Hospital Gloversville, NY

Nathan Littauer Hospital Association

Nathan Littauer Hospital Association in Gloversville, NY publishes cash prices for 280 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are above the New York median for 149 of 278 procedures and below it for 129. By typical cash price it ranks #51 of 93 New York hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

99 E State St Gloversville, NY 12078 Collected Sep 27, 2026 Source price file (518) 725-8621

Acute care hospital Emergency department CMS star rating 2 of 5 CCN 330276 · CMS hospital register

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs New York	Off list
Ankle X-ray, complete, 3 or more views both sides CPT 73610 ANKLE 3-VIEWS BILATERAL	$648.96	$811.20	$12.63	—	20%
Ankle X-ray, complete, 3 or more views both sides CPT 73610 ANKLE 3-VIEWS BILATERAL	$648.96	$811.20	$166.28	—	20%
Ankle X-ray, complete, 3 or more views both sides CPT 73610 ANKLE 3-VIEWS BILATERAL	$648.96	$811.20	$166.28	—	20%
Ankle X-ray, complete, 3 or more views both sides CPT 73610 ANKLE 3-VIEWS BILATERAL	$648.96	$811.20	$12.63	—	20%
Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE 3-VIEWS RT	$594.88	$743.60	$166.28	199% above	20%
Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE 3-VIEWS RT	$594.88	$743.60	$12.63	199% above	20%
Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE 3-VIEWS RT	$594.88	$743.60	$12.63	199% above	20%
Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE 3-VIEWS LT	$594.88	$743.60	$12.63	199% above	20%
Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE 3-VIEWS LT	$594.88	$743.60	$166.28	199% above	20%
Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE 3-VIEWS LT	$594.88	$743.60	$166.28	199% above	20%
Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE 3-VIEWS LT	$594.88	$743.60	$12.63	199% above	20%
Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE 3-VIEWS RT	$594.88	$743.60	$166.28	199% above	20%
Ankle X-ray, complete, 3 or more views inpatient both sides CPT 73610 ANKLE 3-VIEWS BILATERAL	$648.96	$811.20	$12.63	—	20%
Ankle X-ray, complete, 3 or more views inpatient both sides CPT 73610 ANKLE 3-VIEWS BILATERAL	$648.96	$811.20	$12.63	—	20%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 ANKLE 3-VIEWS RT	$594.88	$743.60	$12.63	—	20%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 ANKLE 3-VIEWS LT	$594.88	$743.60	$12.63	—	20%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 ANKLE 3-VIEWS RT	$594.88	$743.60	$12.63	—	20%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 ANKLE 3-VIEWS LT	$594.88	$743.60	$12.63	—	20%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US ANK/BRACH IND U/L	$686.16	$857.70	$61.00–$72.72	154% above	20%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US ANK/BRACH IND U/L	$686.16	$857.70	$61.00–$72.72	154% above	20%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US ANK/BRACH IND U/L	$686.16	$857.70	$602.96–$806.24	154% above	20%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US ANK/BRACH IND U/L	$686.16	$857.70	$602.96–$806.24	154% above	20%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 US ANK/BRACH IND U/L	$686.16	$857.70	$61.00–$72.72	—	20%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 US ANK/BRACH IND U/L	$686.16	$857.70	$61.00–$72.72	—	20%
Barium swallow (esophagus X-ray with contrast) CPT 74220 ESOPHAGUS	$857.16	$1,071.45	$20.20	155% above	20%
Barium swallow (esophagus X-ray with contrast) CPT 74220 ESOPHAGUS	$857.16	$1,071.45	$739.30–$1,007.16	155% above	20%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 ESOPHAGUS	$857.16	$1,071.45	$20.20	—	20%
Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE SCAN TOTAL BODY PLANAR	$2,393.39	$2,991.74	$60.60	179% above	20%
Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE SCAN TOTAL BODY PLANAR	$2,393.39	$2,991.74	$2,064.30–$2,812.24	179% above	20%
Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE SCAN TOTAL BODY PLANAR	$2,393.39	$2,991.74	$60.60	179% above	20%
Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE SCAN TOTAL BODY PLANAR	$2,393.39	$2,991.74	$2,064.30–$2,812.24	179% above	20%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM BONE SCAN TOTAL BODY PLANAR	$2,393.39	$2,991.74	$60.60	—	20%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM BONE SCAN TOTAL BODY PLANAR	$2,393.39	$2,991.74	$60.60	—	20%
Breast ultrasound, complete, one breast both sides CPT 76641 US BREAST BILATERAL COMPLETE	$1,027.51	$1,284.39	$166.28	—	20%
Breast ultrasound, complete, one breast both sides CPT 76641 US BREAST BILATERAL COMPLETE	$1,027.51	$1,284.39	$32.79	—	20%
Breast ultrasound, complete, one breast both sides CPT 76641 US BREASTS BI ABUS	$1,081.60	$1,352.00	$166.28	—	20%
Breast ultrasound, complete, one breast both sides CPT 76641 US BREASTS BI ABUS	$1,081.60	$1,352.00	$32.79	—	20%
Breast ultrasound, complete, one breast CPT 76641 US BREAST UNI ABUS	$1,027.51	$1,284.39	$886.23–$1,207.33	225% above	20%
Breast ultrasound, complete, one breast CPT 76641 US BREAST UNI ABUS	$1,027.51	$1,284.39	$32.79	225% above	20%
Breast ultrasound, complete, one breast one side CPT 76641 P-US BREAST UNI COMPLETE RT	$513.76	$642.20	$32.79	63% above	20%
Breast ultrasound, complete, one breast one side CPT 76641 P-US BREAST UNI COMPLETE RT	$513.76	$642.20	$443.12–$603.67	63% above	20%
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST UNILATERAL COMP LT	$1,027.51	$1,284.39	$166.28	225% above	20%
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST UNILATERAL COMP LT	$1,027.51	$1,284.39	$32.79	225% above	20%
Breast ultrasound, complete, one breast inpatient both sides CPT 76641 US BREAST BILATERAL COMPLETE	$1,027.51	$1,284.39	$32.79	—	20%
Breast ultrasound, complete, one breast inpatient both sides CPT 76641 US BREASTS BI ABUS	$1,081.60	$1,352.00	$32.79	—	20%
Breast ultrasound, complete, one breast inpatient CPT 76641 US BREAST UNI ABUS	$1,027.51	$1,284.39	$32.79	—	20%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 P-US BREAST UNI COMPLETE RT	$513.76	$642.20	$32.79	—	20%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST UNILATERAL COMP LT	$1,027.51	$1,284.39	$32.79	—	20%
Breast ultrasound, limited (one breast or one area) both sides CPT 76642 US BREAST BILATERAL LIMITED	$1,081.60	$1,352.00	$932.88–$1,270.88	—	20%
Breast ultrasound, limited (one breast or one area) both sides CPT 76642 US BREAST BILATERAL LIMITED	$1,081.60	$1,352.00	$26.93	—	20%
Breast ultrasound, limited (one breast or one area) both sides CPT 76642 US BREAST BILATERAL LIMITED	$1,081.60	$1,352.00	$26.93	—	20%
Breast ultrasound, limited (one breast or one area) both sides CPT 76642 US BREAST BILATERAL LIMITED	$1,081.60	$1,352.00	$932.88–$1,270.88	—	20%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST UNILATERAL LIMIT RT	$1,027.51	$1,284.39	$26.93	353% above	20%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST UNI LIMITED LT	$1,027.51	$1,284.39	$26.93	353% above	20%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST UNI LIMITED LT	$1,027.51	$1,284.39	$166.28	353% above	20%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST UNILATERAL LIMIT RT	$1,027.51	$1,284.39	$26.93	353% above	20%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST UNILATERAL LIMIT RT	$1,027.51	$1,284.39	$166.28	353% above	20%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST UNILATERAL LIMIT RT	$1,027.51	$1,284.39	$166.28	353% above	20%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST UNI LIMITED LT	$1,027.51	$1,284.39	$26.93	353% above	20%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST UNI LIMITED LT	$1,027.51	$1,284.39	$166.28	353% above	20%
Breast ultrasound, limited (one breast or one area) inpatient both sides CPT 76642 US BREAST BILATERAL LIMITED	$1,081.60	$1,352.00	$26.93	—	20%
Breast ultrasound, limited (one breast or one area) inpatient both sides CPT 76642 US BREAST BILATERAL LIMITED	$1,081.60	$1,352.00	$26.93	—	20%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST UNI LIMITED LT	$1,027.51	$1,284.39	$26.93	—	20%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST UNI LIMITED LT	$1,027.51	$1,284.39	$26.93	—	20%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST UNILATERAL LIMIT RT	$1,027.51	$1,284.39	$26.93	—	20%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST UNILATERAL LIMIT RT	$1,027.51	$1,284.39	$26.93	—	20%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIO CHEST (NONCORONARY)	$3,259.91	$4,074.89	$2,811.67–$3,830.40	187% above	20%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIO CHEST (NONCORONARY)	$3,259.91	$4,074.89	$2,811.67–$3,830.40	187% above	20%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIO CHEST (NONCORONARY)	$3,259.91	$4,074.89	$141.40	187% above	20%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIO CHEST (NONCORONARY)	$3,259.91	$4,074.89	$141.40	187% above	20%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT ANGIO CHEST (NONCORONARY)	$3,259.91	$4,074.89	$141.40	—	20%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT ANGIO CHEST (NONCORONARY)	$3,259.91	$4,074.89	$141.40	—	20%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT HEART-COR ART/BYPASS GRAFT	$3,034.94	$3,793.68	$2,617.64–$3,566.06	195% above	20%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT HEART-COR ART/BYPASS GRAFT	$3,034.94	$3,793.68	$127.57	195% above	20%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CT HEART-COR ART/BYPASS GRAFT	$3,034.94	$3,793.68	$127.57	—	20%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CALCIUM SCORING FOLLOW UP	$86.53	$108.16	$74.63–$101.67	46% below	20%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT HEART W/O CONT CALCIUM SCOR	$3,034.94	$3,793.68	$2,617.64–$3,566.06	1795% above	20%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD/PELVIS W/O CONTRAST	$4,738.98	$5,923.72	$4,087.37–$5,568.30	360% above	20%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD/PELVIS W/O CONTRAST	$4,738.98	$5,923.72	$69.38	360% above	20%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD/PELVIS W/O CONTRAST	$4,738.98	$5,923.72	$69.38	360% above	20%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD/PELVIS W/O CONTRAST	$4,738.98	$5,923.72	$4,087.37–$5,568.30	360% above	20%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABD/PELVIS W/O CONTRAST	$4,738.98	$5,923.72	$69.38	—	20%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABD/PELVIS W/O CONTRAST	$4,738.98	$5,923.72	$69.38	—	20%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD/PELVIS W/CONTRAST	$4,955.30	$6,194.12	$109.01	218% above	20%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD/PELVIS W/CONTRAST	$4,955.30	$6,194.12	$109.01	218% above	20%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ENTEROGRAPHY	$4,955.30	$6,194.12	$109.01	218% above	20%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD/PELVIS W/CONTRAST	$4,955.30	$6,194.12	$4,273.94–$5,822.47	218% above	20%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ENTEROGRAPHY	$4,955.30	$6,194.12	$4,273.94–$5,822.47	218% above	20%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ENTEROGRAPHY	$4,955.30	$6,194.12	$109.01	218% above	20%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD/PELVIS W/CONTRAST	$4,955.30	$6,194.12	$4,273.94–$5,822.47	218% above	20%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ENTEROGRAPHY	$4,955.30	$6,194.12	$4,273.94–$5,822.47	218% above	20%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ENTEROGRAPHY	$4,955.30	$6,194.12	$109.01	—	20%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD/PELVIS W/CONTRAST	$4,955.30	$6,194.12	$109.01	—	20%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ENTEROGRAPHY	$4,955.30	$6,194.12	$109.01	—	20%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD/PELVIS W/CONTRAST	$4,955.30	$6,194.12	$109.01	—	20%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD/PELVIS W/WO CONTRAST	$5,171.08	$6,463.85	$138.11	217% above	20%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD/PELVIS W/WO CONTRAST	$5,171.08	$6,463.85	$4,460.06–$6,076.02	217% above	20%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD/PELVIS W/WO CONTRAST	$5,171.08	$6,463.85	$138.11	217% above	20%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD/PELVIS W/WO CONTRAST	$5,171.08	$6,463.85	$4,460.06–$6,076.02	217% above	20%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABD/PELVIS W/WO CONTRAST	$5,171.08	$6,463.85	$138.11	—	20%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABD/PELVIS W/WO CONTRAST	$5,171.08	$6,463.85	$138.11	—	20%
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W CONTRAST	$3,259.91	$4,074.89	$171.70	221% above	20%
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W CONTRAST	$3,259.91	$4,074.89	$2,811.67–$3,830.40	221% above	20%
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W CONTRAST	$3,259.91	$4,074.89	$171.70	221% above	20%
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W CONTRAST	$3,259.91	$4,074.89	$2,811.67–$3,830.40	221% above	20%
CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN W CONTRAST	$3,259.91	$4,074.89	$171.70	—	20%
CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN W CONTRAST	$3,259.91	$4,074.89	$171.70	—	20%
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN WO CONTRAST	$3,034.94	$3,793.68	$141.40	281% above	20%
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN WO CONTRAST	$3,034.94	$3,793.68	$141.40	281% above	20%
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN WO CONTRAST	$3,034.94	$3,793.68	$2,617.64–$3,566.06	281% above	20%
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN WO CONTRAST	$3,034.94	$3,793.68	$2,617.64–$3,566.06	281% above	20%
CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN WO CONTRAST	$3,034.94	$3,793.68	$141.40	—	20%
CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN WO CONTRAST	$3,034.94	$3,793.68	$141.40	—	20%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT FACIAL BONES WO CONTRAST	$3,034.94	$3,793.68	$2,617.64–$3,566.06	335% above	20%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT SINUSES WO CONTRAST	$3,034.94	$3,793.68	$2,617.64–$3,566.06	335% above	20%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT SINUSES WO CONTRAST	$3,034.94	$3,793.68	$121.20	335% above	20%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT FACIAL BONES WO CONTRAST	$3,034.94	$3,793.68	$121.20	335% above	20%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT SINUSES WO CONTRAST	$3,034.94	$3,793.68	$2,617.64–$3,566.06	335% above	20%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT FACIAL BONES WO CONTRAST	$3,034.94	$3,793.68	$2,617.64–$3,566.06	335% above	20%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT SINUSES WO CONTRAST	$3,034.94	$3,793.68	$121.20	335% above	20%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT FACIAL BONES WO CONTRAST	$3,034.94	$3,793.68	$121.20	335% above	20%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT FACIAL BONES WO CONTRAST	$3,034.94	$3,793.68	$121.20	—	20%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT FACIAL BONES WO CONTRAST	$3,034.94	$3,793.68	$121.20	—	20%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT SINUSES WO CONTRAST	$3,034.94	$3,793.68	$121.20	—	20%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT SINUSES WO CONTRAST	$3,034.94	$3,793.68	$121.20	—	20%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD WO CONTRAST	$3,034.94	$3,793.68	$2,617.64–$3,566.06	340% above	20%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD WO CONTRAST	$3,034.94	$3,793.68	$121.20	340% above	20%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD WO CONTRAST	$3,034.94	$3,793.68	$2,617.64–$3,566.06	340% above	20%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD WO CONTRAST	$3,034.94	$3,793.68	$121.20	340% above	20%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD WO CONTRAST	$3,034.94	$3,793.68	$121.20	—	20%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD WO CONTRAST	$3,034.94	$3,793.68	$121.20	—	20%
CT scan of the head with contrast CPT 70460 CT HEAD W CONTRAST	$3,479.47	$4,349.34	$3,001.04–$4,088.38	297% above	20%
CT scan of the head with contrast CPT 70460 CT HEAD W CONTRAST	$3,479.47	$4,349.34	$146.45	297% above	20%
CT scan of the head with contrast inpatient CPT 70460 CT HEAD W CONTRAST	$3,479.47	$4,349.34	$146.45	—	20%
CT scan of the head without and with contrast CPT 70470 CT HEAD W/WO CONTRAST	$3,706.62	$4,633.27	$219.17	257% above	20%
CT scan of the head without and with contrast CPT 70470 CT HEAD W/WO CONTRAST	$3,706.62	$4,633.27	$3,196.96–$4,355.27	257% above	20%
CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD W/WO CONTRAST	$3,706.62	$4,633.27	$219.17	—	20%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR ROBOTIC	$3,034.94	$3,793.68	$141.40	264% above	20%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR WO CONTRAST	$3,034.94	$3,793.68	$2,617.64–$3,566.06	264% above	20%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR WO CONTRAST	$3,034.94	$3,793.68	$141.40	264% above	20%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR ROBOTIC	$3,034.94	$3,793.68	$141.40	264% above	20%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR ROBOTIC	$3,034.94	$3,793.68	$2,617.64–$3,566.06	264% above	20%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR WO CONTRAST	$3,034.94	$3,793.68	$2,617.64–$3,566.06	264% above	20%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR ROBOTIC	$3,034.94	$3,793.68	$2,617.64–$3,566.06	264% above	20%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR WO CONTRAST	$3,034.94	$3,793.68	$141.40	264% above	20%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT LUMBAR WO CONTRAST	$3,034.94	$3,793.68	$141.40	—	20%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT LUMBAR ROBOTIC	$3,034.94	$3,793.68	$141.40	—	20%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT LUMBAR WO CONTRAST	$3,034.94	$3,793.68	$141.40	—	20%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT LUMBAR ROBOTIC	$3,034.94	$3,793.68	$141.40	—	20%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT CERVICAL WO CONTRAST	$2,474.69	$3,093.36	$2,134.42–$2,907.76	191% above	20%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT CERVICAL WO CONTRAST	$2,474.69	$3,093.36	$141.40	191% above	20%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT CERVICAL WO CONTRAST	$2,474.69	$3,093.36	$141.40	—	20%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W CONTRAST	$2,964.64	$3,705.80	$171.70	229% above	20%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W CONTRAST	$2,964.64	$3,705.80	$2,557.00–$3,483.45	229% above	20%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W CONTRAST	$2,964.64	$3,705.80	$171.70	229% above	20%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W CONTRAST	$2,964.64	$3,705.80	$2,557.00–$3,483.45	229% above	20%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W CONTRAST	$2,964.64	$3,705.80	$171.70	—	20%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W CONTRAST	$2,964.64	$3,705.80	$171.70	—	20%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 CAROTID - BILATERAL	$1,580.43	$1,975.54	$109.08–$166.00	—	20%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 CAROTID - BILATERAL	$1,580.43	$1,975.54	$1,363.12–$1,857.01	—	20%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 CAROTID - BILATERAL	$1,580.43	$1,975.54	$109.08–$166.00	—	20%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 CAROTID - BILATERAL	$1,580.43	$1,975.54	$1,363.12–$1,857.01	—	20%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 CAROTID - BILATERAL	$1,580.43	$1,975.54	$109.08–$166.00	—	20%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 CAROTID - BILATERAL	$1,580.43	$1,975.54	$109.08–$166.00	—	20%
Chest X-ray, 2 views CPT 71046 CHEST 2-VIEWS PA/LATERAL	$725.17	$906.46	$625.46–$852.07	259% above	20%
Chest X-ray, 2 views CPT 71046 CHEST 2-VIEWS PA/LATERAL	$725.17	$906.46	$625.46–$852.07	259% above	20%
Chest X-ray, 2 views CPT 71046 CHEST 2-VIEWS PA/LATERAL	$725.17	$906.46	$15.15	259% above	20%
Chest X-ray, 2 views CPT 71046 CHEST 2-VIEWS PA/LATERAL	$725.17	$906.46	$15.15	259% above	20%
Chest X-ray, 2 views inpatient CPT 71046 CHEST 2-VIEWS PA/LATERAL	$725.17	$906.46	$15.15	—	20%
Chest X-ray, 2 views inpatient CPT 71046 CHEST 2-VIEWS PA/LATERAL	$725.17	$906.46	$15.15	—	20%
Chest X-ray, single view CPT 71045 CHEST 1-VIEW	$472.16	$590.20	$407.24–$554.79	151% above	20%
Chest X-ray, single view CPT 71045 CHEST 1-VIEW	$472.16	$590.20	$10.10	151% above	20%
Chest X-ray, single view CPT 71045 CHEST 1-VIEW	$472.16	$590.20	$10.10	151% above	20%
Chest X-ray, single view CPT 71045 CHEST 1-VIEW	$472.16	$590.20	$407.24–$554.79	151% above	20%
Chest X-ray, single view CPT 71045 CHEST SPECIAL VIEW	$529.49	$661.86	$456.68–$622.15	182% above	20%
Chest X-ray, single view CPT 71045 CHEST SPECIAL VIEW	$529.49	$661.86	$10.10	182% above	20%
Chest X-ray, single view CPT 71045 CHEST SPECIAL VIEW	$529.49	$661.86	$10.10	182% above	20%
Chest X-ray, single view CPT 71045 CHEST SPECIAL VIEW	$529.49	$661.86	$456.68–$622.15	182% above	20%
Chest X-ray, single view inpatient CPT 71045 CHEST 1-VIEW	$472.16	$590.20	$10.10	—	20%
Chest X-ray, single view inpatient CPT 71045 CHEST 1-VIEW	$472.16	$590.20	$10.10	—	20%
Chest X-ray, single view inpatient CPT 71045 CHEST SPECIAL VIEW	$529.49	$661.86	$10.10	—	20%
Chest X-ray, single view inpatient CPT 71045 CHEST SPECIAL VIEW	$529.49	$661.86	$10.10	—	20%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RENAL AORTA RETRO COMP	$1,564.52	$1,955.65	$1,349.40–$1,838.31	335% above	20%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RENAL AORTA RETRO COMP	$1,564.52	$1,955.65	$1,349.40–$1,838.31	335% above	20%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RENAL AORTA RETRO COMP	$1,564.52	$1,955.65	$60.60	335% above	20%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RENAL AORTA RETRO COMP	$1,564.52	$1,955.65	$60.60	335% above	20%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RENAL AORTA RETRO COMP	$1,564.52	$1,955.65	$60.60	—	20%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RENAL AORTA RETRO COMP	$1,564.52	$1,955.65	$60.60	—	20%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DEXA SCAN	$855.54	$1,069.43	$101.00	256% above	20%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DEXA SCAN	$855.54	$1,069.43	$737.91–$1,005.26	256% above	20%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DEXA SCAN	$855.54	$1,069.43	$101.00	256% above	20%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DEXA SCAN	$855.54	$1,069.43	$737.91–$1,005.26	256% above	20%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 DEXA SCAN	$855.54	$1,069.43	$101.00	—	20%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 DEXA SCAN	$855.54	$1,069.43	$101.00	—	20%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US OB FETAL ANATOMY SINGLE	$1,397.95	$1,747.44	$1,205.73–$1,642.59	151% above	20%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US OB FETAL ANATOMY SINGLE	$1,397.95	$1,747.44	$1,205.73–$1,642.59	151% above	20%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US OB FETAL ANATOMY SINGLE	$1,397.95	$1,747.44	$72.72	151% above	20%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US OB FETAL ANATOMY SINGLE	$1,397.95	$1,747.44	$72.72	151% above	20%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 US OB FETAL ANATOMY SINGLE	$1,397.95	$1,747.44	$72.72	—	20%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 US OB FETAL ANATOMY SINGLE	$1,397.95	$1,747.44	$72.72	—	20%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST WO CONTRAST	$3,034.94	$3,793.68	$2,617.64–$3,566.06	273% above	20%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST WO CONTRAST	$3,034.94	$3,793.68	$2,617.64–$3,566.06	273% above	20%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST WO CONTRAST	$3,034.94	$3,793.68	$141.40	273% above	20%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST WO CONTRAST	$3,034.94	$3,793.68	$141.40	273% above	20%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST WO CONTRAST	$3,034.94	$3,793.68	$141.40	—	20%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST WO CONTRAST	$3,034.94	$3,793.68	$141.40	—	20%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W CONTRAST	$3,210.15	$4,012.69	$2,768.76–$3,771.93	210% above	20%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W CONTRAST	$3,210.15	$4,012.69	$171.70	210% above	20%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W CONTRAST	$3,210.15	$4,012.69	$2,768.76–$3,771.93	210% above	20%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W CONTRAST	$3,210.15	$4,012.69	$171.70	210% above	20%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST W CONTRAST	$3,210.15	$4,012.69	$171.70	—	20%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST W CONTRAST	$3,210.15	$4,012.69	$171.70	—	20%
Diagnostic mammogram, both breasts both sides CPT 77066 DIGITAL DX MAMMO BILAT W/CAD	$636.82	$796.02	$549.25–$748.26	—	20%
Diagnostic mammogram, both breasts both sides CPT 77066 DIGITAL DX MAMMO BILAT W/CAD	$636.82	$796.02	$97.97	—	20%
Diagnostic mammogram, both breasts both sides CPT 77066 DIGITAL DX MAMMO BILAT W/CAD	$636.82	$796.02	$549.25–$748.26	—	20%
Diagnostic mammogram, both breasts both sides CPT 77066 DIGITAL DX MAMMO BILAT W/CAD	$636.82	$796.02	$97.97	—	20%
Diagnostic mammogram, both breasts both sides CPT 77066 DIGITAL DIAGNOSTIC MAMMO-BILAT	$648.91	$811.14	$559.69–$762.47	—	20%
Diagnostic mammogram, both breasts both sides CPT 77066 DIGITAL DIAGNOSTIC MAMMO-BILAT	$648.91	$811.14	$97.97	—	20%
Diagnostic mammogram, both breasts both sides CPT 77066 DIGITAL DIAGNOSTIC MAMMO-BILAT	$648.91	$811.14	$559.69–$762.47	—	20%
Diagnostic mammogram, both breasts both sides CPT 77066 DIGITAL DIAGNOSTIC MAMMO-BILAT	$648.91	$811.14	$97.97	—	20%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 DIGITAL DX MAMMO BILAT W/CAD	$636.82	$796.02	$97.97	—	20%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 DIGITAL DX MAMMO BILAT W/CAD	$636.82	$796.02	$97.97	—	20%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 DIGITAL DIAGNOSTIC MAMMO-BILAT	$648.91	$811.14	$97.97	—	20%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 DIGITAL DIAGNOSTIC MAMMO-BILAT	$648.91	$811.14	$97.97	—	20%
Diagnostic mammogram, one breast CPT 77065 DIGITAL DIAGNOSTIC MAMMO-UNI	$588.38	$735.48	$507.48–$691.35	121% above	20%
Diagnostic mammogram, one breast CPT 77065 DIGITAL DIAGNOSTIC MAMMO-UNI	$588.38	$735.48	$507.48–$691.35	121% above	20%
Diagnostic mammogram, one breast CPT 77065 DIGITAL DIAGNOSTIC MAMMO-UNI	$588.38	$735.48	$97.97	121% above	20%
Diagnostic mammogram, one breast CPT 77065 DIGITAL DIAGNOSTIC MAMMO-UNI	$588.38	$735.48	$97.97	121% above	20%
Diagnostic mammogram, one breast CPT 77065 DIGITAL DX MAMMO UNI W/CAD	$616.82	$771.02	$532.00–$724.76	132% above	20%
Diagnostic mammogram, one breast CPT 77065 DIGITAL DX MAMMO UNI W/CAD	$616.82	$771.02	$97.97	132% above	20%
Diagnostic mammogram, one breast CPT 77065 DIGITAL DX MAMMO UNI W/CAD	$616.82	$771.02	$97.97	132% above	20%
Diagnostic mammogram, one breast CPT 77065 DIGITAL DX MAMMO UNI W/CAD	$616.82	$771.02	$532.00–$724.76	132% above	20%
Diagnostic mammogram, one breast inpatient CPT 77065 DIGITAL DIAGNOSTIC MAMMO-UNI	$588.38	$735.48	$97.97	—	20%
Diagnostic mammogram, one breast inpatient CPT 77065 DIGITAL DIAGNOSTIC MAMMO-UNI	$588.38	$735.48	$97.97	—	20%
Diagnostic mammogram, one breast inpatient CPT 77065 DIGITAL DX MAMMO UNI W/CAD	$616.82	$771.02	$97.97	—	20%
Diagnostic mammogram, one breast inpatient CPT 77065 DIGITAL DX MAMMO UNI W/CAD	$616.82	$771.02	$97.97	—	20%
Duplex ultrasound of the leg arteries, both legs CPT 93925 ARTERIAL DPLX SCAN LWR EXT BIL	$1,365.57	$1,706.96	$1,199.99–$1,604.54	176% above	20%
Duplex ultrasound of the leg arteries, both legs CPT 93925 ARTERIAL DPLX SCAN LWR EXT BIL	$1,365.57	$1,706.96	$109.08–$166.00	176% above	20%
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 ARTERIAL DPLX SCAN LWR EXT BIL	$1,365.57	$1,706.96	$109.08–$166.00	—	20%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US VEIN MAPPING BILATERAL	$1,635.53	$2,044.41	$109.08	—	20%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US VEIN MAPPING BILATERAL	$1,635.53	$2,044.41	$109.08	—	20%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US VEIN MAPPING BILATERAL	$1,635.53	$2,044.41	$1,437.22–$1,921.75	—	20%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US VEIN MAPPING BILATERAL	$1,635.53	$2,044.41	$1,437.22–$1,921.75	—	20%
Duplex ultrasound of the leg veins, both legs CPT 93970 DUPLEX SCAN EXTREMITY-VEINS	$1,635.53	$2,044.41	$109.08–$184.00	149% above	20%
Duplex ultrasound of the leg veins, both legs CPT 93970 DUPLEX SCAN EXTREMITY-VEINS	$1,635.53	$2,044.41	$1,437.22–$1,921.75	149% above	20%
Duplex ultrasound of the leg veins, both legs CPT 93970 DUPLEX SCAN EXTREMITY-VEINS	$1,635.53	$2,044.41	$109.08–$184.00	149% above	20%
Duplex ultrasound of the leg veins, both legs CPT 93970 DUPLEX SCAN EXTREMITY-VEINS	$1,635.53	$2,044.41	$1,437.22–$1,921.75	149% above	20%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US VEIN MAPPING BILATERAL	$1,635.53	$2,044.41	$109.08	—	20%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US VEIN MAPPING BILATERAL	$1,635.53	$2,044.41	$109.08	—	20%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 DUPLEX SCAN EXTREMITY-VEINS	$1,635.53	$2,044.41	$109.08–$184.00	—	20%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 DUPLEX SCAN EXTREMITY-VEINS	$1,635.53	$2,044.41	$109.08–$184.00	—	20%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHOCARDIOGRAPHY W/DOPPLER	$2,440.27	$3,050.34	$208.57–$365.00	120% above	20%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHOCARDIOGRAPHY W/DOPPLER	$2,440.27	$3,050.34	$2,144.39–$2,867.32	120% above	20%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHOCARDIOGRAPHY W/DOPPLER	$2,440.27	$3,050.34	$2,144.39–$2,867.32	120% above	20%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHOCARDIOGRAPHY W/DOPPLER	$2,440.27	$3,050.34	$208.57–$365.00	120% above	20%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 ECHOCARDIOGRAPHY W/DOPPLER	$2,440.27	$3,050.34	$208.57–$365.00	—	20%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 ECHOCARDIOGRAPHY W/DOPPLER	$2,440.27	$3,050.34	$208.57–$365.00	—	20%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HEPATOBILIARY IMAGING STUDY	$2,124.63	$2,655.79	$104.78	123% above	20%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HEPATOBILIARY IMAGING STUDY	$2,124.63	$2,655.79	$1,832.50–$2,496.44	123% above	20%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HEPATOBILIARY IMAGING STUDY	$2,124.63	$2,655.79	$104.78	—	20%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLEEP STUDY UNATT W/RESP EFFOR	$104.00	$130.00	$166.28	68% below	20%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLEEP STUDY UNAT W/RESP EFFORT	$626.59	$783.24	$166.28	94% above	20%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLEEP STUDY UNATTENDED (HOME)	$677.72	$847.15	$595.55–$796.32	110% above	20%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLEEP STUDY UNATTENDED (HOME)	$677.72	$847.15	$135.54–$302.00	110% above	20%
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 SLEEP STUDY UNATTENDED (HOME)	$677.72	$847.15	$135.54–$302.00	—	20%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLYSOMNOGRAPHY W/CPAP	$4,947.11	$6,183.89	$5,318.15–$5,812.86	125% above	20%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLYSOMNOGRAPHY W/CAP	$4,947.11	$6,183.89	$166.28	125% above	20%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLYSOMNOGRAPHY W/CPAP	$4,947.11	$6,183.89	$656.02–$931.44	125% above	20%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLYSOMNOGRAPHY W/CPAP	$4,947.11	$6,183.89	$5,318.15–$5,812.86	125% above	20%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLYSOMNOGRAPHY W/CPAP	$4,947.11	$6,183.89	$656.02–$931.44	125% above	20%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLYSOMNOGRAPHY W/CAP	$4,947.11	$6,183.89	$166.28	125% above	20%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 POLYSOMNOGRAPHY W/CPAP	$4,947.11	$6,183.89	$656.02–$931.44	—	20%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 POLYSOMNOGRAPHY W/CPAP	$4,947.11	$6,183.89	$656.02–$931.44	—	20%
Knee X-ray, 3 views both sides CPT 73562 KNEE 3 VIEW-BILATERAL	$595.42	$744.27	$166.28	—	20%
Knee X-ray, 3 views both sides CPT 73562 KNEE 3 VIEW-BILATERAL	$595.42	$744.27	$15.15	—	20%
Knee X-ray, 3 views both sides CPT 73562 KNEE 3 VIEW-BILATERAL	$595.42	$744.27	$15.15	—	20%
Knee X-ray, 3 views both sides CPT 73562 KNEE 3 VIEW-BILATERAL	$595.42	$744.27	$166.28	—	20%
Knee X-ray, 3 views one side CPT 73562 KNEE 3 VIEW RT	$541.34	$676.67	$15.15	195% above	20%
Knee X-ray, 3 views one side CPT 73562 KNEE 3 VIEW LT	$541.34	$676.67	$15.15	195% above	20%
Knee X-ray, 3 views one side CPT 73562 KNEE 3 VIEW RT	$541.34	$676.67	$15.15	195% above	20%
Knee X-ray, 3 views one side CPT 73562 KNEE 3 VIEW RT	$541.34	$676.67	$166.28	195% above	20%
Knee X-ray, 3 views one side CPT 73562 KNEE 3 VIEW LT	$541.34	$676.67	$466.90–$636.07	195% above	20%
Knee X-ray, 3 views one side CPT 73562 KNEE 3 VIEW LT	$541.34	$676.67	$15.15	195% above	20%
Knee X-ray, 3 views one side CPT 73562 KNEE 3 VIEW RT	$541.34	$676.67	$166.28	195% above	20%
Knee X-ray, 3 views one side CPT 73562 KNEE 3 VIEW LT	$541.34	$676.67	$466.90–$636.07	195% above	20%
Knee X-ray, 3 views inpatient both sides CPT 73562 KNEE 3 VIEW-BILATERAL	$595.42	$744.27	$15.15	—	20%
Knee X-ray, 3 views inpatient both sides CPT 73562 KNEE 3 VIEW-BILATERAL	$595.42	$744.27	$15.15	—	20%
Knee X-ray, 3 views inpatient one side CPT 73562 KNEE 3 VIEW RT	$541.34	$676.67	$15.15	—	20%
Knee X-ray, 3 views inpatient one side CPT 73562 KNEE 3 VIEW LT	$541.34	$676.67	$15.15	—	20%
Knee X-ray, 3 views inpatient one side CPT 73562 KNEE 3 VIEW RT	$541.34	$676.67	$15.15	—	20%
Knee X-ray, 3 views inpatient one side CPT 73562 KNEE 3 VIEW LT	$541.34	$676.67	$15.15	—	20%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 PYLORIC ULTRASOUND	$452.75	$565.94	$390.50–$531.98	44% above	20%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 PYLORIC ULTRASOUND	$452.75	$565.94	$40.40	44% above	20%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 PYLORIC ULTRASOUND	$452.75	$565.94	$40.40	44% above	20%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 PYLORIC ULTRASOUND	$452.75	$565.94	$390.50–$531.98	44% above	20%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US PALP LUMP ABD WALL LWR BACK	$800.18	$1,000.23	$690.16–$940.22	154% above	20%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US PALP LUMP ABD WALL LWR BACK	$800.18	$1,000.23	$40.40	154% above	20%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US PALP LUMP ABD WALL LWR BACK	$800.18	$1,000.23	$40.40	154% above	20%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US PALP LUMP ABD WALL LWR BACK	$800.18	$1,000.23	$690.16–$940.22	154% above	20%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ULTRASOUND SPLEEN	$1,094.03	$1,367.54	$40.40	247% above	20%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ULTRASOUND SPLEEN	$1,094.03	$1,367.54	$943.60–$1,285.49	247% above	20%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ULTRASOUND SPLEEN	$1,094.03	$1,367.54	$40.40	247% above	20%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ULTRASOUND SPLEEN	$1,094.03	$1,367.54	$943.60–$1,285.49	247% above	20%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ULTRASOUND PANCREAS	$1,214.63	$1,518.29	$1,047.62–$1,427.19	285% above	20%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ULTRASOUND PANCREAS	$1,214.63	$1,518.29	$40.40	285% above	20%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ULTRASOUND PANCREAS	$1,214.63	$1,518.29	$1,047.62–$1,427.19	285% above	20%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ULTRASOUND PANCREAS	$1,214.63	$1,518.29	$40.40	285% above	20%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US LIVER	$1,389.85	$1,737.31	$40.40	341% above	20%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US LIVER	$1,389.85	$1,737.31	$40.40	341% above	20%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US LIVER	$1,389.85	$1,737.31	$1,198.74–$1,633.07	341% above	20%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ULTRASOUND HEPATIC	$1,389.85	$1,737.31	$1,198.74–$1,633.07	341% above	20%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ULTRASOUND COM.DUCT G. BL	$1,389.85	$1,737.31	$40.40	341% above	20%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ULTRASOUND COM.DUCT G. BL	$1,389.85	$1,737.31	$1,198.74–$1,633.07	341% above	20%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ULTRASOUND HEPATIC	$1,389.85	$1,737.31	$40.40	341% above	20%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ULTRASOUND COM.DUCT G. BL	$1,389.85	$1,737.31	$40.40	341% above	20%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US LIVER	$1,389.85	$1,737.31	$1,198.74–$1,633.07	341% above	20%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ULTRASOUND HEPATIC	$1,389.85	$1,737.31	$40.40	341% above	20%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ULTRASOUND HEPATIC	$1,389.85	$1,737.31	$1,198.74–$1,633.07	341% above	20%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ULTRASOUND COM.DUCT G. BL	$1,389.85	$1,737.31	$1,198.74–$1,633.07	341% above	20%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ULTRASOUND ADRENAL	$1,397.95	$1,747.44	$1,205.73–$1,642.59	343% above	20%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABD LIMITED RUQ	$1,397.95	$1,747.44	$1,205.73–$1,642.59	343% above	20%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABD LIMITED RUQ	$1,397.95	$1,747.44	$40.40	343% above	20%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN LIMITED	$1,397.95	$1,747.44	$40.40	343% above	20%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABD LIMITED RUQ	$1,397.95	$1,747.44	$40.40	343% above	20%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN LIMITED	$1,397.95	$1,747.44	$1,205.73–$1,642.59	343% above	20%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN LIMITED	$1,397.95	$1,747.44	$1,205.73–$1,642.59	343% above	20%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABD LIMITED RUQ	$1,397.95	$1,747.44	$1,205.73–$1,642.59	343% above	20%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ULTRASOUND ADRENAL	$1,397.95	$1,747.44	$40.40	343% above	20%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ULTRASOUND ADRENAL	$1,397.95	$1,747.44	$1,205.73–$1,642.59	343% above	20%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ULTRASOUND ADRENAL	$1,397.95	$1,747.44	$40.40	343% above	20%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN LIMITED	$1,397.95	$1,747.44	$40.40	343% above	20%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 PYLORIC ULTRASOUND	$452.75	$565.94	$40.40	—	20%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 PYLORIC ULTRASOUND	$452.75	$565.94	$40.40	—	20%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US PALP LUMP ABD WALL LWR BACK	$800.18	$1,000.23	$40.40	—	20%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US PALP LUMP ABD WALL LWR BACK	$800.18	$1,000.23	$40.40	—	20%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 ULTRASOUND SPLEEN	$1,094.03	$1,367.54	$40.40	—	20%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 ULTRASOUND SPLEEN	$1,094.03	$1,367.54	$40.40	—	20%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 ULTRASOUND PANCREAS	$1,214.63	$1,518.29	$40.40	—	20%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 ULTRASOUND PANCREAS	$1,214.63	$1,518.29	$40.40	—	20%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 ULTRASOUND HEPATIC	$1,389.85	$1,737.31	$40.40	—	20%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 ULTRASOUND COM.DUCT G. BL	$1,389.85	$1,737.31	$40.40	—	20%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 ULTRASOUND COM.DUCT G. BL	$1,389.85	$1,737.31	$40.40	—	20%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US LIVER	$1,389.85	$1,737.31	$40.40	—	20%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US LIVER	$1,389.85	$1,737.31	$40.40	—	20%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 ULTRASOUND HEPATIC	$1,389.85	$1,737.31	$40.40	—	20%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 ULTRASOUND ADRENAL	$1,397.95	$1,747.44	$40.40	—	20%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABD LIMITED RUQ	$1,397.95	$1,747.44	$40.40	—	20%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABD LIMITED RUQ	$1,397.95	$1,747.44	$40.40	—	20%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABDOMEN LIMITED	$1,397.95	$1,747.44	$40.40	—	20%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 ULTRASOUND ADRENAL	$1,397.95	$1,747.44	$40.40	—	20%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABDOMEN LIMITED	$1,397.95	$1,747.44	$40.40	—	20%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT CHEST LOW DOSE LUNG CA	$2,918.66	$3,648.33	$35.18	596% above	20%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT CHEST LOW DOSE LUNG CA	$2,918.66	$3,648.33	$2,517.35–$3,429.43	596% above	20%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT CHEST LOW DOSE LUNG CA	$2,918.66	$3,648.33	$35.18	—	20%
MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 MRI LWR EXT JOINT WO BILATERAL	$3,201.10	$4,001.37	$505.00	—	20%
MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 MRI LWR EXT JOINT WO BILATERAL	$3,201.10	$4,001.37	$505.00	—	20%
MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 MRI LWR EXT JOINT WO BILATERAL	$3,201.10	$4,001.37	$166.28	—	20%
MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 MRI LWR EXT JOINT WO BILATERAL	$3,201.10	$4,001.37	$166.28	—	20%
MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 MRI ANKLE BILATERAL W/O CON	$4,801.65	$6,002.06	$505.00	—	20%
MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 MRI HIP BILATERAL WO CONTRAST	$4,801.65	$6,002.06	$166.28	—	20%
MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 MRI HIP BILATERAL WO CONTRAST	$4,801.65	$6,002.06	$505.00	—	20%
MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 MRI ANKLE BILATERAL W/O CON	$4,801.65	$6,002.06	$166.28	—	20%
MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 MRI HIP BILATERAL WO CONTRAST	$4,801.65	$6,002.06	$166.28	—	20%
MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 MRI ANKLE BILATERAL W/O CON	$4,801.65	$6,002.06	$166.28	—	20%
MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 MRI HIP BILATERAL WO CONTRAST	$4,801.65	$6,002.06	$505.00	—	20%
MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 MRI ANKLE BILATERAL W/O CON	$4,801.65	$6,002.06	$505.00	—	20%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LWR EXT JOINT WO RT	$3,329.14	$4,161.42	$166.28	231% above	20%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LWR EXT JOINT WO LT	$3,329.14	$4,161.42	$505.00	231% above	20%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LWR EXT JOINT WO RT	$3,329.14	$4,161.42	$166.28	231% above	20%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LWR EXT JOINT WO RT	$3,329.14	$4,161.42	$505.00	231% above	20%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LWR EXT JOINT WO RT	$3,329.14	$4,161.42	$505.00	231% above	20%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LWR EXT JOINT WO LT	$3,329.14	$4,161.42	$166.28	231% above	20%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LWR EXT JOINT WO LT	$3,329.14	$4,161.42	$505.00	231% above	20%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LWR EXT JOINT WO LT	$3,329.14	$4,161.42	$166.28	231% above	20%
MRI of knee or other lower-limb joint, no contrast dye inpatient both sides CPT 73721 MRI LWR EXT JOINT WO BILATERAL	$3,201.10	$4,001.37	$505.00	—	20%
MRI of knee or other lower-limb joint, no contrast dye inpatient both sides CPT 73721 MRI LWR EXT JOINT WO BILATERAL	$3,201.10	$4,001.37	$505.00	—	20%
MRI of knee or other lower-limb joint, no contrast dye inpatient both sides CPT 73721 MRI ANKLE BILATERAL W/O CON	$4,801.65	$6,002.06	$505.00	—	20%
MRI of knee or other lower-limb joint, no contrast dye inpatient both sides CPT 73721 MRI ANKLE BILATERAL W/O CON	$4,801.65	$6,002.06	$505.00	—	20%
MRI of knee or other lower-limb joint, no contrast dye inpatient both sides CPT 73721 MRI HIP BILATERAL WO CONTRAST	$4,801.65	$6,002.06	$505.00	—	20%
MRI of knee or other lower-limb joint, no contrast dye inpatient both sides CPT 73721 MRI HIP BILATERAL WO CONTRAST	$4,801.65	$6,002.06	$505.00	—	20%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI LWR EXT JOINT WO LT	$3,329.14	$4,161.42	$505.00	—	20%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI LWR EXT JOINT WO RT	$3,329.14	$4,161.42	$505.00	—	20%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI LWR EXT JOINT WO RT	$3,329.14	$4,161.42	$505.00	—	20%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI LWR EXT JOINT WO LT	$3,329.14	$4,161.42	$505.00	—	20%
MRI of knee or other lower-limb joint, without and then with contrast dye both sides CPT 73723 MRI HIP BILATERAL W/WO CONTRAS	$5,855.22	$7,319.02	$505.00	—	20%
MRI of knee or other lower-limb joint, without and then with contrast dye both sides CPT 73723 MRI HIP BILATERAL W/WO CONTRAS	$5,855.22	$7,319.02	$505.00	—	20%
MRI of knee or other lower-limb joint, without and then with contrast dye both sides CPT 73723 MRI HIP BILATERAL W/WO CONTRAS	$5,855.22	$7,319.02	$166.28	—	20%
MRI of knee or other lower-limb joint, without and then with contrast dye both sides CPT 73723 MRI HIP BILATERAL W/WO CONTRAS	$5,855.22	$7,319.02	$166.28	—	20%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI LWR EXT JOINT W/WO RT	$3,903.48	$4,879.35	$505.00	113% above	20%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI LWR EXT JOINT W/WO LT	$3,903.48	$4,879.35	$505.00	113% above	20%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI LWR EXT JOINT W/WO LT	$3,903.48	$4,879.35	$166.28	113% above	20%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI LWR EXT JOINT W/WO LT	$3,903.48	$4,879.35	$505.00	113% above	20%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI LWR EXT JOINT W/WO RT	$3,903.48	$4,879.35	$505.00	113% above	20%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI LWR EXT JOINT W/WO LT	$3,903.48	$4,879.35	$166.28	113% above	20%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI LWR EXT JOINT W/WO RT	$3,903.48	$4,879.35	$166.28	113% above	20%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI LWR EXT JOINT W/WO RT	$3,903.48	$4,879.35	$166.28	113% above	20%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient both sides CPT 73723 MRI HIP BILATERAL W/WO CONTRAS	$5,855.22	$7,319.02	$505.00	—	20%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient both sides CPT 73723 MRI HIP BILATERAL W/WO CONTRAS	$5,855.22	$7,319.02	$505.00	—	20%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI LWR EXT JOINT W/WO LT	$3,903.48	$4,879.35	$505.00	—	20%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI LWR EXT JOINT W/WO LT	$3,903.48	$4,879.35	$505.00	—	20%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI LWR EXT JOINT W/WO RT	$3,903.48	$4,879.35	$505.00	—	20%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI LWR EXT JOINT W/WO RT	$3,903.48	$4,879.35	$505.00	—	20%
MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O CONTRAST	$3,329.14	$4,161.42	$505.00	226% above	20%
MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O CONTRAST	$3,329.14	$4,161.42	$2,871.38–$3,911.73	226% above	20%
MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O CONTRAST	$3,329.14	$4,161.42	$505.00	226% above	20%
MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O CONTRAST	$3,329.14	$4,161.42	$2,871.38–$3,911.73	226% above	20%
MRI of the abdomen without contrast inpatient CPT 74181 MRI ABDOMEN W/O CONTRAST	$3,329.14	$4,161.42	$505.00	—	20%
MRI of the abdomen without contrast inpatient CPT 74181 MRI ABDOMEN W/O CONTRAST	$3,329.14	$4,161.42	$505.00	—	20%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN W/WO CONTRAST	$3,908.87	$4,886.09	$3,371.40–$4,592.92	137% above	20%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN W/WO CONTRAST	$3,908.87	$4,886.09	$3,371.40–$4,592.92	137% above	20%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN W/WO CONTRAST	$3,908.87	$4,886.09	$505.00	137% above	20%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN W/WO CONTRAST	$3,908.87	$4,886.09	$505.00	137% above	20%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ABDOMEN W/WO CONTRAST	$3,908.87	$4,886.09	$505.00	—	20%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ABDOMEN W/WO CONTRAST	$3,908.87	$4,886.09	$505.00	—	20%
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN W/O CONTRAST	$3,269.30	$4,086.62	$2,819.77–$3,841.42	230% above	20%
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN W/O CONTRAST	$3,269.30	$4,086.62	$505.00	230% above	20%
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN W/O CONTRAST	$3,269.30	$4,086.62	$505.00	230% above	20%
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN W/O CONTRAST	$3,269.30	$4,086.62	$2,819.77–$3,841.42	230% above	20%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN W/O CONTRAST	$3,269.30	$4,086.62	$505.00	—	20%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN W/O CONTRAST	$3,269.30	$4,086.62	$505.00	—	20%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W/WO CONTRAST	$5,858.51	$7,323.14	$505.00	265% above	20%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W/WO CONTRAST	$5,858.51	$7,323.14	$505.00	265% above	20%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W/WO CONTRAST	$5,858.51	$7,323.14	$5,052.97–$6,883.75	265% above	20%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W/WO CONTRAST	$5,858.51	$7,323.14	$5,052.97–$6,883.75	265% above	20%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN W/WO CONTRAST	$5,858.51	$7,323.14	$505.00	—	20%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN W/WO CONTRAST	$5,858.51	$7,323.14	$505.00	—	20%
MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR SPINE W/O CONTRAST	$3,329.14	$4,161.42	$2,871.38–$3,911.73	212% above	20%
MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR SPINE W/O CONTRAST	$3,329.14	$4,161.42	$505.00	212% above	20%
MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR SPINE W/O CONTRAST	$3,329.14	$4,161.42	$505.00	212% above	20%
MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR SPINE W/O CONTRAST	$3,329.14	$4,161.42	$2,871.38–$3,911.73	212% above	20%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI LUMBAR SPINE W/O CONTRAST	$3,329.14	$4,161.42	$505.00	—	20%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI LUMBAR SPINE W/O CONTRAST	$3,329.14	$4,161.42	$505.00	—	20%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI LUMBAR SPINE W/WO CONTRAST	$5,632.39	$7,040.49	$505.00	242% above	20%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI LUMBAR SPINE W/WO CONTRAST	$5,632.39	$7,040.49	$505.00	242% above	20%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI LUMBAR SPINE W/WO CONTRAST	$5,632.39	$7,040.49	$4,857.94–$6,618.06	242% above	20%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI LUMBAR SPINE W/WO CONTRAST	$5,632.39	$7,040.49	$4,857.94–$6,618.06	242% above	20%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI LUMBAR SPINE W/WO CONTRAST	$5,632.39	$7,040.49	$505.00	—	20%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI LUMBAR SPINE W/WO CONTRAST	$5,632.39	$7,040.49	$505.00	—	20%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI THORACIC SPINE WO CON	$3,329.14	$4,161.42	$2,871.38–$3,911.73	231% above	20%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI THORACIC SPINE WO CON	$3,329.14	$4,161.42	$505.00	231% above	20%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI THORACIC SPINE WO CON	$3,329.14	$4,161.42	$2,871.38–$3,911.73	231% above	20%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI THORACIC SPINE WO CON	$3,329.14	$4,161.42	$505.00	231% above	20%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI THORACIC SPINE WO CON	$3,329.14	$4,161.42	$505.00	—	20%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI THORACIC SPINE WO CON	$3,329.14	$4,161.42	$505.00	—	20%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI CERVICAL SPINE W/WO CONT	$5,858.51	$7,323.14	$5,052.97–$6,883.75	263% above	20%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI CERVICAL SPINE W/WO CONT	$5,858.51	$7,323.14	$505.00	263% above	20%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI CERVICAL SPINE W/WO CONT	$5,858.51	$7,323.14	$505.00	263% above	20%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI CERVICAL SPINE W/WO CONT	$5,858.51	$7,323.14	$5,052.97–$6,883.75	263% above	20%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI CERVICAL SPINE W/WO CONT	$5,858.51	$7,323.14	$505.00	—	20%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI CERVICAL SPINE W/WO CONT	$5,858.51	$7,323.14	$505.00	—	20%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI CERVICAL SPINE WO CONTRAST	$3,462.79	$4,328.49	$2,986.66–$4,068.78	247% above	20%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI CERVICAL SPINE WO CONTRAST	$3,462.79	$4,328.49	$2,986.66–$4,068.78	247% above	20%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI CERVICAL SPINE WO CONTRAST	$3,462.79	$4,328.49	$505.00	247% above	20%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI CERVICAL SPINE WO CONTRAST	$3,462.79	$4,328.49	$505.00	247% above	20%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI CERVICAL SPINE WO CONTRAST	$3,462.79	$4,328.49	$505.00	—	20%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI CERVICAL SPINE WO CONTRAST	$3,462.79	$4,328.49	$505.00	—	20%
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W/WO CONTRAST	$3,911.03	$4,888.79	$505.00	154% above	20%
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W/WO CONTRAST	$3,911.03	$4,888.79	$3,373.27–$4,595.46	154% above	20%
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W/WO CONTRAST	$3,911.03	$4,888.79	$505.00	154% above	20%
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W/WO CONTRAST	$3,911.03	$4,888.79	$3,373.27–$4,595.46	154% above	20%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS W/WO CONTRAST	$3,911.03	$4,888.79	$505.00	—	20%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS W/WO CONTRAST	$3,911.03	$4,888.79	$505.00	—	20%
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS WO CONTRAST	$3,329.14	$4,161.42	$505.00	236% above	20%
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS WO CONTRAST	$3,329.14	$4,161.42	$2,871.38–$3,911.73	236% above	20%
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS WO CONTRAST	$3,329.14	$4,161.42	$505.00	236% above	20%
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS WO CONTRAST	$3,329.14	$4,161.42	$2,871.38–$3,911.73	236% above	20%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PELVIS WO CONTRAST	$3,329.14	$4,161.42	$505.00	—	20%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PELVIS WO CONTRAST	$3,329.14	$4,161.42	$505.00	—	20%
MRI of the shoulder, elbow or wrist joint, no contrast dye both sides CPT 73221 MRI SHOULDER BILATERAL WO CONT	$4,993.71	$6,242.14	$505.00	—	20%
MRI of the shoulder, elbow or wrist joint, no contrast dye both sides CPT 73221 MRI SHOULDER BILATERAL WO CONT	$4,993.71	$6,242.14	$166.28	—	20%
MRI of the shoulder, elbow or wrist joint, no contrast dye both sides CPT 73221 MRI WRIST BILATERAL WO CONTRAS	$4,993.71	$6,242.14	$166.28	—	20%
MRI of the shoulder, elbow or wrist joint, no contrast dye both sides CPT 73221 MRI SHOULDER BILATERAL WO CONT	$4,993.71	$6,242.14	$505.00	—	20%
MRI of the shoulder, elbow or wrist joint, no contrast dye both sides CPT 73221 MRI WRIST BILATERAL WO CONTRAS	$4,993.71	$6,242.14	$505.00	—	20%
MRI of the shoulder, elbow or wrist joint, no contrast dye both sides CPT 73221 MRI SHOULDER BILATERAL WO CONT	$4,993.71	$6,242.14	$166.28	—	20%
MRI of the shoulder, elbow or wrist joint, no contrast dye both sides CPT 73221 MRI WRIST BILATERAL WO CONTRAS	$4,993.71	$6,242.14	$166.28	—	20%
MRI of the shoulder, elbow or wrist joint, no contrast dye both sides CPT 73221 MRI WRIST BILATERAL WO CONTRAS	$4,993.71	$6,242.14	$505.00	—	20%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UPPER EXT JOINT WO RT	$3,329.14	$4,161.42	$505.00	177% above	20%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UPPER EXT JOINT WO LT	$3,329.14	$4,161.42	$166.28	177% above	20%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UPPER EXT JOINT WO RT	$3,329.14	$4,161.42	$166.28	177% above	20%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UPPER EXT JOINT WO LT	$3,329.14	$4,161.42	$505.00	177% above	20%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UPPER EXT JOINT WO RT	$3,329.14	$4,161.42	$166.28	177% above	20%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UPPER EXT JOINT WO LT	$3,329.14	$4,161.42	$505.00	177% above	20%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UPPER EXT JOINT WO RT	$3,329.14	$4,161.42	$505.00	177% above	20%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UPPER EXT JOINT WO LT	$3,329.14	$4,161.42	$166.28	177% above	20%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient both sides CPT 73221 MRI SHOULDER BILATERAL WO CONT	$4,993.71	$6,242.14	$505.00	—	20%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient both sides CPT 73221 MRI WRIST BILATERAL WO CONTRAS	$4,993.71	$6,242.14	$505.00	—	20%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient both sides CPT 73221 MRI SHOULDER BILATERAL WO CONT	$4,993.71	$6,242.14	$505.00	—	20%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient both sides CPT 73221 MRI WRIST BILATERAL WO CONTRAS	$4,993.71	$6,242.14	$505.00	—	20%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI UPPER EXT JOINT WO LT	$3,329.14	$4,161.42	$505.00	—	20%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI UPPER EXT JOINT WO RT	$3,329.14	$4,161.42	$505.00	—	20%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI UPPER EXT JOINT WO LT	$3,329.14	$4,161.42	$505.00	—	20%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI UPPER EXT JOINT WO RT	$3,329.14	$4,161.42	$505.00	—	20%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM MYO SPECT W/EF & WM	$3,802.34	$4,752.92	$3,279.51–$4,467.74	73% above	20%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM MYO SPECT W/EF & WM	$3,802.34	$4,752.92	$241.13	73% above	20%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM MYO SPECT W/EF & WM	$3,802.34	$4,752.92	$3,279.51–$4,467.74	73% above	20%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM MYO SPECT W/EF & WM	$3,802.34	$4,752.92	$241.13	73% above	20%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM MYO SPECT W/EF & WM	$3,802.34	$4,752.92	$241.13	—	20%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM MYO SPECT W/EF & WM	$3,802.34	$4,752.92	$241.13	—	20%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET/CT SKULL BASE TO MID THIGH	$8,165.46	$10,206.82	$7,042.71–$9,594.41	120% above	20%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET/CT SKULL BASE TO MID THIGH	$8,165.46	$10,206.82	$7,042.71–$9,594.41	120% above	20%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET/CT SKULL BASE TO MID THIGH	$8,165.46	$10,206.82	$682.76	120% above	20%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET/CT SKULL BASE TO MID THIGH	$8,165.46	$10,206.82	$682.76	120% above	20%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET/CT SKULL BASE TO MID THIGH	$8,165.46	$10,206.82	$682.76	—	20%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET/CT SKULL BASE TO MID THIGH	$8,165.46	$10,206.82	$682.76	—	20%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 ULTRASOUND PELVIC LIMITED	$754.39	$942.99	$650.66–$886.41	195% above	20%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 ULTRASOUND PELVIC LIMITED	$754.39	$942.99	$650.66–$886.41	195% above	20%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 ULTRASOUND PELVIC LIMITED	$754.39	$942.99	$40.40	195% above	20%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 ULTRASOUND PELVIC LIMITED	$754.39	$942.99	$40.40	195% above	20%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC NON OB LIMITED/FO	$834.82	$1,043.52	$40.40	226% above	20%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC NON OB LIMITED/FO	$834.82	$1,043.52	$720.03–$980.91	226% above	20%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC NON OB LIMITED/FO	$834.82	$1,043.52	$720.03–$980.91	226% above	20%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC NON OB LIMITED/FO	$834.82	$1,043.52	$40.40	226% above	20%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 ULTRASOUND PELVIC LIMITED	$754.39	$942.99	$40.40	—	20%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 ULTRASOUND PELVIC LIMITED	$754.39	$942.99	$40.40	—	20%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PELVIC NON OB LIMITED/FO	$834.82	$1,043.52	$40.40	—	20%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PELVIC NON OB LIMITED/FO	$834.82	$1,043.52	$40.40	—	20%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 ULTRASOUND PELVIS	$1,564.52	$1,955.65	$55.55	331% above	20%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 ULTRASOUND PELVIS	$1,564.52	$1,955.65	$55.55	331% above	20%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 ULTRASOUND PELVIS	$1,564.52	$1,955.65	$1,349.40–$1,838.31	331% above	20%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 ULTRASOUND PELVIS	$1,564.52	$1,955.65	$1,349.40–$1,838.31	331% above	20%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 ULTRASOUND PELVIS	$1,564.52	$1,955.65	$55.55	—	20%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 ULTRASOUND PELVIS	$1,564.52	$1,955.65	$55.55	—	20%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB UTERUS SING GEST >=14WKS	$1,397.95	$1,747.44	$55.55	312% above	20%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 ULTRASOUND PREG DIAG	$1,397.95	$1,747.44	$1,205.73–$1,642.59	312% above	20%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB UTERUS SING GEST >=14WKS	$1,397.95	$1,747.44	$1,205.73–$1,642.59	312% above	20%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 ULTRASOUND PREG DIAG	$1,397.95	$1,747.44	$1,205.73–$1,642.59	312% above	20%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 ULTRASOUND PREG DIAG	$1,397.95	$1,747.44	$55.55	312% above	20%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB UTERUS SING GEST >=14WKS	$1,397.95	$1,747.44	$55.55	312% above	20%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB UTERUS SING GEST >=14WKS	$1,397.95	$1,747.44	$1,205.73–$1,642.59	312% above	20%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 ULTRASOUND PREG DIAG	$1,397.95	$1,747.44	$55.55	312% above	20%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 ULTRASOUND PREG DIAG	$1,397.95	$1,747.44	$55.55	—	20%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB UTERUS SING GEST >=14WKS	$1,397.95	$1,747.44	$55.55	—	20%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB UTERUS SING GEST >=14WKS	$1,397.95	$1,747.44	$55.55	—	20%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 ULTRASOUND PREG DIAG	$1,397.95	$1,747.44	$55.55	—	20%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB UTERUS SING GEST <14 WKS	$1,397.95	$1,747.44	$55.55	346% above	20%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB UTERUS SING GEST <14 WKS	$1,397.95	$1,747.44	$1,205.73–$1,642.59	346% above	20%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB UTERUS SING GEST <14 WKS	$1,397.95	$1,747.44	$1,205.73–$1,642.59	346% above	20%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB UTERUS SING GEST <14 WKS	$1,397.95	$1,747.44	$55.55	346% above	20%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US OB UTERUS SING GEST <14 WKS	$1,397.95	$1,747.44	$55.55	—	20%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US OB UTERUS SING GEST <14 WKS	$1,397.95	$1,747.44	$55.55	—	20%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US PREGNANT UTERUS LIMITED	$1,397.95	$1,747.44	$25.25	327% above	20%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US PREGNANT UTERUS LIMITED	$1,397.95	$1,747.44	$1,205.73–$1,642.59	327% above	20%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US PREGNANT UTERUS LIMITED	$1,397.95	$1,747.44	$25.25	327% above	20%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US PREGNANT UTERUS LIMITED	$1,397.95	$1,747.44	$1,205.73–$1,642.59	327% above	20%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US PREGNANT UTERUS LIMITED	$1,397.95	$1,747.44	$25.25	—	20%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US PREGNANT UTERUS LIMITED	$1,397.95	$1,747.44	$25.25	—	20%
Screening mammogram, both breasts both sides CPT 77067 DIGITAL SCREENING MAMMO -BILAT	$532.70	$665.87	$97.97	—	20%
Screening mammogram, both breasts both sides CPT 77067 DIGITAL SCREENING MAMMO -BILAT	$532.70	$665.87	$459.45–$625.92	—	20%
Screening mammogram, both breasts both sides CPT 77067 DIGITAL SCREENING MAMMO -BILAT	$532.70	$665.87	$459.45–$625.92	—	20%
Screening mammogram, both breasts both sides CPT 77067 DIGITAL SCREENING MAMMO -BILAT	$532.70	$665.87	$97.97	—	20%
Screening mammogram, both breasts both sides CPT 77067 DIGITAL SCR MAMMO BILAT W/CAD	$663.46	$829.32	$572.23–$779.56	—	20%
Screening mammogram, both breasts both sides CPT 77067 DIGITAL SCR MAMMO BILAT W/CAD	$663.46	$829.32	$572.23–$779.56	—	20%
Screening mammogram, both breasts both sides CPT 77067 DIGITAL SCR MAMMO BILAT W/CAD	$663.46	$829.32	$97.97	—	20%
Screening mammogram, both breasts both sides CPT 77067 DIGITAL DX MAMMO BI W/CAD	$663.46	$829.32	$572.23–$779.56	—	20%
Screening mammogram, both breasts both sides CPT 77067 DIGITAL DX MAMMO BI W/CAD	$663.46	$829.32	$572.23–$779.56	—	20%
Screening mammogram, both breasts both sides CPT 77067 DIGITAL DX MAMMO BI W/CAD	$663.46	$829.32	$97.97	—	20%
Screening mammogram, both breasts both sides CPT 77067 DIGITAL SCR MAMMO BILAT W/CAD	$663.46	$829.32	$97.97	—	20%
Screening mammogram, both breasts both sides CPT 77067 DIGITAL DX MAMMO BI W/CAD	$663.46	$829.32	$97.97	—	20%
Screening mammogram, both breasts CPT 77067 DIGITAL SCR MAMMO UNI W/CAD	$616.82	$771.02	$97.97	165% above	20%
Screening mammogram, both breasts CPT 77067 DIGITAL SCR MAMMO W/CAD	$616.82	$771.02	$97.97	165% above	20%
Screening mammogram, both breasts CPT 77067 DIGITAL SCR MAMMO UNI W/CAD	$616.82	$771.02	$166.28	165% above	20%
Screening mammogram, both breasts CPT 77067 DIGITAL SCR MAMMO W/CAD	$616.82	$771.02	$532.00–$724.76	165% above	20%
Screening mammogram, both breasts CPT 77067 DIGITAL SCR MAMMO UNI W/CAD	$616.82	$771.02	$166.28	165% above	20%
Screening mammogram, both breasts CPT 77067 DIGITAL SCR MAMMO UNI W/CAD	$616.82	$771.02	$97.97	165% above	20%
Screening mammogram, both breasts CPT 77067 DIGITAL SCR MAMMO W/CAD	$616.82	$771.02	$97.97	165% above	20%
Screening mammogram, both breasts CPT 77067 DIGITAL SCR MAMMO W/CAD	$616.82	$771.02	$532.00–$724.76	165% above	20%
Screening mammogram, both breasts CPT 77067 DIGITAL SCREENING MAMMO W/CAD	$755.82	$944.78	$97.97	224% above	20%
Screening mammogram, both breasts CPT 77067 DIGITAL SCREENING MAMMO W/CAD	$755.82	$944.78	$651.90–$888.09	224% above	20%
Screening mammogram, both breasts CPT 77067 DIGITAL SCREENING MAMMO W/CAD	$755.82	$944.78	$651.90–$888.09	224% above	20%
Screening mammogram, both breasts CPT 77067 DIGITAL SCREENING MAMMO W/CAD	$755.82	$944.78	$97.97	224% above	20%
Screening mammogram, both breasts inpatient both sides CPT 77067 DIGITAL SCREENING MAMMO -BILAT	$532.70	$665.87	$97.97	—	20%
Screening mammogram, both breasts inpatient both sides CPT 77067 DIGITAL SCREENING MAMMO -BILAT	$532.70	$665.87	$97.97	—	20%
Screening mammogram, both breasts inpatient both sides CPT 77067 DIGITAL DX MAMMO BI W/CAD	$663.46	$829.32	$97.97	—	20%
Screening mammogram, both breasts inpatient both sides CPT 77067 DIGITAL SCR MAMMO BILAT W/CAD	$663.46	$829.32	$97.97	—	20%
Screening mammogram, both breasts inpatient both sides CPT 77067 DIGITAL SCR MAMMO BILAT W/CAD	$663.46	$829.32	$97.97	—	20%
Screening mammogram, both breasts inpatient both sides CPT 77067 DIGITAL DX MAMMO BI W/CAD	$663.46	$829.32	$97.97	—	20%
Screening mammogram, both breasts inpatient CPT 77067 DIGITAL SCR MAMMO UNI W/CAD	$616.82	$771.02	$97.97	—	20%
Screening mammogram, both breasts inpatient CPT 77067 DIGITAL SCR MAMMO W/CAD	$616.82	$771.02	$97.97	—	20%
Screening mammogram, both breasts inpatient CPT 77067 DIGITAL SCR MAMMO UNI W/CAD	$616.82	$771.02	$97.97	—	20%
Screening mammogram, both breasts inpatient CPT 77067 DIGITAL SCR MAMMO W/CAD	$616.82	$771.02	$97.97	—	20%
Screening mammogram, both breasts inpatient CPT 77067 DIGITAL SCREENING MAMMO W/CAD	$755.82	$944.78	$97.97	—	20%
Screening mammogram, both breasts inpatient CPT 77067 DIGITAL SCREENING MAMMO W/CAD	$755.82	$944.78	$97.97	—	20%
Shoulder X-ray, complete, 2 or more views both sides CPT 73030 SHOULDER 2 VIEWS BILATERAL	$568.92	$711.15	$166.28	—	20%
Shoulder X-ray, complete, 2 or more views both sides CPT 73030 SHOULDER 2 VIEWS BILATERAL	$568.92	$711.15	$15.15	—	20%
Shoulder X-ray, complete, 2 or more views both sides CPT 73030 SHOULDER 2 VIEWS BILATERAL	$568.92	$711.15	$15.15	—	20%
Shoulder X-ray, complete, 2 or more views both sides CPT 73030 SHOULDER 2 VIEWS BILATERAL	$568.92	$711.15	$166.28	—	20%
Shoulder X-ray, complete, 2 or more views both sides CPT 73030 SHOULDER 3 VIEWS BILATERAL	$676.00	$845.00	$15.15	—	20%
Shoulder X-ray, complete, 2 or more views both sides CPT 73030 SHOULDER 3 VIEWS BILATERAL	$676.00	$845.00	$15.15	—	20%
Shoulder X-ray, complete, 2 or more views both sides CPT 73030 SHOULDER 3 VIEWS BILATERAL	$676.00	$845.00	$166.28	—	20%
Shoulder X-ray, complete, 2 or more views both sides CPT 73030 SHOULDER 3 VIEWS BILATERAL	$676.00	$845.00	$166.28	—	20%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER 2 VIEWS LT	$514.82	$643.53	$166.28	155% above	20%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER 2 VIEWS RT	$514.82	$643.53	$15.15	155% above	20%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER 2 VIEWS RT	$514.82	$643.53	$444.04–$604.92	155% above	20%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER 2 VIEWS LT	$514.82	$643.53	$15.15	155% above	20%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER 2 VIEWS LT	$514.82	$643.53	$15.15	155% above	20%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER 2 VIEWS RT	$514.82	$643.53	$15.15	155% above	20%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER 2 VIEWS LT	$514.82	$643.53	$166.28	155% above	20%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER 2 VIEWS RT	$514.82	$643.53	$444.04–$604.92	155% above	20%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER 3 VIEWS RT	$621.92	$777.40	$15.15	208% above	20%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER 3 VIEWS LT	$621.92	$777.40	$15.15	208% above	20%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER 3 VIEWS LT	$621.92	$777.40	$166.28	208% above	20%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER 3 VIEWS LT	$621.92	$777.40	$15.15	208% above	20%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER 3 VIEWS RT	$621.92	$777.40	$166.28	208% above	20%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER 3 VIEWS RT	$621.92	$777.40	$15.15	208% above	20%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER 3 VIEWS RT	$621.92	$777.40	$166.28	208% above	20%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER 3 VIEWS LT	$621.92	$777.40	$166.28	208% above	20%
Shoulder X-ray, complete, 2 or more views inpatient both sides CPT 73030 SHOULDER 2 VIEWS BILATERAL	$568.92	$711.15	$15.15	—	20%
Shoulder X-ray, complete, 2 or more views inpatient both sides CPT 73030 SHOULDER 2 VIEWS BILATERAL	$568.92	$711.15	$15.15	—	20%
Shoulder X-ray, complete, 2 or more views inpatient both sides CPT 73030 SHOULDER 3 VIEWS BILATERAL	$676.00	$845.00	$15.15	—	20%
Shoulder X-ray, complete, 2 or more views inpatient both sides CPT 73030 SHOULDER 3 VIEWS BILATERAL	$676.00	$845.00	$15.15	—	20%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 SHOULDER 2 VIEWS LT	$514.82	$643.53	$15.15	—	20%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 SHOULDER 2 VIEWS LT	$514.82	$643.53	$15.15	—	20%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 SHOULDER 2 VIEWS RT	$514.82	$643.53	$15.15	—	20%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 SHOULDER 2 VIEWS RT	$514.82	$643.53	$15.15	—	20%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 SHOULDER 3 VIEWS RT	$621.92	$777.40	$15.15	—	20%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 SHOULDER 3 VIEWS RT	$621.92	$777.40	$15.15	—	20%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 SHOULDER 3 VIEWS LT	$621.92	$777.40	$15.15	—	20%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 SHOULDER 3 VIEWS LT	$621.92	$777.40	$15.15	—	20%
Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNOGRAPHY 4+ PARAMETERS	$4,331.81	$5,414.76	$4,656.69–$5,089.87	106% above	20%
Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNOGRAPHY 4+ PARAMETERS	$4,331.81	$5,414.76	$4,656.69–$5,089.87	106% above	20%
Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNOGRAPHY 4+ PARAMETERS	$4,331.81	$5,414.76	$625.76–$890.48	106% above	20%
Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNOGRAPHY 4+ PARAMETERS	$4,331.81	$5,414.76	$625.76–$890.48	106% above	20%
Sleep study in a lab (polysomnography) inpatient CPT 95810 POLYSOMNOGRAPHY 4+ PARAMETERS	$4,331.81	$5,414.76	$625.76–$890.48	—	20%
Sleep study in a lab (polysomnography) inpatient CPT 95810 POLYSOMNOGRAPHY 4+ PARAMETERS	$4,331.81	$5,414.76	$625.76–$890.48	—	20%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 ECHO REST & STRESS W/SUPERVISI	$218.40	$273.00	$191.92–$256.62	81% below	20%
Swallow study (modified barium swallow, video X-ray) CPT 74230 SWALLOWING FUNCTION	$352.00	$440.00	$20.20	5% above	20%
Swallow study (modified barium swallow, video X-ray) CPT 74230 SWALLOWING FUNCTION	$352.00	$440.00	$303.60–$413.60	5% above	20%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 SWALLOWING FUNCTION	$352.00	$440.00	$20.20	—	20%
Transvaginal pelvic ultrasound CPT 76830 TRANSVAGINAL SONOGRAPHY	$1,397.95	$1,747.44	$1,205.73–$1,642.59	284% above	20%
Transvaginal pelvic ultrasound CPT 76830 TRANSVAGINAL SONOGRAPHY	$1,397.95	$1,747.44	$60.60	284% above	20%
Transvaginal pelvic ultrasound CPT 76830 TRANSVAGINAL SONOGRAPHY	$1,397.95	$1,747.44	$60.60	284% above	20%
Transvaginal pelvic ultrasound CPT 76830 TRANSVAGINAL SONOGRAPHY	$1,397.95	$1,747.44	$1,205.73–$1,642.59	284% above	20%
Transvaginal pelvic ultrasound inpatient CPT 76830 TRANSVAGINAL SONOGRAPHY	$1,397.95	$1,747.44	$60.60	—	20%
Transvaginal pelvic ultrasound inpatient CPT 76830 TRANSVAGINAL SONOGRAPHY	$1,397.95	$1,747.44	$60.60	—	20%
Transvaginal ultrasound during pregnancy CPT 76817 US PREG UTERUS TRANSVAGINAL	$1,397.95	$1,747.44	$60.60	396% above	20%
Transvaginal ultrasound during pregnancy CPT 76817 US PREG UTERUS TRANSVAGINAL	$1,397.95	$1,747.44	$1,205.73–$1,642.59	396% above	20%
Transvaginal ultrasound during pregnancy CPT 76817 US PREG UTERUS TRANSVAGINAL	$1,397.95	$1,747.44	$60.60	396% above	20%
Transvaginal ultrasound during pregnancy CPT 76817 US PREG UTERUS TRANSVAGINAL	$1,397.95	$1,747.44	$1,205.73–$1,642.59	396% above	20%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US PREG UTERUS TRANSVAGINAL	$1,397.95	$1,747.44	$60.60	—	20%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US PREG UTERUS TRANSVAGINAL	$1,397.95	$1,747.44	$60.60	—	20%
Ultrasound of the abdomen, complete CPT 76700 US ABD UPPER COMPLETE	$1,564.52	$1,955.65	$60.60	268% above	20%
Ultrasound of the abdomen, complete CPT 76700 ULTRASOUND ABDOMEN	$1,564.52	$1,955.65	$60.60	268% above	20%
Ultrasound of the abdomen, complete CPT 76700 US ABD UPPER COMPLETE	$1,564.52	$1,955.65	$1,349.40–$1,838.31	268% above	20%
Ultrasound of the abdomen, complete CPT 76700 ULTRASOUND ABDOMEN	$1,564.52	$1,955.65	$1,349.40–$1,838.31	268% above	20%
Ultrasound of the abdomen, complete CPT 76700 ULTRASOUND ABDOMEN	$1,564.52	$1,955.65	$1,349.40–$1,838.31	268% above	20%
Ultrasound of the abdomen, complete CPT 76700 US ABD UPPER COMPLETE	$1,564.52	$1,955.65	$1,349.40–$1,838.31	268% above	20%
Ultrasound of the abdomen, complete CPT 76700 US ABD UPPER COMPLETE	$1,564.52	$1,955.65	$60.60	268% above	20%
Ultrasound of the abdomen, complete CPT 76700 ULTRASOUND ABDOMEN	$1,564.52	$1,955.65	$60.60	268% above	20%
Ultrasound of the abdomen, complete inpatient CPT 76700 ULTRASOUND ABDOMEN	$1,564.52	$1,955.65	$60.60	—	20%
Ultrasound of the abdomen, complete inpatient CPT 76700 US ABD UPPER COMPLETE	$1,564.52	$1,955.65	$60.60	—	20%
Ultrasound of the abdomen, complete inpatient CPT 76700 US ABD UPPER COMPLETE	$1,564.52	$1,955.65	$60.60	—	20%
Ultrasound of the abdomen, complete inpatient CPT 76700 ULTRASOUND ABDOMEN	$1,564.52	$1,955.65	$60.60	—	20%
Ultrasound of the scrotum and testicles CPT 76870 TESTICULAR ULTRASOUND	$1,397.95	$1,747.44	$30.30	297% above	20%
Ultrasound of the scrotum and testicles CPT 76870 TESTICULAR ULTRASOUND	$1,397.95	$1,747.44	$1,205.73–$1,642.59	297% above	20%
Ultrasound of the scrotum and testicles CPT 76870 TESTICULAR ULTRASOUND	$1,397.95	$1,747.44	$30.30	297% above	20%
Ultrasound of the scrotum and testicles CPT 76870 TESTICULAR ULTRASOUND	$1,397.95	$1,747.44	$1,205.73–$1,642.59	297% above	20%
Ultrasound of the scrotum and testicles inpatient CPT 76870 TESTICULAR ULTRASOUND	$1,397.95	$1,747.44	$30.30	—	20%
Ultrasound of the scrotum and testicles inpatient CPT 76870 TESTICULAR ULTRASOUND	$1,397.95	$1,747.44	$30.30	—	20%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US EXAM OF HEAD AND NECK	$360.00	$450.00	$310.50–$423.00	12% above	20%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US EXAM OF HEAD AND NECK	$360.00	$450.00	$310.50–$423.00	12% above	20%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US-SOFT TISSUE HEAD AND NECK	$1,397.95	$1,747.44	$30.30	337% above	20%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US-SOFT TISSUE HEAD AND NECK	$1,397.95	$1,747.44	$30.30	337% above	20%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US-SOFT TISSUE HEAD AND NECK	$1,397.95	$1,747.44	$1,205.73–$1,642.59	337% above	20%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US-SOFT TISSUE HEAD AND NECK	$1,397.95	$1,747.44	$1,205.73–$1,642.59	337% above	20%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US-SOFT TISSUE HEAD AND NECK	$1,397.95	$1,747.44	$30.30	—	20%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US-SOFT TISSUE HEAD AND NECK	$1,397.95	$1,747.44	$30.30	—	20%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 GI SERIES W/O AIR W/SM BOWE	$609.22	$761.53	$525.46–$715.84	43% above	20%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 GI SERIES W/O AIR W/SM BOWE	$609.22	$761.53	$30.30	43% above	20%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 GI SERIES W/O KUB	$720.88	$901.10	$30.30	70% above	20%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 GI SERIES W/O KUB	$720.88	$901.10	$621.76–$847.03	70% above	20%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 GI SERIES W/O AIR W/SM BOWE	$609.22	$761.53	$30.30	—	20%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 GI SERIES W/O KUB	$720.88	$901.10	$30.30	—	20%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US UNILAT VENOUS DOPPLER RT	$1,068.62	$1,335.77	$93.93	201% above	20%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VEIN MAPPING LEFT	$1,068.62	$1,335.77	$93.93	201% above	20%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VEIN MAPPING RIGHT	$1,068.62	$1,335.77	$93.93	201% above	20%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VEIN MAPPING LEFT	$1,068.62	$1,335.77	$939.05–$1,255.62	201% above	20%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US UNILAT VENOUS DOPPLER RT	$1,068.62	$1,335.77	$166.28	201% above	20%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US UNILAT VENOUS DOPPLER RT	$1,068.62	$1,335.77	$166.28	201% above	20%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VEIN MAPPING RIGHT	$1,068.62	$1,335.77	$93.93	201% above	20%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VEIN MAPPING LEFT	$1,068.62	$1,335.77	$93.93	201% above	20%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US UNILAT VENOUS DOPPLER RT	$1,068.62	$1,335.77	$93.93	201% above	20%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US UNILAT VENOUS DOPPLER LT	$1,068.62	$1,335.77	$93.93–$123.00	201% above	20%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VEIN MAPPING RIGHT	$1,068.62	$1,335.77	$939.05–$1,255.62	201% above	20%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VEIN MAPPING RIGHT	$1,068.62	$1,335.77	$939.05–$1,255.62	201% above	20%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US UNILAT VENOUS DOPPLER LT	$1,068.62	$1,335.77	$166.28	201% above	20%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US UNILAT VENOUS DOPPLER LT	$1,068.62	$1,335.77	$166.28	201% above	20%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VEIN MAPPING LEFT	$1,068.62	$1,335.77	$939.05–$1,255.62	201% above	20%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US UNILAT VENOUS DOPPLER LT	$1,068.62	$1,335.77	$93.93–$123.00	201% above	20%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US UNILAT VENOUS DOPPLER LT	$1,068.62	$1,335.77	$93.93–$123.00	—	20%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US UNILAT VENOUS DOPPLER RT	$1,068.62	$1,335.77	$93.93	—	20%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US VEIN MAPPING LEFT	$1,068.62	$1,335.77	$93.93	—	20%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US VEIN MAPPING RIGHT	$1,068.62	$1,335.77	$93.93	—	20%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US UNILAT VENOUS DOPPLER LT	$1,068.62	$1,335.77	$93.93–$123.00	—	20%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US UNILAT VENOUS DOPPLER RT	$1,068.62	$1,335.77	$93.93	—	20%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US VEIN MAPPING LEFT	$1,068.62	$1,335.77	$93.93	—	20%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US VEIN MAPPING RIGHT	$1,068.62	$1,335.77	$93.93	—	20%
Wrist X-ray, complete, 3 or more views both sides CPT 73110 WRIST 3 VIEWS BILATERAL	$584.06	$730.07	$166.28	—	20%
Wrist X-ray, complete, 3 or more views both sides CPT 73110 WRIST 3 VIEWS BILATERAL	$584.06	$730.07	$166.28	—	20%
Wrist X-ray, complete, 3 or more views both sides CPT 73110 WRIST 3 VIEWS BILATERAL	$584.06	$730.07	$12.63	—	20%
Wrist X-ray, complete, 3 or more views both sides CPT 73110 WRIST 3 VIEWS BILATERAL	$584.06	$730.07	$12.63	—	20%
Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST 3 VIEWS RT	$529.98	$662.48	$12.63	163% above	20%
Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST 3 VIEWS LT	$529.98	$662.48	$12.63	163% above	20%
Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST 3 VIEWS LT	$529.98	$662.48	$457.11–$622.73	163% above	20%
Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST 3 VIEWS RT	$529.98	$662.48	$12.63	163% above	20%
Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST 3 VIEWS LT	$529.98	$662.48	$12.63	163% above	20%
Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST 3 VIEWS RT	$529.98	$662.48	$166.28	163% above	20%
Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST 3 VIEWS LT	$529.98	$662.48	$457.11–$622.73	163% above	20%
Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST 3 VIEWS RT	$529.98	$662.48	$166.28	163% above	20%
Wrist X-ray, complete, 3 or more views inpatient both sides CPT 73110 WRIST 3 VIEWS BILATERAL	$584.06	$730.07	$12.63	—	20%
Wrist X-ray, complete, 3 or more views inpatient both sides CPT 73110 WRIST 3 VIEWS BILATERAL	$584.06	$730.07	$12.63	—	20%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 WRIST 3 VIEWS LT	$529.98	$662.48	$12.63	—	20%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 WRIST 3 VIEWS RT	$529.98	$662.48	$12.63	—	20%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 WRIST 3 VIEWS LT	$529.98	$662.48	$12.63	—	20%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 WRIST 3 VIEWS RT	$529.98	$662.48	$12.63	—	20%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP 2 VIEWS W/WO PELVIS RIGHT	$712.22	$890.27	$166.28	270% above	20%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP 2 VIEWS W/WO PELVIS LEFT	$712.22	$890.27	$12.59	270% above	20%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP 2 VIEWS W/WO PELVIS RIGHT	$712.22	$890.27	$12.59	270% above	20%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP 2 VIEWS W/WO PELVIS LEFT	$712.22	$890.27	$614.29–$836.85	270% above	20%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP 2 VIEWS W/WO PELVIS LEFT	$712.22	$890.27	$12.59	—	20%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP 2 VIEWS W/WO PELVIS RIGHT	$712.22	$890.27	$12.59	—	20%
X-ray of the abdomen, 1 view CPT 74018 ABDOMEN 1-VIEW	$446.70	$558.38	$385.28–$524.88	121% above	20%
X-ray of the abdomen, 1 view CPT 74018 ABDOMEN 1-VIEW	$446.70	$558.38	$10.10	121% above	20%
X-ray of the abdomen, 1 view inpatient CPT 74018 ABDOMEN 1-VIEW	$446.70	$558.38	$10.10	—	20%
X-ray of the ankle, 2 views both sides CPT 73600 ANKLE 1 VIEW BILATERAL	$388.46	$485.58	$10.10	—	20%
X-ray of the ankle, 2 views both sides CPT 73600 ANKLE 1 VIEW BILATERAL	$388.46	$485.58	$166.28	—	20%
X-ray of the ankle, 2 views both sides CPT 73600 ANKLE 1 VIEW BILATERAL	$388.46	$485.58	$166.28	—	20%
X-ray of the ankle, 2 views both sides CPT 73600 ANKLE 1 VIEW BILATERAL	$388.46	$485.58	$10.10	—	20%
X-ray of the ankle, 2 views both sides CPT 73600 ANKLE 2-VIEW BILATERAL	$402.90	$503.63	$10.10	—	20%
X-ray of the ankle, 2 views both sides CPT 73600 ANKLE 2-VIEW BILATERAL	$402.90	$503.63	$166.28	—	20%
X-ray of the ankle, 2 views both sides CPT 73600 ANKLE 2-VIEW BILATERAL	$402.90	$503.63	$166.28	—	20%
X-ray of the ankle, 2 views both sides CPT 73600 ANKLE 2-VIEW BILATERAL	$402.90	$503.63	$10.10	—	20%
X-ray of the ankle, 2 views one side CPT 73600 ANKLE 1 VIEW RT	$334.38	$417.98	$10.10	105% above	20%
X-ray of the ankle, 2 views one side CPT 73600 ANKLE 1 VIEW LT	$334.38	$417.98	$166.28	105% above	20%
X-ray of the ankle, 2 views one side CPT 73600 ANKLE 1 VIEW RT	$334.38	$417.98	$166.28	105% above	20%
X-ray of the ankle, 2 views one side CPT 73600 ANKLE 1 VIEW LT	$334.38	$417.98	$10.10	105% above	20%
X-ray of the ankle, 2 views one side CPT 73600 ANKLE 1 VIEW RT	$334.38	$417.98	$10.10	105% above	20%
X-ray of the ankle, 2 views one side CPT 73600 ANKLE 1 VIEW RT	$334.38	$417.98	$166.28	105% above	20%
X-ray of the ankle, 2 views one side CPT 73600 ANKLE 1 VIEW LT	$334.38	$417.98	$166.28	105% above	20%
X-ray of the ankle, 2 views one side CPT 73600 ANKLE 1 VIEW LT	$334.38	$417.98	$10.10	105% above	20%
X-ray of the ankle, 2 views one side CPT 73600 ANKLE 2-VIEWS LT	$348.80	$436.00	$300.84–$409.84	114% above	20%
X-ray of the ankle, 2 views one side CPT 73600 ANKLE 2-VIEWS RT	$348.80	$436.00	$166.28	114% above	20%
X-ray of the ankle, 2 views one side CPT 73600 ANKLE 2-VIEWS LT	$348.80	$436.00	$10.10	114% above	20%
X-ray of the ankle, 2 views one side CPT 73600 ANKLE 2-VIEWS RT	$348.80	$436.00	$166.28	114% above	20%
X-ray of the ankle, 2 views one side CPT 73600 ANKLE 2-VIEWS RT	$348.80	$436.00	$10.10	114% above	20%
X-ray of the ankle, 2 views one side CPT 73600 ANKLE 2-VIEWS LT	$348.80	$436.00	$10.10	114% above	20%
X-ray of the ankle, 2 views one side CPT 73600 ANKLE 2-VIEWS RT	$348.80	$436.00	$10.10	114% above	20%
X-ray of the ankle, 2 views one side CPT 73600 ANKLE 2-VIEWS LT	$348.80	$436.00	$300.84–$409.84	114% above	20%
X-ray of the ankle, 2 views inpatient both sides CPT 73600 ANKLE 1 VIEW BILATERAL	$388.46	$485.58	$10.10	—	20%
X-ray of the ankle, 2 views inpatient both sides CPT 73600 ANKLE 1 VIEW BILATERAL	$388.46	$485.58	$10.10	—	20%
X-ray of the ankle, 2 views inpatient both sides CPT 73600 ANKLE 2-VIEW BILATERAL	$402.90	$503.63	$10.10	—	20%
X-ray of the ankle, 2 views inpatient both sides CPT 73600 ANKLE 2-VIEW BILATERAL	$402.90	$503.63	$10.10	—	20%
X-ray of the ankle, 2 views inpatient one side CPT 73600 ANKLE 1 VIEW RT	$334.38	$417.98	$10.10	—	20%
X-ray of the ankle, 2 views inpatient one side CPT 73600 ANKLE 1 VIEW RT	$334.38	$417.98	$10.10	—	20%
X-ray of the ankle, 2 views inpatient one side CPT 73600 ANKLE 1 VIEW LT	$334.38	$417.98	$10.10	—	20%
X-ray of the ankle, 2 views inpatient one side CPT 73600 ANKLE 1 VIEW LT	$334.38	$417.98	$10.10	—	20%
X-ray of the ankle, 2 views inpatient one side CPT 73600 ANKLE 2-VIEWS RT	$348.80	$436.00	$10.10	—	20%
X-ray of the ankle, 2 views inpatient one side CPT 73600 ANKLE 2-VIEWS RT	$348.80	$436.00	$10.10	—	20%
X-ray of the ankle, 2 views inpatient one side CPT 73600 ANKLE 2-VIEWS LT	$348.80	$436.00	$10.10	—	20%
X-ray of the ankle, 2 views inpatient one side CPT 73600 ANKLE 2-VIEWS LT	$348.80	$436.00	$10.10	—	20%
X-ray of the finger(s), 2 or more views both sides CPT 73140 FINGER(S) MIN 2 VIEWS BILAT	$402.90	$503.63	$7.58	—	20%
X-ray of the finger(s), 2 or more views both sides CPT 73140 FINGER(S) MIN 2 VIEWS BILAT	$402.90	$503.63	$7.58	—	20%
X-ray of the finger(s), 2 or more views both sides CPT 73140 FINGER(S) MIN 2 VIEWS BILAT	$402.90	$503.63	$166.28	—	20%
X-ray of the finger(s), 2 or more views both sides CPT 73140 FINGER(S) MIN 2 VIEWS BILAT	$402.90	$503.63	$166.28	—	20%
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER(S) MIN 2 VIEWS LT	$348.80	$436.00	$166.28	107% above	20%
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER(S) MIN 2 VIEWS LT	$348.80	$436.00	$7.58	107% above	20%
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER(S) MIN 2 VIEWS RT	$348.80	$436.00	$7.58	107% above	20%
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER(S) MIN 2 VIEWS RT	$348.80	$436.00	$166.28	107% above	20%
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER(S) MIN 2 VIEWS LT	$348.80	$436.00	$166.28	107% above	20%
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER(S) MIN 2 VIEWS LT	$348.80	$436.00	$7.58	107% above	20%
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER(S) MIN 2 VIEWS RT	$348.80	$436.00	$166.28	107% above	20%
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER(S) MIN 2 VIEWS RT	$348.80	$436.00	$7.58	107% above	20%
X-ray of the finger(s), 2 or more views inpatient both sides CPT 73140 FINGER(S) MIN 2 VIEWS BILAT	$402.90	$503.63	$7.58	—	20%
X-ray of the finger(s), 2 or more views inpatient both sides CPT 73140 FINGER(S) MIN 2 VIEWS BILAT	$402.90	$503.63	$7.58	—	20%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER(S) MIN 2 VIEWS RT	$348.80	$436.00	$7.58	—	20%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER(S) MIN 2 VIEWS LT	$348.80	$436.00	$7.58	—	20%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER(S) MIN 2 VIEWS RT	$348.80	$436.00	$7.58	—	20%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER(S) MIN 2 VIEWS LT	$348.80	$436.00	$7.58	—	20%
X-ray of the foot, 2 views both sides CPT 73620 FOOT 1 VIEW BILATERAL	$378.54	$473.17	$10.10	—	20%
X-ray of the foot, 2 views both sides CPT 73620 FOOT 1 VIEW BILATERAL	$378.54	$473.17	$166.28	—	20%
X-ray of the foot, 2 views both sides CPT 73620 FOOT 1 VIEW BILATERAL	$378.54	$473.17	$10.10	—	20%
X-ray of the foot, 2 views both sides CPT 73620 FOOT 1 VIEW BILATERAL	$378.54	$473.17	$166.28	—	20%
X-ray of the foot, 2 views both sides CPT 73620 FOOT 2 VIEW BILATERAL	$402.90	$503.63	$166.28	—	20%
X-ray of the foot, 2 views both sides CPT 73620 FOOT 2 VIEW BILATERAL	$402.90	$503.63	$166.28	—	20%
X-ray of the foot, 2 views both sides CPT 73620 FOOT 2 VIEW BILATERAL	$402.90	$503.63	$10.10	—	20%
X-ray of the foot, 2 views both sides CPT 73620 FOOT 2 VIEW BILATERAL	$402.90	$503.63	$10.10	—	20%
X-ray of the foot, 2 views one side CPT 73620 FOOT 1 VIEW LT	$324.45	$405.56	$166.28	84% above	20%
X-ray of the foot, 2 views one side CPT 73620 FOOT 1 VIEW RT	$324.45	$405.56	$166.28	84% above	20%
X-ray of the foot, 2 views one side CPT 73620 FOOT 1 VIEW LT	$324.45	$405.56	$10.10	84% above	20%
X-ray of the foot, 2 views one side CPT 73620 FOOT 1 VIEW LT	$324.45	$405.56	$166.28	84% above	20%
X-ray of the foot, 2 views one side CPT 73620 FOOT 1 VIEW RT	$324.45	$405.56	$10.10	84% above	20%
X-ray of the foot, 2 views one side CPT 73620 FOOT 1 VIEW RT	$324.45	$405.56	$166.28	84% above	20%
X-ray of the foot, 2 views one side CPT 73620 FOOT 1 VIEW LT	$324.45	$405.56	$10.10	84% above	20%
X-ray of the foot, 2 views one side CPT 73620 FOOT 1 VIEW RT	$324.45	$405.56	$10.10	84% above	20%
X-ray of the foot, 2 views one side CPT 73620 FOOT 2 VIEW RT	$348.80	$436.00	$166.28	98% above	20%
X-ray of the foot, 2 views one side CPT 73620 FOOT 2 VIEW LT	$348.80	$436.00	$10.10	98% above	20%
X-ray of the foot, 2 views one side CPT 73620 FOOT 2 VIEW RT	$348.80	$436.00	$10.10	98% above	20%
X-ray of the foot, 2 views one side CPT 73620 FOOT 2 VIEW LT	$348.80	$436.00	$166.28	98% above	20%
X-ray of the foot, 2 views one side CPT 73620 FOOT 2 VIEW RT	$348.80	$436.00	$166.28	98% above	20%
X-ray of the foot, 2 views one side CPT 73620 FOOT 2 VIEW LT	$348.80	$436.00	$166.28	98% above	20%
X-ray of the foot, 2 views one side CPT 73620 FOOT 2 VIEW RT	$348.80	$436.00	$10.10	98% above	20%
X-ray of the foot, 2 views one side CPT 73620 FOOT 2 VIEW LT	$348.80	$436.00	$10.10	98% above	20%
X-ray of the foot, 2 views inpatient both sides CPT 73620 FOOT 1 VIEW BILATERAL	$378.54	$473.17	$10.10	—	20%
X-ray of the foot, 2 views inpatient both sides CPT 73620 FOOT 1 VIEW BILATERAL	$378.54	$473.17	$10.10	—	20%
X-ray of the foot, 2 views inpatient both sides CPT 73620 FOOT 2 VIEW BILATERAL	$402.90	$503.63	$10.10	—	20%
X-ray of the foot, 2 views inpatient both sides CPT 73620 FOOT 2 VIEW BILATERAL	$402.90	$503.63	$10.10	—	20%
X-ray of the foot, 2 views inpatient one side CPT 73620 FOOT 1 VIEW RT	$324.45	$405.56	$10.10	—	20%
X-ray of the foot, 2 views inpatient one side CPT 73620 FOOT 1 VIEW RT	$324.45	$405.56	$10.10	—	20%
X-ray of the foot, 2 views inpatient one side CPT 73620 FOOT 1 VIEW LT	$324.45	$405.56	$10.10	—	20%
X-ray of the foot, 2 views inpatient one side CPT 73620 FOOT 1 VIEW LT	$324.45	$405.56	$10.10	—	20%
X-ray of the foot, 2 views inpatient one side CPT 73620 FOOT 2 VIEW RT	$348.80	$436.00	$10.10	—	20%
X-ray of the foot, 2 views inpatient one side CPT 73620 FOOT 2 VIEW LT	$348.80	$436.00	$10.10	—	20%
X-ray of the foot, 2 views inpatient one side CPT 73620 FOOT 2 VIEW LT	$348.80	$436.00	$10.10	—	20%
X-ray of the foot, 2 views inpatient one side CPT 73620 FOOT 2 VIEW RT	$348.80	$436.00	$10.10	—	20%
X-ray of the foot, complete, 3 or more views both sides CPT 73630 FOOT 3 VIEW BILATERAL	$584.06	$730.07	$166.28	—	20%
X-ray of the foot, complete, 3 or more views both sides CPT 73630 FOOT 3 VIEW BILATERAL	$584.06	$730.07	$12.63	—	20%
X-ray of the foot, complete, 3 or more views both sides CPT 73630 FOOT 3 VIEW BILATERAL	$584.06	$730.07	$166.28	—	20%
X-ray of the foot, complete, 3 or more views both sides CPT 73630 FOOT 3 VIEW BILATERAL	$584.06	$730.07	$12.63	—	20%
X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT 3 VIEW LT	$529.98	$662.48	$12.63	191% above	20%
X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT 3 VIEW LT	$529.98	$662.48	$166.28	191% above	20%
X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT 3 VIEW RT	$529.98	$662.48	$12.63	191% above	20%
X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT 3 VIEW RT	$529.98	$662.48	$166.28	191% above	20%
X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT 3 VIEW RT	$529.98	$662.48	$12.63	191% above	20%
X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT 3 VIEW LT	$529.98	$662.48	$12.63	191% above	20%
X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT 3 VIEW RT	$529.98	$662.48	$166.28	191% above	20%
X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT 3 VIEW LT	$529.98	$662.48	$166.28	191% above	20%
X-ray of the foot, complete, 3 or more views inpatient both sides CPT 73630 FOOT 3 VIEW BILATERAL	$584.06	$730.07	$12.63	—	20%
X-ray of the foot, complete, 3 or more views inpatient both sides CPT 73630 FOOT 3 VIEW BILATERAL	$584.06	$730.07	$12.63	—	20%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 FOOT 3 VIEW RT	$529.98	$662.48	$12.63	—	20%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 FOOT 3 VIEW LT	$529.98	$662.48	$12.63	—	20%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 FOOT 3 VIEW LT	$529.98	$662.48	$12.63	—	20%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 FOOT 3 VIEW RT	$529.98	$662.48	$12.63	—	20%
X-ray of the hand, 3 or more views both sides CPT 73130 HAND 3 VIEWS BILATERAL	$584.06	$730.07	$12.63	—	20%
X-ray of the hand, 3 or more views both sides CPT 73130 HAND 3 VIEWS BILATERAL	$584.06	$730.07	$166.28	—	20%
X-ray of the hand, 3 or more views both sides CPT 73130 HAND 3 VIEWS BILATERAL	$584.06	$730.07	$166.28	—	20%
X-ray of the hand, 3 or more views both sides CPT 73130 HAND 3 VIEWS BILATERAL	$584.06	$730.07	$12.63	—	20%
X-ray of the hand, 3 or more views one side CPT 73130 HAND 3 VIEWS RT	$529.98	$662.48	$12.63	163% above	20%
X-ray of the hand, 3 or more views one side CPT 73130 HAND 3 VIEWS LT	$529.98	$662.48	$166.28	163% above	20%
X-ray of the hand, 3 or more views one side CPT 73130 HAND 3 VIEWS RT	$529.98	$662.48	$166.28	163% above	20%
X-ray of the hand, 3 or more views one side CPT 73130 HAND 3 VIEWS LT	$529.98	$662.48	$12.63	163% above	20%
X-ray of the hand, 3 or more views one side CPT 73130 HAND 3 VIEWS RT	$529.98	$662.48	$12.63	163% above	20%
X-ray of the hand, 3 or more views one side CPT 73130 HAND 3 VIEWS LT	$529.98	$662.48	$166.28	163% above	20%
X-ray of the hand, 3 or more views one side CPT 73130 HAND 3 VIEWS RT	$529.98	$662.48	$166.28	163% above	20%
X-ray of the hand, 3 or more views one side CPT 73130 HAND 3 VIEWS LT	$529.98	$662.48	$12.63	163% above	20%
X-ray of the hand, 3 or more views inpatient both sides CPT 73130 HAND 3 VIEWS BILATERAL	$584.06	$730.07	$12.63	—	20%
X-ray of the hand, 3 or more views inpatient both sides CPT 73130 HAND 3 VIEWS BILATERAL	$584.06	$730.07	$12.63	—	20%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 HAND 3 VIEWS LT	$529.98	$662.48	$12.63	—	20%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 HAND 3 VIEWS RT	$529.98	$662.48	$12.63	—	20%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 HAND 3 VIEWS LT	$529.98	$662.48	$12.63	—	20%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 HAND 3 VIEWS RT	$529.98	$662.48	$12.63	—	20%
X-ray of the knee, 1 or 2 views both sides CPT 73560 KNEE 1 VIEW BILATERAL	$434.77	$543.46	$166.28	—	20%
X-ray of the knee, 1 or 2 views both sides CPT 73560 KNEE 1 VIEW BILATERAL	$434.77	$543.46	$10.10	—	20%
X-ray of the knee, 1 or 2 views both sides CPT 73560 KNEE 1 VIEW BILATERAL	$434.77	$543.46	$166.28	—	20%
X-ray of the knee, 1 or 2 views both sides CPT 73560 KNEE 1 VIEW BILATERAL	$434.77	$543.46	$10.10	—	20%
X-ray of the knee, 1 or 2 views both sides CPT 73560 KNEE 2 VIEW BILATERAL	$478.06	$597.57	$10.10	—	20%
X-ray of the knee, 1 or 2 views both sides CPT 73560 KNEE 2 VIEW BILATERAL	$478.06	$597.57	$166.28	—	20%
X-ray of the knee, 1 or 2 views both sides CPT 73560 KNEE 2 VIEW BILATERAL	$478.06	$597.57	$10.10	—	20%
X-ray of the knee, 1 or 2 views both sides CPT 73560 KNEE 2 VIEW BILATERAL	$478.06	$597.57	$166.28	—	20%
X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE 1 VIEW RT	$380.67	$475.84	$166.28	92% above	20%
X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE 1 VIEW LT	$380.67	$475.84	$10.10	92% above	20%
X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE 1 VIEW RT	$380.67	$475.84	$10.10	92% above	20%
X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE 1 VIEW LT	$380.67	$475.84	$166.28	92% above	20%
X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE 1 VIEW RT	$380.67	$475.84	$166.28	92% above	20%
X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE 1 VIEW LT	$380.67	$475.84	$10.10	92% above	20%
X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE 1 VIEW RT	$380.67	$475.84	$10.10	92% above	20%
X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE 1 VIEW LT	$380.67	$475.84	$166.28	92% above	20%
X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE 2 VIEW LT	$423.98	$529.97	$10.10	114% above	20%
X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE 2 VIEW LT	$423.98	$529.97	$166.28	114% above	20%
X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE 2 VIEW LT	$423.98	$529.97	$10.10	114% above	20%
X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE 2 VIEW RT	$423.98	$529.97	$10.10	114% above	20%
X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE 2 VIEW RT	$423.98	$529.97	$166.28	114% above	20%
X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE 2 VIEW RT	$423.98	$529.97	$10.10	114% above	20%
X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE 2 VIEW LT	$423.98	$529.97	$166.28	114% above	20%
X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE 2 VIEW RT	$423.98	$529.97	$166.28	114% above	20%
X-ray of the knee, 1 or 2 views inpatient both sides CPT 73560 KNEE 1 VIEW BILATERAL	$434.77	$543.46	$10.10	—	20%
X-ray of the knee, 1 or 2 views inpatient both sides CPT 73560 KNEE 1 VIEW BILATERAL	$434.77	$543.46	$10.10	—	20%
X-ray of the knee, 1 or 2 views inpatient both sides CPT 73560 KNEE 2 VIEW BILATERAL	$478.06	$597.57	$10.10	—	20%
X-ray of the knee, 1 or 2 views inpatient both sides CPT 73560 KNEE 2 VIEW BILATERAL	$478.06	$597.57	$10.10	—	20%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 KNEE 1 VIEW RT	$380.67	$475.84	$10.10	—	20%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 KNEE 1 VIEW LT	$380.67	$475.84	$10.10	—	20%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 KNEE 1 VIEW LT	$380.67	$475.84	$10.10	—	20%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 KNEE 1 VIEW RT	$380.67	$475.84	$10.10	—	20%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 KNEE 2 VIEW RT	$423.98	$529.97	$10.10	—	20%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 KNEE 2 VIEW LT	$423.98	$529.97	$10.10	—	20%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 KNEE 2 VIEW RT	$423.98	$529.97	$10.10	—	20%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 KNEE 2 VIEW LT	$423.98	$529.97	$10.10	—	20%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 LUMBER SPINE	$897.71	$1,122.14	$15.15	227% above	20%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 LUMBER SPINE	$897.71	$1,122.14	$774.28–$1,054.81	227% above	20%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 LUMBER SPINE	$897.71	$1,122.14	$15.15	227% above	20%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 LUMBER SPINE	$897.71	$1,122.14	$774.28–$1,054.81	227% above	20%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 LUMBER SPINE	$897.71	$1,122.14	$15.15	—	20%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 LUMBER SPINE	$897.71	$1,122.14	$15.15	—	20%
X-ray of the lower back, 4 or more views CPT 72110 SPINE LUMBOSACRAL MIN 4 VIEWS	$1,069.70	$1,337.12	$922.61–$1,256.89	288% above	20%
X-ray of the lower back, 4 or more views CPT 72110 SPINE LUMBOSACRAL MIN 4 VIEWS	$1,069.70	$1,337.12	$922.61–$1,256.89	288% above	20%
X-ray of the lower back, 4 or more views CPT 72110 SPINE LUMBOSACRAL MIN 4 VIEWS	$1,069.70	$1,337.12	$30.30	288% above	20%
X-ray of the lower back, 4 or more views CPT 72110 SPINE LUMBOSACRAL MIN 4 VIEWS	$1,069.70	$1,337.12	$30.30	288% above	20%
X-ray of the lower back, 4 or more views inpatient CPT 72110 SPINE LUMBOSACRAL MIN 4 VIEWS	$1,069.70	$1,337.12	$30.30	—	20%
X-ray of the lower back, 4 or more views inpatient CPT 72110 SPINE LUMBOSACRAL MIN 4 VIEWS	$1,069.70	$1,337.12	$30.30	—	20%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 THORACIC SPINE 2 VIEWS	$365.83	$457.29	$315.53–$429.85	65% above	20%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 THORACIC SPINE 2 VIEWS	$365.83	$457.29	$15.15	65% above	20%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 THORACIC SPINE 2 VIEWS	$365.83	$457.29	$315.53–$429.85	65% above	20%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 THORACIC SPINE 2 VIEWS	$365.83	$457.29	$15.15	65% above	20%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 THORACIC SPINE 2 VIEWS	$365.83	$457.29	$15.15	—	20%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 THORACIC SPINE 2 VIEWS	$365.83	$457.29	$15.15	—	20%
X-ray of the nasal bones, 3 or more views CPT 70160 NASAL BONE MIN 3 VIEWS	$514.82	$643.53	$444.04–$604.92	155% above	20%
X-ray of the nasal bones, 3 or more views CPT 70160 NASAL BONE MIN 3 VIEWS	$514.82	$643.53	$15.15	155% above	20%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 NASAL BONE MIN 3 VIEWS	$514.82	$643.53	$15.15	—	20%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 CERV SPINE CMP OBL FLX ONLY	$499.15	$623.94	$15.15	147% above	20%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 CERV SPINE CMP OBL FLX ONLY	$499.15	$623.94	$430.52–$586.50	147% above	20%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 CERV SPINE CMP OBL FLX ONLY	$499.15	$623.94	$430.52–$586.50	147% above	20%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 CERV SPINE CMP OBL FLX ONLY	$499.15	$623.94	$15.15	147% above	20%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 CERVICAL SPINE 2-VIEWS	$514.82	$643.53	$15.15	155% above	20%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 CERVICAL SPINE 2-VIEWS	$514.82	$643.53	$444.04–$604.92	155% above	20%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 CERVICAL SPINE 2-VIEWS	$514.82	$643.53	$15.15	155% above	20%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 CERVICAL SPINE 2-VIEWS	$514.82	$643.53	$444.04–$604.92	155% above	20%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 CERV SPINE CMP OBL FLX ONLY	$499.15	$623.94	$15.15	—	20%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 CERV SPINE CMP OBL FLX ONLY	$499.15	$623.94	$15.15	—	20%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 CERVICAL SPINE 2-VIEWS	$514.82	$643.53	$15.15	—	20%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 CERVICAL SPINE 2-VIEWS	$514.82	$643.53	$15.15	—	20%
X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS 1 OR 2 VIEWS	$465.08	$581.35	$12.63	105% above	20%
X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS 1 OR 2 VIEWS	$465.08	$581.35	$401.13–$546.47	105% above	20%
X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS 1 OR 2 VIEWS	$465.08	$581.35	$12.63	105% above	20%
X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS 1 OR 2 VIEWS	$465.08	$581.35	$401.13–$546.47	105% above	20%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 PELVIS 1 OR 2 VIEWS	$465.08	$581.35	$12.63	—	20%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 PELVIS 1 OR 2 VIEWS	$465.08	$581.35	$12.63	—	20%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 COCCXY & SACRUM	$514.82	$643.53	$444.04–$604.92	155% above	20%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 COCCXY	$514.82	$643.53	$15.15	155% above	20%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 COCCXY & SACRUM	$514.82	$643.53	$15.15	155% above	20%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 COCCXY	$514.82	$643.53	$166.28	155% above	20%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM	$598.13	$747.66	$15.15	196% above	20%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM	$598.13	$747.66	$166.28	196% above	20%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 COCCXY	$514.82	$643.53	$15.15	—	20%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 COCCXY & SACRUM	$514.82	$643.53	$15.15	—	20%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 SACRUM	$598.13	$747.66	$15.15	—	20%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs New York	Off list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 P-ALANINE AMINO (ALT) (SGPT)	$10.91	$13.64	$5.08–$5.30	53% below	20%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 P-ALANINE AMINO (ALT) (SGPT)	$10.91	$13.64	$10.23–$12.82	53% below	20%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 P-ALANINE AMINO (ALT) (SGPT)	$10.91	$13.64	$10.23–$12.82	53% below	20%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 P-ALANINE AMINO (ALT) (SGPT)	$10.91	$13.64	$5.08–$5.30	53% below	20%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 P-LIVER ENZYME (SGPT)	$31.85	$39.81	$5.08–$5.30	36% above	20%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 P-LIVER ENZYME (SGPT)	$31.85	$39.81	$29.86–$37.42	36% above	20%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 P-LIVER ENZYME (SGPT)	$31.85	$39.81	$5.08–$5.30	36% above	20%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 P-LIVER ENZYME (SGPT)	$31.85	$39.81	$29.86–$37.42	36% above	20%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT	$310.46	$388.08	$3.25–$5.30	1228% above	20%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT	$310.46	$388.08	$3.25–$5.30	1228% above	20%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT	$310.46	$388.08	$294.94–$364.80	1228% above	20%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT	$310.46	$388.08	$294.94–$364.80	1228% above	20%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 P-ALANINE AMINO (ALT) (SGPT)	$10.91	$13.64	$5.08–$5.30	—	20%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 P-ALANINE AMINO (ALT) (SGPT)	$10.91	$13.64	$5.08–$5.30	—	20%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 P-LIVER ENZYME (SGPT)	$31.85	$39.81	$5.08–$5.30	—	20%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 P-LIVER ENZYME (SGPT)	$31.85	$39.81	$5.08–$5.30	—	20%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 SGPT	$310.46	$388.08	$3.25–$5.30	—	20%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 SGPT	$310.46	$388.08	$3.25–$5.30	—	20%
AST (aspartate aminotransferase) enzyme test CPT 84450 P-TRANSFERASE ASPARTATE AMINO	$10.91	$13.64	$10.23–$12.82	56% below	20%
AST (aspartate aminotransferase) enzyme test CPT 84450 P-TRANSFERASE ASPARTATE AMINO	$10.91	$13.64	$5.08–$5.18	56% below	20%
AST (aspartate aminotransferase) enzyme test CPT 84450 P-LIVER ENZYME (SGPT)	$17.54	$21.93	$16.45–$20.61	30% below	20%
AST (aspartate aminotransferase) enzyme test CPT 84450 P-LIVER ENZYME (SGPT)	$17.54	$21.93	$5.08–$5.18	30% below	20%
AST (aspartate aminotransferase) enzyme test CPT 84450 P-LIVER ENZYME (SGOT)	$31.85	$39.81	$29.86–$37.42	27% above	20%
AST (aspartate aminotransferase) enzyme test CPT 84450 P-LIVER ENZYME (SGOT)	$31.85	$39.81	$5.08–$5.18	27% above	20%
AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT	$257.67	$322.09	$244.79–$302.76	927% above	20%
AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT	$257.67	$322.09	$3.25–$5.18	927% above	20%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 P-TRANSFERASE ASPARTATE AMINO	$10.91	$13.64	$5.08–$5.18	—	20%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 P-LIVER ENZYME (SGPT)	$17.54	$21.93	$5.08–$5.18	—	20%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 P-LIVER ENZYME (SGOT)	$31.85	$39.81	$5.08–$5.18	—	20%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 SGOT	$257.67	$322.09	$3.25–$5.18	—	20%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS ACUTE PANEL	$77.10	$96.37	$47.63–$50.00	55% below	20%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS ACUTE PANEL	$77.10	$96.37	$73.24–$90.59	55% below	20%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS ACUTE PANEL	$77.10	$96.37	$47.63–$50.00	55% below	20%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS ACUTE PANEL	$77.10	$96.37	$73.24–$90.59	55% below	20%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS ACUTE PANEL	$77.10	$96.37	$47.63–$50.00	—	20%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS ACUTE PANEL	$77.10	$96.37	$47.63–$50.00	—	20%
Allergy blood test, specific IgE, per allergen CPT 86003 P-ALLERGEN IGE	$6.33	$7.91	$2.37–$7.44	60% below	20%
Allergy blood test, specific IgE, per allergen CPT 86003 P-ALLERGEN IGE	$6.33	$7.91	$3.69	60% below	20%
Allergy blood test, specific IgE, per allergen CPT 86003 P-ALLERGE SPEC IgE EA ALLERGEN	$6.74	$8.42	$3.69–$5.22	58% below	20%
Allergy blood test, specific IgE, per allergen CPT 86003 P-ALLERGE SPEC IgE EA ALLERGEN	$6.74	$8.42	$6.40–$7.91	58% below	20%
Allergy blood test, specific IgE, per allergen CPT 86003 P-ALLERGEN SPECIFIC IgE EACH	$10.21	$12.76	$9.70–$11.99	36% below	20%
Allergy blood test, specific IgE, per allergen CPT 86003 P-ALLERGEN SPECIFIC IgE EACH	$10.21	$12.76	$3.69–$5.22	36% below	20%
Allergy blood test, specific IgE, per allergen CPT 86003 P-ALLERGEN SPECIFIC IgE	$11.30	$14.13	$10.74–$13.28	29% below	20%
Allergy blood test, specific IgE, per allergen CPT 86003 P-ALLERGEN SPECIFIC IgE	$11.30	$14.13	$3.69–$5.22	29% below	20%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST FOR PENICILLAN G	$47.76	$59.70	$45.37–$56.12	198% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST FOR PENICILLAN G	$47.76	$59.70	$3.69–$5.22	198% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN AMPICILLIN C5 IGE	$48.62	$60.77	$3.69–$5.22	204% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN AMPICILLIN C5 IGE	$48.62	$60.77	$46.19–$57.12	204% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 INDIVIDUAL ALLERGEN	$49.14	$61.43	$3.69–$5.22	207% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 INDIVIDUAL ALLERGEN	$49.14	$61.43	$46.69–$57.74	207% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY GRAPE	$50.45	$63.06	$3.69–$5.22	215% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN D. PTERPNYSSINUS	$50.45	$63.06	$47.93–$59.28	215% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY GRAPE	$50.45	$63.06	$47.93–$59.28	215% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN DOG EPITHELIUM	$50.45	$63.06	$3.69–$5.22	215% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN D. PTERPNYSSINUS	$50.45	$63.06	$3.69–$5.22	215% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN DOG EPITHELIUM	$50.45	$63.06	$47.93–$59.28	215% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 H. BRASILIENSIS (K82) IGE	$50.70	$63.37	$3.69–$5.22	217% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 H. BRASILIENSIS (K82) IGE	$50.70	$63.37	$48.16–$59.57	217% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST VEGETABLE GROUP #16	$57.58	$71.97	$3.69–$5.22	260% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST VEGETABLE GROUP #16	$57.58	$71.97	$54.70–$67.65	260% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 1/5 ANHYDROGLUCOT INTER GLYCEM	$72.26	$90.33	$27.10–$84.91	352% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 1/5 ANHYDROGLUCOT INTER GLYCEM	$72.26	$90.33	$3.69	352% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 CARMINE RED DYE AB IgE	$76.14	$95.17	$3.69–$5.22	376% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 CARMINE RED DYE AB IgE	$76.14	$95.17	$72.33–$89.46	376% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 GALACTOSE (ALPHA GAL) IGE	$131.09	$163.86	$3.69–$5.22	719% above	20%
Allergy blood test, specific IgE, per allergen CPT 86003 GALACTOSE (ALPHA GAL) IGE	$131.09	$163.86	$124.53–$154.03	719% above	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 P-ALLERGEN IGE	$6.33	$7.91	$3.69	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 P-ALLERGE SPEC IgE EA ALLERGEN	$6.74	$8.42	$3.69–$5.22	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 P-ALLERGEN SPECIFIC IgE EACH	$10.21	$12.76	$3.69–$5.22	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 P-ALLERGEN SPECIFIC IgE	$11.30	$14.13	$3.69–$5.22	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST FOR PENICILLAN G	$47.76	$59.70	$3.69–$5.22	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN AMPICILLIN C5 IGE	$48.62	$60.77	$3.69–$5.22	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 INDIVIDUAL ALLERGEN	$49.14	$61.43	$3.69–$5.22	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN DOG EPITHELIUM	$50.45	$63.06	$3.69–$5.22	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN D. PTERPNYSSINUS	$50.45	$63.06	$3.69–$5.22	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY GRAPE	$50.45	$63.06	$3.69–$5.22	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 H. BRASILIENSIS (K82) IGE	$50.70	$63.37	$3.69–$5.22	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST VEGETABLE GROUP #16	$57.58	$71.97	$3.69–$5.22	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 1/5 ANHYDROGLUCOT INTER GLYCEM	$72.26	$90.33	$3.69	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CARMINE RED DYE AB IgE	$76.14	$95.17	$3.69–$5.22	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GALACTOSE (ALPHA GAL) IGE	$131.09	$163.86	$3.69–$5.22	—	20%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 P-CCP	$92.10	$115.13	$34.54–$108.22	97% above	20%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 P-CCP	$92.10	$115.13	$34.54–$108.22	97% above	20%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULINE PEPTIDE	$100.82	$126.03	$95.78–$118.47	115% above	20%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULINE PEPTIDE	$100.82	$126.03	$12.95–$18.09	115% above	20%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULINE PEPTIDE	$100.82	$126.03	$12.95–$18.09	115% above	20%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULINE PEPTIDE	$100.82	$126.03	$95.78–$118.47	115% above	20%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 P-CCP AB	$103.06	$128.82	$38.65–$121.09	120% above	20%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 P-CCP AB	$103.06	$128.82	$38.65–$121.09	120% above	20%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRULINE PEPTIDE	$100.82	$126.03	$12.95–$18.09	—	20%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRULINE PEPTIDE	$100.82	$126.03	$12.95–$18.09	—	20%
Antinuclear antibody (ANA) blood test, screen CPT 86038 P-ANTINUCLEAR ANTIBODIES	$67.41	$84.26	$64.04–$79.20	54% above	20%
Antinuclear antibody (ANA) blood test, screen CPT 86038 P-ANTINUCLEAR ANTIBODIES	$67.41	$84.26	$5.25–$12.09	54% above	20%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA	$89.02	$111.28	$5.25–$12.09	104% above	20%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA W/REFLEX DNA	$89.02	$111.28	$84.57–$104.60	104% above	20%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA W/REFLEX DNA	$89.02	$111.28	$5.25–$12.09	104% above	20%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA	$89.02	$111.28	$84.57–$104.60	104% above	20%
Antinuclear antibody (ANA) blood test, screen CPT 86038 P-ANA	$108.20	$135.25	$40.58–$127.14	147% above	20%
Antinuclear antibody (ANA) blood test, screen CPT 86038 P-ANA	$108.20	$135.25	$5.25	147% above	20%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA REFLEX LUPUS/SLE TITER	$128.87	$161.09	$122.43–$151.42	195% above	20%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA REFLEX LUPUS/SLE TITER	$128.87	$161.09	$5.25–$12.09	195% above	20%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 P-ANTINUCLEAR ANTIBODIES	$67.41	$84.26	$5.25–$12.09	—	20%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA W/REFLEX DNA	$89.02	$111.28	$5.25–$12.09	—	20%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA	$89.02	$111.28	$5.25–$12.09	—	20%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 P-ANA	$108.20	$135.25	$5.25	—	20%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA REFLEX LUPUS/SLE TITER	$128.87	$161.09	$5.25–$12.09	—	20%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 PRO BRAIN NATRIURETIC PEPTIDE	$70.09	$87.61	$65.71–$82.35	43% below	20%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 PRO BRAIN NATRIURETIC PEPTIDE	$70.09	$87.61	$65.71–$82.35	43% below	20%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 PRO BRAIN NATRIURETIC PEPTIDE	$70.09	$87.61	$34.41–$39.26	43% below	20%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 PRO BRAIN NATRIURETIC PEPTIDE	$70.09	$87.61	$34.41–$39.26	43% below	20%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 PRO BNP N TERMINAL	$140.94	$176.17	$133.89–$165.60	15% above	20%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 CARDIO IQ NT PROBNP	$140.94	$176.17	$52.85–$165.60	15% above	20%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 CARDIO IQ NT PROBNP	$140.94	$176.17	$52.85–$165.60	15% above	20%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 CARDIO IQ NT PROBNP	$140.94	$176.17	$34.41	15% above	20%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 CARDIO IQ NT PROBNP	$140.94	$176.17	$34.41	15% above	20%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 PRO BNP N TERMINAL	$140.94	$176.17	$34.41–$43.81	15% above	20%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 PRO BNP N TERMINAL	$140.94	$176.17	$34.41–$43.81	15% above	20%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 PRO BNP N TERMINAL	$140.94	$176.17	$133.89–$165.60	15% above	20%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRUIETIC PEPTIDE	$265.80	$332.25	$34.41–$43.81	116% above	20%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRUIETIC PEPTIDE	$265.80	$332.25	$252.51–$312.32	116% above	20%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRUIETIC PEPTIDE	$265.80	$332.25	$34.41–$43.81	116% above	20%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRUIETIC PEPTIDE	$265.80	$332.25	$252.51–$312.32	116% above	20%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 PRO BRAIN NATRIURETIC PEPTIDE	$70.09	$87.61	$34.41–$39.26	—	20%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 PRO BRAIN NATRIURETIC PEPTIDE	$70.09	$87.61	$34.41–$39.26	—	20%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 CARDIO IQ NT PROBNP	$140.94	$176.17	$34.41	—	20%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 PRO BNP N TERMINAL	$140.94	$176.17	$34.41–$43.81	—	20%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 CARDIO IQ NT PROBNP	$140.94	$176.17	$34.41	—	20%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 PRO BNP N TERMINAL	$140.94	$176.17	$34.41–$43.81	—	20%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NATRUIETIC PEPTIDE	$265.80	$332.25	$34.41–$43.81	—	20%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NATRUIETIC PEPTIDE	$265.80	$332.25	$34.41–$43.81	—	20%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL	$485.59	$606.99	$7.32–$11.08	682% above	20%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL	$485.59	$606.99	$461.31–$570.57	682% above	20%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL	$485.59	$606.99	$7.32–$11.08	682% above	20%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL	$485.59	$606.99	$461.31–$570.57	682% above	20%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL	$485.59	$606.99	$7.32–$11.08	—	20%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL	$485.59	$606.99	$7.32–$11.08	—	20%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 BONE MARROW GR & MICRO 2 AMC	$124.80	$156.00	$43.62–$95.00	31% below	20%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 BONE MARROW GR & MICRO 2 AMC	$124.80	$156.00	$109.67–$146.64	31% below	20%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 BONE MARROW GR & MICRO 2 AMC	$124.80	$156.00	$43.62–$95.00	31% below	20%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 BONE MARROW GR & MICRO 2 AMC	$124.80	$156.00	$109.67–$146.64	31% below	20%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 GROSS & MICRO LEVEL 4	$342.46	$428.08	$316.78–$402.40	90% above	20%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 GROSS & MICRO LEVEL 4	$342.46	$428.08	$31.05–$95.00	90% above	20%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 GROSS & MICRO LEVEL 4	$342.46	$428.08	$316.78–$402.40	90% above	20%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 GROSS & MICRO LEVEL 4	$342.46	$428.08	$31.05–$95.00	90% above	20%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 CELL BLOCK	$350.21	$437.76	$43.62–$95.00	95% above	20%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 CELL BLOCK	$350.21	$437.76	$43.62–$95.00	95% above	20%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 CELL BLOCK	$350.21	$437.76	$307.75–$411.49	95% above	20%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 CELL BLOCK	$350.21	$437.76	$307.75–$411.49	95% above	20%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 BONE MARROW GR & MICRO 2 AMC	$124.80	$156.00	$43.62–$95.00	—	20%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 BONE MARROW GR & MICRO 2 AMC	$124.80	$156.00	$43.62–$95.00	—	20%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 GROSS & MICRO LEVEL 4	$342.46	$428.08	$31.05–$95.00	—	20%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 GROSS & MICRO LEVEL 4	$342.46	$428.08	$31.05–$95.00	—	20%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 CELL BLOCK	$350.21	$437.76	$43.62–$95.00	—	20%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 CELL BLOCK	$350.21	$437.76	$43.62–$95.00	—	20%
Blood culture for bacteria CPT 87040 CULTURE BLOOD,MANUAL	$152.34	$190.43	$57.13–$179.00	118% above	20%
Blood culture for bacteria CPT 87040 CULTURE BLOOD,MANUAL	$152.34	$190.43	$8.23	118% above	20%
Blood culture for bacteria CPT 87040 CULTURE BLOOD,MANUAL	$152.34	$190.43	$8.23	118% above	20%
Blood culture for bacteria CPT 87040 CULTURE BLOOD,MANUAL	$152.34	$190.43	$57.13–$179.00	118% above	20%
Blood culture for bacteria CPT 87040 BLOOD CULTURE	$306.94	$383.67	$8.23–$10.50	339% above	20%
Blood culture for bacteria CPT 87040 BLOOD CULTURE	$306.94	$383.67	$8.23–$10.50	339% above	20%
Blood culture for bacteria CPT 87040 BLOOD CULTURE	$306.94	$383.67	$291.59–$360.65	339% above	20%
Blood culture for bacteria CPT 87040 BLOOD CULTURE	$306.94	$383.67	$291.59–$360.65	339% above	20%
Blood culture for bacteria inpatient CPT 87040 CULTURE BLOOD,MANUAL	$152.34	$190.43	$8.23	—	20%
Blood culture for bacteria inpatient CPT 87040 CULTURE BLOOD,MANUAL	$152.34	$190.43	$8.23	—	20%
Blood culture for bacteria inpatient CPT 87040 BLOOD CULTURE	$306.94	$383.67	$8.23–$10.50	—	20%
Blood culture for bacteria inpatient CPT 87040 BLOOD CULTURE	$306.94	$383.67	$8.23–$10.50	—	20%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Venipunture Only	$30.50	$38.13	$28.98–$35.84	94% above	20%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Venipunture Only	$30.50	$38.13	$28.98–$35.84	94% above	20%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Venipunture Only	$30.50	$38.13	$5.00	94% above	20%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Venipunture Only	$30.50	$38.13	$5.00	94% above	20%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE	$33.00	$41.25	$31.35–$38.78	110% above	20%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE	$33.00	$41.25	$31.35–$38.78	110% above	20%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE	$33.00	$41.25	$5.00	110% above	20%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE	$33.00	$41.25	$5.00	110% above	20%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE ROUTINE	$33.00	$41.25	$30.94–$38.78	110% above	20%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE ROUTINE	$33.00	$41.25	$30.94–$38.78	110% above	20%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Venipunture Only	$30.50	$38.13	$5.00	—	20%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Venipunture Only	$30.50	$38.13	$5.00	—	20%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE	$33.00	$41.25	$5.00	—	20%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE	$33.00	$41.25	$5.00	—	20%
Blood glucose (sugar) test CPT 82947 GLUCOSE QUANTITATIVE	$8.80	$11.00	$166.28	51% below	20%
Blood glucose (sugar) test CPT 82947 GLUCOSE QUANTITATIVE	$8.80	$11.00	$166.28	51% below	20%
Blood glucose (sugar) test CPT 82947 P-GLUCOSE QUANT BLOOD	$10.91	$13.64	$3.93	39% below	20%
Blood glucose (sugar) test CPT 82947 P-GLUCOSE QUANT BLOOD	$10.91	$13.64	$10.23–$12.82	39% below	20%
Blood glucose (sugar) test CPT 82947 P-GLUCOSE QUANT BLOOD	$10.91	$13.64	$10.23–$12.82	39% below	20%
Blood glucose (sugar) test CPT 82947 P-GLUCOSE QUANT BLOOD	$10.91	$13.64	$3.93	39% below	20%
Blood glucose (sugar) test CPT 82947 P-GLUCOSE LEVEL	$17.54	$21.92	$3.93	3% below	20%
Blood glucose (sugar) test CPT 82947 P-GLUCOSE LEVEL	$17.54	$21.92	$16.44–$20.60	3% below	20%
Blood glucose (sugar) test CPT 82947 P-GLUCOSE LEVEL	$17.54	$21.92	$16.44–$20.60	3% below	20%
Blood glucose (sugar) test CPT 82947 P-GLUCOSE LEVEL	$17.54	$21.92	$3.93	3% below	20%
Blood glucose (sugar) test CPT 82947 URINE GLUCOSE 24HR	$49.54	$61.93	$3.25–$3.93	175% above	20%
Blood glucose (sugar) test CPT 82947 URINE GLUCOSE 24HR	$49.54	$61.93	$47.07–$58.21	175% above	20%
Blood glucose (sugar) test CPT 82947 URINE GLUCOSE 24HR	$49.54	$61.93	$3.25–$3.93	175% above	20%
Blood glucose (sugar) test CPT 82947 URINE GLUCOSE 24HR	$49.54	$61.93	$47.07–$58.21	175% above	20%
Blood glucose (sugar) test CPT 82947 BLOOD SUGAR	$158.21	$197.76	$3.25–$3.93	779% above	20%
Blood glucose (sugar) test CPT 82947 BLOOD SUGAR	$158.21	$197.76	$150.30–$185.89	779% above	20%
Blood glucose (sugar) test CPT 82947 BLOOD SUGAR	$158.21	$197.76	$150.30–$185.89	779% above	20%
Blood glucose (sugar) test CPT 82947 BLOOD SUGAR	$158.21	$197.76	$3.25–$3.93	779% above	20%
Blood glucose (sugar) test CPT 82947 GLUCOSE-FASTING	$164.54	$205.67	$156.31–$193.33	814% above	20%
Blood glucose (sugar) test CPT 82947 GLUCOSE-FASTING	$164.54	$205.67	$3.25–$3.93	814% above	20%
Blood glucose (sugar) test CPT 82947 GLUCOSE-FASTING	$164.54	$205.67	$156.31–$193.33	814% above	20%
Blood glucose (sugar) test CPT 82947 GLUCOSE-FASTING	$164.54	$205.67	$3.25–$3.93	814% above	20%
Blood glucose (sugar) test inpatient CPT 82947 P-GLUCOSE QUANT BLOOD	$10.91	$13.64	$3.93	—	20%
Blood glucose (sugar) test inpatient CPT 82947 P-GLUCOSE QUANT BLOOD	$10.91	$13.64	$3.93	—	20%
Blood glucose (sugar) test inpatient CPT 82947 P-GLUCOSE LEVEL	$17.54	$21.92	$3.93	—	20%
Blood glucose (sugar) test inpatient CPT 82947 P-GLUCOSE LEVEL	$17.54	$21.92	$3.93	—	20%
Blood glucose (sugar) test inpatient CPT 82947 URINE GLUCOSE 24HR	$49.54	$61.93	$3.25–$3.93	—	20%
Blood glucose (sugar) test inpatient CPT 82947 URINE GLUCOSE 24HR	$49.54	$61.93	$3.25–$3.93	—	20%
Blood glucose (sugar) test inpatient CPT 82947 BLOOD SUGAR	$158.21	$197.76	$3.25–$3.93	—	20%
Blood glucose (sugar) test inpatient CPT 82947 BLOOD SUGAR	$158.21	$197.76	$3.25–$3.93	—	20%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE-FASTING	$164.54	$205.67	$3.25–$3.93	—	20%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE-FASTING	$164.54	$205.67	$3.25–$3.93	—	20%
Blood lead test CPT 83655 P-LEAD	$15.70	$19.62	$14.91–$18.44	64% below	20%
Blood lead test CPT 83655 P-LEAD	$15.70	$19.62	$14.91–$18.44	64% below	20%
Blood lead test CPT 83655 P-LEAD	$15.70	$19.62	$7.35–$12.11	64% below	20%
Blood lead test CPT 83655 P-LEAD	$15.70	$19.62	$7.35–$12.11	64% below	20%
Blood lead test CPT 83655 LEAD URINE	$55.44	$69.30	$52.67–$65.14	29% above	20%
Blood lead test CPT 83655 LEAD URINE	$55.44	$69.30	$7.35–$12.11	29% above	20%
Blood lead test CPT 83655 LEAD URINE	$55.44	$69.30	$7.35–$12.11	29% above	20%
Blood lead test CPT 83655 LEAD URINE	$55.44	$69.30	$52.67–$65.14	29% above	20%
Blood lead test CPT 83655 LEAD LEVEL (BLOOD)	$97.34	$121.68	$92.48–$114.38	126% above	20%
Blood lead test CPT 83655 LEAD LEVEL (BLOOD)	$97.34	$121.68	$92.48–$114.38	126% above	20%
Blood lead test CPT 83655 LEAD LEVEL (BLOOD)	$97.34	$121.68	$7.35–$12.11	126% above	20%
Blood lead test CPT 83655 LEAD LEVEL (BLOOD)	$97.34	$121.68	$7.35–$12.11	126% above	20%
Blood lead test inpatient CPT 83655 P-LEAD	$15.70	$19.62	$7.35–$12.11	—	20%
Blood lead test inpatient CPT 83655 P-LEAD	$15.70	$19.62	$7.35–$12.11	—	20%
Blood lead test inpatient CPT 83655 LEAD URINE	$55.44	$69.30	$7.35–$12.11	—	20%
Blood lead test inpatient CPT 83655 LEAD URINE	$55.44	$69.30	$7.35–$12.11	—	20%
Blood lead test inpatient CPT 83655 LEAD LEVEL (BLOOD)	$97.34	$121.68	$7.35–$12.11	—	20%
Blood lead test inpatient CPT 83655 LEAD LEVEL (BLOOD)	$97.34	$121.68	$7.35–$12.11	—	20%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREGNANCY TEST - SERUM	$221.97	$277.46	$2.02–$7.52	526% above	20%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREGNANCY TEST - SERUM	$221.97	$277.46	$2.02–$7.52	526% above	20%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREGNANCY TEST - SERUM	$221.97	$277.46	$210.87–$260.81	526% above	20%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREGNANCY TEST - SERUM	$221.97	$277.46	$210.87–$260.81	526% above	20%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 PREGNANCY TEST - SERUM	$221.97	$277.46	$2.02–$7.52	—	20%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 PREGNANCY TEST - SERUM	$221.97	$277.46	$2.02–$7.52	—	20%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 P-BLOOD TYPING SEROLOGIC	$41.82	$52.28	$39.73–$49.14	73% below	20%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 P-BLOOD TYPING SEROLOGIC	$41.82	$52.28	$2.99–$3.20	73% below	20%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 P-ABO TYPING	$65.02	$81.28	$2.99–$3.20	57% below	20%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 P-ABO TYPING	$65.02	$81.28	$61.77–$76.40	57% below	20%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO GROUPING	$80.98	$101.23	$2.99	47% below	20%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO GROUPING	$80.98	$101.23	$75.92–$95.16	47% below	20%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 P-BLOOD TYPING SEROLOGIC	$41.82	$52.28	$2.99–$3.20	—	20%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 P-ABO TYPING	$65.02	$81.28	$2.99–$3.20	—	20%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO GROUPING	$80.98	$101.23	$2.99	—	20%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C REACTIVE PROTEIN	$106.43	$133.04	$4.14–$5.18	260% above	20%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C REACTIVE PROTEIN	$106.43	$133.04	$101.11–$125.06	260% above	20%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C REACTIVE PROTEIN	$106.43	$133.04	$4.14–$5.18	—	20%
C. difficile toxin gene test (stool PCR) one side CPT 87493 C. DIFF TOXIN B QL RT PCR	$115.11	$143.89	$107.92–$135.26	9% below	20%
C. difficile toxin gene test (stool PCR) one side CPT 87493 C. DIFF TOXIN B QL RT PCR	$115.11	$143.89	$37.27	9% below	20%
C. difficile toxin gene test (stool PCR) inpatient one side CPT 87493 C. DIFF TOXIN B QL RT PCR	$115.11	$143.89	$37.27	—	20%
CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 SERUM	$55.79	$69.74	$53.00–$65.56	26% below	20%
CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 SERUM	$55.79	$69.74	$19.77–$20.81	26% below	20%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9 SERUM	$55.79	$69.74	$19.77–$20.81	—	20%
CA-125 blood test (ovarian cancer marker) CPT 86304 CA - 125	$55.87	$69.84	$53.08–$65.65	32% below	20%
CA-125 blood test (ovarian cancer marker) CPT 86304 CA - 125	$55.87	$69.84	$53.08–$65.65	32% below	20%
CA-125 blood test (ovarian cancer marker) CPT 86304 CA - 125	$55.87	$69.84	$19.77–$20.81	32% below	20%
CA-125 blood test (ovarian cancer marker) CPT 86304 CA - 125	$55.87	$69.84	$19.77–$20.81	32% below	20%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA - 125	$55.87	$69.84	$19.77–$20.81	—	20%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA - 125	$55.87	$69.84	$19.77–$20.81	—	20%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS COV 2 PANTHER	$67.39	$84.24	$30.79–$51.31	41% below	20%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS COV 2 PANTHER	$67.39	$84.24	$63.18–$79.19	41% below	20%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2 RAPID BD	$75.28	$94.10	$69.63–$88.45	35% below	20%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2 RAPID BD	$75.28	$94.10	$30.79–$51.31	35% below	20%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID19 AMC (SCU)	$100.67	$125.84	$30.79–$51.31	13% below	20%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID19 AMC (SCU)	$100.67	$125.84	$95.64–$118.29	13% below	20%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID 19 SARS COV 2 PCR	$126.46	$158.08	$120.14–$148.60	10% above	20%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID 19 SARS COV 2 PCR	$126.46	$158.08	$30.79–$51.31	10% above	20%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS COV 2 PANTHER	$67.39	$84.24	$30.79–$51.31	—	20%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-COV-2 RAPID BD	$75.28	$94.10	$30.79–$51.31	—	20%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID19 AMC (SCU)	$100.67	$125.84	$30.79–$51.31	—	20%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID 19 SARS COV 2 PCR	$126.46	$158.08	$30.79–$51.31	—	20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 P-CHLAMYDIA TRACHOMAT	$35.20	$44.00	$13.20–$41.36	59% below	20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 P-CHLAMYDIA TRACHOMAT	$35.20	$44.00	$21.64	59% below	20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 P-CHLAMYDIA TRACHOMAT	$35.20	$44.00	$21.64	59% below	20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 P-CHLAMYDIA TRACHOMAT	$35.20	$44.00	$13.20–$41.36	59% below	20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 P-CHLAMYDIA TRACHOMATIS	$49.66	$62.08	$47.18–$58.36	43% below	20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 P-CHLAMYDIA TRACHOMATIS	$49.66	$62.08	$47.18–$58.36	43% below	20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS TMA(ALT)	$59.54	$74.42	$21.64	31% below	20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS TMA(ALT)	$59.54	$74.42	$22.33–$69.95	31% below	20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS TMA(ALT)	$59.54	$74.42	$21.64	31% below	20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS TMA(ALT)	$59.54	$74.42	$22.33–$69.95	31% below	20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 P-CHLAMYDIA TRACHOMATIS AMP	$104.42	$130.53	$21.64–$49.00	21% above	20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 P-CHLAMYDIA TRACHOMATIS AMP	$104.42	$130.53	$21.64–$49.00	21% above	20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 P-CHLAMYDIA TRACHOMATIS AMP	$104.42	$130.53	$99.20–$122.70	21% above	20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 P-CHLAMYDIA TRACHOMATIS AMP	$104.42	$130.53	$99.20–$122.70	21% above	20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 P-INFECT DIS,CHLAMYDIA TRACHOM	$149.74	$187.18	$56.15–$175.95	73% above	20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 P-INFECT DIS,CHLAMYDIA TRACHOM	$149.74	$187.18	$21.64	73% above	20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 P-INFECT DIS,CHLAMYDIA TRACHOM	$149.74	$187.18	$56.15–$175.95	73% above	20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 P-INFECT DIS,CHLAMYDIA TRACHOM	$149.74	$187.18	$21.64	73% above	20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 P-CHLAMYDIA TRACHOMATIS	$181.19	$226.49	$21.64–$49.00	110% above	20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 P-CHLAMYDIA TRACHOMATIS	$181.19	$226.49	$21.64–$49.00	110% above	20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 P-CHLAMYDIA TRACHOMAT	$35.20	$44.00	$21.64	—	20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 P-CHLAMYDIA TRACHOMAT	$35.20	$44.00	$21.64	—	20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACHOMATIS TMA(ALT)	$59.54	$74.42	$21.64	—	20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACHOMATIS TMA(ALT)	$59.54	$74.42	$21.64	—	20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 P-CHLAMYDIA TRACHOMATIS AMP	$104.42	$130.53	$21.64–$49.00	—	20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 P-CHLAMYDIA TRACHOMATIS AMP	$104.42	$130.53	$21.64–$49.00	—	20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 P-INFECT DIS,CHLAMYDIA TRACHOM	$149.74	$187.18	$21.64	—	20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 P-INFECT DIS,CHLAMYDIA TRACHOM	$149.74	$187.18	$21.64	—	20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 P-CHLAMYDIA TRACHOMATIS	$181.19	$226.49	$21.64–$49.00	—	20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 P-CHLAMYDIA TRACHOMATIS	$181.19	$226.49	$21.64–$49.00	—	20%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 P-LIPID PANEL	$23.25	$29.06	$6.10–$13.39	68% below	20%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 P-LIPID PANEL	$23.25	$29.06	$22.09–$27.32	68% below	20%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 P-LIPID PANEL	$23.25	$29.06	$22.09–$27.32	68% below	20%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 P-LIPID PANEL	$23.25	$29.06	$6.10–$13.39	68% below	20%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL W/RFL DIRECT LDL	$166.48	$208.10	$62.43–$195.61	128% above	20%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL CARDIO IQ	$166.48	$208.10	$6.10	128% above	20%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL CARDIO IQ	$166.48	$208.10	$62.43–$195.61	128% above	20%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL W/RFL DIRECT LDL	$166.48	$208.10	$6.10	128% above	20%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL CARDIO IQ	$166.48	$208.10	$62.43–$195.61	128% above	20%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL W/RFL DIRECT LDL	$166.48	$208.10	$62.43–$195.61	128% above	20%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL W/RFL DIRECT LDL	$166.48	$208.10	$6.10	128% above	20%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL CARDIO IQ	$166.48	$208.10	$6.10	128% above	20%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL	$303.66	$379.58	$6.10–$13.39	316% above	20%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL	$303.66	$379.58	$288.48–$356.81	316% above	20%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL	$303.66	$379.58	$6.10–$13.39	316% above	20%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL	$303.66	$379.58	$288.48–$356.81	316% above	20%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 P-LIPID PANEL	$23.25	$29.06	$6.10–$13.39	—	20%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 P-LIPID PANEL	$23.25	$29.06	$6.10–$13.39	—	20%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL W/RFL DIRECT LDL	$166.48	$208.10	$6.10	—	20%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL W/RFL DIRECT LDL	$166.48	$208.10	$6.10	—	20%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL CARDIO IQ	$166.48	$208.10	$6.10	—	20%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL CARDIO IQ	$166.48	$208.10	$6.10	—	20%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL	$303.66	$379.58	$6.10–$13.39	—	20%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL	$303.66	$379.58	$6.10–$13.39	—	20%
Complete blood count (CBC) with differential CPT 85025 P-CBC COMPLETE	$41.82	$52.27	$39.73–$49.13	1% above	20%
Complete blood count (CBC) with differential CPT 85025 P-CBC COMPLETE	$41.82	$52.27	$3.20–$7.77	1% above	20%
Complete blood count (CBC) with differential CPT 85025 P-CBC COMPLETE	$41.82	$52.27	$39.73–$49.13	1% above	20%
Complete blood count (CBC) with differential CPT 85025 P-CBC COMPLETE	$41.82	$52.27	$3.20–$7.77	1% above	20%
Complete blood count (CBC) with differential CPT 85025 P-CBC W/COMPLETE AUTO DIFF	$65.03	$81.29	$3.20–$7.77	57% above	20%
Complete blood count (CBC) with differential CPT 85025 P-CBC W/COMPLETE AUTO DIFF	$65.03	$81.29	$61.78–$76.41	57% above	20%
Complete blood count (CBC) with differential CPT 85025 P-CBC W/COMPLETE AUTO DIFF	$65.03	$81.29	$61.78–$76.41	57% above	20%
Complete blood count (CBC) with differential CPT 85025 P-CBC W/COMPLETE AUTO DIFF	$65.03	$81.29	$3.20–$7.77	57% above	20%
Complete blood count (CBC) with differential CPT 85025 LEUKEMIA/LYMPHOMA PANEL N-70	$114.95	$143.69	$109.20–$135.07	177% above	20%
Complete blood count (CBC) with differential CPT 85025 LEUKEMIA/LYMPHOMA PANEL N-70	$114.95	$143.69	$3.20–$7.77	177% above	20%
Complete blood count (CBC) with differential CPT 85025 LEUKEMIA/LYMPHOMA PANEL N-70	$114.95	$143.69	$3.20–$7.77	177% above	20%
Complete blood count (CBC) with differential CPT 85025 LEUKEMIA/LYMPHOMA PANEL N-70	$114.95	$143.69	$109.20–$135.07	177% above	20%
Complete blood count (CBC) with differential CPT 85025 CBC WITH COMPLETE AUTO DIFF	$283.26	$354.08	$3.20–$7.77	583% above	20%
Complete blood count (CBC) with differential CPT 85025 CBC WITH COMPLETE AUTO DIFF	$283.26	$354.08	$269.10–$332.84	583% above	20%
Complete blood count (CBC) with differential CPT 85025 CBC WITH COMPLETE AUTO DIFF	$283.26	$354.08	$3.20–$7.77	583% above	20%
Complete blood count (CBC) with differential CPT 85025 CBC WITH COMPLETE AUTO DIFF	$283.26	$354.08	$269.10–$332.84	583% above	20%
Complete blood count (CBC) with differential inpatient CPT 85025 P-CBC COMPLETE	$41.82	$52.27	$3.20–$7.77	—	20%
Complete blood count (CBC) with differential inpatient CPT 85025 P-CBC COMPLETE	$41.82	$52.27	$3.20–$7.77	—	20%
Complete blood count (CBC) with differential inpatient CPT 85025 P-CBC W/COMPLETE AUTO DIFF	$65.03	$81.29	$3.20–$7.77	—	20%
Complete blood count (CBC) with differential inpatient CPT 85025 P-CBC W/COMPLETE AUTO DIFF	$65.03	$81.29	$3.20–$7.77	—	20%
Complete blood count (CBC) with differential inpatient CPT 85025 LEUKEMIA/LYMPHOMA PANEL N-70	$114.95	$143.69	$3.20–$7.77	—	20%
Complete blood count (CBC) with differential inpatient CPT 85025 LEUKEMIA/LYMPHOMA PANEL N-70	$114.95	$143.69	$3.20–$7.77	—	20%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC WITH COMPLETE AUTO DIFF	$283.26	$354.08	$3.20–$7.77	—	20%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC WITH COMPLETE AUTO DIFF	$283.26	$354.08	$3.20–$7.77	—	20%
Complete blood count (CBC), no differential CPT 85027 CBC WITHOUT AUTO DIFFERENTIAL	$245.78	$307.22	$233.49–$288.79	693% above	20%
Complete blood count (CBC), no differential CPT 85027 CBC WITHOUT AUTO DIFFERENTIAL	$245.78	$307.22	$233.49–$288.79	693% above	20%
Complete blood count (CBC), no differential CPT 85027 CBC WITHOUT AUTO DIFFERENTIAL	$245.78	$307.22	$3.09–$6.47	693% above	20%
Complete blood count (CBC), no differential CPT 85027 CBC WITHOUT AUTO DIFFERENTIAL	$245.78	$307.22	$3.09–$6.47	693% above	20%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC WITHOUT AUTO DIFFERENTIAL	$245.78	$307.22	$3.09–$6.47	—	20%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC WITHOUT AUTO DIFFERENTIAL	$245.78	$307.22	$3.09–$6.47	—	20%
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL	$632.18	$790.23	$600.57–$742.82	570% above	20%
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL	$632.18	$790.23	$600.57–$742.82	570% above	20%
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL	$632.18	$790.23	$9.55–$10.56	570% above	20%
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL	$632.18	$790.23	$9.55–$10.56	570% above	20%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL	$632.18	$790.23	$9.55–$10.56	—	20%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL	$632.18	$790.23	$9.55–$10.56	—	20%
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER (CSF OR PLASMA)	$177.80	$222.25	$9.59–$10.18	381% above	20%
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER (CSF OR PLASMA)	$177.80	$222.25	$168.91–$208.92	381% above	20%
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER TEST	$216.33	$270.41	$9.59–$10.18	485% above	20%
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER TEST	$216.33	$270.41	$205.51–$254.19	485% above	20%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER (CSF OR PLASMA)	$177.80	$222.25	$9.59–$10.18	—	20%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER TEST	$216.33	$270.41	$9.59–$10.18	—	20%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA SERUM	$50.75	$63.44	$22.23–$34.75	48% below	20%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA SERUM	$50.75	$63.44	$48.21–$59.63	48% below	20%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA SERUM	$50.75	$63.44	$48.21–$59.63	48% below	20%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA SERUM	$50.75	$63.44	$22.23–$34.75	48% below	20%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA SERUM	$50.75	$63.44	$22.23–$34.75	—	20%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA SERUM	$50.75	$63.44	$22.23–$34.75	—	20%
Estradiol blood test CPT 82670 P-ESTRADIOL FREE	$50.82	$63.52	$48.28–$59.71	50% below	20%
Estradiol blood test CPT 82670 P-ESTRADIOL FREE	$50.82	$63.52	$48.28–$59.71	50% below	20%
Estradiol blood test CPT 82670 P-ESTRADIOL FREE	$50.82	$63.52	$25.20–$27.94	50% below	20%
Estradiol blood test CPT 82670 P-ESTRADIOL FREE	$50.82	$63.52	$25.20–$27.94	50% below	20%
Estradiol blood test CPT 82670 ESTRADIOL (E2) NON PREG	$58.60	$73.25	$55.67–$68.86	42% below	20%
Estradiol blood test CPT 82670 ESTRADIOL (E2) NON PREG	$58.60	$73.25	$25.20–$27.94	42% below	20%
Estradiol blood test CPT 82670 ESTRADIOL RECEPTOR	$58.60	$73.25	$25.20–$27.94	42% below	20%
Estradiol blood test CPT 82670 ESTRADIOL (E2) NON PREG	$58.60	$73.25	$25.20–$27.94	42% below	20%
Estradiol blood test CPT 82670 ESTRADIOL RECEPTOR	$58.60	$73.25	$55.67–$68.86	42% below	20%
Estradiol blood test CPT 82670 ESTRADIOL (E2) NON PREG	$58.60	$73.25	$55.67–$68.86	42% below	20%
Estradiol blood test CPT 82670 ESTRADIOL RECEPTOR	$58.60	$73.25	$55.67–$68.86	42% below	20%
Estradiol blood test CPT 82670 ESTRADIOL RECEPTOR	$58.60	$73.25	$25.20–$27.94	42% below	20%
Estradiol blood test CPT 82670 ESTRADIL FREE	$115.23	$144.04	$109.47–$135.40	14% above	20%
Estradiol blood test CPT 82670 ESTRADIL FREE	$115.23	$144.04	$109.47–$135.40	14% above	20%
Estradiol blood test CPT 82670 ESTRADIL FREE	$115.23	$144.04	$25.20–$27.94	14% above	20%
Estradiol blood test CPT 82670 ESTRADIL FREE	$115.23	$144.04	$25.20–$27.94	14% above	20%
Estradiol blood test inpatient CPT 82670 P-ESTRADIOL FREE	$50.82	$63.52	$25.20–$27.94	—	20%
Estradiol blood test inpatient CPT 82670 P-ESTRADIOL FREE	$50.82	$63.52	$25.20–$27.94	—	20%
Estradiol blood test inpatient CPT 82670 ESTRADIOL RECEPTOR	$58.60	$73.25	$25.20–$27.94	—	20%
Estradiol blood test inpatient CPT 82670 ESTRADIOL RECEPTOR	$58.60	$73.25	$25.20–$27.94	—	20%
Estradiol blood test inpatient CPT 82670 ESTRADIOL (E2) NON PREG	$58.60	$73.25	$25.20–$27.94	—	20%
Estradiol blood test inpatient CPT 82670 ESTRADIOL (E2) NON PREG	$58.60	$73.25	$25.20–$27.94	—	20%
Estradiol blood test inpatient CPT 82670 ESTRADIL FREE	$115.23	$144.04	$25.20–$27.94	—	20%
Estradiol blood test inpatient CPT 82670 ESTRADIL FREE	$115.23	$144.04	$25.20–$27.94	—	20%
FSH (follicle-stimulating hormone) test CPT 83001 FSH PEDIATRICS	$78.74	$98.43	$11.19–$18.58	4% above	20%
FSH (follicle-stimulating hormone) test CPT 83001 FSH PEDIATRICS	$78.74	$98.43	$11.19–$18.58	4% above	20%
FSH (follicle-stimulating hormone) test CPT 83001 FSH PEDIATRICS	$78.74	$98.43	$74.81–$92.52	4% above	20%
FSH (follicle-stimulating hormone) test CPT 83001 FSH PEDIATRICS	$78.74	$98.43	$74.81–$92.52	4% above	20%
FSH (follicle-stimulating hormone) test CPT 83001 P-FSH HORMONE	$100.67	$125.84	$11.19–$18.58	32% above	20%
FSH (follicle-stimulating hormone) test CPT 83001 P-FSH HORMONE	$100.67	$125.84	$95.64–$118.29	32% above	20%
FSH (follicle-stimulating hormone) test CPT 83001 P-FSH HORMONE	$100.67	$125.84	$11.19–$18.58	32% above	20%
FSH (follicle-stimulating hormone) test CPT 83001 P-FSH HORMONE	$100.67	$125.84	$95.64–$118.29	32% above	20%
FSH (follicle-stimulating hormone) test CPT 83001 FSH HORMONE	$122.30	$152.88	$116.19–$143.71	61% above	20%
FSH (follicle-stimulating hormone) test CPT 83001 FSH HORMONE	$122.30	$152.88	$11.19–$18.58	61% above	20%
FSH (follicle-stimulating hormone) test CPT 83001 FSH HORMONE	$122.30	$152.88	$116.19–$143.71	61% above	20%
FSH (follicle-stimulating hormone) test CPT 83001 FSH HORMONE	$122.30	$152.88	$11.19–$18.58	61% above	20%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH PEDIATRICS	$78.74	$98.43	$11.19–$18.58	—	20%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH PEDIATRICS	$78.74	$98.43	$11.19–$18.58	—	20%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 P-FSH HORMONE	$100.67	$125.84	$11.19–$18.58	—	20%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 P-FSH HORMONE	$100.67	$125.84	$11.19–$18.58	—	20%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH HORMONE	$122.30	$152.88	$11.19–$18.58	—	20%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH HORMONE	$122.30	$152.88	$11.19–$18.58	—	20%
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN STOOL	$145.98	$182.47	$138.68–$171.52	36% above	20%
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN STOOL	$145.98	$182.47	$11.39–$26.91	36% above	20%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN STOOL	$145.98	$182.47	$11.39–$26.91	—	20%
Ferritin blood test (iron stores) CPT 82728 P-FERRITIN	$16.82	$21.02	$6.31–$19.76	75% below	20%
Ferritin blood test (iron stores) CPT 82728 P-FERRITIN	$16.82	$21.02	$6.31–$19.76	75% below	20%
Ferritin blood test (iron stores) CPT 82728 P-FERRITIN	$16.82	$21.02	$13.63	75% below	20%
Ferritin blood test (iron stores) CPT 82728 P-FERRITIN	$16.82	$21.02	$13.63	75% below	20%
Ferritin blood test (iron stores) CPT 82728 FERRITIN LEVEL	$206.56	$258.20	$9.47–$13.63	208% above	20%
Ferritin blood test (iron stores) CPT 82728 FERRITIN LEVEL	$206.56	$258.20	$196.23–$242.71	208% above	20%
Ferritin blood test (iron stores) CPT 82728 FERRITIN LEVEL	$206.56	$258.20	$9.47–$13.63	208% above	20%
Ferritin blood test (iron stores) CPT 82728 FERRITIN LEVEL	$206.56	$258.20	$196.23–$242.71	208% above	20%
Ferritin blood test (iron stores) inpatient CPT 82728 P-FERRITIN	$16.82	$21.02	$13.63	—	20%
Ferritin blood test (iron stores) inpatient CPT 82728 P-FERRITIN	$16.82	$21.02	$13.63	—	20%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN LEVEL	$206.56	$258.20	$9.47–$13.63	—	20%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN LEVEL	$206.56	$258.20	$9.47–$13.63	—	20%
Folate (folic acid) blood test CPT 82746 FOLATE LEVEL	$48.26	$60.32	$45.84–$56.70	21% below	20%
Folate (folic acid) blood test CPT 82746 FOLATE LEVEL	$48.26	$60.32	$7.84–$14.70	21% below	20%
Folate (folic acid) blood test CPT 82746 FOLATE	$194.56	$243.20	$7.84–$14.70	217% above	20%
Folate (folic acid) blood test CPT 82746 FOLATE	$194.56	$243.20	$184.83–$228.61	217% above	20%
Folate (folic acid) blood test inpatient CPT 82746 FOLATE LEVEL	$48.26	$60.32	$7.84–$14.70	—	20%
Folate (folic acid) blood test inpatient CPT 82746 FOLATE	$194.56	$243.20	$7.84–$14.70	—	20%
Free T3 thyroid hormone test CPT 84481 FREE T3	$91.52	$114.40	$86.94–$107.54	3% above	20%
Free T3 thyroid hormone test CPT 84481 FREE T3	$91.52	$114.40	$9.09–$17.42	3% above	20%
Free T3 thyroid hormone test inpatient CPT 84481 FREE T3	$91.52	$114.40	$9.09–$17.42	—	20%
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE DIRECT DIALYSIS	$52.04	$65.05	$49.44–$61.15	18% below	20%
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE DIRECT DIALYSIS	$52.04	$65.05	$7.67–$9.02	18% below	20%
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE DIRECT DIALYSIS	$52.04	$65.05	$7.67–$9.02	18% below	20%
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE DIRECT DIALYSIS	$52.04	$65.05	$49.44–$61.15	18% below	20%
Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T-4	$254.58	$318.22	$7.67–$9.02	303% above	20%
Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T-4	$254.58	$318.22	$241.85–$299.13	303% above	20%
Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T-4	$254.58	$318.22	$7.67–$9.02	303% above	20%
Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T-4	$254.58	$318.22	$241.85–$299.13	303% above	20%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4 FREE DIRECT DIALYSIS	$52.04	$65.05	$7.67–$9.02	—	20%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4 FREE DIRECT DIALYSIS	$52.04	$65.05	$7.67–$9.02	—	20%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 FREE T-4	$254.58	$318.22	$7.67–$9.02	—	20%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 FREE T-4	$254.58	$318.22	$7.67–$9.02	—	20%
Free testosterone test CPT 84402 P-TESTOSTERONE FREE	$22.63	$28.29	$21.50–$26.59	75% below	20%
Free testosterone test CPT 84402 P-TESTOSTERONE FREE	$22.63	$28.29	$25.47–$29.97	75% below	20%
Free testosterone test CPT 84402 TESTOSTERONE TOTAL & FREE	$67.88	$84.85	$25.47–$29.97	26% below	20%
Free testosterone test CPT 84402 TESTOSTERONE TOTAL & FREE	$67.88	$84.85	$64.49–$79.76	26% below	20%
Free testosterone test inpatient CPT 84402 P-TESTOSTERONE FREE	$22.63	$28.29	$25.47–$29.97	—	20%
Free testosterone test inpatient CPT 84402 TESTOSTERONE TOTAL & FREE	$67.88	$84.85	$25.47–$29.97	—	20%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL	$695.55	$869.44	$611.22–$817.27	344% above	20%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL	$695.55	$869.44	$611.22–$817.27	344% above	20%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 2 HR POSTPRANDIAL GLUCOSE	$164.54	$205.67	$2.10–$4.75	672% above	20%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 2 HR POSTPRANDIAL GLUCOSE	$164.54	$205.67	$156.31–$193.33	672% above	20%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 2 HR POSTPRANDIAL GLUCOSE	$164.54	$205.67	$2.10–$4.75	672% above	20%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 2 HR POSTPRANDIAL GLUCOSE	$164.54	$205.67	$156.31–$193.33	672% above	20%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GTT (1 HOUR)	$340.32	$425.40	$2.10–$4.75	1498% above	20%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GTT (1 HOUR)	$340.32	$425.40	$2.10–$4.75	1498% above	20%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GTT (1 HOUR)	$340.32	$425.40	$323.30–$399.88	1498% above	20%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GTT (1 HOUR)	$340.32	$425.40	$323.30–$399.88	1498% above	20%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 2 HR POSTPRANDIAL GLUCOSE	$164.54	$205.67	$2.10–$4.75	—	20%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 2 HR POSTPRANDIAL GLUCOSE	$164.54	$205.67	$2.10–$4.75	—	20%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GTT (1 HOUR)	$340.32	$425.40	$2.10–$4.75	—	20%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GTT (1 HOUR)	$340.32	$425.40	$2.10–$4.75	—	20%
Glucose tolerance test, 3 samples CPT 82951 P-TOLERANCE TEST-3 SPECIMENS	$214.60	$268.25	$203.87–$252.16	258% above	20%
Glucose tolerance test, 3 samples CPT 82951 P-GTT-THREE SPECIMENS	$214.60	$268.25	$6.19–$12.87	258% above	20%
Glucose tolerance test, 3 samples CPT 82951 P-TOLERANCE TEST-3 SPECIMENS	$214.60	$268.25	$6.19–$12.87	258% above	20%
Glucose tolerance test, 3 samples CPT 82951 P-GTT-THREE SPECIMENS	$214.60	$268.25	$203.87–$252.16	258% above	20%
Glucose tolerance test, 3 samples CPT 82951 P-TOLERANCE TEST-3 SPECIMENS	$214.60	$268.25	$203.87–$252.16	258% above	20%
Glucose tolerance test, 3 samples CPT 82951 P-GTT-THREE SPECIMENS	$214.60	$268.25	$6.19–$12.87	258% above	20%
Glucose tolerance test, 3 samples CPT 82951 P-TOLERANCE TEST-3 SPECIMENS	$214.60	$268.25	$6.19–$12.87	258% above	20%
Glucose tolerance test, 3 samples CPT 82951 P-GTT-THREE SPECIMENS	$214.60	$268.25	$203.87–$252.16	258% above	20%
Glucose tolerance test, 3 samples CPT 82951 P-GTT - THREE SPECIMENS	$262.64	$328.30	$6.19–$12.87	338% above	20%
Glucose tolerance test, 3 samples CPT 82951 P-GTT - THREE SPECIMENS	$262.64	$328.30	$249.51–$308.60	338% above	20%
Glucose tolerance test, 3 samples CPT 82951 P-GTT - THREE SPECIMENS	$262.64	$328.30	$249.51–$308.60	338% above	20%
Glucose tolerance test, 3 samples CPT 82951 P-GTT - THREE SPECIMENS	$262.64	$328.30	$6.19–$12.87	338% above	20%
Glucose tolerance test, 3 samples CPT 82951 GTT (2 HOUR)	$491.18	$613.98	$6.19–$12.87	719% above	20%
Glucose tolerance test, 3 samples CPT 82951 GTT (2 HOUR)	$491.18	$613.98	$466.62–$577.14	719% above	20%
Glucose tolerance test, 3 samples CPT 82951 GTT (2 HOUR)	$491.18	$613.98	$466.62–$577.14	719% above	20%
Glucose tolerance test, 3 samples CPT 82951 GTT (2 HOUR)	$491.18	$613.98	$6.19–$12.87	719% above	20%
Glucose tolerance test, 3 samples CPT 82951 LACTOSE TOLERANCE	$693.90	$867.38	$6.19–$12.87	1056% above	20%
Glucose tolerance test, 3 samples CPT 82951 LACTOSE TOLERANCE	$693.90	$867.38	$6.19–$12.87	1056% above	20%
Glucose tolerance test, 3 samples CPT 82951 LACTOSE TOLERANCE	$693.90	$867.38	$659.21–$815.34	1056% above	20%
Glucose tolerance test, 3 samples CPT 82951 LACTOSE TOLERANCE	$693.90	$867.38	$659.21–$815.34	1056% above	20%
Glucose tolerance test, 3 samples CPT 82951 LACTOSE TOLERANCE 5 HR	$836.23	$1,045.29	$794.42–$982.57	1294% above	20%
Glucose tolerance test, 3 samples CPT 82951 LACTOSE TOLERANCE 5 HR	$836.23	$1,045.29	$794.42–$982.57	1294% above	20%
Glucose tolerance test, 3 samples CPT 82951 LACTOSE TOLERANCE 5 HR	$836.23	$1,045.29	$6.19–$12.87	1294% above	20%
Glucose tolerance test, 3 samples CPT 82951 LACTOSE TOLERANCE 5 HR	$836.23	$1,045.29	$6.19–$12.87	1294% above	20%
Glucose tolerance test, 3 samples inpatient CPT 82951 P-TOLERANCE TEST-3 SPECIMENS	$214.60	$268.25	$6.19–$12.87	—	20%
Glucose tolerance test, 3 samples inpatient CPT 82951 P-GTT-THREE SPECIMENS	$214.60	$268.25	$6.19–$12.87	—	20%
Glucose tolerance test, 3 samples inpatient CPT 82951 P-TOLERANCE TEST-3 SPECIMENS	$214.60	$268.25	$6.19–$12.87	—	20%
Glucose tolerance test, 3 samples inpatient CPT 82951 P-GTT-THREE SPECIMENS	$214.60	$268.25	$6.19–$12.87	—	20%
Glucose tolerance test, 3 samples inpatient CPT 82951 P-GTT - THREE SPECIMENS	$262.64	$328.30	$6.19–$12.87	—	20%
Glucose tolerance test, 3 samples inpatient CPT 82951 P-GTT - THREE SPECIMENS	$262.64	$328.30	$6.19–$12.87	—	20%
Glucose tolerance test, 3 samples inpatient CPT 82951 GTT (2 HOUR)	$491.18	$613.98	$6.19–$12.87	—	20%
Glucose tolerance test, 3 samples inpatient CPT 82951 GTT (2 HOUR)	$491.18	$613.98	$6.19–$12.87	—	20%
Glucose tolerance test, 3 samples inpatient CPT 82951 LACTOSE TOLERANCE	$693.90	$867.38	$6.19–$12.87	—	20%
Glucose tolerance test, 3 samples inpatient CPT 82951 LACTOSE TOLERANCE	$693.90	$867.38	$6.19–$12.87	—	20%
Glucose tolerance test, 3 samples inpatient CPT 82951 LACTOSE TOLERANCE 5 HR	$836.23	$1,045.29	$6.19–$12.87	—	20%
Glucose tolerance test, 3 samples inpatient CPT 82951 LACTOSE TOLERANCE 5 HR	$836.23	$1,045.29	$6.19–$12.87	—	20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 P-NEISSERIA GONORRHOEAE	$49.66	$62.08	$21.64–$49.00	51% below	20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 P-NEISSERIA GONORRHOEAE	$49.66	$62.08	$21.64–$49.00	51% below	20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 P-NEISSERIA GONORRHOEAE	$49.66	$62.08	$47.18–$58.36	51% below	20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 P-NEISSERIA GONORRHOEAE	$49.66	$62.08	$47.18–$58.36	51% below	20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORRHOEAE DNA LCR ENDOCER	$64.27	$80.34	$61.06–$75.52	36% below	20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORRHOEAE DNA LCR ENDOCER	$64.27	$80.34	$21.64–$49.00	36% below	20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORRHOEAE DNA LCR ENDOCER	$64.27	$80.34	$21.64–$49.00	36% below	20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORRHOEAE DNA LCR ENDOCER	$64.27	$80.34	$61.06–$75.52	36% below	20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NIESSERIA GONORRHOEAE AMP PROB	$81.95	$102.44	$21.64–$49.00	19% below	20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NIESSERIA GONORRHOEAE AMP PROB	$81.95	$102.44	$77.85–$96.29	19% below	20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NIESSERIA GONORRHOEAE AMP PROB	$81.95	$102.44	$21.64–$49.00	19% below	20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NIESSERIA GONORRHOEAE AMP PROB	$81.95	$102.44	$77.85–$96.29	19% below	20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 P-N.GONORRHEAE	$91.01	$113.76	$34.13–$106.93	10% below	20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 P-N.GONORRHEAE	$91.01	$113.76	$21.64	10% below	20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 P-N.GONORRHEAE	$91.01	$113.76	$34.13–$106.93	10% below	20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 P-N.GONORRHEAE	$91.01	$113.76	$21.64	10% below	20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 P-NEISSERIA GONORRHOEAE AMP	$104.42	$130.52	$99.20–$122.69	4% above	20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 P-NEISSERIA GONORRHOEAE AMP	$104.42	$130.52	$99.20–$122.69	4% above	20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 P-NEISSERIA GONORRHOEAE AMP	$104.42	$130.52	$21.64–$49.00	4% above	20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 P-NEISSERIA GONORRHOEAE AMP	$104.42	$130.52	$21.64–$49.00	4% above	20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 P-INFECT DIS,NEISSERIA GONORRH	$149.74	$187.18	$21.64	48% above	20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 P-INFECT DIS,NEISSERIA GONORRH	$149.74	$187.18	$21.64	48% above	20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 P-INFECT DIS,NEISSERIA GONORRH	$149.74	$187.18	$56.15–$175.95	48% above	20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 P-INFECT DIS,NEISSERIA GONORRH	$149.74	$187.18	$56.15–$175.95	48% above	20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 P-N.GONORRHOEAE	$198.40	$248.00	$188.48–$233.12	97% above	20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 P-N.GONORRHOEAE	$198.40	$248.00	$21.64–$49.00	97% above	20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 P-N.GONORRHOEAE	$198.40	$248.00	$21.64–$49.00	97% above	20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 P-N.GONORRHOEAE	$198.40	$248.00	$188.48–$233.12	97% above	20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 P-NEISSERIA GONORRHOEAE	$49.66	$62.08	$21.64–$49.00	—	20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 P-NEISSERIA GONORRHOEAE	$49.66	$62.08	$21.64–$49.00	—	20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N.GONORRHOEAE DNA LCR ENDOCER	$64.27	$80.34	$21.64–$49.00	—	20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N.GONORRHOEAE DNA LCR ENDOCER	$64.27	$80.34	$21.64–$49.00	—	20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NIESSERIA GONORRHOEAE AMP PROB	$81.95	$102.44	$21.64–$49.00	—	20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NIESSERIA GONORRHOEAE AMP PROB	$81.95	$102.44	$21.64–$49.00	—	20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 P-N.GONORRHEAE	$91.01	$113.76	$21.64	—	20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 P-N.GONORRHEAE	$91.01	$113.76	$21.64	—	20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 P-NEISSERIA GONORRHOEAE AMP	$104.42	$130.52	$21.64–$49.00	—	20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 P-NEISSERIA GONORRHOEAE AMP	$104.42	$130.52	$21.64–$49.00	—	20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 P-INFECT DIS,NEISSERIA GONORRH	$149.74	$187.18	$21.64	—	20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 P-INFECT DIS,NEISSERIA GONORRH	$149.74	$187.18	$21.64	—	20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 P-N.GONORRHOEAE	$198.40	$248.00	$21.64–$49.00	—	20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 P-N.GONORRHOEAE	$198.40	$248.00	$21.64–$49.00	—	20%
H. pylori antibody blood test CPT 86677 H. PYLORI AB IGA	$134.78	$168.48	$128.04–$158.37	157% above	20%
H. pylori antibody blood test CPT 86677 H. PYLORI AB IGA	$134.78	$168.48	$8.11–$16.85	157% above	20%
H. pylori antibody blood test CPT 86677 H. PYLORI AB IGA	$134.78	$168.48	$8.11–$16.85	157% above	20%
H. pylori antibody blood test CPT 86677 H. PYLORI AB IGA	$134.78	$168.48	$128.04–$158.37	157% above	20%
H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI AB	$229.16	$286.45	$217.70–$269.26	336% above	20%
H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI AB	$229.16	$286.45	$8.11–$16.85	336% above	20%
H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI AB	$229.16	$286.45	$217.70–$269.26	336% above	20%
H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI AB	$229.16	$286.45	$8.11–$16.85	336% above	20%
H. pylori antibody blood test inpatient CPT 86677 H. PYLORI AB IGA	$134.78	$168.48	$8.11–$16.85	—	20%
H. pylori antibody blood test inpatient CPT 86677 H. PYLORI AB IGA	$134.78	$168.48	$8.11–$16.85	—	20%
H. pylori antibody blood test inpatient CPT 86677 HELICOBACTER PYLORI AB	$229.16	$286.45	$8.11–$16.85	—	20%
H. pylori antibody blood test inpatient CPT 86677 HELICOBACTER PYLORI AB	$229.16	$286.45	$8.11–$16.85	—	20%
H. pylori stool antigen test CPT 87338 H PYLORI ANTIGEN DETECTION	$147.26	$184.08	$8.11–$50.00	135% above	20%
H. pylori stool antigen test CPT 87338 H PYLORI ANTIGEN DETECTION	$147.26	$184.08	$139.90–$173.04	135% above	20%
H. pylori stool antigen test inpatient CPT 87338 H PYLORI ANTIGEN DETECTION	$147.26	$184.08	$8.11–$50.00	—	20%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV VIRAL LOAD	$148.30	$185.38	$140.89–$174.26	37% below	20%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV VIRAL LOAD	$148.30	$185.38	$78.40–$85.10	37% below	20%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV 1 RNA QN PCR RFL TO GENOTY	$165.57	$206.96	$78.40–$85.10	29% below	20%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV 1 RNA QN PCR RFL TO GENOTY	$165.57	$206.96	$157.29–$194.54	29% below	20%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 P-HIV-1 RNA	$233.00	$291.25	$78.40–$85.10	at median	20%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 P-HIV-1 RNA	$233.00	$291.25	$221.35–$273.78	at median	20%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 RNA QUAN PCR ULTRA	$288.70	$360.88	$274.27–$339.23	23% above	20%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 RNA QUAN PCR ULTRA	$288.70	$360.88	$78.40–$85.10	23% above	20%
HIV viral load test (HIV-1 RNA, quantitative) one side CPT 87536 HIV 1 RNA QN RT PCR CSF	$131.12	$163.90	$124.56–$154.07	44% below	20%
HIV viral load test (HIV-1 RNA, quantitative) one side CPT 87536 HIV 1 RNA QN RT PCR CSF	$131.12	$163.90	$78.40–$85.10	44% below	20%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV VIRAL LOAD	$148.30	$185.38	$78.40–$85.10	—	20%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV 1 RNA QN PCR RFL TO GENOTY	$165.57	$206.96	$78.40–$85.10	—	20%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 P-HIV-1 RNA	$233.00	$291.25	$78.40–$85.10	—	20%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 RNA QUAN PCR ULTRA	$288.70	$360.88	$78.40–$85.10	—	20%
HIV viral load test (HIV-1 RNA, quantitative) inpatient one side CPT 87536 HIV 1 RNA QN RT PCR CSF	$131.12	$163.90	$78.40–$85.10	—	20%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 P-INFECTIOUS AGENT IM	$41.82	$52.28	$39.73–$49.14	49% below	20%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 P-INFECTIOUS AGENT IM	$41.82	$52.28	$18.04–$24.08	49% below	20%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 P-INFECTIOUS AGENT IM	$41.82	$52.28	$39.73–$49.14	49% below	20%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 P-INFECTIOUS AGENT IM	$41.82	$52.28	$18.04–$24.08	49% below	20%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV AG/AB 4TH GENERATION	$88.65	$110.81	$84.22–$104.16	9% above	20%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV AG/AB 4TH GENERATION	$88.65	$110.81	$18.04–$24.08	9% above	20%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV AG/AB 4TH GENERATION	$88.65	$110.81	$84.22–$104.16	9% above	20%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV AG/AB 4TH GENERATION	$88.65	$110.81	$18.04–$24.08	9% above	20%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 P-INFECTIOUS AGENT DETECTION	$127.00	$158.75	$18.67	56% above	20%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 P-INFECTIOUS AGENT DETECTION	$127.00	$158.75	$47.63–$149.23	56% above	20%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 P-INFECTIOUS AGENT DETECTION	$127.00	$158.75	$18.67	56% above	20%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 P-INFECTIOUS AGENT DETECTION	$127.00	$158.75	$47.63–$149.23	56% above	20%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 P-INFECTIOUS AGENT IM	$41.82	$52.28	$18.04–$24.08	—	20%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 P-INFECTIOUS AGENT IM	$41.82	$52.28	$18.04–$24.08	—	20%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV AG/AB 4TH GENERATION	$88.65	$110.81	$18.04–$24.08	—	20%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV AG/AB 4TH GENERATION	$88.65	$110.81	$18.04–$24.08	—	20%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 P-INFECTIOUS AGENT DETECTION	$127.00	$158.75	$18.67	—	20%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 P-INFECTIOUS AGENT DETECTION	$127.00	$158.75	$18.67	—	20%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV DNA HR ANAL-RECTAL	$72.38	$90.48	$68.76–$85.05	19% below	20%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV DNA HR ANAL-RECTAL	$72.38	$90.48	$28.13–$35.09	19% below	20%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV DNA HR ANAL-RECTAL	$72.38	$90.48	$68.76–$85.05	19% below	20%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV DNA HR ANAL-RECTAL	$72.38	$90.48	$28.13–$35.09	19% below	20%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV W/REFLEX TO GENOTYPES	$184.23	$230.29	$28.13–$35.09	107% above	20%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV mRNA E6/E7	$184.23	$230.29	$28.13–$35.09	107% above	20%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV mRNA E6/E7	$184.23	$230.29	$28.13–$35.09	107% above	20%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV mRNA E6/E7	$184.23	$230.29	$175.02–$216.47	107% above	20%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV mRNA E6/E7	$184.23	$230.29	$175.02–$216.47	107% above	20%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV W/REFLEX TO GENOTYPES	$184.23	$230.29	$175.02–$216.47	107% above	20%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV W/REFLEX TO GENOTYPES	$184.23	$230.29	$28.13–$35.09	107% above	20%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV W/REFLEX TO GENOTYPES	$184.23	$230.29	$175.02–$216.47	107% above	20%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV DNA HR ANAL-RECTAL	$72.38	$90.48	$28.13–$35.09	—	20%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV DNA HR ANAL-RECTAL	$72.38	$90.48	$28.13–$35.09	—	20%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV W/REFLEX TO GENOTYPES	$184.23	$230.29	$28.13–$35.09	—	20%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV mRNA E6/E7	$184.23	$230.29	$28.13–$35.09	—	20%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV mRNA E6/E7	$184.23	$230.29	$28.13–$35.09	—	20%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV W/REFLEX TO GENOTYPES	$184.23	$230.29	$28.13–$35.09	—	20%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN GLYCOSYLATED A1C	$15.60	$19.50	$166.28	62% below	20%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN GLYCOSYLATED A1C	$15.60	$19.50	$166.28	62% below	20%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C W/eAG	$48.26	$60.32	$18.10–$56.70	17% above	20%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C QUEST#496	$48.26	$60.32	$9.71	17% above	20%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C W/eAG	$48.26	$60.32	$9.71	17% above	20%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C QUEST#496	$48.26	$60.32	$18.10–$56.70	17% above	20%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C W/eAG	$48.26	$60.32	$18.10–$56.70	17% above	20%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C QUEST#496	$48.26	$60.32	$9.71	17% above	20%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C W/eAG	$48.26	$60.32	$9.71	17% above	20%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C QUEST#496	$48.26	$60.32	$18.10–$56.70	17% above	20%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOSYLATED HEMOGLOBIN	$49.14	$61.43	$46.69–$57.74	19% above	20%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOSYLATED HEMOGLOBIN	$49.14	$61.43	$7.75–$9.71	19% above	20%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOSYLATED HEMOGLOBIN	$49.14	$61.43	$46.69–$57.74	19% above	20%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOSYLATED HEMOGLOBIN	$49.14	$61.43	$7.75–$9.71	19% above	20%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HBA1C AMB POC	$50.75	$63.44	$9.71	23% above	20%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HBA1C AMB POC	$50.75	$63.44	$9.71	23% above	20%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HBA1C AMB POC	$50.75	$63.44	$19.03–$59.63	23% above	20%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HBA1C AMB POC	$50.75	$63.44	$19.03–$59.63	23% above	20%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOSYLATED HGB	$178.50	$223.13	$169.58–$209.74	333% above	20%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOSYLATED HGB	$178.50	$223.13	$169.58–$209.74	333% above	20%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOSYLATED HGB	$178.50	$223.13	$7.75–$9.71	333% above	20%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOSYLATED HGB	$178.50	$223.13	$7.75–$9.71	333% above	20%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN A1C QUEST#496	$48.26	$60.32	$9.71	—	20%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN A1C W/eAG	$48.26	$60.32	$9.71	—	20%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN A1C W/eAG	$48.26	$60.32	$9.71	—	20%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN A1C QUEST#496	$48.26	$60.32	$9.71	—	20%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 GLYCOSYLATED HEMOGLOBIN	$49.14	$61.43	$7.75–$9.71	—	20%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 GLYCOSYLATED HEMOGLOBIN	$49.14	$61.43	$7.75–$9.71	—	20%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HBA1C AMB POC	$50.75	$63.44	$9.71	—	20%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HBA1C AMB POC	$50.75	$63.44	$9.71	—	20%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 GLYCOSYLATED HGB	$178.50	$223.13	$7.75–$9.71	—	20%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 GLYCOSYLATED HGB	$178.50	$223.13	$7.75–$9.71	—	20%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 P-HEPATITIS B SURFACE AB	$14.81	$18.51	$10.20–$10.74	66% below	20%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 P-HEPATITIS B SURFACE AB	$14.81	$18.51	$13.88–$17.40	66% below	20%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 P-HEPATITIS B SURFACE ANTIBODY	$37.08	$46.35	$8.64–$11.57	14% below	20%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 P-HEPATITIS B SURFACE ANTIBODY	$37.08	$46.35	$35.23–$43.57	14% below	20%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPT. B SURFACE AB (QUANT	$49.14	$61.43	$46.69–$57.74	14% above	20%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B IMMUNITY	$49.14	$61.43	$8.64–$10.74	14% above	20%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE AB (QUAL)	$49.14	$61.43	$8.64–$10.74	14% above	20%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPT. B SURFACE AB (QUANT	$49.14	$61.43	$8.64–$10.74	14% above	20%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B IMMUNITY	$49.14	$61.43	$46.69–$57.74	14% above	20%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE AB (QUAL)	$49.14	$61.43	$46.69–$57.74	14% above	20%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 P-HEPATITIS B SURFACE AB	$14.81	$18.51	$10.20–$10.74	—	20%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 P-HEPATITIS B SURFACE ANTIBODY	$37.08	$46.35	$8.64–$11.57	—	20%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURFACE AB (QUAL)	$49.14	$61.43	$8.64–$10.74	—	20%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPT. B SURFACE AB (QUANT	$49.14	$61.43	$8.64–$10.74	—	20%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B IMMUNITY	$49.14	$61.43	$8.64–$10.74	—	20%
Hepatitis B surface antigen (HBsAg) test CPT 87340 P-HEPATITIS B SURFACE ANTIGEN	$14.81	$18.51	$13.88–$17.40	60% below	20%
Hepatitis B surface antigen (HBsAg) test CPT 87340 P-HEPATITIS B SURFACE ANTIGEN	$14.81	$18.51	$10.33	60% below	20%
Hepatitis B surface antigen (HBsAg) test CPT 87340 P-HEPATITIS B SURFACE AG	$15.07	$18.84	$14.32–$17.71	60% below	20%
Hepatitis B surface antigen (HBsAg) test CPT 87340 P-HEPATITIS B SURFACE AG	$15.07	$18.84	$8.71–$10.33	60% below	20%
Hepatitis B surface antigen (HBsAg) test CPT 87340 P-INFECTIOUS AGENT IM	$41.82	$52.28	$8.71–$10.33	12% above	20%
Hepatitis B surface antigen (HBsAg) test CPT 87340 P-INFECTIOUS AGENT IM	$41.82	$52.28	$39.73–$49.14	12% above	20%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE ANTIG	$48.73	$60.91	$8.71–$10.33	30% above	20%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE ANTIG	$48.73	$60.91	$46.29–$57.26	30% above	20%
Hepatitis B surface antigen (HBsAg) test CPT 87340 P-HEPATITIS B	$65.03	$81.29	$8.71–$10.33	74% above	20%
Hepatitis B surface antigen (HBsAg) test CPT 87340 P-HEPATITIS B	$65.03	$81.29	$61.78–$76.41	74% above	20%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HBSAG RAPID	$122.30	$152.88	$8.71–$10.33	227% above	20%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HBSAG RAPID	$122.30	$152.88	$116.19–$143.71	227% above	20%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 P-HEPATITIS B SURFACE ANTIGEN	$14.81	$18.51	$10.33	—	20%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 P-HEPATITIS B SURFACE AG	$15.07	$18.84	$8.71–$10.33	—	20%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 P-INFECTIOUS AGENT IM	$41.82	$52.28	$8.71–$10.33	—	20%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE ANTIG	$48.73	$60.91	$8.71–$10.33	—	20%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 P-HEPATITIS B	$65.03	$81.29	$8.71–$10.33	—	20%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HBSAG RAPID	$122.30	$152.88	$8.71–$10.33	—	20%
Hepatitis C antibody blood test (screening) CPT 86803 HEP C AB RFLX TO HCV RNA GENO	$49.46	$61.83	$10.10	17% below	20%
Hepatitis C antibody blood test (screening) CPT 86803 HEP C AB RFLX TO HCV RNA GENO	$49.46	$61.83	$18.55–$58.12	17% below	20%
Hepatitis C antibody blood test (screening) CPT 86803 HEP C AB RFLX TO HCV RNA GENO	$49.46	$61.83	$10.10	17% below	20%
Hepatitis C antibody blood test (screening) CPT 86803 HEP C AB RFLX TO HCV RNA GENO	$49.46	$61.83	$18.55–$58.12	17% below	20%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C VIRUS AB	$83.20	$104.00	$79.04–$97.76	40% above	20%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C VIRUS AB	$83.20	$104.00	$10.10–$19.89	40% above	20%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C VIRUS AB	$83.20	$104.00	$10.10–$19.89	40% above	20%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C VIRUS AB	$83.20	$104.00	$79.04–$97.76	40% above	20%
Hepatitis C antibody blood test (screening) CPT 86803 P-HEP C AB	$126.99	$158.74	$10.10	113% above	20%
Hepatitis C antibody blood test (screening) CPT 86803 P-HEP C AB	$126.99	$158.74	$47.62–$149.22	113% above	20%
Hepatitis C antibody blood test (screening) CPT 86803 P-HEP C AB	$126.99	$158.74	$10.10	113% above	20%
Hepatitis C antibody blood test (screening) CPT 86803 P-HEP C AB	$126.99	$158.74	$47.62–$149.22	113% above	20%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEP C AB RFLX TO HCV RNA GENO	$49.46	$61.83	$10.10	—	20%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEP C AB RFLX TO HCV RNA GENO	$49.46	$61.83	$10.10	—	20%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C VIRUS AB	$83.20	$104.00	$10.10–$19.89	—	20%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C VIRUS AB	$83.20	$104.00	$10.10–$19.89	—	20%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 P-HEP C AB	$126.99	$158.74	$10.10	—	20%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 P-HEP C AB	$126.99	$158.74	$10.10	—	20%
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA PCR QUANT	$116.48	$145.60	$110.66–$136.86	12% below	20%
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA PCR QUANT	$116.48	$145.60	$42.84–$78.40	12% below	20%
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA QN BDNA	$297.86	$372.32	$42.84–$78.40	125% above	20%
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA QN BDNA	$297.86	$372.32	$282.96–$349.98	125% above	20%
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA QN EXPANDED	$394.37	$492.96	$42.84–$78.40	198% above	20%
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA QN EXPANDED	$394.37	$492.96	$374.65–$463.38	198% above	20%
Hepatitis C viral load (HCV RNA) test one side CPT 87522 HCV RNA QN RT PCR	$116.48	$145.60	$42.84–$78.40	12% below	20%
Hepatitis C viral load (HCV RNA) test one side CPT 87522 HCV RNA QN RT PCR	$116.48	$145.60	$110.66–$136.86	12% below	20%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV RNA PCR QUANT	$116.48	$145.60	$42.84–$78.40	—	20%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV RNA QN BDNA	$297.86	$372.32	$42.84–$78.40	—	20%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV RNA QN EXPANDED	$394.37	$492.96	$42.84–$78.40	—	20%
Hepatitis C viral load (HCV RNA) test inpatient one side CPT 87522 HCV RNA QN RT PCR	$116.48	$145.60	$42.84–$78.40	—	20%
Herpes blood test, HSV-1 antibody CPT 86695 P-HERPES SIMPLEX TYPE I	$16.94	$21.17	$13.19–$21.71	57% below	20%
Herpes blood test, HSV-1 antibody CPT 86695 P-HERPES SIMPLEX TYPE I	$16.94	$21.17	$16.09–$19.90	57% below	20%
Herpes blood test, HSV-1 antibody CPT 86695 P-HERPES SIMPLEX TYPE 1 AB	$28.91	$36.14	$10.84–$33.97	27% below	20%
Herpes blood test, HSV-1 antibody CPT 86695 P-HERPES SIMPLEX TYPE 1	$44.96	$56.20	$42.71–$52.83	13% above	20%
Herpes blood test, HSV-1 antibody CPT 86695 P-HERPES SIMPLEX TYPE 1	$44.96	$56.20	$13.19–$21.71	13% above	20%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES VIRUS TYPE I IGG	$52.93	$66.16	$50.28–$62.19	33% above	20%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES VIRUS TYPE I IGG	$52.93	$66.16	$13.19–$21.71	33% above	20%
Herpes blood test, HSV-1 antibody CPT 86695 LYMPHADENOPATHY PANEL	$87.70	$109.62	$83.31–$103.04	121% above	20%
Herpes blood test, HSV-1 antibody CPT 86695 LYMPHADENOPATHY PANEL	$87.70	$109.62	$8.11–$21.71	121% above	20%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 P-HERPES SIMPLEX TYPE I	$16.94	$21.17	$13.19–$21.71	—	20%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 P-HERPES SIMPLEX TYPE 1	$44.96	$56.20	$13.19–$21.71	—	20%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES VIRUS TYPE I IGG	$52.93	$66.16	$13.19–$21.71	—	20%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 LYMPHADENOPATHY PANEL	$87.70	$109.62	$8.11–$21.71	—	20%
Herpes blood test, HSV-2 antibody CPT 86696 P-HERPES SIMPLEX TYPE II	$16.94	$21.17	$14.65–$27.75	71% below	20%
Herpes blood test, HSV-2 antibody CPT 86696 P-HERPES SIMPLEX TYPE II	$16.94	$21.17	$16.09–$19.90	71% below	20%
Herpes blood test, HSV-2 antibody CPT 86696 P-HERPES SIMPLEX TYPE 2, AB	$28.92	$36.15	$14.65	51% below	20%
Herpes blood test, HSV-2 antibody CPT 86696 P-HERPES SIMPLEX TYPE 2, AB	$28.92	$36.15	$10.85–$33.98	51% below	20%
Herpes blood test, HSV-2 antibody CPT 86696 P-HERPES SIMPLEX TYPE 2	$44.96	$56.20	$42.71–$52.83	24% below	20%
Herpes blood test, HSV-2 antibody CPT 86696 P-HERPES SIMPLEX TYPE 2	$44.96	$56.20	$14.65–$27.75	24% below	20%
Herpes blood test, HSV-2 antibody CPT 86696 HSV 2 HERPESELECT ANTIBODY	$124.22	$155.27	$14.65–$27.75	109% above	20%
Herpes blood test, HSV-2 antibody CPT 86696 HSV 2 HERPESELECT ANTIBODY	$124.22	$155.27	$118.01–$145.95	109% above	20%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 P-HERPES SIMPLEX TYPE II	$16.94	$21.17	$14.65–$27.75	—	20%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 P-HERPES SIMPLEX TYPE 2, AB	$28.92	$36.15	$14.65	—	20%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 P-HERPES SIMPLEX TYPE 2	$44.96	$56.20	$14.65–$27.75	—	20%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV 2 HERPESELECT ANTIBODY	$124.22	$155.27	$14.65–$27.75	—	20%
High-sensitivity CRP (hs-CRP) test CPT 86141 CRP (HS)	$67.22	$84.02	$10.35–$17.89	42% above	20%
High-sensitivity CRP (hs-CRP) test CPT 86141 CRP (HS)	$67.22	$84.02	$63.86–$78.98	42% above	20%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CRP (HS)	$67.22	$84.02	$10.35–$17.89	—	20%
Homocysteine blood test CPT 83090 P-HOMOCYSTEINE	$44.44	$55.55	$17.92	42% below	20%
Homocysteine blood test CPT 83090 P-HOMOCYSTEINE	$44.44	$55.55	$16.67–$52.22	42% below	20%
Homocysteine blood test CPT 83090 HOMOCYSTINE (ADULT)	$64.27	$80.34	$61.06–$75.52	16% below	20%
Homocysteine blood test CPT 83090 HOMOCYSTINE (ADULT)	$64.27	$80.34	$17.92–$55.00	16% below	20%
Homocysteine blood test CPT 83090 HOMOCYSTEINE NUTRITIONAL CHILD	$169.77	$212.21	$161.28–$199.48	121% above	20%
Homocysteine blood test CPT 83090 HOMOCYSTEINE NUTRITIONAL CHILD	$169.77	$212.21	$17.92–$55.00	121% above	20%
Homocysteine blood test inpatient CPT 83090 P-HOMOCYSTEINE	$44.44	$55.55	$17.92	—	20%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTINE (ADULT)	$64.27	$80.34	$17.92–$55.00	—	20%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE NUTRITIONAL CHILD	$169.77	$212.21	$17.92–$55.00	—	20%
Insulin blood test CPT 83525 P-INSULIN TOTAL	$46.22	$57.77	$11.43	1% below	20%
Insulin blood test CPT 83525 P-INSULIN TOTAL	$46.22	$57.77	$17.33–$54.30	1% below	20%
Insulin blood test CPT 83525 INSULIN LEVEL	$89.31	$111.64	$84.85–$104.94	91% above	20%
Insulin blood test CPT 83525 INSULIN LEVEL	$89.31	$111.64	$11.43–$11.55	91% above	20%
Insulin blood test inpatient CPT 83525 P-INSULIN TOTAL	$46.22	$57.77	$11.43	—	20%
Insulin blood test inpatient CPT 83525 INSULIN LEVEL	$89.31	$111.64	$11.43–$11.55	—	20%
Iron blood test (serum iron) CPT 83540 IRON	$217.84	$272.30	$206.95–$255.96	612% above	20%
Iron blood test (serum iron) CPT 83540 IRON	$217.84	$272.30	$206.95–$255.96	612% above	20%
Iron blood test (serum iron) CPT 83540 IRON	$217.84	$272.30	$4.38–$6.47	612% above	20%
Iron blood test (serum iron) CPT 83540 IRON	$217.84	$272.30	$4.38–$6.47	612% above	20%
Iron blood test (serum iron) CPT 83540 IRON LIVER TISSUE	$231.63	$289.54	$4.38–$6.47	657% above	20%
Iron blood test (serum iron) CPT 83540 IRON LIVER TISSUE	$231.63	$289.54	$220.05–$272.17	657% above	20%
Iron blood test (serum iron) CPT 83540 IRON LIVER TISSUE	$231.63	$289.54	$4.38–$6.47	657% above	20%
Iron blood test (serum iron) CPT 83540 IRON LIVER TISSUE	$231.63	$289.54	$220.05–$272.17	657% above	20%
Iron blood test (serum iron) inpatient CPT 83540 IRON	$217.84	$272.30	$4.38–$6.47	—	20%
Iron blood test (serum iron) inpatient CPT 83540 IRON	$217.84	$272.30	$4.38–$6.47	—	20%
Iron blood test (serum iron) inpatient CPT 83540 IRON LIVER TISSUE	$231.63	$289.54	$4.38–$6.47	—	20%
Iron blood test (serum iron) inpatient CPT 83540 IRON LIVER TISSUE	$231.63	$289.54	$4.38–$6.47	—	20%
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY	$267.18	$333.98	$253.82–$313.94	541% above	20%
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY	$267.18	$333.98	$4.63–$8.74	541% above	20%
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY	$267.18	$333.98	$253.82–$313.94	541% above	20%
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY	$267.18	$333.98	$4.63–$8.74	541% above	20%
Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CAPACITY	$267.18	$333.98	$4.63–$8.74	—	20%
Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CAPACITY	$267.18	$333.98	$4.63–$8.74	—	20%
Kidney function blood test panel CPT 80069 RENAL PROFILE	$273.14	$341.43	$259.49–$320.94	314% above	20%
Kidney function blood test panel CPT 80069 RENAL PROFILE	$273.14	$341.43	$259.49–$320.94	314% above	20%
Kidney function blood test panel CPT 80069 RENAL PROFILE	$273.14	$341.43	$8.68–$9.10	314% above	20%
Kidney function blood test panel CPT 80069 RENAL PROFILE	$273.14	$341.43	$8.68–$9.10	314% above	20%
Kidney function blood test panel inpatient CPT 80069 RENAL PROFILE	$273.14	$341.43	$8.68–$9.10	—	20%
Kidney function blood test panel inpatient CPT 80069 RENAL PROFILE	$273.14	$341.43	$8.68–$9.10	—	20%
LH (luteinizing hormone) test CPT 83002 LH-FSH EVAL	$49.52	$61.90	$47.04–$58.19	36% below	20%
LH (luteinizing hormone) test CPT 83002 LH-FSH EVAL	$49.52	$61.90	$47.04–$58.19	36% below	20%
LH (luteinizing hormone) test CPT 83002 LH-FSH EVAL	$49.52	$61.90	$11.19–$18.52	36% below	20%
LH (luteinizing hormone) test CPT 83002 LH-FSH EVAL	$49.52	$61.90	$11.19–$18.52	36% below	20%
LH (luteinizing hormone) test CPT 83002 LH PEDIATRICS	$52.00	$65.00	$18.52	33% below	20%
LH (luteinizing hormone) test CPT 83002 LH PEDIATRICS	$52.00	$65.00	$18.52	33% below	20%
LH (luteinizing hormone) test CPT 83002 LH PEDIATRICS	$52.00	$65.00	$48.75–$61.10	33% below	20%
LH (luteinizing hormone) test CPT 83002 LH PEDIATRICS	$52.00	$65.00	$48.75–$61.10	33% below	20%
LH (luteinizing hormone) test CPT 83002 P-LH HORMONE	$100.67	$125.84	$11.19–$18.52	30% above	20%
LH (luteinizing hormone) test CPT 83002 P-LH HORMONE	$100.67	$125.84	$11.19–$18.52	30% above	20%
LH (luteinizing hormone) test CPT 83002 P-LH HORMONE	$100.67	$125.84	$95.64–$118.29	30% above	20%
LH (luteinizing hormone) test CPT 83002 P-LH HORMONE	$100.67	$125.84	$95.64–$118.29	30% above	20%
LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE (LH) SERUM	$122.30	$152.88	$116.19–$143.71	59% above	20%
LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE (LH) SERUM	$122.30	$152.88	$11.19–$18.52	59% above	20%
LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE (LH) SERUM	$122.30	$152.88	$116.19–$143.71	59% above	20%
LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE (LH) SERUM	$122.30	$152.88	$11.19–$18.52	59% above	20%
LH (luteinizing hormone) test inpatient CPT 83002 LH-FSH EVAL	$49.52	$61.90	$11.19–$18.52	—	20%
LH (luteinizing hormone) test inpatient CPT 83002 LH-FSH EVAL	$49.52	$61.90	$11.19–$18.52	—	20%
LH (luteinizing hormone) test inpatient CPT 83002 LH PEDIATRICS	$52.00	$65.00	$18.52	—	20%
LH (luteinizing hormone) test inpatient CPT 83002 LH PEDIATRICS	$52.00	$65.00	$18.52	—	20%
LH (luteinizing hormone) test inpatient CPT 83002 P-LH HORMONE	$100.67	$125.84	$11.19–$18.52	—	20%
LH (luteinizing hormone) test inpatient CPT 83002 P-LH HORMONE	$100.67	$125.84	$11.19–$18.52	—	20%
LH (luteinizing hormone) test inpatient CPT 83002 LUTEINIZING HORMONE (LH) SERUM	$122.30	$152.88	$11.19–$18.52	—	20%
LH (luteinizing hormone) test inpatient CPT 83002 LUTEINIZING HORMONE (LH) SERUM	$122.30	$152.88	$11.19–$18.52	—	20%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE URINE #731	$47.47	$59.34	$45.10–$55.78	40% above	20%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE URINE #731	$47.47	$59.34	$4.20–$6.89	40% above	20%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE	$303.66	$379.58	$4.20–$6.89	793% above	20%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE	$303.66	$379.58	$288.48–$356.81	793% above	20%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE URINE #731	$47.47	$59.34	$4.20–$6.89	—	20%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE	$303.66	$379.58	$4.20–$6.89	—	20%
Liver function blood test panel CPT 80076 P-HEPATIC FUNCTION PANEL	$23.52	$29.40	$8.82–$27.64	68% below	20%
Liver function blood test panel CPT 80076 P-HEPATIC FUNCTION PANEL	$23.52	$29.40	$7.32	68% below	20%
Liver function blood test panel CPT 80076 P-HEPATIC FUNCTION PANEL	$23.52	$29.40	$8.82–$27.64	68% below	20%
Liver function blood test panel CPT 80076 P-HEPATIC FUNCTION PANEL	$23.52	$29.40	$7.32	68% below	20%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL A	$695.55	$869.44	$660.77–$817.27	839% above	20%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL A	$695.55	$869.44	$7.32–$11.08	839% above	20%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL A	$695.55	$869.44	$7.32–$11.08	839% above	20%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL A	$695.55	$869.44	$660.77–$817.27	839% above	20%
Liver function blood test panel inpatient CPT 80076 P-HEPATIC FUNCTION PANEL	$23.52	$29.40	$7.32	—	20%
Liver function blood test panel inpatient CPT 80076 P-HEPATIC FUNCTION PANEL	$23.52	$29.40	$7.32	—	20%
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL A	$695.55	$869.44	$7.32–$11.08	—	20%
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL A	$695.55	$869.44	$7.32–$11.08	—	20%
Lyme disease antibody test CPT 86618 LYME DISEASE AB (IMMUNOBLOT)R4	$73.22	$91.52	$69.56–$86.03	59% above	20%
Lyme disease antibody test CPT 86618 LYME DISEASE AB (IMMUNOBLOT)R4	$73.22	$91.52	$15.99–$17.03	59% above	20%
Lyme disease antibody test CPT 86618 P-LYME DISEASE AB	$113.57	$141.96	$17.03	147% above	20%
Lyme disease antibody test CPT 86618 P-LYME DISEASE AB	$113.57	$141.96	$42.59–$133.44	147% above	20%
Lyme disease antibody test inpatient CPT 86618 LYME DISEASE AB (IMMUNOBLOT)R4	$73.22	$91.52	$15.99–$17.03	—	20%
Lyme disease antibody test inpatient CPT 86618 P-LYME DISEASE AB	$113.57	$141.96	$17.03	—	20%
Magnesium blood test CPT 83735 P-MAGNESIUM	$20.43	$25.54	$5.08–$6.70	30% below	20%
Magnesium blood test CPT 83735 P-MAGNESIUM	$20.43	$25.54	$19.41–$24.01	30% below	20%
Magnesium blood test CPT 83735 MANGANES RBC	$58.82	$73.52	$5.08–$6.70	102% above	20%
Magnesium blood test CPT 83735 MAGNESIUM RBC	$58.82	$73.52	$55.88–$69.11	102% above	20%
Magnesium blood test CPT 83735 MANGANES RBC	$58.82	$73.52	$55.88–$69.11	102% above	20%
Magnesium blood test CPT 83735 MAGNESIUM RBC	$58.82	$73.52	$5.08–$6.70	102% above	20%
Magnesium blood test CPT 83735 URINE MAGNESIUM 24 HR	$185.77	$232.21	$176.48–$218.28	537% above	20%
Magnesium blood test CPT 83735 URINE MAGNESIUM 24 HR	$185.77	$232.21	$5.08–$6.70	537% above	20%
Magnesium blood test CPT 83735 MAGNESIUM SERUM	$208.02	$260.02	$5.08–$6.70	613% above	20%
Magnesium blood test CPT 83735 MAGNESIUM SERUM	$208.02	$260.02	$197.62–$244.42	613% above	20%
Magnesium blood test inpatient CPT 83735 P-MAGNESIUM	$20.43	$25.54	$5.08–$6.70	—	20%
Magnesium blood test inpatient CPT 83735 MAGNESIUM RBC	$58.82	$73.52	$5.08–$6.70	—	20%
Magnesium blood test inpatient CPT 83735 MANGANES RBC	$58.82	$73.52	$5.08–$6.70	—	20%
Magnesium blood test inpatient CPT 83735 URINE MAGNESIUM 24 HR	$185.77	$232.21	$5.08–$6.70	—	20%
Magnesium blood test inpatient CPT 83735 MAGNESIUM SERUM	$208.02	$260.02	$5.08–$6.70	—	20%
Measles (rubeola) antibody test CPT 86765 P-RUBEOLA,AB	$22.50	$28.12	$8.44–$26.43	50% below	20%
Measles (rubeola) antibody test CPT 86765 P-RUBEOLA,AB	$22.50	$28.12	$12.88	50% below	20%
Measles (rubeola) antibody test CPT 86765 P-RUBEOLA,AB	$22.50	$28.12	$12.88	50% below	20%
Measles (rubeola) antibody test CPT 86765 P-RUBEOLA,AB	$22.50	$28.12	$8.44–$26.43	50% below	20%
Measles (rubeola) antibody test CPT 86765 RUBEOLA AB IGG #392	$70.72	$88.40	$67.18–$83.10	56% above	20%
Measles (rubeola) antibody test CPT 86765 RUBEOLA AB IGG #392	$70.72	$88.40	$12.88–$15.99	56% above	20%
Measles (rubeola) antibody test CPT 86765 RUBEOLA AB IGG #392	$70.72	$88.40	$67.18–$83.10	56% above	20%
Measles (rubeola) antibody test CPT 86765 RUBEOLA AB IGG #392	$70.72	$88.40	$12.88–$15.99	56% above	20%
Measles (rubeola) antibody test CPT 86765 GERMAN MEASLES TITRE (RUBELLA)	$91.16	$113.95	$12.88–$15.99	101% above	20%
Measles (rubeola) antibody test CPT 86765 GERMAN MEASLES TITRE (RUBELLA)	$91.16	$113.95	$86.60–$107.11	101% above	20%
Measles (rubeola) antibody test CPT 86765 GERMAN MEASLES TITRE (RUBELLA)	$91.16	$113.95	$12.88–$15.99	101% above	20%
Measles (rubeola) antibody test CPT 86765 GERMAN MEASLES TITRE (RUBELLA)	$91.16	$113.95	$86.60–$107.11	101% above	20%
Measles (rubeola) antibody test inpatient CPT 86765 P-RUBEOLA,AB	$22.50	$28.12	$12.88	—	20%
Measles (rubeola) antibody test inpatient CPT 86765 P-RUBEOLA,AB	$22.50	$28.12	$12.88	—	20%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA AB IGG #392	$70.72	$88.40	$12.88–$15.99	—	20%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA AB IGG #392	$70.72	$88.40	$12.88–$15.99	—	20%
Measles (rubeola) antibody test inpatient CPT 86765 GERMAN MEASLES TITRE (RUBELLA)	$91.16	$113.95	$12.88–$15.99	—	20%
Measles (rubeola) antibody test inpatient CPT 86765 GERMAN MEASLES TITRE (RUBELLA)	$91.16	$113.95	$12.88–$15.99	—	20%
Mono test (heterophile antibody, Monospot) CPT 86308 RAPID MONO	$202.71	$253.39	$3.13–$5.18	440% above	20%
Mono test (heterophile antibody, Monospot) CPT 86308 RAPID MONO	$202.71	$253.39	$192.58–$238.19	440% above	20%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 RAPID MONO	$202.71	$253.39	$3.13–$5.18	—	20%
Obstetric blood test panel CPT 80055 OBSTETRIC PANEL	$455.16	$568.95	$47.81	329% above	20%
Obstetric blood test panel CPT 80055 OBSTETRIC PANEL	$455.16	$568.95	$426.71–$534.81	329% above	20%
Obstetric blood test panel CPT 80055 OBSTETRIC PANEL	$455.16	$568.95	$426.71–$534.81	329% above	20%
Obstetric blood test panel CPT 80055 OBSTETRIC PANEL	$455.16	$568.95	$47.81	329% above	20%
Obstetric blood test panel inpatient CPT 80055 OBSTETRIC PANEL	$455.16	$568.95	$47.81	—	20%
Obstetric blood test panel inpatient CPT 80055 OBSTETRIC PANEL	$455.16	$568.95	$47.81	—	20%
PSA (prostate-specific antigen) blood test, free CPT 84154 P-PSA FREE	$149.20	$186.50	$18.35–$18.39	152% above	20%
PSA (prostate-specific antigen) blood test, free CPT 84154 P-PSA FREE	$149.20	$186.50	$18.35–$18.39	152% above	20%
PSA (prostate-specific antigen) blood test, free CPT 84154 P-PSA FREE	$149.20	$186.50	$141.74–$175.31	152% above	20%
PSA (prostate-specific antigen) blood test, free CPT 84154 P-PSA FREE	$149.20	$186.50	$141.74–$175.31	152% above	20%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE	$161.38	$201.72	$18.35–$18.39	173% above	20%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE	$161.38	$201.72	$18.35–$18.39	173% above	20%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE	$161.38	$201.72	$153.31–$189.62	173% above	20%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE	$161.38	$201.72	$153.31–$189.62	173% above	20%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 P-PSA FREE	$149.20	$186.50	$18.35–$18.39	—	20%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 P-PSA FREE	$149.20	$186.50	$18.35–$18.39	—	20%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA FREE	$161.38	$201.72	$18.35–$18.39	—	20%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA FREE	$161.38	$201.72	$18.35–$18.39	—	20%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA ULTRASENSITIVE	$113.01	$141.26	$18.39–$27.18	72% above	20%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA ULTRASENSITIVE	$113.01	$141.26	$107.36–$132.78	72% above	20%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA ULTRASENSITIVE	$113.01	$141.26	$18.39–$27.18	72% above	20%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA ULTRASENSITIVE	$113.01	$141.26	$107.36–$132.78	72% above	20%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA DIAGNOSTIC	$180.46	$225.58	$18.39–$27.18	175% above	20%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA DIAGNOSTIC	$180.46	$225.58	$171.44–$212.05	175% above	20%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA DIAGNOSTIC	$180.46	$225.58	$18.39–$27.18	175% above	20%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA DIAGNOSTIC	$180.46	$225.58	$171.44–$212.05	175% above	20%
PSA (prostate-specific antigen) blood test, total CPT 84153 P-PSA TOTAL	$192.10	$240.13	$182.50–$225.72	193% above	20%
PSA (prostate-specific antigen) blood test, total CPT 84153 P-PSA TOTAL	$192.10	$240.13	$182.50–$225.72	193% above	20%
PSA (prostate-specific antigen) blood test, total CPT 84153 P-PSA TOTAL	$192.10	$240.13	$18.39–$27.18	193% above	20%
PSA (prostate-specific antigen) blood test, total CPT 84153 P-PSA TOTAL	$192.10	$240.13	$18.39–$27.18	193% above	20%
PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE SPECIFIC ANTIGEN DX	$219.56	$274.45	$18.39–$27.18	235% above	20%
PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE SPECIFIC ANTIGEN DX	$219.56	$274.45	$208.58–$257.98	235% above	20%
PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE SPECIFIC ANTIGEN DX	$219.56	$274.45	$208.58–$257.98	235% above	20%
PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE SPECIFIC ANTIGEN DX	$219.56	$274.45	$18.39–$27.18	235% above	20%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA ULTRASENSITIVE	$113.01	$141.26	$18.39–$27.18	—	20%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA ULTRASENSITIVE	$113.01	$141.26	$18.39–$27.18	—	20%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA DIAGNOSTIC	$180.46	$225.58	$18.39–$27.18	—	20%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA DIAGNOSTIC	$180.46	$225.58	$18.39–$27.18	—	20%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 P-PSA TOTAL	$192.10	$240.13	$18.39–$27.18	—	20%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 P-PSA TOTAL	$192.10	$240.13	$18.39–$27.18	—	20%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATE SPECIFIC ANTIGEN DX	$219.56	$274.45	$18.39–$27.18	—	20%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATE SPECIFIC ANTIGEN DX	$219.56	$274.45	$18.39–$27.18	—	20%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 THIN PREP - DIAGNOSTIC	$158.15	$197.69	$20.26–$25.00	116% above	20%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 THIN PREP - DIAGNOSTIC	$158.15	$197.69	$150.24–$185.83	116% above	20%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 THIN PREP - DIAGNOSTIC	$158.15	$197.69	$20.26–$25.00	116% above	20%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 THIN PREP - DIAGNOSTIC	$158.15	$197.69	$150.24–$185.83	116% above	20%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 THIN PREP PAP - SCREENING	$180.73	$225.91	$171.69–$212.36	147% above	20%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 THIN PREP PAP - SCREENING	$180.73	$225.91	$171.69–$212.36	147% above	20%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 THIN PREP PAP - SCREENING	$180.73	$225.91	$20.26–$25.00	147% above	20%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 THIN PREP PAP - SCREENING	$180.73	$225.91	$20.26–$25.00	147% above	20%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 THIN PREP - DIAGNOSTIC	$158.15	$197.69	$20.26–$25.00	—	20%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 THIN PREP - DIAGNOSTIC	$158.15	$197.69	$20.26–$25.00	—	20%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 THIN PREP PAP - SCREENING	$180.73	$225.91	$20.26–$25.00	—	20%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 THIN PREP PAP - SCREENING	$180.73	$225.91	$20.26–$25.00	—	20%
Parathyroid hormone (PTH) blood test CPT 83970 PTH INTACT W/O CALCIUM	$59.12	$73.90	$41.28	56% below	20%
Parathyroid hormone (PTH) blood test CPT 83970 PTH INTACT W/O CALCIUM	$59.12	$73.90	$22.17–$69.47	56% below	20%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE INTAC	$84.86	$106.08	$80.62–$99.72	37% below	20%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE INTAC	$84.86	$106.08	$27.98–$41.28	37% below	20%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH INTACT W/O CALCIUM	$59.12	$73.90	$41.28	—	20%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHYROID HORMONE INTAC	$84.86	$106.08	$27.98–$41.28	—	20%
Partial thromboplastin time (PTT) clotting test CPT 85730 P-PTT	$50.75	$63.44	$6.01–$7.64	70% above	20%
Partial thromboplastin time (PTT) clotting test CPT 85730 P-PTT	$50.75	$63.44	$48.21–$59.63	70% above	20%
Partial thromboplastin time (PTT) clotting test CPT 85730 P-PTT	$50.75	$63.44	$48.21–$59.63	70% above	20%
Partial thromboplastin time (PTT) clotting test CPT 85730 P-PTT	$50.75	$63.44	$6.01–$7.64	70% above	20%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT	$173.78	$217.22	$165.09–$204.19	484% above	20%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT	$173.78	$217.22	$6.01–$7.64	484% above	20%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT	$173.78	$217.22	$165.09–$204.19	484% above	20%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT	$173.78	$217.22	$6.01–$7.64	484% above	20%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 P-PTT	$50.75	$63.44	$6.01–$7.64	—	20%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 P-PTT	$50.75	$63.44	$6.01–$7.64	—	20%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT	$173.78	$217.22	$6.01–$7.64	—	20%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT	$173.78	$217.22	$6.01–$7.64	—	20%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 FETAL CHROMOSOMAL	$1,551.71	$1,939.64	$759.05	62% above	20%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 FETAL CHROMOSOMAL	$1,551.71	$1,939.64	$1,454.73–$1,823.26	62% above	20%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 FETAL CHROMOSOMAL	$1,551.71	$1,939.64	$759.05	—	20%
Progesterone blood test CPT 84144 PROGESTERONE	$52.79	$65.99	$13.70–$20.86	40% below	20%
Progesterone blood test CPT 84144 PROGESTERONE	$52.79	$65.99	$50.15–$62.03	40% below	20%
Progesterone blood test inpatient CPT 84144 PROGESTERONE	$52.79	$65.99	$13.70–$20.86	—	20%
Prolactin blood test CPT 84146 P-PREALBUMIN	$27.70	$34.63	$19.38	61% below	20%
Prolactin blood test CPT 84146 P-PREALBUMIN	$27.70	$34.63	$10.39–$32.55	61% below	20%
Prolactin blood test CPT 84146 PROLACTIN DILUTION STUDY	$58.24	$72.80	$55.33–$68.43	18% below	20%
Prolactin blood test CPT 84146 PROLACTIN DILUTION STUDY	$58.24	$72.80	$13.11–$19.38	18% below	20%
Prolactin blood test CPT 84146 PROLACTIN LEVEL	$156.42	$195.52	$13.11–$19.38	119% above	20%
Prolactin blood test CPT 84146 PROLACTIN LEVEL	$156.42	$195.52	$148.60–$183.79	119% above	20%
Prolactin blood test inpatient CPT 84146 P-PREALBUMIN	$27.70	$34.63	$19.38	—	20%
Prolactin blood test inpatient CPT 84146 PROLACTIN DILUTION STUDY	$58.24	$72.80	$13.11–$19.38	—	20%
Prolactin blood test inpatient CPT 84146 PROLACTIN LEVEL	$156.42	$195.52	$13.11–$19.38	—	20%
Prothrombin time (PT/INR) clotting test CPT 85610 PRO COMSUMPTION SERUM #5	$47.82	$59.78	$2.44–$4.29	152% above	20%
Prothrombin time (PT/INR) clotting test CPT 85610 PRO COMSUMPTION SERUM #5	$47.82	$59.78	$45.43–$56.19	152% above	20%
Prothrombin time (PT/INR) clotting test CPT 85610 PRO COMSUMPTION SERUM #5	$47.82	$59.78	$45.43–$56.19	152% above	20%
Prothrombin time (PT/INR) clotting test CPT 85610 PRO COMSUMPTION SERUM #5	$47.82	$59.78	$2.44–$4.29	152% above	20%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME	$144.54	$180.67	$2.44–$4.29	662% above	20%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME	$144.54	$180.67	$2.44–$4.29	662% above	20%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME	$144.54	$180.67	$137.31–$169.83	662% above	20%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME	$144.54	$180.67	$137.31–$169.83	662% above	20%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PRO COMSUMPTION SERUM #5	$47.82	$59.78	$2.44–$4.29	—	20%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PRO COMSUMPTION SERUM #5	$47.82	$59.78	$2.44–$4.29	—	20%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME	$144.54	$180.67	$2.44–$4.29	—	20%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME	$144.54	$180.67	$2.44–$4.29	—	20%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP SCREEN	$143.02	$178.77	$135.87–$168.04	260% above	20%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP SCREEN	$143.02	$178.77	$3.79–$16.80	260% above	20%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP SCREEN	$143.02	$178.77	$135.87–$168.04	260% above	20%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP SCREEN	$143.02	$178.77	$3.79–$16.80	260% above	20%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREP SCREEN	$143.02	$178.77	$3.79–$16.80	—	20%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREP SCREEN	$143.02	$178.77	$3.79–$16.80	—	20%
Rheumatoid factor (RF) test CPT 86431 P-RHEUMATOID FACTOR	$13.61	$17.01	$5.10–$15.99	51% below	20%
Rheumatoid factor (RF) test CPT 86431 P-RHEUMATOID FACTOR	$13.61	$17.01	$5.25	51% below	20%
Rheumatoid factor (RF) test CPT 86431 RHEMATOID FACTOR	$46.31	$57.89	$5.25	68% above	20%
Rheumatoid factor (RF) test CPT 86431 RHEMATOID FACTOR	$46.31	$57.89	$17.37–$54.42	68% above	20%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR (QUEST)	$50.18	$62.73	$18.82–$58.97	82% above	20%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR (QUEST)	$50.18	$62.73	$5.25	82% above	20%
Rheumatoid factor (RF) test CPT 86431 P-RHEUMATIOD FACTOR QUANT	$67.41	$84.26	$64.04–$79.20	145% above	20%
Rheumatoid factor (RF) test CPT 86431 P-RHEUMATIOD FACTOR QUANT	$67.41	$84.26	$5.25–$9.17	145% above	20%
Rheumatoid factor (RF) test CPT 86431 P-RHEUMATIOD FACTOR	$81.34	$101.67	$30.50–$95.57	196% above	20%
Rheumatoid factor (RF) test CPT 86431 P-RHEUMATIOD FACTOR	$81.34	$101.67	$5.25	196% above	20%
Rheumatoid factor (RF) test CPT 86431 P-RHEUMATOID FACTOR, QUANT	$103.05	$128.81	$38.64–$121.08	275% above	20%
Rheumatoid factor (RF) test CPT 86431 P-RHEUMATOID FACTOR, QUANT	$103.05	$128.81	$5.25	275% above	20%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR (QUANT)	$223.71	$279.64	$5.25–$9.17	713% above	20%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR (QUANT)	$223.71	$279.64	$212.53–$262.86	713% above	20%
Rheumatoid factor (RF) test inpatient CPT 86431 P-RHEUMATOID FACTOR	$13.61	$17.01	$5.25	—	20%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEMATOID FACTOR	$46.31	$57.89	$5.25	—	20%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR (QUEST)	$50.18	$62.73	$5.25	—	20%
Rheumatoid factor (RF) test inpatient CPT 86431 P-RHEUMATIOD FACTOR QUANT	$67.41	$84.26	$5.25–$9.17	—	20%
Rheumatoid factor (RF) test inpatient CPT 86431 P-RHEUMATIOD FACTOR	$81.34	$101.67	$5.25	—	20%
Rheumatoid factor (RF) test inpatient CPT 86431 P-RHEUMATOID FACTOR, QUANT	$103.05	$128.81	$5.25	—	20%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR (QUANT)	$223.71	$279.64	$5.25–$9.17	—	20%
Rubella antibody test (immunity check) CPT 86762 P-RUBELLA,AB	$22.50	$28.12	$14.39	47% below	20%
Rubella antibody test (immunity check) CPT 86762 P-RUBELLA,AB	$22.50	$28.12	$8.44–$26.43	47% below	20%
Rubella antibody test (immunity check) CPT 86762 P-RUBELLA,AB	$22.50	$28.12	$14.39	47% below	20%
Rubella antibody test (immunity check) CPT 86762 P-RUBELLA,AB	$22.50	$28.12	$8.44–$26.43	47% below	20%
Rubella antibody test (immunity check) CPT 86762 P-RUBELLA AB	$41.82	$52.27	$39.73–$49.13	2% below	20%
Rubella antibody test (immunity check) CPT 86762 P-RUBELLA AB	$41.82	$52.27	$39.73–$49.13	2% below	20%
Rubella antibody test (immunity check) CPT 86762 P-RUBELLA AB	$41.82	$52.27	$7.20–$14.39	2% below	20%
Rubella antibody test (immunity check) CPT 86762 P-RUBELLA AB	$41.82	$52.27	$7.20–$14.39	2% below	20%
Rubella antibody test (immunity check) CPT 86762 P-RUBELLA	$65.03	$81.29	$61.78–$76.41	53% above	20%
Rubella antibody test (immunity check) CPT 86762 P-RUBELLA	$65.03	$81.29	$7.20–$14.39	53% above	20%
Rubella antibody test (immunity check) CPT 86762 P-RUBELLA	$65.03	$81.29	$61.78–$76.41	53% above	20%
Rubella antibody test (immunity check) CPT 86762 P-RUBELLA	$65.03	$81.29	$7.20–$14.39	53% above	20%
Rubella antibody test (immunity check) CPT 86762 RUBELLA TITER IGG	$89.44	$111.80	$7.20–$14.39	110% above	20%
Rubella antibody test (immunity check) CPT 86762 RUBELLA TITER IGG	$89.44	$111.80	$7.20–$14.39	110% above	20%
Rubella antibody test (immunity check) CPT 86762 RUBELLA TITER IGG	$89.44	$111.80	$84.97–$105.09	110% above	20%
Rubella antibody test (immunity check) CPT 86762 RUBELLA TITER IGG	$89.44	$111.80	$84.97–$105.09	110% above	20%
Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY (IGM)	$173.68	$217.10	$7.20–$14.39	309% above	20%
Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY (IGM)	$173.68	$217.10	$165.00–$204.07	309% above	20%
Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY (IGM)	$173.68	$217.10	$7.20–$14.39	309% above	20%
Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY (IGM)	$173.68	$217.10	$165.00–$204.07	309% above	20%
Rubella antibody test (immunity check) CPT 86762 RUBELLA	$320.21	$400.26	$304.20–$376.24	653% above	20%
Rubella antibody test (immunity check) CPT 86762 RUBELLA	$320.21	$400.26	$7.20–$14.39	653% above	20%
Rubella antibody test (immunity check) CPT 86762 RUBELLA	$320.21	$400.26	$7.20–$14.39	653% above	20%
Rubella antibody test (immunity check) CPT 86762 RUBELLA	$320.21	$400.26	$304.20–$376.24	653% above	20%
Rubella antibody test (immunity check) inpatient CPT 86762 P-RUBELLA,AB	$22.50	$28.12	$14.39	—	20%
Rubella antibody test (immunity check) inpatient CPT 86762 P-RUBELLA,AB	$22.50	$28.12	$14.39	—	20%
Rubella antibody test (immunity check) inpatient CPT 86762 P-RUBELLA AB	$41.82	$52.27	$7.20–$14.39	—	20%
Rubella antibody test (immunity check) inpatient CPT 86762 P-RUBELLA AB	$41.82	$52.27	$7.20–$14.39	—	20%
Rubella antibody test (immunity check) inpatient CPT 86762 P-RUBELLA	$65.03	$81.29	$7.20–$14.39	—	20%
Rubella antibody test (immunity check) inpatient CPT 86762 P-RUBELLA	$65.03	$81.29	$7.20–$14.39	—	20%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA TITER IGG	$89.44	$111.80	$7.20–$14.39	—	20%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA TITER IGG	$89.44	$111.80	$7.20–$14.39	—	20%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA ANTIBODY (IGM)	$173.68	$217.10	$7.20–$14.39	—	20%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA ANTIBODY (IGM)	$173.68	$217.10	$7.20–$14.39	—	20%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA	$320.21	$400.26	$7.20–$14.39	—	20%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA	$320.21	$400.26	$7.20–$14.39	—	20%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 ERTHROCYTE SEDIMENTATION RATE	$142.29	$177.86	$135.17–$167.19	474% above	20%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 ERTHROCYTE SEDIMENTATION RATE	$142.29	$177.86	$2.02–$3.25	474% above	20%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 ERTHROCYTE SEDIMENTATION RATE	$142.29	$177.86	$2.02–$3.25	—	20%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 SPERM COUNT	$249.79	$312.24	$12.02–$12.31	579% above	20%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 SPERM COUNT	$249.79	$312.24	$237.30–$293.51	579% above	20%
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 SPERM COUNT	$249.79	$312.24	$12.02–$12.31	—	20%
Stool ova and parasites exam CPT 87177 P-OVA AND PARASITE,DIRECT SMEA	$26.82	$33.53	$8.90	31% below	20%
Stool ova and parasites exam CPT 87177 P-OVA AND PARA,DIRECT SMEARS	$26.82	$33.53	$8.90	31% below	20%
Stool ova and parasites exam CPT 87177 P-OVA AND PARASITE,DIRECT SMEA	$26.82	$33.53	$10.06–$31.52	31% below	20%
Stool ova and parasites exam CPT 87177 P-OVA AND PARA,DIRECT SMEARS	$26.82	$33.53	$10.06–$31.52	31% below	20%
Stool ova and parasites exam CPT 87177 SCABIES (MITE EXAM)	$45.86	$57.32	$43.56–$53.88	18% above	20%
Stool ova and parasites exam CPT 87177 SCABIES (MITE EXAM)	$45.86	$57.32	$8.40–$8.90	18% above	20%
Stool ova and parasites exam CPT 87177 PARASITE ID 789	$56.38	$70.48	$53.56–$66.25	45% above	20%
Stool ova and parasites exam CPT 87177 PARASITE ID 789	$56.38	$70.48	$8.40–$8.90	45% above	20%
Stool ova and parasites exam CPT 87177 CRYPTOSPORIDIUM SMEAR	$191.90	$239.87	$182.30–$225.48	395% above	20%
Stool ova and parasites exam CPT 87177 CRYPTOSPORIDIUM SMEAR	$191.90	$239.87	$8.40–$8.90	395% above	20%
Stool ova and parasites exam CPT 87177 STOOL-OVA + PARA	$226.29	$282.86	$214.97–$265.89	484% above	20%
Stool ova and parasites exam CPT 87177 STOOL-OVA + PARA	$226.29	$282.86	$8.40–$8.90	484% above	20%
Stool ova and parasites exam inpatient CPT 87177 P-OVA AND PARA,DIRECT SMEARS	$26.82	$33.53	$8.90	—	20%
Stool ova and parasites exam inpatient CPT 87177 P-OVA AND PARASITE,DIRECT SMEA	$26.82	$33.53	$8.90	—	20%
Stool ova and parasites exam inpatient CPT 87177 SCABIES (MITE EXAM)	$45.86	$57.32	$8.40–$8.90	—	20%
Stool ova and parasites exam inpatient CPT 87177 PARASITE ID 789	$56.38	$70.48	$8.40–$8.90	—	20%
Stool ova and parasites exam inpatient CPT 87177 CRYPTOSPORIDIUM SMEAR	$191.90	$239.87	$8.40–$8.90	—	20%
Stool ova and parasites exam inpatient CPT 87177 STOOL-OVA + PARA	$226.29	$282.86	$8.40–$8.90	—	20%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD FECES SCREENING	$8.80	$11.00	$4.38	42% below	20%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD FECES SCREENING	$8.80	$11.00	$8.25–$10.34	42% below	20%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLOOD FECES SCREENING	$8.80	$11.00	$4.38	—	20%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 P-SYPHILIS AB	$41.82	$52.27	$3.30–$4.27	127% above	20%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 P-SYPHILIS AB	$41.82	$52.27	$39.73–$49.13	127% above	20%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 P-SYPHILIS AB	$41.82	$52.27	$3.30–$4.27	127% above	20%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 P-SYPHILIS AB	$41.82	$52.27	$39.73–$49.13	127% above	20%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR WITH TITER QUEST	$45.84	$57.30	$43.55–$53.86	149% above	20%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR WITH TITER QUEST	$45.84	$57.30	$3.30–$4.27	149% above	20%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR WITH TITER QUEST	$45.84	$57.30	$3.30–$4.27	149% above	20%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR WITH TITER QUEST	$45.84	$57.30	$43.55–$53.86	149% above	20%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL CSF	$50.60	$63.25	$3.30–$4.27	175% above	20%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL CSF	$50.60	$63.25	$48.07–$59.46	175% above	20%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL CSF	$50.60	$63.25	$48.07–$59.46	175% above	20%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL CSF	$50.60	$63.25	$3.30–$4.27	175% above	20%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL SERUM	$54.30	$67.88	$3.30	195% above	20%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL SERUM	$54.30	$67.88	$3.30	195% above	20%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL SERUM	$54.30	$67.88	$20.36–$63.81	195% above	20%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL SERUM	$54.30	$67.88	$20.36–$63.81	195% above	20%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 P-VDRL CSF	$65.03	$81.29	$3.30–$4.27	253% above	20%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 P-VDRL CSF	$65.03	$81.29	$61.78–$76.41	253% above	20%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 P-VDRL CSF	$65.03	$81.29	$61.78–$76.41	253% above	20%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 P-VDRL CSF	$65.03	$81.29	$3.30–$4.27	253% above	20%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SEROLOGY	$162.22	$202.78	$3.30–$4.27	780% above	20%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SEROLOGY	$162.22	$202.78	$3.30–$4.27	780% above	20%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SEROLOGY	$162.22	$202.78	$154.11–$190.61	780% above	20%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SEROLOGY	$162.22	$202.78	$154.11–$190.61	780% above	20%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR TITER QUEST TEST	$174.94	$218.68	$166.20–$205.56	849% above	20%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR TITER QUEST TEST	$174.94	$218.68	$166.20–$205.56	849% above	20%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR TITER QUEST TEST	$174.94	$218.68	$3.30–$4.27	849% above	20%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR TITER QUEST TEST	$174.94	$218.68	$3.30–$4.27	849% above	20%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 P-SYPHILIS AB	$41.82	$52.27	$3.30–$4.27	—	20%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 P-SYPHILIS AB	$41.82	$52.27	$3.30–$4.27	—	20%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR WITH TITER QUEST	$45.84	$57.30	$3.30–$4.27	—	20%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR WITH TITER QUEST	$45.84	$57.30	$3.30–$4.27	—	20%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL CSF	$50.60	$63.25	$3.30–$4.27	—	20%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL CSF	$50.60	$63.25	$3.30–$4.27	—	20%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL SERUM	$54.30	$67.88	$3.30	—	20%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL SERUM	$54.30	$67.88	$3.30	—	20%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 P-VDRL CSF	$65.03	$81.29	$3.30–$4.27	—	20%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 P-VDRL CSF	$65.03	$81.29	$3.30–$4.27	—	20%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 SEROLOGY	$162.22	$202.78	$3.30–$4.27	—	20%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 SEROLOGY	$162.22	$202.78	$3.30–$4.27	—	20%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR TITER QUEST TEST	$174.94	$218.68	$3.30–$4.27	—	20%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR TITER QUEST TEST	$174.94	$218.68	$3.30–$4.27	—	20%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON TB GOLD	$84.86	$106.08	$80.62–$99.72	43% below	20%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON TB GOLD	$84.86	$106.08	$50.50–$85.29	43% below	20%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON TB GOLD	$84.86	$106.08	$50.50–$85.29	—	20%
Testosterone blood test, total (not free testosterone) CPT 84403 P-TESTOSTERONE	$21.90	$27.37	$8.21–$25.73	75% below	20%
Testosterone blood test, total (not free testosterone) CPT 84403 P-TESTOSTERONE	$21.90	$27.37	$25.81	75% below	20%
Testosterone blood test, total (not free testosterone) CPT 84403 P-TESTOSTERONE TOTAL	$22.62	$28.28	$23.36–$25.81	74% below	20%
Testosterone blood test, total (not free testosterone) CPT 84403 P-TESTOSTERONE TOTAL	$22.62	$28.28	$21.49–$26.58	74% below	20%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL	$168.06	$210.08	$23.36–$25.81	93% above	20%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL	$168.06	$210.08	$159.66–$197.48	93% above	20%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 P-TESTOSTERONE	$21.90	$27.37	$25.81	—	20%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 P-TESTOSTERONE TOTAL	$22.62	$28.28	$23.36–$25.81	—	20%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL	$168.06	$210.08	$23.36–$25.81	—	20%
Thyroid peroxidase (TPO) antibody test CPT 86376 P-MICROSOMAL AB	$13.63	$17.04	$5.11–$16.02	73% below	20%
Thyroid peroxidase (TPO) antibody test CPT 86376 P-MICROSOMAL AB	$13.63	$17.04	$14.55	73% below	20%
Thyroid peroxidase (TPO) antibody test CPT 86376 P-THYROID ANTIBODIES	$30.10	$37.62	$14.55–$22.22	40% below	20%
Thyroid peroxidase (TPO) antibody test CPT 86376 P-THYROID ANTIBODIES	$30.10	$37.62	$28.59–$35.36	40% below	20%
Thyroid peroxidase (TPO) antibody test CPT 86376 ANTIMICROSMAL ANTIBODIES	$46.67	$58.34	$44.34–$54.84	7% below	20%
Thyroid peroxidase (TPO) antibody test CPT 86376 ANTIMICROSMAL ANTIBODIES	$46.67	$58.34	$14.55–$22.22	7% below	20%
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID AUTO-ANTIBODIES	$52.39	$65.49	$14.55–$22.22	4% above	20%
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID AUTO-ANTIBODIES	$52.39	$65.49	$49.77–$61.56	4% above	20%
Thyroid peroxidase (TPO) antibody test CPT 86376 P-MICROSOMAL ANTIBODIES EACH	$67.40	$84.25	$14.55–$22.22	34% above	20%
Thyroid peroxidase (TPO) antibody test CPT 86376 P-MICROSOMAL ANTIBODIES EACH	$67.40	$84.25	$64.03–$79.20	34% above	20%
Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER/KIDNEY MICOSOMAL AB	$93.68	$117.10	$89.00–$110.07	86% above	20%
Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER-KIDNEY MICROSOMAL AB	$93.68	$117.10	$14.55–$22.22	86% above	20%
Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER/KIDNEY MICOSOMAL AB	$93.68	$117.10	$14.55–$22.22	86% above	20%
Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER-KIDNEY MICROSOMAL AB	$93.68	$117.10	$89.00–$110.07	86% above	20%
Thyroid peroxidase (TPO) antibody test CPT 86376 P-MICROSOMAL ANTIBODIES	$131.08	$163.85	$122.89–$154.02	161% above	20%
Thyroid peroxidase (TPO) antibody test CPT 86376 P-MICROSOMAL ANTIBODIES	$131.08	$163.85	$14.55	161% above	20%
Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER CYTOSOL (LC-1) AUTO AB	$147.64	$184.55	$55.37–$173.48	193% above	20%
Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER CYTOSOL (LC-1) AUTO AB	$147.64	$184.55	$14.55	193% above	20%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 P-MICROSOMAL AB	$13.63	$17.04	$14.55	—	20%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 P-THYROID ANTIBODIES	$30.10	$37.62	$14.55–$22.22	—	20%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 ANTIMICROSMAL ANTIBODIES	$46.67	$58.34	$14.55–$22.22	—	20%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID AUTO-ANTIBODIES	$52.39	$65.49	$14.55–$22.22	—	20%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 P-MICROSOMAL ANTIBODIES EACH	$67.40	$84.25	$14.55–$22.22	—	20%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LIVER/KIDNEY MICOSOMAL AB	$93.68	$117.10	$14.55–$22.22	—	20%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LIVER-KIDNEY MICROSOMAL AB	$93.68	$117.10	$14.55–$22.22	—	20%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 P-MICROSOMAL ANTIBODIES	$131.08	$163.85	$14.55	—	20%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LIVER CYTOSOL (LC-1) AUTO AB	$147.64	$184.55	$14.55	—	20%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 P-THYROID STIMULATING HORMONE	$26.62	$33.28	$9.09	66% below	20%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 P-THYROID STIMULATING HORMONE	$26.62	$33.28	$9.98–$31.28	66% below	20%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 P-THYROID STIMULATING HORMONE	$26.62	$33.28	$9.98–$31.28	66% below	20%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 P-THYROID STIMULATING HORMONE	$26.62	$33.28	$9.09	66% below	20%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH (3RD GENERATION)	$49.78	$62.22	$9.09–$16.80	37% below	20%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH (3RD GENERATION)	$49.78	$62.22	$47.29–$58.49	37% below	20%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH (3RD GENERATION)	$49.78	$62.22	$47.29–$58.49	37% below	20%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH (3RD GENERATION)	$49.78	$62.22	$9.09–$16.80	37% below	20%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 P-THYROID STIMULATION HORMONE	$131.07	$163.84	$122.88–$154.01	66% above	20%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 P-THYROID STIMULATION HORMONE	$131.07	$163.84	$9.09–$16.80	66% above	20%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 P-THYROID STIMULATION HORMONE	$131.07	$163.84	$9.09–$16.80	66% above	20%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 P-THYROID STIMULATION HORMONE	$131.07	$163.84	$122.88–$154.01	66% above	20%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH ULTRA SENSITIVE	$236.82	$296.03	$9.09–$16.80	201% above	20%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH (WITH REFLEX FT4)	$236.82	$296.03	$9.09–$16.80	201% above	20%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH ULTRA SENSITIVE	$236.82	$296.03	$9.09–$16.80	201% above	20%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH (WITH REFLEX FT4)	$236.82	$296.03	$224.98–$278.27	201% above	20%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH ULTRA SENSITIVE	$236.82	$296.03	$224.98–$278.27	201% above	20%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH (WITH REFLEX FT4)	$236.82	$296.03	$9.09–$16.80	201% above	20%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH (WITH REFLEX FT4)	$236.82	$296.03	$224.98–$278.27	201% above	20%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH ULTRA SENSITIVE	$236.82	$296.03	$224.98–$278.27	201% above	20%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 P-THYROID STIMULATING HORMONE	$26.62	$33.28	$9.09	—	20%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 P-THYROID STIMULATING HORMONE	$26.62	$33.28	$9.09	—	20%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH (3RD GENERATION)	$49.78	$62.22	$9.09–$16.80	—	20%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH (3RD GENERATION)	$49.78	$62.22	$9.09–$16.80	—	20%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 P-THYROID STIMULATION HORMONE	$131.07	$163.84	$9.09–$16.80	—	20%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 P-THYROID STIMULATION HORMONE	$131.07	$163.84	$9.09–$16.80	—	20%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH (WITH REFLEX FT4)	$236.82	$296.03	$9.09–$16.80	—	20%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH ULTRA SENSITIVE	$236.82	$296.03	$9.09–$16.80	—	20%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH (WITH REFLEX FT4)	$236.82	$296.03	$9.09–$16.80	—	20%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH ULTRA SENSITIVE	$236.82	$296.03	$9.09–$16.80	—	20%
Trichomonas test (NAAT) CPT 87661 P-TRICHOMONAS VAGINALIS DETECT	$30.00	$37.50	$21.64	59% below	20%
Trichomonas test (NAAT) CPT 87661 P-TRICHOMONAS VAGINALIS DETECT	$30.00	$37.50	$11.25–$35.25	59% below	20%
Trichomonas test (NAAT) CPT 87661 P-TRICHOMONAS VAGINALIS DETECT	$30.00	$37.50	$21.64	59% below	20%
Trichomonas test (NAAT) CPT 87661 P-TRICHOMONAS VAGINALIS DETECT	$30.00	$37.50	$11.25–$35.25	59% below	20%
Trichomonas test (NAAT) CPT 87661 P-TRICHOMONAS VAGINALIS	$49.66	$62.08	$47.18–$58.36	32% below	20%
Trichomonas test (NAAT) CPT 87661 P-TRICHOMONAS VAGINALIS	$49.66	$62.08	$21.64–$35.09	32% below	20%
Trichomonas test (NAAT) CPT 87661 P-TRICHOMONAS VAGINALIS	$49.66	$62.08	$47.18–$58.36	32% below	20%
Trichomonas test (NAAT) CPT 87661 P-TRICHOMONAS VAGINALIS	$49.66	$62.08	$21.64–$35.09	32% below	20%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS RNA QL	$118.81	$148.51	$44.55–$139.60	62% above	20%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS RNA QL	$118.81	$148.51	$21.64	62% above	20%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS RNA QL	$118.81	$148.51	$44.55–$139.60	62% above	20%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS RNA QL	$118.81	$148.51	$21.64	62% above	20%
Trichomonas test (NAAT) CPT 87661 P-INFEC DIS,TRICHOMON VAGINALI	$149.74	$187.18	$56.15–$175.95	104% above	20%
Trichomonas test (NAAT) CPT 87661 P-INFEC DIS,TRICHOMON VAGINALI	$149.74	$187.18	$56.15–$175.95	104% above	20%
Trichomonas test (NAAT) CPT 87661 P-INFEC DIS,TRICHOMON VAGINALI	$149.74	$187.18	$21.64	104% above	20%
Trichomonas test (NAAT) CPT 87661 P-INFEC DIS,TRICHOMON VAGINALI	$149.74	$187.18	$21.64	104% above	20%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS RNA QL PAP	$179.16	$223.95	$21.64–$35.09	144% above	20%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS RNA QL PAP	$179.16	$223.95	$170.20–$210.51	144% above	20%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS RNA QL PAP	$179.16	$223.95	$170.20–$210.51	144% above	20%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS RNA QL PAP	$179.16	$223.95	$21.64–$35.09	144% above	20%
Trichomonas test (NAAT) inpatient CPT 87661 P-TRICHOMONAS VAGINALIS DETECT	$30.00	$37.50	$21.64	—	20%
Trichomonas test (NAAT) inpatient CPT 87661 P-TRICHOMONAS VAGINALIS DETECT	$30.00	$37.50	$21.64	—	20%
Trichomonas test (NAAT) inpatient CPT 87661 P-TRICHOMONAS VAGINALIS	$49.66	$62.08	$21.64–$35.09	—	20%
Trichomonas test (NAAT) inpatient CPT 87661 P-TRICHOMONAS VAGINALIS	$49.66	$62.08	$21.64–$35.09	—	20%
Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGINALIS RNA QL	$118.81	$148.51	$21.64	—	20%
Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGINALIS RNA QL	$118.81	$148.51	$21.64	—	20%
Trichomonas test (NAAT) inpatient CPT 87661 P-INFEC DIS,TRICHOMON VAGINALI	$149.74	$187.18	$21.64	—	20%
Trichomonas test (NAAT) inpatient CPT 87661 P-INFEC DIS,TRICHOMON VAGINALI	$149.74	$187.18	$21.64	—	20%
Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS RNA QL PAP	$179.16	$223.95	$21.64–$35.09	—	20%
Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS RNA QL PAP	$179.16	$223.95	$21.64–$35.09	—	20%
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS & MICRO	$134.42	$168.03	$3.15–$3.17	356% above	20%
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS & MICRO	$134.42	$168.03	$127.70–$157.95	356% above	20%
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS & MICRO	$134.42	$168.03	$127.70–$157.95	356% above	20%
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS & MICRO	$134.42	$168.03	$3.15–$3.17	356% above	20%
Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS & MICRO	$134.42	$168.03	$3.15–$3.17	—	20%
Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS & MICRO	$134.42	$168.03	$3.15–$3.17	—	20%
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTO WITHOUT MICRO	$89.43	$111.79	$1.88–$2.25	426% above	20%
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTO WITHOUT MICRO	$89.43	$111.79	$84.96–$105.08	426% above	20%
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTO WITHOUT MICRO	$89.43	$111.79	$84.96–$105.08	426% above	20%
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTO WITHOUT MICRO	$89.43	$111.79	$1.88–$2.25	426% above	20%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS AUTO WITHOUT MICRO	$89.43	$111.79	$1.88–$2.25	—	20%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS AUTO WITHOUT MICRO	$89.43	$111.79	$1.88–$2.25	—	20%
Urinalysis without microscope exam, manual CPT 81002 URINAL W/O MICROSCOPY NONAUTO	$8.80	$11.00	$3.48	25% below	20%
Urinalysis without microscope exam, manual CPT 81002 URINAL W/O MICROSCOPY NONAUTO	$8.80	$11.00	$8.25–$10.34	25% below	20%
Urinalysis without microscope exam, manual CPT 81002 URINAL W/O MICROSCOPY NONAUTO	$8.80	$11.00	$8.25–$10.34	25% below	20%
Urinalysis without microscope exam, manual CPT 81002 URINAL W/O MICROSCOPY NONAUTO	$8.80	$11.00	$3.48	25% below	20%
Urinalysis without microscope exam, manual CPT 81002 P-URINALYSIS	$20.43	$25.54	$19.41–$24.01	73% above	20%
Urinalysis without microscope exam, manual CPT 81002 P-URINALYSIS	$20.43	$25.54	$2.02–$3.48	73% above	20%
Urinalysis without microscope exam, manual CPT 81002 P-URINALYSIS	$20.43	$25.54	$2.02–$3.48	73% above	20%
Urinalysis without microscope exam, manual CPT 81002 P-URINALYSIS	$20.43	$25.54	$19.41–$24.01	73% above	20%
Urinalysis without microscope exam, manual CPT 81002 BLOOD (URINE)	$43.26	$54.08	$41.10–$50.84	267% above	20%
Urinalysis without microscope exam, manual CPT 81002 BLOOD (URINE)	$43.26	$54.08	$2.02–$3.48	267% above	20%
Urinalysis without microscope exam, manual CPT 81002 BLOOD (URINE)	$43.26	$54.08	$41.10–$50.84	267% above	20%
Urinalysis without microscope exam, manual CPT 81002 BLOOD (URINE)	$43.26	$54.08	$2.02–$3.48	267% above	20%
Urinalysis without microscope exam, manual CPT 81002 URINE SPECIFIC GRAVITY	$45.96	$57.45	$2.02–$3.48	290% above	20%
Urinalysis without microscope exam, manual CPT 81002 URINE SPECIFIC GRAVITY	$45.96	$57.45	$43.66–$54.00	290% above	20%
Urinalysis without microscope exam, manual CPT 81002 URINE SPECIFIC GRAVITY	$45.96	$57.45	$2.02–$3.48	290% above	20%
Urinalysis without microscope exam, manual CPT 81002 URINE SPECIFIC GRAVITY	$45.96	$57.45	$43.66–$54.00	290% above	20%
Urinalysis without microscope exam, manual CPT 81002 GLUCOSE-URINE (SEMI-QUANT	$116.42	$145.52	$2.10–$4.02	888% above	20%
Urinalysis without microscope exam, manual CPT 81002 GLUCOSE-URINE (SEMI-QUANT	$116.42	$145.52	$110.60–$136.79	888% above	20%
Urinalysis without microscope exam, manual CPT 81002 GLUCOSE-URINE (SEMI-QUANT	$116.42	$145.52	$110.60–$136.79	888% above	20%
Urinalysis without microscope exam, manual CPT 81002 GLUCOSE-URINE (SEMI-QUANT	$116.42	$145.52	$2.10–$4.02	888% above	20%
Urinalysis without microscope exam, manual inpatient CPT 81002 URINAL W/O MICROSCOPY NONAUTO	$8.80	$11.00	$3.48	—	20%
Urinalysis without microscope exam, manual inpatient CPT 81002 URINAL W/O MICROSCOPY NONAUTO	$8.80	$11.00	$3.48	—	20%
Urinalysis without microscope exam, manual inpatient CPT 81002 P-URINALYSIS	$20.43	$25.54	$2.02–$3.48	—	20%
Urinalysis without microscope exam, manual inpatient CPT 81002 P-URINALYSIS	$20.43	$25.54	$2.02–$3.48	—	20%
Urinalysis without microscope exam, manual inpatient CPT 81002 BLOOD (URINE)	$43.26	$54.08	$2.02–$3.48	—	20%
Urinalysis without microscope exam, manual inpatient CPT 81002 BLOOD (URINE)	$43.26	$54.08	$2.02–$3.48	—	20%
Urinalysis without microscope exam, manual inpatient CPT 81002 URINE SPECIFIC GRAVITY	$45.96	$57.45	$2.02–$3.48	—	20%
Urinalysis without microscope exam, manual inpatient CPT 81002 URINE SPECIFIC GRAVITY	$45.96	$57.45	$2.02–$3.48	—	20%
Urinalysis without microscope exam, manual inpatient CPT 81002 GLUCOSE-URINE (SEMI-QUANT	$116.42	$145.52	$2.10–$4.02	—	20%
Urinalysis without microscope exam, manual inpatient CPT 81002 GLUCOSE-URINE (SEMI-QUANT	$116.42	$145.52	$2.10–$4.02	—	20%
Urine culture for bacteria, with colony count CPT 87086 CULTURE URINE SPECIAL	$53.25	$66.56	$19.97–$62.57	26% above	20%
Urine culture for bacteria, with colony count CPT 87086 CULTURE URINE SPECIAL	$53.25	$66.56	$8.07	26% above	20%
Urine culture for bacteria, with colony count CPT 87086 CULTURE URINE SPECIAL	$53.25	$66.56	$8.07	26% above	20%
Urine culture for bacteria, with colony count CPT 87086 CULTURE URINE SPECIAL	$53.25	$66.56	$19.97–$62.57	26% above	20%
Urine culture for bacteria, with colony count CPT 87086 URINE COLONY COUNT	$124.18	$155.22	$6.30–$8.07	193% above	20%
Urine culture for bacteria, with colony count CPT 87086 URINE COLONY COUNT	$124.18	$155.22	$117.97–$145.91	193% above	20%
Urine culture for bacteria, with colony count CPT 87086 URINE COLONY COUNT	$124.18	$155.22	$6.30–$8.07	193% above	20%
Urine culture for bacteria, with colony count CPT 87086 URINE COLONY COUNT	$124.18	$155.22	$117.97–$145.91	193% above	20%
Urine culture for bacteria, with colony count inpatient CPT 87086 CULTURE URINE SPECIAL	$53.25	$66.56	$8.07	—	20%
Urine culture for bacteria, with colony count inpatient CPT 87086 CULTURE URINE SPECIAL	$53.25	$66.56	$8.07	—	20%
Urine culture for bacteria, with colony count inpatient CPT 87086 URINE COLONY COUNT	$124.18	$155.22	$6.30–$8.07	—	20%
Urine culture for bacteria, with colony count inpatient CPT 87086 URINE COLONY COUNT	$124.18	$155.22	$6.30–$8.07	—	20%
Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST	$12.00	$15.00	$8.61	61% below	20%
Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST	$12.00	$15.00	$11.25–$14.10	61% below	20%
Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST	$12.00	$15.00	$8.61	61% below	20%
Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST	$12.00	$15.00	$11.25–$14.10	61% below	20%
Urine pregnancy test, read by color change CPT 81025 PREGNANCY TEST - URINE	$221.97	$277.46	$210.87–$260.81	615% above	20%
Urine pregnancy test, read by color change CPT 81025 PREGNANCY TEST - URINE	$221.97	$277.46	$2.02–$9.75	615% above	20%
Urine pregnancy test, read by color change CPT 81025 PREGNANCY TEST - URINE	$221.97	$277.46	$210.87–$260.81	615% above	20%
Urine pregnancy test, read by color change CPT 81025 PREGNANCY TEST - URINE	$221.97	$277.46	$2.02–$9.75	615% above	20%
Urine pregnancy test, read by color change inpatient CPT 81025 URINE PREGNANCY TEST	$12.00	$15.00	$8.61	—	20%
Urine pregnancy test, read by color change inpatient CPT 81025 URINE PREGNANCY TEST	$12.00	$15.00	$8.61	—	20%
Urine pregnancy test, read by color change inpatient CPT 81025 PREGNANCY TEST - URINE	$221.97	$277.46	$2.02–$9.75	—	20%
Urine pregnancy test, read by color change inpatient CPT 81025 PREGNANCY TEST - URINE	$221.97	$277.46	$2.02–$9.75	—	20%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12	$47.46	$59.33	$7.51–$15.08	26% below	20%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12	$47.46	$59.33	$45.09–$55.77	26% below	20%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12	$47.46	$59.33	$7.51–$15.08	26% below	20%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12	$47.46	$59.33	$45.09–$55.77	26% below	20%
Vitamin B12 (cobalamin) blood test CPT 82607 MICRONUTRIENT VIT B12	$48.26	$60.32	$18.10–$56.70	25% below	20%
Vitamin B12 (cobalamin) blood test CPT 82607 MICRONUTRIENT VIT B12	$48.26	$60.32	$18.10–$56.70	25% below	20%
Vitamin B12 (cobalamin) blood test CPT 82607 MICRONUTRIENT VIT B12	$48.26	$60.32	$12.63	25% below	20%
Vitamin B12 (cobalamin) blood test CPT 82607 MICRONUTRIENT VIT B12	$48.26	$60.32	$12.63	25% below	20%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12	$189.27	$236.59	$7.51–$15.08	194% above	20%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12	$189.27	$236.59	$179.81–$222.39	194% above	20%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12	$189.27	$236.59	$7.51–$15.08	194% above	20%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12	$189.27	$236.59	$179.81–$222.39	194% above	20%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B-12	$47.46	$59.33	$7.51–$15.08	—	20%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B-12	$47.46	$59.33	$7.51–$15.08	—	20%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 MICRONUTRIENT VIT B12	$48.26	$60.32	$12.63	—	20%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 MICRONUTRIENT VIT B12	$48.26	$60.32	$12.63	—	20%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12	$189.27	$236.59	$7.51–$15.08	—	20%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12	$189.27	$236.59	$7.51–$15.08	—	20%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 P-VIT D 25,HYDROXY	$38.27	$47.84	$29.60	57% below	20%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 P-VIT D 25,HYDROXY	$38.27	$47.84	$14.35–$44.97	57% below	20%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 P-VIT D 25,HYDROXY	$38.27	$47.84	$29.60	57% below	20%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 P-VIT D 25,HYDROXY	$38.27	$47.84	$14.35–$44.97	57% below	20%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D TOTAL IMMUNOASSAY	$57.41	$71.76	$53.82–$67.45	35% below	20%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D TOTAL IMMUNOASSAY	$57.41	$71.76	$53.82–$67.45	35% below	20%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D TOTAL IMMUNOASSAY	$57.41	$71.76	$29.60	35% below	20%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D TOTAL IMMUNOASSAY	$57.41	$71.76	$29.60	35% below	20%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25-OH INFANT	$59.90	$74.88	$56.91–$70.39	33% below	20%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25-OH INFANT	$59.90	$74.88	$56.91–$70.39	33% below	20%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25-OH INFANT	$59.90	$74.88	$29.60–$30.45	33% below	20%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25-OH INFANT	$59.90	$74.88	$29.60–$30.45	33% below	20%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25-OH	$229.63	$287.04	$218.15–$269.82	158% above	20%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25-OH	$229.63	$287.04	$218.15–$269.82	158% above	20%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25-OH	$229.63	$287.04	$29.60–$30.45	158% above	20%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25-OH	$229.63	$287.04	$29.60–$30.45	158% above	20%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 P-VIT D 25,HYDROXY	$38.27	$47.84	$29.60	—	20%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 P-VIT D 25,HYDROXY	$38.27	$47.84	$29.60	—	20%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D TOTAL IMMUNOASSAY	$57.41	$71.76	$29.60	—	20%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D TOTAL IMMUNOASSAY	$57.41	$71.76	$29.60	—	20%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25-OH INFANT	$59.90	$74.88	$29.60–$30.45	—	20%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25-OH INFANT	$59.90	$74.88	$29.60–$30.45	—	20%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25-OH	$229.63	$287.04	$29.60–$30.45	—	20%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25-OH	$229.63	$287.04	$29.60–$30.45	—	20%
Zinc blood test CPT 84630 P-ZINC	$63.23	$79.04	$60.07–$74.30	83% above	20%
Zinc blood test CPT 84630 P-ZINC	$63.23	$79.04	$7.98–$12.60	83% above	20%
Zinc blood test CPT 84630 ZINC RBC	$63.57	$79.46	$60.39–$74.69	84% above	20%
Zinc blood test CPT 84630 ZINC RBC	$63.57	$79.46	$7.98–$12.60	84% above	20%
Zinc blood test CPT 84630 ZINC (SERUM)	$102.34	$127.92	$97.22–$120.24	196% above	20%
Zinc blood test CPT 84630 ZINC (PLASMA)	$102.34	$127.92	$7.98–$12.60	196% above	20%
Zinc blood test CPT 84630 ZINC (PLASMA)	$102.34	$127.92	$97.22–$120.24	196% above	20%
Zinc blood test CPT 84630 ZINC (SERUM)	$102.34	$127.92	$7.98–$12.60	196% above	20%
Zinc blood test inpatient CPT 84630 P-ZINC	$63.23	$79.04	$7.98–$12.60	—	20%
Zinc blood test inpatient CPT 84630 ZINC RBC	$63.57	$79.46	$7.98–$12.60	—	20%
Zinc blood test inpatient CPT 84630 ZINC (SERUM)	$102.34	$127.92	$7.98–$12.60	—	20%
Zinc blood test inpatient CPT 84630 ZINC (PLASMA)	$102.34	$127.92	$7.98–$12.60	—	20%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 P-GONADOTROPIN	$27.47	$34.34	$26.10–$32.28	55% below	20%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 P-GONADOTROPIN	$27.47	$34.34	$12.49–$16.31	55% below	20%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG TUMOR MARKER	$52.10	$65.12	$49.49–$61.21	15% below	20%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG TUMOR MARKER	$52.10	$65.12	$12.49–$16.31	15% below	20%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BETA - HCG QUANT	$619.93	$774.91	$12.49–$16.31	915% above	20%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BETA - HCG QUANT	$619.93	$774.91	$588.93–$728.42	915% above	20%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 P-GONADOTROPIN	$27.47	$34.34	$12.49–$16.31	—	20%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG TUMOR MARKER	$52.10	$65.12	$12.49–$16.31	—	20%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 BETA - HCG QUANT	$619.93	$774.91	$12.49–$16.31	—	20%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs New York	Off list
Botox injections for chronic migraine CPT 64615 CHEMODENERVATION OF EXTREMITY	$169.60	$212.00	$149.04–$199.28	51% below	20%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION, ELECTIVE, EXT	$196.00	$245.00	$172.24–$230.30	80% below	20%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION EXTERNAL	$2,809.02	$3,511.27	$2,468.42–$3,300.59	180% above	20%
Cervical biopsy CPT 57500 BIOPSY CERVIX SINGLE/MULTIPLE	$181.60	$227.00	$159.58–$213.38	84% below	20%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION	$267.90	$334.88	$235.42–$314.79	83% below	20%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 LOOP ELECTRODE EXCISION PROC	$424.00	$530.00	$392.20–$498.20	89% below	20%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 COLPOSCOPY CERVIX W/BIOPSY/CU	$424.00	$530.00	$392.20–$498.20	7% above	20%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 COLPOSCOPY CERVIX W/BIOPSY/CU	$424.00	$530.00	$392.20–$498.20	7% above	20%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRUCTION-PREMALIGNANT LESI	$88.00	$110.00	$77.33–$103.40	63% below	20%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRUCTION-PREMALIGNANT LESI	$88.00	$110.00	$77.33–$103.40	63% below	20%
Earwax removal by irrigation (rinsing), one ear both sides CPT 69209 CERUMEN REMOVAL LAVAGE BILAT	$46.40	$58.00	$166.28	—	20%
Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVE IMPACT CERUMEN IRRIGAT	$16.00	$20.00	$14.06–$18.80	84% below	20%
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 CERUMEN REMOVAL LAVAGE RT	$16.00	$20.00	$166.28	84% below	20%
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 CERUMEN REMOVAL LAVAGE LT	$16.00	$20.00	$166.28	84% below	20%
Earwax removal with instruments, one ear both sides CPT 69210 CERUMEN REMOVAL BILATERAL	$128.00	$160.00	$112.48–$150.40	—	20%
Earwax removal with instruments, one ear both sides CPT 69210 CERUMEN REMOVAL BILATERAL	$128.00	$160.00	$112.48–$150.40	—	20%
Earwax removal with instruments, one ear CPT 69210 CERUMEN REMOVAL	$64.00	$80.00	$56.24–$75.20	49% below	20%
Earwax removal with instruments, one ear CPT 69210 CERUMEN REMOVAL	$64.00	$80.00	$56.24–$75.20	49% below	20%
Earwax removal with instruments, one ear one side CPT 69210 CERUMEN REMOVAL LT	$64.00	$80.00	$166.28	49% below	20%
Earwax removal with instruments, one ear one side CPT 69210 CERUMEN REMOVAL RT	$64.00	$80.00	$166.28	49% below	20%
Earwax removal with instruments, one ear one side CPT 69210 CERUMEN REMOVAL RT	$64.00	$80.00	$166.28	49% below	20%
Earwax removal with instruments, one ear one side CPT 69210 CERUMEN REMOVAL LT	$64.00	$80.00	$166.28	49% below	20%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 ENDOMETRIAL BIOPSY	$148.80	$186.00	$130.76–$174.84	66% below	20%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 ENDOMETRIAL BIOPSY	$148.80	$186.00	$130.76–$174.84	66% below	20%
Hemorrhoid banding (rubber band ligation) CPT 46221 HEMORRHOID, INTERN, BY RUBBER	$292.00	$365.00	$256.60–$343.10	73% below	20%
IUD insertion (the device itself billed separately) CPT 58300 IUD INSERTION	$131.20	$164.00	$115.29–$154.16	46% below	20%
Incision and drainage of a simple or single skin abscess CPT 10060 I & D ABSCESS SIMPLE	$169.60	$212.00	$149.04–$199.28	53% below	20%
Incision and drainage of a simple or single skin abscess CPT 10060 I & D ABSCESS SIMPLE	$169.60	$212.00	$149.04–$199.28	53% below	20%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJECT TENDON/LIGAMENT/CYST	$80.80	$101.00	$71.00–$94.94	80% below	20%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJECT TENDON/LIGAMENT/CYST	$80.80	$101.00	$71.00–$94.94	80% below	20%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 INJECT/DRAIN JOINT/BURSA MAJO	$128.00	$160.00	$112.48–$150.40	65% below	20%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 INJECT/DRAIN JOINT/BURSA MAJO	$128.00	$160.00	$112.48–$150.40	65% below	20%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INSERTION NON BIODEGRADABLE	$169.60	$212.00	$149.04–$199.28	36% below	20%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 INJECT/DRAIN JOINT/BURSA INTE	$80.80	$101.00	$71.00–$94.94	77% below	20%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 INJECT/DRAIN JOINT/BURSA INTE	$80.80	$101.00	$71.00–$94.94	77% below	20%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 INJECT/DRAIN JOINT/BURSA SMAL	$59.20	$74.00	$52.02–$69.56	83% below	20%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 INJECT/DRAIN JOINT/BURSA SMAL	$59.20	$74.00	$52.02–$69.56	83% below	20%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 LAYER CLOSURE WOUND < 2.6C	$336.00	$420.00	$295.26–$394.80	40% below	20%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 LAYER CLOSURE WOUND 2.6CM	$336.00	$420.00	$295.26–$394.80	40% below	20%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXCISE BENIGN LESION .6CM	$127.20	$159.00	$111.78–$149.46	85% below	20%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXCISE BENIGN LESION <.6CM	$212.00	$265.00	$186.30–$249.10	77% below	20%
Nail removal (partial or complete), one nail CPT 11730 AVULSION NAIL PLATE SIMPLE SI	$160.80	$201.00	$141.30–$188.94	43% below	20%
Nail removal (partial or complete), one nail CPT 11730 AVULSION NAIL PLATE SIMPLE SI	$160.80	$201.00	$141.30–$188.94	43% below	20%
Occipital nerve block (injection for headaches) CPT 64405 INJECTION FOR NERVE BLOCK, GR	$123.20	$154.00	$108.26–$144.76	69% below	20%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXCISE NAIL BED & MATRIX	$212.00	$265.00	$186.30–$249.10	63% below	20%
Removal of a breast lump, open surgery CPT 19120 EXCISION OF BREAST LESION	$551.20	$689.00	$603.08–$647.66	87% below	20%
Removal of a breast lump, open surgery CPT 19120 EXCISION OF BREAST LESION	$551.20	$689.00	$603.08–$647.66	87% below	20%
Removal of a foreign object under the skin, simple CPT 10120 REMOVE FOREIGN BODY SUBCUTANE	$160.00	$200.00	$140.60–$188.00	71% below	20%
Short arm cast (elbow to hand) CPT 29075 APPLY CAST SHORT ARM	$101.60	$127.00	$89.28–$119.38	68% below	20%
Short arm splint (forearm and hand) CPT 29125 SPLINT SHORT ARM STATIC	$196.91	$246.14	$2.37	6% above	20%
Short arm splint (forearm and hand) CPT 29125 SPLINT SHORT ARM STATIC	$196.91	$246.14	$166.28	6% above	20%
Short arm splint (forearm and hand) one side CPT 29125 APPLY SHORT ARM SPLINT RT	$48.00	$60.00	$166.28	74% below	20%
Short arm splint (forearm and hand) one side CPT 29125 APPLY SHORT ARM SPLINT LT	$48.00	$60.00	$166.28	74% below	20%
Short arm splint (forearm and hand) inpatient CPT 29125 SPLINT SHORT ARM STATIC	$196.91	$246.14	$2.37	—	20%
Short leg splint (calf to foot) one side CPT 29515 APPLY SHORT LEG SPLINT LT	$91.20	$114.00	$166.28	53% below	20%
Short leg splint (calf to foot) one side CPT 29515 APPLY SHORT LEG SPLINT RT	$91.20	$114.00	$166.28	53% below	20%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 REPAIR SUPERFIC WOUND 2.6CM	$169.60	$212.00	$149.04–$199.28	47% below	20%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 REPAIR SUPERFIC WOUND 2.6CM	$169.60	$212.00	$149.04–$199.28	47% below	20%
Skin biopsy, punch, one lesion CPT 11104 PUNCH BIOPSY OF SKIN	$148.00	$185.00	$130.06–$173.90	75% below	20%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 EXCISE MALIG LESION .6CM	$296.80	$371.00	$260.81–$348.74	64% below	20%
Skin tag removal, up to 15 tags CPT 11200 REMOVE SKIN TAGS UP TO 15	$84.80	$106.00	$74.52–$99.64	72% below	20%
Skin tag removal, up to 15 tags CPT 11200 REMOVE SKIN TAGS UP TO 15	$84.80	$106.00	$74.52–$99.64	72% below	20%
Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL TAP, DIAGNOSTIC	$212.00	$265.00	$186.30–$249.10	78% below	20%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 REPAIR SUPERFICIAL WOUND 2.6-5	$169.60	$212.00	$149.04–$199.28	52% below	20%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 REPAIR SUPERFIC WOUND 2.6CM	$212.00	$265.00	$186.30–$249.10	30% below	20%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 REPAIR SUPERFIC WOUND 2.6CM	$212.00	$265.00	$186.30–$249.10	30% below	20%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGENTIAL BIOPSY OF SKIN	$120.00	$150.00	$105.45–$141.00	74% below	20%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGENTIAL BIOPSY OF SKIN	$120.00	$150.00	$105.45–$141.00	74% below	20%
Trigger point injections, 1 or 2 muscles CPT 20552 TRIGGER POINT INJ, 1-2	$127.20	$159.00	$111.78–$149.46	64% below	20%
Wart removal, up to 14 warts CPT 17110 DESTRUCTION OF SKIN LESIONS U	$152.00	$190.00	$133.57–$178.60	36% below	20%
Wart removal, up to 14 warts CPT 17110 DESTRUCTION OF SKIN LESIONS U	$152.00	$190.00	$133.57–$178.60	36% below	20%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDEMENT SKIN/TISSUE 1ST 20	$212.00	$265.00	$186.30–$249.10	71% below	20%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs New York	Off list
Blood transfusion (giving blood or blood components) CPT 36430 EMERGENCY ROOM TRANSFUSION	$605.10	$756.37	$8.08	19% below	20%
Blood transfusion (giving blood or blood components) CPT 36430 EMERGENCY ROOM TRANSFUSION	$605.10	$756.37	$531.73–$710.99	19% below	20%
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION	$654.46	$818.08	$8.08	13% below	20%
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION	$654.46	$818.08	$575.11–$769.00	13% below	20%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 EMERGENCY ROOM TRANSFUSION	$605.10	$756.37	$8.08	—	20%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION	$654.46	$818.08	$8.08	—	20%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEBULIZER TREATMENT	$33.60	$42.00	$29.53–$39.48	85% below	20%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 IS TECHNIQUES - IP ONLY	$68.17	$85.21	$59.90–$80.10	70% below	20%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 IS TECHNIQUES - IP ONLY	$68.17	$85.21	$3.03	70% below	20%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 ULTRASONIC NEBULIZER CONTINUE	$75.95	$94.94	$3.03	66% below	20%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 ULTRASONIC NEBULIZER CONTINUE	$75.95	$94.94	$66.74–$89.24	66% below	20%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 SVN TREATMENT	$118.74	$148.42	$3.03	47% below	20%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 SVN TREATMENT	$118.74	$148.42	$104.34–$139.51	47% below	20%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI - METERED DOSE INHALER	$159.48	$199.35	$3.03	29% below	20%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI - METERED DOSE INHALER	$159.48	$199.35	$140.14–$187.39	29% below	20%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 DPI - DRY POWDER INHALER	$159.48	$199.35	$3.03	29% below	20%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 DPI - DRY POWDER INHALER	$159.48	$199.35	$140.14–$187.39	29% below	20%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 ULTRASONIC NEBULIZER TREATMENT	$307.90	$384.87	$270.56–$361.78	38% above	20%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 ULTRASONIC NEBULIZER TREATMENT	$307.90	$384.87	$3.03	38% above	20%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 IS TECHNIQUES - IP ONLY	$68.17	$85.21	$3.03	—	20%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 ULTRASONIC NEBULIZER CONTINUE	$75.95	$94.94	$3.03	—	20%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 SVN TREATMENT	$118.74	$148.42	$3.03	—	20%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 DPI - DRY POWDER INHALER	$159.48	$199.35	$3.03	—	20%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MDI - METERED DOSE INHALER	$159.48	$199.35	$3.03	—	20%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 ULTRASONIC NEBULIZER TREATMENT	$307.90	$384.87	$3.03	—	20%
Chemotherapy IV infusion, first hour CPT 96413 CHEMO INFUSION 1HR	$924.76	$1,155.95	$35.35–$175.00	57% above	20%
Chemotherapy IV infusion, first hour CPT 96413 CHEMO INFUSION 1HR	$924.76	$1,155.95	$812.63–$1,086.59	57% above	20%
Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO INFUSION 1HR	$924.76	$1,155.95	$35.35–$175.00	—	20%
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 AUDIOMETRY COMPREHENSIVE	$48.00	$60.00	$42.18–$56.40	80% below	20%
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE FIRST HOUR	$316.80	$396.00	$278.39–$372.24	79% below	20%
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE	$1,566.30	$1,957.88	$1,376.39–$1,840.41	2% above	20%
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG INCL RECORD AWAKE & DROWSY	$488.80	$611.00	$429.53–$574.34	10% below	20%
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE AND DROWSY	$802.99	$1,003.74	$705.63–$943.52	47% above	20%
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE AND DROWSY	$802.99	$1,003.74	$35.35	47% above	20%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG AWAKE AND DROWSY	$802.99	$1,003.74	$35.35	—	20%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ELECTROCARDIOGRAPH	$442.07	$552.59	$7.58–$15.00	207% above	20%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ELECTROCARDIOGRAPH	$442.07	$552.59	$388.47–$519.43	207% above	20%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ELECTROCARDIOGRAPH	$442.07	$552.59	$7.58–$15.00	—	20%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMERGENCY ROOM I	$399.32	$499.15	$415.00–$2,070.00	158% above	20%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENCY ROOM 2	$626.94	$783.67	$548.98–$2,070.00	89% above	20%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY ROOM 3	$760.90	$951.12	$1,297.00–$2,070.00	68% above	20%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY ROOM 3	$760.90	$951.12	$1,297.00–$2,070.00	68% above	20%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENCY ROOM 4	$894.86	$1,118.58	$1,297.00–$2,070.00	33% above	20%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENCY ROOM 4	$894.86	$1,118.58	$1,297.00–$2,070.00	33% above	20%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENCY ROOM 5	$1,028.81	$1,286.01	$1,297.00–$2,070.00	11% above	20%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENCY ROOM 5	$1,028.81	$1,286.01	$1,297.00–$2,070.00	11% above	20%
Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIAC STRESS W/O INTERP	$1,335.75	$1,669.69	$1,173.79–$1,569.51	131% above	20%
Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIAC STRESS W/O INTERP	$1,335.75	$1,669.69	$30.30–$58.00	131% above	20%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 CARDIAC STRESS W/O INTERP	$1,335.75	$1,669.69	$30.30–$58.00	—	20%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INFUSI HYDRATION 31MIN-1 HR	$68.00	$85.00	$59.76–$79.90	80% below	20%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INFUSION HYDRATION 1ST HR	$470.26	$587.83	$413.24–$552.56	35% above	20%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INFUSION HYDRATION 1ST HR	$470.26	$587.83	$35.35–$72.00	35% above	20%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV INFUSION HYDRATION 1ST HR	$470.26	$587.83	$35.35–$72.00	—	20%
IV infusion of a medicine, first hour CPT 96365 IV INFUSION OTHER 1ST HR INIT	$522.51	$653.14	$35.35–$85.00	37% above	20%
IV infusion of a medicine, first hour CPT 96365 IV INFUSION OTHER 1ST HR INIT	$522.51	$653.14	$459.16–$613.95	37% above	20%
IV infusion of a medicine, first hour CPT 96365 IV INFUSION OTHER 1ST HR INIT	$522.51	$653.14	$35.35–$85.00	37% above	20%
IV infusion of a medicine, first hour CPT 96365 IV INFUSION OTHER 1ST HR INIT	$522.51	$653.14	$459.16–$613.95	37% above	20%
IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION OTHER 1ST HR INIT	$522.51	$653.14	$35.35–$85.00	—	20%
IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION OTHER 1ST HR INIT	$522.51	$653.14	$35.35–$85.00	—	20%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION;THERAPEUTIC PROPHY	$111.76	$139.70	$98.21–$131.32	33% above	20%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 SQ/IM NON-CHEMOTHERAPY	$120.88	$151.10	$13.36	44% above	20%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 SQ/IM NON-CHEMO	$120.88	$151.10	$13.36–$21.00	44% above	20%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 SQ/IM NON-CHEMOTHERAPY	$120.88	$151.10	$106.22–$142.03	44% above	20%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 SQ/IM NON-CHEMO	$120.88	$151.10	$106.22–$142.03	44% above	20%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 SQ/IM NON-CHEMOTHERAPY	$120.88	$151.10	$13.36	—	20%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 SQ/IM NON-CHEMO	$120.88	$151.10	$13.36–$21.00	—	20%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 NERVE CONDUCTION 7-8 STUDIES	$156.00	$195.00	$166.28	65% below	20%
Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR REEDUCATE/15 MIN	$152.99	$191.24	$2.37	82% above	20%
Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR REEDUCATE/15 MIN	$152.99	$191.24	$166.28	82% above	20%
Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR REEDUCATE/15 MIN	$152.99	$191.24	$2.37	82% above	20%
Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR REEDUCATE/15 MIN	$152.99	$191.24	$166.28	82% above	20%
Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR REDUCT @ 15 MIN	$281.21	$351.51	$2.37–$16.00	235% above	20%
Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR REDUCT @ 15 MIN	$281.21	$351.51	$166.28	235% above	20%
Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR REDUCT @ 15 MIN	$281.21	$351.51	$2.37–$16.00	235% above	20%
Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR REDUCT @ 15 MIN	$281.21	$351.51	$166.28	235% above	20%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUROMUSCULAR REEDUCATE/15 MIN	$152.99	$191.24	$2.37	—	20%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUROMUSCULAR REEDUCATE/15 MIN	$152.99	$191.24	$2.37	—	20%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUROMUSCULAR REDUCT @ 15 MIN	$281.21	$351.51	$2.37–$16.00	—	20%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUROMUSCULAR REDUCT @ 15 MIN	$281.21	$351.51	$2.37–$16.00	—	20%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MNT INIT ASSMT & INTERV 15 MIN	$55.38	$69.22	$48.66–$65.07	3% below	20%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MNT INIT ASSMT & INTERV 15 MIN	$55.38	$69.22	$17.00	3% below	20%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 TELE HEALTH MNT INIT ASSMT	$55.38	$69.22	$48.66–$65.07	3% below	20%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 MNT INIT ASSMT & INTERV 15 MIN	$55.38	$69.22	$17.00	—	20%
Occupational therapy evaluation, low complexity CPT 97165 OT INT EVAL LOW COMP	$152.99	$191.24	$166.28	11% below	20%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT INT EVAL HIGH COMP	$256.46	$320.58	$166.28	10% below	20%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT INT EVAL LOW COMP	$256.46	$320.58	$166.28	42% above	20%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT INT EVAL MOD COMP	$256.46	$320.58	$166.28	7% above	20%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY EACH 15 MIN	$178.86	$223.57	$2.37–$16.00	115% above	20%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY EA 15 MIN	$178.86	$223.57	$166.28	115% above	20%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY EACH 15 MIN	$178.86	$223.57	$166.28	115% above	20%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY EA 15 MIN	$178.86	$223.57	$2.37	115% above	20%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY EA 15 MIN	$178.86	$223.57	$166.28	115% above	20%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY EACH 15 MIN	$178.86	$223.57	$166.28	115% above	20%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY EA 15 MIN	$178.86	$223.57	$2.37	115% above	20%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY EACH 15 MIN	$178.86	$223.57	$2.37–$16.00	115% above	20%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY EACH 15 MIN	$178.86	$223.57	$2.37–$16.00	—	20%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY EA 15 MIN	$178.86	$223.57	$2.37	—	20%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY EACH 15 MIN	$178.86	$223.57	$2.37–$16.00	—	20%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY EA 15 MIN	$178.86	$223.57	$2.37	—	20%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THER EXERCISES EA 15 MIN	$142.30	$177.88	$2.37	74% above	20%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THER EXCERCISE @ 15 MIN	$142.30	$177.88	$2.37–$16.00	74% above	20%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THER EXCERCISE @ 15 MIN	$142.30	$177.88	$166.28	74% above	20%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THER EXERCISES EA 15 MIN	$142.30	$177.88	$2.37	74% above	20%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THER EXERCISES EA 15 MIN	$142.30	$177.88	$166.28	74% above	20%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THER EXCERCISE @ 15 MIN	$142.30	$177.88	$2.37–$16.00	74% above	20%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THER EXERCISES EA 15 MIN	$142.30	$177.88	$166.28	74% above	20%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THER EXCERCISE @ 15 MIN	$142.30	$177.88	$166.28	74% above	20%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THER EXCERCISE @ 15 MIN	$142.30	$177.88	$2.37–$16.00	—	20%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THER EXCERCISE @ 15 MIN	$142.30	$177.88	$2.37–$16.00	—	20%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THER EXERCISES EA 15 MIN	$142.30	$177.88	$2.37	—	20%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THER EXERCISES EA 15 MIN	$142.30	$177.88	$2.37	—	20%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKE CESSATION	$40.10	$50.12	$35.23–$47.11	5% below	20%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKING CESSATION-COUNSELING	$44.00	$55.00	$38.67–$51.70	4% above	20%
Specialist consultation, low complexity or 30+ minutes CPT 99243 MATERNITY RECOVERY ROOM	$1,175.66	$1,469.58	$1,033.11–$1,381.41	324% above	20%
Specialist consultation, low complexity or 30+ minutes CPT 99243 MATERNITY RECOVERY ROOM	$1,175.66	$1,469.58	$1,033.11–$1,381.41	324% above	20%
Speech and language evaluation CPT 92523 SPEECH EVALUATION	$380.82	$476.02	$166.28	3% below	20%
Speech and language evaluation CPT 92523 SPEECH EVALUATION	$380.82	$476.02	$166.28	3% below	20%
Speech and language evaluation CPT 92523 SPEECH EVALUATION	$380.82	$476.02	$58.42–$187.08	3% below	20%
Speech and language evaluation CPT 92523 SPEECH EVALUATION	$380.82	$476.02	$58.42–$187.08	3% below	20%
Speech and language evaluation inpatient CPT 92523 SPEECH EVALUATION	$380.82	$476.02	$58.42–$187.08	—	20%
Speech and language evaluation inpatient CPT 92523 SPEECH EVALUATION	$380.82	$476.02	$58.42–$187.08	—	20%
Speech therapy session, individual CPT 92507 SPEECH TREATMENT	$201.21	$251.51	$186.12–$236.42	11% above	20%
Speech therapy session, individual CPT 92507 SPEECH TREATMENT	$201.21	$251.51	$4.75	11% above	20%
Speech therapy session, individual CPT 92507 SPEECH TREATMENT	$201.21	$251.51	$186.12–$236.42	11% above	20%
Speech therapy session, individual CPT 92507 SPEECH TREATMENT	$201.21	$251.51	$4.75	11% above	20%
Speech therapy session, individual inpatient CPT 92507 SPEECH TREATMENT	$201.21	$251.51	$4.75	—	20%
Speech therapy session, individual inpatient CPT 92507 SPEECH TREATMENT	$201.21	$251.51	$4.75	—	20%
Spirometry (breathing test) CPT 94010 PULMONARY FUNCTION	$507.79	$634.74	$15.15–$30.00	119% above	20%
Spirometry (breathing test) CPT 94010 PULMONARY FUNCTION	$507.79	$634.74	$446.22–$596.66	119% above	20%
Spirometry (breathing test) CPT 94010 PULMONARY FUNCTION	$507.79	$634.74	$446.22–$596.66	119% above	20%
Spirometry (breathing test) CPT 94010 PULMONARY FUNCTION	$507.79	$634.74	$15.15–$30.00	119% above	20%
Spirometry (breathing test) inpatient CPT 94010 PULMONARY FUNCTION	$507.79	$634.74	$15.15–$30.00	—	20%
Spirometry (breathing test) inpatient CPT 94010 PULMONARY FUNCTION	$507.79	$634.74	$15.15–$30.00	—	20%
Spirometry before and after a bronchodilator CPT 94060 BRONCHOSPASM EVAL	$922.39	$1,152.99	$25.25–$56.00	144% above	20%
Spirometry before and after a bronchodilator CPT 94060 BRONCHOSPASM EVAL	$922.39	$1,152.99	$810.55–$1,083.81	144% above	20%
Spirometry before and after a bronchodilator CPT 94060 BRONCHOSPASM EVAL	$922.39	$1,152.99	$25.25–$56.00	144% above	20%
Spirometry before and after a bronchodilator CPT 94060 BRONCHOSPASM EVAL	$922.39	$1,152.99	$810.55–$1,083.81	144% above	20%
Spirometry before and after a bronchodilator CPT 94060 PULMONARY FUNCTION COMPLE	$1,424.63	$1,780.79	$1,251.90–$1,673.94	277% above	20%
Spirometry before and after a bronchodilator CPT 94060 PULMONARY FUNCTION COMPLE	$1,424.63	$1,780.79	$25.25	277% above	20%
Spirometry before and after a bronchodilator CPT 94060 PULMONARY FUNCTION COMPLE	$1,424.63	$1,780.79	$1,251.90–$1,673.94	277% above	20%
Spirometry before and after a bronchodilator CPT 94060 PULMONARY FUNCTION COMPLE	$1,424.63	$1,780.79	$25.25	277% above	20%
Spirometry before and after a bronchodilator inpatient CPT 94060 BRONCHOSPASM EVAL	$922.39	$1,152.99	$25.25–$56.00	—	20%
Spirometry before and after a bronchodilator inpatient CPT 94060 BRONCHOSPASM EVAL	$922.39	$1,152.99	$25.25–$56.00	—	20%
Spirometry before and after a bronchodilator inpatient CPT 94060 PULMONARY FUNCTION COMPLE	$1,424.63	$1,780.79	$25.25	—	20%
Spirometry before and after a bronchodilator inpatient CPT 94060 PULMONARY FUNCTION COMPLE	$1,424.63	$1,780.79	$25.25	—	20%
Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITIES/15 MIN	$142.30	$177.88	$2.37	52% above	20%
Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITY @ 15 MIN	$142.30	$177.88	$166.28	52% above	20%
Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITY @ 15 MIN	$142.30	$177.88	$2.37–$16.00	52% above	20%
Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITIES/15 MIN	$142.30	$177.88	$166.28	52% above	20%
Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITY @ 15 MIN	$142.30	$177.88	$166.28	52% above	20%
Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITY @ 15 MIN	$142.30	$177.88	$2.37–$16.00	52% above	20%
Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITIES/15 MIN	$142.30	$177.88	$166.28	52% above	20%
Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITIES/15 MIN	$142.30	$177.88	$2.37	52% above	20%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPEUTIC ACTIVITY @ 15 MIN	$142.30	$177.88	$2.37–$16.00	—	20%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPEUTIC ACTIVITIES/15 MIN	$142.30	$177.88	$2.37	—	20%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPEUTIC ACTIVITIES/15 MIN	$142.30	$177.88	$2.37	—	20%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPEUTIC ACTIVITY @ 15 MIN	$142.30	$177.88	$2.37–$16.00	—	20%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPEUTIC PHLEBOTOMY	$306.30	$382.87	$269.16–$359.90	44% above	20%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPEUTIC PHLEBOTOMY	$306.30	$382.87	$10.10–$15.00	44% above	20%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 THERAPEUTIC PHLEBOTOMY	$306.30	$382.87	$10.10–$15.00	—	20%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs New York	Off list
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 Fluad Trivalent High Dose 45 m	$44.98	$56.23	$41.61–$52.86	63% below	20%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 Fluad Trivalent High Dose 45	$91.94	$114.92	$166.28	25% below	20%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 FLUAD HIGH DOSE FLU VACC	$157.08	$196.35	$166.28	28% above	20%
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 COVID-19 Vaccine (2024-25) 50	$78.48	$98.10	$72.59–$92.21	64% below	20%
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 COVID-19 Vaccine (2025-26) 50	$150.96	$188.70	$166.28	30% below	20%
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 COVID Vaccine (23-24) 50 mcg/0	$187.02	$233.78	$173.00–$219.75	13% below	20%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARIVAX	$176.00	$220.00	$166.28	17% below	20%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARIVAX	$176.00	$220.00	$166.28	17% below	20%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VIRUS VACC	$267.02	$333.78	$166.28	26% above	20%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VIRUS VACC	$267.02	$333.78	$166.28	26% above	20%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Afluria Trivalent 45 mcg/0.5 m	$10.84	$13.55	$10.03–$12.74	65% below	20%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Afluria Trivalent 45 mcg/0.5 m	$10.84	$13.55	$10.03–$12.74	65% below	20%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Afluria Trivalent 45 mcg/0.5ml	$23.89	$29.86	$166.28	23% below	20%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Afluria Trivalent 45 mcg/0.5ml	$23.89	$29.86	$166.28	23% below	20%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 AFLURIA FLU VAC 36 MON & OLDER	$46.44	$58.05	$166.28	49% above	20%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 AFLURIA FLU VAC 36 MON & OLDER	$46.44	$58.05	$166.28	49% above	20%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 GARDASIL 9 IMMUNIZATION	$340.00	$425.00	$166.28	40% below	20%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 HEPATITIS A HEPATITIS B VACC	$106.40	$133.00	$166.28	49% below	20%
Hepatitis A vaccine, adult dose CPT 90632 HEPATATIS A VACCINE	$64.00	$80.00	$166.28	38% below	20%
Hepatitis A vaccine, adult dose CPT 90632 HEPATATIS A VACCINE	$64.00	$80.00	$166.28	38% below	20%
Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VIRUS VACC	$111.15	$138.94	$166.28	8% above	20%
Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VIRUS VACC	$111.15	$138.94	$166.28	8% above	20%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VACCINE SERIES 3	$72.00	$90.00	$166.28	11% below	20%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VACCINE SERIES 3	$72.00	$90.00	$166.28	11% below	20%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VACC 20MCG	$100.98	$126.22	$166.28	24% above	20%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VACC 20MCG	$100.98	$126.22	$166.28	24% above	20%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Hep B Vac Recombivax 10mcg/1ml	$148.63	$185.79	$166.28	83% above	20%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Hep B Vac Recombivax 10mcg/1ml	$148.63	$185.79	$166.28	83% above	20%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLUBLOK QUAD 180 MCG/0.05ML SY	$99.07	$123.84	$166.28	11% below	20%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MMR IMMUNIZATION	$100.00	$125.00	$166.28	8% below	20%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MMR IMMUNIZATION	$100.00	$125.00	$166.28	8% below	20%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES/MUMPS/RUBELLA VAC	$131.25	$164.06	$166.28	20% above	20%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES/MUMPS/RUBELLA VAC	$131.25	$164.06	$166.28	20% above	20%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENACTRA VACCINE	$165.95	$207.44	$133.61	15% below	20%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENACTRA VACCINE	$165.95	$207.44	$153.51–$194.99	15% below	20%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENACTRA VACCINE	$165.95	$207.44	$133.61	15% below	20%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENACTRA VACCINE	$165.95	$207.44	$153.51–$194.99	15% below	20%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENACTRA VACCINE	$165.95	$207.44	$133.61	—	20%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENACTRA VACCINE	$165.95	$207.44	$133.61	—	20%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 BEXSERO/MENINGOCOCCAL B	$240.00	$300.00	$166.28	27% below	20%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20 VALENT VACCINE	$280.00	$350.00	$166.28	35% below	20%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Prevnar 20 Vaccine 0.5 ml Syri	$384.93	$481.16	$166.28	10% below	20%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL VACCINE/PNEUMOVAX	$127.20	$159.00	$166.28	10% below	20%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL VACCINE/PNEUMOVAX	$127.20	$159.00	$166.28	10% below	20%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL VACCINE	$170.00	$212.50	$157.25–$199.75	20% above	20%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL VACCINE	$170.00	$212.50	$115.03	20% above	20%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL VACCINE	$170.00	$212.50	$157.25–$199.75	20% above	20%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL VACCINE	$170.00	$212.50	$115.03	20% above	20%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL VACCINE	$170.00	$212.50	$115.03	—	20%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL VACCINE	$170.00	$212.50	$115.03	—	20%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 RSV VACCINE, BEYFORTUS 0.5ML	$408.00	$510.00	$166.28	60% below	20%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 RSV VACCINE, ABRYSVO	$304.00	$380.00	$166.28	24% below	20%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 RSV Vaccine-Abrysvo 120 mcg	$433.18	$541.48	$400.70–$508.99	8% above	20%
RSV vaccine with adjuvant (Arexvy), one dose for older adults CPT 90679 RSV Vaccine-Arexvy 120 mcg/0.5	$407.68	$509.60	$377.10–$479.02	at median	20%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE [IMOVAX]	$606.78	$758.48	$166.28	26% above	20%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TET TOX ADSOR DIPTH .5ML >7YO	$50.12	$62.65	$166.28	10% below	20%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS AND DIPTHERIA	$64.00	$80.00	$166.28	15% above	20%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 ADACEL	$66.98	$83.72	$166.28	19% above	20%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 ADACEL	$66.98	$83.72	$166.28	19% above	20%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 ADACEL/BOOSTRIX	$72.00	$90.00	$166.28	28% above	20%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 ADACEL/BOOSTRIX	$72.00	$90.00	$166.28	28% above	20%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 RSV VACCINE ADMIN	$36.94	$46.18	$32.46–$43.41	50% below	20%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 RSV VACCINE ADMIN	$36.94	$46.18	$32.46–$43.41	50% below	20%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Admin Of RSV Vaccine Arexvy 12	$36.94	$46.18	$14.78	50% below	20%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 RSV VACCINE ADMIN	$36.94	$46.18	$14.78	50% below	20%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Admin Of RSV Vaccine Arexvy 12	$36.94	$46.18	$32.46–$43.41	50% below	20%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Admin Of RSV Vaccine Arexvy 12	$36.94	$46.18	$32.46–$43.41	50% below	20%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 RSV VACCINE ADMIN	$36.94	$46.18	$14.78	50% below	20%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Admin Of RSV Vaccine Arexvy 12	$36.94	$46.18	$14.78	50% below	20%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN OF VACCINE	$42.40	$53.00	$37.26–$49.82	43% below	20%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN OF VACCINE	$42.40	$53.00	$37.26–$49.82	43% below	20%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN	$107.95	$134.94	$14.78	45% above	20%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN	$107.95	$134.94	$14.78	45% above	20%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN	$107.95	$134.94	$94.86–$126.84	45% above	20%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN	$107.95	$134.94	$94.86–$126.84	45% above	20%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 RSV VACCINE ADMIN	$36.94	$46.18	$14.78	—	20%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Admin Of RSV Vaccine Arexvy 12	$36.94	$46.18	$14.78	—	20%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Admin Of RSV Vaccine Arexvy 12	$36.94	$46.18	$14.78	—	20%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 RSV VACCINE ADMIN	$36.94	$46.18	$14.78	—	20%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMIN	$107.95	$134.94	$14.78	—	20%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMIN	$107.95	$134.94	$14.78	—	20%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 PASSIVE IMMUNIZATION EA.ADD	$16.80	$21.00	$14.76–$19.74	47% below	20%

Source file: https://www.nlh.org/wp-content/uploads/2026/04/1336145168_nathanlittauerhospital_standardcharges_shoppableinin.csv