Wyandot Memorial Hospital
Wyandot Memorial Hospital in Upper Sandusky, OH publishes cash prices for 390 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are below the Ohio median for 276 of 388 procedures and above it for 109. By typical cash price it ranks #5 of 116 Ohio hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
885 N Sandusky Ave, Upper Sandusky, OH 43351 Collected Sep 27, 2026 Source price file (419) 294-4991
Critical access hospital (rural, 25 beds or fewer) Emergency department CMS star rating 5 of 5 CCN 361329 · CMS hospital register
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Ohio | Off list |
|---|---|---|---|---|---|
| Ankle X-ray, complete, 3 or more views CPT 73610 HC X-RAY ANKLE ROUT 3 VIEWS | $230.82 | $256.46 | $148.62–$243.64 | 28% below | 10% |
| Ankle X-ray, complete, 3 or more views CPT 73610 WMHC ANKLES BIALT-MEDICARE | $230.82 | $256.46 | $148.62–$243.64 | 28% below | 10% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 WMHC ANKLE RT CMPLT MIN3V-MD3654 | $42.27 | $46.97 | $27.22–$44.62 | 87% below | 10% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 WMHC ANKLE LT CMPLT MIN3V-MD3654 | $42.27 | $46.97 | $27.22–$44.62 | 87% below | 10% |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 HC X-RAY ANKLE ROUT 3 VIEWS | $230.82 | $256.46 | $148.62–$243.64 | — | 10% |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 WMHC ANKLES BIALT-MEDICARE | $230.82 | $256.46 | $148.62–$243.64 | — | 10% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 WMHC ANKLE LT CMPLT MIN3V-MD3654 | $42.27 | $46.97 | $27.22–$44.62 | — | 10% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 WMHC ANKLE RT CMPLT MIN3V-MD3654 | $42.27 | $46.97 | $27.22–$44.62 | — | 10% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 WMHC PR NON-INVAS PHYSIOLOGIC STD EXTREMITY ART 1-2 LEVEL | $168.66 | $187.40 | $108.60–$178.03 | 65% below | 10% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 WMHC SING ART | $175.40 | $194.89 | $112.93–$185.14 | 64% below | 10% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 WMHC SING ART - BOLE | $175.40 | $194.89 | $112.93–$185.14 | 64% below | 10% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HC TCP02/ABI 1-2 LEVELS | $323.06 | $358.95 | $208.01–$341.00 | 33% below | 10% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 WMHC PR NON-INVAS PHYSIOLOGIC STD EXTREMITY ART 1-2 LEVEL | $168.66 | $187.40 | $108.60–$178.03 | — | 10% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 WMHC SING ART - BOLE | $175.40 | $194.89 | $112.93–$185.14 | — | 10% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 WMHC SING ART | $175.40 | $194.89 | $112.93–$185.14 | — | 10% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 HC TCP02/ABI 1-2 LEVELS | $323.06 | $358.95 | $208.01–$341.00 | — | 10% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 WMHC ESOPHAGRAM-MD3654 | $119.40 | $132.67 | $76.89–$126.04 | 72% below | 10% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 HC FLURO ESOPHAGRAM | $309.22 | $343.58 | $199.11–$326.40 | 28% below | 10% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 WMHC ESOPHAGRAM-MD3654 | $119.40 | $132.67 | $76.89–$126.04 | — | 10% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HC FLURO ESOPHAGRAM | $309.22 | $343.58 | $199.11–$326.40 | — | 10% |
| Bone scan, whole body (nuclear medicine) CPT 78306 WMHC BONE WHOLE BODY-MD3654 | $198.22 | $220.25 | $127.64–$209.24 | 87% below | 10% |
| Bone scan, whole body (nuclear medicine) CPT 78306 HC NM BONE SCAN WHOLE BODY | $1,520.84 | $1,689.82 | $979.25–$1,605.33 | 1% below | 10% |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 WMHC BONE WHOLE BODY-MD3654 | $198.22 | $220.25 | $127.64–$209.24 | — | 10% |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 HC NM BONE SCAN WHOLE BODY | $1,520.84 | $1,689.82 | $979.25–$1,605.33 | — | 10% |
| Breast ultrasound, complete, one breast CPT 76641 WMHC BREAST UNI/BIL US-MD3654 | $131.76 | $146.40 | $84.84–$139.08 | 57% below | 10% |
| Breast ultrasound, complete, one breast CPT 76641 HC US BREAST COMP | $535.75 | $595.28 | $344.96–$565.51 | 76% above | 10% |
| Breast ultrasound, complete, one breast inpatient CPT 76641 WMHC BREAST UNI/BIL US-MD3654 | $131.76 | $146.40 | $84.84–$139.08 | — | 10% |
| Breast ultrasound, complete, one breast inpatient CPT 76641 HC US BREAST COMP | $535.75 | $595.28 | $344.96–$565.51 | — | 10% |
| Breast ultrasound, limited (one breast or one area) CPT 76642 HC US BREAST LTD | $263.78 | $293.08 | $169.84–$278.43 | 36% below | 10% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 WMHC BREAST US LTD-RT-MD3654 | $102.15 | $113.50 | $65.77–$107.82 | 75% below | 10% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 WMHC BREAST US LTD-LT-MD3654 | $144.31 | $160.35 | $92.92–$152.33 | 65% below | 10% |
| Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 HC US BREAST LTD | $263.78 | $293.08 | $169.84–$278.43 | — | 10% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 WMHC BREAST US LTD-RT-MD3654 | $102.15 | $113.50 | $65.77–$107.82 | — | 10% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 WMHC BREAST US LTD-LT-MD3654 | $144.31 | $160.35 | $92.92–$152.33 | — | 10% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 WMHC CTA CHEST W C+-MD3654 | $408.90 | $454.33 | $263.29–$431.62 | 71% below | 10% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CT ANGIO CHEST W & W/O CONT | $2,820.69 | $3,134.09 | $1,816.20–$2,977.38 | 99% above | 10% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 WMHC CTA CHEST W C+-MD3654 | $408.90 | $454.33 | $263.29–$431.62 | — | 10% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HC CT ANGIO CHEST W & W/O CONT | $2,820.69 | $3,134.09 | $1,816.20–$2,977.38 | — | 10% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 WMHC CHG CT ANGIO HRT CORNRY ART/BYPASS GRFTS CONTRST 3D POST | $641.79 | $713.11 | $413.24–$677.46 | 60% below | 10% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 WMHC CARD W/CON POST BYPS- BOLE | $667.46 | $741.62 | $429.77–$704.55 | 58% below | 10% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 WMHC CARD W/CON POST BYPS | $667.46 | $741.62 | $429.77–$704.55 | 58% below | 10% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HC CTA HEART W/WO CALCIUM | $2,820.69 | $3,134.09 | $1,816.20–$2,977.38 | 76% above | 10% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 WMHC CHG CT ANGIO HRT CORNRY ART/BYPASS GRFTS CONTRST 3D POST | $641.79 | $713.11 | $413.24–$677.46 | — | 10% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 WMHC CARD W/CON POST BYPS | $667.46 | $741.62 | $429.77–$704.55 | — | 10% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 WMHC CARD W/CON POST BYPS- BOLE | $667.46 | $741.62 | $429.77–$704.55 | — | 10% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 HC CTA HEART W/WO CALCIUM | $2,820.69 | $3,134.09 | $1,816.20–$2,977.38 | — | 10% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 HC C/T HEART WO CONTRAST | $123.25 | $136.95 | $79.36–$130.10 | 59% below | 10% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 WMHC CHG CT HEART W/O CONTRAST QUANT EVAL CORONARY CALCIUM | $242.16 | $269.07 | $155.93–$255.61 | 20% below | 10% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 WMHC CALC SCORE- INT | $251.84 | $279.81 | $162.16–$265.82 | 17% below | 10% |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 HC C/T HEART WO CONTRAST | $123.25 | $136.95 | $79.36–$130.10 | — | 10% |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 WMHC CHG CT HEART W/O CONTRAST QUANT EVAL CORONARY CALCIUM | $242.16 | $269.07 | $155.93–$255.61 | — | 10% |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 WMHC CALC SCORE- INT | $251.84 | $279.81 | $162.16–$265.82 | — | 10% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 WMHC CT ABD & PELVS WO CONT-MD3654 | $351.89 | $391.00 | $226.58–$371.45 | 78% below | 10% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT ABD/PELVIS W/O CONTRAST | $2,206.93 | $2,452.14 | $1,421.01–$2,329.54 | 40% above | 10% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 WMHC CT ABD & PELVS WO CONT-MD3654 | $351.89 | $391.00 | $226.58–$371.45 | — | 10% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HC CT ABD/PELVIS W/O CONTRAST | $2,206.93 | $2,452.14 | $1,421.01–$2,329.54 | — | 10% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 WMHC CT ABD&PELVIS W/CONT-MD3654 | $369.01 | $410.01 | $237.60–$389.51 | 81% below | 10% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT ABD/PEL W CONT | $3,396.42 | $3,773.81 | $2,186.92–$3,585.12 | 76% above | 10% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 WMHC CT ABD&PELVIS W/CONT-MD3654 | $369.01 | $410.01 | $237.60–$389.51 | — | 10% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT ABD/PEL W CONT | $3,396.42 | $3,773.81 | $2,186.92–$3,585.12 | — | 10% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 WMHC CT ABD&PELVIS W/0-MD3654 | $408.90 | $454.33 | $263.29–$431.62 | 81% below | 10% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT ABD/PELVIS W W/O CONTRAST | $3,510.98 | $3,901.08 | $2,260.68–$3,706.03 | 67% above | 10% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 WMHC CT ABD&PELVIS W/0-MD3654 | $408.90 | $454.33 | $263.29–$431.62 | — | 10% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HC CT ABD/PELVIS W W/O CONTRAST | $3,510.98 | $3,901.08 | $2,260.68–$3,706.03 | — | 10% |
| CT scan of the abdomen with contrast CPT 74160 WMHC ABDOMEN w/-CT-MD3654 | $289.29 | $321.43 | $186.27–$305.36 | 74% below | 10% |
| CT scan of the abdomen with contrast CPT 74160 HC CT ABDOMEN W/ CONT | $2,198.37 | $2,442.64 | $1,415.51–$2,320.51 | 98% above | 10% |
| CT scan of the abdomen with contrast inpatient CPT 74160 WMHC ABDOMEN w/-CT-MD3654 | $289.29 | $321.43 | $186.27–$305.36 | — | 10% |
| CT scan of the abdomen with contrast inpatient CPT 74160 HC CT ABDOMEN W/ CONT | $2,198.37 | $2,442.64 | $1,415.51–$2,320.51 | — | 10% |
| CT scan of the abdomen without contrast CPT 74150 WMHC CT ABDOMEN WO DYE-MD3654 | $272.23 | $302.47 | $175.28–$287.35 | 74% below | 10% |
| CT scan of the abdomen without contrast CPT 74150 HC CT ABDOMEN W/O CONT | $1,471.44 | $1,634.93 | $947.44–$1,553.19 | 40% above | 10% |
| CT scan of the abdomen without contrast inpatient CPT 74150 WMHC CT ABDOMEN WO DYE-MD3654 | $272.23 | $302.47 | $175.28–$287.35 | — | 10% |
| CT scan of the abdomen without contrast inpatient CPT 74150 HC CT ABDOMEN W/O CONT | $1,471.44 | $1,634.93 | $947.44–$1,553.19 | — | 10% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 WMHC FACIAL/BRAIN WO-MD3654 | $260.83 | $289.82 | $167.95–$275.33 | 70% below | 10% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT FACIAL BONES W/O CONTRAST | $1,206.45 | $1,340.50 | $776.82–$1,273.47 | 38% above | 10% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 WMHC FACIAL/BRAIN WO-MD3654 | $260.83 | $289.82 | $167.95–$275.33 | — | 10% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT FACIAL BONES W/O CONTRAST | $1,206.45 | $1,340.50 | $776.82–$1,273.47 | — | 10% |
| CT scan of the head or brain, no contrast dye CPT 70450 WMHC CT BRAIN WO-MD3654 | $199.44 | $221.60 | $128.42–$210.53 | 76% below | 10% |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT BRAIN W/O CONTRAST | $1,250.89 | $1,389.88 | $805.44–$1,320.38 | 50% above | 10% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 WMHC CT BRAIN WO-MD3654 | $199.44 | $221.60 | $128.42–$210.53 | — | 10% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT BRAIN W/O CONTRAST | $1,250.89 | $1,389.88 | $805.44–$1,320.38 | — | 10% |
| CT scan of the head with contrast CPT 70460 HC CT BRAIN W/ CONTRAST | $1,977.99 | $2,197.76 | $1,273.60–$2,087.87 | 97% above | 10% |
| CT scan of the head with contrast inpatient CPT 70460 HC CT BRAIN W/ CONTRAST | $1,977.99 | $2,197.76 | $1,273.60–$2,087.87 | — | 10% |
| CT scan of the head without and with contrast CPT 70470 WMHC CT HEAD/BRAIN WO&W/DYE-MD3654 | $289.29 | $321.43 | $186.27–$305.36 | 73% below | 10% |
| CT scan of the head without and with contrast CPT 70470 HC CT BRAIN W/WO CONTRAST | $2,140.92 | $2,378.80 | $1,378.51–$2,259.86 | 97% above | 10% |
| CT scan of the head without and with contrast inpatient CPT 70470 WMHC CT HEAD/BRAIN WO&W/DYE-MD3654 | $289.29 | $321.43 | $186.27–$305.36 | — | 10% |
| CT scan of the head without and with contrast inpatient CPT 70470 HC CT BRAIN W/WO CONTRAST | $2,140.92 | $2,378.80 | $1,378.51–$2,259.86 | — | 10% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 WMHC LUMBAR SPINE WO CT-MD3654 | $273.34 | $303.71 | $176.00–$288.53 | 74% below | 10% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT L-SPINE W/O CONTRAST | $1,529.46 | $1,699.39 | $984.80–$1,614.42 | 46% above | 10% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 WMHC LUMBAR SPINE WO CT-MD3654 | $273.34 | $303.71 | $176.00–$288.53 | — | 10% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HC CT L-SPINE W/O CONTRAST | $1,529.46 | $1,699.39 | $984.80–$1,614.42 | — | 10% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 WMHC CT CERV SPINE WO DYE-MD3654 | $273.34 | $303.71 | $176.00–$288.53 | 74% below | 10% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT C-SPINE W/O CONTRAST | $1,540.90 | $1,712.10 | $992.16–$1,626.50 | 49% above | 10% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 WMHC CT CERV SPINE WO DYE-MD3654 | $273.34 | $303.71 | $176.00–$288.53 | — | 10% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HC CT C-SPINE W/O CONTRAST | $1,540.90 | $1,712.10 | $992.16–$1,626.50 | — | 10% |
| CT scan of the pelvis, with contrast dye CPT 72193 WMHC PELVIS w/-CT-MD3654 | $273.34 | $303.71 | $176.00–$288.53 | 76% below | 10% |
| CT scan of the pelvis, with contrast dye CPT 72193 HC CT PELVIS W/ CONTRAST | $2,086.96 | $2,318.85 | $1,343.77–$2,202.91 | 86% above | 10% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 WMHC PELVIS w/-CT-MD3654 | $273.34 | $303.71 | $176.00–$288.53 | — | 10% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT PELVIS W/ CONTRAST | $2,086.96 | $2,318.85 | $1,343.77–$2,202.91 | — | 10% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HC EXTRACRANIAL BILAT STUDY | $949.72 | $1,055.24 | $611.51–$1,002.48 | — | 10% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 WMHC CAROTID DUPLEX BIL US-MD3654 | $157.22 | $174.69 | $101.23–$165.95 | 78% below | 10% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 HC EXTRACRANIAL BILAT STUDY | $949.72 | $1,055.24 | $611.51–$1,002.48 | — | 10% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 WMHC CAROTID DUPLEX BIL US-MD3654 | $157.22 | $174.69 | $101.23–$165.95 | — | 10% |
| Chest X-ray, 2 views CPT 71046 WMHC CHEST P/L 2 VIEW-MD3654 | $52.89 | $58.77 | $34.05–$55.83 | 80% below | 10% |
| Chest X-ray, 2 views CPT 71046 WMHC RAD EXAM CHEST 2 VIEWS - MD3654 | $101.39 | $112.65 | $65.28–$107.02 | 61% below | 10% |
| Chest X-ray, 2 views CPT 71046 HC X-RAY EXAM CHEST 2 VIEWS | $308.02 | $342.24 | $198.33–$325.14 | 18% above | 10% |
| Chest X-ray, 2 views inpatient CPT 71046 WMHC CHEST P/L 2 VIEW-MD3654 | $52.89 | $58.77 | $34.05–$55.83 | — | 10% |
| Chest X-ray, 2 views inpatient CPT 71046 WMHC RAD EXAM CHEST 2 VIEWS - MD3654 | $101.39 | $112.65 | $65.28–$107.02 | — | 10% |
| Chest X-ray, 2 views inpatient CPT 71046 HC X-RAY EXAM CHEST 2 VIEWS | $308.02 | $342.24 | $198.33–$325.14 | — | 10% |
| Chest X-ray, single view CPT 71045 WMHC CHEST 1-VIEW-MD3654 | $43.48 | $48.31 | $28.00–$45.90 | 80% below | 10% |
| Chest X-ray, single view CPT 71045 WMHC RAD EXAM CHEST SING VIEW -MD3654 | $85.39 | $94.88 | $54.98–$90.14 | 60% below | 10% |
| Chest X-ray, single view CPT 71045 HC X-RAY EXAM CHEST 1 VIEW | $230.82 | $256.46 | $148.62–$243.64 | 7% above | 10% |
| Chest X-ray, single view inpatient CPT 71045 WMHC CHEST 1-VIEW-MD3654 | $43.48 | $48.31 | $28.00–$45.90 | — | 10% |
| Chest X-ray, single view inpatient CPT 71045 WMHC RAD EXAM CHEST SING VIEW -MD3654 | $85.39 | $94.88 | $54.98–$90.14 | — | 10% |
| Chest X-ray, single view inpatient CPT 71045 HC X-RAY EXAM CHEST 1 VIEW | $230.82 | $256.46 | $148.62–$243.64 | — | 10% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 WMHC US EX ABD BCK WALL COM-MD3654 | $176.01 | $195.56 | $113.33–$185.79 | 74% below | 10% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC US RETROPERITONEAL COMPLETE | $745.82 | $828.68 | $480.22–$787.25 | 11% above | 10% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 WMHC US EX ABD BCK WALL COM-MD3654 | $176.01 | $195.56 | $113.33–$185.79 | — | 10% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC US RETROPERITONEAL COMPLETE | $745.82 | $828.68 | $480.22–$787.25 | — | 10% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 WMHC BONE DENSITY DXA-MD3654 | $72.59 | $80.65 | $46.74–$76.62 | 84% below | 10% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC DEXA AXIAL SKELETON | $560.05 | $622.27 | $360.61–$591.16 | 24% above | 10% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 WMHC BONE DENSITY DXA-MD3654 | $72.59 | $80.65 | $46.74–$76.62 | — | 10% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HC DEXA AXIAL SKELETON | $560.05 | $622.27 | $360.61–$591.16 | — | 10% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HC DEXA APPENDICULAR SKELETON | $83.73 | $93.03 | $53.91–$88.38 | 67% below | 10% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 HC DEXA APPENDICULAR SKELETON | $83.73 | $93.03 | $53.91–$88.38 | — | 10% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 WMHC CHEST WO-MD3654 | $265.35 | $294.83 | $170.86–$280.09 | 71% below | 10% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT CHEST W/O CONTRAST | $1,471.44 | $1,634.93 | $947.44–$1,553.19 | 63% above | 10% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 WMHC CHEST WO-MD3654 | $265.35 | $294.83 | $170.86–$280.09 | — | 10% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC CT CHEST W/O CONTRAST | $1,471.44 | $1,634.93 | $947.44–$1,553.19 | — | 10% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 WMHC CT THORAX W/CONT-MD3654 | $283.57 | $315.08 | $182.58–$299.32 | 75% below | 10% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CT CHEST W/ CONTRAST | $2,198.37 | $2,442.64 | $1,415.51–$2,320.51 | 97% above | 10% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 WMHC CT THORAX W/CONT-MD3654 | $283.57 | $315.08 | $182.58–$299.32 | — | 10% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HC CT CHEST W/ CONTRAST | $2,198.37 | $2,442.64 | $1,415.51–$2,320.51 | — | 10% |
| Diagnostic mammogram, both breasts both sides CPT 77066 HC MAMMO DGX BILATERAL INCL CAD IF PERF | $560.40 | $622.67 | $360.84–$591.53 | — | 10% |
| Diagnostic mammogram, both breasts CPT 77066 WMHC MAMM BIL DIAG - MD 3654 | $449.85 | $499.83 | $289.65–$474.84 | 87% above | 10% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC MAMMO DGX BILATERAL INCL CAD IF PERF | $560.40 | $622.67 | $360.84–$591.53 | — | 10% |
| Diagnostic mammogram, both breasts inpatient CPT 77066 WMHC MAMM BIL DIAG - MD 3654 | $449.85 | $499.83 | $289.65–$474.84 | — | 10% |
| Diagnostic mammogram, one breast one side CPT 77065 HC MAMMO DGX UNILATERAL INCL CAD IF PERF | $398.27 | $442.52 | $256.44–$420.40 | 21% above | 10% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 HC MAMMO DGX UNILATERAL INCL CAD IF PERF | $398.27 | $442.52 | $256.44–$420.40 | — | 10% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 WMHC PR DUPLEX LO EXTREM ART BILAT | $558.02 | $620.03 | $359.31–$589.02 | — | 10% |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 HC BIL NIV ARTERIAL LOW EXT DUPLEX | $818.46 | $909.40 | $527.00–$863.93 | 10% below | 10% |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 WMHC PR DUPLEX LO EXTREM ART BILAT | $558.02 | $620.03 | $359.31–$589.02 | — | 10% |
| Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 HC BIL NIV ARTERIAL LOW EXT DUPLEX | $818.46 | $909.40 | $527.00–$863.93 | — | 10% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 WMHC PR DUPLEX EXTREM VENOUS,BILAT | $501.12 | $556.81 | $322.67–$528.96 | — | 10% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 WMHC DUPLEX EXTREMITY VENOUS, BILATERAL | $685.38 | $761.53 | $441.30–$723.46 | — | 10% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC NIV VENOUS DUPLEX BILAT STUDY | $843.87 | $937.63 | $543.36–$890.75 | — | 10% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 WMHC PR DUPLEX EXTREM VENOUS,BILAT | $501.12 | $556.81 | $322.67–$528.96 | — | 10% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 WMHC DUPLEX EXTREMITY VENOUS, BILATERAL | $685.38 | $761.53 | $441.30–$723.46 | — | 10% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HC NIV VENOUS DUPLEX BILAT STUDY | $843.87 | $937.63 | $543.36–$890.75 | — | 10% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 WMHC PR ECHO HEART XTHORACIC,COMPLETE W DOPPLER | $1,077.17 | $1,196.85 | $693.58–$1,137.01 | 36% below | 10% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 WMHC ECHO INT- BOLE | $1,120.25 | $1,244.71 | $721.31–$1,182.48 | 34% below | 10% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 WMHC ECHO INT- MAG | $1,120.25 | $1,244.71 | $721.31–$1,182.48 | 34% below | 10% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 WMHC ECHO INT | $1,120.25 | $1,244.71 | $721.31–$1,182.48 | 34% below | 10% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC 2D ECHO WITHOUT CONTRAST - WITH DOP/COLOR FLOW | $1,961.38 | $2,179.31 | $1,262.91–$2,070.35 | 16% above | 10% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 WMHC PR ECHO HEART XTHORACIC,COMPLETE W DOPPLER | $1,077.17 | $1,196.85 | $693.58–$1,137.01 | — | 10% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 WMHC ECHO INT- BOLE | $1,120.25 | $1,244.71 | $721.31–$1,182.48 | — | 10% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 WMHC ECHO INT- MAG | $1,120.25 | $1,244.71 | $721.31–$1,182.48 | — | 10% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 WMHC ECHO INT | $1,120.25 | $1,244.71 | $721.31–$1,182.48 | — | 10% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC 2D ECHO WITHOUT CONTRAST - WITH DOP/COLOR FLOW | $1,961.38 | $2,179.31 | $1,262.91–$2,070.35 | — | 10% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC NM HEPATOBILIARY IMAGING WO PHARM | $1,147.88 | $1,275.42 | $739.11–$1,211.65 | 23% below | 10% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HC NM HEPATOBILIARY IMAGING WO PHARM | $1,147.88 | $1,275.42 | $739.11–$1,211.65 | — | 10% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 WMHC PR SLEEP STUDY, UNATTENDED, SIMUL RECORD HR/O2 SAT/RESP FLOW/RESP EFF | $484.02 | $537.79 | $311.65–$510.90 | 29% below | 10% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HC SLEEP STUDY UNATT & RESP EFFT | $741.97 | $824.41 | $477.74–$783.19 | 8% above | 10% |
| Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 WMHC PR SLEEP STUDY, UNATTENDED, SIMUL RECORD HR/O2 SAT/RESP FLOW/RESP EFF | $484.02 | $537.79 | $311.65–$510.90 | — | 10% |
| Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 HC SLEEP STUDY UNATT & RESP EFFT | $741.97 | $824.41 | $477.74–$783.19 | — | 10% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 WMHC PR POLYSOM 6/>YRS SLEEP W/CPAP 4/> ADDL PARAM ATTND | $747.14 | $830.15 | $481.07–$788.64 | 79% below | 10% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HC ADULT CPAP TITRATION STUDY | $3,663.39 | $4,070.44 | $2,358.82–$3,866.92 | 2% above | 10% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 WMHC PR POLYSOM 6/>YRS SLEEP W/CPAP 4/> ADDL PARAM ATTND | $747.14 | $830.15 | $481.07–$788.64 | — | 10% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 HC ADULT CPAP TITRATION STUDY | $3,663.39 | $4,070.44 | $2,358.82–$3,866.92 | — | 10% |
| Knee X-ray, 3 views CPT 73562 WMHC 3 VW KNEE B/L MEDICARE 50 | $266.30 | $295.89 | $171.46–$281.09 | 22% below | 10% |
| Knee X-ray, 3 views CPT 73562 HC X-RAY KNEE 3 VIEWS | $266.30 | $295.89 | $171.46–$281.09 | 22% below | 10% |
| Knee X-ray, 3 views one side CPT 73562 WMHC KNEE 3VW LT-MD3654 | $47.17 | $52.42 | $30.38–$49.80 | 86% below | 10% |
| Knee X-ray, 3 views one side CPT 73562 WMHC KNEE 3VW RT-MD3654 | $47.17 | $52.42 | $30.38–$49.80 | 86% below | 10% |
| Knee X-ray, 3 views inpatient CPT 73562 HC X-RAY KNEE 3 VIEWS | $266.30 | $295.89 | $171.46–$281.09 | — | 10% |
| Knee X-ray, 3 views inpatient CPT 73562 WMHC 3 VW KNEE B/L MEDICARE 50 | $266.30 | $295.89 | $171.46–$281.09 | — | 10% |
| Knee X-ray, 3 views inpatient one side CPT 73562 WMHC KNEE 3VW RT-MD3654 | $47.17 | $52.42 | $30.38–$49.80 | — | 10% |
| Knee X-ray, 3 views inpatient one side CPT 73562 WMHC KNEE 3VW LT-MD3654 | $47.17 | $52.42 | $30.38–$49.80 | — | 10% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 WMHC ECHO EXAM OF ABD-MD3654 | $143.86 | $159.85 | $92.63–$151.86 | 74% below | 10% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US ABDOMINAL LIMITED | $678.09 | $753.44 | $436.62–$715.77 | 23% above | 10% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 WMHC ECHO EXAM OF ABD-MD3654 | $143.86 | $159.85 | $92.63–$151.86 | — | 10% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC US ABDOMINAL LIMITED | $678.09 | $753.44 | $436.62–$715.77 | — | 10% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 WMHC MTC PR CT CHEST SCREENING LOW DOSE WOUT CONT | $437.35 | $485.94 | $281.60–$461.65 | 65% above | 10% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HC CT CHEST SCREENING LOW DOSE WOUT CONT | $1,463.89 | $1,626.55 | $942.58–$1,545.22 | 453% above | 10% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 WMHC MTC PR CT CHEST SCREENING LOW DOSE WOUT CONT | $437.35 | $485.94 | $281.60–$461.65 | — | 10% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 HC CT CHEST SCREENING LOW DOSE WOUT CONT | $1,463.89 | $1,626.55 | $942.58–$1,545.22 | — | 10% |
| MRI of both breasts, without and then with contrast dye both sides CPT 77049 HC MRI BREAST W&WO CONT INCL CAD BILATERAL | $2,327.15 | $2,585.72 | $1,498.43–$2,456.44 | — | 10% |
| MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 HC MRI BREAST W&WO CONT INCL CAD BILATERAL | $2,327.15 | $2,585.72 | $1,498.43–$2,456.44 | — | 10% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI LOWER EXT JNT W/O CONT | $2,810.96 | $3,123.30 | $1,809.95–$2,967.13 | 102% above | 10% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 WMHC MRI JNT LWR EXT RT-MD3654 | $260.83 | $289.82 | $167.95–$275.33 | 81% below | 10% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 WMHC MRI JNT LWR EXT LT-MD3654 | $260.83 | $289.82 | $167.95–$275.33 | 81% below | 10% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI LOWER EXT JNT W/O CONT | $2,810.96 | $3,123.30 | $1,809.95–$2,967.13 | — | 10% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 WMHC MRI JNT LWR EXT LT-MD3654 | $260.83 | $289.82 | $167.95–$275.33 | — | 10% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 WMHC MRI JNT LWR EXT RT-MD3654 | $260.83 | $289.82 | $167.95–$275.33 | — | 10% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI LOWER EXT JNT W&W/O CONT | $4,274.16 | $4,749.07 | $2,752.08–$4,511.61 | 83% above | 10% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 WMHC LOWER EXT J W/WO-RT-MD3654 | $310.86 | $345.39 | $200.16–$328.12 | 87% below | 10% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 WMHC LOWER EXT J W/WO-LT-MD3654 | $310.86 | $345.39 | $200.16–$328.12 | 87% below | 10% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MRI LOWER EXT JNT W&W/O CONT | $4,274.16 | $4,749.07 | $2,752.08–$4,511.61 | — | 10% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 WMHC LOWER EXT J W/WO-RT-MD3654 | $310.86 | $345.39 | $200.16–$328.12 | — | 10% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 WMHC LOWER EXT J W/WO-LT-MD3654 | $310.86 | $345.39 | $200.16–$328.12 | — | 10% |
| MRI of the abdomen without contrast CPT 74181 WMHC ABDOMEN WO-MD3654 | $364.41 | $404.89 | $234.63–$384.64 | 78% below | 10% |
| MRI of the abdomen without contrast CPT 74181 HC MRI-ABDOMEN WO CONTRAST | $2,810.96 | $3,123.30 | $1,809.95–$2,967.13 | 72% above | 10% |
| MRI of the abdomen without contrast inpatient CPT 74181 WMHC ABDOMEN WO-MD3654 | $364.41 | $404.89 | $234.63–$384.64 | — | 10% |
| MRI of the abdomen without contrast inpatient CPT 74181 HC MRI-ABDOMEN WO CONTRAST | $2,810.96 | $3,123.30 | $1,809.95–$2,967.13 | — | 10% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 WMHC MRI ABD W/O W-MD3654 | $326.08 | $362.32 | $209.97–$344.20 | 84% below | 10% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI-ABDOMEN W & WO CONTRAST | $4,001.77 | $4,446.42 | $2,576.69–$4,224.10 | 95% above | 10% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 WMHC MRI ABD W/O W-MD3654 | $326.08 | $362.32 | $209.97–$344.20 | — | 10% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HC MRI-ABDOMEN W & WO CONTRAST | $4,001.77 | $4,446.42 | $2,576.69–$4,224.10 | — | 10% |
| MRI of the brain, no contrast dye CPT 70551 WMHC MRI BRAIN W/O DYE-MD3654 | $339.35 | $377.05 | $218.50–$358.20 | 76% below | 10% |
| MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN WO CTRST | $3,185.45 | $3,539.38 | $2,051.07–$3,362.41 | 126% above | 10% |
| MRI of the brain, no contrast dye inpatient CPT 70551 WMHC MRI BRAIN W/O DYE-MD3654 | $339.35 | $377.05 | $218.50–$358.20 | — | 10% |
| MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI BRAIN WO CTRST | $3,185.45 | $3,539.38 | $2,051.07–$3,362.41 | — | 10% |
| MRI of the brain, with and without contrast dye CPT 70553 WMHC MRI BRAIN WO & W/DYE-MD3654 | $540.91 | $601.02 | $348.30–$570.97 | 73% below | 10% |
| MRI of the brain, with and without contrast dye CPT 70553 HC MRI-BRAIN WO & W CONTRAST | $4,483.37 | $4,981.52 | $2,886.79–$4,732.44 | 122% above | 10% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 WMHC MRI BRAIN WO & W/DYE-MD3654 | $540.91 | $601.02 | $348.30–$570.97 | — | 10% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI-BRAIN WO & W CONTRAST | $4,483.37 | $4,981.52 | $2,886.79–$4,732.44 | — | 10% |
| MRI of the lower back, no contrast dye CPT 72148 WMHC MRI LUMBAR SPINE WO-MD3654 | $339.35 | $377.05 | $218.50–$358.20 | 74% below | 10% |
| MRI of the lower back, no contrast dye CPT 72148 HC MRI-SPINE LUMBAR WO CONTRAST | $2,499.71 | $2,777.46 | $1,609.54–$2,638.58 | 91% above | 10% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 WMHC MRI LUMBAR SPINE WO-MD3654 | $339.35 | $377.05 | $218.50–$358.20 | — | 10% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI-SPINE LUMBAR WO CONTRAST | $2,499.71 | $2,777.46 | $1,609.54–$2,638.58 | — | 10% |
| MRI of the lower back, without and then with contrast dye CPT 72158 WMHC MRI LUMBAR SPINE W/O-MD3654 | $540.91 | $601.02 | $348.30–$570.97 | 74% below | 10% |
| MRI of the lower back, without and then with contrast dye CPT 72158 HC MRI-SPINE LUMBAR WO & W CONT | $4,483.37 | $4,981.52 | $2,886.79–$4,732.44 | 112% above | 10% |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 WMHC MRI LUMBAR SPINE W/O-MD3654 | $540.91 | $601.02 | $348.30–$570.97 | — | 10% |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HC MRI-SPINE LUMBAR WO & W CONT | $4,483.37 | $4,981.52 | $2,886.79–$4,732.44 | — | 10% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 WMHC MRI THORACIC SPINE WO-MD3654 | $386.62 | $429.58 | $248.94–$408.11 | 73% below | 10% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MRI-SPINE THORACIC WO CONTRAST | $2,499.71 | $2,777.46 | $1,609.54–$2,638.58 | 75% above | 10% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 WMHC MRI THORACIC SPINE WO-MD3654 | $386.62 | $429.58 | $248.94–$408.11 | — | 10% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HC MRI-SPINE THORACIC WO CONTRAST | $2,499.71 | $2,777.46 | $1,609.54–$2,638.58 | — | 10% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MRI-SPINE CERVICAL W & WO CONT | $4,483.37 | $4,981.52 | $2,886.79–$4,732.44 | 106% above | 10% |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HC MRI-SPINE CERVICAL W & WO CONT | $4,483.37 | $4,981.52 | $2,886.79–$4,732.44 | — | 10% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 WMHC MRI NECK SPINE W/O DYE-MD3654 | $364.41 | $404.89 | $234.63–$384.64 | 73% below | 10% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MRI-SPINE CERVICAL WO CONTRAST | $2,461.14 | $2,734.60 | $1,584.70–$2,597.87 | 81% above | 10% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 WMHC MRI NECK SPINE W/O DYE-MD3654 | $364.41 | $404.89 | $234.63–$384.64 | — | 10% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HC MRI-SPINE CERVICAL WO CONTRAST | $2,461.14 | $2,734.60 | $1,584.70–$2,597.87 | — | 10% |
| MRI of the pelvis without and with contrast CPT 72197 WMHC PELVIS w/wo MD3654 | $2,488.88 | $2,765.42 | $1,602.57–$2,627.15 | 32% above | 10% |
| MRI of the pelvis without and with contrast CPT 72197 HC MRI-PELVIS WO & W CONTRAST | $4,029.81 | $4,477.57 | $2,594.75–$4,253.69 | 113% above | 10% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 WMHC PELVIS w/wo MD3654 | $2,488.88 | $2,765.42 | $1,602.57–$2,627.15 | — | 10% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 HC MRI-PELVIS WO & W CONTRAST | $4,029.81 | $4,477.57 | $2,594.75–$4,253.69 | — | 10% |
| MRI of the pelvis, no contrast dye CPT 72195 HC MRI-PELVIS WO CONTRAST | $2,908.15 | $3,231.28 | $1,872.53–$3,069.72 | 109% above | 10% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 HC MRI-PELVIS WO CONTRAST | $2,908.15 | $3,231.28 | $1,872.53–$3,069.72 | — | 10% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI-UPPER EXT JNT WO CONT | $2,810.96 | $3,123.30 | $1,809.95–$2,967.13 | 122% above | 10% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 WMHC UPR EXT JOINT WO LT-MD3654 | $287.01 | $318.90 | $184.80–$302.95 | 77% below | 10% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 WMHC UPR EXT JOINT WO-RT-MD3654 | $287.01 | $318.90 | $184.80–$302.95 | 77% below | 10% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HC MRI-UPPER EXT JNT WO CONT | $2,810.96 | $3,123.30 | $1,809.95–$2,967.13 | — | 10% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 WMHC UPR EXT JOINT WO LT-MD3654 | $287.01 | $318.90 | $184.80–$302.95 | — | 10% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 WMHC UPR EXT JOINT WO-RT-MD3654 | $287.01 | $318.90 | $184.80–$302.95 | — | 10% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 WMHC MULTI CARD- HAR-5159 | $1,306.43 | $1,451.58 | $841.19–$1,379.00 | 64% below | 10% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 WMHC MULTI CARD | $1,306.43 | $1,451.58 | $841.19–$1,379.00 | 64% below | 10% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 WMHC MULTI CARD - SHAH | $1,306.43 | $1,451.58 | $841.19–$1,379.00 | 64% below | 10% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 WMHC MULTI CARD - TONG-5157 | $1,306.43 | $1,451.58 | $841.19–$1,379.00 | 64% below | 10% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 WMHC MULTI CARD - LEE-8028 | $1,306.43 | $1,451.58 | $841.19–$1,379.00 | 64% below | 10% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 WMHC CHG MYOCARDIAL SPECT MULTIPLE STUDIES | $1,306.43 | $1,451.58 | $841.19–$1,379.00 | 64% below | 10% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 WMHC MULTI CARD - BOLE | $1,306.43 | $1,451.58 | $841.19–$1,379.00 | 64% below | 10% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC NM SEST. REST STRESS MULT | $3,482.93 | $3,869.92 | $2,242.62–$3,676.43 | 5% below | 10% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 WMHC MULTI CARD- HAR-5159 | $1,306.43 | $1,451.58 | $841.19–$1,379.00 | — | 10% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 WMHC MULTI CARD - SHAH | $1,306.43 | $1,451.58 | $841.19–$1,379.00 | — | 10% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 WMHC MULTI CARD - BOLE | $1,306.43 | $1,451.58 | $841.19–$1,379.00 | — | 10% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 WMHC CHG MYOCARDIAL SPECT MULTIPLE STUDIES | $1,306.43 | $1,451.58 | $841.19–$1,379.00 | — | 10% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 WMHC MULTI CARD | $1,306.43 | $1,451.58 | $841.19–$1,379.00 | — | 10% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 WMHC MULTI CARD - TONG-5157 | $1,306.43 | $1,451.58 | $841.19–$1,379.00 | — | 10% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 WMHC MULTI CARD - LEE-8028 | $1,306.43 | $1,451.58 | $841.19–$1,379.00 | — | 10% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HC NM SEST. REST STRESS MULT | $3,482.93 | $3,869.92 | $2,242.62–$3,676.43 | — | 10% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 WMHC SKUL>MID THIGH PET-MD3654 | $537.52 | $597.25 | $346.11–$567.39 | 89% below | 10% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 HC PET/CT SKULL BASE TO MID THIGH | $7,767.87 | $8,630.97 | $5,001.65–$8,199.42 | 60% above | 10% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 WMHC SKUL>MID THIGH PET-MD3654 | $537.52 | $597.25 | $346.11–$567.39 | — | 10% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 HC PET/CT SKULL BASE TO MID THIGH | $7,767.87 | $8,630.97 | $5,001.65–$8,199.42 | — | 10% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC US PELVIS LIMITED | $671.52 | $746.13 | $432.38–$708.82 | 61% above | 10% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC US PELVIS LIMITED | $671.52 | $746.13 | $432.38–$708.82 | — | 10% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC US PELVIS COMPLETE | $776.34 | $862.60 | $499.88–$819.47 | 63% above | 10% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HC US PELVIS COMPLETE | $776.34 | $862.60 | $499.88–$819.47 | — | 10% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC FETAL EVAL 2-3 TRIM SGL GEST | $811.01 | $901.13 | $522.20–$856.08 | 57% above | 10% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC FETAL EVAL 2-3 TRIM SGL GEST | $811.01 | $901.13 | $522.20–$856.08 | — | 10% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC FETAL EVAL 1ST TRI SGL GEST | $477.33 | $530.37 | $307.35–$503.85 | 5% below | 10% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HC FETAL EVAL 1ST TRI SGL GEST | $477.33 | $530.37 | $307.35–$503.85 | — | 10% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC US FETAL EVALUATION-LIMITED | $477.33 | $530.37 | $307.35–$503.85 | at median | 10% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC US FETAL EVALUATION-LIMITED | $477.33 | $530.37 | $307.35–$503.85 | — | 10% |
| Screening mammogram, both breasts both sides CPT 77067 WMHC MAMM INDUSTRIAL BILAT SCR | $105.54 | $117.27 | $67.95–$111.40 | — | 10% |
| Screening mammogram, both breasts CPT 77067 HC MAMMO SCREENING INCL CAD IF PERF | $143.45 | $159.39 | $92.37–$151.42 | 18% below | 10% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 WMHC MAMM INDUSTRIAL BILAT SCR | $105.54 | $117.27 | $67.95–$111.40 | — | 10% |
| Screening mammogram, both breasts inpatient CPT 77067 HC MAMMO SCREENING INCL CAD IF PERF | $143.45 | $159.39 | $92.37–$151.42 | — | 10% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 HC SHOULDER COMPLETE MIN 2 VIEWS | $288.07 | $320.08 | $185.48–$304.08 | 15% below | 10% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 WMHC SHOULDER RT 2VW-MD3654 | $43.48 | $48.31 | $28.00–$45.90 | 87% below | 10% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 WMHC SHOULDER LT 2VW-MD3654 | $43.48 | $48.31 | $28.00–$45.90 | 87% below | 10% |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HC SHOULDER COMPLETE MIN 2 VIEWS | $288.07 | $320.08 | $185.48–$304.08 | — | 10% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 WMHC SHOULDER RT 2VW-MD3654 | $43.48 | $48.31 | $28.00–$45.90 | — | 10% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 WMHC SHOULDER LT 2VW-MD3654 | $43.48 | $48.31 | $28.00–$45.90 | — | 10% |
| Sleep study in a lab (polysomnography) CPT 95810 WMHC PR POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND | $648.27 | $720.30 | $417.41–$684.29 | 81% below | 10% |
| Sleep study in a lab (polysomnography) CPT 95810 HC SLEEP STUDY (POLYSOMNOGRAM) <5 HRS SLEEP | $3,227.57 | $3,586.18 | $2,078.19–$3,406.87 | 6% below | 10% |
| Sleep study in a lab (polysomnography) CPT 95810 HC ADULT SLEEP STUDY (POLYSOMNOGRAM) | $3,227.57 | $3,586.18 | $2,078.19–$3,406.87 | 6% below | 10% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 WMHC PR POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND | $648.27 | $720.30 | $417.41–$684.29 | — | 10% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 HC ADULT SLEEP STUDY (POLYSOMNOGRAM) | $3,227.57 | $3,586.18 | $2,078.19–$3,406.87 | — | 10% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 HC SLEEP STUDY (POLYSOMNOGRAM) <5 HRS SLEEP | $3,227.57 | $3,586.18 | $2,078.19–$3,406.87 | — | 10% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 WMHC BARIUM SWALLOW MOD-MD3654 | $138.20 | $153.55 | $88.98–$145.87 | 73% below | 10% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 HC DYSPHAGIA/SWALLOWING STUDY | $462.55 | $513.95 | $297.84–$488.25 | 8% below | 10% |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 WMHC BARIUM SWALLOW MOD-MD3654 | $138.20 | $153.55 | $88.98–$145.87 | — | 10% |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HC DYSPHAGIA/SWALLOWING STUDY | $462.55 | $513.95 | $297.84–$488.25 | — | 10% |
| Transvaginal pelvic ultrasound CPT 76830 WMHC PR ECHOGRAPHY,TRANSVAGINAL | $322.94 | $358.82 | $207.94–$340.88 | 40% below | 10% |
| Transvaginal pelvic ultrasound CPT 76830 HC US TRANSVAGINAL, NON OB | $456.33 | $507.03 | $293.82–$481.68 | 15% below | 10% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 WMHC PR ECHOGRAPHY,TRANSVAGINAL | $322.94 | $358.82 | $207.94–$340.88 | — | 10% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HC US TRANSVAGINAL, NON OB | $456.33 | $507.03 | $293.82–$481.68 | — | 10% |
| Transvaginal ultrasound during pregnancy CPT 76817 HC US TRANSVAGINAL OBSETRICAL | $380.61 | $422.90 | $245.07–$401.75 | 20% below | 10% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 HC US TRANSVAGINAL OBSETRICAL | $380.61 | $422.90 | $245.07–$401.75 | — | 10% |
| Ultrasound of the abdomen, complete CPT 76700 WMHC US EXAM,ABD,COMPL-MD3654 | $186.69 | $207.43 | $120.20–$197.06 | 67% below | 10% |
| Ultrasound of the abdomen, complete CPT 76700 HC US ABDOMEN COMPLETE | $768.80 | $854.22 | $495.02–$811.51 | 35% above | 10% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 WMHC US EXAM,ABD,COMPL-MD3654 | $186.69 | $207.43 | $120.20–$197.06 | — | 10% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HC US ABDOMEN COMPLETE | $768.80 | $854.22 | $495.02–$811.51 | — | 10% |
| Ultrasound of the scrotum and testicles CPT 76870 WMHC US EXAM SCROTUM-MD3654 | $157.11 | $174.57 | $101.17–$165.85 | 69% below | 10% |
| Ultrasound of the scrotum and testicles CPT 76870 HC US SCROTUM & CONTENTS | $545.88 | $606.53 | $351.48–$576.20 | 8% above | 10% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 WMHC US EXAM SCROTUM-MD3654 | $157.11 | $174.57 | $101.17–$165.85 | — | 10% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 HC US SCROTUM & CONTENTS | $545.88 | $606.53 | $351.48–$576.20 | — | 10% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 WMHC US THYROID-MD3654 | $132.62 | $147.36 | $85.39–$139.99 | 76% below | 10% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC SOFT TISSUE NECK US | $546.02 | $606.69 | $351.58–$576.36 | 1% below | 10% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 WMHC US THYROID-MD3654 | $132.62 | $147.36 | $85.39–$139.99 | — | 10% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC SOFT TISSUE NECK US | $546.02 | $606.69 | $351.58–$576.36 | — | 10% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 WMHC UPPER GI w/ SML BOWEL-MD3654 | $222.36 | $247.07 | $143.18–$234.72 | 61% below | 10% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC GI UPPER WITHOUT KUB | $713.58 | $792.86 | $459.46–$753.22 | 24% above | 10% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 WMHC UPPER GI w/ SML BOWEL-MD3654 | $222.36 | $247.07 | $143.18–$234.72 | — | 10% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HC GI UPPER WITHOUT KUB | $713.58 | $792.86 | $459.46–$753.22 | — | 10% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 HC NIV VENOUS DUPLEX UNI/LTD STUDY | $608.34 | $675.93 | $391.70–$642.13 | 16% below | 10% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 WMHC VEIN DPLX UNI US RT-MD3654 | $116.17 | $129.07 | $74.80–$122.62 | 84% below | 10% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 WMHC VEIN DPLX UNI US LT-MD3654 | $116.17 | $129.07 | $74.80–$122.62 | 84% below | 10% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 HC NIV VENOUS DUPLEX UNI/LTD STUDY | $608.34 | $675.93 | $391.70–$642.13 | — | 10% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 WMHC VEIN DPLX UNI US LT-MD3654 | $116.17 | $129.07 | $74.80–$122.62 | — | 10% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 WMHC VEIN DPLX UNI US RT-MD3654 | $116.17 | $129.07 | $74.80–$122.62 | — | 10% |
| Wrist X-ray, complete, 3 or more views CPT 73110 HC WRIST MIN 3 VIEWS | $230.82 | $256.46 | $148.62–$243.64 | 33% below | 10% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 WMHC WRIST 3VW MIN RT-MD3654 | $42.27 | $46.97 | $27.22–$44.62 | 88% below | 10% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 WMHC WRIST 3VW MIN LT-MD3654 | $42.27 | $46.97 | $27.22–$44.62 | 88% below | 10% |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 HC WRIST MIN 3 VIEWS | $230.82 | $256.46 | $148.62–$243.64 | — | 10% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 WMHC WRIST 3VW MIN LT-MD3654 | $42.27 | $46.97 | $27.22–$44.62 | — | 10% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 WMHC WRIST 3VW MIN RT-MD3654 | $42.27 | $46.97 | $27.22–$44.62 | — | 10% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included both sides CPT 73502 WMHC HIPS BILAT-MEDICARE MOD-50 | $231.63 | $257.37 | $149.15–$244.50 | — | 10% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HC X-RAY EXAM HIP UNI 2-3 VIEWS | $231.63 | $257.37 | $149.15–$244.50 | 27% below | 10% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 WMHC HIP 2VW RT-MD3654 | $42.27 | $46.97 | $27.22–$44.62 | 87% below | 10% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 WMHC HIP 2VW LT-MD3654 | $48.14 | $53.49 | $30.99–$50.81 | 85% below | 10% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient both sides CPT 73502 WMHC HIPS BILAT-MEDICARE MOD-50 | $231.63 | $257.37 | $149.15–$244.50 | — | 10% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 HC X-RAY EXAM HIP UNI 2-3 VIEWS | $231.63 | $257.37 | $149.15–$244.50 | — | 10% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 WMHC HIP 2VW RT-MD3654 | $42.27 | $46.97 | $27.22–$44.62 | — | 10% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 WMHC HIP 2VW LT-MD3654 | $48.14 | $53.49 | $30.99–$50.81 | — | 10% |
| X-ray of the abdomen, 1 view CPT 74018 WMHC ABDOMEN AP/KUB-MD3654 | $43.48 | $48.31 | $28.00–$45.90 | 82% below | 10% |
| X-ray of the abdomen, 1 view CPT 74018 HC X-RAY EXAM ABDOMEN 1 VIEW | $230.82 | $256.46 | $148.62–$243.64 | 6% below | 10% |
| X-ray of the abdomen, 1 view CPT 74018 WMHC RAD EXAM ABDOMEN - SING VIEW MD 3654 | $243.73 | $270.82 | $156.94–$257.28 | 1% below | 10% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 WMHC ABDOMEN AP/KUB-MD3654 | $43.48 | $48.31 | $28.00–$45.90 | — | 10% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 HC X-RAY EXAM ABDOMEN 1 VIEW | $230.82 | $256.46 | $148.62–$243.64 | — | 10% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 WMHC RAD EXAM ABDOMEN - SING VIEW MD 3654 | $243.73 | $270.82 | $156.94–$257.28 | — | 10% |
| X-ray of the ankle, 2 views CPT 73600 HC X-RAY ANKLE 2 VIEWS | $165.02 | $183.35 | $106.26–$174.19 | 36% below | 10% |
| X-ray of the ankle, 2 views one side CPT 73600 WMHC ANKLE,2 VIEWS LT-MD3654 | $41.15 | $45.73 | $26.50–$43.44 | 84% below | 10% |
| X-ray of the ankle, 2 views one side CPT 73600 WMHC ANKLE,2 VIEWS RT-MD3654 | $41.15 | $45.73 | $26.50–$43.44 | 84% below | 10% |
| X-ray of the ankle, 2 views inpatient CPT 73600 HC X-RAY ANKLE 2 VIEWS | $165.02 | $183.35 | $106.26–$174.19 | — | 10% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 WMHC ANKLE,2 VIEWS LT-MD3654 | $41.15 | $45.73 | $26.50–$43.44 | — | 10% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 WMHC ANKLE,2 VIEWS RT-MD3654 | $41.15 | $45.73 | $26.50–$43.44 | — | 10% |
| X-ray of the finger(s), 2 or more views CPT 73140 HC FINGERS MIN 2 VIEWS | $168.51 | $187.23 | $108.50–$177.87 | 31% below | 10% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 WMHC FINGER LITTLE RT F9-MD3654 | $33.91 | $37.68 | $21.84–$35.80 | 86% below | 10% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 WMHC FINGER LITTLE LT-F4-MD3654 | $43.28 | $48.09 | $27.87–$45.69 | 82% below | 10% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 WMHC FINGER INDEX LT F1-MD3654 | $43.58 | $48.42 | $28.06–$46.00 | 82% below | 10% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 WMHC FINGER, RING RT-F8-MD3654 | $43.58 | $48.42 | $28.06–$46.00 | 82% below | 10% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 WMHC FINGER, RT-F5 MD 3654 | $43.58 | $48.42 | $28.06–$46.00 | 82% below | 10% |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 HC FINGERS MIN 2 VIEWS | $168.51 | $187.23 | $108.50–$177.87 | — | 10% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 WMHC FINGER LITTLE RT F9-MD3654 | $33.91 | $37.68 | $21.84–$35.80 | — | 10% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 WMHC FINGER LITTLE LT-F4-MD3654 | $43.28 | $48.09 | $27.87–$45.69 | — | 10% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 WMHC FINGER, RING RT-F8-MD3654 | $43.58 | $48.42 | $28.06–$46.00 | — | 10% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 WMHC FINGER, RT-F5 MD 3654 | $43.58 | $48.42 | $28.06–$46.00 | — | 10% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 WMHC FINGER INDEX LT F1-MD3654 | $43.58 | $48.42 | $28.06–$46.00 | — | 10% |
| X-ray of the foot, 2 views CPT 73620 HC X-RAY FOOT 2 VIEWS | $189.31 | $210.35 | $121.90–$199.84 | 17% below | 10% |
| X-ray of the foot, 2 views one side CPT 73620 WMHC FOOT 2VW LT-MD3654 | $44.95 | $49.94 | $28.94–$47.44 | 80% below | 10% |
| X-ray of the foot, 2 views inpatient CPT 73620 HC X-RAY FOOT 2 VIEWS | $189.31 | $210.35 | $121.90–$199.84 | — | 10% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 WMHC FOOT 2VW LT-MD3654 | $44.95 | $49.94 | $28.94–$47.44 | — | 10% |
| X-ray of the foot, complete, 3 or more views both sides CPT 73630 WMHC FEET BILAT-MEDICARE MOD-50 | $230.82 | $256.46 | $148.62–$243.64 | — | 10% |
| X-ray of the foot, complete, 3 or more views CPT 73630 HC X-RAY FOOT MIN 3 VIEWS COMPLETE | $230.82 | $256.46 | $148.62–$243.64 | 26% below | 10% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 WMHC FOOT 3VW MIN RT-MD3654 | $42.27 | $46.97 | $27.22–$44.62 | 86% below | 10% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 WMHC FOOT 3VW MIN LT-MD3654 | $42.27 | $46.97 | $27.22–$44.62 | 86% below | 10% |
| X-ray of the foot, complete, 3 or more views inpatient both sides CPT 73630 WMHC FEET BILAT-MEDICARE MOD-50 | $230.82 | $256.46 | $148.62–$243.64 | — | 10% |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 HC X-RAY FOOT MIN 3 VIEWS COMPLETE | $230.82 | $256.46 | $148.62–$243.64 | — | 10% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 WMHC FOOT 3VW MIN LT-MD3654 | $42.27 | $46.97 | $27.22–$44.62 | — | 10% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 WMHC FOOT 3VW MIN RT-MD3654 | $42.27 | $46.97 | $27.22–$44.62 | — | 10% |
| X-ray of the hand, 3 or more views both sides CPT 73130 WMHC HANDS BILAT-MEDICARE MOD-50 | $210.88 | $234.31 | $135.78–$222.60 | — | 10% |
| X-ray of the hand, 3 or more views CPT 73130 HC HAND ROUTINE MIN 3 VIEWS | $210.88 | $234.31 | $135.78–$222.60 | 37% below | 10% |
| X-ray of the hand, 3 or more views one side CPT 73130 WMHC HAND,MIN 3VW-RT-MD3654 | $42.27 | $46.97 | $27.22–$44.62 | 87% below | 10% |
| X-ray of the hand, 3 or more views one side CPT 73130 WMHC HAND,MIN 3VW-LT-MD3654 | $48.14 | $53.49 | $30.99–$50.81 | 86% below | 10% |
| X-ray of the hand, 3 or more views inpatient both sides CPT 73130 WMHC HANDS BILAT-MEDICARE MOD-50 | $210.88 | $234.31 | $135.78–$222.60 | — | 10% |
| X-ray of the hand, 3 or more views inpatient CPT 73130 HC HAND ROUTINE MIN 3 VIEWS | $210.88 | $234.31 | $135.78–$222.60 | — | 10% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 WMHC HAND,MIN 3VW-RT-MD3654 | $42.27 | $46.97 | $27.22–$44.62 | — | 10% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 WMHC HAND,MIN 3VW-LT-MD3654 | $48.14 | $53.49 | $30.99–$50.81 | — | 10% |
| X-ray of the knee, 1 or 2 views CPT 73560 WMHC XRAY EXAM OF KNEE-MD3654 | $47.63 | $52.93 | $30.67–$50.28 | 82% below | 10% |
| X-ray of the knee, 1 or 2 views CPT 73560 WMHC 1-2 VW KNEE B/L MEDICARE 50 | $230.82 | $256.46 | $148.62–$243.64 | 14% below | 10% |
| X-ray of the knee, 1 or 2 views CPT 73560 HC X-RAY KNEE 1-2 VIEWS | $230.82 | $256.46 | $148.62–$243.64 | 14% below | 10% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 WMHC X-RAY EXAM OF KNEE LT-MD3654 | $47.63 | $52.93 | $30.67–$50.28 | 82% below | 10% |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 WMHC XRAY EXAM OF KNEE-MD3654 | $47.63 | $52.93 | $30.67–$50.28 | — | 10% |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 WMHC 1-2 VW KNEE B/L MEDICARE 50 | $230.82 | $256.46 | $148.62–$243.64 | — | 10% |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 HC X-RAY KNEE 1-2 VIEWS | $230.82 | $256.46 | $148.62–$243.64 | — | 10% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 WMHC X-RAY EXAM OF KNEE LT-MD3654 | $47.63 | $52.93 | $30.67–$50.28 | — | 10% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 WMHC SPINE,LOWER EXAM-MD3654 | $54.52 | $60.57 | $35.10–$57.54 | 82% below | 10% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC L-SPINE 2-3 VIEWS | $308.02 | $342.24 | $198.33–$325.14 | 4% above | 10% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 WMHC SPINE,LOWER EXAM-MD3654 | $54.52 | $60.57 | $35.10–$57.54 | — | 10% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HC L-SPINE 2-3 VIEWS | $308.02 | $342.24 | $198.33–$325.14 | — | 10% |
| X-ray of the lower back, 4 or more views CPT 72110 WMHC SPINE,LS W/OBL-MD3654 | $76.14 | $84.59 | $49.02–$80.36 | 82% below | 10% |
| X-ray of the lower back, 4 or more views CPT 72110 HC L-SPINE MIN 4 VIEWS | $574.97 | $638.86 | $370.22–$606.92 | 34% above | 10% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 WMHC SPINE,LS W/OBL-MD3654 | $76.14 | $84.59 | $49.02–$80.36 | — | 10% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HC L-SPINE MIN 4 VIEWS | $574.97 | $638.86 | $370.22–$606.92 | — | 10% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC T-SPINE 2 VIEWS | $308.02 | $342.24 | $198.33–$325.14 | 6% above | 10% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HC T-SPINE 2 VIEWS | $308.02 | $342.24 | $198.33–$325.14 | — | 10% |
| X-ray of the nasal bones, 3 or more views CPT 70160 WMHC NASAL BONES-MD3654 | $44.90 | $49.89 | $28.91–$47.39 | 84% below | 10% |
| X-ray of the nasal bones, 3 or more views CPT 70160 HC NASAL BONES MIN 3 VIEWS | $308.02 | $342.24 | $198.33–$325.14 | 8% above | 10% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 WMHC NASAL BONES-MD3654 | $44.90 | $49.89 | $28.91–$47.39 | — | 10% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HC NASAL BONES MIN 3 VIEWS | $308.02 | $342.24 | $198.33–$325.14 | — | 10% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC C-SPINE 2-3 VIEWS | $247.02 | $274.47 | $159.05–$260.74 | 16% below | 10% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC C-SPINE 2-3 VIEWS | $247.02 | $274.47 | $159.05–$260.74 | — | 10% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 WMHC PELVIS 1 OR 2 VIEWS-MD3654 | $42.27 | $46.97 | $27.22–$44.62 | 83% below | 10% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 HC PELVIS AP ONLY | $215.99 | $239.99 | $139.07–$227.99 | 13% below | 10% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 WMHC PELVIS 1 OR 2 VIEWS-MD3654 | $42.27 | $46.97 | $27.22–$44.62 | — | 10% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC PELVIS AP ONLY | $215.99 | $239.99 | $139.07–$227.99 | — | 10% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC SACRUM AND COCCYX MIN 2 VIEWS | $308.02 | $342.24 | $198.33–$325.14 | 8% above | 10% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HC SACRUM AND COCCYX MIN 2 VIEWS | $308.02 | $342.24 | $198.33–$325.14 | — | 10% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Ohio | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC SGPT (ALT) | $56.85 | $63.16 | $36.60–$60.00 | 106% above | 10% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC SGPT (ALT) | $56.85 | $63.16 | $36.60–$60.00 | — | 10% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 HC SGOT (AST) | $55.33 | $61.47 | $35.62–$58.40 | 120% above | 10% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC SGOT (AST) | $55.33 | $61.47 | $35.62–$58.40 | — | 10% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC HEPATITIS PANEL ACUTE | $121.99 | $135.54 | $78.54–$128.76 | 43% below | 10% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HC HEPATITIS PANEL ACUTE | $121.99 | $135.54 | $78.54–$128.76 | — | 10% |
| Allergy blood test, specific IgE, per allergen CPT 86003 WMHC RAST Test, Single����������������������������� | $14.48 | $16.09 | $9.33–$15.29 | 38% below | 10% |
| Allergy blood test, specific IgE, per allergen CPT 86003 WMHC ALLERGEN SPECIFIC IGE; QUANTITATIVE OR SEMIQUANTITATIVE, CRUDE ALLERGEN EXTRACT, EACH | $32.13 | $35.69 | $20.69–$33.90 | 37% above | 10% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPECIFIC | $39.37 | $43.75 | $25.36–$41.57 | 68% above | 10% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WMHC RAST Test, Single����������������������������� | $14.48 | $16.09 | $9.33–$15.29 | — | 10% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WMHC ALLERGEN SPECIFIC IGE; QUANTITATIVE OR SEMIQUANTITATIVE, CRUDE ALLERGEN EXTRACT, EACH | $32.13 | $35.69 | $20.69–$33.90 | — | 10% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPECIFIC | $39.37 | $43.75 | $25.36–$41.57 | — | 10% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC CYCLIC CITRULLINATED PEPTD,AB | $94.40 | $104.89 | $60.79–$99.65 | 63% above | 10% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC CYCLIC CITRULLINATED PEPTD,AB | $94.40 | $104.89 | $60.79–$99.65 | — | 10% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 WMHC ANA PROGRESSIVE | $22.88 | $25.42 | $14.73–$24.15 | 58% below | 10% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANTI NUCLEAR ANTIBODY | $124.73 | $138.58 | $80.31–$131.65 | 131% above | 10% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 WMHC ANA PROGRESSIVE | $22.88 | $25.42 | $14.73–$24.15 | — | 10% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANTI NUCLEAR ANTIBODY | $124.73 | $138.58 | $80.31–$131.65 | — | 10% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC NATRIURETIC PEPTIDE | $129.49 | $143.87 | $83.38–$136.68 | 9% below | 10% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC NATRIURETIC PEPTIDE | $129.49 | $143.87 | $83.38–$136.68 | — | 10% |
| Basic metabolic panel (blood test) CPT 80048 HC BASIC METABOLIC PANEL | $72.79 | $80.88 | $46.87–$76.84 | 22% above | 10% |
| Basic metabolic panel (blood test) inpatient CPT 80048 HC BASIC METABOLIC PANEL | $72.79 | $80.88 | $46.87–$76.84 | — | 10% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 WMHC LEVEL IV HISTO, TC GENPATH | $78.96 | $87.73 | $50.85–$83.35 | 57% below | 10% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC TISSUE LEVEL IV | $215.49 | $239.43 | $138.75–$227.46 | 19% above | 10% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 WMHC SO BONE MARROW BIOPSY-LP | $228.80 | $254.22 | $147.32–$241.51 | 26% above | 10% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 WMHC SO GEN PATH 88305 | $240.54 | $267.27 | $154.89–$253.91 | 32% above | 10% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 WMHC SO SURG GROUP IV | $295.92 | $328.81 | $190.54–$312.36 | 63% above | 10% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 WMHC LEVEL IV HISTO, TC GENPATH | $78.96 | $87.73 | $50.85–$83.35 | — | 10% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC TISSUE LEVEL IV | $215.49 | $239.43 | $138.75–$227.46 | — | 10% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 WMHC SO BONE MARROW BIOPSY-LP | $228.80 | $254.22 | $147.32–$241.51 | — | 10% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 WMHC SO GEN PATH 88305 | $240.54 | $267.27 | $154.89–$253.91 | — | 10% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 WMHC SO SURG GROUP IV | $295.92 | $328.81 | $190.54–$312.36 | — | 10% |
| Blood culture for bacteria CPT 87040 HC CULTURE BLOOD | $110.15 | $122.39 | $70.93–$116.27 | 18% above | 10% |
| Blood culture for bacteria CPT 87040 WMHC SO CULTURE,BACTERIAL-PATH | $172.56 | $191.73 | $111.11–$182.15 | 84% above | 10% |
| Blood culture for bacteria inpatient CPT 87040 HC CULTURE BLOOD | $110.15 | $122.39 | $70.93–$116.27 | — | 10% |
| Blood culture for bacteria inpatient CPT 87040 WMHC SO CULTURE,BACTERIAL-PATH | $172.56 | $191.73 | $111.11–$182.15 | — | 10% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 WMHC PR COLLECTION VENOUS BLOOD,VENIPUNCTURE | $23.81 | $26.45 | $15.33–$25.13 | 61% above | 10% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC VENIPUNCTURE | $24.55 | $27.28 | $15.81–$25.92 | 66% above | 10% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 WMHC PR COLLECTION VENOUS BLOOD,VENIPUNCTURE | $23.81 | $26.45 | $15.33–$25.13 | — | 10% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC VENIPUNCTURE | $24.55 | $27.28 | $15.81–$25.92 | — | 10% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC BLOOD DRAW PER PICC/CL | $83.12 | $92.35 | $53.52–$87.73 | — | 10% |
| Blood glucose (sugar) test CPT 82947 HC GLUCOSE, FASTING | $42.17 | $46.85 | $27.15–$44.51 | 101% above | 10% |
| Blood glucose (sugar) test inpatient CPT 82947 HC GLUCOSE, FASTING | $42.17 | $46.85 | $27.15–$44.51 | — | 10% |
| Blood lead test CPT 83655 HC LEAD | $121.54 | $135.04 | $78.26–$128.29 | 203% above | 10% |
| Blood lead test inpatient CPT 83655 HC LEAD | $121.54 | $135.04 | $78.26–$128.29 | — | 10% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 WMHC HCG QUALITATIVE | $80.64 | $89.60 | $51.92–$85.11 | 64% above | 10% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC GONADOTROPIN, CHORIONIC (HCG) QUALITATIVE | $80.64 | $89.60 | $51.92–$85.11 | 64% above | 10% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 WMHC HCG QUALITATIVE | $80.64 | $89.60 | $51.92–$85.11 | — | 10% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC GONADOTROPIN, CHORIONIC (HCG) QUALITATIVE | $80.64 | $89.60 | $51.92–$85.11 | — | 10% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 WMHC ABO Type (ARC) | $43.43 | $48.26 | $27.97–$45.84 | 11% below | 10% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC BLOOD TYPING, ABO | $97.34 | $108.16 | $62.68–$102.75 | 100% above | 10% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 WMHC ABO Type (ARC) | $43.43 | $48.26 | $27.97–$45.84 | — | 10% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC BLOOD TYPING, ABO | $97.34 | $108.16 | $62.68–$102.75 | — | 10% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC CRP | $61.76 | $68.62 | $39.76–$65.19 | 42% above | 10% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC CRP | $61.76 | $68.62 | $39.76–$65.19 | — | 10% |
| C. difficile toxin gene test (stool PCR) CPT 87493 HC CLOST DIFF,TOXIN GENE,AMP PRBE | $266.86 | $296.51 | $171.83–$281.68 | 105% above | 10% |
| C. difficile toxin gene test (stool PCR) one side CPT 87493 WMHC C DIFF TOXIN B, QUAL RT-PCR | $150.03 | $166.70 | $96.61–$158.37 | 15% above | 10% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HC CLOST DIFF,TOXIN GENE,AMP PRBE | $266.86 | $296.51 | $171.83–$281.68 | — | 10% |
| C. difficile toxin gene test (stool PCR) inpatient one side CPT 87493 WMHC C DIFF TOXIN B, QUAL RT-PCR | $150.03 | $166.70 | $96.61–$158.37 | — | 10% |
| CA 19-9 blood test (tumor marker) CPT 86301 HC CARBOHYDRATE ANTIGEN 19-9 | $143.86 | $159.85 | $92.63–$151.86 | 113% above | 10% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 HC CARBOHYDRATE ANTIGEN 19-9 | $143.86 | $159.85 | $92.63–$151.86 | — | 10% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 HC CA 125 | $143.86 | $159.85 | $92.63–$151.86 | 54% above | 10% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC CA 125 | $143.86 | $159.85 | $92.63–$151.86 | — | 10% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 WMHC SARS-COV-2 RNA, QUAL NAAT | $157.93 | $175.48 | $101.69–$166.70 | 12% above | 10% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 WMHC SARS-COV-2 RNA, QUAL NAAT | $157.93 | $175.48 | $101.69–$166.70 | — | 10% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 WMHC SO CT, AMPLIFIED PROBE TP | $106.70 | $118.56 | $68.70–$112.63 | 16% above | 10% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLAMYDIA AMP PROBE TECH, 1 | $203.80 | $226.44 | $131.22–$215.11 | 121% above | 10% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC SO CHYLMD TRACH DNA AMP PROBE | $203.80 | $226.44 | $131.22–$215.11 | 121% above | 10% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 WMHC SO CT, AMPLIFIED PROBE TP | $106.70 | $118.56 | $68.70–$112.63 | — | 10% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC SO CHYLMD TRACH DNA AMP PROBE | $203.80 | $226.44 | $131.22–$215.11 | — | 10% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHLAMYDIA AMP PROBE TECH, 1 | $203.80 | $226.44 | $131.22–$215.11 | — | 10% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL | $134.14 | $149.04 | $86.37–$141.59 | 158% above | 10% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL | $134.14 | $149.04 | $86.37–$141.59 | — | 10% |
| Complete blood count (CBC) with differential CPT 85025 WMHC CHG COMPLETE CBC & AUTO DIFF WBC | $83.22 | $92.47 | $53.58–$87.84 | 137% above | 10% |
| Complete blood count (CBC) with differential CPT 85025 HC CBC | $83.22 | $92.47 | $53.58–$87.84 | 137% above | 10% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC CBC | $83.22 | $92.47 | $53.58–$87.84 | — | 10% |
| Complete blood count (CBC) with differential inpatient CPT 85025 WMHC CHG COMPLETE CBC & AUTO DIFF WBC | $83.22 | $92.47 | $53.58–$87.84 | — | 10% |
| Complete blood count (CBC), no differential CPT 85027 HC CBC (HEMOGRAM) | $68.94 | $76.61 | $44.40–$72.78 | 113% above | 10% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC CBC (HEMOGRAM) | $68.94 | $76.61 | $44.40–$72.78 | — | 10% |
| Comprehensive metabolic panel (blood test) CPT 80053 WMHC CHG METABOLIC PANEL,COMPREHENSIVE | $51.58 | $57.31 | $33.21–$54.44 | 15% below | 10% |
| Comprehensive metabolic panel (blood test) CPT 80053 HC COMPREHENSIVE METABOLIC PANEL | $96.43 | $107.14 | $62.09–$101.78 | 60% above | 10% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 WMHC CHG METABOLIC PANEL,COMPREHENSIVE | $51.58 | $57.31 | $33.21–$54.44 | — | 10% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC COMPREHENSIVE METABOLIC PANEL | $96.43 | $107.14 | $62.09–$101.78 | — | 10% |
| D-dimer blood test (blood clot marker) CPT 85379 HC D-DIMER, QUANTITATIVE | $120.72 | $134.14 | $77.73–$127.43 | 74% above | 10% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 HC D-DIMER, QUANTITATIVE | $120.72 | $134.14 | $77.73–$127.43 | — | 10% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 HC DHEA SULFATE | $22.12 | $24.58 | $14.24–$23.35 | 77% below | 10% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HC DHEA SULFATE | $22.12 | $24.58 | $14.24–$23.35 | — | 10% |
| Estradiol blood test CPT 82670 HC ESTRADIOL | $105.45 | $117.16 | $67.89–$111.30 | 1% above | 10% |
| Estradiol blood test inpatient CPT 82670 HC ESTRADIOL | $105.45 | $117.16 | $67.89–$111.30 | — | 10% |
| FSH (follicle-stimulating hormone) test CPT 83001 HC FSH | $68.09 | $75.65 | $43.84–$71.86 | 20% below | 10% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 HC FSH | $68.09 | $75.65 | $43.84–$71.86 | — | 10% |
| Fecal calprotectin (stool inflammation test) CPT 83993 HC CALPROTECTIN, FECAL | $251.37 | $279.30 | $161.86–$265.34 | 68% above | 10% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HC CALPROTECTIN, FECAL | $251.37 | $279.30 | $161.86–$265.34 | — | 10% |
| Ferritin blood test (iron stores) CPT 82728 HC FERRITIN | $145.07 | $161.19 | $93.41–$153.13 | 92% above | 10% |
| Ferritin blood test (iron stores) inpatient CPT 82728 HC FERRITIN | $145.07 | $161.19 | $93.41–$153.13 | — | 10% |
| Folate (folic acid) blood test CPT 82746 HC FOLIC ACID, SERUM | $156.82 | $174.24 | $100.97–$165.53 | 139% above | 10% |
| Folate (folic acid) blood test inpatient CPT 82746 HC FOLIC ACID, SERUM | $156.82 | $174.24 | $100.97–$165.53 | — | 10% |
| Free T3 thyroid hormone test CPT 84481 HC TRIIODOTHYRONINE T-3, FREE | $180.15 | $200.17 | $116.00–$190.16 | 164% above | 10% |
| Free T3 thyroid hormone test inpatient CPT 84481 HC TRIIODOTHYRONINE T-3, FREE | $180.15 | $200.17 | $116.00–$190.16 | — | 10% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 HC T-4,FREE | $96.23 | $106.92 | $61.96–$101.58 | 139% above | 10% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC T-4,FREE | $96.23 | $106.92 | $61.96–$101.58 | — | 10% |
| Free testosterone test CPT 84402 WMHC TESTOSTERONE, FREE | $18.94 | $21.04 | $12.19–$19.99 | 80% below | 10% |
| Free testosterone test CPT 84402 WMHC TESTOSTERONE, FREE (PANEL CHARGE) | $39.79 | $44.21 | $25.62–$42.00 | 58% below | 10% |
| Free testosterone test CPT 84402 HC TESTOSTERONE FREE | $121.99 | $135.54 | $78.54–$128.76 | 30% above | 10% |
| Free testosterone test inpatient CPT 84402 WMHC TESTOSTERONE, FREE | $18.94 | $21.04 | $12.19–$19.99 | — | 10% |
| Free testosterone test inpatient CPT 84402 WMHC TESTOSTERONE, FREE (PANEL CHARGE) | $39.79 | $44.21 | $25.62–$42.00 | — | 10% |
| Free testosterone test inpatient CPT 84402 HC TESTOSTERONE FREE | $121.99 | $135.54 | $78.54–$128.76 | — | 10% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 HC GENERAL HEALTH PROFILE | $437.14 | $485.71 | $281.47–$461.43 | 97% above | 10% |
| General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 HC GENERAL HEALTH PROFILE | $437.14 | $485.71 | $281.47–$461.43 | — | 10% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 WMHC 1 HR GLUCOSE | $42.17 | $46.85 | $27.15–$44.51 | 44% above | 10% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC GLUCOSE, POST PRANDIAL | $42.17 | $46.85 | $27.15–$44.51 | 44% above | 10% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HC GLUCOSE, POST PRANDIAL | $42.17 | $46.85 | $27.15–$44.51 | — | 10% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 WMHC 1 HR GLUCOSE | $42.17 | $46.85 | $27.15–$44.51 | — | 10% |
| Glucose tolerance test, 3 samples CPT 82951 HC GLUCOSE TOLERANCE TEST | $39.94 | $44.38 | $25.72–$42.16 | 31% below | 10% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 HC GLUCOSE TOLERANCE TEST | $39.94 | $44.38 | $25.72–$42.16 | — | 10% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 WMHC SO GC, AMPLIFIED PROBE, XXX | $106.70 | $118.56 | $68.70–$112.63 | 15% above | 10% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC N.GONORRHEA, DNA, AMP PROBE | $106.70 | $118.56 | $68.70–$112.63 | 15% above | 10% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 WMHC SO GC, AMPLIFIED PROBE, XXX | $106.70 | $118.56 | $68.70–$112.63 | — | 10% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC N.GONORRHEA, DNA, AMP PROBE | $106.70 | $118.56 | $68.70–$112.63 | — | 10% |
| H. pylori antibody blood test CPT 86677 HC H.PYLORI. SERUM | $154.39 | $171.54 | $99.40–$162.96 | 126% above | 10% |
| H. pylori antibody blood test inpatient CPT 86677 HC H.PYLORI. SERUM | $154.39 | $171.54 | $99.40–$162.96 | — | 10% |
| H. pylori stool antigen test CPT 87338 HC H.PYLORI STOOL ANTIGEN | $154.39 | $171.54 | $99.40–$162.96 | 133% above | 10% |
| H. pylori stool antigen test inpatient CPT 87338 HC H.PYLORI STOOL ANTIGEN | $154.39 | $171.54 | $99.40–$162.96 | — | 10% |
| HIV viral load test (HIV-1 RNA, quantitative) one side CPT 87536 WMHC HIV-1 RNA, Quant, RT PCR | $276.38 | $307.09 | $177.96–$291.74 | 17% below | 10% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient one side CPT 87536 WMHC HIV-1 RNA, Quant, RT PCR | $276.38 | $307.09 | $177.96–$291.74 | — | 10% |
| HIV-1 and HIV-2 antibody test CPT 86703 HC ANTIBODY,HIV 1 & HIV 2, ASSAY | $115.97 | $128.86 | $74.67–$122.42 | 97% above | 10% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HC ANTIBODY,HIV 1 & HIV 2, ASSAY | $115.97 | $128.86 | $74.67–$122.42 | — | 10% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 WMHC HIV/1-2 AG & ABS; 4TH GEN W/REFLEX | $127.52 | $141.69 | $82.11–$134.61 | 94% above | 10% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 WMHC HIV/1-2 AG & ABS; 4TH GEN W/REFLEX | $127.52 | $141.69 | $82.11–$134.61 | — | 10% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 WMHC SO HPV-hr | $121.99 | $135.54 | $78.54–$128.76 | 8% above | 10% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 WMHC SO HPV-HR, TMA W REFLEX | $121.99 | $135.54 | $78.54–$128.76 | 8% above | 10% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HC HPV, DNA, AMP PROBE | $121.99 | $135.54 | $78.54–$128.76 | 8% above | 10% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 WMHC SO HPV DNA PROBE [TC ONLY,NO PRO] | $177.32 | $197.02 | $114.17–$187.17 | 58% above | 10% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 WMHC SO HPV-HR, TMA W REFLEX | $121.99 | $135.54 | $78.54–$128.76 | — | 10% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC HPV, DNA, AMP PROBE | $121.99 | $135.54 | $78.54–$128.76 | — | 10% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 WMHC SO HPV-hr | $121.99 | $135.54 | $78.54–$128.76 | — | 10% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 WMHC SO HPV DNA PROBE [TC ONLY,NO PRO] | $177.32 | $197.02 | $114.17–$187.17 | — | 10% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC GLYCOHEMOGLOBIN | $103.51 | $115.01 | $66.65–$109.26 | 136% above | 10% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC GLYCOHEMOGLOBIN | $103.51 | $115.01 | $66.65–$109.26 | — | 10% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 WMHC HEPATITIS B VIRUS COMPREHENSIVE PROFILE #1:HEPATITIS B SURFACE ANTIBODY (HBSAB) | $15.29 | $16.98 | $9.84–$16.13 | 68% below | 10% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC HEPATITIS B SURFACE ANTIBODY | $111.26 | $123.62 | $71.65–$117.45 | 131% above | 10% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 WMHC HEPATITIS B VIRUS COMPREHENSIVE PROFILE #1:HEPATITIS B SURFACE ANTIBODY (HBSAB) | $15.29 | $16.98 | $9.84–$16.13 | — | 10% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC HEPATITIS B SURFACE ANTIBODY | $111.26 | $123.62 | $71.65–$117.45 | — | 10% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 WMHC HEPATITIS B VIRUS COMPREHENSIVE PROFILE #1; INFECTIOUS AGENT ANTIGEN DETECTION BY IMMUNOASSAY TECHNIQUE,HEPATITIS B SURFACE ANTIGEN (HBSAG) | $15.29 | $16.98 | $9.84–$16.13 | 67% below | 10% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HC HEPATITIS B SURFACE ANTIGEN | $96.68 | $107.42 | $62.25–$102.06 | 109% above | 10% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 WMHC HEPATITIS B VIRUS COMPREHENSIVE PROFILE #1; INFECTIOUS AGENT ANTIGEN DETECTION BY IMMUNOASSAY TECHNIQUE,HEPATITIS B SURFACE ANTIGEN (HBSAG) | $15.29 | $16.98 | $9.84–$16.13 | — | 10% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC HEPATITIS B SURFACE ANTIGEN | $96.68 | $107.42 | $62.25–$102.06 | — | 10% |
| Hepatitis C antibody blood test (screening) CPT 86803 WMHC HEPATITIS C ANTIBODY W/ REFLEX TO HCV, RNA QUANT REAL-TIME PCR | $28.44 | $31.61 | $18.31–$30.02 | 55% below | 10% |
| Hepatitis C antibody blood test (screening) CPT 86803 HC HEPATITIS C VIRUS ANTIBODY | $150.38 | $167.10 | $96.83–$158.75 | 136% above | 10% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 WMHC HEPATITIS C ANTIBODY W/ REFLEX TO HCV, RNA QUANT REAL-TIME PCR | $28.44 | $31.61 | $18.31–$30.02 | — | 10% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC HEPATITIS C VIRUS ANTIBODY | $150.38 | $167.10 | $96.83–$158.75 | — | 10% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 WMHC HEP C VIRAL RNA, QUANT, PCR | $111.16 | $123.51 | $71.57–$117.33 | 42% below | 10% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HC HEPATITIS C VIRUS QUANTITATIVE | $218.72 | $243.03 | $140.84–$230.88 | 14% above | 10% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 WMHC HEP C VIRAL RNA, QUANT, PCR | $111.16 | $123.51 | $71.57–$117.33 | — | 10% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC HEPATITIS C VIRUS QUANTITATIVE | $218.72 | $243.03 | $140.84–$230.88 | — | 10% |
| Herpes blood test, HSV-1 antibody CPT 86695 WMHC HSV 1 | $44.24 | $49.16 | $28.50–$46.71 | 25% below | 10% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 WMHC HSV 1 | $44.24 | $49.16 | $28.50–$46.71 | — | 10% |
| Herpes blood test, HSV-2 antibody CPT 86696 WMHC HSV 2 | $44.24 | $49.16 | $28.50–$46.71 | 33% below | 10% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 WMHC HSV 2 | $44.24 | $49.16 | $28.50–$46.71 | — | 10% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 HC C-REACTIVE, PROTEIN CARDIAC | $97.79 | $108.66 | $62.97–$103.23 | 64% above | 10% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HC C-REACTIVE, PROTEIN CARDIAC | $97.79 | $108.66 | $62.97–$103.23 | — | 10% |
| Homocysteine blood test CPT 83090 HC HOMOCYSTINE | $91.68 | $101.86 | $59.02–$96.76 | 17% above | 10% |
| Homocysteine blood test inpatient CPT 83090 HC HOMOCYSTINE | $91.68 | $101.86 | $59.02–$96.76 | — | 10% |
| Insulin blood test CPT 83525 HC INSULIN | $118.35 | $131.50 | $76.20–$124.92 | 130% above | 10% |
| Insulin blood test inpatient CPT 83525 HC INSULIN | $118.35 | $131.50 | $76.20–$124.92 | — | 10% |
| Iron blood test (serum iron) CPT 83540 WMHC SO IRON,TOTAL | $68.85 | $76.49 | $44.32–$72.66 | 102% above | 10% |
| Iron blood test (serum iron) CPT 83540 HC IRON | $69.40 | $77.11 | $44.68–$73.25 | 104% above | 10% |
| Iron blood test (serum iron) inpatient CPT 83540 WMHC SO IRON,TOTAL | $68.85 | $76.49 | $44.32–$72.66 | — | 10% |
| Iron blood test (serum iron) inpatient CPT 83540 HC IRON | $69.40 | $77.11 | $44.68–$73.25 | — | 10% |
| Iron-binding capacity (TIBC) test CPT 83550 WMHC SO IRON BINDING CAP TOT | $91.93 | $102.14 | $59.19–$97.03 | 136% above | 10% |
| Iron-binding capacity (TIBC) test CPT 83550 HC IRON BINDING CAPACITY | $91.93 | $102.14 | $59.19–$97.03 | 136% above | 10% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 HC IRON BINDING CAPACITY | $91.93 | $102.14 | $59.19–$97.03 | — | 10% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 WMHC SO IRON BINDING CAP TOT | $91.93 | $102.14 | $59.19–$97.03 | — | 10% |
| Kidney function blood test panel CPT 80069 HC RENAL FUNCTION PANEL | $88.48 | $98.31 | $56.97–$93.39 | 42% above | 10% |
| Kidney function blood test panel inpatient CPT 80069 HC RENAL FUNCTION PANEL | $88.48 | $98.31 | $56.97–$93.39 | — | 10% |
| Lipase blood test (pancreas enzyme) CPT 83690 HC LIPASE | $73.81 | $82.00 | $47.53–$77.91 | 44% above | 10% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC LIPASE | $73.81 | $82.00 | $47.53–$77.91 | — | 10% |
| Liver function blood test panel CPT 80076 HC LIVER PROFILE-HEPATIC PANEL | $60.54 | $67.27 | $38.98–$63.91 | 8% above | 10% |
| Liver function blood test panel inpatient CPT 80076 HC LIVER PROFILE-HEPATIC PANEL | $60.54 | $67.27 | $38.98–$63.91 | — | 10% |
| Lyme disease antibody test CPT 86618 WMHC LYME DISEASE ANTIBODY, IMMUNOBLOT | $13.16 | $14.62 | $8.48–$13.89 | 83% below | 10% |
| Lyme disease antibody test CPT 86618 WMHC LYME ANTIBODY W/REFLEX | $27.68 | $30.76 | $17.83–$29.22 | 64% below | 10% |
| Lyme disease antibody test CPT 86618 WMHC LYME DISEASE ANTIBODY | $46.31 | $51.46 | $29.83–$48.89 | 39% below | 10% |
| Lyme disease antibody test CPT 86618 HC LYME DISEASE TOTAL ANITBODIES | $128.47 | $142.75 | $82.72–$135.62 | 68% above | 10% |
| Lyme disease antibody test inpatient CPT 86618 WMHC LYME DISEASE ANTIBODY, IMMUNOBLOT | $13.16 | $14.62 | $8.48–$13.89 | — | 10% |
| Lyme disease antibody test inpatient CPT 86618 WMHC LYME ANTIBODY W/REFLEX | $27.68 | $30.76 | $17.83–$29.22 | — | 10% |
| Lyme disease antibody test inpatient CPT 86618 WMHC LYME DISEASE ANTIBODY | $46.31 | $51.46 | $29.83–$48.89 | — | 10% |
| Lyme disease antibody test inpatient CPT 86618 HC LYME DISEASE TOTAL ANITBODIES | $128.47 | $142.75 | $82.72–$135.62 | — | 10% |
| Magnesium blood test CPT 83735 WMHC MAGNESIUM, RBC | $30.77 | $34.20 | $19.82–$32.49 | 3% below | 10% |
| Magnesium blood test CPT 83735 HC MAGNESIUM | $60.14 | $66.82 | $38.72–$63.48 | 90% above | 10% |
| Magnesium blood test inpatient CPT 83735 WMHC MAGNESIUM, RBC | $30.77 | $34.20 | $19.82–$32.49 | — | 10% |
| Magnesium blood test inpatient CPT 83735 HC MAGNESIUM | $60.14 | $66.82 | $38.72–$63.48 | — | 10% |
| Measles (rubeola) antibody test CPT 86765 WMHC MEASLES ANTIBODY, IGG | $7.90 | $8.78 | $5.09–$8.34 | 85% below | 10% |
| Measles (rubeola) antibody test CPT 86765 WMHC RUBEOLA (MEASLES) AB, IGG | $10.54 | $11.70 | $6.78–$11.12 | 80% below | 10% |
| Measles (rubeola) antibody test CPT 86765 WMHC MEASLES ANTIBODY, IGM | $69.50 | $77.22 | $44.75–$73.36 | 32% above | 10% |
| Measles (rubeola) antibody test CPT 86765 HC RUBEOLA IGG / IGM | $159.65 | $177.39 | $102.79–$168.52 | 203% above | 10% |
| Measles (rubeola) antibody test inpatient CPT 86765 WMHC MEASLES ANTIBODY, IGG | $7.90 | $8.78 | $5.09–$8.34 | — | 10% |
| Measles (rubeola) antibody test inpatient CPT 86765 WMHC RUBEOLA (MEASLES) AB, IGG | $10.54 | $11.70 | $6.78–$11.12 | — | 10% |
| Measles (rubeola) antibody test inpatient CPT 86765 WMHC MEASLES ANTIBODY, IGM | $69.50 | $77.22 | $44.75–$73.36 | — | 10% |
| Measles (rubeola) antibody test inpatient CPT 86765 HC RUBEOLA IGG / IGM | $159.65 | $177.39 | $102.79–$168.52 | — | 10% |
| Mono test (heterophile antibody, Monospot) CPT 86308 HC MONO SPOT TEST,AGGLUTINATION | $55.33 | $61.47 | $35.62–$58.40 | 7% above | 10% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC MONO SPOT TEST,AGGLUTINATION | $55.33 | $61.47 | $35.62–$58.40 | — | 10% |
| Obstetric blood test panel CPT 80055 WMHC OBSTETRIC PANEL | $631.62 | $701.80 | $406.69–$666.71 | 218% above | 10% |
| Obstetric blood test panel CPT 80055 HC OBSTETRIC PANEL | $631.62 | $701.80 | $406.69–$666.71 | 218% above | 10% |
| Obstetric blood test panel inpatient CPT 80055 HC OBSTETRIC PANEL | $631.62 | $701.80 | $406.69–$666.71 | — | 10% |
| Obstetric blood test panel inpatient CPT 80055 WMHC OBSTETRIC PANEL | $631.62 | $701.80 | $406.69–$666.71 | — | 10% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC PROSTATE SPECIFIC ANTIGEN/FREE | $47.93 | $53.26 | $30.87–$50.60 | 41% below | 10% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC PROSTATE SPECIFIC ANTIGEN/FREE | $47.93 | $53.26 | $30.87–$50.60 | — | 10% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC SO1 ASSAY OF PSA TOTAL | $148.16 | $164.62 | $95.40–$156.40 | 93% above | 10% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC ASSAY OF PSA TOTAL | $148.16 | $164.62 | $95.40–$156.40 | 93% above | 10% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC ASSAY OF PSA TOTAL | $148.16 | $164.62 | $95.40–$156.40 | — | 10% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC SO1 ASSAY OF PSA TOTAL | $148.16 | $164.62 | $95.40–$156.40 | — | 10% |
| Pap test (liquid-based, automated screening with review) CPT 88175 WMHC PR CYTOPAT,CER/VAG,THIN LAYER,MAN RES,INTER | $103.82 | $115.36 | $66.85–$109.58 | 10% above | 10% |
| Pap test (liquid-based, automated screening with review) CPT 88175 WMHC SO THIN SCREEN-IMAGE ENHANCD | $107.92 | $119.91 | $69.49–$113.92 | 14% above | 10% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 WMHC PR CYTOPAT,CER/VAG,THIN LAYER,MAN RES,INTER | $103.82 | $115.36 | $66.85–$109.58 | — | 10% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 WMHC SO THIN SCREEN-IMAGE ENHANCD | $107.92 | $119.91 | $69.49–$113.92 | — | 10% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 WMHC SO THIN PREP | $140.46 | $156.07 | $90.45–$148.27 | 56% above | 10% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 WMHC SO THIN PREP | $140.46 | $156.07 | $90.45–$148.27 | — | 10% |
| Parathyroid hormone (PTH) blood test CPT 83970 HC PARATHYROID HORMONE | $166.54 | $185.04 | $107.22–$175.78 | 21% above | 10% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC PARATHYROID HORMONE | $166.54 | $185.04 | $107.22–$175.78 | — | 10% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 WMHC PTT-LA INCUBATED MIX | $18.94 | $21.04 | $12.19–$19.99 | 46% below | 10% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 WMHC PTT-LA | $19.99 | $22.21 | $12.88–$21.10 | 43% below | 10% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC PTT | $64.39 | $71.54 | $41.45–$67.96 | 85% above | 10% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 WMHC: VON WILLEBRAND PANEL: THROMBOPLASTIN TIME, PARTIAL (PTT); PLASMA OR WHOLE BLOOD | $102.50 | $113.89 | $66.00–$108.19 | 195% above | 10% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC SO PTT | $130.40 | $144.88 | $83.96–$137.63 | 275% above | 10% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 WMHC PTT-LA INCUBATED MIX | $18.94 | $21.04 | $12.19–$19.99 | — | 10% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 WMHC PTT-LA | $19.99 | $22.21 | $12.88–$21.10 | — | 10% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC PTT | $64.39 | $71.54 | $41.45–$67.96 | — | 10% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 WMHC: VON WILLEBRAND PANEL: THROMBOPLASTIN TIME, PARTIAL (PTT); PLASMA OR WHOLE BLOOD | $102.50 | $113.89 | $66.00–$108.19 | — | 10% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC SO PTT | $130.40 | $144.88 | $83.96–$137.63 | — | 10% |
| Progesterone blood test CPT 84144 HC PROGESTERONE | $42.11 | $46.79 | $27.11–$44.45 | 41% below | 10% |
| Progesterone blood test inpatient CPT 84144 HC PROGESTERONE | $42.11 | $46.79 | $27.11–$44.45 | — | 10% |
| Prolactin blood test CPT 84146 HC PROLACTIN | $118.50 | $131.66 | $76.29–$125.08 | 46% above | 10% |
| Prolactin blood test inpatient CPT 84146 HC PROLACTIN | $118.50 | $131.66 | $76.29–$125.08 | — | 10% |
| Prothrombin time (PT/INR) clotting test CPT 85610 WMHC PROTHROMBIN TIME | $42.67 | $47.41 | $27.48–$45.04 | 82% above | 10% |
| Prothrombin time (PT/INR) clotting test CPT 85610 WMHC PT/INR (POINT-OF-CARE) | $42.67 | $47.41 | $27.48–$45.04 | 82% above | 10% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC SO PROTHROMBIN TIME | $57.15 | $63.50 | $36.81–$60.33 | 144% above | 10% |
| Prothrombin time (PT/INR) clotting test CPT 85610 WMHC CHG PROTHROMBIN TIME | $57.15 | $63.50 | $36.81–$60.33 | 144% above | 10% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 WMHC PT/INR (POINT-OF-CARE) | $42.67 | $47.41 | $27.48–$45.04 | — | 10% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 WMHC PROTHROMBIN TIME | $42.67 | $47.41 | $27.48–$45.04 | — | 10% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC SO PROTHROMBIN TIME | $57.15 | $63.50 | $36.81–$60.33 | — | 10% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 WMHC CHG PROTHROMBIN TIME | $57.15 | $63.50 | $36.81–$60.33 | — | 10% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 HC DRUG TEST PRSMV DIR OPTICAL OBS | $82.66 | $91.84 | $53.22–$87.25 | 43% above | 10% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 WMHC CHG DRUG TEST PRSMV READ DIRECT OPTICAL OBS PR DATE | $82.67 | $91.85 | $53.23–$87.26 | 43% above | 10% |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 HC DRUG TEST PRSMV DIR OPTICAL OBS | $82.66 | $91.84 | $53.22–$87.25 | — | 10% |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 WMHC CHG DRUG TEST PRSMV READ DIRECT OPTICAL OBS PR DATE | $82.67 | $91.85 | $53.23–$87.26 | — | 10% |
| Rapid flu test (influenza antigen) CPT 87804 WMHC CHG DETECT AGENT,IMMUN,DIR OBS,INFLUENZA | $61.00 | $67.78 | $39.28–$64.39 | 7% below | 10% |
| Rapid flu test (influenza antigen) CPT 87804 HC INFLUENZA AB ANTIGEN | $85.64 | $95.16 | $55.15–$90.41 | 30% above | 10% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 WMHC CHG DETECT AGENT,IMMUN,DIR OBS,INFLUENZA | $61.00 | $67.78 | $39.28–$64.39 | — | 10% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 HC INFLUENZA AB ANTIGEN | $85.64 | $95.16 | $55.15–$90.41 | — | 10% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 WMHC CHG STREP A ASSAY W/OPTIC | $31.43 | $34.92 | $20.24–$33.18 | 45% below | 10% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC BETA STREP SCREEN | $70.16 | $77.95 | $45.17–$74.05 | 23% above | 10% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 WMHC CHG STREP A ASSAY W/OPTIC | $31.43 | $34.92 | $20.24–$33.18 | — | 10% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC BETA STREP SCREEN | $70.16 | $77.95 | $45.17–$74.05 | — | 10% |
| Rheumatoid factor (RF) test CPT 86431 HC RA TITER, QUANTITATIVE | $63.93 | $71.03 | $41.16–$67.49 | 105% above | 10% |
| Rheumatoid factor (RF) test inpatient CPT 86431 HC RA TITER, QUANTITATIVE | $63.93 | $71.03 | $41.16–$67.49 | — | 10% |
| Rubella antibody test (immunity check) CPT 86762 HC RUBELLA LATEX TEST | $159.65 | $177.39 | $102.79–$168.52 | 365% above | 10% |
| Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA LATEX TEST | $159.65 | $177.39 | $102.79–$168.52 | — | 10% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HC SED RATE | $41.96 | $46.62 | $27.02–$44.29 | 28% above | 10% |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 HC SED RATE | $41.96 | $46.62 | $27.02–$44.29 | — | 10% |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 HC SEMEN ANALYSIS COMPLETE | $82.11 | $91.23 | $52.86–$86.66 | 38% below | 10% |
| Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 HC SEMEN ANALYSIS COMPLETE | $82.11 | $91.23 | $52.86–$86.66 | — | 10% |
| Stool ova and parasites exam CPT 87177 HC OVA AND PARASITES | $57.50 | $63.89 | $37.02–$60.69 | 45% above | 10% |
| Stool ova and parasites exam inpatient CPT 87177 HC OVA AND PARASITES | $57.50 | $63.89 | $37.02–$60.69 | — | 10% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 WMHC BLOOD OCCULT,BY PEROXID,FECES,SINGLE, COLORECTAL SCREEN | $20.65 | $22.95 | $13.30–$21.81 | 19% below | 10% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 WMHC HEMOCCULT | $21.01 | $23.34 | $13.53–$22.17 | 17% below | 10% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 WMHC HEMOCULT-ER/MD | $28.80 | $32.00 | $18.54–$30.40 | 14% above | 10% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 WMHC HEMOCCULT-OP | $31.34 | $34.82 | $20.18–$33.08 | 24% above | 10% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 WMHC BLOOD OCCULT,BY PEROXID,FECES,SINGLE, COLORECTAL SCREEN | $20.65 | $22.95 | $13.30–$21.81 | — | 10% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 WMHC HEMOCCULT | $21.01 | $23.34 | $13.53–$22.17 | — | 10% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 WMHC HEMOCCULT-OP | $31.34 | $34.82 | $20.18–$33.08 | — | 10% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC OCCULT BLOOD FECAL | $31.34 | $34.82 | $20.18–$33.08 | 38% below | 10% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 WMHC CHG BLOOD,OCCULT,FECAL HGB,FECES,1-3 SIMULT | $38.89 | $43.20 | $25.03–$41.04 | 23% below | 10% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 WMHC OCCULT BLOOD DIAG-ZB | $82.66 | $91.84 | $53.22–$87.25 | 64% above | 10% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HC OCCULT BLOOD FECAL | $31.34 | $34.82 | $20.18–$33.08 | — | 10% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 WMHC CHG BLOOD,OCCULT,FECAL HGB,FECES,1-3 SIMULT | $38.89 | $43.20 | $25.03–$41.04 | — | 10% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 WMHC OCCULT BLOOD DIAG-ZB | $82.66 | $91.84 | $53.22–$87.25 | — | 10% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 WMHC VDRL, CSF | $9.46 | $10.51 | $6.09–$9.98 | 50% below | 10% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC VDRL / RPR | $45.76 | $50.85 | $29.46–$48.31 | 143% above | 10% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 WMHC VDRL, CSF | $9.46 | $10.51 | $6.09–$9.98 | — | 10% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC VDRL / RPR | $45.76 | $50.85 | $29.46–$48.31 | — | 10% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 WMHC QUANTIFERON-TB GOLD | $71.07 | $78.97 | $45.76–$75.02 | 36% below | 10% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC TB TEST, CELL IMMUN MEASURE | $121.99 | $135.54 | $78.54–$128.76 | 10% above | 10% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 WMHC QUANTIFERON-TB GOLD | $71.07 | $78.97 | $45.76–$75.02 | — | 10% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC TB TEST, CELL IMMUN MEASURE | $121.99 | $135.54 | $78.54–$128.76 | — | 10% |
| Testosterone blood test, total (not free testosterone) CPT 84403 WMHC TESTOSTERONE,TOTAL� (PANEL CHARGE) | $39.79 | $44.21 | $25.62–$42.00 | 54% below | 10% |
| Testosterone blood test, total (not free testosterone) CPT 84403 WMHC TESTOSTERONE, TOTAL | $56.59 | $62.88 | $36.44–$59.74 | 35% below | 10% |
| Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE TOTAL | $121.99 | $135.54 | $78.54–$128.76 | 40% above | 10% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 WMHC TESTOSTERONE,TOTAL� (PANEL CHARGE) | $39.79 | $44.21 | $25.62–$42.00 | — | 10% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 WMHC TESTOSTERONE, TOTAL | $56.59 | $62.88 | $36.44–$59.74 | — | 10% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE TOTAL | $121.99 | $135.54 | $78.54–$128.76 | — | 10% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC SO MICROSOMAL ANTIBODY | $14.23 | $15.81 | $9.16–$15.02 | 76% below | 10% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC MICROSOMAL ANTIBODY | $33.16 | $36.84 | $21.35–$35.00 | 44% below | 10% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC SO MICROSOMAL ANTIBODY | $14.23 | $15.81 | $9.16–$15.02 | — | 10% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC MICROSOMAL ANTIBODY | $33.16 | $36.84 | $21.35–$35.00 | — | 10% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC THYROID STIMULATING HORMONE | $178.79 | $198.65 | $115.12–$188.72 | 159% above | 10% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC THYROID STIMULATING HORMONE | $178.79 | $198.65 | $115.12–$188.72 | — | 10% |
| Uric acid blood test CPT 84550 HC URIC ACID | $48.50 | $53.88 | $31.22–$51.19 | 42% above | 10% |
| Uric acid blood test inpatient CPT 84550 HC URIC ACID | $48.50 | $53.88 | $31.22–$51.19 | — | 10% |
| Urinalysis with microscope exam, automated CPT 81001 HC URINALYSIS W/ MICROSCOPY | $49.30 | $54.78 | $31.74–$52.04 | 87% above | 10% |
| Urinalysis with microscope exam, automated CPT 81001 WMHC CHG URINALYSIS, AUTO, W/SCOPE | $49.40 | $54.89 | $31.81–$52.15 | 87% above | 10% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HC URINALYSIS W/ MICROSCOPY | $49.30 | $54.78 | $31.74–$52.04 | — | 10% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 WMHC CHG URINALYSIS, AUTO, W/SCOPE | $49.40 | $54.89 | $31.81–$52.15 | — | 10% |
| Urinalysis with microscope exam, manual CPT 81000 WMHC CHG URINALYSIS, NONAUTO, W/SCOPE | $20.85 | $23.17 | $13.43–$22.02 | 15% above | 10% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 WMHC CHG URINALYSIS, NONAUTO, W/SCOPE | $20.85 | $23.17 | $13.43–$22.02 | — | 10% |
| Urinalysis without microscope exam, automated CPT 81003 WMHC CHG URINALYSIS, AUTO, W/O SCOPE | $19.27 | $21.41 | $12.41–$20.34 | 15% below | 10% |
| Urinalysis without microscope exam, automated CPT 81003 WMHC URINE DIP-ONC | $24.86 | $27.61 | $16.00–$26.23 | 9% above | 10% |
| Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS, AUTO, W/O SCOPE | $31.60 | $35.10 | $20.34–$33.34 | 39% above | 10% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 WMHC CHG URINALYSIS, AUTO, W/O SCOPE | $19.27 | $21.41 | $12.41–$20.34 | — | 10% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 WMHC URINE DIP-ONC | $24.86 | $27.61 | $16.00–$26.23 | — | 10% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINALYSIS, AUTO, W/O SCOPE | $31.60 | $35.10 | $20.34–$33.34 | — | 10% |
| Urinalysis without microscope exam, manual CPT 81002 WMHC CHG URINALYSIS NONAUTO W/O SCOPE | $19.27 | $21.41 | $12.41–$20.34 | 24% above | 10% |
| Urinalysis without microscope exam, manual CPT 81002 WMHC URINE-SHC | $24.86 | $27.61 | $16.00–$26.23 | 59% above | 10% |
| Urinalysis without microscope exam, manual CPT 81002 HC NON-AUTO,URINE W/O MICROSCOPY | $24.86 | $27.61 | $16.00–$26.23 | 59% above | 10% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 WMHC CHG URINALYSIS NONAUTO W/O SCOPE | $19.27 | $21.41 | $12.41–$20.34 | — | 10% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 WMHC URINE-SHC | $24.86 | $27.61 | $16.00–$26.23 | — | 10% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HC NON-AUTO,URINE W/O MICROSCOPY | $24.86 | $27.61 | $16.00–$26.23 | — | 10% |
| Urine culture for bacteria, with colony count CPT 87086 HC URINE CULT./COLONY COUNT | $86.26 | $95.84 | $55.54–$91.04 | 57% above | 10% |
| Urine culture for bacteria, with colony count CPT 87086 WMHC CHG URINE CULTURE, COLONY COUNT | $86.26 | $95.84 | $55.54–$91.04 | 57% above | 10% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 HC URINE CULT./COLONY COUNT | $86.26 | $95.84 | $55.54–$91.04 | — | 10% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 WMHC CHG URINE CULTURE, COLONY COUNT | $86.26 | $95.84 | $55.54–$91.04 | — | 10% |
| Urine pregnancy test, read by color change CPT 81025 WMHC CHG URINE PREGNANCY TEST | $25.41 | $28.23 | $16.36–$26.81 | 44% below | 10% |
| Urine pregnancy test, read by color change CPT 81025 HC HCG (URINE) PREGNANCY TEST | $25.42 | $28.24 | $16.36–$26.82 | 44% below | 10% |
| Urine pregnancy test, read by color change inpatient CPT 81025 WMHC CHG URINE PREGNANCY TEST | $25.41 | $28.23 | $16.36–$26.81 | — | 10% |
| Urine pregnancy test, read by color change inpatient CPT 81025 HC HCG (URINE) PREGNANCY TEST | $25.42 | $28.24 | $16.36–$26.82 | — | 10% |
| Vitamin B12 (cobalamin) blood test CPT 82607 HC VITAMIN B-12 | $160.46 | $178.29 | $103.31–$169.37 | 123% above | 10% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC VITAMIN B-12 | $160.46 | $178.29 | $103.31–$169.37 | — | 10% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC VITAMIN D HYDROXYVITAMIN D | $142.14 | $157.93 | $91.52–$150.04 | 81% above | 10% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC VITAMIN D HYDROXYVITAMIN D | $142.14 | $157.93 | $91.52–$150.04 | — | 10% |
| Zinc blood test CPT 84630 HC ZINC, SERUM | $12.66 | $14.06 | $8.14–$13.35 | 70% below | 10% |
| Zinc blood test inpatient CPT 84630 HC ZINC, SERUM | $12.66 | $14.06 | $8.14–$13.35 | — | 10% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC HCG QUANTITATIVE | $160.26 | $178.07 | $103.19–$169.17 | 137% above | 10% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC HCG QUANTITATIVE | $160.26 | $178.07 | $103.19–$169.17 | — | 10% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Ohio | Off list |
|---|---|---|---|---|---|
| Adenoid removal (adenoidectomy), child under 12 CPT 42830 WMHC PBB REMOVAL ADENOIDS,PRIMARY,<12 Y/O | $263.68 | $292.98 | $169.78–$278.32 | 92% below | 10% |
| Adenoid removal (adenoidectomy), child under 12 CPT 42830 WMHC REMOVAL ADENOIDS,PRIMARY,<12 Y/O | $4,570.48 | $5,078.31 | $2,942.88–$4,824.39 | 32% above | 10% |
| Adenoid removal (adenoidectomy), child under 12 CPT 42830 WMHC REMOVE ADENOIDS, PRIMARY, <12 Y/O | $6,531.53 | $7,257.26 | $4,205.57–$6,894.39 | 89% above | 10% |
| Adenoid removal (adenoidectomy), child under 12 inpatient CPT 42830 WMHC REMOVAL ADENOIDS,PRIMARY,<12 Y/O | $4,570.48 | $5,078.31 | $2,942.88–$4,824.39 | — | 10% |
| Adenoid removal (adenoidectomy), child under 12 inpatient CPT 42830 WMHC REMOVE ADENOIDS, PRIMARY, <12 Y/O | $6,531.53 | $7,257.26 | $4,205.57–$6,894.39 | — | 10% |
| Appendectomy for a ruptured appendix with abscess or peritonitis CPT 44960 WMHC PR APPENDECTOMY,RUPT APPENDX+ABSCESS | $2,318.34 | $2,575.93 | $1,492.75–$2,447.14 | 70% above | 10% |
| Appendectomy for a ruptured appendix with abscess or peritonitis inpatient CPT 44960 WMHC PR APPENDECTOMY,RUPT APPENDX+ABSCESS | $2,318.34 | $2,575.93 | $1,492.75–$2,447.14 | — | 10% |
| Appendectomy, open surgery CPT 44950 WMHC PR APPENDECTOMY | $2,362.98 | $2,625.53 | $1,521.50–$2,494.25 | 20% above | 10% |
| Appendectomy, open surgery inpatient CPT 44950 WMHC PR APPENDECTOMY | $2,362.98 | $2,625.53 | $1,521.50–$2,494.25 | — | 10% |
| Arthroscopic ACL reconstruction or repair of the knee CPT 29888 WMHC PR KNEE SCOPE,AID ANT CRUCIATE REPAIR | $4,322.66 | $4,802.95 | $2,783.31–$4,562.80 | 45% below | 10% |
| Arthroscopic ACL reconstruction or repair of the knee CPT 29888 WMHC ACL RECONSTRUCTION INCL GRAFT | $15,521.12 | $17,245.69 | $9,993.87–$16,383.40 | 97% above | 10% |
| Arthroscopic ACL reconstruction or repair of the knee inpatient CPT 29888 WMHC PR KNEE SCOPE,AID ANT CRUCIATE REPAIR | $4,322.66 | $4,802.95 | $2,783.31–$4,562.80 | — | 10% |
| Arthroscopic ACL reconstruction or repair of the knee inpatient CPT 29888 WMHC ACL RECONSTRUCTION INCL GRAFT | $15,521.12 | $17,245.69 | $9,993.87–$16,383.40 | — | 10% |
| Arthroscopic rotator cuff repair of the shoulder CPT 29827 WMHC PR SHLDR ARTHROSCOP,SURG,W/ROTAT CUFF REPR | $3,926.67 | $4,362.96 | $2,528.33–$4,144.81 | 87% below | 10% |
| Arthroscopic rotator cuff repair of the shoulder inpatient CPT 29827 WMHC PR SHLDR ARTHROSCOP,SURG,W/ROTAT CUFF REPR | $3,926.67 | $4,362.96 | $2,528.33–$4,144.81 | — | 10% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 WMHC PR BX BREAST W DEVICE 1ST LESION STEREOTACTIC GUIDE | $447.52 | $497.24 | $288.15–$472.38 | 89% below | 10% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 HC BX BREAST 1ST LESION STRTCTC | $1,998.29 | $2,220.32 | $1,286.67–$2,109.30 | 49% below | 10% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 WMHC PR BX BREAST W DEVICE 1ST LESION STEREOTACTIC GUIDE | $447.52 | $497.24 | $288.15–$472.38 | — | 10% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 HC BX BREAST 1ST LESION STRTCTC | $1,998.29 | $2,220.32 | $1,286.67–$2,109.30 | — | 10% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 WMHC FX CARE-DIST FIB/LAT MALL | $347.55 | $386.16 | $223.78–$366.85 | 7% below | 10% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 WMHC PR CLOSED TX DIST FIBULA FX | $806.97 | $896.63 | $519.59–$851.79 | 115% above | 10% |
| Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 WMHC FX CARE-DIST FIB/LAT MALL | $347.55 | $386.16 | $223.78–$366.85 | — | 10% |
| Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 WMHC PR CLOSED TX DIST FIBULA FX | $806.97 | $896.63 | $519.59–$851.79 | — | 10% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 WMHC FX CARE-METATARSAL SINGLE | $347.55 | $386.16 | $223.78–$366.85 | 4% below | 10% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 WMHC PR CLOSED RX METATARSAL FX | $632.69 | $702.99 | $407.38–$667.84 | 74% above | 10% |
| Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 WMHC FX CARE-METATARSAL SINGLE | $347.55 | $386.16 | $223.78–$366.85 | — | 10% |
| Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 WMHC PR CLOSED RX METATARSAL FX | $632.69 | $702.99 | $407.38–$667.84 | — | 10% |
| Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 WMHC CORRECTION, HALLAX VALGUS, W/ SESAMOIDECTOMY | $6,833.75 | $7,593.05 | $4,400.18–$7,213.40 | 106% above | 10% |
| Bunion correction with a bone cut near the head of the first metatarsal inpatient CPT 28296 WMHC CORRECTION, HALLAX VALGUS, W/ SESAMOIDECTOMY | $6,833.75 | $7,593.05 | $4,400.18–$7,213.40 | — | 10% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 WMHC PR CARDIOVERSION ELECTIVE ARRHYTHMIA EXTERNAL | $604.65 | $671.83 | $389.32–$638.24 | 71% below | 10% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 HC CARDIOVERSION | $962.47 | $1,069.41 | $619.73–$1,015.94 | 53% below | 10% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 HC CARDIOVERSION | $962.47 | $1,069.41 | $619.73–$1,015.94 | 53% below | 10% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 WMHC PR CARDIOVERSION ELECTIVE ARRHYTHMIA EXTERNAL | $604.65 | $671.83 | $389.32–$638.24 | — | 10% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC CARDIOVERSION | $962.47 | $1,069.41 | $619.73–$1,015.94 | — | 10% |
| Carpal tunnel release, open surgery CPT 64721 WMHC PR REVISE MEDIAN N/CARPAL TUNNEL SURG | $1,554.46 | $1,727.17 | $1,000.90–$1,640.81 | 79% below | 10% |
| Carpal tunnel release, open surgery inpatient CPT 64721 WMHC PR REVISE MEDIAN N/CARPAL TUNNEL SURG | $1,554.46 | $1,727.17 | $1,000.90–$1,640.81 | — | 10% |
| Cataract surgery with lens implant CPT 66984 WMHC EXTRACAPSULAR CATARACT RE - W INSERTION OF INTRAOCULAR LENS MANUAL OR M | $3,472.61 | $3,858.45 | $2,235.98–$3,665.53 | 10% above | 10% |
| Cataract surgery with lens implant inpatient CPT 66984 WMHC EXTRACAPSULAR CATARACT RE - W INSERTION OF INTRAOCULAR LENS MANUAL OR M | $3,472.61 | $3,858.45 | $2,235.98–$3,665.53 | — | 10% |
| Cervical biopsy CPT 57500 WMHC PR BIOPSY CERVIX, 1 OR MORE, OR EXCISION OF LESION | $327.85 | $364.28 | $211.10–$346.07 | 82% below | 10% |
| Cervical biopsy inpatient CPT 57500 WMHC PR BIOPSY CERVIX, 1 OR MORE, OR EXCISION OF LESION | $327.85 | $364.28 | $211.10–$346.07 | — | 10% |
| Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 WMHC PR CIRCUMCISION,OTHER,28+ D/O | $641.69 | $712.99 | $413.18–$677.34 | 90% below | 10% |
| Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 HC CIRCUM 28 DAYS OR OLDER | $5,496.20 | $6,106.89 | $3,538.94–$5,801.55 | 10% below | 10% |
| Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 WMHC PR CIRCUMCISION,OTHER,28+ D/O | $641.69 | $712.99 | $413.18–$677.34 | — | 10% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 WMHC PR CIRCUMCISION,CLAMP,NEWBORN W/ ANESTH | $309.74 | $344.16 | $199.44–$326.94 | 85% below | 10% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 WMHC PR CIRCUMCISION,CLAMP,NEWBORN W/ ANESTH | $309.74 | $344.16 | $199.44–$326.94 | — | 10% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 WMHC PR CLOSED RX DIST RAD/ULNA FX | $656.28 | $729.20 | $422.56–$692.73 | 63% above | 10% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 WMHC FX CARE-DISTAL RADIUS | $828.22 | $920.25 | $533.29–$874.24 | 106% above | 10% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 WMHC CLTX DSTL RADIAL FX/EPIPHYSL SEP W/O MANJ | $952.55 | $1,058.39 | $613.34–$1,005.47 | 137% above | 10% |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 WMHC PR CLOSED RX DIST RAD/ULNA FX | $656.28 | $729.20 | $422.56–$692.73 | — | 10% |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 WMHC FX CARE-DISTAL RADIUS | $828.22 | $920.25 | $533.29–$874.24 | — | 10% |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 WMHC CLTX DSTL RADIAL FX/EPIPHYSL SEP W/O MANJ | $952.55 | $1,058.39 | $613.34–$1,005.47 | — | 10% |
| Colonoscopy with polyp removal CPT 45385 WMHC PR COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ | $1,889.05 | $2,098.94 | $1,216.33–$1,993.99 | 44% below | 10% |
| Colonoscopy with polyp removal CPT 45385 HC COLONOSCOPY POLYPECTOMY SNARE/COLD BIOPSY | $2,661.04 | $2,956.71 | $1,713.41–$2,808.87 | 21% below | 10% |
| Colonoscopy with polyp removal CPT 45385 WMHC COLONSCPY W/POLYP 750 | $2,661.04 | $2,956.71 | $1,713.41–$2,808.87 | 21% below | 10% |
| Colonoscopy with polyp removal CPT 45385 WMHC COLONOSCOPY w/POLYP | $2,661.04 | $2,956.71 | $1,713.41–$2,808.87 | 21% below | 10% |
| Colonoscopy with polyp removal inpatient CPT 45385 WMHC PR COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ | $1,889.05 | $2,098.94 | $1,216.33–$1,993.99 | — | 10% |
| Colonoscopy with polyp removal inpatient CPT 45385 WMHC COLONSCPY W/POLYP 750 | $2,661.04 | $2,956.71 | $1,713.41–$2,808.87 | — | 10% |
| Colonoscopy with polyp removal inpatient CPT 45385 WMHC COLONOSCOPY w/POLYP | $2,661.04 | $2,956.71 | $1,713.41–$2,808.87 | — | 10% |
| Colonoscopy with tissue sample CPT 45380 WMHC PR COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE | $1,422.65 | $1,580.72 | $916.02–$1,501.68 | 57% below | 10% |
| Colonoscopy with tissue sample CPT 45380 WMHC COLONSCPY W/BX 750 | $2,184.56 | $2,427.29 | $1,406.61–$2,305.92 | 35% below | 10% |
| Colonoscopy with tissue sample CPT 45380 WMHC COLONSCPY W/BX 750 | $2,184.56 | $2,427.29 | $1,406.61–$2,305.92 | 35% below | 10% |
| Colonoscopy with tissue sample CPT 45380 WMHC COLONOSCOPY WITH BIOPSY | $2,184.60 | $2,427.34 | $1,406.64–$2,305.97 | 35% below | 10% |
| Colonoscopy with tissue sample inpatient CPT 45380 WMHC PR COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE | $1,422.65 | $1,580.72 | $916.02–$1,501.68 | — | 10% |
| Colonoscopy with tissue sample inpatient CPT 45380 WMHC COLONSCPY W/BX 750 | $2,184.56 | $2,427.29 | $1,406.61–$2,305.92 | — | 10% |
| Colonoscopy with tissue sample inpatient CPT 45380 WMHC COLONSCPY W/BX 750 | $2,184.56 | $2,427.29 | $1,406.61–$2,305.92 | — | 10% |
| Colonoscopy with tissue sample inpatient CPT 45380 WMHC COLONOSCOPY WITH BIOPSY | $2,184.60 | $2,427.34 | $1,406.64–$2,305.97 | — | 10% |
| Colonoscopy, diagnostic CPT 45378 WMHC PR COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD | $1,313.97 | $1,459.96 | $846.05–$1,386.96 | 52% below | 10% |
| Colonoscopy, diagnostic CPT 45378 WMHC COLONOSCOPY 750 | $2,030.68 | $2,256.31 | $1,307.53–$2,143.49 | 26% below | 10% |
| Colonoscopy, diagnostic CPT 45378 WMHC COLONSCPY 750 | $2,030.68 | $2,256.31 | $1,307.53–$2,143.49 | 26% below | 10% |
| Colonoscopy, diagnostic inpatient CPT 45378 WMHC PR COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD | $1,313.97 | $1,459.96 | $846.05–$1,386.96 | — | 10% |
| Colonoscopy, diagnostic inpatient CPT 45378 WMHC COLONOSCOPY 750 | $2,030.68 | $2,256.31 | $1,307.53–$2,143.49 | — | 10% |
| Colonoscopy, diagnostic inpatient CPT 45378 WMHC COLONSCPY 750 | $2,030.68 | $2,256.31 | $1,307.53–$2,143.49 | — | 10% |
| Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 HC COLPOSCOPY, CERVIX INCL UPP/ADJ VAGINA; W LOOP ELECTRODE BIOP, CERVIX | $1,610.44 | $1,789.38 | $1,036.94–$1,699.91 | 58% below | 10% |
| Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 HC COLPOSCOPY, CERVIX INCL UPP/ADJ VAGINA; W LOOP ELECTRODE BIOP, CERVIX | $1,610.44 | $1,789.38 | $1,036.94–$1,699.91 | — | 10% |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 WMHC PR COLPOSC,CERVIX W/ADJ VAG,W/BX & CURRETAG | $416.19 | $462.43 | $267.98–$439.31 | 54% below | 10% |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 HC COLPOSCOPY W/BIOPSY | $466.81 | $518.68 | $300.57–$492.74 | 49% below | 10% |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 WMHC COLPOSCOPY | $684.77 | $760.85 | $440.92–$722.81 | 25% below | 10% |
| Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 WMHC PR COLPOSC,CERVIX W/ADJ VAG,W/BX & CURRETAG | $416.19 | $462.43 | $267.98–$439.31 | — | 10% |
| Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 HC COLPOSCOPY W/BIOPSY | $466.81 | $518.68 | $300.57–$492.74 | — | 10% |
| Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 WMHC COLPOSCOPY | $684.77 | $760.85 | $440.92–$722.81 | — | 10% |
| Complex cataract surgery with lens implant CPT 66982 WMHC EXTRACAPSULAR CATARACT RE - W/ INSERTION OF INTRAOCULAR LENS | $3,472.61 | $3,858.45 | $2,235.98–$3,665.53 | 33% above | 10% |
| Complex cataract surgery with lens implant inpatient CPT 66982 WMHC EXTRACAPSULAR CATARACT RE - W/ INSERTION OF INTRAOCULAR LENS | $3,472.61 | $3,858.45 | $2,235.98–$3,665.53 | — | 10% |
| Cystoscopy with ureteral stent placement CPT 52332 WMHC PR CYSTOSCOPY,INSERT URETERAL STENT | $1,464.86 | $1,627.62 | $943.21–$1,546.24 | 77% below | 10% |
| Cystoscopy with ureteral stent placement CPT 52332 WMHC CYSTO URETERO / STENT | $5,990.80 | $6,656.44 | $3,857.40–$6,323.62 | 4% below | 10% |
| Cystoscopy with ureteral stent placement inpatient CPT 52332 WMHC PR CYSTOSCOPY,INSERT URETERAL STENT | $1,464.86 | $1,627.62 | $943.21–$1,546.24 | — | 10% |
| Cystoscopy with ureteral stent placement inpatient CPT 52332 WMHC CYSTO URETERO / STENT | $5,990.80 | $6,656.44 | $3,857.40–$6,323.62 | — | 10% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 WMHC PR CYSTOURETHROSCOPY | $662.91 | $736.56 | $426.84–$699.73 | 67% below | 10% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 WMHC CYSTOURETHROSCOPY | $1,580.43 | $1,756.03 | $1,017.62–$1,668.23 | 21% below | 10% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 HC CYSTOURETHROSCOPY | $1,580.43 | $1,756.03 | $1,017.62–$1,668.23 | 21% below | 10% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 WMHC CYSTO-SHC | $1,644.30 | $1,827.00 | $1,058.74–$1,735.65 | 18% below | 10% |
| Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 WMHC PR CYSTOURETHROSCOPY | $662.91 | $736.56 | $426.84–$699.73 | — | 10% |
| Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 HC CYSTOURETHROSCOPY | $1,580.43 | $1,756.03 | $1,017.62–$1,668.23 | — | 10% |
| Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 WMHC CYSTOURETHROSCOPY | $1,580.43 | $1,756.03 | $1,017.62–$1,668.23 | — | 10% |
| D&C (dilation and curettage), not related to pregnancy CPT 58120 WMHC PR DILATION/CURETTAGE,DIAGNOSTIC | $1,233.74 | $1,370.82 | $794.39–$1,302.29 | 83% below | 10% |
| D&C (dilation and curettage), not related to pregnancy CPT 58120 WMHC D & C DX / THER NON-OBSTETRIC | $4,089.50 | $4,543.88 | $2,633.18–$4,316.69 | 43% below | 10% |
| D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 WMHC PR DILATION/CURETTAGE,DIAGNOSTIC | $1,233.74 | $1,370.82 | $794.39–$1,302.29 | — | 10% |
| D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 WMHC D & C DX / THER NON-OBSTETRIC | $4,089.50 | $4,543.88 | $2,633.18–$4,316.69 | — | 10% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 WMHC CAUTERZN-SKIN LESION | $30.22 | $33.58 | $19.46–$31.91 | 85% below | 10% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 WMHC CAUTERZN-SKIN LESION-MD | $72.79 | $80.88 | $46.87–$76.84 | 64% below | 10% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 WMHC PR DESTRUC PREMALIGNANT, FIRST LESION | $168.56 | $187.29 | $108.53–$177.93 | 17% below | 10% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 HC WOUND CAUTERY, ELECTR HI-TEMP | $168.62 | $187.35 | $108.57–$177.98 | 17% below | 10% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 WMHC PR DESTRUC PREMALIGNANT, FIRST LESION | $168.56 | $187.29 | $108.53–$177.93 | — | 10% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 HC WOUND CAUTERY, ELECTR HI-TEMP | $168.62 | $187.35 | $108.57–$177.98 | — | 10% |
| Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 WMHC INSERTION PE TUBE | $2,218.78 | $2,465.31 | $1,428.65–$2,342.05 | 42% below | 10% |
| Ear tube placement (tympanostomy) under general anesthesia, one ear inpatient CPT 69436 WMHC INSERTION PE TUBE | $2,218.78 | $2,465.31 | $1,428.65–$2,342.05 | — | 10% |
| Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 WMHC PR CREATE EARDRUM OPENING,LOCAL ANESTH | $484.33 | $538.14 | $311.85–$511.23 | 30% below | 10% |
| Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 HC TYMPANOSTOMY LOCAL/TOPICAL ANESTHESIA | $755.54 | $839.49 | $486.48–$797.51 | 9% above | 10% |
| Ear tube placement (tympanostomy) with local anesthesia, one ear inpatient CPT 69433 WMHC PR CREATE EARDRUM OPENING,LOCAL ANESTH | $484.33 | $538.14 | $311.85–$511.23 | — | 10% |
| Ear tube placement (tympanostomy) with local anesthesia, one ear inpatient CPT 69433 HC TYMPANOSTOMY LOCAL/TOPICAL ANESTHESIA | $755.54 | $839.49 | $486.48–$797.51 | — | 10% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 WMHC EAR LAVAGE-MD | $36.65 | $40.72 | $23.60–$38.68 | 76% below | 10% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 HC REM IMPACT CERUMEN IRRIGAT UNI | $70.25 | $78.06 | $45.24–$74.16 | 55% below | 10% |
| Earwax removal by irrigation (rinsing), one ear one side CPT 69209 WMHC PR REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT | $36.65 | $40.73 | $23.60–$38.69 | 76% below | 10% |
| Earwax removal by irrigation (rinsing), one ear one side CPT 69209 HC REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT | $70.25 | $78.06 | $45.24–$74.16 | 55% below | 10% |
| Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 WMHC PR REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT | $36.65 | $40.73 | $23.60–$38.69 | — | 10% |
| Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 HC REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT | $70.25 | $78.06 | $45.24–$74.16 | — | 10% |
| Earwax removal with instruments, one ear CPT 69210 HC REMOVE IMPACTED CERUMEN | $83.22 | $92.47 | $53.58–$87.84 | 46% below | 10% |
| Earwax removal with instruments, one ear CPT 69210 WMHC EAR CLEANING | $91.30 | $101.44 | $58.78–$96.37 | 41% below | 10% |
| Earwax removal with instruments, one ear CPT 69210 WMHC FOREIGN BDY-EAR/CER/MD | $145.63 | $161.81 | $93.77–$153.72 | 6% below | 10% |
| Earwax removal with instruments, one ear one side CPT 69210 WMHC PR REMOVAL IMPACTED CERUMEN INSTRUMENTATION UNILAT | $92.13 | $102.37 | $59.32–$97.25 | 40% below | 10% |
| Earwax removal with instruments, one ear inpatient CPT 69210 WMHC EAR CLEANING | $91.30 | $101.44 | $58.78–$96.37 | — | 10% |
| Earwax removal with instruments, one ear inpatient one side CPT 69210 WMHC PR REMOVAL IMPACTED CERUMEN INSTRUMENTATION UNILAT | $92.13 | $102.37 | $59.32–$97.25 | — | 10% |
| Earwax removal with instruments, one ear inpatient one side CPT 69210 HC CERUMEN REMOVAL,UNILAT | $118.35 | $131.50 | $76.20–$124.92 | — | 10% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 WMHC PR BIOPSY OF UTERUS LINING | $328.16 | $364.62 | $211.30–$346.39 | 13% below | 10% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 WMHC PR BIOPSY OF UTERUS LINING | $328.16 | $364.62 | $211.30–$346.39 | — | 10% |
| Endoscopic sinus surgery: full ethmoid sinus opening CPT 31255 WMHC NASAL/SINUS ENDO ETHMOIDE - TOTAL | $9,933.81 | $11,037.56 | $6,396.27–$10,485.69 | 42% above | 10% |
| Endoscopic sinus surgery: full ethmoid sinus opening inpatient CPT 31255 WMHC NASAL/SINUS ENDO ETHMOIDE - TOTAL | $9,933.81 | $11,037.56 | $6,396.27–$10,485.69 | — | 10% |
| Endoscopic sinus surgery: opening the frontal sinus CPT 31276 WMHC NASAL/SINUS ENDO FRONTAL | $9,551.72 | $10,613.02 | $6,150.25–$10,082.37 | 31% above | 10% |
| Endoscopic sinus surgery: opening the frontal sinus inpatient CPT 31276 WMHC NASAL/SINUS ENDO FRONTAL | $9,551.72 | $10,613.02 | $6,150.25–$10,082.37 | — | 10% |
| Endoscopic sinus surgery: opening the maxillary (cheek) sinus CPT 31256 WMHC PR NASAL SCOPY,OPEN MAXILL SINUS | $720.15 | $800.17 | $463.69–$760.16 | 86% below | 10% |
| Endoscopic sinus surgery: opening the maxillary (cheek) sinus CPT 31256 WMHC NASAL/SINUS ENDO MAX ANTR | $5,184.99 | $5,761.10 | $3,338.56–$5,473.04 | 4% above | 10% |
| Endoscopic sinus surgery: opening the maxillary (cheek) sinus CPT 31256 HC NASAL/SINUS ENDO MAX ANTR | $5,184.99 | $5,761.10 | $3,338.56–$5,473.04 | 4% above | 10% |
| Endoscopic sinus surgery: opening the maxillary (cheek) sinus inpatient CPT 31256 WMHC PR NASAL SCOPY,OPEN MAXILL SINUS | $720.15 | $800.17 | $463.69–$760.16 | — | 10% |
| Endoscopic sinus surgery: opening the maxillary (cheek) sinus inpatient CPT 31256 HC NASAL/SINUS ENDO MAX ANTR | $5,184.99 | $5,761.10 | $3,338.56–$5,473.04 | — | 10% |
| Endoscopic sinus surgery: opening the maxillary (cheek) sinus inpatient CPT 31256 WMHC NASAL/SINUS ENDO MAX ANTR | $5,184.99 | $5,761.10 | $3,338.56–$5,473.04 | — | 10% |
| Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 WMHC NASAL/SINUS ENDO MAXILLAR | $9,933.81 | $11,037.56 | $6,396.27–$10,485.69 | 53% below | 10% |
| Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue inpatient CPT 31267 WMHC NASAL/SINUS ENDO MAXILLAR | $9,933.81 | $11,037.56 | $6,396.27–$10,485.69 | — | 10% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 WMHC PR NJX DX/THER SBST INTRLMNR CRV/THRC W/IMG GDN | $1,001.40 | $1,112.66 | $644.79–$1,057.04 | 55% below | 10% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 WMHC STEROID INJ-CERVICL/THORA | $1,829.11 | $2,032.35 | $1,177.75–$1,930.73 | 18% below | 10% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HC NJX DX/THER SBST INTRLMNR CRV/THRC W/IMG GDN | $1,829.11 | $2,032.35 | $1,177.75–$1,930.73 | 18% below | 10% |
| Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 WMHC PR NJX DX/THER SBST INTRLMNR CRV/THRC W/IMG GDN | $1,001.40 | $1,112.66 | $644.79–$1,057.04 | — | 10% |
| Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 WMHC STEROID INJ-CERVICL/THORA | $1,829.11 | $2,032.35 | $1,177.75–$1,930.73 | — | 10% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 WMHC PR INJ DX/THER AGNT PARAVERT FACET JOINT, LUMBAR/SAC, 1ST LEVEL | $731.70 | $813.00 | $471.13–$772.35 | 65% below | 10% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 WMHC INJ ANES-L/S FAC 1ST LVL | $1,044.67 | $1,160.74 | $672.65–$1,102.71 | 50% below | 10% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HC N BLOCK PARAVERT LUMBAR 1ST | $1,044.67 | $1,160.74 | $672.65–$1,102.71 | 50% below | 10% |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 WMHC PR INJ DX/THER AGNT PARAVERT FACET JOINT, LUMBAR/SAC, 1ST LEVEL | $731.70 | $813.00 | $471.13–$772.35 | — | 10% |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 WMHC INJ ANES-L/S FAC 1ST LVL | $1,044.67 | $1,160.74 | $672.65–$1,102.71 | — | 10% |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 HC N BLOCK PARAVERT LUMBAR 1ST | $1,044.67 | $1,160.74 | $672.65–$1,102.71 | — | 10% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 WMHC PR SIGMOIDOSCOPY FLX DX W/COLLJ SPEC BR/WA IF PFRMD | $356.92 | $396.57 | $229.81–$376.74 | 86% below | 10% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 WMHC SIGMOID | $1,540.58 | $1,711.76 | $991.96–$1,626.16 | 40% below | 10% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 WMHC SIGMOID-OP | $1,540.58 | $1,711.76 | $991.96–$1,626.16 | 40% below | 10% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 WMHC PR SIGMOIDOSCOPY FLX DX W/COLLJ SPEC BR/WA IF PFRMD | $356.92 | $396.57 | $229.81–$376.74 | — | 10% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 WMHC SIGMOID | $1,540.58 | $1,711.76 | $991.96–$1,626.16 | — | 10% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 WMHC SIGMOID-OP | $1,540.58 | $1,711.76 | $991.96–$1,626.16 | — | 10% |
| Gallbladder removal, laparoscopic CPT 47562 WMHC PR LAP,CHOLECYSTECTOMY | $4,225.11 | $4,694.57 | $2,720.50–$4,459.84 | 76% below | 10% |
| Gallbladder removal, laparoscopic inpatient CPT 47562 WMHC PR LAP,CHOLECYSTECTOMY | $4,225.11 | $4,694.57 | $2,720.50–$4,459.84 | — | 10% |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 WMHC PR LAP,CHOLECYSTECTOMY/GRAPH | $3,801.06 | $4,223.41 | $2,447.46–$4,012.24 | 78% below | 10% |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery inpatient CPT 47563 WMHC PR LAP,CHOLECYSTECTOMY/GRAPH | $3,801.06 | $4,223.41 | $2,447.46–$4,012.24 | — | 10% |
| Gallbladder removal, open surgery through a larger incision CPT 47600 WMHC PR REMOVAL GALLBLADDER | $3,637.98 | $4,042.20 | $2,342.45–$3,840.09 | 37% above | 10% |
| Gallbladder removal, open surgery through a larger incision inpatient CPT 47600 WMHC PR REMOVAL GALLBLADDER | $3,637.98 | $4,042.20 | $2,342.45–$3,840.09 | — | 10% |
| Hammertoe correction surgery CPT 28285 WMHC CORRECTION HAMMERTOE | $4,737.93 | $5,264.37 | $3,050.70–$5,001.15 | 51% below | 10% |
| Hammertoe correction surgery inpatient CPT 28285 WMHC CORRECTION HAMMERTOE | $4,737.93 | $5,264.37 | $3,050.70–$5,001.15 | — | 10% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 WMHC PR HEMORRHOIDECTOMY INTERNAL RUBBER BAND LIGATIONS | $470.37 | $522.63 | $302.86–$496.50 | 76% below | 10% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 WMHC BAND LIGATION-HEMORRHOID | $698.29 | $775.87 | $449.62–$737.08 | 64% below | 10% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 WMHC HEMMORRHOIDECTOMY/RUB BND | $761.81 | $846.46 | $490.53–$804.14 | 61% below | 10% |
| Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 WMHC PR HEMORRHOIDECTOMY INTERNAL RUBBER BAND LIGATIONS | $470.37 | $522.63 | $302.86–$496.50 | — | 10% |
| Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 WMHC BAND LIGATION-HEMORRHOID | $698.29 | $775.87 | $449.62–$737.08 | — | 10% |
| Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 WMHC HEMMORRHOIDECTOMY/RUB BND | $761.81 | $846.46 | $490.53–$804.14 | — | 10% |
| Hip replacement after an earlier hip surgery (conversion to total hip) CPT 27132 WMHC PBB CONV PREV HIP SURG TO TOT HIP ARTHROPLAS | $571.98 | $635.53 | $368.30–$603.76 | 91% below | 10% |
| Hip replacement after an earlier hip surgery (conversion to total hip) CPT 27132 WMHC PR CONV PREV HIP SURG TO TOT HIP ARTHROPLAS | $9,914.26 | $11,015.85 | $6,383.69–$10,465.05 | 60% above | 10% |
| Hip replacement after an earlier hip surgery (conversion to total hip) inpatient CPT 27132 WMHC PR CONV PREV HIP SURG TO TOT HIP ARTHROPLAS | $9,914.26 | $11,015.85 | $6,383.69–$10,465.05 | — | 10% |
| Hysterectomy through an abdominal incision (total) CPT 58150 WMHC PR TOTAL ABDOM HYSTERECTOMY | $4,291.32 | $4,768.13 | $2,763.13–$4,529.72 | 43% above | 10% |
| Hysterectomy through an abdominal incision (total) inpatient CPT 58150 WMHC PR TOTAL ABDOM HYSTERECTOMY | $4,291.32 | $4,768.13 | $2,763.13–$4,529.72 | — | 10% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HC CATH/INTRO SAL CONT HYST | $363.96 | $404.39 | $234.34–$384.18 | 5% below | 10% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 WMHC PR CATH/INJECT HYSTEROSALPINGOGRAM | $368.61 | $409.56 | $237.34–$389.08 | 3% below | 10% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HC CATH/INTRO SAL CONT HYST | $363.96 | $404.39 | $234.34–$384.18 | — | 10% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 WMHC PR CATH/INJECT HYSTEROSALPINGOGRAM | $368.61 | $409.56 | $237.34–$389.08 | — | 10% |
| Hysteroscopy with endometrial ablation CPT 58563 WMHC PR HYSTEROSCOPY,W/ENDOMETRIAL ABLATION | $2,700.82 | $3,000.91 | $1,739.03–$2,850.87 | 79% below | 10% |
| Hysteroscopy with endometrial ablation CPT 58563 WMHC NOVASURE ABLATION | $6,683.66 | $7,426.30 | $4,303.54–$7,054.99 | 49% below | 10% |
| Hysteroscopy with endometrial ablation inpatient CPT 58563 WMHC PR HYSTEROSCOPY,W/ENDOMETRIAL ABLATION | $2,700.82 | $3,000.91 | $1,739.03–$2,850.87 | — | 10% |
| Hysteroscopy with endometrial ablation inpatient CPT 58563 WMHC NOVASURE ABLATION | $6,683.66 | $7,426.30 | $4,303.54–$7,054.99 | — | 10% |
| Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 WMHC PR HYSTEROSCOPY,W/ENDO BX | $2,045.11 | $2,272.34 | $1,316.82–$2,158.72 | 78% below | 10% |
| Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 WMHC HYSTEROSCOPY W/WO W/BX | $4,183.04 | $4,647.82 | $2,693.41–$4,415.43 | 56% below | 10% |
| Hysteroscopy with uterine lining sampling and/or polyp removal inpatient CPT 58558 WMHC PR HYSTEROSCOPY,W/ENDO BX | $2,045.11 | $2,272.34 | $1,316.82–$2,158.72 | — | 10% |
| Hysteroscopy with uterine lining sampling and/or polyp removal inpatient CPT 58558 WMHC HYSTEROSCOPY W/WO W/BX | $4,183.04 | $4,647.82 | $2,693.41–$4,415.43 | — | 10% |
| IUD insertion (the device itself billed separately) CPT 58300 WMHC PR INSERT INTRAUTERINE DEVICE | $338.19 | $375.76 | $217.76–$356.97 | at median | 10% |
| IUD insertion (the device itself billed separately) CPT 58300 WMHC INSERT IUD | $776.55 | $862.83 | $500.01–$819.69 | 130% above | 10% |
| IUD insertion (the device itself billed separately) inpatient CPT 58300 WMHC PR INSERT INTRAUTERINE DEVICE | $338.19 | $375.76 | $217.76–$356.97 | — | 10% |
| IUD insertion (the device itself billed separately) inpatient CPT 58300 WMHC INSERT IUD | $776.55 | $862.83 | $500.01–$819.69 | — | 10% |
| Incision and drainage of a simple or single skin abscess CPT 10060 HC I & D SIMPLE | $73.15 | $81.28 | $47.10–$77.21 | 81% below | 10% |
| Incision and drainage of a simple or single skin abscess CPT 10060 HC I & D SUBCUTANEOUS ABSCESS-SIMPLE | $84.98 | $94.42 | $54.71–$89.70 | 78% below | 10% |
| Incision and drainage of a simple or single skin abscess CPT 10060 WMHC PR DRAIN SKIN ABSCESS SIMPLE | $256.69 | $285.21 | $165.28–$270.95 | 32% below | 10% |
| Incision and drainage of a simple or single skin abscess CPT 10060 HC INCISION & DRAINAGE-SIMPLE | $286.05 | $317.83 | $184.18–$301.94 | 25% below | 10% |
| Incision and drainage of a simple or single skin abscess CPT 10060 WMHC I & D ABSCESS SIMPLE/MD | $290.50 | $322.78 | $187.05–$306.64 | 23% below | 10% |
| Incision and drainage of a simple or single skin abscess CPT 10060 WMHC I & D SIMPLE ABSCESS | $471.46 | $523.85 | $303.58–$497.66 | 24% above | 10% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 WMHC PR DRAIN SKIN ABSCESS SIMPLE | $256.69 | $285.21 | $165.28–$270.95 | — | 10% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC INCISION & DRAINAGE-SIMPLE | $286.05 | $317.83 | $184.18–$301.94 | — | 10% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 WMHC PR REPAIR ING HERNIA,5+Y/O,REDUCIBL | $2,387.04 | $2,652.26 | $1,536.98–$2,519.65 | 77% below | 10% |
| Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 WMHC PR REPAIR ING HERNIA,5+Y/O,REDUCIBL | $2,387.04 | $2,652.26 | $1,536.98–$2,519.65 | — | 10% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC INJ TENDON SHEATH/LIGAMENT | $109.64 | $121.82 | $70.58–$115.72 | 68% below | 10% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC TENDON SHEATH INJ | $109.64 | $121.82 | $70.58–$115.72 | 68% below | 10% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 WMHC PR INJECT TENDON SHEATH/LIGAMENT | $195.34 | $217.05 | $125.78–$206.20 | 42% below | 10% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 WMHC PR INJECT TENDON SHEATH/LIGAMENT | $195.34 | $217.05 | $125.78–$206.20 | — | 10% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC JOINT INJECTION/ASPIR LARGE WO US | $95.16 | $105.74 | $61.28–$100.45 | 86% below | 10% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 WMHC BURSA JOINT ASP/INJ S-H-K | $95.16 | $105.74 | $61.28–$100.45 | 86% below | 10% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC INJ/ASP MAJ JNT OR BURSA | $98.97 | $109.96 | $63.72–$104.46 | 86% below | 10% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC ASP INJECTION MAJOR JOINT | $144.21 | $160.23 | $92.86–$152.22 | 79% below | 10% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 WMHC ASP/INJ-SHOULDER,HP,KN-MD | $195.89 | $217.66 | $126.14–$206.78 | 72% below | 10% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 WMHC PR ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US | $248.23 | $275.81 | $159.83–$262.02 | 64% below | 10% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC INJ/ASP MAJ JNT OR BURSA | $300.58 | $333.98 | $193.53–$317.27 | 57% below | 10% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 WMHC PR ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US | $248.23 | $275.81 | $159.83–$262.02 | — | 10% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC INJ/ASP MAJ JNT OR BURSA | $300.58 | $333.98 | $193.53–$317.27 | — | 10% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 WMHC PBB INSERTION DRUG IMPLANT DEVICE | $32.94 | $36.60 | $21.21–$34.77 | 92% below | 10% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 WMHC PR INSERTION DRUG IMPLANT DEVICE | $570.98 | $634.42 | $367.65–$602.70 | 31% above | 10% |
| Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 WMHC PR INSERTION DRUG IMPLANT DEVICE | $570.98 | $634.42 | $367.65–$602.70 | — | 10% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC ARTHROCTS ASP AND/OR INJ MED | $83.01 | $92.24 | $53.46–$87.63 | 87% below | 10% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC JOINT INJECTION/ASPIR MEDIUM WO US | $83.01 | $92.24 | $53.46–$87.63 | 87% below | 10% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 WMHC ASP/INJ-WRIST,ELB,ANK | $83.01 | $92.24 | $53.46–$87.63 | 87% below | 10% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC ASP INJ INTERMEDIATE JOINT | $119.51 | $132.79 | $76.95–$126.15 | 81% below | 10% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 WMHC ASP/INJ-WRIST,ELB,ANK-MD | $171.34 | $190.38 | $110.33–$180.87 | 73% below | 10% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 WMHC PR ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US | $196.14 | $217.94 | $126.30–$207.04 | 69% below | 10% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC JOINT BURSA INJ MED ARM | $864.82 | $960.92 | $556.85–$912.87 | 39% above | 10% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC ARTHROCTS ASP AND/OR INJ MED | $83.01 | $92.24 | $53.46–$87.63 | — | 10% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 WMHC PR ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US | $196.14 | $217.94 | $126.30–$207.04 | — | 10% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC JOINT BURSA INJ SMALL TOE | $70.87 | $78.74 | $45.62–$74.80 | 86% below | 10% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC JOINT INJECTION/ASPIR SMALL WO US | $70.87 | $78.74 | $45.62–$74.80 | 86% below | 10% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC DRAIN/INJECT JOINT/BURSA | $80.84 | $89.82 | $52.05–$85.33 | 84% below | 10% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 WMHC ASP/INJ SMALL JOINT-MD | $110.41 | $122.67 | $71.08–$116.53 | 78% below | 10% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 WMHC PR ARTHROCENTESIS ASPIR&/INJ SMALL JT/BURSA W/O US | $160.87 | $178.74 | $103.58–$169.81 | 67% below | 10% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 WMHC PR ARTHROCENTESIS ASPIR&/INJ SMALL JT/BURSA W/O US | $160.87 | $178.74 | $103.58–$169.81 | — | 10% |
| Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 WMHC PR KNEE SCOPE,MED OR LAT MENIS REPAIR | $3,926.51 | $4,362.79 | $2,528.24–$4,144.65 | 5% above | 10% |
| Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 WMHC MEDIAL MENISCAL REPAIR | $5,263.36 | $5,848.17 | $3,389.02–$5,555.76 | 41% above | 10% |
| Knee arthroscopy with meniscus repair (one side of the knee) inpatient CPT 29882 WMHC PR KNEE SCOPE,MED OR LAT MENIS REPAIR | $3,926.51 | $4,362.79 | $2,528.24–$4,144.65 | — | 10% |
| Knee arthroscopy with meniscus repair (one side of the knee) inpatient CPT 29882 WMHC MEDIAL MENISCAL REPAIR | $5,263.36 | $5,848.17 | $3,389.02–$5,555.76 | — | 10% |
| Knee arthroscopy with meniscus trim CPT 29881 WMHC PR ARTHRS KNE SURG W/MENISCECTOMY MED/LAT W/SHVG | $4,256.34 | $4,729.26 | $2,740.61–$4,492.80 | 40% below | 10% |
| Knee arthroscopy with meniscus trim inpatient CPT 29881 WMHC PR ARTHRS KNE SURG W/MENISCECTOMY MED/LAT W/SHVG | $4,256.34 | $4,729.26 | $2,740.61–$4,492.80 | — | 10% |
| Knee arthroscopy with removal of both torn meniscus parts CPT 29880 WMHC PR ARTHRS KNEE W/MENISCECTOMY MED&LAT W/SHAVING | $4,492.08 | $4,991.20 | $2,892.40–$4,741.64 | at median | 10% |
| Knee arthroscopy with removal of both torn meniscus parts CPT 29880 WMHC MED & LATERAL MENISCAL REPAIR | $5,263.36 | $5,848.17 | $3,389.02–$5,555.76 | 17% above | 10% |
| Knee arthroscopy with removal of both torn meniscus parts inpatient CPT 29880 WMHC PR ARTHRS KNEE W/MENISCECTOMY MED&LAT W/SHAVING | $4,492.08 | $4,991.20 | $2,892.40–$4,741.64 | — | 10% |
| Knee arthroscopy with removal of both torn meniscus parts inpatient CPT 29880 WMHC MED & LATERAL MENISCAL REPAIR | $5,263.36 | $5,848.17 | $3,389.02–$5,555.76 | — | 10% |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 WMHC PR KNEE SCOPE,SHAVE ARTICULAR CART | $3,683.99 | $4,093.33 | $2,372.08–$3,888.66 | 2% above | 10% |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) inpatient CPT 29877 WMHC PR KNEE SCOPE,SHAVE ARTICULAR CART | $3,683.99 | $4,093.33 | $2,372.08–$3,888.66 | — | 10% |
| Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 WMHC PR LAP,APPENDECTOMY | $2,591.13 | $2,879.03 | $1,668.40–$2,735.09 | 85% below | 10% |
| Laparoscopic appendectomy (appendix removal through small cuts) inpatient CPT 44970 WMHC PR LAP,APPENDECTOMY | $2,591.13 | $2,879.03 | $1,668.40–$2,735.09 | — | 10% |
| Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 WMHC PR LAPAROSCOPY W TOT HYSTERECTUTERUS <=250 GRAM W TUBE/OVARY | $4,400.29 | $4,889.22 | $2,833.30–$4,644.75 | 88% below | 10% |
| Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries inpatient CPT 58571 WMHC PR LAPAROSCOPY W TOT HYSTERECTUTERUS <=250 GRAM W TUBE/OVARY | $4,400.29 | $4,889.22 | $2,833.30–$4,644.75 | — | 10% |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 WMHC PR LAP,INGUINAL HERNIA REPR,INITIAL | $1,400.72 | $1,556.36 | $901.91–$1,478.55 | 94% below | 10% |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side inpatient CPT 49650 WMHC PR LAP,INGUINAL HERNIA REPR,INITIAL | $1,400.72 | $1,556.36 | $901.91–$1,478.55 | — | 10% |
| Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 WMHC PR LAP,INGUINAL HERNIA REPR,RECUR | $1,625.62 | $1,806.25 | $1,046.72–$1,715.94 | 60% below | 10% |
| Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 WMHC LAPS SURG INGUINAL HERNIA REPAIR | $12,077.72 | $13,419.68 | $7,776.70–$12,748.69 | 200% above | 10% |
| Laparoscopic inguinal (groin) hernia repair, recurrent hernia inpatient CPT 49651 WMHC PR LAP,INGUINAL HERNIA REPR,RECUR | $1,625.62 | $1,806.25 | $1,046.72–$1,715.94 | — | 10% |
| Laparoscopic inguinal (groin) hernia repair, recurrent hernia inpatient CPT 49651 WMHC LAPS SURG INGUINAL HERNIA REPAIR | $12,077.72 | $13,419.68 | $7,776.70–$12,748.69 | — | 10% |
| Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 WMHC PR LAP,RMV ADNEXAL STRUCTURE | $3,684.45 | $4,093.84 | $2,372.38–$3,889.14 | 83% below | 10% |
| Laparoscopic removal of fallopian tubes and/or ovaries inpatient CPT 58661 WMHC PR LAP,RMV ADNEXAL STRUCTURE | $3,684.45 | $4,093.84 | $2,372.38–$3,889.14 | — | 10% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 WMHC CAPSULOTOMY | $1,332.64 | $1,480.71 | $858.07–$1,406.67 | 6% below | 10% |
| Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 WMHC CAPSULOTOMY | $1,332.64 | $1,480.71 | $858.07–$1,406.67 | — | 10% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC LYR CLOS SC TK EXT <2.5 CM | $157.63 | $175.15 | $101.49–$166.39 | 71% below | 10% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 WMHC PR LAYR CLOS WND TRUNK,ARM,LEG <2.5 CM | $416.49 | $462.77 | $268.17–$439.63 | 23% below | 10% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 WMHC REPAIR-LAYER>2.5CM/MD | $530.09 | $588.98 | $341.32–$559.53 | 2% below | 10% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 WMHC PR LAYR CLOS WND TRUNK,ARM,LEG <2.5 CM | $416.49 | $462.77 | $268.17–$439.63 | — | 10% |
| Lower-back epidural injection, with imaging guidance CPT 62323 WMHC PR NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN | $772.40 | $858.22 | $497.34–$815.31 | 62% below | 10% |
| Lower-back epidural injection, with imaging guidance CPT 62323 WMHC INJ EPI LESI-ANES STEROID | $1,882.07 | $2,091.18 | $1,211.84–$1,986.62 | 8% below | 10% |
| Lower-back epidural injection, with imaging guidance CPT 62323 HC NJX INTERLAMINAR L/S | $1,882.07 | $2,091.18 | $1,211.84–$1,986.62 | 8% below | 10% |
| Lower-back epidural injection, with imaging guidance CPT 62323 HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN | $1,882.11 | $2,091.23 | $1,211.87–$1,986.67 | 8% below | 10% |
| Lower-back epidural injection, with imaging guidance CPT 62323 WMHC NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN | $1,882.11 | $2,091.23 | $1,211.87–$1,986.67 | 8% below | 10% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 WMHC PR NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN | $772.40 | $858.22 | $497.34–$815.31 | — | 10% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 WMHC INJ EPI LESI-ANES STEROID | $1,882.07 | $2,091.18 | $1,211.84–$1,986.62 | — | 10% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC NJX INTERLAMINAR L/S | $1,882.07 | $2,091.18 | $1,211.84–$1,986.62 | — | 10% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN | $1,882.11 | $2,091.23 | $1,211.87–$1,986.67 | — | 10% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 WMHC NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN | $1,882.11 | $2,091.23 | $1,211.87–$1,986.67 | — | 10% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC TRANS, ESB, L/S, SINGLE | $900.20 | $1,000.23 | $579.63–$950.22 | 52% below | 10% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 WMHC PR INJECT ANES/STEROID FORAMEN LUMBAR/SACRAL W IMG GUIDE ,1 LEVEL | $910.54 | $1,011.71 | $586.29–$961.13 | 51% below | 10% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 WMHC TRANS LUMB EPI INJ | $1,267.70 | $1,408.56 | $816.25–$1,338.13 | 32% below | 10% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC TRANS, ESB, L/S, SINGLE | $900.20 | $1,000.23 | $579.63–$950.22 | — | 10% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 WMHC PR INJECT ANES/STEROID FORAMEN LUMBAR/SACRAL W IMG GUIDE ,1 LEVEL | $910.54 | $1,011.71 | $586.29–$961.13 | — | 10% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 WMHC TRANS LUMB EPI INJ | $1,267.70 | $1,408.56 | $816.25–$1,338.13 | — | 10% |
| Lumbar discectomy or laminotomy to free a nerve root, one level CPT 63030 WMHC PR LAMNOTMY INCL W/DCMPRSN NRV ROOT 1 INTRSPC LUMBR | $6,256.98 | $6,952.20 | $4,028.80–$6,604.59 | 79% below | 10% |
| Lumbar discectomy or laminotomy to free a nerve root, one level CPT 63030 WMHC ENDO DISCECTOMY | $12,362.59 | $13,736.22 | $7,960.14–$13,049.41 | 58% below | 10% |
| Lumbar discectomy or laminotomy to free a nerve root, one level inpatient CPT 63030 WMHC PR LAMNOTMY INCL W/DCMPRSN NRV ROOT 1 INTRSPC LUMBR | $6,256.98 | $6,952.20 | $4,028.80–$6,604.59 | — | 10% |
| Lumbar discectomy or laminotomy to free a nerve root, one level inpatient CPT 63030 WMHC ENDO DISCECTOMY | $12,362.59 | $13,736.22 | $7,960.14–$13,049.41 | — | 10% |
| Lumbar laminectomy (spinal decompression), one level CPT 63047 WMHC LAMINEC/FACETECT/FORAMIN,LUMBAR 1 SEG | $11,083.64 | $12,315.16 | $7,136.64–$11,699.41 | 63% below | 10% |
| Lumbar laminectomy (spinal decompression), one level inpatient CPT 63047 WMHC LAMINEC/FACETECT/FORAMIN,LUMBAR 1 SEG | $11,083.64 | $12,315.16 | $7,136.64–$11,699.41 | — | 10% |
| Lumbar spinal fusion (posterior), one level CPT 22612 WMHC PR ARTHRODESIS POSTERIOR/POSTEROLATERAL LUMBAR | $7,545.35 | $8,383.72 | $4,858.37–$7,964.54 | 73% below | 10% |
| Lumbar spinal fusion (posterior), one level CPT 22612 WMHC ARTHRODESIS | $12,362.59 | $13,736.22 | $7,960.14–$13,049.41 | 56% below | 10% |
| Lumbar spinal fusion (posterior), one level inpatient CPT 22612 WMHC PR ARTHRODESIS POSTERIOR/POSTEROLATERAL LUMBAR | $7,545.35 | $8,383.72 | $4,858.37–$7,964.54 | — | 10% |
| Lumbar spinal fusion (posterior), one level inpatient CPT 22612 WMHC ARTHRODESIS | $12,362.59 | $13,736.22 | $7,960.14–$13,049.41 | — | 10% |
| Lumpectomy (partial mastectomy) CPT 19301 WMHC PR MASTECTOMY, PARTIAL | $1,785.58 | $1,983.98 | $1,149.72–$1,884.78 | 88% below | 10% |
| Lumpectomy (partial mastectomy) inpatient CPT 19301 WMHC PR MASTECTOMY, PARTIAL | $1,785.58 | $1,983.98 | $1,149.72–$1,884.78 | — | 10% |
| Mastectomy (total removal of the breast) CPT 19303 WMHC PR MASTECTOMY, SIMPLE, COMPLETE | $3,300.16 | $3,666.84 | $2,124.94–$3,483.50 | 90% below | 10% |
| Mastectomy (total removal of the breast) CPT 19303 WMHC MAST SIMPLE COMLETE | $5,607.36 | $6,230.40 | $3,610.52–$5,918.88 | 82% below | 10% |
| Mastectomy (total removal of the breast) inpatient CPT 19303 WMHC PR MASTECTOMY, SIMPLE, COMPLETE | $3,300.16 | $3,666.84 | $2,124.94–$3,483.50 | — | 10% |
| Mastectomy (total removal of the breast) inpatient CPT 19303 WMHC MAST SIMPLE COMLETE | $5,607.36 | $6,230.40 | $3,610.52–$5,918.88 | — | 10% |
| Miscarriage treatment with D&C, first trimester CPT 59820 WMHC PR SURG RX MISSED ABORTN,1ST TRI | $1,133.61 | $1,259.56 | $729.91–$1,196.58 | 84% below | 10% |
| Miscarriage treatment with D&C, first trimester CPT 59820 WMHC D & C | $1,167.58 | $1,297.31 | $751.78–$1,232.44 | 84% below | 10% |
| Miscarriage treatment with D&C, first trimester inpatient CPT 59820 WMHC PR SURG RX MISSED ABORTN,1ST TRI | $1,133.61 | $1,259.56 | $729.91–$1,196.58 | — | 10% |
| Miscarriage treatment with D&C, first trimester inpatient CPT 59820 WMHC D & C | $1,167.58 | $1,297.31 | $751.78–$1,232.44 | — | 10% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 WMHC PR EXC SKIN BENIG <5MM TRUNK,ARM,LEG | $269.50 | $299.44 | $173.52–$284.46 | 80% below | 10% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 HC EXC SKIN BENIG <5MM TRUNK,ARM,LEG | $907.40 | $1,008.22 | $584.26–$957.81 | 34% below | 10% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 WMHC PR EXC SKIN BENIG <5MM TRUNK,ARM,LEG | $269.50 | $299.44 | $173.52–$284.46 | — | 10% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 HC EXC SKIN BENIG <5MM TRUNK,ARM,LEG | $907.40 | $1,008.22 | $584.26–$957.81 | — | 10% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 HC EXC SKIN BENIG <5MM FACE FACIAL | $111.36 | $123.74 | $71.71–$117.55 | 92% below | 10% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 WMHC PR EXC SKIN BENIG <5MM FACE,FACIAL | $344.51 | $382.79 | $221.83–$363.66 | 75% below | 10% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 HC EXC FACE-MM B9+MARG 0.5 CM/< | $857.90 | $953.21 | $552.39–$905.55 | 37% below | 10% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 WMHC PR EXC SKIN BENIG <5MM FACE,FACIAL | $344.51 | $382.79 | $221.83–$363.66 | — | 10% |
| Nail removal (partial or complete), one nail CPT 11730 HC ED AVULSION NAIL PLATE SINGLE | $41.70 | $46.34 | $26.85–$44.02 | 87% below | 10% |
| Nail removal (partial or complete), one nail CPT 11730 HC AVULSION NAIL PLATE SINGLE | $50.62 | $56.24 | $32.59–$53.44 | 84% below | 10% |
| Nail removal (partial or complete), one nail CPT 11730 WMHC MATRIXECTOMY | $162.84 | $180.94 | $104.85–$171.89 | 49% below | 10% |
| Nail removal (partial or complete), one nail CPT 11730 WMHC PR REMOVAL OF NAIL PLATE | $183.84 | $204.27 | $118.37–$194.05 | 42% below | 10% |
| Nail removal (partial or complete), one nail CPT 11730 WMHC INGROWN TOENAIL PARTIAL | $183.85 | $204.28 | $118.38–$194.06 | 42% below | 10% |
| Nail removal (partial or complete), one nail CPT 11730 WMHC NAIL-AVULSION SIMPLE/MD | $268.53 | $298.37 | $172.91–$283.45 | 16% below | 10% |
| Nail removal (partial or complete), one nail CPT 11730 HC AVULSION OF NAIL PLATE | $270.92 | $301.02 | $174.44–$285.97 | 15% below | 10% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 WMHC PR REMOVAL OF NAIL PLATE | $183.84 | $204.27 | $118.37–$194.05 | — | 10% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 HC AVULSION OF NAIL PLATE | $270.92 | $301.02 | $174.44–$285.97 | — | 10% |
| Occipital nerve block (injection for headaches) CPT 64405 WMHC PR INJECTION AA&/STRD GREATER OCCIPITAL NERVE | $324.72 | $360.80 | $209.08–$342.75 | 68% below | 10% |
| Occipital nerve block (injection for headaches) CPT 64405 WMHC NERVE BLK-GRTR OCCIPITAL | $685.88 | $762.09 | $441.64–$723.99 | 31% below | 10% |
| Occipital nerve block (injection for headaches) CPT 64405 HC OCCIPITAL NERVE INJECTION | $685.88 | $762.09 | $441.64–$723.99 | 31% below | 10% |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 WMHC PR INJECTION AA&/STRD GREATER OCCIPITAL NERVE | $324.72 | $360.80 | $209.08–$342.75 | — | 10% |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 WMHC NERVE BLK-GRTR OCCIPITAL | $685.88 | $762.09 | $441.64–$723.99 | — | 10% |
| Pacemaker implant (dual chamber) CPT 33208 WMHC PR INS NEW/RPLCMT PRM PM W/TRANSV ELTRD ATRIAL&VENT | $3,134.32 | $3,482.58 | $2,018.15–$3,308.45 | 75% below | 10% |
| Pacemaker implant (dual chamber) inpatient CPT 33208 WMHC PR INS NEW/RPLCMT PRM PM W/TRANSV ELTRD ATRIAL&VENT | $3,134.32 | $3,482.58 | $2,018.15–$3,308.45 | — | 10% |
| Paracentesis with imaging guidance CPT 49083 WMHC PR ABDOM PARACENTESIS DX/THER W IMAGING GUIDANCE | $384.51 | $427.23 | $247.58–$405.87 | 78% below | 10% |
| Paracentesis with imaging guidance CPT 49083 WMHC PARACENTESIS ABD-MD3654 | $517.63 | $575.14 | $333.30–$546.38 | 70% below | 10% |
| Paracentesis with imaging guidance CPT 49083 HC ABDOM PARACENTESIS DX/THER W IMAGING GUIDANCE | $721.43 | $801.58 | $464.52–$761.50 | 58% below | 10% |
| Paracentesis with imaging guidance CPT 49083 HC ABD PARACENTESIS W GUIDE | $750.27 | $833.63 | $483.09–$791.95 | 56% below | 10% |
| Paracentesis with imaging guidance CPT 49083 WMHC PARACENTESIS w/ IMAGE GUIDANCE | $1,405.64 | $1,561.82 | $905.07–$1,483.73 | 18% below | 10% |
| Paracentesis with imaging guidance inpatient CPT 49083 WMHC PR ABDOM PARACENTESIS DX/THER W IMAGING GUIDANCE | $384.51 | $427.23 | $247.58–$405.87 | — | 10% |
| Paracentesis with imaging guidance inpatient CPT 49083 WMHC PARACENTESIS ABD-MD3654 | $517.63 | $575.14 | $333.30–$546.38 | — | 10% |
| Paracentesis with imaging guidance inpatient CPT 49083 HC ABD PARACENTESIS W GUIDE | $750.27 | $833.63 | $483.09–$791.95 | — | 10% |
| Partial knee replacement (one compartment) CPT 27446 WMHC PR PLASTY KNEE,MED OR LAT COMPARTMT | $5,652.15 | $6,280.16 | $3,639.36–$5,966.16 | 17% above | 10% |
| Partial knee replacement (one compartment) inpatient CPT 27446 WMHC PR PLASTY KNEE,MED OR LAT COMPARTMT | $5,652.15 | $6,280.16 | $3,639.36–$5,966.16 | — | 10% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC EXCIS NAIL MATRIX PERM RMVL | $152.41 | $169.34 | $98.13–$160.88 | 80% below | 10% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC EXCISION OF NAIL & NAIL MATRIX | $354.18 | $393.54 | $228.05–$373.86 | 55% below | 10% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 WMHC PR REMOVAL OF NAIL BED | $478.86 | $532.06 | $308.33–$505.46 | 39% below | 10% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 WMHC NAIL-EXC PERM RMVL/MD | $505.64 | $561.82 | $325.57–$533.73 | 35% below | 10% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 WMHC TOENAIL PERM REMOVAL | $946.33 | $1,051.47 | $609.33–$998.90 | 21% above | 10% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC EXCISION OF NAIL & NAIL MATRIX | $354.18 | $393.54 | $228.05–$373.86 | — | 10% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 WMHC PR REMOVAL OF NAIL BED | $478.86 | $532.06 | $308.33–$505.46 | — | 10% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC UC EXCISE NAIL & MATRIX COMP | $946.33 | $1,051.47 | $609.33–$998.90 | — | 10% |
| Prostate biopsy CPT 55700 WMHC PR BIOPSY OF PROSTATE,NEEDLE/PUNCH | $1,273.67 | $1,415.19 | $820.10–$1,344.43 | 13% below | 10% |
| Prostate biopsy CPT 55700 WMHC PROSTATE NEEDLE BX ANY APPROACH | $4,200.91 | $4,667.68 | $2,704.92–$4,434.29 | 188% above | 10% |
| Prostate biopsy CPT 55700 HC BIOPSY PROSTATE NEEDLE OR PUNC | $4,200.91 | $4,667.68 | $2,704.92–$4,434.29 | 188% above | 10% |
| Prostate biopsy inpatient CPT 55700 WMHC PR BIOPSY OF PROSTATE,NEEDLE/PUNCH | $1,273.67 | $1,415.19 | $820.10–$1,344.43 | — | 10% |
| Prostate biopsy inpatient CPT 55700 HC BIOPSY PROSTATE NEEDLE OR PUNC | $4,200.91 | $4,667.68 | $2,704.92–$4,434.29 | — | 10% |
| Prostate biopsy inpatient CPT 55700 WMHC PROSTATE NEEDLE BX ANY APPROACH | $4,200.91 | $4,667.68 | $2,704.92–$4,434.29 | — | 10% |
| Prostate removal (prostatectomy), laparoscopic CPT 55866 WMHC PR LAP,PROSTATECTOMY,RADICAL,W/NERVE SPARE,INCL ROBOTIC | $5,361.25 | $5,956.94 | $3,452.05–$5,659.10 | 91% below | 10% |
| Prostate removal (prostatectomy), laparoscopic inpatient CPT 55866 WMHC PR LAP,PROSTATECTOMY,RADICAL,W/NERVE SPARE,INCL ROBOTIC | $5,361.25 | $5,956.94 | $3,452.05–$5,659.10 | — | 10% |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 WMHC PR RADIOFREQUENCY NEUROTOMY LUMBAR OR SACRAL, W IMAGE GUIDANCE, SINGLE | $1,090.59 | $1,211.77 | $702.22–$1,151.18 | 65% below | 10% |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 WMHC PR DEST,PARAVERTEBRAL,L/S,SINGLE | $1,090.59 | $1,211.77 | $702.22–$1,151.18 | 65% below | 10% |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 HC DESTROY/RFA L/S INIT | $1,479.54 | $1,643.93 | $952.66–$1,561.74 | 53% below | 10% |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 WMHC RADIOFQ DESTRUC LS | $1,479.54 | $1,643.93 | $952.66–$1,561.74 | 53% below | 10% |
| Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 WMHC PR RADIOFREQUENCY NEUROTOMY LUMBAR OR SACRAL, W IMAGE GUIDANCE, SINGLE | $1,090.59 | $1,211.77 | $702.22–$1,151.18 | — | 10% |
| Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 WMHC PR DEST,PARAVERTEBRAL,L/S,SINGLE | $1,090.59 | $1,211.77 | $702.22–$1,151.18 | — | 10% |
| Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 WMHC RADIOFQ DESTRUC LS | $1,479.54 | $1,643.93 | $952.66–$1,561.74 | — | 10% |
| Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 HC DESTROY/RFA L/S INIT | $1,479.54 | $1,643.93 | $952.66–$1,561.74 | — | 10% |
| Removal of a breast lump, open surgery CPT 19120 WMHC PR REMOVAL OF BREAST LESION | $1,523.08 | $1,692.31 | $980.69–$1,607.69 | 61% below | 10% |
| Removal of a breast lump, open surgery inpatient CPT 19120 WMHC PR REMOVAL OF BREAST LESION | $1,523.08 | $1,692.31 | $980.69–$1,607.69 | — | 10% |
| Removal of a foreign object under the skin, simple CPT 10120 HC REMOVAL FB SKIN | $106.25 | $118.05 | $68.41–$112.14 | 84% below | 10% |
| Removal of a foreign object under the skin, simple CPT 10120 WMHC PR REMOVE FOREIGN BODY SIMPLE | $291.36 | $323.73 | $187.61–$307.55 | 55% below | 10% |
| Removal of a foreign object under the skin, simple CPT 10120 WMHC FOREIGN BODY-SUBCUT/MD | $309.64 | $344.04 | $199.37–$326.84 | 52% below | 10% |
| Removal of a foreign object under the skin, simple CPT 10120 WMHC FRGN BDY RE-SUBCU | $539.24 | $599.15 | $347.20–$569.19 | 17% below | 10% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 WMHC PR REMOVE FOREIGN BODY SIMPLE | $291.36 | $323.73 | $187.61–$307.55 | — | 10% |
| Removal of one lobe of the thyroid (lobectomy) one side CPT 60220 WMHC PR THYROID LOBECTOMY,UNILAT | $3,574.92 | $3,972.12 | $2,301.84–$3,773.52 | 84% below | 10% |
| Removal of one lobe of the thyroid (lobectomy) inpatient one side CPT 60220 WMHC PR THYROID LOBECTOMY,UNILAT | $3,574.92 | $3,972.12 | $2,301.84–$3,773.52 | — | 10% |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 WMHC PR COLON CA SCRN NOT HI RSK IND | $356.67 | $396.29 | $229.65–$376.48 | 86% below | 10% |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 WMHC SCREENING COLONOSCOPY - MED | $2,030.68 | $2,256.31 | $1,307.53–$2,143.49 | 22% below | 10% |
| Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 WMHC PR COLON CA SCRN NOT HI RSK IND | $356.67 | $396.29 | $229.65–$376.48 | — | 10% |
| Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 WMHC SCREENING COLONOSCOPY - MED | $2,030.68 | $2,256.31 | $1,307.53–$2,143.49 | — | 10% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 WMHC COLORECTAL SCREENING, HI RISK INDIVIDUAL | $2,030.68 | $2,256.31 | $1,307.53–$2,143.49 | 22% below | 10% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 WMHC COLORECTAL SCREENING, HI RISK INDIVIDUAL | $2,030.68 | $2,256.31 | $1,307.53–$2,143.49 | — | 10% |
| Septoplasty to straighten the nasal septum CPT 30520 WMHC REPAIR OF NASAL SEPTUM | $4,487.17 | $4,985.75 | $2,889.24–$4,736.46 | 75% below | 10% |
| Septoplasty to straighten the nasal septum inpatient CPT 30520 WMHC REPAIR OF NASAL SEPTUM | $4,487.17 | $4,985.75 | $2,889.24–$4,736.46 | — | 10% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 WMHC PR FRAGMENT KIDNEY STONE/ ESWL | $2,451.92 | $2,724.36 | $1,578.77–$2,588.14 | 75% below | 10% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 HC LITHOTRIPSY | $8,946.68 | $9,940.76 | $5,760.67–$9,443.72 | 9% below | 10% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 WMHC LITHOTRIPSY ESW | $8,946.68 | $9,940.76 | $5,760.67–$9,443.72 | 9% below | 10% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 WMHC PR FRAGMENT KIDNEY STONE/ ESWL | $2,451.92 | $2,724.36 | $1,578.77–$2,588.14 | — | 10% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 HC LITHOTRIPSY | $8,946.68 | $9,940.76 | $5,760.67–$9,443.72 | — | 10% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 WMHC LITHOTRIPSY ESW | $8,946.68 | $9,940.76 | $5,760.67–$9,443.72 | — | 10% |
| Short arm cast (elbow to hand) CPT 29075 WMHC PR APPLY FOREARM CAST | $265.34 | $294.82 | $170.85–$280.08 | 7% below | 10% |
| Short arm cast (elbow to hand) inpatient CPT 29075 WMHC PR APPLY FOREARM CAST | $265.34 | $294.82 | $170.85–$280.08 | — | 10% |
| Short arm splint (forearm and hand) CPT 29125 WMHC SPLINTING-SHRT ARM/MD | $144.87 | $160.97 | $93.28–$152.92 | 50% below | 10% |
| Short arm splint (forearm and hand) CPT 29125 WMHC PR APPLY FOREARM SPLINT,STATIC | $178.13 | $197.92 | $114.69–$188.02 | 38% below | 10% |
| Short arm splint (forearm and hand) CPT 29125 HC SPLINT APP SHORT ARM STAT | $183.96 | $204.39 | $118.45–$194.17 | 36% below | 10% |
| Short arm splint (forearm and hand) CPT 29125 WMHC SHORT ARM SPLINT/STATIC UNTIMED | $196.25 | $218.06 | $126.37–$207.16 | 32% below | 10% |
| Short arm splint (forearm and hand) CPT 29125 WMHC SPLINT-FOREARM TO HAND | $196.25 | $218.06 | $126.37–$207.16 | 32% below | 10% |
| Short arm splint (forearm and hand) inpatient CPT 29125 WMHC PR APPLY FOREARM SPLINT,STATIC | $178.13 | $197.92 | $114.69–$188.02 | — | 10% |
| Short arm splint (forearm and hand) inpatient CPT 29125 WMHC SPLINTING SHORT ARM | $183.96 | $204.39 | $118.45–$194.17 | — | 10% |
| Short arm splint (forearm and hand) inpatient CPT 29125 WMHC SHORT ARM SPLINT/STATIC UNTIMED | $196.25 | $218.06 | $126.37–$207.16 | — | 10% |
| Short leg cast (below the knee) CPT 29405 WMHC PR APPLY SHORT LEG CAST | $316.97 | $352.19 | $204.09–$334.58 | 12% below | 10% |
| Short leg cast (below the knee) inpatient CPT 29405 WMHC PR APPLY SHORT LEG CAST | $316.97 | $352.19 | $204.09–$334.58 | — | 10% |
| Short leg splint (calf to foot) CPT 29515 WMHC PR APPLY LOWER LEG SPLINT | $170.63 | $189.59 | $109.88–$180.12 | 44% below | 10% |
| Short leg splint (calf to foot) CPT 29515 WMHC SPLINTING-SHORT LEG/MD | $202.48 | $224.97 | $130.37–$213.72 | 33% below | 10% |
| Short leg splint (calf to foot) CPT 29515 HC SPLINT APP/SHORT LEG | $205.61 | $228.46 | $132.39–$217.04 | 32% below | 10% |
| Short leg splint (calf to foot) CPT 29515 WMHC SPLINT-SHORT LEG | $220.39 | $244.88 | $141.91–$232.64 | 27% below | 10% |
| Short leg splint (calf to foot) inpatient CPT 29515 WMHC PR APPLY LOWER LEG SPLINT | $170.63 | $189.59 | $109.88–$180.12 | — | 10% |
| Short leg splint (calf to foot) inpatient CPT 29515 WMHC SPLINTING SHORT LEG | $205.61 | $228.46 | $132.39–$217.04 | — | 10% |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 WMHC PR SHLDR ARTHROSCOP,SURG,DIS CLAVICULECTOMY | $2,546.47 | $2,829.41 | $1,639.64–$2,687.94 | 28% below | 10% |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) inpatient CPT 29824 WMHC PR SHLDR ARTHROSCOP,SURG,DIS CLAVICULECTOMY | $2,546.47 | $2,829.41 | $1,639.64–$2,687.94 | — | 10% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 WMHC PR SHOULDER SCOPE BONE SHAVING | $2,720.52 | $3,022.79 | $1,751.70–$2,871.65 | 91% below | 10% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 WMHC PR SHOULDER SCOPE BONE SHAVING | $2,720.52 | $3,022.79 | $1,751.70–$2,871.65 | — | 10% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC REP LAC SMP NOT FACE <2.5CM | $216.60 | $240.67 | $139.46–$228.63 | 34% below | 10% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 WMHC PR REPR SUPERF WND BODY <2.5CM | $335.00 | $372.23 | $215.71–$353.61 | 2% above | 10% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 WMHC REPAIR-SIMP <2.5CM/MD | $392.76 | $436.39 | $252.89–$414.58 | 19% above | 10% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 WMHC PR REPR SUPERF WND BODY <2.5CM | $335.00 | $372.23 | $215.71–$353.61 | — | 10% |
| Skin biopsy, punch, one lesion CPT 11104 WMHC PR PUNCH BIOPSY SKIN SINGLE LESION | $157.84 | $175.38 | $101.63–$166.61 | 65% below | 10% |
| Skin biopsy, punch, one lesion CPT 11104 WMHC PUNCH BIOPSY SKIN SINGLE LESION | $307.81 | $342.01 | $198.20–$324.92 | 31% below | 10% |
| Skin biopsy, punch, one lesion CPT 11104 HC PUNCH BIOPSY SKIN SINGLE LESION | $307.81 | $342.01 | $198.20–$324.92 | 31% below | 10% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 WMHC PR PUNCH BIOPSY SKIN SINGLE LESION | $157.84 | $175.38 | $101.63–$166.61 | — | 10% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 WMHC PUNCH BIOPSY SKIN SINGLE LESION | $307.81 | $342.01 | $198.20–$324.92 | — | 10% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 WMHC PR EXC SKIN MALIG <5MM TRUNK,ARM,LEG | $399.04 | $443.37 | $256.93–$421.20 | 71% below | 10% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 WMHC PR EXC SKIN MALIG <5MM TRUNK,ARM,LEG | $399.04 | $443.37 | $256.93–$421.20 | — | 10% |
| Skin tag removal, up to 15 tags CPT 11200 WMHC REMOVAL OF SKIN TAGS | $165.78 | $184.19 | $106.74–$174.98 | 44% below | 10% |
| Skin tag removal, up to 15 tags CPT 11200 WMHC PR REMOVAL OF SKIN TAGS, UP TO 15 | $226.77 | $251.97 | $146.02–$239.38 | 23% below | 10% |
| Skin tag removal, up to 15 tags CPT 11200 HC EXCISION UP TO 15 SKIN TAGS | $321.94 | $357.71 | $207.29–$339.82 | 10% above | 10% |
| Skin tag removal, up to 15 tags inpatient CPT 11200 WMHC PR REMOVAL OF SKIN TAGS, UP TO 15 | $226.77 | $251.97 | $146.02–$239.38 | — | 10% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 HC SPINAL PUNCTURE LUMBAR DIAGNOS | $256.43 | $284.93 | $165.11–$270.68 | 75% below | 10% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 WMHC LUMBAR PUNCTURE-MD3654 | $266.30 | $295.89 | $171.46–$281.09 | 74% below | 10% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 WMHC LUMBAR PUNCTURE/MD | $317.64 | $352.92 | $204.52–$335.28 | 69% below | 10% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 WMHC PR DIAGNOSTIC LUMBAR SPINAL PUNCTURE | $409.66 | $455.18 | $263.78–$432.42 | 61% below | 10% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 WMHC LUMBAR PUNCTURE-M/S | $416.20 | $462.44 | $267.99–$439.32 | 60% below | 10% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 WMHC LUMBAR PUNCTURE-SHC | $458.15 | $509.06 | $295.01–$483.61 | 56% below | 10% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 HC SPINAL PUNCTURE, LUMBAR, DIAGNOSTIC | $694.44 | $771.60 | $447.14–$733.01 | 33% below | 10% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 WMHC LUMBAR PUNCTURE-MD3654 | $266.30 | $295.89 | $171.46–$281.09 | — | 10% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 WMHC PR DIAGNOSTIC LUMBAR SPINAL PUNCTURE | $409.66 | $455.18 | $263.78–$432.42 | — | 10% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 WMHC LUMBAR PUNCTURE-M/S | $416.20 | $462.44 | $267.99–$439.32 | — | 10% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 WMHC LUMBAR PUNCTURE-SHC | $458.15 | $509.06 | $295.01–$483.61 | — | 10% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC SPINAL PUNCTURE, LUMBAR, DIAGNOSTIC | $694.44 | $771.60 | $447.14–$733.01 | — | 10% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC REPR SMP NOT FACE 2.6-7.5CM | $255.22 | $283.58 | $164.33–$269.40 | 28% below | 10% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 WMHC PR REPR SUP NPTERF WND BODY 2.6-7.5 | $376.80 | $418.67 | $242.62–$397.74 | 7% above | 10% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 WMHC REPAIR-SIMP 2.6-7.5/MD | $496.62 | $551.80 | $319.77–$524.21 | 41% above | 10% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 WMHC PR REPR SUP NPTERF WND BODY 2.6-7.5 | $376.80 | $418.67 | $242.62–$397.74 | — | 10% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC SIMPLE REP WND FACE <2.5 CM | $129.23 | $143.59 | $83.21–$136.42 | 59% below | 10% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 WMHC PR REPR SUPERF WND FACE <2.5CM | $395.23 | $439.15 | $254.49–$417.20 | 25% above | 10% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 WMHC REPAIR-FACE UPTO 2.5CM/MD | $471.01 | $523.34 | $303.27–$497.17 | 48% above | 10% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 WMHC PR REPR SUPERF WND FACE <2.5CM | $395.23 | $439.15 | $254.49–$417.20 | — | 10% |
| TURP (transurethral resection of the prostate) CPT 52601 WMHC TURP | $8,946.68 | $9,940.76 | $5,760.67–$9,443.72 | 49% below | 10% |
| TURP (transurethral resection of the prostate) inpatient CPT 52601 WMHC TURP | $8,946.68 | $9,940.76 | $5,760.67–$9,443.72 | — | 10% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 WMHC PR TANGENTIAL BIOPSY SKIN SINGLE LESION | $125.58 | $139.54 | $80.86–$132.56 | 58% below | 10% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 WMHC TANGENTIAL BIOPSY SKIN SINGLE LESION | $414.58 | $460.64 | $266.94–$437.60 | 38% above | 10% |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 WMHC PR TANGENTIAL BIOPSY SKIN SINGLE LESION | $125.58 | $139.54 | $80.86–$132.56 | — | 10% |
| Thoracentesis with imaging guidance CPT 32555 WMHC PR THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING | $464.53 | $516.14 | $299.10–$490.34 | 75% below | 10% |
| Thoracentesis with imaging guidance CPT 32555 HC ASPIRATE PLEURA W/ IMAGING | $1,113.01 | $1,236.67 | $716.65–$1,174.84 | 40% below | 10% |
| Thoracentesis with imaging guidance CPT 32555 WMHC THORACENTESIS ASP PLEURAL w/SPACE | $1,123.79 | $1,248.66 | $723.60–$1,186.22 | 39% below | 10% |
| Thoracentesis with imaging guidance CPT 32555 WMHC THORACENTESIS w/ IMAGING GUIDANCE | $1,405.64 | $1,561.82 | $905.07–$1,483.73 | 24% below | 10% |
| Thoracentesis with imaging guidance CPT 32555 HC THORACENTESIS W GUIDANCE | $1,405.64 | $1,561.82 | $905.07–$1,483.73 | 24% below | 10% |
| Thoracentesis with imaging guidance inpatient CPT 32555 WMHC PR THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING | $464.53 | $516.14 | $299.10–$490.34 | — | 10% |
| Thoracentesis with imaging guidance inpatient CPT 32555 HC ASPIRATE PLEURA W/ IMAGING | $1,113.01 | $1,236.67 | $716.65–$1,174.84 | — | 10% |
| Thoracentesis with imaging guidance inpatient CPT 32555 WMHC THORACENTESIS, ASPIRATION PLEURAL SPACE | $1,123.79 | $1,248.66 | $723.60–$1,186.22 | — | 10% |
| Thoracentesis with imaging guidance inpatient CPT 32555 WMHC THORACENTESIS ASP PLEURAL w/SPACE | $1,123.79 | $1,248.66 | $723.60–$1,186.22 | — | 10% |
| Thoracentesis with imaging guidance inpatient CPT 32555 HC THORACENTESIS W GUIDANCE | $1,405.64 | $1,561.82 | $905.07–$1,483.73 | — | 10% |
| Tonsil and adenoid removal, age 12 or older CPT 42821 WMHC PR REMOVE TONSILS/ADENOIDS,12+ Y/O | $1,035.87 | $1,150.97 | $666.99–$1,093.42 | 72% below | 10% |
| Tonsil and adenoid removal, age 12 or older CPT 42821 WMHC REMOVE TONSILS/ADENOIDS,12+ Y/O | $4,760.52 | $5,289.46 | $3,065.24–$5,024.99 | 29% above | 10% |
| Tonsil and adenoid removal, age 12 or older inpatient CPT 42821 WMHC PR REMOVE TONSILS/ADENOIDS,12+ Y/O | $1,035.87 | $1,150.97 | $666.99–$1,093.42 | — | 10% |
| Tonsil and adenoid removal, age 12 or older inpatient CPT 42821 WMHC REMOVE TONSILS/ADENOIDS,12+ Y/O | $4,760.52 | $5,289.46 | $3,065.24–$5,024.99 | — | 10% |
| Tonsil and adenoid removal, child under 12 CPT 42820 WMHC REMOVE TONSILS/ADENOIDS,<12 Y/O | $8,342.06 | $9,268.95 | $5,371.36–$8,805.50 | 27% above | 10% |
| Tonsil and adenoid removal, child under 12 inpatient CPT 42820 WMHC REMOVE TONSILS/ADENOIDS,<12 Y/O | $8,342.06 | $9,268.95 | $5,371.36–$8,805.50 | — | 10% |
| Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 WMHC PR REMOVAL OF TONSILS,12+ Y/O | $869.48 | $966.09 | $559.84–$917.78 | 92% below | 10% |
| Tonsil removal (tonsillectomy) only, age 12 or older inpatient CPT 42826 WMHC PR REMOVAL OF TONSILS,12+ Y/O | $869.48 | $966.09 | $559.84–$917.78 | — | 10% |
| Total hip replacement CPT 27130 WMHC PR TOTAL HIP ARTHROPLASTY | $6,081.15 | $6,756.83 | $3,915.58–$6,418.98 | 86% below | 10% |
| Total hip replacement inpatient CPT 27130 WMHC PR TOTAL HIP ARTHROPLASTY | $6,081.15 | $6,756.83 | $3,915.58–$6,418.98 | — | 10% |
| Total knee replacement CPT 27447 WMHC PBB TOTAL KNEE ARTHROPLASTY | $475.99 | $528.87 | $306.48–$502.42 | 99% below | 10% |
| Total knee replacement CPT 27447 WMHC PR TOTAL KNEE ARTHROPLASTY | $8,250.37 | $9,167.08 | $5,312.33–$8,708.73 | 82% below | 10% |
| Total knee replacement inpatient CPT 27447 WMHC PR TOTAL KNEE ARTHROPLASTY | $8,250.37 | $9,167.08 | $5,312.33–$8,708.73 | — | 10% |
| Total shoulder replacement CPT 23472 WMHC PR RECONSTR TOTAL SHOULDER IMPLANT | $5,989.79 | $6,655.31 | $3,856.76–$6,322.54 | 89% below | 10% |
| Total shoulder replacement inpatient CPT 23472 WMHC PR RECONSTR TOTAL SHOULDER IMPLANT | $5,989.79 | $6,655.31 | $3,856.76–$6,322.54 | — | 10% |
| Total thyroid removal (thyroidectomy) CPT 60240 WMHC PR THYROIDECTOMY | $3,913.55 | $4,348.39 | $2,519.89–$4,130.96 | 87% below | 10% |
| Total thyroid removal (thyroidectomy) inpatient CPT 60240 WMHC PR THYROIDECTOMY | $3,913.55 | $4,348.39 | $2,519.89–$4,130.96 | — | 10% |
| Trigger finger release surgery CPT 26055 WMHC PR INCISE FINGER TENDON SHEATH | $2,001.22 | $2,223.57 | $1,288.56–$2,112.40 | 31% below | 10% |
| Trigger finger release surgery inpatient CPT 26055 WMHC PR INCISE FINGER TENDON SHEATH | $2,001.22 | $2,223.57 | $1,288.56–$2,112.40 | — | 10% |
| Trigger point injections, 1 or 2 muscles CPT 20552 HC INJ TRIGGER PT 1-2 MUSC GRPS | $109.64 | $121.82 | $70.58–$115.72 | 85% below | 10% |
| Trigger point injections, 1 or 2 muscles CPT 20552 HC TRIGGER POINT 1 OR 2 MUSCLES | $109.64 | $121.82 | $70.58–$115.72 | 85% below | 10% |
| Trigger point injections, 1 or 2 muscles CPT 20552 WMHC PR INJECT TRIGGER POINT, 1 OR 2 | $208.46 | $231.62 | $134.22–$220.03 | 72% below | 10% |
| Trigger point injections, 1 or 2 muscles CPT 20552 WMHC TRIGGER PT INJ SGL 1-2/MD | $270.82 | $300.90 | $174.37–$285.85 | 63% below | 10% |
| Trigger point injections, 1 or 2 muscles CPT 20552 HC INJ TRIGGER POINTS 1-2 MUSC | $574.32 | $638.13 | $369.80–$606.23 | 22% below | 10% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 WMHC PR INJECT TRIGGER POINT, 1 OR 2 | $208.46 | $231.62 | $134.22–$220.03 | — | 10% |
| Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 WMHC PR LAP,TUBAL CAUTERY | $2,317.37 | $2,574.85 | $1,492.13–$2,446.11 | at median | 10% |
| Tubal ligation, laparoscopic (tubes sealed by cautery) inpatient CPT 58670 WMHC PR LAP,TUBAL CAUTERY | $2,317.37 | $2,574.85 | $1,492.13–$2,446.11 | — | 10% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 WMHC PR BX BREAST W DEVICE 1ST LESION ULTRASOUND GUIDE | $799.87 | $888.75 | $515.03–$844.31 | 75% below | 10% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HC BX BREAST 1ST LESION US IMG | $1,998.29 | $2,220.32 | $1,286.67–$2,109.30 | 37% below | 10% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 WMHC PR BX BREAST W DEVICE 1ST LESION ULTRASOUND GUIDE | $799.87 | $888.75 | $515.03–$844.31 | — | 10% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 HC BX BREAST 1ST LESION US IMG | $1,998.29 | $2,220.32 | $1,286.67–$2,109.30 | — | 10% |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 WMHC PR EGD BALLOON DILATION ESOPHAGUS <30 MM DIAM | $981.07 | $1,090.09 | $631.71–$1,035.58 | 73% below | 10% |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 WMHC EGD W/BALLOON DILATION | $2,292.17 | $2,546.86 | $1,475.91–$2,419.52 | 38% below | 10% |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 WMHC EGD; BALLOON DILATION | $2,292.17 | $2,546.86 | $1,475.91–$2,419.52 | 38% below | 10% |
| Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 WMHC PR EGD BALLOON DILATION ESOPHAGUS <30 MM DIAM | $981.07 | $1,090.09 | $631.71–$1,035.58 | — | 10% |
| Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 WMHC EGD; BALLOON DILATION | $2,292.17 | $2,546.86 | $1,475.91–$2,419.52 | — | 10% |
| Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 WMHC EGD W/BALLOON DILATION | $2,292.17 | $2,546.86 | $1,475.91–$2,419.52 | — | 10% |
| Upper endoscopy (EGD) with biopsy CPT 43239 WMHC PR EGD TRANSORAL BIOPSY SINGLE/MULTIPLE | $1,083.40 | $1,203.78 | $697.59–$1,143.59 | 61% below | 10% |
| Upper endoscopy (EGD) with biopsy CPT 43239 WMHC EGD-SHC W/BX 750 | $2,184.56 | $2,427.29 | $1,406.61–$2,305.92 | 22% below | 10% |
| Upper endoscopy (EGD) with biopsy CPT 43239 WMHC EGD-TX RM W/BX | $2,184.56 | $2,427.29 | $1,406.61–$2,305.92 | 22% below | 10% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 WMHC PR EGD TRANSORAL BIOPSY SINGLE/MULTIPLE | $1,083.40 | $1,203.78 | $697.59–$1,143.59 | — | 10% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 WMHC EGD-TX RM W/BX | $2,184.56 | $2,427.29 | $1,406.61–$2,305.92 | — | 10% |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 WMHC PR EGD REMOVAL TUMOR POLYP/OTHER LESION SNARE TECH | $2,084.53 | $2,316.15 | $1,342.21–$2,200.35 | 36% below | 10% |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 WMHC EGD w/POLYPECTOMY BY SNARE-SHC | $3,059.50 | $3,399.45 | $1,969.98–$3,229.48 | 5% below | 10% |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 HC EGD REMOVAL TUMOR POLYP/OTHER LESION SNARE TECH | $3,059.50 | $3,399.45 | $1,969.98–$3,229.48 | 5% below | 10% |
| Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 WMHC PR EGD REMOVAL TUMOR POLYP/OTHER LESION SNARE TECH | $2,084.53 | $2,316.15 | $1,342.21–$2,200.35 | — | 10% |
| Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 WMHC EGD w/POLYPECTOMY BY SNARE-SHC | $3,059.50 | $3,399.45 | $1,969.98–$3,229.48 | — | 10% |
| Upper endoscopy (EGD), diagnostic CPT 43235 WMHC PR ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC | $980.53 | $1,089.48 | $631.35–$1,035.01 | 62% below | 10% |
| Upper endoscopy (EGD), diagnostic CPT 43235 WMHC EGD-SHC 750 | $2,011.50 | $2,234.99 | $1,295.17–$2,123.24 | 23% below | 10% |
| Upper endoscopy (EGD), diagnostic CPT 43235 WMHC EGD - OR | $2,011.50 | $2,234.99 | $1,295.17–$2,123.24 | 23% below | 10% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 WMHC PR ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC | $980.53 | $1,089.48 | $631.35–$1,035.01 | — | 10% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 WMHC EGD - OR | $2,011.50 | $2,234.99 | $1,295.17–$2,123.24 | — | 10% |
| Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 WMHC PR CYSTO/URETERO/PYELOSCOPY W/LITHOTRIPSY | $1,554.30 | $1,727.00 | $1,000.80–$1,640.65 | 87% below | 10% |
| Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 WMHC CYSTO URETERO / LITHOTRIPSY | $8,946.68 | $9,940.76 | $5,760.67–$9,443.72 | 24% below | 10% |
| Ureteroscopy with laser stone breaking (lithotripsy) inpatient CPT 52353 WMHC PR CYSTO/URETERO/PYELOSCOPY W/LITHOTRIPSY | $1,554.30 | $1,727.00 | $1,000.80–$1,640.65 | — | 10% |
| Ureteroscopy with laser stone breaking (lithotripsy) inpatient CPT 52353 WMHC CYSTO URETERO / LITHOTRIPSY | $8,946.68 | $9,940.76 | $5,760.67–$9,443.72 | — | 10% |
| Ureteroscopy with laser stone breaking and stent placement CPT 52356 WMHC PR CYSTO/URETERO W/LITHOTRIPSY &INDWELL STENT INSRT | $1,862.37 | $2,069.30 | $1,199.15–$1,965.83 | 88% below | 10% |
| Ureteroscopy with laser stone breaking and stent placement CPT 52356 WMHC CYSTO URETERO / LITHOTRIPSY w/STENT | $8,946.68 | $9,940.76 | $5,760.67–$9,443.72 | 41% below | 10% |
| Ureteroscopy with laser stone breaking and stent placement inpatient CPT 52356 WMHC PR CYSTO/URETERO W/LITHOTRIPSY &INDWELL STENT INSRT | $1,862.37 | $2,069.30 | $1,199.15–$1,965.83 | — | 10% |
| Ureteroscopy with laser stone breaking and stent placement inpatient CPT 52356 WMHC CYSTO URETERO / LITHOTRIPSY w/STENT | $8,946.68 | $9,940.76 | $5,760.67–$9,443.72 | — | 10% |
| Vaginal birth after cesarean (VBAC), including prenatal and postpartum care CPT 59610 WMHC PR ROUT OB CARE,VAG DELIV,PREV C-SEC | $5,221.84 | $5,802.05 | $3,362.29–$5,511.95 | 19% above | 10% |
| Vaginal birth after cesarean (VBAC), including prenatal and postpartum care inpatient CPT 59610 WMHC PR ROUT OB CARE,VAG DELIV,PREV C-SEC | $5,221.84 | $5,802.05 | $3,362.29–$5,511.95 | — | 10% |
| Vasectomy, one or both sides, including follow-up semen testing CPT 55250 WMHC PR REMOVAL OF SPERM DUCT(S) | $984.94 | $1,094.38 | $634.19–$1,039.67 | 70% below | 10% |
| Vasectomy, one or both sides, including follow-up semen testing CPT 55250 WMHC VASECTOMY-SHC | $2,459.48 | $2,732.75 | $1,583.63–$2,596.11 | 26% below | 10% |
| Vasectomy, one or both sides, including follow-up semen testing CPT 55250 WMHC VASECTOMY-OR | $5,176.64 | $5,751.82 | $3,333.18–$5,464.23 | 56% above | 10% |
| Vasectomy, one or both sides, including follow-up semen testing inpatient CPT 55250 WMHC PR REMOVAL OF SPERM DUCT(S) | $984.94 | $1,094.38 | $634.19–$1,039.67 | — | 10% |
| Vasectomy, one or both sides, including follow-up semen testing inpatient CPT 55250 WMHC VASECTOMY-SHC | $2,459.48 | $2,732.75 | $1,583.63–$2,596.11 | — | 10% |
| Vasectomy, one or both sides, including follow-up semen testing inpatient CPT 55250 WMHC VASECTOMY-OR | $5,176.64 | $5,751.82 | $3,333.18–$5,464.23 | — | 10% |
| Vein ablation, radiofrequency, first vein CPT 36475 WMHC PR ENDOVENOUS RF, 1ST VEIN | $5,823.91 | $6,471.00 | $3,749.95–$6,147.45 | 5% below | 10% |
| Vein ablation, radiofrequency, first vein CPT 36475 WMHC ENDOVENOUS RF 1ST VEIN | $10,483.47 | $11,648.30 | $6,750.19–$11,065.89 | 71% above | 10% |
| Vein ablation, radiofrequency, first vein CPT 36475 HC ENDOVENOUS RF 1ST VEIN | $10,483.47 | $11,648.30 | $6,750.19–$11,065.89 | 71% above | 10% |
| Vein ablation, radiofrequency, first vein inpatient CPT 36475 WMHC PR ENDOVENOUS RF, 1ST VEIN | $5,823.91 | $6,471.00 | $3,749.95–$6,147.45 | — | 10% |
| Vein ablation, radiofrequency, first vein inpatient CPT 36475 HC ENDOVENOUS RF 1ST VEIN | $10,483.47 | $11,648.30 | $6,750.19–$11,065.89 | — | 10% |
| Vein ablation, radiofrequency, first vein inpatient CPT 36475 WMHC ENDOVENOUS RF 1ST VEIN | $10,483.47 | $11,648.30 | $6,750.19–$11,065.89 | — | 10% |
| Wart removal, up to 14 warts CPT 17110 HC DESTRUCT BENIGN LESIONS | $95.11 | $105.67 | $61.24–$100.39 | 65% below | 10% |
| Wart removal, up to 14 warts CPT 17110 WMHC PR DESTRUCTION BENIGN LESIONS UP TO 14 | $184.66 | $205.18 | $118.90–$194.93 | 32% below | 10% |
| Wart removal, up to 14 warts CPT 17110 WMHC WART REMVL LIP-MD | $336.97 | $374.41 | $216.98–$355.69 | 25% above | 10% |
| Wart removal, up to 14 warts CPT 17110 WMHC DESTRUCT BENIGN LESIONS | $349.63 | $388.47 | $225.12–$369.04 | 29% above | 10% |
| Wart removal, up to 14 warts CPT 17110 HC DESTRUCT B9 LESION 1-14 | $349.63 | $388.47 | $225.12–$369.04 | 29% above | 10% |
| Wart removal, up to 14 warts inpatient CPT 17110 WMHC PR DESTRUCTION BENIGN LESIONS UP TO 14 | $184.66 | $205.18 | $118.90–$194.93 | — | 10% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC DEB SUBQ TISSUE 20 SQ CM/< | $161.98 | $179.98 | $104.30–$170.99 | 79% below | 10% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 WMHC PR DEBRIDEMENT, SKIN, SUB-Q TISSUE,=<20 SQ CM | $553.60 | $615.11 | $356.46–$584.36 | 29% below | 10% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 WMHC DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM/< | $553.61 | $615.13 | $356.47–$584.38 | 29% below | 10% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 WMHC DEBRID SUB-Q TISSUE-MD | $584.30 | $649.22 | $376.22–$616.76 | 25% below | 10% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC UC DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM/< | $553.57 | $615.08 | $356.44–$584.32 | — | 10% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 WMHC PR DEBRIDEMENT, SKIN, SUB-Q TISSUE,=<20 SQ CM | $553.60 | $615.11 | $356.46–$584.36 | — | 10% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 WMHC DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM/< | $698.79 | $776.43 | $449.95–$737.61 | — | 10% |
| Wrist fracture surgery (plate and screws), distal radius CPT 25607 WMHC PR OPEN RX DISTAL RADIUS FX, EXTRA-ARTICULAR | $2,264.76 | $2,516.39 | $1,458.25–$2,390.58 | 73% below | 10% |
| Wrist fracture surgery (plate and screws), distal radius inpatient CPT 25607 WMHC PR OPEN RX DISTAL RADIUS FX, EXTRA-ARTICULAR | $2,264.76 | $2,516.39 | $1,458.25–$2,390.58 | — | 10% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Ohio | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 WMHC PR BLOOD TRANSFUSION SERVICE | $183.04 | $203.37 | $117.85–$193.20 | 84% below | 10% |
| Blood transfusion (giving blood or blood components) CPT 36430 WMHC BLOOD TRANSFUSION-ER MD | $196.65 | $218.50 | $126.63–$207.58 | 83% below | 10% |
| Blood transfusion (giving blood or blood components) CPT 36430 HC BLOOD ADMINISTRATION | $324.31 | $360.35 | $208.82–$342.34 | 72% below | 10% |
| Blood transfusion (giving blood or blood components) CPT 36430 WMHC BLOOD TRANSFN-WELL | $495.72 | $550.79 | $319.19–$523.26 | 57% below | 10% |
| Blood transfusion (giving blood or blood components) CPT 36430 WMHC BLOOD TRANSFSN-MS | $497.03 | $552.25 | $320.03–$524.64 | 57% below | 10% |
| Blood transfusion (giving blood or blood components) CPT 36430 WMHC BLOOD TRANSFUSION-ONC | $536.50 | $596.12 | $345.45–$566.31 | 54% below | 10% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 WMHC PR BLOOD TRANSFUSION SERVICE | $183.04 | $203.37 | $117.85–$193.20 | — | 10% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC BLOOD ADMINISTRATION | $324.31 | $360.35 | $208.82–$342.34 | — | 10% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 WMHC BLOOD TRANSFSN-MS | $497.03 | $552.25 | $320.03–$524.64 | — | 10% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 WMHC BLOOD TRANSFSN-CCU | $511.96 | $568.85 | $329.65–$540.40 | — | 10% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 WMHC PR PRESSURIZED/NONPRESSURIZED INHALATION TREATMENT | $50.88 | $56.52 | $32.75–$53.70 | 72% below | 10% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 WMHC HHN SUBS | $103.01 | $114.45 | $66.33–$108.73 | 42% below | 10% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 WMHC IPV SUBS | $103.01 | $114.45 | $66.33–$108.73 | 42% below | 10% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 WMHC MDI SUBS | $103.01 | $114.45 | $66.33–$108.73 | 42% below | 10% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC AEROSOL, HHN, MDI, IPPB | $103.01 | $114.45 | $66.33–$108.73 | 42% below | 10% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 WMHC MDI INITIAL/DAY | $204.91 | $227.68 | $131.93–$216.29 | 15% above | 10% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 WMHC IPV INITIAL/DAY | $204.91 | $227.68 | $131.93–$216.29 | 15% above | 10% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 WMHC SPUTUM INDUCTION EQ | $210.88 | $234.31 | $135.78–$222.60 | 18% above | 10% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 WMHC HHN INITIAL/DAY | $210.88 | $234.31 | $135.78–$222.60 | 18% above | 10% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 WMHC PR PRESSURIZED/NONPRESSURIZED INHALATION TREATMENT | $50.88 | $56.52 | $32.75–$53.70 | — | 10% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 WMHC IPV SUBS | $103.01 | $114.45 | $66.33–$108.73 | — | 10% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 WMHC MDI SUBS | $103.01 | $114.45 | $66.33–$108.73 | — | 10% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 WMHC HHN SUBS | $103.01 | $114.45 | $66.33–$108.73 | — | 10% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC AEROSOL, HHN, MDI, IPPB | $103.01 | $114.45 | $66.33–$108.73 | — | 10% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 WMHC MDI INITIAL/DAY | $204.91 | $227.68 | $131.93–$216.29 | — | 10% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 WMHC IPV INITIAL/DAY | $204.91 | $227.68 | $131.93–$216.29 | — | 10% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 WMHC SPUTUM INDUCTION EQ | $210.88 | $234.31 | $135.78–$222.60 | — | 10% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 WMHC HHN INITIAL/DAY | $210.88 | $234.31 | $135.78–$222.60 | — | 10% |
| Chemotherapy IV infusion, first hour CPT 96413 WMHC PR CHEMOTHER, IV INFUSION, 1 HR | $312.27 | $346.96 | $201.06–$329.62 | 58% below | 10% |
| Chemotherapy IV infusion, first hour CPT 96413 WMHC CHEMO IV INFUSION | $334.59 | $371.77 | $215.45–$353.18 | 55% below | 10% |
| Chemotherapy IV infusion, first hour CPT 96413 HC CHEMO INFUSION 1ST HOUR CHEMO | $334.59 | $371.77 | $215.45–$353.18 | 55% below | 10% |
| Chemotherapy IV infusion, first hour CPT 96413 WMHC CHEMO IV 1ST HOUR | $409.86 | $455.41 | $263.91–$432.64 | 45% below | 10% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 WMHC PR CHEMOTHER, IV INFUSION, 1 HR | $312.27 | $346.96 | $201.06–$329.62 | — | 10% |
| Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 WMHC COMP AUDIOMETRY THRESHOLD-PRO | $118.50 | $131.66 | $76.29–$125.08 | 58% below | 10% |
| Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 HC COMPREHENSIVE HEARING EVAL | $219.08 | $243.42 | $141.07–$231.25 | 22% below | 10% |
| Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 WMHC COMPREHENSIVE HEARING EVAL | $219.08 | $243.42 | $141.07–$231.25 | 22% below | 10% |
| Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 WMHC COMP AUDIOMETRY THRESHOLD-PRO | $118.50 | $131.66 | $76.29–$125.08 | — | 10% |
| Critical care, first 30 to 74 minutes CPT 99291 WMHC CRITICAL-1ST HOUR-MD | $515.10 | $572.33 | $331.67–$543.71 | 82% below | 10% |
| Critical care, first 30 to 74 minutes CPT 99291 WMHC PR CRITICAL CARE, E/M 30-74 MINUTES | $567.84 | $630.94 | $365.63–$599.39 | 81% below | 10% |
| Critical care, first 30 to 74 minutes CPT 99291 WMHC CRITICAL CARE 1ST HR CCU-MD | $724.35 | $804.84 | $466.41–$764.60 | 75% below | 10% |
| Critical care, first 30 to 74 minutes CPT 99291 WMHC CRITICAL CARE 1ST HR MS-MD | $724.35 | $804.84 | $466.41–$764.60 | 75% below | 10% |
| Critical care, first 30 to 74 minutes CPT 99291 WMHC E/M CRIT CARE,ER, 1ST 30-74MIN | $1,270.64 | $1,411.82 | $818.15–$1,341.23 | 57% below | 10% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 WMHC PR CRITICAL CARE, E/M 30-74 MINUTES | $567.84 | $630.94 | $365.63–$599.39 | — | 10% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 WMHC CRITICAL CARE 1ST HR MS-MD | $724.35 | $804.84 | $466.41–$764.60 | — | 10% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 WMHC CRITICAL CARE 1ST HR CCU-MD | $724.35 | $804.84 | $466.41–$764.60 | — | 10% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 WMHC EEG AWK&DRWSY/MD | $538.64 | $598.49 | $346.83–$568.57 | 49% below | 10% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 HC EEG AWAKE & DROWSY | $730.38 | $811.53 | $470.28–$770.95 | 31% below | 10% |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 WMHC EEG AWK&DRWSY/MD | $538.64 | $598.49 | $346.83–$568.57 | — | 10% |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 HC EEG AWAKE & DROWSY | $730.38 | $811.53 | $470.28–$770.95 | — | 10% |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 WMHC ECG AT LEAST 12 LEAD-MD | $104.43 | $116.03 | $67.24–$110.23 | 59% below | 10% |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 WMHC PR ELECTROCARDIOGRAM, COMPLETE | $105.57 | $117.30 | $67.97–$111.44 | 58% below | 10% |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 WMHC EKG | $114.19 | $126.88 | $73.53–$120.54 | 55% below | 10% |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 WMHC ECG AT LEAST 12 LEAD-MD | $104.43 | $116.03 | $67.24–$110.23 | — | 10% |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 WMHC PR ELECTROCARDIOGRAM, COMPLETE | $105.57 | $117.30 | $67.97–$111.44 | — | 10% |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 WMHC EKG | $114.19 | $126.88 | $73.53–$120.54 | — | 10% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 WMHC PR ELECTROCARDIOGRAM, TRACING | $81.09 | $90.10 | $52.21–$85.59 | 56% below | 10% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC >= 12 LEAD EKG | $135.00 | $150.00 | $86.92–$142.50 | 27% below | 10% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 WMHC EKG REPEAT | $135.00 | $150.00 | $86.92–$142.50 | 27% below | 10% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 WMHC PR ELECTROCARDIOGRAM, TRACING | $81.09 | $90.10 | $52.21–$85.59 | — | 10% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC >= 12 LEAD EKG | $135.00 | $150.00 | $86.92–$142.50 | — | 10% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 WMHC EKG REPEAT | $135.00 | $150.00 | $86.92–$142.50 | — | 10% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC ER LEVEL 1 | $94.87 | $105.40 | $61.08–$100.13 | 67% below | 10% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 WMHC LEVEL I-ER/MD | $121.89 | $135.43 | $78.48–$128.66 | 58% below | 10% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 WMHC PR EMERGENCY DEPARTMENT VISIT LIMITED/MINOR PROB | $122.70 | $136.33 | $79.01–$129.52 | 58% below | 10% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 WMHC MTC PR ED VISIT LIMITED/MINOR PROB | $127.61 | $141.78 | $82.16–$134.69 | 56% below | 10% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 WMHC PR EMERGENCY DEPARTMENT VISIT LIMITED/MINOR PROB | $122.70 | $136.33 | $79.01–$129.52 | — | 10% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC ER LEVEL 2 | $163.80 | $182.00 | $105.47–$172.90 | 68% below | 10% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 WMHC MTC PR ED VISIT LOW/MODER SEVERITY | $171.28 | $190.31 | $110.28–$180.79 | 66% below | 10% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 WMHC PR EMERGENCY DEPARTMENT VISIT LOW/MODER SEVERITY | $171.28 | $190.31 | $110.28–$180.79 | 66% below | 10% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 WMHC LEVEL II-ER/MD | $172.00 | $191.11 | $110.75–$181.55 | 66% below | 10% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 WMHC PR EMERGENCY DEPARTMENT VISIT LOW/MODER SEVERITY | $171.28 | $190.31 | $110.28–$180.79 | — | 10% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 WMHC LEVEL III-ER/MD | $242.62 | $269.58 | $156.22–$256.10 | 71% below | 10% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 WMHC MTC PR ED VISIT MODERATE SEVERITY | $257.23 | $285.81 | $165.63–$271.52 | 70% below | 10% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 WMHC PR EMERGENCY DEPARTMENT VISIT MODERATE SEVERITY | $267.52 | $297.24 | $172.26–$282.38 | 69% below | 10% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC ER LEVEL 3 | $327.61 | $364.01 | $210.94–$345.81 | 61% below | 10% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 WMHC PR EMERGENCY DEPARTMENT VISIT MODERATE SEVERITY | $267.52 | $297.24 | $172.26–$282.38 | — | 10% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 WMHC MTC PR ED VISIT HIGH/URGENT SEVERITY | $329.99 | $366.66 | $212.48–$348.33 | 75% below | 10% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 WMHC PR EMERGENCY DEPARTMENT VISIT HIGH/URGENT SEVERITY | $329.99 | $366.66 | $212.48–$348.33 | 75% below | 10% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 WMHC LEVEL IV-ER/MD | $343.70 | $381.89 | $221.30–$362.79 | 74% below | 10% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC ER LEVEL 4 | $503.15 | $559.06 | $323.97–$531.11 | 62% below | 10% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 WMHC PR EMERGENCY DEPARTMENT VISIT HIGH/URGENT SEVERITY | $329.99 | $366.66 | $212.48–$348.33 | — | 10% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 WMHC PR EMERGENCY DEPT VISIT HIGH SEVERITY&THREAT FUNCJ | $451.53 | $501.70 | $290.73–$476.61 | 71% below | 10% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 WMHC LEVEL V-ER/MD | $454.76 | $505.28 | $292.81–$480.02 | 71% below | 10% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 WMHC MTC PR ED VISIT HIGH SEVERITY&THREAT | $469.59 | $521.77 | $302.37–$495.68 | 70% below | 10% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC ER LEVEL 5 | $708.12 | $786.79 | $455.95–$747.45 | 55% below | 10% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 WMHC PR EMERGENCY DEPT VISIT HIGH SEVERITY&THREAT FUNCJ | $451.53 | $501.70 | $290.73–$476.61 | — | 10% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HC CARDIAC STRESS TEST | $780.59 | $867.33 | $502.61–$823.96 | 12% below | 10% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC CARDIAC STRESS TEST | $780.59 | $867.33 | $502.61–$823.96 | — | 10% |
| Holter monitor, heart rhythm recording up to 48 hours, with report CPT 93224 WMHC HOLTER MONITOR - COMPLETE | $1,342.66 | $1,491.85 | $864.53–$1,417.26 | 140% above | 10% |
| Holter monitor, heart rhythm recording up to 48 hours, with report inpatient CPT 93224 WMHC HOLTER MONITOR - COMPLETE | $1,342.66 | $1,491.85 | $864.53–$1,417.26 | — | 10% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 WMHC PR IV INFUSION, HYDRATION, 31-60 MIN | $175.29 | $194.77 | $112.87–$185.04 | 58% below | 10% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 WMHC INIT IV HYDRA >31 MIN | $187.84 | $208.72 | $120.95–$198.29 | 55% below | 10% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC INF 1ST HOUR HYD | $187.84 | $208.72 | $120.95–$198.29 | 55% below | 10% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC HYDRATION IV INITIAL HOUR | $187.84 | $208.72 | $120.95–$198.29 | 55% below | 10% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 WMHC INIT IV HYDRA >31MIN | $187.84 | $208.72 | $120.95–$198.29 | 55% below | 10% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 WMHC PR IV INFUSION, HYDRATION, 31-60 MIN | $175.29 | $194.77 | $112.87–$185.04 | — | 10% |
| IV infusion of a medicine, first hour CPT 96365 WMHC PR IV INFUSION, THERAP/PROPH/DIAGNOST,INITIAL,1ST HOUR | $175.29 | $194.77 | $112.87–$185.04 | 60% below | 10% |
| IV infusion of a medicine, first hour CPT 96365 WMHC INIT IV THER UP TO 1 HR | $187.84 | $208.72 | $120.95–$198.29 | 57% below | 10% |
| IV infusion of a medicine, first hour CPT 96365 HC IV 1ST HOUR INIT DRUG | $187.84 | $208.72 | $120.95–$198.29 | 57% below | 10% |
| IV infusion of a medicine, first hour inpatient CPT 96365 WMHC PR IV INFUSION, THERAP/PROPH/DIAGNOST,INITIAL,1ST HOUR | $175.29 | $194.77 | $112.87–$185.04 | — | 10% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 WMHC PR INJECTION,THERAP/PROPH/DIAGNOST, IM OR SUBCUT | $41.15 | $45.73 | $26.50–$43.44 | 71% below | 10% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 WMHC INJ SQ/IM-OR | $90.00 | $100.00 | $57.95–$94.99 | 38% below | 10% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 WMHC IM/SQ INJECT | $90.00 | $100.00 | $57.95–$94.99 | 38% below | 10% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 WMHC INJ SQ/IM ONC-HOSP | $90.00 | $100.00 | $57.95–$94.99 | 38% below | 10% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 WMHC INJ SQ/IM-SHC | $90.00 | $100.00 | $57.95–$94.99 | 38% below | 10% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 WMHC INJ SQ/IM-MS | $90.00 | $100.00 | $57.95–$94.99 | 38% below | 10% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC INJECTION IM SUB Q | $90.00 | $100.00 | $57.95–$94.99 | 38% below | 10% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 WMHC PR INJECTION,THERAP/PROPH/DIAGNOST, IM OR SUBCUT | $41.15 | $45.73 | $26.50–$43.44 | — | 10% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 WMHC INJ SQ/IM-OR | $90.00 | $100.00 | $57.95–$94.99 | — | 10% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 WMHC NCV STUDY 7-8 STUDIES | $282.96 | $314.40 | $182.20–$298.68 | 79% below | 10% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 WMHC PR MOTOR &/SENS 7-8 NRV CNDJ PRECONF ELTRODE LIMB | $286.71 | $318.56 | $184.60–$302.63 | 79% below | 10% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 WMHC NERVE COND 7-8 STUDIES | $379.64 | $421.82 | $244.45–$400.73 | 72% below | 10% |
| Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 WMHC PR MOTOR &/SENS 7-8 NRV CNDJ PRECONF ELTRODE LIMB | $286.71 | $318.56 | $184.60–$302.63 | — | 10% |
| Neuromuscular re-education, 15 minutes CPT 97112 HC NEUROMUSCULAR RE-EDUCATION, OT | $86.82 | $96.46 | $55.90–$91.63 | 19% below | 10% |
| Neuromuscular re-education, 15 minutes CPT 97112 HC PT NEURO FACILITATION EA 15 MIN | $86.82 | $96.46 | $55.90–$91.63 | 19% below | 10% |
| Neuromuscular re-education, 15 minutes CPT 97112 HC SP NEUROMUSCULAR RE-EDUCATION | $151.10 | $167.89 | $97.29–$159.49 | 41% above | 10% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC PT NEURO FACILITATION EA 15 MIN | $86.82 | $96.46 | $55.90–$91.63 | — | 10% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC NEUROMUSCULAR RE-EDUCATION, OT | $86.82 | $96.46 | $55.90–$91.63 | — | 10% |
| New patient office visit, about 30 minutes CPT 99203 WMHC NEW PT LEVEL 3/OFFICE | $44.34 | $49.26 | $28.55–$46.80 | 56% below | 10% |
| New patient office visit, about 30 minutes CPT 99203 WMHC LEVEL 3 NEW OFFICE | $44.34 | $49.26 | $28.55–$46.80 | 56% below | 10% |
| New patient office visit, about 30 minutes CPT 99203 WMHC PR OFFICE OUTPATIENT NEW 30 MINUTES | $204.71 | $227.46 | $131.81–$216.08 | 105% above | 10% |
| New patient office visit, about 30 minutes CPT 99203 WMHC LEVEL 3 NW PT-WC MD | $214.77 | $238.64 | $138.29–$226.71 | 115% above | 10% |
| New patient office visit, about 30 minutes CPT 99203 WMHC LEVEL 3 NEW/MD | $215.13 | $239.03 | $138.52–$227.08 | 115% above | 10% |
| New patient office visit, about 30 minutes CPT 99203 WMHC LEVEL III CCU-NEW PTNT | $318.65 | $354.05 | $205.17–$336.35 | 219% above | 10% |
| New patient office visit, about 30 minutes CPT 99203 WMHC LEVEL 3 NEW HOSP | $318.65 | $354.05 | $205.17–$336.35 | 219% above | 10% |
| New patient office visit, about 30 minutes CPT 99203 WMHC LEVEL III OP-NW PT SHC-TC | $318.65 | $354.05 | $205.17–$336.35 | 219% above | 10% |
| New patient office visit, about 30 minutes CPT 99203 HC NEW PT, OUTPT VISIT LEVEL 3 | $318.65 | $354.05 | $205.17–$336.35 | 219% above | 10% |
| New patient office visit, about 30 minutes inpatient CPT 99203 WMHC PR OFFICE OUTPATIENT NEW 30 MINUTES | $204.71 | $227.46 | $131.81–$216.08 | — | 10% |
| New patient office visit, about 45 minutes CPT 99204 WMHC LEVEL 4 NEW OFFICE | $59.94 | $66.59 | $38.59–$63.26 | 56% below | 10% |
| New patient office visit, about 45 minutes CPT 99204 WMHC NEW PT LEVEL 4/OFFICE | $59.94 | $66.59 | $38.59–$63.26 | 56% below | 10% |
| New patient office visit, about 45 minutes CPT 99204 WMHC PR OFFICE OUTPATIENT NEW 45 MINUTES | $276.61 | $307.34 | $178.10–$291.97 | 102% above | 10% |
| New patient office visit, about 45 minutes CPT 99204 WMHC LEVEL 4 NEW/MD | $294.76 | $327.51 | $189.79–$311.13 | 115% above | 10% |
| New patient office visit, about 45 minutes CPT 99204 HC NEW PT, OUTPT VISIT LEVEL 4 | $401.32 | $445.90 | $258.40–$423.60 | 193% above | 10% |
| New patient office visit, about 45 minutes CPT 99204 WMHC LEVEL IV OP-NW PT SHC-TC | $410.52 | $456.13 | $264.33–$433.33 | 200% above | 10% |
| New patient office visit, about 45 minutes CPT 99204 WMHC LEVEL 4 NEW PT | $410.52 | $456.13 | $264.33–$433.33 | 200% above | 10% |
| New patient office visit, about 45 minutes CPT 99204 WMHC LEVEL IV CCU-NEW PTNT | $410.52 | $456.13 | $264.33–$433.33 | 200% above | 10% |
| New patient office visit, about 45 minutes CPT 99204 WMHC LEVEL 4 NEW HOSP | $554.54 | $616.15 | $357.06–$585.34 | 305% above | 10% |
| New patient office visit, about 45 minutes inpatient CPT 99204 WMHC PR OFFICE OUTPATIENT NEW 45 MINUTES | $276.61 | $307.34 | $178.10–$291.97 | — | 10% |
| New patient office visit, about 60 minutes CPT 99205 WMHC PR OFFICE OUTPATIENT NEW 60 MINUTES | $335.20 | $372.44 | $215.83–$353.82 | 75% above | 10% |
| New patient office visit, about 60 minutes CPT 99205 WMHC LEVEL 5 NEW/MD | $393.41 | $437.12 | $253.31–$415.26 | 106% above | 10% |
| New patient office visit, about 60 minutes CPT 99205 HC NEW PT, OUTPT VISIT LEVEL 5 | $539.59 | $599.55 | $347.44–$569.58 | 182% above | 10% |
| New patient office visit, about 60 minutes CPT 99205 WMHC LEVEL V OP-NW PT SHC-TC | $539.59 | $599.55 | $347.44–$569.58 | 182% above | 10% |
| New patient office visit, about 60 minutes CPT 99205 WMHC LEVEL 5 NEW HOSP | $593.46 | $659.39 | $382.12–$626.42 | 210% above | 10% |
| New patient office visit, about 60 minutes inpatient CPT 99205 WMHC PR OFFICE OUTPATIENT NEW 60 MINUTES | $335.20 | $372.44 | $215.83–$353.82 | — | 10% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 WMHC LEVEL 1 NEW OFFICE | $23.34 | $25.93 | $15.02–$24.63 | 74% below | 10% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 WMHC NEW PT LEVEL 1/OFFICE | $23.34 | $25.93 | $15.02–$24.63 | 74% below | 10% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 WMHC LEVEL 2 NEW OFFICE | $32.71 | $36.34 | $21.06–$34.52 | 64% below | 10% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 WMHC NEW PT LEVEL 2/OFFICE | $32.71 | $36.34 | $21.06–$34.52 | 64% below | 10% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 WMHC PR OFFICE OUTPATIENT NEW 10 MINUTES | $112.08 | $124.53 | $72.17–$118.30 | 24% above | 10% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 WMHC LEVEL 1 NEW/MD | $119.82 | $133.13 | $77.15–$126.47 | 33% above | 10% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 WMHC PR OFFICE OUTPATIENT NEW 20 MINUTES | $149.72 | $166.35 | $96.40–$158.03 | 66% above | 10% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 WMHC LEVEL 2 NEW/MD | $161.17 | $179.08 | $103.77–$170.12 | 78% above | 10% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 WMHC LEVEL I CCU-NEW PTNT | $167.40 | $185.99 | $107.79–$176.70 | 85% above | 10% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 WMHC LEVEL I NEW SHC-TC | $167.40 | $185.99 | $107.79–$176.70 | 85% above | 10% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 WMHC LEVEL II NEW SHC-TC | $240.14 | $266.82 | $154.63–$253.48 | 166% above | 10% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC NEW PT, OUTPT VISIT LEVEL 2 | $240.14 | $266.82 | $154.63–$253.48 | 166% above | 10% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC NEW PT, E/M LEVEL 2 | $240.14 | $266.82 | $154.63–$253.48 | 166% above | 10% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 WMHC LEVEL II CCU-NEW PTNT | $240.14 | $266.82 | $154.63–$253.48 | 166% above | 10% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 WMHC LEVEL 2 NEW HOSP | $240.14 | $266.82 | $154.63–$253.48 | 166% above | 10% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 WMHC PR OFFICE OUTPATIENT NEW 10 MINUTES | $112.08 | $124.53 | $72.17–$118.30 | — | 10% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 WMHC PR OFFICE OUTPATIENT NEW 20 MINUTES | $149.72 | $166.35 | $96.40–$158.03 | — | 10% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 WMHC PR MED NUTR THER, 1ST, INDIV, EA 15 MIN | $38.43 | $42.69 | $24.74–$40.56 | 41% below | 10% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 WMHC NUTR INIT EA 15-MIN | $40.04 | $44.49 | $25.78–$42.27 | 39% below | 10% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 WMHC PR MED NUTR THER, 1ST, INDIV, EA 15 MIN | $38.43 | $42.69 | $24.74–$40.56 | — | 10% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HC MED NUT THERAPY IND INIT 15 MIN | $394.42 | $438.25 | $253.97–$416.33 | — | 10% |
| Occupational therapy evaluation, low complexity CPT 97165 HC OT EVAL LOW COMPLEX | $168.00 | $186.67 | $108.18–$177.34 | 36% below | 10% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 HC OT EVAL LOW COMPLEX | $168.00 | $186.67 | $108.18–$177.34 | — | 10% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC PT EVAL HIGH COMPLEX | $183.85 | $204.28 | $118.38–$194.06 | 38% below | 10% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC PT EVAL HIGH COMPLEX | $183.85 | $204.28 | $118.38–$194.06 | — | 10% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC PT EVAL LOW COMPLEX | $159.40 | $177.11 | $102.64–$168.26 | 40% below | 10% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC PT EVAL LOW COMPLEX | $159.40 | $177.11 | $102.64–$168.26 | — | 10% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC PT EVAL MOD COMPLEX | $171.60 | $190.66 | $110.49–$181.13 | 38% below | 10% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC PT EVAL MOD COMPLEX | $171.60 | $190.66 | $110.49–$181.13 | — | 10% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC OT MANUAL THERAPY PER 15 MIN. | $86.06 | $95.62 | $55.41–$90.83 | 20% below | 10% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC PT MANUAL THERAPY EA 15 | $86.06 | $95.62 | $55.41–$90.83 | 20% below | 10% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC PT MANUAL THERAPY EA 15 | $86.06 | $95.62 | $55.41–$90.83 | — | 10% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC OT MANUAL THERAPY PER 15 MIN. | $86.06 | $95.62 | $55.41–$90.83 | — | 10% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC OT THER EX PER 15 MIN | $90.96 | $101.07 | $58.57–$96.01 | 18% below | 10% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC PT THERAPEUTIC EXERCISE,EA 15 MIN | $90.96 | $101.07 | $58.57–$96.01 | 18% below | 10% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC OT THER EX PER 15 MIN | $90.96 | $101.07 | $58.57–$96.01 | — | 10% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC PT THERAPEUTIC EXERCISE,EA 15 MIN | $90.96 | $101.07 | $58.57–$96.01 | — | 10% |
| Preventive checkup, new patient aged 18–39 CPT 99385 WMHC PR PREVENTIVE VISIT,NEW,18-39 | $236.55 | $262.83 | $152.31–$249.68 | 98% above | 10% |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 WMHC PR PREVENTIVE VISIT,NEW,18-39 | $236.55 | $262.83 | $152.31–$249.68 | — | 10% |
| Preventive checkup, new patient aged 40–64 CPT 99386 WMHC PR PREVENTIVE VISIT,NEW,40-64 | $267.73 | $297.47 | $172.39–$282.60 | 80% above | 10% |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 WMHC PR PREVENTIVE VISIT,NEW,40-64 | $267.73 | $297.47 | $172.39–$282.60 | — | 10% |
| Preventive checkup, new patient aged 65 or older CPT 99387 WMHC PR PREVENTIVE VISIT,NEW,65 & OVER | $280.18 | $311.30 | $180.40–$295.73 | 79% above | 10% |
| Preventive checkup, new patient aged 65 or older inpatient CPT 99387 WMHC PR PREVENTIVE VISIT,NEW,65 & OVER | $280.18 | $311.30 | $180.40–$295.73 | — | 10% |
| Preventive checkup, returning patient aged 18–39 CPT 99395 WMHC PR PREVENTIVE VISIT,EST,18-39 | $204.25 | $226.94 | $131.51–$215.59 | 62% above | 10% |
| Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 WMHC PR PREVENTIVE VISIT,EST,18-39 | $204.25 | $226.94 | $131.51–$215.59 | — | 10% |
| Preventive checkup, returning patient aged 40–64 CPT 99396 WMHC PR PREVENTIVE VISIT,EST,40-64 | $218.07 | $242.30 | $140.41–$230.18 | 63% above | 10% |
| Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 WMHC PR PREVENTIVE VISIT,EST,40-64 | $218.07 | $242.30 | $140.41–$230.18 | — | 10% |
| Preventive checkup, returning patient aged 65 or older CPT 99397 WMHC PR PREVENTIVE VISIT,EST,65 & OVER | $246.47 | $273.85 | $158.69–$260.16 | 91% above | 10% |
| Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 WMHC PR PREVENTIVE VISIT,EST,65 & OVER | $246.47 | $273.85 | $158.69–$260.16 | — | 10% |
| Psychotherapy session, 45 minutes CPT 90834 WMHC PR PSYCHOTHERAPY W/PATIENT 45 MINUTES | $144.27 | $160.30 | $92.89–$152.28 | 45% below | 10% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 WMHC PR PSYCHOTHERAPY W/PATIENT 45 MINUTES | $144.27 | $160.30 | $92.89–$152.28 | — | 10% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 WMHC PBB TOBACCO USE CESSATION INTERMEDIATE 3-10 MINUTES | $6.45 | $7.17 | $4.16–$6.81 | 85% below | 10% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 WMHC PR TOBACCO USE CESSATION INTERMEDIATE 3-10 MINUTES | $111.81 | $124.24 | $72.00–$118.03 | 161% above | 10% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 HC SMOKE/TOBAC COUNSEL 3-10 | $42.57 | $47.30 | $27.41–$44.94 | — | 10% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 WMHC PR TOBACCO USE CESSATION INTERMEDIATE 3-10 MINUTES | $111.81 | $124.24 | $72.00–$118.03 | — | 10% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 WMHC PR OFFICE OUTPATIENT VISIT 40 MINUTES | $215.43 | $239.36 | $138.70–$227.39 | 28% above | 10% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 WMHC TREATMT ROOM III 761 | $410.52 | $456.13 | $264.33–$433.33 | 143% above | 10% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 WMHC LEVEL 5 OP/MS | $410.52 | $456.13 | $264.33–$433.33 | 143% above | 10% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC EST PT, OUTPT VISIT LEVEL 5 | $410.52 | $456.13 | $264.33–$433.33 | 143% above | 10% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 WMHC LEVEL V OP-EST PT SHC-TC | $410.52 | $456.13 | $264.33–$433.33 | 143% above | 10% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 WMHC PR OFFICE OUTPATIENT VISIT 40 MINUTES | $215.43 | $239.36 | $138.70–$227.39 | — | 10% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 WMHC PR OFFICE OUTPATIENT VISIT 15 MINUTES | $116.13 | $129.03 | $74.78–$122.58 | 7% above | 10% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 WMHC LEVEL 3 EST PT-WC MD | $136.57 | $151.75 | $87.93–$144.15 | 26% above | 10% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 WMHC LEV3 EST LOW COM-RM | $240.54 | $267.27 | $154.89–$253.91 | 122% above | 10% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC EST PT, OUTPT VISIT LEVEL 3 | $240.54 | $267.27 | $154.89–$253.91 | 122% above | 10% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 WMHC LEVEL 3 1-HR+ OP/MS | $240.54 | $267.27 | $154.89–$253.91 | 122% above | 10% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 WMHC LEVEL III CCU-EST PTNT | $240.54 | $267.27 | $154.89–$253.91 | 122% above | 10% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 WMHC TREATMT ROOM I 761 | $240.54 | $267.27 | $154.89–$253.91 | 122% above | 10% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 WMHC LEVEL III OP-EST PT SHC-TC | $240.54 | $267.27 | $154.89–$253.91 | 122% above | 10% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 WMHC EST PT LEVEL 3/OFFICE | $240.54 | $267.27 | $154.89–$253.91 | 122% above | 10% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 WMHC LEVEL 3-OP ECG | $778.98 | $865.53 | $501.57–$822.26 | 620% above | 10% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 WMHC PR OFFICE OUTPATIENT VISIT 15 MINUTES | $116.13 | $129.03 | $74.78–$122.58 | — | 10% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 WMHC PR OFFICE OUTPATIENT VISIT 25 MINUTES | $161.83 | $179.82 | $104.21–$170.83 | 14% above | 10% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 WMHC OFFICE OP VISIT/RAM888 | $168.31 | $187.01 | $108.38–$177.66 | 19% above | 10% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 WMHC TREATMT ROOM II 761 | $318.65 | $354.05 | $205.17–$336.35 | 124% above | 10% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 WMHC LEVEL 4-OP ECG | $318.65 | $354.05 | $205.17–$336.35 | 124% above | 10% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC EST PT, OUTPT VISIT LEVEL 4 | $318.65 | $354.05 | $205.17–$336.35 | 124% above | 10% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 WMHC LEVEL 4 EST PT | $318.65 | $354.05 | $205.17–$336.35 | 124% above | 10% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 WMHC LEVEL IV OP-EST PT SHC-TC | $318.65 | $354.05 | $205.17–$336.35 | 124% above | 10% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 WMHC LEVEL 4 OP/MS | $318.65 | $354.05 | $205.17–$336.35 | 124% above | 10% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 WMHC LEVEL IV CCU-EST PTNT | $318.65 | $354.05 | $205.17–$336.35 | 124% above | 10% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 WMHC PR OFFICE OUTPATIENT VISIT 25 MINUTES | $161.83 | $179.82 | $104.21–$170.83 | — | 10% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 WMHC OFFICE OP VISIT/RAM888 | $168.31 | $187.01 | $108.38–$177.66 | — | 10% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 WMHC PR OFFICE OUTPATIENT VISIT 10 MINUTES | $65.22 | $72.47 | $42.00–$68.85 | 33% below | 10% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 WMHC EST PT LEVEL 2/MD use 419# | $89.09 | $98.99 | $57.37–$94.04 | 9% below | 10% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 WMHC LEVEL 2 EST OFFICE | $105.54 | $117.27 | $67.95–$111.40 | 8% above | 10% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 WMHC LEVEL 2-OP ECG | $105.54 | $117.27 | $67.95–$111.40 | 8% above | 10% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 WMHC LEVEL II OP-EST PT SHC-TC | $153.93 | $171.04 | $99.12–$162.49 | 58% above | 10% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 WMHC LEV2 EST EXP-RM | $153.93 | $171.04 | $99.12–$162.49 | 58% above | 10% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 WMHC EST PT LEVEL 2/OFFICE | $153.93 | $171.04 | $99.12–$162.49 | 58% above | 10% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC EST PT, OUTPT VISIT LEVEL 2 | $153.93 | $171.04 | $99.12–$162.49 | 58% above | 10% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 WMHC LEVEL 2 30-MIN OP/MS | $153.93 | $171.04 | $99.12–$162.49 | 58% above | 10% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 WMHC LEVEL II CCU-EST PTNT | $153.93 | $171.04 | $99.12–$162.49 | 58% above | 10% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 WMHC PR OFFICE OUTPATIENT VISIT 10 MINUTES | $65.22 | $72.47 | $42.00–$68.85 | — | 10% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC ET VISIT CLASS II | $153.93 | $171.04 | $99.12–$162.49 | — | 10% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 WMHC PR OFFICE CONSULTATION NEW/ESTAB PATIENT 40 MIN | $300.37 | $333.75 | $193.40–$317.05 | 132% above | 10% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 WMHC CONSULT LVL 3/MD | $312.37 | $347.08 | $201.13–$329.72 | 141% above | 10% |
| Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 WMHC PR OFFICE CONSULTATION NEW/ESTAB PATIENT 40 MIN | $300.37 | $333.75 | $193.40–$317.05 | — | 10% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 WMHC PR OFFICE CONSULTATION NEW/ESTAB PATIENT 60 MIN | $311.85 | $346.51 | $200.80–$329.18 | 69% above | 10% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 WMHC CONSULT LVL 4/MD | $406.28 | $451.41 | $261.59–$428.84 | 121% above | 10% |
| Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 WMHC PR OFFICE CONSULTATION NEW/ESTAB PATIENT 60 MIN | $311.85 | $346.51 | $200.80–$329.18 | — | 10% |
| Speech and language evaluation CPT 92523 HC EVAL SPEECH SOUND LANG COMPRHENSION | $480.68 | $534.08 | $309.49–$507.37 | 52% above | 10% |
| Speech and language evaluation inpatient CPT 92523 HC EVAL SPEECH SOUND LANG COMPRHENSION | $480.68 | $534.08 | $309.49–$507.37 | — | 10% |
| Speech therapy session, individual CPT 92507 HC SPEECH/LANGUAGE THERAPY | $205.41 | $228.24 | $132.27–$216.83 | 11% below | 10% |
| Spirometry (breathing test) CPT 94010 WMHC PR BREATHING CAPACITY TEST | $52.56 | $58.41 | $33.84–$55.48 | 82% below | 10% |
| Spirometry (breathing test) CPT 94010 HC SPIROMETRY / TVC / MVV | $388.24 | $431.38 | $249.98–$409.81 | 34% above | 10% |
| Spirometry (breathing test) inpatient CPT 94010 WMHC PR BREATHING CAPACITY TEST | $52.56 | $58.41 | $33.84–$55.48 | — | 10% |
| Spirometry (breathing test) inpatient CPT 94010 HC SPIROMETRY / TVC / MVV | $388.24 | $431.38 | $249.98–$409.81 | — | 10% |
| Spirometry before and after a bronchodilator CPT 94060 WMHC PR BREATHING CAPACITY TEST EVAL BRONCHOSPASM EVAL AFTER BRONCHODIALTOR | $45.80 | $50.89 | $29.48–$48.34 | 92% below | 10% |
| Spirometry before and after a bronchodilator CPT 94060 WMHC RESP - MTC - PFT | $273.74 | $304.16 | $176.26–$288.95 | 52% below | 10% |
| Spirometry before and after a bronchodilator CPT 94060 HC BEFORE / AFTER BRONCHODILATOR | $646.96 | $718.85 | $416.57–$682.91 | 14% above | 10% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 WMHC PR BREATHING CAPACITY TEST EVAL BRONCHOSPASM EVAL AFTER BRONCHODIALTOR | $45.80 | $50.89 | $29.48–$48.34 | — | 10% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 WMHC RESP - MTC - PFT | $273.74 | $304.16 | $176.26–$288.95 | — | 10% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 HC BEFORE / AFTER BRONCHODILATOR | $646.96 | $718.85 | $416.57–$682.91 | — | 10% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 WMHC INCONT ED EA 15-MIN | $83.12 | $92.35 | $53.52–$87.73 | 33% below | 10% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC PT THERAPEUTIC ACTIVITIES 15 MIN | $92.73 | $103.03 | $59.71–$97.88 | 25% below | 10% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC OT THERAPEUTIC ACTIVITIES 15 MIN | $92.73 | $103.03 | $59.71–$97.88 | 25% below | 10% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 WMHC INCONT ED EA 15-MIN | $83.12 | $92.35 | $53.52–$87.73 | — | 10% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC OT THERAPEUTIC ACTIVITIES 15 MIN | $92.73 | $103.03 | $59.71–$97.88 | — | 10% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC PT THERAPEUTIC ACTIVITIES 15 MIN | $92.73 | $103.03 | $59.71–$97.88 | — | 10% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 WMHC PHLEBOTOMY THERAP | $131.72 | $146.35 | $84.80–$139.03 | 46% below | 10% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 WMHC PR PHLEBOTOMY | $165.37 | $183.75 | $106.49–$174.56 | 32% below | 10% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC PHLEBOTOMY,TX | $172.00 | $191.11 | $110.75–$181.55 | 30% below | 10% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 WMHC PHLEBOTOMY THERAP | $131.72 | $146.35 | $84.80–$139.03 | — | 10% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HC PHLEBOTOMY THERAPEUTIC | $131.72 | $146.35 | $84.80–$139.03 | — | 10% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 WMHC PR PHLEBOTOMY | $165.37 | $183.75 | $106.49–$174.56 | — | 10% |
| Treadmill or drug stress test with ECG, supervision and report CPT 93015 WMHC PR CV STRS TST XERS&/OR RX CONT ECG W/SI&R | $276.89 | $307.65 | $178.29–$292.27 | 56% below | 10% |
| Treadmill or drug stress test with ECG, supervision and report inpatient CPT 93015 WMHC PR CV STRS TST XERS&/OR RX CONT ECG W/SI&R | $276.89 | $307.65 | $178.29–$292.27 | — | 10% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Ohio | Off list |
|---|---|---|---|---|---|
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 WMHC PR IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE | $23.59 | $26.21 | $15.18–$24.90 | 69% below | 10% |
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 WMHC PR IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE | $23.59 | $26.21 | $15.18–$24.90 | — | 10% |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 WMHC PR VAR VACCINE LIVE FOR SUBCUTANEOUS USE | $258.06 | $286.73 | $166.16–$272.40 | 28% below | 10% |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 WMHC PR VAR VACCINE LIVE FOR SUBCUTANEOUS USE | $258.06 | $286.73 | $166.16–$272.40 | — | 10% |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 WMHC PR 9VHPV VACC 2/3 DOSE SCHED IM USE | $432.85 | $480.94 | $278.71–$456.89 | 17% below | 10% |
| HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 WMHC PR 9VHPV VACC 2/3 DOSE SCHED IM USE | $432.85 | $480.94 | $278.71–$456.89 | — | 10% |
| Hepatitis A vaccine, adult dose CPT 90632 WMHC PR HEPA VACCINE ADULT DOSE FOR INTRAMUSCULAR USE | $136.57 | $151.75 | $87.93–$144.15 | 30% below | 10% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 WMHC PR HEPA VACCINE ADULT DOSE FOR INTRAMUSCULAR USE | $136.57 | $151.75 | $87.93–$144.15 | — | 10% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 WMHC PR HEPB VACCINE ADULT 3 DOSE SCHEDULE FOR IM USE | $116.88 | $129.86 | $75.25–$123.38 | 25% below | 10% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 WMHC PR HEPB VACCINE ADULT 3 DOSE SCHEDULE FOR IM USE | $116.88 | $129.86 | $75.25–$123.38 | — | 10% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 WMHC PR IIV VACCINE PRESERV FREE INCREASED AG COUNT IM | $68.43 | $76.03 | $44.05–$72.23 | 38% below | 10% |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 WMHC PR IIV VACCINE PRESERV FREE INCREASED AG COUNT IM | $68.43 | $76.03 | $44.05–$72.23 | — | 10% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 WMHC PR MMR VIRUS IMMUNIZATION, SUBCUT | $149.53 | $166.14 | $96.27–$157.83 | 28% below | 10% |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 WMHC PR MMR VIRUS IMMUNIZATION, SUBCUT | $149.53 | $166.14 | $96.27–$157.83 | — | 10% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 WMHC PR MENACWYD/MENACWY-CRM CONJ VACC GRPS ACWY IM USE | $234.27 | $260.30 | $150.85–$247.29 | 26% below | 10% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 WMHC PR MENACWYD/MENACWY-CRM CONJ VACC GRPS ACWY IM USE | $234.27 | $260.30 | $150.85–$247.29 | — | 10% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 WMHC PR MENB-4C RECOMBNT PROT & OUTER MEMB VESIC VACC IM | $305.53 | $339.48 | $196.73–$322.50 | 45% below | 10% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 WMHC PR MENB-4C RECOMBNT PROT & OUTER MEMB VESIC VACC IM | $305.53 | $339.48 | $196.73–$322.50 | — | 10% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 WMHC PR PPSV23 VACCINE 2 YRS OR OLDER FOR SUBQ/IM USE | $49.70 | $55.22 | $32.00–$52.47 | 82% below | 10% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 WMHC PR PPSV23 VACCINE 2 YRS OR OLDER FOR SUBQ/IM USE | $49.70 | $55.22 | $32.00–$52.47 | — | 10% |
| Rabies vaccine, one dose CPT 90675 WMHC PR RABIES VACCINE, IM | $1,145.51 | $1,272.78 | $737.58–$1,209.15 | 20% above | 10% |
| Rabies vaccine, one dose inpatient CPT 90675 WMHC RABIES VACCINE-MS | $125.48 | $139.42 | $80.80–$132.45 | — | 10% |
| Rabies vaccine, one dose inpatient CPT 90675 WMHC PR RABIES VACCINE, IM | $1,145.51 | $1,272.78 | $737.58–$1,209.15 | — | 10% |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 WMHC PR HZV ZOSTER VACC RECOMBINANT ADJUVANTED IM NJX | $288.07 | $320.08 | $185.48–$304.08 | 43% below | 10% |
| Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 WMHC PR HZV ZOSTER VACC RECOMBINANT ADJUVANTED IM NJX | $288.07 | $320.08 | $185.48–$304.08 | — | 10% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 WMHC PR TD VACCINE PRSRV FREE 7 YRS OR OLDER FOR IM USE | $90.10 | $100.11 | $58.01–$95.11 | 1% above | 10% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 WMHC PR TD VACCINE PRSRV FREE 7 YRS OR OLDER FOR IM USE | $90.10 | $100.11 | $58.01–$95.11 | — | 10% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 WMHC PR TDAP VACCINE >7 YO, IM | $95.83 | $106.48 | $61.70–$101.15 | 13% below | 10% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 WMHC PR TDAP VACCINE >7 YO, IM | $95.83 | $106.48 | $61.70–$101.15 | — | 10% |
| Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 WMHC PR TYPHOID VACCINE, IM | $200.80 | $223.11 | $129.29–$211.95 | 30% below | 10% |
| Typhoid vaccine, injectable (Vi polysaccharide) inpatient CPT 90691 WMHC PR TYPHOID VACCINE, IM | $200.80 | $223.11 | $129.29–$211.95 | — | 10% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 WMHC FLU VACC ADMIN-ONC/IFC | $6.62 | $7.36 | $4.27–$7.00 | 84% below | 10% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 WMHC FLU VACC ADMIN-MS | $6.62 | $7.36 | $4.27–$7.00 | 84% below | 10% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 WMHC FLU VACC ADMIN-CCU | $6.62 | $7.36 | $4.27–$7.00 | 84% below | 10% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 WMHC PR IMMUNIZ ADMIN,1 SINGLE/COMB VAC/TOXOID | $40.74 | $45.26 | $26.23–$42.99 | 2% above | 10% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC IMMUNIZATION ADMINISTRATION | $48.39 | $53.77 | $31.16–$51.08 | 21% above | 10% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 WMHC IMMUN ADMIN ONC-HOSP | $48.39 | $53.77 | $31.16–$51.08 | 21% above | 10% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 WMHC PNEUMO VAC ADM-CCU | $48.39 | $53.77 | $31.16–$51.08 | 21% above | 10% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 WMHC PNEUMO VAC ADM-MS | $48.39 | $53.77 | $31.16–$51.08 | 21% above | 10% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 WMHC IMMUN ADMIN-MS | $48.39 | $53.77 | $31.16–$51.08 | 21% above | 10% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 WMHC FLU VACC ADMIN-MS | $6.62 | $7.36 | $4.27–$7.00 | — | 10% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 WMHC FLU VACC ADMIN-ONC/IFC | $6.62 | $7.36 | $4.27–$7.00 | — | 10% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 WMHC FLU VACC ADMIN-CCU | $6.62 | $7.36 | $4.27–$7.00 | — | 10% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 WMHC PR IMMUNIZ ADMIN,1 SINGLE/COMB VAC/TOXOID | $40.74 | $45.26 | $26.23–$42.99 | — | 10% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 WMHC PNEUMO VAC ADM-CCU | $48.39 | $53.77 | $31.16–$51.08 | — | 10% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 WMHC IMMUN ADMIN-MS | $48.39 | $53.77 | $31.16–$51.08 | — | 10% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 WMHC PNEUMO VAC ADM-MS | $48.39 | $53.77 | $31.16–$51.08 | — | 10% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 WMHC IMMUN ADMIN ONC-HOSP | $48.39 | $53.77 | $31.16–$51.08 | — | 10% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 WMHC PR IMMUNIZ,ADMIN,EACH ADDL | $39.78 | $44.20 | $25.62–$42.00 | 14% above | 10% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC SUBSEQUENT IMMUN ADMIN | $41.35 | $45.95 | $26.62–$43.65 | 19% above | 10% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 WMHC PR IMMUNIZ,ADMIN,EACH ADDL | $39.78 | $44.20 | $25.62–$42.00 | — | 10% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 WMHC EA ADDL VAC ADULT>18YRS | $41.35 | $45.95 | $26.62–$43.65 | — | 10% |
Source file: https://www.wyandotmemorial.org/wp-content/uploads/2025/04/WMH-MRF-PT-4.8-4-increased.csv