Hutchinson Regional Medical Center
Hutchinson Regional Medical Center in Hutchinson, KS publishes cash prices for 278 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are below the Kansas median for 139 of 275 procedures and above it for 135. By typical cash price it ranks #30 of 83 Kansas hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.
1701 East 23rd Avenue, Hutchinson, KS 67502 Collected Sep 27, 2026 Source price file Check a bill from this hospital (620) 665-2000
Acute care hospital Nonprofit hospital Emergency department CMS star rating 2 of 5 CCN 170020 · CMS hospital register NPI 1922039320
Financial assistance
Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply
Hutchinson Regional Medical Center is a nonprofit hospital in the CMS register. Under section 501(r) of the federal tax code it must have a written Financial Assistance Policy with a free application, publish both on its website, and charge patients who qualify no more than the amounts generally billed to insured patients for emergency and other medically necessary care. Who qualifies depends on household income; the policy states the limits.
You can apply up to 240 days after the first bill. Before collection actions such as credit reporting or a lawsuit, the hospital must tell you about the policy and wait at least 120 days after that bill. Ask the billing office for the policy and the application before you pay, or search the hospital's website for “financial assistance”. Letters you can copy.
Source: IRS, section 501(r) requirements for nonprofit hospitals.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Kansas | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 CT Abdomen w/ + w/o Contrast | $3,160.98 | $4,863.05 | $102.18–$554.48 | 131% above | 35% |
| Abdominal CT scan without and with contrast inpatient CPT 74170 CT Abdomen w/ + w/o Contrast | $3,160.98 | $4,863.05 | $102.18–$554.48 | — | 35% |
| Abdominal X-ray, 2 views CPT 74019 XR Abdomen 2 Views | $576.81 | $887.40 | $59.96–$115.85 | 124% above | 35% |
| Abdominal X-ray, 2 views inpatient CPT 74019 XR Abdomen 2 Views | $576.81 | $887.40 | $59.96–$115.85 | — | 35% |
| Ankle X-ray, complete, 3 or more views both sides CPT 73610 XR Ankle Complete 3+ Views Bilateral | $1,058.69 | $1,628.75 | $48.74–$636.94 | — | 35% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XR Ankle Complete 3+ Views Left | $529.36 | $814.40 | $48.74–$636.94 | 130% above | 35% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XR Ankle Complete 3+ Views Right | $529.36 | $814.40 | $48.74–$636.94 | 130% above | 35% |
| Ankle X-ray, complete, 3 or more views inpatient both sides CPT 73610 XR Ankle Complete 3+ Views Bilateral | $1,058.69 | $1,628.75 | $48.74–$636.94 | — | 35% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR Ankle Complete 3+ Views Right | $529.36 | $814.40 | $48.74–$636.94 | — | 35% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR Ankle Complete 3+ Views Left | $529.36 | $814.40 | $48.74–$636.94 | — | 35% |
| Arm CT scan without contrast (shoulder to hand, any part) both sides CPT 73200 CT Upper Extremity w/o Contrast Bilat | $3,313.54 | $5,097.75 | $59.96–$2,158.42 | — | 35% |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT Upper Extrem w/o Con Bil 3D Recon | $3,313.54 | $5,097.75 | $59.96–$2,158.42 | 219% above | 35% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Shoulder w/o Contrast Left | $1,888.25 | $2,905.00 | $59.96–$2,158.42 | 82% above | 35% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Upper Extrem w/o Con Left 3D Recon | $1,888.25 | $2,905.00 | $59.96–$2,158.42 | 82% above | 35% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Wrist w/o Contrast Left | $1,888.25 | $2,905.00 | $59.96–$2,158.42 | 82% above | 35% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Elbow w/o Contrast Right | $1,888.25 | $2,905.00 | $59.96–$2,158.42 | 82% above | 35% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Upper Extremity w/o Contrast Left | $1,888.25 | $2,905.00 | $59.96–$2,158.42 | 82% above | 35% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Hand w/o Contrast Left | $1,888.25 | $2,905.00 | $59.96–$2,158.42 | 82% above | 35% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Hand w/o Contrast Right | $1,888.25 | $2,905.00 | $59.96–$2,158.42 | 82% above | 35% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Elbow w/o Contrast Left | $1,888.25 | $2,905.00 | $59.96–$2,158.42 | 82% above | 35% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Shoulder w/o Contrast Right | $1,888.25 | $2,905.00 | $59.96–$2,158.42 | 82% above | 35% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Upper Extrem w/o Con Right 3D Recon | $1,888.25 | $2,905.00 | $59.96–$2,158.42 | 82% above | 35% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Upper Extremity w/o Contrast Right | $1,888.25 | $2,905.00 | $59.96–$2,158.42 | 82% above | 35% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Wrist w/o Contrast Right | $1,888.25 | $2,905.00 | $59.96–$2,158.42 | 82% above | 35% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient both sides CPT 73200 CT Upper Extremity w/o Contrast Bilat | $3,313.54 | $5,097.75 | $59.96–$2,158.42 | — | 35% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 CT Upper Extrem w/o Con Bil 3D Recon | $3,313.54 | $5,097.75 | $59.96–$2,158.42 | — | 35% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Elbow w/o Contrast Left | $1,888.25 | $2,905.00 | $59.96–$2,158.42 | — | 35% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Hand w/o Contrast Left | $1,888.25 | $2,905.00 | $59.96–$2,158.42 | — | 35% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Elbow w/o Contrast Right | $1,888.25 | $2,905.00 | $59.96–$2,158.42 | — | 35% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Hand w/o Contrast Right | $1,888.25 | $2,905.00 | $59.96–$2,158.42 | — | 35% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Shoulder w/o Contrast Left | $1,888.25 | $2,905.00 | $59.96–$2,158.42 | — | 35% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Upper Extremity w/o Contrast Left | $1,888.25 | $2,905.00 | $59.96–$2,158.42 | — | 35% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Shoulder w/o Contrast Right | $1,888.25 | $2,905.00 | $59.96–$2,158.42 | — | 35% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Upper Extremity w/o Contrast Right | $1,888.25 | $2,905.00 | $59.96–$2,158.42 | — | 35% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Upper Extrem w/o Con Left 3D Recon | $1,888.25 | $2,905.00 | $59.96–$2,158.42 | — | 35% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Upper Extrem w/o Con Right 3D Recon | $1,888.25 | $2,905.00 | $59.96–$2,158.42 | — | 35% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Wrist w/o Contrast Left | $1,888.25 | $2,905.00 | $59.96–$2,158.42 | — | 35% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Wrist w/o Contrast Right | $1,888.25 | $2,905.00 | $59.96–$2,158.42 | — | 35% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 XR Swallow Gastrografin | $935.77 | $1,439.65 | $102.18–$1,066.02 | 115% above | 35% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 XR Swallow Esophagus Barium | $935.77 | $1,439.65 | $102.18–$1,066.02 | 115% above | 35% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 XR Swallow Gastrografin | $935.77 | $1,439.65 | $102.18–$1,066.02 | — | 35% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 XR Swallow Esophagus Barium | $935.77 | $1,439.65 | $102.18–$1,066.02 | — | 35% |
| Bone scan, whole body (nuclear medicine) CPT 78306 NM Bone Imaging Whole Body Delay 1 | $1,826.76 | $2,810.40 | $220.23–$1,831.68 | 82% above | 35% |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM Bone Imaging Whole Body Delay 1 | $1,826.76 | $2,810.40 | $220.23–$1,831.68 | — | 35% |
| Breast ultrasound, limited (one breast or one area) both sides CPT 76642 US Breast Limited Bilateral | $965.58 | $1,485.50 | $50.20 | — | 35% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US Breast Limited Right | $458.64 | $705.60 | $50.20 | 53% above | 35% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US Breast Limited Left | $458.64 | $705.60 | $50.20 | 53% above | 35% |
| Breast ultrasound, limited (one breast or one area) inpatient both sides CPT 76642 US Breast Limited Bilateral | $965.58 | $1,485.50 | $50.20 | — | 35% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US Breast Limited Right | $458.64 | $705.60 | $50.20 | — | 35% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US Breast Limited Left | $458.64 | $705.60 | $50.20 | — | 35% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 CT Angio Abdomen and Pelvis | $5,323.53 | $8,190.05 | $206.69–$5,338.08 | 117% above | 35% |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CT Angio Abdomen and Pelvis | $5,323.53 | $8,190.05 | $206.69–$5,338.08 | — | 35% |
| CT angiography (CTA) of the head CPT 70496 CT Angio Brain/Head STROKE | $2,264.76 | $3,484.25 | $101.17–$3,972.05 | 25% above | 35% |
| CT angiography (CTA) of the head CPT 70496 CT Angio Brain/Head | $2,581.83 | $3,972.05 | $101.17–$3,972.05 | 43% above | 35% |
| CT angiography (CTA) of the head inpatient CPT 70496 CT Angio Brain/Head STROKE | $2,264.76 | $3,484.25 | $101.17–$3,972.05 | — | 35% |
| CT angiography (CTA) of the head inpatient CPT 70496 CT Angio Brain/Head | $2,581.83 | $3,972.05 | $101.17–$3,972.05 | — | 35% |
| CT angiography (CTA) of the neck CPT 70498 CT Angio Neck STROKE | $2,264.76 | $3,484.25 | $101.17–$3,972.05 | 26% above | 35% |
| CT angiography (CTA) of the neck CPT 70498 CT Angio Neck | $2,581.83 | $3,972.05 | $101.17–$3,972.05 | 44% above | 35% |
| CT angiography (CTA) of the neck inpatient CPT 70498 CT Angio Neck STROKE | $2,264.76 | $3,484.25 | $101.17–$3,972.05 | — | 35% |
| CT angiography (CTA) of the neck inpatient CPT 70498 CT Angio Neck | $2,581.83 | $3,972.05 | $101.17–$3,972.05 | — | 35% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT Angio Chest AORTA | $2,130.38 | $3,277.50 | $101.17–$2,435.18 | 19% above | 35% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT Angio Chest PE | $2,130.38 | $3,277.50 | $101.17–$2,435.18 | 19% above | 35% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT Angio Chest PE | $2,130.38 | $3,277.50 | $101.17–$2,435.18 | — | 35% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT Angio Chest AORTA | $2,130.38 | $3,277.50 | $101.17–$2,435.18 | — | 35% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT Abdomen and Pelvis w/o Contrast | $3,326.15 | $5,117.15 | $131.00–$3,802.04 | 145% above | 35% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT Stone Protocol | $3,326.15 | $5,117.15 | $131.00–$3,802.04 | 145% above | 35% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT Stone Protocol | $3,326.15 | $5,117.15 | $131.00–$3,802.04 | — | 35% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT Abdomen and Pelvis w/o Contrast | $3,326.15 | $5,117.15 | $131.00–$3,802.04 | — | 35% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Pancreas Protocol | $4,669.76 | $7,184.25 | $206.69–$5,337.90 | 209% above | 35% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abdomen and Pelvis w/ Contrast | $5,323.53 | $8,190.05 | $206.69–$5,337.90 | 252% above | 35% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Pancreas Protocol | $4,669.76 | $7,184.25 | $206.69–$5,337.90 | — | 35% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Abdomen and Pelvis w/ Contrast | $5,323.53 | $8,190.05 | $206.69–$5,337.90 | — | 35% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT Abdomen and Pelvis w/ + w/o Contrast | $6,223.59 | $9,574.75 | $208.76–$7,114.04 | 236% above | 35% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT Abdomen and Pelvis w/ + w/o Contrast | $6,223.59 | $9,574.75 | $208.76–$7,114.04 | — | 35% |
| CT scan of the abdomen with contrast CPT 74160 CT Abdomen w/ Contrast | $3,098.88 | $4,767.50 | $554.48 | 134% above | 35% |
| CT scan of the abdomen with contrast inpatient CPT 74160 CT Abdomen w/ Contrast | $3,098.88 | $4,767.50 | $554.48 | — | 35% |
| CT scan of the abdomen without contrast CPT 74150 CT Abdomen w/o Contrast | $1,888.25 | $2,905.00 | $103.64 | 63% above | 35% |
| CT scan of the abdomen without contrast inpatient CPT 74150 CT Abdomen w/o Contrast | $1,888.25 | $2,905.00 | $103.64 | — | 35% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT Sinus w/o Contrast | $1,888.25 | $2,905.00 | $60.56–$1,893.35 | 88% above | 35% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT Mandible w/o Contrast | $1,888.25 | $2,905.00 | $60.56–$1,893.35 | 88% above | 35% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT Maxillofacial w/o Contrast | $1,888.25 | $2,905.00 | $60.56–$1,893.35 | 88% above | 35% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT Sinus w/o Contrast | $1,888.25 | $2,905.00 | $60.56–$1,893.35 | — | 35% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT Mandible w/o Contrast | $1,888.25 | $2,905.00 | $60.56–$1,893.35 | — | 35% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT Maxillofacial w/o Contrast | $1,888.25 | $2,905.00 | $60.56–$1,893.35 | — | 35% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT Brain/Head STROKE wo Contrast | $1,380.28 | $2,123.50 | $59.96–$1,577.76 | 31% above | 35% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT Brain/Head w/o Contrast | $1,573.52 | $2,420.80 | $59.96–$1,577.76 | 49% above | 35% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Brain/Head STROKE wo Contrast | $1,380.28 | $2,123.50 | $59.96–$1,577.76 | — | 35% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Brain/Head w/o Contrast | $1,573.52 | $2,420.80 | $59.96–$1,577.76 | — | 35% |
| CT scan of the head with contrast CPT 70460 CT Brain/Head w/ Contrast | $2,581.83 | $3,972.05 | $173.51 | 121% above | 35% |
| CT scan of the head with contrast inpatient CPT 70460 CT Brain/Head w/ Contrast | $2,581.83 | $3,972.05 | $173.51 | — | 35% |
| CT scan of the head without and with contrast CPT 70470 CT Brain/Head w/ + w/o Contrast | $2,581.83 | $3,972.05 | $102.18–$2,588.80 | 106% above | 35% |
| CT scan of the head without and with contrast inpatient CPT 70470 CT Brain/Head w/ + w/o Contrast | $2,581.83 | $3,972.05 | $102.18–$2,588.80 | — | 35% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT Spine Lumbar w/o Contrast | $2,420.11 | $3,723.25 | $59.96–$2,426.64 | 113% above | 35% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT Spine Lumbar w/o Contrast | $2,420.11 | $3,723.25 | $59.96–$2,426.64 | — | 35% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT Spine Cervical w/o Contrast | $1,888.25 | $2,905.00 | $59.96–$1,893.35 | 86% above | 35% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT Spine Cervical w/o Contrast | $1,888.25 | $2,905.00 | $59.96–$1,893.35 | — | 35% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis w/ Contrast | $3,098.88 | $4,767.50 | $102.18–$3,107.23 | 158% above | 35% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT Pelvis w/ Contrast | $3,098.88 | $4,767.50 | $102.18–$3,107.23 | — | 35% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 US Carotid Doppler Bilateral | $1,076.50 | $1,656.15 | $143.90–$554.89 | — | 35% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 US Carotid Doppler Bilateral | $1,076.50 | $1,656.15 | $143.90–$554.89 | — | 35% |
| Chest CT scan without and with contrast CPT 71270 CT Chest w/ + w/o Contrast | $2,582.39 | $3,972.90 | $424.08–$554.48 | 108% above | 35% |
| Chest CT scan without and with contrast inpatient CPT 71270 CT Chest w/ + w/o Contrast | $2,582.39 | $3,972.90 | $424.08–$554.48 | — | 35% |
| Chest X-ray, 2 views CPT 71046 XR Chest Pre Employment | $100.78 | $155.05 | $48.74–$519.02 | 56% below | 35% |
| Chest X-ray, 2 views CPT 71046 CHEST 2 VIEWS | $398.29 | $612.75 | $48.74–$519.02 | 73% above | 35% |
| Chest X-ray, 2 views CPT 71046 XR Chest 2 Views | $454.06 | $698.55 | $48.74–$519.02 | 97% above | 35% |
| Chest X-ray, 2 views inpatient CPT 71046 XR Chest Pre Employment | $100.78 | $155.05 | $48.74–$519.02 | — | 35% |
| Chest X-ray, 2 views inpatient CPT 71046 CHEST 2 VIEWS | $398.29 | $612.75 | $48.74–$519.02 | — | 35% |
| Chest X-ray, 2 views inpatient CPT 71046 XR Chest 2 Views | $454.06 | $698.55 | $48.74–$519.02 | — | 35% |
| Chest X-ray, single view CPT 71045 XR Chest 1 View | $453.54 | $697.75 | $48.74–$482.58 | 134% above | 35% |
| Chest X-ray, single view inpatient CPT 71045 XR Chest 1 View | $453.54 | $697.75 | $48.74–$482.58 | — | 35% |
| Collarbone (clavicle) X-ray, complete both sides CPT 73000 XR Clavicle Bilateral | $962.98 | $1,481.50 | $49.23–$131.90 | — | 35% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 XR Clavicle Left | $481.49 | $740.75 | $49.23–$131.90 | 141% above | 35% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 XR Clavicle Right | $481.49 | $740.75 | $49.23–$131.90 | 141% above | 35% |
| Collarbone (clavicle) X-ray, complete inpatient both sides CPT 73000 XR Clavicle Bilateral | $962.98 | $1,481.50 | $49.23–$131.90 | — | 35% |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XR Clavicle Right | $481.49 | $740.75 | $49.23–$131.90 | — | 35% |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XR Clavicle Left | $481.49 | $740.75 | $49.23–$131.90 | — | 35% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US Renal | $741.00 | $1,140.00 | $60.56–$847.02 | 83% above | 35% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US Aorta Retroperitoneal Complete | $741.00 | $1,140.00 | $60.56–$847.02 | 83% above | 35% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US Aorta Retroperitoneal Complete | $741.00 | $1,140.00 | $60.56–$847.02 | — | 35% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US Renal | $741.00 | $1,140.00 | $60.56–$847.02 | — | 35% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Chest High Resolution | $1,573.52 | $2,420.80 | $59.96–$3,341.72 | 53% above | 35% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Low Dose Lung Cancer Followup | $1,573.52 | $2,420.80 | $59.96–$3,341.72 | 53% above | 35% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Chest w/o Contrast | $1,573.52 | $2,420.80 | $59.96–$3,341.72 | 53% above | 35% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Chest Zephyr Protocol | $1,573.52 | $2,420.80 | $59.96–$3,341.72 | 53% above | 35% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST GALAXY PROTOCOL | $1,573.52 | $2,420.80 | $59.96–$3,341.72 | 53% above | 35% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Chest ION Protocol | $2,923.44 | $4,497.60 | $59.96–$3,341.72 | 185% above | 35% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT Chest Zephyr Protocol | $1,573.52 | $2,420.80 | $59.96–$3,341.72 | — | 35% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT Low Dose Lung Cancer Followup | $1,573.52 | $2,420.80 | $59.96–$3,341.72 | — | 35% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT Chest w/o Contrast | $1,573.52 | $2,420.80 | $59.96–$3,341.72 | — | 35% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT Chest High Resolution | $1,573.52 | $2,420.80 | $59.96–$3,341.72 | — | 35% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST GALAXY PROTOCOL | $1,573.52 | $2,420.80 | $59.96–$3,341.72 | — | 35% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT Chest ION Protocol | $2,923.44 | $4,497.60 | $59.96–$3,341.72 | — | 35% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT Chest High Resolution w/ Contrast | $2,718.30 | $4,182.00 | $101.17–$3,107.23 | 146% above | 35% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT Chest w/ Contrast | $3,098.88 | $4,767.50 | $101.17–$3,107.23 | 181% above | 35% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT Chest High Resolution w/ Contrast | $2,718.30 | $4,182.00 | $101.17–$3,107.23 | — | 35% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT Chest w/ Contrast | $3,098.88 | $4,767.50 | $101.17–$3,107.23 | — | 35% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US Lower Ext Arterial Doppler Bilateral | $1,076.50 | $1,656.15 | $80.17–$1,230.52 | — | 35% |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 US Lower Ext Arterial Doppler Bilateral | $1,076.50 | $1,656.15 | $80.17–$1,230.52 | — | 35% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US Upper Ext Venous Duplex Bilateral | $944.29 | $1,452.75 | $80.17–$1,230.52 | — | 35% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US Venous Doppler Low Ext (DVT)Bilateral | $1,076.50 | $1,656.15 | $80.17–$1,230.52 | — | 35% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US Venous Doppler Up Arm/Neck (DVT)Bilat | $1,076.50 | $1,656.15 | $80.17–$1,230.52 | — | 35% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US Upper Ext Venous Duplex Bilateral | $944.29 | $1,452.75 | $80.17–$1,230.52 | — | 35% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US Venous Doppler Low Ext (DVT)Bilateral | $1,076.50 | $1,656.15 | $80.17–$1,230.52 | — | 35% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US Venous Doppler Up Arm/Neck (DVT)Bilat | $1,076.50 | $1,656.15 | $80.17–$1,230.52 | — | 35% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 CV Echocardiogram Full (M) | $1,500.17 | $2,307.95 | $291.61–$1,768.53 | 21% below | 35% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 CV Echo Acquisition | $1,500.17 | $2,307.95 | $291.61–$1,768.53 | 21% below | 35% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 CV Echocardiogram Full (M) | $1,500.17 | $2,307.95 | $291.61–$1,768.53 | — | 35% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 CV Echo Acquisition | $1,500.17 | $2,307.95 | $291.61–$1,768.53 | — | 35% |
| Elbow X-ray, 2 views both sides CPT 73070 XR Elbow 2 Views Bilateral | $802.75 | $1,235.00 | $49.23–$482.58 | — | 35% |
| Elbow X-ray, 2 views one side CPT 73070 XR Elbow 2 Views Left | $430.53 | $662.35 | $49.23–$482.58 | 119% above | 35% |
| Elbow X-ray, 2 views one side CPT 73070 XR Elbow 2 Views Right | $430.53 | $662.35 | $49.23–$482.58 | 119% above | 35% |
| Elbow X-ray, 2 views inpatient both sides CPT 73070 XR Elbow 2 Views Bilateral | $802.75 | $1,235.00 | $49.23–$482.58 | — | 35% |
| Elbow X-ray, 2 views inpatient one side CPT 73070 XR Elbow 2 Views Left | $430.53 | $662.35 | $49.23–$482.58 | — | 35% |
| Elbow X-ray, 2 views inpatient one side CPT 73070 XR Elbow 2 Views Right | $430.53 | $662.35 | $49.23–$482.58 | — | 35% |
| Elbow X-ray, complete, 3 or more views both sides CPT 73080 XR Elbow Complete 3+ Views Bilateral | $962.98 | $1,481.50 | $48.74–$579.54 | — | 35% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 XR Elbow Complete 3+ Views Left | $481.49 | $740.75 | $48.74–$579.54 | 101% above | 35% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 XR Elbow Complete 3+ Views Right | $481.65 | $741.00 | $48.74–$579.54 | 101% above | 35% |
| Elbow X-ray, complete, 3 or more views inpatient both sides CPT 73080 XR Elbow Complete 3+ Views Bilateral | $962.98 | $1,481.50 | $48.74–$579.54 | — | 35% |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XR Elbow Complete 3+ Views Left | $481.49 | $740.75 | $48.74–$579.54 | — | 35% |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XR Elbow Complete 3+ Views Right | $481.65 | $741.00 | $48.74–$579.54 | — | 35% |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT Inner Ear (IAC) w/o Contrast | $1,888.25 | $2,905.00 | $61.76–$2,158.42 | 78% above | 35% |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT Orbits Sella w/o Contrast | $1,888.25 | $2,905.00 | $61.76–$2,158.42 | 78% above | 35% |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT Inner Ear (IAC) w/o Contrast | $1,888.25 | $2,905.00 | $61.76–$2,158.42 | — | 35% |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT Orbits Sella w/o Contrast | $1,888.25 | $2,905.00 | $61.76–$2,158.42 | — | 35% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 XR Facial Bones 3+ Views | $568.26 | $874.25 | $61.76–$218.79 | 81% above | 35% |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 XR Facial Bones 3+ Views | $568.26 | $874.25 | $61.76–$218.79 | — | 35% |
| Forearm X-ray (radius and ulna), 2 views both sides CPT 73090 XR Forearm 2 Views Bilateral | $962.98 | $1,481.50 | $48.74–$579.35 | — | 35% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR Forearm 2 Views Left | $481.49 | $740.75 | $48.74–$579.35 | 130% above | 35% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR Forearm 2 Views Right | $481.49 | $740.75 | $48.74–$579.35 | 130% above | 35% |
| Forearm X-ray (radius and ulna), 2 views inpatient both sides CPT 73090 XR Forearm 2 Views Bilateral | $962.98 | $1,481.50 | $48.74–$579.35 | — | 35% |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XR Forearm 2 Views Right | $481.49 | $740.75 | $48.74–$579.35 | — | 35% |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XR Forearm 2 Views Left | $481.49 | $740.75 | $48.74–$579.35 | — | 35% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM Hepatobiliary Imaging Injection/Scan | $1,345.37 | $2,069.80 | $622.45 | 15% above | 35% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NM Hepatobiliary Imaging Injection/Scan | $1,345.37 | $2,069.80 | $622.45 | — | 35% |
| Hand X-ray, 2 views both sides CPT 73120 XR Hand 2 Views Bilateral | $877.01 | $1,349.25 | $60.56–$527.53 | — | 35% |
| Hand X-ray, 2 views one side CPT 73120 XR Hand 2 Views Left | $438.43 | $674.50 | $60.56–$527.53 | 130% above | 35% |
| Hand X-ray, 2 views one side CPT 73120 XR Hand 2 Views Right | $438.43 | $674.50 | $60.56–$527.53 | 130% above | 35% |
| Hand X-ray, 2 views inpatient both sides CPT 73120 XR Hand 2 Views Bilateral | $877.01 | $1,349.25 | $60.56–$527.53 | — | 35% |
| Hand X-ray, 2 views inpatient one side CPT 73120 XR Hand 2 Views Left | $438.43 | $674.50 | $60.56–$527.53 | — | 35% |
| Hand X-ray, 2 views inpatient one side CPT 73120 XR Hand 2 Views Right | $438.43 | $674.50 | $60.56–$527.53 | — | 35% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Polysomnography CPAP - Reduced Service - Sleep Lab Charge | $4,060.78 | $6,247.35 | $404.84–$4,886.09 | 45% above | 35% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Polysomnography CPAP - Sleep Lab Charge | $4,060.78 | $6,247.35 | $404.84–$4,886.09 | 45% above | 35% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 Polysomnography CPAP - Sleep Lab Charge | $4,060.78 | $6,247.35 | $404.84–$4,886.09 | — | 35% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 Polysomnography CPAP - Reduced Service - Sleep Lab Charge | $4,060.78 | $6,247.35 | $404.84–$4,886.09 | — | 35% |
| Knee X-ray, 3 views both sides CPT 73562 XR Knee 3 Views Bilateral | $962.98 | $1,481.50 | $48.74–$779.75 | — | 35% |
| Knee X-ray, 3 views one side CPT 73562 XR Knee 3 Views Right | $510.74 | $785.75 | $48.74–$779.75 | 108% above | 35% |
| Knee X-ray, 3 views one side CPT 73562 XR Knee 3 Views Left | $510.74 | $785.75 | $48.74–$779.75 | 108% above | 35% |
| Knee X-ray, 3 views inpatient both sides CPT 73562 XR Knee 3 Views Bilateral | $962.98 | $1,481.50 | $48.74–$779.75 | — | 35% |
| Knee X-ray, 3 views inpatient one side CPT 73562 XR Knee 3 Views Left | $510.74 | $785.75 | $48.74–$779.75 | — | 35% |
| Knee X-ray, 3 views inpatient one side CPT 73562 XR Knee 3 Views Right | $510.74 | $785.75 | $48.74–$779.75 | — | 35% |
| Knee X-ray, complete, 4 or more views both sides CPT 73564 XR Knee Complete 4+ Views Bilateral | $1,296.13 | $1,994.05 | $52.67–$779.78 | — | 35% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 XR Knee Complete 4+ Views Right | $648.08 | $997.05 | $52.67–$779.78 | 95% above | 35% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 XR Knee Complete 4+ Views Left | $648.08 | $997.05 | $52.67–$779.78 | 95% above | 35% |
| Knee X-ray, complete, 4 or more views inpatient both sides CPT 73564 XR Knee Complete 4+ Views Bilateral | $1,296.13 | $1,994.05 | $52.67–$779.78 | — | 35% |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XR Knee Complete 4+ Views Right | $648.08 | $997.05 | $52.67–$779.78 | — | 35% |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XR Knee Complete 4+ Views Left | $648.08 | $997.05 | $52.67–$779.78 | — | 35% |
| Leg CT scan without contrast (hip to foot, any part) both sides CPT 73700 CT Hip w/o Contrast Bilateral | $3,147.85 | $4,842.85 | $60.56–$2,548.25 | — | 35% |
| Leg CT scan without contrast (hip to foot, any part) both sides CPT 73700 CT Lower Extremity w/o Contrast Bilat | $3,147.85 | $4,842.85 | $60.56–$2,548.25 | — | 35% |
| Leg CT scan without contrast (hip to foot, any part) both sides CPT 73700 CT Foot w/o Contrast Bilateral | $3,147.85 | $4,842.85 | $60.56–$2,548.25 | — | 35% |
| Leg CT scan without contrast (hip to foot, any part) both sides CPT 73700 CT Lower Extremity Robot Bilat | $3,313.54 | $5,097.75 | $60.56–$2,548.25 | — | 35% |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT Lower Extrem w/o Con Bil 3D Recon | $3,313.54 | $5,097.75 | $60.56–$2,548.25 | 223% above | 35% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Lower Extrem w/o Con Right 3D Recon | $1,888.25 | $2,905.00 | $60.56–$2,548.25 | 84% above | 35% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Lower Extremity Robot Right | $1,888.25 | $2,905.00 | $60.56–$2,548.25 | 84% above | 35% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Lower Extremity Robot Left | $1,888.25 | $2,905.00 | $60.56–$2,548.25 | 84% above | 35% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Lower Extrem w/o Con Left 3D Recon | $1,888.25 | $2,905.00 | $60.56–$2,548.25 | 84% above | 35% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Lower Extremity w/o Contrast Right | $1,888.25 | $2,905.00 | $60.56–$2,548.25 | 84% above | 35% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Lower Extremity w/o Contrast Left | $1,888.25 | $2,905.00 | $60.56–$2,548.25 | 84% above | 35% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Knee w/o Contrast Right | $1,888.25 | $2,905.00 | $60.56–$2,548.25 | 84% above | 35% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Knee w/o Contrast Left | $1,888.25 | $2,905.00 | $60.56–$2,548.25 | 84% above | 35% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Hip w/o Contrast Right | $1,888.25 | $2,905.00 | $60.56–$2,548.25 | 84% above | 35% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Hip w/o Contrast Left | $1,888.25 | $2,905.00 | $60.56–$2,548.25 | 84% above | 35% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Foot w/o Contrast Right | $1,888.25 | $2,905.00 | $60.56–$2,548.25 | 84% above | 35% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Foot w/o Contrast Left | $1,888.25 | $2,905.00 | $60.56–$2,548.25 | 84% above | 35% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Ankle w/o Contrast Right | $1,888.25 | $2,905.00 | $60.56–$2,548.25 | 84% above | 35% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Ankle w/o Contrast Left | $1,888.25 | $2,905.00 | $60.56–$2,548.25 | 84% above | 35% |
| Leg CT scan without contrast (hip to foot, any part) inpatient both sides CPT 73700 CT Hip w/o Contrast Bilateral | $3,147.85 | $4,842.85 | $60.56–$2,548.25 | — | 35% |
| Leg CT scan without contrast (hip to foot, any part) inpatient both sides CPT 73700 CT Foot w/o Contrast Bilateral | $3,147.85 | $4,842.85 | $60.56–$2,548.25 | — | 35% |
| Leg CT scan without contrast (hip to foot, any part) inpatient both sides CPT 73700 CT Lower Extremity w/o Contrast Bilat | $3,147.85 | $4,842.85 | $60.56–$2,548.25 | — | 35% |
| Leg CT scan without contrast (hip to foot, any part) inpatient both sides CPT 73700 CT Lower Extremity Robot Bilat | $3,313.54 | $5,097.75 | $60.56–$2,548.25 | — | 35% |
| Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 CT Lower Extrem w/o Con Bil 3D Recon | $3,313.54 | $5,097.75 | $60.56–$2,548.25 | — | 35% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Foot w/o Contrast Right | $1,888.25 | $2,905.00 | $60.56–$2,548.25 | — | 35% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Lower Extremity Robot Right | $1,888.25 | $2,905.00 | $60.56–$2,548.25 | — | 35% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Foot w/o Contrast Left | $1,888.25 | $2,905.00 | $60.56–$2,548.25 | — | 35% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Lower Extremity w/o Contrast Right | $1,888.25 | $2,905.00 | $60.56–$2,548.25 | — | 35% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Lower Extremity w/o Contrast Left | $1,888.25 | $2,905.00 | $60.56–$2,548.25 | — | 35% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Knee w/o Contrast Right | $1,888.25 | $2,905.00 | $60.56–$2,548.25 | — | 35% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Lower Extrem w/o Con Right 3D Recon | $1,888.25 | $2,905.00 | $60.56–$2,548.25 | — | 35% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Knee w/o Contrast Left | $1,888.25 | $2,905.00 | $60.56–$2,548.25 | — | 35% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Hip w/o Contrast Right | $1,888.25 | $2,905.00 | $60.56–$2,548.25 | — | 35% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Ankle w/o Contrast Right | $1,888.25 | $2,905.00 | $60.56–$2,548.25 | — | 35% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Lower Extremity Robot Left | $1,888.25 | $2,905.00 | $60.56–$2,548.25 | — | 35% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Hip w/o Contrast Left | $1,888.25 | $2,905.00 | $60.56–$2,548.25 | — | 35% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Ankle w/o Contrast Left | $1,888.25 | $2,905.00 | $60.56–$2,548.25 | — | 35% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Lower Extrem w/o Con Left 3D Recon | $1,888.25 | $2,905.00 | $60.56–$2,548.25 | — | 35% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Spleen | $740.38 | $1,139.05 | $59.96–$890.86 | 113% above | 35% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Abdomen Limited | $740.38 | $1,139.05 | $59.96–$890.86 | 113% above | 35% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Liver (Hepatic) | $740.38 | $1,139.05 | $59.96–$890.86 | 113% above | 35% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Gallbladder | $740.38 | $1,139.05 | $59.96–$890.86 | 113% above | 35% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Pancreas | $779.35 | $1,199.00 | $59.96–$890.86 | 124% above | 35% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Spleen | $740.38 | $1,139.05 | $59.96–$890.86 | — | 35% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Gallbladder | $740.38 | $1,139.05 | $59.96–$890.86 | — | 35% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Liver (Hepatic) | $740.38 | $1,139.05 | $59.96–$890.86 | — | 35% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Abdomen Limited | $740.38 | $1,139.05 | $59.96–$890.86 | — | 35% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Pancreas | $779.35 | $1,199.00 | $59.96–$890.86 | — | 35% |
| Limited ultrasound of an arm or leg (non-vascular) both sides CPT 76882 US Extremity Nonvascular Limited Bilat | $1,559.35 | $2,399.00 | $60.56–$890.86 | — | 35% |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US Extremity Nonvascular Limited Right | $740.38 | $1,139.05 | $60.56–$890.86 | 136% above | 35% |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US Extremity Nonvascular Limited Left | $740.38 | $1,139.05 | $60.56–$890.86 | 136% above | 35% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient both sides CPT 76882 US Extremity Nonvascular Limited Bilat | $1,559.35 | $2,399.00 | $60.56–$890.86 | — | 35% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US Extremity Nonvascular Limited Left | $740.38 | $1,139.05 | $60.56–$890.86 | — | 35% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US Extremity Nonvascular Limited Right | $740.38 | $1,139.05 | $60.56–$890.86 | — | 35% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT Low Dose Lung Cancer Screening | $1,311.25 | $2,017.30 | $59.96–$1,577.76 | 102% above | 35% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT Low Dose Lung Cancer Screening | $1,311.25 | $2,017.30 | $59.96–$1,577.76 | — | 35% |
| Lower leg X-ray (tibia and fibula), 2 views both sides CPT 73590 XR Tibia/Fibula Bilateral | $962.98 | $1,481.50 | $48.74–$590.57 | — | 35% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR Tibia/Fibula Left | $516.65 | $794.85 | $48.74–$590.57 | 131% above | 35% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR Tibia/Fibula Right | $516.65 | $794.85 | $48.74–$590.57 | 131% above | 35% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient both sides CPT 73590 XR Tibia/Fibula Bilateral | $962.98 | $1,481.50 | $48.74–$590.57 | — | 35% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR Tibia/Fibula Left | $516.65 | $794.85 | $48.74–$590.57 | — | 35% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR Tibia/Fibula Right | $516.65 | $794.85 | $48.74–$590.57 | — | 35% |
| MR angiography (MRA) of the head without contrast CPT 70544 MRV Brain w/o Contrast | $2,446.21 | $3,763.40 | $132.31–$2,796.21 | 69% above | 35% |
| MR angiography (MRA) of the head without contrast CPT 70544 MRA Brain/Head w/o Contrast | $2,446.21 | $3,763.40 | $132.31–$2,796.21 | 69% above | 35% |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA Brain/Head w/o Contrast | $2,446.21 | $3,763.40 | $132.31–$2,796.21 | — | 35% |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRV Brain w/o Contrast | $2,446.21 | $3,763.40 | $132.31–$2,796.21 | — | 35% |
| MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 MRI Ankle w/o Contrast Bilateral | $4,891.51 | $7,525.40 | $132.31–$2,942.84 | — | 35% |
| MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 MRI Hip w/o Contrast Bilateral | $4,891.51 | $7,525.40 | $132.31–$2,942.84 | — | 35% |
| MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 MRI Knee w/o Contrast Bilateral | $4,891.51 | $7,525.40 | $132.31–$2,942.84 | — | 35% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Knee w/o Contrast Right | $2,934.91 | $4,515.25 | $132.31–$2,942.84 | 130% above | 35% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Knee w/o Contrast Left | $2,934.91 | $4,515.25 | $132.31–$2,942.84 | 130% above | 35% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Ankle w/o Contrast Right | $2,934.91 | $4,515.25 | $132.31–$2,942.84 | 130% above | 35% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Hip w/o Contrast Right | $2,934.91 | $4,515.25 | $132.31–$2,942.84 | 130% above | 35% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Hip w/o Contrast Left | $2,934.91 | $4,515.25 | $132.31–$2,942.84 | 130% above | 35% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Ankle w/o Contrast Left | $2,934.91 | $4,515.25 | $132.31–$2,942.84 | 130% above | 35% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient both sides CPT 73721 MRI Hip w/o Contrast Bilateral | $4,891.51 | $7,525.40 | $132.31–$2,942.84 | — | 35% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient both sides CPT 73721 MRI Knee w/o Contrast Bilateral | $4,891.51 | $7,525.40 | $132.31–$2,942.84 | — | 35% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient both sides CPT 73721 MRI Ankle w/o Contrast Bilateral | $4,891.51 | $7,525.40 | $132.31–$2,942.84 | — | 35% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Hip w/o Contrast Left | $2,934.91 | $4,515.25 | $132.31–$2,942.84 | — | 35% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Ankle w/o Contrast Left | $2,934.91 | $4,515.25 | $132.31–$2,942.84 | — | 35% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Ankle w/o Contrast Right | $2,934.91 | $4,515.25 | $132.31–$2,942.84 | — | 35% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Hip w/o Contrast Right | $2,934.91 | $4,515.25 | $132.31–$2,942.84 | — | 35% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Knee w/o Contrast Left | $2,934.91 | $4,515.25 | $132.31–$2,942.84 | — | 35% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Knee w/o Contrast Right | $2,934.91 | $4,515.25 | $132.31–$2,942.84 | — | 35% |
| MRI of knee or other lower-limb joint, without and then with contrast dye both sides CPT 73723 MRI Arthrogram Knee Bilateral | $6,866.60 | $10,564.00 | $208.76–$4,516.51 | — | 35% |
| MRI of knee or other lower-limb joint, without and then with contrast dye both sides CPT 73723 MRI Arthrogram Hip Bilateral | $6,866.60 | $10,564.00 | $208.76–$4,516.51 | — | 35% |
| MRI of knee or other lower-limb joint, without and then with contrast dye both sides CPT 73723 MRI Knee w/ + w/o Contrast Bilateral | $7,507.11 | $11,549.40 | $208.76–$4,516.51 | — | 35% |
| MRI of knee or other lower-limb joint, without and then with contrast dye both sides CPT 73723 MRI Ankle w/ + w/o Contrast Bilateral | $7,902.21 | $12,157.25 | $208.76–$4,516.51 | — | 35% |
| MRI of knee or other lower-limb joint, without and then with contrast dye both sides CPT 73723 MRI Hip w/ + w/o Contrast Bilateral | $7,902.21 | $12,157.25 | $208.76–$4,516.51 | — | 35% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Arthrogram Hip Right | $3,261.64 | $5,017.90 | $208.76–$4,516.51 | 94% above | 35% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Arthrogram Hip Left | $3,261.64 | $5,017.90 | $208.76–$4,516.51 | 94% above | 35% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Arthrogram Knee Right | $3,433.30 | $5,282.00 | $208.76–$4,516.51 | 104% above | 35% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Arthrogram Knee Left | $3,433.30 | $5,282.00 | $208.76–$4,516.51 | 104% above | 35% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Hip w/ + w/o Contrast Left | $3,753.62 | $5,774.80 | $208.76–$4,516.51 | 123% above | 35% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Knee w/ + w/o Contrast Right | $3,753.62 | $5,774.80 | $208.76–$4,516.51 | 123% above | 35% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Ankle w/ + w/o Contrast Left | $3,753.62 | $5,774.80 | $208.76–$4,516.51 | 123% above | 35% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Knee w/ + w/o Contrast Left | $3,753.62 | $5,774.80 | $208.76–$4,516.51 | 123% above | 35% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Hip w/ + w/o Contrast Right | $3,753.62 | $5,774.80 | $208.76–$4,516.51 | 123% above | 35% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Ankle w/ + w/o Contrast Right | $3,951.19 | $6,078.75 | $208.76–$4,516.51 | 135% above | 35% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient both sides CPT 73723 MRI Arthrogram Hip Bilateral | $6,866.60 | $10,564.00 | $208.76–$4,516.51 | — | 35% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient both sides CPT 73723 MRI Arthrogram Knee Bilateral | $6,866.60 | $10,564.00 | $208.76–$4,516.51 | — | 35% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient both sides CPT 73723 MRI Knee w/ + w/o Contrast Bilateral | $7,507.11 | $11,549.40 | $208.76–$4,516.51 | — | 35% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient both sides CPT 73723 MRI Hip w/ + w/o Contrast Bilateral | $7,902.21 | $12,157.25 | $208.76–$4,516.51 | — | 35% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient both sides CPT 73723 MRI Ankle w/ + w/o Contrast Bilateral | $7,902.21 | $12,157.25 | $208.76–$4,516.51 | — | 35% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Arthrogram Hip Right | $3,261.64 | $5,017.90 | $208.76–$4,516.51 | — | 35% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Arthrogram Hip Left | $3,261.64 | $5,017.90 | $208.76–$4,516.51 | — | 35% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Arthrogram Knee Left | $3,433.30 | $5,282.00 | $208.76–$4,516.51 | — | 35% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Arthrogram Knee Right | $3,433.30 | $5,282.00 | $208.76–$4,516.51 | — | 35% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Hip w/ + w/o Contrast Left | $3,753.62 | $5,774.80 | $208.76–$4,516.51 | — | 35% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Knee w/ + w/o Contrast Right | $3,753.62 | $5,774.80 | $208.76–$4,516.51 | — | 35% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Hip w/ + w/o Contrast Right | $3,753.62 | $5,774.80 | $208.76–$4,516.51 | — | 35% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Knee w/ + w/o Contrast Left | $3,753.62 | $5,774.80 | $208.76–$4,516.51 | — | 35% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Ankle w/ + w/o Contrast Left | $3,753.62 | $5,774.80 | $208.76–$4,516.51 | — | 35% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Ankle w/ + w/o Contrast Right | $3,951.19 | $6,078.75 | $208.76–$4,516.51 | — | 35% |
| MRI of the abdomen without contrast CPT 74181 MRI Abdomen w/o Contrast | $2,934.91 | $4,515.25 | $117.79–$132.31 | 120% above | 35% |
| MRI of the abdomen without contrast inpatient CPT 74181 MRI Abdomen w/o Contrast | $2,934.91 | $4,515.25 | $117.79–$132.31 | — | 35% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI MRCP | $4,601.25 | $7,078.85 | $208.76–$5,259.58 | 173% above | 35% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI Enterography | $4,601.25 | $7,078.85 | $208.76–$5,259.58 | 173% above | 35% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI Abdomen w/ + w/o Contrast | $4,601.25 | $7,078.85 | $208.76–$5,259.58 | 173% above | 35% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI Enterography | $4,601.25 | $7,078.85 | $208.76–$5,259.58 | — | 35% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI Abdomen w/ + w/o Contrast | $4,601.25 | $7,078.85 | $208.76–$5,259.58 | — | 35% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI MRCP | $4,601.25 | $7,078.85 | $208.76–$5,259.58 | — | 35% |
| MRI of the brain, no contrast dye CPT 70551 MRI Brain w/o Contrast | $2,446.21 | $3,763.40 | $132.31–$2,796.21 | 84% above | 35% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI Brain w/o Contrast | $2,446.21 | $3,763.40 | $132.31–$2,796.21 | — | 35% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI Brain w/ + w/o Contrast | $4,337.55 | $6,673.15 | $206.69–$4,709.32 | 132% above | 35% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI Pituitary w/ + w/o Contrast | $4,337.55 | $6,673.15 | $206.69–$4,709.32 | 132% above | 35% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI IACs w/o + w/ Contrast | $4,337.55 | $6,673.15 | $206.69–$4,709.32 | 132% above | 35% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI IACs w/o + w/ Contrast | $4,337.55 | $6,673.15 | $206.69–$4,709.32 | — | 35% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI Pituitary w/ + w/o Contrast | $4,337.55 | $6,673.15 | $206.69–$4,709.32 | — | 35% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI Brain w/ + w/o Contrast | $4,337.55 | $6,673.15 | $206.69–$4,709.32 | — | 35% |
| MRI of the lower back, no contrast dye CPT 72148 MRI Spine Lumbar w/o Contrast | $2,934.91 | $4,515.25 | $132.31–$3,354.83 | 129% above | 35% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI Spine Lumbar w/o Contrast | $2,934.91 | $4,515.25 | $132.31–$3,354.83 | — | 35% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI Spine Lumbar w/ + w/o Contrast | $4,388.48 | $6,751.50 | $208.76–$4,709.32 | 147% above | 35% |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI Spine Lumbar w/ + w/o Contrast | $4,388.48 | $6,751.50 | $208.76–$4,709.32 | — | 35% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI Spine Thoracic w/o Contrast | $2,934.91 | $4,515.25 | $134.93–$2,942.84 | 138% above | 35% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI Spine Thoracic w/o Contrast | $2,934.91 | $4,515.25 | $134.93–$2,942.84 | — | 35% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI Spine Cervical w/ + w/o Contrast | $4,453.93 | $6,852.20 | $208.76–$4,709.32 | 149% above | 35% |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI Spine Cervical w/ + w/o Contrast | $4,453.93 | $6,852.20 | $208.76–$4,709.32 | — | 35% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI Spine Cervical w/o Contrast | $2,934.91 | $4,515.25 | $132.31–$2,942.84 | 139% above | 35% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI Spine Cervical w/o Contrast | $2,934.91 | $4,515.25 | $132.31–$2,942.84 | — | 35% |
| MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W/O&W CONTRAST | $4,190.45 | $6,446.85 | $348.07–$4,790.01 | 145% above | 35% |
| MRI of the pelvis without and with contrast CPT 72197 MRI Pelvis w/ + w/o Contrast | $4,190.45 | $6,446.85 | $348.07–$4,790.01 | 145% above | 35% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS W/O&W CONTRAST | $4,190.45 | $6,446.85 | $348.07–$4,790.01 | — | 35% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 MRI Pelvis w/ + w/o Contrast | $4,190.45 | $6,446.85 | $348.07–$4,790.01 | — | 35% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI Pelvis w/o Contrast | $2,934.91 | $4,515.25 | $132.31–$1,070.26 | 137% above | 35% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI Pelvis w/o Contrast | $2,934.91 | $4,515.25 | $132.31–$1,070.26 | — | 35% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye both sides CPT 73221 MRI Shoulder w/o Contrast Bilateral | $4,891.51 | $7,525.40 | $132.31–$3,354.83 | — | 35% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye both sides CPT 73221 MRI Wrist w/o Contrast Bilateral | $5,148.98 | $7,921.50 | $132.31–$3,354.83 | — | 35% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye both sides CPT 73221 MRI Elbow w/o Contrast Bilateral | $5,148.98 | $7,921.50 | $132.31–$3,354.83 | — | 35% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Shoulder w/o Contrast Right | $2,934.91 | $4,515.25 | $132.31–$3,354.83 | 134% above | 35% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Wrist w/o Contrast Left | $2,934.91 | $4,515.25 | $132.31–$3,354.83 | 134% above | 35% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Wrist w/o Contrast Right | $2,934.91 | $4,515.25 | $132.31–$3,354.83 | 134% above | 35% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Elbow w/o Contrast Right | $2,934.91 | $4,515.25 | $132.31–$3,354.83 | 134% above | 35% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Elbow w/o Contrast Left | $2,934.91 | $4,515.25 | $132.31–$3,354.83 | 134% above | 35% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Shoulder w/o Contrast Left | $2,934.91 | $4,515.25 | $132.31–$3,354.83 | 134% above | 35% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient both sides CPT 73221 MRI Shoulder w/o Contrast Bilateral | $4,891.51 | $7,525.40 | $132.31–$3,354.83 | — | 35% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient both sides CPT 73221 MRI Wrist w/o Contrast Bilateral | $5,148.98 | $7,921.50 | $132.31–$3,354.83 | — | 35% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient both sides CPT 73221 MRI Elbow w/o Contrast Bilateral | $5,148.98 | $7,921.50 | $132.31–$3,354.83 | — | 35% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Wrist w/o Contrast Right | $2,934.91 | $4,515.25 | $132.31–$3,354.83 | — | 35% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Elbow w/o Contrast Left | $2,934.91 | $4,515.25 | $132.31–$3,354.83 | — | 35% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Shoulder w/o Contrast Left | $2,934.91 | $4,515.25 | $132.31–$3,354.83 | — | 35% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Elbow w/o Contrast Right | $2,934.91 | $4,515.25 | $132.31–$3,354.83 | — | 35% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Wrist w/o Contrast Left | $2,934.91 | $4,515.25 | $132.31–$3,354.83 | — | 35% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Shoulder w/o Contrast Right | $2,934.91 | $4,515.25 | $132.31–$3,354.83 | — | 35% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 XR Spine Cerv AP,Odontoid,LatFlex,LatExt | $647.82 | $996.65 | $210.66–$265.95 | 70% above | 35% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 XR Spine Cervical 4 or 5 Views | $647.82 | $996.65 | $210.66–$265.95 | 70% above | 35% |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 XR Spine Cerv AP,Odontoid,LatFlex,LatExt | $647.82 | $996.65 | $210.66–$265.95 | — | 35% |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 XR Spine Cervical 4 or 5 Views | $647.82 | $996.65 | $210.66–$265.95 | — | 35% |
| Neck soft tissue CT scan with contrast CPT 70491 CT Neck Soft Tissue w/ Contrast | $3,094.49 | $4,760.75 | $101.17–$3,537.24 | 172% above | 35% |
| Neck soft tissue CT scan with contrast inpatient CPT 70491 CT Neck Soft Tissue w/ Contrast | $3,094.49 | $4,760.75 | $101.17–$3,537.24 | — | 35% |
| Neck soft tissue CT scan without contrast CPT 70490 CT Neck Soft Tissue w/o Contrast | $1,573.52 | $2,420.80 | $103.64–$554.48 | 61% above | 35% |
| Neck soft tissue CT scan without contrast inpatient CPT 70490 CT Neck Soft Tissue w/o Contrast | $1,573.52 | $2,420.80 | $103.64–$554.48 | — | 35% |
| Neck soft tissue X-ray CPT 70360 NECK SOFT TISSUE | $478.24 | $735.75 | $49.23–$579.35 | 135% above | 35% |
| Neck soft tissue X-ray CPT 70360 XR Neck Soft Tissue | $533.46 | $820.70 | $49.23–$579.35 | 163% above | 35% |
| Neck soft tissue X-ray inpatient CPT 70360 NECK SOFT TISSUE | $478.24 | $735.75 | $49.23–$579.35 | — | 35% |
| Neck soft tissue X-ray inpatient CPT 70360 XR Neck Soft Tissue | $533.46 | $820.70 | $49.23–$579.35 | — | 35% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM Myocardial Perfusion Spect Dual | $5,241.22 | $8,063.42 | $744.60–$6,350.61 | 118% above | 35% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM Myocardial Perf Pharmacological | $5,277.94 | $8,119.90 | $744.60–$6,350.61 | 119% above | 35% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM Myocardial Perf Viability | $5,555.71 | $8,547.25 | $744.60–$6,350.61 | 131% above | 35% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM Myocardial Perfusion Spect Dual | $5,241.22 | $8,063.42 | $744.60–$6,350.61 | — | 35% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM Myocardial Perf Pharmacological | $5,277.94 | $8,119.90 | $744.60–$6,350.61 | — | 35% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM Myocardial Perf Viability | $5,555.71 | $8,547.25 | $744.60–$6,350.61 | — | 35% |
| Pelvic CT scan without contrast CPT 72192 CT Pelvis w/o Contrast | $1,573.52 | $2,420.80 | $60.56–$1,577.76 | 47% above | 35% |
| Pelvic CT scan without contrast inpatient CPT 72192 CT Pelvis w/o Contrast | $1,573.52 | $2,420.80 | $60.56–$1,577.76 | — | 35% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US Pelvis Limited | $740.38 | $1,139.05 | $60.56–$103.64 | 134% above | 35% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US Pelvis Limited | $740.38 | $1,139.05 | $60.56–$103.64 | — | 35% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US Pelvis Complete w/ Transvag | $888.45 | $1,366.85 | $60.56–$1,015.57 | 140% above | 35% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US Pelvis Complete | $888.45 | $1,366.85 | $60.56–$1,015.57 | 140% above | 35% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US Pelvis Complete w/ Transvag | $888.45 | $1,366.85 | $60.56–$1,015.57 | — | 35% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US Pelvis Complete | $888.45 | $1,366.85 | $60.56–$1,015.57 | — | 35% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US Fetal 2nd/3rd Routine Screening | $650.00 | $1,000.00 | $60.56–$743.00 | 74% above | 35% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US Fetal 2nd/3rd Routine Screening | $650.00 | $1,000.00 | $60.56–$743.00 | — | 35% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US Fetal 1st Trimester | $650.00 | $1,000.00 | $59.96–$743.00 | 99% above | 35% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US Fetal 1st Trimester w/ Transvag | $650.00 | $1,000.00 | $59.96–$743.00 | 99% above | 35% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US Fetal 1st Trimester | $650.00 | $1,000.00 | $59.96–$743.00 | — | 35% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US Fetal 1st Trimester w/ Transvag | $650.00 | $1,000.00 | $59.96–$743.00 | — | 35% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US Fetal Limited Quick Look | $779.35 | $1,199.00 | $59.96–$890.86 | 200% above | 35% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US Fetal Limited Quick Look | $779.35 | $1,199.00 | $59.96–$890.86 | — | 35% |
| Rib X-ray, one side, 2 views one side CPT 71100 XR Ribs 2 Views Right | $481.29 | $740.45 | $50.20–$154.48 | 104% above | 35% |
| Rib X-ray, one side, 2 views one side CPT 71100 XR Ribs 2 Views Left | $481.29 | $740.45 | $50.20–$154.48 | 104% above | 35% |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 XR Ribs 2 Views Left | $481.29 | $740.45 | $50.20–$154.48 | — | 35% |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 XR Ribs 2 Views Right | $481.29 | $740.45 | $50.20–$154.48 | — | 35% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR Ribs w/ PA Chest Left | $648.08 | $997.05 | $60.56–$779.78 | 114% above | 35% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR Ribs w/ PA Chest Right | $648.08 | $997.05 | $60.56–$779.78 | 114% above | 35% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 XR Ribs w/ PA Chest Right | $648.08 | $997.05 | $60.56–$779.78 | — | 35% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 XR Ribs w/ PA Chest Left | $648.08 | $997.05 | $60.56–$779.78 | — | 35% |
| Shoulder X-ray, complete, 2 or more views both sides CPT 73030 XR Shoulder Complete 2+ Views Bilateral | $1,107.34 | $1,703.60 | $36.56–$666.29 | — | 35% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR Shoulder Complete 2+ Views Left | $553.74 | $851.90 | $36.56–$666.29 | 145% above | 35% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR Shoulder Complete 2+ Views Right | $553.74 | $851.90 | $36.56–$666.29 | 145% above | 35% |
| Shoulder X-ray, complete, 2 or more views inpatient both sides CPT 73030 XR Shoulder Complete 2+ Views Bilateral | $1,107.34 | $1,703.60 | $36.56–$666.29 | — | 35% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR Shoulder Complete 2+ Views Left | $553.74 | $851.90 | $36.56–$666.29 | — | 35% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR Shoulder Complete 2+ Views Right | $553.74 | $851.90 | $36.56–$666.29 | — | 35% |
| Skull X-ray, fewer than 4 views CPT 70250 XR Shunt Series | $682.18 | $1,049.50 | $61.76 | 180% above | 35% |
| Skull X-ray, fewer than 4 views CPT 70250 XR Skull < 4 Views | $777.69 | $1,196.45 | $61.76 | 220% above | 35% |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 XR Shunt Series | $682.18 | $1,049.50 | $61.76 | — | 35% |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 XR Skull < 4 Views | $777.69 | $1,196.45 | $61.76 | — | 35% |
| Sleep study in a lab (polysomnography) CPT 95810 Polysomnography - Reduced Service - Sleep Lab Charge | $4,060.78 | $6,247.35 | $386.85–$4,886.09 | 56% above | 35% |
| Sleep study in a lab (polysomnography) CPT 95810 Polysomnography - Sleep Lab Charge | $4,060.78 | $6,247.35 | $386.85–$4,886.09 | 56% above | 35% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 Polysomnography - Reduced Service - Sleep Lab Charge | $4,060.78 | $6,247.35 | $386.85–$4,886.09 | — | 35% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 Polysomnography - Sleep Lab Charge | $4,060.78 | $6,247.35 | $386.85–$4,886.09 | — | 35% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 XR Swallowing Function w/ Speech | $1,047.31 | $1,611.25 | $102.18–$1,066.02 | 89% above | 35% |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 XR Swallowing Function w/ Speech | $1,047.31 | $1,611.25 | $102.18–$1,066.02 | — | 35% |
| Thigh bone (femur) X-ray, 2 or more views both sides CPT 73552 XR Femur 2 Views Bilateral | $1,154.56 | $1,776.25 | $49.23–$794.54 | — | 35% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR Femur 2 Views Left | $645.26 | $992.70 | $49.23–$794.54 | 164% above | 35% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR Femur 2 Views Right | $645.26 | $992.70 | $49.23–$794.54 | 164% above | 35% |
| Thigh bone (femur) X-ray, 2 or more views inpatient both sides CPT 73552 XR Femur 2 Views Bilateral | $1,154.56 | $1,776.25 | $49.23–$794.54 | — | 35% |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 XR Femur 2 Views Right | $645.26 | $992.70 | $49.23–$794.54 | — | 35% |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 XR Femur 2 Views Left | $645.26 | $992.70 | $49.23–$794.54 | — | 35% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 CT Spine Thoracic w/o Contrast | $1,888.25 | $2,905.00 | $59.96–$2,905.00 | 88% above | 35% |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT Spine Thoracic w/o Contrast | $1,888.25 | $2,905.00 | $59.96–$2,905.00 | — | 35% |
| Toe X-ray, 2 or more views both sides CPT 73660 XR Toe(s) 2+ Views Bilateral | $1,013.68 | $1,559.50 | $49.23–$579.35 | — | 35% |
| Toe X-ray, 2 or more views one side CPT 73660 XR Toe(s) 2+ Views Left | $481.49 | $740.75 | $49.23–$579.35 | 165% above | 35% |
| Toe X-ray, 2 or more views one side CPT 73660 XR Toe(s) 2+ Views Right | $481.49 | $740.75 | $49.23–$579.35 | 165% above | 35% |
| Toe X-ray, 2 or more views inpatient both sides CPT 73660 XR Toe(s) 2+ Views Bilateral | $1,013.68 | $1,559.50 | $49.23–$579.35 | — | 35% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toe(s) 2+ Views Right | $481.49 | $740.75 | $49.23–$579.35 | — | 35% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toe(s) 2+ Views Left | $481.49 | $740.75 | $49.23–$579.35 | — | 35% |
| Transvaginal pelvic ultrasound CPT 76830 US PELVIC TRANSVAG | $698.39 | $1,074.45 | $59.96–$890.86 | 121% above | 35% |
| Transvaginal pelvic ultrasound CPT 76830 US Pelvis Transvaginal Only | $740.38 | $1,139.05 | $59.96–$890.86 | 134% above | 35% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US PELVIC TRANSVAG | $698.39 | $1,074.45 | $59.96–$890.86 | — | 35% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US Pelvis Transvaginal Only | $740.38 | $1,139.05 | $59.96–$890.86 | — | 35% |
| Transvaginal ultrasound during pregnancy CPT 76817 US FETAL TRANSVAG | $735.15 | $1,131.00 | $60.56–$890.86 | 98% above | 35% |
| Transvaginal ultrasound during pregnancy CPT 76817 US Fetal Transvag Only | $779.35 | $1,199.00 | $60.56–$890.86 | 110% above | 35% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 US FETAL TRANSVAG | $735.15 | $1,131.00 | $60.56–$890.86 | — | 35% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 US Fetal Transvag Only | $779.35 | $1,199.00 | $60.56–$890.86 | — | 35% |
| Ultrasound of the abdomen, complete CPT 76700 US Abdomen Complete | $888.45 | $1,366.85 | $60.56–$1,015.57 | 95% above | 35% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US Abdomen Complete | $888.45 | $1,366.85 | $60.56–$1,015.57 | — | 35% |
| Ultrasound of the scrotum and testicles CPT 76870 US Testicular | $779.35 | $1,199.00 | $59.96–$963.78 | 111% above | 35% |
| Ultrasound of the scrotum and testicles CPT 76870 US Testicular with Doppler | $843.15 | $1,297.15 | $59.96–$963.78 | 128% above | 35% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 US Testicular | $779.35 | $1,199.00 | $59.96–$963.78 | — | 35% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 US Testicular with Doppler | $843.15 | $1,297.15 | $59.96–$963.78 | — | 35% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Head/Neck Soft Tissue | $845.29 | $1,300.45 | $60.56–$966.23 | 36% above | 35% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US Head/Neck Soft Tissue | $845.29 | $1,300.45 | $60.56–$966.23 | — | 35% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR Upper GI + Small Bowel | $932.59 | $1,434.75 | $176.66–$1,215.25 | 53% above | 35% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR Upper GI | $1,063.14 | $1,635.60 | $176.66–$1,215.25 | 75% above | 35% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 XR Upper GI + Small Bowel | $932.59 | $1,434.75 | $176.66–$1,215.25 | — | 35% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 XR Upper GI | $1,063.14 | $1,635.60 | $176.66–$1,215.25 | — | 35% |
| Upper arm X-ray (humerus), 2 views both sides CPT 73060 XR Humerus 2+ Views Bilateral | $962.98 | $1,481.50 | $48.74–$158.71 | — | 35% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 XR Humerus 2+ Views Right | $481.49 | $740.75 | $48.74–$158.71 | 109% above | 35% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 XR Humerus 2+ Views Left | $481.49 | $740.75 | $48.74–$158.71 | 109% above | 35% |
| Upper arm X-ray (humerus), 2 views inpatient both sides CPT 73060 XR Humerus 2+ Views Bilateral | $962.98 | $1,481.50 | $48.74–$158.71 | — | 35% |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XR Humerus 2+ Views Right | $481.49 | $740.75 | $48.74–$158.71 | — | 35% |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XR Humerus 2+ Views Left | $481.49 | $740.75 | $48.74–$158.71 | — | 35% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study both sides CPT 93971 US Venous Doppler Neck Limited Bilateral | $509.63 | $784.05 | $103.64–$582.55 | — | 35% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 US Vessel Mapping Bypass Graft | $447.04 | $687.75 | $103.64–$582.55 | 34% below | 35% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Venous Doppler Low Ext (DVT) Right | $509.63 | $784.05 | $103.64–$582.55 | 25% below | 35% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Venous Doppler Up Arm/Neck (DVT)Left | $509.63 | $784.05 | $103.64–$582.55 | 25% below | 35% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Venous Doppler Up Arm/Neck (DVT)Right | $509.63 | $784.05 | $103.64–$582.55 | 25% below | 35% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Venous Doppler Low Ext (DVT) Left | $509.63 | $784.05 | $103.64–$582.55 | 25% below | 35% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient both sides CPT 93971 US Venous Doppler Neck Limited Bilateral | $509.63 | $784.05 | $103.64–$582.55 | — | 35% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 US Vessel Mapping Bypass Graft | $447.04 | $687.75 | $103.64–$582.55 | — | 35% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US Venous Doppler Up Arm/Neck (DVT)Right | $509.63 | $784.05 | $103.64–$582.55 | — | 35% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US Venous Doppler Up Arm/Neck (DVT)Left | $509.63 | $784.05 | $103.64–$582.55 | — | 35% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US Venous Doppler Low Ext (DVT) Left | $509.63 | $784.05 | $103.64–$582.55 | — | 35% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US Venous Doppler Low Ext (DVT) Right | $509.63 | $784.05 | $103.64–$582.55 | — | 35% |
| Wrist X-ray, 2 views both sides CPT 73100 XR Wrist 2 Views Bilateral | $962.98 | $1,481.50 | $49.23–$579.35 | — | 35% |
| Wrist X-ray, 2 views one side CPT 73100 XR Wrist 2 Views Left | $481.49 | $740.75 | $49.23–$579.35 | 162% above | 35% |
| Wrist X-ray, 2 views one side CPT 73100 XR Wrist 2 Views Right | $481.49 | $740.75 | $49.23–$579.35 | 162% above | 35% |
| Wrist X-ray, 2 views inpatient both sides CPT 73100 XR Wrist 2 Views Bilateral | $962.98 | $1,481.50 | $49.23–$579.35 | — | 35% |
| Wrist X-ray, 2 views inpatient one side CPT 73100 XR Wrist 2 Views Right | $481.49 | $740.75 | $49.23–$579.35 | — | 35% |
| Wrist X-ray, 2 views inpatient one side CPT 73100 XR Wrist 2 Views Left | $481.49 | $740.75 | $49.23–$579.35 | — | 35% |
| Wrist X-ray, complete, 3 or more views both sides CPT 73110 XR Wrist Complete 3+ Views Bilateral | $1,058.69 | $1,628.75 | $48.74–$636.94 | — | 35% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist Complete 3+ Views Right | $529.36 | $814.40 | $48.74–$636.94 | 126% above | 35% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist Complete 3+ Views Left | $529.36 | $814.40 | $48.74–$636.94 | 126% above | 35% |
| Wrist X-ray, complete, 3 or more views inpatient both sides CPT 73110 XR Wrist Complete 3+ Views Bilateral | $1,058.69 | $1,628.75 | $48.74–$636.94 | — | 35% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR Wrist Complete 3+ Views Left | $529.36 | $814.40 | $48.74–$636.94 | — | 35% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR Wrist Complete 3+ Views Right | $529.36 | $814.40 | $48.74–$636.94 | — | 35% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip 2-3 Views Right | $529.46 | $814.55 | $49.23–$605.21 | 100% above | 35% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip 2-3 Views Left | $529.46 | $814.55 | $49.23–$605.21 | 100% above | 35% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip 2-3 Views w/AP Pelvis Left | $529.46 | $814.55 | $49.23–$605.21 | 100% above | 35% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip 2-3 Views w/AP Pelvis Right | $529.46 | $814.55 | $49.23–$605.21 | 100% above | 35% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR Hip 2-3 Views w/AP Pelvis Right | $529.46 | $814.55 | $49.23–$605.21 | — | 35% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR Hip 2-3 Views Right | $529.46 | $814.55 | $49.23–$605.21 | — | 35% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR Hip 2-3 Views Left | $529.46 | $814.55 | $49.23–$605.21 | — | 35% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR Hip 2-3 Views w/AP Pelvis Left | $529.46 | $814.55 | $49.23–$605.21 | — | 35% |
| X-ray of the abdomen, 1 view CPT 74018 ABDOMEN (KUB) 1 VIEW | $398.29 | $612.75 | $48.74–$482.58 | 90% above | 35% |
| X-ray of the abdomen, 1 view CPT 74018 XR Abdomen KUB 1 View | $476.29 | $732.75 | $48.74–$482.58 | 127% above | 35% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 ABDOMEN (KUB) 1 VIEW | $398.29 | $612.75 | $48.74–$482.58 | — | 35% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 XR Abdomen KUB 1 View | $476.29 | $732.75 | $48.74–$482.58 | — | 35% |
| X-ray of the ankle, 2 views both sides CPT 73600 XR Ankle 2 Views Bilateral | $962.98 | $1,481.50 | $49.23–$779.75 | — | 35% |
| X-ray of the ankle, 2 views one side CPT 73600 XR Ankle 2 Views Left | $481.49 | $740.75 | $49.23–$779.75 | 153% above | 35% |
| X-ray of the ankle, 2 views one side CPT 73600 XR Ankle 2 Views Right | $481.49 | $740.75 | $49.23–$779.75 | 153% above | 35% |
| X-ray of the ankle, 2 views inpatient both sides CPT 73600 XR Ankle 2 Views Bilateral | $962.98 | $1,481.50 | $49.23–$779.75 | — | 35% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 XR Ankle 2 Views Right | $481.49 | $740.75 | $49.23–$779.75 | — | 35% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 XR Ankle 2 Views Left | $481.49 | $740.75 | $49.23–$779.75 | — | 35% |
| X-ray of the finger(s), 2 or more views both sides CPT 73140 XR Finger(s) 2+ Views Bilateral | $1,013.68 | $1,559.50 | $48.74–$579.36 | — | 35% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger(s) 2+ Views Right | $481.49 | $740.75 | $48.74–$579.36 | 170% above | 35% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger(s) 2+ Views Left | $481.49 | $740.75 | $48.74–$579.36 | 170% above | 35% |
| X-ray of the finger(s), 2 or more views inpatient both sides CPT 73140 XR Finger(s) 2+ Views Bilateral | $1,013.68 | $1,559.50 | $48.74–$579.36 | — | 35% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger(s) 2+ Views Right | $481.49 | $740.75 | $48.74–$579.36 | — | 35% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger(s) 2+ Views Left | $481.49 | $740.75 | $48.74–$579.36 | — | 35% |
| X-ray of the foot, 2 views both sides CPT 73620 XR Foot 2 Views Bilateral | $962.98 | $1,481.50 | $48.74–$779.75 | — | 35% |
| X-ray of the foot, 2 views one side CPT 73620 XR Foot 2 Views Right | $481.49 | $740.75 | $48.74–$779.75 | 152% above | 35% |
| X-ray of the foot, 2 views one side CPT 73620 XR Foot 2 Views Left | $481.49 | $740.75 | $48.74–$779.75 | 152% above | 35% |
| X-ray of the foot, 2 views inpatient both sides CPT 73620 XR Foot 2 Views Bilateral | $962.98 | $1,481.50 | $48.74–$779.75 | — | 35% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 XR Foot 2 Views Left | $481.49 | $740.75 | $48.74–$779.75 | — | 35% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 XR Foot 2 Views Right | $481.49 | $740.75 | $48.74–$779.75 | — | 35% |
| X-ray of the foot, complete, 3 or more views both sides CPT 73630 XR Foot Complete 3+ Views Bilateral | $1,107.34 | $1,703.60 | $48.74–$851.80 | — | 35% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XR Foot Complete 3+ Views Left | $553.74 | $851.90 | $48.74–$851.80 | 143% above | 35% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XR Foot Complete 3+ Views Right | $553.74 | $851.90 | $48.74–$851.80 | 143% above | 35% |
| X-ray of the foot, complete, 3 or more views inpatient both sides CPT 73630 XR Foot Complete 3+ Views Bilateral | $1,107.34 | $1,703.60 | $48.74–$851.80 | — | 35% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR Foot Complete 3+ Views Left | $553.74 | $851.90 | $48.74–$851.80 | — | 35% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR Foot Complete 3+ Views Right | $553.74 | $851.90 | $48.74–$851.80 | — | 35% |
| X-ray of the hand, 3 or more views both sides CPT 73130 XR Hand Complete 3+ Views Bilateral | $962.98 | $1,481.50 | $48.74–$740.75 | — | 35% |
| X-ray of the hand, 3 or more views one side CPT 73130 XR Hand Complete 3+ Views Right | $481.49 | $740.75 | $48.74–$740.75 | 113% above | 35% |
| X-ray of the hand, 3 or more views one side CPT 73130 XR Hand Complete 3+ Views Left | $481.49 | $740.75 | $48.74–$740.75 | 113% above | 35% |
| X-ray of the hand, 3 or more views inpatient both sides CPT 73130 XR Hand Complete 3+ Views Bilateral | $962.98 | $1,481.50 | $48.74–$740.75 | — | 35% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR Hand Complete 3+ Views Right | $481.49 | $740.75 | $48.74–$740.75 | — | 35% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR Hand Complete 3+ Views Left | $481.49 | $740.75 | $48.74–$740.75 | — | 35% |
| X-ray of the knee, 1 or 2 views both sides CPT 73560 XR Patella Only Bilateral | $845.00 | $1,300.00 | $49.23–$649.50 | — | 35% |
| X-ray of the knee, 1 or 2 views both sides CPT 73560 XR Knee 1 or 2 Views Bilateral | $885.95 | $1,363.00 | $49.23–$649.50 | — | 35% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR Knee 1 or 2 Views Left | $401.05 | $617.00 | $49.23–$649.50 | 106% above | 35% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR Knee 1 or 2 Views Right | $401.05 | $617.00 | $49.23–$649.50 | 106% above | 35% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR Patella Only Left | $422.18 | $649.50 | $49.23–$649.50 | 117% above | 35% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR Patella Only Right | $422.18 | $649.50 | $49.23–$649.50 | 117% above | 35% |
| X-ray of the knee, 1 or 2 views inpatient both sides CPT 73560 XR Patella Only Bilateral | $845.00 | $1,300.00 | $49.23–$649.50 | — | 35% |
| X-ray of the knee, 1 or 2 views inpatient both sides CPT 73560 XR Knee 1 or 2 Views Bilateral | $885.95 | $1,363.00 | $49.23–$649.50 | — | 35% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR Knee 1 or 2 Views Right | $401.05 | $617.00 | $49.23–$649.50 | — | 35% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR Knee 1 or 2 Views Left | $401.05 | $617.00 | $49.23–$649.50 | — | 35% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR Patella Only Left | $422.18 | $649.50 | $49.23–$649.50 | — | 35% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR Patella Only Right | $422.18 | $649.50 | $49.23–$649.50 | — | 35% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR Spine Lumbosacral AP,Lat Flex,Lat Ext | $647.82 | $996.65 | $59.96–$740.51 | 136% above | 35% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR Spine Lumbosacral 2 Views | $647.82 | $996.65 | $59.96–$740.51 | 136% above | 35% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR Spine Lumbosacral AP,Lat Flex,Lat Ext | $647.82 | $996.65 | $59.96–$740.51 | — | 35% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR Spine Lumbosacral 2 Views | $647.82 | $996.65 | $59.96–$740.51 | — | 35% |
| X-ray of the lower back, 4 or more views CPT 72110 XR Spine Lumbosacral 4+ Views | $777.69 | $1,196.45 | $60.56–$779.78 | 97% above | 35% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 XR Spine Lumbosacral 4+ Views | $777.69 | $1,196.45 | $60.56–$779.78 | — | 35% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR Spine Thoracic 2+ Views | $618.90 | $952.15 | $60.56–$744.67 | 172% above | 35% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XR Spine Thoracic 2+ Views | $618.90 | $952.15 | $60.56–$744.67 | — | 35% |
| X-ray of the nasal bones, 3 or more views CPT 70160 XR Nasal Bones 3+ Views | $422.18 | $649.50 | $49.23–$50.20 | 73% above | 35% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XR Nasal Bones 3+ Views | $422.18 | $649.50 | $49.23–$50.20 | — | 35% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR Spine Cervical 2 or 3 Views | $481.49 | $740.75 | $49.23–$579.35 | 91% above | 35% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR Spine Cervical 2 or 3 Views | $481.49 | $740.75 | $49.23–$579.35 | — | 35% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 XR Pelvis 1 or 2 Views | $648.08 | $997.05 | $16.75–$997.05 | 214% above | 35% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR Pelvis 1 or 2 Views | $648.08 | $997.05 | $16.75–$997.05 | — | 35% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR Sacrum/Coccyx 2+ Views | $481.29 | $740.45 | $49.23–$740.45 | 102% above | 35% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR Sacrum/Coccyx 2+ Views | $481.29 | $740.45 | $49.23–$740.45 | — | 35% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Kansas | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 ACTH | $128.18 | $197.20 | $77.24–$173.00 | 29% below | 35% |
| ACTH blood test inpatient CPT 82024 ACTH | $128.18 | $197.20 | $77.24–$173.00 | — | 35% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Alanine aminotransferase | $19.63 | $30.20 | $5.20–$22.44 | 45% below | 35% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT (SGPT) P5P | $20.74 | $31.90 | $5.20–$22.44 | 42% below | 35% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Alanine aminotransferase | $19.63 | $30.20 | $5.20–$22.44 | — | 35% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT (SGPT) P5P | $20.74 | $31.90 | $5.20–$22.44 | — | 35% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Aspartate aminotransferase | $19.63 | $30.20 | $5.08–$22.44 | 46% below | 35% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 AST (SGOT) P5P | $20.74 | $31.90 | $5.08–$22.44 | 43% below | 35% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Aspartate aminotransferase | $19.63 | $30.20 | $5.08–$22.44 | — | 35% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST (SGOT) P5P | $20.74 | $31.90 | $5.08–$22.44 | — | 35% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Hepatitis Panel (4) | $158.96 | $244.55 | $40.49–$159.37 | 25% below | 35% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Hep Profile 4 + HBsAb | $158.96 | $244.55 | $40.49–$159.37 | 25% below | 35% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Hep Profile 4 + HBsAb | $158.96 | $244.55 | $40.49–$159.37 | — | 35% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Hepatitis Panel (4) | $158.96 | $244.55 | $40.49–$159.37 | — | 35% |
| Albumin blood test CPT 82040 Albumin Level | $20.02 | $30.80 | $5.00–$22.88 | 37% below | 35% |
| Albumin blood test CPT 82040 Alb | $20.02 | $30.80 | $5.00–$22.88 | 37% below | 35% |
| Albumin blood test inpatient CPT 82040 Albumin Level | $20.02 | $30.80 | $5.00–$22.88 | — | 35% |
| Albumin blood test inpatient CPT 82040 Alb | $20.02 | $30.80 | $5.00–$22.88 | — | 35% |
| Aldosterone blood test CPT 82088 Aldosterone Ur Random | $119.11 | $183.25 | $40.74–$183.25 | 35% below | 35% |
| Aldosterone blood test CPT 82088 Aldosterone LCMS | $135.79 | $208.90 | $40.74–$183.25 | 26% below | 35% |
| Aldosterone blood test inpatient CPT 82088 Aldosterone Ur Random | $119.11 | $183.25 | $40.74–$183.25 | — | 35% |
| Aldosterone blood test inpatient CPT 82088 Aldosterone LCMS | $135.79 | $208.90 | $40.74–$183.25 | — | 35% |
| Alkaline phosphatase (ALP) blood test CPT 84075 Alkaline Phosphatase Total | $20.74 | $31.90 | $8.58 | 43% below | 35% |
| Alkaline phosphatase (ALP) blood test CPT 84075 Alkaline Phosphatase | $20.74 | $31.90 | $8.58 | 43% below | 35% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Alkaline Phosphatase | $20.74 | $31.90 | $8.58 | — | 35% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Alkaline Phosphatase Total | $20.74 | $31.90 | $8.58 | — | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 G010-IgE Johnson Grass | $8.29 | $12.75 | $5.12–$240.73 | 72% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 G002-IgE Bermuda Grass | $8.29 | $12.75 | $5.12–$240.73 | 72% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 G008-IgE Bluegrass Kentucky | $8.29 | $12.75 | $5.12–$240.73 | 72% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 W006-IgE Mugwort | $8.29 | $12.75 | $5.12–$240.73 | 72% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 T012-IgE Willow | $8.29 | $12.75 | $5.12–$240.73 | 72% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 W010-IgE Lamb's Quarters | $8.29 | $12.75 | $5.12–$240.73 | 72% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 W009-IgE Plantain English | $8.29 | $12.75 | $5.12–$240.73 | 72% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 W016-IgE Rough Marshelder | $8.29 | $12.75 | $5.12–$240.73 | 72% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 W015-IgE Lenscale | $8.29 | $12.75 | $5.12–$240.73 | 72% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 W005-IgE Wormwood | $8.29 | $12.75 | $5.12–$240.73 | 72% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 W017-IgE Kochia | $8.29 | $12.75 | $5.12–$240.73 | 72% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 W013-IgE Cocklebur | $8.29 | $12.75 | $5.12–$240.73 | 72% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 W004-IgE Ragweed False | $8.29 | $12.75 | $5.12–$240.73 | 72% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 T014-IgE Cottonwood | $8.29 | $12.75 | $5.12–$240.73 | 72% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 T002-IgE Alder Grey | $8.29 | $12.75 | $5.12–$240.73 | 72% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 T003-IgE Common Silver Birch | $8.29 | $12.75 | $5.12–$240.73 | 72% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 T006-IgE Cedar Mountain | $9.46 | $14.55 | $5.12–$240.73 | 68% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 W001-IgE Ragweed Short | $9.46 | $14.55 | $5.12–$240.73 | 68% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 T007-IgE Oak White | $9.46 | $14.55 | $5.12–$240.73 | 68% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 W011-IgE Thistle Russian | $9.46 | $14.55 | $5.12–$240.73 | 68% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 T015-IgE Ash White | $9.46 | $14.55 | $5.12–$240.73 | 68% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 W018-IgE Sheep Sorrel | $9.46 | $14.55 | $5.12–$240.73 | 68% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IgE Oak White 602480 | $19.68 | $30.28 | $5.12–$240.73 | 34% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F256-IgE Walnut | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F233-IgE Ovomucoid | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F232-IgE Ovalbumin | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F207-IgE Clam | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F204-IgE Trout | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F202-IgE Cashew Nut | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F201-IgE Pecan Nut | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F093-IgE Chocolate/Cacao | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F082-IgE Cheese, Mold Type | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F081-IgE Cheese, Cheddar Type | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F080-IgE Lobster | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F078-IgE Casein | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F077-IgE Beta Lactoglob | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F076-IgE Alpha Lactalb | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F050-IgE Mackerel | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F041-IgE Salmon | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F040-IgE Tuna | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F024-IgE Shrimp | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F023-IgE Crab | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F020-IgE Almond | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F018-IgE Brazil Nut | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F017-IgE Hazelnut (Filbert) | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F014-IgE Soybean | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F013-IgE Peanut | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F010-IgE Sesame Seed | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F008-IgE Corn | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F007-IgE Oat | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F006-IgE Barley | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F005-IgE Rye | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F004-IgE Wheat | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F003-IgE Codfish | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F002-IgE Milk | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F001-IgE Egg White | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 E072-IgE Mouse Ur | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 E005-IgE Dog Dander | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 E001-IgE Cat Dander | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 D002-IgE D farinae | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 D001-IgE D pteronyssinus | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 C202-IgE Suxamethonium | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 W020-IgE Nettle | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IgE Penicillium chrysogen 602502 | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IgE Phoma betae 602552 | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IgE Pigweed Common 602484 | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IgE Pine Nut Pignoles 602550 | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IgE Pistachio Nut 602486 | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IgE Ragweed Short 602463 | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IgE Red Top Bentgrass 602869 | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IgE Rough Marshelder 602570 | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IgE Sesame Seed 602485 | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IgE Setomelanomma rostrat 602561 | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IgE Sheep Sorrel 602542 | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IgE Shrimp 602473 | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IgE Soybean 602457 | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IgE Stemphylium herbarum 602899 | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IgE Strawberry 602513 | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IgE Thistle Russian 602515 | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IgE Timothy Grass 602506 | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IgE Walnut 602494 | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IgE Walnut 602530 | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IgE Wheat 60459 | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IgE Wheat Cultivated 602875 | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 M001-IgE Penicillium chrysogen | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 M002-IgE Cladosporium herbarum | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 M003-IgE Aspergillus fumigatus | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 M004-IgE Mucor racemosus | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 M005-IgE Candida albicans | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 M006-IgE Alternaria alternata | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 M008-IgE Setomelanomma rostrat | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 M009-IgE Fusarium proliferatum | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 M010-IgE Stemphylium herbarum | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 M012-IgE Aureobasidi pullulans | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 M013-IgE Phoma betae | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 M014-IgE Epicoccum purpur | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 T001-IgE Maple/Box Elder | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IgE White Mulberry 602569 | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IgE Nettle 602973 | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IgE Mucor racemosus 602562 | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IgE Milk602453 | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IgE Milk w/ Component Reflex | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IgE Melon 602737 | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IgE Maple/Box Elder 602489 | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IgE Maple Leaf Sycamore 602948 | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IgE Macadamia Nut 602568 | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IgE Lobster 602495 | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IgE Kochia 602972 | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IgE Johnson Grass 602503 | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IgE Gluten 602497 | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IgE Fusarium proliferatum 602560 | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IgE Fire Ant 602893 | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IgE Fescue Meadow 602549 | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IgE Epicoccum purpur 602559 | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IgE Elm American 602476 | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IgE Egg White w/Comp Rflx 603940 | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IgE Egg (Yolk) 602487 | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IgE D pteronyssinus 602467 | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IgE D farinae 602475 | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IgE Crab 602493 | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IgE Cottonwood 602518 | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IgE Corn Cultivated 602882 | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IgE Corn 602460 | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IgE Cockroach German 602488 | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IgE Cockroach American 602481 | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IgE Cladosporium herbarum 602462 | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IgE Cedar Mountain 602491 | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IgE Candida albicans 602548 | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IgE Brome Smooth 602871 | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IgE Bluegrass Kentucky 602496 | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IgE Bermuda Grass 602464 | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IgE Banana 602742 | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IgE Aureobasidi pullulans 602900 | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IgE Aspergillus fumigatus 602471 | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IgE Ash White 602927 | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IgE Alternaria alternata 602455 | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 IgE Acarus 602677 | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 I205-IgE Bumblebee | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 I006-IgE Cockroach German | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 I005-IgE Hornet Yellow | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 I004-IgE Paper Wasp | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 I003-IgE Yellow Jacket | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 I002-IgE Hornet White Face | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 I001-IgE Honeybee | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 G006-IgE Timothy Grass | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F415-IgE Walleye Pike | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F338-IgE Scallop | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F303-IgE Halibut Allergen | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F303-IgE Halibut | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F290-IgE Oyster | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 T008-IgE Elm American | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen CPT 86003 T070-IgE White Mulberry | $20.02 | $30.80 | $5.12–$240.73 | 33% below | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 W015-IgE Lenscale | $8.29 | $12.75 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 W016-IgE Rough Marshelder | $8.29 | $12.75 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 W017-IgE Kochia | $8.29 | $12.75 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 W006-IgE Mugwort | $8.29 | $12.75 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 G002-IgE Bermuda Grass | $8.29 | $12.75 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 T003-IgE Common Silver Birch | $8.29 | $12.75 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 T014-IgE Cottonwood | $8.29 | $12.75 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 W009-IgE Plantain English | $8.29 | $12.75 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 G008-IgE Bluegrass Kentucky | $8.29 | $12.75 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 G010-IgE Johnson Grass | $8.29 | $12.75 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 W010-IgE Lamb's Quarters | $8.29 | $12.75 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 T002-IgE Alder Grey | $8.29 | $12.75 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 T012-IgE Willow | $8.29 | $12.75 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 W004-IgE Ragweed False | $8.29 | $12.75 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 W013-IgE Cocklebur | $8.29 | $12.75 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 W005-IgE Wormwood | $8.29 | $12.75 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 T006-IgE Cedar Mountain | $9.46 | $14.55 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 T007-IgE Oak White | $9.46 | $14.55 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 T015-IgE Ash White | $9.46 | $14.55 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 W001-IgE Ragweed Short | $9.46 | $14.55 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 W011-IgE Thistle Russian | $9.46 | $14.55 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 W018-IgE Sheep Sorrel | $9.46 | $14.55 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Oak White 602480 | $19.68 | $30.28 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Nettle 602973 | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 T070-IgE White Mulberry | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 T008-IgE Elm American | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 T001-IgE Maple/Box Elder | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 M014-IgE Epicoccum purpur | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 M013-IgE Phoma betae | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 M012-IgE Aureobasidi pullulans | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 M010-IgE Stemphylium herbarum | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 M009-IgE Fusarium proliferatum | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 M008-IgE Setomelanomma rostrat | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 M006-IgE Alternaria alternata | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 M005-IgE Candida albicans | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 M004-IgE Mucor racemosus | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 M003-IgE Aspergillus fumigatus | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 M002-IgE Cladosporium herbarum | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 M001-IgE Penicillium chrysogen | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE White Mulberry 602569 | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Wheat Cultivated 602875 | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Wheat 60459 | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Walnut 602530 | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Walnut 602494 | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Timothy Grass 602506 | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Thistle Russian 602515 | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Strawberry 602513 | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Stemphylium herbarum 602899 | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Soybean 602457 | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Shrimp 602473 | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Sheep Sorrel 602542 | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Setomelanomma rostrat 602561 | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Sesame Seed 602485 | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Rough Marshelder 602570 | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Red Top Bentgrass 602869 | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Ragweed Short 602463 | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Pistachio Nut 602486 | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Pine Nut Pignoles 602550 | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Pigweed Common 602484 | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Phoma betae 602552 | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Penicillium chrysogen 602502 | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 W020-IgE Nettle | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 C202-IgE Suxamethonium | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 D001-IgE D pteronyssinus | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 D002-IgE D farinae | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 E001-IgE Cat Dander | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 E005-IgE Dog Dander | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 E072-IgE Mouse Ur | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F001-IgE Egg White | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F002-IgE Milk | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F003-IgE Codfish | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F004-IgE Wheat | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F005-IgE Rye | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F006-IgE Barley | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F007-IgE Oat | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F008-IgE Corn | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F010-IgE Sesame Seed | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F013-IgE Peanut | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F014-IgE Soybean | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F017-IgE Hazelnut (Filbert) | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F018-IgE Brazil Nut | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F020-IgE Almond | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F023-IgE Crab | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F024-IgE Shrimp | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F040-IgE Tuna | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F041-IgE Salmon | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F050-IgE Mackerel | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F076-IgE Alpha Lactalb | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F077-IgE Beta Lactoglob | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F078-IgE Casein | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F080-IgE Lobster | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F081-IgE Cheese, Cheddar Type | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F082-IgE Cheese, Mold Type | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F093-IgE Chocolate/Cacao | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F201-IgE Pecan Nut | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F202-IgE Cashew Nut | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F204-IgE Trout | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F207-IgE Clam | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F232-IgE Ovalbumin | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F233-IgE Ovomucoid | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F256-IgE Walnut | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F290-IgE Oyster | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F303-IgE Halibut | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F303-IgE Halibut Allergen | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F338-IgE Scallop | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F415-IgE Walleye Pike | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 G006-IgE Timothy Grass | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 I001-IgE Honeybee | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 I002-IgE Hornet White Face | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 I003-IgE Yellow Jacket | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 I004-IgE Paper Wasp | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 I005-IgE Hornet Yellow | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 I006-IgE Cockroach German | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 I205-IgE Bumblebee | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Acarus 602677 | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Alternaria alternata 602455 | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Ash White 602927 | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Aspergillus fumigatus 602471 | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Aureobasidi pullulans 602900 | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Banana 602742 | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Bermuda Grass 602464 | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Bluegrass Kentucky 602496 | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Brome Smooth 602871 | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Candida albicans 602548 | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Cedar Mountain 602491 | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Cladosporium herbarum 602462 | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Cockroach American 602481 | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Cockroach German 602488 | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Corn 602460 | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Corn Cultivated 602882 | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Cottonwood 602518 | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Crab 602493 | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE D farinae 602475 | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE D pteronyssinus 602467 | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Egg (Yolk) 602487 | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Egg White w/Comp Rflx 603940 | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Elm American 602476 | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Epicoccum purpur 602559 | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Fescue Meadow 602549 | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Fire Ant 602893 | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Fusarium proliferatum 602560 | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Gluten 602497 | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Johnson Grass 602503 | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Kochia 602972 | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Lobster 602495 | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Macadamia Nut 602568 | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Maple Leaf Sycamore 602948 | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Maple/Box Elder 602489 | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Melon 602737 | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Milk w/ Component Reflex | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Milk602453 | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Mucor racemosus 602562 | $20.02 | $30.80 | $5.12–$240.73 | — | 35% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 AFP Tumor Marker | $55.77 | $85.80 | $16.43–$55.91 | 43% below | 35% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 AFP Tetra | $55.77 | $85.80 | $16.43–$55.91 | 43% below | 35% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 AFP Tumor Marker | $55.77 | $85.80 | $16.43–$55.91 | — | 35% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 AFP Tetra | $55.77 | $85.80 | $16.43–$55.91 | — | 35% |
| Ammonia blood test CPT 82140 Ammonia Ur KS | $42.41 | $65.25 | $12.38–$74.40 | 51% below | 35% |
| Ammonia blood test CPT 82140 Ammonia Level | $48.36 | $74.40 | $12.38–$74.40 | 44% below | 35% |
| Ammonia blood test inpatient CPT 82140 Ammonia Ur KS | $42.41 | $65.25 | $12.38–$74.40 | — | 35% |
| Ammonia blood test inpatient CPT 82140 Ammonia Level | $48.36 | $74.40 | $12.38–$74.40 | — | 35% |
| Amylase blood test CPT 82150 Veterinary Amylase | $22.59 | $34.75 | $6.35–$27.75 | 59% below | 35% |
| Amylase blood test CPT 82150 Ur Amylase | $22.59 | $34.75 | $6.35–$27.75 | 59% below | 35% |
| Amylase blood test CPT 82150 Amylase Level | $24.28 | $37.35 | $6.35–$27.75 | 56% below | 35% |
| Amylase blood test CPT 82150 Body Fluid Amylase Lvl 088062 | $25.74 | $39.60 | $6.35–$27.75 | 54% below | 35% |
| Amylase blood test CPT 82150 Amylase Level Urine | $25.74 | $39.60 | $6.35–$27.75 | 54% below | 35% |
| Amylase blood test inpatient CPT 82150 Veterinary Amylase | $22.59 | $34.75 | $6.35–$27.75 | — | 35% |
| Amylase blood test inpatient CPT 82150 Ur Amylase | $22.59 | $34.75 | $6.35–$27.75 | — | 35% |
| Amylase blood test inpatient CPT 82150 Amylase Level | $24.28 | $37.35 | $6.35–$27.75 | — | 35% |
| Amylase blood test inpatient CPT 82150 Body Fluid Amylase Lvl 088062 | $25.74 | $39.60 | $6.35–$27.75 | — | 35% |
| Amylase blood test inpatient CPT 82150 Amylase Level Urine | $25.74 | $39.60 | $6.35–$27.75 | — | 35% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP IgG/IgA Abs | $43.36 | $66.70 | $12.95–$49.56 | 54% below | 35% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP IgG/IgA Abs | $43.36 | $66.70 | $12.95–$49.56 | — | 35% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Antinuclear Abs IFA | $40.01 | $61.55 | $11.85–$40.12 | 43% below | 35% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Antinuclear Abs IFA | $40.01 | $61.55 | $11.85–$40.12 | — | 35% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NT-proBNP II | $130.78 | $201.20 | $33.37–$176.50 | at median | 35% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B-Type Natriuretic Peptide | $130.78 | $201.20 | $33.37–$176.50 | at median | 35% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NT-proBNP II | $130.78 | $201.20 | $33.37–$176.50 | — | 35% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 B-Type Natriuretic Peptide | $130.78 | $201.20 | $33.37–$176.50 | — | 35% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Nasal Culture | $23.40 | $36.00 | $7.35–$28.42 | 60% below | 35% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 .C Legionella | $24.86 | $38.25 | $7.35–$28.42 | 58% below | 35% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Eye Culture | $26.68 | $41.05 | $7.35–$28.42 | 55% below | 35% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Neiserria gonorrhea Culture | $26.68 | $41.05 | $7.35–$28.42 | 55% below | 35% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Genital Culture (Aerobic Only) | $26.68 | $41.05 | $7.35–$28.42 | 55% below | 35% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Ear Culture | $26.68 | $41.05 | $7.35–$28.42 | 55% below | 35% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Tissue Culture (Aerobic Only) | $26.68 | $41.05 | $7.35–$28.42 | 55% below | 35% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Wound Culture (Aerobic Only) | $26.68 | $41.05 | $7.35–$28.42 | 55% below | 35% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Throat Culture | $26.68 | $41.05 | $7.35–$28.42 | 55% below | 35% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Respiratory Culture (Aerobic Only) | $28.34 | $43.60 | $7.35–$28.42 | 52% below | 35% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Legionella species Culture | $28.34 | $43.60 | $7.35–$28.42 | 52% below | 35% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Body Fluid Culture (Aerobic Only) | $28.34 | $43.60 | $7.35–$28.42 | 52% below | 35% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Cerebrospinal Fluid Culture | $28.34 | $43.60 | $7.35–$28.42 | 52% below | 35% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Catheter Tip | $28.34 | $43.60 | $7.35–$28.42 | 52% below | 35% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Nasal Culture | $23.40 | $36.00 | $7.35–$28.42 | — | 35% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 .C Legionella | $24.86 | $38.25 | $7.35–$28.42 | — | 35% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Throat Culture | $26.68 | $41.05 | $7.35–$28.42 | — | 35% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Wound Culture (Aerobic Only) | $26.68 | $41.05 | $7.35–$28.42 | — | 35% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Neiserria gonorrhea Culture | $26.68 | $41.05 | $7.35–$28.42 | — | 35% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Ear Culture | $26.68 | $41.05 | $7.35–$28.42 | — | 35% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Genital Culture (Aerobic Only) | $26.68 | $41.05 | $7.35–$28.42 | — | 35% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Tissue Culture (Aerobic Only) | $26.68 | $41.05 | $7.35–$28.42 | — | 35% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Eye Culture | $26.68 | $41.05 | $7.35–$28.42 | — | 35% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture Catheter Tip | $28.34 | $43.60 | $7.35–$28.42 | — | 35% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Cerebrospinal Fluid Culture | $28.34 | $43.60 | $7.35–$28.42 | — | 35% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Respiratory Culture (Aerobic Only) | $28.34 | $43.60 | $7.35–$28.42 | — | 35% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Body Fluid Culture (Aerobic Only) | $28.34 | $43.60 | $7.35–$28.42 | — | 35% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Legionella species Culture | $28.34 | $43.60 | $7.35–$28.42 | — | 35% |
| Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Panel | $26.68 | $41.05 | $8.30–$26.75 | 67% below | 35% |
| Basic metabolic panel (blood test) CPT 80048 DKA Calc & BMP | $28.34 | $43.60 | $8.30–$26.75 | 64% below | 35% |
| Basic metabolic panel (blood test) inpatient CPT 80048 Basic Metabolic Panel | $26.68 | $41.05 | $8.30–$26.75 | — | 35% |
| Basic metabolic panel (blood test) inpatient CPT 80048 DKA Calc & BMP | $28.34 | $43.60 | $8.30–$26.75 | — | 35% |
| Bilirubin blood test, total CPT 82247 Neonatal Bilirubin | $16.58 | $25.50 | $4.92–$20.06 | 54% below | 35% |
| Bilirubin blood test, total CPT 82247 Bilirubin Total | $18.88 | $29.05 | $4.92–$20.06 | 48% below | 35% |
| Bilirubin blood test, total inpatient CPT 82247 Neonatal Bilirubin | $16.58 | $25.50 | $4.92–$20.06 | — | 35% |
| Bilirubin blood test, total inpatient CPT 82247 Bilirubin Total | $18.88 | $29.05 | $4.92–$20.06 | — | 35% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 88305 Ref Lab Pathology Exam Tissue | $48.91 | $75.25 | $24.31–$192.25 | 78% below | 35% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 88305 Bill Surg Level IV | $191.72 | $294.95 | $24.31–$192.25 | 13% below | 35% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 88305 AP Bill Non-Gyn Cytology Level IV Cell Block | $203.22 | $312.65 | $24.31–$192.25 | 8% below | 35% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 88305 AP Bill Bone Marrow Biopsy | $203.22 | $312.65 | $24.31–$192.25 | 8% below | 35% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 88305 Ref Lab Pathology Exam Tissue | $48.91 | $75.25 | $24.31–$192.25 | — | 35% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 88305 Bill Surg Level IV | $191.72 | $294.95 | $24.31–$192.25 | — | 35% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 88305 AP Bill Bone Marrow Biopsy | $203.22 | $312.65 | $24.31–$192.25 | — | 35% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 88305 AP Bill Non-Gyn Cytology Level IV Cell Block | $203.22 | $312.65 | $24.31–$192.25 | — | 35% |
| Blood culture for bacteria CPT 87040 Bone Marrow Culture | $32.24 | $49.60 | $9.45–$68.36 | 63% below | 35% |
| Blood culture for bacteria CPT 87040 Blood Culture | $34.09 | $52.45 | $9.45–$68.36 | 61% below | 35% |
| Blood culture for bacteria inpatient CPT 87040 Bone Marrow Culture | $32.24 | $49.60 | $9.45–$68.36 | — | 35% |
| Blood culture for bacteria inpatient CPT 87040 Blood Culture | $34.09 | $52.45 | $9.45–$68.36 | — | 35% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 0300 LABORATORY - 36415 | $15.16 | $23.33 | $8.91–$62.86 | 16% below | 35% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 ETHC Collection Charge | $16.09 | $24.75 | $8.91–$62.86 | 11% below | 35% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENI Collection Charge | $18.33 | $28.20 | $8.91–$62.86 | 2% above | 35% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLLECTION: Venous Draw | $18.33 | $28.20 | $8.91–$62.86 | 2% above | 35% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLLECTION: Microtainer | $18.33 | $28.20 | $8.91–$62.86 | 2% above | 35% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Yes - INF Venipuncture | $18.33 | $28.20 | $8.91–$62.86 | 2% above | 35% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 0300 LABORATORY - 36415 | $15.16 | $23.33 | $8.91–$62.86 | — | 35% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 ETHC Collection Charge | $16.09 | $24.75 | $8.91–$62.86 | — | 35% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 COLLECTION: Venous Draw | $18.33 | $28.20 | $8.91–$62.86 | — | 35% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 COLLECTION: Microtainer | $18.33 | $28.20 | $8.91–$62.86 | — | 35% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Yes - INF Venipuncture | $18.33 | $28.20 | $8.91–$62.86 | — | 35% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENI Collection Charge | $18.33 | $28.20 | $8.91–$62.86 | — | 35% |
| Blood glucose (sugar) test CPT 82947 Glucose level | $11.70 | $18.00 | $3.85–$15.23 | 59% below | 35% |
| Blood glucose (sugar) test CPT 82947 Glucose Level POCT | $13.33 | $20.50 | $3.85–$15.23 | 53% below | 35% |
| Blood glucose (sugar) test CPT 82947 Glucose Level | $13.33 | $20.50 | $3.85–$15.23 | 53% below | 35% |
| Blood glucose (sugar) test CPT 82947 Glucose Fasting | $13.33 | $20.50 | $3.85–$15.23 | 53% below | 35% |
| Blood glucose (sugar) test inpatient CPT 82947 Glucose level | $11.70 | $18.00 | $3.85–$15.23 | — | 35% |
| Blood glucose (sugar) test inpatient CPT 82947 Glucose Fasting | $13.33 | $20.50 | $3.85–$15.23 | — | 35% |
| Blood glucose (sugar) test inpatient CPT 82947 Glucose Level | $13.33 | $20.50 | $3.85–$15.23 | — | 35% |
| Blood glucose (sugar) test inpatient CPT 82947 Glucose Level POCT | $13.33 | $20.50 | $3.85–$15.23 | — | 35% |
| Blood lead test CPT 83655 Lead Ur | $35.10 | $54.00 | $18.77–$54.00 | 33% below | 35% |
| Blood lead test CPT 83655 Lead Blood (Adult) | $35.10 | $54.00 | $18.77–$54.00 | 33% below | 35% |
| Blood lead test CPT 83655 Lead Blood (Pediatric) | $35.10 | $54.00 | $18.77–$54.00 | 33% below | 35% |
| Blood lead test inpatient CPT 83655 Lead Blood (Pediatric) | $35.10 | $54.00 | $18.77–$54.00 | — | 35% |
| Blood lead test inpatient CPT 83655 Lead Blood (Adult) | $35.10 | $54.00 | $18.77–$54.00 | — | 35% |
| Blood lead test inpatient CPT 83655 Lead Ur | $35.10 | $54.00 | $18.77–$54.00 | — | 35% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Beta hCG Qualitative Urine | $28.34 | $43.60 | $7.52–$32.51 | 52% below | 35% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Beta hCG Qualitative | $28.34 | $43.60 | $7.52–$32.51 | 52% below | 35% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Beta hCG Qualitative Urine | $28.34 | $43.60 | $7.52–$32.51 | — | 35% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Beta hCG Qualitative | $28.34 | $43.60 | $7.52–$32.51 | — | 35% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Blood Type ABO/Rh Typing | $163.64 | $251.75 | $2.99–$251.75 | 56% above | 35% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Cord ABO/Rh | $173.52 | $266.95 | $2.99–$251.75 | 65% above | 35% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Ref Lab ABO/Rh | $182.65 | $281.00 | $2.99–$251.75 | 74% above | 35% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Newborn ABO/Rh | $288.83 | $444.35 | $2.99–$251.75 | 175% above | 35% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Blood Type ABO/Rh Typing | $163.64 | $251.75 | $2.99–$251.75 | — | 35% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Cord ABO/Rh | $173.52 | $266.95 | $2.99–$251.75 | — | 35% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Ref Lab ABO/Rh | $182.65 | $281.00 | $2.99–$251.75 | — | 35% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Newborn ABO/Rh | $288.83 | $444.35 | $2.99–$251.75 | — | 35% |
| Blood urea nitrogen (BUN) test CPT 84520 Blood Urea Nitrogen | $12.61 | $19.40 | $14.41 | 59% below | 35% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 Blood Urea Nitrogen | $12.61 | $19.40 | $14.41 | — | 35% |
| C-peptide blood test CPT 84681 C-Peptide | $83.17 | $127.95 | $41.62–$95.07 | 21% below | 35% |
| C-peptide blood test inpatient CPT 84681 C-Peptide | $83.17 | $127.95 | $41.62–$95.07 | — | 35% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-Reactive Protein | $17.42 | $26.80 | $5.08–$20.08 | 64% below | 35% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-Reactive Protein | $17.42 | $26.80 | $5.08–$20.08 | — | 35% |
| C. difficile toxin gene test (stool PCR) CPT 87493 Clostridium difficile PCR | $124.12 | $190.95 | $34.60–$142.38 | 7% above | 35% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 Clostridium difficile PCR | $124.12 | $190.95 | $34.60–$142.38 | — | 35% |
| CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 | $69.10 | $106.30 | $20.39–$41.93 | 34% below | 35% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9 | $69.10 | $106.30 | $20.39–$41.93 | — | 35% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 Cancer Antigen CA125 | $69.10 | $106.30 | $42.11 | 28% below | 35% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Cancer Antigen CA125 | $69.10 | $106.30 | $42.11 | — | 35% |
| Calcium blood test, total CPT 82310 Calcium Level Total | $20.74 | $31.90 | $5.06–$23.70 | 39% below | 35% |
| Calcium blood test, total inpatient CPT 82310 Calcium Level Total | $20.74 | $31.90 | $5.06–$23.70 | — | 35% |
| Carcinoembryonic antigen (CEA) test CPT 82378 CEA | $75.76 | $116.55 | $37.92–$75.97 | 32% below | 35% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CEA | $75.76 | $116.55 | $37.92–$75.97 | — | 35% |
| Chickenpox (varicella) immunity blood test CPT 86787 Varicella Zoster IgG Ab | $38.03 | $58.50 | $43.47–$50.92 | 59% below | 35% |
| Chickenpox (varicella) immunity blood test CPT 86787 Varicella Zoster IgM Ab | $38.03 | $58.50 | $43.47–$50.92 | 59% below | 35% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 Varicella Zoster IgM Ab | $38.03 | $58.50 | $43.47–$50.92 | — | 35% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 Varicella Zoster IgG Ab | $38.03 | $58.50 | $43.47–$50.92 | — | 35% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 C trachomatis NAA Confirm | $77.35 | $119.00 | $36.14–$100.79 | 32% below | 35% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia Conjunctiva NAA | $77.35 | $119.00 | $36.14–$100.79 | 32% below | 35% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia NAA | $88.17 | $135.65 | $36.14–$100.79 | 22% below | 35% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia trachomatis NAA | $88.17 | $135.65 | $36.14–$100.79 | 22% below | 35% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlam trach NAA | $88.17 | $135.65 | $36.14–$100.79 | 22% below | 35% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia Conjunctiva NAA | $77.35 | $119.00 | $36.14–$100.79 | — | 35% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 C trachomatis NAA Confirm | $77.35 | $119.00 | $36.14–$100.79 | — | 35% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia trachomatis NAA | $88.17 | $135.65 | $36.14–$100.79 | — | 35% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia NAA | $88.17 | $135.65 | $36.14–$100.79 | — | 35% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlam trach NAA | $88.17 | $135.65 | $36.14–$100.79 | — | 35% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel with reflex to LDL Direct | $45.01 | $69.25 | $13.12–$51.45 | 51% below | 35% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel with LDL Direct | $45.01 | $69.25 | $13.12–$51.45 | 51% below | 35% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 NMR Lipid Panel 80061 | $45.01 | $69.25 | $13.12–$51.45 | 51% below | 35% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel with reflex to LDL Direct | $45.01 | $69.25 | $13.12–$51.45 | — | 35% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 NMR Lipid Panel 80061 | $45.01 | $69.25 | $13.12–$51.45 | — | 35% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel with LDL Direct | $45.01 | $69.25 | $13.12–$51.45 | — | 35% |
| Complete blood count (CBC) with differential CPT 85025 Veterinary Complete Blood Count w/ Diff | $22.59 | $34.75 | $6.60–$24.33 | 45% below | 35% |
| Complete blood count (CBC) with differential CPT 85025 CBC w/ Differential | $24.28 | $37.35 | $6.60–$24.33 | 41% below | 35% |
| Complete blood count (CBC) with differential CPT 85025 0300 LABORATORY - 85025 | $85.48 | $131.50 | $6.60–$24.33 | 109% above | 35% |
| Complete blood count (CBC) with differential inpatient CPT 85025 Veterinary Complete Blood Count w/ Diff | $22.59 | $34.75 | $6.60–$24.33 | — | 35% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC w/ Differential | $24.28 | $37.35 | $6.60–$24.33 | — | 35% |
| Complete blood count (CBC) with differential inpatient CPT 85025 0300 LABORATORY - 85025 | $85.48 | $131.50 | $6.60–$24.33 | — | 35% |
| Complete blood count (CBC), no differential CPT 85027 CBC w/ Manual Differential | $20.38 | $31.35 | $6.34–$24.78 | 53% below | 35% |
| Complete blood count (CBC), no differential CPT 85027 CBC without Differential | $21.68 | $33.35 | $6.34–$24.78 | 50% below | 35% |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC w/ Manual Differential | $20.38 | $31.35 | $6.34–$24.78 | — | 35% |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC without Differential | $21.68 | $33.35 | $6.34–$24.78 | — | 35% |
| Comprehensive metabolic panel (blood test) CPT 80053 Veterinary Comprehensive Metabolic Panel | $30.71 | $47.25 | $10.35–$33.06 | 69% below | 35% |
| Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive Metabolic Panel (CMP) | $32.99 | $50.75 | $10.35–$33.06 | 67% below | 35% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 Veterinary Comprehensive Metabolic Panel | $30.71 | $47.25 | $10.35–$33.06 | — | 35% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 Comprehensive Metabolic Panel (CMP) | $32.99 | $50.75 | $10.35–$33.06 | — | 35% |
| Cortisol blood test, total CPT 82533 CORTISOL, SALIVARY EACH | $44.85 | $69.00 | $16.30–$54.24 | 54% below | 35% |
| Cortisol blood test, total CPT 82533 Cortisol PM | $47.45 | $73.00 | $16.30–$54.24 | 52% below | 35% |
| Cortisol blood test, total CPT 82533 Salivary Cortisol X4 Timed | $47.45 | $73.00 | $16.30–$54.24 | 52% below | 35% |
| Cortisol blood test, total CPT 82533 Cortisol AM | $54.08 | $83.20 | $16.30–$54.24 | 45% below | 35% |
| Cortisol blood test, total CPT 82533 Cortisol 60 minutes | $54.08 | $83.20 | $16.30–$54.24 | 45% below | 35% |
| Cortisol blood test, total CPT 82533 Cortisol Baseline | $54.08 | $83.20 | $16.30–$54.24 | 45% below | 35% |
| Cortisol blood test, total CPT 82533 Cortisol 30 | $54.08 | $83.20 | $16.30–$54.24 | 45% below | 35% |
| Cortisol blood test, total CPT 82533 Cortisol Random | $54.08 | $83.20 | $16.30–$54.24 | 45% below | 35% |
| Cortisol blood test, total inpatient CPT 82533 CORTISOL, SALIVARY EACH | $44.85 | $69.00 | $16.30–$54.24 | — | 35% |
| Cortisol blood test, total inpatient CPT 82533 Salivary Cortisol X4 Timed | $47.45 | $73.00 | $16.30–$54.24 | — | 35% |
| Cortisol blood test, total inpatient CPT 82533 Cortisol PM | $47.45 | $73.00 | $16.30–$54.24 | — | 35% |
| Cortisol blood test, total inpatient CPT 82533 Cortisol AM | $54.08 | $83.20 | $16.30–$54.24 | — | 35% |
| Cortisol blood test, total inpatient CPT 82533 Cortisol Random | $54.08 | $83.20 | $16.30–$54.24 | — | 35% |
| Cortisol blood test, total inpatient CPT 82533 Cortisol Baseline | $54.08 | $83.20 | $16.30–$54.24 | — | 35% |
| Cortisol blood test, total inpatient CPT 82533 Cortisol 60 minutes | $54.08 | $83.20 | $16.30–$54.24 | — | 35% |
| Cortisol blood test, total inpatient CPT 82533 Cortisol 30 | $54.08 | $83.20 | $16.30–$54.24 | — | 35% |
| Creatine kinase (CK) blood test, total CPT 82550 Creatine Kinase | $20.38 | $31.35 | $6.38–$23.38 | 56% below | 35% |
| Creatine kinase (CK) blood test, total CPT 82550 Creatine Kinase Total | $21.68 | $33.35 | $6.38–$23.38 | 53% below | 35% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 Creatine Kinase | $20.38 | $31.35 | $6.38–$23.38 | — | 35% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 Creatine Kinase Total | $21.68 | $33.35 | $6.38–$23.38 | — | 35% |
| Creatinine blood test CPT 82565 Creatinine, Rapid Whole Blood | $16.67 | $25.65 | $5.12–$16.72 | 53% below | 35% |
| Creatinine blood test CPT 82565 Creatinine | $16.67 | $25.65 | $5.12–$16.72 | 53% below | 35% |
| Creatinine blood test inpatient CPT 82565 Creatinine, Rapid Whole Blood | $16.67 | $25.65 | $5.12–$16.72 | — | 35% |
| Creatinine blood test inpatient CPT 82565 Creatinine | $16.67 | $25.65 | $5.12–$16.72 | — | 35% |
| Cytomegalovirus (CMV) antibody test CPT 86644 Cytomegalovirus CMV Ab IgG | $57.43 | $88.35 | $14.10–$55.50 | 47% below | 35% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 Cytomegalovirus CMV Ab IgG | $57.43 | $88.35 | $14.10–$55.50 | — | 35% |
| D-dimer blood test (blood clot marker) CPT 85379 D-Dimer | $48.36 | $74.40 | $10.02–$55.46 | 58% below | 35% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 D-Dimer | $48.36 | $74.40 | $10.02–$55.46 | — | 35% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-Sulfate | $89.12 | $137.10 | $21.79–$101.87 | 31% below | 35% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA-Sulfate | $89.12 | $137.10 | $21.79–$101.87 | — | 35% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 798002 Tramadol GC/MS Ur 798002 | $86.13 | $132.50 | $61.15–$216.84 | 47% below | 35% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Nicotine Metabolite Ur 737919 | $86.13 | $132.50 | $61.15–$216.84 | 47% below | 35% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Cotinine Confirm Ur 737920 | $86.13 | $132.50 | $61.15–$216.84 | 47% below | 35% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Meperidine/Normep GC/MS Conf Ur 799095 | $100.75 | $155.00 | $61.15–$216.84 | 38% below | 35% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Cocaine GC/MS Ur 799056 | $100.75 | $155.00 | $61.15–$216.84 | 38% below | 35% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 0300 LABORATORY - 80307 | $119.26 | $183.47 | $61.15–$216.84 | 26% below | 35% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Synthetic Cannab Conf Ur | $153.40 | $236.00 | $61.15–$216.84 | 5% below | 35% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Synthetic Cannabinoids Scr Ur | $153.40 | $236.00 | $61.15–$216.84 | 5% below | 35% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Urine Fentanyl Screen | $153.60 | $236.30 | $61.15–$216.84 | 5% below | 35% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 U Drug Scr | $165.82 | $255.11 | $61.15–$216.84 | 3% above | 35% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 ToxASSURE Select 13 (MW) Ur 738526 | $168.12 | $258.65 | $115.52 | 4% above | 35% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 80307 Drug Test PRSMV Chem Anlyzr | $168.12 | $258.65 | $115.52 | 4% above | 35% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 GHB Screen Urine | $172.41 | $265.25 | $61.15–$216.84 | 7% above | 35% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Ethanol Qn Ur 735316 | $181.84 | $279.75 | $61.15–$216.84 | 13% above | 35% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Urine Oxycodone Screen | $181.84 | $279.75 | $61.15–$216.84 | 13% above | 35% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 MDMA Scr Ur 722118 | $207.29 | $318.90 | $61.15–$216.84 | 29% above | 35% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Profile Ur 764875 | $207.29 | $318.90 | $61.15–$216.84 | 29% above | 35% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Of Abuse - Cord Stat | $207.29 | $318.90 | $61.15–$216.84 | 29% above | 35% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Screen 7 Ur Bund 794388 | $207.29 | $318.90 | $61.15–$216.84 | 29% above | 35% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 798002 Tramadol GC/MS Ur 798002 | $86.13 | $132.50 | $61.15–$216.84 | — | 35% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Cotinine Confirm Ur 737920 | $86.13 | $132.50 | $61.15–$216.84 | — | 35% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Nicotine Metabolite Ur 737919 | $86.13 | $132.50 | $61.15–$216.84 | — | 35% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Meperidine/Normep GC/MS Conf Ur 799095 | $100.75 | $155.00 | $61.15–$216.84 | — | 35% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Cocaine GC/MS Ur 799056 | $100.75 | $155.00 | $61.15–$216.84 | — | 35% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 0300 LABORATORY - 80307 | $119.26 | $183.47 | $61.15–$216.84 | — | 35% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Synthetic Cannab Conf Ur | $153.40 | $236.00 | $61.15–$216.84 | — | 35% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Synthetic Cannabinoids Scr Ur | $153.40 | $236.00 | $61.15–$216.84 | — | 35% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Urine Fentanyl Screen | $153.60 | $236.30 | $61.15–$216.84 | — | 35% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 U Drug Scr | $165.82 | $255.11 | $61.15–$216.84 | — | 35% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 80307 Drug Test PRSMV Chem Anlyzr | $168.12 | $258.65 | $115.52 | — | 35% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 ToxASSURE Select 13 (MW) Ur 738526 | $168.12 | $258.65 | $115.52 | — | 35% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 GHB Screen Urine | $172.41 | $265.25 | $61.15–$216.84 | — | 35% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Urine Oxycodone Screen | $181.84 | $279.75 | $61.15–$216.84 | — | 35% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Ethanol Qn Ur 735316 | $181.84 | $279.75 | $61.15–$216.84 | — | 35% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 MDMA Scr Ur 722118 | $207.29 | $318.90 | $61.15–$216.84 | — | 35% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug Of Abuse - Cord Stat | $207.29 | $318.90 | $61.15–$216.84 | — | 35% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug Profile Ur 764875 | $207.29 | $318.90 | $61.15–$216.84 | — | 35% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug Screen 7 Ur Bund 794388 | $207.29 | $318.90 | $61.15–$216.84 | — | 35% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Electrolyte Panel | $19.34 | $29.75 | $6.13 | 67% below | 35% |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 Electrolyte Panel | $19.34 | $29.75 | $6.13 | — | 35% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EBV VCA IgG Ab | $72.44 | $111.45 | $15.89–$49.96 | 30% below | 35% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EBV VCA IgM Ab | $72.44 | $111.45 | $15.89–$49.96 | 30% below | 35% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EBV VCA IgG Ab Epstein-Barr | $72.44 | $111.45 | $15.89–$49.96 | 30% below | 35% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV VCA IgG Ab | $72.44 | $111.45 | $15.89–$49.96 | — | 35% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV VCA IgG Ab Epstein-Barr | $72.44 | $111.45 | $15.89–$49.96 | — | 35% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV VCA IgM Ab | $72.44 | $111.45 | $15.89–$49.96 | — | 35% |
| Estradiol blood test CPT 82670 Estradiol Level | $111.51 | $171.55 | $27.38–$111.82 | 35% below | 35% |
| Estradiol blood test inpatient CPT 82670 Estradiol Level | $111.51 | $171.55 | $27.38–$111.82 | — | 35% |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH | $61.69 | $94.90 | $18.21–$61.85 | 47% below | 35% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH | $61.69 | $94.90 | $18.21–$61.85 | — | 35% |
| Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin Fecal | $78.16 | $120.25 | $18.92–$78.39 | 63% below | 35% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Calprotectin Fecal | $78.16 | $120.25 | $18.92–$78.39 | — | 35% |
| Ferritin blood test (iron stores) CPT 82728 Ferritin | $45.76 | $70.40 | $13.36–$45.88 | 47% below | 35% |
| Ferritin blood test (iron stores) inpatient CPT 82728 Ferritin | $45.76 | $70.40 | $13.36–$45.88 | — | 35% |
| Fibrinogen blood test CPT 85384 Fibrinogen Level | $30.55 | $47.00 | $9.53–$35.06 | 47% below | 35% |
| Fibrinogen blood test inpatient CPT 85384 Fibrinogen Level | $30.55 | $47.00 | $9.53–$35.06 | — | 35% |
| Folate (folic acid) blood test CPT 82746 Folate Level | $49.08 | $75.50 | $14.41–$56.10 | 50% below | 35% |
| Folate (folic acid) blood test inpatient CPT 82746 Folate Level | $49.08 | $75.50 | $14.41–$56.10 | — | 35% |
| Free T3 thyroid hormone test CPT 84481 Triiodothyronine Free T3 Free | $67.44 | $103.75 | $16.60–$67.62 | 47% below | 35% |
| Free T3 thyroid hormone test inpatient CPT 84481 Triiodothyronine Free T3 Free | $67.44 | $103.75 | $16.60–$67.62 | — | 35% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Free T4 Level | $30.00 | $46.15 | $8.84–$30.09 | 54% below | 35% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Free T4 Level | $30.00 | $46.15 | $8.84–$30.09 | — | 35% |
| Free testosterone test CPT 84402 Free Testosterone- Direct | $70.69 | $108.75 | $24.96–$85.07 | 50% below | 35% |
| Free testosterone test CPT 84402 Testosterone Free | $70.69 | $108.75 | $24.96–$85.07 | 50% below | 35% |
| Free testosterone test inpatient CPT 84402 Testosterone Free | $70.69 | $108.75 | $24.96–$85.07 | — | 35% |
| Free testosterone test inpatient CPT 84402 Free Testosterone- Direct | $70.69 | $108.75 | $24.96–$85.07 | — | 35% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGT LC | $25.51 | $39.25 | $7.06–$29.16 | 42% below | 35% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 Gamma Glutamyl Transferase | $29.09 | $44.75 | $7.06–$29.16 | 34% below | 35% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GGT LC | $25.51 | $39.25 | $7.06–$29.16 | — | 35% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 Gamma Glutamyl Transferase | $29.09 | $44.75 | $7.06–$29.16 | — | 35% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Gestational Glucose Screen | $23.89 | $36.75 | $15.42 | 49% below | 35% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Gestational Glucose Screen | $23.89 | $36.75 | $15.42 | — | 35% |
| Glucose tolerance test, 3 samples CPT 82951 .Glucose Tolerance 2 Hour | $45.34 | $69.75 | $13.26–$37.47 | 50% below | 35% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 .Glucose Tolerance 2 Hour | $45.34 | $69.75 | $13.26–$37.47 | — | 35% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Gonococcus NAA | $88.17 | $135.65 | $36.14–$100.79 | 18% below | 35% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N gonorrhoeae NAA | $88.17 | $135.65 | $36.14–$100.79 | 18% below | 35% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N gonorrhoeae NAA | $88.17 | $135.65 | $36.14–$100.79 | — | 35% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Gonococcus NAA | $88.17 | $135.65 | $36.14–$100.79 | — | 35% |
| H. pylori stool antigen test CPT 87338 H. pylori Stool Ag EIA | $48.36 | $74.40 | $14.10–$24.02 | 57% below | 35% |
| H. pylori stool antigen test inpatient CPT 87338 H. pylori Stool Ag EIA | $48.36 | $74.40 | $14.10–$24.02 | — | 35% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 Quant PCR rflx to Genotype 550432 | $201.76 | $310.40 | $85.95–$230.63 | 32% below | 35% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 Quant PCR 550430 | $201.76 | $310.40 | $85.95–$230.63 | 32% below | 35% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 Quant PCR rflx to Genotype 550432 | $201.76 | $310.40 | $85.95–$230.63 | — | 35% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 Quant PCR 550430 | $201.76 | $310.40 | $85.95–$230.63 | — | 35% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 4th Gen w Rfx 083935 | $66.53 | $102.35 | $46.21 | 30% below | 35% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV 4th Gen w Rfx 083935 | $66.53 | $102.35 | $46.21 | — | 35% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hgb A1c | $26.81 | $41.25 | $9.52–$30.65 | 59% below | 35% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hgb A1c with eAG Estimation | $32.40 | $49.85 | $9.52–$30.65 | 50% below | 35% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hgb A1c | $26.81 | $41.25 | $9.52–$30.65 | — | 35% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hgb A1c with eAG Estimation | $32.40 | $49.85 | $9.52–$30.65 | — | 35% |
| Hemoglobin blood test CPT 85018 Hemoglobin | $7.05 | $10.85 | $2.01–$10.85 | 67% below | 35% |
| Hemoglobin blood test CPT 85018 Hemoglobin POCT | $7.41 | $11.40 | $2.01–$10.85 | 65% below | 35% |
| Hemoglobin blood test inpatient CPT 85018 Hemoglobin | $7.05 | $10.85 | $2.01–$10.85 | — | 35% |
| Hemoglobin blood test inpatient CPT 85018 Hemoglobin POCT | $7.41 | $11.40 | $2.01–$10.85 | — | 35% |
| Hepatitis B core antibody test (total) CPT 86704 Hep B Core Ab Tot | $40.01 | $61.55 | $11.81–$45.73 | 42% below | 35% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 Hep B Core Ab Tot | $40.01 | $61.55 | $11.81–$45.73 | — | 35% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hep B Surf Ab Scr | $35.75 | $55.00 | $21.48–$35.69 | 54% below | 35% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hep B Surf Ab Scr | $35.75 | $55.00 | $21.48–$35.69 | — | 35% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B S Ag | $28.28 | $43.50 | $10.13–$38.97 | 53% below | 35% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B Surface Ag Confirmation | $34.09 | $52.45 | $10.13–$38.97 | 43% below | 35% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HBsAg Screen | $34.09 | $52.45 | $10.13–$38.97 | 43% below | 35% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hepatitis B S Ag | $28.28 | $43.50 | $10.13–$38.97 | — | 35% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hepatitis B Surface Ag Confirmation | $34.09 | $52.45 | $10.13–$38.97 | — | 35% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HBsAg Screen | $34.09 | $52.45 | $10.13–$38.97 | — | 35% |
| Hepatitis C antibody blood test (screening) CPT 86803 HCV Ab reflex to NAA | $47.42 | $72.95 | $13.98–$54.20 | 42% below | 35% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HCV Ab reflex to NAA | $47.42 | $72.95 | $13.98–$54.20 | — | 35% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA by PCR Qn Rfx Geno 550090 | $124.96 | $192.25 | $41.99–$85.68 | 54% below | 35% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA Diagnosis 550870 | $129.35 | $199.00 | $41.99–$85.68 | 52% below | 35% |
| Hepatitis C viral load (HCV RNA) test one side CPT 87522 HCV RT-PCR Qn (Non-Graph) 550080 | $124.96 | $192.25 | $41.99–$85.68 | 54% below | 35% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV RNA by PCR Qn Rfx Geno 550090 | $124.96 | $192.25 | $41.99–$85.68 | — | 35% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV RNA Diagnosis 550870 | $129.35 | $199.00 | $41.99–$85.68 | — | 35% |
| Hepatitis C viral load (HCV RNA) test inpatient one side CPT 87522 HCV RT-PCR Qn (Non-Graph) 550080 | $124.96 | $192.25 | $41.99–$85.68 | — | 35% |
| Herpes blood test, HSV-1 antibody CPT 86695 HSV 1 IgG Type Spec | $45.99 | $70.75 | $26.38–$52.57 | 51% below | 35% |
| Herpes blood test, HSV-1 antibody CPT 86695 HSV Type 1-Specific IgG Ab | $45.99 | $70.75 | $26.38–$52.57 | 51% below | 35% |
| Herpes blood test, HSV-1 antibody CPT 86695 HSV 1 IgM Screen | $45.99 | $70.75 | $26.38–$52.57 | 51% below | 35% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV Type 1-Specific IgG Ab | $45.99 | $70.75 | $26.38–$52.57 | — | 35% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV 1 IgG Type Spec | $45.99 | $70.75 | $26.38–$52.57 | — | 35% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV 1 IgM Screen | $45.99 | $70.75 | $26.38–$52.57 | — | 35% |
| Herpes blood test, HSV-2 antibody CPT 86696 HSV 2 IgM Screen | $48.26 | $74.25 | $38.70–$77.64 | 44% below | 35% |
| Herpes blood test, HSV-2 antibody CPT 86696 HSV 2 IgG Type Spec | $67.93 | $104.50 | $38.70–$77.64 | 21% below | 35% |
| Herpes blood test, HSV-2 antibody CPT 86696 HSV Type 2-Specific IgG Ab | $67.93 | $104.50 | $38.70–$77.64 | 21% below | 35% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV 2 IgM Screen | $48.26 | $74.25 | $38.70–$77.64 | — | 35% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV 2 IgG Type Spec | $67.93 | $104.50 | $38.70–$77.64 | — | 35% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV Type 2-Specific IgG Ab | $67.93 | $104.50 | $38.70–$77.64 | — | 35% |
| Homocysteine blood test CPT 83090 Homocyst(e)ine | $114.86 | $176.70 | $17.92–$135.89 | 49% below | 35% |
| Homocysteine blood test inpatient CPT 83090 Homocyst(e)ine | $114.86 | $176.70 | $17.92–$135.89 | — | 35% |
| Insulin blood test CPT 83525 Insulin #3 | $38.35 | $59.00 | $22.86–$43.84 | 53% below | 35% |
| Insulin blood test CPT 83525 Insulin | $38.35 | $59.00 | $22.86–$43.84 | 53% below | 35% |
| Insulin blood test CPT 83525 Insulin #2 | $38.35 | $59.00 | $22.86–$43.84 | 53% below | 35% |
| Insulin blood test CPT 83525 Insulin #1 | $38.35 | $59.00 | $22.86–$43.84 | 53% below | 35% |
| Insulin blood test inpatient CPT 83525 Insulin | $38.35 | $59.00 | $22.86–$43.84 | — | 35% |
| Insulin blood test inpatient CPT 83525 Insulin #3 | $38.35 | $59.00 | $22.86–$43.84 | — | 35% |
| Insulin blood test inpatient CPT 83525 Insulin #2 | $38.35 | $59.00 | $22.86–$43.84 | — | 35% |
| Insulin blood test inpatient CPT 83525 Insulin #1 | $38.35 | $59.00 | $22.86–$43.84 | — | 35% |
| Iron blood test (serum iron) CPT 83540 Iron Level | $20.38 | $31.35 | $5.50–$21.73 | 53% below | 35% |
| Iron blood test (serum iron) inpatient CPT 83540 Iron Level | $20.38 | $31.35 | $5.50–$21.73 | — | 35% |
| Iron-binding capacity (TIBC) test CPT 83550 Total Iron Binding Capacity | $29.09 | $44.75 | $8.57–$31.73 | 55% below | 35% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 Total Iron Binding Capacity | $29.09 | $44.75 | $8.57–$31.73 | — | 35% |
| Kidney function blood test panel CPT 80069 Renal Function Panel | $29.09 | $44.75 | $8.51–$39.25 | 59% below | 35% |
| Kidney function blood test panel inpatient CPT 80069 Renal Function Panel | $29.09 | $44.75 | $8.51–$39.25 | — | 35% |
| LH (luteinizing hormone) test CPT 83002 Luteinizing Hormone LH | $61.69 | $94.90 | $37.04–$61.85 | 45% below | 35% |
| LH (luteinizing hormone) test CPT 83002 LH | $61.69 | $94.90 | $37.04–$61.85 | 45% below | 35% |
| LH (luteinizing hormone) test inpatient CPT 83002 LH | $61.69 | $94.90 | $37.04–$61.85 | — | 35% |
| LH (luteinizing hormone) test inpatient CPT 83002 Luteinizing Hormone LH | $61.69 | $94.90 | $37.04–$61.85 | — | 35% |
| Lactate (lactic acid) blood test CPT 83605 Body Fluid Lactic Acid 812030 | $33.64 | $51.75 | $10.08–$59.00 | 58% below | 35% |
| Lactate (lactic acid) blood test CPT 83605 Lactic Acid (Arterial) | $38.35 | $59.00 | $10.08–$59.00 | 52% below | 35% |
| Lactate (lactic acid) blood test CPT 83605 Lactic Acid Repeat (Art) | $38.35 | $59.00 | $10.08–$59.00 | 52% below | 35% |
| Lactate (lactic acid) blood test CPT 83605 Lactic Acid Repeat (Ven) | $38.35 | $59.00 | $10.08–$59.00 | 52% below | 35% |
| Lactate (lactic acid) blood test CPT 83605 Lactic Acid Art POCT | $38.35 | $59.00 | $10.08–$59.00 | 52% below | 35% |
| Lactate (lactic acid) blood test CPT 83605 Lactic Acid CSF | $38.35 | $59.00 | $10.08–$59.00 | 52% below | 35% |
| Lactate (lactic acid) blood test CPT 83605 Lactic Acid (Venous) | $38.35 | $59.00 | $10.08–$59.00 | 52% below | 35% |
| Lactate (lactic acid) blood test inpatient CPT 83605 Body Fluid Lactic Acid 812030 | $33.64 | $51.75 | $10.08–$59.00 | — | 35% |
| Lactate (lactic acid) blood test inpatient CPT 83605 Lactic Acid (Arterial) | $38.35 | $59.00 | $10.08–$59.00 | — | 35% |
| Lactate (lactic acid) blood test inpatient CPT 83605 Lactic Acid (Venous) | $38.35 | $59.00 | $10.08–$59.00 | — | 35% |
| Lactate (lactic acid) blood test inpatient CPT 83605 Lactic Acid CSF | $38.35 | $59.00 | $10.08–$59.00 | — | 35% |
| Lactate (lactic acid) blood test inpatient CPT 83605 Lactic Acid Art POCT | $38.35 | $59.00 | $10.08–$59.00 | — | 35% |
| Lactate (lactic acid) blood test inpatient CPT 83605 Lactic Acid Repeat (Art) | $38.35 | $59.00 | $10.08–$59.00 | — | 35% |
| Lactate (lactic acid) blood test inpatient CPT 83605 Lactic Acid Repeat (Ven) | $38.35 | $59.00 | $10.08–$59.00 | — | 35% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 Veterinary LDH | $17.55 | $27.00 | $5.92–$21.58 | 57% below | 35% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 Lactate Dehydrogenase | $18.88 | $29.05 | $5.92–$21.58 | 54% below | 35% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 Body Fluid LDH 100156 | $20.02 | $30.80 | $5.92–$21.58 | 51% below | 35% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Veterinary LDH | $17.55 | $27.00 | $5.92–$21.58 | — | 35% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Lactate Dehydrogenase | $18.88 | $29.05 | $5.92–$21.58 | — | 35% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Body Fluid LDH 100156 | $20.02 | $30.80 | $5.92–$21.58 | — | 35% |
| Lipase blood test (pancreas enzyme) CPT 83690 Lipase Level | $22.04 | $33.90 | $6.81–$25.29 | 65% below | 35% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase Level | $22.04 | $33.90 | $6.81–$25.29 | — | 35% |
| Liver function blood test panel CPT 80076 Hepatic Function Panel | $25.94 | $39.90 | $8.17–$29.65 | 68% below | 35% |
| Liver function blood test panel inpatient CPT 80076 Hepatic Function Panel | $25.94 | $39.90 | $8.17–$29.65 | — | 35% |
| Lyme disease antibody test CPT 86618 Lyme IgG EIA | $18.20 | $28.00 | $34.06–$44.50 | 85% below | 35% |
| Lyme disease antibody test CPT 86618 Lyme IgM EIA | $18.20 | $28.00 | $34.06–$44.50 | 85% below | 35% |
| Lyme disease antibody test CPT 86618 Lyme Disease Total Ab Reflex to EIA | $32.99 | $50.75 | $34.06–$44.50 | 73% below | 35% |
| Lyme disease antibody test CPT 86618 Tickborne Disease Antibody Profile | $73.10 | $112.46 | $34.06–$44.50 | 40% below | 35% |
| Lyme disease antibody test inpatient CPT 86618 Lyme IgG EIA | $18.20 | $28.00 | $34.06–$44.50 | — | 35% |
| Lyme disease antibody test inpatient CPT 86618 Lyme IgM EIA | $18.20 | $28.00 | $34.06–$44.50 | — | 35% |
| Lyme disease antibody test inpatient CPT 86618 Lyme Disease Total Ab Reflex to EIA | $32.99 | $50.75 | $34.06–$44.50 | — | 35% |
| Lyme disease antibody test inpatient CPT 86618 Tickborne Disease Antibody Profile | $73.10 | $112.46 | $34.06–$44.50 | — | 35% |
| Magnesium blood test CPT 83735 Magnesium RBC | $19.66 | $30.25 | $6.57–$24.23 | 62% below | 35% |
| Magnesium blood test CPT 83735 Magnesium Ur KS | $19.66 | $30.25 | $6.57–$24.23 | 62% below | 35% |
| Magnesium blood test CPT 83735 Magnesium Level | $21.13 | $32.50 | $6.57–$24.23 | 59% below | 35% |
| Magnesium blood test CPT 83735 Magnesium Level Urine | $22.43 | $34.50 | $6.57–$24.23 | 57% below | 35% |
| Magnesium blood test inpatient CPT 83735 Magnesium Ur KS | $19.66 | $30.25 | $6.57–$24.23 | — | 35% |
| Magnesium blood test inpatient CPT 83735 Magnesium RBC | $19.66 | $30.25 | $6.57–$24.23 | — | 35% |
| Magnesium blood test inpatient CPT 83735 Magnesium Level | $21.13 | $32.50 | $6.57–$24.23 | — | 35% |
| Magnesium blood test inpatient CPT 83735 Magnesium Level Urine | $22.43 | $34.50 | $6.57–$24.23 | — | 35% |
| Measles (rubeola) antibody test CPT 86765 Rubeola IgG Abs - Measles | $39.49 | $60.75 | $45.14–$52.55 | 61% below | 35% |
| Measles (rubeola) antibody test inpatient CPT 86765 Rubeola IgG Abs - Measles | $39.49 | $60.75 | $45.14–$52.55 | — | 35% |
| Mono test (heterophile antibody, Monospot) CPT 86308 Mononucleosis Screen | $19.63 | $30.20 | $5.23–$22.53 | 56% below | 35% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Mononucleosis Screen | $19.63 | $30.20 | $5.23–$22.53 | — | 35% |
| Mumps immunity blood test CPT 86735 Mumps IgG Abs | $38.03 | $58.50 | $43.47–$50.01 | 57% below | 35% |
| Mumps immunity blood test CPT 86735 Mumps IgM Abs | $38.03 | $58.50 | $43.47–$50.01 | 57% below | 35% |
| Mumps immunity blood test inpatient CPT 86735 Mumps IgG Abs | $38.03 | $58.50 | $43.47–$50.01 | — | 35% |
| Mumps immunity blood test inpatient CPT 86735 Mumps IgM Abs | $38.03 | $58.50 | $43.47–$50.01 | — | 35% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA Free | $61.69 | $94.90 | $36.78–$70.76 | 33% below | 35% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA Free | $61.69 | $94.90 | $36.78–$70.76 | — | 35% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Prostate Specific Ag Diagnostic | $73.35 | $112.85 | $18.02–$73.56 | 31% below | 35% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA Ultrasensitive w/o Serial | $73.35 | $112.85 | $18.02–$73.56 | 31% below | 35% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Prostate-Specific Ag Diagnostic | $73.35 | $112.85 | $18.02–$73.56 | 31% below | 35% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Prostate Specific Ag Diagnostic | $73.35 | $112.85 | $18.02–$73.56 | — | 35% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Prostate-Specific Ag Diagnostic | $73.35 | $112.85 | $18.02–$73.56 | — | 35% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA Ultrasensitive w/o Serial | $73.35 | $112.85 | $18.02–$73.56 | — | 35% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 88142 AP Bill Gyn Cytology Liquid Prep | $66.79 | $102.75 | $18.03–$76.34 | 24% below | 35% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 88142 AP Bill Gyn Cytology Liquid Prep | $66.79 | $102.75 | $18.03–$76.34 | — | 35% |
| Parathyroid hormone (PTH) blood test CPT 83970 Parathyroid Hormone Intact Intraoperative/Post Operative | $137.44 | $211.45 | $35.44–$157.11 | 31% below | 35% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 Parathyroid Hormone Intact Intraoperative/Post Operative | $137.44 | $211.45 | $35.44–$157.11 | — | 35% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 APTT | $17.55 | $27.00 | $5.25–$29.05 | 63% below | 35% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Partial Thromboplastin Time | $18.88 | $29.05 | $5.25–$29.05 | 60% below | 35% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 APTT | $17.55 | $27.00 | $5.25–$29.05 | — | 35% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Partial Thromboplastin Time | $18.88 | $29.05 | $5.25–$29.05 | — | 35% |
| Phosphorus (phosphate) blood test CPT 84100 Phosphorus Level | $15.02 | $23.10 | $4.74–$23.10 | 61% below | 35% |
| Phosphorus (phosphate) blood test inpatient CPT 84100 Phosphorus Level | $15.02 | $23.10 | $4.74–$23.10 | — | 35% |
| Potassium blood test CPT 84132 Potassium Level | $15.02 | $23.10 | $4.24–$17.21 | 54% below | 35% |
| Potassium blood test CPT 84132 Potassium Lvl POCT | $15.73 | $24.20 | $4.24–$17.21 | 52% below | 35% |
| Potassium blood test inpatient CPT 84132 Potassium Level | $15.02 | $23.10 | $4.24–$17.21 | — | 35% |
| Potassium blood test inpatient CPT 84132 Potassium Lvl POCT | $15.73 | $24.20 | $4.24–$17.21 | — | 35% |
| Progesterone blood test CPT 84144 Progesterone Level | $74.07 | $113.95 | $20.44–$83.40 | 34% below | 35% |
| Progesterone blood test inpatient CPT 84144 Progesterone Level | $74.07 | $113.95 | $20.44–$83.40 | — | 35% |
| Prolactin blood test CPT 84146 Prolactin | $65.03 | $100.05 | $18.99–$65.20 | 49% below | 35% |
| Prolactin blood test CPT 84146 B2 Glycopr I IgG | $65.03 | $100.05 | $18.99–$65.20 | 49% below | 35% |
| Prolactin blood test inpatient CPT 84146 Prolactin | $65.03 | $100.05 | $18.99–$65.20 | — | 35% |
| Prolactin blood test inpatient CPT 84146 B2 Glycopr I IgG | $65.03 | $100.05 | $18.99–$65.20 | — | 35% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time LC | $12.35 | $19.00 | $4.20–$19.00 | 61% below | 35% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PT LC | $14.07 | $21.65 | $4.20–$19.00 | 55% below | 35% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time and INR | $14.07 | $21.65 | $4.20–$19.00 | 55% below | 35% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time LC | $12.35 | $19.00 | $4.20–$19.00 | — | 35% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PT LC | $14.07 | $21.65 | $4.20–$19.00 | — | 35% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time and INR | $14.07 | $21.65 | $4.20–$19.00 | — | 35% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Ur Drug Scr 5 | $31.10 | $47.85 | $12.07–$47.85 | 43% below | 35% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Drug Screen Extended | $31.10 | $47.85 | $12.31–$40.67 | 43% below | 35% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 U Drug Scr 7 | $31.10 | $47.85 | $12.07–$47.85 | 43% below | 35% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Cannabinoids, Urine | $31.10 | $47.85 | $12.07–$47.85 | 43% below | 35% |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 U Drug Scr 7 | $31.10 | $47.85 | $12.07–$47.85 | — | 35% |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 Drug Screen Extended | $31.10 | $47.85 | $12.31–$40.67 | — | 35% |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 Cannabinoids, Urine | $31.10 | $47.85 | $12.07–$47.85 | — | 35% |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 Ur Drug Scr 5 | $31.10 | $47.85 | $12.07–$47.85 | — | 35% |
| Renin blood test CPT 84244 Renin Activity | $73.35 | $112.85 | $21.99–$99.00 | 43% below | 35% |
| Renin blood test inpatient CPT 84244 Renin Activity | $73.35 | $112.85 | $21.99–$99.00 | — | 35% |
| Rh blood typing CPT 86901 BLOOD TYPING/RH | $90.32 | $138.95 | $2.99–$138.95 | 40% above | 35% |
| Rh blood typing inpatient CPT 86901 BLOOD TYPING/RH | $90.32 | $138.95 | $2.99–$138.95 | — | 35% |
| Rheumatoid factor (RF) test CPT 86431 RA Latex Turbid | $19.08 | $29.35 | $5.56–$19.78 | 61% below | 35% |
| Rheumatoid factor (RF) test CPT 86431 RF, Synovial, Titer | $19.08 | $29.35 | $5.56–$19.78 | 61% below | 35% |
| Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor | $24.08 | $37.05 | $5.56–$19.78 | 51% below | 35% |
| Rheumatoid factor (RF) test CPT 86431 RFOtherBF | $54.08 | $83.20 | $5.56–$19.78 | 10% above | 35% |
| Rheumatoid factor (RF) test inpatient CPT 86431 RF, Synovial, Titer | $19.08 | $29.35 | $5.56–$19.78 | — | 35% |
| Rheumatoid factor (RF) test inpatient CPT 86431 RA Latex Turbid | $19.08 | $29.35 | $5.56–$19.78 | — | 35% |
| Rheumatoid factor (RF) test inpatient CPT 86431 Rheumatoid Factor | $24.08 | $37.05 | $5.56–$19.78 | — | 35% |
| Rheumatoid factor (RF) test inpatient CPT 86431 RFOtherBF | $54.08 | $83.20 | $5.56–$19.78 | — | 35% |
| Rubella antibody test (immunity check) CPT 86762 Rubella Abs IgG | $42.41 | $65.25 | $12.35–$48.48 | 31% below | 35% |
| Rubella antibody test (immunity check) inpatient CPT 86762 Rubella Abs IgG | $42.41 | $65.25 | $12.35–$48.48 | — | 35% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Sed Rate, Auto | $9.07 | $13.95 | $2.65–$9.84 | 73% below | 35% |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 Sed Rate, Auto | $9.07 | $13.95 | $2.65–$9.84 | — | 35% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 Fecal Occult Blood by FIT | $44.46 | $68.40 | $72.00 | 14% below | 35% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Fecal Occult Blood by FIT | $44.46 | $68.40 | $72.00 | — | 35% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 Syphilis Ab (T pallidum Ab) | $44.10 | $67.85 | $12.98–$44.21 | 39% below | 35% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Syphilis Ab (T pallidum Ab) | $44.10 | $67.85 | $12.98–$44.21 | — | 35% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR | $14.07 | $21.65 | $12.51 | 61% below | 35% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR Rfx Qn RPR/Confirm TP | $14.07 | $21.65 | $12.51 | 61% below | 35% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL CSF | $14.07 | $21.65 | $12.51 | 61% below | 35% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR Rfx Qn RPR/Confirm TP | $14.07 | $21.65 | $12.51 | — | 35% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL CSF | $14.07 | $21.65 | $12.51 | — | 35% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR | $14.07 | $21.65 | $12.51 | — | 35% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QuantiFeron-TB Gold Plus | $146.36 | $225.17 | $102.33–$123.96 | 21% below | 35% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QuantiFeron-TB Gold Plus | $146.36 | $225.17 | $102.33–$123.96 | — | 35% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone Level | $81.22 | $124.95 | $25.29–$97.70 | 41% below | 35% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone lvl | $86.00 | $132.30 | $25.29–$97.70 | 38% below | 35% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone Level | $81.22 | $124.95 | $25.29–$97.70 | — | 35% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone lvl | $86.00 | $132.30 | $25.29–$97.70 | — | 35% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Liver-Kidney Microsomal Ab | $58.34 | $89.75 | $29.10–$66.68 | 26% below | 35% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroid Peroxidase TPO Ab | $58.34 | $89.75 | $29.10–$66.68 | 26% below | 35% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Liver-Kidney Microsomal Ab | $58.34 | $89.75 | $29.10–$66.68 | — | 35% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Thyroid Peroxidase TPO Ab | $58.34 | $89.75 | $29.10–$66.68 | — | 35% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Stimulating Hormone | $52.62 | $80.95 | $15.75–$52.75 | 40% below | 35% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Thyroid Stimulating Hormone | $52.62 | $80.95 | $15.75–$52.75 | — | 35% |
| Total IgE blood test CPT 82785 IgE Total | $20.02 | $30.80 | $16.13–$32.92 | 78% below | 35% |
| Total IgE blood test CPT 82785 IgE Immunoglobulin | $65.75 | $101.15 | $16.13–$32.92 | 26% below | 35% |
| Total IgE blood test inpatient CPT 82785 IgE Total | $20.02 | $30.80 | $16.13–$32.92 | — | 35% |
| Total IgE blood test inpatient CPT 82785 IgE Immunoglobulin | $65.75 | $101.15 | $16.13–$32.92 | — | 35% |
| Total cholesterol blood test CPT 82465 Cholesterol Total | $11.70 | $18.00 | $4.48–$8.70 | 67% below | 35% |
| Total cholesterol blood test CPT 82465 Cholesterol Body Fluid | $12.35 | $19.00 | $4.48–$8.70 | 66% below | 35% |
| Total cholesterol blood test CPT 82465 Veterinary Cholesterol | $12.35 | $19.00 | $4.48–$8.70 | 66% below | 35% |
| Total cholesterol blood test inpatient CPT 82465 Cholesterol Total | $11.70 | $18.00 | $4.48–$8.70 | — | 35% |
| Total cholesterol blood test inpatient CPT 82465 Veterinary Cholesterol | $12.35 | $19.00 | $4.48–$8.70 | — | 35% |
| Total cholesterol blood test inpatient CPT 82465 Cholesterol Body Fluid | $12.35 | $19.00 | $4.48–$8.70 | — | 35% |
| Total thyroxine (T4) blood test CPT 84436 Thyroxine (T4) | $27.43 | $42.20 | $13.74–$13.85 | 34% below | 35% |
| Total thyroxine (T4) blood test inpatient CPT 84436 Thyroxine (T4) | $27.43 | $42.20 | $13.74–$13.85 | — | 35% |
| Total triiodothyronine (T3) blood test CPT 84480 Triiodothyronine T3 | $56.68 | $87.20 | $14.18–$36.31 | 28% below | 35% |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 Triiodothyronine T3 | $56.68 | $87.20 | $14.18–$36.31 | — | 35% |
| Transferrin blood test CPT 84466 Transferrin | $44.53 | $68.50 | $25.52–$59.98 | 57% below | 35% |
| Transferrin blood test inpatient CPT 84466 Transferrin | $44.53 | $68.50 | $25.52–$59.98 | — | 35% |
| Trichomonas test (NAAT) CPT 87661 Trich vag by NAA | $77.35 | $119.00 | $73.45–$88.42 | 41% below | 35% |
| Trichomonas test (NAAT) inpatient CPT 87661 Trich vag by NAA | $77.35 | $119.00 | $73.45–$88.42 | — | 35% |
| Triglycerides blood test CPT 84478 Veterinary Triglyceride | $16.74 | $25.75 | $5.63–$20.77 | 54% below | 35% |
| Triglycerides blood test CPT 84478 Triglycerides | $18.17 | $27.95 | $5.63–$20.77 | 50% below | 35% |
| Triglycerides blood test CPT 84478 Body Fluid Triglycerides 101170 | $19.08 | $29.35 | $5.63–$20.77 | 48% below | 35% |
| Triglycerides blood test CPT 84478 Triglycerides LC | $19.08 | $29.35 | $5.63–$20.77 | 48% below | 35% |
| Triglycerides blood test inpatient CPT 84478 Veterinary Triglyceride | $16.74 | $25.75 | $5.63–$20.77 | — | 35% |
| Triglycerides blood test inpatient CPT 84478 Triglycerides | $18.17 | $27.95 | $5.63–$20.77 | — | 35% |
| Triglycerides blood test inpatient CPT 84478 Triglycerides LC | $19.08 | $29.35 | $5.63–$20.77 | — | 35% |
| Triglycerides blood test inpatient CPT 84478 Body Fluid Triglycerides 101170 | $19.08 | $29.35 | $5.63–$20.77 | — | 35% |
| Troponin test, quantitative CPT 84484 Troponin-I Extra Sensitive | $39.49 | $60.75 | $12.22–$60.75 | 66% below | 35% |
| Troponin test, quantitative inpatient CPT 84484 Troponin-I Extra Sensitive | $39.49 | $60.75 | $12.22–$60.75 | — | 35% |
| Uric acid blood test CPT 84550 Uric Acid | $14.07 | $21.65 | $4.43–$16.09 | 61% below | 35% |
| Uric acid blood test inpatient CPT 84550 Uric Acid | $14.07 | $21.65 | $4.43–$16.09 | — | 35% |
| Urinalysis with microscope exam, automated CPT 81001 Indicated - Urinalysis Microscopic Indicated? | $9.62 | $14.80 | $3.11–$11.05 | 71% below | 35% |
| Urinalysis with microscope exam, automated CPT 81001 Urinalysis with Microscopic and Reflex Culture | $10.76 | $16.55 | $3.11–$11.05 | 67% below | 35% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Indicated - Urinalysis Microscopic Indicated? | $9.62 | $14.80 | $3.11–$11.05 | — | 35% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis with Microscopic and Reflex Culture | $10.76 | $16.55 | $3.11–$11.05 | — | 35% |
| Urinalysis without microscope exam, automated CPT 81003 Glucose Ur Dipstick Qual | $6.50 | $10.00 | $1.91–$9.00 | 70% below | 35% |
| Urinalysis without microscope exam, automated CPT 81003 Ur Glucose | $6.50 | $10.00 | $1.91–$9.00 | 70% below | 35% |
| Urinalysis without microscope exam, automated CPT 81003 pH 24 Hr Ur KS | $6.50 | $10.00 | $1.91–$9.00 | 70% below | 35% |
| Urinalysis without microscope exam, automated CPT 81003 pH Urine | $6.50 | $10.00 | $1.91–$9.00 | 70% below | 35% |
| Urinalysis without microscope exam, automated CPT 81003 Specific Gravity Urine | $6.50 | $10.00 | $1.91–$9.00 | 70% below | 35% |
| Urinalysis without microscope exam, automated CPT 81003 Protein Urine Qualitatiave | $6.50 | $10.00 | $1.91–$9.00 | 70% below | 35% |
| Urinalysis without microscope exam, automated CPT 81003 Not Indicated - Urinalysis Microscopic Indicated? | $6.66 | $10.25 | $1.91–$9.00 | 70% below | 35% |
| Urinalysis without microscope exam, automated CPT 81003 Ketone Urine Qual Dipstick | $7.41 | $11.40 | $1.91–$9.00 | 66% below | 35% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Protein Urine Qualitatiave | $6.50 | $10.00 | $1.91–$9.00 | — | 35% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Specific Gravity Urine | $6.50 | $10.00 | $1.91–$9.00 | — | 35% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Ur Glucose | $6.50 | $10.00 | $1.91–$9.00 | — | 35% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 pH 24 Hr Ur KS | $6.50 | $10.00 | $1.91–$9.00 | — | 35% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 pH Urine | $6.50 | $10.00 | $1.91–$9.00 | — | 35% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Glucose Ur Dipstick Qual | $6.50 | $10.00 | $1.91–$9.00 | — | 35% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Not Indicated - Urinalysis Microscopic Indicated? | $6.66 | $10.25 | $1.91–$9.00 | — | 35% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Ketone Urine Qual Dipstick | $7.41 | $11.40 | $1.91–$9.00 | — | 35% |
| Urine culture for bacteria, with colony count CPT 87086 Urine Culture | $26.68 | $41.05 | $7.91–$30.60 | 50% below | 35% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 Urine Culture | $26.68 | $41.05 | $7.91–$30.60 | — | 35% |
| Urine microalbumin (albumin) test CPT 82043 Albumin Ur | $23.34 | $35.90 | $5.66–$26.67 | 49% below | 35% |
| Urine microalbumin (albumin) test CPT 82043 Alb Random Ur (Microalbumin) | $23.34 | $35.90 | $5.66–$26.67 | 49% below | 35% |
| Urine microalbumin (albumin) test inpatient CPT 82043 Alb Random Ur (Microalbumin) | $23.34 | $35.90 | $5.66–$26.67 | — | 35% |
| Urine microalbumin (albumin) test inpatient CPT 82043 Albumin Ur | $23.34 | $35.90 | $5.66–$26.67 | — | 35% |
| Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B12 Level | $47.06 | $72.40 | $14.78–$53.79 | 49% below | 35% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vitamin B12 Level | $47.06 | $72.40 | $14.78–$53.79 | — | 35% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D 25-Hydroxy | $142.45 | $219.15 | $25.41–$168.08 | 41% below | 35% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D 25-Hydroxy | $142.45 | $219.15 | $25.41–$168.08 | — | 35% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 Calcitriol (125 di-OH Vit D) | $128.18 | $197.20 | $68.05 | 15% below | 35% |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 Calcitriol (125 di-OH Vit D) | $128.18 | $197.20 | $68.05 | — | 35% |
| Zinc blood test CPT 84630 Zinc | $45.76 | $70.40 | $22.20–$22.78 | 22% below | 35% |
| Zinc blood test inpatient CPT 84630 Zinc | $45.76 | $70.40 | $22.20–$22.78 | — | 35% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 hCG Beta Quantitative | $56.49 | $86.90 | $12.79–$56.65 | 42% below | 35% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 B-HCG, QUANT. | $56.49 | $86.90 | $12.79–$56.65 | 42% below | 35% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 hCG Beta Subunit Qn Ref Lab | $60.03 | $92.35 | $12.79–$56.65 | 38% below | 35% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 hCG Value | $60.03 | $92.35 | $12.79–$56.65 | 38% below | 35% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 hCG Beta Quantitative | $56.49 | $86.90 | $12.79–$56.65 | — | 35% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 B-HCG, QUANT. | $56.49 | $86.90 | $12.79–$56.65 | — | 35% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 hCG Value | $60.03 | $92.35 | $12.79–$56.65 | — | 35% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 hCG Beta Subunit Qn Ref Lab | $60.03 | $92.35 | $12.79–$56.65 | — | 35% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Kansas | Off list |
|---|---|---|---|---|---|
| Cardiac catheterization with coronary angiogram one side CPT 93458 LEFT HEART CATH | $13,262.24 | $20,403.45 | $2,302.76–$14,839.93 | 78% above | 35% |
| Cardiac catheterization with coronary angiogram inpatient one side CPT 93458 LEFT HEART CATH | $13,262.24 | $20,403.45 | $2,302.76–$14,839.93 | — | 35% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion (Bedside) - Procedure List | $837.69 | $1,288.75 | $637.78–$1,033.93 | 26% above | 35% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion (CSPA/Cath Lab) - Procedure List | $901.36 | $1,386.70 | $212.94–$1,030.32 | 36% above | 35% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION,ELECTIVE | $954.95 | $1,469.15 | $212.94–$1,030.32 | 44% above | 35% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Cardioversion (Bedside) - Procedure List | $837.69 | $1,288.75 | $637.78–$1,033.93 | — | 35% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Cardioversion (CSPA/Cath Lab) - Procedure List | $901.36 | $1,386.70 | $212.94–$1,030.32 | — | 35% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION,ELECTIVE | $954.95 | $1,469.15 | $212.94–$1,030.32 | — | 35% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Circumcision - Procedure Type, WH | $1,912.79 | $2,942.75 | $659.82–$2,601.12 | 246% above | 35% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 Circumcision - Procedure Type, WH | $1,912.79 | $2,942.75 | $659.82–$2,601.12 | — | 35% |
| Coronary stent placement, one artery CPT 92928 STENT/PTCA (DES) LM | $14,235.23 | $21,900.35 | $4,254.58–$17,128.38 | 26% above | 35% |
| Coronary stent placement, one artery CPT 92928 STENT/PTCA LAD | $14,235.23 | $21,900.35 | $4,254.58–$17,128.38 | 26% above | 35% |
| Coronary stent placement, one artery CPT 92928 STENT/PTCA (DES) CIRC | $14,235.23 | $21,900.35 | $4,254.58–$17,128.38 | 26% above | 35% |
| Coronary stent placement, one artery CPT 92928 STENT/PTCA (DES) RCA | $14,235.23 | $21,900.35 | $4,254.58–$17,128.38 | 26% above | 35% |
| Coronary stent placement, one artery CPT 92928 STENT/PTCA RAMUS | $14,984.45 | $23,053.00 | $4,254.58–$17,128.38 | 33% above | 35% |
| Coronary stent placement, one artery CPT 92928 STENT/PTCA RCA | $14,984.45 | $23,053.00 | $4,254.58–$17,128.38 | 33% above | 35% |
| Coronary stent placement, one artery CPT 92928 STENT/PTCA (DES) LAD | $14,984.45 | $23,053.00 | $4,254.58–$17,128.38 | 33% above | 35% |
| Coronary stent placement, one artery CPT 92928 STENT/PTCA CX | $14,984.45 | $23,053.00 | $4,254.58–$17,128.38 | 33% above | 35% |
| Coronary stent placement, one artery CPT 92928 STENT/PTCA LM | $14,984.45 | $23,053.00 | $4,254.58–$17,128.38 | 33% above | 35% |
| Coronary stent placement, one artery inpatient CPT 92928 STENT/PTCA (DES) RCA | $14,235.23 | $21,900.35 | $4,254.58–$17,128.38 | — | 35% |
| Coronary stent placement, one artery inpatient CPT 92928 STENT/PTCA (DES) CIRC | $14,235.23 | $21,900.35 | $4,254.58–$17,128.38 | — | 35% |
| Coronary stent placement, one artery inpatient CPT 92928 STENT/PTCA (DES) LM | $14,235.23 | $21,900.35 | $4,254.58–$17,128.38 | — | 35% |
| Coronary stent placement, one artery inpatient CPT 92928 STENT/PTCA LAD | $14,235.23 | $21,900.35 | $4,254.58–$17,128.38 | — | 35% |
| Coronary stent placement, one artery inpatient CPT 92928 STENT/PTCA RCA | $14,984.45 | $23,053.00 | $4,254.58–$17,128.38 | — | 35% |
| Coronary stent placement, one artery inpatient CPT 92928 STENT/PTCA (DES) LAD | $14,984.45 | $23,053.00 | $4,254.58–$17,128.38 | — | 35% |
| Coronary stent placement, one artery inpatient CPT 92928 STENT/PTCA CX | $14,984.45 | $23,053.00 | $4,254.58–$17,128.38 | — | 35% |
| Coronary stent placement, one artery inpatient CPT 92928 STENT/PTCA LM | $14,984.45 | $23,053.00 | $4,254.58–$17,128.38 | — | 35% |
| Coronary stent placement, one artery inpatient CPT 92928 STENT/PTCA RAMUS | $14,984.45 | $23,053.00 | $4,254.58–$17,128.38 | — | 35% |
| Earwax removal by irrigation (rinsing), one ear both sides CPT 69209 69209 - REMOVAL IMPACTED C USING I/L - BILATERAL | $344.66 | $530.25 | $38.19–$38.94 | — | 35% |
| Earwax removal by irrigation (rinsing), one ear one side CPT 69209 69209 - REMOVAL IMPACTED C USING I/L - RIGHT | $172.41 | $265.25 | $38.19–$38.94 | 77% above | 35% |
| Earwax removal by irrigation (rinsing), one ear one side CPT 69209 69209 - REMOVAL IMPACTED C USING I/L - LEFT | $172.41 | $265.25 | $38.19–$38.94 | 77% above | 35% |
| Earwax removal by irrigation (rinsing), one ear inpatient both sides CPT 69209 69209 - REMOVAL IMPACTED C USING I/L - BILATERAL | $344.66 | $530.25 | $38.19–$38.94 | — | 35% |
| Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 69209 - REMOVAL IMPACTED C USING I/L - LEFT | $172.41 | $265.25 | $38.19–$38.94 | — | 35% |
| Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 69209 - REMOVAL IMPACTED C USING I/L - RIGHT | $172.41 | $265.25 | $38.19–$38.94 | — | 35% |
| Pacemaker implant (dual chamber) CPT 33208 PACEMAKER INSERTION DUAL CHAMBER | $17,683.41 | $27,205.25 | $10,189.79–$20,731.44 | 60% above | 35% |
| Pacemaker implant (dual chamber) inpatient CPT 33208 PACEMAKER INSERTION DUAL CHAMBER | $17,683.41 | $27,205.25 | $10,189.79–$20,731.44 | — | 35% |
| Paracentesis with imaging guidance CPT 49083 US Paracentesis | $4,013.75 | $6,175.00 | $154.70–$4,588.03 | 436% above | 35% |
| Paracentesis with imaging guidance inpatient CPT 49083 US Paracentesis | $4,013.75 | $6,175.00 | $154.70–$4,588.03 | — | 35% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 12001 - <=2.5 CM SIMPLE | $633.39 | $974.45 | $207.48–$871.89 | 143% above | 35% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 12001 - <=2.5 CM SIMPLE | $633.39 | $974.45 | $207.48–$871.89 | — | 35% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 LP | $1,854.13 | $2,852.50 | $226.27–$500.16 | 229% above | 35% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 XR Lumbar Puncture | $1,965.28 | $3,023.50 | $226.27–$500.16 | 248% above | 35% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 LP | $1,854.13 | $2,852.50 | $226.27–$500.16 | — | 35% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 XR Lumbar Puncture | $1,965.28 | $3,023.50 | $226.27–$500.16 | — | 35% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 12002 - 2.6-7.5 CM SIMPLE | $633.39 | $974.45 | $260.00–$1,025.75 | 95% above | 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 12002 - 2.6-7.5 CM SIMPLE | $633.39 | $974.45 | $260.00–$1,025.75 | — | 35% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 12011 - COSM <= 2.5 CM SIMPLE | $527.96 | $812.25 | $69.33–$726.75 | 69% above | 35% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 12011 - COSM <= 2.5 CM SIMPLE | $527.96 | $812.25 | $69.33–$726.75 | — | 35% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Kansas | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 Transfusion occured - INF Blood Transfusion | $559.03 | $860.05 | $265.12–$860.05 | 5% below | 35% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Transfusion occured - INF Blood Transfusion | $559.03 | $860.05 | $265.12–$860.05 | — | 35% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction one side CPT 94640 Yes - RT CHARGE Aerosol Therapy | $251.45 | $386.85 | $69.09–$907.72 | 93% above | 35% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction one side CPT 94640 Yes - RT CHARGE MDI/DPI | $251.45 | $386.85 | $69.09–$907.72 | 93% above | 35% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient one side CPT 94640 Yes - RT CHARGE Aerosol Therapy | $251.45 | $386.85 | $69.09–$907.72 | — | 35% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient one side CPT 94640 Yes - RT CHARGE MDI/DPI | $251.45 | $386.85 | $69.09–$907.72 | — | 35% |
| Chemotherapy IV infusion, first hour CPT 96413 Yes - INF/C IV Infusion initial/single | $639.80 | $984.30 | $113.77–$769.83 | 64% above | 35% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 Yes - INF/C IV Infusion initial/single | $639.80 | $984.30 | $113.77–$769.83 | — | 35% |
| Critical care, first 30 to 74 minutes CPT 99291 99291 - CRITICAL CARE (FIRST 30 - 74 MINUTES) | $3,181.56 | $4,894.70 | $122.27–$3,095.93 | 122% above | 35% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 99291 - CRITICAL CARE (FIRST 30 - 74 MINUTES) | $3,181.56 | $4,894.70 | $122.27–$3,095.93 | — | 35% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG TRACING AWAKE & DROWSY - EEG Charges | $749.45 | $1,153.00 | $102.70–$856.68 | 36% above | 35% |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG TRACING AWAKE & DROWSY - EEG Charges | $749.45 | $1,153.00 | $102.70–$856.68 | — | 35% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 0730 EKG/ECG - 93005 | $134.42 | $206.80 | $20.86–$255.05 | 16% below | 35% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Routine ECG 12 lead/15 lead tracing only | $137.18 | $211.04 | $20.86–$255.05 | 14% below | 35% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 93005 - EKG, STANDARD | $165.62 | $254.80 | $20.86–$255.05 | 4% above | 35% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG | $165.62 | $254.80 | $20.86–$255.05 | 4% above | 35% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 CV ECG Acquisition | $165.78 | $255.05 | $20.86–$255.05 | 4% above | 35% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 RT CHARGE EKG | $165.78 | $255.05 | $20.86–$255.05 | 4% above | 35% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge one side CPT 93005 Routine ECG 12 lead/15 lead tracing only - EKG Charges - RT | $137.18 | $211.04 | $20.86–$255.05 | 14% below | 35% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 0730 EKG/ECG - 93005 | $134.42 | $206.80 | $20.86–$255.05 | — | 35% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Routine ECG 12 lead/15 lead tracing only | $137.18 | $211.04 | $20.86–$255.05 | — | 35% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG | $165.62 | $254.80 | $20.86–$255.05 | — | 35% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 93005 - EKG, STANDARD | $165.62 | $254.80 | $20.86–$255.05 | — | 35% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 CV ECG Acquisition | $165.78 | $255.05 | $20.86–$255.05 | — | 35% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 RT CHARGE EKG | $165.78 | $255.05 | $20.86–$255.05 | — | 35% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient one side CPT 93005 Routine ECG 12 lead/15 lead tracing only - EKG Charges - RT | $137.18 | $211.04 | $20.86–$255.05 | — | 35% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 99281 EMERGENCY ROOM-LEVEL 1 | $257.89 | $396.75 | $62.49–$294.79 | 21% above | 35% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 99281 EMERGENCY ROOM-LEVEL 1 | $257.89 | $396.75 | $62.49–$294.79 | — | 35% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 99282 EMERGENCY ROOM-LEVEL 2 | $441.35 | $679.00 | $62.49–$438.68 | 34% above | 35% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 99282 EMERGENCY ROOM-LEVEL 2 | $441.35 | $679.00 | $62.49–$438.68 | — | 35% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 99283 EMERGENCY ROOM-LEVEL 3 | $988.55 | $1,520.85 | $92.43–$982.62 | 94% above | 35% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 99283 EMERGENCY ROOM-LEVEL 3 | $988.55 | $1,520.85 | $92.43–$982.62 | — | 35% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 99284 EMERGENCY ROOM-LEVEL 4 | $1,506.70 | $2,318.00 | $106.05–$1,544.51 | 78% above | 35% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 99284 EMERGENCY ROOM-LEVEL 4 | $1,506.70 | $2,318.00 | $106.05–$1,544.51 | — | 35% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 99285 EMERGENCY ROOM-LEVEL 5 | $1,858.64 | $2,859.45 | $106.05–$1,847.47 | 42% above | 35% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 99285 EMERGENCY ROOM-LEVEL 5 | $1,858.64 | $2,859.45 | $106.05–$1,847.47 | — | 35% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 EKG STRESS TEST (NUC MED STAFF) | $474.01 | $729.25 | $38.22–$688.00 | 16% below | 35% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 EKG STRESS TEST -NUC MED STAFF ONLY | $509.80 | $784.30 | $38.22–$688.00 | 9% below | 35% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 STRESS TEST (ECHO LAB) | $509.80 | $784.30 | $38.22–$688.00 | 9% below | 35% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 CV Echo Acquisition | $540.57 | $831.65 | $38.22–$688.00 | 4% below | 35% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 EKG STRESS TEST (NUC MED STAFF) | $474.01 | $729.25 | $38.22–$688.00 | — | 35% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 EKG STRESS TEST -NUC MED STAFF ONLY | $509.80 | $784.30 | $38.22–$688.00 | — | 35% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 STRESS TEST (ECHO LAB) | $509.80 | $784.30 | $38.22–$688.00 | — | 35% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 CV Echo Acquisition | $540.57 | $831.65 | $38.22–$688.00 | — | 35% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Yes - INF/H IV Inf Initial 31 - 60 min | $567.78 | $873.50 | $49.81–$873.50 | 124% above | 35% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360 ED-IV HYDRATION;UP TO 1 HOUR | $601.61 | $925.55 | $49.81–$723.87 | 137% above | 35% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Yes - INF/H IV Inf Initial 31 - 60 min | $567.78 | $873.50 | $49.81–$873.50 | — | 35% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 96360 ED-IV HYDRATION;UP TO 1 HOUR | $601.61 | $925.55 | $49.81–$723.87 | — | 35% |
| IV infusion of a medicine, first hour CPT 96365 Yes - IV Infusion Initial Hour (Dialysis) | $407.55 | $627.00 | $86.94–$546.26 | 49% above | 35% |
| IV infusion of a medicine, first hour CPT 96365 Yes - INF/NC IV Infusion Ther Initial | $477.88 | $735.20 | $86.94–$546.26 | 75% above | 35% |
| IV infusion of a medicine, first hour CPT 96365 Yes - INF Complex Inf Initial | $492.70 | $758.00 | $86.94–$546.26 | 81% above | 35% |
| IV infusion of a medicine, first hour CPT 96365 INF IV Infusion Initial -76 | $495.79 | $762.75 | $86.94–$546.26 | 82% above | 35% |
| IV infusion of a medicine, first hour CPT 96365 96365 ED-IV INFUSION;UP TO 1 HOUR | $495.79 | $762.75 | $86.94–$566.72 | 82% above | 35% |
| IV infusion of a medicine, first hour inpatient CPT 96365 Yes - IV Infusion Initial Hour (Dialysis) | $407.55 | $627.00 | $86.94–$546.26 | — | 35% |
| IV infusion of a medicine, first hour inpatient CPT 96365 Yes - INF/NC IV Infusion Ther Initial | $477.88 | $735.20 | $86.94–$546.26 | — | 35% |
| IV infusion of a medicine, first hour inpatient CPT 96365 Yes - INF Complex Inf Initial | $492.70 | $758.00 | $86.94–$546.26 | — | 35% |
| IV infusion of a medicine, first hour inpatient CPT 96365 96365 ED-IV INFUSION;UP TO 1 HOUR | $495.79 | $762.75 | $86.94–$566.72 | — | 35% |
| IV infusion of a medicine, first hour inpatient CPT 96365 INF IV Infusion Initial -76 | $495.79 | $762.75 | $86.94–$546.26 | — | 35% |
| IV push of a medicine, first drug CPT 96374 96374 ED-IV PUSH | $553.74 | $851.90 | $24.42–$666.29 | 149% above | 35% |
| IV push of a medicine, first drug CPT 96374 INF/NC IV Push Single/Initial Drug -76 | $553.90 | $852.15 | $24.66–$666.47 | 149% above | 35% |
| IV push of a medicine, first drug CPT 96374 INF/NC IV Push Single/Initial Drug | $553.90 | $852.15 | $24.66–$666.47 | 149% above | 35% |
| IV push of a medicine, first drug inpatient CPT 96374 96374 ED-IV PUSH | $553.74 | $851.90 | $24.42–$666.29 | — | 35% |
| IV push of a medicine, first drug inpatient CPT 96374 INF/NC IV Push Single/Initial Drug -76 | $553.90 | $852.15 | $24.66–$666.47 | — | 35% |
| IV push of a medicine, first drug inpatient CPT 96374 INF/NC IV Push Single/Initial Drug | $553.90 | $852.15 | $24.66–$666.47 | — | 35% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 SubQ or IM Injection | $181.19 | $278.75 | $16.83–$219.74 | 166% above | 35% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 ED-SUBQ OR IM INJECTION | $182.46 | $280.70 | $16.83–$295.50 | 167% above | 35% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INF/NC SQ/IM injection | $182.62 | $280.95 | $16.83–$219.74 | 168% above | 35% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 SubQ or IM Injection | $181.19 | $278.75 | $16.83–$219.74 | — | 35% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 ED-SUBQ OR IM INJECTION | $182.46 | $280.70 | $16.83–$295.50 | — | 35% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INF/NC SQ/IM injection | $182.62 | $280.95 | $16.83–$219.74 | — | 35% |
| Neuromuscular re-education, 15 minutes CPT 97112 PT Neuromuscular Reeducation Assistant Units | $65.75 | $101.15 | $20.25–$58.30 | 16% below | 35% |
| Neuromuscular re-education, 15 minutes CPT 97112 PT Neuromuscular Reeducation Units | $65.75 | $101.15 | $20.25–$58.30 | 16% below | 35% |
| Neuromuscular re-education, 15 minutes CPT 97112 OT Neuromuscular Reeducation Units | $65.75 | $101.15 | $20.26–$65.94 | 16% below | 35% |
| Neuromuscular re-education, 15 minutes CPT 97112 OT Neuromuscular Reeducation Assistant Units | $65.75 | $101.15 | $20.26–$65.94 | 16% below | 35% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 OT Neuromuscular Reeducation Units | $65.75 | $101.15 | $20.26–$65.94 | — | 35% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 OT Neuromuscular Reeducation Assistant Units | $65.75 | $101.15 | $20.26–$65.94 | — | 35% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT Neuromuscular Reeducation Assistant Units | $65.75 | $101.15 | $20.25–$58.30 | — | 35% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT Neuromuscular Reeducation Units | $65.75 | $101.15 | $20.25–$58.30 | — | 35% |
| Occupational therapy evaluation, low complexity CPT 97165 OT Evaluation Units, Low Complexity Hab | $142.35 | $219.00 | $56.32–$162.72 | 14% below | 35% |
| Occupational therapy evaluation, low complexity CPT 97165 OT Evaluation Units, Low Complexity | $162.27 | $249.65 | $56.32–$162.72 | 2% below | 35% |
| Occupational therapy evaluation, low complexity CPT 97165 0434 OCCUP THERP/EVAL - 97165 | $225.41 | $346.78 | $56.32–$190.70 | 36% above | 35% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 OT Evaluation Units, Low Complexity Hab | $142.35 | $219.00 | $56.32–$162.72 | — | 35% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 OT Evaluation Units, Low Complexity | $162.27 | $249.65 | $56.32–$162.72 | — | 35% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 0434 OCCUP THERP/EVAL - 97165 | $225.41 | $346.78 | $56.32–$190.70 | — | 35% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT Evaluation Units, Low Complexity | $134.62 | $207.10 | $70.61–$186.02 | 19% below | 35% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT Evaluation Units, Low Complexity Hab | $141.70 | $218.00 | $70.61–$186.02 | 15% below | 35% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT Evaluation Units, Low Complexity | $134.62 | $207.10 | $70.61–$186.02 | — | 35% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT Evaluation Units, Low Complexity Hab | $141.70 | $218.00 | $70.61–$186.02 | — | 35% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT Evaluation Units, Moderate Complexity Hab | $233.68 | $359.50 | $91.52–$266.89 | 22% above | 35% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT Evaluation Units, Moderate Complexity | $266.18 | $409.50 | $91.52–$266.89 | 39% above | 35% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT Evaluation Units, Moderate Complexity Hab | $233.68 | $359.50 | $91.52–$266.89 | — | 35% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT Evaluation Units, Moderate Complexity | $266.18 | $409.50 | $91.52–$266.89 | — | 35% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT Manual Therapy Hab Time | $55.25 | $85.00 | $17.28–$31.59 | 27% below | 35% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT Manual Therapy Hab Units | $55.25 | $85.00 | $17.27–$67.05 | 27% below | 35% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT Manual Therapy Units | $62.99 | $96.90 | $17.28–$31.59 | 17% below | 35% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT Manual Therapy Assistant Units | $62.99 | $96.90 | $17.28–$31.59 | 17% below | 35% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT Manual Therapy Assistant Units | $62.99 | $96.90 | $17.27–$67.05 | 17% below | 35% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT Manual Therapy Units | $62.99 | $96.90 | $17.27–$67.05 | 17% below | 35% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT Manual Therapy Hab Time | $55.25 | $85.00 | $17.28–$31.59 | — | 35% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 OT Manual Therapy Hab Units | $55.25 | $85.00 | $17.27–$67.05 | — | 35% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT Manual Therapy Units | $62.99 | $96.90 | $17.28–$31.59 | — | 35% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 OT Manual Therapy Units | $62.99 | $96.90 | $17.27–$67.05 | — | 35% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 OT Manual Therapy Assistant Units | $62.99 | $96.90 | $17.27–$67.05 | — | 35% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT Manual Therapy Assistant Units | $62.99 | $96.90 | $17.28–$31.59 | — | 35% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT Ther Ex Hab Units | $42.41 | $65.25 | $18.22–$65.25 | 46% below | 35% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT Ther Ex Hab Units | $42.41 | $65.25 | $18.22–$65.25 | 46% below | 35% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT Therapeutic Exercise Units | $48.36 | $74.40 | $18.22–$65.25 | 38% below | 35% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT Therapeutic Exercise Units | $48.36 | $74.40 | $18.22–$65.25 | 38% below | 35% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT Therapeutic Exercise Assistant Units | $48.36 | $74.40 | $18.22–$65.25 | 38% below | 35% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT Therapeutic Exercise Assistant Units | $48.36 | $74.40 | $18.22–$65.25 | 38% below | 35% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 0431 OCCUP THERP/VISIT - 97110 | $91.68 | $141.05 | $20.69–$65.25 | 17% above | 35% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT Ther Ex Hab Units | $42.41 | $65.25 | $18.22–$65.25 | — | 35% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT Ther Ex Hab Units | $42.41 | $65.25 | $18.22–$65.25 | — | 35% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT Therapeutic Exercise Units | $48.36 | $74.40 | $18.22–$65.25 | — | 35% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT Therapeutic Exercise Assistant Units | $48.36 | $74.40 | $18.22–$65.25 | — | 35% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT Therapeutic Exercise Units | $48.36 | $74.40 | $18.22–$65.25 | — | 35% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT Therapeutic Exercise Assistant Units | $48.36 | $74.40 | $18.22–$65.25 | — | 35% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 0431 OCCUP THERP/VISIT - 97110 | $91.68 | $141.05 | $20.69–$65.25 | — | 35% |
| Speech and language evaluation CPT 92523 SLP Eval Lang Comprehension,Express Hab Unit | $322.08 | $495.50 | $209.59–$213.34 | 37% above | 35% |
| Speech and language evaluation CPT 92523 SLP Eval Lang Comprehension,Express Units | $367.15 | $564.85 | $209.59–$213.34 | 56% above | 35% |
| Speech and language evaluation inpatient CPT 92523 SLP Eval Lang Comprehension,Express Hab Unit | $322.08 | $495.50 | $209.59–$213.34 | — | 35% |
| Speech and language evaluation inpatient CPT 92523 SLP Eval Lang Comprehension,Express Units | $367.15 | $564.85 | $209.59–$213.34 | — | 35% |
| Speech therapy session, individual CPT 92507 SLP Vocal Cord Disorder Therapy Units | $108.88 | $167.50 | $70.44–$143.18 | 18% below | 35% |
| Speech therapy session, individual CPT 92507 SLP Treatment of Speech Hab 1-30 Units | $108.88 | $167.50 | $70.44–$143.18 | 18% below | 35% |
| Speech therapy session, individual CPT 92507 SLP Treatment of Speech 1-30 Units | $124.12 | $190.95 | $70.44–$143.18 | 7% below | 35% |
| Speech therapy session, individual CPT 92507 SLP Treatment of Speech Hab 31-45 Units | $163.64 | $251.75 | $70.44–$143.18 | 23% above | 35% |
| Speech therapy session, individual CPT 92507 SLP Treatment of Speech 31-45 Units | $186.55 | $287.00 | $70.44–$143.18 | 40% above | 35% |
| Speech therapy session, individual CPT 92507 SLP Treatment of Speech Hab 46-60 Units | $217.59 | $334.75 | $70.44–$143.18 | 63% above | 35% |
| Speech therapy session, individual CPT 92507 SLP Treatment of Speech 46-60 Units | $223.54 | $343.90 | $70.44–$143.18 | 68% above | 35% |
| Speech therapy session, individual inpatient CPT 92507 SLP Vocal Cord Disorder Therapy Units | $108.88 | $167.50 | $70.44–$143.18 | — | 35% |
| Speech therapy session, individual inpatient CPT 92507 SLP Treatment of Speech Hab 1-30 Units | $108.88 | $167.50 | $70.44–$143.18 | — | 35% |
| Speech therapy session, individual inpatient CPT 92507 SLP Treatment of Speech 1-30 Units | $124.12 | $190.95 | $70.44–$143.18 | — | 35% |
| Speech therapy session, individual inpatient CPT 92507 SLP Treatment of Speech Hab 31-45 Units | $163.64 | $251.75 | $70.44–$143.18 | — | 35% |
| Speech therapy session, individual inpatient CPT 92507 SLP Treatment of Speech 31-45 Units | $186.55 | $287.00 | $70.44–$143.18 | — | 35% |
| Speech therapy session, individual inpatient CPT 92507 SLP Treatment of Speech Hab 46-60 Units | $217.59 | $334.75 | $70.44–$143.18 | — | 35% |
| Speech therapy session, individual inpatient CPT 92507 SLP Treatment of Speech 46-60 Units | $223.54 | $343.90 | $70.44–$143.18 | — | 35% |
| Spirometry (breathing test) CPT 94010 Yes | $244.02 | $375.41 | $347.39 | 20% below | 35% |
| Spirometry (breathing test) CPT 94010 Spirometry FCV, MVV - Pulm Rehab Charges | $275.44 | $423.75 | $347.39 | 10% below | 35% |
| Spirometry (breathing test) inpatient CPT 94010 Yes | $244.02 | $375.41 | $347.39 | — | 35% |
| Spirometry (breathing test) inpatient CPT 94010 Spirometry FCV, MVV - Pulm Rehab Charges | $275.44 | $423.75 | $347.39 | — | 35% |
| Spirometry before and after a bronchodilator CPT 94060 Pre/Post spirometry FVC, MVV - Pulm Rehab Charges | $420.94 | $647.60 | $102.70–$616.88 | 2% below | 35% |
| Spirometry before and after a bronchodilator CPT 94060 PRE/POST SPIROMETRY FVC, MVV ADD ON | $424.97 | $653.80 | $286.99 | 1% below | 35% |
| Spirometry before and after a bronchodilator one side CPT 94060 Yes - RT CHARGE Bedside Spirometry w/ Aerosol | $372.92 | $573.73 | $102.70–$616.88 | 13% below | 35% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 Pre/Post spirometry FVC, MVV - Pulm Rehab Charges | $420.94 | $647.60 | $102.70–$616.88 | — | 35% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 PRE/POST SPIROMETRY FVC, MVV ADD ON | $424.97 | $653.80 | $286.99 | — | 35% |
| Spirometry before and after a bronchodilator inpatient one side CPT 94060 Yes - RT CHARGE Bedside Spirometry w/ Aerosol | $372.92 | $573.73 | $102.70–$616.88 | — | 35% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 OT Ther Act Hab Units | $51.84 | $79.75 | $20.35–$28.72 | 34% below | 35% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 PT Ther Act Hab Units | $51.84 | $79.75 | $20.35–$65.68 | 34% below | 35% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 OT Therapeutic Activities Units | $59.09 | $90.90 | $20.35–$28.72 | 25% below | 35% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 PT Therapeutic Activity Units | $59.09 | $90.90 | $20.35–$65.68 | 25% below | 35% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 PT Therapeutic Activity Assistant Units | $59.09 | $90.90 | $20.35–$65.68 | 25% below | 35% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 OT Therapeutic Activities Assistant Units | $59.09 | $90.90 | $20.35–$28.72 | 25% below | 35% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT Ther Act Hab Units | $51.84 | $79.75 | $20.35–$65.68 | — | 35% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OT Ther Act Hab Units | $51.84 | $79.75 | $20.35–$28.72 | — | 35% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OT Therapeutic Activities Assistant Units | $59.09 | $90.90 | $20.35–$28.72 | — | 35% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OT Therapeutic Activities Units | $59.09 | $90.90 | $20.35–$28.72 | — | 35% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT Therapeutic Activity Units | $59.09 | $90.90 | $20.35–$65.68 | — | 35% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT Therapeutic Activity Assistant Units | $59.09 | $90.90 | $20.35–$65.68 | — | 35% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Yes - INF Ther Phlebotomy | $300.50 | $462.30 | $79.67–$343.49 | 122% above | 35% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Yes - INF Ther Phlebotomy | $300.50 | $462.30 | $79.67–$343.49 | — | 35% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Kansas | Off list |
|---|---|---|---|---|---|
| Rabies vaccine, one dose CPT 90675 rabies vaccine, human diploid cell 2.5 intl units | $1,387.10 | $2,134.00 | $305.79–$1,681.59 | 119% above | 35% |
| Rabies vaccine, one dose inpatient CPT 90675 rabies vaccine, human diploid cell 2.5 intl units | $1,387.10 | $2,134.00 | $305.79–$1,681.59 | — | 35% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 tetanus/diphth/pertuss (Tdap) adult/adol 5 units-2.5 units-18.5 mcg/0.5 mL Sus | $215.48 | $331.50 | $39.46–$273.98 | 157% above | 35% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 tetanus/diphth/pertuss (Tdap) adult/adol 5 units-2.5 units-18.5 mcg/0.5 mL Sus | $215.48 | $331.50 | $39.46–$273.98 | — | 35% |
Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.
Off list How much lower the cash price is than the list price.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.