North Arkansas Regional Medical Center
North Arkansas Regional Medical Center in Harrison, AR publishes cash prices for 294 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 Arkansas median for 208 of 290 procedures and above it for 73. By typical cash price it ranks #1 of 28 Arkansas hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
620 North Main Street, Harrison, AR 72601 Collected Sep 27, 2026 Source price file (870) 414-4000
Acute care hospital Emergency department CMS star rating 2 of 5 CCN 040017 · CMS hospital register
CMS price transparency record
The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 3 actions for a hospital named North Arkansas Regional Medical Center in Harrison, AR:
- Oct 16, 2024 Corrective action plan requested
- Dec 9, 2024 Corrective action plan requested
- Jan 17, 2025 Case closed
Corrective action plan requested: CMS asked the hospital to submit a plan to fix the problems it found. Case closed: CMS closed the case after the hospital addressed the problems.
A notice records a step in a CMS review; it is not a court finding. Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes, actions through Jul 31, 2026.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Arkansas | Off list |
|---|---|---|---|---|---|
| Ankle X-ray, complete, 3 or more views CPT 73610 X-RAY EXAM OF ANKLE | $36.46 | $58.80 | $25.78–$49.68 | 75% below | 38% |
| Ankle X-ray, complete, 3 or more views CPT 73610 XR ANKLE >=3 VIEWS | $369.90 | $301.98 | $18.36–$256.68 | 151% above | -22% |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 XR ANKLE >=3 VIEWS | $369.90 | $301.98 | $36.62–$211.39 | — | -22% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 TRANSCUTANEOUS O2 SINGLE LEVEL | $1,361.37 | $663.60 | $27.85–$564.06 | 555% above | -105% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 UPR/L XTREMITY ART 2 LVLS | $12,118.68 | $771.23 | $27.85–$655.55 | 5729% above | -1471% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 TRANSCUTANEOUS O2 SINGLE LEVEL | $1,361.37 | $663.60 | $76.56–$464.52 | — | -105% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 UPR/L XTREMITY ART 2 LVLS | $12,118.68 | $771.23 | $76.56–$539.86 | — | -1471% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 XR ESOPHAGRAM-BA SWALLOW | $306.50 | $576.50 | $36.72–$490.03 | 32% above | 47% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 XR BARIUM SWALLOW-ESOPHAGUS | $639.45 | $576.50 | $36.72–$490.03 | 176% above | -11% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 XR ESOPHAGRAM-BA SWALLOW | $306.50 | $576.50 | $97.20–$403.55 | — | 47% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 XR BARIUM SWALLOW-ESOPHAGUS | $639.45 | $576.50 | $97.20–$403.55 | — | -11% |
| Breast ultrasound, complete, one breast CPT 76641 US BREAST UNI CMPL INCLD AXILL | $295.87 | $585.83 | $64.67–$497.96 | 99% above | 49% |
| Breast ultrasound, complete, one breast inpatient CPT 76641 US BREAST UNI CMPL INCLD AXILL | $295.87 | $585.83 | $102.53–$410.08 | — | 49% |
| Breast ultrasound, limited (one breast or one area) CPT 76642 US BREAST UNI LMTD INCL AXILLA | $851.13 | $390.55 | $49.47–$331.97 | 492% above | -118% |
| Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 US BREAST UNI LMTD INCL AXILLA | $851.13 | $390.55 | $78.11–$273.39 | — | -118% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA THORACIC AORTA W/WO CC | $267.91 | $2,969.43 | $174.94–$2,524.02 | 75% below | 91% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA THORACIC AORTA W/WO CC | $267.91 | $2,969.43 | $107.16–$2,078.60 | — | 91% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT CTA HEART W/WO W/FURTHER SECTI | $280.04 | $2,207.21 | $174.94–$1,876.13 | 59% below | 87% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT CTA HEART W/WO W/GRAFTS FUNCTI | $675.51 | $2,132.13 | $174.94–$1,812.31 | 2% below | 68% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT CTA HEART W/WO W/GRAFT FUN/CAL | $1,580.16 | $2,140.22 | $174.94–$1,819.19 | 130% above | 26% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CT CTA HEART W/WO W/FURTHER SECTI | $280.04 | $2,207.21 | $112.02–$1,545.05 | — | 87% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CT CTA HEART W/WO W/GRAFTS FUNCTI | $675.51 | $2,132.13 | $270.20–$1,492.49 | — | 68% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CT CTA HEART W/WO W/GRAFT FUN/CAL | $1,580.16 | $2,140.22 | $329.55–$1,498.15 | — | 26% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABDOMEN/PELVIS W/O CONTRAST | $224.58 | $3,221.99 | $110.47–$2,738.69 | 85% below | 93% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABDOMEN/PELVIS W/O CONTRAST | $224.58 | $3,221.99 | $89.83–$2,255.39 | — | 93% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABDOMEN/PELVIS W/WO CONTRAS | $5,294.52 | $5,549.78 | $278.41–$4,717.31 | 169% above | 5% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABDOMEN/PELVIS W/WO CONTRAS | $5,294.52 | $5,549.78 | $348.85–$3,884.85 | — | 5% |
| CT scan of the abdomen with contrast CPT 74160 CT URINARY/RENAL WITH CONTRAST | $3,669.65 | $2,308.85 | $174.94–$1,962.52 | 223% above | -59% |
| CT scan of the abdomen with contrast inpatient CPT 74160 CT URINARY/RENAL WITH CONTRAST | $3,669.65 | $2,308.85 | $239.00–$1,616.20 | — | -59% |
| CT scan of the abdomen without contrast CPT 74150 CT ABD AORTA W/O CONTRAST | $175.96 | $2,632.25 | $104.75–$2,237.41 | 80% below | 93% |
| CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN WO CONTRAST | $478.49 | $1,769.79 | $104.75–$1,504.32 | 46% below | 73% |
| CT scan of the abdomen without contrast CPT 74150 CT URINARY/RENAL WO CONTRAST | $2,808.31 | $1,734.81 | $104.75–$1,474.59 | 216% above | -62% |
| CT scan of the abdomen without contrast inpatient CPT 74150 CT ABD AORTA W/O CONTRAST | $175.96 | $2,632.25 | $70.38–$1,842.58 | — | 93% |
| CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN WO CONTRAST | $478.49 | $1,769.79 | $139.81–$1,238.85 | — | 73% |
| CT scan of the abdomen without contrast inpatient CPT 74150 CT URINARY/RENAL WO CONTRAST | $2,808.31 | $1,734.81 | $139.81–$1,214.37 | — | -62% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT FACIAL WO CONTRAST | $181.74 | $1,910.83 | $104.75–$1,624.21 | 77% below | 90% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT - MF CORONAL WO CONTR | $415.64 | $1,737.12 | $104.75–$1,476.55 | 47% below | 76% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT SINUS FUSION W/O CONTRAST | $425.25 | $1,264.73 | $104.75–$1,075.02 | 46% below | 66% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT FACIAL WO CONTRAST | $181.74 | $1,910.83 | $72.70–$1,337.58 | — | 90% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT - MF CORONAL WO CONTR | $415.64 | $1,737.12 | $131.15–$1,215.98 | — | 76% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT SINUS FUSION W/O CONTRAST | $425.25 | $1,264.73 | $131.15–$885.31 | — | 66% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD W O CONTRAST | $215.87 | $1,847.31 | $104.75–$1,570.21 | 75% below | 88% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD W O CONTRAST | $215.87 | $1,847.31 | $86.35–$1,293.12 | — | 88% |
| CT scan of the head with contrast CPT 70460 CT HEAD W CONTRAST | $215.87 | $2,068.61 | $151.79–$1,758.32 | 75% below | 90% |
| CT scan of the head with contrast inpatient CPT 70460 CT HEAD W CONTRAST | $215.87 | $2,068.61 | $86.35–$1,448.03 | — | 90% |
| CT scan of the head without and with contrast CPT 70470 CT HEAD W/WO CONTRAST | $1,083.60 | $2,606.84 | $174.94–$2,215.81 | 3% above | 58% |
| CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD W/WO CONTRAST | $1,083.60 | $2,606.84 | $177.76–$1,824.79 | — | 58% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W CONTRAST | $696.78 | $2,345.81 | $174.94–$1,993.94 | 34% below | 70% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W CONTRAST | $696.78 | $2,345.81 | $234.68–$1,642.07 | — | 70% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 US CAROTID DUPLEX | $3,248.30 | $977.56 | $71.40–$830.93 | 795% above | -232% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 US CAROTID DUPLEX | $3,248.30 | $977.56 | $176.68–$684.29 | — | -232% |
| Chest X-ray, 2 views CPT 71046 X-RAY EXAM CHEST 2 VIEWS | $35.54 | $57.33 | $23.69–$44.59 | 75% below | 38% |
| Chest X-ray, 2 views CPT 71046 XR CHEST 2 VIEW PA & LAT | $180.81 | $340.79 | $22.31–$289.67 | 26% above | 47% |
| Chest X-ray, 2 views CPT 71046 XR CHEST LAT. DECUB 2VIEWS | $369.60 | $292.94 | $22.31–$249.00 | 158% above | -26% |
| Chest X-ray, 2 views inpatient CPT 71046 XR CHEST 2 VIEW PA & LAT | $180.81 | $340.79 | $33.62–$238.55 | — | 47% |
| Chest X-ray, 2 views inpatient CPT 71046 XR CHEST LAT. DECUB 2VIEWS | $369.60 | $292.94 | $33.62–$205.06 | — | -26% |
| Chest X-ray, single view CPT 71045 X-RAY EXAM CHEST 1 VIEW | $26.04 | $42.00 | $10.19–$35.06 | 76% below | 38% |
| Chest X-ray, single view CPT 71045 XR EXAM CHEST 1 VIEW | $324.14 | $228.00 | $12.10–$193.80 | 201% above | -42% |
| Chest X-ray, single view CPT 71045 XR CHEST EMPLOYEE SNGL VW | $604.17 | $154.40 | $12.10–$131.24 | 461% above | -291% |
| Chest X-ray, single view inpatient CPT 71045 XR EXAM CHEST 1 VIEW | $324.14 | $228.00 | $25.63–$159.60 | — | -42% |
| Chest X-ray, single view inpatient CPT 71045 XR CHEST EMPLOYEE SNGL VW | $604.17 | $154.40 | $25.63–$108.08 | — | -291% |
| Complete ultrasound of the back of the abdomen, such as both kidneys both sides CPT 76770 US RENAL (KIDNEY) COMP. BILAT | $130.24 | $707.62 | $44.88–$601.48 | — | 82% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US AORTA | $130.24 | $707.62 | $44.88–$601.48 | 54% below | 82% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEAL COMPLETE | $586.53 | $707.62 | $44.88–$601.48 | 109% above | 17% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient both sides CPT 76770 US RENAL (KIDNEY) COMP. BILAT | $130.24 | $707.62 | $52.10–$495.33 | — | 82% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US AORTA | $130.24 | $707.62 | $52.10–$495.33 | — | 82% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RETROPERITONEAL COMPLETE | $586.53 | $707.62 | $108.18–$495.33 | — | 17% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 XR BMD DEXA SPINE >= 1 SITE | $200.66 | $399.38 | $38.95–$339.47 | 2% above | 50% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 XR BMD DEXA SPINE,ONE FEMUR | $416.75 | $399.38 | $38.95–$339.47 | 111% above | -4% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 XR BMD DEXA BOTH FEMURS | $422.26 | $399.38 | $38.95–$339.47 | 114% above | -6% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 XR BMD DEXA SPINE, BOTH FEMURS | $437.59 | $399.38 | $38.95–$339.47 | 122% above | -10% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 XR BMD DEXA SINGLE FEMUR | $821.36 | $399.38 | $38.95–$339.47 | 316% above | -106% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 XR BMD DEXA SPINE >= 1 SITE | $200.66 | $399.38 | $38.95–$279.57 | — | 50% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 XR BMD DEXA SPINE,ONE FEMUR | $416.75 | $399.38 | $38.95–$279.57 | — | -4% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 XR BMD DEXA BOTH FEMURS | $422.26 | $399.38 | $38.95–$279.57 | — | -6% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 XR BMD DEXA SPINE, BOTH FEMURS | $437.59 | $399.38 | $38.95–$279.57 | — | -10% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 XR BMD DEXA SINGLE FEMUR | $821.36 | $399.38 | $38.95–$279.57 | — | -106% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 XR BMD DEXA EXTREMITY >= 1 SIT | $59.22 | $214.16 | $31.62–$182.04 | 18% below | 72% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 XR BMD DEXA EXTREMITY >= 1 SIT | $59.22 | $214.16 | $23.69–$149.91 | — | 72% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORACIC AORTA W/O CONTRAST | $237.31 | $1,817.97 | $104.75–$1,545.27 | 69% below | 87% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST HIGH RES WO CONTRAST | $346.50 | $1,664.07 | $104.75–$1,414.46 | 55% below | 79% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT THORACIC AORTA W/O CONTRAST | $237.31 | $1,817.97 | $94.92–$1,272.58 | — | 87% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST HIGH RES WO CONTRAST | $346.50 | $1,664.07 | $136.15–$1,164.85 | — | 79% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MA bilat diagnostic w/cad | $102.53 | $407.48 | $111.86–$346.36 | — | 75% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MA BILAT DIAG MLO 1VIEW EA | $115.76 | $224.87 | $111.86–$333.20 | — | 49% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MA BILAT DIAG W ADD VIEW W/CAD | $125.69 | $428.33 | $111.86–$364.08 | — | 71% |
| Diagnostic mammogram, both breasts CPT 77066 MA IMPLANT DIAG W/CAD | $109.15 | $428.33 | $111.86–$364.08 | 48% below | 75% |
| Diagnostic mammogram, both breasts CPT 77066 MA BIL DIAG W ADD VIEW W/CAD | $252.37 | $421.38 | $111.86–$358.17 | 21% above | 40% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MA bilat diagnostic w/cad | $102.53 | $407.48 | $41.01–$333.20 | — | 75% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MA BILAT DIAG MLO 1VIEW EA | $115.76 | $224.87 | $44.97–$333.20 | — | 49% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MA BILAT DIAG W ADD VIEW W/CAD | $125.69 | $428.33 | $50.28–$333.20 | — | 71% |
| Diagnostic mammogram, both breasts inpatient CPT 77066 MA IMPLANT DIAG W/CAD | $109.15 | $428.33 | $43.66–$333.20 | — | 75% |
| Diagnostic mammogram, both breasts inpatient CPT 77066 MA BIL DIAG W ADD VIEW W/CAD | $252.37 | $421.38 | $84.28–$333.20 | — | 40% |
| Diagnostic mammogram, one breast CPT 77065 MA UNI DIAG ADD VIEW ONLY W/CA | $92.61 | $252.83 | $87.72–$263.20 | 38% below | 63% |
| Diagnostic mammogram, one breast CPT 77065 MA UNI DIAG W ADD VIEW W/CAD | $303.19 | $364.65 | $87.72–$309.95 | 102% above | 17% |
| Diagnostic mammogram, one breast CPT 77065 MA IMPLANT DIAG UNI W/CAD | $413.27 | $346.13 | $87.72–$294.21 | 176% above | -19% |
| Diagnostic mammogram, one breast one side CPT 77065 MA UNILATERAL DIAGNOSTIC W/CAD | $241.45 | $324.54 | $87.72–$275.86 | 61% above | 26% |
| Diagnostic mammogram, one breast inpatient CPT 77065 MA UNI DIAG ADD VIEW ONLY W/CA | $92.61 | $252.83 | $37.04–$263.20 | — | 63% |
| Diagnostic mammogram, one breast inpatient CPT 77065 MA UNI DIAG W ADD VIEW W/CAD | $303.19 | $364.65 | $72.93–$263.20 | — | 17% |
| Diagnostic mammogram, one breast inpatient CPT 77065 MA IMPLANT DIAG UNI W/CAD | $413.27 | $346.13 | $69.23–$263.20 | — | -19% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MA UNILATERAL DIAGNOSTIC W/CAD | $241.45 | $324.54 | $64.91–$263.20 | — | 26% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US ARTER/BILAT LOW/FEM DOPPLER | $912.21 | $812.06 | $74.46–$690.25 | — | -12% |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 US ARTER/BILAT LOW/FEM DOPPLER | $912.21 | $812.06 | $162.41–$568.44 | — | -12% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US VENOUS BILAT LOWER EXTREMITY | $187.54 | $864.44 | $42.84–$734.77 | — | 78% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US VENOUS BILAT UPPER EXTREMITY | $1,926.29 | $864.44 | $42.84–$734.77 | — | -123% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US VENOUS BILAT LOWER EXTREMITY | $187.54 | $864.44 | $75.02–$605.11 | — | 78% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US VENOUS BILAT UPPER EXTREMITY | $1,926.29 | $864.44 | $172.89–$605.11 | — | -123% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 EC ECHOCARDIOGRAM | $7,007.10 | $2,264.31 | $196.06–$1,924.66 | 535% above | -209% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 EC ECHOCARDIOGRAM | $7,007.10 | $2,264.31 | $182.57–$1,585.02 | — | -209% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 NPSG W/CPAP | $5,922.41 | $4,617.76 | $209.48–$3,925.10 | 106% above | -28% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 NPSG W/CPAP | $5,922.41 | $4,617.76 | $606.59–$3,232.43 | — | -28% |
| Knee X-ray, 3 views CPT 73562 XR KNEE 3 V | $153.25 | $274.71 | $35.70–$233.50 | at median | 44% |
| Knee X-ray, 3 views CPT 73562 XR KNEE 3 VIEW W/SUN | $217.25 | $334.72 | $35.70–$284.51 | 42% above | 35% |
| Knee X-ray, 3 views inpatient CPT 73562 XR KNEE 3 V | $153.25 | $274.71 | $40.94–$192.30 | — | 44% |
| Knee X-ray, 3 views inpatient CPT 73562 XR KNEE 3 VIEW W/SUN | $217.25 | $334.72 | $40.94–$234.30 | — | 35% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US BILARY TRACT ABD LIMITED | $106.50 | $653.18 | $20.40–$555.20 | 60% below | 84% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN LIMITED | $767.51 | $718.50 | $20.40–$610.73 | 191% above | -7% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US GALLBLADDER ABD LIMITED | $1,050.89 | $718.50 | $20.40–$610.73 | 298% above | -46% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US HEPATIC (LIVER) ABD LIMITED | $1,050.89 | $586.62 | $20.40–$498.63 | 298% above | -79% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US PANCREAS ABD LIMITED | $1,958.70 | $653.18 | $20.40–$555.20 | 642% above | -200% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US PALPABLE MASS ABDOMEN | $1,958.70 | $587.98 | $20.40–$499.78 | 642% above | -233% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US BILARY TRACT ABD LIMITED | $106.50 | $653.18 | $42.60–$457.23 | — | 84% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABDOMEN LIMITED | $767.51 | $718.50 | $86.88–$502.95 | — | -7% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US GALLBLADDER ABD LIMITED | $1,050.89 | $718.50 | $86.88–$502.95 | — | -46% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US HEPATIC (LIVER) ABD LIMITED | $1,050.89 | $586.62 | $86.88–$410.63 | — | -79% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US PANCREAS ABD LIMITED | $1,958.70 | $653.18 | $86.88–$457.23 | — | -200% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US PALPABLE MASS ABDOMEN | $1,958.70 | $587.98 | $86.88–$411.59 | — | -233% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 LDCT FOR LUNG CA SCREEN | $634.38 | $563.51 | $78.83–$1,000.00 | 317% above | -13% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 LDCT FOR LUNG CA SCREEN | $634.38 | $563.51 | $112.70–$394.46 | — | -13% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MR ANKLE | $2,807.81 | $2,666.01 | $208.05–$2,266.11 | 169% above | -5% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MR HIP W/O CONTRAST | $2,808.31 | $2,666.01 | $208.05–$2,266.11 | 169% above | -5% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MR ANKLE | $2,807.81 | $2,666.01 | $208.05–$1,866.21 | — | -5% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MR HIP W/O CONTRAST | $2,808.31 | $2,666.01 | $208.05–$1,866.21 | — | -5% |
| MRI of the abdomen without contrast CPT 74181 MR ABDOMEN W/O CONTRAST | $461.56 | $3,540.02 | $201.06–$3,009.02 | 62% below | 87% |
| MRI of the abdomen without contrast CPT 74181 MR CHOLANGIOGRAPHY | $5,294.52 | $2,635.91 | $201.06–$2,240.52 | 340% above | -101% |
| MRI of the abdomen without contrast inpatient CPT 74181 MR ABDOMEN W/O CONTRAST | $461.56 | $3,540.02 | $184.62–$2,478.01 | — | 87% |
| MRI of the abdomen without contrast inpatient CPT 74181 MR CHOLANGIOGRAPHY | $5,294.52 | $2,635.91 | $201.06–$1,845.14 | — | -101% |
| MRI of the brain, no contrast dye CPT 70551 MRI IAC W/O CONTRAST | $220.87 | $3,016.44 | $201.39–$2,563.97 | 82% below | 93% |
| MRI of the brain, no contrast dye CPT 70551 MR BRAIN W O CONTRAST | $255.11 | $2,892.93 | $201.39–$2,458.99 | 80% below | 91% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI IAC W/O CONTRAST | $220.87 | $3,016.44 | $88.35–$2,111.51 | — | 93% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MR BRAIN W O CONTRAST | $255.11 | $2,892.93 | $102.04–$2,025.05 | — | 91% |
| MRI of the brain, with and without contrast dye CPT 70553 MR PITUITARY W/WO CONTRAST | $1,449.79 | $4,533.26 | $326.88–$3,853.27 | 16% below | 68% |
| MRI of the brain, with and without contrast dye CPT 70553 MR IAC W/WO CONTRAST | $1,650.44 | $4,023.02 | $326.88–$3,419.57 | 5% below | 59% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MR PITUITARY W/WO CONTRAST | $1,449.79 | $4,533.26 | $326.88–$3,173.28 | — | 68% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MR IAC W/WO CONTRAST | $1,650.44 | $4,023.02 | $326.88–$2,816.11 | — | 59% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MR DORSAL SPINE W O CONTRAST | $206.45 | $2,832.98 | $195.40–$2,408.03 | 80% below | 93% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MR DORSAL SPINE W O CONTRAST | $206.45 | $2,832.98 | $82.58–$1,983.09 | — | 93% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MR C-SPINE W O CONTRAST | $312.01 | $2,998.38 | $195.73–$2,548.62 | 73% below | 90% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MR C-SPINE W O CONTRAST | $312.01 | $2,998.38 | $124.80–$2,098.87 | — | 90% |
| MRI of the pelvis without and with contrast CPT 72197 MR PELVIS W/WO CONTRAST | $578.81 | $4,273.95 | $345.86–$3,632.86 | 54% below | 86% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 MR PELVIS W/WO CONTRAST | $578.81 | $4,273.95 | $231.52–$2,991.77 | — | 86% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI UPPER EXT JT W/O CONTRAST | $325.08 | $2,704.21 | $208.38–$2,298.58 | 69% below | 88% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MR WRIST | $761.25 | $2,704.21 | $208.38–$2,298.58 | 27% below | 72% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MR SHOULDER W O CONTRAST | $790.65 | $2,704.21 | $208.38–$2,298.58 | 24% below | 71% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MRI UPPER EXT JT W/O CONTRAST | $325.08 | $2,704.21 | $130.03–$1,892.95 | — | 88% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MR WRIST | $761.25 | $2,704.21 | $208.38–$1,892.95 | — | 72% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MR SHOULDER W O CONTRAST | $790.65 | $2,704.21 | $208.38–$1,892.95 | — | 71% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC LIMITED | $72.77 | $591.78 | $24.48–$503.01 | 48% below | 88% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PELVIC LIMITED | $72.77 | $591.78 | $29.11–$414.25 | — | 88% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC NON OB | $285.94 | $666.79 | $40.80–$566.77 | 21% below | 57% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US BLADDER | $754.11 | $666.79 | $40.80–$566.77 | 108% above | -13% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIC NON OB | $285.94 | $666.79 | $105.19–$466.75 | — | 57% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US BLADDER | $754.11 | $666.79 | $105.19–$466.75 | — | -13% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB >= 14 WEEKS | $105.35 | $677.00 | $57.12–$575.45 | 63% below | 84% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB >= 14 WEEKS | $105.35 | $677.00 | $42.14–$473.90 | — | 84% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 OB US < 14 WKS SINGLE FETUS | $105.35 | $583.44 | $43.61–$495.92 | 63% below | 82% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 OB US < 14 WKS SINGLE FETUS | $105.35 | $583.44 | $42.14–$408.41 | — | 82% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OB US LIMITED FETUS(S) | $87.59 | $141.28 | $111.88–$141.16 | 47% below | 38% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB/GYN LIMITED | $745.29 | $483.99 | $26.52–$411.39 | 352% above | -54% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US OB/GYN LIMITED | $745.29 | $483.99 | $80.89–$338.79 | — | -54% |
| Screening mammogram, both breasts both sides CPT 77067 MA BILAT SCREENING W/CAD | $212.78 | $243.11 | $92.75–$268.80 | — | 12% |
| Screening mammogram, both breasts CPT 77067 MA IMPLANT SCREENING BIL W/CAD | $168.68 | $243.11 | $92.75–$268.80 | 24% above | 31% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 MA BILAT SCREENING W/CAD | $212.78 | $243.11 | $48.62–$268.80 | — | 12% |
| Screening mammogram, both breasts inpatient CPT 77067 MA IMPLANT SCREENING BIL W/CAD | $168.68 | $243.11 | $48.62–$268.80 | — | 31% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 X-RAY EXAM OF SHOULDER | $35.04 | $56.51 | $10.08–$49.49 | 75% below | 38% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 XR SHOULD >= 2 VWS | $578.81 | $302.14 | $20.40–$256.82 | 319% above | -92% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 XR SHOULD >=2 VIEWS | $2,663.85 | $283.68 | $20.40–$241.13 | 1827% above | -839% |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 XR SHOULD >= 2 VWS | $578.81 | $302.14 | $34.95–$211.50 | — | -92% |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 XR SHOULD >=2 VIEWS | $2,663.85 | $283.68 | $34.95–$198.58 | — | -839% |
| Sleep study in a lab (polysomnography) CPT 95810 NPSG | $7,007.10 | $4,155.88 | $124.44–$3,532.50 | 233% above | -69% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 NPSG | $7,007.10 | $4,155.88 | $580.24–$2,909.12 | — | -69% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 XR BARIUM SWALLOW MODIFIED TV | $213.89 | $478.77 | $29.58–$406.95 | at median | 55% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 XR ESOPHAGRAM MODIFIED TV | $266.81 | $512.83 | $29.58–$435.91 | 25% above | 48% |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 XR BARIUM SWALLOW MODIFIED TV | $213.89 | $478.77 | $85.56–$335.14 | — | 55% |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 XR ESOPHAGRAM MODIFIED TV | $266.81 | $512.83 | $102.57–$358.98 | — | 48% |
| Transvaginal pelvic ultrasound CPT 76830 US NON-OB TRANSVAGINAL | $179.72 | $666.79 | $69.36–$566.77 | 46% below | 73% |
| Transvaginal pelvic ultrasound CPT 76830 US INTRALUMINAL , NON OB | $327.84 | $733.47 | $69.36–$623.45 | 2% below | 55% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US NON-OB TRANSVAGINAL | $179.72 | $666.79 | $71.89–$466.75 | — | 73% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US INTRALUMINAL , NON OB | $327.84 | $733.47 | $119.17–$513.43 | — | 55% |
| Transvaginal ultrasound during pregnancy CPT 76817 US OBST INTRALUMINAL | $632.84 | $563.20 | $59.67–$478.72 | 84% above | -12% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 US OBST INTRALUMINAL | $632.84 | $563.20 | $92.54–$394.24 | — | -12% |
| Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN SURVEY | $131.97 | $881.12 | $57.12–$748.95 | 71% below | 85% |
| Ultrasound of the abdomen, complete CPT 76700 US ADRENALS | $192.94 | $881.12 | $57.12–$748.95 | 58% below | 78% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMEN SURVEY | $131.97 | $881.12 | $52.79–$616.78 | — | 85% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US ADRENALS | $192.94 | $881.12 | $77.18–$616.78 | — | 78% |
| Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM & CONTENTS WITH DUPLEX | $1,250.24 | $687.32 | $31.62–$584.22 | 255% above | -82% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 US SCROTUM & CONTENTS WITH DUPLEX | $1,250.24 | $687.32 | $99.86–$481.12 | — | -82% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US THYROID/PAROTID/NECK | $3,529.68 | $546.27 | $55.08–$464.33 | 818% above | -546% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US THYROID/PAROTID/NECK | $3,529.68 | $546.27 | $109.25–$382.39 | — | -546% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR UPPER GI | $186.76 | $796.45 | $30.60–$676.98 | 22% below | 77% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR UPPER GI, W/SMALL BOWEL | $1,573.29 | $1,199.52 | $30.60–$1,019.59 | 556% above | -31% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 XR UPPER GI | $186.76 | $796.45 | $74.70–$557.52 | — | 77% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 XR UPPER GI, W/SMALL BOWEL | $1,573.29 | $1,199.52 | $122.50–$839.66 | — | -31% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 US VENOUS UNI UPPER EXTREMITY | $1,928.61 | $613.21 | $74.46–$521.23 | 425% above | -215% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 US VENOUS UNI LOWER EXTREMITY | $2,684.54 | $642.41 | $74.46–$546.05 | 631% above | -318% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 US VENOUS UNI UPPER EXTREMITY | $1,928.61 | $613.21 | $110.66–$429.25 | — | -215% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 US VENOUS UNI LOWER EXTREMITY | $2,684.54 | $642.41 | $110.66–$449.69 | — | -318% |
| Wrist X-ray, complete, 3 or more views CPT 73110 X-RAY EXAM OF WRIST | $41.01 | $66.15 | $25.63–$54.35 | 72% below | 38% |
| Wrist X-ray, complete, 3 or more views CPT 73110 XR WRIST >=3 VIEWS | $79.38 | $223.15 | $23.46–$189.68 | 45% below | 64% |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 XR WRIST >=3 VIEWS | $79.38 | $223.15 | $31.75–$156.21 | — | 64% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 X-RAY EXAM HIP UNI 2-3 VIEWS | $41.10 | $66.29 | $37.51–$66.27 | 68% below | 38% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 XR PELVIS W/HIP 2-3 VIEW | $384.63 | $382.02 | $28.40–$324.72 | 200% above | -1% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP 2-3 VW UNILATERAL | $147.40 | $312.85 | $28.40–$265.92 | 15% above | 53% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 XR PELVIS W/HIP 2-3 VIEW | $384.63 | $382.02 | $47.60–$267.41 | — | -1% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR HIP 2-3 VW UNILATERAL | $147.40 | $312.85 | $47.60–$219.00 | — | 53% |
| X-ray of the abdomen, 1 view CPT 74018 X-RAY EXAM ABDOMEN 1 VIEW | $28.97 | $46.73 | $9.73–$39.93 | 80% below | 38% |
| X-ray of the abdomen, 1 view CPT 74018 XR KUB 1VIEW ABD | $478.49 | $257.10 | $20.67–$218.54 | 229% above | -86% |
| X-ray of the abdomen, 1 view CPT 74018 XR ABD KUB 1 VIEW | $502.41 | $245.42 | $20.67–$208.61 | 245% above | -105% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 XR KUB 1VIEW ABD | $478.49 | $257.10 | $30.29–$179.97 | — | -86% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 XR ABD KUB 1 VIEW | $502.41 | $245.42 | $30.29–$171.79 | — | -105% |
| X-ray of the ankle, 2 views CPT 73600 XR ANKLE 2 V | $112.64 | $214.16 | $30.60–$182.04 | at median | 47% |
| X-ray of the ankle, 2 views inpatient CPT 73600 XR ANKLE 2 V | $112.64 | $214.16 | $32.29–$149.91 | — | 47% |
| X-ray of the finger(s), 2 or more views CPT 73140 X-RAY EXAM OF FINGER(S) | $35.81 | $57.75 | $30.99–$49.90 | 67% below | 38% |
| X-ray of the finger(s), 2 or more views CPT 73140 XR FINGER >=2 VIEWS | $99.56 | $169.02 | $16.32–$143.67 | 7% below | 41% |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 XR FINGER >=2 VIEWS | $99.56 | $169.02 | $33.80–$118.31 | — | 41% |
| X-ray of the foot, 2 views CPT 73620 XR FOOT 2 V | $165.38 | $282.46 | $23.46–$240.09 | 54% above | 41% |
| X-ray of the foot, 2 views inpatient CPT 73620 XR FOOT 2 V | $165.38 | $282.46 | $28.63–$197.72 | — | 41% |
| X-ray of the foot, complete, 3 or more views CPT 73630 X-RAY EXAM OF FOOT | $35.71 | $57.60 | $8.99–$46.58 | 75% below | 38% |
| X-ray of the foot, complete, 3 or more views CPT 73630 XR FOOT >=3 VIEWS | $187.43 | $314.11 | $28.56–$266.99 | 32% above | 40% |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 XR FOOT >=3 VIEWS | $187.43 | $314.11 | $34.29–$219.88 | — | 40% |
| X-ray of the hand, 3 or more views CPT 73130 X-RAY EXAM OF HAND | $36.91 | $59.54 | $21.16–$49.68 | 80% below | 38% |
| X-ray of the knee, 1 or 2 views CPT 73560 X-RAY EXAM OF KNEE 1 OR 2 | $35.71 | $57.60 | $23.90–$49.50 | 69% below | 38% |
| X-ray of the knee, 1 or 2 views CPT 73560 XR KNEE 1-2 V | $140.79 | $239.63 | $25.50–$203.69 | 21% above | 41% |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 XR KNEE 1-2 V | $140.79 | $239.63 | $34.29–$167.74 | — | 41% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 X-RAY EXAM L-S SPINE 2/3 VWS | $41.10 | $66.29 | $31.69–$58.45 | 79% below | 38% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR LUMBAR SPINE 2-3 VIEW ROUTI | $183.02 | $336.87 | $28.56–$286.34 | 4% below | 46% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR LUMBAR SPINE 2-3 VIEW | $748.60 | $319.50 | $28.56–$271.58 | 291% above | -134% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR LUMBAR SPINE 2-3 VIEW ROUTI | $183.02 | $336.87 | $39.95–$235.81 | — | 46% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR LUMBAR SPINE 2-3 VIEW | $748.60 | $319.50 | $39.95–$223.65 | — | -134% |
| X-ray of the lower back, 4 or more views CPT 72110 XR LUMBAR SPINE W/OBLIQ >= 4V | $719.93 | $480.42 | $40.80–$408.36 | 151% above | -50% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 XR LUMBAR SPINE W/OBLIQ >= 4V | $719.93 | $480.42 | $51.93–$336.29 | — | -50% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 X-RAY EXAM OF THORACIC SPINE | $37.11 | $59.85 | $33.85–$57.32 | 82% below | 38% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR THORACIC SPINE 2 VIEW | $152.81 | $308.04 | $24.48–$261.83 | 24% below | 50% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XR THORACIC SPINE 2 VIEW | $152.81 | $308.04 | $32.95–$215.63 | — | 50% |
| X-ray of the nasal bones, 3 or more views CPT 70160 XR NASAL BONES >=3 VIEWS | $78.28 | $239.63 | $23.46–$203.69 | 27% below | 67% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XR NASAL BONES >=3 VIEWS | $78.28 | $239.63 | $31.31–$167.74 | — | 67% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 X-RAY EXAM NECK SPINE 2-3 VW | $40.43 | $65.21 | $11.99–$54.73 | 66% below | 38% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR C-SPINE 2-3 VIEWS | $159.60 | $319.50 | $28.56–$271.58 | 33% above | 50% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR C-SPINE 2-3 VIEWS | $159.60 | $319.50 | $39.61–$223.65 | — | 50% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 X-RAY EXAM OF PELVIS | $30.32 | $48.90 | $9.34–$45.37 | 80% below | 38% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS 1 OR 2 VIEW | $316.03 | $325.02 | $21.42–$276.27 | 103% above | 3% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR PELVIS 1 OR 2 VIEW | $316.03 | $325.02 | $27.96–$227.51 | — | 3% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 X-RAY EXAM OF TAILBONE | $33.02 | $53.25 | $27.75–$48.80 | 73% below | 38% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR SACRUM/COCCYX >=2V MIN | $194.04 | $333.40 | $17.34–$283.39 | 58% above | 42% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR SACRUM/COCCYX >=2V MIN | $194.04 | $333.40 | $32.62–$233.38 | — | 42% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Arkansas | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALANINE AMINO (ALT) (SGPT) | $7.81 | $12.60 | $3.64–$8.19 | 71% below | 38% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 GPT ALANINE AMINO TRANSFERASE | $910.67 | $62.09 | $6.04–$52.78 | 3317% above | -1367% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 GPT ALANINE AMINO TRANSFERASE | $910.67 | $62.09 | $12.42–$43.46 | — | -1367% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 TRANSFERASE (AST) (SGOT) | $7.81 | $12.60 | $3.55–$8.19 | 74% below | 38% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 GOT ASPARTATE AMINO TRANSFERASE | $18.52 | $63.37 | $5.91–$53.86 | 39% below | 71% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 GOT ASPARTATE AMINO TRANSFERASE | $18.52 | $63.37 | $12.67–$44.36 | — | 71% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL | $46.22 | $74.55 | $32.67 | 78% below | 38% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS A,B,C PANEL | $48.51 | $328.90 | $54.30–$279.57 | 77% below | 85% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS A,B,C PANEL | $48.51 | $328.90 | $65.78–$230.23 | — | 85% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE | $7.81 | $12.60 | $3.58–$8.19 | 52% below | 38% |
| Allergy blood test, specific IgE, per allergen CPT 86003 EGG MIX | $13.89 | $58.77 | $5.95–$49.95 | 15% below | 76% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ORANGE (f33) IgE | $15.05 | $59.24 | $5.95–$50.35 | 8% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 LAMB (f88) IgE | $15.05 | $59.24 | $5.95–$50.35 | 8% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 BANANA (f92) IgE | $15.05 | $59.24 | $5.95–$50.35 | 8% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 COW'S MILK (f2) | $15.44 | $58.77 | $5.95–$49.95 | 6% below | 74% |
| Allergy blood test, specific IgE, per allergen CPT 86003 MANGO FRUIT (f91) IgE | $18.52 | $59.24 | $5.95–$50.35 | 13% above | 69% |
| Allergy blood test, specific IgE, per allergen CPT 86003 COCKROACH IgE (iG) | $18.74 | $59.24 | $5.95–$50.35 | 14% above | 68% |
| Allergy blood test, specific IgE, per allergen CPT 86003 MELONS (f87) | $19.68 | $59.24 | $5.95–$50.35 | 20% above | 67% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PINEAPPLE (f210) IgE | $19.68 | $59.24 | $5.95–$50.35 | 20% above | 67% |
| Allergy blood test, specific IgE, per allergen CPT 86003 YEAST (f45) IgE | $22.00 | $59.24 | $5.95–$50.35 | 34% above | 63% |
| Allergy blood test, specific IgE, per allergen CPT 86003 DERMATOPHAGOIDES PTERONYSSINUS | $29.77 | $58.77 | $5.95–$49.95 | 81% above | 49% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PENICILLIUM NOTATUM (M1)IGE | $30.10 | $58.77 | $5.95–$49.95 | 83% above | 49% |
| Allergy blood test, specific IgE, per allergen CPT 86003 WALNUT TREE (T10) IGE | $30.10 | $58.77 | $5.95–$49.95 | 83% above | 49% |
| Allergy blood test, specific IgE, per allergen CPT 86003 GLUTEN (f79) IgE | $31.26 | $59.24 | $5.95–$50.35 | 90% above | 47% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ASPERGILLUS FUMIGATUS (M3) IGE | $31.26 | $58.77 | $5.95–$49.95 | 90% above | 47% |
| Allergy blood test, specific IgE, per allergen CPT 86003 MAPLE (BOX ELDER) (T1) IGE | $38.59 | $58.77 | $5.95–$49.95 | 135% above | 34% |
| Allergy blood test, specific IgE, per allergen CPT 86003 MOUNTAIN CEDAR (T6) IGE | $48.51 | $58.77 | $5.95–$49.95 | 195% above | 17% |
| Allergy blood test, specific IgE, per allergen CPT 86003 EGG WHITE (f1) | $61.35 | $58.66 | $5.95–$49.86 | 273% above | -5% |
| Allergy blood test, specific IgE, per allergen CPT 86003 OAK (T7) IGE | $69.46 | $58.77 | $5.95–$49.95 | 323% above | -18% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SUGAR CANE IgE | $106.50 | $59.24 | $5.95–$50.35 | 548% above | -80% |
| Allergy blood test, specific IgE, per allergen CPT 86003 GALACTOSE ALPHA 1,3 Ige | $155.45 | $65.78 | $5.95–$55.91 | 846% above | -136% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CEREAL GROUP, PNL15 | $155.45 | $39.90 | $5.95–$33.92 | 846% above | -290% |
| Allergy blood test, specific IgE, per allergen CPT 86003 TIMOTHY GRASS (G6) IGE | $165.38 | $58.77 | $5.95–$49.95 | 907% above | -181% |
| Allergy blood test, specific IgE, per allergen CPT 86003 GINGER (f270) IgE | $175.30 | $59.24 | $5.95–$50.35 | 967% above | -196% |
| Allergy blood test, specific IgE, per allergen CPT 86003 COCONUT IgE (f36) | $186.32 | $39.90 | $5.95–$33.92 | 1034% above | -367% |
| Allergy blood test, specific IgE, per allergen CPT 86003 WHEAT (F4) | $188.53 | $58.77 | $5.95–$49.95 | 1047% above | -221% |
| Allergy blood test, specific IgE, per allergen CPT 86003 COMMON RAGWEED (SHORT) (W1)IGE | $202.86 | $58.77 | $5.95–$49.95 | 1135% above | -245% |
| Allergy blood test, specific IgE, per allergen CPT 86003 TUMERIC (C.LONGA) IgE | $216.09 | $59.24 | $5.95–$50.35 | 1215% above | -265% |
| Allergy blood test, specific IgE, per allergen CPT 86003 BERMUDA GRASS(G2)IGE | $240.35 | $58.77 | $5.95–$49.95 | 1363% above | -309% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HICKORY/PECAN TREE (T22)IGE | $292.16 | $58.77 | $5.95–$49.95 | 1678% above | -397% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ELM (T8) IGE | $306.50 | $58.77 | $5.95–$49.95 | 1765% above | -422% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ROUGH PIGWEED (W14) IGE | $320.83 | $58.77 | $5.95–$49.95 | 1853% above | -446% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CHILI PEPPER(f279)IgE | $324.14 | $59.24 | $5.95–$50.35 | 1873% above | -447% |
| Allergy blood test, specific IgE, per allergen CPT 86003 DERMATOPHAGOIDES FARINAE (d2) | $335.72 | $58.77 | $5.95–$49.95 | 1943% above | -471% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RASPBERRY (RF343) IgE | $338.47 | $59.24 | $5.95–$50.35 | 1960% above | -471% |
| Allergy blood test, specific IgE, per allergen CPT 86003 WHITE MULBERRY (T70)IGE | $361.62 | $58.77 | $5.95–$49.95 | 2101% above | -515% |
| Allergy blood test, specific IgE, per allergen CPT 86003 JALAPENO PEPPER RAST IgE | $461.90 | $59.24 | $5.95–$50.35 | 2711% above | -680% |
| Allergy blood test, specific IgE, per allergen CPT 86003 BLACK OLIVE (rf342) IgE | $483.89 | $59.24 | $5.95–$50.35 | 2845% above | -717% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ONION (f48) IgE | $484.00 | $59.24 | $5.95–$50.35 | 2846% above | -717% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PORK (f26) IgE | $484.00 | $59.24 | $5.95–$50.35 | 2846% above | -717% |
| Allergy blood test, specific IgE, per allergen CPT 86003 GRAPE (f259) IgE | $514.58 | $59.24 | $5.95–$50.35 | 3032% above | -769% |
| Allergy blood test, specific IgE, per allergen CPT 86003 TOMATO (f25) IgE | $537.44 | $59.24 | $5.95–$50.35 | 3171% above | -807% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CINNAMON (f220) IgE | $546.84 | $59.24 | $5.95–$50.35 | 3228% above | -823% |
| Allergy blood test, specific IgE, per allergen CPT 86003 STRAWBERRY (f44) IgE | $546.84 | $59.24 | $5.95–$50.35 | 3228% above | -823% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CLADOSPORIUM HERBARUM (M2) | $555.66 | $58.77 | $5.95–$49.95 | 3282% above | -845% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HONEY IgE (f247) | $556.82 | $59.24 | $5.95–$50.35 | 3289% above | -840% |
| Allergy blood test, specific IgE, per allergen CPT 86003 MACADAMIA NUT (rf345) IgE | $573.30 | $59.24 | $5.95–$50.35 | 3389% above | -868% |
| Allergy blood test, specific IgE, per allergen CPT 86003 APPLE (f49) IgE | $573.30 | $59.24 | $5.95–$50.35 | 3389% above | -868% |
| Allergy blood test, specific IgE, per allergen CPT 86003 BIRCH (T3) GE 10647 | $578.81 | $58.77 | $5.95–$49.95 | 3423% above | -885% |
| Allergy blood test, specific IgE, per allergen CPT 86003 MUSTARD (f89) IgE | $580.80 | $59.24 | $5.95–$50.35 | 3435% above | -880% |
| Allergy blood test, specific IgE, per allergen CPT 86003 COCOA (f93) IgE | $600.81 | $59.24 | $5.95–$50.35 | 3557% above | -914% |
| Allergy blood test, specific IgE, per allergen CPT 86003 MAIZE/CORN (f8) IgE | $635.04 | $58.77 | $5.95–$49.95 | 3765% above | -981% |
| Allergy blood test, specific IgE, per allergen CPT 86003 GREEN BEAN (f315) IgE | $641.66 | $59.24 | $5.95–$50.35 | 3805% above | -983% |
| Allergy blood test, specific IgE, per allergen CPT 86003 MUSHROOM (f212) IgE | $641.66 | $71.10 | $5.95–$60.44 | 3805% above | -802% |
| Allergy blood test, specific IgE, per allergen CPT 86003 BRAZIL NUT (f18) IgE | $641.66 | $59.24 | $5.95–$50.35 | 3805% above | -983% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ROUGH MARSH ELDER (w16) IgE | $641.66 | $59.24 | $5.95–$50.35 | 3805% above | -983% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CLAM (f207) IgE | $641.66 | $59.24 | $5.95–$50.35 | 3805% above | -983% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CHEDDAR CHEESE (f81) IgE | $668.12 | $59.24 | $5.95–$50.35 | 3966% above | -1028% |
| Allergy blood test, specific IgE, per allergen CPT 86003 OAT (f7) IgE | $668.12 | $59.24 | $5.95–$50.35 | 3966% above | -1028% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CAULIFLOWER (f291) IgE | $668.12 | $59.24 | $5.95–$50.35 | 3966% above | -1028% |
| Allergy blood test, specific IgE, per allergen CPT 86003 LETTUCE (f215) IgE | $668.12 | $59.24 | $5.95–$50.35 | 3966% above | -1028% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CUMCUMBER (f244) IgE | $668.12 | $59.24 | $5.95–$50.35 | 3966% above | -1028% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CHEESE MOLD TYPE (f82) IgE | $668.12 | $59.24 | $5.95–$50.35 | 3966% above | -1028% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CODFISH (F3) | $673.63 | $58.77 | $5.95–$49.95 | 4000% above | -1046% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CAT DANDER(E1) | $673.63 | $58.77 | $5.95–$49.95 | 4000% above | -1046% |
| Allergy blood test, specific IgE, per allergen CPT 86003 WALNUT (F256) | $673.63 | $58.77 | $5.95–$49.95 | 4000% above | -1046% |
| Allergy blood test, specific IgE, per allergen CPT 86003 DOG DANDER (E5) | $673.63 | $58.77 | $5.95–$49.95 | 4000% above | -1046% |
| Allergy blood test, specific IgE, per allergen CPT 86003 MOUSE URINE PROTEIN (E72) | $673.63 | $58.77 | $5.95–$49.95 | 4000% above | -1046% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SOYBEAN(F14) | $673.63 | $58.77 | $5.95–$49.95 | 4000% above | -1046% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SHRIMP (F24) | $673.63 | $58.77 | $5.95–$49.95 | 4000% above | -1046% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CASHEW NUT (F202) IgE | $682.45 | $58.77 | $5.95–$49.95 | 4054% above | -1061% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CARROT (F31) IgE | $682.45 | $58.66 | $5.95–$49.86 | 4054% above | -1063% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IgE | $682.45 | $59.24 | $5.95–$50.35 | 4054% above | -1052% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SESAME SEED (F10) IgE | $682.45 | $58.77 | $5.95–$49.95 | 4054% above | -1061% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SCALLOP (F338) IgE | $682.45 | $58.77 | $5.95–$49.95 | 4054% above | -1061% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SALMON (F41) IgE | $682.45 | $58.77 | $5.95–$49.95 | 4054% above | -1061% |
| Allergy blood test, specific IgE, per allergen CPT 86003 TUNA (F40) IgE | $682.45 | $58.77 | $5.95–$49.95 | 4054% above | -1061% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HAZELNUT (F17) IgE | $682.45 | $58.77 | $5.95–$49.95 | 4054% above | -1061% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CHERRY (f242) IgE | $695.68 | $59.24 | $5.95–$50.35 | 4134% above | -1074% |
| Allergy blood test, specific IgE, per allergen CPT 86003 BEEF (f27) IgE | $695.68 | $59.24 | $5.95–$50.35 | 4134% above | -1074% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PEANUT (F13) | $706.70 | $58.77 | $5.95–$49.95 | 4201% above | -1102% |
| Allergy blood test, specific IgE, per allergen CPT 86003 BLUEBERRY (f288) IgE | $708.47 | $59.24 | $5.95–$50.35 | 4212% above | -1096% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SUNFLOWER (w204) IgE | $712.22 | $59.24 | $5.95–$50.35 | 4235% above | -1102% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CHICKEN MEAT (f83) IgE | $729.86 | $59.24 | $5.95–$50.35 | 4342% above | -1132% |
| Allergy blood test, specific IgE, per allergen CPT 86003 AVOCADO (f96) IgE | $868.22 | $59.24 | $5.95–$50.35 | 5184% above | -1366% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CARROT (f31) IgE | $868.22 | $58.77 | $5.95–$49.95 | 5184% above | -1377% |
| Allergy blood test, specific IgE, per allergen CPT 86003 wheat | $868.77 | $58.77 | $5.95–$49.95 | 5188% above | -1378% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALTERNARIA ALTERNATA MG | $868.77 | $58.77 | $5.95–$49.95 | 5188% above | -1378% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SUNFLOWER SEED (k84) IgE | $868.77 | $59.24 | $5.95–$50.35 | 5188% above | -1367% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALMOND | $972.41 | $58.77 | $5.95–$49.95 | 5819% above | -1555% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PISTACHIO | $1,157.63 | $58.77 | $5.95–$49.95 | 6946% above | -1870% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PEA (f12) IgE | $1,365.00 | $58.77 | $5.95–$49.95 | 8208% above | -2223% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PECAN NUT | $1,433.25 | $58.77 | $5.95–$49.95 | 8623% above | -2339% |
| Allergy blood test, specific IgE, per allergen CPT 86003 WATERMELON (RF329) IgE | $1,464.39 | $59.24 | $5.95–$50.35 | 8813% above | -2372% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 EGG MIX | $13.89 | $58.77 | $11.75–$41.14 | — | 76% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LAMB (f88) IgE | $15.05 | $59.24 | $11.85–$41.47 | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BANANA (f92) IgE | $15.05 | $59.24 | $11.85–$41.47 | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ORANGE (f33) IgE | $15.05 | $59.24 | $11.85–$41.47 | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COW'S MILK (f2) | $15.44 | $58.77 | $11.75–$41.14 | — | 74% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MANGO FRUIT (f91) IgE | $18.52 | $59.24 | $11.85–$41.47 | — | 69% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COCKROACH IgE (iG) | $18.74 | $59.24 | $11.85–$41.47 | — | 68% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PINEAPPLE (f210) IgE | $19.68 | $59.24 | $11.85–$41.47 | — | 67% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MELONS (f87) | $19.68 | $59.24 | $11.85–$41.47 | — | 67% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 YEAST (f45) IgE | $22.00 | $59.24 | $11.85–$41.47 | — | 63% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 DERMATOPHAGOIDES PTERONYSSINUS | $29.77 | $58.77 | $11.75–$41.14 | — | 49% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WALNUT TREE (T10) IGE | $30.10 | $58.77 | $11.75–$41.14 | — | 49% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PENICILLIUM NOTATUM (M1)IGE | $30.10 | $58.77 | $11.75–$41.14 | — | 49% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ASPERGILLUS FUMIGATUS (M3) IGE | $31.26 | $58.77 | $11.75–$41.14 | — | 47% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GLUTEN (f79) IgE | $31.26 | $59.24 | $11.85–$41.47 | — | 47% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MAPLE (BOX ELDER) (T1) IGE | $38.59 | $58.77 | $11.75–$41.14 | — | 34% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MOUNTAIN CEDAR (T6) IGE | $48.51 | $58.77 | $11.75–$41.14 | — | 17% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 EGG WHITE (f1) | $61.35 | $58.66 | $11.73–$41.06 | — | -5% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 OAK (T7) IGE | $69.46 | $58.77 | $11.75–$41.14 | — | -18% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SUGAR CANE IgE | $106.50 | $59.24 | $11.85–$41.47 | — | -80% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CEREAL GROUP, PNL15 | $155.45 | $39.90 | $7.98–$27.93 | — | -290% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GALACTOSE ALPHA 1,3 Ige | $155.45 | $65.78 | $13.16–$46.05 | — | -136% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TIMOTHY GRASS (G6) IGE | $165.38 | $58.77 | $11.75–$41.14 | — | -181% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GINGER (f270) IgE | $175.30 | $59.24 | $11.85–$41.47 | — | -196% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COCONUT IgE (f36) | $186.32 | $39.90 | $7.98–$27.93 | — | -367% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WHEAT (F4) | $188.53 | $58.77 | $11.75–$41.14 | — | -221% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COMMON RAGWEED (SHORT) (W1)IGE | $202.86 | $58.77 | $11.75–$41.14 | — | -245% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TUMERIC (C.LONGA) IgE | $216.09 | $59.24 | $11.85–$41.47 | — | -265% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BERMUDA GRASS(G2)IGE | $240.35 | $58.77 | $11.75–$41.14 | — | -309% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HICKORY/PECAN TREE (T22)IGE | $292.16 | $58.77 | $11.75–$41.14 | — | -397% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ELM (T8) IGE | $306.50 | $58.77 | $11.75–$41.14 | — | -422% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ROUGH PIGWEED (W14) IGE | $320.83 | $58.77 | $11.75–$41.14 | — | -446% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHILI PEPPER(f279)IgE | $324.14 | $59.24 | $11.85–$41.47 | — | -447% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 DERMATOPHAGOIDES FARINAE (d2) | $335.72 | $58.77 | $11.75–$41.14 | — | -471% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RASPBERRY (RF343) IgE | $338.47 | $59.24 | $11.85–$41.47 | — | -471% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WHITE MULBERRY (T70)IGE | $361.62 | $58.77 | $11.75–$41.14 | — | -515% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 JALAPENO PEPPER RAST IgE | $461.90 | $59.24 | $11.85–$41.47 | — | -680% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BLACK OLIVE (rf342) IgE | $483.89 | $59.24 | $11.85–$41.47 | — | -717% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PORK (f26) IgE | $484.00 | $59.24 | $11.85–$41.47 | — | -717% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ONION (f48) IgE | $484.00 | $59.24 | $11.85–$41.47 | — | -717% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GRAPE (f259) IgE | $514.58 | $59.24 | $11.85–$41.47 | — | -769% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TOMATO (f25) IgE | $537.44 | $59.24 | $11.85–$41.47 | — | -807% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 STRAWBERRY (f44) IgE | $546.84 | $59.24 | $11.85–$41.47 | — | -823% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CINNAMON (f220) IgE | $546.84 | $59.24 | $11.85–$41.47 | — | -823% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CLADOSPORIUM HERBARUM (M2) | $555.66 | $58.77 | $11.75–$41.14 | — | -845% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HONEY IgE (f247) | $556.82 | $59.24 | $11.85–$41.47 | — | -840% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MACADAMIA NUT (rf345) IgE | $573.30 | $59.24 | $11.85–$41.47 | — | -868% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 APPLE (f49) IgE | $573.30 | $59.24 | $11.85–$41.47 | — | -868% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BIRCH (T3) GE 10647 | $578.81 | $58.77 | $11.75–$41.14 | — | -885% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MUSTARD (f89) IgE | $580.80 | $59.24 | $11.85–$41.47 | — | -880% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COCOA (f93) IgE | $600.81 | $59.24 | $11.85–$41.47 | — | -914% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MAIZE/CORN (f8) IgE | $635.04 | $58.77 | $11.75–$41.14 | — | -981% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ROUGH MARSH ELDER (w16) IgE | $641.66 | $59.24 | $11.85–$41.47 | — | -983% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BRAZIL NUT (f18) IgE | $641.66 | $59.24 | $11.85–$41.47 | — | -983% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CLAM (f207) IgE | $641.66 | $59.24 | $11.85–$41.47 | — | -983% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GREEN BEAN (f315) IgE | $641.66 | $59.24 | $11.85–$41.47 | — | -983% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MUSHROOM (f212) IgE | $641.66 | $71.10 | $14.22–$49.77 | — | -802% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHEESE MOLD TYPE (f82) IgE | $668.12 | $59.24 | $11.85–$41.47 | — | -1028% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHEDDAR CHEESE (f81) IgE | $668.12 | $59.24 | $11.85–$41.47 | — | -1028% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CAULIFLOWER (f291) IgE | $668.12 | $59.24 | $11.85–$41.47 | — | -1028% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 OAT (f7) IgE | $668.12 | $59.24 | $11.85–$41.47 | — | -1028% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CUMCUMBER (f244) IgE | $668.12 | $59.24 | $11.85–$41.47 | — | -1028% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LETTUCE (f215) IgE | $668.12 | $59.24 | $11.85–$41.47 | — | -1028% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SOYBEAN(F14) | $673.63 | $58.77 | $11.75–$41.14 | — | -1046% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 DOG DANDER (E5) | $673.63 | $58.77 | $11.75–$41.14 | — | -1046% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SHRIMP (F24) | $673.63 | $58.77 | $11.75–$41.14 | — | -1046% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WALNUT (F256) | $673.63 | $58.77 | $11.75–$41.14 | — | -1046% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CAT DANDER(E1) | $673.63 | $58.77 | $11.75–$41.14 | — | -1046% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CODFISH (F3) | $673.63 | $58.77 | $11.75–$41.14 | — | -1046% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MOUSE URINE PROTEIN (E72) | $673.63 | $58.77 | $11.75–$41.14 | — | -1046% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HAZELNUT (F17) IgE | $682.45 | $58.77 | $11.75–$41.14 | — | -1061% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CARROT (F31) IgE | $682.45 | $58.66 | $11.73–$41.06 | — | -1063% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TUNA (F40) IgE | $682.45 | $58.77 | $11.75–$41.14 | — | -1061% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SESAME SEED (F10) IgE | $682.45 | $58.77 | $11.75–$41.14 | — | -1061% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SALMON (F41) IgE | $682.45 | $58.77 | $11.75–$41.14 | — | -1061% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPECIFIC IgE | $682.45 | $59.24 | $11.85–$41.47 | — | -1052% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SCALLOP (F338) IgE | $682.45 | $58.77 | $11.75–$41.14 | — | -1061% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CASHEW NUT (F202) IgE | $682.45 | $58.77 | $11.75–$41.14 | — | -1061% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BEEF (f27) IgE | $695.68 | $59.24 | $11.85–$41.47 | — | -1074% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHERRY (f242) IgE | $695.68 | $59.24 | $11.85–$41.47 | — | -1074% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PEANUT (F13) | $706.70 | $58.77 | $11.75–$41.14 | — | -1102% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BLUEBERRY (f288) IgE | $708.47 | $59.24 | $11.85–$41.47 | — | -1096% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SUNFLOWER (w204) IgE | $712.22 | $59.24 | $11.85–$41.47 | — | -1102% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHICKEN MEAT (f83) IgE | $729.86 | $59.24 | $11.85–$41.47 | — | -1132% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 AVOCADO (f96) IgE | $868.22 | $59.24 | $11.85–$41.47 | — | -1366% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CARROT (f31) IgE | $868.22 | $58.77 | $11.75–$41.14 | — | -1377% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 wheat | $868.77 | $58.77 | $11.75–$41.14 | — | -1378% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALTERNARIA ALTERNATA MG | $868.77 | $58.77 | $11.75–$41.14 | — | -1378% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SUNFLOWER SEED (k84) IgE | $868.77 | $59.24 | $11.85–$41.47 | — | -1367% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALMOND | $972.41 | $58.77 | $11.75–$41.14 | — | -1555% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PISTACHIO | $1,157.63 | $58.77 | $11.75–$41.14 | — | -1870% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PEA (f12) IgE | $1,365.00 | $58.77 | $11.75–$41.14 | — | -2223% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PECAN NUT | $1,433.25 | $58.77 | $11.75–$41.14 | — | -2339% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WATERMELON (RF329) IgE | $1,464.39 | $59.24 | $11.85–$41.47 | — | -2372% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ANTIBODY | $17.71 | $28.56 | $8.88–$20.47 | 71% below | 38% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRUL. PEPTIDE AB#111 | $149.94 | $162.83 | $14.76–$138.41 | 143% above | 8% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRUL. PEPTIDE AB#111 | $149.94 | $162.83 | $32.57–$113.98 | — | 8% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES | $18.19 | $29.34 | $8.29–$19.24 | 63% below | 38% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTOBODIES | $727.65 | $70.68 | $13.78–$60.08 | 1361% above | -929% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR ANTOBODIES | $727.65 | $70.68 | $14.14–$49.48 | — | -929% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 ASSAY OF NATRIURETIC PEPTIDE | $34.36 | $55.42 | $23.28–$53.63 | 58% below | 38% |
| Basic metabolic panel (blood test) CPT 80048 BMPW/EGFR | $254.68 | $60.39 | $9.64–$51.33 | 129% above | -322% |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL | $282.46 | $163.18 | $9.64–$138.70 | 154% above | -73% |
| Basic metabolic panel (blood test) inpatient CPT 80048 BMPW/EGFR | $254.68 | $60.39 | $12.08–$42.27 | — | -322% |
| Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL | $282.46 | $163.18 | $32.64–$114.23 | — | -73% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Tissue exam by Pathologist LV4 | $105.00 | $105.00 | $22.50–$121.67 | 2% below | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 PROSTATE BIOPSIES 10-20 | $380.36 | $2,756.26 | $28.56–$2,342.82 | 255% above | 86% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 LEVEL 4 SURG/PATH GROSS & MICR | $469.67 | $422.71 | $28.56–$359.30 | 338% above | -11% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 BONE MARROW | $491.72 | $137.00 | $28.56–$125.30 | 359% above | -259% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 LEV 4 88305 GROSS &MICRO | $491.72 | $299.79 | $28.56–$254.82 | 359% above | -64% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Tissue exam by Pathologist LV4 | $105.00 | $105.00 | $22.50–$121.67 | — | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 PROSTATE BIOPSIES 10-20 | $380.36 | $2,756.26 | $71.57–$1,929.38 | — | 86% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 LEVEL 4 SURG/PATH GROSS & MICR | $469.67 | $422.71 | $71.57–$295.90 | — | -11% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 LEV 4 88305 GROSS &MICRO | $491.72 | $299.79 | $59.96–$209.85 | — | -64% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 BONE MARROW | $491.72 | $137.00 | $27.40–$125.30 | — | -259% |
| Blood culture for bacteria CPT 87040 CULTURE, BLOOD BAG (TRANS RX) | $503.84 | $33.39 | $11.76–$28.38 | 653% above | -1409% |
| Blood culture for bacteria CPT 87040 CULTURE, BLOOD | $912.21 | $195.18 | $11.76–$165.90 | 1263% above | -367% |
| Blood culture for bacteria inpatient CPT 87040 CULTURE, BLOOD BAG (TRANS RX) | $503.84 | $33.39 | $6.68–$23.37 | — | -1409% |
| Blood culture for bacteria inpatient CPT 87040 CULTURE, BLOOD | $912.21 | $195.18 | $39.04–$136.63 | — | -367% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 PB Routine Venipuncture | $8.08 | $13.04 | $2.94–$5.67 | 32% below | 38% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VBG COLLECTION | $95.55 | $29.40 | $14.70–$24.99 | 701% above | -225% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE | $113.27 | $11.87 | $5.94–$10.09 | 849% above | -854% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Venipuncture | $330.75 | $36.56 | $18.28–$31.08 | 2672% above | -805% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 BLOOD COLLECTION VENIPUNCTURE | $1,843.97 | $36.56 | $18.28–$31.08 | 15357% above | -4944% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VBG COLLECTION | $95.55 | $29.40 | $5.88–$20.58 | — | -225% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE | $113.27 | $11.87 | $2.37–$8.31 | — | -854% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Venipuncture | $330.75 | $36.56 | $7.31–$25.59 | — | -805% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 BLOOD COLLECTION VENIPUNCTURE | $1,843.97 | $36.56 | $7.31–$25.59 | — | -4944% |
| Blood glucose (sugar) test CPT 82947 ASSAY GLUCOSE BLOOD QUANT | $6.06 | $9.78 | $3.77–$6.14 | 79% below | 38% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE CONFIRMATION | $35.89 | $49.60 | $4.48–$42.16 | 23% above | 28% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE, TIMED | $211.68 | $49.60 | $4.48–$42.16 | 628% above | -327% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE, FASTING | $334.06 | $49.60 | $4.48–$42.16 | 1049% above | -574% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE, RANDOM | $450.31 | $49.60 | $4.48–$42.16 | 1449% above | -808% |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE CONFIRMATION | $35.89 | $49.60 | $9.92–$34.72 | — | 28% |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE, TIMED | $211.68 | $49.60 | $9.92–$34.72 | — | -327% |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE, FASTING | $334.06 | $49.60 | $9.92–$34.72 | — | -574% |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE, RANDOM | $450.31 | $49.60 | $9.92–$34.72 | — | -808% |
| Blood lead test CPT 83655 HEAVY METAL PNL,LEAD URINE | $16.21 | $150.97 | $13.81–$128.32 | 55% below | 89% |
| Blood lead test CPT 83655 LEAD (BLOOD) | $76.07 | $105.68 | $13.81–$89.83 | 110% above | 28% |
| Blood lead test CPT 83655 LEAD | $81.04 | $96.26 | $13.81–$81.82 | 124% above | 16% |
| Blood lead test CPT 83655 LEAD (URINE) | $81.04 | $169.30 | $13.81–$143.91 | 124% above | 52% |
| Blood lead test inpatient CPT 83655 HEAVY METAL PNL,LEAD URINE | $16.21 | $150.97 | $30.19–$105.68 | — | 89% |
| Blood lead test inpatient CPT 83655 LEAD (BLOOD) | $76.07 | $105.68 | $21.14–$73.98 | — | 28% |
| Blood lead test inpatient CPT 83655 LEAD (URINE) | $81.04 | $169.30 | $33.86–$118.51 | — | 52% |
| Blood lead test inpatient CPT 83655 LEAD | $81.04 | $96.26 | $19.25–$67.38 | — | 16% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREGNANCY TEST SERUM | $416.75 | $109.16 | $8.57–$92.79 | 1005% above | -282% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREGNANCY TEST URINE | $416.75 | $109.16 | $8.57–$92.79 | 1005% above | -282% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG BETA SERUM PREGNANCY | $463.05 | $83.03 | $8.57–$70.58 | 1128% above | -458% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 PREGNANCY TEST URINE | $416.75 | $109.16 | $21.83–$76.41 | — | -282% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 PREGNANCY TEST SERUM | $416.75 | $109.16 | $21.83–$76.41 | — | -282% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG BETA SERUM PREGNANCY | $463.05 | $83.03 | $16.61–$58.12 | — | -458% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 CORD BLOOD ABO | $158.76 | $147.00 | $4.35–$124.95 | 171% above | -8% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO TYPE | $540.61 | $93.24 | $4.35–$121.71 | 824% above | -480% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO TYPE (REFERENCE LAB) | $540.61 | $77.70 | $4.35–$121.71 | 824% above | -596% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 CORD BLOOD ABO | $158.76 | $147.00 | $29.40–$102.90 | — | -8% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO TYPE (REFERENCE LAB) | $540.61 | $77.70 | $15.54–$54.39 | — | -596% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO TYPE | $540.61 | $93.24 | $18.65–$65.27 | — | -480% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN | $8.08 | $13.04 | $3.55–$8.19 | 80% below | 38% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CRP (C-REACT PROT) | $507.15 | $105.68 | $5.91–$89.83 | 1168% above | -380% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CRP (INFLAMMATION) | $563.38 | $96.26 | $5.91–$81.82 | 1308% above | -485% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HS-CRP CARDIAC RISK | $691.27 | $96.26 | $5.91–$81.82 | 1628% above | -618% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 CRP (C-REACT PROT) | $507.15 | $105.68 | $21.14–$73.98 | — | -380% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 CRP (INFLAMMATION) | $563.38 | $96.26 | $19.25–$67.38 | — | -485% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HS-CRP CARDIAC RISK | $691.27 | $96.26 | $19.25–$67.38 | — | -618% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF AMPLIFIED PROBE | $72.93 | $266.35 | $42.49–$226.40 | 32% below | 73% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C DIFF AMPLIFIED PROBE | $72.93 | $266.35 | $53.27–$186.45 | — | 73% |
| CA 19-9 blood test (tumor marker) CPT 86301 CA-19-9 | $458.64 | $190.09 | $23.72–$161.58 | 451% above | -141% |
| CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9, PERITONEAL FLUID | $458.64 | $142.34 | $23.72–$120.99 | 451% above | -222% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9, PERITONEAL FLUID | $458.64 | $142.34 | $28.47–$99.64 | — | -222% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA-19-9 | $458.64 | $190.09 | $38.02–$133.06 | — | -141% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 IMMUNOASSAY TUMOR CA 125 | $32.34 | $52.16 | $14.28–$32.75 | 53% below | 38% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 (PERITONEAL FLUID) | $416.75 | $186.55 | $23.72–$158.57 | 508% above | -123% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CA-125 | $646.07 | $190.09 | $23.72–$161.58 | 842% above | -240% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125 (PERITONEAL FLUID) | $416.75 | $186.55 | $37.31–$130.59 | — | -123% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA-125 | $646.07 | $190.09 | $38.02–$133.06 | — | -240% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID19 REF | $187.54 | $323.51 | $51.31–$274.98 | 42% above | 42% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID19 REF | $187.54 | $323.51 | $64.70–$226.46 | — | 42% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CLAMYDIA BY DNA CPT 87178 | $40.52 | $234.00 | $40.00–$198.90 | 46% below | 83% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA BY DNA PROBE | $40.52 | $242.69 | $40.00–$206.29 | 46% below | 83% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA | $45.20 | $114.54 | $40.00–$97.36 | 40% below | 61% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 THIN PREP PAPAND C TRACH N GON | $47.46 | $167.15 | $40.00–$142.08 | 37% below | 72% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLMYD TRACH DNA AMP PROBE | $54.58 | $88.03 | $24.07–$55.68 | 27% below | 38% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA BY DNA PROBE | $40.52 | $242.69 | $48.54–$169.88 | — | 83% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CLAMYDIA BY DNA CPT 87178 | $40.52 | $234.00 | $46.80–$163.80 | — | 83% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA | $45.20 | $114.54 | $22.91–$80.18 | — | 61% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 THIN PREP PAPAND C TRACH N GON | $47.46 | $167.15 | $33.43–$117.01 | — | 72% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $8.82 | $130.38 | $15.26–$110.82 | 89% below | 93% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 CARDIO IQ LIPID | $40.79 | $254.49 | $15.26–$216.32 | 50% below | 84% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL | $8.82 | $130.38 | $26.08–$91.27 | — | 93% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 CARDIO IQ LIPID | $40.79 | $254.49 | $50.90–$178.14 | — | 84% |
| Complete blood count (CBC) with differential CPT 85025 COMPLETE CBC W/AUTO DIFF WBC | $12.31 | $19.85 | $7.62–$12.28 | 75% below | 38% |
| Complete blood count (CBC) with differential CPT 85025 CD-4 CPT 85025 | $213.00 | $81.95 | $8.86–$69.66 | 337% above | -160% |
| Complete blood count (CBC) with differential CPT 85025 CBC HEMOGRAM W/AUTO DIFF | $700.36 | $99.39 | $8.86–$84.48 | 1337% above | -605% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CD-4 CPT 85025 | $213.00 | $81.95 | $16.39–$57.37 | — | -160% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC HEMOGRAM W/AUTO DIFF | $700.36 | $99.39 | $19.88–$69.57 | — | -605% |
| Complete blood count (CBC), no differential CPT 85027 COMPLETE CBC AUTOMATED | $9.77 | $15.75 | $4.44–$10.24 | 68% below | 38% |
| Complete blood count (CBC), no differential CPT 85027 CBC | $868.77 | $84.00 | $7.38–$71.40 | 2777% above | -934% |
| Complete blood count (CBC), no differential CPT 85027 CBC MAXM W/MAN DIFF | $912.21 | $84.00 | $7.38–$71.40 | 2921% above | -986% |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC | $868.77 | $84.00 | $16.80–$58.80 | — | -934% |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC MAXM W/MAN DIFF | $912.21 | $84.00 | $16.80–$58.80 | — | -986% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHEN METABOLIC PANEL | $29.59 | $47.72 | $7.25–$16.79 | 77% below | 38% |
| Comprehensive metabolic panel (blood test) CPT 80053 CMPW/EGFR | $92.61 | $57.15 | $12.04–$48.58 | 28% below | -62% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL | $101.87 | $247.72 | $12.04–$210.56 | 20% below | 59% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 CMPW/EGFR | $92.61 | $57.15 | $11.43–$40.01 | — | -62% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL | $101.87 | $247.72 | $49.54–$173.40 | — | 59% |
| D-dimer blood test (blood clot marker) CPT 85379 FIBRIN DEGRADATION QUANT | $14.97 | $24.15 | $6.98–$15.97 | 76% below | 38% |
| D-dimer blood test (blood clot marker) CPT 85379 D DIMER QUANTITATIVE | $38.59 | $200.55 | $11.61–$170.47 | 38% below | 81% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 D DIMER QUANTITATIVE | $38.59 | $200.55 | $40.11–$140.39 | — | 81% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DEHYDROEPIANDROSTERONE | $33.69 | $54.34 | $15.25–$35.21 | 52% below | 38% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DEHYROEPIANDROSTERONE SULFATE | $868.77 | $207.04 | $25.34–$175.98 | 1141% above | -320% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DEHYROEPIANDROSTERONE SULFATE | $868.77 | $207.04 | $41.41–$144.93 | — | -320% |
| Estradiol blood test CPT 82670 ASSAY OF ESTRADIOL | $43.80 | $70.64 | $19.16–$44.22 | 58% below | 38% |
| Estradiol blood test CPT 82670 ESTRADIOL | $131.20 | $294.39 | $31.85–$250.23 | 26% above | 55% |
| Estradiol blood test inpatient CPT 82670 ESTRADIOL | $131.20 | $294.39 | $58.88–$206.07 | — | 55% |
| FSH (follicle-stimulating hormone) test CPT 83001 ASSAY OF GONADOTROPIN (FSH) | $28.97 | $46.73 | $12.75–$29.48 | 60% below | 38% |
| FSH (follicle-stimulating hormone) test CPT 83001 FOLLICILE STIMULATING HORMONE FSH | $129.65 | $221.07 | $21.18–$187.91 | 80% above | 41% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 FOLLICILE STIMULATING HORMONE FSH | $129.65 | $221.07 | $44.21–$154.75 | — | 41% |
| Fecal calprotectin (stool inflammation test) CPT 83993 ASSAY FOR CALPROTECTIN FECAL | $79.87 | $274.17 | $22.38–$233.04 | 39% below | 71% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 ASSAY FOR CALPROTECTIN FECAL | $79.87 | $274.17 | $54.83–$191.92 | — | 71% |
| Ferritin blood test (iron stores) CPT 82728 ASSAY OF FERRITIN | $20.89 | $33.69 | $9.35–$21.70 | 69% below | 38% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN | $33.57 | $127.25 | $15.54–$108.16 | 51% below | 74% |
| Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN | $33.57 | $127.25 | $25.45–$89.08 | — | 74% |
| Folate (folic acid) blood test CPT 82746 FOLIC ACID | $33.57 | $120.77 | $16.76–$102.65 | 47% below | 72% |
| Folate (folic acid) blood test CPT 82746 ASSAY OF FOLIC ACID SERUM | $74.88 | $120.77 | $10.09–$23.34 | 18% above | 38% |
| Folate (folic acid) blood test inpatient CPT 82746 FOLIC ACID | $33.57 | $120.77 | $24.15–$84.54 | — | 72% |
| Free T3 thyroid hormone test CPT 84481 FREE ASSAY (FT-3) | $770.98 | $224.30 | $19.31–$190.66 | 1110% above | -244% |
| Free T3 thyroid hormone test CPT 84481 FREE T3 | $912.21 | $236.16 | $19.31–$200.74 | 1332% above | -286% |
| Free T3 thyroid hormone test inpatient CPT 84481 FREE ASSAY (FT-3) | $770.98 | $224.30 | $44.86–$157.01 | — | -244% |
| Free T3 thyroid hormone test inpatient CPT 84481 FREE T3 | $912.21 | $236.16 | $47.23–$165.31 | — | -286% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 ASSAY OF FREE THYROXINE | $15.44 | $93.82 | $10.28–$79.75 | 68% below | 84% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T4 | $35.28 | $105.79 | $10.28–$89.92 | 27% below | 67% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 ASSAY OF FREE THYROXINE | $15.44 | $93.82 | $18.76–$65.67 | — | 84% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 FREE T4 | $35.28 | $105.79 | $21.16–$74.05 | — | 67% |
| Free testosterone test CPT 84402 ASSAY OF FREE TESTOSTERONE | $38.40 | $61.94 | $17.47–$40.12 | 54% below | 38% |
| Free testosterone test CPT 84402 TESTOSTERONE,FREE | $42.83 | $176.68 | $29.04–$150.18 | 49% below | 76% |
| Free testosterone test inpatient CPT 84402 TESTOSTERONE,FREE | $42.83 | $176.68 | $35.34–$123.68 | — | 76% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE TEST | $7.16 | $11.55 | $4.56–$7.37 | 79% below | 38% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE, 2 HOUR PP | $94.93 | $49.60 | $5.42–$42.16 | 176% above | -91% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE, 2 HOUR PP | $94.93 | $49.60 | $9.92–$34.72 | — | -91% |
| Glucose tolerance test, 3 samples CPT 82951 FMC IH 2 Hour GTT | $20.21 | $32.60 | $12.36–$20.47 | 69% below | 38% |
| Glucose tolerance test, 3 samples CPT 82951 GTT FASTING 3 SPECIMEN | $120.17 | $102.45 | $14.67–$87.08 | 86% above | -17% |
| Glucose tolerance test, 3 samples CPT 82951 GTT 2 HOURS 3 SPECIMEN | $143.55 | $102.45 | $14.67–$87.08 | 122% above | -40% |
| Glucose tolerance test, 3 samples CPT 82951 GTT, 3 SPECIMENS | $292.01 | $115.76 | $14.67–$98.40 | 352% above | -152% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 GTT FASTING 3 SPECIMEN | $120.17 | $102.45 | $20.49–$71.72 | — | -17% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 GTT 2 HOURS 3 SPECIMEN | $143.55 | $102.45 | $20.49–$71.72 | — | -40% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 GTT, 3 SPECIMENS | $292.01 | $115.76 | $23.15–$81.03 | — | -152% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORRHOEAE DNA AMP PROB | $54.58 | $88.03 | $24.07–$55.68 | 29% below | 38% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N. GONORRHOEAE DNA AMP PROB | $81.59 | $236.99 | $40.00–$201.44 | 6% above | 66% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N. GONORRHOEAE DNA AMP PROB | $81.59 | $236.99 | $47.40–$165.89 | — | 66% |
| H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI | $21.48 | $34.65 | $9.95–$22.93 | 69% below | 38% |
| H. pylori antibody blood test CPT 86677 H. PYLORI ANTIBODY | $306.50 | $188.72 | $19.21–$160.41 | 340% above | -62% |
| H. pylori antibody blood test inpatient CPT 86677 H. PYLORI ANTIBODY | $306.50 | $188.72 | $37.74–$132.10 | — | -62% |
| H. pylori stool antigen test CPT 87338 H-PYLORI Ag STOOL | $2,805.86 | $197.34 | $6.24–$167.74 | 3860% above | -1322% |
| H. pylori stool antigen test inpatient CPT 87338 H-PYLORI Ag STOOL | $2,805.86 | $197.34 | $39.47–$138.14 | — | -1322% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1, QUATIFICATION | $341.50 | $401.03 | $97.01–$340.88 | 52% above | 15% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1, QUATIFICATION | $341.50 | $401.03 | $80.21–$280.72 | — | 15% |
| HIV-1 and HIV-2 antibody test CPT 86703 HIV 1/2 SCREENING TEST | $87.98 | $47.25 | $15.63–$40.16 | 19% above | -86% |
| HIV-1 and HIV-2 antibody test CPT 86703 HIV SCREEN ONLY | $196.25 | $189.79 | $15.63–$161.32 | 166% above | -3% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV 1/2 SCREENING TEST | $87.98 | $47.25 | $9.45–$33.08 | — | -86% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV SCREEN ONLY | $196.25 | $189.79 | $37.96–$132.85 | — | -3% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1 AG W/HIV-1 & HIV-2 AB | $33.02 | $53.25 | $16.52–$38.28 | 59% below | 38% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 1/2 SCREENING TEST ONLY | $86.00 | $49.61 | $24.81–$43.33 | 7% above | -73% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 1/2 AG/AB SCRN W/REFLEX | $1,331.82 | $197.01 | $27.45–$167.46 | 1562% above | -576% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV 1/2 SCREENING TEST ONLY | $86.00 | $49.61 | $9.92–$34.73 | — | -73% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV 1/2 AG/AB SCRN W/REFLEX | $1,331.82 | $197.01 | $39.40–$137.91 | — | -576% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV MRNA E6/E7 | $52.92 | $231.17 | $40.00–$196.49 | 49% below | 77% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HIGH-RISK TYPES | $53.23 | $85.85 | $24.07–$54.00 | 49% below | 38% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV MRNA E6/E7 | $52.92 | $231.17 | $46.23–$161.82 | — | 77% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCATED HEMOGLOBIN TEST | $15.04 | $24.26 | $9.52–$15.15 | 62% below | 38% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOSYLATED HEMOGLOBIN A1C | $187.54 | $121.85 | $11.07–$103.57 | 379% above | -54% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HGB A1C | $282.24 | $91.57 | $11.07–$77.83 | 621% above | -208% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOHEMOGLOBIN | $383.18 | $121.85 | $11.07–$103.57 | 879% above | -214% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 GLYCOSYLATED HEMOGLOBIN A1C | $187.54 | $121.85 | $24.37–$85.30 | — | -54% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HGB A1C | $282.24 | $91.57 | $18.31–$64.10 | — | -208% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 GLYCOHEMOGLOBIN | $383.18 | $121.85 | $24.37–$85.30 | — | -214% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE ATB | $83.79 | $131.55 | $12.24–$111.82 | 34% above | 36% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPAT PROFILE CPT 86291 | $87.98 | $87.35 | $12.24–$74.25 | 41% above | -1% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURFACE ATB | $83.79 | $131.55 | $26.31–$92.09 | — | 36% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPAT PROFILE CPT 86291 | $87.98 | $87.35 | $17.47–$61.15 | — | -1% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE AG IA | $15.62 | $25.20 | $7.09–$16.38 | 62% below | 38% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEP B SUR ATG NEUT (REFLEX) | $16.54 | $94.90 | $11.78–$80.67 | 60% below | 83% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE ANTIGEN | $915.08 | $162.15 | $11.78–$137.83 | 2100% above | -464% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEP B SUR ATG NEUT (REFLEX) | $16.54 | $94.90 | $18.98–$66.43 | — | 83% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE ANTIGEN | $915.08 | $162.15 | $32.43–$113.51 | — | -464% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB TEST | $24.25 | $39.12 | $9.79–$22.52 | 53% below | 38% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ATB | $566.69 | $209.20 | $16.27–$177.82 | 1004% above | -171% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEP C Ab W/REFLEX TO RIBA | $1,495.20 | $169.30 | $16.27–$143.91 | 2813% above | -783% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C ATB | $566.69 | $209.20 | $41.84–$146.44 | — | -171% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEP C Ab W/REFLEX TO RIBA | $1,495.20 | $169.30 | $33.86–$118.51 | — | -783% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C REVRS TRNSCRPJ | $43.12 | $69.55 | $29.38–$67.55 | 67% below | 38% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C VIRAL LOAD | $452.63 | $138.59 | $48.84–$117.80 | 245% above | -227% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEP C VIRAL LOAD | $452.63 | $138.59 | $27.72–$97.01 | — | -227% |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX TEST | $14.32 | $23.10 | $6.50–$20.88 | 72% below | 38% |
| Herpes blood test, HSV-1 antibody CPT 86695 HSV 1 ANTIBODY | $202.86 | $149.30 | $13.82–$126.91 | 290% above | -36% |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES I ABG QUANT TOTAL | $574.40 | $145.58 | $13.82–$123.74 | 1005% above | -295% |
| Herpes blood test, HSV-1 antibody CPT 86695 HSV 1 ANTIBODY TITER | $983.43 | $149.30 | $13.82–$126.91 | 1791% above | -559% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV 1 ANTIBODY | $202.86 | $149.30 | $29.86–$104.51 | — | -36% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES I ABG QUANT TOTAL | $574.40 | $145.58 | $29.12–$101.91 | — | -295% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV 1 ANTIBODY TITER | $983.43 | $149.30 | $29.86–$104.51 | — | -559% |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2 | $24.26 | $99.20 | $22.06–$84.32 | 58% below | 76% |
| Herpes blood test, HSV-2 antibody CPT 86696 HSV 2 ANTIBODY TITER | $162.07 | $149.30 | $22.06–$126.91 | 180% above | -9% |
| Herpes blood test, HSV-2 antibody CPT 86696 HSV 2 ANTIBODY | $202.86 | $149.30 | $22.06–$126.91 | 251% above | -36% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX TYPE 2 | $24.26 | $99.20 | $19.84–$69.44 | — | 76% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV 2 ANTIBODY TITER | $162.07 | $149.30 | $29.86–$104.51 | — | -9% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV 2 ANTIBODY | $202.86 | $149.30 | $29.86–$104.51 | — | -36% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTIEN HS | $747.50 | $157.21 | $14.76–$133.63 | 1343% above | -375% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C-REACTIVE PROTIEN HS | $747.50 | $157.21 | $31.44–$110.05 | — | -375% |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE,CARDIO #31789 | $689.94 | $257.72 | $20.43–$219.06 | 622% above | -168% |
| Homocysteine blood test CPT 83090 METHYLMALONIC ACID & HOMOCYST | $738.57 | $214.59 | $20.43–$182.40 | 673% above | -244% |
| Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE,CARDIO #31789 | $689.94 | $257.72 | $51.54–$180.40 | — | -168% |
| Homocysteine blood test inpatient CPT 83090 METHYLMALONIC ACID & HOMOCYST | $738.57 | $214.59 | $42.92–$150.21 | — | -244% |
| Insulin blood test CPT 83525 INSULIN BY RIA | $15.44 | $125.51 | $13.03–$106.68 | 66% below | 88% |
| Insulin blood test CPT 83525 ASSAY OF INSULIN | $16.93 | $27.30 | $7.84–$18.01 | 63% below | 38% |
| Insulin blood test inpatient CPT 83525 INSULIN BY RIA | $15.44 | $125.51 | $25.10–$87.86 | — | 88% |
| Iron blood test (serum iron) CPT 83540 ASSAY OF IRON | $10.11 | $16.30 | $4.44–$10.24 | 67% below | 38% |
| Iron blood test (serum iron) CPT 83540 IRON | $128.99 | $65.80 | $7.38–$55.93 | 320% above | -96% |
| Iron blood test (serum iron) inpatient CPT 83540 IRON | $128.99 | $65.80 | $13.16–$46.06 | — | -96% |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING TEST | $13.48 | $21.74 | $6.00–$13.92 | 53% below | 38% |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY | $63.95 | $84.08 | $9.96–$71.47 | 124% above | 24% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CAPACITY | $63.95 | $84.08 | $16.82–$58.86 | — | 24% |
| Kidney function blood test panel CPT 80069 RENAL PANEL | $10.65 | $181.17 | $9.90–$153.99 | 87% below | 94% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $246.96 | $49.60 | $9.90–$42.16 | 203% above | -398% |
| Kidney function blood test panel inpatient CPT 80069 RENAL PANEL | $10.65 | $181.17 | $36.23–$126.82 | — | 94% |
| Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL | $246.96 | $49.60 | $9.92–$34.72 | — | -398% |
| LH (luteinizing hormone) test CPT 83002 ASSAY OF GONADOTROPIN (LH) | $28.97 | $46.73 | $12.70–$29.48 | 56% below | 38% |
| LH (luteinizing hormone) test CPT 83002 LH (LUTEINIZING HORMONE) SERUM | $202.86 | $172.63 | $21.11–$146.74 | 206% above | -18% |
| LH (luteinizing hormone) test inpatient CPT 83002 LH (LUTEINIZING HORMONE) SERUM | $202.86 | $172.63 | $34.53–$120.84 | — | -18% |
| Lipase blood test (pancreas enzyme) CPT 83690 ASSAY OF LIPASE | $11.07 | $17.85 | $4.73–$11.05 | 64% below | 38% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE | $82.19 | $62.15 | $7.85–$52.83 | 170% above | -32% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE | $82.19 | $62.15 | $12.43–$43.51 | — | -32% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $12.80 | $20.65 | $5.61–$13.10 | 86% below | 38% |
| Liver function blood test panel CPT 80076 LIVER PROFILE | $89.13 | $149.89 | $9.31–$127.41 | at median | 41% |
| Liver function blood test panel inpatient CPT 80076 LIVER PROFILE | $89.13 | $149.89 | $29.98–$104.92 | — | 41% |
| Lyme disease antibody test CPT 86618 BORRELIA BURGDORFERI ANTOBODY | $202.86 | $131.61 | $19.41–$111.87 | 163% above | -54% |
| Lyme disease antibody test inpatient CPT 86618 BORRELIA BURGDORFERI ANTOBODY | $202.86 | $131.61 | $26.32–$92.13 | — | -54% |
| Magnesium blood test CPT 83735 ASSAY OF MAGNESIUM | $10.11 | $16.30 | $4.60–$10.64 | 68% below | 38% |
| Magnesium blood test CPT 83735 MAGNESIUM URINE | $16.21 | $85.19 | $7.64–$72.41 | 49% below | 81% |
| Magnesium blood test CPT 83735 MAGNESIUM RBC | $20.95 | $102.45 | $7.64–$87.08 | 35% below | 80% |
| Magnesium blood test CPT 83735 MAGNESIUM | $37.49 | $55.00 | $7.64–$46.75 | 17% above | 32% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM URINE | $16.21 | $85.19 | $17.04–$59.63 | — | 81% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM RBC | $20.95 | $102.45 | $20.49–$71.72 | — | 80% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM | $37.49 | $55.00 | $11.00–$38.50 | — | 32% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA ANTIBODY | $18.88 | $30.45 | $8.84–$20.47 | 59% below | 38% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA | $291.72 | $80.94 | $14.68–$68.80 | 532% above | -260% |
| Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA | $291.72 | $80.94 | $16.19–$56.66 | — | -260% |
| Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE ANTIBODIES | $9.77 | $15.75 | $4.97–$8.19 | 68% below | 38% |
| Mono test (heterophile antibody, Monospot) CPT 86308 MONOTEST | $277.83 | $68.82 | $5.91–$58.50 | 811% above | -304% |
| Mono test (heterophile antibody, Monospot) CPT 86308 MONOTEST SENDOUT | $2,199.49 | $59.31 | $5.91–$50.41 | 7109% above | -3608% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONOTEST | $277.83 | $68.82 | $13.76–$48.17 | — | -304% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONOTEST SENDOUT | $2,199.49 | $59.31 | $11.86–$41.52 | — | -3608% |
| Obstetric blood test panel CPT 80055 OBSTETRIC PANEL | $47.84 | $77.16 | $32.79–$53.22 | 62% below | 38% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA, FREE | $17.64 | $130.38 | $20.96–$110.82 | 68% below | 86% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 ASSAY OF PSA FREE | $29.95 | $48.30 | $12.62–$29.07 | 46% below | 38% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA, FREE | $17.64 | $130.38 | $26.08–$91.27 | — | 86% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL (Diag) | $17.37 | $138.03 | $20.96–$117.33 | 74% below | 87% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 ASSAY OF PSA TOTAL | $27.63 | $44.56 | $12.62–$29.07 | 59% below | 38% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA,TOTAL SCREENING | $59.54 | $146.65 | $20.96–$124.65 | 11% below | 59% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL | $70.61 | $130.38 | $20.96–$110.82 | 6% above | 46% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA, TOTAL DIAGNOSTIC | $75.24 | $155.98 | $20.96–$132.58 | 13% above | 52% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA TOTAL (Diag) | $17.37 | $138.03 | $27.61–$96.62 | — | 87% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA,TOTAL SCREENING | $59.54 | $146.65 | $29.33–$102.66 | — | 59% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA TOTAL | $70.61 | $130.38 | $26.08–$91.27 | — | 46% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA, TOTAL DIAGNOSTIC | $75.24 | $155.98 | $31.20–$109.19 | — | 52% |
| Pap test (liquid-based, automated screening with review) CPT 88175 CYTOPATH C/V AUTO FLUID REDO | $45.14 | $72.81 | $15.15–$41.76 | 7% above | 38% |
| Pap test (liquid-based, automated screening with review) CPT 88175 CYTOPATH C/V IN FLUID REDO | $72.93 | $118.89 | $21.17–$101.06 | 73% above | 39% |
| Pap test (liquid-based, automated screening with review) CPT 88175 HPV DNA AMP PROBE | $72.93 | $172.54 | $21.17–$146.66 | 73% above | 58% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 CYTOPATH C/V IN FLUID REDO | $72.93 | $118.89 | $23.78–$83.22 | — | 39% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 HPV DNA AMP PROBE | $72.93 | $172.54 | $34.51–$120.78 | — | 58% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CYTOPATH C/V THIN LAYER | $69.46 | $85.19 | $19.38–$72.41 | 37% above | 18% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 CYTOPATH C/V THIN LAYER | $69.46 | $85.19 | $17.04–$59.63 | — | 18% |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORM. N-TERMINAL | $44.45 | $280.27 | $47.06–$238.23 | 72% below | 84% |
| Parathyroid hormone (PTH) blood test CPT 83970 ASSAY OF PARATHORMONE | $61.85 | $99.75 | $28.31–$65.10 | 61% below | 38% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHYROID HORM. N-TERMINAL | $44.45 | $280.27 | $56.05–$196.19 | — | 84% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME PARTIAL | $9.11 | $14.70 | $4.12–$9.42 | 74% below | 38% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 MENORRHAGIA SCR - PTT | $682.45 | $73.33 | $6.85–$62.33 | 1857% above | -831% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PARTIAL THROMBOPLASTIN TIME | $682.45 | $88.20 | $6.85–$74.97 | 1857% above | -674% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME PART (PTT) | $716.63 | $82.86 | $6.85–$70.43 | 1955% above | -765% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 MENORRHAGIA SCR - PTT | $682.45 | $73.33 | $14.67–$51.33 | — | -831% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PARTIAL THROMBOPLASTIN TIME | $682.45 | $88.20 | $17.64–$61.74 | — | -674% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLASTIN TIME PART (PTT) | $716.63 | $82.86 | $16.57–$58.00 | — | -765% |
| Progesterone blood test CPT 84144 PROGESTERONE | $17.37 | $140.19 | $23.78–$119.16 | 71% below | 88% |
| Progesterone blood test inpatient CPT 84144 PROGESTERONE | $17.37 | $140.19 | $28.04–$98.13 | — | 88% |
| Prolactin blood test CPT 84146 PROLACTIN | $22.05 | $215.68 | $22.09–$183.33 | 68% below | 90% |
| Prolactin blood test CPT 84146 ASSAY OF PROLACTIN | $28.64 | $46.20 | $13.29–$30.71 | 59% below | 38% |
| Prolactin blood test inpatient CPT 84146 PROLACTIN | $22.05 | $215.68 | $43.14–$150.98 | — | 90% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PB PN Protime | $6.84 | $11.03 | $4.21–$6.36 | 75% below | 38% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME | $63.95 | $64.70 | $4.89–$55.00 | 135% above | 1% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME W/INR | $63.95 | $87.15 | $4.89–$74.08 | 135% above | 27% |
| Prothrombin time (PT/INR) clotting test CPT 85610 MENORRHAGIA SCR - PT | $91.51 | $50.68 | $4.89–$43.08 | 237% above | -81% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME | $63.95 | $64.70 | $12.94–$45.29 | — | 1% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTIME W/INR | $63.95 | $87.15 | $17.43–$61.01 | — | 27% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 MENORRHAGIA SCR - PT | $91.51 | $50.68 | $10.14–$35.48 | — | -81% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG TEST PRSMV DIR OPT OBS | $23.24 | $37.49 | $8.03–$17.05 | at median | 38% |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA ASSAY W/OPTIC | $23.24 | $37.49 | $8.58–$18.83 | 54% below | 38% |
| Rapid flu test (influenza antigen) CPT 87804 emplyee flu A | $81.59 | $9.15 | $4.58–$18.87 | 61% above | -792% |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA A | $101.43 | $64.54 | $12.70–$54.86 | 100% above | -57% |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA B | $120.17 | $9.15 | $4.58–$18.87 | 137% above | -1213% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 emplyee flu A | $81.59 | $9.15 | $1.83–$6.41 | — | -792% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA A | $101.43 | $64.54 | $12.91–$45.18 | — | -57% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA B | $120.17 | $9.15 | $1.83–$6.41 | — | -1213% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 PB PN STREP A ASSAY W/OPTIC | $33.20 | $53.55 | $8.58–$18.83 | 5% below | 38% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUANT | $8.76 | $14.13 | $3.89–$9.01 | 76% below | 38% |
| Rheumatoid factor (RF) test CPT 86431 RF QUANT | $30.10 | $114.28 | $6.46–$97.14 | 17% below | 74% |
| Rheumatoid factor (RF) test CPT 86431 RA FACTOR (TITER) | $291.72 | $100.29 | $6.46–$85.25 | 700% above | -191% |
| Rheumatoid factor (RF) test inpatient CPT 86431 RF QUANT | $30.10 | $114.28 | $22.86–$80.00 | — | 74% |
| Rheumatoid factor (RF) test inpatient CPT 86431 RA FACTOR (TITER) | $291.72 | $100.29 | $20.06–$70.20 | — | -191% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY | $22.23 | $35.86 | $9.87–$22.93 | 49% below | 38% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA Ab | $291.72 | $139.10 | $16.40–$118.24 | 570% above | -110% |
| Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA Ab | $291.72 | $139.10 | $27.82–$97.37 | — | -110% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 RBC SED RATE AUTOMATED | $4.72 | $7.61 | $1.85–$4.09 | 81% below | 38% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SEDIMENTATION RATE | $682.45 | $48.30 | $3.08–$41.06 | 2592% above | -1313% |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 SEDIMENTATION RATE | $682.45 | $48.30 | $9.66–$33.81 | — | -1313% |
| Stool ova and parasites exam CPT 87177 OVA AND PARASITES SMEARS | $13.02 | $21.00 | $6.11–$13.92 | 67% below | 38% |
| Stool ova and parasites exam CPT 87177 OVA & PARASITES CONCENTRATION | $251.84 | $104.60 | $10.15–$88.91 | 529% above | -141% |
| Stool ova and parasites exam inpatient CPT 87177 OVA & PARASITES CONCENTRATION | $251.84 | $104.60 | $20.92–$73.22 | — | -141% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD FECES | $5.47 | $8.82 | $4.30–$5.32 | 76% below | 38% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD, STOOL # 1 | $31.26 | $38.23 | $4.73–$32.50 | 38% above | 18% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLOOD, STOOL # 1 | $31.26 | $38.23 | $7.65–$26.76 | — | 18% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 ASSAY TEST FOR BLOOD FECAL | $24.25 | $39.12 | $15.27–$24.97 | 53% below | 38% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 FECAL HGB FHG QUAL 1-3 | $1,216.06 | $57.16 | $18.15–$48.59 | 2268% above | -2027% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 FECAL HGB FHG QUAL 1-3 | $1,216.06 | $57.16 | $11.43–$40.01 | — | -2027% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 BLOOD SEROLOGY- QUALITATIVE | $6.74 | $10.87 | $2.93–$6.55 | 61% below | 38% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL | $30.10 | $83.03 | $4.87–$70.58 | 75% above | 64% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR | $30.10 | $55.77 | $4.87–$47.40 | 75% above | 46% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL | $30.10 | $83.03 | $16.61–$58.12 | — | 64% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR | $30.10 | $55.77 | $11.15–$39.04 | — | 46% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON, TB GOLD | $30.10 | $287.57 | $70.66–$244.43 | 63% below | 90% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB TEST CELL IMMUN MEASURE | $60.54 | $97.65 | $42.51 | 26% below | 38% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON, TB GOLD | $30.10 | $287.57 | $57.51–$201.30 | — | 90% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE SERUM | $20.13 | $156.37 | $29.42–$132.91 | 75% below | 87% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTROSTERONE TOTAL | $20.95 | $258.24 | $29.42–$219.50 | 74% below | 92% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE, TOTAL CPT 84403 | $33.57 | $176.68 | $29.42–$150.18 | 58% below | 81% |
| Testosterone blood test, total (not free testosterone) CPT 84403 ASSAY OF TOTAL TESTOSTERONE | $40.43 | $65.21 | $17.71–$40.94 | 49% below | 38% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE, TOTAL | $52.92 | $314.87 | $29.42–$267.64 | 33% below | 83% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE SERUM | $20.13 | $156.37 | $31.27–$109.46 | — | 87% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTROSTERONE TOTAL | $20.95 | $258.24 | $51.65–$180.77 | — | 92% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE, TOTAL CPT 84403 | $33.57 | $176.68 | $35.34–$123.68 | — | 81% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE, TOTAL | $52.92 | $314.87 | $62.97–$220.41 | — | 83% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODY | $22.91 | $36.95 | $9.98–$22.93 | 43% below | 38% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODY (TPO) | $701.19 | $166.07 | $16.59–$141.16 | 1640% above | -322% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 MICROSOMAL ANTIBODY (TPO) | $701.19 | $166.07 | $33.21–$116.25 | — | -322% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH THYROID STIMULATING HORMONE | $17.37 | $145.28 | $19.15–$123.49 | 71% below | 88% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH (4 SP) | $18.52 | $368.79 | $19.15–$313.47 | 69% below | 95% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH (2 SP) | $20.84 | $214.59 | $19.15–$182.40 | 66% below | 90% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH (1 SP) | $28.67 | $166.07 | $19.15–$141.16 | 53% below | 83% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH NEONATAL | $41.67 | $162.83 | $19.15–$138.41 | 31% below | 74% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 ASSAY THYROID STIM HORMONE | $86.00 | $68.24 | $19.15–$58.00 | 42% above | -26% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH THYROID STIMULATING HORMONE | $17.37 | $145.28 | $29.06–$101.70 | — | 88% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH (4 SP) | $18.52 | $368.79 | $73.76–$258.15 | — | 95% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH (2 SP) | $20.84 | $214.59 | $42.92–$150.21 | — | 90% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH (1 SP) | $28.67 | $166.07 | $33.21–$116.25 | — | 83% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH NEONATAL | $41.67 | $162.83 | $32.57–$113.98 | — | 74% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 ASSAY THYROID STIM HORMONE | $86.00 | $68.24 | $13.65–$47.77 | — | -26% |
| Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS AMPLIF | $34.50 | $55.65 | $24.07–$54.04 | 56% below | 38% |
| Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAG AMP RNA TMA | $316.03 | $156.37 | $40.00–$132.91 | 304% above | -102% |
| Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAG AMP RNA TMA | $316.03 | $156.37 | $31.27–$109.46 | — | -102% |
| Uric acid blood test CPT 84550 ASSAY OF BLOOD/URIC ACID | $6.74 | $10.87 | $3.10–$6.96 | 81% below | 38% |
| Uric acid blood test CPT 84550 URIC ACID SEDANT | $1,119.04 | $70.10 | $5.15–$59.59 | 3032% above | -1496% |
| Uric acid blood test CPT 84550 URIC ACID | $1,551.22 | $55.55 | $5.15–$47.22 | 4242% above | -2692% |
| Uric acid blood test CPT 84550 URIC CPT 84550 | $2,144.36 | $62.55 | $5.15–$53.17 | 5902% above | -3328% |
| Uric acid blood test inpatient CPT 84550 URIC ACID SEDANT | $1,119.04 | $70.10 | $14.02–$49.07 | — | -1496% |
| Uric acid blood test inpatient CPT 84550 URIC ACID | $1,551.22 | $55.55 | $11.11–$38.89 | — | -2692% |
| Uric acid blood test inpatient CPT 84550 URIC CPT 84550 | $2,144.36 | $62.55 | $12.51–$43.79 | — | -3328% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS AUTO W/SCOPE | $39.36 | $72.45 | $3.61–$61.58 | 34% above | 46% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS AUTO W/SCOPE | $39.36 | $72.45 | $14.49–$50.72 | — | 46% |
| Urinalysis with microscope exam, manual CPT 81000 UA REFLEX TO CULT/SENS | $39.36 | $55.65 | $4.58–$47.30 | 56% above | 29% |
| Urinalysis with microscope exam, manual CPT 81000 URINALYSIS | $39.36 | $55.65 | $4.58–$47.30 | 56% above | 29% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 UA REFLEX TO CULT/SENS | $39.36 | $55.65 | $11.13–$38.96 | — | 29% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 URINALYSIS | $39.36 | $55.65 | $11.13–$38.96 | — | 29% |
| Urinalysis without microscope exam, automated CPT 81003 PB PN URINALYSIS- AUTO- W/O SCOPE | $4.04 | $6.52 | $2.11–$3.68 | 79% below | 38% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS W/O MICRO | $39.36 | $43.05 | $2.57–$36.59 | 106% above | 9% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS W/O MICRO | $39.36 | $43.05 | $8.61–$30.14 | — | 9% |
| Urinalysis without microscope exam, manual CPT 81002 PB PN URINE-NO MICRO | $4.79 | $7.72 | $2.64–$4.09 | 71% below | 38% |
| Urine culture for bacteria, with colony count CPT 87086 URINE CULTURE/COLONY COUNT | $12.80 | $20.65 | $5.54–$12.69 | 71% below | 38% |
| Urine culture for bacteria, with colony count CPT 87086 CULTURE URINE COLONY COUNT | $15.44 | $88.42 | $9.20–$75.16 | 65% below | 83% |
| Urine culture for bacteria, with colony count CPT 87086 CULTURE, URINE CLEAN CATCH | $15.44 | $88.42 | $9.20–$75.16 | 65% below | 83% |
| Urine culture for bacteria, with colony count CPT 87086 GPS-111 VITEK | $16.54 | $87.35 | $9.20–$74.25 | 63% below | 81% |
| Urine culture for bacteria, with colony count CPT 87086 SUPRAPUBIC/KIDNEY URINE CULTUR | $16.54 | $115.38 | $9.20–$98.07 | 63% below | 86% |
| Urine culture for bacteria, with colony count CPT 87086 GRAM NEG 121 VITEK PSEUDO | $16.54 | $83.03 | $9.20–$70.58 | 63% below | 80% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 CULTURE, URINE CLEAN CATCH | $15.44 | $88.42 | $17.68–$61.89 | — | 83% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 CULTURE URINE COLONY COUNT | $15.44 | $88.42 | $17.68–$61.89 | — | 83% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 GPS-111 VITEK | $16.54 | $87.35 | $17.47–$61.15 | — | 81% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 SUPRAPUBIC/KIDNEY URINE CULTUR | $16.54 | $115.38 | $23.08–$80.77 | — | 86% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 GRAM NEG 121 VITEK PSEUDO | $16.54 | $83.03 | $16.61–$58.12 | — | 80% |
| Urine pregnancy test, read by color change CPT 81025 PB PN URINE PREGNANCY TEST | $10.11 | $16.30 | $4.22–$9.83 | 81% below | 38% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12 | $22.91 | $36.95 | $10.34–$23.75 | 58% below | 38% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VIT B12 | $134.51 | $120.77 | $17.19–$102.65 | 148% above | -11% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 | $868.77 | $163.91 | $17.19–$139.32 | 1501% above | -430% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VIT B12 | $134.51 | $120.77 | $24.15–$84.54 | — | -11% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12 | $868.77 | $163.91 | $32.78–$114.74 | — | -430% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 ASSAY OF VITAMIN D | $45.82 | $73.90 | $20.31–$46.67 | 40% below | 38% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D (CALCITIOL) | $523.69 | $383.89 | $33.74–$326.31 | 580% above | -36% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY RIA | $703.40 | $337.52 | $33.74–$286.89 | 814% above | -108% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D (CALCITIOL) | $523.69 | $383.89 | $76.78–$268.72 | — | -36% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25 HYDROXY RIA | $703.40 | $337.52 | $67.50–$236.26 | — | -108% |
| Zinc blood test CPT 84630 ASSAY OF ZINC | $17.52 | $28.26 | $7.81–$18.01 | 60% below | 38% |
| Zinc blood test CPT 84630 ZINC, SERUM | $1,973.48 | $111.07 | $12.98–$94.41 | 4385% above | -1677% |
| Zinc blood test CPT 84630 ZINC, URINE | $2,916.11 | $177.93 | $12.98–$151.24 | 6528% above | -1539% |
| Zinc blood test CPT 84630 ZINC | $3,687.86 | $97.05 | $12.98–$82.49 | 8282% above | -3700% |
| Zinc blood test inpatient CPT 84630 ZINC, SERUM | $1,973.48 | $111.07 | $22.21–$77.75 | — | -1677% |
| Zinc blood test inpatient CPT 84630 ZINC, URINE | $2,916.11 | $177.93 | $35.59–$124.55 | — | -1539% |
| Zinc blood test inpatient CPT 84630 ZINC | $3,687.86 | $97.05 | $19.41–$67.94 | — | -3700% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Preg Serum | $25.61 | $41.30 | $7.76–$23.75 | 28% below | 38% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG BETA RIA(QUANT-SERUM) | $416.75 | $197.34 | $11.77–$167.74 | 1072% above | -111% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 QUAD SCR - GONADATROPIN (HCG) | $416.75 | $202.73 | $11.77–$172.32 | 1072% above | -106% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BETA HCG | $463.05 | $163.91 | $11.77–$139.32 | 1203% above | -183% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG BETA RIA(QUANT-SERUM) | $416.75 | $197.34 | $39.47–$138.14 | — | -111% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 QUAD SCR - GONADATROPIN (HCG) | $416.75 | $202.73 | $40.55–$141.91 | — | -106% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 BETA HCG | $463.05 | $163.91 | $32.78–$114.74 | — | -183% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Arkansas | Off list |
|---|---|---|---|---|---|
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 MA NON-VACU STEREOTAC LOCAL BX | $538.02 | $1,656.40 | $159.45–$1,544.75 | 60% below | 68% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 MA NON-VACU STEREOTAC LOCAL BX | $538.02 | $1,656.40 | $159.45–$1,159.48 | — | 68% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 CLOSED TX DISTAL FIBULA NO MANIP | $383.25 | $288.75 | $144.38–$686.00 | 3% above | -33% |
| Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 CLOSED TX DISTAL FIBULA NO MANIP | $383.25 | $288.75 | $57.75–$686.00 | — | -33% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 TX METATARSAL FX NO MANIP | $500.65 | $288.75 | $144.38–$473.90 | 17% above | -73% |
| Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 TX METATARSAL FX NO MANIP | $500.65 | $288.75 | $57.75–$473.90 | — | -73% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 PRO FEE CARDIOVERSION | $242.55 | $242.55 | $125.42–$259.74 | 46% below | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 PROF CARDIOVERSION | $242.55 | $242.55 | $125.42–$259.74 | 46% below | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION,ELECTIVE | $926.10 | $863.48 | $77.52–$733.96 | 105% above | -7% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 PROF CARDIOVERSION | $242.55 | $242.55 | $125.42–$259.74 | — | — |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 PRO FEE CARDIOVERSION | $242.55 | $242.55 | $125.42–$259.74 | — | — |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION,ELECTIVE | $926.10 | $863.48 | $105.85–$604.44 | — | -7% |
| Cervical biopsy CPT 57500 BIOPSY OF CERVIX | $156.99 | $253.21 | $108.40–$128.62 | 74% below | 38% |
| Cesarean delivery, including prenatal and postpartum care CPT 59510 CESAREAN DELIVERY | $2,488.29 | $4,013.37 | $2,509.01–$3,449.58 | — | 38% |
| Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 PRO FEE CIRC-EXCIS, >28 DAYS | $192.03 | $192.03 | $42.86–$335.01 | 76% below | — |
| Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 PRO FEE CIRC-EXCIS>28DAYS | $197.58 | $197.58 | $42.86–$335.01 | 76% below | — |
| Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 PRO FEE CIRC EXC >28 DAYS | $197.58 | $197.58 | $42.86–$335.01 | 76% below | — |
| Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 PRO FEE CIRC-EXIS,>28 DAYS | $197.58 | $197.58 | $42.86–$335.01 | 76% below | — |
| Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 PRO FEE CIRC-EXCIS, >28 DAYS | $192.03 | $192.03 | $42.86–$335.01 | — | — |
| Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 PRO FEE CIRC-EXIS,>28 DAYS | $197.58 | $197.58 | $42.86–$335.01 | — | — |
| Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 PRO FEE CIRC EXC >28 DAYS | $197.58 | $197.58 | $42.86–$335.01 | — | — |
| Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 PRO FEE CIRC-EXCIS>28DAYS | $197.58 | $197.58 | $42.86–$335.01 | — | — |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Circ w/Clamp w/reg/ring block | $61.95 | $347.55 | $94.87–$1,940.66 | 90% below | 82% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION | $190.71 | $307.60 | $158.70–$172.60 | 69% below | 38% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 PRO FEE CIRCUMCISION | $201.41 | $201.41 | $40.23–$252.39 | 67% below | — |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 PRO FEE CIRC W/REG/RING BLOCK | $307.60 | $307.60 | $40.23–$252.39 | 49% below | — |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 PRO FEE MG CIRCUMCISION | $307.60 | $307.60 | $40.23–$252.39 | 49% below | — |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 PRO FEE CIRC W/REG BLOCK | $307.60 | $307.60 | $40.23–$252.39 | 49% below | — |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 PRO FEE CIRC W/REGIONL BLOCK | $307.60 | $307.60 | $40.23–$252.39 | 49% below | — |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 Circ w/Clamp w/reg/ring block | $61.95 | $347.55 | $24.78–$312.20 | — | 82% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 PRO FEE CIRCUMCISION | $201.41 | $201.41 | $40.23–$252.39 | — | — |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 PRO FEE CIRC W/REG/RING BLOCK | $307.60 | $307.60 | $40.23–$252.39 | — | — |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 PRO FEE CIRC W/REGIONL BLOCK | $307.60 | $307.60 | $40.23–$252.39 | — | — |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 PRO FEE CIRC W/REG BLOCK | $307.60 | $307.60 | $40.23–$252.39 | — | — |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 PRO FEE MG CIRCUMCISION | $307.60 | $307.60 | $40.23–$252.39 | — | — |
| Circumcision, surgical, older than a newborn CPT 54160 PRO FEE EXC CIRC<28DAY NEO | $254.75 | $254.75 | $33.60–$376.88 | 59% below | — |
| Circumcision, surgical, older than a newborn CPT 54160 PRO FEE EXC CIRC<=28 DAY NEO | $254.75 | $254.75 | $33.60–$376.88 | 59% below | — |
| Circumcision, surgical, older than a newborn CPT 54160 PRO FEE EXC CIRC<=28DAY NEO | $254.75 | $254.75 | $33.60–$376.88 | 59% below | — |
| Circumcision, surgical, older than a newborn CPT 54160 PRO FEE EXC CIRC</=28 DAY NEO | $254.75 | $254.75 | $33.60–$376.88 | 59% below | — |
| Circumcision, surgical, older than a newborn CPT 54160 CIRCUMCISION by excision local | $972.46 | $417.06 | $145.13–$650.86 | 57% above | -133% |
| Circumcision, surgical, older than a newborn inpatient CPT 54160 PRO FEE EXC CIRC<=28DAY NEO | $254.75 | $254.75 | $33.60–$376.88 | — | — |
| Circumcision, surgical, older than a newborn inpatient CPT 54160 PRO FEE EXC CIRC<28DAY NEO | $254.75 | $254.75 | $33.60–$376.88 | — | — |
| Circumcision, surgical, older than a newborn inpatient CPT 54160 PRO FEE EXC CIRC</=28 DAY NEO | $254.75 | $254.75 | $33.60–$376.88 | — | — |
| Circumcision, surgical, older than a newborn inpatient CPT 54160 PRO FEE EXC CIRC<=28 DAY NEO | $254.75 | $254.75 | $33.60–$376.88 | — | — |
| Circumcision, surgical, older than a newborn inpatient CPT 54160 CIRCUMCISION by excision local | $972.46 | $417.06 | $83.41–$466.20 | — | -133% |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 BX/CURETT OF CERVIX W/SCOPE | $179.90 | $290.16 | $145.22–$238.96 | 57% below | 38% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOURETHROSCOPY | $200.51 | $323.40 | $0.00 | 87% below | 38% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRUCT PREMALG LESION | $84.90 | $136.93 | $60.36–$85.07 | 15% below | 38% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 Ear Lavage No Instrument | $57.95 | $93.46 | $12.24–$21.18 | 14% above | 38% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 PRO FEE REMOVE IMPT EARWAX UNI | $166.13 | $166.13 | $2.70–$27.16 | 228% above | — |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 CERUMEN REMOVAL IRRIGATION/LAV | $1,394.74 | $191.88 | $15.98–$317.50 | 2654% above | -627% |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 PRO FEE REMOVE IMPT EARWAX UNI | $166.13 | $166.13 | $2.70–$27.16 | — | — |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 CERUMEN REMOVAL IRRIGATION/LAV | $1,394.74 | $191.88 | $15.98–$134.32 | — | -627% |
| Earwax removal with instruments, one ear CPT 69210 Cerumen Removal Instrumentation | $57.95 | $93.46 | $46.38–$66.79 | 3% below | 38% |
| Earwax removal with instruments, one ear CPT 69210 CERUMEN REMOVAL INSTRUMENTATIO | $77.47 | $191.88 | $32.29–$317.50 | 29% above | 60% |
| Earwax removal with instruments, one ear CPT 69210 PROF REMOVE IMPACTED CERUMEN | $166.13 | $166.13 | $7.17–$81.49 | 177% above | — |
| Earwax removal with instruments, one ear inpatient CPT 69210 CERUMEN REMOVAL INSTRUMENTATIO | $77.47 | $191.88 | $30.99–$134.32 | — | 60% |
| Earwax removal with instruments, one ear inpatient CPT 69210 PROF REMOVE IMPACTED CERUMEN | $166.13 | $166.13 | $7.17–$81.49 | — | — |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 BIOPSY OF UTERUS LINING | $131.92 | $212.78 | $111.96–$154.74 | 24% below | 38% |
| Hysterectomy through an abdominal incision (total) CPT 58150 PRO FEE TOTAL HYSTERECTOMY | $1,935.89 | $1,935.89 | $225.97–$1,732.75 | at median | — |
| Hysterectomy through an abdominal incision (total) inpatient CPT 58150 PRO FEE TOTAL HYSTERECTOMY | $1,935.89 | $1,935.89 | $225.97–$1,732.75 | — | — |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 XR 1506 HSG CATH/INTRO SALINE | $39.69 | $532.51 | $57.59–$508.20 | 90% below | 93% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 XR Z HYSTEROSALPINGIOGRAM INJ | $90.30 | $518.62 | $57.59–$508.20 | 78% below | 83% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 US HYSTEROSONOGRAPHY CATH | $212.94 | $357.21 | $57.59–$508.20 | 49% below | 40% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 XR 1506 HSG CATH/INTRO SALINE | $39.69 | $532.51 | $15.88–$508.20 | — | 93% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 XR Z HYSTEROSALPINGIOGRAM INJ | $90.30 | $518.62 | $36.12–$508.20 | — | 83% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 US HYSTEROSONOGRAPHY CATH | $212.94 | $357.21 | $57.59–$508.20 | — | 40% |
| Hysteroscopy with endometrial ablation CPT 58563 PRO FEE HYSTEROSCOPY, ABLATION | $2,220.32 | $2,220.32 | $75.99–$3,545.85 | 24% below | — |
| Hysteroscopy with endometrial ablation inpatient CPT 58563 PRO FEE HYSTEROSCOPY, ABLATION | $2,220.32 | $2,220.32 | $75.99–$3,545.85 | — | — |
| Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 PRO FEE HYSTEROSCOPY, BIOPSY | $713.79 | $713.79 | $68.84–$2,238.09 | 82% below | — |
| Hysteroscopy with uterine lining sampling and/or polyp removal inpatient CPT 58558 PRO FEE HYSTEROSCOPY, BIOPSY | $713.79 | $713.79 | $68.84–$2,238.09 | — | — |
| IUD insertion (the device itself billed separately) CPT 58300 INSERT INTRAUTERINE DEVICE | $98.28 | $158.51 | $87.65–$96.64 | 89% below | 38% |
| IUD insertion (the device itself billed separately) CPT 58300 PRO FEE INSERT IUD | $395.83 | $395.83 | $14.69–$187.31 | 56% below | — |
| IUD insertion (the device itself billed separately) inpatient CPT 58300 PRO FEE INSERT IUD | $395.83 | $395.83 | $14.69–$187.31 | — | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D Skin ABSCESS; SIMPLE/SINGLE | $141.50 | $228.22 | $139.90–$157.34 | 25% below | 38% |
| Incision and drainage of a simple or single skin abscess CPT 10060 PROF INCISION/DRAIN ABCESS SIM | $177.17 | $177.17 | $11.34–$216.73 | 5% below | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABCESS SIMPLE | $236.25 | $246.08 | $107.19–$317.50 | 26% above | 4% |
| Incision and drainage of a simple or single skin abscess CPT 10060 PROF OP I&D SKIN ABSCESS | $287.68 | $287.68 | $11.34–$216.73 | 53% above | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSC; SMPL OR SGL | $519.75 | $660.40 | $107.19–$561.34 | 177% above | 21% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 PROF INCISION/DRAIN ABCESS SIM | $177.17 | $177.17 | $11.34–$216.73 | — | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABCESS SIMPLE | $236.25 | $246.08 | $49.22–$268.10 | — | 4% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 PROF OP I&D SKIN ABSCESS | $287.68 | $287.68 | $11.34–$216.73 | — | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSC; SMPL OR SGL | $519.75 | $660.40 | $107.19–$462.28 | — | 21% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ TENDON SHEATH/LIGAMENT | $66.71 | $107.59 | $54.25–$68.75 | 25% below | 38% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 PROF INJ TENDON SH LIG | $122.38 | $122.38 | $10.65–$98.46 | 37% above | — |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJECTION,TENDONSHEATH,LIGAMENT | $3,827.25 | $288.75 | $38.61–$317.50 | 4187% above | -1225% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 PROF INJ TENDON SH LIG | $122.38 | $122.38 | $10.65–$98.46 | — | — |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJECTION,TENDONSHEATH,LIGAMENT | $3,827.25 | $288.75 | $38.61–$202.13 | — | -1225% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 PROF ARTHROCENT/ASP/INJ MAJOR | $170.89 | $170.89 | $13.69–$110.91 | 1% below | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 JOINT INJECTION | $551.25 | $882.54 | $45.27–$750.16 | 219% above | 38% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ASPIRATION INJECTION MAJOR JOINT | $1,773.45 | $291.06 | $45.27–$317.50 | 926% above | -509% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 CT ARTHROCENTESIS, ASPIR JOINT | $2,764.65 | $522.21 | $45.27–$443.88 | 1499% above | -429% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 PROF ARTHROCENT/ASP/INJ MAJOR | $170.89 | $170.89 | $13.69–$110.91 | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 JOINT INJECTION | $551.25 | $882.54 | $45.27–$617.78 | — | 38% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ASPIRATION INJECTION MAJOR JOINT | $1,773.45 | $291.06 | $45.27–$203.74 | — | -509% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 CT ARTHROCENTESIS, ASPIR JOINT | $2,764.65 | $522.21 | $45.27–$365.55 | — | -429% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INSERT DRUG IMPLANT DEVICE | $163.05 | $262.99 | $135.12–$147.07 | 39% above | 38% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 PROF ARTHROCENT/ASP/INJ INTER | $156.56 | $156.56 | $11.89–$93.94 | 7% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ASPIRATION/INJECTION MED JOINT | $1,148.81 | $346.50 | $36.62–$317.50 | 686% above | -232% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 PROF ARTHROCENT/ASP/INJ INTER | $156.56 | $156.56 | $11.89–$93.94 | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ASPIRATION/INJECTION MED JOINT | $1,148.81 | $346.50 | $36.62–$242.55 | — | -232% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 DRAIN/INJ JOINT/BURSA W/O US | $60.54 | $97.65 | $49.23–$69.12 | 50% below | 38% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 PROF ARTHROCENT/ASP/INJ SMALL | $143.33 | $143.33 | $8.98–$91.67 | 18% above | — |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 ASPIRATION/INJECTION SM JOINT | $4,018.61 | $288.75 | $35.62–$317.50 | 3206% above | -1292% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 PROF ARTHROCENT/ASP/INJ SMALL | $143.33 | $143.33 | $8.98–$91.67 | — | — |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ASPIRATION/INJECTION SM JOINT | $4,018.61 | $288.75 | $35.62–$202.13 | — | -1292% |
| Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 PRO FEE TLH W/T/O 250 G OR LES | $2,000.78 | $2,000.78 | $254.63–$1,552.23 | 82% below | — |
| Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries inpatient CPT 58571 PRO FEE TLH W/T/O 250 G OR LES | $2,000.78 | $2,000.78 | $254.63–$1,552.23 | — | — |
| Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 LAPAROSCOPY REMOVE ADNEXA | $780.25 | $1,258.46 | $674.18–$1,258.46 | 78% below | 38% |
| Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 PRO FEE LAPAROSCOPY, REMOVE AD | $1,252.38 | $1,252.38 | $141.89–$1,111.97 | 65% below | — |
| Laparoscopic removal of fallopian tubes and/or ovaries inpatient CPT 58661 PRO FEE LAPAROSCOPY, REMOVE AD | $1,252.38 | $1,252.38 | $141.89–$1,111.97 | — | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 LAYER SURG REPAIR UP TO 2.5CM | $60.96 | $623.70 | $151.13–$553.70 | 81% below | 90% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INTMD REP S/A/T/EXT 2.5 CM/< | $234.36 | $234.36 | $21.51–$447.62 | 27% below | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 LAYER SURG REPAIR UP TO 2.5CM | $60.96 | $623.70 | $24.38–$553.70 | — | 90% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 INTMD REP S/A/T/EXT 2.5 CM/< | $234.36 | $234.36 | $21.51–$447.62 | — | — |
| Miscarriage treatment with D&C, first trimester CPT 59820 CARE OF MISCARRIAGE | $448.74 | $723.78 | $252.29–$412.16 | 74% below | 38% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC TR-EXT B9 MARG 0.5 < CM | $136.78 | $220.61 | $91.38–$129.18 | 54% below | 38% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC LESION B9+MARG 0.5CM< | $236.25 | $236.25 | $13.16–$219.00 | 20% below | — |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC LESION B9+MARG 0.5CM< | $364.35 | $236.25 | $84.88–$670.36 | 24% above | -54% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 EXC LESION B9+MARG 0.5CM< | $236.25 | $236.25 | $13.16–$219.00 | — | — |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 EXC LESION B9+MARG 0.5CM< | $364.35 | $236.25 | $47.25–$270.90 | — | -54% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXC FACE-MM B9 MARG 0.5 < CM | $145.17 | $234.15 | $0.00 | 39% below | 38% |
| Nail removal (partial or complete), one nail CPT 11730 PB PN REMOVAL OF NAIL PLATE | $98.77 | $159.31 | $88.03–$135.87 | 29% below | 38% |
| Nail removal (partial or complete), one nail CPT 11730 AVULSION,NAIL PLATE,SIMPLE SINGLE | $105.00 | $311.85 | $53.26–$317.50 | 25% below | 66% |
| Nail removal (partial or complete), one nail CPT 11730 PROF OP REMOV NAIL PLATE | $116.58 | $116.58 | $10.10–$195.80 | 17% below | — |
| Nail removal (partial or complete), one nail CPT 11730 SPL AVULSE NP; SGL | $396.90 | $573.30 | $53.26–$487.31 | 184% above | 31% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 AVULSION,NAIL PLATE,SIMPLE SINGLE | $105.00 | $311.85 | $42.00–$242.20 | — | 66% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 PROF OP REMOV NAIL PLATE | $116.58 | $116.58 | $10.10–$195.80 | — | — |
| Nail removal (partial or complete), one nail inpatient CPT 11730 SPL AVULSE NP; SGL | $396.90 | $573.30 | $53.26–$401.31 | — | 31% |
| Occipital nerve block (injection for headaches) CPT 64405 NERVE BLOCK INJ OCCIPITAL | $166.56 | $166.56 | $15.51–$128.46 | 1% below | — |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 NERVE BLOCK INJ OCCIPITAL | $166.56 | $166.56 | $15.51–$128.46 | — | — |
| Paracentesis with imaging guidance CPT 49083 US ABD PARACENTESIS W/IMAGING | $124.58 | $1,589.35 | $103.86–$1,350.95 | 79% below | 92% |
| Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGING | $125.69 | $344.56 | $103.86–$863.69 | 79% below | 64% |
| Paracentesis with imaging guidance CPT 49083 PROF ABD PARACENTESIS W/IMAGE | $791.44 | $791.44 | $171.36–$492.89 | 31% above | — |
| Paracentesis with imaging guidance inpatient CPT 49083 US ABD PARACENTESIS W/IMAGING | $124.58 | $1,589.35 | $49.83–$1,112.55 | — | 92% |
| Paracentesis with imaging guidance inpatient CPT 49083 ABD PARACENTESIS W/IMAGING | $125.69 | $344.56 | $50.28–$609.70 | — | 64% |
| Paracentesis with imaging guidance inpatient CPT 49083 PROF ABD PARACENTESIS W/IMAGE | $791.44 | $791.44 | $171.36–$492.89 | — | — |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 PROF EXC NAILS & NAIL MATRIX | $202.61 | $202.61 | $36.71–$273.89 | 41% below | — |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 PB PN Removal of nail and Matrix | $231.07 | $372.70 | $155.67–$239.70 | 32% below | 38% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 PROF OP REMOV NAIL BED | $526.69 | $526.69 | $36.71–$273.89 | 54% above | — |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 REMOVAL OF NAIL BED | $1,394.74 | $1,148.81 | $101.86–$976.49 | 309% above | -21% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXCISION NAIL AND MATRIX | $1,394.74 | $417.19 | $101.86–$379.92 | 309% above | -234% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 PROF EXC NAILS & NAIL MATRIX | $202.61 | $202.61 | $36.71–$273.89 | — | — |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 PROF OP REMOV NAIL BED | $526.69 | $526.69 | $36.71–$273.89 | — | — |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 EXCISION NAIL AND MATRIX | $1,394.74 | $417.19 | $83.44–$338.80 | — | -234% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 REMOVAL OF NAIL BED | $1,394.74 | $1,148.81 | $101.86–$804.17 | — | -21% |
| Prostate biopsy CPT 55700 BIOPSY OF PROSTATE | $227.06 | $366.23 | $113.64–$194.00 | 85% below | 38% |
| Prostate removal (prostatectomy), laparoscopic CPT 55866 LAPARO RADICAL PROSTATECTOMY | $2,176.32 | $3,510.20 | $1,727.20–$2,808.16 | 87% below | 38% |
| Removal of a foreign object under the skin, simple CPT 10120 Foreign Body Incision SubQ Simple | $153.64 | $247.80 | $145.73–$165.17 | 35% below | 38% |
| Removal of a foreign object under the skin, simple CPT 10120 PROF REMOVE FOREIGN BODY | $204.40 | $204.40 | $13.01–$259.74 | 13% below | — |
| Removal of a foreign object under the skin, simple CPT 10120 PROF INC & REM FB SQ; SMPL | $209.48 | $209.48 | $13.01–$259.74 | 11% below | — |
| Removal of a foreign object under the skin, simple CPT 10120 FBR-SUBQ-SIMPLE | $314.21 | $960.50 | $106.19–$816.43 | 34% above | 67% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 PROF REMOVE FOREIGN BODY | $204.40 | $204.40 | $13.01–$259.74 | — | — |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 PROF INC & REM FB SQ; SMPL | $209.48 | $209.48 | $13.01–$259.74 | — | — |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 FBR-SUBQ-SIMPLE | $314.21 | $960.50 | $106.19–$672.35 | — | 67% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 FRAGMENTING OF KIDNEY STONE | $952.06 | $1,535.58 | $765.18–$957.00 | 67% below | 38% |
| Short arm cast (elbow to hand) CPT 29075 CAST SHORT ARM | $118.27 | $288.75 | $62.91–$317.50 | 20% above | 59% |
| Short arm cast (elbow to hand) CPT 29075 PROF APP SHORT ARM CAST | $137.81 | $137.81 | $16.69–$152.22 | 40% above | — |
| Short arm cast (elbow to hand) inpatient CPT 29075 CAST SHORT ARM | $118.27 | $288.75 | $47.31–$202.13 | — | 59% |
| Short arm cast (elbow to hand) inpatient CPT 29075 PROF APP SHORT ARM CAST | $137.81 | $137.81 | $16.69–$152.22 | — | — |
| Short arm splint (forearm and hand) CPT 29125 PB PN Splint Forearm | $58.56 | $94.45 | $63.02–$66.24 | 49% below | 38% |
| Short arm splint (forearm and hand) CPT 29125 PROF APP SHORT ARM SPLINT | $98.12 | $98.12 | $10.91–$116.01 | 14% below | — |
| Short arm splint (forearm and hand) CPT 29125 FOREARM SPLINT | $1,490.03 | $189.88 | $40.61–$317.50 | 1209% above | -685% |
| Short arm splint (forearm and hand) inpatient CPT 29125 PROF APP SHORT ARM SPLINT | $98.12 | $98.12 | $10.91–$116.01 | — | — |
| Short arm splint (forearm and hand) inpatient CPT 29125 FOREARM SPLINT | $1,490.03 | $189.88 | $37.98–$143.50 | — | -685% |
| Short leg cast (below the knee) CPT 29405 SHORT LEG CAST | $134.09 | $288.75 | $58.92–$317.50 | 49% above | 54% |
| Short leg cast (below the knee) inpatient CPT 29405 SHORT LEG CAST | $134.09 | $288.75 | $53.64–$202.13 | — | 54% |
| Short leg splint (calf to foot) CPT 29515 APPLICATION LOWER LEG SPLINT | $82.88 | $133.67 | $47.42–$80.74 | 35% below | 38% |
| Short leg splint (calf to foot) CPT 29515 SPLINT(PLSTR/FIBRGLS)SHORT LEG | $90.30 | $198.20 | $49.93–$317.50 | 29% below | 54% |
| Short leg splint (calf to foot) CPT 29515 PROF APP SHORT LEG SPLINT | $152.15 | $152.15 | $12.15–$125.06 | 20% above | — |
| Short leg splint (calf to foot) inpatient CPT 29515 SPLINT(PLSTR/FIBRGLS)SHORT LEG | $90.30 | $198.20 | $36.12–$154.70 | — | 54% |
| Short leg splint (calf to foot) inpatient CPT 29515 PROF APP SHORT LEG SPLINT | $152.15 | $152.15 | $12.15–$125.06 | — | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SIMPLE WOUND REPAIR 2.5cm OR < | $66.78 | $459.74 | $44.61–$390.78 | 72% below | 85% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SIMPLE SURG REPAIR UP TO 2.5CM | $70.12 | $272.14 | $44.61–$317.50 | 71% below | 74% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Lac Repair <2.5 cm Simple Superficial Scalp neck axillae trunk arms legs | $114.55 | $184.75 | $49.27–$136.75 | 52% below | 38% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 PROF OP SIMPLE SUTURE <=2.5CM | $137.35 | $137.35 | $17.66–$160.71 | 42% below | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SREP S/N/A/G/TR/E; 2.5CM/< | $162.07 | $162.07 | $17.66–$160.71 | 32% below | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 SIMPLE WOUND REPAIR 2.5cm OR < | $66.78 | $459.74 | $26.71–$321.82 | — | 85% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 SIMPLE SURG REPAIR UP TO 2.5CM | $70.12 | $272.14 | $28.05–$198.80 | — | 74% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 PROF OP SIMPLE SUTURE <=2.5CM | $137.35 | $137.35 | $17.66–$160.71 | — | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 SREP S/N/A/G/TR/E; 2.5CM/< | $162.07 | $162.07 | $17.66–$160.71 | — | — |
| Skin biopsy, punch, one lesion CPT 11104 PB PUNCH BX SKIN SINGLE LESION | $109.34 | $176.35 | $71.39–$123.78 | 42% below | 38% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 EXC TR-EXT MAL+MARG 0.5 CM/< | $225.72 | $364.06 | $122.78–$193.03 | 28% below | 38% |
| Skin tag removal, up to 15 tags CPT 11200 PB Skin Tag Removal up to 15 | $111.45 | $179.76 | $80.67–$116.81 | 21% below | 38% |
| Skin tag removal, up to 15 tags CPT 11200 Pro Fee removal of skin tags | $225.51 | $225.51 | $11.22–$157.88 | 59% above | — |
| Skin tag removal, up to 15 tags CPT 11200 Assist removal of skin tags | $306.50 | $283.50 | $76.89–$317.50 | 116% above | -8% |
| Skin tag removal, up to 15 tags inpatient CPT 11200 Pro Fee removal of skin tags | $225.51 | $225.51 | $11.22–$157.88 | — | — |
| Skin tag removal, up to 15 tags inpatient CPT 11200 Assist removal of skin tags | $306.50 | $283.50 | $56.70–$198.45 | — | -8% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCT LUMBAR D/AG | $152.28 | $245.61 | $0.00 | 60% below | 38% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 PROF SPINAL PUNCT LUMBAR D/AG | $244.76 | $244.76 | $22.22–$248.42 | 36% below | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 XR SPINAL PUNCTURE | $351.70 | $720.99 | $63.25–$658.90 | 8% below | 51% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 PROF SPINAL PUNCT LUMBAR D/AG | $244.76 | $244.76 | $22.22–$248.42 | — | — |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 XR SPINAL PUNCTURE | $351.70 | $720.99 | $63.25–$504.69 | — | 51% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SIMPLE SURG REPAIR 2.6 TO 7.5 CM | $70.12 | $270.69 | $58.59–$317.50 | 79% below | 74% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SIMPLE WOUND REPAIR 2.6-7.5cm | $76.73 | $480.69 | $58.59–$408.59 | 77% below | 84% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Lac Repair 2.6 - 7.5 CM Simple scalp neck axillae external genitalia trunk extremities including hands and feet | $123.69 | $199.50 | $95.44–$152.48 | 62% below | 38% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 PROF OP SIMPL SUTURE 2.6-7.5cm | $180.61 | $180.61 | $19.42–$194.67 | 45% below | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 PROF SREPS/N/A/G/TR/E2.6-7.5CM | $195.14 | $195.14 | $19.42–$194.67 | 41% below | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 SIMPLE SURG REPAIR 2.6 TO 7.5 CM | $70.12 | $270.69 | $28.05–$240.80 | — | 74% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 SIMPLE WOUND REPAIR 2.6-7.5cm | $76.73 | $480.69 | $30.69–$336.48 | — | 84% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 PROF OP SIMPL SUTURE 2.6-7.5cm | $180.61 | $180.61 | $19.42–$194.67 | — | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 PROF SREPS/N/A/G/TR/E2.6-7.5CM | $195.14 | $195.14 | $19.42–$194.67 | — | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Lac Repair Simple Superficial face less than 2.5 cm | $123.69 | $199.50 | $89.73–$173.75 | 25% below | 38% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SIM SURG REPAIR FACE UP TO 2.5CM | $147.40 | $281.23 | $55.26–$317.50 | 10% below | 48% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SREP F/E/N/L/MM; 2.5CM/< | $196.25 | $196.25 | $18.78–$191.27 | 19% above | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 SIM SURG REPAIR FACE UP TO 2.5CM | $147.40 | $281.23 | $55.26–$236.60 | — | 48% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 SREP F/E/N/L/MM; 2.5CM/< | $196.25 | $196.25 | $18.78–$191.27 | — | — |
| TURP (transurethral resection of the prostate) CPT 52601 PROSTATECTOMY (TURP) | $1,054.47 | $1,700.76 | $650.11 | 77% below | 38% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 PB TANGNTL BX SKIN SINGLE LES | $88.00 | $141.93 | $56.87–$135.75 | 44% below | 38% |
| Thoracentesis with imaging guidance CPT 32555 US THORACENTESIS W/IMAGING | $253.58 | $1,613.40 | $106.52–$1,371.39 | 66% below | 84% |
| Thoracentesis with imaging guidance CPT 32555 CT THORACENTESIS PUNCTURE | $330.75 | $979.90 | $106.52–$832.92 | 56% below | 66% |
| Thoracentesis with imaging guidance CPT 32555 ASPIRATE PLEURA W/ IMAGING | $363.83 | $1,643.28 | $106.52–$1,396.79 | 51% below | 78% |
| Thoracentesis with imaging guidance CPT 32555 THORACENTESIS WITH IMAGE GUIDA | $363.83 | $2,377.77 | $106.52–$2,021.10 | 51% below | 85% |
| Thoracentesis with imaging guidance CPT 32555 PROF THORACENTESIS W/IMAGING | $2,264.54 | $2,264.54 | $112.40–$529.10 | 202% above | — |
| Thoracentesis with imaging guidance inpatient CPT 32555 US THORACENTESIS W/IMAGING | $253.58 | $1,613.40 | $101.43–$1,129.38 | — | 84% |
| Thoracentesis with imaging guidance inpatient CPT 32555 CT THORACENTESIS PUNCTURE | $330.75 | $979.90 | $106.52–$685.93 | — | 66% |
| Thoracentesis with imaging guidance inpatient CPT 32555 ASPIRATE PLEURA W/ IMAGING | $363.83 | $1,643.28 | $106.52–$1,150.30 | — | 78% |
| Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS WITH IMAGE GUIDA | $363.83 | $2,377.77 | $106.52–$1,664.44 | — | 85% |
| Thoracentesis with imaging guidance inpatient CPT 32555 PROF THORACENTESIS W/IMAGING | $2,264.54 | $2,264.54 | $112.40–$529.10 | — | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER POINT 1/2 MUSCL | $53.38 | $86.10 | $56.44–$59.46 | 65% below | 38% |
| Trigger point injections, 1 or 2 muscles CPT 20552 PRO FEE INJ TRIGGER PTS | $113.74 | $113.74 | $14.31–$89.41 | 25% below | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER POINTS | $1,011.15 | $142.98 | $36.62–$317.50 | 568% above | -607% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 PRO FEE INJ TRIGGER PTS | $113.74 | $113.74 | $14.31–$89.41 | — | — |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJ TRIGGER POINTS | $1,011.15 | $142.98 | $28.60–$110.60 | — | -607% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 US BX, BREAST NDL COR 1 LESION | $273.59 | $1,429.97 | $150.79–$1,544.75 | 73% below | 81% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 US BX, BREAST NDL COR 1 LESION | $273.59 | $1,429.97 | $109.44–$1,036.00 | — | 81% |
| Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 CYSTOURETERO W/LITHOTRIPSY | $516.12 | $832.45 | $547.58 | 92% below | 38% |
| Ureteroscopy with laser stone breaking and stent placement CPT 52356 CYSTO/URETERO W/LITHOTRIPSY | $703.08 | $1,134.00 | $290.45–$643.07 | 92% below | 38% |
| Vaginal birth after cesarean (VBAC), including prenatal and postpartum care CPT 59610 VBAC DELIVERY | $2,621.69 | $4,228.54 | $1,200.24–$3,511.16 | — | 38% |
| Vaginal delivery, including prenatal and postpartum care CPT 59400 OBSTETRICAL CARE | $2,235.62 | $3,605.84 | $2,344.71–$3,119.02 | at median | 38% |
| Vasectomy, one or both sides, including follow-up semen testing CPT 55250 REMOVAL OF SPERM DUCT(S) | $374.98 | $604.80 | $367.68–$562.98 | 69% below | 38% |
| Wart removal, up to 14 warts CPT 17110 DESTRUCT B9 LESION 1-14 | $130.04 | $209.74 | $71.26–$126.23 | 16% below | 38% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DBRDMT SUBQ TIS 1ST 20SQCM/< | $130.85 | $211.05 | $87.69–$117.03 | 50% below | 38% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDEMENT SKIN & SUBQ | $143.33 | $334.72 | $60.25–$379.92 | 45% below | 57% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 PRO FEE DEB SUBQ=/<20 SQ CM | $194.11 | $194.11 | $15.54–$220.70 | 26% below | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 PROF OP DEBRID SKIN SUB TISS 1 | $197.59 | $197.59 | $15.54–$220.70 | 25% below | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDE SUBQ TISSUE 20 SQ CM/< | $294.84 | $1,127.53 | $60.25–$958.40 | 13% above | 74% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDEMENT SKIN & SUBQ | $143.33 | $334.72 | $57.33–$273.00 | — | 57% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 PRO FEE DEB SUBQ=/<20 SQ CM | $194.11 | $194.11 | $15.54–$220.70 | — | — |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 PROF OP DEBRID SKIN SUB TISS 1 | $197.59 | $197.59 | $15.54–$220.70 | — | — |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDE SUBQ TISSUE 20 SQ CM/< | $294.84 | $1,127.53 | $60.25–$789.27 | — | 74% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Arkansas | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSIONS | $147.74 | $755.92 | $42.28–$642.53 | 65% below | 80% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION | $153.25 | $755.92 | $42.28–$642.53 | 64% below | 80% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSIONS | $147.74 | $755.92 | $42.28–$529.14 | — | 80% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION | $153.25 | $755.92 | $42.28–$529.14 | — | 80% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AIRWAY INHALATION TREATMENT | $19.54 | $31.52 | $7.31–$24.68 | 75% below | 38% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 METERED DOSE INHALER | $162.07 | $220.87 | $6.12–$203.22 | 108% above | 27% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 UPDRAFT-INITIAL TREATMENT | $420.22 | $255.11 | $6.12–$216.84 | 439% above | -65% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 IPV SUBSEQUENT TREATMENT | $729.31 | $159.60 | $6.12–$203.22 | 835% above | -357% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 IPV INITIAL TREATMENT | $1,289.93 | $166.95 | $6.12–$203.22 | 1554% above | -673% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 METERED DOSE INHALER INITIAL | $1,296.54 | $255.11 | $6.12–$216.84 | 1562% above | -408% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEBULIZER, UPDRAFT POWER MIST | $2,355.77 | $220.87 | $6.12–$203.22 | 2920% above | -967% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 METERED DOSE INHALER | $162.07 | $220.87 | $7.44–$154.61 | — | 27% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 UPDRAFT-INITIAL TREATMENT | $420.22 | $255.11 | $7.44–$178.58 | — | -65% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 IPV SUBSEQUENT TREATMENT | $729.31 | $159.60 | $7.44–$111.72 | — | -357% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 IPV INITIAL TREATMENT | $1,289.93 | $166.95 | $7.44–$116.87 | — | -673% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 METERED DOSE INHALER INITIAL | $1,296.54 | $255.11 | $7.44–$178.58 | — | -408% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 NEBULIZER, UPDRAFT POWER MIST | $2,355.77 | $220.87 | $7.44–$154.61 | — | -967% |
| Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV INFUSION,UP TO 1HR | $839.00 | $687.96 | $129.16–$584.77 | 233% above | -22% |
| Chemotherapy IV infusion, first hour CPT 96413 INITIAL CHEMO IV INFUSION 1HR | $880.95 | $687.96 | $129.16–$584.77 | 249% above | -28% |
| Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV INFUSION UP TO 1HR | $880.95 | $687.96 | $129.16–$584.77 | 249% above | -28% |
| Chemotherapy IV infusion, first hour CPT 96413 INITIAL CHEMO IV INFUSION 1 HR | $880.95 | $687.96 | $129.16–$584.77 | 249% above | -28% |
| Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV INF INITIAL UP TO 1HR | $880.95 | $687.96 | $129.16–$584.77 | 249% above | -28% |
| Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV INFUSION, UP TO 1HR | $880.95 | $687.96 | $129.16–$584.77 | 249% above | -28% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO IV INFUSION,UP TO 1HR | $839.00 | $687.96 | $120.27–$481.57 | — | -22% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 INITIAL CHEMO IV INFUSION 1HR | $880.95 | $687.96 | $120.27–$481.57 | — | -28% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 INITIAL CHEMO IV INFUSION 1 HR | $880.95 | $687.96 | $120.27–$481.57 | — | -28% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO IV INF INITIAL UP TO 1HR | $880.95 | $687.96 | $120.27–$481.57 | — | -28% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO IV INFUSION UP TO 1HR | $880.95 | $687.96 | $120.27–$481.57 | — | -28% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO IV INFUSION, UP TO 1HR | $880.95 | $687.96 | $120.27–$481.57 | — | -28% |
| Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 COMPREHENSIVE HEARING TEST | $43.62 | $70.35 | $49.50 | 21% below | 38% |
| Critical care, first 30 to 74 minutes CPT 99291 PRO FEE CRITICAL CARE 30-74M | $370.15 | $370.15 | $170.54–$364.87 | 44% below | — |
| Critical care, first 30 to 74 minutes CPT 99291 PRO FEE CRITICAL CARE 30-74 M | $381.15 | $381.15 | $170.54–$364.87 | 43% below | — |
| Critical care, first 30 to 74 minutes CPT 99291 PRO FEE CRITICAL CARE 30-74 | $388.66 | $388.66 | $170.54–$364.87 | 41% below | — |
| Critical care, first 30 to 74 minutes CPT 99291 PRO FEE CRITICAL CARE 1ST HR | $388.66 | $388.66 | $170.54–$364.87 | 41% below | — |
| Critical care, first 30 to 74 minutes CPT 99291 PRO FEE IMCRITICAL CARE 1ST HR | $388.66 | $388.66 | $170.54–$364.87 | 41% below | — |
| Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE 1ST HOUR | $388.66 | $388.66 | $170.54–$364.87 | 41% below | — |
| Critical care, first 30 to 74 minutes CPT 99291 PROF CRITICAL CARE FIRST 30-74 | $467.46 | $467.46 | $170.54–$364.87 | 30% below | — |
| Critical care, first 30 to 74 minutes CPT 99291 PRO CRITICAL CARE INIT 30-74 M | $618.50 | $618.50 | $170.54–$364.87 | 7% below | — |
| Critical care, first 30 to 74 minutes CPT 99291 PROF CRIT CARE E/M 30-74 MIN | $618.50 | $618.50 | $170.54–$364.87 | 7% below | — |
| Critical care, first 30 to 74 minutes CPT 99291 PROF CRIT CARE INITIAL 30-74 M | $618.50 | $618.50 | $170.54–$364.87 | 7% below | — |
| Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE 30-74 MINUTES | $887.90 | $1,385.00 | $210.04–$2,716.00 | 34% above | 36% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 PRO FEE CRITICAL CARE 30-74M | $370.15 | $370.15 | $170.54–$364.87 | — | — |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 PRO FEE CRITICAL CARE 30-74 M | $381.15 | $381.15 | $170.54–$364.87 | — | — |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 PRO FEE IMCRITICAL CARE 1ST HR | $388.66 | $388.66 | $170.54–$364.87 | — | — |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 CRITICAL CARE 1ST HOUR | $388.66 | $388.66 | $170.54–$364.87 | — | — |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 PRO FEE CRITICAL CARE 1ST HR | $388.66 | $388.66 | $170.54–$364.87 | — | — |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 PRO FEE CRITICAL CARE 30-74 | $388.66 | $388.66 | $170.54–$364.87 | — | — |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 PROF CRITICAL CARE FIRST 30-74 | $467.46 | $467.46 | $170.54–$364.87 | — | — |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 PROF CRIT CARE INITIAL 30-74 M | $618.50 | $618.50 | $170.54–$364.87 | — | — |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 PRO CRITICAL CARE INIT 30-74 M | $618.50 | $618.50 | $170.54–$364.87 | — | — |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 PROF CRIT CARE E/M 30-74 MIN | $618.50 | $618.50 | $170.54–$364.87 | — | — |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 CRITICAL CARE 30-74 MINUTES | $887.90 | $1,385.00 | $210.04–$969.50 | — | 36% |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 ELECTROCARDIOGRAM COMPLETE | $18.87 | $30.43 | $14.99–$24.27 | 12% below | 38% |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 ELECTROCARDIOGRAM COMPLETE | $30.87 | $30.87 | $24.33–$29.17 | 44% above | — |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 ELECTROCARDIOGRAM COMPLETE | $30.87 | $30.87 | $24.33–$29.17 | — | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ECG 12 LEAD | $3,665.81 | $284.78 | $6.32–$242.06 | 3385% above | -1187% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ECG 12 LEAD | $3,665.81 | $284.78 | $5.89–$199.35 | — | -1187% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 NON EMERG PHYSICIAN ASSESSMENT | $49.61 | $49.61 | $15.17–$22.44 | 54% below | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 PRO FEE NON-EMERG CARE LEVEL 1 | $160.65 | $160.65 | $15.17–$22.44 | 48% above | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 PRO FEE PATIENT CARE LEVEL I | $160.65 | $160.65 | $15.17–$22.44 | 48% above | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 PATIENT CARE LEVEL I | $839.28 | $284.13 | $11.32–$450.00 | 673% above | -195% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 NON-EMERGENCY CARE LEVEL 1 | $839.28 | $340.96 | $11.32–$450.00 | 673% above | -146% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 NON EMERG PHYSICIAN ASSESSMENT | $49.61 | $49.61 | $15.17–$22.44 | — | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 PRO FEE PATIENT CARE LEVEL I | $160.65 | $160.65 | $15.17–$22.44 | — | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 PRO FEE NON-EMERG CARE LEVEL 1 | $160.65 | $160.65 | $15.17–$22.44 | — | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 NON-EMERGENCY CARE LEVEL 1 | $839.28 | $340.96 | $10.54–$238.67 | — | -146% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 PATIENT CARE LEVEL I | $839.28 | $284.13 | $10.54–$198.89 | — | -195% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 NON-EMERGENCY CARE LEVEL 2 | $83.79 | $462.92 | $41.28–$525.00 | 45% below | 82% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 PATIENT CARE LEVEL II | $92.61 | $462.92 | $41.28–$525.00 | 39% below | 80% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 PRO FEE NON-EMERG CARE LEVEL 2 | $214.20 | $214.20 | $35.70–$55.31 | 40% above | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 PRO FEE PATIENT CARE LEVEL II | $214.20 | $214.20 | $35.70–$55.31 | 40% above | — |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 NON-EMERGENCY CARE LEVEL 2 | $83.79 | $462.92 | $33.52–$324.04 | — | 82% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 PATIENT CARE LEVEL II | $92.61 | $462.92 | $37.04–$324.04 | — | 80% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 PRO FEE PATIENT CARE LEVEL II | $214.20 | $214.20 | $35.70–$55.31 | — | — |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 PRO FEE NON-EMERG CARE LEVEL 2 | $214.20 | $214.20 | $35.70–$55.31 | — | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 PRO FEE PATIENT CARE LEVEL III | $305.39 | $305.39 | $54.98–$94.12 | 11% above | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 PRO FEE NON-EMERG CARE LEVEL 3 | $305.39 | $305.39 | $54.98–$94.12 | 11% above | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 PATIENT CARE LEVEL III | $2,199.49 | $519.75 | $70.24–$1,134.00 | 696% above | -323% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 PRO FEE NON-EMERG CARE LEVEL 3 | $305.39 | $305.39 | $54.98–$94.12 | — | — |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 PRO FEE PATIENT CARE LEVEL III | $305.39 | $305.39 | $54.98–$94.12 | — | — |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 PATIENT CARE LEVEL III | $2,199.49 | $519.75 | $65.40–$363.83 | — | -323% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 NON-EMERG CARE LEVEL 4 | $145.54 | $234.74 | $0.00 | 68% below | 38% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 PATIENT CARE LEVEL IV | $303.30 | $903.90 | $119.50–$1,134.00 | 33% below | 66% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Pro Fee NON-EMERG CARE LEVEL 4 | $439.90 | $439.90 | $72.93–$160.13 | 2% below | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 PRO FEE PATIENT CARE LEVEL IV | $439.90 | $439.90 | $72.93–$160.13 | 2% below | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 PATIENT CARE LEVEL IV | $303.30 | $903.90 | $111.28–$632.73 | — | 66% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 Pro Fee NON-EMERG CARE LEVEL 4 | $439.90 | $439.90 | $72.93–$160.13 | — | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 PRO FEE PATIENT CARE LEVEL IV | $439.90 | $439.90 | $72.93–$160.13 | — | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 PRO FEE NON-EMERG CARE LEVEL 5 | $587.63 | $587.63 | $85.43–$231.95 | 16% below | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 PRO FEE PATIENT CARE LEVEL V | $587.63 | $587.63 | $85.43–$231.95 | 16% below | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 PATIENT CARE LEVEL V | $1,288.43 | $1,303.30 | $173.10–$2,176.00 | 84% above | 1% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 PRO FEE PATIENT CARE LEVEL V | $587.63 | $587.63 | $85.43–$231.95 | — | — |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 PRO FEE NON-EMERG CARE LEVEL 5 | $587.63 | $587.63 | $85.43–$231.95 | — | — |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 PATIENT CARE LEVEL V | $1,288.43 | $1,303.30 | $161.18–$912.31 | — | 1% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 NM TREADMILL STRESS TEST | $2,901.78 | $1,207.02 | $37.61–$1,025.97 | 657% above | -140% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 NM TREADMILL STRESS TEST | $2,901.78 | $1,207.02 | $35.03–$844.91 | — | -140% |
| Family therapy with the patient, 50 minutes CPT 90847 PROF FAMILY PSYTX W/PT 50 MIN | $330.75 | $330.75 | $108.00–$173.73 | 108% above | — |
| Family therapy with the patient, 50 minutes CPT 90847 FAMILY PSYTX W/PT 50 MIN | $584.33 | $330.75 | $101.53–$281.14 | 268% above | -77% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 PROF FAMILY PSYTX W/PT 50 MIN | $330.75 | $330.75 | $108.00–$173.73 | — | — |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 FAMILY PSYTX W/PT 50 MIN | $584.33 | $330.75 | $66.15–$231.53 | — | -77% |
| Family therapy without the patient, 50 minutes CPT 90846 PROF PSYTX FAMILY W/O PT 50 M | $308.70 | $308.70 | $78.82–$165.81 | 94% above | — |
| Family therapy without the patient, 50 minutes CPT 90846 FAMILY PSYTX W/O PT 50 MIN | $584.33 | $294.00 | $97.20–$249.90 | 267% above | -99% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 PROF PSYTX FAMILY W/O PT 50 M | $308.70 | $308.70 | $78.82–$165.81 | — | — |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 FAMILY PSYTX W/O PT 50 MIN | $584.33 | $294.00 | $58.80–$205.80 | — | -99% |
| Holter monitor, heart rhythm recording up to 48 hours, with report CPT 93224 ECG MONIT/REPRT UP TO 48 HRS | $104.58 | $168.68 | $90.78–$125.32 | 33% below | 38% |
| Holter monitor, heart rhythm recording up to 48 hours, with report CPT 93224 PROFEE ECG MTR/RPT, 24HRSHOUSE | $168.68 | $168.68 | $122.23–$199.72 | 8% above | — |
| Holter monitor, heart rhythm recording up to 48 hours, with report CPT 93224 PROFEE CG MTR/RPT, 24HRSHOUSE | $168.68 | $168.68 | $122.23–$199.72 | 8% above | — |
| Holter monitor, heart rhythm recording up to 48 hours, with report inpatient CPT 93224 PROFEE CG MTR/RPT, 24HRSHOUSE | $168.68 | $168.68 | $122.23–$199.72 | — | — |
| Holter monitor, heart rhythm recording up to 48 hours, with report inpatient CPT 93224 PROFEE ECG MTR/RPT, 24HRSHOUSE | $168.68 | $168.68 | $122.23–$199.72 | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INF INIT, HYDRT 31MIN-60MIN | $1,906.61 | $294.84 | $32.29–$250.61 | 967% above | -547% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INFUSION, HYDRT 31 MIN-1HOU | $2,054.79 | $217.25 | $32.29–$204.22 | 1050% above | -846% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 RTI INIT HYD IV 31-60MIN | $2,054.79 | $294.00 | $32.29–$249.90 | 1050% above | -599% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INF INIT 31-60M | $2,421.09 | $245.70 | $32.29–$208.85 | 1254% above | -885% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 INITIAL HYDRATION IV 31-60MIN | $2,431.01 | $294.84 | $32.29–$250.61 | 1260% above | -725% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INFUSION,HYDRT 31MIN-1HOUR | $2,431.01 | $294.84 | $32.29–$250.61 | 1260% above | -725% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INFUSION, HYDRT 31MIN-1HOUR | $2,542.14 | $217.25 | $32.29–$204.22 | 1322% above | -1070% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INFUSION, HYDRT 31MIN-1HR | $6,196.76 | $353.81 | $32.29–$300.74 | 3367% above | -1651% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INFUSION, INITAL,UP TO 1 HOUR | $6,196.76 | $324.32 | $32.29–$275.67 | 3367% above | -1811% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV INF INIT, HYDRT 31MIN-60MIN | $1,906.61 | $294.84 | $30.07–$206.39 | — | -547% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV INFUSION, HYDRT 31 MIN-1HOU | $2,054.79 | $217.25 | $30.07–$152.08 | — | -846% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 RTI INIT HYD IV 31-60MIN | $2,054.79 | $294.00 | $30.07–$205.80 | — | -599% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATION IV INF INIT 31-60M | $2,421.09 | $245.70 | $30.07–$171.99 | — | -885% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 INITIAL HYDRATION IV 31-60MIN | $2,431.01 | $294.84 | $30.07–$206.39 | — | -725% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV INFUSION,HYDRT 31MIN-1HOUR | $2,431.01 | $294.84 | $30.07–$206.39 | — | -725% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV INFUSION, HYDRT 31MIN-1HOUR | $2,542.14 | $217.25 | $30.07–$152.08 | — | -1070% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV INFUSION, HYDRT 31MIN-1HR | $6,196.76 | $353.81 | $30.07–$247.67 | — | -1651% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV INFUSION, INITAL,UP TO 1 HOUR | $6,196.76 | $324.32 | $30.07–$227.02 | — | -1811% |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION, MED,INTIAL 1 HR | $2,054.79 | $443.21 | $62.58–$376.73 | 1009% above | -364% |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION,MED,INITIAL 1 HR | $2,054.79 | $443.21 | $62.58–$376.73 | 1009% above | -364% |
| IV infusion of a medicine, first hour CPT 96365 INTRAVENOUS INFUSIONTHERAPY,PR | $2,542.14 | $459.64 | $62.58–$390.69 | 1272% above | -453% |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION, MED, INITIAL 1 HR | $2,542.14 | $412.34 | $62.58–$350.49 | 1272% above | -517% |
| IV infusion of a medicine, first hour CPT 96365 IV INF,THERAPY,INITIAL UP TO 1 HR | $2,542.14 | $487.53 | $62.58–$414.40 | 1272% above | -421% |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION/MED UP TO 1 HR | $2,542.14 | $465.37 | $62.58–$395.56 | 1272% above | -446% |
| IV infusion of a medicine, first hour CPT 96365 INITIAL INFUSION/MED UP TO 1HR | $2,542.14 | $443.21 | $62.58–$376.73 | 1272% above | -474% |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION,MED,INITIAL 1 HR | $2,054.79 | $443.21 | $58.28–$310.25 | — | -364% |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION, MED,INTIAL 1 HR | $2,054.79 | $443.21 | $58.28–$310.25 | — | -364% |
| IV infusion of a medicine, first hour inpatient CPT 96365 INITIAL INFUSION/MED UP TO 1HR | $2,542.14 | $443.21 | $58.28–$310.25 | — | -474% |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION/MED UP TO 1 HR | $2,542.14 | $465.37 | $58.28–$325.76 | — | -446% |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INF,THERAPY,INITIAL UP TO 1 HR | $2,542.14 | $487.53 | $58.28–$341.27 | — | -421% |
| IV infusion of a medicine, first hour inpatient CPT 96365 INTRAVENOUS INFUSIONTHERAPY,PR | $2,542.14 | $459.64 | $58.28–$321.75 | — | -453% |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION, MED, INITIAL 1 HR | $2,542.14 | $412.34 | $58.28–$288.64 | — | -517% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PROPH/DIAG INJ- SC/IM | $26.66 | $43.00 | $12.82–$30.52 | 65% below | 38% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 RTI INJ SC/IM | $2,431.01 | $112.64 | $14.31–$95.74 | 3080% above | -2058% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 SUBQ/IM INJ | $2,431.01 | $118.27 | $14.31–$100.53 | 3080% above | -1955% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 PM ITRAMUSCULAR INJECTION | $2,431.01 | $128.99 | $14.31–$109.64 | 3080% above | -1785% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAPEUTIC PROPHYLACTIC DIAG INJ | $2,431.01 | $123.91 | $14.31–$105.32 | 3080% above | -1862% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 RABIES IMM GLOB, INTRAM ADMIN | $2,431.01 | $257.10 | $14.31–$218.54 | 3080% above | -846% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 SUB-Q/IM INJECTION | $2,542.14 | $118.27 | $14.31–$100.53 | 3226% above | -2049% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 RABIES IMM GLOB, INTRAM ADMIN | $2,431.01 | $257.10 | $13.33–$179.97 | — | -846% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 SUBQ/IM INJ | $2,431.01 | $118.27 | $13.33–$82.79 | — | -1955% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAPEUTIC PROPHYLACTIC DIAG INJ | $2,431.01 | $123.91 | $13.33–$86.74 | — | -1862% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 RTI INJ SC/IM | $2,431.01 | $112.64 | $13.33–$78.85 | — | -2058% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 PM ITRAMUSCULAR INJECTION | $2,431.01 | $128.99 | $13.33–$90.29 | — | -1785% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 SUB-Q/IM INJECTION | $2,542.14 | $118.27 | $13.33–$82.79 | — | -2049% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCH DIAGNOSTIC EVAL | $96.09 | $363.83 | $138.31–$309.26 | 35% below | 74% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 PROF BH PSYCH DIAGNOSTIC EVAL | $363.83 | $363.83 | $201.11–$292.56 | 147% above | — |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 PSYCH DIAGNOSTIC EVAL | $96.09 | $363.83 | $38.44–$254.68 | — | 74% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 PROF BH PSYCH DIAGNOSTIC EVAL | $363.83 | $363.83 | $201.11–$292.56 | — | — |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 NCV 7-8 NERVES | $1,361.37 | $445.85 | $72.94–$378.97 | 532% above | -205% |
| Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 NCV 7-8 NERVES | $1,361.37 | $445.85 | $89.17–$312.10 | — | -205% |
| New patient office visit, about 30 minutes CPT 99203 WOUND CARE NEW PAT. INTERMEDIA | $57.89 | $313.60 | $73.58–$266.56 | 28% below | 82% |
| New patient office visit, about 30 minutes CPT 99203 FAC OFFICE NEW MOD | $57.89 | $298.67 | $73.58–$253.87 | 28% below | 81% |
| New patient office visit, about 30 minutes CPT 99203 EVALUATION & MGMT NEW PT LVL 3 | $57.89 | $358.31 | $73.58–$304.56 | 28% below | 84% |
| New patient office visit, about 30 minutes CPT 99203 ONC FAC OFFICE NEW MOD | $57.89 | $313.60 | $73.58–$266.56 | 28% below | 82% |
| New patient office visit, about 30 minutes CPT 99203 BH OP VISIT NP INTERMEDIATE | $57.89 | $312.01 | $73.58–$265.21 | 28% below | 81% |
| New patient office visit, about 30 minutes CPT 99203 ONC FAC NP DETAILED | $57.89 | $298.67 | $73.58–$253.87 | 28% below | 81% |
| New patient office visit, about 30 minutes CPT 99203 OFFICE O/P NEW LOW 30 MIN | $101.26 | $163.33 | $70.98–$130.01 | 26% above | 38% |
| New patient office visit, about 30 minutes CPT 99203 PROF OP NP DETAILED | $232.52 | $232.52 | $71.59–$149.43 | 189% above | — |
| New patient office visit, about 30 minutes CPT 99203 PAIN MGNT NEW PATIENT INTERM | $232.52 | $232.52 | $71.59–$149.43 | 189% above | — |
| New patient office visit, about 30 minutes CPT 99203 PROF E&M NP DETAILED | $232.52 | $232.52 | $71.59–$149.43 | 189% above | — |
| New patient office visit, about 30 minutes CPT 99203 PROF BH OP VISIT NP 30 MIN | $237.04 | $237.04 | $71.59–$149.43 | 194% above | — |
| New patient office visit, about 30 minutes CPT 99203 PROF NP DETAILED | $237.04 | $237.04 | $71.59–$149.43 | 194% above | — |
| New patient office visit, about 30 minutes CPT 99203 PRO FEE NEW OFFICE VISIT LVL 3 | $237.04 | $237.04 | $71.59–$149.43 | 194% above | — |
| New patient office visit, about 30 minutes CPT 99203 PRO NP DETAILED | $248.89 | $248.89 | $71.59–$149.43 | 209% above | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 ONC FAC NP DETAILED | $57.89 | $298.67 | $23.16–$209.07 | — | 81% |
| New patient office visit, about 30 minutes inpatient CPT 99203 ONC FAC OFFICE NEW MOD | $57.89 | $313.60 | $23.16–$219.52 | — | 82% |
| New patient office visit, about 30 minutes inpatient CPT 99203 FAC OFFICE NEW MOD | $57.89 | $298.67 | $23.16–$209.07 | — | 81% |
| New patient office visit, about 30 minutes inpatient CPT 99203 WOUND CARE NEW PAT. INTERMEDIA | $57.89 | $313.60 | $23.16–$219.52 | — | 82% |
| New patient office visit, about 30 minutes inpatient CPT 99203 BH OP VISIT NP INTERMEDIATE | $57.89 | $312.01 | $23.16–$218.41 | — | 81% |
| New patient office visit, about 30 minutes inpatient CPT 99203 EVALUATION & MGMT NEW PT LVL 3 | $57.89 | $358.31 | $23.16–$250.82 | — | 84% |
| New patient office visit, about 30 minutes inpatient CPT 99203 PAIN MGNT NEW PATIENT INTERM | $232.52 | $232.52 | $71.59–$149.43 | — | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 PROF E&M NP DETAILED | $232.52 | $232.52 | $71.59–$149.43 | — | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 PROF OP NP DETAILED | $232.52 | $232.52 | $71.59–$149.43 | — | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 PROF NP DETAILED | $237.04 | $237.04 | $71.59–$149.43 | — | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 PROF BH OP VISIT NP 30 MIN | $237.04 | $237.04 | $71.59–$149.43 | — | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 PRO FEE NEW OFFICE VISIT LVL 3 | $237.04 | $237.04 | $71.59–$149.43 | — | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 PRO NP DETAILED | $248.89 | $248.89 | $71.59–$149.43 | — | — |
| New patient office visit, about 45 minutes CPT 99204 WOUND CARE NEW PATIENT EXTENDE | $57.89 | $390.18 | $125.88–$331.65 | 43% below | 85% |
| New patient office visit, about 45 minutes CPT 99204 BH OP VISIT NP EXTENDED | $57.89 | $328.65 | $125.88–$279.35 | 43% below | 82% |
| New patient office visit, about 45 minutes CPT 99204 OFFICE O/P NEW MOD 45 MIN | $156.00 | $251.61 | $135.20–$199.60 | 53% above | 38% |
| New patient office visit, about 45 minutes CPT 99204 PROF OP 45-59MIN LVL 4 VISIT | $399.07 | $399.07 | $97.07–$223.92 | 291% above | — |
| New patient office visit, about 45 minutes CPT 99204 PROF E&M NP COMPREH MOD COMPLE | $399.07 | $399.07 | $97.07–$223.92 | 291% above | — |
| New patient office visit, about 45 minutes CPT 99204 PAIN MGNT NEW PATIENT EXTEND | $399.07 | $399.07 | $97.07–$223.92 | 291% above | — |
| New patient office visit, about 45 minutes CPT 99204 PRO FEE NEW OFFICE VISIT LVL 4 | $406.82 | $406.82 | $97.07–$223.92 | 299% above | — |
| New patient office visit, about 45 minutes CPT 99204 PROF BH OP VISIT NP 45 MIN | $406.82 | $406.82 | $97.07–$223.92 | 299% above | — |
| New patient office visit, about 45 minutes CPT 99204 PROF NP MOD COMPLEX | $406.82 | $406.82 | $97.07–$223.92 | 299% above | — |
| New patient office visit, about 45 minutes CPT 99204 PRO NP MOD CMPLX | $427.16 | $427.16 | $97.07–$223.92 | 319% above | — |
| New patient office visit, about 45 minutes CPT 99204 EVALUATION & MGMT NEW PT LVL 4 | $832.34 | $471.87 | $125.88–$401.09 | 716% above | -76% |
| New patient office visit, about 45 minutes CPT 99204 ONC FAC NP MOD COMPLEX | $870.53 | $380.45 | $125.88–$323.38 | 754% above | -129% |
| New patient office visit, about 45 minutes CPT 99204 ONC FAC OFFICE NEW MOD/HI | $995.56 | $362.33 | $125.88–$307.98 | 876% above | -175% |
| New patient office visit, about 45 minutes CPT 99204 FAC OFFICE NEW MOD/HI | $1,033.04 | $362.33 | $125.88–$307.98 | 913% above | -185% |
| New patient office visit, about 45 minutes inpatient CPT 99204 WOUND CARE NEW PATIENT EXTENDE | $57.89 | $390.18 | $23.16–$273.13 | — | 85% |
| New patient office visit, about 45 minutes inpatient CPT 99204 BH OP VISIT NP EXTENDED | $57.89 | $328.65 | $23.16–$230.06 | — | 82% |
| New patient office visit, about 45 minutes inpatient CPT 99204 PROF E&M NP COMPREH MOD COMPLE | $399.07 | $399.07 | $97.07–$223.92 | — | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 PAIN MGNT NEW PATIENT EXTEND | $399.07 | $399.07 | $97.07–$223.92 | — | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 PROF OP 45-59MIN LVL 4 VISIT | $399.07 | $399.07 | $97.07–$223.92 | — | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 PROF NP MOD COMPLEX | $406.82 | $406.82 | $97.07–$223.92 | — | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 PROF BH OP VISIT NP 45 MIN | $406.82 | $406.82 | $97.07–$223.92 | — | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 PRO FEE NEW OFFICE VISIT LVL 4 | $406.82 | $406.82 | $97.07–$223.92 | — | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 PRO NP MOD CMPLX | $427.16 | $427.16 | $97.07–$223.92 | — | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 EVALUATION & MGMT NEW PT LVL 4 | $832.34 | $471.87 | $94.37–$330.31 | — | -76% |
| New patient office visit, about 45 minutes inpatient CPT 99204 ONC FAC NP MOD COMPLEX | $870.53 | $380.45 | $76.09–$266.32 | — | -129% |
| New patient office visit, about 45 minutes inpatient CPT 99204 ONC FAC OFFICE NEW MOD/HI | $995.56 | $362.33 | $72.47–$253.63 | — | -175% |
| New patient office visit, about 45 minutes inpatient CPT 99204 FAC OFFICE NEW MOD/HI | $1,033.04 | $362.33 | $72.47–$253.63 | — | -185% |
| New patient office visit, about 60 minutes CPT 99205 OFFICE O/P NEW HI 60 MIN | $191.39 | $308.70 | $180.35–$228.11 | at median | 38% |
| New patient office visit, about 60 minutes CPT 99205 PROF OP NP COMPREH HIGH CMPLX | $486.68 | $486.68 | $151.68–$295.29 | 154% above | — |
| New patient office visit, about 60 minutes CPT 99205 PROF E&M NP COMPR HIGH COMPLEX | $486.68 | $486.68 | $151.68–$295.29 | 154% above | — |
| New patient office visit, about 60 minutes CPT 99205 PAIN MGNT NEW PATIENT COMPLEX | $486.68 | $486.68 | $151.68–$295.29 | 154% above | — |
| New patient office visit, about 60 minutes CPT 99205 PROF BH OP VISIT NP 60 MIN | $496.13 | $496.13 | $151.68–$295.29 | 159% above | — |
| New patient office visit, about 60 minutes CPT 99205 PRO FEE NEW OFFICE VISIT LVL 5 | $496.13 | $496.13 | $151.68–$295.29 | 159% above | — |
| New patient office visit, about 60 minutes CPT 99205 PROF NP HIGH COMPLEX | $496.13 | $496.13 | $151.68–$295.29 | 159% above | — |
| New patient office visit, about 60 minutes CPT 99205 PRO NP HIGH CMPLX | $520.94 | $520.94 | $151.68–$295.29 | 172% above | — |
| New patient office visit, about 60 minutes CPT 99205 WOUND CARE NEW PATIENT COMPLEX | $1,102.06 | $473.47 | $12.24–$402.45 | 476% above | -133% |
| New patient office visit, about 60 minutes CPT 99205 BH OP VISIT NP COMPLEX | $1,115.95 | $469.67 | $12.24–$399.22 | 483% above | -138% |
| New patient office visit, about 60 minutes CPT 99205 EVALUATION & MGMT NEW PT LVL 5 | $1,168.04 | $592.04 | $12.24–$503.23 | 510% above | -97% |
| New patient office visit, about 60 minutes CPT 99205 ONC FAC NP COMPLEX | $1,266.45 | $493.15 | $12.24–$419.18 | 562% above | -157% |
| New patient office visit, about 60 minutes CPT 99205 ONC FAC OFFICE NEW HIGH | $1,312.75 | $493.15 | $12.24–$419.18 | 586% above | -166% |
| New patient office visit, about 60 minutes CPT 99205 FAC OFFICE NEW HIGH | $1,418.09 | $493.15 | $12.24–$419.18 | 641% above | -188% |
| New patient office visit, about 60 minutes inpatient CPT 99205 PROF OP NP COMPREH HIGH CMPLX | $486.68 | $486.68 | $151.68–$295.29 | — | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 PAIN MGNT NEW PATIENT COMPLEX | $486.68 | $486.68 | $151.68–$295.29 | — | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 PROF E&M NP COMPR HIGH COMPLEX | $486.68 | $486.68 | $151.68–$295.29 | — | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 PROF BH OP VISIT NP 60 MIN | $496.13 | $496.13 | $151.68–$295.29 | — | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 PROF NP HIGH COMPLEX | $496.13 | $496.13 | $151.68–$295.29 | — | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 PRO FEE NEW OFFICE VISIT LVL 5 | $496.13 | $496.13 | $151.68–$295.29 | — | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 PRO NP HIGH CMPLX | $520.94 | $520.94 | $151.68–$295.29 | — | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 WOUND CARE NEW PATIENT COMPLEX | $1,102.06 | $473.47 | $94.69–$331.43 | — | -133% |
| New patient office visit, about 60 minutes inpatient CPT 99205 BH OP VISIT NP COMPLEX | $1,115.95 | $469.67 | $93.93–$328.77 | — | -138% |
| New patient office visit, about 60 minutes inpatient CPT 99205 EVALUATION & MGMT NEW PT LVL 5 | $1,168.04 | $592.04 | $118.41–$414.43 | — | -97% |
| New patient office visit, about 60 minutes inpatient CPT 99205 ONC FAC NP COMPLEX | $1,266.45 | $493.15 | $98.63–$345.21 | — | -157% |
| New patient office visit, about 60 minutes inpatient CPT 99205 ONC FAC OFFICE NEW HIGH | $1,312.75 | $493.15 | $98.63–$345.21 | — | -166% |
| New patient office visit, about 60 minutes inpatient CPT 99205 FAC OFFICE NEW HIGH | $1,418.09 | $493.15 | $98.63–$345.21 | — | -188% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 FAC OFFICE NEW LOW | $57.89 | $262.78 | $46.94–$223.36 | 3% below | 78% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 ONC FAC OFFICE NEW MINOR | $57.89 | $343.81 | $46.94–$292.24 | 3% below | 83% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 ONC FAC NP EXP PROB FOCUSED | $57.89 | $343.81 | $46.94–$292.24 | 3% below | 83% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 FAC OFFICE NEW MINOR | $57.89 | $327.44 | $46.94–$278.32 | 3% below | 82% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 EVALUATION & MGMT NEW PT LVL 1 | $61.35 | $250.27 | $46.94–$212.73 | 3% above | 75% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 EVALUATION & MGMT NEW PT LVL 2 | $61.35 | $327.44 | $46.94–$278.32 | 3% above | 81% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 WOUND CARE NEW PATIENT BRIEF | $69.46 | $250.27 | $46.94–$212.73 | 17% above | 72% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 WOUND CARE NEW PATIENT LIMITED | $69.46 | $226.63 | $46.94–$192.64 | 17% above | 69% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE O/P NEW SF 15 MIN | $69.73 | $112.46 | $51.17–$74.74 | 17% above | 38% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 PROF OP NP PROBLEM FOCUSED | $81.11 | $81.11 | $49.76–$96.79 | 36% above | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 PROF E&M NP PROBLEM FOCUSED | $81.11 | $81.11 | $49.76–$96.79 | 36% above | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 PRO FEE NEW OFFICE VISIT LVL 1 | $86.99 | $86.99 | $49.76–$96.79 | 46% above | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 PRO NP PROB FOCUS | $86.99 | $86.99 | $49.76–$96.79 | 46% above | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 PRO FEE NEW OFFICE VISIT LVL1 | $86.99 | $86.99 | $49.76–$96.79 | 46% above | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 PROF NP PROB FOCUSED | $91.34 | $91.34 | $49.76–$96.79 | 53% above | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 PAIN MGNT NEW PATIENT LIMITED | $151.41 | $151.41 | $49.76–$96.79 | 154% above | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 PROF E&M NP EXPAND PROBLEM | $151.41 | $151.41 | $49.76–$96.79 | 154% above | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 PROF BH OP VISIT NP 20 MIN | $154.35 | $154.35 | $49.76–$96.79 | 159% above | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 PRO FEE NEW OFFICE VISIT LVL2 | $154.35 | $154.35 | $49.76–$96.79 | 159% above | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 PRO FEE NEW OFFICE VISIT LVL 2 | $154.35 | $154.35 | $49.76–$96.79 | 159% above | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 PROF OP NP EXPAND PROBL FOCUSE | $158.98 | $158.98 | $49.76–$96.79 | 167% above | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 PROF NP EXP PROB FOCUSED | $162.07 | $162.07 | $49.76–$96.79 | 172% above | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 BH OP VISIT NP LIMITED | $306.77 | $327.44 | $46.94–$278.32 | 415% above | 6% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 ONC FAC OFFICE NEW MINOR | $57.89 | $343.81 | $23.16–$240.67 | — | 83% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 FAC OFFICE NEW LOW | $57.89 | $262.78 | $23.16–$183.95 | — | 78% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 FAC OFFICE NEW MINOR | $57.89 | $327.44 | $23.16–$229.21 | — | 82% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 ONC FAC NP EXP PROB FOCUSED | $57.89 | $343.81 | $23.16–$240.67 | — | 83% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 EVALUATION & MGMT NEW PT LVL 1 | $61.35 | $250.27 | $24.54–$175.19 | — | 75% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 EVALUATION & MGMT NEW PT LVL 2 | $61.35 | $327.44 | $24.54–$229.21 | — | 81% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 WOUND CARE NEW PATIENT BRIEF | $69.46 | $250.27 | $27.78–$175.19 | — | 72% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 WOUND CARE NEW PATIENT LIMITED | $69.46 | $226.63 | $27.78–$158.64 | — | 69% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 PROF E&M NP PROBLEM FOCUSED | $81.11 | $81.11 | $49.76–$96.79 | — | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 PROF OP NP PROBLEM FOCUSED | $81.11 | $81.11 | $49.76–$96.79 | — | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 PRO NP PROB FOCUS | $86.99 | $86.99 | $49.76–$96.79 | — | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 PRO FEE NEW OFFICE VISIT LVL 1 | $86.99 | $86.99 | $49.76–$96.79 | — | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 PRO FEE NEW OFFICE VISIT LVL1 | $86.99 | $86.99 | $49.76–$96.79 | — | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 PROF NP PROB FOCUSED | $91.34 | $91.34 | $49.76–$96.79 | — | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 PAIN MGNT NEW PATIENT LIMITED | $151.41 | $151.41 | $49.76–$96.79 | — | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 PROF E&M NP EXPAND PROBLEM | $151.41 | $151.41 | $49.76–$96.79 | — | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 PRO FEE NEW OFFICE VISIT LVL 2 | $154.35 | $154.35 | $49.76–$96.79 | — | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 PROF BH OP VISIT NP 20 MIN | $154.35 | $154.35 | $49.76–$96.79 | — | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 PRO FEE NEW OFFICE VISIT LVL2 | $154.35 | $154.35 | $49.76–$96.79 | — | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 PROF OP NP EXPAND PROBL FOCUSE | $158.98 | $158.98 | $49.76–$96.79 | — | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 PROF NP EXP PROB FOCUSED | $162.07 | $162.07 | $49.76–$96.79 | — | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 BH OP VISIT NP LIMITED | $306.77 | $327.44 | $46.94–$229.21 | — | 6% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MNT INDIVID PER 15 MIN INTIAL | $61.35 | $55.57 | $27.79–$48.27 | 56% above | -10% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 MNT INDIVID PER 15 MIN INTIAL | $61.35 | $55.57 | $11.11–$48.27 | — | -10% |
| Preventive checkup, new patient aged 18–39 CPT 99385 PREV VISIT NEW AGE 18-39 | $117.57 | $189.63 | $104.71–$148.37 | 20% above | 38% |
| Preventive checkup, new patient aged 40–64 CPT 99386 PREV VISIT NEW AGE 40-64 | $136.71 | $220.50 | $128.36–$186.55 | 25% above | 38% |
| Preventive checkup, new patient aged 65 or older CPT 99387 INIT PM E/M NEW PAT 65+ YRS | $141.27 | $227.85 | $145.30 | 49% above | 38% |
| Preventive checkup, returning patient aged 18–39 CPT 99395 PREV VISIT EST AGE 18-39 | $112.10 | $180.81 | $92.81–$144.68 | 23% above | 38% |
| Preventive checkup, returning patient aged 40–64 CPT 99396 PB PN Preventive Care Est Pt. Age 40-64 | $107.90 | $174.04 | $104.71–$154.62 | 14% above | 38% |
| Preventive checkup, returning patient aged 65 or older CPT 99397 PB PN Preventive Care Est Pt. Age 65 and over | $106.86 | $172.35 | $116.89–$171.54 | 5% above | 38% |
| Psychiatric evaluation with medical services CPT 90792 PROF BH PSY DX EVAL W/MED SERV | $363.83 | $363.83 | $178.10–$329.35 | 99% above | — |
| Psychiatric evaluation with medical services CPT 90792 PSYCH DIAG EVAL W/MED SERV | $2,429.91 | $346.50 | $138.31–$294.53 | 1230% above | -601% |
| Psychiatric evaluation with medical services inpatient CPT 90792 PROF BH PSY DX EVAL W/MED SERV | $363.83 | $363.83 | $178.10–$329.35 | — | — |
| Psychiatric evaluation with medical services inpatient CPT 90792 PSYCH DIAG EVAL W/MED SERV | $2,429.91 | $346.50 | $69.30–$257.71 | — | -601% |
| Psychotherapy session, 30 minutes CPT 90832 PROF PSYTX PT 30 MIN | $275.63 | $275.63 | $85.18–$132.98 | 176% above | — |
| Psychotherapy session, 30 minutes inpatient CPT 90832 PROF PSYTX PT 30 MIN | $275.63 | $275.63 | $85.18–$132.98 | — | — |
| Psychotherapy session, 45 minutes CPT 90834 PROF PSYTX PT 45 MIN | $363.83 | $363.83 | $115.03–$175.43 | 196% above | — |
| Psychotherapy session, 45 minutes CPT 90834 PSYCH THERAPY W/PT 45 MIN | $1,116.83 | $363.83 | $90.21–$309.26 | 809% above | -207% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 PROF PSYTX PT 45 MIN | $363.83 | $363.83 | $115.03–$175.43 | — | — |
| Psychotherapy session, 45 minutes inpatient CPT 90834 PSYCH THERAPY W/PT 45 MIN | $1,116.83 | $363.83 | $72.77–$254.68 | — | -207% |
| Psychotherapy session, 60 minutes CPT 90837 PROF PSYTX W PT 60 MINUTES | $273.42 | $273.42 | $169.64–$258.61 | 133% above | — |
| Psychotherapy session, 60 minutes CPT 90837 PROF PSYTX PT 60 MIN | $363.83 | $363.83 | $169.64–$258.61 | 211% above | — |
| Psychotherapy session, 60 minutes CPT 90837 PSYTX PT 60 MIN | $573.30 | $363.83 | $133.15–$309.26 | 389% above | -58% |
| Psychotherapy session, 60 minutes CPT 90837 PSYTX PT&/FAM W/E&M 60 MIN | $868.77 | $346.19 | $133.15–$294.26 | 641% above | -151% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 PROF PSYTX W PT 60 MINUTES | $273.42 | $273.42 | $169.64–$258.61 | — | — |
| Psychotherapy session, 60 minutes inpatient CPT 90837 PROF PSYTX PT 60 MIN | $363.83 | $363.83 | $169.64–$258.61 | — | — |
| Psychotherapy session, 60 minutes inpatient CPT 90837 PSYTX PT 60 MIN | $573.30 | $363.83 | $72.77–$254.68 | — | -58% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 PSYTX PT&/FAM W/E&M 60 MIN | $868.77 | $346.19 | $69.24–$242.33 | — | -151% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 Tobacco Cessation 3-10 Minutes | $77.70 | $77.70 | $19.63–$20.40 | 117% above | — |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 TABACCO USE COUNSEL 3-10 MIN | $77.70 | $77.70 | $19.63–$20.40 | 117% above | — |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 PRO TOBACCO CESS 3-10 MIN | $77.70 | $77.70 | $19.63–$20.40 | 117% above | — |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 TABACCO USE COUNSEL 3-10 MIN | $588.07 | $54.02 | $11.65–$45.92 | 1545% above | -989% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 BEHAV CHNG SMOKING 3-10 MIN | $868.77 | $54.02 | $11.65–$45.92 | 2330% above | -1508% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 PRO TOBACCO CESS 3-10 MIN | $77.70 | $77.70 | $19.63–$20.40 | — | — |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 TABACCO USE COUNSEL 3-10 MIN | $77.70 | $77.70 | $19.63–$20.40 | — | — |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Tobacco Cessation 3-10 Minutes | $77.70 | $77.70 | $19.63–$20.40 | — | — |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 TABACCO USE COUNSEL 3-10 MIN | $588.07 | $54.02 | $10.80–$37.81 | — | -989% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 BEHAV CHNG SMOKING 3-10 MIN | $868.77 | $54.02 | $10.80–$37.81 | — | -1508% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 FAC OFFICE EST HIGH | $128.50 | $327.44 | $142.80–$278.32 | at median | 61% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 Office Visit- Est Pt.- Level 5 | $133.98 | $216.09 | $119.98–$180.15 | 4% above | 38% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 PAIN MGNT ESTB PATIENT COMPLEX | $285.52 | $285.52 | $60.67–$241.76 | 122% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 PROF EP HIGH CMPLX | $314.21 | $314.21 | $60.67–$241.76 | 145% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 BH OP VISIT EP COMPLEX | $328.77 | $327.44 | $142.80–$278.32 | 156% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 ONC FAC EP COMPLEX | $328.77 | $327.44 | $142.80–$278.32 | 156% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 PRO EP HIGH CMPLX | $329.92 | $329.92 | $60.67–$241.76 | 157% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 PROF OP EP COMPREH HIGH CMPLX | $340.67 | $340.67 | $60.67–$241.76 | 165% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 PROF E&M EP COMPR HIGH COMPLEX | $340.67 | $340.67 | $60.67–$241.76 | 165% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 PRO FEE EST OFFICE VISIT LVL 5 | $368.24 | $368.24 | $60.67–$241.76 | 187% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 ONC FAC OFFICE EST HIGH | $401.70 | $327.44 | $142.80–$278.32 | 213% above | -23% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 PROF BH OP VISIT EP 40 MIN | $445.41 | $445.41 | $60.67–$241.76 | 247% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 WOUND CARE FOLLOW UP COMPLEX | $2,872.07 | $386.65 | $142.80–$328.65 | 2135% above | -643% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 FAC OFFICE EST HIGH | $128.50 | $327.44 | $51.40–$240.00 | — | 61% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 PAIN MGNT ESTB PATIENT COMPLEX | $285.52 | $285.52 | $60.67–$241.76 | — | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 PROF EP HIGH CMPLX | $314.21 | $314.21 | $60.67–$241.76 | — | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 ONC FAC EP COMPLEX | $328.77 | $327.44 | $65.49–$240.00 | — | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 BH OP VISIT EP COMPLEX | $328.77 | $327.44 | $65.49–$240.00 | — | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 PRO EP HIGH CMPLX | $329.92 | $329.92 | $60.67–$241.76 | — | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 PROF OP EP COMPREH HIGH CMPLX | $340.67 | $340.67 | $60.67–$241.76 | — | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 PROF E&M EP COMPR HIGH COMPLEX | $340.67 | $340.67 | $60.67–$241.76 | — | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 PRO FEE EST OFFICE VISIT LVL 5 | $368.24 | $368.24 | $60.67–$241.76 | — | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 ONC FAC OFFICE EST HIGH | $401.70 | $327.44 | $65.49–$240.00 | — | -23% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 PROF BH OP VISIT EP 40 MIN | $445.41 | $445.41 | $60.67–$241.76 | — | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 WOUND CARE FOLLOW UP COMPLEX | $2,872.07 | $386.65 | $77.33–$270.66 | — | -643% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Office Visit- Est Pt.- Level 3 | $93.00 | $150.00 | $45.15–$81.86 | 10% above | 38% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 FAC OFFICE EST LOW | $101.87 | $243.11 | $65.24–$206.64 | 21% above | 58% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 PAIN MGNT ESTB PATIENT INTERM | $156.82 | $156.82 | $40.05–$121.77 | 86% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 PROF E&M EP EXPAND PROBLEM | $156.82 | $156.82 | $40.05–$121.77 | 86% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 PROF BH OP VISIT EP 15 MIN | $159.86 | $159.86 | $40.05–$121.77 | 90% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 PROF OP 20-29M EST LVL3 VISIT | $164.66 | $164.66 | $40.05–$121.77 | 95% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 PRO FEE EST OFFICE VIST LVL 3 | $167.85 | $167.85 | $40.05–$121.77 | 99% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 PRO FEE EST OFFICE VISIT LVL 3 | $167.85 | $167.85 | $40.05–$121.77 | 99% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 PRO EP EXP PROB | $167.85 | $167.85 | $40.05–$121.77 | 99% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Prof EP Expanded Problem | $329.92 | $329.92 | $40.05–$121.77 | 291% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 BH OP VISIT EP INTERMEDIATE | $525.61 | $231.53 | $65.24–$196.80 | 523% above | -127% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 WOUND CARE FOLLOW UP INTERMEDI | $526.72 | $250.87 | $65.24–$213.24 | 525% above | -110% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 ONC FAC OFFICE EST LOW | $582.29 | $231.53 | $65.24–$196.80 | 591% above | -151% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 ONC FAC FEE EP LEVEL 3 | $611.23 | $243.11 | $65.24–$206.64 | 625% above | -151% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 FAC OFFICE EST LOW | $101.87 | $243.11 | $40.75–$170.18 | — | 58% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 PAIN MGNT ESTB PATIENT INTERM | $156.82 | $156.82 | $40.05–$121.77 | — | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 PROF E&M EP EXPAND PROBLEM | $156.82 | $156.82 | $40.05–$121.77 | — | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 PROF BH OP VISIT EP 15 MIN | $159.86 | $159.86 | $40.05–$121.77 | — | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 PROF OP 20-29M EST LVL3 VISIT | $164.66 | $164.66 | $40.05–$121.77 | — | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 PRO FEE EST OFFICE VIST LVL 3 | $167.85 | $167.85 | $40.05–$121.77 | — | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 PRO EP EXP PROB | $167.85 | $167.85 | $40.05–$121.77 | — | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 PRO FEE EST OFFICE VISIT LVL 3 | $167.85 | $167.85 | $40.05–$121.77 | — | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Prof EP Expanded Problem | $329.92 | $329.92 | $40.05–$121.77 | — | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 BH OP VISIT EP INTERMEDIATE | $525.61 | $231.53 | $46.31–$162.07 | — | -127% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 WOUND CARE FOLLOW UP INTERMEDI | $526.72 | $250.87 | $50.17–$175.61 | — | -110% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 ONC FAC OFFICE EST LOW | $582.29 | $231.53 | $46.31–$162.07 | — | -151% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 ONC FAC FEE EP LEVEL 3 | $611.23 | $243.11 | $48.62–$170.18 | — | -151% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 FAC OFFICE EST MOD | $94.93 | $309.80 | $96.20–$263.33 | 3% below | 69% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Office Visit- Est Pt.- Level 4 | $102.23 | $164.88 | $74.83–$116.13 | 5% above | 38% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 PROF EP DETAILED | $156.82 | $156.82 | $77.28–$171.73 | 61% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 WOUND CARE FOLLOW UP EXTENDED | $182.91 | $270.89 | $96.20–$230.26 | 88% above | 32% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 PRO FEE EST OFFICE VISIT LVL4 | $226.01 | $226.01 | $77.28–$171.73 | 132% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 PRO FEE EST OFFICE VISIT LVL 4 | $226.01 | $226.01 | $77.28–$171.73 | 132% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 PAIN MGNT ESTB PATIENT EXTEND | $243.34 | $243.34 | $77.28–$171.73 | 150% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 PROF OP EP DETAILED | $243.34 | $243.34 | $77.28–$171.73 | 150% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 PROF E&M EP DETAILED | $243.34 | $243.34 | $77.28–$171.73 | 150% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ONC FAC EP DETAILED | $243.65 | $325.29 | $96.20–$276.50 | 150% above | 25% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 PROF BH OP VISIT EP 25 MIN | $248.06 | $248.06 | $77.28–$171.73 | 154% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 PRO EP DETAILED | $329.92 | $329.92 | $77.28–$171.73 | 238% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 BH OP VISIT EP EXTENDED | $625.12 | $295.05 | $96.20–$250.79 | 541% above | -112% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ONC FAC OFFICE EST MOD | $4,680.28 | $325.29 | $96.20–$276.50 | 4702% above | -1339% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 FAC OFFICE EST MOD | $94.93 | $309.80 | $37.97–$216.86 | — | 69% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 PROF EP DETAILED | $156.82 | $156.82 | $77.28–$171.73 | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 WOUND CARE FOLLOW UP EXTENDED | $182.91 | $270.89 | $54.18–$189.62 | — | 32% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 PRO FEE EST OFFICE VISIT LVL 4 | $226.01 | $226.01 | $77.28–$171.73 | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 PRO FEE EST OFFICE VISIT LVL4 | $226.01 | $226.01 | $77.28–$171.73 | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 PAIN MGNT ESTB PATIENT EXTEND | $243.34 | $243.34 | $77.28–$171.73 | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 PROF E&M EP DETAILED | $243.34 | $243.34 | $77.28–$171.73 | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 PROF OP EP DETAILED | $243.34 | $243.34 | $77.28–$171.73 | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 ONC FAC EP DETAILED | $243.65 | $325.29 | $65.06–$227.70 | — | 25% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 PROF BH OP VISIT EP 25 MIN | $248.06 | $248.06 | $77.28–$171.73 | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 PRO EP DETAILED | $329.92 | $329.92 | $77.28–$171.73 | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 BH OP VISIT EP EXTENDED | $625.12 | $295.05 | $59.01–$206.54 | — | -112% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 ONC FAC OFFICE EST MOD | $4,680.28 | $325.29 | $65.06–$227.70 | — | -1339% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Office Visit- Est Pt.- Level 2 | $86.18 | $139.00 | $30.50–$43.27 | 37% above | 38% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 PAIN MGNT ESTB PATIENT LIMITED | $129.78 | $129.78 | $30.35–$75.83 | 106% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 PROF E&M EP PROBLEM FOCUSED | $129.78 | $129.78 | $30.35–$75.83 | 106% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 PROF BH OP VISIT EP 10 MIN | $132.30 | $132.30 | $30.35–$75.83 | 110% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 PRO FEE EST OFFICE VISIT LVL2 | $132.30 | $132.30 | $30.35–$75.83 | 110% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 PRO FEE EST OFFICE VISIT LVL 2 | $132.30 | $132.30 | $30.35–$75.83 | 110% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 PROF OP EP PROBLEM FOCUSED | $136.27 | $136.27 | $30.35–$75.83 | 117% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Prof EP Limited | $138.92 | $138.92 | $30.35–$75.83 | 121% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 PRO EP LIMITED | $138.92 | $138.92 | $30.35–$75.83 | 121% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 FAC OFFICE EST MINOR | $460.74 | $206.39 | $34.95–$175.43 | 633% above | -123% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ONC FAC OFFICE EST MINOR | $703.84 | $206.39 | $34.95–$175.43 | 1020% above | -241% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ONC FAC EP LIMITED | $740.88 | $171.99 | $34.95–$146.19 | 1078% above | -331% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 WOUND CARE FOLLOW UP LIMITED | $973.56 | $226.63 | $34.95–$192.64 | 1449% above | -330% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 BH OP VISIT EP LIMITED | $1,512.63 | $163.80 | $34.95–$139.23 | 2306% above | -823% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 PAIN MGNT ESTB PATIENT LIMITED | $129.78 | $129.78 | $30.35–$75.83 | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 PROF E&M EP PROBLEM FOCUSED | $129.78 | $129.78 | $30.35–$75.83 | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 PRO FEE EST OFFICE VISIT LVL 2 | $132.30 | $132.30 | $30.35–$75.83 | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 PRO FEE EST OFFICE VISIT LVL2 | $132.30 | $132.30 | $30.35–$75.83 | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 PROF BH OP VISIT EP 10 MIN | $132.30 | $132.30 | $30.35–$75.83 | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 PROF OP EP PROBLEM FOCUSED | $136.27 | $136.27 | $30.35–$75.83 | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Prof EP Limited | $138.92 | $138.92 | $30.35–$75.83 | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 PRO EP LIMITED | $138.92 | $138.92 | $30.35–$75.83 | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 FAC OFFICE EST MINOR | $460.74 | $206.39 | $34.95–$144.47 | — | -123% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 ONC FAC OFFICE EST MINOR | $703.84 | $206.39 | $34.95–$144.47 | — | -241% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 ONC FAC EP LIMITED | $740.88 | $171.99 | $34.40–$120.39 | — | -331% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 WOUND CARE FOLLOW UP LIMITED | $973.56 | $226.63 | $34.95–$158.64 | — | -330% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 BH OP VISIT EP LIMITED | $1,512.63 | $163.80 | $32.76–$114.66 | — | -823% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 PROF BH OP CONSULT 40 MIN | $222.71 | $222.71 | $111.64–$150.32 | 149% above | — |
| Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 PROF BH OP CONSULT 40 MIN | $222.71 | $222.71 | $111.64–$150.32 | — | — |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 PROF BH OP CONSULT-60 MIN | $357.21 | $357.21 | $132.27–$214.55 | 182% above | — |
| Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 PROF BH OP CONSULT-60 MIN | $357.21 | $357.21 | $132.27–$214.55 | — | — |
| Spirometry (breathing test) CPT 94010 BREATHING CAPACITY TEST | $38.40 | $61.94 | $8.99–$52.80 | 81% below | 38% |
| Spirometry (breathing test) CPT 94010 PULMONARY FUNCTION TEST-BASIC | $496.62 | $324.14 | $24.48–$275.52 | 144% above | -53% |
| Spirometry (breathing test) inpatient CPT 94010 PULMONARY FUNCTION TEST-BASIC | $496.62 | $324.14 | $25.42–$226.90 | — | -53% |
| Spirometry before and after a bronchodilator CPT 94060 PUL/FUNC/TEST/PRE-POST BRONCHODIL | $496.62 | $604.17 | $38.95–$513.54 | 84% above | 18% |
| Spirometry before and after a bronchodilator CPT 94060 BRONCHODILATION RESPONSIVENESS | $496.62 | $634.38 | $38.95–$539.22 | 84% above | 22% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 PUL/FUNC/TEST/PRE-POST BRONCHODIL | $496.62 | $604.17 | $36.27–$422.92 | — | 18% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 BRONCHODILATION RESPONSIVENESS | $496.62 | $634.38 | $36.27–$444.07 | — | 22% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY,THERAPEUTIC | $100.84 | $222.71 | $95.54–$189.30 | 25% below | 55% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Phlebotomy Therapeutic | $100.84 | $326.21 | $95.54–$277.28 | 25% below | 69% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY,THERAPEUTIC | $100.84 | $222.71 | $40.34–$155.90 | — | 55% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Phlebotomy Therapeutic | $100.84 | $326.21 | $40.34–$228.35 | — | 69% |
| Treadmill or drug stress test with ECG, supervision and report CPT 93015 PROF CARDIOVAS STRESS SUPERV | $93.45 | $93.45 | $122.23–$159.32 | at median | — |
| Treadmill or drug stress test with ECG, supervision and report CPT 93015 CARDIOVAS STRESS SUP w/INT/REP | $112.14 | $112.14 | $122.23–$159.32 | 20% above | — |
| Treadmill or drug stress test with ECG, supervision and report inpatient CPT 93015 PROF CARDIOVAS STRESS SUPERV | $93.45 | $93.45 | $122.23–$159.32 | — | — |
| Treadmill or drug stress test with ECG, supervision and report inpatient CPT 93015 CARDIOVAS STRESS SUP w/INT/REP | $112.14 | $112.14 | $122.23–$159.32 | — | — |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Arkansas | Off list |
|---|---|---|---|---|---|
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 IIV ADJUVANT VACCINE IM | $65.10 | $105.00 | $0.00 | 4% below | 38% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 IIV3 VACC NO PRSV 0.5 ML IM | $25.42 | $41.00 | $0.00 | 31% below | 38% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Engerix B | $50.59 | $81.59 | $61.86 | 54% below | 38% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLUZONE HIGH DOSE | $113.19 | $182.57 | $69.94 | 10% below | 38% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 ADMIN-RUBELLA VAC / T-DAP | $868.77 | $23.15 | $11.58–$82.54 | 502% above | -3653% |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 ADMIN-RUBELLA VAC / T-DAP | $868.77 | $23.15 | $4.63–$16.21 | — | -3653% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 Menactra | $91.64 | $147.80 | $137.39 | 62% below | 38% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PCV20 VACCINE IM | $227.81 | $367.43 | $312.90–$367.43 | 75% below | 38% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumovax 23 | $108.90 | $175.64 | $129.15 | 31% below | 38% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL VACCINE INJ. | $868.77 | $269.01 | $13.40–$228.66 | 450% above | -223% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL VACCINE INJ. | $868.77 | $269.01 | $53.80–$188.31 | — | -223% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TD VACC NO PRESV 7 YRS+ IM | $32.28 | $52.07 | $32.72 | 47% below | 38% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Adacel | $28.97 | $46.73 | $38.70–$45.15 | 70% below | 38% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMINIST PNEUMOCOCCAL VACCINE | $7.72 | $119.20 | $13.40–$101.32 | 68% below | 94% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMINIST INFLUENZA VACCINE | $7.72 | $99.33 | $13.40–$84.43 | 68% below | 92% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN ONE VACCINE | $7.72 | $123.91 | $13.40–$105.32 | 68% below | 94% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMINISTRATION HEPATITIS B VAC | $7.72 | $90.30 | $13.40–$76.76 | 68% below | 91% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN | $26.66 | $43.00 | $16.37–$29.65 | 11% above | 38% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMINISTRATION INFLUENZA VACCI | $33.57 | $118.27 | $13.40–$100.53 | 40% above | 72% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN 1ST VACC | $61.74 | $118.27 | $13.40–$100.53 | 157% above | 48% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMINISTRATION INFLUENZA VACCINE | $64.83 | $90.30 | $13.40–$76.76 | 170% above | 28% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN IMM INFLUENZA VAC | $68.36 | $118.27 | $13.40–$100.53 | 184% above | 42% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMINISTRATION PNEUMONIA VACCI | $100.84 | $90.30 | $13.40–$76.76 | 319% above | -12% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 RUBELLA VACCINE ADMINISTRATION | $100.84 | $90.30 | $13.40–$76.76 | 319% above | -12% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 OTHER IMMUN ADMIN 1ST VACC | $100.84 | $134.09 | $13.40–$113.98 | 319% above | 25% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMINIST INFLUENZA VACCINE | $7.72 | $99.33 | $3.09–$69.53 | — | 92% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMIN ONE VACCINE | $7.72 | $123.91 | $3.09–$86.74 | — | 94% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMINIST PNEUMOCOCCAL VACCINE | $7.72 | $119.20 | $3.09–$83.44 | — | 94% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMINISTRATION HEPATITIS B VAC | $7.72 | $90.30 | $3.09–$63.21 | — | 91% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMINISTRATION INFLUENZA VACCI | $33.57 | $118.27 | $13.43–$82.79 | — | 72% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMIN 1ST VACC | $61.74 | $118.27 | $19.22–$82.79 | — | 48% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMINISTRATION INFLUENZA VACCINE | $64.83 | $90.30 | $18.06–$63.21 | — | 28% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN IMM INFLUENZA VAC | $68.36 | $118.27 | $19.22–$82.79 | — | 42% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMINISTRATION PNEUMONIA VACCI | $100.84 | $90.30 | $18.06–$63.21 | — | -12% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 RUBELLA VACCINE ADMINISTRATION | $100.84 | $90.30 | $18.06–$63.21 | — | -12% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 OTHER IMMUN ADMIN 1ST VACC | $100.84 | $134.09 | $19.22–$93.86 | — | 25% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 OTHER IMMUNE ADMIN EA ADD'L | $7.72 | $89.30 | $13.40–$75.91 | 48% below | 91% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADMIN, EA ADD'L | $7.72 | $60.90 | $13.40–$51.77 | 48% below | 87% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 OTH IMMUNE ADMIN EA ADD'L | $7.72 | $89.30 | $13.40–$75.91 | 48% below | 91% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADMIN EACH ADD | $13.67 | $22.05 | $9.94–$18.45 | 7% below | 38% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 OTHER IMM ADMIN EA ADD'L | $37.49 | $85.05 | $13.40–$72.29 | 154% above | 56% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUNIZATION ADMIN, EA ADD'L | $7.72 | $60.90 | $3.09–$42.63 | — | 87% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 OTHER IMMUNE ADMIN EA ADD'L | $7.72 | $89.30 | $3.09–$62.51 | — | 91% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 OTH IMMUNE ADMIN EA ADD'L | $7.72 | $89.30 | $3.09–$62.51 | — | 91% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 OTHER IMM ADMIN EA ADD'L | $37.49 | $85.05 | $13.64–$59.54 | — | 56% |
Source file: https://www.narmc.com/images/710787860_north-arkansas-regional-medical-center_standardcharges.csv