Hospital Memphis, TN-MS-AR

Regional One Health

Listed in its price file as “Shelby County Health Care Corporation”.

Regional One Health in Memphis, TN publishes cash prices for 291 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are above the Tennessee median for 196 of 284 procedures and below it for 87. By typical cash price it ranks #52 of 76 Tennessee hospitals and #13 of 13 hospitals in the Memphis, TN area, cheapest first. Click a procedure to compare it with other hospitals nearby.

877 Jefferson Avenue, Memphis, TN 38103 Collected Sep 27, 2026 Source price file (901) 545-7928

Acute care hospital Emergency department CMS star rating 1 of 5 CCN 440152 · CMS hospital register

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Tennessee	Off list
Ankle X-ray, complete, 3 or more views one side CPT 73610 2710187147 - ANKLE MIN 3 VIEWS LEFT	$220.42	$402.22	$18.00–$321.78	78% above	45%
Ankle X-ray, complete, 3 or more views one side CPT 73610 4232240000 - ANKLE MIN 3 VIEWS RIGHT	$220.45	$402.28	$18.00–$321.83	78% above	45%
Ankle X-ray, complete, 3 or more views one side CPT 73610 4232870000 - Ankle Min 3 Views Right Port	$220.53	$402.42	$18.00–$321.94	78% above	45%
Ankle X-ray, complete, 3 or more views one side CPT 73610 4232230000 - ANKLE MIN 3 VIEWS LEFT	$220.60	$402.55	$18.00–$322.04	78% above	45%
Ankle X-ray, complete, 3 or more views one side CPT 73610 4335100000 - ANKLE MIN 3 VIEWS RIGHT	$220.71	$402.76	$18.00–$322.21	78% above	45%
Ankle X-ray, complete, 3 or more views one side CPT 73610 4232860000 - Ankle Min 3 Views Left Port	$220.72	$402.78	$18.00–$322.22	78% above	45%
Ankle X-ray, complete, 3 or more views one side CPT 73610 2710207147 - ANKLE MIN 3 VIEWS RIGHT	$220.72	$402.78	$18.00–$322.22	78% above	45%
Ankle X-ray, complete, 3 or more views one side CPT 73610 4335090000 - ANKLE MIN 3 VIEWS LEFT	$220.72	$402.78	$18.00–$322.22	78% above	45%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 7583700000 - UPR/L XTREMITY ART 2 LEVELS 93922	$215.76	$393.72	$27.30–$372.00	7% below	45%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 9701190000 - Upr/L Xtremity Art 2 Levels	$216.00	$394.16	$27.30–$372.00	7% below	45%
Barium swallow (esophagus X-ray with contrast) CPT 74220 4355590000 - ESOPHAGRAM 74220	$389.61	$710.97	$36.00–$568.78	87% above	45%
Barium swallow (esophagus X-ray with contrast) CPT 74220 74220710500 - ESOPHAGRAM 74220	$389.79	$711.30	$36.00–$569.04	87% above	45%
Barium swallow (esophagus X-ray with contrast) CPT 74220 4238020000 - ESOPHAGRAM 74220	$389.79	$711.30	$36.00–$569.04	87% above	45%
Bone scan, whole body (nuclear medicine) CPT 78306 4701520000 - Bone Scan Whole Body	$296.97	$541.91	$59.00–$736.26	52% below	45%
Breast ultrasound, complete, one breast CPT 76641 1310567148 - ULTRASOUND BREAST COMPLETE 76641	$233.66	$426.38	$63.40–$341.11	35% above	45%
Breast ultrasound, complete, one breast CPT 76641 4540520000 - ULTRASOUND BREAST COMPLETE 76641	$235.37	$429.51	$63.40–$343.61	36% above	45%
Breast ultrasound, complete, one breast one side CPT 76641 4540280000 - ULTRASOUND BREAST UNILATERAL COMPLETE 76	$232.43	$424.15	$63.40–$339.32	34% above	45%
Breast ultrasound, complete, one breast one side CPT 76641 7664100001 - US BREAST COMPLETE RIGHT 76641	$234.65	$428.20	$63.40–$342.56	35% above	45%
Breast ultrasound, complete, one breast one side CPT 76641 76641710600 - US BREAST COMPLETE LEFT 76641	$234.83	$428.52	$63.40–$342.81	35% above	45%
Breast ultrasound, complete, one breast one side CPT 76641 7664100002 - US BREAST COMPLETE RIGHT 76641	$235.08	$428.98	$63.40–$343.18	36% above	45%
Breast ultrasound, complete, one breast one side CPT 76641 76641780354 - US BREAST COMPLETE LEFT 76641	$235.12	$429.05	$63.40–$343.24	36% above	45%
Breast ultrasound, limited (one breast or one area) CPT 76642 4538160000 - ULTRASOUND BREAST LIMITED 76642	$127.67	$232.98	$48.50–$186.38	22% below	45%
Breast ultrasound, limited (one breast or one area) CPT 76642 1310577148 - ULTRASOUND BREAST LIMITED 76642	$127.74	$233.10	$48.50–$186.48	22% below	45%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 4654390000 - Cta Chest W/W/R	$1,358.68	$2,479.34	$136.13–$1,983.47	34% above	45%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 1820337146 - Ct Angiography Chest	$1,359.58	$2,480.99	$136.13–$1,984.79	34% above	45%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 71275781824 - Ct Angiography Chest	$1,359.58	$2,480.99	$136.13–$1,984.79	34% above	45%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 1821187146 - Cta Chest W/W/R	$1,359.58	$2,480.99	$136.13–$1,984.79	34% above	45%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 75571780352 - CT HRT W/O DYE W/CA TEST 75571	$83.27	$151.96	$33.57–$181.06	16% below	45%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 4654290000 - Combo Ct (Abd, Pelvis W/O)	$1,947.54	$3,553.91	$108.30–$2,843.13	38% above	45%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 74176781824 - Combo Ct (Abd, Pelvis W/O)	$1,998.60	$3,647.08	$108.30–$2,917.66	42% above	45%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 1820147146 - Combo Ct (Abd, Pelvis W/O)	$1,998.60	$3,647.08	$108.30–$2,917.66	42% above	45%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 4654300000 - Combo Ct (Abd, Pelvis W/) 74177	$2,621.73	$4,784.17	$206.27–$3,827.34	45% above	45%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 1820127146 - Combo Ct (Abd, Pelvis W/) 74177	$2,622.74	$4,786.02	$206.27–$3,828.82	45% above	45%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 74177781824 - Combo Ct (Abd, Pelvis W/) 74177	$2,623.31	$4,787.05	$206.27–$3,829.64	45% above	45%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 4654310000 - Combo Ct (Abd, Pelvis W/O & W)	$2,823.71	$5,152.75	$249.34–$4,122.20	41% above	45%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 1820137146 - Combo Ct (Abd, Pelvis W/O & W)	$2,823.87	$5,153.04	$249.34–$4,122.43	41% above	45%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 74178781824 - Combo Ct (Abd, Pelvis W/O & W)	$2,825.03	$5,155.17	$249.34–$4,124.14	41% above	45%
CT scan of the abdomen with contrast CPT 74160 1820297146 - Ct Abd W Contrast	$1,310.17	$2,390.82	$136.13–$1,912.65	50% above	45%
CT scan of the abdomen with contrast CPT 74160 4647610000 - Ct Abd W Contrast	$1,310.95	$2,392.24	$136.13–$1,913.79	50% above	45%
CT scan of the abdomen with contrast CPT 74160 74160781824 - Ct Abd W Contrast	$1,310.95	$2,392.24	$136.13–$1,913.79	50% above	45%
CT scan of the abdomen without contrast CPT 74150 4647600000 - Ct Abd Wo Contrast	$887.78	$1,620.04	$81.46–$1,296.03	14% above	45%
CT scan of the abdomen without contrast CPT 74150 1820307146 - Ct Abd Wo Contrast	$888.26	$1,620.91	$81.46–$1,296.73	14% above	45%
CT scan of the abdomen without contrast CPT 74150 74150781824 - Ct Abd Wo Contrast	$888.26	$1,620.91	$81.46–$1,296.73	14% above	45%
CT scan of the face and sinuses, no contrast dye CPT 70486 4646500000 - Ct Maxillofacial W/O	$1,580.59	$2,884.29	$81.46–$2,307.43	171% above	45%
CT scan of the face and sinuses, no contrast dye CPT 70486 1820737146 - Ct Maxillofacial W/O	$1,581.85	$2,886.58	$81.46–$2,309.26	171% above	45%
CT scan of the face and sinuses, no contrast dye CPT 70486 4654360000 - Ct Sinus W/O	$1,581.85	$2,886.58	$81.46–$2,309.26	171% above	45%
CT scan of the face and sinuses, no contrast dye CPT 70486 1820937146 - Ct Sinus W/O	$1,581.85	$2,886.58	$81.46–$2,309.26	171% above	45%
CT scan of the head or brain, no contrast dye CPT 70450 4646000000 - Ct Head W/O 70450	$843.74	$1,539.67	$81.46–$1,231.74	23% above	45%
CT scan of the head or brain, no contrast dye CPT 70450 70450781824 - Ct Head W/O 70450	$844.18	$1,540.47	$81.46–$1,232.38	23% above	45%
CT scan of the head or brain, no contrast dye CPT 70450 1820267146 - Ct Head W/O 70450	$844.18	$1,540.47	$81.46–$1,232.38	23% above	45%
CT scan of the head with contrast CPT 70460 1820257146 - Ct - Head/Brain W Contrast 70460	$1,297.14	$2,367.04	$136.13–$1,893.63	47% above	45%
CT scan of the head with contrast CPT 70460 70460781824 - Ct - Head/Brain W Contrast 70460	$1,309.86	$2,390.25	$136.13–$1,912.20	49% above	45%
CT scan of the head with contrast CPT 70460 4646010000 - Ct - Head/Brain W Contrast 70460	$1,309.86	$2,390.25	$136.13–$1,912.20	49% above	45%
CT scan of the head without and with contrast CPT 70470 4646020000 - Ct - Head/Brain W & Wo Contrast 70470	$1,585.42	$2,893.10	$136.13–$2,314.48	46% above	45%
CT scan of the head without and with contrast CPT 70470 70470781824 - Ct - Head/Brain W & Wo Contrast 70470	$1,586.91	$2,895.82	$136.13–$2,316.66	46% above	45%
CT scan of the head without and with contrast CPT 70470 1820247146 - Ct - Head/Brain W & Wo Contrast 70470	$1,586.91	$2,895.82	$136.13–$2,316.66	46% above	45%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 4647100000 - Ct Spine Lumbar W/O 72131	$1,028.23	$1,876.34	$81.46–$1,501.07	38% above	45%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 1820987146 - Ct Spine Lumbar W/O 72131	$1,028.91	$1,877.57	$81.46–$1,502.06	38% above	45%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 4646900000 - Ct Spine Cervical W/O 72125	$1,127.17	$2,056.87	$81.46–$1,645.50	44% above	45%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 1820957146 - Ct Spine Cervical W/O 72125	$1,128.01	$2,058.41	$81.46–$1,646.73	44% above	45%
CT scan of the pelvis, with contrast dye CPT 72193 4647210000 - Ct Pelvis W/	$1,407.91	$2,569.18	$136.13–$2,055.34	68% above	45%
CT scan of the pelvis, with contrast dye CPT 72193 72193781824 - Ct Pelvis W/	$1,407.91	$2,569.18	$136.13–$2,055.34	68% above	45%
CT scan of the pelvis, with contrast dye CPT 72193 1820887146 - Ct Pelvis W/	$1,407.91	$2,569.18	$136.13–$2,055.34	68% above	45%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 1310197148 - Doppler Carotid Bilat	$477.51	$871.37	$70.00–$697.10	—	45%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 4540950000 - Doppler Carotid Bilat	$477.71	$871.73	$70.00–$697.38	—	45%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 7503640000 - Carotid Duplex Scan; Bilat 93880	$477.71	$871.73	$70.00–$697.38	—	45%
Chest X-ray, 2 views CPT 71046 71046780353 - X-RAY EXAM CHEST 2 VIEWS 71046	$127.62	$232.88	$21.87–$186.30	16% above	45%
Chest X-ray, 2 views CPT 71046 71046710400 - X-RAY EXAM CHEST 2 VIEWS 71046	$127.65	$232.94	$21.87–$186.35	16% above	45%
Chest X-ray, 2 views CPT 71046 71046710200 - X-RAY EXAM CHEST 2 VIEWS 71046	$127.67	$232.97	$21.87–$186.38	16% above	45%
Chest X-ray, single view CPT 71045 71045710400 - X-RAY EXAM CHEST 1 VIEW 71045	$125.20	$228.48	$11.86–$182.78	30% above	45%
Chest X-ray, single view CPT 71045 71045710200 - X-RAY EXAM CHEST 1 VIEW 71045	$125.68	$229.35	$11.86–$183.48	30% above	45%
Chest X-ray, single view CPT 71045 71045780353 - X-RAY EXAM CHEST 1 VIEW 71045	$127.74	$233.10	$11.86–$186.48	33% above	45%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 76770780610 - US EXAM ABDO BACK WALL COMP 76770	$201.08	$366.94	$44.00–$293.55	25% below	45%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 1310957148 - Us Retroperitoneal	$235.24	$429.26	$44.00–$343.41	12% below	45%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 4540860000 - Us Retroperitoneal	$235.25	$429.28	$44.00–$343.43	12% below	45%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 770807803SP - BODY COMP DEXA SELF PAY	$55.59	$101.45	$47.58–$224.16	66% below	45%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 2712507147 - DXA, AXIAL, BONE DENSITY	$176.42	$321.93	$47.58–$257.55	8% above	45%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 2712527147 - BONE DEXA SCAN, PERIPHERAL 1+ SITES 7708	$95.92	$175.04	$24.17–$159.62	27% above	45%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 6692867121 - BONE DEXA SCAN, PERIPHERAL 1+ SITES 7708	$95.95	$175.10	$24.17–$159.62	27% above	45%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 76811780386 - OB US DETAILED SNGL FETUS	$235.19	$429.18	$113.05–$466.08	41% below	45%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 2402167129 - OB US DETAILED SNGL FETUS	$235.22	$429.23	$113.05–$466.08	41% below	45%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 4646800000 - CT THORAX; WO CONTRAST 71250	$899.61	$1,641.63	$81.46–$1,313.30	31% above	45%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 1821127146 - CT THORAX; WO CONTRAST 71250	$900.11	$1,642.53	$81.46–$1,314.02	31% above	45%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 71250781824 - CT THORAX; WO CONTRAST 71250	$900.13	$1,642.57	$81.46–$1,314.06	31% above	45%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 4646810000 - Ct Thorax; W Contrast 71260	$1,306.48	$2,384.08	$136.13–$1,907.27	57% above	45%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 1821117146 - Ct Thorax; W Contrast 71260	$1,307.10	$2,385.21	$136.13–$1,908.17	57% above	45%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 71260781824 - Ct Thorax; W Contrast 71260	$1,307.22	$2,385.43	$136.13–$1,908.35	57% above	45%
Diagnostic mammogram, both breasts both sides CPT 77066 4103660000 - DX MAMMO INCL CAD BI 77066	$360.06	$657.04	$0.01–$525.63	—	45%
Diagnostic mammogram, both breasts both sides CPT 77066 1830107139 - DX MAMMO INCL CAD BI 77066	$360.14	$657.19	$0.01–$525.75	—	45%
Diagnostic mammogram, one breast CPT 77065 1830047139 - DX MAMMO INCL CAD UNI	$276.87	$505.24	$0.01–$404.19	93% above	45%
Diagnostic mammogram, one breast CPT 77065 4103650000 - DX MAMMO INCL CAD UNI	$284.93	$519.95	$0.01–$415.96	98% above	45%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 1310357148 - DOPPLER VENOUS LEG, BILATERAL	$476.94	$870.32	$42.00–$696.26	—	45%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 7503650000 - DUPLEX EXT VEINS; BILAT	$477.23	$870.85	$42.00–$696.68	—	45%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 4540980000 - DOPPLER VENOUS LEG, BILATERAL	$477.32	$871.02	$42.00–$696.81	—	45%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 4539350000 - Doppler Venous Arm Bilat	$477.71	$871.73	$42.00–$697.38	—	45%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 7701530000 - TTE W/DOPPLER COMPLETE 93306	$999.35	$1,823.63	$257.33–$1,458.91	9% below	45%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 4733130000 - Hepatobiliary System Imaging	$419.32	$765.18	$218.85–$736.26	35% below	45%
Knee X-ray, 3 views one side CPT 73562 4334980000 - KNEE 3 VIEWS RIGHT	$240.97	$439.72	$28.19–$351.78	99% above	45%
Knee X-ray, 3 views one side CPT 73562 4232120000 - KNEE 3 VIEWS RIGHT	$244.28	$445.76	$28.19–$356.61	102% above	45%
Knee X-ray, 3 views one side CPT 73562 4232110000 - KNEE 3 VIEWS LEFT	$244.36	$445.92	$28.19–$356.73	102% above	45%
Knee X-ray, 3 views one side CPT 73562 4334970000 - KNEE 3 VIEWS LEFT	$244.51	$446.18	$28.19–$356.94	102% above	45%
Knee X-ray, 3 views one side CPT 73562 2711387147 - KNEE 3 VIEWS RIGHT	$244.53	$446.22	$28.19–$356.98	102% above	45%
Knee X-ray, 3 views one side CPT 73562 2711377147 - KNEE 3 VIEWS LEFT	$244.53	$446.22	$28.19–$356.98	102% above	45%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 4539620000 - US ABDOMEN LIMITED 76705	$235.24	$429.26	$20.00–$343.41	6% below	45%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 1310697148 - US ABDOMEN LIMITED 76705	$235.29	$429.36	$20.00–$343.49	6% below	45%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 4538230000 - Us Appendix	$235.37	$429.51	$20.00–$343.61	6% below	45%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 76705620100 - US ABDOMEN LIMITED 76705	$235.37	$429.51	$20.00–$343.61	6% below	45%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 71271780352 - CT THORAX LUNG CANCER SCR C- 71271	$159.59	$291.23	$60.35–$232.98	11% below	45%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 71271781824 - CT THORAX LUNG CANCER SCR C- 71271	$159.68	$291.38	$60.35–$233.10	11% below	45%
MRI of both breasts, without and then with contrast dye both sides CPT 77049 77049710800 - MRI BREAST C-+ W/CAD BI 77049	$408.09	$744.69	$0.01–$659.30	—	45%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 1410737145 - Mri Joint Lower,Rt,W/O	$1,285.14	$2,345.14	$181.55–$1,876.11	60% above	45%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 4610360000 - Mri Joint Lower,Rt,W/O	$1,287.82	$2,350.03	$181.55–$1,880.02	60% above	45%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 1410707145 - Mri Joint Lower,Lt,W/O	$1,363.53	$2,488.19	$181.55–$1,990.55	70% above	45%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 4610350000 - Mri Joint Lower,Lt,W/O	$1,365.17	$2,491.19	$181.55–$1,992.95	70% above	45%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 4610420000 - Mri Joint Lower,Rt,W/O & W/	$2,131.45	$3,889.51	$284.93–$3,111.61	109% above	45%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 1410717145 - Mri Joint Lower,Lt,W/O & W/	$2,131.45	$3,889.51	$284.93–$3,111.61	109% above	45%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 1410747145 - Mri Joint Lower,Rt,W/O & W/	$2,131.45	$3,889.51	$284.93–$3,111.61	109% above	45%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 4610410000 - Mri Joint Lower,Lt,W/O & W/	$2,131.45	$3,889.51	$284.93–$3,111.61	109% above	45%
MRI of the abdomen without contrast CPT 74181 4610200000 - Mri Abdomen W/O	$1,320.73	$2,410.09	$181.55–$1,928.08	43% above	45%
MRI of the abdomen without contrast CPT 74181 1410377145 - Mri Abdomen W/O	$1,323.36	$2,414.89	$181.55–$1,931.91	43% above	45%
MRI of the abdomen, without and then with contrast dye CPT 74183 4610210000 - MRI ABDOMEN WO & W CONTRAST 74183	$2,082.30	$3,799.83	$284.93–$3,039.86	67% above	45%
MRI of the abdomen, without and then with contrast dye CPT 74183 1410387145 - MRI ABDOMEN WO & W CONTRAST 74183	$2,120.25	$3,869.07	$284.93–$3,095.25	70% above	45%
MRI of the brain, no contrast dye CPT 70551 1410447145 - Mri Brain Wo Contrast 70551	$1,432.56	$2,614.16	$181.55–$2,091.33	46% above	45%
MRI of the brain, no contrast dye CPT 70551 4600020000 - Mri Brain Wo Contrast 70551	$1,433.50	$2,615.88	$181.55–$2,092.70	46% above	45%
MRI of the brain, with and without contrast dye CPT 70553 1410427145 - Mri Brain W & Wo Contrast 70553	$2,102.73	$3,837.10	$284.93–$3,069.68	48% above	45%
MRI of the brain, with and without contrast dye CPT 70553 4600040000 - Mri Brain W & Wo Contrast 70553	$2,103.11	$3,837.80	$284.93–$3,070.24	48% above	45%
MRI of the lower back, no contrast dye CPT 72148 1410987145 - MRI Spine Lumbar Spine W/O	$1,354.28	$2,471.32	$181.55–$1,977.06	39% above	45%
MRI of the lower back, no contrast dye CPT 72148 4600110000 - MRI Spine Lumbar Spine W/O	$1,354.41	$2,471.55	$181.55–$1,977.24	39% above	45%
MRI of the lower back, without and then with contrast dye CPT 72158 4600130000 - Mri Spine Lumbar Spine W/O & W 72158	$2,120.02	$3,868.65	$284.93–$3,094.92	58% above	45%
MRI of the lower back, without and then with contrast dye CPT 72158 1410997145 - Mri Spine Lumbar Spine W/O & W 72158	$2,121.92	$3,872.12	$284.93–$3,097.70	58% above	45%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 1411017145 - Mri Spine Thoracic W/O	$1,209.15	$2,206.49	$181.55–$1,765.19	24% above	45%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 4600190000 - Mri Spine Thoracic W/O	$1,210.36	$2,208.69	$181.55–$1,766.95	24% above	45%
MRI of the neck (cervical spine) without and with contrast CPT 72156 4610850000 - Mri Spine Cervical W/O & W/	$1,512.29	$2,759.65	$284.93–$2,207.72	14% above	45%
MRI of the neck (cervical spine) without and with contrast CPT 72156 1410957145 - Mri Spine Cervical W/O & W/	$1,514.74	$2,764.12	$284.93–$2,211.30	14% above	45%
MRI of the neck (cervical spine), no contrast dye CPT 72141 4600060000 - Mri Spine Cervical W/O	$1,370.74	$2,501.35	$181.55–$2,001.08	41% above	45%
MRI of the neck (cervical spine), no contrast dye CPT 72141 1410947145 - Mri Spine Cervical W/O	$1,370.74	$2,501.36	$181.55–$2,001.09	41% above	45%
MRI of the pelvis without and with contrast CPT 72197 1410917145 - Mri Pelvis W/O & W/ 72197	$2,165.00	$3,950.74	$284.93–$3,160.59	74% above	45%
MRI of the pelvis without and with contrast CPT 72197 4610490000 - Mri Pelvis W/O & W/ 72197	$2,166.39	$3,953.26	$284.93–$3,162.61	74% above	45%
MRI of the pelvis, no contrast dye CPT 72195 1410907145 - Mri Pelvis W/O	$1,466.10	$2,675.37	$181.55–$2,140.29	78% above	45%
MRI of the pelvis, no contrast dye CPT 72195 4610480000 - Mri Pelvis W/O	$1,468.73	$2,680.17	$181.55–$2,144.14	78% above	45%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 4610600000 - Mri Joint Upper,Rt,W/O	$1,333.90	$2,434.12	$181.55–$1,947.30	50% above	45%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 1410787145 - Mri Joint Upper,Rt,W/O	$1,335.03	$2,436.19	$181.55–$1,948.95	50% above	45%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 4610590000 - Mri Joint Upper,Lt,W/O	$1,338.58	$2,442.66	$181.55–$1,954.13	50% above	45%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 1410777145 - Mri Joint Upper,Lt,W/O	$1,338.58	$2,442.66	$181.55–$1,954.13	50% above	45%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 4733060000 - Ht Muscle Image Spect, Mult 78452	$565.61	$1,032.14	$266.71–$2,544.38	70% below	45%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 78815781824 - PET IMAGE W/CT SKULL-THIGH 78815	$3,165.68	$5,776.79	$286.99–$5,099.05	63% above	45%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 2403257129 - Us Bladder 76857	$231.94	$423.26	$24.00–$338.60	45% above	45%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 76857620000 - Us Bladder 76857	$235.37	$429.51	$24.00–$343.61	47% above	45%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 1310907148 - US EXAM PELVIC COMPLETE 76856	$235.09	$429.00	$40.00–$343.20	14% below	45%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 4538600000 - US EXAM PELVIC COMPLETE 76856	$235.12	$429.06	$40.00–$343.25	14% below	45%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 2403247129 - US EXAM PELVIC COMPLETE 76856	$235.37	$429.51	$40.00–$343.61	14% below	45%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 2402147129 - USG >14WKS TRANSABD SNGL/1ST 76805	$235.20	$429.20	$56.00–$343.36	12% below	45%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 76805780386 - USG >14WKS TRANSABD SNGL/1ST 76805	$235.30	$429.37	$56.00–$343.50	12% below	45%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 7041090000 - USG >14WKS TRANSABD SNGL/1ST 76805	$235.37	$429.51	$56.00–$343.61	12% below	45%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 76805620100 - USG >14WKS TRANSABD SNGL/1ST 76805	$235.37	$429.51	$56.00–$343.61	12% below	45%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 1310837148 - Us Ob < 14Wks Single	$233.09	$425.34	$42.75–$340.27	3% above	45%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 2402127129 - USG < 14WKS TRANSABD SNGL/1ST 76801	$235.15	$429.10	$42.75–$343.28	4% above	45%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 4540920000 - Us Ob < 14Wks Single	$235.18	$429.17	$42.75–$343.34	4% above	45%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 76801620000 - USG < 14WKS TRANSABD SNGL/1ST 76801	$235.30	$429.37	$42.75–$343.50	4% above	45%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 2703017124 - USG < 14WKS TRANSABD SNGL/1ST 76801	$235.37	$429.51	$42.75–$343.61	4% above	45%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 76801780386 - USG < 14WKS TRANSABD SNGL/1ST 76801	$235.48	$429.71	$42.75–$343.77	4% above	45%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 2402207129 - Ob Us, Limited, Fetus(S) 76815	$235.31	$429.39	$26.00–$343.51	55% above	45%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 2703087124 - Ob Us, Limited, Fetus(S) 76815	$235.37	$429.51	$26.00–$343.61	55% above	45%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 76815620000 - Ob Us, Limited, Fetus(S) 76815	$235.37	$429.51	$26.00–$343.61	55% above	45%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 4550130000 - OB US LIMITED 1+ FETUS(S)	$235.37	$429.51	$26.00–$343.61	55% above	45%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 76815780386 - Ob Us, Limited, Fetus(S) 76815	$235.90	$430.47	$26.00–$344.38	55% above	45%
Screening mammogram, both breasts both sides CPT 77067 4103670000 - SCR MAMMO BI INCL CAD 77067	$289.96	$529.13	$0.01–$423.30	—	45%
Screening mammogram, both breasts both sides CPT 77067 1830087139 - SCR MAMMO BI INCL CAD 77067	$290.01	$529.22	$0.01–$423.37	—	45%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 2711827147 - SHOULDER MIN 2 VIEWS LEFT	$127.57	$232.79	$20.00–$186.23	9% above	45%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 4231710000 - SHOULDER MIN 2 VIEWS RIGHT	$127.62	$232.89	$20.00–$186.31	9% above	45%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 4231700000 - SHOULDER MIN 2 VIEWS LEFT	$127.68	$233.00	$20.00–$186.40	9% above	45%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 4334570000 - SHOULDER MIN 2 VIEWS LEFT	$127.68	$233.00	$20.00–$186.40	9% above	45%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 2711847147 - SHOULDER MIN 2 VIEWS RIGHT	$127.68	$232.99	$20.00–$186.39	9% above	45%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 4334580000 - SHOULDER MIN 2 VIEWS RIGHT	$127.70	$233.03	$20.00–$186.42	10% above	45%
Swallow study (modified barium swallow, video X-ray) CPT 74230 4237820000 - MODIFIED BARIUM SWALLOW	$176.17	$321.48	$29.00–$364.44	13% below	45%
Swallow study (modified barium swallow, video X-ray) CPT 74230 4335520000 - MODIFIED BARIUM SWALLOW	$176.53	$322.13	$29.00–$364.44	13% below	45%
Transvaginal pelvic ultrasound CPT 76830 2703467124 - NON-OB TRANSVAG US 76830	$234.61	$428.12	$68.00–$342.50	12% below	45%
Transvaginal pelvic ultrasound CPT 76830 1311087148 - Us Transvaginal 76830	$235.14	$429.09	$68.00–$343.27	12% below	45%
Transvaginal pelvic ultrasound CPT 76830 4538690000 - Us Transvaginal 76830	$235.37	$429.51	$68.00–$343.61	12% below	45%
Transvaginal pelvic ultrasound CPT 76830 4540190000 - Us Tranvaginal Portable	$235.37	$429.51	$68.00–$343.61	12% below	45%
Transvaginal ultrasound during pregnancy CPT 76817 2402197129 - TRANSVAGINAL OB US	$235.15	$429.10	$45.48–$343.28	12% above	45%
Transvaginal ultrasound during pregnancy CPT 76817 76817780386 - TRANSVAGINAL OB US	$235.37	$429.51	$45.48–$343.61	12% above	45%
Transvaginal ultrasound during pregnancy CPT 76817 2703107124 - TRANSVAGINAL OB US	$235.37	$429.51	$45.48–$343.61	12% above	45%
Transvaginal ultrasound during pregnancy CPT 76817 7041130000 - Usg Transvaginal - Ob Pregnant	$235.37	$429.51	$45.48–$343.61	12% above	45%
Ultrasound of the abdomen, complete CPT 76700 1310677148 - Us Abdomen Complete	$235.27	$429.33	$56.00–$343.46	26% below	45%
Ultrasound of the abdomen, complete CPT 76700 4538200000 - Us Abdomen Complete	$235.27	$429.33	$56.00–$343.46	26% below	45%
Ultrasound of the scrotum and testicles CPT 76870 4539820000 - US SCROTUM AND CONTENTS 76870	$235.16	$429.12	$31.00–$343.30	11% below	45%
Ultrasound of the scrotum and testicles CPT 76870 1310997148 - US SCROTUM AND CONTENTS 76870	$235.37	$429.51	$31.00–$343.61	11% below	45%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 4538050000 - US S/T Head/Neck	$235.23	$429.25	$54.00–$343.40	2% below	45%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 1310987148 - US S/T Head/Neck	$235.24	$429.27	$54.00–$343.42	2% below	45%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 74248710400 - X-RAY SM INT F-THRU STD 74248	$358.28	$653.80	$30.00–$523.04	45% above	45%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 74240710200 - X-RAY XM UPR GI TRC 1CNTRST 74240	$386.01	$704.39	$30.00–$563.51	56% above	45%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 74240710400 - X-RAY XM UPR GI TRC 1CNTRST 74240	$389.79	$711.30	$30.00–$569.04	58% above	45%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 6504377122 - DUPLEX EXT VEINS; UNIL/LIMIT 93971	$235.37	$429.51	$73.00–$372.00	22% below	45%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 93971620000 - DUPLEX EXT VEINS; UNIL/LIMIT 93971	$235.37	$429.51	$73.00–$372.00	22% below	45%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 7503660000 - DUPLEX EXT VEINS; UNIL/LIMIT 93971	$235.37	$429.51	$73.00–$372.00	22% below	45%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 4540510000 - Doppler Venous Arm Right	$234.66	$428.22	$73.00–$372.00	23% below	45%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 1310047148 - Doppler Venous Leg, Rt 93971	$235.11	$429.03	$73.00–$372.00	22% below	45%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 4540500000 - Doppler Venous Arm Left	$235.15	$429.11	$73.00–$372.00	22% below	45%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 1310287148 - Doppler Venous Leg, Lt 93971	$235.16	$429.12	$73.00–$372.00	22% below	45%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 4540690000 - Doppler Venous Leg, Rt 93971	$235.16	$429.13	$73.00–$372.00	22% below	45%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 4540680000 - Doppler Venous Leg, Lt 93971	$235.20	$429.19	$73.00–$372.00	22% below	45%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 1310317148 - Doppler Venous Arm Left	$235.37	$429.51	$73.00–$372.00	22% below	45%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 1310337148 - Doppler Venous Arm Right	$235.37	$429.51	$73.00–$372.00	22% below	45%
Wrist X-ray, complete, 3 or more views both sides CPT 73110 4236190000 - Wrist Min 3 Views Bilateral 73110	$127.74	$233.10	$23.00–$186.48	—	45%
Wrist X-ray, complete, 3 or more views one side CPT 73110 4231920000 - WRIST MIN 3 VIEWS RIGHT	$127.55	$232.75	$23.00–$186.20	5% above	45%
Wrist X-ray, complete, 3 or more views one side CPT 73110 4231910000 - WRIST MIN 3 VIEWS LEFT	$127.61	$232.87	$23.00–$186.30	5% above	45%
Wrist X-ray, complete, 3 or more views one side CPT 73110 4232570000 - Wrist Min 3 Views Right Port	$127.62	$232.88	$23.00–$186.31	5% above	45%
Wrist X-ray, complete, 3 or more views one side CPT 73110 4334780000 - WRIST MIN 3 VIEWS LEFT	$127.65	$232.94	$23.00–$186.36	5% above	45%
Wrist X-ray, complete, 3 or more views one side CPT 73110 4232560000 - Wrist Min 3 Views Left Port	$127.68	$232.99	$23.00–$186.40	6% above	45%
Wrist X-ray, complete, 3 or more views one side CPT 73110 4334790000 - WRIST MIN 3 VIEWS RIGHT	$127.73	$233.08	$23.00–$186.46	6% above	45%
Wrist X-ray, complete, 3 or more views one side CPT 73110 2712347147 - WRIST MIN 3 VIEWS LEFT	$127.74	$233.10	$23.00–$186.48	6% above	45%
Wrist X-ray, complete, 3 or more views one side CPT 73110 2712367147 - WRIST MIN 3 VIEWS RIGHT	$127.74	$233.10	$23.00–$186.48	6% above	45%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 4357350000 - X-RAY EXAM HIP UNI 2-3 VIEWS 73502	$127.63	$232.90	$27.84–$186.32	14% above	45%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 4237880000 - X-RAY EXAM HIP UNI 2-3 VIEWS 73502	$127.66	$232.95	$27.84–$186.36	14% above	45%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 2712427147 - X-RAY EXAM HIP UNI 2-3 VIEWS 73502	$127.74	$233.10	$27.84–$186.48	14% above	45%
X-ray of the abdomen, 1 view CPT 74018 74018710400 - X-RAY EXAM ABDOMEN 1 VIEW 74018	$127.62	$232.89	$20.26–$186.31	28% above	45%
X-ray of the abdomen, 1 view CPT 74018 74018780353 - X-RAY EXAM ABDOMEN 1 VIEW 74018	$127.62	$232.89	$20.26–$186.31	28% above	45%
X-ray of the abdomen, 1 view CPT 74018 74018710200 - X-RAY EXAM ABDOMEN 1 VIEW 74018	$127.68	$233.00	$20.26–$186.40	28% above	45%
X-ray of the ankle, 2 views one side CPT 73600 4232840000 - Ankle 2 Views Right Port	$197.53	$360.46	$24.58–$288.37	131% above	45%
X-ray of the ankle, 2 views one side CPT 73600 4232830000 - Ankle 2 Views Left Port	$197.74	$360.84	$24.58–$288.67	131% above	45%
X-ray of the ankle, 2 views one side CPT 73600 4335060000 - ANKLE 2 VIEWS LEFT	$197.78	$360.91	$24.58–$288.73	131% above	45%
X-ray of the ankle, 2 views one side CPT 73600 4232210000 - ANKLE 2 VIEWS RIGHT	$197.89	$361.12	$24.58–$288.89	132% above	45%
X-ray of the ankle, 2 views one side CPT 73600 4232200000 - ANKLE 2 VIEWS LEFT	$197.97	$361.26	$24.58–$289.00	132% above	45%
X-ray of the ankle, 2 views one side CPT 73600 2710137147 - ANKLE 2 VIEWS LEFT	$198.04	$361.39	$24.58–$289.11	132% above	45%
X-ray of the ankle, 2 views one side CPT 73600 2710157147 - ANKLE 2 VIEWS RIGHT	$198.04	$361.39	$24.58–$289.11	132% above	45%
X-ray of the ankle, 2 views one side CPT 73600 4335070000 - ANKLE 2 VIEWS RIGHT	$198.04	$361.39	$24.58–$289.11	132% above	45%
X-ray of the finger(s), 2 or more views one side CPT 73140 4236140000 - FINGER(S) MIN 2 VIEW RIGHT	$154.88	$282.62	$16.00–$226.10	34% above	45%
X-ray of the finger(s), 2 or more views one side CPT 73140 4236130000 - FINGER(S) MIN 2 VIEW LEFT	$155.53	$283.82	$16.00–$227.06	35% above	45%
X-ray of the finger(s), 2 or more views one side CPT 73140 2710787147 - FINGER(S) MIN 2 VIEW RIGHT	$155.79	$284.28	$16.00–$227.42	35% above	45%
X-ray of the finger(s), 2 or more views one side CPT 73140 4335270000 - FINGER(S) MIN 2 VIEW RIGHT	$155.79	$284.28	$16.00–$227.42	35% above	45%
X-ray of the finger(s), 2 or more views one side CPT 73140 4335260000 - FINGER(S) MIN 2 VIEW LEFT	$155.79	$284.28	$16.00–$227.42	35% above	45%
X-ray of the finger(s), 2 or more views one side CPT 73140 2710777147 - FINGER(S) MIN 2 VIEW LEFT	$155.79	$284.28	$16.00–$227.42	35% above	45%
X-ray of the foot, 2 views one side CPT 73620 4232900000 - Foot 2 Views Right Port	$182.10	$332.31	$23.00–$265.85	159% above	45%
X-ray of the foot, 2 views one side CPT 73620 4335120000 - FOOT 2 VIEWS LEFT	$182.33	$332.72	$23.00–$266.18	159% above	45%
X-ray of the foot, 2 views one side CPT 73620 4232260000 - FOOT 2 VIEWS LEFT	$182.48	$333.00	$23.00–$266.40	160% above	45%
X-ray of the foot, 2 views one side CPT 73620 4335130000 - FOOT 2 VIEWS RIGHT	$182.48	$333.00	$23.00–$266.40	160% above	45%
X-ray of the foot, 2 views one side CPT 73620 4232890000 - Foot 2 Views Left Port	$182.48	$333.00	$23.00–$266.40	160% above	45%
X-ray of the foot, 2 views one side CPT 73620 4232270000 - FOOT 2 VIEWS RIGHT	$182.48	$333.00	$23.00–$266.40	160% above	45%
X-ray of the foot, complete, 3 or more views both sides CPT 73630 4355970000 - FOOT MIN 3 VIEW BILATERAL	$192.27	$350.86	$26.52–$280.69	—	45%
X-ray of the foot, complete, 3 or more views one side CPT 73630 4232300000 - FOOT MIN 3 VIEWS RIGHT	$197.80	$360.96	$26.52–$288.76	55% above	45%
X-ray of the foot, complete, 3 or more views one side CPT 73630 4232290000 - FOOT MIN 3 VIEWS LEFT	$197.84	$361.03	$26.52–$288.82	55% above	45%
X-ray of the foot, complete, 3 or more views one side CPT 73630 4232930000 - Foot Min 3 Views Right Port	$197.93	$361.19	$26.52–$288.95	55% above	45%
X-ray of the foot, complete, 3 or more views one side CPT 73630 2710937147 - FOOT MIN 3 VIEWS RIGHT	$197.96	$361.25	$26.52–$289.00	55% above	45%
X-ray of the foot, complete, 3 or more views one side CPT 73630 2710917147 - FOOT MIN 3 VIEWS LEFT	$197.97	$361.25	$26.52–$289.00	55% above	45%
X-ray of the foot, complete, 3 or more views one side CPT 73630 4335160000 - FOOT MIN 3 VIEWS RIGHT	$198.02	$361.34	$26.52–$289.08	56% above	45%
X-ray of the foot, complete, 3 or more views one side CPT 73630 4335150000 - FOOT MIN 3 VIEWS LEFT	$198.03	$361.36	$26.52–$289.09	56% above	45%
X-ray of the foot, complete, 3 or more views one side CPT 73630 4232920000 - Foot Min 3 Views Left Port	$198.04	$361.39	$26.52–$289.11	56% above	45%
X-ray of the hand, 3 or more views both sides CPT 73130 4237500000 - Hand Min 3 Views Bilateral Port 73130	$127.69	$233.01	$25.00–$186.41	—	45%
X-ray of the hand, 3 or more views both sides CPT 73130 4236200000 - Hand Min 3 Views Bilateral	$127.74	$233.10	$25.00–$186.48	—	45%
X-ray of the hand, 3 or more views one side CPT 73130 1411707145 - HAND MIN 3 VIEWS LEFT 73130	$127.60	$232.85	$25.00–$186.28	7% above	45%
X-ray of the hand, 3 or more views one side CPT 73130 4231980000 - HAND MIN 3 VIEWS RIGHT	$127.61	$232.86	$25.00–$186.29	7% above	45%
X-ray of the hand, 3 or more views one side CPT 73130 4231970000 - HAND MIN 3 VIEWS LEFT 73130	$127.61	$232.87	$25.00–$186.30	7% above	45%
X-ray of the hand, 3 or more views one side CPT 73130 2711077147 - HAND MIN 3 VIEWS LEFT 73130	$127.63	$232.90	$25.00–$186.32	7% above	45%
X-ray of the hand, 3 or more views one side CPT 73130 4334850000 - HAND MIN 3 VIEWS RIGHT	$127.68	$232.99	$25.00–$186.39	7% above	45%
X-ray of the hand, 3 or more views one side CPT 73130 4232630000 - HAND MIN 3 VIEWS RIGHT PORT 73130	$127.69	$233.01	$25.00–$186.41	7% above	45%
X-ray of the hand, 3 or more views one side CPT 73130 4334840000 - HAND MIN 3 VIEWS LEFT 73130	$127.72	$233.06	$25.00–$186.45	7% above	45%
X-ray of the hand, 3 or more views one side CPT 73130 2711097147 - HAND MIN 3 VIEWS RIGHT	$127.74	$233.10	$25.00–$186.48	7% above	45%
X-ray of the knee, 1 or 2 views CPT 73560 4236250000 - X-RAY EXAM OF KNEE 1 OR 2 73560	$184.94	$337.48	$25.00–$269.99	82% above	45%
X-ray of the knee, 1 or 2 views one side CPT 73560 4232090000 - KNEE 1 OR 2 VIEWS RIGHT 73560	$184.88	$337.37	$25.00–$269.90	82% above	45%
X-ray of the knee, 1 or 2 views one side CPT 73560 4232080000 - KNEE 1 OR 2 VIEWS LEFT 73560	$184.91	$337.43	$25.00–$269.95	82% above	45%
X-ray of the knee, 1 or 2 views one side CPT 73560 2711347147 - KNEE 1 OR 2 VIEWS LEFT 73560	$184.98	$337.56	$25.00–$270.05	82% above	45%
X-ray of the knee, 1 or 2 views one side CPT 73560 4334940000 - KNEE 1 OR 2 VIEWS LEFT 73560	$185.02	$337.62	$25.00–$270.10	82% above	45%
X-ray of the knee, 1 or 2 views one side CPT 73560 4334950000 - KNEE 1 OR 2 VIEWS RIGHT 73560	$185.04	$337.66	$25.00–$270.13	82% above	45%
X-ray of the knee, 1 or 2 views one side CPT 73560 4232750000 - KNEE 1 OR 2 VIEWS RIGHT PORT 73560	$185.07	$337.72	$25.00–$270.18	82% above	45%
X-ray of the knee, 1 or 2 views one side CPT 73560 2711367147 - KNEE 1 OR 2 VIEWS RIGHT PORT 73560	$185.07	$337.72	$25.00–$270.18	82% above	45%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 4227200000 - SPINE LUMBAR 2 OR 3 VIEWS	$176.34	$321.78	$28.00–$257.42	25% above	45%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 2712067147 - SPINE LUMBAR 2 OR 3 VIEWS	$176.45	$321.99	$28.00–$257.59	25% above	45%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 4331910000 - SPINE LUMBAR 2 OR 3 VIEWS	$176.46	$322.00	$28.00–$257.60	25% above	45%
X-ray of the lower back, 4 or more views CPT 72110 4227220000 - SPINE LUMBAR MIN 4 VIEWS	$175.06	$319.45	$40.00–$255.56	17% below	45%
X-ray of the lower back, 4 or more views CPT 72110 4331920000 - SPINE LUMBAR MIN 4 VIEWS	$176.30	$321.72	$40.00–$257.38	17% below	45%
X-ray of the lower back, 4 or more views CPT 72110 2712087147 - SPINE LUMBAR MIN 4 VIEWS	$176.53	$322.13	$40.00–$257.70	16% below	45%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 4227100000 - SPINE THORACIC 2 VIEWS	$234.72	$428.32	$24.00–$342.65	94% above	45%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 2712097147 - SPINE THORACIC 2 VIEWS	$235.05	$428.91	$24.00–$343.13	94% above	45%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 4331700000 - SPINE THORACIC 2 VIEWS	$235.21	$429.22	$24.00–$343.38	94% above	45%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 2711977147 - Spine Cervical 2 Or 3 Views	$127.63	$232.90	$28.00–$186.32	at median	45%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 4331600000 - Spine Cervical 3 Views Or Less	$127.65	$232.93	$28.00–$186.34	at median	45%
X-ray of the pelvis, 1 or 2 views CPT 72170 4231200000 - Pelvis Ap Portable	$235.22	$429.24	$21.00–$343.39	94% above	45%
X-ray of the pelvis, 1 or 2 views CPT 72170 3000047042 - PELVIS 1 OR 2 VIEWS	$235.30	$429.38	$21.00–$343.50	94% above	45%
X-ray of the pelvis, 1 or 2 views CPT 72170 4332020000 - PELVIS 1 OR 2 VIEWS	$235.37	$429.51	$21.00–$343.61	95% above	45%
X-ray of the pelvis, 1 or 2 views CPT 72170 2711537147 - PELVIS 1 OR 2 VIEWS	$235.37	$429.51	$21.00–$343.61	95% above	45%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 4227400000 - SACRUM & COCCYX MIN 2 VIEW	$95.41	$174.10	$17.00–$159.62	24% below	45%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 2711697147 - SACRUM & COCCYX MIN 2 VIEW	$95.81	$174.83	$17.00–$159.62	24% below	45%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 4332200000 - SACRUM & COCCYX MIN 2 VIEW	$95.81	$174.83	$17.00–$159.62	24% below	45%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Tennessee	Off list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 1200790000 - TRANSFERASE; ALANINE AMINO 84460	$14.76	$26.94	$4.67–$28.40	48% below	45%
AST (aspartate aminotransferase) enzyme test CPT 84450 1202530000 - SGOT (AST) 84450	$14.43	$26.33	$4.57–$28.40	50% below	45%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 1809090000 - Acute Hepatitis Panel	$96.86	$176.75	$42.01–$163.21	35% below	45%
Antinuclear antibody (ANA) blood test, screen CPT 86038 1590590000 - Antinuclear Ab (Ana);	$33.69	$61.47	$10.66–$66.19	1% below	45%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 83880720000 - NT-ProBNP Core Lab	$69.79	$127.35	$34.63–$115.78	24% below	45%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 1267900000 - B-Type Natriuretic Peptide (Bn	$187.14	$341.49	$34.63–$273.20	104% above	45%
Basic metabolic panel (blood test) CPT 80048 1207850000 - BASIC METABOLIC PANEL 80048	$167.42	$305.51	$7.46–$244.41	124% above	45%
Basic metabolic panel (blood test) CPT 80048 80048781822 - BASIC METABOLIC PANEL 80048	$167.47	$305.60	$7.46–$244.48	124% above	45%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 88305720300 - TISSUE EXAM BY PATHOLOGIST LVL 4 88305	$90.74	$165.58	$24.43–$132.47	20% above	45%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 88305781822 - TISSUE EXAM BY PATHOLOGIST LVL 4 88305	$90.88	$165.85	$24.43–$132.68	20% above	45%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 88305780364 - TISSUE EXAM BY PATHOLOGIST LVL 4 88305	$91.11	$166.26	$24.43–$133.01	21% above	45%
Blood culture for bacteria CPT 87040 1107290000 - Aerob Bacterial Blood Culture 87040	$142.14	$259.38	$9.10–$207.50	143% above	45%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 1900020000 - VENIPUNCTURE 36415	$8.46	$15.44	$0.01–$24.19	5% below	45%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 36415781820 - VENIPUNCTURE 36415	$8.46	$15.44	$0.01–$24.19	5% below	45%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 36415780330 - VENIPUNCTURE 36415	$8.47	$15.45	$0.01–$24.19	4% below	45%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 36415601105 - VENIPUNCTURE 36415	$8.47	$15.45	$0.01–$24.19	4% below	45%
Blood glucose (sugar) test CPT 82947 2003590000 - GLUCOSE; QUAN BLOOD 82947	$34.13	$62.28	$3.47–$49.82	46% above	45%
Blood glucose (sugar) test CPT 82947 7200530000 - GLUCOSE; QUAN BLOOD 82947	$34.72	$63.36	$3.47–$50.69	48% above	45%
Blood glucose (sugar) test CPT 82947 82947781822 - GLUCOSE; QUAN BLOOD 82947	$34.74	$63.40	$3.47–$50.72	48% above	45%
Blood glucose (sugar) test CPT 82947 82947781400 - GLUCOSE; QUAN BLOOD 82947	$34.76	$63.44	$3.47–$50.75	48% above	45%
Blood glucose (sugar) test CPT 82947 1817740000 - GLUCOSE; QUAN BLOOD 82947	$34.76	$63.43	$3.47–$50.75	48% above	45%
Blood glucose (sugar) test CPT 82947 1202510000 - GLUCOSE; QUAN BLOOD 82947	$34.76	$63.43	$3.47–$50.75	48% above	45%
Blood glucose (sugar) test CPT 82947 82947780362 - GLUCOSE; QUAN BLOOD 82947	$34.78	$63.47	$3.47–$50.78	49% above	45%
Blood glucose (sugar) test CPT 82947 82947780660 - GLUCOSE; QUAN BLOOD 82947	$34.79	$63.49	$3.47–$50.80	49% above	45%
Blood lead test CPT 83655 1501140000 - LEAD 83655	$33.75	$61.59	$10.68–$63.87	8% below	45%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 1112400000 - HCG; QUAL	$35.44	$64.68	$6.63–$51.74	36% below	45%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 84703781822 - HCG; QUAL	$35.48	$64.74	$6.63–$51.79	36% below	45%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 1301010000 - Abo Grouping,Only 86900	$215.83	$393.86	$2.99–$315.09	358% above	45%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 1809470000 - C-REACTIVE PROTEIN 86140	$52.60	$95.99	$4.57–$76.79	147% above	45%
C. difficile toxin gene test (stool PCR) CPT 87493 87493720400 - C DIFF PCR 87493	$76.97	$140.45	$32.87–$119.68	6% below	45%
CA 19-9 blood test (tumor marker) CPT 86301 86301720200 - CA 19-9	$44.08	$80.43	$18.35–$70.98	33% below	45%
CA-125 blood test (ovarian cancer marker) CPT 86304 86304000000 - Ia Quant; Ca 125	$44.01	$80.30	$18.35–$70.98	37% below	45%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 87635860550 - COVID-19 SARS-COV-2 87635	$56.24	$102.62	$38.29–$143.42	9% above	45%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 87635720400 - COVID-19 SARS-COV-2 87635	$57.86	$105.59	$38.29–$143.42	13% above	45%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 87635720000 - COVID-19 SARS-COV-2 87635	$57.91	$105.67	$38.29–$143.42	13% above	45%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 1113070000 - CHLAMYDIA AMPLIFICATION 87491	$117.63	$214.65	$30.95–$171.72	99% above	45%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 1590060000 - Chlamydia T Amplif Na Probe	$117.79	$214.94	$30.95–$171.95	99% above	45%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 1208500000 - LIPID PANEL 80061	$50.43	$92.02	$11.81–$101.77	24% above	45%
Complete blood count (CBC) with differential CPT 85025 85025000000 - BLOOD COUNT HEMOGRAM/PLT 85025	$80.29	$146.52	$6.85–$117.22	100% above	45%
Complete blood count (CBC) with differential CPT 85025 1007720000 - Compl Cbc W Plt W Autom Diff 85025	$80.29	$146.51	$6.85–$117.21	100% above	45%
Complete blood count (CBC) with differential CPT 85025 85025720000 - BLOOD COUNT HEMOGRAM/PLT 85025	$80.34	$146.60	$6.85–$117.28	100% above	45%
Complete blood count (CBC), no differential CPT 85027 1001700000 - Compl Autom Cbc W Plt 85027	$65.94	$120.33	$5.71–$96.26	169% above	45%
Complete blood count (CBC), no differential CPT 85027 85027781822 - MT LABCOMPL AUTOM CBC W PLT 85027	$65.98	$120.41	$5.71–$96.33	170% above	45%
Comprehensive metabolic panel (blood test) CPT 80053 1200070000 - COMPREHENSIVE METABOLIC PANEL 80053	$96.68	$176.43	$9.31–$141.14	at median	45%
Estradiol blood test CPT 82670 1500970000 - ESTRADIOL 82670	$52.63	$96.04	$24.64–$152.33	38% below	45%
Estradiol blood test CPT 82670 82670781822 - MT Lab Estradiol Total (82670)	$59.17	$107.97	$24.64–$152.33	30% below	45%
FSH (follicle-stimulating hormone) test CPT 83001 1500110000 - Fol-Stim-Horm Ser	$51.67	$94.28	$16.39–$102.08	17% below	45%
FSH (follicle-stimulating hormone) test CPT 83001 83001781822 - MT Lab Follicle Stim. Hormone (83001)	$51.79	$94.51	$16.39–$102.08	17% below	45%
FSH (follicle-stimulating hormone) test CPT 83001 1809400000 - Follicle Stimulating Hormone 83001	$51.79	$94.51	$16.39–$102.08	17% below	45%
Fecal calprotectin (stool inflammation test) CPT 83993 1599770000 - Assay For Calprotectin Fecal	$225.93	$412.27	$17.31–$329.82	125% above	45%
Ferritin blood test (iron stores) CPT 82728 1800230000 - FERRITIN 82728	$28.83	$52.61	$12.02–$74.82	36% below	45%
Ferritin blood test (iron stores) CPT 82728 82728000000 - FERRITIN 82728	$28.84	$52.63	$12.02–$74.82	36% below	45%
Folate (folic acid) blood test CPT 82746 1809360000 - Folic Acid 82746	$40.94	$74.72	$12.97–$79.52	17% below	45%
Folate (folic acid) blood test CPT 82746 82746781822 - MT Lab FOLATE (82746)	$40.98	$74.78	$12.97–$79.52	17% below	45%
Free T3 thyroid hormone test CPT 84481 84481781822 - MT Lab Free T3 (84481)	$47.23	$86.19	$14.94–$92.99	16% below	45%
Free T4 (free thyroxine) thyroid blood test CPT 84439 1816690000 - Free T4 84439	$71.84	$131.10	$7.96–$104.88	114% above	45%
Free T4 (free thyroxine) thyroid blood test CPT 84439 84439781822 - MT Lab Free T4 (84439)	$71.87	$131.15	$7.96–$104.92	114% above	45%
Free testosterone test CPT 84402 84402720000 - TESTOSTERONE FREE 84402	$55.91	$102.02	$22.46–$181.51	7% below	45%
Glucose tolerance test, 3 samples CPT 82951 1200050000 - Glucose Tolerance Test (Gtt) 3 Specm	$35.88	$65.47	$11.35–$52.38	14% below	45%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 1113080000 - NEISSERIA GONORRHOEA AMPLIFICATION 87591	$97.77	$178.41	$30.95–$171.03	62% above	45%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 1596000000 - Gonococcus By Nucleic Acid Amp	$97.90	$178.65	$30.95–$171.03	62% above	45%
H. pylori antibody blood test CPT 86677 1599991000 - Hp Profile	$30.72	$56.05	$14.86–$63.03	36% below	45%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 1593620000 - Hiv-1 Quant&Revrse Trnscrpj	$466.48	$851.24	$75.06–$680.99	213% above	45%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 1809040000 - Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab 87389	$119.80	$218.61	$21.24–$174.88	134% above	45%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 87389781822 - MT Lab HIV1/2 p24 Antigen & Antibody Dif	$119.87	$218.74	$21.24–$174.99	134% above	45%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 83036720200 - POC A1C	$64.66	$118.00	$8.56–$94.40	54% above	45%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 83036720805 - POC A1C	$64.66	$118.00	$8.56–$94.40	54% above	45%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 1207470000 - Glycosylated Hemoglobin Test 83036	$77.32	$141.09	$8.56–$112.87	84% above	45%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 83036780360 - Hemoglobin A1C 83036	$77.36	$141.17	$8.56–$112.94	84% above	45%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 1800150000 - Hep. B S Ab 86706	$107.38	$195.95	$9.47–$156.76	117% above	45%
Hepatitis B surface antigen (HBsAg) test CPT 87340 1200490000 - Hepatitis B Surface Ag Eia 87340	$67.99	$124.07	$9.11–$99.26	141% above	45%
Hepatitis C antibody blood test (screening) CPT 86803 1809210000 - Hepatitis C Ab 86803	$73.37	$133.89	$12.59–$107.11	67% above	45%
Hepatitis C viral load (HCV RNA) test CPT 87522 1526610000 - Hepatitis C Revrs Trnscrpj	$116.86	$213.25	$37.78–$211.59	11% below	45%
Herpes blood test, HSV-1 antibody CPT 86695 86695720200 - AB; HSV 1 86695	$27.89	$50.90	$11.63–$45.00	16% below	45%
Herpes blood test, HSV-2 antibody CPT 86696 86696720200 - HSV2 IGG 86696	$40.90	$74.64	$17.07–$66.00	5% below	45%
High-sensitivity CRP (hs-CRP) test CPT 86141 1600000000 - HS C-REACTIVE PROTEIN, CARDIAC 86141	$36.08	$65.84	$11.42–$52.67	8% below	45%
High-sensitivity CRP (hs-CRP) test CPT 86141 86141720200 - HS C-REACTIVE PROTEIN, CARDIAC 86141	$36.08	$65.84	$11.42–$52.67	8% below	45%
Homocysteine blood test CPT 83090 1504750000 - Homocystine, Serum	$47.03	$85.82	$11.38–$68.66	9% below	45%
Homocysteine blood test CPT 83090 83090781822 - MT Lab Homocysteine (83090)	$47.03	$85.82	$11.38–$68.66	9% below	45%
Insulin blood test CPT 83525 1530310000 - Insulin; Total	$31.86	$58.13	$10.08–$61.21	20% below	45%
Iron blood test (serum iron) CPT 83540 1533670000 - Iron, Send Out	$52.67	$96.12	$5.71–$76.90	60% above	45%
Iron blood test (serum iron) CPT 83540 83540782822 - IRON 83540	$52.89	$96.51	$5.71–$77.21	60% above	45%
Iron blood test (serum iron) CPT 83540 1200930000 - IRON 83540	$53.01	$96.73	$5.71–$77.38	61% above	45%
Iron-binding capacity (TIBC) test CPT 83550 1200940000 - Iron Binding Capacity 83550	$71.00	$129.57	$7.71–$103.66	62% above	45%
Iron-binding capacity (TIBC) test CPT 83550 83550000000 - Iron Binding Capacity 83550	$71.01	$129.58	$7.71–$103.67	62% above	45%
Kidney function blood test panel CPT 80069 80069720200 - RENAL FUNCTION PANEL 80069	$14.60	$26.64	$7.66–$24.49	79% below	45%
Kidney function blood test panel CPT 80069 80069000000 - RENAL FUNCTION PANEL 80069	$14.61	$26.66	$7.66–$24.49	79% below	45%
LH (luteinizing hormone) test CPT 83002 1809390000 - Luteinizing Hormone 83002	$51.57	$94.11	$16.33–$99.20	17% below	45%
Lipase blood test (pancreas enzyme) CPT 83690 1200800000 - LIPASE	$75.35	$137.50	$6.08–$110.00	115% above	45%
Liver function blood test panel CPT 80076 1208160000 - HEPATIC FUNCTION PANEL 80076	$155.35	$283.48	$7.21–$226.79	88% above	45%
Liver function blood test panel CPT 80076 80076000000 - HEPATIC FUNCTION PANEL 80076	$155.37	$283.52	$7.21–$226.81	88% above	45%
Liver function blood test panel CPT 80076 80076720000 - HEPATIC FUNCTION PANEL 80076	$155.44	$283.65	$7.21–$226.92	88% above	45%
Magnesium blood test CPT 83735 83735000000 - MAGNESIUM 83735	$54.66	$99.75	$5.91–$79.80	176% above	45%
Magnesium blood test CPT 83735 1200820000 - MAGNESIUM 83735	$54.66	$99.74	$5.91–$79.79	176% above	45%
Magnesium blood test CPT 83735 1207960000 - Magnesium (Urine)	$54.70	$99.82	$5.91–$79.86	176% above	45%
Measles (rubeola) antibody test CPT 86765 86765720200 - Ab; Rubeola 86765	$27.26	$49.75	$11.36–$46.93	31% below	45%
Mono test (heterophile antibody, Monospot) CPT 86308 1510150000 - Infectious Mono 86308	$10.96	$20.00	$4.57–$19.73	66% below	45%
PSA (prostate-specific antigen) blood test, free CPT 84154 84154720200 - Psa Free 84154	$115.39	$210.57	$16.22–$168.46	150% above	45%
PSA (prostate-specific antigen) blood test, total CPT 84153 84153000000 - Prostatic Specific Ag, (Psa)	$70.32	$128.33	$16.22–$102.66	25% above	45%
PSA (prostate-specific antigen) blood test, total CPT 84153 84153720200 - Psa Prost Specific Antigen 84153	$70.33	$128.33	$16.22–$102.67	25% above	45%
PSA (prostate-specific antigen) blood test, total CPT 84153 1809450000 - Prostatic Specific Ag, (Psa)	$70.35	$128.37	$16.22–$102.70	25% above	45%
Parathyroid hormone (PTH) blood test CPT 83970 1211400000 - Parathormone 83970	$328.80	$600.01	$36.41–$480.00	185% above	45%
Partial thromboplastin time (PTT) clotting test CPT 85730 85730781822 - MT LAB PTT; PLASMA OR WHOLE BLOOD 85730	$48.49	$88.48	$5.30–$70.78	119% above	45%
Partial thromboplastin time (PTT) clotting test CPT 85730 1000320000 - ACTIVATED PARTIAL THROMBOPLAST 85730	$49.90	$91.06	$5.30–$72.85	125% above	45%
Partial thromboplastin time (PTT) clotting test CPT 85730 85730720000 - ACTIVATED PARTIAL THROMBOPLAST 85730	$49.94	$91.13	$5.30–$72.90	125% above	45%
Progesterone blood test CPT 84144 1809410000 - PROGESTERONE 84144	$58.12	$106.06	$18.40–$96.68	9% below	45%
Prolactin blood test CPT 84146 1500190000 - PROLACTIN 84146	$54.01	$98.55	$17.09–$106.30	35% below	45%
Prothrombin time (PT/INR) clotting test CPT 85610 85610780660 - Prothrombin Time;	$45.71	$83.42	$3.78–$66.73	132% above	45%
Prothrombin time (PT/INR) clotting test CPT 85610 1002390000 - PROTHROMBIN TIME 85610	$46.26	$84.41	$3.78–$67.53	135% above	45%
Prothrombin time (PT/INR) clotting test CPT 85610 85610000000 - PROTHROMBIN TIME 85610	$46.27	$84.43	$3.78–$67.54	135% above	45%
Prothrombin time (PT/INR) clotting test CPT 85610 85610720000 - PROTHROMBIN TIME 85610	$46.29	$84.47	$3.78–$67.58	135% above	45%
Rapid flu test (influenza antigen) CPT 87804 87804781400 - CLIA WAIVED INFLUENZA IA W DO 87804	$37.25	$67.97	$12.45–$54.38	25% above	45%
Rapid flu test (influenza antigen) CPT 87804 87804780660 - Influenza A Ag 87804	$37.36	$68.18	$12.45–$54.54	26% above	45%
Rapid flu test (influenza antigen) CPT 87804 87804781000 - CLIA WAIVED INFLUENZA IA W DO 87804	$37.37	$68.19	$12.45–$54.55	26% above	45%
Rapid flu test (influenza antigen) CPT 87804 87804780330 - CLIA WAIVED INFLUENZA IA W DO 87804	$37.37	$68.19	$12.45–$54.55	26% above	45%
Rapid flu test (influenza antigen) CPT 87804 87804780670 - CLIA WAIVED INFLUENZA IA W DO 87804	$37.37	$68.19	$12.45–$54.55	26% above	45%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 87880180360 - Streptococcus,Group A 87880	$93.27	$170.19	$12.50–$136.15	167% above	45%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 9827140000 - Streptococcus,Group A 87880	$94.30	$172.07	$12.50–$137.66	170% above	45%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 1107430000 - Strep A Assay W/Optic	$94.31	$172.09	$12.50–$137.68	170% above	45%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 7803630000 - Streptococcus,Group A 87880	$94.32	$172.11	$12.50–$137.69	170% above	45%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 87880780660 - Streptococcus,Group A 87880	$94.37	$172.20	$12.50–$137.76	170% above	45%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 87880780670 - Streptococcus,Group A 87880	$94.37	$172.20	$12.50–$137.76	170% above	45%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 87880780362 - Streptococcus,Group A 87880	$94.37	$172.20	$12.50–$137.76	170% above	45%
Rheumatoid factor (RF) test CPT 86431 1510080000 - Reumatoid Factor, Quantitative	$57.15	$104.29	$5.00–$83.43	94% above	45%
Rubella antibody test (immunity check) CPT 86762 86762720200 - AB; RUBELLA 86762	$84.81	$154.76	$12.69–$123.81	167% above	45%
Rubella antibody test (immunity check) CPT 86762 1531200000 - AB; RUBELLA 86762	$85.49	$156.01	$12.69–$124.81	169% above	45%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 1008300000 - AUTOM ERYTHROCYTE SED RATE 85652	$43.31	$79.03	$2.38–$63.22	128% above	45%
Stool ova and parasites exam CPT 87177 1530790000 - Ova & Parasites Dir Smr W Id	$24.79	$45.24	$7.85–$47.80	17% below	45%
Stool test for hidden blood (guaiac FOBT) CPT 82270 7200520000 - OCCULT BLOOD FECES	$9.60	$17.52	$3.38–$14.02	49% below	45%
Stool test for hidden blood (guaiac FOBT) CPT 82270 82270781822 - Occult Blood Feces	$9.89	$18.05	$3.38–$14.44	48% below	45%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 1100010000 - Syphilis Test Non-Trep Qual 86592	$41.02	$74.86	$3.77–$59.89	60% above	45%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 1593750000 - Syphilis Test Non-Trep Qual	$41.05	$74.90	$3.77–$59.92	60% above	45%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 86480720200 - QUANTIFERON TB GOLD 86480	$131.21	$239.44	$54.67–$211.40	10% above	45%
Testosterone blood test, total (not free testosterone) CPT 84403 1500320000 - Testosterone Total 84403	$71.95	$131.30	$22.76–$141.35	at median	45%
Thyroid peroxidase (TPO) antibody test CPT 86376 86376720000 - Liver-Kidney Microsomal AbLC	$29.92	$54.59	$12.83–$61.86	27% below	45%
Thyroid peroxidase (TPO) antibody test CPT 86376 1590450000 - Thyroid Peroxidase Ab	$30.81	$56.23	$12.83–$61.86	24% below	45%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 1800080000 - THYROID STIMULATING HORMONE 84443	$59.48	$108.54	$14.82–$92.21	17% above	45%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 84443000000 - THYROID STIMULATING HORMONE 84443	$59.72	$108.99	$14.82–$92.21	17% above	45%
Trichomonas test (NAAT) CPT 87661 87661720400 - TRICHOMONAS VAGINALS AMPLIF 87661	$91.24	$166.49	$30.95–$133.19	47% above	45%
Uric acid blood test CPT 84550 1202670000 - Uric Acid; Blood 84550	$50.26	$91.72	$3.99–$73.38	71% above	45%
Urinalysis with microscope exam, automated CPT 81001 1112380000 - Ua W/Microscopic Analysis 81001	$22.81	$41.62	$2.80–$33.29	19% below	45%
Urinalysis with microscope exam, automated CPT 81001 81001781822 - ROUTINE URINALYSIS W/ MICROSCO 81001	$23.70	$43.25	$2.80–$34.60	16% below	45%
Urinalysis without microscope exam, automated CPT 81003 2800827131 - AUTOM URINALYSIS WO MICRO 81003	$23.02	$42.00	$1.98–$33.60	113% above	45%
Urinalysis without microscope exam, automated CPT 81003 1000120000 - Autom Urinalysis Wo Micro	$23.31	$42.55	$1.98–$34.04	116% above	45%
Urinalysis without microscope exam, automated CPT 81003 6800797131 - AUTOM URINALYSIS WO MICRO 81003	$23.57	$43.01	$1.98–$34.41	118% above	45%
Urinalysis without microscope exam, automated CPT 81003 81003780670 - AUTOM URINALYSIS WO MICRO 81003	$23.67	$43.20	$1.98–$34.56	119% above	45%
Urinalysis without microscope exam, automated CPT 81003 81003720805 - POC UA CLINITEK 81003	$23.68	$43.21	$1.98–$34.57	119% above	45%
Urinalysis without microscope exam, automated CPT 81003 9827120000 - AUTOM URINALYSIS WO MICRO 81003	$23.69	$43.24	$1.98–$34.59	119% above	45%
Urinalysis without microscope exam, automated CPT 81003 7803610000 - AUTOM URINALYSIS WO MICRO 81003	$23.69	$43.23	$1.98–$34.58	119% above	45%
Urinalysis without microscope exam, automated CPT 81003 81003780660 - AUTOM URINALYSIS WO MICRO 81003	$23.69	$43.23	$1.98–$34.59	119% above	45%
Urinalysis without microscope exam, automated CPT 81003 81003785822 - AUTOM URINALYSIS WO MICRO 81003	$23.70	$43.25	$1.98–$34.60	119% above	45%
Urinalysis without microscope exam, automated CPT 81003 81003780650 - AUTOM URINALYSIS WO MICRO 81003	$23.71	$43.26	$1.98–$34.61	120% above	45%
Urinalysis without microscope exam, automated CPT 81003 5800937117 - AUTOM URINALYSIS WO MICRO 81003	$23.71	$43.26	$1.98–$34.61	120% above	45%
Urinalysis without microscope exam, automated CPT 81003 1002260000 - SPECIFIC GRAVITY (URINE)	$23.71	$43.26	$1.98–$34.61	120% above	45%
Urinalysis without microscope exam, automated CPT 81003 1002200000 - KETONE (URINE	$23.71	$43.26	$1.98–$34.61	120% above	45%
Urinalysis without microscope exam, automated CPT 81003 81025780660 - URINE PREGNANCY VISUAL COLOR-81025	$35.89	$65.50	$1.98–$52.40	232% above	45%
Urine culture for bacteria, with colony count CPT 87086 1107370000 - Bact Culture - Urine Quan Count 87086	$89.14	$162.66	$7.12–$130.13	144% above	45%
Urine pregnancy test, read by color change CPT 81025 81025780360 - URINE PREGNANCY VISUAL COLOR 81025	$35.37	$64.55	$6.59–$51.64	11% below	45%
Urine pregnancy test, read by color change CPT 81025 2003170000 - URINE PREGNANCY VISUAL COLOR-81025	$35.43	$64.65	$6.59–$51.72	11% below	45%
Urine pregnancy test, read by color change CPT 81025 81025780670 - URINE PREGNANCY VISUAL COLOR 81025	$35.83	$65.38	$6.59–$52.30	10% below	45%
Urine pregnancy test, read by color change CPT 81025 7200500000 - URINE PREGNANCY VISUAL COLOR 81025	$35.86	$65.44	$6.59–$52.35	9% below	45%
Urine pregnancy test, read by color change CPT 81025 1112390000 - URINE PREGNANCY VISUAL COLOR-81025	$35.87	$65.46	$6.59–$52.37	9% below	45%
Urine pregnancy test, read by color change CPT 81025 81025781400 - URINE PREGNANCY VISUAL COLOR 81025	$35.87	$65.46	$6.59–$52.37	9% below	45%
Urine pregnancy test, read by color change CPT 81025 81025780650 - URINE PREGNANCY VISUAL COLOR-GYN East 8	$35.87	$65.45	$6.59–$52.36	9% below	45%
Urine pregnancy test, read by color change CPT 81025 81025720805 - URINE PREGNANCY VISUAL COLOR-81025	$35.87	$65.45	$6.59–$52.36	9% below	45%
Urine pregnancy test, read by color change CPT 81025 9826660000 - URINE PREGNANCY VISUAL COLOR-81025	$35.89	$65.50	$6.59–$52.40	9% below	45%
Urine pregnancy test, read by color change CPT 81025 81025781822 - URINE PREGNANCY VISUAL COLOR-81025	$35.89	$65.50	$6.59–$52.40	9% below	45%
Vitamin B12 (cobalamin) blood test CPT 82607 1809350000 - VITAMIN B12 82607	$31.90	$58.21	$13.30–$82.73	36% below	45%
Vitamin B12 (cobalamin) blood test CPT 82607 82607781822 - MT Lab Vitamin B12 (82607)	$31.92	$58.24	$13.30–$82.73	36% below	45%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 1211300000 - 25-Oh Vitamin D-3 82306	$204.80	$373.72	$26.11–$298.97	184% above	45%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 82306781822 - MT Lab Vitamin D (25-OH)... (82306)	$204.88	$373.86	$26.11–$299.09	184% above	45%
Zinc blood test CPT 84630 1500630000 - Zinc Serum	$108.30	$197.62	$10.05–$158.10	216% above	45%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 1211140000 - QUANTITATIVE HCG PREGNANCY TEST 84702	$136.42	$248.94	$11.54–$199.16	148% above	45%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Tennessee	Off list
Botox injections for chronic migraine CPT 64615 6430247131 - CHEMODENERV MUSC MIGRANE 64615	$334.32	$610.07	$219.44–$1,754.00	84% above	45%
Botox injections for chronic migraine CPT 64615 64615780200 - CHEMODENERV MUSC MIGRANE 64615	$334.60	$610.58	$219.44–$1,754.00	84% above	45%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 4101200000 - BIOPSY BREAST STEREOSTACTIC 19081	$1,310.03	$2,390.56	$250.00–$2,728.08	13% below	45%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 1830017139 - BIOPSY BREAST STEREOSTACTIC 19081	$1,310.03	$2,390.56	$250.00–$2,728.08	13% below	45%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 19081710600 - BX BREAST 1ST LESION STRTCTC 19081	$2,458.33	$4,486.00	$250.00–$3,588.80	64% above	45%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 27786620000 - CL TX DSTL FIB FX WO MANIP 27786	$967.49	$1,765.50	$149.77–$1,412.40	301% above	45%
Cardiac catheterization with coronary angiogram CPT 93458 7601400000 - L HRT ARTERY/VENTRICLE ANGIO (NNN) 93458	$2,808.62	$5,125.21	$165.64–$5,483.07	24% below	45%
Cardiac catheterization with coronary angiogram CPT 93458 7680100000 - L HRT ARTERY/VENTRICLE ANGIO 93458	$3,786.92	$6,910.43	$165.64–$5,528.34	2% above	45%
Cardiac catheterization with coronary angiogram CPT 93458 7679500000 - L HRT ARTERY/VENTRICLE ANGIO 93458	$4,368.86	$7,972.37	$165.64–$6,377.90	18% above	45%
Cardioversion, elective (restoring heart rhythm) CPT 92960 7645400000 - CARDIOVERSION,EXTERNAL-ELECTIV	$484.29	$883.74	$76.00–$1,167.00	6% below	45%
Cardioversion, elective (restoring heart rhythm) CPT 92960 92960620100 - CARDIOVERSION ELECTRIC EXT 92960	$484.29	$883.74	$76.00–$1,167.00	6% below	45%
Cardioversion, elective (restoring heart rhythm) CPT 92960 7040550000 - CARDIOVERSION ELECTRIC EXT 92960	$484.29	$883.74	$76.00–$1,095.12	6% below	45%
Cervical biopsy CPT 57500 2701287124 - BIOPSY OF CERVIX 57500	$739.33	$1,349.15	$250.00–$1,853.02	126% above	45%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 25600620000 - CLTX DSTL RADIAL FX/EPIPHYSL SEP WO MNP	$967.49	$1,765.50	$152.13–$1,412.40	309% above	45%
Colonoscopy with polyp removal CPT 45385 2540140000 - Polypectomy,Colon,Snare 45385	$1,310.97	$2,392.28	$250.00–$1,985.67	4% above	45%
Colonoscopy with tissue sample CPT 45380 2540280000 - COLONOSCOPY FLEX W/BIOSPY SINGLE/MULTIPL	$1,519.06	$2,772.01	$250.00–$2,217.61	60% above	45%
Colonoscopy with tissue sample CPT 45380 2540080000 - Colonoscopy Flex W Bx; Sgl/Multi	$1,925.55	$3,513.77	$250.00–$2,811.02	103% above	45%
Colonoscopy, diagnostic CPT 45378 2540370000 - Colonoscopy 45378	$1,458.89	$2,662.21	$250.00–$2,129.77	16% above	45%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 2701267124 - CERVIX COLPOSCOPY LEEP WITH BIOPSY 57460	$4,450.45	$8,121.26	$250.00–$6,497.01	290% above	45%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 57454780650 - COLP CERVIX WITH BIOPSY & CURETT 57454	$338.29	$617.33	$237.69–$1,853.02	135% above	45%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 2701237124 - COLP CERVIX WITH BIOPSY & CURETT 57454	$342.85	$625.64	$237.69–$1,853.02	138% above	45%
Coronary stent placement, one artery CPT 92928 7683900000 - PRQ CARD STENT W/ANGIO 1 VSL RC 92928	$10,680.69	$19,490.31	$320.00–$18,511.29	36% above	45%
Coronary stent placement, one artery CPT 92928 7684300000 - PRQ CARD STENT W/ANGIO 1 VSL LD 92928	$10,806.59	$19,720.06	$320.00–$18,511.29	37% above	45%
Coronary stent placement, one artery CPT 92928 7684800000 - PRQ CARD STENT W/ANGIO 1 VSL 92928	$10,806.59	$19,720.06	$320.00–$18,511.29	37% above	45%
Cystoscopy with ureteral stent placement CPT 52332 2800797131 - CYST W INS OF INDWELLING URETER STENT 52	$3,257.02	$5,943.46	$363.00–$5,866.04	18% below	45%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 5600537152 - CYSTOURETHROSCOPY 52000	$808.55	$1,475.45	$250.00–$1,754.00	111% above	45%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 2800217131 - CYSTOURETHROSCOPY 52000	$831.37	$1,517.11	$250.00–$1,754.00	117% above	45%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 52000780300 - CYSTOURETHROSCOPY 52000	$832.38	$1,518.94	$250.00–$1,754.00	117% above	45%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 52000620000 - CYSTOURETHROSCOPY 52000	$832.80	$1,519.71	$250.00–$1,384.11	117% above	45%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 17000780300 - DESTRUCT PREMALG LESION 17000	$122.58	$223.68	$30.43–$1,754.00	23% above	45%
Earwax removal by irrigation (rinsing), one ear CPT 69209 69209781700 - REMOVAL IMPACTED CERUMEN EAR C 69209	$108.38	$197.78	$0.01–$1,381.00	139% above	45%
Earwax removal by irrigation (rinsing), one ear CPT 69209 2000166231 - REMOVAL IMPACTED CERUMEN EAR C 69209	$110.55	$201.73	$0.01–$1,381.00	144% above	45%
Earwax removal by irrigation (rinsing), one ear CPT 69209 69209780660 - REMOVAL IMPACTED CERUMEN EAR C 69209	$111.63	$203.71	$0.01–$1,381.00	146% above	45%
Earwax removal by irrigation (rinsing), one ear CPT 69209 69209781400 - REMOVAL IMPACTED CERUMEN EAR C 69209	$111.63	$203.71	$0.01–$1,381.00	146% above	45%
Earwax removal by irrigation (rinsing), one ear CPT 69209 69209780200 - REMOVAL IMPACTED CERUMEN EAR C 69209	$111.63	$203.71	$0.01–$1,381.00	146% above	45%
Earwax removal with instruments, one ear CPT 69210 6541527126 - REMOVE IMPACTED EAR WAX 69210	$72.51	$132.33	$23.40–$1,754.00	1% above	45%
Earwax removal with instruments, one ear CPT 69210 7040150000 - CERUMEN REMOVAL 69210	$72.78	$132.81	$23.40–$1,381.00	2% above	45%
Earwax removal with instruments, one ear CPT 69210 6541527121 - REMOVE IMPACTED EAR WAX 69210	$72.78	$132.81	$23.40–$1,754.00	2% above	45%
Earwax removal with instruments, one ear CPT 69210 69210781400 - REMOVE IMPACTED EAR WAX 69210	$72.78	$132.81	$23.40–$1,754.00	2% above	45%
Earwax removal with instruments, one ear CPT 69210 69210780660 - CERUMEN REMOVAL 69210	$72.78	$132.81	$23.40–$1,754.00	2% above	45%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 58100780650 - ENDOMETRIAL BX WO CERVICAL DILATION-GYN	$167.88	$306.35	$39.78–$1,754.00	111% above	45%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 2701337124 - ENDOMETRIAL BX W/O CERVICAL DILATION 581	$342.92	$625.77	$39.78–$1,754.00	332% above	45%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 9822900000 - ENDOMETRIAL BX W/O CERVICAL DILATION 581	$343.29	$626.45	$39.78–$1,754.00	332% above	45%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 58100620000 - ENDOMETRIAL BX W/O CERVICAL DILATION 581	$343.29	$626.45	$39.78–$1,381.00	332% above	45%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 1600527137 - NJ PARAVERT F JNT L/S 1 LEV 64493	$996.52	$1,818.47	$250.00–$1,754.00	46% above	45%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 2551020000 - Sigmoidoscopy, Flexible 45330	$720.54	$1,314.85	$65.52–$1,754.00	83% above	45%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 45330620100 - FLEXIBLE SIGMOIDSCOPY 45330	$1,417.45	$2,586.58	$65.52–$2,069.26	260% above	45%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 45330780600 - FLEXIBLE SIGMOIDSCOPY 45330	$1,459.97	$2,664.18	$65.52–$2,131.34	271% above	45%
IUD insertion (the device itself billed separately) CPT 58300 9877100000 - INSERT IUD 58300	$80.36	$146.64	$0.01–$1,754.00	96% below	45%
IUD insertion (the device itself billed separately) CPT 58300 2701427124 - INSERT IUD 58300	$80.39	$146.70	$0.01–$1,754.00	96% below	45%
IUD insertion (the device itself billed separately) CPT 58300 2400967129 - INSERT IUD 58300	$80.49	$146.88	$0.01–$1,754.00	96% below	45%
IUD insertion (the device itself billed separately) CPT 58300 58300780650 - INSERTION INTRAUTERINE DEVICE IUD-GYN Ea	$1,024.93	$1,870.30	$0.01–$1,754.00	52% below	45%
Incision and drainage of a simple or single skin abscess CPT 10060 9701570000 - I&D Absc; Smpl Or Sgl	$218.66	$399.02	$44.47–$1,381.00	35% above	45%
Incision and drainage of a simple or single skin abscess CPT 10060 9701560000 - I&D Absc; Smpl Or Sgl	$218.66	$399.02	$44.47–$1,381.00	35% above	45%
Incision and drainage of a simple or single skin abscess CPT 10060 10060781900 - I&D ABSC; SMPL OR SGL 10060	$245.83	$448.59	$44.47–$1,754.00	52% above	45%
Incision and drainage of a simple or single skin abscess CPT 10060 5000086231 - I & D ANY SITE, SIMPLE/ 10060	$330.43	$602.97	$44.47–$1,381.00	105% above	45%
Incision and drainage of a simple or single skin abscess CPT 10060 10060780660 - I & D ANY SITE, SIMPLE/ 10060	$331.01	$604.03	$44.47–$1,754.00	105% above	45%
Incision and drainage of a simple or single skin abscess CPT 10060 10060780000 - I & D ANY SITE, SIMPLE/ 10060	$331.01	$604.03	$44.47–$1,754.00	105% above	45%
Incision and drainage of a simple or single skin abscess CPT 10060 10060780200 - I & D ANY SITE, SIMPLE/ 10060	$331.01	$604.03	$44.47–$1,754.00	105% above	45%
Incision and drainage of a simple or single skin abscess CPT 10060 10060780300 - I & D ANY SITE, SIMPLE/ 10060	$331.01	$604.03	$44.47–$1,754.00	105% above	45%
Incision and drainage of a simple or single skin abscess CPT 10060 8200140000 - I & D ANY SITE, SIMPLE/ 10060	$331.01	$604.03	$44.47–$1,381.00	105% above	45%
Incision and drainage of a simple or single skin abscess CPT 10060 4407490000 - ABSCESS DRAINAGE SOFT TISSUE	$2,663.17	$4,859.80	$44.47–$3,887.84	1549% above	45%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 6692647125 - INJ TENDON SHEATH/LIG/TRIG PT/ 20550	$44.91	$81.95	$35.11–$1,754.00	80% below	45%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 10000780362 - INJ TENDON SHEATH/LIG/TRIG PT/ 20550	$44.91	$81.95	$35.11–$1,754.00	80% below	45%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 4406820000 - Arthrocentesis,Inj Major Joint	$261.97	$478.04	$35.11–$1,381.00	15% below	45%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 6541027121 - DRAIN/INJECT, JOINT/BURSA (N) 20610	$318.85	$581.84	$35.11–$1,381.00	3% above	45%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 2002806193 - ARTHROCENTESIS,INJECT MAJOR JO 20610	$320.60	$585.03	$35.11–$1,381.00	4% above	45%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 6541037121 - Arthrocentesis/Aspin/Inj,Inte	$463.15	$845.16	$35.11–$1,381.00	50% above	45%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 20610780360 - DRAIN/INJECTION MAJOR JOINT BURSA 20610	$475.14	$867.05	$35.11–$1,381.00	54% above	45%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 6032040000 - Drain/Inj Major Jnt/Bursa	$475.14	$867.05	$35.11–$1,381.00	54% above	45%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 5800507117 - DRAIN/INJECTION MAJOR JOINT BURSA 20610	$534.40	$975.19	$35.11–$1,381.00	73% above	45%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 6692667125 - DRAIN/INJECTION MAJOR JOINT BURSA 20610	$538.08	$981.90	$35.11–$1,381.00	74% above	45%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 2001346231 - DRAIN/INJECTION MAJOR JOINT BURSA 20610	$559.62	$1,021.21	$35.11–$1,381.00	81% above	45%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 20610781000 - DRAIN/INJECTION MAJOR JOINT BURSA 20610	$735.83	$1,342.76	$35.11–$1,381.00	138% above	45%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 20610781400 - DRAIN/INJECTION MAJOR JOINT BURSA 20610	$996.52	$1,818.47	$35.11–$1,454.78	222% above	45%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 20610780670 - DRAIN/INJECTION MAJOR JOINT BURSA 20610	$996.52	$1,818.47	$35.11–$1,454.78	222% above	45%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 11981780670 - INSERT DRUG IMPLANT 11981	$194.17	$354.32	$0.01–$1,754.00	62% above	45%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 9822400000 - INSERT DRUG IMPLANT 11981	$199.26	$363.62	$0.01–$1,754.00	66% above	45%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 2700337124 - INSERT DRUG IMPLANT 11981	$199.63	$364.29	$0.01–$1,754.00	66% above	45%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 11981780650 - INSJ NON-BIODEGRADABLE DRUG DELIVERY IMP	$199.99	$364.95	$0.01–$1,754.00	67% above	45%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 5600197152 - INSERT DRUG IMPLANT 11981	$199.99	$364.95	$0.01–$1,754.00	67% above	45%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 5800497117 - DRAIN/INJ INTER JOINT/BURSA 20605	$994.71	$1,815.16	$32.76–$1,452.13	256% above	45%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 7000047125 - DRAIN/INJ INTER JOINT/BURSA 20605	$996.52	$1,818.47	$32.76–$1,454.78	256% above	45%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 20605620000 - DRAIN/INJ INTER JOINT/BURSA 20605	$996.52	$1,818.47	$32.76–$1,454.78	256% above	45%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 2000686231 - ARTHROCENTESIS, ASPIRAT/INJECT 20600	$271.92	$496.20	$32.76–$1,381.00	10% above	45%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 6541047125 - DRAIN/INJECT SM JOINT/BURSA 20600	$319.62	$583.24	$32.76–$1,381.00	30% above	45%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 5800897117 - ARTHROCENTESIS,ASPIRAT AND/OR 20600	$367.12	$669.92	$32.76–$1,381.00	49% above	45%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 6541027125 - ARTHROCENTESIS,ASPIRAT AND/OR 20600	$367.12	$669.92	$32.76–$1,381.00	49% above	45%
Joint injection or drainage, small joint (fingers, toes) one side CPT 20600 6032050000 - Arth, Asp/Inj Maj Jnt/Bursa-Lt	$475.14	$867.05	$32.76–$1,381.00	93% above	45%
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 44970620000 - LAPAROSCOPY; APPENDECTOMY 44970	$5,204.28	$9,496.86	$363.00–$9,708.95	52% above	45%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 7040240000 - INT/LAYER LACERAT REPAIR <7.6 12031	$143.22	$261.35	$86.59–$1,381.00	25% below	45%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 12031620000 - INTERMEDIATE WOUND REPAIR S/A/T//EXT 120	$504.36	$920.36	$86.59–$1,381.00	166% above	45%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 12031780300 - INTERMEDIATE WOUND REPAIR S/A/T//EXT 120	$504.36	$920.36	$86.59–$1,381.00	166% above	45%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 11400780388 - EXC/BGN LES<.5CM,TRUNK,ARM,LEG 11400	$260.90	$476.09	$39.78–$1,754.00	41% above	45%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 11440780200 - EXC FACE-MM B9+MARG 0.5CM/< 11440	$569.04	$1,038.40	$51.49–$1,754.00	5% below	45%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 11440780300 - EXC FACE-MM B9+MARG 0.5CM/< 11440	$574.62	$1,048.58	$51.49–$1,754.00	4% below	45%
Nail removal (partial or complete), one nail CPT 11730 11730630000 - AVULSION OF NAIL PLATE,SINGLE 11730	$80.22	$146.39	$44.47–$1,754.00	18% below	45%
Nail removal (partial or complete), one nail CPT 11730 6021807125 - AVULSION OF NAIL PLATE,SINGLE 11730	$80.22	$146.39	$44.47–$1,754.00	18% below	45%
Nail removal (partial or complete), one nail CPT 11730 2000176231 - AVULSION OF NAIL PLATE 11730	$341.83	$623.78	$44.47–$1,381.00	251% above	45%
Occipital nerve block (injection for headaches) CPT 64405 64405780300 - INJ ANESTH ; GREATER OCCIPITAL NERVE 644	$334.60	$610.58	$60.85–$1,754.00	60% above	45%
Occipital nerve block (injection for headaches) CPT 64405 64405780360 - INJ ANESTH ; GREATER OCCIPITAL NERVE 644	$334.60	$610.58	$60.85–$1,754.00	60% above	45%
Occipital nerve block (injection for headaches) CPT 64405 64405600000 - INJ ANESTH ; GREATER OCCIPITAL NERVE 644	$334.60	$610.58	$60.85–$1,754.00	60% above	45%
Pacemaker implant (dual chamber) CPT 33208 7652000000 - Insrt Heart Pm Atrial & Vent	$18,159.46	$33,137.70	$297.00–$26,510.16	256% above	45%
Paracentesis with imaging guidance CPT 49083 4486500000 - Abd Paracentesis W/Imaging 49083	$381.85	$696.81	$250.00–$1,853.02	28% below	45%
Paracentesis with imaging guidance CPT 49083 49083620000 - PUNCTURE, PERITONEAL CAVITY 49083	$382.22	$697.49	$250.00–$1,853.02	28% below	45%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 11750400500 - REMOVAL OF NAIL BED 11750	$380.37	$694.10	$107.66–$1,754.00	44% above	45%
Prostate biopsy CPT 55700 2800657131 - BIOPSY,PROSTATE,NEEDLE,OR PUNC 55700	$259.19	$472.98	$250.00–$3,427.28	55% below	45%
Prostate biopsy CPT 55700 6111260000 - BIOPSY,PROSTATE,NEEDLE,OR PUNC 55700	$259.62	$473.75	$250.00–$3,427.28	54% below	45%
Prostate biopsy CPT 55700 55700780300 - PROSTATE NEEDLE PUNCH BX 55700	$2,250.83	$4,107.35	$250.00–$3,427.28	295% above	45%
Prostate biopsy CPT 55700 55700710300 - PROSTATE NEEDLE PUNCH BX 55700	$2,252.58	$4,110.54	$250.00–$3,427.28	295% above	45%
Removal of a foreign object under the skin, simple CPT 10120 2000096231 - INCS & REMOVAL FB SUBQ TISS,SI	$388.23	$708.45	$250.00–$1,384.11	62% above	45%
Removal of a foreign object under the skin, simple CPT 10120 10120620100 - INCISION & REMOVAL FOREGIN BODY SQ SIMPL	$429.77	$784.26	$250.00–$1,384.11	79% above	45%
Removal of a foreign object under the skin, simple CPT 10120 2001376231 - INCISION & REMOVAL FOREGIN BODY SQ SIMPL	$429.77	$784.26	$250.00–$1,384.11	79% above	45%
Removal of a foreign object under the skin, simple CPT 10120 6540967127 - REMOVE FOREIGN BODY 10120	$493.07	$899.77	$250.00–$1,384.11	106% above	45%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 2540390000 - Colonoscopy Screening G0121	$1,455.25	$2,655.56	$0.01–$2,124.45	33% above	45%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 2550790000 - Colonoscopy Screening-High Ris G0105	$1,456.43	$2,657.71	$0.01–$2,126.17	33% above	45%
Short arm cast (elbow to hand) CPT 29075 6541337125 - APPLICATION OF FOREARM CAST 29075	$414.98	$757.26	$39.78–$1,381.00	219% above	45%
Short arm cast (elbow to hand) CPT 29075 29075780100 - APPLY SHORT ARM CAST 29075	$982.01	$1,791.99	$39.78–$1,433.59	654% above	45%
Short arm cast (elbow to hand) CPT 29075 29075620000 - APPLY SHORT ARM CAST 29075	$996.52	$1,818.47	$39.78–$1,454.78	665% above	45%
Short arm splint (forearm and hand) CPT 29125 8230400000 - Apply Cast Shoulder Or Upper E	$116.85	$213.23	$28.09–$1,381.00	20% above	45%
Short arm splint (forearm and hand) CPT 29125 29125620000 - APPLY FOREARM SPLINT 29125	$222.12	$405.34	$28.09–$1,381.00	128% above	45%
Short arm splint (forearm and hand) CPT 29125 6541357125 - APPLY FOREARM SPLINT 29125	$222.59	$406.18	$28.09–$1,381.00	129% above	45%
Short arm splint (forearm and hand) CPT 29125 29125620100 - APPLY FOREARM SPLINT 29125	$222.69	$406.37	$28.09–$1,381.00	129% above	45%
Short leg cast (below the knee) CPT 29405 6692917125 - APPLY SH LEG CAST 29405	$243.97	$445.20	$46.81–$1,381.00	145% above	45%
Short leg cast (below the knee) CPT 29405 29405620000 - APPLY SH LEG CAST 29405	$243.97	$445.20	$46.81–$1,381.00	145% above	45%
Short leg splint (calf to foot) CPT 29515 29515780300 - APPLY SHORT LEG SPLINT 29515	$181.62	$331.43	$35.11–$1,381.00	91% above	45%
Short leg splint (calf to foot) CPT 29515 29515620100 - APPLY SHORT LEG SPLINT 29515	$181.62	$331.43	$35.11–$1,381.00	91% above	45%
Short leg splint (calf to foot) CPT 29515 2001466231 - APPLY SHORT LEG SPLINT 29515	$186.66	$340.62	$35.11–$1,381.00	96% above	45%
Short leg splint (calf to foot) CPT 29515 29515780100 - APPLY SHORT LEG SPLINT 29515	$186.98	$341.21	$35.11–$1,381.00	97% above	45%
Short leg splint (calf to foot) CPT 29515 29515780615 - APPLY SHORT LEG SPLINT 29515	$187.07	$341.37	$35.11–$1,381.00	97% above	45%
Short leg splint (calf to foot) CPT 29515 8230410000 - Apply Cast Lower Extremity Or	$240.62	$439.09	$35.11–$1,381.00	153% above	45%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 12001780300 - SREP S/N/A/G/TR/E; 2.5CM/< 12001	$222.22	$405.51	$63.19–$1,754.00	9% above	45%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 2001456231 - SREP S/N/A/G/TR/E; 2.5CM/< 12001	$228.34	$416.68	$63.19–$1,381.00	12% above	45%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 12001620100 - SREP S/N/A/G/TR/E; 2.5CM/< 12001	$228.89	$417.68	$63.19–$1,381.00	12% above	45%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 12001600320 - SREP S/N/A/G/TR/E; 2.5CM/< 12001	$228.89	$417.68	$63.19–$1,754.00	12% above	45%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 2000066233 - CLOSURE WOUND DEHISCENCE,SIMPL	$247.98	$452.51	$63.19–$1,381.00	22% above	45%
Skin biopsy, punch, one lesion CPT 11104 11104620000 - PUNCH BX SKIN SINGLE LESION 11104	$343.51	$626.85	$0.01–$1,381.00	133% above	45%
Skin biopsy, punch, one lesion CPT 11104 11104780750 - PUNCH BX SKIN SINGLE LESION 11104	$347.57	$634.26	$0.01–$1,754.00	136% above	45%
Skin biopsy, punch, one lesion CPT 11104 11104780300 - PUNCH BX SKIN SINGLE LESION 11104	$348.27	$635.53	$0.01–$1,754.00	136% above	45%
Skin biopsy, punch, one lesion CPT 11104 11104780200 - PUNCH BX SKIN SINGLE LESION 11104	$348.59	$636.11	$0.01–$1,754.00	137% above	45%
Skin biopsy, punch, one lesion CPT 11104 11104780615 - PUNCH BX SKIN SINGLE LESION 11104	$348.59	$636.11	$0.01–$1,754.00	137% above	45%
Skin biopsy, punch, one lesion CPT 11104 11104780388 - PUNCH BX SKIN SINGLE LESION 11104	$348.59	$636.11	$0.01–$1,754.00	137% above	45%
Skin biopsy, punch, one lesion CPT 11104 11104601105 - PUNCH BX SKIN SINGLE LESION 11104	$348.59	$636.11	$0.01–$1,754.00	137% above	45%
Skin biopsy, punch, one lesion CPT 11104 11104630000 - PUNCH BX SKIN SINGLE LESION 11104	$348.59	$636.11	$0.01–$1,754.00	137% above	45%
Skin biopsy, punch, one lesion CPT 11104 11104780050 - PUNCH BX SKIN SINGLE LESION 11104	$348.59	$636.11	$0.01–$1,754.00	137% above	45%
Skin tag removal, up to 15 tags CPT 11200 6111180000 - EXC. SKIN TAGS MULTIPLE <15 LE 11200	$84.89	$154.90	$32.76–$1,754.00	1% above	45%
Skin tag removal, up to 15 tags CPT 11200 11201780300 - REMOVE SKIN TAGS ADD-ON EA ADDL 10 LESIO	$85.38	$155.81	$32.76–$1,754.00	2% above	45%
Skin tag removal, up to 15 tags CPT 11200 2700537124 - REM SKIN TAGS; <=15 LESIONS 11200	$85.38	$155.81	$32.76–$1,754.00	2% above	45%
Spinal tap (lumbar puncture), diagnostic CPT 62270 62270780360 - SPINAL PUNCTURE LUMBAR DIAGNOSTIC 62270	$419.01	$764.63	$51.49–$1,381.00	15% above	45%
Spinal tap (lumbar puncture), diagnostic CPT 62270 4331050000 - LUMBAR PUNCTURE DIAGNOSTIC	$558.69	$1,019.50	$51.49–$1,381.00	54% above	45%
Spinal tap (lumbar puncture), diagnostic CPT 62270 6110280000 - LUMBAR PUNCTURE 62270	$558.69	$1,019.50	$51.49–$1,381.00	54% above	45%
Spinal tap (lumbar puncture), diagnostic CPT 62270 7040510000 - LUMBAR PUNCTURE 62270	$558.69	$1,019.50	$51.49–$1,381.00	54% above	45%
Spinal tap (lumbar puncture), diagnostic CPT 62270 4406920000 - LUMBAR PUNCTURE DIAGNOSTIC	$558.69	$1,019.50	$51.49–$1,381.00	54% above	45%
Spinal tap (lumbar puncture), diagnostic CPT 62270 2000556233 - LUMBAR PUNCTURE (SPINAL TAP) 62270	$965.63	$1,762.09	$51.49–$1,409.67	165% above	45%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 2000026231 - SIMPL/MINOR LACERAT REPAIR>7 12002	$124.28	$226.80	$74.90–$1,381.00	45% below	45%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 2000026233 - SIMPL/MINOR LACERAT REPAIR>7 12002	$124.38	$226.97	$74.90–$1,381.00	45% below	45%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 2000016231 - SIMPL/MINOR LACERAT REPAIR <7. 12002	$130.19	$237.58	$74.90–$1,381.00	43% below	45%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 8230190000 - SIMPL/MINOR LACERAT REPAIR <7. 12002	$130.19	$237.58	$74.90–$1,381.00	43% below	45%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 20021620100 - Simple Rpr F/E/N/L/Mm 2.5Cm/< 12011	$121.81	$222.28	$70.21–$1,381.00	41% below	45%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 12011620100 - Simpl Repr Face/Mucous 2.5/Le 12011	$201.41	$367.53	$70.21–$1,381.00	2% below	45%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 2560962011 - SREP F/E/N/L/MM; 2.5CM/< 12011	$231.46	$422.37	$70.21–$1,381.00	13% above	45%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 12011620000 - SREP F/E/N/L/MM; 2.5CM/< 12011	$237.62	$433.61	$70.21–$1,381.00	16% above	45%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 11102780300 - TANGNTL BX SKIN SINGLE LES 11102	$348.32	$635.62	$0.01–$1,754.00	135% above	45%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 11102780050 - TANGNTL BX SKIN SINGLE LES 11102	$348.59	$636.11	$0.01–$1,754.00	135% above	45%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 11102780200 - TANGNTL BX SKIN SINGLE LES 11102	$348.59	$636.11	$0.01–$1,754.00	135% above	45%
Thoracentesis with imaging guidance CPT 32555 4404200000 - ASPIRATE PLEURA W/ IMGNG	$167.95	$306.47	$167.95–$1,384.11	67% below	45%
Thoracentesis with imaging guidance CPT 32555 2000476231 - THORACENTESIS W/TUBE INSERTION	$605.43	$1,104.80	$250.00–$1,384.11	19% above	45%
Thoracentesis with imaging guidance CPT 32555 32555710300 - ASPIRATE PLEURA W/ IMAGING 32555	$721.98	$1,317.49	$250.00–$1,384.11	42% above	45%
Trigger point injections, 1 or 2 muscles CPT 20552 20552620000 - INJ TRIGGER POINT 1/2 MUSCL 20552	$320.60	$585.03	$0.01–$1,381.00	30% above	45%
Trigger point injections, 1 or 2 muscles CPT 20552 20552780100 - INJ TRIGGER POINT 1/2 MUSCL 20552	$320.60	$585.03	$0.01–$1,381.00	30% above	45%
Trigger point injections, 1 or 2 muscles CPT 20552 20552780000 - INJ TRIGGER POINT 1/2 MUSCL 20552	$320.60	$585.03	$0.01–$1,381.00	30% above	45%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 1311207148 - BIOPSY BREAST 1ST LESION US IMAGING 1908	$1,848.52	$3,373.22	$250.00–$2,728.08	87% above	45%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 19083780355 - BIOPSY BREAST 1ST LESION US IMAGING 1908	$1,848.52	$3,373.22	$250.00–$2,728.08	87% above	45%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 19083780750 - BIOPSY BREAST 1ST LESION US IMAGING 1908	$1,848.52	$3,373.22	$250.00–$2,728.08	87% above	45%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 4538170000 - BIOPSY BREAST 1ST LESION US IMAGING 1908	$1,848.52	$3,373.22	$250.00–$2,728.08	87% above	45%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 19083710300 - BIOPSY BREAST 1ST LESION US IMAGING 1908	$1,848.52	$3,373.22	$250.00–$2,728.08	87% above	45%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 2540550000 - Egd,Balloon Dilation 43249	$2,923.00	$5,333.94	$363.00–$4,267.15	167% above	45%
Upper endoscopy (EGD) with biopsy CPT 43239 43239620000 - Biopsy,Esophogus/Stomach/Duod/ 43239	$509.90	$930.48	$297.00–$1,879.00	46% below	45%
Upper endoscopy (EGD) with biopsy CPT 43239 2540050000 - Biopsy,Esophogus/Stomach/Duod/ 43239	$509.90	$930.48	$297.00–$1,879.00	46% below	45%
Upper endoscopy (EGD) with injection into the lining CPT 43236 2551050000 - UPPR GI SCOPE W/SUBMUC INJ 43236	$1,053.62	$1,922.67	$250.00–$1,879.00	2% below	45%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 2540110000 - Polypectomy,Egd,Snare 43251	$2,913.84	$5,317.23	$250.00–$4,253.78	167% above	45%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 2550650000 - Egd,W/Insert Guide Wire 43248	$1,522.51	$2,778.31	$250.00–$2,222.65	62% above	45%
Upper endoscopy (EGD), diagnostic CPT 43235 2540360000 - EGD 43235	$1,527.67	$2,787.72	$250.00–$2,230.18	62% above	45%
Upper endoscopy (EGD), diagnostic CPT 43235 7041210000 - EGD 43235	$1,528.88	$2,789.92	$250.00–$2,231.94	63% above	45%
Vasectomy, one or both sides, including follow-up semen testing both sides CPT 55250 2800617131 - VASECTOMY UNIL OR BILAT 55250	$2,252.58	$4,110.54	$114.84–$3,427.28	—	45%
Wart removal, up to 14 warts CPT 17110 6541617127 - DESTRUCT B9 LESION 1-14 17110	$175.99	$321.15	$30.43–$1,754.00	214% above	45%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 9702130000 - DEBRIDE MUSC/FASCIA 20 SQ CM/< 11042	$380.36	$694.09	$250.00–$1,853.02	4% below	45%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 11042780050 - DEBRIDE SKIN/TISSUE 11042	$495.96	$905.04	$250.00–$1,853.02	26% above	45%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 6540987125 - DEBRIDE SKIN/TISSUE 11042	$495.96	$905.04	$250.00–$1,853.02	26% above	45%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 6540987127 - DEBRIDE SKIN/TISSUE 11042	$495.96	$905.04	$250.00–$1,853.02	26% above	45%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 9701510000 - Debride,Subcu,Tissue W/59	$639.12	$1,166.27	$250.00–$1,853.02	62% above	45%
Wrist fracture surgery (plate and screws), distal radius CPT 25607 25607620100 - TREAT FX RAD EXTRA-ARTICUL 25607	$10,186.45	$18,588.42	$297.00–$14,870.74	20% above	45%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Tennessee	Off list
Blood transfusion (giving blood or blood components) CPT 36430 36430720600 - BLOOD ADMINISTRATION 36430	$546.68	$997.60	$250.00–$1,384.11	46% above	45%
Blood transfusion (giving blood or blood components) CPT 36430 2000296233 - BLOOD TRANSFUSION 36430	$546.86	$997.92	$250.00–$1,384.11	46% above	45%
Blood transfusion (giving blood or blood components) CPT 36430 7400347128 - BLOOD TRANSFUSION 36430	$548.66	$1,001.20	$250.00–$1,384.11	46% above	45%
Blood transfusion (giving blood or blood components) CPT 36430 2000436193 - BLOOD ADMINISTRATION 36430	$549.15	$1,002.09	$250.00–$1,384.11	46% above	45%
Blood transfusion (giving blood or blood components) CPT 36430 8230780000 - BLOOD ADMINISTRATION 36430	$549.15	$1,002.09	$250.00–$1,384.11	46% above	45%
Blood transfusion (giving blood or blood components) CPT 36430 7400627128 - BLOOD ADMINISTRATION 36430	$549.15	$1,002.09	$250.00–$1,384.11	46% above	45%
Blood transfusion (giving blood or blood components) CPT 36430 7040660000 - BLOOD ADMINISTRATION 36430	$549.15	$1,002.09	$250.00–$1,384.11	46% above	45%
Blood transfusion (giving blood or blood components) CPT 36430 36430600320 - BLOOD ADMINISTRATION 36430	$549.15	$1,002.09	$250.00–$1,384.11	46% above	45%
Blood transfusion (giving blood or blood components) CPT 36430 2000296192 - BLOOD ADMINISTRATION 36430	$549.15	$1,002.09	$250.00–$1,384.11	46% above	45%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 4920020000 - Aerosol Treatment,Subsequent	$143.61	$262.06	$6.00–$358.90	47% above	45%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 4920040000 - AEROSOL TREATMENT INITIAL 94640	$143.66	$262.16	$6.00–$358.90	47% above	45%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 7201020000 - Airway Inhalation Treatment	$143.72	$262.27	$6.00–$358.90	47% above	45%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 94640781400 - AEROSOL TREATMENT INITIAL 94640	$143.72	$262.27	$6.00–$358.90	47% above	45%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 2000336231 - AEROSOL TREATMENT, INITIAL	$143.72	$262.27	$0.01–$358.90	47% above	45%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 2000126193 - AEROSOL TREATMENT, INITIAL	$143.72	$262.27	$0.01–$358.90	47% above	45%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 94640780400 - NEBULIZER TREATMENT 94640	$143.72	$262.27	$6.00–$358.90	47% above	45%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 94640780660 - NEBULIZER TREATMENT 94640	$143.72	$262.27	$6.00–$358.90	47% above	45%
Chemotherapy IV infusion, first hour CPT 96413 96413780320 - CHEMO IV INFUSION 1 HR 96413	$611.23	$1,115.38	$0.01–$892.30	155% above	45%
Chemotherapy IV infusion, first hour CPT 96413 96413781820 - CHEMO IV INFUSION 1 HR 96413	$611.91	$1,116.62	$0.01–$893.30	155% above	45%
Chemotherapy IV infusion, first hour CPT 96413 96413780357 - CHEMO IV INFUSION 1 HR 96413	$611.91	$1,116.62	$0.01–$893.30	155% above	45%
Critical care, first 30 to 74 minutes CPT 99291 8200040000 - CRITICAL CARE, 1ST HOUR 99291	$1,703.64	$3,108.83	$51.00–$6,357.00	67% above	45%
Critical care, first 30 to 74 minutes CPT 99291 99291620000 - CRITICAL CARE, 1ST HOUR 99291	$2,144.46	$3,913.25	$51.00–$6,357.00	110% above	45%
Critical care, first 30 to 74 minutes CPT 99291 7040830000 - CRITICAL CARE 1ST HOUR LEVEL 1 99291-25	$2,144.46	$3,913.25	$51.00–$6,357.00	110% above	45%
Critical care, first 30 to 74 minutes CPT 99291 8200130000 - CRITICAL CARE 1ST HOUR W/PROCEDURE 99291	$2,207.67	$4,028.60	$51.00–$6,357.00	116% above	45%
EEG (brain wave test), awake and drowsy, routine CPT 95816 5900840000 - EEG AWAKE AND DROWSY 95816	$508.70	$928.29	$25.00–$876.58	71% above	45%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 93005780000 - EKG ROUTINE 93005	$113.83	$207.72	$17.00–$265.00	7% above	45%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 93005601105 - EKG ROUTINE 93005	$114.74	$209.37	$17.00–$265.00	7% above	45%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 4802970000 - EKG ROUTINE 93005	$114.95	$209.77	$17.00–$265.00	8% above	45%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 4803000000 - Ekg Emergency-Call Ext 7725	$114.98	$209.81	$17.00–$265.00	8% above	45%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 93005780660 - EKG ROUTINE 93005	$115.05	$209.95	$17.00–$265.00	8% above	45%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 93005780670 - EKG ROUTINE 93005	$115.07	$209.99	$17.00–$265.00	8% above	45%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 6532147121 - EKG-12 LEAD/REFERRAL	$115.07	$209.99	$17.00–$265.00	8% above	45%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 9825620000 - Ecg-Routine 12 Lead, Hl Office 93005	$115.07	$209.99	$17.00–$265.00	8% above	45%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 6510580000 - Ekg W 12+ Leads Tracing O	$115.07	$209.99	$17.00–$265.00	8% above	45%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 8200070000 - TRAUMA ED LEVEL 1 W/PROC 99281	$205.62	$375.21	$51.00–$698.00	50% above	45%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 7350580000 - Rout Emer-Level 1 99281	$229.66	$419.09	$51.00–$698.00	68% above	45%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 7350510000 - ROUT EMER-LEVEL 1-W/PROC	$230.98	$421.50	$51.00–$698.00	69% above	45%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 7040780000 - ED LEVEL 1-W/PROC	$230.98	$421.50	$51.00–$698.00	69% above	45%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 8200050000 - TRAUMA ED LEVEL 1 99281	$230.98	$421.50	$51.00–$698.00	69% above	45%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 7000870000 - EMERGENCY DEPT VISIT 99281	$230.98	$421.50	$51.00–$698.00	69% above	45%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 7350520000 - ROUT EMER-LEVEL 2-W/PROC	$384.24	$701.17	$51.00–$1,116.00	85% above	45%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 7000360000 - EMERGENCY DEPT VISIT 99282	$384.31	$701.29	$51.00–$1,116.00	85% above	45%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 7350750000 - Rout Emer-Level 2 99282	$384.32	$701.31	$51.00–$1,116.00	85% above	45%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 7040790000 - ED LEVEL 2-W/PROC	$384.37	$701.40	$51.00–$1,116.00	85% above	45%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 8300010000 - BURN EMERGENCY VISIT-LEVEL 2(B)	$384.37	$701.41	$51.00–$1,116.00	85% above	45%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 8250590000 - TRAUMA ED LEVEL 2 99282	$384.38	$701.42	$51.00–$1,116.00	85% above	45%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 99282250900 - BURN EMERG. VISIT LVL 2-W/PROC	$384.49	$701.62	$51.00–$1,116.00	85% above	45%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 8200080000 - TRAUMA ED LEVEL 2 W/PROC 99282	$384.49	$701.62	$51.00–$1,116.00	85% above	45%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 2001956193 - Rout Emer-Level 3 99283	$656.14	$1,197.33	$51.00–$2,786.00	74% above	45%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 8300120000 - BURN EMERG. VISIT LVL 3-W/PROC	$717.75	$1,309.77	$51.00–$2,786.00	91% above	45%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 8300050000 - Burn Emergency Visit-Level 3	$720.29	$1,314.39	$51.00–$2,786.00	91% above	45%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 7350530000 - ROUT EMER-LEVEL 3-W/PROC	$722.83	$1,319.02	$51.00–$2,786.00	92% above	45%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 7040810000 - ED LEVEL 3-W/PROC	$723.38	$1,320.04	$51.00–$2,786.00	92% above	45%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 7351150000 - Rout Emer-Level 3 99283	$723.63	$1,320.49	$51.00–$2,786.00	92% above	45%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 7000400000 - EMERGENCY DEPT VISIT 99283	$723.82	$1,320.85	$51.00–$2,786.00	92% above	45%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 8200090000 - TRAUMA ED LEVEL 3 W/PROC 99283	$724.05	$1,321.26	$51.00–$2,786.00	92% above	45%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 8200060000 - TRAUMA ED LEVEL 3 99283	$724.07	$1,321.29	$51.00–$2,786.00	92% above	45%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 7040820000 - ED LEVEL4 - W/PROC	$1,096.64	$2,001.17	$51.00–$2,786.00	191% above	45%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 8300060000 - Burn Emergency Visit-Level 4	$1,095.44	$1,998.98	$51.00–$4,573.00	74% above	45%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 7350540000 - ROUT EMER-LEVEL 4-W/PROC 99284	$1,095.85	$1,999.73	$51.00–$4,573.00	74% above	45%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 8200110000 - TRAUMA ED LEVEL 4 - W/PROC 99284	$1,096.02	$2,000.03	$51.00–$4,573.00	74% above	45%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 7000410000 - EMERGENCY DEPT VISIT 99284	$1,096.06	$2,000.12	$51.00–$4,573.00	74% above	45%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 8200020000 - TRAUMA ED LEVEL 4 99284	$1,096.41	$2,000.75	$51.00–$4,573.00	74% above	45%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 7350770000 - Rout Emer-Level 4 99284	$1,096.56	$2,001.03	$51.00–$4,573.00	74% above	45%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 8300130000 - BURN EMERG. VISIT LVL 4-W/PROC	$1,096.64	$2,001.17	$51.00–$4,573.00	74% above	45%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 2001976193 - Rout Emer-Level 4 99284	$1,096.64	$2,001.17	$51.00–$4,573.00	74% above	45%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 8250690000 - Shock Tra.Crit.Care<30Min W/Pr 99285	$1,601.61	$2,922.65	$51.00–$5,539.00	73% above	45%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 8300140000 - BURN EMERG. VISIT LVL 5-W/PROC	$1,603.11	$2,925.38	$51.00–$5,539.00	73% above	45%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 7000370000 - EMERGENCY DEPT VISIT 99285	$1,605.12	$2,929.05	$51.00–$5,539.00	74% above	45%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 8200120000 - Ta Comprehensive Level 5-W/Pro	$1,605.49	$2,929.73	$51.00–$5,539.00	74% above	45%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 7040800000 - ED LEVEL 5 - W/PROC 99285	$1,605.50	$2,929.75	$51.00–$5,539.00	74% above	45%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 8250650000 - Shock Trauma Crit.Care <30 Min 99285	$1,605.82	$2,930.32	$51.00–$5,539.00	74% above	45%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 7350790000 - ROUT EMER-LEVEL 5-W/PROC (D)	$1,605.91	$2,930.50	$51.00–$5,539.00	74% above	45%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 8300070000 - Burn Emergency Visit-Level 5	$1,606.58	$2,931.71	$51.00–$5,539.00	74% above	45%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 7350550000 - ROUT ER LEVEL 5 99285	$1,606.58	$2,931.71	$51.00–$5,539.00	74% above	45%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 8200030000 - TRAUMA ED LEVEL 5 99285	$1,608.38	$2,934.99	$51.00–$5,539.00	74% above	45%
Exercise stress test, tracing only, the hospital charge CPT 93017 4960500000 - Pulmonary Stress Test 93017	$510.47	$931.52	$61.00–$745.21	51% above	45%
Exercise stress test, tracing only, the hospital charge CPT 93017 7700150000 - Cvslr Stress Test; Tracing	$511.43	$933.27	$61.00–$746.62	51% above	45%
Exercise stress test, tracing only, the hospital charge CPT 93017 7700160000 - Cvslr Stress Test; Tracing	$511.68	$933.73	$61.00–$746.98	51% above	45%
Exercise stress test, tracing only, the hospital charge CPT 93017 7700130000 - Exercise Tolerance Test 93017	$511.68	$933.73	$61.00–$746.98	51% above	45%
Exercise stress test, tracing only, the hospital charge CPT 93017 7700950000 - Cvslr Stress Test; Tracing	$511.68	$933.73	$61.00–$746.98	51% above	45%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 3400440000 - NS 50ML	$36.11	$65.90	$0.01–$360.66	66% below	45%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 0310000000 - HYDRATION IV INFUSION 96360	$572.25	$1,044.26	$0.01–$835.41	432% above	45%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 2000896193 - HYDRATION IV INFUSION INIT 31-60 MIN 963	$572.25	$1,044.26	$0.01–$835.41	432% above	45%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360600330 - HYDRATION IV INFUSION INIT 31-60 MIN 963	$572.25	$1,044.26	$0.01–$835.41	432% above	45%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360601000 - HYDRATION IV INFUSION INIT 31-60 MINS 96	$572.25	$1,044.26	$0.01–$835.41	432% above	45%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360600200 - HYDRATION IV INFUSION INIT 31-60 MIN 963	$575.69	$1,050.53	$0.01–$840.42	435% above	45%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 2000216231 - HYDRATION IV INFUSION 96360	$579.69	$1,057.83	$0.01–$846.26	439% above	45%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 7350960000 - HYDRATION IV INFUSION INIT 31-60 MINS	$581.62	$1,061.35	$0.01–$849.08	441% above	45%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 8250700000 - HYDRATION IV INFUSION INIT 31-60 MIN 963	$582.56	$1,063.06	$0.01–$850.45	442% above	45%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360781821 - HYDRATION IV INFUSION INIT 31-60 MINS 96	$589.05	$1,074.91	$0.01–$859.93	448% above	45%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 7400307128 - HYDRATION IV INFUSION INIT 31-60 MINS. 9	$589.25	$1,075.27	$0.01–$860.21	448% above	45%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360780357 - HYDRATION IV INFUSION INIT 31-60 MINS. 9	$589.42	$1,075.59	$0.01–$860.47	448% above	45%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 2800697131 - HYDRATION IV INFUSION INIT 31-60 MINS 96	$589.42	$1,075.59	$0.01–$860.47	448% above	45%
IV infusion of a medicine, first hour CPT 96365 2000236039 - TX/PROPH/DX IV INF INITIAL(P) 96365	$196.47	$358.53	$0.01–$360.66	32% above	45%
IV infusion of a medicine, first hour CPT 96365 8250720000 - TX/PROPH/DX IV INF INITIAL(P) 96365	$372.02	$678.87	$0.01–$543.09	151% above	45%
IV infusion of a medicine, first hour CPT 96365 96365620000 - THER/PROPH/DIAG IV INF INIT =<1 HR 96365	$381.50	$696.17	$0.01–$556.94	157% above	45%
IV infusion of a medicine, first hour CPT 96365 20002360280 - TX/PROPH/DX IV INF INITIAL 96365	$389.58	$710.92	$0.01–$568.73	162% above	45%
IV infusion of a medicine, first hour CPT 96365 8301340000 - TX/PROPH/DX IV INF INITIAL 96365	$391.04	$713.58	$0.01–$570.86	163% above	45%
IV infusion of a medicine, first hour CPT 96365 96365600200 - THER/PROPH/DIAG IV INF INIT =<1 HR 96365	$391.04	$713.58	$0.01–$570.86	163% above	45%
IV infusion of a medicine, first hour CPT 96365 96365780357 - TX/ PROPH/ DX IV INF INITIAL 96365	$391.63	$714.65	$0.01–$571.72	164% above	45%
IV infusion of a medicine, first hour CPT 96365 0330000000 - TX/PROPH/DX IV INF INITIAL 96365	$391.99	$715.32	$0.01–$572.26	164% above	45%
IV infusion of a medicine, first hour CPT 96365 2000906193 - TX/ PROPH/ DX IV INF INITIAL 96365	$392.61	$716.44	$0.01–$573.15	165% above	45%
IV infusion of a medicine, first hour CPT 96365 2000236231 - TX/PROPH/DX IV INF INITIAL 96365	$392.61	$716.45	$0.01–$573.16	165% above	45%
IV infusion of a medicine, first hour CPT 96365 7400137128 - TX/ PROPH/ DX IV INF INITIAL 96365	$392.74	$716.67	$0.01–$573.34	165% above	45%
IV infusion of a medicine, first hour CPT 96365 96365600400 - THER/PROPH/DIAG IV INF INIT =<1 HR 96365	$392.95	$717.06	$0.01–$573.65	165% above	45%
IV infusion of a medicine, first hour CPT 96365 96365781820 - THER/PROPH/DIAG IV INF INIT =<1 HR 96365	$392.95	$717.06	$0.01–$573.65	165% above	45%
IV infusion of a medicine, first hour CPT 96365 96365600330 - THER/PROPH/DIAG IV INF INIT =<1 HR 96365	$392.95	$717.06	$0.01–$573.65	165% above	45%
IV infusion of a medicine, first hour CPT 96365 2800707131 - TX/ PROPH/ DX IV INF INITIAL 96365	$392.95	$717.06	$0.01–$573.65	165% above	45%
IV infusion of a medicine, first hour CPT 96365 2000236121 - TX/PROPH/DX IV INF INITIAL 96365	$392.95	$717.06	$0.01–$573.65	165% above	45%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 6520061000 - IM/SUBC INJECTION MEDICATION 96372	$58.10	$106.02	$0.01–$265.00	4% above	45%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 2000196023 - IM/SUBC INJECTION MEDICATION 96372	$59.26	$108.14	$0.01–$265.00	6% above	45%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 8301150000 - IM/SUBC INJECTION ANTIBIOTIC 96372	$59.74	$109.01	$0.01–$265.00	7% above	45%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 7350640000 - IM/SUBC INJECTION MEDICATION 96372	$59.74	$109.01	$0.01–$265.00	7% above	45%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 8230730000 - IM/SUBC INJECTION ANTIBIOTIC 96372	$59.81	$109.15	$0.01–$265.00	7% above	45%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 9701740000 - IM/SUBC INJECTION MEDICATION 96372	$59.84	$109.20	$0.01–$265.00	7% above	45%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 2001156193 - IM/SUBC INJECTION MEDICATION 96372	$59.84	$109.20	$0.01–$265.00	7% above	45%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 2000196233 - IM/SUBC INJECTION MEDICATION 96372	$59.84	$109.20	$0.01–$265.00	7% above	45%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 2000196027 - IM/SUBC INJECTION MEDICATION 96372	$59.84	$109.20	$0.01–$265.00	7% above	45%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 4412270000 - Inj Therap, Diagn, Or Prophyla 96372	$59.84	$109.20	$0.01–$265.00	7% above	45%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372752510 - THER/PROPH/DIAG INJ SC/IM 96372	$116.19	$212.03	$0.01–$265.00	109% above	45%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 2000450000 - THER/PROPH/DIAG INJ SC/IM - 96372	$117.59	$214.57	$0.01–$265.00	111% above	45%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 20009770910 - THER/PROPH/DIAG INJ SC/IM 96372	$118.18	$215.66	$0.01–$265.00	112% above	45%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372601105 - THER/PROPH/DIAG INJ SC/IM - 96372	$119.14	$217.41	$0.01–$265.00	114% above	45%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372780357 - THER/PROPH/DIAG INJEC SC/IM 96372	$119.18	$217.48	$0.01–$265.00	114% above	45%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 6501217121 - THER/PROPH/DIAG INJ SC/IM - 96372	$119.42	$217.92	$0.01–$265.00	114% above	45%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 2800377131 - THER/PROPH/DIAG INJ SC/IM 96372	$119.42	$217.92	$0.01–$265.00	114% above	45%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 6400117118 - THER/PROPH/DIAG INJ SC/IM 96372	$119.46	$217.99	$0.01–$265.00	114% above	45%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 6501217142 - THER/PROPH/DIAG INJ SC/IM - 96372	$119.53	$218.11	$0.01–$265.00	115% above	45%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 5800707117 - THER/PROPH/DIAG INJ SC/IM 96372	$119.53	$218.13	$0.01–$265.00	115% above	45%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 2702447124 - THER/PROPH/DIAG INJ SC/IM 96372	$119.58	$218.22	$0.01–$265.00	115% above	45%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 6501217143 - THER/PROPH/DIAG INJ SC/IM - 96372	$119.59	$218.22	$0.01–$265.00	115% above	45%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 5601837152 - THER/PROPH/DIAG INJ SC/IM 96372	$119.60	$218.24	$0.01–$265.00	115% above	45%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 6800077131 - THER/PROPH/DIAG INJ SC/IM 96372	$119.61	$218.27	$0.01–$265.00	115% above	45%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 2000206231 - THER/PROPH/DIAG INJEC SC/IM 96372	$119.62	$218.29	$0.01–$265.00	115% above	45%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 9801460000 - THER/PROPH/DIAG INJ SC/IM - 96372	$119.64	$218.32	$0.01–$265.00	115% above	45%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 7301550000 - THER/PROPH/DIAG INJ SC/IM - 96372	$119.64	$218.33	$0.01–$265.00	115% above	45%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 6501217125 - THER/PROPH/DIAG INJ SC/IM - 96372	$119.66	$218.35	$0.01–$265.00	115% above	45%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 6430237131 - THER/PROPH/DIAG INJ SC/IM 96372	$119.68	$218.39	$0.01–$265.00	115% above	45%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 6501217127 - THER/PROPH/DIAG INJ SC/IM - 96372	$119.68	$218.39	$0.01–$265.00	115% above	45%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372781820 - THER/PROPH/DIAG INJ SC/IM - 96372	$119.68	$218.39	$0.01–$265.00	115% above	45%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372781900 - THER/PROPH/DIAG INJ SC/IM - 96372	$119.68	$218.39	$0.01–$265.00	115% above	45%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 7400477121 - THER/PROPH/DIAG INJ SC/IM - 96372	$119.68	$218.39	$0.01–$265.00	115% above	45%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 2401637129 - THER/PROPH/DIAG INJ SC/IM 96372	$119.68	$218.39	$0.01–$265.00	115% above	45%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 7400127128 - THER/PROPH/DIAG INJEC SC/IM 96372	$119.68	$218.39	$0.01–$265.00	115% above	45%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 1022157119 - THER/PROPH/DIAG INJ SC/IM 96372	$119.68	$218.39	$0.01–$265.00	115% above	45%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372780660 - THER/PROPH/DIAG INJ SC/IM 96372	$119.69	$218.41	$0.01–$265.00	115% above	45%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372780670 - THER/PROPH/DIAG INJ SC/IM 96372	$119.72	$218.46	$0.01–$265.00	115% above	45%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 7400327128 - THER/PROPH/DIAG INJ SC/IM - 96372	$119.77	$218.55	$0.01–$265.00	115% above	45%
Neuromuscular re-education, 15 minutes CPT 97112 6400277133 - PT NEUROMUS RE-ED,EA 15 MIN 97112	$75.83	$138.38	$0.01–$179.00	63% above	45%
Neuromuscular re-education, 15 minutes CPT 97112 8703300000 - PT NEUROMUS RE-ED,EA 15 MIN 97112	$75.87	$138.45	$0.01–$179.00	63% above	45%
Neuromuscular re-education, 15 minutes CPT 97112 971127403PT - PT NEUROMUS RE-ED,EA 15 MIN 97112	$75.90	$138.51	$0.01–$179.00	63% above	45%
Neuromuscular re-education, 15 minutes CPT 97112 6402397133 - OT NEUROMUS RE-ED EA 15 MIN 97112	$75.90	$138.51	$0.01–$179.00	63% above	45%
Neuromuscular re-education, 15 minutes CPT 97112 8703100000 - OT NEUROMUS RE-ED EA 15 MIN 97112	$75.90	$138.51	$0.01–$179.00	63% above	45%
New patient office visit, about 30 minutes CPT 99203 2700457124 - OFFICE/OUTPATIENT NEW VISIT LEVEL 3 9920	$123.30	$225.00	$0.01–$180.00	45% above	45%
New patient office visit, about 30 minutes CPT 99203 6691317121 - FACILITY LEVEL 3 NP (61-85) 99203	$123.30	$225.00	$0.01–$180.00	45% above	45%
New patient office visit, about 30 minutes CPT 99203 7400067121 - FACILITY LEVEL 3 NP (61-85) 99203	$123.30	$225.00	$0.01–$180.00	45% above	45%
New patient office visit, about 30 minutes CPT 99203 6691317142 - FACILITY LEVEL 3 NP (61-85) 99203	$126.64	$231.10	$0.01–$184.88	49% above	45%
New patient office visit, about 30 minutes CPT 99203 5800537117 - OFFICE/OUTPATIENT NEW VISIT LEVEL 3 9920	$126.65	$231.11	$0.01–$184.89	49% above	45%
New patient office visit, about 30 minutes CPT 99203 2702777124 - OFFICE/OUTPATIENT NEW VISIT LEVEL 3 9920	$126.73	$231.27	$0.01–$185.01	49% above	45%
New patient office visit, about 30 minutes CPT 99203 6430047131 - OFFICE/OUTPATIENT NEW VISIT LEVEL 3 9920	$126.79	$231.36	$0.01–$185.09	49% above	45%
New patient office visit, about 30 minutes CPT 99203 2800027131 - OFFICE/OUTPATIENT NEW VISIT LEVEL 3 9920	$126.80	$231.39	$0.01–$185.12	49% above	45%
New patient office visit, about 30 minutes CPT 99203 2401687129 - OFFICE/OUTPATIENT NEW VISIT LEVEL 3 9920	$126.82	$231.42	$0.01–$185.14	49% above	45%
New patient office visit, about 30 minutes CPT 99203 6691317125 - FACILITY LEVEL 3 NP (61-85) 99203	$126.99	$231.74	$0.01–$185.39	49% above	45%
New patient office visit, about 30 minutes CPT 99203 6693017142 - OFFICE/OUTPATIENT NEW VISIT LEVEL 3 9920	$127.00	$231.75	$0.01–$185.40	49% above	45%
New patient office visit, about 30 minutes CPT 99203 99203800265 - OFFICE/OUTPATIENT NEW VISIT LEVEL 3 9920	$127.00	$231.75	$0.01–$185.40	49% above	45%
New patient office visit, about 30 minutes CPT 99203 99203781900 - OFFICE/OUTPATIENT NEW VISIT LEVEL 3 9920	$127.00	$231.75	$0.01–$185.40	49% above	45%
New patient office visit, about 30 minutes CPT 99203 99203780750 - OFFICE/OUTPATIENT NEW VISIT LEVEL 3 9920	$127.00	$231.75	$0.01–$185.40	49% above	45%
New patient office visit, about 30 minutes CPT 99203 99203780670 - OFFICE/OUTPATIENT NEW VISIT LEVEL 3 9920	$127.00	$231.75	$0.01–$185.40	49% above	45%
New patient office visit, about 30 minutes CPT 99203 99203780660 - OFFICE/OUTPATIENT NEW VISIT LEVEL 3 9920	$127.00	$231.75	$0.01–$185.40	49% above	45%
New patient office visit, about 30 minutes CPT 99203 99203780625 - OFFICE/OUTPATIENT NEW VISIT LEVEL 3 9920	$127.00	$231.75	$0.01–$185.40	49% above	45%
New patient office visit, about 30 minutes CPT 99203 99203780386 - OFFICE/OUTPATIENT NEW VISIT LEVEL 3 9920	$127.00	$231.75	$0.01–$185.40	49% above	45%
New patient office visit, about 30 minutes CPT 99203 99203780141 - OFFICE/OUTPATIENT NEW VISIT LEVEL 3 9920	$127.00	$231.75	$0.01–$185.40	49% above	45%
New patient office visit, about 30 minutes CPT 99203 99203601125 - OFFICE/OUTPATIENT NEW VISIT LEVEL 3 9920	$127.00	$231.75	$0.01–$185.40	49% above	45%
New patient office visit, about 30 minutes CPT 99203 99203601105 - OFFICE/OUTPATIENT NEW VISIT LEVEL 3 9920	$127.00	$231.75	$0.01–$185.40	49% above	45%
New patient office visit, about 30 minutes CPT 99203 99203250750 - OFFICE/OUTPATIENT NEW VISIT LEVEL 3 9920	$127.00	$231.75	$0.01–$185.40	49% above	45%
New patient office visit, about 30 minutes CPT 99203 99203250660 - OFFICE/OUTPATIENT NEW VISIT LEVEL 3 9920	$127.00	$231.75	$0.01–$185.40	49% above	45%
New patient office visit, about 30 minutes CPT 99203 9801140000 - NEW PT PRIMARY CARE CLINIC LEVEL 3	$127.00	$231.75	$0.01–$185.40	49% above	45%
New patient office visit, about 30 minutes CPT 99203 9701020000 - FACILITY, NEW, LEVEL 3 99203	$127.00	$231.75	$0.01–$185.40	49% above	45%
New patient office visit, about 30 minutes CPT 99203 78039920325 - OFFICE/OUTPATIENT NEW VISIT LEVEL 3 9920	$127.00	$231.75	$0.01–$185.40	49% above	45%
New patient office visit, about 30 minutes CPT 99203 7400397121 - FACILITY NEW W/P LEVEL 3	$127.00	$231.75	$0.01–$185.40	49% above	45%
New patient office visit, about 30 minutes CPT 99203 7301240000 - NEW PT PRIMARY CARE CLINIC LEVEL 3	$127.00	$231.75	$0.01–$185.40	49% above	45%
New patient office visit, about 30 minutes CPT 99203 6800147131 - OFFICE/OUTPATIENT NEW VISIT LEVEL 3 9920	$127.00	$231.75	$0.01–$185.40	49% above	45%
New patient office visit, about 30 minutes CPT 99203 6701517116 - OFFICE/OUTPATIENT NEW VISIT LEVEL 3 9920	$127.00	$231.75	$0.01–$185.40	49% above	45%
New patient office visit, about 30 minutes CPT 99203 6701397116 - OFFICE/OUTPATIENT NEW VISIT LEVEL 3 9920	$127.00	$231.75	$0.01–$185.40	49% above	45%
New patient office visit, about 30 minutes CPT 99203 6692357126 - OFFICE/OUTPATIENT NEW VISIT LEVEL 3 9920	$127.00	$231.75	$0.01–$185.40	49% above	45%
New patient office visit, about 30 minutes CPT 99203 6691317149 - FACILITY LEVEL 3 NP (61-85) 99203	$127.00	$231.75	$0.01–$185.40	49% above	45%
New patient office visit, about 30 minutes CPT 99203 6691317143 - FACILITY LEVEL 3 NP (61-85) 99203	$127.00	$231.75	$0.01–$185.40	49% above	45%
New patient office visit, about 30 minutes CPT 99203 6691317127 - FACILITY LEVEL 3 NP (61-85) 99203	$127.00	$231.75	$0.01–$185.40	49% above	45%
New patient office visit, about 30 minutes CPT 99203 6691317126 - FACILITY LEVEL 3 NP (61-85) 99203	$127.00	$231.75	$0.01–$185.40	49% above	45%
New patient office visit, about 30 minutes CPT 99203 6400197118 - FACILITY LEVEL 3 NP (61-85) 99203	$127.00	$231.75	$0.01–$185.40	49% above	45%
New patient office visit, about 30 minutes CPT 99203 5800627117 - OFFICE/OUTPATIENT NEW VISIT LEVEL 3 9920	$127.00	$231.75	$0.01–$185.40	49% above	45%
New patient office visit, about 30 minutes CPT 99203 5601987152 - OFFICE/OUTPATIENT NEW VISIT LEVEL 3 9920	$127.00	$231.75	$0.01–$185.40	49% above	45%
New patient office visit, about 30 minutes CPT 99203 5601877152 - OFFICE/OUTPATIENT NEW VISIT LEVEL 3 9920	$127.00	$231.75	$0.01–$185.40	49% above	45%
New patient office visit, about 30 minutes CPT 99203 5300297123 - FACILITY LEVEL 3 NP (61-85) 99203	$127.00	$231.75	$0.01–$185.40	49% above	45%
New patient office visit, about 30 minutes CPT 99203 2401897129 - OFFICE/OUTPATIENT NEW VISIT LEVEL 3 9920	$127.00	$231.75	$0.01–$185.40	49% above	45%
New patient office visit, about 30 minutes CPT 99203 5300237123 - FACILITY NEW LEVEL 3 W/P 99203	$152.96	$279.13	$0.01–$223.30	79% above	45%
New patient office visit, about 30 minutes CPT 99203 9701430000 - FACILITY NEW LEVEL 3 W/P 99203	$155.22	$283.25	$0.01–$226.60	82% above	45%
New patient office visit, about 45 minutes CPT 99204 7400437121 - FACILITY NEW PT LEVEL 4 W/P 99204	$95.90	$175.00	$0.01–$161.00	2% above	45%
New patient office visit, about 45 minutes CPT 99204 5300207123 - FACILITY NEW PT LEVEL 4 W/P 99204	$98.42	$179.59	$0.01–$144.43	4% above	45%
New patient office visit, about 45 minutes CPT 99204 6692887125 - FACILITY, NEW PT LEVEL 4	$98.75	$180.20	$0.01–$144.43	5% above	45%
New patient office visit, about 45 minutes CPT 99204 9701410000 - FACILITY NEW PT LEVEL 4 W/P 99204	$98.78	$180.25	$0.01–$144.43	5% above	45%
New patient office visit, about 45 minutes CPT 99204 99214250660 - OFFICE/OUTPATIENT VISIT EST LEVEL 4 9921	$127.00	$231.75	$0.01–$185.40	34% above	45%
New patient office visit, about 45 minutes CPT 99204 6691307125 - FACILITY LEVEL 4 NP 99204	$150.70	$275.00	$0.01–$220.00	60% above	45%
New patient office visit, about 45 minutes CPT 99204 6691307121 - FACILITY LEVEL 4 NP 99204	$150.70	$275.00	$0.01–$220.00	60% above	45%
New patient office visit, about 45 minutes CPT 99204 9801150000 - NEW PT PRIMARY CARE CLINIC LEVEL 4 99204	$150.70	$275.00	$0.01–$220.00	60% above	45%
New patient office visit, about 45 minutes CPT 99204 6503017122 - FACILITY LEVEL 4 NP 99204	$150.70	$275.00	$0.01–$220.00	60% above	45%
New patient office visit, about 45 minutes CPT 99204 2401907129 - OFFICE/OUTPATIENT NEW VISIT LEVEL 4 9920	$154.32	$281.60	$0.01–$225.28	63% above	45%
New patient office visit, about 45 minutes CPT 99204 6800157131 - OFFICE/OUTPATIENT NEW VISIT LEVEL 4 9920	$154.40	$281.75	$0.01–$225.40	63% above	45%
New patient office visit, about 45 minutes CPT 99204 6691307142 - FACILITY LEVEL 4 NP 99204	$154.61	$282.13	$0.01–$225.71	64% above	45%
New patient office visit, about 45 minutes CPT 99204 2702787124 - OFFICE/OUTPATIENT NEW VISIT LEVEL 4 9920	$154.86	$282.60	$0.01–$226.08	64% above	45%
New patient office visit, about 45 minutes CPT 99204 5800637117 - OFFICE/OUTPATIENT NEW VISIT LEVEL 4 9920	$154.97	$282.79	$0.01–$226.23	64% above	45%
New patient office visit, about 45 minutes CPT 99204 99204250660 - OFFICE/OUTPATIENT NEW VISIT LEVEL 4 9920	$154.98	$282.82	$0.01–$226.25	64% above	45%
New patient office visit, about 45 minutes CPT 99204 5800547117 - OFFICE/OUTPATIENT NEW VISIT LEVEL 4 9920	$154.99	$282.84	$0.01–$226.27	64% above	45%
New patient office visit, about 45 minutes CPT 99204 6692367126 - OFFICE/OUTPATIENT NEW VISIT LEVEL 4 9920	$155.03	$282.90	$0.01–$226.32	64% above	45%
New patient office visit, about 45 minutes CPT 99204 5601887152 - OFFICE/OUTPATIENT NEW VISIT LEVEL 4 9920	$155.09	$283.01	$0.01–$226.41	64% above	45%
New patient office visit, about 45 minutes CPT 99204 2702897124 - OFFICE/OUTPATIENT NEW VISIT LEVEL 4 9920	$155.14	$283.10	$0.01–$226.48	64% above	45%
New patient office visit, about 45 minutes CPT 99204 2401697129 - OFFICE/OUTPATIENT NEW VISIT LEVEL 4 9920	$155.16	$283.15	$0.01–$226.52	64% above	45%
New patient office visit, about 45 minutes CPT 99204 6691307126 - FACILITY LEVEL 4 NP 99204	$155.22	$283.25	$0.01–$226.60	64% above	45%
New patient office visit, about 45 minutes CPT 99204 99204781820 - OFFICE/OUTPATIENT NEW VISIT LEVEL 4 9920	$155.22	$283.25	$0.01–$226.60	64% above	45%
New patient office visit, about 45 minutes CPT 99204 2800497131 - OFFICE/OUTPATIENT NEW VISIT LEVEL 4 9920	$155.22	$283.25	$0.01–$226.60	64% above	45%
New patient office visit, about 45 minutes CPT 99204 2800037131 - OFFICE/OUTPATIENT NEW VISIT LEVEL 4 9920	$155.22	$283.25	$0.01–$226.60	64% above	45%
New patient office visit, about 45 minutes CPT 99204 99204781900 - OFFICE/OUTPATIENT NEW VISIT LEVEL 4 9920	$155.22	$283.25	$0.01–$226.60	64% above	45%
New patient office visit, about 45 minutes CPT 99204 99204800265 - OFFICE/OUTPATIENT NEW VISIT LEVEL 4 9920	$155.22	$283.25	$0.01–$226.60	64% above	45%
New patient office visit, about 45 minutes CPT 99204 99204780670 - OFFICE/OUTPATIENT NEW VISIT LEVEL 4 9920	$155.22	$283.25	$0.01–$226.60	64% above	45%
New patient office visit, about 45 minutes CPT 99204 99204780660 - OFFICE/OUTPATIENT NEW VISIT LEVEL 4 9920	$155.22	$283.25	$0.01–$226.60	64% above	45%
New patient office visit, about 45 minutes CPT 99204 99204780604 - OFFICE/OUTPATIENT NEW VISIT LEVEL 4 9920	$155.22	$283.25	$0.01–$226.60	64% above	45%
New patient office visit, about 45 minutes CPT 99204 99204780386 - OFFICE/OUTPATIENT NEW VISIT LEVEL 4 9920	$155.22	$283.25	$0.01–$226.60	64% above	45%
New patient office visit, about 45 minutes CPT 99204 99204780360 - OFFICE/OUTPATIENT NEW VISIT LEVEL 4 9920	$155.22	$283.25	$0.01–$226.60	64% above	45%
New patient office visit, about 45 minutes CPT 99204 99204780141 - OFFICE/OUTPATIENT NEW VISIT LEVEL 4 9920	$155.22	$283.25	$0.01–$226.60	64% above	45%
New patient office visit, about 45 minutes CPT 99204 99204630000 - OFFICE/OUTPATIENT NEW VISIT LEVEL 4 9920	$155.22	$283.25	$0.01–$226.60	64% above	45%
New patient office visit, about 45 minutes CPT 99204 99204601125 - OFFICE/OUTPATIENT NEW VISIT LEVEL 4 9920	$155.22	$283.25	$0.01–$226.60	64% above	45%
New patient office visit, about 45 minutes CPT 99204 99204601105 - OFFICE/OUTPATIENT NEW VISIT LEVEL 4 9920	$155.22	$283.25	$0.01–$226.60	64% above	45%
New patient office visit, about 45 minutes CPT 99204 99204250750 - OFFICE/OUTPATIENT NEW VISIT LEVEL 4 9920	$155.22	$283.25	$0.01–$226.60	64% above	45%
New patient office visit, about 45 minutes CPT 99204 78039920425 - OFFICE/OUTPATIENT NEW VISIT LEVEL 4 9920	$155.22	$283.25	$0.01–$226.60	64% above	45%
New patient office visit, about 45 minutes CPT 99204 7400277121 - FACILITY LEVEL 4 NP 99204	$155.22	$283.25	$0.01–$226.60	64% above	45%
New patient office visit, about 45 minutes CPT 99204 7301250000 - NEW PT PRIMARY CARE CLINIC LEVEL 4 99204	$155.22	$283.25	$0.01–$226.60	64% above	45%
New patient office visit, about 45 minutes CPT 99204 6800267131 - OFFICE/OUTPATIENT NEW VISIT LEVEL 4 9920	$155.22	$283.25	$0.01–$226.60	64% above	45%
New patient office visit, about 45 minutes CPT 99204 6701527116 - OFFICE/OUTPATIENT NEW VISIT LEVEL 4 9920	$155.22	$283.25	$0.01–$226.60	64% above	45%
New patient office visit, about 45 minutes CPT 99204 6701407116 - OFFICE/OUTPATIENT NEW VISIT LEVEL 4 9920	$155.22	$283.25	$0.01–$226.60	64% above	45%
New patient office visit, about 45 minutes CPT 99204 6692847125 - OFFICE/OUTPATIENT NEW VISIT LEVEL 4 9920	$155.22	$283.25	$0.01–$226.60	64% above	45%
New patient office visit, about 45 minutes CPT 99204 6691307149 - FACILITY LEVEL 4 NP 99204	$155.22	$283.25	$0.01–$226.60	64% above	45%
New patient office visit, about 45 minutes CPT 99204 99204780750 - OFFICE/OUTPATIENT NEW VISIT LEVEL 4 9920	$155.22	$283.25	$0.01–$226.60	64% above	45%
New patient office visit, about 45 minutes CPT 99204 6691307143 - FACILITY LEVEL 4 NP 99204	$155.22	$283.25	$0.01–$226.60	64% above	45%
New patient office visit, about 45 minutes CPT 99204 6691307127 - FACILITY LEVEL 4 NP 99204	$155.22	$283.25	$0.01–$226.60	64% above	45%
New patient office visit, about 45 minutes CPT 99204 5601997152 - OFFICE/OUTPATIENT NEW VISIT LEVEL 4 9920	$155.22	$283.25	$0.01–$226.60	64% above	45%
New patient office visit, about 45 minutes CPT 99204 6430077131 - OFFICE/OUTPATIENT NEW VISIT LEVEL 4 9920	$155.22	$283.25	$0.01–$226.60	64% above	45%
New patient office visit, about 45 minutes CPT 99204 6430067131 - OFFICE/OUTPATIENT NEW VISIT LEVEL 4 9920	$155.22	$283.25	$0.01–$226.60	64% above	45%
New patient office visit, about 45 minutes CPT 99204 6400207118 - OFFICE/OUTPATIENT NEW VISIT LEVEL 4 9920	$155.22	$283.25	$0.01–$226.60	64% above	45%
New patient office visit, about 60 minutes CPT 99205 9801230000 - FACILITY, NEW, LEVEL 5 W/P 99205-25	$98.78	$180.25	$0.01–$181.69	23% below	45%
New patient office visit, about 60 minutes CPT 99205 7400387121 - FACILITY, NEW, LEVEL 5 W/P 99205-25	$98.78	$180.25	$0.01–$181.69	23% below	45%
New patient office visit, about 60 minutes CPT 99205 99215250660 - OFFICE/OUTPATIENT VISIT EST LEVEL 5 9921	$155.22	$283.25	$0.01–$226.60	21% above	45%
New patient office visit, about 60 minutes CPT 99205 2702907124 - OFFICE/OUTPATIENT NEW VISIT LEVEL 5 9920	$191.80	$350.00	$0.01–$280.00	50% above	45%
New patient office visit, about 60 minutes CPT 99205 99205780670 - OFFICE/OUTPATIENT NEW VISIT LEVEL 5 9920	$191.80	$350.00	$0.01–$280.00	50% above	45%
New patient office visit, about 60 minutes CPT 99205 99205780750 - OFFICE/OUTPATIENT NEW VISIT LEVEL 5 9920	$191.80	$350.00	$0.01–$280.00	50% above	45%
New patient office visit, about 60 minutes CPT 99205 6800167131 - OFFICE/OUTPATIENT NEW VISIT LEVEL 5 9920	$194.68	$355.25	$0.01–$284.20	52% above	45%
New patient office visit, about 60 minutes CPT 99205 2000400000 - FACILITY LEVEL 5 NP (121 AND UP) 99205	$195.64	$357.00	$0.01–$285.60	53% above	45%
New patient office visit, about 60 minutes CPT 99205 6800277131 - OFFICE/OUTPATIENT NEW VISIT LEVEL 5 9920	$196.12	$357.88	$0.01–$286.30	53% above	45%
New patient office visit, about 60 minutes CPT 99205 6681127143 - FACILITY LEVEL 5 NP (121 AND UP) 99205	$196.77	$359.07	$0.01–$287.25	54% above	45%
New patient office visit, about 60 minutes CPT 99205 7301260000 - FACILITY LEVEL 5 NP (121 AND UP) 99205	$197.01	$359.50	$0.01–$287.60	54% above	45%
New patient office visit, about 60 minutes CPT 99205 99205780605 - OFFICE/OUTPATIENT NEW VISIT LEVEL 5 9920	$197.03	$359.55	$0.01–$287.64	54% above	45%
New patient office visit, about 60 minutes CPT 99205 6692377126 - OFFICE/OUTPATIENT NEW VISIT LEVEL 5 9920	$197.11	$359.69	$0.01–$287.75	54% above	45%
New patient office visit, about 60 minutes CPT 99205 2401917129 - OFFICE/OUTPATIENT NEW VISIT LEVEL 5 9920	$197.18	$359.82	$0.01–$287.86	54% above	45%
New patient office visit, about 60 minutes CPT 99205 6430097131 - OFFICE/OUTPATIENT NEW VISIT LEVEL 5 9920	$197.41	$360.24	$0.01–$288.19	54% above	45%
New patient office visit, about 60 minutes CPT 99205 99205780386 - OFFICE/OUTPATIENT NEW VISIT LEVEL 5 9920	$197.55	$360.50	$0.01–$288.40	54% above	45%
New patient office visit, about 60 minutes CPT 99205 6681127142 - FACILITY LEVEL 5 NP (121 AND UP) 99205	$197.55	$360.50	$0.01–$288.40	54% above	45%
New patient office visit, about 60 minutes CPT 99205 6681127149 - FACILITY LEVEL 5 NP (121 AND UP) 99205	$197.55	$360.50	$0.01–$288.40	54% above	45%
New patient office visit, about 60 minutes CPT 99205 6692217149 - OFFICE/OUTPATIENT NEW VISIT LEVEL 5 9920	$197.55	$360.50	$0.01–$288.40	54% above	45%
New patient office visit, about 60 minutes CPT 99205 6693037142 - OFFICE/OUTPATIENT NEW VISIT LEVEL 5 9920	$197.55	$360.50	$0.01–$288.40	54% above	45%
New patient office visit, about 60 minutes CPT 99205 6701417116 - OFFICE/OUTPATIENT NEW VISIT LEVEL 5 9920	$197.55	$360.50	$0.01–$288.40	54% above	45%
New patient office visit, about 60 minutes CPT 99205 6701537116 - OFFICE/OUTPATIENT NEW VISIT LEVEL 5 9920	$197.55	$360.50	$0.01–$288.40	54% above	45%
New patient office visit, about 60 minutes CPT 99205 7301360000 - FACILITY FEE, NEW LEVEL 5 W/P 99205	$197.55	$360.50	$0.01–$288.40	54% above	45%
New patient office visit, about 60 minutes CPT 99205 7400297121 - FACILITY LEVEL 5 NP (121 AND UP) 99205	$197.55	$360.50	$0.01–$288.40	54% above	45%
New patient office visit, about 60 minutes CPT 99205 78039920525 - OFFICE/OUTPATIENT NEW VISIT LEVEL 5 9920	$197.55	$360.50	$0.01–$288.40	54% above	45%
New patient office visit, about 60 minutes CPT 99205 9701380000 - FACILITY FEE, NEW LEVEL 5 W/P 99205	$197.55	$360.50	$0.01–$288.40	54% above	45%
New patient office visit, about 60 minutes CPT 99205 9801160000 - FACILITY LEVEL 5 NP (121 AND UP) 99205	$197.55	$360.50	$0.01–$288.40	54% above	45%
New patient office visit, about 60 minutes CPT 99205 9801260000 - FACILITY FEE, NEW LEVEL 5 W/P 99205	$197.55	$360.50	$0.01–$288.40	54% above	45%
New patient office visit, about 60 minutes CPT 99205 99205250360 - OFFICE/OUTPATIENT NEW VISIT LEVEL 5 9920	$197.55	$360.50	$0.01–$288.40	54% above	45%
New patient office visit, about 60 minutes CPT 99205 99205250750 - OFFICE/OUTPATIENT NEW VISIT LEVEL 5 9920	$197.55	$360.50	$0.01–$288.40	54% above	45%
New patient office visit, about 60 minutes CPT 99205 99205630000 - OFFICE/OUTPATIENT NEW VISIT LEVEL 5 9920	$197.55	$360.50	$0.01–$288.40	54% above	45%
New patient office visit, about 60 minutes CPT 99205 99205780141 - OFFICE/OUTPATIENT NEW VISIT LEVEL 5 9920	$197.55	$360.50	$0.01–$288.40	54% above	45%
New patient office visit, about 60 minutes CPT 99205 99205780360 - OFFICE/OUTPATIENT NEW VISIT LEVEL 5 9920	$197.55	$360.50	$0.01–$288.40	54% above	45%
New patient office visit, about 60 minutes CPT 99205 99205780660 - OFFICE/OUTPATIENT NEW VISIT LEVEL 5 9920	$197.55	$360.50	$0.01–$288.40	54% above	45%
New patient office visit, about 60 minutes CPT 99205 99205781820 - OFFICE/OUTPATIENT NEW VISIT LEVEL 5 9920	$197.55	$360.50	$0.01–$288.40	54% above	45%
New patient office visit, about 60 minutes CPT 99205 99205800265 - OFFICE/OUTPATIENT NEW VISIT LEVEL 5 9920	$197.55	$360.50	$0.01–$288.40	54% above	45%
New patient office visit, about 60 minutes CPT 99205 6681127125 - FACILITY LEVEL 5 NP (121 AND UP) 99205	$197.55	$360.50	$0.01–$288.40	54% above	45%
New patient office visit, about 60 minutes CPT 99205 6523257143 - OFFICE/OUTPATIENT NEW VISIT LEVEL 5 9920	$197.55	$360.50	$0.01–$288.40	54% above	45%
New patient office visit, about 60 minutes CPT 99205 6503007122 - FACILITY LEVEL 5 NP (121 AND UP) 99205	$197.55	$360.50	$0.01–$288.40	54% above	45%
New patient office visit, about 60 minutes CPT 99205 6430087131 - OFFICE/OUTPATIENT NEW VISIT LEVEL 5 9920	$197.55	$360.50	$0.01–$288.40	54% above	45%
New patient office visit, about 60 minutes CPT 99205 6400217118 - OFFICE/OUTPATIENT NEW VISIT LEVEL 5 9920	$197.55	$360.50	$0.01–$288.40	54% above	45%
New patient office visit, about 60 minutes CPT 99205 5800647117 - OFFICE/OUTPATIENT NEW VISIT LEVEL 5 9920	$197.55	$360.50	$0.01–$288.40	54% above	45%
New patient office visit, about 60 minutes CPT 99205 5800557117 - OFFICE/OUTPATIENT NEW VISIT LEVEL 5 9920	$197.55	$360.50	$0.01–$288.40	54% above	45%
New patient office visit, about 60 minutes CPT 99205 5602007152 - OFFICE/OUTPATIENT NEW VISIT LEVEL 5 9920	$197.55	$360.50	$0.01–$288.40	54% above	45%
New patient office visit, about 60 minutes CPT 99205 5601897152 - OFFICE/OUTPATIENT NEW VISIT LEVEL 5 9920	$197.55	$360.50	$0.01–$288.40	54% above	45%
New patient office visit, about 60 minutes CPT 99205 2702797124 - OFFICE/OUTPATIENT NEW VISIT LEVEL 5 9920	$197.55	$360.50	$0.01–$288.40	54% above	45%
New patient office visit, about 60 minutes CPT 99205 6681127126 - FACILITY LEVEL 5 NP (121 AND UP) 99205	$197.55	$360.50	$0.01–$288.40	54% above	45%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 6691347121 - FACILITY LEVEL 2 NP (31-60)	$95.90	$175.00	$0.01–$161.00	52% above	45%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 2401677129 - OFFICE /OUTPATIENT NEW VISIT LEVEL 2 992	$95.90	$175.00	$0.01–$161.00	52% above	45%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 99202780386 - OFFICE /OUTPATIENT NEW VISIT LEVEL 2 992	$95.90	$175.00	$0.01–$161.00	52% above	45%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 6691347127 - OFFICE /OUTPATIENT NEW VISIT LEVEL 2 992	$98.06	$178.94	$0.01–$143.15	56% above	45%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 6691347126 - FACILITY LEVEL 2 NP (31-60)	$98.33	$179.43	$0.01–$143.54	56% above	45%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 6691347125 - FACILITY LEVEL 2 NP (31-60)	$98.40	$179.57	$0.01–$143.66	56% above	45%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 6800137131 - OFFICE /OUTPATIENT NEW VISIT LEVEL 2 992	$98.42	$179.59	$0.01–$143.68	56% above	45%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 2800017131 - OFFICE /OUTPATIENT NEW VISIT LEVEL 2 992	$98.68	$180.08	$0.01–$144.06	57% above	45%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 7400237121 - FACILITY LEVEL 2 NP (31-60)	$98.73	$180.17	$0.01–$144.13	57% above	45%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 2700407124 - OFFICE /OUTPATIENT NEW VISIT LEVEL 2 992	$98.74	$180.18	$0.01–$144.14	57% above	45%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 99202800265 - OFFICE /OUTPATIENT NEW VISIT LEVEL 2 992	$98.78	$180.25	$0.01–$144.20	57% above	45%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 99202780750 - OFFICE /OUTPATIENT NEW VISIT LEVEL 2 992	$98.78	$180.25	$0.01–$161.00	57% above	45%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 99202780670 - OFFICE /OUTPATIENT NEW VISIT LEVEL 2 992	$98.78	$180.25	$0.01–$144.20	57% above	45%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 99202780660 - OFFICE /OUTPATIENT NEW VISIT LEVEL 2 992	$98.78	$180.25	$0.01–$144.20	57% above	45%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 99202780650 - OFFICE /OUTPATIENT NEW VISIT LEVEL 2 992	$98.78	$180.25	$0.01–$144.20	57% above	45%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 99202780625 - OFFICE /OUTPATIENT NEW VISIT LEVEL 2 992	$98.78	$180.25	$0.01–$144.20	57% above	45%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 99202780141 - OFFICE /OUTPATIENT NEW VISIT LEVEL 2 992	$98.78	$180.25	$0.01–$144.20	57% above	45%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 99202630000 - OFFICE /OUTPATIENT NEW VISIT LEVEL 2 992	$98.78	$180.25	$0.01–$144.20	57% above	45%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 99202601105 - OFFICE /OUTPATIENT NEW VISIT LEVEL 2 992	$98.78	$180.25	$0.01–$144.20	57% above	45%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 99202257860 - OFFICE /OUTPATIENT NEW VISIT LEVEL 2 992	$98.78	$180.25	$0.01–$144.20	57% above	45%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 6691347142 - FACILITY LEVEL 2 NP (31-60)	$98.78	$180.25	$0.01–$144.20	57% above	45%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 9801130000 - NEW PT-PRIMARY CARE CLINIC LEVEL 2 99202	$98.78	$180.25	$0.01–$144.20	57% above	45%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 78036099202 - OFFICE /OUTPATIENT NEW VISIT LEVEL 2 992	$98.78	$180.25	$0.01–$144.20	57% above	45%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 7301230000 - NEW PT-PRIMARY CARE CLINIC LEVEL 2 99202	$98.78	$180.25	$0.01–$161.00	57% above	45%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 2702767124 - OFFICE /OUTPATIENT NEW VISIT LEVEL 2 992	$98.78	$180.25	$0.01–$144.20	57% above	45%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 5300157123 - FACILITY LEVEL 2 NP (31-60)	$98.78	$180.25	$0.01–$144.20	57% above	45%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 5600027152 - FACILITY FEE LEVEL 2 99202	$98.78	$180.25	$0.01–$144.20	57% above	45%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 6701387116 - OFFICE /OUTPATIENT NEW VISIT LEVEL 2 992	$98.78	$180.25	$0.01–$144.20	57% above	45%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 6692347126 - OFFICE /OUTPATIENT NEW VISIT LEVEL 2 992	$98.78	$180.25	$0.01–$144.20	57% above	45%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 5800527117 - OFFICE /OUTPATIENT NEW VISIT LEVEL 2 992	$98.78	$180.25	$0.01–$144.20	57% above	45%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 6692057149 - FACILITY FEE LEVEL 2 99202	$98.78	$180.25	$0.01–$144.20	57% above	45%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 6691347149 - FACILITY LEVEL 2 NP (31-60)	$98.78	$180.25	$0.01–$144.20	57% above	45%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 6691347143 - FACILITY FEE LEVEL 2 99202	$98.78	$180.25	$0.01–$144.20	57% above	45%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 6400497118 - OFFICE /OUTPATIENT NEW VISIT LEVEL 2 992	$98.78	$180.25	$0.01–$144.20	57% above	45%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 6430107131 - OFFICE /OUTPATIENT NEW VISIT LEVEL 2 992	$98.78	$180.25	$0.01–$144.20	57% above	45%
Occupational therapy evaluation, low complexity CPT 97165 97165740300 - OT EVAL LOW COMPLEX 30 MIN 97165	$196.05	$357.75	$0.01–$286.20	49% above	45%
Occupational therapy evaluation, low complexity CPT 97165 8703760000 - OT EVAL LOW COMPLEX 30 MIN 97165	$196.24	$358.10	$0.01–$286.48	49% above	45%
Occupational therapy evaluation, low complexity CPT 97165 8703657086 - OT EVAL LOW COMPLEX 30 MIN 97165	$196.34	$358.28	$0.01–$286.62	49% above	45%
Occupational therapy evaluation, low complexity CPT 97165 6406397133 - OT EVAL LOW COMPLEX 30 MIN 97165	$196.34	$358.28	$0.01–$286.62	49% above	45%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 97163740300 - PT EVAL HIGH COMPLEX 45 MIN 97163	$181.99	$332.09	$0.01–$265.67	40% above	45%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 6406387133 - PT EVAL HIGH COMPLEX 45 MIN 97163	$182.20	$332.49	$0.01–$265.99	41% above	45%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 8703647086 - PT EVAL HIGH COMPLEX 45 MIN 97163	$182.43	$332.90	$0.01–$266.32	41% above	45%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 8703640000 - PT EVAL HIGH COMPLEX 45 MIN 97163	$182.43	$332.90	$0.01–$266.32	41% above	45%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 97161740300 - PT EVAL LOW COMPLEX 20 MIN 97161	$182.04	$332.18	$0.01–$265.75	43% above	45%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 8703627086 - PT EVAL LOW COMPLEX 20 MIN 97161	$182.13	$332.36	$0.01–$265.89	43% above	45%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 8703580000 - PT EVAL LOW COMPLEX 20 MIN 97161	$182.24	$332.55	$0.01–$266.04	43% above	45%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 6406367133 - PT EVAL LOW COMPLEX 20 MIN 97161	$182.30	$332.66	$0.01–$266.13	43% above	45%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 8703637086 - PT EVAL MOD COMPLEX 30 MIN 97162	$182.25	$332.58	$0.01–$266.06	41% above	45%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 97162740300 - PT EVAL MOD COMPLEX 30 MIN 97162	$182.26	$332.60	$0.01–$266.08	41% above	45%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 6406377133 - PT EVAL MOD COMPLEX 30 MIN 97162	$182.32	$332.70	$0.01–$266.16	41% above	45%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 8703590000 - PT EVAL MOD COMPLEX 30 MIN 97162	$182.35	$332.76	$0.01–$266.21	41% above	45%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 8809610000 - OT MANUAL THERAPY,EA 15M 97140	$60.97	$111.26	$0.01–$179.00	31% above	45%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 8703400000 - PT MANUAL THERAPY,EA 15M 97140	$60.98	$111.28	$0.01–$179.00	31% above	45%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 6402217133 - PT MANUAL THERAPY,EA 15M 97140	$60.98	$111.27	$0.01–$179.00	31% above	45%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 8703407086 - PT MANUAL THERAPY,EA 15M 97140	$61.00	$111.32	$0.01–$179.00	31% above	45%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 971407403PT - PT MANUAL THERAPY,EA 15M 97140	$61.00	$111.32	$0.01–$179.00	31% above	45%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 6402417133 - OT MANUAL THERAPY,EA 15M 97140	$61.08	$111.47	$0.01–$179.00	31% above	45%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 9711P740200 - FLAT FEE PT THERAPEUTIC EXERCISES EA 15	$54.80	$100.00	$0.01–$179.00	17% above	45%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 971107403OT - OT THER EXERCISE EA 15 MIN 97110	$66.33	$121.04	$0.01–$179.00	41% above	45%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 8800017086 - OT THER EXERCISE EA 15 MIN 97110	$66.63	$121.59	$0.01–$179.00	42% above	45%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 8800010000 - OT THER EXERCISE EA 15 MIN 97110	$66.66	$121.64	$0.01–$179.00	42% above	45%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 6406447133 - OT THER EXERCISE EA 15 MIN 97110	$66.69	$121.71	$0.01–$179.00	42% above	45%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 8740060000 - PT THER EXERCISE,EA 15 MIN 97110	$93.52	$170.66	$0.01–$179.00	99% above	45%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 8702577086 - PT THER EXERCISE,EA 15 MIN 97110	$96.14	$175.44	$0.01–$179.00	105% above	45%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 971107403PT - PT THER EXERCISE,EA 15 MIN 97110	$96.15	$175.46	$0.01–$179.00	105% above	45%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 8702570000 - PT THER EXERCISE,EA 15 MIN(E) 97110	$96.23	$175.61	$0.01–$179.00	105% above	45%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 6400097133 - PT THER EXERCISE,EA 15 MIN 97110	$96.28	$175.70	$0.01–$179.00	105% above	45%
Preventive checkup, new patient aged 18–39 CPT 99385 99385780670 - PREV VISIT NEW AGE 18-39 99385	$162.28	$296.13	$0.01–$236.90	88% above	45%
Preventive checkup, new patient aged 18–39 CPT 99385 99385780660 - PREV VISIT NEW AGE 18-39 99385	$162.28	$296.13	$0.01–$236.90	88% above	45%
Preventive checkup, new patient aged 40–64 CPT 99386 99386780660 - PREV VISIT NEW AGE 40-64 99386	$900.28	$1,642.85	$0.01–$1,314.28	767% above	45%
Preventive checkup, returning patient aged 18–39 CPT 99395 99395780660 - PREV VISIT EST AGE 18-39 99395	$138.51	$252.76	$0.01–$202.21	98% above	45%
Preventive checkup, returning patient aged 40–64 CPT 99396 99396780660 - PREV VISIT EST AGE 40-64 99396	$230.06	$419.81	$0.01–$335.85	157% above	45%
Preventive checkup, returning patient aged 40–64 CPT 99396 99396780670 - PREV VISIT EST AGE 40-64 99396	$230.06	$419.81	$0.01–$335.85	157% above	45%
Preventive checkup, returning patient aged 40–64 CPT 99396 99397780660 - PER PM REEVAL EST PAT 65+ YR 99397	$321.59	$586.85	$0.01–$469.48	260% above	45%
Preventive checkup, returning patient aged 65 or older CPT 99397 99397780670 - PER PM REEVAL EST PAT 65+ YR 99397	$330.96	$603.94	$0.01–$483.15	247% above	45%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 7301390000 - FACILITY, EST LEVEL 5 W/P	$98.78	$180.25	$0.01–$144.20	10% above	45%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 9801300000 - FACILITY, EST LEVEL 5 W/P	$98.78	$180.25	$0.01–$144.20	10% above	45%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 5300217123 - FACILITY, EST PT LEVEL 5 W/P 99215	$126.47	$230.79	$0.01–$184.63	41% above	45%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 7400447121 - FACILITY, EST PT LEVEL 5 W/P 99215	$127.00	$231.75	$0.01–$185.40	41% above	45%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 7301400000 - FACILITY, EST PT LEVEL 5 W/P 99215	$127.00	$231.75	$0.01–$185.40	41% above	45%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 9801310000 - FACILITY, EST PT LEVEL 5 W/P 99215	$127.00	$231.75	$0.01–$185.40	41% above	45%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 99215601105 - OFFICE/OUTPATIENT VISIT EST LEVEL 5 9921	$148.44	$270.88	$0.01–$216.70	65% above	45%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 6523307143 - OFFICE/OUTPATIENT VISIT EST LEVEL 5 9921	$150.70	$275.00	$0.01–$220.00	67% above	45%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 2000900000 - FACILITY LEVEL 5 EP 99215	$150.70	$275.00	$0.01–$220.00	67% above	45%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 5602057152 - OFFICE/OUTPATIENT VISIT EST LEVEL 5 9921	$150.70	$275.00	$0.01–$220.00	67% above	45%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 2800097131 - OFFICE/OUTPATIENT VISIT EST LEVEL 5 9921	$150.70	$275.00	$0.01–$220.00	67% above	45%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 7000277125 - OFFICE/OUTPATIENT VISIT EST LEVEL 5 9921	$150.70	$275.00	$0.01–$220.00	67% above	45%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 6800327131 - OFFICE/OUTPATIENT VISIT EST LEVEL 5 9921	$150.70	$275.00	$0.01–$220.00	67% above	45%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 7301410000 - LEVEL 5 EST PT W/P	$150.70	$275.00	$0.01–$220.00	67% above	45%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 5601937152 - OFFICE/OUTPATIENT VISIT EST LEVEL 5 9921	$150.70	$275.00	$0.01–$220.00	67% above	45%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 99215780670 - OFFICE/OUTPATIENT VISIT EST LEVEL 5 9921	$150.70	$275.00	$0.01–$220.00	67% above	45%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 99215781820 - OFFICE/OUTPATIENT VISIT EST LEVEL 5 9921	$150.70	$275.00	$0.01–$220.00	67% above	45%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 99215780388 - OFFICE/OUTPATIENT VISIT EST LEVEL 5 9921	$150.70	$275.00	$0.01–$220.00	67% above	45%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 2702847124 - OFFICE/OUTPATIENT VISIT EST LEVEL 5 9921	$150.70	$275.00	$0.01–$220.00	67% above	45%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 7301310000 - FACILITY LEVEL 5 EP 99215	$150.77	$275.13	$0.01–$220.11	68% above	45%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 2401757129 - OFFICE/OUTPATIENT VISIT EST LEVEL 5 9921	$151.11	$275.75	$0.01–$220.60	68% above	45%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 6692037149 - FACILITY LEVEL 5 EP 99215	$151.60	$276.65	$0.01–$221.32	68% above	45%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 9801210000 - FACILITY LEVEL 5 EP 99215	$152.21	$277.75	$0.01–$222.20	69% above	45%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 2000190000 - LEVEL 5 EST PT W/P	$152.51	$278.30	$0.01–$222.64	69% above	45%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 6701587116 - OFFICE/OUTPATIENT VISIT EST LEVEL 5 9921	$154.66	$282.22	$0.01–$225.78	72% above	45%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 99215601125 - OFFICE/OUTPATIENT VISIT EST LEVEL 5 9921	$154.94	$282.73	$0.01–$226.19	72% above	45%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 6692427126 - OFFICE/OUTPATIENT VISIT EST LEVEL 5 9921	$155.04	$282.92	$0.01–$226.34	72% above	45%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 5800687117 - OFFICE/OUTPATIENT VISIT EST LEVEL 5 9921	$155.06	$282.96	$0.01–$226.36	72% above	45%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 99215780125 - OFFICE/OUTPATIENT VISIT EST LEVEL 5 9921	$155.11	$283.05	$0.01–$226.44	72% above	45%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 6800217131 - OFFICE/OUTPATIENT VISIT EST LEVEL 5 9921	$155.12	$283.06	$0.01–$226.45	72% above	45%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 99215250360 - OFFICE/OUTPATIENT VISIT EST LEVEL 5 9921	$155.14	$283.11	$0.01–$226.49	72% above	45%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 5300247123 - FACILITY LEVEL 5 EP 99215	$155.16	$283.13	$0.01–$226.50	72% above	45%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 6541737127 - OFFICE/OUTPATIENT VISIT EST LEVEL 5 9921	$155.22	$283.25	$0.01–$226.60	73% above	45%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 6503097122 - FACILITY LEVEL 5 EP 99215	$155.22	$283.25	$0.01–$226.60	73% above	45%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 99215630000 - FACILITY LEVEL 5 EP 99215	$155.22	$283.25	$0.01–$226.60	73% above	45%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 6400377118 - OFFICE/OUTPATIENT VISIT EST LEVEL 5 9921	$155.22	$283.25	$0.01–$226.60	73% above	45%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 6400267118 - OFFICE/OUTPATIENT VISIT EST LEVEL 5 9921	$155.22	$283.25	$0.01–$226.60	73% above	45%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 2800557131 - OFFICE/OUTPATIENT VISIT EST LEVEL 5 9921	$155.22	$283.25	$0.01–$226.60	73% above	45%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 78039921525 - OFFICE/OUTPATIENT VISIT EST LEVEL 5 9921	$155.22	$283.25	$0.01–$226.60	73% above	45%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 7400287121 - FACILITY LEVEL 5 EP 99215	$155.22	$283.25	$0.01–$226.60	73% above	45%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 2401967129 - OFFICE/OUTPATIENT VISIT EST LEVEL 5 9921	$155.22	$283.25	$0.01–$226.60	73% above	45%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 2700487124 - OFFICE/OUTPATIENT VISIT EST LEVEL 5 9921	$155.22	$283.25	$0.01–$226.60	73% above	45%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 6701467116 - OFFICE/OUTPATIENT VISIT EST LEVEL 5 9921	$155.22	$283.25	$0.01–$226.60	73% above	45%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 9801320000 - LEVEL 5 EST PT W/P	$155.22	$283.25	$0.01–$226.60	73% above	45%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 99215250750 - OFFICE/OUTPATIENT VISIT EST LEVEL 5 9921	$155.22	$283.25	$0.01–$226.60	73% above	45%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 6692967142 - OFFICE/OUTPATIENT VISIT EST LEVEL 5 9921	$155.22	$283.25	$0.01–$226.60	73% above	45%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 99215251900 - OFFICE/OUTPATIENT VISIT EST LEVEL 5 9921	$155.22	$283.25	$0.01–$226.60	73% above	45%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 6692037142 - FACILITY LEVEL 5 EP 99215	$155.22	$283.25	$0.01–$226.60	73% above	45%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 6692037126 - FACILITY LEVEL 5 EP 99215	$155.22	$283.25	$0.01–$226.60	73% above	45%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 6692037121 - FACILITY LEVEL 5 EP 99215	$155.22	$283.25	$0.01–$226.60	73% above	45%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 10002780360 - OFFICE/OUTPATIENT VISIT EST LEVEL 5 9921	$155.22	$283.25	$0.01–$226.60	73% above	45%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 10003780360 - OFFICE/OUTPATIENT VISIT EST LEVEL 5 9921	$155.22	$283.25	$0.01–$226.60	73% above	45%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 99215825265 - OFFICE/OUTPATIENT VISIT EST LEVEL 5 9921	$155.22	$283.25	$0.01–$226.60	73% above	45%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 99215781900 - OFFICE/OUTPATIENT VISIT EST LEVEL 5 9921	$155.22	$283.25	$0.01–$226.60	73% above	45%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 6691337121 - FACILITY LEVEL 3 EP 99213	$95.67	$174.58	$0.01–$161.00	55% above	45%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 6691337142 - FACILITY LEVEL 3 EP 99213	$95.73	$174.69	$0.01–$161.00	55% above	45%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 9701120000 - OFFICE/OUTPATIENT VISIT EST 99213	$95.90	$175.00	$0.01–$161.00	55% above	45%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 99213781900 - OFFICE/OUTPATIENT VISIT EST LEVEL 3 9921	$95.90	$175.00	$0.01–$161.00	55% above	45%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 99213781820 - OFFICE/OUTPATIENT VISIT EST LEVEL 3 9921	$95.90	$175.00	$0.01–$161.00	55% above	45%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 2000700000 - FACILITY LEVEL 3 EP 99213	$95.90	$175.00	$0.01–$140.00	55% above	45%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 2401737129 - OFFICE/OUTPATIENT VISIT EST LEVEL 3 9921	$95.90	$175.00	$0.01–$161.00	55% above	45%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 2800077131 - OFFICE/OUTPATIENT VISIT EST LEVEL 3 9921	$95.90	$175.00	$0.01–$161.00	55% above	45%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 6400247118 - OFFICE/OUTPATIENT VISIT EST LEVEL 3 9921	$95.90	$175.00	$0.01–$161.00	55% above	45%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 6800197131 - OFFICE/OUTPATIENT VISIT EST LEVEL 3 9921	$95.90	$175.00	$0.01–$161.00	55% above	45%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 99213601125 - OFFICE/OUTPATIENT VISIT EST LEVEL 3 9921	$95.90	$175.00	$0.01–$161.00	55% above	45%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 99213780660 - OFFICE/OUTPATIENT VISIT EST LEVEL 3 9921	$95.90	$175.00	$0.01–$161.00	55% above	45%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 99213780670 - OFFICE/OUTPATIENT VISIT EST LEVEL 3 9921	$95.90	$175.00	$0.01–$161.00	55% above	45%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 2700477124 - OFFICE/OUTPATIENT VISIT EST LEVEL 3 9921	$96.38	$175.88	$0.01–$161.00	56% above	45%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 99213780750 - OFFICE/OUTPATIENT VISIT EST LEVEL 3 9921	$97.34	$177.63	$0.01–$161.00	57% above	45%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 6701567116 - OFFICE/OUTPATIENT VISIT EST LEVEL 3 9921	$98.30	$179.38	$0.01–$143.50	59% above	45%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 6400357118 - OFFICE/OUTPATIENT VISIT EST LEVEL 3 9921	$98.49	$179.73	$0.01–$143.78	59% above	45%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 2702827124 - OFFICE/OUTPATIENT VISIT EST LEVEL 3 9921	$98.67	$180.06	$0.01–$144.05	60% above	45%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 6701447116 - OFFICE/OUTPATIENT VISIT EST LEVEL 3 9921	$98.69	$180.09	$0.01–$144.07	60% above	45%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 2800537131 - OFFICE/OUTPATIENT VISIT EST LEVEL 3 9921	$98.70	$180.12	$0.01–$144.09	60% above	45%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 7400247121 - FACILITY LEVEL 3 EP 99213	$98.71	$180.13	$0.01–$144.10	60% above	45%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 5602037152 - OFFICE/OUTPATIENT VISIT EST LEVEL 3 9921	$98.71	$180.13	$0.01–$144.10	60% above	45%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 6691337143 - FACILITY LEVEL 3 EP 99213	$98.75	$180.20	$0.01–$144.16	60% above	45%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 99213780141 - OFFICE/OUTPATIENT VISIT EST LEVEL 3 9921	$98.76	$180.22	$0.01–$144.17	60% above	45%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 78039921325 - OFFICE/OUTPATIENT VISIT EST LEVEL 3 9921	$98.78	$180.25	$0.01–$144.20	60% above	45%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 6541717127 - OFFICE/OUTPATIENT VISIT EST LEVEL 3 9921	$98.78	$180.25	$0.01–$161.00	60% above	45%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 6691337126 - FACILITY LEVEL 3 EP 99213	$98.78	$180.25	$0.01–$161.00	60% above	45%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 6691337127 - FACILITY LEVEL 3 EP 99213	$98.78	$180.25	$0.01–$161.00	60% above	45%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 6691337149 - FACILITY LEVEL 3 EP 99213	$98.78	$180.25	$0.01–$144.20	60% above	45%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 5800667117 - OFFICE/OUTPATIENT VISIT EST LEVEL 3 9921	$98.78	$180.25	$0.01–$144.20	60% above	45%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 5300197123 - FACILITY LEVEL 3 EP 99213	$98.78	$180.25	$0.01–$161.00	60% above	45%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 6692177149 - OFFICE/OUTPATIENT VISIT EST LEVEL 3 9921	$98.78	$180.25	$0.01–$144.20	60% above	45%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 6692997142 - OFFICE/OUTPATIENT VISIT EST LEVEL 3 9921	$98.78	$180.25	$0.01–$161.00	60% above	45%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 6800307131 - OFFICE/OUTPATIENT VISIT EST LEVEL 3 9921	$98.78	$180.25	$0.01–$144.20	60% above	45%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 7301290000 - FACILITY LEVEL 3 EP 99213	$98.78	$180.25	$0.01–$161.00	60% above	45%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 78036599213 - OFFICE/OUTPATIENT VISIT EST LEVEL 3 9921	$98.78	$180.25	$0.01–$144.20	60% above	45%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 9801190000 - FACILITY LEVEL 3 EP 99213	$98.78	$180.25	$0.01–$161.00	60% above	45%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 2401947129 - OFFICE/OUTPATIENT VISIT EST LEVEL 3 9921	$98.78	$180.25	$0.01–$144.20	60% above	45%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 99213250750 - OFFICE/OUTPATIENT VISIT EST LEVEL 3 9921	$98.78	$180.25	$0.01–$144.20	60% above	45%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 99213251900 - OFFICE/OUTPATIENT VISIT EST LEVEL 3 9921	$98.78	$180.25	$0.01–$144.20	60% above	45%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 99213780360 - OFFICE/OUTPATIENT VISIT EST LEVEL 3 9921	$98.78	$180.25	$0.01–$144.20	60% above	45%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 99213780386 - OFFICE/OUTPATIENT VISIT EST LEVEL 3 9921	$98.78	$180.25	$0.01–$144.20	60% above	45%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 6430197131 - OFFICE/OUTPATIENT VISIT EST LEVEL 3 9921	$98.78	$180.25	$0.01–$144.20	60% above	45%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 6503047122 - FACILITY LEVEL 3 EP 99213	$98.78	$180.25	$0.01–$161.00	60% above	45%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 6523287143 - OFFICE/OUTPATIENT VISIT EST LEVEL 3 9921	$98.78	$180.25	$0.01–$144.20	60% above	45%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 6430187131 - OFFICE/OUTPATIENT VISIT EST LEVEL 3 9921	$98.78	$180.25	$0.01–$161.00	60% above	45%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 99213250660 - OFFICE/OUTPATIENT VISIT EST LEVEL 3 9921	$98.91	$180.49	$0.01–$144.39	60% above	45%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 99213780625 - OFFICE/OUTPATIENT VISIT EST LEVEL 3 9921	$99.26	$181.13	$0.01–$144.90	61% above	45%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 6691337125 - FACILITY LEVEL 3 EP 99213	$99.74	$182.00	$0.01–$161.00	61% above	45%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 99213601105 - OFFICE/OUTPATIENT VISIT EST LEVEL 3 9921	$107.41	$196.00	$0.01–$161.00	74% above	45%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 9801240000 - FACILITY EST PT LEVEL 3 W/P 99213-25	$127.00	$231.75	$0.01–$185.40	105% above	45%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 5300327123 - FACILITY EST PT LEVEL 3 W/P 99213-25	$127.00	$231.75	$0.01–$185.40	105% above	45%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 7400457121 - FACILITY LEVEL 3 EP W/P	$155.22	$283.25	$0.01–$226.60	151% above	45%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 6691327125 - FACILITY LEVEL 4 EP 99214	$108.50	$198.00	$0.01–$161.00	45% above	45%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 99214601105 - OFFICE/OUTPATIENT VISIT EST LEVEL 4 9921	$119.60	$218.25	$0.01–$174.60	60% above	45%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 99214630000 - OFFICE/OUTPATIENT VISIT EST LEVEL 4 9921	$119.60	$218.25	$0.01–$174.60	60% above	45%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 6691327121 - FACILITY LEVEL 4 EP 99214	$120.42	$219.75	$0.01–$175.80	61% above	45%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 6691327142 - FACILITY LEVEL 4 EP 99214	$121.45	$221.63	$0.01–$177.30	62% above	45%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 5800587117 - OFFICE/OUTPATIENT VISIT EST LEVEL 4 9921	$123.30	$225.00	$0.01–$180.00	65% above	45%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 5300227123 - FACILITY LEVEL 4 EP 99214	$123.30	$225.00	$0.01–$180.00	65% above	45%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 2401747129 - OFFICE/OUTPATIENT VISIT EST LEVEL 4 9921	$123.30	$225.00	$0.01–$180.00	65% above	45%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 2401957129 - OFFICE/OUTPATIENT VISIT EST LEVEL 4 9921	$123.30	$225.00	$0.01–$180.00	65% above	45%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 2702927124 - OFFICE/OUTPATIENT VISIT EST LEVEL 4 9921	$123.30	$225.00	$0.01–$180.00	65% above	45%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 99214780670 - OFFICE/OUTPATIENT VISIT EST LEVEL 4 9921	$123.30	$225.00	$0.01–$180.00	65% above	45%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 99214780625 - OFFICE/OUTPATIENT VISIT EST LEVEL 4 9921	$123.30	$225.00	$0.01–$180.00	65% above	45%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 99214780141 - OFFICE/OUTPATIENT VISIT EST LEVEL 4 9921	$123.30	$225.00	$0.01–$180.00	65% above	45%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 9701110000 - FACILITY, EST LEVEL 4 99214	$123.30	$225.00	$0.01–$180.00	65% above	45%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 7400267121 - FACILITY LEVEL 4 EP 99214	$123.30	$225.00	$0.01–$180.00	65% above	45%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 6503037122 - FACILITY LEVEL 4 EP 99214	$123.30	$225.00	$0.01–$180.00	65% above	45%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 6400257118 - OFFICE/OUTPATIENT VISIT EST LEVEL 4 9921	$123.30	$225.00	$0.01–$180.00	65% above	45%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 6701577116 - OFFICE/OUTPATIENT VISIT EST LEVEL 4 9921	$126.54	$230.91	$0.01–$184.73	69% above	45%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 6400367118 - OFFICE/OUTPATIENT VISIT EST LEVEL 4 9921	$126.69	$231.19	$0.01–$184.95	69% above	45%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 99214780386 - OFFICE/OUTPATIENT VISIT EST LEVEL 4 9921	$126.73	$231.27	$0.01–$185.01	69% above	45%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 99214781820 - OFFICE/OUTPATIENT VISIT EST LEVEL 4 9921	$126.76	$231.32	$0.01–$185.06	69% above	45%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 5800677117 - OFFICE/OUTPATIENT VISIT EST LEVEL 4 9921	$126.80	$231.39	$0.01–$185.11	70% above	45%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 6691327127 - FACILITY LEVEL 4 EP 99214	$126.82	$231.43	$0.01–$185.14	70% above	45%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 2702837124 - OFFICE/OUTPATIENT VISIT EST LEVEL 4 9921	$126.83	$231.45	$0.01–$185.16	70% above	45%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 5601927152 - OFFICE/OUTPATIENT VISIT EST LEVEL 4 9921	$126.89	$231.56	$0.01–$185.25	70% above	45%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 6800207131 - OFFICE/OUTPATIENT VISIT EST LEVEL 4 9921	$126.92	$231.60	$0.01–$185.28	70% above	45%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 99214250360 - OFFICE/OUTPATIENT VISIT EST LEVEL 4 9921	$127.00	$231.75	$0.01–$185.40	70% above	45%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 99214250750 - OFFICE/OUTPATIENT VISIT EST LEVEL 4 9921	$127.00	$231.75	$0.01–$185.40	70% above	45%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 6691327149 - FACILITY LEVEL 4 EP 99214	$127.00	$231.75	$0.01–$185.40	70% above	45%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 99214251900 - OFFICE/OUTPATIENT VISIT EST LEVEL 4 9921	$127.00	$231.75	$0.01–$185.40	70% above	45%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 99214601125 - OFFICE/OUTPATIENT VISIT EST LEVEL 4 9921	$127.00	$231.75	$0.01–$185.40	70% above	45%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 6691327126 - FACILITY LEVEL 4 EP 99214	$127.00	$231.75	$0.01–$185.40	70% above	45%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 99214780125 - OFFICE/OUTPATIENT VISIT EST LEVEL 4 9921	$127.00	$231.75	$0.01–$185.40	70% above	45%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 2800547131 - OFFICE/OUTPATIENT VISIT EST LEVEL 4 9921	$127.00	$231.75	$0.01–$185.40	70% above	45%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 6693007142 - OFFICE/OUTPATIENT VISIT EST LEVEL 4 9921	$127.00	$231.75	$0.01–$185.40	70% above	45%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 6541707127 - OFFICE/OUTPATIENT VISIT EST LEVEL 4 9921	$127.00	$231.75	$0.01–$185.40	70% above	45%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 99214780750 - OFFICE/OUTPATIENT VISIT EST LEVEL 4 9921	$127.00	$231.75	$0.01–$185.40	70% above	45%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 99214781900 - OFFICE/OUTPATIENT VISIT EST LEVEL 4 9921	$127.00	$231.75	$0.01–$185.40	70% above	45%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 99214800265 - OFFICE/OUTPATIENT VISIT EST LEVEL 4 9921	$127.00	$231.75	$0.01–$185.40	70% above	45%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 6800317131 - OFFICE/OUTPATIENT VISIT EST LEVEL 4 9921	$127.00	$231.75	$0.01–$185.40	70% above	45%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 7301300000 - FACILITY LEVEL 4 EP 99214	$127.00	$231.75	$0.01–$185.40	70% above	45%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 78039921425 - OFFICE/OUTPATIENT VISIT EST LEVEL 4 9921	$127.00	$231.75	$0.01–$185.40	70% above	45%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 6430217131 - OFFICE/OUTPATIENT VISIT EST LEVEL 4 9921	$127.00	$231.75	$0.01–$185.40	70% above	45%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 99214780360 - OFFICE/OUTPATIENT VISIT EST LEVEL 4 9921	$127.00	$231.75	$0.01–$185.40	70% above	45%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 6692417126 - OFFICE/OUTPATIENT VISIT EST LEVEL 4 9921	$127.00	$231.75	$0.01–$185.40	70% above	45%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 6701457116 - OFFICE/OUTPATIENT VISIT EST LEVEL 4 9921	$127.00	$231.75	$0.01–$185.40	70% above	45%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 6523297143 - OFFICE/OUTPATIENT VISIT EST LEVEL 4 9921	$127.74	$233.10	$0.01–$186.48	71% above	45%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 99215780660 - OFFICE/OUTPATIENT VISIT EST LEVEL 5 9921	$155.22	$283.25	$0.01–$226.60	108% above	45%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 7400227121 - FACILITY LEVEL 2 EP 99212	$66.45	$121.25	$0.01–$161.00	20% above	45%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 6692057121 - FACILITY LEVEL 2 EP 99212	$68.31	$124.66	$0.01–$161.00	23% above	45%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 6400237118 - OFFICE/OUTPATIENT VISIT EST LEVEL 2 9921	$68.50	$125.00	$0.01–$161.00	24% above	45%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 99212781900 - OFFICE/OUTPATIENT VISIT EST LEVEL 2 9921	$68.50	$125.00	$0.01–$161.00	24% above	45%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 99212780670 - OFFICE/OUTPATIENT VISIT EST LEVEL 2 9921	$68.50	$125.00	$0.01–$161.00	24% above	45%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 7301280000 - FACILITY LEVEL 2 EP 99212	$68.50	$125.00	$0.01–$161.00	24% above	45%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 6692877125 - OFFICE/OUTPATIENT VISIT EST 99212	$68.50	$125.00	$0.01–$161.00	24% above	45%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 6692057142 - FACILITY LEVEL 2 EP 99212	$68.50	$125.00	$0.01–$161.00	24% above	45%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 6692057126 - FACILITY LEVEL 2 EP 99212	$68.50	$125.00	$0.01–$161.00	24% above	45%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 6692057125 - FACILITY LEVEL 2 EP 99212	$68.50	$125.00	$0.01–$161.00	24% above	45%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 6503117122 - FACILITY LEVEL 2 EP 99212	$68.50	$125.00	$0.01–$161.00	24% above	45%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 2800067131 - OFFICE/OUTPATIENT VISIT EST LEVEL 2 9921	$68.50	$125.00	$0.01–$161.00	24% above	45%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 2401937129 - OFFICE/OUTPATIENT VISIT EST LEVEL 2 9921	$68.50	$125.00	$0.01–$161.00	24% above	45%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 2401727129 - OFFICE/OUTPATIENT VISIT EST LEVEL 2 9921	$68.50	$125.00	$0.01–$161.00	24% above	45%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 2702917124 - OFFICE/OUTPATIENT VISIT EST LEVEL 2 9921	$68.59	$125.16	$0.01–$161.00	24% above	45%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 9801180000 - FACILITY LEVEL 2 EP 99212	$68.61	$125.20	$0.01–$161.00	24% above	45%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 2702817124 - OFFICE/OUTPATIENT VISIT EST LEVEL 2 9921	$68.67	$125.31	$0.01–$161.00	24% above	45%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 6541757127 - OFFICE/OUTPATIENT VISIT EST LEVEL 2 9921	$69.53	$126.88	$0.01–$161.00	26% above	45%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 99212781820 - OFFICE/OUTPATIENT VISIT EST LEVEL 2 9921	$70.21	$128.13	$0.01–$102.50	27% above	45%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 6701437116 - OFFICE/OUTPATIENT VISIT EST LEVEL 2 9921	$70.51	$128.67	$0.01–$102.94	27% above	45%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 6800187131 - OFFICE/OUTPATIENT VISIT EST LEVEL 2 9921	$70.53	$128.70	$0.01–$102.96	27% above	45%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 5300177123 - FACILITY LEVEL 2 EP 99212	$70.55	$128.74	$0.01–$102.99	27% above	45%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 99212780386 - OFFICE/OUTPATIENT VISIT EST LEVEL 2 9921	$70.56	$128.75	$0.01–$103.00	27% above	45%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 5602027152 - OFFICE/OUTPATIENT VISIT EST LEVEL 2 9921	$70.56	$128.75	$0.01–$103.00	27% above	45%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 5800567117 - OFFICE/OUTPATIENT VISIT EST LEVEL 2 9921	$70.56	$128.75	$0.01–$161.00	27% above	45%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 5800657117 - OFFICE/OUTPATIENT VISIT EST LEVEL 2 9921	$70.56	$128.75	$0.01–$103.00	27% above	45%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 99212800265 - OFFICE/OUTPATIENT VISIT EST LEVEL 2 9921	$70.56	$128.75	$0.01–$103.00	27% above	45%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 6430177131 - OFFICE/OUTPATIENT VISIT EST LEVEL 2 9921	$70.56	$128.75	$0.01–$103.00	27% above	45%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 6692057143 - FACILITY LEVEL 2 EP 99212	$70.56	$128.75	$0.01–$103.00	27% above	45%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 6692947142 - OFFICE/OUTPATIENT VISIT EST LEVEL 2 9921	$70.56	$128.75	$0.01–$103.00	27% above	45%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 6800297131 - OFFICE/OUTPATIENT VISIT EST LEVEL 2 9921	$70.56	$128.75	$0.01–$103.00	27% above	45%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 7301380000 - FACILITY, EST, LEVEL 2 W/P 99212-25	$70.56	$128.75	$0.01–$103.00	27% above	45%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 7400427121 - FACILITY, EST, LEVEL 2 W/P 99212-25	$70.56	$128.75	$0.01–$103.00	27% above	45%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 9801290000 - FACILITY, EST, LEVEL 2 W/P 99212-25	$70.56	$128.75	$0.01–$103.00	27% above	45%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 99212250660 - OFFICE/OUTPATIENT VISIT EST LEVEL 2 9921	$70.56	$128.75	$0.01–$103.00	27% above	45%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 99212780141 - OFFICE/OUTPATIENT VISIT EST LEVEL 2 9921	$70.56	$128.75	$0.01–$103.00	27% above	45%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 99212780360 - OFFICE/OUTPATIENT VISIT EST LEVEL 2 9921	$70.56	$128.75	$0.01–$103.00	27% above	45%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 99212780660 - OFFICE/OUTPATIENT VISIT EST LEVEL 2 9921	$70.56	$128.75	$0.01–$103.00	27% above	45%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 99212780750 - OFFICE/OUTPATIENT VISIT EST LEVEL 2 9921	$70.56	$128.75	$0.01–$161.00	27% above	45%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 5300287123 - FACILITY, EST, LEVEL 2 W/P 99212-25	$70.56	$128.75	$0.01–$103.00	27% above	45%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 2800527131 - OFFICE/OUTPATIENT VISIT EST LEVEL 2 9921	$70.56	$128.75	$0.01–$103.00	27% above	45%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 6692057127 - FACILITY LEVEL 2 EP 99212	$73.98	$135.00	$0.01–$161.00	34% above	45%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 99212601105 - OFFICE/OUTPATIENT VISIT EST LEVEL 2 9921	$74.67	$136.25	$0.01–$161.00	35% above	45%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 7301350000 - FACILITY, EST PT LEVEL 2W/P 99212-25	$155.22	$283.25	$0.01–$226.60	180% above	45%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 9801250000 - FACILITY, EST PT LEVEL 2W/P 99212-25	$155.22	$283.25	$0.01–$226.60	180% above	45%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 99244781820 - OFFICE CONSULTATION LEVEL 4 99244	$127.00	$231.75	$0.01–$196.56	17% above	45%
Speech and language evaluation CPT 92523 6304527090 - SPEECH SOUND LANG COMPREHEN 92523	$430.50	$785.58	$0.01–$628.47	132% above	45%
Speech and language evaluation CPT 92523 92523740300 - SPEECH SOUND LANG COMPREHEN 92523	$430.89	$786.30	$0.01–$629.04	132% above	45%
Speech and language evaluation CPT 92523 6402017133 - SPEECH SOUND LANG COMPREHEN 92523	$430.89	$786.30	$0.01–$629.04	132% above	45%
Speech therapy session, individual CPT 92507 6402037133 - SPEECH/LANGUAGE TREATMENT 92507	$171.37	$312.72	$0.01–$251.43	27% above	45%
Speech therapy session, individual CPT 92507 6301210000 - SPEECH/LANGUAGE TREATMENT 92507	$171.40	$312.77	$0.01–$251.43	27% above	45%
Speech therapy session, individual CPT 92507 92507740300 - SPEECH/LANGUAGE TREATMENT 92507	$171.52	$313.00	$0.01–$251.43	27% above	45%
Spirometry (breathing test) CPT 94010 4960450000 - SPIROMETRY 94010	$280.23	$511.37	$22.16–$730.00	157% above	45%
Spirometry (breathing test) CPT 94010 94010700100 - SPIROMETRY 94010	$280.32	$511.54	$22.16–$730.00	157% above	45%
Spirometry before and after a bronchodilator CPT 94060 4960460000 - Bronchospasm - Pre & Post Bd Spirometry	$511.45	$933.30	$39.00–$746.64	109% above	45%
Spirometry before and after a bronchodilator CPT 94060 94060700100 - Bronchospasm - Pre & Post Bd Spirometry	$511.68	$933.73	$39.00–$746.98	109% above	45%
Therapeutic activities (functional training), 15 minutes CPT 97530 975307403OT - OT THERAPEUTIC ACTIVITY, EA 15 97530	$86.97	$158.71	$0.01–$179.00	88% above	45%
Therapeutic activities (functional training), 15 minutes CPT 97530 8800107086 - OT THERAPEUTIC ACTIVITY, EA 15 97530	$87.11	$158.96	$0.01–$179.00	88% above	45%
Therapeutic activities (functional training), 15 minutes CPT 97530 6402437133 - OT THERAPEUTIC ACTIVITY, EA 15 97530	$87.15	$159.03	$0.01–$179.00	88% above	45%
Therapeutic activities (functional training), 15 minutes CPT 97530 8800100000 - OT THERAPEUTIC ACTIVITY, EA 15 97530	$87.15	$159.03	$0.01–$179.00	88% above	45%
Therapeutic activities (functional training), 15 minutes CPT 97530 8703507086 - PT THERAPEUTIC ACTIVITY, EA 15 97530	$99.55	$181.66	$0.01–$179.00	115% above	45%
Therapeutic activities (functional training), 15 minutes CPT 97530 8703500000 - PT THERAPEUTIC ACTIVITY, EA 15 97530	$99.71	$181.95	$0.01–$179.00	116% above	45%
Therapeutic activities (functional training), 15 minutes CPT 97530 6406457133 - PT THERAPEUTIC ACTIVITY, EA 15 97530	$99.74	$182.01	$0.01–$179.00	116% above	45%
Therapeutic activities (functional training), 15 minutes CPT 97530 975307403PT - PT THERAPEUTIC ACTIVITY, EA 15 97530	$100.08	$182.63	$0.01–$179.00	116% above	45%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 7400427128 - PHLEBOTOMY THERAPEUTIC 99195	$215.75	$393.71	$0.01–$314.97	185% above	45%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 6520037143 - Phlebotomy Therapeutic	$216.00	$394.16	$0.01–$315.33	185% above	45%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Tennessee	Off list
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 3376920000 - Varicella Zoster Vax 0.5 Ml	$300.36	$548.10	$0.01–$438.48	58% above	45%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 3399977000 - Hepatitis A & B Vaccines 1Ml	$241.45	$440.60	$0.01–$352.48	185% above	45%
Hepatitis A vaccine, adult dose CPT 90632 3307030000 - Hepatitis A Vac 1 Adult Dose	$146.75	$267.80	$0.01–$214.24	116% above	45%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 10270781823 - Engerix-B (hep B vaccine)	$122.80	$224.09	$0.01–$179.27	at median	45%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 3300370000 - Hepatitis B Vac Adult Dose	$123.08	$224.60	$0.01–$179.68	at median	45%
MMR vaccine (measles, mumps and rubella), live CPT 90707 9802430000 - SQ MMR VACCINE (CLINIC)	$117.17	$213.81	$0.01–$171.05	3% above	45%
MMR vaccine (measles, mumps and rubella), live CPT 90707 3391070000 - Measles/Mumps/Rubella Vaccine	$164.13	$299.50	$0.01–$239.60	44% above	45%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 33363090723 - PED-Meningococcal conj A,C,W,Y (Menveo)	$26.26	$47.92	$0.01–$157.35	86% below	45%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 3300000029 - MENVEO FOR PEDS (MENINGOCOCCAL CONJ ACYW	$28.59	$52.17	$0.01–$157.35	85% below	45%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 33636090623 - Meningococcal conj A,C,W,Y (Menveo) vax	$295.43	$539.10	$0.01–$431.28	54% above	45%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 3300000000 - DRUGS-INJECTIONS	$367.84	$671.24	$0.01–$536.99	40% above	45%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 3363690677 - pneumococcal 20-valent conj (Prevnar 20)	$420.85	$767.98	$0.01–$614.39	36% above	45%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 10380781823 - PREVNAR 20 PFS 0.5ML	$426.40	$778.10	$0.01–$622.48	38% above	45%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 9821600000 - PPSV23 VACC 2 YRS OR OLDER SUBQ/IM	$40.16	$73.28	$0.01–$189.66	71% below	45%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 10084781823 - PNEUMOVAX Pneumococcal 23-POLYVALENT Va	$232.90	$425.00	$0.01–$340.00	65% above	45%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 3398750000 - PNEUMOVAX Pneumococcal 23-POLYVALENT Va	$232.95	$425.10	$0.01–$340.08	65% above	45%
Rabies vaccine, one dose CPT 90675 3301000000 - Rabies Vaccine 1Ml	$546.30	$996.90	$0.01–$797.52	1% above	45%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 9802500000 - Tetanus/Diphtheri Pf Inj 0.5Ml 90714	$19.76	$36.05	$0.01–$41.75	66% below	45%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 336390714 - tetanus-diphth toxoids 0.5 ml Inj (TDVAX	$51.51	$94.00	$0.01–$75.20	10% below	45%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 3318400000 - Tetanus/Diphtheri Pf Inj 0.5Ml 90714	$75.46	$137.70	$0.01–$110.16	32% above	45%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 9802510000 - Tdap 0.5Ml Vaccine (Adacel) 90715	$81.38	$148.51	$0.01–$118.81	3% below	45%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 3353660000 - Tdap 0.5 ml Vaccine (Boostrix)	$86.69	$158.20	$0.01–$126.56	3% above	45%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 10041781823 - Tdap 0.5Ml Vaccine (Adacel) 90715	$95.64	$174.53	$0.01–$139.62	14% above	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90472780660 - IMMUNIZATION ADM; EA ADDTL VACCINE 90472	$13.63	$24.88	$7.73–$118.53	59% below	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 6500757142 - IMMUNIZATION ADM; EA ADDTL VACCINE. 9047	$13.63	$24.88	$7.73–$118.53	59% below	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 6500757143 - IMMUNIZATION ADM; EA ADDTL VACCINE 90472	$13.63	$24.88	$7.73–$118.53	59% below	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 7301560000 - IMMUNIZATION ADMIN 1 VACCINE 90471 *	$46.88	$85.55	$7.73–$118.53	42% above	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471601105 - IMMUNIZATION ADMIN 1 VACCINE 90471	$47.82	$87.26	$7.73–$118.53	45% above	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471781820 - IMMUNIZATION ADMIN 1 VACCINE 90471	$48.29	$88.12	$7.73–$118.53	47% above	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 6400027118 - IMMUNIZATION ADMIN 1 VACCINE 90471	$48.29	$88.12	$7.73–$118.53	47% above	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 6500747142 - IMMUNIZATION ADMIN 1 VACCINE 90471 *	$48.29	$88.12	$7.73–$118.53	47% above	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471780141 - IMMUNIZATION ADMIN 1 VACCINE 90471	$48.29	$88.12	$7.73–$118.53	47% above	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471781700 - IMMUNIZATION ADMIN 1 VACCINE 90471	$48.29	$88.12	$7.73–$118.53	47% above	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471780320 - IMMUNIZATION ADMIN 1 VACCINE 90471	$48.29	$88.12	$7.73–$118.53	47% above	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471180500 - IMMUNIZATION ADMIN ONE VAC	$48.29	$88.12	$7.73–$118.53	47% above	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471630000 - IMMUNIZATION ADMIN 1 VACCINE 90471	$48.29	$88.12	$7.73–$118.53	47% above	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471600320 - IMMUNIZATION ADMIN 1 VACCINE 90471	$48.29	$88.12	$7.73–$118.53	47% above	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 6501107121 - IMMUNIZATION ADMIN, ONE VAC	$48.29	$88.12	$7.73–$118.53	47% above	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 6501107142 - ADMIN PNEUMONIA VACCINE	$48.29	$88.12	$7.73–$118.53	47% above	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 6523000000 - INFLUENZA ADMINISTRATION 90471	$48.29	$88.12	$7.73–$118.53	47% above	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471180670 - IMMUNIZATION ADMIN ONE VAC	$48.29	$88.12	$7.73–$118.53	47% above	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 6800007131 - IMMUNIZATION ADMIN 1 VACCINE 90471	$48.29	$88.12	$7.73–$118.53	47% above	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471780670 - IMMUNIZATION ADMIN 1 VACCINE 90471	$48.29	$88.12	$7.73–$118.53	47% above	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471780500 - IMMUNIZATION ADMIN 1 VACCINE 90471	$48.29	$88.12	$7.73–$118.53	47% above	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471620000 - IMMUNIZATION ADMIN ONE VAC 90471	$48.29	$88.12	$7.73–$118.53	47% above	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 7400127121 - INFLUENZA ADMINISTRATION 90471	$48.29	$88.12	$7.73–$118.53	47% above	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471780360 - IMMUNIZATION ADMIN 1 VACCINE 90471	$48.29	$88.12	$7.73–$118.53	47% above	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90000781900 - IMMUNIZATION ADMIN ONE VAC	$48.29	$88.12	$7.73–$118.53	47% above	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471120100 - IMMUNIZATION ADMIN ONE VAC	$48.29	$88.12	$7.73–$118.53	47% above	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471780330 - IMMUNIZATION ADMIN ONE VAC	$48.29	$88.12	$7.73–$118.53	47% above	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 6500747143 - IMMUNIZATION ADMIN 1 VACCINE 90471 *	$49.32	$90.00	$7.73–$118.53	50% above	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 2001076231 - IMMUNIZATION ADMIN 1 VACCINE 90471	$50.16	$91.54	$7.73–$118.53	52% above	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 5800837117 - IMMUNIZATION ADMIN 1 VACCINE 90471	$50.43	$92.03	$7.73–$118.53	53% above	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471780660 - IMMUNIZATION ADMIN 1 VACCINE 90471	$50.46	$92.08	$7.73–$118.53	53% above	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471780400 - IMMUNIZATION ADMIN 1 VACCINE 90471	$50.80	$92.70	$7.73–$118.53	54% above	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 7200690000 - Immuniz Admin 1 Combo Vacc/To	$50.96	$92.99	$7.73–$118.53	55% above	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 9801470000 - IMMUNIZATION ADMIN 1 VACCINE 90471 *	$51.31	$93.64	$7.73–$118.53	56% above	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 6692887121 - HEP B IMMUNIZATION ADMIN 1 VACCINE	$51.77	$94.48	$7.73–$118.53	57% above	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 2702397124 - IMMUNIZATION ADMIN 1 VACCINE 90471	$51.80	$94.52	$7.73–$118.53	57% above	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 2401587129 - IMMUNIZATION ADMIN 1 VACCINE 90471	$52.18	$95.22	$7.73–$118.53	58% above	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 6500747121 - IMMUNIZATION ADMIN 1 VACCINE 90471 *	$53.17	$97.02	$7.73–$118.53	61% above	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90741780000 - IMMUNIZATION ADMIN ONE VAC	$53.49	$97.60	$7.73–$118.53	62% above	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 5601767152 - IMMUNIZATION ADMIN 1 VACCINE 90471	$53.52	$97.67	$7.73–$118.53	63% above	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471180660 - IMMUNIZATION ADMIN ONE VAC	$53.92	$98.39	$7.73–$118.53	64% above	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471781000 - IMMUNIZATION ADMIN ONE VAC	$55.14	$100.62	$7.73–$118.53	67% above	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 7040710000 - IMMUNIZATION ADMIN ONE VAC	$55.23	$100.79	$7.73–$118.53	68% above	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471180400 - IMMUNIZATION ADMIN ONE VAC	$56.35	$102.83	$7.73–$118.53	71% above	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471710050 - IMMUNIZATION ADMIN ONE VAC	$56.62	$103.32	$7.73–$118.53	72% above	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471781400 - IMMUNIZATION ADMIN ONE VAC	$60.59	$110.57	$7.73–$118.53	84% above	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 8250810000 - IMMUNIZATION ADMIN 1 VACCINE 90471	$61.23	$111.73	$7.73–$118.53	86% above	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471780650 - IMMUNIZATION ADMIN ONE VAC	$62.22	$113.54	$7.73–$118.53	89% above	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471781900 - IMMUNIZATION ADMIN 1 VACCINE 90471	$62.22	$113.54	$7.73–$118.53	89% above	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 7400107121 - IMMUNIZATION ADMIN 1 VACCINE 90471 *	$62.22	$113.54	$7.73–$118.53	89% above	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 6692937142 - IM FLU VIRUS /MEDICARE G0008	$76.15	$138.96	$7.73–$118.53	131% above	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 3300000028 - MENINGOCOCCAL GRP B RECOMB VAX (BEXSERO)	$350.94	$640.40	$0.01–$512.32	966% above	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 3300410000 - HPV (GARDASIL-9) VAX 0.5 ML	$421.14	$768.50	$0.01–$614.80	1179% above	45%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472780050 - IMMUNIZATION ADM; EA ADDTL VACCINE. 9047	$13.62	$24.86	$0.01–$41.00	56% below	45%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472780000 - IMMUNIZATION ADM; EA ADDTL VACCINE. 9047	$13.63	$24.88	$0.01–$41.00	56% below	45%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 2000306231 - IMMUNIZATION ADMINISTRATION EACH ADDITIO	$13.63	$24.88	$0.01–$41.00	56% below	45%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 7301570000 - IMMUNIZATION ADM; EA ADDTL VACCINE 90472	$13.63	$24.88	$0.01–$41.00	56% below	45%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 7301720000 - IMMUNIZATION ADMINISTRATION EACH ADDITIO	$13.63	$24.88	$0.01–$41.00	56% below	45%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 7400097121 - IMMUNIZATION ADM; EA ADDTL VACCINE. 9047	$13.63	$24.88	$0.01–$41.00	56% below	45%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472180330 - IMMUNIZATION ADM; EA ADDTL VACCINE. 9047	$13.63	$24.88	$0.01–$41.00	56% below	45%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472780362 - IMMUNIZATION ADM; EA ADDTL VACCINE. 9047	$13.63	$24.88	$0.01–$41.00	56% below	45%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472780650 - IMMUNIZATION ADM; EA ADDTL VACCINE. 9047	$13.63	$24.88	$0.01–$41.00	56% below	45%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472781820 - IMMUNIZATION ADM; EA ADDTL VACCINE 90472	$13.63	$24.88	$0.01–$41.00	56% below	45%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 9801480000 - IMMUNIZATION ADM; EA ADDTL VACCINE 90472	$13.63	$24.88	$0.01–$41.00	56% below	45%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 2000316233 - IMMUNIZATION ADMIN, EA ADD'L	$13.64	$24.88	$0.01–$41.00	56% below	45%

Dental

Procedure	Cash price	List price	Insurers pay	vs Tennessee	Off list
Removal of an impacted tooth fully covered by bone, often a wisdom tooth CDT D7240 7700087126 - IMPACT TOOTH REMOV COMP BONY	$3,009.34	$5,491.50	$0.01–$4,393.20	3258% above	45%
Simple extraction of a tooth or exposed root that is above the gum CDT D7140 7700037126 - EXTRACTION ERUPTED TOOTH/EXR D7140	$3,009.34	$5,491.50	$0.01–$4,393.20	—	45%

Source file: https://www.regionalonehealth.org/wp-content/uploads/2024/12/621113169_shelby-county-health-care_standardcharges.csv