPT 73620 XR FOOT 1V	$52.46	$262.32	$26.52–$256.19	84% below	80%
X-ray of the foot, 2 views CPT 73620 XR FOOT 2VIEWS	$52.46	$262.32	$26.52–$256.19	84% below	80%
X-ray of the foot, 2 views CPT 73620 ED XR FOOT 1V	$52.46	$262.32	$26.52–$256.19	84% below	80%
X-ray of the foot, 2 views CPT 73620 ED XR FOOT 2V	$52.46	$262.32	$26.52–$256.19	84% below	80%
X-ray of the foot, 2 views inpatient CPT 73620 SH FOOT ONE VIEW SPECIFY	$20.61	$103.04	$19.58–$256.19	—	80%
X-ray of the foot, 2 views inpatient CPT 73620 NE FOOT 2 VIEWS	$22.15	$110.75	$21.04–$256.19	—	80%
X-ray of the foot, 2 views inpatient CPT 73620 SH FOOT 2 VIEWS	$23.70	$118.50	$22.52–$256.19	—	80%
X-ray of the foot, 2 views inpatient CPT 73620 XR FOOT 1V	$52.46	$262.32	$26.52–$256.19	—	80%
X-ray of the foot, 2 views inpatient CPT 73620 ED XR FOOT 2V	$52.46	$262.32	$26.52–$256.19	—	80%
X-ray of the foot, 2 views inpatient CPT 73620 ED XR FOOT 1V	$52.46	$262.32	$26.52–$256.19	—	80%
X-ray of the foot, 2 views inpatient CPT 73620 XR FOOT 2VIEWS	$52.46	$262.32	$26.52–$256.19	—	80%
X-ray of the foot, complete, 3 or more views CPT 73630 XR FOOT CMPL 3+V	$66.55	$332.77	$31.73–$256.19	82% below	80%
X-ray of the foot, complete, 3 or more views CPT 73630 ED XR FOOT CMPL 3+VIEWS	$66.55	$332.77	$31.73–$256.19	82% below	80%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 ED XR FOOT CMPL 3+VIEWS	$66.55	$332.77	$31.73–$256.19	—	80%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 XR FOOT CMPL 3+V	$66.55	$332.77	$31.73–$256.19	—	80%
X-ray of the hand, 3 or more views both sides CPT 73130 XR HAND CMPL 3+V BI	$44.79	$223.93	$34.46–$256.19	—	80%
X-ray of the hand, 3 or more views CPT 73130 ED XR HAND CMPL 3+VIEWS	$72.61	$363.06	$34.46–$256.19	81% below	80%
X-ray of the hand, 3 or more views CPT 73130 XR HAND CMPL 3+V	$72.61	$363.06	$34.46–$256.19	81% below	80%
X-ray of the hand, 3 or more views inpatient both sides CPT 73130 XR HAND CMPL 3+V BI	$44.79	$223.93	$34.46–$256.19	—	80%
X-ray of the hand, 3 or more views inpatient CPT 73130 ED XR HAND CMPL 3+VIEWS	$72.61	$363.06	$34.46–$256.19	—	80%
X-ray of the hand, 3 or more views inpatient CPT 73130 XR HAND CMPL 3+V	$72.61	$363.06	$34.46–$256.19	—	80%
X-ray of the knee, 1 or 2 views CPT 73560 SH KNEE 2 VIEWS	$23.70	$118.50	$22.52–$256.19	92% below	80%
X-ray of the knee, 1 or 2 views CPT 73560 NE KNEE SINGLE VIEW SPECIFY	$51.35	$256.77	$31.71–$256.19	83% below	80%
X-ray of the knee, 1 or 2 views CPT 73560 XR KNEE 1-2VIEW	$74.29	$371.46	$31.71–$256.19	75% below	80%
X-ray of the knee, 1 or 2 views CPT 73560 ED XR KNEE 1-2V	$74.29	$371.46	$31.71–$256.19	75% below	80%
X-ray of the knee, 1 or 2 views CPT 73560 XR KNEE 1-2 VIEW	$74.29	$371.46	$31.71–$256.19	75% below	80%
X-ray of the knee, 1 or 2 views CPT 73560 XRAY KNEE 1-2V	$74.29	$371.46	$31.71–$256.19	75% below	80%
X-ray of the knee, 1 or 2 views CPT 73560 XRAY KNEE 1-2VIEWS	$74.29	$371.46	$31.71–$256.19	75% below	80%
X-ray of the knee, 1 or 2 views CPT 73560 XR KNEE 1-2V	$74.29	$371.46	$31.71–$256.19	75% below	80%
X-ray of the knee, 1 or 2 views CPT 73560 XR RSI KNEE	$82.82	$414.09	$31.71–$256.19	72% below	80%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE 1-2V LEFT	$51.35	$256.77	$31.71–$256.19	83% below	80%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE 1-2V RIGHT	$51.35	$256.77	$31.71–$256.19	83% below	80%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 SH KNEE 2 VIEWS	$23.70	$118.50	$22.52–$256.19	—	80%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 NE KNEE SINGLE VIEW SPECIFY	$51.35	$256.77	$31.71–$256.19	—	80%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 XRAY KNEE 1-2VIEWS	$74.29	$371.46	$31.71–$256.19	—	80%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 ED XR KNEE 1-2V	$74.29	$371.46	$31.71–$256.19	—	80%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 XR KNEE 1-2VIEW	$74.29	$371.46	$31.71–$256.19	—	80%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 XR KNEE 1-2 VIEW	$74.29	$371.46	$31.71–$256.19	—	80%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 XRAY KNEE 1-2V	$74.29	$371.46	$31.71–$256.19	—	80%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 XR KNEE 1-2V	$74.29	$371.46	$31.71–$256.19	—	80%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 XR RSI KNEE	$82.82	$414.09	$31.71–$256.19	—	80%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR KNEE 1-2V LEFT	$51.35	$256.77	$31.71–$256.19	—	80%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR KNEE 1-2V RIGHT	$51.35	$256.77	$31.71–$256.19	—	80%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR L-SPINE 2-3 VIEWS	$48.96	$244.82	$37.01–$359.78	89% below	80%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XRAY L-SPINE 2-3VIEWS	$48.96	$244.82	$37.01–$359.78	89% below	80%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 RAD L-SPINE 2-3V	$81.72	$408.62	$37.01–$359.78	82% below	80%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 ED XR L-SPINE 2-3V	$81.72	$408.62	$37.01–$359.78	82% below	80%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR L-SPINE 2-3V	$81.72	$408.62	$37.01–$359.78	82% below	80%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 EDXR L-SPINE 2-3V	$81.72	$408.62	$37.01–$359.78	82% below	80%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 ES XR LUMBAR SPINE R&L OBLIQUE ONLY	$101.59	$507.94	$37.01–$359.78	77% below	80%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XRAY L-SPINE 2-3VIEWS	$48.96	$244.82	$37.01–$359.78	—	80%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR L-SPINE 2-3 VIEWS	$48.96	$244.82	$37.01–$359.78	—	80%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 ED XR L-SPINE 2-3V	$81.72	$408.62	$37.01–$359.78	—	80%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 RAD L-SPINE 2-3V	$81.72	$408.62	$37.01–$359.78	—	80%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR L-SPINE 2-3V	$81.72	$408.62	$37.01–$359.78	—	80%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 EDXR L-SPINE 2-3V	$81.72	$408.62	$37.01–$359.78	—	80%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 ES XR LUMBAR SPINE R&L OBLIQUE ONLY	$101.59	$507.94	$37.01–$359.78	—	80%
X-ray of the lower back, 4 or more views CPT 72110 ED XR L-SPINE 4+V	$107.93	$539.67	$48.05–$359.78	81% below	80%
X-ray of the lower back, 4 or more views CPT 72110 XR L-SPINE 4+VIEWS	$107.93	$539.67	$48.05–$359.78	81% below	80%
X-ray of the lower back, 4 or more views inpatient CPT 72110 ED XR L-SPINE 4+V	$107.93	$539.67	$48.05–$359.78	—	80%
X-ray of the lower back, 4 or more views inpatient CPT 72110 XR L-SPINE 4+VIEWS	$107.93	$539.67	$48.05–$359.78	—	80%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 ED XR T-SPINE 2V	$93.85	$469.23	$30.56–$359.78	77% below	80%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR T-SPINE 2V	$93.85	$469.23	$30.56–$359.78	77% below	80%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 ED XR T-SPINE 2V	$93.85	$469.23	$30.56–$359.78	—	80%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XR T-SPINE 2V	$93.85	$469.23	$30.56–$359.78	—	80%
X-ray of the nasal bones, 3 or more views CPT 70160 XR NASAL CMPL 3+V LTD	$55.92	$279.58	$34.77–$256.19	80% below	80%
X-ray of the nasal bones, 3 or more views CPT 70160 REN NASAL BONES MIN 3VWS	$83.03	$415.16	$34.77–$256.19	70% below	80%
X-ray of the nasal bones, 3 or more views CPT 70160 WS NASAL BONES < 3VWS	$83.03	$415.16	$34.77–$256.19	70% below	80%
X-ray of the nasal bones, 3 or more views CPT 70160 NE NASAL BONES < 3VWS	$83.03	$415.16	$34.77–$256.19	70% below	80%
X-ray of the nasal bones, 3 or more views CPT 70160 NE NASAL BONES MIN 3VWS	$83.03	$415.16	$34.77–$256.19	70% below	80%
X-ray of the nasal bones, 3 or more views CPT 70160 SH NASAL BONES MIN 3VWS	$88.84	$444.22	$34.77–$256.19	68% below	80%
X-ray of the nasal bones, 3 or more views CPT 70160 SH NASAL BONES < 3VWS	$88.84	$444.22	$34.77–$256.19	68% below	80%
X-ray of the nasal bones, 3 or more views CPT 70160 ED XR NASAL CMPL 3+V	$111.94	$559.72	$34.77–$307.85	59% below	80%
X-ray of the nasal bones, 3 or more views CPT 70160 XR NASAL CMPL 3+VIEWS	$111.94	$559.72	$34.77–$307.85	59% below	80%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XR NASAL CMPL 3+V LTD	$55.92	$279.58	$34.77–$256.19	—	80%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 WS NASAL BONES < 3VWS	$83.03	$415.16	$34.77–$256.19	—	80%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 REN NASAL BONES MIN 3VWS	$83.03	$415.16	$34.77–$256.19	—	80%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 NE NASAL BONES MIN 3VWS	$83.03	$415.16	$34.77–$256.19	—	80%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 NE NASAL BONES < 3VWS	$83.03	$415.16	$34.77–$256.19	—	80%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 SH NASAL BONES MIN 3VWS	$88.84	$444.22	$34.77–$256.19	—	80%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 SH NASAL BONES < 3VWS	$88.84	$444.22	$34.77–$256.19	—	80%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XR NASAL CMPL 3+VIEWS	$111.94	$559.72	$34.77–$307.85	—	80%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 ED XR NASAL CMPL 3+V	$111.94	$559.72	$34.77–$307.85	—	80%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 NE CERVICAL SPINE < 4 VIEWS	$51.15	$255.76	$36.70–$256.19	86% below	80%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XRAY C-SPINE 2-3V	$51.15	$255.76	$36.70–$256.19	86% below	80%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 RAD C-SPINE 2-3V	$51.15	$255.76	$36.70–$256.19	86% below	80%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 RAD XR C-SPINE 2-3V	$51.15	$255.76	$36.70–$256.19	86% below	80%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 UCC ESLK X-RAY EXAM NECK SPINE 2-3 VW	$61.64	$308.18	$36.70–$256.19	83% below	80%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR C-SPINE 2-3 VIEWS	$83.89	$419.47	$36.70–$256.19	77% below	80%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 ED XR C-SPINE 2-3V	$83.89	$419.47	$36.70–$256.19	77% below	80%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR C-SPINE 2-3V	$83.89	$419.47	$36.70–$256.19	77% below	80%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 EDXR C-SPINE 2-3V	$83.89	$419.47	$36.70–$256.19	77% below	80%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 WS XR CERVICVAL SPINE OBLIQUES	$104.24	$521.19	$36.70–$286.65	71% below	80%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 RAD XR C-SPINE 2-3V	$51.15	$255.76	$36.70–$256.19	—	80%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XRAY C-SPINE 2-3V	$51.15	$255.76	$36.70–$256.19	—	80%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 RAD C-SPINE 2-3V	$51.15	$255.76	$36.70–$256.19	—	80%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 NE CERVICAL SPINE < 4 VIEWS	$51.15	$255.76	$36.70–$256.19	—	80%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 UCC ESLK X-RAY EXAM NECK SPINE 2-3 VW	$61.64	$308.18	$36.70–$256.19	—	80%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR C-SPINE 2-3 VIEWS	$83.89	$419.47	$36.70–$256.19	—	80%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR C-SPINE 2-3V	$83.89	$419.47	$36.70–$256.19	—	80%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 EDXR C-SPINE 2-3V	$83.89	$419.47	$36.70–$256.19	—	80%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 ED XR C-SPINE 2-3V	$83.89	$419.47	$36.70–$256.19	—	80%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 WS XR CERVICVAL SPINE OBLIQUES	$104.24	$521.19	$36.70–$286.65	—	80%
X-ray of the pelvis, 1 or 2 views CPT 72170 WS XR PELVIS (INLET/OUTLET VIEW)	$38.68	$193.38	$25.93–$359.78	88% below	80%
X-ray of the pelvis, 1 or 2 views CPT 72170 ES PELVIS JUDET VIEW	$43.33	$216.66	$25.93–$359.78	86% below	80%
X-ray of the pelvis, 1 or 2 views CPT 72170 ED XR PELVIS 1-2V	$56.55	$282.76	$25.93–$359.78	82% below	80%
X-ray of the pelvis, 1 or 2 views CPT 72170 RAD PELVIS 1-2VIEWS	$56.55	$282.76	$25.93–$359.78	82% below	80%
X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS 1-2VIEWS	$56.55	$282.76	$25.93–$359.78	82% below	80%
X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS 1-2V	$56.55	$282.76	$25.93–$359.78	82% below	80%
X-ray of the pelvis, 1 or 2 views CPT 72170 ED XR PELVIS 1-2VIEWS	$56.55	$282.76	$25.93–$359.78	82% below	80%
X-ray of the pelvis, 1 or 2 views CPT 72170 XRAY PELVIS 1-2VIEWS	$56.55	$282.76	$25.93–$359.78	82% below	80%
X-ray of the pelvis, 1 or 2 views CPT 72170 ED RAD PELVIS 1-2V	$56.55	$282.76	$25.93–$359.78	82% below	80%
X-ray of the pelvis, 1 or 2 views CPT 72170 XRAY PELVIS 1-2V	$56.55	$282.76	$25.93–$359.78	82% below	80%
X-ray of the pelvis, 1 or 2 views CPT 72170 NE XR PELVIS (INLET/OUTLET VIEW)	$79.39	$396.97	$25.93–$359.78	75% below	80%
X-ray of the pelvis, 1 or 2 views CPT 72170 SH XR PELVIS (INLET/OUTLET VIEW)	$84.95	$424.76	$25.93–$359.78	73% below	80%
X-ray of the pelvis, 1 or 2 views CPT 72170 XR RSI PELVIS AP (ROUTINE)	$86.67	$433.35	$25.93–$359.78	72% below	80%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 WS XR PELVIS (INLET/OUTLET VIEW)	$38.68	$193.38	$25.93–$359.78	—	80%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 ES PELVIS JUDET VIEW	$43.33	$216.66	$25.93–$359.78	—	80%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 RAD PELVIS 1-2VIEWS	$56.55	$282.76	$25.93–$359.78	—	80%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 ED XR PELVIS 1-2V	$56.55	$282.76	$25.93–$359.78	—	80%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR PELVIS 1-2VIEWS	$56.55	$282.76	$25.93–$359.78	—	80%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 ED XR PELVIS 1-2VIEWS	$56.55	$282.76	$25.93–$359.78	—	80%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 ED RAD PELVIS 1-2V	$56.55	$282.76	$25.93–$359.78	—	80%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XRAY PELVIS 1-2V	$56.55	$282.76	$25.93–$359.78	—	80%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XRAY PELVIS 1-2VIEWS	$56.55	$282.76	$25.93–$359.78	—	80%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR PELVIS 1-2V	$56.55	$282.76	$25.93–$359.78	—	80%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 NE XR PELVIS (INLET/OUTLET VIEW)	$79.39	$396.97	$25.93–$359.78	—	80%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 SH XR PELVIS (INLET/OUTLET VIEW)	$84.95	$424.76	$25.93–$359.78	—	80%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR RSI PELVIS AP (ROUTINE)	$86.67	$433.35	$25.93–$359.78	—	80%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR SACRUM/COCCX 2+VIEWS	$58.52	$292.61	$30.20–$256.19	81% below	80%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 ED XR SACRUM/COCCX 2+V	$58.52	$292.61	$30.20–$256.19	81% below	80%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR SACRUM/COCCX 2+VIEWS	$58.52	$292.61	$30.20–$256.19	—	80%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 ED XR SACRUM/COCCX 2+V	$58.52	$292.61	$30.20–$256.19	—	80%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Texas	Off list
ACTH blood test CPT 82024 SH SPC ADRENOCORTICOTROPIC ACTH	$33.92	$169.60	$13.90–$2,374.33	84% below	80%
ACTH blood test CPT 82024 SPC ADRENOCORTICOTROPIC ACTH	$35.62	$178.08	$13.90–$2,374.33	83% below	80%
ACTH blood test inpatient CPT 82024 SH SPC ADRENOCORTICOTROPIC ACTH	$33.92	$169.60	$13.90–$2,374.33	—	80%
ACTH blood test inpatient CPT 82024 SPC ADRENOCORTICOTROPIC ACTH	$35.62	$178.08	$13.90–$2,374.33	—	80%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 SH ALT/SGPT	$6.40	$32.00	$1.91–$154.60	87% below	80%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 SH ALT SGPT	$6.40	$32.00	$1.91–$23.11	87% below	80%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 LEN ALT/SGPT	$6.72	$33.60	$1.91–$305.96	87% below	80%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 NE ALT/SGPT	$6.72	$33.60	$1.91–$305.96	87% below	80%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT/SGPT	$6.72	$33.60	$1.91–$64.75	87% below	80%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT SGPT	$6.72	$33.60	$1.91–$64.75	87% below	80%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 YSL ALT/SGPT	$6.72	$33.60	$1.91–$305.96	87% below	80%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 LWS ALT/SGPT	$6.72	$33.60	$1.91–$305.96	87% below	80%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 LES ALT/SGPT	$6.72	$33.60	$1.91–$305.96	87% below	80%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 SPC ALT/SGPT	$9.07	$45.36	$1.91–$154.60	82% below	80%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 LEN ALT/GPT POC	$9.74	$48.72	$1.91–$305.96	81% below	80%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 SH ALT/SGPT	$6.40	$32.00	$1.91–$154.60	—	80%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 SH ALT SGPT	$6.40	$32.00	$1.91–$23.11	—	80%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 YSL ALT/SGPT	$6.72	$33.60	$1.91–$305.96	—	80%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT/SGPT	$6.72	$33.60	$1.91–$64.75	—	80%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 LEN ALT/SGPT	$6.72	$33.60	$1.91–$305.96	—	80%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT SGPT	$6.72	$33.60	$1.91–$64.75	—	80%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 LES ALT/SGPT	$6.72	$33.60	$1.91–$305.96	—	80%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 NE ALT/SGPT	$6.72	$33.60	$1.91–$305.96	—	80%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 LWS ALT/SGPT	$6.72	$33.60	$1.91–$305.96	—	80%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 SPC ALT/SGPT	$9.07	$45.36	$1.91–$154.60	—	80%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 LEN ALT/GPT POC	$9.74	$48.72	$1.91–$305.96	—	80%
AST (aspartate aminotransferase) enzyme test CPT 84450 SH CLIN CHEM AST/SGOT	$6.88	$34.40	$1.86–$36.92	87% below	80%
AST (aspartate aminotransferase) enzyme test CPT 84450 SH CHEM AST/SGOT	$6.88	$34.40	$1.86–$37.80	87% below	80%
AST (aspartate aminotransferase) enzyme test CPT 84450 NE AST/SGOT	$7.22	$36.12	$1.86–$43.46	86% below	80%
AST (aspartate aminotransferase) enzyme test CPT 84450 CLIN CHEM AST/SGOT	$7.22	$36.12	$1.86–$34.98	86% below	80%
AST (aspartate aminotransferase) enzyme test CPT 84450 YSL AST/SGOT	$7.22	$36.12	$1.86–$31.97	86% below	80%
AST (aspartate aminotransferase) enzyme test CPT 84450 CHEM AST/SGOT	$7.22	$36.12	$1.86–$51.23	86% below	80%
AST (aspartate aminotransferase) enzyme test CPT 84450 LES AST/SGOT	$7.22	$36.12	$1.86–$26.32	86% below	80%
AST (aspartate aminotransferase) enzyme test CPT 84450 LEN AST/SGOT	$7.22	$36.12	$1.86–$30.38	86% below	80%
AST (aspartate aminotransferase) enzyme test CPT 84450 LWS AST/SGOT	$7.22	$36.12	$1.86–$22.58	86% below	80%
AST (aspartate aminotransferase) enzyme test CPT 84450 LEN AST/GOT POC	$10.25	$51.24	$1.86–$128.14	80% below	80%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 SH CLIN CHEM AST/SGOT	$6.88	$34.40	$1.86–$36.92	—	80%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 SH CHEM AST/SGOT	$6.88	$34.40	$1.86–$37.80	—	80%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 CLIN CHEM AST/SGOT	$7.22	$36.12	$1.86–$34.98	—	80%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 CHEM AST/SGOT	$7.22	$36.12	$1.86–$51.23	—	80%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 YSL AST/SGOT	$7.22	$36.12	$1.86–$31.97	—	80%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 NE AST/SGOT	$7.22	$36.12	$1.86–$43.46	—	80%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 LWS AST/SGOT	$7.22	$36.12	$1.86–$22.58	—	80%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 LES AST/SGOT	$7.22	$36.12	$1.86–$26.32	—	80%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 LEN AST/SGOT	$7.22	$36.12	$1.86–$30.38	—	80%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 LEN AST/GOT POC	$10.25	$51.24	$1.86–$128.14	—	80%
Albumin blood test CPT 82040 SPC ALBUMIN SERUM	$3.52	$17.58	$1.78–$968.15	91% below	80%
Albumin blood test CPT 82040 SH CHEM ALBUMIN	$3.52	$17.60	$1.78–$2,374.33	91% below	80%
Albumin blood test CPT 82040 SH SPC ALBUMIN SERUM	$3.56	$17.78	$1.78–$1,064.11	90% below	80%
Albumin blood test CPT 82040 LES ALBUMIN SERUM	$4.49	$22.47	$1.78–$2,489.62	88% below	80%
Albumin blood test CPT 82040 YSLALBUMIN SERUM	$4.49	$22.47	$1.78–$2,374.33	88% below	80%
Albumin blood test CPT 82040 LWS ALBUMIN SERUM	$4.49	$22.47	$1.78–$2,489.62	88% below	80%
Albumin blood test CPT 82040 LEN ALBUMIN SERUM	$4.49	$22.47	$1.78–$2,374.33	88% below	80%
Albumin blood test CPT 82040 CHEM ALBUMIN	$4.49	$22.47	$1.78–$2,374.33	88% below	80%
Albumin blood test CPT 82040 NE ALBUMIN SERUM	$4.49	$22.47	$1.78–$2,374.33	88% below	80%
Albumin blood test CPT 82040 ALBUMIN SERUM/PLASMA/BLOOD	$7.81	$39.06	$1.78–$2,374.33	79% below	80%
Albumin blood test CPT 82040 LEN ALBUMIN POC	$8.23	$41.16	$1.78–$2,374.33	78% below	80%
Albumin blood test inpatient CPT 82040 SPC ALBUMIN SERUM	$3.52	$17.58	$1.78–$968.15	—	80%
Albumin blood test inpatient CPT 82040 SH CHEM ALBUMIN	$3.52	$17.60	$1.78–$2,374.33	—	80%
Albumin blood test inpatient CPT 82040 SH SPC ALBUMIN SERUM	$3.56	$17.78	$1.78–$1,064.11	—	80%
Albumin blood test inpatient CPT 82040 LWS ALBUMIN SERUM	$4.49	$22.47	$1.78–$2,489.62	—	80%
Albumin blood test inpatient CPT 82040 LEN ALBUMIN SERUM	$4.49	$22.47	$1.78–$2,374.33	—	80%
Albumin blood test inpatient CPT 82040 LES ALBUMIN SERUM	$4.49	$22.47	$1.78–$2,489.62	—	80%
Albumin blood test inpatient CPT 82040 NE ALBUMIN SERUM	$4.49	$22.47	$1.78–$2,374.33	—	80%
Albumin blood test inpatient CPT 82040 YSLALBUMIN SERUM	$4.49	$22.47	$1.78–$2,374.33	—	80%
Albumin blood test inpatient CPT 82040 CHEM ALBUMIN	$4.49	$22.47	$1.78–$2,374.33	—	80%
Albumin blood test inpatient CPT 82040 ALBUMIN SERUM/PLASMA/BLOOD	$7.81	$39.06	$1.78–$2,374.33	—	80%
Albumin blood test inpatient CPT 82040 LEN ALBUMIN POC	$8.23	$41.16	$1.78–$2,374.33	—	80%
Aldosterone blood test CPT 82088 SH SPC ALDOSTERONE SERUM	$11.05	$55.23	$14.67–$308.63	92% below	80%
Aldosterone blood test CPT 82088 SPC ALDOSTERONE SERUM	$11.96	$59.79	$14.67–$308.63	91% below	80%
Aldosterone blood test CPT 82088 SPC ALDOSTERONE	$17.64	$88.20	$14.67–$308.63	87% below	80%
Aldosterone blood test CPT 82088 SPC ALDOSTERONE URINE	$34.78	$173.88	$14.67–$308.63	74% below	80%
Aldosterone blood test CPT 82088 SH SPC ALDOSTERONE URINE	$40.16	$200.79	$14.67–$308.63	70% below	80%
Aldosterone blood test inpatient CPT 82088 SH SPC ALDOSTERONE SERUM	$11.05	$55.23	$14.67–$308.63	—	80%
Aldosterone blood test inpatient CPT 82088 SPC ALDOSTERONE SERUM	$11.96	$59.79	$14.67–$308.63	—	80%
Aldosterone blood test inpatient CPT 82088 SPC ALDOSTERONE	$17.64	$88.20	$14.67–$308.63	—	80%
Aldosterone blood test inpatient CPT 82088 SPC ALDOSTERONE URINE	$34.78	$173.88	$14.67–$308.63	—	80%
Aldosterone blood test inpatient CPT 82088 SH SPC ALDOSTERONE URINE	$40.16	$200.79	$14.67–$308.63	—	80%
Alkaline phosphatase (ALP) blood test CPT 84075 PHOSPHATASE ALKALINE	$6.21	$31.06	$1.86–$38.87	87% below	80%
Alkaline phosphatase (ALP) blood test CPT 84075 LEN ALK PHOS POC	$9.07	$45.36	$1.86–$48.41	81% below	80%
Alkaline phosphatase (ALP) blood test CPT 84075 SH CHEM PHOSPHATASE ALKALINE	$22.60	$113.00	$1.86–$81.28	53% below	80%
Alkaline phosphatase (ALP) blood test CPT 84075 SH CLIN CHEM PHOSPHATASE ALKALINE	$22.60	$113.00	$1.86–$81.28	53% below	80%
Alkaline phosphatase (ALP) blood test CPT 84075 LWS PHOSPHATASE ALKALINE	$25.20	$126.00	$1.86–$35.51	47% below	80%
Alkaline phosphatase (ALP) blood test CPT 84075 CLIN CHEM PHOSPHATASE ALKALINE	$25.20	$126.00	$1.04–$22.58	47% below	80%
Alkaline phosphatase (ALP) blood test CPT 84075 CHEM PHOSPHATASE ALKALINE	$25.20	$126.00	$1.86–$81.28	47% below	80%
Alkaline phosphatase (ALP) blood test CPT 84075 YSL PHOSPHATASE ALKALINE	$25.20	$126.00	$1.86–$132.52	47% below	80%
Alkaline phosphatase (ALP) blood test CPT 84075 NE NE PHOSPHATASE ALKALINE	$25.20	$126.00	$1.86–$30.92	47% below	80%
Alkaline phosphatase (ALP) blood test CPT 84075 LES PHOSPHATASE ALKALINE	$25.20	$126.00	$1.86–$37.80	47% below	80%
Alkaline phosphatase (ALP) blood test CPT 84075 LEN PHOSPHATASE ALKALINE	$25.20	$126.00	$1.86–$36.04	47% below	80%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 PHOSPHATASE ALKALINE	$6.21	$31.06	$1.86–$38.87	—	80%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 LEN ALK PHOS POC	$9.07	$45.36	$1.86–$48.41	—	80%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 SH CHEM PHOSPHATASE ALKALINE	$22.60	$113.00	$1.86–$81.28	—	80%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 SH CLIN CHEM PHOSPHATASE ALKALINE	$22.60	$113.00	$1.86–$81.28	—	80%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 NE NE PHOSPHATASE ALKALINE	$25.20	$126.00	$1.86–$30.92	—	80%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 YSL PHOSPHATASE ALKALINE	$25.20	$126.00	$1.86–$132.52	—	80%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 LEN PHOSPHATASE ALKALINE	$25.20	$126.00	$1.86–$36.04	—	80%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 CHEM PHOSPHATASE ALKALINE	$25.20	$126.00	$1.86–$81.28	—	80%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 CLIN CHEM PHOSPHATASE ALKALINE	$25.20	$126.00	$1.04–$22.58	—	80%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 LES PHOSPHATASE ALKALINE	$25.20	$126.00	$1.86–$37.80	—	80%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 LWS PHOSPHATASE ALKALINE	$25.20	$126.00	$1.86–$35.51	—	80%
Allergy blood test, specific IgE, per allergen CPT 86003 SPC RAST ALLERG IGE QN SQ EA48	$1.07	$5.34	$1.88–$1,530.70	96% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 SPC RAST ALLERG IGE QN SQ EA44	$1.12	$5.61	$1.88–$1,530.70	95% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 SPC RAST ALLERG IGE QN SQ EA43	$1.12	$5.61	$1.88–$1,530.70	95% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 SPC RAST ALLERG IGE QN SQ EA49	$1.12	$5.61	$1.88–$1,530.70	95% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 SPC RAST ALLERG IGE QN SQ EA47	$1.12	$5.61	$1.88–$1,530.70	95% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 SPC RAST ALLERG IGE QN SQ EA29	$1.48	$7.40	$1.88–$1,530.70	94% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 SPC RAST ALLERG IGE QN SQ EA55	$1.48	$7.40	$1.88–$1,530.70	94% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 SPC RAST ALLERG IGE QN SQ EA50	$1.48	$7.40	$1.88–$1,530.70	94% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 SPC RAST ALLERG IGE QN SQ EA52	$1.55	$7.77	$1.88–$1,530.70	94% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 SPC RAST ALLERG IGE QN SQ EA31	$1.55	$7.77	$1.88–$1,530.70	94% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 SPC RAST ALLERG IGE QN SQ EA32	$1.55	$7.77	$1.88–$1,530.70	94% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 SPC RAST ALLERG IGE QN SQ EA33	$1.55	$7.77	$1.88–$1,530.70	94% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 SPC RAST ALLERG IGE QN SQ EA36	$1.55	$7.77	$1.88–$1,530.70	94% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 SPC RAST ALLERG IGE QN SQ EA37	$1.55	$7.77	$1.88–$1,530.70	94% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 SPC RAST ALLERG IGE QN SQ EA38	$1.55	$7.77	$1.88–$1,530.70	94% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 SPC RAST ALLERG IGE QN SQ EA51	$1.55	$7.77	$1.88–$1,530.70	94% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 SPC RAST ALLERG IGE QN SQ EA57	$1.55	$7.77	$1.88–$1,530.70	94% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 SPC RAST ALLERG IGE QN SQ EA53	$1.55	$7.77	$1.88–$1,530.70	94% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 SPC RAST ALLERG IGE QN SQ EA54	$1.55	$7.77	$1.88–$1,530.70	94% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 SPC RAST ALLERG IGE QN SQ EA58	$1.55	$7.77	$1.88–$1,530.70	94% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 SPC RAST ALLERG IGE QN SQ EA59	$1.55	$7.77	$1.88–$1,530.70	94% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 SH SPC RAST ALLERG IGE QN SQ EA2	$1.58	$7.92	$1.88–$947.28	93% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 SH SPC RAST ALLERG IGE QN SQ EA5	$1.60	$8.00	$1.88–$120.30	93% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 SH SPC RAST ALLERG IGE QN SQ EA4	$1.60	$8.00	$1.88–$947.28	93% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 SPC RAST ALLERG IGE QN SQ EA2	$1.66	$8.32	$1.88–$947.28	93% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 SPC RAST ALLERG IGE QN SQ EA7	$1.66	$8.32	$1.88–$947.28	93% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 SPC RAST ALLERG IGE QN SQ EA9	$1.66	$8.32	$1.88–$947.28	93% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 SPC RAST ALLERG IGE QN SQ EA10	$1.66	$8.32	$1.88–$947.28	93% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 SPC RAST ALLERG IGE QN SQ EA11	$1.66	$8.32	$1.88–$947.28	93% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 SPC RAST ALLERG IGE QN SQ EA12	$1.66	$8.32	$1.88–$63.60	93% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 SPC RAST ALLERG IGE QN SQ EA13	$1.66	$8.32	$1.88–$82.68	93% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 SPC RAST ALLERG IGE QN SQ EA14	$1.66	$8.32	$1.88–$947.28	93% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 SPC RAST ALLERG IGE QN SQ EA15	$1.66	$8.32	$1.88–$947.28	93% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 SH SPC RAST ALLERG IGE QN SQ EA	$1.67	$8.37	$1.88–$947.28	93% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 SH SPC RAST ALLERG IGE QN SQ EA1	$1.67	$8.37	$1.88–$947.28	93% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 SH SPC RAST ALLERG IGE QN SQ EA6	$1.67	$8.37	$1.88–$947.28	93% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 SPC RAST ALLERG IGE QN SQ EA4	$1.68	$8.40	$1.88–$110.59	93% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 SPC RAST ALLERG IGE QN SQ EA5	$1.68	$8.40	$1.88–$947.28	93% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 SPC RAST ALLERG IGE QN SQ EA	$1.76	$8.78	$1.88–$947.28	93% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 SPC RAST ALLERG IGE QN SQ EA6	$1.76	$8.78	$1.88–$947.28	93% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 SPC RAST ALLERG IGE QN SQ EA1	$1.76	$8.78	$1.88–$115.18	93% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 SPC RAST ALLERG IGE QN SQ EA24	$1.99	$9.96	$1.88–$1,530.70	92% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 ASPARAGUS IGE	$2.08	$10.40	$1.88–$333.26	91% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 BANANA IGE	$2.08	$10.40	$1.88–$333.26	91% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 APPLE IGE	$2.08	$10.40	$1.88–$333.26	91% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 AVOCADO IGE	$2.08	$10.40	$1.88–$180.20	91% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 BRUSSEL SPROUTS IGE	$2.08	$10.40	$1.88–$39.75	91% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 CARROT IGE	$2.08	$10.40	$1.88–$609.59	91% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 BARLEY IGE	$2.08	$10.40	$1.88–$609.59	91% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 BROCCOLI IGE	$2.08	$10.40	$1.88–$177.54	91% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 SPC RAST ALLERG IGE QN SQ EA61	$2.09	$10.46	$1.88–$1,530.70	91% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 SPC RAST ALLERG IGE QN SQ EA64	$2.09	$10.46	$1.88–$1,530.70	91% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 SPC RAST ALLERG IGE QN SQ EA28	$2.09	$10.46	$1.88–$1,530.70	91% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 SPC RAST ALLERG IGE QN SQ EA63	$2.09	$10.46	$1.88–$1,530.70	91% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 SPC RAST ALLERG IGE QN SQ EA65	$2.09	$10.46	$1.88–$947.28	91% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 SPC RAST ALLERG IGE QN SQ EA62	$2.09	$10.46	$1.88–$1,530.70	91% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 SPC RAST ALLERG IGE QN SQ EA27	$2.09	$10.46	$1.88–$1,530.70	91% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 SPC RAST ALLERG IGE QN SQ EA25	$2.09	$10.46	$1.88–$1,530.70	91% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 SPC RAST ALLERG IGE QN SQ EA18	$2.09	$10.44	$1.88–$1,530.70	91% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 SPC RAST ALLERG IGE QN SQ EA68	$2.09	$10.46	$1.88–$947.28	91% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 SPC RAST ALLERG IGE QN SQ EA17	$2.09	$10.44	$1.88–$1,530.70	91% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 SPC RAST ALLERG IGE QN SQ EA69	$2.09	$10.46	$1.88–$947.28	91% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 SPC RAST ALLERG IGE QN SQ EA60	$2.09	$10.46	$1.88–$1,530.70	91% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 SPC RAST ALLERG IGE QN SQ EA26	$2.09	$10.46	$1.88–$1,530.70	91% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 SPC RAST ALLERG IGE QN SQ EA67	$2.09	$10.46	$1.88–$947.28	91% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 ABALONE IGE	$2.60	$13.00	$1.88–$53.37	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 ALTERNARIA ALTERNATA (M6)	$2.60	$13.00	$1.88–$45.45	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 CAT DANDER (E1)	$2.60	$13.00	$1.88–$22.76	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 CLADOSPORIUM HERBARUM (M2)	$2.60	$13.00	$1.88–$151.55	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 COCKROACH (I6)	$2.60	$13.00	$1.88–$23.14	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 DERMATOPHAGOIDES FARINAE?(D2)	$2.60	$13.00	$1.88–$151.55	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 DERMATOPHAGOIDES PTERONYSSINUS?(D1)	$2.60	$13.00	$1.88–$151.55	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 DOG DANDER (E5)	$2.60	$13.00	$1.88–$67.72	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 MOUSE URINE PROTEINS (E72)	$2.60	$13.00	$1.88–$34.22	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 CASHEW NUT IGE	$2.60	$13.00	$1.88–$34.22	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 CATFISH IGE	$2.60	$13.00	$1.88–$67.72	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 CAULIFLOWER IGE	$2.60	$13.00	$1.88–$22.76	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 ASPERGILLUS FUMIGATUS IGE	$2.60	$13.00	$1.88–$524.29	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 PENICILLIUM NOTATUM IGE	$2.60	$13.00	$1.88–$271.50	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 MUCOR RACEMOSUS IGE	$2.60	$13.00	$1.88–$615.50	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 WILD RYE GRASS IGE	$2.60	$13.00	$1.88–$625.03	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 VELVET GRASS IGE	$2.60	$13.00	$1.88–$273.26	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 TIMOTHY GRASS IGE	$2.60	$13.00	$1.88–$256.15	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 SWEET VERNAL GRASS IGE	$2.60	$13.00	$1.88–$362.70	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 RED TOP GRASS IGE	$2.60	$13.00	$1.88–$310.13	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 PERENNIAL RYE GRASS IGE	$2.60	$13.00	$1.88–$894.76	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 ORCHARD GRASS (COCKSFOOT) IGE	$2.60	$13.00	$1.88–$808.49	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 MEADOW FOXTAIL IGE	$2.60	$13.00	$1.88–$224.75	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 MEADOW FESCUE IGE	$2.60	$13.00	$1.88–$1,038.00	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 JUNE GRASS (KENTUCKY BLUE) IGE	$2.60	$13.00	$1.88–$711.47	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 JOHNSON GRASS IGE	$2.60	$13.00	$1.88–$885.06	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 CULTIVATED WHEAT IGE	$2.60	$13.00	$1.88–$363.05	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 CULTIVATED RYE GRASS IGE	$2.60	$13.00	$1.88–$363.41	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 CHERRY IGE	$2.60	$13.00	$1.88–$22.76	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 CHESTNUT IGE	$2.60	$13.00	$1.88–$22.76	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 CHICKEN MEAT IGE	$2.60	$13.00	$1.88–$67.72	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 CHICK PEA IGE	$2.60	$13.00	$1.88–$123.89	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 CLAM IGE	$2.60	$13.00	$1.88–$123.89	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 COCONUT IGE	$2.60	$13.00	$1.88–$123.89	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 CODFISH IGE	$2.60	$13.00	$1.88–$51.58	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 MAIZE/CORN IGE	$2.60	$13.00	$1.88–$22.76	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 CRAB IGE	$2.60	$13.00	$1.88–$22.76	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 CRAYFISH IGE	$2.60	$13.00	$1.88–$22.76	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 CULTIVATED OAT IGE	$2.60	$13.00	$1.88–$391.99	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 CUCUMBER IGE	$2.60	$13.00	$1.88–$22.76	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 CORN, GRASS IGE	$2.60	$13.00	$1.88–$334.65	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 EGG WHITE IGE	$2.60	$13.00	$1.88–$26.93	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 COMMON REED IGE	$2.60	$13.00	$1.88–$645.49	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 EGG YOLK IGE	$2.60	$13.00	$1.88–$26.93	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 GARLIC IGE	$2.60	$13.00	$1.88–$26.93	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 GINGER IGE	$2.60	$13.00	$1.88–$26.93	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 GOAT MILK IGE	$2.60	$13.00	$1.88–$26.93	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 GRAPE IGE	$2.60	$13.00	$1.88–$26.93	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 GRAPEFRUIT IGE	$2.60	$13.00	$1.88–$26.93	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 GREEN BEAN IGE	$2.60	$13.00	$1.88–$26.93	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 GUAR BEAN GUM IGE	$2.60	$13.00	$1.88–$26.93	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 HAZELNUT IGE	$2.60	$13.00	$1.88–$26.93	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 HERRING IGE	$2.60	$13.00	$1.88–$26.93	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 KIWI FRUIT IGE	$2.60	$13.00	$1.88–$26.93	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 LAMB IGE	$2.60	$13.00	$1.88–$26.93	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 LOBSTER IGE	$2.60	$13.00	$1.88–$26.93	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 MACADAMIA NUT IGE	$2.60	$13.00	$1.88–$26.93	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 MACKEREL IGE	$2.60	$13.00	$1.88–$26.93	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 MANGO FRUIT IGE	$2.60	$13.00	$1.88–$26.93	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 OAT IGE	$2.60	$13.00	$1.88–$26.93	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 OCTOPUS IGE	$2.60	$13.00	$1.88–$53.37	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 ONION IGE	$2.60	$13.00	$1.88–$53.37	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 PAPAYA IGE	$2.60	$13.00	$1.88–$53.37	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 PEA IGE	$2.60	$13.00	$1.88–$53.37	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 PEACH IGE	$2.60	$13.00	$1.88–$53.37	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 PECAN NUT IGE	$2.60	$13.00	$1.88–$53.37	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 PINE NUT IGE	$2.60	$13.00	$1.88–$53.37	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 PINEAPPLE IGE	$2.60	$13.00	$1.88–$53.37	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 PISTACHIO IGE	$2.60	$13.00	$1.88–$53.37	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 PLUM IGE	$2.60	$13.00	$1.88–$53.37	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 POTATO IGE	$2.60	$13.00	$1.88–$53.37	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 PUMPKIN IGE	$2.60	$13.00	$1.88–$53.37	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 CANARY GRASS IGE	$2.60	$13.00	$1.88–$547.76	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 BROME GRASS IGE	$2.60	$13.00	$1.88–$512.12	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 BERMUDA GRASS IGE	$2.60	$13.00	$1.88–$699.65	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 BARLEY POLLEN IGE	$2.60	$13.00	$1.88–$543.70	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 BAHIA GRASS IGE	$2.60	$13.00	$1.88–$1,039.24	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 YEAST IGE	$2.60	$13.00	$1.88–$717.64	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 WHITE BEAN IGE	$2.60	$13.00	$1.88–$829.84	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 WATERMELON IGE	$2.60	$13.00	$1.88–$744.10	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 VANILLA IGE	$2.60	$13.00	$1.88–$747.81	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 THYME IGE	$2.60	$13.00	$1.88–$1,267.69	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 TEA IGE	$2.60	$13.00	$1.88–$1,177.55	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 TARRAGON IGE	$2.60	$13.00	$1.88–$1,076.29	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 SQUID IGE	$2.60	$13.00	$1.88–$865.48	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 SPINACH IGE	$2.60	$13.00	$1.88–$769.15	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 SOLE IGE	$2.60	$13.00	$1.88–$1,436.87	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 SNAIL IGE	$2.60	$13.00	$1.88–$1,324.68	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 SARDINE/PILCHARD IGE	$2.60	$13.00	$1.88–$1,105.04	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 RICE IGE	$2.60	$13.00	$1.88–$996.02	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 RYE IGE	$2.60	$13.00	$1.88–$53.37	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 SALMON IGE	$2.60	$13.00	$1.88–$53.37	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 SCALLOP IGE	$2.60	$13.00	$1.88–$53.37	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 SESAME SEED IGE	$2.60	$13.00	$1.88–$53.37	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 SHEEP MILK IGE	$2.60	$13.00	$1.88–$53.37	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 SHRIMP IGE	$2.60	$13.00	$1.88–$53.37	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 SOYBEAN IGE	$2.60	$13.00	$1.88–$53.37	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 STRAWBERRY IGE	$2.60	$13.00	$1.88–$53.37	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 RED KIDNEY BEAN IGE	$2.60	$13.00	$1.88–$925.81	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 RASPBERRY IGE	$2.60	$13.00	$1.88–$896.88	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 RAPE SEED IGE	$2.60	$13.00	$1.88–$848.19	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 RABBIT IGE	$2.60	$13.00	$1.88–$815.73	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 QUINOA IGE	$2.60	$13.00	$1.88–$746.57	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 PUMPKIN SEED IGE	$2.60	$13.00	$1.88–$715.53	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 POPPY SEED IGE	$2.60	$13.00	$1.88–$696.12	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 PERSIMMON (KAKI FRUIT) IGE	$2.60	$13.00	$1.88–$619.56	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 PEAR IGE	$2.60	$13.00	$1.88–$25.76	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 PEANUT IGE	$2.60	$13.00	$1.88–$1,453.28	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 PASSION FRUIT IGE	$2.60	$13.00	$1.88–$1,396.12	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 PARSLEY IGE	$2.60	$13.00	$1.88–$1,359.07	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 PAPRIKA/SWEET PEPPER IGE	$2.60	$13.00	$1.88–$1,406.53	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 SWEET POTATO IGE	$2.60	$13.00	$1.88–$53.37	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 SWORDFISH IGE	$2.60	$13.00	$1.88–$53.37	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 TOMATO IGE	$2.60	$13.00	$1.88–$53.37	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 TROUT IGE	$2.60	$13.00	$1.88–$53.37	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 TUNA IGE	$2.60	$13.00	$1.88–$53.37	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 PACIFIC SQUID IGE	$2.60	$13.00	$1.88–$1,342.85	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 OYSTER IGE	$2.60	$13.00	$1.88–$1,264.69	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 OREGANO IGE	$2.60	$13.00	$1.88–$923.87	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 ORANGE IGE	$2.60	$13.00	$1.88–$1,054.59	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 NUTMEG IGE	$2.60	$13.00	$1.88–$1,052.82	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 MUSTARD IGE	$2.60	$13.00	$1.88–$2,025.03	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 MUSHROOM IGE	$2.60	$13.00	$1.88–$1,673.97	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 MINT?(MENTHA PIPERITA) IGE	$2.60	$13.00	$1.88–$1,405.82	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 COW\'S MILK IGE	$2.60	$13.00	$1.88–$446.67	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 MELONS IGE	$2.60	$13.00	$1.88–$256.33	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 MANDARIN (TANGERINE) IGE	$2.60	$13.00	$1.88–$1,035.18	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 MALT IGE	$2.60	$13.00	$1.88–$1,115.27	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 LUPINE SEED IGE	$2.60	$13.00	$1.88–$905.70	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 LOBSTER, SPINY IGE	$2.60	$13.00	$1.88–$1,397.36	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 LIME IGE	$2.60	$13.00	$1.88–$797.73	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 LIMA BEAN IGE	$2.60	$13.00	$1.88–$611.80	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 LETTUCE IGE	$2.60	$13.00	$1.88–$577.39	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 WALNUT IGE	$2.60	$13.00	$1.88–$53.37	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 WHEAT IGE	$2.60	$13.00	$1.88–$53.37	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 WHEY IGE	$2.60	$13.00	$1.88–$53.37	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 LENTILS IGE	$2.60	$13.00	$1.88–$41.63	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 LEMON IGE	$2.60	$13.00	$1.88–$1,165.90	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 GUM ARABIC IGE	$2.60	$13.00	$1.88–$1,155.67	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 GREEN PEPPER (UNRIPE) IGE	$2.60	$13.00	$1.88–$1,168.02	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 GLUTEN IGE	$2.60	$13.00	$1.88–$140.42	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 FLAXSEED IGE	$2.60	$13.00	$1.88–$360.59	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 FIG?(FICUS CARICA) IGE	$2.60	$13.00	$1.88–$399.40	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 EGGPLANT IGE	$2.60	$13.00	$1.88–$294.43	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 EGG MIX (YOLK & WHITE) IGE	$2.60	$13.00	$1.88–$467.54	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 DILL IGE	$2.60	$13.00	$1.88–$418.93	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 DATE IGE	$2.60	$13.00	$1.88–$90.05	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 CORIANDER/CILANTRO IGE	$2.60	$13.00	$1.88–$262.60	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 COMMON MILLET IGE	$2.60	$13.00	$1.88–$262.60	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 COFFEE IGE	$2.60	$13.00	$1.88–$262.60	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 COCOA IGE	$2.60	$13.00	$1.88–$32.50	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 CLOVE IGE	$2.60	$13.00	$1.88–$34.80	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 CINNAMON IGE	$2.60	$13.00	$1.88–$22.76	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 CHUB MACKEREL IGE	$2.60	$13.00	$1.88–$22.76	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 CHEESE MOLD TYPE IGE	$2.60	$13.00	$1.88–$22.76	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 CHEDDAR CHEESE IGE	$2.60	$13.00	$1.88–$177.98	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 CELERY IGE	$2.60	$13.00	$1.88–$177.98	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 CAROB IGE	$2.60	$13.00	$1.88–$177.98	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 CARAWAY?(CARUM CARVI) IGE	$2.60	$13.00	$1.88–$177.98	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 CABBAGE IGE	$2.60	$13.00	$1.88–$177.98	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 BUCKWHEAT IGE	$2.60	$13.00	$1.88–$177.98	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 BRAZIL NUT IGE	$2.60	$13.00	$1.88–$177.98	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 BLUEBERRY IGE	$2.60	$13.00	$1.88–$177.98	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 BLUE MUSSEL IGE	$2.60	$13.00	$1.88–$177.98	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 BLACKBERRY IGE	$2.60	$13.00	$1.88–$177.98	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 BLACK PEPPER IGE	$2.60	$13.00	$1.88–$177.98	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 BLACK OLIVE IGE	$2.60	$13.00	$1.88–$177.98	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 BEETROOT (BETA VULGARIS) IGE	$2.60	$13.00	$1.88–$177.98	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 BASIL IGE	$2.60	$13.00	$1.88–$177.98	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 APRICOT IGE	$2.60	$13.00	$1.88–$177.98	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 ANISE IGE	$2.60	$13.00	$1.88–$177.98	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 ANCHOVY IGE	$2.60	$13.00	$1.88–$177.98	89% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 COCHINEAL EXTRACT?(DACTYLOPIUS COCCUS) IGE	$3.40	$17.00	$1.88–$177.98	86% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 SH SPC RAST ALLERG IGE QN SQ EA72	$3.52	$17.60	$1.88–$947.28	85% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 SH SPC RAST ALLERG IGE QN SQ EA70	$3.52	$17.60	$1.88–$947.28	85% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 SPC RAST ALLERG IGE QN SQ EA72	$3.70	$18.48	$1.88–$114.47	85% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 SPC RAST ALLERG IGE QN SQ EA70	$3.70	$18.48	$1.88–$947.28	85% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 SH RAST ALLERG IGE QN SQ EA	$3.70	$18.52	$1.88–$947.28	85% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST ALLERG IGE QN SQ EA	$3.89	$19.45	$1.88–$947.28	84% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 SPC RAST ALLERG IGE QN SQ EA20	$4.41	$22.07	$1.88–$1,530.70	82% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 SPC RAST ALLERG IGE QN SQ EA75	$4.41	$22.07	$1.88–$114.07	82% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 SPC INFLIXMAB RECOMBINANT IGE	$4.79	$23.94	$1.88–$29.60	80% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 SH SPC RAST ALLERG IGE QN SQ EA3	$5.84	$29.20	$1.88–$947.28	76% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 SPC RAST ALLERG IGE QN SQ EA3	$6.13	$30.66	$1.88–$947.28	74% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 SH SPC RAST ALLERG IGE QN SQ EA71	$6.76	$33.81	$1.88–$43.11	72% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 SPC RAST ALLERG IGE QN SQ EA71	$7.10	$35.50	$1.88–$947.28	70% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 SPC RAST ALLERG IGE QN SQ EA73	$7.24	$36.18	$1.88–$333.26	70% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 SPC RAST ALLERG IGE QN SQ EA74	$7.77	$38.85	$1.88–$186.92	68% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 TILAPIA IGE	$8.60	$43.00	$1.88–$847.83	64% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 OVALBUMIN IGE	$9.00	$45.00	$1.88–$1,423.46	62% below	80%
Allergy blood test, specific IgE, per allergen CPT 86003 NHC NE APP SPLINT FNGR STATIC#PF#	$44.00	$220.00	$4.60–$210.00	83% above	80%
Allergy blood test, specific IgE, per allergen CPT 86003 NHC NE APP SPLINT ARM SHORT #PF#	$282.00	$1,410.00	$4.60–$888.30	1075% above	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SPC RAST ALLERG IGE QN SQ EA48	$1.07	$5.34	$1.88–$1,530.70	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SPC RAST ALLERG IGE QN SQ EA44	$1.12	$5.61	$1.88–$1,530.70	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SPC RAST ALLERG IGE QN SQ EA43	$1.12	$5.61	$1.88–$1,530.70	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SPC RAST ALLERG IGE QN SQ EA47	$1.12	$5.61	$1.88–$1,530.70	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SPC RAST ALLERG IGE QN SQ EA49	$1.12	$5.61	$1.88–$1,530.70	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SPC RAST ALLERG IGE QN SQ EA55	$1.48	$7.40	$1.88–$1,530.70	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SPC RAST ALLERG IGE QN SQ EA50	$1.48	$7.40	$1.88–$1,530.70	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SPC RAST ALLERG IGE QN SQ EA29	$1.48	$7.40	$1.88–$1,530.70	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SPC RAST ALLERG IGE QN SQ EA52	$1.55	$7.77	$1.88–$1,530.70	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SPC RAST ALLERG IGE QN SQ EA33	$1.55	$7.77	$1.88–$1,530.70	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SPC RAST ALLERG IGE QN SQ EA36	$1.55	$7.77	$1.88–$1,530.70	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SPC RAST ALLERG IGE QN SQ EA53	$1.55	$7.77	$1.88–$1,530.70	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SPC RAST ALLERG IGE QN SQ EA32	$1.55	$7.77	$1.88–$1,530.70	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SPC RAST ALLERG IGE QN SQ EA38	$1.55	$7.77	$1.88–$1,530.70	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SPC RAST ALLERG IGE QN SQ EA57	$1.55	$7.77	$1.88–$1,530.70	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SPC RAST ALLERG IGE QN SQ EA58	$1.55	$7.77	$1.88–$1,530.70	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SPC RAST ALLERG IGE QN SQ EA37	$1.55	$7.77	$1.88–$1,530.70	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SPC RAST ALLERG IGE QN SQ EA59	$1.55	$7.77	$1.88–$1,530.70	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SPC RAST ALLERG IGE QN SQ EA54	$1.55	$7.77	$1.88–$1,530.70	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SPC RAST ALLERG IGE QN SQ EA51	$1.55	$7.77	$1.88–$1,530.70	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SPC RAST ALLERG IGE QN SQ EA31	$1.55	$7.77	$1.88–$1,530.70	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SH SPC RAST ALLERG IGE QN SQ EA2	$1.58	$7.92	$1.88–$947.28	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SH SPC RAST ALLERG IGE QN SQ EA5	$1.60	$8.00	$1.88–$120.30	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SH SPC RAST ALLERG IGE QN SQ EA4	$1.60	$8.00	$1.88–$947.28	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SPC RAST ALLERG IGE QN SQ EA9	$1.66	$8.32	$1.88–$947.28	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SPC RAST ALLERG IGE QN SQ EA11	$1.66	$8.32	$1.88–$947.28	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SPC RAST ALLERG IGE QN SQ EA10	$1.66	$8.32	$1.88–$947.28	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SPC RAST ALLERG IGE QN SQ EA13	$1.66	$8.32	$1.88–$82.68	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SPC RAST ALLERG IGE QN SQ EA12	$1.66	$8.32	$1.88–$63.60	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SPC RAST ALLERG IGE QN SQ EA2	$1.66	$8.32	$1.88–$947.28	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SPC RAST ALLERG IGE QN SQ EA15	$1.66	$8.32	$1.88–$947.28	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SPC RAST ALLERG IGE QN SQ EA14	$1.66	$8.32	$1.88–$947.28	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SPC RAST ALLERG IGE QN SQ EA7	$1.66	$8.32	$1.88–$947.28	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SH SPC RAST ALLERG IGE QN SQ EA6	$1.67	$8.37	$1.88–$947.28	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SH SPC RAST ALLERG IGE QN SQ EA	$1.67	$8.37	$1.88–$947.28	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SH SPC RAST ALLERG IGE QN SQ EA1	$1.67	$8.37	$1.88–$947.28	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SPC RAST ALLERG IGE QN SQ EA4	$1.68	$8.40	$1.88–$110.59	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SPC RAST ALLERG IGE QN SQ EA5	$1.68	$8.40	$1.88–$947.28	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SPC RAST ALLERG IGE QN SQ EA	$1.76	$8.78	$1.88–$947.28	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SPC RAST ALLERG IGE QN SQ EA1	$1.76	$8.78	$1.88–$115.18	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SPC RAST ALLERG IGE QN SQ EA6	$1.76	$8.78	$1.88–$947.28	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SPC RAST ALLERG IGE QN SQ EA24	$1.99	$9.96	$1.88–$1,530.70	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BROCCOLI IGE	$2.08	$10.40	$1.88–$177.54	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BANANA IGE	$2.08	$10.40	$1.88–$333.26	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 APPLE IGE	$2.08	$10.40	$1.88–$333.26	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ASPARAGUS IGE	$2.08	$10.40	$1.88–$333.26	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CARROT IGE	$2.08	$10.40	$1.88–$609.59	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BRUSSEL SPROUTS IGE	$2.08	$10.40	$1.88–$39.75	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 AVOCADO IGE	$2.08	$10.40	$1.88–$180.20	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BARLEY IGE	$2.08	$10.40	$1.88–$609.59	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SPC RAST ALLERG IGE QN SQ EA63	$2.09	$10.46	$1.88–$1,530.70	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SPC RAST ALLERG IGE QN SQ EA61	$2.09	$10.46	$1.88–$1,530.70	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SPC RAST ALLERG IGE QN SQ EA25	$2.09	$10.46	$1.88–$1,530.70	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SPC RAST ALLERG IGE QN SQ EA60	$2.09	$10.46	$1.88–$1,530.70	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SPC RAST ALLERG IGE QN SQ EA26	$2.09	$10.46	$1.88–$1,530.70	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SPC RAST ALLERG IGE QN SQ EA27	$2.09	$10.46	$1.88–$1,530.70	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SPC RAST ALLERG IGE QN SQ EA28	$2.09	$10.46	$1.88–$1,530.70	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SPC RAST ALLERG IGE QN SQ EA65	$2.09	$10.46	$1.88–$947.28	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SPC RAST ALLERG IGE QN SQ EA67	$2.09	$10.46	$1.88–$947.28	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SPC RAST ALLERG IGE QN SQ EA69	$2.09	$10.46	$1.88–$947.28	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SPC RAST ALLERG IGE QN SQ EA17	$2.09	$10.44	$1.88–$1,530.70	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SPC RAST ALLERG IGE QN SQ EA18	$2.09	$10.44	$1.88–$1,530.70	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SPC RAST ALLERG IGE QN SQ EA68	$2.09	$10.46	$1.88–$947.28	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SPC RAST ALLERG IGE QN SQ EA64	$2.09	$10.46	$1.88–$1,530.70	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SPC RAST ALLERG IGE QN SQ EA62	$2.09	$10.46	$1.88–$1,530.70	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LIME IGE	$2.60	$13.00	$1.88–$797.73	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 THYME IGE	$2.60	$13.00	$1.88–$1,267.69	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ANISE IGE	$2.60	$13.00	$1.88–$177.98	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TEA IGE	$2.60	$13.00	$1.88–$1,177.55	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LIMA BEAN IGE	$2.60	$13.00	$1.88–$611.80	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TARRAGON IGE	$2.60	$13.00	$1.88–$1,076.29	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHUB MACKEREL IGE	$2.60	$13.00	$1.88–$22.76	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SQUID IGE	$2.60	$13.00	$1.88–$865.48	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LETTUCE IGE	$2.60	$13.00	$1.88–$577.39	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SPINACH IGE	$2.60	$13.00	$1.88–$769.15	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BLUE MUSSEL IGE	$2.60	$13.00	$1.88–$177.98	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SOLE IGE	$2.60	$13.00	$1.88–$1,436.87	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LENTILS IGE	$2.60	$13.00	$1.88–$41.63	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SNAIL IGE	$2.60	$13.00	$1.88–$1,324.68	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SARDINE/PILCHARD IGE	$2.60	$13.00	$1.88–$1,105.04	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RICE IGE	$2.60	$13.00	$1.88–$996.02	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RED KIDNEY BEAN IGE	$2.60	$13.00	$1.88–$925.81	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RYE IGE	$2.60	$13.00	$1.88–$53.37	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TUNA IGE	$2.60	$13.00	$1.88–$53.37	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SALMON IGE	$2.60	$13.00	$1.88–$53.37	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHEESE MOLD TYPE IGE	$2.60	$13.00	$1.88–$22.76	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SCALLOP IGE	$2.60	$13.00	$1.88–$53.37	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WALNUT IGE	$2.60	$13.00	$1.88–$53.37	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SESAME SEED IGE	$2.60	$13.00	$1.88–$53.37	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BASIL IGE	$2.60	$13.00	$1.88–$177.98	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SHEEP MILK IGE	$2.60	$13.00	$1.88–$53.37	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WHEAT IGE	$2.60	$13.00	$1.88–$53.37	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SHRIMP IGE	$2.60	$13.00	$1.88–$53.37	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHEDDAR CHEESE IGE	$2.60	$13.00	$1.88–$177.98	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SOYBEAN IGE	$2.60	$13.00	$1.88–$53.37	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WHEY IGE	$2.60	$13.00	$1.88–$53.37	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 STRAWBERRY IGE	$2.60	$13.00	$1.88–$53.37	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BLACKBERRY IGE	$2.60	$13.00	$1.88–$177.98	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RASPBERRY IGE	$2.60	$13.00	$1.88–$896.88	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LEMON IGE	$2.60	$13.00	$1.88–$1,165.90	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAPE SEED IGE	$2.60	$13.00	$1.88–$848.19	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CELERY IGE	$2.60	$13.00	$1.88–$177.98	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RABBIT IGE	$2.60	$13.00	$1.88–$815.73	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GUM ARABIC IGE	$2.60	$13.00	$1.88–$1,155.67	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 QUINOA IGE	$2.60	$13.00	$1.88–$746.57	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ABALONE IGE	$2.60	$13.00	$1.88–$53.37	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PUMPKIN SEED IGE	$2.60	$13.00	$1.88–$715.53	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GREEN PEPPER (UNRIPE) IGE	$2.60	$13.00	$1.88–$1,168.02	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 POPPY SEED IGE	$2.60	$13.00	$1.88–$696.12	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CAROB IGE	$2.60	$13.00	$1.88–$177.98	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PERSIMMON (KAKI FRUIT) IGE	$2.60	$13.00	$1.88–$619.56	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GLUTEN IGE	$2.60	$13.00	$1.88–$140.42	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PEAR IGE	$2.60	$13.00	$1.88–$25.76	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BLACK PEPPER IGE	$2.60	$13.00	$1.88–$177.98	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ASPERGILLUS FUMIGATUS IGE	$2.60	$13.00	$1.88–$524.29	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHERRY IGE	$2.60	$13.00	$1.88–$22.76	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHESTNUT IGE	$2.60	$13.00	$1.88–$22.76	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHICKEN MEAT IGE	$2.60	$13.00	$1.88–$67.72	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHICK PEA IGE	$2.60	$13.00	$1.88–$123.89	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CLAM IGE	$2.60	$13.00	$1.88–$123.89	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COCONUT IGE	$2.60	$13.00	$1.88–$123.89	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CODFISH IGE	$2.60	$13.00	$1.88–$51.58	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MAIZE/CORN IGE	$2.60	$13.00	$1.88–$22.76	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 EGG MIX (YOLK & WHITE) IGE	$2.60	$13.00	$1.88–$467.54	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CRAB IGE	$2.60	$13.00	$1.88–$22.76	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TOMATO IGE	$2.60	$13.00	$1.88–$53.37	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 APRICOT IGE	$2.60	$13.00	$1.88–$177.98	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CRAYFISH IGE	$2.60	$13.00	$1.88–$22.76	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CORN, GRASS IGE	$2.60	$13.00	$1.88–$334.65	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TROUT IGE	$2.60	$13.00	$1.88–$53.37	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 DILL IGE	$2.60	$13.00	$1.88–$418.93	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CUCUMBER IGE	$2.60	$13.00	$1.88–$22.76	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COMMON REED IGE	$2.60	$13.00	$1.88–$645.49	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 EGG WHITE IGE	$2.60	$13.00	$1.88–$26.93	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CANARY GRASS IGE	$2.60	$13.00	$1.88–$547.76	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 EGG YOLK IGE	$2.60	$13.00	$1.88–$26.93	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GARLIC IGE	$2.60	$13.00	$1.88–$26.93	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GINGER IGE	$2.60	$13.00	$1.88–$26.93	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GOAT MILK IGE	$2.60	$13.00	$1.88–$26.93	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GRAPE IGE	$2.60	$13.00	$1.88–$26.93	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GRAPEFRUIT IGE	$2.60	$13.00	$1.88–$26.93	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GREEN BEAN IGE	$2.60	$13.00	$1.88–$26.93	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GUAR BEAN GUM IGE	$2.60	$13.00	$1.88–$26.93	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CABBAGE IGE	$2.60	$13.00	$1.88–$177.98	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HAZELNUT IGE	$2.60	$13.00	$1.88–$26.93	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 OYSTER IGE	$2.60	$13.00	$1.88–$1,264.69	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HERRING IGE	$2.60	$13.00	$1.88–$26.93	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 DATE IGE	$2.60	$13.00	$1.88–$90.05	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 KIWI FRUIT IGE	$2.60	$13.00	$1.88–$26.93	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LAMB IGE	$2.60	$13.00	$1.88–$26.93	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LOBSTER IGE	$2.60	$13.00	$1.88–$26.93	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 OREGANO IGE	$2.60	$13.00	$1.88–$923.87	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MACADAMIA NUT IGE	$2.60	$13.00	$1.88–$26.93	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BLACK OLIVE IGE	$2.60	$13.00	$1.88–$177.98	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MACKEREL IGE	$2.60	$13.00	$1.88–$26.93	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ORANGE IGE	$2.60	$13.00	$1.88–$1,054.59	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MANGO FRUIT IGE	$2.60	$13.00	$1.88–$26.93	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CORIANDER/CILANTRO IGE	$2.60	$13.00	$1.88–$262.60	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 OAT IGE	$2.60	$13.00	$1.88–$26.93	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 NUTMEG IGE	$2.60	$13.00	$1.88–$1,052.82	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 OCTOPUS IGE	$2.60	$13.00	$1.88–$53.37	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BUCKWHEAT IGE	$2.60	$13.00	$1.88–$177.98	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ONION IGE	$2.60	$13.00	$1.88–$53.37	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MUSTARD IGE	$2.60	$13.00	$1.88–$2,025.03	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PAPAYA IGE	$2.60	$13.00	$1.88–$53.37	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COMMON MILLET IGE	$2.60	$13.00	$1.88–$262.60	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PEA IGE	$2.60	$13.00	$1.88–$53.37	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MUSHROOM IGE	$2.60	$13.00	$1.88–$1,673.97	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PEACH IGE	$2.60	$13.00	$1.88–$53.37	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ANCHOVY IGE	$2.60	$13.00	$1.88–$177.98	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PECAN NUT IGE	$2.60	$13.00	$1.88–$53.37	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MINT?(MENTHA PIPERITA) IGE	$2.60	$13.00	$1.88–$1,405.82	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PINE NUT IGE	$2.60	$13.00	$1.88–$53.37	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COFFEE IGE	$2.60	$13.00	$1.88–$262.60	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PINEAPPLE IGE	$2.60	$13.00	$1.88–$53.37	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COW\'S MILK IGE	$2.60	$13.00	$1.88–$446.67	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PISTACHIO IGE	$2.60	$13.00	$1.88–$53.37	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BRAZIL NUT IGE	$2.60	$13.00	$1.88–$177.98	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PLUM IGE	$2.60	$13.00	$1.88–$53.37	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MELONS IGE	$2.60	$13.00	$1.88–$256.33	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 POTATO IGE	$2.60	$13.00	$1.88–$53.37	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COCOA IGE	$2.60	$13.00	$1.88–$32.50	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PUMPKIN IGE	$2.60	$13.00	$1.88–$53.37	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MANDARIN (TANGERINE) IGE	$2.60	$13.00	$1.88–$1,035.18	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BROME GRASS IGE	$2.60	$13.00	$1.88–$512.12	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BEETROOT (BETA VULGARIS) IGE	$2.60	$13.00	$1.88–$177.98	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BERMUDA GRASS IGE	$2.60	$13.00	$1.88–$699.65	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MALT IGE	$2.60	$13.00	$1.88–$1,115.27	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BARLEY POLLEN IGE	$2.60	$13.00	$1.88–$543.70	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CLOVE IGE	$2.60	$13.00	$1.88–$34.80	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BAHIA GRASS IGE	$2.60	$13.00	$1.88–$1,039.24	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LUPINE SEED IGE	$2.60	$13.00	$1.88–$905.70	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 YEAST IGE	$2.60	$13.00	$1.88–$717.64	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BLUEBERRY IGE	$2.60	$13.00	$1.88–$177.98	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WHITE BEAN IGE	$2.60	$13.00	$1.88–$829.84	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LOBSTER, SPINY IGE	$2.60	$13.00	$1.88–$1,397.36	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WATERMELON IGE	$2.60	$13.00	$1.88–$744.10	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CINNAMON IGE	$2.60	$13.00	$1.88–$22.76	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 VANILLA IGE	$2.60	$13.00	$1.88–$747.81	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PEANUT IGE	$2.60	$13.00	$1.88–$1,453.28	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALTERNARIA ALTERNATA (M6)	$2.60	$13.00	$1.88–$45.45	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FLAXSEED IGE	$2.60	$13.00	$1.88–$360.59	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CAT DANDER (E1)	$2.60	$13.00	$1.88–$22.76	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PASSION FRUIT IGE	$2.60	$13.00	$1.88–$1,396.12	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CLADOSPORIUM HERBARUM (M2)	$2.60	$13.00	$1.88–$151.55	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COCKROACH (I6)	$2.60	$13.00	$1.88–$23.14	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PARSLEY IGE	$2.60	$13.00	$1.88–$1,359.07	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 DERMATOPHAGOIDES FARINAE?(D2)	$2.60	$13.00	$1.88–$151.55	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FIG?(FICUS CARICA) IGE	$2.60	$13.00	$1.88–$399.40	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 DERMATOPHAGOIDES PTERONYSSINUS?(D1)	$2.60	$13.00	$1.88–$151.55	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PAPRIKA/SWEET PEPPER IGE	$2.60	$13.00	$1.88–$1,406.53	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 DOG DANDER (E5)	$2.60	$13.00	$1.88–$67.72	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MOUSE URINE PROTEINS (E72)	$2.60	$13.00	$1.88–$34.22	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PACIFIC SQUID IGE	$2.60	$13.00	$1.88–$1,342.85	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CASHEW NUT IGE	$2.60	$13.00	$1.88–$34.22	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CATFISH IGE	$2.60	$13.00	$1.88–$67.72	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CAULIFLOWER IGE	$2.60	$13.00	$1.88–$22.76	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PENICILLIUM NOTATUM IGE	$2.60	$13.00	$1.88–$271.50	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MUCOR RACEMOSUS IGE	$2.60	$13.00	$1.88–$615.50	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WILD RYE GRASS IGE	$2.60	$13.00	$1.88–$625.03	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 VELVET GRASS IGE	$2.60	$13.00	$1.88–$273.26	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TIMOTHY GRASS IGE	$2.60	$13.00	$1.88–$256.15	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SWEET VERNAL GRASS IGE	$2.60	$13.00	$1.88–$362.70	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RED TOP GRASS IGE	$2.60	$13.00	$1.88–$310.13	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PERENNIAL RYE GRASS IGE	$2.60	$13.00	$1.88–$894.76	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ORCHARD GRASS (COCKSFOOT) IGE	$2.60	$13.00	$1.88–$808.49	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MEADOW FOXTAIL IGE	$2.60	$13.00	$1.88–$224.75	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 EGGPLANT IGE	$2.60	$13.00	$1.88–$294.43	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MEADOW FESCUE IGE	$2.60	$13.00	$1.88–$1,038.00	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SWEET POTATO IGE	$2.60	$13.00	$1.88–$53.37	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 JUNE GRASS (KENTUCKY BLUE) IGE	$2.60	$13.00	$1.88–$711.47	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CARAWAY?(CARUM CARVI) IGE	$2.60	$13.00	$1.88–$177.98	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 JOHNSON GRASS IGE	$2.60	$13.00	$1.88–$885.06	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SWORDFISH IGE	$2.60	$13.00	$1.88–$53.37	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CULTIVATED WHEAT IGE	$2.60	$13.00	$1.88–$363.05	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CULTIVATED RYE GRASS IGE	$2.60	$13.00	$1.88–$363.41	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CULTIVATED OAT IGE	$2.60	$13.00	$1.88–$391.99	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COCHINEAL EXTRACT?(DACTYLOPIUS COCCUS) IGE	$3.40	$17.00	$1.88–$177.98	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SH SPC RAST ALLERG IGE QN SQ EA70	$3.52	$17.60	$1.88–$947.28	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SH SPC RAST ALLERG IGE QN SQ EA72	$3.52	$17.60	$1.88–$947.28	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SPC RAST ALLERG IGE QN SQ EA72	$3.70	$18.48	$1.88–$114.47	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SH RAST ALLERG IGE QN SQ EA	$3.70	$18.52	$1.88–$947.28	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SPC RAST ALLERG IGE QN SQ EA70	$3.70	$18.48	$1.88–$947.28	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST ALLERG IGE QN SQ EA	$3.89	$19.45	$1.88–$947.28	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SPC RAST ALLERG IGE QN SQ EA20	$4.41	$22.07	$1.88–$1,530.70	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SPC RAST ALLERG IGE QN SQ EA75	$4.41	$22.07	$1.88–$114.07	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SPC INFLIXMAB RECOMBINANT IGE	$4.79	$23.94	$1.88–$29.60	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SH SPC RAST ALLERG IGE QN SQ EA3	$5.84	$29.20	$1.88–$947.28	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SPC RAST ALLERG IGE QN SQ EA3	$6.13	$30.66	$1.88–$947.28	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SH SPC RAST ALLERG IGE QN SQ EA71	$6.76	$33.81	$1.88–$43.11	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SPC RAST ALLERG IGE QN SQ EA71	$7.10	$35.50	$1.88–$947.28	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SPC RAST ALLERG IGE QN SQ EA73	$7.24	$36.18	$1.88–$333.26	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SPC RAST ALLERG IGE QN SQ EA74	$7.77	$38.85	$1.88–$186.92	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TILAPIA IGE	$8.60	$43.00	$1.88–$847.83	—	80%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 OVALBUMIN IGE	$9.00	$45.00	$1.88–$1,423.46	—	80%
Alpha-fetoprotein (AFP) blood test CPT 82105 SH ALPHA FETOPROTEIN SER	$14.40	$72.00	$6.04–$308.63	86% below	80%
Alpha-fetoprotein (AFP) blood test CPT 82105 SH ALPHA FETOPROTEIN SERU	$14.40	$72.00	$6.04–$798.44	86% below	80%
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA FETOPROTEIN SERU	$15.12	$75.60	$6.04–$308.63	86% below	80%
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA FETOPROTEIN SER	$15.12	$75.60	$6.04–$308.63	86% below	80%
Alpha-fetoprotein (AFP) blood test CPT 82105 SPC ALPHA FETOPROTEIN EXPAND	$20.09	$100.43	$6.04–$798.44	81% below	80%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 SH ALPHA FETOPROTEIN SERU	$14.40	$72.00	$6.04–$798.44	—	80%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 SH ALPHA FETOPROTEIN SER	$14.40	$72.00	$6.04–$308.63	—	80%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA FETOPROTEIN SER	$15.12	$75.60	$6.04–$308.63	—	80%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA FETOPROTEIN SERU	$15.12	$75.60	$6.04–$308.63	—	80%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 SPC ALPHA FETOPROTEIN EXPAND	$20.09	$100.43	$6.04–$798.44	—	80%
Ammonia blood test CPT 82140 SH AMMONIA	$15.20	$76.00	$5.25–$1,356.54	89% below	80%
Ammonia blood test CPT 82140 AMMONIA	$15.96	$79.80	$5.25–$1,356.54	89% below	80%
Ammonia blood test CPT 82140 AMMONIA, 24 HOUR URINE	$19.82	$99.12	$5.25–$1,356.54	86% below	80%
Ammonia blood test CPT 82140 AMMONIUM URINE	$43.68	$218.40	$5.25–$1,356.54	69% below	80%
Ammonia blood test inpatient CPT 82140 SH AMMONIA	$15.20	$76.00	$5.25–$1,356.54	—	80%
Ammonia blood test inpatient CPT 82140 AMMONIA	$15.96	$79.80	$5.25–$1,356.54	—	80%
Ammonia blood test inpatient CPT 82140 AMMONIA, 24 HOUR URINE	$19.82	$99.12	$5.25–$1,356.54	—	80%
Ammonia blood test inpatient CPT 82140 AMMONIUM URINE	$43.68	$218.40	$5.25–$1,356.54	—	80%
Amylase blood test CPT 82150 SPC AMYLASE BLOOD	$11.84	$59.22	$2.33–$1,356.54	85% below	80%
Amylase blood test CPT 82150 SH CHEM AMYLASE BODY FLD	$17.44	$87.20	$2.33–$1,356.54	78% below	80%
Amylase blood test CPT 82150 LEN AMYLASE POC	$17.47	$87.36	$2.33–$1,356.54	78% below	80%
Amylase blood test CPT 82150 CHEM AMYLASE BODY FLD	$18.31	$91.56	$2.33–$1,356.54	76% below	80%
Amylase blood test CPT 82150 AMYLASE BODY FLUID	$19.15	$95.76	$2.33–$1,356.54	75% below	80%
Amylase blood test CPT 82150 NE SPC AMYLASE SERUM	$20.96	$104.80	$2.33–$1,356.54	73% below	80%
Amylase blood test CPT 82150 SH CHEM AMYLASE URINE	$20.96	$104.80	$2.33–$1,356.54	73% below	80%
Amylase blood test CPT 82150 LEN AMYLASE SERUM	$22.01	$110.04	$2.33–$1,356.54	72% below	80%
Amylase blood test CPT 82150 LWS AMYLASE SERUM	$22.01	$110.04	$2.33–$1,356.54	72% below	80%
Amylase blood test CPT 82150 AMYLASE SERUM	$22.01	$110.04	$2.33–$1,356.54	72% below	80%
Amylase blood test CPT 82150 LES AMYLASE SERUM	$22.01	$110.04	$2.33–$640.39	72% below	80%
Amylase blood test CPT 82150 CHEM AMYLASE URINE	$22.01	$110.04	$2.33–$1,356.54	72% below	80%
Amylase blood test CPT 82150 SH CHEM =K3865SPC AMLS SRM+K3883	$30.56	$152.80	$2.33–$1,356.54	61% below	80%
Amylase blood test CPT 82150 CHEM =K3865SPC AMYLASE SERUM+K3883	$32.09	$160.44	$2.33–$1,356.54	59% below	80%
Amylase blood test CPT 82150 AMYLASE - PANCREATIC CYST	$40.00	$200.00	$2.33–$1,356.54	49% below	80%
Amylase blood test inpatient CPT 82150 SPC AMYLASE BLOOD	$11.84	$59.22	$2.33–$1,356.54	—	80%
Amylase blood test inpatient CPT 82150 SH CHEM AMYLASE BODY FLD	$17.44	$87.20	$2.33–$1,356.54	—	80%
Amylase blood test inpatient CPT 82150 LEN AMYLASE POC	$17.47	$87.36	$2.33–$1,356.54	—	80%
Amylase blood test inpatient CPT 82150 CHEM AMYLASE BODY FLD	$18.31	$91.56	$2.33–$1,356.54	—	80%
Amylase blood test inpatient CPT 82150 AMYLASE BODY FLUID	$19.15	$95.76	$2.33–$1,356.54	—	80%
Amylase blood test inpatient CPT 82150 NE SPC AMYLASE SERUM	$20.96	$104.80	$2.33–$1,356.54	—	80%
Amylase blood test inpatient CPT 82150 SH CHEM AMYLASE URINE	$20.96	$104.80	$2.33–$1,356.54	—	80%
Amylase blood test inpatient CPT 82150 LES AMYLASE SERUM	$22.01	$110.04	$2.33–$640.39	—	80%
Amylase blood test inpatient CPT 82150 LWS AMYLASE SERUM	$22.01	$110.04	$2.33–$1,356.54	—	80%
Amylase blood test inpatient CPT 82150 CHEM AMYLASE URINE	$22.01	$110.04	$2.33–$1,356.54	—	80%
Amylase blood test inpatient CPT 82150 AMYLASE SERUM	$22.01	$110.04	$2.33–$1,356.54	—	80%
Amylase blood test inpatient CPT 82150 LEN AMYLASE SERUM	$22.01	$110.04	$2.33–$1,356.54	—	80%
Amylase blood test inpatient CPT 82150 SH CHEM =K3865SPC AMLS SRM+K3883	$30.56	$152.80	$2.33–$1,356.54	—	80%
Amylase blood test inpatient CPT 82150 CHEM =K3865SPC AMYLASE SERUM+K3883	$32.09	$160.44	$2.33–$1,356.54	—	80%
Amylase blood test inpatient CPT 82150 AMYLASE - PANCREATIC CYST	$40.00	$200.00	$2.33–$1,356.54	—	80%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 ANTI-CCP IGG	$12.80	$64.00	$4.66–$374.35	77% below	80%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP AB	$12.80	$64.00	$4.66–$691.88	77% below	80%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ANTIBODY	$15.79	$78.96	$4.66–$632.26	72% below	80%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 SH SPC CCP ANTIBODY	$17.60	$88.00	$4.66–$989.70	68% below	80%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 SPC CCP ANTIBODY	$18.48	$92.40	$4.66–$989.70	67% below	80%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP AB	$12.80	$64.00	$4.66–$691.88	—	80%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 ANTI-CCP IGG	$12.80	$64.00	$4.66–$374.35	—	80%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP ANTIBODY	$15.79	$78.96	$4.66–$632.26	—	80%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 SH SPC CCP ANTIBODY	$17.60	$88.00	$4.66–$989.70	—	80%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 SPC CCP ANTIBODY	$18.48	$92.40	$4.66–$989.70	—	80%
Antinuclear antibody (ANA) blood test, screen CPT 86038 SPC ANTINUCLEAR AB SCREEN	$9.37	$46.86	$4.35–$769.86	88% below	80%
Antinuclear antibody (ANA) blood test, screen CPT 86038 SPC ANTINUCLEAR AB SCR	$11.76	$58.80	$4.35–$994.61	85% below	80%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODY SCREEN	$13.52	$67.60	$4.35–$993.72	82% below	80%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODY SCREEN -	$13.60	$68.00	$4.35–$904.28	82% below	80%
Antinuclear antibody (ANA) blood test, screen CPT 86038 SH MICRO ANTINUCLEAR AB SCR	$19.52	$97.60	$4.35–$1,057.58	75% below	80%
Antinuclear antibody (ANA) blood test, screen CPT 86038 MICRO ANTINUCLEAR AB SCR	$20.50	$102.48	$4.35–$969.21	73% below	80%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 SPC ANTINUCLEAR AB SCREEN	$9.37	$46.86	$4.35–$769.86	—	80%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 SPC ANTINUCLEAR AB SCR	$11.76	$58.80	$4.35–$994.61	—	80%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR ANTIBODY SCREEN	$13.52	$67.60	$4.35–$993.72	—	80%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR ANTIBODY SCREEN -	$13.60	$68.00	$4.35–$904.28	—	80%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 SH MICRO ANTINUCLEAR AB SCR	$19.52	$97.60	$4.35–$1,057.58	—	80%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 MICRO ANTINUCLEAR AB SCR	$20.50	$102.48	$4.35–$969.21	—	80%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 LES NATRIURETIC PEPTIDE	$35.28	$176.40	$14.13–$2,071.38	77% below	80%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 LEN NATRIURETIC PEPTIDE	$35.28	$176.40	$14.13–$2,071.38	77% below	80%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 SH CLIN_CHEM NATRIURETIC PEPTIDE	$35.52	$177.62	$14.13–$2,071.38	77% below	80%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE	$37.12	$185.60	$14.13–$2,071.38	76% below	80%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 CLIN_CHEM NATRIURETIC PEPTIDE	$37.96	$189.81	$14.13–$2,071.38	76% below	80%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 LEN NATRIURETIC PEPTIDE	$35.28	$176.40	$14.13–$2,071.38	—	80%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 LES NATRIURETIC PEPTIDE	$35.28	$176.40	$14.13–$2,071.38	—	80%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 SH CLIN_CHEM NATRIURETIC PEPTIDE	$35.52	$177.62	$14.13–$2,071.38	—	80%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NATRIURETIC PEPTIDE	$37.12	$185.60	$14.13–$2,071.38	—	80%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 CLIN_CHEM NATRIURETIC PEPTIDE	$37.96	$189.81	$14.13–$2,071.38	—	80%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 SH MICRO CULT BODY FLD	$20.16	$100.80	$3.10–$1,464.39	70% below	80%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 SH MICRO CULT THROAT	$20.16	$100.80	$3.10–$658.37	70% below	80%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 SH MICRO CULT ROUTINE	$20.16	$100.80	$3.10–$1,020.54	70% below	80%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 SH MICRO CULT SCR SPUTUM	$20.16	$100.80	$3.10–$712.17	70% below	80%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 SH MICRO CULT CSF	$20.16	$100.80	$3.10–$615.32	70% below	80%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 SH MICRO CULT WOUND	$20.16	$100.80	$3.10–$592.74	70% below	80%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 MICRO CULT ROUTINE	$21.17	$105.84	$3.10–$110.96	68% below	80%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 MICRO CULT WOUND	$21.17	$105.84	$3.10–$1,236.11	68% below	80%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 MICRO CULT THROAT	$21.17	$105.84	$3.10–$484.60	68% below	80%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 MICRO CULT SCR SPUTUM	$21.17	$105.84	$3.10–$92.44	68% below	80%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 MICRO CULT CSF	$21.17	$105.84	$3.10–$775.33	68% below	80%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 MICRO CULT BODY FLD	$21.17	$105.84	$3.10–$723.64	68% below	80%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 SH MICRO MRSA SCREEN CULTURE	$28.76	$143.80	$3.10–$592.04	57% below	80%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 MICRO MRSA SCREEN CULTURE	$30.20	$150.99	$3.10–$97.20	55% below	80%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE OTHER SOURCE	$35.78	$178.92	$3.10–$752.22	47% below	80%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 SH MICRO CULT THROAT	$20.16	$100.80	$3.10–$658.37	—	80%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 SH MICRO CULT ROUTINE	$20.16	$100.80	$3.10–$1,020.54	—	80%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 SH MICRO CULT WOUND	$20.16	$100.80	$3.10–$592.74	—	80%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 SH MICRO CULT BODY FLD	$20.16	$100.80	$3.10–$1,464.39	—	80%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 SH MICRO CULT CSF	$20.16	$100.80	$3.10–$615.32	—	80%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 SH MICRO CULT SCR SPUTUM	$20.16	$100.80	$3.10–$712.17	—	80%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 MICRO CULT ROUTINE	$21.17	$105.84	$3.10–$110.96	—	80%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 MICRO CULT SCR SPUTUM	$21.17	$105.84	$3.10–$92.44	—	80%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 MICRO CULT THROAT	$21.17	$105.84	$3.10–$484.60	—	80%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 MICRO CULT CSF	$21.17	$105.84	$3.10–$775.33	—	80%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 MICRO CULT WOUND	$21.17	$105.84	$3.10–$1,236.11	—	80%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 MICRO CULT BODY FLD	$21.17	$105.84	$3.10–$723.64	—	80%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 SH MICRO MRSA SCREEN CULTURE	$28.76	$143.80	$3.10–$592.04	—	80%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 MICRO MRSA SCREEN CULTURE	$30.20	$150.99	$3.10–$97.20	—	80%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE OTHER SOURCE	$35.78	$178.92	$3.10–$752.22	—	80%
Basic metabolic panel (blood test) CPT 80048 SH CHEM BASIC METABOLIC PANEL	$20.64	$103.20	$3.05–$1,282.14	90% below	80%
Basic metabolic panel (blood test) CPT 80048 LEN BASIC METABOLIC PANEL	$27.09	$135.45	$3.05–$1,339.46	87% below	80%
Basic metabolic panel (blood test) CPT 80048 NE BASIC METABOLIC PANEL	$27.09	$135.45	$3.05–$1,282.14	87% below	80%
Basic metabolic panel (blood test) CPT 80048 CHEM BASIC METABOLIC PANEL	$27.09	$135.45	$3.05–$1,282.14	87% below	80%
Basic metabolic panel (blood test) CPT 80048 LES BASIC METABOLIC PANEL	$27.09	$135.45	$3.05–$1,282.14	87% below	80%
Basic metabolic panel (blood test) CPT 80048 LWS BASIC METABOLIC PANEL	$27.09	$135.45	$3.05–$1,282.14	87% below	80%
Basic metabolic panel (blood test) CPT 80048 LEN CHM8 POC	$31.81	$159.04	$3.05–$2,374.33	85% below	80%
Basic metabolic panel (blood test) inpatient CPT 80048 SH CHEM BASIC METABOLIC PANEL	$20.64	$103.20	$3.05–$1,282.14	—	80%
Basic metabolic panel (blood test) inpatient CPT 80048 LEN BASIC METABOLIC PANEL	$27.09	$135.45	$3.05–$1,339.46	—	80%
Basic metabolic panel (blood test) inpatient CPT 80048 CHEM BASIC METABOLIC PANEL	$27.09	$135.45	$3.05–$1,282.14	—	80%
Basic metabolic panel (blood test) inpatient CPT 80048 NE BASIC METABOLIC PANEL	$27.09	$135.45	$3.05–$1,282.14	—	80%
Basic metabolic panel (blood test) inpatient CPT 80048 LWS BASIC METABOLIC PANEL	$27.09	$135.45	$3.05–$1,282.14	—	80%
Basic metabolic panel (blood test) inpatient CPT 80048 LES BASIC METABOLIC PANEL	$27.09	$135.45	$3.05–$1,282.14	—	80%
Basic metabolic panel (blood test) inpatient CPT 80048 LEN CHM8 POC	$31.81	$159.04	$3.05–$2,374.33	—	80%
Bilirubin blood test, total CPT 82247 SH CHEM BILI TTL BODY FLD	$5.41	$27.06	$1.81–$2,249.84	91% below	80%
Bilirubin blood test, total CPT 82247 CHEM BILI TTL BODY FLD	$5.68	$28.41	$1.81–$1,356.54	90% below	80%
Bilirubin blood test, total CPT 82247 SPC BILIRUBIN TOTAL	$5.88	$29.40	$1.81–$2,249.84	90% below	80%
Bilirubin blood test, total CPT 82247 SH SPC BILI TTL	$8.57	$42.85	$1.81–$2,249.84	85% below	80%
Bilirubin blood test, total CPT 82247 LEN TBILI POC	$10.42	$52.08	$1.81–$2,249.84	82% below	80%
Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL BODY FLUID	$30.24	$151.20	$1.81–$2,249.84	47% below	80%
Bilirubin blood test, total inpatient CPT 82247 SH CHEM BILI TTL BODY FLD	$5.41	$27.06	$1.81–$2,249.84	—	80%
Bilirubin blood test, total inpatient CPT 82247 CHEM BILI TTL BODY FLD	$5.68	$28.41	$1.81–$1,356.54	—	80%
Bilirubin blood test, total inpatient CPT 82247 SPC BILIRUBIN TOTAL	$5.88	$29.40	$1.81–$2,249.84	—	80%
Bilirubin blood test, total inpatient CPT 82247 SH SPC BILI TTL	$8.57	$42.85	$1.81–$2,249.84	—	80%
Bilirubin blood test, total inpatient CPT 82247 LEN TBILI POC	$10.42	$52.08	$1.81–$2,249.84	—	80%
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN TOTAL BODY FLUID	$30.24	$151.20	$1.81–$2,249.84	—	80%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 GROSS & MICRO LEVEL IV-	$33.94	$169.68	$17.81–$215.69	89% below	80%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 SPC GROSS & MICRO LEVEL IV	$45.60	$228.00	$17.81–$215.69	85% below	80%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 GROSS & MICROSCOPIC LEVEL IV	$47.21	$236.04	$17.81–$215.69	84% below	80%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 GROSS - MICRO LEVEL IV	$47.94	$239.72	$17.81–$215.69	84% below	80%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HIST SAT BIOP SAMPL PROSTATE	$55.20	$276.00	$17.81–$215.69	81% below	80%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 SPC GROSS & MICRO L-IV	$57.46	$287.28	$17.81–$215.69	81% below	80%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HIST GROSS AND MICRO L-IV	$75.36	$376.80	$17.81–$237.38	75% below	80%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HIST GROSS & MICRO L-IV	$79.13	$395.64	$17.81–$249.25	73% below	80%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 GROSS & MICRO LEVEL IV-	$33.94	$169.68	$17.81–$215.69	—	80%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 SPC GROSS & MICRO LEVEL IV	$45.60	$228.00	$17.81–$215.69	—	80%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 GROSS & MICROSCOPIC LEVEL IV	$47.21	$236.04	$17.81–$215.69	—	80%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 GROSS - MICRO LEVEL IV	$47.94	$239.72	$17.81–$215.69	—	80%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HIST SAT BIOP SAMPL PROSTATE	$55.20	$276.00	$17.81–$215.69	—	80%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 SPC GROSS & MICRO L-IV	$57.46	$287.28	$17.81–$215.69	—	80%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HIST GROSS AND MICRO L-IV	$75.36	$376.80	$17.81–$237.38	—	80%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HIST GROSS & MICRO L-IV	$79.13	$395.64	$17.81–$249.25	—	80%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 LND VENIPUNCTURE	$2.31	$11.55	$1.08–$3,354.08	87% below	80%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 DPT VENIPUNCTURE	$2.35	$11.76	$1.08–$3,354.08	87% below	80%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 CET VENIPUNCTURE	$2.35	$11.76	$1.08–$3,354.08	87% below	80%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 SPC VENIPUNCTURE HOMEBOUND	$3.02	$15.12	$1.08–$606.14	83% below	80%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 UCC ESLK ROUTINE VENIPUNCTURE	$3.15	$15.75	$1.08–$3,354.08	83% below	80%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 YSL VENIPUNCTURE	$3.53	$17.66	$1.08–$3,354.08	80% below	80%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 SPC SPC VENIPUNCTURE	$3.53	$17.66	$1.08–$3,354.08	80% below	80%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 FAB FAB VENIPUNCTURE	$3.53	$17.66	$1.08–$3,354.08	80% below	80%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 LEN VENIPUNCTURE	$3.53	$17.66	$1.08–$3,354.08	80% below	80%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 LES VENIPUNCTURE	$3.53	$17.66	$1.08–$3,354.08	80% below	80%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 LWS VENIPUNCTURE	$3.53	$17.66	$1.08–$3,354.08	80% below	80%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 NE NE VENIPUNCTURE	$3.53	$17.66	$1.08–$3,354.08	80% below	80%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 CV VENIPUNCTURE	$6.30	$31.50	$1.08–$3,354.08	65% below	80%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 SH SP VENIPUNCTURE ROUTINE	$7.54	$37.70	$1.08–$3,354.08	58% below	80%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 LND VENIPUNCTURE	$2.31	$11.55	$1.08–$3,354.08	—	80%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 DPT VENIPUNCTURE	$2.35	$11.76	$1.08–$3,354.08	—	80%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 CET VENIPUNCTURE	$2.35	$11.76	$1.08–$3,354.08	—	80%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 SPC VENIPUNCTURE HOMEBOUND	$3.02	$15.12	$1.08–$606.14	—	80%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 UCC ESLK ROUTINE VENIPUNCTURE	$3.15	$15.75	$1.08–$3,354.08	—	80%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 YSL VENIPUNCTURE	$3.53	$17.66	$1.08–$3,354.08	—	80%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 NE NE VENIPUNCTURE	$3.53	$17.66	$1.08–$3,354.08	—	80%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 LWS VENIPUNCTURE	$3.53	$17.66	$1.08–$3,354.08	—	80%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 LES VENIPUNCTURE	$3.53	$17.66	$1.08–$3,354.08	—	80%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 FAB FAB VENIPUNCTURE	$3.53	$17.66	$1.08–$3,354.08	—	80%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 LEN VENIPUNCTURE	$3.53	$17.66	$1.08–$3,354.08	—	80%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 SPC SPC VENIPUNCTURE	$3.53	$17.66	$1.08–$3,354.08	—	80%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 CV VENIPUNCTURE	$6.30	$31.50	$1.08–$3,354.08	—	80%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 SH SP VENIPUNCTURE ROUTINE	$7.54	$37.70	$1.08–$3,354.08	—	80%
Blood glucose (sugar) test CPT 82947 LEN GLUCOSE 2 H PP	$2.94	$14.68	$1.41–$2,340.22	93% below	80%
Blood glucose (sugar) test CPT 82947 LEN GLUCOSE SERUM	$2.94	$14.68	$1.41–$2,340.22	93% below	80%
Blood glucose (sugar) test CPT 82947 LES GLUCOSE 2 H PP	$2.94	$14.68	$1.41–$1,147.48	93% below	80%
Blood glucose (sugar) test CPT 82947 LES GLUCOSE SERUM	$2.94	$14.68	$1.41–$1,147.48	93% below	80%
Blood glucose (sugar) test CPT 82947 LWS GLUCOSE 2 H PP	$2.94	$14.68	$1.41–$1,147.48	93% below	80%
Blood glucose (sugar) test CPT 82947 LWS GLUCOSE SERUM	$2.94	$14.68	$1.41–$538.55	93% below	80%
Blood glucose (sugar) test CPT 82947 NE GLUCOSE 2 H PP	$2.94	$14.68	$1.41–$77.38	93% below	80%
Blood glucose (sugar) test CPT 82947 YSL GLUCOSE 2 H PP	$2.94	$14.68	$1.41–$1,147.48	93% below	80%
Blood glucose (sugar) test CPT 82947 YSL GLUCOSE SERUM	$2.94	$14.68	$1.41–$1,147.48	93% below	80%
Blood glucose (sugar) test CPT 82947 CLIN CHEM GLUCOSE SERUM	$2.94	$14.68	$1.41–$1,147.48	93% below	80%
Blood glucose (sugar) test CPT 82947 CHEM GLUCOSE SERUM	$2.94	$14.68	$1.41–$1,147.48	93% below	80%
Blood glucose (sugar) test CPT 82947 CHEM GLUCOSE BLOOD	$2.94	$14.68	$1.41–$1,147.48	93% below	80%
Blood glucose (sugar) test CPT 82947 CHEM GLUCOSE 2 H PP	$2.94	$14.68	$1.41–$1,147.48	93% below	80%
Blood glucose (sugar) test CPT 82947 SPC GLUCOSE SERUM	$3.12	$15.58	$1.41–$1,147.48	93% below	80%
Blood glucose (sugar) test CPT 82947 SH CHEM GLUCOSE 2 H PP	$3.22	$16.10	$1.41–$1,147.48	92% below	80%
Blood glucose (sugar) test CPT 82947 SH CHEM GLUCOSE BLOOD	$3.22	$16.10	$1.41–$1,147.48	92% below	80%
Blood glucose (sugar) test CPT 82947 SH CHEM GLUCOSE SERUM	$3.22	$16.10	$1.41–$1,147.48	92% below	80%
Blood glucose (sugar) test CPT 82947 SH ARTERIAL GLUCOSE	$3.22	$16.10	$1.41–$1,147.48	92% below	80%
Blood glucose (sugar) test CPT 82947 SH CLIN CHEM GLUCOSE SERUM	$3.22	$16.10	$1.41–$1,147.48	92% below	80%
Blood glucose (sugar) test CPT 82947 ARTERIAL GLUCOSE	$3.38	$16.90	$1.41–$1,147.48	92% below	80%
Blood glucose (sugar) test CPT 82947 CET GLUCOSE BLOOD	$3.45	$17.27	$1.41–$1,147.48	92% below	80%
Blood glucose (sugar) test CPT 82947 GLUCOSE SERUM	$3.88	$19.40	$1.41–$1,147.48	91% below	80%
Blood glucose (sugar) test CPT 82947 SH SPC CHEM GLUCOSE BLOOD	$8.80	$44.00	$1.41–$1,147.48	79% below	80%
Blood glucose (sugar) test CPT 82947 LEN GLUCOSE REAG STRIP	$8.80	$44.00	$1.41–$2,340.22	79% below	80%
Blood glucose (sugar) test CPT 82947 SPC CHEM GLUCOSE BLOOD	$8.80	$44.00	$1.41–$1,147.48	79% below	80%
Blood glucose (sugar) test inpatient CPT 82947 NE GLUCOSE 2 H PP	$2.94	$14.68	$1.41–$77.38	—	80%
Blood glucose (sugar) test inpatient CPT 82947 LWS GLUCOSE SERUM	$2.94	$14.68	$1.41–$538.55	—	80%
Blood glucose (sugar) test inpatient CPT 82947 LEN GLUCOSE 2 H PP	$2.94	$14.68	$1.41–$2,340.22	—	80%
Blood glucose (sugar) test inpatient CPT 82947 LEN GLUCOSE SERUM	$2.94	$14.68	$1.41–$2,340.22	—	80%
Blood glucose (sugar) test inpatient CPT 82947 CLIN CHEM GLUCOSE SERUM	$2.94	$14.68	$1.41–$1,147.48	—	80%
Blood glucose (sugar) test inpatient CPT 82947 CHEM GLUCOSE 2 H PP	$2.94	$14.68	$1.41–$1,147.48	—	80%
Blood glucose (sugar) test inpatient CPT 82947 CHEM GLUCOSE BLOOD	$2.94	$14.68	$1.41–$1,147.48	—	80%
Blood glucose (sugar) test inpatient CPT 82947 YSL GLUCOSE SERUM	$2.94	$14.68	$1.41–$1,147.48	—	80%
Blood glucose (sugar) test inpatient CPT 82947 CHEM GLUCOSE SERUM	$2.94	$14.68	$1.41–$1,147.48	—	80%
Blood glucose (sugar) test inpatient CPT 82947 LWS GLUCOSE 2 H PP	$2.94	$14.68	$1.41–$1,147.48	—	80%
Blood glucose (sugar) test inpatient CPT 82947 LES GLUCOSE SERUM	$2.94	$14.68	$1.41–$1,147.48	—	80%
Blood glucose (sugar) test inpatient CPT 82947 LES GLUCOSE 2 H PP	$2.94	$14.68	$1.41–$1,147.48	—	80%
Blood glucose (sugar) test inpatient CPT 82947 YSL GLUCOSE 2 H PP	$2.94	$14.68	$1.41–$1,147.48	—	80%
Blood glucose (sugar) test inpatient CPT 82947 SPC GLUCOSE SERUM	$3.12	$15.58	$1.41–$1,147.48	—	80%
Blood glucose (sugar) test inpatient CPT 82947 SH ARTERIAL GLUCOSE	$3.22	$16.10	$1.41–$1,147.48	—	80%
Blood glucose (sugar) test inpatient CPT 82947 SH CHEM GLUCOSE 2 H PP	$3.22	$16.10	$1.41–$1,147.48	—	80%
Blood glucose (sugar) test inpatient CPT 82947 SH CHEM GLUCOSE BLOOD	$3.22	$16.10	$1.41–$1,147.48	—	80%
Blood glucose (sugar) test inpatient CPT 82947 SH CHEM GLUCOSE SERUM	$3.22	$16.10	$1.41–$1,147.48	—	80%
Blood glucose (sugar) test inpatient CPT 82947 SH CLIN CHEM GLUCOSE SERUM	$3.22	$16.10	$1.41–$1,147.48	—	80%
Blood glucose (sugar) test inpatient CPT 82947 ARTERIAL GLUCOSE	$3.38	$16.90	$1.41–$1,147.48	—	80%
Blood glucose (sugar) test inpatient CPT 82947 CET GLUCOSE BLOOD	$3.45	$17.27	$1.41–$1,147.48	—	80%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE SERUM	$3.88	$19.40	$1.41–$1,147.48	—	80%
Blood glucose (sugar) test inpatient CPT 82947 LEN GLUCOSE REAG STRIP	$8.80	$44.00	$1.41–$2,340.22	—	80%
Blood glucose (sugar) test inpatient CPT 82947 SH SPC CHEM GLUCOSE BLOOD	$8.80	$44.00	$1.41–$1,147.48	—	80%
Blood glucose (sugar) test inpatient CPT 82947 SPC CHEM GLUCOSE BLOOD	$8.80	$44.00	$1.41–$1,147.48	—	80%
Blood lead test CPT 83655 SPC LEAD	$6.49	$32.45	$4.36–$1,477.58	86% below	80%
Blood lead test CPT 83655 SH SPC LEAD	$6.64	$33.22	$4.36–$1,477.58	86% below	80%
Blood lead test CPT 83655 SPC LEAD URINE	$7.22	$36.12	$4.36–$1,477.58	84% below	80%
Blood lead test CPT 83655 SPC LAB LEAD URINE	$12.43	$62.16	$4.36–$1,477.58	73% below	80%
Blood lead test CPT 83655 SH SPC LEAD BLOOD	$12.69	$63.44	$4.36–$1,477.58	73% below	80%
Blood lead test CPT 83655 SPC LEAD BLOOD	$13.54	$67.72	$4.36–$1,477.58	71% below	80%
Blood lead test inpatient CPT 83655 SPC LEAD	$6.49	$32.45	$4.36–$1,477.58	—	80%
Blood lead test inpatient CPT 83655 SH SPC LEAD	$6.64	$33.22	$4.36–$1,477.58	—	80%
Blood lead test inpatient CPT 83655 SPC LEAD URINE	$7.22	$36.12	$4.36–$1,477.58	—	80%
Blood lead test inpatient CPT 83655 SPC LAB LEAD URINE	$12.43	$62.16	$4.36–$1,477.58	—	80%
Blood lead test inpatient CPT 83655 SH SPC LEAD BLOOD	$12.69	$63.44	$4.36–$1,477.58	—	80%
Blood lead test inpatient CPT 83655 SPC LEAD BLOOD	$13.54	$67.72	$4.36–$1,477.58	—	80%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 UCC ESLK HCG URINE	$15.89	$79.47	$2.71–$226.48	88% below	80%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 UCC ESLK HCG QL URINE ANALYZER	$17.64	$88.20	$2.71–$989.70	87% below	80%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG QL URINE	$17.64	$88.20	$2.71–$74.90	87% below	80%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG QL URINE ANALYZER	$17.64	$88.20	$2.71–$125.38	87% below	80%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 SH HCG QL URINE ANALYZER	$18.06	$90.30	$2.71–$989.70	87% below	80%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 SH HCG QL URINE	$18.06	$90.30	$2.71–$125.38	87% below	80%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 LEN- HCG QL URINE	$19.15	$95.76	$2.71–$989.70	86% below	80%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 LES HCG QL URINE	$19.15	$95.76	$2.71–$989.70	86% below	80%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 UCC ESLK HCG URINE	$15.89	$79.47	$2.71–$226.48	—	80%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 UCC ESLK HCG QL URINE ANALYZER	$17.64	$88.20	$2.71–$989.70	—	80%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG QL URINE	$17.64	$88.20	$2.71–$74.90	—	80%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG QL URINE ANALYZER	$17.64	$88.20	$2.71–$125.38	—	80%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 SH HCG QL URINE ANALYZER	$18.06	$90.30	$2.71–$989.70	—	80%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 SH HCG QL URINE	$18.06	$90.30	$2.71–$125.38	—	80%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 LES HCG QL URINE	$19.15	$95.76	$2.71–$989.70	—	80%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 LEN- HCG QL URINE	$19.15	$95.76	$2.71–$989.70	—	80%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 SH BLD BLD TYPE ABO	$10.32	$51.60	$1.08–$475.37	88% below	80%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLD BLD TYPE ABO	$13.55	$67.73	$1.08–$475.37	85% below	80%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 SH BB UBS BLOOD TYPING ABO	$16.20	$81.00	$1.08–$475.37	82% below	80%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BB UBS BLOOD TYPING ABO	$17.01	$85.05	$1.08–$475.37	81% below	80%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 SH BLD BLD TYPE ABO	$10.32	$51.60	$1.08–$475.37	—	80%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BLD BLD TYPE ABO	$13.55	$67.73	$1.08–$475.37	—	80%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 SH BB UBS BLOOD TYPING ABO	$16.20	$81.00	$1.08–$475.37	—	80%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BB UBS BLOOD TYPING ABO	$17.01	$85.05	$1.08–$475.37	—	80%
Blood urea nitrogen (BUN) test CPT 84520 YSL UREA NITROGEN QUANTITAT	$2.88	$14.38	$1.42–$1,541.19	95% below	80%
Blood urea nitrogen (BUN) test CPT 84520 SPEC CHEM UREA NITROGEN QUANTITAT	$2.88	$14.38	$1.42–$397.50	95% below	80%
Blood urea nitrogen (BUN) test CPT 84520 CHEM UREA NITROGEN QUANTITAT LAB	$2.88	$14.38	$1.42–$1,541.19	95% below	80%
Blood urea nitrogen (BUN) test CPT 84520 NE NE UREA NITROGEN QUANTITAT	$2.88	$14.38	$1.42–$1,541.19	95% below	80%
Blood urea nitrogen (BUN) test CPT 84520 LWS UREA NITROGEN QUANTITAT	$2.88	$14.38	$1.42–$1,541.19	95% below	80%
Blood urea nitrogen (BUN) test CPT 84520 LES UREA NITROGEN QUANTITAT	$2.88	$14.38	$1.42–$1,541.19	95% below	80%
Blood urea nitrogen (BUN) test CPT 84520 LEN UREA NITROGEN QUANTITAT	$2.88	$14.38	$1.42–$1,541.19	95% below	80%
Blood urea nitrogen (BUN) test CPT 84520 CHEM UREA NITROGEN QUANTITAT	$3.70	$18.48	$1.42–$200.85	93% below	80%
Blood urea nitrogen (BUN) test CPT 84520 SH CHEM UREA NITROGEN QUANTITAT	$4.40	$22.00	$1.42–$1,541.19	92% below	80%
Blood urea nitrogen (BUN) test CPT 84520 LEN UREA NITROGEN QUANTITATIVE	$8.48	$42.42	$1.42–$1,541.19	84% below	80%
Blood urea nitrogen (BUN) test CPT 84520 LES UREA NITROGEN QUANTITATIVE	$8.48	$42.42	$1.42–$1,541.19	84% below	80%
Blood urea nitrogen (BUN) test CPT 84520 LEN UREA NITROGEN QTITATIVE	$8.51	$42.53	$1.42–$1,541.19	84% below	80%
Blood urea nitrogen (BUN) test CPT 84520 SH UREA NITROGEN QUANTITATIVE	$8.75	$43.74	$1.42–$1,541.19	83% below	80%
Blood urea nitrogen (BUN) test CPT 84520 UREA NITROGEN QUANTITATIVE	$9.07	$45.36	$1.42–$200.85	83% below	80%
Blood urea nitrogen (BUN) test inpatient CPT 84520 YSL UREA NITROGEN QUANTITAT	$2.88	$14.38	$1.42–$1,541.19	—	80%
Blood urea nitrogen (BUN) test inpatient CPT 84520 SPEC CHEM UREA NITROGEN QUANTITAT	$2.88	$14.38	$1.42–$397.50	—	80%
Blood urea nitrogen (BUN) test inpatient CPT 84520 LES UREA NITROGEN QUANTITAT	$2.88	$14.38	$1.42–$1,541.19	—	80%
Blood urea nitrogen (BUN) test inpatient CPT 84520 CHEM UREA NITROGEN QUANTITAT LAB	$2.88	$14.38	$1.42–$1,541.19	—	80%
Blood urea nitrogen (BUN) test inpatient CPT 84520 LWS UREA NITROGEN QUANTITAT	$2.88	$14.38	$1.42–$1,541.19	—	80%
Blood urea nitrogen (BUN) test inpatient CPT 84520 LEN UREA NITROGEN QUANTITAT	$2.88	$14.38	$1.42–$1,541.19	—	80%
Blood urea nitrogen (BUN) test inpatient CPT 84520 NE NE UREA NITROGEN QUANTITAT	$2.88	$14.38	$1.42–$1,541.19	—	80%
Blood urea nitrogen (BUN) test inpatient CPT 84520 CHEM UREA NITROGEN QUANTITAT	$3.70	$18.48	$1.42–$200.85	—	80%
Blood urea nitrogen (BUN) test inpatient CPT 84520 SH CHEM UREA NITROGEN QUANTITAT	$4.40	$22.00	$1.42–$1,541.19	—	80%
Blood urea nitrogen (BUN) test inpatient CPT 84520 LES UREA NITROGEN QUANTITATIVE	$8.48	$42.42	$1.42–$1,541.19	—	80%
Blood urea nitrogen (BUN) test inpatient CPT 84520 LEN UREA NITROGEN QUANTITATIVE	$8.48	$42.42	$1.42–$1,541.19	—	80%
Blood urea nitrogen (BUN) test inpatient CPT 84520 LEN UREA NITROGEN QTITATIVE	$8.51	$42.53	$1.42–$1,541.19	—	80%
Blood urea nitrogen (BUN) test inpatient CPT 84520 SH UREA NITROGEN QUANTITATIVE	$8.75	$43.74	$1.42–$1,541.19	—	80%
Blood urea nitrogen (BUN) test inpatient CPT 84520 UREA NITROGEN QUANTITATIVE	$9.07	$45.36	$1.42–$200.85	—	80%
C-peptide blood test CPT 84681 SH CHEM C-PEPTIDE	$14.50	$72.50	$7.49–$8,084.80	80% below	80%
C-peptide blood test CPT 84681 CHEM C-PEPTIDE	$15.23	$76.13	$7.49–$8,084.80	79% below	80%
C-peptide blood test CPT 84681 C-PEPTIDE	$28.77	$143.85	$7.49–$90.73	60% below	80%
C-peptide blood test inpatient CPT 84681 SH CHEM C-PEPTIDE	$14.50	$72.50	$7.49–$8,084.80	—	80%
C-peptide blood test inpatient CPT 84681 CHEM C-PEPTIDE	$15.23	$76.13	$7.49–$8,084.80	—	80%
C-peptide blood test inpatient CPT 84681 C-PEPTIDE	$28.77	$143.85	$7.49–$90.73	—	80%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 SPC C-REACTIVE PROTEIN	$12.68	$63.42	$1.86–$1,935.59	76% below	80%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 SH CHEM C-REACTIVE PROTEIN	$13.06	$65.30	$1.86–$1,658.27	75% below	80%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CHEM C-REACTIVE PROTEIN	$13.71	$68.56	$1.86–$1,669.38	74% below	80%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 SPC C-REACTIVE PROTEIN	$12.68	$63.42	$1.86–$1,935.59	—	80%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 SH CHEM C-REACTIVE PROTEIN	$13.06	$65.30	$1.86–$1,658.27	—	80%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 CHEM C-REACTIVE PROTEIN	$13.71	$68.56	$1.86–$1,669.38	—	80%
C. difficile toxin gene test (stool PCR) CPT 87493 AMP PROBE CLOSTRIDIUM	$25.20	$126.00	$13.42–$1,679.44	86% below	80%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 AMP PROBE CLOSTRIDIUM	$25.20	$126.00	$13.42–$1,679.44	—	80%
CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9, BODY FLUID	$32.00	$160.00	$7.49–$816.43	76% below	80%
CA 19-9 blood test (tumor marker) CPT 86301 SH MICRO IMMUNO TUMR AG CA 19-9	$33.60	$168.00	$7.49–$90.73	75% below	80%
CA 19-9 blood test (tumor marker) CPT 86301 MICRO IMMUNO TUMR AG CA 19-9	$35.28	$176.40	$7.49–$442.97	73% below	80%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9, BODY FLUID	$32.00	$160.00	$7.49–$816.43	—	80%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 SH MICRO IMMUNO TUMR AG CA 19-9	$33.60	$168.00	$7.49–$90.73	—	80%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 MICRO IMMUNO TUMR AG CA 19-9	$35.28	$176.40	$7.49–$442.97	—	80%
CA-125 blood test (ovarian cancer marker) CPT 86304 SH MICRO IMMUNO TUMR AG CA 125	$23.84	$119.20	$7.49–$110.08	84% below	80%
CA-125 blood test (ovarian cancer marker) CPT 86304 MICRO IMMUNO TUMR AG CA 125	$25.03	$125.16	$7.49–$777.80	83% below	80%
CA-125 blood test (ovarian cancer marker) CPT 86304 SH CHEM IMMUNO TUMR AG CA 125	$29.12	$145.60	$7.49–$617.79	81% below	80%
CA-125 blood test (ovarian cancer marker) CPT 86304 CHEM IMMUNO TUMR AG CA 125	$30.58	$152.88	$7.49–$901.46	80% below	80%
CA-125 blood test (ovarian cancer marker) CPT 86304 CA -125 ATGN TUMOR MARKER	$44.02	$220.08	$7.49–$109.55	71% below	80%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 SH MICRO IMMUNO TUMR AG CA 125	$23.84	$119.20	$7.49–$110.08	—	80%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 MICRO IMMUNO TUMR AG CA 125	$25.03	$125.16	$7.49–$777.80	—	80%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 SH CHEM IMMUNO TUMR AG CA 125	$29.12	$145.60	$7.49–$617.79	—	80%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CHEM IMMUNO TUMR AG CA 125	$30.58	$152.88	$7.49–$901.46	—	80%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA -125 ATGN TUMOR MARKER	$44.02	$220.08	$7.49–$109.55	—	80%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SH MIC INF AGENT DETECT DNA COVID-19	$30.00	$150.00	$18.48–$710.76	68% below	80%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 YSL INF AGENT DETECT DNA COVID-19	$30.29	$151.46	$18.48–$535.59	67% below	80%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 WST INF AGENT DETECT DNA COVID-19	$30.29	$151.46	$18.48–$309.43	67% below	80%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 EST INF AGENT DETECT DNA COVID-19	$30.29	$151.46	$18.48–$574.39	67% below	80%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 MIC INF AGENT DETECT DNA COVID-19	$31.50	$157.50	$18.48–$504.36	66% below	80%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 INF AGENT DETECT DNA COVID-19	$36.75	$183.75	$18.48–$516.53	60% below	80%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 UCC ESLK INF DETECT DNA COVID-19	$44.00	$220.00	$18.48–$624.32	52% below	80%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SH MIC INF AGENT DETECT DNA COVID-19	$30.00	$150.00	$18.48–$710.76	—	80%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 YSL INF AGENT DETECT DNA COVID-19	$30.29	$151.46	$18.48–$535.59	—	80%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 EST INF AGENT DETECT DNA COVID-19	$30.29	$151.46	$18.48–$574.39	—	80%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 WST INF AGENT DETECT DNA COVID-19	$30.29	$151.46	$18.48–$309.43	—	80%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 MIC INF AGENT DETECT DNA COVID-19	$31.50	$157.50	$18.48–$504.36	—	80%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 INF AGENT DETECT DNA COVID-19	$36.75	$183.75	$18.48–$516.53	—	80%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 UCC ESLK INF DETECT DNA COVID-19	$44.00	$220.00	$18.48–$624.32	—	80%
Calcium blood test, total CPT 82310 CALCIUM TOTAL - SENDOUT W PTH	$9.24	$46.20	$1.86–$2,424.94	84% below	80%
Calcium blood test, total CPT 82310 SH CHEM CALCIUM TTL URINE	$11.20	$56.00	$1.86–$1,395.05	81% below	80%
Calcium blood test, total CPT 82310 SH CHEM CALCIUM TTL SERUM	$11.20	$56.00	$1.86–$1,395.05	81% below	80%
Calcium blood test, total CPT 82310 SH CHEM CALCIUM TTL BODY FLD	$11.20	$56.00	$1.86–$1,395.05	81% below	80%
Calcium blood test, total CPT 82310 SH CLIN CHEM CALCIUM TTL	$11.20	$56.00	$1.86–$1,395.05	81% below	80%
Calcium blood test, total CPT 82310 SH CHEM CALCIUM TTL	$11.20	$56.00	$1.86–$2,424.94	81% below	80%
Calcium blood test, total CPT 82310 CHEM CALCIUM TTL BODY FLD	$11.76	$58.80	$1.86–$1,395.05	80% below	80%
Calcium blood test, total CPT 82310 LEN CALCIUM TTL SERUM	$11.76	$58.80	$1.86–$2,424.94	80% below	80%
Calcium blood test, total CPT 82310 LES CALCIUM TTL SERUM	$11.76	$58.80	$1.86–$2,424.94	80% below	80%
Calcium blood test, total CPT 82310 LWS CALCIUM TTL SERUM	$11.76	$58.80	$1.86–$2,424.94	80% below	80%
Calcium blood test, total CPT 82310 NE CALCIUM TTL SERUM	$11.76	$58.80	$1.86–$2,424.94	80% below	80%
Calcium blood test, total CPT 82310 YSL CALCIUM TTL SERUM	$11.76	$58.80	$1.86–$2,424.94	80% below	80%
Calcium blood test, total CPT 82310 CLIN CHEM CALCIUM TTL	$11.76	$58.80	$1.86–$1,395.05	80% below	80%
Calcium blood test, total CPT 82310 CHEM CALCIUM TTL SERUM	$11.76	$58.80	$1.86–$1,395.05	80% below	80%
Calcium blood test, total CPT 82310 CHEM CALCIUM TTL URINE	$11.76	$58.80	$1.86–$1,395.05	80% below	80%
Calcium blood test, total CPT 82310 CHEM CALCIUM TTL	$11.76	$58.80	$1.86–$1,395.05	80% below	80%
Calcium blood test, total inpatient CPT 82310 CALCIUM TOTAL - SENDOUT W PTH	$9.24	$46.20	$1.86–$2,424.94	—	80%
Calcium blood test, total inpatient CPT 82310 SH CLIN CHEM CALCIUM TTL	$11.20	$56.00	$1.86–$1,395.05	—	80%
Calcium blood test, total inpatient CPT 82310 SH CHEM CALCIUM TTL SERUM	$11.20	$56.00	$1.86–$1,395.05	—	80%
Calcium blood test, total inpatient CPT 82310 SH CHEM CALCIUM TTL BODY FLD	$11.20	$56.00	$1.86–$1,395.05	—	80%
Calcium blood test, total inpatient CPT 82310 SH CHEM CALCIUM TTL	$11.20	$56.00	$1.86–$2,424.94	—	80%
Calcium blood test, total inpatient CPT 82310 SH CHEM CALCIUM TTL URINE	$11.20	$56.00	$1.86–$1,395.05	—	80%
Calcium blood test, total inpatient CPT 82310 CHEM CALCIUM TTL	$11.76	$58.80	$1.86–$1,395.05	—	80%
Calcium blood test, total inpatient CPT 82310 LEN CALCIUM TTL SERUM	$11.76	$58.80	$1.86–$2,424.94	—	80%
Calcium blood test, total inpatient CPT 82310 LES CALCIUM TTL SERUM	$11.76	$58.80	$1.86–$2,424.94	—	80%
Calcium blood test, total inpatient CPT 82310 LWS CALCIUM TTL SERUM	$11.76	$58.80	$1.86–$2,424.94	—	80%
Calcium blood test, total inpatient CPT 82310 NE CALCIUM TTL SERUM	$11.76	$58.80	$1.86–$2,424.94	—	80%
Calcium blood test, total inpatient CPT 82310 YSL CALCIUM TTL SERUM	$11.76	$58.80	$1.86–$2,424.94	—	80%
Calcium blood test, total inpatient CPT 82310 CHEM CALCIUM TTL URINE	$11.76	$58.80	$1.86–$1,395.05	—	80%
Calcium blood test, total inpatient CPT 82310 CLIN CHEM CALCIUM TTL	$11.76	$58.80	$1.86–$1,395.05	—	80%
Calcium blood test, total inpatient CPT 82310 CHEM CALCIUM TTL BODY FLD	$11.76	$58.80	$1.86–$1,395.05	—	80%
Calcium blood test, total inpatient CPT 82310 CHEM CALCIUM TTL SERUM	$11.76	$58.80	$1.86–$1,395.05	—	80%
Carcinoembryonic antigen (CEA) test CPT 82378 SH CHEM CARCINOEMBRYONIC AG	$22.40	$112.00	$6.83–$4,850.20	83% below	80%
Carcinoembryonic antigen (CEA) test CPT 82378 CHEM CARCINOEMBRYONIC AG	$23.52	$117.60	$6.83–$4,850.20	82% below	80%
Carcinoembryonic antigen (CEA) test CPT 82378 SH CARCINOEMBRYONIC (CEA) BF	$25.60	$128.00	$6.83–$4,850.20	81% below	80%
Carcinoembryonic antigen (CEA) test CPT 82378 CARCINOEMBRYONIC (CEA) BF	$26.88	$134.40	$6.83–$4,850.20	80% below	80%
Carcinoembryonic antigen (CEA) test CPT 82378 SPC CEA BODY FLUID	$26.88	$134.40	$6.83–$4,916.02	80% below	80%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 SH CHEM CARCINOEMBRYONIC AG	$22.40	$112.00	$6.83–$4,850.20	—	80%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CHEM CARCINOEMBRYONIC AG	$23.52	$117.60	$6.83–$4,850.20	—	80%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 SH CARCINOEMBRYONIC (CEA) BF	$25.60	$128.00	$6.83–$4,850.20	—	80%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 SPC CEA BODY FLUID	$26.88	$134.40	$6.83–$4,916.02	—	80%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CARCINOEMBRYONIC (CEA) BF	$26.88	$134.40	$6.83–$4,850.20	—	80%
Chickenpox (varicella) immunity blood test CPT 86787 SH SPC VARICELLA-ZOSTER AB	$6.53	$32.64	$4.64–$1,134.68	89% below	80%
Chickenpox (varicella) immunity blood test CPT 86787 SPC VARICELLA-ZOSTER AB	$6.85	$34.27	$4.64–$1,408.12	89% below	80%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER ANTIBODY	$7.52	$37.60	$4.64–$1,209.30	88% below	80%
Chickenpox (varicella) immunity blood test CPT 86787 SPC VARICELLA-ZOSTER AB IGG	$11.39	$56.95	$4.64–$1,538.84	81% below	80%
Chickenpox (varicella) immunity blood test CPT 86787 SPC VARICELLA-ZOSTER AB IGM	$14.95	$74.76	$4.64–$1,214.59	76% below	80%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER ANTIBODY-	$16.24	$81.20	$4.64–$492.54	74% below	80%
Chickenpox (varicella) immunity blood test CPT 86787 SH MICRO VARICELLA-ZOSTER AB	$17.44	$87.20	$4.64–$684.65	72% below	80%
Chickenpox (varicella) immunity blood test CPT 86787 MICRO VARICELLA-ZOSTER AB	$18.31	$91.56	$4.64–$1,120.56	70% below	80%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 SH SPC VARICELLA-ZOSTER AB	$6.53	$32.64	$4.64–$1,134.68	—	80%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 SPC VARICELLA-ZOSTER AB	$6.85	$34.27	$4.64–$1,408.12	—	80%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOSTER ANTIBODY	$7.52	$37.60	$4.64–$1,209.30	—	80%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 SPC VARICELLA-ZOSTER AB IGG	$11.39	$56.95	$4.64–$1,538.84	—	80%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 SPC VARICELLA-ZOSTER AB IGM	$14.95	$74.76	$4.64–$1,214.59	—	80%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOSTER ANTIBODY-	$16.24	$81.20	$4.64–$492.54	—	80%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 SH MICRO VARICELLA-ZOSTER AB	$17.44	$87.20	$4.64–$684.65	—	80%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 MICRO VARICELLA-ZOSTER AB	$18.31	$91.56	$4.64–$1,120.56	—	80%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 SH SPC CHLAMYDIA TRAC AMP PROBE	$14.00	$70.00	$12.63–$1,343.55	89% below	80%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 SPC CHLAMYDIA TRAC AMP PROBE	$14.70	$73.50	$12.63–$1,298.74	88% below	80%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 SH CHEM CHLAMYDIA TRAC AMP PROBE	$21.00	$105.00	$12.63–$1,241.76	83% below	80%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 SH MICRO CHLAMYDIA TRAC AMP PROBE	$21.00	$105.00	$12.63–$2,137.23	83% below	80%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 MICRO CHLAMYDIA TRAC AMP PROBE	$22.05	$110.25	$12.63–$1,011.37	82% below	80%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHEM CHLAMYDIA TRAC AMP PROBE	$22.05	$110.25	$12.63–$961.79	82% below	80%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS RNA, TMA	$25.54	$127.68	$12.63–$1,476.91	79% below	80%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 LAB SPC CHLAMYDIA TRAC AMP PROBE	$26.71	$133.56	$12.63–$1,562.83	79% below	80%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 SPC NUCLEIC ACID CHLAMYDIA TRACH	$26.96	$134.80	$12.63–$1,486.09	78% below	80%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 SH SPC CHLAMYDIA TRAC AMP PROBE	$14.00	$70.00	$12.63–$1,343.55	—	80%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 SPC CHLAMYDIA TRAC AMP PROBE	$14.70	$73.50	$12.63–$1,298.74	—	80%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 SH CHEM CHLAMYDIA TRAC AMP PROBE	$21.00	$105.00	$12.63–$1,241.76	—	80%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 SH MICRO CHLAMYDIA TRAC AMP PROBE	$21.00	$105.00	$12.63–$2,137.23	—	80%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 MICRO CHLAMYDIA TRAC AMP PROBE	$22.05	$110.25	$12.63–$1,011.37	—	80%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHEM CHLAMYDIA TRAC AMP PROBE	$22.05	$110.25	$12.63–$961.79	—	80%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACHOMATIS RNA, TMA	$25.54	$127.68	$12.63–$1,476.91	—	80%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 LAB SPC CHLAMYDIA TRAC AMP PROBE	$26.71	$133.56	$12.63–$1,562.83	—	80%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 SPC NUCLEIC ACID CHLAMYDIA TRACH	$26.96	$134.80	$12.63–$1,486.09	—	80%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 NHC NE THSTEPS POLIOVIRUS,IPV,SC #PF#	$22.40	$112.00	$11.81–$70.56	85% below	80%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 SH SPC LIPID PANEL	$26.08	$130.40	$4.82–$2,374.33	82% below	80%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 SPC LIPID PANEL	$27.38	$136.92	$4.82–$2,374.33	82% below	80%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 SH LIPID PANEL	$33.28	$166.40	$4.82–$2,374.33	78% below	80%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 YSL LIPID PANEL	$34.94	$174.72	$4.82–$2,374.33	76% below	80%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LES LIPID PANEL	$34.94	$174.72	$4.82–$2,374.33	76% below	80%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL	$34.94	$174.72	$4.82–$2,374.33	76% below	80%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LWS LIPID PANEL	$34.94	$174.72	$4.82–$2,374.33	76% below	80%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LEN LIPID PANEL	$34.94	$174.72	$4.82–$2,374.33	76% below	80%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 NHC NE THSTEPS POLIOVIRUS,IPV,SC #PF#	$22.40	$112.00	$11.81–$70.56	—	80%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 SH SPC LIPID PANEL	$26.08	$130.40	$4.82–$2,374.33	—	80%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 SPC LIPID PANEL	$27.38	$136.92	$4.82–$2,374.33	—	80%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 SH LIPID PANEL	$33.28	$166.40	$4.82–$2,374.33	—	80%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LEN LIPID PANEL	$34.94	$174.72	$4.82–$2,374.33	—	80%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LES LIPID PANEL	$34.94	$174.72	$4.82–$2,374.33	—	80%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL	$34.94	$174.72	$4.82–$2,374.33	—	80%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 YSL LIPID PANEL	$34.94	$174.72	$4.82–$2,374.33	—	80%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LWS LIPID PANEL	$34.94	$174.72	$4.82–$2,374.33	—	80%
Complete blood count (CBC) with differential CPT 85025 LWS CBC AUTO W/AUTO DIFF	$8.65	$43.24	$2.80–$1,764.64	91% below	80%
Complete blood count (CBC) with differential CPT 85025 LEN CBC AUTO W/AUTO DIFF	$8.65	$43.24	$2.80–$61.92	91% below	80%
Complete blood count (CBC) with differential CPT 85025 LES CBC AUTO W/AUTO DIFF	$8.65	$43.24	$2.80–$800.02	91% below	80%
Complete blood count (CBC) with differential CPT 85025 NE CBC AUTO W/AUTO DIFF	$8.65	$43.24	$2.80–$1,564.59	91% below	80%
Complete blood count (CBC) with differential CPT 85025 YSL CBC AUTO W/AUTO DIFF	$8.65	$43.24	$2.80–$988.26	91% below	80%
Complete blood count (CBC) with differential CPT 85025 CHEM CBC AUTO W/AUTO DIFF	$8.65	$43.24	$2.80–$125.25	91% below	80%
Complete blood count (CBC) with differential CPT 85025 CBC BASELINE	$8.65	$43.24	$2.80–$1,464.04	91% below	80%
Complete blood count (CBC) with differential CPT 85025 SH CHEM CBC AUTO W/AUTO DIFF	$8.69	$43.44	$2.80–$552.88	90% below	80%
Complete blood count (CBC) with differential CPT 85025 SH CBC BASELINE	$8.69	$43.44	$2.80–$672.48	90% below	80%
Complete blood count (CBC) with differential inpatient CPT 85025 LWS CBC AUTO W/AUTO DIFF	$8.65	$43.24	$2.80–$1,764.64	—	80%
Complete blood count (CBC) with differential inpatient CPT 85025 LES CBC AUTO W/AUTO DIFF	$8.65	$43.24	$2.80–$800.02	—	80%
Complete blood count (CBC) with differential inpatient CPT 85025 LEN CBC AUTO W/AUTO DIFF	$8.65	$43.24	$2.80–$61.92	—	80%
Complete blood count (CBC) with differential inpatient CPT 85025 NE CBC AUTO W/AUTO DIFF	$8.65	$43.24	$2.80–$1,564.59	—	80%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC BASELINE	$8.65	$43.24	$2.80–$1,464.04	—	80%
Complete blood count (CBC) with differential inpatient CPT 85025 YSL CBC AUTO W/AUTO DIFF	$8.65	$43.24	$2.80–$988.26	—	80%
Complete blood count (CBC) with differential inpatient CPT 85025 CHEM CBC AUTO W/AUTO DIFF	$8.65	$43.24	$2.80–$125.25	—	80%
Complete blood count (CBC) with differential inpatient CPT 85025 SH CBC BASELINE	$8.69	$43.44	$2.80–$672.48	—	80%
Complete blood count (CBC) with differential inpatient CPT 85025 SH CHEM CBC AUTO W/AUTO DIFF	$8.69	$43.44	$2.80–$552.88	—	80%
Complete blood count (CBC), no differential CPT 85027 SH CHEM HEMOGRAM AUTO	$6.20	$31.00	$2.33–$933.57	93% below	80%
Complete blood count (CBC), no differential CPT 85027 LES CBC AUTO W/O DIFF	$6.50	$32.49	$2.33–$1,082.46	93% below	80%
Complete blood count (CBC), no differential CPT 85027 CHEM HEMOGRAM AUTO	$6.50	$32.49	$2.33–$686.59	93% below	80%
Complete blood count (CBC), no differential CPT 85027 YSL CBC AUTO W/O DIFF	$6.50	$32.49	$2.33–$851.54	93% below	80%
Complete blood count (CBC), no differential CPT 85027 LWS CBC AUTO W/O DIFF	$6.50	$32.49	$2.33–$847.66	93% below	80%
Complete blood count (CBC), no differential CPT 85027 LEN CBC AUTO W/O DIFF	$6.50	$32.49	$2.33–$994.08	93% below	80%
Complete blood count (CBC), no differential inpatient CPT 85027 SH CHEM HEMOGRAM AUTO	$6.20	$31.00	$2.33–$933.57	—	80%
Complete blood count (CBC), no differential inpatient CPT 85027 LEN CBC AUTO W/O DIFF	$6.50	$32.49	$2.33–$994.08	—	80%
Complete blood count (CBC), no differential inpatient CPT 85027 CHEM HEMOGRAM AUTO	$6.50	$32.49	$2.33–$686.59	—	80%
Complete blood count (CBC), no differential inpatient CPT 85027 YSL CBC AUTO W/O DIFF	$6.50	$32.49	$2.33–$851.54	—	80%
Complete blood count (CBC), no differential inpatient CPT 85027 LWS CBC AUTO W/O DIFF	$6.50	$32.49	$2.33–$847.66	—	80%
Complete blood count (CBC), no differential inpatient CPT 85027 LES CBC AUTO W/O DIFF	$6.50	$32.49	$2.33–$1,082.46	—	80%
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL ADJUSTED CALCIUM	$15.52	$77.60	$3.80–$484.93	94% below	80%
Comprehensive metabolic panel (blood test) CPT 80053 SH CHEM CMPRH METAB PANEL	$32.80	$164.00	$3.80–$2,374.33	87% below	80%
Comprehensive metabolic panel (blood test) CPT 80053 LEN CMPRH METAB PANEL	$34.44	$172.20	$3.80–$2,374.33	86% below	80%
Comprehensive metabolic panel (blood test) CPT 80053 LES CMPRH METAB PANEL	$34.44	$172.20	$3.80–$2,374.33	86% below	80%
Comprehensive metabolic panel (blood test) CPT 80053 LWS CMPRH METAB PANEL	$34.44	$172.20	$3.80–$2,374.33	86% below	80%
Comprehensive metabolic panel (blood test) CPT 80053 NE CMPRH METAB PANEL	$34.44	$172.20	$3.80–$364.62	86% below	80%
Comprehensive metabolic panel (blood test) CPT 80053 YSL CMPRH METAB PANEL	$34.44	$172.20	$3.80–$370.28	86% below	80%
Comprehensive metabolic panel (blood test) CPT 80053 CHEM CMPRH METAB PANEL	$34.44	$172.20	$3.80–$2,374.33	86% below	80%
Comprehensive metabolic panel (blood test) CPT 80053 LEN CHM14 POC	$36.29	$181.44	$3.80–$2,374.33	85% below	80%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL ADJUSTED CALCIUM	$15.52	$77.60	$3.80–$484.93	—	80%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 SH CHEM CMPRH METAB PANEL	$32.80	$164.00	$3.80–$2,374.33	—	80%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 NE CMPRH METAB PANEL	$34.44	$172.20	$3.80–$364.62	—	80%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 LEN CMPRH METAB PANEL	$34.44	$172.20	$3.80–$2,374.33	—	80%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 LES CMPRH METAB PANEL	$34.44	$172.20	$3.80–$2,374.33	—	80%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 LWS CMPRH METAB PANEL	$34.44	$172.20	$3.80–$2,374.33	—	80%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 CHEM CMPRH METAB PANEL	$34.44	$172.20	$3.80–$2,374.33	—	80%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 YSL CMPRH METAB PANEL	$34.44	$172.20	$3.80–$370.28	—	80%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 LEN CHM14 POC	$36.29	$181.44	$3.80–$2,374.33	—	80%
Cortisol blood test, total CPT 82533 ALDOSTERONE/CORTISOL RATIO	$10.58	$52.92	$5.87–$11,117.96	87% below	80%
Cortisol blood test, total CPT 82533 CORTISOL TOTAL A.M.	$30.08	$150.40	$5.87–$11,117.96	63% below	80%
Cortisol blood test, total CPT 82533 SH ACTH STIMULATION TEST	$39.04	$195.20	$5.87–$11,117.96	52% below	80%
Cortisol blood test, total CPT 82533 ACTH STIMULATION TEST	$39.04	$195.20	$5.87–$11,117.96	52% below	80%
Cortisol blood test, total inpatient CPT 82533 ALDOSTERONE/CORTISOL RATIO	$10.58	$52.92	$5.87–$11,117.96	—	80%
Cortisol blood test, total inpatient CPT 82533 CORTISOL TOTAL A.M.	$30.08	$150.40	$5.87–$11,117.96	—	80%
Cortisol blood test, total inpatient CPT 82533 SH ACTH STIMULATION TEST	$39.04	$195.20	$5.87–$11,117.96	—	80%
Cortisol blood test, total inpatient CPT 82533 ACTH STIMULATION TEST	$39.04	$195.20	$5.87–$11,117.96	—	80%
Creatine kinase (CK) blood test, total CPT 82550 LEN CREATINE KINASE TTL	$7.84	$39.20	$2.34–$384.71	88% below	80%
Creatine kinase (CK) blood test, total CPT 82550 SH CHEM CREATINE KINASE TTL	$7.84	$39.20	$2.34–$66.25	88% below	80%
Creatine kinase (CK) blood test, total CPT 82550 LWS CREATINE KINASE TTL	$8.23	$41.16	$2.34–$384.71	87% below	80%
Creatine kinase (CK) blood test, total CPT 82550 LES CREATINE KINASE TTL	$8.23	$41.16	$2.34–$384.71	87% below	80%
Creatine kinase (CK) blood test, total CPT 82550 NE NE CREATINE KINASE TTL	$8.23	$41.16	$2.34–$384.71	87% below	80%
Creatine kinase (CK) blood test, total CPT 82550 YSL CREATINE KINASE TTL	$8.23	$41.16	$2.34–$70.66	87% below	80%
Creatine kinase (CK) blood test, total CPT 82550 CHEM CREATINE KINASE TTL	$8.23	$41.16	$2.34–$18,324.86	87% below	80%
Creatine kinase (CK) blood test, total inpatient CPT 82550 LEN CREATINE KINASE TTL	$7.84	$39.20	$2.34–$384.71	—	80%
Creatine kinase (CK) blood test, total inpatient CPT 82550 SH CHEM CREATINE KINASE TTL	$7.84	$39.20	$2.34–$66.25	—	80%
Creatine kinase (CK) blood test, total inpatient CPT 82550 NE NE CREATINE KINASE TTL	$8.23	$41.16	$2.34–$384.71	—	80%
Creatine kinase (CK) blood test, total inpatient CPT 82550 YSL CREATINE KINASE TTL	$8.23	$41.16	$2.34–$70.66	—	80%
Creatine kinase (CK) blood test, total inpatient CPT 82550 CHEM CREATINE KINASE TTL	$8.23	$41.16	$2.34–$18,324.86	—	80%
Creatine kinase (CK) blood test, total inpatient CPT 82550 LES CREATINE KINASE TTL	$8.23	$41.16	$2.34–$384.71	—	80%
Creatine kinase (CK) blood test, total inpatient CPT 82550 LWS CREATINE KINASE TTL	$8.23	$41.16	$2.34–$384.71	—	80%
Creatinine blood test CPT 82565 SH CHEM CREATININE SERUM	$4.48	$22.40	$1.84–$384.71	92% below	80%
Creatinine blood test CPT 82565 SH CHEM CREATININE	$4.48	$22.40	$1.84–$384.71	92% below	80%
Creatinine blood test CPT 82565 SH CHEM CREATININE BLOOD	$4.48	$22.40	$1.84–$384.71	92% below	80%
Creatinine blood test CPT 82565 NE CREATININE SERUM	$5.09	$25.44	$1.84–$384.71	90% below	80%
Creatinine blood test CPT 82565 LWS CREATININE SERUM	$5.09	$25.44	$1.84–$384.71	90% below	80%
Creatinine blood test CPT 82565 YSL CREATININE SERUM	$5.09	$25.44	$1.84–$384.71	90% below	80%
Creatinine blood test CPT 82565 LEN CREATININE SERUM	$5.09	$25.44	$1.84–$384.71	90% below	80%
Creatinine blood test CPT 82565 CHEM CREATININE BLOOD	$5.09	$25.44	$1.84–$384.71	90% below	80%
Creatinine blood test CPT 82565 LES CREATININE SERUM	$5.09	$25.44	$1.84–$384.71	90% below	80%
Creatinine blood test CPT 82565 CHEM CREATININE	$5.09	$25.44	$1.84–$384.71	90% below	80%
Creatinine blood test CPT 82565 CHEM CREATININE SERUM	$5.09	$25.44	$1.84–$384.71	90% below	80%
Creatinine blood test CPT 82565 LEN CREATININE POC	$10.23	$51.16	$1.84–$384.71	81% below	80%
Creatinine blood test CPT 82565 CREATININE BLOOD - POC	$11.11	$55.56	$1.84–$384.71	79% below	80%
Creatinine blood test inpatient CPT 82565 SH CHEM CREATININE	$4.48	$22.40	$1.84–$384.71	—	80%
Creatinine blood test inpatient CPT 82565 SH CHEM CREATININE BLOOD	$4.48	$22.40	$1.84–$384.71	—	80%
Creatinine blood test inpatient CPT 82565 SH CHEM CREATININE SERUM	$4.48	$22.40	$1.84–$384.71	—	80%
Creatinine blood test inpatient CPT 82565 LEN CREATININE SERUM	$5.09	$25.44	$1.84–$384.71	—	80%
Creatinine blood test inpatient CPT 82565 YSL CREATININE SERUM	$5.09	$25.44	$1.84–$384.71	—	80%
Creatinine blood test inpatient CPT 82565 CHEM CREATININE BLOOD	$5.09	$25.44	$1.84–$384.71	—	80%
Creatinine blood test inpatient CPT 82565 CHEM CREATININE	$5.09	$25.44	$1.84–$384.71	—	80%
Creatinine blood test inpatient CPT 82565 LES CREATININE SERUM	$5.09	$25.44	$1.84–$384.71	—	80%
Creatinine blood test inpatient CPT 82565 CHEM CREATININE SERUM	$5.09	$25.44	$1.84–$384.71	—	80%
Creatinine blood test inpatient CPT 82565 NE CREATININE SERUM	$5.09	$25.44	$1.84–$384.71	—	80%
Creatinine blood test inpatient CPT 82565 LWS CREATININE SERUM	$5.09	$25.44	$1.84–$384.71	—	80%
Creatinine blood test inpatient CPT 82565 LEN CREATININE POC	$10.23	$51.16	$1.84–$384.71	—	80%
Creatinine blood test inpatient CPT 82565 CREATININE BLOOD - POC	$11.11	$55.56	$1.84–$384.71	—	80%
Cytomegalovirus (CMV) antibody test CPT 86644 EBV NUCLEAR AG AB IGG	$12.64	$63.20	$5.18–$484.42	82% below	80%
Cytomegalovirus (CMV) antibody test CPT 86644 CYTOMEGALOVIRUS IGG	$13.92	$69.60	$5.18–$501.54	80% below	80%
Cytomegalovirus (CMV) antibody test CPT 86644 CYTOMEGALOVIRUS IGM	$13.92	$69.60	$5.18–$526.94	80% below	80%
Cytomegalovirus (CMV) antibody test CPT 86644 SH SPC CMV AB IGG	$17.61	$88.06	$5.18–$244.15	75% below	80%
Cytomegalovirus (CMV) antibody test CPT 86644 SPC CMV AB IGG	$18.49	$92.46	$5.18–$218.40	74% below	80%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 EBV NUCLEAR AG AB IGG	$12.64	$63.20	$5.18–$484.42	—	80%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CYTOMEGALOVIRUS IGG	$13.92	$69.60	$5.18–$501.54	—	80%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CYTOMEGALOVIRUS IGM	$13.92	$69.60	$5.18–$526.94	—	80%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 SH SPC CMV AB IGG	$17.61	$88.06	$5.18–$244.15	—	80%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 SPC CMV AB IGG	$18.49	$92.46	$5.18–$218.40	—	80%
D-dimer blood test (blood clot marker) CPT 85379 SH CHEM FIBRIN D-DIMER QN	$21.76	$108.80	$3.66–$1,697.08	87% below	80%
D-dimer blood test (blood clot marker) CPT 85379 LES FIBRIN DEGRADTN D DIMER QN	$22.85	$114.24	$3.66–$2,189.09	87% below	80%
D-dimer blood test (blood clot marker) CPT 85379 CHEM FIBRIN D-DIMER QN	$22.85	$114.24	$3.66–$1,579.59	87% below	80%
D-dimer blood test (blood clot marker) CPT 85379 SPC FIBRIN DEGRADATION D DIMER QN	$23.18	$115.92	$3.66–$2,757.31	86% below	80%
D-dimer blood test (blood clot marker) CPT 85379 FIBRIN D DIMER QN	$26.21	$131.04	$3.66–$1,828.68	85% below	80%
D-dimer blood test (blood clot marker) inpatient CPT 85379 SH CHEM FIBRIN D-DIMER QN	$21.76	$108.80	$3.66–$1,697.08	—	80%
D-dimer blood test (blood clot marker) inpatient CPT 85379 CHEM FIBRIN D-DIMER QN	$22.85	$114.24	$3.66–$1,579.59	—	80%
D-dimer blood test (blood clot marker) inpatient CPT 85379 LES FIBRIN DEGRADTN D DIMER QN	$22.85	$114.24	$3.66–$2,189.09	—	80%
D-dimer blood test (blood clot marker) inpatient CPT 85379 SPC FIBRIN DEGRADATION D DIMER QN	$23.18	$115.92	$3.66–$2,757.31	—	80%
D-dimer blood test (blood clot marker) inpatient CPT 85379 FIBRIN D DIMER QN	$26.21	$131.04	$3.66–$1,828.68	—	80%
Drug screen by lab instrument (any number of drug classes) CPT 80307 BENZODIAZEPINES SCREEN	$11.32	$56.58	$22.37–$2,374.33	82% below	80%
Drug screen by lab instrument (any number of drug classes) CPT 80307 OPIATES QN	$14.32	$71.61	$22.37–$2,374.33	77% below	80%
Drug screen by lab instrument (any number of drug classes) CPT 80307 SH CHEM BARBITURATES	$15.52	$77.60	$22.37–$2,374.33	75% below	80%
Drug screen by lab instrument (any number of drug classes) CPT 80307 CHEM BARBITURATES	$16.30	$81.48	$22.37–$2,374.33	74% below	80%
Drug screen by lab instrument (any number of drug classes) CPT 80307 SH CHEM BENZODIAZEPINES	$20.96	$104.80	$22.37–$2,374.33	66% below	80%
Drug screen by lab instrument (any number of drug classes) CPT 80307 SH CHEM DRUG SCR SGL PROPOXYPHEN	$21.76	$108.80	$22.37–$2,374.33	65% below	80%
Drug screen by lab instrument (any number of drug classes) CPT 80307 SH CHEM DRUG SCR SGL CANNABINOID	$21.76	$108.80	$22.37–$2,374.33	65% below	80%
Drug screen by lab instrument (any number of drug classes) CPT 80307 CHEM BENZODIAZEPINES	$22.01	$110.04	$22.37–$2,374.33	65% below	80%
Drug screen by lab instrument (any number of drug classes) CPT 80307 CHEM DRUG SCR SGL CANNABINOID	$22.85	$114.24	$22.37–$2,374.33	63% below	80%
Drug screen by lab instrument (any number of drug classes) CPT 80307 CHEM DRUG SCR SGL PROPOXYPHEN	$22.85	$114.24	$22.37–$2,374.33	63% below	80%
Drug screen by lab instrument (any number of drug classes) CPT 80307 PAIN MANAGMNT ANTIDEPRESSANTS	$23.52	$117.60	$22.37–$2,374.33	62% below	80%
Drug screen by lab instrument (any number of drug classes) CPT 80307 SH CHEM METHADONE	$26.56	$132.80	$22.37–$2,374.33	57% below	80%
Drug screen by lab instrument (any number of drug classes) CPT 80307 SPC DRUG SCR SGL HEROIN	$26.71	$133.56	$22.37–$2,374.33	57% below	80%
Drug screen by lab instrument (any number of drug classes) CPT 80307 SH CHEM DRUG SCR MLT URINE	$27.20	$136.00	$22.37–$2,374.33	56% below	80%
Drug screen by lab instrument (any number of drug classes) CPT 80307 CHEM METHADONE	$27.89	$139.44	$22.37–$2,374.33	55% below	80%
Drug screen by lab instrument (any number of drug classes) CPT 80307 CHEM DRUG SCR MLT URINE	$28.56	$142.80	$22.37–$2,374.33	54% below	80%
Drug screen by lab instrument (any number of drug classes) CPT 80307 BARBITURATE PRESUMPTIVE SCREEN	$28.90	$144.48	$22.37–$2,374.33	53% below	80%
Drug screen by lab instrument (any number of drug classes) CPT 80307 TRAMADOL SCREEN	$29.06	$145.32	$22.37–$2,374.33	53% below	80%
Drug screen by lab instrument (any number of drug classes) CPT 80307 SPC COCAINE QN	$29.23	$146.16	$22.37–$2,374.33	53% below	80%
Drug screen by lab instrument (any number of drug classes) CPT 80307 MECONIUM DRUG SCREEN	$30.49	$152.46	$22.37–$2,374.33	51% below	80%
Drug screen by lab instrument (any number of drug classes) CPT 80307 SPEC CHEM DRUG SCR MLT URINE	$31.20	$156.00	$22.37–$2,374.33	50% below	80%
Drug screen by lab instrument (any number of drug classes) CPT 80307 SH SPEC CHEM DRUG SCR MLT URINE	$31.20	$156.00	$22.37–$2,374.33	50% below	80%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DIURETICS SCREEN, URINE	$31.58	$157.92	$22.37–$2,374.33	49% below	80%
Drug screen by lab instrument (any number of drug classes) CPT 80307 SPC DRUG -SCR MLT CLASS	$32.76	$163.80	$22.37–$2,374.33	47% below	80%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN QL MLT CLASS NON	$32.93	$164.64	$22.37–$648.08	47% below	80%
Drug screen by lab instrument (any number of drug classes) CPT 80307 PAIN MANAGEMENT PROF 6 W/CONF.	$36.96	$184.80	$22.37–$2,374.33	41% below	80%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TEST PRESUMPTIVE CHEM ANL	$39.36	$196.80	$22.37–$2,374.33	37% below	80%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 BENZODIAZEPINES SCREEN	$11.32	$56.58	$22.37–$2,374.33	—	80%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 OPIATES QN	$14.32	$71.61	$22.37–$2,374.33	—	80%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 SH CHEM BARBITURATES	$15.52	$77.60	$22.37–$2,374.33	—	80%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 CHEM BARBITURATES	$16.30	$81.48	$22.37–$2,374.33	—	80%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 SH CHEM BENZODIAZEPINES	$20.96	$104.80	$22.37–$2,374.33	—	80%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 SH CHEM DRUG SCR SGL PROPOXYPHEN	$21.76	$108.80	$22.37–$2,374.33	—	80%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 SH CHEM DRUG SCR SGL CANNABINOID	$21.76	$108.80	$22.37–$2,374.33	—	80%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 CHEM BENZODIAZEPINES	$22.01	$110.04	$22.37–$2,374.33	—	80%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 CHEM DRUG SCR SGL PROPOXYPHEN	$22.85	$114.24	$22.37–$2,374.33	—	80%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 CHEM DRUG SCR SGL CANNABINOID	$22.85	$114.24	$22.37–$2,374.33	—	80%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 PAIN MANAGMNT ANTIDEPRESSANTS	$23.52	$117.60	$22.37–$2,374.33	—	80%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 SH CHEM METHADONE	$26.56	$132.80	$22.37–$2,374.33	—	80%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 SPC DRUG SCR SGL HEROIN	$26.71	$133.56	$22.37–$2,374.33	—	80%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 SH CHEM DRUG SCR MLT URINE	$27.20	$136.00	$22.37–$2,374.33	—	80%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 CHEM METHADONE	$27.89	$139.44	$22.37–$2,374.33	—	80%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 CHEM DRUG SCR MLT URINE	$28.56	$142.80	$22.37–$2,374.33	—	80%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 BARBITURATE PRESUMPTIVE SCREEN	$28.90	$144.48	$22.37–$2,374.33	—	80%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 TRAMADOL SCREEN	$29.06	$145.32	$22.37–$2,374.33	—	80%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 SPC COCAINE QN	$29.23	$146.16	$22.37–$2,374.33	—	80%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 MECONIUM DRUG SCREEN	$30.49	$152.46	$22.37–$2,374.33	—	80%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 SH SPEC CHEM DRUG SCR MLT URINE	$31.20	$156.00	$22.37–$2,374.33	—	80%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 SPEC CHEM DRUG SCR MLT URINE	$31.20	$156.00	$22.37–$2,374.33	—	80%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DIURETICS SCREEN, URINE	$31.58	$157.92	$22.37–$2,374.33	—	80%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 SPC DRUG -SCR MLT CLASS	$32.76	$163.80	$22.37–$2,374.33	—	80%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN QL MLT CLASS NON	$32.93	$164.64	$22.37–$648.08	—	80%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 PAIN MANAGEMENT PROF 6 W/CONF.	$36.96	$184.80	$22.37–$2,374.33	—	80%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG TEST PRESUMPTIVE CHEM ANL	$39.36	$196.80	$22.37–$2,374.33	—	80%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 SH CLIN CHEM ELECTROLYTE PANEL	$10.88	$54.40	$2.52–$2,374.33	93% below	80%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 SH CLIN_CHEM ELECTROLYTE PANEL	$10.88	$54.40	$2.52–$2,374.33	93% below	80%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 SH CHEM ELECTROLYTE PANEL	$10.88	$54.40	$2.52–$2,928.16	93% below	80%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 CLIN CHEM ELECTROLYTE PANEL	$11.42	$57.12	$2.52–$153.69	93% below	80%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 CHEM ELECTROLYTE PANEL	$11.42	$57.12	$2.52–$2,928.16	93% below	80%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 CLIN_CHEM ELECTROLYTE PANEL	$11.42	$57.12	$2.52–$2,374.33	93% below	80%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 YSL ELECTROLYTE PANEL	$11.42	$57.12	$2.52–$2,374.33	93% below	80%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 NE ELECTROLYTE PANEL	$11.42	$57.12	$2.52–$2,374.33	93% below	80%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 LWS ELECTROLYTE PANEL	$11.42	$57.12	$2.52–$1,099.69	93% below	80%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 LES ELECTROLYTE PANEL	$11.42	$57.12	$2.52–$2,374.33	93% below	80%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 LEN ELECTROLYTE PANEL	$11.42	$57.12	$2.52–$2,374.33	93% below	80%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 SH CLIN_CHEM ELECTROLYTE PANEL	$10.88	$54.40	$2.52–$2,374.33	—	80%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 SH CLIN CHEM ELECTROLYTE PANEL	$10.88	$54.40	$2.52–$2,374.33	—	80%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 SH CHEM ELECTROLYTE PANEL	$10.88	$54.40	$2.52–$2,928.16	—	80%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 LWS ELECTROLYTE PANEL	$11.42	$57.12	$2.52–$1,099.69	—	80%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 NE ELECTROLYTE PANEL	$11.42	$57.12	$2.52–$2,374.33	—	80%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 CLIN CHEM ELECTROLYTE PANEL	$11.42	$57.12	$2.52–$153.69	—	80%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 CLIN_CHEM ELECTROLYTE PANEL	$11.42	$57.12	$2.52–$2,374.33	—	80%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 LES ELECTROLYTE PANEL	$11.42	$57.12	$2.52–$2,374.33	—	80%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 CHEM ELECTROLYTE PANEL	$11.42	$57.12	$2.52–$2,928.16	—	80%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 YSL ELECTROLYTE PANEL	$11.42	$57.12	$2.52–$2,374.33	—	80%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 LEN ELECTROLYTE PANEL	$11.42	$57.12	$2.52–$2,374.33	—	80%
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV VCA ANTIBODY IGM	$18.80	$94.00	$6.53–$534.88	78% below	80%
Epstein-Barr virus (EBV) antibody test CPT 86665 EB VIRAL CAPSID AG IGG	$18.80	$94.00	$6.53–$385.63	78% below	80%
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV VCA ANTIBODY ANTIBODY	$25.62	$128.10	$6.53–$107.79	70% below	80%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EB VIRAL CAPSID AG IGG	$18.80	$94.00	$6.53–$385.63	—	80%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV VCA ANTIBODY IGM	$18.80	$94.00	$6.53–$534.88	—	80%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV VCA ANTIBODY ANTIBODY	$25.62	$128.10	$6.53–$107.79	—	80%
Estradiol blood test CPT 82670 SPC ESTRADIOL	$30.91	$154.54	$10.06–$373.92	75% below	80%
Estradiol blood test inpatient CPT 82670 SPC ESTRADIOL	$30.91	$154.54	$10.06–$373.92	—	80%
FSH (follicle-stimulating hormone) test CPT 83001 SPC FOLLICLE STIM HORMONE	$22.34	$111.70	$6.69–$2,366.10	86% below	80%
FSH (follicle-stimulating hormone) test CPT 83001 CHEM FOLLICLE STM HM (FSH)	$40.64	$203.20	$6.69–$2,366.10	74% below	80%
FSH (follicle-stimulating hormone) test CPT 83001 SH CHEM FOLLICLE STM HM (FSH)	$40.64	$203.20	$6.69–$2,366.10	74% below	80%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 SPC FOLLICLE STIM HORMONE	$22.34	$111.70	$6.69–$2,366.10	—	80%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 SH CHEM FOLLICLE STM HM (FSH)	$40.64	$203.20	$6.69–$2,366.10	—	80%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 CHEM FOLLICLE STM HM (FSH)	$40.64	$203.20	$6.69–$2,366.10	—	80%
Fecal calprotectin (stool inflammation test) CPT 83993 SPC CALPROTECTIN	$40.49	$202.44	$7.07–$85.59	81% below	80%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 SPC CALPROTECTIN	$40.49	$202.44	$7.07–$85.59	—	80%
Ferritin blood test (iron stores) CPT 82728 SH FERRITIN BASELINE	$12.48	$62.40	$4.91–$77.20	85% below	80%
Ferritin blood test (iron stores) CPT 82728 SH CHEM FERRITIN	$12.48	$62.40	$4.91–$373.92	85% below	80%
Ferritin blood test (iron stores) CPT 82728 FERRITIN BASELINE	$13.10	$65.52	$4.91–$373.92	84% below	80%
Ferritin blood test (iron stores) CPT 82728 CHEM FERRITIN	$13.10	$65.52	$4.91–$373.92	84% below	80%
Ferritin blood test (iron stores) CPT 82728 YSL FERRITIN SERUM	$23.52	$117.60	$4.91–$373.92	72% below	80%
Ferritin blood test (iron stores) CPT 82728 LEN FERRITIN SERUM	$23.52	$117.60	$4.91–$373.92	72% below	80%
Ferritin blood test (iron stores) CPT 82728 LES FERRITIN SERUM	$23.52	$117.60	$4.91–$373.92	72% below	80%
Ferritin blood test (iron stores) CPT 82728 LWS FERRITIN SERUM	$23.52	$117.60	$4.91–$71.19	72% below	80%
Ferritin blood test (iron stores) inpatient CPT 82728 SH CHEM FERRITIN	$12.48	$62.40	$4.91–$373.92	—	80%
Ferritin blood test (iron stores) inpatient CPT 82728 SH FERRITIN BASELINE	$12.48	$62.40	$4.91–$77.20	—	80%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN BASELINE	$13.10	$65.52	$4.91–$373.92	—	80%
Ferritin blood test (iron stores) inpatient CPT 82728 CHEM FERRITIN	$13.10	$65.52	$4.91–$373.92	—	80%
Ferritin blood test (iron stores) inpatient CPT 82728 LEN FERRITIN SERUM	$23.52	$117.60	$4.91–$373.92	—	80%
Ferritin blood test (iron stores) inpatient CPT 82728 LWS FERRITIN SERUM	$23.52	$117.60	$4.91–$71.19	—	80%
Ferritin blood test (iron stores) inpatient CPT 82728 YSL FERRITIN SERUM	$23.52	$117.60	$4.91–$373.92	—	80%
Ferritin blood test (iron stores) inpatient CPT 82728 LES FERRITIN SERUM	$23.52	$117.60	$4.91–$373.92	—	80%
Fibrinogen blood test CPT 85384 SPC FIBRINOGEN ACTIVITY	$8.61	$43.04	$3.50–$1,137.15	90% below	80%
Fibrinogen blood test CPT 85384 LAB SPC FIBRINOGEN ACTIVITY	$11.76	$58.80	$3.50–$1,111.39	86% below	80%
Fibrinogen blood test CPT 85384 SH CHEM FIBRINOGEN ACTIVITY	$18.40	$92.00	$3.50–$1,188.83	79% below	80%
Fibrinogen blood test CPT 85384 CHEM FIBRINOGEN ACTIVITY	$19.32	$96.60	$3.50–$2,408.72	78% below	80%
Fibrinogen blood test CPT 85384 FIBRINOGEN ACTIVITY	$19.32	$96.60	$3.50–$166.36	78% below	80%
Fibrinogen blood test inpatient CPT 85384 SPC FIBRINOGEN ACTIVITY	$8.61	$43.04	$3.50–$1,137.15	—	80%
Fibrinogen blood test inpatient CPT 85384 LAB SPC FIBRINOGEN ACTIVITY	$11.76	$58.80	$3.50–$1,111.39	—	80%
Fibrinogen blood test inpatient CPT 85384 SH CHEM FIBRINOGEN ACTIVITY	$18.40	$92.00	$3.50–$1,188.83	—	80%
Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN ACTIVITY	$19.32	$96.60	$3.50–$166.36	—	80%
Fibrinogen blood test inpatient CPT 85384 CHEM FIBRINOGEN ACTIVITY	$19.32	$96.60	$3.50–$2,408.72	—	80%
Folate (folic acid) blood test CPT 82746 SH CHEM FOLIC ACID	$14.40	$72.00	$5.29–$491.57	82% below	80%
Folate (folic acid) blood test CPT 82746 SH CHEM FOLIC ACID SERUM	$14.40	$72.00	$5.29–$491.57	82% below	80%
Folate (folic acid) blood test CPT 82746 LEN FOLIC ACID SERUM	$15.12	$75.60	$5.29–$491.57	81% below	80%
Folate (folic acid) blood test CPT 82746 LES FOLIC ACID SERUM	$15.12	$75.60	$5.29–$491.57	81% below	80%
Folate (folic acid) blood test CPT 82746 LWS FOLIC ACID SERUM	$15.12	$75.60	$5.29–$491.57	81% below	80%
Folate (folic acid) blood test CPT 82746 YSL FOLIC ACID SERUM	$15.12	$75.60	$5.29–$491.57	81% below	80%
Folate (folic acid) blood test CPT 82746 CHEM FOLIC ACID	$15.12	$75.60	$5.29–$491.57	81% below	80%
Folate (folic acid) blood test CPT 82746 CHEM FOLIC ACID SERUM	$15.12	$75.60	$5.29–$491.57	81% below	80%
Folate (folic acid) blood test inpatient CPT 82746 SH CHEM FOLIC ACID SERUM	$14.40	$72.00	$5.29–$491.57	—	80%
Folate (folic acid) blood test inpatient CPT 82746 SH CHEM FOLIC ACID	$14.40	$72.00	$5.29–$491.57	—	80%
Folate (folic acid) blood test inpatient CPT 82746 LWS FOLIC ACID SERUM	$15.12	$75.60	$5.29–$491.57	—	80%
Folate (folic acid) blood test inpatient CPT 82746 LES FOLIC ACID SERUM	$15.12	$75.60	$5.29–$491.57	—	80%
Folate (folic acid) blood test inpatient CPT 82746 CHEM FOLIC ACID SERUM	$15.12	$75.60	$5.29–$491.57	—	80%
Folate (folic acid) blood test inpatient CPT 82746 LEN FOLIC ACID SERUM	$15.12	$75.60	$5.29–$491.57	—	80%
Folate (folic acid) blood test inpatient CPT 82746 CHEM FOLIC ACID	$15.12	$75.60	$5.29–$491.57	—	80%
Folate (folic acid) blood test inpatient CPT 82746 YSL FOLIC ACID SERUM	$15.12	$75.60	$5.29–$491.57	—	80%
Free T3 thyroid hormone test CPT 84481 SH CHEM TRIIODOTHYRONINE T3 FREE	$27.52	$137.60	$6.10–$397.50	80% below	80%
Free T3 thyroid hormone test CPT 84481 CHEM TRIIODOTHYRONINE T3 FREE	$28.90	$144.48	$6.10–$397.50	79% below	80%
Free T3 thyroid hormone test inpatient CPT 84481 SH CHEM TRIIODOTHYRONINE T3 FREE	$27.52	$137.60	$6.10–$397.50	—	80%
Free T3 thyroid hormone test inpatient CPT 84481 CHEM TRIIODOTHYRONINE T3 FREE	$28.90	$144.48	$6.10–$397.50	—	80%
Free T4 (free thyroxine) thyroid blood test CPT 84439 SH CHEM THYROXINE (T-4) FREE	$13.28	$66.40	$3.25–$2,696.66	82% below	80%
Free T4 (free thyroxine) thyroid blood test CPT 84439 SH CLIN_CHEM THYROXINE (T-4) FREE	$13.28	$66.40	$3.25–$2,696.66	82% below	80%
Free T4 (free thyroxine) thyroid blood test CPT 84439 YSL THYROXINE (T-4) FREE	$13.94	$69.72	$3.25–$39.33	81% below	80%
Free T4 (free thyroxine) thyroid blood test CPT 84439 CLIN_CHEM THYROXINE (T-4) FREE	$13.94	$69.72	$3.25–$2,696.66	81% below	80%
Free T4 (free thyroxine) thyroid blood test CPT 84439 CHEM THYROXINE (T-4) FREE	$13.94	$69.72	$3.25–$2,696.66	81% below	80%
Free T4 (free thyroxine) thyroid blood test CPT 84439 LWS THYROXINE (T-4) FREE	$13.94	$69.72	$3.25–$39.33	81% below	80%
Free T4 (free thyroxine) thyroid blood test CPT 84439 LES THYROXINE (T-4) FREE	$13.94	$69.72	$3.25–$39.33	81% below	80%
Free T4 (free thyroxine) thyroid blood test CPT 84439 LEN THYROXINE (T-4) FREE	$13.94	$69.72	$3.25–$39.33	81% below	80%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 SH CHEM THYROXINE (T-4) FREE	$13.28	$66.40	$3.25–$2,696.66	—	80%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 SH CLIN_CHEM THYROXINE (T-4) FREE	$13.28	$66.40	$3.25–$2,696.66	—	80%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 CHEM THYROXINE (T-4) FREE	$13.94	$69.72	$3.25–$2,696.66	—	80%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 LWS THYROXINE (T-4) FREE	$13.94	$69.72	$3.25–$39.33	—	80%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 CLIN_CHEM THYROXINE (T-4) FREE	$13.94	$69.72	$3.25–$2,696.66	—	80%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 LES THYROXINE (T-4) FREE	$13.94	$69.72	$3.25–$39.33	—	80%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 LEN THYROXINE (T-4) FREE	$13.94	$69.72	$3.25–$39.33	—	80%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 YSL THYROXINE (T-4) FREE	$13.94	$69.72	$3.25–$39.33	—	80%
Free testosterone test CPT 84402 SPC TESTOSTERONE FREE	$7.58	$37.88	$9.17–$2,696.66	93% below	80%
Free testosterone test CPT 84402 TESTOSTERONE FREE	$23.35	$116.76	$9.17–$2,696.66	78% below	80%
Free testosterone test inpatient CPT 84402 SPC TESTOSTERONE FREE	$7.58	$37.88	$9.17–$2,696.66	—	80%
Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE	$23.35	$116.76	$9.17–$2,696.66	—	80%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 YSL GGT/GGTP	$8.80	$44.00	$2.59–$2,366.10	85% below	80%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 LEN GGT/GGTP	$8.80	$44.00	$2.59–$2,366.10	85% below	80%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 LWS GGT/GGTP	$8.80	$44.00	$2.59–$2,366.10	85% below	80%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 SH CHEM GGT/GGTP	$8.80	$44.00	$2.59–$2,366.10	85% below	80%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 SPC GGT/GGTP	$8.81	$44.07	$2.59–$2,366.10	85% below	80%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 LES GGT/GGTP	$9.24	$46.20	$2.59–$2,366.10	84% below	80%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 NE NE GGT/GGTP	$9.24	$46.20	$2.59–$2,366.10	84% below	80%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 CHEM GGT/GGTP	$9.24	$46.20	$2.59–$2,366.10	84% below	80%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGT/GGTP	$10.08	$50.40	$2.59–$2,366.10	83% below	80%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 LEN GGT POC	$13.78	$68.88	$2.59–$2,366.10	77% below	80%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 SH CHEM GGT/GGTP	$8.80	$44.00	$2.59–$2,366.10	—	80%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 LWS GGT/GGTP	$8.80	$44.00	$2.59–$2,366.10	—	80%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 LEN GGT/GGTP	$8.80	$44.00	$2.59–$2,366.10	—	80%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 YSL GGT/GGTP	$8.80	$44.00	$2.59–$2,366.10	—	80%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 SPC GGT/GGTP	$8.81	$44.07	$2.59–$2,366.10	—	80%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 NE NE GGT/GGTP	$9.24	$46.20	$2.59–$2,366.10	—	80%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 LES GGT/GGTP	$9.24	$46.20	$2.59–$2,366.10	—	80%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 CHEM GGT/GGTP	$9.24	$46.20	$2.59–$2,366.10	—	80%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GGT/GGTP	$10.08	$50.40	$2.59–$2,366.10	—	80%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 LEN GGT POC	$13.78	$68.88	$2.59–$2,366.10	—	80%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 SH CHEM GENERAL HEALTH PANEL	$59.52	$297.60	$17.02–$187.49	86% below	80%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 CHEM GENERAL HEALTH PANEL	$59.52	$297.60	$17.02–$187.49	86% below	80%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 SH CHEM GENERAL HEALTH PANEL	$59.52	$297.60	$17.02–$187.49	—	80%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 CHEM GENERAL HEALTH PANEL	$59.52	$297.60	$17.02–$187.49	—	80%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 SH CHEM GLUCOSE 1 H PP	$8.80	$44.00	$1.71–$1,522.02	89% below	80%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 SH CHEM GLUCOSE POST DOSE	$8.80	$44.00	$1.71–$1,522.02	89% below	80%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 LEN GLUCOSE POST DSE	$9.24	$46.20	$1.71–$1,522.02	88% below	80%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 LEN GLUCOSE POST DOSE	$9.24	$46.20	$1.71–$1,522.02	88% below	80%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 CHEM GLUCOSE 1 H PP	$9.24	$46.20	$1.71–$1,522.02	88% below	80%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 LES GLUCOSE POST DOSE	$9.24	$46.20	$1.71–$1,522.02	88% below	80%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 LWS GLUCOSE POST DOSE	$9.24	$46.20	$1.71–$1,522.02	88% below	80%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 NE GLUCOSE POST DOSE	$9.24	$46.20	$1.71–$1,522.02	88% below	80%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 LAB YSL GLUCOSE POST DOSE	$9.24	$46.20	$1.71–$1,522.02	88% below	80%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 YSL GLUCOSE POST DOSE	$9.24	$46.20	$1.71–$1,522.02	88% below	80%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 SH ADA GTT 100 GRAM	$22.24	$111.20	$1.71–$1,522.02	71% below	80%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 ADA GTT 100 GRAM	$23.35	$116.76	$1.71–$1,522.02	70% below	80%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 SH CHEM GLUCOSE POST DOSE	$8.80	$44.00	$1.71–$1,522.02	—	80%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 SH CHEM GLUCOSE 1 H PP	$8.80	$44.00	$1.71–$1,522.02	—	80%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 YSL GLUCOSE POST DOSE	$9.24	$46.20	$1.71–$1,522.02	—	80%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 CHEM GLUCOSE 1 H PP	$9.24	$46.20	$1.71–$1,522.02	—	80%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 LAB YSL GLUCOSE POST DOSE	$9.24	$46.20	$1.71–$1,522.02	—	80%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 NE GLUCOSE POST DOSE	$9.24	$46.20	$1.71–$1,522.02	—	80%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 LWS GLUCOSE POST DOSE	$9.24	$46.20	$1.71–$1,522.02	—	80%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 LES GLUCOSE POST DOSE	$9.24	$46.20	$1.71–$1,522.02	—	80%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 LEN GLUCOSE POST DOSE	$9.24	$46.20	$1.71–$1,522.02	—	80%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 LEN GLUCOSE POST DSE	$9.24	$46.20	$1.71–$1,522.02	—	80%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 SH ADA GTT 100 GRAM	$22.24	$111.20	$1.71–$1,522.02	—	80%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 ADA GTT 100 GRAM	$23.35	$116.76	$1.71–$1,522.02	—	80%
Glucose tolerance test, 3 samples CPT 82951 SH UM CHEM GLUCOSE TOL 1ST 3 SPEC	$16.80	$84.00	$4.63–$1,522.02	89% below	80%
Glucose tolerance test, 3 samples CPT 82951 SH CHEM GLUCOSE TOTAL 1ST 3 SPEC	$16.80	$84.00	$4.63–$1,522.02	89% below	80%
Glucose tolerance test, 3 samples CPT 82951 LWS OB 2 HOUR GTT 75 GRAM	$17.64	$88.20	$4.63–$1,522.02	88% below	80%
Glucose tolerance test, 3 samples CPT 82951 LES ADA GTT 2 HOUR	$17.64	$88.20	$4.63–$1,522.02	88% below	80%
Glucose tolerance test, 3 samples CPT 82951 LES GLUCOSE TOL 1ST 3 SPEC	$17.64	$88.20	$4.63–$1,522.02	88% below	80%
Glucose tolerance test, 3 samples CPT 82951 LES OB 3 HR GTT 100 GRAM	$17.64	$88.20	$4.63–$1,522.02	88% below	80%
Glucose tolerance test, 3 samples CPT 82951 CHEM GLUCOSE TOTAL 1ST 3 SPEC	$17.64	$88.20	$4.63–$1,522.02	88% below	80%
Glucose tolerance test, 3 samples CPT 82951 LES OB 2 HOUR GTT 75 GRAM	$17.64	$88.20	$4.63–$1,522.02	88% below	80%
Glucose tolerance test, 3 samples CPT 82951 LWS GLUCOSE TOL 1ST 3 SPEC	$17.64	$88.20	$4.63–$1,522.02	88% below	80%
Glucose tolerance test, 3 samples CPT 82951 LWS ADA GTT 2 HOUR	$17.64	$88.20	$4.63–$1,522.02	88% below	80%
Glucose tolerance test, 3 samples CPT 82951 LWS OB 3 HR GTT 100 GRAM	$17.64	$88.20	$4.63–$1,522.02	88% below	80%
Glucose tolerance test, 3 samples CPT 82951 YSL GLUCOSE TOL 1ST 3 SPEC	$17.64	$88.20	$4.63–$1,522.02	88% below	80%
Glucose tolerance test, 3 samples CPT 82951 OB 3 HR GTT 100 GRAM	$17.64	$88.20	$4.63–$1,522.02	88% below	80%
Glucose tolerance test, 3 samples CPT 82951 LEN OB 2 HOUR GTT 75 GRAM	$17.64	$88.20	$4.63–$1,522.02	88% below	80%
Glucose tolerance test, 3 samples CPT 82951 LEN OB 3 HR GTT 100 GRAM	$17.64	$88.20	$4.63–$1,522.02	88% below	80%
Glucose tolerance test, 3 samples CPT 82951 LEN GLUCOSE TOL 1ST 3 SPEC	$17.64	$88.20	$4.63–$1,522.02	88% below	80%
Glucose tolerance test, 3 samples CPT 82951 OB 2 HOUR GTT 75 GRAM	$17.64	$88.20	$4.63–$1,522.02	88% below	80%
Glucose tolerance test, 3 samples CPT 82951 LEN ADA GTT 2 HOUR	$17.64	$88.20	$4.63–$1,522.02	88% below	80%
Glucose tolerance test, 3 samples CPT 82951 NE GLUCOSE TOL 1ST 3 SPEC	$17.64	$88.20	$4.63–$1,522.02	88% below	80%
Glucose tolerance test, 3 samples CPT 82951 YSL GLUCOSE TOL -1ST 3 SPEC	$17.64	$88.20	$4.63–$1,522.02	88% below	80%
Glucose tolerance test, 3 samples CPT 82951 SH OB GTT3 TOLERANCE 100 GRAM	$22.24	$111.20	$4.63–$1,522.02	85% below	80%
Glucose tolerance test, 3 samples CPT 82951 OB GTT3 TOLERANCE 100 GRAM	$23.35	$116.76	$4.63–$1,522.02	85% below	80%
Glucose tolerance test, 3 samples CPT 82951 LWS ADA GLUCOSE 3 HR - CHILD	$29.40	$147.00	$4.63–$1,522.02	81% below	80%
Glucose tolerance test, 3 samples CPT 82951 LEN ADA GLUCOSE 3 HR - CHILD	$29.40	$147.00	$4.63–$1,522.02	81% below	80%
Glucose tolerance test, 3 samples CPT 82951 LES ADA GLUCOSE 3 HR - CHILD	$29.40	$147.00	$4.63–$1,522.02	81% below	80%
Glucose tolerance test, 3 samples CPT 82951 ADA GLUCOSE 3 HR - CHILD	$29.40	$147.00	$4.63–$1,522.02	81% below	80%
Glucose tolerance test, 3 samples inpatient CPT 82951 SH UM CHEM GLUCOSE TOL 1ST 3 SPEC	$16.80	$84.00	$4.63–$1,522.02	—	80%
Glucose tolerance test, 3 samples inpatient CPT 82951 SH CHEM GLUCOSE TOTAL 1ST 3 SPEC	$16.80	$84.00	$4.63–$1,522.02	—	80%
Glucose tolerance test, 3 samples inpatient CPT 82951 NE GLUCOSE TOL 1ST 3 SPEC	$17.64	$88.20	$4.63–$1,522.02	—	80%
Glucose tolerance test, 3 samples inpatient CPT 82951 LEN OB 2 HOUR GTT 75 GRAM	$17.64	$88.20	$4.63–$1,522.02	—	80%
Glucose tolerance test, 3 samples inpatient CPT 82951 LEN OB 3 HR GTT 100 GRAM	$17.64	$88.20	$4.63–$1,522.02	—	80%
Glucose tolerance test, 3 samples inpatient CPT 82951 LEN GLUCOSE TOL 1ST 3 SPEC	$17.64	$88.20	$4.63–$1,522.02	—	80%
Glucose tolerance test, 3 samples inpatient CPT 82951 LEN ADA GTT 2 HOUR	$17.64	$88.20	$4.63–$1,522.02	—	80%
Glucose tolerance test, 3 samples inpatient CPT 82951 LES OB 2 HOUR GTT 75 GRAM	$17.64	$88.20	$4.63–$1,522.02	—	80%
Glucose tolerance test, 3 samples inpatient CPT 82951 LES OB 3 HR GTT 100 GRAM	$17.64	$88.20	$4.63–$1,522.02	—	80%
Glucose tolerance test, 3 samples inpatient CPT 82951 LES GLUCOSE TOL 1ST 3 SPEC	$17.64	$88.20	$4.63–$1,522.02	—	80%
Glucose tolerance test, 3 samples inpatient CPT 82951 LES ADA GTT 2 HOUR	$17.64	$88.20	$4.63–$1,522.02	—	80%
Glucose tolerance test, 3 samples inpatient CPT 82951 LWS OB 2 HOUR GTT 75 GRAM	$17.64	$88.20	$4.63–$1,522.02	—	80%
Glucose tolerance test, 3 samples inpatient CPT 82951 LWS OB 3 HR GTT 100 GRAM	$17.64	$88.20	$4.63–$1,522.02	—	80%
Glucose tolerance test, 3 samples inpatient CPT 82951 LWS GLUCOSE TOL 1ST 3 SPEC	$17.64	$88.20	$4.63–$1,522.02	—	80%
Glucose tolerance test, 3 samples inpatient CPT 82951 LWS ADA GTT 2 HOUR	$17.64	$88.20	$4.63–$1,522.02	—	80%
Glucose tolerance test, 3 samples inpatient CPT 82951 OB 2 HOUR GTT 75 GRAM	$17.64	$88.20	$4.63–$1,522.02	—	80%
Glucose tolerance test, 3 samples inpatient CPT 82951 OB 3 HR GTT 100 GRAM	$17.64	$88.20	$4.63–$1,522.02	—	80%
Glucose tolerance test, 3 samples inpatient CPT 82951 YSL GLUCOSE TOL 1ST 3 SPEC	$17.64	$88.20	$4.63–$1,522.02	—	80%
Glucose tolerance test, 3 samples inpatient CPT 82951 YSL GLUCOSE TOL -1ST 3 SPEC	$17.64	$88.20	$4.63–$1,522.02	—	80%
Glucose tolerance test, 3 samples inpatient CPT 82951 CHEM GLUCOSE TOTAL 1ST 3 SPEC	$17.64	$88.20	$4.63–$1,522.02	—	80%
Glucose tolerance test, 3 samples inpatient CPT 82951 SH OB GTT3 TOLERANCE 100 GRAM	$22.24	$111.20	$4.63–$1,522.02	—	80%
Glucose tolerance test, 3 samples inpatient CPT 82951 OB GTT3 TOLERANCE 100 GRAM	$23.35	$116.76	$4.63–$1,522.02	—	80%
Glucose tolerance test, 3 samples inpatient CPT 82951 LWS ADA GLUCOSE 3 HR - CHILD	$29.40	$147.00	$4.63–$1,522.02	—	80%
Glucose tolerance test, 3 samples inpatient CPT 82951 ADA GLUCOSE 3 HR - CHILD	$29.40	$147.00	$4.63–$1,522.02	—	80%
Glucose tolerance test, 3 samples inpatient CPT 82951 LES ADA GLUCOSE 3 HR - CHILD	$29.40	$147.00	$4.63–$1,522.02	—	80%
Glucose tolerance test, 3 samples inpatient CPT 82951 LEN ADA GLUCOSE 3 HR - CHILD	$29.40	$147.00	$4.63–$1,522.02	—	80%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 SH SPC NEISSERIA AMP PROBE	$13.30	$66.50	$12.63–$152.99	90% below	80%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 SPC NEISSERIA AMP PROBE	$14.70	$73.50	$12.63–$715.53	89% below	80%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 SPC NUCLEIC ACID AMP NEISSERIA	$16.80	$84.00	$12.63–$497.13	87% below	80%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NUCLEIC ACID AMP NEISSERIA	$28.48	$142.40	$12.63–$807.61	78% below	80%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 SH MICRO NEISSERIA AMP PROBE	$37.43	$187.15	$12.63–$158.42	71% below	80%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 MICRO NEISSERIA AMP PROBE	$39.26	$196.28	$12.63–$152.99	70% below	80%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 SH SPC NEISSERIA AMP PROBE	$13.30	$66.50	$12.63–$152.99	—	80%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 SPC NEISSERIA AMP PROBE	$14.70	$73.50	$12.63–$715.53	—	80%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 SPC NUCLEIC ACID AMP NEISSERIA	$16.80	$84.00	$12.63–$497.13	—	80%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NUCLEIC ACID AMP NEISSERIA	$28.48	$142.40	$12.63–$807.61	—	80%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 SH MICRO NEISSERIA AMP PROBE	$37.43	$187.15	$12.63–$158.42	—	80%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 MICRO NEISSERIA AMP PROBE	$39.26	$196.28	$12.63–$152.99	—	80%
H. pylori antibody blood test CPT 86677 SH MICRO H PYLOR ABI IGG	$7.74	$38.72	$6.07–$529.17	94% below	80%
H. pylori antibody blood test CPT 86677 SH MICRO H PYLORI AB	$7.74	$38.72	$6.07–$529.17	94% below	80%
H. pylori antibody blood test CPT 86677 MICRO H PYLOR ABI IGG	$8.13	$40.66	$6.07–$529.17	94% below	80%
H. pylori antibody blood test CPT 86677 MICRO H PYLORI AB	$8.13	$40.66	$6.07–$529.17	94% below	80%
H. pylori antibody blood test CPT 86677 SH SPC H PYLORI AB IGA	$28.86	$144.32	$6.07–$529.17	77% below	80%
H. pylori antibody blood test CPT 86677 SPC H PYLORI AB IGM	$30.31	$151.54	$6.07–$574.39	76% below	80%
H. pylori antibody blood test CPT 86677 SPC H PYLORI AB IGA	$30.31	$151.54	$6.07–$529.17	76% below	80%
H. pylori antibody blood test inpatient CPT 86677 SH MICRO H PYLORI AB	$7.74	$38.72	$6.07–$529.17	—	80%
H. pylori antibody blood test inpatient CPT 86677 SH MICRO H PYLOR ABI IGG	$7.74	$38.72	$6.07–$529.17	—	80%
H. pylori antibody blood test inpatient CPT 86677 MICRO H PYLOR ABI IGG	$8.13	$40.66	$6.07–$529.17	—	80%
H. pylori antibody blood test inpatient CPT 86677 MICRO H PYLORI AB	$8.13	$40.66	$6.07–$529.17	—	80%
H. pylori antibody blood test inpatient CPT 86677 SH SPC H PYLORI AB IGA	$28.86	$144.32	$6.07–$529.17	—	80%
H. pylori antibody blood test inpatient CPT 86677 SPC H PYLORI AB IGM	$30.31	$151.54	$6.07–$574.39	—	80%
H. pylori antibody blood test inpatient CPT 86677 SPC H PYLORI AB IGA	$30.31	$151.54	$6.07–$529.17	—	80%
H. pylori stool antigen test CPT 87338 SH SPC EIA QL H PYLORI AG STOOL	$11.27	$56.35	$5.18–$191.58	86% below	80%
H. pylori stool antigen test CPT 87338 SPC EIA QL H PYLORI AG STOOL	$11.83	$59.17	$5.18–$644.26	85% below	80%
H. pylori stool antigen test inpatient CPT 87338 SH SPC EIA QL H PYLORI AG STOOL	$11.27	$56.35	$5.18–$191.58	—	80%
H. pylori stool antigen test inpatient CPT 87338 SPC EIA QL H PYLORI AG STOOL	$11.83	$59.17	$5.18–$644.26	—	80%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 NUCLEIC ACID REV TRANS QN HIV-	$90.09	$450.45	$30.64–$1,298.39	70% below	80%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 NUCLEIC ACID REV TRANS QN HIV-	$90.09	$450.45	$30.64–$1,298.39	—	80%
HIV-1 and HIV-2 antibody test CPT 86703 SH CHEM HIV 1 HIV 2 AB SGL RESUL	$12.00	$60.00	$4.94–$646.37	86% below	80%
HIV-1 and HIV-2 antibody test CPT 86703 CHEM HIV 1 HIV 2 AB SGL RESUL	$12.60	$63.00	$4.94–$76.21	85% below	80%
HIV-1 and HIV-2 antibody test CPT 86703 SH MICRO HIV 1/2 AB	$25.76	$128.80	$4.94–$666.13	70% below	80%
HIV-1 and HIV-2 antibody test CPT 86703 SH CHEM HIV 1 HIV 2 ANTIBODY SGL RESUL	$25.76	$128.80	$4.94–$764.56	70% below	80%
HIV-1 and HIV-2 antibody test CPT 86703 CHEM HIV 1 HIV 2 ANTIBODY SGL RESUL	$27.05	$135.24	$4.94–$500.48	69% below	80%
HIV-1 and HIV-2 antibody test CPT 86703 MICRO HIV 1/2 AB	$27.05	$135.24	$4.94–$81.33	69% below	80%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 SH CHEM HIV 1 HIV 2 AB SGL RESUL	$12.00	$60.00	$4.94–$646.37	—	80%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 CHEM HIV 1 HIV 2 AB SGL RESUL	$12.60	$63.00	$4.94–$76.21	—	80%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 SH CHEM HIV 1 HIV 2 ANTIBODY SGL RESUL	$25.76	$128.80	$4.94–$764.56	—	80%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 SH MICRO HIV 1/2 AB	$25.76	$128.80	$4.94–$666.13	—	80%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 MICRO HIV 1/2 AB	$27.05	$135.24	$4.94–$81.33	—	80%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 CHEM HIV 1 HIV 2 ANTIBODY SGL RESUL	$27.05	$135.24	$4.94–$500.48	—	80%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV AG/AB SCREEN	$16.58	$82.90	$8.67–$429.21	88% below	80%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 SH SPC HTLV -OR HIV AB CONFIRM	$18.34	$91.71	$8.67–$627.49	86% below	80%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 SPC HTLV -OR HIV AB CONFIRM	$19.26	$96.30	$8.67–$502.95	86% below	80%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV AG/AB SCREEN	$16.58	$82.90	$8.67–$429.21	—	80%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 SH SPC HTLV -OR HIV AB CONFIRM	$18.34	$91.71	$8.67–$627.49	—	80%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 SPC HTLV -OR HIV AB CONFIRM	$19.26	$96.30	$8.67–$502.95	—	80%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV MRNA E6/E7 RECTAL	$14.04	$70.18	$12.63–$806.73	80% below	80%
HPV test for high-risk types, one combined (pooled) result CPT 87624 SH MICRO HPV SREEN	$25.28	$126.40	$12.63–$868.12	64% below	80%
HPV test for high-risk types, one combined (pooled) result CPT 87624 SH MICRO HPV GENOTYPE 16 & 18	$25.28	$126.40	$12.63–$1,020.36	64% below	80%
HPV test for high-risk types, one combined (pooled) result CPT 87624 CYTOL INFECT AGNT HPV HIGH-RISK TYPE	$26.54	$132.72	$12.63–$152.99	63% below	80%
HPV test for high-risk types, one combined (pooled) result CPT 87624 CYTOL HPV AMP PROBE	$26.54	$132.72	$12.63–$259.86	63% below	80%
HPV test for high-risk types, one combined (pooled) result CPT 87624 CYTOL HPV DNA PROBE LOW RISK GRP	$26.54	$132.72	$12.63–$646.55	63% below	80%
HPV test for high-risk types, one combined (pooled) result CPT 87624 MICRO HPV SREEN	$26.54	$132.72	$12.63–$789.09	63% below	80%
HPV test for high-risk types, one combined (pooled) result CPT 87624 MICRO HPV GENOTYPE 16 & 18	$26.54	$132.72	$12.63–$818.90	63% below	80%
HPV test for high-risk types, one combined (pooled) result CPT 87624 INFECT AGNT HPV HIGH-RISK TYPE	$28.56	$142.80	$12.63–$1,179.84	60% below	80%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV MRNA E6/E7 RECTAL	$14.04	$70.18	$12.63–$806.73	—	80%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 SH MICRO HPV GENOTYPE 16 & 18	$25.28	$126.40	$12.63–$1,020.36	—	80%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 SH MICRO HPV SREEN	$25.28	$126.40	$12.63–$868.12	—	80%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 CYTOL HPV AMP PROBE	$26.54	$132.72	$12.63–$259.86	—	80%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 MICRO HPV GENOTYPE 16 & 18	$26.54	$132.72	$12.63–$818.90	—	80%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 MICRO HPV SREEN	$26.54	$132.72	$12.63–$789.09	—	80%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 CYTOL HPV DNA PROBE LOW RISK GRP	$26.54	$132.72	$12.63–$646.55	—	80%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 CYTOL INFECT AGNT HPV HIGH-RISK TYPE	$26.54	$132.72	$12.63–$152.99	—	80%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 INFECT AGNT HPV HIGH-RISK TYPE	$28.56	$142.80	$12.63–$1,179.84	—	80%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 SH CHEM HGB GLYCOSYLATED (A1C)	$16.75	$83.74	$3.50–$2,366.10	80% below	80%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 CHEM HGB GLYCOSYLATED (A1C)	$17.58	$87.92	$3.50–$2,366.10	79% below	80%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 SH CHEM HGB GLYCOSYLATED (A1C)	$16.75	$83.74	$3.50–$2,366.10	—	80%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 CHEM HGB GLYCOSYLATED (A1C)	$17.58	$87.92	$3.50–$2,366.10	—	80%
Hemoglobin blood test CPT 85018 LEN HEMOGLOBIN	$2.52	$12.58	$0.85–$1,258.34	94% below	80%
Hemoglobin blood test CPT 85018 CHEM HEMOGLOBIN	$2.52	$12.58	$0.85–$503.48	94% below	80%
Hemoglobin blood test CPT 85018 LWS HEMOGLOBIN	$2.52	$12.58	$0.85–$124.20	94% below	80%
Hemoglobin blood test CPT 85018 LES HEMOGLOBIN	$2.52	$12.58	$0.85–$603.33	94% below	80%
Hemoglobin blood test CPT 85018 YSL HEMOGLOBIN	$2.52	$12.58	$0.85–$625.91	94% below	80%
Hemoglobin blood test CPT 85018 SPC HEMOGLOBIN	$6.05	$30.24	$0.85–$502.95	86% below	80%
Hemoglobin blood test inpatient CPT 85018 LES HEMOGLOBIN	$2.52	$12.58	$0.85–$603.33	—	80%
Hemoglobin blood test inpatient CPT 85018 LEN HEMOGLOBIN	$2.52	$12.58	$0.85–$1,258.34	—	80%
Hemoglobin blood test inpatient CPT 85018 LWS HEMOGLOBIN	$2.52	$12.58	$0.85–$124.20	—	80%
Hemoglobin blood test inpatient CPT 85018 YSL HEMOGLOBIN	$2.52	$12.58	$0.85–$625.91	—	80%
Hemoglobin blood test inpatient CPT 85018 CHEM HEMOGLOBIN	$2.52	$12.58	$0.85–$503.48	—	80%
Hemoglobin blood test inpatient CPT 85018 SPC HEMOGLOBIN	$6.05	$30.24	$0.85–$502.95	—	80%
Hepatitis B core antibody test (total) CPT 86704 HEP B CORE AB	$6.00	$30.00	$4.34–$716.94	92% below	80%
Hepatitis B core antibody test (total) inpatient CPT 86704 HEP B CORE AB	$6.00	$30.00	$4.34–$716.94	—	80%
Hepatitis B surface antigen (HBsAg) test CPT 87340 UM CHEM HEP B SURF AG	$5.20	$26.00	$3.72–$445.62	93% below	80%
Hepatitis B surface antigen (HBsAg) test CPT 87340 SH CHEM EIA QL HEP B AG (HBSAG)	$6.80	$34.00	$3.72–$1,034.83	90% below	80%
Hepatitis B surface antigen (HBsAg) test CPT 87340 SH MICRO EIA QL HEP B AG (HBSAG)	$6.80	$34.00	$3.72–$1,074.17	90% below	80%
Hepatitis B surface antigen (HBsAg) test CPT 87340 CHEM EIA QL HEP B AG (HBSAG)	$7.14	$35.70	$3.72–$509.48	90% below	80%
Hepatitis B surface antigen (HBsAg) test CPT 87340 MICRO EIA QL HEP B AG (HBSAG)	$7.14	$35.70	$3.72–$849.42	90% below	80%
Hepatitis B surface antigen (HBsAg) test CPT 87340 EIA HEPAT B SURF AG QL/SQ	$17.30	$86.52	$3.72–$1,023.89	75% below	80%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 UM CHEM HEP B SURF AG	$5.20	$26.00	$3.72–$445.62	—	80%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 SH MICRO EIA QL HEP B AG (HBSAG)	$6.80	$34.00	$3.72–$1,074.17	—	80%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 SH CHEM EIA QL HEP B AG (HBSAG)	$6.80	$34.00	$3.72–$1,034.83	—	80%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 MICRO EIA QL HEP B AG (HBSAG)	$7.14	$35.70	$3.72–$849.42	—	80%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 CHEM EIA QL HEP B AG (HBSAG)	$7.14	$35.70	$3.72–$509.48	—	80%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 EIA HEPAT B SURF AG QL/SQ	$17.30	$86.52	$3.72–$1,023.89	—	80%
Hepatitis C antibody blood test (screening) CPT 86803 UM CHEM HEP C AB	$7.20	$36.00	$5.14–$682.71	92% below	80%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY	$23.02	$115.08	$5.14–$683.42	73% below	80%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 UM CHEM HEP C AB	$7.20	$36.00	$5.14–$682.71	—	80%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C ANTIBODY	$23.02	$115.08	$5.14–$683.42	—	80%
Hepatitis C viral load (HCV RNA) test CPT 87522 SPC HEPAT C QN	$25.07	$125.33	$15.42–$247.15	89% below	80%
Hepatitis C viral load (HCV RNA) test CPT 87522 SPECIMEN HEPAT C QN	$33.71	$168.56	$15.42–$429.21	86% below	80%
Hepatitis C viral load (HCV RNA) test CPT 87522 SPC LAB HEPAT C QN	$56.93	$284.63	$15.42–$186.78	76% below	80%
Hepatitis C viral load (HCV RNA) test CPT 87522 LAB SPC HEPAT C QN	$70.72	$353.60	$15.42–$186.78	70% below	80%
Hepatitis C viral load (HCV RNA) test CPT 87522 SPC NUCLEIC ACID REV TRANS QN HEPA	$77.95	$389.76	$15.42–$284.02	67% below	80%
Hepatitis C viral load (HCV RNA) test CPT 87522 SPC HEP C VIRUS QUANT (PCR)	$83.33	$416.64	$15.42–$186.78	65% below	80%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 SPC HEPAT C QN	$25.07	$125.33	$15.42–$247.15	—	80%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 SPECIMEN HEPAT C QN	$33.71	$168.56	$15.42–$429.21	—	80%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 SPC LAB HEPAT C QN	$56.93	$284.63	$15.42–$186.78	—	80%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 LAB SPC HEPAT C QN	$70.72	$353.60	$15.42–$186.78	—	80%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 SPC NUCLEIC ACID REV TRANS QN HEPA	$77.95	$389.76	$15.42–$284.02	—	80%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 SPC HEP C VIRUS QUANT (PCR)	$83.33	$416.64	$15.42–$186.78	—	80%
Herpes blood test, HSV-1 antibody CPT 86695 SPC HERPES SIMPLEX I AB IGG	$5.28	$26.38	$4.75–$829.31	93% below	80%
Herpes blood test, HSV-1 antibody CPT 86695 HSV 1 IGG	$6.60	$33.00	$4.75–$706.35	91% below	80%
Herpes blood test, HSV-1 antibody CPT 86695 SPC HERPES SMPX I ANTIBODY	$10.68	$53.42	$4.75–$632.96	85% below	80%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SMPX I IGG	$12.86	$64.32	$4.75–$614.97	82% below	80%
Herpes blood test, HSV-1 antibody CPT 86695 SPC HERPES SIMPLEX I AB	$14.34	$71.68	$4.75–$709.53	80% below	80%
Herpes blood test, HSV-1 antibody CPT 86695 LAB SPC HERPES SIMPLEX I AB	$14.87	$74.34	$4.75–$563.99	79% below	80%
Herpes blood test, HSV-1 antibody CPT 86695 SPC HERPES SMPX I AB IGG CSF	$17.81	$89.04	$4.75–$704.59	75% below	80%
Herpes blood test, HSV-1 antibody CPT 86695 SPC HERPES SMPX I AB IGM CSF	$17.81	$89.04	$4.75–$762.45	75% below	80%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 SPC HERPES SIMPLEX I AB IGG	$5.28	$26.38	$4.75–$829.31	—	80%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV 1 IGG	$6.60	$33.00	$4.75–$706.35	—	80%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 SPC HERPES SMPX I ANTIBODY	$10.68	$53.42	$4.75–$632.96	—	80%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SMPX I IGG	$12.86	$64.32	$4.75–$614.97	—	80%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 SPC HERPES SIMPLEX I AB	$14.34	$71.68	$4.75–$709.53	—	80%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 LAB SPC HERPES SIMPLEX I AB	$14.87	$74.34	$4.75–$563.99	—	80%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 SPC HERPES SMPX I AB IGM CSF	$17.81	$89.04	$4.75–$762.45	—	80%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 SPC HERPES SMPX I AB IGG CSF	$17.81	$89.04	$4.75–$704.59	—	80%
Herpes blood test, HSV-2 antibody CPT 86696 SPC HERPES SIMPLEX II AB IGG	$8.19	$40.95	$6.97–$749.40	90% below	80%
Herpes blood test, HSV-2 antibody CPT 86696 HSV 2 IGG	$9.60	$48.00	$6.97–$578.45	89% below	80%
Herpes blood test, HSV-2 antibody CPT 86696 HSV 2 W REFLEX	$9.60	$48.00	$6.97–$573.34	89% below	80%
Herpes blood test, HSV-2 antibody CPT 86696 SPC HERPES SMPX II ANTIBODY	$9.92	$49.62	$6.97–$889.11	88% below	80%
Herpes blood test, HSV-2 antibody CPT 86696 SPC H.V.S. AB REFLEX CSF	$11.18	$55.88	$6.97–$826.13	87% below	80%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SMPX II IGG	$14.76	$73.80	$6.97–$654.66	83% below	80%
Herpes blood test, HSV-2 antibody CPT 86696 SPC HERPES SMPX II AB IGG CSF	$18.06	$90.32	$6.97–$706.00	79% below	80%
Herpes blood test, HSV-2 antibody CPT 86696 SPC HERPES SMPX II AB IGM CSF	$18.06	$90.32	$6.97–$746.39	79% below	80%
Herpes blood test, HSV-2 antibody CPT 86696 SPC HERPES SIMPLEX II AB	$20.11	$100.53	$6.97–$1,053.35	76% below	80%
Herpes blood test, HSV-2 antibody CPT 86696 HSV-2 INHIBITION STUDY	$26.40	$132.00	$6.97–$634.20	69% below	80%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 SPC HERPES SIMPLEX II AB IGG	$8.19	$40.95	$6.97–$749.40	—	80%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV 2 IGG	$9.60	$48.00	$6.97–$578.45	—	80%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV 2 W REFLEX	$9.60	$48.00	$6.97–$573.34	—	80%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 SPC HERPES SMPX II ANTIBODY	$9.92	$49.62	$6.97–$889.11	—	80%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 SPC H.V.S. AB REFLEX CSF	$11.18	$55.88	$6.97–$826.13	—	80%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SMPX II IGG	$14.76	$73.80	$6.97–$654.66	—	80%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 SPC HERPES SMPX II AB IGM CSF	$18.06	$90.32	$6.97–$746.39	—	80%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 SPC HERPES SMPX II AB IGG CSF	$18.06	$90.32	$6.97–$706.00	—	80%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 SPC HERPES SIMPLEX II AB	$20.11	$100.53	$6.97–$1,053.35	—	80%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV-2 INHIBITION STUDY	$26.40	$132.00	$6.97–$634.20	—	80%
High-sensitivity CRP (hs-CRP) test CPT 86141 SH CHEM C-REACTIVE PRO HIGH SEN	$10.80	$54.00	$4.66–$492.19	86% below	80%
High-sensitivity CRP (hs-CRP) test CPT 86141 CHEM C-REACTIVE PRO HIGH SEN	$11.34	$56.70	$4.66–$1,723.36	85% below	80%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 SH CHEM C-REACTIVE PRO HIGH SEN	$10.80	$54.00	$4.66–$492.19	—	80%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CHEM C-REACTIVE PRO HIGH SEN	$11.34	$56.70	$4.66–$1,723.36	—	80%
Homocysteine blood test CPT 83090 CHEM HOMOCYSTINE SERUM	$16.00	$80.00	$6.45–$2,366.10	89% below	80%
Homocysteine blood test CPT 83090 SH CHEM HOMOCYSTINE SERUM	$16.00	$80.00	$6.45–$2,366.10	89% below	80%
Homocysteine blood test CPT 83090 SH HOMOCYSTINE	$24.25	$121.24	$6.45–$2,366.10	84% below	80%
Homocysteine blood test CPT 83090 HOMOCYSTINE	$25.46	$127.30	$6.45–$2,366.10	83% below	80%
Homocysteine blood test inpatient CPT 83090 CHEM HOMOCYSTINE SERUM	$16.00	$80.00	$6.45–$2,366.10	—	80%
Homocysteine blood test inpatient CPT 83090 SH CHEM HOMOCYSTINE SERUM	$16.00	$80.00	$6.45–$2,366.10	—	80%
Homocysteine blood test inpatient CPT 83090 SH HOMOCYSTINE	$24.25	$121.24	$6.45–$2,366.10	—	80%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTINE	$25.46	$127.30	$6.45–$2,366.10	—	80%
Insulin blood test CPT 83525 SH CHEM INSULIN TTL	$9.44	$47.20	$4.11–$1,282.14	86% below	80%
Insulin blood test CPT 83525 CHEM INSULIN TTL	$9.91	$49.56	$4.11–$1,282.14	86% below	80%
Insulin blood test CPT 83525 INSULIN TOTAL	$17.98	$89.88	$4.11–$386.56	74% below	80%
Insulin blood test inpatient CPT 83525 SH CHEM INSULIN TTL	$9.44	$47.20	$4.11–$1,282.14	—	80%
Insulin blood test inpatient CPT 83525 CHEM INSULIN TTL	$9.91	$49.56	$4.11–$1,282.14	—	80%
Insulin blood test inpatient CPT 83525 INSULIN TOTAL	$17.98	$89.88	$4.11–$386.56	—	80%
Iron blood test (serum iron) CPT 83540 SPC IRON LIVER TISSUE	$33.76	$168.79	$2.33–$867.17	52% below	80%
Iron blood test (serum iron) inpatient CPT 83540 SPC IRON LIVER TISSUE	$33.76	$168.79	$2.33–$867.17	—	80%
Iron-binding capacity (TIBC) test CPT 83550 SH IRON BINDING CAPACITY-	$14.88	$74.40	$3.15–$867.17	83% below	80%
Iron-binding capacity (TIBC) test CPT 83550 SH TIBC BASELINE	$14.88	$74.40	$3.15–$867.17	83% below	80%
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY-	$15.62	$78.12	$3.15–$867.17	83% below	80%
Iron-binding capacity (TIBC) test CPT 83550 TIBC BASELINE	$15.62	$78.12	$3.15–$867.17	83% below	80%
Iron-binding capacity (TIBC) test inpatient CPT 83550 SH IRON BINDING CAPACITY-	$14.88	$74.40	$3.15–$867.17	—	80%
Iron-binding capacity (TIBC) test inpatient CPT 83550 SH TIBC BASELINE	$14.88	$74.40	$3.15–$867.17	—	80%
Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CAPACITY-	$15.62	$78.12	$3.15–$867.17	—	80%
Iron-binding capacity (TIBC) test inpatient CPT 83550 TIBC BASELINE	$15.62	$78.12	$3.15–$867.17	—	80%
Kidney function blood test panel CPT 80069 SH LAB RENAL FUNCTION PANEL	$19.52	$97.60	$3.12–$2,374.33	89% below	80%
Kidney function blood test panel CPT 80069 LAB RENAL FUNCTION PANEL	$20.50	$102.48	$3.12–$2,374.33	88% below	80%
Kidney function blood test panel CPT 80069 LEN RENAL FUNCTION PANEL	$27.22	$136.08	$3.12–$2,374.33	85% below	80%
Kidney function blood test panel CPT 80069 LES RENAL FUNCTION PANEL	$27.22	$136.08	$3.12–$2,374.33	85% below	80%
Kidney function blood test panel CPT 80069 LWS RENAL FUNCTION PANEL	$27.22	$136.08	$3.12–$2,374.33	85% below	80%
Kidney function blood test panel CPT 80069 LEN RENAL FUNCTION PANEL POC	$27.38	$136.92	$3.12–$2,374.33	85% below	80%
Kidney function blood test panel inpatient CPT 80069 SH LAB RENAL FUNCTION PANEL	$19.52	$97.60	$3.12–$2,374.33	—	80%
Kidney function blood test panel inpatient CPT 80069 LAB RENAL FUNCTION PANEL	$20.50	$102.48	$3.12–$2,374.33	—	80%
Kidney function blood test panel inpatient CPT 80069 LES RENAL FUNCTION PANEL	$27.22	$136.08	$3.12–$2,374.33	—	80%
Kidney function blood test panel inpatient CPT 80069 LWS RENAL FUNCTION PANEL	$27.22	$136.08	$3.12–$2,374.33	—	80%
Kidney function blood test panel inpatient CPT 80069 LEN RENAL FUNCTION PANEL	$27.22	$136.08	$3.12–$2,374.33	—	80%
Kidney function blood test panel inpatient CPT 80069 LEN RENAL FUNCTION PANEL POC	$27.38	$136.92	$3.12–$2,374.33	—	80%
LH (luteinizing hormone) test CPT 83002 SPC LUTEINIZING HRM (LH)	$8.13	$40.66	$6.67–$2,366.10	94% below	80%
LH (luteinizing hormone) test CPT 83002 SH CHEM LUTEINIZING HRM (LH)	$39.04	$195.20	$6.67–$2,366.10	72% below	80%
LH (luteinizing hormone) test CPT 83002 CHEM LUTEINIZING HRM (LH)	$39.04	$195.20	$6.67–$2,366.10	72% below	80%
LH (luteinizing hormone) test inpatient CPT 83002 SPC LUTEINIZING HRM (LH)	$8.13	$40.66	$6.67–$2,366.10	—	80%
LH (luteinizing hormone) test inpatient CPT 83002 CHEM LUTEINIZING HRM (LH)	$39.04	$195.20	$6.67–$2,366.10	—	80%
LH (luteinizing hormone) test inpatient CPT 83002 SH CHEM LUTEINIZING HRM (LH)	$39.04	$195.20	$6.67–$2,366.10	—	80%
Lactate (lactic acid) blood test CPT 83605 CHEM LACTATE/LACTIC ACID CSF	$12.60	$63.00	$4.17–$867.17	87% below	80%
Lactate (lactic acid) blood test CPT 83605 CHEM LACTATE/LACTIC ACID LAB	$12.60	$63.00	$4.17–$867.17	87% below	80%
Lactate (lactic acid) blood test CPT 83605 CHEM LACTATE/LACTIC ACID	$12.60	$63.00	$4.17–$1,282.14	87% below	80%
Lactate (lactic acid) blood test CPT 83605 SH LACTATE/LACTIC ACID BLOOD	$13.20	$66.00	$4.17–$1,477.58	86% below	80%
Lactate (lactic acid) blood test CPT 83605 SH CHEM LACTATE/LACTIC ACID PLAS	$14.08	$70.40	$4.17–$1,477.58	85% below	80%
Lactate (lactic acid) blood test CPT 83605 LACTATE/LACTIC ACD	$14.78	$73.92	$4.17–$1,477.58	85% below	80%
Lactate (lactic acid) blood test CPT 83605 CHEM LACTATE/LACTIC ACID PLAS	$14.78	$73.92	$4.17–$386.56	85% below	80%
Lactate (lactic acid) blood test CPT 83605 SH CHEM LACTATE/LACTIC ACID LAB	$16.20	$81.00	$4.17–$1,477.58	83% below	80%
Lactate (lactic acid) blood test CPT 83605 SH CHEM LACTATE/LACTIC ACID	$16.20	$81.00	$4.17–$1,282.14	83% below	80%
Lactate (lactic acid) blood test CPT 83605 SH CHEM LACTATE/LACTIC ACID CSF	$16.20	$81.00	$4.17–$1,477.58	83% below	80%
Lactate (lactic acid) blood test CPT 83605 SH CHEM LACTATE/LACTIC ACID BF	$16.20	$81.00	$4.17–$1,477.58	83% below	80%
Lactate (lactic acid) blood test CPT 83605 CHEM LACTATE/LACTIC ACID BF	$17.01	$85.05	$4.17–$867.17	82% below	80%
Lactate (lactic acid) blood test CPT 83605 LEN LACTATE/LACTIC ACID	$19.82	$99.12	$4.17–$1,477.58	79% below	80%
Lactate (lactic acid) blood test CPT 83605 LES LACTATE/LACTIC ACID	$19.82	$99.12	$4.17–$1,477.58	79% below	80%
Lactate (lactic acid) blood test CPT 83605 LACTATE/LACTIC ACID BLOOD	$20.79	$103.96	$4.17–$1,477.58	78% below	80%
Lactate (lactic acid) blood test CPT 83605 SPC LACTATE/LACTIC ACID PLASMA	$64.00	$320.00	$4.17–$1,477.58	33% below	80%
Lactate (lactic acid) blood test CPT 83605 LACTATE/LACTIC ACID	$65.53	$327.66	$4.17–$1,477.58	32% below	80%
Lactate (lactic acid) blood test CPT 83605 D-LACTATE, URINE	$65.53	$327.66	$4.17–$1,477.58	32% below	80%
Lactate (lactic acid) blood test inpatient CPT 83605 CHEM LACTATE/LACTIC ACID LAB	$12.60	$63.00	$4.17–$867.17	—	80%
Lactate (lactic acid) blood test inpatient CPT 83605 CHEM LACTATE/LACTIC ACID CSF	$12.60	$63.00	$4.17–$867.17	—	80%
Lactate (lactic acid) blood test inpatient CPT 83605 CHEM LACTATE/LACTIC ACID	$12.60	$63.00	$4.17–$1,282.14	—	80%
Lactate (lactic acid) blood test inpatient CPT 83605 SH LACTATE/LACTIC ACID BLOOD	$13.20	$66.00	$4.17–$1,477.58	—	80%
Lactate (lactic acid) blood test inpatient CPT 83605 SH CHEM LACTATE/LACTIC ACID PLAS	$14.08	$70.40	$4.17–$1,477.58	—	80%
Lactate (lactic acid) blood test inpatient CPT 83605 CHEM LACTATE/LACTIC ACID PLAS	$14.78	$73.92	$4.17–$386.56	—	80%
Lactate (lactic acid) blood test inpatient CPT 83605 LACTATE/LACTIC ACD	$14.78	$73.92	$4.17–$1,477.58	—	80%
Lactate (lactic acid) blood test inpatient CPT 83605 SH CHEM LACTATE/LACTIC ACID BF	$16.20	$81.00	$4.17–$1,477.58	—	80%
Lactate (lactic acid) blood test inpatient CPT 83605 SH CHEM LACTATE/LACTIC ACID	$16.20	$81.00	$4.17–$1,282.14	—	80%
Lactate (lactic acid) blood test inpatient CPT 83605 SH CHEM LACTATE/LACTIC ACID LAB	$16.20	$81.00	$4.17–$1,477.58	—	80%
Lactate (lactic acid) blood test inpatient CPT 83605 SH CHEM LACTATE/LACTIC ACID CSF	$16.20	$81.00	$4.17–$1,477.58	—	80%
Lactate (lactic acid) blood test inpatient CPT 83605 CHEM LACTATE/LACTIC ACID BF	$17.01	$85.05	$4.17–$867.17	—	80%
Lactate (lactic acid) blood test inpatient CPT 83605 LEN LACTATE/LACTIC ACID	$19.82	$99.12	$4.17–$1,477.58	—	80%
Lactate (lactic acid) blood test inpatient CPT 83605 LES LACTATE/LACTIC ACID	$19.82	$99.12	$4.17–$1,477.58	—	80%
Lactate (lactic acid) blood test inpatient CPT 83605 LACTATE/LACTIC ACID BLOOD	$20.79	$103.96	$4.17–$1,477.58	—	80%
Lactate (lactic acid) blood test inpatient CPT 83605 SPC LACTATE/LACTIC ACID PLASMA	$64.00	$320.00	$4.17–$1,477.58	—	80%
Lactate (lactic acid) blood test inpatient CPT 83605 D-LACTATE, URINE	$65.53	$327.66	$4.17–$1,477.58	—	80%
Lactate (lactic acid) blood test inpatient CPT 83605 LACTATE/LACTIC ACID	$65.53	$327.66	$4.17–$1,477.58	—	80%
Lactate dehydrogenase (LDH) blood test CPT 83615 CSF LDH	$11.26	$56.28	$2.17–$1,477.58	73% below	80%
Lactate dehydrogenase (LDH) blood test CPT 83615 SPC LDH	$11.42	$57.12	$2.17–$1,477.58	72% below	80%
Lactate dehydrogenase (LDH) blood test CPT 83615 SH CHEM LDH BODY FLD	$11.52	$57.60	$2.17–$1,477.58	72% below	80%
Lactate dehydrogenase (LDH) blood test CPT 83615 CHEM LDH BODY FLD	$12.10	$60.48	$2.17–$1,477.58	70% below	80%
Lactate dehydrogenase (LDH) blood test CPT 83615 SH CHEM LDH CSF	$13.28	$66.40	$2.17–$1,477.58	68% below	80%
Lactate dehydrogenase (LDH) blood test CPT 83615 SH CHEM LDH	$13.28	$66.40	$2.17–$1,477.58	68% below	80%
Lactate dehydrogenase (LDH) blood test CPT 83615 SH CHEM LDH SERUM	$13.28	$66.40	$2.17–$1,477.58	68% below	80%
Lactate dehydrogenase (LDH) blood test CPT 83615 CHEM LDH CSF	$13.28	$66.40	$2.17–$1,477.58	68% below	80%
Lactate dehydrogenase (LDH) blood test CPT 83615 LWS LDH SERUM	$13.94	$69.72	$2.17–$1,477.58	66% below	80%
Lactate dehydrogenase (LDH) blood test CPT 83615 YSL LDH SERUM	$13.94	$69.72	$2.17–$1,477.58	66% below	80%
Lactate dehydrogenase (LDH) blood test CPT 83615 CHEM LDH	$13.94	$69.72	$2.17–$1,477.58	66% below	80%
Lactate dehydrogenase (LDH) blood test CPT 83615 CHEM LDH SERUM	$13.94	$69.72	$2.17–$1,477.58	66% below	80%
Lactate dehydrogenase (LDH) blood test CPT 83615 LES LDH SERUM	$13.94	$69.72	$2.17–$1,477.58	66% below	80%
Lactate dehydrogenase (LDH) blood test CPT 83615 LEN LDH SERUM	$13.94	$69.72	$2.17–$1,477.58	66% below	80%
Lactate dehydrogenase (LDH) blood test CPT 83615 NE LDH SERUM	$13.94	$69.72	$2.17–$1,477.58	66% below	80%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 CSF LDH	$11.26	$56.28	$2.17–$1,477.58	—	80%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 SPC LDH	$11.42	$57.12	$2.17–$1,477.58	—	80%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 SH CHEM LDH BODY FLD	$11.52	$57.60	$2.17–$1,477.58	—	80%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 CHEM LDH BODY FLD	$12.10	$60.48	$2.17–$1,477.58	—	80%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 SH CHEM LDH SERUM	$13.28	$66.40	$2.17–$1,477.58	—	80%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 SH CHEM LDH CSF	$13.28	$66.40	$2.17–$1,477.58	—	80%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 CHEM LDH CSF	$13.28	$66.40	$2.17–$1,477.58	—	80%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 SH CHEM LDH	$13.28	$66.40	$2.17–$1,477.58	—	80%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LES LDH SERUM	$13.94	$69.72	$2.17–$1,477.58	—	80%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 CHEM LDH	$13.94	$69.72	$2.17–$1,477.58	—	80%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LEN LDH SERUM	$13.94	$69.72	$2.17–$1,477.58	—	80%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 NE LDH SERUM	$13.94	$69.72	$2.17–$1,477.58	—	80%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 CHEM LDH SERUM	$13.94	$69.72	$2.17–$1,477.58	—	80%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LWS LDH SERUM	$13.94	$69.72	$2.17–$1,477.58	—	80%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 YSL LDH SERUM	$13.94	$69.72	$2.17–$1,477.58	—	80%
Lipase blood test (pancreas enzyme) CPT 83690 SH CHEM LIPASE	$5.20	$26.00	$2.48–$1,477.58	92% below	80%
Lipase blood test (pancreas enzyme) CPT 83690 CHEM LIPASE	$5.46	$27.30	$2.48–$1,477.58	92% below	80%
Lipase blood test (pancreas enzyme) CPT 83690 SPC LIPASE BODY FLUID	$11.21	$56.07	$2.48–$1,477.58	83% below	80%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE BODY FLUID	$18.65	$93.24	$2.48–$1,477.58	72% below	80%
Lipase blood test (pancreas enzyme) CPT 83690 LES LIPASE	$19.49	$97.44	$2.48–$1,477.58	71% below	80%
Lipase blood test (pancreas enzyme) CPT 83690 LEN LIPASE	$19.49	$97.44	$2.48–$1,477.58	71% below	80%
Lipase blood test (pancreas enzyme) CPT 83690 LWS LIPASE	$19.49	$97.44	$2.48–$1,477.58	71% below	80%
Lipase blood test (pancreas enzyme) CPT 83690 SH LIPASE BODY FLUID	$19.76	$98.79	$2.48–$1,477.58	71% below	80%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 SH CHEM LIPASE	$5.20	$26.00	$2.48–$1,477.58	—	80%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 CHEM LIPASE	$5.46	$27.30	$2.48–$1,477.58	—	80%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 SPC LIPASE BODY FLUID	$11.21	$56.07	$2.48–$1,477.58	—	80%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE BODY FLUID	$18.65	$93.24	$2.48–$1,477.58	—	80%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LEN LIPASE	$19.49	$97.44	$2.48–$1,477.58	—	80%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LWS LIPASE	$19.49	$97.44	$2.48–$1,477.58	—	80%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LES LIPASE	$19.49	$97.44	$2.48–$1,477.58	—	80%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 SH LIPASE BODY FLUID	$19.76	$98.79	$2.48–$1,477.58	—	80%
Magnesium blood test CPT 83735 SH MAGNESIUM URINE	$8.80	$44.00	$2.41–$1,477.58	81% below	80%
Magnesium blood test CPT 83735 MAGNESIUM URINE	$9.24	$46.20	$2.41–$1,477.58	80% below	80%
Magnesium blood test CPT 83735 SH CHEM MAGNESIUM	$10.08	$50.40	$2.41–$1,477.58	78% below	80%
Magnesium blood test CPT 83735 LWS MAGNESIUM SERUM	$10.58	$52.92	$2.41–$1,477.58	77% below	80%
Magnesium blood test CPT 83735 NE MAGNESIUM SERUM	$10.58	$52.92	$2.41–$1,477.58	77% below	80%
Magnesium blood test CPT 83735 LEN MAGNESIUM SERUM	$10.58	$52.92	$2.41–$1,477.58	77% below	80%
Magnesium blood test CPT 83735 CHEM MAGNESIUM	$10.58	$52.92	$2.41–$1,477.58	77% below	80%
Magnesium blood test CPT 83735 YSL MAGNESIUM SERUM	$10.58	$52.92	$2.41–$1,477.58	77% below	80%
Magnesium blood test CPT 83735 LES MAGNESIUM SERUM	$10.58	$52.92	$2.41–$1,477.58	77% below	80%
Magnesium blood test CPT 83735 MAGNESIUM RBC	$12.10	$60.48	$2.41–$1,477.58	74% below	80%
Magnesium blood test inpatient CPT 83735 SH MAGNESIUM URINE	$8.80	$44.00	$2.41–$1,477.58	—	80%
Magnesium blood test inpatient CPT 83735 MAGNESIUM URINE	$9.24	$46.20	$2.41–$1,477.58	—	80%
Magnesium blood test inpatient CPT 83735 SH CHEM MAGNESIUM	$10.08	$50.40	$2.41–$1,477.58	—	80%
Magnesium blood test inpatient CPT 83735 CHEM MAGNESIUM	$10.58	$52.92	$2.41–$1,477.58	—	80%
Magnesium blood test inpatient CPT 83735 YSL MAGNESIUM SERUM	$10.58	$52.92	$2.41–$1,477.58	—	80%
Magnesium blood test inpatient CPT 83735 LWS MAGNESIUM SERUM	$10.58	$52.92	$2.41–$1,477.58	—	80%
Magnesium blood test inpatient CPT 83735 LEN MAGNESIUM SERUM	$10.58	$52.92	$2.41–$1,477.58	—	80%
Magnesium blood test inpatient CPT 83735 NE MAGNESIUM SERUM	$10.58	$52.92	$2.41–$1,477.58	—	80%
Magnesium blood test inpatient CPT 83735 LES MAGNESIUM SERUM	$10.58	$52.92	$2.41–$1,477.58	—	80%
Magnesium blood test inpatient CPT 83735 MAGNESIUM RBC	$12.10	$60.48	$2.41–$1,477.58	—	80%
Measles (rubeola) antibody test CPT 86765 RUBEOLA ANTIBODY CSF	$7.52	$37.60	$4.64–$134.96	79% below	80%
Measles (rubeola) antibody test CPT 86765 SH RUBEOLA ANTIBODY IGG	$14.08	$70.40	$4.64–$590.10	62% below	80%
Measles (rubeola) antibody test CPT 86765 RUBEOLA ANTIBODY IGG	$14.78	$73.92	$4.64–$195.99	60% below	80%
Measles (rubeola) antibody test CPT 86765 THERAPYPRO//DX IV PUSH INITIA	$35.46	$177.31	$11.36–$278.00	3% below	80%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA ANTIBODY CSF	$7.52	$37.60	$4.64–$134.96	—	80%
Measles (rubeola) antibody test inpatient CPT 86765 SH RUBEOLA ANTIBODY IGG	$14.08	$70.40	$4.64–$590.10	—	80%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA ANTIBODY IGG	$14.78	$73.92	$4.64–$195.99	—	80%
Measles (rubeola) antibody test inpatient CPT 86765 THERAPYPRO//DX IV PUSH INITIA	$35.46	$177.31	$11.36–$278.00	—	80%
Mono test (heterophile antibody, Monospot) CPT 86308 EBV HETEROPHILE IGM	$10.88	$54.40	$1.86–$605.27	87% below	80%
Mono test (heterophile antibody, Monospot) CPT 86308 SH MICRO MONOTEST SCR	$16.64	$83.20	$1.86–$677.07	80% below	80%
Mono test (heterophile antibody, Monospot) CPT 86308 MICRO MONOTEST SCR	$17.47	$87.36	$1.86–$1,429.81	79% below	80%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 EBV HETEROPHILE IGM	$10.88	$54.40	$1.86–$605.27	—	80%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 SH MICRO MONOTEST SCR	$16.64	$83.20	$1.86–$677.07	—	80%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MICRO MONOTEST SCR	$17.47	$87.36	$1.86–$1,429.81	—	80%
Mumps immunity blood test CPT 86735 MUMPS ANTIBODY	$7.61	$38.07	$4.70–$599.80	87% below	80%
Mumps immunity blood test CPT 86735 SH SPC MUMPS AB IGM	$10.57	$52.85	$4.70–$618.50	82% below	80%
Mumps immunity blood test CPT 86735 SPC MUMPS AB IGM	$10.96	$54.81	$4.70–$699.82	81% below	80%
Mumps immunity blood test CPT 86735 SH MICRO MUMPS ANTIBODY IGG	$15.32	$76.61	$4.70–$554.46	74% below	80%
Mumps immunity blood test CPT 86735 MICRO MUMPS ANTIBODY IGG	$15.89	$79.45	$4.70–$553.58	73% below	80%
Mumps immunity blood test inpatient CPT 86735 MUMPS ANTIBODY	$7.61	$38.07	$4.70–$599.80	—	80%
Mumps immunity blood test inpatient CPT 86735 SH SPC MUMPS AB IGM	$10.57	$52.85	$4.70–$618.50	—	80%
Mumps immunity blood test inpatient CPT 86735 SPC MUMPS AB IGM	$10.96	$54.81	$4.70–$699.82	—	80%
Mumps immunity blood test inpatient CPT 86735 SH MICRO MUMPS ANTIBODY IGG	$15.32	$76.61	$4.70–$554.46	—	80%
Mumps immunity blood test inpatient CPT 86735 MICRO MUMPS ANTIBODY IGG	$15.89	$79.45	$4.70–$553.58	—	80%
Obstetric blood test panel CPT 80055 SH OBSTETRIC PANEL	$18.56	$92.80	$17.21–$2,374.33	93% below	80%
Obstetric blood test panel CPT 80055 OBSTETRIC PANEL	$19.49	$97.44	$17.21–$2,374.33	92% below	80%
Obstetric blood test panel inpatient CPT 80055 SH OBSTETRIC PANEL	$18.56	$92.80	$17.21–$2,374.33	—	80%
Obstetric blood test panel inpatient CPT 80055 OBSTETRIC PANEL	$19.49	$97.44	$17.21–$2,374.33	—	80%
PSA (prostate-specific antigen) blood test, free CPT 84154 SH CHEM PSA FREE	$43.00	$215.00	$6.62–$1,222.82	62% below	80%
PSA (prostate-specific antigen) blood test, free CPT 84154 CHEM PSA FREE	$45.15	$225.75	$6.62–$1,222.82	60% below	80%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 SH CHEM PSA FREE	$43.00	$215.00	$6.62–$1,222.82	—	80%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 CHEM PSA FREE	$45.15	$225.75	$6.62–$1,222.82	—	80%
PSA (prostate-specific antigen) blood test, total CPT 84153 SH CHEM PSA TOTAL	$16.64	$83.20	$6.62–$1,222.82	81% below	80%
PSA (prostate-specific antigen) blood test, total CPT 84153 CHEM PSA TOTAL	$17.47	$87.36	$6.62–$604.68	80% below	80%
PSA (prostate-specific antigen) blood test, total CPT 84153 SPC PSA TOTAL	$17.47	$87.36	$6.62–$1,222.82	80% below	80%
PSA (prostate-specific antigen) blood test, total CPT 84153 LEN PSA TOTAL	$17.47	$87.36	$6.62–$1,222.82	80% below	80%
PSA (prostate-specific antigen) blood test, total CPT 84153 LES PSA TOTAL	$17.47	$87.36	$6.62–$1,222.82	80% below	80%
PSA (prostate-specific antigen) blood test, total CPT 84153 LWS PSA TOTAL	$17.47	$87.36	$6.62–$1,222.82	80% below	80%
PSA (prostate-specific antigen) blood test, total CPT 84153 YSL YSL PSA TOTAL	$17.47	$87.36	$6.62–$1,222.82	80% below	80%
PSA (prostate-specific antigen) blood test, total CPT 84153 SPC PSA TOTAL ULTRASENSITIVE	$19.82	$99.12	$6.62–$1,222.82	77% below	80%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 SH CHEM PSA TOTAL	$16.64	$83.20	$6.62–$1,222.82	—	80%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 LES PSA TOTAL	$17.47	$87.36	$6.62–$1,222.82	—	80%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 SPC PSA TOTAL	$17.47	$87.36	$6.62–$1,222.82	—	80%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 LEN PSA TOTAL	$17.47	$87.36	$6.62–$1,222.82	—	80%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 LWS PSA TOTAL	$17.47	$87.36	$6.62–$1,222.82	—	80%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 YSL YSL PSA TOTAL	$17.47	$87.36	$6.62–$1,222.82	—	80%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 CHEM PSA TOTAL	$17.47	$87.36	$6.62–$604.68	—	80%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 SPC PSA TOTAL ULTRASENSITIVE	$19.82	$99.12	$6.62–$1,222.82	—	80%
Pap test (liquid-based, automated screening with review) CPT 88175 CYTOPATH PAP TLP AUTO/MAN SENDOUT	$21.13	$105.64	$9.58–$1,282.14	72% below	80%
Pap test (liquid-based, automated screening with review) CPT 88175 CYTOPATH PAP TLP AUTO/MAN	$21.60	$108.00	$9.58–$116.02	71% below	80%
Pap test (liquid-based, automated screening with review) CPT 88175 THINPREP IMAGING PAP RFX HPV	$23.94	$119.70	$9.58–$1,282.14	68% below	80%
Pap test (liquid-based, automated screening with review) CPT 88175 THINPREP IMAGING PAP	$23.94	$119.70	$9.58–$116.02	68% below	80%
Pap test (liquid-based, automated screening with review) CPT 88175 CYTOPATH PAP PHYSICIAN INTERP.	$23.94	$119.70	$9.58–$1,282.14	68% below	80%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 CYTOPATH PAP TLP AUTO/MAN SENDOUT	$21.13	$105.64	$9.58–$1,282.14	—	80%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 CYTOPATH PAP TLP AUTO/MAN	$21.60	$108.00	$9.58–$116.02	—	80%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 THINPREP IMAGING PAP	$23.94	$119.70	$9.58–$116.02	—	80%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 THINPREP IMAGING PAP RFX HPV	$23.94	$119.70	$9.58–$1,282.14	—	80%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 CYTOPATH PAP PHYSICIAN INTERP.	$23.94	$119.70	$9.58–$1,282.14	—	80%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CYTOL PAP TLP MAN SCRN/RESCRN	$16.59	$82.93	$7.29–$88.33	82% below	80%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 CYTOL PAP TLP MAN SCRN/RESCRN	$16.59	$82.93	$7.29–$88.33	—	80%
Parathyroid hormone (PTH) blood test CPT 83970 PTH INTACT, FINE NEEDLE ASP	$26.25	$131.25	$14.86–$3,949.25	87% below	80%
Parathyroid hormone (PTH) blood test CPT 83970 SH CHEM PTH	$40.80	$204.00	$14.86–$3,949.25	80% below	80%
Parathyroid hormone (PTH) blood test CPT 83970 CHEM PTH	$42.84	$214.20	$14.86–$3,949.25	79% below	80%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH INTACT, FINE NEEDLE ASP	$26.25	$131.25	$14.86–$3,949.25	—	80%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 SH CHEM PTH	$40.80	$204.00	$14.86–$3,949.25	—	80%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 CHEM PTH	$42.84	$214.20	$14.86–$3,949.25	—	80%
Partial thromboplastin time (PTT) clotting test CPT 85730 SPC PRT THROMBO TM (PTT)	$6.89	$34.46	$2.16–$509.83	86% below	80%
Partial thromboplastin time (PTT) clotting test CPT 85730 SH PARTIAL THROMBOPLAS TIME	$16.08	$80.40	$2.16–$185.41	68% below	80%
Partial thromboplastin time (PTT) clotting test CPT 85730 PARTIAL THROMBOPLAS TIME	$16.88	$84.42	$2.16–$535.23	66% below	80%
Partial thromboplastin time (PTT) clotting test CPT 85730 SH CHEM PRT THROMBO TM (PTT)	$18.08	$90.40	$2.16–$224.22	64% below	80%
Partial thromboplastin time (PTT) clotting test CPT 85730 PARTIAL THROMBOPLAS TIME (PTT)	$18.82	$94.08	$2.16–$561.69	62% below	80%
Partial thromboplastin time (PTT) clotting test CPT 85730 CHEM PRT THROMBO TM (PTT)	$18.98	$94.92	$2.16–$393.75	62% below	80%
Partial thromboplastin time (PTT) clotting test CPT 85730 SH CLIN CHEM PRT THROMBO TM (PTT)	$19.68	$98.40	$2.16–$813.78	61% below	80%
Partial thromboplastin time (PTT) clotting test CPT 85730 CLIN CHEM PRT THROMBO TM (PTT)	$20.66	$103.32	$2.16–$474.55	59% below	80%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 SPC PRT THROMBO TM (PTT)	$6.89	$34.46	$2.16–$509.83	—	80%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 SH PARTIAL THROMBOPLAS TIME	$16.08	$80.40	$2.16–$185.41	—	80%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PARTIAL THROMBOPLAS TIME	$16.88	$84.42	$2.16–$535.23	—	80%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 SH CHEM PRT THROMBO TM (PTT)	$18.08	$90.40	$2.16–$224.22	—	80%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PARTIAL THROMBOPLAS TIME (PTT)	$18.82	$94.08	$2.16–$561.69	—	80%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 CHEM PRT THROMBO TM (PTT)	$18.98	$94.92	$2.16–$393.75	—	80%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 SH CLIN CHEM PRT THROMBO TM (PTT)	$19.68	$98.40	$2.16–$813.78	—	80%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 CLIN CHEM PRT THROMBO TM (PTT)	$20.66	$103.32	$2.16–$474.55	—	80%
Phosphorus (phosphate) blood test CPT 84100 SH CHEM PHOSPHORUS SERUM	$7.44	$37.20	$1.71–$132.52	88% below	80%
Phosphorus (phosphate) blood test CPT 84100 CHEM PHOSPHORUS SERUM	$7.81	$39.06	$1.71–$132.52	87% below	80%
Phosphorus (phosphate) blood test CPT 84100 LES PHOSPHORUS SERUM	$7.81	$39.06	$1.71–$23.32	87% below	80%
Phosphorus (phosphate) blood test CPT 84100 LWS PHOSPHORUS SERUM	$7.81	$39.06	$1.71–$37.98	87% below	80%
Phosphorus (phosphate) blood test CPT 84100 LEN PHOSPHORUS SERUM	$7.81	$39.06	$1.71–$24.38	87% below	80%
Phosphorus (phosphate) blood test CPT 84100 YSL PHOSPHORUS SERUM	$7.81	$39.06	$1.71–$27.56	87% below	80%
Phosphorus (phosphate) blood test CPT 84100 NE PHOSPHORUS SERUM	$7.81	$39.06	$1.71–$132.52	87% below	80%
Phosphorus (phosphate) blood test inpatient CPT 84100 SH CHEM PHOSPHORUS SERUM	$7.44	$37.20	$1.71–$132.52	—	80%
Phosphorus (phosphate) blood test inpatient CPT 84100 LES PHOSPHORUS SERUM	$7.81	$39.06	$1.71–$23.32	—	80%
Phosphorus (phosphate) blood test inpatient CPT 84100 LEN PHOSPHORUS SERUM	$7.81	$39.06	$1.71–$24.38	—	80%
Phosphorus (phosphate) blood test inpatient CPT 84100 YSL PHOSPHORUS SERUM	$7.81	$39.06	$1.71–$27.56	—	80%
Phosphorus (phosphate) blood test inpatient CPT 84100 NE PHOSPHORUS SERUM	$7.81	$39.06	$1.71–$132.52	—	80%
Phosphorus (phosphate) blood test inpatient CPT 84100 LWS PHOSPHORUS SERUM	$7.81	$39.06	$1.71–$37.98	—	80%
Phosphorus (phosphate) blood test inpatient CPT 84100 CHEM PHOSPHORUS SERUM	$7.81	$39.06	$1.71–$132.52	—	80%
Potassium blood test CPT 84132 SH ARTERIAL POTASSIUM	$3.17	$15.84	$1.71–$1,222.82	95% below	80%
Potassium blood test CPT 84132 NE NE POTASSIUM SERUM/PLASMA	$3.59	$17.93	$1.71–$1,222.82	94% below	80%
Potassium blood test CPT 84132 LEN POTASSIUM SERUM/PLASMA	$3.76	$18.82	$1.71–$1,222.82	94% below	80%
Potassium blood test CPT 84132 YSL POTASSIUM SERUM/PLASMA	$3.76	$18.82	$1.71–$1,222.82	94% below	80%
Potassium blood test CPT 84132 SPEC_CHEM POTASSIUM SERUM/PLASMA	$3.76	$18.82	$1.71–$1,222.82	94% below	80%
Potassium blood test CPT 84132 LWS POTASSIUM SERUM/PLASMA	$3.76	$18.82	$1.71–$1,222.82	94% below	80%
Potassium blood test CPT 84132 CLIN_CHEM POTASSIUM SERUM/PLASMA	$3.76	$18.82	$1.71–$1,222.82	94% below	80%
Potassium blood test CPT 84132 CLIN CHEM POTASSIUM SERUM/PLASMA	$3.76	$18.82	$1.71–$1,222.82	94% below	80%
Potassium blood test CPT 84132 LES POTASSIUM SERUM/PLASMA	$3.76	$18.82	$1.71–$1,222.82	94% below	80%
Potassium blood test CPT 84132 ARTERIAL POTASSIUM	$4.16	$20.79	$1.71–$44.87	93% below	80%
Potassium blood test CPT 84132 LEE POTASSIUM	$8.48	$42.42	$1.71–$1,222.82	86% below	80%
Potassium blood test CPT 84132 LEN POTASSIUM	$8.48	$42.42	$1.71–$1,222.82	86% below	80%
Potassium blood test CPT 84132 SH CHEM POTASSIUM SERUM/PLASMA	$8.48	$42.42	$1.71–$1,222.82	86% below	80%
Potassium blood test inpatient CPT 84132 SH ARTERIAL POTASSIUM	$3.17	$15.84	$1.71–$1,222.82	—	80%
Potassium blood test inpatient CPT 84132 NE NE POTASSIUM SERUM/PLASMA	$3.59	$17.93	$1.71–$1,222.82	—	80%
Potassium blood test inpatient CPT 84132 SPEC_CHEM POTASSIUM SERUM/PLASMA	$3.76	$18.82	$1.71–$1,222.82	—	80%
Potassium blood test inpatient CPT 84132 YSL POTASSIUM SERUM/PLASMA	$3.76	$18.82	$1.71–$1,222.82	—	80%
Potassium blood test inpatient CPT 84132 LWS POTASSIUM SERUM/PLASMA	$3.76	$18.82	$1.71–$1,222.82	—	80%
Potassium blood test inpatient CPT 84132 LES POTASSIUM SERUM/PLASMA	$3.76	$18.82	$1.71–$1,222.82	—	80%
Potassium blood test inpatient CPT 84132 CLIN_CHEM POTASSIUM SERUM/PLASMA	$3.76	$18.82	$1.71–$1,222.82	—	80%
Potassium blood test inpatient CPT 84132 CLIN CHEM POTASSIUM SERUM/PLASMA	$3.76	$18.82	$1.71–$1,222.82	—	80%
Potassium blood test inpatient CPT 84132 LEN POTASSIUM SERUM/PLASMA	$3.76	$18.82	$1.71–$1,222.82	—	80%
Potassium blood test inpatient CPT 84132 ARTERIAL POTASSIUM	$4.16	$20.79	$1.71–$44.87	—	80%
Potassium blood test inpatient CPT 84132 LEN POTASSIUM	$8.48	$42.42	$1.71–$1,222.82	—	80%
Potassium blood test inpatient CPT 84132 SH CHEM POTASSIUM SERUM/PLASMA	$8.48	$42.42	$1.71–$1,222.82	—	80%
Potassium blood test inpatient CPT 84132 LEE POTASSIUM	$8.48	$42.42	$1.71–$1,222.82	—	80%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 QNATAL, ADVANCED	$618.69	$3,093.44	$133.53–$3,309.46	29% below	80%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 QNATAL, ADVANCED	$618.69	$3,093.44	$133.53–$3,309.46	—	80%
Prolactin blood test CPT 84146 PROLACTIN	$9.60	$48.00	$6.98–$1,222.82	91% below	80%
Prolactin blood test CPT 84146 SH CHEM PROLACTIN	$32.80	$164.00	$6.98–$1,222.82	70% below	80%
Prolactin blood test CPT 84146 CHEM PROLACTIN	$34.44	$172.20	$6.98–$1,222.82	69% below	80%
Prolactin blood test inpatient CPT 84146 PROLACTIN	$9.60	$48.00	$6.98–$1,222.82	—	80%
Prolactin blood test inpatient CPT 84146 SH CHEM PROLACTIN	$32.80	$164.00	$6.98–$1,222.82	—	80%
Prolactin blood test inpatient CPT 84146 CHEM PROLACTIN	$34.44	$172.20	$6.98–$1,222.82	—	80%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME (PT)	$3.35	$16.76	$1.54–$964.79	93% below	80%
Prothrombin time (PT/INR) clotting test CPT 85610 LES PROTHROMBIN TIME POC	$9.92	$49.60	$1.54–$565.93	78% below	80%
Prothrombin time (PT/INR) clotting test CPT 85610 LEN PROTHROMBIN TIME (PT) POC	$10.75	$53.76	$1.54–$835.13	76% below	80%
Prothrombin time (PT/INR) clotting test CPT 85610 SH SPEC_CHEM PROTHROMBIN TIME (PT)	$13.76	$68.80	$1.54–$782.38	70% below	80%
Prothrombin time (PT/INR) clotting test CPT 85610 SH CHEM PROTHROMBIN TIME (PT)	$13.76	$68.80	$1.54–$570.34	70% below	80%
Prothrombin time (PT/INR) clotting test CPT 85610 LES PROTHROMBIN TIME (PT)	$14.45	$72.24	$1.54–$1,454.33	68% below	80%
Prothrombin time (PT/INR) clotting test CPT 85610 LWS PROTHROMBIN TIME (PT)	$14.45	$72.24	$1.54–$455.67	68% below	80%
Prothrombin time (PT/INR) clotting test CPT 85610 CHEM PROTHROMBIN TIME (PT)	$14.45	$72.24	$1.54–$803.55	68% below	80%
Prothrombin time (PT/INR) clotting test CPT 85610 LEN PROTHROMBIN TIME (PT)	$14.45	$72.24	$1.54–$801.79	68% below	80%
Prothrombin time (PT/INR) clotting test CPT 85610 SPEC_CHEM PROTHROMBIN TIME (PT)	$14.45	$72.24	$1.54–$1,268.22	68% below	80%
Prothrombin time (PT/INR) clotting test CPT 85610 LAB PROTHROMBIN TIME (PT)	$14.45	$72.24	$1.54–$1,176.14	68% below	80%
Prothrombin time (PT/INR) clotting test CPT 85610 YSL PROTHROMBIN TIME (PT)	$14.45	$72.24	$1.54–$603.15	68% below	80%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME (PT)	$3.35	$16.76	$1.54–$964.79	—	80%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 LES PROTHROMBIN TIME POC	$9.92	$49.60	$1.54–$565.93	—	80%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 LEN PROTHROMBIN TIME (PT) POC	$10.75	$53.76	$1.54–$835.13	—	80%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 SH SPEC_CHEM PROTHROMBIN TIME (PT)	$13.76	$68.80	$1.54–$782.38	—	80%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 SH CHEM PROTHROMBIN TIME (PT)	$13.76	$68.80	$1.54–$570.34	—	80%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 LAB PROTHROMBIN TIME (PT)	$14.45	$72.24	$1.54–$1,176.14	—	80%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 YSL PROTHROMBIN TIME (PT)	$14.45	$72.24	$1.54–$603.15	—	80%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 CHEM PROTHROMBIN TIME (PT)	$14.45	$72.24	$1.54–$803.55	—	80%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 LES PROTHROMBIN TIME (PT)	$14.45	$72.24	$1.54–$1,454.33	—	80%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 SPEC_CHEM PROTHROMBIN TIME (PT)	$14.45	$72.24	$1.54–$1,268.22	—	80%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 LEN PROTHROMBIN TIME (PT)	$14.45	$72.24	$1.54–$801.79	—	80%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 LWS PROTHROMBIN TIME (PT)	$14.45	$72.24	$1.54–$455.67	—	80%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 LEN - URINE DRUG TEST POCT	$15.29	$76.44	$4.54–$2,374.33	86% below	80%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 LEE - URINE DRUG TEST POCT	$15.29	$76.44	$4.54–$2,374.33	86% below	80%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 SH CHEM DRUG SCR MLT UR 1-7	$28.35	$141.76	$4.54–$1,864.31	73% below	80%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 LEN - URINE DRUG TEST POCT	$15.29	$76.44	$4.54–$2,374.33	—	80%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 LEE - URINE DRUG TEST POCT	$15.29	$76.44	$4.54–$2,374.33	—	80%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 SH CHEM DRUG SCR MLT UR 1-7	$28.35	$141.76	$4.54–$1,864.31	—	80%
Rapid flu test (influenza antigen) CPT 87804 RAPID FLU TEST	$13.34	$66.70	$5.96–$737.93	86% below	80%
Rapid flu test (influenza antigen) CPT 87804 CTT RAPID FLU TEST	$14.01	$70.03	$5.96–$131.95	85% below	80%
Rapid flu test (influenza antigen) CPT 87804 FAB RAPID FLU TEST	$14.01	$70.03	$5.96–$580.22	85% below	80%
Rapid flu test (influenza antigen) CPT 87804 EST RAPID FLU TEST	$14.01	$70.03	$5.96–$912.05	85% below	80%
Rapid flu test (influenza antigen) CPT 87804 WST RAPID FLU TEST	$14.01	$70.03	$5.96–$475.96	85% below	80%
Rapid flu test (influenza antigen) CPT 87804 DPT RAPID FLU TEST	$14.09	$70.45	$5.96–$822.43	85% below	80%
Rapid flu test (influenza antigen) CPT 87804 ZAT RAPID FLU TEST	$14.09	$70.45	$5.96–$670.01	85% below	80%
Rapid flu test (influenza antigen) CPT 87804 SH MICRO ANTG DETECT HAEMOPHILUS	$21.12	$105.60	$5.96–$166.89	77% below	80%
Rapid flu test (influenza antigen) CPT 87804 MICRO ANTG DETECT HAEMOPHILUS	$22.18	$110.88	$5.96–$1,252.52	76% below	80%
Rapid flu test (influenza antigen) inpatient CPT 87804 RAPID FLU TEST	$13.34	$66.70	$5.96–$737.93	—	80%
Rapid flu test (influenza antigen) inpatient CPT 87804 EST RAPID FLU TEST	$14.01	$70.03	$5.96–$912.05	—	80%
Rapid flu test (influenza antigen) inpatient CPT 87804 FAB RAPID FLU TEST	$14.01	$70.03	$5.96–$580.22	—	80%
Rapid flu test (influenza antigen) inpatient CPT 87804 WST RAPID FLU TEST	$14.01	$70.03	$5.96–$475.96	—	80%
Rapid flu test (influenza antigen) inpatient CPT 87804 CTT RAPID FLU TEST	$14.01	$70.03	$5.96–$131.95	—	80%
Rapid flu test (influenza antigen) inpatient CPT 87804 ZAT RAPID FLU TEST	$14.09	$70.45	$5.96–$670.01	—	80%
Rapid flu test (influenza antigen) inpatient CPT 87804 DPT RAPID FLU TEST	$14.09	$70.45	$5.96–$822.43	—	80%
Rapid flu test (influenza antigen) inpatient CPT 87804 SH MICRO ANTG DETECT HAEMOPHILUS	$21.12	$105.60	$5.96–$166.89	—	80%
Rapid flu test (influenza antigen) inpatient CPT 87804 MICRO ANTG DETECT HAEMOPHILUS	$22.18	$110.88	$5.96–$1,252.52	—	80%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 FAB RAPID STREP TEST	$15.12	$75.60	$5.95–$97.38	85% below	80%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 ZAT RAPID STREP TEST	$15.12	$75.60	$5.95–$72.07	85% below	80%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 FAB RAPID STREP TEST	$15.12	$75.60	$5.95–$97.38	—	80%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 ZAT RAPID STREP TEST	$15.12	$75.60	$5.95–$72.07	—	80%
Renin blood test CPT 84244 SPC RENIN	$20.33	$101.64	$7.92–$155.99	80% below	80%
Renin blood test CPT 84244 SPECIMEN RENIN	$20.33	$101.64	$7.92–$841.62	80% below	80%
Renin blood test CPT 84244 RENIN	$21.50	$107.52	$7.92–$841.62	79% below	80%
Renin blood test inpatient CPT 84244 SPC RENIN	$20.33	$101.64	$7.92–$155.99	—	80%
Renin blood test inpatient CPT 84244 SPECIMEN RENIN	$20.33	$101.64	$7.92–$841.62	—	80%
Renin blood test inpatient CPT 84244 RENIN	$21.50	$107.52	$7.92–$841.62	—	80%
Rh blood typing CPT 86901 BB UBS RH (DU) TYPING	$5.29	$26.46	$1.08–$145.75	92% below	80%
Rh blood typing CPT 86901 BB RH (DU) TYPE	$6.89	$34.44	$1.08–$145.75	89% below	80%
Rh blood typing CPT 86901 SH BB UBS COOMBS DIRECT	$8.00	$40.00	$1.08–$145.75	88% below	80%
Rh blood typing CPT 86901 SH BB RH (DU) TYPE	$8.20	$41.00	$1.08–$145.75	87% below	80%
Rh blood typing CPT 86901 SH BB BLD TYPE RH D	$9.60	$48.00	$1.08–$145.75	85% below	80%
Rh blood typing CPT 86901 BB UBS COOMBS DIRECT	$10.08	$50.40	$1.08–$145.75	84% below	80%
Rh blood typing CPT 86901 BB BLD TYPE RH D	$12.60	$63.00	$1.08–$145.75	80% below	80%
Rh blood typing inpatient CPT 86901 BB UBS RH (DU) TYPING	$5.29	$26.46	$1.08–$145.75	—	80%
Rh blood typing inpatient CPT 86901 BB RH (DU) TYPE	$6.89	$34.44	$1.08–$145.75	—	80%
Rh blood typing inpatient CPT 86901 SH BB UBS COOMBS DIRECT	$8.00	$40.00	$1.08–$145.75	—	80%
Rh blood typing inpatient CPT 86901 SH BB RH (DU) TYPE	$8.20	$41.00	$1.08–$145.75	—	80%
Rh blood typing inpatient CPT 86901 SH BB BLD TYPE RH D	$9.60	$48.00	$1.08–$145.75	—	80%
Rh blood typing inpatient CPT 86901 BB UBS COOMBS DIRECT	$10.08	$50.40	$1.08–$145.75	—	80%
Rh blood typing inpatient CPT 86901 BB BLD TYPE RH D	$12.60	$63.00	$1.08–$145.75	—	80%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QN ADDITIONAL	$8.96	$44.80	$2.04–$919.99	80% below	80%
Rheumatoid factor (RF) test CPT 86431 SH CHEM RHEUMATOID FACTOR QN	$9.44	$47.20	$2.04–$1,764.29	79% below	80%
Rheumatoid factor (RF) test CPT 86431 CHEM RHEUMATOID FACTOR QN	$9.91	$49.56	$2.04–$476.31	78% below	80%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QN	$13.10	$65.52	$2.04–$880.12	71% below	80%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR QN ADDITIONAL	$8.96	$44.80	$2.04–$919.99	—	80%
Rheumatoid factor (RF) test inpatient CPT 86431 SH CHEM RHEUMATOID FACTOR QN	$9.44	$47.20	$2.04–$1,764.29	—	80%
Rheumatoid factor (RF) test inpatient CPT 86431 CHEM RHEUMATOID FACTOR QN	$9.91	$49.56	$2.04–$476.31	—	80%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR QN	$13.10	$65.52	$2.04–$880.12	—	80%
Rubella antibody test (immunity check) CPT 86762 LAB RUBELLA AB	$5.76	$28.78	$5.18–$1,189.02	89% below	80%
Rubella antibody test (immunity check) CPT 86762 SH CHEM RUBELLA AB	$11.39	$56.96	$5.18–$1,132.91	78% below	80%
Rubella antibody test (immunity check) CPT 86762 LEN RUBELLA ANTIBODY	$11.39	$56.96	$5.18–$565.40	78% below	80%
Rubella antibody test (immunity check) CPT 86762 SPC RUBELLA AB	$11.96	$59.81	$5.18–$419.68	76% below	80%
Rubella antibody test (immunity check) CPT 86762 SPC RUBELLA AB IGM	$11.96	$59.81	$5.18–$1,189.02	76% below	80%
Rubella antibody test (immunity check) CPT 86762 LWS RUBELLA ANTIBODY	$11.96	$59.81	$5.18–$553.76	76% below	80%
Rubella antibody test (immunity check) CPT 86762 LES RUBELLA ANTIBODY	$11.96	$59.81	$5.18–$418.80	76% below	80%
Rubella antibody test (immunity check) CPT 86762 CHEM RUBELLA AB	$11.96	$59.81	$5.18–$62.74	76% below	80%
Rubella antibody test (immunity check) CPT 86762 RUBELLA IGM (QUAL)	$12.16	$60.80	$5.18–$665.25	76% below	80%
Rubella antibody test (immunity check) CPT 86762 SH MICRO RUBELLA ANTIBODY	$18.24	$91.20	$5.18–$1,088.99	64% below	80%
Rubella antibody test (immunity check) CPT 86762 YSL RUBELLA ANTIBODY TCY	$19.15	$95.76	$5.18–$516.71	62% below	80%
Rubella antibody test (immunity check) CPT 86762 MICRO RUBELLA ANTIBODY	$19.15	$95.76	$5.18–$712.70	62% below	80%
Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY	$19.15	$95.76	$5.18–$515.30	62% below	80%
Rubella antibody test (immunity check) inpatient CPT 86762 LAB RUBELLA AB	$5.76	$28.78	$5.18–$1,189.02	—	80%
Rubella antibody test (immunity check) inpatient CPT 86762 LEN RUBELLA ANTIBODY	$11.39	$56.96	$5.18–$565.40	—	80%
Rubella antibody test (immunity check) inpatient CPT 86762 SH CHEM RUBELLA AB	$11.39	$56.96	$5.18–$1,132.91	—	80%
Rubella antibody test (immunity check) inpatient CPT 86762 SPC RUBELLA AB IGM	$11.96	$59.81	$5.18–$1,189.02	—	80%
Rubella antibody test (immunity check) inpatient CPT 86762 SPC RUBELLA AB	$11.96	$59.81	$5.18–$419.68	—	80%
Rubella antibody test (immunity check) inpatient CPT 86762 LES RUBELLA ANTIBODY	$11.96	$59.81	$5.18–$418.80	—	80%
Rubella antibody test (immunity check) inpatient CPT 86762 LWS RUBELLA ANTIBODY	$11.96	$59.81	$5.18–$553.76	—	80%
Rubella antibody test (immunity check) inpatient CPT 86762 CHEM RUBELLA AB	$11.96	$59.81	$5.18–$62.74	—	80%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA IGM (QUAL)	$12.16	$60.80	$5.18–$665.25	—	80%
Rubella antibody test (immunity check) inpatient CPT 86762 SH MICRO RUBELLA ANTIBODY	$18.24	$91.20	$5.18–$1,088.99	—	80%
Rubella antibody test (immunity check) inpatient CPT 86762 YSL RUBELLA ANTIBODY TCY	$19.15	$95.76	$5.18–$516.71	—	80%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA ANTIBODY	$19.15	$95.76	$5.18–$515.30	—	80%
Rubella antibody test (immunity check) inpatient CPT 86762 MICRO RUBELLA ANTIBODY	$19.15	$95.76	$5.18–$712.70	—	80%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 SH SEMEN ANLYS CMPL	$27.04	$135.20	$4.43–$529.17	79% below	80%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN ANLYS CMPL	$28.39	$141.96	$4.43–$529.17	78% below	80%
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 SH SEMEN ANLYS CMPL	$27.04	$135.20	$4.43–$529.17	—	80%
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 SEMEN ANLYS CMPL	$28.39	$141.96	$4.43–$529.17	—	80%
Sodium blood test CPT 84295 SH CHEM SODIUM SER/PLAS/WB	$4.16	$20.80	$1.73–$841.62	93% below	80%
Sodium blood test CPT 84295 SH CHEM SODIUM SERUM	$4.16	$20.80	$1.73–$841.62	93% below	80%
Sodium blood test CPT 84295 SH CLIN_CHEM SODIUM SERUM	$4.16	$20.80	$1.73–$841.62	93% below	80%
Sodium blood test CPT 84295 YSL SODIUM SERUM	$4.37	$21.84	$1.73–$841.62	93% below	80%
Sodium blood test CPT 84295 NE SODIUM SERUM	$4.37	$21.84	$1.73–$841.62	93% below	80%
Sodium blood test CPT 84295 LWS SODIUM SERUM	$4.37	$21.84	$1.73–$841.62	93% below	80%
Sodium blood test CPT 84295 CLIN_CHEM SODIUM SERUM	$4.37	$21.84	$1.73–$841.62	93% below	80%
Sodium blood test CPT 84295 CHEM SODIUM SER/PLAS/WB	$4.37	$21.84	$1.73–$841.62	93% below	80%
Sodium blood test CPT 84295 CHEM SODIUM SERUM	$4.37	$21.84	$1.73–$841.62	93% below	80%
Sodium blood test CPT 84295 LES SODIUM SERUM	$4.37	$21.84	$1.73–$841.62	93% below	80%
Sodium blood test CPT 84295 LEN SODIUM SERUM	$4.37	$21.84	$1.73–$841.62	93% below	80%
Sodium blood test CPT 84295 SH ARTERIAL SODIUM	$5.63	$28.16	$1.73–$841.62	91% below	80%
Sodium blood test CPT 84295 LEN SODIUM BLOOD	$8.48	$42.42	$1.73–$841.62	86% below	80%
Sodium blood test CPT 84295 SH SPC CHEM SODIUM SER/PLAS/WB	$8.48	$42.42	$1.73–$841.62	86% below	80%
Sodium blood test CPT 84295 LES SODIUM BLOOD	$8.48	$42.42	$1.73–$841.62	86% below	80%
Sodium blood test CPT 84295 ARTERIAL SODIUM	$8.87	$44.35	$1.73–$841.62	86% below	80%
Sodium blood test inpatient CPT 84295 SH CHEM SODIUM SER/PLAS/WB	$4.16	$20.80	$1.73–$841.62	—	80%
Sodium blood test inpatient CPT 84295 SH CHEM SODIUM SERUM	$4.16	$20.80	$1.73–$841.62	—	80%
Sodium blood test inpatient CPT 84295 SH CLIN_CHEM SODIUM SERUM	$4.16	$20.80	$1.73–$841.62	—	80%
Sodium blood test inpatient CPT 84295 CHEM SODIUM SERUM	$4.37	$21.84	$1.73–$841.62	—	80%
Sodium blood test inpatient CPT 84295 CLIN_CHEM SODIUM SERUM	$4.37	$21.84	$1.73–$841.62	—	80%
Sodium blood test inpatient CPT 84295 LWS SODIUM SERUM	$4.37	$21.84	$1.73–$841.62	—	80%
Sodium blood test inpatient CPT 84295 NE SODIUM SERUM	$4.37	$21.84	$1.73–$841.62	—	80%
Sodium blood test inpatient CPT 84295 YSL SODIUM SERUM	$4.37	$21.84	$1.73–$841.62	—	80%
Sodium blood test inpatient CPT 84295 LES SODIUM SERUM	$4.37	$21.84	$1.73–$841.62	—	80%
Sodium blood test inpatient CPT 84295 LEN SODIUM SERUM	$4.37	$21.84	$1.73–$841.62	—	80%
Sodium blood test inpatient CPT 84295 CHEM SODIUM SER/PLAS/WB	$4.37	$21.84	$1.73–$841.62	—	80%
Sodium blood test inpatient CPT 84295 SH ARTERIAL SODIUM	$5.63	$28.16	$1.73–$841.62	—	80%
Sodium blood test inpatient CPT 84295 LEN SODIUM BLOOD	$8.48	$42.42	$1.73–$841.62	—	80%
Sodium blood test inpatient CPT 84295 SH SPC CHEM SODIUM SER/PLAS/WB	$8.48	$42.42	$1.73–$841.62	—	80%
Sodium blood test inpatient CPT 84295 LES SODIUM BLOOD	$8.48	$42.42	$1.73–$841.62	—	80%
Sodium blood test inpatient CPT 84295 ARTERIAL SODIUM	$8.87	$44.35	$1.73–$841.62	—	80%
Stool ova and parasites exam CPT 87177 SMEAR OVA PARASITE CONCNT/IDEN	$5.88	$29.40	$3.20–$38.80	91% below	80%
Stool ova and parasites exam inpatient CPT 87177 SMEAR OVA PARASITE CONCNT/IDEN	$5.88	$29.40	$3.20–$38.80	—	80%
Stool test for hidden blood (guaiac FOBT) CPT 82270 SH EDE GUAIAC STOOL	$3.04	$15.20	$1.58–$2,249.84	92% below	80%
Stool test for hidden blood (guaiac FOBT) CPT 82270 SH MICRO OCCULT BLD FECES SCREEN	$3.04	$15.20	$1.58–$880.82	92% below	80%
Stool test for hidden blood (guaiac FOBT) CPT 82270 CET OCCULT BLOOD FECES SCREEN	$3.04	$15.20	$1.58–$2,249.84	92% below	80%
Stool test for hidden blood (guaiac FOBT) CPT 82270 GUAIAC STOOL	$3.04	$15.20	$1.58–$2,249.84	92% below	80%
Stool test for hidden blood (guaiac FOBT) CPT 82270 ERD GUAIAC STOOL	$3.19	$15.96	$1.58–$2,249.84	92% below	80%
Stool test for hidden blood (guaiac FOBT) CPT 82270 LEN OCCULT BLD FECES SCREEN	$3.19	$15.96	$1.58–$2,249.84	92% below	80%
Stool test for hidden blood (guaiac FOBT) CPT 82270 LES OCCULT BLD FECES SCREEN	$3.19	$15.96	$1.58–$2,249.84	92% below	80%
Stool test for hidden blood (guaiac FOBT) CPT 82270 NE OCCULT BLD FECES SCREEN	$3.19	$15.96	$1.58–$310.48	92% below	80%
Stool test for hidden blood (guaiac FOBT) CPT 82270 EDN GUAIAC STOOL	$3.19	$15.96	$1.58–$2,249.84	92% below	80%
Stool test for hidden blood (guaiac FOBT) CPT 82270 EDE GUAIAC STOOL	$3.19	$15.96	$1.58–$2,249.84	92% below	80%
Stool test for hidden blood (guaiac FOBT) CPT 82270 LWS OCCULT BLD FECES SCREEN	$3.19	$15.96	$1.58–$2,249.84	92% below	80%
Stool test for hidden blood (guaiac FOBT) CPT 82270 MICRO OCCULT BLD FECES SCREEN	$3.19	$15.96	$1.58–$2,249.84	92% below	80%
Stool test for hidden blood (guaiac FOBT) CPT 82270 YSL OCCULT BLD FECES SCREEN	$3.19	$15.96	$1.58–$2,249.84	92% below	80%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 CET OCCULT BLOOD FECES SCREEN	$3.04	$15.20	$1.58–$2,249.84	—	80%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 SH MICRO OCCULT BLD FECES SCREEN	$3.04	$15.20	$1.58–$880.82	—	80%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 GUAIAC STOOL	$3.04	$15.20	$1.58–$2,249.84	—	80%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 SH EDE GUAIAC STOOL	$3.04	$15.20	$1.58–$2,249.84	—	80%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 LES OCCULT BLD FECES SCREEN	$3.19	$15.96	$1.58–$2,249.84	—	80%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 LEN OCCULT BLD FECES SCREEN	$3.19	$15.96	$1.58–$2,249.84	—	80%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 YSL OCCULT BLD FECES SCREEN	$3.19	$15.96	$1.58–$2,249.84	—	80%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 ERD GUAIAC STOOL	$3.19	$15.96	$1.58–$2,249.84	—	80%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 EDE GUAIAC STOOL	$3.19	$15.96	$1.58–$2,249.84	—	80%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 EDN GUAIAC STOOL	$3.19	$15.96	$1.58–$2,249.84	—	80%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 LWS OCCULT BLD FECES SCREEN	$3.19	$15.96	$1.58–$2,249.84	—	80%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 MICRO OCCULT BLD FECES SCREEN	$3.19	$15.96	$1.58–$2,249.84	—	80%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 NE OCCULT BLD FECES SCREEN	$3.19	$15.96	$1.58–$310.48	—	80%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 SH OCCULT BLOOD FECES IMMUNO QL	$5.82	$29.12	$5.73–$2,249.84	91% below	80%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 OCCULT BLOOD FECES IMMUNO QL	$6.37	$31.84	$5.73–$2,249.84	91% below	80%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 OCCULT BLOOD FECES IMMUNO QUAL	$13.50	$67.50	$5.73–$2,249.84	80% below	80%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 SH OCCULT BLOOD FECES IMMUNO QL	$5.82	$29.12	$5.73–$2,249.84	—	80%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 OCCULT BLOOD FECES IMMUNO QL	$6.37	$31.84	$5.73–$2,249.84	—	80%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 OCCULT BLOOD FECES IMMUNO QUAL	$13.50	$67.50	$5.73–$2,249.84	—	80%
Syphilis antibody test (Treponema pallidum) CPT 86780 SH MICRO MHA TP AB CONFIRM	$5.15	$25.74	$4.77–$408.92	88% below	80%
Syphilis antibody test (Treponema pallidum) CPT 86780 MICRO MHA TP AB CONFIRM	$5.46	$27.30	$4.77–$453.56	88% below	80%
Syphilis antibody test (Treponema pallidum) CPT 86780 T. PALLIDUM IGG AB	$13.46	$67.32	$4.77–$480.72	70% below	80%
Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMA PALLIDUM ANTIBODY	$13.60	$68.00	$4.77–$1,109.98	69% below	80%
Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMA PALLIDUM AB IGG CSF	$13.61	$68.04	$4.77–$671.95	69% below	80%
Syphilis antibody test (Treponema pallidum) CPT 86780 SPC TREPONEMA PALLIDUM ANTIBODY	$30.56	$152.81	$4.77–$529.17	31% below	80%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 SH MICRO MHA TP AB CONFIRM	$5.15	$25.74	$4.77–$408.92	—	80%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 MICRO MHA TP AB CONFIRM	$5.46	$27.30	$4.77–$453.56	—	80%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 T. PALLIDUM IGG AB	$13.46	$67.32	$4.77–$480.72	—	80%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 TREPONEMA PALLIDUM ANTIBODY	$13.60	$68.00	$4.77–$1,109.98	—	80%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 TREPONEMA PALLIDUM AB IGG CSF	$13.61	$68.04	$4.77–$671.95	—	80%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 SPC TREPONEMA PALLIDUM ANTIBODY	$30.56	$152.81	$4.77–$529.17	—	80%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SH MICRO SYPHILIS VDRL RPR QL CSF	$4.55	$22.77	$1.54–$935.51	89% below	80%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SH MICRO SYPHILIS VDRL RPR QL	$4.55	$22.77	$1.54–$1,078.05	89% below	80%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 MICRO SYPHILIS VDRL RPR QL CSF	$4.77	$23.84	$1.54–$993.90	89% below	80%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 MICRO SYPHILIS VDRL RPR QL	$4.77	$23.84	$1.54–$1,012.60	89% below	80%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SH SPC SYPHILIS VDRL RPR QL CSF	$13.07	$65.34	$1.54–$968.32	69% below	80%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SPC SYPHILIS VDRL RPR QL CSF	$13.72	$68.61	$1.54–$1,038.00	68% below	80%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 SH MICRO SYPHILIS VDRL RPR QL CSF	$4.55	$22.77	$1.54–$935.51	—	80%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 SH MICRO SYPHILIS VDRL RPR QL	$4.55	$22.77	$1.54–$1,078.05	—	80%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 MICRO SYPHILIS VDRL RPR QL CSF	$4.77	$23.84	$1.54–$993.90	—	80%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 MICRO SYPHILIS VDRL RPR QL	$4.77	$23.84	$1.54–$1,012.60	—	80%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 SH SPC SYPHILIS VDRL RPR QL CSF	$13.07	$65.34	$1.54–$968.32	—	80%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 SPC SYPHILIS VDRL RPR QL CSF	$13.72	$68.61	$1.54–$1,038.00	—	80%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 SPC TB TEST CELL AG INTERF	$29.82	$149.10	$22.31–$892.29	85% below	80%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 SPC TB TEST CELL AG INTERF	$29.82	$149.10	$22.31–$892.29	—	80%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL	$29.28	$146.40	$9.29–$2,696.66	71% below	80%
Testosterone blood test, total (not free testosterone) CPT 84403 SPC TESTOSTERONE TOTAL	$30.74	$153.72	$9.29–$2,696.66	69% below	80%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL	$29.28	$146.40	$9.29–$2,696.66	—	80%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 SPC TESTOSTERONE TOTAL	$30.74	$153.72	$9.29–$2,696.66	—	80%
Thyroid peroxidase (TPO) antibody test CPT 86376 SPC MICROSOMAL THYROID AB	$5.82	$29.10	$5.24–$210.46	93% below	80%
Thyroid peroxidase (TPO) antibody test CPT 86376 TPO ANTIBODY	$7.20	$36.00	$5.24–$1,336.67	91% below	80%
Thyroid peroxidase (TPO) antibody test CPT 86376 SPC MICROSOMAL LIVER-KID AB	$7.73	$38.64	$5.24–$95.44	91% below	80%
Thyroid peroxidase (TPO) antibody test CPT 86376 SH SPC MICROSOMAL LIVER-KID AB	$7.88	$39.38	$5.24–$333.95	91% below	80%
Thyroid peroxidase (TPO) antibody test CPT 86376 SPC MICROSOMAL ANTIBODY	$9.77	$48.86	$5.24–$269.03	88% below	80%
Thyroid peroxidase (TPO) antibody test CPT 86376 LAB SPC MICROSOMAL AB	$13.13	$65.63	$5.24–$375.05	84% below	80%
Thyroid peroxidase (TPO) antibody test CPT 86376 ANA TITER MICROSOMAL ANTIBODY	$13.60	$68.00	$5.24–$954.21	84% below	80%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 SPC MICROSOMAL THYROID AB	$5.82	$29.10	$5.24–$210.46	—	80%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 TPO ANTIBODY	$7.20	$36.00	$5.24–$1,336.67	—	80%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 SPC MICROSOMAL LIVER-KID AB	$7.73	$38.64	$5.24–$95.44	—	80%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 SH SPC MICROSOMAL LIVER-KID AB	$7.88	$39.38	$5.24–$333.95	—	80%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 SPC MICROSOMAL ANTIBODY	$9.77	$48.86	$5.24–$269.03	—	80%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LAB SPC MICROSOMAL AB	$13.13	$65.63	$5.24–$375.05	—	80%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 ANA TITER MICROSOMAL ANTIBODY	$13.60	$68.00	$5.24–$954.21	—	80%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 LES THYROID STIMULATING HORMONE	$15.12	$75.60	$6.05–$128.14	86% below	80%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 YSL THYROID STIMULATING HORMONE	$15.12	$75.60	$6.05–$73.25	86% below	80%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 LEN THYROID STIMULATING HORMON	$15.12	$75.60	$6.05–$128.14	86% below	80%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 LWS THYROID STIMULATING HORMONE	$15.12	$75.60	$5.92–$73.25	86% below	80%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 SH CLIN_CHEM TSH	$21.60	$108.00	$6.05–$73.25	79% below	80%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 CLIN_CHEM TSH	$22.68	$113.40	$5.98–$73.25	78% below	80%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 SPC THYROID STIMULATING HORMONE	$26.80	$133.98	$5.25–$73.25	74% below	80%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 SH CHEM TSH	$35.84	$179.20	$4.39–$73.25	66% below	80%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 CHEM TSH	$37.63	$188.16	$4.21–$73.25	64% below	80%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 LEN THYROID STIMULATING HORMON	$15.12	$75.60	$6.05–$128.14	—	80%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 YSL THYROID STIMULATING HORMONE	$15.12	$75.60	$6.05–$73.25	—	80%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 LES THYROID STIMULATING HORMONE	$15.12	$75.60	$6.05–$128.14	—	80%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 LWS THYROID STIMULATING HORMONE	$15.12	$75.60	$5.92–$73.25	—	80%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 SH CLIN_CHEM TSH	$21.60	$108.00	$6.05–$73.25	—	80%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 CLIN_CHEM TSH	$22.68	$113.40	$5.98–$73.25	—	80%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 SPC THYROID STIMULATING HORMONE	$26.80	$133.98	$5.25–$73.25	—	80%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 SH CHEM TSH	$35.84	$179.20	$4.39–$73.25	—	80%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 CHEM TSH	$37.63	$188.16	$4.21–$73.25	—	80%
Total IgE blood test CPT 82785 SH SPC GAMMAGLOB IGE SERUM	$15.98	$79.92	$5.93–$491.57	80% below	80%
Total IgE blood test CPT 82785 SPC GAMMAGLOB IGE SERUM	$16.78	$83.92	$5.93–$491.57	79% below	80%
Total IgE blood test inpatient CPT 82785 SH SPC GAMMAGLOB IGE SERUM	$15.98	$79.92	$5.93–$491.57	—	80%
Total IgE blood test inpatient CPT 82785 SPC GAMMAGLOB IGE SERUM	$16.78	$83.92	$5.93–$491.57	—	80%
Total cholesterol blood test CPT 82465 SPC CHOLESTEROL TOTAL	$7.39	$36.96	$1.57–$3,740.69	87% below	80%
Total cholesterol blood test CPT 82465 CHOLESTEROL TOTAL	$9.74	$48.72	$1.57–$1,460.67	82% below	80%
Total cholesterol blood test inpatient CPT 82465 SPC CHOLESTEROL TOTAL	$7.39	$36.96	$1.57–$3,740.69	—	80%
Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL TOTAL	$9.74	$48.72	$1.57–$1,460.67	—	80%
Total thyroxine (T4) blood test CPT 84436 SH CHEM THYROXINE (T-4) TTL	$9.28	$46.40	$2.47–$2,696.66	88% below	80%
Total thyroxine (T4) blood test CPT 84436 SH CLIN_CHEM THYROXINE (T-4) TTL	$9.28	$46.40	$2.47–$2,696.66	88% below	80%
Total thyroxine (T4) blood test CPT 84436 CLIN_CHEM THYROXINE (T-4) TTL	$9.74	$48.72	$2.47–$2,696.66	88% below	80%
Total thyroxine (T4) blood test CPT 84436 CHEM THYROXINE (T-4) TTL	$9.74	$48.72	$2.47–$2,696.66	88% below	80%
Total thyroxine (T4) blood test inpatient CPT 84436 SH CHEM THYROXINE (T-4) TTL	$9.28	$46.40	$2.47–$2,696.66	—	80%
Total thyroxine (T4) blood test inpatient CPT 84436 SH CLIN_CHEM THYROXINE (T-4) TTL	$9.28	$46.40	$2.47–$2,696.66	—	80%
Total thyroxine (T4) blood test inpatient CPT 84436 CHEM THYROXINE (T-4) TTL	$9.74	$48.72	$2.47–$2,696.66	—	80%
Total thyroxine (T4) blood test inpatient CPT 84436 CLIN_CHEM THYROXINE (T-4) TTL	$9.74	$48.72	$2.47–$2,696.66	—	80%
Total triiodothyronine (T3) blood test CPT 84480 SH CHEM TRIIODOTHYRONINE T3 TTL	$19.36	$96.80	$5.10–$397.50	84% below	80%
Total triiodothyronine (T3) blood test CPT 84480 LEN TRIIODOTHYRONINE (T-3) TTL	$20.33	$101.64	$5.10–$397.50	84% below	80%
Total triiodothyronine (T3) blood test CPT 84480 LES TRIIODOTHYRONINE (T-3) TTL	$20.33	$101.64	$5.10–$397.50	84% below	80%
Total triiodothyronine (T3) blood test CPT 84480 LWS TRIIODOTHYRONINE (T-3) TTL	$20.33	$101.64	$5.10–$397.50	84% below	80%
Total triiodothyronine (T3) blood test CPT 84480 YSL TRIIODOTHYRONINE (T-3) TOTAL	$20.33	$101.64	$5.10–$397.50	84% below	80%
Total triiodothyronine (T3) blood test CPT 84480 CHEM TRIIODOTHYRONINE T3 TTL	$20.33	$101.64	$5.10–$397.50	84% below	80%
Total triiodothyronine (T3) blood test inpatient CPT 84480 SH CHEM TRIIODOTHYRONINE T3 TTL	$19.36	$96.80	$5.10–$397.50	—	80%
Total triiodothyronine (T3) blood test inpatient CPT 84480 LEN TRIIODOTHYRONINE (T-3) TTL	$20.33	$101.64	$5.10–$397.50	—	80%
Total triiodothyronine (T3) blood test inpatient CPT 84480 CHEM TRIIODOTHYRONINE T3 TTL	$20.33	$101.64	$5.10–$397.50	—	80%
Total triiodothyronine (T3) blood test inpatient CPT 84480 YSL TRIIODOTHYRONINE (T-3) TOTAL	$20.33	$101.64	$5.10–$397.50	—	80%
Total triiodothyronine (T3) blood test inpatient CPT 84480 LES TRIIODOTHYRONINE (T-3) TTL	$20.33	$101.64	$5.10–$397.50	—	80%
Total triiodothyronine (T3) blood test inpatient CPT 84480 LWS TRIIODOTHYRONINE (T-3) TTL	$20.33	$101.64	$5.10–$397.50	—	80%
Transferrin blood test CPT 84466 SPC TRANSFERRIN	$19.15	$95.76	$4.59–$305.96	84% below	80%
Transferrin blood test inpatient CPT 84466 SPC TRANSFERRIN	$19.15	$95.76	$4.59–$305.96	—	80%
Trichomonas test (NAAT) CPT 87661 TRICHOMON AMP QUAL MALE	$27.30	$136.50	$12.63–$902.17	69% below	80%
Trichomonas test (NAAT) CPT 87661 NUCLEIC ACID TRICHOMON AMP	$28.56	$142.80	$12.63–$152.99	67% below	80%
Trichomonas test (NAAT) CPT 87661 SH TRICHOMON AMP PROBE	$30.95	$154.76	$12.63–$152.99	65% below	80%
Trichomonas test (NAAT) CPT 87661 TRICHOMON AMP PROBE	$32.50	$162.50	$12.63–$780.44	63% below	80%
Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMON AMP QUAL MALE	$27.30	$136.50	$12.63–$902.17	—	80%
Trichomonas test (NAAT) inpatient CPT 87661 NUCLEIC ACID TRICHOMON AMP	$28.56	$142.80	$12.63–$152.99	—	80%
Trichomonas test (NAAT) inpatient CPT 87661 SH TRICHOMON AMP PROBE	$30.95	$154.76	$12.63–$152.99	—	80%
Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMON AMP PROBE	$32.50	$162.50	$12.63–$780.44	—	80%
Triglycerides blood test CPT 84478 YSL TRIGLYCERIDES	$4.54	$22.68	$2.07–$38.87	93% below	80%
Triglycerides blood test CPT 84478 LWS TRIGLYCERIDES	$4.54	$22.68	$2.07–$305.96	93% below	80%
Triglycerides blood test CPT 84478 NE NE TRIGLYCERIDES	$4.54	$22.68	$2.07–$42.75	93% below	80%
Triglycerides blood test CPT 84478 LES TRIGLYCERIDES	$4.54	$22.68	$2.07–$305.96	93% below	80%
Triglycerides blood test CPT 84478 LEN TRIGLYCERIDES	$4.54	$22.68	$2.07–$397.50	93% below	80%
Triglycerides blood test CPT 84478 CHEM TRIGLYCERIDES	$4.54	$22.68	$2.07–$305.96	93% below	80%
Triglycerides blood test CPT 84478 TRIGLYCERIDES SPC	$8.06	$40.32	$2.07–$38.69	88% below	80%
Triglycerides blood test CPT 84478 CHEM TRIGLYCERIDES BODY FLD	$11.76	$58.80	$2.07–$25.03	83% below	80%
Triglycerides blood test CPT 84478 LAB TRIGLYCERIDES	$12.43	$62.16	$2.07–$305.96	82% below	80%
Triglycerides blood test CPT 84478 SH CHEM TRIGLYCERIDES BODY FLD	$13.72	$68.60	$2.07–$25.03	80% below	80%
Triglycerides blood test CPT 84478 SPC TRIGLYCERIDES BODY FLUID	$55.44	$277.20	$2.07–$47.70	18% below	80%
Triglycerides blood test inpatient CPT 84478 CHEM TRIGLYCERIDES	$4.54	$22.68	$2.07–$305.96	—	80%
Triglycerides blood test inpatient CPT 84478 LEN TRIGLYCERIDES	$4.54	$22.68	$2.07–$397.50	—	80%
Triglycerides blood test inpatient CPT 84478 LES TRIGLYCERIDES	$4.54	$22.68	$2.07–$305.96	—	80%
Triglycerides blood test inpatient CPT 84478 LWS TRIGLYCERIDES	$4.54	$22.68	$2.07–$305.96	—	80%
Triglycerides blood test inpatient CPT 84478 NE NE TRIGLYCERIDES	$4.54	$22.68	$2.07–$42.75	—	80%
Triglycerides blood test inpatient CPT 84478 YSL TRIGLYCERIDES	$4.54	$22.68	$2.07–$38.87	—	80%
Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDES SPC	$8.06	$40.32	$2.07–$38.69	—	80%
Triglycerides blood test inpatient CPT 84478 CHEM TRIGLYCERIDES BODY FLD	$11.76	$58.80	$2.07–$25.03	—	80%
Triglycerides blood test inpatient CPT 84478 LAB TRIGLYCERIDES	$12.43	$62.16	$2.07–$305.96	—	80%
Triglycerides blood test inpatient CPT 84478 SH CHEM TRIGLYCERIDES BODY FLD	$13.72	$68.60	$2.07–$25.03	—	80%
Triglycerides blood test inpatient CPT 84478 SPC TRIGLYCERIDES BODY FLUID	$55.44	$277.20	$2.07–$47.70	—	80%
Troponin test, quantitative CPT 84484 SH CLIN CHEM TROPONIN QN	$9.40	$47.00	$4.49–$397.50	92% below	80%
Troponin test, quantitative CPT 84484 SH MICRO TROPONIN QN	$9.40	$47.00	$4.49–$397.50	92% below	80%
Troponin test, quantitative CPT 84484 SH CHEM TROPONIN QN LAB	$9.40	$47.00	$4.49–$397.50	92% below	80%
Troponin test, quantitative CPT 84484 CHEM TROPONIN QN LAB	$9.87	$49.35	$4.49–$397.50	91% below	80%
Troponin test, quantitative CPT 84484 MICRO TROPONIN QN	$9.87	$49.35	$4.49–$397.50	91% below	80%
Troponin test, quantitative CPT 84484 CLIN CHEM TROPONIN QN	$9.87	$49.35	$4.49–$397.50	91% below	80%
Troponin test, quantitative CPT 84484 YSL TROPONIN QN	$10.92	$54.60	$4.49–$397.50	90% below	80%
Troponin test, quantitative CPT 84484 LEN TROPONIN QN	$10.92	$54.60	$4.49–$397.50	90% below	80%
Troponin test, quantitative CPT 84484 LES TROPONIN QN	$10.92	$54.60	$4.49–$397.50	90% below	80%
Troponin test, quantitative CPT 84484 LWS TROPONIN QN	$10.92	$54.60	$4.49–$397.50	90% below	80%
Troponin test, quantitative CPT 84484 LES TROPONIN QN*	$25.37	$126.84	$4.49–$397.50	78% below	80%
Troponin test, quantitative CPT 84484 LEN- TROPONIN QN	$25.37	$126.84	$4.49–$397.50	78% below	80%
Troponin test, quantitative CPT 84484 SH CHEM TROPONIN QN	$39.68	$198.38	$4.49–$397.50	65% below	80%
Troponin test, quantitative CPT 84484 CHEM TROPONIN QN	$39.68	$198.38	$4.49–$397.50	65% below	80%
Troponin test, quantitative inpatient CPT 84484 SH CHEM TROPONIN QN LAB	$9.40	$47.00	$4.49–$397.50	—	80%
Troponin test, quantitative inpatient CPT 84484 SH CLIN CHEM TROPONIN QN	$9.40	$47.00	$4.49–$397.50	—	80%
Troponin test, quantitative inpatient CPT 84484 SH MICRO TROPONIN QN	$9.40	$47.00	$4.49–$397.50	—	80%
Troponin test, quantitative inpatient CPT 84484 CLIN CHEM TROPONIN QN	$9.87	$49.35	$4.49–$397.50	—	80%
Troponin test, quantitative inpatient CPT 84484 CHEM TROPONIN QN LAB	$9.87	$49.35	$4.49–$397.50	—	80%
Troponin test, quantitative inpatient CPT 84484 MICRO TROPONIN QN	$9.87	$49.35	$4.49–$397.50	—	80%
Troponin test, quantitative inpatient CPT 84484 LEN TROPONIN QN	$10.92	$54.60	$4.49–$397.50	—	80%
Troponin test, quantitative inpatient CPT 84484 LWS TROPONIN QN	$10.92	$54.60	$4.49–$397.50	—	80%
Troponin test, quantitative inpatient CPT 84484 YSL TROPONIN QN	$10.92	$54.60	$4.49–$397.50	—	80%
Troponin test, quantitative inpatient CPT 84484 LES TROPONIN QN	$10.92	$54.60	$4.49–$397.50	—	80%
Troponin test, quantitative inpatient CPT 84484 LEN- TROPONIN QN	$25.37	$126.84	$4.49–$397.50	—	80%
Troponin test, quantitative inpatient CPT 84484 LES TROPONIN QN*	$25.37	$126.84	$4.49–$397.50	—	80%
Troponin test, quantitative inpatient CPT 84484 CHEM TROPONIN QN	$39.68	$198.38	$4.49–$397.50	—	80%
Troponin test, quantitative inpatient CPT 84484 SH CHEM TROPONIN QN	$39.68	$198.38	$4.49–$397.50	—	80%
Uric acid blood test CPT 84550 SH LAB URIC ACID SERUM	$6.88	$34.40	$1.63–$1,541.19	91% below	80%
Uric acid blood test CPT 84550 LAB NE URIC ACID SERUM	$7.22	$36.12	$1.63–$3,028.60	91% below	80%
Uric acid blood test CPT 84550 URIC ACID SERUM-	$7.22	$36.12	$1.63–$1,541.19	91% below	80%
Uric acid blood test CPT 84550 LES URIC ACID SERUM	$7.22	$36.12	$1.63–$3,028.60	91% below	80%
Uric acid blood test CPT 84550 LWS URIC ACID SERUM	$7.22	$36.12	$1.63–$3,028.60	91% below	80%
Uric acid blood test CPT 84550 LEN URIC ACID SERUM	$7.22	$36.12	$1.63–$3,028.60	91% below	80%
Uric acid blood test CPT 84550 LAB URIC ACID SERUM	$7.22	$36.12	$1.63–$1,541.19	91% below	80%
Uric acid blood test inpatient CPT 84550 SH LAB URIC ACID SERUM	$6.88	$34.40	$1.63–$1,541.19	—	80%
Uric acid blood test inpatient CPT 84550 LEN URIC ACID SERUM	$7.22	$36.12	$1.63–$3,028.60	—	80%
Uric acid blood test inpatient CPT 84550 URIC ACID SERUM-	$7.22	$36.12	$1.63–$1,541.19	—	80%
Uric acid blood test inpatient CPT 84550 LAB URIC ACID SERUM	$7.22	$36.12	$1.63–$1,541.19	—	80%
Uric acid blood test inpatient CPT 84550 LAB NE URIC ACID SERUM	$7.22	$36.12	$1.63–$3,028.60	—	80%
Uric acid blood test inpatient CPT 84550 LWS URIC ACID SERUM	$7.22	$36.12	$1.63–$3,028.60	—	80%
Uric acid blood test inpatient CPT 84550 LES URIC ACID SERUM	$7.22	$36.12	$1.63–$3,028.60	—	80%
Urinalysis with microscope exam, automated CPT 81001 SH CHEM UA AUTO W/MICRO	$6.40	$32.00	$1.14–$529.17	93% below	80%
Urinalysis with microscope exam, automated CPT 81001 CHEM UA AUTO W/MICRO	$6.72	$33.60	$1.14–$648.08	93% below	80%
Urinalysis with microscope exam, automated CPT 81001 YSL UA AUTO W/MICRO	$6.72	$33.60	$1.14–$529.17	93% below	80%
Urinalysis with microscope exam, automated CPT 81001 NE UA AUTO W/MICRO	$6.72	$33.60	$1.14–$648.08	93% below	80%
Urinalysis with microscope exam, automated CPT 81001 LES UA AUTO W/MICRO	$6.72	$33.60	$1.14–$529.17	93% below	80%
Urinalysis with microscope exam, automated CPT 81001 LEN UA AUTO W/MICRO	$6.72	$33.60	$1.14–$529.17	93% below	80%
Urinalysis with microscope exam, automated CPT 81001 LWS UA AUTO W/MICRO	$6.72	$33.60	$1.14–$529.17	93% below	80%
Urinalysis with microscope exam, automated CPT 81001 FAB ORDER COMMUNICATION ONLY	$6.72	$33.60	$1.14–$1,084.58	93% below	80%
Urinalysis with microscope exam, automated inpatient CPT 81001 SH CHEM UA AUTO W/MICRO	$6.40	$32.00	$1.14–$529.17	—	80%
Urinalysis with microscope exam, automated inpatient CPT 81001 LEN UA AUTO W/MICRO	$6.72	$33.60	$1.14–$529.17	—	80%
Urinalysis with microscope exam, automated inpatient CPT 81001 LES UA AUTO W/MICRO	$6.72	$33.60	$1.14–$529.17	—	80%
Urinalysis with microscope exam, automated inpatient CPT 81001 LWS UA AUTO W/MICRO	$6.72	$33.60	$1.14–$529.17	—	80%
Urinalysis with microscope exam, automated inpatient CPT 81001 NE UA AUTO W/MICRO	$6.72	$33.60	$1.14–$648.08	—	80%
Urinalysis with microscope exam, automated inpatient CPT 81001 YSL UA AUTO W/MICRO	$6.72	$33.60	$1.14–$529.17	—	80%
Urinalysis with microscope exam, automated inpatient CPT 81001 CHEM UA AUTO W/MICRO	$6.72	$33.60	$1.14–$648.08	—	80%
Urinalysis with microscope exam, automated inpatient CPT 81001 FAB ORDER COMMUNICATION ONLY	$6.72	$33.60	$1.14–$1,084.58	—	80%
Urinalysis with microscope exam, manual CPT 81000 CET UA DIPSTICKNONAUTO W/MICRO	$4.75	$23.76	$1.45–$648.08	88% below	80%
Urinalysis with microscope exam, manual CPT 81000 EST DIPSTICK NONAUTO W/MICRO	$7.39	$36.96	$1.45–$1,869.07	81% below	80%
Urinalysis with microscope exam, manual inpatient CPT 81000 CET UA DIPSTICKNONAUTO W/MICRO	$4.75	$23.76	$1.45–$648.08	—	80%
Urinalysis with microscope exam, manual inpatient CPT 81000 EST DIPSTICK NONAUTO W/MICRO	$7.39	$36.96	$1.45–$1,869.07	—	80%
Urinalysis without microscope exam, automated CPT 81003 CHEM UA AUTO GLUCOSE	$2.51	$12.55	$0.81–$529.17	95% below	80%
Urinalysis without microscope exam, automated CPT 81003 CHEM UA AUTO W/O MICRO	$2.51	$12.55	$0.81–$529.17	95% below	80%
Urinalysis without microscope exam, automated CPT 81003 NE UA AUTO W/O MICRO	$2.51	$12.55	$0.81–$529.17	95% below	80%
Urinalysis without microscope exam, automated CPT 81003 CLIN_CHEM UA AUTO W/O MICRO	$2.51	$12.55	$0.81–$19.40	95% below	80%
Urinalysis without microscope exam, automated CPT 81003 DPT UADIPSTICK NON-AUTO W/O M	$2.67	$13.37	$0.81–$529.17	94% below	80%
Urinalysis without microscope exam, automated CPT 81003 UCC ESLK URINALYSIS DIPSTICK	$2.67	$13.37	$0.81–$46.92	94% below	80%
Urinalysis without microscope exam, automated CPT 81003 LEN UA BIOCHEM SCREEN	$3.36	$16.80	$0.81–$529.17	93% below	80%
Urinalysis without microscope exam, automated CPT 81003 LES UA BIOCHEM SCREEN	$3.36	$16.80	$0.81–$529.17	93% below	80%
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTO W/O MCRO	$6.22	$31.08	$0.81–$64.57	87% below	80%
Urinalysis without microscope exam, automated CPT 81003 UCC ESLK URINALYSIS AUTO W/O MCRO	$6.22	$31.08	$0.81–$46.92	87% below	80%
Urinalysis without microscope exam, automated CPT 81003 SH URINALYSIS AUTO W/O MCRO	$6.59	$32.93	$0.81–$529.17	86% below	80%
Urinalysis without microscope exam, automated CPT 81003 SH LAB URINALYSIS AUTO W/O MICRO	$6.59	$32.93	$0.81–$9.81	86% below	80%
Urinalysis without microscope exam, automated inpatient CPT 81003 NE UA AUTO W/O MICRO	$2.51	$12.55	$0.81–$529.17	—	80%
Urinalysis without microscope exam, automated inpatient CPT 81003 CHEM UA AUTO W/O MICRO	$2.51	$12.55	$0.81–$529.17	—	80%
Urinalysis without microscope exam, automated inpatient CPT 81003 CLIN_CHEM UA AUTO W/O MICRO	$2.51	$12.55	$0.81–$19.40	—	80%
Urinalysis without microscope exam, automated inpatient CPT 81003 CHEM UA AUTO GLUCOSE	$2.51	$12.55	$0.81–$529.17	—	80%
Urinalysis without microscope exam, automated inpatient CPT 81003 UCC ESLK URINALYSIS DIPSTICK	$2.67	$13.37	$0.81–$46.92	—	80%
Urinalysis without microscope exam, automated inpatient CPT 81003 DPT UADIPSTICK NON-AUTO W/O M	$2.67	$13.37	$0.81–$529.17	—	80%
Urinalysis without microscope exam, automated inpatient CPT 81003 LES UA BIOCHEM SCREEN	$3.36	$16.80	$0.81–$529.17	—	80%
Urinalysis without microscope exam, automated inpatient CPT 81003 LEN UA BIOCHEM SCREEN	$3.36	$16.80	$0.81–$529.17	—	80%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS AUTO W/O MCRO	$6.22	$31.08	$0.81–$64.57	—	80%
Urinalysis without microscope exam, automated inpatient CPT 81003 UCC ESLK URINALYSIS AUTO W/O MCRO	$6.22	$31.08	$0.81–$46.92	—	80%
Urinalysis without microscope exam, automated inpatient CPT 81003 SH LAB URINALYSIS AUTO W/O MICRO	$6.59	$32.93	$0.81–$9.81	—	80%
Urinalysis without microscope exam, automated inpatient CPT 81003 SH URINALYSIS AUTO W/O MCRO	$6.59	$32.93	$0.81–$529.17	—	80%
Urinalysis without microscope exam, manual CPT 81002 LES UA BIOCHEM SCREEN	$3.86	$19.32	$1.25–$510.01	87% below	80%
Urinalysis without microscope exam, manual CPT 81002 LWS UA BIOCHEM SCREEN NONAUTO	$3.86	$19.32	$1.25–$367.29	87% below	80%
Urinalysis without microscope exam, manual CPT 81002 CEC UA DIP NONAUTO W/O MICRO	$4.70	$23.52	$1.25–$529.17	84% below	80%
Urinalysis without microscope exam, manual CPT 81002 EST UA DIP NON AUTO W/O MICRO	$4.70	$23.52	$1.25–$356.88	84% below	80%
Urinalysis without microscope exam, manual CPT 81002 ZAT UA DIP NON-AUTO W/O MICRO	$5.54	$27.72	$1.25–$15.17	81% below	80%
Urinalysis without microscope exam, manual CPT 81002 DPT UA DIP NON-AUTO W/O MICRO	$5.54	$27.72	$1.25–$190.17	81% below	80%
Urinalysis without microscope exam, manual CPT 81002 FAB UA DIP NON-AUTO W/O MICRO	$5.54	$27.72	$1.25–$1,522.24	81% below	80%
Urinalysis without microscope exam, manual CPT 81002 SH CHEM UA NONAUTO SP GRAV	$6.44	$32.20	$1.25–$529.17	78% below	80%
Urinalysis without microscope exam, manual CPT 81002 SH CHEM UA NONAUTO PROTEIN	$6.44	$32.20	$1.25–$529.17	78% below	80%
Urinalysis without microscope exam, manual CPT 81002 SH CHEM UA RED SUBS	$6.44	$32.20	$1.25–$529.17	78% below	80%
Urinalysis without microscope exam, manual CPT 81002 CHEM UA RED SUBS	$7.35	$36.75	$1.25–$529.17	75% below	80%
Urinalysis without microscope exam, manual CPT 81002 CHEM UA NONAUTO PROTEIN	$7.35	$36.75	$1.25–$529.17	75% below	80%
Urinalysis without microscope exam, manual CPT 81002 CHEM UA NONAUTO SP GRAV	$7.35	$36.75	$1.25–$529.17	75% below	80%
Urinalysis without microscope exam, manual CPT 81002 UA DIP NONAUTO W/O MICRO	$7.56	$37.81	$1.25–$529.17	74% below	80%
Urinalysis without microscope exam, manual CPT 81002 WST UA DIP NONAUTO W/O MICRO	$7.94	$39.71	$1.25–$589.39	73% below	80%
Urinalysis without microscope exam, manual inpatient CPT 81002 LES UA BIOCHEM SCREEN	$3.86	$19.32	$1.25–$510.01	—	80%
Urinalysis without microscope exam, manual inpatient CPT 81002 LWS UA BIOCHEM SCREEN NONAUTO	$3.86	$19.32	$1.25–$367.29	—	80%
Urinalysis without microscope exam, manual inpatient CPT 81002 CEC UA DIP NONAUTO W/O MICRO	$4.70	$23.52	$1.25–$529.17	—	80%
Urinalysis without microscope exam, manual inpatient CPT 81002 EST UA DIP NON AUTO W/O MICRO	$4.70	$23.52	$1.25–$356.88	—	80%
Urinalysis without microscope exam, manual inpatient CPT 81002 DPT UA DIP NON-AUTO W/O MICRO	$5.54	$27.72	$1.25–$190.17	—	80%
Urinalysis without microscope exam, manual inpatient CPT 81002 FAB UA DIP NON-AUTO W/O MICRO	$5.54	$27.72	$1.25–$1,522.24	—	80%
Urinalysis without microscope exam, manual inpatient CPT 81002 ZAT UA DIP NON-AUTO W/O MICRO	$5.54	$27.72	$1.25–$15.17	—	80%
Urinalysis without microscope exam, manual inpatient CPT 81002 SH CHEM UA RED SUBS	$6.44	$32.20	$1.25–$529.17	—	80%
Urinalysis without microscope exam, manual inpatient CPT 81002 SH CHEM UA NONAUTO PROTEIN	$6.44	$32.20	$1.25–$529.17	—	80%
Urinalysis without microscope exam, manual inpatient CPT 81002 SH CHEM UA NONAUTO SP GRAV	$6.44	$32.20	$1.25–$529.17	—	80%
Urinalysis without microscope exam, manual inpatient CPT 81002 CHEM UA RED SUBS	$7.35	$36.75	$1.25–$529.17	—	80%
Urinalysis without microscope exam, manual inpatient CPT 81002 CHEM UA NONAUTO SP GRAV	$7.35	$36.75	$1.25–$529.17	—	80%
Urinalysis without microscope exam, manual inpatient CPT 81002 CHEM UA NONAUTO PROTEIN	$7.35	$36.75	$1.25–$529.17	—	80%
Urinalysis without microscope exam, manual inpatient CPT 81002 UA DIP NONAUTO W/O MICRO	$7.56	$37.81	$1.25–$529.17	—	80%
Urinalysis without microscope exam, manual inpatient CPT 81002 WST UA DIP NONAUTO W/O MICRO	$7.94	$39.71	$1.25–$589.39	—	80%
Urine culture for bacteria, with colony count CPT 87086 SH MICRO CULT URINE W/COLONY CT	$8.59	$42.93	$2.91–$564.16	93% below	80%
Urine culture for bacteria, with colony count CPT 87086 MICRO CULT URINE W/COLONY CT	$9.02	$45.12	$2.91–$588.33	93% below	80%
Urine culture for bacteria, with colony count inpatient CPT 87086 SH MICRO CULT URINE W/COLONY CT	$8.59	$42.93	$2.91–$564.16	—	80%
Urine culture for bacteria, with colony count inpatient CPT 87086 MICRO CULT URINE W/COLONY CT	$9.02	$45.12	$2.91–$588.33	—	80%
Urine microalbumin (albumin) test CPT 82043 SH CHEM MICROALBUMIN URINE QN	$6.19	$30.96	$2.08–$308.63	88% below	80%
Urine microalbumin (albumin) test CPT 82043 SH CLIN_CHEM MICROALBUMIN URINE QN	$6.19	$30.96	$2.08–$16,206.52	88% below	80%
Urine microalbumin (albumin) test CPT 82043 CLIN_CHEM MICROALBUMIN URINE QN	$6.47	$32.34	$2.08–$2,374.33	87% below	80%
Urine microalbumin (albumin) test CPT 82043 CHEM MICROALBUMIN URINE QN	$6.47	$32.34	$2.08–$2,374.33	87% below	80%
Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN URINE 24 HR	$9.24	$46.20	$2.08–$2,374.33	82% below	80%
Urine microalbumin (albumin) test CPT 82043 SH MICROALBUMIN URINE 24 HR	$9.46	$47.30	$2.08–$308.63	81% below	80%
Urine microalbumin (albumin) test CPT 82043 SPC MICROALBUMIN URINE QN	$11.72	$58.60	$2.08–$2,374.33	77% below	80%
Urine microalbumin (albumin) test CPT 82043 SH SPC MICROALBUMIN URINE QN	$12.00	$59.99	$2.08–$308.63	76% below	80%
Urine microalbumin (albumin) test inpatient CPT 82043 SH CLIN_CHEM MICROALBUMIN URINE QN	$6.19	$30.96	$2.08–$16,206.52	—	80%
Urine microalbumin (albumin) test inpatient CPT 82043 SH CHEM MICROALBUMIN URINE QN	$6.19	$30.96	$2.08–$308.63	—	80%
Urine microalbumin (albumin) test inpatient CPT 82043 CLIN_CHEM MICROALBUMIN URINE QN	$6.47	$32.34	$2.08–$2,374.33	—	80%
Urine microalbumin (albumin) test inpatient CPT 82043 CHEM MICROALBUMIN URINE QN	$6.47	$32.34	$2.08–$2,374.33	—	80%
Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN URINE 24 HR	$9.24	$46.20	$2.08–$2,374.33	—	80%
Urine microalbumin (albumin) test inpatient CPT 82043 SH MICROALBUMIN URINE 24 HR	$9.46	$47.30	$2.08–$308.63	—	80%
Urine microalbumin (albumin) test inpatient CPT 82043 SPC MICROALBUMIN URINE QN	$11.72	$58.60	$2.08–$2,374.33	—	80%
Urine microalbumin (albumin) test inpatient CPT 82043 SH SPC MICROALBUMIN URINE QN	$12.00	$59.99	$2.08–$308.63	—	80%
Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST	$5.60	$28.00	$3.10–$529.17	93% below	80%
Urine pregnancy test, read by color change CPT 81025 SH CHEM HCG QL URINE	$5.60	$28.00	$3.10–$2,374.33	93% below	80%
Urine pregnancy test, read by color change CPT 81025 WST URINE PREGNANCY TEST	$5.88	$29.40	$3.10–$529.17	93% below	80%
Urine pregnancy test, read by color change CPT 81025 EST URINE PREGNANCY VISUAL	$5.88	$29.40	$3.10–$529.17	93% below	80%
Urine pregnancy test, read by color change CPT 81025 CHEM HCG QL URINE	$5.88	$29.40	$3.10–$2,374.33	93% below	80%
Urine pregnancy test, read by color change CPT 81025 LAB YSL HCG QL URINE	$5.88	$29.40	$3.10–$2,374.33	93% below	80%
Urine pregnancy test, read by color change CPT 81025 LES HCG QL URINE	$5.88	$29.40	$3.10–$2,374.33	93% below	80%
Urine pregnancy test, read by color change CPT 81025 LWS HCG QL URINE	$5.88	$29.40	$3.10–$2,374.33	93% below	80%
Urine pregnancy test, read by color change CPT 81025 NE INF URINE PREGNANCY TEST	$7.00	$35.00	$3.10–$529.17	92% below	80%
Urine pregnancy test, read by color change CPT 81025 ZAT URINE PREGNANCY TEST	$13.61	$68.04	$3.10–$529.17	84% below	80%
Urine pregnancy test, read by color change CPT 81025 FAB URINE PREGNANCY TEST	$13.61	$68.04	$3.10–$529.17	84% below	80%
Urine pregnancy test, read by color change CPT 81025 ZAT URINE PREGNANCY VISUAL	$15.43	$77.13	$3.10–$529.17	82% below	80%
Urine pregnancy test, read by color change CPT 81025 CET URINE PREGNANCY VISUAL	$15.43	$77.13	$3.10–$529.17	82% below	80%
Urine pregnancy test, read by color change inpatient CPT 81025 URINE PREGNANCY TEST	$5.60	$28.00	$3.10–$529.17	—	80%
Urine pregnancy test, read by color change inpatient CPT 81025 SH CHEM HCG QL URINE	$5.60	$28.00	$3.10–$2,374.33	—	80%
Urine pregnancy test, read by color change inpatient CPT 81025 LWS HCG QL URINE	$5.88	$29.40	$3.10–$2,374.33	—	80%
Urine pregnancy test, read by color change inpatient CPT 81025 CHEM HCG QL URINE	$5.88	$29.40	$3.10–$2,374.33	—	80%
Urine pregnancy test, read by color change inpatient CPT 81025 LAB YSL HCG QL URINE	$5.88	$29.40	$3.10–$2,374.33	—	80%
Urine pregnancy test, read by color change inpatient CPT 81025 LES HCG QL URINE	$5.88	$29.40	$3.10–$2,374.33	—	80%
Urine pregnancy test, read by color change inpatient CPT 81025 EST URINE PREGNANCY VISUAL	$5.88	$29.40	$3.10–$529.17	—	80%
Urine pregnancy test, read by color change inpatient CPT 81025 WST URINE PREGNANCY TEST	$5.88	$29.40	$3.10–$529.17	—	80%
Urine pregnancy test, read by color change inpatient CPT 81025 NE INF URINE PREGNANCY TEST	$7.00	$35.00	$3.10–$529.17	—	80%
Urine pregnancy test, read by color change inpatient CPT 81025 FAB URINE PREGNANCY TEST	$13.61	$68.04	$3.10–$529.17	—	80%
Urine pregnancy test, read by color change inpatient CPT 81025 ZAT URINE PREGNANCY TEST	$13.61	$68.04	$3.10–$529.17	—	80%
Urine pregnancy test, read by color change inpatient CPT 81025 ZAT URINE PREGNANCY VISUAL	$15.43	$77.13	$3.10–$529.17	—	80%
Urine pregnancy test, read by color change inpatient CPT 81025 CET URINE PREGNANCY VISUAL	$15.43	$77.13	$3.10–$529.17	—	80%
Vitamin B12 (cobalamin) blood test CPT 82607 CLIN_CHEM VIT B-12	$9.03	$45.15	$5.43–$762.35	90% below	80%
Vitamin B12 (cobalamin) blood test CPT 82607 CHEM VIT B-12	$9.03	$45.15	$5.43–$762.35	90% below	80%
Vitamin B12 (cobalamin) blood test CPT 82607 LEN VITAMIN B-12	$11.82	$59.12	$5.43–$762.35	87% below	80%
Vitamin B12 (cobalamin) blood test CPT 82607 SPC VIT B-12	$12.42	$62.08	$5.43–$762.35	86% below	80%
Vitamin B12 (cobalamin) blood test CPT 82607 LWS VITAMIN B-12	$12.42	$62.08	$5.43–$762.35	86% below	80%
Vitamin B12 (cobalamin) blood test CPT 82607 YSL VITAMIN B12	$12.42	$62.08	$5.43–$762.35	86% below	80%
Vitamin B12 (cobalamin) blood test CPT 82607 LES VITAMIN B-12	$12.42	$62.08	$5.43–$762.35	86% below	80%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 CHEM VIT B-12	$9.03	$45.15	$5.43–$762.35	—	80%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 CLIN_CHEM VIT B-12	$9.03	$45.15	$5.43–$762.35	—	80%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 LEN VITAMIN B-12	$11.82	$59.12	$5.43–$762.35	—	80%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 LES VITAMIN B-12	$12.42	$62.08	$5.43–$762.35	—	80%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 LWS VITAMIN B-12	$12.42	$62.08	$5.43–$762.35	—	80%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 YSL VITAMIN B12	$12.42	$62.08	$5.43–$762.35	—	80%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 SPC VIT B-12	$12.42	$62.08	$5.43–$762.35	—	80%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 SH VITAMIN D25 HYDROXY	$31.43	$157.14	$10.66–$1,395.05	74% below	80%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D25 HYDROXY	$33.11	$165.57	$10.66–$2,249.84	72% below	80%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 SPC VITAMIN D 25 HYDROXY	$33.49	$167.44	$10.66–$1,395.05	72% below	80%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 SH LAB SPC VITAMIN D 25 HYDROXY	$33.91	$169.53	$10.66–$1,395.05	72% below	80%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 SH SPC VITAMIN D 25 HYDROXY	$33.91	$169.53	$10.66–$1,395.05	72% below	80%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 SH VITAMIN D25 HYDROXY	$31.43	$157.14	$10.66–$1,395.05	—	80%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D25 HYDROXY	$33.11	$165.57	$10.66–$2,249.84	—	80%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 SPC VITAMIN D 25 HYDROXY	$33.49	$167.44	$10.66–$1,395.05	—	80%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 SH SPC VITAMIN D 25 HYDROXY	$33.91	$169.53	$10.66–$1,395.05	—	80%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 SH LAB SPC VITAMIN D 25 HYDROXY	$33.91	$169.53	$10.66–$1,395.05	—	80%
Zinc blood test CPT 84630 SPC ZINC URINE	$12.26	$61.32	$4.10–$14,253.62	82% below	80%
Zinc blood test CPT 84630 SPC ZINC	$15.96	$79.80	$4.10–$14,253.62	77% below	80%
Zinc blood test inpatient CPT 84630 SPC ZINC URINE	$12.26	$61.32	$4.10–$14,253.62	—	80%
Zinc blood test inpatient CPT 84630 SPC ZINC	$15.96	$79.80	$4.10–$14,253.62	—	80%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 SPC HCG QN	$17.14	$85.70	$5.42–$125.38	85% below	80%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 SH CHEM HCG QN	$18.24	$91.20	$5.42–$248.14	84% below	80%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 CHEM HCG QN	$19.15	$95.76	$5.42–$92.92	83% below	80%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QN	$20.10	$100.49	$5.42–$125.38	82% below	80%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 SPC LAB HCG QN	$24.65	$123.23	$5.42–$125.38	78% below	80%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 SPC HCG QN	$17.14	$85.70	$5.42–$125.38	—	80%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 SH CHEM HCG QN	$18.24	$91.20	$5.42–$248.14	—	80%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 CHEM HCG QN	$19.15	$95.76	$5.42–$92.92	—	80%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG QN	$20.10	$100.49	$5.42–$125.38	—	80%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 SPC LAB HCG QN	$24.65	$123.23	$5.42–$125.38	—	80%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Texas	Off list
Balloon dilation of the maxillary sinus opening, one side CPT 31295 ER NASAL DILATION MAX SINUS	$4,845.73	$24,228.65	$148.37–$17,444.63	at median	80%
Balloon dilation of the maxillary sinus opening, one side inpatient CPT 31295 ER NASAL DILATION MAX SINUS	$4,845.73	$24,228.65	$148.37–$17,444.63	—	80%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 BX BREAST DVC SG 1ST LESION	$1,343.59	$6,717.94	$3,553.79–$4,232.30	62% below	80%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 MG BX BREAST DVC SG 1ST LESION	$1,612.31	$8,061.53	$4,264.55–$5,078.76	54% below	80%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 ERD BX BRST DVC SG 1ST LESION	$1,612.31	$8,061.53	$151.88–$5,804.30	54% below	80%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 BX BREAST DVC SG 1ST LESION	$1,343.59	$6,717.94	$3,553.79–$4,232.30	—	80%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 MG BX BREAST DVC SG 1ST LESION	$1,612.31	$8,061.53	$4,264.55–$5,078.76	—	80%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 ERD BX BRST DVC SG 1ST LESION	$1,612.31	$8,061.53	$151.88–$5,804.30	—	80%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 SH EDE CLSD TX DIST FIB FX W/O MA	$77.30	$386.50	$73.44–$278.88	83% below	80%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 EDN CLSD TX DIST FIB FX W/O MA	$81.17	$405.83	$77.11–$292.20	83% below	80%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 EDE CLSD TX DIST FIB FX W/O MA	$81.17	$405.83	$77.11–$292.20	83% below	80%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 CLSD TX DIST FIB FX W/O MAN	$81.17	$405.83	$77.11–$292.20	83% below	80%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 SH EDE CLSD TX DIST FIB FX W/O MA	$77.30	$386.50	$73.44–$278.88	—	80%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 EDE CLSD TX DIST FIB FX W/O MA	$81.17	$405.83	$77.11–$292.20	—	80%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 CLSD TX DIST FIB FX W/O MAN	$81.17	$405.83	$77.11–$292.20	—	80%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 EDN CLSD TX DIST FIB FX W/O MA	$81.17	$405.83	$77.11–$292.20	—	80%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 SH EDE CLSD TX METATARSAL FX WO M	$48.25	$241.25	$45.84–$235.86	83% below	80%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 CLSD TX METATARSAL FX WO MAN ERD	$50.66	$253.31	$48.13–$235.86	82% below	80%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 EDN CLSD TX METATARSAL FX WO M	$50.66	$253.31	$48.13–$235.86	82% below	80%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 EDE CLSD TX METATARSAL FX WO M	$50.66	$253.31	$48.13–$235.86	82% below	80%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 SH EDE CLSD TX METATARSAL FX WO M	$48.25	$241.25	$45.84–$235.86	—	80%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 CLSD TX METATARSAL FX WO MAN ERD	$50.66	$253.31	$48.13–$235.86	—	80%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 EDN CLSD TX METATARSAL FX WO M	$50.66	$253.31	$48.13–$235.86	—	80%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 EDE CLSD TX METATARSAL FX WO M	$50.66	$253.31	$48.13–$235.86	—	80%
Cardiac catheterization with coronary angiogram CPT 93458 LT HRT ART/VENTRICLE ANG	$2,389.90	$11,949.49	$4,543.00–$7,886.66	77% below	80%
Cardiac catheterization with coronary angiogram one side CPT 93458 ERD LT HRT ART/VENTRICLE ANGIO	$2,204.90	$11,024.50	$948.13–$7,937.64	79% below	80%
Cardiac catheterization with coronary angiogram one side CPT 93458 SH LT HRT ART/VENTRICLE ANG	$2,389.90	$11,949.49	$4,543.00–$7,886.66	77% below	80%
Cardiac catheterization with coronary angiogram inpatient CPT 93458 LT HRT ART/VENTRICLE ANG	$2,389.90	$11,949.49	$4,543.00–$7,886.66	—	80%
Cardiac catheterization with coronary angiogram inpatient one side CPT 93458 ERD LT HRT ART/VENTRICLE ANGIO	$2,204.90	$11,024.50	$948.13–$7,937.64	—	80%
Cardiac catheterization with coronary angiogram inpatient one side CPT 93458 SH LT HRT ART/VENTRICLE ANG	$2,389.90	$11,949.49	$4,543.00–$7,886.66	—	80%
Cardioversion, elective (restoring heart rhythm) CPT 92960 SH EDE CARDIOVERSION EXTERNAL	$361.56	$1,807.80	$100.52–$1,301.62	73% below	80%
Cardioversion, elective (restoring heart rhythm) CPT 92960 IMCN EXTERNAL CARDIOVERSION	$379.64	$1,898.19	$100.52–$1,366.70	71% below	80%
Cardioversion, elective (restoring heart rhythm) CPT 92960 EDE CARDIOVERSION EXTERNAL	$379.64	$1,898.19	$100.52–$1,366.70	71% below	80%
Cardioversion, elective (restoring heart rhythm) CPT 92960 EDN CARDIOVERSION EXTERNAL	$379.64	$1,898.19	$100.52–$1,366.70	71% below	80%
Cardioversion, elective (restoring heart rhythm) CPT 92960 SH CCI CARDIOVERSION EXTERNAL	$470.81	$2,354.06	$463.27–$4,543.00	65% below	80%
Cardioversion, elective (restoring heart rhythm) CPT 92960 EPS CARDIOVERS ELECTV EXTERNAL	$470.81	$2,354.06	$100.52–$1,694.92	65% below	80%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION EXTERNAL	$470.81	$2,354.06	$100.52–$1,694.92	65% below	80%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CCI CARDIOVERSION EXTERNAL	$470.81	$2,354.06	$100.52–$1,694.92	65% below	80%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 SH EDE CARDIOVERSION EXTERNAL	$361.56	$1,807.80	$100.52–$1,301.62	—	80%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 IMCN EXTERNAL CARDIOVERSION	$379.64	$1,898.19	$100.52–$1,366.70	—	80%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 EDE CARDIOVERSION EXTERNAL	$379.64	$1,898.19	$100.52–$1,366.70	—	80%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 EDN CARDIOVERSION EXTERNAL	$379.64	$1,898.19	$100.52–$1,366.70	—	80%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CCI CARDIOVERSION EXTERNAL	$470.81	$2,354.06	$100.52–$1,694.92	—	80%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION EXTERNAL	$470.81	$2,354.06	$100.52–$1,694.92	—	80%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 SH CCI CARDIOVERSION EXTERNAL	$470.81	$2,354.06	$463.27–$4,543.00	—	80%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 EPS CARDIOVERS ELECTV EXTERNAL	$470.81	$2,354.06	$100.52–$1,694.92	—	80%
Catheter ablation for atrial fibrillation CPT 93656 ER COMPRE EP EVAL ABLTJ ATR FIB	$8,198.67	$40,993.34	$500.00–$60,692.75	73% below	80%
Catheter ablation for atrial fibrillation CPT 93656 EDN COMPRE EP EVAL ABLTJ ATR FIB	$8,198.67	$40,993.34	$500.00–$60,692.75	73% below	80%
Catheter ablation for atrial fibrillation CPT 93656 EDE COMPRE EP EVAL ABLTJ ATR FIB	$8,198.67	$40,993.34	$500.00–$60,692.75	73% below	80%
Catheter ablation for atrial fibrillation CPT 93656 EPS COMPRE EP EVAL ABLTJ ATR FIB	$13,350.17	$66,750.86	$500.00–$60,692.75	56% below	80%
Catheter ablation for atrial fibrillation inpatient CPT 93656 EDE COMPRE EP EVAL ABLTJ ATR FIB	$8,198.67	$40,993.34	$500.00–$60,692.75	—	80%
Catheter ablation for atrial fibrillation inpatient CPT 93656 ER COMPRE EP EVAL ABLTJ ATR FIB	$8,198.67	$40,993.34	$500.00–$60,692.75	—	80%
Catheter ablation for atrial fibrillation inpatient CPT 93656 EDN COMPRE EP EVAL ABLTJ ATR FIB	$8,198.67	$40,993.34	$500.00–$60,692.75	—	80%
Catheter ablation for atrial fibrillation inpatient CPT 93656 EPS COMPRE EP EVAL ABLTJ ATR FIB	$13,350.17	$66,750.86	$500.00–$60,692.75	—	80%
Cervical biopsy CPT 57500 ER BX/EXC CERVIX LOCAL	$171.73	$858.65	$71.02–$856.16	85% below	80%
Cervical biopsy CPT 57500 SH EDE BX/EXC CERVIX LOCAL	$205.55	$1,027.73	$71.02–$856.16	82% below	80%
Cervical biopsy CPT 57500 EDE BX/EXC CERVIX LOCAL	$215.83	$1,079.13	$71.02–$856.16	81% below	80%
Cervical biopsy CPT 57500 EDN BX/EXC CERVIX LOCAL	$215.83	$1,079.13	$71.02–$856.16	81% below	80%
Cervical biopsy CPT 57500 BX/EXC CERVIX LOCAL	$215.83	$1,079.13	$570.86–$679.85	81% below	80%
Cervical biopsy CPT 57500 US BX/EXC CERVIX LOCAL	$215.83	$1,079.13	$570.86–$679.85	81% below	80%
Cervical biopsy CPT 57500 ESP BX/EXC CERVIX 57500#PF#	$226.00	$1,130.00	$71.02–$856.16	80% below	80%
Cervical biopsy CPT 57500 YSL BX/EXC CERVIX EXCISION LOCAL #PF#	$283.55	$1,417.76	$71.02–$1,020.79	75% below	80%
Cervical biopsy inpatient CPT 57500 ER BX/EXC CERVIX LOCAL	$171.73	$858.65	$71.02–$856.16	—	80%
Cervical biopsy inpatient CPT 57500 SH EDE BX/EXC CERVIX LOCAL	$205.55	$1,027.73	$71.02–$856.16	—	80%
Cervical biopsy inpatient CPT 57500 BX/EXC CERVIX LOCAL	$215.83	$1,079.13	$570.86–$679.85	—	80%
Cervical biopsy inpatient CPT 57500 EDE BX/EXC CERVIX LOCAL	$215.83	$1,079.13	$71.02–$856.16	—	80%
Cervical biopsy inpatient CPT 57500 EDN BX/EXC CERVIX LOCAL	$215.83	$1,079.13	$71.02–$856.16	—	80%
Cervical biopsy inpatient CPT 57500 US BX/EXC CERVIX LOCAL	$215.83	$1,079.13	$570.86–$679.85	—	80%
Cesarean delivery, including prenatal and postpartum care CPT 59510 DPT DEL C-SECT W/ANTE/POST CARE	$514.61	$2,573.05	$210.00–$2,545.20	88% below	80%
Cesarean delivery, including prenatal and postpartum care CPT 59510 DEL C-SECT W/ANTE/POST CARE	$578.22	$2,891.08	$210.00–$2,545.20	86% below	80%
Cesarean delivery, including prenatal and postpartum care CPT 59510 EST DEL C-SECT W/ANTE/POST CARE	$607.13	$3,035.63	$210.00–$2,545.20	85% below	80%
Cesarean delivery, including prenatal and postpartum care CPT 59510 ZAT DEL C-SECT W/ANTE/POST CARE	$607.13	$3,035.63	$1,605.85–$1,912.45	85% below	80%
Cesarean delivery, including prenatal and postpartum care CPT 59510 WST DEL C-SECT W/ANTE/POST CARE	$607.13	$3,035.63	$210.00–$2,545.20	85% below	80%
Cesarean delivery, including prenatal and postpartum care CPT 59510 FAB DEL C-SECT W/ANTE/POST CARE	$607.13	$3,035.63	$210.00–$2,545.20	85% below	80%
Cesarean delivery, including prenatal and postpartum care inpatient CPT 59510 ZAT DEL C-SECT W/ANTE/POST CARE	$607.13	$3,035.63	$1,605.85–$1,912.45	—	80%
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 SH EDE CIRCUM W/O CLAMP >28 DAYS	$822.53	$4,112.64	$186.39–$2,961.10	78% below	80%
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 EDE CIRCUM W/O CLAMP >28 DAYS	$863.65	$4,318.27	$186.39–$3,109.15	77% below	80%
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 ERD CIRCUM W/O CLAMP >28 DAYS	$863.65	$4,318.27	$186.39–$3,109.15	77% below	80%
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 EDN CIRCUM W/O CLAMP >28 DAYS	$863.65	$4,318.27	$186.39–$3,109.15	77% below	80%
Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 SH EDE CIRCUM W/O CLAMP >28 DAYS	$822.53	$4,112.64	$186.39–$2,961.10	—	80%
Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 EDN CIRCUM W/O CLAMP >28 DAYS	$863.65	$4,318.27	$186.39–$3,109.15	—	80%
Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 ERD CIRCUM W/O CLAMP >28 DAYS	$863.65	$4,318.27	$186.39–$3,109.15	—	80%
Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 EDE CIRCUM W/O CLAMP >28 DAYS	$863.65	$4,318.27	$186.39–$3,109.15	—	80%
Circumcision, surgical, older than a newborn CPT 54160 ZAR CIRCUM W/O CLAMP NEONATE #PF#	$94.11	$470.53	$89.40–$656.30	96% below	80%
Circumcision, surgical, older than a newborn CPT 54160 CIRCUMCISION NEONATE	$179.65	$898.24	$475.17–$565.89	92% below	80%
Circumcision, surgical, older than a newborn CPT 54160 MB CIRCUMCSN W/O CLAMP NEONATE	$224.47	$1,122.35	$137.42–$808.09	90% below	80%
Circumcision, surgical, older than a newborn inpatient CPT 54160 CIRCUMCISION NEONATE	$179.65	$898.24	$475.17–$565.89	—	80%
Circumcision, surgical, older than a newborn inpatient CPT 54160 MB CIRCUMCSN W/O CLAMP NEONATE	$224.47	$1,122.35	$137.42–$808.09	—	80%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 SH EDE CLSD TX RAD FX DISTAL W/O	$55.30	$276.50	$52.54–$315.37	88% below	80%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 EDN CLSD TX RAD FX DISTAL W/O	$58.07	$290.33	$55.16–$315.37	87% below	80%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 EDE CLSD TX RAD FX DISTAL W/O	$58.07	$290.33	$55.16–$315.37	87% below	80%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 SH EDE CLSD TX RAD FX DISTAL W/O	$55.30	$276.50	$52.54–$315.37	—	80%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 EDE CLSD TX RAD FX DISTAL W/O	$58.07	$290.33	$55.16–$315.37	—	80%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 EDN CLSD TX RAD FX DISTAL W/O	$58.07	$290.33	$55.16–$315.37	—	80%
Colonoscopy with endoscopic ultrasound CPT 45391 COLONOSCOPY FLEX W/US	$334.64	$1,673.20	$885.12–$1,054.12	68% below	80%
Colonoscopy with endoscopic ultrasound inpatient CPT 45391 COLONOSCOPY FLEX W/US	$334.64	$1,673.20	$885.12–$1,054.12	—	80%
Colonoscopy with polyp removal CPT 45385 ERD COLONOSCPY FLEX W/REM SNAR	$931.25	$4,656.26	$236.46–$3,352.51	34% below	80%
Colonoscopy with polyp removal inpatient CPT 45385 ERD COLONOSCPY FLEX W/REM SNAR	$931.25	$4,656.26	$236.46–$3,352.51	—	80%
Colonoscopy with tissue sample CPT 45380 ERD COLONOSCPY FLEX W/BIOPSY	$677.07	$3,385.37	$186.80–$2,437.47	53% below	80%
Colonoscopy with tissue sample inpatient CPT 45380 ERD COLONOSCPY FLEX W/BIOPSY	$677.07	$3,385.37	$186.80–$2,437.47	—	80%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 WST COLPOSCOPY W/BX&CURETTGE	$62.42	$312.10	$165.10–$196.62	75% below	80%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 COLPOSCOPY W/BX&CURETTGE	$62.55	$312.73	$59.42–$299.10	75% below	80%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 EST COLPOSCOPY W/BX&CURETTAGE	$78.03	$390.13	$74.12–$299.10	68% below	80%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 ZAT COLPOSCOPY W/BX&CURETTAGE	$78.03	$390.13	$206.38–$245.78	68% below	80%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 WSP COLPO W/BX CRVX 57454 #PF#	$120.00	$600.00	$114.00–$432.00	51% below	80%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 ESP COLPO W/BX CRVX 57454 #PF#	$120.00	$600.00	$114.00–$432.00	51% below	80%
Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 WST COLPOSCOPY W/BX&CURETTGE	$62.42	$312.10	$165.10–$196.62	—	80%
Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 ZAT COLPOSCOPY W/BX&CURETTAGE	$78.03	$390.13	$206.38–$245.78	—	80%
Coronary stent placement, one artery CPT 92928 PRQ TRLUML CORONARY STENT	$2,888.82	$14,444.12	$500.00–$11,150.73	75% below	80%
Coronary stent placement, one artery CPT 92928 SH PRQ TRLUML CORONARY STENT	$2,888.82	$14,444.12	$500.00–$11,150.73	75% below	80%
Coronary stent placement, one artery inpatient CPT 92928 SH PRQ TRLUML CORONARY STENT	$2,888.82	$14,444.12	$500.00–$11,150.73	—	80%
Coronary stent placement, one artery inpatient CPT 92928 PRQ TRLUML CORONARY STENT	$2,888.82	$14,444.12	$500.00–$11,150.73	—	80%
Cystoscopy with ureteral stent placement CPT 52332 ERD CYSTO W/INDWELL STENT URET	$561.32	$2,806.60	$145.24–$3,391.23	87% below	80%
Cystoscopy with ureteral stent placement CPT 52332 SH EDE CYSTO W/INDWELL STENT URET	$652.29	$3,261.44	$145.24–$3,391.23	85% below	80%
Cystoscopy with ureteral stent placement CPT 52332 EDE CYSTO W/INDWELL STENT URET	$684.90	$3,424.51	$145.24–$3,391.23	84% below	80%
Cystoscopy with ureteral stent placement CPT 52332 EDN CYSTO W/INDWELL STENT URET	$684.90	$3,424.51	$145.24–$3,391.23	84% below	80%
Cystoscopy with ureteral stent placement inpatient CPT 52332 ERD CYSTO W/INDWELL STENT URET	$561.32	$2,806.60	$145.24–$3,391.23	—	80%
Cystoscopy with ureteral stent placement inpatient CPT 52332 SH EDE CYSTO W/INDWELL STENT URET	$652.29	$3,261.44	$145.24–$3,391.23	—	80%
Cystoscopy with ureteral stent placement inpatient CPT 52332 EDN CYSTO W/INDWELL STENT URET	$684.90	$3,424.51	$145.24–$3,391.23	—	80%
Cystoscopy with ureteral stent placement inpatient CPT 52332 EDE CYSTO W/INDWELL STENT URET	$684.90	$3,424.51	$145.24–$3,391.23	—	80%
D&C (dilation and curettage), not related to pregnancy CPT 58120 ERD DILATION AND CURETTAGE	$1,193.62	$5,968.11	$221.59–$4,297.04	71% below	80%
D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 ERD DILATION AND CURETTAGE	$1,193.62	$5,968.11	$221.59–$4,297.04	—	80%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 ESP DESTRUCTION LESION, 1ST #PF#	$16.46	$82.32	$15.64–$210.00	92% below	80%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DPP DESTRUCTION LESION 1ST #PF#	$16.46	$82.32	$15.64–$210.00	92% below	80%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 EMP DESTRUCTION LESION 1ST LESIO #PF#	$18.11	$90.55	$17.20–$210.00	91% below	80%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 CEP DESTRUCT LESION 1ST LESIO #PF#	$18.11	$90.55	$17.20–$210.00	91% below	80%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 YSL DESTRUCTION LESION 1ST LESIO #PF#	$18.70	$93.50	$17.77–$210.00	91% below	80%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 FAB DESTRUCTION LESION 1ST LESIO	$21.69	$108.46	$57.38–$140.67	89% below	80%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 SISD DESTRUCTION LESION, 1ST	$139.09	$695.45	$140.67–$367.89	30% below	80%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 FAB DESTRUCTION LESION 1ST LESIO	$21.69	$108.46	$57.38–$140.67	—	80%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 SISD DESTRUCTION LESION, 1ST	$139.09	$695.45	$140.67–$367.89	—	80%
Earwax removal by irrigation (rinsing), one ear CPT 69209 EDE REMOVE CERUMEN IMPACTED IR	$11.76	$58.80	$11.17–$58.41	89% below	80%
Earwax removal by irrigation (rinsing), one ear CPT 69209 ER REMOVE CERUMEN IMPACTED IRR	$18.16	$90.78	$14.65–$65.36	84% below	80%
Earwax removal by irrigation (rinsing), one ear CPT 69209 EDN REMOVE CERUMEN IMPACTED IR	$21.57	$107.87	$14.65–$77.67	81% below	80%
Earwax removal by irrigation (rinsing), one ear CPT 69209 FAB REMOVAL IMPCTD CER I&L	$40.80	$204.00	$14.65–$146.88	63% below	80%
Earwax removal by irrigation (rinsing), one ear CPT 69209 WST REMOVE CERUMEN IMPACTED I & L	$40.80	$204.00	$14.65–$600.00	63% below	80%
Earwax removal by irrigation (rinsing), one ear CPT 69209 FAB RMVL IMPCTD CER I&L	$40.80	$204.00	$14.65–$146.88	63% below	80%
Earwax removal by irrigation (rinsing), one ear CPT 69209 UCC ESLK REMOVE CERM IMPCTD IRR	$41.58	$207.90	$14.65–$210.00	63% below	80%
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 DPT REMOVAL IMPACTED CERUMEN IRR UNILATERAL	$40.80	$204.00	$42.05–$107.92	63% below	80%
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 ZAT REMOVE CERUMEN IMPACTED IRRIG/LAVAGE UNILAT	$40.80	$204.00	$42.05–$107.92	63% below	80%
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 NE REMOVE CERUMEN IMPACTED IRRIG/LAVAGE UNILAT	$40.80	$204.00	$42.05–$107.92	63% below	80%
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 UTC REMOVE CERUMEN IMPACTED IRRIG/LAVAGE UNILAT	$40.80	$204.00	$42.05–$107.92	63% below	80%
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 WST REMOVE CERUMEN IMPACTED IRRIG/LAVAGE UNILAT	$40.80	$204.00	$42.05–$107.92	63% below	80%
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 EST REMOVE CERUMEN IMPACTED IRRIG/LAVAGE UNILAT	$40.80	$204.00	$42.05–$107.92	63% below	80%
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 SISD REMOVE CERUMEN IMPACTED IRRIG/LAVAGE UNILAT	$41.58	$207.90	$42.05–$109.98	63% below	80%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 EDE REMOVE CERUMEN IMPACTED IR	$11.76	$58.80	$11.17–$58.41	—	80%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 ER REMOVE CERUMEN IMPACTED IRR	$18.16	$90.78	$14.65–$65.36	—	80%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 EDN REMOVE CERUMEN IMPACTED IR	$21.57	$107.87	$14.65–$77.67	—	80%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 WST REMOVE CERUMEN IMPACTED I & L	$40.80	$204.00	$14.65–$600.00	—	80%
Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 DPT REMOVAL IMPACTED CERUMEN IRR UNILATERAL	$40.80	$204.00	$42.05–$107.92	—	80%
Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 UTC REMOVE CERUMEN IMPACTED IRRIG/LAVAGE UNILAT	$40.80	$204.00	$42.05–$107.92	—	80%
Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 NE REMOVE CERUMEN IMPACTED IRRIG/LAVAGE UNILAT	$40.80	$204.00	$42.05–$107.92	—	80%
Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 ZAT REMOVE CERUMEN IMPACTED IRRIG/LAVAGE UNILAT	$40.80	$204.00	$42.05–$107.92	—	80%
Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 EST REMOVE CERUMEN IMPACTED IRRIG/LAVAGE UNILAT	$40.80	$204.00	$42.05–$107.92	—	80%
Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 WST REMOVE CERUMEN IMPACTED IRRIG/LAVAGE UNILAT	$40.80	$204.00	$42.05–$107.92	—	80%
Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 SISD REMOVE CERUMEN IMPACTED IRRIG/LAVAGE UNILAT	$41.58	$207.90	$42.05–$109.98	—	80%
Earwax removal with instruments, one ear CPT 69210 EDE REMOVAL CERUMEN EAR(S)	$21.57	$107.87	$20.50–$77.67	83% below	80%
Earwax removal with instruments, one ear CPT 69210 EDN REMOVAL CERUMEN EAR(S)	$21.57	$107.87	$20.50–$77.67	83% below	80%
Earwax removal with instruments, one ear CPT 69210 SH EDE REMOVAL CERUMEN EAR(S)	$24.28	$121.41	$23.07–$87.42	80% below	80%
Earwax removal with instruments, one ear CPT 69210 FAB REMOVAL CERUCMEN IMPACT	$32.21	$161.03	$30.60–$115.94	74% below	80%
Earwax removal with instruments, one ear CPT 69210 REMOVAL CERUMEN EAR(S)	$32.21	$161.03	$30.60–$115.94	74% below	80%
Earwax removal with instruments, one ear CPT 69210 WST REMOVE CERUMEN IMPACTED	$40.80	$203.98	$42.05–$107.91	67% below	80%
Earwax removal with instruments, one ear CPT 69210 SISD REMOVAL CERUCMEN IMPACT	$41.58	$207.90	$42.05–$109.98	66% below	80%
Earwax removal with instruments, one ear one side CPT 69210 UCC ESLK RMVL CERUMEN EAR UNILAT	$41.58	$207.90	$30.65–$210.00	66% below	80%
Earwax removal with instruments, one ear inpatient CPT 69210 EDN REMOVAL CERUMEN EAR(S)	$21.57	$107.87	$20.50–$77.67	—	80%
Earwax removal with instruments, one ear inpatient CPT 69210 EDE REMOVAL CERUMEN EAR(S)	$21.57	$107.87	$20.50–$77.67	—	80%
Earwax removal with instruments, one ear inpatient CPT 69210 SH EDE REMOVAL CERUMEN EAR(S)	$24.28	$121.41	$23.07–$87.42	—	80%
Earwax removal with instruments, one ear inpatient CPT 69210 REMOVAL CERUMEN EAR(S)	$32.21	$161.03	$30.60–$115.94	—	80%
Earwax removal with instruments, one ear inpatient CPT 69210 WST REMOVE CERUMEN IMPACTED	$40.80	$203.98	$42.05–$107.91	—	80%
Earwax removal with instruments, one ear inpatient CPT 69210 SISD REMOVAL CERUCMEN IMPACT	$41.58	$207.90	$42.05–$109.98	—	80%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 ER BX ENDOMETRIAL SAMPLING W/O	$59.04	$295.20	$56.09–$212.54	84% below	80%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 ZAR ENDMETRIAL BX 58100#PF#	$75.00	$375.00	$59.74–$270.00	80% below	80%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 ESP ENDMETRIAL BX 58100#PF#	$75.00	$375.00	$59.74–$270.00	80% below	80%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 WSP ENDMETRIAL BX 58100#PF#	$75.00	$375.00	$59.74–$270.00	80% below	80%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 SH EDE BX ENDOMETRIAL SAMPL W/O	$103.24	$516.22	$59.74–$371.68	72% below	80%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 EDE BX ENDOMETRIAL SAMPL W/O	$108.41	$542.05	$59.74–$390.28	71% below	80%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 EDN BX ENDOMETRIAL SAMPL W/O	$108.41	$542.05	$59.74–$390.28	71% below	80%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 ER BX ENDOMETRIAL SAMPLING W/O	$59.04	$295.20	$56.09–$212.54	—	80%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 SH EDE BX ENDOMETRIAL SAMPL W/O	$103.24	$516.22	$59.74–$371.68	—	80%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 EDE BX ENDOMETRIAL SAMPL W/O	$108.41	$542.05	$59.74–$390.28	—	80%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 EDN BX ENDOMETRIAL SAMPL W/O	$108.41	$542.05	$59.74–$390.28	—	80%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 SH INJ EPIDL SUBARACH C/T W/IMG	$145.11	$725.56	$383.82–$457.10	90% below	80%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 INJ EPIDL SUBARACH C/T W/IMG	$145.11	$725.56	$383.82–$457.10	90% below	80%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 RAD INJ EPIDL SUBARACH C/T W/IMG	$335.49	$1,677.47	$101.04–$1,207.78	77% below	80%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 SH INJ EPIDL SUBARACH C/T W/IMG	$145.11	$725.56	$383.82–$457.10	—	80%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 INJ EPIDL SUBARACH C/T W/IMG	$145.11	$725.56	$383.82–$457.10	—	80%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 RAD INJ EPIDL SUBARACH C/T W/IMG	$335.49	$1,677.47	$101.04–$1,207.78	—	80%
Facet joint injection, lower back, one level, with imaging guidance both sides CPT 64493 RAD XR INJ PARAVERT F JNT L/S 1 BI	$487.80	$2,439.01	$1,290.24–$1,536.58	—	80%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 SH INJ PARAVERT F JNT L/S 1 LEV	$188.22	$941.08	$497.83–$592.88	89% below	80%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 CT INJ PARART F JNT L/S 1 LEV	$228.14	$1,140.70	$603.43–$718.64	87% below	80%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 TR INJ PARAVER F JNT L/S 1 LEV	$242.83	$1,214.14	$85.03–$1,006.69	86% below	80%
Facet joint injection, lower back, one level, with imaging guidance inpatient both sides CPT 64493 RAD XR INJ PARAVERT F JNT L/S 1 BI	$487.80	$2,439.01	$1,290.24–$1,536.58	—	80%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 SH INJ PARAVERT F JNT L/S 1 LEV	$188.22	$941.08	$497.83–$592.88	—	80%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 CT INJ PARART F JNT L/S 1 LEV	$228.14	$1,140.70	$603.43–$718.64	—	80%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 TR INJ PARAVER F JNT L/S 1 LEV	$242.83	$1,214.14	$85.03–$1,006.69	—	80%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 SH EDE FLEX SIGMOIDOSCOPY DX	$344.57	$1,722.86	$53.02–$1,240.46	57% below	80%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 FLEX SIG #PF#	$347.89	$1,739.44	$53.02–$1,252.40	57% below	80%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 EDE FLEX SIGMOIDOSCOPY DX	$361.80	$1,809.01	$53.02–$1,302.49	55% below	80%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 FLEX SIGMOIDOSCOPY DX	$361.80	$1,809.01	$53.02–$1,302.49	55% below	80%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 EDN FLEX SIGMOIDOSCOPY DX	$361.80	$1,809.01	$53.02–$1,302.49	55% below	80%
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 SH EDE FLEX SIGMOIDOSCOPY DX	$344.57	$1,722.86	$53.02–$1,240.46	—	80%
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 FLEX SIGMOIDOSCOPY DX	$361.80	$1,809.01	$53.02–$1,302.49	—	80%
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 EDE FLEX SIGMOIDOSCOPY DX	$361.80	$1,809.01	$53.02–$1,302.49	—	80%
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 EDN FLEX SIGMOIDOSCOPY DX	$361.80	$1,809.01	$53.02–$1,302.49	—	80%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 ERD LAP CHOLECYSTECT CHO	$1,907.64	$9,538.20	$679.94–$6,867.50	77% below	80%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery inpatient CPT 47563 ERD LAP CHOLECYSTECT CHO	$1,907.64	$9,538.20	$679.94–$6,867.50	—	80%
Hemorrhoid banding (rubber band ligation) CPT 46221 HEMORRHOIDECTOMY	$135.16	$675.81	$357.50–$425.76	85% below	80%
Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 HEMORRHOIDECTOMY	$135.16	$675.81	$357.50–$425.76	—	80%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 USD CATH/INTRO SALINE/CONTRAST SIS	$68.17	$340.83	$54.30–$214.72	82% below	80%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 CATH/INTRO NACL/CONTRAST	$98.16	$490.80	$54.30–$309.20	74% below	80%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 SH CCI IR HYSTEROSALPINGOGRAM (HSG)	$98.16	$490.80	$54.30–$309.20	74% below	80%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 USD CATH/INTRO SALINE/CONTRAST SIS	$68.17	$340.83	$54.30–$214.72	—	80%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 SH CCI IR HYSTEROSALPINGOGRAM (HSG)	$98.16	$490.80	$54.30–$309.20	—	80%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 CATH/INTRO NACL/CONTRAST	$98.16	$490.80	$54.30–$309.20	—	80%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 ZAR HYSTEROSC BX ENDOMTRL#PF#	$780.00	$3,900.00	$210.00–$3,126.30	84% below	80%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 ESP HYSTEROSC BX ENDOMTRL#PF#	$780.00	$3,900.00	$210.00–$3,126.30	84% below	80%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 WSP HYSTEROSC BX ENDOMTRL#PF#	$780.00	$3,900.00	$210.00–$3,126.30	84% below	80%
IUD insertion (the device itself billed separately) CPT 58300 FAB INSERT IUD	$50.30	$251.50	$47.53–$181.08	87% below	80%
IUD insertion (the device itself billed separately) CPT 58300 WSP INSERT IUD #PF#	$52.00	$260.00	$47.53–$210.00	86% below	80%
IUD insertion (the device itself billed separately) CPT 58300 ESP INSERT IUD #PF#	$52.00	$260.00	$47.53–$210.00	86% below	80%
IUD insertion (the device itself billed separately) CPT 58300 ZAR INSERT IUD #PF#	$66.00	$330.00	$47.53–$237.60	83% below	80%
IUD insertion (the device itself billed separately) CPT 58300 ZAT INSERT IUD	$77.79	$388.94	$205.75–$245.03	79% below	80%
IUD insertion (the device itself billed separately) inpatient CPT 58300 ZAT INSERT IUD	$77.79	$388.94	$205.75–$245.03	—	80%
Incision and drainage of a simple or single skin abscess CPT 10060 NE I&D ABS SIMPLE/SINGLE	$68.67	$343.36	$181.64–$216.32	84% below	80%
Incision and drainage of a simple or single skin abscess CPT 10060 SH EDE I & D OF ABSCESS - SMPL	$127.01	$635.04	$100.38–$457.23	71% below	80%
Incision and drainage of a simple or single skin abscess CPT 10060 I & D OF ABCSS - SMPL	$131.16	$655.78	$100.38–$472.16	70% below	80%
Incision and drainage of a simple or single skin abscess CPT 10060 FAB I&D ABS SIMPLE/SINGLE #PF#	$131.16	$655.78	$100.38–$472.16	70% below	80%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSC SMP	$133.36	$666.79	$352.73–$420.08	69% below	80%
Incision and drainage of a simple or single skin abscess CPT 10060 EDN I & D OF ABSCESS - SMPL	$133.36	$666.79	$100.38–$480.09	69% below	80%
Incision and drainage of a simple or single skin abscess CPT 10060 EDE I & D OF ABSCESS - SMPL	$133.36	$666.79	$100.38–$480.09	69% below	80%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SIMPLE/SINGLE	$133.36	$666.79	$352.73–$420.08	69% below	80%
Incision and drainage of a simple or single skin abscess CPT 10060 WST I&D ABSC SMP/SINGLE	$133.53	$667.63	$353.18–$420.61	69% below	80%
Incision and drainage of a simple or single skin abscess CPT 10060 EST I&D ABSC SMP	$139.09	$695.45	$367.89–$438.13	68% below	80%
Incision and drainage of a simple or single skin abscess CPT 10060 UCC ESLK I&D ABSC SMP	$139.09	$695.45	$100.38–$500.72	68% below	80%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 NE I&D ABS SIMPLE/SINGLE	$68.67	$343.36	$181.64–$216.32	—	80%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 SH EDE I & D OF ABSCESS - SMPL	$127.01	$635.04	$100.38–$457.23	—	80%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I & D OF ABCSS - SMPL	$131.16	$655.78	$100.38–$472.16	—	80%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSCESS SIMPLE/SINGLE	$133.36	$666.79	$352.73–$420.08	—	80%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 EDN I & D OF ABSCESS - SMPL	$133.36	$666.79	$100.38–$480.09	—	80%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 EDE I & D OF ABSCESS - SMPL	$133.36	$666.79	$100.38–$480.09	—	80%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSC SMP	$133.36	$666.79	$352.73–$420.08	—	80%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 WST I&D ABSC SMP/SINGLE	$133.53	$667.63	$353.18–$420.61	—	80%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 EST I&D ABSC SMP	$139.09	$695.45	$367.89–$438.13	—	80%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 SH EDE INJ TEN SHT/LIG/TRIG/GANG	$71.10	$355.50	$36.69–$290.25	82% below	80%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 EDE INJ TEN SHT/LIG/TRIG/GANG	$74.66	$373.28	$36.69–$290.25	81% below	80%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ TEN SHT/LIG/TRIG/GANG CYST	$74.66	$373.28	$36.69–$290.25	81% below	80%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 EDN INJ TEN SHT/LIG/TRIG/GANG	$74.66	$373.28	$36.69–$290.25	81% below	80%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 CET INJ SINGLE TENDON/LIGAMENT	$197.54	$987.70	$522.49–$622.25	51% below	80%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 WST INJ 1 TENDON SHEATH/LIGAMENT	$197.54	$987.70	$522.49–$622.25	51% below	80%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 EST INJ 1 TENDON SHEATH/LIGAMENT	$197.54	$987.70	$522.49–$622.25	51% below	80%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 DPT INJ 1 TENDON SHEATH/LIGAMENT	$197.54	$987.70	$522.49–$622.25	51% below	80%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 NE INJ 1 TENDON SHEATH/LIGAMENT	$197.54	$987.70	$522.49–$622.25	51% below	80%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 ZAT INJ 1 TENDON SHEATH/LIGAMENT	$197.54	$987.70	$522.49–$622.25	51% below	80%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 FAB INJ 1 TENDON SHEATH/LIGAMENT	$197.54	$987.70	$522.49–$622.25	51% below	80%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 SISD INJ 1 TENDON SHEATH/LIGAMENT	$206.63	$1,033.17	$546.55–$650.90	48% below	80%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 SH EDE INJ TEN SHT/LIG/TRIG/GANG	$71.10	$355.50	$36.69–$290.25	—	80%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 EDE INJ TEN SHT/LIG/TRIG/GANG	$74.66	$373.28	$36.69–$290.25	—	80%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 EDN INJ TEN SHT/LIG/TRIG/GANG	$74.66	$373.28	$36.69–$290.25	—	80%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJ TEN SHT/LIG/TRIG/GANG CYST	$74.66	$373.28	$36.69–$290.25	—	80%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 FAB INJ 1 TENDON SHEATH/LIGAMENT	$197.54	$987.70	$522.49–$622.25	—	80%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 WST INJ 1 TENDON SHEATH/LIGAMENT	$197.54	$987.70	$522.49–$622.25	—	80%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 EST INJ 1 TENDON SHEATH/LIGAMENT	$197.54	$987.70	$522.49–$622.25	—	80%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 DPT INJ 1 TENDON SHEATH/LIGAMENT	$197.54	$987.70	$522.49–$622.25	—	80%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 NE INJ 1 TENDON SHEATH/LIGAMENT	$197.54	$987.70	$522.49–$622.25	—	80%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 ZAT INJ 1 TENDON SHEATH/LIGAMENT	$197.54	$987.70	$522.49–$622.25	—	80%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 CET INJ SINGLE TENDON/LIGAMENT	$197.54	$987.70	$522.49–$622.25	—	80%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 SISD INJ 1 TENDON SHEATH/LIGAMENT	$206.63	$1,033.17	$546.55–$650.90	—	80%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 XR ARTHROCENT ASP/INJ JT MAJOR	$52.61	$263.07	$42.85–$333.79	91% below	80%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 TR ARTHROCENT ASP/INJ KNEE	$52.61	$263.07	$42.85–$600.00	91% below	80%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 TR ARTHROCENT ASP/INJ HIP	$52.61	$263.07	$42.85–$600.00	91% below	80%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ER ARTHROCENTESIS MAJOR JOINT	$56.37	$281.86	$42.85–$290.25	90% below	80%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 SH CCI ARTHROCENT ASP/INJ JT MAJOR	$60.56	$302.78	$160.17–$190.75	90% below	80%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 RAD DRAIN INJECT JOINT BURSA	$64.88	$324.41	$171.61–$204.38	89% below	80%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 CCI ARTHROCENT ASP/INJ JT MAJOR	$64.88	$324.41	$171.61–$204.38	89% below	80%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 TR ARTHROCENT ASP/INJ GLENOHUM	$80.90	$404.48	$42.85–$600.00	86% below	80%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DPT PF ARTHROCENT ASP MAJOR JT	$84.66	$423.30	$223.93–$266.68	86% below	80%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 CET ARTHROCENT ASP/INJ JT MAJOR	$84.66	$423.30	$223.93–$266.68	86% below	80%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ZAT ARTHROCENT ASP/INJ JT	$84.66	$423.30	$223.93–$266.68	86% below	80%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 NE PF ARTHROCENT ASP MAJOR JT	$84.66	$423.30	$223.93–$266.68	86% below	80%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 EST PF ARTHROCENT ASP MAJOR JT	$84.66	$423.30	$223.93–$266.68	86% below	80%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 WST PF ARTHROCENT ASP MAJOR JT	$84.66	$423.30	$223.93–$266.68	86% below	80%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 FAB DRAIN/INJ JOINT/BURSA W/O US	$84.66	$423.30	$42.85–$304.78	86% below	80%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 CT ARTHROCENT ASP/INJ JT MAJ	$87.72	$438.58	$42.85–$333.79	85% below	80%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 SISD PF ARTHROCENT ASP MAJOR JT	$206.63	$1,033.17	$546.55–$650.90	65% below	80%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 SH ARTHROCENT ASP/INJ JT MAJOR RT	$52.61	$263.07	$139.16–$165.73	91% below	80%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 TR ARTHROCENT ASP/INJ KNEE	$52.61	$263.07	$42.85–$600.00	—	80%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 TR ARTHROCENT ASP/INJ HIP	$52.61	$263.07	$42.85–$600.00	—	80%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 XR ARTHROCENT ASP/INJ JT MAJOR	$52.61	$263.07	$42.85–$333.79	—	80%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ER ARTHROCENTESIS MAJOR JOINT	$56.37	$281.86	$42.85–$290.25	—	80%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 SH CCI ARTHROCENT ASP/INJ JT MAJOR	$60.56	$302.78	$160.17–$190.75	—	80%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 CCI ARTHROCENT ASP/INJ JT MAJOR	$64.88	$324.41	$171.61–$204.38	—	80%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 RAD DRAIN INJECT JOINT BURSA	$64.88	$324.41	$171.61–$204.38	—	80%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 TR ARTHROCENT ASP/INJ GLENOHUM	$80.90	$404.48	$42.85–$600.00	—	80%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 NE PF ARTHROCENT ASP MAJOR JT	$84.66	$423.30	$223.93–$266.68	—	80%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 DPT PF ARTHROCENT ASP MAJOR JT	$84.66	$423.30	$223.93–$266.68	—	80%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 EST PF ARTHROCENT ASP MAJOR JT	$84.66	$423.30	$223.93–$266.68	—	80%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 WST PF ARTHROCENT ASP MAJOR JT	$84.66	$423.30	$223.93–$266.68	—	80%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 CET ARTHROCENT ASP/INJ JT MAJOR	$84.66	$423.30	$223.93–$266.68	—	80%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ZAT ARTHROCENT ASP/INJ JT	$84.66	$423.30	$223.93–$266.68	—	80%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 CT ARTHROCENT ASP/INJ JT MAJ	$87.72	$438.58	$42.85–$333.79	—	80%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 SISD PF ARTHROCENT ASP MAJOR JT	$206.63	$1,033.17	$546.55–$650.90	—	80%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 SH ARTHROCENT ASP/INJ JT MAJOR RT	$52.61	$263.07	$139.16–$165.73	—	80%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 WST INSERT IMPLANT DRUG DELIVERY	$32.82	$164.12	$86.82–$91.25	86% below	80%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INSERT IMPLANT DRUG DELIVERY	$33.12	$165.60	$31.46–$210.00	86% below	80%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 FAB INSERT IMPLANT DVC	$33.23	$166.16	$31.57–$126.74	86% below	80%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 EST INSERT IMPLANT DRUG DELIVERY	$37.24	$186.20	$35.38–$210.00	84% below	80%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 ESP INSERT IMPLANT DVC #PF#	$74.00	$370.00	$59.01–$266.40	69% below	80%
Insertion of a drug-delivery implant, such as the arm birth control implant one side CPT 11981 ZAT RT IMPLANT DRUG DELIVERY	$37.24	$186.20	$91.25–$98.50	84% below	80%
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 WST INSERT IMPLANT DRUG DELIVERY	$32.82	$164.12	$86.82–$91.25	—	80%
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient one side CPT 11981 ZAT RT IMPLANT DRUG DELIVERY	$37.24	$186.20	$91.25–$98.50	—	80%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 CEP ARTHROCENT ASP/INJ JT INTR #PF#	$70.09	$350.44	$34.75–$290.25	88% below	80%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 FAB PF ARTHROCENT ASP INTER JT	$84.66	$423.30	$34.75–$304.78	86% below	80%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 CET ARTHROCENT ASP/INJ JT INTR	$84.66	$423.30	$223.93–$266.68	86% below	80%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 WSP PF ARTHROCENT ASP INTER JT	$84.66	$423.30	$223.93–$266.68	86% below	80%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 EST PF ARTHROCENT ASP INTER JT	$84.66	$423.30	$223.93–$266.68	86% below	80%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DPT PF ARTHROCENT ASP INTER JT	$84.66	$423.30	$223.93–$266.68	86% below	80%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 NE ARTHROCENT ASP/INJ JT INTERMED	$84.66	$423.30	$223.93–$266.68	86% below	80%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ZAT ARTHROCENT ASP/INJ JT INTR	$84.66	$423.30	$223.93–$266.68	86% below	80%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 CT ARTHROCENT ASP/INJ JT INTERMED	$104.47	$522.34	$276.32–$329.07	82% below	80%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 SISD PF ARTHROCENT ASP INTER JT	$206.63	$1,033.17	$546.55–$650.90	65% below	80%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 DPT PF ARTHROCENT ASP INTER JT	$84.66	$423.30	$223.93–$266.68	—	80%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 CET ARTHROCENT ASP/INJ JT INTR	$84.66	$423.30	$223.93–$266.68	—	80%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 WSP PF ARTHROCENT ASP INTER JT	$84.66	$423.30	$223.93–$266.68	—	80%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 EST PF ARTHROCENT ASP INTER JT	$84.66	$423.30	$223.93–$266.68	—	80%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ZAT ARTHROCENT ASP/INJ JT INTR	$84.66	$423.30	$223.93–$266.68	—	80%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 NE ARTHROCENT ASP/INJ JT INTERMED	$84.66	$423.30	$223.93–$266.68	—	80%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 CT ARTHROCENT ASP/INJ JT INTERMED	$104.47	$522.34	$276.32–$329.07	—	80%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 SISD PF ARTHROCENT ASP INTER JT	$206.63	$1,033.17	$546.55–$650.90	—	80%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 FAB PF ARTHROCENT ASP SMALL JT	$35.90	$179.48	$33.79–$290.25	92% below	80%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 EST ARTHROCENT ASP SMALL JT	$84.66	$423.30	$223.93–$266.68	80% below	80%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 WST PF ARTHROCENT ASP SMALL JT	$84.66	$423.30	$223.93–$266.68	80% below	80%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 CET ARTHROCENT ASP SMALL JT	$84.66	$423.30	$223.93–$266.68	80% below	80%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ZAT ARTHROCENT ASPIR&/INJ SMALL JT/BURSA W/O US	$84.66	$423.30	$223.93–$266.68	80% below	80%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 NHC NE PF ARTHROCENT ASP SMALL JT	$84.66	$423.30	$223.93–$266.68	80% below	80%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 NHC NE ARTHROCENT ASP SMALL JT	$84.66	$423.30	$223.93–$266.68	80% below	80%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 DPT ARTHROCENT ASP SMALL JT	$84.66	$423.30	$223.93–$266.68	80% below	80%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 SISD ARTHROCENT ASP SMALL JT	$206.63	$1,033.17	$546.55–$650.90	52% below	80%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 CET ARTHROCENT ASP SMALL JT	$84.66	$423.30	$223.93–$266.68	—	80%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 WST PF ARTHROCENT ASP SMALL JT	$84.66	$423.30	$223.93–$266.68	—	80%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 NHC NE ARTHROCENT ASP SMALL JT	$84.66	$423.30	$223.93–$266.68	—	80%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ZAT ARTHROCENT ASPIR&/INJ SMALL JT/BURSA W/O US	$84.66	$423.30	$223.93–$266.68	—	80%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 DPT ARTHROCENT ASP SMALL JT	$84.66	$423.30	$223.93–$266.68	—	80%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 NHC NE PF ARTHROCENT ASP SMALL JT	$84.66	$423.30	$223.93–$266.68	—	80%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 EST ARTHROCENT ASP SMALL JT	$84.66	$423.30	$223.93–$266.68	—	80%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 SISD ARTHROCENT ASP SMALL JT	$206.63	$1,033.17	$546.55–$650.90	—	80%
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 EDE LAP APPENDECTOMY	$1,678.32	$8,391.60	$570.68–$6,041.95	76% below	80%
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 ERD LAP APPENDECTOMY	$1,678.32	$8,391.60	$570.68–$6,041.95	76% below	80%
Laparoscopic appendectomy (appendix removal through small cuts) inpatient CPT 44970 ERD LAP APPENDECTOMY	$1,678.32	$8,391.60	$570.68–$6,041.95	—	80%
Laparoscopic appendectomy (appendix removal through small cuts) inpatient CPT 44970 EDE LAP APPENDECTOMY	$1,678.32	$8,391.60	$570.68–$6,041.95	—	80%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 FAB INT S/A/T/EXT <2.5CM	$46.92	$234.62	$44.58–$392.84	91% below	80%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 SH EDE LAY CLS SC/AX/TR/EXT < 2.6	$54.58	$272.90	$51.85–$392.84	90% below	80%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 ZAR INT S/A/T/EXT <2.5CM #PF#	$68.50	$342.50	$65.08–$392.84	87% below	80%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 ESP INT S/A/T/EXT <2.5CM #PF#	$68.50	$342.50	$65.08–$392.84	87% below	80%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 EDN LAY CLS SC/AX/TR/EXT < 2.6	$69.05	$345.24	$65.60–$392.84	87% below	80%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 EDE LAY CLS SC/AX/TR/EXT < 2.6	$69.05	$345.24	$65.60–$392.84	87% below	80%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 DPT INT RPR S/A/T/EXT <2.5CM#PF#	$78.60	$393.00	$74.67–$392.84	85% below	80%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 UCC ESLK RPR LAC INT SCLP/AXIL <2.5C	$279.67	$1,398.36	$142.00–$1,006.82	47% below	80%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 SISD INT S/A/T/EXT <2.5CM	$279.67	$1,398.36	$739.73–$880.97	47% below	80%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 SH EDE LAY CLS SC/AX/TR/EXT < 2.6	$54.58	$272.90	$51.85–$392.84	—	80%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 EDE LAY CLS SC/AX/TR/EXT < 2.6	$69.05	$345.24	$65.60–$392.84	—	80%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 EDN LAY CLS SC/AX/TR/EXT < 2.6	$69.05	$345.24	$65.60–$392.84	—	80%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 SISD INT S/A/T/EXT <2.5CM	$279.67	$1,398.36	$739.73–$880.97	—	80%
Left heart catheterization, diagnostic one side CPT 93452 SH CATH LEFT HEART W/ VENTRCLGRPH	$1,332.18	$6,660.91	$4,396.20–$4,543.00	86% below	80%
Left heart catheterization, diagnostic one side CPT 93452 CATH LEFT HEART W/ VENTRCLGRPH	$1,332.18	$6,660.91	$4,396.20–$4,543.00	86% below	80%
Left heart catheterization, diagnostic inpatient one side CPT 93452 SH CATH LEFT HEART W/ VENTRCLGRPH	$1,332.18	$6,660.91	$4,396.20–$4,543.00	—	80%
Left heart catheterization, diagnostic inpatient one side CPT 93452 CATH LEFT HEART W/ VENTRCLGRPH	$1,332.18	$6,660.91	$4,396.20–$4,543.00	—	80%
Lower-back epidural injection, with imaging guidance CPT 62323 INJ EPIDRL SUBARAC L/S W/IMG	$131.83	$659.17	$93.45–$783.07	92% below	80%
Lower-back epidural injection, with imaging guidance CPT 62323 ERD INJ EPIDRL SUBARAC L/S W/IM	$283.56	$1,417.79	$93.45–$1,020.81	83% below	80%
Lower-back epidural injection, with imaging guidance CPT 62323 RAD INJ EPIDRL SUBARAC L/S W/IMG	$322.44	$1,612.22	$93.45–$1,160.80	81% below	80%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 INJ EPIDRL SUBARAC L/S W/IMG	$131.83	$659.17	$93.45–$783.07	—	80%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 ERD INJ EPIDRL SUBARAC L/S W/IM	$283.56	$1,417.79	$93.45–$1,020.81	—	80%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 RAD INJ EPIDRL SUBARAC L/S W/IMG	$322.44	$1,612.22	$93.45–$1,160.80	—	80%
Lower-back epidural injection, without imaging guidance CPT 62322 SH TEL INJ EPIDURAL SUBARACH L/S SGL	$191.28	$956.40	$505.94–$602.53	84% below	80%
Lower-back epidural injection, without imaging guidance CPT 62322 EMU INJ EPI SUBARACH L/S SGL	$200.84	$1,004.22	$531.23–$632.66	84% below	80%
Lower-back epidural injection, without imaging guidance CPT 62322 TR INJ EPIDURAL SUBARACH SGL	$200.84	$1,004.22	$74.70–$1,006.69	84% below	80%
Lower-back epidural injection, without imaging guidance CPT 62322 NM INJ SUBARC EPID L/S SGL	$200.84	$1,004.22	$74.70–$1,006.69	84% below	80%
Lower-back epidural injection, without imaging guidance CPT 62322 OBSU INJ EPIDURAL SUBARACH L/S	$200.84	$1,004.22	$531.23–$632.66	84% below	80%
Lower-back epidural injection, without imaging guidance CPT 62322 MSICU INJ EPID SUBARACH L/S SGL	$200.84	$1,004.22	$531.23–$632.66	84% below	80%
Lower-back epidural injection, without imaging guidance CPT 62322 ICU INJ EPIDURAL SUBARACH L/S SGL	$200.84	$1,004.22	$531.23–$632.66	84% below	80%
Lower-back epidural injection, without imaging guidance CPT 62322 TRA INJ EPID SUBARACH L/S SGL	$200.84	$1,004.22	$531.23–$632.66	84% below	80%
Lower-back epidural injection, without imaging guidance CPT 62322 NSICU INJ EPI SUBARACH L/S SGL	$200.84	$1,004.22	$531.23–$632.66	84% below	80%
Lower-back epidural injection, without imaging guidance CPT 62322 TEL INJ EPIDURAL SUBARACH L/S SGL	$200.84	$1,004.22	$531.23–$632.66	84% below	80%
Lower-back epidural injection, without imaging guidance CPT 62322 MED INJ EPIDURAL SUBARACH L/S SGL	$200.84	$1,004.22	$531.23–$632.66	84% below	80%
Lower-back epidural injection, without imaging guidance CPT 62322 RAD ARTHRO ASP/INJ JT MAJOR	$233.77	$1,168.87	$618.33–$736.39	81% below	80%
Lower-back epidural injection, without imaging guidance CPT 62322 XR INJ EPIDURAL SUBARACH L/S SGL	$233.77	$1,168.87	$618.33–$736.39	81% below	80%
Lower-back epidural injection, without imaging guidance CPT 62322 SH CCI INJ SUBARC EPID L/S SGL	$233.77	$1,168.87	$618.33–$736.39	81% below	80%
Lower-back epidural injection, without imaging guidance CPT 62322 ZAR INJ EPIDURAL SUB L/S SGL #PF#	$246.22	$1,231.08	$651.24–$775.58	80% below	80%
Lower-back epidural injection, without imaging guidance CPT 62322 ER INJ EPIDL SUBAR L/S W/O IMG	$608.00	$3,040.00	$74.70–$2,188.80	51% below	80%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 SH TEL INJ EPIDURAL SUBARACH L/S SGL	$191.28	$956.40	$505.94–$602.53	—	80%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 NM INJ SUBARC EPID L/S SGL	$200.84	$1,004.22	$74.70–$1,006.69	—	80%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 OBSU INJ EPIDURAL SUBARACH L/S	$200.84	$1,004.22	$531.23–$632.66	—	80%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 EMU INJ EPI SUBARACH L/S SGL	$200.84	$1,004.22	$531.23–$632.66	—	80%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 MSICU INJ EPID SUBARACH L/S SGL	$200.84	$1,004.22	$531.23–$632.66	—	80%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 ICU INJ EPIDURAL SUBARACH L/S SGL	$200.84	$1,004.22	$531.23–$632.66	—	80%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 TRA INJ EPID SUBARACH L/S SGL	$200.84	$1,004.22	$531.23–$632.66	—	80%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 NSICU INJ EPI SUBARACH L/S SGL	$200.84	$1,004.22	$531.23–$632.66	—	80%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 TEL INJ EPIDURAL SUBARACH L/S SGL	$200.84	$1,004.22	$531.23–$632.66	—	80%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 MED INJ EPIDURAL SUBARACH L/S SGL	$200.84	$1,004.22	$531.23–$632.66	—	80%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 TR INJ EPIDURAL SUBARACH SGL	$200.84	$1,004.22	$74.70–$1,006.69	—	80%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 SH CCI INJ SUBARC EPID L/S SGL	$233.77	$1,168.87	$618.33–$736.39	—	80%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 XR INJ EPIDURAL SUBARACH L/S SGL	$233.77	$1,168.87	$618.33–$736.39	—	80%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 RAD ARTHRO ASP/INJ JT MAJOR	$233.77	$1,168.87	$618.33–$736.39	—	80%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 ZAR INJ EPIDURAL SUB L/S SGL #PF#	$246.22	$1,231.08	$651.24–$775.58	—	80%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 ER INJ EPIDL SUBAR L/S W/O IMG	$608.00	$3,040.00	$74.70–$2,188.80	—	80%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 INJ EPIDURAL LUMBAR/SACRAL SGL	$338.41	$1,692.06	$895.10–$1,066.00	77% below	80%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 SH INJ EPIDURAL LUMBAR/SACRAL SGL	$338.41	$1,692.06	$104.60–$1,218.28	77% below	80%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 RAD INJ EPIDURAL LUMBAR/SACRAL SGL	$348.52	$1,742.59	$921.83–$1,097.83	76% below	80%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 INJ EPIDURAL LUMBAR/SACRAL SGL	$338.41	$1,692.06	$895.10–$1,066.00	—	80%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 SH INJ EPIDURAL LUMBAR/SACRAL SGL	$338.41	$1,692.06	$104.60–$1,218.28	—	80%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 RAD INJ EPIDURAL LUMBAR/SACRAL SGL	$348.52	$1,742.59	$921.83–$1,097.83	—	80%
Lumpectomy (partial mastectomy) both sides CPT 19301 MASTECTOMY PARTIAL BILAT	$1,314.84	$6,574.22	$3,477.76–$4,141.76	—	80%
Lumpectomy (partial mastectomy) inpatient both sides CPT 19301 MASTECTOMY PARTIAL BILAT	$1,314.84	$6,574.22	$3,477.76–$4,141.76	—	80%
Miscarriage treatment with D&C, first trimester CPT 59820 ERD SURG TX ABORT MISSED 1ST TR	$819.35	$4,096.75	$367.20–$3,126.30	77% below	80%
Miscarriage treatment with D&C, first trimester CPT 59820 ZAT SURG TX ABORT MISSED 1ST TRI	$2,085.14	$10,425.70	$5,515.20–$6,568.19	43% below	80%
Miscarriage treatment with D&C, first trimester inpatient CPT 59820 ERD SURG TX ABORT MISSED 1ST TR	$819.35	$4,096.75	$367.20–$3,126.30	—	80%
Miscarriage treatment with D&C, first trimester inpatient CPT 59820 ZAT SURG TX ABORT MISSED 1ST TRI	$2,085.14	$10,425.70	$5,515.20–$6,568.19	—	80%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 YSL EXCISION BEN NON-FACE #PF#	$79.03	$395.14	$75.08–$691.81	90% below	80%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EMP EXCISION BEN NON-FACE #PF#	$79.03	$395.14	$75.08–$691.81	90% below	80%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EDE EXC LES BGN TRUNK/ARM <0.5	$94.60	$473.02	$79.37–$691.81	88% below	80%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 ER EXC LES BGN TRUNK/ARM <0.5C	$94.60	$473.02	$79.37–$691.81	88% below	80%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 FAB EXCISION BEN NON-FACE	$94.60	$473.02	$79.37–$691.81	88% below	80%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EDN EXC LES BGN TRUNK/ARM <0.5	$94.60	$473.02	$79.37–$691.81	88% below	80%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 ESP EXC LESN BGN TRUN/ARM <0.5 #PF#	$114.00	$570.00	$79.37–$691.81	86% below	80%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 NHC NE EXC LESN BGN TRUN/ARM <0.5 #PF#	$127.68	$638.40	$79.37–$691.81	84% below	80%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 DPP EXC LESN BGN TRUN/ARM <0.5 #PF#	$134.06	$670.32	$79.37–$691.81	83% below	80%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 DPP EX LES BGN TRU/ARM <0.5CM #PF#	$141.07	$705.36	$79.37–$691.81	82% below	80%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 SISD EXC LESN BGN TRUN/ARM <0.5	$492.51	$2,462.57	$1,302.70–$1,551.42	39% below	80%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 EDN EXC LES BGN TRUNK/ARM <0.5	$94.60	$473.02	$79.37–$691.81	—	80%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 EDE EXC LES BGN TRUNK/ARM <0.5	$94.60	$473.02	$79.37–$691.81	—	80%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 ER EXC LES BGN TRUNK/ARM <0.5C	$94.60	$473.02	$79.37–$691.81	—	80%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 SISD EXC LESN BGN TRUN/ARM <0.5	$492.51	$2,462.57	$1,302.70–$1,551.42	—	80%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXCISION BEN FACE #PF#	$79.03	$395.14	$75.08–$691.81	91% below	80%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 YSL EXCISION BEN-FACE #PF#	$79.03	$395.14	$75.08–$691.81	91% below	80%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 SISD EX LESN BGN FACE <0.5CM	$492.51	$2,462.57	$1,302.70–$1,551.42	43% below	80%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 SISD EX LESN BGN FACE <0.5CM	$492.51	$2,462.57	$1,302.70–$1,551.42	—	80%
Nail removal (partial or complete), one nail CPT 11730 FAB AVULSION NAIL PLATE SINGLE #PF#	$74.47	$372.33	$50.65–$268.08	74% below	80%
Nail removal (partial or complete), one nail CPT 11730 WST AVULSION NAIL PLATE/PARTIAL/CPLT/ SIMPLE SNG	$133.52	$667.62	$140.67–$353.17	53% below	80%
Nail removal (partial or complete), one nail CPT 11730 EST AVULSION NAIL PLATE /PARTIAL/CPLT/SIMPLE SNG	$133.53	$667.63	$140.67–$353.18	53% below	80%
Nail removal (partial or complete), one nail CPT 11730 DPT AVULSION NAIL PLATE /PARTIAL/CPLT/SIMPLE SNG	$133.53	$667.63	$140.67–$353.18	53% below	80%
Nail removal (partial or complete), one nail CPT 11730 ZAT AVULSION NAIL PLATE PARTIAL/CPLT /SIMPLE SNG	$133.53	$667.63	$140.67–$353.18	53% below	80%
Nail removal (partial or complete), one nail CPT 11730 UCC ESLK REMOVAL OF NAIL PLATE	$139.09	$695.45	$50.65–$500.72	51% below	80%
Nail removal (partial or complete), one nail CPT 11730 SISD AVULSION NAIL PLATE /PARTIAL/CPLT/SIMPLE SNG	$139.09	$695.45	$140.67–$367.89	51% below	80%
Nail removal (partial or complete), one nail inpatient CPT 11730 WST AVULSION NAIL PLATE/PARTIAL/CPLT/ SIMPLE SNG	$133.52	$667.62	$140.67–$353.17	—	80%
Nail removal (partial or complete), one nail inpatient CPT 11730 ZAT AVULSION NAIL PLATE PARTIAL/CPLT /SIMPLE SNG	$133.53	$667.63	$140.67–$353.18	—	80%
Nail removal (partial or complete), one nail inpatient CPT 11730 EST AVULSION NAIL PLATE /PARTIAL/CPLT/SIMPLE SNG	$133.53	$667.63	$140.67–$353.18	—	80%
Nail removal (partial or complete), one nail inpatient CPT 11730 DPT AVULSION NAIL PLATE /PARTIAL/CPLT/SIMPLE SNG	$133.53	$667.63	$140.67–$353.18	—	80%
Nail removal (partial or complete), one nail inpatient CPT 11730 SISD AVULSION NAIL PLATE /PARTIAL/CPLT/SIMPLE SNG	$139.09	$695.45	$140.67–$367.89	—	80%
Occipital nerve block (injection for headaches) CPT 64405 INJ ANES/STER GREAT OCCIPITAL	$77.82	$389.09	$205.83–$245.13	82% below	80%
Occipital nerve block (injection for headaches) CPT 64405 ES XR HAND CMPL 3+V	$115.07	$575.36	$49.80–$600.00	73% below	80%
Occipital nerve block (injection for headaches) CPT 64405 UCC ESLK XR HAND CMPL 3+V	$115.07	$575.36	$49.80–$414.26	73% below	80%
Occipital nerve block (injection for headaches) CPT 64405 EDN INJ ANES NRV GREAT OCC	$116.73	$583.63	$49.80–$420.21	73% below	80%
Occipital nerve block (injection for headaches) CPT 64405 ER INJ ANES NRV GREAT OCC	$116.73	$583.63	$49.80–$420.21	73% below	80%
Occipital nerve block (injection for headaches) CPT 64405 EDE INJ ANES NRV GREAT OCC	$116.73	$583.63	$49.80–$420.21	73% below	80%
Occipital nerve block (injection for headaches) CPT 64405 ESP INJ ANES NRV GREAT OCC#PF#	$151.03	$755.16	$49.80–$543.72	65% below	80%
Occipital nerve block (injection for headaches) CPT 64405 SH CCI IR INJ ANES/STER GREAT OCCIPITAL	$255.26	$1,276.32	$49.80–$918.95	40% below	80%
Occipital nerve block (injection for headaches) inpatient CPT 64405 INJ ANES/STER GREAT OCCIPITAL	$77.82	$389.09	$205.83–$245.13	—	80%
Occipital nerve block (injection for headaches) inpatient CPT 64405 ES XR HAND CMPL 3+V	$115.07	$575.36	$49.80–$600.00	—	80%
Occipital nerve block (injection for headaches) inpatient CPT 64405 ER INJ ANES NRV GREAT OCC	$116.73	$583.63	$49.80–$420.21	—	80%
Occipital nerve block (injection for headaches) inpatient CPT 64405 EDE INJ ANES NRV GREAT OCC	$116.73	$583.63	$49.80–$420.21	—	80%
Occipital nerve block (injection for headaches) inpatient CPT 64405 EDN INJ ANES NRV GREAT OCC	$116.73	$583.63	$49.80–$420.21	—	80%
Occipital nerve block (injection for headaches) inpatient CPT 64405 SH CCI IR INJ ANES/STER GREAT OCCIPITAL	$255.26	$1,276.32	$49.80–$918.95	—	80%
Pacemaker implant (dual chamber) CPT 33208 INS NEW/ REPL PCMKR A/V	$3,253.04	$16,265.22	$4,543.00–$10,247.09	83% below	80%
Pacemaker implant (dual chamber) CPT 33208 EPS INS NEW/ REPL PERM PACEMKR	$3,253.04	$16,265.22	$479.76–$11,710.96	83% below	80%
Pacemaker implant (dual chamber) CPT 33208 SH INS NEW/ REPL PCMKR A/V	$3,766.39	$18,831.96	$9,962.11–$11,864.13	80% below	80%
Pacemaker implant (dual chamber) CPT 33208 SH CCI INS NEW/ REPL PCMKR A/V	$3,766.39	$18,831.96	$9,962.11–$11,864.13	80% below	80%
Pacemaker implant (dual chamber) inpatient CPT 33208 INS NEW/ REPL PCMKR A/V	$3,253.04	$16,265.22	$4,543.00–$10,247.09	—	80%
Pacemaker implant (dual chamber) inpatient CPT 33208 EPS INS NEW/ REPL PERM PACEMKR	$3,253.04	$16,265.22	$479.76–$11,710.96	—	80%
Pacemaker implant (dual chamber) inpatient CPT 33208 SH INS NEW/ REPL PCMKR A/V	$3,766.39	$18,831.96	$9,962.11–$11,864.13	—	80%
Pacemaker implant (dual chamber) inpatient CPT 33208 SH CCI INS NEW/ REPL PCMKR A/V	$3,766.39	$18,831.96	$9,962.11–$11,864.13	—	80%
Paracentesis with imaging guidance CPT 49083 SH EDE ABD PARACENTESIS WITH IMAGI	$207.28	$1,036.42	$98.69–$921.87	86% below	80%
Paracentesis with imaging guidance CPT 49083 CT ABD PARACENTESIS W/ IMG	$300.25	$1,501.25	$98.69–$1,080.90	79% below	80%
Paracentesis with imaging guidance CPT 49083 SH ABD PARACENTESIS W/ IMG	$300.25	$1,501.25	$98.69–$1,080.90	79% below	80%
Paracentesis with imaging guidance CPT 49083 ERD ABD PARACENTESIS W IMAGING	$300.25	$1,501.25	$98.69–$1,080.90	79% below	80%
Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/ IMG	$300.25	$1,501.25	$794.16–$945.79	79% below	80%
Paracentesis with imaging guidance inpatient CPT 49083 SH EDE ABD PARACENTESIS WITH IMAGI	$207.28	$1,036.42	$98.69–$921.87	—	80%
Paracentesis with imaging guidance inpatient CPT 49083 SH ABD PARACENTESIS W/ IMG	$300.25	$1,501.25	$98.69–$1,080.90	—	80%
Paracentesis with imaging guidance inpatient CPT 49083 ABD PARACENTESIS W/ IMG	$300.25	$1,501.25	$794.16–$945.79	—	80%
Paracentesis with imaging guidance inpatient CPT 49083 CT ABD PARACENTESIS W/ IMG	$300.25	$1,501.25	$98.69–$1,080.90	—	80%
Paracentesis with imaging guidance inpatient CPT 49083 ERD ABD PARACENTESIS W IMAGING	$300.25	$1,501.25	$98.69–$1,080.90	—	80%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 SH EDE EXC NAIL&NAIL MATRIX PERM	$83.18	$415.90	$79.02–$392.84	84% below	80%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 SH EDE EXCISE INGROWN TOENAIL	$83.18	$415.90	$79.02–$392.84	84% below	80%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXC. NAIL & NAIL MATRIX PERM	$119.78	$598.90	$96.13–$431.21	77% below	80%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 EDN EXC NAIL&NAIL MATRIX PERM	$121.87	$609.34	$96.13–$438.72	76% below	80%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 EDN EXCISE INGROWN TOENAIL	$121.87	$609.34	$96.13–$438.72	76% below	80%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 EDE EXCISE INGROWN TOENAIL	$121.87	$609.34	$96.13–$438.72	76% below	80%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 EDE EXC NAIL&NAIL MATRIX PERM	$121.87	$609.34	$96.13–$438.72	76% below	80%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 FAB INGROWN TOENAIL REMOVAL	$265.94	$1,329.72	$96.13–$957.40	48% below	80%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 EST EXC NAIL & MATRIX	$265.94	$1,329.72	$703.42–$837.72	48% below	80%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 SISD EXC NAIL & MATRIX	$279.67	$1,398.36	$739.73–$880.97	45% below	80%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 UCC ESLK EXC NAIL & NAIL MATRIX PERM	$279.67	$1,398.36	$96.13–$1,006.82	45% below	80%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 SH EDE EXCISE INGROWN TOENAIL	$83.18	$415.90	$79.02–$392.84	—	80%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 SH EDE EXC NAIL&NAIL MATRIX PERM	$83.18	$415.90	$79.02–$392.84	—	80%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 EXC. NAIL & NAIL MATRIX PERM	$119.78	$598.90	$96.13–$431.21	—	80%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 EDE EXCISE INGROWN TOENAIL	$121.87	$609.34	$96.13–$438.72	—	80%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 EDE EXC NAIL&NAIL MATRIX PERM	$121.87	$609.34	$96.13–$438.72	—	80%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 EDN EXC NAIL&NAIL MATRIX PERM	$121.87	$609.34	$96.13–$438.72	—	80%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 EDN EXCISE INGROWN TOENAIL	$121.87	$609.34	$96.13–$438.72	—	80%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 EST EXC NAIL & MATRIX	$265.94	$1,329.72	$703.42–$837.72	—	80%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 SISD EXC NAIL & MATRIX	$279.67	$1,398.36	$739.73–$880.97	—	80%
Prostate biopsy CPT 55700 BX PROSTATE NDL/PUNCH	$210.91	$1,054.55	$557.86–$664.37	92% below	80%
Prostate biopsy inpatient CPT 55700 BX PROSTATE NDL/PUNCH	$210.91	$1,054.55	$557.86–$664.37	—	80%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 SH DEST NRV LUMB/SACR SGL	$581.02	$2,905.12	$1,536.81–$1,830.23	79% below	80%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 CT ABLATION LUMBAR (RFA LUMBAR)	$1,416.58	$7,082.90	$3,746.85–$4,462.23	50% below	80%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 SH DEST NRV LUMB/SACR SGL	$581.02	$2,905.12	$1,536.81–$1,830.23	—	80%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 CT ABLATION LUMBAR (RFA LUMBAR)	$1,416.58	$7,082.90	$3,746.85–$4,462.23	—	80%
Removal of a foreign object under the skin, simple CPT 10120 EDN I&R OF FB SUBSQ TISS - SMP	$93.04	$465.20	$88.39–$392.84	82% below	80%
Removal of a foreign object under the skin, simple CPT 10120 EDE I&R OF FB SUBSQ TISS - SMP	$94.61	$473.03	$89.88–$392.84	82% below	80%
Removal of a foreign object under the skin, simple CPT 10120 FAB REMOVAL FB SIMPLE	$94.61	$473.03	$89.88–$392.84	82% below	80%
Removal of a foreign object under the skin, simple CPT 10120 SH EDE I&R OF FB SUBSQ TISS - SMP	$100.01	$500.06	$95.01–$392.84	81% below	80%
Removal of a foreign object under the skin, simple CPT 10120 DPP REMOVAL FB SIMPLE #PF#	$102.40	$512.00	$97.28–$392.84	80% below	80%
Removal of a foreign object under the skin, simple CPT 10120 DPT REMOVAL FB SIMPLE #PF#	$102.40	$512.00	$97.28–$392.84	80% below	80%
Removal of a foreign object under the skin, simple CPT 10120 ESP REMOVAL FB SIMPLE #PF#	$102.40	$512.00	$97.28–$392.84	80% below	80%
Removal of a foreign object under the skin, simple CPT 10120 ORS INCISION/REM FB SUBQ SMP	$105.01	$525.06	$99.45–$600.00	80% below	80%
Removal of a foreign object under the skin, simple CPT 10120 CEP REMOVAL FB SIMPLE #PF#	$107.52	$537.60	$99.45–$392.84	80% below	80%
Removal of a foreign object under the skin, simple CPT 10120 EMP REMOVAL FB SIMPLE #PF#	$107.52	$537.60	$99.45–$392.84	80% below	80%
Removal of a foreign object under the skin, simple CPT 10120 I&R OF FB SUBSQ TISS - SMPL	$111.65	$558.24	$99.45–$401.93	79% below	80%
Removal of a foreign object under the skin, simple CPT 10120 ZAT INCISION/REM FB SUBQ SMP	$265.94	$1,329.72	$703.42–$837.72	49% below	80%
Removal of a foreign object under the skin, simple CPT 10120 UCC ESLK I&R OF FB SUBSQ TISS - SMPL	$279.67	$1,398.36	$99.45–$1,006.82	47% below	80%
Removal of a foreign object under the skin, simple CPT 10120 WST INCISION/REM FB SUBQ SMP	$295.20	$1,475.99	$780.80–$929.87	44% below	80%
Removal of a foreign object under the skin, simple inpatient CPT 10120 EDN I&R OF FB SUBSQ TISS - SMP	$93.04	$465.20	$88.39–$392.84	—	80%
Removal of a foreign object under the skin, simple inpatient CPT 10120 EDE I&R OF FB SUBSQ TISS - SMP	$94.61	$473.03	$89.88–$392.84	—	80%
Removal of a foreign object under the skin, simple inpatient CPT 10120 SH EDE I&R OF FB SUBSQ TISS - SMP	$100.01	$500.06	$95.01–$392.84	—	80%
Removal of a foreign object under the skin, simple inpatient CPT 10120 ORS INCISION/REM FB SUBQ SMP	$105.01	$525.06	$99.45–$600.00	—	80%
Removal of a foreign object under the skin, simple inpatient CPT 10120 I&R OF FB SUBSQ TISS - SMPL	$111.65	$558.24	$99.45–$401.93	—	80%
Removal of a foreign object under the skin, simple inpatient CPT 10120 ZAT INCISION/REM FB SUBQ SMP	$265.94	$1,329.72	$703.42–$837.72	—	80%
Removal of a foreign object under the skin, simple inpatient CPT 10120 WST INCISION/REM FB SUBQ SMP	$295.20	$1,475.99	$780.80–$929.87	—	80%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 COLORECTAL SCRN; HI RISK IND	$734.10	$3,670.52	$1,941.71–$2,312.43	39% below	80%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 COLORECTAL SCRN; HI RISK IND	$734.10	$3,670.52	$1,941.71–$2,312.43	—	80%
Short arm cast (elbow to hand) CPT 29075 SH EDE APPL CAST ARM SHORT	$53.35	$266.75	$50.68–$261.13	81% below	80%
Short arm cast (elbow to hand) CPT 29075 EDE APPL CAST ARM SHORT	$56.02	$280.09	$53.22–$261.13	80% below	80%
Short arm cast (elbow to hand) CPT 29075 EDN APPL CAST ARM SHORT	$56.02	$280.09	$53.22–$261.13	80% below	80%
Short arm cast (elbow to hand) CPT 29075 ER APPL CAST ARM SHORT	$57.08	$285.42	$54.23–$261.13	80% below	80%
Short arm cast (elbow to hand) CPT 29075 ESP APPL CAST ARM SHORT #PF#	$63.00	$315.00	$58.98–$261.13	77% below	80%
Short arm cast (elbow to hand) CPT 29075 SISD APPL CAST ARM SHORT	$185.91	$929.53	$58.98–$669.26	33% below	80%
Short arm cast (elbow to hand) inpatient CPT 29075 SH EDE APPL CAST ARM SHORT	$53.35	$266.75	$50.68–$261.13	—	80%
Short arm cast (elbow to hand) inpatient CPT 29075 EDN APPL CAST ARM SHORT	$56.02	$280.09	$53.22–$261.13	—	80%
Short arm cast (elbow to hand) inpatient CPT 29075 EDE APPL CAST ARM SHORT	$56.02	$280.09	$53.22–$261.13	—	80%
Short arm cast (elbow to hand) inpatient CPT 29075 ER APPL CAST ARM SHORT	$57.08	$285.42	$54.23–$261.13	—	80%
Short arm cast (elbow to hand) inpatient CPT 29075 SISD APPL CAST ARM SHORT	$185.91	$929.53	$58.98–$669.26	—	80%
Short arm splint (forearm and hand) CPT 29125 CEP SHORT ARM SPLINT #PF#	$23.31	$116.55	$22.14–$210.00	90% below	80%
Short arm splint (forearm and hand) CPT 29125 EMP SHORT ARM SPLINT #PF#	$23.31	$116.55	$22.14–$210.00	90% below	80%
Short arm splint (forearm and hand) CPT 29125 YSL SHORT ARM SPLINT #PF#	$23.31	$116.55	$22.14–$210.00	90% below	80%
Short arm splint (forearm and hand) CPT 29125 ESP APP SPLINT ARM SHORT #PF#	$48.72	$243.60	$38.08–$210.00	78% below	80%
Short arm splint (forearm and hand) CPT 29125 SISD APP SPLINT ARM SHORT	$90.23	$451.15	$38.08–$324.83	60% below	80%
Short arm splint (forearm and hand) CPT 29125 UCC ESLK APPL SPLINT ARM SHRT STATIC	$90.23	$451.15	$38.08–$324.83	60% below	80%
Short arm splint (forearm and hand) inpatient CPT 29125 SISD APP SPLINT ARM SHORT	$90.23	$451.15	$38.08–$324.83	—	80%
Short leg cast (below the knee) CPT 29405 ESP APPL CAST LEG SHORT#PF#	$74.34	$371.70	$55.39–$267.62	78% below	80%
Short leg cast (below the knee) CPT 29405 SISD APPL CAST LEG SHORT	$185.91	$929.53	$55.39–$669.26	45% below	80%
Short leg cast (below the knee) inpatient CPT 29405 SISD APPL CAST LEG SHORT	$185.91	$929.53	$55.39–$669.26	—	80%
Short leg splint (calf to foot) CPT 29515 ERD SHORT LEG SPLINT	$23.63	$118.13	$22.44–$155.15	91% below	80%
Short leg splint (calf to foot) CPT 29515 EDE APP SHORT LEG SPLINT	$23.63	$118.13	$22.44–$155.15	91% below	80%
Short leg splint (calf to foot) CPT 29515 EDN APP SHORT LEG SPLINT	$23.63	$118.13	$22.44–$155.15	91% below	80%
Short leg splint (calf to foot) CPT 29515 EDN SHORT LEG SPLINT	$23.63	$118.13	$22.44–$155.15	91% below	80%
Short leg splint (calf to foot) CPT 29515 FAB SHORT LEG SPLINT	$23.63	$118.13	$22.44–$155.15	91% below	80%
Short leg splint (calf to foot) CPT 29515 EDE SHORT LEG SPLINT	$23.63	$118.13	$22.44–$155.15	91% below	80%
Short leg splint (calf to foot) CPT 29515 APP SHORT LEG SPLINT	$23.63	$118.13	$22.44–$155.15	91% below	80%
Short leg splint (calf to foot) CPT 29515 UCC ESLK APPL SPLINT LEG SHORT	$110.45	$552.27	$47.03–$397.63	58% below	80%
Short leg splint (calf to foot) CPT 29515 SISD SHORT LEG SPLINT	$110.45	$552.27	$47.03–$397.63	58% below	80%
Short leg splint (calf to foot) inpatient CPT 29515 ERD SHORT LEG SPLINT	$23.63	$118.13	$22.44–$155.15	—	80%
Short leg splint (calf to foot) inpatient CPT 29515 EDE SHORT LEG SPLINT	$23.63	$118.13	$22.44–$155.15	—	80%
Short leg splint (calf to foot) inpatient CPT 29515 EDE APP SHORT LEG SPLINT	$23.63	$118.13	$22.44–$155.15	—	80%
Short leg splint (calf to foot) inpatient CPT 29515 EDN SHORT LEG SPLINT	$23.63	$118.13	$22.44–$155.15	—	80%
Short leg splint (calf to foot) inpatient CPT 29515 EDN APP SHORT LEG SPLINT	$23.63	$118.13	$22.44–$155.15	—	80%
Short leg splint (calf to foot) inpatient CPT 29515 APP SHORT LEG SPLINT	$23.63	$118.13	$22.44–$155.15	—	80%
Short leg splint (calf to foot) inpatient CPT 29515 SISD SHORT LEG SPLINT	$110.45	$552.27	$47.03–$397.63	—	80%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 EMP S/L NONFACE <= 2.5 CM #PF#	$38.40	$192.00	$36.48–$210.00	89% below	80%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 ESP RPR LAC SMP SCLP<2.5CM#PF#	$42.00	$210.00	$39.90–$210.00	87% below	80%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 DPP RPR LAC SMP SCALP <2.5 CM #PF#	$42.00	$210.00	$39.90–$210.00	87% below	80%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 CEP S/L NONFACE <= 2.5 CM #PF#	$48.38	$241.92	$42.33–$210.00	86% below	80%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 UCC ESLK RPR LAC SMP SCALP <2.5 CM	$139.09	$695.45	$42.33–$500.72	58% below	80%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SISD RPR LAC SMP SCLP<2.5CM	$139.09	$695.45	$140.67–$367.89	58% below	80%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SH EDE S/L NONFACE <= 2.5 CM	$150.91	$754.56	$42.33–$543.28	55% below	80%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 ERD S/L NONFACE <= 2.5 CM	$155.84	$779.20	$42.33–$561.02	53% below	80%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 EDE S/L NONFACE <= 2.5 CM	$158.46	$792.29	$42.33–$570.45	53% below	80%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 FAB S/L NONFACE <= 2.5 CM	$158.46	$792.29	$42.33–$570.45	53% below	80%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 EDN S/L NONFACE <= 2.5 CM	$158.46	$792.29	$42.33–$570.45	53% below	80%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 SISD RPR LAC SMP SCLP<2.5CM	$139.09	$695.45	$140.67–$367.89	—	80%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 SH EDE S/L NONFACE <= 2.5 CM	$150.91	$754.56	$42.33–$543.28	—	80%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 ERD S/L NONFACE <= 2.5 CM	$155.84	$779.20	$42.33–$561.02	—	80%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 EDE S/L NONFACE <= 2.5 CM	$158.46	$792.29	$42.33–$570.45	—	80%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 EDN S/L NONFACE <= 2.5 CM	$158.46	$792.29	$42.33–$570.45	—	80%
Skin biopsy, punch, one lesion CPT 11104 ESP PUNCH BX SKIN SGL #PF#	$60.00	$300.00	$43.85–$392.84	86% below	80%
Skin biopsy, punch, one lesion CPT 11104 DPP PUNCH BX SKIN SGL #PF#	$60.00	$300.00	$43.85–$392.84	86% below	80%
Skin biopsy, punch, one lesion CPT 11104 WSP PUNCH BX SKIN SGL #PF#	$63.00	$315.00	$43.85–$392.84	85% below	80%
Skin biopsy, punch, one lesion CPT 11104 ZAR PUNCH BX SKIN SGL #PF#	$63.00	$315.00	$43.85–$392.84	85% below	80%
Skin biopsy, punch, one lesion CPT 11104 SISD PUNCH BX SKIN SGL	$279.67	$1,398.36	$739.73–$880.97	34% below	80%
Skin biopsy, punch, one lesion inpatient CPT 11104 SISD PUNCH BX SKIN SGL	$279.67	$1,398.36	$739.73–$880.97	—	80%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 FAB EXCISION MAL NON-FACE	$189.51	$947.54	$115.11–$691.81	84% below	80%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 SISD EXCISION MAL NON-FACE	$492.51	$2,462.57	$1,302.70–$1,551.42	58% below	80%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 WST EXC LESN MAL TRUNK/ARM/LEG <0.5 CM	$525.56	$2,627.81	$1,390.11–$1,655.52	56% below	80%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 SISD EXCISION MAL NON-FACE	$492.51	$2,462.57	$1,302.70–$1,551.42	—	80%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 WST EXC LESN MAL TRUNK/ARM/LEG <0.5 CM	$525.56	$2,627.81	$1,390.11–$1,655.52	—	80%
Skin tag removal, up to 15 tags CPT 11200 SKIN TAGS (1-15) #PF#	$37.17	$185.85	$35.31–$210.00	88% below	80%
Skin tag removal, up to 15 tags CPT 11200 CEP SKIN TAGS (1-15) #PF#	$37.17	$185.85	$35.31–$210.00	88% below	80%
Skin tag removal, up to 15 tags CPT 11200 YSL REMOVE SKIN TAGS <=15 LESIONS #PF#	$37.17	$185.85	$35.31–$210.00	88% below	80%
Skin tag removal, up to 15 tags CPT 11200 ESP REMOVAL OF SKIN TAGS #PF#	$38.22	$191.10	$36.31–$210.00	87% below	80%
Skin tag removal, up to 15 tags CPT 11200 EDE REMOVE SKIN TAG <15	$40.67	$203.35	$38.64–$195.37	87% below	80%
Skin tag removal, up to 15 tags CPT 11200 EDN REMOVE SKIN TAG <15	$40.67	$203.35	$38.64–$195.37	87% below	80%
Skin tag removal, up to 15 tags CPT 11200 FAB REMOVE SKIN TAGS <=15 LESIONS	$57.26	$286.32	$54.40–$206.15	81% below	80%
Skin tag removal, up to 15 tags CPT 11200 ER REMOVE SKIN TAG <15	$59.44	$297.18	$56.46–$213.97	80% below	80%
Skin tag removal, up to 15 tags CPT 11200 WST REMOVE SKIN TAG UP TO & INCLUDING 15 LESIONS	$122.84	$614.22	$140.67–$324.92	60% below	80%
Skin tag removal, up to 15 tags CPT 11200 EST REMOVE SKIN TAG UP TO & INCLUDING 15 LESIONS	$139.09	$695.45	$140.67–$367.89	54% below	80%
Skin tag removal, up to 15 tags CPT 11200 SISD REMOVE SKIN TAG UP TO & INCLUDING 15 LESIONS	$139.09	$695.45	$140.67–$367.89	54% below	80%
Skin tag removal, up to 15 tags CPT 11200 ZAT REMOVE SKIN TAG UP TO & INCLUDING 15 LESIONS	$139.09	$695.45	$140.67–$367.89	54% below	80%
Skin tag removal, up to 15 tags CPT 11200 NE REMOVE SKIN TAG UP TO & INCLUDING 15 LESIONS	$139.09	$695.45	$140.67–$367.89	54% below	80%
Skin tag removal, up to 15 tags CPT 11200 DPT REMOVE SKIN TAG UP TO & INCLUDING 15 LESIONS	$139.09	$695.45	$140.67–$367.89	54% below	80%
Skin tag removal, up to 15 tags inpatient CPT 11200 EDE REMOVE SKIN TAG <15	$40.67	$203.35	$38.64–$195.37	—	80%
Skin tag removal, up to 15 tags inpatient CPT 11200 EDN REMOVE SKIN TAG <15	$40.67	$203.35	$38.64–$195.37	—	80%
Skin tag removal, up to 15 tags inpatient CPT 11200 ER REMOVE SKIN TAG <15	$59.44	$297.18	$56.46–$213.97	—	80%
Skin tag removal, up to 15 tags inpatient CPT 11200 WST REMOVE SKIN TAG UP TO & INCLUDING 15 LESIONS	$122.84	$614.22	$140.67–$324.92	—	80%
Skin tag removal, up to 15 tags inpatient CPT 11200 NE REMOVE SKIN TAG UP TO & INCLUDING 15 LESIONS	$139.09	$695.45	$140.67–$367.89	—	80%
Skin tag removal, up to 15 tags inpatient CPT 11200 EST REMOVE SKIN TAG UP TO & INCLUDING 15 LESIONS	$139.09	$695.45	$140.67–$367.89	—	80%
Skin tag removal, up to 15 tags inpatient CPT 11200 DPT REMOVE SKIN TAG UP TO & INCLUDING 15 LESIONS	$139.09	$695.45	$140.67–$367.89	—	80%
Skin tag removal, up to 15 tags inpatient CPT 11200 SISD REMOVE SKIN TAG UP TO & INCLUDING 15 LESIONS	$139.09	$695.45	$140.67–$367.89	—	80%
Skin tag removal, up to 15 tags inpatient CPT 11200 ZAT REMOVE SKIN TAG UP TO & INCLUDING 15 LESIONS	$139.09	$695.45	$140.67–$367.89	—	80%
Spinal tap (lumbar puncture), diagnostic CPT 62270 LND LUMBAR PUNCTURE	$118.39	$591.94	$313.14–$372.92	89% below	80%
Spinal tap (lumbar puncture), diagnostic CPT 62270 EDN LUMBAR PUNCT PROC DX	$118.39	$591.94	$60.05–$680.93	89% below	80%
Spinal tap (lumbar puncture), diagnostic CPT 62270 EDE LUMBAR PUNCT PROC DX	$118.39	$591.94	$60.05–$680.93	89% below	80%
Spinal tap (lumbar puncture), diagnostic CPT 62270 NM LUMBAR PUNCTURE DIAG	$118.39	$591.94	$313.14–$372.92	89% below	80%
Spinal tap (lumbar puncture), diagnostic CPT 62270 SH EDE LUMBAR PUNCT PROC DX	$119.95	$599.73	$60.05–$680.93	89% below	80%
Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCT PROC DX	$135.43	$677.14	$60.05–$680.93	87% below	80%
Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL FLUID TAP DIAGNOSTIC	$159.13	$795.64	$60.05–$783.07	85% below	80%
Spinal tap (lumbar puncture), diagnostic CPT 62270 SH CCI LUMBAR PUNCTURE DIAG	$169.29	$846.43	$447.76–$533.25	84% below	80%
Spinal tap (lumbar puncture), diagnostic CPT 62270 CCI LUMBAR PUNCTURE DIAG	$169.29	$846.43	$60.05–$783.07	84% below	80%
Spinal tap (lumbar puncture), diagnostic CPT 62270 SH LUMBAR PUNCTURE DIAGNOSTIC	$418.63	$2,093.15	$60.05–$1,507.07	60% below	80%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 EDN LUMBAR PUNCT PROC DX	$118.39	$591.94	$60.05–$680.93	—	80%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 EDE LUMBAR PUNCT PROC DX	$118.39	$591.94	$60.05–$680.93	—	80%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 LND LUMBAR PUNCTURE	$118.39	$591.94	$313.14–$372.92	—	80%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 NM LUMBAR PUNCTURE DIAG	$118.39	$591.94	$313.14–$372.92	—	80%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SH EDE LUMBAR PUNCT PROC DX	$119.95	$599.73	$60.05–$680.93	—	80%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 LUMBAR PUNCT PROC DX	$135.43	$677.14	$60.05–$680.93	—	80%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL FLUID TAP DIAGNOSTIC	$159.13	$795.64	$60.05–$783.07	—	80%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SH CCI LUMBAR PUNCTURE DIAG	$169.29	$846.43	$447.76–$533.25	—	80%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 CCI LUMBAR PUNCTURE DIAG	$169.29	$846.43	$60.05–$783.07	—	80%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SH LUMBAR PUNCTURE DIAGNOSTIC	$418.63	$2,093.15	$60.05–$1,507.07	—	80%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 CEP S/L NONFACE 2.6-7.5 CM #PF#	$54.43	$272.16	$51.71–$210.00	86% below	80%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 EMP S/L NONFACE 2.6-7.5 CM #PF#	$54.43	$272.16	$51.71–$210.00	86% below	80%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 GDE RPR LAC SMP SCLP 2.6-7.5CM #PF#	$56.70	$283.50	$53.87–$210.00	86% below	80%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 ESP RPR LAC SMP SCLP 2.6-7.5CM #PF#	$56.70	$283.50	$53.87–$210.00	86% below	80%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SH EDE S/L NONFACE 2.6-7.5 CM	$109.44	$547.20	$55.65–$393.98	72% below	80%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 FAB S/L NONFACE 2.6-7.5 CM	$114.91	$574.56	$55.65–$413.68	71% below	80%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SISD RPR LAC SMP SCLP 2.6-7.5CM	$139.09	$695.45	$140.67–$367.89	65% below	80%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 UCC ESLK RPR LAC SMP SCALP 2.6-7.5CM	$139.09	$695.45	$55.65–$500.72	65% below	80%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 ERD S/L NONFACE 2.6-7.5 CM	$141.36	$706.80	$55.65–$508.90	64% below	80%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 EDN S/L NONFACE 2.6-7.5 CM	$141.36	$706.80	$55.65–$508.90	64% below	80%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 EDE S/L NONFACE 2.6-7.5 CM	$141.36	$706.80	$55.65–$508.90	64% below	80%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 SH EDE S/L NONFACE 2.6-7.5 CM	$109.44	$547.20	$55.65–$393.98	—	80%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 SISD RPR LAC SMP SCLP 2.6-7.5CM	$139.09	$695.45	$140.67–$367.89	—	80%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 EDE S/L NONFACE 2.6-7.5 CM	$141.36	$706.80	$55.65–$508.90	—	80%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 ERD S/L NONFACE 2.6-7.5 CM	$141.36	$706.80	$55.65–$508.90	—	80%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 EDN S/L NONFACE 2.6-7.5 CM	$141.36	$706.80	$55.65–$508.90	—	80%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 CEP S/L FACE <= 2.5 CM #PF#	$52.73	$263.64	$50.09–$210.00	87% below	80%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 EMP S/L FACE <= 2.5 CM #PF#	$52.73	$263.64	$50.09–$210.00	87% below	80%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 ESP S/L FACE <= 2.5 CM#PF#	$54.98	$274.89	$52.23–$210.00	86% below	80%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 EDN RP CMP EL/NSE/EAR/LIP <1.1	$69.35	$346.75	$52.48–$249.66	82% below	80%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 EDE RP CMP EL/NSE/EAR/LIP <1.1	$69.35	$346.75	$52.48–$249.66	82% below	80%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 ER S/L FACE <= 2.5 CM	$90.60	$452.98	$52.48–$326.15	77% below	80%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SH EDE S/L FACE <= 2.5 CM	$99.07	$495.36	$52.48–$356.66	75% below	80%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SH EDE S/L FACE <= 2.5 CM	$99.07	$495.36	$52.48–$356.66	75% below	80%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SH EDE RP CMP EL/NSE/EAR/LIP <1.1	$99.07	$495.36	$52.48–$356.66	75% below	80%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 EDE S/L FACE <= 2.5 CM	$104.03	$520.13	$52.48–$374.49	73% below	80%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 FAB S/L FACE <= 2.5 CM	$104.03	$520.13	$52.48–$374.49	73% below	80%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 EDE S/L FACE <= 2.5 CM	$104.03	$520.13	$52.48–$374.49	73% below	80%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 EDN S/L FACE <= 2.5 CM	$104.03	$520.13	$52.48–$374.49	73% below	80%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 EDN S/L FACE <= 2.5 CM	$104.03	$520.13	$52.48–$374.49	73% below	80%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 ERD RPR LAC SMP FACE <2.5 CM	$135.90	$679.48	$52.48–$489.23	65% below	80%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 UCC ESLK RPR LAC SMP FACE <2.5 CM	$139.09	$695.45	$52.48–$500.72	64% below	80%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SISD S/L FACE <= 2.5 CM	$139.09	$695.45	$140.67–$367.89	64% below	80%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 EDE RP CMP EL/NSE/EAR/LIP <1.1	$69.35	$346.75	$52.48–$249.66	—	80%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 EDN RP CMP EL/NSE/EAR/LIP <1.1	$69.35	$346.75	$52.48–$249.66	—	80%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 ER S/L FACE <= 2.5 CM	$90.60	$452.98	$52.48–$326.15	—	80%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 SH EDE S/L FACE <= 2.5 CM	$99.07	$495.36	$52.48–$356.66	—	80%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 SH EDE RP CMP EL/NSE/EAR/LIP <1.1	$99.07	$495.36	$52.48–$356.66	—	80%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 SH EDE S/L FACE <= 2.5 CM	$99.07	$495.36	$52.48–$356.66	—	80%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 EDN S/L FACE <= 2.5 CM	$104.03	$520.13	$52.48–$374.49	—	80%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 EDE S/L FACE <= 2.5 CM	$104.03	$520.13	$52.48–$374.49	—	80%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 EDN S/L FACE <= 2.5 CM	$104.03	$520.13	$52.48–$374.49	—	80%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 EDE S/L FACE <= 2.5 CM	$104.03	$520.13	$52.48–$374.49	—	80%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 ERD RPR LAC SMP FACE <2.5 CM	$135.90	$679.48	$52.48–$489.23	—	80%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 SISD S/L FACE <= 2.5 CM	$139.09	$695.45	$140.67–$367.89	—	80%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 SISD BX TANGENTIAL SKIN	$139.09	$695.45	$367.89–$438.13	61% below	80%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 ZAT BX TANGENTIAL SKIN	$149.55	$747.75	$395.56–$471.08	58% below	80%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 CET BX TANGENTIAL SKIN	$149.55	$747.75	$395.56–$471.08	58% below	80%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 WST BX TANGENTIAL SKIN	$149.55	$747.75	$395.56–$471.08	58% below	80%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 NE BX TANGENTIAL SKIN	$149.55	$747.75	$395.56–$471.08	58% below	80%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 FAB BX TANGENTIAL SKIN	$149.55	$747.75	$35.32–$538.38	58% below	80%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 DPT BX TANGENTIAL SKIN	$149.55	$747.75	$395.56–$471.08	58% below	80%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 EST BX TANGENTIAL SKIN	$149.55	$747.75	$395.56–$471.08	58% below	80%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 SISD BX TANGENTIAL SKIN	$139.09	$695.45	$367.89–$438.13	—	80%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 ZAT BX TANGENTIAL SKIN	$149.55	$747.75	$395.56–$471.08	—	80%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 CET BX TANGENTIAL SKIN	$149.55	$747.75	$395.56–$471.08	—	80%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 NE BX TANGENTIAL SKIN	$149.55	$747.75	$395.56–$471.08	—	80%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 DPT BX TANGENTIAL SKIN	$149.55	$747.75	$395.56–$471.08	—	80%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 EST BX TANGENTIAL SKIN	$149.55	$747.75	$395.56–$471.08	—	80%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 WST BX TANGENTIAL SKIN	$149.55	$747.75	$395.56–$471.08	—	80%
Thoracentesis with imaging guidance CPT 32555 EDN THORACENT W/IMAGING GUI	$190.26	$951.30	$101.60–$684.94	87% below	80%
Thoracentesis with imaging guidance CPT 32555 ENDO THORA W/IMAGING GUID	$190.26	$951.30	$503.24–$599.32	87% below	80%
Thoracentesis with imaging guidance CPT 32555 MED THORACENTESIS W/IMAGING GUID	$190.26	$951.30	$503.24–$599.32	87% below	80%
Thoracentesis with imaging guidance CPT 32555 EDE THORACENT W/IMAGING GUI	$190.26	$951.30	$101.60–$684.94	87% below	80%
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W/IMAGING GUIDE	$403.66	$2,018.28	$1,067.67–$1,271.52	71% below	80%
Thoracentesis with imaging guidance CPT 32555 CCI THORACENTESIS W/IMAGING GUID	$403.66	$2,018.28	$1,271.52–$4,543.00	71% below	80%
Thoracentesis with imaging guidance CPT 32555 SH CCI THORACENTESIS W/IMAGING GUID	$403.66	$2,018.28	$101.60–$1,453.16	71% below	80%
Thoracentesis with imaging guidance CPT 32555 ER THORACENT W/IMAGING GUI	$403.66	$2,018.28	$101.60–$1,453.16	71% below	80%
Thoracentesis with imaging guidance inpatient CPT 32555 MED THORACENTESIS W/IMAGING GUID	$190.26	$951.30	$503.24–$599.32	—	80%
Thoracentesis with imaging guidance inpatient CPT 32555 ENDO THORA W/IMAGING GUID	$190.26	$951.30	$503.24–$599.32	—	80%
Thoracentesis with imaging guidance inpatient CPT 32555 EDE THORACENT W/IMAGING GUI	$190.26	$951.30	$101.60–$684.94	—	80%
Thoracentesis with imaging guidance inpatient CPT 32555 EDN THORACENT W/IMAGING GUI	$190.26	$951.30	$101.60–$684.94	—	80%
Thoracentesis with imaging guidance inpatient CPT 32555 SH CCI THORACENTESIS W/IMAGING GUID	$403.66	$2,018.28	$101.60–$1,453.16	—	80%
Thoracentesis with imaging guidance inpatient CPT 32555 CCI THORACENTESIS W/IMAGING GUID	$403.66	$2,018.28	$1,271.52–$4,543.00	—	80%
Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS W/IMAGING GUIDE	$403.66	$2,018.28	$1,067.67–$1,271.52	—	80%
Thoracentesis with imaging guidance inpatient CPT 32555 ER THORACENT W/IMAGING GUI	$403.66	$2,018.28	$101.60–$1,453.16	—	80%
Trigger finger release surgery CPT 26055 SH EDE INCISION TENDON SHEATH FGR	$601.90	$3,009.50	$279.32–$2,166.84	75% below	80%
Trigger finger release surgery CPT 26055 INCISION TENDON SHEATH FINGER	$632.00	$3,159.98	$279.32–$2,275.19	74% below	80%
Trigger finger release surgery CPT 26055 EDE INCISION TENDON SHEATH FGR	$632.00	$3,159.98	$279.32–$2,275.19	74% below	80%
Trigger finger release surgery CPT 26055 EDN INCISION TENDON SHEATH FGR	$632.00	$3,159.98	$279.32–$2,275.19	74% below	80%
Trigger finger release surgery inpatient CPT 26055 SH EDE INCISION TENDON SHEATH FGR	$601.90	$3,009.50	$279.32–$2,166.84	—	80%
Trigger finger release surgery inpatient CPT 26055 INCISION TENDON SHEATH FINGER	$632.00	$3,159.98	$279.32–$2,275.19	—	80%
Trigger finger release surgery inpatient CPT 26055 EDN INCISION TENDON SHEATH FGR	$632.00	$3,159.98	$279.32–$2,275.19	—	80%
Trigger finger release surgery inpatient CPT 26055 EDE INCISION TENDON SHEATH FGR	$632.00	$3,159.98	$279.32–$2,275.19	—	80%
Trigger point injections, 1 or 2 muscles CPT 20552 SH EDE INJ TRIGGR PT 1 2 MUSCLE S	$81.36	$406.80	$34.72–$292.90	82% below	80%
Trigger point injections, 1 or 2 muscles CPT 20552 EDN INJ TRIGGR PT 1 2 MUSCLE S	$85.43	$427.14	$34.72–$307.54	81% below	80%
Trigger point injections, 1 or 2 muscles CPT 20552 EDE INJ TRIGGR PT 1 2 MUSCLE S	$85.43	$427.14	$34.72–$307.54	81% below	80%
Trigger point injections, 1 or 2 muscles CPT 20552 USD INJ TRIGGER PT 1-2 MUSCLE(S)	$90.92	$454.60	$240.48–$286.40	79% below	80%
Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER PT 1-2 MUSCLE(S)	$91.47	$457.35	$241.94–$288.13	79% below	80%
Trigger point injections, 1 or 2 muscles CPT 20552 ER INJ TRIGGR PT 1 2 MUSCLE S	$136.38	$681.90	$34.72–$490.97	69% below	80%
Trigger point injections, 1 or 2 muscles CPT 20552 FAB INJ TRIGGER PT 1-2 MUSCLE(S)	$197.54	$987.70	$522.49–$622.25	55% below	80%
Trigger point injections, 1 or 2 muscles CPT 20552 WST INJ TRIG PT 1-2 MUSCLE	$197.54	$987.70	$522.49–$622.25	55% below	80%
Trigger point injections, 1 or 2 muscles CPT 20552 EST INJ TRIG PT 1-2 MUSCLE	$197.54	$987.70	$522.49–$622.25	55% below	80%
Trigger point injections, 1 or 2 muscles CPT 20552 NE INJ TRIG PT 1-2 MUSCLE	$197.54	$987.70	$522.49–$622.25	55% below	80%
Trigger point injections, 1 or 2 muscles CPT 20552 DPT INJ TRIG PT 1-2 MUSCLE	$197.54	$987.70	$522.49–$622.25	55% below	80%
Trigger point injections, 1 or 2 muscles CPT 20552 CET INJ TRIGGER PT 1-2 MUSCLES	$197.54	$987.70	$522.49–$622.25	55% below	80%
Trigger point injections, 1 or 2 muscles CPT 20552 YSL INJ TRIGGER PT 1-2 MUSCLE(S)	$197.54	$987.70	$522.49–$622.25	55% below	80%
Trigger point injections, 1 or 2 muscles CPT 20552 SISD INJ TRIG PT 1-2 MUSCLE	$206.63	$1,033.17	$546.55–$650.90	53% below	80%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 SH EDE INJ TRIGGR PT 1 2 MUSCLE S	$81.36	$406.80	$34.72–$292.90	—	80%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 EDN INJ TRIGGR PT 1 2 MUSCLE S	$85.43	$427.14	$34.72–$307.54	—	80%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 EDE INJ TRIGGR PT 1 2 MUSCLE S	$85.43	$427.14	$34.72–$307.54	—	80%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 USD INJ TRIGGER PT 1-2 MUSCLE(S)	$90.92	$454.60	$240.48–$286.40	—	80%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJ TRIGGER PT 1-2 MUSCLE(S)	$91.47	$457.35	$241.94–$288.13	—	80%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 ER INJ TRIGGR PT 1 2 MUSCLE S	$136.38	$681.90	$34.72–$490.97	—	80%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 FAB INJ TRIGGER PT 1-2 MUSCLE(S)	$197.54	$987.70	$522.49–$622.25	—	80%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 EST INJ TRIG PT 1-2 MUSCLE	$197.54	$987.70	$522.49–$622.25	—	80%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 DPT INJ TRIG PT 1-2 MUSCLE	$197.54	$987.70	$522.49–$622.25	—	80%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 NE INJ TRIG PT 1-2 MUSCLE	$197.54	$987.70	$522.49–$622.25	—	80%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 YSL INJ TRIGGER PT 1-2 MUSCLE(S)	$197.54	$987.70	$522.49–$622.25	—	80%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 CET INJ TRIGGER PT 1-2 MUSCLES	$197.54	$987.70	$522.49–$622.25	—	80%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 WST INJ TRIG PT 1-2 MUSCLE	$197.54	$987.70	$522.49–$622.25	—	80%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 SISD INJ TRIG PT 1-2 MUSCLE	$206.63	$1,033.17	$546.55–$650.90	—	80%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 MAM BX BREAST DVC US 1ST LESION	$1,115.64	$5,578.19	$2,950.86–$3,514.26	60% below	80%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 ER BX BREAST DVC US 1ST LESION	$1,115.64	$5,578.19	$143.61–$4,016.30	60% below	80%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BX BREAST DVC US 1ST LESION	$1,115.64	$5,578.19	$2,950.86–$3,514.26	60% below	80%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 ER BX BREAST DVC US 1ST LESION	$1,115.64	$5,578.19	$143.61–$4,016.30	—	80%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 MAM BX BREAST DVC US 1ST LESION	$1,115.64	$5,578.19	$2,950.86–$3,514.26	—	80%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 BX BREAST DVC US 1ST LESION	$1,115.64	$5,578.19	$2,950.86–$3,514.26	—	80%
Upper endoscopy (EGD) with injection into the lining CPT 43236 EGD W/INJ SUBMUCOSAL DRCT	$252.64	$1,263.19	$668.23–$795.81	65% below	80%
Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 EGD W/INJ SUBMUCOSAL DRCT	$252.64	$1,263.19	$668.23–$795.81	—	80%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 EGD W/DILAT ESOPH GD WIRE	$220.12	$1,100.60	$582.22–$693.38	70% below	80%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 EGD W/DILAT ESOPH GD WIRE	$220.12	$1,100.60	$582.22–$693.38	—	80%
Upper endoscopy (EGD), diagnostic CPT 43235 ERD DX W/BRUSHING/WASHING	$242.33	$1,211.64	$114.38–$921.87	83% below	80%
Upper endoscopy (EGD), diagnostic CPT 43235 SH EGD GI UPPER	$326.30	$1,631.52	$863.07–$1,027.86	78% below	80%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 ERD DX W/BRUSHING/WASHING	$242.33	$1,211.64	$114.38–$921.87	—	80%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 SH EGD GI UPPER	$326.30	$1,631.52	$863.07–$1,027.86	—	80%
Ureteroscopy with laser stone breaking and stent placement CPT 52356 ER CYSTO/PYELOSC INSERT STNT	$994.46	$4,972.28	$387.34–$4,998.52	81% below	80%
Ureteroscopy with laser stone breaking and stent placement CPT 52356 SH EDE CYSTO/PYELOSC INSERT STNT	$1,155.62	$5,778.08	$387.34–$4,998.52	78% below	80%
Ureteroscopy with laser stone breaking and stent placement CPT 52356 EDE CYSTO/PYELOSC INSERT STNT	$1,213.40	$6,066.98	$387.34–$4,998.52	77% below	80%
Ureteroscopy with laser stone breaking and stent placement CPT 52356 EDN CYSTO/PYELOSC INSERT STNT	$1,213.40	$6,066.98	$387.34–$4,998.52	77% below	80%
Ureteroscopy with laser stone breaking and stent placement inpatient CPT 52356 ER CYSTO/PYELOSC INSERT STNT	$994.46	$4,972.28	$387.34–$4,998.52	—	80%
Ureteroscopy with laser stone breaking and stent placement inpatient CPT 52356 SH EDE CYSTO/PYELOSC INSERT STNT	$1,155.62	$5,778.08	$387.34–$4,998.52	—	80%
Ureteroscopy with laser stone breaking and stent placement inpatient CPT 52356 EDE CYSTO/PYELOSC INSERT STNT	$1,213.40	$6,066.98	$387.34–$4,998.52	—	80%
Ureteroscopy with laser stone breaking and stent placement inpatient CPT 52356 EDN CYSTO/PYELOSC INSERT STNT	$1,213.40	$6,066.98	$387.34–$4,998.52	—	80%
Vaginal birth after cesarean (VBAC), including prenatal and postpartum care CPT 59610 DEL VAG W/ANTE/POST S/P C-SECT	$1,293.65	$6,468.26	$210.00–$4,657.15	84% below	80%
Vaginal birth after cesarean (VBAC), including prenatal and postpartum care CPT 59610 WST DEL VAG W/ANTE/POST S/P C-SECT	$1,358.33	$6,791.67	$210.00–$4,890.00	83% below	80%
Vaginal birth after cesarean (VBAC), including prenatal and postpartum care CPT 59610 ZAT DEL VAG W/ANTE/POST S/P C-SECT	$1,358.33	$6,791.67	$3,592.79–$4,278.75	83% below	80%
Vaginal birth after cesarean (VBAC), including prenatal and postpartum care CPT 59610 EST DEL VAG W/ANTE/POST S/P C-SECT	$1,358.33	$6,791.67	$210.00–$4,890.00	83% below	80%
Vaginal birth after cesarean (VBAC), including prenatal and postpartum care CPT 59610 FAB DEL VAG W/ANTE/POST S/P C-SECT	$1,358.33	$6,791.67	$210.00–$4,890.00	83% below	80%
Vaginal birth after cesarean (VBAC), including prenatal and postpartum care CPT 59610 DPT DEL VAG W/ANTE/POST S/P C-SECT	$1,358.33	$6,791.67	$210.00–$4,890.00	83% below	80%
Vaginal birth after cesarean (VBAC), including prenatal and postpartum care inpatient CPT 59610 ZAT DEL VAG W/ANTE/POST S/P C-SECT	$1,358.33	$6,791.67	$3,592.79–$4,278.75	—	80%
Vaginal delivery, including prenatal and postpartum care CPT 59400 DEL VAGINAL W/ANTE/POST CARE	$512.76	$2,563.81	$210.00–$2,289.53	81% below	80%
Vaginal delivery, including prenatal and postpartum care CPT 59400 FAB DEL VAGINAL W/ANTE/POST CARE	$538.40	$2,692.00	$210.00–$2,289.53	80% below	80%
Vaginal delivery, including prenatal and postpartum care CPT 59400 DPT DEL VAGINAL W/ANTE/POST CARE	$538.40	$2,692.00	$210.00–$2,289.53	80% below	80%
Vaginal delivery, including prenatal and postpartum care CPT 59400 WST DEL VAGINAL W/ANTE/POST CARE	$538.40	$2,692.00	$1,424.07–$1,695.96	80% below	80%
Vaginal delivery, including prenatal and postpartum care CPT 59400 ZAT DEL VAGINAL W/ANTE/POST CARE	$538.40	$2,692.00	$1,424.07–$1,695.96	80% below	80%
Vaginal delivery, including prenatal and postpartum care CPT 59400 EST DEL VAGINAL W/ANTE/POST CARE	$538.40	$2,692.00	$210.00–$2,289.53	80% below	80%
Vaginal delivery, including prenatal and postpartum care inpatient CPT 59400 ZAT DEL VAGINAL W/ANTE/POST CARE	$538.40	$2,692.00	$1,424.07–$1,695.96	—	80%
Vaginal delivery, including prenatal and postpartum care inpatient CPT 59400 WST DEL VAGINAL W/ANTE/POST CARE	$538.40	$2,692.00	$1,424.07–$1,695.96	—	80%
Vein ablation, radiofrequency, first vein CPT 36475 CT ABLAT EXTREM RADIOFREQ 1ST	$1,413.15	$7,065.75	$257.68–$5,087.34	66% below	80%
Vein ablation, radiofrequency, first vein CPT 36475 SH CCI ABLAT EXTREM RADIOFREQ BIL	$2,189.78	$10,948.90	$5,791.97–$6,897.81	47% below	80%
Vein ablation, radiofrequency, first vein inpatient CPT 36475 CT ABLAT EXTREM RADIOFREQ 1ST	$1,413.15	$7,065.75	$257.68–$5,087.34	—	80%
Vein ablation, radiofrequency, first vein inpatient CPT 36475 SH CCI ABLAT EXTREM RADIOFREQ BIL	$2,189.78	$10,948.90	$5,791.97–$6,897.81	—	80%
Wart removal, up to 14 warts CPT 17110 ESP DESTRUCT FLAT WART, 1-14 #PF#	$21.21	$106.05	$20.15–$210.00	89% below	80%
Wart removal, up to 14 warts CPT 17110 DPP DESTRUCT FLAT WART 1-14 #PF#	$21.21	$106.05	$20.15–$210.00	89% below	80%
Wart removal, up to 14 warts CPT 17110 YSL DESTRUCT FLAT WART 1-14 #PF#	$24.05	$120.23	$22.84–$210.00	88% below	80%
Wart removal, up to 14 warts CPT 17110 FAB DESTRUCT FLAT WART 1-14	$27.89	$139.47	$73.78–$140.67	86% below	80%
Wart removal, up to 14 warts CPT 17110 HPC DEST BENIGN LESION <15 #PF#	$35.03	$175.15	$33.28–$210.00	82% below	80%
Wart removal, up to 14 warts CPT 17110 CEP DEST BENIGN LESION <15 #PF#	$35.03	$175.15	$33.28–$210.00	82% below	80%
Wart removal, up to 14 warts CPT 17110 ER DESTRUCT BENIGN LESION	$38.98	$194.88	$37.03–$195.37	81% below	80%
Wart removal, up to 14 warts CPT 17110 EDE DESTRUCT BENIGN LESION	$38.98	$194.88	$37.03–$195.37	81% below	80%
Wart removal, up to 14 warts CPT 17110 SH DUP DEST BENIGN LESION <15	$39.96	$199.81	$37.96–$210.00	80% below	80%
Wart removal, up to 14 warts CPT 17110 EDN DESTRUCT BENIGN LESION	$44.92	$224.58	$42.67–$195.37	78% below	80%
Wart removal, up to 14 warts CPT 17110 SISD DESTRUCT FLAT WART, 1-14	$139.09	$695.45	$140.67–$367.89	30% below	80%
Wart removal, up to 14 warts inpatient CPT 17110 FAB DESTRUCT FLAT WART 1-14	$27.89	$139.47	$73.78–$140.67	—	80%
Wart removal, up to 14 warts inpatient CPT 17110 EDE DESTRUCT BENIGN LESION	$38.98	$194.88	$37.03–$195.37	—	80%
Wart removal, up to 14 warts inpatient CPT 17110 ER DESTRUCT BENIGN LESION	$38.98	$194.88	$37.03–$195.37	—	80%
Wart removal, up to 14 warts inpatient CPT 17110 EDN DESTRUCT BENIGN LESION	$44.92	$224.58	$42.67–$195.37	—	80%
Wart removal, up to 14 warts inpatient CPT 17110 SISD DESTRUCT FLAT WART, 1-14	$139.09	$695.45	$140.67–$367.89	—	80%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 SH EDE DEBRIDE SKIN/SUBQ TISSUE	$138.97	$694.84	$56.98–$500.28	86% below	80%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 EDN DEBRIDE SKIN/SUBQ TISSUE	$145.92	$729.58	$56.98–$525.30	86% below	80%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 EDE DEBRIDE SKIN/SUBQ TISSUE	$145.92	$729.58	$56.98–$525.30	86% below	80%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 FAB DEBR SKIN/SUBQ TIS FIRST 2	$145.92	$729.58	$56.98–$525.30	86% below	80%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 EPS DEBR SKN/SUBQNT TISSUE	$154.83	$774.13	$56.98–$557.37	85% below	80%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 ER DEBRIDE SKIN/SUBQ TISSUE 1S	$160.16	$800.82	$56.98–$576.59	84% below	80%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 SH CCI DEBR SKN/SUBQNT TISSUE	$222.16	$1,110.82	$56.98–$799.79	78% below	80%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 RWC DBRDMT SUBQ TIS 20C #PF#	$266.39	$1,331.96	$56.98–$959.01	74% below	80%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 WST DEBRD SKN/SUBQ TISSUE <20	$279.67	$1,398.35	$739.73–$880.96	72% below	80%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 EST DEBRD SKN/ SUBQ TISSUE <20	$279.67	$1,398.35	$739.73–$880.96	72% below	80%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 SH EDE DEBRIDE SKIN/SUBQ TISSUE	$138.97	$694.84	$56.98–$500.28	—	80%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 EDE DEBRIDE SKIN/SUBQ TISSUE	$145.92	$729.58	$56.98–$525.30	—	80%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 EDN DEBRIDE SKIN/SUBQ TISSUE	$145.92	$729.58	$56.98–$525.30	—	80%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 EPS DEBR SKN/SUBQNT TISSUE	$154.83	$774.13	$56.98–$557.37	—	80%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 ER DEBRIDE SKIN/SUBQ TISSUE 1S	$160.16	$800.82	$56.98–$576.59	—	80%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 SH CCI DEBR SKN/SUBQNT TISSUE	$222.16	$1,110.82	$56.98–$799.79	—	80%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 WST DEBRD SKN/SUBQ TISSUE <20	$279.67	$1,398.35	$739.73–$880.96	—	80%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 EST DEBRD SKN/ SUBQ TISSUE <20	$279.67	$1,398.35	$739.73–$880.96	—	80%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Texas	Off list
Blood transfusion (giving blood or blood components) CPT 36430 CICU BLOOD TRANSFUSION	$148.90	$744.49	$38.74–$1,415.00	81% below	80%
Blood transfusion (giving blood or blood components) CPT 36430 SH ESU BLOOD TRANSFUSION	$148.90	$744.49	$38.74–$1,415.00	81% below	80%
Blood transfusion (giving blood or blood components) CPT 36430 NSICU BLOOD TRANSFUSION	$148.90	$744.49	$38.74–$1,415.00	81% below	80%
Blood transfusion (giving blood or blood components) CPT 36430 SH EDE BLOOD TRANSFUSION	$148.90	$744.49	$38.74–$1,415.00	81% below	80%
Blood transfusion (giving blood or blood components) CPT 36430 SH TEL BLOOD TRANSFUSION	$148.90	$744.49	$38.74–$1,415.00	81% below	80%
Blood transfusion (giving blood or blood components) CPT 36430 TEL BLOOD TRANSFUSION	$148.90	$744.49	$38.74–$1,415.00	81% below	80%
Blood transfusion (giving blood or blood components) CPT 36430 OBSU BLOOD TRANSFUSION	$148.90	$744.49	$38.74–$1,415.00	81% below	80%
Blood transfusion (giving blood or blood components) CPT 36430 EDE BLOOD TRANSFUSION	$148.90	$744.49	$38.74–$1,415.00	81% below	80%
Blood transfusion (giving blood or blood components) CPT 36430 LND BLOOD TRANSFUSION	$148.90	$744.49	$38.74–$1,415.00	81% below	80%
Blood transfusion (giving blood or blood components) CPT 36430 ER BLOOD TRANSFUSION	$148.90	$744.49	$38.74–$1,415.00	81% below	80%
Blood transfusion (giving blood or blood components) CPT 36430 MED BLOOD TRANSFUSION	$148.90	$744.49	$38.74–$1,415.00	81% below	80%
Blood transfusion (giving blood or blood components) CPT 36430 INF BLOOD TRANSFUSION	$148.90	$744.49	$38.74–$1,415.00	81% below	80%
Blood transfusion (giving blood or blood components) CPT 36430 MSICU BLOOD TRANSFUSION	$148.90	$744.49	$38.74–$1,415.00	81% below	80%
Blood transfusion (giving blood or blood components) CPT 36430 ICU BLOOD TRANSFUSION	$148.90	$744.49	$38.74–$1,415.00	81% below	80%
Blood transfusion (giving blood or blood components) CPT 36430 TRAUMA BLOOD TRANSFUSION	$148.90	$744.49	$38.74–$1,415.00	81% below	80%
Blood transfusion (giving blood or blood components) CPT 36430 ESU BLOOD TRANSFUSION	$148.90	$744.49	$38.74–$1,415.00	81% below	80%
Blood transfusion (giving blood or blood components) CPT 36430 SUR BLOOD TRANSFUSION	$148.90	$744.49	$38.74–$1,415.00	81% below	80%
Blood transfusion (giving blood or blood components) CPT 36430 ACE BLOOD TRANSFUS	$148.90	$744.49	$38.74–$1,415.00	81% below	80%
Blood transfusion (giving blood or blood components) CPT 36430 EMU BLOOD TRANSFUSION	$148.90	$744.49	$38.74–$1,415.00	81% below	80%
Blood transfusion (giving blood or blood components) CPT 36430 EDN BLOOD TRANSFUSION	$148.90	$744.49	$38.74–$1,415.00	81% below	80%
Blood transfusion (giving blood or blood components) CPT 36430 NE INF INF BLOOD TRANSFUSION	$289.53	$1,447.63	$38.74–$1,415.00	62% below	80%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 CICU BLOOD TRANSFUSION	$148.90	$744.49	$38.74–$1,415.00	—	80%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 SH ESU BLOOD TRANSFUSION	$148.90	$744.49	$38.74–$1,415.00	—	80%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRAUMA BLOOD TRANSFUSION	$148.90	$744.49	$38.74–$1,415.00	—	80%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 MSICU BLOOD TRANSFUSION	$148.90	$744.49	$38.74–$1,415.00	—	80%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TEL BLOOD TRANSFUSION	$148.90	$744.49	$38.74–$1,415.00	—	80%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 SH EDE BLOOD TRANSFUSION	$148.90	$744.49	$38.74–$1,415.00	—	80%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 EMU BLOOD TRANSFUSION	$148.90	$744.49	$38.74–$1,415.00	—	80%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 SH TEL BLOOD TRANSFUSION	$148.90	$744.49	$38.74–$1,415.00	—	80%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 ICU BLOOD TRANSFUSION	$148.90	$744.49	$38.74–$1,415.00	—	80%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 OBSU BLOOD TRANSFUSION	$148.90	$744.49	$38.74–$1,415.00	—	80%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 ACE BLOOD TRANSFUS	$148.90	$744.49	$38.74–$1,415.00	—	80%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 EDE BLOOD TRANSFUSION	$148.90	$744.49	$38.74–$1,415.00	—	80%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 EDN BLOOD TRANSFUSION	$148.90	$744.49	$38.74–$1,415.00	—	80%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 LND BLOOD TRANSFUSION	$148.90	$744.49	$38.74–$1,415.00	—	80%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 ESU BLOOD TRANSFUSION	$148.90	$744.49	$38.74–$1,415.00	—	80%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 ER BLOOD TRANSFUSION	$148.90	$744.49	$38.74–$1,415.00	—	80%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 NSICU BLOOD TRANSFUSION	$148.90	$744.49	$38.74–$1,415.00	—	80%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 MED BLOOD TRANSFUSION	$148.90	$744.49	$38.74–$1,415.00	—	80%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 SUR BLOOD TRANSFUSION	$148.90	$744.49	$38.74–$1,415.00	—	80%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 INF BLOOD TRANSFUSION	$148.90	$744.49	$38.74–$1,415.00	—	80%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 NE INF INF BLOOD TRANSFUSION	$289.53	$1,447.63	$38.74–$1,415.00	—	80%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 SH RES SPUTUM INDUCTION TREATMENT	$17.73	$88.67	$7.32–$546.36	91% below	80%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 SH IPPB TREATMENT	$17.73	$88.67	$7.32–$546.36	91% below	80%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEBULIZER TREATMENT	$17.73	$88.67	$7.32–$546.36	91% below	80%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 SH AEROSOL CONTINUOUS/DAY	$17.73	$88.67	$7.32–$546.36	91% below	80%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 SH 77- DIFF MD AEROSOL MDI TX	$17.73	$88.67	$7.32–$546.36	91% below	80%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 SH 76 SAME MD AEROSOL CONT P/ DY	$17.73	$88.67	$7.32–$546.36	91% below	80%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 SH 76-SAME MD AEROSOL MDI TX	$17.73	$88.67	$7.32–$546.36	91% below	80%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 SH AEROSOL-MDI TREATMENT	$17.73	$88.67	$7.32–$546.36	91% below	80%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 CET NEBULIZER TREATMENT	$18.62	$93.10	$7.32–$546.36	91% below	80%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 SH 77 DIFF MD AEROSOL CONT / DY	$19.32	$96.60	$7.32–$546.36	90% below	80%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 SH MDI TREATMENT	$19.32	$96.60	$7.32–$546.36	90% below	80%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AEROSOL CONTINUOUS/DAY	$22.34	$111.72	$7.32–$546.36	89% below	80%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 WST NEBULIZER TREATMENT	$22.34	$111.72	$7.32–$546.36	89% below	80%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 EST NEBULIZER TREATMENT	$22.34	$111.72	$7.32–$546.36	89% below	80%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RES SPUTUM INDUCTION TREATMENT	$22.34	$111.72	$7.32–$546.36	89% below	80%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 IPPB TREATMENT	$22.34	$111.72	$7.32–$546.36	89% below	80%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 DPT NEBULIZER TREATMENT	$22.34	$111.72	$7.32–$546.36	89% below	80%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AEROSOL-MDI TREATMENT	$22.34	$111.72	$7.32–$546.36	89% below	80%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 LAB YSL NEBULIZER TREATMENT	$22.34	$111.72	$7.32–$546.36	89% below	80%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 76 SAME MD AEROSOL CONT P/ DY	$22.34	$111.72	$7.32–$546.36	89% below	80%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AEROSOL TX ACUTE	$22.34	$111.72	$7.32–$546.36	89% below	80%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 FAB NEBULIZER TREATMENT	$22.34	$111.72	$7.32–$546.36	89% below	80%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 SISD NEBULIZER TREATMENT	$142.37	$711.87	$7.32–$546.36	30% below	80%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 SH AEROSOL-MDI TREATMENT	$17.73	$88.67	$7.32–$546.36	—	80%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 SH IPPB TREATMENT	$17.73	$88.67	$7.32–$546.36	—	80%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 SH 76 SAME MD AEROSOL CONT P/ DY	$17.73	$88.67	$7.32–$546.36	—	80%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 SH 77- DIFF MD AEROSOL MDI TX	$17.73	$88.67	$7.32–$546.36	—	80%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 SH 76-SAME MD AEROSOL MDI TX	$17.73	$88.67	$7.32–$546.36	—	80%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 SH RES SPUTUM INDUCTION TREATMENT	$17.73	$88.67	$7.32–$546.36	—	80%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 NEBULIZER TREATMENT	$17.73	$88.67	$7.32–$546.36	—	80%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 SH AEROSOL CONTINUOUS/DAY	$17.73	$88.67	$7.32–$546.36	—	80%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 CET NEBULIZER TREATMENT	$18.62	$93.10	$7.32–$546.36	—	80%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 SH MDI TREATMENT	$19.32	$96.60	$7.32–$546.36	—	80%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 SH 77 DIFF MD AEROSOL CONT / DY	$19.32	$96.60	$7.32–$546.36	—	80%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AEROSOL-MDI TREATMENT	$22.34	$111.72	$7.32–$546.36	—	80%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RES SPUTUM INDUCTION TREATMENT	$22.34	$111.72	$7.32–$546.36	—	80%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 DPT NEBULIZER TREATMENT	$22.34	$111.72	$7.32–$546.36	—	80%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 FAB NEBULIZER TREATMENT	$22.34	$111.72	$7.32–$546.36	—	80%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 LAB YSL NEBULIZER TREATMENT	$22.34	$111.72	$7.32–$546.36	—	80%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AEROSOL TX ACUTE	$22.34	$111.72	$7.32–$546.36	—	80%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 EST NEBULIZER TREATMENT	$22.34	$111.72	$7.32–$546.36	—	80%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AEROSOL CONTINUOUS/DAY	$22.34	$111.72	$7.32–$546.36	—	80%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 WST NEBULIZER TREATMENT	$22.34	$111.72	$7.32–$546.36	—	80%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 IPPB TREATMENT	$22.34	$111.72	$7.32–$546.36	—	80%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 76 SAME MD AEROSOL CONT P/ DY	$22.34	$111.72	$7.32–$546.36	—	80%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 SISD NEBULIZER TREATMENT	$142.37	$711.87	$7.32–$546.36	—	80%
Chemotherapy IV infusion, first hour CPT 96413 MED CHEMO IV INFUSION SGL INIT 1 H	$110.26	$551.31	$104.75–$548.00	80% below	80%
Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV INFUSION SGL INIT 1H	$119.45	$597.27	$113.48–$548.00	78% below	80%
Chemotherapy IV infusion, first hour inpatient CPT 96413 MED CHEMO IV INFUSION SGL INIT 1 H	$110.26	$551.31	$104.75–$548.00	—	80%
Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO IV INFUSION SGL INIT 1H	$119.45	$597.27	$113.48–$548.00	—	80%
Critical care, first 30 to 74 minutes CPT 99291 EDE CRITICAL CARE	$991.96	$4,959.81	$200.37–$3,495.00	61% below	80%
Critical care, first 30 to 74 minutes CPT 99291 EDN CRITICAL CARE	$991.96	$4,959.81	$200.37–$3,495.00	61% below	80%
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE	$991.96	$4,959.81	$200.37–$3,495.00	61% below	80%
Critical care, first 30 to 74 minutes CPT 99291 SH EDE CRITICAL CARE	$1,570.07	$7,850.33	$200.37–$5,181.22	38% below	80%
Critical care, first 30 to 74 minutes inpatient CPT 99291 EDE CRITICAL CARE	$991.96	$4,959.81	$200.37–$3,495.00	—	80%
Critical care, first 30 to 74 minutes inpatient CPT 99291 EDN CRITICAL CARE	$991.96	$4,959.81	$200.37–$3,495.00	—	80%
Critical care, first 30 to 74 minutes inpatient CPT 99291 CRITICAL CARE	$991.96	$4,959.81	$200.37–$3,495.00	—	80%
Critical care, first 30 to 74 minutes inpatient CPT 99291 SH EDE CRITICAL CARE	$1,570.07	$7,850.33	$200.37–$5,181.22	—	80%
EEG (brain wave test), awake and drowsy, routine CPT 95816 EMR EEG AWAKE/DROWSY	$181.04	$905.22	$171.99–$922.66	80% below	80%
EEG (brain wave test), awake and drowsy, routine CPT 95816 EDN EEG AWKE/DRWSY	$181.04	$905.22	$171.99–$922.66	80% below	80%
EEG (brain wave test), awake and drowsy, routine CPT 95816 EDE EEG AWKE/DRWSY	$181.04	$905.22	$171.99–$922.66	80% below	80%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EMR EEG AWAKE/DROWSY	$181.04	$905.22	$171.99–$922.66	—	80%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EDN EEG AWKE/DRWSY	$181.04	$905.22	$171.99–$922.66	—	80%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EDE EEG AWKE/DRWSY	$181.04	$905.22	$171.99–$922.66	—	80%
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 FAB PF EKG ROUTINE	$9.41	$47.04	$8.94–$75.43	93% below	80%
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 UTP EKG ROUTINE #PF#	$9.41	$47.04	$8.94–$100.00	93% below	80%
Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 UTP EKG ROUTINE #PF#	$9.41	$47.04	$8.94–$100.00	—	80%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 SISD EKG ROUTINE	$41.58	$207.90	$5.79–$163.38	85% below	80%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 CET EKG	$43.65	$218.26	$5.79–$163.38	84% below	80%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 SH 18 LEAD EKG	$53.47	$267.34	$5.79–$176.44	80% below	80%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EDN EKG ROUTINE	$56.14	$280.70	$5.79–$185.26	79% below	80%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ER EKG ROUTINE	$56.14	$280.70	$5.79–$185.26	79% below	80%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EDE EKG ROUTINE	$56.83	$284.17	$5.79–$187.55	79% below	80%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 SH EKG ROUTINE TEST	$67.66	$338.30	$5.79–$223.28	75% below	80%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG ROUTINE TEST	$71.04	$355.22	$5.79–$234.45	74% below	80%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 SISD EKG ROUTINE	$41.58	$207.90	$5.79–$163.38	—	80%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 CET EKG	$43.65	$218.26	$5.79–$163.38	—	80%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 SH 18 LEAD EKG	$53.47	$267.34	$5.79–$176.44	—	80%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ER EKG ROUTINE	$56.14	$280.70	$5.79–$185.26	—	80%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EDN EKG ROUTINE	$56.14	$280.70	$5.79–$185.26	—	80%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EDE EKG ROUTINE	$56.83	$284.17	$5.79–$187.55	—	80%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 SH EKG ROUTINE TEST	$67.66	$338.30	$5.79–$223.28	—	80%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG ROUTINE TEST	$71.04	$355.22	$5.79–$234.45	—	80%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 SH EDE LWBS W PX	$22.93	$114.66	$10.81–$615.00	90% below	80%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EDN TRIAGE ONLY	$24.08	$120.39	$10.81–$615.00	90% below	80%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER TRIAGE ONLY	$24.08	$120.39	$10.81–$615.00	90% below	80%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EDE TRIAGE ONLY	$24.08	$120.39	$10.81–$615.00	90% below	80%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EDN ACUITY LEVEL V	$24.08	$120.39	$10.81–$615.00	90% below	80%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EDE ACUITY LEVEL V	$24.08	$120.39	$10.81–$615.00	90% below	80%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 SH EDE TRIAGE ONLY	$24.08	$120.39	$10.81–$615.00	90% below	80%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ACUITY LEVEL V	$25.90	$129.51	$10.81–$615.00	89% below	80%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 SH EDE ACUITY LEVEL I	$71.15	$355.74	$10.81–$615.00	70% below	80%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 SH EDE LWBS W PX	$22.93	$114.66	$10.81–$615.00	—	80%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 EDE ACUITY LEVEL V	$24.08	$120.39	$10.81–$615.00	—	80%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 EDE TRIAGE ONLY	$24.08	$120.39	$10.81–$615.00	—	80%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 SH EDE TRIAGE ONLY	$24.08	$120.39	$10.81–$615.00	—	80%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ER TRIAGE ONLY	$24.08	$120.39	$10.81–$615.00	—	80%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 EDN ACUITY LEVEL V	$24.08	$120.39	$10.81–$615.00	—	80%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 EDN TRIAGE ONLY	$24.08	$120.39	$10.81–$615.00	—	80%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ACUITY LEVEL V	$25.90	$129.51	$10.81–$615.00	—	80%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 SH EDE ACUITY LEVEL I	$71.15	$355.74	$10.81–$615.00	—	80%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 LND OB TRIAGE 99282	$171.58	$857.92	$39.46–$615.00	61% below	80%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 SH EDE ACUITY LEVEL II	$225.20	$1,126.02	$39.46–$743.17	48% below	80%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EDE ACUITY LEVEL IV	$225.20	$1,126.02	$39.46–$743.17	48% below	80%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EDN ACUITY LEVEL IV	$225.20	$1,126.02	$39.46–$743.17	48% below	80%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ACUITY LEVEL IV	$225.20	$1,126.02	$39.46–$743.17	48% below	80%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 LND OB TRIAGE 99282	$171.58	$857.92	$39.46–$615.00	—	80%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 EDN ACUITY LEVEL IV	$225.20	$1,126.02	$39.46–$743.17	—	80%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 SH EDE ACUITY LEVEL II	$225.20	$1,126.02	$39.46–$743.17	—	80%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ACUITY LEVEL IV	$225.20	$1,126.02	$39.46–$743.17	—	80%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 EDE ACUITY LEVEL IV	$225.20	$1,126.02	$39.46–$743.17	—	80%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 TRAUMA LEVEL III	$299.01	$1,495.07	$67.16–$986.75	61% below	80%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 LND OB TRIAGE 99283	$300.63	$1,503.14	$67.16–$992.07	61% below	80%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 TRAUMA LEVEL III FULL ACT	$368.13	$1,840.63	$67.16–$1,214.82	52% below	80%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 SH EDE ACUITY LEVEL III	$394.57	$1,972.87	$67.16–$1,302.09	49% below	80%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ACUITY LEVEL III	$394.57	$1,972.87	$67.16–$1,302.09	49% below	80%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 TRAUMA LEVEL III PARTIAL	$394.57	$1,972.87	$67.16–$1,302.09	49% below	80%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EDN ACUITY LEVEL III	$394.57	$1,972.87	$67.16–$1,302.09	49% below	80%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EDE ACUITY LEVEL III	$394.57	$1,972.87	$67.16–$1,302.09	49% below	80%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 TRAUMA LEVEL III EVAL	$394.57	$1,972.87	$67.16–$1,302.09	49% below	80%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 TRAUMA LEVEL III	$299.01	$1,495.07	$67.16–$986.75	—	80%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 LND OB TRIAGE 99283	$300.63	$1,503.14	$67.16–$992.07	—	80%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 TRAUMA LEVEL III FULL ACT	$368.13	$1,840.63	$67.16–$1,214.82	—	80%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 EDE ACUITY LEVEL III	$394.57	$1,972.87	$67.16–$1,302.09	—	80%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 SH EDE ACUITY LEVEL III	$394.57	$1,972.87	$67.16–$1,302.09	—	80%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 TRAUMA LEVEL III PARTIAL	$394.57	$1,972.87	$67.16–$1,302.09	—	80%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ACUITY LEVEL III	$394.57	$1,972.87	$67.16–$1,302.09	—	80%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 TRAUMA LEVEL III EVAL	$394.57	$1,972.87	$67.16–$1,302.09	—	80%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 EDN ACUITY LEVEL III	$394.57	$1,972.87	$67.16–$1,302.09	—	80%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 LND OB TRIAGE 99284	$354.36	$1,771.82	$114.30–$1,525.00	73% below	80%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 TRAUMA LEVEL II WITH FULL ACT	$465.10	$2,325.51	$114.30–$1,534.84	64% below	80%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EDN ACUITY LEVEL II	$465.10	$2,325.51	$114.30–$1,534.84	64% below	80%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 TRAUMA LEVEL II EVAL	$465.10	$2,325.51	$114.30–$1,534.84	64% below	80%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 TRAUMA LEVEL II PARTIAL	$465.10	$2,325.51	$114.30–$1,534.84	64% below	80%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ACUITY LEVEL II	$465.10	$2,325.51	$114.30–$1,534.84	64% below	80%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EDE ACUITY LEVEL II	$465.10	$2,325.51	$114.30–$1,534.84	64% below	80%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 TRAUMA LEVEL II	$500.79	$2,503.95	$114.30–$1,652.61	61% below	80%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 SH EDE ACUITY LEVEL IV	$595.35	$2,976.75	$114.30–$1,964.66	54% below	80%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 LND OB TRIAGE 99284	$354.36	$1,771.82	$114.30–$1,525.00	—	80%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 TRAUMA LEVEL II EVAL	$465.10	$2,325.51	$114.30–$1,534.84	—	80%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ACUITY LEVEL II	$465.10	$2,325.51	$114.30–$1,534.84	—	80%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 EDN ACUITY LEVEL II	$465.10	$2,325.51	$114.30–$1,534.84	—	80%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 TRAUMA LEVEL II WITH FULL ACT	$465.10	$2,325.51	$114.30–$1,534.84	—	80%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 TRAUMA LEVEL II PARTIAL	$465.10	$2,325.51	$114.30–$1,534.84	—	80%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 EDE ACUITY LEVEL II	$465.10	$2,325.51	$114.30–$1,534.84	—	80%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 TRAUMA LEVEL II	$500.79	$2,503.95	$114.30–$1,652.61	—	80%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 SH EDE ACUITY LEVEL IV	$595.35	$2,976.75	$114.30–$1,964.66	—	80%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 LND OB TRIAGE 99285	$780.25	$3,901.23	$165.63–$2,574.81	56% below	80%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EDN ACUITY LEVEL I	$1,024.07	$5,120.37	$165.63–$3,379.44	42% below	80%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 TRAUMA LEVEL I WITH PARTIAL	$1,024.07	$5,120.37	$165.63–$3,379.44	42% below	80%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ACUITY LEVEL I	$1,024.07	$5,120.37	$165.63–$3,379.44	42% below	80%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 TRAUMA LEVEL I WITH FULL ACT	$1,024.07	$5,120.37	$165.63–$3,379.44	42% below	80%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EDE ACUITY LEVEL I	$1,024.07	$5,120.37	$165.63–$3,379.44	42% below	80%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 SH EDE ACUITY LEVEL V	$1,375.19	$6,875.93	$165.63–$4,538.11	23% below	80%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 TRAUMA LEVEL I	$1,516.14	$7,580.72	$165.63–$5,003.28	15% below	80%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 TRAUMA LEVEL I WITH EVAL	$1,516.14	$7,580.72	$165.63–$5,003.28	15% below	80%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 LND OB TRIAGE 99285	$780.25	$3,901.23	$165.63–$2,574.81	—	80%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 TRAUMA LEVEL I WITH PARTIAL	$1,024.07	$5,120.37	$165.63–$3,379.44	—	80%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 EDN ACUITY LEVEL I	$1,024.07	$5,120.37	$165.63–$3,379.44	—	80%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 TRAUMA LEVEL I WITH FULL ACT	$1,024.07	$5,120.37	$165.63–$3,379.44	—	80%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ACUITY LEVEL I	$1,024.07	$5,120.37	$165.63–$3,379.44	—	80%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 EDE ACUITY LEVEL I	$1,024.07	$5,120.37	$165.63–$3,379.44	—	80%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 SH EDE ACUITY LEVEL V	$1,375.19	$6,875.93	$165.63–$4,538.11	—	80%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 TRAUMA LEVEL I WITH EVAL	$1,516.14	$7,580.72	$165.63–$5,003.28	—	80%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 TRAUMA LEVEL I	$1,516.14	$7,580.72	$165.63–$5,003.28	—	80%
Exercise stress test, tracing only, the hospital charge CPT 93017 SH UM REG BRUCE STRESS TEST	$231.27	$1,156.33	$34.46–$763.18	82% below	80%
Exercise stress test, tracing only, the hospital charge CPT 93017 UM REG BRUCE STRESS TEST	$272.33	$1,361.65	$34.46–$898.69	78% below	80%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 SH UM REG BRUCE STRESS TEST	$231.27	$1,156.33	$34.46–$763.18	—	80%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 UM REG BRUCE STRESS TEST	$272.33	$1,361.65	$34.46–$898.69	—	80%
Family therapy without the patient, 50 minutes CPT 90846 ZAR PSYCH THRPY FAMILY W/O PT #PF#	$42.75	$213.74	$40.61–$210.00	83% below	80%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 EDN IV INFS THPY FLD INTL 31-1H	$82.54	$412.71	$29.90–$3,354.08	81% below	80%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 UCC ESLK IV INFS THPY FLD INTL 31-1H	$82.54	$412.71	$29.90–$260.01	81% below	80%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 ER IV INFS THPY FLD INTL 31-1H	$82.54	$412.71	$29.90–$3,354.08	81% below	80%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 EDE IV INFS THPY FLD INTL 31-1H	$82.54	$412.71	$29.90–$3,354.08	81% below	80%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 TEL IV INFS THPY FLD INTL 31MN-1HR	$101.06	$505.32	$29.90–$3,354.08	77% below	80%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 SH EDE IV INFS THPY FLD INTL 31-1H	$109.97	$549.85	$29.90–$3,354.08	75% below	80%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 MED IV INFS THPY FLD INTL 31MN-1HR	$145.49	$727.44	$29.90–$3,354.08	67% below	80%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 ESUR IV INFUS HYD INIT 31MIN-1HR	$145.49	$727.43	$29.90–$3,354.08	67% below	80%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 SUR IV INFUS HYD INIT 31MIN-1HR	$145.49	$727.43	$29.90–$3,354.08	67% below	80%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 ACE IV INFUS HYD INIT 31MIN-1HR	$145.49	$727.43	$29.90–$3,354.08	67% below	80%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 EDN IV INFS THPY FLD INTL 31-1H	$82.54	$412.71	$29.90–$3,354.08	—	80%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 EDE IV INFS THPY FLD INTL 31-1H	$82.54	$412.71	$29.90–$3,354.08	—	80%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 ER IV INFS THPY FLD INTL 31-1H	$82.54	$412.71	$29.90–$3,354.08	—	80%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 TEL IV INFS THPY FLD INTL 31MN-1HR	$101.06	$505.32	$29.90–$3,354.08	—	80%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 SH EDE IV INFS THPY FLD INTL 31-1H	$109.97	$549.85	$29.90–$3,354.08	—	80%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 ESUR IV INFUS HYD INIT 31MIN-1HR	$145.49	$727.43	$29.90–$3,354.08	—	80%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 SUR IV INFUS HYD INIT 31MIN-1HR	$145.49	$727.43	$29.90–$3,354.08	—	80%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 ACE IV INFUS HYD INIT 31MIN-1HR	$145.49	$727.43	$29.90–$3,354.08	—	80%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 MED IV INFS THPY FLD INTL 31MN-1HR	$145.49	$727.44	$29.90–$3,354.08	—	80%
IV infusion of a medicine, first hour CPT 96365 IV INFUS. THERAPY, 1 HR	$59.03	$295.16	$57.72–$3,354.08	87% below	80%
IV infusion of a medicine, first hour CPT 96365 IV INFUSION <= 1HR	$59.12	$295.61	$57.72–$3,354.08	87% below	80%
IV infusion of a medicine, first hour CPT 96365 SH EDE IV INFS THPYPROPH//DX INTL	$62.79	$313.96	$57.72–$216.22	86% below	80%
IV infusion of a medicine, first hour CPT 96365 WST IV INFUS. THERAPY, 1 HR	$65.94	$329.70	$57.72–$3,354.08	85% below	80%
IV infusion of a medicine, first hour CPT 96365 EMU IV INFUSI INTL	$70.14	$350.70	$57.72–$3,354.08	84% below	80%
IV infusion of a medicine, first hour CPT 96365 FAB IV INFUS. THERAPY 1 HR	$70.14	$350.70	$57.72–$3,354.08	84% below	80%
IV infusion of a medicine, first hour CPT 96365 UCC ESLK IV INFUS THPYPROPH/DX INTL	$70.14	$350.70	$57.72–$220.94	84% below	80%
IV infusion of a medicine, first hour CPT 96365 YSL IV INFUS. THERAPY 1 HR	$70.14	$350.70	$57.72–$3,354.08	84% below	80%
IV infusion of a medicine, first hour CPT 96365 UTC IV INFUS THERAPY 1 HR	$70.14	$350.70	$57.72–$3,354.08	84% below	80%
IV infusion of a medicine, first hour CPT 96365 DPT IV INFUS. THERAPY 1 HR	$70.14	$350.70	$57.72–$3,354.08	84% below	80%
IV infusion of a medicine, first hour CPT 96365 SH TEL IV INFUS THPYPROPH//DX INTL UP	$70.91	$354.57	$57.72–$3,354.08	84% below	80%
IV infusion of a medicine, first hour CPT 96365 EDE IV INFS THPYPROPH//DX INTL	$73.86	$369.29	$57.72–$243.73	84% below	80%
IV infusion of a medicine, first hour CPT 96365 EDN IV INFS THPYPROPH//DX INTL	$73.86	$369.29	$57.72–$243.73	84% below	80%
IV infusion of a medicine, first hour CPT 96365 IV INFUSION THERAPY	$73.90	$369.51	$57.72–$3,354.08	84% below	80%
IV infusion of a medicine, first hour CPT 96365 END IV INFUS THPY/PROPH/DX INTL UP	$73.90	$369.51	$57.72–$3,354.08	84% below	80%
IV infusion of a medicine, first hour CPT 96365 CICU IV INFUS INITIAL	$73.90	$369.51	$57.72–$3,354.08	84% below	80%
IV infusion of a medicine, first hour CPT 96365 TEL IV INFUS THPYPROPH//DX INTL UP	$73.90	$369.51	$57.72–$3,354.08	84% below	80%
IV infusion of a medicine, first hour CPT 96365 SUR IV INFUS INS	$73.90	$369.51	$57.72–$3,354.08	84% below	80%
IV infusion of a medicine, first hour CPT 96365 ANTE IV THPY MN SVCE>15<91MIN	$73.90	$369.51	$57.72–$3,354.08	84% below	80%
IV infusion of a medicine, first hour CPT 96365 ESUR IV INFU INTL	$73.90	$369.51	$57.72–$3,354.08	84% below	80%
IV infusion of a medicine, first hour CPT 96365 MB-IV THPY MAIN SVCE >15 MIN	$73.90	$369.51	$57.72–$3,354.08	84% below	80%
IV infusion of a medicine, first hour CPT 96365 NSICU IV INFUSI INTL	$73.90	$369.51	$57.72–$3,354.08	84% below	80%
IV infusion of a medicine, first hour CPT 96365 OBSU IV INF THPYPROPH//DX INTL	$73.90	$369.51	$57.72–$3,354.08	84% below	80%
IV infusion of a medicine, first hour CPT 96365 ACE-IV INF INITIAL	$73.90	$369.51	$57.72–$3,354.08	84% below	80%
IV infusion of a medicine, first hour CPT 96365 EST IV INFUS. THERAPY, 1 HR	$73.90	$369.51	$57.72–$3,354.08	84% below	80%
IV infusion of a medicine, first hour CPT 96365 TRA/ORTHO IV INFUS INITIAL	$73.90	$369.51	$57.72–$3,354.08	84% below	80%
IV infusion of a medicine, first hour CPT 96365 ER IV INFUS THPYPROPH//DX INTL	$73.90	$369.51	$57.72–$243.88	84% below	80%
IV infusion of a medicine, first hour CPT 96365 MED IV INFUS THPYPROPH//DX INTL UP	$73.90	$369.51	$57.72–$3,354.08	84% below	80%
IV infusion of a medicine, first hour CPT 96365 ICU IV INFUSION INITIAL	$73.90	$369.51	$57.72–$3,354.08	84% below	80%
IV infusion of a medicine, first hour CPT 96365 MSICU IV INFUSION INITIAL	$73.90	$369.51	$57.72–$3,354.08	84% below	80%
IV infusion of a medicine, first hour CPT 96365 INF IV INFUS THPYPROPH//DX INTL UP	$75.03	$375.17	$57.72–$3,354.08	83% below	80%
IV infusion of a medicine, first hour CPT 96365 SMU IV INFUSI INTL	$75.60	$378.00	$57.72–$3,354.08	83% below	80%
IV infusion of a medicine, first hour CPT 96365 SH ESUR IV INFU INTL	$85.10	$425.48	$57.72–$3,354.08	81% below	80%
IV infusion of a medicine, first hour CPT 96365 IV INFUSION >1 TO 4HRS	$88.68	$443.41	$57.72–$3,354.08	80% below	80%
IV infusion of a medicine, first hour CPT 96365 SH END IV INFUS THPY/PROPH/DX INTL UP	$99.20	$496.00	$149.16–$262.38	78% below	80%
IV infusion of a medicine, first hour CPT 96365 VAS IV INFUS THPYPROPH//DX INTL UP	$101.78	$508.90	$57.72–$3,354.08	77% below	80%
IV infusion of a medicine, first hour CPT 96365 ASU IV INFUS THPY/PROPH/DX INTL UP	$115.45	$577.23	$57.72–$3,354.08	74% below	80%
IV infusion of a medicine, first hour CPT 96365 NE INF IV INFUSION <= 1HR	$142.95	$714.77	$57.72–$3,354.08	68% below	80%
IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUS. THERAPY, 1 HR	$59.03	$295.16	$57.72–$3,354.08	—	80%
IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION <= 1HR	$59.12	$295.61	$57.72–$3,354.08	—	80%
IV infusion of a medicine, first hour inpatient CPT 96365 SH EDE IV INFS THPYPROPH//DX INTL	$62.79	$313.96	$57.72–$216.22	—	80%
IV infusion of a medicine, first hour inpatient CPT 96365 WST IV INFUS. THERAPY, 1 HR	$65.94	$329.70	$57.72–$3,354.08	—	80%
IV infusion of a medicine, first hour inpatient CPT 96365 EMU IV INFUSI INTL	$70.14	$350.70	$57.72–$3,354.08	—	80%
IV infusion of a medicine, first hour inpatient CPT 96365 DPT IV INFUS. THERAPY 1 HR	$70.14	$350.70	$57.72–$3,354.08	—	80%
IV infusion of a medicine, first hour inpatient CPT 96365 FAB IV INFUS. THERAPY 1 HR	$70.14	$350.70	$57.72–$3,354.08	—	80%
IV infusion of a medicine, first hour inpatient CPT 96365 YSL IV INFUS. THERAPY 1 HR	$70.14	$350.70	$57.72–$3,354.08	—	80%
IV infusion of a medicine, first hour inpatient CPT 96365 UTC IV INFUS THERAPY 1 HR	$70.14	$350.70	$57.72–$3,354.08	—	80%
IV infusion of a medicine, first hour inpatient CPT 96365 SH TEL IV INFUS THPYPROPH//DX INTL UP	$70.91	$354.57	$57.72–$3,354.08	—	80%
IV infusion of a medicine, first hour inpatient CPT 96365 EDE IV INFS THPYPROPH//DX INTL	$73.86	$369.29	$57.72–$243.73	—	80%
IV infusion of a medicine, first hour inpatient CPT 96365 EDN IV INFS THPYPROPH//DX INTL	$73.86	$369.29	$57.72–$243.73	—	80%
IV infusion of a medicine, first hour inpatient CPT 96365 MSICU IV INFUSION INITIAL	$73.90	$369.51	$57.72–$3,354.08	—	80%
IV infusion of a medicine, first hour inpatient CPT 96365 ESUR IV INFU INTL	$73.90	$369.51	$57.72–$3,354.08	—	80%
IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION THERAPY	$73.90	$369.51	$57.72–$3,354.08	—	80%
IV infusion of a medicine, first hour inpatient CPT 96365 ER IV INFUS THPYPROPH//DX INTL	$73.90	$369.51	$57.72–$243.88	—	80%
IV infusion of a medicine, first hour inpatient CPT 96365 ACE-IV INF INITIAL	$73.90	$369.51	$57.72–$3,354.08	—	80%
IV infusion of a medicine, first hour inpatient CPT 96365 OBSU IV INF THPYPROPH//DX INTL	$73.90	$369.51	$57.72–$3,354.08	—	80%
IV infusion of a medicine, first hour inpatient CPT 96365 NSICU IV INFUSI INTL	$73.90	$369.51	$57.72–$3,354.08	—	80%
IV infusion of a medicine, first hour inpatient CPT 96365 END IV INFUS THPY/PROPH/DX INTL UP	$73.90	$369.51	$57.72–$3,354.08	—	80%
IV infusion of a medicine, first hour inpatient CPT 96365 CICU IV INFUS INITIAL	$73.90	$369.51	$57.72–$3,354.08	—	80%
IV infusion of a medicine, first hour inpatient CPT 96365 TEL IV INFUS THPYPROPH//DX INTL UP	$73.90	$369.51	$57.72–$3,354.08	—	80%
IV infusion of a medicine, first hour inpatient CPT 96365 ANTE IV THPY MN SVCE>15<91MIN	$73.90	$369.51	$57.72–$3,354.08	—	80%
IV infusion of a medicine, first hour inpatient CPT 96365 MED IV INFUS THPYPROPH//DX INTL UP	$73.90	$369.51	$57.72–$3,354.08	—	80%
IV infusion of a medicine, first hour inpatient CPT 96365 TRA/ORTHO IV INFUS INITIAL	$73.90	$369.51	$57.72–$3,354.08	—	80%
IV infusion of a medicine, first hour inpatient CPT 96365 ICU IV INFUSION INITIAL	$73.90	$369.51	$57.72–$3,354.08	—	80%
IV infusion of a medicine, first hour inpatient CPT 96365 EST IV INFUS. THERAPY, 1 HR	$73.90	$369.51	$57.72–$3,354.08	—	80%
IV infusion of a medicine, first hour inpatient CPT 96365 SUR IV INFUS INS	$73.90	$369.51	$57.72–$3,354.08	—	80%
IV infusion of a medicine, first hour inpatient CPT 96365 MB-IV THPY MAIN SVCE >15 MIN	$73.90	$369.51	$57.72–$3,354.08	—	80%
IV infusion of a medicine, first hour inpatient CPT 96365 INF IV INFUS THPYPROPH//DX INTL UP	$75.03	$375.17	$57.72–$3,354.08	—	80%
IV infusion of a medicine, first hour inpatient CPT 96365 SMU IV INFUSI INTL	$75.60	$378.00	$57.72–$3,354.08	—	80%
IV infusion of a medicine, first hour inpatient CPT 96365 SH ESUR IV INFU INTL	$85.10	$425.48	$57.72–$3,354.08	—	80%
IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION >1 TO 4HRS	$88.68	$443.41	$57.72–$3,354.08	—	80%
IV infusion of a medicine, first hour inpatient CPT 96365 SH END IV INFUS THPY/PROPH/DX INTL UP	$99.20	$496.00	$149.16–$262.38	—	80%
IV infusion of a medicine, first hour inpatient CPT 96365 VAS IV INFUS THPYPROPH//DX INTL UP	$101.78	$508.90	$57.72–$3,354.08	—	80%
IV infusion of a medicine, first hour inpatient CPT 96365 ASU IV INFUS THPY/PROPH/DX INTL UP	$115.45	$577.23	$57.72–$3,354.08	—	80%
IV infusion of a medicine, first hour inpatient CPT 96365 NE INF IV INFUSION <= 1HR	$142.95	$714.77	$57.72–$3,354.08	—	80%
IV push of a medicine, first drug CPT 96374 ICN INJECTION IV	$30.35	$151.73	$33.88–$3,354.08	87% below	80%
IV push of a medicine, first drug CPT 96374 EMU IV PUSH INITIAL	$30.35	$151.73	$33.88–$3,354.08	87% below	80%
IV push of a medicine, first drug CPT 96374 EDN INTRAVENOUS INJECTION	$30.35	$151.73	$33.88–$3,354.08	87% below	80%
IV push of a medicine, first drug CPT 96374 UCC ESLK INTRAVENOUS INJECTION	$30.35	$151.73	$28.83–$210.00	87% below	80%
IV push of a medicine, first drug CPT 96374 EDE INTRAVENOUS INJECTION	$30.35	$151.73	$33.88–$3,354.08	87% below	80%
IV push of a medicine, first drug CPT 96374 ASU INJECTION IV	$30.35	$151.73	$33.88–$3,354.08	87% below	80%
IV push of a medicine, first drug CPT 96374 CT IV PUSH INITIAL DRUG	$30.35	$151.73	$33.88–$3,354.08	87% below	80%
IV push of a medicine, first drug CPT 96374 SH EDE INTRAVENOUS INJECTION	$30.63	$153.17	$33.88–$3,354.08	87% below	80%
IV push of a medicine, first drug CPT 96374 SH ESU INJECTION IV	$31.07	$155.37	$33.88–$3,354.08	86% below	80%
IV push of a medicine, first drug CPT 96374 SH TEL INJECTION IV	$31.07	$155.37	$29.52–$238.24	86% below	80%
IV push of a medicine, first drug CPT 96374 END THERAPYPRO//DX IV PUSH INITIA	$32.62	$163.08	$33.88–$3,354.08	86% below	80%
IV push of a medicine, first drug CPT 96374 CICU IV PUSH INITIAL	$32.63	$163.14	$33.88–$3,354.08	86% below	80%
IV push of a medicine, first drug CPT 96374 LND INJECTION IV	$32.63	$163.14	$33.88–$3,354.08	86% below	80%
IV push of a medicine, first drug CPT 96374 NSICU IV PUSH INITIAL	$32.63	$163.14	$33.88–$3,354.08	86% below	80%
IV push of a medicine, first drug CPT 96374 SURG INJECTION IV	$32.63	$163.14	$33.88–$3,354.08	86% below	80%
IV push of a medicine, first drug CPT 96374 SMU IV PUSH INITIAL	$32.63	$163.14	$33.88–$3,354.08	86% below	80%
IV push of a medicine, first drug CPT 96374 MSICU IV PUSH INITIAL	$32.63	$163.14	$33.88–$3,354.08	86% below	80%
IV push of a medicine, first drug CPT 96374 ICU IV PUSH INITIAL	$32.63	$163.14	$33.88–$3,354.08	86% below	80%
IV push of a medicine, first drug CPT 96374 ANTE INJ IV PUSH OR DRP<15 MIN	$32.63	$163.14	$33.88–$3,354.08	86% below	80%
IV push of a medicine, first drug CPT 96374 MED INJECTION IV	$32.63	$163.14	$31.00–$238.24	86% below	80%
IV push of a medicine, first drug CPT 96374 TEL INJECTION IV	$32.63	$163.14	$31.00–$238.24	86% below	80%
IV push of a medicine, first drug CPT 96374 TRA/ORTHO IV PUSH INITIAL	$32.63	$163.14	$33.88–$3,354.08	86% below	80%
IV push of a medicine, first drug CPT 96374 ACE INJECTION IV	$32.63	$163.14	$31.00–$238.24	86% below	80%
IV push of a medicine, first drug CPT 96374 MB INJECTION IV	$32.63	$163.14	$31.00–$238.24	86% below	80%
IV push of a medicine, first drug CPT 96374 ESU INJECTION IV	$32.63	$163.14	$31.00–$238.24	86% below	80%
IV push of a medicine, first drug CPT 96374 OBSU INJECTION IV	$32.63	$163.14	$31.00–$238.24	86% below	80%
IV push of a medicine, first drug CPT 96374 ER INTRAVENOUS INJECTION	$32.63	$163.14	$31.00–$207.16	86% below	80%
IV push of a medicine, first drug CPT 96374 THERAPEUTIC MEDS IV / PO	$36.42	$182.08	$33.88–$3,354.08	84% below	80%
IV push of a medicine, first drug CPT 96374 INF IV PUSH INITIAL DRUG	$48.26	$241.32	$33.88–$3,354.08	79% below	80%
IV push of a medicine, first drug CPT 96374 SH END THERAPYPRO//DX IV PUSH INITIA	$59.40	$297.00	$33.88–$3,354.08	74% below	80%
IV push of a medicine, first drug CPT 96374 SH PACU IV PUSH INITIAL	$60.98	$304.92	$149.16	73% below	80%
IV push of a medicine, first drug CPT 96374 PACU IV PUSH INITIAL	$60.98	$304.92	$149.16	73% below	80%
IV push of a medicine, first drug CPT 96374 THPY/PRO/DX INJ PUSH	$63.31	$316.54	$33.88–$3,354.08	72% below	80%
IV push of a medicine, first drug CPT 96374 EPS THERAPYPRO//DX IV PUSH INITIA	$63.31	$316.54	$33.88–$3,354.08	72% below	80%
IV push of a medicine, first drug CPT 96374 SH THPY/PRO/DX INJ PUSH	$67.11	$335.53	$33.88–$3,354.08	71% below	80%
IV push of a medicine, first drug CPT 96374 CT IV PUSH INITIAL/ DRUG	$69.11	$345.55	$33.88–$238.24	70% below	80%
IV push of a medicine, first drug CPT 96374 NE INF THERAPEUTIC MEDS IV / PUSH	$142.95	$714.77	$33.88–$3,354.08	37% below	80%
IV push of a medicine, first drug CPT 96374 NE INF INF IV PUSH INITIAL DRUG	$142.95	$714.77	$33.88–$3,354.08	37% below	80%
IV push of a medicine, first drug inpatient CPT 96374 ASU INJECTION IV	$30.35	$151.73	$33.88–$3,354.08	—	80%
IV push of a medicine, first drug inpatient CPT 96374 ICN INJECTION IV	$30.35	$151.73	$33.88–$3,354.08	—	80%
IV push of a medicine, first drug inpatient CPT 96374 EDN INTRAVENOUS INJECTION	$30.35	$151.73	$33.88–$3,354.08	—	80%
IV push of a medicine, first drug inpatient CPT 96374 EMU IV PUSH INITIAL	$30.35	$151.73	$33.88–$3,354.08	—	80%
IV push of a medicine, first drug inpatient CPT 96374 EDE INTRAVENOUS INJECTION	$30.35	$151.73	$33.88–$3,354.08	—	80%
IV push of a medicine, first drug inpatient CPT 96374 CT IV PUSH INITIAL DRUG	$30.35	$151.73	$33.88–$3,354.08	—	80%
IV push of a medicine, first drug inpatient CPT 96374 SH EDE INTRAVENOUS INJECTION	$30.63	$153.17	$33.88–$3,354.08	—	80%
IV push of a medicine, first drug inpatient CPT 96374 SH ESU INJECTION IV	$31.07	$155.37	$33.88–$3,354.08	—	80%
IV push of a medicine, first drug inpatient CPT 96374 SH TEL INJECTION IV	$31.07	$155.37	$29.52–$238.24	—	80%
IV push of a medicine, first drug inpatient CPT 96374 END THERAPYPRO//DX IV PUSH INITIA	$32.62	$163.08	$33.88–$3,354.08	—	80%
IV push of a medicine, first drug inpatient CPT 96374 OBSU INJECTION IV	$32.63	$163.14	$31.00–$238.24	—	80%
IV push of a medicine, first drug inpatient CPT 96374 LND INJECTION IV	$32.63	$163.14	$33.88–$3,354.08	—	80%
IV push of a medicine, first drug inpatient CPT 96374 CICU IV PUSH INITIAL	$32.63	$163.14	$33.88–$3,354.08	—	80%
IV push of a medicine, first drug inpatient CPT 96374 NSICU IV PUSH INITIAL	$32.63	$163.14	$33.88–$3,354.08	—	80%
IV push of a medicine, first drug inpatient CPT 96374 SURG INJECTION IV	$32.63	$163.14	$33.88–$3,354.08	—	80%
IV push of a medicine, first drug inpatient CPT 96374 TRA/ORTHO IV PUSH INITIAL	$32.63	$163.14	$33.88–$3,354.08	—	80%
IV push of a medicine, first drug inpatient CPT 96374 ICU IV PUSH INITIAL	$32.63	$163.14	$33.88–$3,354.08	—	80%
IV push of a medicine, first drug inpatient CPT 96374 MSICU IV PUSH INITIAL	$32.63	$163.14	$33.88–$3,354.08	—	80%
IV push of a medicine, first drug inpatient CPT 96374 ANTE INJ IV PUSH OR DRP<15 MIN	$32.63	$163.14	$33.88–$3,354.08	—	80%
IV push of a medicine, first drug inpatient CPT 96374 SMU IV PUSH INITIAL	$32.63	$163.14	$33.88–$3,354.08	—	80%
IV push of a medicine, first drug inpatient CPT 96374 ER INTRAVENOUS INJECTION	$32.63	$163.14	$31.00–$207.16	—	80%
IV push of a medicine, first drug inpatient CPT 96374 MED INJECTION IV	$32.63	$163.14	$31.00–$238.24	—	80%
IV push of a medicine, first drug inpatient CPT 96374 TEL INJECTION IV	$32.63	$163.14	$31.00–$238.24	—	80%
IV push of a medicine, first drug inpatient CPT 96374 ACE INJECTION IV	$32.63	$163.14	$31.00–$238.24	—	80%
IV push of a medicine, first drug inpatient CPT 96374 ESU INJECTION IV	$32.63	$163.14	$31.00–$238.24	—	80%
IV push of a medicine, first drug inpatient CPT 96374 MB INJECTION IV	$32.63	$163.14	$31.00–$238.24	—	80%
IV push of a medicine, first drug inpatient CPT 96374 THERAPEUTIC MEDS IV / PO	$36.42	$182.08	$33.88–$3,354.08	—	80%
IV push of a medicine, first drug inpatient CPT 96374 INF IV PUSH INITIAL DRUG	$48.26	$241.32	$33.88–$3,354.08	—	80%
IV push of a medicine, first drug inpatient CPT 96374 SH END THERAPYPRO//DX IV PUSH INITIA	$59.40	$297.00	$33.88–$3,354.08	—	80%
IV push of a medicine, first drug inpatient CPT 96374 PACU IV PUSH INITIAL	$60.98	$304.92	$149.16	—	80%
IV push of a medicine, first drug inpatient CPT 96374 SH PACU IV PUSH INITIAL	$60.98	$304.92	$149.16	—	80%
IV push of a medicine, first drug inpatient CPT 96374 THPY/PRO/DX INJ PUSH	$63.31	$316.54	$33.88–$3,354.08	—	80%
IV push of a medicine, first drug inpatient CPT 96374 EPS THERAPYPRO//DX IV PUSH INITIA	$63.31	$316.54	$33.88–$3,354.08	—	80%
IV push of a medicine, first drug inpatient CPT 96374 SH THPY/PRO/DX INJ PUSH	$67.11	$335.53	$33.88–$3,354.08	—	80%
IV push of a medicine, first drug inpatient CPT 96374 CT IV PUSH INITIAL/ DRUG	$69.11	$345.55	$33.88–$238.24	—	80%
IV push of a medicine, first drug inpatient CPT 96374 NE INF THERAPEUTIC MEDS IV / PUSH	$142.95	$714.77	$33.88–$3,354.08	—	80%
IV push of a medicine, first drug inpatient CPT 96374 NE INF INF IV PUSH INITIAL DRUG	$142.95	$714.77	$33.88–$3,354.08	—	80%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 ER THER/PRO/DX INJ SQ/IM	$16.91	$84.57	$13.42–$179.60	88% below	80%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 SH THER/PRO/DX INJ SQ/IM	$20.28	$101.38	$13.42–$179.60	86% below	80%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INF THERAPEUTIC MEDS-IM/SQ	$21.65	$108.27	$13.42–$179.60	85% below	80%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 SMU INJECTION, SUBQ/IM	$21.65	$108.27	$13.42–$179.60	85% below	80%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 SH EDE INTRAMUSCULAR INJECTION	$23.94	$119.70	$13.42–$179.60	84% below	80%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 SH EDE INTRAMUSCULAR ANTIBIOTIC	$23.94	$119.70	$13.42–$179.60	84% below	80%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 EMU INJECTION, SUBQ/IM	$24.14	$120.69	$13.42–$179.60	84% below	80%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PRO/DX INJ SQ/IM	$24.14	$120.69	$13.42–$179.60	84% below	80%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 VPAC INJECTION, SUBQ/IM	$24.14	$120.69	$13.42–$179.60	84% below	80%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 ASU INJECTION SUBQ/IM	$24.14	$120.69	$13.42–$179.60	84% below	80%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 LND ADM ANTI SUBC/IM INJ	$24.14	$120.69	$13.42–$179.60	84% below	80%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 EDE ITHER/PROPH/DIAG INJ SC/IM	$24.16	$120.82	$13.42–$179.60	84% below	80%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 SH ESUR INJECTION, SUBQ/IM	$25.12	$125.62	$13.42–$179.60	83% below	80%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 LND THER PROP INJ SC/IM	$25.41	$127.05	$13.42–$179.60	83% below	80%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 ER INTRAMUSCULAR INJECTION	$27.07	$135.34	$13.42–$179.60	82% below	80%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 MSICU INJECTION, SUBQ/IM	$27.07	$135.34	$13.42–$179.60	82% below	80%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 MB INJECTION, SUBQ/IM	$27.07	$135.34	$13.42–$179.60	82% below	80%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION, SUBQ/INTR MUSC	$27.07	$135.34	$13.42–$3,354.08	82% below	80%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 ANTE IM/SUB Q INJECT ADM	$27.07	$135.34	$13.42–$179.60	82% below	80%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 OBSU INJECTION, SUBQ/IM	$27.07	$135.34	$13.42–$179.60	82% below	80%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 ICU INJECTION, SUBQ/IM	$27.07	$135.34	$13.42–$179.60	82% below	80%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 TRA INJECTION, SUBQ/IM	$27.07	$135.34	$13.42–$179.60	82% below	80%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 ESUR INJECTION, SUBQ/IM	$27.07	$135.34	$13.42–$179.60	82% below	80%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 ACE INJECTION, SUBQ/IM	$27.07	$135.34	$13.42–$179.60	82% below	80%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 NSICU INJECTION, SUBQ/IM	$27.07	$135.34	$13.42–$179.60	82% below	80%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 CICU IM/SUBQ ADMIN	$27.07	$135.34	$13.42–$179.60	82% below	80%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 TEL INJECTION, SUBQ/IM	$27.07	$135.34	$13.42–$179.60	82% below	80%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 MED INJECTION, SUBQ/IM	$27.07	$135.34	$13.42–$179.60	82% below	80%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 LND INTRAMUSCULAR INJECTION	$27.07	$135.34	$13.42–$179.60	82% below	80%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 SH VPAC INJECTION, SUBQ/IM	$28.50	$142.50	$13.42–$179.60	81% below	80%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 LUPRON ADMINISTRATION	$28.97	$144.83	$13.42–$179.60	80% below	80%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 SH END THERAP/PRO/DX INJ SQ/IM	$29.00	$145.00	$50.38–$76.71	80% below	80%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 EDN INTRAMUSCULAR ANTIBIOTIC	$29.93	$149.63	$13.42–$179.60	80% below	80%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 EDN INTRAMUSCULAR INJECTION	$29.93	$149.63	$13.42–$179.60	80% below	80%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 EDE INTRAMUSCULAR ANTIBIOTIC	$29.93	$149.63	$13.42–$179.60	80% below	80%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 END THERAP/PRO/DX INJ SQ/IM	$30.45	$152.25	$13.42–$179.60	79% below	80%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 SH TEL INJECTION, SUBQ/IM	$31.40	$157.02	$13.42–$179.60	79% below	80%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INTRAMUSCULAR ANTIBIOTIC	$32.97	$164.87	$13.42–$179.60	78% below	80%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 EDN THER/PRO/DX INJ SQ/IM	$39.48	$197.40	$13.42–$179.60	73% below	80%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 UCC ESLK IM/SUBQ INJECTION	$49.82	$249.10	$13.42–$210.00	66% below	80%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 DPT INJ ADMIN INTRAMUSCULAR	$49.82	$249.10	$13.42–$179.60	66% below	80%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 FAB INJ ADMIN IM	$49.82	$249.10	$13.42–$179.60	66% below	80%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 SISD INJ ADMIN INTRAMUSCULAR	$49.82	$249.10	$13.42–$179.60	66% below	80%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 NHC NE INJ ADMIN INTRAMUSCULAR	$49.82	$249.10	$13.42–$179.60	66% below	80%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 YSL INJ ADMIN INTRAMUSCULAR	$49.82	$249.10	$13.42–$179.60	66% below	80%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 NE INF INJ THERAPEUTIC MEDS-IM/SQ	$49.82	$249.10	$13.42–$179.60	66% below	80%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 WST INJ ADMIN INTRAMUSCULAR	$49.82	$249.10	$13.42–$179.60	66% below	80%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 UTC INJ ADMIN IM THERAPEUTIC	$49.82	$249.10	$13.42–$179.60	66% below	80%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 CET INJ ADM	$49.82	$249.10	$13.42–$179.60	66% below	80%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 EST INJ ADMIN INTRAMUSCULAR	$49.82	$249.10	$13.42–$179.60	66% below	80%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 EMP INJ ADMIN INTRAMUSCULAR	$49.82	$249.10	$13.42–$179.60	66% below	80%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 ER THER/PRO/DX INJ SQ/IM	$16.91	$84.57	$13.42–$179.60	—	80%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 SH THER/PRO/DX INJ SQ/IM	$20.28	$101.38	$13.42–$179.60	—	80%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INF THERAPEUTIC MEDS-IM/SQ	$21.65	$108.27	$13.42–$179.60	—	80%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 SMU INJECTION, SUBQ/IM	$21.65	$108.27	$13.42–$179.60	—	80%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 SH EDE INTRAMUSCULAR INJECTION	$23.94	$119.70	$13.42–$179.60	—	80%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 SH EDE INTRAMUSCULAR ANTIBIOTIC	$23.94	$119.70	$13.42–$179.60	—	80%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 LND ADM ANTI SUBC/IM INJ	$24.14	$120.69	$13.42–$179.60	—	80%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THER/PRO/DX INJ SQ/IM	$24.14	$120.69	$13.42–$179.60	—	80%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 VPAC INJECTION, SUBQ/IM	$24.14	$120.69	$13.42–$179.60	—	80%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 EMU INJECTION, SUBQ/IM	$24.14	$120.69	$13.42–$179.60	—	80%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 ASU INJECTION SUBQ/IM	$24.14	$120.69	$13.42–$179.60	—	80%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 EDE ITHER/PROPH/DIAG INJ SC/IM	$24.16	$120.82	$13.42–$179.60	—	80%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 SH ESUR INJECTION, SUBQ/IM	$25.12	$125.62	$13.42–$179.60	—	80%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 LND THER PROP INJ SC/IM	$25.41	$127.05	$13.42–$179.60	—	80%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 ER INTRAMUSCULAR INJECTION	$27.07	$135.34	$13.42–$179.60	—	80%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 TEL INJECTION, SUBQ/IM	$27.07	$135.34	$13.42–$179.60	—	80%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 CICU IM/SUBQ ADMIN	$27.07	$135.34	$13.42–$179.60	—	80%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 NSICU INJECTION, SUBQ/IM	$27.07	$135.34	$13.42–$179.60	—	80%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 ACE INJECTION, SUBQ/IM	$27.07	$135.34	$13.42–$179.60	—	80%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 ESUR INJECTION, SUBQ/IM	$27.07	$135.34	$13.42–$179.60	—	80%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 OBSU INJECTION, SUBQ/IM	$27.07	$135.34	$13.42–$179.60	—	80%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 TRA INJECTION, SUBQ/IM	$27.07	$135.34	$13.42–$179.60	—	80%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 MSICU INJECTION, SUBQ/IM	$27.07	$135.34	$13.42–$179.60	—	80%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 MB INJECTION, SUBQ/IM	$27.07	$135.34	$13.42–$179.60	—	80%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION, SUBQ/INTR MUSC	$27.07	$135.34	$13.42–$3,354.08	—	80%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 LND INTRAMUSCULAR INJECTION	$27.07	$135.34	$13.42–$179.60	—	80%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 ICU INJECTION, SUBQ/IM	$27.07	$135.34	$13.42–$179.60	—	80%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 ANTE IM/SUB Q INJECT ADM	$27.07	$135.34	$13.42–$179.60	—	80%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 MED INJECTION, SUBQ/IM	$27.07	$135.34	$13.42–$179.60	—	80%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 SH VPAC INJECTION, SUBQ/IM	$28.50	$142.50	$13.42–$179.60	—	80%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 LUPRON ADMINISTRATION	$28.97	$144.83	$13.42–$179.60	—	80%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 SH END THERAP/PRO/DX INJ SQ/IM	$29.00	$145.00	$50.38–$76.71	—	80%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 EDE INTRAMUSCULAR ANTIBIOTIC	$29.93	$149.63	$13.42–$179.60	—	80%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 EDN INTRAMUSCULAR INJECTION	$29.93	$149.63	$13.42–$179.60	—	80%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 EDN INTRAMUSCULAR ANTIBIOTIC	$29.93	$149.63	$13.42–$179.60	—	80%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 END THERAP/PRO/DX INJ SQ/IM	$30.45	$152.25	$13.42–$179.60	—	80%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 SH TEL INJECTION, SUBQ/IM	$31.40	$157.02	$13.42–$179.60	—	80%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INTRAMUSCULAR ANTIBIOTIC	$32.97	$164.87	$13.42–$179.60	—	80%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 EDN THER/PRO/DX INJ SQ/IM	$39.48	$197.40	$13.42–$179.60	—	80%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 CET INJ ADM	$49.82	$249.10	$13.42–$179.60	—	80%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 UTC INJ ADMIN IM THERAPEUTIC	$49.82	$249.10	$13.42–$179.60	—	80%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 NHC NE INJ ADMIN INTRAMUSCULAR	$49.82	$249.10	$13.42–$179.60	—	80%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 YSL INJ ADMIN INTRAMUSCULAR	$49.82	$249.10	$13.42–$179.60	—	80%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 WST INJ ADMIN INTRAMUSCULAR	$49.82	$249.10	$13.42–$179.60	—	80%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 EMP INJ ADMIN INTRAMUSCULAR	$49.82	$249.10	$13.42–$179.60	—	80%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 EST INJ ADMIN INTRAMUSCULAR	$49.82	$249.10	$13.42–$179.60	—	80%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 DPT INJ ADMIN INTRAMUSCULAR	$49.82	$249.10	$13.42–$179.60	—	80%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 SISD INJ ADMIN INTRAMUSCULAR	$49.82	$249.10	$13.42–$179.60	—	80%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 FAB INJ ADMIN IM	$49.82	$249.10	$13.42–$179.60	—	80%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 NE INF INJ THERAPEUTIC MEDS-IM/SQ	$49.82	$249.10	$13.42–$179.60	—	80%
Neuromuscular re-education, 15 minutes CPT 97112 RWC NEUROMUSCUL RE-ED 15 M OT	$11.00	$55.02	$10.45–$118.00	90% below	80%
Neuromuscular re-education, 15 minutes CPT 97112 SH NEUROMUSCUL RE-ED EA 15 MIN OT	$12.33	$61.64	$11.71–$118.00	89% below	80%
Neuromuscular re-education, 15 minutes CPT 97112 SH IP NEUROMUSCUL RE-ED EA 15 MIN PT	$12.33	$61.64	$11.71–$118.00	89% below	80%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 RWC NEUROMUSCUL RE-ED 15 M OT	$11.00	$55.02	$10.45–$118.00	—	80%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 SH NEUROMUSCUL RE-ED EA 15 MIN OT	$12.33	$61.64	$11.71–$118.00	—	80%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 SH IP NEUROMUSCUL RE-ED EA 15 MIN PT	$12.33	$61.64	$11.71–$118.00	—	80%
New patient office visit, about 30 minutes CPT 99203 OV INTERMEDIATE, NEW	$38.48	$192.40	$36.56–$230.12	83% below	80%
New patient office visit, about 30 minutes CPT 99203 EST OV INTERMEDIATE, NEW	$38.79	$193.94	$36.85–$230.12	83% below	80%
New patient office visit, about 30 minutes CPT 99203 CET OV INTERMEDIATE NEW	$40.40	$202.02	$38.38–$230.12	82% below	80%
New patient office visit, about 30 minutes CPT 99203 NEW COMP CLINIC VISIT L3	$40.40	$202.02	$38.38–$230.12	82% below	80%
New patient office visit, about 30 minutes CPT 99203 WST OV INTERMEDIATE, NEW	$40.40	$202.02	$38.38–$230.12	82% below	80%
New patient office visit, about 30 minutes CPT 99203 YSL INITIAL EXAM PRE-NATAL	$40.40	$202.02	$38.38–$230.12	82% below	80%
New patient office visit, about 30 minutes CPT 99203 FAB OV INTERMEDIATE NEW #PF#	$74.06	$370.30	$70.36–$233.29	67% below	80%
New patient office visit, about 30 minutes CPT 99203 SISD OV INTERMEDIATE, NEW	$74.06	$370.30	$70.36–$233.29	67% below	80%
New patient office visit, about 30 minutes CPT 99203 UCC ESLK E&M NEW 30-44	$74.06	$370.30	$70.36–$233.29	67% below	80%
New patient office visit, about 45 minutes CPT 99204 EST OV EXTENDED, NEW	$48.10	$240.51	$45.70–$389.60	84% below	80%
New patient office visit, about 45 minutes CPT 99204 YSL O/V EXTENDED NEW	$48.72	$243.60	$46.28–$389.60	83% below	80%
New patient office visit, about 45 minutes CPT 99204 CET OV EXTENDED NEW	$48.72	$243.60	$46.28–$389.60	83% below	80%
New patient office visit, about 45 minutes CPT 99204 WST OV EXTENDED, NEW	$48.72	$243.60	$46.28–$389.60	83% below	80%
New patient office visit, about 45 minutes CPT 99204 OV EXTENDED, NEW	$69.60	$348.00	$66.12–$389.60	76% below	80%
New patient office visit, about 45 minutes CPT 99204 FAB OV NEW MODERATE #PF#	$111.24	$556.19	$105.68–$389.60	62% below	80%
New patient office visit, about 45 minutes CPT 99204 SISD OV EXTENDED, NEW	$111.24	$556.19	$105.68–$389.60	62% below	80%
New patient office visit, about 45 minutes CPT 99204 UCC ESLK E&M NEW 45-59	$111.24	$556.19	$105.68–$389.60	62% below	80%
New patient office visit, about 60 minutes CPT 99205 OV COMPREHENSIVE NEW DPT	$32.24	$161.18	$30.62–$508.43	89% below	80%
New patient office visit, about 60 minutes CPT 99205 CET OV COMPREHENSIVE NEW	$35.33	$176.65	$33.56–$508.43	88% below	80%
New patient office visit, about 60 minutes CPT 99205 OV COMPREHENSIVE NEW	$41.06	$205.28	$39.00–$508.43	86% below	80%
New patient office visit, about 60 minutes CPT 99205 YSL O/V COMPREHENSIVE NEW	$43.11	$215.54	$40.95–$508.43	85% below	80%
New patient office visit, about 60 minutes CPT 99205 UCC ESLK E&M NEW 60-74	$146.99	$734.97	$139.64–$508.43	50% below	80%
New patient office visit, about 60 minutes CPT 99205 SISD OV COMPREHENSIVE NEW	$146.99	$734.97	$139.64–$508.43	50% below	80%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OV BRIEF NEW DPT	$24.27	$121.36	$23.06–$210.00	84% below	80%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 UTC OV LIMITED NEW	$24.27	$121.36	$23.06–$210.00	84% below	80%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 LEVEL 1 OB VISIT NEW PATIENT	$24.27	$121.36	$23.06–$210.00	84% below	80%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 CET OV BRIEF NEW	$34.62	$173.11	$32.89–$210.00	77% below	80%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 CET OV LIMITED NEW	$34.62	$173.11	$32.89–$210.00	77% below	80%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 WST OV BRIEF, NEW	$34.62	$173.11	$32.89–$210.00	77% below	80%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 FAB OV LIMITED NEW	$34.62	$173.11	$32.89–$153.07	77% below	80%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 EST OV BRIEF, NEW	$34.62	$173.11	$32.89–$210.00	77% below	80%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 TRIAGE NEW ASSESS & INTERV	$34.62	$173.11	$32.89–$600.00	77% below	80%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW LIMIT CLINIC VISIT L2	$37.20	$185.98	$35.34–$210.00	75% below	80%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 EMP OV LIMITED NEW	$37.20	$185.98	$35.34–$210.00	75% below	80%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 EST OV LIMITED, NEW	$37.20	$185.98	$35.34–$210.00	75% below	80%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OV LIMITED, NEW	$41.22	$206.08	$39.16–$210.00	72% below	80%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OV BRIEF, NEW	$41.22	$206.08	$39.16–$210.00	72% below	80%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW BRIEF CLINIC VT L1	$43.28	$216.38	$41.11–$210.00	71% below	80%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 SISD OV LIMITED, NEW	$47.36	$236.81	$44.65–$210.00	68% below	80%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 UCC ESLK E&M NEW 15-29	$47.36	$236.81	$44.65–$210.00	68% below	80%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 TRIAGE NEW ASSESS & INTERV	$34.62	$173.11	$32.89–$600.00	—	80%
Occupational therapy evaluation, low complexity CPT 97165 RMO 97165 OT EVAL LOW COMPLEX	$51.97	$259.87	$49.38–$276.15	79% below	80%
Occupational therapy evaluation, low complexity CPT 97165 EAST OT EVALUATION 45 MINUTES	$51.97	$259.87	$49.38–$276.15	79% below	80%
Occupational therapy evaluation, low complexity CPT 97165 SH RMO 97165 OT EVAL LOW COMPLEX	$57.53	$287.63	$54.65–$276.15	76% below	80%
Occupational therapy evaluation, low complexity inpatient CPT 97165 EAST OT EVALUATION 45 MINUTES	$51.97	$259.87	$49.38–$276.15	—	80%
Occupational therapy evaluation, low complexity inpatient CPT 97165 RMO 97165 OT EVAL LOW COMPLEX	$51.97	$259.87	$49.38–$276.15	—	80%
Occupational therapy evaluation, low complexity inpatient CPT 97165 SH RMO 97165 OT EVAL LOW COMPLEX	$57.53	$287.63	$54.65–$276.15	—	80%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 SH RMI 97163 PT EVAL HIGH COMPLEX	$80.64	$403.20	$76.61–$256.88	72% below	80%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 SH RMO 97163 PT EVAL HIGH COMPLEX	$80.64	$403.20	$76.61–$256.88	72% below	80%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 SH RMO 97163 PT EVAL HIGH COMPLEX	$80.64	$403.20	$76.61–$256.88	—	80%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 SH RMI 97163 PT EVAL HIGH COMPLEX	$80.64	$403.20	$76.61–$256.88	—	80%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 SH RMO 97161 PT EVAL LOW COMPLEX	$78.99	$394.97	$75.04–$256.88	61% below	80%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 SH RMI 97161 PT EVAL LOW COMPLEX	$78.99	$394.97	$75.04–$256.88	61% below	80%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 SH RMI 97161 PT EVAL LOW COMPLEX	$78.99	$394.97	$75.04–$256.88	—	80%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 SH RMO 97161 PT EVAL LOW COMPLEX	$78.99	$394.97	$75.04–$256.88	—	80%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 SH RMI 97162 PT EVAL MOD COMPLEX	$71.90	$359.52	$68.31–$256.88	71% below	80%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 SH RMI 97162 PT EVAL MOD COMPLEX	$71.90	$359.52	$68.31–$256.88	—	80%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 SH MANUAL THERAPY EACH 15 MIN PT	$21.70	$108.50	$20.62–$118.00	80% below	80%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 SH MANUAL THERAPY EACH 15 MIN OT	$21.70	$108.50	$20.62–$118.00	80% below	80%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 SH IP MANUAL THERAPY EACH 15 MIN PT	$21.70	$108.50	$20.62–$118.00	80% below	80%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 RWC MANUAL THERAPY EA 15 M OT	$27.85	$139.23	$25.47–$118.00	75% below	80%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 SH MANUAL THERAPY EACH 15 MIN PT	$21.70	$108.50	$20.62–$118.00	—	80%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 SH MANUAL THERAPY EACH 15 MIN OT	$21.70	$108.50	$20.62–$118.00	—	80%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 SH IP MANUAL THERAPY EACH 15 MIN PT	$21.70	$108.50	$20.62–$118.00	—	80%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 RWC MANUAL THERAPY EA 15 M OT	$27.85	$139.23	$25.47–$118.00	—	80%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 SH CPM SET UP EACH 15 MIN OT	$29.58	$147.90	$27.65–$118.00	74% below	80%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 SH IP CPM SET UP EACH 15 MIN PT	$29.58	$147.90	$27.65–$118.00	74% below	80%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 SH CPM SET UP EACH 15 MIN PT	$29.58	$147.90	$27.65–$118.00	74% below	80%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 RWC THER EXER EA 15 MIN OT	$31.06	$155.30	$27.65–$118.00	72% below	80%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 SH THERAPEUTIC EXER EA 15 MIN OT	$39.27	$196.36	$27.65–$123.71	65% below	80%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 SH IP THERAPEUTIC EXER EACH 15MIN PT	$39.27	$196.36	$27.65–$123.71	65% below	80%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 IP THERAPEUTIC EXER EA 15 MIN OT	$41.24	$206.18	$27.65–$129.89	63% below	80%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OP THERAPEUTIC EXER EA 15 MIN OT	$41.24	$206.18	$27.65–$129.89	63% below	80%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 SH IP CPM SET UP EACH 15 MIN PT	$29.58	$147.90	$27.65–$118.00	—	80%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 SH CPM SET UP EACH 15 MIN PT	$29.58	$147.90	$27.65–$118.00	—	80%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 SH CPM SET UP EACH 15 MIN OT	$29.58	$147.90	$27.65–$118.00	—	80%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 RWC THER EXER EA 15 MIN OT	$31.06	$155.30	$27.65–$118.00	—	80%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 SH IP THERAPEUTIC EXER EACH 15MIN PT	$39.27	$196.36	$27.65–$123.71	—	80%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 SH THERAPEUTIC EXER EA 15 MIN OT	$39.27	$196.36	$27.65–$123.71	—	80%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 IP THERAPEUTIC EXER EA 15 MIN OT	$41.24	$206.18	$27.65–$129.89	—	80%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OP THERAPEUTIC EXER EA 15 MIN OT	$41.24	$206.18	$27.65–$129.89	—	80%
Preventive checkup, new patient aged 18–39 CPT 99385 PREV MED NEW 18-39 YRS	$17.92	$89.60	$17.02–$295.43	87% below	80%
Preventive checkup, new patient aged 18–39 CPT 99385 PREV VISIT NEW AGE 18-39 #PF#	$22.30	$111.50	$21.19–$295.43	84% below	80%
Preventive checkup, new patient aged 18–39 CPT 99385 EST PREV MED NEW 18-39 YRS	$24.46	$122.30	$23.24–$295.43	82% below	80%
Preventive checkup, new patient aged 18–39 CPT 99385 ZAT PREV MED NEW 18-39 YRS	$24.46	$122.30	$23.24–$295.43	82% below	80%
Preventive checkup, new patient aged 18–39 CPT 99385 CET PREV MED NEW 18-39 YRS	$24.46	$122.30	$23.24–$295.43	82% below	80%
Preventive checkup, new patient aged 18–39 CPT 99385 WST PREV MED NEW 18-39 YRS	$24.46	$122.30	$23.24–$295.43	82% below	80%
Preventive checkup, new patient aged 18–39 CPT 99385 DPT PREV MED NEW 18-39 YRS	$29.12	$145.60	$27.66–$295.43	79% below	80%
Preventive checkup, new patient aged 18–39 CPT 99385 SISD PREV MED NEW 18-39 YRS	$43.48	$217.39	$41.30–$295.43	69% below	80%
Preventive checkup, new patient aged 40–64 CPT 99386 EMP PREVENTIVE VISIT NEW 40-64 #PF#	$44.35	$221.76	$42.13–$359.64	69% below	80%
Preventive checkup, new patient aged 40–64 CPT 99386 YSL PREVENTIVE VISIT NEW 40-64 #PF#	$44.35	$221.76	$42.13–$359.64	69% below	80%
Preventive checkup, new patient aged 40–64 CPT 99386 PREV MED NEW 40-64 YRS	$50.69	$253.43	$48.15–$359.64	65% below	80%
Preventive checkup, new patient aged 40–64 CPT 99386 SISD PREV MED NEW 40-64 YRS	$52.76	$263.80	$50.12–$359.64	64% below	80%
Preventive checkup, new patient aged 40–64 CPT 99386 WST PREV MED NEW 40-64 YRS	$53.22	$266.10	$50.56–$359.64	63% below	80%
Preventive checkup, new patient aged 40–64 CPT 99386 EST PREV MED NEW 40-64 YRS	$53.22	$266.10	$50.56–$359.64	63% below	80%
Preventive checkup, new patient aged 40–64 CPT 99386 CET PREV MED NEW 40-64 YRS	$53.22	$266.10	$50.56–$359.64	63% below	80%
Preventive checkup, new patient aged 40–64 CPT 99386 DPT PREV MED NEW 40-64 YRS	$53.22	$266.10	$50.56–$359.64	63% below	80%
Preventive checkup, new patient aged 40–64 CPT 99386 ZAT PREV MED NEW 40-64 YRS	$58.38	$291.88	$55.46–$359.64	60% below	80%
Preventive checkup, new patient aged 40–64 CPT 99386 FAB PREVENT NEW 40-64 #PF#	$69.50	$347.48	$66.02–$359.64	52% below	80%
Preventive checkup, new patient aged 65 or older CPT 99387 PREV MED NEW > 65 YRS	$25.04	$125.20	$23.79–$386.40	84% below	80%
Preventive checkup, new patient aged 65 or older CPT 99387 EST PREV MED NEW > 65 YRS	$26.29	$131.46	$24.98–$386.40	83% below	80%
Preventive checkup, new patient aged 65 or older CPT 99387 DPT PREV MED NEW> 65 YRS	$26.29	$131.46	$24.98–$386.40	83% below	80%
Preventive checkup, new patient aged 65 or older CPT 99387 WST PREV MED NEW > 65 YRS	$26.29	$131.46	$24.98–$386.40	83% below	80%
Preventive checkup, new patient aged 65 or older CPT 99387 ZAT PREV MED NEW > 65 YRS	$26.29	$131.46	$24.98–$386.40	83% below	80%
Preventive checkup, new patient aged 65 or older CPT 99387 CET PREV MED NEW > 65 YRS	$26.29	$131.46	$24.98–$386.40	83% below	80%
Preventive checkup, new patient aged 65 or older CPT 99387 FAB PREVENT NEW 65+ Y #PF#	$26.98	$134.89	$25.63–$386.40	83% below	80%
Preventive checkup, new patient aged 65 or older CPT 99387 EMP PREVENTIVE VISIT NEW 65+ YR #PF#	$29.90	$149.52	$28.41–$386.40	81% below	80%
Preventive checkup, new patient aged 65 or older CPT 99387 YSL PREVENTIVE VISIT NEW 65+ YR #PF#	$29.90	$149.52	$28.41–$386.40	81% below	80%
Preventive checkup, new patient aged 65 or older CPT 99387 SISD PREV MED NEW > 65 YRS	$56.61	$283.05	$53.78–$386.40	64% below	80%
Preventive checkup, returning patient aged 18–39 CPT 99395 PREV MED EST 18-39 YRS	$25.60	$128.00	$24.32–$270.80	76% below	80%
Preventive checkup, returning patient aged 18–39 CPT 99395 DPT PREV MED EST 18-39 YRS	$26.88	$134.40	$25.54–$270.80	75% below	80%
Preventive checkup, returning patient aged 18–39 CPT 99395 CET PREV MED EST 18-39 YRS	$26.88	$134.40	$25.54–$270.80	75% below	80%
Preventive checkup, returning patient aged 18–39 CPT 99395 WST PREV MED EST 18-39 YRS	$26.88	$134.40	$25.54–$270.80	75% below	80%
Preventive checkup, returning patient aged 18–39 CPT 99395 FAB PREVENTIVE VISIT EST 18-39	$30.36	$151.82	$28.85–$270.80	71% below	80%
Preventive checkup, returning patient aged 18–39 CPT 99395 EST PREV MED EST 18-39 YRS	$30.36	$151.82	$28.85–$270.80	71% below	80%
Preventive checkup, returning patient aged 18–39 CPT 99395 SISD PREV MED EST 18-39 YRS	$39.63	$198.14	$37.65–$270.80	63% below	80%
Preventive checkup, returning patient aged 18–39 CPT 99395 ZAT PREV MED EST 18-39 YRS	$56.93	$284.67	$54.09–$270.80	47% below	80%
Preventive checkup, returning patient aged 40–64 CPT 99396 EST PREV MED EST 40-64 YRS	$25.28	$126.42	$24.02–$293.29	84% below	80%
Preventive checkup, returning patient aged 40–64 CPT 99396 CET PREV MED EST 40-64 YRS	$25.28	$126.42	$24.02–$293.29	84% below	80%
Preventive checkup, returning patient aged 40–64 CPT 99396 ZAT PREV MED EST 40-64 YRS	$25.28	$126.42	$24.02–$293.29	84% below	80%
Preventive checkup, returning patient aged 40–64 CPT 99396 WST PREV MED EST 40-64 YRS	$25.28	$126.42	$24.02–$293.29	84% below	80%
Preventive checkup, returning patient aged 40–64 CPT 99396 PREV MED EST 40-64 YRS	$34.01	$170.07	$32.31–$293.29	78% below	80%
Preventive checkup, returning patient aged 40–64 CPT 99396 FAB PREVENTI EST 40-64 #PF#	$37.99	$189.95	$36.09–$293.29	75% below	80%
Preventive checkup, returning patient aged 40–64 CPT 99396 CET PREVENT VISIT EST 40-64 YR	$42.52	$212.59	$40.39–$293.29	72% below	80%
Preventive checkup, returning patient aged 40–64 CPT 99396 DPT PREV MED EST 40-64 YRS	$42.52	$212.59	$40.39–$293.29	72% below	80%
Preventive checkup, returning patient aged 40–64 CPT 99396 FAB PREVENTIVE VISIT EST 40-64	$42.52	$212.59	$40.39–$293.29	72% below	80%
Preventive checkup, returning patient aged 40–64 CPT 99396 SISD PREV MED EST 40-64 YRS	$43.02	$215.11	$40.87–$293.29	72% below	80%
Preventive checkup, returning patient aged 40–64 CPT 99396 EMP PREVENTIVE VISIT EST 40-64 #PF#	$46.62	$233.10	$44.29–$293.29	70% below	80%
Preventive checkup, returning patient aged 40–64 CPT 99396 YSL PREVENTIVE VISIT EST 40-64 #PF#	$46.62	$233.10	$44.29–$293.29	70% below	80%
Preventive checkup, returning patient aged 65 or older CPT 99397 PREV MED EST > 65 YRS	$29.68	$148.40	$28.20–$308.26	82% below	80%
Preventive checkup, returning patient aged 65 or older CPT 99397 ZAT PREV MED EST > 65 YRS	$31.16	$155.82	$29.61–$308.26	81% below	80%
Preventive checkup, returning patient aged 65 or older CPT 99397 DPT PREV MED EST > 65 YRS	$31.16	$155.82	$29.61–$308.26	81% below	80%
Preventive checkup, returning patient aged 65 or older CPT 99397 CET PREV MED EST > 65 YRS	$31.16	$155.82	$29.61–$308.26	81% below	80%
Preventive checkup, returning patient aged 65 or older CPT 99397 EST PREV MED EST > 65 YRS	$31.16	$155.82	$29.61–$308.26	81% below	80%
Preventive checkup, returning patient aged 65 or older CPT 99397 FAB PREVENT EST 65+ YR #PF#	$31.97	$159.84	$30.37–$308.26	81% below	80%
Preventive checkup, returning patient aged 65 or older CPT 99397 YSL PREVENTIVE VISIT EST 65+ YR #PF#	$35.45	$177.24	$33.68–$308.26	79% below	80%
Preventive checkup, returning patient aged 65 or older CPT 99397 WST PREV MED EST > 65 YRS	$37.10	$185.50	$35.25–$308.26	78% below	80%
Preventive checkup, returning patient aged 65 or older CPT 99397 SISD PREV MED EST > 65 YRS	$45.28	$226.42	$43.02–$308.26	73% below	80%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 SH CRP SMOK CESS COUN INTER >3MIN	$9.65	$48.23	$9.16–$210.00	77% below	80%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 NHC NE SMOKE CESS CNSL 3-10 MIN #PF#	$9.65	$48.23	$9.16–$210.00	77% below	80%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 YSL SMOK CESS CNSL INTER >3MIN #PF#	$10.12	$50.61	$9.62–$210.00	76% below	80%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 FAB SMOK CESS COUN INTER >3MIN	$10.12	$50.61	$9.62–$37.45	76% below	80%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 HPC SMOK CESS CNSL INTER >3MIN #PF#	$10.12	$50.61	$9.62–$210.00	76% below	80%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 EST OV COMPREHENSIVE EST	$28.38	$141.92	$26.96–$335.02	90% below	80%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OV COMPREHENSIVE EST	$28.89	$144.47	$27.45–$335.02	90% below	80%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 YSL OV COMPREHENSIVE EST	$30.34	$151.70	$28.82–$335.02	89% below	80%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 EST COMP CLINIC VISIT L3	$30.34	$151.70	$28.82–$335.02	89% below	80%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 FAB OV COMPREHENSIVE EST	$36.16	$180.81	$34.35–$335.02	87% below	80%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 SISD OV COMPREHENSIVE EST	$119.62	$598.12	$113.64–$376.82	58% below	80%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 UCC ESLK E&M EST 40-54 MIN	$119.62	$598.12	$113.64–$376.82	58% below	80%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 UCC ESLK SPORTS PHYSICAL EXAM	$15.20	$76.00	$14.44–$210.00	91% below	80%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 YSL RETURN VISIT PRE-NATAL	$17.74	$88.70	$16.85–$210.00	90% below	80%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OV INTERMEDIATE, EST	$28.89	$144.47	$27.45–$210.00	84% below	80%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 EST OV INTERMEDIATE, EST	$30.34	$151.70	$28.82–$210.00	83% below	80%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 UTC OV INTERMEDIATE EST	$30.34	$151.70	$28.82–$210.00	83% below	80%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OV INTERMEDIATE EST.	$30.34	$151.70	$28.82–$154.14	83% below	80%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 SISD OV INTERMEDIATE, EST	$60.44	$302.19	$57.42–$210.00	66% below	80%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 UCC ESLK E&M EST 20-29 MIN	$60.44	$302.19	$57.42–$210.00	66% below	80%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OV EXTENDED, EST	$34.67	$173.37	$32.94–$237.63	82% below	80%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 EST OV LIMITED, EST	$36.41	$182.03	$34.59–$237.63	81% below	80%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 EST OV EXTENDED, EST	$36.41	$182.03	$34.59–$237.63	81% below	80%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 WST OV EXTENDED, EST	$36.41	$182.03	$34.59–$237.63	81% below	80%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 UTC OV EXTENDED EST	$36.41	$182.03	$34.59–$237.63	81% below	80%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 YSL OV EXTENDED EST	$41.50	$207.51	$39.43–$237.63	78% below	80%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 UCC ESLK E&M EST 30-39 MIN	$85.16	$425.81	$80.90–$268.26	56% below	80%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 SISD OV EXTENDED, EST	$85.16	$425.81	$80.90–$268.26	56% below	80%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OV EXTENDED EST #PF#	$85.78	$428.90	$81.49–$270.21	55% below	80%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OV LIMITED, EST	$29.26	$146.28	$27.79–$210.00	77% below	80%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 EST LIMIT CLINIC VISIT L2	$30.72	$153.59	$29.18–$210.00	75% below	80%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 WST OV LIMITED, EST	$30.72	$153.59	$29.18–$210.00	75% below	80%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OV LIMITED - EST & PX	$30.72	$153.59	$29.18–$210.00	75% below	80%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 UTC OV LIMITED EST	$30.72	$153.59	$29.18–$210.00	75% below	80%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 SISD OV LIMITED EST	$37.23	$186.17	$33.26–$210.00	70% below	80%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OV LIMITED EST.� #PF#	$37.23	$186.17	$33.26–$117.29	70% below	80%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 UCC ESLK E&M EST 10-19 MIN	$37.23	$186.17	$33.26–$210.00	70% below	80%
Specialist consultation, low complexity or 30+ minutes CPT 99243 NHC NE OV CONSULT INTER & PX #PF#	$36.48	$182.40	$34.66–$289.01	59% below	80%
Specialist consultation, low complexity or 30+ minutes CPT 99243 OV CONSULT INERMEDIATE #PF#	$38.30	$191.52	$36.39–$289.01	57% below	80%
Specialist consultation, low complexity or 30+ minutes CPT 99243 YSL OV CONSULT INTERMEDIATE #PF#	$38.30	$191.52	$36.39–$289.01	57% below	80%
Specialist consultation, low complexity or 30+ minutes CPT 99243 ESP OV CONSULT INTER & PX #PF#	$38.30	$191.52	$36.39–$289.01	57% below	80%
Specialist consultation, low complexity or 30+ minutes CPT 99243 SISD OV CONSULT INTER & PX	$40.75	$203.77	$38.72–$289.01	54% below	80%
Specialist consultation, low complexity or 30+ minutes CPT 99243 FAB OV CONSULT INTERMEDIATE	$45.99	$229.95	$43.69–$289.01	49% below	80%
Specialist consultation, low complexity or 30+ minutes CPT 99243 CET OV CONSULT INTER W PX	$45.99	$229.95	$43.69–$289.01	49% below	80%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 NHC NE OV CONSULT EXTENDED & PX #PF#	$37.28	$186.40	$35.42–$464.54	77% below	80%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 CET OV CONSULT EXTENDED & PX	$37.60	$187.99	$35.72–$464.54	77% below	80%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 FAB OV CONSULT EXTENDED	$37.60	$187.99	$35.72–$464.54	77% below	80%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 OV CONULT EXTENDED #PF#	$39.14	$195.72	$37.19–$464.54	76% below	80%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 YSL OV CONSULT EXTENDED #PF#	$39.14	$195.72	$37.19–$464.54	76% below	80%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 ESP OV CONSULT EXTENDED & PX #PF#	$39.14	$195.72	$37.19–$464.54	76% below	80%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 SISD OV CONSULT EXTENDED & PX	$60.91	$304.54	$57.86–$464.54	62% below	80%
Speech and language evaluation CPT 92523 SH ST SPEECH/LANG EVAL 45 MIN	$40.12	$200.59	$38.11–$592.99	90% below	80%
Speech and language evaluation CPT 92523 SH ST SPEECH/LANG EVAL 60 MIN	$40.12	$200.59	$38.11–$592.99	90% below	80%
Speech and language evaluation CPT 92523 SH ST SPEECH/LANG RE-EVAL 60 MIN	$40.12	$200.59	$38.11–$592.99	90% below	80%
Speech and language evaluation CPT 92523 SH ST SPEECH/LANG RE-EVAL 45 MIN	$49.00	$245.00	$46.55–$592.99	87% below	80%
Speech and language evaluation inpatient CPT 92523 SH ST SPEECH/LANG EVAL 45 MIN	$40.12	$200.59	$38.11–$592.99	—	80%
Speech and language evaluation inpatient CPT 92523 SH ST SPEECH/LANG RE-EVAL 60 MIN	$40.12	$200.59	$38.11–$592.99	—	80%
Speech and language evaluation inpatient CPT 92523 SH ST SPEECH/LANG EVAL 60 MIN	$40.12	$200.59	$38.11–$592.99	—	80%
Speech and language evaluation inpatient CPT 92523 SH ST SPEECH/LANG RE-EVAL 45 MIN	$49.00	$245.00	$46.55–$592.99	—	80%
Speech therapy session, individual CPT 92507 SH SPEECH LANGUAGE THERAPY BASIC	$50.65	$253.24	$48.12–$238.70	77% below	80%
Speech therapy session, individual CPT 92507 SH SPEECH LANGUAGE THERAPY BRIEF	$50.65	$253.24	$48.12–$238.70	77% below	80%
Speech therapy session, individual CPT 92507 SH SPEECH LANGUAGE THERAPY EXT	$50.65	$253.24	$48.12–$238.70	77% below	80%
Speech therapy session, individual CPT 92507 SH SPEECH LANGUAGE THERAPY INTERM	$50.65	$253.24	$48.12–$238.70	77% below	80%
Speech therapy session, individual CPT 92507 OP SPEECH LANGUAGE THERAPY BASIC	$53.18	$265.90	$50.52–$238.70	75% below	80%
Speech therapy session, individual inpatient CPT 92507 SH SPEECH LANGUAGE THERAPY BRIEF	$50.65	$253.24	$48.12–$238.70	—	80%
Speech therapy session, individual inpatient CPT 92507 SH SPEECH LANGUAGE THERAPY BASIC	$50.65	$253.24	$48.12–$238.70	—	80%
Speech therapy session, individual inpatient CPT 92507 SH SPEECH LANGUAGE THERAPY INTERM	$50.65	$253.24	$48.12–$238.70	—	80%
Speech therapy session, individual inpatient CPT 92507 SH SPEECH LANGUAGE THERAPY EXT	$50.65	$253.24	$48.12–$238.70	—	80%
Speech therapy session, individual inpatient CPT 92507 OP SPEECH LANGUAGE THERAPY BASIC	$53.18	$265.90	$50.52–$238.70	—	80%
Spirometry (breathing test) CPT 94010 SH RST SPIROMETRY W/GRAPHIC RECORD	$84.10	$420.50	$25.32–$410.90	76% below	80%
Spirometry (breathing test) CPT 94010 RST SPIROMETRY W/GRAPHIC RECORD	$88.31	$441.53	$25.32–$410.90	75% below	80%
Spirometry (breathing test) inpatient CPT 94010 SH RST SPIROMETRY W/GRAPHIC RECORD	$84.10	$420.50	$25.32–$410.90	—	80%
Spirometry (breathing test) inpatient CPT 94010 RST SPIROMETRY W/GRAPHIC RECORD	$88.31	$441.53	$25.32–$410.90	—	80%
Spirometry before and after a bronchodilator CPT 94060 SH PFT-PRE-POST SPIROMETRY	$168.66	$843.30	$36.08–$463.82	72% below	80%
Spirometry before and after a bronchodilator CPT 94060 PFT-PRE-POST SPIROMETRY	$170.01	$850.06	$36.08–$467.53	71% below	80%
Spirometry before and after a bronchodilator CPT 94060 SH RST SPIROMETRY/PFT PRE & POST	$207.54	$1,037.70	$36.08–$570.74	65% below	80%
Spirometry before and after a bronchodilator CPT 94060 RST SPIROMETRY/PFT PRE & POST	$217.92	$1,089.59	$36.08–$599.27	63% below	80%
Spirometry before and after a bronchodilator inpatient CPT 94060 SH PFT-PRE-POST SPIROMETRY	$168.66	$843.30	$36.08–$463.82	—	80%
Spirometry before and after a bronchodilator inpatient CPT 94060 PFT-PRE-POST SPIROMETRY	$170.01	$850.06	$36.08–$467.53	—	80%
Spirometry before and after a bronchodilator inpatient CPT 94060 SH RST SPIROMETRY/PFT PRE & POST	$207.54	$1,037.70	$36.08–$570.74	—	80%
Spirometry before and after a bronchodilator inpatient CPT 94060 RST SPIROMETRY/PFT PRE & POST	$217.92	$1,089.59	$36.08–$599.27	—	80%
Therapeutic activities (functional training), 15 minutes CPT 97530 SH IP FUNCT THER ACT EA 15 MIN PT	$21.84	$109.21	$20.75–$120.94	81% below	80%
Therapeutic activities (functional training), 15 minutes CPT 97530 SH FUNCT THER ACT EA 15 MIN OT	$21.84	$109.21	$20.75–$120.94	81% below	80%
Therapeutic activities (functional training), 15 minutes CPT 97530 WC FUNCT THER ACT EA 15 MIN PT	$26.65	$133.25	$25.32–$120.94	76% below	80%
Therapeutic activities (functional training), 15 minutes CPT 97530 IP FUNCT THER ACT EA 15 MIN OT	$26.65	$133.25	$25.32–$120.94	76% below	80%
Therapeutic activities (functional training), 15 minutes CPT 97530 RWC FUNCT THER ACT EA 15 M OT	$28.04	$140.18	$26.63–$120.94	75% below	80%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 SH IP FUNCT THER ACT EA 15 MIN PT	$21.84	$109.21	$20.75–$120.94	—	80%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 SH FUNCT THER ACT EA 15 MIN OT	$21.84	$109.21	$20.75–$120.94	—	80%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 WC FUNCT THER ACT EA 15 MIN PT	$26.65	$133.25	$25.32–$120.94	—	80%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 IP FUNCT THER ACT EA 15 MIN OT	$26.65	$133.25	$25.32–$120.94	—	80%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 RWC FUNCT THER ACT EA 15 M OT	$28.04	$140.18	$26.63–$120.94	—	80%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 SH BB PHLEBOT THERAPEUTIC	$43.00	$215.01	$40.85–$323.82	81% below	80%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 BB PHLEBOT THERAPEUTIC	$45.06	$225.28	$42.80–$323.82	80% below	80%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 INF PHLEBOTOMY THERAPEUTIC	$45.06	$225.28	$42.80–$600.00	80% below	80%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 NE INF INF PHLEBOTOMY THERAPEUTIC	$85.20	$426.00	$80.94–$600.00	63% below	80%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 SH BB PHLEBOT THERAPEUTIC	$43.00	$215.01	$40.85–$323.82	—	80%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 BB PHLEBOT THERAPEUTIC	$45.06	$225.28	$42.80–$323.82	—	80%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 INF PHLEBOTOMY THERAPEUTIC	$45.06	$225.28	$42.80–$600.00	—	80%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 NE INF INF PHLEBOTOMY THERAPEUTIC	$85.20	$426.00	$80.94–$600.00	—	80%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Texas	Off list
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 CET SPIKEVAX VACC 50MCG/0.5ML IM 12YR+	$28.36	$141.80	$26.94–$141.54	77% below	80%
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 WST SPIKEVAX VAC 50MCG/0.5ML IM 12YR+	$28.36	$141.80	$26.94–$141.54	77% below	80%
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 EST SPIKEVAX VAC 50 MCG/0.5 ML IM 12YR+	$28.36	$141.80	$26.94–$141.54	77% below	80%
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 DPT SPIKEVAX VAC 50 MCG/0.5 ML IM 12YR+	$28.36	$141.80	$26.94–$141.54	77% below	80%
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 SISD SARSCOV2 VAC 50 MCG/0.5 ML IM IM	$28.36	$141.80	$26.94–$141.54	77% below	80%
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 SISD SPIKEVAX VAC 50 MCG/0.5 ML IM 12YR+	$28.36	$141.80	$26.94–$141.54	77% below	80%
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 FAB SPIKEVAX VAC 50 MCG/0.5 ML IM 12+	$28.36	$141.80	$26.94–$141.54	77% below	80%
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 NE SPIKEVAX VAC 50MCG/0.5ML IM 12YR+	$28.36	$141.80	$26.94–$141.54	77% below	80%
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 ZAT SPIKEVAX VAC 50MCG/0.5 ML IM 12YR +	$28.36	$141.80	$26.94–$141.54	77% below	80%
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 EMP SPIKEVAX VACC 50MCG/0.5ML IM 12YR+	$28.36	$141.80	$26.94–$141.54	77% below	80%
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 SARS-CoV-2 (COVID-19) mRNA-LNP vaccine (12y+) (cvx 312) PF 50 mcg/0.5 mL inj	$104.82	$524.09	$99.58–$377.35	15% below	80%
COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 EMP SPIKEVAX VACC 50MCG/0.5ML IM 12YR+	$28.36	$141.80	$26.94–$141.54	—	80%
COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 FAB SPIKEVAX VAC 50 MCG/0.5 ML IM 12+	$28.36	$141.80	$26.94–$141.54	—	80%
COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 CET SPIKEVAX VACC 50MCG/0.5ML IM 12YR+	$28.36	$141.80	$26.94–$141.54	—	80%
COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 ZAT SPIKEVAX VAC 50MCG/0.5 ML IM 12YR +	$28.36	$141.80	$26.94–$141.54	—	80%
COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 NE SPIKEVAX VAC 50MCG/0.5ML IM 12YR+	$28.36	$141.80	$26.94–$141.54	—	80%
COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 SISD SPIKEVAX VAC 50 MCG/0.5 ML IM 12YR+	$28.36	$141.80	$26.94–$141.54	—	80%
COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 SISD SARSCOV2 VAC 50 MCG/0.5 ML IM IM	$28.36	$141.80	$26.94–$141.54	—	80%
COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 DPT SPIKEVAX VAC 50 MCG/0.5 ML IM 12YR+	$28.36	$141.80	$26.94–$141.54	—	80%
COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 EST SPIKEVAX VAC 50 MCG/0.5 ML IM 12YR+	$28.36	$141.80	$26.94–$141.54	—	80%
COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 WST SPIKEVAX VAC 50MCG/0.5ML IM 12YR+	$28.36	$141.80	$26.94–$141.54	—	80%
COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 SARS-CoV-2 (COVID-19) mRNA-LNP vaccine (12y+) (cvx 312) PF 50 mcg/0.5 mL inj	$104.82	$524.09	$99.58–$377.35	—	80%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 varicella virus vaccine 0.5mL inj	$88.50	$442.51	$84.08–$278.78	78% below	80%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 varicella virus vaccine 0.5mL inj	$88.50	$442.51	$84.08–$278.78	—	80%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 WST DTAP-IPV 4-6 YRS (KINRIX)	$11.24	$56.20	$10.68–$63.57	85% below	80%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 EST DTAP-IPV 4-6 YRS (KINRIX)	$11.24	$56.20	$10.68–$63.57	85% below	80%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 EMP DTAP-IPV 4-6 YRS (KINRIX)	$11.24	$56.20	$10.68–$63.57	85% below	80%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 DPT DTAP-IPV 4-6 YRS (KINRIX)	$11.24	$56.20	$10.68–$63.57	85% below	80%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 DTAP-IPV VACC VL 4-6 IM	$11.24	$56.20	$10.68–$63.57	85% below	80%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 FAB THSTP DTAP-IPV 4-6 YRS#PF#	$11.24	$56.20	$10.68–$63.57	85% below	80%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 UTC DTAP-IPV 4-6 YRS (KINRIX)	$11.24	$56.20	$10.68–$63.57	85% below	80%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 DTAP-IPV 4-6 YRS (KINRIX)	$11.24	$56.20	$10.68–$63.57	85% below	80%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 YSL DTAP-IPV 4-6 YRS (KINRIX)	$11.24	$56.20	$10.68–$63.57	85% below	80%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 SISD DTAP-IPV 4-6 YRS (KINRIX)	$13.63	$68.13	$12.94–$63.57	82% below	80%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 CET DTAP-IPV VACC VL 4-6 IM	$13.63	$68.13	$12.94–$63.57	82% below	80%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 DTAP-IPV VACC VL 4-6 IM	$11.24	$56.20	$10.68–$63.57	—	80%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 EMP DTAP-IPV 4-6 YRS (KINRIX)	$11.24	$56.20	$10.68–$63.57	—	80%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 WST DTAP-IPV 4-6 YRS (KINRIX)	$11.24	$56.20	$10.68–$63.57	—	80%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 EST DTAP-IPV 4-6 YRS (KINRIX)	$11.24	$56.20	$10.68–$63.57	—	80%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 YSL DTAP-IPV 4-6 YRS (KINRIX)	$11.24	$56.20	$10.68–$63.57	—	80%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 UTC DTAP-IPV 4-6 YRS (KINRIX)	$11.24	$56.20	$10.68–$63.57	—	80%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 DPT DTAP-IPV 4-6 YRS (KINRIX)	$11.24	$56.20	$10.68–$63.57	—	80%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 FAB THSTP DTAP-IPV 4-6 YRS#PF#	$11.24	$56.20	$10.68–$63.57	—	80%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 DTAP-IPV 4-6 YRS (KINRIX)	$11.24	$56.20	$10.68–$63.57	—	80%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 CET DTAP-IPV VACC VL 4-6 IM	$13.63	$68.13	$12.94–$63.57	—	80%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 SISD DTAP-IPV 4-6 YRS (KINRIX)	$13.63	$68.13	$12.94–$63.57	—	80%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DTAP VACCINE 7 UNDER	$9.40	$47.00	$8.93–$29.88	90% below	80%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 IMMUNIZE DTAP	$9.87	$49.35	$9.38–$31.09	89% below	80%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 EMP DTAP VACCINE 7 UNDER	$9.87	$49.35	$9.38–$31.09	89% below	80%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 TDAP (VACCINE NEW)	$9.87	$49.35	$9.38–$31.09	89% below	80%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 WST DTAP VACCINE 7 UNDER	$9.87	$49.35	$9.38–$31.09	89% below	80%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 UTC DTAP VACCINE 7 UNDER	$9.87	$49.35	$9.38–$31.09	89% below	80%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DTAP VACCINE IM	$9.87	$49.35	$9.38–$31.09	89% below	80%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 UTC DTAP VACCINE IM	$9.87	$49.35	$9.38–$31.09	89% below	80%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 CET TDAP <7 YR IM VL 0.5ML	$9.87	$49.35	$9.38–$31.09	89% below	80%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 EST DTAP VACCINE 7 UNDER	$9.87	$49.35	$9.38–$31.09	89% below	80%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 SISD DTAP VACCINE 7 UNDER	$16.63	$83.16	$15.80–$52.39	82% below	80%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 ZAT DTAP VACC <7 YR IM 0.5ML	$16.63	$83.16	$15.80–$52.39	82% below	80%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 diphtheria/tetanus/acell pertussis (DTaP) 0.5 mL pedi	$24.98	$124.92	$23.74–$78.70	72% below	80%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DTAP VACCINE 7 UNDER	$9.40	$47.00	$8.93–$29.88	—	80%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 IMMUNIZE DTAP	$9.87	$49.35	$9.38–$31.09	—	80%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 UTC DTAP VACCINE 7 UNDER	$9.87	$49.35	$9.38–$31.09	—	80%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 UTC DTAP VACCINE IM	$9.87	$49.35	$9.38–$31.09	—	80%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 EMP DTAP VACCINE 7 UNDER	$9.87	$49.35	$9.38–$31.09	—	80%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 TDAP (VACCINE NEW)	$9.87	$49.35	$9.38–$31.09	—	80%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 WST DTAP VACCINE 7 UNDER	$9.87	$49.35	$9.38–$31.09	—	80%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 EST DTAP VACCINE 7 UNDER	$9.87	$49.35	$9.38–$31.09	—	80%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 CET TDAP <7 YR IM VL 0.5ML	$9.87	$49.35	$9.38–$31.09	—	80%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DTAP VACCINE IM	$9.87	$49.35	$9.38–$31.09	—	80%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 SISD DTAP VACCINE 7 UNDER	$16.63	$83.16	$15.80–$52.39	—	80%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 ZAT DTAP VACC <7 YR IM 0.5ML	$16.63	$83.16	$15.80–$52.39	—	80%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 diphtheria/tetanus/acell pertussis (DTaP) 0.5 mL pedi	$24.98	$124.92	$23.74–$78.70	—	80%
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 NE DTAP-HEPB-IPV VACCINE INTRAMUSCULAR	$16.35	$81.75	$15.53–$100.73	92% below	80%
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 YSL PEDIARIX (DTAPHEP BIPV)	$16.48	$82.41	$15.66–$100.73	92% below	80%
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 WST PEDIARIX (DTAP,HEP B,IPV)	$16.48	$82.41	$15.66–$100.73	92% below	80%
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 EST PEDIARIX (DTAP,HEP B,IPV)	$16.48	$82.41	$15.66–$100.73	92% below	80%
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 SISD PEDIARIX (DTAP,HEP B,IPV)	$16.48	$82.41	$15.66–$100.73	92% below	80%
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 diphth/hepB/pertus,acel/polio/tetanus 0.5mL inj	$51.82	$259.08	$49.23–$163.22	76% below	80%
DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 NE DTAP-HEPB-IPV VACCINE INTRAMUSCULAR	$16.35	$81.75	$15.53–$100.73	—	80%
DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 WST PEDIARIX (DTAP,HEP B,IPV)	$16.48	$82.41	$15.66–$100.73	—	80%
DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 SISD PEDIARIX (DTAP,HEP B,IPV)	$16.48	$82.41	$15.66–$100.73	—	80%
DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 YSL PEDIARIX (DTAPHEP BIPV)	$16.48	$82.41	$15.66–$100.73	—	80%
DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 EST PEDIARIX (DTAP,HEP B,IPV)	$16.48	$82.41	$15.66–$100.73	—	80%
DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 diphth/hepB/pertus,acel/polio/tetanus 0.5mL inj	$51.82	$259.08	$49.23–$163.22	—	80%
DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 CET DTAP-HIB-IPV VACC IM	$27.72	$138.58	$26.33–$117.76	90% below	80%
DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 SISD DTAP-HIB-IPV VAC PENTACEL	$27.72	$138.58	$26.33–$117.76	90% below	80%
DTaP, polio and Hib combination vaccine (Pentacel) inpatient CPT 90698 SISD DTAP-HIB-IPV VAC PENTACEL	$27.72	$138.58	$26.33–$117.76	—	80%
DTaP, polio and Hib combination vaccine (Pentacel) inpatient CPT 90698 CET DTAP-HIB-IPV VACC IM	$27.72	$138.58	$26.33–$117.76	—	80%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 NE THSTEP FLULAVAL 0.5ML IM 6+MOS #PF#	$9.10	$45.50	$8.65–$35.06	76% below	80%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 WST FLUARIX TRIV 0.5ML 6MOS+	$19.80	$99.00	$17.01–$62.37	47% below	80%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FAB FLUARIX TRIV VACC IM 0.5ML 6MOS +	$19.80	$99.00	$17.01–$62.37	47% below	80%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 CET FLUARIX TRIV VACC IM 0.5ML 6MOS+	$19.80	$99.00	$17.01–$62.37	47% below	80%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 NE FLUARIX TRIV 0.5ML 6MOS+	$19.80	$99.00	$17.01–$62.37	47% below	80%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 DPT FLUARIX TRIV 0.5ML 6MOS+	$19.80	$99.00	$17.01–$62.37	47% below	80%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 EST FLUARIX TRIV 0.5ML IM 6MOS +	$19.80	$99.00	$17.01–$62.37	47% below	80%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 EMP FLUARIX TRIV 0.5ML IM 6MOS+	$19.80	$99.00	$17.01–$62.37	47% below	80%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 ZAT FLUARIX TRI 0.5ML 6MOS+	$19.80	$99.00	$17.01–$62.37	47% below	80%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 UTC FLUARIX TRIV 0.5ML 6MOS+	$19.80	$99.00	$17.01–$62.37	47% below	80%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 ZAT FLUZONE TRIV 0.5ML 6MOS+	$20.60	$103.00	$17.01–$64.89	45% below	80%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 CET FLUZONE TRIV 0.5ML 6MOS+	$20.60	$103.00	$17.01–$64.89	45% below	80%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 WST FLUZONE TRIV 0.5ML 6MOS+	$20.60	$103.00	$17.01–$64.89	45% below	80%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 EST FLUZONE TRIV 0.5ML IM 6MOS+	$20.60	$103.00	$17.01–$64.89	45% below	80%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 HPC FLUZONE TRIV 0.5ML 6MOS+	$20.60	$103.00	$17.01–$64.89	45% below	80%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FAB FLUZONE TRIV 0.5ML 6MOS+	$20.60	$103.00	$17.01–$64.89	45% below	80%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 UTC FLUZONE TRIV 0.5ML 6MOS+	$20.60	$103.00	$17.01–$64.89	45% below	80%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 NE FLUZONE TRIV 0.5ML 6MOS+	$20.60	$103.00	$17.01–$64.89	45% below	80%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 DPT FLUZONE TRIV 0.5ML 6MOS+	$20.60	$103.00	$17.01–$64.89	45% below	80%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 influenza virus vaccine PF, quadrivalent inactivated inj 0.5mL (fluarix)	$24.62	$123.12	$17.01–$77.56	34% below	80%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 influenza virus vaccine PF, inactivated trivalent inj 0.5mL (fluarix)	$24.63	$123.17	$17.01–$77.60	34% below	80%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 SISD FLUARIX TRIV 0.5ML IM 6MOS +	$24.67	$123.35	$17.01–$77.71	34% below	80%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 SISD FLUZONE TRIV 0.5ML IM 6MOS+	$24.67	$123.35	$17.01–$77.71	34% below	80%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 SISD FLULAVAL 0.5 ML 6 MOS +	$24.67	$123.35	$17.01–$77.71	34% below	80%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 influenza virus vaccine PF, inact trival inj 0.5 mL (fluzone)	$25.90	$129.50	$17.01–$81.59	31% below	80%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 NE THSTEP FLULAVAL 0.5ML IM 6+MOS #PF#	$9.10	$45.50	$8.65–$35.06	—	80%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 NE FLUARIX TRIV 0.5ML 6MOS+	$19.80	$99.00	$17.01–$62.37	—	80%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 DPT FLUARIX TRIV 0.5ML 6MOS+	$19.80	$99.00	$17.01–$62.37	—	80%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 EST FLUARIX TRIV 0.5ML IM 6MOS +	$19.80	$99.00	$17.01–$62.37	—	80%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 WST FLUARIX TRIV 0.5ML 6MOS+	$19.80	$99.00	$17.01–$62.37	—	80%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 EMP FLUARIX TRIV 0.5ML IM 6MOS+	$19.80	$99.00	$17.01–$62.37	—	80%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 ZAT FLUARIX TRI 0.5ML 6MOS+	$19.80	$99.00	$17.01–$62.37	—	80%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 UTC FLUARIX TRIV 0.5ML 6MOS+	$19.80	$99.00	$17.01–$62.37	—	80%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FAB FLUARIX TRIV VACC IM 0.5ML 6MOS +	$19.80	$99.00	$17.01–$62.37	—	80%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 CET FLUARIX TRIV VACC IM 0.5ML 6MOS+	$19.80	$99.00	$17.01–$62.37	—	80%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 HPC FLUZONE TRIV 0.5ML 6MOS+	$20.60	$103.00	$17.01–$64.89	—	80%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 UTC FLUZONE TRIV 0.5ML 6MOS+	$20.60	$103.00	$17.01–$64.89	—	80%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 NE FLUZONE TRIV 0.5ML 6MOS+	$20.60	$103.00	$17.01–$64.89	—	80%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 EST FLUZONE TRIV 0.5ML IM 6MOS+	$20.60	$103.00	$17.01–$64.89	—	80%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FAB FLUZONE TRIV 0.5ML 6MOS+	$20.60	$103.00	$17.01–$64.89	—	80%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 DPT FLUZONE TRIV 0.5ML 6MOS+	$20.60	$103.00	$17.01–$64.89	—	80%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 WST FLUZONE TRIV 0.5ML 6MOS+	$20.60	$103.00	$17.01–$64.89	—	80%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 CET FLUZONE TRIV 0.5ML 6MOS+	$20.60	$103.00	$17.01–$64.89	—	80%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 ZAT FLUZONE TRIV 0.5ML 6MOS+	$20.60	$103.00	$17.01–$64.89	—	80%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 influenza virus vaccine PF, quadrivalent inactivated inj 0.5mL (fluarix)	$24.62	$123.12	$17.01–$77.56	—	80%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 influenza virus vaccine PF, inactivated trivalent inj 0.5mL (fluarix)	$24.63	$123.17	$17.01–$77.60	—	80%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 SISD FLULAVAL 0.5 ML 6 MOS +	$24.67	$123.35	$17.01–$77.71	—	80%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 SISD FLUARIX TRIV 0.5ML IM 6MOS +	$24.67	$123.35	$17.01–$77.71	—	80%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 SISD FLUZONE TRIV 0.5ML IM 6MOS+	$24.67	$123.35	$17.01–$77.71	—	80%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 influenza virus vaccine PF, inact trival inj 0.5 mL (fluzone)	$25.90	$129.50	$17.01–$81.59	—	80%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 NHC NE TVFC HPV NV 3 DOSE#PF#	$49.00	$245.00	$46.55–$295.65	91% below	80%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HPV NONVALENT IM 3 DOSE	$56.00	$280.00	$53.20–$295.65	90% below	80%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 SISD HPV NONVALENT IM 3 DOSE	$58.80	$294.00	$55.86–$295.65	89% below	80%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HPC HPV NONVALENT IM 3 DOSE	$58.80	$294.00	$55.86–$295.65	89% below	80%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 EST HPV NONVALENT IM 3 DOSE	$58.80	$294.00	$55.86–$295.65	89% below	80%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 DPT HPV NONVALENT IM 3 DOSE	$58.80	$294.00	$55.86–$295.65	89% below	80%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 WST HPV NONVALENT IM 3 DOSE	$58.80	$294.00	$55.86–$295.65	89% below	80%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 FAB HPV NONVALENT IM 3 DOSE	$58.80	$294.00	$55.86–$295.65	89% below	80%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 ZAT HPV NONVALENT IM 3 DOSE	$58.80	$294.00	$55.86–$295.65	89% below	80%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 CET HPV NONVALENT IM 3 DOSE	$58.80	$294.00	$55.86–$295.65	89% below	80%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 NHC NE TVFC HPV NV 3 DOSE#PF#	$49.00	$245.00	$46.55–$295.65	—	80%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HPV NONVALENT IM 3 DOSE	$56.00	$280.00	$53.20–$295.65	—	80%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 DPT HPV NONVALENT IM 3 DOSE	$58.80	$294.00	$55.86–$295.65	—	80%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 FAB HPV NONVALENT IM 3 DOSE	$58.80	$294.00	$55.86–$295.65	—	80%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 SISD HPV NONVALENT IM 3 DOSE	$58.80	$294.00	$55.86–$295.65	—	80%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 EST HPV NONVALENT IM 3 DOSE	$58.80	$294.00	$55.86–$295.65	—	80%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 ZAT HPV NONVALENT IM 3 DOSE	$58.80	$294.00	$55.86–$295.65	—	80%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 WST HPV NONVALENT IM 3 DOSE	$58.80	$294.00	$55.86–$295.65	—	80%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 CET HPV NONVALENT IM 3 DOSE	$58.80	$294.00	$55.86–$295.65	—	80%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HPC HPV NONVALENT IM 3 DOSE	$58.80	$294.00	$55.86–$295.65	—	80%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 UTC HEP A/HEP B VACCINE ADULT	$20.03	$100.17	$19.03–$129.76	97% below	80%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 FAB HEP A/HEP B VACCINE ADULT	$20.03	$100.17	$19.03–$129.76	97% below	80%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 CET HEP A/B VAC ADULT	$30.45	$152.25	$28.93–$129.76	95% below	80%
Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 UTC HEP A/HEP B VACCINE ADULT	$20.03	$100.17	$19.03–$129.76	—	80%
Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 FAB HEP A/HEP B VACCINE ADULT	$20.03	$100.17	$19.03–$129.76	—	80%
Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 CET HEP A/B VAC ADULT	$30.45	$152.25	$28.93–$129.76	—	80%
Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A	$15.40	$77.00	$14.63–$68.42	92% below	80%
Hepatitis A vaccine, adult dose CPT 90632 UTC HEPATITIS A	$16.17	$80.85	$15.36–$68.42	91% below	80%
Hepatitis A vaccine, adult dose CPT 90632 EST HEPATITIS A	$16.17	$80.85	$15.36–$68.42	91% below	80%
Hepatitis A vaccine, adult dose CPT 90632 WST HEPATITIS A	$16.17	$80.85	$15.36–$68.42	91% below	80%
Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A ADULT IMMUNIZATION	$16.17	$80.85	$15.36–$68.42	91% below	80%
Hepatitis A vaccine, adult dose CPT 90632 DPT HEPATITIS A	$16.17	$80.85	$15.36–$68.42	91% below	80%
Hepatitis A vaccine, adult dose CPT 90632 IMMUNIZE HEPATITIS	$16.17	$80.85	$15.36–$68.42	91% below	80%
Hepatitis A vaccine, adult dose CPT 90632 UTC IMMUNIZE HEPATITIS	$16.17	$80.85	$15.36–$68.42	91% below	80%
Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS VACCINE	$16.17	$80.85	$15.36–$68.42	91% below	80%
Hepatitis A vaccine, adult dose CPT 90632 CET HEP A VACC ADULT IM DOSE	$27.37	$136.86	$26.00–$86.22	85% below	80%
Hepatitis A vaccine, adult dose CPT 90632 SISD HEPATITIS A	$27.37	$136.86	$26.00–$86.22	85% below	80%
Hepatitis A vaccine, adult dose CPT 90632 hepatitis A adult vacc 1440 units/mL pf inj 1mL	$46.16	$230.78	$43.85–$145.39	75% below	80%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A	$15.40	$77.00	$14.63–$68.42	—	80%
Hepatitis A vaccine, adult dose inpatient CPT 90632 DPT HEPATITIS A	$16.17	$80.85	$15.36–$68.42	—	80%
Hepatitis A vaccine, adult dose inpatient CPT 90632 UTC IMMUNIZE HEPATITIS	$16.17	$80.85	$15.36–$68.42	—	80%
Hepatitis A vaccine, adult dose inpatient CPT 90632 IMMUNIZE HEPATITIS	$16.17	$80.85	$15.36–$68.42	—	80%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS VACCINE	$16.17	$80.85	$15.36–$68.42	—	80%
Hepatitis A vaccine, adult dose inpatient CPT 90632 EST HEPATITIS A	$16.17	$80.85	$15.36–$68.42	—	80%
Hepatitis A vaccine, adult dose inpatient CPT 90632 UTC HEPATITIS A	$16.17	$80.85	$15.36–$68.42	—	80%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A ADULT IMMUNIZATION	$16.17	$80.85	$15.36–$68.42	—	80%
Hepatitis A vaccine, adult dose inpatient CPT 90632 WST HEPATITIS A	$16.17	$80.85	$15.36–$68.42	—	80%
Hepatitis A vaccine, adult dose inpatient CPT 90632 SISD HEPATITIS A	$27.37	$136.86	$26.00–$86.22	—	80%
Hepatitis A vaccine, adult dose inpatient CPT 90632 CET HEP A VACC ADULT IM DOSE	$27.37	$136.86	$26.00–$86.22	—	80%
Hepatitis A vaccine, adult dose inpatient CPT 90632 hepatitis A adult vacc 1440 units/mL pf inj 1mL	$46.16	$230.78	$43.85–$145.39	—	80%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HEP A VACCPED/ADO2DOSE	$12.47	$62.33	$11.84–$39.27	87% below	80%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 YSL HEP A VACCPED/ADO2DOSE	$13.09	$65.45	$12.44–$41.23	86% below	80%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 CET HEP A VACCPED/ADO2DOSE	$13.09	$65.45	$12.44–$41.23	86% below	80%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 FAB HEP A VACCPED/ADO2DOSE	$13.09	$65.45	$12.44–$41.23	86% below	80%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 UTC HEP A VAC PED/ADOLES 2DOSE	$13.09	$65.45	$12.44–$41.23	86% below	80%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 WST HEP A VACCPED/ADO2DOSE	$13.09	$65.45	$12.44–$41.23	86% below	80%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 SISD HEP A VACC PED/ADOL	$16.91	$84.53	$16.06–$53.25	82% below	80%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 EST HEP A VACC PED/ADOL	$16.91	$84.53	$16.06–$53.25	82% below	80%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 hepatitis A pedi vacc 720 units/0.5 mL pf inj	$28.09	$140.44	$26.68–$88.48	70% below	80%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 hepatitis A pedi vaccine 25 units/0.5 mL inj	$31.32	$156.58	$29.75–$98.64	67% below	80%
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 HEP A VACCPED/ADO2DOSE	$12.47	$62.33	$11.84–$39.27	—	80%
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 YSL HEP A VACCPED/ADO2DOSE	$13.09	$65.45	$12.44–$41.23	—	80%
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 WST HEP A VACCPED/ADO2DOSE	$13.09	$65.45	$12.44–$41.23	—	80%
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 UTC HEP A VAC PED/ADOLES 2DOSE	$13.09	$65.45	$12.44–$41.23	—	80%
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 CET HEP A VACCPED/ADO2DOSE	$13.09	$65.45	$12.44–$41.23	—	80%
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 FAB HEP A VACCPED/ADO2DOSE	$13.09	$65.45	$12.44–$41.23	—	80%
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 EST HEP A VACC PED/ADOL	$16.91	$84.53	$16.06–$53.25	—	80%
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 SISD HEP A VACC PED/ADOL	$16.91	$84.53	$16.06–$53.25	—	80%
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 hepatitis A pedi vacc 720 units/0.5 mL pf inj	$28.09	$140.44	$26.68–$88.48	—	80%
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 hepatitis A pedi vaccine 25 units/0.5 mL inj	$31.32	$156.58	$29.75–$98.64	—	80%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VACC ADULT IM	$23.00	$115.00	$21.85–$191.61	86% below	80%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 EMP HEPATITIS B VACCINE	$24.15	$120.75	$22.94–$191.61	85% below	80%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 WST HEPATITIS B VACC ADULT IM	$24.15	$120.75	$22.94–$191.61	85% below	80%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEP B VACCINE ADULT	$24.15	$120.75	$22.94–$191.61	85% below	80%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 FAB HEP B VAC ADULT IM #PF#	$24.15	$120.75	$22.94–$191.61	85% below	80%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 FAB HEP B, VAC, ADULT, IM	$24.15	$120.75	$22.94–$191.61	85% below	80%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 SISD HEPATITIS B VACC ADULT IM	$24.15	$120.75	$22.94–$191.61	85% below	80%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 DPT HEPATITIS B VACC ADULT IM	$24.15	$120.75	$22.94–$191.61	85% below	80%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 EST HEPATITIS B VACC ADULT IM	$24.15	$120.75	$22.94–$191.61	85% below	80%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 hepatitis B vaccine adult 20mcg/mL inj	$38.19	$190.96	$36.28–$191.61	77% below	80%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VACC ADULT IM	$23.00	$115.00	$21.85–$191.61	—	80%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 WST HEPATITIS B VACC ADULT IM	$24.15	$120.75	$22.94–$191.61	—	80%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 EMP HEPATITIS B VACCINE	$24.15	$120.75	$22.94–$191.61	—	80%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEP B VACCINE ADULT	$24.15	$120.75	$22.94–$191.61	—	80%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 FAB HEP B VAC ADULT IM #PF#	$24.15	$120.75	$22.94–$191.61	—	80%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 FAB HEP B, VAC, ADULT, IM	$24.15	$120.75	$22.94–$191.61	—	80%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 SISD HEPATITIS B VACC ADULT IM	$24.15	$120.75	$22.94–$191.61	—	80%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 DPT HEPATITIS B VACC ADULT IM	$24.15	$120.75	$22.94–$191.61	—	80%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 EST HEPATITIS B VACC ADULT IM	$24.15	$120.75	$22.94–$191.61	—	80%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 hepatitis B vaccine adult 20mcg/mL inj	$38.19	$190.96	$36.28–$191.61	—	80%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 CET HEPAT B VACC PED/AD 3-D IM	$19.32	$96.61	$18.36–$81.41	76% below	80%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 YSL HEP B VACC PED/ADO IM	$19.53	$97.65	$18.55–$81.41	76% below	80%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPAT B VACC PED/AD 3-D IM	$20.66	$103.29	$19.63–$81.41	75% below	80%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 WST HEPAT B VACC PED/AD 3-D IM	$21.69	$108.45	$20.61–$81.41	73% below	80%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 FAB HEP B VACC PED/ADO IM	$21.69	$108.45	$20.61–$81.41	73% below	80%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 RECOVERY HEPATITIS B VACCINE	$21.69	$108.45	$20.61–$81.41	73% below	80%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 UTC HEP B VACC PED/ADO IM	$21.69	$108.45	$20.61–$68.32	73% below	80%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 EST HEPAT B VACC PED/AD 3-D IM	$21.69	$108.45	$20.61–$81.41	73% below	80%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B PEDI IMMUNIZATION	$21.69	$108.45	$20.61–$81.41	73% below	80%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 DPP HEP B VACC PED/ADO IM #PF#	$21.69	$108.45	$20.61–$81.41	73% below	80%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 DPT HEPAT B VACC PED/AD 3-D IM	$21.69	$108.45	$20.61–$81.41	73% below	80%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 SISD HEPAT B VACC PED/AD 3-D IM	$21.69	$108.45	$20.61–$81.41	73% below	80%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 hepatitis B vaccine pedi 5 mcg/0.5 mL inj	$23.57	$117.83	$22.39–$81.41	71% below	80%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 hepatitis B vaccine pedi 10 mcg/0.5 mL inj	$25.27	$126.35	$22.83–$81.41	69% below	80%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 CET HEPAT B VACC PED/AD 3-D IM	$19.32	$96.61	$18.36–$81.41	—	80%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 YSL HEP B VACC PED/ADO IM	$19.53	$97.65	$18.55–$81.41	—	80%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPAT B VACC PED/AD 3-D IM	$20.66	$103.29	$19.63–$81.41	—	80%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 UTC HEP B VACC PED/ADO IM	$21.69	$108.45	$20.61–$68.32	—	80%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 DPP HEP B VACC PED/ADO IM #PF#	$21.69	$108.45	$20.61–$81.41	—	80%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 RECOVERY HEPATITIS B VACCINE	$21.69	$108.45	$20.61–$81.41	—	80%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 SISD HEPAT B VACC PED/AD 3-D IM	$21.69	$108.45	$20.61–$81.41	—	80%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 EST HEPAT B VACC PED/AD 3-D IM	$21.69	$108.45	$20.61–$81.41	—	80%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 WST HEPAT B VACC PED/AD 3-D IM	$21.69	$108.45	$20.61–$81.41	—	80%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 FAB HEP B VACC PED/ADO IM	$21.69	$108.45	$20.61–$81.41	—	80%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B PEDI IMMUNIZATION	$21.69	$108.45	$20.61–$81.41	—	80%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 DPT HEPAT B VACC PED/AD 3-D IM	$21.69	$108.45	$20.61–$81.41	—	80%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 hepatitis B vaccine pedi 5 mcg/0.5 mL inj	$23.57	$117.83	$22.39–$81.41	—	80%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 hepatitis B vaccine pedi 10 mcg/0.5 mL inj	$25.27	$126.35	$22.83–$81.41	—	80%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 HIB INFLU B VAC PRP- 3 IM	$7.90	$39.50	$7.51–$30.55	89% below	80%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 EST HIB INFLU B VAC PRP- 3 IM	$8.30	$41.48	$7.88–$30.55	89% below	80%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 WST HIB INFLU B VAC PRP- 3 IM	$8.30	$41.48	$7.88–$30.55	89% below	80%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 HIB VACC PRP-OMP D3 IM #PF#	$10.48	$52.38	$9.95–$33.00	86% below	80%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 EMP HIB VACCINE PRP-OMP D3 IM #PF#	$10.48	$52.38	$9.95–$33.00	86% below	80%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 EMP ANX HIB VACC PRP-OMP D3 IM	$10.48	$52.38	$9.95–$33.00	86% below	80%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 CET HIB VACC PRP-OMP D3 IM	$10.48	$52.38	$9.95–$33.00	86% below	80%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 FAB HIB VACC PRP-OMP D3 IM #PF#	$10.48	$52.38	$9.95–$33.00	86% below	80%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) inpatient CPT 90647 HIB INFLU B VAC PRP- 3 IM	$7.90	$39.50	$7.51–$30.55	—	80%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) inpatient CPT 90647 EST HIB INFLU B VAC PRP- 3 IM	$8.30	$41.48	$7.88–$30.55	—	80%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) inpatient CPT 90647 WST HIB INFLU B VAC PRP- 3 IM	$8.30	$41.48	$7.88–$30.55	—	80%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) inpatient CPT 90647 CET HIB VACC PRP-OMP D3 IM	$10.48	$52.38	$9.95–$33.00	—	80%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) inpatient CPT 90647 FAB HIB VACC PRP-OMP D3 IM #PF#	$10.48	$52.38	$9.95–$33.00	—	80%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) inpatient CPT 90647 EMP HIB VACCINE PRP-OMP D3 IM #PF#	$10.48	$52.38	$9.95–$33.00	—	80%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) inpatient CPT 90647 EMP ANX HIB VACC PRP-OMP D3 IM	$10.48	$52.38	$9.95–$33.00	—	80%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) inpatient CPT 90647 HIB VACC PRP-OMP D3 IM #PF#	$10.48	$52.38	$9.95–$33.00	—	80%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HIB B VACC PRP- IM 4 DOSE	$4.80	$24.00	$4.56–$15.12	90% below	80%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 EST HIB B VACC PRP- IM 4 DOSE	$5.04	$25.20	$4.79–$15.88	89% below	80%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 WST HIB B VACC PRP- IM 4 DOSE	$5.04	$25.20	$4.79–$15.88	89% below	80%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 FAB HIB ACTHIB VACC IM	$13.23	$66.15	$12.57–$41.67	72% below	80%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 EMP HIB ACTHIB VACC IM	$13.23	$66.15	$12.57–$41.67	72% below	80%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HIB ACTHIB VACC IM	$13.23	$66.15	$12.57–$41.67	72% below	80%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 haemophilus b conjugate (PRP-T) vaccine inj 0.5mL	$28.17	$140.84	$12.69–$88.73	40% below	80%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HIB B VACC PRP- IM 4 DOSE	$4.80	$24.00	$4.56–$15.12	—	80%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 WST HIB B VACC PRP- IM 4 DOSE	$5.04	$25.20	$4.79–$15.88	—	80%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 EST HIB B VACC PRP- IM 4 DOSE	$5.04	$25.20	$4.79–$15.88	—	80%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 FAB HIB ACTHIB VACC IM	$13.23	$66.15	$12.57–$41.67	—	80%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 EMP HIB ACTHIB VACC IM	$13.23	$66.15	$12.57–$41.67	—	80%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HIB ACTHIB VACC IM	$13.23	$66.15	$12.57–$41.67	—	80%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 haemophilus b conjugate (PRP-T) vaccine inj 0.5mL	$28.17	$140.84	$12.69–$88.73	—	80%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 influenza virus vaccine, pf (high dose) inactivated quad 0.7mL inj	$47.60	$237.98	$43.13–$190.41	68% below	80%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 influenza virus vaccine, pf (high dose) inactivated trivalent 0.5mL inj (fluzone)	$58.43	$292.16	$43.13–$190.41	61% below	80%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 HPC FLUZONE TRIV HIDOSE 0.5ML 65+	$66.00	$330.00	$43.13–$207.90	56% below	80%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 UTC FLUZONE TRIV HIDOSE 0.5ML 65+	$66.00	$330.00	$43.13–$207.90	56% below	80%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 WST FLUZONE TRIV HIDOSE 0.5ML 65+	$66.00	$330.00	$43.13–$207.90	56% below	80%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 EST FLUZONE TRIV HIDOSE 0.5ML IM 65+	$66.00	$330.00	$43.13–$207.90	56% below	80%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 DPT FLUZONE TRIV 0.5ML 65+	$66.00	$330.00	$43.13–$207.90	56% below	80%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 SISD FLUZONE TRIV HIDOSE 0.5ML IM 65+	$66.00	$330.00	$43.13–$207.90	56% below	80%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 NE FLUZONE TRIV HIDOSE 0.5ML 65+	$66.00	$330.00	$43.13–$207.90	56% below	80%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 ZAT FLUZONE TRIV HIDOSE 0.5ML 65+	$66.00	$330.00	$43.13–$207.90	56% below	80%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 CET FLUZONE TRIV HIDOSE 0.5ML 65+	$66.00	$330.00	$43.13–$207.90	56% below	80%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FAB FLUZONE TRIV HIDOSE 0.5ML 65+	$66.00	$330.00	$43.13–$207.90	56% below	80%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 influenza virus vaccine, pf (high dose) inactivated quad 0.7mL inj	$47.60	$237.98	$43.13–$190.41	—	80%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 influenza virus vaccine, pf (high dose) inactivated trivalent 0.5mL inj (fluzone)	$58.43	$292.16	$43.13–$190.41	—	80%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 HPC FLUZONE TRIV HIDOSE 0.5ML 65+	$66.00	$330.00	$43.13–$207.90	—	80%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 UTC FLUZONE TRIV HIDOSE 0.5ML 65+	$66.00	$330.00	$43.13–$207.90	—	80%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 WST FLUZONE TRIV HIDOSE 0.5ML 65+	$66.00	$330.00	$43.13–$207.90	—	80%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 EST FLUZONE TRIV HIDOSE 0.5ML IM 65+	$66.00	$330.00	$43.13–$207.90	—	80%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 DPT FLUZONE TRIV 0.5ML 65+	$66.00	$330.00	$43.13–$207.90	—	80%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 FAB FLUZONE TRIV HIDOSE 0.5ML 65+	$66.00	$330.00	$43.13–$207.90	—	80%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 SISD FLUZONE TRIV HIDOSE 0.5ML IM 65+	$66.00	$330.00	$43.13–$207.90	—	80%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 NE FLUZONE TRIV HIDOSE 0.5ML 65+	$66.00	$330.00	$43.13–$207.90	—	80%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 CET FLUZONE TRIV HIDOSE 0.5ML 65+	$66.00	$330.00	$43.13–$207.90	—	80%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 ZAT FLUZONE TRIV HIDOSE 0.5ML 65+	$66.00	$330.00	$43.13–$207.90	—	80%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MMR VIRUS VACC SQ 0.5ML	$35.60	$178.00	$33.82–$112.14	82% below	80%
MMR vaccine (measles, mumps and rubella), live CPT 90707 SISD MMR VIRUS VACC SQ 0.5ML	$37.38	$186.90	$35.51–$117.75	81% below	80%
MMR vaccine (measles, mumps and rubella), live CPT 90707 DPT MMR VIRUS VACC SQ 0.5ML	$37.38	$186.90	$35.51–$117.75	81% below	80%
MMR vaccine (measles, mumps and rubella), live CPT 90707 EST MMR VIRUS VACC SQ 0.5ML	$37.38	$186.90	$35.51–$117.75	81% below	80%
MMR vaccine (measles, mumps and rubella), live CPT 90707 WST MMR VIRUS VACC SQ 0.5ML	$37.38	$186.90	$35.51–$117.75	81% below	80%
MMR vaccine (measles, mumps and rubella), live CPT 90707 measles/mumps/rubella virus vaccine 0.5mL inj	$52.42	$262.12	$49.80–$165.13	74% below	80%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MMR VIRUS VACC SQ 0.5ML	$35.60	$178.00	$33.82–$112.14	—	80%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 EST MMR VIRUS VACC SQ 0.5ML	$37.38	$186.90	$35.51–$117.75	—	80%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 WST MMR VIRUS VACC SQ 0.5ML	$37.38	$186.90	$35.51–$117.75	—	80%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 SISD MMR VIRUS VACC SQ 0.5ML	$37.38	$186.90	$35.51–$117.75	—	80%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 DPT MMR VIRUS VACC SQ 0.5ML	$37.38	$186.90	$35.51–$117.75	—	80%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 measles/mumps/rubella virus vaccine 0.5mL inj	$52.42	$262.12	$49.80–$165.13	—	80%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 meningococcal oligosaccharide conjugate vaccine inj	$84.72	$423.61	$80.49–$266.87	76% below	80%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 meningococcal polysaccharide conjugate vaccine inj	$145.66	$728.28	$85.08–$458.82	59% below	80%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 meningococcal oligosaccharide conjugate vaccine inj	$84.72	$423.61	$80.49–$266.87	—	80%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 meningococcal polysaccharide conjugate vaccine inj	$145.66	$728.28	$85.08–$458.82	—	80%
Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 WST MENINCOCC MEDQUADFI 0.5	$72.47	$362.37	$68.85–$228.29	89% below	80%
Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 FAB MENINCOCC MEDQUADFI 0.5	$72.47	$362.37	$68.85–$228.29	89% below	80%
Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 SISD MENINCOCC MEDQUADFI 0.5	$86.97	$434.84	$82.62–$273.95	87% below	80%
Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 ZAT MENINGOCCAL MEDQUADFI 0.5 ML	$86.97	$434.84	$82.62–$273.95	87% below	80%
Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 DPT MENINCOCC MEDQUADFI 0.5	$86.97	$434.84	$82.62–$273.95	87% below	80%
Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 EST MENINCOCC MEDQUADFI 0.5	$86.97	$434.84	$82.62–$273.95	87% below	80%
Meningococcal ACWY vaccine (MenQuadfi) inpatient CPT 90619 FAB MENINCOCC MEDQUADFI 0.5	$72.47	$362.37	$68.85–$228.29	—	80%
Meningococcal ACWY vaccine (MenQuadfi) inpatient CPT 90619 WST MENINCOCC MEDQUADFI 0.5	$72.47	$362.37	$68.85–$228.29	—	80%
Meningococcal ACWY vaccine (MenQuadfi) inpatient CPT 90619 ZAT MENINGOCCAL MEDQUADFI 0.5 ML	$86.97	$434.84	$82.62–$273.95	—	80%
Meningococcal ACWY vaccine (MenQuadfi) inpatient CPT 90619 EST MENINCOCC MEDQUADFI 0.5	$86.97	$434.84	$82.62–$273.95	—	80%
Meningococcal ACWY vaccine (MenQuadfi) inpatient CPT 90619 DPT MENINCOCC MEDQUADFI 0.5	$86.97	$434.84	$82.62–$273.95	—	80%
Meningococcal ACWY vaccine (MenQuadfi) inpatient CPT 90619 SISD MENINCOCC MEDQUADFI 0.5	$86.97	$434.84	$82.62–$273.95	—	80%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 meningococcal group B vaccine recombinant 0.5mL inj	$110.80	$553.98	$105.26–$349.01	82% below	80%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 meningococcal group B vaccine recombinant 0.5mL inj	$110.80	$553.98	$105.26–$349.01	—	80%
Meningococcal B vaccine (Trumenba) CPT 90621 meningococcal group B vaccine fully recombinant 0.5mL inj	$81.83	$409.14	$77.74–$257.76	89% below	80%
Meningococcal B vaccine (Trumenba) inpatient CPT 90621 meningococcal group B vaccine fully recombinant 0.5mL inj	$81.83	$409.14	$77.74–$257.76	—	80%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 pneumococcal 13-valent vaccine 0.5mL	$145.70	$728.50	$138.41–$702.37	70% below	80%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 pneumococcal 13-valent vaccine 0.5mL	$145.70	$728.50	$138.41–$702.37	—	80%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 pneumococcal 20-valent conjugate vaccine 0.5mL inj	$160.67	$803.37	$152.64–$785.88	71% below	80%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 pneumococcal 20-valent conjugate vaccine 0.5mL inj	$160.67	$803.37	$152.64–$785.88	—	80%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 SISD PNEUMOCOCCAL VACCINE	$33.35	$166.76	$31.68–$363.38	87% below	80%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 CET PNEUM VACC INJ 0.5ML	$33.35	$166.76	$31.68–$363.38	87% below	80%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 pneumococcal 23-valent vaccine inj 0.5mL	$86.55	$432.73	$82.22–$363.38	66% below	80%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 CET PNEUM VACC INJ 0.5ML	$33.35	$166.76	$31.68–$363.38	—	80%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 SISD PNEUMOCOCCAL VACCINE	$33.35	$166.76	$31.68–$363.38	—	80%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 pneumococcal 23-valent vaccine inj 0.5mL	$86.55	$432.73	$82.22–$363.38	—	80%
Polio vaccine, inactivated (IPV) CPT 90713 IPV VACCINE	$14.25	$71.23	$13.53–$44.87	96% below	80%
Polio vaccine, inactivated (IPV) CPT 90713 FAB POLIOVIRUS IPV SC	$14.96	$74.79	$14.21–$47.12	96% below	80%
Polio vaccine, inactivated (IPV) CPT 90713 SISD IPV VACCINE	$14.96	$74.79	$14.21–$47.12	96% below	80%
Polio vaccine, inactivated (IPV) CPT 90713 EST IPV VACCINE	$14.96	$74.79	$14.21–$47.12	96% below	80%
Polio vaccine, inactivated (IPV) CPT 90713 WST IPV VACCINE	$14.96	$74.79	$14.21–$47.12	96% below	80%
Polio vaccine, inactivated (IPV) CPT 90713 EMP IPV VACCINE	$14.96	$74.79	$14.21–$47.12	96% below	80%
Polio vaccine, inactivated (IPV) CPT 90713 POLIOVIRUS IPV SC #PF#	$14.96	$74.79	$14.21–$47.12	96% below	80%
Polio vaccine, inactivated (IPV) CPT 90713 UTC POLIOVIRUS IPV SC	$14.96	$74.79	$14.21–$47.12	96% below	80%
Polio vaccine, inactivated (IPV) CPT 90713 UTC IPV VACCINE	$14.96	$74.79	$14.21–$47.12	96% below	80%
Polio vaccine, inactivated (IPV) CPT 90713 CET IPV VACCINE	$14.96	$74.79	$14.21–$47.12	96% below	80%
Polio vaccine, inactivated (IPV) CPT 90713 poliovirus vaccine inactivated 0.5mL inj	$32.90	$164.48	$31.25–$103.62	90% below	80%
Polio vaccine, inactivated (IPV) inpatient CPT 90713 IPV VACCINE	$14.25	$71.23	$13.53–$44.87	—	80%
Polio vaccine, inactivated (IPV) inpatient CPT 90713 UTC IPV VACCINE	$14.96	$74.79	$14.21–$47.12	—	80%
Polio vaccine, inactivated (IPV) inpatient CPT 90713 FAB POLIOVIRUS IPV SC	$14.96	$74.79	$14.21–$47.12	—	80%
Polio vaccine, inactivated (IPV) inpatient CPT 90713 CET IPV VACCINE	$14.96	$74.79	$14.21–$47.12	—	80%
Polio vaccine, inactivated (IPV) inpatient CPT 90713 SISD IPV VACCINE	$14.96	$74.79	$14.21–$47.12	—	80%
Polio vaccine, inactivated (IPV) inpatient CPT 90713 EST IPV VACCINE	$14.96	$74.79	$14.21–$47.12	—	80%
Polio vaccine, inactivated (IPV) inpatient CPT 90713 WST IPV VACCINE	$14.96	$74.79	$14.21–$47.12	—	80%
Polio vaccine, inactivated (IPV) inpatient CPT 90713 EMP IPV VACCINE	$14.96	$74.79	$14.21–$47.12	—	80%
Polio vaccine, inactivated (IPV) inpatient CPT 90713 POLIOVIRUS IPV SC #PF#	$14.96	$74.79	$14.21–$47.12	—	80%
Polio vaccine, inactivated (IPV) inpatient CPT 90713 UTC POLIOVIRUS IPV SC	$14.96	$74.79	$14.21–$47.12	—	80%
Polio vaccine, inactivated (IPV) inpatient CPT 90713 poliovirus vaccine inactivated 0.5mL inj	$32.90	$164.48	$31.25–$103.62	—	80%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 WST RSV-MONOCLONAL ANTIBODY 0.5 ML IM	$480.00	$2,400.00	$456.00–$1,728.00	51% below	80%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 FAB RSV-MONOCLONAL ANTIBODY 0.5 ML IM	$480.00	$2,400.00	$456.00–$1,728.00	51% below	80%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 CET RSV-MONOCLONAL ANTIBODY 0.5 ML IM	$480.00	$2,400.00	$456.00–$1,728.00	51% below	80%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 EMP RSV-MONOCLONAL ANTIBODY 0.5 ML IM	$480.00	$2,400.00	$456.00–$1,728.00	51% below	80%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 ZAT RSV-MONOCLONAL ANTIBODY 0.5 ML IM	$480.00	$2,400.00	$456.00–$1,728.00	51% below	80%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 NE RSV-MONOCLONAL ANTIBODY 0.5 ML IM	$480.00	$2,400.00	$456.00–$1,728.00	51% below	80%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 DPT RSV-MONOCLONAL ANTIBODY 0.5 ML IM	$480.00	$2,400.00	$456.00–$1,728.00	51% below	80%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 EST RSV-MONOCLONAL ANTIBODY 0.5 ML IM	$480.00	$2,400.00	$456.00–$1,728.00	51% below	80%
RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 CET RSV-MONOCLONAL ANTIBODY 0.5 ML IM	$480.00	$2,400.00	$456.00–$1,728.00	—	80%
RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 DPT RSV-MONOCLONAL ANTIBODY 0.5 ML IM	$480.00	$2,400.00	$456.00–$1,728.00	—	80%
RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 NE RSV-MONOCLONAL ANTIBODY 0.5 ML IM	$480.00	$2,400.00	$456.00–$1,728.00	—	80%
RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 ZAT RSV-MONOCLONAL ANTIBODY 0.5 ML IM	$480.00	$2,400.00	$456.00–$1,728.00	—	80%
RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 FAB RSV-MONOCLONAL ANTIBODY 0.5 ML IM	$480.00	$2,400.00	$456.00–$1,728.00	—	80%
RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 EST RSV-MONOCLONAL ANTIBODY 0.5 ML IM	$480.00	$2,400.00	$456.00–$1,728.00	—	80%
RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 EMP RSV-MONOCLONAL ANTIBODY 0.5 ML IM	$480.00	$2,400.00	$456.00–$1,728.00	—	80%
RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 WST RSV-MONOCLONAL ANTIBODY 0.5 ML IM	$480.00	$2,400.00	$456.00–$1,728.00	—	80%
Rabies vaccine, one dose CPT 90675 rabies vaccine, human diploid cell 2.5 units/mL inj	$386.76	$1,933.80	$296.12–$1,218.29	62% below	80%
Rabies vaccine, one dose CPT 90675 rabies vaccine, purified chick embryo cell 2.5 units/mL inj	$496.69	$2,483.45	$296.12–$1,564.57	52% below	80%
Rabies vaccine, one dose inpatient CPT 90675 rabies vaccine, human diploid cell 2.5 units/mL inj	$386.76	$1,933.80	$296.12–$1,218.29	—	80%
Rabies vaccine, one dose inpatient CPT 90675 rabies vaccine, purified chick embryo cell 2.5 units/mL inj	$496.69	$2,483.45	$296.12–$1,564.57	—	80%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 ROTAVIRUS VACC ORAL PENTA	$29.60	$148.00	$28.12–$98.90	71% below	80%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 CET ROTAVIRUS VACC ORAL PENTA	$31.08	$155.40	$29.53–$98.90	70% below	80%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 ROTOVIRUS 3 DOSE ORAL	$31.08	$155.40	$29.53–$98.90	70% below	80%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 EMP ROTOVIRUS VACC 3 DOSE ORAL	$31.08	$155.40	$29.53–$98.90	70% below	80%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 SISD ROTAVIRUS VACC ORAL PENTA	$31.08	$155.40	$29.53–$98.90	70% below	80%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 UTC ROTOVIRUS VACC 3 DOSE ORAL	$31.08	$155.40	$29.53–$98.90	70% below	80%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 ROTOVIRUS VACC 3 DOSE ORAL	$31.08	$155.40	$29.53–$98.90	70% below	80%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 EST ROTAVIRUS VACC ORAL PENTA	$31.08	$155.40	$29.53–$98.90	70% below	80%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 WST ROTAVIRUS VACC ORAL PENTA	$31.08	$155.40	$29.53–$98.90	70% below	80%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) inpatient CPT 90680 ROTAVIRUS VACC ORAL PENTA	$29.60	$148.00	$28.12–$98.90	—	80%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) inpatient CPT 90680 EMP ROTOVIRUS VACC 3 DOSE ORAL	$31.08	$155.40	$29.53–$98.90	—	80%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) inpatient CPT 90680 UTC ROTOVIRUS VACC 3 DOSE ORAL	$31.08	$155.40	$29.53–$98.90	—	80%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) inpatient CPT 90680 ROTOVIRUS VACC 3 DOSE ORAL	$31.08	$155.40	$29.53–$98.90	—	80%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) inpatient CPT 90680 WST ROTAVIRUS VACC ORAL PENTA	$31.08	$155.40	$29.53–$98.90	—	80%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) inpatient CPT 90680 EST ROTAVIRUS VACC ORAL PENTA	$31.08	$155.40	$29.53–$98.90	—	80%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) inpatient CPT 90680 SISD ROTAVIRUS VACC ORAL PENTA	$31.08	$155.40	$29.53–$98.90	—	80%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) inpatient CPT 90680 CET ROTAVIRUS VACC ORAL PENTA	$31.08	$155.40	$29.53–$98.90	—	80%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) inpatient CPT 90680 ROTOVIRUS 3 DOSE ORAL	$31.08	$155.40	$29.53–$98.90	—	80%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 SHINGRIX ZOSTER VARICELLA	$75.00	$375.00	$71.25–$236.25	63% below	80%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 FAB SHINGRIX ZOSTER VAR #PF#	$78.75	$393.75	$74.81–$248.06	62% below	80%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 ZAT SHINGRIX ZOSTER VARICELLA	$78.75	$393.75	$74.81–$248.06	62% below	80%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 SISD SHINGRIX ZOSTER VARICELLA	$78.75	$393.75	$74.81–$248.06	62% below	80%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 EST SHINGRIX ZOSTER VARICELLA	$78.75	$393.75	$74.81–$248.06	62% below	80%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 WST SHINGRIX ZOSTER VARICELLA	$78.75	$393.75	$74.81–$248.06	62% below	80%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 HPC SHINGRIX ZOSTER VARICELLA	$78.75	$393.75	$74.81–$248.06	62% below	80%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 DPT SHINGRIX ZOSTER VARICELLA	$78.75	$393.75	$74.81–$248.06	62% below	80%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 CET SHINGRIX ZOSTER VARICELLA	$78.75	$393.75	$74.81–$248.06	62% below	80%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 SHINGRIX ZOSTER VARICELLA	$75.00	$375.00	$71.25–$236.25	—	80%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 CET SHINGRIX ZOSTER VARICELLA	$78.75	$393.75	$74.81–$248.06	—	80%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 FAB SHINGRIX ZOSTER VAR #PF#	$78.75	$393.75	$74.81–$248.06	—	80%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 WST SHINGRIX ZOSTER VARICELLA	$78.75	$393.75	$74.81–$248.06	—	80%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 EST SHINGRIX ZOSTER VARICELLA	$78.75	$393.75	$74.81–$248.06	—	80%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 HPC SHINGRIX ZOSTER VARICELLA	$78.75	$393.75	$74.81–$248.06	—	80%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 ZAT SHINGRIX ZOSTER VARICELLA	$78.75	$393.75	$74.81–$248.06	—	80%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 DPT SHINGRIX ZOSTER VARICELLA	$78.75	$393.75	$74.81–$248.06	—	80%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 SISD SHINGRIX ZOSTER VARICELLA	$78.75	$393.75	$74.81–$248.06	—	80%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 FAB THSTP TD >7YR IM 5ML#PF#	$25.64	$128.20	$18.27–$80.77	75% below	80%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 tetanus-diphth toxoids (Td) adult/adol 5 units-2 units/0.5 mL	$36.97	$184.87	$18.27–$116.47	63% below	80%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 FAB THSTP TD >7YR IM 5ML#PF#	$25.64	$128.20	$18.27–$80.77	—	80%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 tetanus-diphth toxoids (Td) adult/adol 5 units-2 units/0.5 mL	$36.97	$184.87	$18.27–$116.47	—	80%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 tetanus/diphtheria/pertussis, acel (Tdap) 0.5mL inj (adacel)	$31.82	$159.09	$30.23–$100.23	73% below	80%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 tetanus/diphth/pertuss (Tdap) adult/adol 0.5mL (boostrix)	$32.40	$161.98	$30.78–$102.05	72% below	80%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 tetanus/diphtheria/pertussis, acel (Tdap) 0.5mL inj (adacel)	$31.82	$159.09	$30.23–$100.23	—	80%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 tetanus/diphth/pertuss (Tdap) adult/adol 0.5mL (boostrix)	$32.40	$161.98	$30.78–$102.05	—	80%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 FAB THSTEPS VACCINE ADMIN #PF#	$6.24	$31.19	$5.93–$179.60	92% below	80%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIE ADMINISTRATION	$11.00	$55.00	$10.45–$179.60	85% below	80%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 CET IMMUN ADMIN ONE VACC	$11.00	$55.00	$10.45–$179.60	85% below	80%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 DPT IMMUNIE ADMINISTRATION	$11.00	$55.00	$10.45–$179.60	85% below	80%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 UCC ESLK IM VACCINE ADMIN 1S	$13.20	$66.00	$12.54–$210.00	82% below	80%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ZAT IMMUNIZATION ADM	$13.20	$66.00	$12.54–$179.60	82% below	80%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 WST IMMUNIE ADMINISTRATION	$13.20	$66.00	$12.54–$179.60	82% below	80%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 FAB IMMUNIZATION ADMIN	$13.20	$66.00	$12.54–$179.60	82% below	80%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 EST IMMUNIE ADMINISTRATION	$13.20	$66.00	$12.54–$179.60	82% below	80%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 SH IMMUN ADMIN ONE VACC	$14.30	$71.50	$13.59–$179.60	81% below	80%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 SH EDE INTRAMUSCULAR VAC ADMIN 1S	$14.30	$71.50	$13.59–$179.60	81% below	80%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 SH WSUR INTRAMUSCULAR VAC 1ST	$14.62	$73.09	$13.89–$179.60	80% below	80%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 SH TEL VACCINE ADMIN, 1ST	$14.62	$73.09	$13.89–$179.60	80% below	80%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 NSICU IMMUN ADMIN VACC	$14.62	$73.09	$13.89–$179.60	80% below	80%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN #PF#	$14.84	$74.22	$14.10–$179.60	80% below	80%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUN ADMIN ONE VACC	$15.02	$75.08	$14.27–$179.60	80% below	80%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ASU VACCINE ADMIN 1ST	$15.02	$75.08	$14.27–$179.60	80% below	80%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 OBSU VACCINE ADMIN, 1ST	$15.02	$75.08	$14.27–$179.60	80% below	80%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 EDN INTRAMUSCULAR VAC ADMIN 1S	$15.02	$75.08	$14.27–$179.60	80% below	80%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 EDE INTRAMUSCULAR VAC ADMIN 1S	$15.02	$75.08	$14.27–$179.60	80% below	80%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 TEL VACCINE ADMIN, 1ST	$15.35	$76.74	$14.58–$179.60	79% below	80%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 LND INTRAM VACC ADMIN 1ST	$18.42	$92.09	$17.50–$179.60	75% below	80%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ERD INTRAMUSCULAR VACCINE ADMIN 1S	$18.42	$92.09	$17.50–$179.60	75% below	80%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ZAR H1N1 IMMUNE ADM 90471	$18.42	$92.09	$17.50–$179.60	75% below	80%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 MB VACCINE ADMIN INITIAL	$18.42	$92.09	$17.50–$179.60	75% below	80%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 TRA INTRAM VACCINE ADMIN 1S	$18.42	$92.09	$17.50–$179.60	75% below	80%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 WSUR INTRAMUSCULAR VAC 1ST	$18.42	$92.09	$17.50–$179.60	75% below	80%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 SUR INTRAM VACCINE ADMIN 1S	$18.42	$92.09	$17.50–$179.60	75% below	80%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 SURG VACCINE ADMIN, 1ST	$18.42	$92.09	$17.50–$179.60	75% below	80%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ACE INTRAM VACCINE ADMIN 1S	$18.42	$92.09	$17.50–$179.60	75% below	80%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 MED VACCINE ADMIN, 1ST	$18.42	$92.09	$17.50–$179.60	75% below	80%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 MSICU IMMUN ADMIN ONE VACC	$20.83	$104.16	$19.22–$179.60	72% below	80%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 CCU IMMUN ADMIN ONE VACC	$23.49	$117.45	$19.22–$179.60	68% below	80%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 SISD IMMUNIE ADMINISTRATION	$49.82	$249.10	$19.22–$179.60	32% below	80%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 FAB THSTEPS VACCINE ADMIN #PF#	$6.24	$31.19	$5.93–$179.60	—	80%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIE ADMINISTRATION	$11.00	$55.00	$10.45–$179.60	—	80%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 CET IMMUN ADMIN ONE VACC	$11.00	$55.00	$10.45–$179.60	—	80%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 DPT IMMUNIE ADMINISTRATION	$11.00	$55.00	$10.45–$179.60	—	80%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 FAB IMMUNIZATION ADMIN	$13.20	$66.00	$12.54–$179.60	—	80%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ZAT IMMUNIZATION ADM	$13.20	$66.00	$12.54–$179.60	—	80%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 WST IMMUNIE ADMINISTRATION	$13.20	$66.00	$12.54–$179.60	—	80%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 EST IMMUNIE ADMINISTRATION	$13.20	$66.00	$12.54–$179.60	—	80%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 SH IMMUN ADMIN ONE VACC	$14.30	$71.50	$13.59–$179.60	—	80%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 SH EDE INTRAMUSCULAR VAC ADMIN 1S	$14.30	$71.50	$13.59–$179.60	—	80%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 SH WSUR INTRAMUSCULAR VAC 1ST	$14.62	$73.09	$13.89–$179.60	—	80%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 NSICU IMMUN ADMIN VACC	$14.62	$73.09	$13.89–$179.60	—	80%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 SH TEL VACCINE ADMIN, 1ST	$14.62	$73.09	$13.89–$179.60	—	80%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMIN #PF#	$14.84	$74.22	$14.10–$179.60	—	80%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUN ADMIN ONE VACC	$15.02	$75.08	$14.27–$179.60	—	80%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 EDN INTRAMUSCULAR VAC ADMIN 1S	$15.02	$75.08	$14.27–$179.60	—	80%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 EDE INTRAMUSCULAR VAC ADMIN 1S	$15.02	$75.08	$14.27–$179.60	—	80%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 OBSU VACCINE ADMIN, 1ST	$15.02	$75.08	$14.27–$179.60	—	80%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ASU VACCINE ADMIN 1ST	$15.02	$75.08	$14.27–$179.60	—	80%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 TEL VACCINE ADMIN, 1ST	$15.35	$76.74	$14.58–$179.60	—	80%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 LND INTRAM VACC ADMIN 1ST	$18.42	$92.09	$17.50–$179.60	—	80%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 SURG VACCINE ADMIN, 1ST	$18.42	$92.09	$17.50–$179.60	—	80%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 SUR INTRAM VACCINE ADMIN 1S	$18.42	$92.09	$17.50–$179.60	—	80%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 MED VACCINE ADMIN, 1ST	$18.42	$92.09	$17.50–$179.60	—	80%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 WSUR INTRAMUSCULAR VAC 1ST	$18.42	$92.09	$17.50–$179.60	—	80%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ERD INTRAMUSCULAR VACCINE ADMIN 1S	$18.42	$92.09	$17.50–$179.60	—	80%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ACE INTRAM VACCINE ADMIN 1S	$18.42	$92.09	$17.50–$179.60	—	80%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ZAR H1N1 IMMUNE ADM 90471	$18.42	$92.09	$17.50–$179.60	—	80%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 MB VACCINE ADMIN INITIAL	$18.42	$92.09	$17.50–$179.60	—	80%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 TRA INTRAM VACCINE ADMIN 1S	$18.42	$92.09	$17.50–$179.60	—	80%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 MSICU IMMUN ADMIN ONE VACC	$20.83	$104.16	$19.22–$179.60	—	80%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 CCU IMMUN ADMIN ONE VACC	$23.49	$117.45	$19.22–$179.60	—	80%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 SISD IMMUNIE ADMINISTRATION	$49.82	$249.10	$19.22–$179.60	—	80%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 YSL THSTEPS VACCINE ADMIN ADDL #PF#	$4.62	$23.10	$4.39–$38.52	90% below	80%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 FAB THSTEPS VACCINE ADMIN ADDL #PF#	$4.84	$24.20	$4.60–$38.52	90% below	80%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 SH EDE INTRAMUSCULAR VAC ADM ADD	$7.47	$37.37	$7.10–$38.52	84% below	80%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 SH TEL VACCINE ADMIN, EA ADD'L	$7.47	$37.37	$7.10–$38.52	84% below	80%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 TRA INTRAM VACCINE ADMIN AD	$9.32	$46.62	$8.86–$38.52	80% below	80%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 VACCINE ADMIN, EACH ADD'L	$9.32	$46.62	$8.86–$38.52	80% below	80%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ACE INTRAM VACCINE ADMIN AD	$9.32	$46.62	$8.86–$38.52	80% below	80%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 SUR INTRAM VACCINE ADMIN AD	$9.32	$46.62	$8.86–$38.52	80% below	80%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 TEL VACCINE ADMIN, EA ADD'L	$9.32	$46.62	$8.86–$38.52	80% below	80%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 MED VACCINE ADMIN, EACH ADD'L	$9.32	$46.62	$8.86–$38.52	80% below	80%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 EDN INTRAMUSCULAR VAC ADM ADD	$9.32	$46.62	$8.86–$38.52	80% below	80%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 LND INTRAM VACCINE ADMIN AD	$9.32	$46.62	$8.86–$38.52	80% below	80%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 OBSU VACCINE ADMIN, EA ADD'L	$9.32	$46.62	$8.86–$38.52	80% below	80%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 MB VACCINE ADMIN ADDL	$9.32	$46.62	$8.86–$38.52	80% below	80%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 EDE INTRAMUSCULAR VAC ADM ADD	$9.32	$46.62	$8.86–$38.52	80% below	80%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 SISD IMMUNIZATION ADMIN ADDTL	$9.60	$47.99	$9.12–$38.52	80% below	80%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 MSICU ADM FLU V PQ SQ IM EA ADDL	$10.07	$50.34	$9.56–$38.52	79% below	80%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADMIN ADDTL	$11.10	$55.50	$10.55–$38.52	76% below	80%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 SH WSUR INTRAMUSCULAR VAC ADD	$11.21	$56.06	$10.65–$38.52	76% below	80%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 YSL EACH ADDITION VAC ADMIN	$11.66	$58.28	$11.07–$38.52	75% below	80%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 WST IMMUNIZATION ADMIN ADDTL	$11.66	$58.28	$11.07–$38.52	75% below	80%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 EACH ADDITION VAC ADMIN #PF#	$11.66	$58.28	$11.07–$38.52	75% below	80%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 UCC ESLK IM VACCINE ADMIN AD	$11.66	$58.28	$11.07–$210.00	75% below	80%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ERD INTRAMUSCULAR VACCINE ADMIN AD	$11.66	$58.28	$11.07–$38.52	75% below	80%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 CET IMMUN ADMIN EA ADD VACC	$11.66	$58.28	$11.07–$38.52	75% below	80%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 EST IMMUNIZATION ADMIN ADDTL	$11.66	$58.28	$11.07–$38.52	75% below	80%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 DPT IMMUNIZATION ADMIN ADDTL	$11.66	$58.28	$11.07–$38.52	75% below	80%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 CCU IMMUN ADMIN EA ADD VACC	$12.09	$60.45	$11.49–$38.52	74% below	80%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 WSUR INTRAMUSCULAR VAC ADD	$14.04	$70.21	$13.34–$44.23	70% below	80%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 YSL THSTEPS VACCINE ADMIN ADDL #PF#	$4.62	$23.10	$4.39–$38.52	—	80%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 FAB THSTEPS VACCINE ADMIN ADDL #PF#	$4.84	$24.20	$4.60–$38.52	—	80%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 SH TEL VACCINE ADMIN, EA ADD'L	$7.47	$37.37	$7.10–$38.52	—	80%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 SH EDE INTRAMUSCULAR VAC ADM ADD	$7.47	$37.37	$7.10–$38.52	—	80%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 EDE INTRAMUSCULAR VAC ADM ADD	$9.32	$46.62	$8.86–$38.52	—	80%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 OBSU VACCINE ADMIN, EA ADD'L	$9.32	$46.62	$8.86–$38.52	—	80%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 LND INTRAM VACCINE ADMIN AD	$9.32	$46.62	$8.86–$38.52	—	80%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 VACCINE ADMIN, EACH ADD'L	$9.32	$46.62	$8.86–$38.52	—	80%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 ACE INTRAM VACCINE ADMIN AD	$9.32	$46.62	$8.86–$38.52	—	80%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 EDN INTRAMUSCULAR VAC ADM ADD	$9.32	$46.62	$8.86–$38.52	—	80%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 MB VACCINE ADMIN ADDL	$9.32	$46.62	$8.86–$38.52	—	80%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 TRA INTRAM VACCINE ADMIN AD	$9.32	$46.62	$8.86–$38.52	—	80%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 MED VACCINE ADMIN, EACH ADD'L	$9.32	$46.62	$8.86–$38.52	—	80%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 SUR INTRAM VACCINE ADMIN AD	$9.32	$46.62	$8.86–$38.52	—	80%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 TEL VACCINE ADMIN, EA ADD'L	$9.32	$46.62	$8.86–$38.52	—	80%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 SISD IMMUNIZATION ADMIN ADDTL	$9.60	$47.99	$9.12–$38.52	—	80%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 MSICU ADM FLU V PQ SQ IM EA ADDL	$10.07	$50.34	$9.56–$38.52	—	80%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUNIZATION ADMIN ADDTL	$11.10	$55.50	$10.55–$38.52	—	80%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 SH WSUR INTRAMUSCULAR VAC ADD	$11.21	$56.06	$10.65–$38.52	—	80%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 EST IMMUNIZATION ADMIN ADDTL	$11.66	$58.28	$11.07–$38.52	—	80%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 YSL EACH ADDITION VAC ADMIN	$11.66	$58.28	$11.07–$38.52	—	80%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 WST IMMUNIZATION ADMIN ADDTL	$11.66	$58.28	$11.07–$38.52	—	80%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 DPT IMMUNIZATION ADMIN ADDTL	$11.66	$58.28	$11.07–$38.52	—	80%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 CET IMMUN ADMIN EA ADD VACC	$11.66	$58.28	$11.07–$38.52	—	80%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 EACH ADDITION VAC ADMIN #PF#	$11.66	$58.28	$11.07–$38.52	—	80%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 ERD INTRAMUSCULAR VACCINE ADMIN AD	$11.66	$58.28	$11.07–$38.52	—	80%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 CCU IMMUN ADMIN EA ADD VACC	$12.09	$60.45	$11.49–$38.52	—	80%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 WSUR INTRAMUSCULAR VAC ADD	$14.04	$70.21	$13.34–$44.23	—	80%

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

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

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

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

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

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

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

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

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

Source file: https://umcelpaso.org/files/74-6000756_University-Medical-Center-Surgical-Hospital_standardcharges-3-23-2026.csv