County of Murray
County of Murray in Slayton, MN publishes cash prices for 272 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 Minnesota median for 146 of 267 procedures and below it for 121. By typical cash price it ranks #47 of 84 Minnesota hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
2042 Juniper Avenue, Slayton, MN 56172 Collected Sep 27, 2026 Source price file (507) 836-6111
Critical access hospital (rural, 25 beds or fewer) Emergency department CCN 241319 · CMS hospital register NPI 1053497214
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Minnesota | Off list |
|---|---|---|---|---|---|
| Abdominal X-ray, 2 views CPT 74019 RADIOLOGIC EXAMINATION, ABDOMEN; 2 VIEWS | $42.90 | $66.00 | $100.12–$429.64 | 85% below | 35% |
| Abdominal X-ray, 2 views CPT 74019 RAD EXAM ABDOMEN 2 VWS | $313.30 | $482.00 | $100.12–$429.64 | 11% above | 35% |
| Abdominal X-ray, 2 views inpatient CPT 74019 RADIOLOGIC EXAMINATION, ABDOMEN; 2 VIEWS | $42.90 | $66.00 | $100.12–$429.64 | — | 35% |
| Abdominal X-ray, 2 views inpatient CPT 74019 RAD EXAM ABDOMEN 2 VWS | $313.30 | $482.00 | $100.12–$429.64 | — | 35% |
| Ankle X-ray, complete, 3 or more views CPT 73610 RADIOLOGIC EXAM ANKLE COMP 3+ VIEWS | $59.15 | $91.00 | $79.33–$332.92 | 74% below | 35% |
| Ankle X-ray, complete, 3 or more views CPT 73610 RAD EXAM ANKLE MIN 3 VWS | $248.30 | $382.00 | $79.33–$332.92 | 9% above | 35% |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 RADIOLOGIC EXAM ANKLE COMP 3+ VIEWS | $59.15 | $91.00 | $79.33–$332.92 | — | 35% |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 RAD EXAM ANKLE MIN 3 VWS | $248.30 | $382.00 | $79.33–$332.92 | — | 35% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 LIMITED BILAT PHYSIOLOGIC STUDIES EXT ART 1-2 LVLS | $1,305.20 | $2,008.00 | $417.65–$1,948.00 | — | 35% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries one side CPT 93922 UNILAT PHYSIOLOGIC STUDIES EXT ART 1-2 LVLS 52 MOD | $652.60 | $1,004.00 | $417.65–$1,948.00 | 84% above | 35% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 LIMITED BILAT PHYSIOLOGIC STUDIES EXT ART 1-2 LVLS | $1,305.20 | $2,008.00 | $417.65–$1,948.00 | — | 35% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient one side CPT 93922 UNILAT PHYSIOLOGIC STUDIES EXT ART 1-2 LVLS 52 MOD | $652.60 | $1,004.00 | $417.65–$1,948.00 | — | 35% |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT SCAN UPPER EXTREMITY WO CONTRAST MATL | $159.25 | $245.00 | $358.90–$899.00 | 87% below | 35% |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT EXT UPPER WO CONT | $1,296.10 | $1,994.00 | $358.90–$899.00 | 3% above | 35% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 CT SCAN UPPER EXTREMITY WO CONTRAST MATL | $159.25 | $245.00 | $358.90–$899.00 | — | 35% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 CT EXT UPPER WO CONT | $1,296.10 | $1,994.00 | $358.90–$899.00 | — | 35% |
| Breast ultrasound, complete, one breast one side CPT 76641 US UNILATERAL BREAST COMPLETE | $622.70 | $958.00 | $403.02–$404.74 | 56% above | 35% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 US UNILATERAL BREAST COMPLETE | $622.70 | $958.00 | $403.02–$404.74 | — | 35% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US UNILATERAL BREAST LIMITED | $436.15 | $671.00 | $275.55–$587.83 | 38% above | 35% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US UNILATERAL BREAST LIMITED | $436.15 | $671.00 | $275.55–$587.83 | — | 35% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA ABD PELVIS W CONTRAST+WO IF PERFORM | $3,751.15 | $5,771.00 | $618.69–$2,437.99 | 47% above | 35% |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CTA ABD PELVIS W CONTRAST+WO IF PERFORM | $3,751.15 | $5,771.00 | $618.69–$2,437.99 | — | 35% |
| CT angiography (CTA) of the head CPT 70496 CTA HEAD W CONT WO IF PERF | $2,112.50 | $3,250.00 | $1,360.44–$1,414.40 | 20% above | 35% |
| CT angiography (CTA) of the head inpatient CPT 70496 CTA HEAD W CONT WO IF PERF | $2,112.50 | $3,250.00 | $1,360.44–$1,414.40 | — | 35% |
| CT angiography (CTA) of the neck CPT 70498 CT ANGIO NECK W CON+WO IF PERF | $2,409.55 | $3,707.00 | $1,551.89–$1,613.29 | 37% above | 35% |
| CT angiography (CTA) of the neck inpatient CPT 70498 CT ANGIO NECK W CON+WO IF PERF | $2,409.55 | $3,707.00 | $1,551.89–$1,613.29 | — | 35% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST WCONT +WO IF PERF | $2,128.10 | $3,274.00 | $1,372.16–$3,178.00 | 17% above | 35% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA CHEST WCONT +WO IF PERF | $2,128.10 | $3,274.00 | $1,372.16–$3,178.00 | — | 35% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD PELVIS WO CONTRAST | $3,066.05 | $4,717.00 | $588.45–$2,052.84 | 48% above | 35% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABD PELVIS WO CONTRAST | $3,066.05 | $4,717.00 | $588.45–$2,052.84 | — | 35% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD PELVIS W CONTRAST | $3,526.90 | $5,426.00 | $618.69–$4,991.92 | 40% above | 35% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD PELVIS W CONTRAST | $3,526.90 | $5,426.00 | $618.69–$4,991.92 | — | 35% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD PELVIS WO THEN W CONT | $3,751.80 | $5,772.00 | $618.69–$3,473.86 | 38% above | 35% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABD PELVIS WO THEN W CONT | $3,751.80 | $5,772.00 | $618.69–$3,473.86 | — | 35% |
| CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN WO CONTRAST | $1,481.35 | $2,279.00 | $717.79 | 26% above | 35% |
| CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN WO CONTRAST | $1,481.35 | $2,279.00 | $717.79 | — | 35% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL WO CONT | $1,387.10 | $2,134.00 | $10.56–$1,863.43 | 9% above | 35% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MAXILLOFACIAL WO CONT | $1,387.10 | $2,134.00 | $10.56–$1,863.43 | — | 35% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD WO CONTRAST | $1,605.50 | $2,470.00 | $6.12–$2,272.40 | 28% above | 35% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD WO CONTRAST | $1,605.50 | $2,470.00 | $6.12–$2,272.40 | — | 35% |
| CT scan of the head without and with contrast CPT 70470 CT HEAD WO THEN W CONTRAST | $1,951.95 | $3,003.00 | $1,306.91 | 23% above | 35% |
| CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD WO THEN W CONTRAST | $1,951.95 | $3,003.00 | $1,306.91 | — | 35% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR SPINE WO CONT | $1,883.70 | $2,898.00 | $358.90–$1,306.92 | 37% above | 35% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT LUMBAR SPINE WO CONT | $1,883.70 | $2,898.00 | $358.90–$1,306.92 | — | 35% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT CERVICAL SPINE WO CONTRAST | $1,758.90 | $2,706.00 | $6.70–$2,489.52 | 23% above | 35% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT CERVICAL SPINE WO CONTRAST | $1,758.90 | $2,706.00 | $6.70–$2,489.52 | — | 35% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 DUP CAROTID BILAT | $861.25 | $1,325.00 | $275.72–$1,260.48 | — | 35% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 DUP CAROTID BILAT | $861.25 | $1,325.00 | $275.72–$1,260.48 | — | 35% |
| Chest X-ray, 2 views CPT 71046 RADIOLOGIC EXAMINIATION, CHEST; 2 VIEWS | $50.05 | $77.00 | $178.81–$359.54 | 78% below | 35% |
| Chest X-ray, 2 views CPT 71046 RAD EXAM CHEST 2 VWS | $276.90 | $426.00 | $178.81–$359.54 | 20% above | 35% |
| Chest X-ray, 2 views inpatient CPT 71046 RADIOLOGIC EXAMINIATION, CHEST; 2 VIEWS | $50.05 | $77.00 | $178.81–$359.54 | — | 35% |
| Chest X-ray, 2 views inpatient CPT 71046 RAD EXAM CHEST 2 VWS | $276.90 | $426.00 | $178.81–$359.54 | — | 35% |
| Chest X-ray, single view CPT 71045 RADIOLOGIC EXAMINATION, CHEST; SINGLE VIEW | $35.75 | $55.00 | $63.25–$295.00 | 82% below | 35% |
| Chest X-ray, single view CPT 71045 RAD EXAM CHEST SINGLE VW | $197.60 | $304.00 | $63.25–$295.00 | 2% below | 35% |
| Chest X-ray, single view inpatient CPT 71045 RADIOLOGIC EXAMINATION, CHEST; SINGLE VIEW | $35.75 | $55.00 | $63.25–$295.00 | — | 35% |
| Chest X-ray, single view inpatient CPT 71045 RAD EXAM CHEST SINGLE VW | $197.60 | $304.00 | $63.25–$295.00 | — | 35% |
| Collarbone (clavicle) X-ray, complete CPT 73000 RAD EXAM CLAVICLE COMPL | $250.25 | $385.00 | $79.97 | 23% above | 35% |
| Collarbone (clavicle) X-ray, complete inpatient CPT 73000 RAD EXAM CLAVICLE COMPL | $250.25 | $385.00 | $79.97 | — | 35% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEUM | $614.90 | $946.00 | $411.70–$615.15 | 19% above | 35% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RETROPERITONEUM | $614.90 | $946.00 | $411.70–$615.15 | — | 35% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 BONE DENSITY DEXA AXIAL SKELET | $741.65 | $1,141.00 | $477.34–$1,049.72 | 98% above | 35% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 BONE DENSITY DEXA AXIAL SKELET | $741.65 | $1,141.00 | $477.34–$1,049.72 | — | 35% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX DIAGNOSTIC WO CONTRAST | $1,606.15 | $2,471.00 | $358.90–$2,207.08 | 27% above | 35% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT THORAX DIAGNOSTIC WO CONTRAST | $1,606.15 | $2,471.00 | $358.90–$2,207.08 | — | 35% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT THORAX DIAGNOSTIC WITH CONTRAST | $202.80 | $312.00 | $1,291.01–$2,837.28 | 86% below | 35% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT THORAX DIAGNOSTIC WITH CONTRAST | $202.80 | $312.00 | $1,291.01–$2,837.28 | — | 35% |
| Diagnostic mammogram, both breasts both sides CPT 77066 DIAGNOSTIC MAMMOGRAPHY, INCL CAD WHEN PERFORMED; BILATERAL | $146.90 | $226.00 | $121.35–$379.27 | — | 35% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MAMMO DX BILAT INCL CAD | $378.95 | $583.00 | $121.35–$379.27 | — | 35% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 DIAGNOSTIC MAMMOGRAPHY, INCL CAD WHEN PERFORMED; BILATERAL | $146.90 | $226.00 | $121.35–$379.27 | — | 35% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MAMMO DX BILAT INCL CAD | $378.95 | $583.00 | $121.35–$379.27 | — | 35% |
| Diagnostic mammogram, one breast one side CPT 77065 DIAGNOSTIC MAMMOGRAPHY, INCL CAD WHEN PERFORMED; UNILATERAL | $159.90 | $246.00 | $190.96–$407.24 | 49% below | 35% |
| Diagnostic mammogram, one breast one side CPT 77065 MAMMO DX UNILAT INCL CAD | $302.25 | $465.00 | $190.96–$407.24 | 3% below | 35% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 DIAGNOSTIC MAMMOGRAPHY, INCL CAD WHEN PERFORMED; UNILATERAL | $159.90 | $246.00 | $190.96–$407.24 | — | 35% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MAMMO DX UNILAT INCL CAD | $302.25 | $465.00 | $190.96–$407.24 | — | 35% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 DUPLEX ART LOWER EXT CMPL BILAT | $865.80 | $1,332.00 | $277.22–$1,189.56 | — | 35% |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 DUPLEX ART LOWER EXT CMPL BILAT | $865.80 | $1,332.00 | $277.22–$1,189.56 | — | 35% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 DUPLEX VENOUS EXT CMPL BILAT | $995.15 | $1,531.00 | $318.60–$995.76 | — | 35% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 DUPLEX VENOUS EXT CMPL BILAT | $995.15 | $1,531.00 | $318.60–$995.76 | — | 35% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO (2D) COMPLETE W DOPPLER & COLOR | $1,376.05 | $2,117.00 | $818.72–$1,730.09 | 5% below | 35% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 ECHO (2D) COMPLETE W DOPPLER & COLOR | $1,376.05 | $2,117.00 | $818.72–$1,730.09 | — | 35% |
| Elbow X-ray, complete, 3 or more views CPT 73080 RADIOLOGIC EXAM ELBOW COMP 3+ VIEWS | $60.45 | $93.00 | $138.11–$293.48 | 74% below | 35% |
| Elbow X-ray, complete, 3 or more views CPT 73080 RAD EXAM ELBOW COMPL MIN 3 VWS | $213.85 | $329.00 | $138.11–$293.48 | 8% below | 35% |
| Elbow X-ray, complete, 3 or more views inpatient CPT 73080 RADIOLOGIC EXAM ELBOW COMP 3+ VIEWS | $60.45 | $93.00 | $138.11–$293.48 | — | 35% |
| Elbow X-ray, complete, 3 or more views inpatient CPT 73080 RAD EXAM ELBOW COMPL MIN 3 VWS | $213.85 | $329.00 | $138.11–$293.48 | — | 35% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 RADIOLOGIC EXAM FACIAL BONES COMP MINIMUM 3 VIEWS | $65.65 | $101.00 | $226.30 | 74% below | 35% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 RAD EXAM FACIAL BONES COMPL MIN 3 VWS | $338.00 | $520.00 | $226.30 | 33% above | 35% |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 RADIOLOGIC EXAM FACIAL BONES COMP MINIMUM 3 VIEWS | $65.65 | $101.00 | $226.30 | — | 35% |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 RAD EXAM FACIAL BONES COMPL MIN 3 VWS | $338.00 | $520.00 | $226.30 | — | 35% |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 RADIOLOGIC EXAM FOREARM 2 VIEWS | $35.75 | $55.00 | $158.11–$336.81 | 82% below | 35% |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 RAD EXAM FOREARM 2 VWS | $250.25 | $385.00 | $158.11–$336.81 | 23% above | 35% |
| Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 RADIOLOGIC EXAM FOREARM 2 VIEWS | $35.75 | $55.00 | $158.11–$336.81 | — | 35% |
| Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 RAD EXAM FOREARM 2 VWS | $250.25 | $385.00 | $158.11–$336.81 | — | 35% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM HEPATOBILIARY IMG INCL GALLBLADDER | $1,103.05 | $1,697.00 | $738.53 | 11% below | 35% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NM HEPATOBILIARY IMG INCL GALLBLADDER | $1,103.05 | $1,697.00 | $738.53 | — | 35% |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 RADIOLOGIC EXAM CALCANEUS 2+ VIEWS | $49.40 | $76.00 | $70.32–$301.76 | 72% below | 35% |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 RAD EXAM CALCANEUS MIN 2 VWS | $213.20 | $328.00 | $70.32–$301.76 | 19% above | 35% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 RADIOLOGIC EXAM CALCANEUS 2+ VIEWS | $49.40 | $76.00 | $70.32–$301.76 | — | 35% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 RAD EXAM CALCANEUS MIN 2 VWS | $213.20 | $328.00 | $70.32–$301.76 | — | 35% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 SLEEP STUDY CPAP PARTIAL M52 | $3,019.25 | $4,645.00 | $966.73–$2,078.95 | 13% below | 35% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 PSG CPAP BIPAP 4+ PARAMETERS | $3,105.05 | $4,777.00 | $966.73–$2,078.95 | 10% below | 35% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 SLEEP STUDY CPAP PARTIAL M52 | $3,019.25 | $4,645.00 | $966.73–$2,078.95 | — | 35% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 PSG CPAP BIPAP 4+ PARAMETERS | $3,105.05 | $4,777.00 | $966.73–$2,078.95 | — | 35% |
| Knee X-ray, 3 views CPT 73562 RADIOLOGIC EXAM KNEE 3 VIEWS | $68.25 | $105.00 | $84.47–$355.77 | 72% below | 35% |
| Knee X-ray, 3 views CPT 73562 RAD EXAM KNEE 3 VWS | $263.90 | $406.00 | $84.47–$355.77 | 8% above | 35% |
| Knee X-ray, 3 views inpatient CPT 73562 RADIOLOGIC EXAM KNEE 3 VIEWS | $68.25 | $105.00 | $84.47–$355.77 | — | 35% |
| Knee X-ray, 3 views inpatient CPT 73562 RAD EXAM KNEE 3 VWS | $263.90 | $406.00 | $84.47–$355.77 | — | 35% |
| Knee X-ray, complete, 4 or more views CPT 73564 RADIOLOGIC EXAM KNEE COMP 4+ VIEWS | $75.40 | $116.00 | $217.60–$224.13 | 73% below | 35% |
| Knee X-ray, complete, 4 or more views CPT 73564 RAD EXAM KNEE COMPL 4 + VWS | $334.75 | $515.00 | $217.60–$224.13 | 19% above | 35% |
| Knee X-ray, complete, 4 or more views inpatient CPT 73564 RADIOLOGIC EXAM KNEE COMP 4+ VIEWS | $75.40 | $116.00 | $217.60–$224.13 | — | 35% |
| Knee X-ray, complete, 4 or more views inpatient CPT 73564 RAD EXAM KNEE COMPL 4 + VWS | $334.75 | $515.00 | $217.60–$224.13 | — | 35% |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT EXT LOWER WO CONT | $1,481.35 | $2,279.00 | $358.90–$991.82 | 13% above | 35% |
| Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 CT EXT LOWER WO CONT | $1,481.35 | $2,279.00 | $358.90–$991.82 | — | 35% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ULTRASOUND ABDOMINAL B-SCAN & OR REAL TIME WIMAGE DOCUMENTATION LTD | $113.10 | $174.00 | $233.87–$604.08 | 74% below | 35% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ED 76705 US ABD LIMITED | $221.00 | $340.00 | $233.87–$604.08 | 50% below | 35% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABD LIMITED | $448.50 | $690.00 | $233.87–$604.08 | 1% above | 35% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 ULTRASOUND ABDOMINAL B-SCAN & OR REAL TIME WIMAGE DOCUMENTATION LTD | $113.10 | $174.00 | $233.87–$604.08 | — | 35% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 ED 76705 US ABD LIMITED | $221.00 | $340.00 | $233.87–$604.08 | — | 35% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABD LIMITED | $448.50 | $690.00 | $233.87–$604.08 | — | 35% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US LMTD JNT OR FOC EVAL REAL TIME WIMAGE DOC | $574.60 | $884.00 | $369.97–$564.78 | 65% above | 35% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 US LMTD JNT OR FOC EVAL REAL TIME WIMAGE DOC | $574.60 | $884.00 | $369.97–$564.78 | — | 35% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT THORAX LW DOSE LUNG CA SCR NO CONTRAST | $247.65 | $381.00 | $463.75–$1,989.96 | 66% below | 35% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT THORAX LW DOSE LUNG CA SCR NO CONTRAST | $247.65 | $381.00 | $463.75–$1,989.96 | — | 35% |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 RADIOLOGIC EXAM TIBIA & FIBULA TWO VIEWS | $44.20 | $68.00 | $73.54–$243.08 | 79% below | 35% |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 RAD EXAM TIBIA FIBULA 2 VWS | $230.10 | $354.00 | $73.54–$243.08 | 8% above | 35% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 RADIOLOGIC EXAM TIBIA & FIBULA TWO VIEWS | $44.20 | $68.00 | $73.54–$243.08 | — | 35% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 RAD EXAM TIBIA FIBULA 2 VWS | $230.10 | $354.00 | $73.54–$243.08 | — | 35% |
| MR angiography (MRA) of the head without contrast CPT 70544 MRA HEAD WO CONTRAST MATL(S) | $267.15 | $411.00 | $588.45–$1,280.36 | 87% below | 35% |
| MR angiography (MRA) of the head without contrast CPT 70544 MRA HEAD WO CONTRAST | $1,912.30 | $2,942.00 | $588.45–$1,280.36 | 10% below | 35% |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA HEAD WO CONTRAST MATL(S) | $267.15 | $411.00 | $588.45–$1,280.36 | — | 35% |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA HEAD WO CONTRAST | $1,912.30 | $2,942.00 | $588.45–$1,280.36 | — | 35% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI ANY JOINT LOWER EXTREMITY WO CONTRAST MATL | $271.05 | $417.00 | $1,176.91–$2,856.00 | 86% below | 35% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI LOWER EXT JT WO CONTRAST | $1,912.30 | $2,942.00 | $1,176.91–$2,856.00 | 3% below | 35% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI ANY JOINT LOWER EXTREMITY WO CONTRAST MATL | $271.05 | $417.00 | $1,176.91–$2,856.00 | — | 35% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI LOWER EXT JT WO CONTRAST | $1,912.30 | $2,942.00 | $1,176.91–$2,856.00 | — | 35% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN WO CONTRAST MATL FOLLOW BY CONTRAST MATL & FURTHER SEQ | $509.60 | $784.00 | $1,237.38–$1,602.41 | 83% below | 35% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN WO THEN W CONT | $2,393.30 | $3,682.00 | $1,237.38–$1,602.41 | 19% below | 35% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ABDOMEN WO CONTRAST MATL FOLLOW BY CONTRAST MATL & FURTHER SEQ | $509.60 | $784.00 | $1,237.38–$1,602.41 | — | 35% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ABDOMEN WO THEN W CONT | $2,393.30 | $3,682.00 | $1,237.38–$1,602.41 | — | 35% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN WO CONTRAST | $2,107.95 | $3,243.00 | $588.45–$1,411.35 | 1% above | 35% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN WO CONTRAST | $2,107.95 | $3,243.00 | $588.45–$1,411.35 | — | 35% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN WO THEN W CONT | $3,002.35 | $4,619.00 | $618.69–$4,048.90 | 7% above | 35% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN WO THEN W CONT | $3,002.35 | $4,619.00 | $618.69–$4,048.90 | — | 35% |
| MRI of the lower back, no contrast dye CPT 72148 MRI L SPINE WO CONTRAST | $2,179.45 | $3,353.00 | $1,176.91–$2,939.15 | 4% above | 35% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI L SPINE WO CONTRAST | $2,179.45 | $3,353.00 | $1,176.91–$2,939.15 | — | 35% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI L SPINE WO THEN W CONT | $3,046.55 | $4,687.00 | $618.69–$2,023.03 | 17% above | 35% |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI L SPINE WO THEN W CONT | $3,046.55 | $4,687.00 | $618.69–$2,023.03 | — | 35% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI T SPINE WO CONTRAST | $2,002.00 | $3,080.00 | $1,176.91–$1,340.53 | 4% below | 35% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI T SPINE WO CONTRAST | $2,002.00 | $3,080.00 | $1,176.91–$1,340.53 | — | 35% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI C SPINE WO THEN W CONT | $2,393.30 | $3,682.00 | $1,237.38 | 5% below | 35% |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI C SPINE WO THEN W CONT | $2,393.30 | $3,682.00 | $1,237.38 | — | 35% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI C SPINE WO CONTRAST | $2,175.55 | $3,347.00 | $588.45–$1,456.61 | 6% above | 35% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI C SPINE WO CONTRAST | $2,175.55 | $3,347.00 | $588.45–$1,456.61 | — | 35% |
| MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS WO CONTRAST MATL FOLLOW BY CONTRAST MATL & FURTHER SEQ | $422.50 | $650.00 | $1,237.38 | 84% below | 35% |
| MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS WO THEN W CONT | $2,393.30 | $3,682.00 | $1,237.38 | 10% below | 35% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS WO CONTRAST MATL FOLLOW BY CONTRAST MATL & FURTHER SEQ | $422.50 | $650.00 | $1,237.38 | — | 35% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS WO THEN W CONT | $2,393.30 | $3,682.00 | $1,237.38 | — | 35% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI ANY JOINT UPPER EXTREMITY WO CONTRAST MATL(S) | $265.85 | $409.00 | $588.45–$3,082.00 | 87% below | 35% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI UPPER EXT JT WO CONTRAST | $2,243.15 | $3,451.00 | $588.45–$3,082.00 | 6% above | 35% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MRI ANY JOINT UPPER EXTREMITY WO CONTRAST MATL(S) | $265.85 | $409.00 | $588.45–$3,082.00 | — | 35% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MRI UPPER EXT JT WO CONTRAST | $2,243.15 | $3,451.00 | $588.45–$3,082.00 | — | 35% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 RADIOLOGIC EXAM SPINE CERVICAL 4-5 VIEWS | $76.05 | $117.00 | $240.67 | 76% below | 35% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 RAD EXAM SPINE CERV 4 OR 5 VWS | $359.45 | $553.00 | $240.67 | 14% above | 35% |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 RADIOLOGIC EXAM SPINE CERVICAL 4-5 VIEWS | $76.05 | $117.00 | $240.67 | — | 35% |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 RAD EXAM SPINE CERV 4 OR 5 VWS | $359.45 | $553.00 | $240.67 | — | 35% |
| Neck soft tissue CT scan with contrast CPT 70491 CT SOFT TISSUE NECK W CONTRAST | $1,849.25 | $2,845.00 | $454.64–$1,238.14 | 37% above | 35% |
| Neck soft tissue CT scan with contrast inpatient CPT 70491 CT SOFT TISSUE NECK W CONTRAST | $1,849.25 | $2,845.00 | $454.64–$1,238.14 | — | 35% |
| Neck soft tissue CT scan without contrast CPT 70490 CT SOFT TISSUE NECK WO CON | $1,481.35 | $2,279.00 | $962.66 | 30% above | 35% |
| Neck soft tissue CT scan without contrast inpatient CPT 70490 CT SOFT TISSUE NECK WO CON | $1,481.35 | $2,279.00 | $962.66 | — | 35% |
| Neck soft tissue X-ray CPT 70360 RADIOLOGIC EXAM NECK SOFT TISSUE | $35.75 | $55.00 | $79.54–$248.61 | 80% below | 35% |
| Neck soft tissue X-ray CPT 70360 RAD EXAM NECK SOFT TISSUE | $248.95 | $383.00 | $79.54–$248.61 | 40% above | 35% |
| Neck soft tissue X-ray inpatient CPT 70360 RADIOLOGIC EXAM NECK SOFT TISSUE | $35.75 | $55.00 | $79.54–$248.61 | — | 35% |
| Neck soft tissue X-ray inpatient CPT 70360 RAD EXAM NECK SOFT TISSUE | $248.95 | $383.00 | $79.54–$248.61 | — | 35% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM MYOCARDIAL SPECT MULT STDY | $2,958.15 | $4,551.00 | $1,907.04–$2,739.16 | 9% above | 35% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM MYOCARDIAL SPECT MULT STDY | $2,958.15 | $4,551.00 | $1,907.04–$2,739.16 | — | 35% |
| Pelvic CT scan without contrast CPT 72192 CT PELVIS WO CONTRAST | $1,467.05 | $2,257.00 | $982.25–$1,116.53 | 10% above | 35% |
| Pelvic CT scan without contrast inpatient CPT 72192 CT PELVIS WO CONTRAST | $1,467.05 | $2,257.00 | $982.25–$1,116.53 | — | 35% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC LIMITED | $333.45 | $513.00 | $223.26 | 1% below | 35% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PELVIC LIMITED | $333.45 | $513.00 | $223.26 | — | 35% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC COMPLETE | $637.65 | $981.00 | $410.50–$859.62 | 30% above | 35% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIC COMPLETE | $637.65 | $981.00 | $410.50–$859.62 | — | 35% |
| Rib X-ray, one side, 2 views one side CPT 71100 RADIOLOGIC EXAM RIBS UNILAT 2 VIEWS | $53.95 | $83.00 | $158.11–$336.81 | 73% below | 35% |
| Rib X-ray, one side, 2 views one side CPT 71100 RAD EXAM RIBS UNILAT 2 VWS | $250.25 | $385.00 | $158.11–$336.81 | 25% above | 35% |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 RADIOLOGIC EXAM RIBS UNILAT 2 VIEWS | $53.95 | $83.00 | $158.11–$336.81 | — | 35% |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 RAD EXAM RIBS UNILAT 2 VWS | $250.25 | $385.00 | $158.11–$336.81 | — | 35% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 RADIOLOGIC EXAM RIBS UNILAT WPOSTEROANTERIOR CHEST 3+ VIEWS | $61.10 | $94.00 | $121.14–$378.60 | 79% below | 35% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 RAD EXAM RIBS UNILAT W CHEST MIN 3 VWS | $378.30 | $582.00 | $121.14–$378.60 | 30% above | 35% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 RADIOLOGIC EXAM RIBS UNILAT WPOSTEROANTERIOR CHEST 3+ VIEWS | $61.10 | $94.00 | $121.14–$378.60 | — | 35% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 RAD EXAM RIBS UNILAT W CHEST MIN 3 VWS | $378.30 | $582.00 | $121.14–$378.60 | — | 35% |
| Screening mammogram, both breasts both sides CPT 77067 MAMMO SCREEN BILAT INCL CAD | $313.95 | $483.00 | $88.63–$468.00 | — | 35% |
| Screening mammogram, both breasts one side CPT 77067 MAMMO SCREEN UNILAT INCL CAD M52 | $313.95 | $483.00 | $88.63–$468.00 | 5% below | 35% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 MAMMO SCREEN BILAT INCL CAD | $313.95 | $483.00 | $88.63–$468.00 | — | 35% |
| Screening mammogram, both breasts inpatient one side CPT 77067 MAMMO SCREEN UNILAT INCL CAD M52 | $313.95 | $483.00 | $88.63–$468.00 | — | 35% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 RADIOLOGIC EXAM SHLDR COMP 2+ VIEWS | $62.40 | $96.00 | $2.00–$392.00 | 73% below | 35% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 RAD EXAM SHOULDER COMPL MIN 2 VWS | $262.60 | $404.00 | $2.00–$392.00 | 13% above | 35% |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 RADIOLOGIC EXAM SHLDR COMP 2+ VIEWS | $62.40 | $96.00 | $2.00–$392.00 | — | 35% |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 RAD EXAM SHOULDER COMPL MIN 2 VWS | $262.60 | $404.00 | $2.00–$392.00 | — | 35% |
| Skull X-ray, fewer than 4 views CPT 70250 RAD EXAM SKULL < 4 VWS | $262.60 | $404.00 | $165.90–$262.67 | 16% above | 35% |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 RAD EXAM SKULL < 4 VWS | $262.60 | $404.00 | $165.90–$262.67 | — | 35% |
| Sleep study in a lab (polysomnography) CPT 95810 SLEEP STUDY PARTIAL 95810 M52 | $2,819.70 | $4,338.00 | $1,729.30–$1,887.90 | 9% below | 35% |
| Sleep study in a lab (polysomnography) CPT 95810 PSG 4+ PARAMETERS | $2,819.70 | $4,338.00 | $1,729.30–$1,887.90 | 9% below | 35% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 SLEEP STUDY PARTIAL 95810 M52 | $2,819.70 | $4,338.00 | $1,729.30–$1,887.90 | — | 35% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 PSG 4+ PARAMETERS | $2,819.70 | $4,338.00 | $1,729.30–$1,887.90 | — | 35% |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 RADIOLOGIC EXAMINATION, FEMUR; MINIMUM 2 VIEWS | $83.85 | $129.00 | $182.83–$303.09 | 63% below | 35% |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 RAD EXAM FEMUR MIN 2 VWS | $284.05 | $437.00 | $182.83–$303.09 | 25% above | 35% |
| Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 RADIOLOGIC EXAMINATION, FEMUR; MINIMUM 2 VIEWS | $83.85 | $129.00 | $182.83–$303.09 | — | 35% |
| Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 RAD EXAM FEMUR MIN 2 VWS | $284.05 | $437.00 | $182.83–$303.09 | — | 35% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 CT THORACIC SPINE WO CONT | $1,748.50 | $2,690.00 | $717.79–$1,213.07 | 30% above | 35% |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT THORACIC SPINE WO CONT | $1,748.50 | $2,690.00 | $717.79–$1,213.07 | — | 35% |
| Toe X-ray, 2 or more views CPT 73660 RADIOLOGIC EXAM TOE(S) 2+ VIEWS | $46.15 | $71.00 | $147.10–$226.48 | 75% below | 35% |
| Toe X-ray, 2 or more views CPT 73660 RAD EXAM TOES MIN 2 VWS | $226.85 | $349.00 | $147.10–$226.48 | 22% above | 35% |
| Toe X-ray, 2 or more views inpatient CPT 73660 RADIOLOGIC EXAM TOE(S) 2+ VIEWS | $46.15 | $71.00 | $147.10–$226.48 | — | 35% |
| Toe X-ray, 2 or more views inpatient CPT 73660 RAD EXAM TOES MIN 2 VWS | $226.85 | $349.00 | $147.10–$226.48 | — | 35% |
| Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL | $761.15 | $1,171.00 | $480.88–$1,022.14 | 90% above | 35% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL | $761.15 | $1,171.00 | $480.88–$1,022.14 | — | 35% |
| Ultrasound of the abdomen, complete CPT 76700 ULTRASOUND ABDOMINAL B-SCAN & OR REAL TIME WIMAGE DOCUMENTATN COMP | $129.35 | $199.00 | $524.62–$1,115.04 | 79% below | 35% |
| Ultrasound of the abdomen, complete CPT 76700 US ABD COMPLETE | $811.85 | $1,249.00 | $524.62–$1,115.04 | 34% above | 35% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 ULTRASOUND ABDOMINAL B-SCAN & OR REAL TIME WIMAGE DOCUMENTATN COMP | $129.35 | $199.00 | $524.62–$1,115.04 | — | 35% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US ABD COMPLETE | $811.85 | $1,249.00 | $524.62–$1,115.04 | — | 35% |
| Ultrasound of the scrotum and testicles CPT 76870 ECHOGRAPHY SCROTUM & CONTENTS | $102.05 | $157.00 | $170.88–$357.30 | 78% below | 35% |
| Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM | $533.65 | $821.00 | $170.88–$357.30 | 17% above | 35% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 ECHOGRAPHY SCROTUM & CONTENTS | $102.05 | $157.00 | $170.88–$357.30 | — | 35% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 US SCROTUM | $533.65 | $821.00 | $170.88–$357.30 | — | 35% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 ULTRASOUND HEAD NECK TISSUES B-SCAN REAL TIME WIMAGE DOCUMENTATION | $110.50 | $170.00 | $214.19–$689.53 | 75% below | 35% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US SOFT TISSUE HEAD NECK | $668.85 | $1,029.00 | $214.19–$689.53 | 49% above | 35% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 ULTRASOUND HEAD NECK TISSUES B-SCAN REAL TIME WIMAGE DOCUMENTATION | $110.50 | $170.00 | $214.19–$689.53 | — | 35% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US SOFT TISSUE HEAD NECK | $668.85 | $1,029.00 | $214.19–$689.53 | — | 35% |
| Upper arm X-ray (humerus), 2 views CPT 73060 RADIOLOGIC EXAM HUMERUS 2+ VIEWS | $47.45 | $73.00 | $166.88–$173.64 | 78% below | 35% |
| Upper arm X-ray (humerus), 2 views CPT 73060 RAD EXAM HUMERUS MIN 2 VWS | $259.35 | $399.00 | $166.88–$173.64 | 22% above | 35% |
| Upper arm X-ray (humerus), 2 views inpatient CPT 73060 RADIOLOGIC EXAM HUMERUS 2+ VIEWS | $47.45 | $73.00 | $166.88–$173.64 | — | 35% |
| Upper arm X-ray (humerus), 2 views inpatient CPT 73060 RAD EXAM HUMERUS MIN 2 VWS | $259.35 | $399.00 | $166.88–$173.64 | — | 35% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 DUPLEX VENOUS EXT LTD UNILAT | $800.15 | $1,231.00 | $535.73–$1,195.00 | 48% above | 35% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 DUPLEX VENOUS EXT LTD UNILAT | $800.15 | $1,231.00 | $535.73–$1,195.00 | — | 35% |
| Wrist X-ray, 2 views CPT 73100 RADIOLOGIC EXAM WRIST 2 VIEWS | $54.60 | $84.00 | $114.57–$118.81 | 72% below | 35% |
| Wrist X-ray, 2 views CPT 73100 RAD EXAM WRIST 2 VWS | $177.45 | $273.00 | $114.57–$118.81 | 10% below | 35% |
| Wrist X-ray, 2 views inpatient CPT 73100 RADIOLOGIC EXAM WRIST 2 VIEWS | $54.60 | $84.00 | $114.57–$118.81 | — | 35% |
| Wrist X-ray, 2 views inpatient CPT 73100 RAD EXAM WRIST 2 VWS | $177.45 | $273.00 | $114.57–$118.81 | — | 35% |
| Wrist X-ray, complete, 3 or more views CPT 73110 RADIOLOGIC EXAM WRIST COMP 3+ VIEWS | $64.35 | $99.00 | $81.69–$344.03 | 72% below | 35% |
| Wrist X-ray, complete, 3 or more views CPT 73110 RAD EXAM WRIST COMPL MIN 3 VWS | $255.45 | $393.00 | $81.69–$344.03 | 12% above | 35% |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 RADIOLOGIC EXAM WRIST COMP 3+ VIEWS | $64.35 | $99.00 | $81.69–$344.03 | — | 35% |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 RAD EXAM WRIST COMPL MIN 3 VWS | $255.45 | $393.00 | $81.69–$344.03 | — | 35% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 X-RAY EXAM, HIP, UNILATERAL, WITH PELVIS WHEN PERFORMED; 2-3 VIEWS | $77.35 | $119.00 | $260.49–$435.26 | 72% below | 35% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 RAD EXAM HIP UNILAT W PELV WHEN PERF 2 OR 3 VWS | $407.55 | $627.00 | $260.49–$435.26 | 47% above | 35% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 X-RAY EXAM, HIP, UNILATERAL, WITH PELVIS WHEN PERFORMED; 2-3 VIEWS | $77.35 | $119.00 | $260.49–$435.26 | — | 35% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 RAD EXAM HIP UNILAT W PELV WHEN PERF 2 OR 3 VWS | $407.55 | $627.00 | $260.49–$435.26 | — | 35% |
| X-ray of the abdomen, 1 view CPT 74018 RADIOLOGIC EXAMINATION, ABDOMEN; 1 VIEW | $35.75 | $55.00 | $77.40–$241.91 | 83% below | 35% |
| X-ray of the abdomen, 1 view CPT 74018 RAD EXAM ABDOMEN 1 VW | $241.80 | $372.00 | $77.40–$241.91 | 15% above | 35% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 RADIOLOGIC EXAMINATION, ABDOMEN; 1 VIEW | $35.75 | $55.00 | $77.40–$241.91 | — | 35% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 RAD EXAM ABDOMEN 1 VW | $241.80 | $372.00 | $77.40–$241.91 | — | 35% |
| X-ray of the finger(s), 2 or more views CPT 73140 RADIOLOGIC EXAM FINGER(S) 2+ VIEWS | $59.15 | $91.00 | $55.74–$246.56 | 70% below | 35% |
| X-ray of the finger(s), 2 or more views CPT 73140 RAD EXAM FINGER(S) MIN 2 VWS | $174.20 | $268.00 | $55.74–$246.56 | 10% below | 35% |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 RADIOLOGIC EXAM FINGER(S) 2+ VIEWS | $59.15 | $91.00 | $55.74–$246.56 | — | 35% |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 RAD EXAM FINGER(S) MIN 2 VWS | $174.20 | $268.00 | $55.74–$246.56 | — | 35% |
| X-ray of the foot, 2 views CPT 73620 RAD EXAM FOOT 2 VWS | $177.45 | $273.00 | $115.33 | 7% below | 35% |
| X-ray of the foot, 2 views inpatient CPT 73620 RAD EXAM FOOT 2 VWS | $177.45 | $273.00 | $115.33 | — | 35% |
| X-ray of the foot, complete, 3 or more views CPT 73630 RADIOLOGIC EXAM FOOT COMP 3+ VIEWS | $56.55 | $87.00 | $82.76–$348.54 | 74% below | 35% |
| X-ray of the foot, complete, 3 or more views CPT 73630 RAD EXAM FOOT MIN 3 VWS | $258.70 | $398.00 | $82.76–$348.54 | 17% above | 35% |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 RADIOLOGIC EXAM FOOT COMP 3+ VIEWS | $56.55 | $87.00 | $82.76–$348.54 | — | 35% |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 RAD EXAM FOOT MIN 3 VWS | $258.70 | $398.00 | $82.76–$348.54 | — | 35% |
| X-ray of the hand, 3 or more views CPT 73130 RADIOLOGIC EXAM HAND 3+ VIEWS | $59.80 | $92.00 | $82.97–$356.04 | 73% below | 35% |
| X-ray of the hand, 3 or more views CPT 73130 RAD EXAM HAND MIN 3 VWS | $259.35 | $399.00 | $82.97–$356.04 | 18% above | 35% |
| X-ray of the hand, 3 or more views inpatient CPT 73130 RADIOLOGIC EXAM HAND 3+ VIEWS | $59.80 | $92.00 | $82.97–$356.04 | — | 35% |
| X-ray of the hand, 3 or more views inpatient CPT 73130 RAD EXAM HAND MIN 3 VWS | $259.35 | $399.00 | $82.97–$356.04 | — | 35% |
| X-ray of the knee, 1 or 2 views CPT 73560 RADIOLOGIC EXAM KNEE 1 2 VIEWS | $54.60 | $84.00 | $84.69–$209.42 | 75% below | 35% |
| X-ray of the knee, 1 or 2 views CPT 73560 RAD EXAM KNEE 1 OR 2 VWS | $264.55 | $407.00 | $84.69–$209.42 | 19% above | 35% |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 RADIOLOGIC EXAM KNEE 1 2 VIEWS | $54.60 | $84.00 | $84.69–$209.42 | — | 35% |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 RAD EXAM KNEE 1 OR 2 VWS | $264.55 | $407.00 | $84.69–$209.42 | — | 35% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 RADIOLOGIC EXAM SPINE LUMBOSACRAL 2 OR 3 VIEWS | $69.55 | $107.00 | $100.77–$424.39 | 73% below | 35% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 RAD EXAM SPINE LUMB 2 OR 3 VWS | $315.25 | $485.00 | $100.77–$424.39 | 23% above | 35% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 RADIOLOGIC EXAM SPINE LUMBOSACRAL 2 OR 3 VIEWS | $69.55 | $107.00 | $100.77–$424.39 | — | 35% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 RAD EXAM SPINE LUMB 2 OR 3 VWS | $315.25 | $485.00 | $100.77–$424.39 | — | 35% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 RADIOLOGIC EXAM SPINE THORACIC 2 VIEWS | $62.40 | $96.00 | $75.90–$155.76 | 73% below | 35% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 RAD EXAM SPINE THOR 2 VWS | $230.10 | $354.00 | $75.90–$155.76 | 2% below | 35% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 RADIOLOGIC EXAM SPINE THORACIC 2 VIEWS | $62.40 | $96.00 | $75.90–$155.76 | — | 35% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 RAD EXAM SPINE THOR 2 VWS | $230.10 | $354.00 | $75.90–$155.76 | — | 35% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 RADIOLOGIC EXAM NECK SPINE 2-3 VIEWS | $65.65 | $101.00 | $207.61–$405.96 | 73% below | 35% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 RAD EXAM SPINE CERV 2 OR 3 VWS | $322.40 | $496.00 | $207.61–$405.96 | 30% above | 35% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 RADIOLOGIC EXAM NECK SPINE 2-3 VIEWS | $65.65 | $101.00 | $207.61–$405.96 | — | 35% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 RAD EXAM SPINE CERV 2 OR 3 VWS | $322.40 | $496.00 | $207.61–$405.96 | — | 35% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 RADIOLOGIC EXAM PELVIS 1 OR 2 VIEWS | $52.00 | $80.00 | $147.91–$325.68 | 76% below | 35% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 RAD EXAM PELVIS 1 OR 2 VWS | $230.10 | $354.00 | $147.91–$325.68 | 4% above | 35% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 RADIOLOGIC EXAM PELVIS 1 OR 2 VIEWS | $52.00 | $80.00 | $147.91–$325.68 | — | 35% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 RAD EXAM PELVIS 1 OR 2 VWS | $230.10 | $354.00 | $147.91–$325.68 | — | 35% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 RADIOLOGIC EXAM SACRUM & COCCYX 2+ VIEWS | $48.75 | $75.00 | $175.70–$182.78 | 78% below | 35% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 RAD EXAM SACRUM COCCYX MIN 2 VWS | $273.00 | $420.00 | $175.70–$182.78 | 23% above | 35% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 RADIOLOGIC EXAM SACRUM & COCCYX 2+ VIEWS | $48.75 | $75.00 | $175.70–$182.78 | — | 35% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 RAD EXAM SACRUM COCCYX MIN 2 VWS | $273.00 | $420.00 | $175.70–$182.78 | — | 35% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Minnesota | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 ADRENOCORTICOTROPIC HORMONE ACTH SO 82024.900 | $153.40 | $236.00 | $96.91–$206.78 | 48% above | 35% |
| ACTH blood test inpatient CPT 82024 ADRENOCORTICOTROPIC HORMONE ACTH SO 82024.900 | $153.40 | $236.00 | $96.91–$206.78 | — | 35% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 TRANSFERASE ALANINE AMINO ALT SGPT 84460 | $79.30 | $122.00 | $50.89–$106.55 | 63% above | 35% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 TRANSFERASE ALANINE AMINO ALT SGPT 84460 | $79.30 | $122.00 | $50.89–$106.55 | — | 35% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 AST 84450 | $72.80 | $112.00 | $46.57–$97.52 | 50% above | 35% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST 84450 | $72.80 | $112.00 | $46.57–$97.52 | — | 35% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL 80074 | $118.30 | $182.00 | $37.73–$117.94 | 49% below | 35% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 ACUTE HEPATITIS PANEL 80074 | $118.30 | $182.00 | $37.73–$117.94 | — | 35% |
| Albumin blood test CPT 82040 ALBUMIN SERUM PLASMA WHOLE BLOOD 82040.903 | $46.80 | $72.00 | $51.75–$80.41 | 64% above | 35% |
| Albumin blood test CPT 82040 ALBUMIN SERUM 82040 | $80.60 | $124.00 | $51.75–$80.41 | 182% above | 35% |
| Albumin blood test inpatient CPT 82040 ALBUMIN SERUM PLASMA WHOLE BLOOD 82040.903 | $46.80 | $72.00 | $51.75–$80.41 | — | 35% |
| Albumin blood test inpatient CPT 82040 ALBUMIN SERUM 82040 | $80.60 | $124.00 | $51.75–$80.41 | — | 35% |
| Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSPHATASE FOR ISOENZYMES 84075.900 | $83.20 | $128.00 | $53.47–$55.19 | 119% above | 35% |
| Alkaline phosphatase (ALP) blood test CPT 84075 PHOSPHATASE ALKALINE 84075 | $83.20 | $128.00 | $53.47–$55.19 | 119% above | 35% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALKALINE PHOSPHATASE FOR ISOENZYMES 84075.900 | $83.20 | $128.00 | $53.47–$55.19 | — | 35% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 PHOSPHATASE ALKALINE 84075 | $83.20 | $128.00 | $53.47–$55.19 | — | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERG RASPBERRY SO 86003.941 | $20.80 | $32.00 | $7.08–$22.43 | 5% above | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERG MUSTARD FOOD SO 86003.917 | $20.80 | $32.00 | $7.08–$22.43 | 5% above | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERG MUSHROOM SO 86003.916 | $20.80 | $32.00 | $7.08–$22.43 | 5% above | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERG BASIL SO 86003.948 | $20.80 | $32.00 | $7.08–$22.43 | 5% above | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERG BLUEBERRY SO 86003.937 | $20.80 | $32.00 | $7.08–$22.43 | 5% above | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERG VANILLA SO 86003.947 | $20.80 | $32.00 | $7.08–$22.43 | 5% above | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN ON PANEL 86003 | $22.10 | $34.00 | $7.08–$22.43 | 12% above | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE CRUDE ALLERGEN EXTRACT EACH 86003 | $22.10 | $34.00 | $7.08–$22.43 | 12% above | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALERGEN SPEC IGE QNT SO 86003 | $30.55 | $47.00 | $7.08–$22.43 | 55% above | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERG BASIL SO 86003.948 | $20.80 | $32.00 | $7.08–$22.43 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERG MUSTARD FOOD SO 86003.917 | $20.80 | $32.00 | $7.08–$22.43 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERG MUSHROOM SO 86003.916 | $20.80 | $32.00 | $7.08–$22.43 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERG VANILLA SO 86003.947 | $20.80 | $32.00 | $7.08–$22.43 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERG RASPBERRY SO 86003.941 | $20.80 | $32.00 | $7.08–$22.43 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERG BLUEBERRY SO 86003.937 | $20.80 | $32.00 | $7.08–$22.43 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN ON PANEL 86003 | $22.10 | $34.00 | $7.08–$22.43 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE CRUDE ALLERGEN EXTRACT EACH 86003 | $22.10 | $34.00 | $7.08–$22.43 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALERGEN SPEC IGE QNT SO 86003 | $30.55 | $47.00 | $7.08–$22.43 | — | 35% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 MATERNAL AFP SO 82105.900 | $104.65 | $161.00 | $104.53 | 117% above | 35% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA-FETOPROTEIN SERUM 82105 | $104.65 | $161.00 | $104.53 | 117% above | 35% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 MATERNAL AFP SO 82105.900 | $104.65 | $161.00 | $104.53 | — | 35% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA-FETOPROTEIN SERUM 82105 | $104.65 | $161.00 | $104.53 | — | 35% |
| Ammonia blood test CPT 82140 AMMONIA 82140 | $59.80 | $92.00 | $39.67–$41.00 | 25% below | 35% |
| Ammonia blood test inpatient CPT 82140 AMMONIA 82140 | $59.80 | $92.00 | $39.67–$41.00 | — | 35% |
| Amylase blood test CPT 82150 AMYLASE 82150 | $97.50 | $150.00 | $31.09–$138.00 | 48% above | 35% |
| Amylase blood test inpatient CPT 82150 AMYLASE 82150 | $97.50 | $150.00 | $31.09–$138.00 | — | 35% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITR PEP AB(CCP) 86200 | $78.00 | $120.00 | $50.02 | 46% above | 35% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITR PEP AB(CCP) 86200 | $78.00 | $120.00 | $50.02 | — | 35% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODY SCRE86038 | $52.00 | $80.00 | $33.20–$73.60 | 2% above | 35% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR ANTIBODY SCRE86038 | $52.00 | $80.00 | $33.20–$73.60 | — | 35% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NT-PRO B-TYPE NATRIURETIC PEPTIDE 83880.900 | $191.10 | $294.00 | $122.89–$285.00 | 28% above | 35% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE 83880 | $191.10 | $294.00 | $122.89–$285.00 | 28% above | 35% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NT-PRO B-TYPE NATRIURETIC PEPTIDE 83880.900 | $191.10 | $294.00 | $122.89–$285.00 | — | 35% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NATRIURETIC PEPTIDE 83880 | $191.10 | $294.00 | $122.89–$285.00 | — | 35% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE: BACT RESPITOR 87070 | $93.60 | $144.00 | $62.09–$93.14 | 36% above | 35% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE: BACT OTHER 87070 | $93.60 | $144.00 | $62.09–$93.14 | 36% above | 35% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE: BACT RESPITOR 87070 | $93.60 | $144.00 | $62.09–$93.14 | — | 35% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE: BACT OTHER 87070 | $93.60 | $144.00 | $62.09–$93.14 | — | 35% |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL 80048 | $101.40 | $156.00 | $58.79–$156.00 | 3% above | 35% |
| Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL 80048 | $101.40 | $156.00 | $58.79–$156.00 | — | 35% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 PROSTATE BIOPSY 88305 | $37.70 | $58.00 | $81.93–$699.20 | 72% below | 35% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURGICAL PATH LEVEL IV 88305 | $127.40 | $196.00 | $81.93–$699.20 | 6% below | 35% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 PROSTATE BIOPSY 88305 | $37.70 | $58.00 | $81.93–$699.20 | — | 35% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 SURGICAL PATH LEVEL IV 88305 | $127.40 | $196.00 | $81.93–$699.20 | — | 35% |
| Blood culture for bacteria CPT 87040 CULTURE BACTERIAL BLOOD AEROBIC W/ID ISOLATES 87040 | $130.65 | $201.00 | $84.08–$195.00 | 12% above | 35% |
| Blood culture for bacteria inpatient CPT 87040 CULTURE BACTERIAL BLOOD AEROBIC W/ID ISOLATES 87040 | $130.65 | $201.00 | $84.08–$195.00 | — | 35% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE 36415 | $20.15 | $31.00 | $12.94–$31.00 | 4% below | 35% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE 36415 | $20.15 | $31.00 | $12.94–$31.00 | — | 35% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE QUANT BLOOD (EXCEPT REAGENT STRIP) 82947 | $45.50 | $70.00 | $44.89 | 1% below | 35% |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE QUANT BLOOD (EXCEPT REAGENT STRIP) 82947 | $45.50 | $70.00 | $44.89 | — | 35% |
| Blood lead test CPT 83655 LEAD 24 HR URINE 83655.901 | $9.10 | $14.00 | $53.02–$69.02 | 80% below | 35% |
| Blood lead test CPT 83655 LEAD BLOOD 83655.900 | $66.95 | $103.00 | $53.02–$69.02 | 45% above | 35% |
| Blood lead test CPT 83655 LEAD 83655 | $66.95 | $103.00 | $53.02–$69.02 | 45% above | 35% |
| Blood lead test CPT 83655 LEAD BLOOD VENOUS 83655.904 | $66.95 | $103.00 | $53.02–$69.02 | 45% above | 35% |
| Blood lead test inpatient CPT 83655 LEAD 24 HR URINE 83655.901 | $9.10 | $14.00 | $53.02–$69.02 | — | 35% |
| Blood lead test inpatient CPT 83655 LEAD 83655 | $66.95 | $103.00 | $53.02–$69.02 | — | 35% |
| Blood lead test inpatient CPT 83655 LEAD BLOOD 83655.900 | $66.95 | $103.00 | $53.02–$69.02 | — | 35% |
| Blood lead test inpatient CPT 83655 LEAD BLOOD VENOUS 83655.904 | $66.95 | $103.00 | $53.02–$69.02 | — | 35% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG QUAL 84703 | $66.30 | $102.00 | $21.23–$89.39 | 5% below | 35% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG QUAL 84703 | $66.30 | $102.00 | $21.23–$89.39 | — | 35% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING SEROLOGIC ABO 86900 | $37.70 | $58.00 | $12.01–$53.36 | 29% below | 35% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BLOOD TYPING SEROLOGIC ABO 86900 | $37.70 | $58.00 | $12.01–$53.36 | — | 35% |
| Blood urea nitrogen (BUN) test CPT 84520 UREA NITROGEN QUANTITATIVE 84520 | $74.10 | $114.00 | $47.44–$49.16 | 65% above | 35% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 UREA NITROGEN QUANTITATIVE 84520 | $74.10 | $114.00 | $47.44–$49.16 | — | 35% |
| C-peptide blood test CPT 84681 ASSAY OF C PEPTIDE 84681 | $85.80 | $132.00 | $56.92–$85.77 | 4% above | 35% |
| C-peptide blood test inpatient CPT 84681 ASSAY OF C PEPTIDE 84681 | $85.80 | $132.00 | $56.92–$85.77 | — | 35% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C REACTIVE PROTEIN QUANT 86140 | $74.75 | $115.00 | $23.80–$111.00 | 21% above | 35% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C REACTIVE PROTEIN QUANT 86140 | $74.75 | $115.00 | $23.80–$111.00 | — | 35% |
| C. difficile toxin gene test (stool PCR) CPT 87493 INF AGENT DET NUCLEIC ACID CLOSTRIDIUM AMP PROBE 87493 | $123.50 | $190.00 | $79.34–$84.76 | 7% below | 35% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 INF AGENT DET NUCLEIC ACID CLOSTRIDIUM AMP PROBE 87493 | $123.50 | $190.00 | $79.34–$84.76 | — | 35% |
| CA 19-9 blood test (tumor marker) CPT 86301 CDMR CA 19-9PANCREATIC CANCER86301 | $98.80 | $152.00 | $132.74 | 3% below | 35% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 CDMR CA 19-9PANCREATIC CANCER86301 | $98.80 | $152.00 | $132.74 | — | 35% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CDMR CA 125 86304 | $100.75 | $155.00 | $64.68 | 1% below | 35% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CDMR CA 125 86304 | $100.75 | $155.00 | $64.68 | — | 35% |
| Calcium blood test, total CPT 82310 CALCIUM TOTAL 82310 | $74.10 | $114.00 | $47.43–$49.16 | 55% above | 35% |
| Calcium blood test, total inpatient CPT 82310 CALCIUM TOTAL 82310 | $74.10 | $114.00 | $47.43–$49.16 | — | 35% |
| Carcinoembryonic antigen (CEA) test CPT 82378 CDMR CARCINOEMBRYONIC ANTIGEN (CEA) 82378 | $118.95 | $183.00 | $76.32–$78.91 | 19% above | 35% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CDMR CARCINOEMBRYONIC ANTIGEN (CEA) 82378 | $118.95 | $183.00 | $76.32–$78.91 | — | 35% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 INFECT AGNT NUCLEIC ACID DNA RNA CHLAMYDIA TRACH AMPLIF PROBE 87491 | $185.90 | $286.00 | $59.39–$191.64 | 97% above | 35% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 INFECT AGNT NUCLEIC ACID DNA RNA CHLAMYDIA TRACH AMPLIF PROBE 87491 | $185.90 | $286.00 | $59.39–$191.64 | — | 35% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL 80061 | $94.90 | $146.00 | $47.59–$138.18 | 1% above | 35% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL 80061 | $94.90 | $146.00 | $47.59–$138.18 | — | 35% |
| Complete blood count (CBC) with differential CPT 85025 COMPLETE CBC W/AUTO DIFF WBC 85025 | $91.65 | $141.00 | $41.99–$141.00 | 10% above | 35% |
| Complete blood count (CBC) with differential inpatient CPT 85025 COMPLETE CBC W/AUTO DIFF WBC 85025 | $91.65 | $141.00 | $41.99–$141.00 | — | 35% |
| Complete blood count (CBC), no differential CPT 85027 BLOOD COUNT COMPLETE AUTOMATED 85027 | $57.20 | $88.00 | $37.95–$76.75 | 13% below | 35% |
| Complete blood count (CBC), no differential inpatient CPT 85027 BLOOD COUNT COMPLETE AUTOMATED 85027 | $57.20 | $88.00 | $37.95–$76.75 | — | 35% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL 80053 | $141.70 | $218.00 | $75.59–$211.00 | 31% above | 35% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL 80053 | $141.70 | $218.00 | $75.59–$211.00 | — | 35% |
| Cortisol blood test, total CPT 82533 CORTISOL SALIVA 82533.900 | $42.90 | $66.00 | $49.59–$77.06 | 20% below | 35% |
| Cortisol blood test, total CPT 82533 CORTISOL TOTAL 82533 | $77.35 | $119.00 | $49.59–$77.06 | 44% above | 35% |
| Cortisol blood test, total inpatient CPT 82533 CORTISOL SALIVA 82533.900 | $42.90 | $66.00 | $49.59–$77.06 | — | 35% |
| Cortisol blood test, total inpatient CPT 82533 CORTISOL TOTAL 82533 | $77.35 | $119.00 | $49.59–$77.06 | — | 35% |
| Creatine kinase (CK) blood test, total CPT 82550 CPK 82550 | $87.10 | $134.00 | $56.06–$87.11 | 47% above | 35% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 CPK 82550 | $87.10 | $134.00 | $56.06–$87.11 | — | 35% |
| Creatinine blood test CPT 82565 CREATININE BLOOD 82565 | $72.80 | $112.00 | $46.57–$71.09 | 50% above | 35% |
| Creatinine blood test inpatient CPT 82565 CREATININE BLOOD 82565 | $72.80 | $112.00 | $46.57–$71.09 | — | 35% |
| D-dimer blood test (blood clot marker) CPT 85379 FIBRIN DEGRADATION PRODUCTS D-DIMER QUANT 85379 | $124.80 | $192.00 | $78.84–$186.00 | 24% above | 35% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 FIBRIN DEGRADATION PRODUCTS D-DIMER QUANT 85379 | $124.80 | $192.00 | $78.84–$186.00 | — | 35% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA SULFATE 82627 | $128.05 | $197.00 | $40.95–$127.98 | 122% above | 35% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA SULFATE 82627 | $128.05 | $197.00 | $40.95–$127.98 | — | 35% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 COMPLIANCE UR DRUG SCR 80307 | $190.45 | $293.00 | $126.34–$190.30 | 166% above | 35% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 COMPLIANCE DRUG SCREEN SO 80307.28 | $190.45 | $293.00 | $126.34–$190.30 | 166% above | 35% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 COMPLIANCE DRUG SCREEN SO 80307.28 | $190.45 | $293.00 | $126.34–$190.30 | — | 35% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 COMPLIANCE UR DRUG SCR 80307 | $190.45 | $293.00 | $126.34–$190.30 | — | 35% |
| Estradiol blood test CPT 82670 ESTRADIOL 82670.900 | $54.60 | $84.00 | $113.42–$354.48 | 18% below | 35% |
| Estradiol blood test CPT 82670 ESTRADIOL TOTAL 82670 | $354.25 | $545.00 | $113.42–$354.48 | 434% above | 35% |
| Estradiol blood test inpatient CPT 82670 ESTRADIOL 82670.900 | $54.60 | $84.00 | $113.42–$354.48 | — | 35% |
| Estradiol blood test inpatient CPT 82670 ESTRADIOL TOTAL 82670 | $354.25 | $545.00 | $113.42–$354.48 | — | 35% |
| FSH (follicle-stimulating hormone) test CPT 83001 GONADOTROPIN FOLLICLE STIMULATING HORMONE (FSH) 83001 | $74.10 | $114.00 | $23.58–$73.71 | 11% below | 35% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 GONADOTROPIN FOLLICLE STIMULATING HORMONE (FSH) 83001 | $74.10 | $114.00 | $23.58–$73.71 | — | 35% |
| Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN 83993 | $212.55 | $327.00 | $134.28–$212.42 | 123% above | 35% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN 83993 | $212.55 | $327.00 | $134.28–$212.42 | — | 35% |
| Ferritin blood test (iron stores) CPT 82728 ASSAY OF FERRITIN 82728 | $106.60 | $164.00 | $68.56–$146.28 | 13% above | 35% |
| Ferritin blood test (iron stores) inpatient CPT 82728 ASSAY OF FERRITIN 82728 | $106.60 | $164.00 | $68.56–$146.28 | — | 35% |
| Folate (folic acid) blood test CPT 82746 FOLATE 82746 | $100.75 | $155.00 | $64.68–$126.60 | 18% above | 35% |
| Folate (folic acid) blood test inpatient CPT 82746 FOLATE 82746 | $100.75 | $155.00 | $64.68–$126.60 | — | 35% |
| Free T3 thyroid hormone test CPT 84481 T3 FREE 84481 | $131.30 | $202.00 | $42.02–$131.33 | 27% above | 35% |
| Free T3 thyroid hormone test inpatient CPT 84481 T3 FREE 84481 | $131.30 | $202.00 | $42.02–$131.33 | — | 35% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 ASSAY OF FREE THYROXINE 84439 | $77.35 | $119.00 | $24.66–$103.85 | 12% above | 35% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 ASSAY OF FREE THYROXINE 84439 | $77.35 | $119.00 | $24.66–$103.85 | — | 35% |
| Free testosterone test CPT 84402 TESTOSTERONE FREE 84402.900 | $39.00 | $60.00 | $25.87–$165.24 | 38% below | 35% |
| Free testosterone test CPT 84402 TESTOSTERONE FREE MEASURED 84402.901 | $39.00 | $60.00 | $25.87–$165.24 | 38% below | 35% |
| Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE MEASURED 84402.901 | $39.00 | $60.00 | $25.87–$165.24 | — | 35% |
| Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE 84402.900 | $39.00 | $60.00 | $25.87–$165.24 | — | 35% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 ASSAY OF GLUTAMYLTRASE GAMMA GGT 82977 | $39.65 | $61.00 | $12.65–$39.53 | 14% below | 35% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 ASSAY OF GLUTAMYLTRASE GAMMA GGT 82977 | $39.65 | $61.00 | $12.65–$39.53 | — | 35% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL | $260.65 | $401.00 | $83.40–$357.88 | 1% above | 35% |
| General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 GENERAL HEALTH PANEL | $260.65 | $401.00 | $83.40–$357.88 | — | 35% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 INFECT AGNT NUCLEIC ACID DNA RNA NEISSERIA GONORRHOEAE AMPLIF PROBE 87591 | $131.95 | $203.00 | $42.24–$136.03 | 53% above | 35% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 INFECT AGNT NUCLEIC ACID DNA RNA NEISSERIA GONORRHOEAE AMPLIF PROBE 87591 | $131.95 | $203.00 | $42.24–$136.03 | — | 35% |
| H. pylori stool antigen test CPT 87338 H PYLORI AG STOOL 87338 | $124.15 | $191.00 | $75.97–$123.96 | 14% above | 35% |
| H. pylori stool antigen test inpatient CPT 87338 H PYLORI AG STOOL 87338 | $124.15 | $191.00 | $75.97–$123.96 | — | 35% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1 AG WHIV-1 & HIV-2 AB 87389/G0475 | $79.95 | $123.00 | $25.51–$107.45 | 5% above | 35% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV-1 AG WHIV-1 & HIV-2 AB 87389/G0475 | $79.95 | $123.00 | $25.51–$107.45 | — | 35% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV MRNA E6E7 VAGINAL REFLEX HPV 16/18/45 87624.901 | $107.25 | $165.00 | $73.30–$156.40 | 16% below | 35% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 INFECT AGNT DNA HUMAN PAPILLOMAVIRUS HIGH-RISK TYPES 87624 | $114.40 | $176.00 | $73.30–$156.40 | 10% below | 35% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV MRNA E6E7 VAGINAL REFLEX HPV 16/18/45 87624.901 | $107.25 | $165.00 | $73.30–$156.40 | — | 35% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 INFECT AGNT DNA HUMAN PAPILLOMAVIRUS HIGH-RISK TYPES 87624 | $114.40 | $176.00 | $73.30–$156.40 | — | 35% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN GLYCOSYLATED A1C 83036 | $66.30 | $102.00 | $39.19–$97.02 | 5% above | 35% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN GLYCOSYLATED A1C 83036 | $66.30 | $102.00 | $39.19–$97.02 | — | 35% |
| Hemoglobin blood test CPT 85018 BLOOD COUNT HEMOGLOBIN 85018 | $39.00 | $60.00 | $12.86–$38.86 | 17% above | 35% |
| Hemoglobin blood test CPT 85018 BLOOD COUNT HEMOGLOBIN | $44.20 | $68.00 | $12.86–$38.86 | 33% above | 35% |
| Hemoglobin blood test inpatient CPT 85018 BLOOD COUNT HEMOGLOBIN 85018 | $39.00 | $60.00 | $12.86–$38.86 | — | 35% |
| Hemoglobin blood test inpatient CPT 85018 BLOOD COUNT HEMOGLOBIN | $44.20 | $68.00 | $12.86–$38.86 | — | 35% |
| Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE ANTIBODY HBCAB TOTAL 86704 | $72.15 | $111.00 | $74.38–$98.44 | 2% above | 35% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 HEPATITIS B CORE ANTIBODY HBCAB TOTAL 86704 | $72.15 | $111.00 | $74.38–$98.44 | — | 35% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE ANTIBODY (HBSAB) 86706 | $72.15 | $111.00 | $74.38–$98.44 | 1% above | 35% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURFACE ANTIBODY (HBSAB) 86706 | $72.15 | $111.00 | $74.38–$98.44 | — | 35% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 INFECT AGNT ATGN DETECT IA HEPATITIS B SURFACE ANTIGEN 87340 | $59.80 | $92.00 | $61.64 | 4% above | 35% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 INFECT AGNT ATGN DETECT IA HEPATITIS B SURFACE ANTIGEN 87340 | $59.80 | $92.00 | $61.64 | — | 35% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY 86803 | $53.30 | $82.00 | $16.94–$71.33 | 37% below | 35% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C ANTIBODY 86803 | $53.30 | $82.00 | $16.94–$71.33 | — | 35% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 INFECT AGNT DETECT NUC ACID HEP C QUANT 87522 | $331.50 | $510.00 | $213.45–$219.91 | 158% above | 35% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 INFECT AGNT DETECT NUC ACID HEP C QUANT 87522 | $331.50 | $510.00 | $213.45–$219.91 | — | 35% |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLX VIR1 IGG 86695 | $51.35 | $79.00 | $50.92 | 9% above | 35% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLX VIR1 IGG 86695 | $51.35 | $79.00 | $50.92 | — | 35% |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SMPLX VIR 2 IGG 86696 | $51.35 | $79.00 | $50.92 | 10% below | 35% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SMPLX VIR 2 IGG 86696 | $51.35 | $79.00 | $50.92 | — | 35% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN HISEN 86141 | $55.25 | $85.00 | $36.65–$54.94 | 26% below | 35% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C-REACTIVE PROTEIN HISEN 86141 | $55.25 | $85.00 | $36.65–$54.94 | — | 35% |
| Insulin blood test CPT 83525 INSULIN LEVEL 83525 | $49.40 | $76.00 | $48.91–$65.92 | 12% below | 35% |
| Insulin blood test inpatient CPT 83525 INSULIN LEVEL 83525 | $49.40 | $76.00 | $48.91–$65.92 | — | 35% |
| Iron blood test (serum iron) CPT 83540 IRON 83540 | $66.95 | $103.00 | $39.51–$92.00 | 29% above | 35% |
| Iron blood test (serum iron) inpatient CPT 83540 IRON 83540 | $66.95 | $103.00 | $39.51–$92.00 | — | 35% |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY 83550 | $57.85 | $89.00 | $37.08–$79.12 | 11% below | 35% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CAPACITY 83550 | $57.85 | $89.00 | $37.08–$79.12 | — | 35% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL 80069 | $101.40 | $156.00 | $32.37–$101.18 | 4% below | 35% |
| Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL 80069 | $101.40 | $156.00 | $32.37–$101.18 | — | 35% |
| LH (luteinizing hormone) test CPT 83002 GONADOTROPIN LUTEINIZING HORMONE (LH) 83002 | $74.10 | $114.00 | $73.71 | 11% below | 35% |
| LH (luteinizing hormone) test inpatient CPT 83002 GONADOTROPIN LUTEINIZING HORMONE (LH) 83002 | $74.10 | $114.00 | $73.71 | — | 35% |
| Lactate (lactic acid) blood test CPT 83605 LACTATE (LACTIC ACID) 83605 | $102.70 | $158.00 | $32.80–$149.94 | 27% above | 35% |
| Lactate (lactic acid) blood test inpatient CPT 83605 LACTATE (LACTIC ACID) 83605 | $102.70 | $158.00 | $32.80–$149.94 | — | 35% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE DEHYDROGENASE (LD) (LDH) 83615 | $31.85 | $49.00 | $21.13–$43.24 | 30% below | 35% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LACTATE DEHYDROGENASE (LD) (LDH) 83615 | $31.85 | $49.00 | $21.13–$43.24 | — | 35% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE 83690 | $107.25 | $165.00 | $34.30–$160.00 | 60% above | 35% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE 83690 | $107.25 | $165.00 | $34.30–$160.00 | — | 35% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL 80076 | $102.70 | $158.00 | $35.27–$149.94 | 1% above | 35% |
| Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL 80076 | $102.70 | $158.00 | $35.27–$149.94 | — | 35% |
| Lyme disease antibody test CPT 86618 LYMES TOTAL 86618 | $78.00 | $120.00 | $24.87 | 19% above | 35% |
| Lyme disease antibody test inpatient CPT 86618 LYMES TOTAL 86618 | $78.00 | $120.00 | $24.87 | — | 35% |
| Magnesium blood test CPT 83735 MAGNESIUM FECES 83735.901 | $24.70 | $38.00 | $18.65–$85.26 | 41% below | 35% |
| Magnesium blood test CPT 83735 MAGNESIUM RBC SO 83735.900 | $57.20 | $88.00 | $18.65–$85.26 | 38% above | 35% |
| Magnesium blood test CPT 83735 MAGNESIUM 83735 | $58.50 | $90.00 | $18.65–$85.26 | 41% above | 35% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM FECES 83735.901 | $24.70 | $38.00 | $18.65–$85.26 | — | 35% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM RBC SO 83735.900 | $57.20 | $88.00 | $18.65–$85.26 | — | 35% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM 83735 | $58.50 | $90.00 | $18.65–$85.26 | — | 35% |
| Mono test (heterophile antibody, Monospot) CPT 86308 MONOSCREEN 86308 | $58.50 | $90.00 | $19.30–$58.29 | 14% above | 35% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONOSCREEN 86308 | $58.50 | $90.00 | $19.30–$58.29 | — | 35% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE 84154 | $112.45 | $173.00 | $74.60–$111.90 | 95% above | 35% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA FREE 84154 | $112.45 | $173.00 | $74.60–$111.90 | — | 35% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 CDMR ASSAY OF PSA TOTAL 84153 | $100.10 | $154.00 | $31.95–$134.54 | 14% above | 35% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 CDMR ASSAY OF PSA TOTAL 84153 | $100.10 | $154.00 | $31.95–$134.54 | — | 35% |
| Pap test (liquid-based, automated screening with review) CPT 88175 CYTO CERV THN AUTO 88175 | $58.50 | $90.00 | $18.65–$38.81 | 31% below | 35% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 CYTO CERV THN AUTO 88175 | $58.50 | $90.00 | $18.65–$38.81 | — | 35% |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH INTACT 83970 | $172.90 | $266.00 | $55.32–$159.96 | 45% above | 35% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH INTACT 83970 | $172.90 | $266.00 | $55.32–$159.96 | — | 35% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME PARTIAL PLASMA WHOLE BLOOD (PTT) 85730 | $91.65 | $141.00 | $29.16–$129.72 | 53% above | 35% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLASTIN TIME PARTIAL PLASMA WHOLE BLOOD (PTT) 85730 | $91.65 | $141.00 | $29.16–$129.72 | — | 35% |
| Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS FECES PANEL SO 84100.900 | $24.70 | $38.00 | $21.44–$98.00 | 33% below | 35% |
| Phosphorus (phosphate) blood test CPT 84100 ASSAY OF PHOSPHORUS INORGANIC 84100 | $66.95 | $103.00 | $21.44–$98.00 | 82% above | 35% |
| Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHORUS FECES PANEL SO 84100.900 | $24.70 | $38.00 | $21.44–$98.00 | — | 35% |
| Phosphorus (phosphate) blood test inpatient CPT 84100 ASSAY OF PHOSPHORUS INORGANIC 84100 | $66.95 | $103.00 | $21.44–$98.00 | — | 35% |
| Potassium blood test CPT 84132 POTASSIUM SERUM 84132 | $44.20 | $68.00 | $30.40–$44.23 | 2% below | 35% |
| Potassium blood test inpatient CPT 84132 POTASSIUM SERUM 84132 | $44.20 | $68.00 | $30.40–$44.23 | — | 35% |
| Progesterone blood test CPT 84144 PROGESTERONE 84144 | $85.80 | $132.00 | $27.44–$85.77 | 1% above | 35% |
| Progesterone blood test inpatient CPT 84144 PROGESTERONE 84144 | $85.80 | $132.00 | $27.44–$85.77 | — | 35% |
| Prolactin blood test CPT 84146 PROLACTIN 84146 | $170.95 | $263.00 | $58.78–$176.24 | 103% above | 35% |
| Prolactin blood test inpatient CPT 84146 PROLACTIN 84146 | $170.95 | $263.00 | $58.78–$176.24 | — | 35% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME 85610 | $65.00 | $100.00 | $20.80–$95.06 | 106% above | 35% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTIME 85610 | $65.00 | $100.00 | $20.80–$95.06 | — | 35% |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA A B DIRECT 87804 | $118.95 | $183.00 | $39.24–$122.62 | 104% above | 35% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA A B DIRECT 87804 | $118.95 | $183.00 | $39.24–$122.62 | — | 35% |
| Rh blood typing CPT 86901 BLOOD TYPING SEROLOGIC RH (D) 86901 | $38.35 | $59.00 | $12.22–$54.28 | 11% below | 35% |
| Rh blood typing inpatient CPT 86901 BLOOD TYPING SEROLOGIC RH (D) 86901 | $38.35 | $59.00 | $12.22–$54.28 | — | 35% |
| Rheumatoid factor (RF) test CPT 86431 RA FACTOR QUANT 86431 | $32.50 | $50.00 | $20.70–$46.00 | 33% below | 35% |
| Rheumatoid factor (RF) test inpatient CPT 86431 RA FACTOR QUANT 86431 | $32.50 | $50.00 | $20.70–$46.00 | — | 35% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SEDIMENTATION RATE RBC AUTOMATED 85652 | $40.30 | $62.00 | $12.86–$57.04 | 3% above | 35% |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 SEDIMENTATION RATE RBC AUTOMATED 85652 | $40.30 | $62.00 | $12.86–$57.04 | — | 35% |
| Sodium blood test CPT 84295 SODIUM SERUM 84295 | $52.00 | $80.00 | $34.50 | 14% above | 35% |
| Sodium blood test inpatient CPT 84295 SODIUM SERUM 84295 | $52.00 | $80.00 | $34.50 | — | 35% |
| Stool ova and parasites exam CPT 87177 OVA AND PARASITES 87177 | $39.65 | $61.00 | $26.30 | 8% below | 35% |
| Stool ova and parasites exam inpatient CPT 87177 OVA AND PARASITES 87177 | $39.65 | $61.00 | $26.30 | — | 35% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMA PALLIDUM 86780.900 | $51.35 | $79.00 | $47.12–$52.93 | 2% below | 35% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMA PALLIDUM 86780 | $51.35 | $79.00 | $47.12–$52.93 | 2% below | 35% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 TREPONEMA PALLIDUM 86780 | $51.35 | $79.00 | $47.12–$52.93 | — | 35% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 TREPONEMA PALLIDUM 86780.900 | $51.35 | $79.00 | $47.12–$52.93 | — | 35% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB TEST CELL MEDIATED IMMUNITY 86480 | $107.25 | $165.00 | $68.99–$144.47 | 10% below | 35% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 TB TEST CELL MEDIATED IMMUNITY 86480 | $107.25 | $165.00 | $68.99–$144.47 | — | 35% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL 84403.904 | $27.30 | $42.00 | $61.10–$257.35 | 57% below | 35% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL 84403.901 | $122.85 | $189.00 | $61.10–$257.35 | 94% above | 35% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL MEASURED 84403.902 | $185.90 | $286.00 | $61.10–$257.35 | 194% above | 35% |
| Testosterone blood test, total (not free testosterone) CPT 84403 ASSAY OF TESTOSTERONE TOTAL 84403 | $191.10 | $294.00 | $61.10–$257.35 | 202% above | 35% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL 84403.900 | $191.10 | $294.00 | $61.10–$257.35 | 202% above | 35% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL 84403.904 | $27.30 | $42.00 | $61.10–$257.35 | — | 35% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL 84403.901 | $122.85 | $189.00 | $61.10–$257.35 | — | 35% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL MEASURED 84403.902 | $185.90 | $286.00 | $61.10–$257.35 | — | 35% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 ASSAY OF TESTOSTERONE TOTAL 84403 | $191.10 | $294.00 | $61.10–$257.35 | — | 35% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL 84403.900 | $191.10 | $294.00 | $61.10–$257.35 | — | 35% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER KIDNEY MICROSOME T1 AB SERUM 86376.900 | $26.65 | $41.00 | $38.81–$60.31 | 50% below | 35% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 ANTITHYROID AB ANTI TPO 86376 | $58.50 | $90.00 | $38.81–$60.31 | 11% above | 35% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LIVER KIDNEY MICROSOME T1 AB SERUM 86376.900 | $26.65 | $41.00 | $38.81–$60.31 | — | 35% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 ANTITHYROID AB ANTI TPO 86376 | $58.50 | $90.00 | $38.81–$60.31 | — | 35% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMULATING HORMONE (TSH) 84443 | $87.10 | $134.00 | $50.39–$134.00 | 7% below | 35% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIMULATING HORMONE (TSH) 84443 | $87.10 | $134.00 | $50.39–$134.00 | — | 35% |
| Total IgE blood test CPT 82785 IGE IMMUNOGLOBULIN 82785 | $78.00 | $120.00 | $77.72 | 52% above | 35% |
| Total IgE blood test CPT 82785 ASSAY OF GAMMAGLOBULIN IGE 82785 | $78.00 | $120.00 | $77.72 | 52% above | 35% |
| Total IgE blood test inpatient CPT 82785 IGE IMMUNOGLOBULIN 82785 | $78.00 | $120.00 | $77.72 | — | 35% |
| Total IgE blood test inpatient CPT 82785 ASSAY OF GAMMAGLOBULIN IGE 82785 | $78.00 | $120.00 | $77.72 | — | 35% |
| Troponin test, quantitative CPT 84484 ASSAY OF TROPONIN QUANTITATIVE 84484 | $126.10 | $194.00 | $40.31–$188.00 | 24% above | 35% |
| Troponin test, quantitative inpatient CPT 84484 ASSAY OF TROPONIN QUANTITATIVE 84484 | $126.10 | $194.00 | $40.31–$188.00 | — | 35% |
| Uric acid blood test CPT 84550 ASSAY OF BLOOD/URIC ACID 84550 | $66.95 | $103.00 | $23.02–$100.00 | 47% above | 35% |
| Uric acid blood test inpatient CPT 84550 ASSAY OF BLOOD/URIC ACID 84550 | $66.95 | $103.00 | $23.02–$100.00 | — | 35% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS AUTO W/SCOPE 81001 | $63.70 | $98.00 | $20.37–$93.10 | 23% above | 35% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS AUTO W/SCOPE 81001 | $63.70 | $98.00 | $20.37–$93.10 | — | 35% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS-DIPSTICK ONLY 81003 | $37.05 | $57.00 | $23.72–$53.90 | 43% above | 35% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS-DIPSTICK ONLY 81003 | $37.05 | $57.00 | $23.72–$53.90 | — | 35% |
| Urine culture for bacteria, with colony count CPT 87086 CULTURE BACTERIAL QUANTTATIVE COLONY COUNT URINE 87086 | $77.35 | $119.00 | $7.91–$113.68 | 35% above | 35% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 CULTURE BACTERIAL QUANTTATIVE COLONY COUNT URINE 87086 | $77.35 | $119.00 | $7.91–$113.68 | — | 35% |
| Urine microalbumin (albumin) test CPT 82043 ALBUMIN URINE MICROALBUMIN QUANT 82043 | $71.50 | $110.00 | $22.73–$89.46 | 22% above | 35% |
| Urine microalbumin (albumin) test inpatient CPT 82043 ALBUMIN URINE MICROALBUMIN QUANT 82043 | $71.50 | $110.00 | $22.73–$89.46 | — | 35% |
| Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST | $49.40 | $76.00 | $21.23–$66.33 | 23% above | 35% |
| Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST 81025 | $66.30 | $102.00 | $21.23–$66.33 | 64% above | 35% |
| Urine pregnancy test, read by color change inpatient CPT 81025 URINE PREGNANCY TEST | $49.40 | $76.00 | $21.23–$66.33 | — | 35% |
| Urine pregnancy test, read by color change inpatient CPT 81025 URINE PREGNANCY TEST 81025 | $66.30 | $102.00 | $21.23–$66.33 | — | 35% |
| Vitamin B12 (cobalamin) blood test CPT 82607 CYANOCOBALAMIN VITAMIN B-12 82607 | $99.45 | $153.00 | $63.82–$124.91 | 12% above | 35% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 CYANOCOBALAMIN VITAMIN B-12 82607 | $99.45 | $153.00 | $63.82–$124.91 | — | 35% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 CALCIFEDIOL (25-OH VITAMIN D-3) 82306.900 | $168.35 | $259.00 | $53.81–$211.84 | 73% above | 35% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 CDMR VITAMIN D 25 HYDROXY 82306 | $168.35 | $259.00 | $53.81–$211.84 | 73% above | 35% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 CDMR VITAMIN D 25 HYDROXY 82306 | $168.35 | $259.00 | $53.81–$211.84 | — | 35% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 CALCIFEDIOL (25-OH VITAMIN D-3) 82306.900 | $168.35 | $259.00 | $53.81–$211.84 | — | 35% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 CDMR DIHYDROXYVITAMIN D, 1,25 82652.900 | $279.50 | $430.00 | $16.39 | 261% above | 35% |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 CDMR DIHYDROXYVITAMIN D, 1,25 82652.900 | $279.50 | $430.00 | $16.39 | — | 35% |
| Zinc blood test CPT 84630 ZINC RBC 84630.902 | $77.35 | $119.00 | $109.22 | 157% above | 35% |
| Zinc blood test CPT 84630 ZINC 84630.900 | $109.20 | $168.00 | $109.22 | 263% above | 35% |
| Zinc blood test inpatient CPT 84630 ZINC RBC 84630.902 | $77.35 | $119.00 | $109.22 | — | 35% |
| Zinc blood test inpatient CPT 84630 ZINC 84630.900 | $109.20 | $168.00 | $109.22 | — | 35% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 GONADOTROPIN CHORIONIC HCG QUANTITATIVE 84702 | $68.25 | $105.00 | $21.65–$91.20 | 19% below | 35% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 GONADOTROPIN CHORIONIC HCG QUANTITATIVE 84702 | $68.25 | $105.00 | $21.65–$91.20 | — | 35% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Minnesota | Off list |
|---|---|---|---|---|---|
| Botox injections for chronic migraine CPT 64615 SURG 64615 CHEMODENERV MUSC MIGRAINE | $276.25 | $425.00 | $184.96–$214.24 | 54% below | 35% |
| Botox injections for chronic migraine inpatient CPT 64615 SURG 64615 CHEMODENERV MUSC MIGRAINE | $276.25 | $425.00 | $184.96–$214.24 | — | 35% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 ED 92960 CARDIOVERSION ELECTIVE EXTERNAL | $1,081.60 | $1,664.00 | $724.17 | 1% above | 35% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 ED 92960 CARDIOVERSION | $1,081.60 | $1,664.00 | $724.17 | 1% above | 35% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 ED 92960 CARDIOVERSION ELECTIVE EXTERNAL | $1,081.60 | $1,664.00 | $724.17 | — | 35% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 ED 92960 CARDIOVERSION | $1,081.60 | $1,664.00 | $724.17 | — | 35% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 SURG 52000 CYSTOURETHROSCOPY | $867.75 | $1,335.00 | $217.60–$329.12 | 10% above | 35% |
| Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 SURG 52000 CYSTOURETHROSCOPY | $867.75 | $1,335.00 | $217.60–$329.12 | — | 35% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 SURG 62321 INJ IL NDL CATH CERV THOR W GUID | $1,186.90 | $1,826.00 | $379.92–$1,187.42 | 2% above | 35% |
| Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 SURG 62321 INJ IL NDL CATH CERV THOR W GUID | $1,186.90 | $1,826.00 | $379.92–$1,187.42 | — | 35% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 SURG 64493 INJ DX/THER AGT PVRT FACET JT LMBR/SAC 1 LEVEL | $1,464.45 | $2,253.00 | $475.89–$898.12 | at median | 35% |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 SURG 64493 INJ DX/THER AGT PVRT FACET JT LMBR/SAC 1 LEVEL | $1,464.45 | $2,253.00 | $475.89–$898.12 | — | 35% |
| Incision and drainage of a simple or single skin abscess CPT 10060 INCISION & DRAINAGE ABSCESS SMPL SNGL | $278.85 | $429.00 | $307.49–$352.23 | 2% below | 35% |
| Incision and drainage of a simple or single skin abscess CPT 10060 TX RM 10060 I&D ABSCESS SIMPLE | $415.35 | $639.00 | $269.82 | 46% above | 35% |
| Incision and drainage of a simple or single skin abscess CPT 10060 ED 10060 I&D SKIN ABSCESS SMPL | $415.35 | $639.00 | $132.93 | 46% above | 35% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 INCISION & DRAINAGE ABSCESS SMPL SNGL | $278.85 | $429.00 | $307.49–$352.23 | — | 35% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 TX RM 10060 I&D ABSCESS SIMPLE | $415.35 | $639.00 | $269.82 | — | 35% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 ED 10060 I&D SKIN ABSCESS SMPL | $415.35 | $639.00 | $132.93 | — | 35% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 SURG 20550 INJ SINGLE TENDON SHEATH/LIGAMENT APONEUROSIS | $132.60 | $204.00 | $89.19–$140.32 | 64% below | 35% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 SURG 20550 INJ SINGLE TENDON SHEATH/LIGAMENT APONEUROSIS | $132.60 | $204.00 | $89.19–$140.32 | — | 35% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENT ASP INJ MAJOR JOINT BURSA WO US GUID | $120.25 | $185.00 | $140.15–$479.82 | 67% below | 35% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 SURG 20610 ARTHROCENTESIS ASP INJ MJR JNT BURSA WO US GUID | $518.05 | $797.00 | $165.73–$517.98 | 43% above | 35% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 SURG 20610 INJ MAJOR JOINT BURSA WO US GUID | $518.05 | $797.00 | $165.73–$517.98 | 43% above | 35% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 TX RM 20610 ARTHROCENT ASP INJ JOINT BURSA MAJOR WO US GUID | $518.05 | $797.00 | $517.98 | 43% above | 35% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHROCENT ASP INJ MAJOR JOINT BURSA WO US GUID | $120.25 | $185.00 | $140.15–$479.82 | — | 35% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 SURG 20610 INJ MAJOR JOINT BURSA WO US GUID | $518.05 | $797.00 | $165.73–$517.98 | — | 35% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 SURG 20610 ARTHROCENTESIS ASP INJ MJR JNT BURSA WO US GUID | $518.05 | $797.00 | $165.73–$517.98 | — | 35% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 TX RM 20610 ARTHROCENT ASP INJ JOINT BURSA MAJOR WO US GUID | $518.05 | $797.00 | $517.98 | — | 35% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCENT ASP INJ INTMDTE JOINT BURSA WO US GUID | $100.75 | $155.00 | $376.03 | 67% below | 35% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ARTHROCENT ASP INJ INTMDTE JOINT BURSA WO US GUID | $100.75 | $155.00 | $376.03 | — | 35% |
| Lower-back epidural injection, with imaging guidance CPT 62323 SURG 62323 INJ IL NDL CATH LUMB SACR W GUID | $1,576.25 | $2,425.00 | $1,011.59–$1,577.41 | 40% above | 35% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 SURG 62323 INJ IL NDL CATH LUMB SACR W GUID | $1,576.25 | $2,425.00 | $1,011.59–$1,577.41 | — | 35% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 SURG 64483 INJ TRNFRM EPID LUM SNGL 1LVL | $1,300.00 | $2,000.00 | $1,300.66–$1,553.16 | 1% above | 35% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 SURG 64483 INJ TRNFRM EPID LUM SNGL 1LVL | $1,300.00 | $2,000.00 | $1,300.66–$1,553.16 | — | 35% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC BENGN SKN LESN INC MARGIN NO SKN TAG TRNK ARM LEG EXC DIA 0.5 CM < | $207.35 | $319.00 | $289.09 | 49% below | 35% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 EXC BENGN SKN LESN INC MARGIN NO SKN TAG TRNK ARM LEG EXC DIA 0.5 CM < | $207.35 | $319.00 | $289.09 | — | 35% |
| Occipital nerve block (injection for headaches) CPT 64405 SURG 64405 GR OCCIPITAL NERVE BLOCK | $377.65 | $581.00 | $262.03 | 37% below | 35% |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 SURG 64405 GR OCCIPITAL NERVE BLOCK | $377.65 | $581.00 | $262.03 | — | 35% |
| Prostate biopsy CPT 55700 SURG 55700 BX PROSTATE NEEDLE PUNCH | $2,008.50 | $3,090.00 | $1,393.80–$2,010.30 | 19% above | 35% |
| Prostate biopsy inpatient CPT 55700 SURG 55700 BX PROSTATE NEEDLE PUNCH | $2,008.50 | $3,090.00 | $1,393.80–$2,010.30 | — | 35% |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 SURG 64635 DESTROY NROLYTC AGNT PARVERTEB FACET SNGL LMBR/SACRAL | $2,769.00 | $4,260.00 | $899.78–$2,007.06 | 32% above | 35% |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 SURG 64635 DSTR NROLYTC AGNT PARVERTEB FCT SNGL LMBR/SACRAL | $2,769.00 | $4,260.00 | $899.78–$2,007.06 | 32% above | 35% |
| Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 SURG 64635 DESTROY NROLYTC AGNT PARVERTEB FACET SNGL LMBR/SACRAL | $2,769.00 | $4,260.00 | $899.78–$2,007.06 | — | 35% |
| Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 SURG 64635 DSTR NROLYTC AGNT PARVERTEB FCT SNGL LMBR/SACRAL | $2,769.00 | $4,260.00 | $899.78–$2,007.06 | — | 35% |
| Short leg splint (calf to foot) CPT 29515 ED 29515 APPL SPLINT SHORT LEG | $244.40 | $376.00 | $154.41 | 10% above | 35% |
| Short leg splint (calf to foot) inpatient CPT 29515 ED 29515 APPL SPLINT SHORT LEG | $244.40 | $376.00 | $154.41 | — | 35% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 ED 12001 RPR SUPERFCL WND 2.5CM OR< | $301.60 | $464.00 | $96.48–$450.00 | 9% above | 35% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 ED 12001 RPR SUPERFCL WND 2.5CM OR< | $301.60 | $464.00 | $96.48–$450.00 | — | 35% |
| Skin biopsy, punch, one lesion CPT 11104 PUNCH BIOPSY OF SKIN; SINGLE LESION | $241.80 | $372.00 | $307.49–$530.08 | 13% below | 35% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BIOPSY OF SKIN; SINGLE LESION | $241.80 | $372.00 | $307.49–$530.08 | — | 35% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SMPL RPR SUPERL WNDS SCALP NECK AXILLAE GENITAL TRNK EXTREM 2.6-7.5 CM | $219.05 | $337.00 | $377.00 | 30% below | 35% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 ED 12002 RPR SUPERFCL WND 2.6-7.5CM | $315.25 | $485.00 | $100.77–$314.94 | at median | 35% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 SMPL RPR SUPERL WNDS SCALP NECK AXILLAE GENITAL TRNK EXTREM 2.6-7.5 CM | $219.05 | $337.00 | $377.00 | — | 35% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 ED 12002 RPR SUPERFCL WND 2.6-7.5CM | $315.25 | $485.00 | $100.77–$314.94 | — | 35% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 ED 12011 RPR SUPERFCL WND 2.5CM OR< | $309.40 | $476.00 | $189.72–$309.58 | 8% above | 35% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 ED 12011 RPR SUPERFCL WND 2.5CM OR< | $309.40 | $476.00 | $189.72–$309.58 | — | 35% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGENTIAL BIOPSY OF SKIN; SINGLE LESION | $192.40 | $296.00 | $283.43 | 24% below | 35% |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 TANGENTIAL BIOPSY OF SKIN; SINGLE LESION | $192.40 | $296.00 | $283.43 | — | 35% |
| Trigger point injections, 1 or 2 muscles CPT 20552 SURG 20552 INJ SINGLE/MLT TRIGGER POINT 1/2 MUSCLES | $430.95 | $663.00 | $137.86–$288.54 | 37% above | 35% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 SURG 20552 INJ SINGLE/MLT TRIGGER POINT 1/2 MUSCLES | $430.95 | $663.00 | $137.86–$288.54 | — | 35% |
| Vasectomy, one or both sides, including follow-up semen testing both sides CPT 55250 SURG 55250 VASECTOMY UNI/BILATERAL INCL POSTOP SEMEN EXAM | $502.45 | $773.00 | $397.64–$502.57 | — | 35% |
| Vasectomy, one or both sides, including follow-up semen testing inpatient both sides CPT 55250 SURG 55250 VASECTOMY UNI/BILATERAL INCL POSTOP SEMEN EXAM | $502.45 | $773.00 | $397.64–$502.57 | — | 35% |
| Wart removal, up to 14 warts CPT 17110 DESTRUCTION BENIGN LESIONS 1 TO 14 | $220.35 | $339.00 | $280.29–$307.49 | 12% above | 35% |
| Wart removal, up to 14 warts inpatient CPT 17110 DESTRUCTION BENIGN LESIONS 1 TO 14 | $220.35 | $339.00 | $280.29–$307.49 | — | 35% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 TX RM 11042 DEBRIDE SKIN & SUBQ TISSUE | $579.80 | $892.00 | $376.88–$3,776.07 | 30% above | 35% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 TX RM 11042 DEBRIDE SKIN & SUBQ TISSUE | $579.80 | $892.00 | $376.88–$3,776.07 | — | 35% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Minnesota | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 ED 36430 TRANSFUSION BLOOD | $765.70 | $1,178.00 | $497.43–$582.47 | 7% above | 35% |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLOOD | $765.70 | $1,178.00 | $497.43–$582.47 | 7% above | 35% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION BLOOD | $765.70 | $1,178.00 | $497.43–$582.47 | — | 35% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 ED 36430 TRANSFUSION BLOOD | $765.70 | $1,178.00 | $497.43–$582.47 | — | 35% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEB SUBSEQ TX | $109.20 | $168.00 | $51.88–$242.00 | 6% below | 35% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEB INITIAL TX | $162.50 | $250.00 | $51.88–$242.00 | 39% above | 35% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 NEB SUBSEQ TX | $109.20 | $168.00 | $51.88–$242.00 | — | 35% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 NEB INITIAL TX | $162.50 | $250.00 | $51.88–$242.00 | — | 35% |
| Chemotherapy IV infusion, first hour CPT 96413 CHEMO INFUSION 1ST HR | $500.50 | $770.00 | $160.16–$347.06 | 2% below | 35% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO INFUSION 1ST HR | $500.50 | $770.00 | $160.16–$347.06 | — | 35% |
| Critical care, first 30 to 74 minutes CPT 99291 ED 99291 CRITICAL CARE E&M 30-74 MIN | $1,430.00 | $2,200.00 | $991.92–$1,430.66 | 11% below | 35% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 ED 99291 CRITICAL CARE E&M 30-74 MIN | $1,430.00 | $2,200.00 | $991.92–$1,430.66 | — | 35% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ECG TRACING WO INTERP | $162.50 | $250.00 | $81.19–$218.51 | 6% below | 35% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ECG TRACING WO INTERP | $162.50 | $250.00 | $81.19–$218.51 | — | 35% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ED 99281 EMER CASE LEVEL I | $192.40 | $296.00 | $61.53–$287.00 | 5% below | 35% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ED 99281 EMER CASE LEVEL I | $192.40 | $296.00 | $61.53–$287.00 | — | 35% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ED 99282 EMER CASE LEVEL II | $330.85 | $509.00 | $105.91–$454.48 | 16% above | 35% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ED 99282 EMER CASE LEVEL II | $330.85 | $509.00 | $105.91–$454.48 | — | 35% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ED 99283 EMER CASE LEVEL III | $549.25 | $845.00 | $64.60–$754.40 | 14% above | 35% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ED 99283 EMER CASE LEVEL III | $549.25 | $845.00 | $64.60–$754.40 | — | 35% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ED 99284 EMER CASE LEVEL IV | $768.30 | $1,182.00 | $245.92–$1,714.00 | at median | 35% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ED 99284 EMER CASE LEVEL IV | $768.30 | $1,182.00 | $245.92–$1,714.00 | — | 35% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ED 99285 EMER CASE LEVEL V | $1,114.10 | $1,714.00 | $356.76–$1,664.00 | 2% below | 35% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ED 99285 EMER CASE LEVEL V | $1,114.10 | $1,714.00 | $356.76–$1,664.00 | — | 35% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIAC STRESS TEST TRACING | $629.85 | $969.00 | $397.42–$582.80 | 12% below | 35% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 CARDIAC STRESS TEST TRACING | $629.85 | $969.00 | $397.42–$582.80 | — | 35% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRAT INITIAL 31-60MINS | $307.45 | $473.00 | $197.92–$377.33 | 12% above | 35% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 ED 96360 IV INFUS THERAPY HYDRATION FLUIDS INITIAL 31 MIN-1HR | $307.45 | $473.00 | $98.41–$452.52 | 12% above | 35% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 ED 96360 IV INFUS THERAPY HYDRATION FLUIDS INITIAL 31 MIN-1HR | $307.45 | $473.00 | $98.41–$452.52 | — | 35% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYDRAT INITIAL 31-60MINS | $307.45 | $473.00 | $197.92–$377.33 | — | 35% |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION TX PROPH DX INIT TO 1HR | $342.55 | $527.00 | $109.56–$342.41 | 4% above | 35% |
| IV infusion of a medicine, first hour CPT 96365 ED 96365 IV INFUS THER PROPH DIAG INITIAL UP TO 1HR | $342.55 | $527.00 | $109.56–$500.78 | 4% above | 35% |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION TX PROPH DX INIT TO 1HR | $342.55 | $527.00 | $109.56–$342.41 | — | 35% |
| IV infusion of a medicine, first hour inpatient CPT 96365 ED 96365 IV INFUS THER PROPH DIAG INITIAL UP TO 1HR | $342.55 | $527.00 | $109.56–$500.78 | — | 35% |
| IV push of a medicine, first drug CPT 96374 ED 96374 THER PROPH DIAG INJ IV PUSH INITIAL | $196.95 | $303.00 | $63.03–$303.00 | 2% above | 35% |
| IV push of a medicine, first drug CPT 96374 IV PUSH INITIAL | $196.95 | $303.00 | $63.03–$197.00 | 2% above | 35% |
| IV push of a medicine, first drug inpatient CPT 96374 ED 96374 THER PROPH DIAG INJ IV PUSH INITIAL | $196.95 | $303.00 | $63.03–$303.00 | — | 35% |
| IV push of a medicine, first drug inpatient CPT 96374 IV PUSH INITIAL | $196.95 | $303.00 | $63.03–$197.00 | — | 35% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER PROPHY DIAG INJ SC IM | $41.60 | $64.00 | $81.07–$345.92 | 46% below | 35% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 ED 96372 THER PROPH DIAG INJECTION SQ IM | $126.10 | $194.00 | $40.31–$188.00 | 63% above | 35% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 SC IM INJECTION | $126.10 | $194.00 | $81.07–$345.92 | 63% above | 35% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THER PROPHY DIAG INJ SC IM | $41.60 | $64.00 | $81.07–$345.92 | — | 35% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 SC IM INJECTION | $126.10 | $194.00 | $81.07–$345.92 | — | 35% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 ED 96372 THER PROPH DIAG INJECTION SQ IM | $126.10 | $194.00 | $40.31–$188.00 | — | 35% |
| Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSC RE ED EA 15MIN 97112 | $92.30 | $142.00 | $61.80–$128.78 | 20% above | 35% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUROMUSC RE ED EA 15MIN 97112 | $92.30 | $142.00 | $61.80–$128.78 | — | 35% |
| New patient office visit, about 30 minutes CPT 99203 OFFICE OP VISIT NEW PT LEVEL III | $202.80 | $312.00 | $292.84–$307.49 | 74% above | 35% |
| New patient office visit, about 30 minutes CPT 99203 NEW PATIENT LEVEL 3 | $224.25 | $345.00 | $71.61–$334.00 | 92% above | 35% |
| New patient office visit, about 30 minutes inpatient CPT 99203 OFFICE OP VISIT NEW PT LEVEL III | $202.80 | $312.00 | $292.84–$307.49 | — | 35% |
| New patient office visit, about 30 minutes inpatient CPT 99203 NEW PATIENT LEVEL 3 | $224.25 | $345.00 | $71.61–$334.00 | — | 35% |
| New patient office visit, about 45 minutes CPT 99204 NEW PATIENT LEVEL 4 | $283.40 | $436.00 | $182.80–$215.56 | 61% above | 35% |
| New patient office visit, about 45 minutes CPT 99204 OFFICE OP VISIT NEW PT LEVEL IV | $295.75 | $455.00 | $280.29–$322.48 | 68% above | 35% |
| New patient office visit, about 45 minutes inpatient CPT 99204 NEW PATIENT LEVEL 4 | $283.40 | $436.00 | $182.80–$215.56 | — | 35% |
| New patient office visit, about 45 minutes inpatient CPT 99204 OFFICE OP VISIT NEW PT LEVEL IV | $295.75 | $455.00 | $280.29–$322.48 | — | 35% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PATIENT LEVEL 2 | $144.95 | $223.00 | $97.05 | 90% above | 35% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 NEW PATIENT LEVEL 2 | $144.95 | $223.00 | $97.05 | — | 35% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MNT INITIAL INDIVIDUAL15 MIN | $152.75 | $235.00 | $30.41–$93.64 | 143% above | 35% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 MNT INITIAL INDIVIDUAL15 MIN | $152.75 | $235.00 | $30.41–$93.64 | — | 35% |
| Occupational therapy evaluation, low complexity CPT 97165 OT EVAL LOW COMPLEXITY 97165 | $173.55 | $267.00 | $55.53–$160.58 | 3% above | 35% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVAL LOW COMPLEXITY 97165 | $173.55 | $267.00 | $55.53–$160.58 | — | 35% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH COMPLEXITY 97163 | $172.25 | $265.00 | $55.10–$115.33 | 14% below | 35% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL HIGH COMPLEXITY 97163 | $172.25 | $265.00 | $55.10–$115.33 | — | 35% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW COMPLEXITY 97161 | $140.40 | $216.00 | $85.83–$209.00 | 17% below | 35% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL LOW COMPLEXITY 97161 | $140.40 | $216.00 | $85.83–$209.00 | — | 35% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MODERATE COMPLEXITY 97162 | $157.30 | $242.00 | $50.17–$182.00 | 17% below | 35% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL MODERATE COMPLEXITY 97162 | $157.30 | $242.00 | $50.17–$182.00 | — | 35% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY 15 MIN 97140 | $89.05 | $137.00 | $59.62–$64.39 | 5% above | 35% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY 15 MIN 97140 | $89.05 | $137.00 | $59.62–$64.39 | — | 35% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THER EXERCISE EA 15 MIN 97110 | $89.05 | $137.00 | $57.75–$68.08 | 2% below | 35% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THER EXERCISE EA 15 MIN 97110 | $89.05 | $137.00 | $57.75–$68.08 | — | 35% |
| Preventive checkup, returning patient aged 40–64 CPT 99396 PREV MED E&M EST 40-64 Y O | $248.30 | $382.00 | $133.70–$292.84 | 55% above | 35% |
| Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 PREV MED E&M EST 40-64 Y O | $248.30 | $382.00 | $133.70–$292.84 | — | 35% |
| Preventive checkup, returning patient aged 65 or older CPT 99397 PREV MED E&M EST 65 AND OVER | $267.15 | $411.00 | $139.65–$280.29 | 42% above | 35% |
| Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 PREV MED E&M EST 65 AND OVER | $267.15 | $411.00 | $139.65–$280.29 | — | 35% |
| Psychotherapy session, 60 minutes CPT 90837 PSYCHOTHERAPY W/PATIENT 53+ MINUTES | $259.35 | $399.00 | $374.46 | 37% above | 35% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 PSYCHOTHERAPY W/PATIENT 53+ MINUTES | $259.35 | $399.00 | $374.46 | — | 35% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFFICE OP VISIT EST PT LEVEL V | $265.20 | $408.00 | $307.49–$313.48 | 37% above | 35% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 OFFICE OP VISIT EST PT LEVEL V | $265.20 | $408.00 | $307.49–$313.48 | — | 35% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE OP VISIT EST PT LEVEL III | $137.15 | $211.00 | $87.96–$347.28 | 15% above | 35% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 ESTAB LEVEL 3 | $155.35 | $239.00 | $100.45–$103.06 | 30% above | 35% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 TX RM 99213 TREATMENT RM LEVEL III | $155.35 | $239.00 | $49.74–$232.00 | 30% above | 35% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OFFICE OP VISIT EST PT LEVEL III | $137.15 | $211.00 | $87.96–$347.28 | — | 35% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 TX RM 99213 TREATMENT RM LEVEL III | $155.35 | $239.00 | $49.74–$232.00 | — | 35% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 ESTAB LEVEL 3 | $155.35 | $239.00 | $100.45–$103.06 | — | 35% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE OP VISIT EST PT LEVEL IV | $193.70 | $298.00 | $123.93–$298.00 | 37% above | 35% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ESTAB LEVEL 4 | $214.50 | $330.00 | $139.26–$147.60 | 52% above | 35% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OP EST PT FACILITY LEVEL 99214 | $214.50 | $330.00 | $68.61–$288.95 | 52% above | 35% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 TX RM 99214 TREATMENT RM LEVEL IV | $214.50 | $330.00 | $68.61–$288.95 | 52% above | 35% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OFFICE OP VISIT EST PT LEVEL IV | $193.70 | $298.00 | $123.93–$298.00 | — | 35% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OP EST PT FACILITY LEVEL 99214 | $214.50 | $330.00 | $68.61–$288.95 | — | 35% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 TX RM 99214 TREATMENT RM LEVEL IV | $214.50 | $330.00 | $68.61–$288.95 | — | 35% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 ESTAB LEVEL 4 | $214.50 | $330.00 | $139.26–$147.60 | — | 35% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE OP VISIT EST PT LEVEL II | $87.10 | $134.00 | $394.48–$421.48 | 1% below | 35% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 TX RM 99212 TREATMENT RM LEVEL II | $107.90 | $166.00 | $69.63–$99.82 | 23% above | 35% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ESTAB LEVEL 2 | $107.90 | $166.00 | $70.07 | 23% above | 35% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OFFICE OP VISIT EST PT LEVEL II | $87.10 | $134.00 | $394.48–$421.48 | — | 35% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 ESTAB LEVEL 2 | $107.90 | $166.00 | $70.07 | — | 35% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 TX RM 99212 TREATMENT RM LEVEL II | $107.90 | $166.00 | $69.63–$99.82 | — | 35% |
| Spirometry (breathing test) CPT 94010 PFT SCREEN SPIROMETRY (NO BD) | $171.60 | $264.00 | $54.89–$115.84 | 5% above | 35% |
| Spirometry (breathing test) inpatient CPT 94010 PFT SCREEN SPIROMETRY (NO BD) | $171.60 | $264.00 | $54.89–$115.84 | — | 35% |
| Spirometry before and after a bronchodilator CPT 94060 PFT SCREEN SPIROMETRY (WITH BD) | $398.45 | $613.00 | $251.73–$547.40 | 29% above | 35% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 PFT SCREEN SPIROMETRY (WITH BD) | $398.45 | $613.00 | $251.73–$547.40 | — | 35% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THER ACTIVITIES EA15 MIN 97530 | $85.80 | $132.00 | $55.20–$79.36 | 10% above | 35% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THER ACTIVITIES EA15 MIN 97530 | $85.80 | $132.00 | $55.20–$79.36 | — | 35% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Minnesota | Off list |
|---|---|---|---|---|---|
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Influenza Virus Vac Split High-Dose PF Susp Pref Syr 0.5ML | $35.87 | $55.18 | $30.27 | 54% below | 35% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 CDMR FLU VACC PRSV FREE INC ANTIG | $47.45 | $73.00 | $30.27 | 39% below | 35% |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 Influenza Virus Vac Split High-Dose PF Susp Pref Syr 0.5ML | $35.87 | $55.18 | $30.27 | — | 35% |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 CDMR FLU VACC PRSV FREE INC ANTIG | $47.45 | $73.00 | $30.27 | — | 35% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PCV20 VACCINE FOR INTRAMUSCULAR USE | $277.55 | $427.00 | $228.62 | 31% below | 35% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PCV20 VACCINE FOR INTRAMUSCULAR USE | $277.55 | $427.00 | $228.62 | — | 35% |
| Pneumonia vaccine, 21-valent conjugate (Capvaxive) CPT 90684 PCV21 VACCINE FOR INTRAMUSCULAR USE | $291.85 | $449.00 | $321.33 | 29% below | 35% |
| Pneumonia vaccine, 21-valent conjugate (Capvaxive) inpatient CPT 90684 PCV21 VACCINE FOR INTRAMUSCULAR USE | $291.85 | $449.00 | $321.33 | — | 35% |
| Rabies vaccine, one dose CPT 90675 Rabies Virus Vaccine, HDC For Inj Susp | $205.80 | $316.62 | $355.41 | 64% below | 35% |
| Rabies vaccine, one dose CPT 90675 Rabies Vaccine, PCEC For Inj | $205.80 | $316.62 | $355.41 | 64% below | 35% |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE IM USE | $341.25 | $525.00 | $355.41 | 40% below | 35% |
| Rabies vaccine, one dose inpatient CPT 90675 Rabies Vaccine, PCEC For Inj | $205.80 | $316.62 | $355.41 | — | 35% |
| Rabies vaccine, one dose inpatient CPT 90675 Rabies Virus Vaccine, HDC For Inj Susp | $205.80 | $316.62 | $355.41 | — | 35% |
| Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE IM USE | $341.25 | $525.00 | $355.41 | — | 35% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tet Tox-Diph-Acell Pertuss Ad Inj 5-2-15.5 LF-LF-MCG/0.5ML | $25.74 | $39.60 | $40.90–$99.60 | 67% below | 35% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tet-Diph-Acell Pertuss Ad Pref Syr 5-2.5-18.5 LF-MCG/0.5ML | $26.98 | $41.51 | $40.90–$99.60 | 66% below | 35% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP 7 YRS OR OLDER IM | $86.45 | $133.00 | $40.90–$99.60 | 10% above | 35% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Tet Tox-Diph-Acell Pertuss Ad Inj 5-2-15.5 LF-LF-MCG/0.5ML | $25.74 | $39.60 | $40.90–$99.60 | — | 35% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Tet-Diph-Acell Pertuss Ad Pref Syr 5-2.5-18.5 LF-MCG/0.5ML | $26.98 | $41.51 | $40.90–$99.60 | — | 35% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TDAP 7 YRS OR OLDER IM | $86.45 | $133.00 | $40.90–$99.60 | — | 35% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMINISTRATION 1 SNGL COMBINATION VACCINE TOXOID | $42.90 | $66.00 | $40.66–$96.00 | 2% above | 35% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN PNEUMOCOCCAL VAC | $51.35 | $79.00 | $40.66–$96.00 | 22% above | 35% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN INFLUENZA VIR VAC | $51.35 | $79.00 | $40.66–$96.00 | 22% above | 35% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUN ADMIN 1 VACCINE | $64.35 | $99.00 | $40.66–$96.00 | 52% above | 35% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ED 90471 IMMUNE ADMIN 1 VACCINE | $64.35 | $99.00 | $40.66–$96.00 | 52% above | 35% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMINISTRATION 1 SNGL COMBINATION VACCINE TOXOID | $42.90 | $66.00 | $40.66–$96.00 | — | 35% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN PNEUMOCOCCAL VAC | $51.35 | $79.00 | $40.66–$96.00 | — | 35% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN INFLUENZA VIR VAC | $51.35 | $79.00 | $40.66–$96.00 | — | 35% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUN ADMIN 1 VACCINE | $64.35 | $99.00 | $40.66–$96.00 | — | 35% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ED 90471 IMMUNE ADMIN 1 VACCINE | $64.35 | $99.00 | $40.66–$96.00 | — | 35% |
Source file: https://hospitalpricetransparencyfiles.com/county-of-murray/800218494_County-of-Murray_standardcharges.csv