Hospital

White Mountain Regional Medical Center

White Mountain Regional Medical Center in Springerville, AZ publishes cash prices for 310 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are below the Arizona median for 215 of 309 procedures and above it for 85. By typical cash price it ranks #20 of 53 Arizona hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

118 S MOUNTAIN AVE, SPRINGERVILLE, AZ, 859385104 Collected Sep 27, 2026 Source price file (928) 333-4368

Critical access hospital (rural, 25 beds or fewer) Emergency department CCN 031315 · CMS hospital register

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Arizona	Off list
Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE COMPLETE LT MIN 3V PF	$62.28	$109.26	—	80% below	43%
Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE COMPLETE RT MIN 3V PF	$62.28	$109.26	—	80% below	43%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 ANKLE COMPLETE RT MIN 3V PF	$62.28	$109.26	—	—	43%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 ANKLE COMPLETE LT MIN 3V PF	$62.28	$109.26	—	—	43%
Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE IMAGING WHOLE BODY PF	$449.10	$787.89	—	69% below	43%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM BONE IMAGING WHOLE BODY PF	$449.10	$787.89	—	—	43%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST WITH PF	$482.31	$846.15	—	65% below	43%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA CHEST WITH PF	$482.31	$846.15	—	—	43%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABDOMEN AND PELVIS w/o PF	$314.18	$551.19	—	76% below	43%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABDOMEN AND PELVIS w/o PF	$314.18	$551.19	—	—	43%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN AND PELVIS w/ PF	$520.18	$912.60	—	72% below	43%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABDOMEN AND PELVIS w/ PF	$520.18	$912.60	—	—	43%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABDOMEN AND PELVIS w/o PF	$583.59	$1,023.84	—	75% below	43%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABDOMEN AND PELVIS w/o PF	$583.59	$1,023.84	—	—	43%
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN w/ PF	$399.66	$701.16	—	69% below	43%
CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN w/ PF	$399.66	$701.16	—	—	43%
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O PF	$234.30	$411.06	—	74% below	43%
CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN W/O PF	$234.30	$411.06	—	—	43%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT SINUSES W/O PF	$259.24	$454.80	—	68% below	43%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT FACIAL BONES W/O PF	$259.24	$454.80	—	68% below	43%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT SINUSES W/O PF	$259.24	$454.80	—	—	43%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT FACIAL BONES W/O PF	$259.24	$454.80	—	—	43%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD OR BRAIN W/O PF	$181.79	$318.93	—	79% below	43%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD OR BRAIN W/O PF	$181.79	$318.93	—	—	43%
CT scan of the head with contrast CPT 70460 CT HEAD OR BRAIN WITH PF	$254.19	$445.95	—	78% below	43%
CT scan of the head with contrast inpatient CPT 70460 CT HEAD OR BRAIN WITH PF	$254.19	$445.95	—	—	43%
CT scan of the head without and with contrast CPT 70470 CT HEAD OR BRAIN W/WO PF	$297.56	$522.03	—	79% below	43%
CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD OR BRAIN W/WO PF	$297.56	$522.03	—	—	43%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT SPINE LUMBAR W/O PF	$221.34	$388.32	—	81% below	43%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT SPINE LUMBAR W/O PF	$221.34	$388.32	—	—	43%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT SPINE CERVICAL W/O PF	$223.00	$391.23	—	80% below	43%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT SPINE CERVICAL W/O PF	$223.00	$391.23	—	—	43%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS WITH PF	$392.36	$688.35	—	67% below	43%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS WITH PF	$392.36	$688.35	—	—	43%
Chest X-ray, 2 views CPT 71046 CHEST 2V PF	$56.81	$99.66	—	70% below	43%
Chest X-ray, 2 views inpatient CPT 71046 CHEST 2V PF	$56.81	$99.66	—	—	43%
Chest X-ray, single view CPT 71045 CHEST SINGLE VIEW PF	$43.74	$76.74	—	59% below	43%
Chest X-ray, single view inpatient CPT 71045 CHEST SINGLE VIEW PF	$43.74	$76.74	—	—	43%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 U/S RETROPERITONEAL COMPLETE PF	$185.89	$326.13	—	54% below	43%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEAL COMPLETE PF	$185.89	$326.13	—	54% below	43%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RETROPERITONEAL COMPLETE PF	$185.89	$326.13	—	—	43%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 U/S RETROPERITONEAL COMPLETE PF	$185.89	$326.13	—	—	43%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST W/O PF	$228.05	$400.08	—	72% below	43%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST W/O PF	$228.05	$400.08	—	—	43%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST WITH PF	$286.36	$502.38	—	77% below	43%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST WITH PF	$286.36	$502.38	—	—	43%
Duplex ultrasound of the leg veins, both legs CPT 93970 U/S VENOUS DUPLEX/EXTREMITY PF	$311.72	$546.87	—	58% below	43%
Duplex ultrasound of the leg veins, both legs CPT 93970 US NON INVASIVE STUDY LOWER EXT PF	$311.72	$546.87	—	58% below	43%
Duplex ultrasound of the leg veins, both legs CPT 93970 US NON INVASIVE STUDY UPPER EXT PF	$311.72	$546.87	—	58% below	43%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 US NON INVASIVE STUDY UPPER EXT PF	$311.72	$546.87	—	—	43%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 U/S VENOUS DUPLEX/EXTREMITY PF	$311.72	$546.87	—	—	43%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 US NON INVASIVE STUDY LOWER EXT PF	$311.72	$546.87	—	—	43%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 U/S ECHO W/ DOPPLER AND DOPPLER FLOW	$1,002.41	$1,758.61	$80.00	1% below	43%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 US ECHO W/ DOPPLER AND DOPPLER FLOW	$1,268.68	$2,225.76	$80.00	26% above	43%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 U/S ECHO W/ DOPPLER AND DOPPLER FLOW	$1,002.41	$1,758.61	$80.00	—	43%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 US ECHO W/ DOPPLER AND DOPPLER FLOW	$1,268.68	$2,225.76	$80.00	—	43%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM GALLBLADDER IMAGING PF	$494.38	$867.33	—	48% below	43%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NM GALLBLADDER IMAGING PF	$494.38	$867.33	—	—	43%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLEEP STUDY UNATTENDED PF	$158.04	$277.26	—	65% below	43%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HOME SLEEP STUDY	$463.98	$814.00	$80.00	3% above	43%
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 SLEEP STUDY UNATTENDED PF	$158.04	$277.26	—	—	43%
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 HOME SLEEP STUDY	$463.98	$814.00	$80.00	—	43%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 SLEEP STUDY W/CPAP	$2,821.50	$4,950.00	$80.00	5% above	43%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 SLEEP STUDY W/CPAP	$2,821.50	$4,950.00	$80.00	—	43%
Knee X-ray, 3 views one side CPT 73562 KNEE LT 3V PF	$69.07	$121.17	—	78% below	43%
Knee X-ray, 3 views one side CPT 73562 KNEE RT 3V PF	$69.07	$121.17	—	78% below	43%
Knee X-ray, 3 views inpatient one side CPT 73562 KNEE RT 3V PF	$69.07	$121.17	—	—	43%
Knee X-ray, 3 views inpatient one side CPT 73562 KNEE LT 3V PF	$69.07	$121.17	—	—	43%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN LIMITED PF	$145.42	$255.12	—	67% below	43%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 U/S ABD LIMITED EG. 1 ORGAN QUADRANT PF	$150.00	$263.16	—	66% below	43%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABDOMEN LIMITED PF	$145.42	$255.12	—	—	43%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 U/S ABD LIMITED EG. 1 ORGAN QUADRANT PF	$150.00	$263.16	—	—	43%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT THORAX LOW DOSE CANCER SCR PF	$235.74	$413.58	—	81% above	43%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT THORAX LOW DOSE CANCER SCR PF	$235.74	$413.58	—	—	43%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LOWER EXTREMITY JOINT RT W/O PF	$348.17	$610.83	—	84% below	43%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LOWER EXTREMITY JOINT LT W/O PF	$348.17	$610.83	—	84% below	43%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI LOWER EXTREMITY JOINT RT W/O PF	$348.17	$610.83	—	—	43%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI LOWER EXTREMITY JOINT LT W/O PF	$348.17	$610.83	—	—	43%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI LOWER EXTREMITY JOINT LT W/WO PF	$697.66	$1,223.97	—	77% below	43%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI LOWER EXTREMITY JOINT RT W/WO PF	$697.66	$1,223.97	—	77% below	43%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI LOWER EXTREMITY JOINT LT W/WO PF	$697.66	$1,223.97	—	—	43%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI LOWER EXTREMITY JOINT RT W/WO PF	$697.66	$1,223.97	—	—	43%
MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O PF	$349.83	$613.74	—	69% below	43%
MRI of the abdomen without contrast inpatient CPT 74181 MRI ABDOMEN W/O PF	$349.83	$613.74	—	—	43%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN W/WO PF	$607.77	$1,066.26	—	71% below	43%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ABDOMEN W/WO PF	$607.77	$1,066.26	—	—	43%
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN W/O PF	$348.72	$611.79	—	72% below	43%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN W/O PF	$348.72	$611.79	—	—	43%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W/WO PF	$547.22	$960.03	—	71% below	43%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN W/WO PF	$547.22	$960.03	—	—	43%
MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR SPINE W/O PF	$328.87	$576.96	—	79% below	43%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI LUMBAR SPINE W/O PF	$328.87	$576.96	—	—	43%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI LUMBAR SPINE W/WO PF	$548.89	$962.97	—	77% below	43%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI LUMBAR SPINE W/WO PF	$548.89	$962.97	—	—	43%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI THORACIC SPINE W/O PF	$327.19	$574.02	—	78% below	43%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI THORACIC SPINE W/O PF	$327.19	$574.02	—	—	43%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI CERVICAL SPINE W/WO PF	$550.00	$964.92	—	77% below	43%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI CERVICAL SPINE W/WO PF	$550.00	$964.92	—	—	43%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI CERVICAL SPINE W/O PF	$327.76	$575.01	—	76% below	43%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI CERVICAL SPINE W/O PF	$327.76	$575.01	—	—	43%
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W/WO PF	$578.80	$1,015.44	—	72% below	43%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS W/WO PF	$578.80	$1,015.44	—	—	43%
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O PF	$393.76	$690.81	—	68% below	43%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PELVIS W/O PF	$393.76	$690.81	—	—	43%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UPPER EXTREMITY JOINT LT W/O PF	$348.72	$611.79	—	85% below	43%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UPPER EXTREMITY JOINT RT W/O PF	$348.72	$611.79	—	85% below	43%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI UPPER EXTREMITY JOINT LT W/O PF	$348.72	$611.79	—	—	43%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI UPPER EXTREMITY JOINT RT W/O PF	$348.72	$611.79	—	—	43%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM BRAIN IMAGING IV ISOTOPE INTERP	$722.27	$1,267.14	—	73% below	43%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM STRESS MYOCARDIAL PERF MULTI SPECT PF	$722.27	$1,267.14	—	73% below	43%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM BRAIN IMAGING IV ISOTOPE INTERP	$722.27	$1,267.14	—	—	43%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM STRESS MYOCARDIAL PERF MULTI SPECT PF	$722.27	$1,267.14	—	—	43%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 ULTRASOUND PELVIC LIMITED INTERP	$36.30	$63.68	—	88% below	43%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC LIMITED PF	$82.64	$144.99	—	72% below	43%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 ULTRASOUND PELVIC LIMITED INTERP	$36.30	$63.68	—	—	43%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PELVIC LIMITED PF	$82.64	$144.99	—	—	43%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 ULTRASOUND PELVIC (NON-OB) COMPLETE PF	$82.39	$144.55	—	81% below	43%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC COMPLETE NON OB PF	$176.08	$308.91	—	59% below	43%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 ULTRASOUND PELVIC (NON-OB) COMPLETE PF	$82.39	$144.55	—	—	43%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIC COMPLETE NON OB PF	$176.08	$308.91	—	—	43%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 ULTRASOUND OB COMPLETE > 14WKS INTERP	$98.63	$173.03	—	75% below	43%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB COMPLETE MORE THAN 14 WKS PF	$226.88	$398.04	—	42% below	43%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 ULTRASOUND OB COMPLETE > 14WKS INTERP	$98.63	$173.03	—	—	43%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB COMPLETE MORE THAN 14 WKS PF	$226.88	$398.04	—	—	43%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB COMPLETE LESS THAN 14 WKS PF	$196.43	$344.61	—	31% below	43%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 ULTRASOUND OB COMPLETE < 14WKS INTERP	$200.69	$352.08	—	30% below	43%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US OB COMPLETE LESS THAN 14 WKS PF	$196.43	$344.61	—	—	43%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 ULTRASOUND OB COMPLETE < 14WKS INTERP	$200.69	$352.08	—	—	43%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 U/S OB LIMITED PF	$62.86	$110.28	—	80% below	43%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB LIMITED PF	$135.52	$237.75	—	56% below	43%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 U/S OB LIMITED PF	$62.86	$110.28	—	—	43%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US OB LIMITED PF	$135.52	$237.75	—	—	43%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER LT COMPLETE MIN 2V PF	$58.38	$102.42	—	73% below	43%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER RT COMPLETE MIN 2V PF	$58.38	$102.42	—	73% below	43%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 SHOULDER RT COMPLETE MIN 2V PF	$58.38	$102.42	—	—	43%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 SHOULDER LT COMPLETE MIN 2V PF	$58.38	$102.42	—	—	43%
Sleep study in a lab (polysomnography) CPT 95810 PROFESSIONAL INTERP NO CPAP	$1,040.84	$1,826.04	—	55% below	43%
Sleep study in a lab (polysomnography) CPT 95810 SLEEP STUDY W/ NO CPAP	$2,618.07	$4,593.10	$80.00	12% above	43%
Sleep study in a lab (polysomnography) inpatient CPT 95810 PROFESSIONAL INTERP NO CPAP	$1,040.84	$1,826.04	—	—	43%
Sleep study in a lab (polysomnography) inpatient CPT 95810 SLEEP STUDY W/ NO CPAP	$2,618.07	$4,593.10	$80.00	—	43%
Transvaginal pelvic ultrasound CPT 76830 ULTRASOUND TRANSVAGINAL INTERP	$76.29	$133.84	—	79% below	43%
Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL PF	$199.32	$349.68	—	44% below	43%
Transvaginal pelvic ultrasound inpatient CPT 76830 ULTRASOUND TRANSVAGINAL INTERP	$76.29	$133.84	—	—	43%
Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL PF	$199.32	$349.68	—	—	43%
Transvaginal ultrasound during pregnancy CPT 76817 ULTRASOUND TRANSVAGINAL OB INTERP	$68.38	$119.96	—	79% below	43%
Transvaginal ultrasound during pregnancy CPT 76817 US TRANSVAGINAL OB PF	$155.08	$272.07	—	53% below	43%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 ULTRASOUND TRANSVAGINAL OB INTERP	$68.38	$119.96	—	—	43%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US TRANSVAGINAL OB PF	$155.08	$272.07	—	—	43%
Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE PF	$180.56	$316.77	—	65% below	43%
Ultrasound of the abdomen, complete CPT 76700 ULTRASOUND ABDOMEN COMPLETE INTERP	$200.72	$352.14	—	61% below	43%
Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMEN COMPLETE PF	$180.56	$316.77	—	—	43%
Ultrasound of the abdomen, complete inpatient CPT 76700 ULTRASOUND ABDOMEN COMPLETE INTERP	$200.72	$352.14	—	—	43%
Ultrasound of the scrotum and testicles CPT 76870 ULTRASOUND SCROTUM & CONTENTS INTERP	$72.70	$127.54	—	82% below	43%
Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM AND CONTENTS PF	$167.14	$293.22	—	58% below	43%
Ultrasound of the scrotum and testicles inpatient CPT 76870 ULTRASOUND SCROTUM & CONTENTS INTERP	$72.70	$127.54	—	—	43%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US SCROTUM AND CONTENTS PF	$167.14	$293.22	—	—	43%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US THYROID HEAD/NECK PF	$184.22	$323.19	—	45% below	43%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 ULTRASOUND THYROID HEAD/NECK INTERP	$191.01	$335.10	—	43% below	43%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US THYROID HEAD/NECK PF	$184.22	$323.19	—	—	43%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 ULTRASOUND THYROID HEAD/NECK INTERP	$191.01	$335.10	—	—	43%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 US VENOUS DOPPLER COMPLETE PF	$198.43	$348.12	—	55% below	43%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VENOUS DOPPLER LT COMPLETE PF	$198.43	$348.12	—	55% below	43%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 US VENOUS DOPPLER COMPLETE PF	$198.43	$348.12	—	—	43%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US VENOUS DOPPLER LT COMPLETE PF	$198.43	$348.12	—	—	43%
Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST LT COMPLETE MIN 3V PF	$69.03	$121.11	—	79% below	43%
Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST RT COMPLETE MIN 3V PF	$69.03	$121.11	—	79% below	43%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 WRIST LT COMPLETE MIN 3V PF	$69.03	$121.11	—	—	43%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 WRIST RT COMPLETE MIN 3V PF	$69.03	$121.11	—	—	43%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP RT COMPLETE MIN 2V PF	$79.31	$139.14	—	78% below	43%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP LT COMPLETE MIN 2V PF	$79.31	$139.14	—	78% below	43%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP LT COMPLETE MIN 2V PF	$79.31	$139.14	—	—	43%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP RT COMPLETE MIN 2V PF	$79.31	$139.14	—	—	43%
X-ray of the abdomen, 1 view CPT 74018 ABDOMEN SINGLE AP VIEW PF	$63.97	$112.23	—	63% below	43%
X-ray of the abdomen, 1 view inpatient CPT 74018 ABDOMEN SINGLE AP VIEW PF	$63.97	$112.23	—	—	43%
X-ray of the ankle, 2 views one side CPT 73600 ANKLE LT 2V PF	$53.87	$94.50	—	76% below	43%
X-ray of the ankle, 2 views one side CPT 73600 ANKLE RT 2V PF	$54.38	$95.40	—	76% below	43%
X-ray of the ankle, 2 views inpatient one side CPT 73600 ANKLE LT 2V PF	$53.87	$94.50	—	—	43%
X-ray of the ankle, 2 views inpatient one side CPT 73600 ANKLE RT 2V PF	$54.38	$95.40	—	—	43%
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER LT MIN 2V PF	$63.30	$111.06	—	54% below	43%
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER RT MIN 2V PF	$63.30	$111.06	—	54% below	43%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER RT MIN 2V PF	$63.30	$111.06	—	—	43%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER LT MIN 2V PF	$63.30	$111.06	—	—	43%
X-ray of the foot, 2 views one side CPT 73620 FOOT LT 2V PF	$47.62	$83.55	—	53% below	43%
X-ray of the foot, 2 views one side CPT 73620 FOOT RT 2V PF	$47.62	$83.55	—	53% below	43%
X-ray of the foot, 2 views inpatient one side CPT 73620 FOOT LT 2V PF	$47.62	$83.55	—	—	43%
X-ray of the foot, 2 views inpatient one side CPT 73620 FOOT RT 2V PF	$47.62	$83.55	—	—	43%
X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT RT COMPLETE MIN 3V PF	$58.35	$102.36	—	62% below	43%
X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT LT COMPLETE MIN 3V PF	$58.35	$102.36	—	62% below	43%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 FOOT RT COMPLETE MIN 3V PF	$58.35	$102.36	—	—	43%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 FOOT LT COMPLETE MIN 3V PF	$58.35	$102.36	—	—	43%
X-ray of the hand, 3 or more views one side CPT 73130 HAND LT COMPLETE MIN 3V PF	$61.73	$108.30	—	83% below	43%
X-ray of the hand, 3 or more views one side CPT 73130 HAND RT COMPLETE MIN 3V PF	$61.73	$108.30	—	83% below	43%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 HAND RT COMPLETE MIN 3V PF	$61.73	$108.30	—	—	43%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 HAND LT COMPLETE MIN 3V PF	$61.73	$108.30	—	—	43%
X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE LT 2V PF	$57.75	$101.31	—	80% below	43%
X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE RT 1V PF	$57.75	$101.31	—	80% below	43%
X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE LT 1V PF	$57.75	$101.31	—	80% below	43%
X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE RT 2V PF	$57.75	$101.31	—	80% below	43%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 KNEE LT 2V PF	$57.75	$101.31	—	—	43%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 KNEE RT 1V PF	$57.75	$101.31	—	—	43%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 KNEE RT 2V PF	$57.75	$101.31	—	—	43%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 KNEE LT 1V PF	$57.75	$101.31	—	—	43%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 L SPINE 3V PF	$67.49	$118.41	—	61% below	43%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 L SPINE 2V PF	$67.49	$118.41	—	61% below	43%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 L SPINE 2V PF	$67.49	$118.41	—	—	43%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 L SPINE 3V PF	$67.49	$118.41	—	—	43%
X-ray of the lower back, 4 or more views CPT 72110 L SPINE MIN 4V PF	$86.75	$152.19	—	75% below	43%
X-ray of the lower back, 4 or more views inpatient CPT 72110 L SPINE MIN 4V PF	$86.75	$152.19	—	—	43%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 THORACIC SPINE 2V PF	$55.63	$97.59	—	76% below	43%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 THORACIC SPINE 2V PF	$55.63	$97.59	—	—	43%
X-ray of the nasal bones, 3 or more views CPT 70160 NASAL BONES COMPLETE MIN 3V PF	$64.54	$113.22	—	40% below	43%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 NASAL BONES COMPLETE MIN 3V PF	$64.54	$113.22	—	—	43%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 C SPINE 2V PF	$66.93	$117.42	—	70% below	43%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 C SPINE 3V PF	$66.93	$117.42	—	70% below	43%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 C SPINE 2V PF	$66.93	$117.42	—	—	43%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 C SPINE 3V PF	$66.93	$117.42	—	—	43%
X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS 1V PF	$52.17	$91.53	—	72% below	43%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 PELVIS 1V PF	$52.17	$91.53	—	—	43%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM/COCCYX MIN 2V PF	$54.98	$96.45	—	49% below	43%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 SACRUM/COCCYX MIN 2V PF	$54.98	$96.45	—	—	43%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Arizona	Off list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALTV	$37.71	$66.15	$80.00	3% above	43%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALTV	$37.71	$66.15	$80.00	—	43%
AST (aspartate aminotransferase) enzyme test CPT 84450 AST (GOT)	$37.44	$65.69	$80.00	5% above	43%
AST (aspartate aminotransferase) enzyme test CPT 84450 FIB4 WITH RFX NASH FIBROSURE	$108.09	$189.64	$80.00	203% above	43%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST (GOT)	$37.44	$65.69	$80.00	—	43%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 FIB4 WITH RFX NASH FIBROSURE	$108.09	$189.64	$80.00	—	43%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS PANEL ACUTE	$224.01	$393.00	$80.00	62% above	43%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS PANEL ACUTE	$224.01	$393.00	$80.00	—	43%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PROFILE WASP	$17.62	$30.91	$80.00	39% above	43%
Allergy blood test, specific IgE, per allergen CPT 86003 PINON (PINE NUT) ALLERGY	$17.62	$30.91	$80.00	39% above	43%
Allergy blood test, specific IgE, per allergen CPT 86003 MACADAMIA NUT ALLERGY	$17.62	$30.91	$80.00	39% above	43%
Allergy blood test, specific IgE, per allergen CPT 86003 CHESTNUT ALLERGY	$17.62	$30.91	$80.00	39% above	43%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PROFILE BUMBLE BEE	$17.62	$30.91	$80.00	39% above	43%
Allergy blood test, specific IgE, per allergen CPT 86003 CHINESE ELM ALLERGEN	$18.53	$32.50	$80.00	46% above	43%
Allergy blood test, specific IgE, per allergen CPT 86003 WHITE OAK ALLERGEN	$18.53	$32.50	$80.00	46% above	43%
Allergy blood test, specific IgE, per allergen CPT 86003 LIVE OAK ALLERGEN	$18.53	$32.50	$80.00	46% above	43%
Allergy blood test, specific IgE, per allergen CPT 86003 JUNIPER ALLERGEN	$18.53	$32.50	$80.00	46% above	43%
Allergy blood test, specific IgE, per allergen CPT 86003 RED OAK ALLERGEN	$18.53	$32.50	$80.00	46% above	43%
Allergy blood test, specific IgE, per allergen CPT 86003 AUSTRALIAN PINE ALLERGEN	$18.53	$32.50	$80.00	46% above	43%
Allergy blood test, specific IgE, per allergen CPT 86003 LOBLOLLY PINE ALLERGEN	$18.53	$32.50	$80.00	46% above	43%
Allergy blood test, specific IgE, per allergen CPT 86003 WHITE PINE ALLERGEN	$18.53	$32.50	$80.00	46% above	43%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE ALMOND	$18.53	$32.50	$80.00	46% above	43%
Allergy blood test, specific IgE, per allergen CPT 86003 WESTERN WHITE PINE ALLERGEN	$18.53	$32.50	$80.00	46% above	43%
Allergy blood test, specific IgE, per allergen CPT 86003 C223-IGE SELLFAMETHOXOZAL	$18.53	$32.50	$80.00	46% above	43%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PROFILE LATEX PLUS	$18.53	$32.50	$80.00	46% above	43%
Allergy blood test, specific IgE, per allergen CPT 86003 M003 IGE ASPERGILLUS FUMIGATUS	$18.53	$32.50	$80.00	46% above	43%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLG SPEC IGE CRUDE XTRC EA	$19.95	$35.00	$80.00	58% above	43%
Allergy blood test, specific IgE, per allergen CPT 86003 PISTACHIO NUT ALLERGY	$19.95	$35.00	$80.00	58% above	43%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SOYBEAN	$21.34	$37.43	$80.00	69% above	43%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLGEREN PROFILE MINI PANEL	$21.97	$38.55	$80.00	74% above	43%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PROFILE SHELLFISH	$22.09	$38.76	$80.00	75% above	43%
Allergy blood test, specific IgE, per allergen CPT 86003 LATEX SERUM	$22.76	$39.93	$80.00	80% above	43%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE ONION	$22.90	$40.17	$80.00	81% above	43%
Allergy blood test, specific IgE, per allergen CPT 86003 HONEYBEE IGE	$23.06	$40.45	$80.00	82% above	43%
Allergy blood test, specific IgE, per allergen CPT 86003 BUMBLEBEE IGE	$23.06	$40.45	$80.00	82% above	43%
Allergy blood test, specific IgE, per allergen CPT 86003 PAPER WASP IGE	$23.06	$40.45	$80.00	82% above	43%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PROFILE BASIC FOOD 10	$23.45	$41.14	$80.00	85% above	43%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PANEL PEDIATRIC 0-3YEARS	$23.45	$41.14	$80.00	85% above	43%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN FOOD	$23.45	$41.14	$80.00	85% above	43%
Allergy blood test, specific IgE, per allergen CPT 86003 BALD WHITE CYPRESS ALLERGEN	$26.95	$47.28	$80.00	113% above	43%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PROFILE 7 NUTS	$70.32	$123.37	$80.00	456% above	43%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PROFILE SHELLFISH 6	$105.71	$185.46	$80.00	736% above	43%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PANEL PEDIATRIC 3-6 YRS	$109.44	$192.00	$80.00	765% above	43%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PROFILE NUTS 7	$123.33	$216.37	$80.00	875% above	43%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PROFILE BEANS 9	$158.57	$278.19	$80.00	1154% above	43%
Allergy blood test, specific IgE, per allergen CPT 86003 MOLD PANEL	$229.04	$401.83	$80.00	1711% above	43%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PANEL	$257.86	$452.38	$80.00	1938% above	43%
Allergy blood test, specific IgE, per allergen CPT 86003 FOOD ALLERGEN 12	$274.74	$482.00	$80.00	2072% above	43%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PROFILE MOLD	$289.88	$508.57	$80.00	2192% above	43%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PANEL 16	$368.81	$647.03	$80.00	2815% above	43%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PROFILE 24	$535.18	$938.92	$80.00	4131% above	43%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGENS IGE AREA 2	$549.50	$964.03	$80.00	4244% above	43%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGENS IGE AREA 11	$572.39	$1,004.20	$80.00	4425% above	43%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN 27 PANEL	$618.18	$1,084.52	$80.00	4787% above	43%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN PROFILE WASP	$17.62	$30.91	$80.00	—	43%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN PROFILE BUMBLE BEE	$17.62	$30.91	$80.00	—	43%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MACADAMIA NUT ALLERGY	$17.62	$30.91	$80.00	—	43%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PINON (PINE NUT) ALLERGY	$17.62	$30.91	$80.00	—	43%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHESTNUT ALLERGY	$17.62	$30.91	$80.00	—	43%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WESTERN WHITE PINE ALLERGEN	$18.53	$32.50	$80.00	—	43%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHINESE ELM ALLERGEN	$18.53	$32.50	$80.00	—	43%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN PROFILE LATEX PLUS	$18.53	$32.50	$80.00	—	43%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LIVE OAK ALLERGEN	$18.53	$32.50	$80.00	—	43%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 C223-IGE SELLFAMETHOXOZAL	$18.53	$32.50	$80.00	—	43%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WHITE OAK ALLERGEN	$18.53	$32.50	$80.00	—	43%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LOBLOLLY PINE ALLERGEN	$18.53	$32.50	$80.00	—	43%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WHITE PINE ALLERGEN	$18.53	$32.50	$80.00	—	43%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 M003 IGE ASPERGILLUS FUMIGATUS	$18.53	$32.50	$80.00	—	43%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE ALMOND	$18.53	$32.50	$80.00	—	43%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 AUSTRALIAN PINE ALLERGEN	$18.53	$32.50	$80.00	—	43%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 JUNIPER ALLERGEN	$18.53	$32.50	$80.00	—	43%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RED OAK ALLERGEN	$18.53	$32.50	$80.00	—	43%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PISTACHIO NUT ALLERGY	$19.95	$35.00	$80.00	—	43%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLG SPEC IGE CRUDE XTRC EA	$19.95	$35.00	$80.00	—	43%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SOYBEAN	$21.34	$37.43	$80.00	—	43%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLGEREN PROFILE MINI PANEL	$21.97	$38.55	$80.00	—	43%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN PROFILE SHELLFISH	$22.09	$38.76	$80.00	—	43%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LATEX SERUM	$22.76	$39.93	$80.00	—	43%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPECIFIC IGE ONION	$22.90	$40.17	$80.00	—	43%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PAPER WASP IGE	$23.06	$40.45	$80.00	—	43%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BUMBLEBEE IGE	$23.06	$40.45	$80.00	—	43%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HONEYBEE IGE	$23.06	$40.45	$80.00	—	43%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN PANEL PEDIATRIC 0-3YEARS	$23.45	$41.14	$80.00	—	43%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN PROFILE BASIC FOOD 10	$23.45	$41.14	$80.00	—	43%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN FOOD	$23.45	$41.14	$80.00	—	43%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BALD WHITE CYPRESS ALLERGEN	$26.95	$47.28	$80.00	—	43%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN PROFILE 7 NUTS	$70.32	$123.37	$80.00	—	43%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN PROFILE SHELLFISH 6	$105.71	$185.46	$80.00	—	43%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN PANEL PEDIATRIC 3-6 YRS	$109.44	$192.00	$80.00	—	43%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN PROFILE NUTS 7	$123.33	$216.37	$80.00	—	43%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN PROFILE BEANS 9	$158.57	$278.19	$80.00	—	43%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MOLD PANEL	$229.04	$401.83	$80.00	—	43%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN PANEL	$257.86	$452.38	$80.00	—	43%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FOOD ALLERGEN 12	$274.74	$482.00	$80.00	—	43%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN PROFILE MOLD	$289.88	$508.57	$80.00	—	43%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN PANEL 16	$368.81	$647.03	$80.00	—	43%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN PROFILE 24	$535.18	$938.92	$80.00	—	43%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGENS IGE AREA 2	$549.50	$964.03	$80.00	—	43%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGENS IGE AREA 11	$572.39	$1,004.20	$80.00	—	43%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN 27 PANEL	$618.18	$1,084.52	$80.00	—	43%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULLINATED PEPTIDE	$55.51	$97.38	$80.00	67% above	43%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP IGG IGA ANTIBODIES	$70.25	$123.25	$80.00	111% above	43%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRULLINATED PEPTIDE	$55.51	$97.38	$80.00	—	43%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP IGG IGA ANTIBODIES	$70.25	$123.25	$80.00	—	43%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA CASCADE	$53.85	$94.48	$80.00	73% above	43%
Antinuclear antibody (ANA) blood test, screen CPT 86038 CONNECTIVE TISSUE DISEASE CASCADE	$62.70	$110.00	$80.00	102% above	43%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA	$68.15	$119.57	$80.00	119% above	43%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA C REFLEX TO TITER	$68.15	$119.57	$80.00	119% above	43%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA BY IFA REFLEX 11-BIOMAKER PROFILE	$68.61	$120.37	$80.00	121% above	43%
Antinuclear antibody (ANA) blood test, screen CPT 86038 AUTOIMMUNE PROFILE	$210.50	$369.30	$80.00	578% above	43%
Antinuclear antibody (ANA) blood test, screen CPT 86038 SLE PROFILE B	$353.46	$620.10	$80.00	1038% above	43%
Antinuclear antibody (ANA) blood test, screen CPT 86038 LUPUS DIAGNOSTIC PROFILE	$586.53	$1,029.00	$80.00	1789% above	43%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA CASCADE	$53.85	$94.48	$80.00	—	43%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 CONNECTIVE TISSUE DISEASE CASCADE	$62.70	$110.00	$80.00	—	43%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA C REFLEX TO TITER	$68.15	$119.57	$80.00	—	43%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA	$68.15	$119.57	$80.00	—	43%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA BY IFA REFLEX 11-BIOMAKER PROFILE	$68.61	$120.37	$80.00	—	43%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 AUTOIMMUNE PROFILE	$210.50	$369.30	$80.00	—	43%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 SLE PROFILE B	$353.46	$620.10	$80.00	—	43%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 LUPUS DIAGNOSTIC PROFILE	$586.53	$1,029.00	$80.00	—	43%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP2 (NBNP2)	$141.99	$249.10	$80.00	65% above	43%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP (NT-proBNP)	$145.35	$255.00	$80.00	69% above	43%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP (PATHFAST)	$145.35	$255.00	$80.00	69% above	43%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 I STAT BNP	$145.35	$255.00	$80.00	69% above	43%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 BNP2 (NBNP2)	$141.99	$249.10	$80.00	—	43%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 BNP (PATHFAST)	$145.35	$255.00	$80.00	—	43%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 BNP (NT-proBNP)	$145.35	$255.00	$80.00	—	43%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 I STAT BNP	$145.35	$255.00	$80.00	—	43%
Basic metabolic panel (blood test) CPT 80048 BMP REPEAT	$71.90	$126.14	$80.00	30% below	43%
Basic metabolic panel (blood test) CPT 80048 BMP (BASIC METABOLIC PANEL)	$85.74	$150.42	$80.00	16% below	43%
Basic metabolic panel (blood test) CPT 80048 I STAT BMP (BASIC METABOLIC PANEL)	$90.98	$159.62	$80.00	11% below	43%
Basic metabolic panel (blood test) CPT 80048 BMP M/O	$90.98	$159.62	$80.00	11% below	43%
Basic metabolic panel (blood test) inpatient CPT 80048 BMP REPEAT	$71.90	$126.14	$80.00	—	43%
Basic metabolic panel (blood test) inpatient CPT 80048 BMP (BASIC METABOLIC PANEL)	$85.74	$150.42	$80.00	—	43%
Basic metabolic panel (blood test) inpatient CPT 80048 I STAT BMP (BASIC METABOLIC PANEL)	$90.98	$159.62	$80.00	—	43%
Basic metabolic panel (blood test) inpatient CPT 80048 BMP M/O	$90.98	$159.62	$80.00	—	43%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 PRODUCTS OF CONCEPTION SUPER PANEL	$170.33	$298.82	$80.00	24% above	43%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURGICAL PATHOLOGY LEVEL IV	$174.63	$306.37	$80.00	27% above	43%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 PRODUCTS OF CONCEPTION SUPER PANEL	$170.33	$298.82	$80.00	—	43%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 SURGICAL PATHOLOGY LEVEL IV	$174.63	$306.37	$80.00	—	43%
Blood culture for bacteria CPT 87040 CULTURE BLOOD (AEROB&ANAEROB)	$105.63	$185.31	$80.00	27% below	43%
Blood culture for bacteria CPT 87040 CULTURE BLOOD M/O	$105.63	$185.31	$80.00	27% below	43%
Blood culture for bacteria inpatient CPT 87040 CULTURE BLOOD (AEROB&ANAEROB)	$105.63	$185.31	$80.00	—	43%
Blood culture for bacteria inpatient CPT 87040 CULTURE BLOOD M/O	$105.63	$185.31	$80.00	—	43%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE PCP	$3.97	$6.96	—	80% below	43%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE	$3.97	$6.96	$80.00	80% below	43%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE REPEAT	$11.70	$20.52	$80.00	40% below	43%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VBG DRAW	$14.80	$25.96	$80.00	25% below	43%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE PCP	$3.97	$6.96	—	—	43%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE	$3.97	$6.96	$80.00	—	43%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE REPEAT	$11.70	$20.52	$80.00	—	43%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VBG DRAW	$14.80	$25.96	$80.00	—	43%
Blood glucose (sugar) test CPT 82947 GLUCOSE REPEAT	$25.08	$44.00	$80.00	46% below	43%
Blood glucose (sugar) test CPT 82947 GLUCOSE RANDOM	$29.64	$52.00	$80.00	36% below	43%
Blood glucose (sugar) test CPT 82947 GLUCOSE FASTING	$29.64	$52.00	$80.00	36% below	43%
Blood glucose (sugar) test CPT 82947 GLUCOSE POST PRANDIAL	$29.64	$52.00	$80.00	36% below	43%
Blood glucose (sugar) test CPT 82947 GLUCOSE TOLERANCE 2HR	$88.92	$156.00	$80.00	92% above	43%
Blood glucose (sugar) test CPT 82947 GLUCOSE TOLERANCE 3HR	$118.56	$208.00	$80.00	156% above	43%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE REPEAT	$25.08	$44.00	$80.00	—	43%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE POST PRANDIAL	$29.64	$52.00	$80.00	—	43%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE RANDOM	$29.64	$52.00	$80.00	—	43%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE FASTING	$29.64	$52.00	$80.00	—	43%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE TOLERANCE 2HR	$88.92	$156.00	$80.00	—	43%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE TOLERANCE 3HR	$118.56	$208.00	$80.00	—	43%
Blood lead test CPT 83655 LEAD BLOOD	$100.80	$176.84	$80.00	324% above	43%
Blood lead test CPT 83655 LEAD 24HR UA	$100.80	$176.84	$80.00	324% above	43%
Blood lead test inpatient CPT 83655 LEAD 24HR UA	$100.80	$176.84	$80.00	—	43%
Blood lead test inpatient CPT 83655 LEAD BLOOD	$100.80	$176.84	$80.00	—	43%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG QUAL SERUM	$68.25	$119.74	$80.00	10% below	43%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG QUAL UR	$68.25	$119.74	$80.00	10% below	43%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG QUAL SERUM	$68.25	$119.74	$80.00	—	43%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG QUAL UR	$68.25	$119.74	$80.00	—	43%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BB ABO & RH TYPE	$36.16	$63.43	$80.00	58% below	43%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BB ABO GROUP	$36.16	$63.43	$80.00	58% below	43%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BB ABO GROUP	$36.16	$63.43	$80.00	—	43%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BB ABO & RH TYPE	$36.16	$63.43	$80.00	—	43%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CRP (QUANT)	$49.31	$86.50	$80.00	35% above	43%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CRP (C-REACTIVE PROTEIN), QUANT	$50.17	$88.01	$80.00	37% above	43%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CRP (WIDE RANGE)	$50.17	$88.01	$80.00	37% above	43%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 CRP (QUANT)	$49.31	$86.50	$80.00	—	43%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 CRP (WIDE RANGE)	$50.17	$88.01	$80.00	—	43%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 CRP (C-REACTIVE PROTEIN), QUANT	$50.17	$88.01	$80.00	—	43%
C. difficile toxin gene test (stool PCR) CPT 87493 NAAT C.DIFFICILE	$94.87	$166.44	$80.00	29% above	43%
C. difficile toxin gene test (stool PCR) CPT 87493 C.DIFF TOXIN GENE NAA BY PCR	$120.07	$210.65	$80.00	63% above	43%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 NAAT C.DIFFICILE	$94.87	$166.44	$80.00	—	43%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C.DIFF TOXIN GENE NAA BY PCR	$120.07	$210.65	$80.00	—	43%
CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9	$90.22	$158.28	$80.00	157% above	43%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9	$90.22	$158.28	$80.00	—	43%
CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125	$103.11	$180.90	$80.00	23% above	43%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125	$103.11	$180.90	$80.00	—	43%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID 19 Send Out PCR	$57.00	$100.00	$80.00	at median	43%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID 19 Molecular PCR	$57.00	$100.00	$80.00	at median	43%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID 19 Molecular PCR	$57.00	$100.00	$80.00	—	43%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID 19 Send Out PCR	$57.00	$100.00	$80.00	—	43%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYCLIA/GONOCOCCUS NAAT	$76.96	$135.01	$80.00	30% above	43%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA/GC AMPLIFICATION	$97.40	$170.87	$80.00	64% above	43%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CT, NG, TRICH VAG BY NAA	$277.31	$486.50	$80.00	367% above	43%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYCLIA/GONOCOCCUS NAAT	$76.96	$135.01	$80.00	—	43%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA/GC AMPLIFICATION	$97.40	$170.87	$80.00	—	43%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CT, NG, TRICH VAG BY NAA	$277.31	$486.50	$80.00	—	43%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL	$84.52	$148.28	$80.00	68% above	43%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 FECAL FAT QUALITATIVE RANDOM	$84.52	$148.28	$80.00	68% above	43%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL (FAST)	$84.52	$148.28	$80.00	68% above	43%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 NMR LIPOPROFILE WITH GRAPH	$143.74	$252.17	$80.00	185% above	43%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL	$84.52	$148.28	$80.00	—	43%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 FECAL FAT QUALITATIVE RANDOM	$84.52	$148.28	$80.00	—	43%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL (FAST)	$84.52	$148.28	$80.00	—	43%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 NMR LIPOPROFILE WITH GRAPH	$143.74	$252.17	$80.00	—	43%
Complete blood count (CBC) with differential CPT 85025 CBC W/AUTO DIFF REPEAT	$48.35	$84.82	$80.00	39% below	43%
Complete blood count (CBC) with differential CPT 85025 .CBC W/AUTO DIFF	$52.82	$92.67	$80.00	33% below	43%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC W/AUTO DIFF REPEAT	$48.35	$84.82	$80.00	—	43%
Complete blood count (CBC) with differential inpatient CPT 85025 .CBC W/AUTO DIFF	$52.82	$92.67	$80.00	—	43%
Complete blood count (CBC), no differential CPT 85027 .CBC W/O DIFF	$39.58	$69.44	$80.00	29% below	43%
Complete blood count (CBC), no differential inpatient CPT 85027 .CBC W/O DIFF	$39.58	$69.44	$80.00	—	43%
Comprehensive metabolic panel (blood test) CPT 80053 CMP REPEAT	$96.91	$170.02	$80.00	37% below	43%
Comprehensive metabolic panel (blood test) CPT 80053 CMP (COMP METABOLIC PANEL)	$117.07	$205.39	$80.00	24% below	43%
Comprehensive metabolic panel (blood test) CPT 80053 CMP M/O	$117.07	$205.39	$80.00	24% below	43%
Comprehensive metabolic panel (blood test) CPT 80053 HRT FEMALE PRE PELLET PANEL	$964.00	$1,691.23	$80.00	523% above	43%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 CMP REPEAT	$96.91	$170.02	$80.00	—	43%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 CMP M/O	$117.07	$205.39	$80.00	—	43%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 CMP (COMP METABOLIC PANEL)	$117.07	$205.39	$80.00	—	43%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 HRT FEMALE PRE PELLET PANEL	$964.00	$1,691.23	$80.00	—	43%
D-dimer blood test (blood clot marker) CPT 85379 D DIMER	$94.19	$165.25	$80.00	10% below	43%
D-dimer blood test (blood clot marker) CPT 85379 D DIMER (PATHFAST)	$94.34	$165.50	$80.00	10% below	43%
D-dimer blood test (blood clot marker) CPT 85379 D DIMER (ACL)	$94.34	$165.50	$80.00	10% below	43%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D DIMER	$94.19	$165.25	$80.00	—	43%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D DIMER (PATHFAST)	$94.34	$165.50	$80.00	—	43%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D DIMER (ACL)	$94.34	$165.50	$80.00	—	43%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA SULFATE	$80.84	$141.82	$80.00	28% above	43%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA SULFATE	$80.84	$141.82	$80.00	—	43%
Estradiol blood test CPT 82670 ESTRADIOL	$110.80	$194.39	$80.00	41% above	43%
Estradiol blood test CPT 82670 ESTRADIOL FREE SERUM	$110.80	$194.39	$80.00	41% above	43%
Estradiol blood test inpatient CPT 82670 ESTRADIOL	$110.80	$194.39	$80.00	—	43%
Estradiol blood test inpatient CPT 82670 ESTRADIOL FREE SERUM	$110.80	$194.39	$80.00	—	43%
FSH (follicle-stimulating hormone) test CPT 83001 FSH (FOLLICLE STIM HORMONE)	$87.38	$153.30	$80.00	40% below	43%
FSH (follicle-stimulating hormone) test CPT 83001 FSH + LH PEDIATRIC	$87.38	$153.30	$80.00	40% below	43%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH (FOLLICLE STIM HORMONE)	$87.38	$153.30	$80.00	—	43%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH + LH PEDIATRIC	$87.38	$153.30	$80.00	—	43%
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN FECAL	$136.23	$239.00	$80.00	182% above	43%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN FECAL	$136.23	$239.00	$80.00	—	43%
Ferritin blood test (iron stores) CPT 82728 FERRITIN	$79.23	$139.00	$80.00	14% below	43%
Ferritin blood test (iron stores) CPT 82728 FERRITIN (SERIAL MONITOR)	$79.23	$139.00	$80.00	14% below	43%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN (SERIAL MONITOR)	$79.23	$139.00	$80.00	—	43%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN	$79.23	$139.00	$80.00	—	43%
Folate (folic acid) blood test CPT 82746 FOLIC ACID SERUM	$76.95	$135.00	$80.00	28% below	43%
Folate (folic acid) blood test inpatient CPT 82746 FOLIC ACID SERUM	$76.95	$135.00	$80.00	—	43%
Free T3 thyroid hormone test CPT 84481 T3 FREE	$93.12	$163.37	$80.00	100% above	43%
Free T3 thyroid hormone test inpatient CPT 84481 T3 FREE	$93.12	$163.37	$80.00	—	43%
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE	$70.21	$123.18	$80.00	14% above	43%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4 FREE	$70.21	$123.18	$80.00	—	43%
Free testosterone test CPT 84402 TESTOSTERONE FREE & WKLY BOUND	$75.34	$132.18	$80.00	at median	43%
Free testosterone test CPT 84402 TESTOSTERONE FREE	$95.35	$167.28	$80.00	27% above	43%
Free testosterone test CPT 84402 TESTOSTERONE FREE & TOTAL	$202.44	$355.16	$80.00	169% above	43%
Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE & WKLY BOUND	$75.34	$132.18	$80.00	—	43%
Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE	$95.35	$167.28	$80.00	—	43%
Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE & TOTAL	$202.44	$355.16	$80.00	—	43%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL	$172.35	$302.36	$80.00	72% below	43%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 GENERAL HEALTH PANEL	$172.35	$302.36	$80.00	—	43%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE POST GLUCOLA	$29.64	$52.00	$80.00	68% below	43%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE TOLERANCE 1HR	$59.28	$104.00	$80.00	35% below	43%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE POST GLUCOLA	$29.64	$52.00	$80.00	—	43%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE TOLERANCE 1HR	$59.28	$104.00	$80.00	—	43%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE 1ST 3 SPEC	$68.97	$121.00	$80.00	47% below	43%
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOLERANCE 1ST 3 SPEC	$68.97	$121.00	$80.00	—	43%
H. pylori antibody blood test CPT 86677 H PYLORI IGA	$78.55	$137.81	$80.00	93% above	43%
H. pylori antibody blood test CPT 86677 H PYLORI IGM	$80.91	$141.95	$80.00	98% above	43%
H. pylori antibody blood test CPT 86677 H PYLORI IGM IGG IGA	$83.34	$146.21	$80.00	104% above	43%
H. pylori antibody blood test CPT 86677 H PYLORI ANTIBODY IGG	$83.34	$146.21	$80.00	104% above	43%
H. pylori antibody blood test inpatient CPT 86677 H PYLORI IGA	$78.55	$137.81	$80.00	—	43%
H. pylori antibody blood test inpatient CPT 86677 H PYLORI IGM	$80.91	$141.95	$80.00	—	43%
H. pylori antibody blood test inpatient CPT 86677 H PYLORI IGM IGG IGA	$83.34	$146.21	$80.00	—	43%
H. pylori antibody blood test inpatient CPT 86677 H PYLORI ANTIBODY IGG	$83.34	$146.21	$80.00	—	43%
H. pylori stool antigen test CPT 87338 H PYLORI STOOL AG EIA	$88.72	$155.65	$80.00	100% above	43%
H. pylori stool antigen test inpatient CPT 87338 H PYLORI STOOL AG EIA	$88.72	$155.65	$80.00	—	43%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV RNA PCR	$256.53	$450.05	$80.00	111% above	43%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HUMAN IMMUNODEFICIENCY VIRUS	$258.43	$453.39	$80.00	112% above	43%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV HEMOCHROMATOSIS, DNA ANALYSIS	$258.43	$453.39	$80.00	112% above	43%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV RNA PCR	$256.53	$450.05	$80.00	—	43%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV HEMOCHROMATOSIS, DNA ANALYSIS	$258.43	$453.39	$80.00	—	43%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HUMAN IMMUNODEFICIENCY VIRUS	$258.43	$453.39	$80.00	—	43%
HIV-1 and HIV-2 antibody test CPT 86703 HIV-1/HIV-2 1 RESULT ANTBDY	$74.02	$129.86	$80.00	50% above	43%
HIV-1 and HIV-2 antibody test CPT 86703 HIV SCREEN WIREFLEX IB	$75.20	$131.93	$80.00	52% above	43%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV-1/HIV-2 1 RESULT ANTBDY	$74.02	$129.86	$80.00	—	43%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV SCREEN WIREFLEX IB	$75.20	$131.93	$80.00	—	43%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV AB/P24 AG W/REFLEX	$72.14	$126.56	$80.00	70% above	43%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV AB/P24 AG W/REFLEX	$72.14	$126.56	$80.00	—	43%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C W/ EAG	$57.00	$100.00	$80.00	6% above	43%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 % A1C	$57.00	$100.00	$80.00	6% above	43%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOSYLATED HEMOGLOBIN A1C	$57.00	$100.00	$80.00	6% above	43%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 GLYCOSYLATED HEMOGLOBIN A1C	$57.00	$100.00	$80.00	—	43%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 % A1C	$57.00	$100.00	$80.00	—	43%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN A1C W/ EAG	$57.00	$100.00	$80.00	—	43%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE ANTIBODY	$62.47	$109.59	$80.00	20% above	43%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 DIAGNOSTIC PANEL 2	$162.67	$285.38	$80.00	212% above	43%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEP B SURFACE ANTIBODY	$62.47	$109.59	$80.00	—	43%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 DIAGNOSTIC PANEL 2	$162.67	$285.38	$80.00	—	43%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE AG EIA	$60.88	$106.81	$80.00	15% above	43%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEP B SURFACE ANTIGEN	$60.88	$106.81	$80.00	15% above	43%
Hepatitis B surface antigen (HBsAg) test CPT 87340 STI PROFILE CT/NG/TV	$207.48	$364.00	$80.00	291% above	43%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE AG EIA	$60.88	$106.81	$80.00	—	43%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEP B SURFACE ANTIGEN	$60.88	$106.81	$80.00	—	43%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 STI PROFILE CT/NG/TV	$207.48	$364.00	$80.00	—	43%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY	$69.06	$121.15	$80.00	37% above	43%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB TEST	$77.52	$136.00	$80.00	54% above	43%
Hepatitis C antibody blood test (screening) CPT 86803 HCV AB W REFLEX FOR VERIFICATION	$79.55	$139.57	$80.00	58% above	43%
Hepatitis C antibody blood test (screening) CPT 86803 HCV ANTIBDY RFX TO AVANT PCR;SARAS-COV-2	$191.52	$336.00	$80.00	280% above	43%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C ANTIBODY	$69.06	$121.15	$80.00	—	43%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C AB TEST	$77.52	$136.00	$80.00	—	43%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HCV AB W REFLEX FOR VERIFICATION	$79.55	$139.57	$80.00	—	43%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HCV ANTIBDY RFX TO AVANT PCR;SARAS-COV-2	$191.52	$336.00	$80.00	—	43%
Hepatitis C viral load (HCV RNA) test CPT 87522 HCVRTPCR NON GRAPH	$228.17	$400.29	$80.00	192% above	43%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C QN RNA VIRAL LOAD	$234.45	$411.31	$80.00	200% above	43%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C RNA QUANT WITH GENOTYPE REFL	$235.32	$412.84	$80.00	201% above	43%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C VIRUS REAL-TIME PCR WITH GRAPH	$235.32	$412.84	$80.00	201% above	43%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C VIRUS RNA QUANT BY PCR	$246.08	$431.72	$80.00	215% above	43%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C VIRUS NGI QUANT SURE	$246.08	$431.72	$80.00	215% above	43%
Hepatitis C viral load (HCV RNA) test one side CPT 87522 HCV RT-PCR QUANT (NON-GENOTYP)	$194.43	$341.11	$80.00	149% above	43%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCVRTPCR NON GRAPH	$228.17	$400.29	$80.00	—	43%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C QN RNA VIRAL LOAD	$234.45	$411.31	$80.00	—	43%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEP C VIRUS REAL-TIME PCR WITH GRAPH	$235.32	$412.84	$80.00	—	43%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C RNA QUANT WITH GENOTYPE REFL	$235.32	$412.84	$80.00	—	43%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEP C VIRUS RNA QUANT BY PCR	$246.08	$431.72	$80.00	—	43%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEP C VIRUS NGI QUANT SURE	$246.08	$431.72	$80.00	—	43%
Hepatitis C viral load (HCV RNA) test inpatient one side CPT 87522 HCV RT-PCR QUANT (NON-GENOTYP)	$194.43	$341.11	$80.00	—	43%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX VIRUS 1 IGG	$51.23	$89.88	$80.00	62% above	43%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX VIRUS 1 IGM	$51.23	$89.88	$80.00	62% above	43%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX VIRUS 1 IGG	$51.23	$89.88	$80.00	—	43%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX VIRUS 1 IGM	$51.23	$89.88	$80.00	—	43%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX VIRUS 2 IGG	$58.05	$101.85	$80.00	75% above	43%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX VIRUS 2 IGM	$58.05	$101.85	$80.00	75% above	43%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX VIRUS 2 IGG	$58.05	$101.85	$80.00	—	43%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX VIRUS 2 IGM	$58.05	$101.85	$80.00	—	43%
High-sensitivity CRP (hs-CRP) test CPT 86141 CRP HS (CARDIAC)	$66.60	$116.85	$80.00	1% below	43%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CRP HS (CARDIAC)	$66.60	$116.85	$80.00	—	43%
Homocysteine blood test CPT 83090 HOMOCYSTEINE PLASMA	$89.49	$157.00	$80.00	4% below	43%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE PLASMA	$89.49	$157.00	$80.00	—	43%
Insulin blood test CPT 83525 INSULIN & C-PEPTIDE SERUM	$47.26	$82.92	$80.00	58% above	43%
Insulin blood test CPT 83525 ISLET CELL AB ISLET CELL IGG AB QUANT	$53.58	$94.00	$80.00	79% above	43%
Insulin blood test CPT 83525 INSULIN TOTAL	$53.58	$94.00	$80.00	79% above	43%
Insulin blood test inpatient CPT 83525 INSULIN & C-PEPTIDE SERUM	$47.26	$82.92	$80.00	—	43%
Insulin blood test inpatient CPT 83525 INSULIN TOTAL	$53.58	$94.00	$80.00	—	43%
Insulin blood test inpatient CPT 83525 ISLET CELL AB ISLET CELL IGG AB QUANT	$53.58	$94.00	$80.00	—	43%
Iron blood test (serum iron) CPT 83540 UIBC	$43.18	$75.75	$80.00	3% above	43%
Iron blood test (serum iron) CPT 83540 IRON	$43.18	$75.75	$80.00	3% above	43%
Iron blood test (serum iron) CPT 83540 TRANSFERRIN SATLIRATION	$43.18	$75.75	$80.00	3% above	43%
Iron blood test (serum iron) inpatient CPT 83540 TRANSFERRIN SATLIRATION	$43.18	$75.75	$80.00	—	43%
Iron blood test (serum iron) inpatient CPT 83540 IRON	$43.18	$75.75	$80.00	—	43%
Iron blood test (serum iron) inpatient CPT 83540 UIBC	$43.18	$75.75	$80.00	—	43%
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY (TIBC)	$50.73	$89.00	$80.00	53% below	43%
Iron-binding capacity (TIBC) test CPT 83550 % FE SAT	$50.73	$89.00	$80.00	53% below	43%
Iron-binding capacity (TIBC) test CPT 83550 IRON PROFILE	$74.39	$130.50	$80.00	31% below	43%
Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CAPACITY (TIBC)	$50.73	$89.00	$80.00	—	43%
Iron-binding capacity (TIBC) test inpatient CPT 83550 % FE SAT	$50.73	$89.00	$80.00	—	43%
Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON PROFILE	$74.39	$130.50	$80.00	—	43%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL	$86.07	$151.00	$80.00	26% below	43%
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL	$86.07	$151.00	$80.00	—	43%
LH (luteinizing hormone) test CPT 83002 LH (LUTEINIZING HORMONE)	$89.49	$157.00	$80.00	5% below	43%
LH (luteinizing hormone) test inpatient CPT 83002 LH (LUTEINIZING HORMONE)	$89.49	$157.00	$80.00	—	43%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE	$67.26	$118.00	$80.00	26% below	43%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE	$67.26	$118.00	$80.00	—	43%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL	$88.92	$156.00	$80.00	14% below	43%
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL	$88.92	$156.00	$80.00	—	43%
Lyme disease antibody test CPT 86618 LYME DISEASE ABS	$84.73	$148.65	$80.00	178% above	43%
Lyme disease antibody test CPT 86618 B. BURGDORFERI IGM ABS LYME	$84.73	$148.65	$80.00	178% above	43%
Lyme disease antibody test CPT 86618 LYME TITER	$169.46	$297.29	$80.00	456% above	43%
Lyme disease antibody test inpatient CPT 86618 B. BURGDORFERI IGM ABS LYME	$84.73	$148.65	$80.00	—	43%
Lyme disease antibody test inpatient CPT 86618 LYME DISEASE ABS	$84.73	$148.65	$80.00	—	43%
Lyme disease antibody test inpatient CPT 86618 LYME TITER	$169.46	$297.29	$80.00	—	43%
Magnesium blood test CPT 83735 MAGNESIUM	$51.39	$90.15	$80.00	158% above	43%
Magnesium blood test CPT 83735 MAGNESIUM M/O	$51.39	$90.15	$80.00	158% above	43%
Magnesium blood test inpatient CPT 83735 MAGNESIUM M/O	$51.39	$90.15	$80.00	—	43%
Magnesium blood test inpatient CPT 83735 MAGNESIUM	$51.39	$90.15	$80.00	—	43%
Measles (rubeola) antibody test CPT 86765 RUBELLA VIRUS ANTIBODY IGG	$55.82	$97.93	$80.00	235% above	43%
Measles (rubeola) antibody test inpatient CPT 86765 RUBELLA VIRUS ANTIBODY IGG	$55.82	$97.93	$80.00	—	43%
Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE ANTIBODY SCREEN	$49.02	$86.00	$80.00	32% below	43%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HETEROPHILE ANTIBODY SCREEN	$49.02	$86.00	$80.00	—	43%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA % FREE	$68.21	$119.66	$80.00	7% above	43%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA % FREE	$68.21	$119.66	$80.00	—	43%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA (PROSTATE SPECIFC ANTIGEN)	$96.90	$170.00	$80.00	25% above	43%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA (PROSTATE SPECIFC ANTIGEN)	$96.90	$170.00	$80.00	—	43%
Pap test (liquid-based, automated screening with review) CPT 88175 CYTOPATH C/V AUTO FLUID REDO	$76.56	$134.31	$80.00	79% above	43%
Pap test (liquid-based, automated screening with review) CPT 88175 CYTOPATHOLOGY SURE PATH PAP TEST	$76.56	$134.31	$80.00	79% above	43%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 CYTOPATHOLOGY SURE PATH PAP TEST	$76.56	$134.31	$80.00	—	43%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 CYTOPATH C/V AUTO FLUID REDO	$76.56	$134.31	$80.00	—	43%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CYTP CERV/VAG AUTO THIN LAYER PREP MNL S	$34.64	$60.78	—	11% above	43%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CYTOPATHOLOGY CERV/VAG THIN PR	$67.27	$118.01	$80.00	115% above	43%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 CYTP CERV/VAG AUTO THIN LAYER PREP MNL S	$34.64	$60.78	—	—	43%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 CYTOPATHOLOGY CERV/VAG THIN PR	$67.27	$118.01	$80.00	—	43%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE C TERM	$120.94	$212.17	$80.00	1% above	43%
Parathyroid hormone (PTH) blood test CPT 83970 PTH PLUS CALCIUM	$150.20	$263.50	$80.00	26% above	43%
Parathyroid hormone (PTH) blood test CPT 83970 PTH PARATHYROID HORMONE INTACT	$150.20	$263.50	$80.00	26% above	43%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHYROID HORMONE C TERM	$120.94	$212.17	$80.00	—	43%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH PLUS CALCIUM	$150.20	$263.50	$80.00	—	43%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH PARATHYROID HORMONE INTACT	$150.20	$263.50	$80.00	—	43%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT REPEAT	$41.84	$73.41	$80.00	23% above	43%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT	$52.97	$92.93	$80.00	55% above	43%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT M/O	$52.97	$92.93	$80.00	55% above	43%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT REPEAT	$41.84	$73.41	$80.00	—	43%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT M/O	$52.97	$92.93	$80.00	—	43%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT	$52.97	$92.93	$80.00	—	43%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 FETAL CHRMOML ANEUPLOIDY	$591.09	$1,037.00	$80.00	32% below	43%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 FETAL CHRMOML ANEUPLOIDY	$591.09	$1,037.00	$80.00	—	43%
Progesterone blood test CPT 84144 PROGESTERONE	$83.36	$146.25	$80.00	10% below	43%
Progesterone blood test inpatient CPT 84144 PROGESTERONE	$83.36	$146.25	$80.00	—	43%
Prolactin blood test CPT 84146 PROLACTIN	$96.90	$170.00	$80.00	22% above	43%
Prolactin blood test inpatient CPT 84146 PROLACTIN	$96.90	$170.00	$80.00	—	43%
Prothrombin time (PT/INR) clotting test CPT 85610 PT REPEAT	$29.75	$52.20	$80.00	5% above	43%
Prothrombin time (PT/INR) clotting test CPT 85610 CLINIC INR	$34.37	$60.29	—	22% above	43%
Prothrombin time (PT/INR) clotting test CPT 85610 I STAT PT INR	$37.65	$66.05	$80.00	33% above	43%
Prothrombin time (PT/INR) clotting test CPT 85610 PT/INR M/O	$37.65	$66.05	$80.00	33% above	43%
Prothrombin time (PT/INR) clotting test CPT 85610 INR COAGU CHEK	$37.65	$66.05	$80.00	33% above	43%
Prothrombin time (PT/INR) clotting test CPT 85610 THROMBOSIS VENOUS RISK	$37.65	$66.05	$80.00	33% above	43%
Prothrombin time (PT/INR) clotting test CPT 85610 PT/INR	$37.65	$66.05	$80.00	33% above	43%
Prothrombin time (PT/INR) clotting test CPT 85610 SURGERY PT/INR	$37.65	$66.05	$80.00	33% above	43%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME MIXING STUDY	$62.13	$109.00	$80.00	120% above	43%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PT REPEAT	$29.75	$52.20	$80.00	—	43%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 CLINIC INR	$34.37	$60.29	—	—	43%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PT/INR	$37.65	$66.05	$80.00	—	43%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 THROMBOSIS VENOUS RISK	$37.65	$66.05	$80.00	—	43%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 INR COAGU CHEK	$37.65	$66.05	$80.00	—	43%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PT/INR M/O	$37.65	$66.05	$80.00	—	43%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 I STAT PT INR	$37.65	$66.05	$80.00	—	43%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 SURGERY PT/INR	$37.65	$66.05	$80.00	—	43%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME MIXING STUDY	$62.13	$109.00	$80.00	—	43%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 CLINIC DRUG TEST	$23.54	$41.30	—	62% above	43%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUGS OF ABUSE SCREEN URINE	$57.57	$101.00	$80.00	297% above	43%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 CLINIC DRUG TEST	$23.54	$41.30	—	—	43%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 DRUGS OF ABUSE SCREEN URINE	$57.57	$101.00	$80.00	—	43%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA TYPE A	$64.01	$112.29	$80.00	139% above	43%
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA TYPE A	$64.01	$112.29	$80.00	—	43%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 RAPID STREP CLINIC	$17.16	$30.11	—	51% below	43%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 RAPID STREP PCP	$17.16	$30.11	—	51% below	43%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 RAPID STREP SCREEN	$52.14	$91.48	$80.00	49% above	43%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 RAPID STREP CLINIC	$17.16	$30.11	—	—	43%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 RAPID STREP PCP	$17.16	$30.11	—	—	43%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 RAPID STREP SCREEN	$52.14	$91.48	$80.00	—	43%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR	$39.90	$70.00	$80.00	152% above	43%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR	$39.90	$70.00	$80.00	—	43%
Rubella antibody test (immunity check) CPT 86762 RUBELLA 1GM	$52.82	$92.67	$80.00	92% above	43%
Rubella antibody test (immunity check) CPT 86762 RUBELLA 1gG	$52.82	$92.67	$80.00	92% above	43%
Rubella antibody test (immunity check) CPT 86762 RUBELLA VIRUS ANTIBODY IGM	$57.67	$101.17	$80.00	110% above	43%
Rubella antibody test (immunity check) CPT 86762 RUBELLA VIRUS ANTIBODY IGG	$57.67	$101.17	$80.00	110% above	43%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA 1gG	$52.82	$92.67	$80.00	—	43%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA 1GM	$52.82	$92.67	$80.00	—	43%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA VIRUS ANTIBODY IGM	$57.67	$101.17	$80.00	—	43%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA VIRUS ANTIBODY IGG	$57.67	$101.17	$80.00	—	43%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 RHEUMATOID ARTHRITIS RA EXPANDED PROFILE	$336.66	$590.63	$80.00	482% above	43%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 RHEUMATOID ARTHRITIS RA EXPANDED PROFILE	$336.66	$590.63	$80.00	—	43%
Stool ova and parasites exam CPT 87177 O & P (OVA & PARASITE)	$61.98	$108.73	$80.00	116% above	43%
Stool ova and parasites exam CPT 87177 GIARDIA EIA O&P	$61.98	$108.73	$80.00	116% above	43%
Stool ova and parasites exam inpatient CPT 87177 GIARDIA EIA O&P	$61.98	$108.73	$80.00	—	43%
Stool ova and parasites exam inpatient CPT 87177 O & P (OVA & PARASITE)	$61.98	$108.73	$80.00	—	43%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD REPEAT	$20.77	$36.43	$80.00	23% below	43%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD FECAL	$23.77	$41.70	$80.00	12% below	43%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLOOD REPEAT	$20.77	$36.43	$80.00	—	43%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLOOD FECAL	$23.77	$41.70	$80.00	—	43%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 OCCULT BLOOD FECAL IMMUNOASSAY(FIT)	$44.46	$78.00	$80.00	130% above	43%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 OCCULT BLOOD FECAL IMMUNOASSAY(FIT)	$44.46	$78.00	$80.00	—	43%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR W/REFLEX TO RPR T. TEX&TP-TA	$35.84	$62.87	$80.00	176% above	43%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST RPR RFX/CONFIRM TP	$37.24	$65.34	$80.00	186% above	43%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST NON-TREP QUAL	$37.63	$66.02	$80.00	189% above	43%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL	$58.05	$101.84	$80.00	347% above	43%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SEXUALLY TRANSMITTED INFECTIONS PROFILE	$650.97	$1,142.06	$80.00	4907% above	43%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR W/REFLEX TO RPR T. TEX&TP-TA	$35.84	$62.87	$80.00	—	43%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 SYPHILIS TEST RPR RFX/CONFIRM TP	$37.24	$65.34	$80.00	—	43%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 SYPHILIS TEST NON-TREP QUAL	$37.63	$66.02	$80.00	—	43%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL	$58.05	$101.84	$80.00	—	43%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 SEXUALLY TRANSMITTED INFECTIONS PROFILE	$650.97	$1,142.06	$80.00	—	43%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON TB GOLD (IN TUBE)	$134.93	$236.72	$80.00	83% above	43%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON TB GOLD (IN TUBE)	$134.93	$236.72	$80.00	—	43%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL	$107.09	$187.87	$80.00	201% above	43%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE FREE EQUILIBRIUM	$202.24	$354.81	$80.00	468% above	43%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL	$107.09	$187.87	$80.00	—	43%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE FREE EQUILIBRIUM	$202.24	$354.81	$80.00	—	43%
Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER KIDNEY MICROSOMAL ANTIBODY	$64.15	$112.55	$80.00	182% above	43%
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE AUTOANTIBOD	$65.72	$115.30	$80.00	189% above	43%
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID ANTIBODIES PANEL	$122.41	$214.76	$80.00	438% above	43%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LIVER KIDNEY MICROSOMAL ANTIBODY	$64.15	$112.55	$80.00	—	43%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID PEROXIDASE AUTOANTIBOD	$65.72	$115.30	$80.00	—	43%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID ANTIBODIES PANEL	$122.41	$214.76	$80.00	—	43%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID CASCADE PROFILE	$93.94	$164.80	$80.00	6% above	43%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH	$93.99	$164.89	$80.00	6% above	43%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH REFLEX TO FT4	$93.99	$164.89	$80.00	6% above	43%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID CASCADE PANEL	$255.25	$447.80	$80.00	188% above	43%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID CASCADE PROFILE	$93.94	$164.80	$80.00	—	43%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH REFLEX TO FT4	$93.99	$164.89	$80.00	—	43%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH	$93.99	$164.89	$80.00	—	43%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID CASCADE PANEL	$255.25	$447.80	$80.00	—	43%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS AMPLIF	$82.49	$144.72	$80.00	59% above	43%
Trichomonas test (NAAT) CPT 87661 NUSWAB VG, HSV	$503.34	$883.06	$80.00	872% above	43%
Trichomonas test (NAAT) CPT 87661 NUSWAB VAGINITIS (VG)	$623.11	$1,093.18	$80.00	1103% above	43%
Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGINALIS AMPLIF	$82.49	$144.72	$80.00	—	43%
Trichomonas test (NAAT) inpatient CPT 87661 NUSWAB VG, HSV	$503.34	$883.06	$80.00	—	43%
Trichomonas test (NAAT) inpatient CPT 87661 NUSWAB VAGINITIS (VG)	$623.11	$1,093.18	$80.00	—	43%
Uric acid blood test CPT 84550 URIC ACID	$37.30	$65.43	$80.00	17% below	43%
Uric acid blood test inpatient CPT 84550 URIC ACID	$37.30	$65.43	$80.00	—	43%
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS COMPLETE W/MICROSCOPIC EXAM	$39.33	$69.00	$80.00	12% below	43%
Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS COMPLETE W/MICROSCOPIC EXAM	$39.33	$69.00	$80.00	—	43%
Urinalysis with microscope exam, manual CPT 81000 URINALYSIS W/MICROSCOPY	$19.43	$34.09	$80.00	3% below	43%
Urinalysis with microscope exam, manual inpatient CPT 81000 URINALYSIS W/MICROSCOPY	$19.43	$34.09	$80.00	—	43%
Urinalysis without microscope exam, automated CPT 81003 KIDNEY STONE URINE W/ SATURATION	$21.62	$37.93	$80.00	17% below	43%
Urinalysis without microscope exam, automated CPT 81003 UA SPECIFIC GRAVITY TS METER	$21.62	$37.93	$80.00	17% below	43%
Urinalysis without microscope exam, automated inpatient CPT 81003 UA SPECIFIC GRAVITY TS METER	$21.62	$37.93	$80.00	—	43%
Urinalysis without microscope exam, automated inpatient CPT 81003 KIDNEY STONE URINE W/ SATURATION	$21.62	$37.93	$80.00	—	43%
Urinalysis without microscope exam, manual CPT 81002 CLINIC URINALYSIS	$3.97	$6.96	$80.00	38% below	43%
Urinalysis without microscope exam, manual CPT 81002 URINALYSIS DIPSTICK	$3.97	$6.96	—	38% below	43%
Urinalysis without microscope exam, manual CPT 81002 URINALYSIS DIPSTICK PCP	$3.97	$6.96	—	38% below	43%
Urinalysis without microscope exam, manual CPT 81002 URINALYSIS	$14.61	$25.64	$80.00	127% above	43%
Urinalysis without microscope exam, manual CPT 81002 URINALYSIS DIPSTICK ONLY	$14.61	$25.64	$80.00	127% above	43%
Urinalysis without microscope exam, manual CPT 81002 URINALYSIS M/O	$14.61	$25.64	$80.00	127% above	43%
Urinalysis without microscope exam, manual inpatient CPT 81002 URINALYSIS DIPSTICK	$3.97	$6.96	—	—	43%
Urinalysis without microscope exam, manual inpatient CPT 81002 URINALYSIS DIPSTICK PCP	$3.97	$6.96	—	—	43%
Urinalysis without microscope exam, manual inpatient CPT 81002 CLINIC URINALYSIS	$3.97	$6.96	$80.00	—	43%
Urinalysis without microscope exam, manual inpatient CPT 81002 URINALYSIS	$14.61	$25.64	$80.00	—	43%
Urinalysis without microscope exam, manual inpatient CPT 81002 URINALYSIS DIPSTICK ONLY	$14.61	$25.64	$80.00	—	43%
Urinalysis without microscope exam, manual inpatient CPT 81002 URINALYSIS M/O	$14.61	$25.64	$80.00	—	43%
Urine culture for bacteria, with colony count CPT 87086 CULTURE URINE	$63.22	$110.92	$80.00	6% below	43%
Urine culture for bacteria, with colony count inpatient CPT 87086 CULTURE URINE	$63.22	$110.92	$80.00	—	43%
Urine pregnancy test, read by color change CPT 81025 PREGNANCY URINE CLINIC PCP	$20.47	$35.92	—	57% below	43%
Urine pregnancy test, read by color change CPT 81025 PREGNANCY URINE	$20.47	$35.92	—	57% below	43%
Urine pregnancy test, read by color change inpatient CPT 81025 PREGNANCY URINE	$20.47	$35.92	—	—	43%
Urine pregnancy test, read by color change inpatient CPT 81025 PREGNANCY URINE CLINIC PCP	$20.47	$35.92	—	—	43%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12	$76.60	$134.39	$80.00	1% above	43%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12	$76.60	$134.39	$80.00	—	43%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D2 & D3	$111.15	$195.00	$80.00	58% above	43%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D DIHYDROXY	$111.15	$195.00	$80.00	58% above	43%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D HYDROXY	$111.15	$195.00	$80.00	58% above	43%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D HYDROXY	$111.15	$195.00	$80.00	—	43%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D DIHYDROXY	$111.15	$195.00	$80.00	—	43%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D2 & D3	$111.15	$195.00	$80.00	—	43%
Zinc blood test CPT 84630 ZINC	$54.63	$95.84	$80.00	125% above	43%
Zinc blood test inpatient CPT 84630 ZINC	$54.63	$95.84	$80.00	—	43%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG B SUBIENT QUANT	$109.26	$191.69	$80.00	182% above	43%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QUANT	$109.26	$191.69	$80.00	182% above	43%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG B SUBIENT QUANT	$109.26	$191.69	$80.00	—	43%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG QUANT	$109.26	$191.69	$80.00	—	43%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Arizona	Off list
Appendectomy, open surgery CPT 44950 APPENDECTOMY PF	$1,514.64	$2,657.26	—	14% above	43%
Appendectomy, open surgery CPT 44950 APPENDECTOMY	$2,377.69	$4,171.39	$80.00	79% above	43%
Appendectomy, open surgery inpatient CPT 44950 APPENDECTOMY PF	$1,514.64	$2,657.26	—	—	43%
Appendectomy, open surgery inpatient CPT 44950 APPENDECTOMY	$2,377.69	$4,171.39	$80.00	—	43%
Arthroscopic ACL reconstruction or repair of the knee CPT 29888 KNEE ARTHROSCOPY/SURGERY PF	$1,634.04	$2,866.74	—	90% below	43%
Arthroscopic ACL reconstruction or repair of the knee CPT 29888 KNEE ARTHROSCOPY/SURGERY	$5,636.59	$9,888.75	$80.00	67% below	43%
Arthroscopic ACL reconstruction or repair of the knee inpatient CPT 29888 KNEE ARTHROSCOPY/SURGERY PF	$1,634.04	$2,866.74	—	—	43%
Arthroscopic ACL reconstruction or repair of the knee inpatient CPT 29888 KNEE ARTHROSCOPY/SURGERY	$5,636.59	$9,888.75	$80.00	—	43%
Arthroscopic rotator cuff repair of the shoulder CPT 29827 ARTHROSCOPY OF SHOULDER W/ROTATOR CUF PF	$1,791.43	$3,142.86	—	80% below	43%
Arthroscopic rotator cuff repair of the shoulder CPT 29827 ARTHRO SHOULDER W ROTATOR CUFF RPR	$3,808.65	$6,681.85	$80.00	57% below	43%
Arthroscopic rotator cuff repair of the shoulder inpatient CPT 29827 ARTHROSCOPY OF SHOULDER W/ROTATOR CUF PF	$1,791.43	$3,142.86	—	—	43%
Arthroscopic rotator cuff repair of the shoulder inpatient CPT 29827 ARTHRO SHOULDER W ROTATOR CUFF RPR	$3,808.65	$6,681.85	$80.00	—	43%
Botox injections for chronic migraine CPT 64615 CHEMODENERV MUSCLE MIGRAINE PCP	$213.73	$374.97	—	49% below	43%
Botox injections for chronic migraine inpatient CPT 64615 CHEMODENERV MUSCLE MIGRAINE PCP	$213.73	$374.97	—	—	43%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 TX ANKLE FRACTURE CLOSED PF	$498.39	$874.37	—	11% below	43%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 TREATMENT OF ANKLE FRACTURE	$498.40	$874.38	—	11% below	43%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 TX ANKLE FRACTURE CLOSED PF	$498.39	$874.37	—	—	43%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 TREATMENT OF ANKLE FRACTURE	$498.40	$874.38	—	—	43%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 CLOSED TREATMENT OF METATARSAL FX:W/OUT	$354.98	$622.77	—	8% below	43%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 FX METATARSAL CLOSED TX W/O MANIP	$359.20	$630.17	—	7% below	43%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 CLOSED TREATMENT OF METATARSAL FX:W/OUT	$354.98	$622.77	—	—	43%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 FX METATARSAL CLOSED TX W/O MANIP	$359.20	$630.17	—	—	43%
Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 COR HLX VLGS DSTL MTAR OSTEO PF	$868.34	$1,523.40	—	93% below	43%
Bunion correction with a bone cut near the head of the first metatarsal inpatient CPT 28296 COR HLX VLGS DSTL MTAR OSTEO PF	$868.34	$1,523.40	—	—	43%
Bunion correction with removal of part of the big toe joint CPT 28292 CORRECTION HALLUX VALGUS	$3,622.52	$6,355.30	$80.00	76% below	43%
Bunion correction with removal of part of the big toe joint inpatient CPT 28292 CORRECTION HALLUX VALGUS	$3,622.52	$6,355.30	$80.00	—	43%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION PF	$337.76	$592.56	—	64% below	43%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION EXTERNAL	$790.21	$1,386.34	$80.00	15% below	43%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION	$928.78	$1,629.43	$80.00	at median	43%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTRIC EXT	$1,074.59	$1,885.25	$80.00	16% above	43%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION PF	$337.76	$592.56	—	—	43%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION EXTERNAL	$790.21	$1,386.34	$80.00	—	43%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION	$928.78	$1,629.43	$80.00	—	43%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION ELECTRIC EXT	$1,074.59	$1,885.25	$80.00	—	43%
Carpal tunnel release, open surgery CPT 64721 CARPAL TUNNEL AT MEDIAN NERVE PF	$935.20	$1,640.70	—	84% below	43%
Carpal tunnel release, open surgery inpatient CPT 64721 CARPAL TUNNEL AT MEDIAN NERVE PF	$935.20	$1,640.70	—	—	43%
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 CURCUMCISION OLDER THAN 28 DAYS	$325.12	$570.39	$80.00	71% below	43%
Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 CURCUMCISION OLDER THAN 28 DAYS	$325.12	$570.39	$80.00	—	43%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 54150-CIRCUMCISION W/REGIONL BLOCK	$159.22	$279.33	$80.00	10% below	43%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CURCUMCISION W REGIONAL BLOCK	$244.51	$428.97	$80.00	38% above	43%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 54150-CIRCUMCISION W/REGIONL BLOCK	$159.22	$279.33	$80.00	—	43%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 CURCUMCISION W REGIONAL BLOCK	$244.51	$428.97	$80.00	—	43%
Circumcision, surgical, older than a newborn CPT 54160 CURCUMCISION NEONATE 28 DAYS OR LESS	$365.03	$640.41	$80.00	at median	43%
Circumcision, surgical, older than a newborn inpatient CPT 54160 CURCUMCISION NEONATE 28 DAYS OR LESS	$365.03	$640.41	$80.00	—	43%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 FX COLES SMITH CLOSED TX W/O MANIP	$359.20	$630.17	—	41% below	43%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CLOSED TX DISTAL RADIAL FX W/OUT MANIPUL	$565.21	$991.59	$80.00	7% below	43%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 FX COLES SMITH CLOSED TX W/O MANIP	$359.20	$630.17	—	—	43%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 CLOSED TX DISTAL RADIAL FX W/OUT MANIPUL	$565.21	$991.59	$80.00	—	43%
Colonoscopy with polyp removal CPT 45385 OP COLONOSCOPY W/REM TUMOR/POL	$1,642.96	$2,882.38	$80.00	40% below	43%
Colonoscopy with polyp removal CPT 45385 OP COLONOSCOPY W/POLYECTOMY	$1,642.96	$2,882.38	$80.00	40% below	43%
Colonoscopy with polyp removal inpatient CPT 45385 OP COLONOSCOPY W/REM TUMOR/POL	$1,642.96	$2,882.38	$80.00	—	43%
Colonoscopy with polyp removal inpatient CPT 45385 OP COLONOSCOPY W/POLYECTOMY	$1,642.96	$2,882.38	$80.00	—	43%
Colonoscopy with tissue sample CPT 45380 COLONOSCOPY & BIOPSY PF	$652.05	$1,143.95	—	77% below	43%
Colonoscopy with tissue sample CPT 45380 OP COLONOSCOPY W/BIOPSY	$1,689.20	$2,963.51	$80.00	41% below	43%
Colonoscopy with tissue sample inpatient CPT 45380 COLONOSCOPY & BIOPSY PF	$652.05	$1,143.95	—	—	43%
Colonoscopy with tissue sample inpatient CPT 45380 OP COLONOSCOPY W/BIOPSY	$1,689.20	$2,963.51	$80.00	—	43%
Colonoscopy, diagnostic CPT 45378 COLONOSCOPY PF	$543.87	$954.16	—	70% below	43%
Colonoscopy, diagnostic CPT 45378 OP COLONOSCOPY DIAGNOSTIC	$1,640.94	$2,878.85	$80.00	10% below	43%
Colonoscopy, diagnostic inpatient CPT 45378 COLONOSCOPY PF	$543.87	$954.16	—	—	43%
Colonoscopy, diagnostic inpatient CPT 45378 OP COLONOSCOPY DIAGNOSTIC	$1,640.94	$2,878.85	$80.00	—	43%
Complex cataract surgery with lens implant CPT 66982 EXTRACAPSULAR CATARACT REMOVAL	$2,613.70	$4,585.43	$80.00	4% below	43%
Complex cataract surgery with lens implant inpatient CPT 66982 EXTRACAPSULAR CATARACT REMOVAL	$2,613.70	$4,585.43	$80.00	—	43%
Cystoscopy with ureteral stent placement CPT 52332 CYSTOURETHROSCOPY INSERTION OF STENT	$2,224.42	$3,902.49	$80.00	49% below	43%
Cystoscopy with ureteral stent placement inpatient CPT 52332 CYSTOURETHROSCOPY INSERTION OF STENT	$2,224.42	$3,902.49	$80.00	—	43%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 CRYOTHERAPY FIRST LESION PCP	$44.41	$77.92	—	48% below	43%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 CRYOTHERAPY FIRST LESION PCP	$44.41	$77.92	—	—	43%
Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVAL IMPACTED CERUMEN IRRIGATION	$25.27	$44.34	—	3% below	43%
Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVAL IMPACTED EAR WAX UNI PF	$26.57	$46.62	—	2% above	43%
Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVE IMPACTED EAR WAX UNI	$106.02	$186.00	$80.00	308% above	43%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 REMOVAL IMPACTED CERUMEN IRRIGATION	$25.27	$44.34	—	—	43%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 REMOVAL IMPACTED EAR WAX UNI PF	$26.57	$46.62	—	—	43%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 REMOVE IMPACTED EAR WAX UNI	$106.02	$186.00	$80.00	—	43%
Earwax removal with instruments, one ear CPT 69210 CLINIC REMOVE IMPACTED EAR WAX UNI	$33.01	$57.92	—	71% below	43%
Earwax removal with instruments, one ear CPT 69210 REMOVAL IMPACTED CERUMEN PF	$54.16	$95.01	—	53% below	43%
Earwax removal with instruments, one ear CPT 69210 REMOVAL IMPACTED CERUMEN	$106.59	$187.00	$80.00	8% below	43%
Earwax removal with instruments, one ear inpatient CPT 69210 CLINIC REMOVE IMPACTED EAR WAX UNI	$33.01	$57.92	—	—	43%
Earwax removal with instruments, one ear inpatient CPT 69210 REMOVAL IMPACTED CERUMEN PF	$54.16	$95.01	—	—	43%
Earwax removal with instruments, one ear inpatient CPT 69210 REMOVAL IMPACTED CERUMEN	$106.59	$187.00	$80.00	—	43%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 NJX INTERLAMINAR CRV THRC	$1,395.99	$2,449.11	$80.00	4% above	43%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 NJX INTERLAMINAR CRV THRC	$1,395.99	$2,449.11	$80.00	—	43%
Facet joint injection, lower back, one level, with imaging guidance both sides CPT 64493 LUMBAR/SACRAL FACET/MBB BILATERAL PF	$202.18	$354.71	—	—	43%
Facet joint injection, lower back, one level, with imaging guidance both sides CPT 64493 LUMBAR/SACRAL FACET/MBB BILATERAL	$1,121.57	$1,967.66	$80.00	—	43%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 LUMBAR/SACRAL FACET/MBB PF	$202.18	$354.71	—	94% below	43%
Facet joint injection, lower back, one level, with imaging guidance inpatient both sides CPT 64493 LUMBAR/SACRAL FACET/MBB BILATERAL PF	$202.18	$354.71	—	—	43%
Facet joint injection, lower back, one level, with imaging guidance inpatient both sides CPT 64493 LUMBAR/SACRAL FACET/MBB BILATERAL	$1,121.57	$1,967.66	$80.00	—	43%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 LUMBAR/SACRAL FACET/MBB PF	$202.18	$354.71	—	—	43%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 OP FLEX SIGMOID DIAGNOSTIC	$944.20	$1,656.49	$80.00	64% below	43%
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 OP FLEX SIGMOID DIAGNOSTIC	$944.20	$1,656.49	$80.00	—	43%
Gallbladder removal, laparoscopic CPT 47562 LAPAROSCOPIC CHOLECYSTOMY PF	$1,720.75	$3,018.86	—	87% below	43%
Gallbladder removal, laparoscopic CPT 47562 LAPROSCOPIC CHOLECYSTECTOMY	$4,243.95	$7,445.52	$80.00	68% below	43%
Gallbladder removal, laparoscopic inpatient CPT 47562 LAPAROSCOPIC CHOLECYSTOMY PF	$1,720.75	$3,018.86	—	—	43%
Gallbladder removal, laparoscopic inpatient CPT 47562 LAPROSCOPIC CHOLECYSTECTOMY	$4,243.95	$7,445.52	$80.00	—	43%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 LAPARO CHOLECYSTECTOMY/GRAPH	$5,023.86	$8,813.79	$80.00	32% below	43%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery inpatient CPT 47563 LAPARO CHOLECYSTECTOMY/GRAPH	$5,023.86	$8,813.79	$80.00	—	43%
Hammertoe correction surgery CPT 28285 REPAIR OF HAMMER TOE PF	$654.93	$1,149.00	—	94% below	43%
Hammertoe correction surgery CPT 28285 REPAIR OF HAMMERTOE	$2,433.62	$4,269.50	$80.00	79% below	43%
Hammertoe correction surgery inpatient CPT 28285 REPAIR OF HAMMER TOE PF	$654.93	$1,149.00	—	—	43%
Hammertoe correction surgery inpatient CPT 28285 REPAIR OF HAMMERTOE	$2,433.62	$4,269.50	$80.00	—	43%
Hemorrhoidectomy (internal and external), one area CPT 46255 REMOVE INT/EXT HEM 1 GROUP PF	$807.07	$1,415.91	—	76% below	43%
Hemorrhoidectomy (internal and external), one area CPT 46255 REMOVE INT/EXT HEM 1GROUP	$2,543.18	$4,461.72	$80.00	25% below	43%
Hemorrhoidectomy (internal and external), one area inpatient CPT 46255 REMOVE INT/EXT HEM 1 GROUP PF	$807.07	$1,415.91	—	—	43%
Hemorrhoidectomy (internal and external), one area inpatient CPT 46255 REMOVE INT/EXT HEM 1GROUP	$2,543.18	$4,461.72	$80.00	—	43%
Incision and drainage of a simple or single skin abscess CPT 10060 DRAINAGE OF SKIN ABSCESS SINGLE	$78.10	$137.01	—	64% below	43%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SIMPLE PF	$179.55	$315.00	—	17% below	43%
Incision and drainage of a simple or single skin abscess CPT 10060 DRAINAGE SKIN ABSCESS PF	$218.28	$382.95	—	1% above	43%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SIMPLE	$365.09	$640.50	$80.00	68% above	43%
Incision and drainage of a simple or single skin abscess CPT 10060 DRAINAGE SKIN ABSCESS	$365.09	$640.50	$80.00	68% above	43%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 DRAINAGE OF SKIN ABSCESS SINGLE	$78.10	$137.01	—	—	43%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSCESS SIMPLE PF	$179.55	$315.00	—	—	43%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 DRAINAGE SKIN ABSCESS PF	$218.28	$382.95	—	—	43%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 DRAINAGE SKIN ABSCESS	$365.09	$640.50	$80.00	—	43%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSCESS SIMPLE	$365.09	$640.50	$80.00	—	43%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 REPAIR INITIAL INGUINAL HERNIA	$3,589.44	$6,297.26	$80.00	74% below	43%
Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 REPAIR INITIAL INGUINAL HERNIA	$3,589.44	$6,297.26	$80.00	—	43%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 TRIGGER POINT INJ TENDON SHEATH PF	$64.76	$113.61	—	93% below	43%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 TRIGGER POINT INJECTION PCP	$77.25	$135.52	—	91% below	43%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJECTION SINGLE TENDON PF	$92.00	$161.40	—	90% below	43%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJECTION 1 TENDON SHEATH/LIGAMENT	$97.28	$170.67	—	89% below	43%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJECTION SINGLE TENDON SHEATH	$286.07	$501.87	$80.00	68% below	43%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ TENDON SHEATH LIGAMENT	$302.98	$531.55	$80.00	66% below	43%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 TRIGGER POINT INJ TENDON SHEATH PF	$64.76	$113.61	—	—	43%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 TRIGGER POINT INJECTION PCP	$77.25	$135.52	—	—	43%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJECTION SINGLE TENDON PF	$92.00	$161.40	—	—	43%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJECTION 1 TENDON SHEATH/LIGAMENT	$97.28	$170.67	—	—	43%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJECTION SINGLE TENDON SHEATH	$286.07	$501.87	$80.00	—	43%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJ TENDON SHEATH LIGAMENT	$302.98	$531.55	$80.00	—	43%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 MAJOR JOINT PF	$101.10	$177.36	—	89% below	43%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJ JOINT/BURSA W/O US PF	$101.60	$178.25	$80.00	89% below	43%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENTESIS LG JOINT PCP	$120.16	$210.80	—	87% below	43%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENTESIS LG JOINT	$120.16	$210.80	—	87% below	43%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 PF LARGE JOINT INJ	$269.67	$473.10	—	70% below	43%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENTESIS MAJOR JOINT PF	$283.17	$496.79	—	69% below	43%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENTESIS LARGE JOINT	$436.02	$764.95	$80.00	52% below	43%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJ JOINT/BURSA W/O US	$436.02	$764.95	$80.00	52% below	43%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENTESIS MAJOR JOINT	$558.54	$979.89	$80.00	39% below	43%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 INJECTION LARGE JOINT	$558.54	$979.89	$80.00	39% below	43%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 MAJOR JOINT PF	$101.10	$177.36	—	—	43%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 DRAIN/INJ JOINT/BURSA W/O US PF	$101.60	$178.25	$80.00	—	43%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHROCENTESIS LG JOINT PCP	$120.16	$210.80	—	—	43%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHROCENTESIS LG JOINT	$120.16	$210.80	—	—	43%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 PF LARGE JOINT INJ	$269.67	$473.10	—	—	43%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHROCENTESIS MAJOR JOINT PF	$283.17	$496.79	—	—	43%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 DRAIN/INJ JOINT/BURSA W/O US	$436.02	$764.95	$80.00	—	43%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHROCENTESIS LARGE JOINT	$436.02	$764.95	$80.00	—	43%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 INJECTION LARGE JOINT	$558.54	$979.89	$80.00	—	43%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHROCENTESIS MAJOR JOINT	$558.54	$979.89	$80.00	—	43%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCENTESIS INTERMED JOINT PF	$61.39	$107.70	—	89% below	43%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 INTERMEDIATE JOINT PF	$81.35	$142.72	—	85% below	43%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCENTESIS MEDIUM JOINT PCP	$99.03	$173.74	—	82% below	43%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCENTESIS MEDIUM JOINT	$99.03	$173.74	$80.00	82% below	43%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 PF MEDIUM JOINT INJ	$246.38	$432.24	—	56% below	43%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 INJECTION MEDIUM JOINT	$361.38	$634.00	$80.00	35% below	43%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCENTESIS INTERMED JOINT	$361.38	$634.00	$80.00	35% below	43%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ARTHROCENTESIS INTERMED JOINT PF	$61.39	$107.70	—	—	43%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 INTERMEDIATE JOINT PF	$81.35	$142.72	—	—	43%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ARTHROCENTESIS MEDIUM JOINT PCP	$99.03	$173.74	—	—	43%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ARTHROCENTESIS MEDIUM JOINT	$99.03	$173.74	$80.00	—	43%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 PF MEDIUM JOINT INJ	$246.38	$432.24	—	—	43%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 INJECTION MEDIUM JOINT	$361.38	$634.00	$80.00	—	43%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ARTHROCENTESIS INTERMED JOINT	$361.38	$634.00	$80.00	—	43%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHROCENTESIS SMALL JOINT PF	$78.26	$137.29	—	84% below	43%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHROCENTESIS SMALL JOINT	$95.08	$166.80	$80.00	80% below	43%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHROCENTESIS SMALL JOINT PCP	$95.08	$166.80	—	80% below	43%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 PF SMALL JOINT INJ	$226.39	$397.17	—	53% below	43%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 INJECTION SMALL JOINT	$262.22	$460.03	$80.00	46% below	43%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHROCENTESIS SM JOINT	$364.98	$640.31	—	25% below	43%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ARTHROCENTESIS SMALL JOINT PF	$78.26	$137.29	—	—	43%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ARTHROCENTESIS SMALL JOINT PCP	$95.08	$166.80	—	—	43%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ARTHROCENTESIS SMALL JOINT	$95.08	$166.80	$80.00	—	43%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 PF SMALL JOINT INJ	$226.39	$397.17	—	—	43%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 INJECTION SMALL JOINT	$262.22	$460.03	$80.00	—	43%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ARTHROCENTESIS SM JOINT	$364.98	$640.31	—	—	43%
Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 ARTHROSCOPY W/MENI REPAIR MED OR LAT PF	$1,160.77	$2,036.43	—	77% below	43%
Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 ARTHROSCOPY W/MENISC REPAIR MED OR LAT	$5,051.34	$8,862.00	$80.00	1% below	43%
Knee arthroscopy with meniscus repair (one side of the knee) inpatient CPT 29882 ARTHROSCOPY W/MENI REPAIR MED OR LAT PF	$1,160.77	$2,036.43	—	—	43%
Knee arthroscopy with meniscus repair (one side of the knee) inpatient CPT 29882 ARTHROSCOPY W/MENISC REPAIR MED OR LAT	$5,051.34	$8,862.00	$80.00	—	43%
Knee arthroscopy with meniscus trim CPT 29881 KNEE ARTHROSCOPY/SURGERY	$916.08	$1,607.16	$80.00	87% below	43%
Knee arthroscopy with meniscus trim CPT 29881 ARTHROSCOPY W/ MENISCECTOMY	$2,880.42	$5,053.37	$80.00	60% below	43%
Knee arthroscopy with meniscus trim inpatient CPT 29881 KNEE ARTHROSCOPY/SURGERY	$916.08	$1,607.16	$80.00	—	43%
Knee arthroscopy with meniscus trim inpatient CPT 29881 ARTHROSCOPY W/ MENISCECTOMY	$2,880.42	$5,053.37	$80.00	—	43%
Knee arthroscopy with removal of both torn meniscus parts CPT 29880 ARTHROSCOPY KNEE W/MENISCECTOMY PF	$907.44	$1,592.00	$80.00	87% below	43%
Knee arthroscopy with removal of both torn meniscus parts inpatient CPT 29880 ARTHROSCOPY KNEE W/MENISCECTOMY PF	$907.44	$1,592.00	$80.00	—	43%
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 ARTHROSCOPY KNEE DEBRIDEMENT/SHAVING PF	$1,791.43	$3,142.86	—	74% below	43%
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 ARTHROSCOPY KNEE DEBRIDEMENT/SHAVING	$3,808.65	$6,681.85	$80.00	45% below	43%
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) inpatient CPT 29877 ARTHROSCOPY KNEE DEBRIDEMENT/SHAVING PF	$1,791.43	$3,142.86	—	—	43%
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) inpatient CPT 29877 ARTHROSCOPY KNEE DEBRIDEMENT/SHAVING	$3,808.65	$6,681.85	$80.00	—	43%
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 LAPAROSCOPY APPENDECTOMY	$4,355.56	$7,641.34	$80.00	54% below	43%
Laparoscopic appendectomy (appendix removal through small cuts) inpatient CPT 44970 LAPAROSCOPY APPENDECTOMY	$4,355.56	$7,641.34	$80.00	—	43%
Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 LAP ING HERNIA REPAIR INIT	$5,558.72	$9,752.14	$80.00	67% below	43%
Laparoscopic inguinal (groin) hernia repair, first repair on that side inpatient CPT 49650 LAP ING HERNIA REPAIR INIT	$5,558.72	$9,752.14	$80.00	—	43%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 LAC/LAYER SNALT TO 2.5CM PF	$253.08	$444.00	—	43% below	43%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 LAC/LAYER SNALT TO 2.5CM	$560.88	$984.00	$80.00	27% above	43%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INTMD RPR S/A/T/EXT 2.5 CM/<	$609.27	$1,068.90	$80.00	38% above	43%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 LAC/LAYER SNALT TO 2.5CM PF	$253.08	$444.00	—	—	43%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 LAC/LAYER SNALT TO 2.5CM	$560.88	$984.00	$80.00	—	43%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 INTMD RPR S/A/T/EXT 2.5 CM/<	$609.27	$1,068.90	$80.00	—	43%
Lower-back epidural injection, with imaging guidance CPT 62323 NJX INTERLAMINAR LMBR SAC	$1,314.23	$2,305.66	$80.00	1% above	43%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 NJX INTERLAMINAR LMBR SAC	$1,314.23	$2,305.66	$80.00	—	43%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 LUMBAR OR SACRAL TS ESI PF	$249.97	$438.55	—	89% below	43%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 PF TRANSF EPI LUMB/SAC 1ST LEV	$259.68	$455.58	—	88% below	43%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 TRANSFOR EPI LMB/SAC 1ST LEVEL	$985.75	$1,729.38	$80.00	56% below	43%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 LUMBAR OR SACRAL TS ESI	$1,147.93	$2,013.92	$80.00	49% below	43%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 LUMBAR OR SACRAL TS ESI PF	$249.97	$438.55	—	—	43%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 PF TRANSF EPI LUMB/SAC 1ST LEV	$259.68	$455.58	—	—	43%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 TRANSFOR EPI LMB/SAC 1ST LEVEL	$985.75	$1,729.38	$80.00	—	43%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 LUMBAR OR SACRAL TS ESI	$1,147.93	$2,013.92	$80.00	—	43%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXCISION T/A/L <0.6CM PCP	$247.51	$434.23	—	12% below	43%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXCISION T/A/L <0.6CM	$247.51	$434.23	—	12% below	43%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXCISION OTHER BENIGN LESION INC MARGINS	$972.99	$1,707.00	$80.00	246% above	43%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 EXCISION T/A/L <0.6CM PCP	$247.51	$434.23	—	—	43%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 EXCISION T/A/L <0.6CM	$247.51	$434.23	—	—	43%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 EXCISION OTHER BENIGN LESION INC MARGINS	$972.99	$1,707.00	$80.00	—	43%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXCISION F/E/N/L <0.6 CM PCP	$268.05	$470.27	—	at median	43%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXCISION F/E/N/L <0.6 CM	$268.05	$470.27	—	at median	43%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 EXCISION F/E/N/L <0.6 CM	$268.05	$470.27	—	—	43%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 EXCISION F/E/N/L <0.6 CM PCP	$268.05	$470.27	—	—	43%
Nail removal (partial or complete), one nail CPT 11730 AVULSION NAIL PLATE SIMPLE/SINGLE PF	$89.67	$157.32	—	50% below	43%
Nail removal (partial or complete), one nail CPT 11730 REMOVAL OF NAIL PLATE	$230.15	$403.78	$80.00	28% above	43%
Nail removal (partial or complete), one nail CPT 11730 AVULSION NAIL PLATE SIMPLE/SINGLE	$247.44	$434.11	$80.00	38% above	43%
Nail removal (partial or complete), one nail inpatient CPT 11730 AVULSION NAIL PLATE SIMPLE/SINGLE PF	$89.67	$157.32	—	—	43%
Nail removal (partial or complete), one nail inpatient CPT 11730 REMOVAL OF NAIL PLATE	$230.15	$403.78	$80.00	—	43%
Nail removal (partial or complete), one nail inpatient CPT 11730 AVULSION NAIL PLATE SIMPLE/SINGLE	$247.44	$434.11	$80.00	—	43%
Occipital nerve block (injection for headaches) CPT 64405 N BLOCK INJ OCCIPITAL PF	$87.52	$153.54	$80.00	32% below	43%
Occipital nerve block (injection for headaches) CPT 64405 INJECTION AA&/STRD GREATER OCCIPITAL NER	$125.63	$220.41	—	2% below	43%
Occipital nerve block (injection for headaches) CPT 64405 GREATER OCCIPITAL NERVE PF	$139.03	$243.91	—	9% above	43%
Occipital nerve block (injection for headaches) CPT 64405 NERVE BLOCK OCCIPITAL PF	$221.06	$387.82	—	73% above	43%
Occipital nerve block (injection for headaches) CPT 64405 NERVE BLOCK OCCIPITAL	$559.10	$980.87	$80.00	337% above	43%
Occipital nerve block (injection for headaches) CPT 64405 INJECTION GREATER OCCIPITAL NERVE	$599.64	$1,052.00	$80.00	368% above	43%
Occipital nerve block (injection for headaches) CPT 64405 N BLOCK INJ OCCIPITAL	$599.64	$1,052.00	$80.00	368% above	43%
Occipital nerve block (injection for headaches) inpatient CPT 64405 N BLOCK INJ OCCIPITAL PF	$87.52	$153.54	$80.00	—	43%
Occipital nerve block (injection for headaches) inpatient CPT 64405 INJECTION AA&/STRD GREATER OCCIPITAL NER	$125.63	$220.41	—	—	43%
Occipital nerve block (injection for headaches) inpatient CPT 64405 GREATER OCCIPITAL NERVE PF	$139.03	$243.91	—	—	43%
Occipital nerve block (injection for headaches) inpatient CPT 64405 NERVE BLOCK OCCIPITAL PF	$221.06	$387.82	—	—	43%
Occipital nerve block (injection for headaches) inpatient CPT 64405 NERVE BLOCK OCCIPITAL	$559.10	$980.87	$80.00	—	43%
Occipital nerve block (injection for headaches) inpatient CPT 64405 INJECTION GREATER OCCIPITAL NERVE	$599.64	$1,052.00	$80.00	—	43%
Occipital nerve block (injection for headaches) inpatient CPT 64405 N BLOCK INJ OCCIPITAL	$599.64	$1,052.00	$80.00	—	43%
Pacemaker implant (dual chamber) CPT 33208 PACEMAKER INSERT ARTRIAL AND VENTRICULAR	$6,784.77	$11,903.11	$80.00	54% below	43%
Pacemaker implant (dual chamber) inpatient CPT 33208 PACEMAKER INSERT ARTRIAL AND VENTRICULAR	$6,784.77	$11,903.11	$80.00	—	43%
Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGING PF	$174.63	$306.36	—	88% below	43%
Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/ IMAGING GUID PF	$202.77	$355.73	—	86% below	43%
Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGING	$1,196.43	$2,099.00	$80.00	19% below	43%
Paracentesis with imaging guidance inpatient CPT 49083 ABD PARACENTESIS W/IMAGING PF	$174.63	$306.36	—	—	43%
Paracentesis with imaging guidance inpatient CPT 49083 ABD PARACENTESIS W/ IMAGING GUID PF	$202.77	$355.73	—	—	43%
Paracentesis with imaging guidance inpatient CPT 49083 ABD PARACENTESIS W/IMAGING	$1,196.43	$2,099.00	$80.00	—	43%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 REMOVAL OF NAIL AND NAIL MATRIX PF	$171.17	$300.30	—	37% below	43%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXCISION OF NAIL MATRIX PF	$171.17	$300.30	—	37% below	43%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXCISION NAIL MARTIX PERMANET RMVL PCP	$185.30	$325.08	—	32% below	43%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXCISION OF NAIL NAIL MATRIX PARTIAL	$697.26	$1,223.26	$80.00	156% above	43%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXCISION OF NAIL MATRIX	$697.26	$1,223.26	$80.00	156% above	43%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 REMOVAL OF NAIL AND NAIL MATRIX PF	$171.17	$300.30	—	—	43%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 EXCISION OF NAIL MATRIX PF	$171.17	$300.30	—	—	43%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 EXCISION NAIL MARTIX PERMANET RMVL PCP	$185.30	$325.08	—	—	43%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 EXCISION OF NAIL MATRIX	$697.26	$1,223.26	$80.00	—	43%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 EXCISION OF NAIL NAIL MATRIX PARTIAL	$697.26	$1,223.26	$80.00	—	43%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 LUMBAR/SACRAL SINGLE LEVEL PF	$496.15	$870.44	—	71% below	43%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 LUMBAR/SACRAL SINGLE LEVEL	$1,682.08	$2,951.01	$80.00	1% below	43%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 LUMBAR/SACRAL SINGLE LEVEL PF	$496.15	$870.44	—	—	43%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 LUMBAR/SACRAL SINGLE LEVEL	$1,682.08	$2,951.01	$80.00	—	43%
Removal of a breast lump, open surgery CPT 19120 EXCISION OF CYST OF BREAST	$2,474.96	$4,342.04	$80.00	41% below	43%
Removal of a breast lump, open surgery inpatient CPT 19120 EXCISION OF CYST OF BREAST	$2,474.96	$4,342.04	$80.00	—	43%
Removal of a foreign object under the skin, simple CPT 10120 INCISION & REMOVAL FB SUBQ TISS SIMPLE	$173.96	$305.19	—	32% below	43%
Removal of a foreign object under the skin, simple CPT 10120 I&R OF FB SUBCUTANEOUS SIMPLE PF	$177.74	$311.82	—	31% below	43%
Removal of a foreign object under the skin, simple CPT 10120 EXCISION OF MASS PF	$222.69	$390.68	—	13% below	43%
Removal of a foreign object under the skin, simple CPT 10120 I&R OF FB SUBCUTANEOUS SIMPLE	$499.46	$876.24	$80.00	94% above	43%
Removal of a foreign object under the skin, simple CPT 10120 EXCISION OF MASS	$499.46	$876.24	$80.00	94% above	43%
Removal of a foreign object under the skin, simple inpatient CPT 10120 INCISION & REMOVAL FB SUBQ TISS SIMPLE	$173.96	$305.19	—	—	43%
Removal of a foreign object under the skin, simple inpatient CPT 10120 I&R OF FB SUBCUTANEOUS SIMPLE PF	$177.74	$311.82	—	—	43%
Removal of a foreign object under the skin, simple inpatient CPT 10120 EXCISION OF MASS PF	$222.69	$390.68	—	—	43%
Removal of a foreign object under the skin, simple inpatient CPT 10120 I&R OF FB SUBCUTANEOUS SIMPLE	$499.46	$876.24	$80.00	—	43%
Removal of a foreign object under the skin, simple inpatient CPT 10120 EXCISION OF MASS	$499.46	$876.24	$80.00	—	43%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLONOSCOPY SCREENING	$1,594.15	$2,796.75	$80.00	20% below	43%
Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 COLONOSCOPY SCREENING	$1,594.15	$2,796.75	$80.00	—	43%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 COLORECTAL SCRN HI RISK IND	$1,608.54	$2,822.00	$80.00	24% below	43%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 COLORECTAL SCRN HI RISK IND	$1,608.54	$2,822.00	$80.00	—	43%
Short arm cast (elbow to hand) CPT 29075 APPLICATION OF FOREARM CAST	$148.46	$260.46	—	92% below	43%
Short arm cast (elbow to hand) CPT 29075 CAST APPLICATION SHORT ARM	$203.80	$357.54	—	89% below	43%
Short arm cast (elbow to hand) inpatient CPT 29075 APPLICATION OF FOREARM CAST	$148.46	$260.46	—	—	43%
Short arm cast (elbow to hand) inpatient CPT 29075 CAST APPLICATION SHORT ARM	$203.80	$357.54	—	—	43%
Short arm splint (forearm and hand) CPT 29125 SPLINT APPLICATION SHORT ARM PF	$67.80	$118.95	—	58% below	43%
Short arm splint (forearm and hand) CPT 29125 SPLINT APPLICATION SHORT ARM	$232.56	$408.00	$80.00	42% above	43%
Short arm splint (forearm and hand) inpatient CPT 29125 SPLINT APPLICATION SHORT ARM PF	$67.80	$118.95	—	—	43%
Short arm splint (forearm and hand) inpatient CPT 29125 SPLINT APPLICATION SHORT ARM	$232.56	$408.00	$80.00	—	43%
Short leg cast (below the knee) CPT 29405 CAST APPLICATION SHORT LEG	$204.32	$358.45	—	25% below	43%
Short leg cast (below the knee) CPT 29405 APPLY SHORT LEG CAST	$226.35	$397.11	—	17% below	43%
Short leg cast (below the knee) inpatient CPT 29405 CAST APPLICATION SHORT LEG	$204.32	$358.45	—	—	43%
Short leg cast (below the knee) inpatient CPT 29405 APPLY SHORT LEG CAST	$226.35	$397.11	—	—	43%
Short leg splint (calf to foot) CPT 29515 SPLINT APPLICATION SHORT LEG PF	$83.53	$146.55	—	35% below	43%
Short leg splint (calf to foot) CPT 29515 APPLICATION LOWER LEG SPLINT	$83.53	$146.55	—	35% below	43%
Short leg splint (calf to foot) CPT 29515 SPLINT APPLICATION SHORT LEG	$249.39	$437.53	$80.00	95% above	43%
Short leg splint (calf to foot) inpatient CPT 29515 SPLINT APPLICATION SHORT LEG PF	$83.53	$146.55	—	—	43%
Short leg splint (calf to foot) inpatient CPT 29515 APPLICATION LOWER LEG SPLINT	$83.53	$146.55	—	—	43%
Short leg splint (calf to foot) inpatient CPT 29515 SPLINT APPLICATION SHORT LEG	$249.39	$437.53	$80.00	—	43%
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 SHO ARTHRS SRG DSTL CLAVICLC PF	$1,143.31	$2,005.80	—	88% below	43%
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 SHO ARTHRS SRG DSTL CLAVICLC	$2,369.21	$4,156.50	$80.00	75% below	43%
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) inpatient CPT 29824 SHO ARTHRS SRG DSTL CLAVICLC PF	$1,143.31	$2,005.80	—	—	43%
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) inpatient CPT 29824 SHO ARTHRS SRG DSTL CLAVICLC	$2,369.21	$4,156.50	$80.00	—	43%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 SHOULDER ARTHROSCOPY PF	$1,717.81	$3,013.70	—	88% below	43%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 SHOULDER ARTHROSCOPY	$3,038.40	$5,330.52	$80.00	79% below	43%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 SHOULDER ARTHROSCOPY PF	$1,717.81	$3,013.70	—	—	43%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 SHOULDER ARTHROSCOPY	$3,038.40	$5,330.52	$80.00	—	43%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 RPR SIMPLE 2.5 OR LESS TRUNK HND FEE PCP	$108.39	$190.16	—	27% below	43%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 LAC/SIMPLE SNALT/HND/FT 2.5CM OR LESS PF	$266.56	$467.65	—	80% above	43%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 LAC/SIMPLE HND/FT 2.5CM OR LESS	$294.69	$517.00	—	99% above	43%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 LAC/SIMPLE SNALT/HND/FT TO 2.5CM OR LESS	$294.69	$517.00	$80.00	99% above	43%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SIMPLE REPAIR SCALP/NK/AX/GNT/TRNK 2.5CM	$294.69	$517.00	$80.00	99% above	43%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 RPR SIMPLE 2.5 OR LESS TRUNK HND FEE PCP	$108.39	$190.16	—	—	43%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 LAC/SIMPLE SNALT/HND/FT 2.5CM OR LESS PF	$266.56	$467.65	—	—	43%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 LAC/SIMPLE HND/FT 2.5CM OR LESS	$294.69	$517.00	—	—	43%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 LAC/SIMPLE SNALT/HND/FT TO 2.5CM OR LESS	$294.69	$517.00	$80.00	—	43%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 SIMPLE REPAIR SCALP/NK/AX/GNT/TRNK 2.5CM	$294.69	$517.00	$80.00	—	43%
Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SINGLE LESION PCP	$109.90	$192.81	—	78% below	43%
Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BX SKIN SINGLE LESION PCP	$109.90	$192.81	—	—	43%
Skin tag removal, up to 15 tags CPT 11200 REMOVAL SKIN TAGS 15 OR LESS PCP	$115.53	$202.68	—	28% below	43%
Skin tag removal, up to 15 tags CPT 11200 REMOVAL OF SKIN TAGS <W/15	$207.77	$364.50	$80.00	29% above	43%
Skin tag removal, up to 15 tags inpatient CPT 11200 REMOVAL SKIN TAGS 15 OR LESS PCP	$115.53	$202.68	—	—	43%
Skin tag removal, up to 15 tags inpatient CPT 11200 REMOVAL OF SKIN TAGS <W/15	$207.77	$364.50	$80.00	—	43%
Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCTURE LUMBAR DIAGNOSTIC	$105.32	$184.77	—	80% below	43%
Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE	$193.93	$340.22	$80.00	62% below	43%
Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE PF	$223.27	$391.71	$80.00	57% below	43%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL PUNCTURE LUMBAR DIAGNOSTIC	$105.32	$184.77	—	—	43%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 LUMBAR PUNCTURE	$193.93	$340.22	$80.00	—	43%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 LUMBAR PUNCTURE PF	$223.27	$391.71	$80.00	—	43%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SMPL REPAIR SNAGT 2.6-7.5 CM	$100.00	$175.44	—	50% below	43%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 LAC/SIMPLE REPAIR SNALT 2.6-7.5 PCP	$109.90	$192.81	—	45% below	43%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 LAC/SIMPLE SNALT/HND/FT 2.6 - 7.5CM PF	$266.56	$467.65	—	34% above	43%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 LAC/SIMPLE HND/FT 2.6 - 7.5CM PF	$266.56	$467.65	—	34% above	43%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 LAC/SIMPLE SNALT/HND/FT 2.6 - 7.5CM	$316.14	$554.64	$80.00	58% above	43%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 SMPL REPAIR SNAGT 2.6-7.5 CM	$100.00	$175.44	—	—	43%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 LAC/SIMPLE REPAIR SNALT 2.6-7.5 PCP	$109.90	$192.81	—	—	43%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 LAC/SIMPLE HND/FT 2.6 - 7.5CM PF	$266.56	$467.65	—	—	43%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 LAC/SIMPLE SNALT/HND/FT 2.6 - 7.5CM PF	$266.56	$467.65	—	—	43%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 LAC/SIMPLE SNALT/HND/FT 2.6 - 7.5CM	$316.14	$554.64	$80.00	—	43%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 LAC/COMPLEX FACE TO 1.0CM	$92.20	$161.76	—	71% below	43%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 LAC/SIMPLE FACE 2.5CM OR LESS PF	$92.20	$161.76	—	71% below	43%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SIMPLE REPAIR 2.5 CM OR LESS	$264.74	$464.45	—	16% below	43%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 REPAIR/SIMPLE FACE TO 2.5CM OR LESS	$307.46	$539.40	$80.00	3% below	43%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 LAC/SIMPLE FACE TO 2.5CM	$307.46	$539.40	$80.00	3% below	43%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 LAC/SIMPLE FACE 2.5CM OR LESS PF	$92.20	$161.76	—	—	43%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 LAC/COMPLEX FACE TO 1.0CM	$92.20	$161.76	—	—	43%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 SIMPLE REPAIR 2.5 CM OR LESS	$264.74	$464.45	—	—	43%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 REPAIR/SIMPLE FACE TO 2.5CM OR LESS	$307.46	$539.40	$80.00	—	43%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 LAC/SIMPLE FACE TO 2.5CM	$307.46	$539.40	$80.00	—	43%
TURP (transurethral resection of the prostate) CPT 52601 PROSTATECTOMY/TURP	$3,853.80	$6,761.05	$80.00	60% below	43%
TURP (transurethral resection of the prostate) inpatient CPT 52601 PROSTATECTOMY/TURP	$3,853.80	$6,761.05	$80.00	—	43%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGENTIAL BIOPSY SKIN SINGLE LESION	$63.42	$111.27	—	79% below	43%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 TANGENTIAL BIOPSY SKIN SINGLE LESION	$63.42	$111.27	—	—	43%
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS NEEDLE W/IMAGING GUIDAN PF	$179.31	$314.58	—	88% below	43%
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W/ INSERTION OF TUBE	$934.50	$1,639.48	$80.00	40% below	43%
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W/IMAGING GUIDANCE	$1,201.50	$2,107.89	$80.00	22% below	43%
Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS NEEDLE W/IMAGING GUIDAN PF	$179.31	$314.58	—	—	43%
Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS W/ INSERTION OF TUBE	$934.50	$1,639.48	$80.00	—	43%
Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS W/IMAGING GUIDANCE	$1,201.50	$2,107.89	$80.00	—	43%
Total thyroid removal (thyroidectomy) CPT 60240 THYROIDECTOMY	$6,126.27	$10,747.84	$80.00	10% below	43%
Total thyroid removal (thyroidectomy) inpatient CPT 60240 THYROIDECTOMY	$6,126.27	$10,747.84	$80.00	—	43%
Trigger finger release surgery CPT 26055 INCISE FINGER TENDON SHEATH PF	$685.99	$1,203.49	—	80% below	43%
Trigger finger release surgery CPT 26055 INCISE FINGER TENDON SHEATH	$1,597.82	$2,803.19	$80.00	54% below	43%
Trigger finger release surgery inpatient CPT 26055 INCISE FINGER TENDON SHEATH PF	$685.99	$1,203.49	—	—	43%
Trigger finger release surgery inpatient CPT 26055 INCISE FINGER TENDON SHEATH	$1,597.82	$2,803.19	$80.00	—	43%
Trigger point injections, 1 or 2 muscles CPT 20552 TRIGGER POINT INJ 1 OR 2 MUSCL PF	$61.44	$107.79	—	84% below	43%
Trigger point injections, 1 or 2 muscles CPT 20552 SINGLE OR MULT TRIGGER PTS 1 OR 2 JNT PF	$83.00	$145.62	—	78% below	43%
Trigger point injections, 1 or 2 muscles CPT 20552 PF TRIGGER PT INJ 1 OR 2 MUSC	$137.32	$240.91	—	64% below	43%
Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER POINT 1/2 MUSCLE PCP	$154.15	$270.43	—	59% below	43%
Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER POINT 1/2 MUSCL	$342.50	$600.87	$80.00	9% below	43%
Trigger point injections, 1 or 2 muscles CPT 20552 TRIGGER POINT 1- 2 MUSCLES	$347.72	$610.04	$80.00	8% below	43%
Trigger point injections, 1 or 2 muscles CPT 20552 TRIGGER POINT INJ 1 OR 2 MUSC	$410.40	$720.00	$80.00	9% above	43%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 TRIGGER POINT INJ 1 OR 2 MUSCL PF	$61.44	$107.79	—	—	43%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 SINGLE OR MULT TRIGGER PTS 1 OR 2 JNT PF	$83.00	$145.62	—	—	43%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 PF TRIGGER PT INJ 1 OR 2 MUSC	$137.32	$240.91	—	—	43%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJ TRIGGER POINT 1/2 MUSCLE PCP	$154.15	$270.43	—	—	43%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJ TRIGGER POINT 1/2 MUSCL	$342.50	$600.87	$80.00	—	43%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 TRIGGER POINT 1- 2 MUSCLES	$347.72	$610.04	$80.00	—	43%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 TRIGGER POINT INJ 1 OR 2 MUSC	$410.40	$720.00	$80.00	—	43%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 ENDO PROC W/BALLOON DILATION OF ESOPH	$1,136.83	$1,994.43	$80.00	58% below	43%
Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 ENDO PROC W/BALLOON DILATION OF ESOPH	$1,136.83	$1,994.43	$80.00	—	43%
Upper endoscopy (EGD) with biopsy CPT 43239 OP EGD W/BIOPSY PF	$636.12	$1,116.00	—	74% below	43%
Upper endoscopy (EGD) with biopsy CPT 43239 OP EGD W/BIOPSY	$1,571.36	$2,756.77	$80.00	35% below	43%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 OP EGD W/BIOPSY PF	$636.12	$1,116.00	—	—	43%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 OP EGD W/BIOPSY	$1,571.36	$2,756.77	$80.00	—	43%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 UPPER GI W/REMOVAL TUMORS/POLYPS/LESION	$1,150.96	$2,019.23	$80.00	61% below	43%
Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 UPPER GI W/REMOVAL TUMORS/POLYPS/LESION	$1,150.96	$2,019.23	$80.00	—	43%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 UPPER GI ENDOSCOPY/GUIDE WIRE	$1,482.00	$2,600.00	$80.00	14% above	43%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 UPPER GI ENDOSCOPY/GUIDE WIRE	$1,482.00	$2,600.00	$80.00	—	43%
Upper endoscopy (EGD), diagnostic CPT 43235 OP UPPER GASTROINTESTINAL ENDOSCOPY	$1,528.97	$2,682.40	$80.00	7% below	43%
Upper endoscopy (EGD), diagnostic CPT 43235 OP EGD DIAGNOSTIC	$1,528.97	$2,682.40	$80.00	7% below	43%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 OP UPPER GASTROINTESTINAL ENDOSCOPY	$1,528.97	$2,682.40	$80.00	—	43%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 OP EGD DIAGNOSTIC	$1,528.97	$2,682.40	$80.00	—	43%
Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 CYSTOURETHROSCOPY W/ LITHOTRIPSY	$3,307.14	$5,802.00	$80.00	50% below	43%
Ureteroscopy with laser stone breaking (lithotripsy) inpatient CPT 52353 CYSTOURETHROSCOPY W/ LITHOTRIPSY	$3,307.14	$5,802.00	$80.00	—	43%
Wart removal, up to 14 warts CPT 17110 DESTRUCTION BENIGN LESION 1-14 PCP	$109.90	$192.81	—	48% below	43%
Wart removal, up to 14 warts CPT 17110 DESTRUCT B9 LESION 1-14 PCP	$109.90	$192.81	—	48% below	43%
Wart removal, up to 14 warts inpatient CPT 17110 DESTRUCTION BENIGN LESION 1-14 PCP	$109.90	$192.81	—	—	43%
Wart removal, up to 14 warts inpatient CPT 17110 DESTRUCT B9 LESION 1-14 PCP	$109.90	$192.81	—	—	43%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDMNT SKIN SUBQ TISS 20SQ CM PF	$100.99	$177.18	—	84% below	43%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDEMENT SUBQ TISSUE 20 SQ CM PCP	$195.63	$343.21	—	69% below	43%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DBRIDEMNT SUCUTANEOUS TISS 20 SQ CM PCP	$195.63	$343.21	—	69% below	43%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDEMENT SUBCUT TISSUE 1ST 20SQ CM	$709.57	$1,244.86	$80.00	13% above	43%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDMNT SKIN SUBQ TISS 20SQ CM	$709.57	$1,244.86	$80.00	13% above	43%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDMNT SKIN SUBQ TISS 20SQ CM PF	$100.99	$177.18	—	—	43%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DBRIDEMNT SUCUTANEOUS TISS 20 SQ CM PCP	$195.63	$343.21	—	—	43%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDEMENT SUBQ TISSUE 20 SQ CM PCP	$195.63	$343.21	—	—	43%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDMNT SKIN SUBQ TISS 20SQ CM	$709.57	$1,244.86	$80.00	—	43%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDEMENT SUBCUT TISSUE 1ST 20SQ CM	$709.57	$1,244.86	$80.00	—	43%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Arizona	Off list
Blood transfusion (giving blood or blood components) CPT 36430 BB BLOOD ADMINISTRATION	$689.87	$1,210.30	$80.00	27% above	43%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BB BLOOD ADMINISTRATION	$689.87	$1,210.30	$80.00	—	43%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 SVN TX W/BRONCO DILATOR PULM	$54.17	$95.04	—	75% below	43%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 IPPB 1ST SUB MED TX	$67.48	$118.39	$80.00	69% below	43%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 SVN SUB TX	$111.72	$196.00	$80.00	49% below	43%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI 1ST SUB MED TX	$111.72	$196.00	$80.00	49% below	43%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 SVN TX W/BRONCO DILATOR PULM	$54.17	$95.04	—	—	43%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 IPPB 1ST SUB MED TX	$67.48	$118.39	$80.00	—	43%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 SVN SUB TX	$111.72	$196.00	$80.00	—	43%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MDI 1ST SUB MED TX	$111.72	$196.00	$80.00	—	43%
Chemotherapy IV infusion, first hour CPT 96413 CHEMOTHERAPY ADMIN IV INFUSION 1ST HOUR	$383.83	$673.39	$80.00	12% below	43%
Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMOTHERAPY ADMIN IV INFUSION 1ST HOUR	$383.83	$673.39	$80.00	—	43%
Critical care, first 30 to 74 minutes CPT 99291 ERPF CRITICAL CARE 1ST 74 MIN PF	$353.71	$620.55	—	83% below	43%
Critical care, first 30 to 74 minutes CPT 99291 ER FACILITY LEVEL CRITICAL CARE	$1,945.98	$3,414.00	$80.00	7% below	43%
Critical care, first 30 to 74 minutes inpatient CPT 99291 ERPF CRITICAL CARE 1ST 74 MIN PF	$353.71	$620.55	—	—	43%
Critical care, first 30 to 74 minutes inpatient CPT 99291 ER FACILITY LEVEL CRITICAL CARE	$1,945.98	$3,414.00	$80.00	—	43%
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE AND DROWSY	$682.21	$1,196.86	$80.00	17% above	43%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG AWAKE AND DROWSY	$682.21	$1,196.86	$80.00	—	43%
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 EKG	$67.71	$118.79	$80.00	226% above	43%
Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 EKG	$67.71	$118.79	$80.00	—	43%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG 93005 SPEC	$68.58	$120.31	—	41% below	43%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG	$68.58	$120.31	—	41% below	43%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG 93005	$70.63	$123.92	—	39% below	43%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG 12 LEAD TRACING ONLY	$161.85	$283.94	$80.00	39% above	43%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG	$68.58	$120.31	—	—	43%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG 93005 SPEC	$68.58	$120.31	—	—	43%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG 93005	$70.63	$123.92	—	—	43%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG 12 LEAD TRACING ONLY	$161.85	$283.94	$80.00	—	43%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 MEDICAL CLEARANCE BASIC	$42.75	$75.00	$80.00	82% below	43%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 MEDICAL CLEARANCE BASIC	$42.75	$75.00	$80.00	—	43%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 MEDICAL CLEARANCE HIGH	$57.00	$100.00	$80.00	84% below	43%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 MEDICAL CLEARANCE HIGH	$57.00	$100.00	$80.00	—	43%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION 31MIN TO 1HR PF	$54.00	$94.74	—	70% below	43%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INFUSION HYDRATION 31MIN TO 1HR	$301.76	$529.41	$80.00	70% above	43%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYDRATION 31MIN TO 1HR PF	$54.00	$94.74	—	—	43%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV INFUSION HYDRATION 31MIN TO 1HR	$301.76	$529.41	$80.00	—	43%
IV infusion of a medicine, first hour CPT 96365 IV INFUSION THERAPY UP TO 1HR	$260.20	$456.49	$80.00	11% above	43%
IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION THERAPY UP TO 1HR	$260.20	$456.49	$80.00	—	43%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 THERAPEUTIC/ DIAGNOSTIC INJ	$23.73	$41.64	—	65% below	43%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAPEUTIC INJ	$72.45	$127.11	$80.00	8% above	43%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 THERAPEUTIC/ DIAGNOSTIC INJ	$23.73	$41.64	—	—	43%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAPEUTIC INJ	$72.45	$127.11	$80.00	—	43%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCHIATRIC DIAGNOSTIC EVALUATION	$301.42	$528.81	—	45% above	43%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 PSYCHIATRIC DIAGNOSTIC EVALUATION	$301.42	$528.81	—	—	43%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 NRV CNDJ TEST 7-8 STUDIES	$427.74	$750.42	—	114% above	43%
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 NRV CNDJ TEST 7-8 STUDIES	$427.74	$750.42	—	—	43%
Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR REEDUCATION AT15	$62.56	$109.75	$80.00	50% below	43%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUROMUSCULAR REEDUCATION AT15	$62.56	$109.75	$80.00	—	43%
New patient office visit, about 30 minutes CPT 99203 NEW PATIENT MODERATE SEVERITY	$150.95	$264.83	—	16% below	43%
New patient office visit, about 30 minutes CPT 99203 99203 SPEC	$188.85	$331.32	—	5% above	43%
New patient office visit, about 30 minutes inpatient CPT 99203 NEW PATIENT MODERATE SEVERITY	$150.95	$264.83	—	—	43%
New patient office visit, about 30 minutes inpatient CPT 99203 99203 SPEC	$188.85	$331.32	—	—	43%
New patient office visit, about 45 minutes CPT 99204 99204 MODERATE SPEC	$281.96	$494.67	—	21% above	43%
New patient office visit, about 45 minutes inpatient CPT 99204 99204 MODERATE SPEC	$281.96	$494.67	—	—	43%
New patient office visit, about 60 minutes CPT 99205 NEW PT HIGH SEVERITY	$373.04	$654.45	—	29% above	43%
New patient office visit, about 60 minutes CPT 99205 99205 HIGH SPEC	$373.04	$654.45	—	29% above	43%
New patient office visit, about 60 minutes inpatient CPT 99205 99205 HIGH SPEC	$373.04	$654.45	—	—	43%
New patient office visit, about 60 minutes inpatient CPT 99205 NEW PT HIGH SEVERITY	$373.04	$654.45	—	—	43%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PATIENT LOW SEVERITY	$98.60	$172.99	—	18% below	43%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PT LOW/MOD SEVERITY	$122.62	$215.13	—	2% above	43%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 NEW PATIENT LOW SEVERITY	$98.60	$172.99	—	—	43%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 NEW PT LOW/MOD SEVERITY	$122.62	$215.13	—	—	43%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MAN THERAPY TECH AT 15MIN	$56.44	$99.01	$80.00	55% below	43%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MAN THERAPY TECH AT 15MIN	$56.44	$99.01	$80.00	—	43%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC STRENGHT EXER AT15	$59.84	$104.99	$80.00	65% below	43%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC STRENGHT EXER AT15	$59.84	$104.99	$80.00	—	43%
Preventive checkup, new patient aged 18–39 CPT 99385 WELL EXAM NEW PT 18-39 YRS	$108.93	$191.11	—	4% below	43%
Preventive checkup, new patient aged 18–39 CPT 99385 WELL EXAM NEW PT 18-39 YRS PCP	$108.93	$191.11	—	4% below	43%
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 WELL EXAM NEW PT 18-39 YRS	$108.93	$191.11	—	—	43%
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 WELL EXAM NEW PT 18-39 YRS PCP	$108.93	$191.11	—	—	43%
Preventive checkup, new patient aged 40–64 CPT 99386 WELL EXAM NEW PT 40-64 YRS	$128.74	$225.86	—	5% below	43%
Preventive checkup, new patient aged 40–64 CPT 99386 WELL EXAM NEW PT 40-64 YRS PCP	$128.74	$225.86	—	5% below	43%
Preventive checkup, new patient aged 40–64 inpatient CPT 99386 WELL EXAM NEW PT 40-64 YRS	$128.74	$225.86	—	—	43%
Preventive checkup, new patient aged 40–64 inpatient CPT 99386 WELL EXAM NEW PT 40-64 YRS PCP	$128.74	$225.86	—	—	43%
Preventive checkup, new patient aged 65 or older CPT 99387 WELL EXAM NEW PT 65+ YRS PCP	$139.30	$244.38	—	at median	43%
Preventive checkup, new patient aged 65 or older CPT 99387 WELL EXAM NEW PT 65+ YRS	$139.30	$244.38	—	at median	43%
Preventive checkup, new patient aged 65 or older inpatient CPT 99387 WELL EXAM NEW PT 65+ YRS	$139.30	$244.38	—	—	43%
Preventive checkup, new patient aged 65 or older inpatient CPT 99387 WELL EXAM NEW PT 65+ YRS PCP	$139.30	$244.38	—	—	43%
Preventive checkup, returning patient aged 18–39 CPT 99395 WELL EXAM EST PT 18-39 YRS PCP	$91.11	$159.84	—	at median	43%
Preventive checkup, returning patient aged 18–39 CPT 99395 WELL EXAM EST PT 18-39 YRS	$91.11	$159.84	—	at median	43%
Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 WELL EXAM EST PT 18-39 YRS PCP	$91.11	$159.84	—	—	43%
Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 WELL EXAM EST PT 18-39 YRS	$91.11	$159.84	—	—	43%
Preventive checkup, returning patient aged 40–64 CPT 99396 WELL EXAM EST PT 40-64 YRS PCP	$102.99	$180.68	—	at median	43%
Preventive checkup, returning patient aged 40–64 CPT 99396 WELL EXAM EST PT 40-64 YRS	$102.99	$180.68	—	at median	43%
Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 WELL EXAM EST PT 40-64 YRS PCP	$102.99	$180.68	—	—	43%
Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 WELL EXAM EST PT 40-64 YRS	$102.99	$180.68	—	—	43%
Preventive checkup, returning patient aged 65 or older CPT 99397 WELL EXAM EST PT 65+ YRS	$115.53	$202.68	—	at median	43%
Preventive checkup, returning patient aged 65 or older CPT 99397 WELL EXAM EST PT 65+ YRS PCP	$115.53	$202.68	—	at median	43%
Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 WELL EXAM EST PT 65+ YRS	$115.53	$202.68	—	—	43%
Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 WELL EXAM EST PT 65+ YRS PCP	$115.53	$202.68	—	—	43%
Psychiatric evaluation with medical services CPT 90792 PSYCHIATRIC DIAG EVAL W/ MEDICAL SVCS	$165.96	$291.15	—	24% below	43%
Psychiatric evaluation with medical services inpatient CPT 90792 PSYCHIATRIC DIAG EVAL W/ MEDICAL SVCS	$165.96	$291.15	—	—	43%
Psychotherapy session, 30 minutes CPT 90832 PSYCHOTHERAPY 30 MIN	$131.16	$230.10	—	at median	43%
Psychotherapy session, 30 minutes inpatient CPT 90832 PSYCHOTHERAPY 30 MIN	$131.16	$230.10	—	—	43%
Psychotherapy session, 45 minutes CPT 90834 PSYCHOTHERAPY 45 MINUTES	$173.14	$303.75	—	5% above	43%
Psychotherapy session, 45 minutes inpatient CPT 90834 PSYCHOTHERAPY 45 MINUTES	$173.14	$303.75	—	—	43%
Psychotherapy session, 60 minutes CPT 90837 PSYCHOTHERAPY 60 MIN	$254.35	$446.22	—	30% above	43%
Psychotherapy session, 60 minutes inpatient CPT 90837 PSYCHOTHERAPY 60 MIN	$254.35	$446.22	—	—	43%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKING CESS EDU 3-10 MIN	$18.49	$32.43	—	40% below	43%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 TOBACCO USE CESSATION INTERMEDIATE >10	$31.92	$56.00	$80.00	3% above	43%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 TOBACCO USE CESSATION INTERMEDIATE 310	$31.92	$56.00	$80.00	3% above	43%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKING CESS EDU 3-10 MIN PULM	$32.82	$57.58	—	6% above	43%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 SMOKING CESS EDU 3-10 MIN	$18.49	$32.43	—	—	43%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 TOBACCO USE CESSATION INTERMEDIATE 310	$31.92	$56.00	$80.00	—	43%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 TOBACCO USE CESSATION INTERMEDIATE >10	$31.92	$56.00	$80.00	—	43%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 SMOKING CESS EDU 3-10 MIN PULM	$32.82	$57.58	—	—	43%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 EST PT HIGH SEVERITY	$126.10	$221.22	—	51% below	43%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 LEVEL 5 (116-200)	$222.86	$390.98	$80.00	13% below	43%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 EST PT HIGH SEVERITY	$126.10	$221.22	—	—	43%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 LEVEL 5 (116-200)	$222.86	$390.98	$80.00	—	43%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 EST PATIENT MODERATE SEVERITY	$99.28	$174.17	—	33% below	43%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 LEVEL 3 (66-90)	$134.86	$236.60	$80.00	9% below	43%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 EST PT MOD SEVERITY PCP	$152.91	$268.26	—	3% above	43%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OV EST PT EXPANDED	$157.30	$275.97	—	6% above	43%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 EST PATIENT MODERATE SEVERITY	$99.28	$174.17	—	—	43%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 LEVEL 3 (66-90)	$134.86	$236.60	$80.00	—	43%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 EST PT MOD SEVERITY PCP	$152.91	$268.26	—	—	43%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OV EST PT EXPANDED	$157.30	$275.97	—	—	43%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 LEVEL 4 (91-115)	$175.35	$307.63	$80.00	21% below	43%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 EST PT MOD/HIGH SEVERITY PCP	$215.94	$378.84	—	3% below	43%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 LEVEL 4 (91-115)	$175.35	$307.63	$80.00	—	43%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 EST PT MOD/HIGH SEVERITY PCP	$215.94	$378.84	—	—	43%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 EST PATIENT LOW SEVERITY	$51.01	$89.49	—	47% below	43%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 EST PT LOW/MOD SEVERITY	$95.06	$166.77	—	2% below	43%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 LEVEL 2 (41-65)	$114.22	$200.38	$80.00	18% above	43%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 EST PATIENT LOW SEVERITY	$51.01	$89.49	—	—	43%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 EST PT LOW/MOD SEVERITY	$95.06	$166.77	—	—	43%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 LEVEL 2 (41-65)	$114.22	$200.38	$80.00	—	43%
Specialist consultation, low complexity or 30+ minutes CPT 99243 CONSULT MODERATE SEVERITY PCP	$114.22	$200.38	—	7% above	43%
Specialist consultation, low complexity or 30+ minutes CPT 99243 CONSULTATION	$146.84	$257.61	—	38% above	43%
Specialist consultation, low complexity or 30+ minutes CPT 99243 CONSULT MODERATE SEVERITY	$194.48	$341.20	—	82% above	43%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 CONSULT MODERATE SEVERITY PCP	$114.22	$200.38	—	—	43%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 CONSULTATION	$146.84	$257.61	—	—	43%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 CONSULT MODERATE SEVERITY	$194.48	$341.20	—	—	43%
Spirometry (breathing test) CPT 94010 SPIRO PRE PULM	$47.53	$83.39	—	73% below	43%
Spirometry (breathing test) CPT 94010 CONTRACTED SIMPLE SPIROMETRY	$68.00	$119.29	$80.00	61% below	43%
Spirometry (breathing test) CPT 94010 PFT SIMPLE SPIROMETRY	$216.60	$380.00	$80.00	24% above	43%
Spirometry (breathing test) CPT 94010 SPIROMETRY SIMPLE	$216.60	$380.00	—	24% above	43%
Spirometry (breathing test) inpatient CPT 94010 SPIRO PRE PULM	$47.53	$83.39	—	—	43%
Spirometry (breathing test) inpatient CPT 94010 CONTRACTED SIMPLE SPIROMETRY	$68.00	$119.29	$80.00	—	43%
Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY SIMPLE	$216.60	$380.00	—	—	43%
Spirometry (breathing test) inpatient CPT 94010 PFT SIMPLE SPIROMETRY	$216.60	$380.00	$80.00	—	43%
Spirometry before and after a bronchodilator CPT 94060 COMPLETE SPIRO PULM	$79.89	$140.15	—	65% below	43%
Spirometry before and after a bronchodilator CPT 94060 PFT PRE AND POST SPIROMETRY	$397.29	$697.00	$80.00	75% above	43%
Spirometry before and after a bronchodilator CPT 94060 BRONCHOSPASM EVALUATION	$397.29	$697.00	—	75% above	43%
Spirometry before and after a bronchodilator inpatient CPT 94060 COMPLETE SPIRO PULM	$79.89	$140.15	—	—	43%
Spirometry before and after a bronchodilator inpatient CPT 94060 PFT PRE AND POST SPIROMETRY	$397.29	$697.00	$80.00	—	43%
Spirometry before and after a bronchodilator inpatient CPT 94060 BRONCHOSPASM EVALUATION	$397.29	$697.00	—	—	43%
Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTV DIRECT AT 15MIN	$65.28	$114.52	$80.00	69% below	43%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPEUTIC ACTV DIRECT AT 15MIN	$65.28	$114.52	$80.00	—	43%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY THERAPEUTIC	$115.63	$202.86	$80.00	51% below	43%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY THERAPEUTIC	$115.63	$202.86	$80.00	—	43%
Treadmill or drug stress test with ECG, supervision and report CPT 93015 PF STRESS TEST PS W/ I&R	$216.83	$380.40	—	89% above	43%
Treadmill or drug stress test with ECG, supervision and report CPT 93015 STRESS TEST PHYS SUPR W/ I&R	$590.78	$1,036.46	$80.00	415% above	43%
Treadmill or drug stress test with ECG, supervision and report CPT 93015 LEXI NUCLEAR STRESS TEST	$590.78	$1,036.46	$80.00	415% above	43%
Treadmill or drug stress test with ECG, supervision and report inpatient CPT 93015 PF STRESS TEST PS W/ I&R	$216.83	$380.40	—	—	43%
Treadmill or drug stress test with ECG, supervision and report inpatient CPT 93015 LEXI NUCLEAR STRESS TEST	$590.78	$1,036.46	$80.00	—	43%
Treadmill or drug stress test with ECG, supervision and report inpatient CPT 93015 STRESS TEST PHYS SUPR W/ I&R	$590.78	$1,036.46	$80.00	—	43%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Arizona	Off list
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 CL- Flu Vacc. 65 Yrs & Older	$177.06	$310.63	$80.00	—	43%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 CL- Flu Vacc. 65 Yrs & Older	$177.06	$310.63	$80.00	—	43%
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 CL - SARSCOV2 VACCINE 50 MCG/0.5 ML IM	$83.17	$145.92	$80.00	8% below	43%
COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 CL - SARSCOV2 VACCINE 50 MCG/0.5 ML IM	$83.17	$145.92	$80.00	—	43%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 CL- Flu Vacc. 3 Yrs & Older	$74.33	$130.41	$80.00	1% above	43%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 CL- Flu Vacc. 3 Yrs & Older	$74.33	$130.41	$80.00	—	43%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 CL- GARDASIL 9	$413.05	$724.65	$80.00	at median	43%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 CL- GARDASIL 9	$413.05	$724.65	$80.00	—	43%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Hepatitis B Adult Vaccine	$148.84	$261.13	$80.00	96% above	43%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 CL- Hepatitis B Adult Vaccine	$204.69	$359.10	$80.00	170% above	43%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 Hepatitis B Adult Vaccine	$148.84	$261.13	$80.00	—	43%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 CL- Hepatitis B Adult Vaccine	$204.69	$359.10	$80.00	—	43%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 IIV NO PRSV INCREASED AG IM	$52.81	$92.65	—	13% below	43%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Flu Vaccince 65 YR+	$73.53	$129.00	$80.00	20% above	43%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Influenza HIGH-DOSE vac	$192.44	$337.61	$80.00	215% above	43%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 IIV NO PRSV INCREASED AG IM	$52.81	$92.65	—	—	43%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 Flu Vaccince 65 YR+	$73.53	$129.00	$80.00	—	43%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 Influenza HIGH-DOSE vac	$192.44	$337.61	$80.00	—	43%
MMR vaccine (measles, mumps and rubella), live CPT 90707 CL- MMR VACCINE SC	$185.59	$325.60	$80.00	23% above	43%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 CL- MMR VACCINE SC	$185.59	$325.60	$80.00	—	43%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 CL- MENINGOCOCCAL VACCINE	$246.12	$431.79	$80.00	32% below	43%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 CL- MENINGOCOCCAL VACCINE	$246.12	$431.79	$80.00	—	43%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 CL- PREVNAR 20 VACCINE	$390.91	$685.81	$80.00	37% below	43%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 CL- PREVNAR 20 VACCINE	$390.91	$685.81	$80.00	—	43%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL (OVER 5YRS) PCP	$50.84	$89.19	$80.00	32% below	43%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 CL- PNEUMOVAX 23 INJECTION	$207.47	$363.99	$80.00	177% above	43%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumococcal Vaccine 0.5ML	$214.33	$376.02	$80.00	186% above	43%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL (OVER 5YRS) PCP	$50.84	$89.19	$80.00	—	43%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 CL- PNEUMOVAX 23 INJECTION	$207.47	$363.99	$80.00	—	43%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 Pneumococcal Vaccine 0.5ML	$214.33	$376.02	$80.00	—	43%
Rabies vaccine, one dose CPT 90675 Rabies Vaccine (RabAvert)	$849.06	$1,489.58	$80.00	131% above	43%
Rabies vaccine, one dose inpatient CPT 90675 Rabies Vaccine (RabAvert)	$849.06	$1,489.58	$80.00	—	43%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 CL- TETANUS AND DIPHTHERIA TOXOIDS	$89.79	$157.52	$80.00	6% below	43%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Tetanus/Diphtheria Toxoid 0.5 ML	$93.80	$164.57	$80.00	1% below	43%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 CL- TETANUS AND DIPHTHERIA TOXOIDS	$89.79	$157.52	$80.00	—	43%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 Tetanus/Diphtheria Toxoid 0.5 ML	$93.80	$164.57	$80.00	—	43%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 CL- TDAP vaccine	$161.56	$283.43	$80.00	14% above	43%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tdap Adolescent Adult 0.5 ML	$162.58	$285.22	$80.00	15% above	43%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 CL- TDAP vaccine	$161.56	$283.43	$80.00	—	43%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Tdap Adolescent Adult 0.5 ML	$162.58	$285.22	$80.00	—	43%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 ADMIN OVER 18 VAC/TOX: INITIAL	$33.79	$59.28	—	32% below	43%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION	$63.75	$111.85	$80.00	28% above	43%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471 ADMIN OVER 18 VAC/TOX: INITIAL	$33.79	$59.28	—	—	43%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION	$63.75	$111.85	$80.00	—	43%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472 ADMIN OVER 18 VAC/TOX, TWO OR MORE	$24.25	$42.54	—	40% below	43%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION EACH ADDITIONAL	$31.92	$56.00	$80.00	21% below	43%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 90472 ADMIN OVER 18 VAC/TOX, TWO OR MORE	$24.25	$42.54	—	—	43%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUNIZATION EACH ADDITIONAL	$31.92	$56.00	$80.00	—	43%

Source file: https://www.wmrmc.com/Data/Sites/8/media/patients-visitors/no-surprise-billing/860171900_white-mountain-regional-medical-center_standardcharges.csv