Hospital

Trinity Hospital

Listed in its price file as “Mountain Communties Healthcare District”.

Trinity Hospital in Weaverville, CA publishes cash prices for 247 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are below the California median for 232 of 243 procedures and above it for 11. By typical cash price it ranks #5 of 168 California hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

60 EASTER AVENUE, PO BOX 1229, WEAVERVILLE, CA, 96093-1229 Collected Sep 27, 2026 Source price file (530) 623-5541

Critical access hospital (rural, 25 beds or fewer) Emergency department CCN 051315 · CMS hospital register

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs California	Off list
Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 US ABI (ANKLE BRACHIAL INDEX) BILATERAL	$164.50	$329.00	$87.79–$282.94	—	50%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 US ABI (ANKLE BRACHIAL INDEX) BILATERAL	$164.50	$329.00	$87.79–$282.94	—	50%
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST UNILATERAL COMPLETE	$97.50	$195.00	$104.87–$195.00	82% below	50%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST UNILATERAL COMPLETE	$97.50	$195.00	$104.87–$195.00	—	50%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIO CHEST WITH CONTRAST	$729.00	$1,458.00	$294.21–$1,253.88	77% below	50%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT ANGIO CHEST WITH CONTRAST	$729.00	$1,458.00	$294.21–$1,253.88	—	50%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 PRO FEE CT CALCIUM SCORE	$23.50	$47.00	$25.38–$47.00	93% below	50%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT CALCIUM SCORE	$67.00	$134.00	$72.36–$134.00	79% below	50%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 PRO FEE CT CALCIUM SCORE	$23.50	$47.00	$25.38–$47.00	—	50%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT CALCIUM SCORE	$67.00	$134.00	$72.36–$134.00	—	50%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABDOMEN AND PELVIS W/O CONTRAST	$512.50	$1,025.00	$190.19–$881.50	82% below	50%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABDOMEN AND PELVIS W/O CONTRAST	$512.50	$1,025.00	$190.19–$881.50	—	50%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN AND PELVIS WITH CONTRAST	$778.00	$1,556.00	$315.56–$1,338.16	81% below	50%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABDOMEN AND PELVIS WITH CONTRAST	$778.00	$1,556.00	$315.56–$1,338.16	—	50%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABDOMEN & PELVIS W/O & WITH CONTRAST	$956.50	$1,913.00	$355.24–$1,645.18	78% below	50%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABDOMEN & PELVIS W/O & WITH CONTRAST	$956.50	$1,913.00	$355.24–$1,645.18	—	50%
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN WITH CONTRAST	$778.00	$1,556.00	$242.32–$1,338.16	65% below	50%
CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN WITH CONTRAST	$778.00	$1,556.00	$242.32–$1,338.16	—	50%
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O CONTRAST	$512.50	$1,025.00	$141.90–$881.50	73% below	50%
CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN W/O CONTRAST	$512.50	$1,025.00	$141.90–$881.50	—	50%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFAICAL/SINUS W/O CONTRAST	$512.50	$1,025.00	$134.51–$881.50	77% below	50%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MAXILLOFAICAL/SINUS W/O CONTRAST	$512.50	$1,025.00	$134.51–$881.50	—	50%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD OR BRAIN W/O CONTRAST	$512.50	$1,025.00	$111.20–$881.50	78% below	50%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD OR BRAIN W/O CONTRAST	$512.50	$1,025.00	$111.20–$881.50	—	50%
CT scan of the head with contrast CPT 70460 CT HEAD OR BRAIN WITH CONTRAST	$778.00	$1,556.00	$154.79–$1,338.16	71% below	50%
CT scan of the head with contrast inpatient CPT 70460 CT HEAD OR BRAIN WITH CONTRAST	$778.00	$1,556.00	$154.79–$1,338.16	—	50%
CT scan of the head without and with contrast CPT 70470 CT HEAD OR BRAIN W/O & WITH CONTRAST	$904.00	$1,808.00	$180.98–$1,554.88	68% below	50%
CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD OR BRAIN W/O & WITH CONTRAST	$904.00	$1,808.00	$180.98–$1,554.88	—	50%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR SPINE W/O CONTRAST	$512.50	$1,025.00	$135.74–$881.50	82% below	50%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT LUMBAR SPINE W/O CONTRAST	$512.50	$1,025.00	$135.74–$881.50	—	50%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT CERVICAL SPINE W/O CONTRAST	$512.50	$1,025.00	$136.46–$881.50	82% below	50%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT CERVICAL SPINE W/O CONTRAST	$512.50	$1,025.00	$136.46–$881.50	—	50%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS WITH CONTRAST	$778.00	$1,556.00	$237.94–$1,338.16	69% below	50%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS WITH CONTRAST	$778.00	$1,556.00	$237.94–$1,338.16	—	50%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 US CAROTID COMPLETE BILATERAL	$262.00	$524.00	$199.20–$524.00	—	50%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 US CAROTID COMPLETE BILATERAL	$262.00	$524.00	$199.20–$524.00	—	50%
Chest X-ray, 2 views CPT 71046 CHEST 2 VIEWS PA AND LATERAL	$117.00	$234.00	$34.60–$201.24	70% below	50%
Chest X-ray, 2 views inpatient CPT 71046 CHEST 2 VIEWS PA AND LATERAL	$117.00	$234.00	$34.60–$201.24	—	50%
Chest X-ray, single view CPT 71045 CHEST 1 VIEW	$117.00	$234.00	$26.43–$201.24	65% below	50%
Chest X-ray, single view inpatient CPT 71045 CHEST 1 VIEW	$117.00	$234.00	$26.43–$201.24	—	50%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US KIDNEY/BLADDER COMPLETE	$166.50	$333.00	$111.31–$322.88	80% below	50%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US KIDNEY/BLADDER COMPLETE	$166.50	$333.00	$111.31–$322.88	—	50%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 PROFEE US OB FET&MET EVAL SING/1ST GEST	$75.50	$151.00	$81.54–$151.00	91% below	50%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US OB FET & MET EVAL SING/1ST GESTATION	$192.00	$384.00	$188.72–$384.00	76% below	50%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 PROFEE US OB FET&MET EVAL SING/1ST GEST	$75.50	$151.00	$81.54–$151.00	—	50%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 US OB FET & MET EVAL SING/1ST GESTATION	$192.00	$384.00	$188.72–$384.00	—	50%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST W/O CONTRAST	$512.50	$1,025.00	$138.42–$881.50	72% below	50%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST W/O CONTRAST	$512.50	$1,025.00	$138.42–$881.50	—	50%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST WITH CONTRAST	$778.00	$1,556.00	$174.45–$1,338.16	67% below	50%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST WITH CONTRAST	$778.00	$1,556.00	$174.45–$1,338.16	—	50%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US ARTERIAL DOPPLER LOWER EXT BILAT	$331.00	$662.00	$251.04–$569.32	—	50%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 US ARTERIAL DOPPLER LOWER EXT BILAT	$331.00	$662.00	$251.04–$569.32	—	50%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US VENOUS DOPPLER UPPER EXT BILAT	$292.00	$584.00	$194.27–$584.00	—	50%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US VENOUS DOPPLER LOWER EXT BILAT	$292.00	$584.00	$194.27–$584.00	—	50%
Duplex ultrasound of the leg veins, both legs CPT 93970 POCUS DUPLEX SCAN EXT VEINS LIMIT PROFEE	$155.00	$310.00	$35.21–$310.00	86% below	50%
Duplex ultrasound of the leg veins, both legs CPT 93970 POCUS DUPLEX SCAN EXT VEINS LIMITED	$292.00	$584.00	$194.27–$584.00	74% below	50%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US VENOUS DOPPLER UPPER EXT BILAT	$292.00	$584.00	$194.27–$584.00	—	50%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US VENOUS DOPPLER LOWER EXT BILAT	$292.00	$584.00	$194.27–$584.00	—	50%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 POCUS DUPLEX SCAN EXT VEINS LIMIT PROFEE	$155.00	$310.00	$35.21–$310.00	—	50%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 POCUS DUPLEX SCAN EXT VEINS LIMITED	$292.00	$584.00	$194.27–$584.00	—	50%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHOTRANSTHORACIC REAL-TIME/IMAGE DOCUME	$418.00	$836.00	$206.16–$836.00	83% below	50%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 ECHOTRANSTHORACIC REAL-TIME/IMAGE DOCUME	$418.00	$836.00	$206.16–$836.00	—	50%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN LIMITED	$125.00	$250.00	$90.33–$242.96	85% below	50%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 POCUS US ABDOMINAL LIMITED W/DOCUM	$125.00	$250.00	$90.33–$242.96	85% below	50%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 POCUS US ABDOMINAL LIMITED W/DOCUM	$125.00	$250.00	$90.33–$242.96	—	50%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABDOMEN LIMITED	$125.00	$250.00	$90.33–$242.96	—	50%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 PROFEE CT THORAX LOW DOSE SCRN W/O CONT	$42.50	$85.00	$45.90–$85.00	89% below	50%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT CHEST LOW DOSE W/O CONTRAST	$512.50	$1,025.00	$142.19–$881.50	29% above	50%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 PROFEE CT THORAX LOW DOSE SCRN W/O CONT	$42.50	$85.00	$45.90–$85.00	—	50%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT CHEST LOW DOSE W/O CONTRAST	$512.50	$1,025.00	$142.19–$881.50	—	50%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIS (NON OB)LIMITED	$112.50	$225.00	$52.89–$193.50	78% below	50%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 POCUS US PELVIC LIMITED W/DOCUM	$112.50	$225.00	$52.89–$193.50	78% below	50%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 POCUS US PELVIC LIMITED W/DOCUM	$112.50	$225.00	$52.89–$193.50	—	50%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PELVIS (NON OB)LIMITED	$112.50	$225.00	$52.89–$193.50	—	50%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIS (NON OB)COMPLETE	$138.50	$277.00	$110.36–$270.60	85% below	50%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIS (NON OB)COMPLETE	$138.50	$277.00	$110.36–$270.60	—	50%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB 14 + WKS >FIRST TRIMESTER	$192.00	$384.00	$142.22–$377.28	74% below	50%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB 14 + WKS >FIRST TRIMESTER	$192.00	$384.00	$142.22–$377.28	—	50%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB 0 - 14 WK FIRST TRIMESTER	$156.00	$312.00	$121.95–$312.00	78% below	50%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US OB 0 - 14 WK FIRST TRIMESTER	$156.00	$312.00	$121.95–$312.00	—	50%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 PRO FEE US OB LIMITED 1 OR MORE FETUSES	$78.00	$156.00	$34.16–$156.00	85% below	50%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB LIMITED 1 OR MORE FETUSES	$129.50	$259.00	$84.99–$251.80	74% below	50%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 PRO FEE US OB LIMITED 1 OR MORE FETUSES	$78.00	$156.00	$34.16–$156.00	—	50%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US OB LIMITED 1 OR MORE FETUSES	$129.50	$259.00	$84.99–$251.80	—	50%
Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL	$138.50	$277.00	$123.45–$270.60	75% below	50%
Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL	$138.50	$277.00	$123.45–$270.60	—	50%
Transvaginal ultrasound during pregnancy CPT 76817 US OB TRANSVAGINAL	$138.50	$277.00	$96.93–$277.00	76% below	50%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US OB TRANSVAGINAL	$138.50	$277.00	$96.93–$277.00	—	50%
Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE	$172.50	$345.00	$119.55–$332.80	83% below	50%
Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMEN COMPLETE	$172.50	$345.00	$119.55–$332.80	—	50%
Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM AND CONTENTS	$134.50	$269.00	$103.31–$239.12	85% below	50%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US SCROTUM AND CONTENTS	$134.50	$269.00	$103.31–$239.12	—	50%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US THYROID SOFT TISSUE HEAD/NECK	$123.00	$246.00	$114.43–$238.96	85% below	50%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US THYROID SOFT TISSUE HEAD/NECK	$123.00	$246.00	$114.43–$238.96	—	50%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 POCUS DUPLEX SCAN EXT VEINS COMP PROFEE	$99.00	$198.00	$22.52–$198.00	88% below	50%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 POCUS DUPLEX SCAN EXT VEINS COMPLETE	$193.50	$387.00	$122.79–$338.24	77% below	50%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 POCUS DUPLEX SCAN EXT VEINS COMP PROFEE	$99.00	$198.00	$22.52–$198.00	—	50%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 POCUS DUPLEX SCAN EXT VEINS COMPLETE	$193.50	$387.00	$122.79–$338.24	—	50%
X-ray of the abdomen, 1 view CPT 74018 ABDOMEN 1 VIEW	$117.00	$234.00	$31.10–$201.24	61% below	50%
X-ray of the abdomen, 1 view inpatient CPT 74018 ABDOMEN 1 VIEW	$117.00	$234.00	$31.10–$201.24	—	50%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 LUMBAR SPINE 2 OR 3 VIEWS	$117.00	$234.00	$42.50–$201.24	74% below	50%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 LUMBAR SPINE 2 OR 3 VIEWS	$117.00	$234.00	$42.50–$201.24	—	50%
X-ray of the lower back, 4 or more views CPT 72110 LUMBAR SPINE MIN OF 4 VIEWS	$194.50	$389.00	$56.20–$334.54	67% below	50%
X-ray of the lower back, 4 or more views inpatient CPT 72110 LUMBAR SPINE MIN OF 4 VIEWS	$194.50	$389.00	$56.20–$334.54	—	50%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 THORACIC SPINE 2 VIEWS	$117.00	$234.00	$34.63–$201.24	67% below	50%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 THORACIC SPINE 2 VIEWS	$117.00	$234.00	$34.63–$201.24	—	50%
X-ray of the nasal bones, 3 or more views CPT 70160 NASAL BONES COMPLETE MINIMUM OF 3 VIEWS	$117.00	$234.00	$39.38–$201.24	69% below	50%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 NASAL BONES COMPLETE MINIMUM OF 3 VIEWS	$117.00	$234.00	$39.38–$201.24	—	50%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 CERVICAL SPINE LIMITED 2 OR 3 VIEWS	$117.00	$234.00	$41.78–$201.24	73% below	50%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 CERVICAL SPINE LIMITED 2 OR 3 VIEWS	$117.00	$234.00	$41.78–$201.24	—	50%
X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS 1 OR 2 VIEWS	$117.00	$234.00	$29.33–$201.24	68% below	50%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 PELVIS 1 OR 2 VIEWS	$117.00	$234.00	$29.33–$201.24	—	50%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM AND COCCYX MIN 2 VIEWS	$117.00	$234.00	$33.63–$201.24	73% below	50%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 SACRUM AND COCCYX MIN 2 VIEWS	$117.00	$234.00	$33.63–$201.24	—	50%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs California	Off list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT ALT	$19.00	$38.00	$4.58–$32.68	56% below	50%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 SGPT ALT	$19.00	$38.00	$4.58–$32.68	—	50%
AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT AST	$19.00	$38.00	$4.41–$32.68	57% below	50%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 SGOT AST	$19.00	$38.00	$4.41–$32.68	—	50%
Allergy blood test, specific IgE, per allergen CPT 86003 F237-IGE APRICOT	$3.50	$7.00	$3.78–$6.02	58% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 F036-IGE COCONUT	$3.50	$7.00	$3.78–$6.02	58% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 I071-IGE WHOLE BODY: MOSQUITO	$3.50	$7.00	$3.78–$6.02	58% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 F284-IGE TURKEY	$3.50	$7.00	$3.78–$6.02	58% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 F096-IGE AVOCADO	$3.50	$7.00	$3.78–$6.02	58% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PANEL FOOD-BERRY	$8.00	$16.00	$4.64–$13.76	4% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PROFILE FOOD-FRUIT	$14.00	$28.00	$4.64–$24.08	68% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PROFILE SHELLFISH	$16.00	$32.00	$4.64–$27.52	92% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PROFILE FOOD-BASIC	$16.00	$32.00	$4.64–$27.52	92% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PROFILE VEGETABLE II	$23.00	$46.00	$4.64–$39.56	176% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PROFILE MOLD	$32.50	$65.00	$4.64–$55.90	291% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PROFILE FOOD-MEAT	$47.50	$95.00	$4.64–$81.70	471% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGENS ZONE 14	$66.50	$133.00	$4.64–$114.38	699% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PROFILE VEGETABLE I	$102.00	$204.00	$4.64–$175.44	1126% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 FOOD ALLERGY PROFILE	$181.00	$362.00	$4.64–$311.32	2075% above	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F096-IGE AVOCADO	$3.50	$7.00	$3.78–$6.02	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F036-IGE COCONUT	$3.50	$7.00	$3.78–$6.02	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F237-IGE APRICOT	$3.50	$7.00	$3.78–$6.02	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F284-IGE TURKEY	$3.50	$7.00	$3.78–$6.02	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 I071-IGE WHOLE BODY: MOSQUITO	$3.50	$7.00	$3.78–$6.02	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN PANEL FOOD-BERRY	$8.00	$16.00	$4.64–$13.76	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN PROFILE FOOD-FRUIT	$14.00	$28.00	$4.64–$24.08	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN PROFILE FOOD-BASIC	$16.00	$32.00	$4.64–$27.52	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN PROFILE SHELLFISH	$16.00	$32.00	$4.64–$27.52	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN PROFILE VEGETABLE II	$23.00	$46.00	$4.64–$39.56	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN PROFILE MOLD	$32.50	$65.00	$4.64–$55.90	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN PROFILE FOOD-MEAT	$47.50	$95.00	$4.64–$81.70	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGENS ZONE 14	$66.50	$133.00	$4.64–$114.38	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN PROFILE VEGETABLE I	$102.00	$204.00	$4.64–$175.44	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FOOD ALLERGY PROFILE	$181.00	$362.00	$4.64–$311.32	—	50%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ANTIBODIES IGG/IGA	$14.00	$28.00	$7.10–$24.08	31% below	50%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP ANTIBODIES IGG/IGA	$14.00	$28.00	$7.10–$24.08	—	50%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODY SEND	$21.00	$42.00	$10.63–$36.12	40% below	50%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR ANTIBODY SEND	$21.00	$42.00	$10.63–$36.12	—	50%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BRAIN NATRIURETIC PEPTIDE	$31.00	$62.00	$30.15–$53.32	82% below	50%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BRAIN NATRIURETIC PEPTIDE-AC	$31.00	$62.00	$30.15–$53.32	82% below	50%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 BRAIN NATRIURETIC PEPTIDE	$31.00	$62.00	$30.15–$53.32	—	50%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 BRAIN NATRIURETIC PEPTIDE-AC	$31.00	$62.00	$30.15–$53.32	—	50%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL	$28.50	$57.00	$7.27–$49.02	85% below	50%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL	$28.50	$57.00	$7.27–$49.02	—	50%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 TISSUE EXAM LEVEL 4 TC-SURGERY	$70.00	$140.00	$40.99–$120.40	54% below	50%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 TISSUE EXAM LEVEL 4 TC -LAB	$83.00	$166.00	$40.99–$142.76	46% below	50%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 TISSUE EXAM LEVEL 4 TC-SURGERY	$70.00	$140.00	$40.99–$120.40	—	50%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 TISSUE EXAM LEVEL 4 TC -LAB	$83.00	$166.00	$40.99–$142.76	—	50%
Blood culture for bacteria CPT 87040 BLOOD CULTURE	$34.00	$68.00	$8.98–$58.48	86% below	50%
Blood culture for bacteria inpatient CPT 87040 BLOOD CULTURE	$34.00	$68.00	$8.98–$58.48	—	50%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 QUEST DRAW FEE	$9.00	$18.00	$9.15–$15.48	63% below	50%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 ER DIST ATTNY BLOOD DRAW	$39.00	$78.00	$9.15–$67.08	60% above	50%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 QUEST DRAW FEE	$9.00	$18.00	$9.15–$15.48	—	50%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 ER DIST ATTNY BLOOD DRAW	$39.00	$78.00	$9.15–$67.08	—	50%
Blood glucose (sugar) test CPT 82947 OB FASTING GLUCOSE	$14.50	$29.00	$3.30–$24.94	61% below	50%
Blood glucose (sugar) test CPT 82947 GLUCOSE RANDOM	$14.50	$29.00	$3.30–$24.94	61% below	50%
Blood glucose (sugar) test CPT 82947 GLUCOSE FASTING	$14.50	$29.00	$3.30–$24.94	61% below	50%
Blood glucose (sugar) test CPT 82947 1 HOUR GLUCOSE-OB	$14.50	$29.00	$3.30–$24.94	61% below	50%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE FASTING	$14.50	$29.00	$3.30–$24.94	—	50%
Blood glucose (sugar) test inpatient CPT 82947 1 HOUR GLUCOSE-OB	$14.50	$29.00	$3.30–$24.94	—	50%
Blood glucose (sugar) test inpatient CPT 82947 OB FASTING GLUCOSE	$14.50	$29.00	$3.30–$24.94	—	50%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE RANDOM	$14.50	$29.00	$3.30–$24.94	—	50%
Blood lead test CPT 83655 LEAD LEVEL	$19.00	$38.00	$10.63–$32.68	33% above	50%
Blood lead test CPT 83655 LEAD, BLOOD PEDIATRIC	$21.00	$42.00	$10.63–$36.12	47% above	50%
Blood lead test CPT 83655 LEAD, BLOOD ADULT	$21.00	$42.00	$10.63–$36.12	47% above	50%
Blood lead test inpatient CPT 83655 LEAD, BLOOD ADULT	$21.00	$42.00	$10.63–$36.12	—	50%
Blood lead test inpatient CPT 83655 LEAD, BLOOD PEDIATRIC	$21.00	$42.00	$10.63–$36.12	—	50%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG QUALITATIVE BLD	$24.50	$49.00	$6.46–$42.14	84% below	50%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG QUALITATIVE BLD	$24.50	$49.00	$6.46–$42.14	—	50%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BB ABO GROUPING LABORATORY	$21.00	$42.00	$2.38–$36.12	73% below	50%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BB ABO GROUPING LABORATORY	$21.00	$42.00	$2.38–$36.12	—	50%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C REACTIVE PROTEIN	$19.00	$38.00	$4.60–$32.68	59% below	50%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C REACTIVE PROTEIN	$19.00	$38.00	$4.60–$32.68	—	50%
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF AMPLIFIED DNA	$63.00	$126.00	$28.64–$108.36	59% below	50%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C DIFF AMPLIFIED DNA	$63.00	$126.00	$28.64–$108.36	—	50%
CA 19-9 blood test (tumor marker) CPT 86301 CARBOHYDRATE ANTIGEN 19-9	$23.00	$46.00	$18.50–$39.56	54% below	50%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CARBOHYDRATE ANTIGEN 19-9	$23.00	$46.00	$18.50–$39.56	—	50%
CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 SERUM (SERIAL)	$12.00	$24.00	$12.96–$20.64	87% below	50%
CA-125 blood test (ovarian cancer marker) CPT 86304 CA-125	$33.00	$66.00	$18.50–$56.76	65% below	50%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125 SERUM (SERIAL)	$12.00	$24.00	$12.96–$20.64	—	50%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA-125	$33.00	$66.00	$18.50–$56.76	—	50%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS COV-2 PCR IN HOUSE	$49.50	$99.00	$50.28–$85.14	29% below	50%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19, SARS-CO-V-2, NAA - LABCORP	$96.00	$192.00	$30.79–$118.54	37% above	50%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS COV-2 PCR IN HOUSE	$49.50	$99.00	$50.28–$85.14	—	50%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID-19, SARS-CO-V-2, NAA - LABCORP	$96.00	$192.00	$30.79–$118.54	—	50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CT BY PCR SEND	$34.00	$68.00	$25.59–$58.48	38% below	50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 C TRACHOMATIS PCR IN HOUSE	$34.00	$68.00	$25.59–$58.48	38% below	50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CT BY PCR SEND	$34.00	$68.00	$25.59–$58.48	—	50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 C TRACHOMATIS PCR IN HOUSE	$34.00	$68.00	$25.59–$58.48	—	50%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL RL	$43.50	$87.00	$11.54–$74.82	57% below	50%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL	$43.50	$87.00	$11.54–$74.82	57% below	50%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 NMR LIPOPROFILE+LIPIDS+GRAPH	$63.50	$127.00	$11.54–$109.22	37% below	50%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL	$43.50	$87.00	$11.54–$74.82	—	50%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL RL	$43.50	$87.00	$11.54–$74.82	—	50%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 NMR LIPOPROFILE+LIPIDS+GRAPH	$63.50	$127.00	$11.54–$109.22	—	50%
Complete blood count (CBC) with differential CPT 85025 .COMPLETE CBC W/AUTO DIFF	$26.50	$53.00	$6.75–$45.58	76% below	50%
Complete blood count (CBC) with differential CPT 85025 CBC WITH DIFFERENTIAL	$26.50	$53.00	$6.75–$45.58	76% below	50%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC WITH DIFFERENTIAL	$26.50	$53.00	$6.75–$45.58	—	50%
Complete blood count (CBC) with differential inpatient CPT 85025 .COMPLETE CBC W/AUTO DIFF	$26.50	$53.00	$6.75–$45.58	—	50%
Complete blood count (CBC), no differential CPT 85027 CBC 3 PART DIFFERENTIAL	$22.00	$44.00	$5.71–$37.84	71% below	50%
Complete blood count (CBC), no differential CPT 85027 CBC	$22.00	$44.00	$5.71–$37.84	71% below	50%
Complete blood count (CBC), no differential CPT 85027 HEMOGRAM	$22.00	$44.00	$5.71–$37.84	71% below	50%
Complete blood count (CBC), no differential CPT 85027 .HEMOGRAM	$22.00	$44.00	$5.71–$37.84	71% below	50%
Complete blood count (CBC), no differential inpatient CPT 85027 .HEMOGRAM	$22.00	$44.00	$5.71–$37.84	—	50%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC 3 PART DIFFERENTIAL	$22.00	$44.00	$5.71–$37.84	—	50%
Complete blood count (CBC), no differential inpatient CPT 85027 HEMOGRAM	$22.00	$44.00	$5.71–$37.84	—	50%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC	$22.00	$44.00	$5.71–$37.84	—	50%
Comprehensive metabolic panel (blood test) CPT 80053 COMP METABOLIC PANEL (14) RL	$35.50	$71.00	$9.19–$61.06	86% below	50%
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL	$35.50	$71.00	$9.19–$61.06	86% below	50%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMP METABOLIC PANEL (14) RL	$35.50	$71.00	$9.19–$61.06	—	50%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL	$35.50	$71.00	$9.19–$61.06	—	50%
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER	$34.00	$68.00	$9.05–$58.48	72% below	50%
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER RL	$49.00	$98.00	$9.05–$84.28	59% below	50%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER	$34.00	$68.00	$9.05–$58.48	—	50%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER RL	$49.00	$98.00	$9.05–$84.28	—	50%
Estradiol blood test CPT 82670 ESTRADIOL SENSI SENDOUT	$31.00	$62.00	$24.71–$53.32	51% below	50%
Estradiol blood test CPT 82670 ESTRADIOL RL	$31.00	$62.00	$24.71–$53.32	51% below	50%
Estradiol blood test CPT 82670 ESTRADIOL	$31.00	$62.00	$24.71–$53.32	51% below	50%
Estradiol blood test inpatient CPT 82670 ESTRADIOL SENSI SENDOUT	$31.00	$62.00	$24.71–$53.32	—	50%
Estradiol blood test inpatient CPT 82670 ESTRADIOL RL	$31.00	$62.00	$24.71–$53.32	—	50%
Estradiol blood test inpatient CPT 82670 ESTRADIOL	$31.00	$62.00	$24.71–$53.32	—	50%
FSH (follicle-stimulating hormone) test CPT 83001 FSH	$14.50	$29.00	$15.66–$24.94	84% below	50%
FSH (follicle-stimulating hormone) test CPT 83001 GONADOTROPIN FOLLICLE STIMULATING HORMON	$21.00	$42.00	$16.41–$36.12	76% below	50%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH	$14.50	$29.00	$15.66–$24.94	—	50%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 GONADOTROPIN FOLLICLE STIMULATING HORMON	$21.00	$42.00	$16.41–$36.12	—	50%
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN FECAL	$127.00	$254.00	$17.45–$218.44	74% above	50%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN FECAL	$127.00	$254.00	$17.45–$218.44	—	50%
Ferritin blood test (iron stores) CPT 82728 FERRITIN	$25.00	$50.00	$12.07–$43.00	70% below	50%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN	$25.00	$50.00	$12.07–$43.00	—	50%
Folate (folic acid) blood test CPT 82746 FOLATE	$23.00	$46.00	$13.07–$39.56	73% below	50%
Folate (folic acid) blood test inpatient CPT 82746 FOLATE	$23.00	$46.00	$13.07–$39.56	—	50%
Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE T4 FREE RL	$16.00	$32.00	$7.91–$27.52	77% below	50%
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE	$16.00	$32.00	$7.91–$27.52	77% below	50%
Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE (T4) FREE DIRECT S	$16.00	$32.00	$7.91–$27.52	77% below	50%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4 FREE	$16.00	$32.00	$7.91–$27.52	—	50%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 THYROXINE (T4) FREE DIRECT S	$16.00	$32.00	$7.91–$27.52	—	50%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 THYROXINE T4 FREE RL	$16.00	$32.00	$7.91–$27.52	—	50%
Free testosterone test CPT 84402 TESTOSTERONE FREE DIRECT	$16.50	$33.00	$17.82–$28.38	60% below	50%
Free testosterone test CPT 84402 TESTOSTERONEFREE AND TOTAL	$20.50	$41.00	$22.14–$35.26	51% below	50%
Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE DIRECT	$16.50	$33.00	$17.82–$28.38	—	50%
Free testosterone test inpatient CPT 84402 TESTOSTERONEFREE AND TOTAL	$20.50	$41.00	$22.14–$35.26	—	50%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 1 HR NON OB PP GLUCOSE (75GM)	$17.00	$34.00	$4.19–$29.24	62% below	50%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 2 HR PP LAB	$17.00	$34.00	$4.19–$29.24	62% below	50%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 1 HR OB PP GLUCOSE (50GM)	$17.00	$34.00	$4.19–$29.24	62% below	50%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 1 HR NON OB PP GLUCOSE (75GM)	$17.00	$34.00	$4.19–$29.24	—	50%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 1 HR OB PP GLUCOSE (50GM)	$17.00	$34.00	$4.19–$29.24	—	50%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE 2 HR PP LAB	$17.00	$34.00	$4.19–$29.24	—	50%
Glucose tolerance test, 3 samples CPT 82951 OB GTT 1 HR	$29.00	$58.00	$11.27–$49.88	75% below	50%
Glucose tolerance test, 3 samples CPT 82951 .GLUCOSE TOLER INC 3 SAMPL	$41.50	$83.00	$11.27–$71.38	65% below	50%
Glucose tolerance test, 3 samples inpatient CPT 82951 OB GTT 1 HR	$29.00	$58.00	$11.27–$49.88	—	50%
Glucose tolerance test, 3 samples inpatient CPT 82951 .GLUCOSE TOLER INC 3 SAMPL	$41.50	$83.00	$11.27–$71.38	—	50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N GONORRHOEAE PCR IN HOUSE	$34.00	$68.00	$25.36–$58.48	36% below	50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC BY PCR SEND	$34.00	$68.00	$25.36–$58.48	36% below	50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GC BY PCR SEND	$34.00	$68.00	$25.36–$58.48	—	50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N GONORRHOEAE PCR IN HOUSE	$34.00	$68.00	$25.36–$58.48	—	50%
H. pylori stool antigen test CPT 87338 H PYLORI STOOL AG (HPSA)	$26.50	$53.00	$12.79–$45.58	64% below	50%
H. pylori stool antigen test inpatient CPT 87338 H PYLORI STOOL AG (HPSA)	$26.50	$53.00	$12.79–$45.58	—	50%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 RNA REAL TIME PCR (NON-GRAPH)	$54.00	$108.00	$58.32–$92.88	36% below	50%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 RNA REAL TIME PCR (NON-GRAPH)	$54.00	$108.00	$58.32–$92.88	—	50%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 1/2 AB & P24 AG SCREEN	$27.00	$54.00	$20.26–$46.44	55% below	50%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV 1/2 AB & P24 AG SCREEN	$27.00	$54.00	$20.26–$46.44	—	50%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HGB A1C WITH EST AVG GLUCOSE	$32.50	$65.00	$8.54–$55.90	50% below	50%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C RL	$32.50	$65.00	$8.54–$55.90	50% below	50%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HGB A1C (GLYCOHEMOGLOBIN)	$32.50	$65.00	$8.54–$55.90	50% below	50%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HGB A1C (GLYCOHEMOGLOBIN)	$32.50	$65.00	$8.54–$55.90	—	50%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HGB A1C WITH EST AVG GLUCOSE	$32.50	$65.00	$8.54–$55.90	—	50%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN A1C RL	$32.50	$65.00	$8.54–$55.90	—	50%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE ANTIBODY	$34.50	$69.00	$9.51–$59.34	10% below	50%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEP B SURFACE ANTIBODY	$34.50	$69.00	$9.51–$59.34	—	50%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEP B SURFACE ANTIGEN	$34.00	$68.00	$9.12–$58.48	45% below	50%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEP B SURFACE ANTIGEN	$34.00	$68.00	$9.12–$58.48	—	50%
Hepatitis C antibody blood test (screening) CPT 86803 HCV ANTIBODY RL	$45.50	$91.00	$12.57–$78.26	13% below	50%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C VIRUS	$45.50	$91.00	$12.57–$78.26	13% below	50%
Hepatitis C antibody blood test (screening) CPT 86803 HCV ANTIBODY RFX TO QUANT PCR RL	$45.50	$91.00	$12.57–$78.26	13% below	50%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C VIRUS	$45.50	$91.00	$12.57–$78.26	—	50%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HCV ANTIBODY RL	$45.50	$91.00	$12.57–$78.26	—	50%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HCV ANTIBODY RFX TO QUANT PCR RL	$45.50	$91.00	$12.57–$78.26	—	50%
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA BY PCR QN RFX GENO	$78.00	$156.00	$31.51–$134.16	1% below	50%
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA BY PCR QUANT	$96.00	$192.00	$31.51–$165.12	22% above	50%
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA PCR QN RFX NS3/4A	$244.50	$489.00	$31.51–$420.54	212% above	50%
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV QUANT GT1A NS5A PROFILE	$269.50	$539.00	$31.51–$463.54	244% above	50%
Hepatitis C viral load (HCV RNA) test one side CPT 87522 HCV RT-PCR QUANT (NON-GRAPH)	$78.00	$156.00	$31.51–$134.16	1% below	50%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV RNA BY PCR QN RFX GENO	$78.00	$156.00	$31.51–$134.16	—	50%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV RNA BY PCR QUANT	$96.00	$192.00	$31.51–$165.12	—	50%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV RNA PCR QN RFX NS3/4A	$244.50	$489.00	$31.51–$420.54	—	50%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV QUANT GT1A NS5A PROFILE	$269.50	$539.00	$31.51–$463.54	—	50%
Hepatitis C viral load (HCV RNA) test inpatient one side CPT 87522 HCV RT-PCR QUANT (NON-GRAPH)	$78.00	$156.00	$31.51–$134.16	—	50%
Herpes blood test, HSV-1 antibody CPT 86695 HSV TYPE 1-SPECIFIC AB IGG	$10.50	$21.00	$11.34–$18.06	44% below	50%
Herpes blood test, HSV-1 antibody CPT 86695 HSV 1 AND 2-SPEC AB IGG W/RFX	$20.00	$40.00	$11.72–$34.40	6% above	50%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV TYPE 1-SPECIFIC AB IGG	$10.50	$21.00	$11.34–$18.06	—	50%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV 1 AND 2-SPEC AB IGG W/RFX	$20.00	$40.00	$11.72–$34.40	—	50%
Herpes blood test, HSV-2 antibody CPT 86696 HSV-2 TYPE SPEC AB IGG W/RFLX	$10.50	$21.00	$11.34–$18.96	61% below	50%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV-2 TYPE SPEC AB IGG W/RFLX	$10.50	$21.00	$11.34–$18.96	—	50%
High-sensitivity CRP (hs-CRP) test CPT 86141 HIGH SENSITIVITY CRP SEND	$21.50	$43.00	$11.06–$36.98	54% below	50%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HIGH SENSITIVITY CRP SEND	$21.50	$43.00	$11.06–$36.98	—	50%
Homocysteine blood test CPT 83090 HOMOCYST(E)INE	$18.00	$36.00	$14.99–$30.96	56% below	50%
Homocysteine blood test inpatient CPT 83090 HOMOCYST(E)INE	$18.00	$36.00	$14.99–$30.96	—	50%
Iron blood test (serum iron) CPT 83540 IRON	$12.00	$24.00	$5.72–$20.64	73% below	50%
Iron blood test (serum iron) inpatient CPT 83540 IRON	$12.00	$24.00	$5.72–$20.64	—	50%
Iron-binding capacity (TIBC) test CPT 83550 TOTAL IRON BINDING CAPACITY	$13.00	$26.00	$6.89–$22.36	76% below	50%
Iron-binding capacity (TIBC) test inpatient CPT 83550 TOTAL IRON BINDING CAPACITY	$13.00	$26.00	$6.89–$22.36	—	50%
Kidney function blood test panel CPT 80069 RENAL PANEL	$29.50	$59.00	$7.60–$50.74	79% below	50%
Kidney function blood test panel inpatient CPT 80069 RENAL PANEL	$29.50	$59.00	$7.60–$50.74	—	50%
LH (luteinizing hormone) test CPT 83002 LUTENIZING HORMONE	$21.00	$42.00	$16.38–$36.12	74% below	50%
LH (luteinizing hormone) test inpatient CPT 83002 LUTENIZING HORMONE	$21.00	$42.00	$16.38–$36.12	—	50%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE RL	$22.50	$45.00	$6.08–$38.70	70% below	50%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE	$22.50	$45.00	$6.08–$38.70	70% below	50%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE RL	$22.50	$45.00	$6.08–$38.70	—	50%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE	$22.50	$45.00	$6.08–$38.70	—	50%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION LAB	$27.00	$54.00	$6.38–$46.44	80% below	50%
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION LAB	$27.00	$54.00	$6.38–$46.44	—	50%
Lyme disease antibody test CPT 86618 LYME IGM, EARLY TEST/REFLEX	$11.00	$22.00	$11.88–$18.92	54% below	50%
Lyme disease antibody test CPT 86618 LYME ANTIBODY/LINE BLOT REFLEX	$24.00	$48.00	$15.14–$41.28	at median	50%
Lyme disease antibody test inpatient CPT 86618 LYME IGM, EARLY TEST/REFLEX	$11.00	$22.00	$11.88–$18.92	—	50%
Lyme disease antibody test inpatient CPT 86618 LYME ANTIBODY/LINE BLOT REFLEX	$24.00	$48.00	$15.14–$41.28	—	50%
Magnesium blood test CPT 83735 MAGNESIUM SERUM	$22.50	$45.00	$5.96–$38.70	61% below	50%
Magnesium blood test CPT 83735 MAGNESIUM RBC RL	$24.50	$49.00	$5.96–$42.14	58% below	50%
Magnesium blood test inpatient CPT 83735 MAGNESIUM SERUM	$22.50	$45.00	$5.96–$38.70	—	50%
Magnesium blood test inpatient CPT 83735 MAGNESIUM RBC RL	$24.50	$49.00	$5.96–$42.14	—	50%
Mono test (heterophile antibody, Monospot) CPT 86308 MONOSPOT LAB	$19.00	$38.00	$4.49–$32.68	80% below	50%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONOSPOT LAB	$19.00	$38.00	$4.49–$32.68	—	50%
Obstetric blood test panel CPT 80055 PRENATAL PANEL LAB	$84.00	$168.00	$35.83–$144.48	66% below	50%
Obstetric blood test panel inpatient CPT 80055 PRENATAL PANEL LAB	$84.00	$168.00	$35.83–$144.48	—	50%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE	$58.50	$117.00	$12.87–$100.62	69% above	50%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA FREE	$58.50	$117.00	$12.87–$100.62	—	50%
PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE-SPECIFIC AG SERUM	$58.50	$117.00	$16.35–$100.62	25% above	50%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL (REFLEX TO FREE) SEND	$58.50	$117.00	$16.35–$100.62	25% above	50%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA (REFLEX TO FREE) (SERIAL) SEND	$58.50	$117.00	$16.35–$100.62	25% above	50%
PSA (prostate-specific antigen) blood test, total CPT 84153 TOTAL PSA REFLEX TO FREE IN-HOUSE	$58.50	$117.00	$16.35–$100.62	25% above	50%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA SERUM (SERIAL MONITOR) SEND	$58.50	$117.00	$16.35–$100.62	25% above	50%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA ULTRA W/SERIAL MONITOR SEND	$58.50	$117.00	$16.35–$100.62	25% above	50%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL	$58.50	$117.00	$16.35–$100.62	25% above	50%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA ULTRASENSITIVE W/O SERIAL	$58.50	$117.00	$16.35–$100.62	25% above	50%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA ULTRASENSITIVE W/O SERIAL	$58.50	$117.00	$16.35–$100.62	—	50%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATE-SPECIFIC AG SERUM	$58.50	$117.00	$16.35–$100.62	—	50%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA SERUM (SERIAL MONITOR) SEND	$58.50	$117.00	$16.35–$100.62	—	50%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA ULTRA W/SERIAL MONITOR SEND	$58.50	$117.00	$16.35–$100.62	—	50%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA TOTAL	$58.50	$117.00	$16.35–$100.62	—	50%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA (REFLEX TO FREE) (SERIAL) SEND	$58.50	$117.00	$16.35–$100.62	—	50%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA TOTAL (REFLEX TO FREE) SEND	$58.50	$117.00	$16.35–$100.62	—	50%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 TOTAL PSA REFLEX TO FREE IN-HOUSE	$58.50	$117.00	$16.35–$100.62	—	50%
Partial thromboplastin time (PTT) clotting test CPT 85730 APTT	$21.00	$42.00	$5.34–$36.12	44% below	50%
Partial thromboplastin time (PTT) clotting test CPT 85730 APTT MIXING STUDIES	$111.00	$222.00	$5.34–$190.92	194% above	50%
Partial thromboplastin time (PTT) clotting test CPT 85730 ANTIPHOSPHOLIPID SYNDROME	$454.50	$909.00	$5.34–$781.74	1104% above	50%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 APTT	$21.00	$42.00	$5.34–$36.12	—	50%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 APTT MIXING STUDIES	$111.00	$222.00	$5.34–$190.92	—	50%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 ANTIPHOSPHOLIPID SYNDROME	$454.50	$909.00	$5.34–$781.74	—	50%
Progesterone blood test CPT 84144 PROGESTERONE RL	$14.50	$29.00	$15.66–$24.94	74% below	50%
Progesterone blood test CPT 84144 PROGESTERONE	$14.50	$29.00	$15.66–$24.94	74% below	50%
Progesterone blood test inpatient CPT 84144 PROGESTERONE	$14.50	$29.00	$15.66–$24.94	—	50%
Progesterone blood test inpatient CPT 84144 PROGESTERONE RL	$14.50	$29.00	$15.66–$24.94	—	50%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME/INR	$14.50	$29.00	$3.49–$24.94	70% below	50%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTIME/INR	$14.50	$29.00	$3.49–$24.94	—	50%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 EMPLOYEE DRUG SCREEN	$23.00	$46.00	$10.08–$39.56	73% below	50%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG SCREEN RANDOM	$23.00	$46.00	$10.08–$39.56	73% below	50%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 POST ACCIDENT DRUG SCREEN	$23.00	$46.00	$10.08–$39.56	73% below	50%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUGS OF ABUSE PANEL	$91.50	$183.00	$10.08–$157.38	8% above	50%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 DRUG SCREEN RANDOM	$23.00	$46.00	$10.08–$39.56	—	50%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 POST ACCIDENT DRUG SCREEN	$23.00	$46.00	$10.08–$39.56	—	50%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 EMPLOYEE DRUG SCREEN	$23.00	$46.00	$10.08–$39.56	—	50%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 DRUGS OF ABUSE PANEL	$91.50	$183.00	$10.08–$157.38	—	50%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA A+B AG EIA RL	$27.00	$54.00	$8.85–$46.44	64% below	50%
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA A+B AG EIA RL	$27.00	$54.00	$8.85–$46.44	—	50%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID ARTHRITIS PROFILE	$74.50	$149.00	$5.02–$128.14	473% above	50%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID ARTHRITIS FACTOR	$74.50	$149.00	$5.02–$128.14	473% above	50%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID ARTHRITIS PROFILE	$74.50	$149.00	$5.02–$128.14	—	50%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID ARTHRITIS FACTOR	$74.50	$149.00	$5.02–$128.14	—	50%
Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY IGG RL	$13.00	$26.00	$12.79–$22.36	67% below	50%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA ANTIBODY IGG RL	$13.00	$26.00	$12.79–$22.36	—	50%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 ESR (SEDIMENTATION RATE)	$13.00	$26.00	$2.40–$22.36	71% below	50%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 ESR (SEDIMENTATION RATE)	$13.00	$26.00	$2.40–$22.36	—	50%
Stool ova and parasites exam CPT 87177 O&P SMEAR CONCENTRATN ID	$17.50	$35.00	$7.18–$30.10	2% below	50%
Stool ova and parasites exam CPT 87177 OVA + PARASITE EXAM	$70.50	$141.00	$7.18–$121.26	293% above	50%
Stool ova and parasites exam inpatient CPT 87177 O&P SMEAR CONCENTRATN ID	$17.50	$35.00	$7.18–$30.10	—	50%
Stool ova and parasites exam inpatient CPT 87177 OVA + PARASITE EXAM	$70.50	$141.00	$7.18–$121.26	—	50%
Stool test for hidden blood (guaiac FOBT) CPT 82270 STOOL HEMOCULT	$11.00	$22.00	$2.92–$18.78	72% below	50%
Stool test for hidden blood (guaiac FOBT) CPT 82270 GUAIAC-BEDSIDE	$12.00	$24.00	$2.92–$20.64	69% below	50%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD FECES 1-3	$12.00	$24.00	$2.92–$20.64	69% below	50%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 GUAIAC-BEDSIDE	$12.00	$24.00	$2.92–$20.64	—	50%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLOOD FECES 1-3	$12.00	$24.00	$2.92–$20.64	—	50%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 FECAL OCCULT BLOOD	$18.00	$36.00	$14.14–$30.96	50% below	50%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 FECAL OCCULT BLOOD	$18.00	$36.00	$14.14–$30.96	—	50%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR RFX QN RPR/CONFIRM TP	$11.50	$23.00	$3.18–$19.78	23% below	50%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR RL	$25.00	$50.00	$3.18–$43.00	68% above	50%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR RFX QN RPR/CONFIRM TP	$11.50	$23.00	$3.18–$19.78	—	50%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR RL	$25.00	$50.00	$3.18–$43.00	—	50%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QFT-TB PLUS (CLIENT INCUBATED)	$35.50	$71.00	$38.34–$61.06	50% below	50%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QFT-TB PLUS (CLIENT INCUBATED)	$35.50	$71.00	$38.34–$61.06	—	50%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL	$29.00	$58.00	$22.80–$49.88	28% below	50%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL RL	$29.00	$58.00	$22.80–$49.88	28% below	50%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE FREE PROFILE I	$29.00	$58.00	$22.80–$49.88	28% below	50%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE FREE+TOTAL LC/MS	$29.00	$58.00	$22.80–$49.88	28% below	50%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL	$29.00	$58.00	$22.80–$49.88	—	50%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE FREE+TOTAL LC/MS	$29.00	$58.00	$22.80–$49.88	—	50%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL RL	$29.00	$58.00	$22.80–$49.88	—	50%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE FREE PROFILE I	$29.00	$58.00	$22.80–$49.88	—	50%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH RL	$53.00	$106.00	$14.76–$91.16	37% below	50%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID CASCADE PROFILE RL	$53.00	$106.00	$14.76–$91.16	37% below	50%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH WITH REFLEX TO T4, FREE	$53.00	$106.00	$14.76–$91.16	37% below	50%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH	$53.00	$106.00	$14.76–$91.16	37% below	50%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH WITH REFLEX TO T4, FREE	$53.00	$106.00	$14.76–$91.16	—	50%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID CASCADE PROFILE RL	$53.00	$106.00	$14.76–$91.16	—	50%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH RL	$53.00	$106.00	$14.76–$91.16	—	50%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH	$53.00	$106.00	$14.76–$91.16	—	50%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS BY PCR SEND	$30.50	$61.00	$30.54–$52.46	66% below	50%
Trichomonas test (NAAT) CPT 87661 T VAGINALIS PCR IN HOUSE	$34.00	$68.00	$30.54–$58.48	62% below	50%
Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGINALIS BY PCR SEND	$30.50	$61.00	$30.54–$52.46	—	50%
Trichomonas test (NAAT) inpatient CPT 87661 T VAGINALIS PCR IN HOUSE	$34.00	$68.00	$30.54–$58.48	—	50%
Uric acid blood test CPT 84550 URIC ACID SERUM	$17.00	$34.00	$4.01–$29.24	72% below	50%
Uric acid blood test inpatient CPT 84550 URIC ACID SERUM	$17.00	$34.00	$4.01–$29.24	—	50%
Urinalysis with microscope exam, automated CPT 81001 UA/M W/RFLX CULTURE ROUTINE	$12.00	$24.00	$2.77–$20.64	86% below	50%
Urinalysis with microscope exam, automated CPT 81001 .UA AUTO W/MICRO	$12.00	$24.00	$2.77–$20.64	86% below	50%
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS W/MICRO	$12.00	$24.00	$2.77–$20.64	86% below	50%
Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS W/MICRO	$12.00	$24.00	$2.77–$20.64	—	50%
Urinalysis with microscope exam, automated inpatient CPT 81001 .UA AUTO W/MICRO	$12.00	$24.00	$2.77–$20.64	—	50%
Urinalysis with microscope exam, automated inpatient CPT 81001 UA/M W/RFLX CULTURE ROUTINE	$12.00	$24.00	$2.77–$20.64	—	50%
Urinalysis without microscope exam, automated CPT 81003 .URINALYSIS NO MICRO	$10.00	$20.00	$1.96–$17.20	82% below	50%
Urinalysis without microscope exam, automated inpatient CPT 81003 .URINALYSIS NO MICRO	$10.00	$20.00	$1.96–$17.20	—	50%
Urinalysis without microscope exam, manual CPT 81002 URINE KETONES	$12.00	$24.00	$2.15–$20.64	57% below	50%
Urinalysis without microscope exam, manual CPT 81002 URINE DIP	$12.00	$24.00	$2.15–$20.64	57% below	50%
Urinalysis without microscope exam, manual inpatient CPT 81002 URINE KETONES	$12.00	$24.00	$2.15–$20.64	—	50%
Urine culture for bacteria, with colony count CPT 87086 CULTURE URINE	$27.00	$54.00	$5.65–$46.44	80% below	50%
Urine culture for bacteria, with colony count inpatient CPT 87086 CULTURE URINE	$27.00	$54.00	$5.65–$46.44	—	50%
Urine pregnancy test, read by color change CPT 81025 PREG TEST URINE	$11.00	$22.00	$2.80–$18.78	87% below	50%
Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST	$12.00	$24.00	$2.80–$20.64	86% below	50%
Urine pregnancy test, read by color change inpatient CPT 81025 URINE PREGNANCY TEST	$12.00	$24.00	$2.80–$20.64	—	50%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12	$24.50	$49.00	$13.33–$42.14	60% below	50%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 RL	$24.50	$49.00	$13.33–$42.14	60% below	50%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12 RL	$24.50	$49.00	$13.33–$42.14	—	50%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12	$24.50	$49.00	$13.33–$42.14	—	50%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25-HYDRO RL	$46.50	$93.00	$20.72–$79.98	27% below	50%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VIT D- 25 HYDROXY IN HOUSE	$46.50	$93.00	$20.72–$79.98	27% below	50%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 25-HYDROXYVITAMIN D LCMS D2+D3	$60.50	$121.00	$20.72–$104.06	5% below	50%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VIT D- 25 HYDROXY IN HOUSE	$46.50	$93.00	$20.72–$79.98	—	50%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25-HYDRO RL	$46.50	$93.00	$20.72–$79.98	—	50%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 25-HYDROXYVITAMIN D LCMS D2+D3	$60.50	$121.00	$20.72–$104.06	—	50%
Zinc blood test CPT 84630 ZINC WHOLE BLOOD	$40.50	$81.00	$10.12–$69.66	191% above	50%
Zinc blood test CPT 84630 ZINC RBC	$59.00	$118.00	$10.12–$101.48	324% above	50%
Zinc blood test inpatient CPT 84630 ZINC WHOLE BLOOD	$40.50	$81.00	$10.12–$69.66	—	50%
Zinc blood test inpatient CPT 84630 ZINC RBC	$59.00	$118.00	$10.12–$101.48	—	50%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG BETA SUBUNIT QNT SERUM LABCORP	$49.00	$98.00	$13.24–$84.28	65% below	50%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QUANTITATIVE SERUM	$49.00	$98.00	$13.24–$84.28	65% below	50%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG BETA SUBUNIT QNT SERUM LABCORP	$49.00	$98.00	$13.24–$84.28	—	50%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG QUANTITATIVE SERUM	$49.00	$98.00	$13.24–$84.28	—	50%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs California	Off list
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 CLSD TX OF DISTAL FIBULAR FRACTURE	$250.50	$501.00	$270.54–$501.00	53% below	50%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 CLSD TX OF DISTAL FIBULAR FRACTURE	$619.00	$1,238.00	$358.47–$1,064.68	16% above	50%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 CLSD TX OF DISTAL FIBULAR FRACTURE	$619.00	$1,238.00	$358.47–$1,064.68	—	50%
Cervical biopsy CPT 57500 BIOPSY OF CERVIX SINGLE OR MULTIPLE	$229.50	$459.00	$155.64–$391.76	88% below	50%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION	$81.50	$163.00	$88.02–$154.05	96% below	50%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 TREAT FRACTURE RADIUS W-W/O ULNA	$485.50	$971.00	$396.91–$835.06	16% below	50%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 TREAT FRACTURE RADIUS W-W/O ULNA	$485.50	$971.00	$396.91–$835.06	—	50%
Colonoscopy with polyp removal CPT 45385 PROFEE COLONOSCOPY- W/ REMOVAL SNARE	$206.50	$413.00	$223.02–$413.00	91% below	50%
Colonoscopy with polyp removal CPT 45385 COLONOSCOPY- REMOVAL W/ SNARE	$1,918.50	$3,837.00	$516.17–$3,299.82	16% below	50%
Colonoscopy with polyp removal inpatient CPT 45385 PROFEE COLONOSCOPY- W/ REMOVAL SNARE	$206.50	$413.00	$223.02–$413.00	—	50%
Colonoscopy with polyp removal inpatient CPT 45385 COLONOSCOPY- REMOVAL W/ SNARE	$1,918.50	$3,837.00	$516.17–$3,299.82	—	50%
Colonoscopy with tissue sample CPT 45380 PROFEE COLONOSCOPY- W/ BIOPSY SIN OR MUL	$163.50	$327.00	$176.58–$327.00	92% below	50%
Colonoscopy with tissue sample CPT 45380 COLONOSCOPY- W/ BIOPSY SINGLE OR MULTIPL	$1,918.50	$3,837.00	$498.86–$3,299.82	8% below	50%
Colonoscopy with tissue sample inpatient CPT 45380 PROFEE COLONOSCOPY- W/ BIOPSY SIN OR MUL	$163.50	$327.00	$176.58–$327.00	—	50%
Colonoscopy with tissue sample inpatient CPT 45380 COLONOSCOPY- W/ BIOPSY SINGLE OR MULTIPL	$1,918.50	$3,837.00	$498.86–$3,299.82	—	50%
Colonoscopy, diagnostic CPT 45378 PROFEE COLONOSCOPY- DIAGNOSITIC	$150.00	$300.00	$162.00–$300.00	93% below	50%
Colonoscopy, diagnostic CPT 45378 COLONOSCOPY-DIAGNOSTIC	$1,918.50	$3,837.00	$390.37–$3,299.82	8% below	50%
Colonoscopy, diagnostic inpatient CPT 45378 PROFEE COLONOSCOPY- DIAGNOSITIC	$150.00	$300.00	$162.00–$300.00	—	50%
Colonoscopy, diagnostic inpatient CPT 45378 COLONOSCOPY-DIAGNOSTIC	$1,918.50	$3,837.00	$390.37–$3,299.82	—	50%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 COLPOSCOPY OF CX W/ LOOP ELECTRODE BX	$639.00	$1,278.00	$315.91–$1,090.77	86% below	50%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 COLPOSCOPY OF CX W/BIO & ENDO CURETTAGE	$639.00	$1,278.00	$165.10–$1,090.77	32% below	50%
D&C (dilation and curettage), not related to pregnancy CPT 58120 D&C, DIAGNOSTIC AND/OR THERAPEUTIC	$2,001.00	$4,002.00	$299.40–$3,441.72	53% below	50%
D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 D&C, DIAGNOSTIC AND/OR THERAPEUTIC	$2,001.00	$4,002.00	$299.40–$3,441.72	—	50%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRUCTION PREMALIGNANT LESIONSFIRST LE	$76.50	$153.00	$68.77–$153.00	79% below	50%
Earwax removal by irrigation (rinsing), one ear CPT 69209 EAR REML OF CERUMEN-LAVAGE (PHY FEE)	$14.00	$28.00	$15.12–$28.00	92% below	50%
Earwax removal by irrigation (rinsing), one ear CPT 69209 EAR CERUMEN REMOVAL LAVAGE-CLINIC	$17.00	$34.00	$18.11–$34.00	90% below	50%
Earwax removal by irrigation (rinsing), one ear CPT 69209 EAR REML OF CERUMEN - LAVAGE	$20.00	$40.00	$18.11–$40.00	89% below	50%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 EAR REML OF CERUMEN - LAVAGE	$20.00	$40.00	$18.11–$40.00	—	50%
Earwax removal with instruments, one ear CPT 69210 EAR REML OF CERUMEN-INSTRUMENT (PHY FEE)	$27.00	$54.00	$29.16–$54.00	85% below	50%
Earwax removal with instruments, one ear CPT 69210 EAR REMOVAL CERUMEN W/INSTRUMENT-CLINIC	$51.00	$102.00	$48.49–$102.00	71% below	50%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 ENDOMETRIAL BX W/O CERVICAL DILATION	$134.50	$269.00	$98.57–$229.59	75% below	50%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 PF REPAIR ABD HERNIA,INITIAL,3-10C,REDUC	$457.00	$914.00	$490.25–$914.00	94% below	50%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 REPAIR ABD HERNIA,INITIAL 3-10CM,REDUC	$6,891.50	$13,783.00	$490.25–$11,853.38	8% below	50%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm inpatient CPT 49593 PF REPAIR ABD HERNIA,INITIAL,3-10C,REDUC	$457.00	$914.00	$490.25–$914.00	—	50%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm inpatient CPT 49593 REPAIR ABD HERNIA,INITIAL 3-10CM,REDUC	$6,891.50	$13,783.00	$490.25–$11,853.38	—	50%
First repair of a front abdominal hernia larger than 10 cm CPT 49595 PF REPAIR ABD HERNIA,INITIAL,10CM+,REDUC	$613.50	$1,227.00	$657.86–$1,227.00	92% below	50%
First repair of a front abdominal hernia larger than 10 cm CPT 49595 REPAIR ABD HERNIA,INITIAL 10CM+,REDUCIBL	$6,891.50	$13,783.00	$657.86–$11,853.38	8% below	50%
First repair of a front abdominal hernia larger than 10 cm inpatient CPT 49595 PF REPAIR ABD HERNIA,INITIAL,10CM+,REDUC	$613.50	$1,227.00	$657.86–$1,227.00	—	50%
First repair of a front abdominal hernia larger than 10 cm inpatient CPT 49595 REPAIR ABD HERNIA,INITIAL 10CM+,REDUCIBL	$6,891.50	$13,783.00	$657.86–$11,853.38	—	50%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 PF REPAIR ABD HERNIA,INITIAL,<3CM,REDUCE	$273.50	$547.00	$295.38–$547.00	94% below	50%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 REPAIR ABD HERNIA,INITIAL <3CM, REDUC	$6,891.50	$13,783.00	$296.69–$11,853.38	50% above	50%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm inpatient CPT 49591 PF REPAIR ABD HERNIA,INITIAL,<3CM,REDUCE	$273.50	$547.00	$295.38–$547.00	—	50%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm inpatient CPT 49591 REPAIR ABD HERNIA,INITIAL <3CM, REDUC	$6,891.50	$13,783.00	$296.69–$11,853.38	—	50%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 SIGMOIDOSCOPY	$1,730.50	$3,461.00	$218.92–$2,976.46	3% below	50%
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 SIGMOIDOSCOPY	$1,730.50	$3,461.00	$218.92–$2,976.46	—	50%
Hemorrhoidectomy (internal and external), one area CPT 46255 PROFEE HEMORRHOIDECTOMY INT&EXTER SINGLE	$296.00	$592.00	$319.68–$592.00	94% below	50%
Hemorrhoidectomy (internal and external), one area CPT 46255 HEMORRHOIDECTOMY INTER&EXTER SINGLE	$1,676.50	$3,353.00	$594.67–$2,883.58	63% below	50%
Hemorrhoidectomy (internal and external), one area inpatient CPT 46255 PROFEE HEMORRHOIDECTOMY INT&EXTER SINGLE	$296.00	$592.00	$319.68–$592.00	—	50%
Hemorrhoidectomy (internal and external), one area inpatient CPT 46255 HEMORRHOIDECTOMY INTER&EXTER SINGLE	$1,676.50	$3,353.00	$594.67–$2,883.58	—	50%
IUD insertion (the device itself billed separately) CPT 58300 INSERTION OF INTRAUTERINE DEVICE (IUD)	$133.00	$266.00	$143.64–$266.00	77% below	50%
IUD insertion (the device itself billed separately) CPT 58300 FAM PLAN - IUD INSERTION	$603.00	$1,206.00	$651.24–$1,029.32	3% above	50%
Incision and drainage of a simple or single skin abscess CPT 10060 PROFEE I&D OF ABSCESS	$90.00	$180.00	$97.20–$169.76	81% below	50%
Incision and drainage of a simple or single skin abscess CPT 10060 INCISION & DRAINAGE OF ABSCESS SIMPLE	$90.00	$180.00	$97.20–$169.76	81% below	50%
Incision and drainage of a simple or single skin abscess CPT 10060 INCISION & DRAINAGE OF ABSCESS SIMPLE	$207.50	$415.00	$132.66–$356.90	56% below	50%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D OF ABSCESS SIMPLE/SINGLE	$1,406.00	$2,812.00	$132.66–$2,418.32	200% above	50%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 PROFEE I&D OF ABSCESS	$90.00	$180.00	$97.20–$169.76	—	50%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 INCISION & DRAINAGE OF ABSCESS SIMPLE	$207.50	$415.00	$132.66–$356.90	—	50%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D OF ABSCESS SIMPLE/SINGLE	$1,406.00	$2,812.00	$132.66–$2,418.32	—	50%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 PROFEE REPAIR INGUINAL HERNIA 5+ REDUC	$426.50	$853.00	$460.62–$853.00	94% below	50%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 REPAIR-INGUINAL HERNIA 5YR+ REDUCIBLE	$6,891.50	$13,783.00	$488.02–$11,853.38	2% below	50%
Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 PROFEE REPAIR INGUINAL HERNIA 5+ REDUC	$426.50	$853.00	$460.62–$853.00	—	50%
Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 REPAIR-INGUINAL HERNIA 5YR+ REDUCIBLE	$6,891.50	$13,783.00	$488.02–$11,853.38	—	50%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJECTIONS/APSIRATION-SINGLE TENDON	$61.50	$123.00	$61.40–$123.00	91% below	50%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJSINGLE TENDONSHEATH/LIGAPONEUROSIS	$64.50	$129.00	$61.40–$129.00	90% below	50%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJSINGLE TENDONSHEATH/LIGAPONEUROSIS	$64.50	$129.00	$61.40–$129.00	—	50%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHOCENTESIS/INJ MAJOR JOINT/BURSA	$76.50	$153.00	$69.53–$153.00	89% below	50%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENTESIS MAJOR JOINT	$707.50	$1,415.00	$69.53–$1,216.90	2% below	50%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHOCENTASPIRAT/INJECTMAJOR JOINT/BURSA	$52.00	$104.00	$42.72–$104.00	—	50%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHROCENTESIS MAJOR JOINT	$707.50	$1,415.00	$69.53–$1,216.90	—	50%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INSERTION OF DRUG DELIVERY IMPLANT	$165.00	$330.00	$108.80–$281.66	41% below	50%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHOCENTESIS/INJ INTERMED JOINT/BURSA	$65.50	$131.00	$58.17–$131.00	88% below	50%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCENTESIS ER	$719.00	$1,438.00	$58.17–$1,236.68	27% above	50%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ARTHROCENTESIS ER	$719.00	$1,438.00	$58.17–$1,236.68	—	50%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHOCENTASPIRATINJECT SM JOINT/BURSA (F	$61.50	$123.00	$57.15–$123.00	90% below	50%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 LAC INTER RP <2.5CM SCALPAXITRUNKEXT	$127.00	$254.00	$137.16–$254.00	85% below	50%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 LAC INTREPAIR <2.5 SCALPTRUNKEXTREM	$166.50	$333.00	$179.82–$333.00	81% below	50%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 LAC INTER RP <2.5CM SCALPAXITRUNKEXT	$226.50	$453.00	$244.62–$389.58	74% below	50%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 LAC INTER RP <2.5CM SCALPAXITRUNKEXT	$226.50	$453.00	$244.62–$389.58	—	50%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC BEN LESION 0.5>CM TRUNKEXTREMITIES	$90.50	$181.00	$97.74–$181.00	93% below	50%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXC BEN LESION 0.5>CM FACEAREYENOSLIP	$90.50	$181.00	$97.74–$181.00	94% below	50%
Nail removal (partial or complete), one nail CPT 11730 NAIL AVULSION (PHYSICIAN FEE)	$45.00	$90.00	$48.60–$90.00	90% below	50%
Nail removal (partial or complete), one nail CPT 11730 AVULSION NAIL PLATE PARTIAL/COMPLETE SIM	$96.00	$192.00	$103.68–$163.87	79% below	50%
Nail removal (partial or complete), one nail CPT 11730 AVULSION NAIL PLATE/SIMPL	$101.00	$202.00	$109.08–$173.72	78% below	50%
Nail removal (partial or complete), one nail CPT 11730 PROFEE NAIL AVULSION	$123.50	$247.00	$53.82–$210.81	73% below	50%
Nail removal (partial or complete), one nail CPT 11730 NAIL AVULSION	$811.00	$1,622.00	$115.72–$1,394.92	80% above	50%
Nail removal (partial or complete), one nail inpatient CPT 11730 AVULSION NAIL PLATE/SIMPL	$101.00	$202.00	$109.08–$173.72	—	50%
Nail removal (partial or complete), one nail inpatient CPT 11730 PROFEE NAIL AVULSION	$123.50	$247.00	$53.82–$210.81	—	50%
Nail removal (partial or complete), one nail inpatient CPT 11730 NAIL AVULSION	$811.00	$1,622.00	$115.72–$1,394.92	—	50%
Occipital nerve block (injection for headaches) CPT 64405 INJECTION OCCIPITAL NERVE	$118.00	$236.00	$78.44–$236.00	86% below	50%
Occipital nerve block (injection for headaches) inpatient CPT 64405 INJECTION OCCIPITAL NERVE	$118.00	$236.00	$78.44–$236.00	—	50%
Paracentesis with imaging guidance CPT 49083 ABDOMINAL PARACENTESIS W/ GUIDANCE	$1,500.00	$3,000.00	$296.41–$2,580.00	16% below	50%
Paracentesis with imaging guidance inpatient CPT 49083 ABDOMINAL PARACENTESIS W/ GUIDANCE	$1,500.00	$3,000.00	$296.41–$2,580.00	—	50%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXCISION OF NAIL & NAIL MATRI (PHY FEE)	$84.50	$169.00	$91.26–$169.00	93% below	50%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXCISION OF NAIL & NAIL MATRIX PARTIAL/C	$262.00	$524.00	$162.78–$447.23	79% below	50%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXCISION INGROWN NAIL	$524.50	$1,049.00	$162.78–$902.14	57% below	50%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 EXCISION INGROWN NAIL	$524.50	$1,049.00	$162.78–$902.14	—	50%
Removal of a foreign object under the skin, simple CPT 10120 FOREIGN BODY REMOVAL SUBCU, SIMPLE	$86.50	$173.00	$93.42–$173.00	89% below	50%
Removal of a foreign object under the skin, simple CPT 10120 INCISION & REMOVAL OF FB SIMPLE PHYS FEE	$89.00	$178.00	$96.12–$178.00	88% below	50%
Removal of a foreign object under the skin, simple CPT 10120 I&R FBSUBQ TISSUE SIMPLE	$200.00	$400.00	$163.33–$344.00	73% below	50%
Removal of a foreign object under the skin, simple inpatient CPT 10120 I&R FBSUBQ TISSUE SIMPLE	$200.00	$400.00	$163.33–$344.00	—	50%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 PROFEE COLONOSCOPY- SCREENING G0121	$150.00	$300.00	$162.00–$294.00	91% below	50%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLONOSCOPY- CANCER SCREEN, NOT HRSK	$1,918.50	$3,837.00	$390.54–$3,299.82	13% above	50%
Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 PROFEE COLONOSCOPY- SCREENING G0121	$150.00	$300.00	$162.00–$294.00	—	50%
Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 COLONOSCOPY- CANCER SCREEN, NOT HRSK	$1,918.50	$3,837.00	$390.54–$3,299.82	—	50%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 PROFEE COLONOSCOPY- SCREENING G0105	$150.00	$300.00	$162.00–$294.00	92% below	50%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 COLONOSCOPY- CANCER SCREEN, HIGH RISK	$1,918.50	$3,837.00	$390.37–$3,299.82	7% above	50%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 PROFEE COLONOSCOPY- SCREENING G0105	$150.00	$300.00	$162.00–$294.00	—	50%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 COLONOSCOPY- CANCER SCREEN, HIGH RISK	$1,918.50	$3,837.00	$390.37–$3,299.82	—	50%
Short arm cast (elbow to hand) CPT 29075 APPLY CAST ELBOW TO FINGER (SHORT ARM)	$80.50	$161.00	$86.94–$161.00	84% below	50%
Short arm cast (elbow to hand) CPT 29075 APPLY CAST SHOULDE TO HAND (LONG ARM)	$160.50	$321.00	$100.25–$321.00	68% below	50%
Short arm splint (forearm and hand) CPT 29125 APPLY FOREARM SPLINT(PHYSICIAN FEE)	$34.00	$68.00	$36.72–$68.00	92% below	50%
Short arm splint (forearm and hand) CPT 29125 APPLY SHORT ARM SPLINT (FOREARM TO HAND)	$65.50	$131.00	$70.74–$131.00	84% below	50%
Short arm splint (forearm and hand) CPT 29125 APPLICATION FOREARM SPLINT SHORT	$336.50	$673.00	$82.10–$578.78	17% below	50%
Short arm splint (forearm and hand) inpatient CPT 29125 APPLICATION FOREARM SPLINT SHORT	$336.50	$673.00	$82.10–$578.78	—	50%
Short leg cast (below the knee) CPT 29405 APPLY SHORT LEG CAST (BELOW KNEE TO TOES	$85.50	$171.00	$89.95–$171.00	83% below	50%
Short leg cast (below the knee) CPT 29405 APPLICATION SHORT LEG CST - BELOW	$655.50	$1,311.00	$89.95–$1,127.46	31% above	50%
Short leg cast (below the knee) inpatient CPT 29405 APPLICATION SHORT LEG CST - BELOW	$655.50	$1,311.00	$89.95–$1,127.46	—	50%
Short leg splint (calf to foot) CPT 29515 APPLY OF SHORT LEG SPLINT (CALF TO FOOT)	$41.00	$82.00	$44.28–$82.00	92% below	50%
Short leg splint (calf to foot) CPT 29515 APPLY LOW LEG SPLINT	$65.50	$131.00	$70.74–$131.00	87% below	50%
Short leg splint (calf to foot) CPT 29515 APPLICATION LOWER LEG SPLINT CFT-FT	$336.50	$673.00	$84.57–$578.78	32% below	50%
Short leg splint (calf to foot) inpatient CPT 29515 APPLICATION LOWER LEG SPLINT CFT-FT	$336.50	$673.00	$84.57–$578.78	—	50%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 LAC SIMP RP <2.5CM SCALPAXITRUNKEXT	$36.50	$73.00	$39.42–$73.00	92% below	50%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 LAC SIMPLE 2.5 OR >SCALPNECKGENTRUNKEXTR	$48.50	$97.00	$52.38–$97.00	89% below	50%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 LAC SIMP RP <2.5CMSCALPNECKTRUEXT	$59.00	$59.00	$31.86–$59.00	87% below	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 LAC SIMP RP <2.5CMSCALPNECKTRUEXT	$129.00	$258.00	$116.91–$258.00	71% below	50%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 LAC SIMP RP <2.5CMSCALPNECKTRUEXT	$129.00	$258.00	$116.91–$258.00	—	50%
Skin biopsy, punch, one lesion CPT 11104 BIOPSY/SKIN SUBQ SINGLE LESION PUNCH	$37.50	$75.00	$40.50–$75.00	95% below	50%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 EXC MAL LESION 0.5>CM TRUNKEXTREMITIES	$90.50	$181.00	$97.74–$181.00	95% below	50%
Skin tag removal, up to 15 tags CPT 11200 PROFEE REMOVE SKIN TAGS ANY AREA;UPTO15	$65.00	$130.00	$70.20–$126.60	83% below	50%
Skin tag removal, up to 15 tags CPT 11200 REMOVE SKIN TAGS ANY AREA UP TO 15 LESIO	$101.00	$202.00	$95.48–$172.41	74% below	50%
Skin tag removal, up to 15 tags CPT 11200 REMOVE SKIN TAGS ANY AREA;UP TO 15	$154.00	$308.00	$95.48–$302.46	61% below	50%
Skin tag removal, up to 15 tags inpatient CPT 11200 PROFEE REMOVE SKIN TAGS ANY AREA;UPTO15	$65.00	$130.00	$70.20–$126.60	—	50%
Skin tag removal, up to 15 tags inpatient CPT 11200 REMOVE SKIN TAGS ANY AREA;UP TO 15	$154.00	$308.00	$95.48–$302.46	—	50%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 LAC SIMP RP 2.6-7.5CM SCALPAXITRUNKE	$47.50	$95.00	$51.30–$95.00	93% below	50%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 LAC SIMP RP 2.6-7.5CMSCALPNECKTRUEXT	$62.00	$62.00	$33.48–$62.60	91% below	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 LAC SIM REPAIR 2.6TO7 SCALPNECKGENTRUNEX	$63.50	$127.00	$68.58–$127.00	91% below	50%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 LAC SIMP RP 2.6-7.5CMSCALPNECKTRUEXT	$158.00	$316.00	$142.33–$297.84	77% below	50%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 LAC SIMP RP 2.6-7.5CMSCALPNECKTRUEXT	$158.00	$316.00	$142.33–$297.84	—	50%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 LAC SIMP <2.5 FACEEAREYENOSELIPS	$45.00	$90.00	$48.60–$90.00	93% below	50%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 LAC SIM REPAIR 2.5OR >FACEEAREYENOSELIP	$48.50	$97.00	$52.38–$97.00	93% below	50%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 LAC SIMP RP <2.5CM FACEEYENOSELIPEAR	$129.00	$258.00	$139.32–$258.00	80% below	50%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 LAC SIMP RP <2.5CM FACEEYENOSELIPEAR	$129.00	$258.00	$139.32–$258.00	—	50%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 BIOPSY/SKIN SUB 1ST LESION SHAVE	$79.00	$158.00	$85.32–$158.00	86% below	50%
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W/ IMAGE GUIDANCE PRO FEE	$275.50	$551.00	$101.52–$470.28	86% below	50%
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W/ IMAGE GUIDANCE	$1,427.00	$2,854.00	$324.25–$2,454.44	30% below	50%
Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS W/ IMAGE GUIDANCE	$1,427.00	$2,854.00	$324.25–$2,454.44	—	50%
Trigger finger release surgery CPT 26055 PROFEE TENDON SHEATH INCISION-TRIGGER FI	$250.50	$501.00	$168.28–$490.98	92% below	50%
Trigger finger release surgery CPT 26055 TENDON SHEATH INCISION (TRIGGER FINGER)	$2,029.50	$4,059.00	$168.28–$3,490.74	34% below	50%
Trigger finger release surgery inpatient CPT 26055 PROFEE TENDON SHEATH INCISION-TRIGGER FI	$250.50	$501.00	$168.28–$490.98	—	50%
Trigger finger release surgery inpatient CPT 26055 TENDON SHEATH INCISION (TRIGGER FINGER)	$2,029.50	$4,059.00	$168.28–$3,490.74	—	50%
Trigger point injections, 1 or 2 muscles CPT 20552 POCUS INJ SIN/MUL TRIGGER POINTS PROFEE	$42.00	$84.00	$39.52–$84.00	93% below	50%
Trigger point injections, 1 or 2 muscles CPT 20552 POCUS INJ SING/MULT TRIGGER POINTS 1-2MU	$309.00	$618.00	$52.67–$531.48	50% below	50%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 POCUS INJ SING/MULT TRIGGER POINTS 1-2MU	$309.00	$618.00	$52.67–$531.48	—	50%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 EGD-BALLOON DIALATION OF ESOPH >30MM	$1,911.50	$3,823.00	$892.04–$3,287.78	22% below	50%
Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 EGD-BALLOON DIALATION OF ESOPH >30MM	$1,911.50	$3,823.00	$892.04–$3,287.78	—	50%
Upper endoscopy (EGD) with biopsy CPT 43239 EGD-W/BIOPSY, SINGLE OR MULTIPLE	$1,911.50	$3,823.00	$438.90–$3,287.78	8% above	50%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 EGD-W/BIOPSY, SINGLE OR MULTIPLE	$1,911.50	$3,823.00	$438.90–$3,287.78	—	50%
Upper endoscopy (EGD), diagnostic CPT 43235 EGD-DIAGNOSTIC	$1,911.50	$3,823.00	$336.88–$3,287.78	2% above	50%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 EGD-DIAGNOSTIC	$1,911.50	$3,823.00	$336.88–$3,287.78	—	50%
Vasectomy, one or both sides, including follow-up semen testing both sides CPT 55250 PROFEE VASECTOMY UNILATERAL/BILATERAL	$191.00	$382.00	$206.28–$382.00	—	50%
Vasectomy, one or both sides, including follow-up semen testing both sides CPT 55250 VASECTOMY, UNILATERAL OR BILATERAL	$1,824.50	$3,649.00	$356.18–$3,138.14	—	50%
Vasectomy, one or both sides, including follow-up semen testing inpatient both sides CPT 55250 PROFEE VASECTOMY UNILATERAL/BILATERAL	$191.00	$382.00	$206.28–$382.00	—	50%
Vasectomy, one or both sides, including follow-up semen testing inpatient both sides CPT 55250 VASECTOMY, UNILATERAL OR BILATERAL	$1,824.50	$3,649.00	$356.18–$3,138.14	—	50%
Wart removal, up to 14 warts CPT 17110 CRYO/DEST OF BENIGN LESION UP TO 10	$103.00	$206.00	$111.24–$206.00	71% below	50%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 WOUND SUBCUTANEOUS TISS 20 CM OR LESS	$90.50	$181.00	$97.74–$181.00	87% below	50%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDEMENTSKIN AND SUBQ	$168.50	$337.00	$137.50–$337.00	75% below	50%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDEMENT, SUB TISSUES 1ST 20CM	$865.00	$1,730.00	$137.50–$1,698.86	27% above	50%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDEMENTSKIN AND SUBQ	$168.50	$337.00	$137.50–$337.00	—	50%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDEMENT, SUB TISSUES 1ST 20CM	$865.00	$1,730.00	$137.50–$1,698.86	—	50%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs California	Off list
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMINISTRATION	$688.50	$1,377.00	$50.39–$1,184.22	21% below	50%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMINISTRATION	$838.50	$1,677.00	$50.39–$1,442.22	4% below	50%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMINISTRATION ER	$852.50	$1,705.00	$50.39–$1,466.30	2% below	50%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD ADMINISTRATION	$688.50	$1,377.00	$50.39–$1,184.22	—	50%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD ADMINISTRATION ER	$852.50	$1,705.00	$50.39–$1,466.30	—	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INHALATION/NEBULIZER	$21.00	$42.00	$9.14–$42.00	93% below	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEBULIZER/IHALATION	$22.50	$45.00	$9.14–$45.00	93% below	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MEDICATION ADMINISTRATION- METANEB	$31.50	$63.00	$9.14–$54.18	90% below	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AEROSOL HEATED MIST	$78.00	$156.00	$9.14–$134.16	75% below	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AEROSOL COOL MIST	$78.00	$156.00	$9.14–$134.16	75% below	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HHN/AEROSOL TREATMENT	$83.00	$166.00	$9.14–$142.76	73% below	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 NEBULIZER/IHALATION	$22.50	$45.00	$9.14–$45.00	—	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MEDICATION ADMINISTRATION- METANEB	$31.50	$63.00	$9.14–$54.18	—	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AEROSOL COOL MIST	$78.00	$156.00	$9.14–$134.16	—	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AEROSOL HEATED MIST	$78.00	$156.00	$9.14–$134.16	—	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HHN/AEROSOL TREATMENT	$83.00	$166.00	$9.14–$142.76	—	50%
Critical care, first 30 to 74 minutes CPT 99291 ER CRITICAL CARE PHYSICAN FEE	$294.50	$589.00	$215.99–$502.71	94% below	50%
Critical care, first 30 to 74 minutes CPT 99291 ER LEVEL VI CRITICAL CARE	$1,891.00	$3,782.00	$311.78–$3,252.52	62% below	50%
Critical care, first 30 to 74 minutes inpatient CPT 99291 ER LEVEL VI CRITICAL CARE	$1,891.00	$3,782.00	$311.78–$3,252.52	—	50%
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 EKG 12 LEAD W/INTERPETATION & REPORT	$88.00	$176.00	$15.70–$150.22	2% below	50%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG 12 LEAD TRACE ONLY	$75.00	$150.00	$7.35–$128.02	78% below	50%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG 12 LEAD-TRACE ONLY	$75.00	$150.00	$7.35–$129.00	78% below	50%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 CARDIAC MONITOR/EKG	$75.00	$150.00	$7.35–$129.00	78% below	50%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG 12 LEAD-TRACE ONLY	$75.00	$150.00	$7.35–$129.00	—	50%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 CARDIAC MONITOR/EKG	$75.00	$150.00	$7.35–$129.00	—	50%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER LEVEL ONE PHYSICIAN FEE	$29.00	$58.00	$10.64–$58.00	92% below	50%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER LEVEL I BRIEF	$234.50	$469.00	$10.64–$403.34	39% below	50%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ER LEVEL I BRIEF	$234.50	$469.00	$10.64–$403.34	—	50%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER LEVEL TWO PHYSICAN FEE	$55.00	$110.00	$38.98–$93.88	93% below	50%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER LEVEL II LIMITED	$361.50	$723.00	$38.98–$621.78	52% below	50%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ER LEVEL II LIMITED	$361.50	$723.00	$38.98–$621.78	—	50%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER LEVEL THREE PHYSICAN FEE	$82.00	$164.00	$66.82–$164.00	93% below	50%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER LEVEL III BRIEF	$589.50	$1,179.00	$66.82–$1,013.94	51% below	50%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ER LEVEL III BRIEF	$589.50	$1,179.00	$66.82–$1,013.94	—	50%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER LEVEL FOUR PHYSICAN FEE	$154.50	$309.00	$113.49–$263.73	92% below	50%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER LEVEL IV HIGH ACUITY	$894.00	$1,788.00	$113.49–$1,537.68	54% below	50%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ER LEVEL IV HIGH ACUITY	$894.00	$1,788.00	$113.49–$1,537.68	—	50%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER LEVEL FIVE PHYSICIAN FEE	$226.50	$453.00	$164.89–$432.32	93% below	50%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER LEVEL V COMPLEX	$1,284.00	$2,568.00	$164.89–$2,208.48	61% below	50%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ER LEVEL V COMPLEX	$1,284.00	$2,568.00	$164.89–$2,208.48	—	50%
Family therapy with the patient, 50 minutes CPT 90847 PSYCHOTHERAPY50 MIN W/ FAMILY	$110.00	$220.00	$51.00–$189.20	68% below	50%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION-INITIAL	$225.00	$450.00	$35.25–$387.00	50% below	50%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INFUSION,HYDRATION;INITIAL 31MIN-1HR	$280.00	$560.00	$35.25–$481.60	38% below	50%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION - INITITAL	$353.50	$707.00	$35.25–$608.02	22% below	50%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATION INITIAL	$225.00	$450.00	$35.25–$387.00	—	50%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATION-INITIAL	$225.00	$450.00	$35.25–$387.00	—	50%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATION - INITITAL	$353.50	$707.00	$35.25–$608.02	—	50%
IV infusion of a medicine, first hour CPT 96365 IV INFUSION INITIAL	$360.50	$721.00	$70.83–$620.06	25% below	50%
IV infusion of a medicine, first hour CPT 96365 IV INITIAL INFUSION UP TO ONE HOUR	$368.50	$737.00	$70.83–$633.82	23% below	50%
IV infusion of a medicine, first hour CPT 96365 IV INFUSION;INITIAL UP TO ONE HOUR	$439.50	$879.00	$70.83–$755.94	8% below	50%
IV infusion of a medicine, first hour CPT 96365 INFUSION - INITIAL	$541.00	$1,082.00	$70.83–$930.52	13% above	50%
IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION INITIAL	$360.50	$721.00	$70.83–$620.06	—	50%
IV infusion of a medicine, first hour inpatient CPT 96365 INFUSION - INITIAL	$541.00	$1,082.00	$70.83–$930.52	—	50%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ THERAP/PROPHYL/DIAGNOST SQ OR	$23.00	$46.00	$15.88–$46.00	85% below	50%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ IM SQ THERAP/PROPHY/DIAG	$33.50	$67.00	$15.88–$67.00	79% below	50%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION NON VACCINE IM	$67.00	$67.00	$15.88–$67.00	57% below	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ THER/PROPH/DIAG SQ/IM	$118.00	$236.00	$15.88–$202.96	25% below	50%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION, IM OR SUBQ, THERAP PROPHYLACT	$134.50	$269.00	$15.88–$231.34	14% below	50%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJ IM SQ THERAP/PROPHY/DIAG	$33.50	$67.00	$15.88–$67.00	—	50%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJ IM SQ THERAP/PROPHY/DIAG	$33.50	$67.00	$15.88–$67.00	—	50%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJ THER/PROPH/DIAG SQ/IM	$118.00	$236.00	$15.88–$202.96	—	50%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCHIATRIC DIAGNOSTIC EVALUATION	$167.00	$334.00	$175.90–$334.00	48% below	50%
Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR RE-EDUCATE	$54.50	$109.00	$12.22–$75.00	57% below	50%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUROMUSCULAR RE-EDUCATE	$54.50	$109.00	$12.22–$75.00	—	50%
New patient office visit, about 30 minutes CPT 99203 LEVEL 3 INTERMEDIATE OFFICE VISIT NEW PT	$106.50	$213.00	$115.02–$213.00	41% below	50%
New patient office visit, about 45 minutes CPT 99204 LEVEL 4 EXTENDED OFFICE VISIT- NEW PT	$172.50	$345.00	$179.38–$294.46	27% below	50%
New patient office visit, about 60 minutes CPT 99205 LEVEL 5 COMPREHEN OFFICE VISIT- NEW PT	$227.00	$454.00	$238.71–$387.49	20% below	50%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 LEVEL 2 LIMITED OFFICE VISIT- NEW PT	$68.50	$137.00	$73.98–$137.00	48% below	50%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVALUATION HIGH COMPLEXITY	$143.50	$287.00	$75.00–$177.19	68% below	50%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVALUATION HIGH COMPLEXITY	$143.50	$287.00	$75.00–$177.19	—	50%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVALUATION LOW COMPLEXITY	$72.50	$145.00	$75.00–$103.01	70% below	50%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVALUATION LOW COMPLEXITY	$72.50	$145.00	$75.00–$103.01	—	50%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVALUATION MODERATE COMPLEXITY	$108.50	$217.00	$75.00–$133.98	70% below	50%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVALUATION MODERATE COMPLEXITY	$108.50	$217.00	$75.00–$133.98	—	50%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY EA 15 MIN	$45.00	$90.00	$22.21–$75.00	62% below	50%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY EA 15 MIN	$45.00	$90.00	$22.21–$75.00	—	50%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPUETIC EX/15MIN	$47.50	$95.00	$6.37–$75.00	63% below	50%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPUETIC EX/15MIN	$47.50	$95.00	$6.37–$75.00	—	50%
Preventive checkup, new patient aged 18–39 CPT 99385 WELLNESS AND CHDP EXAM- INITIAL 18-39	$211.50	$423.00	$228.42–$423.00	27% above	50%
Preventive checkup, new patient aged 40–64 CPT 99386 WELLNESS EXAM- INITIAL 40-64	$211.50	$423.00	$228.42–$423.00	14% above	50%
Preventive checkup, new patient aged 65 or older CPT 99387 WELLNESS EXAM- INITIAL 65+	$211.50	$423.00	$228.42–$423.00	17% above	50%
Preventive checkup, returning patient aged 18–39 CPT 99395 WELL/CHDP EXAM-ESTABLISHED PT 18-39	$143.00	$286.00	$154.44–$286.00	8% below	50%
Preventive checkup, returning patient aged 40–64 CPT 99396 WELLNESS EXAM- ESTABLISHED PATIENT 40-64	$143.00	$286.00	$154.44–$286.00	9% below	50%
Preventive checkup, returning patient aged 65 or older CPT 99397 WELLNESS EXAM- ESTABLISHED PATIENT 65+	$143.00	$286.00	$154.44–$286.00	9% below	50%
Psychotherapy session, 45 minutes CPT 90834 PSYCHOTHERAPY45 MIN W/ PATIENT	$110.00	$220.00	$115.35–$220.00	65% below	50%
Psychotherapy session, 60 minutes CPT 90837 PSYCHOTHERAPY60 MIN W/ PATIENT	$116.00	$232.00	$125.28–$232.00	66% below	50%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKING AND TOBACCO COUNSEL3-10 MINS	$10.00	$20.00	$10.80–$20.00	82% below	50%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKING AND TOBACCO COUNSEL 3-10 MINS	$30.00	$60.00	$11.70–$51.21	46% below	50%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 SMOKING AND TOBACCO COUNSEL 3-10 MINS	$30.00	$60.00	$11.70–$51.21	—	50%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 LEVEL 5 COMPREHENSIVE OFFICE VISIT ESTAB	$150.50	$301.00	$162.54–$256.90	31% below	50%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 SPORTS PHYSICAL	$40.00	$80.00	$43.20–$80.00	72% below	50%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 LEVEL 3 INTERMEDIATE OFFICE VISIT- ESTAB	$66.50	$133.00	$71.82–$113.52	54% below	50%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 SCHOOL/CAMP PHYSICAL	$67.50	$135.00	$72.90–$115.22	53% below	50%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 EMPLOYEE PHYSICAL	$71.00	$142.00	$76.68–$121.20	51% below	50%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 LEVEL 4 EXTENDED OFFICE VISIT- ESTAB PT	$104.00	$208.00	$112.32–$177.53	41% below	50%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 SPORTS PHYSICAL	$42.00	$84.00	$45.36–$72.40	63% below	50%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 LEVEL 2 LIMITED OFFICE VISIT- ESTAB PT	$54.00	$108.00	$58.32–$92.18	52% below	50%
Spirometry (breathing test) CPT 94010 SPIROMETRY, PFT	$45.00	$90.00	$31.12–$90.00	86% below	50%
Spirometry (breathing test) CPT 94010 PFT, SPIROMETRY	$45.00	$90.00	$31.12–$90.00	86% below	50%
Spirometry (breathing test) CPT 94010 PRE/POST BRONCHODILATOR-SPIROMETRY TEST	$83.00	$166.00	$31.12–$142.76	74% below	50%
Spirometry (breathing test) inpatient CPT 94010 PRE/POST BRONCHODILATOR-SPIROMETRY TEST	$83.00	$166.00	$31.12–$142.76	—	50%
Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIV/15 MIN	$51.50	$103.00	$11.14–$75.00	62% below	50%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPEUTIC ACTIV/15 MIN	$51.50	$103.00	$11.14–$75.00	—	50%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY THERAPEUTIC PRO FEE	$73.00	$146.00	$65.60–$124.61	76% below	50%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPEUTIC PHLEBOTOMY	$117.00	$234.00	$65.60–$199.72	61% below	50%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY THERAPEUTIC	$188.50	$377.00	$65.60–$324.22	37% below	50%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY THERAPEUTIC	$283.50	$567.00	$65.60–$487.62	5% below	50%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY THERAPEUTIC PRO FEE	$73.00	$146.00	$65.60–$124.61	—	50%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY THERAPEUTIC	$283.50	$567.00	$65.60–$487.62	—	50%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs California	Off list
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 FLU VACC TS(65UP)/MF59C/PF (FLUAD) SYR	$39.00	$78.00	$42.12–$78.00	72% below	50%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 FLU VACC TS(65UP)/MF59C/PF (FLUAD) SYR	$39.00	$78.00	$42.12–$78.00	—	50%
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 MODERNA COVID-19 VACCINE 0.5ML SYR 24-25	$76.00	$152.00	$82.08–$148.96	69% below	50%
COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 MODERNA COVID-19 VACCINE 0.5ML SYR 24-25	$76.00	$152.00	$82.08–$148.96	—	50%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VACC (VARIVAX)	$98.50	$197.00	$106.38–$197.00	69% below	50%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 CL-VARICELLA VZV (VARIVAX)	$100.00	$200.00	$108.00–$200.00	68% below	50%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VACC (VARIVAX)	$98.50	$197.00	$106.38–$197.00	—	50%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 CL-HPV 9 (GARDASIL)	$161.00	$322.00	$173.88–$322.00	58% below	50%
Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VACC (VAQTA) 50 U/ML VL	$46.00	$92.00	$49.68–$79.12	67% below	50%
Hepatitis A vaccine, adult dose CPT 90632 CL-HEPATITIS A (VAQTA) 50 U/ML ADULT	$46.50	$93.00	$50.22–$79.98	67% below	50%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VACC (VAQTA) 50 U/ML VL	$46.00	$92.00	$49.68–$79.12	—	50%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 CL-HEPATITIS B (ENGERIX) 20 MCG ADULT	$58.00	$116.00	$62.64–$99.76	31% below	50%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLU VACC TS(65YR UP)/PF (FLUZONE) HD SYR	$36.00	$72.00	$38.88–$72.00	71% below	50%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 CL-FLU (FLUAD 65+)	$38.50	$77.00	$41.58–$77.00	69% below	50%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 FLU VACC TS(65YR UP)/PF (FLUZONE) HD SYR	$36.00	$72.00	$38.88–$72.00	—	50%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES,MUMPS,RUBELLA VACC/PF (M-M-R)	$54.00	$108.00	$58.32–$108.00	54% below	50%
MMR vaccine (measles, mumps and rubella), live CPT 90707 CL-MEASLES,MUMPS,RUBELLA (MMR II)	$55.50	$111.00	$59.94–$111.00	53% below	50%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES,MUMPS,RUBELLA VACC/PF (M-M-R)	$54.00	$108.00	$58.32–$108.00	—	50%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 CL-MCV 4 (MENVEO) VIAL	$85.00	$170.00	$91.80–$170.00	67% below	50%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 CL-MCV 4 (MENACTRA) VIAL	$89.00	$178.00	$96.12–$178.00	66% below	50%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 CL-MENING B (BEXESERO)	$114.50	$229.00	$123.66–$229.00	60% below	50%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 CL-PCV 20 (PREVNAR) 0.5ML	$191.50	$383.00	$206.82–$329.38	62% below	50%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL 23 VAC (PNEUMOVAX 23) VIAL	$73.00	$146.00	$78.84–$137.93	55% below	50%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 CL-PPSV 23 (PNEUMOVAX)	$74.50	$149.00	$80.46–$137.93	54% below	50%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL 23 VAC (PNEUMOVAX 23) VIAL	$73.00	$146.00	$78.84–$137.93	—	50%
Rabies vaccine, one dose CPT 90675 RABIES VACC/PF (IMOVAX) VIAL	$231.00	$462.00	$249.48–$397.32	67% below	50%
Rabies vaccine, one dose CPT 90675 RABIES VAC (RABAVERT)	$245.50	$491.00	$265.14–$422.26	65% below	50%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACC/PF (IMOVAX) VIAL	$231.00	$462.00	$249.48–$397.32	—	50%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VAC (RABAVERT)	$245.50	$491.00	$265.14–$422.26	—	50%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS-DIPHTHERIA/PF (TENIVAC) SYR	$22.50	$45.00	$24.30–$38.70	72% below	50%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 CL-TD (TENIVAC) 0.5 ML	$23.00	$46.00	$24.84–$39.56	71% below	50%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS-DIPHTHERIA/PF (TENIVAC) SYR	$22.50	$45.00	$24.30–$38.70	—	50%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTH,PERTUSS,TET VAC (BOOSTRIX) VIAL	$28.00	$56.00	$30.24–$48.16	67% below	50%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 CL-TDAP (BOOSTRIX)	$58.00	$116.00	$38.90–$99.76	31% below	50%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTH,PERTUSS,TET VAC (BOOSTRIX) VIAL	$28.00	$56.00	$30.24–$48.16	—	50%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 INJ ADM VACC/TOXOID IM/SQ SINGLE	$5.50	$11.00	$5.94–$11.00	95% below	50%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 INJ ADM VACC/TOXOID IM/SQ	$118.00	$236.00	$17.84–$202.96	17% above	50%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 INJECTION ADMIN OF VACCINE	$134.50	$269.00	$17.84–$231.34	33% above	50%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 INJ ADM VACC/TOXOID IM/SQ	$118.00	$236.00	$17.84–$202.96	—	50%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ADMINISTRATION OF 2+ VACCINES	$5.00	$10.00	$4.46–$9.80	93% below	50%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 INJ ADM VACC/TOXOID IM/SQ EACH ADD	$5.50	$11.00	$4.46–$10.78	92% below	50%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 INJ ADM VACC/TOXOID IM/SQ EACH ADDL	$118.00	$236.00	$4.46–$202.96	75% above	50%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 INJ ADM VACC/TOXOID IM/SQ EACH ADDL	$118.00	$236.00	$4.46–$202.96	—	50%

Source file: https://www.mcmedical.org/208236808_trinity-hospital_standardcharges.csv