Mayaguez Medical Center
Mayaguez Medical Center in Mayaguez, PR publishes cash prices for 337 common procedures listed here, from its own machine-readable price file updated Mar 31, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Puerto Rico median for 204 of 287 procedures and above it for 40. By typical cash price it ranks #1 of 7 Puerto Rico hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.
Avenida Hostos 410, Mayaguez, PR 00682 Collected Sep 27, 2026 Source price file Check a bill from this hospital (787) 652-9200
Acute care hospital For-profit hospital Emergency department CMS star rating 1 of 5 CCN 400103 · CMS hospital register NPI 1013140383
The price file shows no self-pay discount
For 1935 of the 1935 prices listed here, the cash price in Mayaguez Medical Center's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing. Other US hospitals whose cash price is their full list price.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Puerto Rico | Off list |
|---|---|---|---|---|---|
| Abdominal X-ray, 2 views CPT 74019 Abdomen Min 2v | $30.00 | $30.00 | $11.91–$50.99 | 46% below | — |
| Abdominal X-ray, 2 views CPT 74019 ABDOMEN W OBLIQUE | $30.00 | $30.00 | $11.91–$50.99 | 46% below | — |
| Abdominal X-ray, 2 views CPT 74019 Abdomen Min 2v | $30.00 | $30.00 | $11.91–$50.99 | 46% below | — |
| Abdominal X-ray, 2 views CPT 74019 ABDOMEN W DECUBITUS | $35.00 | $35.00 | $11.91–$63.00 | 38% below | — |
| Abdominal X-ray, 2 views inpatient CPT 74019 Abdomen Min 2v | $30.00 | $30.00 | $11.91–$50.99 | — | — |
| Abdominal X-ray, 2 views inpatient CPT 74019 Abdomen Min 2v | $30.00 | $30.00 | $11.91–$50.99 | — | — |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 Ankle Lt Min 3v | $30.00 | $30.00 | $9.02–$48.30 | 45% below | — |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE LT STRESS VIEW | $30.00 | $30.00 | $9.02–$48.30 | 45% below | — |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE RT MIN 3V | $30.00 | $30.00 | $9.02–$48.30 | 45% below | — |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 Ankle Lt Min 3v | $30.00 | $30.00 | $9.02–$48.30 | 45% below | — |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE RT STRESS VIEW | $30.00 | $30.00 | $9.02–$48.30 | 45% below | — |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 Ankle Lt Min 3v | $30.00 | $30.00 | $9.02–$48.30 | — | — |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 Ankle Lt Min 3v | $30.00 | $30.00 | $9.02–$48.30 | — | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Tcom Le Single Level | $71.25 | $71.25 | $13.00–$210.00 | 92% below | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Tcom Le Single Level | $71.25 | $71.25 | $13.00–$210.00 | 92% below | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 TCOM UE SINGLE LEVEL | $71.25 | $71.25 | $12.98–$90.90 | 92% below | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 Tcom Le Single Level | $71.25 | $71.25 | $13.00–$210.00 | — | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 Tcom Le Single Level | $71.25 | $71.25 | $13.00–$210.00 | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 FOREARM RT WO CON CT | $175.00 | $175.00 | $51.61–$412.50 | 50% below | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 HAND LT WO CON CT | $175.00 | $175.00 | $51.61–$412.50 | 50% below | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 WRIST RT WO CON CT | $175.00 | $175.00 | $51.61–$412.50 | 50% below | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 WRIST LT WO CON CT | $175.00 | $175.00 | $51.61–$412.50 | 50% below | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 UE RT WO CON | $175.00 | $175.00 | $51.61–$412.50 | 50% below | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 UE LT WO CON | $175.00 | $175.00 | $51.61–$412.50 | 50% below | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 SHOULDER RT WO CON CT | $175.00 | $175.00 | $51.61–$412.50 | 50% below | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 SHOULDER LT WO CON CT | $175.00 | $175.00 | $51.61–$412.50 | 50% below | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 SCAPULA RT CT | $175.00 | $175.00 | $51.61–$412.50 | 50% below | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 SCAPULA LT CT | $175.00 | $175.00 | $51.61–$412.50 | 50% below | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 HUMERUS RT WO CON CT | $175.00 | $175.00 | $51.61–$412.50 | 50% below | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 HUMERUS LT WO CON CT | $175.00 | $175.00 | $51.61–$412.50 | 50% below | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 HAND RT WO CON CT | $175.00 | $175.00 | $51.61–$412.50 | 50% below | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 FOREARM LT WO CON CT | $175.00 | $175.00 | $51.61–$412.50 | 50% below | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 ELBOW RT WO CON CT | $175.00 | $175.00 | $51.61–$412.50 | 50% below | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 Elbow Lt Wo Con Ct | $175.00 | $175.00 | $51.61–$412.50 | 50% below | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 Elbow Lt Wo Con Ct | $175.00 | $175.00 | $51.61–$412.50 | 50% below | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 Elbow Lt Wo Con Ct | $175.00 | $175.00 | $51.61–$412.50 | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 Elbow Lt Wo Con Ct | $175.00 | $175.00 | $51.61–$412.50 | — | — |
| Bone scan, whole body (nuclear medicine) CPT 78306 Abscess Local Complete | $225.00 | $225.00 | $42.95–$644.62 | 39% below | — |
| Bone scan, whole body (nuclear medicine) CPT 78306 Abscess Local Complete | $225.00 | $225.00 | $42.95–$644.62 | 39% below | — |
| Bone scan, whole body (nuclear medicine) CPT 78306 T WHOLE BODY | $225.00 | $225.00 | $36.27–$644.62 | 39% below | — |
| Bone scan, whole body (nuclear medicine) CPT 78306 BONE SCAN WHOLE BODY | $275.00 | $275.00 | $43.31–$644.62 | 25% below | — |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 Abscess Local Complete | $225.00 | $225.00 | $42.95–$644.62 | — | — |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 Abscess Local Complete | $225.00 | $225.00 | $42.95–$644.62 | — | — |
| Breast ultrasound, complete, one breast both sides CPT 76641 BREAST BI COMPLETE | $90.00 | $90.00 | $37.53–$221.32 | — | — |
| Breast ultrasound, complete, one breast CPT 76641 Breast Asp | $90.00 | $90.00 | $37.53–$221.32 | 21% below | — |
| Breast ultrasound, complete, one breast CPT 76641 Breast Asp | $90.00 | $90.00 | $37.53–$221.32 | 21% below | — |
| Breast ultrasound, complete, one breast one side CPT 76641 BREAST CYST ASP RT | $90.00 | $90.00 | $37.53–$221.32 | 21% below | — |
| Breast ultrasound, complete, one breast one side CPT 76641 BREAST CYST ASP ADD RT | $90.00 | $90.00 | $37.53–$221.32 | 21% below | — |
| Breast ultrasound, complete, one breast one side CPT 76641 BREAST CYST ASP ADD LT | $90.00 | $90.00 | $37.53–$221.32 | 21% below | — |
| Breast ultrasound, complete, one breast one side CPT 76641 BREAST CYST ASP LT | $90.00 | $90.00 | $37.53–$221.32 | 21% below | — |
| Breast ultrasound, complete, one breast one side CPT 76641 BREAST LT COMPLETE | $90.00 | $90.00 | $27.84–$221.32 | 21% below | — |
| Breast ultrasound, complete, one breast one side CPT 76641 BREAST RT COMPLETE | $90.00 | $90.00 | $27.84–$221.32 | 21% below | — |
| Breast ultrasound, complete, one breast inpatient CPT 76641 Breast Asp | $90.00 | $90.00 | $37.53–$221.32 | — | — |
| Breast ultrasound, complete, one breast inpatient CPT 76641 Breast Asp | $90.00 | $90.00 | $37.53–$221.32 | — | — |
| Breast ultrasound, limited (one breast or one area) both sides CPT 76642 Breast Bi Limited | $90.00 | $90.00 | $26.00–$181.48 | — | — |
| Breast ultrasound, limited (one breast or one area) both sides CPT 76642 Breast Bi Limited | $90.00 | $90.00 | $26.00–$181.48 | — | — |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 BREAST RT LIMITED | $90.00 | $90.00 | $26.00–$181.48 | 10% below | — |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 BREAST LT LIMITED | $90.00 | $90.00 | $26.00–$181.48 | 10% below | — |
| Breast ultrasound, limited (one breast or one area) inpatient both sides CPT 76642 Breast Bi Limited | $90.00 | $90.00 | $26.00–$181.48 | — | — |
| Breast ultrasound, limited (one breast or one area) inpatient both sides CPT 76642 Breast Bi Limited | $90.00 | $90.00 | $26.00–$181.48 | — | — |
| CT angiography (CTA) of the abdomen and pelvis both sides CPT 74174 Angio Renal Bi | $562.50 | $562.50 | $111.87–$794.48 | — | — |
| CT angiography (CTA) of the abdomen and pelvis both sides CPT 74174 Angio Renal Bi | $562.50 | $562.50 | $111.87–$794.48 | — | — |
| CT angiography (CTA) of the abdomen and pelvis one side CPT 74174 ANGIO RENAL RT | $562.50 | $562.50 | $111.87–$794.48 | 6% below | — |
| CT angiography (CTA) of the abdomen and pelvis one side CPT 74174 ANGIO RENAL LT | $562.50 | $562.50 | $111.87–$794.48 | 6% below | — |
| CT angiography (CTA) of the abdomen and pelvis inpatient both sides CPT 74174 Angio Renal Bi | $562.50 | $562.50 | $111.87–$794.48 | — | — |
| CT angiography (CTA) of the abdomen and pelvis inpatient both sides CPT 74174 Angio Renal Bi | $562.50 | $562.50 | $111.87–$794.48 | — | — |
| CT angiography (CTA) of the head CPT 70496 Angio Basilar Artery | $412.50 | $412.50 | $89.86–$600.00 | 21% below | — |
| CT angiography (CTA) of the head CPT 70496 ANGIO INTRACRANIAL | $412.50 | $412.50 | $89.86–$600.00 | 21% below | — |
| CT angiography (CTA) of the head CPT 70496 ANGIO CERVICOCEREBRAL | $412.50 | $412.50 | $89.86–$600.00 | 21% below | — |
| CT angiography (CTA) of the head CPT 70496 Angio Basilar Artery | $412.50 | $412.50 | $89.86–$600.00 | 21% below | — |
| CT angiography (CTA) of the head inpatient CPT 70496 Angio Basilar Artery | $412.50 | $412.50 | $89.86–$600.00 | — | — |
| CT angiography (CTA) of the head inpatient CPT 70496 Angio Basilar Artery | $412.50 | $412.50 | $89.86–$600.00 | — | — |
| CT angiography (CTA) of the neck both sides CPT 70498 ANGIO CAROTID CERV BI | $412.50 | $412.50 | $89.86–$600.00 | — | — |
| CT angiography (CTA) of the neck both sides CPT 70498 Angio Carotid Cereb Bi | $412.50 | $412.50 | $89.86–$600.00 | — | — |
| CT angiography (CTA) of the neck both sides CPT 70498 ANGIO CAROTID EXTERNAL BI | $412.50 | $412.50 | $89.86–$600.00 | — | — |
| CT angiography (CTA) of the neck both sides CPT 70498 Angio Carotid Cereb Bi | $412.50 | $412.50 | $89.86–$600.00 | — | — |
| CT angiography (CTA) of the neck CPT 70498 ANGIO SELECTIVE EA ADD VESL | $412.50 | $412.50 | $89.86–$600.00 | 23% below | — |
| CT angiography (CTA) of the neck CPT 70498 ANGIO CIRCLE OF WILLIS | $412.50 | $412.50 | $89.86–$600.00 | 23% below | — |
| CT angiography (CTA) of the neck one side CPT 70498 ANGIO CAROTID CEREB RT | $412.50 | $412.50 | $89.86–$600.00 | 23% below | — |
| CT angiography (CTA) of the neck one side CPT 70498 ANGIO CAROTID CEREB LT | $412.50 | $412.50 | $89.86–$600.00 | 23% below | — |
| CT angiography (CTA) of the neck one side CPT 70498 ANGIO CAROTID EXTERNAL RT | $412.50 | $412.50 | $89.86–$600.00 | 23% below | — |
| CT angiography (CTA) of the neck one side CPT 70498 ANGIO CAROTID CERV RT | $412.50 | $412.50 | $89.86–$600.00 | 23% below | — |
| CT angiography (CTA) of the neck one side CPT 70498 ANGIO CAROTID EXTERNAL LT | $412.50 | $412.50 | $89.86–$600.00 | 23% below | — |
| CT angiography (CTA) of the neck one side CPT 70498 ANGIO CAROTID CERV LT | $412.50 | $412.50 | $89.86–$600.00 | 23% below | — |
| CT angiography (CTA) of the neck inpatient both sides CPT 70498 Angio Carotid Cereb Bi | $412.50 | $412.50 | $89.86–$600.00 | — | — |
| CT angiography (CTA) of the neck inpatient both sides CPT 70498 Angio Carotid Cereb Bi | $412.50 | $412.50 | $89.86–$600.00 | — | — |
| CT angiography of the chest (CTA), for blood clots in the lungs both sides CPT 71275 Angio Pulm No Select Bi | $412.50 | $412.50 | $93.47–$614.22 | — | — |
| CT angiography of the chest (CTA), for blood clots in the lungs both sides CPT 71275 Angio Pulm No Select Bi | $412.50 | $412.50 | $93.47–$614.22 | — | — |
| CT angiography of the chest (CTA), for blood clots in the lungs both sides CPT 71275 ANGIO PULMONARY BI | $412.50 | $412.50 | $93.47–$614.22 | — | — |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 ANGIO THORACIC WO SERIAL | $412.50 | $412.50 | $93.47–$614.22 | 21% below | — |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 ANGIO THORACIC W SERIAL | $412.50 | $412.50 | $93.47–$614.22 | 21% below | — |
| CT angiography of the chest (CTA), for blood clots in the lungs one side CPT 71275 ANGIO PULMONARY RT | $412.50 | $412.50 | $93.47–$614.22 | 21% below | — |
| CT angiography of the chest (CTA), for blood clots in the lungs one side CPT 71275 ANGIO PULMONARY LT | $412.50 | $412.50 | $93.47–$614.22 | 21% below | — |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient both sides CPT 71275 Angio Pulm No Select Bi | $412.50 | $412.50 | $93.47–$614.22 | — | — |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient both sides CPT 71275 Angio Pulm No Select Bi | $412.50 | $412.50 | $93.47–$614.22 | — | — |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 ANGIO CORONARY ARTERY | $175.00 | $175.00 | $121.26–$869.02 | 89% below | — |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 Angio Coronary Art Elect Bm | $175.00 | $175.00 | $121.26–$869.02 | 89% below | — |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 Angio Coronary Art Elect Bm | $175.00 | $175.00 | $121.26–$869.02 | 89% below | — |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 Angio Coronary Art Elect Bm | $175.00 | $175.00 | $121.26–$869.02 | — | — |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 Angio Coronary Art Elect Bm | $175.00 | $175.00 | $121.26–$869.02 | — | — |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 Heart W Calcium Score | $175.00 | $175.00 | $29.59–$400.00 | 90% below | — |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 Heart W Calcium Score | $175.00 | $175.00 | $29.59–$400.00 | 90% below | — |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 HEART WO CALCIUM SCORE | $175.00 | $175.00 | $29.59–$400.00 | 90% below | — |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 Heart W Calcium Score | $175.00 | $175.00 | $29.59–$400.00 | — | — |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 Heart W Calcium Score | $175.00 | $175.00 | $29.59–$400.00 | — | — |
| CT scan of the abdomen with contrast CPT 74160 Abdomen W Con Ct | $175.00 | $175.00 | $65.32–$472.52 | 57% below | — |
| CT scan of the abdomen with contrast CPT 74160 Abdomen W Con Ct | $175.00 | $175.00 | $65.32–$472.52 | 57% below | — |
| CT scan of the abdomen with contrast inpatient CPT 74160 Abdomen W Con Ct | $175.00 | $175.00 | $65.32–$472.52 | — | — |
| CT scan of the abdomen with contrast inpatient CPT 74160 Abdomen W Con Ct | $175.00 | $175.00 | $65.32–$472.52 | — | — |
| CT scan of the abdomen without contrast CPT 74150 Abdomen Wo Con Ct | $175.00 | $175.00 | $61.35–$412.50 | 44% below | — |
| CT scan of the abdomen without contrast CPT 74150 PANCREAS 3-PHASE | $175.00 | $175.00 | $61.35–$412.50 | 44% below | — |
| CT scan of the abdomen without contrast CPT 74150 GUIDED ASPIRATION LIVER | $175.00 | $175.00 | $61.35–$412.50 | 44% below | — |
| CT scan of the abdomen without contrast CPT 74150 DRAIN PARACENTESIS | $175.00 | $175.00 | $61.35–$412.50 | 44% below | — |
| CT scan of the abdomen without contrast CPT 74150 DRAIN PANCREAS PSEUDOCYST | $175.00 | $175.00 | $61.35–$412.50 | 44% below | — |
| CT scan of the abdomen without contrast CPT 74150 DRAIN LIVER | $175.00 | $175.00 | $61.35–$412.50 | 44% below | — |
| CT scan of the abdomen without contrast CPT 74150 DRAIN APPENDICEAL ABSCESS | $175.00 | $175.00 | $61.35–$412.50 | 44% below | — |
| CT scan of the abdomen without contrast CPT 74150 BIOPSY ABDOMEN PERCUTANEOUS | $175.00 | $175.00 | $61.35–$412.50 | 44% below | — |
| CT scan of the abdomen without contrast CPT 74150 Abdomen Wo Con Ct | $175.00 | $175.00 | $61.35–$412.50 | 44% below | — |
| CT scan of the abdomen without contrast inpatient CPT 74150 Abdomen Wo Con Ct | $175.00 | $175.00 | $61.35–$412.50 | — | — |
| CT scan of the abdomen without contrast inpatient CPT 74150 Abdomen Wo Con Ct | $175.00 | $175.00 | $61.35–$412.50 | — | — |
| CT scan of the face and sinuses, no contrast dye both sides CPT 70486 TMJ BI WO CON | $175.00 | $175.00 | $44.03–$422.50 | — | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 SINUS WO CON | $175.00 | $175.00 | $44.03–$412.50 | 50% below | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 Facial Bones Wo Con | $175.00 | $175.00 | $44.03–$412.50 | 50% below | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 Facial Bones Wo Con | $175.00 | $175.00 | $44.03–$412.50 | 50% below | — |
| CT scan of the face and sinuses, no contrast dye one side CPT 70486 TMJ RT WO CON | $175.00 | $175.00 | $44.03–$422.50 | 50% below | — |
| CT scan of the face and sinuses, no contrast dye one side CPT 70486 TMJ LT WO CON | $175.00 | $175.00 | $44.03–$422.50 | 50% below | — |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 Facial Bones Wo Con | $175.00 | $175.00 | $44.03–$412.50 | — | — |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 Facial Bones Wo Con | $175.00 | $175.00 | $44.03–$412.50 | — | — |
| CT scan of the head or brain, no contrast dye CPT 70450 Head/Brain Wo Con Ct | $175.00 | $175.00 | $41.94–$412.50 | 46% below | — |
| CT scan of the head or brain, no contrast dye CPT 70450 Head/Brain Wo Con Ct | $175.00 | $175.00 | $41.94–$412.50 | 46% below | — |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 Head/Brain Wo Con Ct | $175.00 | $175.00 | $41.94–$412.50 | — | — |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 Head/Brain Wo Con Ct | $175.00 | $175.00 | $41.94–$412.50 | — | — |
| CT scan of the head with contrast CPT 70460 Head/Brain W Con Ct | $175.00 | $175.00 | $58.46–$420.00 | 55% below | — |
| CT scan of the head with contrast CPT 70460 Head/Brain W Con Ct | $175.00 | $175.00 | $58.46–$420.00 | 55% below | — |
| CT scan of the head with contrast inpatient CPT 70460 Head/Brain W Con Ct | $175.00 | $175.00 | $58.46–$420.00 | — | — |
| CT scan of the head with contrast inpatient CPT 70460 Head/Brain W Con Ct | $175.00 | $175.00 | $58.46–$420.00 | — | — |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 SACRUM | $175.00 | $175.00 | $51.61–$412.50 | 46% below | — |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 Coccyx | $175.00 | $175.00 | $51.61–$412.50 | 46% below | — |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 Coccyx | $175.00 | $175.00 | $51.61–$412.50 | 46% below | — |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 LUMBAR SPINE WO CON CT | $175.00 | $175.00 | $51.61–$412.50 | 46% below | — |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 Coccyx | $175.00 | $175.00 | $51.61–$412.50 | — | — |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 Coccyx | $175.00 | $175.00 | $51.61–$412.50 | — | — |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 Cervical Spine Wo Con Ct | $175.00 | $175.00 | $49.28–$412.50 | 46% below | — |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 Cervical Spine Wo Con Ct | $175.00 | $175.00 | $49.28–$412.50 | 46% below | — |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 Cervical Spine Wo Con Ct | $175.00 | $175.00 | $49.28–$412.50 | — | — |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 Cervical Spine Wo Con Ct | $175.00 | $175.00 | $49.28–$412.50 | — | — |
| CT scan of the pelvis, with contrast dye CPT 72193 PELVIS W CON CT | $175.00 | $175.00 | $59.91–$462.44 | 55% below | — |
| CT scan of the pelvis, with contrast dye CPT 72193 RENAL W CON | $175.00 | $175.00 | $59.91–$462.44 | 55% below | — |
| CT scan of the pelvis, with contrast dye one side CPT 72193 HIP RT W CON CT | $175.00 | $175.00 | $59.91–$462.44 | 55% below | — |
| CT scan of the pelvis, with contrast dye one side CPT 72193 Hip Lt W Con Ct | $175.00 | $175.00 | $59.91–$462.44 | 55% below | — |
| CT scan of the pelvis, with contrast dye one side CPT 72193 Hip Lt W Con Ct | $175.00 | $175.00 | $59.91–$462.44 | 55% below | — |
| CT scan of the pelvis, with contrast dye inpatient one side CPT 72193 Hip Lt W Con Ct | $175.00 | $175.00 | $59.91–$462.44 | — | — |
| CT scan of the pelvis, with contrast dye inpatient one side CPT 72193 Hip Lt W Con Ct | $175.00 | $175.00 | $59.91–$462.44 | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 Carotid Duplex Bi | $211.30 | $211.30 | $41.13–$251.60 | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 Carotid Duplex Bi | $211.30 | $211.30 | $41.13–$251.60 | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 Carotid Duplex Bi | $211.30 | $211.30 | $41.13–$251.60 | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 Carotid Duplex Bi | $211.30 | $211.30 | $41.13–$251.60 | — | — |
| Chest X-ray, 2 views CPT 71046 Chest 2v | $45.00 | $45.00 | $10.83–$46.64 | at median | — |
| Chest X-ray, 2 views CPT 71046 Chest 2v | $45.00 | $45.00 | $10.83–$46.64 | at median | — |
| Chest X-ray, 2 views inpatient CPT 71046 Chest 2v | $45.00 | $45.00 | $10.83–$46.64 | — | — |
| Chest X-ray, 2 views inpatient CPT 71046 Chest 2v | $45.00 | $45.00 | $10.83–$46.64 | — | — |
| Chest X-ray, single view CPT 71045 Chest 1v | $90.00 | $90.00 | $9.09–$34.75 | at median | — |
| Chest X-ray, single view CPT 71045 Chest 1v | $90.00 | $90.00 | $9.09–$34.75 | at median | — |
| Chest X-ray, single view CPT 71045 CHEST 1V PORTABLE | $90.00 | $90.00 | $9.09–$34.75 | at median | — |
| Chest X-ray, single view inpatient CPT 71045 Chest 1v | $90.00 | $90.00 | $9.09–$34.75 | — | — |
| Chest X-ray, single view inpatient CPT 71045 Chest 1v | $90.00 | $90.00 | $9.09–$34.75 | — | — |
| Collarbone (clavicle) X-ray, complete both sides CPT 73000 Clavicle Bi | $25.00 | $25.00 | $8.66–$42.86 | — | — |
| Collarbone (clavicle) X-ray, complete both sides CPT 73000 Clavicle Bi | $25.00 | $25.00 | $8.66–$42.86 | — | — |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 CLAVICLE LT | $25.00 | $25.00 | $8.66–$42.86 | 50% below | — |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 CLAVICLE RT | $25.00 | $25.00 | $8.66–$42.86 | 50% below | — |
| Collarbone (clavicle) X-ray, complete inpatient both sides CPT 73000 Clavicle Bi | $25.00 | $25.00 | $8.66–$42.86 | — | — |
| Collarbone (clavicle) X-ray, complete inpatient both sides CPT 73000 Clavicle Bi | $25.00 | $25.00 | $8.66–$42.86 | — | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys both sides CPT 76770 Renal Bi | $125.00 | $125.00 | $56.00–$233.64 | — | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys both sides CPT 76770 Renal Bi | $125.00 | $125.00 | $56.00–$233.64 | — | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 RETROPERITONEAL COMP | $125.00 | $125.00 | $37.89–$233.64 | 9% below | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys one side CPT 76770 RENAL RT | $125.00 | $125.00 | $29.59–$119.20 | 9% below | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys one side CPT 76770 RENAL LT | $125.00 | $125.00 | $29.59–$119.20 | 9% below | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient both sides CPT 76770 Renal Bi | $125.00 | $125.00 | $56.00–$233.64 | — | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient both sides CPT 76770 Renal Bi | $125.00 | $125.00 | $56.00–$233.64 | — | — |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 Dexa Axial Skeleton | $125.00 | $125.00 | $10.11–$135.00 | at median | — |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 Dexa Axial Skeleton | $125.00 | $125.00 | $10.11–$135.00 | at median | — |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 BONE MINERAL DUAL PHOTON | $200.00 | $200.00 | $10.11–$185.00 | 60% above | — |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 Dexa Axial Skeleton | $125.00 | $125.00 | $10.11–$135.00 | — | — |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 Dexa Axial Skeleton | $125.00 | $125.00 | $10.11–$135.00 | — | — |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 Dexa Appendicular Skeleton | $125.00 | $125.00 | $10.47–$119.94 | 11% above | — |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 Dexa Appendicular Skeleton | $125.00 | $125.00 | $10.47–$119.94 | 11% above | — |
| DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 Dexa Appendicular Skeleton | $125.00 | $125.00 | $10.47–$119.94 | — | — |
| DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 Dexa Appendicular Skeleton | $125.00 | $125.00 | $10.47–$119.94 | — | — |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 OB LEVEL 2 | $160.00 | $160.00 | $43.00–$377.02 | 78% below | — |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 Ob Fetal/Maternal Detail | $250.00 | $250.00 | $39.00–$377.02 | 66% below | — |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 Ob Fetal/Maternal Detail | $250.00 | $250.00 | $39.00–$377.02 | 66% below | — |
| Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 Ob Fetal/Maternal Detail | $250.00 | $250.00 | $39.00–$377.02 | — | — |
| Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 Ob Fetal/Maternal Detail | $250.00 | $250.00 | $39.00–$377.02 | — | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 THORACIC POST MYELOGRAM | $175.00 | $175.00 | $50.47–$412.50 | 46% below | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 LUNG SCREENING | $175.00 | $175.00 | $50.47–$412.50 | 46% below | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 Chest Wo Con Ct | $175.00 | $175.00 | $50.47–$412.50 | 46% below | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 Chest Wo Con Ct | $175.00 | $175.00 | $50.47–$412.50 | 46% below | — |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 Chest Wo Con Ct | $175.00 | $175.00 | $50.47–$412.50 | — | — |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 Chest Wo Con Ct | $175.00 | $175.00 | $50.47–$412.50 | — | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 Chest W Con Ct | $175.00 | $175.00 | $63.88–$427.50 | 57% below | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 Chest W Con Ct | $175.00 | $175.00 | $63.88–$427.50 | 57% below | — |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 Chest W Con Ct | $175.00 | $175.00 | $63.88–$427.50 | — | — |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 Chest W Con Ct | $175.00 | $175.00 | $63.88–$427.50 | — | — |
| Diagnostic mammogram, both breasts both sides CPT 77066 DIAGNOSTIC MAMMO IMPLANT BI | $100.00 | $100.00 | $82.00–$666.88 | — | — |
| Diagnostic mammogram, both breasts both sides CPT 77066 Diagnostic Mammo Bi | $125.00 | $125.00 | $50.53–$350.18 | — | — |
| Diagnostic mammogram, both breasts both sides CPT 77066 Diagnostic Mammo Bi | $125.00 | $125.00 | $50.53–$350.18 | — | — |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 Diagnostic Mammo Bi | $125.00 | $125.00 | $50.53–$350.18 | — | — |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 Diagnostic Mammo Bi | $125.00 | $125.00 | $50.53–$350.18 | — | — |
| Diagnostic mammogram, one breast one side CPT 77065 Diagnostic Mammo Unilat Lt | $92.50 | $92.50 | $46.00–$138.61 | 12% below | — |
| Diagnostic mammogram, one breast one side CPT 77065 DIAGNOSTIC MAMMO UNILAT RT | $92.50 | $92.50 | $40.00–$138.54 | 12% below | — |
| Diagnostic mammogram, one breast one side CPT 77065 POST BIOPSY LT | $92.50 | $92.50 | $67.50–$138.61 | 12% below | — |
| Diagnostic mammogram, one breast one side CPT 77065 POST BIOPSY RT | $92.50 | $92.50 | $67.50–$138.61 | 12% below | — |
| Diagnostic mammogram, one breast one side CPT 77065 Diagnostic Mammo Unilat Lt | $92.50 | $92.50 | $46.00–$138.61 | 12% below | — |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 Diagnostic Mammo Unilat Lt | $92.50 | $92.50 | $46.00–$138.61 | — | — |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 Diagnostic Mammo Unilat Lt | $92.50 | $92.50 | $46.00–$138.61 | — | — |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 Arterial Duplex Le Bi | $231.59 | $231.59 | $40.40–$277.89 | — | — |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 Arterial Duplex Le Bi | $231.59 | $231.59 | $40.40–$277.89 | — | — |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 Arterial Duplex Le Bi | $231.59 | $231.59 | $40.40–$277.89 | — | — |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 Arterial Duplex Le Bi | $231.59 | $231.59 | $40.40–$277.89 | — | — |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 VENOUS DOPPLER LE BI | $200.88 | $200.88 | $35.35–$220.04 | — | — |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 VENOUS DUPLEX LE BI | $200.88 | $200.88 | $35.35–$220.04 | — | — |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 VENOUS DUPLEX UE BI | $200.88 | $200.88 | $35.35–$215.44 | — | — |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 VENOUS DOPPLER UE BI | $200.88 | $200.88 | $35.35–$216.75 | — | — |
| Duplex ultrasound of the leg veins, both legs CPT 93970 Duplex Arterial Venous Comp | $200.88 | $200.88 | $35.35–$216.75 | 77% below | — |
| Duplex ultrasound of the leg veins, both legs CPT 93970 Duplex Arterial Venous Comp | $200.88 | $200.88 | $35.35–$216.75 | 77% below | — |
| Duplex ultrasound of the leg veins, both legs one side CPT 93970 VENOUS DOPPLER UE RT | $200.88 | $200.88 | $35.35–$216.75 | 77% below | — |
| Duplex ultrasound of the leg veins, both legs one side CPT 93970 VENOUS DOPPLER LE RT | $200.88 | $200.88 | $35.35–$216.75 | 77% below | — |
| Duplex ultrasound of the leg veins, both legs one side CPT 93970 VENOUS DOPPLER UE LT | $200.88 | $200.88 | $35.35–$216.75 | 77% below | — |
| Duplex ultrasound of the leg veins, both legs one side CPT 93970 VENOUS DOPPLER LE LT | $200.88 | $200.88 | $35.35–$216.75 | 77% below | — |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 Duplex Arterial Venous Comp | $200.88 | $200.88 | $35.35–$216.75 | — | — |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 Duplex Arterial Venous Comp | $200.88 | $200.88 | $35.35–$216.75 | — | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Echo Transthoracic Complete | $230.97 | $230.97 | $75.20–$597.00 | 84% below | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Echo Transthoracic Complete | $230.97 | $230.97 | $75.20–$597.00 | 84% below | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO 2D DOPPLER W COLOR FLOW | $400.00 | $400.00 | $75.20–$597.00 | 72% below | — |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Echo Transthoracic Complete | $230.97 | $230.97 | $75.20–$597.00 | — | — |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Echo Transthoracic Complete | $230.97 | $230.97 | $75.20–$597.00 | — | — |
| Elbow X-ray, 2 views one side CPT 73070 Elbow Lt 2v | $30.00 | $30.00 | $8.30–$45.00 | 18% below | — |
| Elbow X-ray, 2 views one side CPT 73070 ELBOW RT 2V | $30.00 | $30.00 | $8.30–$45.00 | 18% below | — |
| Elbow X-ray, 2 views one side CPT 73070 Elbow Lt 2v | $30.00 | $30.00 | $8.30–$45.00 | 18% below | — |
| Elbow X-ray, 2 views inpatient one side CPT 73070 Elbow Lt 2v | $30.00 | $30.00 | $8.30–$45.00 | — | — |
| Elbow X-ray, 2 views inpatient one side CPT 73070 Elbow Lt 2v | $30.00 | $30.00 | $8.30–$45.00 | — | — |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 Elbow Lt Min 3v | $30.00 | $30.00 | $9.02–$48.30 | 46% below | — |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 ELBOW RT MIN 3V | $30.00 | $30.00 | $9.02–$48.30 | 46% below | — |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 Elbow Lt Min 3v | $30.00 | $30.00 | $9.02–$48.30 | 46% below | — |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 Elbow Lt Min 3v | $30.00 | $30.00 | $9.02–$48.30 | — | — |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 Elbow Lt Min 3v | $30.00 | $30.00 | $9.02–$48.30 | — | — |
| Eye socket (orbit) CT scan without contrast both sides CPT 70480 AUDITORY CANALS BI WO CON CT | $175.00 | $175.00 | $40.00–$476.86 | — | — |
| Eye socket (orbit) CT scan without contrast both sides CPT 70480 ORBIT BI WO CON | $175.00 | $175.00 | $65.68–$476.86 | — | — |
| Eye socket (orbit) CT scan without contrast CPT 70480 MASTOID W/O CON CT | $175.00 | $175.00 | $83.88–$476.86 | 46% below | — |
| Eye socket (orbit) CT scan without contrast CPT 70480 POSTERIOR FOSSA WO CON | $175.00 | $175.00 | $65.68–$476.86 | 46% below | — |
| Eye socket (orbit) CT scan without contrast CPT 70480 SELLA TURCICA WO CON | $175.00 | $175.00 | $20.00–$476.86 | 46% below | — |
| Eye socket (orbit) CT scan without contrast one side CPT 70480 AUDITORY CANAL RT WO CON CT | $175.00 | $175.00 | $40.00–$476.86 | 46% below | — |
| Eye socket (orbit) CT scan without contrast one side CPT 70480 Auditory Canal Lt Wo Con Ct | $175.00 | $175.00 | $40.00–$476.86 | 46% below | — |
| Eye socket (orbit) CT scan without contrast one side CPT 70480 Auditory Canal Lt Wo Con Ct | $175.00 | $175.00 | $40.00–$476.86 | 46% below | — |
| Eye socket (orbit) CT scan without contrast one side CPT 70480 ORBIT LT WO CON CT | $175.00 | $175.00 | $65.68–$476.86 | 46% below | — |
| Eye socket (orbit) CT scan without contrast one side CPT 70480 ORBIT RT WO CON CT | $175.00 | $175.00 | $65.68–$476.86 | 46% below | — |
| Eye socket (orbit) CT scan without contrast inpatient one side CPT 70480 Auditory Canal Lt Wo Con Ct | $175.00 | $175.00 | $40.00–$476.86 | — | — |
| Eye socket (orbit) CT scan without contrast inpatient one side CPT 70480 Auditory Canal Lt Wo Con Ct | $175.00 | $175.00 | $40.00–$476.86 | — | — |
| Facial bones X-ray, complete, 3 or more views CPT 70150 Facial Bones Min 3v | $40.00 | $40.00 | $13.72–$63.48 | 42% below | — |
| Facial bones X-ray, complete, 3 or more views CPT 70150 Facial Bones Min 3v | $40.00 | $40.00 | $13.72–$63.48 | 42% below | — |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 Facial Bones Min 3v | $40.00 | $40.00 | $13.72–$63.48 | — | — |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 Facial Bones Min 3v | $40.00 | $40.00 | $13.72–$63.48 | — | — |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 FOREARM RT 2V | $25.00 | $25.00 | $8.66–$42.00 | 46% below | — |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 Forearm Lt 2v | $25.00 | $25.00 | $8.66–$42.00 | 46% below | — |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 Forearm Lt 2v | $25.00 | $25.00 | $8.66–$42.00 | 46% below | — |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 Forearm Lt 2v | $25.00 | $25.00 | $8.66–$42.00 | — | — |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 Forearm Lt 2v | $25.00 | $25.00 | $8.66–$42.00 | — | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Hepatobiliary Wo Pharm | $200.00 | $200.00 | $37.53–$703.42 | 56% below | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HIDA | $200.00 | $200.00 | $37.53–$703.42 | 56% below | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Hepatobiliary Wo Pharm | $200.00 | $200.00 | $37.53–$703.42 | 56% below | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 Hepatobiliary Wo Pharm | $200.00 | $200.00 | $37.53–$703.42 | — | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 Hepatobiliary Wo Pharm | $200.00 | $200.00 | $37.53–$703.42 | — | — |
| Hand X-ray, 2 views one side CPT 73120 Hand Lt 2v | $25.00 | $25.00 | $8.66–$43.41 | 50% below | — |
| Hand X-ray, 2 views one side CPT 73120 Hand Lt 2v | $25.00 | $25.00 | $8.66–$43.41 | 50% below | — |
| Hand X-ray, 2 views one side CPT 73120 HAND RT 2V | $25.00 | $25.00 | $8.66–$43.41 | 50% below | — |
| Hand X-ray, 2 views inpatient one side CPT 73120 Hand Lt 2v | $25.00 | $25.00 | $8.66–$43.41 | — | — |
| Hand X-ray, 2 views inpatient one side CPT 73120 Hand Lt 2v | $25.00 | $25.00 | $8.66–$43.41 | — | — |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 CALCANEUS RT MIN 2V | $25.00 | $25.00 | $8.30–$58.00 | 47% below | — |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 Calcaneus Lt Min 2v | $25.00 | $25.00 | $8.30–$58.00 | 47% below | — |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 Calcaneus Lt Min 2v | $25.00 | $25.00 | $8.30–$58.00 | 47% below | — |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 Calcaneus Lt Min 2v | $25.00 | $25.00 | $8.30–$58.00 | — | — |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 Calcaneus Lt Min 2v | $25.00 | $25.00 | $8.30–$58.00 | — | — |
| Knee X-ray, 3 views one side CPT 73562 Knee Lt 3v | $45.00 | $45.00 | $9.75–$77.16 | at median | — |
| Knee X-ray, 3 views one side CPT 73562 KNEE RT 3V | $45.00 | $45.00 | $9.75–$54.81 | at median | — |
| Knee X-ray, 3 views one side CPT 73562 Knee Lt 3v | $45.00 | $45.00 | $9.75–$77.16 | at median | — |
| Knee X-ray, 3 views inpatient one side CPT 73562 Knee Lt 3v | $45.00 | $45.00 | $9.75–$77.16 | — | — |
| Knee X-ray, 3 views inpatient one side CPT 73562 Knee Lt 3v | $45.00 | $45.00 | $9.75–$77.16 | — | — |
| Knee X-ray, complete, 4 or more views one side CPT 73564 Knee Lt 4v | $35.00 | $35.00 | $11.55–$60.78 | 43% below | — |
| Knee X-ray, complete, 4 or more views one side CPT 73564 Knee Lt 4v | $35.00 | $35.00 | $11.55–$60.78 | 43% below | — |
| Knee X-ray, complete, 4 or more views one side CPT 73564 KNEE RT 4V | $35.00 | $35.00 | $11.55–$60.78 | 43% below | — |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 Knee Lt 4v | $35.00 | $35.00 | $11.55–$60.78 | — | — |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 Knee Lt 4v | $35.00 | $35.00 | $11.55–$60.78 | — | — |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 LOWER EXTREMITY CT SCANOGRAM | $364.00 | $364.00 | $30.00–$300.00 | 4% above | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 LOWER LEG RT WO CON CT | $175.00 | $175.00 | $51.61–$412.50 | 50% below | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 Ankle Lt Wo Con Ct | $175.00 | $175.00 | $51.61–$412.50 | 50% below | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 Ankle Lt Wo Con Ct | $175.00 | $175.00 | $51.61–$412.50 | 50% below | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CALCANEUS RT | $175.00 | $175.00 | $51.61–$412.50 | 50% below | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 ANKLE RT WO CON CT | $175.00 | $175.00 | $51.61–$412.50 | 50% below | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CALCANEUS LT | $175.00 | $175.00 | $51.61–$412.50 | 50% below | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 FEMUR LT WO CON CT | $175.00 | $175.00 | $51.61–$412.50 | 50% below | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 FEMUR RT WO CON CT | $175.00 | $175.00 | $51.61–$412.50 | 50% below | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 FOOT LT WO CON CT | $175.00 | $175.00 | $51.61–$412.50 | 50% below | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 FOOT RT WO CON CT | $175.00 | $175.00 | $51.61–$412.50 | 50% below | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 KNEE LT WO CON CT | $175.00 | $175.00 | $51.61–$412.50 | 50% below | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 KNEE RT WO CON CT | $175.00 | $175.00 | $51.61–$412.50 | 50% below | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 LE LT WO CON | $175.00 | $175.00 | $51.61–$412.50 | 50% below | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 LE RT WO CON | $175.00 | $175.00 | $51.61–$412.50 | 50% below | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 TALUS RT | $175.00 | $175.00 | $51.61–$412.50 | 50% below | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 TALUS LT | $175.00 | $175.00 | $51.61–$412.50 | 50% below | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 LOWER LEG LT WO CON CT | $175.00 | $175.00 | $51.61–$412.50 | 50% below | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 Ankle Lt Wo Con Ct | $175.00 | $175.00 | $51.61–$412.50 | — | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 Ankle Lt Wo Con Ct | $175.00 | $175.00 | $51.61–$412.50 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Abdomen Limited | $125.00 | $125.00 | $29.95–$188.80 | at median | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Abdomen Limited | $125.00 | $125.00 | $29.95–$188.80 | at median | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 PANCREAS | $125.00 | $125.00 | $29.95–$188.80 | at median | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 LIVER | $125.00 | $125.00 | $29.95–$188.80 | at median | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Abdomen Limited | $125.00 | $125.00 | $29.95–$188.80 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Abdomen Limited | $125.00 | $125.00 | $29.95–$188.80 | — | — |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 Extremity Nonvascular | $85.00 | $85.00 | $3.50–$118.54 | 68% below | — |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 Extremity Nonvascular | $85.00 | $85.00 | $3.50–$118.54 | 68% below | — |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 Extremity Nonvascular | $85.00 | $85.00 | $3.50–$118.54 | — | — |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 Extremity Nonvascular | $85.00 | $85.00 | $3.50–$118.54 | — | — |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 Tibia Fibula Lt 2v | $25.00 | $25.00 | $8.30–$43.95 | 50% below | — |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 Tibia Fibula Lt 2v | $25.00 | $25.00 | $8.30–$43.95 | 50% below | — |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 TIBIA FIBULA RT 2V | $25.00 | $25.00 | $8.30–$43.95 | 50% below | — |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 Tibia Fibula Lt 2v | $25.00 | $25.00 | $8.30–$43.95 | — | — |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 Tibia Fibula Lt 2v | $25.00 | $25.00 | $8.30–$43.95 | — | — |
| MR angiography (MRA) of the head without contrast CPT 70544 VENOGRAPHY HEAD WO CON | $325.00 | $325.00 | $61.71–$975.00 | 54% below | — |
| MR angiography (MRA) of the head without contrast CPT 70544 Angio Head Wo Con | $325.00 | $325.00 | $61.71–$975.00 | 54% below | — |
| MR angiography (MRA) of the head without contrast CPT 70544 Angio Head Wo Con | $325.00 | $325.00 | $61.71–$975.00 | 54% below | — |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 Angio Head Wo Con | $325.00 | $325.00 | $61.71–$975.00 | — | — |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 Angio Head Wo Con | $325.00 | $325.00 | $61.71–$975.00 | — | — |
| MRI of both breasts, without and then with contrast dye both sides CPT 77049 Breast Bi Wo/W Con | $325.00 | $325.00 | $115.85–$1,188.12 | — | — |
| MRI of both breasts, without and then with contrast dye both sides CPT 77049 Breast Bi Wo/W Con | $325.00 | $325.00 | $115.85–$1,188.12 | — | — |
| MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 Breast Bi Wo/W Con | $325.00 | $325.00 | $115.85–$1,188.12 | — | — |
| MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 Breast Bi Wo/W Con | $325.00 | $325.00 | $115.85–$1,188.12 | — | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 Ankle Lt Wo Con Mri | $325.00 | $325.00 | $70.02–$975.00 | 55% below | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 KNEE RT WO CON MRI | $325.00 | $325.00 | $70.02–$975.00 | 55% below | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 KNEE LT WO CON MRI | $325.00 | $325.00 | $70.02–$975.00 | 55% below | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 Ankle Lt Wo Con Mri | $325.00 | $325.00 | $70.02–$975.00 | 55% below | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 ANKLE RT WO CON MRI | $325.00 | $325.00 | $70.02–$975.00 | 55% below | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 LE JOINT LT WO CON | $325.00 | $325.00 | $70.02–$975.00 | 55% below | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 LE JOINT RT WO CON | $325.00 | $325.00 | $70.02–$975.00 | 55% below | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 Ankle Lt Wo Con Mri | $325.00 | $325.00 | $70.02–$975.00 | — | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 Ankle Lt Wo Con Mri | $325.00 | $325.00 | $70.02–$975.00 | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye both sides CPT 73723 LE NONJOINT BI WO/W CON | $325.00 | $325.00 | $110.07–$963.46 | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 LE JOINT LT WO/W CON | $325.00 | $325.00 | $110.07–$963.46 | 64% below | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 LE JOINT RT WO/W CON | $325.00 | $325.00 | $110.07–$963.46 | 64% below | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 LE NONJOINT LT WO/W CON | $325.00 | $325.00 | $110.07–$963.46 | 64% below | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 LE NONJOINT RT WO/W CON | $325.00 | $325.00 | $110.07–$963.46 | 64% below | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 Ankle Lt Wo/W Con Mri | $325.00 | $325.00 | $110.07–$963.46 | 64% below | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 Ankle Lt Wo/W Con Mri | $325.00 | $325.00 | $110.07–$963.46 | 64% below | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 ANKLE RT WO/W CON MRI | $325.00 | $325.00 | $110.07–$963.46 | 64% below | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 HIP LT WO/W CON MRI | $325.00 | $325.00 | $110.07–$963.46 | 64% below | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 HIP RT WO/W CON MRI | $325.00 | $325.00 | $110.07–$963.46 | 64% below | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 KNEE LT WO/W CON MRI | $325.00 | $325.00 | $110.07–$963.46 | 64% below | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 KNEE RT WO/W CON MRI | $325.00 | $325.00 | $110.07–$963.46 | 64% below | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 Ankle Lt Wo/W Con Mri | $325.00 | $325.00 | $110.07–$963.46 | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 Ankle Lt Wo/W Con Mri | $325.00 | $325.00 | $110.07–$963.46 | — | — |
| MRI of the abdomen without contrast CPT 74181 Abdomen Wo Con Mri | $325.00 | $325.00 | $75.07–$975.00 | 54% below | — |
| MRI of the abdomen without contrast CPT 74181 MRCP | $325.00 | $325.00 | $75.07–$975.00 | 54% below | — |
| MRI of the abdomen without contrast CPT 74181 KIDNEY WO CON | $325.00 | $325.00 | $75.07–$975.00 | 54% below | — |
| MRI of the abdomen without contrast CPT 74181 Abdomen Wo Con Mri | $325.00 | $325.00 | $75.07–$975.00 | 54% below | — |
| MRI of the abdomen without contrast inpatient CPT 74181 Abdomen Wo Con Mri | $325.00 | $325.00 | $75.07–$975.00 | — | — |
| MRI of the abdomen without contrast inpatient CPT 74181 Abdomen Wo Con Mri | $325.00 | $325.00 | $75.07–$975.00 | — | — |
| MRI of the abdomen, without and then with contrast dye CPT 74183 Abdomen Wo/W Con Mri | $325.00 | $325.00 | $112.96–$975.00 | 65% below | — |
| MRI of the abdomen, without and then with contrast dye CPT 74183 KIDNEY WO/W CON | $325.00 | $325.00 | $112.96–$975.00 | 65% below | — |
| MRI of the abdomen, without and then with contrast dye CPT 74183 Abdomen Wo/W Con Mri | $325.00 | $325.00 | $112.96–$975.00 | 65% below | — |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 Abdomen Wo/W Con Mri | $325.00 | $325.00 | $112.96–$975.00 | — | — |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 Abdomen Wo/W Con Mri | $325.00 | $325.00 | $112.96–$975.00 | — | — |
| MRI of the brain, no contrast dye CPT 70551 HEAD/BRAIN WO CON MRI | $325.00 | $325.00 | $76.15–$975.00 | 55% below | — |
| MRI of the brain, no contrast dye CPT 70551 Head Wo Con | $325.00 | $325.00 | $76.15–$975.00 | 55% below | — |
| MRI of the brain, no contrast dye CPT 70551 Head Wo Con | $325.00 | $325.00 | $76.15–$975.00 | 55% below | — |
| MRI of the brain, no contrast dye inpatient CPT 70551 Head Wo Con | $325.00 | $325.00 | $76.15–$975.00 | — | — |
| MRI of the brain, no contrast dye inpatient CPT 70551 Head Wo Con | $325.00 | $325.00 | $76.15–$975.00 | — | — |
| MRI of the brain, with and without contrast dye CPT 70553 Head Wo/W Con | $325.00 | $325.00 | $117.29–$1,087.50 | 62% below | — |
| MRI of the brain, with and without contrast dye CPT 70553 Head Wo/W Con | $325.00 | $325.00 | $117.29–$1,087.50 | 62% below | — |
| MRI of the brain, with and without contrast dye CPT 70553 HEAD/BRAIN WO/W CON MRI | $325.00 | $325.00 | $117.29–$1,087.50 | 62% below | — |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 Head Wo/W Con | $325.00 | $325.00 | $117.29–$1,087.50 | — | — |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 Head Wo/W Con | $325.00 | $325.00 | $117.29–$1,087.50 | — | — |
| MRI of the lower back, no contrast dye CPT 72148 Lumbar Spine Wo Con Mri | $325.00 | $325.00 | $76.51–$975.00 | 55% below | — |
| MRI of the lower back, no contrast dye CPT 72148 Lumbar Spine Wo Con Mri | $325.00 | $325.00 | $76.51–$975.00 | 55% below | — |
| MRI of the lower back, no contrast dye inpatient CPT 72148 Lumbar Spine Wo Con Mri | $325.00 | $325.00 | $76.51–$975.00 | — | — |
| MRI of the lower back, no contrast dye inpatient CPT 72148 Lumbar Spine Wo Con Mri | $325.00 | $325.00 | $76.51–$975.00 | — | — |
| MRI of the lower back, without and then with contrast dye CPT 72158 Lumbar Spine Wo/W Con Mri | $325.00 | $325.00 | $117.29–$1,087.50 | 67% below | — |
| MRI of the lower back, without and then with contrast dye CPT 72158 Lumbar Spine Wo/W Con Mri | $325.00 | $325.00 | $117.29–$1,087.50 | 67% below | — |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 Lumbar Spine Wo/W Con Mri | $325.00 | $325.00 | $117.29–$1,087.50 | — | — |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 Lumbar Spine Wo/W Con Mri | $325.00 | $325.00 | $117.29–$1,087.50 | — | — |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 Thoracic Spine Wo Con Mri | $325.00 | $325.00 | $76.51–$975.00 | 55% below | — |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 Thoracic Spine Wo Con Mri | $325.00 | $325.00 | $76.51–$975.00 | 55% below | — |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 Thoracic Spine Wo Con Mri | $325.00 | $325.00 | $76.51–$975.00 | — | — |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 Thoracic Spine Wo Con Mri | $325.00 | $325.00 | $76.51–$975.00 | — | — |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 Cervical Spine Wo/W Con Mri | $325.00 | $325.00 | $117.29–$1,087.50 | 67% below | — |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 Cervical Spine Wo/W Con Mri | $325.00 | $325.00 | $117.29–$1,087.50 | 67% below | — |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 Cervical Spine Wo/W Con Mri | $325.00 | $325.00 | $117.29–$1,087.50 | — | — |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 Cervical Spine Wo/W Con Mri | $325.00 | $325.00 | $117.29–$1,087.50 | — | — |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 Cervical Spine Wo Con Mri | $325.00 | $325.00 | $76.51–$975.00 | 55% below | — |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 Cervical Spine Wo Con Mri | $325.00 | $325.00 | $76.51–$975.00 | 55% below | — |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 Cervical Spine Wo Con Mri | $325.00 | $325.00 | $76.51–$975.00 | — | — |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 Cervical Spine Wo Con Mri | $325.00 | $325.00 | $76.51–$975.00 | — | — |
| MRI of the pelvis without and with contrast CPT 72197 SACRUM WO/W CON | $325.00 | $325.00 | $112.96–$873.50 | 65% below | — |
| MRI of the pelvis without and with contrast CPT 72197 Pelvis Wo/W Con Mri | $325.00 | $325.00 | $112.96–$873.50 | 65% below | — |
| MRI of the pelvis without and with contrast CPT 72197 Pelvis Wo/W Con Mri | $325.00 | $325.00 | $112.96–$873.50 | 65% below | — |
| MRI of the pelvis without and with contrast inpatient CPT 72197 Pelvis Wo/W Con Mri | $325.00 | $325.00 | $112.96–$873.50 | — | — |
| MRI of the pelvis without and with contrast inpatient CPT 72197 Pelvis Wo/W Con Mri | $325.00 | $325.00 | $112.96–$873.50 | — | — |
| MRI of the pelvis, no contrast dye CPT 72195 SACRUM WO CON | $325.00 | $325.00 | $75.07–$975.00 | 54% below | — |
| MRI of the pelvis, no contrast dye CPT 72195 PELVIS WO CON MRI | $325.00 | $325.00 | $75.07–$975.00 | 54% below | — |
| MRI of the pelvis, no contrast dye one side CPT 72195 Hip Lt Wo Con Mri | $325.00 | $325.00 | $75.07–$975.00 | 54% below | — |
| MRI of the pelvis, no contrast dye one side CPT 72195 Hip Lt Wo Con Mri | $325.00 | $325.00 | $75.07–$975.00 | 54% below | — |
| MRI of the pelvis, no contrast dye one side CPT 72195 HIP RT WO CON MRI | $325.00 | $325.00 | $75.07–$975.00 | 54% below | — |
| MRI of the pelvis, no contrast dye inpatient one side CPT 72195 Hip Lt Wo Con Mri | $325.00 | $325.00 | $75.07–$975.00 | — | — |
| MRI of the pelvis, no contrast dye inpatient one side CPT 72195 Hip Lt Wo Con Mri | $325.00 | $325.00 | $75.07–$975.00 | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 Shoulder Lt Wo Con Mri | $325.00 | $325.00 | $136.29–$975.00 | 57% below | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 WRIST RT WO CON MRI | $325.00 | $325.00 | $70.02–$975.00 | 57% below | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 WRIST LT WO CON MRI | $325.00 | $325.00 | $70.02–$975.00 | 57% below | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 UE JOINT RT WO CON | $325.00 | $325.00 | $70.02–$975.00 | 57% below | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 UE JOINT LT WO CON | $325.00 | $325.00 | $70.02–$975.00 | 57% below | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 SHOULDER RT WO CON MRI | $325.00 | $325.00 | $70.02–$975.00 | 57% below | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 Shoulder Lt Wo Con Mri | $325.00 | $325.00 | $136.29–$975.00 | 57% below | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 Shoulder Lt Wo Con Mri | $325.00 | $325.00 | $136.29–$975.00 | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 Shoulder Lt Wo Con Mri | $325.00 | $325.00 | $136.29–$975.00 | — | — |
| Neck soft tissue CT scan with contrast CPT 70491 Soft Tissue Neck W Con | $175.00 | $175.00 | $71.10–$427.50 | 55% below | — |
| Neck soft tissue CT scan with contrast CPT 70491 Soft Tissue Neck W Con | $175.00 | $175.00 | $71.10–$427.50 | 55% below | — |
| Neck soft tissue CT scan with contrast inpatient CPT 70491 Soft Tissue Neck W Con | $175.00 | $175.00 | $71.10–$427.50 | — | — |
| Neck soft tissue CT scan with contrast inpatient CPT 70491 Soft Tissue Neck W Con | $175.00 | $175.00 | $71.10–$427.50 | — | — |
| Neck soft tissue CT scan without contrast CPT 70490 Soft Tissue Neck Wo Con | $175.00 | $175.00 | $65.68–$550.00 | 46% below | — |
| Neck soft tissue CT scan without contrast CPT 70490 Soft Tissue Neck Wo Con | $175.00 | $175.00 | $65.68–$550.00 | 46% below | — |
| Neck soft tissue CT scan without contrast inpatient CPT 70490 Soft Tissue Neck Wo Con | $175.00 | $175.00 | $65.68–$550.00 | — | — |
| Neck soft tissue CT scan without contrast inpatient CPT 70490 Soft Tissue Neck Wo Con | $175.00 | $175.00 | $65.68–$550.00 | — | — |
| Neck soft tissue X-ray CPT 70360 Soft Tissue Neck | $25.00 | $25.00 | $9.40–$43.40 | 50% below | — |
| Neck soft tissue X-ray CPT 70360 Soft Tissue Neck | $25.00 | $25.00 | $9.40–$43.40 | 50% below | — |
| Neck soft tissue X-ray inpatient CPT 70360 Soft Tissue Neck | $25.00 | $25.00 | $9.40–$43.40 | — | — |
| Neck soft tissue X-ray inpatient CPT 70360 Soft Tissue Neck | $25.00 | $25.00 | $9.40–$43.40 | — | — |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 MYO PERF SPECT REST OR STR | $840.00 | $840.00 | $108.32–$1,006.58 | at median | — |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Myo Perf Spect Rest & Str | $840.00 | $840.00 | $161.98–$1,006.58 | at median | — |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Myo Perf Spect Rest & Str | $840.00 | $840.00 | $161.98–$1,006.58 | at median | — |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 T MYO PERF REST OR STRESS | $887.50 | $887.50 | $68.89–$1,006.58 | 6% above | — |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 T MYO PERF REST & OR STRESS | $887.50 | $887.50 | $68.89–$1,006.58 | 6% above | — |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 Myo Perf Spect Rest & Str | $840.00 | $840.00 | $161.98–$1,006.58 | — | — |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 Myo Perf Spect Rest & Str | $840.00 | $840.00 | $161.98–$1,006.58 | — | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 T Ct Fusion Skull To Thigh | $3,750.00 | $3,750.00 | $101.49–$4,500.00 | 40% below | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 T Ct Fusion Skull To Thigh | $3,750.00 | $3,750.00 | $101.49–$4,500.00 | 40% below | — |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 T Ct Fusion Skull To Thigh | $3,750.00 | $3,750.00 | $101.49–$4,500.00 | — | — |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 T Ct Fusion Skull To Thigh | $3,750.00 | $3,750.00 | $101.49–$4,500.00 | — | — |
| Pelvic CT scan without contrast CPT 72192 KIDNEY STONE | $175.00 | $175.00 | $55.94–$412.50 | 46% below | — |
| Pelvic CT scan without contrast CPT 72192 RENAL WO CON | $175.00 | $175.00 | $55.94–$457.00 | 46% below | — |
| Pelvic CT scan without contrast CPT 72192 DRAIN OVARY ABCESS | $175.00 | $175.00 | $55.94–$412.50 | 46% below | — |
| Pelvic CT scan without contrast CPT 72192 DRAIN RETROPERITONEAL | $175.00 | $175.00 | $55.94–$412.50 | 46% below | — |
| Pelvic CT scan without contrast CPT 72192 BONY PELVIS | $175.00 | $175.00 | $55.94–$412.50 | 46% below | — |
| Pelvic CT scan without contrast CPT 72192 UROGRAM | $175.00 | $175.00 | $55.94–$412.50 | 46% below | — |
| Pelvic CT scan without contrast CPT 72192 DRAIN PERITONEUM | $175.00 | $175.00 | $55.94–$412.50 | 46% below | — |
| Pelvic CT scan without contrast CPT 72192 PELVIS WO CON CT | $175.00 | $175.00 | $55.94–$412.50 | 46% below | — |
| Pelvic CT scan without contrast CPT 72192 DRAIN KIDNEY | $175.00 | $175.00 | $55.94–$412.50 | 46% below | — |
| Pelvic CT scan without contrast one side CPT 72192 HIP LT WO CON CT | $175.00 | $175.00 | $55.94–$412.50 | 46% below | — |
| Pelvic CT scan without contrast one side CPT 72192 Biopsy Renal Lt | $175.00 | $175.00 | $55.94–$412.50 | 46% below | — |
| Pelvic CT scan without contrast one side CPT 72192 Biopsy Renal Lt | $175.00 | $175.00 | $55.94–$412.50 | 46% below | — |
| Pelvic CT scan without contrast one side CPT 72192 BIOPSY RENAL RT | $175.00 | $175.00 | $55.94–$412.50 | 46% below | — |
| Pelvic CT scan without contrast one side CPT 72192 HIP RT WO CON CT | $175.00 | $175.00 | $55.94–$412.50 | 46% below | — |
| Pelvic CT scan without contrast inpatient one side CPT 72192 Biopsy Renal Lt | $175.00 | $175.00 | $55.94–$412.50 | — | — |
| Pelvic CT scan without contrast inpatient one side CPT 72192 Biopsy Renal Lt | $175.00 | $175.00 | $55.94–$412.50 | — | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Pelvic Limited | $90.00 | $90.00 | $20.00–$99.68 | 28% below | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Pelvic Limited | $90.00 | $90.00 | $20.00–$99.68 | 28% below | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 Pelvic Limited | $90.00 | $90.00 | $20.00–$99.68 | — | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 Pelvic Limited | $90.00 | $90.00 | $20.00–$99.68 | — | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Pelvic Complete | $125.00 | $125.00 | $35.37–$227.16 | at median | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Pelvic Complete | $125.00 | $125.00 | $35.37–$227.16 | at median | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 Pelvic Complete | $125.00 | $125.00 | $35.37–$227.16 | — | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 Pelvic Complete | $125.00 | $125.00 | $35.37–$227.16 | — | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Ob >= 14 Weeks Fetus | $150.00 | $150.00 | $35.00–$293.62 | 9% above | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Ob >= 14 Weeks Fetus | $150.00 | $150.00 | $35.00–$293.62 | 9% above | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB FETAL MATERNAL TRANSABD | $150.00 | $150.00 | $35.00–$293.62 | 9% above | — |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 Ob >= 14 Weeks Fetus | $150.00 | $150.00 | $35.00–$293.62 | — | — |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 Ob >= 14 Weeks Fetus | $150.00 | $150.00 | $35.00–$293.62 | — | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Ob <= 14 Weeks Fetus | $125.00 | $125.00 | $39.00–$254.48 | 58% below | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Ob <= 14 Weeks Fetus | $125.00 | $125.00 | $39.00–$254.48 | 58% below | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 Ob <= 14 Weeks Fetus | $125.00 | $125.00 | $39.00–$254.48 | — | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 Ob <= 14 Weeks Fetus | $125.00 | $125.00 | $39.00–$254.48 | — | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Ob Limited | $125.00 | $125.00 | $33.56–$174.26 | at median | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Ob Limited | $125.00 | $125.00 | $33.56–$174.26 | at median | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 Ob Limited | $125.00 | $125.00 | $33.56–$174.26 | — | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 Ob Limited | $125.00 | $125.00 | $33.56–$174.26 | — | — |
| Rib X-ray, one side, 2 views one side CPT 71100 Ribs Lt 2v | $25.00 | $25.00 | $11.55–$51.00 | 55% below | — |
| Rib X-ray, one side, 2 views one side CPT 71100 Ribs Lt 2v | $25.00 | $25.00 | $11.55–$51.00 | 55% below | — |
| Rib X-ray, one side, 2 views one side CPT 71100 RIBS RT 2V | $25.00 | $25.00 | $11.55–$51.00 | 55% below | — |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 Ribs Lt 2v | $25.00 | $25.00 | $11.55–$51.00 | — | — |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 Ribs Lt 2v | $25.00 | $25.00 | $11.55–$51.00 | — | — |
| Screening mammogram, both breasts both sides CPT 77067 SCREENING MAMMO BI | $103.75 | $103.75 | $39.40–$282.20 | — | — |
| Screening mammogram, both breasts CPT 77067 Cad Screening | $103.75 | $103.75 | $46.00–$197.64 | 7% above | — |
| Screening mammogram, both breasts CPT 77067 Cad Screening | $103.75 | $103.75 | $46.00–$197.64 | 7% above | — |
| Screening mammogram, both breasts one side CPT 77067 SCREENING MAMMO UNILAT RT | $92.50 | $92.50 | $39.00–$279.64 | 5% below | — |
| Screening mammogram, both breasts one side CPT 77067 SCREENING MAMMO UNILAT LT | $92.50 | $92.50 | $46.00–$279.64 | 5% below | — |
| Screening mammogram, both breasts inpatient CPT 77067 Cad Screening | $103.75 | $103.75 | $46.00–$197.64 | — | — |
| Screening mammogram, both breasts inpatient CPT 77067 Cad Screening | $103.75 | $103.75 | $46.00–$197.64 | — | — |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER RT MIN 2V | $45.00 | $45.00 | $9.75–$45.03 | 20% below | — |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER LT 3V | $90.00 | $90.00 | $14.00–$32.23 | 61% above | — |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER RT 3V | $90.00 | $90.00 | $14.00–$32.23 | 61% above | — |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 Shoulder Lt Min 2v | $92.00 | $92.00 | $9.75–$45.03 | 64% above | — |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 Shoulder Lt Min 2v | $92.00 | $92.00 | $9.75–$45.03 | 64% above | — |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 Shoulder Lt Min 2v | $92.00 | $92.00 | $9.75–$45.03 | — | — |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 Shoulder Lt Min 2v | $92.00 | $92.00 | $9.75–$45.03 | — | — |
| Skull X-ray, fewer than 4 views CPT 70250 Skull <4v | $45.00 | $45.00 | $13.00–$55.88 | 10% below | — |
| Skull X-ray, fewer than 4 views CPT 70250 Skull <4v | $45.00 | $45.00 | $13.00–$55.88 | 10% below | — |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 Skull <4v | $45.00 | $45.00 | $13.00–$55.88 | — | — |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 Skull <4v | $45.00 | $45.00 | $13.00–$55.88 | — | — |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 BARIUM SWALLOW W SBFT | $90.00 | $90.00 | $27.43–$198.18 | at median | — |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 BARIUM SWALLOW MODIFIED | $90.00 | $90.00 | $27.43–$198.18 | at median | — |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 Barium Swallow | $90.00 | $90.00 | $27.43–$198.18 | at median | — |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 BARIUM SWALLOW W VIDEO | $90.00 | $90.00 | $27.43–$198.18 | at median | — |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 Barium Swallow | $90.00 | $90.00 | $27.43–$198.18 | at median | — |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 Barium Swallow | $90.00 | $90.00 | $27.43–$198.18 | — | — |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 Barium Swallow | $90.00 | $90.00 | $27.43–$198.18 | — | — |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 Thoracic Spine Wo Con Ct | $175.00 | $175.00 | $51.61–$412.50 | 46% below | — |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 Thoracic Spine Wo Con Ct | $175.00 | $175.00 | $51.61–$412.50 | 46% below | — |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 Thoracic Spine Wo Con Ct | $175.00 | $175.00 | $51.61–$412.50 | — | — |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 Thoracic Spine Wo Con Ct | $175.00 | $175.00 | $51.61–$412.50 | — | — |
| Toe X-ray, 2 or more views one side CPT 73660 TOE RT MIN 2V | $25.00 | $25.00 | $6.86–$43.43 | 37% below | — |
| Toe X-ray, 2 or more views one side CPT 73660 Toe Lt Min 2v | $25.00 | $25.00 | $6.86–$43.43 | 37% below | — |
| Toe X-ray, 2 or more views one side CPT 73660 Toe Lt Min 2v | $25.00 | $25.00 | $6.86–$43.43 | 37% below | — |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 Toe Lt Min 2v | $25.00 | $25.00 | $6.86–$43.43 | — | — |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 Toe Lt Min 2v | $25.00 | $25.00 | $6.86–$43.43 | — | — |
| Transvaginal pelvic ultrasound CPT 76830 Transvaginal | $150.00 | $150.00 | $35.73–$251.80 | at median | — |
| Transvaginal pelvic ultrasound CPT 76830 Transvaginal | $150.00 | $150.00 | $35.73–$251.80 | at median | — |
| Transvaginal pelvic ultrasound inpatient CPT 76830 Transvaginal | $150.00 | $150.00 | $35.73–$251.80 | — | — |
| Transvaginal pelvic ultrasound inpatient CPT 76830 Transvaginal | $150.00 | $150.00 | $35.73–$251.80 | — | — |
| Transvaginal ultrasound during pregnancy CPT 76817 Ob Transvaginal | $150.00 | $150.00 | $38.97–$200.28 | 40% below | — |
| Transvaginal ultrasound during pregnancy CPT 76817 Ob Transvaginal | $150.00 | $150.00 | $38.97–$200.28 | 40% below | — |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 Ob Transvaginal | $150.00 | $150.00 | $38.97–$200.28 | — | — |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 Ob Transvaginal | $150.00 | $150.00 | $38.97–$200.28 | — | — |
| Ultrasound of the abdomen, complete CPT 76700 Abdomen | $145.00 | $145.00 | $41.51–$252.46 | 11% below | — |
| Ultrasound of the abdomen, complete CPT 76700 ABDOMEN COMPLETE | $145.00 | $145.00 | $41.51–$252.46 | 11% below | — |
| Ultrasound of the abdomen, complete CPT 76700 Abdomen | $145.00 | $145.00 | $41.51–$252.46 | 11% below | — |
| Ultrasound of the abdomen, complete inpatient CPT 76700 Abdomen | $145.00 | $145.00 | $41.51–$252.46 | — | — |
| Ultrasound of the abdomen, complete inpatient CPT 76700 Abdomen | $145.00 | $145.00 | $41.51–$252.46 | — | — |
| Ultrasound of the scrotum and testicles CPT 76870 Scrotum | $125.00 | $125.00 | $32.84–$139.46 | at median | — |
| Ultrasound of the scrotum and testicles CPT 76870 Scrotum | $125.00 | $125.00 | $32.84–$139.46 | at median | — |
| Ultrasound of the scrotum and testicles CPT 76870 SCROTUM DOPPLER | $125.00 | $125.00 | $32.84–$139.46 | at median | — |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 Scrotum | $125.00 | $125.00 | $32.84–$139.46 | — | — |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 Scrotum | $125.00 | $125.00 | $32.84–$139.46 | — | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 THYROID ULT | $125.00 | $125.00 | $28.87–$240.30 | at median | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Soft Tissue Head And Neck | $125.00 | $125.00 | $28.87–$240.30 | at median | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Soft Tissue Head And Neck | $125.00 | $125.00 | $28.87–$240.30 | at median | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 Soft Tissue Head And Neck | $125.00 | $125.00 | $28.87–$240.30 | — | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 Soft Tissue Head And Neck | $125.00 | $125.00 | $28.87–$240.30 | — | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UPPER GI SERIES W KUB | $123.00 | $123.00 | $64.32–$90.17 | 6% below | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Upper Gi Series | $125.00 | $125.00 | $35.73–$173.09 | 5% below | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Upper Gi Series | $125.00 | $125.00 | $35.73–$173.09 | 5% below | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UPPER GI W GASTROGRAFIN | $125.00 | $125.00 | $35.73–$173.09 | 5% below | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UPPER GI SMALL BOWEL | $175.00 | $175.00 | $35.73–$262.14 | 33% above | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 Upper Gi Series | $125.00 | $125.00 | $35.73–$173.09 | — | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 Upper Gi Series | $125.00 | $125.00 | $35.73–$173.09 | — | — |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 Humerus Lt | $25.00 | $25.00 | $8.66–$45.00 | 38% below | — |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 Humerus Lt | $25.00 | $25.00 | $8.66–$45.00 | 38% below | — |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 HUMERUS RT | $25.00 | $25.00 | $8.66–$45.00 | 38% below | — |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 Humerus Lt | $25.00 | $25.00 | $8.66–$45.00 | — | — |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 Humerus Lt | $25.00 | $25.00 | $8.66–$45.00 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Venous Duplex Le Lt | $97.00 | $97.00 | $23.09–$146.40 | 81% below | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Venous Duplex Le Lt | $97.00 | $97.00 | $23.09–$146.40 | 81% below | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VENOUS DUPLEX UE RT | $97.00 | $97.00 | $23.09–$126.83 | 81% below | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VENOUS DUPLEX UE LT | $97.00 | $97.00 | $23.09–$126.83 | 81% below | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VENOUS DUPLEX LE RT | $97.00 | $97.00 | $23.09–$131.50 | 81% below | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 Venous Duplex Le Lt | $97.00 | $97.00 | $23.09–$146.40 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 Venous Duplex Le Lt | $97.00 | $97.00 | $23.09–$146.40 | — | — |
| Wrist X-ray, 2 views one side CPT 73100 WRIST RT W SCAPHOID | $25.00 | $25.00 | $8.66–$48.30 | 45% below | — |
| Wrist X-ray, 2 views one side CPT 73100 Wrist Lt 2v | $25.00 | $25.00 | $8.66–$48.30 | 45% below | — |
| Wrist X-ray, 2 views one side CPT 73100 WRIST RT 2V | $25.00 | $25.00 | $8.66–$48.30 | 45% below | — |
| Wrist X-ray, 2 views one side CPT 73100 WRIST LT W SCAPHOID | $25.00 | $25.00 | $8.66–$48.30 | 45% below | — |
| Wrist X-ray, 2 views one side CPT 73100 Wrist Lt 2v | $25.00 | $25.00 | $8.66–$48.30 | 45% below | — |
| Wrist X-ray, 2 views inpatient one side CPT 73100 Wrist Lt 2v | $25.00 | $25.00 | $8.66–$48.30 | — | — |
| Wrist X-ray, 2 views inpatient one side CPT 73100 Wrist Lt 2v | $25.00 | $25.00 | $8.66–$48.30 | — | — |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST RT MIN 3V | $30.00 | $30.00 | $9.02–$53.73 | 37% below | — |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 Wrist Lt Min 3v | $30.00 | $30.00 | $9.02–$53.73 | 37% below | — |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 Wrist Lt Min 3v | $30.00 | $30.00 | $9.02–$53.73 | 37% below | — |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 Wrist Lt Min 3v | $30.00 | $30.00 | $9.02–$53.73 | — | — |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 Wrist Lt Min 3v | $30.00 | $30.00 | $9.02–$53.73 | — | — |
| X-ray of the abdomen, 1 view CPT 74018 Abdomen 1v | $55.00 | $55.00 | $9.40–$41.76 | 6% above | — |
| X-ray of the abdomen, 1 view CPT 74018 KUB | $55.00 | $55.00 | $9.40–$41.76 | 6% above | — |
| X-ray of the abdomen, 1 view CPT 74018 KUB PORTABLE | $55.00 | $55.00 | $9.40–$333.25 | 6% above | — |
| X-ray of the abdomen, 1 view CPT 74018 Abdomen 1v | $55.00 | $55.00 | $9.40–$41.76 | 6% above | — |
| X-ray of the abdomen, 1 view inpatient CPT 74018 Abdomen 1v | $55.00 | $55.00 | $9.40–$41.76 | — | — |
| X-ray of the abdomen, 1 view inpatient CPT 74018 Abdomen 1v | $55.00 | $55.00 | $9.40–$41.76 | — | — |
| X-ray of the ankle, 2 views one side CPT 73600 ANKLE RT 2V | $25.00 | $25.00 | $8.66–$45.59 | 47% below | — |
| X-ray of the ankle, 2 views one side CPT 73600 Ankle Lt 2v | $25.00 | $25.00 | $8.66–$45.59 | 47% below | — |
| X-ray of the ankle, 2 views one side CPT 73600 Ankle Lt 2v | $25.00 | $25.00 | $8.66–$45.59 | 47% below | — |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 Ankle Lt 2v | $25.00 | $25.00 | $8.66–$45.59 | — | — |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 Ankle Lt 2v | $25.00 | $25.00 | $8.66–$45.59 | — | — |
| X-ray of the finger(s), 2 or more views one side CPT 73140 Finger Lt Min 2v | $25.00 | $25.00 | $7.22–$49.40 | 40% below | — |
| X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER RT MIN 2V | $25.00 | $25.00 | $7.22–$49.40 | 40% below | — |
| X-ray of the finger(s), 2 or more views one side CPT 73140 Finger Lt Min 2v | $25.00 | $25.00 | $7.22–$49.40 | 40% below | — |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 Finger Lt Min 2v | $25.00 | $25.00 | $7.22–$49.40 | — | — |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 Finger Lt Min 2v | $25.00 | $25.00 | $7.22–$49.40 | — | — |
| X-ray of the foot, 2 views one side CPT 73620 Foot Lt 2v | $45.00 | $45.00 | $7.94–$40.14 | 4% below | — |
| X-ray of the foot, 2 views one side CPT 73620 Foot Lt 2v | $45.00 | $45.00 | $7.94–$40.14 | 4% below | — |
| X-ray of the foot, 2 views one side CPT 73620 FOOT RT 2V | $45.00 | $45.00 | $7.94–$40.14 | 4% below | — |
| X-ray of the foot, 2 views inpatient one side CPT 73620 Foot Lt 2v | $45.00 | $45.00 | $7.94–$40.14 | — | — |
| X-ray of the foot, 2 views inpatient one side CPT 73620 Foot Lt 2v | $45.00 | $45.00 | $7.94–$40.14 | — | — |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 Foot Lt Min 3v | $90.00 | $90.00 | $8.66–$60.00 | 26% above | — |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT RT MIN 3V | $90.00 | $90.00 | $8.66–$60.00 | 26% above | — |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 Foot Lt Min 3v | $90.00 | $90.00 | $8.66–$60.00 | 26% above | — |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 Foot Lt Min 3v | $90.00 | $90.00 | $8.66–$60.00 | — | — |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 Foot Lt Min 3v | $90.00 | $90.00 | $8.66–$60.00 | — | — |
| X-ray of the knee, 1 or 2 views one side CPT 73560 Knee Lt 2v | $92.00 | $92.00 | $8.66–$47.76 | 28% above | — |
| X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE RT 2V | $92.00 | $92.00 | $8.66–$47.76 | 28% above | — |
| X-ray of the knee, 1 or 2 views one side CPT 73560 Knee Lt 2v | $92.00 | $92.00 | $8.66–$47.76 | 28% above | — |
| X-ray of the knee, 1 or 2 views one side CPT 73560 PATELLA RT | $92.00 | $92.00 | $8.66–$47.76 | 28% above | — |
| X-ray of the knee, 1 or 2 views one side CPT 73560 PATELLA LT | $92.00 | $92.00 | $8.66–$47.76 | 28% above | — |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 Knee Lt 2v | $92.00 | $92.00 | $8.66–$47.76 | — | — |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 Knee Lt 2v | $92.00 | $92.00 | $8.66–$47.76 | — | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Lumbar Spine 2-3v | $100.00 | $100.00 | $11.55–$53.72 | 23% above | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Lumbar Spine 2-3v | $100.00 | $100.00 | $11.55–$53.72 | 23% above | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 Lumbar Spine 2-3v | $100.00 | $100.00 | $11.55–$53.72 | — | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 Lumbar Spine 2-3v | $100.00 | $100.00 | $11.55–$53.72 | — | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 Thoracic Spine 2v | $30.00 | $30.00 | $11.55–$52.08 | 52% below | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 Thoracic Spine 2v | $30.00 | $30.00 | $11.55–$52.08 | 52% below | — |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 Thoracic Spine 2v | $30.00 | $30.00 | $11.55–$52.08 | — | — |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 Thoracic Spine 2v | $30.00 | $30.00 | $11.55–$52.08 | — | — |
| X-ray of the nasal bones, 3 or more views CPT 70160 Nasal Bones Min 3v | $30.00 | $30.00 | $9.02–$50.48 | 45% below | — |
| X-ray of the nasal bones, 3 or more views CPT 70160 Nasal Bones Min 3v | $30.00 | $30.00 | $9.02–$50.48 | 45% below | — |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 Nasal Bones Min 3v | $30.00 | $30.00 | $9.02–$50.48 | — | — |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 Nasal Bones Min 3v | $30.00 | $30.00 | $9.02–$50.48 | — | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Cervical Spine 2v | $92.00 | $92.00 | $11.55–$87.38 | 21% above | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Cervical Spine 2v | $92.00 | $92.00 | $11.55–$87.38 | 21% above | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 CERVICAL SPINE 3V | $92.00 | $92.00 | $11.55–$50.99 | 21% above | — |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 Cervical Spine 2v | $92.00 | $92.00 | $11.55–$87.38 | — | — |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 Cervical Spine 2v | $92.00 | $92.00 | $11.55–$87.38 | — | — |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Puerto Rico | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 Adrenocorticotropic Hormone | $158.94 | $158.94 | $35.05–$160.00 | at median | — |
| ACTH blood test CPT 82024 Adrenocorticotropic Hormone | $158.94 | $158.94 | $35.05–$160.00 | at median | — |
| ACTH blood test inpatient CPT 82024 Adrenocorticotropic Hormone | $158.94 | $158.94 | $35.05–$160.00 | — | — |
| ACTH blood test inpatient CPT 82024 Adrenocorticotropic Hormone | $158.94 | $158.94 | $35.05–$160.00 | — | — |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Alanine Aminotransferase | $21.81 | $21.81 | $5.05–$10.00 | 12% above | — |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT BODY FLUID | $21.81 | $21.81 | $5.05–$10.00 | 12% above | — |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALANINE AMINOTRANSFERASE | $21.81 | $21.81 | $4.49–$10.00 | 12% above | — |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Alanine Aminotransferase | $21.81 | $21.81 | $5.05–$10.00 | 12% above | — |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Alanine Aminotransferase | $21.81 | $21.81 | $5.05–$10.00 | — | — |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Alanine Aminotransferase | $21.81 | $21.81 | $5.05–$10.00 | — | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 ASPARTATE AMINOTRANSFERASE | $21.30 | $21.30 | $4.39–$10.00 | 11% above | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Aspartate Aminotransferase | $21.30 | $21.30 | $4.94–$10.00 | 11% above | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Aspartate Aminotransferase | $21.30 | $21.30 | $4.94–$10.00 | 11% above | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 AST BODY FLUID | $21.30 | $21.30 | $4.94–$10.00 | 11% above | — |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Aspartate Aminotransferase | $21.30 | $21.30 | $4.94–$10.00 | — | — |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Aspartate Aminotransferase | $21.30 | $21.30 | $4.94–$10.00 | — | — |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Hepatitis Acute Panel | $100.00 | $100.00 | $45.42–$90.00 | 17% below | — |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS ACUTE PANEL INTERP | $100.00 | $100.00 | $45.42–$80.00 | 17% below | — |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Hepatitis Acute Panel | $100.00 | $100.00 | $45.42–$90.00 | 17% below | — |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Hepatitis Acute Panel | $100.00 | $100.00 | $45.42–$90.00 | — | — |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Hepatitis Acute Panel | $100.00 | $100.00 | $45.42–$90.00 | — | — |
| Albumin blood test CPT 82040 MULTIPLE SCLEROSIS PANEL | $20.37 | $20.37 | $1.46–$8.00 | 12% above | — |
| Albumin blood test CPT 82040 ALBUMIN | $20.37 | $20.37 | $1.46–$8.00 | 12% above | — |
| Albumin blood test CPT 82040 Albumin | $20.37 | $20.37 | $1.46–$8.00 | 12% above | — |
| Albumin blood test CPT 82040 Albumin | $20.37 | $20.37 | $1.46–$8.00 | 12% above | — |
| Albumin blood test CPT 82040 GLOBULIN | $20.37 | $20.37 | $1.46–$8.00 | 12% above | — |
| Albumin blood test inpatient CPT 82040 Albumin | $20.37 | $20.37 | $1.46–$8.00 | — | — |
| Albumin blood test inpatient CPT 82040 Albumin | $20.37 | $20.37 | $1.46–$8.00 | — | — |
| Aldosterone blood test CPT 82088 Aldosterone 24 Hour Urine | $167.70 | $167.70 | $36.98–$146.00 | 4% below | — |
| Aldosterone blood test CPT 82088 ALDOSTERONE 24 HOUR URINE | $167.70 | $167.70 | $38.86–$146.00 | 4% below | — |
| Aldosterone blood test CPT 82088 ALDOSTERONE URINE 24 HRS | $167.70 | $167.70 | $38.86–$146.00 | 4% below | — |
| Aldosterone blood test CPT 82088 Aldosterone 24 Hour Urine | $167.70 | $167.70 | $36.98–$146.00 | 4% below | — |
| Aldosterone blood test CPT 82088 ALDOSTERONE | $167.70 | $167.70 | $38.86–$146.00 | 4% below | — |
| Aldosterone blood test inpatient CPT 82088 Aldosterone 24 Hour Urine | $167.70 | $167.70 | $36.98–$146.00 | — | — |
| Aldosterone blood test inpatient CPT 82088 Aldosterone 24 Hour Urine | $167.70 | $167.70 | $36.98–$146.00 | — | — |
| Alkaline phosphatase (ALP) blood test CPT 84075 Alkaline Phosphatase | $21.30 | $21.30 | $4.94–$12.00 | 6% above | — |
| Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSPHATASE | $21.30 | $21.30 | $4.94–$10.00 | 6% above | — |
| Alkaline phosphatase (ALP) blood test CPT 84075 Alkaline Phosphatase | $21.30 | $21.30 | $4.94–$12.00 | 6% above | — |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Alkaline Phosphatase | $21.30 | $21.30 | $4.94–$12.00 | — | — |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Alkaline Phosphatase | $21.30 | $21.30 | $4.94–$12.00 | — | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 LETTUCE IGE ALLERGEN SPECIFIC | $10.50 | $10.50 | $6.44 | 46% below | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 TOMATO IGE ALLERGEN SPECIFIC | $10.50 | $10.50 | $6.44 | 46% below | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 CASEIN IGE ALLERGEN SPECIFIC | $10.50 | $10.50 | $6.44 | 46% below | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 RICE IGE ALLERGEN SPECIFIC | $10.50 | $10.50 | $6.44 | 46% below | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 BRAZIL NUT IGE ALLERGEN SPECIF | $11.10 | $11.10 | $6.44 | 43% below | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 MACADAMIA NUT IGE ALLERGEN SPE | $11.10 | $11.10 | $6.44 | 43% below | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 PUMPKIN IGE ALLERGEN SPECIFIC | $11.10 | $11.10 | $6.44 | 43% below | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 CASHEW NUT IGE ALLERGEN SPECIF | $11.10 | $11.10 | $6.44 | 43% below | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 GARLIC IGE ALLERGEN SPECIFIC | $11.10 | $11.10 | $6.44 | 43% below | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 CODFISH IGE ALLERGEN SPECIFIC | $11.10 | $11.10 | $6.44 | 43% below | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 BLACK PEPPER IGE ALLERGEN SPEC | $11.10 | $11.10 | $6.44 | 43% below | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 PORK IGE ALLERGEN SPECIFIC | $11.10 | $11.10 | $6.44 | 43% below | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 TYROPHAGUS IGE ALLERGEN SPECIF | $11.10 | $11.10 | $6.44 | 43% below | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 PISTACHIO IGE ALLERGEN SPECIFI | $11.10 | $11.10 | $6.44 | 43% below | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HAZELNUT IGE ALLERGEN SPECIFIC | $11.10 | $11.10 | $6.44 | 43% below | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 SHRIMP | $21.48 | $21.48 | $5.69–$75.00 | 10% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 SESAME SEED | $21.48 | $21.48 | $5.69–$75.00 | 10% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 SCALLOP | $21.48 | $21.48 | $5.69–$75.00 | 10% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 SALMON | $21.48 | $21.48 | $5.69–$75.00 | 10% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 PECAN NUT | $21.48 | $21.48 | $5.69–$40.00 | 10% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 PEANUT | $21.48 | $21.48 | $5.69–$75.00 | 10% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 OYSTER | $21.48 | $21.48 | $5.69–$75.00 | 10% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 OAT | $21.48 | $21.48 | $5.69–$75.00 | 10% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 NUTMEG | $21.48 | $21.48 | $5.69–$75.00 | 10% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 MUSTARD | $21.48 | $21.48 | $5.69–$75.00 | 10% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 MILK | $21.48 | $21.48 | $5.69–$75.00 | 10% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 LOBSTER | $21.48 | $21.48 | $5.69–$75.00 | 10% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 GLUTEN | $21.48 | $21.48 | $5.69–$75.00 | 10% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 GOATS MILK | $21.48 | $21.48 | $5.69–$75.00 | 10% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 EGG WHOLE | $21.48 | $21.48 | $5.69–$75.00 | 10% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 EGG WHITE | $21.48 | $21.48 | $5.69–$75.00 | 10% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 EGG YOLK | $21.48 | $21.48 | $5.69–$75.00 | 10% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 CORN | $21.48 | $21.48 | $5.69–$75.00 | 10% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 COCONUT | $21.48 | $21.48 | $5.69–$75.00 | 10% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 CLOVES | $21.48 | $21.48 | $5.69–$75.00 | 10% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 CINNAMON | $21.48 | $21.48 | $5.69–$75.00 | 10% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 CHOCOLATE CACAO | $21.48 | $21.48 | $5.69–$75.00 | 10% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 CHEESE MOLD TYPE | $21.48 | $21.48 | $5.69–$75.00 | 10% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 CHEESE CHEDDAR TYPE | $21.48 | $21.48 | $5.69–$75.00 | 10% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 BEEF | $21.48 | $21.48 | $5.69–$75.00 | 10% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 BANANA | $21.48 | $21.48 | $5.69–$75.00 | 10% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HORSE DANDER | $21.48 | $21.48 | $5.69–$75.00 | 10% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 DOG DANDER | $21.48 | $21.48 | $5.69–$40.00 | 10% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 COW DANDER | $21.48 | $21.48 | $5.69–$75.00 | 10% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 CAT DANDER | $21.48 | $21.48 | $5.69–$40.00 | 10% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 LIDOCAINE | $21.48 | $21.48 | $5.69–$40.00 | 10% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ASPERGILLUS FUMIGATUS ANTIBODY | $21.48 | $21.48 | $5.69–$75.00 | 10% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE ANTIBODY | $21.48 | $21.48 | $5.69–$40.00 | 10% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Salmonella Species By Pcr | $21.48 | $21.48 | $5.69–$75.00 | 10% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Salmonella Species By Pcr | $21.48 | $21.48 | $5.69–$75.00 | 10% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 MUCOR RACEMOSUS | $21.48 | $21.48 | $5.69–$40.00 | 10% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HOUSE DUST | $21.48 | $21.48 | $6.44–$13.83 | 10% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 WALL PELLITORY | $21.48 | $21.48 | $5.69–$75.00 | 10% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 SHEEP SORREL | $21.48 | $21.48 | $5.69–$75.00 | 10% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 MOUSE URINE | $21.48 | $21.48 | $5.69–$75.00 | 10% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 LATEX | $21.48 | $21.48 | $5.69–$75.00 | 10% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 WHITE MULBERRY | $21.48 | $21.48 | $5.69–$40.00 | 10% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 WHITE BIRCH | $21.48 | $21.48 | $5.69–$40.00 | 10% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 STEMPHYLIUM BOTRYOSUM | $21.48 | $21.48 | $5.69–$75.00 | 10% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 SMOOTHBROME | $21.48 | $21.48 | $5.69–$40.00 | 10% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 SALTBUSH | $21.48 | $21.48 | $5.69–$40.00 | 10% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 RUSSIAN THISTLE | $21.48 | $21.48 | $5.69–$40.00 | 10% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 PERENNIAL RYE | $21.48 | $21.48 | $5.69–$40.00 | 10% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 PENICILLIUM NONATUM | $21.48 | $21.48 | $5.69–$75.00 | 10% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 OLIVE | $21.48 | $21.48 | $5.69–$40.00 | 10% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 NETTLE | $21.48 | $21.48 | $5.69–$40.00 | 10% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 BAHIA GRASS | $21.48 | $21.48 | $5.69–$40.00 | 10% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 COCKROACH GERMAN | $21.48 | $21.48 | $5.69–$75.00 | 10% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALMOND | $21.48 | $21.48 | $5.69–$75.00 | 10% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 STRAWBERRIES | $21.48 | $21.48 | $5.69–$75.00 | 10% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 CHICKEN | $21.48 | $21.48 | $5.69–$75.00 | 10% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 PIGWEED ROUGH | $21.48 | $21.48 | $5.69–$75.00 | 10% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 FUSARIUM MONILIFO | $21.48 | $21.48 | $5.69–$75.00 | 10% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 PALM QUEEN | $21.48 | $21.48 | $5.69–$75.00 | 10% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 PHOMA BETAE | $21.48 | $21.48 | $5.69–$75.00 | 10% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 MANGO | $21.48 | $21.48 | $5.69–$75.00 | 10% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 LAMBS QUARTERS | $21.48 | $21.48 | $5.69–$75.00 | 10% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 FUSARIUM PROLIFERATUM | $21.48 | $21.48 | $5.69–$75.00 | 10% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ENGLISH PLANTAIN | $21.48 | $21.48 | $5.69–$75.00 | 10% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 PIGWEED COMMON | $21.48 | $21.48 | $5.69–$40.00 | 10% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 CLADOSPORIUM HERBARUM | $21.48 | $21.48 | $5.69–$40.00 | 10% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ACACIA TREE | $21.48 | $21.48 | $5.69–$40.00 | 10% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAGWEED WESTERN | $21.48 | $21.48 | $5.69–$40.00 | 10% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 WALNUT TREE | $21.48 | $21.48 | $5.69–$75.00 | 10% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 PINE AUSTRALIAN | $21.48 | $21.48 | $5.69–$75.00 | 10% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 OAK WHITE | $21.48 | $21.48 | $5.69–$40.00 | 10% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 EUCALYPTUS | $21.48 | $21.48 | $5.69–$40.00 | 10% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ELM AMERICAN | $21.48 | $21.48 | $5.69–$75.00 | 10% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 CEDAR RED | $21.48 | $21.48 | $5.69–$75.00 | 10% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 PENICILLIUM CHRYSOGENUM | $21.48 | $21.48 | $5.69–$40.00 | 10% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 AUREOBASIDIUM PULLULANS | $21.48 | $21.48 | $5.69–$75.00 | 10% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ASPERGILLUS NIGER | $21.48 | $21.48 | $5.69–$75.00 | 10% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ASPERGILLUS FUMIGATUS | $21.48 | $21.48 | $5.69–$40.00 | 10% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALTERNARIA ALTERNATA | $21.48 | $21.48 | $5.69–$40.00 | 10% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 D PTERONYSSINUS | $21.48 | $21.48 | $5.69–$40.00 | 10% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 D FARINAE | $21.48 | $21.48 | $5.69–$40.00 | 10% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 BLOMIA TROPICALIS | $21.48 | $21.48 | $5.69–$75.00 | 10% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ACARUS MITE | $21.48 | $21.48 | $5.69–$75.00 | 10% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 COCKROACH AMERICAN | $21.48 | $21.48 | $5.69–$40.00 | 10% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 WHEAT CULTIVATED | $21.48 | $21.48 | $5.69–$75.00 | 10% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 RED TOP BENTGRASS | $21.48 | $21.48 | $5.69–$75.00 | 10% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 JOHNSON GRASS | $21.48 | $21.48 | $5.69–$75.00 | 10% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 CORN CULTIVATED | $21.48 | $21.48 | $5.69–$75.00 | 10% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 BERMUDA GRASS | $21.48 | $21.48 | $5.69–$40.00 | 10% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 WHEAT | $21.48 | $21.48 | $5.69–$75.00 | 10% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 WALNUT | $21.48 | $21.48 | $5.69–$40.00 | 10% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 TUNA | $21.48 | $21.48 | $5.69–$75.00 | 10% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 TILAPIA | $21.48 | $21.48 | $5.69–$75.00 | 10% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 SUNFLOWER SEED | $21.48 | $21.48 | $5.69–$75.00 | 10% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 SPINACH | $21.48 | $21.48 | $5.69–$75.00 | 10% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 SOYBEAN | $21.48 | $21.48 | $5.69–$75.00 | 10% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HOLLISTER-STIER IGE | $45.00 | $45.00 | $5.00–$40.00 | 130% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 TURMERIC IGE ALLERGEN SPECIFIC | $128.63 | $128.63 | $6.44 | 557% above | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Salmonella Species By Pcr | $21.48 | $21.48 | $5.69–$75.00 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Salmonella Species By Pcr | $21.48 | $21.48 | $5.69–$75.00 | — | — |
| Alpha-fetoprotein (AFP) blood test CPT 82105 Neutral Fats Stool | $69.03 | $69.03 | $16.00–$56.00 | 20% below | — |
| Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA FETOPROTEIN | $69.03 | $69.03 | $16.00–$56.00 | 20% below | — |
| Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA FETOPROTEIN PLUS | $69.03 | $69.03 | $16.00–$56.00 | 20% below | — |
| Alpha-fetoprotein (AFP) blood test CPT 82105 NEURAL TUBE DEFECT SCREEN | $69.03 | $69.03 | $16.00–$56.00 | 20% below | — |
| Alpha-fetoprotein (AFP) blood test CPT 82105 MATERNAL SER ALPHA FETOPROTEIN | $69.03 | $69.03 | $16.00–$56.00 | 20% below | — |
| Alpha-fetoprotein (AFP) blood test CPT 82105 Neutral Fats Stool | $69.03 | $69.03 | $16.00–$56.00 | 20% below | — |
| Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA FETOPROTEIN QUAD TEST | $69.03 | $69.03 | $16.00–$56.00 | 20% below | — |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Neutral Fats Stool | $69.03 | $69.03 | $16.00–$56.00 | — | — |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Neutral Fats Stool | $69.03 | $69.03 | $16.00–$56.00 | — | — |
| Ammonia blood test CPT 82140 Ammonia | $55.05 | $55.05 | $12.07–$40.00 | at median | — |
| Ammonia blood test CPT 82140 AMMONIA | $55.05 | $55.05 | $12.07–$40.00 | at median | — |
| Ammonia blood test CPT 82140 Ammonia | $55.05 | $55.05 | $12.07–$40.00 | at median | — |
| Ammonia blood test inpatient CPT 82140 Ammonia | $55.05 | $55.05 | $12.07–$40.00 | — | — |
| Ammonia blood test inpatient CPT 82140 Ammonia | $55.05 | $55.05 | $12.07–$40.00 | — | — |
| Amylase blood test CPT 82150 AMYLASE 2 HOUR URINE | $26.67 | $26.67 | $6.18–$14.00 | 11% above | — |
| Amylase blood test CPT 82150 Amylase Body Fluid | $26.67 | $26.67 | $6.18–$14.00 | 11% above | — |
| Amylase blood test CPT 82150 Amylase Body Fluid | $26.67 | $26.67 | $6.18–$14.00 | 11% above | — |
| Amylase blood test CPT 82150 AMYLASE PERICARDIAL FLUID | $26.67 | $26.67 | $6.18–$14.00 | 11% above | — |
| Amylase blood test CPT 82150 AMYLASE PERITONEAL FLUID | $26.67 | $26.67 | $6.18–$14.00 | 11% above | — |
| Amylase blood test CPT 82150 AMYLASE PLEURAL FLUID | $26.67 | $26.67 | $6.18–$14.00 | 11% above | — |
| Amylase blood test CPT 82150 AMYLASE SYNOVIAL FLUID | $26.67 | $26.67 | $6.18–$14.00 | 11% above | — |
| Amylase blood test CPT 82150 AMYLASE URINE RANDOM | $26.67 | $26.67 | $6.18–$14.00 | 11% above | — |
| Amylase blood test CPT 82150 AMYLASE 24 HOUR URINE | $26.67 | $26.67 | $6.18–$14.00 | 11% above | — |
| Amylase blood test CPT 82150 AMYLASE | $26.67 | $26.67 | $6.18–$14.00 | 11% above | — |
| Amylase blood test CPT 82150 AMYLASE BODY FLUID | $26.67 | $26.67 | $6.18–$14.00 | 11% above | — |
| Amylase blood test CPT 82150 AMYLASE 24 HOURS URINE | $26.67 | $26.67 | $6.18–$14.00 | 11% above | — |
| Amylase blood test CPT 82150 AMYLASE RANDOM URINE | $26.67 | $26.67 | $6.18–$14.00 | 11% above | — |
| Amylase blood test CPT 82150 AMYLASE ISOENZYMES | $26.67 | $26.67 | $6.18–$14.00 | 11% above | — |
| Amylase blood test CPT 82150 AMYLASE TIMED URINE | $26.67 | $26.67 | $6.18–$14.00 | 11% above | — |
| Amylase blood test inpatient CPT 82150 Amylase Body Fluid | $26.67 | $26.67 | $6.18–$14.00 | — | — |
| Amylase blood test inpatient CPT 82150 Amylase Body Fluid | $26.67 | $26.67 | $6.18–$14.00 | — | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Cyclic Citrullinated Peptide | $53.28 | $53.28 | $12.34–$100.00 | 79% below | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Cyclic Citrullinated Peptide | $53.28 | $53.28 | $12.34–$100.00 | 79% below | — |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Cyclic Citrullinated Peptide | $53.28 | $53.28 | $12.34–$100.00 | — | — |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Cyclic Citrullinated Peptide | $53.28 | $53.28 | $12.34–$100.00 | — | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Lupus Panel | $49.74 | $49.74 | $11.53–$90.00 | 22% below | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Lupus Panel | $49.74 | $49.74 | $11.53–$90.00 | 22% below | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Lupus Panel | $49.74 | $49.74 | $11.53–$90.00 | — | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Lupus Panel | $49.74 | $49.74 | $11.53–$90.00 | — | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B-TYPE NATRIURETIC PEPTIDE | $139.68 | $139.68 | $30.61–$90.00 | at median | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B Type Natriuretic Peptide | $139.68 | $139.68 | $30.61–$90.00 | at median | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NT PRO B TYPE NATRIURETIC PEPT | $139.68 | $139.68 | $30.61–$90.00 | at median | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B TYPE NATRIURETIC PEPTIDE | $139.68 | $139.68 | $30.61–$90.00 | at median | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B Type Natriuretic Peptide | $139.68 | $139.68 | $30.61–$90.00 | at median | — |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 B Type Natriuretic Peptide | $139.68 | $139.68 | $30.61–$90.00 | — | — |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 B Type Natriuretic Peptide | $139.68 | $139.68 | $30.61–$90.00 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 UPPER RESPIRATORY TRACT CULTUR | $35.46 | $35.46 | $8.22–$45.00 | 1% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 EYE CULTURE | $35.46 | $35.46 | $8.22–$45.00 | 1% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE INDICATED URINE | $35.46 | $35.46 | $8.22–$45.00 | 1% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 EAR CULTURE | $35.46 | $35.46 | $8.22–$45.00 | 1% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 BODY FLUID CULTURE | $35.46 | $35.46 | $8.22–$45.00 | 1% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 GENITAL CULTURE | $35.46 | $35.46 | $8.22–$45.00 | 1% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 WOUND CULTURE | $35.46 | $35.46 | $8.22–$45.00 | 1% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 ABSCESS CULTURE | $35.46 | $35.46 | $8.22–$45.00 | 1% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 ULCER CULTURE | $35.46 | $35.46 | $8.22–$45.00 | 1% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Catheter Tip Culture | $35.46 | $35.46 | $8.22–$45.00 | 1% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Catheter Tip Culture | $35.46 | $35.46 | $8.22–$45.00 | 1% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CATHETER TIP CULTURE | $35.46 | $35.46 | $8.22–$45.00 | 1% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 UPPER RESPIRATORY TRACTCULTURE | $35.46 | $35.46 | $8.22–$45.00 | 1% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 INFERIOR RESP TRACT CULTURE | $35.46 | $35.46 | $8.22–$45.00 | 1% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 SPUTUM CULTURE | $35.46 | $35.46 | $8.22–$45.00 | 1% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 BRONCHOALVEOLAR LAVAGE CULTURE | $35.46 | $35.46 | $8.22–$45.00 | 1% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CEREBROSPINAL FLUID CULTURE | $35.46 | $35.46 | $8.22–$45.00 | 1% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 NASOPHARYNGEAL CULTURE | $35.46 | $35.46 | $8.22–$45.00 | 1% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 ENDOTRACHEAL SECRETION CULTURE | $35.46 | $35.46 | $8.22–$45.00 | 1% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 THROAT CULTURE | $35.46 | $35.46 | $8.22–$45.00 | 1% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 ENVIRONMENTAL CULTURE | $35.46 | $35.46 | $8.22–$45.00 | 1% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Catheter Tip Culture | $35.46 | $35.46 | $8.22–$45.00 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Catheter Tip Culture | $35.46 | $35.46 | $8.22–$45.00 | — | — |
| Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Panel | $34.80 | $34.80 | $8.06–$40.00 | 42% below | — |
| Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Panel | $34.80 | $34.80 | $8.06–$40.00 | 42% below | — |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL | $34.80 | $34.80 | $8.06–$40.00 | 42% below | — |
| Basic metabolic panel (blood test) inpatient CPT 80048 Basic Metabolic Panel | $34.80 | $34.80 | $8.06–$40.00 | — | — |
| Basic metabolic panel (blood test) inpatient CPT 80048 Basic Metabolic Panel | $34.80 | $34.80 | $8.06–$40.00 | — | — |
| Bilirubin blood test, total CPT 82247 BILIRUBIN CORD | $20.64 | $20.64 | $4.78–$24.00 | at median | — |
| Bilirubin blood test, total CPT 82247 BILIRUBIN UNCONJUGATED | $20.64 | $20.64 | $4.78–$24.00 | at median | — |
| Bilirubin blood test, total CPT 82247 BILIRUBIN NEONATAL TOTAL | $20.64 | $20.64 | $4.78–$24.00 | at median | — |
| Bilirubin blood test, total CPT 82247 BILIRUBIN NEONATAL DIRECT | $20.64 | $20.64 | $4.78–$24.00 | at median | — |
| Bilirubin blood test, total CPT 82247 BODY FLUID BILIRUBIN | $20.64 | $20.64 | $4.78–$24.00 | at median | — |
| Bilirubin blood test, total CPT 82247 TOTAL BILIRUBIN BODY FLUID | $20.64 | $20.64 | $4.78–$24.00 | at median | — |
| Bilirubin blood test, total CPT 82247 INDIRECT BILIRUBIN BODY FLUID | $20.64 | $20.64 | $4.78–$24.00 | at median | — |
| Bilirubin blood test, total CPT 82247 BILIRUBIN BODY FLUID | $20.64 | $20.64 | $4.78–$24.00 | at median | — |
| Bilirubin blood test, total CPT 82247 BIRUBIN BODY FLUID | $20.64 | $20.64 | $4.78–$24.00 | at median | — |
| Bilirubin blood test, total CPT 82247 BILIRUBIN PERITONEAL FLUID | $20.64 | $20.64 | $4.78–$24.00 | at median | — |
| Bilirubin blood test, total CPT 82247 BILIRUBIN URINE | $20.64 | $20.64 | $4.78–$24.00 | at median | — |
| Bilirubin blood test, total CPT 82247 Bilirubin Body Fluid | $20.64 | $20.64 | $4.78–$24.00 | at median | — |
| Bilirubin blood test, total CPT 82247 BILIRUBIN CRYSTALS URINE | $20.64 | $20.64 | $4.78–$24.00 | at median | — |
| Bilirubin blood test, total CPT 82247 Bilirubin Body Fluid | $20.64 | $20.64 | $4.78–$24.00 | at median | — |
| Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL | $20.64 | $20.64 | $4.78–$24.00 | at median | — |
| Bilirubin blood test, total CPT 82247 BILIRUBIN INDIRECT | $20.64 | $20.64 | $4.78–$24.00 | at median | — |
| Bilirubin blood test, total inpatient CPT 82247 Bilirubin Body Fluid | $20.64 | $20.64 | $4.78–$24.00 | — | — |
| Bilirubin blood test, total inpatient CPT 82247 Bilirubin Body Fluid | $20.64 | $20.64 | $4.78–$24.00 | — | — |
| Blood culture for bacteria CPT 87040 BLOOD CULTURE | $42.48 | $42.48 | $9.85–$35.00 | 4% below | — |
| Blood culture for bacteria CPT 87040 Blood Culture | $42.48 | $42.48 | $9.85–$35.00 | 4% below | — |
| Blood culture for bacteria CPT 87040 Blood Culture | $42.48 | $42.48 | $9.85–$35.00 | 4% below | — |
| Blood culture for bacteria inpatient CPT 87040 Blood Culture | $42.48 | $42.48 | $9.85–$35.00 | — | — |
| Blood culture for bacteria inpatient CPT 87040 Blood Culture | $42.48 | $42.48 | $9.85–$35.00 | — | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Routine Venipucture | $10.00 | $10.00 | $3.00–$15.00 | 52% below | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Routine Venipucture | $10.00 | $10.00 | $3.00–$15.00 | 52% below | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Routine Venipucture | $10.00 | $10.00 | $3.00–$15.00 | — | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Routine Venipucture | $10.00 | $10.00 | $3.00–$15.00 | — | — |
| Blood glucose (sugar) test CPT 82947 GLUCOSE URINE | $16.17 | $16.17 | $3.75–$8.00 | 1% above | — |
| Blood glucose (sugar) test CPT 82947 GLUCOSE SYNOVIAL FLUID | $16.17 | $16.17 | $3.75–$8.00 | 1% above | — |
| Blood glucose (sugar) test CPT 82947 GLUCOSE PLEURAL FLUID | $16.17 | $16.17 | $3.75–$8.00 | 1% above | — |
| Blood glucose (sugar) test CPT 82947 GLUCOSE PERITONEAL FLUID | $16.17 | $16.17 | $3.75–$8.00 | 1% above | — |
| Blood glucose (sugar) test CPT 82947 Glucose Pericardial Fluid | $16.17 | $16.17 | $3.57–$8.00 | 1% above | — |
| Blood glucose (sugar) test CPT 82947 Glucose Pericardial Fluid | $16.17 | $16.17 | $3.57–$8.00 | 1% above | — |
| Blood glucose (sugar) test CPT 82947 GLUCOSE | $16.17 | $16.17 | $3.75–$8.00 | 1% above | — |
| Blood glucose (sugar) test CPT 82947 GLUCOSE RANDOM | $16.17 | $16.17 | $3.75–$8.00 | 1% above | — |
| Blood glucose (sugar) test CPT 82947 GLUCOSE WHOLE BLOOD | $16.17 | $16.17 | $3.75–$8.00 | 1% above | — |
| Blood glucose (sugar) test CPT 82947 GLUCOSE URINE (UA) | $16.17 | $16.17 | $3.75–$8.00 | 1% above | — |
| Blood glucose (sugar) test inpatient CPT 82947 Glucose Pericardial Fluid | $16.17 | $16.17 | $3.57–$8.00 | — | — |
| Blood glucose (sugar) test inpatient CPT 82947 Glucose Pericardial Fluid | $16.17 | $16.17 | $3.57–$8.00 | — | — |
| Blood lead test CPT 83655 Lead | $49.83 | $49.83 | $13.19–$38.00 | 3% below | — |
| Blood lead test CPT 83655 LEAD URINE RANDOM | $49.83 | $49.83 | $13.19–$38.00 | 3% below | — |
| Blood lead test CPT 83655 Lead | $49.83 | $49.83 | $13.19–$38.00 | 3% below | — |
| Blood lead test inpatient CPT 83655 Lead | $49.83 | $49.83 | $13.19–$38.00 | — | — |
| Blood lead test inpatient CPT 83655 Lead | $49.83 | $49.83 | $13.19–$38.00 | — | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 BETA HCG QUALITATIVE SERUM | $30.96 | $30.96 | $7.17–$25.00 | at median | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Serum Beta Hcg | $30.96 | $30.96 | $7.17–$25.00 | at median | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Serum Beta Hcg | $30.96 | $30.96 | $7.17–$25.00 | at median | — |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Serum Beta Hcg | $30.96 | $30.96 | $7.17–$25.00 | — | — |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Serum Beta Hcg | $30.96 | $30.96 | $7.17–$25.00 | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING ABO | $43.00 | $43.00 | $3.32–$15.00 | at median | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Type And Screening | $43.00 | $43.00 | $2.58–$15.00 | at median | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 INDIRECT COOMBS TEST (IAT) | $43.00 | $43.00 | $3.32–$15.00 | at median | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Type And Screening | $43.00 | $43.00 | $2.58–$15.00 | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Type And Screening | $43.00 | $43.00 | $2.58–$15.00 | — | — |
| Blood urea nitrogen (BUN) test CPT 84520 Urea Nitrogen Body Fluid | $16.26 | $16.26 | $3.77–$10.00 | 35% below | — |
| Blood urea nitrogen (BUN) test CPT 84520 BLOOD UREA NITROGEN | $16.26 | $16.26 | $3.77–$10.00 | 35% below | — |
| Blood urea nitrogen (BUN) test CPT 84520 UREA NITROGEN BODY FLUID | $16.26 | $16.26 | $3.77–$10.00 | 35% below | — |
| Blood urea nitrogen (BUN) test CPT 84520 Urea Nitrogen Body Fluid | $16.26 | $16.26 | $3.77–$10.00 | 35% below | — |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 Urea Nitrogen Body Fluid | $16.26 | $16.26 | $3.77–$10.00 | — | — |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 Urea Nitrogen Body Fluid | $16.26 | $16.26 | $3.77–$10.00 | — | — |
| C-peptide blood test CPT 84681 C-PEPTIDE | $85.65 | $85.65 | $19.85–$77.00 | at median | — |
| C-peptide blood test CPT 84681 C-Peptide | $85.65 | $85.65 | $19.85–$77.00 | at median | — |
| C-peptide blood test CPT 84681 C-Peptide | $85.65 | $85.65 | $19.85–$77.00 | at median | — |
| C-peptide blood test inpatient CPT 84681 C-Peptide | $85.65 | $85.65 | $19.85–$77.00 | — | — |
| C-peptide blood test inpatient CPT 84681 C-Peptide | $85.65 | $85.65 | $19.85–$77.00 | — | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN QUANT | $21.30 | $21.30 | $3.90–$15.00 | 2% above | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-Reactive Protein | $21.30 | $21.30 | $3.90–$15.00 | 2% above | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-Reactive Protein | $21.30 | $21.30 | $3.90–$15.00 | 2% above | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN | $200.00 | $200.00 | $3.90–$15.00 | 855% above | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-Reactive Protein | $21.30 | $21.30 | $3.90–$15.00 | — | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-Reactive Protein | $21.30 | $21.30 | $3.90–$15.00 | — | — |
| CA 19-9 blood test (tumor marker) CPT 86301 Cancer Antigen 19-9 | $82.83 | $82.83 | $21.94–$60.00 | 4% below | — |
| CA 19-9 blood test (tumor marker) CPT 86301 CANCER ANTIGEN 19-9 | $82.83 | $82.83 | $21.94–$60.00 | 4% below | — |
| CA 19-9 blood test (tumor marker) CPT 86301 Cancer Antigen 19-9 | $82.83 | $82.83 | $21.94–$60.00 | 4% below | — |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 Cancer Antigen 19-9 | $82.83 | $82.83 | $21.94–$60.00 | — | — |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 Cancer Antigen 19-9 | $82.83 | $82.83 | $21.94–$60.00 | — | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 Cancer Antigen 125 | $82.83 | $82.83 | $19.19–$65.00 | 32% below | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 Cancer Antigen 125 | $82.83 | $82.83 | $19.19–$65.00 | 32% below | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CA- 125 | $82.83 | $82.83 | $19.19–$65.00 | 32% below | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CANCER ANTIGEN 125 | $82.83 | $82.83 | $19.19–$65.00 | 32% below | — |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Cancer Antigen 125 | $82.83 | $82.83 | $19.19–$65.00 | — | — |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Cancer Antigen 125 | $82.83 | $82.83 | $19.19–$65.00 | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Covid-19 | $76.50 | $76.50 | $10.00–$100.00 | 75% below | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Covid-19 | $76.50 | $76.50 | $10.00–$100.00 | 75% below | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Covid-19 | $76.50 | $76.50 | $10.00–$100.00 | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Covid-19 | $76.50 | $76.50 | $10.00–$100.00 | — | — |
| Calcium blood test, total CPT 82310 CALCIUM | $21.24 | $21.24 | $4.92–$10.00 | at median | — |
| Calcium blood test, total CPT 82310 Calcium | $21.24 | $21.24 | $4.92–$10.00 | at median | — |
| Calcium blood test, total CPT 82310 Calcium | $21.24 | $21.24 | $4.92–$10.00 | at median | — |
| Calcium blood test, total inpatient CPT 82310 Calcium | $21.24 | $21.24 | $4.92–$10.00 | — | — |
| Calcium blood test, total inpatient CPT 82310 Calcium | $21.24 | $21.24 | $4.92–$10.00 | — | — |
| Carcinoembryonic antigen (CEA) test CPT 82378 Carcinoembryonic Antigen Bf | $78.03 | $78.03 | $18.09–$62.00 | at median | — |
| Carcinoembryonic antigen (CEA) test CPT 82378 CARCINOEMBRYONIC ANTIGEN | $78.03 | $78.03 | $18.09–$62.00 | at median | — |
| Carcinoembryonic antigen (CEA) test CPT 82378 Carcinoembryonic Antigen Bf | $78.03 | $78.03 | $18.09–$62.00 | at median | — |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 Carcinoembryonic Antigen Bf | $78.03 | $78.03 | $18.09–$62.00 | — | — |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 Carcinoembryonic Antigen Bf | $78.03 | $78.03 | $18.09–$62.00 | — | — |
| Chickenpox (varicella) immunity blood test CPT 86787 Varicella-Zoster Direct Fa | $53.01 | $53.01 | $14.04–$60.00 | 29% below | — |
| Chickenpox (varicella) immunity blood test CPT 86787 Varicella-Zoster Direct Fa | $53.01 | $53.01 | $14.04–$60.00 | 29% below | — |
| Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER IGM | $53.01 | $53.01 | $14.04–$60.00 | 29% below | — |
| Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER IGG | $53.01 | $53.01 | $14.04–$60.00 | 29% below | — |
| Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA-ZOSTER VIRUS DNA PCR | $53.01 | $53.01 | $14.04–$60.00 | 29% below | — |
| Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER IGG/IGM AB | $53.01 | $53.01 | $14.04–$60.00 | 29% below | — |
| Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA IGM ANTIBODY | $53.01 | $53.01 | $14.04–$60.00 | 29% below | — |
| Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA IGG ANTIBODY | $53.01 | $53.01 | $14.04–$60.00 | 29% below | — |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 Varicella-Zoster Direct Fa | $53.01 | $53.01 | $14.04–$60.00 | — | — |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 Varicella-Zoster Direct Fa | $53.01 | $53.01 | $14.04–$60.00 | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA/GONOCOCCUS NUC AMP | $100.00 | $100.00 | $27.32–$85.00 | 87% below | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia Trachomatis Pcr | $100.00 | $100.00 | $27.32–$85.00 | 87% below | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia Trachomatis Pcr | $100.00 | $100.00 | $27.32–$85.00 | 87% below | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA/N.GONORRHOEAE DNA | $100.00 | $100.00 | $27.32–$85.00 | 87% below | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA DNA (NAA) | $100.00 | $100.00 | $27.32–$85.00 | 87% below | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia Trachomatis Pcr | $100.00 | $100.00 | $27.32–$85.00 | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia Trachomatis Pcr | $100.00 | $100.00 | $27.32–$85.00 | — | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel | $55.11 | $55.11 | $11.57–$45.00 | at median | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel | $55.11 | $55.11 | $11.57–$45.00 | at median | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $55.11 | $55.11 | $12.77–$45.00 | at median | — |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel | $55.11 | $55.11 | $11.57–$45.00 | — | — |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel | $55.11 | $55.11 | $11.57–$45.00 | — | — |
| Complete blood count (CBC) with differential CPT 85025 COMPLETE BLOOD COUNT AUTO DIFF | $31.98 | $31.98 | $7.41–$11.57 | 60% above | — |
| Complete blood count (CBC) with differential CPT 85025 Complete Blood Count W/O Diff | $31.98 | $31.98 | $7.40–$11.57 | 60% above | — |
| Complete blood count (CBC) with differential CPT 85025 Complete Blood Count W/O Diff | $31.98 | $31.98 | $7.40–$11.57 | 60% above | — |
| Complete blood count (CBC) with differential CPT 85025 COMPLETE BLOOD COUNT MAN DIF | $31.98 | $31.98 | $7.41–$11.57 | 60% above | — |
| Complete blood count (CBC) with differential inpatient CPT 85025 Complete Blood Count W/O Diff | $31.98 | $31.98 | $7.40–$11.57 | — | — |
| Complete blood count (CBC) with differential inpatient CPT 85025 Complete Blood Count W/O Diff | $31.98 | $31.98 | $7.40–$11.57 | — | — |
| Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive Metabolic Panel | $43.47 | $43.47 | $10.07–$55.00 | 48% below | — |
| Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive Metabolic Panel | $43.47 | $43.47 | $10.07–$55.00 | 48% below | — |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL | $43.47 | $43.47 | $10.07–$55.00 | 48% below | — |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 Comprehensive Metabolic Panel | $43.47 | $43.47 | $10.07–$55.00 | — | — |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 Comprehensive Metabolic Panel | $43.47 | $43.47 | $10.07–$55.00 | — | — |
| Cortisol blood test, total CPT 82533 CORTISOL PM | $67.08 | $67.08 | $15.55–$51.00 | 1% below | — |
| Cortisol blood test, total CPT 82533 Cortisol Random | $67.08 | $67.08 | $15.55–$51.00 | 1% below | — |
| Cortisol blood test, total CPT 82533 CORTISOL RESPONSE TO STIMUL | $67.08 | $67.08 | $15.55–$51.00 | 1% below | — |
| Cortisol blood test, total CPT 82533 CORTISOL RESPONSE TO ACTH | $67.08 | $67.08 | $15.55–$51.00 | 1% below | — |
| Cortisol blood test, total CPT 82533 CORTISOL 1 HOUR | $67.08 | $67.08 | $15.55–$51.00 | 1% below | — |
| Cortisol blood test, total CPT 82533 CORTISOL 1/2 HOUR | $67.08 | $67.08 | $15.55–$51.00 | 1% below | — |
| Cortisol blood test, total CPT 82533 Cortisol Random | $67.08 | $67.08 | $15.55–$51.00 | 1% below | — |
| Cortisol blood test, total CPT 82533 CORTISOL AM | $67.08 | $67.08 | $15.55–$51.00 | 1% below | — |
| Cortisol blood test, total CPT 82533 CORTISOL RANDOM | $67.08 | $67.08 | $15.55–$70.00 | 1% below | — |
| Cortisol blood test, total CPT 82533 CORTISOL SALIVARY | $67.08 | $67.08 | $15.55–$51.00 | 1% below | — |
| Cortisol blood test, total CPT 82533 CORTISOL BASELINE | $67.08 | $67.08 | $15.55–$51.00 | 1% below | — |
| Cortisol blood test, total inpatient CPT 82533 Cortisol Random | $67.08 | $67.08 | $15.55–$51.00 | — | — |
| Cortisol blood test, total inpatient CPT 82533 Cortisol Random | $67.08 | $67.08 | $15.55–$51.00 | — | — |
| Creatine kinase (CK) blood test, total CPT 82550 CREATINE KINASE | $26.79 | $26.79 | $6.21–$20.00 | 4% above | — |
| Creatine kinase (CK) blood test, total CPT 82550 Creatine Kinase | $26.79 | $26.79 | $6.21–$20.00 | 4% above | — |
| Creatine kinase (CK) blood test, total CPT 82550 Creatine Kinase | $26.79 | $26.79 | $6.21–$20.00 | 4% above | — |
| Creatine kinase (CK) blood test, total CPT 82550 CREATINE KINASE TOTAL | $26.79 | $26.79 | $6.21–$20.00 | 4% above | — |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 Creatine Kinase | $26.79 | $26.79 | $6.21–$20.00 | — | — |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 Creatine Kinase | $26.79 | $26.79 | $6.21–$20.00 | — | — |
| Creatinine blood test CPT 82565 CREATININE BODY FLUID | $21.09 | $21.09 | $4.89–$65.00 | 24% above | — |
| Creatinine blood test CPT 82565 Creatinine Body Fluid | $21.09 | $21.09 | $4.43–$65.00 | 24% above | — |
| Creatinine blood test CPT 82565 CREATININE | $21.09 | $21.09 | $4.89–$10.00 | 24% above | — |
| Creatinine blood test CPT 82565 Creatinine Body Fluid | $21.09 | $21.09 | $4.43–$65.00 | 24% above | — |
| Creatinine blood test inpatient CPT 82565 Creatinine Body Fluid | $21.09 | $21.09 | $4.43–$65.00 | — | — |
| Creatinine blood test inpatient CPT 82565 Creatinine Body Fluid | $21.09 | $21.09 | $4.43–$65.00 | — | — |
| Cytomegalovirus (CMV) antibody test CPT 86644 Cmv Igg Antibody | $59.22 | $59.22 | $13.73–$45.00 | 15% below | — |
| Cytomegalovirus (CMV) antibody test CPT 86644 CYTOMEGALOVIRUS IGG ANTIBODY | $59.22 | $59.22 | $13.73–$40.00 | 15% below | — |
| Cytomegalovirus (CMV) antibody test CPT 86644 Cmv Igg Antibody | $59.22 | $59.22 | $13.73–$45.00 | 15% below | — |
| Cytomegalovirus (CMV) antibody test CPT 86644 TORCH IGG PANEL | $59.22 | $59.22 | $13.73–$40.00 | 15% below | — |
| Cytomegalovirus (CMV) antibody test CPT 86644 CMV DNA BY PCR | $59.22 | $59.22 | $13.73–$40.00 | 15% below | — |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 Cmv Igg Antibody | $59.22 | $59.22 | $13.73–$45.00 | — | — |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 Cmv Igg Antibody | $59.22 | $59.22 | $13.73–$45.00 | — | — |
| D-dimer blood test (blood clot marker) CPT 85379 D-DIMER CSF | $41.88 | $41.88 | $9.17–$20.00 | 25% above | — |
| D-dimer blood test (blood clot marker) CPT 85379 D-Dimer | $41.88 | $41.88 | $9.17–$20.00 | 25% above | — |
| D-dimer blood test (blood clot marker) CPT 85379 D-Dimer | $41.88 | $41.88 | $9.17–$20.00 | 25% above | — |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 D-Dimer | $41.88 | $41.88 | $9.17–$20.00 | — | — |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 D-Dimer | $41.88 | $41.88 | $9.17–$20.00 | — | — |
| DHEA sulfate (DHEA-S) blood test CPT 82627 Dehydroepiandrosterone Sulfate | $91.50 | $91.50 | $21.20–$178.00 | at median | — |
| DHEA sulfate (DHEA-S) blood test CPT 82627 Dehydroepiandrosterone Sulfate | $91.50 | $91.50 | $21.20–$178.00 | at median | — |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DEHYDROEPIANDROSTERONE SULFATE | $91.50 | $91.50 | $21.20–$178.00 | at median | — |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DEHYDROEPIANDOSTERONE SULFATE | $91.50 | $91.50 | $21.20–$178.00 | at median | — |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 Dehydroepiandrosterone Sulfate | $91.50 | $91.50 | $21.20–$178.00 | — | — |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 Dehydroepiandrosterone Sulfate | $91.50 | $91.50 | $21.20–$178.00 | — | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN URINE | $25.00 | $25.00 | $10.36–$80.00 | — | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 CANNABINOID SCREEN | $239.43 | $239.43 | $19.00–$97.00 | — | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 OPIATE SCREEN URINE | $239.43 | $239.43 | $19.00–$97.00 | — | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 OPIATE SCREEN | $239.43 | $239.43 | $19.00–$97.00 | — | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 CANNIBINOID SCREEN BLOOD | $239.43 | $239.43 | $19.00–$97.00 | — | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 CANNABINOID SCREEN URINE | $239.43 | $239.43 | $19.00–$97.00 | — | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 URINE DRUG SCREEN | $239.43 | $239.43 | $19.00–$239.43 | — | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Meconium Drug Screen | $239.43 | $239.43 | $19.00–$97.00 | — | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Meconium Drug Screen | $239.43 | $239.43 | $19.00–$97.00 | — | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN SERUM | $285.00 | $285.00 | $10.36–$285.00 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Meconium Drug Screen | $239.43 | $239.43 | $19.00–$97.00 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Meconium Drug Screen | $239.43 | $239.43 | $19.00–$97.00 | — | — |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTES | $28.86 | $28.86 | $6.69–$25.00 | 20% below | — |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTES URINE | $28.86 | $28.86 | $6.69–$25.00 | 20% below | — |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Electrolytes | $28.86 | $28.86 | $6.69–$25.00 | 20% below | — |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Electrolytes | $28.86 | $28.86 | $6.69–$25.00 | 20% below | — |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 Electrolytes | $28.86 | $28.86 | $6.69–$25.00 | — | — |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 Electrolytes | $28.86 | $28.86 | $6.69–$25.00 | — | — |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EBV VIRAL CAPSID AG IGM AB | $74.67 | $74.67 | $17.30–$92.00 | 81% below | — |
| Epstein-Barr virus (EBV) antibody test CPT 86665 Ebv Viral Capsid Ag Igg Ab | $74.67 | $74.67 | $17.30–$92.00 | 81% below | — |
| Epstein-Barr virus (EBV) antibody test CPT 86665 Ebv Viral Capsid Ag Igg Ab | $74.67 | $74.67 | $17.30–$92.00 | 81% below | — |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 Ebv Viral Capsid Ag Igg Ab | $74.67 | $74.67 | $17.30–$92.00 | — | — |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 Ebv Viral Capsid Ag Igg Ab | $74.67 | $74.67 | $17.30–$92.00 | — | — |
| Estradiol blood test CPT 82670 ESTRADIOL FREE | $114.96 | $114.96 | $26.64–$76.00 | 76% below | — |
| Estradiol blood test CPT 82670 Estradiol | $114.96 | $114.96 | $25.35–$76.00 | 76% below | — |
| Estradiol blood test CPT 82670 Estradiol | $114.96 | $114.96 | $25.35–$76.00 | 76% below | — |
| Estradiol blood test inpatient CPT 82670 Estradiol | $114.96 | $114.96 | $25.35–$76.00 | — | — |
| Estradiol blood test inpatient CPT 82670 Estradiol | $114.96 | $114.96 | $25.35–$76.00 | — | — |
| FSH (follicle-stimulating hormone) test CPT 83001 Follicle Stimulating Hormone | $76.47 | $76.47 | $16.86–$60.00 | 71% below | — |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH | $76.47 | $76.47 | $17.72–$60.00 | 71% below | — |
| FSH (follicle-stimulating hormone) test CPT 83001 FOLLICLE STIMULATING HORMONE | $76.47 | $76.47 | $17.72–$60.00 | 71% below | — |
| FSH (follicle-stimulating hormone) test CPT 83001 Follicle Stimulating Hormone | $76.47 | $76.47 | $16.86–$60.00 | 71% below | — |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 Follicle Stimulating Hormone | $76.47 | $76.47 | $16.86–$60.00 | — | — |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 Follicle Stimulating Hormone | $76.47 | $76.47 | $16.86–$60.00 | — | — |
| Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin Fecal | $80.79 | $80.79 | $19.63–$27.00 | 80% below | — |
| Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin Fecal | $80.79 | $80.79 | $19.63–$27.00 | 80% below | — |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Calprotectin Fecal | $80.79 | $80.79 | $19.63–$27.00 | — | — |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Calprotectin Fecal | $80.79 | $80.79 | $19.63–$27.00 | — | — |
| Ferritin blood test (iron stores) CPT 82728 Ferritin | $56.10 | $56.10 | $13.00–$40.00 | 9% above | — |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN | $56.10 | $56.10 | $13.00–$40.00 | 9% above | — |
| Ferritin blood test (iron stores) CPT 82728 Ferritin | $56.10 | $56.10 | $13.00–$40.00 | 9% above | — |
| Ferritin blood test (iron stores) inpatient CPT 82728 Ferritin | $56.10 | $56.10 | $13.00–$40.00 | — | — |
| Ferritin blood test (iron stores) inpatient CPT 82728 Ferritin | $56.10 | $56.10 | $13.00–$40.00 | — | — |
| Fibrinogen blood test CPT 85384 Fibrinogen | $34.95 | $34.95 | $9.26–$38.49 | 19% below | — |
| Fibrinogen blood test CPT 85384 Fibrinogen | $34.95 | $34.95 | $9.26–$38.49 | 19% below | — |
| Fibrinogen blood test inpatient CPT 85384 Fibrinogen | $34.95 | $34.95 | $9.26–$38.49 | — | — |
| Fibrinogen blood test inpatient CPT 85384 Fibrinogen | $34.95 | $34.95 | $9.26–$38.49 | — | — |
| Folate (folic acid) blood test CPT 82746 FOLATE | $60.51 | $60.51 | $9.75–$40.00 | 10% below | — |
| Folate (folic acid) blood test CPT 82746 Folate | $60.51 | $60.51 | $9.75–$40.00 | 10% below | — |
| Folate (folic acid) blood test CPT 82746 Folate | $60.51 | $60.51 | $9.75–$40.00 | 10% below | — |
| Folate (folic acid) blood test inpatient CPT 82746 Folate | $60.51 | $60.51 | $9.75–$40.00 | — | — |
| Folate (folic acid) blood test inpatient CPT 82746 Folate | $60.51 | $60.51 | $9.75–$40.00 | — | — |
| Free T3 thyroid hormone test CPT 84481 TRIIODOTHYRONINE (T3) FREE | $69.72 | $69.72 | $15.28–$115.00 | 15% below | — |
| Free T3 thyroid hormone test CPT 84481 FREE T3 | $69.72 | $69.72 | $15.28–$115.00 | 15% below | — |
| Free T3 thyroid hormone test CPT 84481 Triiodothyronine (T3) Free | $69.72 | $69.72 | $15.28–$115.00 | 15% below | — |
| Free T3 thyroid hormone test CPT 84481 Triiodothyronine (T3) Free | $69.72 | $69.72 | $15.28–$115.00 | 15% below | — |
| Free T3 thyroid hormone test inpatient CPT 84481 Triiodothyronine (T3) Free | $69.72 | $69.72 | $15.28–$115.00 | — | — |
| Free T3 thyroid hormone test inpatient CPT 84481 Triiodothyronine (T3) Free | $69.72 | $69.72 | $15.28–$115.00 | — | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 Free | $26.61 | $26.61 | $7.00–$30.00 | 40% below | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 Free | $26.61 | $26.61 | $7.00–$30.00 | 40% below | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE | $26.61 | $26.61 | $9.82–$30.00 | 40% below | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 FT4 BY DIALYSIS | $60.00 | $60.00 | $13.41–$19.49 | 35% above | — |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4 Free | $26.61 | $26.61 | $7.00–$30.00 | — | — |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4 Free | $26.61 | $26.61 | $7.00–$30.00 | — | — |
| Free testosterone test CPT 84402 Testosterone Free | $104.82 | $104.82 | $24.28–$170.00 | 71% below | — |
| Free testosterone test CPT 84402 Testosterone Free | $104.82 | $104.82 | $24.28–$170.00 | 71% below | — |
| Free testosterone test inpatient CPT 84402 Testosterone Free | $104.82 | $104.82 | $24.28–$170.00 | — | — |
| Free testosterone test inpatient CPT 84402 Testosterone Free | $104.82 | $104.82 | $24.28–$170.00 | — | — |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 GAMMA GLUTAMYL TRANSFERASE | $21.48 | $21.48 | $4.98–$16.00 | 17% below | — |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 Gamma Glutamyl Transpeptidase | $21.48 | $21.48 | $4.98–$16.00 | 17% below | — |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 GAMMA GLUTAMYL TRANSPEPTIDASE | $21.48 | $21.48 | $4.98–$16.00 | 17% below | — |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 Gamma Glutamyl Transpeptidase | $21.48 | $21.48 | $4.98–$16.00 | 17% below | — |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 Gamma Glutamyl Transpeptidase | $21.48 | $21.48 | $4.98–$16.00 | — | — |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 Gamma Glutamyl Transpeptidase | $21.48 | $21.48 | $4.98–$16.00 | — | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 LACTOSE 2 HOUR | $19.53 | $19.53 | $4.53–$10.00 | 10% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose Bedside | $19.53 | $19.53 | $4.53–$10.00 | 10% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 1 HOUR PP | $19.53 | $19.53 | $4.53–$10.00 | 10% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 2 HOUR PP | $19.53 | $19.53 | $4.53–$10.00 | 10% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 1 HOUR PP 50GM DOSE | $19.53 | $19.53 | $4.53–$10.00 | 10% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE TOLERANCE 1 HOUR | $19.53 | $19.53 | $4.53–$10.00 | 10% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE TOLERANCE 2 HOUR | $19.53 | $19.53 | $4.53–$10.00 | 10% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE TOLERANCE 4 HOUR | $19.53 | $19.53 | $4.53–$10.00 | 10% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE TOLERANCE 5 HOUR | $19.53 | $19.53 | $4.53–$10.00 | 10% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE GESTATIONAL SCREEN | $19.53 | $19.53 | $4.53–$10.00 | 10% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 LACTOSE 1 1/2 HOUR | $19.53 | $19.53 | $4.53–$10.00 | 10% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 LACTOSE 1 HOUR | $19.53 | $19.53 | $4.53–$10.00 | 10% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 LACTOSE 1/2 HOUR | $19.53 | $19.53 | $4.53–$10.00 | 10% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 LACTOSE 1/4 HOUR | $19.53 | $19.53 | $4.53–$10.00 | 10% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 LACTOSE FASTING | $19.53 | $19.53 | $4.53–$10.00 | 10% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 LACTOSE TOLERANCE TEST | $19.53 | $19.53 | $4.53–$10.00 | 10% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE TOL INTERP GEST | $19.53 | $19.53 | $4.53–$10.00 | 10% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 5 HOUR GEST | $19.53 | $19.53 | $4.53–$10.00 | 10% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 4 HOUR GEST | $19.53 | $19.53 | $4.53–$10.00 | 10% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 3 HOUR GEST | $19.53 | $19.53 | $4.53–$10.00 | 10% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 1/2 HOUR GEST | $19.53 | $19.53 | $4.53–$10.00 | 10% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE TOL INTERPRETATION | $19.53 | $19.53 | $4.53–$10.00 | 10% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 6 HOUR | $19.53 | $19.53 | $4.53–$10.00 | 10% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 5 HOUR | $19.53 | $19.53 | $4.53–$10.00 | 10% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 4 HOUR | $19.53 | $19.53 | $4.53–$10.00 | 10% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 3 HOUR | $19.53 | $19.53 | $4.53–$10.00 | 10% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 2 HOUR GEST | $19.53 | $19.53 | $4.53–$10.00 | 10% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 1.5 HOUR GEST | $19.53 | $19.53 | $4.53–$10.00 | 10% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE TOLERANCE 1 HOUR GEST | $19.53 | $19.53 | $4.53–$10.00 | 10% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE TOLERANCE 2 HOUR GEST | $19.53 | $19.53 | $4.53–$10.00 | 10% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE TOLERANCE 3 HOUR GEST | $19.53 | $19.53 | $4.53–$10.00 | 10% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 1 HOUR GEST | $19.53 | $19.53 | $4.53–$10.00 | 10% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 2 HOUR | $19.53 | $19.53 | $4.53–$10.00 | 10% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 1.5 HOUR | $19.53 | $19.53 | $4.53–$10.00 | 10% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 URINE GLUCOSE 4 HR | $19.53 | $19.53 | $4.53–$10.00 | 10% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 URINE GLUCOSE 3 HR | $19.53 | $19.53 | $4.53–$10.00 | 10% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 URINE GLUCOSE 2 HR | $19.53 | $19.53 | $4.53–$10.00 | 10% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 3 HOUR PP | $19.53 | $19.53 | $4.53–$10.00 | 10% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 1 HOUR 50GM DOSE | $19.53 | $19.53 | $4.53–$10.00 | 10% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE TOLERANCE 3 HOUR | $19.53 | $19.53 | $4.53–$10.00 | 10% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 URINE GLUCOSE 5 HR | $19.53 | $19.53 | $4.53–$10.00 | 10% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose Bedside | $19.53 | $19.53 | $4.53–$10.00 | 10% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE TOLERANCE 4 HOUR GEST | $19.53 | $19.53 | $4.53–$10.00 | 10% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE TOLERANCE 5 HOUR GEST | $19.53 | $19.53 | $4.53–$10.00 | 10% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 1/2 HOUR | $19.53 | $19.53 | $4.53–$10.00 | 10% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 1 HOUR | $19.53 | $19.53 | $4.53–$10.00 | 10% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 ZIKA VIRUS PCR SERUM | $63.00 | $63.00 | $5.86 | 255% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Glucose Bedside | $19.53 | $19.53 | $4.53–$10.00 | — | — |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Glucose Bedside | $19.53 | $19.53 | $4.53–$10.00 | — | — |
| Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance 3 Hour | $19.53 | $19.53 | $4.53–$25.00 | 59% below | — |
| Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance 3 Hour | $19.53 | $19.53 | $4.53–$25.00 | 59% below | — |
| Glucose tolerance test, 3 samples inpatient CPT 82951 Glucose Tolerance 3 Hour | $19.53 | $19.53 | $4.53–$25.00 | — | — |
| Glucose tolerance test, 3 samples inpatient CPT 82951 Glucose Tolerance 3 Hour | $19.53 | $19.53 | $4.53–$25.00 | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Chlamydia Gonorrhea Pcr | $165.09 | $165.09 | $18.00–$60.00 | 16% below | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Chlamydia Gonorrhea Pcr | $165.09 | $165.09 | $18.00–$60.00 | 16% below | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Chlamydia Gonorrhea Pcr | $165.09 | $165.09 | $18.00–$60.00 | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Chlamydia Gonorrhea Pcr | $165.09 | $165.09 | $18.00–$60.00 | — | — |
| H. pylori antibody blood test CPT 86677 Helicobacter Pylori Igg | $59.70 | $59.70 | $12.54–$103.00 | 66% below | — |
| H. pylori antibody blood test CPT 86677 Helicobacter Pylori Igg | $59.70 | $59.70 | $12.54–$103.00 | 66% below | — |
| H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI IGM | $59.70 | $59.70 | $13.84–$103.00 | 66% below | — |
| H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORY IGA | $59.70 | $59.70 | $13.84–$103.00 | 66% below | — |
| H. pylori antibody blood test inpatient CPT 86677 Helicobacter Pylori Igg | $59.70 | $59.70 | $12.54–$103.00 | — | — |
| H. pylori antibody blood test inpatient CPT 86677 Helicobacter Pylori Igg | $59.70 | $59.70 | $12.54–$103.00 | — | — |
| H. pylori stool antigen test CPT 87338 H. PYLORI IGG ANTIBODY | $59.19 | $59.19 | $13.71–$71.00 | 36% below | — |
| H. pylori stool antigen test CPT 87338 H. PYLORI ANTIBODY | $59.19 | $59.19 | $13.71–$71.00 | 36% below | — |
| H. pylori stool antigen test CPT 87338 H.Pylori Stool Antigen | $59.19 | $59.19 | $13.71–$71.00 | 36% below | — |
| H. pylori stool antigen test CPT 87338 H.Pylori Stool Antigen | $59.19 | $59.19 | $13.71–$71.00 | 36% below | — |
| H. pylori stool antigen test inpatient CPT 87338 H.Pylori Stool Antigen | $59.19 | $59.19 | $13.71–$71.00 | — | — |
| H. pylori stool antigen test inpatient CPT 87338 H.Pylori Stool Antigen | $59.19 | $59.19 | $13.71–$71.00 | — | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Hiv-1 Rna (Pcr) | $350.19 | $350.19 | $55.00–$200.00 | at median | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Hiv-1 Rna (Pcr) | $350.19 | $350.19 | $55.00–$200.00 | at median | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV VIRAL LOAD | $350.19 | $350.19 | $55.00–$200.00 | at median | — |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Hiv-1 Rna (Pcr) | $350.19 | $350.19 | $55.00–$200.00 | — | — |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Hiv-1 Rna (Pcr) | $350.19 | $350.19 | $55.00–$200.00 | — | — |
| HIV-1 and HIV-2 antibody test CPT 86703 Hiv 1&2 Antibody | $99.09 | $99.09 | $16.69–$40.00 | at median | — |
| HIV-1 and HIV-2 antibody test CPT 86703 Hiv 1&2 Antibody | $99.09 | $99.09 | $16.69–$40.00 | at median | — |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 Hiv 1&2 Antibody | $99.09 | $99.09 | $16.69–$40.00 | — | — |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 Hiv 1&2 Antibody | $99.09 | $99.09 | $16.69–$40.00 | — | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV MULTISPOT CONFIRMATION | $99.09 | $99.09 | $26.75–$40.00 | 6% below | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 1&2 ANTIBODY | $99.09 | $99.09 | $26.75–$40.00 | 6% below | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Hiv 1&2 Antibody | $99.09 | $99.09 | $26.24–$40.00 | 6% below | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Hiv 1&2 Antibody | $99.09 | $99.09 | $26.24–$40.00 | 6% below | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV I/II | $99.09 | $99.09 | $26.75–$40.00 | 6% below | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV (1&2) ANTIBODY RAPID | $99.09 | $99.09 | $26.75–$40.00 | 6% below | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 Hiv 1&2 Antibody | $99.09 | $99.09 | $26.24–$40.00 | — | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 Hiv 1&2 Antibody | $99.09 | $99.09 | $26.24–$40.00 | — | — |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 Hpv Igg Antibody | $144.42 | $144.42 | $33.70–$120.00 | — | — |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 Hpv Igg Antibody | $144.42 | $144.42 | $33.70–$120.00 | — | — |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HSV IGM AB TITER | $144.42 | $144.42 | $33.70–$120.00 | — | — |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 Hpv Igg Antibody | $144.42 | $144.42 | $33.70–$120.00 | — | — |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 Hpv Igg Antibody | $144.42 | $144.42 | $33.70–$120.00 | — | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Glycated Hemoglobin | $39.96 | $39.96 | $8.81–$30.00 | at median | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Glycated Hemoglobin | $39.96 | $39.96 | $8.81–$30.00 | at median | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C | $39.96 | $39.96 | $9.25–$30.00 | at median | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HGB A1C | $39.96 | $39.96 | $9.25–$30.00 | at median | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Glycated Hemoglobin | $39.96 | $39.96 | $8.81–$30.00 | — | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Glycated Hemoglobin | $39.96 | $39.96 | $8.81–$30.00 | — | — |
| Hemoglobin blood test CPT 85018 Hemoglobin | $7.68 | $7.68 | $2.00–$6.55 | 41% below | — |
| Hemoglobin blood test CPT 85018 Hemoglobin | $7.68 | $7.68 | $2.00–$6.55 | 41% below | — |
| Hemoglobin blood test inpatient CPT 85018 Hemoglobin | $7.68 | $7.68 | $2.00–$6.55 | — | — |
| Hemoglobin blood test inpatient CPT 85018 Hemoglobin | $7.68 | $7.68 | $2.00–$6.55 | — | — |
| Hepatitis B core antibody test (total) CPT 86704 HEP B CORE TOTAL | $49.59 | $49.59 | $9.94–$70.00 | 31% below | — |
| Hepatitis B core antibody test (total) CPT 86704 Hep B Core Total | $49.59 | $49.59 | $9.94–$70.00 | 31% below | — |
| Hepatitis B core antibody test (total) CPT 86704 Hep B Core Total | $49.59 | $49.59 | $9.94–$70.00 | 31% below | — |
| Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE TOTAL | $49.59 | $49.59 | $9.94–$70.00 | 31% below | — |
| Hepatitis B core antibody test (total) inpatient CPT 86704 Hep B Core Total | $49.59 | $49.59 | $9.94–$70.00 | — | — |
| Hepatitis B core antibody test (total) inpatient CPT 86704 Hep B Core Total | $49.59 | $49.59 | $9.94–$70.00 | — | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B Surface Antibody | $44.19 | $44.19 | $10.24–$46.00 | 29% below | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HBSAB | $44.19 | $44.19 | $10.24–$46.00 | 29% below | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE ANTIGEN | $44.19 | $44.19 | $10.24–$46.00 | 29% below | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE ANTIBODY | $44.19 | $44.19 | $10.24–$46.00 | 29% below | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B Surface Antibody | $44.19 | $44.19 | $10.24–$46.00 | 29% below | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hepatitis B Surface Antibody | $44.19 | $44.19 | $10.24–$46.00 | — | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hepatitis B Surface Antibody | $44.19 | $44.19 | $10.24–$46.00 | — | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis A Antibody Total | $42.51 | $42.51 | $9.85–$33.00 | 83% below | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS A ANTIBODY | $42.51 | $42.51 | $9.85–$33.00 | 83% below | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis A Antibody Total | $42.51 | $42.51 | $9.85–$33.00 | 83% below | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE ANTIGEN | $42.51 | $42.51 | $3.00–$27.00 | 83% below | — |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hepatitis A Antibody Total | $42.51 | $42.51 | $9.85–$33.00 | — | — |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hepatitis A Antibody Total | $42.51 | $42.51 | $9.85–$33.00 | — | — |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY | $58.59 | $58.59 | $13.61–$65.00 | 2% below | — |
| Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C Antibody | $58.59 | $58.59 | $13.61–$65.00 | 2% below | — |
| Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C Antibody | $58.59 | $58.59 | $13.61–$65.00 | 2% below | — |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hepatitis C Antibody | $58.59 | $58.59 | $13.61–$65.00 | — | — |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hepatitis C Antibody | $58.59 | $58.59 | $13.61–$65.00 | — | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C RNA QUANT (PCR) | $144.42 | $144.42 | $33.46–$200.00 | 93% below | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C RNA QUANT (PCR) | $144.42 | $144.42 | $33.46–$200.00 | 93% below | — |
| Herpes blood test, HSV-1 antibody CPT 86695 Herpes Simplex Virus 1 Igg | $54.27 | $54.27 | $12.58–$95.00 | 84% below | — |
| Herpes blood test, HSV-1 antibody CPT 86695 Herpes Simplex Virus 1 Igg | $54.27 | $54.27 | $12.58–$95.00 | 84% below | — |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX 1&2 IGM | $54.27 | $54.27 | $12.58–$95.00 | 84% below | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 Herpes Simplex Virus 1 Igg | $54.27 | $54.27 | $12.58–$95.00 | — | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 Herpes Simplex Virus 1 Igg | $54.27 | $54.27 | $12.58–$95.00 | — | — |
| Herpes blood test, HSV-2 antibody CPT 86696 Herpes Simplex 2 Igg | $79.65 | $79.65 | $18.00–$57.00 | 74% below | — |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX 1&2 IGG | $79.65 | $79.65 | $18.00–$57.00 | 74% below | — |
| Herpes blood test, HSV-2 antibody CPT 86696 Herpes Simplex 2 Igg | $79.65 | $79.65 | $18.00–$57.00 | 74% below | — |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 Herpes Simplex 2 Igg | $79.65 | $79.65 | $18.00–$57.00 | — | — |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 Herpes Simplex 2 Igg | $79.65 | $79.65 | $18.00–$57.00 | — | — |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-Reactive Protein High Sens | $53.28 | $53.28 | $14.39–$110.00 | at median | — |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-Reactive Protein High Sens | $53.28 | $53.28 | $14.39–$110.00 | at median | — |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C-Reactive Protein High Sens | $53.28 | $53.28 | $14.39–$110.00 | — | — |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C-Reactive Protein High Sens | $53.28 | $53.28 | $14.39–$110.00 | — | — |
| Homocysteine blood test CPT 83090 Homocystein | $69.42 | $69.42 | $15.21–$50.00 | at median | — |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE | $69.42 | $69.42 | $15.21–$50.00 | at median | — |
| Homocysteine blood test CPT 83090 Homocystein | $69.42 | $69.42 | $15.21–$50.00 | at median | — |
| Homocysteine blood test inpatient CPT 83090 Homocystein | $69.42 | $69.42 | $15.21–$50.00 | — | — |
| Homocysteine blood test inpatient CPT 83090 Homocystein | $69.42 | $69.42 | $15.21–$50.00 | — | — |
| Insulin blood test CPT 83525 Insulin Level Total | $47.04 | $47.04 | $10.31–$35.00 | 85% below | — |
| Insulin blood test CPT 83525 Insulin Level Total | $47.04 | $47.04 | $10.31–$35.00 | 85% below | — |
| Insulin blood test CPT 83525 INSULIN FREE | $47.04 | $47.04 | $10.31–$35.00 | 85% below | — |
| Insulin blood test inpatient CPT 83525 Insulin Level Total | $47.04 | $47.04 | $10.31–$35.00 | — | — |
| Insulin blood test inpatient CPT 83525 Insulin Level Total | $47.04 | $47.04 | $10.31–$35.00 | — | — |
| Iron blood test (serum iron) CPT 83540 Iron | $26.64 | $26.64 | $6.17–$14.00 | 19% above | — |
| Iron blood test (serum iron) CPT 83540 Iron | $26.64 | $26.64 | $6.17–$14.00 | 19% above | — |
| Iron blood test (serum iron) CPT 83540 IRON & TIBC | $26.64 | $26.64 | $6.17–$14.00 | 19% above | — |
| Iron blood test (serum iron) CPT 83540 IRON | $26.64 | $26.64 | $6.17–$14.00 | 19% above | — |
| Iron blood test (serum iron) inpatient CPT 83540 Iron | $26.64 | $26.64 | $6.17–$14.00 | — | — |
| Iron blood test (serum iron) inpatient CPT 83540 Iron | $26.64 | $26.64 | $6.17–$14.00 | — | — |
| Iron-binding capacity (TIBC) test CPT 83550 TOTAL IRON BINDING CAPACITY | $35.97 | $35.97 | $8.34–$17.00 | 17% above | — |
| Iron-binding capacity (TIBC) test CPT 83550 Total Iron Binding Capacity | $35.97 | $35.97 | $8.34–$17.00 | 17% above | — |
| Iron-binding capacity (TIBC) test CPT 83550 Total Iron Binding Capacity | $35.97 | $35.97 | $8.34–$17.00 | 17% above | — |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 Total Iron Binding Capacity | $35.97 | $35.97 | $8.34–$17.00 | — | — |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 Total Iron Binding Capacity | $35.97 | $35.97 | $8.34–$17.00 | — | — |
| Kidney function blood test panel CPT 80069 Renal Function Panel | $35.73 | $35.73 | $7.88–$70.00 | 59% below | — |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $35.73 | $35.73 | $8.28–$70.00 | 59% below | — |
| Kidney function blood test panel CPT 80069 Renal Function Panel | $35.73 | $35.73 | $7.88–$70.00 | 59% below | — |
| Kidney function blood test panel inpatient CPT 80069 Renal Function Panel | $35.73 | $35.73 | $7.88–$70.00 | — | — |
| Kidney function blood test panel inpatient CPT 80069 Renal Function Panel | $35.73 | $35.73 | $7.88–$70.00 | — | — |
| LH (luteinizing hormone) test CPT 83002 Luteinizing Hormone | $76.20 | $76.20 | $16.80–$40.00 | 71% below | — |
| LH (luteinizing hormone) test CPT 83002 LH | $76.20 | $76.20 | $17.65–$40.00 | 71% below | — |
| LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE | $76.20 | $76.20 | $17.65–$40.00 | 71% below | — |
| LH (luteinizing hormone) test CPT 83002 Luteinizing Hormone | $76.20 | $76.20 | $16.80–$40.00 | 71% below | — |
| LH (luteinizing hormone) test inpatient CPT 83002 Luteinizing Hormone | $76.20 | $76.20 | $16.80–$40.00 | — | — |
| LH (luteinizing hormone) test inpatient CPT 83002 Luteinizing Hormone | $76.20 | $76.20 | $16.80–$40.00 | — | — |
| Lactate (lactic acid) blood test CPT 83605 LACTATE | $43.95 | $43.95 | $9.62–$55.00 | at median | — |
| Lactate (lactic acid) blood test CPT 83605 LACTATE CSF | $43.95 | $43.95 | $9.62–$55.00 | at median | — |
| Lactate (lactic acid) blood test CPT 83605 Lactate | $43.95 | $43.95 | $9.62–$55.00 | at median | — |
| Lactate (lactic acid) blood test CPT 83605 Lactate | $43.95 | $43.95 | $9.62–$55.00 | at median | — |
| Lactate (lactic acid) blood test CPT 83605 LACTIC ACID | $43.95 | $43.95 | $9.62–$55.00 | at median | — |
| Lactate (lactic acid) blood test inpatient CPT 83605 Lactate | $43.95 | $43.95 | $9.62–$55.00 | — | — |
| Lactate (lactic acid) blood test inpatient CPT 83605 Lactate | $43.95 | $43.95 | $9.62–$55.00 | — | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LDH PERITONEAL FLUID | $24.84 | $24.84 | $5.75–$10.00 | 16% above | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 Ldh Body Fluid | $24.84 | $24.84 | $5.75–$10.00 | 16% above | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 Ldh Body Fluid | $24.84 | $24.84 | $5.75–$10.00 | 16% above | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LDH BODY FLUID | $24.84 | $24.84 | $5.75–$10.00 | 16% above | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE DEHYDROGENASE CSF | $24.84 | $24.84 | $5.75–$10.00 | 16% above | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LDH PERICARIDAL FLUID | $24.84 | $24.84 | $5.75–$10.00 | 16% above | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LDH PLEURAL FLUID | $24.84 | $24.84 | $5.75–$10.00 | 16% above | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LDH SYNOVIAL FLUID | $24.84 | $24.84 | $5.75–$10.00 | 16% above | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE DEHYDROGENASE | $24.84 | $24.84 | $5.75–$10.00 | 16% above | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LDH ISOENZYMES | $24.84 | $24.84 | $5.75–$10.00 | 16% above | — |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Ldh Body Fluid | $24.84 | $24.84 | $5.75–$10.00 | — | — |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Ldh Body Fluid | $24.84 | $24.84 | $5.75–$10.00 | — | — |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE URINE | $28.35 | $28.35 | $6.57–$15.00 | 22% above | — |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE | $28.35 | $28.35 | $6.57–$15.00 | 22% above | — |
| Lipase blood test (pancreas enzyme) CPT 83690 Lipase Body Fluid | $28.35 | $28.35 | $6.57–$15.00 | 22% above | — |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE BODY FLUID | $28.35 | $28.35 | $6.57–$15.00 | 22% above | — |
| Lipase blood test (pancreas enzyme) CPT 83690 Lipase Body Fluid | $28.35 | $28.35 | $6.57–$15.00 | 22% above | — |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase Body Fluid | $28.35 | $28.35 | $6.57–$15.00 | — | — |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase Body Fluid | $28.35 | $28.35 | $6.57–$15.00 | — | — |
| Liver function blood test panel CPT 80076 Liver Panel | $33.63 | $33.63 | $7.06–$35.00 | 7% below | — |
| Liver function blood test panel CPT 80076 HEPATIC PANEL | $33.63 | $33.63 | $7.79–$35.00 | 7% below | — |
| Liver function blood test panel CPT 80076 Liver Panel | $33.63 | $33.63 | $7.06–$35.00 | 7% below | — |
| Liver function blood test panel inpatient CPT 80076 Liver Panel | $33.63 | $33.63 | $7.06–$35.00 | — | — |
| Liver function blood test panel inpatient CPT 80076 Liver Panel | $33.63 | $33.63 | $7.06–$35.00 | — | — |
| Lyme disease antibody test CPT 86618 Lyme Disease Antibodies | $70.08 | $70.08 | $18.56–$70.00 | 42% below | — |
| Lyme disease antibody test CPT 86618 Lyme Disease Antibodies | $70.08 | $70.08 | $18.56–$70.00 | 42% below | — |
| Lyme disease antibody test inpatient CPT 86618 Lyme Disease Antibodies | $70.08 | $70.08 | $18.56–$70.00 | — | — |
| Lyme disease antibody test inpatient CPT 86618 Lyme Disease Antibodies | $70.08 | $70.08 | $18.56–$70.00 | — | — |
| Magnesium blood test CPT 83735 MAGNESIUM URINE | $7.50 | $7.50 | $8.27 | 64% below | — |
| Magnesium blood test CPT 83735 Magnesium | $27.57 | $27.57 | $6.38–$15.00 | 31% above | — |
| Magnesium blood test CPT 83735 MUMPS VIRUS IGM ANTIBODY | $27.57 | $27.57 | $6.38–$15.00 | 31% above | — |
| Magnesium blood test CPT 83735 MAGNESIUM | $27.57 | $27.57 | $6.38–$15.00 | 31% above | — |
| Magnesium blood test CPT 83735 Magnesium | $27.57 | $27.57 | $6.38–$15.00 | 31% above | — |
| Magnesium blood test CPT 83735 MAGNESIUM 24 HOUR URINE | $27.57 | $27.57 | $6.38–$15.00 | 31% above | — |
| Magnesium blood test CPT 83735 MAGNESIUM URINE RANDOM | $27.57 | $27.57 | $6.38–$15.00 | 31% above | — |
| Magnesium blood test CPT 83735 MAGNESIUM URINE 24 HRS | $27.57 | $27.57 | $6.38–$15.00 | 31% above | — |
| Magnesium blood test inpatient CPT 83735 Magnesium | $27.57 | $27.57 | $6.38–$15.00 | — | — |
| Magnesium blood test inpatient CPT 83735 Magnesium | $27.57 | $27.57 | $6.38–$15.00 | — | — |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA IGM ANTIBODY | $53.01 | $53.01 | $14.04–$55.00 | 14% below | — |
| Measles (rubeola) antibody test CPT 86765 Rubella Igm Antibody | $53.01 | $53.01 | $14.04–$55.00 | 14% below | — |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA IGG ANTIBODY | $53.01 | $53.01 | $14.04–$55.00 | 14% below | — |
| Measles (rubeola) antibody test CPT 86765 Rubella Igm Antibody | $53.01 | $53.01 | $14.04–$55.00 | 14% below | — |
| Measles (rubeola) antibody test inpatient CPT 86765 Rubella Igm Antibody | $53.01 | $53.01 | $14.04–$55.00 | — | — |
| Measles (rubeola) antibody test inpatient CPT 86765 Rubella Igm Antibody | $53.01 | $53.01 | $14.04–$55.00 | — | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 MONOTEST | $21.30 | $21.30 | $4.94–$15.00 | 8% below | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 MONONUC WBC PERICARDIAL FLUID | $21.30 | $21.30 | $4.94–$15.00 | 8% below | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 Mononuclear Wbc Body Fluid | $21.30 | $21.30 | $4.94–$15.00 | 8% below | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 Mononuclear Wbc Body Fluid | $21.30 | $21.30 | $4.94–$15.00 | 8% below | — |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Mononuclear Wbc Body Fluid | $21.30 | $21.30 | $4.94–$15.00 | — | — |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Mononuclear Wbc Body Fluid | $21.30 | $21.30 | $4.94–$15.00 | — | — |
| Mumps immunity blood test CPT 86735 MUMPS VIRUS IGG ANTIBODY | $53.70 | $53.70 | $12.44–$62.00 | 69% below | — |
| Mumps immunity blood test CPT 86735 MUMPS VIRUS IGM ANTIBODY | $53.70 | $53.70 | $12.44–$62.00 | 69% below | — |
| Mumps immunity blood test CPT 86735 Mumps Virus Igg Antibody | $53.70 | $53.70 | $12.44–$62.00 | 69% below | — |
| Mumps immunity blood test CPT 86735 Mumps Virus Igg Antibody | $53.70 | $53.70 | $12.44–$62.00 | 69% below | — |
| Mumps immunity blood test CPT 86735 MEASLES MUMPS RUBELLA IMMUNITY | $53.70 | $53.70 | $12.44–$62.00 | 69% below | — |
| Mumps immunity blood test inpatient CPT 86735 Mumps Virus Igg Antibody | $53.70 | $53.70 | $12.44–$62.00 | — | — |
| Mumps immunity blood test inpatient CPT 86735 Mumps Virus Igg Antibody | $53.70 | $53.70 | $12.44–$62.00 | — | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 Free Prostate Spec Ag | $75.69 | $75.69 | $17.54–$145.00 | 4% above | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 Free Prostate Spec Ag | $75.69 | $75.69 | $17.54–$145.00 | 4% above | — |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 Free Prostate Spec Ag | $75.69 | $75.69 | $17.54–$145.00 | — | — |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 Free Prostate Spec Ag | $75.69 | $75.69 | $17.54–$145.00 | — | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Prostate Specific Antigen Scrn | $75.69 | $75.69 | $17.53–$58.00 | 51% above | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Prostate Specific Antigen Scrn | $75.69 | $75.69 | $17.53–$58.00 | 51% above | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE SPECIFIC AG TOTAL | $75.69 | $75.69 | $17.54–$58.00 | 51% above | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE SPECIFIC ANTIGEN | $75.69 | $75.69 | $17.54–$58.00 | 51% above | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Prostate Specific Antigen Scrn | $75.69 | $75.69 | $17.53–$58.00 | — | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Prostate Specific Antigen Scrn | $75.69 | $75.69 | $17.53–$58.00 | — | — |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE RELATED PR | $169.86 | $169.86 | $39.36–$130.00 | 21% above | — |
| Parathyroid hormone (PTH) blood test CPT 83970 Parathyroid Hormone Intact | $169.86 | $169.86 | $39.36–$130.00 | 21% above | — |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE | $169.86 | $169.86 | $39.36–$130.00 | 21% above | — |
| Parathyroid hormone (PTH) blood test CPT 83970 Parathyroid Hormone Intact | $169.86 | $169.86 | $39.36–$130.00 | 21% above | — |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 Parathyroid Hormone Intact | $169.86 | $169.86 | $39.36–$130.00 | — | — |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 Parathyroid Hormone Intact | $169.86 | $169.86 | $39.36–$130.00 | — | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Partial Thromboplastin Time | $24.72 | $24.72 | $4.37–$14.00 | 24% above | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Partial Thromboplastin Time | $24.72 | $24.72 | $4.37–$14.00 | 24% above | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 ACTIVATED PARTIAL THROMBO TIME | $24.72 | $24.72 | $5.73–$14.00 | 24% above | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Partial Thromboplastin Time | $24.72 | $24.72 | $4.37–$14.00 | — | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Partial Thromboplastin Time | $24.72 | $24.72 | $4.37–$14.00 | — | — |
| Phosphorus (phosphate) blood test CPT 84100 Phosphorus | $19.50 | $19.50 | $4.52–$10.00 | 12% above | — |
| Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS | $19.50 | $19.50 | $4.52–$10.00 | 12% above | — |
| Phosphorus (phosphate) blood test CPT 84100 PHOSPHOROUS URINE RANDOM | $19.50 | $19.50 | $4.52–$10.00 | 12% above | — |
| Phosphorus (phosphate) blood test CPT 84100 PHOSPHOROUS TIMED URINE | $19.50 | $19.50 | $4.52–$10.00 | 12% above | — |
| Phosphorus (phosphate) blood test CPT 84100 PHOSPHOROUS 24 HOUR URINE | $19.50 | $19.50 | $4.52–$10.00 | 12% above | — |
| Phosphorus (phosphate) blood test CPT 84100 Phosphorus | $19.50 | $19.50 | $4.52–$10.00 | 12% above | — |
| Phosphorus (phosphate) blood test inpatient CPT 84100 Phosphorus | $19.50 | $19.50 | $4.52–$10.00 | — | — |
| Phosphorus (phosphate) blood test inpatient CPT 84100 Phosphorus | $19.50 | $19.50 | $4.52–$10.00 | — | — |
| Potassium blood test CPT 84132 Potassium | $18.93 | $18.93 | $4.38–$10.00 | 12% above | — |
| Potassium blood test CPT 84132 POTASSIUM | $18.93 | $18.93 | $4.38–$10.00 | 12% above | — |
| Potassium blood test CPT 84132 Potassium | $18.93 | $18.93 | $4.38–$10.00 | 12% above | — |
| Potassium blood test inpatient CPT 84132 Potassium | $18.93 | $18.93 | $4.38–$10.00 | — | — |
| Potassium blood test inpatient CPT 84132 Potassium | $18.93 | $18.93 | $4.38–$10.00 | — | — |
| Progesterone blood test CPT 84144 Progesterone | $85.86 | $85.86 | $19.89–$65.00 | 17% below | — |
| Progesterone blood test CPT 84144 PROGESTERONE | $85.86 | $85.86 | $19.89–$65.00 | 17% below | — |
| Progesterone blood test CPT 84144 Progesterone | $85.86 | $85.86 | $19.89–$65.00 | 17% below | — |
| Progesterone blood test inpatient CPT 84144 Progesterone | $85.86 | $85.86 | $19.89–$65.00 | — | — |
| Progesterone blood test inpatient CPT 84144 Progesterone | $85.86 | $85.86 | $19.89–$65.00 | — | — |
| Prolactin blood test CPT 84146 Prolactin | $79.74 | $79.74 | $18.48–$40.00 | 11% below | — |
| Prolactin blood test CPT 84146 Prolactin | $79.74 | $79.74 | $18.48–$40.00 | 11% below | — |
| Prolactin blood test CPT 84146 MONOTEST DILUTIONS | $79.74 | $79.74 | $18.48–$40.00 | 11% below | — |
| Prolactin blood test inpatient CPT 84146 Prolactin | $79.74 | $79.74 | $18.48–$40.00 | — | — |
| Prolactin blood test inpatient CPT 84146 Prolactin | $79.74 | $79.74 | $18.48–$40.00 | — | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time Inr | $16.17 | $16.17 | $3.75–$12.00 | at median | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME | $16.17 | $16.17 | $3.75–$12.00 | at median | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time Inr | $16.17 | $16.17 | $3.75–$12.00 | at median | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time Inr | $16.17 | $16.17 | $3.75–$12.00 | — | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time Inr | $16.17 | $16.17 | $3.75–$12.00 | — | — |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA B | $44.79 | $44.79 | $10.38–$52.00 | at median | — |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA A | $44.79 | $44.79 | $10.38–$52.00 | at median | — |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA B BY FIA | $44.79 | $44.79 | $10.38–$52.00 | at median | — |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA A BY FIA | $44.79 | $44.79 | $10.38–$52.00 | at median | — |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA A+B BINAX | $44.79 | $44.79 | $10.38–$52.00 | at median | — |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA B BY BINAX | $44.79 | $44.79 | $10.38–$52.00 | at median | — |
| Rapid flu test (influenza antigen) CPT 87804 HAEMOPHILUS INFLUENZAE TYPE B | $44.79 | $44.79 | $10.38–$52.00 | at median | — |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA A PCR | $44.79 | $44.79 | $10.38–$52.00 | at median | — |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA B PCR | $44.79 | $44.79 | $10.38–$52.00 | at median | — |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA A + B TEST | $44.79 | $44.79 | $10.38–$52.00 | at median | — |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA A &B EIA | $44.79 | $44.79 | $10.38–$52.00 | at median | — |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA VIRUS A ANTIBODY | $44.79 | $44.79 | $10.38–$52.00 | at median | — |
| Rapid flu test (influenza antigen) CPT 87804 HAEMOPHILUS INFLUENZAE B AB | $44.79 | $44.79 | $10.38–$52.00 | at median | — |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA VIRUS B ANTIBODY | $44.79 | $44.79 | $10.38–$52.00 | at median | — |
| Rapid flu test (influenza antigen) CPT 87804 Influenza A By Binax | $44.79 | $44.79 | $10.38–$52.00 | at median | — |
| Rapid flu test (influenza antigen) CPT 87804 Influenza A By Binax | $44.79 | $44.79 | $10.38–$52.00 | at median | — |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA A & B BY FIA | $44.79 | $44.79 | $10.38–$52.00 | at median | — |
| Rapid flu test (influenza antigen) inpatient CPT 87804 Influenza A By Binax | $44.79 | $44.79 | $10.38–$52.00 | — | — |
| Rapid flu test (influenza antigen) inpatient CPT 87804 Influenza A By Binax | $44.79 | $44.79 | $10.38–$52.00 | — | — |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 Streptococcus, Group A | $37.50 | $37.50 | $25.00 | at median | — |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 Streptococcus, Group A | $37.50 | $37.50 | $25.00 | at median | — |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Streptococcus, Group A | $37.50 | $37.50 | $25.00 | — | — |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Streptococcus, Group A | $37.50 | $37.50 | $25.00 | — | — |
| Renin blood test CPT 84244 Renin | $90.51 | $90.51 | $20.97–$85.00 | 19% below | — |
| Renin blood test CPT 84244 Renin | $90.51 | $90.51 | $20.97–$85.00 | 19% below | — |
| Renin blood test CPT 84244 RENIN ACTIVITY | $90.51 | $90.51 | $23.97–$85.00 | 19% below | — |
| Renin blood test inpatient CPT 84244 Renin | $90.51 | $90.51 | $20.97–$85.00 | — | — |
| Renin blood test inpatient CPT 84244 Renin | $90.51 | $90.51 | $20.97–$85.00 | — | — |
| Rh blood typing CPT 86901 Rh Blood Typing | $25.00 | $25.00 | $2.71–$15.00 | 73% below | — |
| Rh blood typing CPT 86901 BLOOD TYPING RH | $25.00 | $25.00 | $3.32–$15.00 | 73% below | — |
| Rh blood typing inpatient CPT 86901 Rh Blood Typing | $25.00 | $25.00 | $2.71–$15.00 | — | — |
| Rh blood typing inpatient CPT 86901 Rh Blood Typing | $25.00 | $25.00 | $2.71–$15.00 | — | — |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QTY | $11.03 | $11.03 | $5.00–$8.00 | 88% below | — |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR DILUTIONS | $23.34 | $23.34 | $5.12–$14.00 | 75% below | — |
| Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor Screen | $23.34 | $23.34 | $5.12–$14.00 | 75% below | — |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR IGM | $23.34 | $23.34 | $5.12–$14.00 | 75% below | — |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR TITER | $23.34 | $23.34 | $5.12–$14.00 | 75% below | — |
| Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor Screen | $23.34 | $23.34 | $5.12–$14.00 | 75% below | — |
| Rheumatoid factor (RF) test inpatient CPT 86431 Rheumatoid Factor Screen | $23.34 | $23.34 | $5.12–$14.00 | — | — |
| Rheumatoid factor (RF) test inpatient CPT 86431 Rheumatoid Factor Screen | $23.34 | $23.34 | $5.12–$14.00 | — | — |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY | $59.22 | $59.22 | $13.73–$60.00 | at median | — |
| Rubella antibody test (immunity check) CPT 86762 Rubella Antibody | $59.22 | $59.22 | $13.73–$60.00 | at median | — |
| Rubella antibody test (immunity check) CPT 86762 Rubella Antibody | $59.22 | $59.22 | $13.73–$60.00 | at median | — |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA IGG ANTIBODY | $59.22 | $59.22 | $13.73–$60.00 | at median | — |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA IGM ANTIBODY | $59.22 | $59.22 | $13.73–$60.00 | at median | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 Rubella Antibody | $59.22 | $59.22 | $13.73–$60.00 | — | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 Rubella Antibody | $59.22 | $59.22 | $13.73–$60.00 | — | — |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 Liquification Semen | $49.59 | $49.59 | $9.10–$62.00 | 82% below | — |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 MOTILITY EVALUATION | $49.59 | $49.59 | $9.10–$62.00 | 82% below | — |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN ANALYSIS | $49.59 | $49.59 | $9.10–$62.00 | 82% below | — |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN ANALYSIS COMMENT/SOURCE | $49.59 | $49.59 | $9.10–$62.00 | 82% below | — |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 SPERM MORPHOLOGY | $49.59 | $49.59 | $9.10–$62.00 | 82% below | — |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 Liquification Semen | $49.59 | $49.59 | $9.10–$62.00 | 82% below | — |
| Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 Liquification Semen | $49.59 | $49.59 | $9.10–$62.00 | — | — |
| Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 Liquification Semen | $49.59 | $49.59 | $9.10–$62.00 | — | — |
| Sodium blood test CPT 84295 SODIUM | $19.80 | $19.80 | $4.59–$8.00 | 5% above | — |
| Sodium blood test CPT 84295 Sodium | $19.80 | $19.80 | $4.59–$8.00 | 5% above | — |
| Sodium blood test CPT 84295 Sodium | $19.80 | $19.80 | $4.59–$8.00 | 5% above | — |
| Sodium blood test inpatient CPT 84295 Sodium | $19.80 | $19.80 | $4.59–$8.00 | — | — |
| Sodium blood test inpatient CPT 84295 Sodium | $19.80 | $19.80 | $4.59–$8.00 | — | — |
| Stool ova and parasites exam CPT 87177 OVA & PARASITES STOOL | $18.60 | $18.60 | $4.93–$15.73 | 8% below | — |
| Stool ova and parasites exam CPT 87177 Ova & Parasites Stool | $18.60 | $18.60 | $4.93–$15.73 | 8% below | — |
| Stool ova and parasites exam CPT 87177 Ova & Parasites Stool | $18.60 | $18.60 | $4.93–$15.73 | 8% below | — |
| Stool ova and parasites exam CPT 87177 OVAL FAT BODIES URINE | $18.60 | $18.60 | $3.00–$15.73 | 8% below | — |
| Stool ova and parasites exam inpatient CPT 87177 Ova & Parasites Stool | $18.60 | $18.60 | $4.93–$15.73 | — | — |
| Stool ova and parasites exam inpatient CPT 87177 Ova & Parasites Stool | $18.60 | $18.60 | $4.93–$15.73 | — | — |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 IMMUNOLOGICAL FECAL OB | $65.46 | $65.46 | $10.00–$48.00 | 52% above | — |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 Occult Blood Body Fluid | $65.46 | $65.46 | $10.00–$48.00 | 52% above | — |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 IMMUNOLOGICAL FECAL OB TEST | $65.46 | $65.46 | $10.00–$48.00 | 52% above | — |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 OCCULT BLOOD STOOL | $65.46 | $65.46 | $10.00–$48.00 | 52% above | — |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 GLOBIN STOOL | $65.46 | $65.46 | $10.00–$48.00 | 52% above | — |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 OCCULT BLOOD IA STOOL | $65.46 | $65.46 | $10.00–$48.00 | 52% above | — |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 OCCULT BLOOD IMMUNOASSAY | $65.46 | $65.46 | $10.00–$48.00 | 52% above | — |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 OCCULT BLOOD GASTRIC FLUID | $65.46 | $65.46 | $10.00–$48.00 | 52% above | — |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 OCCULT BLOOD URINE | $65.46 | $65.46 | $10.00–$48.00 | 52% above | — |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 Occult Blood Body Fluid | $65.46 | $65.46 | $10.00–$48.00 | 52% above | — |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Occult Blood Body Fluid | $65.46 | $65.46 | $10.00–$48.00 | — | — |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Occult Blood Body Fluid | $65.46 | $65.46 | $10.00–$48.00 | — | — |
| Syphilis antibody test (Treponema pallidum) CPT 86780 Treponema Pallidum Ab (Fta-Abs | $54.48 | $54.48 | $12.62–$20.57 | 78% below | — |
| Syphilis antibody test (Treponema pallidum) CPT 86780 Treponema Pallidum Ab (Fta-Abs | $54.48 | $54.48 | $12.62–$20.57 | 78% below | — |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Treponema Pallidum Ab (Fta-Abs | $54.48 | $54.48 | $12.62–$20.57 | — | — |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Treponema Pallidum Ab (Fta-Abs | $54.48 | $54.48 | $12.62–$20.57 | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL QUALITATIVE CSF | $17.58 | $17.58 | $4.07–$12.00 | at median | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Vdrl Qualitative | $17.58 | $17.58 | $3.87–$12.00 | at median | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL QUANTITATIVE CSF | $17.58 | $17.58 | $4.07–$12.00 | at median | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL QUALITATIVE | $17.58 | $17.58 | $4.07–$12.00 | at median | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL DILUTIONS | $17.58 | $17.58 | $4.07–$12.00 | at median | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS SCREEN | $17.58 | $17.58 | $4.07–$12.00 | at median | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RAPID PLASMA REAGIN | $17.58 | $17.58 | $4.07–$12.00 | at median | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Vdrl Qualitative | $17.58 | $17.58 | $3.87–$12.00 | at median | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Vdrl Qualitative | $17.58 | $17.58 | $3.87–$12.00 | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Vdrl Qualitative | $17.58 | $17.58 | $3.87–$12.00 | — | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Interferon Gamma Ab | $255.06 | $255.06 | $50.00–$85.02 | 51% below | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Interferon Gamma Ab | $255.06 | $255.06 | $50.00–$85.02 | 51% below | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON | $283.50 | $283.50 | $76.52–$189.00 | 45% below | — |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 Interferon Gamma Ab | $255.06 | $255.06 | $50.00–$85.02 | — | — |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 Interferon Gamma Ab | $255.06 | $255.06 | $50.00–$85.02 | — | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone Total | $106.23 | $106.23 | $24.62–$100.00 | at median | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone Total | $106.23 | $106.23 | $24.62–$100.00 | at median | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone Total | $106.23 | $106.23 | $24.62–$100.00 | — | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone Total | $106.23 | $106.23 | $24.62–$100.00 | — | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE ANTIBODIES | $59.88 | $59.88 | $13.87–$60.00 | 3% below | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Lkm-1 Antibody | $59.88 | $59.88 | $13.87–$60.00 | 3% below | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Lkm-1 Antibody | $59.88 | $59.88 | $13.87–$60.00 | 3% below | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER-KIDNEY MICROSOMAL AB | $59.88 | $59.88 | $13.87–$60.00 | 3% below | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Lkm-1 Antibody | $59.88 | $59.88 | $13.87–$60.00 | — | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Lkm-1 Antibody | $59.88 | $59.88 | $13.87–$60.00 | — | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Stimulating Hormone | $69.15 | $69.15 | $15.26–$50.00 | 38% above | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Stimulating Hormone | $69.15 | $69.15 | $15.26–$50.00 | 38% above | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Thyroid Stimulating Hormone | $69.15 | $69.15 | $15.26–$50.00 | — | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Thyroid Stimulating Hormone | $69.15 | $69.15 | $15.26–$50.00 | — | — |
| Total IgE blood test CPT 82785 Immunoglobulin E | $33.00 | $33.00 | $15.70–$40.00 | 34% below | — |
| Total IgE blood test CPT 82785 IMMUNOGLOBULIN E | $33.00 | $33.00 | $15.70–$40.00 | 34% below | — |
| Total IgE blood test CPT 82785 TOTAL IGE ANTIBODY | $33.00 | $33.00 | $15.70–$40.00 | 34% below | — |
| Total IgE blood test CPT 82785 Immunoglobulin E | $33.00 | $33.00 | $15.70–$40.00 | 34% below | — |
| Total IgE blood test inpatient CPT 82785 Immunoglobulin E | $33.00 | $33.00 | $15.70–$40.00 | — | — |
| Total IgE blood test inpatient CPT 82785 Immunoglobulin E | $33.00 | $33.00 | $15.70–$40.00 | — | — |
| Total cholesterol blood test CPT 82465 Cholesterol Body Fluid | $17.91 | $17.91 | $4.14–$10.00 | 12% above | — |
| Total cholesterol blood test CPT 82465 CHOLESTEROL SYNOVIAL FLUID | $17.91 | $17.91 | $4.14–$10.00 | 12% above | — |
| Total cholesterol blood test CPT 82465 Cholesterol Body Fluid | $17.91 | $17.91 | $4.14–$10.00 | 12% above | — |
| Total cholesterol blood test CPT 82465 CHOLESTEROL BODY FLUID | $17.91 | $17.91 | $4.14–$10.00 | 12% above | — |
| Total cholesterol blood test CPT 82465 CHOLESTEROL | $17.91 | $17.91 | $4.14–$10.00 | 12% above | — |
| Total cholesterol blood test CPT 82465 CHOLESTEROL PLEURAL FLUID | $17.91 | $17.91 | $4.14–$10.00 | 12% above | — |
| Total cholesterol blood test inpatient CPT 82465 Cholesterol Body Fluid | $17.91 | $17.91 | $4.14–$10.00 | — | — |
| Total cholesterol blood test inpatient CPT 82465 Cholesterol Body Fluid | $17.91 | $17.91 | $4.14–$10.00 | — | — |
| Total thyroxine (T4) blood test CPT 84436 Thyroxine (T4) Total | $28.26 | $28.26 | $6.24–$20.00 | 5% below | — |
| Total thyroxine (T4) blood test CPT 84436 T4 (THYROXINE) | $28.26 | $28.26 | $6.55–$20.00 | 5% below | — |
| Total thyroxine (T4) blood test CPT 84436 CHLORPROMAZINE (THORAZINE) | $28.26 | $28.26 | $6.55–$20.00 | 5% below | — |
| Total thyroxine (T4) blood test CPT 84436 Thyroxine (T4) Total | $28.26 | $28.26 | $6.24–$20.00 | 5% below | — |
| Total thyroxine (T4) blood test inpatient CPT 84436 Thyroxine (T4) Total | $28.26 | $28.26 | $6.24–$20.00 | — | — |
| Total thyroxine (T4) blood test inpatient CPT 84436 Thyroxine (T4) Total | $28.26 | $28.26 | $6.24–$20.00 | — | — |
| Total triiodothyronine (T3) blood test CPT 84480 Triiodothyronine (T3) Total | $58.35 | $58.35 | $13.52–$45.00 | at median | — |
| Total triiodothyronine (T3) blood test CPT 84480 TRIIODOTHYRONINE (T3) FREE | $58.35 | $58.35 | $13.52–$45.00 | at median | — |
| Total triiodothyronine (T3) blood test CPT 84480 T3-TOTAL | $58.35 | $58.35 | $7.00–$45.00 | at median | — |
| Total triiodothyronine (T3) blood test CPT 84480 TRIIODOTHYRONINE (T3) TOTAL | $58.35 | $58.35 | $13.52–$45.00 | at median | — |
| Total triiodothyronine (T3) blood test CPT 84480 T3 TOTAL TEST GROUP | $58.35 | $58.35 | $13.52–$45.00 | at median | — |
| Total triiodothyronine (T3) blood test CPT 84480 Triiodothyronine (T3) Total | $58.35 | $58.35 | $13.52–$45.00 | at median | — |
| Total triiodothyronine (T3) blood test CPT 84480 T3 TOTAL | $58.35 | $58.35 | $13.52–$45.00 | at median | — |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 Triiodothyronine (T3) Total | $58.35 | $58.35 | $13.52–$45.00 | — | — |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 Triiodothyronine (T3) Total | $58.35 | $58.35 | $13.52–$45.00 | — | — |
| Transferrin blood test CPT 84466 Transferrin | $52.53 | $52.53 | $12.17–$40.00 | at median | — |
| Transferrin blood test CPT 84466 Transferrin | $52.53 | $52.53 | $12.17–$40.00 | at median | — |
| Transferrin blood test CPT 84466 TRANSFERRIN | $52.53 | $52.53 | $12.17–$40.00 | at median | — |
| Transferrin blood test inpatient CPT 84466 Transferrin | $52.53 | $52.53 | $12.17–$40.00 | — | — |
| Transferrin blood test inpatient CPT 84466 Transferrin | $52.53 | $52.53 | $12.17–$40.00 | — | — |
| Triglycerides blood test CPT 84478 TRIGLYCERIDES BODY FLUID | $23.64 | $23.64 | $5.48–$15.00 | 8% below | — |
| Triglycerides blood test CPT 84478 TRIGLYCERIDES PERITONEAL FLUID | $23.64 | $23.64 | $5.48–$15.00 | 8% below | — |
| Triglycerides blood test CPT 84478 VLDL CHOLESTEROL | $23.64 | $23.64 | $5.48–$15.00 | 8% below | — |
| Triglycerides blood test CPT 84478 TRIGLYCERIDES | $23.64 | $23.64 | $5.48–$15.00 | 8% below | — |
| Triglycerides blood test CPT 84478 TRIGLYCERIDES SYNOVIAL FLUID | $23.64 | $23.64 | $5.48–$15.00 | 8% below | — |
| Triglycerides blood test CPT 84478 Triglycerides Body Fluid | $23.64 | $23.64 | $5.48–$15.00 | 8% below | — |
| Triglycerides blood test CPT 84478 Triglycerides Body Fluid | $23.64 | $23.64 | $5.48–$15.00 | 8% below | — |
| Triglycerides blood test inpatient CPT 84478 Triglycerides Body Fluid | $23.64 | $23.64 | $5.48–$15.00 | — | — |
| Triglycerides blood test inpatient CPT 84478 Triglycerides Body Fluid | $23.64 | $23.64 | $5.48–$15.00 | — | — |
| Troponin test, quantitative CPT 84484 Troponin I Qualitative | $40.50 | $40.50 | $8.88–$70.00 | 3% below | — |
| Troponin test, quantitative CPT 84484 Troponin I Qualitative | $40.50 | $40.50 | $8.88–$70.00 | 3% below | — |
| Troponin test, quantitative CPT 84484 TROPONIN I | $40.50 | $40.50 | $8.88–$70.00 | 3% below | — |
| Troponin test, quantitative CPT 84484 TROPONIN T | $40.50 | $40.50 | $8.88–$70.00 | 3% below | — |
| Troponin test, quantitative inpatient CPT 84484 Troponin I Qualitative | $40.50 | $40.50 | $8.88–$70.00 | — | — |
| Troponin test, quantitative inpatient CPT 84484 Troponin I Qualitative | $40.50 | $40.50 | $8.88–$70.00 | — | — |
| Uric acid blood test CPT 84550 URIC ACID | $18.60 | $18.60 | $4.31–$10.00 | 8% above | — |
| Uric acid blood test CPT 84550 Uric Acid | $18.60 | $18.60 | $4.31–$10.00 | 8% above | — |
| Uric acid blood test CPT 84550 Uric Acid | $18.60 | $18.60 | $4.31–$10.00 | 8% above | — |
| Uric acid blood test CPT 84550 URIC ACID 24 HOUR URINE | $18.60 | $18.60 | $4.31–$10.00 | 8% above | — |
| Uric acid blood test inpatient CPT 84550 Uric Acid | $18.60 | $18.60 | $4.31–$10.00 | — | — |
| Uric acid blood test inpatient CPT 84550 Uric Acid | $18.60 | $18.60 | $4.31–$10.00 | — | — |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS | $13.05 | $13.05 | $3.46–$8.00 | 23% below | — |
| Urinalysis with microscope exam, automated CPT 81001 Urinalysis And Microscopic | $13.05 | $13.05 | $3.00–$8.00 | 23% below | — |
| Urinalysis with microscope exam, automated CPT 81001 Urinalysis And Microscopic | $13.05 | $13.05 | $3.00–$8.00 | 23% below | — |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS AND MICROSCOPIC | $13.05 | $13.05 | $3.46–$8.00 | 23% below | — |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis And Microscopic | $13.05 | $13.05 | $3.00–$8.00 | — | — |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis And Microscopic | $13.05 | $13.05 | $3.00–$8.00 | — | — |
| Urinalysis without microscope exam, automated CPT 81003 URINE UROBILINOGEN | $8.00 | $8.00 | $1.95–$6.00 | 87% below | — |
| Urinalysis without microscope exam, automated CPT 81003 Urobilinogen Urine | $8.00 | $8.00 | $1.95–$15.00 | 87% below | — |
| Urinalysis without microscope exam, automated CPT 81003 UROBILINOGEN URINE | $8.00 | $8.00 | $1.95–$8.00 | 87% below | — |
| Urinalysis without microscope exam, automated CPT 81003 Urobilinogen Urine | $8.00 | $8.00 | $1.95–$15.00 | 87% below | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Urobilinogen Urine | $8.00 | $8.00 | $1.95–$15.00 | — | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Urobilinogen Urine | $8.00 | $8.00 | $1.95–$15.00 | — | — |
| Urine culture for bacteria, with colony count CPT 87086 URINE CULTURE | $33.30 | $33.30 | $3.00–$30.00 | 2% below | — |
| Urine culture for bacteria, with colony count CPT 87086 Urine Culture | $33.30 | $33.30 | $3.00–$32.00 | 2% below | — |
| Urine culture for bacteria, with colony count CPT 87086 Urine Culture | $33.30 | $33.30 | $3.00–$32.00 | 2% below | — |
| Urine culture for bacteria, with colony count inpatient CPT 87086 Urine Culture | $33.30 | $33.30 | $3.00–$32.00 | — | — |
| Urine culture for bacteria, with colony count inpatient CPT 87086 Urine Culture | $33.30 | $33.30 | $3.00–$32.00 | — | — |
| Urine microalbumin (albumin) test CPT 82043 MICROALB 24 HOUR | $23.79 | $23.79 | $6.30–$70.00 | 66% below | — |
| Urine microalbumin (albumin) test CPT 82043 Microalbumin Urine Random | $23.79 | $23.79 | $5.25–$70.00 | 66% below | — |
| Urine microalbumin (albumin) test CPT 82043 Microalbumin Urine Random | $23.79 | $23.79 | $5.25–$70.00 | 66% below | — |
| Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN 24 HOUR URINE | $23.79 | $23.79 | $6.30–$70.00 | 66% below | — |
| Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN CREATININE RATIO | $23.79 | $23.79 | $6.30–$70.00 | 66% below | — |
| Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN URINE 24 HRS | $23.79 | $23.79 | $6.30–$70.00 | 66% below | — |
| Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN URINE | $23.79 | $23.79 | $6.30–$70.00 | 66% below | — |
| Urine microalbumin (albumin) test CPT 82043 MICROALBUM/CREATININE RATIO UR | $23.79 | $23.79 | $6.30–$70.00 | 66% below | — |
| Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN EXCRETION RATE UR | $23.79 | $23.79 | $6.30–$70.00 | 66% below | — |
| Urine microalbumin (albumin) test inpatient CPT 82043 Microalbumin Urine Random | $23.79 | $23.79 | $5.25–$70.00 | — | — |
| Urine microalbumin (albumin) test inpatient CPT 82043 Microalbumin Urine Random | $23.79 | $23.79 | $5.25–$70.00 | — | — |
| Urine pregnancy test, read by color change CPT 81025 PREGNANCY TEST URINE QUAL | $26.01 | $26.01 | $6.03–$12.00 | 81% below | — |
| Urine pregnancy test, read by color change CPT 81025 URINE BETA HCG | $26.01 | $26.01 | $6.03–$12.00 | 81% below | — |
| Urine pregnancy test, read by color change CPT 81025 PREGNANCY TEST RESULT URINE | $26.01 | $26.01 | $6.03–$12.00 | 81% below | — |
| Urine pregnancy test, read by color change CPT 81025 Hcg Qualitative | $26.01 | $26.01 | $6.03–$12.00 | 81% below | — |
| Urine pregnancy test, read by color change CPT 81025 Hcg Qualitative | $26.01 | $26.01 | $6.03–$12.00 | 81% below | — |
| Urine pregnancy test, read by color change CPT 81025 BETA HCG QUALITATIVE URINE | $26.01 | $26.01 | $6.03–$12.00 | 81% below | — |
| Urine pregnancy test, read by color change inpatient CPT 81025 Hcg Qualitative | $26.01 | $26.01 | $6.03–$12.00 | — | — |
| Urine pregnancy test, read by color change inpatient CPT 81025 Hcg Qualitative | $26.01 | $26.01 | $6.03–$12.00 | — | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B 12 | $62.04 | $62.04 | $13.59–$58.50 | 20% above | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 | $62.04 | $62.04 | $13.59–$58.50 | 20% above | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12 | $62.04 | $62.04 | $13.59–$58.50 | 20% above | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B 12 | $62.04 | $62.04 | $13.59–$58.50 | 20% above | — |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vitamin B 12 | $62.04 | $62.04 | $13.59–$58.50 | — | — |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vitamin B 12 | $62.04 | $62.04 | $13.59–$58.50 | — | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 25-Hydroxy Vitamin D | $121.83 | $121.83 | $26.72–$120.00 | at median | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 25-HYDROXY VITAMIN D | $121.83 | $121.83 | $14.82–$120.00 | at median | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 25-HYDROXY VITAMIN D3 | $121.83 | $121.83 | $26.72–$120.00 | at median | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 1 25 DIHYDROXY | $121.83 | $121.83 | $26.72–$120.00 | at median | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY | $121.83 | $121.83 | $26.72–$120.00 | at median | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 25-Hydroxy Vitamin D | $121.83 | $121.83 | $26.72–$120.00 | at median | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 25-OH VIT D2+D3 | $178.50 | $178.50 | $65.00–$90.00 | 47% above | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 25-HYDROXY VIT D2+D3 FRACT | $221.25 | $221.25 | $36.55–$90.00 | 82% above | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 25-Hydroxy Vitamin D | $121.83 | $121.83 | $26.72–$120.00 | — | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 25-Hydroxy Vitamin D | $121.83 | $121.83 | $26.72–$120.00 | — | — |
| Zinc blood test CPT 84630 Zinc | $46.86 | $46.86 | $10.00–$60.00 | 24% below | — |
| Zinc blood test CPT 84630 Zinc | $46.86 | $46.86 | $10.00–$60.00 | 24% below | — |
| Zinc blood test inpatient CPT 84630 Zinc | $46.86 | $46.86 | $10.00–$60.00 | — | — |
| Zinc blood test inpatient CPT 84630 Zinc | $46.86 | $46.86 | $10.00–$60.00 | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BETA HCG QUANTITATIVE | $61.95 | $61.95 | $14.36–$60.00 | at median | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Beta Hcg Quantitative | $61.95 | $61.95 | $13.01–$60.00 | at median | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QUANTITATIVE | $61.95 | $61.95 | $14.36–$60.00 | at median | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG TUMOR MARKER | $61.95 | $61.95 | $14.36–$60.00 | at median | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QUALITATIVE URINE | $61.95 | $61.95 | $14.36–$60.00 | at median | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Beta Hcg Quantitative | $61.95 | $61.95 | $13.01–$60.00 | at median | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Beta Hcg Quantitative | $61.95 | $61.95 | $13.01–$60.00 | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Beta Hcg Quantitative | $61.95 | $61.95 | $13.01–$60.00 | — | — |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Puerto Rico | Off list |
|---|---|---|---|---|---|
| Appendectomy for a ruptured appendix with abscess or peritonitis CPT 44960 Appendectomy Rupt App W Absc | $1,359.03 | $1,359.03 | $633.60–$742.69 | — | — |
| Appendectomy for a ruptured appendix with abscess or peritonitis CPT 44960 Appendectomy Rupt App W Absc | $1,359.03 | $1,359.03 | $633.60–$742.69 | — | — |
| Appendectomy, open surgery CPT 44950 Excision Proc On The Appendix | $2,500.00 | $2,500.00 | $360.00–$671.56 | — | — |
| Appendectomy, open surgery CPT 44950 Excision Proc On The Appendix | $2,500.00 | $2,500.00 | $360.00–$671.56 | — | — |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 Biopsy Breast W Plcmnt Bld | $262.44 | $262.44 | $555.63 | 89% below | — |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 Biopsy Breast W Plcmnt Bld | $262.44 | $262.44 | $555.63 | 89% below | — |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 BIOPSY BREAST STEREOTACTIC | $770.00 | $770.00 | $174.96–$1,218.00 | 69% below | — |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 Biopsy Breast W Plcmnt Bld | $262.44 | $262.44 | $555.63 | — | — |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 BIOPSY BREAST STEREOTACTIC | $770.00 | $770.00 | $174.96–$1,218.00 | — | — |
| Cardiac catheterization with coronary angiogram CPT 93458 CATHETERISM IPD | $2,500.00 | $2,500.00 | $1,068.47–$2,976.75 | 72% below | — |
| Cardiac catheterization with coronary angiogram CPT 93458 Cath W/Njx Angio Img Si | $2,500.00 | $2,500.00 | $311.82–$2,500.00 | 72% below | — |
| Cardiac catheterization with coronary angiogram CPT 93458 CATHETERISM OPD | $2,500.00 | $2,500.00 | $1,680.00–$2,976.75 | 72% below | — |
| Cardiac catheterization with coronary angiogram CPT 93458 CARDIAC CATHETERIZATION | $2,500.00 | $2,500.00 | $1,068.47–$1,680.00 | 72% below | — |
| Cardiac catheterization with coronary angiogram CPT 93458 Cath W/Njx Angio Img Si | $2,500.00 | $2,500.00 | $311.82–$2,500.00 | 72% below | — |
| Cardiac catheterization with coronary angiogram inpatient CPT 93458 Cath W/Njx Angio Img Si | $2,500.00 | $2,500.00 | $311.82–$2,500.00 | — | — |
| Cardiac catheterization with coronary angiogram inpatient CPT 93458 Cath W/Njx Angio Img Si | $2,500.00 | $2,500.00 | $311.82–$2,500.00 | — | — |
| Cardiac catheterization with coronary angiogram inpatient CPT 93458 CATHETERISM IPD | $2,500.00 | $2,500.00 | $1,068.47–$2,976.75 | — | — |
| Cardiac catheterization with coronary angiogram inpatient CPT 93458 CATHETERISM OPD | $2,500.00 | $2,500.00 | $1,680.00–$2,976.75 | — | — |
| Cardiac catheterization with coronary angiogram inpatient CPT 93458 CARDIAC CATHETERIZATION | $2,500.00 | $2,500.00 | $1,068.47–$1,680.00 | — | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTIVE ARRHYT | $165.00 | $165.00 | $25.88–$429.98 | 48% below | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTIVE ARRHYT | $165.00 | $165.00 | $25.88–$429.98 | 48% below | — |
| Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 Older Than 28 Days Of Age | $2,500.00 | $2,500.00 | $90.00–$205.79 | — | — |
| Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 Older Than 28 Days Of Age | $2,500.00 | $2,500.00 | $90.00–$205.79 | — | — |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Excision Procedures On Penis | $2,500.00 | $2,500.00 | $45.00–$150.00 | — | — |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Excision Procedures On Penis | $2,500.00 | $2,500.00 | $45.00–$150.00 | — | — |
| Circumcision, surgical, older than a newborn CPT 54160 Excision Proc On Penis | $2,500.00 | $2,500.00 | $110.00–$150.53 | — | — |
| Circumcision, surgical, older than a newborn CPT 54160 Excision Proc On Penis | $2,500.00 | $2,500.00 | $110.00–$150.53 | — | — |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Clsd Treat Dist Rad W/O Man | $230.00 | $230.00 | $180.00–$323.09 | — | — |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Clsd Treat Dist Rad W/O Man | $230.00 | $230.00 | $180.00–$323.09 | — | — |
| Colonoscopy with tissue sample CPT 45380 Scope Of Colon With Biopsy | $398.06 | $398.06 | $93.00–$578.77 | 26% below | — |
| Colonoscopy with tissue sample CPT 45380 Scope Of Colon With Biopsy | $398.06 | $398.06 | $93.00–$578.77 | 26% below | — |
| Colonoscopy with tissue sample inpatient CPT 45380 Scope Of Colon With Biopsy | $398.06 | $398.06 | $93.00–$578.77 | — | — |
| Colonoscopy with tissue sample inpatient CPT 45380 Scope Of Colon With Biopsy | $398.06 | $398.06 | $93.00–$578.77 | — | — |
| Colonoscopy, diagnostic CPT 45378 Scope Of Colon For Diagnosis | $471.05 | $471.05 | $93.00–$438.82 | at median | — |
| Colonoscopy, diagnostic CPT 45378 Scope Of Colon For Diagnosis | $471.05 | $471.05 | $93.00–$438.82 | at median | — |
| Colonoscopy, diagnostic inpatient CPT 45378 Scope Of Colon For Diagnosis | $471.05 | $471.05 | $93.00–$438.82 | — | — |
| Colonoscopy, diagnostic inpatient CPT 45378 Scope Of Colon For Diagnosis | $471.05 | $471.05 | $93.00–$438.82 | — | — |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Benign Or Premalig Intergu Sys | $2,500.00 | $2,500.00 | $33.00–$55.32 | — | — |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Benign Or Premalig Intergu Sys | $2,500.00 | $2,500.00 | $33.00–$55.32 | — | — |
| Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 Tympanostomy General Anesthes | $600.00 | $600.00 | $127.95–$300.00 | — | — |
| Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 Tympanostomy General Anesthes | $600.00 | $600.00 | $127.95–$300.00 | — | — |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 Removal Impac Cerum Irrig/Lvg | $72.00 | $72.00 | $7.00–$14.51 | — | — |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 Removal Impac Cerum Irrig/Lvg | $72.00 | $72.00 | $7.00–$14.51 | — | — |
| Earwax removal with instruments, one ear CPT 69210 Removal Impacted Cerumen | $50.00 | $50.00 | $10.00–$65.00 | — | — |
| Earwax removal with instruments, one ear CPT 69210 Removal Impacted Cerumen | $50.00 | $50.00 | $10.00–$65.00 | — | — |
| Earwax removal with instruments, one ear CPT 69210 REMOVAL IMPACTED CERUMEN | $75.00 | $75.00 | $20.00–$49.83 | — | — |
| Endoscopic sinus surgery: full ethmoid sinus opening CPT 31255 Nasal/Sinus Endoscopy W/Ethmo | $1,000.00 | $1,000.00 | $329.47–$668.00 | — | — |
| Endoscopic sinus surgery: full ethmoid sinus opening CPT 31255 Nasal/Sinus Endoscopy W/Ethmo | $1,000.00 | $1,000.00 | $329.47–$668.00 | — | — |
| Endoscopic sinus surgery: opening the frontal sinus CPT 31276 Nasal/Sinus Ndsc W/Frontal | $500.00 | $500.00 | $215.48–$479.62 | — | — |
| Endoscopic sinus surgery: opening the frontal sinus CPT 31276 Nasal/Sinus Ndsc W/Frontal | $500.00 | $500.00 | $215.48–$479.62 | — | — |
| Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 Nsl/Sinus Ndsc Max Antrost W/ | $800.00 | $800.00 | $260.92–$404.52 | — | — |
| Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 Nsl/Sinus Ndsc Max Antrost W/ | $800.00 | $800.00 | $260.92–$404.52 | — | — |
| First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 Rep Anterio Hernia 3cm To 10cm | $500.00 | $500.00 | $395.28–$579.13 | — | — |
| First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 Rep Anterio Hernia 3cm To 10cm | $500.00 | $500.00 | $395.28–$579.13 | — | — |
| First repair of a front abdominal hernia larger than 10 cm CPT 49595 Rep Her Greater Than 10cm,Redu | $800.00 | $800.00 | $531.58–$1,033.56 | — | — |
| First repair of a front abdominal hernia larger than 10 cm CPT 49595 Rep Her Greater Than 10cm,Redu | $800.00 | $800.00 | $531.58–$1,033.56 | — | — |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 Repair Anterior Abd Hernia | $892.23 | $892.23 | $236.05–$500.00 | — | — |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 Repair Anterior Abd Hernia | $892.23 | $892.23 | $236.05–$500.00 | — | — |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Sigmoidoscopy Flex, Diagnos | $200.00 | $200.00 | $48.25–$285.00 | — | — |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Sigmoidoscopy Flex, Diagnos | $200.00 | $200.00 | $48.25–$285.00 | — | — |
| Gallbladder removal, laparoscopic CPT 47562 AS LAPAROSCOPY SURGICAL CHOLEC | $1,250.00 | $1,250.00 | $89.34–$150.00 | 3% below | — |
| Gallbladder removal, laparoscopic CPT 47562 LAPAROSCOPY SURGICAL CHOLECYST | $2,500.00 | $2,500.00 | $364.25–$900.00 | 94% above | — |
| Gallbladder removal, laparoscopic CPT 47562 Laps Surg Cholecstc | $3,625.00 | $3,625.00 | $687.93–$2,656.96 | 181% above | — |
| Gallbladder removal, laparoscopic CPT 47562 Laps Surg Cholecstc | $3,625.00 | $3,625.00 | $687.93–$2,656.96 | 181% above | — |
| Gallbladder removal, laparoscopic inpatient CPT 47562 Laps Surg Cholecstc | $3,625.00 | $3,625.00 | $687.93–$2,656.96 | — | — |
| Gallbladder removal, laparoscopic inpatient CPT 47562 Laps Surg Cholecstc | $3,625.00 | $3,625.00 | $687.93–$2,656.96 | — | — |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 AS LAP CHOLECYSTECTOMY/CHOLANG | $550.00 | $550.00 | $148.92 | — | — |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 Lapsc Cholecystectomy/Cholang | $1,131.98 | $1,131.98 | $744.64–$960.00 | — | — |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 Lapsc Cholecystectomy/Cholang | $1,131.98 | $1,131.98 | $744.64–$960.00 | — | — |
| Gallbladder removal, open surgery through a larger incision CPT 47600 Cholecystectomy | $1,658.60 | $1,658.60 | $600.00 | — | — |
| Gallbladder removal, open surgery through a larger incision CPT 47600 Cholecystectomy | $1,658.60 | $1,658.60 | $600.00 | — | — |
| Hemorrhoidectomy (internal and external), one area CPT 46255 Hemorrhoidec, Int/Exter Single | $350.00 | $350.00 | $351.25–$377.00 | — | — |
| Hemorrhoidectomy (internal and external), one area CPT 46255 Hemorrhoidec, Int/Exter Single | $350.00 | $350.00 | $351.25–$377.00 | — | — |
| Hysterectomy through an abdominal incision (total) CPT 58150 Total Abd Hyste Corpus & Cervi | $1,560.20 | $1,560.20 | $872.37 | — | — |
| Hysterectomy through an abdominal incision (total) CPT 58150 Total Abd Hyste Corpus & Cervi | $1,560.20 | $1,560.20 | $872.37 | — | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 DRAINAGE OF SKIN ABSCESS | $91.66 | $91.66 | $24.00–$101.59 | 71% below | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 I & D OF ABSCESS SINGLE | $125.00 | $125.00 | $24.00–$107.01 | 60% below | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 Inc Drain Absces Simple/Single | $125.00 | $125.00 | $42.00–$101.59 | 60% below | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 Inc Drain Absces Simple/Single | $125.00 | $125.00 | $42.00–$101.59 | 60% below | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 Inc Drain Absces Simple/Single | $125.00 | $125.00 | $42.00–$101.59 | — | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 Inc Drain Absces Simple/Single | $125.00 | $125.00 | $42.00–$101.59 | — | — |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 Rep Init Inguinal Hernia Reduc | $2,500.00 | $2,500.00 | $370.00–$543.76 | 167% above | — |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 Rep Init Inguinal Hernia Reduc | $2,500.00 | $2,500.00 | $370.00–$543.76 | 167% above | — |
| Laparoscopic Roux-en-Y gastric bypass, standard limb length CPT 43644 Lap Surg Gastric Rest Procedur | $1,702.74 | $1,702.74 | $500.00 | — | — |
| Laparoscopic Roux-en-Y gastric bypass, standard limb length CPT 43644 Lap Surg Gastric Rest Procedur | $1,702.74 | $1,702.74 | $500.00 | — | — |
| Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 AS LAP PROC ON THE APPENDIX | $1,250.00 | $1,250.00 | $103.40 | — | — |
| Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 Lap Proc On The Appendix | $2,500.00 | $2,500.00 | $399.96–$628.45 | — | — |
| Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 Lap Proc On The Appendix | $2,500.00 | $2,500.00 | $399.96–$628.45 | — | — |
| Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 Lapsc Surgical Esophagogastric | $1,100.00 | $1,100.00 | $1,089.81–$1,113.08 | — | — |
| Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 Lapsc Surgical Esophagogastric | $1,100.00 | $1,100.00 | $1,089.81–$1,113.08 | — | — |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 Lapsc Surg Rep Init Ing Hernia | $671.79 | $671.79 | $312.65–$560.00 | — | — |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 Lapsc Surg Rep Init Ing Hernia | $671.79 | $671.79 | $312.65–$560.00 | — | — |
| Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 Lap Rep Recurrent Ingui Hernia | $600.00 | $600.00 | $470.52–$585.97 | — | — |
| Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 Lap Rep Recurrent Ingui Hernia | $600.00 | $600.00 | $470.52–$585.97 | — | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Suture Intermediate 2.5 Or - | $125.00 | $125.00 | $85.00–$158.99 | 65% below | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Suture Intermediate 2.5 Or - | $125.00 | $125.00 | $85.00–$158.99 | 65% below | — |
| Lumpectomy (partial mastectomy) CPT 19301 Mastectomy Partial | $1,025.82 | $1,025.82 | $234.00–$683.88 | — | — |
| Lumpectomy (partial mastectomy) CPT 19301 Mastectomy Partial | $1,025.82 | $1,025.82 | $234.00–$683.88 | — | — |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Exc & Drain Nail | $175.00 | $175.00 | $40.00–$84.25 | — | — |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Exc & Drain Nail | $175.00 | $175.00 | $40.00–$84.25 | — | — |
| Nail removal (partial or complete), one nail CPT 11730 Removal Nail | $120.00 | $120.00 | $43.89–$119.00 | at median | — |
| Nail removal (partial or complete), one nail CPT 11730 Removal Nail | $120.00 | $120.00 | $43.89–$119.00 | at median | — |
| Nail removal (partial or complete), one nail CPT 11730 AVULSION NAIL PLATE SINGLE | $2,500.00 | $2,500.00 | $45.00–$57.33 | 1983% above | — |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 Excision Of Nail:Partial/Compl | $120.00 | $120.00 | $97.50–$140.12 | 40% below | — |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 Excision Of Nail:Partial/Compl | $120.00 | $120.00 | $97.50–$140.12 | 40% below | — |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 SURGICAL PROCEDURES ON NAILS | $2,500.00 | $2,500.00 | $97.50–$119.00 | 1143% above | — |
| Removal of a breast lump, open surgery CPT 19120 Exc Cyst Brest/Niple M/F 1> | $513.00 | $513.00 | $303.68–$367.85 | 65% below | — |
| Removal of a breast lump, open surgery CPT 19120 Exc Cyst Brest/Niple M/F 1> | $513.00 | $513.00 | $303.68–$367.85 | 65% below | — |
| Removal of a foreign object under the skin, simple CPT 10120 Removal Foregn Body Hand | $70.00 | $70.00 | $45.00–$107.03 | 33% below | — |
| Removal of a foreign object under the skin, simple CPT 10120 Removal Foregn Body Hand | $70.00 | $70.00 | $45.00–$107.03 | 33% below | — |
| Removal of a foreign object under the skin, simple CPT 10120 AS INC & DRAINAGE SKIN SUBCUTA | $1,250.00 | $1,250.00 | $13.65–$107.03 | 1104% above | — |
| Removal of a foreign object under the skin, simple CPT 10120 INC & DRAINAGE SKIN SUBCUTANEO | $2,500.00 | $2,500.00 | $18.00–$107.03 | 2308% above | — |
| Removal of one lobe of the thyroid (lobectomy) CPT 60220 AS TOTAL THYROID LOBECTOMY UN | $500.00 | $500.00 | $91.10–$733.35 | — | — |
| Removal of one lobe of the thyroid (lobectomy) CPT 60220 Total Thyroid Lobectomy Uni W | $1,000.00 | $1,000.00 | $487.50–$780.00 | — | — |
| Removal of one lobe of the thyroid (lobectomy) CPT 60220 Total Thyroid Lobectomy Uni W | $1,000.00 | $1,000.00 | $487.50–$780.00 | — | — |
| Septoplasty to straighten the nasal septum CPT 30520 Septoplasty Submucous Resecj | $1,000.00 | $1,000.00 | $390.00–$652.31 | — | — |
| Septoplasty to straighten the nasal septum CPT 30520 Septoplasty Submucous Resecj | $1,000.00 | $1,000.00 | $390.00–$652.31 | — | — |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 LITHOTRIPSIA SM | $1,750.00 | $1,750.00 | $593.87–$1,500.00 | 17% below | — |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 Lithotripsia Ipd | $6,000.00 | $6,000.00 | $593.87–$6,000.00 | 186% above | — |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 Lithotripsia Ipd | $6,000.00 | $6,000.00 | $593.87–$6,000.00 | 186% above | — |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 LITHOTRIPSIA OPD | $6,000.00 | $6,000.00 | $593.87–$6,000.00 | 186% above | — |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 LITHOTRIPSIA SM | $1,750.00 | $1,750.00 | $593.87–$1,500.00 | — | — |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 LITHOTRIPSIA OPD | $6,000.00 | $6,000.00 | $593.87–$6,000.00 | — | — |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 Lithotripsia Ipd | $6,000.00 | $6,000.00 | $593.87–$6,000.00 | — | — |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 Lithotripsia Ipd | $6,000.00 | $6,000.00 | $593.87–$6,000.00 | — | — |
| Short arm cast (elbow to hand) CPT 29075 Application Of Forearm Cast | $67.06 | $67.06 | $48.54–$63.96 | — | — |
| Short arm cast (elbow to hand) CPT 29075 Application Of Forearm Cast | $67.06 | $67.06 | $48.54–$63.96 | — | — |
| Short arm splint (forearm and hand) CPT 29125 Splint Arm Short | $80.00 | $80.00 | $24.00–$63.00 | 63% below | — |
| Short arm splint (forearm and hand) CPT 29125 Splint Arm Short | $80.00 | $80.00 | $24.00–$63.00 | 63% below | — |
| Short leg cast (below the knee) CPT 29405 Apply Short Leg | $150.00 | $150.00 | $56.70–$61.42 | at median | — |
| Short leg cast (below the knee) CPT 29405 Apply Short Leg | $150.00 | $150.00 | $56.70–$61.42 | at median | — |
| Short leg splint (calf to foot) CPT 29515 Splint Lower Leg | $56.83 | $56.83 | $20.00–$51.29 | 72% below | — |
| Short leg splint (calf to foot) CPT 29515 Splint Lower Leg | $56.83 | $56.83 | $20.00–$51.29 | 72% below | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Simple Repa Suture 2.5or Less | $125.00 | $125.00 | $20.00–$74.00 | 47% below | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Simple Repa Suture 2.5or Less | $125.00 | $125.00 | $20.00–$74.00 | 47% below | — |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 Excis Mal Lesion Trunk/Arm/Leg | $355.33 | $355.33 | $100.00–$124.65 | — | — |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 Excis Mal Lesion Trunk/Arm/Leg | $355.33 | $355.33 | $100.00–$124.65 | — | — |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 Excis Mal Lesion Trunk/Arm/Leg | $355.33 | $355.33 | $100.00–$124.65 | — | — |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 Excis Mal Lesion Trunk/Arm/Leg | $355.33 | $355.33 | $100.00–$124.65 | — | — |
| Skin tag removal, up to 15 tags CPT 11200 Removal Of Skin Tags Procedure | $2,500.00 | $2,500.00 | $33.30–$76.22 | — | — |
| Skin tag removal, up to 15 tags CPT 11200 Removal Of Skin Tags Procedure | $2,500.00 | $2,500.00 | $33.30–$76.22 | — | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 Lumbar Puncture | $100.00 | $100.00 | $63.87–$144.00 | 90% below | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 Lumbar Puncture | $100.00 | $100.00 | $63.87–$144.00 | 90% below | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Simple Repair 2.6 - 7.5 Cm | $131.34 | $131.34 | $20.00–$117.07 | 45% below | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Simple Repair 2.6 - 7.5 Cm | $131.34 | $131.34 | $20.00–$117.07 | 45% below | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 RPR 2.5 CM | $80.00 | $80.00 | $46.30–$81.00 | 66% below | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Repair Suture 2.5 Cm Lip Face | $150.00 | $150.00 | $20.00–$87.00 | 37% below | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Repair Suture 2.5 Cm Lip Face | $150.00 | $150.00 | $20.00–$87.00 | 37% below | — |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 Tangenital Biopsy Skin, Single | $154.61 | $154.61 | $37.63–$41.16 | — | — |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 Tangenital Biopsy Skin, Single | $154.61 | $154.61 | $37.63–$41.16 | — | — |
| Thoracentesis with imaging guidance CPT 32555 Thoracentesis Needle/Cath Ple | $500.00 | $500.00 | $95.65–$520.00 | 17% below | — |
| Thoracentesis with imaging guidance CPT 32555 Thoracentesis Needle/Cath Ple | $500.00 | $500.00 | $95.65–$520.00 | 17% below | — |
| Total thyroid removal (thyroidectomy) CPT 60240 Thyroidectomy, Total & Comple | $950.00 | $950.00 | $750.00 | — | — |
| Total thyroid removal (thyroidectomy) CPT 60240 Thyroidectomy, Total & Comple | $950.00 | $950.00 | $750.00 | — | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BX BREAST W US GUIDANCE; FIRST | $237.86 | $237.86 | $250.00–$540.63 | 88% below | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BIOPSY BREAST US | $710.00 | $710.00 | $164.86–$1,530.27 | 63% below | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 Guided Breast Biopsy Rt Ult | $500.00 | $500.00 | $164.86–$1,420.00 | 74% below | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 Guided Breast Biopsy Rt Ult | $500.00 | $500.00 | $164.86–$1,420.00 | 74% below | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 BIOPSY BREAST US | $710.00 | $710.00 | $164.86–$1,530.27 | — | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 Guided Breast Biopsy Rt Ult | $500.00 | $500.00 | $164.86–$1,420.00 | — | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 Guided Breast Biopsy Rt Ult | $500.00 | $500.00 | $164.86–$1,420.00 | — | — |
| Upper endoscopy (EGD) with biopsy CPT 43239 ESOPHAGOGASTRO W. BIOPSY | $200.00 | $200.00 | $128.06–$350.00 | 38% below | — |
| Upper endoscopy (EGD) with biopsy CPT 43239 ENDOSCOPY ROOM SERVICES | $315.00 | $315.00 | $0.01–$146.18 | 3% below | — |
| Upper endoscopy (EGD) with biopsy CPT 43239 Upper Stomach Intestine Scope | $428.62 | $428.62 | $93.00–$464.71 | 32% above | — |
| Upper endoscopy (EGD) with biopsy CPT 43239 Upper Stomach Intestine Scope | $428.62 | $428.62 | $93.00–$464.71 | 32% above | — |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 Upper Stomach Intestine Scope | $428.62 | $428.62 | $93.00–$464.71 | — | — |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 Upper Stomach Intestine Scope | $428.62 | $428.62 | $93.00–$464.71 | — | — |
| Upper endoscopy (EGD), diagnostic CPT 43235 Esophagogastroduodenoscopy | $193.83 | $193.83 | $260.00 | 30% below | — |
| Upper endoscopy (EGD), diagnostic CPT 43235 Esophagogastroduodenoscopy | $193.83 | $193.83 | $260.00 | 30% below | — |
| Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 Cystourethroscopy | $1,100.00 | $1,100.00 | $1,800.00 | — | — |
| Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 Cystourethroscopy | $1,100.00 | $1,100.00 | $1,800.00 | — | — |
| Ureteroscopy with laser stone breaking (lithotripsy) inpatient CPT 52353 Cystourethroscopy | $1,100.00 | $1,100.00 | $1,800.00 | — | — |
| Ureteroscopy with laser stone breaking (lithotripsy) inpatient CPT 52353 Cystourethroscopy | $1,100.00 | $1,100.00 | $1,800.00 | — | — |
| Wart removal, up to 14 warts CPT 17110 Destr Benign Lesion, Up To 14 | $106.35 | $106.35 | $19.50–$60.00 | at median | — |
| Wart removal, up to 14 warts CPT 17110 Destr Benign Lesion, Up To 14 | $106.35 | $106.35 | $19.50–$60.00 | at median | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 AS CLEAN & DEBRIDEMENT SUBCUT | $55.00 | $55.00 | $9.39–$63.54 | 81% below | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEB SUBQ TISSUE 20SQ CM | $110.00 | $110.00 | $50.35–$208.00 | 62% below | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Excis Debridment Skin Supc | $120.00 | $120.00 | $27.91–$192.00 | 59% below | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Excis Debridment Skin Supc | $120.00 | $120.00 | $27.91–$192.00 | 59% below | — |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Puerto Rico | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 Packed Cell Trans | $150.00 | $150.00 | $20.00–$35.92 | 80% below | — |
| Blood transfusion (giving blood or blood components) CPT 36430 Packed Cell Trans | $150.00 | $150.00 | $20.00–$35.92 | 80% below | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AEROSOL (POWER NEB) SUBSEQUENT | $19.00 | $19.00 | $9.75–$20.00 | 62% below | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Croupete Subsequent | $211.10 | $211.10 | $9.75–$21.00 | 327% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Croupete Subsequent | $211.10 | $211.10 | $9.75–$21.00 | 327% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Croupete Subsequent | $211.10 | $211.10 | $9.75–$21.00 | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Croupete Subsequent | $211.10 | $211.10 | $9.75–$21.00 | — | — |
| Critical care, first 30 to 74 minutes CPT 99291 Critical Care Evaluation | $300.00 | $300.00 | $30.00–$227.02 | — | — |
| Critical care, first 30 to 74 minutes CPT 99291 Critical Care Evaluation | $300.00 | $300.00 | $30.00–$227.02 | — | — |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 Eeg Recording Awake/Drowsy | $266.05 | $266.05 | $35.00–$374.16 | — | — |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 Eeg Recording Awake/Drowsy | $266.05 | $266.05 | $35.00–$374.16 | — | — |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG RECORDING AWAKE/DROWSY | $392.00 | $392.00 | $35.00–$433.71 | — | — |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 Eeg Recording Awake/Drowsy | $266.05 | $266.05 | $35.00–$374.16 | — | — |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 Eeg Recording Awake/Drowsy | $266.05 | $266.05 | $35.00–$374.16 | — | — |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 Ekg Complete | $23.00 | $23.00 | $13.62–$33.08 | 26% below | — |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 Ekg Complete | $23.00 | $23.00 | $13.62–$33.08 | 26% below | — |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 Ekg Complete | $23.00 | $23.00 | $13.62–$33.08 | — | — |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 Ekg Complete | $23.00 | $23.00 | $13.62–$33.08 | — | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Ekg Prod | $65.00 | $65.00 | $6.80–$43.44 | 71% below | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Ekg Prod | $65.00 | $65.00 | $6.80–$43.44 | 71% below | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Ekg Prod | $65.00 | $65.00 | $6.80–$43.44 | — | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Ekg Prod | $65.00 | $65.00 | $6.80–$43.44 | — | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMERGENCY DEPT VISIT | $40.00 | $40.00 | $15.00–$69.98 | 96% below | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER VISTI (LIMITED OR MINOR) | $70.00 | $70.00 | $8.78–$69.98 | 93% below | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Uso Sala De Emergencias | $100.00 | $100.00 | $20.00–$169.79 | 90% below | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Uso Sala De Emergencias | $100.00 | $100.00 | $20.00–$169.79 | 90% below | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER VISIT (LOW-MODERATE) | $70.00 | $70.00 | $8.78–$69.98 | 93% below | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENCY DEPT VISIT | $75.00 | $75.00 | $15.00–$69.98 | 93% below | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Uso Sala De Emergencias | $125.00 | $125.00 | $1.00–$200.00 | 88% below | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Uso Sala De Emergencias | $125.00 | $125.00 | $1.00–$200.00 | 88% below | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 USO SALA DE EMERGENCIAS | $150.00 | $150.00 | $20.00–$200.00 | 85% below | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Uso Sala Emergencia | $250.00 | $250.00 | $63.10–$248.00 | 76% below | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Uso Sala Emergencia | $250.00 | $250.00 | $63.10–$248.00 | 76% below | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER VISIT (HIGH SEVERITY) | $106.88 | $106.88 | $8.78–$122.01 | 90% below | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Uso Sala Emergencia - Trauma | $175.00 | $175.00 | $112.00–$241.00 | 83% below | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Uso Sala Emergencia - Trauma | $175.00 | $175.00 | $112.00–$241.00 | 83% below | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 USO SALA DE EMERGENCIAS | $275.00 | $275.00 | $20.00–$200.00 | 74% below | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER VISIT (HIGH SEVER LIFE TH) | $160.00 | $160.00 | $8.78–$177.23 | 85% below | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Uso Sala De Emergencias | $375.00 | $375.00 | $20.00–$200.00 | 64% below | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Uso Sala De Emergencias | $375.00 | $375.00 | $20.00–$200.00 | 64% below | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Stress Test Tracing Only | $107.25 | $107.25 | $33.00–$170.66 | 87% below | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Stress Test Tracing Only | $107.25 | $107.25 | $33.00–$170.66 | 87% below | — |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Stress Test Tracing Only | $107.25 | $107.25 | $33.00–$170.66 | — | — |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Stress Test Tracing Only | $107.25 | $107.25 | $33.00–$170.66 | — | — |
| Holter monitor, heart rhythm recording up to 48 hours, with report CPT 93224 Holter Recording 48 Hrs | $125.38 | $125.38 | $51.85–$253.38 | 92% below | — |
| Holter monitor, heart rhythm recording up to 48 hours, with report CPT 93224 Holter Recording 48 Hrs | $125.38 | $125.38 | $51.85–$253.38 | 92% below | — |
| Holter monitor, heart rhythm recording up to 48 hours, with report CPT 93224 HOLTER 48 HRS COMPLETE | $150.00 | $150.00 | $82.45–$205.00 | 91% below | — |
| IV infusion of a medicine, first hour CPT 96365 INFUSION IV | $130.55 | $130.55 | $22.92–$74.60 | 15% below | — |
| IV infusion of a medicine, first hour CPT 96365 Infusion Iv | $165.00 | $165.00 | $50.00–$73.23 | 8% above | — |
| IV infusion of a medicine, first hour CPT 96365 Infusion Iv | $165.00 | $165.00 | $50.00–$73.23 | 8% above | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 Infusion Iv | $165.00 | $165.00 | $50.00–$73.23 | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 Infusion Iv | $165.00 | $165.00 | $50.00–$73.23 | — | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION IM | $25.00 | $25.00 | $10.93–$21.63 | 88% below | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Injection Im | $50.00 | $50.00 | $10.93–$18.87 | 75% below | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Injection Im | $50.00 | $50.00 | $10.93–$18.87 | 75% below | — |
| Neuromuscular re-education, 15 minutes CPT 97112 BALANCE EXCERCISES | $25.00 | $25.00 | $10.73–$35.79 | 86% below | — |
| Neuromuscular re-education, 15 minutes CPT 97112 Postural Excercises | $25.00 | $25.00 | $10.73–$35.79 | 86% below | — |
| Neuromuscular re-education, 15 minutes CPT 97112 Postural Excercises | $25.00 | $25.00 | $10.73–$35.79 | 86% below | — |
| Neuromuscular re-education, 15 minutes CPT 97112 STRETCHING | $25.00 | $25.00 | $10.73–$35.79 | 86% below | — |
| Neuromuscular re-education, 15 minutes CPT 97112 POSTURAL TRAINING | $25.00 | $25.00 | $10.73–$35.79 | 86% below | — |
| Neuromuscular re-education, 15 minutes CPT 97112 FACILITATION TECHENIQUE | $25.00 | $25.00 | $10.73–$35.79 | 86% below | — |
| Neuromuscular re-education, 15 minutes CPT 97112 COORDINATION EXCERCISES | $25.00 | $25.00 | $10.73–$35.79 | 86% below | — |
| Neuromuscular re-education, 15 minutes CPT 97112 PNF TECHNIQUES | $25.00 | $25.00 | $10.73–$35.79 | 86% below | — |
| Neuromuscular re-education, 15 minutes CPT 97112 EARLY STIMULATION | $25.00 | $25.00 | $10.73–$35.79 | 86% below | — |
| Neuromuscular re-education, 15 minutes CPT 97112 SITTING TOLERANCE | $25.00 | $25.00 | $10.73–$35.79 | 86% below | — |
| Neuromuscular re-education, 15 minutes CPT 97112 STANDING TOLERANCE | $25.00 | $25.00 | $10.73–$35.79 | 86% below | — |
| New patient office visit, about 30 minutes CPT 99203 Visita Inicial 3 - 30min | $200.00 | $200.00 | $23.00–$200.00 | 93% above | — |
| New patient office visit, about 30 minutes CPT 99203 Visita Inicial 3 - 30min | $200.00 | $200.00 | $23.00–$200.00 | 93% above | — |
| New patient office visit, about 45 minutes CPT 99204 Office/Outpatient Visit New 4 | $300.00 | $300.00 | $25.00–$193.26 | 34% below | — |
| New patient office visit, about 45 minutes CPT 99204 Office/Outpatient Visit New 4 | $300.00 | $300.00 | $25.00–$193.26 | 34% below | — |
| New patient office visit, about 60 minutes CPT 99205 Office/Outpatient Visit New 6 | $400.00 | $400.00 | $25.00–$176.11 | 35% below | — |
| New patient office visit, about 60 minutes CPT 99205 Office/Outpatient Visit New 6 | $400.00 | $400.00 | $25.00–$176.11 | 35% below | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 Office Outpatient New 20 Minu | $95.00 | $95.00 | $25.00–$99.88 | — | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 Office Outpatient New 20 Minu | $95.00 | $95.00 | $25.00–$99.88 | — | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 High Complexity Evaluation | $45.00 | $45.00 | $21.88–$86.77 | — | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 High Complexity Evaluation | $45.00 | $45.00 | $21.88–$86.77 | — | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Low Complexity Evaluation | $40.00 | $40.00 | $20.00–$86.77 | 90% below | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Low Complexity Evaluation | $40.00 | $40.00 | $20.00–$86.77 | 90% below | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Moderate Complexity Evaluation | $43.00 | $43.00 | $21.88–$86.77 | — | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Moderate Complexity Evaluation | $43.00 | $43.00 | $21.88–$86.77 | — | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MYOFASCIAL RELEASE | $28.00 | $28.00 | $6.83–$40.00 | 86% below | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Cervical Traction | $28.00 | $28.00 | $6.83–$40.00 | 86% below | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Cervical Traction | $28.00 | $28.00 | $6.83–$40.00 | 86% below | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MOBILITATION | $28.00 | $28.00 | $6.83–$40.00 | 86% below | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANIPULATION TECHNIQUES | $28.00 | $28.00 | $6.83–$40.00 | 86% below | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXCERCISES | $15.00 | $15.00 | $10.73–$38.63 | 70% below | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 BACK EXCERCISES | $25.00 | $25.00 | $10.73–$31.45 | 50% below | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Active Excercises | $25.00 | $25.00 | $10.73–$31.45 | 50% below | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Active Excercises | $25.00 | $25.00 | $10.73–$31.45 | 50% below | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 BICYCLE | $25.00 | $25.00 | $10.73–$31.45 | 50% below | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 MIMICS EXCERCISES | $25.00 | $25.00 | $10.73–$31.45 | 50% below | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 ASSISTIVE EXCERCISES | $25.00 | $25.00 | $10.73–$31.45 | 50% below | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PASSIVE EXCERCISES | $25.00 | $25.00 | $10.73–$31.45 | 50% below | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PRE (PROGRESSIVE RESISTIVE EX) | $25.00 | $25.00 | $10.73–$31.45 | 50% below | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 CODMANS EXCERCISES | $25.00 | $25.00 | $10.73–$31.45 | 50% below | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 BURGUER ALLEN EXCERCISES | $25.00 | $25.00 | $10.73–$31.45 | 50% below | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 MATT ACTIVITIES | $25.00 | $25.00 | $10.73–$31.45 | 50% below | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 ISOMETRICS EXCERCISES | $25.00 | $25.00 | $10.73–$31.45 | 50% below | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 SETTINGS EXCERCISES | $25.00 | $25.00 | $10.73–$31.45 | 50% below | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 Visit Established Level 5 | $130.00 | $130.00 | $20.48–$122.81 | at median | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 Visit Established Level 5 | $130.00 | $130.00 | $20.48–$122.81 | at median | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Visita Established Nivel 3 | $65.00 | $65.00 | $24.00–$125.00 | 95% below | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Visita Established Nivel 3 | $65.00 | $65.00 | $24.00–$125.00 | 95% below | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Visita Established Nivel 4 | $100.00 | $100.00 | $20.48–$135.09 | 87% below | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Visita Established Nivel 4 | $100.00 | $100.00 | $20.48–$135.09 | 87% below | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Visita Established Nivel 2 | $40.00 | $40.00 | $20.48–$67.76 | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Visita Established Nivel 2 | $40.00 | $40.00 | $20.48–$67.76 | — | — |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 Consulta Opd Nivel 3 | $75.00 | $75.00 | $25.00–$84.53 | 90% below | — |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 Consulta Opd Nivel 3 | $75.00 | $75.00 | $25.00–$84.53 | 90% below | — |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 Consulta Opd Nivel 4 | $75.00 | $75.00 | $30.00–$134.90 | 90% below | — |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 Consulta Opd Nivel 4 | $75.00 | $75.00 | $30.00–$134.90 | 90% below | — |
| Spirometry (breathing test) CPT 94010 SPMTRY W/VC EXPIRATORY FLO W/ | $30.00 | $30.00 | $8.66–$77.01 | 79% below | — |
| Spirometry (breathing test) CPT 94010 Pulmonary Function Test | $36.00 | $36.00 | $8.66–$68.00 | 75% below | — |
| Spirometry (breathing test) CPT 94010 Pulmonary Function Test | $36.00 | $36.00 | $8.66–$68.00 | 75% below | — |
| Spirometry (breathing test) inpatient CPT 94010 Pulmonary Function Test | $36.00 | $36.00 | $8.66–$68.00 | — | — |
| Spirometry (breathing test) inpatient CPT 94010 Pulmonary Function Test | $36.00 | $36.00 | $8.66–$68.00 | — | — |
| Spirometry before and after a bronchodilator CPT 94060 Pre & Post Bronchodialtion | $165.00 | $165.00 | $11.70–$170.64 | 36% below | — |
| Spirometry before and after a bronchodilator CPT 94060 RT SPIROMETRY W BRONCHODILATOR | $165.00 | $165.00 | $13.35–$170.64 | 36% below | — |
| Spirometry before and after a bronchodilator CPT 94060 Pre & Post Bronchodialtion | $165.00 | $165.00 | $11.70–$170.64 | 36% below | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 BED POSITIONING | $11.00 | $11.00 | $10.73–$40.89 | 95% below | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 BED MOBILITY | $11.00 | $11.00 | $10.73–$40.89 | 95% below | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Parallels Bars | $11.00 | $11.00 | $10.73–$40.89 | 95% below | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Parallels Bars | $11.00 | $11.00 | $10.73–$40.89 | 95% below | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Phlebotomy Therapeutic | $110.00 | $110.00 | $9.00–$103.76 | — | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Phlebotomy Therapeutic | $110.00 | $110.00 | $9.00–$103.76 | — | — |
| Treadmill or drug stress test with ECG, supervision and report CPT 93015 STRESS TEST | $134.81 | $134.81 | $70.74–$234.85 | 85% below | — |
| Treadmill or drug stress test with ECG, supervision and report CPT 93015 STRESS TEST W/SUP, INT & REP | $217.25 | $217.25 | $51.11–$200.00 | 75% below | — |
| Treadmill or drug stress test with ECG, supervision and report CPT 93015 Adenosine Stress Test W Myo | $301.13 | $301.13 | $72.73–$307.12 | 66% below | — |
| Treadmill or drug stress test with ECG, supervision and report CPT 93015 Adenosine Stress Test W Myo | $301.13 | $301.13 | $72.73–$307.12 | 66% below | — |
| Treadmill or drug stress test with ECG, supervision and report inpatient CPT 93015 Adenosine Stress Test W Myo | $301.13 | $301.13 | $72.73–$307.12 | — | — |
| Treadmill or drug stress test with ECG, supervision and report inpatient CPT 93015 Adenosine Stress Test W Myo | $301.13 | $301.13 | $72.73–$307.12 | — | — |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Puerto Rico | Off list |
|---|---|---|---|---|---|
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 ENGERIX B 10 MCG SYR PED | $42.46 | $42.46 | $40.87 | — | — |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 Hep B Virus Vacc 20 Mcg/Ml Via | $84.75 | $84.75 | $27.50–$40.87 | — | — |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 Hep B Virus Vacc 20 Mcg/Ml Via | $84.75 | $84.75 | $27.50–$40.87 | — | — |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 Hep B Virus Vacc 20 Mcg/Ml Via | $84.75 | $84.75 | $27.50–$40.87 | — | — |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 Hep B Virus Vacc 20 Mcg/Ml Via | $84.75 | $84.75 | $27.50–$40.87 | — | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS DIPHTHERIA TOXADULT | $35.90 | $35.90 | $4.00–$38.82 | 87% below | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Tetanus Toxoide | $50.00 | $50.00 | $4.00–$38.82 | 82% below | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Tetanus Toxoide | $50.00 | $50.00 | $4.00–$38.82 | 82% below | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Pharmacy Admin | $45.00 | $45.00 | $4.00–$40.00 | 71% below | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Pharmacy Admin | $45.00 | $45.00 | $4.00–$40.00 | 71% below | — |
Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.
Off list How much lower the cash price is than the list price.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.
Source file: https://hpt.inmediata.com/?handler=DF&d=8D33AC87-2897-49F0-B9D9-69B1E56A676E