Hospital Warrensburg, MO

Western Missouri Medical Center

Western Missouri Medical Center in Warrensburg, MO publishes cash prices for 353 common procedures listed here, from its own machine-readable price file updated Apr 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Missouri median for 233 of 353 procedures and below it for 120. By typical cash price it ranks #54 of 67 Missouri hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.

403 Burkarth Road, Warrensburg, MO 64093 Collected Oct 26, 2026 Source price file Check a bill from this hospital (660) 747-2500

Acute care hospital Government-owned hospital Emergency department CMS star rating 4 of 5 CCN 260097 · CMS hospital register NPI 1083601330

The price file shows no self-pay discount

For 2118 of the 2118 prices listed here, the cash price in Western Missouri 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.

Financial assistance

Public hospital: ask for its charity care or sliding-scale discount

Western Missouri Medical Center is government-owned (CMS register). The federal financial assistance rules for nonprofit hospitals do not always apply to public ones, but many public hospitals run charity care or sliding-scale discounts for uninsured and low-income patients. Ask the billing office for its financial assistance or charity care policy and application before you pay. Letters you can copy.

CMS price transparency record

The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 4 actions for a hospital named Western Missouri Medical Center in Warrensburg, MO:

Sep 12, 2024 Corrective action plan requested
Dec 10, 2024 Corrective action plan requested
Mar 13, 2025 Case closed
Jul 2, 2026 Warning notice

Corrective action plan requested: CMS asked the hospital to submit a plan to fix the problems it found. Case closed: CMS closed the case after the hospital addressed the problems. Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules.

A notice records a step in a CMS review; it is not a court finding. Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes, actions through Jul 31, 2026.

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Missouri	Off list
Abdominal CT scan without and with contrast CPT 74170 CT Abdomen w/ + w/o Cont	$3,127.00	$3,127.00	—	61% above	—
Abdominal CT scan without and with contrast inpatient CPT 74170 CT Abdomen w/ + w/o Cont	$3,127.00	$3,127.00	—	—	—
Abdominal X-ray, 2 views CPT 74019 XR Abdomen 2 Views	$595.40	$595.40	—	101% above	—
Abdominal X-ray, 2 views inpatient CPT 74019 XR Abdomen 2 Views	$595.40	$595.40	—	—	—
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR Ankle Comp Min 3 Views Lt	$431.10	$431.10	—	49% above	—
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR Ankle Comp Min 3 Views Rt	$431.10	$431.10	—	49% above	—
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR Ankle Comp Min 3 Views Lt	$431.10	$431.10	—	—	—
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR Ankle Comp Min 3 Views Rt	$431.10	$431.10	—	—	—
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Upper/Lower extremity arterial study, 2 levels	$441.30	$441.30	—	41% above	—
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 Upper/Lower extremity arterial study, 2 levels	$441.30	$441.30	—	—	—
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UE w/ 3D Reconstruction Lt	$2,828.10	$2,828.10	—	137% above	—
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UE w/ 3D Reconstruction Rt	$2,828.10	$2,828.10	—	137% above	—
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UE w/o Cont Lt	$2,828.10	$2,828.10	—	137% above	—
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UE w/o Cont Rt	$2,828.10	$2,828.10	—	137% above	—
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT UE w/ 3D Reconstruction Lt	$2,828.10	$2,828.10	—	—	—
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT UE w/o Cont Rt	$2,828.10	$2,828.10	—	—	—
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT UE w/ 3D Reconstruction Rt	$2,828.10	$2,828.10	—	—	—
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT UE w/o Cont Lt	$2,828.10	$2,828.10	—	—	—
Barium swallow (esophagus X-ray with contrast) CPT 74220 XR Esophagus	$536.00	$536.00	—	24% above	—
Barium swallow (esophagus X-ray with contrast) CPT 74220 BARIUM SWALLOW X-RAY TECH	$536.00	$536.00	—	24% above	—
Barium swallow (esophagus X-ray with contrast) CPT 74220 BA Swallow	$536.00	$536.00	—	24% above	—
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 BA Swallow	$536.00	$536.00	—	—	—
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 XR Esophagus	$536.00	$536.00	—	—	—
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 BARIUM SWALLOW X-RAY TECH	$536.00	$536.00	—	—	—
Bone scan, whole body (nuclear medicine) CPT 78306 NM Abscess Loc Whole Body	$964.40	$964.40	—	32% below	—
Bone scan, whole body (nuclear medicine) CPT 78306 NM Bone Whole Body	$2,322.90	$2,322.90	—	63% above	—
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM Abscess Loc Whole Body	$964.40	$964.40	—	—	—
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM Bone Whole Body	$2,322.90	$2,322.90	—	—	—
Breast ultrasound, complete, one breast both sides CPT 76641 US Whole Breast Screening Bilat	$1,188.10	$1,188.10	—	—	—
Breast ultrasound, complete, one breast both sides CPT 76641 US Whole Breast Diagnostic Bilat	$1,188.10	$1,188.10	—	—	—
Breast ultrasound, complete, one breast one side CPT 76641 US Whole Breast Diagnostic RT	$829.90	$829.90	—	96% above	—
Breast ultrasound, complete, one breast one side CPT 76641 US Whole Breast Screening RT	$829.90	$829.90	—	96% above	—
Breast ultrasound, complete, one breast one side CPT 76641 US Whole Breast Diagnostic LT	$829.90	$829.90	—	96% above	—
Breast ultrasound, complete, one breast one side CPT 76641 US Whole Breast Screening LT	$829.90	$829.90	—	96% above	—
Breast ultrasound, complete, one breast inpatient both sides CPT 76641 US Whole Breast Diagnostic Bilat	$1,188.10	$1,188.10	—	—	—
Breast ultrasound, complete, one breast inpatient both sides CPT 76641 US Whole Breast Screening Bilat	$1,188.10	$1,188.10	—	—	—
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US Whole Breast Diagnostic LT	$829.90	$829.90	—	—	—
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US Whole Breast Screening RT	$829.90	$829.90	—	—	—
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US Whole Breast Diagnostic RT	$829.90	$829.90	—	—	—
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US Whole Breast Screening LT	$829.90	$829.90	—	—	—
Breast ultrasound, limited (one breast or one area) CPT 76642 US Breast Bil.	$1,067.00	$1,067.00	—	206% above	—
Breast ultrasound, limited (one breast or one area) CPT 76642 US Breast Bil	$1,099.20	$1,099.20	—	215% above	—
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US Breast Lt.	$717.40	$717.40	—	106% above	—
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US Breast Rt.	$717.40	$717.40	—	106% above	—
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US Breast Lt	$738.50	$738.50	—	112% above	—
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US Breast Rt	$738.50	$738.50	—	112% above	—
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 US Breast Bil.	$1,067.00	$1,067.00	—	—	—
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 US Breast Bil	$1,099.20	$1,099.20	—	—	—
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US Breast Lt.	$717.40	$717.40	—	—	—
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US Breast Rt.	$717.40	$717.40	—	—	—
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US Breast Lt	$738.50	$738.50	—	—	—
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US Breast Rt	$738.50	$738.50	—	—	—
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CT Angio Abdomen Pelvis	$1,328.80	$1,328.80	—	46% below	—
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CT - CTA ABD AORTA TECH	$1,484.50	$1,484.50	—	40% below	—
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CT Angio Abdomen Pelvis	$1,328.80	$1,328.80	—	—	—
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CT - CTA ABD AORTA TECH	$1,484.50	$1,484.50	—	—	—
CT angiography (CTA) of the head CPT 70496 CT Angio Head	$2,083.40	$2,083.40	—	7% above	—
CT angiography (CTA) of the head CPT 70496 CT Angio Head +Neck STROKE	$2,083.40	$2,083.40	—	7% above	—
CT angiography (CTA) of the head CPT 70496 CT Angio Head/Neck	$2,083.40	$2,083.40	—	7% above	—
CT angiography (CTA) of the head inpatient CPT 70496 CT Angio Head +Neck STROKE	$2,083.40	$2,083.40	—	—	—
CT angiography (CTA) of the head inpatient CPT 70496 CT Angio Head	$2,083.40	$2,083.40	—	—	—
CT angiography (CTA) of the head inpatient CPT 70496 CT Angio Head/Neck	$2,083.40	$2,083.40	—	—	—
CT angiography (CTA) of the neck CPT 70498 WMMC CT Angio Neck	$2,232.80	$2,232.80	—	12% above	—
CT angiography (CTA) of the neck CPT 70498 CT Angio Neck	$2,232.80	$2,232.80	—	12% above	—
CT angiography (CTA) of the neck inpatient CPT 70498 CT Angio Neck	$2,232.80	$2,232.80	—	—	—
CT angiography (CTA) of the neck inpatient CPT 70498 WMMC CT Angio Neck	$2,232.80	$2,232.80	—	—	—
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT Angio Chest PE w/ Cont	$1,042.30	$1,042.30	—	46% below	—
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT Angio Chest +Abdomen +Pelvis w/ Cont	$2,810.80	$2,810.80	—	45% above	—
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT Angio Chest w/ Cont	$2,810.80	$2,810.80	—	45% above	—
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT Angio Chest PE w/ Cont	$1,042.30	$1,042.30	—	—	—
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT Angio Chest +Abdomen +Pelvis w/ Cont	$2,810.80	$2,810.80	—	—	—
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT Angio Chest w/ Cont	$2,810.80	$2,810.80	—	—	—
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT Angio Heart +Coronary Arteries	$848.50	$848.50	—	33% below	—
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CT Angio Heart +Coronary Arteries	$848.50	$848.50	—	—	—
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT Cardiac Calcium Score	$61.80	$61.80	—	21% below	—
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT Cardiac Calcium Score	$61.80	$61.80	—	—	—
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT Abdomen +Pelvis w/o Cont	$4,967.10	$4,967.10	—	131% above	—
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABDOMEN & PELVIS W/O CONT TECH	$4,967.10	$4,967.10	—	131% above	—
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABDOMEN & PELVIS W/O CONT TECH	$4,967.10	$4,967.10	—	—	—
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT Abdomen +Pelvis w/o Cont	$4,967.10	$4,967.10	—	—	—
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN & PELVIS W/CONTRAST TECH	$5,664.80	$5,664.80	—	114% above	—
CT scan of abdomen and pelvis, with contrast dye CPT 74177 WMMC CT Abdomen Pelvis w/Cont TECH	$5,664.80	$5,664.80	—	114% above	—
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abdomen +Pelvis w/ Cont	$5,664.80	$5,664.80	—	114% above	—
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abdomen +Pelvis w/ Cont Trauma	$5,664.80	$5,664.80	—	114% above	—
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 WMMC CT Abdomen Pelvis w/Cont TECH	$5,664.80	$5,664.80	—	—	—
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABDOMEN & PELVIS W/CONTRAST TECH	$5,664.80	$5,664.80	—	—	—
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Abdomen +Pelvis w/ Cont Trauma	$5,664.80	$5,664.80	—	—	—
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Abdomen +Pelvis w/ Cont	$5,664.80	$5,664.80	—	—	—
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT Abdomen +Pelvis w/ + w/o Cont	$6,172.30	$6,172.30	—	93% above	—
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT Urogram w/ 3D Reconstruction	$6,172.30	$6,172.30	—	93% above	—
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 WMMC CT Abdomen +Pelvis w/ + w/o Cont	$6,172.30	$6,172.30	—	93% above	—
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT Urogram w/ 3D Reconstruction	$6,172.30	$6,172.30	—	—	—
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT Abdomen +Pelvis w/ + w/o Cont	$6,172.30	$6,172.30	—	—	—
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 WMMC CT Abdomen +Pelvis w/ + w/o Cont	$6,172.30	$6,172.30	—	—	—
CT scan of the abdomen with contrast CPT 74160 CT Abdomen w/ Cont	$2,924.40	$2,924.40	—	73% above	—
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN WITH CONTRAST TECH	$2,924.40	$2,924.40	—	73% above	—
CT scan of the abdomen with contrast inpatient CPT 74160 CT Abdomen w/ Cont	$2,924.40	$2,924.40	—	—	—
CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN WITH CONTRAST TECH	$2,924.40	$2,924.40	—	—	—
CT scan of the abdomen without contrast CPT 74150 CT Abdomen w/o Cont	$2,560.10	$2,560.10	—	118% above	—
CT scan of the abdomen without contrast CPT 74150 CT Abdomen w/o +Abdomen +Pelvis w/ Cont	$6,172.30	$6,172.30	—	426% above	—
CT scan of the abdomen without contrast inpatient CPT 74150 CT Abdomen w/o Cont	$2,560.10	$2,560.10	—	—	—
CT scan of the abdomen without contrast inpatient CPT 74150 CT Abdomen w/o +Abdomen +Pelvis w/ Cont	$6,172.30	$6,172.30	—	—	—
CT scan of the face and sinuses, no contrast dye CPT 70486 CT Sinus Full	$2,232.80	$2,232.80	—	97% above	—
CT scan of the face and sinuses, no contrast dye CPT 70486 CT Maxillofacial w/o Cont	$2,420.60	$2,420.60	—	113% above	—
CT scan of the face and sinuses, no contrast dye CPT 70486 CT Maxillofacial +Head w/o Cont	$2,421.80	$2,421.80	—	114% above	—
CT scan of the face and sinuses, no contrast dye CPT 70486 CT Maxillofacial +Head w/o Cont Trauma	$2,421.80	$2,421.80	—	114% above	—
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT Sinus Full	$2,232.80	$2,232.80	—	—	—
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT Maxillofacial w/o Cont	$2,420.60	$2,420.60	—	—	—
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT Maxillofacial +Head w/o Cont	$2,421.80	$2,421.80	—	—	—
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT Maxillofacial +Head w/o Cont Trauma	$2,421.80	$2,421.80	—	—	—
CT scan of the head or brain, no contrast dye CPT 70450 CT Head w/ 3D Reconstruction	$2,455.10	$2,455.10	—	95% above	—
CT scan of the head or brain, no contrast dye CPT 70450 CT Head +Spine Cerv w/o Cont Trauma	$2,455.10	$2,455.10	—	95% above	—
CT scan of the head or brain, no contrast dye CPT 70450 CT Head or Brain w/o Cont STROKE	$2,455.10	$2,455.10	—	95% above	—
CT scan of the head or brain, no contrast dye CPT 70450 CT Head or Brain w/o Cont BCE	$2,455.10	$2,455.10	—	95% above	—
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD WITHOUT CONTRAST TECH	$2,455.10	$2,455.10	—	95% above	—
CT scan of the head or brain, no contrast dye CPT 70450 WMMC CT Head w/o Cont	$2,455.10	$2,455.10	—	95% above	—
CT scan of the head or brain, no contrast dye CPT 70450 CT Head +Spine Cerv w/o Cont	$2,455.10	$2,455.10	—	95% above	—
CT scan of the head or brain, no contrast dye CPT 70450 CT Head or Brain w/o Cont	$2,455.10	$2,455.10	—	95% above	—
CT scan of the head or brain, no contrast dye CPT 70450 CT Head or Brain w/o Cont Trauma	$2,455.10	$2,455.10	—	95% above	—
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Head or Brain w/o Cont	$2,455.10	$2,455.10	—	—	—
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Head +Spine Cerv w/o Cont Trauma	$2,455.10	$2,455.10	—	—	—
CT scan of the head or brain, no contrast dye inpatient CPT 70450 WMMC CT Head w/o Cont	$2,455.10	$2,455.10	—	—	—
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Head or Brain w/o Cont STROKE	$2,455.10	$2,455.10	—	—	—
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Head w/ 3D Reconstruction	$2,455.10	$2,455.10	—	—	—
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Head or Brain w/o Cont BCE	$2,455.10	$2,455.10	—	—	—
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Head +Spine Cerv w/o Cont	$2,455.10	$2,455.10	—	—	—
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD WITHOUT CONTRAST TECH	$2,455.10	$2,455.10	—	—	—
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Head or Brain w/o Cont Trauma	$2,455.10	$2,455.10	—	—	—
CT scan of the head with contrast CPT 70460 CT Head or Brain w/ Cont	$2,678.70	$2,678.70	—	87% above	—
CT scan of the head with contrast inpatient CPT 70460 CT Head or Brain w/ Cont	$2,678.70	$2,678.70	—	—	—
CT scan of the head without and with contrast CPT 70470 CT Head or Brain w/ + w/o Cont	$3,096.00	$3,096.00	—	75% above	—
CT scan of the head without and with contrast inpatient CPT 70470 CT Head or Brain w/ + w/o Cont	$3,096.00	$3,096.00	—	—	—
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT Spine Lumbar w/o Cont	$2,867.70	$2,867.70	—	102% above	—
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT Spine Lumbar w/o Cont	$2,867.70	$2,867.70	—	—	—
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT Spine Cervical w/o Cont	$2,825.60	$2,825.60	—	79% above	—
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT CERVICAL SPINE WITHOUT TECH	$2,825.60	$2,825.60	—	79% above	—
CT scan of the neck (cervical spine), no contrast dye CPT 72125 WMMC CT C-Spine without TECH	$2,825.60	$2,825.60	—	79% above	—
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT Spine Cervical w/o Cont	$2,825.60	$2,825.60	—	—	—
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT CERVICAL SPINE WITHOUT TECH	$2,825.60	$2,825.60	—	—	—
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 WMMC CT C-Spine without TECH	$2,825.60	$2,825.60	—	—	—
CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis w/ Cont	$2,740.50	$2,740.50	—	67% above	—
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT Pelvis w/ Cont	$2,740.50	$2,740.50	—	—	—
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 Carotid Duplex	$1,077.10	$1,077.10	—	24% above	—
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 US Carotid Doppler Bil	$1,077.10	$1,077.10	—	24% above	—
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 US Carotid Doppler Bil	$1,077.10	$1,077.10	—	—	—
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 Carotid Duplex	$1,077.10	$1,077.10	—	—	—
Chest CT scan without and with contrast CPT 71270 CT Chest +Abdomen +Pelvis w/ + w/o Cont	$3,804.90	$3,804.90	—	105% above	—
Chest CT scan without and with contrast CPT 71270 CT Chest w/ + w/o Cont	$3,804.90	$3,804.90	—	105% above	—
Chest CT scan without and with contrast inpatient CPT 71270 CT Chest +Abdomen +Pelvis w/ + w/o Cont	$3,804.90	$3,804.90	—	—	—
Chest CT scan without and with contrast inpatient CPT 71270 CT Chest w/ + w/o Cont	$3,804.90	$3,804.90	—	—	—
Chest X-ray, 2 views CPT 71046 XR Contract Chest 2 Views	$250.00	$250.00	—	1% above	—
Chest X-ray, 2 views CPT 71046 XR Chest 2 Views	$548.30	$548.30	—	122% above	—
Chest X-ray, 2 views inpatient CPT 71046 XR Contract Chest 2 Views	$250.00	$250.00	—	—	—
Chest X-ray, 2 views inpatient CPT 71046 XR Chest 2 Views	$548.30	$548.30	—	—	—
Chest X-ray, single view CPT 71045 XR Chest 1 View	$377.90	$377.90	—	98% above	—
Chest X-ray, single view CPT 71045 XR Chest 1 View Frontal	$377.90	$377.90	—	98% above	—
Chest X-ray, single view one side CPT 71045 XR Chest Decubitus Lt	$332.20	$332.20	—	74% above	—
Chest X-ray, single view one side CPT 71045 XR Chest Decubitus Rt	$377.90	$377.90	—	98% above	—
Chest X-ray, single view inpatient CPT 71045 XR Chest 1 View Frontal	$377.90	$377.90	—	—	—
Chest X-ray, single view inpatient CPT 71045 XR Chest 1 View	$377.90	$377.90	—	—	—
Chest X-ray, single view inpatient one side CPT 71045 XR Chest Decubitus Lt	$332.20	$332.20	—	—	—
Chest X-ray, single view inpatient one side CPT 71045 XR Chest Decubitus Rt	$377.90	$377.90	—	—	—
Collarbone (clavicle) X-ray, complete one side CPT 73000 XR Clavicle Comp Lt	$369.30	$369.30	—	53% above	—
Collarbone (clavicle) X-ray, complete one side CPT 73000 XR Clavicle Comp Rt	$369.30	$369.30	—	53% above	—
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XR Clavicle Comp Rt	$369.30	$369.30	—	—	—
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XR Clavicle Comp Lt	$369.30	$369.30	—	—	—
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US Renal Comp	$1,102.90	$1,102.90	—	78% above	—
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US Retroperitoneal Comp	$2,232.80	$2,232.80	—	260% above	—
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US Renal Comp	$1,102.90	$1,102.90	—	—	—
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US Retroperitoneal Comp	$2,232.80	$2,232.80	—	—	—
DEXA bone density scan of the hip, pelvis or spine CPT 77080 BD DEXA Bone Density Scan	$296.40	$296.40	—	7% below	—
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 BD DEXA Bone Density Scan	$296.40	$296.40	—	—	—
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Chest High Resolution	$2,578.60	$2,578.60	—	99% above	—
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Chest +Abdomen +Pelvis w/o Cont	$2,578.60	$2,578.60	—	99% above	—
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Chest w/ 3D Reconstruction	$2,578.60	$2,578.60	—	99% above	—
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Chest w/o Cont	$2,578.60	$2,578.60	—	99% above	—
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Chest Low Dose Diag w/o Cont	$2,578.60	$2,578.60	—	99% above	—
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT Chest High Resolution	$2,578.60	$2,578.60	—	—	—
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT Chest w/o Cont	$2,578.60	$2,578.60	—	—	—
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT Chest +Abdomen +Pelvis w/o Cont	$2,578.60	$2,578.60	—	—	—
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT Chest w/ 3D Reconstruction	$2,578.60	$2,578.60	—	—	—
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT Chest Low Dose Diag w/o Cont	$2,578.60	$2,578.60	—	—	—
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT Chest w/ Cont Trauma	$2,729.30	$2,729.30	—	66% above	—
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT Chest +Abdomen +Pelvis w/ Cont Trauma	$2,799.70	$2,799.70	—	70% above	—
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT Chest w/ Cont	$2,810.80	$2,810.80	—	71% above	—
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT Chest +Abdomen w/ Cont	$2,810.80	$2,810.80	—	71% above	—
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT Chest +Abdomen +Pelvis w/ Cont	$2,810.80	$2,810.80	—	71% above	—
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT Chest w/ Cont Trauma	$2,729.30	$2,729.30	—	—	—
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT Chest +Abdomen +Pelvis w/ Cont Trauma	$2,799.70	$2,799.70	—	—	—
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT Chest w/ Cont	$2,810.80	$2,810.80	—	—	—
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT Chest +Abdomen +Pelvis w/ Cont	$2,810.80	$2,810.80	—	—	—
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT Chest +Abdomen w/ Cont	$2,810.80	$2,810.80	—	—	—
Diagnostic mammogram, both breasts CPT 77066 MA DIAG DIGITAL BIL TECH	$82.70	$82.70	—	62% below	—
Diagnostic mammogram, both breasts CPT 77066 MA Diag Digital Bil.	$281.60	$281.60	—	29% above	—
Diagnostic mammogram, both breasts CPT 77066 MA Diag Digital Bil	$290.30	$290.30	—	33% above	—
Diagnostic mammogram, both breasts inpatient CPT 77066 MA DIAG DIGITAL BIL TECH	$82.70	$82.70	—	—	—
Diagnostic mammogram, both breasts inpatient CPT 77066 MA Diag Digital Bil.	$281.60	$281.60	—	—	—
Diagnostic mammogram, both breasts inpatient CPT 77066 MA Diag Digital Bil	$290.30	$290.30	—	—	—
Diagnostic mammogram, one breast one side CPT 77065 MA DIAG DIGITAL RT TECH	$44.50	$44.50	—	81% below	—
Diagnostic mammogram, one breast one side CPT 77065 MA DIAG DIGITAL LT TECH	$44.50	$44.50	—	81% below	—
Diagnostic mammogram, one breast one side CPT 77065 MA Diag Digital Lt.	$209.90	$209.90	—	10% below	—
Diagnostic mammogram, one breast one side CPT 77065 MA Diag Digital Rt.	$209.90	$209.90	—	10% below	—
Diagnostic mammogram, one breast one side CPT 77065 MA Diag Digital Lt	$216.20	$216.20	—	8% below	—
Diagnostic mammogram, one breast one side CPT 77065 MA Diag Digital Rt	$216.20	$216.20	—	8% below	—
Diagnostic mammogram, one breast inpatient one side CPT 77065 MA DIAG DIGITAL RT TECH	$44.50	$44.50	—	—	—
Diagnostic mammogram, one breast inpatient one side CPT 77065 MA DIAG DIGITAL LT TECH	$44.50	$44.50	—	—	—
Diagnostic mammogram, one breast inpatient one side CPT 77065 MA Diag Digital Lt.	$209.90	$209.90	—	—	—
Diagnostic mammogram, one breast inpatient one side CPT 77065 MA Diag Digital Rt.	$209.90	$209.90	—	—	—
Diagnostic mammogram, one breast inpatient one side CPT 77065 MA Diag Digital Rt	$216.20	$216.20	—	—	—
Diagnostic mammogram, one breast inpatient one side CPT 77065 MA Diag Digital Lt	$216.20	$216.20	—	—	—
Duplex ultrasound of the leg arteries, both legs CPT 93925 US LE Art Doppler Mult Level Bil	$1,278.70	$1,278.70	—	83% above	—
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 US LE Art Doppler Mult Level Bil	$1,278.70	$1,278.70	—	—	—
Duplex ultrasound of the leg veins, both legs CPT 93970 US Venous Mapping Comp Bil	$1,492.00	$1,492.00	—	96% above	—
Duplex ultrasound of the leg veins, both legs CPT 93970 US LE Veins Duplex Bil	$1,492.00	$1,492.00	—	96% above	—
Duplex ultrasound of the leg veins, both legs CPT 93970 US UE Veins Duplex Bil	$1,492.00	$1,492.00	—	96% above	—
Duplex ultrasound of the leg veins, both legs CPT 93970 US Venous Reflux Study Bil	$1,492.00	$1,492.00	—	96% above	—
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 US Venous Reflux Study Bil	$1,492.00	$1,492.00	—	—	—
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 US Venous Mapping Comp Bil	$1,492.00	$1,492.00	—	—	—
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 US LE Veins Duplex Bil	$1,492.00	$1,492.00	—	—	—
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 US UE Veins Duplex Bil	$1,492.00	$1,492.00	—	—	—
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 US Echo 2D Comp CVC	$2,132.90	$2,132.90	—	27% above	—
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 US Echo 2D Comp HCA	$2,132.90	$2,132.90	—	27% above	—
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 US Echo Comp w/ Contrast HCA	$2,132.90	$2,132.90	—	27% above	—
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 US Echo Comp w/ Contrast CVC	$2,132.90	$2,132.90	—	27% above	—
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 US Echo Comp w/ Contrast	$2,132.90	$2,132.90	—	27% above	—
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 US Echo 2D Comp	$2,132.90	$2,132.90	—	27% above	—
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 US Echo Comp w/ Contrast CVC	$2,132.90	$2,132.90	—	—	—
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 US Echo Comp w/ Contrast	$2,132.90	$2,132.90	—	—	—
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 US Echo Comp w/ Contrast HCA	$2,132.90	$2,132.90	—	—	—
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 US Echo 2D Comp HCA	$2,132.90	$2,132.90	—	—	—
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 US Echo 2D Comp CVC	$2,132.90	$2,132.90	—	—	—
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 US Echo 2D Comp	$2,132.90	$2,132.90	—	—	—
Elbow X-ray, 2 views one side CPT 73070 XR Elbow 2 Views Lt	$411.30	$411.30	—	97% above	—
Elbow X-ray, 2 views one side CPT 73070 XR Elbow 2 Views Rt	$411.30	$411.30	—	97% above	—
Elbow X-ray, 2 views inpatient one side CPT 73070 XR Elbow 2 Views Lt	$411.30	$411.30	—	—	—
Elbow X-ray, 2 views inpatient one side CPT 73070 XR Elbow 2 Views Rt	$411.30	$411.30	—	—	—
Elbow X-ray, complete, 3 or more views one side CPT 73080 XR Elbow Comp Min 3 Views Rt	$460.60	$460.60	—	65% above	—
Elbow X-ray, complete, 3 or more views one side CPT 73080 XR Elbow Comp Min 3 Views Lt	$460.60	$460.60	—	65% above	—
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XR Elbow Comp Min 3 Views Rt	$460.60	$460.60	—	—	—
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XR Elbow Comp Min 3 Views Lt	$460.60	$460.60	—	—	—
Eye socket (orbit) CT scan without contrast CPT 70480 CT Orbit Sella etc. or IAC w/o Cont	$2,455.10	$2,455.10	—	92% above	—
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT Orbit Sella etc. or IAC w/o Cont	$2,455.10	$2,455.10	—	—	—
Facial bones X-ray, complete, 3 or more views CPT 70150 XR Facial Bones Comp Min 3 Views	$521.20	$521.20	—	75% above	—
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 XR Facial Bones Comp Min 3 Views	$521.20	$521.20	—	—	—
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR Forearm 2 Views Lt	$357.00	$357.00	—	70% above	—
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR Forearm 2 Views Rt	$357.00	$357.00	—	70% above	—
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XR Forearm 2 Views Rt	$357.00	$357.00	—	—	—
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XR Forearm 2 Views Lt	$357.00	$357.00	—	—	—
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM Hepa Duct System w/o Pharm	$2,157.40	$2,157.40	—	73% above	—
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NM Hepa Duct System w/o Pharm	$2,157.40	$2,157.40	—	—	—
Hand X-ray, 2 views one side CPT 73120 XR Hand 2 Views Lt	$295.20	$295.20	—	56% above	—
Hand X-ray, 2 views one side CPT 73120 XR Hand 2 Views Rt	$295.20	$295.20	—	56% above	—
Hand X-ray, 2 views inpatient one side CPT 73120 XR Hand 2 Views Lt	$295.20	$295.20	—	—	—
Hand X-ray, 2 views inpatient one side CPT 73120 XR Hand 2 Views Rt	$295.20	$295.20	—	—	—
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR Heel Min 2 Views Lt	$307.60	$307.60	—	56% above	—
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR Heel Min 2 Views Rt	$307.60	$307.60	—	56% above	—
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 XR Heel Min 2 Views Rt	$307.60	$307.60	—	—	—
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 XR Heel Min 2 Views Lt	$307.60	$307.60	—	—	—
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 95806 SLEEP STUDY UNATTEND CHARGE	$139.80	$139.80	—	78% below	—
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 95806 SLEEP STUDY UNATTEND CHARGE	$139.80	$139.80	—	—	—
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 95811 POLYSOMNOGRAPHY W/CPAP CHARGE	$4,893.20	$4,893.20	—	86% above	—
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 95811 POLYSOMNOGRAPHY W/CPAP CHARGE	$4,893.20	$4,893.20	—	—	—
Knee X-ray, 3 views one side CPT 73562 XR Knee 3 Views Rt	$513.80	$513.80	—	90% above	—
Knee X-ray, 3 views one side CPT 73562 XR Knee 3 Views Lt	$513.80	$513.80	—	90% above	—
Knee X-ray, 3 views inpatient one side CPT 73562 XR Knee 3 Views Rt	$513.80	$513.80	—	—	—
Knee X-ray, 3 views inpatient one side CPT 73562 XR Knee 3 Views Lt	$513.80	$513.80	—	—	—
Knee X-ray, complete, 4 or more views one side CPT 73564 XR Knee Comp Min 4 Views Lt	$521.20	$521.20	—	59% above	—
Knee X-ray, complete, 4 or more views one side CPT 73564 XR Knee Comp Min 4 Views Rt	$521.20	$521.20	—	59% above	—
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XR Knee Comp Min 4 Views Lt	$521.20	$521.20	—	—	—
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XR Knee Comp Min 4 Views Rt	$521.20	$521.20	—	—	—
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LE w/ 3D Reconstruction Rt	$2,156.20	$2,156.20	—	71% above	—
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LE w/o Cont Lt	$2,156.20	$2,156.20	—	71% above	—
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LE w/ 3D Reconstruction Lt	$2,156.20	$2,156.20	—	71% above	—
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LE w/o Cont Rt	$2,156.20	$2,156.20	—	71% above	—
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT LE w/ 3D Reconstruction Rt	$2,156.20	$2,156.20	—	—	—
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT LE w/o Cont Rt	$2,156.20	$2,156.20	—	—	—
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT LE w/o Cont Lt	$2,156.20	$2,156.20	—	—	—
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT LE w/ 3D Reconstruction Lt	$2,156.20	$2,156.20	—	—	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 76705 u/s abd upper qdt tech	$280.35	$280.35	—	43% below	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Spleen	$916.40	$916.40	—	86% above	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Gallbladder	$1,488.20	$1,488.20	—	201% above	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder one side CPT 76705 US Abdomen Upper Quadrant Rt	$1,488.20	$1,488.20	—	201% above	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 76705 u/s abd upper qdt tech	$280.35	$280.35	—	—	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Spleen	$916.40	$916.40	—	—	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Gallbladder	$1,488.20	$1,488.20	—	—	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient one side CPT 76705 US Abdomen Upper Quadrant Rt	$1,488.20	$1,488.20	—	—	—
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT Chest Low Dose Screen w/o Cont	$447.10	$447.10	—	1% below	—
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT Chest Low Dose Screen w/o Cont	$447.10	$447.10	—	—	—
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR Tibia +Fibula 2 Views Lt	$408.80	$408.80	—	70% above	—
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR Tibia +Fibula 2 Views Rt	$408.80	$408.80	—	70% above	—
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR Tibia +Fibula 2 Views Lt	$408.80	$408.80	—	—	—
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR Tibia +Fibula 2 Views Rt	$408.80	$408.80	—	—	—
MR angiography (MRA) of the head without contrast CPT 70544 MRA HEAD W/O CONT TECH	$2,595.90	$2,595.90	—	69% above	—
MR angiography (MRA) of the head without contrast CPT 70544 MRA Head Venography w/o Cont	$2,595.90	$2,595.90	—	69% above	—
MR angiography (MRA) of the head without contrast CPT 70544 MRA Head w/o Cont	$2,595.90	$2,595.90	—	69% above	—
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA Head Venography w/o Cont	$2,595.90	$2,595.90	—	—	—
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA Head w/o Cont	$2,595.90	$2,595.90	—	—	—
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA HEAD W/O CONT TECH	$2,595.90	$2,595.90	—	—	—
MRI of both breasts, without and then with contrast dye CPT 77049 MRI Breast w/ + w/o Cont Bil.	$3,125.70	$3,125.70	—	75% above	—
MRI of both breasts, without and then with contrast dye CPT 77049 MRI Breast w/ + w/o Cont Bil	$3,125.70	$3,125.70	—	75% above	—
MRI of both breasts, without and then with contrast dye inpatient CPT 77049 MRI Breast w/ + w/o Cont Bil	$3,125.70	$3,125.70	—	—	—
MRI of both breasts, without and then with contrast dye inpatient CPT 77049 MRI Breast w/ + w/o Cont Bil.	$3,125.70	$3,125.70	—	—	—
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LE Joint w/o Cont Rt	$3,045.50	$3,045.50	—	73% above	—
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LE Joint w/o Cont Lt	$3,045.50	$3,045.50	—	73% above	—
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI LE Joint w/o Cont Rt	$3,045.50	$3,045.50	—	—	—
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI LE Joint w/o Cont Lt	$3,045.50	$3,045.50	—	—	—
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI LE Joint w/ + w/o Cont Lt	$3,125.70	$3,125.70	—	37% above	—
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI LE Joint w/ + w/o Cont Rt	$3,125.70	$3,125.70	—	37% above	—
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI LE Joint w/ + w/o Cont Lt	$3,125.70	$3,125.70	—	—	—
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI LE Joint w/ + w/o Cont Rt	$3,125.70	$3,125.70	—	—	—
MRI of the abdomen without contrast CPT 74181 MRI MRCP	$2,745.70	$2,745.70	—	65% above	—
MRI of the abdomen without contrast CPT 74181 MRI Abdomen w/o Cont	$2,828.10	$2,828.10	—	70% above	—
MRI of the abdomen without contrast inpatient CPT 74181 MRI MRCP	$2,745.70	$2,745.70	—	—	—
MRI of the abdomen without contrast inpatient CPT 74181 MRI Abdomen w/o Cont	$2,828.10	$2,828.10	—	—	—
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI Abdomen MRCP w/ + w/o Cont	$3,869.20	$3,869.20	—	59% above	—
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI Abdomen MRCP w/ Cont	$3,869.20	$3,869.20	—	59% above	—
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI Abdomen w/ + w/o Cont	$3,869.20	$3,869.20	—	59% above	—
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI Abdomen MRCP w/o Cont	$3,869.20	$3,869.20	—	59% above	—
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI Abdomen MRCP w/ + w/o Cont	$3,869.20	$3,869.20	—	—	—
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI Abdomen MRCP w/o Cont	$3,869.20	$3,869.20	—	—	—
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI Abdomen MRCP w/ Cont	$3,869.20	$3,869.20	—	—	—
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI Abdomen w/ + w/o Cont	$3,869.20	$3,869.20	—	—	—
MRI of the brain, no contrast dye CPT 70551 MRI Brain w/o Cont	$2,901.00	$2,901.00	—	88% above	—
MRI of the brain, no contrast dye inpatient CPT 70551 MRI Brain w/o Cont	$2,901.00	$2,901.00	—	—	—
MRI of the brain, with and without contrast dye CPT 70553 MRI Brain w/ + w/o Cont	$3,273.90	$3,273.90	—	32% above	—
MRI of the brain, with and without contrast dye CPT 70553 MRI Head + MRA Head	$3,273.90	$3,273.90	—	32% above	—
MRI of the brain, with and without contrast dye CPT 70553 MRI Head + MRA Neck	$3,273.90	$3,273.90	—	32% above	—
MRI of the brain, with and without contrast dye CPT 70553 MRI IAC w/ + w/o Cont	$4,375.50	$4,375.50	—	76% above	—
MRI of the brain, with and without contrast dye CPT 70553 MRI Pituitary Gland w/ + w/o Cont	$4,375.50	$4,375.50	—	76% above	—
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI Brain w/ + w/o Cont	$3,273.90	$3,273.90	—	—	—
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI Head + MRA Head	$3,273.90	$3,273.90	—	—	—
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI Head + MRA Neck	$3,273.90	$3,273.90	—	—	—
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI IAC w/ + w/o Cont	$4,375.50	$4,375.50	—	—	—
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI Pituitary Gland w/ + w/o Cont	$4,375.50	$4,375.50	—	—	—
MRI of the lower back, no contrast dye CPT 72148 MRI Spine Lumbar w/o Cont Ltd	$2,976.20	$2,976.20	—	60% above	—
MRI of the lower back, no contrast dye CPT 72148 MRI Spine Lumbar w/o Cont	$2,976.20	$2,976.20	—	60% above	—
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI Spine Lumbar w/o Cont	$2,976.20	$2,976.20	—	—	—
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI Spine Lumbar w/o Cont Ltd	$2,976.20	$2,976.20	—	—	—
MRI of the lower back, without and then with contrast dye CPT 72158 MRI Spine Lumbar w/ + w/o Cont	$3,720.90	$3,720.90	—	50% above	—
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI Spine Lumbar w/ + w/o Cont	$3,720.90	$3,720.90	—	—	—
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI Spine Thoracic w/o Cont	$2,976.20	$2,976.20	—	70% above	—
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI Spine Thoracic w/o Cont Ltd	$2,976.20	$2,976.20	—	70% above	—
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI Spine Thoracic w/o Cont	$2,976.20	$2,976.20	—	—	—
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI Spine Thoracic w/o Cont Ltd	$2,976.20	$2,976.20	—	—	—
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI Spine Cervical w/ + w/o Cont	$3,423.40	$3,423.40	—	39% above	—
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI Spine Cervical w/ + w/o Cont	$3,423.40	$3,423.40	—	—	—
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI Spine Cervical w/o Cont Ltd	$3,125.70	$3,125.70	—	59% above	—
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI Spine Cervical w/o Cont	$3,125.70	$3,125.70	—	59% above	—
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI Spine Cervical w/o Cont Ltd	$3,125.70	$3,125.70	—	—	—
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI Spine Cervical w/o Cont	$3,125.70	$3,125.70	—	—	—
MRI of the pelvis without and with contrast CPT 72197 MRI Pelvis w/ + w/o Cont	$2,855.30	$2,855.30	—	15% above	—
MRI of the pelvis without and with contrast CPT 72197 MRI Sacrum w/ + w/o Contrast	$2,855.30	$2,855.30	—	15% above	—
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI Sacrum w/ + w/o Contrast	$2,855.30	$2,855.30	—	—	—
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI Pelvis w/ + w/o Cont	$2,855.30	$2,855.30	—	—	—
MRI of the pelvis, no contrast dye CPT 72195 MRI Sacrum w/o Contrast	$2,232.80	$2,232.80	—	21% above	—
MRI of the pelvis, no contrast dye CPT 72195 MRI Pelvis w/o Cont	$2,757.70	$2,757.70	—	50% above	—
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI Sacrum w/o Contrast	$2,232.80	$2,232.80	—	—	—
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI Pelvis w/o Cont	$2,757.70	$2,757.70	—	—	—
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UE Joint w/o Cont Lt	$2,905.90	$2,905.90	—	57% above	—
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UE Joint w/o Cont Rt	$2,905.90	$2,905.90	—	57% above	—
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI UE Joint w/o Cont Rt	$2,905.90	$2,905.90	—	—	—
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI UE Joint w/o Cont Lt	$2,905.90	$2,905.90	—	—	—
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 XR Spine Cerv 4-5 Views	$716.20	$716.20	—	73% above	—
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 XR Spine Cerv 4-5 Views	$716.20	$716.20	—	—	—
Neck soft tissue CT scan with contrast CPT 70491 CT Neck w/contrast	$2,588.50	$2,588.50	—	79% above	—
Neck soft tissue CT scan with contrast CPT 70491 CT Neck w/ Cont	$2,588.50	$2,588.50	—	79% above	—
Neck soft tissue CT scan with contrast CPT 70491 CT Neck Soft Tissue w/ Cont	$2,588.50	$2,588.50	—	79% above	—
Neck soft tissue CT scan with contrast inpatient CPT 70491 CT Neck Soft Tissue w/ Cont	$2,588.50	$2,588.50	—	—	—
Neck soft tissue CT scan with contrast inpatient CPT 70491 CT Neck w/ Cont	$2,588.50	$2,588.50	—	—	—
Neck soft tissue CT scan with contrast inpatient CPT 70491 CT Neck w/contrast	$2,588.50	$2,588.50	—	—	—
Neck soft tissue CT scan without contrast CPT 70490 CT Neck Soft Tissue w/o Cont	$2,538.00	$2,538.00	—	119% above	—
Neck soft tissue CT scan without contrast inpatient CPT 70490 CT Neck Soft Tissue w/o Cont	$2,538.00	$2,538.00	—	—	—
Neck soft tissue X-ray CPT 70360 XR Neck Soft Tissue	$297.60	$297.60	—	30% above	—
Neck soft tissue X-ray inpatient CPT 70360 XR Neck Soft Tissue	$297.60	$297.60	—	—	—
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM Myocard Perf Spect Mult CVC	$4,829.90	$4,829.90	—	36% above	—
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM Myocard Perf Spect Mult	$4,829.90	$4,829.90	—	36% above	—
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM Myocard Perf Spect Mult HCA	$4,829.90	$4,829.90	—	36% above	—
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM Myocard Perf Spect Mult	$4,829.90	$4,829.90	—	—	—
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM Myocard Perf Spect Mult CVC	$4,829.90	$4,829.90	—	—	—
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM Myocard Perf Spect Mult HCA	$4,829.90	$4,829.90	—	—	—
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET Skull Base to Midthigh w/ CT Scan	$506.50	$506.50	—	88% below	—
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET PSMA w/ CT Scan	$3,929.50	$3,929.50	—	8% below	—
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET Skull Base to Midthigh w/ CT Scan	$506.50	$506.50	—	—	—
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET PSMA w/ CT Scan	$3,929.50	$3,929.50	—	—	—
Pelvic CT scan without contrast CPT 72192 CT Pelvis w/o Cont	$2,407.10	$2,407.10	—	72% above	—
Pelvic CT scan without contrast CPT 72192 CT Pelvis w/ 3D Reconstruction	$2,407.10	$2,407.10	—	72% above	—
Pelvic CT scan without contrast inpatient CPT 72192 CT Pelvis w/o Cont	$2,407.10	$2,407.10	—	—	—
Pelvic CT scan without contrast inpatient CPT 72192 CT Pelvis w/ 3D Reconstruction	$2,407.10	$2,407.10	—	—	—
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US Pelvis Non-OB Limited	$373.00	$373.00	—	4% above	—
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US BLADDER+RESIDUAL POST VOIDING EXAM	$482.90	$482.90	—	34% above	—
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US Bladder +Residual Post Voiding	$482.90	$482.90	—	34% above	—
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US Pelvis Non-OB Limited	$373.00	$373.00	—	—	—
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US Bladder +Residual Post Voiding	$482.90	$482.90	—	—	—
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US BLADDER+RESIDUAL POST VOIDING EXAM	$482.90	$482.90	—	—	—
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US Pelvis Non-OB Comp Transvaginal	$1,042.30	$1,042.30	—	65% above	—
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US Bladder	$1,042.30	$1,042.30	—	65% above	—
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US Pelvis Non-OB Comp	$1,042.30	$1,042.30	—	65% above	—
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US Bladder	$1,042.30	$1,042.30	—	—	—
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US Pelvis Non-OB Comp	$1,042.30	$1,042.30	—	—	—
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US Pelvis Non-OB Comp Transvaginal	$1,042.30	$1,042.30	—	—	—
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US Pregnant > 14 Weeks w/ Biophysical	$1,042.30	$1,042.30	—	96% above	—
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US Pregnant > 14 Weeks 1st Gest	$1,042.30	$1,042.30	—	96% above	—
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 U/S PREGNANT UTERUS >14 WEEKS TECH	$1,042.30	$1,042.30	—	96% above	—
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US Pregnant > 14 Weeks w/ Biophysical	$1,042.30	$1,042.30	—	—	—
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 U/S PREGNANT UTERUS >14 WEEKS TECH	$1,042.30	$1,042.30	—	—	—
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US Pregnant > 14 Weeks 1st Gest	$1,042.30	$1,042.30	—	—	—
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 U/S PREGNANT UTERUS <14 WEEKS TECH	$1,042.30	$1,042.30	—	104% above	—
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US Pregnant < 14 Weeks 1st Gest	$1,042.30	$1,042.30	—	104% above	—
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US Pregnant < 14 Weeks 1st Gest+Transvag	$1,042.30	$1,042.30	—	104% above	—
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US Pregnant < 14 Weeks 1st Gest+Transvag	$1,042.30	$1,042.30	—	—	—
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 U/S PREGNANT UTERUS <14 WEEKS TECH	$1,042.30	$1,042.30	—	—	—
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US Pregnant < 14 Weeks 1st Gest	$1,042.30	$1,042.30	—	—	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Bedside Ultrasound by Provider	$112.40	$112.40	—	69% below	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 76815TC PROVIDER PERFORMED ULTRASOUND	$112.40	$112.40	—	69% below	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US Pregnant Ltd	$595.40	$595.40	—	66% above	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US Pregnant Ltd +Transvaginal	$595.40	$595.40	—	66% above	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US Pregnant Ltd w/ Biophysical	$595.40	$595.40	—	66% above	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 Bedside Ultrasound by Provider	$112.40	$112.40	—	—	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 76815TC PROVIDER PERFORMED ULTRASOUND	$112.40	$112.40	—	—	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US Pregnant Ltd w/ Biophysical	$595.40	$595.40	—	—	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US Pregnant Ltd +Transvaginal	$595.40	$595.40	—	—	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US Pregnant Ltd	$595.40	$595.40	—	—	—
Rib X-ray, one side, 2 views CPT 71100 XR Ribs 2 Views Bil	$743.50	$743.50	—	215% above	—
Rib X-ray, one side, 2 views one side CPT 71100 XR Ribs 2 Views Rt	$386.50	$386.50	—	64% above	—
Rib X-ray, one side, 2 views one side CPT 71100 XR Ribs 2 Views Lt	$386.50	$386.50	—	64% above	—
Rib X-ray, one side, 2 views inpatient CPT 71100 XR Ribs 2 Views Bil	$743.50	$743.50	—	—	—
Rib X-ray, one side, 2 views inpatient one side CPT 71100 XR Ribs 2 Views Lt	$386.50	$386.50	—	—	—
Rib X-ray, one side, 2 views inpatient one side CPT 71100 XR Ribs 2 Views Rt	$386.50	$386.50	—	—	—
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR Ribs Min 3 Views Rt w/ PA Chest	$654.50	$654.50	—	139% above	—
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR Ribs Min 3 Views Lt w/ PA Chest	$654.50	$654.50	—	139% above	—
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 XR Ribs Min 3 Views Lt w/ PA Chest	$654.50	$654.50	—	—	—
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 XR Ribs Min 3 Views Rt w/ PA Chest	$654.50	$654.50	—	—	—
Screening mammogram, both breasts CPT 77067 MA Routine Screen Digital Bil.	$249.50	$249.50	—	42% above	—
Screening mammogram, both breasts CPT 77067 MA Routine Screen Digital Bil	$256.80	$256.80	—	46% above	—
Screening mammogram, both breasts CPT 77067 MA ROUTINE SCREEN DIGITAL BIL TECH	$256.80	$256.80	—	46% above	—
Screening mammogram, both breasts one side CPT 77067 MA Routine Screen Rt	$141.90	$141.90	—	19% below	—
Screening mammogram, both breasts one side CPT 77067 MA Routine Screen Rt.	$153.20	$153.20	—	13% below	—
Screening mammogram, both breasts one side CPT 77067 MA Routine Screen Lt.	$153.20	$153.20	—	13% below	—
Screening mammogram, both breasts one side CPT 77067 MA ROUTINE SCREEN LT TECH	$156.90	$156.90	—	11% below	—
Screening mammogram, both breasts one side CPT 77067 MA ROUTINE SCREEN RT TECH	$156.90	$156.90	—	11% below	—
Screening mammogram, both breasts one side CPT 77067 MA Routine Screen Lt	$158.10	$158.10	—	10% below	—
Screening mammogram, both breasts inpatient CPT 77067 MA Routine Screen Digital Bil.	$249.50	$249.50	—	—	—
Screening mammogram, both breasts inpatient CPT 77067 MA ROUTINE SCREEN DIGITAL BIL TECH	$256.80	$256.80	—	—	—
Screening mammogram, both breasts inpatient CPT 77067 MA Routine Screen Digital Bil	$256.80	$256.80	—	—	—
Screening mammogram, both breasts inpatient one side CPT 77067 MA Routine Screen Rt	$141.90	$141.90	—	—	—
Screening mammogram, both breasts inpatient one side CPT 77067 MA Routine Screen Lt.	$153.20	$153.20	—	—	—
Screening mammogram, both breasts inpatient one side CPT 77067 MA Routine Screen Rt.	$153.20	$153.20	—	—	—
Screening mammogram, both breasts inpatient one side CPT 77067 MA ROUTINE SCREEN RT TECH	$156.90	$156.90	—	—	—
Screening mammogram, both breasts inpatient one side CPT 77067 MA ROUTINE SCREEN LT TECH	$156.90	$156.90	—	—	—
Screening mammogram, both breasts inpatient one side CPT 77067 MA Routine Screen Lt	$158.10	$158.10	—	—	—
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR Shoulder Comp Min 2 Views Lt	$447.10	$447.10	—	69% above	—
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR Shoulder Comp Min 2 Views Rt	$447.10	$447.10	—	69% above	—
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR Shoulder Comp 2 Views w/ Y View Lt	$512.60	$512.60	—	94% above	—
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR Shoulder Comp 2 Views w/ Y View Rt	$512.60	$512.60	—	94% above	—
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR Shoulder Comp Min 2 Views Lt	$447.10	$447.10	—	—	—
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR Shoulder Comp Min 2 Views Rt	$447.10	$447.10	—	—	—
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR Shoulder Comp 2 Views w/ Y View Lt	$512.60	$512.60	—	—	—
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR Shoulder Comp 2 Views w/ Y View Rt	$512.60	$512.60	—	—	—
Sinus X-ray, complete, 3 or more views CPT 70220 XR Sinuses Paranasal Comp Min 3 Views	$461.80	$461.80	—	55% above	—
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 XR Sinuses Paranasal Comp Min 3 Views	$461.80	$461.80	—	—	—
Skull X-ray, fewer than 4 views CPT 70250 XR Skull < 4 Views	$373.00	$373.00	—	45% above	—
Skull X-ray, fewer than 4 views inpatient CPT 70250 XR Skull < 4 Views	$373.00	$373.00	—	—	—
Sleep study in a lab (polysomnography) CPT 95810 95810 POLYSOMNOGRAPHY, INITIAL CHARGE	$344.60	$344.60	—	85% below	—
Sleep study in a lab (polysomnography) inpatient CPT 95810 95810 POLYSOMNOGRAPHY, INITIAL CHARGE	$344.60	$344.60	—	—	—
Swallow study (modified barium swallow, video X-ray) CPT 74230 XR Swallowing Funct w/ Video (Fluoro)	$482.90	$482.90	—	8% above	—
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 XR Swallowing Funct w/ Video (Fluoro)	$482.90	$482.90	—	—	—
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR Femur 2 Views Rt	$401.50	$401.50	—	56% above	—
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR Femur 2 Views Lt	$401.50	$401.50	—	56% above	—
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 XR Femur 2 Views Lt	$401.50	$401.50	—	—	—
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 XR Femur 2 Views Rt	$401.50	$401.50	—	—	—
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT Spine Thoracic w/o Cont	$1,979.70	$1,979.70	—	49% above	—
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT Spine Thoracic w/o Cont	$1,979.70	$1,979.70	—	—	—
Toe X-ray, 2 or more views one side CPT 73660 XR Toe(s) Min 2 Views Lt	$249.50	$249.50	—	25% above	—
Toe X-ray, 2 or more views one side CPT 73660 XR Toe(s) Min 2 Views Rt	$249.50	$249.50	—	25% above	—
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toe(s) Min 2 Views Rt	$249.50	$249.50	—	—	—
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toe(s) Min 2 Views Lt	$249.50	$249.50	—	—	—
Transvaginal pelvic ultrasound CPT 76830 U/S TRANSVAGINAL TECH	$744.70	$744.70	—	44% above	—
Transvaginal pelvic ultrasound CPT 76830 US Pelvis Transvaginal	$744.70	$744.70	—	44% above	—
Transvaginal pelvic ultrasound inpatient CPT 76830 U/S TRANSVAGINAL TECH	$744.70	$744.70	—	—	—
Transvaginal pelvic ultrasound inpatient CPT 76830 US Pelvis Transvaginal	$744.70	$744.70	—	—	—
Transvaginal ultrasound during pregnancy CPT 76817 US Pregnant > 14 Weeks+Transvag	$498.90	$498.90	—	17% above	—
Transvaginal ultrasound during pregnancy CPT 76817 US Pregnant Transvaginal	$498.90	$498.90	—	17% above	—
Transvaginal ultrasound during pregnancy CPT 76817 OB Transvaginal Pelvis	$744.70	$744.70	—	74% above	—
Transvaginal ultrasound during pregnancy CPT 76817 U/S OB TRANSVAGINAL TECH	$744.70	$744.70	—	74% above	—
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US Pregnant Transvaginal	$498.90	$498.90	—	—	—
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US Pregnant > 14 Weeks+Transvag	$498.90	$498.90	—	—	—
Transvaginal ultrasound during pregnancy inpatient CPT 76817 OB Transvaginal Pelvis	$744.70	$744.70	—	—	—
Transvaginal ultrasound during pregnancy inpatient CPT 76817 U/S OB TRANSVAGINAL TECH	$744.70	$744.70	—	—	—
Ultrasound of the abdomen, complete CPT 76700 US Abdomen Comp	$2,232.80	$2,232.80	—	180% above	—
Ultrasound of the abdomen, complete inpatient CPT 76700 US Abdomen Comp	$2,232.80	$2,232.80	—	—	—
Ultrasound of the scrotum and testicles CPT 76870 US Scrotum +Contents	$876.80	$876.80	—	54% above	—
Ultrasound of the scrotum and testicles inpatient CPT 76870 US Scrotum +Contents	$876.80	$876.80	—	—	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Thyroid	$818.80	$818.80	—	43% above	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US Thyroid	$818.80	$818.80	—	—	—
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR UGI w/ KUB	$753.30	$753.30	—	30% above	—
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR UGI w/ Air Cont w/ SB	$1,042.30	$1,042.30	—	80% above	—
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 XR UGI w/ KUB	$753.30	$753.30	—	—	—
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 XR UGI w/ Air Cont w/ SB	$1,042.30	$1,042.30	—	—	—
Upper arm X-ray (humerus), 2 views one side CPT 73060 XR Humerus Min 2 Views Rt	$386.50	$386.50	—	61% above	—
Upper arm X-ray (humerus), 2 views one side CPT 73060 XR Humerus Min 2 Views Lt	$386.50	$386.50	—	61% above	—
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XR Humerus Min 2 Views Rt	$386.50	$386.50	—	—	—
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XR Humerus Min 2 Views Lt	$386.50	$386.50	—	—	—
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US LE Veins Duplex Rt	$1,148.50	$1,148.50	—	88% above	—
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Venous Mapping Rt	$1,148.50	$1,148.50	—	88% above	—
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Venous Mapping Lt	$1,148.50	$1,148.50	—	88% above	—
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Venous Reflux Study Lt	$1,148.50	$1,148.50	—	88% above	—
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Venous Reflux Study Rt	$1,148.50	$1,148.50	—	88% above	—
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US LE Veins Duplex Lt	$1,148.50	$1,148.50	—	88% above	—
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US UE Veins Duplex Lt	$1,148.50	$1,148.50	—	88% above	—
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US UE Veins Duplex Rt	$1,148.50	$1,148.50	—	88% above	—
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US Venous Reflux Study Rt	$1,148.50	$1,148.50	—	—	—
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US Venous Mapping Rt	$1,148.50	$1,148.50	—	—	—
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US Venous Mapping Lt	$1,148.50	$1,148.50	—	—	—
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US Venous Reflux Study Lt	$1,148.50	$1,148.50	—	—	—
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US LE Veins Duplex Lt	$1,148.50	$1,148.50	—	—	—
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US UE Veins Duplex Rt	$1,148.50	$1,148.50	—	—	—
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US UE Veins Duplex Lt	$1,148.50	$1,148.50	—	—	—
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US LE Veins Duplex Rt	$1,148.50	$1,148.50	—	—	—
Wrist X-ray, 2 views one side CPT 73100 XR Wrist 2 Views Lt	$297.60	$297.60	—	45% above	—
Wrist X-ray, 2 views one side CPT 73100 XR Wrist 2 Views Rt	$297.60	$297.60	—	45% above	—
Wrist X-ray, 2 views inpatient one side CPT 73100 XR Wrist 2 Views Lt	$297.60	$297.60	—	—	—
Wrist X-ray, 2 views inpatient one side CPT 73100 XR Wrist 2 Views Rt	$297.60	$297.60	—	—	—
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist Comp Min 3 Views Lt	$401.50	$401.50	—	53% above	—
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist Comp Min 3 Views Rt	$401.50	$401.50	—	53% above	—
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR Wrist Comp Min 3 Views Rt	$401.50	$401.50	—	—	—
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR Wrist Comp Min 3 Views Lt	$401.50	$401.50	—	—	—
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip Comp Min 2 Views Lt	$447.10	$447.10	—	88% above	—
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip Comp Min 2 Views Rt	$447.10	$447.10	—	88% above	—
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR Hip Comp Min 2 Views Lt	$447.10	$447.10	—	—	—
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR Hip Comp Min 2 Views Rt	$447.10	$447.10	—	—	—
X-ray of the abdomen, 1 view CPT 74018 XR Abdomen Lat Decub 1 View	$338.30	$338.30	—	63% above	—
X-ray of the abdomen, 1 view CPT 74018 XR Abdomen 1 View	$412.50	$412.50	—	99% above	—
X-ray of the abdomen, 1 view CPT 74018 XR Abdomen Flat Plate 1 View	$412.50	$412.50	—	99% above	—
X-ray of the abdomen, 1 view CPT 74018 XR Abdomen Upright Only	$412.50	$412.50	—	99% above	—
X-ray of the abdomen, 1 view inpatient CPT 74018 XR Abdomen Lat Decub 1 View	$338.30	$338.30	—	—	—
X-ray of the abdomen, 1 view inpatient CPT 74018 XR Abdomen Flat Plate 1 View	$412.50	$412.50	—	—	—
X-ray of the abdomen, 1 view inpatient CPT 74018 XR Abdomen 1 View	$412.50	$412.50	—	—	—
X-ray of the abdomen, 1 view inpatient CPT 74018 XR Abdomen Upright Only	$412.50	$412.50	—	—	—
X-ray of the ankle, 2 views one side CPT 73600 XR Ankle 2 Views Rt	$397.70	$397.70	—	102% above	—
X-ray of the ankle, 2 views one side CPT 73600 XR Ankle 2 Views Lt	$397.70	$397.70	—	102% above	—
X-ray of the ankle, 2 views inpatient one side CPT 73600 XR Ankle 2 Views Lt	$397.70	$397.70	—	—	—
X-ray of the ankle, 2 views inpatient one side CPT 73600 XR Ankle 2 Views Rt	$397.70	$397.70	—	—	—
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Fingers Min 2 Views Rt	$297.60	$297.60	—	44% above	—
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Fingers Min 2 Views Lt	$297.60	$297.60	—	44% above	—
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Fingers Min 2 Views Rt	$297.60	$297.60	—	—	—
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Fingers Min 2 Views Lt	$297.60	$297.60	—	—	—
X-ray of the foot, 2 views one side CPT 73620 XR Foot 2 Views Rt	$274.20	$274.20	—	31% above	—
X-ray of the foot, 2 views one side CPT 73620 XR Foot 2 Views Lt	$274.20	$274.20	—	31% above	—
X-ray of the foot, 2 views inpatient one side CPT 73620 XR Foot 2 Views Lt	$274.20	$274.20	—	—	—
X-ray of the foot, 2 views inpatient one side CPT 73620 XR Foot 2 Views Rt	$274.20	$274.20	—	—	—
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR Foot Comp Min 3 Views Rt	$417.40	$417.40	—	55% above	—
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR Foot Comp Min 3 Views Lt	$417.40	$417.40	—	55% above	—
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR Foot Comp Min 3 Views Rt	$417.40	$417.40	—	—	—
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR Foot Comp Min 3 Views Lt	$417.40	$417.40	—	—	—
X-ray of the hand, 3 or more views one side CPT 73130 XR Hand Min 3 Views Lt	$419.90	$419.90	—	62% above	—
X-ray of the hand, 3 or more views one side CPT 73130 XR Hand Min 3 Views Rt	$419.90	$419.90	—	62% above	—
X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR Hand Min 3 Views Lt	$419.90	$419.90	—	—	—
X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR Hand Min 3 Views Rt	$419.90	$419.90	—	—	—
X-ray of the knee, 1 or 2 views one side CPT 73560 XR Knee 1 or 2 Views Lt	$386.50	$386.50	—	69% above	—
X-ray of the knee, 1 or 2 views one side CPT 73560 XR Knee 1 or 2 Views Rt	$386.50	$386.50	—	69% above	—
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR Knee 1 or 2 Views Lt	$386.50	$386.50	—	—	—
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR Knee 1 or 2 Views Rt	$386.50	$386.50	—	—	—
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR Spine Lumbosacral 2 or 3 Views	$563.20	$563.20	—	93% above	—
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR Spine Lumbosacral 2 or 3 Views	$563.20	$563.20	—	—	—
X-ray of the lower back, 4 or more views CPT 72110 XR Spine Lumbosacral Min 4 Views w/ Obl	$837.20	$837.20	—	97% above	—
X-ray of the lower back, 4 or more views inpatient CPT 72110 XR Spine Lumbosacral Min 4 Views w/ Obl	$837.20	$837.20	—	—	—
X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR Spine Thoracic 2 Views	$460.60	$460.60	—	83% above	—
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XR Spine Thoracic 2 Views	$460.60	$460.60	—	—	—
X-ray of the nasal bones, 3 or more views CPT 70160 XR Nasal Bones Comp Min 3 Views	$401.50	$401.50	—	61% above	—
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XR Nasal Bones Comp Min 3 Views	$401.50	$401.50	—	—	—
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR Spine Cerv 1-3 Views	$447.10	$447.10	—	53% above	—
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR Spine Cerv 1-3 Views	$447.10	$447.10	—	—	—
X-ray of the pelvis, 1 or 2 views CPT 72170 XR Pelvis 1 or 2 Views	$410.10	$410.10	—	85% above	—
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR Pelvis 1 or 2 Views	$410.10	$410.10	—	—	—
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR Sacrum +Coccyx Min 2 Views	$416.20	$416.20	—	63% above	—
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR Sacrum +Coccyx Min 2 Views	$416.20	$416.20	—	—	—

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Missouri	Off list
ACTH blood test CPT 82024 ACTH, Plasma LC	$258.70	$258.70	—	51% above	—
ACTH blood test inpatient CPT 82024 ACTH, Plasma LC	$258.70	$258.70	—	—	—
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT (SGPT) LC	$82.40	$82.40	—	69% above	—
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT	$82.40	$82.40	—	69% above	—
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT (SGPT) P5P	$85.90	$85.90	—	76% above	—
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT	$82.40	$82.40	—	—	—
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT (SGPT) LC	$82.40	$82.40	—	—	—
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT (SGPT) P5P	$85.90	$85.90	—	—	—
AST (aspartate aminotransferase) enzyme test CPT 84450 AST (SGOT) LC	$82.40	$82.40	—	77% above	—
AST (aspartate aminotransferase) enzyme test CPT 84450 AST	$82.40	$82.40	—	77% above	—
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST (SGOT) LC	$82.40	$82.40	—	—	—
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST	$82.40	$82.40	—	—	—
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Acute Hepatitis Panel BILL ONLY	$131.70	$131.70	—	45% below	—
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Hepatitis Panel, Acute LC	$138.50	$138.50	—	42% below	—
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Acute Hepatitis Panel BILL ONLY	$131.70	$131.70	—	—	—
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Hepatitis Panel, Acute LC	$138.50	$138.50	—	—	—
Albumin blood test CPT 82040 Albumin, Serum LC	$32.00	$32.00	—	at median	—
Albumin blood test CPT 82040 Albumin Level	$53.70	$53.70	—	67% above	—
Albumin blood test CPT 82040 Multiple Sclerosis (MS) Profile LC	$53.70	$53.70	—	67% above	—
Albumin blood test inpatient CPT 82040 Albumin, Serum LC	$32.00	$32.00	—	—	—
Albumin blood test inpatient CPT 82040 Multiple Sclerosis (MS) Profile LC	$53.70	$53.70	—	—	—
Albumin blood test inpatient CPT 82040 Albumin Level	$53.70	$53.70	—	—	—
Aldosterone blood test CPT 82088 Aldosterone, Urine LC	$77.80	$77.80	—	52% below	—
Aldosterone blood test CPT 82088 Aldosterone/Renin Ratio LC	$104.10	$104.10	—	36% below	—
Aldosterone blood test CPT 82088 zzAldosterone LCMS, Serum LC	$104.10	$104.10	—	36% below	—
Aldosterone blood test inpatient CPT 82088 Aldosterone, Urine LC	$77.80	$77.80	—	—	—
Aldosterone blood test inpatient CPT 82088 Aldosterone/Renin Ratio LC	$104.10	$104.10	—	—	—
Aldosterone blood test inpatient CPT 82088 zzAldosterone LCMS, Serum LC	$104.10	$104.10	—	—	—
Alkaline phosphatase (ALP) blood test CPT 84075 Alkaline Phosphatase	$35.50	$35.50	—	31% below	—
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Alkaline Phosphatase	$35.50	$35.50	—	—	—
Allergy blood test, specific IgE, per allergen CPT 86003 F049-IgE Apple LC	$8.00	$8.00	—	63% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 F338-IgE Scallop LC	$8.00	$8.00	—	63% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 K082-IgE Latex LC	$8.00	$8.00	—	63% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Cat Dander, IgE PRL	$11.40	$11.40	—	47% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 IgE Tomato LC	$11.40	$11.40	—	47% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 IgE Cashew Nut LC	$11.40	$11.40	—	47% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 IgE Corn LC	$11.40	$11.40	—	47% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 IgE Wheat LC	$11.40	$11.40	—	47% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 IgE Soybean LC	$11.40	$11.40	—	47% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 IgE Dog Dander LC	$11.40	$11.40	—	47% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 IgE Alternaria alternata LC	$11.40	$11.40	—	47% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 IgE Cat Dander LC	$11.40	$11.40	—	47% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 IgE Milk LC	$11.40	$11.40	—	47% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Box Elder (Maple), IgE PRL	$11.40	$11.40	—	47% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 IgE Egg White LC	$11.40	$11.40	—	47% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 IgE Peanut LC	$11.40	$11.40	—	47% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 IgE Pecan Nut LC	$11.40	$11.40	—	47% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Cladosporium (Mold) , IgE PRL	$11.40	$11.40	—	47% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Cockroach, IgE PRL	$11.40	$11.40	—	47% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 M208-IgE Chaetomium globosum LC	$11.40	$11.40	—	47% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Cottonwood, IgE PRL	$11.40	$11.40	—	47% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 D. farinae (Dust Mite), IgE PRL	$11.40	$11.40	—	47% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 D. pteronyssinus (Mite), IgE PRL	$11.40	$11.40	—	47% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 WMMC 86003 ALLERGEN	$11.40	$11.40	—	47% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Dog Dander, IgE PRL	$11.40	$11.40	—	47% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Elm, IgE PRL	$11.40	$11.40	—	47% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 F092-IgE Banana LC	$11.40	$11.40	—	47% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Mountain Cedar, IgE PRL	$11.40	$11.40	—	47% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 IgE Potato, White LC	$11.40	$11.40	—	47% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Mulberry, IgE PRL	$11.40	$11.40	—	47% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Nettle, IgE PRL	$11.40	$11.40	—	47% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Oak, IgE PRL	$11.40	$11.40	—	47% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Penicillium notatum, IgE PRL	$11.40	$11.40	—	47% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Ragweed (Short), IgE PRL	$11.40	$11.40	—	47% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Russian Thistle, IgE PRL	$11.40	$11.40	—	47% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Sheep Sorrel, IgE PRL	$11.40	$11.40	—	47% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 86003	$11.40	$11.40	—	47% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Timothy (Grass), IgE PRL	$11.40	$11.40	—	47% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 White Ash, IgE PRL	$11.40	$11.40	—	47% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Clam, IgE PRL	$11.40	$11.40	—	47% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Codfish, IgE PRL	$11.40	$11.40	—	47% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Corn, IgE PRL	$11.40	$11.40	—	47% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Egg White, IgE PRL	$11.40	$11.40	—	47% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Scallop, IgE PRL	$11.40	$11.40	—	47% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Sesame Seed, IgE PRL	$11.40	$11.40	—	47% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Walnut (Food), IgE PRL	$11.40	$11.40	—	47% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Gluten IgE (F079) LC	$11.40	$11.40	—	47% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 IgG Casein LC	$11.40	$11.40	—	47% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 IgE Ragweed Giant LC	$11.40	$11.40	—	47% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 IgE Catfish LC	$11.40	$11.40	—	47% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 IgE Turkey LC	$11.40	$11.40	—	47% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 IgE Black Pepper LC	$11.40	$11.40	—	47% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 IgE Onion LC	$11.40	$11.40	—	47% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 IgE Yeast LC	$11.40	$11.40	—	47% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 IgE Oat LC	$11.40	$11.40	—	47% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 IgE Walnut LC	$11.40	$11.40	—	47% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 IgE Clam LC	$11.40	$11.40	—	47% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 IgE Carrot LC	$11.40	$11.40	—	47% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 IgE Green Pea LC	$11.40	$11.40	—	47% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 IgE Strawberry LC	$11.40	$11.40	—	47% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 IgE Rice LC	$11.40	$11.40	—	47% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 IgE Beef LC	$11.40	$11.40	—	47% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 IgE Barley LC	$11.40	$11.40	—	47% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 IgE Whey LC	$11.40	$11.40	—	47% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 IgE Chicken LC	$11.40	$11.40	—	47% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 IgE Pork LC	$11.40	$11.40	—	47% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 IgE Lobster LC	$11.40	$11.40	—	47% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 IgE Crab LC	$11.40	$11.40	—	47% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 IgE Chocolate/Cacao LC	$11.40	$11.40	—	47% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 IgE Egg (Yolk) LC	$11.40	$11.40	—	47% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 IgE Pistachio Nut LC	$11.40	$11.40	—	47% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 IgE Sesame Seed LC	$11.40	$11.40	—	47% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 IgE Hazelnut (Filbert) LC	$11.40	$11.40	—	47% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 IgE Almond LC	$11.40	$11.40	—	47% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 IgE Brazil Nut LC	$11.40	$11.40	—	47% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 IgE D farinae LC	$11.40	$11.40	—	47% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 IgE Orange LC	$11.40	$11.40	—	47% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 D002-IgE D farinae LC	$12.50	$12.50	—	42% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 T070-IgE White Mulberry LC	$12.50	$12.50	—	42% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 W001-IgE Ragweed, Short/Commo LC	$12.50	$12.50	—	42% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 F008-IgE Corn LC	$12.50	$12.50	—	42% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 T022 - IgE Pecan, Hickory LC	$12.50	$12.50	—	42% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 I006 IgE Cockroach German LC	$12.50	$12.50	—	42% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 F009-IgE Rice LC	$12.50	$12.50	—	42% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 G002-IgE Bermuda Grass LC	$12.50	$12.50	—	42% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 F005-IgE Rye LC	$12.50	$12.50	—	42% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 T007-IgE Oak, White LC	$12.50	$12.50	—	42% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 T008-IgE Elm, American (White) LC	$12.50	$12.50	—	42% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 F006-IgE Barley, Whole Grain LC	$12.50	$12.50	—	42% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 T006-IgE Cedar, Mountain LC	$12.50	$12.50	—	42% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 W014-IgE Pigweed, Common LC	$12.50	$12.50	—	42% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 T010 - IgE Walnut LC	$12.50	$12.50	—	42% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 D001-IgE D pteronyssinus LC	$12.50	$12.50	—	42% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 T014-IgE Cottonwood LC	$12.50	$12.50	—	42% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 T015-IgE Ash, White LC	$12.50	$12.50	—	42% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 T001-IgE Maple/Box Elder LC	$12.50	$12.50	—	42% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 W016-IgE Marsh Elder, Rough LC	$12.50	$12.50	—	42% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 M003-IgE Aspergillus fumigatu LC	$12.50	$12.50	—	42% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 T011-IGE Maple Leaf Sycamore LC	$12.50	$12.50	—	42% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 W011-IgE Thistle, Russian LC	$12.50	$12.50	—	42% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 E072-IgE Mouse Urine	$12.50	$12.50	—	42% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 E005-IgE Dog Dander LC	$12.50	$12.50	—	42% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 E001-IgE Cat Hair/Dander LC	$12.50	$12.50	—	42% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 M002-IgE Cladosporium herbaru LC	$12.50	$12.50	—	42% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 M001-IgE Penicillium notatum LC	$12.50	$12.50	—	42% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 F004-IgE Wheat LC	$12.50	$12.50	—	42% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 F007-IgE Oat LC	$12.50	$12.50	—	42% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 F256-IgE Walnut LC	$14.90	$14.90	—	31% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 W014-IgE Pigweed, Rough LC	$14.90	$14.90	—	31% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 F001-IgE Egg White LC	$14.90	$14.90	—	31% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 E002-IgE Dog Epithelia LC	$14.90	$14.90	—	31% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 T061-IgE Sycamore, American LC	$14.90	$14.90	—	31% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 M010-IgE Stemphylium botryosu LC	$14.90	$14.90	—	31% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 F002-IgE Milk LC	$14.90	$14.90	—	31% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 F014-IgE Soybean LC	$14.90	$14.90	—	31% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 F003-IgE Codfish LC	$14.90	$14.90	—	31% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 F024-IgE Shrimp LC	$14.90	$14.90	—	31% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 W009-IgE Plantain, English LC	$14.90	$14.90	—	31% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 I206-IgE Cockroach, American LC	$14.90	$14.90	—	31% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 M006-IgE Alternaria tenuis LC	$14.90	$14.90	—	31% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 F013-IgE Peanut LC	$14.90	$14.90	—	31% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, IgE	$21.80	$21.80	—	1% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 Shrimp, IgE PRL	$21.80	$21.80	—	1% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 IgE Penicillin V, LC	$21.80	$21.80	—	1% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 IgE Sweet Chestnut LC	$21.80	$21.80	—	1% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 F253-IgE Pine Nut, Pignoles LC	$21.80	$21.80	—	1% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 Alternaria (Mold), IgE PRL	$21.80	$21.80	—	1% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 T041-IgE Hickory, White LC	$25.00	$25.00	—	16% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 W020-IgE Nettle LC	$25.00	$25.00	—	16% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 W018-IgE Sheep Sorrel(Dock) LC	$25.00	$25.00	—	16% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 F017-IgE Hazelnut (Filbert) LC	$25.30	$25.30	—	17% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 M006-IgE Alternaria alternata LC	$25.30	$25.30	—	17% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 M005-IgE Candida albicans LC	$25.30	$25.30	—	17% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 M014-IgE Epicoccum purpurasce LC	$25.30	$25.30	—	17% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 M012-IgE Aureobasidium pullul LC	$25.30	$25.30	—	17% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 F203-IgE Pistachio Nut LC	$25.30	$25.30	—	17% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 M004-IgE Mucor racemosus LC	$25.30	$25.30	—	17% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 F201-IgE Pecan Nut LC	$25.30	$25.30	—	17% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 M010-IgE Stemphylium herbarum LC	$25.30	$25.30	—	17% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 F202-IgE Cashew Nut LC	$25.30	$25.30	—	17% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 F036-IgE Coconut LC	$25.30	$25.30	—	17% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 F020-IgE Almond LC	$25.30	$25.30	—	17% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 M008-IgE Setomelanomma rostrat LC	$25.30	$25.30	—	17% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 F018-IgE Brazil Nut LC	$25.30	$25.30	—	17% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 M013-IgE Phoma Betae LC	$25.30	$25.30	—	17% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 M009-IgE Fusarium moniliforme LC	$25.30	$25.30	—	17% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 G010-IgE Johnson Grass LC	$29.80	$29.80	—	38% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 G008-IgE Bluegrass, Kentucky LC	$29.80	$29.80	—	38% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 IgE Codfish LC	$38.90	$38.90	—	81% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 Beef, IgE PRL	$41.20	$41.20	—	91% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 Milk, IgE PRL	$41.20	$41.20	—	91% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 Wheat (Food), IgE PRL	$41.20	$41.20	—	91% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 Peanut, IgE PRL	$41.20	$41.20	—	91% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 Pork, IgE PRL	$41.20	$41.20	—	91% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 Soybean, IgE PRL	$41.20	$41.20	—	91% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Profile, Food-Grain LC	$49.20	$49.20	—	128% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 IgE Shrimp LC	$61.10	$61.10	—	184% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 IgE Tuna LC	$61.10	$61.10	—	184% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 IgE Lamb's Quarters LC	$61.10	$61.10	—	184% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Profile, Basic Food LC	$74.40	$74.40	—	245% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Profile, Mold LC	$99.60	$99.60	—	362% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Profile Latex Plus LC	$174.00	$174.00	—	708% above	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 K082-IgE Latex LC	$8.00	$8.00	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F338-IgE Scallop LC	$8.00	$8.00	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F049-IgE Apple LC	$8.00	$8.00	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Penicillium notatum, IgE PRL	$11.40	$11.40	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 M208-IgE Chaetomium globosum LC	$11.40	$11.40	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WMMC 86003 ALLERGEN	$11.40	$11.40	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F092-IgE Banana LC	$11.40	$11.40	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Potato, White LC	$11.40	$11.40	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003	$11.40	$11.40	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgG Casein LC	$11.40	$11.40	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Ragweed Giant LC	$11.40	$11.40	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Catfish LC	$11.40	$11.40	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Turkey LC	$11.40	$11.40	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Black Pepper LC	$11.40	$11.40	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Onion LC	$11.40	$11.40	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Yeast LC	$11.40	$11.40	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Oat LC	$11.40	$11.40	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Walnut LC	$11.40	$11.40	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Clam LC	$11.40	$11.40	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Carrot LC	$11.40	$11.40	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Green Pea LC	$11.40	$11.40	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Strawberry LC	$11.40	$11.40	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Rice LC	$11.40	$11.40	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Beef LC	$11.40	$11.40	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Barley LC	$11.40	$11.40	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Whey LC	$11.40	$11.40	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Chicken LC	$11.40	$11.40	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Pork LC	$11.40	$11.40	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Lobster LC	$11.40	$11.40	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Crab LC	$11.40	$11.40	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Chocolate/Cacao LC	$11.40	$11.40	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Egg (Yolk) LC	$11.40	$11.40	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Pistachio Nut LC	$11.40	$11.40	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Sesame Seed LC	$11.40	$11.40	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Hazelnut (Filbert) LC	$11.40	$11.40	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Almond LC	$11.40	$11.40	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Brazil Nut LC	$11.40	$11.40	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE D farinae LC	$11.40	$11.40	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Orange LC	$11.40	$11.40	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Pecan Nut LC	$11.40	$11.40	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Tomato LC	$11.40	$11.40	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Cashew Nut LC	$11.40	$11.40	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Corn LC	$11.40	$11.40	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Wheat LC	$11.40	$11.40	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Soybean LC	$11.40	$11.40	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Dog Dander LC	$11.40	$11.40	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Alternaria alternata LC	$11.40	$11.40	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Cat Dander LC	$11.40	$11.40	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Milk LC	$11.40	$11.40	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Egg White LC	$11.40	$11.40	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Peanut LC	$11.40	$11.40	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Gluten IgE (F079) LC	$11.40	$11.40	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Walnut (Food), IgE PRL	$11.40	$11.40	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Sesame Seed, IgE PRL	$11.40	$11.40	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Scallop, IgE PRL	$11.40	$11.40	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Egg White, IgE PRL	$11.40	$11.40	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Corn, IgE PRL	$11.40	$11.40	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Codfish, IgE PRL	$11.40	$11.40	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Clam, IgE PRL	$11.40	$11.40	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 White Ash, IgE PRL	$11.40	$11.40	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Timothy (Grass), IgE PRL	$11.40	$11.40	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Sheep Sorrel, IgE PRL	$11.40	$11.40	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Russian Thistle, IgE PRL	$11.40	$11.40	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ragweed (Short), IgE PRL	$11.40	$11.40	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Oak, IgE PRL	$11.40	$11.40	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Nettle, IgE PRL	$11.40	$11.40	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Mulberry, IgE PRL	$11.40	$11.40	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Mountain Cedar, IgE PRL	$11.40	$11.40	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Elm, IgE PRL	$11.40	$11.40	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Dog Dander, IgE PRL	$11.40	$11.40	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 D. pteronyssinus (Mite), IgE PRL	$11.40	$11.40	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 D. farinae (Dust Mite), IgE PRL	$11.40	$11.40	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cottonwood, IgE PRL	$11.40	$11.40	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cockroach, IgE PRL	$11.40	$11.40	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cladosporium (Mold) , IgE PRL	$11.40	$11.40	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cat Dander, IgE PRL	$11.40	$11.40	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Box Elder (Maple), IgE PRL	$11.40	$11.40	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 T070-IgE White Mulberry LC	$12.50	$12.50	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F004-IgE Wheat LC	$12.50	$12.50	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F007-IgE Oat LC	$12.50	$12.50	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 T011-IGE Maple Leaf Sycamore LC	$12.50	$12.50	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 E072-IgE Mouse Urine	$12.50	$12.50	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 W011-IgE Thistle, Russian LC	$12.50	$12.50	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 W016-IgE Marsh Elder, Rough LC	$12.50	$12.50	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 E001-IgE Cat Hair/Dander LC	$12.50	$12.50	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 T015-IgE Ash, White LC	$12.50	$12.50	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 T006-IgE Cedar, Mountain LC	$12.50	$12.50	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 I006 IgE Cockroach German LC	$12.50	$12.50	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 T001-IgE Maple/Box Elder LC	$12.50	$12.50	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 D001-IgE D pteronyssinus LC	$12.50	$12.50	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 M003-IgE Aspergillus fumigatu LC	$12.50	$12.50	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 M002-IgE Cladosporium herbaru LC	$12.50	$12.50	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 M001-IgE Penicillium notatum LC	$12.50	$12.50	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 W001-IgE Ragweed, Short/Commo LC	$12.50	$12.50	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F005-IgE Rye LC	$12.50	$12.50	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 E005-IgE Dog Dander LC	$12.50	$12.50	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 D002-IgE D farinae LC	$12.50	$12.50	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 W014-IgE Pigweed, Common LC	$12.50	$12.50	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 T022 - IgE Pecan, Hickory LC	$12.50	$12.50	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 T008-IgE Elm, American (White) LC	$12.50	$12.50	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 T010 - IgE Walnut LC	$12.50	$12.50	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 T007-IgE Oak, White LC	$12.50	$12.50	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 T014-IgE Cottonwood LC	$12.50	$12.50	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 G002-IgE Bermuda Grass LC	$12.50	$12.50	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F006-IgE Barley, Whole Grain LC	$12.50	$12.50	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F009-IgE Rice LC	$12.50	$12.50	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F008-IgE Corn LC	$12.50	$12.50	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 E002-IgE Dog Epithelia LC	$14.90	$14.90	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F002-IgE Milk LC	$14.90	$14.90	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F013-IgE Peanut LC	$14.90	$14.90	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F024-IgE Shrimp LC	$14.90	$14.90	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F256-IgE Walnut LC	$14.90	$14.90	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 W009-IgE Plantain, English LC	$14.90	$14.90	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 M010-IgE Stemphylium botryosu LC	$14.90	$14.90	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 M006-IgE Alternaria tenuis LC	$14.90	$14.90	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 W014-IgE Pigweed, Rough LC	$14.90	$14.90	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F014-IgE Soybean LC	$14.90	$14.90	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F003-IgE Codfish LC	$14.90	$14.90	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 I206-IgE Cockroach, American LC	$14.90	$14.90	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 T061-IgE Sycamore, American LC	$14.90	$14.90	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F001-IgE Egg White LC	$14.90	$14.90	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F253-IgE Pine Nut, Pignoles LC	$21.80	$21.80	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Shrimp, IgE PRL	$21.80	$21.80	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Alternaria (Mold), IgE PRL	$21.80	$21.80	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Sweet Chestnut LC	$21.80	$21.80	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Penicillin V, LC	$21.80	$21.80	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, IgE	$21.80	$21.80	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 W018-IgE Sheep Sorrel(Dock) LC	$25.00	$25.00	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 T041-IgE Hickory, White LC	$25.00	$25.00	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 W020-IgE Nettle LC	$25.00	$25.00	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F020-IgE Almond LC	$25.30	$25.30	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 M014-IgE Epicoccum purpurasce LC	$25.30	$25.30	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 M010-IgE Stemphylium herbarum LC	$25.30	$25.30	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F036-IgE Coconut LC	$25.30	$25.30	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F202-IgE Cashew Nut LC	$25.30	$25.30	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F203-IgE Pistachio Nut LC	$25.30	$25.30	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 M005-IgE Candida albicans LC	$25.30	$25.30	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F201-IgE Pecan Nut LC	$25.30	$25.30	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F017-IgE Hazelnut (Filbert) LC	$25.30	$25.30	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 M008-IgE Setomelanomma rostrat LC	$25.30	$25.30	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 M009-IgE Fusarium moniliforme LC	$25.30	$25.30	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 M004-IgE Mucor racemosus LC	$25.30	$25.30	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 M012-IgE Aureobasidium pullul LC	$25.30	$25.30	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 M013-IgE Phoma Betae LC	$25.30	$25.30	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F018-IgE Brazil Nut LC	$25.30	$25.30	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 M006-IgE Alternaria alternata LC	$25.30	$25.30	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 G008-IgE Bluegrass, Kentucky LC	$29.80	$29.80	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 G010-IgE Johnson Grass LC	$29.80	$29.80	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Codfish LC	$38.90	$38.90	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Soybean, IgE PRL	$41.20	$41.20	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Pork, IgE PRL	$41.20	$41.20	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Peanut, IgE PRL	$41.20	$41.20	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Beef, IgE PRL	$41.20	$41.20	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Wheat (Food), IgE PRL	$41.20	$41.20	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Milk, IgE PRL	$41.20	$41.20	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Profile, Food-Grain LC	$49.20	$49.20	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Tuna LC	$61.10	$61.10	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Lamb's Quarters LC	$61.10	$61.10	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Shrimp LC	$61.10	$61.10	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Profile, Basic Food LC	$74.40	$74.40	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Profile, Mold LC	$99.60	$99.60	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Profile Latex Plus LC	$174.00	$174.00	—	—	—
Alpha-fetoprotein (AFP) blood test CPT 82105 AFP Tetra LC	$65.30	$65.30	—	32% below	—
Alpha-fetoprotein (AFP) blood test CPT 82105 AFP, Serum, Tumor Marker LC	$93.90	$93.90	—	2% below	—
Alpha-fetoprotein (AFP) blood test CPT 82105 AFP Serum Open Spina Bifida LC	$143.10	$143.10	—	49% above	—
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 AFP Tetra LC	$65.30	$65.30	—	—	—
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 AFP, Serum, Tumor Marker LC	$93.90	$93.90	—	—	—
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 AFP Serum Open Spina Bifida LC	$143.10	$143.10	—	—	—
Ammonia blood test CPT 82140 82140	$54.80	$54.80	—	28% below	—
Ammonia blood test CPT 82140 Ammonia Level	$172.80	$172.80	—	126% above	—
Ammonia blood test inpatient CPT 82140 82140	$54.80	$54.80	—	—	—
Ammonia blood test inpatient CPT 82140 Ammonia Level	$172.80	$172.80	—	—	—
Amylase blood test CPT 82150 Amylase, Body Fluid LC	$28.70	$28.70	—	50% below	—
Amylase blood test CPT 82150 Amylase Level Urine	$53.70	$53.70	—	6% below	—
Amylase blood test CPT 82150 Amylase Level 24 Hour Urine.	$67.60	$67.60	—	18% above	—
Amylase blood test CPT 82150 Amylase Level 24 Hour Urine	$67.60	$67.60	—	18% above	—
Amylase blood test CPT 82150 Amylase Level	$155.60	$155.60	—	172% above	—
Amylase blood test CPT 82150 Amylase LC	$155.60	$155.60	—	172% above	—
Amylase blood test inpatient CPT 82150 Amylase, Body Fluid LC	$28.70	$28.70	—	—	—
Amylase blood test inpatient CPT 82150 Amylase Level Urine	$53.70	$53.70	—	—	—
Amylase blood test inpatient CPT 82150 Amylase Level 24 Hour Urine	$67.60	$67.60	—	—	—
Amylase blood test inpatient CPT 82150 Amylase Level 24 Hour Urine.	$67.60	$67.60	—	—	—
Amylase blood test inpatient CPT 82150 Amylase LC	$155.60	$155.60	—	—	—
Amylase blood test inpatient CPT 82150 Amylase Level	$155.60	$155.60	—	—	—
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP Antibodies IgG/IgA LC	$73.20	$73.20	—	9% below	—
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP Antibodies IgG/IgA LC	$73.20	$73.20	—	—	—
Antinuclear antibody (ANA) blood test, screen CPT 86038 Antinuclear Antibodies Direct LC	$56.20	$56.20	—	15% below	—
Antinuclear antibody (ANA) blood test, screen CPT 86038 Antinuclear Antibodies, IFA LC	$56.20	$56.20	—	15% below	—
Antinuclear antibody (ANA) blood test, screen CPT 86038 .Positive ANCA Reflex LC	$56.20	$56.20	—	15% below	—
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA, ReflexTiter & Pattrn PRL	$56.20	$56.20	—	15% below	—
Antinuclear antibody (ANA) blood test, screen CPT 86038 .ANA Panel for ANCA LC	$65.30	$65.30	—	2% below	—
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Antinuclear Antibodies, IFA LC	$56.20	$56.20	—	—	—
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Antinuclear Antibodies Direct LC	$56.20	$56.20	—	—	—
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA, ReflexTiter & Pattrn PRL	$56.20	$56.20	—	—	—
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 .Positive ANCA Reflex LC	$56.20	$56.20	—	—	—
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 .ANA Panel for ANCA LC	$65.30	$65.30	—	—	—
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Brain Natriuretic Peptide (BNP)	$40.00	$40.00	—	68% below	—
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B-Type Natriuretic Peptide	$40.00	$40.00	—	68% below	—
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 proBNP LC	$241.40	$241.40	—	94% above	—
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B-Type Natriuretic Peptide LC	$241.40	$241.40	—	94% above	—
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NT Pro-BNP	$275.00	$275.00	—	122% above	—
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 Brain Natriuretic Peptide (BNP)	$40.00	$40.00	—	—	—
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 B-Type Natriuretic Peptide	$40.00	$40.00	—	—	—
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 B-Type Natriuretic Peptide LC	$241.40	$241.40	—	—	—
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 proBNP LC	$241.40	$241.40	—	—	—
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NT Pro-BNP	$275.00	$275.00	—	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Catheter Tip Culture	$96.20	$96.20	—	41% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Sputum Culture	$104.10	$104.10	—	52% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Bronchial Culture	$104.10	$104.10	—	52% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Aerobic Bacterial Culture LC	$133.90	$133.90	—	96% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Body Fluid Culture, Sterile LC	$133.90	$133.90	—	96% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Legionella pneumophila DFA LC	$138.50	$138.50	—	103% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CSF Culture	$200.30	$200.30	—	193% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Nasal Culture	$200.30	$200.30	—	193% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Throat Culture	$200.30	$200.30	—	193% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Anaerobic/Aerobic/Gram Stain LC	$267.80	$267.80	—	292% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Catheter Tip Culture	$96.20	$96.20	—	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Sputum Culture	$104.10	$104.10	—	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Bronchial Culture	$104.10	$104.10	—	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Body Fluid Culture, Sterile LC	$133.90	$133.90	—	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Aerobic Bacterial Culture LC	$133.90	$133.90	—	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Legionella pneumophila DFA LC	$138.50	$138.50	—	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Nasal Culture	$200.30	$200.30	—	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Throat Culture	$200.30	$200.30	—	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CSF Culture	$200.30	$200.30	—	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Anaerobic/Aerobic/Gram Stain LC	$267.80	$267.80	—	—	—
Basic metabolic panel (blood test) CPT 80048 BMP 1	$30.00	$30.00	—	73% below	—
Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Panel (8) LC	$281.50	$281.50	—	152% above	—
Basic metabolic panel (blood test) inpatient CPT 80048 BMP 1	$30.00	$30.00	—	—	—
Basic metabolic panel (blood test) inpatient CPT 80048 Basic Metabolic Panel (8) LC	$281.50	$281.50	—	—	—
Bilirubin blood test, total CPT 82247 Bilirubin Neonatal <30	$82.40	$82.40	—	67% above	—
Bilirubin blood test, total CPT 82247 Bilirubin Total	$82.40	$82.40	—	67% above	—
Bilirubin blood test, total CPT 82247 Bilirubin, Total LC	$85.90	$85.90	—	74% above	—
Bilirubin blood test, total inpatient CPT 82247 Bilirubin Neonatal <30	$82.40	$82.40	—	—	—
Bilirubin blood test, total inpatient CPT 82247 Bilirubin Total	$82.40	$82.40	—	—	—
Bilirubin blood test, total inpatient CPT 82247 Bilirubin, Total LC	$85.90	$85.90	—	—	—
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Bill Gross & Micro - Multiple	$531.00	$531.00	—	168% above	—
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Bill Gross & Micro - Multiple	$531.00	$531.00	—	—	—
Blood culture for bacteria CPT 87040 Blood Culture	$205.90	$205.90	—	85% above	—
Blood culture for bacteria inpatient CPT 87040 Blood Culture	$205.90	$205.90	—	—	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Bill Capillary - Venipuncture	$38.90	$38.90	—	139% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLLECTION: Venous Draw	$38.90	$38.90	—	139% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE	$38.90	$38.90	—	139% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Bill Collection: Venous Draw	$38.90	$38.90	—	139% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 36415 VENIPUNCTURE CHARGE	$38.90	$38.90	—	139% above	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Bill Capillary - Venipuncture	$38.90	$38.90	—	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE	$38.90	$38.90	—	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 36415 VENIPUNCTURE CHARGE	$38.90	$38.90	—	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Bill Collection: Venous Draw	$38.90	$38.90	—	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 COLLECTION: Venous Draw	$38.90	$38.90	—	—	—
Blood glucose (sugar) test CPT 82947 Glucose Level LC	$16.00	$16.00	—	46% below	—
Blood glucose (sugar) test CPT 82947 Blood Glucose Monitoring POC	$17.38	$17.38	—	42% below	—
Blood glucose (sugar) test CPT 82947 Fasting Glucose	$32.60	$32.60	—	9% above	—
Blood glucose (sugar) test CPT 82947 Glucose Level	$44.60	$44.60	—	49% above	—
Blood glucose (sugar) test CPT 82947 Glucose, Fasting	$44.60	$44.60	—	49% above	—
Blood glucose (sugar) test CPT 82947 Glucose, iSTAT	$45.00	$45.00	—	51% above	—
Blood glucose (sugar) test inpatient CPT 82947 Glucose Level LC	$16.00	$16.00	—	—	—
Blood glucose (sugar) test inpatient CPT 82947 Blood Glucose Monitoring POC	$17.38	$17.38	—	—	—
Blood glucose (sugar) test inpatient CPT 82947 Fasting Glucose	$32.60	$32.60	—	—	—
Blood glucose (sugar) test inpatient CPT 82947 Glucose, Fasting	$44.60	$44.60	—	—	—
Blood glucose (sugar) test inpatient CPT 82947 Glucose Level	$44.60	$44.60	—	—	—
Blood glucose (sugar) test inpatient CPT 82947 Glucose, iSTAT	$45.00	$45.00	—	—	—
Blood lead test CPT 83655 Lead, U LC	$36.70	$36.70	—	33% below	—
Blood lead test CPT 83655 Lead (Pediatric) LC	$69.80	$69.80	—	28% above	—
Blood lead test CPT 83655 Lead, Blood (Adult) LC	$79.00	$79.00	—	45% above	—
Blood lead test inpatient CPT 83655 Lead, U LC	$36.70	$36.70	—	—	—
Blood lead test inpatient CPT 83655 Lead (Pediatric) LC	$69.80	$69.80	—	—	—
Blood lead test inpatient CPT 83655 Lead, Blood (Adult) LC	$79.00	$79.00	—	—	—
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Pregnancy Test Serum 2	$123.50	$123.50	—	132% above	—
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Pregnancy Test Serum	$123.50	$123.50	—	132% above	—
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 hCG Beta Subunit,Qual LC	$123.50	$123.50	—	132% above	—
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Pregnancy Test Serum	$123.50	$123.50	—	—	—
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Pregnancy Test Serum 2	$123.50	$123.50	—	—	—
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 hCG Beta Subunit,Qual LC	$123.50	$123.50	—	—	—
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BILL ABO GROUP BY CBC	$30.90	$30.90	—	38% below	—
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO/Rh Echo	$63.00	$63.00	—	26% above	—
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Post TR ABO/Rh 8	$63.00	$63.00	—	26% above	—
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO/Rh 8	$63.00	$63.00	—	26% above	—
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING,ABO	$63.00	$63.00	—	26% above	—
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Cord ABO/Rh Gel Interp	$63.00	$63.00	—	26% above	—
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BILL ABO GROUP BY CBC	$30.90	$30.90	—	—	—
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO/Rh Echo	$63.00	$63.00	—	—	—
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Cord ABO/Rh Gel Interp	$63.00	$63.00	—	—	—
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BLOOD TYPING,ABO	$63.00	$63.00	—	—	—
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Post TR ABO/Rh 8	$63.00	$63.00	—	—	—
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO/Rh 8	$63.00	$63.00	—	—	—
Blood urea nitrogen (BUN) test CPT 84520 BUN	$69.80	$69.80	—	88% above	—
Blood urea nitrogen (BUN) test inpatient CPT 84520 BUN	$69.80	$69.80	—	—	—
C-peptide blood test CPT 84681 C-Peptide LC	$104.10	$104.10	—	1% below	—
C-peptide blood test inpatient CPT 84681 C-Peptide LC	$104.10	$104.10	—	—	—
C. difficile toxin gene test (stool PCR) CPT 87493 Bill only C difficile PCR test	$205.50	$205.50	—	35% above	—
C. difficile toxin gene test (stool PCR) CPT 87493 C Difficile, PCR	$211.80	$211.80	—	39% above	—
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 Bill only C difficile PCR test	$205.50	$205.50	—	—	—
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C Difficile, PCR	$211.80	$211.80	—	—	—
CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 LC	$76.70	$76.70	—	27% below	—
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9 LC	$76.70	$76.70	—	—	—
CA-125 blood test (ovarian cancer marker) CPT 86304 Cancer Antigen (CA) 125 LC	$80.10	$80.10	—	27% below	—
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Cancer Antigen (CA) 125 LC	$80.10	$80.10	—	—	—
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-CoV-2 (COVID-19) BioGX (BD Max)	$304.40	$304.40	—	214% above	—
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 2019 Novel Coronavirus (CoVID-19), NAA LC	$313.50	$313.50	—	223% above	—
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-CoV-2 (COVID-19) BioGX (BD Max)	$304.40	$304.40	—	—	—
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 2019 Novel Coronavirus (CoVID-19), NAA LC	$313.50	$313.50	—	—	—
Calcium blood test, total CPT 82310 Calcium Level	$80.10	$80.10	—	73% above	—
Calcium blood test, total inpatient CPT 82310 Calcium Level	$80.10	$80.10	—	—	—
Carcinoembryonic antigen (CEA) test CPT 82378 CEA	$164.70	$164.70	—	61% above	—
Carcinoembryonic antigen (CEA) test CPT 82378 CEA LC	$164.70	$164.70	—	61% above	—
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CEA	$164.70	$164.70	—	—	—
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CEA LC	$164.70	$164.70	—	—	—
Chickenpox (varicella) immunity blood test CPT 86787 Varicella-Zoster Ab, IgM Qualitative LC	$46.90	$46.90	—	36% below	—
Chickenpox (varicella) immunity blood test CPT 86787 Varicella Ab, IgG PRL	$54.80	$54.80	—	26% below	—
Chickenpox (varicella) immunity blood test CPT 86787 Varicella-Zoster V Ab, IgG LC	$60.00	$60.00	—	19% below	—
Chickenpox (varicella) immunity blood test CPT 86787 Varicella Ab Panel, Quant PRL	$218.60	$218.60	—	196% above	—
Chickenpox (varicella) immunity blood test inpatient CPT 86787 Varicella-Zoster Ab, IgM Qualitative LC	$46.90	$46.90	—	—	—
Chickenpox (varicella) immunity blood test inpatient CPT 86787 Varicella Ab, IgG PRL	$54.80	$54.80	—	—	—
Chickenpox (varicella) immunity blood test inpatient CPT 86787 Varicella-Zoster V Ab, IgG LC	$60.00	$60.00	—	—	—
Chickenpox (varicella) immunity blood test inpatient CPT 86787 Varicella Ab Panel, Quant PRL	$218.60	$218.60	—	—	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 87491	$82.40	$82.40	—	7% below	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Bill-Chlamydia PCR, Thin Prep	$93.90	$93.90	—	6% above	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 IGP, CtNg, rfx Aptima HPV ASCU (Charted) LC	$93.90	$93.90	—	6% above	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 IGP,CtNgTv,rfx Aptima HPV ASCU (Chart) L	$93.90	$93.90	—	6% above	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 IGP,CtNg,rfx Apt HPV all pth (Chart) LC	$93.90	$93.90	—	6% above	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Bill Chlamydia PCR, Thin Prep	$127.00	$127.00	—	44% above	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia trachomatis PCR.	$127.00	$127.00	—	44% above	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia PCR	$127.00	$127.00	—	44% above	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 87491 Chlamydia trachomatis	$151.10	$151.10	—	71% above	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 87491	$82.40	$82.40	—	—	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Bill-Chlamydia PCR, Thin Prep	$93.90	$93.90	—	—	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 IGP,CtNgTv,rfx Aptima HPV ASCU (Chart) L	$93.90	$93.90	—	—	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 IGP, CtNg, rfx Aptima HPV ASCU (Charted) LC	$93.90	$93.90	—	—	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 IGP,CtNg,rfx Apt HPV all pth (Chart) LC	$93.90	$93.90	—	—	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia PCR	$127.00	$127.00	—	—	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Bill Chlamydia PCR, Thin Prep	$127.00	$127.00	—	—	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia trachomatis PCR.	$127.00	$127.00	—	—	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 87491 Chlamydia trachomatis	$151.10	$151.10	—	—	—
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Profile	$25.00	$25.00	—	75% below	—
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Pnl LC	$76.70	$76.70	—	25% below	—
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Cholesterol Total LC	$76.70	$76.70	—	25% below	—
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Profile	$25.00	$25.00	—	—	—
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Cholesterol Total LC	$76.70	$76.70	—	—	—
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Pnl LC	$76.70	$76.70	—	—	—
Complete blood count (CBC) with differential CPT 85025 CBC w/Differential/Platelet LC	$60.00	$60.00	—	18% above	—
Complete blood count (CBC) with differential CPT 85025 CBC/Diff Ambiguous Default LC	$192.20	$192.20	—	279% above	—
Complete blood count (CBC) with differential CPT 85025 .Auto Diff 6	$192.20	$192.20	—	279% above	—
Complete blood count (CBC) with differential inpatient CPT 85025 CBC w/Differential/Platelet LC	$60.00	$60.00	—	—	—
Complete blood count (CBC) with differential inpatient CPT 85025 .Auto Diff 6	$192.20	$192.20	—	—	—
Complete blood count (CBC) with differential inpatient CPT 85025 CBC/Diff Ambiguous Default LC	$192.20	$192.20	—	—	—
Complete blood count (CBC), no differential CPT 85027 Hemogram 9	$25.00	$25.00	—	53% below	—
Complete blood count (CBC), no differential CPT 85027 Yes - Add Manual Diff	$154.50	$154.50	—	190% above	—
Complete blood count (CBC), no differential CPT 85027 CBC, Platelet; No Differential LC	$159.10	$159.10	—	199% above	—
Complete blood count (CBC), no differential inpatient CPT 85027 Hemogram 9	$25.00	$25.00	—	—	—
Complete blood count (CBC), no differential inpatient CPT 85027 Yes - Add Manual Diff	$154.50	$154.50	—	—	—
Complete blood count (CBC), no differential inpatient CPT 85027 CBC, Platelet; No Differential LC	$159.10	$159.10	—	—	—
Comprehensive metabolic panel (blood test) CPT 80053 CMP 10	$35.00	$35.00	—	71% below	—
Comprehensive metabolic panel (blood test) CPT 80053 CMP LC	$427.90	$427.90	—	257% above	—
Comprehensive metabolic panel (blood test) inpatient CPT 80053 CMP 10	$35.00	$35.00	—	—	—
Comprehensive metabolic panel (blood test) inpatient CPT 80053 CMP LC	$427.90	$427.90	—	—	—
Cortisol blood test, total CPT 82533 Salivary Cortisol LC	$89.20	$89.20	—	2% above	—
Cortisol blood test, total CPT 82533 Cortisol LC	$111.00	$111.00	—	27% above	—
Cortisol blood test, total CPT 82533 Cortisol (Dexamethasone Suppression test) w/ reflex LC	$111.00	$111.00	—	27% above	—
Cortisol blood test, total CPT 82533 Cortisol PM LC	$116.80	$116.80	—	34% above	—
Cortisol blood test, total CPT 82533 Cortisol AM LC	$116.80	$116.80	—	34% above	—
Cortisol blood test, total inpatient CPT 82533 Salivary Cortisol LC	$89.20	$89.20	—	—	—
Cortisol blood test, total inpatient CPT 82533 Cortisol LC	$111.00	$111.00	—	—	—
Cortisol blood test, total inpatient CPT 82533 Cortisol (Dexamethasone Suppression test) w/ reflex LC	$111.00	$111.00	—	—	—
Cortisol blood test, total inpatient CPT 82533 Cortisol PM LC	$116.80	$116.80	—	—	—
Cortisol blood test, total inpatient CPT 82533 Cortisol AM LC	$116.80	$116.80	—	—	—
Creatine kinase (CK) blood test, total CPT 82550 CPK Total	$117.90	$117.90	—	88% above	—
Creatine kinase (CK) blood test, total CPT 82550 CK Total LC	$117.90	$117.90	—	88% above	—
Creatine kinase (CK) blood test, total CPT 82550 Creatine Kinase (CK), MB/Total LC	$117.90	$117.90	—	88% above	—
Creatine kinase (CK) blood test, total CPT 82550 Creatine Kinase	$117.90	$117.90	—	88% above	—
Creatine kinase (CK) blood test, total inpatient CPT 82550 CK Total LC	$117.90	$117.90	—	—	—
Creatine kinase (CK) blood test, total inpatient CPT 82550 CPK Total	$117.90	$117.90	—	—	—
Creatine kinase (CK) blood test, total inpatient CPT 82550 Creatine Kinase (CK), MB/Total LC	$117.90	$117.90	—	—	—
Creatine kinase (CK) blood test, total inpatient CPT 82550 Creatine Kinase	$117.90	$117.90	—	—	—
Creatinine blood test CPT 82565 Creatinine, POC	$80.10	$80.10	—	151% above	—
Creatinine blood test CPT 82565 Creatinine, Serum LC	$80.10	$80.10	—	151% above	—
Creatinine blood test CPT 82565 Creat Level 1	$80.10	$80.10	—	151% above	—
Creatinine blood test CPT 82565 Creatinine Level	$80.10	$80.10	—	151% above	—
Creatinine blood test inpatient CPT 82565 Creatinine, Serum LC	$80.10	$80.10	—	—	—
Creatinine blood test inpatient CPT 82565 Creatinine, POC	$80.10	$80.10	—	—	—
Creatinine blood test inpatient CPT 82565 Creat Level 1	$80.10	$80.10	—	—	—
Creatinine blood test inpatient CPT 82565 Creatinine Level	$80.10	$80.10	—	—	—
Cytomegalovirus (CMV) antibody test CPT 86644 Bill CMV Negative Blood Products	$45.80	$45.80	—	34% below	—
Cytomegalovirus (CMV) antibody test CPT 86644 Cytomegalovirus Ab, IgG LC	$80.10	$80.10	—	15% above	—
Cytomegalovirus (CMV) antibody test CPT 86644 CMV Ab, IgG (Cytomegalovirus) LC	$80.10	$80.10	—	15% above	—
Cytomegalovirus (CMV) antibody test CPT 86644 CMV Abs IgG/IgM LC	$123.50	$123.50	—	77% above	—
Cytomegalovirus (CMV) antibody test CPT 86644 CMV IgG QL EIA	$186.60	$186.60	—	168% above	—
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 Bill CMV Negative Blood Products	$45.80	$45.80	—	—	—
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 Cytomegalovirus Ab, IgG LC	$80.10	$80.10	—	—	—
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV Ab, IgG (Cytomegalovirus) LC	$80.10	$80.10	—	—	—
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV Abs IgG/IgM LC	$123.50	$123.50	—	—	—
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV IgG QL EIA	$186.60	$186.60	—	—	—
D-dimer blood test (blood clot marker) CPT 85379 D-Dimer	$35.00	$35.00	—	72% below	—
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-Dimer	$35.00	$35.00	—	—	—
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-Sulfate LC	$168.20	$168.20	—	19% above	—
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA-Sulfate LC	$168.20	$168.20	—	—	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 Tramadol, Urine LC	$43.40	$43.40	—	44% below	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 Nicotine Metabolite, Urine LC	$53.30	$53.30	—	31% below	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 Bill Drug Screen Panel 5	$88.10	$88.10	—	14% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 Bill Drug Screen Panel 9	$130.40	$130.40	—	69% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 Ethyl Glucuronide, Urine LC	$135.00	$135.00	—	75% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 UDS 12	$487.50	$487.50	—	531% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 UDS 12	$487.50	$487.50	—	531% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Screen 16 w/Conf, WB LC	$497.80	$497.80	—	545% above	—
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Tramadol, Urine LC	$43.40	$43.40	—	—	—
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Nicotine Metabolite, Urine LC	$53.30	$53.30	—	—	—
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Bill Drug Screen Panel 5	$88.10	$88.10	—	—	—
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Bill Drug Screen Panel 9	$130.40	$130.40	—	—	—
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Ethyl Glucuronide, Urine LC	$135.00	$135.00	—	—	—
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 UDS 12	$487.50	$487.50	—	—	—
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 UDS 12	$487.50	$487.50	—	—	—
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug Screen 16 w/Conf, WB LC	$497.80	$497.80	—	—	—
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Electrolytes	$25.00	$25.00	—	70% below	—
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Electrolyte Panel LC	$140.80	$140.80	—	68% above	—
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 Electrolytes	$25.00	$25.00	—	—	—
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 Electrolyte Panel LC	$140.80	$140.80	—	—	—
Epstein-Barr virus (EBV) antibody test CPT 86665 86665	$44.60	$44.60	—	44% below	—
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV Ab VCA, IgG LC	$44.60	$44.60	—	44% below	—
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV Ab VCA, IgM LC	$85.90	$85.90	—	8% above	—
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV Ab VCA, IgG LC	$44.60	$44.60	—	—	—
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 86665	$44.60	$44.60	—	—	—
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV Ab VCA, IgM LC	$85.90	$85.90	—	—	—
Estradiol blood test CPT 82670 Estradiol	$69.80	$69.80	—	51% below	—
Estradiol blood test CPT 82670 Estradiol LC	$69.80	$69.80	—	51% below	—
Estradiol blood test inpatient CPT 82670 Estradiol	$69.80	$69.80	—	—	—
Estradiol blood test inpatient CPT 82670 Estradiol LC	$69.80	$69.80	—	—	—
FSH (follicle-stimulating hormone) test CPT 83001 FSH LC	$105.30	$105.30	—	3% above	—
FSH (follicle-stimulating hormone) test CPT 83001 FSH	$105.30	$105.30	—	3% above	—
FSH (follicle-stimulating hormone) test CPT 83001 FSH and LH LC	$105.30	$105.30	—	3% above	—
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH and LH LC	$105.30	$105.30	—	—	—
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH LC	$105.30	$105.30	—	—	—
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH	$105.30	$105.30	—	—	—
Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin, Fecal LC	$629.40	$629.40	—	234% above	—
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Calprotectin, Fecal LC	$629.40	$629.40	—	—	—
Ferritin blood test (iron stores) CPT 82728 Ferritin Level	$77.80	$77.80	—	19% below	—
Ferritin blood test (iron stores) CPT 82728 Ferritin, Serum LC	$77.80	$77.80	—	19% below	—
Ferritin blood test (iron stores) inpatient CPT 82728 Ferritin Level	$77.80	$77.80	—	—	—
Ferritin blood test (iron stores) inpatient CPT 82728 Ferritin, Serum LC	$77.80	$77.80	—	—	—
Fibrinogen blood test CPT 85384 Fibrinogen	$207.10	$207.10	—	126% above	—
Fibrinogen blood test inpatient CPT 85384 Fibrinogen	$207.10	$207.10	—	—	—
Folate (folic acid) blood test CPT 82746 Folate	$35.50	$35.50	—	57% below	—
Folate (folic acid) blood test CPT 82746 82746	$35.50	$35.50	—	57% below	—
Folate (folic acid) blood test CPT 82746 Folate (Folic Acid) LC	$35.50	$35.50	—	57% below	—
Folate (folic acid) blood test inpatient CPT 82746 Folate	$35.50	$35.50	—	—	—
Folate (folic acid) blood test inpatient CPT 82746 Folate (Folic Acid) LC	$35.50	$35.50	—	—	—
Folate (folic acid) blood test inpatient CPT 82746 82746	$35.50	$35.50	—	—	—
Free T3 thyroid hormone test CPT 84481 .T3Free LC	$54.80	$54.80	—	45% below	—
Free T3 thyroid hormone test CPT 84481 Triiodothyronine,Free LC	$54.80	$54.80	—	45% below	—
Free T3 thyroid hormone test CPT 84481 Triiodothyronine Free	$54.80	$54.80	—	45% below	—
Free T3 thyroid hormone test CPT 84481 T3, Free PRL	$75.60	$75.60	—	24% below	—
Free T3 thyroid hormone test inpatient CPT 84481 Triiodothyronine,Free LC	$54.80	$54.80	—	—	—
Free T3 thyroid hormone test inpatient CPT 84481 .T3Free LC	$54.80	$54.80	—	—	—
Free T3 thyroid hormone test inpatient CPT 84481 Triiodothyronine Free	$54.80	$54.80	—	—	—
Free T3 thyroid hormone test inpatient CPT 84481 T3, Free PRL	$75.60	$75.60	—	—	—
Free T4 (free thyroxine) thyroid blood test CPT 84439 TSH+Free T4 LC	$178.60	$178.60	—	131% above	—
Free T4 (free thyroxine) thyroid blood test CPT 84439 .TF4 LC	$178.60	$178.60	—	131% above	—
Free T4 (free thyroxine) thyroid blood test CPT 84439 Free T4	$178.60	$178.60	—	131% above	—
Free T4 (free thyroxine) thyroid blood test CPT 84439 Thyroxine (T4) Free, Direct, LC	$178.60	$178.60	—	131% above	—
Free T4 (free thyroxine) thyroid blood test CPT 84439 .Thyroxine (T4) Free, Direct, S LC	$178.60	$178.60	—	131% above	—
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Thyroxine (T4) Free, Direct, LC	$178.60	$178.60	—	—	—
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 .Thyroxine (T4) Free, Direct, S LC	$178.60	$178.60	—	—	—
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 TSH+Free T4 LC	$178.60	$178.60	—	—	—
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 .TF4 LC	$178.60	$178.60	—	—	—
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Free T4	$178.60	$178.60	—	—	—
Free testosterone test CPT 84402 Testosterone, Free, Direct LC	$120.20	$120.20	—	2% below	—
Free testosterone test CPT 84402 Testosterone Free MS/Dialysis LC	$120.20	$120.20	—	2% below	—
Free testosterone test CPT 84402 Testosterone,Free and Total LC	$120.20	$120.20	—	2% below	—
Free testosterone test inpatient CPT 84402 Testosterone,Free and Total LC	$120.20	$120.20	—	—	—
Free testosterone test inpatient CPT 84402 Testosterone, Free, Direct LC	$120.20	$120.20	—	—	—
Free testosterone test inpatient CPT 84402 Testosterone Free MS/Dialysis LC	$120.20	$120.20	—	—	—
Gamma-glutamyl transferase (GGT) blood test CPT 82977 Gamma Glutamyl Transferase	$85.90	$85.90	—	49% above	—
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGT LC	$89.20	$89.20	—	55% above	—
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 Gamma Glutamyl Transferase	$85.90	$85.90	—	—	—
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GGT LC	$89.20	$89.20	—	—	—
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 General Health Panel 7	$797.60	$797.60	—	176% above	—
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 General Health Panel 7	$797.60	$797.60	—	—	—
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 .Gestational GTT 1-Hr	$122.40	$122.40	—	188% above	—
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GTT 1 Hr Gestational	$122.40	$122.40	—	188% above	—
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GTT: each additional beyond 3 specimens	$215.10	$215.10	—	406% above	—
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GTT 1 Hr Gestational	$122.40	$122.40	—	—	—
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 .Gestational GTT 1-Hr	$122.40	$122.40	—	—	—
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GTT: each additional beyond 3 specimens	$215.10	$215.10	—	—	—
Glucose tolerance test, 3 samples CPT 82951 .Gestational Glucose Fasting	$99.60	$99.60	—	9% above	—
Glucose tolerance test, 3 samples CPT 82951 .Gestational GTT 2-Hr	$115.50	$115.50	—	27% above	—
Glucose tolerance test, 3 samples inpatient CPT 82951 .Gestational Glucose Fasting	$99.60	$99.60	—	—	—
Glucose tolerance test, 3 samples inpatient CPT 82951 .Gestational GTT 2-Hr	$115.50	$115.50	—	—	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 POCT LIAT CT/NG PCR	$79.70	$79.70	—	1% below	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 87591 LIAT CT/NG PCR POCT	$79.70	$79.70	—	1% below	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 87591	$93.90	$93.90	—	17% above	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Bill- GC, PCR, Thin Prep	$93.90	$93.90	—	17% above	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N. gonorrhea PCR	$127.00	$127.00	—	58% above	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Neisseria gonorrhoeae PCR.	$127.00	$127.00	—	58% above	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Bill GC PCR, Thin Prep	$127.00	$127.00	—	58% above	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 87591 Neisseria gonorrhoeae	$151.10	$151.10	—	88% above	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 87591 LIAT CT/NG PCR POCT	$79.70	$79.70	—	—	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 POCT LIAT CT/NG PCR	$79.70	$79.70	—	—	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 87591	$93.90	$93.90	—	—	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Bill- GC, PCR, Thin Prep	$93.90	$93.90	—	—	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Neisseria gonorrhoeae PCR.	$127.00	$127.00	—	—	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N. gonorrhea PCR	$127.00	$127.00	—	—	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Bill GC PCR, Thin Prep	$127.00	$127.00	—	—	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 87591 Neisseria gonorrhoeae	$151.10	$151.10	—	—	—
H. pylori antibody blood test CPT 86677 H. pylori Screen	$133.90	$133.90	—	67% above	—
H. pylori antibody blood test CPT 86677 86677	$133.90	$133.90	—	67% above	—
H. pylori antibody blood test inpatient CPT 86677 86677	$133.90	$133.90	—	—	—
H. pylori antibody blood test inpatient CPT 86677 H. pylori Screen	$133.90	$133.90	—	—	—
H. pylori stool antigen test CPT 87338 H. pylori Antigen, Stool	$111.00	$111.00	—	6% below	—
H. pylori stool antigen test inpatient CPT 87338 H. pylori Antigen, Stool	$111.00	$111.00	—	—	—
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV RNA, Real Time PCR (Non-Graph) LC	$401.70	$401.70	—	15% above	—
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV RNA, Real Time PCR (Non-Graph) LC	$401.70	$401.70	—	—	—
HIV-1 and HIV-2 antibody test CPT 86703 HIV-1/2 Ab PRL	$77.80	$77.80	—	28% below	—
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV-1/2 Ab PRL	$77.80	$77.80	—	—	—
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV Ag/Ab with Reflex LC	$51.50	$51.50	—	42% below	—
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV Ag/Ab Combo	$114.40	$114.40	—	29% above	—
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV Ag/Ab with Reflex LC	$51.50	$51.50	—	—	—
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV Ag/Ab Combo	$114.40	$114.40	—	—	—
HPV test for high-risk types, one combined (pooled) result CPT 87624 .LC	$103.00	$103.00	—	7% below	—
HPV test for high-risk types, one combined (pooled) result CPT 87624 Patient Counseling Report LC	$103.00	$103.00	—	7% below	—
HPV test for high-risk types, one combined (pooled) result CPT 87624 . LC.	$103.00	$103.00	—	7% below	—
HPV test for high-risk types, one combined (pooled) result CPT 87624 Bill HPV PAP, Amplif Probe Tech, EA	$127.00	$127.00	—	15% above	—
HPV test for high-risk types, one combined (pooled) result CPT 87624 IGP, Aptima HPV, rfx 16/18,45 (Chart) LC	$164.70	$164.70	—	49% above	—
HPV test for high-risk types, one combined (pooled) result CPT 87624 Bill Select Care Infectious Agent Dection by Nucelic Acid	$164.70	$164.70	—	49% above	—
HPV test for high-risk types, one combined (pooled) result CPT 87624 .HPV, high-risk LC	$164.70	$164.70	—	49% above	—
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 Patient Counseling Report LC	$103.00	$103.00	—	—	—
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 .LC	$103.00	$103.00	—	—	—
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 . LC.	$103.00	$103.00	—	—	—
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 Bill HPV PAP, Amplif Probe Tech, EA	$127.00	$127.00	—	—	—
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 Bill Select Care Infectious Agent Dection by Nucelic Acid	$164.70	$164.70	—	—	—
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 .HPV, high-risk LC	$164.70	$164.70	—	—	—
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 IGP, Aptima HPV, rfx 16/18,45 (Chart) LC	$164.70	$164.70	—	—	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Glycohemoglobin (Hgb A1c) & EAG	$97.40	$97.40	—	61% above	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hgb A1c with eAG Estimation LC	$97.40	$97.40	—	61% above	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Glycohemoglobin (Hgb A1c) & EAG	$97.40	$97.40	—	—	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hgb A1c with eAG Estimation LC	$97.40	$97.40	—	—	—
Hemoglobin blood test CPT 85018 85018	$53.70	$53.70	—	94% above	—
Hemoglobin blood test CPT 85018 Hemoglobin	$53.70	$53.70	—	94% above	—
Hemoglobin blood test inpatient CPT 85018 85018	$53.70	$53.70	—	—	—
Hemoglobin blood test inpatient CPT 85018 Hemoglobin	$53.70	$53.70	—	—	—
Hepatitis B core antibody test (total) CPT 86704 Hepatitis B Core Ab LC	$107.60	$107.60	—	61% above	—
Hepatitis B core antibody test (total) inpatient CPT 86704 Hepatitis B Core Ab LC	$107.60	$107.60	—	—	—
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hep B Surface Ab PRL	$61.80	$61.80	—	8% below	—
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hep B Surface Ab Qual LC	$75.80	$75.80	—	13% above	—
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hep B Surface Ab PRL	$61.80	$61.80	—	—	—
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hep B Surface Ab Qual LC	$75.80	$75.80	—	—	—
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B Profile PRL	$57.30	$57.30	—	8% below	—
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis Profile 1 PRL	$57.30	$57.30	—	8% below	—
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hep B Surface Ag PRL	$57.30	$57.30	—	8% below	—
Hepatitis B surface antigen (HBsAg) test CPT 87340 HBsAg Screen LC	$74.40	$74.40	—	19% above	—
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B Surface Antigen	$79.00	$79.00	—	27% above	—
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hepatitis Profile 1 PRL	$57.30	$57.30	—	—	—
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hep B Surface Ag PRL	$57.30	$57.30	—	—	—
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hepatitis B Profile PRL	$57.30	$57.30	—	—	—
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HBsAg Screen LC	$74.40	$74.40	—	—	—
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hepatitis B Surface Antigen	$79.00	$79.00	—	—	—
Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C Antibody 2	$75.60	$75.60	—	3% below	—
Hepatitis C antibody blood test (screening) CPT 86803 HCV Antibody LC	$104.10	$104.10	—	34% above	—
Hepatitis C antibody blood test (screening) CPT 86803 HCV Antibody RFX to Quant PCR LC	$104.10	$104.10	—	34% above	—
Hepatitis C antibody blood test (screening) CPT 86803 Hep C Virus Ab PRL	$104.10	$104.10	—	34% above	—
Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hepatitis C Antibody 2	$75.60	$75.60	—	—	—
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HCV Antibody LC	$104.10	$104.10	—	—	—
Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hep C Virus Ab PRL	$104.10	$104.10	—	—	—
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HCV Antibody RFX to Quant PCR LC	$104.10	$104.10	—	—	—
Hepatitis C viral load (HCV RNA) test CPT 87522 .HCV RNA (IU) 550352 LC	$76.70	$76.70	—	74% below	—
Hepatitis C viral load (HCV RNA) test CPT 87522 Hep C RNA, PCR Quant PRL	$345.60	$345.60	—	16% above	—
Hepatitis C viral load (HCV RNA) test one side CPT 87522 HCV RT-PCR, Quant (Non-Graph) LC	$345.60	$345.60	—	16% above	—
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 .HCV RNA (IU) 550352 LC	$76.70	$76.70	—	—	—
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hep C RNA, PCR Quant PRL	$345.60	$345.60	—	—	—
Hepatitis C viral load (HCV RNA) test inpatient one side CPT 87522 HCV RT-PCR, Quant (Non-Graph) LC	$345.60	$345.60	—	—	—
Herpes blood test, HSV-1 antibody CPT 86695 HSV 1 IgM Antibodies LC	$42.30	$42.30	—	34% below	—
Herpes blood test, HSV-1 antibody CPT 86695 HSV 1 IgG, Type Spec LC	$63.00	$63.00	—	1% below	—
Herpes blood test, HSV-1 antibody CPT 86695 HSV 1 and 2-Spec Ab, IgG w/Rfx LC	$89.20	$89.20	—	40% above	—
Herpes blood test, HSV-1 antibody CPT 86695 Antibody, Herpes Simplex, Type I	$89.20	$89.20	—	40% above	—
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV 1 IgM Antibodies LC	$42.30	$42.30	—	—	—
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV 1 IgG, Type Spec LC	$63.00	$63.00	—	—	—
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV 1 and 2-Spec Ab, IgG w/Rfx LC	$89.20	$89.20	—	—	—
Herpes blood test, HSV-1 antibody inpatient CPT 86695 Antibody, Herpes Simplex, Type I	$89.20	$89.20	—	—	—
Herpes blood test, HSV-2 antibody CPT 86696 HSV 2 IgM Antibodies LC	$61.80	$61.80	—	3% below	—
Herpes blood test, HSV-2 antibody CPT 86696 86696	$75.60	$75.60	—	19% above	—
Herpes blood test, HSV-2 antibody CPT 86696 86696 herpes simplex II	$75.60	$75.60	—	19% above	—
Herpes blood test, HSV-2 antibody CPT 86696 .HSV-2 IgG Supplemental Test LC	$75.60	$75.60	—	19% above	—
Herpes blood test, HSV-2 antibody CPT 86696 Antibody, Herpes Simplex, Type II	$85.90	$85.90	—	35% above	—
Herpes blood test, HSV-2 antibody CPT 86696 HSV 2 IgG, Type Spec LC	$90.40	$90.40	—	42% above	—
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV 2 IgM Antibodies LC	$61.80	$61.80	—	—	—
Herpes blood test, HSV-2 antibody inpatient CPT 86696 86696 herpes simplex II	$75.60	$75.60	—	—	—
Herpes blood test, HSV-2 antibody inpatient CPT 86696 .HSV-2 IgG Supplemental Test LC	$75.60	$75.60	—	—	—
Herpes blood test, HSV-2 antibody inpatient CPT 86696 86696	$75.60	$75.60	—	—	—
Herpes blood test, HSV-2 antibody inpatient CPT 86696 Antibody, Herpes Simplex, Type II	$85.90	$85.90	—	—	—
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV 2 IgG, Type Spec LC	$90.40	$90.40	—	—	—
High-sensitivity CRP (hs-CRP) test CPT 86141 C-Reactive Protein	$30.00	$30.00	—	58% below	—
High-sensitivity CRP (hs-CRP) test CPT 86141 C-Reactive Protein, Cardiac LC	$116.80	$116.80	—	62% above	—
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C-Reactive Protein	$30.00	$30.00	—	—	—
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C-Reactive Protein, Cardiac LC	$116.80	$116.80	—	—	—
Homocysteine blood test CPT 83090 83090	$236.80	$236.80	—	95% above	—
Homocysteine blood test CPT 83090 Homocysteine LC	$236.80	$236.80	—	95% above	—
Homocysteine blood test inpatient CPT 83090 Homocysteine LC	$236.80	$236.80	—	—	—
Homocysteine blood test inpatient CPT 83090 83090	$236.80	$236.80	—	—	—
Insulin blood test CPT 83525 Insulin LC	$65.30	$65.30	—	8% above	—
Insulin blood test CPT 83525 Insulin Level	$73.20	$73.20	—	22% above	—
Insulin blood test inpatient CPT 83525 Insulin LC	$65.30	$65.30	—	—	—
Insulin blood test inpatient CPT 83525 Insulin Level	$73.20	$73.20	—	—	—
Iron blood test (serum iron) CPT 83540 Total Iron Binding 2	$30.00	$30.00	—	34% below	—
Iron blood test (serum iron) CPT 83540 Iron Level	$37.80	$37.80	—	17% below	—
Iron blood test (serum iron) CPT 83540 Iron, Serum LC	$37.80	$37.80	—	17% below	—
Iron blood test (serum iron) inpatient CPT 83540 Total Iron Binding 2	$30.00	$30.00	—	—	—
Iron blood test (serum iron) inpatient CPT 83540 Iron Level	$37.80	$37.80	—	—	—
Iron blood test (serum iron) inpatient CPT 83540 Iron, Serum LC	$37.80	$37.80	—	—	—
Iron-binding capacity (TIBC) test CPT 83550 TIBC 2	$41.20	$41.20	—	39% below	—
Iron-binding capacity (TIBC) test CPT 83550 Iron and TIBC LC	$68.70	$68.70	—	3% above	—
Iron-binding capacity (TIBC) test inpatient CPT 83550 TIBC 2	$41.20	$41.20	—	—	—
Iron-binding capacity (TIBC) test inpatient CPT 83550 Iron and TIBC LC	$68.70	$68.70	—	—	—
Kidney function blood test panel CPT 80069 Renal Panel	$30.00	$30.00	—	73% below	—
Kidney function blood test panel CPT 80069 Renal Function Panel	$549.20	$549.20	—	403% above	—
Kidney function blood test panel CPT 80069 Renal Panel (10) LC	$549.20	$549.20	—	403% above	—
Kidney function blood test panel inpatient CPT 80069 Renal Panel	$30.00	$30.00	—	—	—
Kidney function blood test panel inpatient CPT 80069 Renal Function Panel	$549.20	$549.20	—	—	—
Kidney function blood test panel inpatient CPT 80069 Renal Panel (10) LC	$549.20	$549.20	—	—	—
LH (luteinizing hormone) test CPT 83002 Luteinizing Hormone(LH) LC	$105.30	$105.30	—	3% above	—
LH (luteinizing hormone) test CPT 83002 83002	$105.30	$105.30	—	3% above	—
LH (luteinizing hormone) test CPT 83002 LH	$105.80	$105.80	—	4% above	—
LH (luteinizing hormone) test inpatient CPT 83002 Luteinizing Hormone(LH) LC	$105.30	$105.30	—	—	—
LH (luteinizing hormone) test inpatient CPT 83002 83002	$105.30	$105.30	—	—	—
LH (luteinizing hormone) test inpatient CPT 83002 LH	$105.80	$105.80	—	—	—
Lactate (lactic acid) blood test CPT 83605 Lactate CSF LC	$75.60	$75.60	—	14% below	—
Lactate (lactic acid) blood test CPT 83605 Lactic Acid 1	$353.60	$353.60	—	304% above	—
Lactate (lactic acid) blood test CPT 83605 Lactic Acid	$353.60	$353.60	—	304% above	—
Lactate (lactic acid) blood test inpatient CPT 83605 Lactate CSF LC	$75.60	$75.60	—	—	—
Lactate (lactic acid) blood test inpatient CPT 83605 Lactic Acid	$353.60	$353.60	—	—	—
Lactate (lactic acid) blood test inpatient CPT 83605 Lactic Acid 1	$353.60	$353.60	—	—	—
Lactate dehydrogenase (LDH) blood test CPT 83615 LD, Body Fluid LC	$34.30	$34.30	—	33% below	—
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH Body Fluid	$69.80	$69.80	—	36% above	—
Lactate dehydrogenase (LDH) blood test CPT 83615 Lactate Dehydrogenase	$120.20	$120.20	—	134% above	—
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LD, Body Fluid LC	$34.30	$34.30	—	—	—
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH Body Fluid	$69.80	$69.80	—	—	—
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Lactate Dehydrogenase	$120.20	$120.20	—	—	—
Lipase blood test (pancreas enzyme) CPT 83690 Lipase LC	$128.20	$128.20	—	71% above	—
Lipase blood test (pancreas enzyme) CPT 83690 Lipase Level	$128.20	$128.20	—	71% above	—
Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase Level	$128.20	$128.20	—	—	—
Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase LC	$128.20	$128.20	—	—	—
Liver function blood test panel CPT 80076 Hepatic Panel 8	$30.00	$30.00	—	73% below	—
Liver function blood test panel CPT 80076 Hepatic Function Panel (7) LC	$186.60	$186.60	—	66% above	—
Liver function blood test panel inpatient CPT 80076 Hepatic Panel 8	$30.00	$30.00	—	—	—
Liver function blood test panel inpatient CPT 80076 Hepatic Function Panel (7) LC	$186.60	$186.60	—	—	—
Lyme disease antibody test CPT 86618 Lyme Disease Serology w/Reflex LC	$61.10	$61.10	—	33% below	—
Lyme disease antibody test CPT 86618 Lyme, Total Ab Test/Reflex LC	$130.40	$130.40	—	42% above	—
Lyme disease antibody test CPT 86618 B. burgdorferi IgG/IgM Abs,CSF LC	$177.50	$177.50	—	94% above	—
Lyme disease antibody test CPT 86618 B. burgdorferi IgG/IgM Abs, CSF	$177.50	$177.50	—	94% above	—
Lyme disease antibody test inpatient CPT 86618 Lyme Disease Serology w/Reflex LC	$61.10	$61.10	—	—	—
Lyme disease antibody test inpatient CPT 86618 Lyme, Total Ab Test/Reflex LC	$130.40	$130.40	—	—	—
Lyme disease antibody test inpatient CPT 86618 B. burgdorferi IgG/IgM Abs, CSF	$177.50	$177.50	—	—	—
Lyme disease antibody test inpatient CPT 86618 B. burgdorferi IgG/IgM Abs,CSF LC	$177.50	$177.50	—	—	—
Magnesium blood test CPT 83735 Magnesium LC	$26.40	$26.40	—	45% below	—
Magnesium blood test CPT 83735 83735	$26.40	$26.40	—	45% below	—
Magnesium blood test CPT 83735 Magnesium Level 24 Hour Urine	$67.60	$67.60	—	42% above	—
Magnesium blood test CPT 83735 Magnesium Level	$132.80	$132.80	—	179% above	—
Magnesium blood test CPT 83735 Magnesium, RBC LC	$144.20	$144.20	—	203% above	—
Magnesium blood test inpatient CPT 83735 Magnesium LC	$26.40	$26.40	—	—	—
Magnesium blood test inpatient CPT 83735 83735	$26.40	$26.40	—	—	—
Magnesium blood test inpatient CPT 83735 Magnesium Level 24 Hour Urine	$67.60	$67.60	—	—	—
Magnesium blood test inpatient CPT 83735 Magnesium Level	$132.80	$132.80	—	—	—
Magnesium blood test inpatient CPT 83735 Magnesium, RBC LC	$144.20	$144.20	—	—	—
Measles (rubeola) antibody test CPT 86765 Rubeola Ab, IgG, EIA LC	$41.20	$41.20	—	19% below	—
Measles (rubeola) antibody test CPT 86765 Rubeola Antibodies, IgG LC	$226.50	$226.50	—	344% above	—
Measles (rubeola) antibody test CPT 86765 Rubeola Ab, IgG PRL	$226.50	$226.50	—	344% above	—
Measles (rubeola) antibody test inpatient CPT 86765 Rubeola Ab, IgG, EIA LC	$41.20	$41.20	—	—	—
Measles (rubeola) antibody test inpatient CPT 86765 Rubeola Ab, IgG PRL	$226.50	$226.50	—	—	—
Measles (rubeola) antibody test inpatient CPT 86765 Rubeola Antibodies, IgG LC	$226.50	$226.50	—	—	—
Mono test (heterophile antibody, Monospot) CPT 86308 Mononucleosis Screen	$109.90	$109.90	—	166% above	—
Mono test (heterophile antibody, Monospot) CPT 86308 Mono Screen 1	$109.90	$109.90	—	166% above	—
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Mononucleosis Screen	$109.90	$109.90	—	—	—
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Mono Screen 1	$109.90	$109.90	—	—	—
Mumps immunity blood test CPT 86735 Mumps Ab, IgG LC	$63.00	$63.00	—	7% above	—
Mumps immunity blood test CPT 86735 Mumps Antibodies, IgM LC	$63.00	$63.00	—	7% above	—
Mumps immunity blood test CPT 86735 Mumps Antibodies, IgG LC	$138.50	$138.50	—	134% above	—
Mumps immunity blood test CPT 86735 Mumps(IgG/M) LC	$138.50	$138.50	—	134% above	—
Mumps immunity blood test inpatient CPT 86735 Mumps Ab, IgG LC	$63.00	$63.00	—	—	—
Mumps immunity blood test inpatient CPT 86735 Mumps Antibodies, IgM LC	$63.00	$63.00	—	—	—
Mumps immunity blood test inpatient CPT 86735 Mumps(IgG/M) LC	$138.50	$138.50	—	—	—
Mumps immunity blood test inpatient CPT 86735 Mumps Antibodies, IgG LC	$138.50	$138.50	—	—	—
Obstetric blood test panel CPT 80055 Bill OBSTETRIC PANEL.	$634.00	$634.00	—	115% above	—
Obstetric blood test panel inpatient CPT 80055 Bill OBSTETRIC PANEL.	$634.00	$634.00	—	—	—
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA, Free LC	$87.00	$87.00	—	8% above	—
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA, Free LC	$87.00	$87.00	—	—	—
PSA (prostate-specific antigen) blood test, total CPT 84153 Prostate Specific Ag, LC	$87.00	$87.00	—	11% above	—
PSA (prostate-specific antigen) blood test, total CPT 84153 Prostate-Specific Ag LC	$87.00	$87.00	—	11% above	—
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA Diagnostic	$105.30	$105.30	—	34% above	—
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA Total+% Free LC	$105.30	$105.30	—	34% above	—
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA, Ultrasensitive W/O Serial LC	$345.60	$345.60	—	340% above	—
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Prostate-Specific Ag LC	$87.00	$87.00	—	—	—
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Prostate Specific Ag, LC	$87.00	$87.00	—	—	—
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA Total+% Free LC	$105.30	$105.30	—	—	—
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA Diagnostic	$105.30	$105.30	—	—	—
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA, Ultrasensitive W/O Serial LC	$345.60	$345.60	—	—	—
Pap test (liquid-based, automated screening with review) CPT 88175 PDF LC	$93.90	$93.90	—	27% above	—
Pap test (liquid-based, automated screening with review) CPT 88175 ***LC	$93.90	$93.90	—	27% above	—
Pap test (liquid-based, automated screening with review) CPT 88175 88175	$93.90	$93.90	—	27% above	—
Pap test (liquid-based, automated screening with review) CPT 88175 IGP,rfx Aptima HPV all pth (Charted) LC	$93.90	$93.90	—	27% above	—
Pap test (liquid-based, automated screening with review) CPT 88175 Pap IG (Image Guided) LC	$96.20	$96.20	—	30% above	—
Pap test (liquid-based, automated screening with review) CPT 88175 Bill Cyto Gyn, Thin Prep	$105.30	$105.30	—	42% above	—
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 IGP,rfx Aptima HPV all pth (Charted) LC	$93.90	$93.90	—	—	—
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 PDF LC	$93.90	$93.90	—	—	—
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 88175	$93.90	$93.90	—	—	—
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 ***LC	$93.90	$93.90	—	—	—
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 Pap IG (Image Guided) LC	$96.20	$96.20	—	—	—
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 Bill Cyto Gyn, Thin Prep	$105.30	$105.30	—	—	—
Parathyroid hormone (PTH) blood test CPT 83970 PTH, Intact LC	$40.00	$40.00	—	77% below	—
Parathyroid hormone (PTH) blood test CPT 83970 PTH Intact	$240.60	$240.60	—	36% above	—
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH, Intact LC	$40.00	$40.00	—	—	—
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH Intact	$240.60	$240.60	—	—	—
Partial thromboplastin time (PTT) clotting test CPT 85730 aPTT LC	$24.00	$24.00	—	56% below	—
Partial thromboplastin time (PTT) clotting test CPT 85730 APTT 1:1 NP LC	$30.00	$30.00	—	44% below	—
Partial thromboplastin time (PTT) clotting test CPT 85730 Partial Thromboplastin Time	$123.50	$123.50	—	129% above	—
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT Activated LC	$123.50	$123.50	—	129% above	—
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 aPTT LC	$24.00	$24.00	—	—	—
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 APTT 1:1 NP LC	$30.00	$30.00	—	—	—
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT Activated LC	$123.50	$123.50	—	—	—
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Partial Thromboplastin Time	$123.50	$123.50	—	—	—
Phosphorus (phosphate) blood test CPT 84100 Phosphorus Level	$80.10	$80.10	—	114% above	—
Phosphorus (phosphate) blood test CPT 84100 Phosphorus LC	$80.10	$80.10	—	114% above	—
Phosphorus (phosphate) blood test inpatient CPT 84100 Phosphorus Level	$80.10	$80.10	—	—	—
Phosphorus (phosphate) blood test inpatient CPT 84100 Phosphorus LC	$80.10	$80.10	—	—	—
Potassium blood test CPT 84132 Potassium Level	$35.00	$35.00	—	11% below	—
Potassium blood test CPT 84132 Potassium LC	$69.80	$69.80	—	77% above	—
Potassium blood test inpatient CPT 84132 Potassium Level	$35.00	$35.00	—	—	—
Potassium blood test inpatient CPT 84132 Potassium LC	$69.80	$69.80	—	—	—
Progesterone blood test CPT 84144 Progesterone	$108.80	$108.80	—	at median	—
Progesterone blood test CPT 84144 Progesterone LC	$108.80	$108.80	—	at median	—
Progesterone blood test inpatient CPT 84144 Progesterone LC	$108.80	$108.80	—	—	—
Progesterone blood test inpatient CPT 84144 Progesterone	$108.80	$108.80	—	—	—
Prolactin blood test CPT 84146 Prolactin	$111.00	$111.00	—	5% below	—
Prolactin blood test CPT 84146 Prolactin LC	$111.00	$111.00	—	5% below	—
Prolactin blood test inpatient CPT 84146 Prolactin	$111.00	$111.00	—	—	—
Prolactin blood test inpatient CPT 84146 Prolactin LC	$111.00	$111.00	—	—	—
Prothrombin time (PT/INR) clotting test CPT 85610 PT LC	$13.70	$13.70	—	52% below	—
Prothrombin time (PT/INR) clotting test CPT 85610 INR LC	$24.00	$24.00	—	16% below	—
Prothrombin time (PT/INR) clotting test CPT 85610 PT/INR POC	$45.80	$45.80	—	61% above	—
Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time Extended	$73.20	$73.20	—	157% above	—
Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time	$87.00	$87.00	—	205% above	—
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PT LC	$13.70	$13.70	—	—	—
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 INR LC	$24.00	$24.00	—	—	—
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PT/INR POC	$45.80	$45.80	—	—	—
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time Extended	$73.20	$73.20	—	—	—
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time	$87.00	$87.00	—	—	—
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Meconium 5 Panel LC	$275.70	$275.70	—	305% above	—
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 Meconium 5 Panel LC	$275.70	$275.70	—	—	—
Rapid strep A antigen test from a throat swab, read visually CPT 87880 Strep A Screen	$49.20	$49.20	—	9% above	—
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Strep A Screen	$49.20	$49.20	—	—	—
Renin blood test CPT 84244 Renin Activity, Plasma LC	$149.90	$149.90	—	19% above	—
Renin blood test CPT 84244 84244	$149.90	$149.90	—	19% above	—
Renin blood test inpatient CPT 84244 Renin Activity, Plasma LC	$149.90	$149.90	—	—	—
Renin blood test inpatient CPT 84244 84244	$149.90	$149.90	—	—	—
Rh blood typing CPT 86901 BILL Rh CBC	$30.90	$30.90	—	31% below	—
Rh blood typing CPT 86901 RH 1	$68.70	$68.70	—	53% above	—
Rh blood typing CPT 86901 Du Required	$68.70	$68.70	—	53% above	—
Rh blood typing CPT 86901 BLOOD TYPING,RH	$68.70	$68.70	—	53% above	—
Rh blood typing inpatient CPT 86901 BILL Rh CBC	$30.90	$30.90	—	—	—
Rh blood typing inpatient CPT 86901 RH 1	$68.70	$68.70	—	—	—
Rh blood typing inpatient CPT 86901 Du Required	$68.70	$68.70	—	—	—
Rh blood typing inpatient CPT 86901 BLOOD TYPING,RH	$68.70	$68.70	—	—	—
Rheumatoid factor (RF) test CPT 86431 Rheumatoid Arthritis Factor LC	$33.20	$33.20	—	32% below	—
Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor 3	$40.10	$40.10	—	18% below	—
Rheumatoid factor (RF) test inpatient CPT 86431 Rheumatoid Arthritis Factor LC	$33.20	$33.20	—	—	—
Rheumatoid factor (RF) test inpatient CPT 86431 Rheumatoid Factor 3	$40.10	$40.10	—	—	—
Rubella antibody test (immunity check) CPT 86762 Rubella Abs, IgG LC	$27.50	$27.50	—	46% below	—
Rubella antibody test (immunity check) CPT 86762 Rubella, IgG Ab PRL	$32.00	$32.00	—	38% below	—
Rubella antibody test (immunity check) CPT 86762 Rubella Antibodies, IgG LC	$41.20	$41.20	—	20% below	—
Rubella antibody test (immunity check) inpatient CPT 86762 Rubella Abs, IgG LC	$27.50	$27.50	—	—	—
Rubella antibody test (immunity check) inpatient CPT 86762 Rubella, IgG Ab PRL	$32.00	$32.00	—	—	—
Rubella antibody test (immunity check) inpatient CPT 86762 Rubella Antibodies, IgG LC	$41.20	$41.20	—	—	—
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Sed Rate-Westergren LC	$29.80	$29.80	—	13% below	—
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 Sed Rate-Westergren LC	$29.80	$29.80	—	—	—
Semen analysis: volume, sperm count, motility and morphology CPT 89320 Semen Analysis 1	$208.40	$208.40	—	41% above	—
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 Semen Analysis 1	$208.40	$208.40	—	—	—
Sodium blood test CPT 84295 Sodium Level	$69.80	$69.80	—	77% above	—
Sodium blood test inpatient CPT 84295 Sodium Level	$69.80	$69.80	—	—	—
Stool ova and parasites exam CPT 87177 Ova + Parasite Exam LC	$27.50	$27.50	—	54% below	—
Stool ova and parasites exam CPT 87177 Parasite Studies Addtnl PRL	$96.20	$96.20	—	63% above	—
Stool ova and parasites exam inpatient CPT 87177 Ova + Parasite Exam LC	$27.50	$27.50	—	—	—
Stool ova and parasites exam inpatient CPT 87177 Parasite Studies Addtnl PRL	$96.20	$96.20	—	—	—
Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult Blood, Screen X3	$53.70	$53.70	—	147% above	—
Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult Blood Screen 5	$53.70	$53.70	—	147% above	—
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Occult Blood, Screen X3	$53.70	$53.70	—	—	—
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Occult Blood Screen 5	$53.70	$53.70	—	—	—
Stool test for hidden blood by immunoassay (FIT) CPT 82274 IFOB Diagnostic	$15.00	$15.00	—	71% below	—
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 IFOB Diagnostic	$15.00	$15.00	—	—	—
Syphilis antibody test (Treponema pallidum) CPT 86780 86780	$69.80	$69.80	—	37% above	—
Syphilis antibody test (Treponema pallidum) CPT 86780 Treponema pallidum Abs LC	$69.80	$69.80	—	37% above	—
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Treponema pallidum Abs LC	$69.80	$69.80	—	—	—
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 86780	$69.80	$69.80	—	—	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR LC	$25.30	$25.30	—	10% below	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL, CSF LC	$34.30	$34.30	—	23% above	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR PRL	$113.30	$113.30	—	305% above	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR, Rfx Qn RPR/Confirm TP LC	$113.30	$113.30	—	305% above	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR LC	$25.30	$25.30	—	—	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL, CSF LC	$34.30	$34.30	—	—	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR, Rfx Qn RPR/Confirm TP LC	$113.30	$113.30	—	—	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR PRL	$113.30	$113.30	—	—	—
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QuantiFERON TB Gold LC	$293.00	$293.00	—	64% above	—
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QuantiFERON-TB Gold Plus LC	$293.00	$293.00	—	64% above	—
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QuantiFERON TB Gold LC	$293.00	$293.00	—	—	—
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QuantiFERON-TB Gold Plus LC	$293.00	$293.00	—	—	—
Testosterone blood test, total (not free testosterone) CPT 84403 84403	$164.70	$164.70	—	38% above	—
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone LC	$164.70	$164.70	—	38% above	—
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone Total	$234.60	$234.60	—	97% above	—
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone LC	$164.70	$164.70	—	—	—
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 84403	$164.70	$164.70	—	—	—
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone Total	$234.60	$234.60	—	—	—
Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroid Peroxidase Ab LC	$130.40	$130.40	—	67% above	—
Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroid Peroxidase Ab PRL	$130.40	$130.40	—	67% above	—
Thyroid peroxidase (TPO) antibody test CPT 86376 .Thyroid Peroxidase (TPO) Ab LC	$130.40	$130.40	—	67% above	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Thyroid Peroxidase Ab PRL	$130.40	$130.40	—	—	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Thyroid Peroxidase Ab LC	$130.40	$130.40	—	—	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 .Thyroid Peroxidase (TPO) Ab LC	$130.40	$130.40	—	—	—
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Cascade Profile LC	$178.60	$178.60	—	340% above	—
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Stimulating Hormone	$178.60	$178.60	—	340% above	—
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH LC	$178.60	$178.60	—	340% above	—
Thyroid-stimulating hormone (TSH) blood test CPT 84443 84443	$178.60	$178.60	—	340% above	—
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH Rfx on Abnormal to Free T4 LC	$178.60	$178.60	—	340% above	—
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 84443	$178.60	$178.60	—	—	—
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH LC	$178.60	$178.60	—	—	—
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Thyroid Cascade Profile LC	$178.60	$178.60	—	—	—
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH Rfx on Abnormal to Free T4 LC	$178.60	$178.60	—	—	—
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Thyroid Stimulating Hormone	$178.60	$178.60	—	—	—
Total IgE blood test CPT 82785 IgE, Total PRL	$22.90	$22.90	—	68% below	—
Total IgE blood test CPT 82785 Maj Food Allergy Prof PRL	$22.90	$22.90	—	68% below	—
Total IgE blood test CPT 82785 IgE PRL	$22.90	$22.90	—	68% below	—
Total IgE blood test CPT 82785 Respiratory Allergy Prof PRL	$22.90	$22.90	—	68% below	—
Total IgE blood test CPT 82785 82785- Immunoglobulin E, Total	$49.20	$49.20	—	32% below	—
Total IgE blood test CPT 82785 IgE+Allergens(20) Foods LC	$56.20	$56.20	—	22% below	—
Total IgE blood test CPT 82785 IgE+Allergens (12) LC	$56.20	$56.20	—	22% below	—
Total IgE blood test CPT 82785 IgE+Allergens (22) LC	$56.20	$56.20	—	22% below	—
Total IgE blood test CPT 82785 Immunoglobulins A/E/G/M, LC	$64.10	$64.10	—	11% below	—
Total IgE blood test CPT 82785 Immunoglobulin E, Total LC	$77.80	$77.80	—	8% above	—
Total IgE blood test CPT 82785 Childhood Allergy Profile+IgE LC	$131.70	$131.70	—	82% above	—
Total IgE blood test inpatient CPT 82785 Maj Food Allergy Prof PRL	$22.90	$22.90	—	—	—
Total IgE blood test inpatient CPT 82785 IgE PRL	$22.90	$22.90	—	—	—
Total IgE blood test inpatient CPT 82785 IgE, Total PRL	$22.90	$22.90	—	—	—
Total IgE blood test inpatient CPT 82785 Respiratory Allergy Prof PRL	$22.90	$22.90	—	—	—
Total IgE blood test inpatient CPT 82785 82785- Immunoglobulin E, Total	$49.20	$49.20	—	—	—
Total IgE blood test inpatient CPT 82785 IgE+Allergens(20) Foods LC	$56.20	$56.20	—	—	—
Total IgE blood test inpatient CPT 82785 IgE+Allergens (22) LC	$56.20	$56.20	—	—	—
Total IgE blood test inpatient CPT 82785 IgE+Allergens (12) LC	$56.20	$56.20	—	—	—
Total IgE blood test inpatient CPT 82785 Immunoglobulins A/E/G/M, LC	$64.10	$64.10	—	—	—
Total IgE blood test inpatient CPT 82785 Immunoglobulin E, Total LC	$77.80	$77.80	—	—	—
Total IgE blood test inpatient CPT 82785 Childhood Allergy Profile+IgE LC	$131.70	$131.70	—	—	—
Total cholesterol blood test CPT 82465 Cholesterol Total	$76.70	$76.70	—	131% above	—
Total cholesterol blood test inpatient CPT 82465 Cholesterol Total	$76.70	$76.70	—	—	—
Total thyroxine (T4) blood test CPT 84436 Thyroxine (T4) LC	$59.00	$59.00	—	at median	—
Total thyroxine (T4) blood test CPT 84436 T4, Total	$69.80	$69.80	—	18% above	—
Total thyroxine (T4) blood test inpatient CPT 84436 Thyroxine (T4) LC	$59.00	$59.00	—	—	—
Total thyroxine (T4) blood test inpatient CPT 84436 T4, Total	$69.80	$69.80	—	—	—
Total triiodothyronine (T3) blood test CPT 84480 Triiodothyronine (T3) LC	$67.60	$67.60	—	10% below	—
Total triiodothyronine (T3) blood test CPT 84480 T3, Total PRL	$67.60	$67.60	—	10% below	—
Total triiodothyronine (T3) blood test inpatient CPT 84480 Triiodothyronine (T3) LC	$67.60	$67.60	—	—	—
Total triiodothyronine (T3) blood test inpatient CPT 84480 T3, Total PRL	$67.60	$67.60	—	—	—
Transferrin blood test CPT 84466 Transferrin Level	$30.00	$30.00	—	64% below	—
Transferrin blood test CPT 84466 Transferrin LC	$64.10	$64.10	—	24% below	—
Transferrin blood test inpatient CPT 84466 Transferrin Level	$30.00	$30.00	—	—	—
Transferrin blood test inpatient CPT 84466 Transferrin LC	$64.10	$64.10	—	—	—
Trichomonas test (NAAT) CPT 87661 CT / GC / TV	$106.50	$106.50	—	23% below	—
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS	$106.50	$106.50	—	23% below	—
Trichomonas test (NAAT) CPT 87661 Trichomonas vaginalis PCR	$127.00	$127.00	—	8% below	—
Trichomonas test (NAAT) CPT 87661 87661	$147.70	$147.70	—	7% above	—
Trichomonas test (NAAT) CPT 87661 Trich vag by NAA LC	$147.70	$147.70	—	7% above	—
Trichomonas test (NAAT) CPT 87661 87661 Trichomonas vaginalis	$151.10	$151.10	—	10% above	—
Trichomonas test (NAAT) inpatient CPT 87661 CT / GC / TV	$106.50	$106.50	—	—	—
Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGINALIS	$106.50	$106.50	—	—	—
Trichomonas test (NAAT) inpatient CPT 87661 Trichomonas vaginalis PCR	$127.00	$127.00	—	—	—
Trichomonas test (NAAT) inpatient CPT 87661 87661	$147.70	$147.70	—	—	—
Trichomonas test (NAAT) inpatient CPT 87661 Trich vag by NAA LC	$147.70	$147.70	—	—	—
Trichomonas test (NAAT) inpatient CPT 87661 87661 Trichomonas vaginalis	$151.10	$151.10	—	—	—
Triglycerides blood test CPT 84478 Triglycerides LC	$69.80	$69.80	—	55% above	—
Triglycerides blood test CPT 84478 Triglycerides	$69.80	$69.80	—	55% above	—
Triglycerides blood test inpatient CPT 84478 Triglycerides LC	$69.80	$69.80	—	—	—
Triglycerides blood test inpatient CPT 84478 Triglycerides	$69.80	$69.80	—	—	—
Troponin test, quantitative CPT 84484 Troponin I	$40.00	$40.00	—	64% below	—
Troponin test, quantitative CPT 84484 High Sensitivity Troponin	$249.50	$249.50	—	126% above	—
Troponin test, quantitative CPT 84484 .High Sensitivity Troponin 2nd draw	$249.50	$249.50	—	126% above	—
Troponin test, quantitative inpatient CPT 84484 Troponin I	$40.00	$40.00	—	—	—
Troponin test, quantitative inpatient CPT 84484 .High Sensitivity Troponin 2nd draw	$249.50	$249.50	—	—	—
Troponin test, quantitative inpatient CPT 84484 High Sensitivity Troponin	$249.50	$249.50	—	—	—
Uric acid blood test CPT 84550 Uric Acid LC	$69.80	$69.80	—	68% above	—
Uric acid blood test CPT 84550 Uric Acid	$69.80	$69.80	—	68% above	—
Uric acid blood test inpatient CPT 84550 Uric Acid	$69.80	$69.80	—	—	—
Uric acid blood test inpatient CPT 84550 Uric Acid LC	$69.80	$69.80	—	—	—
Urinalysis with microscope exam, automated CPT 81001 Urinalysis with Microscopic 2	$72.10	$72.10	—	106% above	—
Urinalysis with microscope exam, automated CPT 81001 UA/M w/rflx Culture, Comp LC	$116.80	$116.80	—	234% above	—
Urinalysis with microscope exam, automated CPT 81001 Urinalysis, Complete LC	$116.80	$116.80	—	234% above	—
Urinalysis with microscope exam, automated CPT 81001 .UA Micro 2	$116.80	$116.80	—	234% above	—
Urinalysis with microscope exam, automated CPT 81001 UA/M w/rflx Culture, Routine LC	$116.80	$116.80	—	234% above	—
Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis with Microscopic 2	$72.10	$72.10	—	—	—
Urinalysis with microscope exam, automated inpatient CPT 81001 .UA Micro 2	$116.80	$116.80	—	—	—
Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis, Complete LC	$116.80	$116.80	—	—	—
Urinalysis with microscope exam, automated inpatient CPT 81001 UA/M w/rflx Culture, Comp LC	$116.80	$116.80	—	—	—
Urinalysis with microscope exam, automated inpatient CPT 81001 UA/M w/rflx Culture, Routine LC	$116.80	$116.80	—	—	—
Urinalysis without microscope exam, automated CPT 81003 Urine Macroscopic	$20.00	$20.00	—	11% below	—
Urinalysis without microscope exam, automated CPT 81003 Urinalysis, Routine LC	$590.60	$590.60	—	2533% above	—
Urinalysis without microscope exam, automated inpatient CPT 81003 Urine Macroscopic	$20.00	$20.00	—	—	—
Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis, Routine LC	$590.60	$590.60	—	—	—
Urinalysis without microscope exam, manual CPT 81002 Urine Dipstick POC	$8.00	$8.00	—	42% below	—
Urinalysis without microscope exam, manual CPT 81002 Prenatal Urine (OB CHECK ONLY)	$11.50	$11.50	—	17% below	—
Urinalysis without microscope exam, manual inpatient CPT 81002 Urine Dipstick POC	$8.00	$8.00	—	—	—
Urinalysis without microscope exam, manual inpatient CPT 81002 Prenatal Urine (OB CHECK ONLY)	$11.50	$11.50	—	—	—
Urine culture for bacteria, with colony count CPT 87086 Urine Culture	$30.00	$30.00	—	55% below	—
Urine culture for bacteria, with colony count CPT 87086 .Urine Culture, Routine LC	$200.30	$200.30	—	199% above	—
Urine culture for bacteria, with colony count CPT 87086 .Urine Culture, Comprehensive LC	$200.30	$200.30	—	199% above	—
Urine culture for bacteria, with colony count inpatient CPT 87086 Urine Culture	$30.00	$30.00	—	—	—
Urine culture for bacteria, with colony count inpatient CPT 87086 .Urine Culture, Routine LC	$200.30	$200.30	—	—	—
Urine culture for bacteria, with colony count inpatient CPT 87086 .Urine Culture, Comprehensive LC	$200.30	$200.30	—	—	—
Urine microalbumin (albumin) test CPT 82043 Albumin/Creat Ratio, Ur LC	$27.50	$27.50	—	20% below	—
Urine microalbumin (albumin) test CPT 82043 Microalb/Creat Ratio	$27.50	$27.50	—	20% below	—
Urine microalbumin (albumin) test CPT 82043 Urine Microablbumin	$33.20	$33.20	—	4% below	—
Urine microalbumin (albumin) test CPT 82043 Microalbumin Level Urine	$33.20	$33.20	—	4% below	—
Urine microalbumin (albumin) test CPT 82043 Microalbumin, 24 Hr Urine	$67.60	$67.60	—	96% above	—
Urine microalbumin (albumin) test CPT 82043 Microalbumin, Random Urine LC	$83.50	$83.50	—	142% above	—
Urine microalbumin (albumin) test inpatient CPT 82043 Microalb/Creat Ratio	$27.50	$27.50	—	—	—
Urine microalbumin (albumin) test inpatient CPT 82043 Albumin/Creat Ratio, Ur LC	$27.50	$27.50	—	—	—
Urine microalbumin (albumin) test inpatient CPT 82043 Urine Microablbumin	$33.20	$33.20	—	—	—
Urine microalbumin (albumin) test inpatient CPT 82043 Microalbumin Level Urine	$33.20	$33.20	—	—	—
Urine microalbumin (albumin) test inpatient CPT 82043 Microalbumin, 24 Hr Urine	$67.60	$67.60	—	—	—
Urine microalbumin (albumin) test inpatient CPT 82043 Microalbumin, Random Urine LC	$83.50	$83.50	—	—	—
Urine pregnancy test, read by color change CPT 81025 Pregnancy Test Urine 2	$123.50	$123.50	—	155% above	—
Urine pregnancy test, read by color change CPT 81025 Pregnancy Test Urine	$123.50	$123.50	—	155% above	—
Urine pregnancy test, read by color change inpatient CPT 81025 Pregnancy Test Urine 2	$123.50	$123.50	—	—	—
Urine pregnancy test, read by color change inpatient CPT 81025 Pregnancy Test Urine	$123.50	$123.50	—	—	—
Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B12 LC	$81.20	$81.20	—	4% above	—
Vitamin B12 (cobalamin) blood test CPT 82607 Vit B12 and Folate LC	$81.20	$81.20	—	4% above	—
Vitamin B12 (cobalamin) blood test CPT 82607 Vit B12 Unsat Binding Capacity LC	$81.20	$81.20	—	4% above	—
Vitamin B12 (cobalamin) blood test CPT 82607 Vit B12	$84.60	$84.60	—	8% above	—
Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B12 PRL	$111.00	$111.00	—	42% above	—
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vit B12 and Folate LC	$81.20	$81.20	—	—	—
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vit B12 Unsat Binding Capacity LC	$81.20	$81.20	—	—	—
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vitamin B12 LC	$81.20	$81.20	—	—	—
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vit B12	$84.60	$84.60	—	—	—
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vitamin B12 PRL	$111.00	$111.00	—	—	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D, 25-Hydroxy LC	$113.30	$113.30	—	16% below	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D 25(OH), Total	$113.30	$113.30	—	16% below	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D 25-Hydroxy, D2 + D3 LC	$114.40	$114.40	—	15% below	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D, 25-Hydroxy LC	$113.30	$113.30	—	—	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D 25(OH), Total	$113.30	$113.30	—	—	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D 25-Hydroxy, D2 + D3 LC	$114.40	$114.40	—	—	—
Vitamin D, 1,25-dihydroxy blood test CPT 82652 1 25-Dihydroxy Vitamin D by MS LC	$168.20	$168.20	—	3% below	—
Vitamin D, 1,25-dihydroxy blood test CPT 82652 Vitamin D, 1,25-Dihydroxy PRL	$168.20	$168.20	—	3% below	—
Vitamin D, 1,25-dihydroxy blood test CPT 82652 Calcitriol LC	$168.20	$168.20	—	3% below	—
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 Vitamin D, 1,25-Dihydroxy PRL	$168.20	$168.20	—	—	—
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 1 25-Dihydroxy Vitamin D by MS LC	$168.20	$168.20	—	—	—
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 Calcitriol LC	$168.20	$168.20	—	—	—
Zinc blood test CPT 84630 Zinc, Whole Blood LC	$52.60	$52.60	—	12% below	—
Zinc blood test CPT 84630 Zinc PRL	$133.90	$133.90	—	125% above	—
Zinc blood test CPT 84630 Zinc LC	$133.90	$133.90	—	125% above	—
Zinc blood test inpatient CPT 84630 Zinc, Whole Blood LC	$52.60	$52.60	—	—	—
Zinc blood test inpatient CPT 84630 Zinc LC	$133.90	$133.90	—	—	—
Zinc blood test inpatient CPT 84630 Zinc PRL	$133.90	$133.90	—	—	—
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 hCGBeta Subunit Qnt LC	$57.30	$57.30	—	32% below	—
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 84702 hCG, Quant	$57.30	$57.30	—	32% below	—
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 hCG Quantitative	$140.80	$140.80	—	68% above	—
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 84702 hCG, Quant	$57.30	$57.30	—	—	—
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 hCGBeta Subunit Qnt LC	$57.30	$57.30	—	—	—
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 hCG Quantitative	$140.80	$140.80	—	—	—

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Missouri	Off list
Botox injections for chronic migraine CPT 64615 64615 Chemodervate facial/trigem/cerv muscle migraine TechFee	$271.10	$271.10	—	28% below	—
Botox injections for chronic migraine inpatient CPT 64615 64615 Chemodervate facial/trigem/cerv muscle migraine TechFee	$271.10	$271.10	—	—	—
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 WMMC RIGHT STEREOTACTIC BIOPSY CHARGE	$6,094.80	$6,094.80	—	164% above	—
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 WMMC LEFT STEREOTACTIC BIOPSY CHARGE	$6,094.80	$6,094.80	—	164% above	—
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 WMMC RIGHT STEREOTACTIC BIOPSY CHARGE	$6,094.80	$6,094.80	—	—	—
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 WMMC LEFT STEREOTACTIC BIOPSY CHARGE	$6,094.80	$6,094.80	—	—	—
Cardioversion, elective (restoring heart rhythm) CPT 92960 92960 CARDIOVERSION ELECTIVE ARRHYTHMIA EXTERNAL	$1,467.80	$1,467.80	—	38% above	—
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 92960 CARDIOVERSION ELECTIVE ARRHYTHMIA EXTERNAL	$1,467.80	$1,467.80	—	—	—
Cesarean delivery, including prenatal and postpartum care CPT 59510 59510 SCHEDULED CESAREAN SECT. PREP	$602.10	$602.10	—	84% below	—
Cesarean delivery, including prenatal and postpartum care inpatient CPT 59510 59510 SCHEDULED CESAREAN SECT. PREP	$602.10	$602.10	—	—	—
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 54150 CIRCUMCISION CHARGE	$456.00	$456.00	—	25% above	—
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Circumcision (nursing)	$456.00	$456.00	—	25% above	—
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 54150 CIRCUMCISION CHARGE	$456.00	$456.00	—	—	—
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 Circumcision (nursing)	$456.00	$456.00	—	—	—
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 69209 REMVL IMPACTED CERUMEN IRRIGATION/LVG UNILAT	$143.90	$143.90	—	30% above	—
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 69209 Removal impacted cerumen using irrigation/lavage, unilateral	$146.10	$146.10	—	32% above	—
Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 69209 REMVL IMPACTED CERUMEN IRRIGATION/LVG UNILAT	$143.90	$143.90	—	—	—
Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 69209 Removal impacted cerumen using irrigation/lavage, unilateral	$146.10	$146.10	—	—	—
Earwax removal with instruments, one ear CPT 69210 69210 REMOV IMPACT EAR WAX UNI CHARGE	$146.10	$146.10	—	41% above	—
Earwax removal with instruments, one ear one side CPT 69210 69210 REMOVAL IMPACTED CERUMEN INSTRUMENTATION UNILAT TechFee	$143.90	$143.90	—	39% above	—
Earwax removal with instruments, one ear one side CPT 69210 Ear Irrigation w/ Instrumentation; Unilateral POC	$146.10	$146.10	—	41% above	—
Earwax removal with instruments, one ear inpatient CPT 69210 69210 REMOV IMPACT EAR WAX UNI CHARGE	$146.10	$146.10	—	—	—
Earwax removal with instruments, one ear inpatient one side CPT 69210 69210 REMOVAL IMPACTED CERUMEN INSTRUMENTATION UNILAT TechFee	$143.90	$143.90	—	—	—
Earwax removal with instruments, one ear inpatient one side CPT 69210 Ear Irrigation w/ Instrumentation; Unilateral POC	$146.10	$146.10	—	—	—
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 TECH CER/THORACIC EPIDURAL W/IMAGE GUIDANCE	$633.60	$633.60	—	59% below	—
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 TECH CER/THORACIC EPIDURAL W/IMAGE GUIDANCE	$633.60	$633.60	—	—	—
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 64493 FACET/L 1st LEVEL TECH CHARGE	$848.90	$848.90	—	22% below	—
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 64493 INJ MED BRANCH BLOCK LUMBAR LEVEL 1 TECH CHARGE	$2,121.40	$2,121.40	—	96% above	—
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 64493 FACET/L 1st LEVEL TECH CHARGE	$848.90	$848.90	—	—	—
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 64493 INJ MED BRANCH BLOCK LUMBAR LEVEL 1 TECH CHARGE	$2,121.40	$2,121.40	—	—	—
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 CATHERIZATION-SALINE/CONTRAST TECH	$152.40	$152.40	—	34% below	—
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 CATHERIZATION-SALINE/CONTRAST TECH	$152.40	$152.40	—	—	—
Incision and drainage of a simple or single skin abscess CPT 10060 10060 ED I&D ABSCESS SIMPLE/SINGLE CHARGE	$360.40	$360.40	—	27% above	—
Incision and drainage of a simple or single skin abscess CPT 10060 10060 I&D ABSCESS;SIMPLE/SINGLE CHARGE	$678.80	$678.80	—	140% above	—
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 10060 ED I&D ABSCESS SIMPLE/SINGLE CHARGE	$360.40	$360.40	—	—	—
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 10060 I&D ABSCESS;SIMPLE/SINGLE CHARGE	$678.80	$678.80	—	—	—
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 20550 Inj(s); Single Tendon Sheath, or Ligament, Aponeurosis (eg, PlantarFascia) T Charge	$282.70	$282.70	—	13% below	—
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 20550 Inj(s); Single Tendon Sheath, or Ligament, Aponeurosis (eg, PlantarFascia) T Charge	$282.70	$282.70	—	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 20610 MAJOR JOINT/BURSA INJECTION TECH CHARGE	$823.20	$823.20	—	183% above	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 20610 ARTHROCENTESIS MAJOR JOINT ED CHARGE	$833.20	$833.20	—	186% above	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 20610 MAJOR JOINT/BURSA INJECTION TECH CHARGE	$823.20	$823.20	—	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 20610 ARTHROCENTESIS MAJOR JOINT ED CHARGE	$833.20	$833.20	—	—	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 20605 INTERMEDIATE JOINT BURSA INJ. TECH CHARGE	$335.20	$335.20	—	1% below	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 20605 ARTHROCENTESIS ASP/INJ INT JNT ED CHARGE	$543.20	$543.20	—	60% above	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 20605 INTERMEDIATE JOINT BURSA INJ. TECH CHARGE	$335.20	$335.20	—	—	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 20605 ARTHROCENTESIS ASP/INJ INT JNT ED CHARGE	$543.20	$543.20	—	—	—
Joint injection or drainage, small joint (fingers, toes) CPT 20600 20600 ASPIR/INJ,SM JOINT ED Charge	$543.20	$543.20	—	99% above	—
Joint injection or drainage, small joint (fingers, toes) CPT 20600 tech, small joint bursa injection	$602.10	$602.10	—	120% above	—
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 20600 ASPIR/INJ,SM JOINT ED Charge	$543.20	$543.20	—	—	—
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 tech, small joint bursa injection	$602.10	$602.10	—	—	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 12031 REPAIR INTERMEDIATE S/A/T/E 2.5 CM	$980.30	$980.30	—	126% above	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 12031 REPAIR INTERMEDIATE S/A/T/E 2.5 CM	$980.30	$980.30	—	—	—
Lower-back epidural injection, with imaging guidance CPT 62323 TECH LUMBAR/CAUDAL EPI INJ/IMAGE GUIDANCE	$177.60	$177.60	—	88% below	—
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 TECH LUMBAR/CAUDAL EPI INJ/IMAGE GUIDANCE	$177.60	$177.60	—	—	—
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 64483 TRANSFER SERB LUMBAR LEVEL I ADD TECH CHARGE	$2,121.40	$2,121.40	—	41% above	—
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 64483 TRANSFER SERB LUMBAR LEVEL I ADD TECH CHARGE	$2,121.40	$2,121.40	—	—	—
Nail removal (partial or complete), one nail CPT 11730 11730 AVULSION NAIL PLATE PARTIAL/COMPLETE SIMPLE 1 TechFee	$360.40	$360.40	—	46% above	—
Nail removal (partial or complete), one nail CPT 11730 11730 AVUSION OF NAIL PLATE,SIMPLE;1 CHARGE	$678.80	$678.80	—	174% above	—
Nail removal (partial or complete), one nail inpatient CPT 11730 11730 AVULSION NAIL PLATE PARTIAL/COMPLETE SIMPLE 1 TechFee	$360.40	$360.40	—	—	—
Nail removal (partial or complete), one nail inpatient CPT 11730 11730 AVUSION OF NAIL PLATE,SIMPLE;1 CHARGE	$678.80	$678.80	—	—	—
Occipital nerve block (injection for headaches) CPT 64405 64405 OCCEPITAL NERVE BLOCK TECH CHARGE	$335.20	$335.20	—	12% below	—
Occipital nerve block (injection for headaches) CPT 64405 64405 Injection(s), anesthetic agent(s) and/or steroid; trigeminal nerve, each branch (ie ophthalmic	$737.00	$737.00	—	94% above	—
Occipital nerve block (injection for headaches) CPT 64405 Inj, Anesthetic Agent; Greater Occipital Nerve Charge	$929.90	$929.90	—	145% above	—
Occipital nerve block (injection for headaches) inpatient CPT 64405 64405 OCCEPITAL NERVE BLOCK TECH CHARGE	$335.20	$335.20	—	—	—
Occipital nerve block (injection for headaches) inpatient CPT 64405 64405 Injection(s), anesthetic agent(s) and/or steroid; trigeminal nerve, each branch (ie ophthalmic	$737.00	$737.00	—	—	—
Occipital nerve block (injection for headaches) inpatient CPT 64405 Inj, Anesthetic Agent; Greater Occipital Nerve Charge	$929.90	$929.90	—	—	—
Paracentesis with imaging guidance CPT 49083 US Guide Paracentesis	$1,721.00	$1,721.00	—	71% above	—
Paracentesis with imaging guidance CPT 49083 49083 Abdominal paracentesis; w/imaging guidance TechFee	$2,115.70	$2,115.70	—	110% above	—
Paracentesis with imaging guidance inpatient CPT 49083 US Guide Paracentesis	$1,721.00	$1,721.00	—	—	—
Paracentesis with imaging guidance inpatient CPT 49083 49083 Abdominal paracentesis; w/imaging guidance TechFee	$2,115.70	$2,115.70	—	—	—
Permanent removal of a nail and nail root (partial or complete) CPT 11750 Excision nail Matrix Permanent removal.	$930.90	$930.90	—	58% above	—
Permanent removal of a nail and nail root (partial or complete) CPT 11750 11750 EXC OF NAIL AND NAIL MATRIX CHARGE	$1,296.50	$1,296.50	—	121% above	—
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 Excision nail Matrix Permanent removal.	$930.90	$930.90	—	—	—
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 11750 EXC OF NAIL AND NAIL MATRIX CHARGE	$1,296.50	$1,296.50	—	—	—
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 64635 RAF LUMBAR/SACRAL LEVEL 1 TECH CHARGE	$836.40	$836.40	—	54% below	—
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 64635 FACET DENERV/L 1st LEVEL TECH CHARGE	$1,804.10	$1,804.10	—	at median	—
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 64635 RAF LUMBAR/SACRAL LEVEL 1 TECH CHARGE	$836.40	$836.40	—	—	—
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 64635 FACET DENERV/L 1st LEVEL TECH CHARGE	$1,804.10	$1,804.10	—	—	—
Removal of a foreign object under the skin, simple CPT 10120 10120 FOREIGN BODY REMOVAL, SMPL CHARGE	$745.00	$745.00	—	52% above	—
Removal of a foreign object under the skin, simple CPT 10120 10120 INC-REMOVAL FB; SIMPLE CHARGE	$1,296.50	$1,296.50	—	164% above	—
Removal of a foreign object under the skin, simple inpatient CPT 10120 10120 FOREIGN BODY REMOVAL, SMPL CHARGE	$745.00	$745.00	—	—	—
Removal of a foreign object under the skin, simple inpatient CPT 10120 10120 INC-REMOVAL FB; SIMPLE CHARGE	$1,296.50	$1,296.50	—	—	—
Short arm cast (elbow to hand) CPT 29075 OT Short Arm Cast Units	$296.40	$296.40	—	11% above	—
Short arm cast (elbow to hand) inpatient CPT 29075 OT Short Arm Cast Units	$296.40	$296.40	—	—	—
Short arm splint (forearm and hand) CPT 29125 OT Short Arm Splint Units	$109.90	$109.90	—	41% below	—
Short arm splint (forearm and hand) CPT 29125 29125 APPLICATION SHORT ARM SPLINT FOREARM-HAND STATIC TechFee	$232.20	$232.20	—	25% above	—
Short arm splint (forearm and hand) inpatient CPT 29125 OT Short Arm Splint Units	$109.90	$109.90	—	—	—
Short arm splint (forearm and hand) inpatient CPT 29125 29125 APPLICATION SHORT ARM SPLINT FOREARM-HAND STATIC TechFee	$232.20	$232.20	—	—	—
Short leg cast (below the knee) CPT 29405 29405 APPLICATION SHORT LEG CAST BELOW KNEE-TOE TechFee	$479.10	$479.10	—	69% above	—
Short leg cast (below the knee) inpatient CPT 29405 29405 APPLICATION SHORT LEG CAST BELOW KNEE-TOE TechFee	$479.10	$479.10	—	—	—
Short leg splint (calf to foot) CPT 29515 29515 APPLICATION SHORT LEG SPLINT CALF FOOT	$291.10	$291.10	—	47% above	—
Short leg splint (calf to foot) inpatient CPT 29515 29515 APPLICATION SHORT LEG SPLINT CALF FOOT	$291.10	$291.10	—	—	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 12001 LAC SIMPLE <2.5, BODY/SCALP ED CHARGE	$360.40	$360.40	—	40% above	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 12001 LAC SIMPLE <2.5, BODY/SCALP ED CHARGE	$360.40	$360.40	—	—	—
Skin biopsy, punch, one lesion CPT 11104 11100 BIOPSY OF SKIN,; 1 LESION CHARGE	$1,296.50	$1,296.50	—	290% above	—
Skin biopsy, punch, one lesion CPT 11104 11100 BX OF SKIN; 1 LESION CHARGE	$1,296.50	$1,296.50	—	290% above	—
Skin biopsy, punch, one lesion inpatient CPT 11104 11100 BIOPSY OF SKIN,; 1 LESION CHARGE	$1,296.50	$1,296.50	—	—	—
Skin biopsy, punch, one lesion inpatient CPT 11104 11100 BX OF SKIN; 1 LESION CHARGE	$1,296.50	$1,296.50	—	—	—
Skin tag removal, up to 15 tags CPT 11200 11200 SKIN TAG/EXTRA DIGIT/EXCISION CHARGE	$193.30	$193.30	—	15% above	—
Skin tag removal, up to 15 tags CPT 11200 Skin Tag Removal	$193.30	$193.30	—	15% above	—
Skin tag removal, up to 15 tags inpatient CPT 11200 Skin Tag Removal	$193.30	$193.30	—	—	—
Skin tag removal, up to 15 tags inpatient CPT 11200 11200 SKIN TAG/EXTRA DIGIT/EXCISION CHARGE	$193.30	$193.30	—	—	—
Spinal tap (lumbar puncture), diagnostic CPT 62270 62270 DIAGNOSTIC LUMBAR PUNCTURE TECH CHARGE	$512.70	$512.70	—	23% below	—
Spinal tap (lumbar puncture), diagnostic CPT 62270 Lumbar Puncture Adult 22 G - Procedure Performed.	$1,350.20	$1,350.20	—	102% above	—
Spinal tap (lumbar puncture), diagnostic CPT 62270 Lumbar Puncture Adult 20 G - Procedure Performed.	$1,350.20	$1,350.20	—	102% above	—
Spinal tap (lumbar puncture), diagnostic CPT 62270 Spinal puncture, lumbar, diagnostic(Tech)	$1,607.60	$1,607.60	—	141% above	—
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 62270 DIAGNOSTIC LUMBAR PUNCTURE TECH CHARGE	$512.70	$512.70	—	—	—
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Lumbar Puncture Adult 22 G - Procedure Performed.	$1,350.20	$1,350.20	—	—	—
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Lumbar Puncture Adult 20 G - Procedure Performed.	$1,350.20	$1,350.20	—	—	—
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Spinal puncture, lumbar, diagnostic(Tech)	$1,607.60	$1,607.60	—	—	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 12002 2.5 CM TO 7.5 CM ED Charge	$360.40	$360.40	—	12% above	—
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 Scalp, Neck, Axillae, Ext. Genital, Trunk and/or Extrem; 2.6 cm to 7.5 cm Charge	$633.60	$633.60	—	97% above	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 12002 2.5 CM TO 7.5 CM ED Charge	$360.40	$360.40	—	—	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 Simple Repair Scalp, Neck, Axillae, Ext. Genital, Trunk and/or Extrem; 2.6 cm to 7.5 cm Charge	$633.60	$633.60	—	—	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 12011 REPAIR SMPL F/E/E/N/L/M 2.5CM/<	$450.80	$450.80	—	77% above	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 12011 REPAIR SMPL F/E/E/N/L/M 2.5CM/<	$450.80	$450.80	—	—	—
Tangential (shave-style) skin biopsy, one lesion CPT 11102 11102 Tangential biopsy of skin (e.g., shave, scoop, saucerize, curette) single lesion	$131.40	$131.40	—	48% below	—
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 11102 Tangential biopsy of skin (e.g., shave, scoop, saucerize, curette) single lesion	$131.40	$131.40	—	—	—
Thoracentesis with imaging guidance CPT 32555 US Thoracentesis	$1,127.50	$1,127.50	—	10% above	—
Thoracentesis with imaging guidance CPT 32555 Thoracentesis, needle or catheter, aspiration of the pleural space; wo imaging guidance	$1,127.50	$1,127.50	—	10% above	—
Thoracentesis with imaging guidance CPT 32555 32555 THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING TechFee	$1,154.70	$1,154.70	—	13% above	—
Thoracentesis with imaging guidance inpatient CPT 32555 Thoracentesis, needle or catheter, aspiration of the pleural space; wo imaging guidance	$1,127.50	$1,127.50	—	—	—
Thoracentesis with imaging guidance inpatient CPT 32555 US Thoracentesis	$1,127.50	$1,127.50	—	—	—
Thoracentesis with imaging guidance inpatient CPT 32555 32555 THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING TechFee	$1,154.70	$1,154.70	—	—	—
Trigger point injections, 1 or 2 muscles CPT 20552 20552 Inj(s); Single or Mult Trigger Point(S), One or Two Muscle(s) Charge	$202.80	$202.80	—	34% below	—
Trigger point injections, 1 or 2 muscles CPT 20552 20552 INJ TRIGGER POINT 1 OR 2 MUSCLE TECH CHARGE	$645.10	$645.10	—	109% above	—
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 20552 Inj(s); Single or Mult Trigger Point(S), One or Two Muscle(s) Charge	$202.80	$202.80	—	—	—
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 20552 INJ TRIGGER POINT 1 OR 2 MUSCLE TECH CHARGE	$645.10	$645.10	—	—	—
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 US Guided Core Biopsy W/O Rad	$672.50	$672.50	—	62% below	—
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BIOPSY, BREAST W/PLACEMENT OF BREAST LOCALIZATION DEVICE, WHEN PERFORMED AND IMAGING OF BX SPECIMEN	$4,429.30	$4,429.30	—	152% above	—
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 19083 Biopsy breast w/placement of localization device, including ultrasound guidance	$4,429.30	$4,429.30	—	152% above	—
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 US Guided Core Biopsy W/O Rad	$672.50	$672.50	—	—	—
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 BIOPSY, BREAST W/PLACEMENT OF BREAST LOCALIZATION DEVICE, WHEN PERFORMED AND IMAGING OF BX SPECIMEN	$4,429.30	$4,429.30	—	—	—
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 19083 Biopsy breast w/placement of localization device, including ultrasound guidance	$4,429.30	$4,429.30	—	—	—
Vaginal delivery, including prenatal and postpartum care CPT 59400 Routine OB Care, Antepartum/Vaginal Delivery/Postpartum Charge	$6,095.20	$6,095.20	—	117% above	—
Vaginal delivery, including prenatal and postpartum care inpatient CPT 59400 Routine OB Care, Antepartum/Vaginal Delivery/Postpartum Charge	$6,095.20	$6,095.20	—	—	—
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 32111042 debridement of subcutaneius first 20 sq cm or less	$827.90	$827.90	—	47% above	—
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 11042 DEBRIDE SUBQ TISSUE; <20 cm CHARGE	$1,296.50	$1,296.50	—	130% above	—
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 32111042 debridement of subcutaneius first 20 sq cm or less	$827.90	$827.90	—	—	—
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 11042 DEBRIDE SUBQ TISSUE; <20 cm CHARGE	$1,296.50	$1,296.50	—	—	—

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Missouri	Off list
Blood transfusion (giving blood or blood components) CPT 36430 36415 BLOOD TRANSFUSION CHARGE	$967.70	$967.70	—	48% above	—
Blood transfusion (giving blood or blood components) CPT 36430 Transfuse Blood Products	$967.70	$967.70	—	48% above	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Transfuse Blood Products	$967.70	$967.70	—	—	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 36415 BLOOD TRANSFUSION CHARGE	$967.70	$967.70	—	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 IPPB Subsequent	$101.90	$101.90	—	27% below	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Meter Dose Inhaler (MDI) Subsequent	$101.90	$101.90	—	27% below	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Subsequent	$101.90	$101.90	—	27% below	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Meter Dose Inhaler (MDI) Initial	$113.40	$113.40	—	19% below	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Initial	$113.40	$113.40	—	19% below	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 IPPB Initial	$113.40	$113.40	—	19% below	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Breathing Treatment Nebulizer	$113.40	$113.40	—	19% below	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 IPPB Subsequent	$101.90	$101.90	—	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Subsequent	$101.90	$101.90	—	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Meter Dose Inhaler (MDI) Subsequent	$101.90	$101.90	—	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 IPPB Initial	$113.40	$113.40	—	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol Initial	$113.40	$113.40	—	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Meter Dose Inhaler (MDI) Initial	$113.40	$113.40	—	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Breathing Treatment Nebulizer	$113.40	$113.40	—	—	—
Chemotherapy IV infusion, first hour CPT 96413 96413 CHEMO IV UP TO 1 HR CHARGE	$948.80	$948.80	—	119% above	—
Chemotherapy IV infusion, first hour inpatient CPT 96413 96413 CHEMO IV UP TO 1 HR CHARGE	$948.80	$948.80	—	—	—
Critical care, first 30 to 74 minutes CPT 99291 99291 - FAC ED Critical Care	$2,807.50	$2,807.50	—	36% above	—
Critical care, first 30 to 74 minutes CPT 99291 99291 CRITICAL CARE ILL/INJURED PATIENT INIT 30-74 MIN TechFee	$2,807.50	$2,807.50	—	36% above	—
Critical care, first 30 to 74 minutes inpatient CPT 99291 99291 - FAC ED Critical Care	$2,807.50	$2,807.50	—	—	—
Critical care, first 30 to 74 minutes inpatient CPT 99291 99291 CRITICAL CARE ILL/INJURED PATIENT INIT 30-74 MIN TechFee	$2,807.50	$2,807.50	—	—	—
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE & DROWSY CHARGE	$1,085.40	$1,085.40	—	45% above	—
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG AWAKE & DROWSY CHARGE	$1,085.40	$1,085.40	—	—	—
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 Electrocardiogram	$285.80	$285.80	—	420% above	—
Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 Electrocardiogram	$285.80	$285.80	—	—	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 93005 ECG CHARGE	$84.00	$84.00	—	54% below	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 93005 ECG CHARGE	$84.00	$84.00	—	—	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 99281 FAC ED Level 1 -Room Charge	$323.60	$323.60	—	36% above	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 99281 FAC ED Level 1 -Room Charge	$323.60	$323.60	—	—	—
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 99282 - FAC ED Level 2 Room Charge	$580.00	$580.00	—	58% above	—
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 99282 ED Emergency Room Level 2 Charge	$1,010.00	$1,010.00	—	176% above	—
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 99282 - FAC ED Level 2 Room Charge	$580.00	$580.00	—	—	—
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 99282 ED Emergency Room Level 2 Charge	$1,010.00	$1,010.00	—	—	—
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 99283 - FAC ED Level 3 - Room Charge	$964.60	$964.60	—	14% above	—
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 99283 ED Emergency Room Level 3 Charge	$1,616.00	$1,616.00	—	91% above	—
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 99283 - FAC ED Level 3 - Room Charge	$964.60	$964.60	—	—	—
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 99283 ED Emergency Room Level 3 Charge	$1,616.00	$1,616.00	—	—	—
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 99284 - FAC ED Level 4 Room Charge	$1,480.50	$1,480.50	—	63% above	—
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 99284 ED Emergency Room Level 4 Charge	$1,818.00	$1,818.00	—	100% above	—
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 99284 - FAC ED Level 4 Room Charge	$1,480.50	$1,480.50	—	—	—
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 99284 ED Emergency Room Level 4 Charge	$1,818.00	$1,818.00	—	—	—
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 99285 - FAC ED Level 5 - Room Charge	$2,149.80	$2,149.80	—	38% above	—
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 99285 ED Emergency Room Level 5 Charge	$2,222.00	$2,222.00	—	43% above	—
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 99285 - FAC ED Level 5 - Room Charge	$2,149.80	$2,149.80	—	—	—
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 99285 ED Emergency Room Level 5 Charge	$2,222.00	$2,222.00	—	—	—
Exercise stress test, tracing only, the hospital charge CPT 93017 93017 EXERCISE STRESS TEST CHARGE	$990.80	$990.80	—	29% above	—
Exercise stress test, tracing only, the hospital charge one side CPT 93017 93017 RT EST, CHEMICAL CHARGE	$935.20	$935.20	—	22% above	—
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 93017 EXERCISE STRESS TEST CHARGE	$990.80	$990.80	—	—	—
Exercise stress test, tracing only, the hospital charge inpatient one side CPT 93017 93017 RT EST, CHEMICAL CHARGE	$935.20	$935.20	—	—	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360 IV INFUSION HYDRATION INITIAL	$399.30	$399.30	—	67% above	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360 - ED IV INFUSION HYDRATION INITIAL HOUR	$410.80	$410.80	—	71% above	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360 IV INFUSION; INITIAL 31 TO 60 MINUTES CHARGE	$410.80	$410.80	—	71% above	—
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 96360 IV INFUSION HYDRATION INITIAL	$399.30	$399.30	—	—	—
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 96360 - ED IV INFUSION HYDRATION INITIAL HOUR	$410.80	$410.80	—	—	—
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 96360 IV INFUSION; INITIAL 31 TO 60 MINUTES CHARGE	$410.80	$410.80	—	—	—
IV infusion of a medicine, first hour CPT 96365 IV INFUSION INITIAL UP TO 1 HR CHARGE	$399.30	$399.30	—	39% above	—
IV infusion of a medicine, first hour CPT 96365 96365 IV INFUSION; UPTO 1 HOUR CHARGE	$410.80	$410.80	—	43% above	—
IV infusion of a medicine, first hour CPT 96365 96365 ED IV Infusion Initial up to 1 hour	$410.80	$410.80	—	43% above	—
IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION INITIAL UP TO 1 HR CHARGE	$399.30	$399.30	—	—	—
IV infusion of a medicine, first hour inpatient CPT 96365 96365 ED IV Infusion Initial up to 1 hour	$410.80	$410.80	—	—	—
IV infusion of a medicine, first hour inpatient CPT 96365 96365 IV INFUSION; UPTO 1 HOUR CHARGE	$410.80	$410.80	—	—	—
IV push of a medicine, first drug CPT 96374 IV PUSH SINGLE OR INITIAL DRUG CHARGE	$150.30	$150.30	—	16% below	—
IV push of a medicine, first drug CPT 96374 96374 IV PUSH SINGLE OR INITIAL CHARGE	$154.40	$154.40	—	14% below	—
IV push of a medicine, first drug CPT 96374 96374 - ED IV Injection, single/initial	$154.40	$154.40	—	14% below	—
IV push of a medicine, first drug CPT 96374 96374 IV PUSH - INITIAL OR SINGLE CHARGE	$154.40	$154.40	—	14% below	—
IV push of a medicine, first drug inpatient CPT 96374 IV PUSH SINGLE OR INITIAL DRUG CHARGE	$150.30	$150.30	—	—	—
IV push of a medicine, first drug inpatient CPT 96374 96374 IV PUSH SINGLE OR INITIAL CHARGE	$154.40	$154.40	—	—	—
IV push of a medicine, first drug inpatient CPT 96374 96374 - ED IV Injection, single/initial	$154.40	$154.40	—	—	—
IV push of a medicine, first drug inpatient CPT 96374 96374 IV PUSH - INITIAL OR SINGLE CHARGE	$154.40	$154.40	—	—	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 - ED Subq/IM Injection	$81.90	$81.90	—	12% below	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 MEDICATION INJ SUBQ/IM	$153.40	$153.40	—	65% above	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 INJECTION SUBQ IM CHARGE	$235.30	$235.30	—	153% above	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 - ED Subq/IM Injection	$81.90	$81.90	—	—	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 MEDICATION INJ SUBQ/IM	$153.40	$153.40	—	—	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 INJECTION SUBQ IM CHARGE	$235.30	$235.30	—	—	—
Neuromuscular re-education, 15 minutes CPT 97112 PT Neuromuscular Reeducation Assistant Units	$131.70	$131.70	—	46% above	—
Neuromuscular re-education, 15 minutes CPT 97112 OT Neuromuscular Reeducation Rehab Units	$131.70	$131.70	—	46% above	—
Neuromuscular re-education, 15 minutes CPT 97112 PT Neuromuscular Reeducation Rehab Units	$131.70	$131.70	—	46% above	—
Neuromuscular re-education, 15 minutes CPT 97112 OT Neuromuscular Reeducation Assistant Units	$131.70	$131.70	—	46% above	—
Neuromuscular re-education, 15 minutes CPT 97112 Neuromuscular Reeducation Charges	$131.70	$131.70	—	46% above	—
Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT Neuromuscular Reeducation Rehab Units	$131.70	$131.70	—	—	—
Neuromuscular re-education, 15 minutes inpatient CPT 97112 OT Neuromuscular Reeducation Rehab Units	$131.70	$131.70	—	—	—
Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT Neuromuscular Reeducation Assistant Units	$131.70	$131.70	—	—	—
Neuromuscular re-education, 15 minutes inpatient CPT 97112 Neuromuscular Reeducation Charges	$131.70	$131.70	—	—	—
Neuromuscular re-education, 15 minutes inpatient CPT 97112 OT Neuromuscular Reeducation Assistant Units	$131.70	$131.70	—	—	—
New patient office visit, about 30 minutes CPT 99203 99203 NEW, LOW COMPLEXITY III TECH CHARGE	$310.00	$310.00	—	98% above	—
New patient office visit, about 30 minutes CPT 99203 99203 OFFICE/OP VISIT, LEVEL III NEW CHARGE	$483.30	$483.30	—	209% above	—
New patient office visit, about 30 minutes inpatient CPT 99203 99203 NEW, LOW COMPLEXITY III TECH CHARGE	$310.00	$310.00	—	—	—
New patient office visit, about 30 minutes inpatient CPT 99203 99203 OFFICE/OP VISIT, LEVEL III NEW CHARGE	$483.30	$483.30	—	—	—
New patient office visit, about 45 minutes CPT 99204 99204 NEW PATIENT LEVEL 4 CHARGE	$385.60	$385.60	—	80% above	—
New patient office visit, about 45 minutes CPT 99204 99204 NEW, MOD COMPLEXITY IV TECH CHARGE	$475.00	$475.00	—	121% above	—
New patient office visit, about 45 minutes CPT 99204 99204 OFFICE/OP VISIT, LEVEL IV NEW CHARGE	$641.00	$641.00	—	199% above	—
New patient office visit, about 45 minutes inpatient CPT 99204 99204 NEW PATIENT LEVEL 4 CHARGE	$385.60	$385.60	—	—	—
New patient office visit, about 45 minutes inpatient CPT 99204 99204 NEW, MOD COMPLEXITY IV TECH CHARGE	$475.00	$475.00	—	—	—
New patient office visit, about 45 minutes inpatient CPT 99204 99204 OFFICE/OP VISIT, LEVEL IV NEW CHARGE	$641.00	$641.00	—	—	—
New patient office visit, about 60 minutes CPT 99205 99205 NEW, HIGH COMPLEXITY V TECH CHARGE	$595.70	$595.70	—	87% above	—
New patient office visit, about 60 minutes CPT 99205 99205 OFFICE/OP VISIT, LEVEL V NEW CHARGE	$876.30	$876.30	—	175% above	—
New patient office visit, about 60 minutes inpatient CPT 99205 99205 NEW, HIGH COMPLEXITY V TECH CHARGE	$595.70	$595.70	—	—	—
New patient office visit, about 60 minutes inpatient CPT 99205 99205 OFFICE/OP VISIT, LEVEL V NEW CHARGE	$876.30	$876.30	—	—	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 99202 NEW, STRAIGHTFORWARD II TECH CHARGE	$215.40	$215.40	—	73% above	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 99202 OFFICE/OP VISIT, LEVEL II NEW CHARGE	$366.70	$366.70	—	195% above	—
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 99202 NEW, STRAIGHTFORWARD II TECH CHARGE	$215.40	$215.40	—	—	—
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 99202 OFFICE/OP VISIT, LEVEL II NEW CHARGE	$366.70	$366.70	—	—	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 97802 MNT: INITIAL ASSESSMENT 15MIN EA CHARGE	$36.90	$36.90	—	8% below	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 97802 MNT: INITIAL ASSESSMENT 15MIN EA CHARGE	$36.90	$36.90	—	—	—
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Mobilization - Manual Therapy Charges Units	$135.00	$135.00	—	65% above	—
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 mobilization with motion and stabilization - Manual Therapy Charges Units	$135.00	$135.00	—	65% above	—
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Manual Therapy Charge Units	$135.00	$135.00	—	65% above	—
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT Manual Therapy Assistant Units	$139.70	$139.70	—	71% above	—
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT Manual Therapy Rehab Units	$139.70	$139.70	—	71% above	—
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT Manual Therapy Rehab Units	$139.70	$139.70	—	71% above	—
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT Manual Therapy Assistant Units	$139.70	$139.70	—	71% above	—
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Mobilization with Motion - Manual Therapy Charges Units	$1,349.20	$1,349.20	—	1553% above	—
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Manual Therapy Charge Units	$135.00	$135.00	—	—	—
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Mobilization - Manual Therapy Charges Units	$135.00	$135.00	—	—	—
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 mobilization with motion and stabilization - Manual Therapy Charges Units	$135.00	$135.00	—	—	—
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT Manual Therapy Rehab Units	$139.70	$139.70	—	—	—
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT Manual Therapy Assistant Units	$139.70	$139.70	—	—	—
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 OT Manual Therapy Assistant Units	$139.70	$139.70	—	—	—
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 OT Manual Therapy Rehab Units	$139.70	$139.70	—	—	—
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Mobilization with Motion - Manual Therapy Charges Units	$1,349.20	$1,349.20	—	—	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT Therapeutic Exercise Assistant Units	$131.70	$131.70	—	68% above	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT Therapeutic Exercise Units	$131.70	$131.70	—	68% above	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Therapeutic Exercise Charges	$131.70	$131.70	—	68% above	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT Therapeutic Exercise Rehab Units	$131.70	$131.70	—	68% above	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT Therapeutic Exercise Assistant Units	$131.70	$131.70	—	68% above	—
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Therapeutic Exercise Charges	$131.70	$131.70	—	—	—
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT Therapeutic Exercise Units	$131.70	$131.70	—	—	—
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT Therapeutic Exercise Assistant Units	$131.70	$131.70	—	—	—
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT Therapeutic Exercise Assistant Units	$131.70	$131.70	—	—	—
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT Therapeutic Exercise Rehab Units	$131.70	$131.70	—	—	—
Quit-smoking counseling, 3 to 10 minutes CPT 99406 Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 min upt to 10 min	$14.60	$14.60	—	45% below	—
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 min upt to 10 min	$14.60	$14.60	—	—	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 99215 DESENSITIZATION >91 MIN CHARGE	$313.10	$313.10	—	38% above	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 99215 ESTBALISHED HIGH COMPLEXITY V TECH CHARGE	$313.10	$313.10	—	38% above	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 99215 OFFICE/OP VISIT, LEVEL V, EST CHARGE	$641.00	$641.00	—	183% above	—
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 99215 DESENSITIZATION >91 MIN CHARGE	$313.10	$313.10	—	—	—
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 99215 ESTBALISHED HIGH COMPLEXITY V TECH CHARGE	$313.10	$313.10	—	—	—
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 99215 OFFICE/OP VISIT, LEVEL V, EST CHARGE	$641.00	$641.00	—	—	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 99213 ESTABLISHED PATIENT LEVEL 3 CHARGE	$150.30	$150.30	—	11% above	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 99213 DESENSITIZATION LEVEL 1ST HR CHARGE	$243.80	$243.80	—	80% above	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 99213 ESTABLISHED LOW COMPLEXITY III TECH CHARGE	$243.80	$243.80	—	80% above	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 99213 OFFICE/OP VISIT LEVEL III, EST CHARGE	$366.70	$366.70	—	171% above	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OUTPT ASSESS/EXAM RM	$664.10	$664.10	—	390% above	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OB TRIAGE CHARGE	$664.10	$664.10	—	390% above	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 99213 ESTABLISHED PATIENT LEVEL 3 CHARGE	$150.30	$150.30	—	—	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 99213 DESENSITIZATION LEVEL 1ST HR CHARGE	$243.80	$243.80	—	—	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 99213 ESTABLISHED LOW COMPLEXITY III TECH CHARGE	$243.80	$243.80	—	—	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 99213 OFFICE/OP VISIT LEVEL III, EST CHARGE	$366.70	$366.70	—	—	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OUTPT ASSESS/EXAM RM	$664.10	$664.10	—	—	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OB TRIAGE CHARGE	$664.10	$664.10	—	—	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 99214 ESTABLISHED PATIENT LEVEL 4 CHARGE	$231.20	$231.20	—	28% above	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 99214 ESTABLISHED MOD COMPLEXITY IV TECH CHARGE	$293.20	$293.20	—	63% above	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 99214 DESENSITIZATION 61-90 MINUTES CHARGE	$293.20	$293.20	—	63% above	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 99214 OFFICE/OP VISIT, LEVEL IV, EST CHARGE	$483.30	$483.30	—	168% above	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 99214 ESTABLISHED PATIENT LEVEL 4 CHARGE	$231.20	$231.20	—	—	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 99214 DESENSITIZATION 61-90 MINUTES CHARGE	$293.20	$293.20	—	—	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 99214 ESTABLISHED MOD COMPLEXITY IV TECH CHARGE	$293.20	$293.20	—	—	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 99214 OFFICE/OP VISIT, LEVEL IV, EST CHARGE	$483.30	$483.30	—	—	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 99212 ESTABLISHED PATIENT LEVEL 2 CHARGE	$76.80	$76.80	—	26% below	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 99212 ESTABLISHED STRAIGHTFORWARD II TECH CHARGE	$182.80	$182.80	—	77% above	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 99212 OFFICE/OP VISIT, LEVEL II, EST CHARGE	$366.70	$366.70	—	255% above	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 99212 ESTABLISHED PATIENT LEVEL 2 CHARGE	$76.80	$76.80	—	—	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 99212 ESTABLISHED STRAIGHTFORWARD II TECH CHARGE	$182.80	$182.80	—	—	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 99212 OFFICE/OP VISIT, LEVEL II, EST CHARGE	$366.70	$366.70	—	—	—
Specialist consultation, low complexity or 30+ minutes CPT 99243 99243 OP CONSULT L0W COMPLEX III TECH CHARGE	$418.10	$418.10	—	136% above	—
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 99243 OP CONSULT L0W COMPLEX III TECH CHARGE	$418.10	$418.10	—	—	—
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 99244 OP CONSULT MOD COMPLEX IV TECH CHARGE	$614.70	$614.70	—	130% above	—
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 99244 OP CONSULT MOD COMPLEX IV TECH CHARGE	$614.70	$614.70	—	—	—
Speech and language evaluation CPT 92523 SLP Sound Prod w/ Lang Comp Eval Rehab Units	$455.40	$455.40	—	77% above	—
Speech and language evaluation CPT 92523 SLP Language Without Speech Units	$455.40	$455.40	—	77% above	—
Speech and language evaluation CPT 92523 Speech Sound Prod w/ Language Charge - Speech Sound Prod w/ Language Charge	$455.40	$455.40	—	77% above	—
Speech and language evaluation inpatient CPT 92523 SLP Sound Prod w/ Lang Comp Eval Rehab Units	$455.40	$455.40	—	—	—
Speech and language evaluation inpatient CPT 92523 SLP Language Without Speech Units	$455.40	$455.40	—	—	—
Speech and language evaluation inpatient CPT 92523 Speech Sound Prod w/ Language Charge - Speech Sound Prod w/ Language Charge	$455.40	$455.40	—	—	—
Speech therapy session, individual CPT 92507 Yes - zzTx of Speech/Lang/Voice/Comm/Auditory Chg	$311.30	$311.30	—	84% above	—
Speech therapy session, individual CPT 92507 SLP Auditory Processing Tx Rehab Units	$311.30	$311.30	—	84% above	—
Speech therapy session, individual CPT 92507 Tx of Speech/Lang/Voice/Comm/Auditory Chg Medicaid	$311.30	$311.30	—	84% above	—
Speech therapy session, individual CPT 92507 Tx of Speech/Lang/Voice/Comm/Auditory Chg - Tx of Speech/Lang/Voice/Comm/Auditory Chg	$311.30	$311.30	—	84% above	—
Speech therapy session, individual inpatient CPT 92507 Tx of Speech/Lang/Voice/Comm/Auditory Chg - Tx of Speech/Lang/Voice/Comm/Auditory Chg	$311.30	$311.30	—	—	—
Speech therapy session, individual inpatient CPT 92507 Tx of Speech/Lang/Voice/Comm/Auditory Chg Medicaid	$311.30	$311.30	—	—	—
Speech therapy session, individual inpatient CPT 92507 Yes - zzTx of Speech/Lang/Voice/Comm/Auditory Chg	$311.30	$311.30	—	—	—
Speech therapy session, individual inpatient CPT 92507 SLP Auditory Processing Tx Rehab Units	$311.30	$311.30	—	—	—
Spirometry before and after a bronchodilator CPT 94060 94060 DDS PULMONARY FUNCTION STUDY CHARGE	$457.10	$457.10	—	4% above	—
Spirometry before and after a bronchodilator inpatient CPT 94060 94060 DDS PULMONARY FUNCTION STUDY CHARGE	$457.10	$457.10	—	—	—
Therapeutic activities (functional training), 15 minutes CPT 97530 PT Therapeutic Activity Rehab Units	$152.20	$152.20	—	90% above	—
Therapeutic activities (functional training), 15 minutes CPT 97530 OT Therapeutic Activities Assistant Units	$152.20	$152.20	—	90% above	—
Therapeutic activities (functional training), 15 minutes CPT 97530 PT Therapeutic Activity Assistant Units	$152.20	$152.20	—	90% above	—
Therapeutic activities (functional training), 15 minutes CPT 97530 Therapeutic Activities Charges	$152.20	$152.20	—	90% above	—
Therapeutic activities (functional training), 15 minutes CPT 97530 Therapeutic Activities Charge	$152.20	$152.20	—	90% above	—
Therapeutic activities (functional training), 15 minutes CPT 97530 OT Therapeutic Activities Subsc Rehab Units	$152.20	$152.20	—	90% above	—
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Therapeutic Activities Charges	$152.20	$152.20	—	—	—
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OT Therapeutic Activities Assistant Units	$152.20	$152.20	—	—	—
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Therapeutic Activities Charge	$152.20	$152.20	—	—	—
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT Therapeutic Activity Rehab Units	$152.20	$152.20	—	—	—
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OT Therapeutic Activities Subsc Rehab Units	$152.20	$152.20	—	—	—
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT Therapeutic Activity Assistant Units	$152.20	$152.20	—	—	—
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Volume Removed	$299.50	$299.50	—	72% above	—
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Volume Removed	$299.50	$299.50	—	—	—

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Missouri	Off list
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Varicella Virus Vaccine POC	$159.80	$159.80	—	4% below	—
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Varicella Virus Vaccine 0.5mL Vial [WMMC]	$683.28	$683.28	—	312% above	—
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 Varicella Virus Vaccine POC	$159.80	$159.80	—	—	—
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 Varicella Virus Vaccine 0.5mL Vial [WMMC]	$683.28	$683.28	—	—	—
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 Diphtheria-aPertussis-Tetanus (< 7 yr old) 0.5mL Syringe [WMMC]	$186.72	$186.72	—	130% above	—
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 Diphtheria-aPertussis-Tetanus (< 7 yr old) 0.5mL Syringe [WMMC]	$186.72	$186.72	—	—	—
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 influenza virus vaccine, inactivated preservative-free trivalent Sus	$147.99	$147.99	—	216% above	—
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 influenza virus vaccine, inactivated preservative-free trivalent Sus	$147.99	$147.99	—	—	—
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 Hepatitis B Vaccine Infant 10mcg-0.5mL [WMMC]	$175.00	$175.00	—	133% above	—
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 Hepatitis B Vaccine Infant 10mcg-0.5mL [WMMC]	$175.00	$175.00	—	—	—
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 influenza virus vaccine, inactivated high-dose preservative-free trivalent Sus	$439.43	$439.43	—	382% above	—
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 influenza virus vaccine, inactivated high-dose preservative-free trivalent Sus	$439.43	$439.43	—	—	—
MMR vaccine (measles, mumps and rubella), live CPT 90707 90707A Priorix - MMR, suspension for sub Q injection	$338.40	$338.40	—	113% above	—
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 90707A Priorix - MMR, suspension for sub Q injection	$338.40	$338.40	—	—	—
Meningococcal ACWY (MenACWY) vaccine CPT 90734 Meningococcal Conjugate Vaccine 0.5mL (WMMC)	$615.64	$615.64	—	383% above	—
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 Meningococcal Conjugate Vaccine 0.5mL (WMMC)	$615.64	$615.64	—	—	—
Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) CPT 90671 90671A Vaxneuvance - Pneumococcal 15-valent Conjugate Vaccine	$544.20	$544.20	—	123% above	—
Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) inpatient CPT 90671 90671A Vaxneuvance - Pneumococcal 15-valent Conjugate Vaccine	$544.20	$544.20	—	—	—
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 90732 - Pneumococcal 23-Valent Adult Vaccine	$314.20	$314.20	—	80% above	—
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumococcal 23-valent vaccine 0.5mL (WMMC)	$772.73	$772.73	—	342% above	—
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 90732 - Pneumococcal 23-Valent Adult Vaccine	$314.20	$314.20	—	—	—
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 Pneumococcal 23-valent vaccine 0.5mL (WMMC)	$772.73	$772.73	—	—	—
Rabies vaccine, one dose CPT 90675 Rabies vaccine 2.5 intl units-mL Vial (WMMC]	$909.70	$909.70	—	7% above	—
Rabies vaccine, one dose inpatient CPT 90675 Rabies vaccine 2.5 intl units-mL Vial (WMMC]	$909.70	$909.70	—	—	—
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Diphtheria-Tetanus Toxoid > 7 years 0.5 mL [WMMC]	$217.30	$217.30	—	196% above	—
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 Diphtheria-Tetanus Toxoid > 7 years 0.5 mL [WMMC]	$217.30	$217.30	—	—	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Diphtheria-Pertussis-Tetanus Adult Vaccine Syringe [WMMC]	$259.12	$259.12	—	163% above	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Diphtheria-Pertussis-Tetanus Adult Vaccine Syringe [WMMC]	$259.12	$259.12	—	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 ADMIN PNEUMOCOC VACC MC	$211.20	$211.20	—	268% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 ADMIN HEP B VACCINE MC	$211.20	$211.20	—	268% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 IMMUNIZATION ADM CHARGE	$211.20	$211.20	—	268% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 ADMIN OF FLU VACCINE	$211.20	$211.20	—	268% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 ADMIN OF VARICELLA VACCINE	$211.20	$211.20	—	268% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 ADMIN OF MMR VACCINE	$211.20	$211.20	—	268% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 IMMUNIZATION ADMIN; FIRST IMMU CHARGE	$211.20	$211.20	—	268% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 ADMIN INFLUENZA VACC MC	$211.20	$211.20	—	268% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 ADMIN TDAP VACCINE MC	$211.20	$211.20	—	268% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471 IMMUNIZATION ADMIN; FIRST IMMU CHARGE	$211.20	$211.20	—	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471 ADMIN INFLUENZA VACC MC	$211.20	$211.20	—	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471 ADMIN PNEUMOCOC VACC MC	$211.20	$211.20	—	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471 ADMIN OF VARICELLA VACCINE	$211.20	$211.20	—	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471 ADMIN OF MMR VACCINE	$211.20	$211.20	—	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471 IMMUNIZATION ADM CHARGE	$211.20	$211.20	—	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471 ADMIN TDAP VACCINE MC	$211.20	$211.20	—	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471 ADMIN HEP B VACCINE MC	$211.20	$211.20	—	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471 ADMIN OF FLU VACCINE	$211.20	$211.20	—	—	—
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472 EA ADDL VACCINE CHARGE	$15.90	$15.90	—	65% below	—
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION, EACH ADDITIONAL	$15.90	$15.90	—	65% below	—
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUNIZATION, EACH ADDITIONAL	$15.90	$15.90	—	—	—
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 90472 EA ADDL VACCINE CHARGE	$15.90	$15.90	—	—	—

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://wmmc.com/wp-content/uploads/2026/10/440665266_western-missouri-medical-center_standardcharges.csv