Hospital Pittsburgh, PA

UPMC Washington

UPMC Washington in Washington, PA publishes cash prices for 344 common procedures listed here, from its own machine-readable price file updated Mar 6, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Pennsylvania median for 313 of 342 procedures and above it for 26. By typical cash price it ranks #13 of 108 Pennsylvania hospitals and #4 of 26 hospitals in the Pittsburgh, PA area, cheapest first. Select a procedure to compare it with other hospitals nearby.

155 Wilson Avenue Washington, PA Collected Sep 22, 2026 Source price file Check a bill from this hospital (724) 225-7000

Acute care hospital Nonprofit hospital Emergency department CMS star rating 4 of 5 CCN 390042 · CMS hospital register NPI 1609984889

Financial assistance

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

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

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

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

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Pennsylvania	Off list
Abdominal CT scan without and with contrast CPT 74170 CT ABDOMEN W&W/O	$1,141.21	$1,630.30	$127.29–$1,173.82	40% below	30%
Abdominal CT scan without and with contrast inpatient CPT 74170 CT ABDOMEN W&W/O	$978.18	$1,630.30	$1,141.21	—	40%
Abdominal X-ray, 2 views CPT 74019 FLAT & UPRIGHT ABDOMEN	$222.60	$318.00	$29.69–$233.80	32% below	30%
Abdominal X-ray, 2 views CPT 74019 ABDOMEN DECUBS ONLY-BOTH	$222.60	$318.00	$29.69–$233.80	32% below	30%
Abdominal X-ray, 2 views one side CPT 74019 ABDOMEN W LATERAL-RT	$222.60	$318.00	$29.69–$228.96	32% below	30%
Abdominal X-ray, 2 views one side CPT 74019 ABDOMEN W LATERAL-LT	$222.60	$318.00	$29.69–$228.96	32% below	30%
Abdominal X-ray, 2 views one side CPT 74019 KUB WITH OBLIQUE-LT	$222.60	$318.00	$29.69–$228.96	32% below	30%
Abdominal X-ray, 2 views one side CPT 74019 KUB WITH OBLIQUE-RT	$222.60	$318.00	$29.69–$228.96	32% below	30%
Abdominal X-ray, 2 views inpatient CPT 74019 FLAT & UPRIGHT ABDOMEN	$190.80	$318.00	$222.60	—	40%
Abdominal X-ray, 2 views inpatient CPT 74019 ABDOMEN DECUBS ONLY-BOTH	$190.80	$318.00	$222.60	—	40%
Abdominal X-ray, 2 views inpatient one side CPT 74019 ABDOMEN W LATERAL-LT	$190.80	$318.00	$222.60	—	40%
Abdominal X-ray, 2 views inpatient one side CPT 74019 KUB WITH OBLIQUE-LT	$190.80	$318.00	$222.60	—	40%
Abdominal X-ray, 2 views inpatient one side CPT 74019 KUB WITH OBLIQUE-RT	$190.80	$318.00	$222.60	—	40%
Abdominal X-ray, 2 views inpatient one side CPT 74019 ABDOMEN W LATERAL-RT	$190.80	$318.00	$222.60	—	40%
Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE-LEFT	$154.04	$220.05	$30.79–$175.81	58% below	30%
Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE-RIGHT	$154.04	$220.05	$30.79–$175.81	58% below	30%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 ANKLE-LEFT	$132.03	$220.05	$154.03	—	40%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 ANKLE-RIGHT	$132.03	$220.05	$154.03	—	40%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 ABI / PVR SINGLE LEVEL	$99.96	$142.80	$48.55–$283.41	78% below	30%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US ANKLE BRACHIAL INDEX	$697.90	$997.00	$56.11–$717.84	56% above	30%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 NONINVASIVE ARTERIAL ARMS	$873.32	$1,247.60	$56.11–$898.27	95% above	30%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 ABI / PVR SINGLE LEVEL	$85.68	$142.80	$99.96	—	40%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 US ANKLE BRACHIAL INDEX	$598.20	$997.00	$697.90	—	40%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 NONINVASIVE ARTERIAL ARMS	$748.56	$1,247.60	$873.32	—	40%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UPPER EXT SURGICAL PLAN-RT	$896.03	$1,280.05	$145.98–$921.64	24% below	30%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UPPER EXT SURGICAL PLAN-LT	$896.03	$1,280.05	$76.03–$921.64	24% below	30%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UPPER EXTREMITY WO-RT	$896.03	$1,280.05	$145.98–$921.64	24% below	30%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UPPER EXTREMITY WO-LT	$896.03	$1,280.05	$145.98–$921.64	24% below	30%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT UPPER EXT SURGICAL PLAN-LT	$768.03	$1,280.05	$896.03	—	40%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT UPPER EXTREMITY WO-RT	$768.03	$1,280.05	$896.03	—	40%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT UPPER EXTREMITY WO-LT	$768.03	$1,280.05	$896.03	—	40%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT UPPER EXT SURGICAL PLAN-RT	$768.03	$1,280.05	$896.03	—	40%
Barium swallow (esophagus X-ray with contrast) CPT 74220 ESOPHAGUS/BA SWALLOW	$324.10	$463.00	$43.12–$391.41	30% below	30%
Barium swallow (esophagus X-ray with contrast) CPT 74220 ESOPHAGUS SINGLE CONTRAST	$556.50	$795.00	$43.12–$572.40	21% above	30%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 ESOPHAGUS/BA SWALLOW	$277.80	$463.00	$324.10	—	40%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 ESOPHAGUS SINGLE CONTRAST	$477.00	$795.00	$556.50	—	40%
Bone scan, whole body (nuclear medicine) CPT 78306 BONE WHOLEBODY-E	$995.54	$1,422.20	$116.70–$1,023.98	19% below	30%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 BONE WHOLEBODY-E	$853.32	$1,422.20	$995.54	—	40%
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST COMPLETE-RT	$371.00	$530.00	$91.86–$381.60	32% below	30%
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST COMPLETE-LT	$371.00	$530.00	$91.86–$381.60	32% below	30%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST COMPLETE-LT	$318.00	$530.00	$371.00	—	40%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST COMPLETE-RT	$318.00	$530.00	$371.00	—	40%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST LIMITED-LT	$296.80	$424.00	$75.41–$305.28	36% below	30%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST LIMITED-RT	$296.80	$424.00	$75.41–$305.28	36% below	30%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST LIMITED-RT	$254.40	$424.00	$296.80	—	40%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST LIMITED-LT	$254.40	$424.00	$296.80	—	40%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA ABDOMEN PELVIS-E	$2,270.24	$3,243.20	$255.36–$2,335.10	24% below	30%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CTA ABDOMEN PELVIS-E	$1,945.92	$3,243.20	$2,270.24	—	40%
CT angiography (CTA) of the head CPT 70496 CTA HEAD W & W/O	$1,128.40	$1,612.00	$127.29–$1,160.64	34% below	30%
CT angiography (CTA) of the head inpatient CPT 70496 CTA HEAD W & W/O	$967.20	$1,612.00	$1,128.40	—	40%
CT angiography (CTA) of the neck CPT 70498 CTA NECK W & W/O	$1,128.40	$1,612.00	$127.29–$1,160.64	32% below	30%
CT angiography (CTA) of the neck inpatient CPT 70498 CTA NECK W & W/O	$967.20	$1,612.00	$1,128.40	—	40%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST- PULMONARY EMBOLUS	$1,128.40	$1,612.00	$127.29–$1,160.64	41% below	30%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST W & W/O	$1,128.40	$1,612.00	$127.29–$1,160.64	41% below	30%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST FOR PULMONARY VEINS	$1,128.40	$1,612.00	$127.29–$1,160.64	41% below	30%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA CHEST- PULMONARY EMBOLUS	$967.20	$1,612.00	$1,128.40	—	40%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA CHEST FOR PULMONARY VEINS	$967.20	$1,612.00	$1,128.40	—	40%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA CHEST W & W/O	$967.20	$1,612.00	$1,128.40	—	40%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT CORONARIES- STRUCTURE WWO	$1,128.40	$1,612.00	$255.36–$1,160.64	43% below	30%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT CORONARIES WWO-C SCORING WO	$1,128.40	$1,612.00	$255.36–$1,160.64	43% below	30%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT CORONARIES ONLY WWO	$1,128.40	$1,612.00	$255.36–$1,160.64	43% below	30%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT CORON-STRUCT WWO-C SCOR WO	$1,128.40	$1,612.00	$255.36–$1,160.64	43% below	30%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CT CORONARIES WWO-C SCORING WO	$967.20	$1,612.00	$1,128.40	—	40%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CT CORONARIES ONLY WWO	$967.20	$1,612.00	$1,128.40	—	40%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CT CORONARIES- STRUCTURE WWO	$967.20	$1,612.00	$1,128.40	—	40%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CT CORON-STRUCT WWO-C SCOR WO	$967.20	$1,612.00	$1,128.40	—	40%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT HEART-CALCIUM SCORING WO	$1,128.40	$1,612.00	$62.96–$1,160.64	538% above	30%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT HEART-CALCIUM SCORING WO	$967.20	$1,612.00	$1,128.40	—	40%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD WO PELVIS WO	$810.81	$1,158.30	$172.84–$916.00	61% below	30%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABD WO PELVIS WO	$694.98	$1,158.30	$810.81	—	40%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD/PELVIS-ENTEROGRAPHY	$973.00	$1,390.00	$255.36–$1,000.80	67% below	30%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD W PELVIS W	$973.00	$1,390.00	$255.36–$1,000.80	67% below	30%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD/PELVIS-ENTEROGRAPHY	$834.00	$1,390.00	$973.00	—	40%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD W PELVIS W	$834.00	$1,390.00	$973.00	—	40%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD WO/W PELVIS WO	$1,135.12	$1,621.60	$255.36–$1,167.55	62% below	30%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD WO/W PELVIS WO/W	$1,135.12	$1,621.60	$255.36–$1,167.55	62% below	30%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD W PELVIS WO/W	$1,135.12	$1,621.60	$255.36–$1,167.55	62% below	30%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD WO/W PELVIS W	$1,135.12	$1,621.60	$255.36–$1,167.55	62% below	30%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABD WO/W PELVIS W	$972.96	$1,621.60	$1,135.12	—	40%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABD WO/W PELVIS WO/W	$972.96	$1,621.60	$1,135.12	—	40%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABD W PELVIS WO/W	$972.96	$1,621.60	$1,135.12	—	40%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABD WO/W PELVIS WO	$972.96	$1,621.60	$1,135.12	—	40%
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W	$556.50	$795.00	$127.29–$916.00	66% below	30%
CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN W	$477.00	$795.00	$556.50	—	40%
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O	$896.03	$1,280.05	$76.03–$921.64	21% below	30%
CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN W/O	$768.03	$1,280.05	$896.03	—	40%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT FACIAL BONES W/O	$896.03	$1,280.05	$76.03–$921.64	20% below	30%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT TEMPROMANDIBULAR JOINTSW/O	$896.03	$1,280.05	$76.03–$921.64	20% below	30%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MANDIBLE W/O CONTRAST	$896.03	$1,280.05	$76.03–$921.64	20% below	30%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLA W/O CONTRAST	$896.03	$1,280.05	$76.03–$921.64	20% below	30%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT SINUSES W/O CONT	$896.03	$1,280.05	$76.03–$921.64	20% below	30%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT GUIDE STEREO LOCALIZATION	$1,063.16	$1,518.80	$76.03–$1,093.54	6% below	30%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT FACIAL BONES W/O	$768.03	$1,280.05	$896.03	—	40%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT SINUSES W/O CONT	$768.03	$1,280.05	$896.03	—	40%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT TEMPROMANDIBULAR JOINTSW/O	$768.03	$1,280.05	$896.03	—	40%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MANDIBLE W/O CONTRAST	$768.03	$1,280.05	$896.03	—	40%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MAXILLA W/O CONTRAST	$768.03	$1,280.05	$896.03	—	40%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT GUIDE STEREO LOCALIZATION	$911.28	$1,518.80	$1,063.16	—	40%
CT scan of the head or brain, no contrast dye CPT 70450 CT BRAIN W/O STROKE PROTOCOL	$896.03	$1,280.05	$76.03–$921.64	17% below	30%
CT scan of the head or brain, no contrast dye CPT 70450 CT BRAIN W/O CONTRA	$896.03	$1,280.05	$76.03–$921.64	17% below	30%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT BRAIN W/O STROKE PROTOCOL	$768.03	$1,280.05	$896.03	—	40%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT BRAIN W/O CONTRA	$768.03	$1,280.05	$896.03	—	40%
CT scan of the head with contrast CPT 70460 CT BRAIN W/CONTRAST	$896.03	$1,280.05	$127.29–$921.64	34% below	30%
CT scan of the head with contrast inpatient CPT 70460 CT BRAIN W/CONTRAST	$768.03	$1,280.05	$896.03	—	40%
CT scan of the head without and with contrast CPT 70470 CT BRAIN W&W/O CONTRAST	$1,141.21	$1,630.30	$127.29–$1,173.82	32% below	30%
CT scan of the head without and with contrast CPT 70470 CT BRAIN PERFUSION W WO	$1,141.21	$1,630.30	$127.29–$1,173.82	32% below	30%
CT scan of the head without and with contrast inpatient CPT 70470 CT BRAIN PERFUSION W WO	$978.18	$1,630.30	$1,141.21	—	40%
CT scan of the head without and with contrast inpatient CPT 70470 CT BRAIN W&W/O CONTRAST	$978.18	$1,630.30	$1,141.21	—	40%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMB. SPINE W/O	$896.03	$1,280.05	$76.03–$921.64	22% below	30%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT LUMB. SPINE W/O	$768.03	$1,280.05	$896.03	—	40%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT CERV. SPINE W/O	$896.03	$1,280.05	$76.03–$921.64	24% below	30%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT CERV. SPINE W/O	$768.03	$1,280.05	$896.03	—	40%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W	$896.03	$1,280.05	$127.29–$921.64	47% below	30%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W	$768.03	$1,280.05	$896.03	—	40%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 CAROTID DOPPLER COMP BILAT	$630.70	$901.00	$170.04–$648.72	—	30%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 CAROTID DOPPLER	$436.24	$623.20	$170.04–$531.46	46% below	30%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 CAROTID DOPPLER COMP BILAT	$540.60	$901.00	$630.70	—	40%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 CAROTID DOPPLER	$373.92	$623.20	$436.24	—	40%
Chest CT scan without and with contrast CPT 71270 CT THORAX W&W/O	$1,141.21	$1,630.30	$127.29–$1,173.82	29% below	30%
Chest CT scan without and with contrast inpatient CPT 71270 CT THORAX W&W/O	$978.18	$1,630.30	$1,141.21	—	40%
Chest X-ray, 2 views CPT 71046 CHEST DECUBS ONLY- BOTH	$259.70	$371.00	$27.19–$267.12	19% below	30%
Chest X-ray, 2 views CPT 71046 CHEST WITH APICAL LORDOTIC	$259.70	$371.00	$27.19–$267.12	19% below	30%
Chest X-ray, 2 views CPT 71046 CHEST INSPIRATION & EXPIRATION	$259.70	$371.00	$27.19–$267.12	19% below	30%
Chest X-ray, 2 views CPT 71046 CHEST LATERAL ONLY- BOTH	$259.70	$371.00	$27.19–$267.12	19% below	30%
Chest X-ray, 2 views CPT 71046 CHEST PRE-MRI- 2 VIEWS	$259.70	$371.00	$27.19–$267.12	19% below	30%
Chest X-ray, 2 views CPT 71046 CHEST OBLIQUES ONLY- BOTH	$259.70	$371.00	$27.19–$267.12	19% below	30%
Chest X-ray, 2 views one side CPT 71046 CHEST PA LAT-LT NIOSH BL LUNG	$92.75	$132.50	$27.19–$193.61	71% below	30%
Chest X-ray, 2 views one side CPT 71046 CHEST WITH LATERAL- RT	$259.70	$371.00	$27.19–$267.12	19% below	30%
Chest X-ray, 2 views one side CPT 71046 CHEST WITH LATERAL- LT	$259.70	$371.00	$27.19–$267.12	19% below	30%
Chest X-ray, 2 views one side CPT 71046 CHEST PA W DECUBITUS-RT	$259.70	$371.00	$27.19–$267.12	19% below	30%
Chest X-ray, 2 views one side CPT 71046 CHEST PA WITH OBLIQUE-LT	$259.70	$371.00	$27.19–$267.12	19% below	30%
Chest X-ray, 2 views one side CPT 71046 CHEST PA WITH OBLIQUE-RT	$259.70	$371.00	$27.19–$267.12	19% below	30%
Chest X-ray, 2 views one side CPT 71046 CHEST PA LAT-LT ENVIR PROTOCOL	$259.70	$371.00	$27.19–$267.12	19% below	30%
Chest X-ray, 2 views one side CPT 71046 CHEST PA W DECUBITUS-LT	$259.70	$371.00	$27.19–$267.12	19% below	30%
Chest X-ray, 2 views inpatient CPT 71046 CHEST LATERAL ONLY- BOTH	$222.60	$371.00	$259.70	—	40%
Chest X-ray, 2 views inpatient CPT 71046 CHEST WITH APICAL LORDOTIC	$222.60	$371.00	$259.70	—	40%
Chest X-ray, 2 views inpatient CPT 71046 CHEST INSPIRATION & EXPIRATION	$222.60	$371.00	$259.70	—	40%
Chest X-ray, 2 views inpatient CPT 71046 CHEST DECUBS ONLY- BOTH	$222.60	$371.00	$259.70	—	40%
Chest X-ray, 2 views inpatient CPT 71046 CHEST OBLIQUES ONLY- BOTH	$222.60	$371.00	$259.70	—	40%
Chest X-ray, 2 views inpatient CPT 71046 CHEST PRE-MRI- 2 VIEWS	$222.60	$371.00	$259.70	—	40%
Chest X-ray, 2 views inpatient one side CPT 71046 CHEST PA LAT-LT NIOSH BL LUNG	$79.50	$132.50	$92.75	—	40%
Chest X-ray, 2 views inpatient one side CPT 71046 CHEST PA W DECUBITUS-LT	$222.60	$371.00	$259.70	—	40%
Chest X-ray, 2 views inpatient one side CPT 71046 CHEST PA WITH OBLIQUE-RT	$222.60	$371.00	$259.70	—	40%
Chest X-ray, 2 views inpatient one side CPT 71046 CHEST PA WITH OBLIQUE-LT	$222.60	$371.00	$259.70	—	40%
Chest X-ray, 2 views inpatient one side CPT 71046 CHEST PA LAT-LT ENVIR PROTOCOL	$222.60	$371.00	$259.70	—	40%
Chest X-ray, 2 views inpatient one side CPT 71046 CHEST PA W DECUBITUS-RT	$222.60	$371.00	$259.70	—	40%
Chest X-ray, 2 views inpatient one side CPT 71046 CHEST WITH LATERAL- LT	$222.60	$371.00	$259.70	—	40%
Chest X-ray, 2 views inpatient one side CPT 71046 CHEST WITH LATERAL- RT	$222.60	$371.00	$259.70	—	40%
Chest X-ray, single view CPT 71045 CHEST PA-ENVIROMENTAL PROTOCOL	$92.75	$132.50	$17.80–$193.61	51% below	30%
Chest X-ray, single view CPT 71045 CHEST PA- BLACK LUNG (NIOSH)	$92.75	$132.50	$17.80–$193.61	51% below	30%
Chest X-ray, single view CPT 71045 RAD SPOT FILM CHEST	$179.69	$256.70	$17.80–$193.61	5% below	30%
Chest X-ray, single view CPT 71045 CHEST SINGLE VIEW	$185.08	$264.40	$17.80–$193.61	2% below	30%
Chest X-ray, single view CPT 71045 CHEST EXPIRATION ONLY	$185.08	$264.40	$17.80–$193.61	2% below	30%
Chest X-ray, single view CPT 71045 CHEST FOR CATH LINE PLACEMENT	$185.08	$264.40	$17.80–$193.61	2% below	30%
Chest X-ray, single view CPT 71045 CHEST FOR DOBHOFF PLACEMENT	$185.08	$264.40	$17.80–$193.61	2% below	30%
Chest X-ray, single view CPT 71045 INSP CHEST SPEC	$185.08	$264.40	$17.80–$193.61	2% below	30%
Chest X-ray, single view CPT 71045 EXP CHEST SPEC	$185.08	$264.40	$17.80–$193.61	2% below	30%
Chest X-ray, single view CPT 71045 CHEST PORTABLE	$185.08	$264.40	$17.80–$193.61	2% below	30%
Chest X-ray, single view CPT 71045 BUCKY CHEST	$259.70	$371.00	$17.80–$267.12	38% above	30%
Chest X-ray, single view CPT 71045 CHEST APICAL LORDOTIC ONLY	$259.70	$371.00	$17.80–$267.12	38% above	30%
Chest X-ray, single view one side CPT 71045 CHEST LATERAL ONLY- LT	$104.16	$148.80	$17.80–$193.61	45% below	30%
Chest X-ray, single view one side CPT 71045 CHEST LATERAL ONLY-RT	$185.08	$264.40	$17.80–$190.37	2% below	30%
Chest X-ray, single view one side CPT 71045 CHEST DECUB ONLY- LT	$259.70	$371.00	$17.80–$267.12	38% above	30%
Chest X-ray, single view one side CPT 71045 CHEST OBLIQUE ONLY- LT	$259.70	$371.00	$17.80–$267.12	38% above	30%
Chest X-ray, single view one side CPT 71045 CHEST OBLIQUE ONLY- RT	$259.70	$371.00	$17.80–$267.12	38% above	30%
Chest X-ray, single view one side CPT 71045 CHEST DECUB ONLY- RT	$259.70	$371.00	$17.80–$267.12	38% above	30%
Chest X-ray, single view inpatient CPT 71045 CHEST PA-ENVIROMENTAL PROTOCOL	$79.50	$132.50	$92.75	—	40%
Chest X-ray, single view inpatient CPT 71045 CHEST PA- BLACK LUNG (NIOSH)	$79.50	$132.50	$92.75	—	40%
Chest X-ray, single view inpatient CPT 71045 RAD SPOT FILM CHEST	$154.02	$256.70	$179.69	—	40%
Chest X-ray, single view inpatient CPT 71045 CHEST SINGLE VIEW	$158.64	$264.40	$185.08	—	40%
Chest X-ray, single view inpatient CPT 71045 EXP CHEST SPEC	$158.64	$264.40	$185.08	—	40%
Chest X-ray, single view inpatient CPT 71045 INSP CHEST SPEC	$158.64	$264.40	$185.08	—	40%
Chest X-ray, single view inpatient CPT 71045 CHEST FOR DOBHOFF PLACEMENT	$158.64	$264.40	$185.08	—	40%
Chest X-ray, single view inpatient CPT 71045 CHEST FOR CATH LINE PLACEMENT	$158.64	$264.40	$185.08	—	40%
Chest X-ray, single view inpatient CPT 71045 CHEST EXPIRATION ONLY	$158.64	$264.40	$185.08	—	40%
Chest X-ray, single view inpatient CPT 71045 CHEST PORTABLE	$158.64	$264.40	$185.08	—	40%
Chest X-ray, single view inpatient CPT 71045 CHEST APICAL LORDOTIC ONLY	$222.60	$371.00	$259.70	—	40%
Chest X-ray, single view inpatient CPT 71045 BUCKY CHEST	$222.60	$371.00	$259.70	—	40%
Chest X-ray, single view inpatient one side CPT 71045 CHEST LATERAL ONLY- LT	$89.28	$148.80	$104.16	—	40%
Chest X-ray, single view inpatient one side CPT 71045 CHEST LATERAL ONLY-RT	$158.64	$264.40	$185.08	—	40%
Chest X-ray, single view inpatient one side CPT 71045 CHEST DECUB ONLY- LT	$222.60	$371.00	$259.70	—	40%
Chest X-ray, single view inpatient one side CPT 71045 CHEST OBLIQUE ONLY- RT	$222.60	$371.00	$259.70	—	40%
Chest X-ray, single view inpatient one side CPT 71045 CHEST OBLIQUE ONLY- LT	$222.60	$371.00	$259.70	—	40%
Chest X-ray, single view inpatient one side CPT 71045 CHEST DECUB ONLY- RT	$222.60	$371.00	$259.70	—	40%
Collarbone (clavicle) X-ray, complete one side CPT 73000 CLAVICLE-RT	$167.16	$238.80	$21.64–$175.81	42% below	30%
Collarbone (clavicle) X-ray, complete one side CPT 73000 CLAVICLE LT	$167.16	$238.80	$21.64–$175.81	42% below	30%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 CLAVICLE LT	$143.28	$238.80	$167.16	—	40%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 CLAVICLE-RT	$143.28	$238.80	$167.16	—	40%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 ABDOMINAL NODES/RET	$371.00	$530.00	$76.03–$381.60	49% below	30%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 ULTRASOUND OF KIDNEYS-BIL	$371.00	$530.00	$76.03–$381.60	49% below	30%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 ADRENALS-ULTRASOUND	$371.00	$530.00	$76.03–$381.60	49% below	30%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 KIDNEY & BLADDER ULTRASOUND	$371.00	$530.00	$76.03–$381.60	49% below	30%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 ULTRA OF KIDNEYS (E)	$371.00	$530.00	$76.03–$381.60	49% below	30%
Complete ultrasound of the back of the abdomen, such as both kidneys one side CPT 76770 ULTRASOUND OF KIDNEYS-LT	$371.00	$530.00	$93.72–$381.60	49% below	30%
Complete ultrasound of the back of the abdomen, such as both kidneys one side CPT 76770 ULTRASOUND OF KIDNEYS-RT	$371.00	$530.00	$93.72–$381.60	49% below	30%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 ABDOMINAL NODES/RET	$318.00	$530.00	$371.00	—	40%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 ADRENALS-ULTRASOUND	$318.00	$530.00	$371.00	—	40%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 KIDNEY & BLADDER ULTRASOUND	$318.00	$530.00	$371.00	—	40%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 ULTRA OF KIDNEYS (E)	$318.00	$530.00	$371.00	—	40%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 ULTRASOUND OF KIDNEYS-BIL	$318.00	$530.00	$371.00	—	40%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient one side CPT 76770 ULTRASOUND OF KIDNEYS-RT	$318.00	$530.00	$371.00	—	40%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient one side CPT 76770 ULTRASOUND OF KIDNEYS-LT	$318.00	$530.00	$371.00	—	40%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DEXA BONE DENSITY STUDY	$203.28	$290.40	$69.13–$233.80	25% below	30%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 DEXA BONE DENSITY STUDY	$174.24	$290.40	$203.28	—	40%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DEXA BONE MINERAL STUDY APPEND	$183.89	$262.70	$31.60–$193.61	2% above	30%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 DEXA BONE MINERAL STUDY APPEND	$157.62	$262.70	$183.89	—	40%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 OB EXTENDED	$432.95	$618.50	$172.84–$531.46	66% below	30%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 OB EXTENDED	$371.10	$618.50	$432.95	—	40%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST WO-LOW DOSE	$896.03	$1,280.05	$76.03–$921.64	19% below	30%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX W/O	$896.03	$1,280.05	$76.03–$921.64	19% below	30%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST WO-HIGH RESOLUTION	$896.03	$1,280.05	$76.03–$921.64	19% below	30%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT THORAX W/O	$768.03	$1,280.05	$896.03	—	40%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST WO-LOW DOSE	$768.03	$1,280.05	$896.03	—	40%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST WO-HIGH RESOLUTION	$768.03	$1,280.05	$896.03	—	40%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 COMPONENT CANNOT INACTIVE	$896.03	$1,280.05	$127.29–$921.64	37% below	30%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT THORAX W/	$896.03	$1,280.05	$127.29–$921.64	37% below	30%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 COMPONENT CANNOT INACTIVE	$768.03	$1,280.05	$896.03	—	40%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT THORAX W/	$768.03	$1,280.05	$896.03	—	40%
Diagnostic mammogram, both breasts both sides CPT 77066 BILAT DIAG MAMMO CALL BACK-E	$408.10	$583.00	$140.55–$419.76	—	30%
Diagnostic mammogram, both breasts CPT 77066 MAMMOGRAM DIAGNOSTIC-BIL	$408.10	$583.00	$140.55–$419.76	26% above	30%
Diagnostic mammogram, both breasts CPT 77066 MAMMOGRAM DIAG BASELINE-BIL	$408.10	$583.00	$140.55–$419.76	26% above	30%
Diagnostic mammogram, both breasts CPT 77066 MAMMOGRAM DIAG CALL BACK-BIL	$408.10	$583.00	$140.55–$419.76	26% above	30%
Diagnostic mammogram, both breasts CPT 77066 MAMMOGRAM BIL DIAGNOSTIC-E	$408.10	$583.00	$140.55–$419.76	26% above	30%
Diagnostic mammogram, both breasts CPT 77066 MAMMOGRAM DIAG BASELINE-E	$408.10	$583.00	$140.55–$419.76	26% above	30%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 BILAT DIAG MAMMO CALL BACK-E	$349.80	$583.00	$408.10	—	40%
Diagnostic mammogram, both breasts inpatient CPT 77066 MAMMOGRAM DIAG CALL BACK-BIL	$349.80	$583.00	$408.10	—	40%
Diagnostic mammogram, both breasts inpatient CPT 77066 MAMMOGRAM BIL DIAGNOSTIC-E	$349.80	$583.00	$408.10	—	40%
Diagnostic mammogram, both breasts inpatient CPT 77066 MAMMOGRAM DIAG BASELINE-E	$349.80	$583.00	$408.10	—	40%
Diagnostic mammogram, both breasts inpatient CPT 77066 MAMMOGRAM DIAG BASELINE-BIL	$349.80	$583.00	$408.10	—	40%
Diagnostic mammogram, both breasts inpatient CPT 77066 MAMMOGRAM DIAGNOSTIC-BIL	$349.80	$583.00	$408.10	—	40%
Diagnostic mammogram, one breast CPT 77065 LT DIAG MAMMO CALL BACK-E	$333.90	$477.00	$111.29–$343.44	5% above	30%
Diagnostic mammogram, one breast CPT 77065 RT DIAG MAMMO CALL BACK-E	$333.90	$477.00	$111.29–$343.44	5% above	30%
Diagnostic mammogram, one breast one side CPT 77065 MAMMOGRAM LT DIAGNOSTIC-E	$333.90	$477.00	$111.29–$343.44	5% above	30%
Diagnostic mammogram, one breast one side CPT 77065 MAMMOGRAM DIAGNOSTIC-LT	$333.90	$477.00	$111.29–$343.44	5% above	30%
Diagnostic mammogram, one breast one side CPT 77065 MAMMOGRAM DIAGNOSTIC-RT	$333.90	$477.00	$111.29–$343.44	5% above	30%
Diagnostic mammogram, one breast one side CPT 77065 MAMMOGRAM DIAG CALL BACK-LT	$333.90	$477.00	$111.29–$343.44	5% above	30%
Diagnostic mammogram, one breast one side CPT 77065 MAMMOGRAM DIAG CALL BACK-RT	$333.90	$477.00	$111.29–$343.44	5% above	30%
Diagnostic mammogram, one breast one side CPT 77065 MAMMOGRAM RT DIAGNOSTIC-E	$333.90	$477.00	$111.29–$343.44	5% above	30%
Diagnostic mammogram, one breast inpatient CPT 77065 LT DIAG MAMMO CALL BACK-E	$286.20	$477.00	$333.90	—	40%
Diagnostic mammogram, one breast inpatient CPT 77065 RT DIAG MAMMO CALL BACK-E	$286.20	$477.00	$333.90	—	40%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MAMMOGRAM RT DIAGNOSTIC-E	$286.20	$477.00	$333.90	—	40%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MAMMOGRAM DIAGNOSTIC-RT	$286.20	$477.00	$333.90	—	40%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MAMMOGRAM DIAG CALL BACK-RT	$286.20	$477.00	$333.90	—	40%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MAMMOGRAM DIAGNOSTIC-LT	$286.20	$477.00	$333.90	—	40%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MAMMOGRAM LT DIAGNOSTIC-E	$286.20	$477.00	$333.90	—	40%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MAMMOGRAM DIAG CALL BACK-LT	$286.20	$477.00	$333.90	—	40%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 DUPLEX LOWER EXT ARTRL-BILAT	$287.70	$411.00	$139.74–$531.46	—	30%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 ART COLOR IMAGING, BILAT LEGS	$886.34	$1,266.20	$168.83–$911.66	—	30%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 ARTERIAL GRAFT IMAGE,BILAT LEG	$1,091.58	$1,559.40	$168.83–$1,122.77	—	30%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 DUPLEX LOWER EXT ARTRL-BILAT	$246.60	$411.00	$287.70	—	40%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 ART COLOR IMAGING, BILAT LEGS	$759.72	$1,266.20	$886.34	—	40%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 ARTERIAL GRAFT IMAGE,BILAT LEG	$935.64	$1,559.40	$1,091.58	—	40%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 VENOUS DOPPLER BILAT	$287.70	$411.00	$139.74–$531.46	—	30%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 VEIN MAPPING BILATERAL	$726.18	$1,037.40	$168.66–$746.93	—	30%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 VENOUS DOPPLER BILAT ARMS	$886.34	$1,266.20	$168.66–$911.66	—	30%
Duplex ultrasound of the leg veins, both legs CPT 93970 US VEIN MAPPING LOWER EXT-BIL	$726.18	$1,037.40	$168.66–$746.93	16% below	30%
Duplex ultrasound of the leg veins, both legs CPT 93970 VENOUS DOPPLER PRE ABLATION	$886.34	$1,266.20	$168.66–$911.66	2% above	30%
Duplex ultrasound of the leg veins, both legs CPT 93970 VENOUS DOPPLER BOTH LEGS	$886.34	$1,266.20	$168.66–$911.66	2% above	30%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 VENOUS DOPPLER BILAT	$246.60	$411.00	$287.70	—	40%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 VEIN MAPPING BILATERAL	$622.44	$1,037.40	$726.18	—	40%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 VENOUS DOPPLER BILAT ARMS	$759.72	$1,266.20	$886.34	—	40%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 US VEIN MAPPING LOWER EXT-BIL	$622.44	$1,037.40	$726.18	—	40%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 VENOUS DOPPLER PRE ABLATION	$759.72	$1,266.20	$886.34	—	40%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 VENOUS DOPPLER BOTH LEGS	$759.72	$1,266.20	$886.34	—	40%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO W COLOR FLOW DOPPLER	$885.99	$1,265.70	$162.17–$1,205.54	53% below	30%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO W COLOR FLOW DOPPLER-FH	$885.99	$1,265.70	$162.17–$1,205.54	53% below	30%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO W COLOR W CONTRAST	$1,634.36	$2,334.80	$162.17–$1,681.06	13% below	30%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO LIMITED OF FU W/CONTRAST	$1,668.73	$2,383.90	$162.17–$1,716.41	11% below	30%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 ECHO W COLOR FLOW DOPPLER-FH	$759.42	$1,265.70	$885.99	—	40%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 ECHO W COLOR FLOW DOPPLER	$759.42	$1,265.70	$885.99	—	40%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 ECHO W COLOR W CONTRAST	$1,400.88	$2,334.80	$1,634.36	—	40%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 ECHO LIMITED OF FU W/CONTRAST	$1,430.34	$2,383.90	$1,668.73	—	40%
Elbow X-ray, 2 views one side CPT 73070 ELBOW AP/LAT NON ROUTINE-RT	$154.04	$220.05	$21.21–$175.81	50% below	30%
Elbow X-ray, 2 views one side CPT 73070 ELBOW AP/ LAT NON ROUTINE-LT	$154.04	$220.05	$21.21–$175.81	50% below	30%
Elbow X-ray, 2 views inpatient one side CPT 73070 ELBOW AP/LAT NON ROUTINE-RT	$132.03	$220.05	$154.03	—	40%
Elbow X-ray, 2 views inpatient one side CPT 73070 ELBOW AP/ LAT NON ROUTINE-LT	$132.03	$220.05	$154.03	—	40%
Elbow X-ray, complete, 3 or more views one side CPT 73080 ELBOW-RT	$154.04	$220.05	$21.85–$175.81	55% below	30%
Elbow X-ray, complete, 3 or more views one side CPT 73080 ELBOW-LT	$154.04	$220.05	$21.85–$175.81	55% below	30%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 ELBOW-RT	$132.03	$220.05	$154.03	—	40%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 ELBOW-LT	$132.03	$220.05	$154.03	—	40%
Eye socket (orbit) CT scan without contrast CPT 70480 CT SKULL BASE W/O	$556.50	$795.00	$76.03–$916.00	49% below	30%
Eye socket (orbit) CT scan without contrast CPT 70480 CT SELLA W/O	$896.03	$1,280.05	$76.03–$921.64	18% below	30%
Eye socket (orbit) CT scan without contrast CPT 70480 CT POST FOSSA W/O	$896.03	$1,280.05	$76.03–$921.64	18% below	30%
Eye socket (orbit) CT scan without contrast CPT 70480 CT MASTOIDS W/O CONTRAST	$896.03	$1,280.05	$76.03–$921.64	18% below	30%
Eye socket (orbit) CT scan without contrast CPT 70480 CT ORBITS W/O	$896.03	$1,280.05	$76.03–$921.64	18% below	30%
Eye socket (orbit) CT scan without contrast CPT 70480 CT IAC'S W/O	$896.03	$1,280.05	$76.03–$921.64	18% below	30%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT SKULL BASE W/O	$477.00	$795.00	$556.50	—	40%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT ORBITS W/O	$768.03	$1,280.05	$896.03	—	40%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT POST FOSSA W/O	$768.03	$1,280.05	$896.03	—	40%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT IAC'S W/O	$768.03	$1,280.05	$896.03	—	40%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT SELLA W/O	$768.03	$1,280.05	$896.03	—	40%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT MASTOIDS W/O CONTRAST	$768.03	$1,280.05	$896.03	—	40%
Facial bones X-ray, complete, 3 or more views CPT 70150 MAXILLA	$160.20	$228.85	$39.40–$233.80	61% below	30%
Facial bones X-ray, complete, 3 or more views CPT 70150 FACIAL BONES	$295.02	$421.45	$39.40–$303.44	28% below	30%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 MAXILLA	$137.31	$228.85	$160.19	—	40%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 FACIAL BONES	$252.87	$421.45	$295.01	—	40%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 FOREARM, RT	$108.01	$154.30	$21.64–$175.81	61% below	30%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 FOREARM-LT	$154.04	$220.05	$21.64–$175.81	45% below	30%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 FOREARM, RT	$92.58	$154.30	$108.01	—	40%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 FOREARM-LT	$132.03	$220.05	$154.03	—	40%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HEPATOBILIARY SCAN-E	$608.16	$868.80	$278.37–$883.51	51% below	30%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HEPATOBILIARY SCAN-E	$521.28	$868.80	$608.16	—	40%
Hand X-ray, 2 views one side CPT 73120 HAND 2 VIEWS NON ROUTINE-LT	$123.41	$176.30	$19.92–$212.71	56% below	30%
Hand X-ray, 2 views one side CPT 73120 HAND 2 VIEWS NON ROUTINE-RT	$123.41	$176.30	$19.92–$212.71	56% below	30%
Hand X-ray, 2 views inpatient one side CPT 73120 HAND 2 VIEWS NON ROUTINE-RT	$105.78	$176.30	$123.41	—	40%
Hand X-ray, 2 views inpatient one side CPT 73120 HAND 2 VIEWS NON ROUTINE-LT	$105.78	$176.30	$123.41	—	40%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 OSCALCIS, RT	$167.16	$238.80	$21.64–$175.81	37% below	30%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 OSCALCIS-LT	$167.16	$238.80	$21.64–$175.81	37% below	30%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 OSCALCIS, RT	$143.28	$238.80	$167.16	—	40%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 OSCALCIS-LT	$143.28	$238.80	$167.16	—	40%
Knee X-ray, 3 views one side CPT 73562 KNEE 3 VIEWS-LT	$268.66	$383.80	$28.66–$276.34	33% below	30%
Knee X-ray, 3 views one side CPT 73562 KNEE 3 VIEWS-RT	$268.66	$383.80	$28.66–$276.34	33% below	30%
Knee X-ray, 3 views one side CPT 73562 KNEE ARTHRITIS-LEFT	$268.66	$383.80	$28.66–$276.34	33% below	30%
Knee X-ray, 3 views one side CPT 73562 KNEE ARTHRITIS-RIGHT	$268.66	$383.80	$28.66–$276.34	33% below	30%
Knee X-ray, 3 views inpatient one side CPT 73562 KNEE 3 VIEWS-LT	$230.28	$383.80	$268.66	—	40%
Knee X-ray, 3 views inpatient one side CPT 73562 KNEE ARTHRITIS-RIGHT	$230.28	$383.80	$268.66	—	40%
Knee X-ray, 3 views inpatient one side CPT 73562 KNEE ARTHRITIS-LEFT	$230.28	$383.80	$268.66	—	40%
Knee X-ray, 3 views inpatient one side CPT 73562 KNEE 3 VIEWS-RT	$230.28	$383.80	$268.66	—	40%
Knee X-ray, complete, 4 or more views one side CPT 73564 KNEE,RT AND TUNNEL	$129.15	$184.50	$37.32–$212.71	70% below	30%
Knee X-ray, complete, 4 or more views one side CPT 73564 KNEE,RT&SKYLINE	$129.15	$184.50	$37.32–$212.71	70% below	30%
Knee X-ray, complete, 4 or more views one side CPT 73564 KNEE LT,SKYL/TUNNEL	$149.38	$213.40	$37.32–$212.71	66% below	30%
Knee X-ray, complete, 4 or more views one side CPT 73564 KNEE 4 OR MORE VIEWS-RT	$154.04	$220.05	$37.32–$212.71	65% below	30%
Knee X-ray, complete, 4 or more views one side CPT 73564 KNEE 4 OR MORE VIEWS-LT	$154.04	$220.05	$37.32–$212.71	65% below	30%
Knee X-ray, complete, 4 or more views one side CPT 73564 KNEE WITH SKYLINE VIEW-LT	$184.10	$263.00	$37.32–$212.71	58% below	30%
Knee X-ray, complete, 4 or more views one side CPT 73564 KNEE WITH TUNNEL VIEW-LT	$184.10	$263.00	$37.32–$212.71	58% below	30%
Knee X-ray, complete, 4 or more views one side CPT 73564 PATELLA, RT	$210.56	$300.80	$37.32–$216.58	52% below	30%
Knee X-ray, complete, 4 or more views one side CPT 73564 PATELLA-LT	$210.56	$300.80	$37.32–$216.58	52% below	30%
Knee X-ray, complete, 4 or more views one side CPT 73564 KNEE W SKYLINE AND TUNNEL-RT	$230.72	$329.60	$37.32–$237.31	47% below	30%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 KNEE,RT AND TUNNEL	$110.70	$184.50	$129.15	—	40%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 KNEE,RT&SKYLINE	$110.70	$184.50	$129.15	—	40%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 KNEE LT,SKYL/TUNNEL	$128.04	$213.40	$149.38	—	40%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 KNEE 4 OR MORE VIEWS-LT	$132.03	$220.05	$154.03	—	40%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 KNEE 4 OR MORE VIEWS-RT	$132.03	$220.05	$154.03	—	40%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 KNEE WITH TUNNEL VIEW-LT	$157.80	$263.00	$184.10	—	40%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 KNEE WITH SKYLINE VIEW-LT	$157.80	$263.00	$184.10	—	40%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 PATELLA-LT	$180.48	$300.80	$210.56	—	40%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 PATELLA, RT	$180.48	$300.80	$210.56	—	40%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 KNEE W SKYLINE AND TUNNEL-RT	$197.76	$329.60	$230.72	—	40%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOWER EXT SURGICAL PLAN-LT	$896.03	$1,280.05	$126.96–$921.64	15% below	30%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOWER EXTREMITY WO-LT	$896.03	$1,280.05	$126.96–$921.64	15% below	30%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOWER EXT SURGICAL PLAN-RT	$896.03	$1,280.05	$126.96–$921.64	15% below	30%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOWER EXTREMITY WO-RT	$896.03	$1,280.05	$126.96–$921.64	15% below	30%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT LOWER EXTREMITY WO-RT	$768.03	$1,280.05	$896.03	—	40%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT LOWER EXTREMITY WO-LT	$768.03	$1,280.05	$896.03	—	40%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT LOWER EXT SURGICAL PLAN-RT	$768.03	$1,280.05	$896.03	—	40%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT LOWER EXT SURGICAL PLAN-LT	$768.03	$1,280.05	$896.03	—	40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US OF ABDOMEN	$143.64	$205.20	$69.77–$233.80	76% below	30%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US SOFT TISSUE LOWER BACK	$172.06	$245.80	$71.88–$233.80	72% below	30%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US SOFT TISSUE ABD WALL	$214.97	$307.10	$71.88–$233.80	65% below	30%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 PELVIS-FOR APPENDIX	$295.19	$421.70	$71.88–$303.62	51% below	30%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ABDOMINAL WALL FOR HERNIA	$413.00	$590.00	$71.88–$424.80	32% below	30%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 PYLORUS, ULTRA	$542.57	$775.10	$71.88–$558.07	10% below	30%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 PANCREAS	$558.74	$798.20	$71.88–$574.70	8% below	30%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ABDOMEN FOR ASCITES	$558.74	$798.20	$71.88–$574.70	8% below	30%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 BILIARY TREE	$558.74	$798.20	$71.88–$574.70	8% below	30%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 LIVER	$558.74	$798.20	$71.88–$574.70	8% below	30%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 SPLEEN	$558.74	$798.20	$71.88–$574.70	8% below	30%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 GALL BLADDER	$558.74	$798.20	$71.88–$574.70	8% below	30%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 LIMITED ABDOMEN- ULTRA	$558.74	$798.20	$71.88–$574.70	8% below	30%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US OF ABDOMEN	$123.12	$205.20	$143.64	—	40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US SOFT TISSUE LOWER BACK	$147.48	$245.80	$172.06	—	40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US SOFT TISSUE ABD WALL	$184.26	$307.10	$214.97	—	40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 PELVIS-FOR APPENDIX	$253.02	$421.70	$295.19	—	40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 ABDOMINAL WALL FOR HERNIA	$354.00	$590.00	$413.00	—	40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 PYLORUS, ULTRA	$465.06	$775.10	$542.57	—	40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 LIVER	$478.92	$798.20	$558.74	—	40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 ABDOMEN FOR ASCITES	$478.92	$798.20	$558.74	—	40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 GALL BLADDER	$478.92	$798.20	$558.74	—	40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 PANCREAS	$478.92	$798.20	$558.74	—	40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 SPLEEN	$478.92	$798.20	$558.74	—	40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 LIMITED ABDOMEN- ULTRA	$478.92	$798.20	$558.74	—	40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 BILIARY TREE	$478.92	$798.20	$558.74	—	40%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US SOFT TISSUE GROIN- BOTH	$172.06	$245.80	$76.03–$233.80	56% below	30%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US SOFT TISSUE AXILLA-LT	$107.52	$153.60	$27.36–$212.71	73% below	30%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US SOFT TISSUE AXILLA-RT	$107.52	$153.60	$27.36–$212.71	73% below	30%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US SOFT TISSUE GROIN-RT	$172.06	$245.80	$27.36–$212.71	56% below	30%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US SOFT TISSUE GROIN-LT	$172.06	$245.80	$27.36–$212.71	56% below	30%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US SOFT TISSUE EXTREMITY-RT	$259.70	$371.00	$27.36–$267.12	34% below	30%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US SOFT TISSUE EXTREMITY-LT	$259.70	$371.00	$27.36–$267.12	34% below	30%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 US SOFT TISSUE GROIN- BOTH	$147.48	$245.80	$172.06	—	40%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US SOFT TISSUE AXILLA-RT	$92.16	$153.60	$107.52	—	40%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US SOFT TISSUE AXILLA-LT	$92.16	$153.60	$107.52	—	40%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US SOFT TISSUE GROIN-RT	$147.48	$245.80	$172.06	—	40%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US SOFT TISSUE GROIN-LT	$147.48	$245.80	$172.06	—	40%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US SOFT TISSUE EXTREMITY-RT	$222.60	$371.00	$259.70	—	40%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US SOFT TISSUE EXTREMITY-LT	$222.60	$371.00	$259.70	—	40%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT CHEST SCREENING WO	$73.43	$104.90	$35.67–$916.00	81% below	30%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT CHEST SCREENING WO	$62.94	$104.90	$73.43	—	40%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 RT LOWER LEG	$108.01	$154.30	$27.72–$175.81	68% below	30%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 LOWER LEG-LT	$154.04	$220.05	$27.72–$175.81	54% below	30%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 RT LOWER LEG	$92.58	$154.30	$108.01	—	40%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 LOWER LEG-LT	$132.03	$220.05	$154.03	—	40%
MR angiography (MRA) of the head without contrast CPT 70544 MR VENOGRAPHY HEAD W/O	$1,686.51	$2,409.30	$172.84–$1,734.70	6% below	30%
MR angiography (MRA) of the head without contrast CPT 70544 MRA AND OR MRV HEAD WO	$1,686.51	$2,409.30	$172.84–$1,734.70	6% below	30%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA AND OR MRV HEAD WO	$1,445.58	$2,409.30	$1,686.51	—	40%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MR VENOGRAPHY HEAD W/O	$1,445.58	$2,409.30	$1,686.51	—	40%
MRI of both breasts, without and then with contrast dye both sides CPT 77049 MRI BREAST BILATERAL W WO	$1,686.51	$2,409.30	$320.80–$1,734.70	—	30%
MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 MRI BREAST BILATERAL W WO	$1,445.58	$2,409.30	$1,686.51	—	40%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI LOW EXT ANY JT W/O	$1,554.42	$2,220.60	$172.84–$1,598.83	24% below	30%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LOWER EXT JOINT WO-LT	$1,554.42	$2,220.60	$210.45–$1,598.83	24% below	30%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LOWER EXT SURG PLAN-LT	$1,554.42	$2,220.60	$210.45–$1,598.83	24% below	30%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LOWER EXT JOINT WO-RT	$1,554.42	$2,220.60	$210.45–$1,598.83	24% below	30%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LOWER EXT SURG PLAN-RT	$1,554.42	$2,220.60	$210.45–$1,598.83	24% below	30%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI LOW EXT ANY JT W/O	$1,332.36	$2,220.60	$1,554.42	—	40%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI LOWER EXT JOINT WO-LT	$1,332.36	$2,220.60	$1,554.42	—	40%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI LOWER EXT SURG PLAN-RT	$1,332.36	$2,220.60	$1,554.42	—	40%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI LOWER EXT SURG PLAN-LT	$1,332.36	$2,220.60	$1,554.42	—	40%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI LOWER EXT JOINT WO-RT	$1,332.36	$2,220.60	$1,554.42	—	40%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI LOWER EXTREMITY JOINT W/WO	$2,125.24	$3,036.05	$255.36–$2,185.96	40% below	30%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI LOWER EXT JOINT WWO-RT	$2,125.24	$3,036.05	$408.02–$2,185.96	40% below	30%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI LOWER EXT JOINT WWO-LT	$2,125.24	$3,036.05	$408.02–$2,185.96	40% below	30%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI LOWER EXTREMITY JOINT W/WO	$1,821.63	$3,036.05	$2,125.24	—	40%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI LOWER EXT JOINT WWO-RT	$1,821.63	$3,036.05	$2,125.24	—	40%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI LOWER EXT JOINT WWO-LT	$1,821.63	$3,036.05	$2,125.24	—	40%
MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O CONTRAST	$1,686.51	$2,409.30	$172.84–$1,734.70	15% below	30%
MRI of the abdomen without contrast CPT 74181 MR CHOLANGIO PANCREATOGRAPHY	$1,686.51	$2,409.30	$172.84–$1,734.70	15% below	30%
MRI of the abdomen without contrast inpatient CPT 74181 MRI ABDOMEN W/O CONTRAST	$1,445.58	$2,409.30	$1,686.51	—	40%
MRI of the abdomen without contrast inpatient CPT 74181 MR CHOLANGIO PANCREATOGRAPHY	$1,445.58	$2,409.30	$1,686.51	—	40%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN W & W/O	$2,125.24	$3,036.05	$255.36–$2,185.96	40% below	30%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ABDOMEN W & W/O	$1,821.63	$3,036.05	$2,125.24	—	40%
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN/HEAD W/O CONTRAST	$1,554.42	$2,220.60	$172.84–$1,598.83	15% below	30%
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN WO STROKE PROTOCOL	$1,554.42	$2,220.60	$172.84–$1,598.83	15% below	30%
MRI of the brain, no contrast dye CPT 70551 MRI PITUITARY W/O	$1,686.51	$2,409.30	$172.84–$1,734.70	7% below	30%
MRI of the brain, no contrast dye CPT 70551 MRI IAC'S W/O CONTRAST	$1,686.51	$2,409.30	$172.84–$1,734.70	7% below	30%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN/HEAD W/O CONTRAST	$1,332.36	$2,220.60	$1,554.42	—	40%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN WO STROKE PROTOCOL	$1,332.36	$2,220.60	$1,554.42	—	40%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI PITUITARY W/O	$1,445.58	$2,409.30	$1,686.51	—	40%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI IAC'S W/O CONTRAST	$1,445.58	$2,409.30	$1,686.51	—	40%
MRI of the brain, with and without contrast dye CPT 70553 MRI PITUITARY W W/O	$1,686.51	$2,409.30	$255.36–$1,734.70	42% below	30%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W & W/OUT CONTRAST	$2,125.24	$3,036.05	$255.36–$2,185.96	27% below	30%
MRI of the brain, with and without contrast dye CPT 70553 MRI IAC'S W & W/O CONTRAST	$2,125.24	$3,036.05	$255.36–$2,185.96	27% below	30%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI PITUITARY W W/O	$1,445.58	$2,409.30	$1,686.51	—	40%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI IAC'S W & W/O CONTRAST	$1,821.63	$3,036.05	$2,125.24	—	40%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN W & W/OUT CONTRAST	$1,821.63	$3,036.05	$2,125.24	—	40%
MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR SPINE W/O CONTRAST	$1,554.42	$2,220.60	$172.84–$1,598.83	13% below	30%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI LUMBAR SPINE W/O CONTRAST	$1,332.36	$2,220.60	$1,554.42	—	40%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI LUMBAR SPINE W&W/O CONTRAS	$2,125.24	$3,036.05	$255.36–$2,185.96	35% below	30%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI LUMBAR SPINE W&W/O CONTRAS	$1,821.63	$3,036.05	$2,125.24	—	40%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI DORSAL SPINE W/O CONTRAST	$1,554.42	$2,220.60	$172.84–$1,598.83	25% below	30%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI DORSAL SPINE W/O CONTRAST	$1,332.36	$2,220.60	$1,554.42	—	40%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI CERVICAL SPINE W&W/O CONTR	$2,125.24	$3,036.05	$255.36–$2,185.96	27% below	30%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI CERVICAL SPINE W&W/O CONTR	$1,821.63	$3,036.05	$2,125.24	—	40%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI CERVICAL SPINE W/O CONT	$1,554.42	$2,220.60	$172.84–$1,598.83	11% below	30%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI CERVICAL SPINE W/O CONT	$1,332.36	$2,220.60	$1,554.42	—	40%
MRI of the pelvis without and with contrast CPT 72197 MRI PROSTATE(MULTIPARAMETRIC)	$927.50	$1,325.00	$255.36–$1,444.00	74% below	30%
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W & W/O	$2,125.24	$3,036.05	$255.36–$2,185.96	40% below	30%
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W WO-BX PLAN	$2,125.24	$3,036.05	$255.36–$2,185.96	40% below	30%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PROSTATE(MULTIPARAMETRIC)	$795.00	$1,325.00	$927.50	—	40%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS W WO-BX PLAN	$1,821.63	$3,036.05	$2,125.24	—	40%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS W & W/O	$1,821.63	$3,036.05	$2,125.24	—	40%
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O	$1,686.51	$2,409.30	$172.84–$1,734.70	14% below	30%
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS WO-BX PLAN	$1,686.51	$2,409.30	$172.84–$1,734.70	14% below	30%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PELVIS W/O	$1,445.58	$2,409.30	$1,686.51	—	40%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PELVIS WO-BX PLAN	$1,445.58	$2,409.30	$1,686.51	—	40%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI UP EXTREM JOINTS W/O CONT	$1,554.42	$2,220.60	$172.84–$1,598.83	27% below	30%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UPPER EXT JOINT WO-LT	$1,554.42	$2,220.60	$210.78–$1,598.83	27% below	30%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UPPER EXT JOINT WO-RT	$1,554.42	$2,220.60	$210.78–$1,598.83	27% below	30%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MRI UP EXTREM JOINTS W/O CONT	$1,332.36	$2,220.60	$1,554.42	—	40%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI UPPER EXT JOINT WO-LT	$1,332.36	$2,220.60	$1,554.42	—	40%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI UPPER EXT JOINT WO-RT	$1,332.36	$2,220.60	$1,554.42	—	40%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 CERVICAL SPINE	$296.80	$424.00	$46.71–$305.28	33% below	30%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 CERVICAL SPINE	$254.40	$424.00	$296.80	—	40%
Neck soft tissue CT scan with contrast CPT 70491 CT NECK W/	$896.03	$1,280.05	$127.29–$921.64	34% below	30%
Neck soft tissue CT scan with contrast inpatient CPT 70491 CT NECK W/	$768.03	$1,280.05	$896.03	—	40%
Neck soft tissue CT scan without contrast CPT 70490 CT NECK W/O	$896.03	$1,280.05	$76.03–$921.64	17% below	30%
Neck soft tissue CT scan without contrast inpatient CPT 70490 CT NECK W/O	$768.03	$1,280.05	$896.03	—	40%
Neck soft tissue X-ray CPT 70360 NECK FOR SOFT TISSUE	$173.25	$247.50	$20.12–$193.61	38% below	30%
Neck soft tissue X-ray inpatient CPT 70360 NECK FOR SOFT TISSUE	$148.50	$247.50	$173.25	—	40%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 MYO PERF MULTI STUDY SPECT-E	$1,503.21	$2,147.45	$391.92–$2,870.34	62% below	30%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 MYO PERF MULTI STUDY SPECT-E	$1,288.47	$2,147.45	$1,503.21	—	40%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET/CT SKULL-THIGH INITIAL-E	$4,106.55	$5,866.50	$1,042.94–$4,223.88	43% below	30%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET/CT SKULL-THIGH DIAG-E	$4,106.55	$5,866.50	$1,042.94–$4,223.88	43% below	30%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET/CT SKULL-THIGH RESTAGE-E	$4,106.55	$5,866.50	$1,042.94–$4,223.88	43% below	30%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET/CT SKULL-THIGH RESTAGE-E	$3,519.90	$5,866.50	$4,106.55	—	40%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET/CT SKULL-THIGH DIAG-E	$3,519.90	$5,866.50	$4,106.55	—	40%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET/CT SKULL-THIGH INITIAL-E	$3,519.90	$5,866.50	$4,106.55	—	40%
Pelvic CT scan without contrast CPT 72192 CT PELVIS W/O	$896.03	$1,280.05	$76.03–$921.64	18% below	30%
Pelvic CT scan without contrast inpatient CPT 72192 CT PELVIS W/O	$768.03	$1,280.05	$896.03	—	40%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 PELVIC LIMITED (FOLLICLES)	$211.61	$302.30	$36.80–$233.80	53% below	30%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 PELVIS-URINARY BLAD	$295.19	$421.70	$36.80–$303.62	34% below	30%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US SOFT TISSUE PENIS	$295.19	$421.70	$36.80–$303.62	34% below	30%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US SOFT TISSUE PERINEUM	$295.19	$421.70	$36.80–$303.62	34% below	30%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US SOFT TISSUE BUTTOCKS	$295.19	$421.70	$36.80–$303.62	34% below	30%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US SOFT TISSUE PELVIC WALL	$295.19	$421.70	$36.80–$303.62	34% below	30%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 PELVIC LIMITED (FOLLICLES)	$181.38	$302.30	$211.61	—	40%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US SOFT TISSUE BUTTOCKS	$253.02	$421.70	$295.19	—	40%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 PELVIS-URINARY BLAD	$253.02	$421.70	$295.19	—	40%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US SOFT TISSUE PELVIC WALL	$253.02	$421.70	$295.19	—	40%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US SOFT TISSUE PENIS	$253.02	$421.70	$295.19	—	40%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US SOFT TISSUE PERINEUM	$253.02	$421.70	$295.19	—	40%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 PELVIC COMP TRANSABDOMINAL	$275.52	$393.60	$76.03–$283.39	53% below	30%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 COMPONENT CANNOT INACTIVATE	$381.54	$545.05	$76.03–$392.44	35% below	30%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIS-MALE	$408.10	$583.00	$76.03–$419.76	30% below	30%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 PELVIC COMP TRANSABDOMINAL	$236.16	$393.60	$275.52	—	40%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 COMPONENT CANNOT INACTIVATE	$327.03	$545.05	$381.54	—	40%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIS-MALE	$349.80	$583.00	$408.10	—	40%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB COMPLETE	$275.52	$393.60	$76.03–$283.39	55% below	30%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 COMPONENT CANNOT INACTIVATE	$275.52	$393.60	$76.03–$283.39	55% below	30%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 PELVIS-COMP FETAL & MAT EVAL-E	$275.52	$393.60	$76.03–$283.39	55% below	30%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 OB COMPLETE	$236.16	$393.60	$275.52	—	40%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 COMPONENT CANNOT INACTIVATE	$236.16	$393.60	$275.52	—	40%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 PELVIS-COMP FETAL & MAT EVAL-E	$236.16	$393.60	$275.52	—	40%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 OB FIRST TRIMESTER	$275.52	$393.60	$76.03–$283.39	51% below	30%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB COMP LESS THAN 14 WKS-E	$275.52	$393.60	$76.03–$283.39	51% below	30%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB COMP LESS THAN 14 WKS	$275.52	$393.60	$76.03–$283.39	51% below	30%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US OB COMP LESS THAN 14 WKS	$236.16	$393.60	$275.52	—	40%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 OB FIRST TRIMESTER	$236.16	$393.60	$275.52	—	40%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US OB COMP LESS THAN 14 WKS-E	$236.16	$393.60	$275.52	—	40%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 LIMITED BEDSIDE ULTRASOUND	$173.32	$247.60	$73.60–$233.80	68% below	30%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OB LIMITED	$211.61	$302.30	$73.60–$233.80	60% below	30%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 LIMITED BEDSIDE ULTRASOUND	$148.56	$247.60	$173.32	—	40%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 OB LIMITED	$181.38	$302.30	$211.61	—	40%
Rib X-ray, one side, 2 views CPT 71100 RIBS, 2 VIEWS	$296.52	$423.60	$30.48–$304.99	12% below	30%
Rib X-ray, one side, 2 views one side CPT 71100 RIBS UNILATERAL-RT	$154.04	$220.05	$30.48–$175.81	54% below	30%
Rib X-ray, one side, 2 views one side CPT 71100 RIBS UNILATERAL-LT	$154.04	$220.05	$30.48–$175.81	54% below	30%
Rib X-ray, one side, 2 views inpatient CPT 71100 RIBS, 2 VIEWS	$254.16	$423.60	$296.52	—	40%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 RIBS UNILATERAL-RT	$132.03	$220.05	$154.03	—	40%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 RIBS UNILATERAL-LT	$132.03	$220.05	$154.03	—	40%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 RIBS RT TO INCLUDE CHEST	$305.48	$436.40	$30.48–$314.21	26% below	30%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 RIBS LT TO INCLUDE CHEST	$305.48	$436.40	$30.48–$314.21	26% below	30%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 RIBS LT TO INCLUDE CHEST	$261.84	$436.40	$305.48	—	40%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 RIBS RT TO INCLUDE CHEST	$261.84	$436.40	$305.48	—	40%
Screening mammogram, both breasts CPT 77067 MAMMOGRAM BASELINE-BIL	$371.00	$530.00	$113.24–$381.60	44% above	30%
Screening mammogram, both breasts CPT 77067 MAMMOGRAM BIL BASELINE-E	$371.00	$530.00	$113.24–$381.60	44% above	30%
Screening mammogram, both breasts CPT 77067 MAMMOGRAM BIL SCREEN-E	$371.00	$530.00	$113.24–$381.60	44% above	30%
Screening mammogram, both breasts CPT 77067 MAMMOGRAM SCREENING-BIL	$371.00	$530.00	$113.24–$381.60	44% above	30%
Screening mammogram, both breasts one side CPT 77067 MAMMOGRAM RT SCREEN-E	$371.00	$530.00	$113.24–$381.60	44% above	30%
Screening mammogram, both breasts one side CPT 77067 MAMMOGRAM LT SCREEN-E	$371.00	$530.00	$113.24–$381.60	44% above	30%
Screening mammogram, both breasts inpatient CPT 77067 MAMMOGRAM BASELINE-BIL	$318.00	$530.00	$371.00	—	40%
Screening mammogram, both breasts inpatient CPT 77067 MAMMOGRAM BIL SCREEN-E	$318.00	$530.00	$371.00	—	40%
Screening mammogram, both breasts inpatient CPT 77067 MAMMOGRAM BIL BASELINE-E	$318.00	$530.00	$371.00	—	40%
Screening mammogram, both breasts inpatient CPT 77067 MAMMOGRAM SCREENING-BIL	$318.00	$530.00	$371.00	—	40%
Screening mammogram, both breasts inpatient one side CPT 77067 MAMMOGRAM LT SCREEN-E	$318.00	$530.00	$371.00	—	40%
Screening mammogram, both breasts inpatient one side CPT 77067 MAMMOGRAM RT SCREEN-E	$318.00	$530.00	$371.00	—	40%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER-LT	$204.05	$291.50	$28.66–$209.88	40% below	30%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER COMP MIN 2 VIEWS-LT	$204.05	$291.50	$28.66–$209.88	40% below	30%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER,RT (NT)	$204.05	$291.50	$28.66–$209.88	40% below	30%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER-RT	$204.05	$291.50	$28.66–$209.88	40% below	30%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER COMP MIN 2 VIEWS-RT	$204.05	$291.50	$28.66–$209.88	40% below	30%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER NON TRAUMA-LT	$204.05	$291.50	$28.66–$209.88	40% below	30%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 SHOULDER-RT	$174.90	$291.50	$204.05	—	40%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 SHOULDER NON TRAUMA-LT	$174.90	$291.50	$204.05	—	40%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 SHOULDER COMP MIN 2 VIEWS-RT	$174.90	$291.50	$204.05	—	40%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 SHOULDER-LT	$174.90	$291.50	$204.05	—	40%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 SHOULDER COMP MIN 2 VIEWS-LT	$174.90	$291.50	$204.05	—	40%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 SHOULDER,RT (NT)	$174.90	$291.50	$204.05	—	40%
Sinus X-ray, complete, 3 or more views CPT 70220 PARANASAL SINUSES	$272.02	$388.60	$38.96–$279.79	36% below	30%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 PARANASAL SINUSES	$233.16	$388.60	$272.02	—	40%
Skull X-ray, fewer than 4 views CPT 70250 BASILAR VIEW/SKULL	$121.66	$173.80	$36.56–$233.80	66% below	30%
Skull X-ray, fewer than 4 views CPT 70250 WATERS VIEW/SKULL	$127.89	$182.70	$36.56–$233.80	64% below	30%
Skull X-ray, fewer than 4 views CPT 70250 SKULL, LESS THAN 4 VIEWS	$232.54	$332.20	$36.56–$239.18	35% below	30%
Skull X-ray, fewer than 4 views inpatient CPT 70250 BASILAR VIEW/SKULL	$104.28	$173.80	$121.66	—	40%
Skull X-ray, fewer than 4 views inpatient CPT 70250 WATERS VIEW/SKULL	$109.62	$182.70	$127.89	—	40%
Skull X-ray, fewer than 4 views inpatient CPT 70250 SKULL, LESS THAN 4 VIEWS	$199.32	$332.20	$232.54	—	40%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 DOBUT STRESS ECHO	$2,567.32	$3,667.60	$213.37–$2,640.67	41% above	30%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 DOBUT STRESS ECHO W/CONT	$2,567.32	$3,667.60	$213.37–$2,640.67	41% above	30%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 EXERC STRESS ECHO W/CONTRAST	$2,597.00	$3,710.00	$213.37–$2,671.20	43% above	30%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 EXERC STRESS ECHO	$2,597.00	$3,710.00	$213.37–$2,671.20	43% above	30%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 DOBUT STRESS ECHO W/CONT	$2,200.56	$3,667.60	$2,567.32	—	40%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 DOBUT STRESS ECHO	$2,200.56	$3,667.60	$2,567.32	—	40%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 EXERC STRESS ECHO W/CONTRAST	$2,226.00	$3,710.00	$2,597.00	—	40%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 EXERC STRESS ECHO	$2,226.00	$3,710.00	$2,597.00	—	40%
Swallow study (modified barium swallow, video X-ray) CPT 74230 MODIFIED BARIUM SWALLOW	$316.75	$452.50	$52.90–$391.41	46% below	30%
Swallow study (modified barium swallow, video X-ray) CPT 74230 ESOPHAGUS WITH VIDEO	$387.94	$554.20	$52.90–$399.02	34% below	30%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 MODIFIED BARIUM SWALLOW	$271.50	$452.50	$316.75	—	40%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 ESOPHAGUS WITH VIDEO	$332.52	$554.20	$387.94	—	40%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 FEMUR 2 VIEWS-LT	$185.50	$265.00	$28.31–$190.80	53% below	30%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 FEMUR 2 VIEWS-RT	$185.50	$265.00	$28.31–$190.80	53% below	30%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 FEMUR 2 VIEWS-RT	$159.00	$265.00	$185.50	—	40%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 FEMUR 2 VIEWS-LT	$159.00	$265.00	$185.50	—	40%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT DORS. SPINE W/O	$896.03	$1,280.05	$76.03–$921.64	24% below	30%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT DORS. SPINE W/O	$768.03	$1,280.05	$896.03	—	40%
Transvaginal pelvic ultrasound CPT 76830 PELVIC TRANSVAGINAL	$275.52	$393.60	$76.03–$283.39	51% below	30%
Transvaginal pelvic ultrasound CPT 76830 COMPONENT CANNOT INACTIVE	$381.54	$545.05	$76.03–$392.44	32% below	30%
Transvaginal pelvic ultrasound CPT 76830 COMPONENT CANNOT INACTIVATE	$381.54	$545.05	$76.03–$392.44	32% below	30%
Transvaginal pelvic ultrasound inpatient CPT 76830 PELVIC TRANSVAGINAL	$236.16	$393.60	$275.52	—	40%
Transvaginal pelvic ultrasound inpatient CPT 76830 COMPONENT CANNOT INACTIVE	$327.03	$545.05	$381.54	—	40%
Transvaginal pelvic ultrasound inpatient CPT 76830 COMPONENT CANNOT INACTIVATE	$327.03	$545.05	$381.54	—	40%
Transvaginal ultrasound during pregnancy CPT 76817 US TV OBSETRIC	$211.61	$302.30	$76.03–$233.80	62% below	30%
Transvaginal ultrasound during pregnancy CPT 76817 OB TV OBSTRETRIC	$211.61	$302.30	$76.03–$233.80	62% below	30%
Transvaginal ultrasound during pregnancy CPT 76817 OB TRANSVAGINAL	$211.61	$302.30	$76.03–$233.80	62% below	30%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 OB TRANSVAGINAL	$181.38	$302.30	$211.61	—	40%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 OB TV OBSTRETRIC	$181.38	$302.30	$211.61	—	40%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US TV OBSETRIC	$181.38	$302.30	$211.61	—	40%
Ultrasound of the abdomen, complete CPT 76700 COMPLETE ABD- ULTRA	$607.32	$867.60	$76.03–$624.67	23% below	30%
Ultrasound of the abdomen, complete inpatient CPT 76700 COMPLETE ABD- ULTRA	$520.56	$867.60	$607.32	—	40%
Ultrasound of the scrotum and testicles CPT 76870 TESTICLES-ULTRASOUND	$365.12	$521.60	$76.03–$375.55	41% below	30%
Ultrasound of the scrotum and testicles inpatient CPT 76870 TESTICLES-ULTRASOUND	$312.96	$521.60	$365.12	—	40%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 THYROID	$333.90	$477.00	$76.03–$343.44	42% below	30%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US SOFT TISSUE NECK	$333.90	$477.00	$76.03–$343.44	42% below	30%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US SOFT TISSUE HEAD	$333.90	$477.00	$76.03–$343.44	42% below	30%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US PAROTID GLAND	$333.90	$477.00	$76.03–$343.44	42% below	30%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US COMPARTMENTAL NECK	$333.90	$477.00	$76.03–$343.44	42% below	30%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US SOFT TISSUE NECK	$286.20	$477.00	$333.90	—	40%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US PAROTID GLAND	$286.20	$477.00	$333.90	—	40%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US SOFT TISSUE HEAD	$286.20	$477.00	$333.90	—	40%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 THYROID	$286.20	$477.00	$333.90	—	40%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US COMPARTMENTAL NECK	$286.20	$477.00	$333.90	—	40%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UGI SERIES WITH KUB- E	$532.98	$761.40	$74.75–$548.21	15% below	30%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 UGI SERIES WITH KUB- E	$456.84	$761.40	$532.98	—	40%
Upper arm X-ray (humerus), 2 views CPT 73060 HUMEROUS, BOTH	$205.98	$294.25	$62.96–$211.86	26% below	30%
Upper arm X-ray (humerus), 2 views one side CPT 73060 HUMEROUS, RIGHT	$108.01	$154.30	$21.85–$175.81	61% below	30%
Upper arm X-ray (humerus), 2 views one side CPT 73060 HUMERUS-LT	$154.04	$220.05	$21.85–$175.81	44% below	30%
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 HUMEROUS, BOTH	$176.55	$294.25	$205.97	—	40%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 HUMEROUS, RIGHT	$92.58	$154.30	$108.01	—	40%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 HUMERUS-LT	$132.03	$220.05	$154.03	—	40%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 US VEIN MAPPING LOWER EXT-BIL	$726.18	$1,037.40	$76.03–$746.93	13% above	30%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VENOUS DOPPLER EXT UNI LT	$202.93	$289.90	$98.57–$273.55	68% below	30%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VENOUS DOPPLER EXT UNI RT	$202.93	$289.90	$98.57–$273.55	68% below	30%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 JUGULAR VEIN ULTRASOUND-LT	$301.70	$431.00	$114.77–$310.32	53% below	30%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 JUGULAR VEIN ULTRASOUND-RT	$301.70	$431.00	$114.77–$310.32	53% below	30%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VEIN MAPPING LOWER EXT-LT	$432.95	$618.50	$114.77–$445.32	32% below	30%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VEIN MAPPING EXT-RT	$432.95	$618.50	$76.03–$445.32	32% below	30%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VEIN MAPPING LOWER EXT-RT	$432.95	$618.50	$114.77–$445.32	32% below	30%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VEIN MAPPING LOWER EXT-LT	$432.95	$618.50	$76.03–$445.32	32% below	30%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VEIN MAPPING LOWER EXT-RT	$433.30	$619.00	$114.77–$445.68	32% below	30%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US EXTREMITY LIMITED-RT	$679.60	$970.85	$114.77–$699.01	6% above	30%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US EXTREMITY LIMITED-LT	$679.60	$970.85	$114.77–$699.01	6% above	30%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VENOUS DOPPLER RT LEG	$679.60	$970.85	$114.77–$699.01	6% above	30%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VENOUS DOPPLER LT LEG	$679.60	$970.85	$114.77–$699.01	6% above	30%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VENOUS PRE ABLATION UNILAT-RT	$679.60	$970.85	$114.77–$699.01	6% above	30%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VENOUS PRE ABLATION UNILAT-LT	$679.60	$970.85	$114.77–$699.01	6% above	30%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VENOUS DOPPLER, UNILATERAL ARM	$700.00	$1,000.00	$76.03–$720.00	9% above	30%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VENOUS DOPPLER LEFT ARM-US	$700.00	$1,000.00	$76.03–$720.00	9% above	30%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VENOUS DOPPLER LEFT ARM-US	$700.00	$1,000.00	$76.03–$720.00	9% above	30%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VENOUS DOPPLER, UNILATERAL ARM	$700.00	$1,000.00	$76.03–$720.00	9% above	30%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 SUBCLAVIAN VEIN, UNILATERAL	$726.18	$1,037.40	$76.03–$746.93	13% above	30%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 US VEIN MAPPING LOWER EXT-BIL	$622.44	$1,037.40	$726.18	—	40%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 VENOUS DOPPLER EXT UNI LT	$173.94	$289.90	$202.93	—	40%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 VENOUS DOPPLER EXT UNI RT	$173.94	$289.90	$202.93	—	40%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 JUGULAR VEIN ULTRASOUND-LT	$258.60	$431.00	$301.70	—	40%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 JUGULAR VEIN ULTRASOUND-RT	$258.60	$431.00	$301.70	—	40%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US VEIN MAPPING LOWER EXT-LT	$371.10	$618.50	$432.95	—	40%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US VEIN MAPPING LOWER EXT-LT	$371.10	$618.50	$432.95	—	40%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US VEIN MAPPING LOWER EXT-RT	$371.10	$618.50	$432.95	—	40%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US VEIN MAPPING EXT-RT	$371.10	$618.50	$432.95	—	40%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US VEIN MAPPING LOWER EXT-RT	$371.40	$619.00	$433.30	—	40%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 VENOUS DOPPLER RT LEG	$582.51	$970.85	$679.60	—	40%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 VENOUS PRE ABLATION UNILAT-RT	$582.51	$970.85	$679.60	—	40%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US EXTREMITY LIMITED-RT	$582.51	$970.85	$679.60	—	40%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US EXTREMITY LIMITED-LT	$582.51	$970.85	$679.60	—	40%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 VENOUS DOPPLER LT LEG	$582.51	$970.85	$679.60	—	40%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 VENOUS PRE ABLATION UNILAT-LT	$582.51	$970.85	$679.60	—	40%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 VENOUS DOPPLER LEFT ARM-US	$600.00	$1,000.00	$700.00	—	40%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 VENOUS DOPPLER LEFT ARM-US	$600.00	$1,000.00	$700.00	—	40%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 VENOUS DOPPLER, UNILATERAL ARM	$600.00	$1,000.00	$700.00	—	40%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 VENOUS DOPPLER, UNILATERAL ARM	$600.00	$1,000.00	$700.00	—	40%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 SUBCLAVIAN VEIN, UNILATERAL	$622.44	$1,037.40	$726.18	—	40%
Wrist X-ray, 2 views one side CPT 73100 WRIST AP/LAT NON ROUTINE-LT	$123.41	$176.30	$21.64–$175.81	55% below	30%
Wrist X-ray, 2 views one side CPT 73100 WRIST AP/LAT NON ROUTINE-RT	$123.41	$176.30	$21.64–$175.81	55% below	30%
Wrist X-ray, 2 views inpatient one side CPT 73100 WRIST AP/LAT NON ROUTINE-RT	$105.78	$176.30	$123.41	—	40%
Wrist X-ray, 2 views inpatient one side CPT 73100 WRIST AP/LAT NON ROUTINE-LT	$105.78	$176.30	$123.41	—	40%
Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST-LT	$154.04	$220.05	$21.85–$175.81	52% below	30%
Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST-RT	$154.04	$220.05	$21.85–$175.81	52% below	30%
Wrist X-ray, complete, 3 or more views one side CPT 73110 CARPAL BONES, RT	$167.16	$238.80	$21.85–$175.81	48% below	30%
Wrist X-ray, complete, 3 or more views one side CPT 73110 CARPAL BONES-LT	$167.16	$238.80	$21.85–$175.81	48% below	30%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 WRIST-RT	$132.03	$220.05	$154.03	—	40%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 WRIST-LT	$132.03	$220.05	$154.03	—	40%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 CARPAL BONES-LT	$143.28	$238.80	$167.16	—	40%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 CARPAL BONES, RT	$143.28	$238.80	$167.16	—	40%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 PELVIS WITH LATERAL HIP-LT	$185.50	$265.00	$36.04–$190.80	48% below	30%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP 2 VIEW- AP, OBL,OR LAT-RT	$185.50	$265.00	$36.04–$190.80	48% below	30%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP 2 VIEW- AP, OBL,OR LAT-LT	$185.50	$265.00	$36.04–$190.80	48% below	30%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 PELVIS WITH LATERAL HIP-RT	$185.50	$265.00	$36.04–$190.80	48% below	30%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 PELVIS WITH LATERAL HIP-RT	$159.00	$265.00	$185.50	—	40%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP 2 VIEW- AP, OBL,OR LAT-LT	$159.00	$265.00	$185.50	—	40%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP 2 VIEW- AP, OBL,OR LAT-RT	$159.00	$265.00	$185.50	—	40%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 PELVIS WITH LATERAL HIP-LT	$159.00	$265.00	$185.50	—	40%
X-ray of the abdomen, 1 view CPT 74018 RAD SPOT FILM ABDOMEN	$259.70	$371.00	$24.31–$267.12	7% below	30%
X-ray of the abdomen, 1 view CPT 74018 ABDOMEN	$259.70	$371.00	$24.31–$267.12	7% below	30%
X-ray of the abdomen, 1 view CPT 74018 CTT STUDY	$259.70	$371.00	$24.31–$267.12	7% below	30%
X-ray of the abdomen, 1 view CPT 74018 ABDOMEN UPRIGHT	$259.70	$371.00	$24.31–$267.12	7% below	30%
X-ray of the abdomen, 1 view one side CPT 74018 ABDOMEN DECUB ONLY-LT	$259.70	$371.00	$24.31–$267.12	7% below	30%
X-ray of the abdomen, 1 view one side CPT 74018 NEPHROGRAM IN OR-RT	$259.70	$371.00	$24.31–$267.12	7% below	30%
X-ray of the abdomen, 1 view one side CPT 74018 NEPHROGRAM IN OR-LT	$259.70	$371.00	$24.31–$267.12	7% below	30%
X-ray of the abdomen, 1 view one side CPT 74018 DECUBITUS ABD ONLY- RT	$259.70	$371.00	$24.31–$267.12	7% below	30%
X-ray of the abdomen, 1 view inpatient CPT 74018 RAD SPOT FILM ABDOMEN	$222.60	$371.00	$259.70	—	40%
X-ray of the abdomen, 1 view inpatient CPT 74018 ABDOMEN	$222.60	$371.00	$259.70	—	40%
X-ray of the abdomen, 1 view inpatient CPT 74018 CTT STUDY	$222.60	$371.00	$259.70	—	40%
X-ray of the abdomen, 1 view inpatient CPT 74018 ABDOMEN UPRIGHT	$222.60	$371.00	$259.70	—	40%
X-ray of the abdomen, 1 view inpatient one side CPT 74018 NEPHROGRAM IN OR-RT	$222.60	$371.00	$259.70	—	40%
X-ray of the abdomen, 1 view inpatient one side CPT 74018 NEPHROGRAM IN OR-LT	$222.60	$371.00	$259.70	—	40%
X-ray of the abdomen, 1 view inpatient one side CPT 74018 ABDOMEN DECUB ONLY-LT	$222.60	$371.00	$259.70	—	40%
X-ray of the abdomen, 1 view inpatient one side CPT 74018 DECUBITUS ABD ONLY- RT	$222.60	$371.00	$259.70	—	40%
X-ray of the ankle, 2 views one side CPT 73600 ANKLE AP/LAT NON ROUTINE-LT	$123.41	$176.30	$21.64–$175.81	63% below	30%
X-ray of the ankle, 2 views one side CPT 73600 ANKLE AP/LAT NON ROUTINE-RT	$123.41	$176.30	$21.64–$175.81	63% below	30%
X-ray of the ankle, 2 views inpatient one side CPT 73600 ANKLE AP/LAT NON ROUTINE-RT	$105.78	$176.30	$123.41	—	40%
X-ray of the ankle, 2 views inpatient one side CPT 73600 ANKLE AP/LAT NON ROUTINE-LT	$105.78	$176.30	$123.41	—	40%
X-ray of the foot, 2 views one side CPT 73620 FOOT AP LAT NON ROUTINE-RT	$123.41	$176.30	$19.92–$175.81	62% below	30%
X-ray of the foot, 2 views one side CPT 73620 FOOT AP LAT NON ROUTINE-LT	$123.41	$176.30	$19.92–$175.81	62% below	30%
X-ray of the foot, 2 views inpatient one side CPT 73620 FOOT AP LAT NON ROUTINE-LT	$105.78	$176.30	$123.41	—	40%
X-ray of the foot, 2 views inpatient one side CPT 73620 FOOT AP LAT NON ROUTINE-RT	$105.78	$176.30	$123.41	—	40%
X-ray of the foot, complete, 3 or more views CPT 73630 FOOT	$154.04	$220.05	$62.96–$193.61	58% below	30%
X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT-LT	$154.04	$220.05	$21.85–$175.81	58% below	30%
X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT-RT	$154.04	$220.05	$21.85–$175.81	58% below	30%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 FOOT	$132.03	$220.05	$154.03	—	40%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 FOOT-LT	$132.03	$220.05	$154.03	—	40%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 FOOT-RT	$132.03	$220.05	$154.03	—	40%
X-ray of the hand, 3 or more views one side CPT 73130 HAND-RT	$154.04	$220.05	$21.85–$175.81	48% below	30%
X-ray of the hand, 3 or more views one side CPT 73130 HAND-LT	$154.04	$220.05	$21.85–$175.81	48% below	30%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 HAND-RT	$132.03	$220.05	$154.03	—	40%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 HAND-LT	$132.03	$220.05	$154.03	—	40%
X-ray of the knee, 1 or 2 views CPT 73560 KNEE 1 OR 2 VIEWS-BOTH	$128.94	$184.20	$62.63–$193.61	54% below	30%
X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE,RT-TUNNEL ONLY	$31.15	$44.50	$15.13–$175.81	89% below	30%
X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE SINGLE VIEW-LT	$44.38	$63.40	$21.56–$175.81	84% below	30%
X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE SINGLE VIEW-RT	$44.38	$63.40	$21.56–$175.81	84% below	30%
X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE TUNNEL VIEW ONLY-LT	$44.38	$63.40	$21.56–$175.81	84% below	30%
X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE SKYLINE VIEW ONLY-RT	$46.76	$66.80	$22.71–$175.81	83% below	30%
X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE SKYLINE VIEW ONLY-LT	$46.76	$66.80	$22.71–$175.81	83% below	30%
X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE SKYLINE/TUNNEL ONLY-RT	$85.99	$122.85	$28.22–$175.81	70% below	30%
X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE SKYLINE/ TUNNEL ONLY-LT	$85.99	$122.85	$28.22–$175.81	70% below	30%
X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE 1 OR 2 VIEWS-RT	$85.99	$122.85	$28.22–$175.81	70% below	30%
X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE 1 OR 2 VIEWS-LT	$85.99	$122.85	$28.22–$175.81	70% below	30%
X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE AP LAT NON ROUTINE-LT	$123.41	$176.30	$28.22–$175.81	56% below	30%
X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE AP LAT NON ROUTINE-RT	$123.41	$176.30	$28.22–$175.81	56% below	30%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 KNEE 1 OR 2 VIEWS-BOTH	$110.52	$184.20	$128.94	—	40%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 KNEE SINGLE VIEW-LT	$38.04	$63.40	$44.38	—	40%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 KNEE SINGLE VIEW-RT	$38.04	$63.40	$44.38	—	40%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 KNEE TUNNEL VIEW ONLY-LT	$38.04	$63.40	$44.38	—	40%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 KNEE SKYLINE VIEW ONLY-RT	$40.08	$66.80	$46.76	—	40%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 KNEE SKYLINE VIEW ONLY-LT	$40.08	$66.80	$46.76	—	40%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 KNEE SKYLINE/TUNNEL ONLY-RT	$73.71	$122.85	$86.00	—	40%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 KNEE 1 OR 2 VIEWS-RT	$73.71	$122.85	$86.00	—	40%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 KNEE 1 OR 2 VIEWS-LT	$73.71	$122.85	$86.00	—	40%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 KNEE SKYLINE/ TUNNEL ONLY-LT	$73.71	$122.85	$86.00	—	40%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 KNEE AP LAT NON ROUTINE-LT	$105.78	$176.30	$123.41	—	40%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 KNEE AP LAT NON ROUTINE-RT	$105.78	$176.30	$123.41	—	40%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 LUMBO-SACRAL SPINE	$296.80	$424.00	$37.41–$305.28	19% below	30%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 LUMBAR SPINE 2 VIEWS	$296.80	$424.00	$37.41–$305.28	19% below	30%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 LUMBAR SPINE 2 VIEWS	$254.40	$424.00	$296.80	—	40%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 LUMBO-SACRAL SPINE	$254.40	$424.00	$296.80	—	40%
X-ray of the lower back, 4 or more views CPT 72110 LUMBAR W/O OBL AND BENDING	$296.80	$424.00	$42.11–$305.28	35% below	30%
X-ray of the lower back, 4 or more views CPT 72110 LUM-SAC SP W/OBL	$296.80	$424.00	$42.11–$305.28	35% below	30%
X-ray of the lower back, 4 or more views inpatient CPT 72110 LUMBAR W/O OBL AND BENDING	$254.40	$424.00	$296.80	—	40%
X-ray of the lower back, 4 or more views inpatient CPT 72110 LUM-SAC SP W/OBL	$254.40	$424.00	$296.80	—	40%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 DORSAL 2 VIEWS	$206.78	$295.40	$35.58–$233.80	43% below	30%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 DORSAL 2 VIEWS	$177.24	$295.40	$206.78	—	40%
X-ray of the nasal bones, 3 or more views CPT 70160 NASAL BONES	$147.56	$210.80	$21.85–$193.61	46% below	30%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 NASAL BONES	$126.48	$210.80	$147.56	—	40%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 CERV SP-APELAT ONLY	$222.60	$318.00	$30.48–$228.96	33% below	30%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 CERVICAL SPINE FLEX&EXT ONLY	$222.60	$318.00	$30.48–$228.96	33% below	30%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 CERV SP-APELAT ONLY	$190.80	$318.00	$222.60	—	40%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 CERVICAL SPINE FLEX&EXT ONLY	$190.80	$318.00	$222.60	—	40%
X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS, AP	$167.16	$238.80	$20.12–$233.80	43% below	30%
X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS- OBLIQUES ONLY	$244.79	$349.70	$20.12–$251.78	16% below	30%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 PELVIS, AP	$143.28	$238.80	$167.16	—	40%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 PELVIS- OBLIQUES ONLY	$209.82	$349.70	$244.79	—	40%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM AND COCCYX	$180.74	$258.20	$28.22–$193.61	46% below	30%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 SACRUM AND COCCYX	$154.92	$258.20	$180.74	—	40%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Pennsylvania	Off list
ACTH blood test CPT 82024 ACTH LEVEL	$122.92	$175.60	$27.03–$126.43	45% below	30%
ACTH blood test inpatient CPT 82024 ACTH LEVEL	$105.36	$175.60	$122.92	—	40%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT(ALT)	$16.38	$23.40	$3.71–$16.85	55% below	30%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT	$17.64	$25.20	$3.71–$18.14	52% below	30%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 SGPT(ALT)	$14.04	$23.40	$16.38	—	40%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT	$15.12	$25.20	$17.64	—	40%
AST (aspartate aminotransferase) enzyme test CPT 84450 AST	$9.27	$13.25	$3.63–$11.95	74% below	30%
AST (aspartate aminotransferase) enzyme test CPT 84450 IGOT(ALT)-MISC	$16.31	$23.30	$3.63–$16.78	55% below	30%
AST (aspartate aminotransferase) enzyme test CPT 84450 IGOT-CSF	$16.31	$23.30	$3.63–$16.78	55% below	30%
AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT (AST)-E	$16.38	$23.40	$3.63–$16.85	55% below	30%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST	$7.95	$13.25	$9.28	—	40%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 IGOT-CSF	$13.98	$23.30	$16.31	—	40%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 IGOT(ALT)-MISC	$13.98	$23.30	$16.31	—	40%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 SGOT (AST)-E	$14.04	$23.40	$16.38	—	40%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS PANEL	$192.08	$274.40	$33.34–$197.57	38% below	30%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS PANEL	$164.64	$274.40	$192.08	—	40%
Albumin blood test CPT 82040 ILBUMIN-CSF	$15.68	$22.40	$3.46–$16.13	51% below	30%
Albumin blood test CPT 82040 ALBUMIN- SERUM-E	$15.68	$22.40	$3.46–$16.13	51% below	30%
Albumin blood test CPT 82040 ALBUMIN	$15.68	$22.40	$3.46–$16.13	51% below	30%
Albumin blood test CPT 82040 ALBUMIN SERUM	$15.68	$22.40	$3.46–$16.13	51% below	30%
Albumin blood test CPT 82040 ALBUMIN-NON BLOOD	$15.68	$22.40	$3.46–$16.13	51% below	30%
Albumin blood test inpatient CPT 82040 ALBUMIN-NON BLOOD	$13.44	$22.40	$15.68	—	40%
Albumin blood test inpatient CPT 82040 ALBUMIN- SERUM-E	$13.44	$22.40	$15.68	—	40%
Albumin blood test inpatient CPT 82040 ALBUMIN	$13.44	$22.40	$15.68	—	40%
Albumin blood test inpatient CPT 82040 ALBUMIN SERUM	$13.44	$22.40	$15.68	—	40%
Albumin blood test inpatient CPT 82040 ILBUMIN-CSF	$13.44	$22.40	$15.68	—	40%
Aldosterone blood test CPT 82088 ALDOSTERONE-SERUM	$129.78	$185.40	$26.00–$133.49	38% below	30%
Aldosterone blood test CPT 82088 ILDOSTERONE-URINE	$129.78	$185.40	$26.00–$133.49	38% below	30%
Aldosterone blood test inpatient CPT 82088 ILDOSTERONE-URINE	$111.24	$185.40	$129.78	—	40%
Aldosterone blood test inpatient CPT 82088 ALDOSTERONE-SERUM	$111.24	$185.40	$129.78	—	40%
Alkaline phosphatase (ALP) blood test CPT 84075 ALK PHOS- TOTAL	$15.89	$22.70	$3.63–$16.34	56% below	30%
Alkaline phosphatase (ALP) blood test CPT 84075 ALK PHOS	$16.31	$23.30	$3.63–$16.78	55% below	30%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALK PHOS- TOTAL	$13.62	$22.70	$15.89	—	40%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALK PHOS	$13.98	$23.30	$16.31	—	40%
Allergy blood test, specific IgE, per allergen CPT 86003 IHYMOPAPAIN SENS	$16.59	$23.70	$3.65–$17.06	49% below	30%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST- EACH ALLERGEN	$19.88	$28.40	$3.65–$20.45	39% below	30%
Allergy blood test, specific IgE, per allergen CPT 86003 IAST-E HYMENOPTERA VENOM	$19.88	$28.40	$3.65–$20.45	39% below	30%
Allergy blood test, specific IgE, per allergen CPT 86003 IAST-G HYMENOPTERA VENOM	$19.88	$28.40	$3.65–$20.45	39% below	30%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST- EACH ALLERGAN	$19.88	$28.40	$3.65–$20.45	39% below	30%
Allergy blood test, specific IgE, per allergen CPT 86003 IAST MORE THAN 5 ALLERGENS	$19.88	$28.40	$3.65–$20.45	39% below	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IHYMOPAPAIN SENS	$14.22	$23.70	$16.59	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST- EACH ALLERGEN	$17.04	$28.40	$19.88	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IAST-E HYMENOPTERA VENOM	$17.04	$28.40	$19.88	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IAST-G HYMENOPTERA VENOM	$17.04	$28.40	$19.88	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST- EACH ALLERGAN	$17.04	$28.40	$19.88	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IAST MORE THAN 5 ALLERGENS	$17.04	$28.40	$19.88	—	40%
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA FETO PROTEIN-E	$53.41	$76.30	$11.74–$54.94	51% below	30%
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA FETO PROTEIN	$53.41	$76.30	$11.74–$54.94	51% below	30%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA FETO PROTEIN-E	$45.78	$76.30	$53.41	—	40%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA FETO PROTEIN	$45.78	$76.30	$53.41	—	40%
Ammonia blood test CPT 82140 AMMONIA	$37.59	$53.70	$5.00–$38.66	59% below	30%
Ammonia blood test inpatient CPT 82140 AMMONIA	$32.22	$53.70	$37.59	—	40%
Amylase blood test CPT 82150 AMYLASE NON-BLOOD	$19.88	$28.40	$4.54–$20.45	55% below	30%
Amylase blood test CPT 82150 AMYLASE	$19.88	$28.40	$4.54–$20.45	55% below	30%
Amylase blood test CPT 82150 AMYLASE PLEURAL FL	$19.88	$28.40	$4.54–$20.45	55% below	30%
Amylase blood test CPT 82150 AMYLASE PERITON FL	$20.47	$29.25	$4.54–$21.06	53% below	30%
Amylase blood test CPT 82150 AMYLASE-SERUM-E	$20.47	$29.25	$4.54–$21.06	53% below	30%
Amylase blood test CPT 82150 AMYLASE-RANDOM-E	$20.47	$29.25	$4.54–$21.06	53% below	30%
Amylase blood test CPT 82150 IMYLASE-UR TIMED	$20.47	$29.25	$4.54–$21.06	53% below	30%
Amylase blood test CPT 82150 IMYLASE CLEARANCE	$20.47	$29.25	$4.54–$21.06	53% below	30%
Amylase blood test CPT 82150 IMYLASE DUODENAL FL	$20.47	$29.25	$4.54–$21.06	53% below	30%
Amylase blood test inpatient CPT 82150 AMYLASE PLEURAL FL	$17.04	$28.40	$19.88	—	40%
Amylase blood test inpatient CPT 82150 AMYLASE NON-BLOOD	$17.04	$28.40	$19.88	—	40%
Amylase blood test inpatient CPT 82150 AMYLASE	$17.04	$28.40	$19.88	—	40%
Amylase blood test inpatient CPT 82150 IMYLASE-UR TIMED	$17.55	$29.25	$20.48	—	40%
Amylase blood test inpatient CPT 82150 AMYLASE-SERUM-E	$17.55	$29.25	$20.48	—	40%
Amylase blood test inpatient CPT 82150 AMYLASE-RANDOM-E	$17.55	$29.25	$20.48	—	40%
Amylase blood test inpatient CPT 82150 IMYLASE CLEARANCE	$17.55	$29.25	$20.48	—	40%
Amylase blood test inpatient CPT 82150 AMYLASE PERITON FL	$17.55	$29.25	$20.48	—	40%
Amylase blood test inpatient CPT 82150 IMYLASE DUODENAL FL	$17.55	$29.25	$20.48	—	40%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ANTIBODY	$33.74	$48.20	$9.06–$34.70	60% below	30%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP ANTIBODY	$28.92	$48.20	$33.74	—	40%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTI-CENTROMERE AB	$38.36	$54.80	$8.46–$39.46	48% below	30%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA	$40.67	$58.10	$8.46–$41.83	45% below	30%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTI-CENTROMERE AB	$32.88	$54.80	$38.36	—	40%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA	$34.86	$58.10	$40.67	—	40%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP	$94.60	$135.15	$27.48–$97.31	53% below	30%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 BNP	$81.09	$135.15	$94.61	—	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 NOSE CULTURE	$24.57	$35.10	$6.03–$25.27	53% below	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CSF CULTURE/SMEAR	$27.30	$39.00	$6.03–$28.08	48% below	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 IULT-ROUTINE AND GS	$27.30	$39.00	$6.03–$28.08	48% below	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE-SPUTUM	$27.30	$39.00	$6.03–$28.08	48% below	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 IULT-ROUTINE	$27.30	$39.00	$6.03–$28.08	48% below	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 IULT GASTRIC	$27.30	$39.00	$6.03–$28.08	48% below	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 IULTURE-FLUID	$27.30	$39.00	$6.03–$28.08	48% below	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 IULTURE-ROUTINE	$27.30	$39.00	$6.03–$28.08	48% below	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE SPUTUM	$27.30	$39.00	$6.03–$28.08	48% below	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE EYE OR EAR	$27.30	$39.00	$6.03–$28.08	48% below	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE SMEAR	$27.30	$39.00	$6.03–$28.08	48% below	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 NOSE CULTURE	$21.06	$35.10	$24.57	—	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE SMEAR	$23.40	$39.00	$27.30	—	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CSF CULTURE/SMEAR	$23.40	$39.00	$27.30	—	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE EYE OR EAR	$23.40	$39.00	$27.30	—	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE SPUTUM	$23.40	$39.00	$27.30	—	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 IULTURE-ROUTINE	$23.40	$39.00	$27.30	—	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 IULT GASTRIC	$23.40	$39.00	$27.30	—	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 IULT-ROUTINE	$23.40	$39.00	$27.30	—	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 IULT-ROUTINE AND GS	$23.40	$39.00	$27.30	—	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 IULTURE-FLUID	$23.40	$39.00	$27.30	—	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE-SPUTUM	$23.40	$39.00	$27.30	—	40%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL	$27.58	$39.40	$5.92–$28.37	64% below	30%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL	$23.64	$39.40	$27.58	—	40%
Bilirubin blood test, total CPT 82247 BILIRUBIN-MICRO	$17.71	$25.30	$3.51–$18.22	45% below	30%
Bilirubin blood test, total CPT 82247 BILIRUBIN-TOTAL-E	$17.71	$25.30	$3.51–$18.22	45% below	30%
Bilirubin blood test, total CPT 82247 BILIRUBIN-TOTAL	$17.71	$25.30	$3.51–$18.22	45% below	30%
Bilirubin blood test, total CPT 82247 BILIRUBIN-CORD	$17.71	$25.30	$3.51–$18.22	45% below	30%
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN-TOTAL	$15.18	$25.30	$17.71	—	40%
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN-CORD	$15.18	$25.30	$17.71	—	40%
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN-TOTAL-E	$15.18	$25.30	$17.71	—	40%
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN-MICRO	$15.18	$25.30	$17.71	—	40%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURGICAL PATHOLOGY HANDLING	$91.70	$131.00	$34.00–$117.48	48% below	30%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURG PATH G&M-LG/M	$91.70	$131.00	$34.00–$117.48	48% below	30%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 PROSTATE BIOPSY	$91.70	$131.00	$34.00–$117.48	48% below	30%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 PROSTATE BIOPSY	$78.60	$131.00	$91.70	—	40%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 SURGICAL PATHOLOGY HANDLING	$78.60	$131.00	$91.70	—	40%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 SURG PATH G&M-LG/M	$78.60	$131.00	$91.70	—	40%
Blood culture for bacteria CPT 87040 BLOOD CULTURE-E	$32.80	$46.85	$7.22–$33.73	61% below	30%
Blood culture for bacteria inpatient CPT 87040 BLOOD CULTURE-E	$28.11	$46.85	$32.80	—	40%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 SPECIMEN COLLECTION-BLOOD DRAW	$4.06	$5.80	$3.09–$20.96	73% below	30%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE-LEGAL	$6.44	$9.20	$4.91–$20.96	57% below	30%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 IENIPUNCTURE	$6.58	$9.40	$5.01–$20.96	56% below	30%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE	$7.28	$10.40	$5.55–$20.96	51% below	30%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 SECRETIN PROV TEST-VENIPUNC	$33.39	$47.70	$6.82–$34.34	123% above	30%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 SPECIMEN COLLECTION-BLOOD DRAW	$3.48	$5.80	$4.06	—	40%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE-LEGAL	$5.52	$9.20	$6.44	—	40%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 IENIPUNCTURE	$5.64	$9.40	$6.58	—	40%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE	$6.24	$10.40	$7.28	—	40%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 SECRETIN PROV TEST-VENIPUNC	$28.62	$47.70	$33.39	—	40%
Blood glucose (sugar) test CPT 82947 GLUCOSE	$12.39	$17.70	$2.75–$12.74	52% below	30%
Blood glucose (sugar) test CPT 82947 GLUCOSE-FASTING	$12.39	$17.70	$2.75–$12.74	52% below	30%
Blood glucose (sugar) test CPT 82947 GLUCOSE-NON FST	$12.39	$17.70	$2.75–$12.74	52% below	30%
Blood glucose (sugar) test CPT 82947 GLUCOSE-2HR PP	$12.39	$17.70	$2.75–$12.74	52% below	30%
Blood glucose (sugar) test CPT 82947 GLUCOSE-1HR PP	$14.98	$21.40	$2.75–$15.41	42% below	30%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE	$10.62	$17.70	$12.39	—	40%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE-FASTING	$10.62	$17.70	$12.39	—	40%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE-NON FST	$10.62	$17.70	$12.39	—	40%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE-2HR PP	$10.62	$17.70	$12.39	—	40%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE-1HR PP	$12.84	$21.40	$14.98	—	40%
Blood lead test CPT 83655 LEAD-INDUSTRIAL	$16.59	$23.70	$8.48–$27.93	79% below	30%
Blood lead test CPT 83655 LEAD- INDUSTRIAL	$16.59	$23.70	$8.48–$27.93	79% below	30%
Blood lead test CPT 83655 LEAD BLOOD QNT	$38.57	$55.10	$8.48–$39.67	51% below	30%
Blood lead test CPT 83655 LEAD QUANT,UR	$38.57	$55.10	$8.48–$39.67	51% below	30%
Blood lead test inpatient CPT 83655 LEAD-INDUSTRIAL	$14.22	$23.70	$16.59	—	40%
Blood lead test inpatient CPT 83655 LEAD- INDUSTRIAL	$14.22	$23.70	$16.59	—	40%
Blood lead test inpatient CPT 83655 LEAD QUANT,UR	$33.06	$55.10	$38.57	—	40%
Blood lead test inpatient CPT 83655 LEAD BLOOD QNT	$33.06	$55.10	$38.57	—	40%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREG-TEST SERUM	$23.80	$34.00	$5.26–$24.48	52% below	30%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 PREG-TEST SERUM	$20.40	$34.00	$23.80	—	40%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO REVERSE GROUPING	$12.88	$18.40	$2.09–$13.25	90% below	30%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO TYPING-(E)	$12.88	$18.40	$2.09–$13.25	90% below	30%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO TYPING-RH TYPE-(E)	$12.88	$18.40	$2.09–$13.25	90% below	30%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 NEONATAL ABO REVERSE GROUPING	$12.88	$18.40	$2.09–$13.25	90% below	30%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 NEONATAL ABO FORWARD GROUPING	$12.88	$18.40	$2.09–$13.25	90% below	30%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO TYPING-RH TYPE-(E)	$11.04	$18.40	$12.88	—	40%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO REVERSE GROUPING	$11.04	$18.40	$12.88	—	40%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 NEONATAL ABO REVERSE GROUPING	$11.04	$18.40	$12.88	—	40%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO TYPING-(E)	$11.04	$18.40	$12.88	—	40%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 NEONATAL ABO FORWARD GROUPING	$11.04	$18.40	$12.88	—	40%
Blood urea nitrogen (BUN) test CPT 84520 BUN-E	$12.39	$17.70	$2.77–$12.74	54% below	30%
Blood urea nitrogen (BUN) test inpatient CPT 84520 BUN-E	$10.62	$17.70	$12.39	—	40%
C-peptide blood test CPT 84681 PEPTIDE REACTIVTY	$66.26	$94.65	$14.57–$68.15	39% below	30%
C-peptide blood test inpatient CPT 84681 PEPTIDE REACTIVTY	$56.79	$94.65	$66.25	—	40%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 IRP	$17.36	$24.80	$3.00–$17.86	51% below	30%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CRP	$17.95	$25.65	$3.00–$18.47	50% below	30%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 IRP	$14.88	$24.80	$17.36	—	40%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 CRP	$15.39	$25.65	$17.95	—	40%
C. difficile toxin gene test (stool PCR) CPT 87493 CLOSTRIDIUM DIFFICILE, PCR	$91.63	$130.90	$26.09–$94.25	56% below	30%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 CLOSTRIDIUM DIFFICILE, PCR	$78.54	$130.90	$91.63	—	40%
CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9	$66.26	$94.65	$14.57–$68.15	50% below	30%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9	$56.79	$94.65	$66.25	—	40%
CA-125 blood test (ovarian cancer marker) CPT 86304 IA-125	$66.26	$94.65	$14.57–$68.15	49% below	30%
CA-125 blood test (ovarian cancer marker) CPT 86304 CA-125	$72.41	$103.45	$14.57–$74.48	45% below	30%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 IA-125	$56.79	$94.65	$66.25	—	40%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA-125	$62.07	$103.45	$72.42	—	40%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COV-2 SARS-PCR	$74.20	$106.00	$35.49–$118.33	19% below	30%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 STRP GPA AMP PROBE	$75.67	$108.10	$35.49–$118.33	17% below	30%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2	$111.30	$159.00	$35.49–$118.33	22% above	30%
COVID-19 PCR test (SARS-CoV-2 lab test) one side CPT 87635 COVID-19 QL RT-PCR	$63.98	$91.40	$35.49–$118.33	30% below	30%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COV-2 SARS-PCR	$63.60	$106.00	$74.20	—	40%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 STRP GPA AMP PROBE	$64.86	$108.10	$75.67	—	40%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-COV-2	$95.40	$159.00	$111.30	—	40%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient one side CPT 87635 COVID-19 QL RT-PCR	$54.84	$91.40	$63.98	—	40%
Calcium blood test, total CPT 82310 CALCIUM	$13.30	$19.00	$3.61–$13.68	60% below	30%
Calcium blood test, total inpatient CPT 82310 CALCIUM	$11.40	$19.00	$13.30	—	40%
Carcinoembryonic antigen (CEA) test CPT 82378 CEA	$60.48	$86.40	$13.27–$62.21	49% below	30%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CEA	$51.84	$86.40	$60.48	—	40%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER IGG&IGM-E	$41.02	$58.60	$9.02–$42.19	52% below	30%
Chickenpox (varicella) immunity blood test CPT 86787 IARICELLA AB-IGM-E	$41.02	$58.60	$9.02–$42.19	52% below	30%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA-E	$41.02	$58.60	$9.02–$42.19	52% below	30%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOSTER IGG&IGM-E	$35.16	$58.60	$41.02	—	40%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 IARICELLA AB-IGM-E	$35.16	$58.60	$41.02	—	40%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA-E	$35.16	$58.60	$41.02	—	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA-AMPLIFIED PROBE	$90.23	$128.90	$23.19–$92.81	54% below	30%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA-AMPLIFIED PROBE	$77.34	$128.90	$90.23	—	40%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PROFILE	$42.66	$60.95	$9.37–$43.88	52% below	30%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PROFILE	$36.57	$60.95	$42.66	—	40%
Complete blood count (CBC) with differential CPT 85025 HGB-HCT MICRO	$17.64	$25.20	$5.44–$18.14	65% below	30%
Complete blood count (CBC) with differential CPT 85025 HEMOGRAM	$20.93	$29.90	$5.44–$21.53	59% below	30%
Complete blood count (CBC) with differential CPT 85025 CBC MICRO	$24.71	$35.30	$5.44–$25.42	52% below	30%
Complete blood count (CBC) with differential CPT 85025 CBC	$24.71	$35.30	$5.44–$25.42	52% below	30%
Complete blood count (CBC) with differential CPT 85025 CBC AND DIFF	$24.71	$35.30	$5.44–$25.42	52% below	30%
Complete blood count (CBC) with differential CPT 85025 HEMOGRAM-E	$24.71	$35.30	$5.44–$25.42	52% below	30%
Complete blood count (CBC) with differential CPT 85025 HEMOGRAM-MICRO	$24.71	$35.30	$5.44–$25.42	52% below	30%
Complete blood count (CBC) with differential inpatient CPT 85025 HGB-HCT MICRO	$15.12	$25.20	$17.64	—	40%
Complete blood count (CBC) with differential inpatient CPT 85025 HEMOGRAM	$17.94	$29.90	$20.93	—	40%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC AND DIFF	$21.18	$35.30	$24.71	—	40%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC	$21.18	$35.30	$24.71	—	40%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC MICRO	$21.18	$35.30	$24.71	—	40%
Complete blood count (CBC) with differential inpatient CPT 85025 HEMOGRAM-MICRO	$21.18	$35.30	$24.71	—	40%
Complete blood count (CBC) with differential inpatient CPT 85025 HEMOGRAM-E	$21.18	$35.30	$24.71	—	40%
Complete blood count (CBC), no differential CPT 85027 CBC ONLY	$12.53	$17.90	$4.53–$14.92	71% below	30%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC ONLY	$10.74	$17.90	$12.53	—	40%
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL	$81.48	$116.40	$7.39–$83.81	8% below	30%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL	$69.84	$116.40	$81.48	—	40%
Cortisol blood test, total CPT 82533 CORTISOL-PLASMA-E	$51.94	$74.20	$11.41–$53.42	50% below	30%
Cortisol blood test, total CPT 82533 IORTROSYN STIMULATION	$51.94	$74.20	$11.41–$53.42	50% below	30%
Cortisol blood test, total CPT 82533 IEXAMETHASONE SUPP	$51.94	$74.20	$11.41–$53.42	50% below	30%
Cortisol blood test, total inpatient CPT 82533 CORTISOL-PLASMA-E	$44.52	$74.20	$51.94	—	40%
Cortisol blood test, total inpatient CPT 82533 IORTROSYN STIMULATION	$44.52	$74.20	$51.94	—	40%
Cortisol blood test, total inpatient CPT 82533 IEXAMETHASONE SUPP	$44.52	$74.20	$51.94	—	40%
Creatine kinase (CK) blood test, total CPT 82550 CPK	$16.38	$23.40	$4.56–$16.85	64% below	30%
Creatine kinase (CK) blood test, total inpatient CPT 82550 CPK	$14.04	$23.40	$16.38	—	40%
Creatinine blood test CPT 82565 CREATININE-SERUM	$16.24	$23.20	$3.58–$16.70	52% below	30%
Creatinine blood test CPT 82565 CREATININE-SERUM-E	$16.24	$23.20	$3.58–$16.70	52% below	30%
Creatinine blood test inpatient CPT 82565 CREATININE-SERUM	$13.92	$23.20	$16.24	—	40%
Creatinine blood test inpatient CPT 82565 CREATININE-SERUM-E	$13.92	$23.20	$16.24	—	40%
Cytomegalovirus (CMV) antibody test CPT 86644 CMV ANTIBODY SCREEN	$34.37	$49.10	$10.07–$35.35	60% below	30%
Cytomegalovirus (CMV) antibody test CPT 86644 CYTOMEGALO VIR AB-E	$45.85	$65.50	$10.07–$47.16	47% below	30%
Cytomegalovirus (CMV) antibody test CPT 86644 CYTOMEGALO VIR AB	$45.85	$65.50	$10.07–$47.16	47% below	30%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV ANTIBODY SCREEN	$29.46	$49.10	$34.37	—	40%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CYTOMEGALO VIR AB	$39.30	$65.50	$45.85	—	40%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CYTOMEGALO VIR AB-E	$39.30	$65.50	$45.85	—	40%
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER	$61.04	$87.20	$7.13–$62.78	11% below	30%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER	$52.32	$87.20	$61.04	—	40%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-SULPHATE	$70.77	$101.10	$15.56–$72.79	47% below	30%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA-SULPHATE	$60.66	$101.10	$70.77	—	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 IRUG SCREEN-GASTRIC	$44.94	$64.20	$34.25–$143.31	75% below	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 IRUG SCREEN-URINE	$46.27	$66.10	$35.26–$143.31	75% below	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN-ABUSE	$46.27	$66.10	$35.26–$143.31	75% below	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 IRUG SCREEN-ABUSE	$46.27	$66.10	$35.26–$143.31	75% below	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN-URINE	$46.27	$66.10	$35.26–$143.31	75% below	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN-GASTRIC	$46.27	$66.10	$35.26–$143.31	75% below	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 ALCOHOL (ETOH)	$55.65	$79.50	$42.41–$143.31	69% below	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 SALICYLATE	$55.65	$79.50	$42.41–$143.31	69% below	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 ACETAMINOPHEN	$55.65	$79.50	$42.41–$143.31	69% below	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN MEDICAL URINE	$103.88	$148.40	$43.50–$143.31	43% below	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TEST/S	$133.56	$190.80	$43.50–$143.31	27% below	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TEST/S, DEFINITIVE	$133.56	$190.80	$43.50–$143.31	27% below	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 ORAL FL DRUG SCREEN	$137.27	$196.10	$43.50–$143.31	25% below	30%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 IRUG SCREEN-GASTRIC	$38.52	$64.20	$44.94	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN-ABUSE	$39.66	$66.10	$46.27	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 IRUG SCREEN-URINE	$39.66	$66.10	$46.27	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 IRUG SCREEN-ABUSE	$39.66	$66.10	$46.27	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN-URINE	$39.66	$66.10	$46.27	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN-GASTRIC	$39.66	$66.10	$46.27	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 SALICYLATE	$47.70	$79.50	$55.65	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 ACETAMINOPHEN	$47.70	$79.50	$55.65	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 ALCOHOL (ETOH)	$47.70	$79.50	$55.65	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN MEDICAL URINE	$89.04	$148.40	$103.88	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG TEST/S	$114.48	$190.80	$133.56	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG TEST/S, DEFINITIVE	$114.48	$190.80	$133.56	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 ORAL FL DRUG SCREEN	$117.66	$196.10	$137.27	—	40%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTES	$24.01	$34.30	$4.91–$24.70	55% below	30%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYTES	$20.58	$34.30	$24.01	—	40%
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV-VIRAL CAPSID ANTIGEN	$57.75	$82.50	$12.70–$59.40	50% below	30%
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV-VIRAL CAPSID ANTIGEN-E	$57.75	$82.50	$12.70–$59.40	50% below	30%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV-VIRAL CAPSID ANTIGEN	$49.50	$82.50	$57.75	—	40%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV-VIRAL CAPSID ANTIGEN-E	$49.50	$82.50	$57.75	—	40%
Estradiol blood test CPT 82670 ISTRADIOL BY RIA	$89.04	$127.20	$19.56–$91.58	46% below	30%
Estradiol blood test CPT 82670 ESTRADIOL BY RIA	$89.04	$127.20	$19.56–$91.58	46% below	30%
Estradiol blood test inpatient CPT 82670 ESTRADIOL BY RIA	$76.32	$127.20	$89.04	—	40%
Estradiol blood test inpatient CPT 82670 ISTRADIOL BY RIA	$76.32	$127.20	$89.04	—	40%
FSH (follicle-stimulating hormone) test CPT 83001 ISH-URINE	$59.15	$84.50	$13.01–$60.84	50% below	30%
FSH (follicle-stimulating hormone) test CPT 83001 FSH	$59.15	$84.50	$13.01–$60.84	50% below	30%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH	$50.70	$84.50	$59.15	—	40%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 ISH-URINE	$50.70	$84.50	$59.15	—	40%
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN	$80.15	$114.50	$13.74–$82.44	38% below	30%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN	$68.70	$114.50	$80.15	—	40%
Ferritin blood test (iron stores) CPT 82728 FERRITIN	$43.33	$61.90	$9.54–$44.57	50% below	30%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN	$37.14	$61.90	$43.33	—	40%
Fibrinogen blood test CPT 85384 FIBRINOGEN-ALL-E	$26.95	$38.50	$6.80–$27.72	59% below	30%
Fibrinogen blood test CPT 85384 FIBRINIGEN-E	$26.95	$38.50	$6.80–$27.72	59% below	30%
Fibrinogen blood test CPT 85384 FIBRINOGEN QNT (E)	$26.95	$38.50	$6.80–$27.72	59% below	30%
Fibrinogen blood test CPT 85384 FIBRINOGEN-E	$26.95	$38.50	$6.80–$27.72	59% below	30%
Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN-E	$23.10	$38.50	$26.95	—	40%
Fibrinogen blood test inpatient CPT 85384 FIBRINIGEN-E	$23.10	$38.50	$26.95	—	40%
Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN QNT (E)	$23.10	$38.50	$26.95	—	40%
Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN-ALL-E	$23.10	$38.50	$26.95	—	40%
Folate (folic acid) blood test CPT 82746 FOLATE-SERUM-E	$46.76	$66.80	$10.29–$48.10	46% below	30%
Folate (folic acid) blood test inpatient CPT 82746 FOLATE-SERUM-E	$40.08	$66.80	$46.76	—	40%
Free T3 thyroid hormone test CPT 84481 FREE T3	$53.97	$77.10	$11.86–$55.51	49% below	30%
Free T3 thyroid hormone test inpatient CPT 84481 FREE T3	$46.26	$77.10	$53.97	—	40%
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4-FREE	$24.78	$35.40	$6.31–$25.49	59% below	30%
Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE THYROXINE	$55.12	$78.75	$6.31–$56.70	8% below	30%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4-FREE	$21.24	$35.40	$24.78	—	40%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 FREE THYROXINE	$47.25	$78.75	$55.12	—	40%
Free testosterone test CPT 84402 FREE TESTOSTERONE	$84.21	$120.30	$17.83–$86.62	47% below	30%
Free testosterone test inpatient CPT 84402 FREE TESTOSTERONE	$72.18	$120.30	$84.21	—	40%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGTP	$19.60	$28.00	$5.04–$20.16	59% below	30%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGT	$24.01	$34.30	$5.04–$24.70	50% below	30%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GGTP	$16.80	$28.00	$19.60	—	40%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GGT	$20.58	$34.30	$24.01	—	40%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL	$206.08	$294.40	$31.63–$211.97	9% above	30%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 GENERAL HEALTH PANEL	$176.64	$294.40	$206.08	—	40%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOL-5HR-E	$41.02	$58.60	$9.01–$42.19	49% below	30%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOL-2HR	$41.02	$58.60	$9.01–$42.19	49% below	30%
Glucose tolerance test, 3 samples CPT 82951 GTT-4HR-E	$41.02	$58.60	$9.01–$42.19	49% below	30%
Glucose tolerance test, 3 samples CPT 82951 GTT-6HR-E	$41.02	$58.60	$9.01–$42.19	49% below	30%
Glucose tolerance test, 3 samples CPT 82951 LACTOSE TOL-E	$41.02	$58.60	$9.01–$42.19	49% below	30%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOL-3HR-E	$41.02	$58.60	$9.01–$42.19	49% below	30%
Glucose tolerance test, 3 samples inpatient CPT 82951 LACTOSE TOL-E	$35.16	$58.60	$41.02	—	40%
Glucose tolerance test, 3 samples inpatient CPT 82951 GTT-4HR-E	$35.16	$58.60	$41.02	—	40%
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOL-5HR-E	$35.16	$58.60	$41.02	—	40%
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOL-2HR	$35.16	$58.60	$41.02	—	40%
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOL-3HR-E	$35.16	$58.60	$41.02	—	40%
Glucose tolerance test, 3 samples inpatient CPT 82951 GTT-6HR-E	$35.16	$58.60	$41.02	—	40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC-AMPLIFIED PROBE	$90.23	$128.90	$23.19–$92.81	51% below	30%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC-AMPLIED PROBE	$90.23	$128.90	$23.19–$92.81	51% below	30%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GC-AMPLIFIED PROBE	$77.34	$128.90	$90.23	—	40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GC-AMPLIED PROBE	$77.34	$128.90	$90.23	—	40%
H. pylori antibody blood test CPT 86677 H PYLORI AB-IGG	$56.00	$80.00	$11.79–$57.60	52% below	30%
H. pylori antibody blood test CPT 86677 H PYLORI AB	$113.89	$162.70	$11.79–$117.14	1% below	30%
H. pylori antibody blood test inpatient CPT 86677 H PYLORI AB-IGG	$48.00	$80.00	$56.00	—	40%
H. pylori antibody blood test inpatient CPT 86677 H PYLORI AB	$97.62	$162.70	$113.89	—	40%
H. pylori stool antigen test CPT 87338 H PYLORI EIA STOOL	$36.75	$52.50	$10.07–$37.80	62% below	30%
H. pylori stool antigen test CPT 87338 H PYLORI AG EIA STOOL	$36.75	$52.50	$10.07–$37.80	62% below	30%
H. pylori stool antigen test inpatient CPT 87338 H PYLORI EIA STOOL	$31.50	$52.50	$36.75	—	40%
H. pylori stool antigen test inpatient CPT 87338 H PYLORI AG EIA STOOL	$31.50	$52.50	$36.75	—	40%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV RNA BY PCR	$224.52	$320.75	$59.57–$230.94	55% below	30%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV RNA BY PCR	$192.45	$320.75	$224.53	—	40%
HIV-1 and HIV-2 antibody test CPT 86703 LABORATORY	$51.34	$73.35	$9.60–$52.81	50% below	30%
HIV-1 and HIV-2 antibody test CPT 86703 IABORATORY	$51.34	$73.35	$9.60–$52.81	50% below	30%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 IABORATORY	$44.01	$73.35	$51.34	—	40%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 LABORATORY	$44.01	$73.35	$51.34	—	40%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1 ANTIGEN	$66.08	$94.40	$16.86–$67.97	53% below	30%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1 ANITGEN	$66.08	$94.40	$16.86–$67.97	53% below	30%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV-1 ANITGEN	$56.64	$94.40	$66.08	—	40%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV-1 ANTIGEN	$56.64	$94.40	$66.08	—	40%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV BY DNA	$135.48	$193.55	$24.56–$139.36	35% below	30%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV DNA HIGH RISK	$135.48	$193.55	$24.56–$139.36	35% below	30%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV-HIGH RISK	$135.48	$193.55	$24.56–$139.36	35% below	30%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV-AMPLIFIED PROBE	$135.48	$193.55	$24.56–$139.36	35% below	30%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV-AMPLIFIED PROBE	$116.13	$193.55	$135.49	—	40%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV-HIGH RISK	$116.13	$193.55	$135.49	—	40%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV DNA HIGH RISK	$116.13	$193.55	$135.49	—	40%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV BY DNA	$116.13	$193.55	$135.49	—	40%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOHEMOGLOBIN	$30.80	$44.00	$6.80–$31.68	40% below	30%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 GLYCOHEMOGLOBIN	$26.40	$44.00	$30.80	—	40%
Hemoglobin blood test CPT 85018 HGB-MICRO	$7.35	$10.50	$1.66–$7.56	57% below	30%
Hemoglobin blood test CPT 85018 HGB-HCT	$7.35	$10.50	$1.66–$7.56	57% below	30%
Hemoglobin blood test CPT 85018 HGB	$7.35	$10.50	$1.66–$7.56	57% below	30%
Hemoglobin blood test CPT 85018 HEMOGLOBIN-E	$7.35	$10.50	$1.66–$7.56	57% below	30%
Hemoglobin blood test inpatient CPT 85018 HGB	$6.30	$10.50	$7.35	—	40%
Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN-E	$6.30	$10.50	$7.35	—	40%
Hemoglobin blood test inpatient CPT 85018 HGB-HCT	$6.30	$10.50	$7.35	—	40%
Hemoglobin blood test inpatient CPT 85018 HGB-MICRO	$6.30	$10.50	$7.35	—	40%
Hepatitis B core antibody test (total) CPT 86704 HEP B CORE AB- E	$42.07	$60.10	$8.44–$43.27	50% below	30%
Hepatitis B core antibody test (total) CPT 86704 HEP B CORE AB-E	$42.07	$60.10	$8.44–$43.27	50% below	30%
Hepatitis B core antibody test (total) inpatient CPT 86704 HEP B CORE AB- E	$36.06	$60.10	$42.07	—	40%
Hepatitis B core antibody test (total) inpatient CPT 86704 HEP B CORE AB-E	$36.06	$60.10	$42.07	—	40%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE AB	$37.66	$53.80	$7.52–$38.74	49% below	30%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEP B SURFACE AB	$32.28	$53.80	$37.66	—	40%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HBSAG (E)	$36.50	$52.15	$7.23–$37.55	48% below	30%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HBSAG (E)	$31.29	$52.15	$36.51	—	40%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB-E	$49.21	$70.30	$9.99–$50.62	51% below	30%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB (E)	$49.21	$70.30	$9.99–$50.62	51% below	30%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C AB (E)	$42.18	$70.30	$49.21	—	40%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C AB-E	$42.18	$70.30	$49.21	—	40%
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA BY PCR- QUANT	$124.74	$178.20	$29.99–$128.30	56% below	30%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV RNA BY PCR- QUANT	$106.92	$178.20	$124.74	—	40%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES I	$35.32	$50.45	$9.23–$36.32	56% below	30%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES I	$30.27	$50.45	$35.31	—	40%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES- TYPE 2	$77.21	$110.30	$13.54–$79.42	28% below	30%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES- TYPE 2	$66.18	$110.30	$77.21	—	40%
High-sensitivity CRP (hs-CRP) test CPT 86141 CRP	$17.36	$24.80	$9.06–$29.87	78% below	30%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CRP	$14.88	$24.80	$17.36	—	40%
Homocysteine blood test CPT 83090 HOMOCYSTEINE	$67.20	$96.00	$12.54–$69.12	44% below	30%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE	$57.60	$96.00	$67.20	—	40%
Insulin blood test CPT 83525 INSULIN-E	$36.33	$51.90	$8.00–$37.37	50% below	30%
Insulin blood test CPT 83525 GTT-W INSULIN 5HR	$36.33	$51.90	$8.00–$37.37	50% below	30%
Insulin blood test CPT 83525 IMMUNOREAC INSULIN	$36.33	$51.90	$8.00–$37.37	50% below	30%
Insulin blood test inpatient CPT 83525 GTT-W INSULIN 5HR	$31.14	$51.90	$36.33	—	40%
Insulin blood test inpatient CPT 83525 INSULIN-E	$31.14	$51.90	$36.33	—	40%
Insulin blood test inpatient CPT 83525 IMMUNOREAC INSULIN	$31.14	$51.90	$36.33	—	40%
Iron blood test (serum iron) CPT 83540 IRON-E	$20.47	$29.25	$4.53–$21.06	55% below	30%
Iron blood test (serum iron) CPT 83540 IRON, LIVER TISSUE	$127.05	$181.50	$4.53–$130.68	179% above	30%
Iron blood test (serum iron) inpatient CPT 83540 IRON-E	$17.55	$29.25	$20.48	—	40%
Iron blood test (serum iron) inpatient CPT 83540 IRON, LIVER TISSUE	$108.90	$181.50	$127.05	—	40%
Iron-binding capacity (TIBC) test CPT 83550 UIBC-E	$27.72	$39.60	$5.00–$28.51	54% below	30%
Iron-binding capacity (TIBC) test inpatient CPT 83550 UIBC-E	$23.76	$39.60	$27.72	—	40%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL	$27.37	$39.10	$6.08–$28.15	60% below	30%
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL	$23.46	$39.10	$27.37	—	40%
LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE	$59.08	$84.40	$12.96–$60.77	51% below	30%
LH (luteinizing hormone) test inpatient CPT 83002 LUTEINIZING HORMONE	$50.64	$84.40	$59.08	—	40%
Lactate (lactic acid) blood test CPT 83605 LACTATE	$39.58	$56.55	$8.00–$40.72	48% below	30%
Lactate (lactic acid) blood test inpatient CPT 83605 LACTATE	$33.93	$56.55	$39.59	—	40%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH	$11.62	$16.60	$4.23–$13.93	68% below	30%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH PERITON FL	$16.38	$23.40	$4.23–$16.85	55% below	30%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH-MISC	$16.38	$23.40	$4.23–$16.85	55% below	30%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH PLEURAL FLUID	$16.38	$23.40	$4.23–$16.85	55% below	30%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH RENAL CYST FL	$16.38	$23.40	$4.23–$16.85	55% below	30%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH-SERUM	$16.38	$23.40	$4.23–$16.85	55% below	30%
Lactate dehydrogenase (LDH) blood test CPT 83615 IDH-CSF	$16.38	$23.40	$4.23–$16.85	55% below	30%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH	$9.96	$16.60	$11.62	—	40%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 IDH-CSF	$14.04	$23.40	$16.38	—	40%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH-SERUM	$14.04	$23.40	$16.38	—	40%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH RENAL CYST FL	$14.04	$23.40	$16.38	—	40%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH PLEURAL FLUID	$14.04	$23.40	$16.38	—	40%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH PERITON FL	$14.04	$23.40	$16.38	—	40%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH-MISC	$14.04	$23.40	$16.38	—	40%
Lipase blood test (pancreas enzyme) CPT 83690 IIPASE PERIT FL	$21.70	$31.00	$4.82–$22.32	54% below	30%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE	$21.70	$31.00	$4.82–$22.32	54% below	30%
Lipase blood test (pancreas enzyme) CPT 83690 IIPASE DUODENAL FLUID	$21.70	$31.00	$4.82–$22.32	54% below	30%
Lipase blood test (pancreas enzyme) CPT 83690 IIPASE PERITONEAL FLUID	$21.70	$31.00	$4.82–$22.32	54% below	30%
Lipase blood test (pancreas enzyme) CPT 83690 IIPASE	$21.70	$31.00	$4.82–$22.32	54% below	30%
Lipase blood test (pancreas enzyme) CPT 83690 IIPASE, NON-BLOOD	$21.70	$31.00	$4.82–$22.32	54% below	30%
Lipase blood test (pancreas enzyme) CPT 83690 IIPASE,NON BLOOD	$21.70	$31.00	$4.82–$22.32	54% below	30%
Lipase blood test (pancreas enzyme) CPT 83690 IIPASE DUODENAL FL	$21.70	$31.00	$4.82–$22.32	54% below	30%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 IIPASE,NON BLOOD	$18.60	$31.00	$21.70	—	40%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 IIPASE PERITONEAL FLUID	$18.60	$31.00	$21.70	—	40%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 IIPASE, NON-BLOOD	$18.60	$31.00	$21.70	—	40%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 IIPASE DUODENAL FLUID	$18.60	$31.00	$21.70	—	40%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE	$18.60	$31.00	$21.70	—	40%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 IIPASE PERIT FL	$18.60	$31.00	$21.70	—	40%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 IIPASE DUODENAL FL	$18.60	$31.00	$21.70	—	40%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 IIPASE	$18.60	$31.00	$21.70	—	40%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL	$30.59	$43.70	$5.72–$31.46	61% below	30%
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL	$26.22	$43.70	$30.59	—	40%
Lyme disease antibody test CPT 86618 LYME AB	$54.18	$77.40	$11.92–$55.73	43% below	30%
Lyme disease antibody test inpatient CPT 86618 LYME AB	$46.44	$77.40	$54.18	—	40%
Magnesium blood test CPT 83735 MAGNESIUM-SERUM	$21.28	$30.40	$4.69–$21.89	49% below	30%
Magnesium blood test CPT 83735 MAGNESIUM	$21.28	$30.40	$4.69–$21.89	49% below	30%
Magnesium blood test inpatient CPT 83735 MAGNESIUM-SERUM	$18.24	$30.40	$21.28	—	40%
Magnesium blood test inpatient CPT 83735 MAGNESIUM	$18.24	$30.40	$21.28	—	40%
Measles (rubeola) antibody test CPT 86765 RUBEOLLA AB	$30.24	$43.20	$9.02–$31.10	62% below	30%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLLA AB	$25.92	$43.20	$30.24	—	40%
Mono test (heterophile antibody, Monospot) CPT 86308 MONO SPOT SCREEN	$16.31	$23.30	$3.63–$16.78	56% below	30%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONO SPOT SCREEN	$13.98	$23.30	$16.31	—	40%
Mumps immunity blood test CPT 86735 MUMPS TITER	$41.47	$59.25	$9.13–$42.66	49% below	30%
Mumps immunity blood test inpatient CPT 86735 MUMPS TITER	$35.55	$59.25	$41.48	—	40%
PSA (prostate-specific antigen) blood test, free CPT 84154 FREE PSA-E	$66.64	$95.20	$12.87–$68.54	41% below	30%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 FREE PSA-E	$57.12	$95.20	$66.64	—	40%
PSA (prostate-specific antigen) blood test, total CPT 84153 TOTAL PSA-E	$58.59	$83.70	$12.87–$60.26	47% below	30%
PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE SPECIFIC ANTIGEN	$58.59	$83.70	$12.87–$60.26	47% below	30%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 TOTAL PSA-E	$50.22	$83.70	$58.59	—	40%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATE SPECIFIC ANTIGEN	$50.22	$83.70	$58.59	—	40%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 PAP SMEAR-THIN PREP DIAGNOSTIC	$54.25	$77.50	$14.18–$55.80	11% below	30%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 PAP SMEAR- THIN PREP ROUTINE	$64.75	$92.50	$14.18–$66.60	6% above	30%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 PAP SMEAR-THIN PREP DIAGNOSTIC	$46.50	$77.50	$54.25	—	40%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 PAP SMEAR- THIN PREP ROUTINE	$55.50	$92.50	$64.75	—	40%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID TESTING	$86.38	$123.40	$28.90–$95.20	60% below	30%
Parathyroid hormone (PTH) blood test CPT 83970 PTH-C-TERMINAL	$131.39	$187.70	$28.90–$135.14	40% below	30%
Parathyroid hormone (PTH) blood test CPT 83970 ITH-INTACT	$131.39	$187.70	$28.90–$135.14	40% below	30%
Parathyroid hormone (PTH) blood test CPT 83970 ITH N-TERMINAL	$131.39	$187.70	$28.90–$135.14	40% below	30%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHYROID TESTING	$74.04	$123.40	$86.38	—	40%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH-C-TERMINAL	$112.62	$187.70	$131.39	—	40%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 ITH N-TERMINAL	$112.62	$187.70	$131.39	—	40%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 ITH-INTACT	$112.62	$187.70	$131.39	—	40%
Partial thromboplastin time (PTT) clotting test CPT 85730 ACTIVATED PTT (E)	$18.97	$27.10	$4.21–$19.51	54% below	30%
Partial thromboplastin time (PTT) clotting test CPT 85730 APTT-E	$18.97	$27.10	$4.21–$19.51	54% below	30%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 ACTIVATED PTT (E)	$16.26	$27.10	$18.97	—	40%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 APTT-E	$16.26	$27.10	$18.97	—	40%
Phosphorus (phosphate) blood test CPT 84100 INORG PHOS	$14.98	$21.40	$3.32–$15.41	54% below	30%
Phosphorus (phosphate) blood test CPT 84100 INORG PHOSPHORUS	$14.98	$21.40	$3.32–$15.41	54% below	30%
Phosphorus (phosphate) blood test inpatient CPT 84100 INORG PHOSPHORUS	$12.84	$21.40	$14.98	—	40%
Phosphorus (phosphate) blood test inpatient CPT 84100 INORG PHOS	$12.84	$21.40	$14.98	—	40%
Potassium blood test CPT 84132 IOTASSIUM-MISC FLU	$14.49	$20.70	$3.33–$14.90	55% below	30%
Potassium blood test CPT 84132 POTASSIUM	$14.49	$20.70	$3.33–$14.90	55% below	30%
Potassium blood test inpatient CPT 84132 IOTASSIUM-MISC FLU	$12.42	$20.70	$14.49	—	40%
Potassium blood test inpatient CPT 84132 POTASSIUM	$12.42	$20.70	$14.49	—	40%
Progesterone blood test CPT 84144 PROGESTERONE	$66.50	$95.00	$14.60–$68.40	52% below	30%
Progesterone blood test inpatient CPT 84144 PROGESTERONE	$57.00	$95.00	$66.50	—	40%
Prolactin blood test CPT 84146 PROLACTIN	$61.53	$87.90	$13.57–$63.29	51% below	30%
Prolactin blood test inpatient CPT 84146 PROLACTIN	$52.74	$87.90	$61.53	—	40%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TM (E)	$12.39	$17.70	$3.00–$12.74	57% below	30%
Prothrombin time (PT/INR) clotting test CPT 85610 PT-E	$12.39	$17.70	$3.00–$12.74	57% below	30%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PT-E	$10.62	$17.70	$12.39	—	40%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TM (E)	$10.62	$17.70	$12.39	—	40%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 BUPRENORPHINE SCREEN	$55.65	$79.50	$8.82–$57.24	at median	30%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 BUPRENORPHINE SCREEN	$47.70	$79.50	$55.65	—	40%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA	$33.74	$48.20	$11.35–$38.17	38% below	30%
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA	$28.92	$48.20	$33.74	—	40%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 RAPID STREP SCREEN	$29.89	$42.70	$6.30–$38.12	53% below	30%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 RAPID STREP SCREEN	$25.62	$42.70	$29.89	—	40%
Renin blood test CPT 84244 IENIN-CENTRAL	$206.64	$295.20	$12.00–$212.54	43% above	30%
Renin blood test CPT 84244 RENIN	$206.64	$295.20	$12.00–$212.54	43% above	30%
Renin blood test inpatient CPT 84244 RENIN	$177.12	$295.20	$206.64	—	40%
Renin blood test inpatient CPT 84244 IENIN-CENTRAL	$177.12	$295.20	$206.64	—	40%
Rh blood typing CPT 86901 ABO TYPING-(E)	$25.44	$36.35	$2.09–$26.17	55% below	30%
Rh blood typing CPT 86901 RH TYPING	$25.44	$36.35	$2.09–$26.17	55% below	30%
Rh blood typing CPT 86901 RH TYPE-(E)	$25.44	$36.35	$2.09–$26.17	55% below	30%
Rh blood typing inpatient CPT 86901 ABO TYPING-(E)	$21.81	$36.35	$25.45	—	40%
Rh blood typing inpatient CPT 86901 RH TYPING	$21.81	$36.35	$25.45	—	40%
Rh blood typing inpatient CPT 86901 RH TYPE-(E)	$21.81	$36.35	$25.45	—	40%
Rheumatoid factor (RF) test CPT 86431 RF-SERUM	$17.95	$25.65	$3.97–$18.47	54% below	30%
Rheumatoid factor (RF) test CPT 86431 IF-PERICARDIAL FL	$17.95	$25.65	$3.97–$18.47	54% below	30%
Rheumatoid factor (RF) test CPT 86431 IF-PLEURAL	$17.95	$25.65	$3.97–$18.47	54% below	30%
Rheumatoid factor (RF) test CPT 86431 IF-SYNOVIAL	$17.95	$25.65	$3.97–$18.47	54% below	30%
Rheumatoid factor (RF) test CPT 86431 IHEUMATOID FACTOR	$18.97	$27.10	$3.97–$19.51	51% below	30%
Rheumatoid factor (RF) test inpatient CPT 86431 RF-SERUM	$15.39	$25.65	$17.95	—	40%
Rheumatoid factor (RF) test inpatient CPT 86431 IF-PERICARDIAL FL	$15.39	$25.65	$17.95	—	40%
Rheumatoid factor (RF) test inpatient CPT 86431 IF-SYNOVIAL	$15.39	$25.65	$17.95	—	40%
Rheumatoid factor (RF) test inpatient CPT 86431 IF-PLEURAL	$15.39	$25.65	$17.95	—	40%
Rheumatoid factor (RF) test inpatient CPT 86431 IHEUMATOID FACTOR	$16.26	$27.10	$18.97	—	40%
Rubella antibody test (immunity check) CPT 86762 RUBELLA IMMUNE STATUS	$45.85	$65.50	$10.07–$47.16	46% below	30%
Rubella antibody test (immunity check) CPT 86762 RUBELLA	$45.85	$65.50	$10.07–$47.16	46% below	30%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA IMMUNE STATUS	$39.30	$65.50	$45.85	—	40%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA	$39.30	$65.50	$45.85	—	40%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 ESR- AUTOMATED	$11.13	$15.90	$1.89–$11.45	49% below	30%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 ESR- AUTOMATED	$9.54	$15.90	$11.13	—	40%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN ANALYSIS	$38.15	$54.50	$8.62–$39.24	57% below	30%
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 SEMEN ANALYSIS	$32.70	$54.50	$38.15	—	40%
Sodium blood test CPT 84295 SODIUM	$15.05	$21.50	$3.37–$15.48	54% below	30%
Sodium blood test CPT 84295 IODIUM-MISC FLUID	$15.05	$21.50	$3.37–$15.48	54% below	30%
Sodium blood test inpatient CPT 84295 SODIUM	$12.90	$21.50	$15.05	—	40%
Sodium blood test inpatient CPT 84295 IODIUM-MISC FLUID	$12.90	$21.50	$15.05	—	40%
Stool ova and parasites exam CPT 87177 O&P-DIRECT SMEAR	$17.15	$24.50	$6.23–$20.53	71% below	30%
Stool ova and parasites exam CPT 87177 I & P-DUODENAL FL	$28.21	$40.30	$6.23–$29.02	52% below	30%
Stool ova and parasites exam CPT 87177 IVA & PARASITES	$28.21	$40.30	$6.23–$29.02	52% below	30%
Stool ova and parasites exam inpatient CPT 87177 O&P-DIRECT SMEAR	$14.70	$24.50	$17.15	—	40%
Stool ova and parasites exam inpatient CPT 87177 I & P-DUODENAL FL	$24.18	$40.30	$28.21	—	40%
Stool ova and parasites exam inpatient CPT 87177 IVA & PARASITES	$24.18	$40.30	$28.21	—	40%
Stool test for hidden blood (guaiac FOBT) CPT 82270 HEMAWIPE/HEMOCCULT TESTING	$3.71	$5.30	$2.83–$10.10	82% below	30%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD	$7.91	$11.30	$3.07–$10.10	61% below	30%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HEMAWIPE/HEMOCCULT TESTING	$3.18	$5.30	$3.71	—	40%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLOOD	$6.78	$11.30	$7.91	—	40%
Syphilis antibody test (Treponema pallidum) CPT 86780 SYPHILLIS AB	$23.17	$33.10	$9.27–$30.53	69% below	30%
Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMA PALLIDUM	$42.21	$60.30	$9.27–$43.42	43% below	30%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 SYPHILLIS AB	$19.86	$33.10	$23.17	—	40%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 TREPONEMA PALLIDUM	$36.18	$60.30	$42.21	—	40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR	$6.30	$9.00	$2.99–$9.85	78% below	30%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 IPR-CORD BLOOD	$13.51	$19.30	$2.99–$13.90	52% below	30%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL SP FL	$13.51	$19.30	$2.99–$13.90	52% below	30%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR	$5.40	$9.00	$6.30	—	40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 IPR-CORD BLOOD	$11.58	$19.30	$13.51	—	40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL SP FL	$11.58	$19.30	$13.51	—	40%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB ANTIGEN RESPONSE	$161.00	$230.00	$43.39–$165.60	48% below	30%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 TB ANTIGEN RESPONSE	$138.00	$230.00	$161.00	—	40%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE	$82.28	$117.55	$18.07–$84.64	50% below	30%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE	$70.53	$117.55	$82.28	—	40%
Thyroid peroxidase (TPO) antibody test CPT 86376 ANTI-MICROSOMAL AB-E	$24.36	$34.80	$7.91–$33.56	68% below	30%
Thyroid peroxidase (TPO) antibody test CPT 86376 ANTI-THYROID PEROXIDASE AB	$46.13	$65.90	$7.91–$47.45	39% below	30%
Thyroid peroxidase (TPO) antibody test CPT 86376 ANTI LIVER KIDNEY MICROSOMAL	$46.13	$65.90	$7.91–$47.45	39% below	30%
Thyroid peroxidase (TPO) antibody test CPT 86376 ANTI LIVERKIDNEY MICROSOMAL	$46.13	$65.90	$7.91–$47.45	39% below	30%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 ANTI-MICROSOMAL AB-E	$20.88	$34.80	$24.36	—	40%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 ANTI-THYROID PEROXIDASE AB	$39.54	$65.90	$46.13	—	40%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 ANTI LIVERKIDNEY MICROSOMAL	$39.54	$65.90	$46.13	—	40%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 ANTI LIVER KIDNEY MICROSOMAL	$39.54	$65.90	$46.13	—	40%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TRH STIMULATION-E	$53.48	$76.40	$11.76–$55.01	47% below	30%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH	$53.48	$76.40	$11.76–$55.01	47% below	30%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH	$45.84	$76.40	$53.48	—	40%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TRH STIMULATION-E	$45.84	$76.40	$53.48	—	40%
Total IgE blood test CPT 82785 IAST-IGE	$52.43	$74.90	$11.52–$53.93	49% below	30%
Total IgE blood test CPT 82785 IGE	$52.43	$74.90	$11.52–$53.93	49% below	30%
Total IgE blood test inpatient CPT 82785 IGE	$44.94	$74.90	$52.43	—	40%
Total IgE blood test inpatient CPT 82785 IAST-IGE	$44.94	$74.90	$52.43	—	40%
Total cholesterol blood test CPT 82465 CHOLESTEROL	$13.72	$19.60	$3.04–$14.11	55% below	30%
Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL	$11.76	$19.60	$13.72	—	40%
Total thyroxine (T4) blood test CPT 84436 T4	$21.70	$31.00	$4.81–$22.32	52% below	30%
Total thyroxine (T4) blood test inpatient CPT 84436 T4	$18.60	$31.00	$21.70	—	40%
Total triiodothyronine (T3) blood test CPT 84480 T3-RIA (TIT)-E	$45.01	$64.30	$8.00–$46.30	54% below	30%
Total triiodothyronine (T3) blood test inpatient CPT 84480 T3-RIA (TIT)-E	$38.58	$64.30	$45.01	—	40%
Transferrin blood test CPT 84466 TRANSFERRIN	$40.46	$57.80	$8.93–$41.62	53% below	30%
Transferrin blood test CPT 84466 IRANSFERRIN	$40.46	$57.80	$8.93–$41.62	53% below	30%
Transferrin blood test inpatient CPT 84466 TRANSFERRIN	$34.68	$57.80	$40.46	—	40%
Transferrin blood test inpatient CPT 84466 IRANSFERRIN	$34.68	$57.80	$40.46	—	40%
Trichomonas test (NAAT) CPT 87661 TRICH VAGINALIS AMP PROBE	$60.48	$86.40	$24.56–$80.92	67% below	30%
Trichomonas test (NAAT) inpatient CPT 87661 TRICH VAGINALIS AMP PROBE	$51.84	$86.40	$60.48	—	40%
Triglycerides blood test CPT 84478 TRIGLYCERIDES	$11.06	$15.80	$4.02–$13.24	72% below	30%
Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDES	$9.48	$15.80	$11.06	—	40%
Troponin test, quantitative CPT 84484 TROPONIN	$49.00	$70.00	$8.73–$50.40	40% below	30%
Troponin test, quantitative inpatient CPT 84484 TROPONIN	$42.00	$70.00	$49.00	—	40%
Uric acid blood test CPT 84550 URIC ACID	$14.21	$20.30	$3.16–$14.62	55% below	30%
Uric acid blood test inpatient CPT 84550 URIC ACID	$12.18	$20.30	$14.21	—	40%
Urinalysis with microscope exam, automated CPT 81001 IRINALYSIS & MICRO	$11.13	$15.90	$2.22–$11.45	66% below	30%
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS	$11.13	$15.90	$2.22–$11.45	66% below	30%
Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS	$9.54	$15.90	$11.13	—	40%
Urinalysis with microscope exam, automated inpatient CPT 81001 IRINALYSIS & MICRO	$9.54	$15.90	$11.13	—	40%
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS-E	$7.98	$11.40	$1.57–$8.21	55% below	30%
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS	$7.98	$11.40	$1.57–$8.21	55% below	30%
Urinalysis without microscope exam, automated CPT 81003 SP GRAVITY-UR	$11.06	$15.80	$1.57–$11.38	38% below	30%
Urinalysis without microscope exam, automated CPT 81003 BILIRUBIN-UR	$15.89	$22.70	$1.57–$16.34	11% below	30%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS-E	$6.84	$11.40	$7.98	—	40%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS	$6.84	$11.40	$7.98	—	40%
Urinalysis without microscope exam, automated inpatient CPT 81003 SP GRAVITY-UR	$9.48	$15.80	$11.06	—	40%
Urinalysis without microscope exam, automated inpatient CPT 81003 BILIRUBIN-UR	$13.62	$22.70	$15.89	—	40%
Urinalysis without microscope exam, manual CPT 81002 URINALYSIS- DIPSTICK	$7.98	$11.40	$2.44–$8.21	62% below	30%
Urinalysis without microscope exam, manual CPT 81002 URINALYSIS- NO MICRO	$9.17	$13.10	$2.44–$9.43	56% below	30%
Urinalysis without microscope exam, manual inpatient CPT 81002 URINALYSIS- DIPSTICK	$6.84	$11.40	$7.98	—	40%
Urinalysis without microscope exam, manual inpatient CPT 81002 URINALYSIS- NO MICRO	$7.86	$13.10	$9.17	—	40%
Urine culture for bacteria, with colony count CPT 87086 URINE CULTURE	$25.62	$36.60	$5.65–$26.35	55% below	30%
Urine culture for bacteria, with colony count inpatient CPT 87086 URINE CULTURE	$21.96	$36.60	$25.62	—	40%
Urine microalbumin (albumin) test CPT 82043 ALBUMIN-QNT URINE	$18.27	$26.10	$4.05–$18.79	54% below	30%
Urine microalbumin (albumin) test CPT 82043 ILBUMIN-QNT URINE	$18.27	$26.10	$4.05–$18.79	54% below	30%
Urine microalbumin (albumin) test CPT 82043 ILBUMIN- QNT URINE	$19.32	$27.60	$4.05–$19.87	51% below	30%
Urine microalbumin (albumin) test inpatient CPT 82043 ALBUMIN-QNT URINE	$15.66	$26.10	$18.27	—	40%
Urine microalbumin (albumin) test inpatient CPT 82043 ILBUMIN-QNT URINE	$15.66	$26.10	$18.27	—	40%
Urine microalbumin (albumin) test inpatient CPT 82043 ILBUMIN- QNT URINE	$16.56	$27.60	$19.32	—	40%
Urine pregnancy test, read by color change CPT 81025 UCG (FP)	$20.30	$29.00	$4.00–$20.88	45% below	30%
Urine pregnancy test, read by color change CPT 81025 PREG TEST-URINE	$22.82	$32.60	$4.00–$23.47	38% below	30%
Urine pregnancy test, read by color change CPT 81025 ICG (FP)	$22.82	$32.60	$4.00–$23.47	38% below	30%
Urine pregnancy test, read by color change inpatient CPT 81025 UCG (FP)	$17.40	$29.00	$20.30	—	40%
Urine pregnancy test, read by color change inpatient CPT 81025 ICG (FP)	$19.56	$32.60	$22.82	—	40%
Urine pregnancy test, read by color change inpatient CPT 81025 PREG TEST-URINE	$19.56	$32.60	$22.82	—	40%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN-B12-E	$48.02	$68.60	$10.56–$49.39	49% below	30%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN-B12-E	$41.16	$68.60	$48.02	—	40%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D-25 DIHYDROXY	$94.29	$134.70	$20.72–$96.98	37% below	30%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D (25 HYDROXYO	$94.29	$134.70	$20.72–$96.98	37% below	30%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D-25 DIHYDROXY	$80.82	$134.70	$94.29	—	40%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D (25 HYDROXYO	$80.82	$134.70	$94.29	—	40%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 COLUMN CHROMATO/MASS SPECTROME	$70.77	$101.10	$26.95–$88.79	71% below	30%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 VITAMIN D(1,25 DIHYDROXY)	$122.57	$175.10	$26.95–$126.07	49% below	30%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 COLUMN CHROMATO/MASS SPECTROME	$60.66	$101.10	$70.77	—	40%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 VITAMIN D(1,25 DIHYDROXY)	$105.06	$175.10	$122.57	—	40%
Zinc blood test CPT 84630 ZINC	$35.07	$50.10	$7.97–$36.07	51% below	30%
Zinc blood test CPT 84630 ZINC 24HR	$36.12	$51.60	$7.97–$37.15	50% below	30%
Zinc blood test inpatient CPT 84630 ZINC	$30.06	$50.10	$35.07	—	40%
Zinc blood test inpatient CPT 84630 ZINC 24HR	$30.96	$51.60	$36.12	—	40%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG(QUANT)-URINE	$24.78	$35.40	$10.54–$34.71	72% below	30%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 ICG	$44.94	$64.20	$10.54–$46.22	50% below	30%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG	$44.94	$64.20	$10.54–$46.22	50% below	30%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG(QUANT)-URINE	$21.24	$35.40	$24.78	—	40%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG	$38.52	$64.20	$44.94	—	40%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 ICG	$38.52	$64.20	$44.94	—	40%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Pennsylvania	Off list
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 BREAST STEREO BIOPSY-BIL	$2,292.78	$3,275.40	$170.54–$3,562.39	41% below	30%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 BREAST STEREO BIOPSY-LT	$2,292.78	$3,275.40	$144.57–$2,358.29	41% below	30%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 BREAST STEREO BIOPSY-RT	$2,292.78	$3,275.40	$144.57–$2,358.29	41% below	30%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 BREAST STEREO BIOPSY-BIL	$1,965.24	$3,275.40	$2,292.78	—	40%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 BREAST STEREO BIOPSY-RT	$1,965.24	$3,275.40	$2,292.78	—	40%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 BREAST STEREO BIOPSY-LT	$1,965.24	$3,275.40	$2,292.78	—	40%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 TREATMENT OF ANKLE FRACTURE	$556.50	$795.00	$136.28–$572.40	16% below	30%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 TREATMENT OF ANKLE FRACTURE	$477.00	$795.00	$556.50	—	40%
Cardiac catheterization with coronary angiogram CPT 93458 LHC/CAO/LV	$2,421.86	$3,459.80	$1,176.33–$7,071.87	73% below	30%
Cardiac catheterization with coronary angiogram inpatient CPT 93458 LHC/CAO/LV	$2,075.88	$3,459.80	$2,421.86	—	40%
Cardioversion, elective (restoring heart rhythm) CPT 92960 ELECTIVE CARDIOVERSION	$362.32	$517.60	$100.05–$1,438.77	75% below	30%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION	$373.10	$533.00	$100.05–$1,438.77	75% below	30%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION EXTERNAL	$375.90	$537.00	$100.05–$1,438.77	74% below	30%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 ELECTIVE CARDIOVERSION	$310.56	$517.60	$362.32	—	40%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION	$319.80	$533.00	$373.10	—	40%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION EXTERNAL	$322.20	$537.00	$375.90	—	40%
Catheter ablation for atrial fibrillation CPT 93656 COMPREHENSIVE EPS & PVI ABL	$23,694.37	$33,849.10	$1,045.71–$53,938.79	24% below	30%
Catheter ablation for atrial fibrillation inpatient CPT 93656 COMPREHENSIVE EPS & PVI ABL	$20,309.46	$33,849.10	$23,694.37	—	40%
Coronary stent placement, one artery CPT 92928 INTRACOR STENTS COA/BRNCH RC	$13,578.95	$19,398.50	$568.45–$24,934.33	33% below	30%
Coronary stent placement, one artery CPT 92928 INTRACOR STENT S COA/BRNCH LD	$13,578.95	$19,398.50	$568.45–$24,934.33	33% below	30%
Coronary stent placement, one artery CPT 92928 INTRACOR STENTS COA/BRNCH LM	$13,578.95	$19,398.50	$568.45–$24,934.33	33% below	30%
Coronary stent placement, one artery CPT 92928 INTRACOR STENTS COA/BRNCH RI	$13,578.95	$19,398.50	$568.45–$24,934.33	33% below	30%
Coronary stent placement, one artery CPT 92928 INTRACOR STENTS COA/BRNCH LC	$13,578.95	$19,398.50	$568.45–$24,934.33	33% below	30%
Coronary stent placement, one artery CPT 92928 IVL IC STENTW/ PTCA	$24,115.00	$34,450.00	$8,108.90–$24,934.33	19% above	30%
Coronary stent placement, one artery inpatient CPT 92928 INTRACOR STENTS COA/BRNCH RC	$11,639.10	$19,398.50	$13,578.95	—	40%
Coronary stent placement, one artery inpatient CPT 92928 INTRACOR STENTS COA/BRNCH LM	$11,639.10	$19,398.50	$13,578.95	—	40%
Coronary stent placement, one artery inpatient CPT 92928 INTRACOR STENT S COA/BRNCH LD	$11,639.10	$19,398.50	$13,578.95	—	40%
Coronary stent placement, one artery inpatient CPT 92928 INTRACOR STENTS COA/BRNCH LC	$11,639.10	$19,398.50	$13,578.95	—	40%
Coronary stent placement, one artery inpatient CPT 92928 INTRACOR STENTS COA/BRNCH RI	$11,639.10	$19,398.50	$13,578.95	—	40%
Coronary stent placement, one artery inpatient CPT 92928 IVL IC STENTW/ PTCA	$20,670.00	$34,450.00	$24,115.00	—	40%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRUCT PREMALIG 1ST LESIONS	$1,113.00	$1,590.00	$23.00–$1,144.80	160% above	30%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 DESTRUCT PREMALIG 1ST LESIONS	$954.00	$1,590.00	$1,113.00	—	40%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 FACET JOINT INJ LUMBAR	$1,279.18	$1,827.40	$621.32–$1,957.46	11% below	30%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 FACET JOINT INJ LUMBAR	$1,096.44	$1,827.40	$1,279.18	—	40%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 SALPINGOGRAM INJECTION- E	$333.90	$477.00	$45.48–$343.44	13% below	30%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 SALPINGOGRAM INJECTION- E	$286.20	$477.00	$333.90	—	40%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABCESS-SINGLE, SIMPLE	$81.97	$117.10	$27.02–$436.89	84% below	30%
Incision and drainage of a simple or single skin abscess CPT 10060 INCISION DRAINAGE ABSCESS	$742.00	$1,060.00	$27.02–$763.20	45% above	30%
Incision and drainage of a simple or single skin abscess CPT 10060 INC & DRAIN OF ABSCESS (SIMPLE	$1,067.57	$1,525.10	$27.02–$1,098.07	109% above	30%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABCESS-SINGLE, SIMPLE	$70.26	$117.10	$81.97	—	40%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 INCISION DRAINAGE ABSCESS	$636.00	$1,060.00	$742.00	—	40%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 INC & DRAIN OF ABSCESS (SIMPLE	$915.06	$1,525.10	$1,067.57	—	40%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJCTN-TNDG/TRGR/GANGLN	$59.15	$84.50	$28.73–$649.03	90% below	30%
Injection into a tendon sheath or ligament (for example trigger finger) one side CPT 20550 INJ TENDON SHEATH-LT-E	$593.60	$848.00	$35.64–$610.56	4% above	30%
Injection into a tendon sheath or ligament (for example trigger finger) one side CPT 20550 INJ TENDON SHEATH-RT-E	$593.60	$848.00	$35.64–$610.56	4% above	30%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJCTN-TNDG/TRGR/GANGLN	$50.70	$84.50	$59.15	—	40%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient one side CPT 20550 INJ TENDON SHEATH-LT-E	$508.80	$848.00	$593.60	—	40%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient one side CPT 20550 INJ TENDON SHEATH-RT-E	$508.80	$848.00	$593.60	—	40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARHTRO/ASPRTN/INJCTN-LGE JOINT	$667.80	$954.00	$27.02–$686.88	43% above	30%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 LARGE JOINT ASPIRATION	$667.80	$954.00	$27.02–$686.88	43% above	30%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HIP ASPIRATION- E	$667.80	$954.00	$27.02–$686.88	43% above	30%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 LARGE JOINT ASPIRATION-LT	$667.80	$954.00	$27.02–$686.88	43% above	30%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 LARGE JOINT ASPIRATION-RT	$667.80	$954.00	$27.02–$686.88	43% above	30%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARHTRO/ASPRTN/INJCTN-LGE JOINT	$572.40	$954.00	$667.80	—	40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 LARGE JOINT ASPIRATION	$572.40	$954.00	$667.80	—	40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HIP ASPIRATION- E	$572.40	$954.00	$667.80	—	40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 LARGE JOINT ASPIRATION-LT	$572.40	$954.00	$667.80	—	40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 LARGE JOINT ASPIRATION-RT	$572.40	$954.00	$667.80	—	40%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 INTERMEDIATE JT ASPIRATION-E	$704.90	$1,007.00	$24.73–$725.04	99% above	30%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARHTRO/ASPRTN/INJCTN-INTRMD	$742.00	$1,060.00	$24.73–$763.20	110% above	30%
Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 MEDIUM JOINT ASPIR-RT	$704.90	$1,007.00	$24.73–$725.04	99% above	30%
Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 MEDIUM JOINT ASPIR-LT	$704.90	$1,007.00	$24.73–$725.04	99% above	30%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 INTERMEDIATE JT ASPIRATION-E	$604.20	$1,007.00	$704.90	—	40%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ARHTRO/ASPRTN/INJCTN-INTRMD	$636.00	$1,060.00	$742.00	—	40%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient one side CPT 20605 MEDIUM JOINT ASPIR-LT	$604.20	$1,007.00	$704.90	—	40%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient one side CPT 20605 MEDIUM JOINT ASPIR-RT	$604.20	$1,007.00	$704.90	—	40%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHRO/ASPRTN/INJCTN-5M JOINT	$53.20	$76.00	$20.70–$649.03	87% below	30%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 SMALL JOINT ASPIRATION-E	$102.69	$146.70	$20.70–$649.03	75% below	30%
Joint injection or drainage, small joint (fingers, toes) one side CPT 20600 SMALL JOINT ASPIRATION-LT	$99.75	$142.50	$20.70–$102.60	76% below	30%
Joint injection or drainage, small joint (fingers, toes) one side CPT 20600 SMALL JOINT ASPIRATION-RT	$99.75	$142.50	$20.70–$102.60	76% below	30%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ARTHRO/ASPRTN/INJCTN-5M JOINT	$45.60	$76.00	$53.20	—	40%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 SMALL JOINT ASPIRATION-E	$88.02	$146.70	$102.69	—	40%
Joint injection or drainage, small joint (fingers, toes) inpatient one side CPT 20600 SMALL JOINT ASPIRATION-RT	$85.50	$142.50	$99.75	—	40%
Joint injection or drainage, small joint (fingers, toes) inpatient one side CPT 20600 SMALL JOINT ASPIRATION-LT	$85.50	$142.50	$99.75	—	40%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 LYR RPR 2.5CM/LES EXC HND/FT	$138.32	$197.60	$28.18–$878.43	76% below	30%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 REPAIR OF CHEST WOUND	$387.03	$552.90	$28.18–$878.43	34% below	30%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 LYR RPR 2.5CM/LES EXC HND/FT	$118.56	$197.60	$138.32	—	40%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 REPAIR OF CHEST WOUND	$331.74	$552.90	$387.03	—	40%
Left heart catheterization, diagnostic CPT 93452 LV ONLY	$2,421.86	$3,459.80	$1,176.33–$7,071.87	63% below	30%
Left heart catheterization, diagnostic inpatient CPT 93452 LV ONLY	$2,075.88	$3,459.80	$2,421.86	—	40%
Lower-back epidural injection, with imaging guidance CPT 62323 LUMBAR EPIDURAL STEROID INJ	$1,484.00	$2,120.00	$93.52–$1,526.40	29% below	30%
Lower-back epidural injection, with imaging guidance CPT 62323 LP FOR NUC CISTERNOGRAM	$1,484.00	$2,120.00	$93.52–$1,526.40	29% below	30%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 LP FOR NUC CISTERNOGRAM	$1,272.00	$2,120.00	$1,484.00	—	40%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 LUMBAR EPIDURAL STEROID INJ	$1,272.00	$2,120.00	$1,484.00	—	40%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 TRANSFORAMINAL ESI	$1,054.06	$1,505.80	$109.30–$1,957.46	45% below	30%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 L-S SELECTIVE NERVE BLOCK	$1,054.06	$1,505.80	$109.30–$1,957.46	45% below	30%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 TRANSFORAMINAL ESI	$903.48	$1,505.80	$1,054.06	—	40%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 L-S SELECTIVE NERVE BLOCK	$903.48	$1,505.80	$1,054.06	—	40%
Nail removal (partial or complete), one nail CPT 11730 AVULSLON NAIL PLATE-SNGL/SMPL	$63.63	$90.90	$29.61–$436.89	86% below	30%
Nail removal (partial or complete), one nail CPT 11730 AVUL NAILPLATE/P/CMPL/SMPL1ST	$864.50	$1,235.00	$29.61–$931.20	84% above	30%
Nail removal (partial or complete), one nail inpatient CPT 11730 AVULSLON NAIL PLATE-SNGL/SMPL	$54.54	$90.90	$63.63	—	40%
Nail removal (partial or complete), one nail inpatient CPT 11730 AVUL NAILPLATE/P/CMPL/SMPL1ST	$741.00	$1,235.00	$864.50	—	40%
Pacemaker implant (dual chamber) CPT 33208 IMPL/REPLACE PM W A/V LDS	$7,420.00	$10,600.00	$532.53–$23,009.97	42% below	30%
Pacemaker implant (dual chamber) inpatient CPT 33208 IMPL/REPLACE PM W A/V LDS	$6,360.00	$10,600.00	$7,420.00	—	40%
Paracentesis with imaging guidance CPT 49083 PARACENTESIS-E	$770.28	$1,100.40	$96.98–$2,061.40	54% below	30%
Paracentesis with imaging guidance inpatient CPT 49083 PARACENTESIS-E	$660.24	$1,100.40	$770.28	—	40%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXCISE NAIL/PARTIAL/COMPLETE	$1,484.00	$2,120.00	$91.58–$1,526.40	78% above	30%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 EXCISE NAIL/PARTIAL/COMPLETE	$1,272.00	$2,120.00	$1,484.00	—	40%
Prostate biopsy CPT 55700 BIOPSY PROSTRATE	$616.42	$880.60	$102.92–$4,504.03	84% below	30%
Prostate biopsy CPT 55700 ULTRA GUIDE- PROSTATE BIOPSY-E	$4,266.50	$6,095.00	$102.92–$4,504.03	11% above	30%
Prostate biopsy inpatient CPT 55700 BIOPSY PROSTRATE	$528.36	$880.60	$616.42	—	40%
Prostate biopsy inpatient CPT 55700 ULTRA GUIDE- PROSTATE BIOPSY-E	$3,657.00	$6,095.00	$4,266.50	—	40%
Removal of a foreign object under the skin, simple CPT 10120 INCISE REMOVE FOREIGN BODY SMP	$865.48	$1,236.40	$35.08–$890.21	59% above	30%
Removal of a foreign object under the skin, simple inpatient CPT 10120 INCISE REMOVE FOREIGN BODY SMP	$741.84	$1,236.40	$865.48	—	40%
Short leg cast (below the knee) CPT 29405 APPLY SHORT LEG CAST KNEE/TOES	$556.50	$795.00	$52.13–$931.20	7% above	30%
Short leg cast (below the knee) inpatient CPT 29405 APPLY SHORT LEG CAST KNEE/TOES	$477.00	$795.00	$556.50	—	40%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SMPL RPR SUP WND 2.5CM/LESS	$106.54	$152.20	$28.18–$436.89	79% below	30%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SIMPLE REPAIR SPRFC WND <2.5CM	$556.50	$795.00	$28.18–$572.40	8% above	30%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 SMPL RPR SUP WND 2.5CM/LESS	$91.32	$152.20	$106.54	—	40%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 SIMPLE REPAIR SPRFC WND <2.5CM	$477.00	$795.00	$556.50	—	40%
Skin biopsy, punch, one lesion CPT 11104 BIOPSY SKIN/SUB/MUCOUS 1ST	$1,113.00	$1,590.00	$40.99–$1,144.80	69% above	30%
Skin biopsy, punch, one lesion inpatient CPT 11104 BIOPSY SKIN/SUB/MUCOUS 1ST	$954.00	$1,590.00	$1,113.00	—	40%
Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE FOR DIAGNOSTIC	$459.06	$655.80	$48.30–$1,522.62	62% below	30%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 LUMBAR PUNCTURE FOR DIAGNOSTIC	$393.48	$655.80	$459.06	—	40%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SMPL RPR SUP WND 2.6-7.5CM	$138.32	$197.60	$40.83–$436.89	74% below	30%
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 RPR SUP WND 2.6-7.5CM	$118.56	$197.60	$138.32	—	40%
Thoracentesis with imaging guidance one side CPT 32555 CT GUIDED THORACENTESIS-LT	$1,180.76	$1,686.80	$102.00–$1,214.50	20% below	30%
Thoracentesis with imaging guidance one side CPT 32555 CT GUIDED THORACENTESIS-RT	$1,180.76	$1,686.80	$102.00–$1,214.50	20% below	30%
Thoracentesis with imaging guidance one side CPT 32555 THORACENTESIS-LT	$1,180.76	$1,686.80	$102.00–$1,214.50	20% below	30%
Thoracentesis with imaging guidance one side CPT 32555 THORACENTESIS-RT	$1,180.76	$1,686.80	$102.00–$1,214.50	20% below	30%
Thoracentesis with imaging guidance inpatient one side CPT 32555 THORACENTESIS-LT	$1,012.08	$1,686.80	$1,180.76	—	40%
Thoracentesis with imaging guidance inpatient one side CPT 32555 THORACENTESIS-RT	$1,012.08	$1,686.80	$1,180.76	—	40%
Thoracentesis with imaging guidance inpatient one side CPT 32555 CT GUIDED THORACENTESIS-RT	$1,012.08	$1,686.80	$1,180.76	—	40%
Thoracentesis with imaging guidance inpatient one side CPT 32555 CT GUIDED THORACENTESIS-LT	$1,012.08	$1,686.80	$1,180.76	—	40%
Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER PT	$704.90	$1,007.00	$35.72–$725.04	30% above	30%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJ TRIGGER PT	$604.20	$1,007.00	$704.90	—	40%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 US BREAST BIOPSY-BIL	$2,292.78	$3,275.40	$159.72–$3,562.39	36% below	30%
Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 US BREAST BIOPSY-RT	$2,292.78	$3,275.40	$136.44–$2,358.29	36% below	30%
Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 US BREAST BIOPSY-LT	$2,292.78	$3,275.40	$136.44–$2,358.29	36% below	30%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 US BREAST BIOPSY-BIL	$1,965.24	$3,275.40	$2,292.78	—	40%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 US BREAST BIOPSY-RT	$1,965.24	$3,275.40	$2,292.78	—	40%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 US BREAST BIOPSY-LT	$1,965.24	$3,275.40	$2,292.78	—	40%
Vein ablation, radiofrequency, first vein CPT 36475 RADIOFREQ ABLAT 1ST VEIN	$8,162.00	$11,660.00	$2,250.57–$8,395.20	13% below	30%
Vein ablation, radiofrequency, first vein inpatient CPT 36475 RADIOFREQ ABLAT 1ST VEIN	$6,996.00	$11,660.00	$8,162.00	—	40%
Wart removal, up to 14 warts CPT 17110 DESTRUCT BENIGN LESION </= 14	$1,113.00	$1,590.00	$56.35–$1,144.80	99% above	30%
Wart removal, up to 14 warts inpatient CPT 17110 DESTRUCT BENIGN LESION </= 14	$954.00	$1,590.00	$1,113.00	—	40%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDE SQ TISSUE 1ST 20SQ CM	$1,037.82	$1,482.60	$37.95–$1,067.47	4% below	30%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDE SQ TISSUE 1ST 20SQ CM	$889.56	$1,482.60	$1,037.82	—	40%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Pennsylvania	Off list
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD-PLASMA-PLATELET ADMINSTR	$221.41	$316.30	$32.02–$961.22	76% below	30%
Blood transfusion (giving blood or blood components) CPT 36430 O/P BLOOD TRANSFUSION <2 HRS	$297.64	$425.20	$32.02–$961.22	68% below	30%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION < 2 HRS	$297.64	$425.20	$32.02–$961.22	68% below	30%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMINISTRATION 0-2 HRS	$297.64	$425.20	$32.02–$961.22	68% below	30%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION 0-2 HRS	$297.64	$425.20	$32.02–$961.22	68% below	30%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMINSTRATION 0-2 HOURS	$299.81	$428.30	$32.02–$961.22	68% below	30%
Blood transfusion (giving blood or blood components) CPT 36430 O/P BLOOD TRANSFUSION <4 HRS	$357.07	$510.10	$32.02–$961.22	62% below	30%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMINISTRATION 2-4 HRS	$357.07	$510.10	$32.02–$961.22	62% below	30%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION 2-4 HRS	$357.07	$510.10	$32.02–$961.22	62% below	30%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION < 4 HRS	$357.07	$510.10	$32.02–$961.22	62% below	30%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION 4-6 HRS	$416.64	$595.20	$32.02–$961.22	56% below	30%
Blood transfusion (giving blood or blood components) CPT 36430 O/P BLOOD TRANSFUSION < 6 HRS	$416.64	$595.20	$32.02–$961.22	56% below	30%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION < 6 HRS	$416.64	$595.20	$32.02–$961.22	56% below	30%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMINISTRATION 4-6 HRS	$416.64	$595.20	$32.02–$961.22	56% below	30%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMINISTRATION 6-8 HRS	$535.57	$765.10	$32.02–$961.22	43% below	30%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION < 8 HRS	$535.57	$765.10	$32.02–$961.22	43% below	30%
Blood transfusion (giving blood or blood components) CPT 36430 O/P BLOOD TRANSFUSION < 8 HRS	$535.57	$765.10	$32.02–$961.22	43% below	30%
Blood transfusion (giving blood or blood components) CPT 36430 O/P BLOOD TRANSFUSION	$593.60	$848.00	$32.02–$961.22	37% below	30%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION	$1,075.90	$1,537.00	$32.02–$1,106.64	14% above	30%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD-PLASMA-PLATELET ADMINSTR	$189.78	$316.30	$221.41	—	40%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION 0-2 HRS	$255.12	$425.20	$297.64	—	40%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD ADMINISTRATION 0-2 HRS	$255.12	$425.20	$297.64	—	40%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION < 2 HRS	$255.12	$425.20	$297.64	—	40%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 O/P BLOOD TRANSFUSION <2 HRS	$255.12	$425.20	$297.64	—	40%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD ADMINSTRATION 0-2 HOURS	$256.98	$428.30	$299.81	—	40%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION < 4 HRS	$306.06	$510.10	$357.07	—	40%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD ADMINISTRATION 2-4 HRS	$306.06	$510.10	$357.07	—	40%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION 2-4 HRS	$306.06	$510.10	$357.07	—	40%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 O/P BLOOD TRANSFUSION <4 HRS	$306.06	$510.10	$357.07	—	40%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION 4-6 HRS	$357.12	$595.20	$416.64	—	40%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD ADMINISTRATION 4-6 HRS	$357.12	$595.20	$416.64	—	40%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 O/P BLOOD TRANSFUSION < 6 HRS	$357.12	$595.20	$416.64	—	40%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION < 6 HRS	$357.12	$595.20	$416.64	—	40%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD ADMINISTRATION 6-8 HRS	$459.06	$765.10	$535.57	—	40%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 O/P BLOOD TRANSFUSION < 8 HRS	$459.06	$765.10	$535.57	—	40%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION < 8 HRS	$459.06	$765.10	$535.57	—	40%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 O/P BLOOD TRANSFUSION	$508.80	$848.00	$593.60	—	40%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION	$922.20	$1,537.00	$1,075.90	—	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 DRUG AEROSOL RX PER DAY	$75.18	$107.40	$36.52–$447.20	66% below	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AEROSOL AEROECLIPSE RX PER DAY	$75.18	$107.40	$36.52–$447.20	66% below	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 TREATMENT IPPB	$75.18	$107.40	$36.52–$447.20	66% below	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 CONTINUOUS AEROSOL < 1HR	$83.54	$119.35	$40.58–$447.20	63% below	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI	$83.54	$119.35	$10.48–$447.20	63% below	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 DRY POWDER INHALER RX	$83.54	$119.35	$40.58–$447.20	63% below	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 DRUG AEROSOL RX PER DAY	$64.44	$107.40	$75.18	—	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AEROSOL AEROECLIPSE RX PER DAY	$64.44	$107.40	$75.18	—	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 TREATMENT IPPB	$64.44	$107.40	$75.18	—	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 CONTINUOUS AEROSOL < 1HR	$71.61	$119.35	$83.55	—	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 DRY POWDER INHALER RX	$71.61	$119.35	$83.55	—	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MDI	$71.61	$119.35	$83.55	—	40%
Chemotherapy IV infusion, first hour CPT 96413 HCD INFUSE>15<91 MIN	$396.69	$566.70	$143.52–$729.29	45% below	30%
Chemotherapy IV infusion, first hour CPT 96413 CHEMO INFUSION, 1ST HOUR	$487.27	$696.10	$143.52–$729.29	33% below	30%
Chemotherapy IV infusion, first hour inpatient CPT 96413 HCD INFUSE>15<91 MIN	$340.02	$566.70	$396.69	—	40%
Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO INFUSION, 1ST HOUR	$417.66	$696.10	$487.27	—	40%
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE & DROWSY	$659.33	$941.90	$25.88–$684.66	13% below	30%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG AWAKE & DROWSY	$565.14	$941.90	$659.33	—	40%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG W/RHYTHM STRIP (FP-AVELLA)	$182.70	$261.00	$12.03–$187.92	5% above	30%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG W/RHYTM STRIP-INTER ONLY	$182.70	$261.00	$12.03–$187.92	5% above	30%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG WITH RHYTHM STRIP	$182.70	$261.00	$12.03–$187.92	5% above	30%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG WITH RHYTHM STRIP	$156.60	$261.00	$182.70	—	40%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG W/RHYTM STRIP-INTER ONLY	$156.60	$261.00	$182.70	—	40%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG W/RHYTHM STRIP (FP-AVELLA)	$156.60	$261.00	$182.70	—	40%
Electroconvulsive therapy (ECT), one session CPT 90870 ECT PROCEDURE CHARGE	$793.94	$1,134.20	$51.75–$1,166.61	37% below	30%
Electroconvulsive therapy (ECT), one session CPT 90870 COMPONNT CANNOT BE INATIVATED	$793.94	$1,134.20	$51.75–$1,166.61	37% below	30%
Electroconvulsive therapy (ECT), one session inpatient CPT 90870 COMPONNT CANNOT BE INATIVATED	$680.52	$1,134.20	$367.50–$806.21	—	40%
Electroconvulsive therapy (ECT), one session inpatient CPT 90870 ECT PROCEDURE CHARGE	$680.52	$1,134.20	$367.50–$806.21	—	40%
Exercise stress test, tracing only, the hospital charge CPT 93017 TREADMILL - FH	$817.88	$1,168.40	$53.48–$841.25	14% below	30%
Exercise stress test, tracing only, the hospital charge CPT 93017 MYOCARDIAL PHARMACOLOGY-FH	$817.88	$1,168.40	$53.48–$841.25	14% below	30%
Exercise stress test, tracing only, the hospital charge CPT 93017 TREADMILL W/ RADIONUCLIDE-FH	$817.88	$1,168.40	$53.48–$841.25	14% below	30%
Exercise stress test, tracing only, the hospital charge CPT 93017 EXERCISE TEST TRACE/REPORT	$817.88	$1,168.40	$53.48–$841.25	14% below	30%
Exercise stress test, tracing only, the hospital charge CPT 93017 STRESS TEST TRACING/REPORT	$817.88	$1,168.40	$53.48–$841.25	14% below	30%
Exercise stress test, tracing only, the hospital charge CPT 93017 STRESS TESTING TRACING/REPORT	$842.45	$1,203.50	$53.48–$866.52	11% below	30%
Exercise stress test, tracing only, the hospital charge CPT 93017 MYOCARDIAL PHARMACOLOGICAL	$842.45	$1,203.50	$53.48–$866.52	11% below	30%
Exercise stress test, tracing only, the hospital charge CPT 93017 MYOCARDIAL PHMARACOLOGICAL	$842.45	$1,203.50	$53.48–$866.52	11% below	30%
Exercise stress test, tracing only, the hospital charge CPT 93017 TREADMILL	$842.45	$1,203.50	$53.48–$866.52	11% below	30%
Exercise stress test, tracing only, the hospital charge CPT 93017 TREADMILL WITH RADIONUCLIDE	$842.45	$1,203.50	$53.48–$866.52	11% below	30%
Exercise stress test, tracing only, the hospital charge CPT 93017 EXERCISE TESTING TRACE/REPORT	$842.45	$1,203.50	$53.48–$866.52	11% below	30%
Exercise stress test, tracing only, the hospital charge CPT 93017 DOBUTAMINE STRESS W CONRAST	$1,634.36	$2,334.80	$53.48–$1,681.06	73% above	30%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 MYOCARDIAL PHARMACOLOGY-FH	$701.04	$1,168.40	$817.88	—	40%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 TREADMILL - FH	$701.04	$1,168.40	$817.88	—	40%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 STRESS TEST TRACING/REPORT	$701.04	$1,168.40	$817.88	—	40%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 EXERCISE TEST TRACE/REPORT	$701.04	$1,168.40	$817.88	—	40%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 TREADMILL W/ RADIONUCLIDE-FH	$701.04	$1,168.40	$817.88	—	40%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 EXERCISE TESTING TRACE/REPORT	$722.10	$1,203.50	$842.45	—	40%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 TREADMILL	$722.10	$1,203.50	$842.45	—	40%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 TREADMILL WITH RADIONUCLIDE	$722.10	$1,203.50	$842.45	—	40%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 MYOCARDIAL PHARMACOLOGICAL	$722.10	$1,203.50	$842.45	—	40%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 MYOCARDIAL PHMARACOLOGICAL	$722.10	$1,203.50	$842.45	—	40%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 STRESS TESTING TRACING/REPORT	$722.10	$1,203.50	$842.45	—	40%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 DOBUTAMINE STRESS W CONRAST	$1,400.88	$2,334.80	$1,634.36	—	40%
Group psychotherapy session CPT 90853 PSYCH GROUP SOP VBH EA 15M	$26.18	$37.40	$12.72–$203.38	82% below	30%
Group psychotherapy session CPT 90853 IOP PSYCHOTHERAPY GROUP	$104.65	$149.50	$50.83–$203.38	27% below	30%
Group psychotherapy session CPT 90853 PSYCHOTHERAPY GROUP	$204.05	$291.50	$66.14–$209.88	42% above	30%
Group psychotherapy session inpatient CPT 90853 PSYCH GROUP SOP VBH EA 15M	$22.44	$37.40	$26.18	—	40%
Group psychotherapy session inpatient CPT 90853 IOP PSYCHOTHERAPY GROUP	$89.70	$149.50	$104.65	—	40%
Group psychotherapy session inpatient CPT 90853 PSYCHOTHERAPY GROUP	$174.90	$291.50	$204.05	—	40%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INFUSE-UP TO 1 HOUR	$290.36	$414.80	$36.37–$463.25	33% below	30%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 O/P HYDRATION-31M TO OVER 1 HR	$290.36	$414.80	$36.37–$463.25	33% below	30%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION>31 MIN TO OVER 1 HR	$526.82	$752.60	$36.37–$541.87	21% above	30%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV INFUSE-UP TO 1 HOUR	$248.88	$414.80	$290.36	—	40%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 O/P HYDRATION-31M TO OVER 1 HR	$248.88	$414.80	$290.36	—	40%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATION>31 MIN TO OVER 1 HR	$451.56	$752.60	$526.82	—	40%
IV infusion of a medicine, first hour CPT 96365 O/P IV INFUSION MEDS>15M-1 HR	$290.36	$414.80	$45.20–$463.25	36% below	30%
IV infusion of a medicine, first hour CPT 96365 IV INFUSION, 1ST HR	$290.36	$414.80	$45.20–$463.25	36% below	30%
IV infusion of a medicine, first hour CPT 96365 IV INFUSE MEDS>15 MIN <1ST HR	$313.32	$447.60	$45.20–$463.25	30% below	30%
IV infusion of a medicine, first hour CPT 96365 IV INFUSE MEDS>15 MIN-1ST HOUR	$526.82	$752.60	$45.20–$541.87	17% above	30%
IV infusion of a medicine, first hour CPT 96365 IV INFUSION UP TO 1 HOUR	$526.82	$752.60	$45.20–$541.87	17% above	30%
IV infusion of a medicine, first hour CPT 96365 IV INFUSION/HYDRATION-1ST HR	$526.82	$752.60	$45.20–$541.87	17% above	30%
IV infusion of a medicine, first hour inpatient CPT 96365 O/P IV INFUSION MEDS>15M-1 HR	$248.88	$414.80	$290.36	—	40%
IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION, 1ST HR	$248.88	$414.80	$290.36	—	40%
IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSE MEDS>15 MIN <1ST HR	$268.56	$447.60	$313.32	—	40%
IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSE MEDS>15 MIN-1ST HOUR	$451.56	$752.60	$526.82	—	40%
IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION UP TO 1 HOUR	$451.56	$752.60	$526.82	—	40%
IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION/HYDRATION-1ST HR	$451.56	$752.60	$526.82	—	40%
IV push of a medicine, first drug CPT 96374 IV ANTIBIOTIC INFUSION	$72.66	$103.80	$35.29–$463.25	78% below	30%
IV push of a medicine, first drug CPT 96374 THERAPEUTIC/DIAGNOSTIC INJ-IV	$74.86	$106.95	$35.67–$463.25	77% below	30%
IV push of a medicine, first drug CPT 96374 IV THERAPY	$74.86	$106.95	$35.67–$463.25	77% below	30%
IV push of a medicine, first drug CPT 96374 THERAPEUTIC DIAG INJ	$112.84	$161.20	$35.67–$463.25	66% below	30%
IV push of a medicine, first drug CPT 96374 O/P-IVP OF MEDS < 15 MIN	$137.55	$196.50	$35.67–$463.25	58% below	30%
IV push of a medicine, first drug CPT 96374 IVP OF MEDS < 15 MIN	$526.82	$752.60	$35.67–$541.87	60% above	30%
IV push of a medicine, first drug inpatient CPT 96374 IV ANTIBIOTIC INFUSION	$62.28	$103.80	$72.66	—	40%
IV push of a medicine, first drug inpatient CPT 96374 IV THERAPY	$64.17	$106.95	$74.86	—	40%
IV push of a medicine, first drug inpatient CPT 96374 THERAPEUTIC/DIAGNOSTIC INJ-IV	$64.17	$106.95	$74.86	—	40%
IV push of a medicine, first drug inpatient CPT 96374 THERAPEUTIC DIAG INJ	$96.72	$161.20	$112.84	—	40%
IV push of a medicine, first drug inpatient CPT 96374 O/P-IVP OF MEDS < 15 MIN	$117.90	$196.50	$137.55	—	40%
IV push of a medicine, first drug inpatient CPT 96374 IVP OF MEDS < 15 MIN	$451.56	$752.60	$526.82	—	40%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAPEUTIC/DIAGNOSTIC SQ/IM	$163.24	$233.20	$14.61–$167.90	32% above	30%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM INJECTION OF ANTIBIOTIC	$163.24	$233.20	$14.61–$167.90	32% above	30%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 ARANESP-SQ/IM FOR ANEMIA	$163.24	$233.20	$14.61–$167.90	32% above	30%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 EPOGEN SUBQ/IM FOR ANEMIA	$163.24	$233.20	$14.61–$167.90	32% above	30%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 EPOGEN-CRF NOT ON DIALYSIS	$163.24	$233.20	$14.61–$167.90	32% above	30%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 O/P INJECTION, IM/SQ	$163.24	$233.20	$14.61–$167.90	32% above	30%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 O/P INJECTION, IM ANTIBIOTIC	$163.24	$233.20	$14.61–$167.90	32% above	30%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION, IM/SQ	$163.24	$233.20	$14.61–$167.90	32% above	30%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 IV ANTIBIOTIC INFUSION	$163.24	$233.20	$14.61–$167.90	32% above	30%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 TORADOL 60MG IM	$163.24	$233.20	$14.61–$167.90	32% above	30%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION, IM ANTIBIOTIC	$185.50	$265.00	$14.61–$190.80	50% above	30%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 IV ANTIBIOTIC INFUSION	$139.92	$233.20	$163.24	—	40%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION, IM/SQ	$139.92	$233.20	$163.24	—	40%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 O/P INJECTION, IM ANTIBIOTIC	$139.92	$233.20	$163.24	—	40%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 O/P INJECTION, IM/SQ	$139.92	$233.20	$163.24	—	40%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 EPOGEN-CRF NOT ON DIALYSIS	$139.92	$233.20	$163.24	—	40%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 EPOGEN SUBQ/IM FOR ANEMIA	$139.92	$233.20	$163.24	—	40%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 ARANESP-SQ/IM FOR ANEMIA	$139.92	$233.20	$163.24	—	40%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 IM INJECTION OF ANTIBIOTIC	$139.92	$233.20	$163.24	—	40%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAPEUTIC/DIAGNOSTIC SQ/IM	$139.92	$233.20	$163.24	—	40%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 TORADOL 60MG IM	$139.92	$233.20	$163.24	—	40%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION, IM ANTIBIOTIC	$159.00	$265.00	$185.50	—	40%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCH DIAG EVAL RC	$173.25	$247.50	$84.15–$353.26	35% below	30%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 SOCIAL SERV EVAL-DIAGNOSTIC	$333.90	$477.00	$114.89–$353.26	25% above	30%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 PSYCH DIAG EVAL RC	$148.50	$247.50	$173.25	—	40%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 SOCIAL SERV EVAL-DIAGNOSTIC	$286.20	$477.00	$333.90	—	40%
New patient office visit, about 30 minutes CPT 99203 ANNUAL PHYSICAL EXAM II	$52.36	$74.80	$25.43–$261.53	78% below	30%
New patient office visit, about 30 minutes CPT 99203 PREPLACEMENT EXAM III	$63.07	$90.10	$30.63–$261.53	74% below	30%
New patient office visit, about 30 minutes CPT 99203 INSURANCE EXAM- PORTAMEDIC	$65.52	$93.60	$31.82–$261.53	73% below	30%
New patient office visit, about 30 minutes CPT 99203 OFFICE VISIT LEVEL III NEW PT	$187.81	$268.30	$62.39–$261.53	21% below	30%
New patient office visit, about 30 minutes inpatient CPT 99203 ANNUAL PHYSICAL EXAM II	$44.88	$74.80	$52.36	—	40%
New patient office visit, about 30 minutes inpatient CPT 99203 PREPLACEMENT EXAM III	$54.06	$90.10	$63.07	—	40%
New patient office visit, about 30 minutes inpatient CPT 99203 INSURANCE EXAM- PORTAMEDIC	$56.16	$93.60	$65.52	—	40%
New patient office visit, about 30 minutes inpatient CPT 99203 OFFICE VISIT LEVEL III NEW PT	$160.98	$268.30	$187.81	—	40%
New patient office visit, about 45 minutes CPT 99204 ANNUAL PHYSICAL EXAM III	$63.07	$90.10	$30.63–$401.16	79% below	30%
New patient office visit, about 45 minutes CPT 99204 PREPLACEMENT EXAM IV	$76.44	$109.20	$37.13–$401.16	75% below	30%
New patient office visit, about 45 minutes inpatient CPT 99204 ANNUAL PHYSICAL EXAM III	$54.06	$90.10	$63.07	—	40%
New patient office visit, about 45 minutes inpatient CPT 99204 PREPLACEMENT EXAM IV	$65.52	$109.20	$76.44	—	40%
New patient office visit, about 60 minutes CPT 99205 ANNUAL PHYSICAL EXAM IV	$91.70	$131.00	$44.54–$507.41	82% below	30%
New patient office visit, about 60 minutes CPT 99205 PREPLACEMENT EXAM V	$95.55	$136.50	$46.41–$507.41	82% below	30%
New patient office visit, about 60 minutes CPT 99205 MANAGEMENT HEALTH EXAM	$141.40	$202.00	$68.68–$507.41	73% below	30%
New patient office visit, about 60 minutes inpatient CPT 99205 ANNUAL PHYSICAL EXAM IV	$78.60	$131.00	$91.70	—	40%
New patient office visit, about 60 minutes inpatient CPT 99205 PREPLACEMENT EXAM V	$81.90	$136.50	$95.55	—	40%
New patient office visit, about 60 minutes inpatient CPT 99205 MANAGEMENT HEALTH EXAM	$121.20	$202.00	$141.40	—	40%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 DOT EXAM I (NO AUDIOSCOPE)	$52.36	$74.80	$25.43–$184.32	71% below	30%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 PREPLACEMENT EXAM II	$52.36	$74.80	$25.43–$184.32	71% below	30%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE VISIT LEVEL II NEW PT	$152.67	$218.10	$40.63–$184.32	17% below	30%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 DOT EXAM I (NO AUDIOSCOPE)	$44.88	$74.80	$52.36	—	40%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 PREPLACEMENT EXAM II	$44.88	$74.80	$52.36	—	40%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OFFICE VISIT LEVEL II NEW PT	$130.86	$218.10	$152.67	—	40%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MNT-INI ASSESS/15 MIN	$23.03	$32.90	$11.19–$99.19	54% below	30%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 OUTPATIENT MNT-INITIAL/15 MIN	$27.51	$39.30	$13.36–$99.19	45% below	30%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 NUTRIONAL CONSULTATION- FULL	$63.35	$90.50	$30.77–$99.19	26% above	30%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 MNT-INI ASSESS/15 MIN	$19.74	$32.90	$23.03	—	40%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 OUTPATIENT MNT-INITIAL/15 MIN	$23.58	$39.30	$27.51	—	40%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 NUTRIONAL CONSULTATION- FULL	$54.30	$90.50	$63.35	—	40%
Psychiatric evaluation with medical services CPT 90792 PSYCH DIAG EVAL W MED SERV	$173.25	$247.50	$84.15–$353.26	47% below	30%
Psychiatric evaluation with medical services inpatient CPT 90792 PSYCH DIAG EVAL W MED SERV	$148.50	$247.50	$173.25	—	40%
Psychotherapy session, 30 minutes CPT 90832 PSYTX PT&/FAM 30 MIN RC	$204.05	$291.50	$29.90–$353.26	17% below	30%
Psychotherapy session, 30 minutes CPT 90832 SOCIAL SERVICE THERAPY- 30 MIN	$333.90	$477.00	$29.90–$353.26	36% above	30%
Psychotherapy session, 30 minutes inpatient CPT 90832 PSYTX PT&/FAM 30 MIN RC	$174.90	$291.50	$204.05	—	40%
Psychotherapy session, 30 minutes inpatient CPT 90832 SOCIAL SERVICE THERAPY- 30 MIN	$286.20	$477.00	$333.90	—	40%
Psychotherapy session, 45 minutes CPT 90834 PSYTX PT&/FAM 45 MIN RC	$222.60	$318.00	$44.85–$353.26	13% below	30%
Psychotherapy session, 45 minutes inpatient CPT 90834 PSYTX PT&/FAM 45 MIN RC	$190.80	$318.00	$222.60	—	40%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKE/TOBACCO CESSATION 3-10MN	$14.49	$20.70	$7.04–$65.50	68% below	30%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 SMOKE/TOBACCO CESSATION 3-10MN	$12.42	$20.70	$14.49	—	40%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFFICE VISIT F/U MAJOR EST PT	$148.75	$212.50	$72.25–$355.75	45% below	30%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 OFFICE VISIT F/U MAJOR EST PT	$127.50	$212.50	$148.75	—	40%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE VISIT F/U INTRMD EST PT	$96.04	$137.20	$46.65–$264.46	52% below	30%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OFFICE VISIT F/U INTRMD EST PT	$82.32	$137.20	$96.04	—	40%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ON-SITE ANNUAL EXAM	$33.60	$48.00	$16.32–$109.80	79% below	30%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 SCHOOL BUS DRIVER EXAMINATION	$52.36	$74.80	$25.43–$109.80	68% below	30%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 DOT EXAM II (AUDIOSCOPE)	$60.48	$86.40	$29.38–$109.80	63% below	30%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE VISIT F/U BRIEF EST PT	$67.62	$96.60	$29.90–$109.80	58% below	30%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 ON-SITE ANNUAL EXAM	$28.80	$48.00	$33.60	—	40%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 SCHOOL BUS DRIVER EXAMINATION	$44.88	$74.80	$52.36	—	40%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 DOT EXAM II (AUDIOSCOPE)	$51.84	$86.40	$60.48	—	40%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OFFICE VISIT F/U BRIEF EST PT	$57.96	$96.60	$67.62	—	40%
Specialist consultation, low complexity or 30+ minutes CPT 99243 RETURN TO WORK EXTENDED	$80.22	$114.60	$38.96–$314.71	57% below	30%
Specialist consultation, low complexity or 30+ minutes CPT 99243 RETURN TO WORK EXTENDED- WC	$87.88	$125.55	$42.69–$314.71	52% below	30%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 RETURN TO WORK EXTENDED	$68.76	$114.60	$80.22	—	40%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 RETURN TO WORK EXTENDED- WC	$75.33	$125.55	$87.89	—	40%
Spirometry (breathing test) CPT 94010 NIOSH SPIROMETRY	$44.52	$63.60	$17.25–$344.02	85% below	30%
Spirometry (breathing test) CPT 94010 PEAK FLOW TEST	$352.45	$503.50	$17.25–$362.52	17% above	30%
Spirometry (breathing test) CPT 94010 PULMONARY SCREENING	$352.45	$503.50	$17.25–$362.52	17% above	30%
Spirometry (breathing test) CPT 94010 SPIROMETRY-BEFORE	$352.45	$503.50	$17.25–$362.52	17% above	30%
Spirometry (breathing test) inpatient CPT 94010 NIOSH SPIROMETRY	$38.16	$63.60	$44.52	—	40%
Spirometry (breathing test) inpatient CPT 94010 PULMONARY SCREENING	$302.10	$503.50	$352.45	—	40%
Spirometry (breathing test) inpatient CPT 94010 PEAK FLOW TEST	$302.10	$503.50	$352.45	—	40%
Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY-BEFORE	$302.10	$503.50	$352.45	—	40%
Spirometry before and after a bronchodilator CPT 94060 SPIROMETRY-BEFORE & AFTER	$667.80	$954.00	$21.85–$686.88	3% above	30%
Spirometry before and after a bronchodilator inpatient CPT 94060 SPIROMETRY-BEFORE & AFTER	$572.40	$954.00	$667.80	—	40%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY	$195.23	$278.90	$11.50–$283.41	15% below	30%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY	$167.34	$278.90	$195.23	—	40%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Pennsylvania	Off list
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VIRUS VACCINE	$137.27	$196.10	$11.50–$469.99	33% below	30%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VIRUS VACCINE	$117.66	$196.10	$137.27	—	40%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPPTHERIA/TET/PERTUSSIS INJ	$26.74	$38.20	$11.50–$74.88	22% below	30%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPHTHERIA/TET/PERTUSSIS INJ	$26.74	$38.20	$11.50–$74.88	22% below	30%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DIPPTHERIA/TET/PERTUSSIS INJ	$22.92	$38.20	$26.74	—	40%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DIPHTHERIA/TET/PERTUSSIS INJ	$22.92	$38.20	$26.74	—	40%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 TWINRIX HEP A & B VACCINE	$76.44	$109.20	$11.50–$323.59	15% below	30%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 HEPATITIS A & B INJECTION	$222.60	$318.00	$11.50–$323.59	147% above	30%
Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 TWINRIX HEP A & B VACCINE	$65.52	$109.20	$76.44	—	40%
Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 HEPATITIS A & B INJECTION	$190.80	$318.00	$222.60	—	40%
Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VACCINE	$152.88	$218.40	$11.50–$177.10	71% above	30%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VACCINE	$131.04	$218.40	$152.88	—	40%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HEPATITIS A VACCINE ADULT	$74.20	$106.00	$11.50–$97.73	at median	30%
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 HEPATITIS A VACCINE ADULT	$63.60	$106.00	$74.20	—	40%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VACCINE	$49.77	$71.10	$11.50–$168.91	40% below	30%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VACCINE	$42.66	$71.10	$49.77	—	40%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VACCINE 5MCG/0.5ML	$55.65	$79.50	$11.50–$76.01	17% above	30%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VACCINE 5MCG/0.5ML	$47.70	$79.50	$55.65	—	40%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HAEMOPHILUS B VACCINE	$31.29	$44.70	$11.50–$33.72	at median	30%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HAEMOPHILUS B VACCINE	$26.82	$44.70	$31.29	—	40%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 INFLUENZA VIRUS VACCINE 65YR+	$59.36	$84.80	$11.50–$235.58	32% below	30%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 INFLUENZA VIRUS VACCINE 65YR+	$50.88	$84.80	$59.36	—	40%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES/MUPMS/RUBELLA VACCINE	$36.89	$52.70	$11.50–$240.34	44% below	30%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES/MUMPS/RUBELLA-LIVE-INJ	$42.00	$60.00	$11.50–$240.34	36% below	30%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES/MUPMS/RUBELLA VACCINE	$31.62	$52.70	$36.89	—	40%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES/MUMPS/RUBELLA-LIVE-INJ	$36.00	$60.00	$42.00	—	40%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOCCAL CONJ VACCINE	$222.60	$318.00	$11.50–$407.90	138% above	30%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOCOCCAL CONJ VACCINE	$190.80	$318.00	$222.60	—	40%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 PNEUMOCOCCAL-13 VACCINE	$270.06	$385.80	$11.50–$619.18	88% above	30%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 PNEUMOCOCCAL-13 VACCINE	$231.48	$385.80	$270.06	—	40%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL-20 VACCINE	$312.76	$446.80	$11.50–$750.96	3% below	30%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL-20 VACCINE	$268.08	$446.80	$312.76	—	40%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 COMPONENT- CANT BE INACTIVE	$24.43	$34.90	$11.50–$320.33	81% below	30%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 RSV VACCINE 0.5ML	$525.35	$750.50	$11.50–$751.06	4% above	30%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 RSV VACCINE 0.5ML	$450.30	$750.50	$525.35	—	40%
Rabies vaccine, one dose CPT 90675 RABIES HUMANVACCINE1DOSE	$371.00	$530.00	$11.50–$752.83	38% below	30%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE	$382.13	$545.90	$11.50–$723.41	36% below	30%
Rabies vaccine, one dose inpatient CPT 90675 RABIES HUMANVACCINE1DOSE	$318.00	$530.00	$371.00	—	40%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE	$327.54	$545.90	$382.13	—	40%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 DIPTHERIA/TETANUS TOXOID ADULT	$18.55	$26.50	$9.01–$89.69	67% below	30%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 DIPTHERIA/TETANUS TOXOID ADULT	$15.90	$26.50	$18.55	—	40%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPTHERIA/TETANUS/PERTUSSIS	$66.78	$95.40	$11.50–$95.54	19% above	30%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPTHERIA/TETANUS/PERTUSSIS	$57.24	$95.40	$66.78	—	40%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 COMPONENT CANNOT INACTIVATE	$7.14	$10.20	$3.47–$156.48	89% below	30%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN INJECT/IMMUNIZATION	$7.63	$10.90	$3.71–$156.48	88% below	30%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 O/P IMMUNIZE/INJECT, 1ST VAC	$8.68	$12.40	$4.22–$156.48	86% below	30%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZE/INJECT, 1ST VACCINE	$8.68	$12.40	$4.22–$156.48	86% below	30%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 TDAP IMMUNIZATION ADMIN	$12.04	$17.20	$5.85–$156.48	81% below	30%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HEPATITIS B VACCINE ADMIN	$12.04	$17.20	$5.85–$156.48	81% below	30%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADM, 1ST VACCINE	$185.50	$265.00	$50.89–$190.80	191% above	30%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN INJECT/IMMUNIZATION	$6.54	$10.90	$7.63	—	40%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZE/INJECT, 1ST VACCINE	$7.44	$12.40	$8.68	—	40%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 O/P IMMUNIZE/INJECT, 1ST VAC	$7.44	$12.40	$8.68	—	40%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 TDAP IMMUNIZATION ADMIN	$10.32	$17.20	$12.04	—	40%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HEPATITIS B VACCINE ADMIN	$10.32	$17.20	$12.04	—	40%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADM, 1ST VACCINE	$159.00	$265.00	$185.50	—	40%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZE/INJECT, ADD VACCINE	$8.68	$12.40	$4.22–$24.00	68% below	30%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 O/P IMMUNIZE/INJECT, ADD VAC	$8.68	$12.40	$4.22–$24.00	68% below	30%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZE INJECT, ADD'L VACCINE	$18.55	$26.50	$9.01–$24.00	31% below	30%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADM, ADD VACCINE	$18.55	$26.50	$9.01–$24.00	31% below	30%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUNIZE/INJECT, ADD VACCINE	$7.44	$12.40	$8.68	—	40%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 O/P IMMUNIZE/INJECT, ADD VAC	$7.44	$12.40	$8.68	—	40%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUNIZE INJECT, ADD'L VACCINE	$15.90	$26.50	$18.55	—	40%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUNIZATION ADM, ADD VACCINE	$15.90	$26.50	$18.55	—	40%

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

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

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

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

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

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

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

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

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

Source file: https://whs.org/wp-content/uploads/2026/03/250965600_upmc-washington_standardcharges.csv