Hospital Somerset, PA

Chan Soon-Shiong Medical Center at Windber

Chan Soon-Shiong Medical Center at Windber in Windber, PA publishes cash prices for 313 common procedures listed here, from its own machine-readable price file updated Feb 25, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Pennsylvania median for 221 of 309 procedures and above it for 86. By typical cash price it ranks #27 of 108 Pennsylvania hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.

600 Somerset Ave, Windber, PA 15963 Collected Sep 27, 2026 Source price file Check a bill from this hospital (814) 467-3000

Acute care hospital Nonprofit hospital Emergency department CMS star rating 2 of 5 CCN 390112 · CMS hospital register NPI 1275620536

Financial assistance

Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply

Chan Soon-Shiong Medical Center at Windber is a nonprofit hospital in the CMS register. Under section 501(r) of the federal tax code it must have a written Financial Assistance Policy with a free application, publish both on its website, and charge patients who qualify no more than the amounts generally billed to insured patients for emergency and other medically necessary care. Who qualifies depends on household income; the policy states the limits.

You can apply up to 240 days after the first bill. Before collection actions such as credit reporting or a lawsuit, the hospital must tell you about the policy and wait at least 120 days after that bill. Ask the billing office for the policy and the application before you pay, or search the hospital's website for “financial assistance”. Letters you can copy.

Source: IRS, section 501(r) requirements for nonprofit hospitals.

CMS price transparency record

The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 3 actions for a hospital named Chan Soon-Shiong Medical Center at Windber in Windber, PA:

Oct 3, 2024 Warning notice
Jan 14, 2025 Corrective action plan requested
Feb 14, 2025 Case closed

Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. Corrective action plan requested: CMS asked the hospital to submit a plan to fix the problems it found. Case closed: CMS closed the case after the hospital addressed the problems.

A notice records a step in a CMS review; it is not a court finding. Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes, actions through Jul 31, 2026.

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Pennsylvania	Off list
Abdominal CT scan without and with contrast CPT 74170 CT ABD ENHANC & UNEN	$871.25	$1,025.00	$117.08–$1,013.46	54% below	15%
Abdominal CT scan without and with contrast inpatient CPT 74170 CT ABD ENHANC & UNEN	$871.25	$1,025.00	—	—	15%
Abdominal X-ray, 2 views CPT 74019 ABDOMEN 2 VIEWS	$175.95	$207.00	$17.30–$124.20	46% below	15%
Abdominal X-ray, 2 views inpatient CPT 74019 ABDOMEN 2 VIEWS	$175.95	$207.00	—	—	15%
Ankle X-ray, complete, 3 or more views both sides CPT 73610 ANKLE MIN 3 VIEWS BILAT	$229.50	$270.00	$16.89–$162.00	—	15%
Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE MIN 3 VIEWS LT	$153.00	$180.00	$16.89–$108.00	58% below	15%
Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE MIN 3 VIEWS RT	$153.00	$180.00	$16.89–$108.00	58% below	15%
Ankle X-ray, complete, 3 or more views inpatient both sides CPT 73610 ANKLE MIN 3 VIEWS BILAT	$229.50	$270.00	—	—	15%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 ANKLE MIN 3 VIEWS RT	$153.00	$180.00	—	—	15%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 ANKLE MIN 3 VIEWS LT	$153.00	$180.00	—	—	15%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US PAS SINGLE LEVEL	$399.50	$470.00	$38.97–$282.00	11% below	15%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 US PAS SINGLE LEVEL	$399.50	$470.00	—	—	15%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT UPPER EXT UNENHAN BIL	$751.40	$884.00	$82.99–$633.16	36% below	15%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UPPER EXT UNENHAN RT	$500.60	$588.94	$82.99–$588.94	58% below	15%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UPPER EXT UNENHAN LT	$500.60	$588.94	$82.99–$588.94	58% below	15%
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 CT UPPER EXT UNENHAN BIL	$751.40	$884.00	—	—	15%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT UPPER EXT UNENHAN RT	$500.60	$588.94	—	—	15%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT UPPER EXT UNENHAN LT	$500.60	$588.94	—	—	15%
Barium swallow (esophagus X-ray with contrast) CPT 74220 BA SWALLOW-SINGLE CONTRAST	$350.21	$412.01	$23.63–$247.21	24% below	15%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 BA SWALLOW-SINGLE CONTRAST	$350.21	$412.01	—	—	15%
Bone scan, whole body (nuclear medicine) CPT 78306 BONE IMAGING WHOLE BODY	$952.00	$1,120.00	$64.58–$672.00	23% below	15%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 BONE IMAGING WHOLE BODY	$952.00	$1,120.00	—	—	15%
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST UNILAT COMPLETE	$191.25	$225.00	$56.10–$135.00	65% below	15%
Breast ultrasound, complete, one breast one side CPT 76641 US BCC BREAST COMPLETE LT	$191.25	$225.00	$56.10–$135.00	65% below	15%
Breast ultrasound, complete, one breast one side CPT 76641 US BCC BREAST COMPLETE RT	$191.25	$225.00	$56.10–$135.00	65% below	15%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST UNILAT COMPLETE	$191.25	$225.00	—	—	15%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BCC BREAST COMPLETE RT	$191.25	$225.00	—	—	15%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BCC BREAST COMPLETE LT	$191.25	$225.00	—	—	15%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BCC BREAST LIMITED RT	$170.00	$200.00	$42.99–$120.00	63% below	15%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BCC BREAST LIMITED LT	$170.00	$200.00	$42.99–$120.00	63% below	15%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BCC BREAST LIMITED LT	$170.00	$200.00	—	—	15%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BCC BREAST LIMITED RT	$170.00	$200.00	—	—	15%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA ABD/PELVIS ENHANCED	$1,122.00	$1,320.00	$350.38–$792.00	62% below	15%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CTA ABD/PELVIS ENHANCED	$1,122.00	$1,320.00	—	—	15%
CT angiography (CTA) of the head CPT 70496 CTA HEAD ENHANCED	$839.80	$988.00	$183.91–$817.33	51% below	15%
CT angiography (CTA) of the head CPT 70496 CT-VENOGRAM BRAIN	$839.80	$988.00	$183.91–$817.33	51% below	15%
CT angiography (CTA) of the head inpatient CPT 70496 CTA HEAD ENHANCED	$839.80	$988.00	—	—	15%
CT angiography (CTA) of the head inpatient CPT 70496 CT-VENOGRAM BRAIN	$839.80	$988.00	—	—	15%
CT angiography (CTA) of the neck CPT 70498 CTA NECK ENHANCED	$861.05	$1,013.00	$183.91–$901.60	48% below	15%
CT angiography (CTA) of the neck inpatient CPT 70498 CTA NECK ENHANCED	$861.05	$1,013.00	—	—	15%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST-PE ENHANCED	$871.25	$1,025.00	$182.60–$729.98	55% below	15%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST ENHANCED	$871.25	$1,025.00	$182.60–$729.98	55% below	15%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA CHEST ENHANCED	$871.25	$1,025.00	—	—	15%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA CHEST-PE ENHANCED	$871.25	$1,025.00	—	—	15%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT/ABD PELVIS UNENHANCED	$510.00	$600.00	$106.12–$360.00	75% below	15%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT/ABD PELVIS UNENHANCED	$510.00	$600.00	—	—	15%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD/PELVIS ENHANCED	$807.50	$950.00	$202.37–$570.00	73% below	15%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD/PELVIS ENHANCED	$807.50	$950.00	—	—	15%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD/PELVIS UNEN/ENHANCED	$1,105.00	$1,300.00	$267.44–$780.00	63% below	15%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABD/PELVIS UNEN/ENHANCED	$1,105.00	$1,300.00	—	—	15%
CT scan of the abdomen with contrast CPT 74160 CT ABD ENHANCED	$807.50	$950.00	$94.50–$839.88	51% below	15%
CT scan of the abdomen with contrast inpatient CPT 74160 CT ABD ENHANCED	$807.50	$950.00	—	—	15%
CT scan of the abdomen without contrast CPT 74150 CT ABD UNENHANCED	$580.55	$683.00	$81.38–$683.00	49% below	15%
CT scan of the abdomen without contrast inpatient CPT 74150 CT ABD UNENHANCED	$580.55	$683.00	—	—	15%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLA-FACIAL UN	$479.26	$563.84	$81.38–$563.84	57% below	15%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MAXILLA-FACIAL UN	$479.26	$563.84	—	—	15%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD UNENHANCED	$463.27	$545.02	$81.38–$545.02	57% below	15%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD UNENHANCED	$463.27	$545.02	—	—	15%
CT scan of the head with contrast CPT 70460 CT HEAD ENHANCED	$558.65	$657.24	$84.00–$657.24	59% below	15%
CT scan of the head with contrast inpatient CPT 70460 CT HEAD ENHANCED	$558.65	$657.24	—	—	15%
CT scan of the head without and with contrast CPT 70470 CT HEAD ENHA & UNENH	$672.42	$791.08	$105.00–$791.08	60% below	15%
CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD ENHA & UNENH	$672.42	$791.08	—	—	15%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR SPINE UNEN	$580.98	$683.50	$92.50–$683.50	49% below	15%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT LUMBAR SPINE UNEN	$580.98	$683.50	—	—	15%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT CERV SPINE UNENHA	$580.65	$683.12	$87.25–$683.12	51% below	15%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT CERV SPINE UNENHA	$580.65	$683.12	—	—	15%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS ENHANCED	$839.80	$988.00	$90.83–$823.89	50% below	15%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS ENHANCED	$839.80	$988.00	—	—	15%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 US CAROTID DUPLEX BILAT	$634.10	$746.00	$90.06–$447.60	—	15%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 US CAROTID DUPLEX BILAT	$634.10	$746.00	—	—	15%
Chest CT scan without and with contrast CPT 71270 CT CHEST ENHA & UNENHA	$979.20	$1,152.00	$108.67–$1,032.09	39% below	15%
Chest CT scan without and with contrast inpatient CPT 71270 CT CHEST ENHA & UNENHA	$979.20	$1,152.00	—	—	15%
Chest X-ray, 2 views CPT 71046 CHEST 2 VIEWS	$136.00	$160.00	$15.59–$96.00	58% below	15%
Chest X-ray, 2 views inpatient CPT 71046 CHEST 2 VIEWS	$136.00	$160.00	—	—	15%
Chest X-ray, single view CPT 71045 CHEST 1 VIEW	$125.80	$148.00	$8.52–$88.80	33% below	15%
Chest X-ray, single view inpatient CPT 71045 CHEST 1 VIEW	$125.80	$148.00	—	—	15%
Collarbone (clavicle) X-ray, complete both sides CPT 73000 CLAVICLE BILATERAL	$259.25	$305.00	$12.07–$183.00	—	15%
Collarbone (clavicle) X-ray, complete one side CPT 73000 CLAVICLE RIGHT	$172.55	$203.00	$12.07–$121.80	40% below	15%
Collarbone (clavicle) X-ray, complete one side CPT 73000 CLAVICLE LEFT	$172.55	$203.00	$12.07–$121.80	40% below	15%
Collarbone (clavicle) X-ray, complete inpatient both sides CPT 73000 CLAVICLE BILATERAL	$259.25	$305.00	—	—	15%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 CLAVICLE LEFT	$172.55	$203.00	—	—	15%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 CLAVICLE RIGHT	$172.55	$203.00	—	—	15%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERI COMPL	$309.40	$364.00	$51.45–$298.91	57% below	15%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RETROPERI COMPL	$309.40	$364.00	—	—	15%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA AXIAL SKELETON	$365.50	$430.00	$54.54–$258.00	34% above	15%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 DXA AXIAL SKELETON	$365.50	$430.00	—	—	15%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST UNENHANCED	$581.66	$684.31	$87.25–$684.31	47% below	15%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST UNENHANCED	$581.66	$684.31	—	—	15%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST ENHANCED	$667.83	$785.68	$91.88–$785.68	53% below	15%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST ENHANCED	$667.83	$785.68	—	—	15%
Diagnostic mammogram, both breasts both sides CPT 77066 MAMMO DIAG BILAT W/WO CAD	$340.00	$400.00	$87.74–$240.00	—	15%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MAMMO DIAG BILAT W/WO CAD	$340.00	$400.00	—	—	15%
Diagnostic mammogram, one breast one side CPT 77065 MAMMO DIAG RT W/WO CAD	$323.00	$380.00	$68.38–$228.00	2% above	15%
Diagnostic mammogram, one breast one side CPT 77065 MAMMO DIAG LT W/WO CAD	$323.00	$380.00	$68.38–$228.00	2% above	15%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MAMMO DIAG RT W/WO CAD	$323.00	$380.00	—	—	15%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MAMMO DIAG LT W/WO CAD	$323.00	$380.00	—	—	15%
Duplex ultrasound of the leg arteries, both legs CPT 93925 US DUP LOW EXT ART BIL	$561.00	$660.00	$77.26–$396.00	32% below	15%
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 US DUP LOW EXT ART BIL	$561.00	$660.00	—	—	15%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US VENOUS DUPLEX BILAT	$595.85	$701.00	$85.58–$420.60	—	15%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US VENOUS DUPLEX BILAT	$595.85	$701.00	—	—	15%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 US ECHO COMP W/DOPP, COLOR FLO	$1,320.05	$1,553.00	$103.05–$931.80	30% below	15%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 US ECHO COMP W/DOPP, COLOR FLO	$1,320.05	$1,553.00	—	—	15%
Elbow X-ray, 2 views both sides CPT 73070 ELBOW LIM 2 VIEW BILAT	$188.70	$222.00	$12.07–$133.20	—	15%
Elbow X-ray, 2 views one side CPT 73070 ELBOW LIM 2 VIEW RT	$125.80	$148.00	$12.07–$88.80	59% below	15%
Elbow X-ray, 2 views one side CPT 73070 ELBOW LIM 2 VIEW LT	$125.80	$148.00	$12.07–$88.80	59% below	15%
Elbow X-ray, 2 views inpatient both sides CPT 73070 ELBOW LIM 2 VIEW BILAT	$188.70	$222.00	—	—	15%
Elbow X-ray, 2 views inpatient one side CPT 73070 ELBOW LIM 2 VIEW RT	$125.80	$148.00	—	—	15%
Elbow X-ray, 2 views inpatient one side CPT 73070 ELBOW LIM 2 VIEW LT	$125.80	$148.00	—	—	15%
Elbow X-ray, complete, 3 or more views both sides CPT 73080 ELBOW MIN 3 VIEWS BILAT	$192.95	$227.00	$12.07–$136.20	—	15%
Elbow X-ray, complete, 3 or more views one side CPT 73080 ELBOW MIN 3 VIEWS RT	$128.35	$151.00	$12.07–$90.60	63% below	15%
Elbow X-ray, complete, 3 or more views one side CPT 73080 ELBOW MIN 3 VIEWS LT	$128.35	$151.00	$12.07–$90.60	63% below	15%
Elbow X-ray, complete, 3 or more views inpatient both sides CPT 73080 ELBOW MIN 3 VIEWS BILAT	$192.95	$227.00	—	—	15%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 ELBOW MIN 3 VIEWS LT	$128.35	$151.00	—	—	15%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 ELBOW MIN 3 VIEWS RT	$128.35	$151.00	—	—	15%
Eye socket (orbit) CT scan without contrast CPT 70480 CT ORB PF SEL-EAR UN	$494.69	$581.99	$112.24–$581.99	54% below	15%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT ORB PF SEL-EAR UN	$494.69	$581.99	—	—	15%
Facial bones X-ray, complete, 3 or more views CPT 70150 FACIAL BONES MIN 3 VIEWS	$174.46	$205.25	$23.63–$123.15	58% below	15%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 FACIAL BONES MIN 3 VIEWS	$174.46	$205.25	—	—	15%
Forearm X-ray (radius and ulna), 2 views both sides CPT 73090 FOREARM 2 VIEW BILATERAL	$188.70	$222.00	$12.07–$133.20	—	15%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 FOREARM 2 VIEW RIGHT	$125.80	$148.00	$12.07–$88.80	55% below	15%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 FOREARM 2 VIEW LEFT	$125.80	$148.00	$12.07–$88.80	55% below	15%
Forearm X-ray (radius and ulna), 2 views inpatient both sides CPT 73090 FOREARM 2 VIEW BILATERAL	$188.70	$222.00	—	—	15%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 FOREARM 2 VIEW RIGHT	$125.80	$148.00	—	—	15%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 FOREARM 2 VIEW LEFT	$125.80	$148.00	—	—	15%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HIDA NON RX	$1,138.15	$1,339.00	$225.19–$803.40	7% below	15%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HIDA NON RX	$1,138.15	$1,339.00	—	—	15%
Hand X-ray, 2 views both sides CPT 73120 HAND LIM 2 VIEW BILAT	$261.80	$308.00	$10.50–$184.80	—	15%
Hand X-ray, 2 views one side CPT 73120 HAND LIM 2 VIEW LT	$174.46	$205.25	$10.50–$123.15	38% below	15%
Hand X-ray, 2 views one side CPT 73120 HAND LIM 2 VIEW RT	$174.46	$205.25	$10.50–$123.15	38% below	15%
Hand X-ray, 2 views inpatient both sides CPT 73120 HAND LIM 2 VIEW BILAT	$261.80	$308.00	—	—	15%
Hand X-ray, 2 views inpatient one side CPT 73120 HAND LIM 2 VIEW LT	$174.46	$205.25	—	—	15%
Hand X-ray, 2 views inpatient one side CPT 73120 HAND LIM 2 VIEW RT	$174.46	$205.25	—	—	15%
Heel bone (calcaneus) X-ray, 2 or more views both sides CPT 73650 HEEL CALCANEUS M2V BILAT	$229.50	$270.00	$12.07–$162.00	—	15%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 HEEL CALCANEUS MIN 2 V RT	$153.00	$180.00	$12.07–$108.00	42% below	15%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 HEEL CALCANEUS MIN 2V LT	$153.00	$180.00	$12.07–$108.00	42% below	15%
Heel bone (calcaneus) X-ray, 2 or more views inpatient both sides CPT 73650 HEEL CALCANEUS M2V BILAT	$229.50	$270.00	—	—	15%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 HEEL CALCANEUS MIN 2V LT	$153.00	$180.00	—	—	15%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 HEEL CALCANEUS MIN 2 V RT	$153.00	$180.00	—	—	15%
Knee X-ray, 3 views both sides CPT 73562 KNEES 3 VIEWS BILATERAL	$229.50	$270.00	$17.32–$162.00	—	15%
Knee X-ray, 3 views one side CPT 73562 KNEE 3 VIEWS RT	$153.00	$180.00	$17.32–$108.00	62% below	15%
Knee X-ray, 3 views one side CPT 73562 KNEE 3 VIEWS LT	$153.00	$180.00	$17.32–$108.00	62% below	15%
Knee X-ray, 3 views inpatient both sides CPT 73562 KNEES 3 VIEWS BILATERAL	$229.50	$270.00	—	—	15%
Knee X-ray, 3 views inpatient one side CPT 73562 KNEE 3 VIEWS RT	$153.00	$180.00	—	—	15%
Knee X-ray, 3 views inpatient one side CPT 73562 KNEE 3 VIEWS LT	$153.00	$180.00	—	—	15%
Knee X-ray, complete, 4 or more views both sides CPT 73564 KNEES 4V OR MORE BILAT	$261.80	$308.00	$23.54–$184.80	—	15%
Knee X-ray, complete, 4 or more views one side CPT 73564 KNEE 4VW OR MORE LT	$174.46	$205.25	$23.54–$123.15	60% below	15%
Knee X-ray, complete, 4 or more views one side CPT 73564 KNEE 4VW OR MORE RT	$174.46	$205.25	$23.54–$123.15	60% below	15%
Knee X-ray, complete, 4 or more views inpatient both sides CPT 73564 KNEES 4V OR MORE BILAT	$261.80	$308.00	—	—	15%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 KNEE 4VW OR MORE RT	$174.46	$205.25	—	—	15%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 KNEE 4VW OR MORE LT	$174.46	$205.25	—	—	15%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT LOWER EXT UNENHAN BIL	$736.95	$867.00	$82.99–$620.88	30% below	15%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOWER EXT UNENHAN LT	$490.89	$577.52	$82.99–$577.52	54% below	15%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOWER EXT UNENHAN RT	$490.89	$577.52	$82.99–$577.52	54% below	15%
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 CT LOWER EXT UNENHAN BIL	$736.95	$867.00	—	—	15%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT LOWER EXT UNENHAN RT	$490.89	$577.52	—	—	15%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT LOWER EXT UNENHAN LT	$490.89	$577.52	—	—	15%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN LIMITED	$174.46	$205.25	$39.38–$205.25	71% below	15%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABDOMEN LIMITED	$174.46	$205.25	—	—	15%
Limited ultrasound of an arm or leg (non-vascular) both sides CPT 76882 US EXTREMITIES BILATERAL	$255.00	$300.00	$8.24–$180.00	—	15%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US EXTREMITIES LT	$170.00	$200.00	$8.24–$120.00	57% below	15%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US EXTREMITIES RT	$170.00	$200.00	$8.24–$120.00	57% below	15%
Limited ultrasound of an arm or leg (non-vascular) inpatient both sides CPT 76882 US EXTREMITIES BILATERAL	$255.00	$300.00	—	—	15%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US EXTREMITIES LT	$170.00	$200.00	—	—	15%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US EXTREMITIES RT	$170.00	$200.00	—	—	15%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT LOW DOSE LUNG CA SCREENING	$697.85	$821.00	$77.05–$492.60	76% above	15%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT LOW DOSE LUNG CA SCREENING	$697.85	$821.00	—	—	15%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 LEG TIB & FIB 2VWS BIL	$188.70	$222.00	$17.04–$133.20	43% below	15%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 LEG TIB & FIB 2VWS LT	$125.80	$148.00	$17.04–$88.80	62% below	15%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 LEG TIB & FIB 2 VWS RT	$125.80	$148.00	$17.04–$88.80	62% below	15%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 LEG TIB & FIB 2VWS BIL	$188.70	$222.00	—	—	15%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 LEG TIB & FIB 2VWS LT	$125.80	$148.00	—	—	15%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 LEG TIB & FIB 2 VWS RT	$125.80	$148.00	—	—	15%
MR angiography (MRA) of the head without contrast CPT 70544 MRA BRAIN W/O	$892.99	$1,050.58	$237.03–$1,050.58	50% below	15%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA BRAIN W/O	$892.99	$1,050.58	—	—	15%
MRI of both breasts, without and then with contrast dye both sides CPT 77049 MRI BREAST BILAT W/WO	$1,530.00	$1,800.00	$226.66–$1,080.00	—	15%
MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 MRI BREAST BILAT W/WO	$1,530.00	$1,800.00	—	—	15%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 LOW EXTR JOINT W/O LEFT	$956.25	$1,125.00	$237.03–$1,125.00	53% below	15%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 LOW EXTR JOINT W/O RIGHT	$956.25	$1,125.00	$237.03–$1,125.00	53% below	15%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 LOW EXTR JOINT W/O LEFT	$956.25	$1,125.00	—	—	15%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 LOW EXTR JOINT W/O RIGHT	$956.25	$1,125.00	—	—	15%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 LOW EXTR JOINT W/WO RIGHT	$1,819.00	$2,140.00	$379.16–$1,855.89	48% below	15%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 LOW EXTR JOINT W/WO LEFT	$1,819.00	$2,140.00	$379.16–$1,855.89	48% below	15%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 LOW EXTR JOINT W/WO RIGHT	$1,819.00	$2,140.00	—	—	15%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 LOW EXTR JOINT W/WO LEFT	$1,819.00	$2,140.00	—	—	15%
MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/0	$1,030.96	$1,212.89	$237.03–$1,212.89	48% below	15%
MRI of the abdomen without contrast CPT 74181 MRCP	$1,031.05	$1,213.00	$237.03–$1,213.00	48% below	15%
MRI of the abdomen without contrast inpatient CPT 74181 MRI ABDOMEN W/0	$1,030.96	$1,212.89	—	—	15%
MRI of the abdomen without contrast inpatient CPT 74181 MRCP	$1,031.05	$1,213.00	—	—	15%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRCP W AND W/O CONTRAST	$1,098.66	$1,292.54	$367.30–$1,292.54	69% below	15%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN W/WO	$1,213.80	$1,428.00	$367.30–$1,428.00	66% below	15%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRCP W AND W/O CONTRAST	$1,098.66	$1,292.54	—	—	15%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ABDOMEN W/WO	$1,213.80	$1,428.00	—	—	15%
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN W/O	$1,016.62	$1,196.02	$237.03–$1,196.02	44% below	15%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN W/O	$1,016.62	$1,196.02	—	—	15%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W/WO	$2,151.68	$2,531.39	$282.45–$2,531.39	26% below	15%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN W/WO	$2,151.68	$2,531.39	—	—	15%
MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR W/O	$1,099.96	$1,294.07	$196.56–$1,294.07	39% below	15%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI LUMBAR W/O	$1,099.96	$1,294.07	—	—	15%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI LUMBAR W/WO	$2,141.82	$2,519.79	$282.45–$2,519.79	34% below	15%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI LUMBAR W/WO	$2,141.82	$2,519.79	—	—	15%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI THORACIC W/O	$1,113.77	$1,310.32	$196.56–$1,310.32	46% below	15%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI THORACIC W/O	$1,113.77	$1,310.32	—	—	15%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI CERVICAL W/WO	$2,164.13	$2,546.04	$282.45–$2,546.04	26% below	15%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI CERVICAL W/WO	$2,164.13	$2,546.04	—	—	15%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI CERVICAL W/O	$1,030.40	$1,212.23	$237.03–$1,212.23	41% below	15%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI CERVICAL W/O	$1,030.40	$1,212.23	—	—	15%
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W/WO	$985.15	$1,159.00	$294.26–$1,159.00	72% below	15%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS W/WO	$985.15	$1,159.00	—	—	15%
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O	$878.30	$1,033.29	$237.03–$1,033.29	55% below	15%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PELVIS W/O	$878.30	$1,033.29	—	—	15%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 UPPER EXTR JOINT W/O LEFT	$1,433.10	$1,686.00	$237.03–$1,212.10	32% below	15%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 UPPER EXTR JOINT W/O RIGHT	$1,433.10	$1,686.00	$237.03–$1,212.10	32% below	15%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 UPPER EXTR JOINT W/O RIGHT	$1,433.10	$1,686.00	—	—	15%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 UPPER EXTR JOINT W/O LEFT	$1,433.10	$1,686.00	—	—	15%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 SPINE CERVICAL 4-5 VIEWS	$174.46	$205.25	$27.82–$123.15	60% below	15%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 SPINE CERVICAL 4-5 VIEWS	$174.46	$205.25	—	—	15%
Neck soft tissue CT scan with contrast CPT 70491 CT NECK ST ENHANCED	$576.07	$677.73	$86.63–$677.73	57% below	15%
Neck soft tissue CT scan with contrast inpatient CPT 70491 CT NECK ST ENHANCED	$576.07	$677.73	—	—	15%
Neck soft tissue CT scan without contrast CPT 70490 CT NECK ST UNENHANCE	$495.03	$582.39	$82.95–$582.39	54% below	15%
Neck soft tissue CT scan without contrast inpatient CPT 70490 CT NECK ST UNENHANCE	$495.03	$582.39	—	—	15%
Neck soft tissue X-ray CPT 70360 NECK SOFT TIS AP&LAT	$125.80	$148.00	$10.50–$88.80	55% below	15%
Neck soft tissue X-ray inpatient CPT 70360 NECK SOFT TIS AP&LAT	$125.80	$148.00	—	—	15%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 SPECT MYO PERF MULTI	$2,397.85	$2,821.00	$292.26–$1,692.60	39% below	15%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 SPECT MYO PERF MULTI	$2,397.85	$2,821.00	—	—	15%
Pelvic CT scan without contrast CPT 72192 CT PELVIS UNENHANCED	$598.40	$704.00	$70.88–$704.00	45% below	15%
Pelvic CT scan without contrast inpatient CPT 72192 CT PELVIS UNENHANCED	$598.40	$704.00	—	—	15%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US BCC PELVIS LIMITED	$170.00	$200.00	$19.95–$148.79	62% below	15%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIS LIMITED	$170.00	$200.00	$19.95–$148.79	62% below	15%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PELVIS LIMITED	$170.00	$200.00	—	—	15%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US BCC PELVIS LIMITED	$170.00	$200.00	—	—	15%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIS COMPLETE	$280.50	$330.00	$48.83–$238.66	52% below	15%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US BCC PELVIS COMPLETE	$280.50	$330.00	$48.83–$238.66	52% below	15%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIS COMPLETE	$280.50	$330.00	—	—	15%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US BCC PELVIS COMPLETE	$280.50	$330.00	—	—	15%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US PREG 2/3 TRIMESTER	$329.80	$388.00	$48.83–$347.64	46% below	15%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US PREG 2/3 TRIMESTER	$329.80	$388.00	—	—	15%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US PREG 1 TRIMESTER	$332.35	$391.00	$40.31–$350.40	41% below	15%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US PREG 1 TRIMESTER	$332.35	$391.00	—	—	15%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US PREGNANCY LIMITED	$193.80	$228.00	$40.95–$228.00	64% below	15%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US PREGNANCY LIMITED	$193.80	$228.00	—	—	15%
Rib X-ray, one side, 2 views one side CPT 71100 RIBS UNILATERAL 2V RT	$125.80	$148.00	$17.32–$91.11	63% below	15%
Rib X-ray, one side, 2 views one side CPT 71100 RIBS UNILATERAL 2V LT	$125.80	$148.00	$17.32–$91.11	63% below	15%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 RIBS UNILATERAL 2V RT	$125.80	$148.00	—	—	15%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 RIBS UNILATERAL 2V LT	$125.80	$148.00	—	—	15%
Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 RIBS UNI & 1V CHEST M3V	$174.46	$205.25	$17.32–$123.15	58% below	15%
Rib X-ray, one side, with a chest view, 3 or more views inpatient CPT 71101 RIBS UNI & 1V CHEST M3V	$174.46	$205.25	—	—	15%
Screening mammogram, both breasts both sides CPT 77067 MAMMO SCR BILAT W/WO CAD	$297.50	$350.00	$72.36–$210.00	—	15%
Screening mammogram, both breasts one side CPT 77067 MAMMO SCR LT W/WO CAD	$280.50	$330.00	$72.36–$198.00	9% above	15%
Screening mammogram, both breasts one side CPT 77067 MAMMO SCR RT W/WO CAD	$280.50	$330.00	$72.36–$198.00	9% above	15%
Screening mammogram, both breasts inpatient both sides CPT 77067 MAMMO SCR BILAT W/WO CAD	$297.50	$350.00	—	—	15%
Screening mammogram, both breasts inpatient one side CPT 77067 MAMMO SCR RT W/WO CAD	$280.50	$330.00	—	—	15%
Screening mammogram, both breasts inpatient one side CPT 77067 MAMMO SCR LT W/WO CAD	$280.50	$330.00	—	—	15%
Shoulder X-ray, complete, 2 or more views both sides CPT 73030 SHOULDER MIN 2 VIEW BILAT	$237.15	$279.00	$17.32–$167.40	—	15%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER MIN 2 VIEW RIGHT	$158.10	$186.00	$17.32–$111.60	53% below	15%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER MIN 2 VIEWS LEFT	$158.10	$186.00	$17.32–$111.60	53% below	15%
Shoulder X-ray, complete, 2 or more views inpatient both sides CPT 73030 SHOULDER MIN 2 VIEW BILAT	$237.15	$279.00	—	—	15%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 SHOULDER MIN 2 VIEW RIGHT	$158.10	$186.00	—	—	15%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 SHOULDER MIN 2 VIEWS LEFT	$158.10	$186.00	—	—	15%
Sinus X-ray, complete, 3 or more views CPT 70220 SINUSES MIN 3 VIEWS	$136.00	$160.00	$23.63–$105.70	68% below	15%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 SINUSES MIN 3 VIEWS	$136.00	$160.00	—	—	15%
Skull X-ray, fewer than 4 views CPT 70250 SKULL < 4 VIEWS	$174.46	$205.25	$22.05–$123.15	51% below	15%
Skull X-ray, fewer than 4 views inpatient CPT 70250 SKULL < 4 VIEWS	$174.46	$205.25	—	—	15%
Swallow study (modified barium swallow, video X-ray) CPT 74230 BARIUM SWALLOW MODIFIED	$286.45	$337.00	$29.40–$202.20	51% below	15%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 BARIUM SWALLOW MODIFIED	$286.45	$337.00	—	—	15%
Thigh bone (femur) X-ray, 2 or more views both sides CPT 73552 FEMUR 2 VIEW BILATERAL	$206.55	$243.00	$17.90–$145.80	—	15%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 FEMUR 2 VIEW LT	$137.70	$162.00	$17.90–$97.20	65% below	15%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 FEMUR 2 VIEW RT	$137.70	$162.00	$17.90–$97.20	65% below	15%
Thigh bone (femur) X-ray, 2 or more views inpatient both sides CPT 73552 FEMUR 2 VIEW BILATERAL	$206.55	$243.00	—	—	15%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 FEMUR 2 VIEW RT	$137.70	$162.00	—	—	15%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 FEMUR 2 VIEW LT	$137.70	$162.00	—	—	15%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT THORACIC SPINE UN	$580.87	$683.38	$95.13–$683.38	50% below	15%
Thoracic spine (mid back) CT scan without contrast CPT 72128 THORACIC UNEN RECONSTRUCTED	$580.87	$683.38	$95.13–$683.38	50% below	15%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 THORACIC UNEN RECONSTRUCTED	$580.87	$683.38	—	—	15%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT THORACIC SPINE UN	$580.87	$683.38	—	—	15%
Toe X-ray, 2 or more views both sides CPT 73660 TOE(S) MIN 2 VIEWS BILAT	$188.70	$222.00	$9.45–$133.20	—	15%
Toe X-ray, 2 or more views one side CPT 73660 TOE(S) MIN 2 VIEWS LT	$125.80	$148.00	$9.45–$88.80	55% below	15%
Toe X-ray, 2 or more views one side CPT 73660 TOE(S) MIN 2 VIEWS RT	$125.80	$148.00	$9.45–$88.80	55% below	15%
Toe X-ray, 2 or more views inpatient both sides CPT 73660 TOE(S) MIN 2 VIEWS BILAT	$188.70	$222.00	—	—	15%
Toe X-ray, 2 or more views inpatient one side CPT 73660 TOE(S) MIN 2 VIEWS LT	$125.80	$148.00	—	—	15%
Toe X-ray, 2 or more views inpatient one side CPT 73660 TOE(S) MIN 2 VIEWS RT	$125.80	$148.00	—	—	15%
Transvaginal pelvic ultrasound CPT 76830 US BCC PELVIS TRANSVAGINAL	$336.60	$396.00	$48.83–$250.26	40% below	15%
Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL	$336.60	$396.00	$48.83–$250.26	40% below	15%
Transvaginal pelvic ultrasound CPT 76830 US BCC PELVIS TRANSVAGINL	$336.60	$396.00	$48.83–$250.26	40% below	15%
Transvaginal pelvic ultrasound inpatient CPT 76830 US BCC PELVIS TRANSVAGINL	$336.60	$396.00	—	—	15%
Transvaginal pelvic ultrasound inpatient CPT 76830 US BCC PELVIS TRANSVAGINAL	$336.60	$396.00	—	—	15%
Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL	$336.60	$396.00	—	—	15%
Transvaginal ultrasound during pregnancy CPT 76817 US PREGNANCY TRANSVAGINAL	$352.75	$415.00	$55.68–$362.15	36% below	15%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US PREGNANCY TRANSVAGINAL	$352.75	$415.00	—	—	15%
Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE	$234.87	$276.32	$60.38–$276.32	70% below	15%
Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMEN COMPLETE	$234.87	$276.32	—	—	15%
Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM	$362.10	$426.00	$46.20–$255.60	41% below	15%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US SCROTUM	$362.10	$426.00	—	—	15%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US SOFT TISSUE HEAD/NECK	$170.00	$200.00	$53.53–$200.00	70% below	15%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US SOFT TISSUE HEAD/NECK	$170.00	$200.00	—	—	15%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UGI W/OR WO KUB NO AIR	$354.09	$416.58	$40.95–$249.95	44% below	15%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 BA SWALLOW LAP BAND	$354.45	$417.00	$40.95–$250.20	44% below	15%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 UGI W/OR WO KUB NO AIR	$354.09	$416.58	—	—	15%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 BA SWALLOW LAP BAND	$354.45	$417.00	—	—	15%
Upper arm X-ray (humerus), 2 views both sides CPT 73060 HUMERUS MIN 2 VIEW BILAT	$252.45	$297.00	$12.07–$178.20	—	15%
Upper arm X-ray (humerus), 2 views one side CPT 73060 HUMERUS MIN 2 VIEW LEFT	$168.30	$198.00	$12.07–$118.80	39% below	15%
Upper arm X-ray (humerus), 2 views one side CPT 73060 HUMERUS MIN 2 VIEW RIGHT	$168.30	$198.00	$12.07–$118.80	39% below	15%
Upper arm X-ray (humerus), 2 views inpatient both sides CPT 73060 HUMERUS MIN 2 VIEW BILAT	$252.45	$297.00	—	—	15%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 HUMERUS MIN 2 VIEW LEFT	$168.30	$198.00	—	—	15%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 HUMERUS MIN 2 VIEW RIGHT	$168.30	$198.00	—	—	15%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VENOUS DUPLEX UNI RT	$366.35	$431.00	$59.83–$258.60	43% below	15%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VENOUS DUPLEX UNI LT	$366.35	$431.00	$59.83–$258.60	43% below	15%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US VENOUS DUPLEX UNI LT	$366.35	$431.00	—	—	15%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US VENOUS DUPLEX UNI RT	$366.35	$431.00	—	—	15%
Wrist X-ray, 2 views both sides CPT 73100 WRIST LIM 2 VIEW BILAT	$188.70	$222.00	$12.07–$133.20	—	15%
Wrist X-ray, 2 views one side CPT 73100 WRIST LIM 2 VW LEFT	$125.80	$148.00	$12.07–$88.80	54% below	15%
Wrist X-ray, 2 views one side CPT 73100 WRIST LIM 2 VW RIGHT	$125.80	$148.00	$12.07–$88.80	54% below	15%
Wrist X-ray, 2 views inpatient both sides CPT 73100 WRIST LIM 2 VIEW BILAT	$188.70	$222.00	—	—	15%
Wrist X-ray, 2 views inpatient one side CPT 73100 WRIST LIM 2 VW RIGHT	$125.80	$148.00	—	—	15%
Wrist X-ray, 2 views inpatient one side CPT 73100 WRIST LIM 2 VW LEFT	$125.80	$148.00	—	—	15%
Wrist X-ray, complete, 3 or more views both sides CPT 73110 WRIST MIN 3 VIEWS BILAT	$192.95	$227.00	$12.07–$136.20	—	15%
Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST MIN 3 VIEWS LT	$128.35	$151.00	$12.07–$90.60	60% below	15%
Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST MIN 3 VIEWS RT	$128.35	$151.00	$12.07–$90.60	60% below	15%
Wrist X-ray, complete, 3 or more views inpatient both sides CPT 73110 WRIST MIN 3 VIEWS BILAT	$192.95	$227.00	—	—	15%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 WRIST MIN 3 VIEWS LT	$128.35	$151.00	—	—	15%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 WRIST MIN 3 VIEWS RT	$128.35	$151.00	—	—	15%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP MIN 2 VIEWS LT	$140.25	$165.00	$23.48–$99.00	60% below	15%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP MIN 2 VIEWS RT	$140.25	$165.00	$23.48–$99.00	60% below	15%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP MIN 2 VIEWS RT	$140.25	$165.00	—	—	15%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP MIN 2 VIEWS LT	$140.25	$165.00	—	—	15%
X-ray of the abdomen, 1 view CPT 74018 ABDOMEN 1 VIEW	$125.80	$148.00	$14.46–$88.80	55% below	15%
X-ray of the abdomen, 1 view inpatient CPT 74018 ABDOMEN 1 VIEW	$125.80	$148.00	—	—	15%
X-ray of the ankle, 2 views both sides CPT 73600 ANKLE 2 VIEWS BILATERAL	$188.70	$222.00	$12.07–$133.20	—	15%
X-ray of the ankle, 2 views one side CPT 73600 ANKLE 2 VIEWS LT	$125.80	$148.00	$12.07–$88.80	63% below	15%
X-ray of the ankle, 2 views one side CPT 73600 ANKLE 2 VIEWS RT	$125.80	$148.00	$12.07–$88.80	63% below	15%
X-ray of the ankle, 2 views inpatient both sides CPT 73600 ANKLE 2 VIEWS BILATERAL	$188.70	$222.00	—	—	15%
X-ray of the ankle, 2 views inpatient one side CPT 73600 ANKLE 2 VIEWS LT	$125.80	$148.00	—	—	15%
X-ray of the ankle, 2 views inpatient one side CPT 73600 ANKLE 2 VIEWS RT	$125.80	$148.00	—	—	15%
X-ray of the finger(s), 2 or more views both sides CPT 73140 FINGER(S) MIN 2V BILAT	$188.70	$222.00	$9.45–$133.20	—	15%
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER(S) MIN 2V LT	$125.80	$148.00	$9.45–$88.80	48% below	15%
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER(S) MIN 2V RT	$125.80	$148.00	$9.45–$88.80	48% below	15%
X-ray of the finger(s), 2 or more views inpatient both sides CPT 73140 FINGER(S) MIN 2V BILAT	$188.70	$222.00	—	—	15%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER(S) MIN 2V RT	$125.80	$148.00	—	—	15%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER(S) MIN 2V LT	$125.80	$148.00	—	—	15%
X-ray of the foot, 2 views both sides CPT 73620 FOOT LIMITED 2 VIEW BILAT	$188.70	$222.00	$10.50–$133.20	—	15%
X-ray of the foot, 2 views one side CPT 73620 FOOT 1 VIEW RT	$125.80	$148.00	$10.50–$88.80	61% below	15%
X-ray of the foot, 2 views one side CPT 73620 FOOT 1 VIEW LT	$125.80	$148.00	$10.50–$88.80	61% below	15%
X-ray of the foot, 2 views one side CPT 73620 FOOT LIMITED 2 VW LT	$125.80	$148.00	$10.50–$88.80	61% below	15%
X-ray of the foot, 2 views one side CPT 73620 FOOT LIMITED 2 VW RT	$125.80	$148.00	$10.50–$88.80	61% below	15%
X-ray of the foot, 2 views inpatient both sides CPT 73620 FOOT LIMITED 2 VIEW BILAT	$188.70	$222.00	—	—	15%
X-ray of the foot, 2 views inpatient one side CPT 73620 FOOT LIMITED 2 VW LT	$125.80	$148.00	—	—	15%
X-ray of the foot, 2 views inpatient one side CPT 73620 FOOT LIMITED 2 VW RT	$125.80	$148.00	—	—	15%
X-ray of the foot, 2 views inpatient one side CPT 73620 FOOT 1 VIEW LT	$125.80	$148.00	—	—	15%
X-ray of the foot, 2 views inpatient one side CPT 73620 FOOT 1 VIEW RT	$125.80	$148.00	—	—	15%
X-ray of the foot, complete, 3 or more views both sides CPT 73630 FOOT MIN 3 VIEWS BILAT	$229.50	$270.00	$12.07–$162.00	—	15%
X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT MIN 3 VIEWS LT	$153.00	$180.00	$12.07–$108.00	58% below	15%
X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT MIN 3 VIEWS RT	$153.00	$180.00	$12.07–$108.00	58% below	15%
X-ray of the foot, complete, 3 or more views inpatient both sides CPT 73630 FOOT MIN 3 VIEWS BILAT	$229.50	$270.00	—	—	15%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 FOOT MIN 3 VIEWS LT	$153.00	$180.00	—	—	15%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 FOOT MIN 3 VIEWS RT	$153.00	$180.00	—	—	15%
X-ray of the hand, 3 or more views both sides CPT 73130 HAND MIN 3 VIEWS BILAT	$280.50	$330.00	$12.07–$198.00	—	15%
X-ray of the hand, 3 or more views one side CPT 73130 HAND MIN 3 VIEWS LT	$187.00	$220.00	$12.07–$132.00	37% below	15%
X-ray of the hand, 3 or more views one side CPT 73130 HAND MIN 3 VIEWS RT	$187.00	$220.00	$12.07–$132.00	37% below	15%
X-ray of the hand, 3 or more views inpatient both sides CPT 73130 HAND MIN 3 VIEWS BILAT	$280.50	$330.00	—	—	15%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 HAND MIN 3 VIEWS RT	$187.00	$220.00	—	—	15%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 HAND MIN 3 VIEWS LT	$187.00	$220.00	—	—	15%
X-ray of the knee, 1 or 2 views both sides CPT 73560 KNEE 1-2 VIEWS BILAT	$188.70	$222.00	$17.32–$133.20	—	15%
X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE 1-2 VIEWS LT	$125.80	$148.00	$17.32–$88.80	55% below	15%
X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE 1-2 VIEWS RT	$125.80	$148.00	$17.32–$88.80	55% below	15%
X-ray of the knee, 1 or 2 views inpatient both sides CPT 73560 KNEE 1-2 VIEWS BILAT	$188.70	$222.00	—	—	15%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 KNEE 1-2 VIEWS LT	$125.80	$148.00	—	—	15%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 KNEE 1-2 VIEWS RT	$125.80	$148.00	—	—	15%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 SPINE LUMBAR 2-3 VIEWS	$174.46	$205.25	$22.06–$123.15	52% below	15%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 SPINE LUMBAR 2-3 VIEWS	$174.46	$205.25	—	—	15%
X-ray of the lower back, 4 or more views CPT 72110 SPINE LUMBAR MIN 4 VIEWS	$187.00	$220.00	$23.63–$137.08	59% below	15%
X-ray of the lower back, 4 or more views inpatient CPT 72110 SPINE LUMBAR MIN 4 VIEWS	$187.00	$220.00	—	—	15%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 SPINE THOR 2 VIEWS	$174.46	$205.25	$21.20–$123.15	52% below	15%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 SPINE THOR 2 VIEWS	$174.46	$205.25	—	—	15%
X-ray of the nasal bones, 3 or more views CPT 70160 NASAL BONES MIN 3 VIEWS	$125.80	$148.00	$12.07–$88.80	54% below	15%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 NASAL BONES MIN 3 VIEWS	$125.80	$148.00	—	—	15%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 SPINE CERVICAL 2-3 VIEWS	$148.75	$175.00	$17.32–$105.00	55% below	15%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 SPINE CERVICAL 2-3 VIEWS	$148.75	$175.00	—	—	15%
X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS 1-2 VIEWS	$174.46	$205.25	$10.50–$123.15	40% below	15%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 PELVIS 1-2 VIEWS	$174.46	$205.25	—	—	15%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM AND COCCYX MIN 2V	$125.80	$148.00	$17.32–$88.80	63% below	15%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 SACRUM AND COCCYX MIN 2V	$125.80	$148.00	—	—	15%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Pennsylvania	Off list
ACTH blood test CPT 82024 ADRENOCORTICOTROPIN	$131.75	$155.00	$33.38–$149.15	41% below	15%
ACTH blood test inpatient CPT 82024 ADRENOCORTICOTROPIN	$131.75	$155.00	—	—	15%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT	$32.30	$38.00	$4.58–$25.23	11% below	15%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 SGPT	$32.30	$38.00	—	—	15%
AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT	$29.75	$35.00	$3.54–$14.15	18% below	15%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 SGOT	$29.75	$35.00	—	—	15%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL	$324.70	$382.00	$41.17–$256.77	5% above	15%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 ACUTE HEPATITIS PANEL	$324.70	$382.00	—	—	15%
Albumin blood test CPT 82040 ALBUMIN SERUM	$28.05	$33.00	$3.65–$24.31	12% below	15%
Albumin blood test CPT 82040 ALBREF (ALBUMIN,REFERENCE LAB)	$28.05	$33.00	$3.65–$24.31	12% below	15%
Albumin blood test inpatient CPT 82040 ALBREF (ALBUMIN,REFERENCE LAB)	$28.05	$33.00	—	—	15%
Albumin blood test inpatient CPT 82040 ALBUMIN SERUM	$28.05	$33.00	—	—	15%
Aldosterone blood test CPT 82088 ALDOSTERONE	$208.25	$245.00	$26.00–$158.43	at median	15%
Aldosterone blood test CPT 82088 ALDOSTERONE URINE;24HR	$208.25	$245.00	$26.00–$158.43	at median	15%
Aldosterone blood test inpatient CPT 82088 ALDOSTERONE	$208.25	$245.00	—	—	15%
Aldosterone blood test inpatient CPT 82088 ALDOSTERONE URINE;24HR	$208.25	$245.00	—	—	15%
Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSPHATASE	$42.50	$50.00	$3.62–$14.47	17% above	15%
Alkaline phosphatase (ALP) blood test CPT 84075 ALK PHOS REFERENCE LAB	$42.50	$50.00	$3.62–$14.47	17% above	15%
Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSPHATASE BONE SPEC	$42.50	$50.00	$3.62–$14.47	17% above	15%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALK PHOS REFERENCE LAB	$42.50	$50.00	—	—	15%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALKALINE PHOSPHATASE BONE SPEC	$42.50	$50.00	—	—	15%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALKALINE PHOSPHATASE	$42.50	$50.00	—	—	15%
Allergy blood test, specific IgE, per allergen CPT 86003 COCKLEBUR IGE	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 CLADOSPORIUM HERBARUM IGE	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 CHERRY IGE	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 COCKROACH IGE	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 CODFISH IGE	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 COTTONWOOD IGE	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 CRAB IGE	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 PISTACHIO IGE	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 D PTERONYSSIN US IGE	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 EGG WHITE IGE	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 ELM IGE	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 FIRE ANT IGE	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 GIANT RAGWEED IGE	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 GLUTEN F79 IGE	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 GOLDENROD IGE	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 ORANGE IGE	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 BLACKBERRY IGE	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 LOBSTER IGE	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 MILK (F2) IGE	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 PEAR IGE	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 PLUM IGE	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 MOUNTAIN CEDAR IGE	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 MEADOW FESCUE IGE	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 MUGWORT IGE	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 PAPER WASP IGE	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 STRAWBERRY IGE	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 PEACH IGE	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 TOMATO IGE	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 WATERMELON IGE	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 ASPERGILLUS FUMIGATUS IGE	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 ROUGH PIGWEED IGE	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 LATEX (K82) IGE	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 GREEN BEAN IGE	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 WHOLE EGG IGE	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 DERMATOPHAGOIDES FARINAE IGE	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 CAT DANDER IGE	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 DOG DANDER IGE	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 CHICKEN FEATHERS IGE	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 TIMOTHY GRASS IGE	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 HOUSE DUST IGE	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 BERMUDA GRASS IGE	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 COTTON, CRUDE FIBERS (01) IGE	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 ORRIS ROOT IGE	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 OAK IGE	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 COMMON RAGWEED IGE	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 ENGLISH PLANTAIN IGE	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALTERNARIA ALTERNATA IGE	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 DUCK FEATHERS IGE	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 GOOSE FEATHERS IGE	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 SWEET VERNAL GRASS IGE	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 PEDIATRIC PROFILE	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 MULTIPLE INHALANT SCREEN	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 GLUTIN	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 WHEAT RAST	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 CASEIN IGE	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 WHITE PINE IGE	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 YELLOW HORNET IGE	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 BANANA IGE	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 YEAST IGE	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 WHITE-FACED HORNET IGE	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 CARROT IGE	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 WHITE MULBERRY IGE	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 ORCHARD GRASS IGE	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 WHITE ASH IGE	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 PUMPKIN IGE	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 WALNUT TREE IGE	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 PUMPKIN SEED IGE	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 WALNUT IGE	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 TROUT IGE	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 CARMINE RED DYE IGE	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 CHESTNUT IGE	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 SCALLOP IGE	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 MACADAMIA IGE	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 FALSE RAGWEED IGE	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 HICKORY PECAN TREE IGE	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 SWEET GUM IGE	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 JOHNSON GRASS IGE	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 WHITE BEAN IGE F15	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 MOUSE URINE IGE	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALPHA-GAL IGE	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 ASPERGILLUS FLAVUS IGE	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 PORK F26 IGE	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 EPICOCCUM PURPURASCENS IGE	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 JUNE GRASS IGE	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 LIMA BEAN IGE	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 KIDNEY BEAN IGE F287	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 SESAME SEED IGE F10	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 PECAN NUT IGE F201	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 APPLE IGE	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 PEANUT IGE F13	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 GRAPE IGE	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 HAZELNUT IGE F17	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 GRAPEFRUIT IGE	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 BRAZIL NUT IGE F18	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 LEMON IGE	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 ALMOND IGE F20	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 LIME IGE	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 HONEY BEE IGE	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 GULF FLOUNDER IGE F147	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 BIRCH IGE	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 TUNA IGE F40	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 YELLOW JACKET IGE	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 TOBACCO LEAF (0201) IGE	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 KAPOK IGE	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 PENICILLUM NOTATUM IGE	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 MAPLE BOX IGE	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 LAMBS QUARTER IGE	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 WHITEFISH IGE RF384	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 SHRIMP IGE F24	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 WHEAT IGE F4	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 MAIZE/CORN IGE F8	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 CELERY IGE	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 SOYBEAN IGE F14	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 ASPERAMSTELODAMI/GLAUCUS IGE	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 SHEEP SORREL IGE	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 OAT F7 IGE	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 SALMON IGE	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 L DESTRUCTOR IGE	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 LAMB F88 IGE	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 BEEF F27 IGE	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 SYCAMORE IGE	$28.05	$33.00	$4.51–$33.00	13% below	15%
Allergy blood test, specific IgE, per allergen CPT 86003 BLUEBERRY IGE	$37.40	$44.00	$4.51–$33.74	16% above	15%
Allergy blood test, specific IgE, per allergen CPT 86003 BREWERS YEAST IGE	$45.05	$53.00	$4.51–$33.74	39% above	15%
Allergy blood test, specific IgE, per allergen CPT 86003 PYRETHRUM IGE	$45.05	$53.00	$4.51–$33.74	39% above	15%
Allergy blood test, specific IgE, per allergen CPT 86003 PINTO BEAN IGE	$45.05	$53.00	$4.51–$33.74	39% above	15%
Allergy blood test, specific IgE, per allergen CPT 86003 HADDOCK IGE F101	$45.05	$53.00	$4.51–$33.74	39% above	15%
Allergy blood test, specific IgE, per allergen CPT 86003 CASHEW NUT IGE	$56.10	$66.00	$4.51–$33.74	73% above	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 APPLE IGE	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PEDIATRIC PROFILE	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MULTIPLE INHALANT SCREEN	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GLUTIN	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WHEAT RAST	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CASEIN IGE	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 YELLOW HORNET IGE	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 YEAST IGE	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WHITE-FACED HORNET IGE	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WHITE MULBERRY IGE	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WHITE ASH IGE	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WALNUT TREE IGE	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WALNUT IGE	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CARMINE RED DYE IGE	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SCALLOP IGE	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FALSE RAGWEED IGE	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SWEET GUM IGE	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 EPICOCCUM PURPURASCENS IGE	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALPHA-GAL IGE	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PORK F26 IGE	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LAMB F88 IGE	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BEEF F27 IGE	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SYCAMORE IGE	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SOYBEAN IGE F14	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SHEEP SORREL IGE	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SALMON IGE	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 L DESTRUCTOR IGE	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WHITE BEAN IGE F15	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LIMA BEAN IGE	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 KIDNEY BEAN IGE F287	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SESAME SEED IGE F10	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PECAN NUT IGE F201	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PEANUT IGE F13	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HAZELNUT IGE F17	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BRAZIL NUT IGE F18	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALMOND IGE F20	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GULF FLOUNDER IGE F147	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TUNA IGE F40	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WHITEFISH IGE RF384	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SHRIMP IGE F24	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WHEAT IGE F4	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MAIZE/CORN IGE F8	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CELERY IGE	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LAMBS QUARTER IGE	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MAPLE BOX IGE	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PENICILLUM NOTATUM IGE	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 KAPOK IGE	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TOBACCO LEAF (0201) IGE	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 YELLOW JACKET IGE	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HONEY BEE IGE	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 JUNE GRASS IGE	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SWEET VERNAL GRASS IGE	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GOOSE FEATHERS IGE	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 DUCK FEATHERS IGE	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALTERNARIA ALTERNATA IGE	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ENGLISH PLANTAIN IGE	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COMMON RAGWEED IGE	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 OAK IGE	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ORRIS ROOT IGE	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COTTON, CRUDE FIBERS (01) IGE	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BERMUDA GRASS IGE	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HOUSE DUST IGE	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TIMOTHY GRASS IGE	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHICKEN FEATHERS IGE	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 DOG DANDER IGE	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CAT DANDER IGE	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 DERMATOPHAGOIDES FARINAE IGE	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WHOLE EGG IGE	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GREEN BEAN IGE	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LATEX (K82) IGE	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ROUGH PIGWEED IGE	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ASPERGILLUS FUMIGATUS IGE	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WATERMELON IGE	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TOMATO IGE	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PEACH IGE	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 STRAWBERRY IGE	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PAPER WASP IGE	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MUGWORT IGE	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MEADOW FESCUE IGE	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MOUNTAIN CEDAR IGE	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PLUM IGE	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PEAR IGE	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MILK (F2) IGE	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LOBSTER IGE	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BLACKBERRY IGE	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ORANGE IGE	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GOLDENROD IGE	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GLUTEN F79 IGE	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GIANT RAGWEED IGE	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FIRE ANT IGE	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ELM IGE	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 EGG WHITE IGE	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 D PTERONYSSIN US IGE	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PISTACHIO IGE	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CRAB IGE	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COTTONWOOD IGE	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CODFISH IGE	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COCKROACH IGE	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHERRY IGE	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CLADOSPORIUM HERBARUM IGE	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COCKLEBUR IGE	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BIRCH IGE	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LIME IGE	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LEMON IGE	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GRAPEFRUIT IGE	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GRAPE IGE	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 OAT F7 IGE	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ASPERAMSTELODAMI/GLAUCUS IGE	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ASPERGILLUS FLAVUS IGE	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MOUSE URINE IGE	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 JOHNSON GRASS IGE	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HICKORY PECAN TREE IGE	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MACADAMIA IGE	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHESTNUT IGE	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TROUT IGE	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PUMPKIN SEED IGE	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PUMPKIN IGE	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ORCHARD GRASS IGE	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CARROT IGE	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BANANA IGE	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WHITE PINE IGE	$28.05	$33.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BLUEBERRY IGE	$37.40	$44.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BREWERS YEAST IGE	$45.05	$53.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PYRETHRUM IGE	$45.05	$53.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HADDOCK IGE F101	$45.05	$53.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PINTO BEAN IGE	$45.05	$53.00	—	—	15%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CASHEW NUT IGE	$56.10	$66.00	—	—	15%
Alpha-fetoprotein (AFP) blood test CPT 82105 AFP MATERNAL	$87.55	$103.00	$14.49–$60.25	20% below	15%
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA FETO PROTEIN	$87.55	$103.00	$14.49–$60.25	20% below	15%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA FETO PROTEIN	$87.55	$103.00	—	—	15%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 AFP MATERNAL	$87.55	$103.00	—	—	15%
Ammonia blood test CPT 82140 AMMONIA LEVEL	$75.65	$89.00	$5.00–$51.85	17% below	15%
Ammonia blood test inpatient CPT 82140 AMMONIA LEVEL	$75.65	$89.00	—	—	15%
Amylase blood test CPT 82150 AMYLASE ISOENZYMES	$50.15	$59.00	$5.00–$30.62	15% above	15%
Amylase blood test CPT 82150 AMYLASE FLUID	$50.15	$59.00	$5.00–$30.62	15% above	15%
Amylase blood test CPT 82150 AMYLASE SERUM	$50.15	$59.00	$5.00–$30.62	15% above	15%
Amylase blood test CPT 82150 AMYLASE URINE	$50.15	$59.00	$5.00–$30.62	15% above	15%
Amylase blood test inpatient CPT 82150 AMYLASE FLUID	$50.15	$59.00	—	—	15%
Amylase blood test inpatient CPT 82150 AMYLASE SERUM	$50.15	$59.00	—	—	15%
Amylase blood test inpatient CPT 82150 AMYLASE URINE	$50.15	$59.00	—	—	15%
Amylase blood test inpatient CPT 82150 AMYLASE ISOENZYMES	$50.15	$59.00	—	—	15%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP	$82.45	$97.00	$11.19–$43.65	3% below	15%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 ANTI-CCP	$82.45	$97.00	$11.19–$43.65	3% below	15%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP	$82.45	$97.00	—	—	15%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 ANTI-CCP	$82.45	$97.00	—	—	15%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTI-NUCLEAR ANTIBODY SCR	$62.05	$73.00	$10.34–$41.34	17% below	15%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTI CENTROMERE ANTIBODY	$62.05	$73.00	$10.34–$41.34	17% below	15%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTI-NUCLEAR ANTIBODY SCR	$62.05	$73.00	—	—	15%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTI CENTROMERE ANTIBODY	$62.05	$73.00	—	—	15%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B-NATRIURETIC PEPTIDE	$124.95	$147.00	$23.20–$92.75	37% below	15%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NT-PROBNP	$150.45	$177.00	$23.20–$92.75	24% below	15%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 B-NATRIURETIC PEPTIDE	$124.95	$147.00	—	—	15%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NT-PROBNP	$150.45	$177.00	—	—	15%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CUTURE VAGINAL	$78.20	$92.00	$6.90–$28.02	50% above	15%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE WOUND	$78.20	$92.00	$6.90–$28.02	50% above	15%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE EYE	$78.20	$92.00	$6.90–$28.02	50% above	15%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE EAR	$78.20	$92.00	$6.90–$28.02	50% above	15%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE SPUTUM	$78.20	$92.00	$6.90–$28.02	50% above	15%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE CSF	$78.20	$92.00	$6.90–$28.02	50% above	15%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE TISSUE	$78.20	$92.00	$6.90–$28.02	50% above	15%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE THROAT	$78.20	$92.00	$6.90–$28.02	50% above	15%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE NASAL	$78.20	$92.00	$6.90–$28.02	50% above	15%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE BODY FLUID	$78.20	$92.00	$6.90–$28.02	50% above	15%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE OTHER	$78.20	$92.00	$6.90–$28.02	50% above	15%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE, CATHETER TIP	$78.20	$92.00	$6.90–$28.02	50% above	15%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE SPUTUM	$78.20	$92.00	—	—	15%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CUTURE VAGINAL	$78.20	$92.00	—	—	15%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE EAR	$78.20	$92.00	—	—	15%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE TISSUE	$78.20	$92.00	—	—	15%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE NASAL	$78.20	$92.00	—	—	15%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE OTHER	$78.20	$92.00	—	—	15%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE, CATHETER TIP	$78.20	$92.00	—	—	15%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE EYE	$78.20	$92.00	—	—	15%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE WOUND	$78.20	$92.00	—	—	15%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE CSF	$78.20	$92.00	—	—	15%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE BODY FLUID	$78.20	$92.00	—	—	15%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE THROAT	$78.20	$92.00	—	—	15%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL(BMP	$96.90	$114.00	$7.31–$39.22	25% above	15%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL(BMP	$96.90	$114.00	—	—	15%
Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL	$34.00	$40.00	$4.34–$32.26	6% above	15%
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN TOTAL	$34.00	$40.00	—	—	15%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 CYTO CELL BLOCK	$235.45	$277.00	$9.00–$74.00	33% above	15%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 CELL BLOCK	$235.45	$277.00	$9.00–$74.00	33% above	15%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURG PATH LEVEL IV LG/MUL	$235.45	$277.00	$9.00–$74.00	33% above	15%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 CELL BLOCK	$235.45	$277.00	—	—	15%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 CYTO CELL BLOCK	$235.45	$277.00	—	—	15%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 SURG PATH LEVEL IV LG/MUL	$235.45	$277.00	—	—	15%
Blood culture for bacteria CPT 87040 CULTURE BLOOD A/A #1	$122.40	$144.00	$8.92–$45.85	44% above	15%
Blood culture for bacteria inpatient CPT 87040 CULTURE BLOOD A/A #1	$122.40	$144.00	—	—	15%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 JMBCC SPECIMEN COLLECTION	$13.60	$16.00	$1.08–$17.99	9% below	15%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 SPECIMEN COLLECTION	$13.60	$16.00	$1.08–$17.99	9% below	15%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 SPECIMEN COLLECTION	$13.60	$16.00	—	—	15%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 JMBCC SPECIMEN COLLECTION	$13.60	$16.00	—	—	15%
Blood glucose (sugar) test CPT 82947 GLUCOSE BLOOD	$26.35	$31.00	$3.40–$21.67	2% above	15%
Blood glucose (sugar) test CPT 82947 GLUCOSE 2HR POST PRANDIAL	$26.35	$31.00	$3.40–$21.67	2% above	15%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE BLOOD	$26.35	$31.00	—	—	15%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE 2HR POST PRANDIAL	$26.35	$31.00	—	—	15%
Blood lead test CPT 83655 LEAD, URINE RANDOM	$51.00	$60.00	$10.00–$54.49	35% below	15%
Blood lead test CPT 83655 LEAD, BLOOD	$51.00	$60.00	$10.00–$54.49	35% below	15%
Blood lead test CPT 83655 LEAD, URINE 24 HOUR	$51.00	$60.00	$10.00–$54.49	35% below	15%
Blood lead test inpatient CPT 83655 LEAD, BLOOD	$51.00	$60.00	—	—	15%
Blood lead test inpatient CPT 83655 LEAD, URINE 24 HOUR	$51.00	$60.00	—	—	15%
Blood lead test inpatient CPT 83655 LEAD, URINE RANDOM	$51.00	$60.00	—	—	15%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREGNANCY TEST, SERUM	$53.55	$63.00	$5.78–$23.11	7% above	15%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREGNANCY TEST, URINE	$53.55	$63.00	$5.78–$23.11	7% above	15%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 PREGNANCY TEST, URINE	$53.55	$63.00	—	—	15%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 PREGNANCY TEST, SERUM	$53.55	$63.00	—	—	15%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ARC ABO TYPE	$38.25	$45.00	$3.08–$16.67	71% below	15%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO BLOOD GROUP	$171.70	$202.00	$3.08–$16.67	29% above	15%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ARC ABO TYPE	$38.25	$45.00	—	—	15%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO BLOOD GROUP	$171.70	$202.00	—	—	15%
Blood urea nitrogen (BUN) test CPT 84520 UREA NITROGEN BLOOD	$19.55	$23.00	$3.41–$21.55	28% below	15%
Blood urea nitrogen (BUN) test inpatient CPT 84520 UREA NITROGEN BLOOD	$19.55	$23.00	—	—	15%
C-peptide blood test CPT 84681 C-PEPTIDE	$116.45	$137.00	$17.99–$77.16	7% above	15%
C-peptide blood test inpatient CPT 84681 C-PEPTIDE	$116.45	$137.00	—	—	15%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CRP,QUANTITATIVE	$66.30	$78.00	$3.00–$25.59	85% above	15%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 CRP,QUANTITATIVE	$66.30	$78.00	—	—	15%
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFFICILE TOXIN PCR	$130.05	$153.00	$32.21–$78.26	37% below	15%
C. difficile toxin gene test (stool PCR) CPT 87493 CLOSTRIDIUM DIFFICILE TOX	$130.05	$153.00	$32.21–$78.26	37% below	15%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C DIFFICILE TOXIN PCR	$130.05	$153.00	—	—	15%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 CLOSTRIDIUM DIFFICILE TOX	$130.05	$153.00	—	—	15%
CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9	$176.80	$208.00	$15.70–$62.76	33% above	15%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9	$176.80	$208.00	—	—	15%
CA-125 blood test (ovarian cancer marker) CPT 86304 CA-125	$109.65	$129.00	$14.65–$58.57	16% below	15%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA-125	$109.65	$129.00	—	—	15%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS COV-2 RNA PCR	$85.00	$100.00	$35.00–$100.71	7% below	15%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS COV-2 RNA PCR	$85.00	$100.00	—	—	15%
Calcium blood test, total CPT 82310 CALCIUM, URINE	$31.45	$37.00	$3.54–$14.15	6% below	15%
Calcium blood test, total CPT 82310 CALCIUM TOTAL SERUM	$31.45	$37.00	$3.54–$14.15	6% below	15%
Calcium blood test, total CPT 82310 PTH-I W IONIZED CA	$31.45	$37.00	$3.54–$14.15	6% below	15%
Calcium blood test, total inpatient CPT 82310 PTH-I W IONIZED CA	$31.45	$37.00	—	—	15%
Calcium blood test, total inpatient CPT 82310 CALCIUM, URINE	$31.45	$37.00	—	—	15%
Calcium blood test, total inpatient CPT 82310 CALCIUM TOTAL SERUM	$31.45	$37.00	—	—	15%
Carcinoembryonic antigen (CEA) test CPT 82378 CARCINOEMBRYONIC ANTIGEN	$103.70	$122.00	$16.39–$81.19	13% below	15%
Carcinoembryonic antigen (CEA) test CPT 82378 CEA, PLEURAL FLUID	$103.70	$122.00	$16.39–$81.19	13% below	15%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CEA, PLEURAL FLUID	$103.70	$122.00	—	—	15%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CARCINOEMBRYONIC ANTIGEN	$103.70	$122.00	—	—	15%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER IGM	$44.57	$52.44	$11.13–$52.44	47% below	15%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER ANTIBODY	$44.57	$52.44	$11.13–$52.44	47% below	15%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOSTER IGM	$44.57	$52.44	—	—	15%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOSTER ANTIBODY	$44.57	$52.44	—	—	15%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA DNA PAP VIAL	$142.80	$168.00	$23.19–$168.00	27% below	15%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA RNA, TMA	$142.80	$168.00	$23.19–$168.00	27% below	15%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLMYD TRACH DNA; PCR	$142.80	$168.00	$23.19–$168.00	27% below	15%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLMYD TRACH DNA; PCR	$142.80	$168.00	—	—	15%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA RNA, TMA	$142.80	$168.00	—	—	15%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA DNA PAP VIAL	$142.80	$168.00	—	—	15%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PROFILE PANEL	$38.25	$45.00	$11.57–$45.00	57% below	15%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PROFILE PANEL	$38.25	$45.00	—	—	15%
Complete blood count (CBC) with differential CPT 85025 CBC W AUTO DIFF	$38.25	$45.00	$6.00–$35.30	25% below	15%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC W AUTO DIFF	$38.25	$45.00	—	—	15%
Complete blood count (CBC), no differential CPT 85027 CBC W/O DIFF	$29.75	$35.00	$4.70–$18.79	31% below	15%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC W/O DIFF	$29.75	$35.00	—	—	15%
Comprehensive metabolic panel (blood test) CPT 80053 COMP.METABOLIC PANEL	$42.50	$50.00	$9.13–$50.00	52% below	15%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMP.METABOLIC PANEL	$42.50	$50.00	—	—	15%
Cortisol blood test, total CPT 82533 CORTISOL AM	$95.20	$112.00	$12.00–$70.36	8% below	15%
Cortisol blood test, total CPT 82533 ACTH STIMULATION 3	$95.20	$112.00	$12.00–$70.36	8% below	15%
Cortisol blood test, total CPT 82533 CORTISOL RESPONSE	$95.20	$112.00	$12.00–$70.36	8% below	15%
Cortisol blood test, total CPT 82533 CORTISOL PM	$95.20	$112.00	$12.00–$70.36	8% below	15%
Cortisol blood test, total inpatient CPT 82533 CORTISOL RESPONSE	$95.20	$112.00	—	—	15%
Cortisol blood test, total inpatient CPT 82533 ACTH STIMULATION 3	$95.20	$112.00	—	—	15%
Cortisol blood test, total inpatient CPT 82533 CORTISOL PM	$95.20	$112.00	—	—	15%
Cortisol blood test, total inpatient CPT 82533 CORTISOL AM	$95.20	$112.00	—	—	15%
Creatine kinase (CK) blood test, total CPT 82550 CPK	$42.50	$50.00	$5.63–$30.50	6% below	15%
Creatine kinase (CK) blood test, total inpatient CPT 82550 CPK	$42.50	$50.00	—	—	15%
Creatinine blood test CPT 82565 CREATININE	$27.20	$32.00	$3.70–$14.79	20% below	15%
Creatinine blood test inpatient CPT 82565 CREATININE	$27.20	$32.00	—	—	15%
Cytomegalovirus (CMV) antibody test CPT 86644 CMV ANTIBODY TESTING	$91.80	$108.00	$12.44–$50.53	6% above	15%
Cytomegalovirus (CMV) antibody test CPT 86644 CMV IGG	$91.80	$108.00	$12.44–$50.53	6% above	15%
Cytomegalovirus (CMV) antibody test CPT 86644 CMV AB (IGG)	$91.80	$108.00	$12.44–$50.53	6% above	15%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV AB (IGG)	$91.80	$108.00	—	—	15%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV ANTIBODY TESTING	$91.80	$108.00	—	—	15%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV IGG	$91.80	$108.00	—	—	15%
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER, QUAL	$59.50	$70.00	$8.80–$36.34	13% below	15%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER, QUAL	$59.50	$70.00	—	—	15%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-S	$130.05	$153.00	$19.21–$83.07	3% below	15%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA-S	$130.05	$153.00	—	—	15%
Drug screen by lab instrument (any number of drug classes) CPT 80307 WHOLE BLOOD DRUG SCREEN	$170.00	$200.00	$53.71–$130.46	7% below	15%
Drug screen by lab instrument (any number of drug classes) CPT 80307 URINE DRG SCRN-PCP QUL	$367.20	$432.00	$53.71–$194.40	102% above	15%
Drug screen by lab instrument (any number of drug classes) CPT 80307 URINE DRG SCRN-OPIATE QUL	$367.20	$432.00	$53.71–$194.40	102% above	15%
Drug screen by lab instrument (any number of drug classes) CPT 80307 URINE DRG SCRN-COCAIN QUL	$367.20	$432.00	$53.71–$194.40	102% above	15%
Drug screen by lab instrument (any number of drug classes) CPT 80307 URINE DRG SCRN-THC QUL	$367.20	$432.00	$53.71–$194.40	102% above	15%
Drug screen by lab instrument (any number of drug classes) CPT 80307 URINE DRUG SCRN-METH QUAL	$367.20	$432.00	$53.71–$194.40	102% above	15%
Drug screen by lab instrument (any number of drug classes) CPT 80307 UDS MEDICAL	$367.20	$432.00	$53.71–$194.40	102% above	15%
Drug screen by lab instrument (any number of drug classes) CPT 80307 URINE DRG SCRN-BENZO QUL	$367.20	$432.00	$53.71–$194.40	102% above	15%
Drug screen by lab instrument (any number of drug classes) CPT 80307 URINE DRG SCRN-BARBIT QUL	$367.20	$432.00	$53.71–$194.40	102% above	15%
Drug screen by lab instrument (any number of drug classes) CPT 80307 URINE DRG SCRN-TCA QUL	$367.20	$432.00	$53.71–$194.40	102% above	15%
Drug screen by lab instrument (any number of drug classes) CPT 80307 URINE DRG SCRN-AMP QUL	$367.20	$432.00	$53.71–$194.40	102% above	15%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DOA SCREEN, SERUM	$367.20	$432.00	$53.71–$194.40	102% above	15%
Drug screen by lab instrument (any number of drug classes) CPT 80307 URINE ETHANOL	$367.20	$432.00	$53.71–$194.40	102% above	15%
Drug screen by lab instrument (any number of drug classes) CPT 80307 TRAMADOL URINE	$367.20	$432.00	$53.71–$194.40	102% above	15%
Drug screen by lab instrument (any number of drug classes) CPT 80307 OPIATES QUAL, SINGLE	$367.20	$432.00	$53.71–$194.40	102% above	15%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 WHOLE BLOOD DRUG SCREEN	$170.00	$200.00	—	—	15%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 URINE DRG SCRN-PCP QUL	$367.20	$432.00	—	—	15%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 URINE DRG SCRN-TCA QUL	$367.20	$432.00	—	—	15%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 URINE DRG SCRN-BARBIT QUL	$367.20	$432.00	—	—	15%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 URINE DRG SCRN-BENZO QUL	$367.20	$432.00	—	—	15%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 URINE DRG SCRN-AMP QUL	$367.20	$432.00	—	—	15%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 URINE DRUG SCRN-METH QUAL	$367.20	$432.00	—	—	15%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 UDS MEDICAL	$367.20	$432.00	—	—	15%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 OPIATES QUAL, SINGLE	$367.20	$432.00	—	—	15%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 TRAMADOL URINE	$367.20	$432.00	—	—	15%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 URINE DRG SCRN-OPIATE QUL	$367.20	$432.00	—	—	15%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 URINE DRG SCRN-COCAIN QUL	$367.20	$432.00	—	—	15%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 URINE DRG SCRN-THC QUL	$367.20	$432.00	—	—	15%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 URINE ETHANOL	$367.20	$432.00	—	—	15%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DOA SCREEN, SERUM	$367.20	$432.00	—	—	15%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTE PANEL	$80.75	$95.00	$6.06–$41.66	53% above	15%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYTE PANEL	$80.75	$95.00	—	—	15%
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV ANTI-VCA, IGM	$89.25	$105.00	$15.68–$66.08	22% below	15%
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV ANTI-VCA, IGG	$89.25	$105.00	$15.68–$66.08	22% below	15%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV ANTI-VCA, IGG	$89.25	$105.00	—	—	15%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV ANTI-VCA, IGM	$89.25	$105.00	—	—	15%
Estradiol blood test CPT 82670 ESTRADIOL 17B	$153.85	$181.00	$21.50–$117.33	8% below	15%
Estradiol blood test CPT 82670 ESTRADIOL ULTRASENSITIVE	$199.75	$235.00	$21.50–$117.33	20% above	15%
Estradiol blood test inpatient CPT 82670 ESTRADIOL 17B	$153.85	$181.00	—	—	15%
Estradiol blood test inpatient CPT 82670 ESTRADIOL ULTRASENSITIVE	$199.75	$235.00	—	—	15%
FSH (follicle-stimulating hormone) test CPT 83001 FSH,PEDIATRICS	$127.50	$150.00	$16.06–$68.60	7% above	15%
FSH (follicle-stimulating hormone) test CPT 83001 FSH SERUM	$127.50	$150.00	$16.06–$68.60	7% above	15%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH SERUM	$127.50	$150.00	—	—	15%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH,PEDIATRICS	$127.50	$150.00	—	—	15%
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN, STOOL	$204.09	$240.10	$16.97–$108.05	58% above	15%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN, STOOL	$204.09	$240.10	—	—	15%
Ferritin blood test (iron stores) CPT 82728 FERRITIN	$90.95	$107.00	$11.78–$48.57	5% above	15%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN	$90.95	$107.00	—	—	15%
Fibrinogen blood test CPT 85384 FIBRINOGEN QUEST/MMC	$110.42	$129.90	$8.40–$39.86	67% above	15%
Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN QUEST/MMC	$110.42	$129.90	—	—	15%
Folate (folic acid) blood test CPT 82746 FOLATE	$61.20	$72.00	$12.00–$64.00	29% below	15%
Folate (folic acid) blood test inpatient CPT 82746 FOLATE	$61.20	$72.00	—	—	15%
Free T3 thyroid hormone test CPT 84481 T3 FREE	$136.00	$160.00	$14.64–$72.48	27% above	15%
Free T3 thyroid hormone test inpatient CPT 84481 T3 FREE	$136.00	$160.00	—	—	15%
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE DIRECT DIALYSIS	$46.75	$55.00	$7.80–$41.66	22% below	15%
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE	$46.75	$55.00	$7.80–$41.66	22% below	15%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4 FREE DIRECT DIALYSIS	$46.75	$55.00	—	—	15%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4 FREE	$46.75	$55.00	—	—	15%
Free testosterone test CPT 84402 FREE TESTOSTERONE	$104.55	$123.00	$22.01–$109.70	35% below	15%
Free testosterone test inpatient CPT 84402 FREE TESTOSTERONE	$104.55	$123.00	—	—	15%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GAMMA G.T.	$54.40	$64.00	$5.47–$21.87	14% above	15%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GAMMA G.T.	$54.40	$64.00	—	—	15%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GESTATIONAL GLUCOSE CHLNG	$42.50	$50.00	$4.11–$23.47	14% above	15%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 2 HR POST LOAD	$42.50	$50.00	$4.11–$23.47	14% above	15%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GESTATIONAL GLUCOSE CHLNG	$42.50	$50.00	—	—	15%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE 2 HR POST LOAD	$42.50	$50.00	—	—	15%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOL 1ST 3 GLU	$86.70	$102.00	$11.12–$56.41	7% above	15%
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOL 1ST 3 GLU	$86.70	$102.00	—	—	15%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC RNA, TMA	$140.25	$165.00	$23.19–$165.00	24% below	15%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC DNA PAP VIAL	$140.25	$165.00	$23.19–$165.00	24% below	15%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 G.C. DNA; PCR	$140.25	$165.00	$23.19–$165.00	24% below	15%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GC RNA, TMA	$140.25	$165.00	—	—	15%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 G.C. DNA; PCR	$140.25	$165.00	—	—	15%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GC DNA PAP VIAL	$140.25	$165.00	—	—	15%
H. pylori antibody blood test CPT 86677 H PYLORI ANTIBODY, IGA	$122.06	$143.60	$13.23–$52.89	6% above	15%
H. pylori antibody blood test CPT 86677 H PYLORI ANTIBODY, IGG	$122.06	$143.60	$13.23–$52.89	6% above	15%
H. pylori antibody blood test CPT 86677 H PYLORI ANTIBODY, IGM	$122.06	$143.60	$13.23–$52.89	6% above	15%
H. pylori antibody blood test inpatient CPT 86677 H PYLORI ANTIBODY, IGM	$122.06	$143.60	—	—	15%
H. pylori antibody blood test inpatient CPT 86677 H PYLORI ANTIBODY, IGG	$122.06	$143.60	—	—	15%
H. pylori antibody blood test inpatient CPT 86677 H PYLORI ANTIBODY, IGA	$122.06	$143.60	—	—	15%
H. pylori stool antigen test CPT 87338 H PYLORI STOOL AG	$106.25	$125.00	$11.39–$45.53	10% above	15%
H. pylori stool antigen test inpatient CPT 87338 H PYLORI STOOL AG	$106.25	$125.00	—	—	15%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV 1 RNA QN PC	$402.90	$474.00	$73.55–$466.45	19% below	15%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV 1 RNA QN PC	$402.90	$474.00	—	—	15%
HIV-1 and HIV-2 antibody test CPT 86703 AB HIV1 & HIV2 SNGL ASSAY	$69.70	$82.00	$11.85–$82.00	32% below	15%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 AB HIV1 & HIV2 SNGL ASSAY	$69.70	$82.00	—	—	15%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1/2 ANTIGEN/ANTIBODY	$90.61	$106.60	$20.81–$50.55	36% below	15%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV-1/2 ANTIGEN/ANTIBODY	$90.61	$106.60	—	—	15%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HIGH RISK HPV DNA; PCR	$158.95	$187.00	$30.33–$84.15	24% below	15%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV, DNA HIGH RISK	$158.95	$187.00	$30.33–$84.15	24% below	15%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV, DNA HIGH RISK	$158.95	$187.00	—	—	15%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HIGH RISK HPV DNA; PCR	$158.95	$187.00	—	—	15%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C	$38.25	$45.00	$7.00–$45.00	25% below	15%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN A1C	$38.25	$45.00	—	—	15%
Hemoglobin blood test CPT 85018 HEMOGLOBIN, REFERENCE	$20.40	$24.00	$2.05–$13.59	19% above	15%
Hemoglobin blood test CPT 85018 HEMOGLOBIN	$22.95	$27.00	$1.98–$13.59	34% above	15%
Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN, REFERENCE	$20.40	$24.00	—	—	15%
Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN	$22.95	$27.00	—	—	15%
Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE AB,TOTAL	$131.75	$155.00	$10.41–$57.01	56% above	15%
Hepatitis B core antibody test (total) inpatient CPT 86704 HEPATITIS B CORE AB,TOTAL	$131.75	$155.00	—	—	15%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE AB	$48.73	$57.33	$9.28–$57.33	33% below	15%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURFACE AB	$48.73	$57.33	—	—	15%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE AG	$53.55	$63.00	$8.93–$47.69	23% below	15%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE AG	$53.55	$63.00	—	—	15%
Hepatitis C antibody blood test (screening) CPT 86803 HCV AB	$54.87	$64.55	$12.33–$64.55	45% below	15%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY	$54.87	$64.55	$12.33–$64.55	45% below	15%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HCV AB	$54.87	$64.55	—	—	15%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C ANTIBODY	$54.87	$64.55	—	—	15%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C VIRAL RNA QUAN	$432.14	$508.40	$37.03–$237.42	52% above	15%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C VIRAL / GENOTYPE	$432.14	$508.40	$37.03–$237.42	52% above	15%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C VIRAL RNA QUAN	$432.14	$508.40	—	—	15%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C VIRAL / GENOTYPE	$432.14	$508.40	—	—	15%
Herpes blood test, HSV-1 antibody CPT 86695 HSV 1 IGM TITER	$74.53	$87.68	$11.40–$57.85	7% below	15%
Herpes blood test, HSV-1 antibody CPT 86695 HSV 1 IGM SCREEN	$74.53	$87.68	$11.40–$57.85	7% below	15%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES AB (TYPE 1), IGG	$74.53	$87.68	$11.40–$57.85	7% below	15%
Herpes blood test, HSV-1 antibody CPT 86695 HSV 1/2 IGG	$74.53	$87.68	$11.40–$57.85	7% below	15%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV 1 IGM SCREEN	$74.53	$87.68	—	—	15%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV 1 IGM TITER	$74.53	$87.68	—	—	15%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV 1/2 IGG	$74.53	$87.68	—	—	15%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES AB (TYPE 1), IGG	$74.53	$87.68	—	—	15%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES AB (TYPE 2), IGG	$75.65	$89.00	$16.05–$64.16	30% below	15%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX II,IGG	$75.65	$89.00	$16.05–$64.16	30% below	15%
Herpes blood test, HSV-2 antibody CPT 86696 HSV 2 IGM SCREEN	$75.65	$89.00	$16.05–$64.16	30% below	15%
Herpes blood test, HSV-2 antibody CPT 86696 HSV 2 IGM TITER	$75.65	$89.00	$16.05–$64.16	30% below	15%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX II,IGG	$75.65	$89.00	—	—	15%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES AB (TYPE 2), IGG	$75.65	$89.00	—	—	15%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV 2 IGM SCREEN	$75.65	$89.00	—	—	15%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV 2 IGM TITER	$75.65	$89.00	—	—	15%
High-sensitivity CRP (hs-CRP) test CPT 86141 HSCRP	$75.65	$89.00	$10.53–$46.01	4% below	15%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HSCRP	$75.65	$89.00	—	—	15%
Homocysteine blood test CPT 83090 HOMOCYSTEINE,SERUM	$113.90	$134.00	$15.49–$77.32	5% below	15%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE,SERUM	$113.90	$134.00	—	—	15%
Insulin blood test CPT 83525 INSULIN 1 HOUR	$106.25	$125.00	$9.82–$39.26	46% above	15%
Insulin blood test CPT 83525 INSULIN	$106.25	$125.00	$9.82–$39.26	46% above	15%
Insulin blood test CPT 83525 INSULIN 4 HOUR	$106.25	$125.00	$9.82–$39.26	46% above	15%
Insulin blood test CPT 83525 INSULIN 5 HOUR	$106.25	$125.00	$9.82–$39.26	46% above	15%
Insulin blood test CPT 83525 INSULIN 1/2 HOUR	$106.25	$125.00	$9.82–$39.26	46% above	15%
Insulin blood test CPT 83525 INSULIN 3 HOUR	$106.25	$125.00	$9.82–$39.26	46% above	15%
Insulin blood test CPT 83525 INSULIN, FASTING	$106.25	$125.00	$9.82–$39.26	46% above	15%
Insulin blood test CPT 83525 INSULIN RESPONSE TO GLUCOSE	$106.25	$125.00	$9.82–$39.26	46% above	15%
Insulin blood test CPT 83525 INSULIN 2 HOUR	$106.25	$125.00	$9.82–$39.26	46% above	15%
Insulin blood test inpatient CPT 83525 INSULIN 1/2 HOUR	$106.25	$125.00	—	—	15%
Insulin blood test inpatient CPT 83525 INSULIN RESPONSE TO GLUCOSE	$106.25	$125.00	—	—	15%
Insulin blood test inpatient CPT 83525 INSULIN	$106.25	$125.00	—	—	15%
Insulin blood test inpatient CPT 83525 INSULIN 5 HOUR	$106.25	$125.00	—	—	15%
Insulin blood test inpatient CPT 83525 INSULIN 4 HOUR	$106.25	$125.00	—	—	15%
Insulin blood test inpatient CPT 83525 INSULIN 3 HOUR	$106.25	$125.00	—	—	15%
Insulin blood test inpatient CPT 83525 INSULIN 2 HOUR	$106.25	$125.00	—	—	15%
Insulin blood test inpatient CPT 83525 INSULIN 1 HOUR	$106.25	$125.00	—	—	15%
Insulin blood test inpatient CPT 83525 INSULIN, FASTING	$106.25	$125.00	—	—	15%
Iron blood test (serum iron) CPT 83540 IRON	$38.25	$45.00	$4.81–$19.23	16% below	15%
Iron blood test (serum iron) inpatient CPT 83540 IRON	$38.25	$45.00	—	—	15%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL	$124.95	$147.00	$7.50–$52.57	83% above	15%
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL	$124.95	$147.00	—	—	15%
LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE (LH)	$146.20	$172.00	$16.01–$68.32	22% above	15%
LH (luteinizing hormone) test CPT 83002 LH,PEDIATRICS	$146.20	$172.00	$16.01–$68.32	22% above	15%
LH (luteinizing hormone) test inpatient CPT 83002 LUTEINIZING HORMONE (LH)	$146.20	$172.00	—	—	15%
LH (luteinizing hormone) test inpatient CPT 83002 LH,PEDIATRICS	$146.20	$172.00	—	—	15%
Lactate (lactic acid) blood test CPT 83605 LACTIC ACID	$72.25	$85.00	$8.00–$64.60	6% below	15%
Lactate (lactic acid) blood test inpatient CPT 83605 LACTIC ACID	$72.25	$85.00	—	—	15%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH FLUID	$32.30	$38.00	$4.37–$17.47	12% below	15%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH	$32.30	$38.00	$4.37–$17.47	12% below	15%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH	$32.30	$38.00	—	—	15%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH FLUID	$32.30	$38.00	—	—	15%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE	$52.70	$62.00	$5.00–$31.62	12% above	15%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE FLUID	$52.70	$62.00	$5.00–$31.62	12% above	15%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE FLUID	$52.70	$62.00	—	—	15%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE	$52.70	$62.00	—	—	15%
Liver function blood test panel CPT 80076 HEPATIC FNCTN(LIVER)PANEL	$85.85	$101.00	$7.06–$39.14	10% above	15%
Liver function blood test panel inpatient CPT 80076 HEPATIC FNCTN(LIVER)PANEL	$85.85	$101.00	—	—	15%
Lyme disease antibody test CPT 86618 LYME IGM ANTIBODY	$51.00	$60.00	$14.72–$60.00	46% below	15%
Lyme disease antibody test CPT 86618 LYME DISEASE AB	$51.00	$60.00	$14.72–$60.00	46% below	15%
Lyme disease antibody test CPT 86618 LYME IGG ANTIBODY	$51.00	$60.00	$14.72–$60.00	46% below	15%
Lyme disease antibody test inpatient CPT 86618 LYME IGM ANTIBODY	$51.00	$60.00	—	—	15%
Lyme disease antibody test inpatient CPT 86618 LYME DISEASE AB	$51.00	$60.00	—	—	15%
Lyme disease antibody test inpatient CPT 86618 LYME IGG ANTIBODY	$51.00	$60.00	—	—	15%
Magnesium blood test CPT 83735 MAGNESIUM,RBC	$46.75	$55.00	$4.82–$19.27	12% above	15%
Magnesium blood test CPT 83735 MAGNESIUM	$46.75	$55.00	$4.82–$19.27	12% above	15%
Magnesium blood test CPT 83735 MAGNESIUM, URINE	$46.75	$55.00	$4.82–$19.27	12% above	15%
Magnesium blood test inpatient CPT 83735 MAGNESIUM	$46.75	$55.00	—	—	15%
Magnesium blood test inpatient CPT 83735 MAGNESIUM,RBC	$46.75	$55.00	—	—	15%
Magnesium blood test inpatient CPT 83735 MAGNESIUM, URINE	$46.75	$55.00	—	—	15%
Measles (rubeola) antibody test CPT 86765 RUBEOLA ANTIBODY	$38.25	$45.00	$10.40–$41.58	53% below	15%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA ANTIBODY	$38.25	$45.00	—	—	15%
Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE SCREEN	$37.40	$44.00	$3.36–$13.43	1% above	15%
Mono test (heterophile antibody, Monospot) CPT 86308 MONO TEST	$37.40	$44.00	$3.36–$13.43	1% above	15%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HETEROPHILE SCREEN	$37.40	$44.00	—	—	15%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONO TEST	$37.40	$44.00	—	—	15%
Mumps immunity blood test CPT 86735 MUMPS ANTIBODY IGM	$45.33	$53.33	$11.28–$53.33	44% below	15%
Mumps immunity blood test CPT 86735 MUMPS ANTIBODY	$45.33	$53.33	$11.28–$53.33	44% below	15%
Mumps immunity blood test inpatient CPT 86735 MUMPS ANTIBODY	$45.33	$53.33	—	—	15%
Mumps immunity blood test inpatient CPT 86735 MUMPS ANTIBODY IGM	$45.33	$53.33	—	—	15%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE	$84.15	$99.00	$15.89–$95.19	26% below	15%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA FREE	$84.15	$99.00	—	—	15%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL	$89.25	$105.00	$15.89–$67.48	19% below	15%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA TOTAL	$89.25	$105.00	—	—	15%
Pap test (liquid-based, automated screening with review) CPT 88175 PAP;SCRN LQUD AUTO W/RES	$106.25	$125.00	$19.40–$77.56	30% above	15%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 PAP;SCRN LQUD AUTO W/RES	$106.25	$125.00	—	—	15%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 PAP, DIAGNOSTIC THIN PREP	$89.25	$105.00	$16.00–$96.58	46% above	15%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 PAP, SCREENING THIN PREP	$89.25	$105.00	$16.00–$96.58	46% above	15%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 PAP, DIAGNOSTIC THIN PREP	$89.25	$105.00	—	—	15%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 PAP, SCREENING THIN PREP	$89.25	$105.00	—	—	15%
Parathyroid hormone (PTH) blood test CPT 83970 PTH, INTACT	$130.05	$153.00	$35.68–$153.00	40% below	15%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH, INTACT	$130.05	$153.00	—	—	15%
Partial thromboplastin time (PTT) clotting test CPT 85730 PARTIAL THROMBOPLAST TIME	$46.75	$55.00	$4.52–$18.07	13% above	15%
Partial thromboplastin time (PTT) clotting test CPT 85730 APTT BASELINE REF LAB	$46.75	$55.00	$4.52–$18.07	13% above	15%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PARTIAL THROMBOPLAST TIME	$46.75	$55.00	—	—	15%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 APTT BASELINE REF LAB	$46.75	$55.00	—	—	15%
Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS SERUM INORGANC	$41.65	$49.00	$2.88–$11.51	28% above	15%
Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHORUS SERUM INORGANC	$41.65	$49.00	—	—	15%
Potassium blood test CPT 84132 POTASSIUM SERUM	$46.75	$55.00	$2.95–$11.79	47% above	15%
Potassium blood test inpatient CPT 84132 POTASSIUM SERUM	$46.75	$55.00	—	—	15%
Progesterone blood test CPT 84144 PROGESTERONE	$155.55	$183.00	$17.00–$76.64	13% above	15%
Progesterone blood test inpatient CPT 84144 PROGESTERONE	$155.55	$183.00	—	—	15%
Prolactin blood test CPT 84146 PROLACTIN	$137.70	$162.00	$16.75–$82.83	10% above	15%
Prolactin blood test inpatient CPT 84146 PROLACTIN	$137.70	$162.00	—	—	15%
Prothrombin time (PT/INR) clotting test CPT 85610 MIXING CORRECTION STUDIES	$23.80	$28.00	$2.32–$9.27	16% below	15%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME	$23.80	$28.00	$2.32–$9.27	16% below	15%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME	$23.80	$28.00	—	—	15%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 MIXING CORRECTION STUDIES	$23.80	$28.00	—	—	15%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 RAPID STREP	$37.40	$44.00	$6.30–$34.69	41% below	15%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 RAPID STREP	$37.40	$44.00	—	—	15%
Renin blood test CPT 84244 RENIN	$106.25	$125.00	$12.00–$92.87	26% below	15%
Renin blood test inpatient CPT 84244 RENIN	$106.25	$125.00	—	—	15%
Rh blood typing CPT 86901 RH	$52.70	$62.00	$3.08–$47.93	8% below	15%
Rh blood typing CPT 86901 ARC RH TYPE	$52.70	$62.00	$3.08–$47.93	8% below	15%
Rh blood typing inpatient CPT 86901 ARC RH TYPE	$52.70	$62.00	—	—	15%
Rh blood typing inpatient CPT 86901 RH	$52.70	$62.00	—	—	15%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR, TITER	$63.75	$75.00	$4.90–$28.18	63% above	15%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR, REF LAB	$63.75	$75.00	$4.90–$28.18	63% above	15%
Rheumatoid factor (RF) test CPT 86431 RA TITER, QUANT	$63.75	$75.00	$4.90–$28.18	63% above	15%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR, REF LAB	$63.75	$75.00	—	—	15%
Rheumatoid factor (RF) test inpatient CPT 86431 RA TITER, QUANT	$63.75	$75.00	—	—	15%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR, TITER	$63.75	$75.00	—	—	15%
Rubella antibody test (immunity check) CPT 86762 RUBELLA AB (IGG)	$38.25	$45.00	$11.96–$45.00	55% below	15%
Rubella antibody test (immunity check) CPT 86762 RUBELLA AB (IGM)	$38.25	$45.00	$11.96–$45.00	55% below	15%
Rubella antibody test (immunity check) CPT 86762 RUBACELL (RUBELLA SCRN)	$38.25	$45.00	$11.96–$45.00	55% below	15%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBACELL (RUBELLA SCRN)	$38.25	$45.00	—	—	15%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA AB (IGM)	$38.25	$45.00	—	—	15%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA AB (IGG)	$38.25	$45.00	—	—	15%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN ANALYSIS, COMPLETE	$85.00	$100.00	$10.64–$51.77	4% below	15%
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 SEMEN ANALYSIS, COMPLETE	$85.00	$100.00	—	—	15%
Sodium blood test CPT 84295 SODIUM SERUM	$38.25	$45.00	$4.16–$24.75	18% above	15%
Sodium blood test inpatient CPT 84295 SODIUM SERUM	$38.25	$45.00	—	—	15%
Stool ova and parasites exam CPT 87177 OVA AND PARASITES	$80.75	$95.00	$7.50–$38.94	38% above	15%
Stool ova and parasites exam inpatient CPT 87177 OVA AND PARASITES	$80.75	$95.00	—	—	15%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD,FECES;SINGL	$29.75	$35.00	$0.81–$9.21	46% above	15%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCLT BLD MEDICAR SCRN;1-3	$34.00	$40.00	$0.81–$9.21	67% above	15%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLD, FECES; 3 SPEC	$34.00	$40.00	$0.81–$9.21	67% above	15%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLOOD,FECES;SINGL	$29.75	$35.00	—	—	15%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCLT BLD MEDICAR SCRN;1-3	$34.00	$40.00	—	—	15%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLD, FECES; 3 SPEC	$34.00	$40.00	—	—	15%
Syphilis antibody test (Treponema pallidum) CPT 86780 FTA ABS	$88.40	$104.00	$11.44–$46.80	18% above	15%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 FTA ABS	$88.40	$104.00	—	—	15%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL CSF	$31.45	$37.00	$2.54–$10.15	12% above	15%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL	$31.45	$37.00	$2.54–$10.15	12% above	15%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR	$31.45	$37.00	$2.54–$10.15	12% above	15%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL CSF	$31.45	$37.00	—	—	15%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR	$31.45	$37.00	—	—	15%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL	$31.45	$37.00	—	—	15%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON TB GOLD	$285.94	$336.40	$53.57–$151.38	8% below	15%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON TB GOLD	$285.94	$336.40	—	—	15%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE, WOMEN AND CHILDR	$154.70	$182.00	$22.31–$98.06	5% below	15%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE; TOTAL	$154.70	$182.00	$22.31–$98.06	5% below	15%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE, TOTAL W/FREE	$154.70	$182.00	$22.31–$98.06	5% below	15%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE; TOTAL	$154.70	$182.00	—	—	15%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE, TOTAL W/FREE	$154.70	$182.00	—	—	15%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE, WOMEN AND CHILDR	$154.70	$182.00	—	—	15%
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID MICROSOMAL AB	$59.50	$70.00	$7.91–$41.98	21% below	15%
Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER KIDNEY MICROSOME AB IGG	$59.50	$70.00	$7.91–$41.98	21% below	15%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LIVER KIDNEY MICROSOME AB IGG	$59.50	$70.00	—	—	15%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID MICROSOMAL AB	$59.50	$70.00	—	—	15%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH	$57.18	$67.27	$14.52–$67.27	43% below	15%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH	$57.18	$67.27	—	—	15%
Total IgE blood test CPT 82785 IGE	$108.80	$128.00	$14.23–$71.84	5% above	15%
Total IgE blood test inpatient CPT 82785 IGE	$108.80	$128.00	—	—	15%
Total cholesterol blood test CPT 82465 CHOLESTEROL	$34.00	$40.00	$3.76–$22.71	12% above	15%
Total cholesterol blood test CPT 82465 CHOLESTEROL REF LAB	$34.00	$40.00	$3.76–$22.71	12% above	15%
Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL	$34.00	$40.00	—	—	15%
Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL REF LAB	$34.00	$40.00	—	—	15%
Total thyroxine (T4) blood test CPT 84436 T-4	$42.50	$50.00	$5.21–$20.83	6% below	15%
Total thyroxine (T4) blood test inpatient CPT 84436 T-4	$42.50	$50.00	—	—	15%
Total triiodothyronine (T3) blood test CPT 84480 T3, TOTAL	$72.89	$85.75	$8.00–$50.61	25% below	15%
Total triiodothyronine (T3) blood test inpatient CPT 84480 T3, TOTAL	$72.89	$85.75	—	—	15%
Transferrin blood test CPT 84466 TRANSFERRIN	$89.25	$105.00	$11.03–$57.21	4% above	15%
Transferrin blood test inpatient CPT 84466 TRANSFERRIN	$89.25	$105.00	—	—	15%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS RNA	$156.66	$184.30	$30.33–$82.94	15% below	15%
Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGINALIS RNA	$156.66	$184.30	—	—	15%
Triglycerides blood test CPT 84478 VAP TRIGLYCERIDE	$43.35	$51.00	$4.96–$28.70	9% above	15%
Triglycerides blood test CPT 84478 TRIGLYCERIDES	$43.35	$51.00	$4.96–$28.70	9% above	15%
Triglycerides blood test CPT 84478 TRIGLYCERIDE, REF LAB	$43.35	$51.00	$4.96–$28.70	9% above	15%
Triglycerides blood test inpatient CPT 84478 VAP TRIGLYCERIDE	$43.35	$51.00	—	—	15%
Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDES	$43.35	$51.00	—	—	15%
Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDE, REF LAB	$43.35	$51.00	—	—	15%
Troponin test, quantitative CPT 84484 TROPONIN, I	$90.10	$106.00	$9.87–$41.06	10% above	15%
Troponin test, quantitative inpatient CPT 84484 TROPONIN, I	$90.10	$106.00	—	—	15%
Uric acid blood test CPT 84550 URIC ACID, BLOOD	$42.50	$50.00	$3.91–$23.83	34% above	15%
Uric acid blood test inpatient CPT 84550 URIC ACID, BLOOD	$42.50	$50.00	—	—	15%
Urinalysis without microscope exam, automated CPT 81003 TRANSFUSN RXN URINE; AUTO	$17.85	$21.00	$1.94–$17.19	at median	15%
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS W/O MICRO,AUTO	$17.85	$21.00	$1.94–$17.19	at median	15%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS W/O MICRO,AUTO	$17.85	$21.00	—	—	15%
Urinalysis without microscope exam, automated inpatient CPT 81003 TRANSFUSN RXN URINE; AUTO	$17.85	$21.00	—	—	15%
Urinalysis without microscope exam, manual CPT 81002 URINE DIPSTICK, NON-AUTO	$15.30	$18.00	$3.01–$18.00	27% below	15%
Urinalysis without microscope exam, manual inpatient CPT 81002 URINE DIPSTICK, NON-AUTO	$15.30	$18.00	—	—	15%
Urine culture for bacteria, with colony count CPT 87086 CULTURE URINE	$49.30	$58.00	$6.97–$35.30	13% below	15%
Urine culture for bacteria, with colony count inpatient CPT 87086 CULTURE URINE	$49.30	$58.00	—	—	15%
Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN 24 HR URINE	$42.50	$50.00	$5.00–$27.42	7% above	15%
Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN URINE QUAN	$42.50	$50.00	$5.00–$27.42	7% above	15%
Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN URINE QUAN	$42.50	$50.00	—	—	15%
Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN 24 HR URINE	$42.50	$50.00	—	—	15%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12	$65.45	$77.00	$13.00–$54.37	30% below	15%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12	$65.45	$77.00	—	—	15%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D,25-HYDROXY TOTAL	$181.90	$214.00	$25.58–$124.37	22% above	15%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D,25-HYDROXY TOTAL	$181.90	$214.00	—	—	15%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 VITAMIN D, 1-25 DIHYDROXY	$126.28	$148.56	$33.28–$148.56	47% below	15%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 VITAMIN D, 1-25 DIHYDROXY	$126.28	$148.56	—	—	15%
Zinc blood test CPT 84630 ZINC URINE 24 HOUR	$61.20	$72.00	$9.84–$50.81	15% below	15%
Zinc blood test CPT 84630 ZINC, SERUM	$61.20	$72.00	$9.84–$50.81	15% below	15%
Zinc blood test inpatient CPT 84630 ZINC, SERUM	$61.20	$72.00	—	—	15%
Zinc blood test inpatient CPT 84630 ZINC URINE 24 HOUR	$61.20	$72.00	—	—	15%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BETA HCG, QUANTITATIVE	$75.65	$89.00	$13.01–$58.53	16% below	15%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 CHORIONIC GONADOTROPN QNT	$75.65	$89.00	$13.01–$58.53	16% below	15%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 TUMOR MARKER, HCG	$75.65	$89.00	$13.01–$58.53	16% below	15%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 BETA HCG, QUANTITATIVE	$75.65	$89.00	—	—	15%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 CHORIONIC GONADOTROPN QNT	$75.65	$89.00	—	—	15%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 TUMOR MARKER, HCG	$75.65	$89.00	—	—	15%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Pennsylvania	Off list
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 STEREO BIOP GUIDANCE BCC	$2,601.00	$3,060.00	$147.43–$1,836.00	34% below	15%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 BX STEREO RT W/PLMT&SPEC	$2,601.00	$3,060.00	$147.43–$1,836.00	34% below	15%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 BX STEREO LT W/PLMT&SPEC	$2,601.00	$3,060.00	$147.43–$1,836.00	34% below	15%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 STEREO BIOP GUIDANCE BCC	$2,601.00	$3,060.00	—	—	15%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 BX STEREO LT W/PLMT&SPEC	$2,601.00	$3,060.00	—	—	15%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 BX STEREO RT W/PLMT&SPEC	$2,601.00	$3,060.00	—	—	15%
Cardiac catheterization with coronary angiogram one side CPT 93458 LEFT HEART/CORS (+/-)LVG	$9,048.25	$10,645.00	$2,575.00–$6,387.00	3% above	15%
Cardiac catheterization with coronary angiogram inpatient one side CPT 93458 LEFT HEART/CORS (+/-)LVG	$9,048.25	$10,645.00	—	—	15%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION; EXTERNAL	$872.95	$1,027.00	$91.35–$757.64	40% below	15%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION; EXTERNAL	$872.95	$1,027.00	—	—	15%
Coronary stent placement, one artery CPT 92928 BARE METAL STENT; SNGL COR ART	$31,459.35	$37,011.00	$579.70–$22,206.60	55% above	15%
Coronary stent placement, one artery inpatient CPT 92928 BARE METAL STENT; SNGL COR ART	$31,459.35	$37,011.00	—	—	15%
Earwax removal with instruments, one ear CPT 69210 REMOVE IMPACTED CERUMEN.	$132.60	$156.00	$8.71–$93.60	1% below	15%
Earwax removal with instruments, one ear inpatient CPT 69210 REMOVE IMPACTED CERUMEN.	$132.60	$156.00	—	—	15%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HYSTEROSALPGRPH INJ	$247.35	$291.00	$46.38–$299.39	35% below	15%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HYSTEROSALPGRPH INJ	$247.35	$291.00	—	—	15%
Incision and drainage of a simple or single skin abscess CPT 10060 ABSCESS I&D SIMPLE	$888.25	$1,045.00	$24.68–$953.00	74% above	15%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 ABSCESS I&D SIMPLE	$888.25	$1,045.00	—	—	15%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 ASP &/OR MAJ JT LT	$504.90	$594.00	$11.87–$953.00	8% above	15%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 ASP &0R/ INJ MAJ RT	$504.90	$594.00	$11.87–$953.00	8% above	15%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 ASP &0R/ INJ MAJ RT	$504.90	$594.00	—	—	15%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 ASP &/OR MAJ JT LT	$504.90	$594.00	—	—	15%
Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 ASP &/OR INJ INTMED JT RT	$498.95	$587.00	$11.63–$953.00	41% above	15%
Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 ASP &/OR INJ INTMED JT LT	$498.95	$587.00	$11.63–$953.00	41% above	15%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient one side CPT 20605 ASP &/OR INJ INTMED JT LT	$498.95	$587.00	—	—	15%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient one side CPT 20605 ASP &/OR INJ INTMED JT RT	$498.95	$587.00	—	—	15%
Left heart catheterization, diagnostic one side CPT 93452 LEFT HEART CATH / LVG	$9,048.25	$10,645.00	$2,575.00–$6,387.00	39% above	15%
Left heart catheterization, diagnostic inpatient one side CPT 93452 LEFT HEART CATH / LVG	$9,048.25	$10,645.00	—	—	15%
Pacemaker implant (dual chamber) CPT 33208 PERM PACER INSERT A&V	$9,095.00	$10,700.00	$486.22–$6,420.00	29% below	15%
Pacemaker implant (dual chamber) inpatient CPT 33208 PERM PACER INSERT A&V	$9,095.00	$10,700.00	—	—	15%
Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SINGLE LESION	$93.50	$110.00	$38.50–$953.00	86% below	15%
Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BX SKIN SINGLE LESION	$93.50	$110.00	—	—	15%
Thoracentesis with imaging guidance CPT 32555 US THORACENTESIS W/GUID	$1,056.55	$1,243.00	$108.65–$745.80	28% below	15%
Thoracentesis with imaging guidance inpatient CPT 32555 US THORACENTESIS W/GUID	$1,056.55	$1,243.00	—	—	15%
Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 BX US RT W/PLMT&SPEC	$2,635.00	$3,100.00	$139.14–$1,860.00	27% below	15%
Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 BX US LT W/PLMT&SPEC	$2,635.00	$3,100.00	$139.14–$1,860.00	27% below	15%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 BX US RT W/PLMT&SPEC	$2,635.00	$3,100.00	—	—	15%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 BX US LT W/PLMT&SPEC	$2,635.00	$3,100.00	—	—	15%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Pennsylvania	Off list
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMIN 8-12 HRS	$728.45	$857.00	$29.23–$514.20	23% below	15%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMIN 4-8 HRS	$728.45	$857.00	$29.23–$514.20	23% below	15%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMIN 0-4 HRS	$728.45	$857.00	$29.23–$514.20	23% below	15%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD ADMIN 8-12 HRS	$728.45	$857.00	—	—	15%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD ADMIN 4-8 HRS	$728.45	$857.00	—	—	15%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD ADMIN 0-4 HRS	$728.45	$857.00	—	—	15%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HAND HELD NEB TX INITIAL	$289.00	$340.00	$10.69–$204.00	30% above	15%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI TX SUBSEQUENT	$289.00	$340.00	$10.69–$204.00	30% above	15%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 SPUTUM INDUCTION INITIAL	$289.00	$340.00	$10.69–$204.00	30% above	15%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 SPUTUM INDUCTION SUBS	$289.00	$340.00	$10.69–$204.00	30% above	15%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HAND NEB TX SUBS	$289.00	$340.00	$10.69–$204.00	30% above	15%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 ED INITIAL RESPIRATORY TX	$289.00	$340.00	$10.69–$204.00	30% above	15%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 ED RESPIRATORY TX-SUBSQNT	$289.00	$340.00	$10.69–$204.00	30% above	15%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 ED INITIAL RESPIRATORY TX	$289.00	$340.00	—	—	15%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 SPUTUM INDUCTION SUBS	$289.00	$340.00	—	—	15%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 SPUTUM INDUCTION INITIAL	$289.00	$340.00	—	—	15%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HAND NEB TX SUBS	$289.00	$340.00	—	—	15%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HAND HELD NEB TX INITIAL	$289.00	$340.00	—	—	15%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 ED RESPIRATORY TX-SUBSQNT	$289.00	$340.00	—	—	15%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MDI TX SUBSEQUENT	$289.00	$340.00	—	—	15%
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE; 1ST 30-74MIN	$373.15	$439.00	$100.00–$1,803.00	80% below	15%
Critical care, first 30 to 74 minutes CPT 99291 EMERG SRV, CRITICAL CARE	$1,602.25	$1,885.00	$103.94–$1,803.00	15% below	15%
Critical care, first 30 to 74 minutes inpatient CPT 99291 CRITICAL CARE; 1ST 30-74MIN	$373.15	$439.00	—	—	15%
Critical care, first 30 to 74 minutes inpatient CPT 99291 EMERG SRV, CRITICAL CARE	$1,602.25	$1,885.00	—	—	15%
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE AND DROWSY	$432.65	$509.00	$14.18–$314.20	43% below	15%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG AWAKE AND DROWSY	$432.65	$509.00	—	—	15%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG 12 LEAD TRACING ONLY	$174.25	$205.00	$10.74–$123.00	at median	15%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG 12 LEAD TRACING ONLY	$174.25	$205.00	—	—	15%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMERGENCY VISIT, LEVEL I	$108.80	$128.00	$17.32–$338.00	64% below	15%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 NON-EMERGENT MED ASST VIS	$108.80	$128.00	$17.32–$338.00	64% below	15%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 NON-EMERGENT MED ASST VIS	$108.80	$128.00	—	—	15%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 EMERGENCY VISIT, LEVEL I	$108.80	$128.00	—	—	15%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENCY VISIT LEVEL II	$209.95	$247.00	$31.41–$338.00	56% below	15%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 EMERGENCY VISIT LEVEL II	$209.95	$247.00	—	—	15%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY VISIT LEVEL III	$408.00	$480.00	$38.50–$464.00	45% below	15%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 EMERGENCY VISIT LEVEL III	$408.00	$480.00	—	—	15%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENCY VISIT LEVEL IV	$703.80	$828.00	$55.00–$1,030.00	42% below	15%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 EMERGENCY VISIT LEVEL IV	$703.80	$828.00	—	—	15%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENCY VISIT LEVEL V	$1,067.60	$1,256.00	$55.00–$1,236.00	33% below	15%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 EMERGENCY VISIT LEVEL V	$1,067.60	$1,256.00	—	—	15%
Exercise stress test, tracing only, the hospital charge CPT 93017 STRESS TEST W/ PHARM AGNT	$658.75	$775.00	$28.36–$465.00	30% below	15%
Exercise stress test, tracing only, the hospital charge CPT 93017 TREADMILL STRESS TEST	$658.75	$775.00	$28.36–$465.00	30% below	15%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 STRESS TEST W/ PHARM AGNT	$658.75	$775.00	—	—	15%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 TREADMILL STRESS TEST	$658.75	$775.00	—	—	15%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 INF RX IV HYDRAT 1ST HR	$317.90	$374.00	$33.11–$224.40	27% below	15%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 INF RX IV HYDRAT 1ST HR	$317.90	$374.00	—	—	15%
IV infusion of a medicine, first hour CPT 96365 INFUSION THERAPY FIRST HR	$317.90	$374.00	$41.27–$224.40	29% below	15%
IV infusion of a medicine, first hour inpatient CPT 96365 INFUSION THERAPY FIRST HR	$317.90	$374.00	—	—	15%
IV push of a medicine, first drug CPT 96374 IV PUSH 1ST ITEM	$330.65	$389.00	$32.57–$233.40	1% above	15%
IV push of a medicine, first drug inpatient CPT 96374 IV PUSH 1ST ITEM	$330.65	$389.00	—	—	15%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ IM SUBQ	$127.50	$150.00	$13.34–$90.00	3% above	15%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER, DX, PROPH INJ-IM,SQ	$127.50	$150.00	$13.34–$90.00	3% above	15%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM/SQ INJECTION	$127.50	$150.00	$13.98–$90.00	3% above	15%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THER, DX, PROPH INJ-IM,SQ	$127.50	$150.00	—	—	15%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJ IM SUBQ	$127.50	$150.00	—	—	15%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 IM/SQ INJECTION	$127.50	$150.00	—	—	15%
New patient office visit, about 30 minutes CPT 99203 JMBCC TC INIT OFFVIS LEV 3	$170.85	$201.00	$51.65–$201.00	29% below	15%
New patient office visit, about 30 minutes CPT 99203 OFC/OP E/M NEW MOD 30-44MIN	$174.25	$205.00	$51.65–$205.00	27% below	15%
New patient office visit, about 30 minutes inpatient CPT 99203 JMBCC TC INIT OFFVIS LEV 3	$170.85	$201.00	—	—	15%
New patient office visit, about 30 minutes inpatient CPT 99203 OFC/OP E/M NEW MOD 30-44MIN	$174.25	$205.00	—	—	15%
New patient office visit, about 45 minutes CPT 99204 JMBCC TC INIT OFFVIS LEV 4	$236.30	$278.00	$66.26–$264.89	21% below	15%
New patient office visit, about 45 minutes CPT 99204 OFC/OP E/M NEW MOD-HIGH 45-59M	$259.25	$305.00	$66.26–$264.89	14% below	15%
New patient office visit, about 45 minutes inpatient CPT 99204 JMBCC TC INIT OFFVIS LEV 4	$236.30	$278.00	—	—	15%
New patient office visit, about 45 minutes inpatient CPT 99204 OFC/OP E/M NEW MOD-HIGH 45-59M	$259.25	$305.00	—	—	15%
New patient office visit, about 60 minutes CPT 99205 DR. CRAIG TC INIT OFFVIS LEV 5	$320.45	$377.00	$80.84–$323.17	39% below	15%
New patient office visit, about 60 minutes CPT 99205 OFC/OP E/M NEW HIGH 60-74 MIN	$331.50	$390.00	$80.84–$323.17	36% below	15%
New patient office visit, about 60 minutes inpatient CPT 99205 DR. CRAIG TC INIT OFFVIS LEV 5	$320.45	$377.00	—	—	15%
New patient office visit, about 60 minutes inpatient CPT 99205 OFC/OP E/M NEW HIGH 60-74 MIN	$331.50	$390.00	—	—	15%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFC/OP E/M NEW LOW-MD 15-29MIN	$114.75	$135.00	$42.58–$135.00	37% below	15%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 JMBCC TC INIT OFFVIS LEV 2	$141.10	$166.00	$42.58–$166.00	23% below	15%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OFC/OP E/M NEW LOW-MD 15-29MIN	$114.75	$135.00	—	—	15%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 JMBCC TC INIT OFFVIS LEV 2	$141.10	$166.00	—	—	15%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MNT INITIAL EA 15 MINUTES	$56.95	$67.00	$23.45–$58.71	13% above	15%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MNT INITIAL 15 MIN-TELE	$56.95	$67.00	$23.45–$58.71	13% above	15%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 MNT INITIAL EA 15 MINUTES	$56.95	$67.00	—	—	15%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 MNT INITIAL 15 MIN-TELE	$56.95	$67.00	—	—	15%
Preventive checkup, new patient aged 18–39 CPT 99385 INIT PM E/M NEW PAT AGE 18-39	$172.55	$203.00	$30.67–$122.61	18% above	15%
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 INIT PM E/M NEW PAT AGE 18-39	$172.55	$203.00	—	—	15%
Preventive checkup, new patient aged 40–64 CPT 99386 INIT PM E/M NEW PAT AGE 40-64	$200.60	$236.00	$30.50–$121.93	30% above	15%
Preventive checkup, new patient aged 40–64 inpatient CPT 99386 INIT PM E/M NEW PAT AGE 40-64	$200.60	$236.00	—	—	15%
Preventive checkup, new patient aged 65 or older CPT 99387 INIT PM E/M NEW PAT AGE 65+	$218.45	$257.00	$22.82–$128.50	6% above	15%
Preventive checkup, new patient aged 65 or older inpatient CPT 99387 INIT PM E/M NEW PAT AGE 65+	$218.45	$257.00	—	—	15%
Preventive checkup, returning patient aged 18–39 CPT 99395 PER PM E/M EST PAT AGE 18-39	$157.25	$185.00	$15.02–$108.00	21% above	15%
Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 PER PM E/M EST PAT AGE 18-39	$157.25	$185.00	—	—	15%
Preventive checkup, returning patient aged 40–64 CPT 99396 PER PM E/M EST PAT AGE 40-64	$165.75	$195.00	$17.27–$108.00	6% above	15%
Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 PER PM E/M EST PAT AGE 40-64	$165.75	$195.00	—	—	15%
Preventive checkup, returning patient aged 65 or older CPT 99397 PER PM E/M EST PAT AGE 65+	$178.50	$210.00	$73.50–$108.00	at median	15%
Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 PER PM E/M EST PAT AGE 65+	$178.50	$210.00	—	—	15%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 BEHAV CHNG SMOKING 3-10 MIN	$20.40	$24.00	$8.40–$108.00	55% below	15%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKING CESSATION 3-10MIN	$54.40	$64.00	$10.98–$38.40	19% above	15%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 BEHAV CHNG SMOKING 3-10 MIN	$20.40	$24.00	—	—	15%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 SMOKING CESSATION 3-10MIN	$54.40	$64.00	—	—	15%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 DR. SIMS TC COMP OFF VIS EST	$254.15	$299.00	$38.77–$154.99	7% below	15%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFC/OP E/M ESTAB MD-HI 40-54 M	$259.25	$305.00	$38.77–$154.99	5% below	15%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 DR. SIMS TC COMP OFF VIS EST	$254.15	$299.00	—	—	15%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 OFC/OP E/M ESTAB MD-HI 40-54 M	$259.25	$305.00	—	—	15%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 JMBCC TC INTER OFFVIS EST	$116.45	$137.00	$27.83–$111.26	37% below	15%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFC/OP E/M EST LOW-MD 20-29 M	$131.75	$155.00	$27.83–$111.26	29% below	15%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 JMBCC TC INTER OFFVIS EST	$116.45	$137.00	—	—	15%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OFC/OP E/M EST LOW-MD 20-29 M	$131.75	$155.00	—	—	15%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 JMBCC TC EXP OFF VIS EST	$172.55	$203.00	$33.05–$132.12	14% below	15%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFC/OP E/M ESTAB MOD 30-39 MIN	$187.00	$220.00	$33.05–$132.12	7% below	15%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 JMBCC TC EXP OFF VIS EST	$172.55	$203.00	—	—	15%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OFC/OP E/M ESTAB MOD 30-39 MIN	$187.00	$220.00	—	—	15%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFC/OP E/M ESTAB MINOR 10-19 M	$80.75	$95.00	$23.77–$108.00	50% below	15%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 JMBCC TC BRIEF OFFVIS EST	$93.91	$110.48	$23.77–$108.00	42% below	15%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OFC/OP E/M ESTAB MINOR 10-19 M	$80.75	$95.00	—	—	15%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 JMBCC TC BRIEF OFFVIS EST	$93.91	$110.48	—	—	15%
Specialist consultation, low complexity or 30+ minutes CPT 99243 OFC/OP CONSLT NEW/EST PT 40 MN	$165.75	$195.00	$45.33–$181.22	10% below	15%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 OFC/OP CONSLT NEW/EST PT 40 MN	$165.75	$195.00	—	—	15%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 OFC/OP CONSLT NEW/EST PT 60 MN	$235.45	$277.00	$76.23–$277.00	9% below	15%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 OFC/OP CONSLT NEW/EST PT 60 MN	$235.45	$277.00	—	—	15%
Spirometry before and after a bronchodilator CPT 94060 PULM FUNC W/WO DILATOR	$413.95	$487.00	$11.97–$292.20	36% below	15%
Spirometry before and after a bronchodilator inpatient CPT 94060 PULM FUNC W/WO DILATOR	$413.95	$487.00	—	—	15%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 WET PHLEBOTOMY	$192.95	$227.00	$11.70–$136.20	16% below	15%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 WET PHLEBOTOMY, THERAPEUT	$192.95	$227.00	$10.50–$136.20	16% below	15%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 WET PHLEBOTOMY	$192.95	$227.00	—	—	15%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 WET PHLEBOTOMY, THERAPEUT	$192.95	$227.00	—	—	15%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Pennsylvania	Off list
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 Flu Vax 65+ NDC 70461002503	$224.05	$263.59	$10.50–$158.15	34% above	15%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 TRIVALENT HIGH DOSE INFLUENZA	$224.09	$263.64	$10.50–$158.18	34% above	15%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 Flu Vax 65+ NDC 70461002503	$224.05	$263.59	—	—	15%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 TRIVALENT HIGH DOSE INFLUENZA	$224.09	$263.64	—	—	15%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Flu Vax - std NDC 33332002503	$65.69	$77.28	$10.02–$46.37	1% below	15%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 Flu Vax - std NDC 33332002503	$65.69	$77.28	—	—	15%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 ACTHIB INJ	$53.55	$63.00	$10.50–$63.00	71% above	15%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 ACTHIB INJ	$53.55	$63.00	—	—	15%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLU SHOT HIGH DOSE 65+	$224.05	$263.59	$10.50–$158.15	156% above	15%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 FLU SHOT HIGH DOSE 65+	$224.05	$263.59	—	—	15%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENACTRA INJECTION	$412.00	$484.71	$10.50–$290.83	340% above	15%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENACTRA INJECTION	$412.00	$484.71	—	—	15%
Meningococcal B vaccine (Trumenba) CPT 90621 TRUMENBA INJ	$481.11	$566.01	$10.50–$339.61	145% above	15%
Meningococcal B vaccine (Trumenba) inpatient CPT 90621 TRUMENBA INJ	$481.11	$566.01	—	—	15%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 PREVNAR-13 SYRINGE INJ 0.5ML	$399.13	$469.56	$10.50–$281.74	177% above	15%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 PREVNAR-13 SYRINGE INJ 0.5ML	$399.13	$469.56	—	—	15%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PREVNAR 20 SYRINGE INJ 0.5ML	$800.11	$941.31	$10.50–$564.79	148% above	15%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PREVNAR 20 SYRINGE INJ 0.5ML	$800.11	$941.31	—	—	15%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOVAX 23 VIAL	$80.75	$95.00	$10.50–$137.47	37% below	15%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOVAX 23 VIAL	$80.75	$95.00	—	—	15%
Rabies vaccine, one dose CPT 90675 RABIES VAC IMOVAX PERDOSE	$920.52	$1,082.97	$10.50–$649.78	54% above	15%
Rabies vaccine, one dose CPT 90675 RABIES VAC(IMOVAX)PERDOSE	$920.52	$1,082.97	$10.50–$649.78	54% above	15%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VAC IMOVAX PERDOSE	$920.52	$1,082.97	—	—	15%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VAC(IMOVAX)PERDOSE	$920.52	$1,082.97	—	—	15%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS/DIP DECAVAC 0.5ML	$88.33	$103.92	$10.50–$64.44	58% above	15%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS DIP DECAVAC 0.5ML	$88.33	$103.92	$10.50–$64.44	58% above	15%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS DIP DECAVAC 0.5ML	$88.33	$103.92	—	—	15%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS/DIP DECAVAC 0.5ML	$88.33	$103.92	—	—	15%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 BOOSTRIX 0.5ML SYRINGE	$105.34	$123.93	$10.50–$74.36	88% above	15%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 BOOSTRIX 0.5ML SYRINGE	$105.34	$123.93	—	—	15%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 PNEUMOCOCCAL VACCINE ADMINISTR	$95.20	$112.00	$0.21–$67.20	49% above	15%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 INFLUENZA VACCINE ADMINISTR	$95.20	$112.00	$0.21–$67.20	49% above	15%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN OF INFLUENZA INJECT	$95.20	$112.00	$0.21–$67.20	49% above	15%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HEPATITIS B VACCINE ADMINISTR	$95.20	$112.00	$0.21–$67.20	49% above	15%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VACCINE ADMINISTRATION, OTHER	$95.20	$112.00	$0.21–$67.20	49% above	15%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VACCINE ADMINISTRATION X1	$95.20	$112.00	$0.21–$67.20	49% above	15%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VACCINE ADMINISTRATION, OTHERS	$95.20	$112.00	$0.21–$67.20	49% above	15%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN FLU HM HLTH FLU VACCINE	$95.20	$112.00	$0.21–$67.20	49% above	15%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HEPATITIS B VACCINE ADMINISTR	$95.20	$112.00	—	—	15%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN OF INFLUENZA INJECT	$95.20	$112.00	—	—	15%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 VACCINE ADMINISTRATION, OTHERS	$95.20	$112.00	—	—	15%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 VACCINE ADMINISTRATION X1	$95.20	$112.00	—	—	15%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 INFLUENZA VACCINE ADMINISTR	$95.20	$112.00	—	—	15%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 VACCINE ADMINISTRATION, OTHER	$95.20	$112.00	—	—	15%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 PNEUMOCOCCAL VACCINE ADMINISTR	$95.20	$112.00	—	—	15%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN FLU HM HLTH FLU VACCINE	$95.20	$112.00	—	—	15%

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

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

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

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

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

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

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

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

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

Source file: https://www.windbercare.org/251244202_Chan-Soon-Shiong-Medical-Center-at-Windber_standardcharges.csv