Treasure Valley Hospital
Treasure Valley Hospital in Boise, ID publishes cash prices for 207 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 Idaho median for 149 of 204 procedures and above it for 51. By typical cash price it ranks #1 of 22 Idaho hospitals and #1 of 6 hospitals in the Boise City, ID area, cheapest first. Click a procedure to compare it with other hospitals nearby.
8800 West Emerald Street Boise, ID 83704 Collected Sep 27, 2026 Source price file (208) 373-5000
Acute care hospital No emergency department CCN 130063 · CMS hospital register
CMS price transparency record
The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 5 actions for a hospital named Treasure Valley Hospital in Boise, ID:
- Aug 14, 2024 Corrective action plan requested
- Oct 3, 2024 Corrective action plan requested
- Dec 12, 2024 Corrective action plan requested
- Feb 13, 2025 Case closed
- Jun 4, 2026 Warning notice
Corrective action plan requested: CMS asked the hospital to submit a plan to fix the problems it found. Case closed: CMS closed the case after the hospital addressed the problems. Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules.
A notice records a step in a CMS review; it is not a court finding. Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes, actions through Jul 31, 2026.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Idaho | Off list |
|---|---|---|---|---|---|
| Barium swallow (esophagus X-ray with contrast) CPT 74220 74220 RADEX ESOPHAGUS | $212.01 | $313.00 | $140.85–$348.99 | 51% below | 32% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 74220 RADEX ESOPHAGUS | $212.01 | $313.00 | $140.85–$348.99 | — | 32% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT Angio Chest and Abdomen | $719.37 | $1,225.25 | $177.22–$1,225.25 | 46% below | 41% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT Angio Chest and Abdomen | $719.37 | $1,225.25 | $177.22–$1,225.25 | — | 41% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT Heart Calcium Scoring w/o Contrast | $57.19 | $750.75 | $38.12–$750.75 | 70% below | 92% |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT Heart Calcium Scoring w/o Contrast | $57.19 | $750.75 | $38.12–$750.75 | — | 92% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 74178 CT ABD AND PELVIS W/& W/OUT CONTRAST | $1,085.96 | $2,300.50 | $352.50–$2,300.50 | 52% below | 53% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 74178 CT ABD AND PELVIS W/& W/OUT CONTRAST | $1,085.96 | $2,300.50 | $352.50–$2,300.50 | — | 53% |
| CT scan of the head or brain, no contrast dye CPT 70450 Under Diagnostic Radiology (Diagnostic Imaging) Procedures of the Head and Neck | $407.99 | $1,460.50 | $105.63–$1,460.50 | 57% below | 72% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 Under Diagnostic Radiology (Diagnostic Imaging) Procedures of the Head and Neck | $407.99 | $1,460.50 | $105.63–$1,460.50 | — | 72% |
| CT scan of the head with contrast CPT 70460 70460 CT HEAD/BRAIN W/DYE | $573.66 | $1,374.50 | $177.22–$1,374.50 | 48% below | 58% |
| CT scan of the head with contrast inpatient CPT 70460 70460 CT HEAD/BRAIN W/DYE | $573.66 | $1,374.50 | $177.22–$1,374.50 | — | 58% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 US Carotid Duplex Bilateral | $835.53 | $735.00 | $241.08–$735.00 | — | -14% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 US Carotid Duplex Bilateral | $835.53 | $735.00 | $241.08–$735.00 | — | -14% |
| Chest X-ray, single view CPT 71045 71045 CHEST X-RAY ONE VIEW | $92.11 | $101.75 | $45.79–$131.89 | 57% below | 9% |
| Chest X-ray, single view CPT 71045 XR Chest 1 View Frontal | $92.11 | $160.75 | $61.41–$160.75 | 57% below | 43% |
| Chest X-ray, single view inpatient CPT 71045 71045 CHEST X-RAY ONE VIEW | $92.11 | $101.75 | $45.79–$131.89 | — | 9% |
| Chest X-ray, single view inpatient CPT 71045 XR Chest 1 View Frontal | $92.11 | $160.75 | $61.41–$160.75 | — | 43% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 93925 DUPLEX U/S STUDY - LOWER EXTREMITY ARTERIES OR ARTERIAL BYPASS GRAFTS;COMPLETE BILATERAL STUDY | $440.42 | $1,002.75 | $293.62–$1,002.75 | — | 56% |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 93925 DUPLEX U/S STUDY - LOWER EXTREMITY ARTERIES OR ARTERIAL BYPASS GRAFTS;COMPLETE BILATERAL STUDY | $440.42 | $1,002.75 | $293.62–$1,002.75 | — | 56% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US Lower Ext Venous Duplex Bilateral | $803.70 | $385.25 | $173.36–$535.80 | — | -109% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US Lower Ext Arterial Duplex Bilateral | $803.70 | $1,033.25 | $241.08–$1,033.25 | — | 22% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 93970 DUPLEX SCAN OF EXTREMITY VEINS INCLUDING RESPONSES TO COMPRESSION AND OTHER MANEUVERS | $803.70 | $999.50 | $400.03–$999.50 | 16% below | 20% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US Lower Ext Venous Duplex Bilateral | $803.70 | $385.25 | $173.36–$535.80 | — | -109% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US Lower Ext Arterial Duplex Bilateral | $803.70 | $1,033.25 | $241.08–$1,033.25 | — | 22% |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 93970 DUPLEX SCAN OF EXTREMITY VEINS INCLUDING RESPONSES TO COMPRESSION AND OTHER MANEUVERS | $803.70 | $999.50 | $400.03–$999.50 | — | 20% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Echocardiogram Complete | $402.01 | $2,051.75 | $268.00–$2,051.75 | 78% below | 80% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 US Echo Transthoracic Non-congenital | $402.01 | $2,051.75 | $268.00–$2,051.75 | 78% below | 80% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 US Echo Transthoracic Non-congenital | $402.01 | $2,051.75 | $268.00–$2,051.75 | — | 80% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Echocardiogram Complete | $402.01 | $2,051.75 | $268.00–$2,051.75 | — | 80% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Appendix | $224.65 | $246.75 | $105.63–$246.75 | 49% below | 9% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Appendix | $224.65 | $246.75 | $105.63–$246.75 | — | 9% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Ankle w/o Contrast Left | $880.65 | $2,371.00 | $241.08–$2,371.00 | 50% below | 63% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Ankle w/o Contrast Left | $880.65 | $2,371.00 | $241.08–$2,371.00 | — | 63% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Ankle w/ + w/o Contrast Right | $1,263.05 | $3,495.50 | $352.50–$3,495.50 | 44% below | 64% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Ankle w/ + w/o Contrast Left | $1,263.05 | $3,177.25 | $352.50–$3,177.25 | 44% below | 60% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Ankle w/ + w/o Contrast Right | $1,263.05 | $3,495.50 | $352.50–$3,495.50 | — | 64% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Ankle w/ + w/o Contrast Left | $1,263.05 | $3,177.25 | $352.50–$3,177.25 | — | 60% |
| MRI of the abdomen without contrast CPT 74181 MRI Abdomen and Pelvis Pregnant | $826.77 | $1,966.75 | $241.08–$1,966.75 | 48% below | 58% |
| MRI of the abdomen without contrast CPT 74181 MRI Abdomen w/o Contrast | $826.77 | $2,195.50 | $241.08–$2,195.50 | 48% below | 62% |
| MRI of the abdomen without contrast inpatient CPT 74181 MRI Abdomen w/o Contrast | $826.77 | $2,195.50 | $241.08–$2,195.50 | — | 62% |
| MRI of the abdomen without contrast inpatient CPT 74181 MRI Abdomen and Pelvis Pregnant | $826.77 | $1,966.75 | $241.08–$1,966.75 | — | 58% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI Abdomen w/ + w/o Contrast | $1,190.62 | $850.50 | $352.50–$850.50 | 47% below | -40% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI Abdomen w/ + w/o Contrast | $1,190.62 | $850.50 | $352.50–$850.50 | — | -40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 93971 DUPLEX SCAN OF EXTREMITY VEINS;UNILATERAL OR LIMITED | $511.05 | $642.50 | $105.63–$642.50 | 11% below | 20% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 93971 DUPLEX SCAN OF EXTREMITY VEINS;UNILATERAL OR LIMITED | $511.05 | $642.50 | $105.63–$642.50 | — | 20% |
| X-ray of the abdomen, 1 view CPT 74018 XR Abdomen KUB 1 View | $100.19 | $162.75 | $66.79–$162.75 | 50% below | 38% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 XR Abdomen KUB 1 View | $100.19 | $162.75 | $66.79–$162.75 | — | 38% |
| X-ray of the lower back, 4 or more views CPT 72110 72110 RADEX SPINE LUMBOSACRAL MIN 4 VIEWS | $173.75 | $379.00 | $105.63–$379.00 | 57% below | 54% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 72110 RADEX SPINE LUMBOSACRAL MIN 4 VIEWS | $173.75 | $379.00 | $105.63–$379.00 | — | 54% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Idaho | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Alanine aminotransferase | $12.87 | $101.75 | $5.30–$101.75 | 51% below | 87% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Alanine aminotransferase | $12.87 | $101.75 | $5.30–$101.75 | — | 87% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA Screen, IFA, w/REFL Titer and Pattern | $24.00 | $135.50 | $12.09–$135.50 | 56% below | 82% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA Screen, IFA, w/REFL Titer and Pattern | $24.00 | $135.50 | $12.09–$135.50 | — | 82% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B-type Natriuretic Peptide POC | $85.00 | $45.25 | $20.36–$58.89 | 49% below | -88% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 B-type Natriuretic Peptide POC | $85.00 | $45.25 | $20.36–$58.89 | — | -88% |
| Basic metabolic panel (blood test) CPT 80048 Piccolo Basic Metabolic Panel | $34.73 | $29.50 | $8.46–$29.50 | 17% below | -18% |
| Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Panel Piccolo | $34.73 | $29.50 | $8.46–$29.50 | 17% below | -18% |
| Basic metabolic panel (blood test) inpatient CPT 80048 Basic Metabolic Panel Piccolo | $34.73 | $29.50 | $8.46–$29.50 | — | -18% |
| Basic metabolic panel (blood test) inpatient CPT 80048 Piccolo Basic Metabolic Panel | $34.73 | $29.50 | $8.46–$29.50 | — | -18% |
| Blood culture for bacteria CPT 87040 Culture, Blood | $25.11 | $24.25 | $10.32–$24.25 | 77% below | -4% |
| Blood culture for bacteria inpatient CPT 87040 Culture, Blood | $25.11 | $24.25 | $10.32–$24.25 | — | -4% |
| Blood glucose (sugar) test CPT 82947 Blood Glucose, Capillary | $9.83 | $114.50 | $3.93–$114.50 | 61% below | 91% |
| Blood glucose (sugar) test inpatient CPT 82947 Blood Glucose, Capillary | $9.83 | $114.50 | $3.93–$114.50 | — | 91% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Beta hCG Qualitative | $18.28 | $44.00 | $7.52–$44.00 | 60% below | 58% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG Qualitative | $18.28 | $124.00 | $7.52–$124.00 | 60% below | 85% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Beta hCG Qualitative | $18.28 | $44.00 | $7.52–$44.00 | — | 58% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG Qualitative | $18.28 | $124.00 | $7.52–$124.00 | — | 85% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-Reactive Protein IP | $12.95 | $99.75 | $5.18–$99.75 | 70% below | 87% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-Reactive Protein IP | $12.95 | $99.75 | $5.18–$99.75 | — | 87% |
| C. difficile toxin gene test (stool PCR) CPT 87493 Clostridium difficile ToXin | $85.30 | $159.50 | $37.27–$159.50 | 49% below | 47% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 Clostridium difficile ToXin | $85.30 | $159.50 | $37.27–$159.50 | — | 47% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia, Aptima | $85.30 | $183.75 | $35.09–$183.75 | 25% below | 54% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia, Aptima | $85.30 | $183.75 | $35.09–$183.75 | — | 54% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel | $28.40 | $29.50 | $13.28–$29.50 | 48% below | 4% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel | $28.40 | $29.50 | $13.28–$29.50 | — | 4% |
| Complete blood count (CBC) with differential CPT 85025 CBC w/ Manual Differential | $31.88 | $61.00 | $7.77–$61.00 | 18% below | 48% |
| Complete blood count (CBC) with differential CPT 85025 CBC w/ Differential | $31.88 | $11.50 | $5.18–$21.25 | 18% below | -177% |
| Complete blood count (CBC) with differential CPT 85025 CBC | $31.88 | $61.00 | $7.77–$61.00 | 18% below | 48% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC w/ Manual Differential | $31.88 | $61.00 | $7.77–$61.00 | — | 48% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC | $31.88 | $61.00 | $7.77–$61.00 | — | 48% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC w/ Differential | $31.88 | $11.50 | $5.18–$21.25 | — | -177% |
| Complete blood count (CBC), no differential CPT 85027 CBC (H/H, RBC, INDICES, WBC, PLT) | $15.39 | $61.00 | $6.47–$61.00 | 53% below | 75% |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC (H/H, RBC, INDICES, WBC, PLT) | $15.39 | $61.00 | $6.47–$61.00 | — | 75% |
| Ferritin blood test (iron stores) CPT 82728 Ferritin | $33.13 | $113.50 | $13.63–$113.50 | 51% below | 71% |
| Ferritin blood test (iron stores) inpatient CPT 82728 Ferritin | $33.13 | $113.50 | $13.63–$113.50 | — | 71% |
| Free T3 thyroid hormone test CPT 84481 T3, Free | $41.17 | $101.75 | $16.94–$101.75 | 38% below | 60% |
| Free T3 thyroid hormone test CPT 84481 T3 Free | $41.17 | $153.25 | $16.94–$153.25 | 38% below | 73% |
| Free T3 thyroid hormone test inpatient CPT 84481 T3, Free | $41.17 | $101.75 | $16.94–$101.75 | — | 60% |
| Free T3 thyroid hormone test inpatient CPT 84481 T3 Free | $41.17 | $153.25 | $16.94–$153.25 | — | 73% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 T4, Free | $21.90 | $44.00 | $9.02–$44.00 | 49% below | 50% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4, Free | $21.90 | $44.00 | $9.02–$44.00 | — | 50% |
| Free testosterone test CPT 84402 TESTOSTERONE,FR(DIALYSIS) AND TOTAL(LC/MS/MS) | $56.97 | $195.25 | $25.47–$195.25 | 34% below | 71% |
| Free testosterone test CPT 84402 Testosterone Level Free (Male) | $56.97 | $44.00 | $19.80–$44.00 | 34% below | -29% |
| Free testosterone test inpatient CPT 84402 Testosterone Level Free (Male) | $56.97 | $44.00 | $19.80–$44.00 | — | -29% |
| Free testosterone test inpatient CPT 84402 TESTOSTERONE,FR(DIALYSIS) AND TOTAL(LC/MS/MS) | $56.97 | $195.25 | $25.47–$195.25 | — | 71% |
| H. pylori antibody blood test CPT 86677 Helicobacter pylori Antibody IgG | $35.28 | $59.75 | $16.85–$59.75 | 66% below | 41% |
| H. pylori antibody blood test inpatient CPT 86677 Helicobacter pylori Antibody IgG | $35.28 | $59.75 | $16.85–$59.75 | — | 41% |
| HIV-1 and HIV-2 antibody test CPT 86703 HIV 1/2 ANTIGEN/ANTIBODY,FOURTH GENERATION W/RFL | $33.32 | $119.75 | $13.71–$119.75 | 69% below | 72% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV 1/2 ANTIGEN/ANTIBODY,FOURTH GENERATION W/RFL | $33.32 | $119.75 | $13.71–$119.75 | — | 72% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV Ag/Ab Combo 1/2 Screen | $58.55 | $89.25 | $24.08–$89.25 | 29% below | 34% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV Ag/Ab Combo 1/2 Screen | $58.55 | $89.25 | $24.08–$89.25 | — | 34% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1c (POCT) | $17.00 | $99.75 | $9.71–$99.75 | 60% below | 83% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hemoglobin A1c (POCT) | $17.00 | $99.75 | $9.71–$99.75 | — | 83% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Anti-HBs IP | $25.12 | $317.00 | $10.33–$317.00 | 48% below | 92% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Anti-HBs IP | $25.12 | $317.00 | $10.33–$317.00 | — | 92% |
| Iron blood test (serum iron) CPT 83540 Iron Level | $15.73 | $59.75 | $6.47–$59.75 | 50% below | 74% |
| Iron blood test (serum iron) inpatient CPT 83540 Iron Level | $15.73 | $59.75 | $6.47–$59.75 | — | 74% |
| Kidney function blood test panel CPT 80069 Renal Function Panel | $21.75 | $99.75 | $8.68–$99.75 | 64% below | 78% |
| Kidney function blood test panel inpatient CPT 80069 Renal Function Panel | $21.75 | $99.75 | $8.68–$99.75 | — | 78% |
| LH (luteinizing hormone) test CPT 83002 Luteinizing Hormone | $33.26 | $48.25 | $18.52–$48.25 | 59% below | 31% |
| LH (luteinizing hormone) test inpatient CPT 83002 Luteinizing Hormone | $33.26 | $48.25 | $18.52–$48.25 | — | 31% |
| Liver function blood test panel CPT 80076 Hep Fnct Pnl | $19.85 | $107.00 | $8.17–$107.00 | 57% below | 81% |
| Liver function blood test panel inpatient CPT 80076 Hep Fnct Pnl | $19.85 | $107.00 | $8.17–$107.00 | — | 81% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA, Total | $44.72 | $115.50 | $18.39–$115.50 | 50% below | 61% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA Diagnostic | $44.72 | $125.00 | $18.39–$125.00 | 50% below | 64% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA Screening | $44.72 | $115.50 | $18.39–$115.50 | 50% below | 61% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA, Total | $44.72 | $115.50 | $18.39–$115.50 | — | 61% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA Diagnostic | $44.72 | $125.00 | $18.39–$125.00 | — | 64% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA Screening | $44.72 | $115.50 | $18.39–$115.50 | — | 61% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Partial Thromboplastin Time, Activated | $14.61 | $135.50 | $6.01–$135.50 | 69% below | 89% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Partial Thromboplastin Time | $14.61 | $78.75 | $6.01–$78.75 | 69% below | 81% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Partial Thromboplastin Time, Activated | $14.61 | $135.50 | $6.01–$135.50 | — | 89% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Partial Thromboplastin Time | $14.61 | $78.75 | $6.01–$78.75 | — | 81% |
| Prolactin blood test CPT 84146 Prolactin Lvl IP | $47.10 | $55.75 | $19.38–$55.75 | 39% below | 16% |
| Prolactin blood test inpatient CPT 84146 Prolactin Lvl IP | $47.10 | $55.75 | $19.38–$55.75 | — | 16% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time POC | $9.86 | $71.50 | $4.29–$71.50 | 61% below | 86% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time-INR | $9.86 | $110.25 | $4.29–$110.25 | 61% below | 91% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time POC | $9.86 | $71.50 | $4.29–$71.50 | — | 86% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time-INR | $9.86 | $110.25 | $4.29–$110.25 | — | 91% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 Culture, Group A Strep | $31.86 | $140.75 | $16.53–$140.75 | 48% below | 77% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Culture, Group A Strep | $31.86 | $140.75 | $16.53–$140.75 | — | 77% |
| Rubella antibody test (immunity check) CPT 86762 MMR (IgG) (Measles, Mumps, Rubella) | $23.87 | $24.25 | $10.91–$24.25 | 54% below | 2% |
| Rubella antibody test (immunity check) CPT 86762 Rubella Ab | $23.87 | $66.25 | $14.39–$66.25 | 54% below | 64% |
| Rubella antibody test (immunity check) inpatient CPT 86762 MMR (IgG) (Measles, Mumps, Rubella) | $23.87 | $24.25 | $10.91–$24.25 | — | 2% |
| Rubella antibody test (immunity check) inpatient CPT 86762 Rubella Ab | $23.87 | $66.25 | $14.39–$66.25 | — | 64% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Sed Rate by Modified Westergren, Manual | $7.17 | $110.25 | $2.70–$110.25 | 64% below | 93% |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 Sed Rate by Modified Westergren, Manual | $7.17 | $110.25 | $2.70–$110.25 | — | 93% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 Fecal WBC | $38.67 | $38.75 | $15.92–$38.75 | 46% below | — |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Fecal WBC | $38.67 | $38.75 | $15.92–$38.75 | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Rapid Plasma Reagin | $10.37 | $12.50 | $4.27–$12.50 | 63% below | 17% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Rapid Plasma Regin Titer | $10.37 | $59.75 | $4.27–$59.75 | 63% below | 83% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Rapid Plasma Reagin | $10.37 | $12.50 | $4.27–$12.50 | — | 17% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Rapid Plasma Regin Titer | $10.37 | $59.75 | $4.27–$59.75 | — | 83% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone, Total, LC/MS/MS | $57.13 | $195.25 | $25.81–$195.25 | 50% below | 71% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone Level Total (Male) | $57.13 | $195.25 | $25.81–$195.25 | 50% below | 71% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone Level Total (Male) | $57.13 | $195.25 | $25.81–$195.25 | — | 71% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone, Total, LC/MS/MS | $57.13 | $195.25 | $25.81–$195.25 | — | 71% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Stimulating Hormone w/ Reflex IP | $38.23 | $101.75 | $16.80–$101.75 | 50% below | 62% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH | $38.23 | $101.75 | $16.80–$101.75 | 50% below | 62% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Stimulating Hormone | $38.23 | $113.50 | $16.80–$113.50 | 50% below | 66% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Thyroid Stimulating Hormone | $38.23 | $113.50 | $16.80–$113.50 | — | 66% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH | $38.23 | $101.75 | $16.80–$101.75 | — | 62% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Thyroid Stimulating Hormone w/ Reflex IP | $38.23 | $101.75 | $16.80–$101.75 | — | 62% |
| Urinalysis with microscope exam, automated CPT 81001 Urinalysis, Complete | $7.71 | $68.25 | $3.17–$68.25 | 51% below | 89% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis, Complete | $7.71 | $68.25 | $3.17–$68.25 | — | 89% |
| Urinalysis without microscope exam, automated CPT 81003 Urine Color Urine Dipstick | $9.23 | $162.00 | $2.25–$162.00 | 27% below | 94% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Urine Color Urine Dipstick | $9.23 | $162.00 | $2.25–$162.00 | — | 94% |
| Urine culture for bacteria, with colony count CPT 87086 UA w Culture | $19.62 | $31.50 | $8.07–$31.50 | 63% below | 38% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 UA w Culture | $19.62 | $31.50 | $8.07–$31.50 | — | 38% |
| Urine pregnancy test, read by color change CPT 81025 Urine Preg POC Confirmation | $37.88 | $15.75 | $7.09–$25.25 | at median | -141% |
| Urine pregnancy test, read by color change inpatient CPT 81025 Urine Preg POC Confirmation | $37.88 | $15.75 | $7.09–$25.25 | — | -141% |
| Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B12/Folate, Serum Panel | $36.64 | $51.50 | $15.08–$51.50 | 50% below | 29% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vitamin B12/Folate, Serum Panel | $36.64 | $51.50 | $15.08–$51.50 | — | 29% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D 25 Hydroxy Level | $71.99 | $94.50 | $29.60–$94.50 | 14% below | 24% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D, 25-OH, Total, IA | $71.99 | $264.50 | $29.60–$264.50 | 14% below | 73% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D 25 Hydroxy Level | $71.99 | $94.50 | $29.60–$94.50 | — | 24% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D, 25-OH, Total, IA | $71.99 | $264.50 | $29.60–$264.50 | — | 73% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Idaho | Off list |
|---|---|---|---|---|---|
| Adenoid removal (adenoidectomy), child under 12 CPT 42830 42830 REMOVAL OF ADENOIDS | $4,860.60 | $8,112.00 | $3,240.40–$8,112.00 | 20% below | 40% |
| Adenoid removal (adenoidectomy), child under 12 inpatient CPT 42830 42830 REMOVAL OF ADENOIDS | $4,860.60 | $8,112.00 | $3,240.40–$8,112.00 | — | 40% |
| Anterior cervical discectomy and fusion (ACDF), one level CPT 22551 22551 NECK SPINE FUSE&REMOV BEL C2 | $22,750.13 | $47,231.00 | $5,400.00–$47,231.00 | 18% above | 52% |
| Anterior cervical discectomy and fusion (ACDF), one level inpatient CPT 22551 22551 NECK SPINE FUSE&REMOV BEL C2 | $22,750.13 | $47,231.00 | $5,400.00–$47,231.00 | — | 52% |
| Appendectomy for a ruptured appendix with abscess or peritonitis CPT 44960 44960 APPENDECTOMY | $4,759.39 | $4,143.25 | $1,864.46–$4,143.25 | 55% above | -15% |
| Appendectomy for a ruptured appendix with abscess or peritonitis inpatient CPT 44960 44960 APPENDECTOMY | $4,759.39 | $4,143.25 | $1,864.46–$4,143.25 | — | -15% |
| Appendectomy, open surgery CPT 44950 44950 APPENDECTOMY | $2,493.04 | $5,756.00 | $1,662.03–$5,756.00 | at median | 57% |
| Appendectomy, open surgery inpatient CPT 44950 44950 APPENDECTOMY | $2,493.04 | $5,756.00 | $1,662.03–$5,756.00 | — | 57% |
| Arthroscopic ACL reconstruction or repair of the knee CPT 29888 29888 KNEE ARTHROSCOPY/SURGERY | $12,475.88 | $28,245.00 | $5,400.00–$28,245.00 | 3% above | 56% |
| Arthroscopic ACL reconstruction or repair of the knee inpatient CPT 29888 29888 KNEE ARTHROSCOPY/SURGERY | $12,475.88 | $28,245.00 | $5,400.00–$28,245.00 | — | 56% |
| Arthroscopic rotator cuff repair of the shoulder CPT 29827 29827 ARTHROSCOP ROTATOR CUFF REPR | $10,274.25 | $15,700.00 | $5,400.00–$15,700.00 | 15% below | 35% |
| Arthroscopic rotator cuff repair of the shoulder inpatient CPT 29827 29827 ARTHROSCOP ROTATOR CUFF REPR | $10,274.25 | $15,700.00 | $5,400.00–$15,700.00 | — | 35% |
| Balloon dilation of the maxillary sinus opening, one side CPT 31295 31295 SINUS ENDO W/BALLOON DIL | $4,161.20 | $11,750.00 | $2,774.13–$11,750.00 | 64% below | 65% |
| Balloon dilation of the maxillary sinus opening, one side inpatient CPT 31295 31295 SINUS ENDO W/BALLOON DIL | $4,161.20 | $11,750.00 | $2,774.13–$11,750.00 | — | 65% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 27786 TREATMENT OF ANKLE FRACTURE | $236.51 | $768.50 | $157.67–$768.50 | 37% below | 69% |
| Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 27786 TREATMENT OF ANKLE FRACTURE | $236.51 | $768.50 | $157.67–$768.50 | — | 69% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 28470 TREAT METATARSAL FRACTURE | $236.51 | $1,101.50 | $157.67–$1,101.50 | 34% below | 79% |
| Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 28470 TREAT METATARSAL FRACTURE | $236.51 | $1,101.50 | $157.67–$1,101.50 | — | 79% |
| Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 28296 CORRECTION OF BUNION | $5,567.60 | $10,209.25 | $3,711.74–$10,209.25 | 11% below | 45% |
| Bunion correction with a bone cut near the head of the first metatarsal inpatient CPT 28296 28296 CORRECTION OF BUNION | $5,567.60 | $10,209.25 | $3,711.74–$10,209.25 | — | 45% |
| Bunion correction with removal of part of the big toe joint CPT 28292 28292 CORRECTION OF BUNION | $4,467.73 | $8,879.75 | $2,978.49–$8,879.75 | 35% below | 50% |
| Bunion correction with removal of part of the big toe joint inpatient CPT 28292 28292 CORRECTION OF BUNION | $4,467.73 | $8,879.75 | $2,978.49–$8,879.75 | — | 50% |
| Cardiac catheterization with coronary angiogram CPT 93458 CATH PLMT L HRT & ARTS W/NJX & ANGIO IMG S&I | $8,806.50 | $13,549.25 | $3,275.58–$13,549.25 | 50% below | 35% |
| Cardiac catheterization with coronary angiogram one side CPT 93458 93458 Coronary angiography w/ left heart cath, including left ventriculography | $8,806.50 | $13,812.25 | $3,275.58–$13,812.25 | 50% below | 36% |
| Cardiac catheterization with coronary angiogram inpatient CPT 93458 CATH PLMT L HRT & ARTS W/NJX & ANGIO IMG S&I | $8,806.50 | $13,549.25 | $3,275.58–$13,549.25 | — | 35% |
| Cardiac catheterization with coronary angiogram inpatient one side CPT 93458 93458 Coronary angiography w/ left heart cath, including left ventriculography | $8,806.50 | $13,812.25 | $3,275.58–$13,812.25 | — | 36% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 92960 Cardioversion Elective Arrhythmia External | $1,467.75 | $2,900.00 | $667.81–$2,900.00 | 1% below | 49% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion Elective Arrhythmia External | $1,467.75 | $2,470.75 | $667.81–$2,620.00 | 1% below | 41% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 92960 Cardioversion Elective Arrhythmia External | $1,467.75 | $2,900.00 | $667.81–$2,900.00 | — | 49% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Cardioversion Elective Arrhythmia External | $1,467.75 | $2,470.75 | $667.81–$2,620.00 | — | 41% |
| Carpal tunnel release, open surgery CPT 64721 64721 CARPAL TUNNEL SURGERY | $4,770.19 | $6,399.75 | $2,830.53–$6,399.75 | 78% above | 25% |
| Carpal tunnel release, open surgery inpatient CPT 64721 64721 CARPAL TUNNEL SURGERY | $4,770.19 | $6,399.75 | $2,830.53–$6,399.75 | — | 25% |
| Cataract surgery with lens implant CPT 66984 66984 CATARACT SURG W/IOL 1 STAGE | $2,408.04 | $3,744.25 | $1,605.36–$3,744.25 | 57% below | 36% |
| Cataract surgery with lens implant inpatient CPT 66984 66984 CATARACT SURG W/IOL 1 STAGE | $2,408.04 | $3,744.25 | $1,605.36–$3,744.25 | — | 36% |
| Catheter ablation for atrial fibrillation CPT 93656 COMPRE EP EVAL ABLTJ ATR FIB PULM VEIN ISOLATION | $46,968.00 | $91,198.00 | $12,798.00–$91,198.00 | 24% below | 48% |
| Catheter ablation for atrial fibrillation inpatient CPT 93656 COMPRE EP EVAL ABLTJ ATR FIB PULM VEIN ISOLATION | $46,968.00 | $91,198.00 | $12,798.00–$91,198.00 | — | 48% |
| Cervical biopsy CPT 57500 57500 BIOPSY OF CERVIX | $198.08 | $1,088.75 | $132.05–$1,088.75 | 71% below | 82% |
| Cervical biopsy inpatient CPT 57500 57500 BIOPSY OF CERVIX | $198.08 | $1,088.75 | $132.05–$1,088.75 | — | 82% |
| Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 54161 CIRCUM 28 DAYS OR OLDER | $2,366.13 | $4,477.00 | $1,577.42–$4,477.00 | 55% below | 47% |
| Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 54161 CIRCUM 28 DAYS OR OLDER | $2,366.13 | $4,477.00 | $1,577.42–$4,477.00 | — | 47% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 54150 CIRCUMCISION W/REGIONL BLOCK | $2,366.13 | $7,192.50 | $1,577.42–$7,192.50 | 896% above | 67% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 54150 CIRCUMCISION W/REGIONL BLOCK | $2,366.13 | $7,192.50 | $1,577.42–$7,192.50 | — | 67% |
| Circumcision, surgical, older than a newborn CPT 54160 54160 CIRCUMCISION NEONATE | $2,366.13 | $2,780.50 | $975.24–$2,780.50 | 27% above | 15% |
| Circumcision, surgical, older than a newborn inpatient CPT 54160 54160 CIRCUMCISION NEONATE | $2,366.13 | $2,780.50 | $975.24–$2,780.50 | — | 15% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 25600 TREAT FRACTURE RADIUS/ULNA | $236.51 | $1,101.50 | $157.67–$1,101.50 | 30% below | 79% |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 25600 TREAT FRACTURE RADIUS/ULNA | $236.51 | $1,101.50 | $157.67–$1,101.50 | — | 79% |
| Colonoscopy with polyp removal CPT 45385 45385 COLONOSCOPY W/LESION REMOVAL | $2,103.30 | $3,290.75 | $1,402.20–$3,290.75 | 15% below | 36% |
| Colonoscopy with polyp removal inpatient CPT 45385 45385 COLONOSCOPY W/LESION REMOVAL | $2,103.30 | $3,290.75 | $1,402.20–$3,290.75 | — | 36% |
| Colonoscopy with tissue sample CPT 45380 45380 COLONOSCOPY AND BIOPSY | $2,069.64 | $3,290.75 | $1,379.76–$3,290.75 | 18% below | 37% |
| Colonoscopy with tissue sample inpatient CPT 45380 45380 COLONOSCOPY AND BIOPSY | $2,069.64 | $3,290.75 | $1,379.76–$3,290.75 | — | 37% |
| Colonoscopy, diagnostic CPT 45378 45378 DIAGNOSTIC COLONOSCOPY | $1,866.51 | $2,992.50 | $1,244.34–$2,992.50 | 26% below | 38% |
| Colonoscopy, diagnostic inpatient CPT 45378 45378 DIAGNOSTIC COLONOSCOPY | $1,866.51 | $2,992.50 | $1,244.34–$2,992.50 | — | 38% |
| Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 57460 BX OF CERVIX W/SCOPE LEEP | $421.76 | $4,611.50 | $281.17–$4,611.50 | 80% below | 91% |
| Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 57460 BX OF CERVIX W/SCOPE LEEP | $421.76 | $4,611.50 | $281.17–$4,611.50 | — | 91% |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 57454 BX/CURETT OF CERVIX W/SCOPE | $152.10 | $532.25 | $101.40–$532.25 | 55% below | 71% |
| Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 57454 BX/CURETT OF CERVIX W/SCOPE | $152.10 | $532.25 | $101.40–$532.25 | — | 71% |
| Coronary stent placement, one artery CPT 92928 92928 Perc coronary stents w angioplasty single major coronary artery or branch | $20,842.05 | $34,432.75 | $11,664.02–$34,432.75 | 15% below | 39% |
| Coronary stent placement, one artery inpatient CPT 92928 92928 Perc coronary stents w angioplasty single major coronary artery or branch | $20,842.05 | $34,432.75 | $11,664.02–$34,432.75 | — | 39% |
| Cystoscopy with ureteral stent placement CPT 52332 52332 CYSTOSCOPY AND TREATMENT | $2,867.16 | $9,800.00 | $1,911.44–$9,800.00 | 67% below | 71% |
| Cystoscopy with ureteral stent placement inpatient CPT 52332 52332 CYSTOSCOPY AND TREATMENT | $2,867.16 | $9,800.00 | $1,911.44–$9,800.00 | — | 71% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 52000 CYSTOSCOPY | $757.00 | $1,493.00 | $504.67–$1,493.00 | 23% below | 49% |
| Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 52000 CYSTOSCOPY | $757.00 | $1,493.00 | $504.67–$1,493.00 | — | 49% |
| D&C (dilation and curettage), not related to pregnancy CPT 58120 58120 DILATION AND CURETTAGE | $2,963.90 | $9,583.25 | $1,975.93–$9,583.25 | at median | 69% |
| D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 58120 DILATION AND CURETTAGE | $2,963.90 | $9,583.25 | $1,975.93–$9,583.25 | — | 69% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 17000 DESTRUCT PREMALG LESION | $114.19 | $345.50 | $76.12–$345.50 | 1% above | 67% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 17000 DESTRUCT PREMALG LESION | $114.19 | $345.50 | $76.12–$345.50 | — | 67% |
| Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 69436 CREATE EARDRUM OPENING | $3,962.93 | $8,000.00 | $2,219.46–$8,000.00 | 19% above | 50% |
| Ear tube placement (tympanostomy) under general anesthesia, one ear inpatient CPT 69436 69436 CREATE EARDRUM OPENING | $3,962.93 | $8,000.00 | $2,219.46–$8,000.00 | — | 50% |
| Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 69433 CREATE EARDRUM OPENING | $357.22 | $1,121.50 | $238.15–$1,121.50 | 29% below | 68% |
| Ear tube placement (tympanostomy) with local anesthesia, one ear inpatient CPT 69433 69433 CREATE EARDRUM OPENING | $357.22 | $1,121.50 | $238.15–$1,121.50 | — | 68% |
| Earwax removal by irrigation (rinsing), one ear one side CPT 69209 Cerumen Removal - Irrigation Charges -> Removal impacted cerumen using irrigation/lavage, unilateral | $196.25 | $196.25 | $59.60–$1,800.00 | 76% above | — |
| Earwax removal by irrigation (rinsing), one ear one side CPT 69209 69209 REMOVE IMPACT CERUMEN LAVAGE UNILAT | $232.00 | $232.00 | $96.56–$232.00 | 108% above | — |
| Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 Cerumen Removal - Irrigation Charges -> Removal impacted cerumen using irrigation/lavage, unilateral | $196.25 | $196.25 | $59.60–$1,800.00 | — | — |
| Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 69209 REMOVE IMPACT CERUMEN LAVAGE UNILAT | $232.00 | $232.00 | $96.56–$232.00 | — | — |
| Earwax removal with instruments, one ear CPT 69210 69210 REMOVE IMPACTED EAR WAX UNI | $63.65 | $263.50 | $42.44–$263.50 | 20% below | 76% |
| Earwax removal with instruments, one ear inpatient CPT 69210 69210 REMOVE IMPACTED EAR WAX UNI | $63.65 | $263.50 | $42.44–$263.50 | — | 76% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 58100 BIOPSY OF UTERUS LINING | $120.26 | $323.50 | $80.17–$323.50 | 25% below | 63% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 58100 BIOPSY OF UTERUS LINING | $120.26 | $323.50 | $80.17–$323.50 | — | 63% |
| Endoscopic sinus surgery: full ethmoid sinus opening CPT 31255 31255 Functional Endoscopy Sinus Surgery Ethmoidectomy | $5,568.00 | $11,750.00 | $3,712.00–$11,750.00 | 66% below | 53% |
| Endoscopic sinus surgery: full ethmoid sinus opening CPT 31255 31255 NASL/SINUS ENDO W/ETHMOID | $5,568.00 | $11,750.00 | $3,712.00–$11,750.00 | 66% below | 53% |
| Endoscopic sinus surgery: full ethmoid sinus opening inpatient CPT 31255 31255 NASL/SINUS ENDO W/ETHMOID | $5,568.00 | $11,750.00 | $3,712.00–$11,750.00 | — | 53% |
| Endoscopic sinus surgery: full ethmoid sinus opening inpatient CPT 31255 31255 Functional Endoscopy Sinus Surgery Ethmoidectomy | $5,568.00 | $11,750.00 | $3,712.00–$11,750.00 | — | 53% |
| Endoscopic sinus surgery: opening the frontal sinus CPT 31276 31276 SINUS ENDOSCOPY SURGICAL | $4,286.03 | $11,750.00 | $2,857.35–$11,750.00 | 75% below | 64% |
| Endoscopic sinus surgery: opening the frontal sinus inpatient CPT 31276 31276 SINUS ENDOSCOPY SURGICAL | $4,286.03 | $11,750.00 | $2,857.35–$11,750.00 | — | 64% |
| Endoscopic sinus surgery: opening the maxillary (cheek) sinus CPT 31256 31256 NASL/SINUS ENDO W/MAXIL | $3,436.33 | $12,850.00 | $2,290.89–$12,850.00 | 65% below | 73% |
| Endoscopic sinus surgery: opening the maxillary (cheek) sinus inpatient CPT 31256 31256 NASL/SINUS ENDO W/MAXIL | $3,436.33 | $12,850.00 | $2,290.89–$12,850.00 | — | 73% |
| Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 31267 ENDOSCOPY MAXILLARY SINUS | $5,568.00 | $11,750.00 | $3,712.00–$11,750.00 | 68% below | 53% |
| Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue inpatient CPT 31267 31267 ENDOSCOPY MAXILLARY SINUS | $5,568.00 | $11,750.00 | $3,712.00–$11,750.00 | — | 53% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 XR Injection Cerv/Thor Epidural | $4,403.25 | $4,542.25 | $713.21–$4,542.25 | 155% above | 3% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 62321 CESI WITH FLOURO | $4,403.25 | $4,630.50 | $1,038.69–$4,630.50 | 155% above | 5% |
| Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 62321 CESI WITH FLOURO | $4,403.25 | $4,630.50 | $1,038.69–$4,630.50 | — | 5% |
| Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 XR Injection Cerv/Thor Epidural | $4,403.25 | $4,542.25 | $713.21–$4,542.25 | — | 3% |
| Facet joint injection, lower back, one level, with imaging guidance both sides CPT 64493 XR Facet Injection Lumb/Sacr Lv1 Bilat | $1,457.26 | $3,575.25 | $893.65–$3,575.25 | — | 59% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 XR Destroy Lumb/Sac Facet Jnt | $1,457.26 | $3,932.25 | $971.51–$3,932.25 | 41% above | 63% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 64493 INJ PARAVERT F JNT L/S 1 LEV | $1,457.26 | $2,920.00 | $971.51–$2,920.00 | 41% above | 50% |
| Facet joint injection, lower back, one level, with imaging guidance one side CPT 64493 XR Facet Injection Lumb/Sacr Lv1 Left | $1,457.26 | $3,575.25 | $893.65–$3,575.25 | 41% above | 59% |
| Facet joint injection, lower back, one level, with imaging guidance one side CPT 64493 XR Facet Injection Lumb/Sacr Lv1 Right | $1,457.26 | $3,279.25 | $893.65–$3,279.25 | 41% above | 56% |
| Facet joint injection, lower back, one level, with imaging guidance inpatient both sides CPT 64493 XR Facet Injection Lumb/Sacr Lv1 Bilat | $1,457.26 | $3,575.25 | $893.65–$3,575.25 | — | 59% |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 64493 INJ PARAVERT F JNT L/S 1 LEV | $1,457.26 | $2,920.00 | $971.51–$2,920.00 | — | 50% |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 XR Destroy Lumb/Sac Facet Jnt | $1,457.26 | $3,932.25 | $971.51–$3,932.25 | — | 63% |
| Facet joint injection, lower back, one level, with imaging guidance inpatient one side CPT 64493 XR Facet Injection Lumb/Sacr Lv1 Left | $1,457.26 | $3,575.25 | $893.65–$3,575.25 | — | 59% |
| Facet joint injection, lower back, one level, with imaging guidance inpatient one side CPT 64493 XR Facet Injection Lumb/Sacr Lv1 Right | $1,457.26 | $3,279.25 | $893.65–$3,279.25 | — | 56% |
| First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 49593 RPR AA HERNIA 1ST 3-10 CM REDUCIBLE | $8,953.28 | $14,443.75 | $5,400.00–$14,443.75 | 24% below | 38% |
| First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm inpatient CPT 49593 49593 RPR AA HERNIA 1ST 3-10 CM REDUCIBLE | $8,953.28 | $14,443.75 | $5,400.00–$14,443.75 | — | 38% |
| First repair of a front abdominal hernia larger than 10 cm CPT 49595 49595 Repair of anterior abdominal hernia(s), any approach, initial, including mesh | $4,423.98 | $12,163.25 | $2,949.32–$12,163.25 | 70% below | 64% |
| First repair of a front abdominal hernia larger than 10 cm inpatient CPT 49595 49595 Repair of anterior abdominal hernia(s), any approach, initial, including mesh | $4,423.98 | $12,163.25 | $2,949.32–$12,163.25 | — | 64% |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 49591 REPAIR OF ANTERIOR ABDOMINAL HERNIA | $8,953.28 | $13,536.00 | $5,400.00–$13,536.00 | 4% above | 34% |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 49591 RPR AA HERNIA 1ST < 3 CM NCRC8/STRANGULATED | $8,953.28 | $13,536.00 | $5,400.00–$13,536.00 | 4% above | 34% |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm inpatient CPT 49591 49591 REPAIR OF ANTERIOR ABDOMINAL HERNIA | $8,953.28 | $13,536.00 | $5,400.00–$13,536.00 | — | 34% |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm inpatient CPT 49591 49591 RPR AA HERNIA 1ST < 3 CM NCRC8/STRANGULATED | $8,953.28 | $13,536.00 | $5,400.00–$13,536.00 | — | 34% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 45330 DIAGNOSTIC SIGMOIDOSCOPY | $824.95 | $1,904.75 | $549.96–$1,904.75 | 18% below | 57% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 45330 DIAGNOSTIC SIGMOIDOSCOPY | $824.95 | $1,904.75 | $549.96–$1,904.75 | — | 57% |
| Gallbladder removal, laparoscopic CPT 47562 47562 LAPAROSCOPIC CHOLECYSTECTOMY | $11,008.13 | $14,490.00 | $5,400.00–$14,490.00 | 7% below | 24% |
| Gallbladder removal, laparoscopic inpatient CPT 47562 47562 LAPAROSCOPIC CHOLECYSTECTOMY | $11,008.13 | $14,490.00 | $5,400.00–$14,490.00 | — | 24% |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 47563 LAPARO CHOLECYSTECTOMY/GRAPH | $11,411.76 | $14,490.00 | $5,400.00–$14,490.00 | 25% above | 21% |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery inpatient CPT 47563 47563 LAPARO CHOLECYSTECTOMY/GRAPH | $11,411.76 | $14,490.00 | $5,400.00–$14,490.00 | — | 21% |
| Gallbladder removal, open surgery through a larger incision CPT 47600 47600 REMOVAL OF GALLBLADDER | $5,814.95 | $4,403.75 | $1,981.69–$4,403.75 | 105% above | -32% |
| Gallbladder removal, open surgery through a larger incision inpatient CPT 47600 47600 REMOVAL OF GALLBLADDER | $5,814.95 | $4,403.75 | $1,981.69–$4,403.75 | — | -32% |
| Hammertoe correction surgery CPT 28285 28285 REPAIR OF HAMMERTOE | $3,843.35 | $7,029.75 | $2,562.24–$7,029.75 | 41% above | 45% |
| Hammertoe correction surgery inpatient CPT 28285 28285 REPAIR OF HAMMERTOE | $3,843.35 | $7,029.75 | $2,562.24–$7,029.75 | — | 45% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 46221 LIGATION OF HEMORRHOID(S) | $990.82 | $1,450.00 | $652.50–$1,450.00 | 41% above | 32% |
| Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 46221 LIGATION OF HEMORRHOID(S) | $990.82 | $1,450.00 | $652.50–$1,450.00 | — | 32% |
| Hemorrhoidectomy (internal and external), one area CPT 46255 46255 REMOVE INT/EXT HEM 1 GROUP | $2,603.30 | $6,418.75 | $1,735.54–$6,418.75 | 10% below | 59% |
| Hemorrhoidectomy (internal and external), one area inpatient CPT 46255 46255 REMOVE INT/EXT HEM 1 GROUP | $2,603.30 | $6,418.75 | $1,735.54–$6,418.75 | — | 59% |
| Hip replacement after an earlier hip surgery (conversion to total hip) CPT 27132 27132 TOTAL HIP ARTHROPLASTY | $9,185.89 | $19,356.75 | $5,400.00–$19,356.75 | 42% below | 53% |
| Hip replacement after an earlier hip surgery (conversion to total hip) inpatient CPT 27132 27132 TOTAL HIP ARTHROPLASTY | $9,185.89 | $19,356.75 | $5,400.00–$19,356.75 | — | 53% |
| Hysterectomy through an abdominal incision (total) CPT 58150 58150 TOTAL HYSTERECTOMY | $5,561.03 | $7,015.00 | $3,156.75–$7,015.00 | 58% below | 21% |
| Hysterectomy through an abdominal incision (total) inpatient CPT 58150 58150 TOTAL HYSTERECTOMY | $5,561.03 | $7,015.00 | $3,156.75–$7,015.00 | — | 21% |
| Hysteroscopy with endometrial ablation CPT 58563 58563 HYSTEROSCOPY ABLATION | $5,917.00 | $7,323.75 | $3,295.69–$7,323.75 | 50% below | 19% |
| Hysteroscopy with endometrial ablation inpatient CPT 58563 58563 HYSTEROSCOPY ABLATION | $5,917.00 | $7,323.75 | $3,295.69–$7,323.75 | — | 19% |
| Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 58558 HYSTEROSCOPY BIOPSY | $4,209.38 | $4,191.50 | $1,886.18–$4,191.50 | 20% above | — |
| Hysteroscopy with uterine lining sampling and/or polyp removal inpatient CPT 58558 58558 HYSTEROSCOPY BIOPSY | $4,209.38 | $4,191.50 | $1,886.18–$4,191.50 | — | — |
| IUD insertion (the device itself billed separately) CPT 58300 58300 INSERT INTRAUTERINE DEVICE | $361.11 | $191.00 | $85.95–$240.74 | 66% above | -89% |
| IUD insertion (the device itself billed separately) inpatient CPT 58300 58300 INSERT INTRAUTERINE DEVICE | $361.11 | $191.00 | $85.95–$240.74 | — | -89% |
| Incision and drainage of a simple or single skin abscess CPT 10060 10060 I & D OF ABSCESS (EG | $260.01 | $2,364.50 | $173.34–$2,364.50 | 16% above | 89% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 10060 I & D OF ABSCESS (EG | $260.01 | $2,364.50 | $173.34–$2,364.50 | — | 89% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 49505 PRP I/HERN INIT REDUC >5 YR | $9,246.83 | $13,550.00 | $5,113.44–$13,550.00 | 46% above | 32% |
| Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 49505 PRP I/HERN INIT REDUC >5 YR | $9,246.83 | $13,550.00 | $5,113.44–$13,550.00 | — | 32% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 20550 INJ TENDON SHEATH/LIGAMENT | $611.58 | $727.75 | $327.49–$727.75 | 179% above | 16% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 20550 INJ TENDON SHEATH/LIGAMENT | $611.58 | $727.75 | $327.49–$727.75 | — | 16% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 20610 DRAIN/INJ JOINT/BURSA W/O US | $445.84 | $3,445.00 | $297.23–$3,445.00 | 46% above | 87% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 CT Joint/Bursa Major Arthr/Asp/Inj Left | $445.84 | $3,152.00 | $297.23–$3,152.00 | 46% above | 86% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 XR Joint/Bursa Major Arthr/Asp/Inj Left | $445.84 | $3,152.00 | $297.23–$3,152.00 | 46% above | 86% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 CT Joint/Bursa Major Arthr/Asp/Inj Right | $445.84 | $3,152.00 | $297.23–$3,152.00 | 46% above | 86% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 XR Joint/Bursa Major Arthr/Asp/Inj Right | $445.84 | $3,152.00 | $297.23–$3,152.00 | 46% above | 86% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 20610 DRAIN/INJ JOINT/BURSA W/O US | $445.84 | $3,445.00 | $297.23–$3,445.00 | — | 87% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 CT Joint/Bursa Major Arthr/Asp/Inj Left | $445.84 | $3,152.00 | $297.23–$3,152.00 | — | 86% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 CT Joint/Bursa Major Arthr/Asp/Inj Right | $445.84 | $3,152.00 | $297.23–$3,152.00 | — | 86% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 XR Joint/Bursa Major Arthr/Asp/Inj Right | $445.84 | $3,152.00 | $297.23–$3,152.00 | — | 86% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 XR Joint/Bursa Major Arthr/Asp/Inj Left | $445.84 | $3,152.00 | $297.23–$3,152.00 | — | 86% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 11981 INSERT NON-BIODEGRAD DRUG | $133.98 | $328.75 | $89.32–$328.75 | 27% below | 59% |
| Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 11981 INSERT NON-BIODEGRAD DRUG | $133.98 | $328.75 | $89.32–$328.75 | — | 59% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 20605 DRAIN/INJ JOINT/BURSA W/O US | $342.31 | $727.75 | $228.21–$727.75 | 2% above | 53% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 XR Joint/Bursa Intmd Arthr/Asp/Inj Right | $342.31 | $575.50 | $228.21–$1,800.00 | 2% above | 41% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 XR Joint/Bursa Intmd Arthr/Asp/Inj Left | $342.31 | $575.50 | $228.21–$1,800.00 | 2% above | 41% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 20605 DRAIN/INJ JOINT/BURSA W/O US | $342.31 | $727.75 | $228.21–$727.75 | — | 53% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient one side CPT 20605 XR Joint/Bursa Intmd Arthr/Asp/Inj Left | $342.31 | $575.50 | $228.21–$1,800.00 | — | 41% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient one side CPT 20605 XR Joint/Bursa Intmd Arthr/Asp/Inj Right | $342.31 | $575.50 | $228.21–$1,800.00 | — | 41% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 20600 DRAIN/INJ JOINT/BURSA W/O US | $347.00 | $2,570.50 | $231.33–$2,570.50 | 20% above | 87% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 20600 DRAIN/INJ JOINT/BURSA W/O US | $347.00 | $2,570.50 | $231.33–$2,570.50 | — | 87% |
| Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 29882 KNEE ARTHROSCOPY/SURGERY | $7,045.20 | $13,550.00 | $4,552.02–$13,550.00 | 2% above | 48% |
| Knee arthroscopy with meniscus repair (one side of the knee) inpatient CPT 29882 29882 KNEE ARTHROSCOPY/SURGERY | $7,045.20 | $13,550.00 | $4,552.02–$13,550.00 | — | 48% |
| Knee arthroscopy with meniscus trim CPT 29881 29881 KNEE ARTHROSCOPY/SURGERY | $7,045.20 | $11,303.25 | $4,552.02–$11,303.25 | 2% above | 38% |
| Knee arthroscopy with meniscus trim inpatient CPT 29881 29881 KNEE ARTHROSCOPY/SURGERY | $7,045.20 | $11,303.25 | $4,552.02–$11,303.25 | — | 38% |
| Knee arthroscopy with removal of both torn meniscus parts CPT 29880 29880 KNEE ARTHROSCOPY/SURGERY | $7,045.20 | $13,550.00 | $4,552.02–$13,550.00 | 2% above | 48% |
| Knee arthroscopy with removal of both torn meniscus parts inpatient CPT 29880 29880 KNEE ARTHROSCOPY/SURGERY | $7,045.20 | $13,550.00 | $4,552.02–$13,550.00 | — | 48% |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 29877 KNEE ARTHROSCOPY/SURGERY | $5,628.68 | $13,525.00 | $3,752.45–$13,525.00 | 18% below | 58% |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) inpatient CPT 29877 29877 KNEE ARTHROSCOPY/SURGERY | $5,628.68 | $13,525.00 | $3,752.45–$13,525.00 | — | 58% |
| Laparoscopic Roux-en-Y gastric bypass, standard limb length CPT 43644 43644 LAP GASTRIC BYPASS/ROUX-EN-Y | $9,450.47 | $10,732.00 | $4,829.40–$10,732.00 | — | 12% |
| Laparoscopic Roux-en-Y gastric bypass, standard limb length inpatient CPT 43644 43644 LAP GASTRIC BYPASS/ROUX-EN-Y | $9,450.47 | $10,732.00 | $4,829.40–$10,732.00 | — | 12% |
| Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 44970 LAPAROSCOPY APPENDECTOMY | $6,939.58 | $12,983.25 | $4,626.39–$12,983.25 | 7% above | 47% |
| Laparoscopic appendectomy (appendix removal through small cuts) inpatient CPT 44970 44970 LAPAROSCOPY APPENDECTOMY | $6,939.58 | $12,983.25 | $4,626.39–$12,983.25 | — | 47% |
| Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 43280 LAPAROSCOPY FUNDOPLASTY | $12,498.68 | $21,686.75 | $5,400.00–$21,686.75 | 52% below | 42% |
| Laparoscopic fundoplication (anti-reflux surgery) inpatient CPT 43280 43280 LAPAROSCOPY FUNDOPLASTY | $12,498.68 | $21,686.75 | $5,400.00–$21,686.75 | — | 42% |
| Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 58571 TLH W/T/O 250 G OR LESS | $11,902.06 | $13,745.50 | $5,400.00–$13,745.50 | 46% below | 13% |
| Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries inpatient CPT 58571 58571 TLH W/T/O 250 G OR LESS | $11,902.06 | $13,745.50 | $5,400.00–$13,745.50 | — | 13% |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 49650 LAP ING HERNIA REPAIR INIT | $12,963.54 | $13,750.00 | $5,400.00–$13,750.00 | 8% below | 6% |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side inpatient CPT 49650 49650 LAP ING HERNIA REPAIR INIT | $12,963.54 | $13,750.00 | $5,400.00–$13,750.00 | — | 6% |
| Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 49651 LAP ING HERNIA REPAIR RECUR | $8,083.65 | $12,983.25 | $5,389.10–$12,983.25 | 47% below | 38% |
| Laparoscopic inguinal (groin) hernia repair, recurrent hernia inpatient CPT 49651 49651 LAP ING HERNIA REPAIR RECUR | $8,083.65 | $12,983.25 | $5,389.10–$12,983.25 | — | 38% |
| Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 58661 LAPAROSCOPY REMOVE ADNEXA | $8,470.11 | $12,983.25 | $5,400.00–$12,983.25 | 5% above | 35% |
| Laparoscopic removal of fallopian tubes and/or ovaries inpatient CPT 58661 58661 LAPAROSCOPY REMOVE ADNEXA | $8,470.11 | $12,983.25 | $5,400.00–$12,983.25 | — | 35% |
| Laparoscopic sleeve gastrectomy for weight loss CPT 43775 43775 LAP SLEEVE GASTRECTOMY | $5,512.20 | $12,983.25 | $3,674.80–$12,983.25 | 83% below | 58% |
| Laparoscopic sleeve gastrectomy for weight loss inpatient CPT 43775 43775 LAP SLEEVE GASTRECTOMY | $5,512.20 | $12,983.25 | $3,674.80–$12,983.25 | — | 58% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 66821 AFTER CATARACT LASER SURGERY | $583.94 | $1,724.00 | $389.29–$1,724.00 | 62% below | 66% |
| Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 66821 AFTER CATARACT LASER SURGERY | $583.94 | $1,724.00 | $389.29–$1,724.00 | — | 66% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 12031 LAYER CLOSURE <2.5CM | $279.53 | $821.00 | $186.35–$821.00 | 13% below | 66% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 12031 LAYER CLOSURE <2.5CM | $279.53 | $821.00 | $186.35–$821.00 | — | 66% |
| Left heart catheterization, diagnostic one side CPT 93452 93452 Left heart catheterization, inc. left ventriculography | $8,806.50 | $13,154.50 | $3,275.58–$13,154.50 | 48% below | 33% |
| Left heart catheterization, diagnostic inpatient one side CPT 93452 93452 Left heart catheterization, inc. left ventriculography | $8,806.50 | $13,154.50 | $3,275.58–$13,154.50 | — | 33% |
| Lower-back epidural injection, with imaging guidance CPT 62323 CT Injection Lmbr/Scrl Epidural | $2,054.85 | $3,468.25 | $713.21–$3,468.25 | 61% above | 41% |
| Lower-back epidural injection, with imaging guidance CPT 62323 XR Injection Lmbr/Scrl Epidural | $2,054.85 | $3,468.25 | $713.21–$3,468.25 | 61% above | 41% |
| Lower-back epidural injection, with imaging guidance CPT 62323 62323 INJ LUMBAR W/ FLOURO | $2,054.85 | $3,367.25 | $1,038.69–$3,367.25 | 61% above | 39% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 XR Injection Lmbr/Scrl Epidural | $2,054.85 | $3,468.25 | $713.21–$3,468.25 | — | 41% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 CT Injection Lmbr/Scrl Epidural | $2,054.85 | $3,468.25 | $713.21–$3,468.25 | — | 41% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 62323 INJ LUMBAR W/ FLOURO | $2,054.85 | $3,367.25 | $1,038.69–$3,367.25 | — | 39% |
| Lower-back epidural injection, without imaging guidance CPT 62322 62322 NJX DX/THER SBST INTRIMNR LMBR/SAC | $2,967.25 | $2,967.25 | $1,038.69–$2,967.25 | 156% above | — |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 62322 NJX DX/THER SBST INTRIMNR LMBR/SAC | $2,967.25 | $2,967.25 | $1,038.69–$2,967.25 | — | — |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 CT Injection Lmbr/Scrl Foramina Epidural | $2,201.63 | $3,310.75 | $893.65–$3,310.75 | 26% above | 34% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 64483 INJ FORAMEN EPIDURAL L/S | $2,201.63 | $6,543.50 | $1,326.98–$6,543.50 | 26% above | 66% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 XR Injection Lmbr/Scrl Foramina Epidural | $2,201.63 | $3,310.75 | $893.65–$3,310.75 | 26% above | 34% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 CT Injection Lmbr/Scrl Foramina Epidural | $2,201.63 | $3,310.75 | $893.65–$3,310.75 | — | 34% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 64483 INJ FORAMEN EPIDURAL L/S | $2,201.63 | $6,543.50 | $1,326.98–$6,543.50 | — | 66% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 XR Injection Lmbr/Scrl Foramina Epidural | $2,201.63 | $3,310.75 | $893.65–$3,310.75 | — | 34% |
| Lumbar discectomy or laminotomy to free a nerve root, one level CPT 63030 63030 LOW BACK DISK SURGERY | $11,507.42 | $17,640.00 | $5,400.00–$17,640.00 | 22% below | 35% |
| Lumbar discectomy or laminotomy to free a nerve root, one level inpatient CPT 63030 63030 LOW BACK DISK SURGERY | $11,507.42 | $17,640.00 | $5,400.00–$17,640.00 | — | 35% |
| Lumbar laminectomy (spinal decompression), one level CPT 63047 63047 REMOVE SPINE LAMINA 1 LMBR | $16,145.25 | $20,826.00 | $5,400.00–$20,826.00 | 10% above | 22% |
| Lumbar laminectomy (spinal decompression), one level inpatient CPT 63047 63047 REMOVE SPINE LAMINA 1 LMBR | $16,145.25 | $20,826.00 | $5,400.00–$20,826.00 | — | 22% |
| Lumbar spinal fusion (posterior), one level CPT 22612 22612 LUMBAR SPINE FUSION | $14,677.50 | $26,000.00 | $5,400.00–$26,000.00 | 23% below | 44% |
| Lumbar spinal fusion (posterior), one level inpatient CPT 22612 22612 LUMBAR SPINE FUSION | $14,677.50 | $26,000.00 | $5,400.00–$26,000.00 | — | 44% |
| Lumpectomy (partial mastectomy) CPT 19301 19301 MASTECTOMY PARTIAL | $6,164.55 | $10,213.00 | $4,109.70–$10,213.00 | at median | 40% |
| Lumpectomy (partial mastectomy) inpatient CPT 19301 19301 MASTECTOMY PARTIAL | $6,164.55 | $10,213.00 | $4,109.70–$10,213.00 | — | 40% |
| Mastectomy (total removal of the breast) CPT 19303 19303 MAST SIMPLE COMPLETE | $3,841.49 | $11,600.00 | $2,560.99–$11,600.00 | 67% below | 67% |
| Mastectomy (total removal of the breast) inpatient CPT 19303 19303 MAST SIMPLE COMPLETE | $3,841.49 | $11,600.00 | $2,560.99–$11,600.00 | — | 67% |
| Miscarriage treatment with D&C, first trimester CPT 59820 59820 CARE OF MISCARRIAGE | $1,875.14 | $6,300.00 | $1,250.10–$6,300.00 | 77% below | 70% |
| Miscarriage treatment with D&C, first trimester inpatient CPT 59820 59820 CARE OF MISCARRIAGE | $1,875.14 | $6,300.00 | $1,250.10–$6,300.00 | — | 70% |
| Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals CPT 17311 17311 MOHS 1 STAGE H/N/HF/G | $594.78 | $5,525.00 | $396.52–$5,525.00 | 65% below | 89% |
| Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals inpatient CPT 17311 17311 MOHS 1 STAGE H/N/HF/G | $594.78 | $5,525.00 | $396.52–$5,525.00 | — | 89% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 11400 EXCISION BENIGN LESI | $213.11 | $1,512.00 | $142.07–$1,512.00 | 27% below | 86% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 11400 EXCISION BENIGN LESI | $213.11 | $1,512.00 | $142.07–$1,512.00 | — | 86% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 11440 EXCISE OTHER BENIGN | $234.97 | $2,967.25 | $156.65–$2,967.25 | 2% below | 92% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 11440 EXCISE OTHER BENIGN | $234.97 | $2,967.25 | $156.65–$2,967.25 | — | 92% |
| Nail removal (partial or complete), one nail CPT 11730 11730 AVULS NAIL PLATE PRT | $141.47 | $446.00 | $94.32–$446.00 | 28% below | 68% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 11730 AVULS NAIL PLATE PRT | $141.47 | $446.00 | $94.32–$446.00 | — | 68% |
| Occipital nerve block (injection for headaches) CPT 64405 XR Inj Greater Occipital Nerve Block | $533.58 | $1,142.50 | $310.14–$1,800.00 | 40% above | 53% |
| Occipital nerve block (injection for headaches) CPT 64405 64405 N BLOCK INJ OCCIPITAL | $533.58 | $616.25 | $277.31–$1,800.00 | 40% above | 13% |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 64405 N BLOCK INJ OCCIPITAL | $533.58 | $616.25 | $277.31–$1,800.00 | — | 13% |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 XR Inj Greater Occipital Nerve Block | $533.58 | $1,142.50 | $310.14–$1,800.00 | — | 53% |
| Pacemaker implant (dual chamber) CPT 33208 33208 INSRT HEART PM ATRIAL & VENT | $22,676.75 | $40,115.00 | $5,400.00–$40,115.00 | 78% above | 43% |
| Pacemaker implant (dual chamber) inpatient CPT 33208 33208 INSRT HEART PM ATRIAL & VENT | $22,676.75 | $40,115.00 | $5,400.00–$40,115.00 | — | 43% |
| Partial knee replacement (one compartment) CPT 27446 27446 REVISION OF KNEE JOINT | $13,209.75 | $30,498.25 | $5,400.00–$30,498.25 | 17% below | 57% |
| Partial knee replacement (one compartment) inpatient CPT 27446 27446 REVISION OF KNEE JOINT | $13,209.75 | $30,498.25 | $5,400.00–$30,498.25 | — | 57% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 11750 EXC NAIL/NAIL MATRIX | $663.10 | $2,035.00 | $442.06–$2,035.00 | 96% above | 67% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 11750 EXC NAIL/NAIL MATRIX | $663.10 | $2,035.00 | $442.06–$2,035.00 | — | 67% |
| Prostate biopsy CPT 55700 55700 BIOPSY OF PROSTATE | $4,477.00 | $4,477.00 | $2,014.65–$4,477.00 | 51% above | — |
| Prostate biopsy inpatient CPT 55700 55700 BIOPSY OF PROSTATE | $4,477.00 | $4,477.00 | $2,014.65–$4,477.00 | — | — |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 64635 DESTROY LUMB/SAC FACET JNT | $2,278.46 | $3,184.75 | $1,433.14–$3,184.75 | 41% below | 28% |
| Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 64635 DESTROY LUMB/SAC FACET JNT | $2,278.46 | $3,184.75 | $1,433.14–$3,184.75 | — | 28% |
| Removal of a breast lump, open surgery CPT 19120 19120 REMOVAL OF BREAST LESION | $3,225.92 | $7,080.25 | $2,150.61–$7,080.25 | 5% above | 54% |
| Removal of a breast lump, open surgery inpatient CPT 19120 19120 REMOVAL OF BREAST LESION | $3,225.92 | $7,080.25 | $2,150.61–$7,080.25 | — | 54% |
| Removal of a foreign object under the skin, simple CPT 10120 10120 INC & REMOVAL FOREIG | $468.18 | $2,570.50 | $312.12–$2,570.50 | 34% above | 82% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 10120 INC & REMOVAL FOREIG | $468.18 | $2,570.50 | $312.12–$2,570.50 | — | 82% |
| Removal of one lobe of the thyroid (lobectomy) CPT 60220 60220 PARTIAL REMOVAL OF THYROID | $6,806.28 | $15,200.75 | $4,537.52–$15,200.75 | 53% below | 55% |
| Removal of one lobe of the thyroid (lobectomy) inpatient CPT 60220 60220 PARTIAL REMOVAL OF THYROID | $6,806.28 | $15,200.75 | $4,537.52–$15,200.75 | — | 55% |
| Septoplasty to straighten the nasal septum CPT 30520 30520 REPAIR OF NASAL SEPTUM | $4,366.30 | $6,587.75 | $2,910.87–$6,587.75 | 40% below | 34% |
| Septoplasty to straighten the nasal septum inpatient CPT 30520 30520 REPAIR OF NASAL SEPTUM | $4,366.30 | $6,587.75 | $2,910.87–$6,587.75 | — | 34% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 50590 LITHOTRIPSY, EXTRACOPOREAL SHOCK WAVE | $11,742.00 | $15,045.50 | $5,078.95–$15,045.50 | 34% above | 22% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 50590 LITHOTRIPSY, EXTRACOPOREAL SHOCK WAVE | $11,742.00 | $15,045.50 | $5,078.95–$15,045.50 | — | 22% |
| Short arm cast (elbow to hand) CPT 29075 29075 APPLICATION OF FOREARM CAST | $137.93 | $846.25 | $91.95–$846.25 | 37% below | 84% |
| Short arm cast (elbow to hand) inpatient CPT 29075 29075 APPLICATION OF FOREARM CAST | $137.93 | $846.25 | $91.95–$846.25 | — | 84% |
| Short leg cast (below the knee) CPT 29405 29405 APPLY SHORT LEG CAST | $124.67 | $1,087.75 | $83.12–$1,087.75 | 32% below | 89% |
| Short leg cast (below the knee) inpatient CPT 29405 29405 APPLY SHORT LEG CAST | $124.67 | $1,087.75 | $83.12–$1,087.75 | — | 89% |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 29824 SHOULDER ARTHROSCOPY/SURGERY | $11,742.00 | $15,750.00 | $4,552.02–$15,750.00 | 71% above | 25% |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) inpatient CPT 29824 29824 SHOULDER ARTHROSCOPY/SURGERY | $11,742.00 | $15,750.00 | $4,552.02–$15,750.00 | — | 25% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 29826 SHOULDER ARTHROSCOPY/SURGERY | $15,000.00 | $15,000.00 | $5,400.00–$15,000.00 | 425% above | — |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 29826 SHOULDER ARTHROSCOPY/SURGERY | $15,000.00 | $15,000.00 | $5,400.00–$15,000.00 | — | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 12001 SMPL REPAIR SUPER WO | $114.19 | $1,354.50 | $76.12–$1,354.50 | 48% below | 92% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 12001 SMPL REPAIR SUPER WO | $114.19 | $1,354.50 | $76.12–$1,354.50 | — | 92% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 11600 EXCISION MALIGNANT LESION | $309.50 | $1,129.75 | $206.33–$1,129.75 | 42% below | 73% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 11600 EXCISION MALIGNANT LESION | $309.50 | $1,129.75 | $206.33–$1,129.75 | — | 73% |
| Skin tag removal, up to 15 tags CPT 11200 11200 REMOVAL SKIN TAGS M | $114.19 | $2,570.50 | $76.12–$2,570.50 | 19% below | 96% |
| Skin tag removal, up to 15 tags inpatient CPT 11200 11200 REMOVAL SKIN TAGS M | $114.19 | $2,570.50 | $76.12–$2,570.50 | — | 96% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 62270 SPINAL FLUID TAP DIAGNOSTIC | $482.69 | $1,435.00 | $321.79–$1,435.00 | 41% below | 66% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 62270 SPINAL FLUID TAP DIAGNOSTIC | $482.69 | $1,435.00 | $321.79–$1,435.00 | — | 66% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 12002 SMPL REPAIR SUPER WO | $114.19 | $877.75 | $76.12–$877.75 | 47% below | 87% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 12002 SMPL REPAIR SUPER WO | $114.19 | $877.75 | $76.12–$877.75 | — | 87% |
| TURP (transurethral resection of the prostate) CPT 52601 52601 PROSTATECTOMY (TURP) | $8,806.50 | $9,784.00 | $4,402.80–$9,784.00 | 29% below | 10% |
| TURP (transurethral resection of the prostate) inpatient CPT 52601 52601 PROSTATECTOMY (TURP) | $8,806.50 | $9,784.00 | $4,402.80–$9,784.00 | — | 10% |
| Tonsil and adenoid removal, age 12 or older CPT 42821 42821 REMOVE TONSILS AND ADENOIDS | $5,156.21 | $5,891.50 | $2,651.18–$5,891.50 | 17% below | 12% |
| Tonsil and adenoid removal, age 12 or older inpatient CPT 42821 42821 REMOVE TONSILS AND ADENOIDS | $5,156.21 | $5,891.50 | $2,651.18–$5,891.50 | — | 12% |
| Tonsil and adenoid removal, child under 12 CPT 42820 42820 REMOVE TONSILS AND ADENOIDS | $6,675.50 | $11,454.00 | $4,450.33–$11,454.00 | 16% below | 42% |
| Tonsil and adenoid removal, child under 12 inpatient CPT 42820 42820 REMOVE TONSILS AND ADENOIDS | $6,675.50 | $11,454.00 | $4,450.33–$11,454.00 | — | 42% |
| Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 42826 REMOVAL OF TONSILS | $4,243.74 | $5,891.50 | $2,651.18–$5,891.50 | 40% below | 28% |
| Tonsil removal (tonsillectomy) only, age 12 or older inpatient CPT 42826 42826 REMOVAL OF TONSILS | $4,243.74 | $5,891.50 | $2,651.18–$5,891.50 | — | 28% |
| Tonsil removal (tonsillectomy) only, child under 12 CPT 42825 42825 REMOVAL OF TONSILS | $5,156.63 | $11,182.50 | $3,437.76–$11,182.50 | 29% below | 54% |
| Tonsil removal (tonsillectomy) only, child under 12 inpatient CPT 42825 42825 REMOVAL OF TONSILS | $5,156.63 | $11,182.50 | $3,437.76–$11,182.50 | — | 54% |
| Total hip replacement CPT 27130 27130 TOTAL HIP ARTHROPLASTY | $24,951.75 | $29,610.00 | $5,400.00–$29,610.00 | 57% above | 16% |
| Total hip replacement inpatient CPT 27130 27130 TOTAL HIP ARTHROPLASTY | $24,951.75 | $29,610.00 | $5,400.00–$29,610.00 | — | 16% |
| Total knee replacement CPT 27447 27447 TOTAL KNEE ARTHROPLASTY | $22,750.13 | $31,020.00 | $5,400.00–$31,020.00 | 43% above | 27% |
| Total knee replacement inpatient CPT 27447 27447 TOTAL KNEE ARTHROPLASTY | $22,750.13 | $31,020.00 | $5,400.00–$31,020.00 | — | 27% |
| Total shoulder replacement CPT 23472 23472 RECONSTRUCT SHOULDER JOINT | $29,355.00 | $29,480.75 | $5,400.00–$29,480.75 | 72% above | — |
| Total shoulder replacement inpatient CPT 23472 23472 RECONSTRUCT SHOULDER JOINT | $29,355.00 | $29,480.75 | $5,400.00–$29,480.75 | — | — |
| Total thyroid removal (thyroidectomy) CPT 60240 60240 REMOVAL OF THYROID | $5,580.46 | $12,983.25 | $3,720.30–$12,983.25 | 63% below | 57% |
| Total thyroid removal (thyroidectomy) inpatient CPT 60240 60240 REMOVAL OF THYROID | $5,580.46 | $12,983.25 | $3,720.30–$12,983.25 | — | 57% |
| Trigger finger release surgery CPT 26055 26055 INCISE FINGER TENDON SHEATH | $3,962.93 | $4,630.50 | $2,083.73–$4,630.50 | 125% above | 14% |
| Trigger finger release surgery inpatient CPT 26055 26055 INCISE FINGER TENDON SHEATH | $3,962.93 | $4,630.50 | $2,083.73–$4,630.50 | — | 14% |
| Trigger point injections, 1 or 2 muscles CPT 20552 20552 INJ TRIGGER POINT 1/2 MUSCL | $425.13 | $740.25 | $283.42–$740.25 | 181% above | 43% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 20552 INJ TRIGGER POINT 1/2 MUSCL | $425.13 | $740.25 | $283.42–$740.25 | — | 43% |
| Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 58670 LAPAROSCOPY TUBAL CAUTERY | $4,974.87 | $8,976.50 | $3,316.58–$8,976.50 | 8% below | 45% |
| Tubal ligation, laparoscopic (tubes sealed by cautery) inpatient CPT 58670 58670 LAPAROSCOPY TUBAL CAUTERY | $4,974.87 | $8,976.50 | $3,316.58–$8,976.50 | — | 45% |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 43249 ESOPH EGD DILATION <30 MM | $2,072.48 | $2,896.00 | $1,303.20–$2,896.00 | 26% below | 28% |
| Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 43249 ESOPH EGD DILATION <30 MM | $2,072.48 | $2,896.00 | $1,303.20–$2,896.00 | — | 28% |
| Upper endoscopy (EGD) with biopsy CPT 43239 43239 EGD BIOPSY SINGLE/MULTIPLE | $1,769.22 | $3,290.75 | $1,179.48–$3,290.75 | 18% below | 46% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 43239 EGD BIOPSY SINGLE/MULTIPLE | $1,769.22 | $3,290.75 | $1,179.48–$3,290.75 | — | 46% |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 43251 EGD REMOVE LESION SNARE | $1,381.32 | $2,896.00 | $920.88–$2,896.00 | 36% below | 52% |
| Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 43251 EGD REMOVE LESION SNARE | $1,381.32 | $2,896.00 | $920.88–$2,896.00 | — | 52% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 43248 EGD GUIDE WIRE INSERTION | $914.22 | $1,485.75 | $609.48–$1,485.75 | 41% below | 38% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 43248 EGD GUIDE WIRE INSERTION | $914.22 | $1,485.75 | $609.48–$1,485.75 | — | 38% |
| Upper endoscopy (EGD), diagnostic CPT 43235 43235 EGD DIAGNOSTIC BRUSH WASH | $1,876.16 | $2,571.50 | $1,157.18–$2,571.50 | 11% below | 27% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 43235 EGD DIAGNOSTIC BRUSH WASH | $1,876.16 | $2,571.50 | $1,157.18–$2,571.50 | — | 27% |
| Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 52353 CYSTOURETERO W/LITHOTRIPSY | $3,158.66 | $9,784.00 | $2,105.77–$9,784.00 | 75% below | 68% |
| Ureteroscopy with laser stone breaking (lithotripsy) inpatient CPT 52353 52353 CYSTOURETERO W/LITHOTRIPSY | $3,158.66 | $9,784.00 | $2,105.77–$9,784.00 | — | 68% |
| Ureteroscopy with laser stone breaking and stent placement CPT 52356 52356 CYSTO/URETERO W/LITHOTRIPSY | $11,742.00 | $10,598.75 | $4,769.44–$10,598.75 | 6% below | -11% |
| Ureteroscopy with laser stone breaking and stent placement inpatient CPT 52356 52356 CYSTO/URETERO W/LITHOTRIPSY | $11,742.00 | $10,598.75 | $4,769.44–$10,598.75 | — | -11% |
| Vasectomy, one or both sides, including follow-up semen testing CPT 55250 55250 REMOVAL OF SPERM DUCT(S) | $3,248.97 | $4,477.00 | $2,014.65–$4,477.00 | 84% above | 27% |
| Vasectomy, one or both sides, including follow-up semen testing inpatient CPT 55250 55250 REMOVAL OF SPERM DUCT(S) | $3,248.97 | $4,477.00 | $2,014.65–$4,477.00 | — | 27% |
| Vein ablation, radiofrequency, first vein CPT 36475 36475 ENDOVENOUS RF 1ST VEIN | $2,916.76 | $12,163.25 | $1,944.51–$12,163.25 | 60% below | 76% |
| Vein ablation, radiofrequency, first vein inpatient CPT 36475 36475 ENDOVENOUS RF 1ST VEIN | $2,916.76 | $12,163.25 | $1,944.51–$12,163.25 | — | 76% |
| Wart removal, up to 14 warts CPT 17110 17110 DESTRUCT B9 LESION 1-14 | $117.61 | $968.00 | $78.40–$968.00 | 39% below | 88% |
| Wart removal, up to 14 warts inpatient CPT 17110 17110 DESTRUCT B9 LESION 1-14 | $117.61 | $968.00 | $78.40–$968.00 | — | 88% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 11042 DEBRIDE SKIN AND SUB | $397.55 | $1,183.25 | $265.03–$1,183.25 | 19% above | 66% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 11042 DEBRIDE SKIN AND SUB | $397.55 | $1,183.25 | $265.03–$1,183.25 | — | 66% |
| Wrist fracture surgery (plate and screws), distal radius CPT 25607 25607 TREAT FX RAD EXTRA-ARTICUL | $9,544.81 | $16,318.00 | $5,400.00–$16,318.00 | 1% below | 42% |
| Wrist fracture surgery (plate and screws), distal radius inpatient CPT 25607 25607 TREAT FX RAD EXTRA-ARTICUL | $9,544.81 | $16,318.00 | $5,400.00–$16,318.00 | — | 42% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Idaho | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Unit Type: -> AB positive | $551.38 | $522.00 | $234.90–$1,800.00 | 44% below | -6% |
| Blood transfusion (giving blood or blood components) CPT 36430 36430 BLOOD TRANSFUSION SERVICE | $551.38 | $2,035.00 | $367.58–$2,035.00 | 44% below | 73% |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Unit Type: -> O positive | $551.38 | $522.00 | $234.90–$1,800.00 | 44% below | -6% |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Unit Type: -> O negative | $551.38 | $522.00 | $234.90–$1,800.00 | 44% below | -6% |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Unit Type: -> B positive | $551.38 | $522.00 | $234.90–$1,800.00 | 44% below | -6% |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Unit Type: -> B negative | $551.38 | $522.00 | $234.90–$1,800.00 | 44% below | -6% |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Unit Type: -> AB negative | $551.38 | $522.00 | $234.90–$1,800.00 | 44% below | -6% |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Unit Type: -> A positive | $551.38 | $522.00 | $234.90–$1,800.00 | 44% below | -6% |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Unit Type: -> A negative | $551.38 | $2,716.75 | $367.58–$2,716.75 | 44% below | 80% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Unit Type: -> A negative | $551.38 | $2,716.75 | $367.58–$2,716.75 | — | 80% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Unit Type: -> A positive | $551.38 | $522.00 | $234.90–$1,800.00 | — | -6% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Unit Type: -> AB negative | $551.38 | $522.00 | $234.90–$1,800.00 | — | -6% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Unit Type: -> AB positive | $551.38 | $522.00 | $234.90–$1,800.00 | — | -6% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Unit Type: -> B negative | $551.38 | $522.00 | $234.90–$1,800.00 | — | -6% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Unit Type: -> B positive | $551.38 | $522.00 | $234.90–$1,800.00 | — | -6% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Unit Type: -> O negative | $551.38 | $522.00 | $234.90–$1,800.00 | — | -6% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Unit Type: -> O positive | $551.38 | $522.00 | $234.90–$1,800.00 | — | -6% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 36430 BLOOD TRANSFUSION SERVICE | $551.38 | $2,035.00 | $367.58–$2,035.00 | — | 73% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Electrocardiogram 12 Lead | $58.71 | $397.00 | $39.14–$397.00 | 66% below | 85% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 93005 Electrocardiogram | $58.71 | $404.50 | $39.14–$404.50 | 66% below | 85% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Electrocardiogram 12 Lead | $58.71 | $397.00 | $39.14–$397.00 | — | 85% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 93005 Electrocardiogram | $58.71 | $404.50 | $39.14–$404.50 | — | 85% |
| Holter monitor, heart rhythm recording up to 48 hours, with report CPT 93224 93224: External ECG recording up to 48 hrs; incl. scanning, analysis, review by physician | $301.17 | $232.00 | $104.40–$232.00 | at median | -30% |
| Holter monitor, heart rhythm recording up to 48 hours, with report inpatient CPT 93224 93224: External ECG recording up to 48 hrs; incl. scanning, analysis, review by physician | $301.17 | $232.00 | $104.40–$232.00 | — | -30% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360 - Hydration, first hour | $190.19 | $529.25 | $126.80–$529.25 | 45% below | 64% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 96360 - Hydration, first hour | $190.19 | $529.25 | $126.80–$529.25 | — | 64% |
| IV infusion of a medicine, first hour CPT 96365 96365 THER/PROPH/DIAG IV INF INIT | $433.06 | $674.00 | $288.71–$674.00 | 10% below | 36% |
| IV infusion of a medicine, first hour inpatient CPT 96365 96365 THER/PROPH/DIAG IV INF INIT | $433.06 | $674.00 | $288.71–$674.00 | — | 36% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 US Guided Magtrace injection | $96.52 | $213.25 | $64.34–$213.25 | 15% below | 55% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 THER/PROPH/DIAG INJ SC/IM | $96.52 | $206.75 | $64.34–$206.75 | 15% below | 53% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 THER/PROPH/DIAG INJ SC/IM | $96.52 | $206.75 | $64.34–$206.75 | — | 53% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 US Guided Magtrace injection | $96.52 | $213.25 | $64.34–$213.25 | — | 55% |
| Occupational therapy evaluation, low complexity CPT 97165 OT Low Complexity Evaluation Units | $387.50 | $387.50 | $96.46–$387.50 | 71% above | — |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 OT Low Complexity Evaluation Units | $387.50 | $387.50 | $96.46–$387.50 | — | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT Therapeutic Exercise Units | $77.89 | $121.75 | $27.79–$121.75 | 8% above | 36% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT Therapeutic Exercise Units | $77.89 | $121.75 | $27.79–$121.75 | — | 36% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 OT Therapeutic Activities Units | $83.13 | $92.50 | $33.29–$92.50 | 3% below | 10% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OT Therapeutic Activities Units | $83.13 | $92.50 | $33.29–$92.50 | — | 10% |
Source file: https://cdn.sanity.io/files/rlbzokv7/production/48cca28cc22236232e0ffe129f35d240b97b2c25.csv