Licking Memorial Hospital
Licking Memorial Hospital in Newark, OH publishes cash prices for 293 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are above the Ohio median for 239 of 287 procedures and below it for 47. By typical cash price it ranks #136 of 137 Ohio hospitals and #20 of 20 hospitals in the Columbus, OH area, cheapest first. Click a procedure to compare it with other hospitals nearby.
1320 West Main Street, Newark, OH 43055 Collected Sep 27, 2026 Source price file (740) 348-4000
Acute care hospital Emergency department CMS star rating 2 of 5 CCN 360218 · CMS hospital register NPI 1568446755
The price file shows no self-pay discount
For 1308 of the 1308 prices listed here, the cash price in Licking Memorial Hospital's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing. Other US hospitals whose cash price is their full list price.
CMS price transparency record
The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 5 actions for a hospital named Licking Memorial Hospital in Newark, OH:
- Feb 10, 2023 Warning notice
- May 16, 2023 Corrective action plan requested
- Jun 8, 2023 Case closed
- Nov 7, 2024 Warning notice
- Feb 14, 2025 Case closed
Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. Corrective action plan requested: CMS asked the hospital to submit a plan to fix the problems it found. Case closed: CMS closed the case after the hospital addressed the problems.
A notice records a step in a CMS review; it is not a court finding. Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes, actions through Jul 31, 2026.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Ohio | Off list |
|---|---|---|---|---|---|
| Ankle X-ray, complete, 3 or more views CPT 73610 HC X-Ray Ankle 3+ Views | $668.30 | $668.30 | $82.23–$1,336.60 | 89% above | — |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 HC X-Ray Ankle 3+ Views | $668.30 | $668.30 | $82.23–$1,336.60 | — | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 HC Ankle / Brachial Indices Extrm Bilateral | $302.25 | $302.25 | $125.72–$302.25 | — | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HC Arterial Doppler Upper Extremity | $421.05 | $421.05 | $125.72–$421.05 | 13% below | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HC Upr/L Xtremity Art 2 Levels - Transcutaneous O2 Measurement W/Abi | $783.35 | $783.35 | $125.72–$783.35 | 63% above | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 HC Ankle / Brachial Indices Extrm Bilateral | $302.25 | $302.25 | $125.72–$302.25 | — | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 HC Arterial Doppler Upper Extremity | $421.05 | $421.05 | $125.72–$421.05 | — | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 HC Upr/L Xtremity Art 2 Levels - Transcutaneous O2 Measurement W/Abi | $783.35 | $783.35 | $125.72–$783.35 | — | — |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 HC Esophagram - Esophageal Study | $1,142.75 | $1,142.75 | $165.74–$1,142.75 | 160% above | — |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HC Esophagram - Esophageal Study | $1,142.75 | $1,142.75 | $165.74–$1,142.75 | — | — |
| Bone scan, whole body (nuclear medicine) CPT 78306 HC Bone Imaging, Whole Body - NM Bone Whole Body | $3,185.65 | $3,185.65 | $377.75–$3,185.65 | 107% above | — |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 HC Bone Imaging, Whole Body - NM Bone Whole Body | $3,185.65 | $3,185.65 | $377.75–$3,185.65 | — | — |
| Breast ultrasound, complete, one breast one side CPT 76641 HC Ultrasound Breast Complete - US Breast Complete Unilateral | $1,036.95 | $1,036.95 | $98.79–$2,073.90 | 117% above | — |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 HC Ultrasound Breast Complete - US Breast Complete Unilateral | $1,036.95 | $1,036.95 | $98.79–$2,073.90 | — | — |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 HC Ultrasound Breast Limited - US Breast Unilateral | $691.25 | $691.25 | $82.23–$1,382.50 | 65% above | — |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 HC Ultrasound Breast Limited - US Breast Unilateral | $691.25 | $691.25 | $82.23–$1,382.50 | — | — |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC Cta Chest W and WO IV Contrast | $5,775.00 | $5,775.00 | $165.74–$5,775.00 | 308% above | — |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HC Cta Chest W and WO IV Contrast | $5,775.00 | $5,775.00 | $165.74–$5,775.00 | — | — |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HC CT Angio Hrt W/3d Image - CT Heart Coronary Angiogram | $5,775.00 | $5,775.00 | $329.66–$5,775.00 | 261% above | — |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 HC CT Angio Hrt W/3d Image - CT Heart Coronary Angiogram | $5,775.00 | $5,775.00 | $329.66–$5,775.00 | — | — |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 HC CT Hrt W/O Dye W/Ca Test - CT Heart Calcium Scoring | $533.45 | $533.45 | $82.23–$533.45 | 89% above | — |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 HC CT Hrt W/O Dye W/Ca Test - CT Heart Calcium Scoring | $533.45 | $533.45 | $82.23–$533.45 | — | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT Abd & Pelvis W/O Contrast - CT Abdomen Pelvis WO Contrast | $7,413.05 | $7,413.05 | $225.46–$7,413.05 | 372% above | — |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HC CT Abd & Pelvis W/O Contrast - CT Abdomen Pelvis WO Contrast | $7,413.05 | $7,413.05 | $225.46–$7,413.05 | — | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT Abd & Pelv W/Contrast - CT Abdomen Pelvis W Contrast | $8,469.80 | $8,469.80 | $329.66–$8,469.80 | 336% above | — |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT Abd & Pelv W/Contrast - CT Abdomen Pelvis W Contrast | $8,469.80 | $8,469.80 | $329.66–$8,469.80 | — | — |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT Abd & Pelv 1/> Regns - CT Abdomen Pelvis W WO Contrast | $8,757.35 | $8,757.35 | $329.66–$8,757.35 | 276% above | — |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HC CT Abd & Pelv 1/> Regns - CT Abdomen Pelvis W WO Contrast | $8,757.35 | $8,757.35 | $329.66–$8,757.35 | — | — |
| CT scan of the abdomen with contrast CPT 74160 HC CT Abdomen W/Dye - CT Abdomen W Contrast | $4,489.00 | $4,489.00 | $165.74–$4,489.00 | 285% above | — |
| CT scan of the abdomen with contrast inpatient CPT 74160 HC CT Abdomen W/Dye - CT Abdomen W Contrast | $4,489.00 | $4,489.00 | $165.74–$4,489.00 | — | — |
| CT scan of the abdomen without contrast CPT 74150 HC CT Abdomen W/O Dye - CT Abdomen WO Contrast | $3,929.00 | $3,929.00 | $98.79–$3,929.00 | 274% above | — |
| CT scan of the abdomen without contrast inpatient CPT 74150 HC CT Abdomen W/O Dye - CT Abdomen WO Contrast | $3,929.00 | $3,929.00 | $98.79–$3,929.00 | — | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT Maxillo Facial WO Contrast | $2,883.20 | $2,883.20 | $98.79–$2,883.20 | 229% above | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT Sinuses WO Contrast | $2,883.20 | $2,883.20 | $98.79–$2,883.20 | 229% above | — |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT Maxillo Facial WO Contrast | $2,883.20 | $2,883.20 | $98.79–$2,883.20 | — | — |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT Sinuses WO Contrast | $2,883.20 | $2,883.20 | $98.79–$2,883.20 | — | — |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT Head/Brain WO Contrast | $2,952.05 | $2,952.05 | $98.79–$2,952.05 | 253% above | — |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT Head/Brain WO Contrast | $2,952.05 | $2,952.05 | $98.79–$2,952.05 | — | — |
| CT scan of the head with contrast CPT 70460 HC CT Head/Brain W Contrast | $3,220.35 | $3,220.35 | $165.74–$3,220.35 | 220% above | — |
| CT scan of the head with contrast inpatient CPT 70460 HC CT Head/Brain W Contrast | $3,220.35 | $3,220.35 | $165.74–$3,220.35 | — | — |
| CT scan of the head without and with contrast CPT 70470 HC CT Head/Brain W WO Contrast | $4,168.90 | $4,168.90 | $165.74–$4,168.90 | 260% above | — |
| CT scan of the head without and with contrast inpatient CPT 70470 HC CT Head/Brain W WO Contrast | $4,168.90 | $4,168.90 | $165.74–$4,168.90 | — | — |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT Scan,Lumbar Spine,W/O Contrast - CT Lumbar Spine WO Contrast | $3,834.25 | $3,834.25 | $98.79–$3,834.25 | 251% above | — |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HC CT Scan,Lumbar Spine,W/O Contrast - CT Lumbar Spine WO Contrast | $3,834.25 | $3,834.25 | $98.79–$3,834.25 | — | — |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT Scan,Cervical Spine,W/O Contrast - CT Cervical Spine WO Contrast | $3,607.95 | $3,607.95 | $98.79–$3,607.95 | 236% above | — |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HC CT Scan,Cervical Spine,W/O Contrast - CT Cervical Spine WO Contrast | $3,607.95 | $3,607.95 | $98.79–$3,607.95 | — | — |
| CT scan of the pelvis, with contrast dye CPT 72193 HC CT Scan of Pelvis Contrast - CT Pelvis W Contrast | $4,489.00 | $4,489.00 | $165.74–$4,489.00 | 267% above | — |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT Scan of Pelvis Contrast - CT Pelvis W Contrast | $4,489.00 | $4,489.00 | $165.74–$4,489.00 | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HC Duplex Scan Extracranial,Bilat - Carotid Ultrasound/Doppler | $1,169.85 | $1,169.85 | $225.46–$1,169.85 | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 HC Duplex Scan Extracranial,Bilat - Carotid Ultrasound/Doppler | $1,169.85 | $1,169.85 | $225.46–$1,169.85 | — | — |
| Chest X-ray, 2 views CPT 71046 HC X-Ray Chest 2 Views | $589.35 | $589.35 | $82.23–$589.35 | 116% above | — |
| Chest X-ray, 2 views inpatient CPT 71046 HC X-Ray Chest 2 Views | $589.35 | $589.35 | $82.23–$589.35 | — | — |
| Chest X-ray, single view CPT 71045 HC X-Ray Chest Single View | $418.50 | $418.50 | $82.23–$418.50 | 80% above | — |
| Chest X-ray, single view inpatient CPT 71045 HC X-Ray Chest Single View | $418.50 | $418.50 | $82.23–$418.50 | — | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC US,Retroperit, B-Scan/Real Time,Complete - US Retroperitoneum | $1,037.30 | $1,037.30 | $98.79–$1,037.30 | 46% above | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC US,Retroperit, B-Scan/Real Time,Complete - US Retroperitoneum | $1,037.30 | $1,037.30 | $98.79–$1,037.30 | — | — |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC DXA Bone Density Axial - Dexa Bone Density | $1,079.85 | $1,079.85 | $98.79–$1,079.85 | 138% above | — |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HC DXA Bone Density Axial - Dexa Bone Density | $1,079.85 | $1,079.85 | $98.79–$1,079.85 | — | — |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HC DXA Bone Density/Peripheral - Radius / Wrist / Heel | $254.95 | $254.95 | $82.23–$254.95 | 1% below | — |
| DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 HC DXA Bone Density/Peripheral - Radius / Wrist / Heel | $254.95 | $254.95 | $82.23–$254.95 | — | — |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 HC OB US Detailed Sngl Fetus - US Level II OB Detail Fetal Anat Sing or 1st Gest | $1,440.05 | $1,440.05 | $225.46–$1,440.05 | 69% above | — |
| Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 HC OB US Detailed Sngl Fetus - US Level II OB Detail Fetal Anat Sing or 1st Gest | $1,440.05 | $1,440.05 | $225.46–$1,440.05 | — | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT Sternum Diagnostic W/O Contrast | $2,762.10 | $2,762.10 | $98.79–$2,762.10 | 194% above | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT Chest Diagnostic W/O Contrast | $3,523.10 | $3,523.10 | $98.79–$3,523.10 | 275% above | — |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC CT Sternum Diagnostic W/O Contrast | $2,762.10 | $2,762.10 | $98.79–$2,762.10 | — | — |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC CT Chest Diagnostic W/O Contrast | $3,523.10 | $3,523.10 | $98.79–$3,523.10 | — | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CT Chest Diagnostic W/ Contrast | $3,523.10 | $3,523.10 | $165.74–$3,523.10 | 208% above | — |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HC CT Chest Diagnostic W/ Contrast | $3,523.10 | $3,523.10 | $165.74–$3,523.10 | — | — |
| Diagnostic mammogram, both breasts both sides CPT 77066 HC Dx Mammo Incl Cad Bi - Mammo Breast Diagnostic Bilateral | $596.25 | $596.25 | $98.98–$596.25 | — | — |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC Dx Mammo Incl Cad Bi - Mammo Breast Diagnostic Bilateral | $596.25 | $596.25 | $98.98–$596.25 | — | — |
| Diagnostic mammogram, one breast CPT 77065 HC Dx Mammo Incl Cad Uni - Mammo Breast Diagnostic | $492.65 | $492.65 | $77.14–$492.65 | 35% above | — |
| Diagnostic mammogram, one breast inpatient CPT 77065 HC Dx Mammo Incl Cad Uni - Mammo Breast Diagnostic | $492.65 | $492.65 | $77.14–$492.65 | — | — |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HC Duplex Lo Extrem Art Bilat - Lower Extremity Arterial Duplex | $979.55 | $979.55 | $225.46–$979.55 | — | — |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 HC Duplex Lo Extrem Art Bilat - Lower Extremity Arterial Duplex | $979.55 | $979.55 | $225.46–$979.55 | — | — |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC Vasc Duplex Extrem Venous,Bilat | $1,181.25 | $1,181.25 | $225.46–$2,362.50 | — | — |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC Duplex Extrem Venous,Bilat - Lower Extremity | $1,456.70 | $1,456.70 | $225.46–$2,913.40 | — | — |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC Duplex Extrem Venous,Bilat - Venous Reflux Duplex | $1,680.95 | $1,680.95 | $225.46–$3,361.90 | — | — |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HC Vasc Duplex Extrem Venous,Bilat | $1,181.25 | $1,181.25 | $225.46–$2,362.50 | — | — |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HC Duplex Extrem Venous,Bilat - Lower Extremity | $1,456.70 | $1,456.70 | $225.46–$2,913.40 | — | — |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HC Duplex Extrem Venous,Bilat - Venous Reflux Duplex | $1,680.95 | $1,680.95 | $225.46–$3,361.90 | — | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC Tte W/Doppler Complete - Tte Complete | $2,606.50 | $2,606.50 | $516.32–$2,606.50 | 54% above | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC Tte W/Doppler Complete - Tte Complete W/ Contrast | $2,606.50 | $2,606.50 | $740.75–$2,606.50 | 54% above | — |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC Tte W/Doppler Complete - Tte Complete | $2,606.50 | $2,606.50 | $516.32–$2,606.50 | — | — |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC Tte W/Doppler Complete - Tte Complete W/ Contrast | $2,606.50 | $2,606.50 | $740.75–$2,606.50 | — | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC Hepatobiliary Syst Imaging Including Gallbladder - NM Liver Function | $2,605.10 | $2,605.10 | $377.75–$2,605.10 | 64% above | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HC Hepatobiliary Syst Imaging Including Gallbladder - NM Liver Function | $2,605.10 | $2,605.10 | $377.75–$2,605.10 | — | — |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HC Home Sleep Study W/Hrt Rate & O2 Sat Unattd | $769.05 | $769.05 | $204.03–$769.05 | 10% above | — |
| Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 HC Home Sleep Study W/Hrt Rate & O2 Sat Unattd | $769.05 | $769.05 | $204.03–$769.05 | — | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HC Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd Reduced | $3,259.90 | $3,259.90 | $811.45–$3,259.90 | 15% below | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HC Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd | $6,518.40 | $6,518.40 | $811.45–$6,518.40 | 70% above | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 HC Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd Reduced | $3,259.90 | $3,259.90 | $811.45–$3,259.90 | — | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 HC Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd | $6,518.40 | $6,518.40 | $811.45–$6,518.40 | — | — |
| Knee X-ray, 3 views CPT 73562 HC X-Ray Patella 3 Views | $758.90 | $758.90 | $82.23–$1,517.80 | 110% above | — |
| Knee X-ray, 3 views inpatient CPT 73562 HC X-Ray Patella 3 Views | $758.90 | $758.90 | $82.23–$1,517.80 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US, Abdomen Limited - US Abdomen Limited ED Charge | $879.00 | $879.00 | $98.79–$879.00 | 59% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US, Abdomen Limited - US Abdomen Limited | $1,464.25 | $1,464.25 | $98.79–$1,464.25 | 165% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC US, Abdomen Limited - US Abdomen Limited ED Charge | $879.00 | $879.00 | $98.79–$879.00 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC US, Abdomen Limited - US Abdomen Limited | $1,464.25 | $1,464.25 | $98.79–$1,464.25 | — | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HC Ldct for Lung Ca Screen - Ldct Lung Screening | $1,013.85 | $1,013.85 | $98.79–$1,013.85 | 254% above | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 HC Ldct for Lung Ca Screen - Ldct Lung Screening | $1,013.85 | $1,013.85 | $98.79–$1,013.85 | — | — |
| MRI of both breasts, without and then with contrast dye both sides CPT 77049 HC MRI Breast Without&With Contrast W/Cad Bilateral | $6,618.10 | $6,618.10 | $329.66–$6,618.10 | — | — |
| MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 HC MRI Breast Without&With Contrast W/Cad Bilateral | $6,618.10 | $6,618.10 | $329.66–$6,618.10 | — | — |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI Lower Extremity Joint WO Contrast | $4,414.20 | $4,414.20 | $225.46–$8,828.40 | 141% above | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI Lower Extremity Joint WO Contrast | $4,414.20 | $4,414.20 | $225.46–$8,828.40 | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI Lower Extrem Joint W and WO IV Contrast | $5,795.75 | $5,795.75 | $329.66–$5,795.75 | 142% above | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MRI Lower Extrem Joint W and WO IV Contrast | $5,795.75 | $5,795.75 | $329.66–$5,795.75 | — | — |
| MRI of the abdomen without contrast CPT 74181 HC MRI, Abdomen (MRI) - MRI Abdomen WO Contrast | $4,414.20 | $4,414.20 | $225.46–$4,414.20 | 140% above | — |
| MRI of the abdomen without contrast inpatient CPT 74181 HC MRI, Abdomen (MRI) - MRI Abdomen WO Contrast | $4,414.20 | $4,414.20 | $225.46–$4,414.20 | — | — |
| MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI, Abdomen, Combo - MRI Abdomen W WO Contrast | $5,795.75 | $5,795.75 | $329.66–$5,795.75 | 155% above | — |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HC MRI, Abdomen, Combo - MRI Abdomen W WO Contrast | $5,795.75 | $5,795.75 | $329.66–$5,795.75 | — | — |
| MRI of the brain, no contrast dye CPT 70551 HC MRI Internal Auditory Canals WO Contrast | $4,414.20 | $4,414.20 | $225.46–$4,414.20 | 178% above | — |
| MRI of the brain, no contrast dye CPT 70551 HC MRI Pituitary WO Contrast | $4,414.20 | $4,414.20 | $225.46–$4,414.20 | 178% above | — |
| MRI of the brain, no contrast dye CPT 70551 HC MRI Brain WO Contrast | $4,414.20 | $4,414.20 | $225.46–$4,414.20 | 178% above | — |
| MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI Brain WO Contrast | $4,414.20 | $4,414.20 | $225.46–$4,414.20 | — | — |
| MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI Internal Auditory Canals WO Contrast | $4,414.20 | $4,414.20 | $225.46–$4,414.20 | — | — |
| MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI Pituitary WO Contrast | $4,414.20 | $4,414.20 | $225.46–$4,414.20 | — | — |
| MRI of the brain, with and without contrast dye CPT 70553 HC MRI Brain Combo - MR Pituitary W WO Contrast | $5,795.75 | $5,795.75 | $329.66–$5,795.75 | 165% above | — |
| MRI of the brain, with and without contrast dye CPT 70553 HC MRI Brain Combo - MR Int Auditory Canals W WO Contrast | $5,795.75 | $5,795.75 | $329.66–$5,795.75 | 165% above | — |
| MRI of the brain, with and without contrast dye CPT 70553 HC MRI Brain Combo - MRI Brain W WO Contrast | $5,795.75 | $5,795.75 | $329.66–$5,795.75 | 165% above | — |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI Brain Combo - MR Int Auditory Canals W WO Contrast | $5,795.75 | $5,795.75 | $329.66–$5,795.75 | — | — |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI Brain Combo - MRI Brain W WO Contrast | $5,795.75 | $5,795.75 | $329.66–$5,795.75 | — | — |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI Brain Combo - MR Pituitary W WO Contrast | $5,795.75 | $5,795.75 | $329.66–$5,795.75 | — | — |
| MRI of the lower back, no contrast dye CPT 72148 HC MRI, Lumbar Spine - MRI Lumbar Spine WO Contrast | $4,414.20 | $4,414.20 | $225.46–$4,414.20 | 168% above | — |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI, Lumbar Spine - MRI Lumbar Spine WO Contrast | $4,414.20 | $4,414.20 | $225.46–$4,414.20 | — | — |
| MRI of the lower back, without and then with contrast dye CPT 72158 HC MRI, Lumbar Spine Combo - MRI Lumbar Spine W WO Contrast | $5,795.75 | $5,795.75 | $329.66–$5,795.75 | 148% above | — |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HC MRI, Lumbar Spine Combo - MRI Lumbar Spine W WO Contrast | $5,795.75 | $5,795.75 | $329.66–$5,795.75 | — | — |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MRI, Dorsal Spine - MRI Thoracic Spine WO Contrast | $4,414.20 | $4,414.20 | $225.46–$4,414.20 | 171% above | — |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HC MRI, Dorsal Spine - MRI Thoracic Spine WO Contrast | $4,414.20 | $4,414.20 | $225.46–$4,414.20 | — | — |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MRI, Cerv Spine Combo - MRI Cervical Spine W WO Contrast | $5,795.75 | $5,795.75 | $329.66–$5,795.75 | 157% above | — |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HC MRI, Cerv Spine Combo - MRI Cervical Spine W WO Contrast | $5,795.75 | $5,795.75 | $329.66–$5,795.75 | — | — |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MRI, Cerv Spine - MRI Cervical Spine WO Contrast | $4,414.20 | $4,414.20 | $225.46–$4,414.20 | 174% above | — |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HC MRI, Cerv Spine - MRI Cervical Spine WO Contrast | $4,414.20 | $4,414.20 | $225.46–$4,414.20 | — | — |
| MRI of the pelvis without and with contrast CPT 72197 HC MRI, Pelvis, Combo - MRI Pelvis W WO Contrast | $5,795.75 | $5,795.75 | $329.66–$5,795.75 | 191% above | — |
| MRI of the pelvis without and with contrast CPT 72197 HC MRI, Pelvis, Combo - MRI Pelvis W WO Contrast Inc Prostate Gland | $5,795.75 | $5,795.75 | $329.66–$5,795.75 | 191% above | — |
| MRI of the pelvis without and with contrast inpatient CPT 72197 HC MRI, Pelvis, Combo - MRI Pelvis W WO Contrast | $5,795.75 | $5,795.75 | $329.66–$5,795.75 | — | — |
| MRI of the pelvis without and with contrast inpatient CPT 72197 HC MRI, Pelvis, Combo - MRI Pelvis W WO Contrast Inc Prostate Gland | $5,795.75 | $5,795.75 | $329.66–$5,795.75 | — | — |
| MRI of the pelvis, no contrast dye CPT 72195 HC MRI, Pelvis, W/O Contrast - MRI Pelvis WO Contrast | $4,414.20 | $4,414.20 | $225.46–$4,414.20 | 191% above | — |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 HC MRI, Pelvis, W/O Contrast - MRI Pelvis WO Contrast | $4,414.20 | $4,414.20 | $225.46–$4,414.20 | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI, Joint Upper Extrem WO IV Contrast | $4,414.20 | $4,414.20 | $225.46–$8,828.40 | 183% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HC MRI, Joint Upper Extrem WO IV Contrast | $4,414.20 | $4,414.20 | $225.46–$8,828.40 | — | — |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC Ht Muscle Image Spect Mult - NM Heart Perfusion Spect | $9,868.15 | $9,868.15 | $1,223.35–$9,868.15 | 146% above | — |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HC Ht Muscle Image Spect Mult - NM Heart Perfusion Spect | $9,868.15 | $9,868.15 | $1,223.35–$9,868.15 | — | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 HC Pet Image W/CT Skull-Thigh - Pt/CT Bone Skull Base to Mid Thigh | $12,080.75 | $12,080.75 | $1,351.19–$12,080.75 | 149% above | — |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 HC Pet Image W/CT Skull-Thigh - Pt/CT Bone Skull Base to Mid Thigh | $12,080.75 | $12,080.75 | $1,351.19–$12,080.75 | — | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC Sono Pelvic (Nonobstetric) - US Pelvis Limited | $1,104.25 | $1,104.25 | $98.79–$1,104.25 | 151% above | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC Sono Pelvic (Nonobstetric) - US Pelvis Limited | $1,104.25 | $1,104.25 | $98.79–$1,104.25 | — | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC Echo,Pelvic (Nonobstetric) - US Pelvis Complete | $1,492.95 | $1,492.95 | $98.79–$1,492.95 | 192% above | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HC Echo,Pelvic (Nonobstetric) - US Pelvis Complete | $1,492.95 | $1,492.95 | $98.79–$1,492.95 | — | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC OB US >/= 14 Wks Sngl Fetus - US OB 14+ Weeks Single or First Gest | $1,440.05 | $1,440.05 | $98.79–$1,440.05 | 143% above | — |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC OB US >/= 14 Wks Sngl Fetus - US OB 14+ Weeks Single or First Gest | $1,440.05 | $1,440.05 | $98.79–$1,440.05 | — | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC OB US < 14 Wks Single Fetus - US OB < 14 Weeks Single or First Gest | $1,440.05 | $1,440.05 | $98.79–$1,440.05 | 163% above | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HC OB US < 14 Wks Single Fetus - US OB < 14 Weeks Single or First Gest | $1,440.05 | $1,440.05 | $98.79–$1,440.05 | — | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC OB US Limited Fetus(S) - US OB Limited 1+ Fetuses | $1,318.90 | $1,318.90 | $98.79–$1,318.90 | 176% above | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC OB US Limited Fetus(S) - US OB Limited 1+ Fetuses | $1,318.90 | $1,318.90 | $98.79–$1,318.90 | — | — |
| Screening mammogram, both breasts both sides CPT 77067 HC Scr Mammo Bi Incl Cad - Mammo Breast Screening Unilateral | $333.30 | $333.30 | $81.61–$333.30 | — | — |
| Screening mammogram, both breasts both sides CPT 77067 HC Scr Mammo Bi Incl Cad - Mammo Breast Screening Bilateral | $417.55 | $417.55 | $81.61–$417.55 | — | — |
| Screening mammogram, both breasts inpatient both sides CPT 77067 HC Scr Mammo Bi Incl Cad - Mammo Breast Screening Unilateral | $333.30 | $333.30 | $81.61–$333.30 | — | — |
| Screening mammogram, both breasts inpatient both sides CPT 77067 HC Scr Mammo Bi Incl Cad - Mammo Breast Screening Bilateral | $417.55 | $417.55 | $81.61–$417.55 | — | — |
| Shoulder X-ray, complete, 2 or more views CPT 73030 HC X-Ray Shoulder 2 Views | $657.95 | $657.95 | $82.23–$1,315.90 | 84% above | — |
| Shoulder X-ray, complete, 2 or more views CPT 73030 HC X-Ray Shoulder 3 Views | $711.00 | $711.00 | $82.23–$1,422.00 | 99% above | — |
| Shoulder X-ray, complete, 2 or more views CPT 73030 HC X-Ray Shoulder 4 Views | $801.90 | $801.90 | $82.23–$1,603.80 | 124% above | — |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HC X-Ray Shoulder 2 Views | $657.95 | $657.95 | $82.23–$1,315.90 | — | — |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HC X-Ray Shoulder 3 Views | $711.00 | $711.00 | $82.23–$1,422.00 | — | — |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HC X-Ray Shoulder 4 Views | $801.90 | $801.90 | $82.23–$1,603.80 | — | — |
| Sleep study in a lab (polysomnography) CPT 95810 HC Polysom 6/>Yrs Sleep 4/> Addl Param Attnd Reduced | $2,711.45 | $2,711.45 | $811.45–$2,711.45 | 25% below | — |
| Sleep study in a lab (polysomnography) CPT 95810 HC Polysom 6/>Yrs Sleep 4/> Addl Param Attnd | $5,881.75 | $5,881.75 | $811.45–$5,881.75 | 64% above | — |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 HC Polysom 6/>Yrs Sleep 4/> Addl Param Attnd Reduced | $2,711.45 | $2,711.45 | $811.45–$2,711.45 | — | — |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 HC Polysom 6/>Yrs Sleep 4/> Addl Param Attnd | $5,881.75 | $5,881.75 | $811.45–$5,881.75 | — | — |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 HC Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech | $1,662.90 | $1,662.90 | $165.74–$1,662.90 | 229% above | — |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HC Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech | $1,662.90 | $1,662.90 | $165.74–$1,662.90 | — | — |
| Transvaginal pelvic ultrasound CPT 76830 HC Echography,Transvaginal - US Pelvis Transvaginal | $953.60 | $953.60 | $98.79–$953.60 | 72% above | — |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HC Echography,Transvaginal - US Pelvis Transvaginal | $953.60 | $953.60 | $98.79–$953.60 | — | — |
| Transvaginal ultrasound during pregnancy CPT 76817 HC Transvaginal US Obstetric - US OB Transvaginal | $953.60 | $953.60 | $98.79–$953.60 | 91% above | — |
| Transvaginal ultrasound during pregnancy CPT 76817 HC Transvaginal US Obstetric - US Level II OB Transvaginal | $953.60 | $953.60 | $98.79–$953.60 | 91% above | — |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 HC Transvaginal US Obstetric - US Level II OB Transvaginal | $953.60 | $953.60 | $98.79–$953.60 | — | — |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 HC Transvaginal US Obstetric - US OB Transvaginal | $953.60 | $953.60 | $98.79–$953.60 | — | — |
| Ultrasound of the abdomen, complete CPT 76700 HC US, Abdom,B-Scan &/or Real Time,Complete - US Abdomen | $3,171.95 | $3,171.95 | $98.79–$3,171.95 | 406% above | — |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HC US, Abdom,B-Scan &/or Real Time,Complete - US Abdomen | $3,171.95 | $3,171.95 | $98.79–$3,171.95 | — | — |
| Ultrasound of the scrotum and testicles CPT 76870 HC Echo,Scrotum & Contents - US Scrotum | $1,152.55 | $1,152.55 | $98.79–$1,152.55 | 116% above | — |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 HC Echo,Scrotum & Contents - US Scrotum | $1,152.55 | $1,152.55 | $98.79–$1,152.55 | — | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US, Head/Neck Tissues,Real Time - US Head Neck Soft Tissue | $910.25 | $910.25 | $98.79–$910.25 | 60% above | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US, Head/Neck Tissues,Real Time - US Thyroid | $1,152.55 | $1,152.55 | $98.79–$1,152.55 | 103% above | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC US, Head/Neck Tissues,Real Time - US Head Neck Soft Tissue | $910.25 | $910.25 | $98.79–$910.25 | — | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC US, Head/Neck Tissues,Real Time - US Thyroid | $1,152.55 | $1,152.55 | $98.79–$1,152.55 | — | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC X-Ray Upper GI Delay W/O Kub - Upper GI | $1,756.70 | $1,756.70 | $165.74–$1,756.70 | 196% above | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC X-Ray Upper GI Delay W/O Kub - Upper GI With Barium Swallow | $2,899.45 | $2,899.45 | $165.74–$2,899.45 | 389% above | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HC X-Ray Upper GI Delay W/O Kub - Upper GI | $1,756.70 | $1,756.70 | $165.74–$1,756.70 | — | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HC X-Ray Upper GI Delay W/O Kub - Upper GI With Barium Swallow | $2,899.45 | $2,899.45 | $165.74–$2,899.45 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 HC Duplex Extrem Venous,Uni or Ltd | $835.75 | $835.75 | $98.79–$835.75 | 15% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 HC Duplex Extrem Venous,Uni or Ltd - Lower Extrem Veins W/Reflux | $1,187.45 | $1,187.45 | $98.79–$1,187.45 | 63% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 HC Duplex Extrem Venous,Uni or Ltd | $835.75 | $835.75 | $98.79–$835.75 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 HC Duplex Extrem Venous,Uni or Ltd - Lower Extrem Veins W/Reflux | $1,187.45 | $1,187.45 | $98.79–$1,187.45 | — | — |
| Wrist X-ray, complete, 3 or more views CPT 73110 HC X-Ray Wrist 3+ Views | $701.60 | $701.60 | $82.23–$1,403.20 | 98% above | — |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 HC X-Ray Wrist 3+ Views | $701.60 | $701.60 | $82.23–$1,403.20 | — | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HC X-Ray Hip Unilateral 2 or 3 View | $657.95 | $657.95 | $82.23–$657.95 | 106% above | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HC X-Ray Hip Unilateral 2 or 3 View | $657.95 | $657.95 | $82.23–$657.95 | — | — |
| X-ray of the abdomen, 1 view CPT 74018 HC Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View | $548.05 | $548.05 | $82.23–$548.05 | 113% above | — |
| X-ray of the abdomen, 1 view inpatient CPT 74018 HC Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View | $548.05 | $548.05 | $82.23–$548.05 | — | — |
| X-ray of the ankle, 2 views CPT 73600 HC X-Ray Ankle 2 Views | $657.95 | $657.95 | $82.23–$657.95 | 131% above | — |
| X-ray of the ankle, 2 views inpatient CPT 73600 HC X-Ray Ankle 2 Views | $657.95 | $657.95 | $82.23–$657.95 | — | — |
| X-ray of the finger(s), 2 or more views CPT 73140 HC X-Ray Finger(S) 2+ Views | $610.45 | $610.45 | $82.23–$610.45 | 124% above | — |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 HC X-Ray Finger(S) 2+ Views | $610.45 | $610.45 | $82.23–$610.45 | — | — |
| X-ray of the foot, 2 views CPT 73620 HC X-Ray Foot 2 Views | $657.95 | $657.95 | $82.23–$1,315.90 | 147% above | — |
| X-ray of the foot, 2 views inpatient CPT 73620 HC X-Ray Foot 2 Views | $657.95 | $657.95 | $82.23–$1,315.90 | — | — |
| X-ray of the foot, complete, 3 or more views CPT 73630 HC X-Ray Foot 3+ Views | $701.60 | $701.60 | $82.23–$1,403.20 | 102% above | — |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 HC X-Ray Foot 3+ Views | $701.60 | $701.60 | $82.23–$1,403.20 | — | — |
| X-ray of the hand, 3 or more views CPT 73130 HC X-Ray Hand 3+ Views | $701.60 | $701.60 | $82.23–$1,403.20 | 99% above | — |
| X-ray of the hand, 3 or more views inpatient CPT 73130 HC X-Ray Hand 3+ Views | $701.60 | $701.60 | $82.23–$1,403.20 | — | — |
| X-ray of the knee, 1 or 2 views CPT 73560 HC X-Ray Knee 1 or 2 View | $735.10 | $735.10 | $82.23–$1,470.20 | 159% above | — |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 HC X-Ray Knee 1 or 2 View | $735.10 | $735.10 | $82.23–$1,470.20 | — | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC X-Ray Lumbar Spine 2-3 Views | $1,009.35 | $1,009.35 | $98.79–$1,009.35 | 208% above | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HC X-Ray Lumbar Spine 2-3 Views | $1,009.35 | $1,009.35 | $98.79–$1,009.35 | — | — |
| X-ray of the lower back, 4 or more views CPT 72110 HC X-Ray Lumbar Spine 4+ Views With Obliques | $1,099.60 | $1,099.60 | $98.79–$1,099.60 | 133% above | — |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HC X-Ray Lumbar Spine 4+ Views With Obliques | $1,099.60 | $1,099.60 | $98.79–$1,099.60 | — | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC X-Ray Thoracic Spine 2 Views | $610.45 | $610.45 | $98.79–$610.45 | 100% above | — |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HC X-Ray Thoracic Spine 2 Views | $610.45 | $610.45 | $98.79–$610.45 | — | — |
| X-ray of the nasal bones, 3 or more views CPT 70160 HC X-Ray Nasal Bones | $668.25 | $668.25 | $82.23–$668.25 | 128% above | — |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HC X-Ray Nasal Bones | $668.25 | $668.25 | $82.23–$668.25 | — | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC X-Ray Cervical Spine 2-3 Views | $816.45 | $816.45 | $82.23–$816.45 | 141% above | — |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC X-Ray Cervical Spine 2-3 Views | $816.45 | $816.45 | $82.23–$816.45 | — | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 HC X-Ray Pelvis 1-2 Views | $508.35 | $508.35 | $98.79–$508.35 | 102% above | — |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC X-Ray Pelvis 1-2 Views | $508.35 | $508.35 | $98.79–$508.35 | — | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC X-Ray Sacrum/Coccyx 2+ Views | $753.90 | $753.90 | $82.23–$753.90 | 154% above | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HC X-Ray Sacrum/Coccyx 2+ Views | $753.90 | $753.90 | $82.23–$753.90 | — | — |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Ohio | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC Transferase Alanine Amino (Alt) (Sgpt) - Alt (Sgpt) | $58.30 | $58.30 | $5.19–$58.30 | 102% above | — |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC Transferase Alanine Amino (Alt) (Sgpt) - Alt (Sgpt) | $58.30 | $58.30 | $5.19–$58.30 | — | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 HC Transferase Aspartate Amino (Ast) (Sgot) - Ast (Sgot) | $43.35 | $43.35 | $5.08–$43.35 | 72% above | — |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC Transferase Aspartate Amino (Ast) (Sgot) - Ast (Sgot) | $43.35 | $43.35 | $5.08–$43.35 | — | — |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC Hepatitis Panel, Acute - Bundled Charge | $805.40 | $805.40 | $46.68–$805.40 | 277% above | — |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HC Hepatitis Panel, Acute - Bundled Charge | $805.40 | $805.40 | $46.68–$805.40 | — | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige -Mite Farinae Ige | $40.70 | $40.70 | $5.12–$40.70 | 74% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Maple Tree Ige | $40.70 | $40.70 | $5.12–$40.70 | 74% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Pecan Hickory Tree Ige | $40.70 | $40.70 | $5.12–$40.70 | 74% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Alternaria Ige | $40.70 | $40.70 | $5.12–$40.70 | 74% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Cod Fish Ige | $40.70 | $40.70 | $5.12–$40.70 | 74% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Cladosporium Ige | $40.70 | $40.70 | $5.12–$40.70 | 74% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Birch Ige | $40.70 | $40.70 | $5.12–$40.70 | 74% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen June Grass Ige | $61.40 | $61.40 | $5.12–$61.40 | 162% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Porcine Insulin Ige | $77.65 | $77.65 | $5.12–$77.65 | 232% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Honey Ige | $77.65 | $77.65 | $5.12–$77.65 | 232% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen-Strawberry Ige | $77.65 | $77.65 | $5.12–$77.65 | 232% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Tachybotrys Chartar/Atra Ige | $77.65 | $77.65 | $5.12–$77.65 | 232% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Paprika Sweet Pepper Ige | $77.65 | $77.65 | $5.12–$77.65 | 232% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Pistachio Ige | $77.65 | $77.65 | $5.12–$77.65 | 232% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Rast Cayenne Pepper Ige | $77.65 | $77.65 | $5.12–$77.65 | 232% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Food: Passion Fruit | $78.30 | $78.30 | $5.12–$78.30 | 235% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Papaya Ige | $78.30 | $78.30 | $5.12–$78.30 | 235% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Rhubarb Ige | $78.30 | $78.30 | $5.12–$78.30 | 235% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Pine Nut Panel Ige | $78.30 | $78.30 | $5.12–$78.30 | 235% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Maple Leaf Ige | $79.90 | $79.90 | $5.12–$79.90 | 241% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen House Dust Ige | $79.90 | $79.90 | $5.12–$79.90 | 241% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Box Elder Ige | $79.90 | $79.90 | $5.12–$79.90 | 241% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Fusarium Proliferation Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Wheat Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Tuna Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Lab Test - Allergen Epicoccum Purpurascens | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Blue Mussel Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Lab Test - Allergen Lima Bean | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Milk (Cow) Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Soybean Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Peanut Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Lab Test - Allergen Anchovy | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Alfalfa Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Potato Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Black Bean Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Helminth Halodes M8 Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Lac(a) Panel Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Rast, Hickory White Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Venom: Paper Wasp Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Rye Grass Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Pineapple Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Nettle Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Venom: White Faced Hornet Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Plantain Ribwort Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Grapes Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Feathers, Parrot Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen-Hamster Ige Panel | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Chocolate (Cacao) Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Chili (Red) Pepper Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Tea Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Parsley Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Meadow Grass June Ky Blue Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Gluten Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Pea Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Palm, Queen Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Egg, Whole Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Animal Rabbit Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Peach Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Nutmeg Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Short (Common) Ragweed Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Silver Birch Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Pumpkin Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Chestnut Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Curvularia Lunata Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Basil Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Cucumber Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Sesame Seed Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen White Pine Ge | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Crab Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Giant Ragweed W3 Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Pine Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Cottonwood Tree Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen D.Pteronyssinus Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Cockroach Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Coconut Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Codfish Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Coffee Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Corn Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - a Alternaria (Tenuis) Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Whey Panel Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Orange Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen-Spinach Ige Panel | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Oat Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Hops Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Celery Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Drug: Amoxicilloyl Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Olive, Black Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Mucor Race Mosus Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Mustard Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Pecan (Hickory) Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Sulfamethoxazole Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Salmon Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Lab Test - Gulf Flounder Allergy Test | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Maple Leaf Sycamore Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Lab Test - Eggplant Allergy | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Mulberry Tree Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Cat Dander Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Carrot Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Lab Test - Mouse Allergy | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Dog Dander Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Cashew Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Lab Test - Allergen Buckwheat | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Russian Thistle Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Egg White Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen-Rough Pigweed Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Lab Test - Allergen Gelatin Bovine | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Sheep Sorrel Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Lab Test - Allergen Flaxseed/Linseed | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Mountatin Cedar Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Lab Test - Allergen Fenugreek | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Mango Fruit Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Lemon Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Turkey Meat Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Walnut Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Shrimp Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Cinnamon Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Cladosporium Herbarum Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Watermelon Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Lab Test - Allergen - Elm Tree | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Milk Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Rice Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Bermuda Grass Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Redtop, Bentgrass Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Mugwort Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Sunflower Seed Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Latex Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Stemphylium Botryosum Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Blueberry Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Food: Pear | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Almond Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Spruce Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Honeybee Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Food: Orange Roughy | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Brazil Nut Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Food: Catfish | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Broccoli Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Food: Coriander | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Food: Cardamon | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Lab test - Allergen cranberry | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Walnut Tree Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Food: Hazelnut Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Venom: Yellow Jacket Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Oak | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Venom: Yellow Hornet Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Scallop Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Pecan Nut Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Clam Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Cherry Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Oyster Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Chicken Meat Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Macdamia Nut Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Tomatoe Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Mouse Urine Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Cabbage Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Ginger Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Penicillium Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Food: Eel (Anguilla Anguilla) Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Lobster Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Bahia Grass Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Potato, Sweet Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Poppy Seed Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Tilipia Panel Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Avocado Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Vanilla Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Apple Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Halibut Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Apricot Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Lettuce Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Ascaris Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Gum, Sweet Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Ash Tree Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Kiwi Fruit Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Pork Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Asparagus Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Mite: Dermatophagoides Farinae Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Aspergillus Fumagatus Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Green Pepper Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Aspergillus Black Mold Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Nectarine Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Melons Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Fig Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Banana Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Jalapeno Pepper Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Barley Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Malt Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Raspberry Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Garlic Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Green Bean Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Onion Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Lab Test - Allergen Blackberry | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Johnson Grass | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Lambs Quarters Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Timothy Grass Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Beef Ige | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Lab Test - Allergen Kidney Bean | $82.35 | $82.35 | $5.12–$82.35 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Food: Chickpea Ige | $82.40 | $82.40 | $5.12–$82.40 | 252% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Lab Test - Allergen Ocean Perch | $82.55 | $82.55 | $5.12–$82.55 | 253% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Lab Test - Allergy test - Guinea Pig Epithelium | $82.55 | $82.55 | $5.12–$82.55 | 253% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Mushroom Ige | $82.75 | $82.75 | $5.12–$82.75 | 254% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Squid Ige | $82.75 | $82.75 | $5.12–$82.75 | 254% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Food: Canola Seed Ige | $82.75 | $82.75 | $5.12–$82.75 | 254% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Black Pepper Ige | $82.75 | $82.75 | $5.12–$82.75 | 254% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Cotton Seed Ige | $82.75 | $82.75 | $5.12–$82.75 | 254% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Lab Test - Allergen Black Bass | $87.45 | $87.45 | $5.12–$87.45 | 274% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Lab Test - Allergen, Trout IGE | $87.45 | $87.45 | $5.12–$87.45 | 274% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Lab Test - Allergen Mackerel | $87.45 | $87.45 | $5.12–$87.45 | 274% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Lab Test - Allergen Shark | $87.45 | $87.45 | $5.12–$87.45 | 274% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Casein Ige | $124.25 | $124.25 | $5.12–$124.25 | 431% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Penicillin V Ige | $170.00 | $170.00 | $5.12–$170.00 | 626% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Penicillin G Ige | $170.00 | $170.00 | $5.12–$170.00 | 626% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Galactose Alpha-1-3 Gal Ige | $275.85 | $275.85 | $5.12–$275.85 | 1079% above | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Alternaria Ige | $40.70 | $40.70 | $5.12–$40.70 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige -Mite Farinae Ige | $40.70 | $40.70 | $5.12–$40.70 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Cladosporium Ige | $40.70 | $40.70 | $5.12–$40.70 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Pecan Hickory Tree Ige | $40.70 | $40.70 | $5.12–$40.70 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Birch Ige | $40.70 | $40.70 | $5.12–$40.70 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Maple Tree Ige | $40.70 | $40.70 | $5.12–$40.70 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Cod Fish Ige | $40.70 | $40.70 | $5.12–$40.70 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen June Grass Ige | $61.40 | $61.40 | $5.12–$61.40 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Porcine Insulin Ige | $77.65 | $77.65 | $5.12–$77.65 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Paprika Sweet Pepper Ige | $77.65 | $77.65 | $5.12–$77.65 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Honey Ige | $77.65 | $77.65 | $5.12–$77.65 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Rast Cayenne Pepper Ige | $77.65 | $77.65 | $5.12–$77.65 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Tachybotrys Chartar/Atra Ige | $77.65 | $77.65 | $5.12–$77.65 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Pistachio Ige | $77.65 | $77.65 | $5.12–$77.65 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen-Strawberry Ige | $77.65 | $77.65 | $5.12–$77.65 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Rhubarb Ige | $78.30 | $78.30 | $5.12–$78.30 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Pine Nut Panel Ige | $78.30 | $78.30 | $5.12–$78.30 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Papaya Ige | $78.30 | $78.30 | $5.12–$78.30 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Food: Passion Fruit | $78.30 | $78.30 | $5.12–$78.30 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Box Elder Ige | $79.90 | $79.90 | $5.12–$79.90 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Maple Leaf Ige | $79.90 | $79.90 | $5.12–$79.90 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen House Dust Ige | $79.90 | $79.90 | $5.12–$79.90 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Barley Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Turkey Meat Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Watermelon Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Wheat Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Blue Mussel Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Peanut Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Black Bean Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Venom: Paper Wasp Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Venom: White Faced Hornet Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen-Hamster Ige Panel | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Parsley Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Palm, Queen Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Nutmeg Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Pumpkin Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Basil Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen White Pine Ge | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Pine Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen-Spinach Ige Panel | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Hops Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Drug: Amoxicilloyl Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Olive, Black Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Mustard Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Sulfamethoxazole Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Potato, Sweet Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Poppy Seed Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Tilipia Panel Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Vanilla Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Halibut Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Lettuce Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Gum, Sweet Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Kiwi Fruit Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Mite: Dermatophagoides Farinae Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Green Pepper Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Nectarine Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Melons Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Fig Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Jalapeno Pepper Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Malt Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Raspberry Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Garlic Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Onion Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Lab Test - Allergen Blackberry | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Johnson Grass | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Timothy Grass Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Lab Test - Allergen Kidney Bean | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Rice Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Redtop, Bentgrass Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Mugwort Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Sunflower Seed Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Stemphylium Botryosum Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Food: Pear | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Spruce Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Food: Orange Roughy | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Food: Catfish | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Food: Coriander | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Food: Cardamon | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Salmon Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Walnut Tree Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Food: Hazelnut Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Oak | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Scallop Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Clam Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Mouse Urine Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Ginger Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Food: Eel (Anguilla Anguilla) Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Lab test - Allergen cranberry | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Lab Test - Gulf Flounder Allergy Test | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Lab Test - Eggplant Allergy | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Cat Dander Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Lab Test - Mouse Allergy | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Dog Dander Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Lab Test - Allergen Buckwheat | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Egg White Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Lab Test - Allergen Gelatin Bovine | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Lab Test - Allergen Flaxseed/Linseed | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Lab Test - Allergen Fenugreek | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Lemon Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Walnut Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Shrimp Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Lab Test - Allergen - Elm Tree | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Fusarium Proliferation Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Tuna Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Lab Test - Allergen Epicoccum Purpurascens | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Lab Test - Allergen Lima Bean | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Soybean Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Lab Test - Allergen Anchovy | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Potato Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Helminth Halodes M8 Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Rast, Hickory White Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Rye Grass Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Nettle Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Plantain Ribwort Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Feathers, Parrot Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Chocolate (Cacao) Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Tea Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Meadow Grass June Ky Blue Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Pea Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Egg, Whole Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Peach Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Short (Common) Ragweed Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Silver Birch Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Chestnut Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Curvularia Lunata Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Cucumber Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Sesame Seed Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Crab Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Giant Ragweed W3 Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Cottonwood Tree Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Orange Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - a Alternaria (Tenuis) Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Corn Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Coffee Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Codfish Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Coconut Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Cockroach Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen D.Pteronyssinus Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Milk (Cow) Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Cladosporium Herbarum Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Cinnamon Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Macdamia Nut Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Chicken Meat Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Oyster Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Cherry Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Pork Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Lobster Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Celery Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Mountatin Cedar Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Sheep Sorrel Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen-Rough Pigweed Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Russian Thistle Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Cashew Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Carrot Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Mulberry Tree Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Maple Leaf Sycamore Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Penicillium Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Cabbage Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Tomatoe Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Pecan Nut Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Venom: Yellow Hornet Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Venom: Yellow Jacket Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Broccoli Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Brazil Nut Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Honeybee Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Almond Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Blueberry Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Latex Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Bermuda Grass Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Milk Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Beef Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Lambs Quarters Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Green Bean Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Mango Fruit Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Banana Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Aspergillus Black Mold Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Aspergillus Fumagatus Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Asparagus Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Ash Tree Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Ascaris Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Apricot Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Apple Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Avocado Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Bahia Grass Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Pecan (Hickory) Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Mucor Race Mosus Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Oat Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Whey Panel Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Animal Rabbit Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Gluten Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Chili (Red) Pepper Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Grapes Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Pineapple Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Lac(a) Panel Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Alfalfa Ige | $82.35 | $82.35 | $5.12–$82.35 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Food: Chickpea Ige | $82.40 | $82.40 | $5.12–$82.40 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Lab Test - Allergen Ocean Perch | $82.55 | $82.55 | $5.12–$82.55 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Lab Test - Allergy test - Guinea Pig Epithelium | $82.55 | $82.55 | $5.12–$82.55 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Cotton Seed Ige | $82.75 | $82.75 | $5.12–$82.75 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Mushroom Ige | $82.75 | $82.75 | $5.12–$82.75 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Squid Ige | $82.75 | $82.75 | $5.12–$82.75 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Black Pepper Ige | $82.75 | $82.75 | $5.12–$82.75 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Food: Canola Seed Ige | $82.75 | $82.75 | $5.12–$82.75 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Lab Test - Allergen, Trout IGE | $87.45 | $87.45 | $5.12–$87.45 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Lab Test - Allergen Shark | $87.45 | $87.45 | $5.12–$87.45 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Lab Test - Allergen Mackerel | $87.45 | $87.45 | $5.12–$87.45 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Lab Test - Allergen Black Bass | $87.45 | $87.45 | $5.12–$87.45 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Casein Ige | $124.25 | $124.25 | $5.12–$124.25 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Penicillin V Ige | $170.00 | $170.00 | $5.12–$170.00 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Allergen Penicillin G Ige | $170.00 | $170.00 | $5.12–$170.00 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige - Galactose Alpha-1-3 Gal Ige | $275.85 | $275.85 | $5.12–$275.85 | — | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Lab test - Measurement of antibody for rheumatoid arthritis assessment | $69.45 | $69.45 | $12.69–$69.45 | 20% above | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC Cyclic Cirullinated Peptide Antibody - CCP Antibodies Iga,Igm | $211.85 | $211.85 | $12.69–$211.85 | 266% above | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC Cyclic Cirullinated Peptide Antibody - Cyclic Citrul Peptide Antibdy Igg | $430.75 | $430.75 | $12.69–$430.75 | 645% above | — |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Lab test - Measurement of antibody for rheumatoid arthritis assessment | $69.45 | $69.45 | $12.69–$69.45 | — | — |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC Cyclic Cirullinated Peptide Antibody - CCP Antibodies Iga,Igm | $211.85 | $211.85 | $12.69–$211.85 | — | — |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC Cyclic Cirullinated Peptide Antibody - Cyclic Citrul Peptide Antibdy Igg | $430.75 | $430.75 | $12.69–$430.75 | — | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Lab Test - Screening test for autoimmune disorder | $64.85 | $64.85 | $11.85–$64.85 | 17% above | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Lab test - Screening test for autoimmune disorder | $257.65 | $257.65 | $11.85–$257.65 | 366% above | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HC Antinuclear Antibodies - Centromere Antibody | $385.90 | $385.90 | $11.85–$385.90 | 598% above | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Lab Test - Screening test for autoimmune disorder | $64.85 | $64.85 | $11.85–$64.85 | — | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Lab test - Screening test for autoimmune disorder | $257.65 | $257.65 | $11.85–$257.65 | — | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC Antinuclear Antibodies - Centromere Antibody | $385.90 | $385.90 | $11.85–$385.90 | — | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC Natriuretic Peptide - B-Type Natriuretic Peptide (Bnp) | $181.15 | $181.15 | $38.47–$181.15 | 21% above | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC Natriuretic Peptide - Pro Bnp Cardio Assessr | $652.00 | $652.00 | $38.47–$652.00 | 336% above | — |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC Natriuretic Peptide - B-Type Natriuretic Peptide (Bnp) | $181.15 | $181.15 | $38.47–$181.15 | — | — |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC Natriuretic Peptide - Pro Bnp Cardio Assessr | $652.00 | $652.00 | $38.47–$652.00 | — | — |
| Basic metabolic panel (blood test) CPT 80048 HC Basic Metabolic Panel - Bundled Charge | $258.45 | $258.45 | $8.29–$258.45 | 294% above | — |
| Basic metabolic panel (blood test) inpatient CPT 80048 HC Basic Metabolic Panel - Bundled Charge | $258.45 | $258.45 | $8.29–$258.45 | — | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC Surg Path,Level IV - Bone Marrow Aspir/Proc/Stain | $108.35 | $108.35 | $49.24–$108.35 | 47% below | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC Surg Path,Level IV - Tech Only | $195.55 | $195.55 | $49.24–$195.55 | 4% below | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC Surg Path,Level IV - Cell Block Preparation & Inter | $226.00 | $226.00 | $49.24–$226.00 | 11% above | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC Surg Path,Level IV - Bone Marrow Bio Proc/Stain | $275.15 | $275.15 | $49.24–$275.15 | 35% above | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Lab Test - Pathology examination of tissue using a microscope, intermediate complexity | $371.00 | $371.00 | $49.24–$371.00 | 82% above | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC Surg Path,Level IV - Lab Surg Path,Level IV | $731.20 | $731.20 | $49.24–$731.20 | 259% above | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Surgical Pathology Prostate Biopsy | $731.20 | $731.20 | $49.24–$731.20 | 259% above | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC Surg Path,Level IV - Surg Class VI Com Diag Problem | $744.05 | $744.05 | $49.24–$744.05 | 266% above | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC Surg Path,Level IV - Placenta | $896.80 | $896.80 | $49.24–$896.80 | 341% above | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Surgical Pathology - Prostate Biopsy | $990.00 | $990.00 | $49.24–$990.00 | 387% above | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC Surg Path,Level IV - Bone Marrow Aspir/Proc/Stain | $108.35 | $108.35 | $49.24–$108.35 | — | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC Surg Path,Level IV - Tech Only | $195.55 | $195.55 | $49.24–$195.55 | — | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC Surg Path,Level IV - Cell Block Preparation & Inter | $226.00 | $226.00 | $49.24–$226.00 | — | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC Surg Path,Level IV - Bone Marrow Bio Proc/Stain | $275.15 | $275.15 | $49.24–$275.15 | — | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Lab Test - Pathology examination of tissue using a microscope, intermediate complexity | $371.00 | $371.00 | $49.24–$371.00 | — | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Surgical Pathology Prostate Biopsy | $731.20 | $731.20 | $49.24–$731.20 | — | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC Surg Path,Level IV - Lab Surg Path,Level IV | $731.20 | $731.20 | $49.24–$731.20 | — | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC Surg Path,Level IV - Surg Class VI Com Diag Problem | $744.05 | $744.05 | $49.24–$744.05 | — | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC Surg Path,Level IV - Placenta | $896.80 | $896.80 | $49.24–$896.80 | — | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Surgical Pathology - Prostate Biopsy | $990.00 | $990.00 | $49.24–$990.00 | — | — |
| Blood culture for bacteria CPT 87040 HC Culture, Blood | $126.15 | $126.15 | $10.11–$126.15 | 35% above | — |
| Blood culture for bacteria inpatient CPT 87040 HC Culture, Blood | $126.15 | $126.15 | $10.11–$126.15 | — | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC Chg Collection Venous Blood,Venipuncture - Draw Charge | $36.60 | $36.60 | $9.15–$36.60 | 130% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC Chg Collection Venous Blood,Venipuncture - Draw Charge Nh/HB | $36.60 | $36.60 | $11.11–$36.60 | 130% above | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC Chg Collection Venous Blood,Venipuncture - Draw Charge | $36.60 | $36.60 | $9.15–$36.60 | — | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC Chg Collection Venous Blood,Venipuncture - Draw Charge Nh/HB | $36.60 | $36.60 | $11.11–$36.60 | — | — |
| Blood glucose (sugar) test CPT 82947 HC Assay Quantitative,Blood Glucose - Glucose Random | $85.75 | $85.75 | $3.85–$85.75 | 264% above | — |
| Blood glucose (sugar) test CPT 82947 HC Assay Quantitative,Blood Glucose - Glucose Fasting | $95.60 | $95.60 | $3.85–$95.60 | 305% above | — |
| Blood glucose (sugar) test CPT 82947 HC Assay Quantitative,Blood Glucose - Glucose Quant | $96.95 | $96.95 | $3.85–$96.95 | 311% above | — |
| Blood glucose (sugar) test inpatient CPT 82947 HC Assay Quantitative,Blood Glucose - Glucose Random | $85.75 | $85.75 | $3.85–$85.75 | — | — |
| Blood glucose (sugar) test inpatient CPT 82947 HC Assay Quantitative,Blood Glucose - Glucose Fasting | $95.60 | $95.60 | $3.85–$95.60 | — | — |
| Blood glucose (sugar) test inpatient CPT 82947 HC Assay Quantitative,Blood Glucose - Glucose Quant | $96.95 | $96.95 | $3.85–$96.95 | — | — |
| Blood lead test CPT 83655 HC Assay of Lead - Lead Urine | $182.80 | $182.80 | $11.87–$182.80 | 276% above | — |
| Blood lead test CPT 83655 HC Assay of Lead - Lead, Capillary Blood | $206.55 | $206.55 | $11.87–$206.55 | 325% above | — |
| Blood lead test CPT 83655 HC Assay of Lead - Lead Blood | $218.95 | $218.95 | $11.87–$218.95 | 351% above | — |
| Blood lead test inpatient CPT 83655 HC Assay of Lead - Lead Urine | $182.80 | $182.80 | $11.87–$182.80 | — | — |
| Blood lead test inpatient CPT 83655 HC Assay of Lead - Lead, Capillary Blood | $206.55 | $206.55 | $11.87–$206.55 | — | — |
| Blood lead test inpatient CPT 83655 HC Assay of Lead - Lead Blood | $218.95 | $218.95 | $11.87–$218.95 | — | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC Chorionic Gonadotropin, Qual - Pregnancy Hcg (S) | $158.80 | $158.80 | $7.37–$158.80 | 179% above | — |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC Chorionic Gonadotropin, Qual - Pregnancy Hcg (S) | $158.80 | $158.80 | $7.37–$158.80 | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC Prenatal Profile - Abo Group | $73.75 | $73.75 | $40.56–$205.26 | 29% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC Blood Typing Serologic Abo - Abo Group | $279.45 | $279.45 | $125.72–$279.45 | 390% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC Prenatal Profile - Abo Group | $73.75 | $73.75 | $40.56–$205.26 | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC Blood Typing Serologic Abo - Abo Group | $279.45 | $279.45 | $125.72–$279.45 | — | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C-Reactive Protein - C-Reactive Protein | $141.60 | $141.60 | $5.08–$141.60 | 174% above | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC C-Reactive Protein - C-Reactive Protein | $141.60 | $141.60 | $5.08–$141.60 | — | — |
| C. difficile toxin gene test (stool PCR) CPT 87493 HC C Difficile Toxin Dna by Lamp | $445.15 | $445.15 | $36.52–$445.15 | 236% above | — |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HC C Difficile Toxin Dna by Lamp | $445.15 | $445.15 | $36.52–$445.15 | — | — |
| CA 19-9 blood test (tumor marker) CPT 86301 HC Immunoassay, Tumor Antigen, Ca 19-9 - Cancer Antigen 19-9 | $493.65 | $493.65 | $20.39–$493.65 | 589% above | — |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 HC Immunoassay, Tumor Antigen, Ca 19-9 - Cancer Antigen 19-9 | $493.65 | $493.65 | $20.39–$493.65 | — | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 HC Immunoassay, Tumor Antigen, Ca 125 - Ca 125 | $430.75 | $430.75 | $20.39–$430.75 | 360% above | — |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC Immunoassay, Tumor Antigen, Ca 125 - Ca 125 | $430.75 | $430.75 | $20.39–$430.75 | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC Sars Panel Xpert Replacement | $287.40 | $287.40 | $50.28–$287.40 | 104% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC Sars Panel Xpert Replacement | $287.40 | $287.40 | $50.28–$287.40 | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC Chylmd Trach, Dna, Amp Probe - Chlamydia Amp Dna | $230.00 | $230.00 | $34.39–$230.00 | 146% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC Chylmd Trach, Dna, Amp Probe - Chlamydia Rna | $271.70 | $271.70 | $34.39–$271.70 | 190% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC Chylmd Trach, Dna, Amp Probe - Chlamydia Amp Dna | $230.00 | $230.00 | $34.39–$230.00 | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC Chylmd Trach, Dna, Amp Probe - Chlamydia Rna | $271.70 | $271.70 | $34.39–$271.70 | — | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC Lipid Panel - Bundled Charge | $250.70 | $250.70 | $13.12–$250.70 | 369% above | — |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC Lipid Panel - Bundled Charge | $250.70 | $250.70 | $13.12–$250.70 | — | — |
| Complete blood count (CBC) with differential CPT 85025 HC Prenatal Profile - Complete Cbc W/Differential | $73.75 | $73.75 | $7.61–$73.75 | 98% above | — |
| Complete blood count (CBC) with differential CPT 85025 HC Complete Cbc W/Differential | $147.15 | $147.15 | $7.61–$147.15 | 295% above | — |
| Complete blood count (CBC) with differential CPT 85025 HC Cbc With Diff No Plts | $147.15 | $147.15 | $7.61–$147.15 | 295% above | — |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC Prenatal Profile - Complete Cbc W/Differential | $73.75 | $73.75 | $7.61–$73.75 | — | — |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC Complete Cbc W/Differential | $147.15 | $147.15 | $7.61–$147.15 | — | — |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC Cbc With Diff No Plts | $147.15 | $147.15 | $7.61–$147.15 | — | — |
| Complete blood count (CBC), no differential CPT 85027 HC Complete Cbc - Blood Cell Profile Cbcs No Plt | $146.15 | $146.15 | $6.34–$146.15 | 343% above | — |
| Complete blood count (CBC), no differential CPT 85027 HC Complete Cbc - Cbc W/O Differential | $146.15 | $146.15 | $6.34–$146.15 | 343% above | — |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC Complete Cbc - Cbc W/O Differential | $146.15 | $146.15 | $6.34–$146.15 | — | — |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC Complete Cbc - Blood Cell Profile Cbcs No Plt | $146.15 | $146.15 | $6.34–$146.15 | — | — |
| Comprehensive metabolic panel (blood test) CPT 80053 HC Metabolic Panel,Comprehensive - Bundled Charge | $360.60 | $360.60 | $10.35–$360.60 | 466% above | — |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC Metabolic Panel,Comprehensive - Bundled Charge | $360.60 | $360.60 | $10.35–$360.60 | — | — |
| D-dimer blood test (blood clot marker) CPT 85379 HC Fibrin Degradproducts,D-Dimer, Quant - D-Dimer,Quantitative | $152.75 | $152.75 | $9.98–$152.75 | 112% above | — |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 HC Fibrin Degradproducts,D-Dimer, Quant - D-Dimer,Quantitative | $152.75 | $152.75 | $9.98–$152.75 | — | — |
| DHEA sulfate (DHEA-S) blood test CPT 82627 HC Dehydroepiandrosterone-Sulfate - Dhea-Sulfate | $699.35 | $699.35 | $21.79–$699.35 | 603% above | — |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HC Dehydroepiandrosterone-Sulfate - Dhea-Sulfate | $699.35 | $699.35 | $21.79–$699.35 | — | — |
| Estradiol blood test CPT 82670 HC Assay of Estradiol - Estradiol Ultrasensitive | $140.25 | $140.25 | $27.38–$140.25 | 25% above | — |
| Estradiol blood test CPT 82670 HC Assay of Estradiol - Estradiol - Total | $640.15 | $640.15 | $27.38–$640.15 | 472% above | — |
| Estradiol blood test CPT 82670 HC Assay of Estradiol - Estradiol Serum | $735.75 | $735.75 | $27.38–$735.75 | 557% above | — |
| Estradiol blood test inpatient CPT 82670 HC Assay of Estradiol - Estradiol Ultrasensitive | $140.25 | $140.25 | $27.38–$140.25 | — | — |
| Estradiol blood test inpatient CPT 82670 HC Assay of Estradiol - Estradiol - Total | $640.15 | $640.15 | $27.38–$640.15 | — | — |
| Estradiol blood test inpatient CPT 82670 HC Assay of Estradiol - Estradiol Serum | $735.75 | $735.75 | $27.38–$735.75 | — | — |
| FSH (follicle-stimulating hormone) test CPT 83001 HC Gonadotropin (Fsh) - Fsh | $448.00 | $448.00 | $18.21–$448.00 | 422% above | — |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 HC Gonadotropin (Fsh) - Fsh | $448.00 | $448.00 | $18.21–$448.00 | — | — |
| Fecal calprotectin (stool inflammation test) CPT 83993 HC Assay for Calprotectin - Cal Protectin (Stool) | $708.65 | $708.65 | $19.24–$708.65 | 374% above | — |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HC Assay for Calprotectin - Cal Protectin (Stool) | $708.65 | $708.65 | $19.24–$708.65 | — | — |
| Ferritin blood test (iron stores) CPT 82728 HC Assay of Ferritin - Ferritin | $147.25 | $147.25 | $13.36–$147.25 | 94% above | — |
| Ferritin blood test (iron stores) inpatient CPT 82728 HC Assay of Ferritin - Ferritin | $147.25 | $147.25 | $13.36–$147.25 | — | — |
| Folate (folic acid) blood test CPT 82746 HC Blood Folic Acid Serum - Folate | $154.45 | $154.45 | $14.41–$154.45 | 131% above | — |
| Folate (folic acid) blood test inpatient CPT 82746 HC Blood Folic Acid Serum - Folate | $154.45 | $154.45 | $14.41–$154.45 | — | — |
| Free T3 thyroid hormone test CPT 84481 HC Triiodothyronine Free Assay (Ft-3) - T3 Free | $460.55 | $460.55 | $16.60–$460.55 | 529% above | — |
| Free T3 thyroid hormone test inpatient CPT 84481 HC Triiodothyronine Free Assay (Ft-3) - T3 Free | $460.55 | $460.55 | $16.60–$460.55 | — | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 HC Assay of Free Thyroxine - T4 Free | $422.50 | $422.50 | $8.84–$422.50 | 915% above | — |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC Assay of Free Thyroxine - T4 Free | $422.50 | $422.50 | $8.84–$422.50 | — | — |
| Free testosterone test CPT 84402 HC Assay of Testosterone - Testosterone Total Free | $500.95 | $500.95 | $24.96–$500.95 | 426% above | — |
| Free testosterone test inpatient CPT 84402 HC Assay of Testosterone - Testosterone Total Free | $500.95 | $500.95 | $24.96–$500.95 | — | — |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 HC General Health Panel - Bundled Charge | $830.85 | $830.85 | $290.80–$830.85 | 282% above | — |
| General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 HC General Health Panel - Bundled Charge | $830.85 | $830.85 | $290.80–$830.85 | — | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC Glucose Test - Glucose Post Glucose Dose | $96.95 | $96.95 | $4.66–$96.95 | 175% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC Glucose Test - Glucose Post Glucola | $144.60 | $144.60 | $4.66–$144.60 | 311% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HC Glucose Test - Glucose Post Glucose Dose | $96.95 | $96.95 | $4.66–$96.95 | — | — |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HC Glucose Test - Glucose Post Glucola | $144.60 | $144.60 | $4.66–$144.60 | — | — |
| Glucose tolerance test, 3 samples CPT 82951 HC Glucose Tolerance Test (Gtt) - Gtt-3 Spec. | $183.05 | $183.05 | $12.61–$183.05 | 172% above | — |
| Glucose tolerance test, 3 samples inpatient CPT 82951 HC Glucose Tolerance Test (Gtt) - Gtt-3 Spec. | $183.05 | $183.05 | $12.61–$183.05 | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC N.Gonorrhoeae, Dna, Amp Prob - Gc Dna Pcr | $230.00 | $230.00 | $34.39–$230.00 | 147% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC N.Gonorrhoeae, Dna, Amp Prob - Gonorrhea Rna | $271.70 | $271.70 | $34.39–$271.70 | 192% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC N.Gonorrhoeae, Dna, Amp Prob - Gc Dna Pcr | $230.00 | $230.00 | $34.39–$230.00 | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC N.Gonorrhoeae, Dna, Amp Prob - Gonorrhea Rna | $271.70 | $271.70 | $34.39–$271.70 | — | — |
| H. pylori antibody blood test CPT 86677 HC Helicobacter Pylori - Helicobacter Pylori Igm Only | $164.15 | $164.15 | $16.51–$164.15 | 131% above | — |
| H. pylori antibody blood test CPT 86677 HC Helicobacter Pylori - Helicobacter Pylori Iga | $185.35 | $185.35 | $16.51–$185.35 | 161% above | — |
| H. pylori antibody blood test CPT 86677 HC Helicobacter Pylori - Helicobacter Pylori Igg | $185.35 | $185.35 | $16.51–$185.35 | 161% above | — |
| H. pylori antibody blood test CPT 86677 HC Helicobacter Pylori - Helicobacter Pylori Igm | $185.35 | $185.35 | $16.51–$185.35 | 161% above | — |
| H. pylori antibody blood test inpatient CPT 86677 HC Helicobacter Pylori - Helicobacter Pylori Igm Only | $164.15 | $164.15 | $16.51–$164.15 | — | — |
| H. pylori antibody blood test inpatient CPT 86677 HC Helicobacter Pylori - Helicobacter Pylori Igg | $185.35 | $185.35 | $16.51–$185.35 | — | — |
| H. pylori antibody blood test inpatient CPT 86677 HC Helicobacter Pylori - Helicobacter Pylori Iga | $185.35 | $185.35 | $16.51–$185.35 | — | — |
| H. pylori antibody blood test inpatient CPT 86677 HC Helicobacter Pylori - Helicobacter Pylori Igm | $185.35 | $185.35 | $16.51–$185.35 | — | — |
| H. pylori stool antigen test CPT 87338 HC Iaad Ia Hpylori Stool - H Pylori Antigen Stool | $393.25 | $393.25 | $14.09–$393.25 | 463% above | — |
| H. pylori stool antigen test inpatient CPT 87338 HC Iaad Ia Hpylori Stool - H Pylori Antigen Stool | $393.25 | $393.25 | $14.09–$393.25 | — | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC Hiv-1 Quant&Revrse Trnscrpj - Hiv 1 Rna Quant by Pcr | $1,603.80 | $1,603.80 | $83.40–$1,603.80 | 348% above | — |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC Hiv-1 Quant&Revrse Trnscrpj - Hiv 1 Rna Quant by Pcr | $1,603.80 | $1,603.80 | $83.40–$1,603.80 | — | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC Prenatal Profile - Hiv 1&2 | $45.60 | $45.60 | $23.60–$45.60 | 38% below | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC Hiv 1&2 Uspstf | $452.50 | $452.50 | $23.60–$452.50 | 511% above | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC Hiv 1&2 | $452.50 | $452.50 | $23.60–$452.50 | 511% above | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC Prenatal Profile - Hiv 1&2 | $45.60 | $45.60 | $23.60–$45.60 | — | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC Hiv 1&2 Uspstf | $452.50 | $452.50 | $23.60–$452.50 | — | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC Hiv 1&2 | $452.50 | $452.50 | $23.60–$452.50 | — | — |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HC Iadna Human Papillomavirus High-Risk Types - Hpv High Risk Pcr | $531.00 | $531.00 | $34.39–$531.00 | 349% above | — |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HC Iadna Human Papillomavirus High-Risk Types - Hpv Diagnostic | $531.00 | $531.00 | $34.39–$531.00 | 349% above | — |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 Lab Test - HPV screening | $531.00 | $531.00 | $34.39–$531.00 | 349% above | — |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 Lab Test - HPV screening | $531.00 | $531.00 | $34.39–$531.00 | — | — |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC Iadna Human Papillomavirus High-Risk Types - Hpv Diagnostic | $531.00 | $531.00 | $34.39–$531.00 | — | — |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC Iadna Human Papillomavirus High-Risk Types - Hpv High Risk Pcr | $531.00 | $531.00 | $34.39–$531.00 | — | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC Hemoglobin A1c - Fingerstick | $32.60 | $32.60 | $9.52–$32.60 | 29% below | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC Glycosylated Hemoglobin Test - Hemoglobin A1c | $116.15 | $116.15 | $9.52–$116.15 | 154% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC Hemoglobin A1c - Fingerstick | $32.60 | $32.60 | $9.52–$32.60 | — | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC Glycosylated Hemoglobin Test - Hemoglobin A1c | $116.15 | $116.15 | $9.52–$116.15 | — | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC Hepatitis B Surface Ab Test - Hepatitis B Surface Antibody | $338.90 | $338.90 | $10.53–$338.90 | 605% above | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC Hepatitis B Surface Ab Test - Hepatitis B Surface Antibody | $338.90 | $338.90 | $10.53–$338.90 | — | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HC Prenatal Profile - Hepatitis B Surface Antigen | $73.75 | $73.75 | $10.12–$73.75 | 59% above | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HC Iaad Ia Hepatitis B Surface Antigen - Hepatitis B Surface Ag | $144.15 | $144.15 | $10.12–$144.15 | 211% above | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HC Iaad Ia Hepatitis B Surface Antigen - Hep B Sur Ag (Uspstf) Screen | $287.95 | $287.95 | $27.70–$287.95 | 521% above | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HC Iaad Ia Hepatitis B Surface Antigen - Hepatitis B Surface Antigen | $287.95 | $287.95 | $10.12–$287.95 | 521% above | — |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC Prenatal Profile - Hepatitis B Surface Antigen | $73.75 | $73.75 | $10.12–$73.75 | — | — |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC Iaad Ia Hepatitis B Surface Antigen - Hepatitis B Surface Ag | $144.15 | $144.15 | $10.12–$144.15 | — | — |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC Iaad Ia Hepatitis B Surface Antigen - Hepatitis B Surface Antigen | $287.95 | $287.95 | $10.12–$287.95 | — | — |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC Iaad Ia Hepatitis B Surface Antigen - Hep B Sur Ag (Uspstf) Screen | $287.95 | $287.95 | $27.70–$287.95 | — | — |
| Hepatitis C antibody blood test (screening) CPT 86803 HC Hepatitis C Ab Test - Hepatitis C Antibody(Usptf)Scr | $456.65 | $456.65 | $45.42–$456.65 | 614% above | — |
| Hepatitis C antibody blood test (screening) CPT 86803 HC Hepatitis C Ab Test - Hepatitis C Antibody | $456.65 | $456.65 | $13.98–$456.65 | 614% above | — |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC Hepatitis C Ab Test - Hepatitis C Antibody(Usptf)Scr | $456.65 | $456.65 | $45.42–$456.65 | — | — |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC Hepatitis C Ab Test - Hepatitis C Antibody | $456.65 | $456.65 | $13.98–$456.65 | — | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HC Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr | $401.70 | $401.70 | $41.98–$401.70 | 109% above | — |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr | $401.70 | $401.70 | $41.98–$401.70 | — | — |
| Herpes blood test, HSV-1 antibody CPT 86695 HC Herpes Simplex Test, Type 1 - Hsv 1 Igg Antibody | $140.30 | $140.30 | $12.93–$140.30 | 137% above | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC Herpes Simplex Test, Type 1 - Hsv 1 Igg Antibody | $140.30 | $140.30 | $12.93–$140.30 | — | — |
| Herpes blood test, HSV-2 antibody CPT 86696 HC Herpes Simplex Test, Type 2 - Hsv 2 Igg Antibody | $140.30 | $140.30 | $18.96–$140.30 | 112% above | — |
| Herpes blood test, HSV-2 antibody CPT 86696 HC Herpes Simplex Test, Type 2 - Hsv 2 Igg Antibody W/Reflex | $238.35 | $238.35 | $18.96–$238.35 | 260% above | — |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC Herpes Simplex Test, Type 2 - Hsv 2 Igg Antibody | $140.30 | $140.30 | $18.96–$140.30 | — | — |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC Herpes Simplex Test, Type 2 - Hsv 2 Igg Antibody W/Reflex | $238.35 | $238.35 | $18.96–$238.35 | — | — |
| High-sensitivity CRP (hs-CRP) test CPT 86141 HC C-Reactive Protein,High Sensitivity - High Sensitivity Crp | $141.60 | $141.60 | $12.69–$141.60 | 110% above | — |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HC C-Reactive Protein,High Sensitivity - High Sensitivity Crp | $141.60 | $141.60 | $12.69–$141.60 | — | — |
| Homocysteine blood test CPT 83090 Lab Test - Vitamin B12 Deficiency Panel - Homocysteine | $204.65 | $204.65 | $17.56–$204.65 | 154% above | — |
| Homocysteine blood test CPT 83090 HC Assay of Homocystine - Homocysteine Ultra Quant | $352.80 | $352.80 | $17.56–$352.80 | 338% above | — |
| Homocysteine blood test inpatient CPT 83090 Lab Test - Vitamin B12 Deficiency Panel - Homocysteine | $204.65 | $204.65 | $17.56–$204.65 | — | — |
| Homocysteine blood test inpatient CPT 83090 HC Assay of Homocystine - Homocysteine Ultra Quant | $352.80 | $352.80 | $17.56–$352.80 | — | — |
| Insulin blood test CPT 83525 Lab Test - Insulin measurement, total | $34.30 | $34.30 | $11.20–$34.30 | 33% below | — |
| Insulin blood test CPT 83525 HC Assay of Insulin,Total - Insulin Random | $301.85 | $301.85 | $11.20–$301.85 | 488% above | — |
| Insulin blood test inpatient CPT 83525 Lab Test - Insulin measurement, total | $34.30 | $34.30 | $11.20–$34.30 | — | — |
| Insulin blood test inpatient CPT 83525 HC Assay of Insulin,Total - Insulin Random | $301.85 | $301.85 | $11.20–$301.85 | — | — |
| Iron blood test (serum iron) CPT 83540 HC Assay of Iron - Iron Total | $71.30 | $71.30 | $6.34–$71.30 | 87% above | — |
| Iron blood test (serum iron) CPT 83540 HC Assay of Iron - Iron Random Urine | $320.85 | $320.85 | $6.34–$320.85 | 744% above | — |
| Iron blood test (serum iron) CPT 83540 HC Assay of Iron - Iron Total Iron Liver Tissue Block | $486.55 | $486.55 | $6.34–$486.55 | 1179% above | — |
| Iron blood test (serum iron) inpatient CPT 83540 HC Assay of Iron - Iron Total | $71.30 | $71.30 | $6.34–$71.30 | — | — |
| Iron blood test (serum iron) inpatient CPT 83540 HC Assay of Iron - Iron Random Urine | $320.85 | $320.85 | $6.34–$320.85 | — | — |
| Iron blood test (serum iron) inpatient CPT 83540 HC Assay of Iron - Iron Total Iron Liver Tissue Block | $486.55 | $486.55 | $6.34–$486.55 | — | — |
| Iron-binding capacity (TIBC) test CPT 83550 HC Iron Binding Test - Iron and Iron Binding Capacity | $83.25 | $83.25 | $8.57–$83.25 | 113% above | — |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 HC Iron Binding Test - Iron and Iron Binding Capacity | $83.25 | $83.25 | $8.57–$83.25 | — | — |
| Kidney function blood test panel CPT 80069 HC Renal Function Panel - Bundled Charge | $231.80 | $231.80 | $8.51–$231.80 | 218% above | — |
| Kidney function blood test panel inpatient CPT 80069 HC Renal Function Panel - Bundled Charge | $231.80 | $231.80 | $8.51–$231.80 | — | — |
| LH (luteinizing hormone) test CPT 83002 Lab Test - Gonadotropin, luteinizing (reproductive hormone) level | $575.50 | $575.50 | $18.15–$575.50 | 502% above | — |
| LH (luteinizing hormone) test inpatient CPT 83002 Lab Test - Gonadotropin, luteinizing (reproductive hormone) level | $575.50 | $575.50 | $18.15–$575.50 | — | — |
| Lipase blood test (pancreas enzyme) CPT 83690 HC Assay of Lipase - Lipase Serum | $115.60 | $115.60 | $6.75–$115.60 | 99% above | — |
| Lipase blood test (pancreas enzyme) CPT 83690 HC Assay of Lipase - Lipase Body Fluid | $230.70 | $230.70 | $6.75–$230.70 | 296% above | — |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC Assay of Lipase - Lipase Serum | $115.60 | $115.60 | $6.75–$115.60 | — | — |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC Assay of Lipase - Lipase Body Fluid | $230.70 | $230.70 | $6.75–$230.70 | — | — |
| Liver function blood test panel CPT 80076 HC Hepatic Function Panel - Bundled Charge | $344.70 | $344.70 | $8.01–$344.70 | 452% above | — |
| Liver function blood test panel inpatient CPT 80076 HC Hepatic Function Panel - Bundled Charge | $344.70 | $344.70 | $8.01–$344.70 | — | — |
| Lyme disease antibody test CPT 86618 HC Lyme Disease Antibody - Lyme Screen Igg | $100.70 | $100.70 | $16.69–$100.70 | 31% above | — |
| Lyme disease antibody test CPT 86618 HC Lyme Disease Antibody - Lyme Screen Igm | $100.70 | $100.70 | $16.69–$100.70 | 31% above | — |
| Lyme disease antibody test CPT 86618 HC Lyme Antibody Screen | $201.40 | $201.40 | $16.69–$201.40 | 163% above | — |
| Lyme disease antibody test CPT 86618 HC Lyme Disease Antibody - B. Burgdorferi Antibodies Igg | $230.00 | $230.00 | $16.69–$230.00 | 200% above | — |
| Lyme disease antibody test CPT 86618 HC Lyme Disease Antibody - B. Burgdorferi Antibodies Igm | $230.00 | $230.00 | $16.69–$230.00 | 200% above | — |
| Lyme disease antibody test CPT 86618 HC Lyme Disease Antibody - B Bur Gdorferi Igm CSF | $326.90 | $326.90 | $16.69–$326.90 | 326% above | — |
| Lyme disease antibody test CPT 86618 HC Lyme Disease Antibody - B Bur Gdorferi Igg CSF | $326.90 | $326.90 | $16.69–$326.90 | 326% above | — |
| Lyme disease antibody test inpatient CPT 86618 HC Lyme Disease Antibody - Lyme Screen Igg | $100.70 | $100.70 | $16.69–$100.70 | — | — |
| Lyme disease antibody test inpatient CPT 86618 HC Lyme Disease Antibody - Lyme Screen Igm | $100.70 | $100.70 | $16.69–$100.70 | — | — |
| Lyme disease antibody test inpatient CPT 86618 HC Lyme Antibody Screen | $201.40 | $201.40 | $16.69–$201.40 | — | — |
| Lyme disease antibody test inpatient CPT 86618 HC Lyme Disease Antibody - B. Burgdorferi Antibodies Igm | $230.00 | $230.00 | $16.69–$230.00 | — | — |
| Lyme disease antibody test inpatient CPT 86618 HC Lyme Disease Antibody - B. Burgdorferi Antibodies Igg | $230.00 | $230.00 | $16.69–$230.00 | — | — |
| Lyme disease antibody test inpatient CPT 86618 HC Lyme Disease Antibody - B Bur Gdorferi Igm CSF | $326.90 | $326.90 | $16.69–$326.90 | — | — |
| Lyme disease antibody test inpatient CPT 86618 HC Lyme Disease Antibody - B Bur Gdorferi Igg CSF | $326.90 | $326.90 | $16.69–$326.90 | — | — |
| Magnesium blood test CPT 83735 HC Assay of Magnesium - Magnesium | $53.15 | $53.15 | $6.57–$53.15 | 58% above | — |
| Magnesium blood test CPT 83735 HC Assay of Magnesium - Magnesium Urine Random | $87.90 | $87.90 | $6.57–$87.90 | 161% above | — |
| Magnesium blood test CPT 83735 HC Assay of Magnesium - Magnesium 24hr Urine | $93.10 | $93.10 | $6.57–$93.10 | 176% above | — |
| Magnesium blood test CPT 83735 HC Assay of Magnesium - Magnesium RBC | $143.55 | $143.55 | $6.57–$143.55 | 326% above | — |
| Magnesium blood test CPT 83735 HC Assay of Magnesium - Magnesium Stool | $393.00 | $393.00 | $6.57–$393.00 | 1067% above | — |
| Magnesium blood test inpatient CPT 83735 HC Assay of Magnesium - Magnesium | $53.15 | $53.15 | $6.57–$53.15 | — | — |
| Magnesium blood test inpatient CPT 83735 HC Assay of Magnesium - Magnesium Urine Random | $87.90 | $87.90 | $6.57–$87.90 | — | — |
| Magnesium blood test inpatient CPT 83735 HC Assay of Magnesium - Magnesium 24hr Urine | $93.10 | $93.10 | $6.57–$93.10 | — | — |
| Magnesium blood test inpatient CPT 83735 HC Assay of Magnesium - Magnesium RBC | $143.55 | $143.55 | $6.57–$143.55 | — | — |
| Magnesium blood test inpatient CPT 83735 HC Assay of Magnesium - Magnesium Stool | $393.00 | $393.00 | $6.57–$393.00 | — | — |
| Measles (rubeola) antibody test CPT 86765 HC Rubeola - Rubeola Antibody Igg | $324.35 | $324.35 | $12.62–$324.35 | 469% above | — |
| Measles (rubeola) antibody test CPT 86765 HC Rubeola - Rubeola Antibody, Igm | $324.35 | $324.35 | $12.62–$324.35 | 469% above | — |
| Measles (rubeola) antibody test inpatient CPT 86765 HC Rubeola - Rubeola Antibody Igg | $324.35 | $324.35 | $12.62–$324.35 | — | — |
| Measles (rubeola) antibody test inpatient CPT 86765 HC Rubeola - Rubeola Antibody, Igm | $324.35 | $324.35 | $12.62–$324.35 | — | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 HC Heterophile Antibodies,Screen - Mononucleosis Screen | $141.60 | $141.60 | $5.08–$141.60 | 172% above | — |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC Heterophile Antibodies,Screen - Mononucleosis Screen | $141.60 | $141.60 | $5.08–$141.60 | — | — |
| Obstetric blood test panel CPT 80055 HC Obstetric Panel - Bundled Charge | $516.25 | $516.25 | $46.85–$516.25 | 146% above | — |
| Obstetric blood test panel inpatient CPT 80055 HC Obstetric Panel - Bundled Charge | $516.25 | $516.25 | $46.85–$516.25 | — | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC Psa Free | $302.00 | $302.00 | $18.02–$302.00 | 266% above | — |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC Psa Free | $302.00 | $302.00 | $18.02–$302.00 | — | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC Prostate Specific Antigen,Total - Psa Post Prostatectomy | $246.95 | $246.95 | $18.02–$246.95 | 212% above | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC Prostate Specific Antigen,Total - Psa Screen | $311.65 | $311.65 | $18.92–$311.65 | 294% above | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC Prostate Specific Antigen,Total - Psa | $311.65 | $311.65 | $18.02–$311.65 | 294% above | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC Prostate Specific Antigen | $311.65 | $311.65 | $18.02–$311.65 | 294% above | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC Prostate Specific Antigen,Total - Psa Post Prostatectomy | $246.95 | $246.95 | $18.02–$246.95 | — | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC Prostate Specific Antigen | $311.65 | $311.65 | $18.02–$311.65 | — | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC Prostate Specific Antigen,Total - Psa | $311.65 | $311.65 | $18.02–$311.65 | — | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC Prostate Specific Antigen,Total - Psa Screen | $311.65 | $311.65 | $18.92–$311.65 | — | — |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HC Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer | $289.15 | $289.15 | $19.85–$289.15 | 218% above | — |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HC Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer Screening | $289.15 | $289.15 | $19.85–$289.15 | 218% above | — |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 HC Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer Screening | $289.15 | $289.15 | $19.85–$289.15 | — | — |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 HC Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer | $289.15 | $289.15 | $19.85–$289.15 | — | — |
| Parathyroid hormone (PTH) blood test CPT 83970 HC Assay of Parathormone - Pth Intact, Fna | $208.30 | $208.30 | $40.45–$208.30 | 48% above | — |
| Parathyroid hormone (PTH) blood test CPT 83970 HC Assay of Parathormone - Pth Located | $488.05 | $488.05 | $40.45–$488.05 | 246% above | — |
| Parathyroid hormone (PTH) blood test CPT 83970 HC Assay of Parathormone - Parathyroid Hormone | $488.05 | $488.05 | $40.45–$488.05 | 246% above | — |
| Parathyroid hormone (PTH) blood test CPT 83970 HC Assay of Parathormone - Pth Baseline | $488.05 | $488.05 | $40.45–$488.05 | 246% above | — |
| Parathyroid hormone (PTH) blood test CPT 83970 HC Assay of Parathormone - Pth Post Exc | $488.05 | $488.05 | $40.45–$488.05 | 246% above | — |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC Assay of Parathormone - Pth Intact, Fna | $208.30 | $208.30 | $40.45–$208.30 | — | — |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC Assay of Parathormone - Pth Baseline | $488.05 | $488.05 | $40.45–$488.05 | — | — |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC Assay of Parathormone - Pth Located | $488.05 | $488.05 | $40.45–$488.05 | — | — |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC Assay of Parathormone - Pth Post Exc | $488.05 | $488.05 | $40.45–$488.05 | — | — |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC Assay of Parathormone - Parathyroid Hormone | $488.05 | $488.05 | $40.45–$488.05 | — | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC Thromboplas Time Partial - Mixing Study Ptt | $95.15 | $95.15 | $5.89–$95.15 | 157% above | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC Thromboplas Time Partial | $134.85 | $134.85 | $5.89–$134.85 | 264% above | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC Thromboplas Time Partial - Activated | $170.65 | $170.65 | $5.89–$170.65 | 360% above | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC Thromboplas Time Partial - Mixing Study Ptt | $95.15 | $95.15 | $5.89–$95.15 | — | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC Thromboplas Time Partial | $134.85 | $134.85 | $5.89–$134.85 | — | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC Thromboplas Time Partial - Activated | $170.65 | $170.65 | $5.89–$170.65 | — | — |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 HC Prenatal Screen (Nips) | $1,437.55 | $1,437.55 | $743.87–$1,437.55 | 1% below | — |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 HC Prenatal Screen (Nips) | $1,437.55 | $1,437.55 | $743.87–$1,437.55 | — | — |
| Progesterone blood test CPT 84144 HC Assay of Progesterone - Progesterone | $258.75 | $258.75 | $20.44–$258.75 | 220% above | — |
| Progesterone blood test inpatient CPT 84144 HC Assay of Progesterone - Progesterone | $258.75 | $258.75 | $20.44–$258.75 | — | — |
| Prolactin blood test CPT 84146 Prolactin Dilution Study | $77.90 | $77.90 | $18.99–$77.90 | 11% below | — |
| Prolactin blood test CPT 84146 HC Assay of Prolactin - Macroprolactin Profile | $258.50 | $258.50 | $18.99–$258.50 | 197% above | — |
| Prolactin blood test CPT 84146 HC Assay of Prolactin - Prolactin | $478.70 | $478.70 | $18.99–$478.70 | 450% above | — |
| Prolactin blood test inpatient CPT 84146 Prolactin Dilution Study | $77.90 | $77.90 | $18.99–$77.90 | — | — |
| Prolactin blood test inpatient CPT 84146 HC Assay of Prolactin - Macroprolactin Profile | $258.50 | $258.50 | $18.99–$258.50 | — | — |
| Prolactin blood test inpatient CPT 84146 HC Assay of Prolactin - Prolactin | $478.70 | $478.70 | $18.99–$478.70 | — | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC Prothrombin Time - Protime-Inr, Fingerstick | $63.80 | $63.80 | $4.20–$63.80 | 165% above | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC Prothrombin Time - Protime-Inr | $71.20 | $71.20 | $4.20–$71.20 | 196% above | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC Prothrombin Time - Prothrombin Mixing Study | $95.15 | $95.15 | $4.20–$95.15 | 296% above | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC Prothrombin Time - Protime-Inr, Fingerstick | $63.80 | $63.80 | $4.20–$63.80 | — | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC Prothrombin Time - Protime-Inr | $71.20 | $71.20 | $4.20–$71.20 | — | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC Prothrombin Time - Prothrombin Mixing Study | $95.15 | $95.15 | $4.20–$95.15 | — | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 HC Drug Test Prsmv Dir Opt Obs - Toxicology Screen Urine | $52.55 | $52.55 | $12.35–$52.55 | 9% below | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 HC Drug Test Prsmv Dir Opt Obs - Toxicology Screen Urine | $52.55 | $52.55 | $12.35–$52.55 | — | — |
| Rapid flu test (influenza antigen) CPT 87804 HC Detect Agent,Immun,Dir Obs,Influenza - POC Flu B | $67.75 | $67.75 | $16.22–$67.75 | 3% above | — |
| Rapid flu test (influenza antigen) CPT 87804 HC Detect Agent,Immun,Dir Obs,Influenza - POC Flu A | $67.75 | $67.75 | $16.22–$67.75 | 3% above | — |
| Rapid flu test (influenza antigen) CPT 87804 HC Detect Agent,Immun,Dir Obs,Influenza - Flu A | $141.60 | $141.60 | $16.22–$141.60 | 116% above | — |
| Rapid flu test (influenza antigen) CPT 87804 HC Detect Agent,Immun,Dir Obs,Influenza - Flu B | $141.60 | $141.60 | $16.22–$141.60 | 116% above | — |
| Rapid flu test (influenza antigen) inpatient CPT 87804 HC Detect Agent,Immun,Dir Obs,Influenza - POC Flu A | $67.75 | $67.75 | $16.22–$67.75 | — | — |
| Rapid flu test (influenza antigen) inpatient CPT 87804 HC Detect Agent,Immun,Dir Obs,Influenza - POC Flu B | $67.75 | $67.75 | $16.22–$67.75 | — | — |
| Rapid flu test (influenza antigen) inpatient CPT 87804 HC Detect Agent,Immun,Dir Obs,Influenza - Flu B | $141.60 | $141.60 | $16.22–$141.60 | — | — |
| Rapid flu test (influenza antigen) inpatient CPT 87804 HC Detect Agent,Immun,Dir Obs,Influenza - Flu A | $141.60 | $141.60 | $16.22–$141.60 | — | — |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC Strep a Assay W/Optic - Rapid Strep a Screen | $115.55 | $115.55 | $16.20–$115.55 | 102% above | — |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC Strep a Assay W/Optic - Rapid Strep a Screen | $115.55 | $115.55 | $16.20–$115.55 | — | — |
| Rheumatoid factor (RF) test CPT 86431 Lab Test - Rheumatoid factor level IGM | $30.40 | $30.40 | $5.56–$30.40 | 8% below | — |
| Rheumatoid factor (RF) test CPT 86431 Lab Test - Rheumatoid factor level IGA | $30.40 | $30.40 | $5.56–$30.40 | 8% below | — |
| Rheumatoid factor (RF) test CPT 86431 HC Rheumatoid Factor, Quant - Rheumatoid Factor | $143.35 | $143.35 | $5.56–$143.35 | 332% above | — |
| Rheumatoid factor (RF) test inpatient CPT 86431 Lab Test - Rheumatoid factor level IGM | $30.40 | $30.40 | $5.56–$30.40 | — | — |
| Rheumatoid factor (RF) test inpatient CPT 86431 Lab Test - Rheumatoid factor level IGA | $30.40 | $30.40 | $5.56–$30.40 | — | — |
| Rheumatoid factor (RF) test inpatient CPT 86431 HC Rheumatoid Factor, Quant - Rheumatoid Factor | $143.35 | $143.35 | $5.56–$143.35 | — | — |
| Rubella antibody test (immunity check) CPT 86762 HC Prenatal Profile - Rubella Immune Status | $73.75 | $73.75 | $14.10–$73.75 | 52% above | — |
| Rubella antibody test (immunity check) CPT 86762 HC Rubella Immune Status | $129.85 | $129.85 | $14.10–$129.85 | 167% above | — |
| Rubella antibody test (immunity check) CPT 86762 HC Rubella - Rubella Antibody, Igm | $290.40 | $290.40 | $14.10–$290.40 | 497% above | — |
| Rubella antibody test (immunity check) CPT 86762 HC Rubella - Rubella Antibody, Igg | $381.05 | $381.05 | $14.10–$381.05 | 684% above | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 HC Prenatal Profile - Rubella Immune Status | $73.75 | $73.75 | $14.10–$73.75 | — | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 HC Rubella Immune Status | $129.85 | $129.85 | $14.10–$129.85 | — | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 HC Rubella - Rubella Antibody, Igm | $290.40 | $290.40 | $14.10–$290.40 | — | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 HC Rubella - Rubella Antibody, Igg | $381.05 | $381.05 | $14.10–$381.05 | — | — |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HC RBC Sed Rate, Auto - Sedimentation Rate Western | $113.15 | $113.15 | $2.65–$113.15 | 203% above | — |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 HC RBC Sed Rate, Auto - Sedimentation Rate Western | $113.15 | $113.15 | $2.65–$113.15 | — | — |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 HC Semen Analysis,Volume, Count, Motility, Diff - Fertility Profile | $459.20 | $459.20 | $12.06–$459.20 | 245% above | — |
| Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 HC Semen Analysis,Volume, Count, Motility, Diff - Fertility Profile | $459.20 | $459.20 | $12.06–$459.20 | — | — |
| Stool ova and parasites exam CPT 87177 HC Ova/Parasites | $24.50 | $24.50 | $8.72–$24.50 | 38% below | — |
| Stool ova and parasites exam CPT 87177 HC Ova and Parasites Smears - Ova and Parasite Identification | $127.20 | $127.20 | $8.72–$127.20 | 221% above | — |
| Stool ova and parasites exam inpatient CPT 87177 HC Ova/Parasites | $24.50 | $24.50 | $8.72–$24.50 | — | — |
| Stool ova and parasites exam inpatient CPT 87177 HC Ova and Parasites Smears - Ova and Parasite Identification | $127.20 | $127.20 | $8.72–$127.20 | — | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 HC Blood Occult,by Peroxid,Feces,Single, Colorectal Screen - Fecal Occult Bld | $59.85 | $59.85 | $4.29–$59.85 | 128% above | — |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC Blood Occult,by Peroxid,Feces,Single, Colorectal Screen - Fecal Occult Bld | $59.85 | $59.85 | $4.29–$59.85 | — | — |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC Fecal Immunochemical Test 1-3 Determinations | $94.90 | $94.90 | $15.60–$94.90 | 77% above | — |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HC Fecal Immunochemical Test 1-3 Determinations | $94.90 | $94.90 | $15.60–$94.90 | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC Syphilis Test Non Treponemal Antibody Qual - Rapid Plasma Reagin-Syp | $58.30 | $58.30 | $4.18–$58.30 | 142% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC Syphilis Test Non Treponemal Antibody Qual - Vdrl Serum Titer | $107.55 | $107.55 | $4.18–$107.55 | 347% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC Syphilis Test Non Treponemal Antibody Qual - Vdrl CSF | $164.05 | $164.05 | $4.18–$164.05 | 581% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC Syphilis Test Non Treponemal Antibody Qual - Rapid Plasma Reagin-Syp | $58.30 | $58.30 | $4.18–$58.30 | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC Syphilis Test Non Treponemal Antibody Qual - Vdrl Serum Titer | $107.55 | $107.55 | $4.18–$107.55 | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC Syphilis Test Non Treponemal Antibody Qual - Vdrl CSF | $164.05 | $164.05 | $4.18–$164.05 | — | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC TB Test, Cell Mediated Antigen Response,Gamma Interfron - Quantiferon TB Gold | $147.90 | $147.90 | $60.74–$147.90 | 18% above | — |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC TB Test, Cell Mediated Antigen Response,Gamma Interfron - Quantiferon TB Gold | $147.90 | $147.90 | $60.74–$147.90 | — | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 HC Assay of Total Testosterone - Testosterone | $539.60 | $539.60 | $25.29–$539.60 | 486% above | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC Assay of Total Testosterone - Testosterone | $539.60 | $539.60 | $25.29–$539.60 | — | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Lab Test - Microsomal antibodies (autoantibody) measurement IGG | $78.05 | $78.05 | $14.26–$78.05 | 20% above | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC Microsomal Antibody - Liver Cytosol (Lc-1) | $208.30 | $208.30 | $14.26–$208.30 | 220% above | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC Microsomal Antibody - Liv/Kid Microsomal Anti | $389.70 | $389.70 | $14.26–$389.70 | 500% above | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC Microsomal Antibody - Thyroid Microsomal (Perox) | $425.65 | $425.65 | $14.26–$425.65 | 555% above | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Lab Test - Microsomal antibodies (autoantibody) measurement IGG | $78.05 | $78.05 | $14.26–$78.05 | — | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC Microsomal Antibody - Liver Cytosol (Lc-1) | $208.30 | $208.30 | $14.26–$208.30 | — | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC Microsomal Antibody - Liv/Kid Microsomal Anti | $389.70 | $389.70 | $14.26–$389.70 | — | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC Microsomal Antibody - Thyroid Microsomal (Perox) | $425.65 | $425.65 | $14.26–$425.65 | — | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC Assay Thyroid Stim Hormone - Thyroid Stimulating Hormone | $323.25 | $323.25 | $16.46–$323.25 | 330% above | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC Assay Thyroid Stim Hormone - Thyroid Stimulating Hormone | $323.25 | $323.25 | $16.46–$323.25 | — | — |
| Trichomonas test (NAAT) CPT 87661 HC Trichomonas Vaginalis Female | $272.45 | $272.45 | $34.39–$272.45 | 215% above | — |
| Trichomonas test (NAAT) CPT 87661 HC Trichomonas Vaginalis Male | $290.35 | $290.35 | $34.39–$290.35 | 236% above | — |
| Trichomonas test (NAAT) inpatient CPT 87661 HC Trichomonas Vaginalis Female | $272.45 | $272.45 | $34.39–$272.45 | — | — |
| Trichomonas test (NAAT) inpatient CPT 87661 HC Trichomonas Vaginalis Male | $290.35 | $290.35 | $34.39–$290.35 | — | — |
| Uric acid blood test CPT 84550 HC Assay of Uric Acid, Blood - Uric Acid | $58.30 | $58.30 | $4.43–$58.30 | 66% above | — |
| Uric acid blood test inpatient CPT 84550 HC Assay of Uric Acid, Blood - Uric Acid | $58.30 | $58.30 | $4.43–$58.30 | — | — |
| Urinalysis with microscope exam, automated CPT 81001 HC Urinalysis, Auto, W/Scope - Urinalysis Profile | $137.70 | $137.70 | $3.11–$137.70 | 410% above | — |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HC Urinalysis, Auto, W/Scope - Urinalysis Profile | $137.70 | $137.70 | $3.11–$137.70 | — | — |
| Urinalysis without microscope exam, automated CPT 81003 Urine Specific Gravity | $51.30 | $51.30 | $2.21–$51.30 | 114% above | — |
| Urinalysis without microscope exam, automated CPT 81003 HC Urinalysis, Auto, W/O Scope - Ketone | $51.30 | $51.30 | $2.21–$51.30 | 114% above | — |
| Urinalysis without microscope exam, automated CPT 81003 HC Urinalysis, Auto, W/O Scope - Urinalysis Dipstick | $109.75 | $109.75 | $2.21–$109.75 | 357% above | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC Urinalysis, Auto, W/O Scope - Ketone | $51.30 | $51.30 | $2.21–$51.30 | — | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Urine Specific Gravity | $51.30 | $51.30 | $2.21–$51.30 | — | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC Urinalysis, Auto, W/O Scope - Urinalysis Dipstick | $109.75 | $109.75 | $2.21–$109.75 | — | — |
| Urine culture for bacteria, with colony count CPT 87086 HC Culture, Urine | $68.70 | $68.70 | $7.91–$68.70 | 20% above | — |
| Urine culture for bacteria, with colony count inpatient CPT 87086 HC Culture, Urine | $68.70 | $68.70 | $7.91–$68.70 | — | — |
| Urine pregnancy test, read by color change CPT 81025 HC Urine Pregnancy Test - Pregnancy Urine | $124.95 | $124.95 | $8.44–$124.95 | 157% above | — |
| Urine pregnancy test, read by color change inpatient CPT 81025 HC Urine Pregnancy Test - Pregnancy Urine | $124.95 | $124.95 | $8.44–$124.95 | — | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 Lab Test - Cyanocobalamin (vitamin B-12) level | $54.00 | $54.00 | $14.78–$54.00 | 27% below | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 HC Vitamin B-12 - Vitamin B12 | $154.45 | $154.45 | $14.78–$154.45 | 109% above | — |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Lab Test - Cyanocobalamin (vitamin B-12) level | $54.00 | $54.00 | $14.78–$54.00 | — | — |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC Vitamin B-12 - Vitamin B12 | $154.45 | $154.45 | $14.78–$154.45 | — | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC Assay of Vit D,Calcifediol W Fractions, if Performed - Vitamin D 25 (Oh) | $357.20 | $357.20 | $29.01–$357.20 | 289% above | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC Assay of Vit D,Calcifediol W Fractions, if Performed - Vitamin D 25 (Oh) | $357.20 | $357.20 | $29.01–$357.20 | — | — |
| Zinc blood test CPT 84630 HC Assay of Zinc - Zinc Serum | $310.75 | $310.75 | $11.16–$310.75 | 505% above | — |
| Zinc blood test inpatient CPT 84630 HC Assay of Zinc - Zinc Serum | $310.75 | $310.75 | $11.16–$310.75 | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC Chorionic Gonadotropin, Quant - Hcg Quantitative Blood | $261.45 | $261.45 | $14.75–$261.45 | 287% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC Chorionic Gonadotropin, Quant - Beta Subunit Serum | $413.35 | $413.35 | $14.75–$413.35 | 511% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC Chorionic Gonadotropin, Quant - Hcg Quantitative Blood | $261.45 | $261.45 | $14.75–$261.45 | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC Chorionic Gonadotropin, Quant - Beta Subunit Serum | $413.35 | $413.35 | $14.75–$413.35 | — | — |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Ohio | Off list |
|---|---|---|---|---|---|
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 HC Bx Breast W Device 1st Lesion Stereotactic Guide | $8,370.75 | $8,370.75 | $1,560.64–$8,370.75 | 109% above | — |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 HC Bx Breast W Device 1st Lesion Stereotactic Guide | $8,370.75 | $8,370.75 | $1,560.64–$8,370.75 | — | — |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 HC Closed Rx Dist Fibula Fx | $1,718.55 | $1,718.55 | $233.08–$1,718.55 | 358% above | — |
| Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 HC Closed Rx Dist Fibula Fx | $1,718.55 | $1,718.55 | $233.08–$1,718.55 | — | — |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 HC Closed Tx Metatarsal Fracture W/O Manipulation | $1,718.55 | $1,718.55 | $233.08–$1,718.55 | 372% above | — |
| Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 HC Closed Tx Metatarsal Fracture W/O Manipulation | $1,718.55 | $1,718.55 | $233.08–$1,718.55 | — | — |
| Cardiac catheterization with coronary angiogram one side CPT 93458 HC Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography | $25,077.25 | $25,077.25 | $3,063.38–$25,077.25 | 109% above | — |
| Cardiac catheterization with coronary angiogram inpatient one side CPT 93458 HC Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography | $25,077.25 | $25,077.25 | $3,063.38–$25,077.25 | — | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 HC Cardioversion, Elective;External | $2,450.15 | $2,450.15 | $624.54–$2,450.15 | 19% above | — |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC Cardioversion, Elective;External | $2,450.15 | $2,450.15 | $624.54–$2,450.15 | — | — |
| Catheter ablation for atrial fibrillation CPT 93656 Evaluation and insertion of catheters for recording, pacing, and treatment of abnormal heart rhythm | $36,377.25 | $36,377.25 | $20,007.49–$40,323.79 | 9% above | — |
| Catheter ablation for atrial fibrillation inpatient CPT 93656 Evaluation and insertion of catheters for recording, pacing, and treatment of abnormal heart rhythm | $36,377.25 | $36,377.25 | $20,007.49–$40,323.79 | — | — |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HC Circumcision | $2,556.25 | $2,556.25 | $1,405.94–$3,224.91 | 35% above | — |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 HC Circumcision | $2,556.25 | $2,556.25 | $1,405.94–$3,224.91 | — | — |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HC Closed Rx Dist Rad/Ulna Fx | $1,718.55 | $1,718.55 | $233.08–$1,718.55 | 336% above | — |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 HC Closed Rx Dist Rad/Ulna Fx | $1,718.55 | $1,718.55 | $233.08–$1,718.55 | — | — |
| Coronary stent placement, one artery CPT 92928 Catheter insertion of stents in major coronary artery or branch, accessed through the skin | $28,759.40 | $28,759.40 | $10,908.40–$28,759.40 | 123% above | — |
| Coronary stent placement, one artery inpatient CPT 92928 Catheter insertion of stents in major coronary artery or branch, accessed through the skin | $28,759.40 | $28,759.40 | $10,908.40–$28,759.40 | — | — |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Destruction of skin growth | $93.60 | $93.60 | $51.48–$309.53 | 54% below | — |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 Destruction of skin growth | $93.60 | $93.60 | $51.48–$309.53 | — | — |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 HC Removal Impacted Cerumen Irrigation/Lvg Uni | $275.20 | $275.20 | $55.74–$550.40 | 78% above | — |
| Earwax removal by irrigation (rinsing), one ear one side CPT 69209 HC Removal Impacted Cerumen Irrigation/Lvg Unilat | $275.20 | $275.20 | $55.74–$550.40 | 78% above | — |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 HC Removal Impacted Cerumen Irrigation/Lvg Uni | $275.20 | $275.20 | $55.74–$550.40 | — | — |
| Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 HC Removal Impacted Cerumen Irrigation/Lvg Unilat | $275.20 | $275.20 | $55.74–$550.40 | — | — |
| Earwax removal with instruments, one ear one side CPT 69210 HC ED Removal Impacted Cerumen Instrumentation Unilat | $275.20 | $275.20 | $55.74–$550.40 | 78% above | — |
| Earwax removal with instruments, one ear one side CPT 69210 HC Removal Impacted Cerumen Instrumentation Unilat | $275.20 | $275.20 | $55.74–$550.40 | 78% above | — |
| Earwax removal with instruments, one ear inpatient one side CPT 69210 HC ED Removal Impacted Cerumen Instrumentation Unilat | $275.20 | $275.20 | $55.74–$550.40 | — | — |
| Earwax removal with instruments, one ear inpatient one side CPT 69210 HC Removal Impacted Cerumen Instrumentation Unilat | $275.20 | $275.20 | $55.74–$550.40 | — | — |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 Biopsy of uterine lining | $524.45 | $524.45 | $191.04–$524.45 | 37% above | — |
| Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 Biopsy of uterine lining | $524.45 | $524.45 | $191.04–$524.45 | — | — |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HC Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn | $2,996.95 | $2,996.95 | $667.00–$2,996.95 | 34% above | — |
| Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 HC Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn | $2,996.95 | $2,996.95 | $667.00–$2,996.95 | — | — |
| Eye injection into the vitreous (intravitreal injection) CPT 67028 HC Inject Intravitreal Pharmcologic | $631.25 | $631.25 | $312.11–$631.25 | 60% above | — |
| Eye injection into the vitreous (intravitreal injection) inpatient CPT 67028 HC Inject Intravitreal Pharmcologic | $631.25 | $631.25 | $312.11–$631.25 | — | — |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HC Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Lumbar/Sac, 1st Level | $1,903.20 | $1,903.20 | $835.76–$3,806.40 | 13% below | — |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HC Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Lumbar/Sac, 1st Level W/CT | $3,722.60 | $3,722.60 | $835.76–$7,445.20 | 71% above | — |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 HC Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Lumbar/Sac, 1st Level | $1,903.20 | $1,903.20 | $835.76–$3,806.40 | — | — |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 HC Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Lumbar/Sac, 1st Level W/CT | $3,722.60 | $3,722.60 | $835.76–$7,445.20 | — | — |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HC Cath/Inject Hysterosalpingogram | $885.10 | $885.10 | $486.81–$885.10 | 132% above | — |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HC Cath/Inject Hysterosalpingogram | $885.10 | $885.10 | $486.81–$885.10 | — | — |
| IUD insertion (the device itself billed separately) CPT 58300 HC Labor & Delivery Procedure - Iud Insertion Procedure | $503.70 | $503.70 | $176.30–$503.70 | 14% below | — |
| IUD insertion (the device itself billed separately) inpatient CPT 58300 HC Labor & Delivery Procedure - Iud Insertion Procedure | $503.70 | $503.70 | $176.30–$503.70 | — | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 HC Drain Skin Abscess - Simple | $650.85 | $650.85 | $189.58–$650.85 | 69% above | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC Drain Skin Abscess - Simple | $650.85 | $650.85 | $189.58–$650.85 | — | — |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Injections of tendon sheath, ligament, or muscle membrane | $140.90 | $140.90 | $77.50–$473.55 | 58% below | — |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 Injections of tendon sheath, ligament, or muscle membrane | $140.90 | $140.90 | $77.50–$473.55 | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC Arthrocentesis Aspir&/Inj Major Jt/Bursa W/O US | $1,445.45 | $1,445.45 | $290.05–$2,890.90 | 108% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC Arthrocentesis Aspir&/Inj Major Jt/Bursa W/O US | $1,445.45 | $1,445.45 | $290.05–$2,890.90 | — | — |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 HC Labor & Delivery Procedure - Contraceptive Insertion - Subdermal | $1,078.15 | $1,078.15 | $125.72–$1,078.15 | 165% above | — |
| Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 HC Labor & Delivery Procedure - Contraceptive Insertion - Subdermal | $1,078.15 | $1,078.15 | $125.72–$1,078.15 | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC Arthrocentesis Aspir&/Inj Interm Jt/Burs W/O US | $1,298.60 | $1,298.60 | $290.05–$2,597.20 | 111% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC Arthrocentesis Aspir&/Inj Interm Jt/Burs W/O US | $1,298.60 | $1,298.60 | $290.05–$2,597.20 | — | — |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC Arthrocentesis Aspir&/Inj Small Jt/Bursa W/O US | $603.85 | $603.85 | $290.05–$1,207.70 | 22% above | — |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC Arthrocentesis Aspir&/Inj Small Jt/Bursa W/O US | $603.85 | $603.85 | $290.05–$1,207.70 | — | — |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 HC Discission,2nd Cataract,Laser | $1,756.65 | $1,756.65 | $519.71–$1,756.65 | 24% above | — |
| Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 HC Discission,2nd Cataract,Laser | $1,756.65 | $1,756.65 | $519.71–$1,756.65 | — | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC Layr Clos Wnd Trunk,Arm,Leg <2.5 Cm | $1,087.75 | $1,087.75 | $384.13–$1,087.75 | 94% above | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 HC Layr Clos Wnd Trunk,Arm,Leg <2.5 Cm | $1,087.75 | $1,087.75 | $384.13–$1,087.75 | — | — |
| Left heart catheterization, diagnostic one side CPT 93452 HC Cath Left Heart Cath Inject Vetriculography, Image Supervise/Interp | $5,818.25 | $5,818.25 | $3,063.38–$5,818.25 | 38% below | — |
| Left heart catheterization, diagnostic inpatient one side CPT 93452 HC Cath Left Heart Cath Inject Vetriculography, Image Supervise/Interp | $5,818.25 | $5,818.25 | $3,063.38–$5,818.25 | — | — |
| Lower-back epidural injection, with imaging guidance CPT 62323 HC Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn | $2,996.95 | $2,996.95 | $667.00–$2,996.95 | 51% above | — |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn | $2,996.95 | $2,996.95 | $667.00–$2,996.95 | — | — |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC Inject Anes/Steroid Foramen Lumbar/Sacral W Img Guide ,1 Level | $1,903.20 | $1,903.20 | $835.76–$1,903.20 | 8% below | — |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC Inject Anes/Steroid Foramen Lumbar/Sacral W Img Guide ,1 Level | $1,903.20 | $1,903.20 | $835.76–$1,903.20 | — | — |
| Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals CPT 17311 Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals (first stage, up to 5 tissue blocks) | $301.15 | $301.15 | $165.63–$1,140.19 | 75% below | — |
| Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals inpatient CPT 17311 Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals (first stage, up to 5 tissue blocks) | $301.15 | $301.15 | $165.63–$1,140.19 | — | — |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Removal of growth (0.5 centimeters or less) of the face, ears, eyelids, nose, lips, or mouth | $295.40 | $295.40 | $162.47–$1,092.46 | 78% below | — |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 Removal of growth (0.5 centimeters or less) of the face, ears, eyelids, nose, lips, or mouth | $295.40 | $295.40 | $162.47–$1,092.46 | — | — |
| Nail removal (partial or complete), one nail CPT 11730 HC Removal of Nail Plate | $665.80 | $665.80 | $189.58–$665.80 | 109% above | — |
| Nail removal (partial or complete), one nail inpatient CPT 11730 HC Removal of Nail Plate | $665.80 | $665.80 | $189.58–$665.80 | — | — |
| Occipital nerve block (injection for headaches) CPT 64405 HC Inject Nerv Blck,Great Occiptl | $536.40 | $536.40 | $290.05–$1,072.80 | 43% below | — |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 HC Inject Nerv Blck,Great Occiptl | $536.40 | $536.40 | $290.05–$1,072.80 | — | — |
| Pacemaker implant (dual chamber) CPT 33208 HC Ep Insert Heart Pacer Xvenous Atr/Ventr | $15,128.60 | $15,128.60 | $8,320.73–$16,124.66 | at median | — |
| Pacemaker implant (dual chamber) inpatient CPT 33208 HC Ep Insert Heart Pacer Xvenous Atr/Ventr | $15,128.60 | $15,128.60 | $8,320.73–$16,124.66 | — | — |
| Paracentesis with imaging guidance CPT 49083 HC Abdom Paracentesis Dx/Ther W Imaging Guidance | $3,782.95 | $3,782.95 | $857.03–$3,782.95 | 118% above | — |
| Paracentesis with imaging guidance inpatient CPT 49083 HC Abdom Paracentesis Dx/Ther W Imaging Guidance | $3,782.95 | $3,782.95 | $857.03–$3,782.95 | — | — |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC Removal of Nail Bed | $455.35 | $455.35 | $250.44–$627.15 | 42% below | — |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC Removal of Nail Bed | $455.35 | $455.35 | $250.44–$627.15 | — | — |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 HC Dstr Nrolytc Agnt Parverteb Fct Sngl Lmbr/Sacral | $3,424.15 | $3,424.15 | $1,845.18–$6,848.30 | 6% above | — |
| Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 HC Dstr Nrolytc Agnt Parverteb Fct Sngl Lmbr/Sacral | $3,424.15 | $3,424.15 | $1,845.18–$6,848.30 | — | — |
| Removal of a foreign object under the skin, simple CPT 10120 HC Remove Foreign Body Simple | $650.85 | $650.85 | $357.97–$650.85 | 2% below | — |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 HC Remove Foreign Body Simple | $650.85 | $650.85 | $357.97–$650.85 | — | — |
| Short arm cast (elbow to hand) CPT 29075 HC Apply Forearm Cast | $950.55 | $950.55 | $264.29–$950.55 | 216% above | — |
| Short arm cast (elbow to hand) inpatient CPT 29075 HC Apply Forearm Cast | $950.55 | $950.55 | $264.29–$950.55 | — | — |
| Short arm splint (forearm and hand) CPT 29125 HC Apply Forearm Splint,Static | $950.55 | $950.55 | $125.72–$950.55 | 227% above | — |
| Short arm splint (forearm and hand) inpatient CPT 29125 HC Apply Forearm Splint,Static | $950.55 | $950.55 | $125.72–$950.55 | — | — |
| Short leg cast (below the knee) CPT 29405 HC Apply Short Leg Cast | $950.55 | $950.55 | $264.29–$950.55 | 139% above | — |
| Short leg cast (below the knee) inpatient CPT 29405 HC Apply Short Leg Cast | $950.55 | $950.55 | $264.29–$950.55 | — | — |
| Short leg splint (calf to foot) CPT 29515 HC Apply Lower Leg Splint | $950.55 | $950.55 | $153.55–$1,901.10 | 213% above | — |
| Short leg splint (calf to foot) inpatient CPT 29515 HC Apply Lower Leg Splint | $950.55 | $950.55 | $153.55–$1,901.10 | — | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC Resuperf Wnd Body <2.5cm | $1,087.75 | $1,087.75 | $189.58–$1,087.75 | 230% above | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC Resuperf Wnd Body <2.5cm | $1,087.75 | $1,087.75 | $189.58–$1,087.75 | — | — |
| Skin biopsy, punch, one lesion CPT 11104 HC Punch Biopsy Skin Single Lesion | $542.25 | $542.25 | $298.24–$627.15 | 21% above | — |
| Skin biopsy, punch, one lesion inpatient CPT 11104 HC Punch Biopsy Skin Single Lesion | $542.25 | $542.25 | $298.24–$627.15 | — | — |
| Skin tag removal, up to 15 tags CPT 11200 HC Removal of Skin Tags, Up to 15 | $457.75 | $457.75 | $189.58–$457.75 | 56% above | — |
| Skin tag removal, up to 15 tags inpatient CPT 11200 HC Removal of Skin Tags, Up to 15 | $457.75 | $457.75 | $189.58–$457.75 | — | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 HC ED Spinal Puncture,Lumbar,Diagnostic | $2,070.10 | $2,070.10 | $667.00–$2,070.10 | 90% above | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 HC Spinal Puncture,Lumbar,Diagnostic | $2,070.10 | $2,070.10 | $667.00–$2,070.10 | 90% above | — |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC ED Spinal Puncture,Lumbar,Diagnostic | $2,070.10 | $2,070.10 | $667.00–$2,070.10 | — | — |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC Spinal Puncture,Lumbar,Diagnostic | $2,070.10 | $2,070.10 | $667.00–$2,070.10 | — | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC Resup Npterf Wnd Body 2.6-7.5 Cm | $1,087.75 | $1,087.75 | $189.58–$1,087.75 | 209% above | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 HC Resup Npterf Wnd Body 2.6-7.5 Cm | $1,087.75 | $1,087.75 | $189.58–$1,087.75 | — | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC Resuperf Wnd Face <2.5 Cm | $1,087.75 | $1,087.75 | $189.58–$1,087.75 | 243% above | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 HC Resuperf Wnd Face <2.5 Cm | $1,087.75 | $1,087.75 | $189.58–$1,087.75 | — | — |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 Biopsy of related skin growth, first growth | $542.25 | $542.25 | $298.24–$627.15 | 79% above | — |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 Biopsy of related skin growth, first growth | $542.25 | $542.25 | $298.24–$627.15 | — | — |
| Thoracentesis with imaging guidance CPT 32555 HC Thoracentesis Needle/Cath Pleura W/Imaging | $3,783.05 | $3,783.05 | $592.75–$3,783.05 | 121% above | — |
| Thoracentesis with imaging guidance inpatient CPT 32555 HC Thoracentesis Needle/Cath Pleura W/Imaging | $3,783.05 | $3,783.05 | $592.75–$3,783.05 | — | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 HC Inject Trigger Point, 1 or 2 | $631.25 | $631.25 | $290.05–$1,262.50 | 10% below | — |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC Inject Trigger Point, 1 or 2 | $631.25 | $631.25 | $290.05–$1,262.50 | — | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HC Bx Breast W Device 1st Lesion Ultrasound Guide | $6,727.05 | $6,727.05 | $1,560.64–$6,727.05 | 96% above | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 HC Bx Breast W Device 1st Lesion Ultrasound Guide | $6,727.05 | $6,727.05 | $1,560.64–$6,727.05 | — | — |
| Upper endoscopy (EGD), diagnostic CPT 43235 HC Esophagogastroduodenoscopy Transoral Diagnostic | $631.25 | $631.25 | $347.19–$1,399.24 | 76% below | — |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 HC Esophagogastroduodenoscopy Transoral Diagnostic | $631.25 | $631.25 | $347.19–$1,399.24 | — | — |
| Wart removal, up to 14 warts CPT 17110 Destruction of up to 14 skin growths | $93.60 | $93.60 | $51.48–$309.53 | 70% below | — |
| Wart removal, up to 14 warts inpatient CPT 17110 Destruction of up to 14 skin growths | $93.60 | $93.60 | $51.48–$309.53 | — | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC Debridement, Skin, Sub-Q Tissue,=<20 Sq Cm | $1,012.25 | $1,012.25 | $384.13–$1,012.25 | 30% above | — |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC Debridement, Skin, Sub-Q Tissue,=<20 Sq Cm | $1,012.25 | $1,012.25 | $384.13–$1,012.25 | — | — |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Ohio | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 HC Blood Transfusion Service - 1 Unit | $1,106.40 | $1,106.40 | $416.88–$1,106.40 | at median | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC Blood Transfusion Service - 1 Unit | $1,106.40 | $1,106.40 | $416.88–$1,106.40 | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC ED Nurse Hand Held Nebulizer | $125.90 | $125.90 | $69.25–$337.82 | 29% below | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction one side CPT 94640 HC Uc Rt Hand Held Nebulizer | $86.85 | $86.85 | $47.77–$337.82 | 51% below | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction one side CPT 94640 HC Rt Inhalation Treatment | $125.90 | $125.90 | $69.25–$337.82 | 29% below | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC ED Nurse Hand Held Nebulizer | $125.90 | $125.90 | $69.25–$337.82 | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient one side CPT 94640 HC Uc Rt Hand Held Nebulizer | $86.85 | $86.85 | $47.77–$337.82 | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient one side CPT 94640 HC Rt Inhalation Treatment | $125.90 | $125.90 | $69.25–$337.82 | — | — |
| Chemotherapy IV infusion, first hour CPT 96413 HC Chemotherapy, IV Infusion, Initial Subs/Drug 1 Hr | $720.30 | $720.30 | $312.11–$720.30 | 6% below | — |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 HC Chemotherapy, IV Infusion, Initial Subs/Drug 1 Hr | $720.30 | $720.30 | $312.11–$720.30 | — | — |
| Critical care, first 30 to 74 minutes CPT 99291 HC Critical Care, E/M 30-74 Minutes | $2,503.70 | $2,503.70 | $780.54–$2,503.70 | 15% below | — |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 HC Critical Care, E/M 30-74 Minutes | $2,503.70 | $2,503.70 | $780.54–$2,503.70 | — | — |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 HC Eeg,W/Awake & Drowsy Record - Eeg Awake or Drowsy Portable | $1,318.90 | $1,318.90 | $204.03–$1,318.90 | 38% above | — |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 HC Eeg,W/Awake & Drowsy Record - Eeg Awake or Drowsy Portable | $1,318.90 | $1,318.90 | $204.03–$1,318.90 | — | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC Electrocardiogram, Tracing | $225.90 | $225.90 | $55.74–$225.90 | 22% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC Electrocardiogram, Tracing | $225.90 | $225.90 | $55.74–$225.90 | — | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC Emergency Department Level 1 Visit Limited/Minor Prob | $253.85 | $253.85 | $79.68–$253.85 | 19% below | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC Emergency Department Level 1 Visit Limited/Minor Prob | $253.85 | $253.85 | $79.68–$253.85 | — | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC Emergency Department Level 2 Visit Low/Moder Severity | $502.15 | $502.15 | $145.09–$502.15 | 2% below | — |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC Emergency Department Level 2 Visit Low/Moder Severity | $502.15 | $502.15 | $145.09–$502.15 | — | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC Emergency Department Level 3 Visit Moderate Severity | $678.55 | $678.55 | $257.94–$678.55 | 19% below | — |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC Emergency Department Level 3 Visit Moderate Severity | $678.55 | $678.55 | $257.94–$678.55 | — | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC Emergency Department Level 4 Visit High/Urgent Severity | $899.60 | $899.60 | $394.28–$899.60 | 32% below | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC Emergency Department Level 4 Visit High/Urgent Severity | $899.60 | $899.60 | $394.28–$899.60 | — | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC Emergency Department Level 5 Visit High Severity&Threat Func | $1,252.40 | $1,252.40 | $562.73–$1,252.40 | 27% below | — |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC Emergency Department Level 5 Visit High Severity&Threat Func | $1,252.40 | $1,252.40 | $562.73–$1,252.40 | — | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HC Cardiovascular Stress Test - Stress Test Only, Dobutamine | $753.80 | $753.80 | $204.03–$753.80 | 16% below | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HC Cardiovascular Stress Test - Dobutamine W Myocard Perfusion Sing | $859.35 | $859.35 | $204.03–$859.35 | 4% below | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HC Cardiac Stress Tst,Tracing - Echocardiogram Dobutamine Stress Test | $1,389.45 | $1,389.45 | $204.03–$1,389.45 | 55% above | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HC Cardiac Stress Tst,Tracing - Stress Test Only, Exercise | $1,507.15 | $1,507.15 | $204.03–$1,507.15 | 68% above | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HC Cardiac Stress Tst,Tracing Only - Stress Test Only, Exercise | $1,718.55 | $1,718.55 | $204.03–$1,718.55 | 91% above | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HC Cardiac Stress Tst,Tracing - Stress Test Only, Adenosine | $1,718.55 | $1,718.55 | $204.03–$1,718.55 | 91% above | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HC Cardiac Stress Tst,Tracing - Stress Test Only, Cardiolite | $1,718.55 | $1,718.55 | $204.03–$1,718.55 | 91% above | — |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC Cardiovascular Stress Test - Stress Test Only, Dobutamine | $753.80 | $753.80 | $204.03–$753.80 | — | — |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC Cardiovascular Stress Test - Dobutamine W Myocard Perfusion Sing | $859.35 | $859.35 | $204.03–$859.35 | — | — |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC Cardiac Stress Tst,Tracing - Echocardiogram Dobutamine Stress Test | $1,389.45 | $1,389.45 | $204.03–$1,389.45 | — | — |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC Cardiac Stress Tst,Tracing - Stress Test Only, Exercise | $1,507.15 | $1,507.15 | $204.03–$1,507.15 | — | — |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC Cardiac Stress Tst,Tracing - Stress Test Only, Cardiolite | $1,718.55 | $1,718.55 | $204.03–$1,718.55 | — | — |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC Cardiac Stress Tst,Tracing - Stress Test Only, Adenosine | $1,718.55 | $1,718.55 | $204.03–$1,718.55 | — | — |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC Cardiac Stress Tst,Tracing Only - Stress Test Only, Exercise | $1,718.55 | $1,718.55 | $204.03–$1,718.55 | — | — |
| Family therapy with the patient, 50 minutes CPT 90847 HC Family Psychotherapy 50 Minute With Patient | $283.75 | $283.75 | $156.06–$283.75 | 4% below | — |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HC Family Psychotherapy 50 Minute With Patient | $283.75 | $283.75 | $156.06–$283.75 | — | — |
| Group psychotherapy session CPT 90853 HC Group Psychotherapy 60 Minutes | $218.25 | $218.25 | $120.04–$218.25 | 26% above | — |
| Group psychotherapy session CPT 90853 HC Group Psychotherapy 90 Minutes | $327.95 | $327.95 | $180.37–$327.95 | 89% above | — |
| Group psychotherapy session CPT 90853 HC Group Psychotherapy Iop Cd 2+ Hours/Day | $690.00 | $690.00 | $379.50–$690.00 | 299% above | — |
| Group psychotherapy session CPT 90853 HC Group Psychotherapy Php Cd 5+ Hours/Day | $1,605.00 | $1,605.00 | $882.75–$1,605.00 | 827% above | — |
| Group psychotherapy session inpatient CPT 90853 HC Group Psychotherapy 60 Minutes | $218.25 | $218.25 | $120.04–$218.25 | — | — |
| Group psychotherapy session inpatient CPT 90853 HC Group Psychotherapy 90 Minutes | $327.95 | $327.95 | $180.37–$327.95 | — | — |
| Group psychotherapy session inpatient CPT 90853 HC Group Psychotherapy Iop Cd 2+ Hours/Day | $690.00 | $690.00 | $379.50–$690.00 | — | — |
| Group psychotherapy session inpatient CPT 90853 HC Group Psychotherapy Php Cd 5+ Hours/Day | $1,605.00 | $1,605.00 | $882.75–$1,605.00 | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC IV Infusion, Hydration, Initial 31-60 Min | $482.10 | $482.10 | $200.99–$482.10 | 15% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC IV Infusion, Hydration, Initial 31-60 Min | $482.10 | $482.10 | $200.99–$482.10 | — | — |
| IV infusion of a medicine, first hour CPT 96365 HC IV Infusion, Therap/Proph/Diagnost,Initial,1st Hour | $482.10 | $482.10 | $200.99–$482.10 | 11% above | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 HC IV Infusion, Therap/Proph/Diagnost,Initial,1st Hour | $482.10 | $482.10 | $200.99–$482.10 | — | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC Injection,Therap/Proph/Diagnost, Im or Subcut | $178.55 | $178.55 | $68.04–$178.55 | 26% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC Vivitrol Clinic Vist/Injection | $179.45 | $179.45 | $68.04–$179.45 | 27% above | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC Injection,Therap/Proph/Diagnost, Im or Subcut | $178.55 | $178.55 | $68.04–$178.55 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC Vivitrol Clinic Vist/Injection | $179.45 | $179.45 | $68.04–$179.45 | — | — |
| Neuromuscular re-education, 15 minutes CPT 97112 HC Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min | $156.60 | $156.60 | $29.77–$156.60 | 46% above | — |
| Neuromuscular re-education, 15 minutes CPT 97112 HC Ot Neuromusc Reeducat,1+ Areas, Ea 15 Min | $192.05 | $192.05 | $29.77–$192.05 | 79% above | — |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min | $156.60 | $156.60 | $29.77–$156.60 | — | — |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC Ot Neuromusc Reeducat,1+ Areas, Ea 15 Min | $192.05 | $192.05 | $29.77–$192.05 | — | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC Med Nutr Ther, 1st, Indiv, Ea 15 Min | $106.75 | $106.75 | $25.15–$106.75 | 64% above | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HC Med Nutr Ther, 1st, Indiv, Ea 15 Min | $106.75 | $106.75 | $25.15–$106.75 | — | — |
| Occupational therapy evaluation, low complexity CPT 97165 HC Ot Occupational Therapy Eval Low Complex | $382.85 | $382.85 | $93.48–$382.85 | 47% above | — |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 HC Ot Occupational Therapy Eval Low Complex | $382.85 | $382.85 | $93.48–$382.85 | — | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC Pt Physical Therapy Evaluation High Complex | $382.85 | $382.85 | $91.17–$382.85 | 27% above | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC Pt Physical Therapy Evaluation High Complex | $382.85 | $382.85 | $91.17–$382.85 | — | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC Pt Physical Therapy Evaluation Low Complex | $382.85 | $382.85 | $91.17–$382.85 | 47% above | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC Pt Physical Therapy Evaluation Low Complex | $382.85 | $382.85 | $91.17–$382.85 | — | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC Pt Physical Therapy Evaluation Mod Complex | $382.85 | $382.85 | $91.17–$382.85 | 38% above | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC Pt Physical Therapy Evaluation Mod Complex | $382.85 | $382.85 | $91.17–$382.85 | — | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC Pt Manual Ther Tech,1+Regions,Ea 15 Min | $192.30 | $192.30 | $25.27–$192.30 | 79% above | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC Ot Manual Ther Tech,1+Regions,Ea 15 Min | $192.30 | $192.30 | $25.27–$192.30 | 79% above | — |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC Ot Manual Ther Tech,1+Regions,Ea 15 Min | $192.30 | $192.30 | $25.27–$192.30 | — | — |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC Pt Manual Ther Tech,1+Regions,Ea 15 Min | $192.30 | $192.30 | $25.27–$192.30 | — | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC Pt Range of Motion Initial 15 Min | $269.80 | $269.80 | $26.76–$269.80 | 133% above | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC Ot Therapeutic Exercises Each 15 Minutes | $271.25 | $271.25 | $26.76–$271.25 | 134% above | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC Pt Therapeutic Exercises Each 15 Minutes | $327.45 | $327.45 | $26.76–$327.45 | 183% above | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC Pt Range of Motion Initial 15 Min | $269.80 | $269.80 | $26.76–$269.80 | — | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC Ot Therapeutic Exercises Each 15 Minutes | $271.25 | $271.25 | $26.76–$271.25 | — | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC Pt Therapeutic Exercises Each 15 Minutes | $327.45 | $327.45 | $26.76–$327.45 | — | — |
| Psychiatric evaluation with medical services CPT 90792 HC Cd Assessment 30 Minutes | $280.00 | $280.00 | $154.00–$280.00 | 21% below | — |
| Psychiatric evaluation with medical services CPT 90792 HC Cd Assessment 60 Minutes | $560.00 | $560.00 | $308.00–$560.00 | 58% above | — |
| Psychiatric evaluation with medical services inpatient CPT 90792 HC Cd Assessment 30 Minutes | $280.00 | $280.00 | $154.00–$280.00 | — | — |
| Psychiatric evaluation with medical services inpatient CPT 90792 HC Cd Assessment 60 Minutes | $560.00 | $560.00 | $308.00–$560.00 | — | — |
| Psychotherapy session, 30 minutes CPT 90832 HC Psychotherapy Individual 30 Minutes | $230.20 | $230.20 | $126.61–$230.20 | 24% above | — |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HC Psychotherapy Individual 30 Minutes | $230.20 | $230.20 | $126.61–$230.20 | — | — |
| Psychotherapy session, 45 minutes CPT 90834 HC Psychotherapy Individual 45 Minutes | $246.35 | $246.35 | $135.49–$246.35 | 8% below | — |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HC Psychotherapy Individual 45 Minutes | $246.35 | $246.35 | $135.49–$246.35 | — | — |
| Psychotherapy session, 60 minutes CPT 90837 HC Psychotherapy Individual 60 Minutes | $263.70 | $263.70 | $145.04–$263.70 | 16% below | — |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HC Psychotherapy Individual 60 Minutes | $263.70 | $263.70 | $145.04–$263.70 | — | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC Hosp Wound Nurse Visit Level 5 | $592.20 | $592.20 | $325.71–$1,184.40 | 251% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC Clinic Visit Level 5 | $592.20 | $592.20 | $325.71–$1,184.40 | 251% above | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC Hosp Wound Nurse Visit Level 5 | $592.20 | $592.20 | $325.71–$1,184.40 | — | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC Clinic Visit Level 5 | $592.20 | $592.20 | $325.71–$1,184.40 | — | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC Hosp Wound Nurse Visit Level 3 | $293.70 | $293.70 | $161.54–$293.70 | 156% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC Clinic Visit Level 3 | $293.70 | $293.70 | $161.54–$293.70 | 156% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC Clinic Visit Level 3 - Pain Clinic | $720.45 | $720.45 | $396.25–$720.45 | 529% above | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC Hosp Wound Nurse Visit Level 3 | $293.70 | $293.70 | $161.54–$293.70 | — | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC Clinic Visit Level 3 | $293.70 | $293.70 | $161.54–$293.70 | — | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC Clinic Visit Level 3 - Pain Clinic | $720.45 | $720.45 | $396.25–$720.45 | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC Hosp Wound Nurse Visit Level 4 | $592.20 | $592.20 | $325.71–$1,184.40 | 333% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC Clinic Visit Level 4 | $592.20 | $592.20 | $325.71–$1,184.40 | 333% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC Clinic Visit Level 4 | $592.20 | $592.20 | $325.71–$1,184.40 | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC Hosp Wound Nurse Visit Level 4 | $592.20 | $592.20 | $325.71–$1,184.40 | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC Clinic Visit - Dermatology West Main | $62.65 | $62.65 | $34.46–$62.65 | 36% below | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC Clinic Visit - Rheumatology Clinic | $62.65 | $62.65 | $34.46–$62.65 | 36% below | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC Clinic Visit - Oncology/Hematology | $148.90 | $148.90 | $81.90–$148.90 | 52% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC Preadmission Testing Clinic Visit | $293.70 | $293.70 | $161.54–$293.70 | 200% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC Clinic Visit Level 2 | $293.70 | $293.70 | $161.54–$293.70 | 200% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC Hosp Wound Nurse Visit Level 2 | $293.70 | $293.70 | $161.54–$293.70 | 200% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC Mat Clinic Visit | $299.85 | $299.85 | $164.92–$299.85 | 207% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC Clinic Visit Level 2 - Pain Clinic | $355.50 | $355.50 | $195.53–$355.50 | 264% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC Clinic Visit Level 1 - Radiology Consult | $439.25 | $439.25 | $241.59–$439.25 | 349% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC OB Assessment | $826.40 | $826.40 | $454.52–$826.40 | 745% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC Clinic Visit - Dermatology West Main | $62.65 | $62.65 | $34.46–$62.65 | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC Clinic Visit - Rheumatology Clinic | $62.65 | $62.65 | $34.46–$62.65 | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC Clinic Visit - Oncology/Hematology | $148.90 | $148.90 | $81.90–$148.90 | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC Hosp Wound Nurse Visit Level 2 | $293.70 | $293.70 | $161.54–$293.70 | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC Preadmission Testing Clinic Visit | $293.70 | $293.70 | $161.54–$293.70 | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC Clinic Visit Level 2 | $293.70 | $293.70 | $161.54–$293.70 | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC Mat Clinic Visit | $299.85 | $299.85 | $164.92–$299.85 | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC Clinic Visit Level 2 - Pain Clinic | $355.50 | $355.50 | $195.53–$355.50 | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC Clinic Visit Level 1 - Radiology Consult | $439.25 | $439.25 | $241.59–$439.25 | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC OB Assessment | $826.40 | $826.40 | $454.52–$826.40 | — | — |
| Speech and language evaluation CPT 92523 HC Slp Eval Speech Sound Product Language Comprehension | $567.80 | $567.80 | $208.70–$567.80 | 71% above | — |
| Speech and language evaluation inpatient CPT 92523 HC Slp Eval Speech Sound Product Language Comprehension | $567.80 | $567.80 | $208.70–$567.80 | — | — |
| Speech therapy session, individual CPT 92507 HC Slp Speech/Hearing Therapy, Individual | $478.25 | $478.25 | $70.08–$478.25 | 118% above | — |
| Speech therapy session, individual inpatient CPT 92507 HC Slp Speech/Hearing Therapy, Individual | $478.25 | $478.25 | $70.08–$478.25 | — | — |
| Spirometry (breathing test) CPT 94010 HC Spirometry Test | $279.35 | $279.35 | $153.64–$333.11 | 10% below | — |
| Spirometry (breathing test) CPT 94010 HC Peak Flow | $367.65 | $367.65 | $202.21–$367.65 | 19% above | — |
| Spirometry (breathing test) inpatient CPT 94010 HC Spirometry Test | $279.35 | $279.35 | $153.64–$333.11 | — | — |
| Spirometry (breathing test) inpatient CPT 94010 HC Peak Flow | $367.65 | $367.65 | $202.21–$367.65 | — | — |
| Spirometry before and after a bronchodilator CPT 94060 HC Eval of Bronchospasm | $557.55 | $557.55 | $306.65–$575.68 | 3% below | — |
| Spirometry before and after a bronchodilator inpatient CPT 94060 HC Eval of Bronchospasm | $557.55 | $557.55 | $306.65–$575.68 | — | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC Ot Therapeut Actvity Direct Pt Contact Each 15 Min | $178.55 | $178.55 | $31.94–$178.55 | 50% above | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC Pt Therapeutic Activity, Transfer Training Each 15 Min | $192.05 | $192.05 | $31.94–$192.05 | 61% above | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC Pt Therapeut Actvity Direct Pt Contact Each 15 Min | $230.00 | $230.00 | $31.94–$230.00 | 93% above | — |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC Ot Therapeut Actvity Direct Pt Contact Each 15 Min | $178.55 | $178.55 | $31.94–$178.55 | — | — |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC Pt Therapeutic Activity, Transfer Training Each 15 Min | $192.05 | $192.05 | $31.94–$192.05 | — | — |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC Pt Therapeut Actvity Direct Pt Contact Each 15 Min | $230.00 | $230.00 | $31.94–$230.00 | — | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC Phlebotomy | $273.70 | $273.70 | $125.72–$273.70 | 16% above | — |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HC Phlebotomy | $273.70 | $273.70 | $125.72–$273.70 | — | — |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Ohio | Off list |
|---|---|---|---|---|---|
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Trivalent Flu Vaccine | $24.00 | $24.00 | $8.40–$77.79 | 48% below | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 Trivalent Flu Vaccine | $24.00 | $24.00 | $8.40–$77.79 | — | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/ML INTRAMUSCULAR SYRINGE | $324.00 | $324.00 | $113.40–$324.00 | 107% above | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/ML INTRAMUSCULAR SYRINGE | $324.00 | $324.00 | $113.40–$324.00 | — | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Influenza Vaccine High Dose | $100.00 | $100.00 | $26.46–$328.84 | 16% below | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 Influenza Vaccine High Dose | $100.00 | $100.00 | $26.46–$328.84 | — | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 HC Pneumococcal Poly Vac Scim >2y | $311.60 | $311.60 | $109.06–$447.12 | 13% above | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 HC Pneumococcal Poly Vac Scim >2y | $311.60 | $311.60 | $109.06–$447.12 | — | — |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 NIRSEVIMAB-ALIP 50 MG/0.5 ML INTRAMUSCULAR SYRINGE | $2,301.20 | $2,301.20 | $805.42–$2,301.20 | 70% above | — |
| RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 NIRSEVIMAB-ALIP 50 MG/0.5 ML INTRAMUSCULAR SYRINGE | $2,301.20 | $2,301.20 | $805.42–$2,301.20 | — | — |
| Rabies vaccine, one dose CPT 90675 HC Pk Rabies Vaccine 1ml Vial | $1,021.90 | $1,021.90 | $307.41–$1,071.16 | 7% above | — |
| Rabies vaccine, one dose inpatient CPT 90675 HC Pk Rabies Vaccine 1ml Vial | $1,021.90 | $1,021.90 | $307.41–$1,071.16 | — | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 HC Td Vaccine Prsrv Free 7 Yrs or Older for Im Use 0.5ml | $127.20 | $127.20 | $69.96–$130.55 | 42% above | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SYRINGE | $176.20 | $176.20 | $96.91–$176.20 | 96% above | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 HC Td Vaccine Prsrv Free 7 Yrs or Older for Im Use 0.5ml | $127.20 | $127.20 | $69.96–$130.55 | — | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SYRINGE | $176.20 | $176.20 | $96.91–$176.20 | — | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTH,PERTUS(AC)TETANUS(PF)2 LF-(2.5-5-3-5MCG)-5 LF/0.5 ML IM SYRINGE | $224.60 | $224.60 | $123.53–$224.60 | 103% above | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 HC Tdap Vaccine >7 Yo, Im 0.5ml | $249.75 | $249.75 | $132.96–$249.75 | 126% above | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTH,PERTUS(AC)TETANUS(PF)2 LF-(2.5-5-3-5MCG)-5 LF/0.5 ML IM SYRINGE | $224.60 | $224.60 | $123.53–$224.60 | — | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 HC Tdap Vaccine >7 Yo, Im 0.5ml | $249.75 | $249.75 | $132.96–$249.75 | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC Immuniz Admin,1 Single/Comb Vac/Toxoid | $120.70 | $120.70 | $66.39–$120.70 | 216% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC Immuniz Admin,1 Single/Comb Vac/Toxoid | $120.70 | $120.70 | $66.39–$120.70 | — | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC Immuniz,Admin,Each Addl | $117.30 | $117.30 | $64.52–$117.30 | 237% above | — |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC Immuniz,Admin,Each Addl | $117.30 | $117.30 | $64.52–$117.30 | — | — |
Source file: https://www.lmhealth.org/LMHealth.org/media/314379519_licking-memorial-hospital_standardcharges.zip