Mercer County Joint Township Community Hospital
Mercer County Joint Township Community Hospital in Coldwater, OH publishes cash prices for 279 common procedures listed here, from its own machine-readable price file updated May 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Ohio median for 183 of 272 procedures and below it for 88. By typical cash price it ranks #104 of 116 Ohio hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
800 West Main Street, Coldwater, OH 45828 Collected Sep 27, 2026 Source price file (419) 678-4843
Acute care hospital No emergency department CMS star rating 3 of 5 CCN 360058 · CMS hospital register
The price file shows no self-pay discount
For 730 of the 730 prices listed here, the cash price in Mercer County Joint Township Community Hospital's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing.
CMS price transparency record
The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 3 actions for a hospital named Mercer County Joint Township Community Hospital in Coldwater, OH:
- Feb 24, 2026 Warning notice
- Jun 3, 2026 Corrective action plan requested
- Jun 17, 2026 Case closed
Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. Corrective action plan requested: CMS asked the hospital to submit a plan to fix the problems it found. Case closed: CMS closed the case after the hospital addressed the problems.
A notice records a step in a CMS review; it is not a court finding. Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes, actions through Jul 31, 2026.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Ohio | Off list |
|---|---|---|---|---|---|
| Ankle X-ray, complete, 3 or more views CPT 73610 Hc Radiology Exam Ankle Complete- Min 3 Views | $340.69 | $340.69 | — | 7% above | — |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 Hc Radiology Exam Ankle Complete- Min 3 Views | $340.69 | $340.69 | — | — | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 Hc Limited Extremity Study Up To 2 Levels Bilateral | $349.88 | $349.88 | — | — | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 Hc Limited Extremity Study Up To 2 Levels Bilateral | $349.88 | $349.88 | — | — | — |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 Hc Radiology Exam Esophagus Incl Scout Neck W/Single-Contrast | $338.85 | $338.85 | — | 21% below | — |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 Hc Radiology Exam Esophagus Incl Scout Neck W/Single-Contrast | $338.85 | $338.85 | — | — | — |
| Bone scan, whole body (nuclear medicine) CPT 78306 Hc Nuc Med Bone Joint Imaging Whole Body | $1,224.27 | $1,224.27 | — | 20% below | — |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 Hc Nuc Med Bone Joint Imaging Whole Body | $1,224.27 | $1,224.27 | — | — | — |
| Breast ultrasound, complete, one breast one side CPT 76641 Hc Us Breast Unilateral Complete | $1,118.25 | $1,118.25 | — | 251% above | — |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 Hc Us Breast Unilateral Complete | $1,118.25 | $1,118.25 | — | — | — |
| Breast ultrasound, limited (one breast or one area) CPT 76642 Chg Us Breast Uni Real Time With Image Limited | $47.70 | $47.70 | — | 88% below | — |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 Hc Us Breast Unilateral Limited | $744.51 | $744.51 | — | 80% above | — |
| Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 Chg Us Breast Uni Real Time With Image Limited | $47.70 | $47.70 | — | — | — |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 Hc Us Breast Unilateral Limited | $744.51 | $744.51 | — | — | — |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Hc Cta Chest (Non-Coronary) W/ Contrast And Postprocessing | $2,578.95 | $2,578.95 | — | 82% above | — |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 Hc Cta Chest (Non-Coronary) W/ Contrast And Postprocessing | $2,578.95 | $2,578.95 | — | — | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 Hc Ct Abdomen & Pelvis W/O Contrast | $3,116.98 | $3,116.98 | — | 98% above | — |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 Hc Ct Abdomen & Pelvis W/O Contrast | $3,116.98 | $3,116.98 | — | — | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 Hc Ct Abdomen & Pelvis W/ Contrast | $3,583.72 | $3,583.72 | — | 86% above | — |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 Hc Ct Abdomen & Pelvis W/ Contrast | $3,583.72 | $3,583.72 | — | — | — |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Hc Ct Abdomen & Pelvis W/ & W/O Contrast | $3,740.10 | $3,740.10 | — | 78% above | — |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 Hc Ct Abdomen & Pelvis W/ & W/O Contrast | $3,740.10 | $3,740.10 | — | — | — |
| CT scan of the abdomen with contrast CPT 74160 Hc Ct Abdomen W/ Contrast | $1,985.98 | $1,985.98 | — | 79% above | — |
| CT scan of the abdomen with contrast inpatient CPT 74160 Hc Ct Abdomen W/ Contrast | $1,985.98 | $1,985.98 | — | — | — |
| CT scan of the abdomen without contrast CPT 74150 Hc Ct Abdomen W/O Contrast | $1,822.94 | $1,822.94 | — | 74% above | — |
| CT scan of the abdomen without contrast inpatient CPT 74150 Hc Ct Abdomen W/O Contrast | $1,822.94 | $1,822.94 | — | — | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 Hc Ct Maxillofacial W/O Contrast | $1,668.37 | $1,668.37 | — | 91% above | — |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 Hc Ct Maxillofacial W/O Contrast | $1,668.37 | $1,668.37 | — | — | — |
| CT scan of the head or brain, no contrast dye CPT 70450 Hc Ct Head/Brain W/O Contrast | $1,486.61 | $1,486.61 | — | 79% above | — |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 Hc Ct Head/Brain W/O Contrast | $1,486.61 | $1,486.61 | — | — | — |
| CT scan of the head with contrast CPT 70460 Hc Ct Head/Brain W/ Contrast | $1,635.17 | $1,635.17 | — | 63% above | — |
| CT scan of the head with contrast inpatient CPT 70460 Hc Ct Head/Brain W/ Contrast | $1,635.17 | $1,635.17 | — | — | — |
| CT scan of the head without and with contrast CPT 70470 Hc Ct Head/Brain W/ & W/O Contrast | $1,797.00 | $1,797.00 | — | 65% above | — |
| CT scan of the head without and with contrast inpatient CPT 70470 Hc Ct Head/Brain W/ & W/O Contrast | $1,797.00 | $1,797.00 | — | — | — |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 Hc Ct Lumbar Spine W/O Contrast | $1,616.45 | $1,616.45 | — | 54% above | — |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 Hc Ct Lumbar Spine W/O Contrast | $1,616.45 | $1,616.45 | — | — | — |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 Hc Ct Cervical Spine W/O Contrast | $1,805.44 | $1,805.44 | — | 75% above | — |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 Hc Ct Cervical Spine W/O Contrast | $1,805.44 | $1,805.44 | — | — | — |
| CT scan of the pelvis, with contrast dye CPT 72193 Hc Ct Pelvis W/ Contrast | $1,985.98 | $1,985.98 | — | 77% above | — |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 Hc Ct Pelvis W/ Contrast | $1,985.98 | $1,985.98 | — | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 Hc Duplex Extracranial Arteries Complete Bilateral | $1,053.92 | $1,053.92 | — | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 Hc Duplex Extracranial Arteries Complete Bilateral | $1,053.92 | $1,053.92 | — | — | — |
| Chest X-ray, 2 views CPT 71046 Hc Radiology X-Ray Chest 2 Views | $335.63 | $335.63 | — | 29% above | — |
| Chest X-ray, 2 views inpatient CPT 71046 Hc Radiology X-Ray Chest 2 Views | $335.63 | $335.63 | — | — | — |
| Chest X-ray, single view CPT 71045 Hc Radiology X-Ray Chest Single View | $257.21 | $257.21 | — | 20% above | — |
| Chest X-ray, single view inpatient CPT 71045 Hc Radiology X-Ray Chest Single View | $257.21 | $257.21 | — | — | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Hc Us Retroperitoneal Complete | $930.16 | $930.16 | — | 38% above | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 Hc Us Retroperitoneal Complete | $930.16 | $930.16 | — | — | — |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 Hc Radiology Bone Density Study Axial | $535.55 | $535.55 | — | 18% above | — |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 Hc Radiology Bone Density Study Axial | $535.55 | $535.55 | — | — | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 Hc Ct Thorax W/O Contrast | $1,476.96 | $1,476.96 | — | 64% above | — |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 Hc Ct Thorax W/O Contrast | $1,476.96 | $1,476.96 | — | — | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 Hc Ct Thorax W/ Contrast | $1,623.68 | $1,623.68 | — | 45% above | — |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 Hc Ct Thorax W/ Contrast | $1,623.68 | $1,623.68 | — | — | — |
| Diagnostic mammogram, both breasts both sides CPT 77066 Hc Mammogram Diagnostic Bilateral Including Cad | $309.44 | $309.44 | — | — | — |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 Hc Mammogram Diagnostic Bilateral Including Cad | $309.44 | $309.44 | — | — | — |
| Diagnostic mammogram, one breast one side CPT 77065 Hc Mammogram Diagnostic Unilateral Including Cad | $232.23 | $232.23 | — | 30% below | — |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 Hc Mammogram Diagnostic Unilateral Including Cad | $232.23 | $232.23 | — | — | — |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 Hc Duplex Le Arteries Or Bypass Grafts Complete Bilateral | $1,082.11 | $1,082.11 | — | — | — |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 Hc Duplex Le Arteries Or Bypass Grafts Complete Bilateral | $1,082.11 | $1,082.11 | — | — | — |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Hc Duplex Extremity Veins Compression Complete Bilateral | $1,082.11 | $1,082.11 | — | — | — |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 Hc Duplex Extremity Veins Compression Complete Bilateral | $1,082.11 | $1,082.11 | — | — | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Hc Echo Complete W/ Doppler W/O Contrast | $1,536.93 | $1,536.93 | — | 9% below | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Hc Echo Complete W/ Bubble Study | $1,536.93 | $1,536.93 | — | 9% below | — |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Hc Echo Complete W/ Doppler W/O Contrast | $1,536.93 | $1,536.93 | — | — | — |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Hc Echo Complete W/ Bubble Study | $1,536.93 | $1,536.93 | — | — | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Hc Nuc Med Hepatobiliary System Imaging Incl Gallbladder | $1,151.36 | $1,151.36 | — | 23% below | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 Hc Nuc Med Hepatobiliary System Imaging Incl Gallbladder | $1,151.36 | $1,151.36 | — | — | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older both sides CPT 95811 Hc Polysomnography 4+ Parameters W/ Cpap Or Bi-Level Vent Age > 6 Yrs | $4,021.55 | $4,021.55 | — | — | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient both sides CPT 95811 Hc Polysomnography 4+ Parameters W/ Cpap Or Bi-Level Vent Age > 6 Yrs | $4,021.55 | $4,021.55 | — | — | — |
| Knee X-ray, 3 views CPT 73562 Hc Radiology Exam Knee 3 Views | $423.40 | $423.40 | — | 24% above | — |
| Knee X-ray, 3 views inpatient CPT 73562 Hc Radiology Exam Knee 3 Views | $423.40 | $423.40 | — | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Hc Us Abdominal Limited | $917.29 | $917.29 | — | 66% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Hc Us Abdominal Limited | $917.29 | $917.29 | — | — | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Hc Low Dose Ct Lung Screening | $221.52 | $221.52 | — | 16% below | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 Hc Low Dose Ct Lung Screening | $221.52 | $221.52 | — | — | — |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 Hc Mri Lower Extremity Joint W/O Contrast | $2,380.90 | $2,380.90 | — | 64% above | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 Hc Mri Lower Extremity Joint W/O Contrast | $2,380.90 | $2,380.90 | — | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 Hc Mri Lower Extremity Joint W/ & W/O Contrast | $2,618.79 | $2,618.79 | — | 14% above | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 Hc Mri Lower Extremity Joint W/ & W/O Contrast | $2,618.79 | $2,618.79 | — | — | — |
| MRI of the abdomen without contrast CPT 74181 Hc Mri Abdomen W/O Contrast | $2,120.64 | $2,120.64 | — | 30% above | — |
| MRI of the abdomen without contrast inpatient CPT 74181 Hc Mri Abdomen W/O Contrast | $2,120.64 | $2,120.64 | — | — | — |
| MRI of the abdomen, without and then with contrast dye CPT 74183 Hc Mri Abdomen W/ & W/O Contrast | $2,332.58 | $2,332.58 | — | 14% above | — |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 Hc Mri Abdomen W/ & W/O Contrast | $2,332.58 | $2,332.58 | — | — | — |
| MRI of the brain, no contrast dye CPT 70551 Hc Mri Brain W/O Contrast | $2,380.90 | $2,380.90 | — | 69% above | — |
| MRI of the brain, no contrast dye inpatient CPT 70551 Hc Mri Brain W/O Contrast | $2,380.90 | $2,380.90 | — | — | — |
| MRI of the brain, with and without contrast dye CPT 70553 Hc Mri Brain W/ & W/O Contrast | $2,618.79 | $2,618.79 | — | 30% above | — |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 Hc Mri Brain W/ & W/O Contrast | $2,618.79 | $2,618.79 | — | — | — |
| MRI of the lower back, no contrast dye CPT 72148 Hc Mri Spine W/O Contrast Lumbar | $2,380.90 | $2,380.90 | — | 82% above | — |
| MRI of the lower back, no contrast dye inpatient CPT 72148 Hc Mri Spine W/O Contrast Lumbar | $2,380.90 | $2,380.90 | — | — | — |
| MRI of the lower back, without and then with contrast dye CPT 72158 Hc Mri Spine W/ & W/O Contrast Lumbar | $2,618.79 | $2,618.79 | — | 24% above | — |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 Hc Mri Spine W/ & W/O Contrast Lumbar | $2,618.79 | $2,618.79 | — | — | — |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 Hc Mri Spine W/O Contrast Thoracic | $2,120.64 | $2,120.64 | — | 49% above | — |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 Hc Mri Spine W/O Contrast Thoracic | $2,120.64 | $2,120.64 | — | — | — |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 Hc Mri Spine W/ & W/O Contrast Cervical | $2,618.79 | $2,618.79 | — | 20% above | — |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 Hc Mri Spine W/ & W/O Contrast Cervical | $2,618.79 | $2,618.79 | — | — | — |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 Hc Mri Spine W/O Contrast Cervical | $2,380.90 | $2,380.90 | — | 75% above | — |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 Hc Mri Spine W/O Contrast Cervical | $2,380.90 | $2,380.90 | — | — | — |
| MRI of the pelvis without and with contrast CPT 72197 Hc Mri Pelvis W/ & W/O Contrast | $2,618.79 | $2,618.79 | — | 38% above | — |
| MRI of the pelvis without and with contrast inpatient CPT 72197 Hc Mri Pelvis W/ & W/O Contrast | $2,618.79 | $2,618.79 | — | — | — |
| MRI of the pelvis, no contrast dye CPT 72195 Hc Mri Pelvis W/O Contrast | $2,380.90 | $2,380.90 | — | 71% above | — |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 Hc Mri Pelvis W/O Contrast | $2,380.90 | $2,380.90 | — | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 Hc Mri Upper Extremity Joint W/O Contrast | $2,380.90 | $2,380.90 | — | 88% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 Hc Mri Upper Extremity Joint W/O Contrast | $2,380.90 | $2,380.90 | — | — | — |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Hc Nuc Med Myocardial Perfusion Spect Multiple Rest Or Stress | $3,232.26 | $3,232.26 | — | 12% below | — |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 Hc Nuc Med Myocardial Perfusion Spect Multiple Rest Or Stress | $3,232.26 | $3,232.26 | — | — | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 Hc Pet Ct Skull Base To Mid-Thigh | $5,443.67 | $5,443.67 | — | 12% above | — |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 Hc Pet Ct Skull Base To Mid-Thigh | $5,443.67 | $5,443.67 | — | — | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Chg Us Pelvic Nonobstetric Image Dcmtn Limited/F/U | $37.10 | $37.10 | — | 91% below | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Hc Us Pelvic Limited | $629.29 | $629.29 | — | 51% above | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 Chg Us Pelvic Nonobstetric Image Dcmtn Limited/F/U | $37.10 | $37.10 | — | — | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 Hc Us Pelvic Limited | $629.29 | $629.29 | — | — | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Hc Us Pelvic Complete | $740.81 | $740.81 | — | 55% above | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 Hc Us Pelvic Complete | $740.81 | $740.81 | — | — | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Hc Us Ob After 1St Trimester Transabdominal Single/First Gestation | $882.37 | $882.37 | — | 70% above | — |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 Hc Us Ob After 1St Trimester Transabdominal Single/First Gestation | $882.37 | $882.37 | — | — | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Hc Us 1St Trimester Transabdominal Single/First Gestation | $740.81 | $740.81 | — | 48% above | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 Hc Us 1St Trimester Transabdominal Single/First Gestation | $740.81 | $740.81 | — | — | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Chg Us Pregnant Uterus Limited 1/> Fetuses | $47.70 | $47.70 | — | 90% below | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Hc Us Ob Limited 1 Or More Fetuses | $496.33 | $496.33 | — | 4% above | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 Chg Us Pregnant Uterus Limited 1/> Fetuses | $47.70 | $47.70 | — | — | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 Hc Us Ob Limited 1 Or More Fetuses | $496.33 | $496.33 | — | — | — |
| Screening mammogram, both breasts both sides CPT 77067 Hc Mammogram Screening Bilateral Including Cad | $254.91 | $254.91 | — | — | — |
| Screening mammogram, both breasts inpatient both sides CPT 77067 Hc Mammogram Screening Bilateral Including Cad | $254.91 | $254.91 | — | — | — |
| Shoulder X-ray, complete, 2 or more views CPT 73030 Hc Radiology Exam Shoulder Complete- Min 2 Views | $368.26 | $368.26 | — | 9% above | — |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 Hc Radiology Exam Shoulder Complete- Min 2 Views | $368.26 | $368.26 | — | — | — |
| Sleep study in a lab (polysomnography) CPT 95810 Hc Polysomnography 4+ Parameters Age > 6 Yrs | $3,826.10 | $3,826.10 | — | 12% above | — |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 Hc Polysomnography 4+ Parameters Age > 6 Yrs | $3,826.10 | $3,826.10 | — | — | — |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 Hc Radiology Exam Swalowing Function Incl Scout Neck W/Contrast | $352.33 | $352.33 | — | 30% below | — |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 Hc Radiology Exam Swalowing Function Incl Scout Neck W/Contrast | $352.33 | $352.33 | — | — | — |
| Transvaginal pelvic ultrasound CPT 76830 Hc Us Transvaginal | $629.29 | $629.29 | — | 17% above | — |
| Transvaginal pelvic ultrasound inpatient CPT 76830 Hc Us Transvaginal | $629.29 | $629.29 | — | — | — |
| Transvaginal ultrasound during pregnancy CPT 76817 Hc Us Ob Transvaginal | $629.29 | $629.29 | — | 32% above | — |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 Hc Us Ob Transvaginal | $629.29 | $629.29 | — | — | — |
| Ultrasound of the abdomen, complete CPT 76700 Hc Us Abdominal Complete | $1,376.24 | $1,376.24 | — | 142% above | — |
| Ultrasound of the abdomen, complete inpatient CPT 76700 Hc Us Abdominal Complete | $1,376.24 | $1,376.24 | — | — | — |
| Ultrasound of the scrotum and testicles CPT 76870 Hc Us Scrotum | $1,035.56 | $1,035.56 | — | 106% above | — |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 Hc Us Scrotum | $1,035.56 | $1,035.56 | — | — | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Hc Us Head And Neck | $639.73 | $639.73 | — | 16% above | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 Hc Us Head And Neck | $639.73 | $639.73 | — | — | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Hc Radiology Exam Upper Gi Incl Scout Abdominal W/Single-Contrast | $620.11 | $620.11 | — | 8% above | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 Hc Radiology Exam Upper Gi Incl Scout Abdominal W/Single-Contrast | $620.11 | $620.11 | — | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Hc Duplex Extremity Veins Compression Unilateral Or Limited | $841.91 | $841.91 | — | 16% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 Hc Duplex Extremity Veins Compression Unilateral Or Limited | $841.91 | $841.91 | — | — | — |
| Wrist X-ray, complete, 3 or more views CPT 73110 Hc Radiology Exam Wrist Complete- Min 3 Views | $368.26 | $368.26 | — | 10% above | — |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 Hc Radiology Exam Wrist Complete- Min 3 Views | $368.26 | $368.26 | — | — | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Hc Radiology Exam Hip W/ Pelvis When Performed Unilateral 2 -3 Views | $316.79 | $316.79 | — | at median | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 Hc Radiology Exam Hip W/ Pelvis When Performed Unilateral 2 -3 Views | $316.79 | $316.79 | — | — | — |
| X-ray of the abdomen, 1 view CPT 74018 Hc Radiology Exam Abdomen Single View | $223.05 | $223.05 | — | 10% below | — |
| X-ray of the abdomen, 1 view inpatient CPT 74018 Hc Radiology Exam Abdomen Single View | $223.05 | $223.05 | — | — | — |
| X-ray of the ankle, 2 views CPT 73600 Hc Radiology Exam Ankle 2 Views | $250.01 | $250.01 | — | 3% below | — |
| X-ray of the ankle, 2 views inpatient CPT 73600 Hc Radiology Exam Ankle 2 Views | $250.01 | $250.01 | — | — | — |
| X-ray of the finger(s), 2 or more views CPT 73140 Hc Radiology Exam Finger(S) Min 2 Views | $340.69 | $340.69 | — | 46% above | — |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 Hc Radiology Exam Finger(S) Min 2 Views | $340.69 | $340.69 | — | — | — |
| X-ray of the foot, 2 views CPT 73620 Hc Radiology Exam Foot 2 Views | $267.16 | $267.16 | — | 17% above | — |
| X-ray of the foot, 2 views inpatient CPT 73620 Hc Radiology Exam Foot 2 Views | $267.16 | $267.16 | — | — | — |
| X-ray of the foot, complete, 3 or more views CPT 73630 Hc Radiology Exam Foot Complete- Min 3 Views | $348.65 | $348.65 | — | 12% above | — |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 Hc Radiology Exam Foot Complete- Min 3 Views | $348.65 | $348.65 | — | — | — |
| X-ray of the hand, 3 or more views CPT 73130 Hc Radiology Exam Hand Min 3 Views | $340.69 | $340.69 | — | 3% above | — |
| X-ray of the hand, 3 or more views inpatient CPT 73130 Hc Radiology Exam Hand Min 3 Views | $340.69 | $340.69 | — | — | — |
| X-ray of the knee, 1 or 2 views CPT 73560 Hc Radiology Exam Knee 1 Or 2 Views | $295.97 | $295.97 | — | 11% above | — |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 Hc Radiology Exam Knee 1 Or 2 Views | $295.97 | $295.97 | — | — | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Hc Radiology Exam Lumbosacral Spine 2 Or 3 Views | $417.90 | $417.90 | — | 42% above | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 Hc Radiology Exam Lumbosacral Spine 2 Or 3 Views | $417.90 | $417.90 | — | — | — |
| X-ray of the lower back, 4 or more views CPT 72110 Hc Radiology Exam Lumbosacral Spine Min 4 Views | $536.77 | $536.77 | — | 25% above | — |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 Hc Radiology Exam Lumbosacral Spine Min 4 Views | $536.77 | $536.77 | — | — | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 Hc Radiology Exam Thoracic Spine 2 Views | $330.28 | $330.28 | — | 14% above | — |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 Hc Radiology Exam Thoracic Spine 2 Views | $330.28 | $330.28 | — | — | — |
| X-ray of the nasal bones, 3 or more views CPT 70160 Hc Radiology Exam Nasal Bones Complete-Min 3 Views | $277.58 | $277.58 | — | 2% below | — |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 Hc Radiology Exam Nasal Bones Complete-Min 3 Views | $277.58 | $277.58 | — | — | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Hc Radiology Exam Cervical Spine 2 Or 3 Views | $363.36 | $363.36 | — | 23% above | — |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 Hc Radiology Exam Cervical Spine 2 Or 3 Views | $363.36 | $363.36 | — | — | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 Hc Radiology Exam Pelvis 1 Or 2 Views | $251.23 | $251.23 | — | 1% above | — |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 Hc Radiology Exam Pelvis 1 Or 2 Views | $251.23 | $251.23 | — | — | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Hc Radiology Exam Sacrum & Coccyx Min 2 Views | $277.58 | $277.58 | — | 3% below | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 Hc Radiology Exam Sacrum & Coccyx Min 2 Views | $277.58 | $277.58 | — | — | — |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Ohio | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Hc So Transferase Alanine Amino | $35.50 | $35.50 | — | 29% above | — |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Hc So Transferase Alanine Amino | $35.50 | $35.50 | — | — | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Hc Ast Or Sgot | $35.50 | $35.50 | — | 41% above | — |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Hc Ast Or Sgot | $35.50 | $35.50 | — | — | — |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Hc Cch So Acute Hepatitis Panel | $483.57 | $483.57 | — | 126% above | — |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Hc Cch So Acute Hepatitis Panel | $483.57 | $483.57 | — | — | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Hc So Allergen Specific Ige- Ea - A | $47.51 | $47.51 | — | 103% above | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc So Allergen Specific Ige- Ea - A | $47.51 | $47.51 | — | — | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Hc Cch So Ccp Antibody | $143.15 | $143.15 | — | 147% above | — |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Hc Cch So Ccp Antibody | $143.15 | $143.15 | — | — | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Hc So Antinuclear Ab (Ana) | $35.47 | $35.47 | — | 34% below | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Hc So Antinuclear Ab (Ana) | $35.47 | $35.47 | — | — | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Hc So Natriueretic Peptide | $326.18 | $326.18 | — | 129% above | — |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 Hc So Natriueretic Peptide | $326.18 | $326.18 | — | — | — |
| Basic metabolic panel (blood test) CPT 80048 Hc Metabolic Panel Total Ca | $230.00 | $230.00 | — | 287% above | — |
| Basic metabolic panel (blood test) inpatient CPT 80048 Hc Metabolic Panel Total Ca | $230.00 | $230.00 | — | — | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Hc Surg Path Level Iv Except Prostate Needle Biopsy | $225.54 | $225.54 | — | 24% above | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Hc Surg Path Level Iv Except Prostate Needle Biopsy | $225.54 | $225.54 | — | — | — |
| Blood culture for bacteria CPT 87040 Hc Aerob Bacterial Blood Culture | $184.75 | $184.75 | — | 97% above | — |
| Blood culture for bacteria inpatient CPT 87040 Hc Aerob Bacterial Blood Culture | $184.75 | $184.75 | — | — | — |
| Blood glucose (sugar) test CPT 82947 Hc Glucose Quan Blood | $37.60 | $37.60 | — | 79% above | — |
| Blood glucose (sugar) test inpatient CPT 82947 Hc Glucose Quan Blood | $37.60 | $37.60 | — | — | — |
| Blood lead test CPT 83655 Hc So Lead - A | $101.04 | $101.04 | — | 152% above | — |
| Blood lead test inpatient CPT 83655 Hc So Lead - A | $101.04 | $101.04 | — | — | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Hc Hcg Qual | $87.21 | $87.21 | — | 78% above | — |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Hc Hcg Qual | $87.21 | $87.21 | — | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Hc Blood Typing Abo | $29.94 | $29.94 | — | 39% below | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Hc So Blood Typing Abo | $263.67 | $263.67 | — | 441% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Hc Blood Typing Abo | $29.94 | $29.94 | — | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Hc So Blood Typing Abo | $263.67 | $263.67 | — | — | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 Hc So C-Reactive Protein | $93.23 | $93.23 | — | 115% above | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 Hc So C-Reactive Protein | $93.23 | $93.23 | — | — | — |
| C. difficile toxin gene test (stool PCR) CPT 87493 Hc So C Diff Amplified Probe | $263.43 | $263.43 | — | 103% above | — |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 Hc So C Diff Amplified Probe | $263.43 | $263.43 | — | — | — |
| CA 19-9 blood test (tumor marker) CPT 86301 Hc So Ia- Quant Ca 19-9 | $169.00 | $169.00 | — | 150% above | — |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 Hc So Ia- Quant Ca 19-9 | $169.00 | $169.00 | — | — | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 Hc Cch So Ia-Quant Ca 125 | $202.69 | $202.69 | — | 117% above | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 Hc Cch So Ia-Quant Ca 125 (Roma) | $469.74 | $469.74 | — | 402% above | — |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Hc Cch So Ia-Quant Ca 125 | $202.69 | $202.69 | — | — | — |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Hc Cch So Ia-Quant Ca 125 (Roma) | $469.74 | $469.74 | — | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Hc Sars-Cov-2 Covid-19 Amp Prb | $281.19 | $281.19 | — | 99% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Hc Sars-Cov-2 Covid-19 Amp Prb | $281.19 | $281.19 | — | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Hc So Chlamydia Trachomatis Amplif Na Probe | $144.35 | $144.35 | — | 56% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Hc So Chlamydia Trachomatis Amplif Na Probe | $144.35 | $144.35 | — | — | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Hc So Lipid Panel | $184.11 | $184.11 | — | 255% above | — |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Hc So Lipid Panel | $184.11 | $184.11 | — | — | — |
| Complete blood count (CBC) with differential CPT 85025 Hc Cbc Ediff & Platelet | $106.40 | $106.40 | — | 203% above | — |
| Complete blood count (CBC) with differential inpatient CPT 85025 Hc Cbc Ediff & Platelet | $106.40 | $106.40 | — | — | — |
| Complete blood count (CBC), no differential CPT 85027 Hc Cbc & Platelet | $71.99 | $71.99 | — | 122% above | — |
| Complete blood count (CBC), no differential inpatient CPT 85027 Hc Cbc & Platelet | $71.99 | $71.99 | — | — | — |
| Comprehensive metabolic panel (blood test) CPT 80053 Hc Comprehen Metabolic Panel | $350.00 | $350.00 | — | 479% above | — |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 Hc Comprehen Metabolic Panel | $350.00 | $350.00 | — | — | — |
| D-dimer blood test (blood clot marker) CPT 85379 Hc D-Dimer - Quan | $161.20 | $161.20 | — | 133% above | — |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 Hc D-Dimer - Quan | $161.20 | $161.20 | — | — | — |
| DHEA sulfate (DHEA-S) blood test CPT 82627 Hc Cch So Dhea-S | $153.37 | $153.37 | — | 56% above | — |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 Hc Cch So Dhea-S | $153.37 | $153.37 | — | — | — |
| Estradiol blood test CPT 82670 Hc So Estradiol | $247.80 | $247.80 | — | 138% above | — |
| Estradiol blood test inpatient CPT 82670 Hc So Estradiol | $247.80 | $247.80 | — | — | — |
| FSH (follicle-stimulating hormone) test CPT 83001 Hc Cch So Gonadotropin Fsh | $228.57 | $228.57 | — | 170% above | — |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 Hc Cch So Gonadotropin Fsh | $228.57 | $228.57 | — | — | — |
| Fecal calprotectin (stool inflammation test) CPT 83993 Hc So Calprotectin Fecal | $442.68 | $442.68 | — | 196% above | — |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Hc So Calprotectin Fecal | $442.68 | $442.68 | — | — | — |
| Ferritin blood test (iron stores) CPT 82728 Hc Cch So Ferritin | $149.76 | $149.76 | — | 98% above | — |
| Ferritin blood test (iron stores) inpatient CPT 82728 Hc Cch So Ferritin | $149.76 | $149.76 | — | — | — |
| Folate (folic acid) blood test CPT 82746 Hc So Folic Acid Serum | $134.72 | $134.72 | — | 105% above | — |
| Folate (folic acid) blood test inpatient CPT 82746 Hc So Folic Acid Serum | $134.72 | $134.72 | — | — | — |
| Free T3 thyroid hormone test CPT 84481 Hc So T3 Free | $167.80 | $167.80 | — | 146% above | — |
| Free T3 thyroid hormone test inpatient CPT 84481 Hc So T3 Free | $167.80 | $167.80 | — | — | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Hc So Free Thyroxine | $128.09 | $128.09 | — | 218% above | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Hc Free Thyroxine | $157.59 | $157.59 | — | 291% above | — |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Hc So Free Thyroxine | $128.09 | $128.09 | — | — | — |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Hc Free Thyroxine | $157.59 | $157.59 | — | — | — |
| Free testosterone test CPT 84402 Hc So Testosterone Free | $273.65 | $273.65 | — | 191% above | — |
| Free testosterone test inpatient CPT 84402 Hc So Testosterone Free | $273.65 | $273.65 | — | — | — |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 Hc Cch General Health Panel | $736.92 | $736.92 | — | 233% above | — |
| General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 Hc Cch General Health Panel | $736.92 | $736.92 | — | — | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Hc Glucose Post Glucose Dose | $70.36 | $70.36 | — | 141% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Hc Glucose Post Glucose Dose | $70.36 | $70.36 | — | — | — |
| Glucose tolerance test, 3 samples CPT 82951 Hc Glucose Tolerance Test Incl 3 Specimens | $139.53 | $139.53 | — | 141% above | — |
| Glucose tolerance test, 3 samples inpatient CPT 82951 Hc Glucose Tolerance Test Incl 3 Specimens | $139.53 | $139.53 | — | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Hc So Neisseria Amplif Na Probe | $97.45 | $97.45 | — | 5% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Hc So Neisseria Amplif Na Probe | $97.45 | $97.45 | — | — | — |
| H. pylori stool antigen test CPT 87338 Hc So Hpylori Stool- Eia | $196.06 | $196.06 | — | 195% above | — |
| H. pylori stool antigen test inpatient CPT 87338 Hc So Hpylori Stool- Eia | $196.06 | $196.06 | — | — | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Hc So Hiv-1 Reverse Transcription & Na Quan | $493.19 | $493.19 | — | 47% above | — |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Hc So Hiv-1 Reverse Transcription & Na Quan | $493.19 | $493.19 | — | — | — |
| HIV-1 and HIV-2 antibody test CPT 86703 Hc Anti Hiv 1\Hiv 2 | $95.02 | $95.02 | — | 62% above | — |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 Hc Anti Hiv 1\Hiv 2 | $95.02 | $95.02 | — | — | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Hc Cch So Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab | $67.36 | $67.36 | — | 3% above | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 Hc Cch So Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab | $67.36 | $67.36 | — | — | — |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 Hc So Hpv High-Risk Types Pooled | $233.95 | $233.95 | — | 108% above | — |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 Hc So Hpv High-Risk Types Pooled | $233.95 | $233.95 | — | — | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hc Hgb Glycosylated (A1C) | $98.11 | $98.11 | — | 124% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hc Hgb Glycosylated (A1C) | $98.11 | $98.11 | — | — | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hc So Hepatitis B Surf Ab | $115.04 | $115.04 | — | 139% above | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hc So Hepatitis B Surf Ab | $115.04 | $115.04 | — | — | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Hc So Hepatitis B Surface Ag- Eia | $120.90 | $120.90 | — | 162% above | — |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hc So Hepatitis B Surface Ag- Eia | $120.90 | $120.90 | — | — | — |
| Hepatitis C antibody blood test (screening) CPT 86803 Hc So Hepatitis C Antibody | $132.33 | $132.33 | — | 108% above | — |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hc So Hepatitis C Antibody | $132.33 | $132.33 | — | — | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 Hc So Hep-C Reverse Transcription & Na Quan | $745.19 | $745.19 | — | 287% above | — |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hc So Hep-C Reverse Transcription & Na Quan | $745.19 | $745.19 | — | — | — |
| Herpes blood test, HSV-1 antibody CPT 86695 Hc So Herpes Simplex- Type I | $188.24 | $188.24 | — | 218% above | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 Hc So Herpes Simplex- Type I | $188.24 | $188.24 | — | — | — |
| Herpes blood test, HSV-2 antibody CPT 86696 Hc So Ab Hsv Ii | $107.68 | $107.68 | — | 62% above | — |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 Hc So Ab Hsv Ii | $107.68 | $107.68 | — | — | — |
| High-sensitivity CRP (hs-CRP) test CPT 86141 Hc So C-Reactive Protein Hs | $143.15 | $143.15 | — | 139% above | — |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 Hc So C-Reactive Protein Hs | $143.15 | $143.15 | — | — | — |
| Homocysteine blood test CPT 83090 Hc Cch So Assay Of Homocysteine | $64.38 | $64.38 | — | 18% below | — |
| Homocysteine blood test CPT 83090 Hc So Assay Of Homocystine | $276.07 | $276.07 | — | 254% above | — |
| Homocysteine blood test inpatient CPT 83090 Hc Cch So Assay Of Homocysteine | $64.38 | $64.38 | — | — | — |
| Homocysteine blood test inpatient CPT 83090 Hc So Assay Of Homocystine | $276.07 | $276.07 | — | — | — |
| Insulin blood test CPT 83525 Hc So Insulin Total | $101.04 | $101.04 | — | 97% above | — |
| Insulin blood test inpatient CPT 83525 Hc So Insulin Total | $101.04 | $101.04 | — | — | — |
| Iron blood test (serum iron) CPT 83540 Hc So Iron | $86.02 | $86.02 | — | 153% above | — |
| Iron blood test (serum iron) inpatient CPT 83540 Hc So Iron | $86.02 | $86.02 | — | — | — |
| Iron-binding capacity (TIBC) test CPT 83550 Hc So Iron Binding Capacity | $89.61 | $89.61 | — | 130% above | — |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 Hc So Iron Binding Capacity | $89.61 | $89.61 | — | — | — |
| Kidney function blood test panel CPT 80069 Hc Renal Function Panel | $354.96 | $354.96 | — | 469% above | — |
| Kidney function blood test panel inpatient CPT 80069 Hc Renal Function Panel | $354.96 | $354.96 | — | — | — |
| LH (luteinizing hormone) test CPT 83002 Hc Cch So Gonadotropin Luteinizing Hormone | $239.97 | $239.97 | — | 151% above | — |
| LH (luteinizing hormone) test inpatient CPT 83002 Hc Cch So Gonadotropin Luteinizing Hormone | $239.97 | $239.97 | — | — | — |
| Lipase blood test (pancreas enzyme) CPT 83690 Hc Cch So Lipase | $129.95 | $129.95 | — | 154% above | — |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 Hc Cch So Lipase | $129.95 | $129.95 | — | — | — |
| Liver function blood test panel CPT 80076 Hc Hepatic Function Panel | $248.49 | $248.49 | — | 342% above | — |
| Liver function blood test panel inpatient CPT 80076 Hc Hepatic Function Panel | $248.49 | $248.49 | — | — | — |
| Lyme disease antibody test CPT 86618 Hc So Ab Lyme's Disease | $189.47 | $189.47 | — | 148% above | — |
| Lyme disease antibody test inpatient CPT 86618 Hc So Ab Lyme's Disease | $189.47 | $189.47 | — | — | — |
| Magnesium blood test CPT 83735 Hc Magnesium | $123.29 | $123.29 | — | 289% above | — |
| Magnesium blood test CPT 83735 Hc So Magnesium | $123.29 | $123.29 | — | 289% above | — |
| Magnesium blood test inpatient CPT 83735 Hc So Magnesium | $123.29 | $123.29 | — | — | — |
| Magnesium blood test inpatient CPT 83735 Hc Magnesium | $123.29 | $123.29 | — | — | — |
| Measles (rubeola) antibody test CPT 86765 Hc So Ab Rubeola | $218.94 | $218.94 | — | 316% above | — |
| Measles (rubeola) antibody test inpatient CPT 86765 Hc So Ab Rubeola | $218.94 | $218.94 | — | — | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 Hc Qual Heterophile Ab | $58.34 | $58.34 | — | 13% above | — |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Hc Qual Heterophile Ab | $58.34 | $58.34 | — | — | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 Hc So Psa Free | $229.14 | $229.14 | — | 184% above | — |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 Hc So Psa Free | $229.14 | $229.14 | — | — | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Hc Psa Total | $45.00 | $45.00 | — | 41% below | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Hc So Psa Total | $139.53 | $139.53 | — | 82% above | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Hc Psa Total | $45.00 | $45.00 | — | — | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Hc So Psa Total | $139.53 | $139.53 | — | — | — |
| Pap test (liquid-based, automated screening with review) CPT 88175 Hc Cch So Cytopath C/V Auto Fluid Redo (Diagnostic) | $163.59 | $163.59 | — | 73% above | — |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 Hc Cch So Cytopath C/V Auto Fluid Redo (Diagnostic) | $163.59 | $163.59 | — | — | — |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Hc Cch So Cp Cerv/Vag Atl Manual Scrn (Diagnostic) | $163.59 | $163.59 | — | 82% above | — |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 Hc Cch So Cp Cerv/Vag Atl Manual Scrn (Diagnostic) | $163.59 | $163.59 | — | — | — |
| Parathyroid hormone (PTH) blood test CPT 83970 Hc So Parathormone | $269.45 | $269.45 | — | 96% above | — |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 Hc So Parathormone | $269.45 | $269.45 | — | — | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Hc Cch So Ptt Plasma Or Whole Blood | $40.30 | $40.30 | — | 16% above | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Hc Ptt Plasma Or Whole Blood | $75.81 | $75.81 | — | 118% above | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Hc Cch So Ptt Plasma Or Whole Blood | $40.30 | $40.30 | — | — | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Hc Ptt Plasma Or Whole Blood | $75.81 | $75.81 | — | — | — |
| Progesterone blood test CPT 84144 Hc Cch So Progesterone | $237.57 | $237.57 | — | 236% above | — |
| Progesterone blood test inpatient CPT 84144 Hc Cch So Progesterone | $237.57 | $237.57 | — | — | — |
| Prolactin blood test CPT 84146 Hc Cch So Prolactin Assay | $183.44 | $183.44 | — | 126% above | — |
| Prolactin blood test inpatient CPT 84146 Hc Cch So Prolactin Assay | $183.44 | $183.44 | — | — | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 Hc Prothombin Time | $57.98 | $57.98 | — | 148% above | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Hc Prothombin Time | $57.98 | $57.98 | — | — | — |
| Rapid flu test (influenza antigen) CPT 87804 Hc Influenza Ia W Direct Optical | $64.38 | $64.38 | — | 2% below | — |
| Rapid flu test (influenza antigen) inpatient CPT 87804 Hc Influenza Ia W Direct Optical | $64.38 | $64.38 | — | — | — |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 Hc Cch Strep A Assay W/ Optic | $78.78 | $78.78 | — | 38% above | — |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Hc Cch Strep A Assay W/ Optic | $78.78 | $78.78 | — | — | — |
| Rheumatoid factor (RF) test CPT 86431 Hc So Quan Rheum Factor | $139.53 | $139.53 | — | 346% above | — |
| Rheumatoid factor (RF) test inpatient CPT 86431 Hc So Quan Rheum Factor | $139.53 | $139.53 | — | — | — |
| Rubella antibody test (immunity check) CPT 86762 Hc Rubella Antibody | $64.38 | $64.38 | — | 88% above | — |
| Rubella antibody test (immunity check) CPT 86762 Hc So Rubella Antibody | $76.98 | $76.98 | — | 124% above | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 Hc Rubella Antibody | $64.38 | $64.38 | — | — | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 Hc So Rubella Antibody | $76.98 | $76.98 | — | — | — |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 Hc Cch Semen Analysis Volume/Count/Motility | $93.73 | $93.73 | — | 30% below | — |
| Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 Hc Cch Semen Analysis Volume/Count/Motility | $93.73 | $93.73 | — | — | — |
| Stool ova and parasites exam CPT 87177 Hc So Ova & Parasites Dir Smr W Id | $96.23 | $96.23 | — | 143% above | — |
| Stool ova and parasites exam inpatient CPT 87177 Hc So Ova & Parasites Dir Smr W Id | $96.23 | $96.23 | — | — | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Hc Occult Blood Feces | $47.51 | $47.51 | — | 87% above | — |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Hc Occult Blood Feces | $47.51 | $47.51 | — | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Hc So Syphilis Test | $47.51 | $47.51 | — | 152% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Hc So Syphilis Test | $47.51 | $47.51 | — | — | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Hc So Tb Test- Cell Immun Measure | $224.32 | $224.32 | — | 102% above | — |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 Hc So Tb Test- Cell Immun Measure | $224.32 | $224.32 | — | — | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 Hc So Testosterone Total | $195.46 | $195.46 | — | 125% above | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Hc So Testosterone Total | $195.46 | $195.46 | — | — | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Hc Cch So Microsomal Ab Each | $111.27 | $111.27 | — | 89% above | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Hc Cch So Microsomal Ab Each | $111.27 | $111.27 | — | — | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Hc Thyroid Stimulating Hormone | $147.79 | $147.79 | — | 114% above | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Hc Thyroid Stimulating Hormone | $147.79 | $147.79 | — | — | — |
| Trichomonas test (NAAT) CPT 87661 Hc Cch Trichomonas Vaginalis Amplif | $66.75 | $66.75 | — | 22% below | — |
| Trichomonas test (NAAT) CPT 87661 Hc So Trichomonas Vaginalis Amplif - A | $289.89 | $289.89 | — | 239% above | — |
| Trichomonas test (NAAT) inpatient CPT 87661 Hc Cch Trichomonas Vaginalis Amplif | $66.75 | $66.75 | — | — | — |
| Trichomonas test (NAAT) inpatient CPT 87661 Hc So Trichomonas Vaginalis Amplif - A | $289.89 | $289.89 | — | — | — |
| Uric acid blood test CPT 84550 Hc Uric Acid Blood | $53.52 | $53.52 | — | 56% above | — |
| Uric acid blood test inpatient CPT 84550 Hc Uric Acid Blood | $53.52 | $53.52 | — | — | — |
| Urinalysis with microscope exam, automated CPT 81001 Hc Urinalysis Total Automated W/ Micro | $72.18 | $72.18 | — | 173% above | — |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Hc Urinalysis Total Automated W/ Micro | $72.18 | $72.18 | — | — | — |
| Urinalysis without microscope exam, automated CPT 81003 Hc Urinalysis Total Automated W/O Micro | $36.69 | $36.69 | — | 61% above | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Hc Urinalysis Total Automated W/O Micro | $36.69 | $36.69 | — | — | — |
| Urine culture for bacteria, with colony count CPT 87086 Hc Bact Culture - Urine Quan Count | $134.72 | $134.72 | — | 145% above | — |
| Urine culture for bacteria, with colony count inpatient CPT 87086 Hc Bact Culture - Urine Quan Count | $134.72 | $134.72 | — | — | — |
| Urine pregnancy test, read by color change CPT 81025 Hc Urine Pregnancy Visual Color | $61.94 | $61.94 | — | 36% above | — |
| Urine pregnancy test, read by color change inpatient CPT 81025 Hc Urine Pregnancy Visual Color | $61.94 | $61.94 | — | — | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 Hc Cch So Vitamin B-12 Level | $162.39 | $162.39 | — | 126% above | — |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Hc Cch So Vitamin B-12 Level | $162.39 | $162.39 | — | — | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Hc So Vitamin D 25 Hydroxy | $277.76 | $277.76 | — | 253% above | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Hc So Vitamin D 25 Hydroxy | $277.76 | $277.76 | — | — | — |
| Zinc blood test CPT 84630 Hc So Zinc | $134.72 | $134.72 | — | 219% above | — |
| Zinc blood test inpatient CPT 84630 Hc So Zinc | $134.72 | $134.72 | — | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hc Hcg Quan | $132.33 | $132.33 | — | 96% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hc So Hcg Quan | $132.33 | $132.33 | — | 96% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Hc So Hcg Quan | $132.33 | $132.33 | — | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Hc Hcg Quan | $132.33 | $132.33 | — | — | — |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Ohio | Off list |
|---|---|---|---|---|---|
| Botox injections for chronic migraine both sides CPT 64615 Hc Chemodenervation Muscles Facial/Trigem/Cerv Sp/Access Nerves Bilateral | $438.00 | $438.00 | — | — | — |
| Botox injections for chronic migraine CPT 64615 Pr Chemodervate Facial/Trigem/Cerv Musc Migraine | $174.90 | $174.90 | — | 68% below | — |
| Botox injections for chronic migraine inpatient both sides CPT 64615 Hc Chemodenervation Muscles Facial/Trigem/Cerv Sp/Access Nerves Bilateral | $438.00 | $438.00 | — | — | — |
| Botox injections for chronic migraine inpatient CPT 64615 Pr Chemodervate Facial/Trigem/Cerv Musc Migraine | $174.90 | $174.90 | — | — | — |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 Hc Breast Bx W/ Localization Device & Imaging Of Specimen First Lesion W/ Stereotactic Guidance | $4,272.17 | $4,272.17 | — | 8% above | — |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 Hc Breast Bx W/ Localization Device & Imaging Of Specimen First Lesion W/ Stereotactic Guidance | $4,272.17 | $4,272.17 | — | — | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 Pr Cardioversion Elective Arrhythmia External | $193.45 | $193.45 | — | 91% below | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 Hc Cch Cardioversion Elective Canceled | $363.54 | $363.54 | — | 82% below | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 Hc Cardioversion Elective | $2,175.92 | $2,175.92 | — | 6% above | — |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Pr Cardioversion Elective Arrhythmia External | $193.45 | $193.45 | — | — | — |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Hc Cch Cardioversion Elective Canceled | $363.54 | $363.54 | — | — | — |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Hc Cardioversion Elective | $2,175.92 | $2,175.92 | — | — | — |
| Colonoscopy with polyp removal CPT 45385 Hc Colonoscopy Flexible W/ Removal Tumor Polyp Lesion By Snare | $3,760.39 | $3,760.39 | — | 9% above | — |
| Colonoscopy with polyp removal inpatient CPT 45385 Hc Colonoscopy Flexible W/ Removal Tumor Polyp Lesion By Snare | $3,760.39 | $3,760.39 | — | — | — |
| Colonoscopy with tissue sample CPT 45380 Hc Colonoscopy Flexible W/ Bx | $3,760.39 | $3,760.39 | — | 13% above | — |
| Colonoscopy with tissue sample inpatient CPT 45380 Hc Colonoscopy Flexible W/ Bx | $3,760.39 | $3,760.39 | — | — | — |
| Colonoscopy, diagnostic CPT 45378 Hc Colonoscopy Flexible Diagnostic | $3,760.39 | $3,760.39 | — | 37% above | — |
| Colonoscopy, diagnostic inpatient CPT 45378 Hc Colonoscopy Flexible Diagnostic | $3,760.39 | $3,760.39 | — | — | — |
| Earwax removal with instruments, one ear one side CPT 69210 Pr Removal Impacted Cerumen Instrumentation Unilat | $41.87 | $41.87 | — | 73% below | — |
| Earwax removal with instruments, one ear inpatient one side CPT 69210 Pr Removal Impacted Cerumen Instrumentation Unilat | $41.87 | $41.87 | — | — | — |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Pr Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn | $191.33 | $191.33 | — | 91% below | — |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Hc Injection Epidural Or Subarachnoid Cervical Or Thoracic For Pain Mgmt W/ Imaging Guidance | $1,092.17 | $1,092.17 | — | 51% below | — |
| Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 Pr Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn | $191.33 | $191.33 | — | — | — |
| Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 Hc Injection Epidural Or Subarachnoid Cervical Or Thoracic For Pain Mgmt W/ Imaging Guidance | $1,092.17 | $1,092.17 | — | — | — |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Pr Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level | $623.81 | $623.81 | — | 70% below | — |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Hc Injection Paravertebral Facet Joint W/ Img Guid Lumbar Or Sacral Single Level For Pain Mgmt | $1,415.36 | $1,415.36 | — | 33% below | — |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 Pr Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level | $623.81 | $623.81 | — | — | — |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 Hc Injection Paravertebral Facet Joint W/ Img Guid Lumbar Or Sacral Single Level For Pain Mgmt | $1,415.36 | $1,415.36 | — | — | — |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Hc Sigmoidoscopy Flexible Diagnostic | $3,760.39 | $3,760.39 | — | 47% above | — |
| Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 Hc Sigmoidoscopy Flexible Diagnostic | $3,760.39 | $3,760.39 | — | — | — |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 Hc Hysterosalpingography Or Saline Infusion Sonohysterograophy | $68.82 | $68.82 | — | 82% below | — |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 Hc Hysterosalpingography Or Saline Infusion Sonohysterograophy | $68.82 | $68.82 | — | — | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 Pr Incision & Drainage Abscess Simple/Single | $150.52 | $150.52 | — | 60% below | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 Hc I&D Abscess Simple | $333.51 | $333.51 | — | 12% below | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 Pr Incision & Drainage Abscess Simple/Single | $150.52 | $150.52 | — | — | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 Hc I&D Abscess Simple | $333.51 | $333.51 | — | — | — |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Pr Injection 1 Tendon Sheath/Ligament Aponeurosis | $312.70 | $312.70 | — | 8% below | — |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Hc Injection Tendon Sheath Ligament Aponeurosis | $389.06 | $389.06 | — | 15% above | — |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 Pr Injection 1 Tendon Sheath/Ligament Aponeurosis | $312.70 | $312.70 | — | — | — |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 Hc Injection Tendon Sheath Ligament Aponeurosis | $389.06 | $389.06 | — | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Pr Arthrocentesis Aspir&/Inj Major Jt/Bursa W/O Us | $75.26 | $75.26 | — | 89% below | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Hc Arthrocentesis Joint/Bursa Major W/O Ultrasound Guidance | $393.03 | $393.03 | — | 44% below | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Pr Arthrocentesis Aspir&/Inj Major Jt/Bursa W/O Us | $75.26 | $75.26 | — | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Hc Arthrocentesis Joint/Bursa Major W/O Ultrasound Guidance | $393.03 | $393.03 | — | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Pr Arthrocentesis Aspir&/Inj Interm Jt/Burs W/O Us | $59.36 | $59.36 | — | 90% below | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Hc Arthrocentesis Joint/Bursa Intermediate W/O Ultrasound Guidance | $393.03 | $393.03 | — | 37% below | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Pr Arthrocentesis Aspir&/Inj Interm Jt/Burs W/O Us | $59.36 | $59.36 | — | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Hc Arthrocentesis Joint/Bursa Intermediate W/O Ultrasound Guidance | $393.03 | $393.03 | — | — | — |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 Pr Arthrocentesis Aspir&/Inj Small Jt/Bursa W/O Us | $59.36 | $59.36 | — | 88% below | — |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 Hc Arthrocentesis Joint/Bursa Small W/O Ultrasound Guidance | $393.03 | $393.03 | — | 20% below | — |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Pr Arthrocentesis Aspir&/Inj Small Jt/Bursa W/O Us | $59.36 | $59.36 | — | — | — |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Hc Arthrocentesis Joint/Bursa Small W/O Ultrasound Guidance | $393.03 | $393.03 | — | — | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Pr Repair Intermediate S/A/T/E 2.5 Cm/< | $250.16 | $250.16 | — | 54% below | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 Pr Repair Intermediate S/A/T/E 2.5 Cm/< | $250.16 | $250.16 | — | — | — |
| Lower-back epidural injection, with imaging guidance CPT 62323 Pr Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn | $177.02 | $177.02 | — | 91% below | — |
| Lower-back epidural injection, with imaging guidance CPT 62323 Hc Injection Epidural Or Subarachnoid Lumbar Or Sacral (Caudal) For Pain Mgmt W/ Imaging Guidance | $1,092.17 | $1,092.17 | — | 46% below | — |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 Pr Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn | $177.02 | $177.02 | — | — | — |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 Hc Injection Epidural Or Subarachnoid Lumbar Or Sacral (Caudal) For Pain Mgmt W/ Imaging Guidance | $1,092.17 | $1,092.17 | — | — | — |
| Lower-back epidural injection, without imaging guidance CPT 62322 Pr Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn | $686.88 | $686.88 | — | 58% below | — |
| Lower-back epidural injection, without imaging guidance CPT 62322 Hc Injection Epidural Or Subarachnoid Lumbar Or Sacral (Caudal) For Pain Mgmt W/O Imaging Guidance | $1,008.50 | $1,008.50 | — | 38% below | — |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 Pr Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn | $686.88 | $686.88 | — | — | — |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 Hc Injection Epidural Or Subarachnoid Lumbar Or Sacral (Caudal) For Pain Mgmt W/O Imaging Guidance | $1,008.50 | $1,008.50 | — | — | — |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Pr Njx Aa&/Strd Tfrml Epi Lumbar/Sacral 1 Level | $159.00 | $159.00 | — | 92% below | — |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Hc Injection(S) Transforaminal Lumbar Sacral Single Level | $2,250.39 | $2,250.39 | — | 20% above | — |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Pr Njx Aa&/Strd Tfrml Epi Lumbar/Sacral 1 Level | $159.00 | $159.00 | — | — | — |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Hc Injection(S) Transforaminal Lumbar Sacral Single Level | $2,250.39 | $2,250.39 | — | — | — |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Hc Exc Ben Lesion Trunk/Extremities <0.5 Cm | $1,111.00 | $1,111.00 | — | 19% below | — |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 Hc Exc Ben Lesion Trunk/Extremities <0.5 Cm | $1,111.00 | $1,111.00 | — | — | — |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Hc Exc Ben Lesion Face & Muc Memb <0.5 Cm | $1,111.00 | $1,111.00 | — | 19% below | — |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 Hc Exc Ben Lesion Face & Muc Memb <0.5 Cm | $1,111.00 | $1,111.00 | — | — | — |
| Nail removal (partial or complete), one nail CPT 11730 Pr Avulsion Nail Plate Partial/Complete Simple 1 | $144.69 | $144.69 | — | 55% below | — |
| Nail removal (partial or complete), one nail CPT 11730 Hc Avulsion Nail Plate Single | $333.51 | $333.51 | — | 5% above | — |
| Nail removal (partial or complete), one nail inpatient CPT 11730 Pr Avulsion Nail Plate Partial/Complete Simple 1 | $144.69 | $144.69 | — | — | — |
| Nail removal (partial or complete), one nail inpatient CPT 11730 Hc Avulsion Nail Plate Single | $333.51 | $333.51 | — | — | — |
| Occipital nerve block (injection for headaches) CPT 64405 Pr Injection Aa&/Strd Greater Occipital Nerve | $100.17 | $100.17 | — | 90% below | — |
| Occipital nerve block (injection for headaches) CPT 64405 Hc Injection Nerve Greater Occipital For Pain Mgmt | $412.25 | $412.25 | — | 59% below | — |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 Pr Injection Aa&/Strd Greater Occipital Nerve | $100.17 | $100.17 | — | — | — |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 Hc Injection Nerve Greater Occipital For Pain Mgmt | $412.25 | $412.25 | — | — | — |
| Paracentesis with imaging guidance CPT 49083 Pr Abdom Paracentesis Dx/Ther W/Imaging Guidance | $177.55 | $177.55 | — | 90% below | — |
| Paracentesis with imaging guidance CPT 49083 Hc Abdominal Paracentesis W/ Imaging Guidance | $1,938.45 | $1,938.45 | — | 13% above | — |
| Paracentesis with imaging guidance inpatient CPT 49083 Pr Abdom Paracentesis Dx/Ther W/Imaging Guidance | $177.55 | $177.55 | — | — | — |
| Paracentesis with imaging guidance inpatient CPT 49083 Hc Abdominal Paracentesis W/ Imaging Guidance | $1,938.45 | $1,938.45 | — | — | — |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 Pr Excision Nail Matrix Permanent Removal | $241.15 | $241.15 | — | 69% below | — |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 Hc Excision Nail Matrix | $642.76 | $642.76 | — | 18% below | — |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 Pr Excision Nail Matrix Permanent Removal | $241.15 | $241.15 | — | — | — |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 Hc Excision Nail Matrix | $642.76 | $642.76 | — | — | — |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 Pr Dstr Nrolytc Agnt Parverteb Fct Sngl Lmbr/Sacral | $623.81 | $623.81 | — | 80% below | — |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 Hc Destruction By Neurolytic Agent (Rfa) Lumbar/Sacral Paravert Joint Nerve Single Joint | $2,466.12 | $2,466.12 | — | 22% below | — |
| Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 Pr Dstr Nrolytc Agnt Parverteb Fct Sngl Lmbr/Sacral | $623.81 | $623.81 | — | — | — |
| Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 Hc Destruction By Neurolytic Agent (Rfa) Lumbar/Sacral Paravert Joint Nerve Single Joint | $2,466.12 | $2,466.12 | — | — | — |
| Removal of a foreign object under the skin, simple CPT 10120 Pr Incision & Removal Foreign Body Subq Tiss Simple | $145.75 | $145.75 | — | 78% below | — |
| Removal of a foreign object under the skin, simple CPT 10120 Hc Removal Fb Subcutaneous Simple | $655.01 | $655.01 | — | 1% above | — |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 Pr Incision & Removal Foreign Body Subq Tiss Simple | $145.75 | $145.75 | — | — | — |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 Hc Removal Fb Subcutaneous Simple | $655.01 | $655.01 | — | — | — |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 Hc Colonoscopy Screening | $3,760.39 | $3,760.39 | — | 44% above | — |
| Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 Hc Colonoscopy Screening | $3,760.39 | $3,760.39 | — | — | — |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 Hc Colonoscopy Screening High Risk | $3,760.39 | $3,760.39 | — | 44% above | — |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 Hc Colonoscopy Screening High Risk | $3,760.39 | $3,760.39 | — | — | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Pr Simple Repair Scalp/Neck/Ax/Genit/Trunk 2.5Cm/< | $146.28 | $146.28 | — | 56% below | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Pr Simple Repair Scalp/Neck/Ax/Genit/Trunk 2.5Cm/< | $146.28 | $146.28 | — | — | — |
| Skin biopsy, punch, one lesion CPT 11104 Pr Punch Biopsy Skin Single Lesion | $68.90 | $68.90 | — | 85% below | — |
| Skin biopsy, punch, one lesion CPT 11104 Hc Bx Skin Punch First Lesion | $642.76 | $642.76 | — | 43% above | — |
| Skin biopsy, punch, one lesion inpatient CPT 11104 Pr Punch Biopsy Skin Single Lesion | $68.90 | $68.90 | — | — | — |
| Skin biopsy, punch, one lesion inpatient CPT 11104 Hc Bx Skin Punch First Lesion | $642.76 | $642.76 | — | — | — |
| Skin tag removal, up to 15 tags CPT 11200 Pr Rmvl Skin Tags Mlt Fibrq Tags Any Up To&Inc 15 | $94.87 | $94.87 | — | 68% below | — |
| Skin tag removal, up to 15 tags CPT 11200 Hc Removal Skin Tags <=15 Lesions | $302.50 | $302.50 | — | 3% above | — |
| Skin tag removal, up to 15 tags inpatient CPT 11200 Pr Rmvl Skin Tags Mlt Fibrq Tags Any Up To&Inc 15 | $94.87 | $94.87 | — | — | — |
| Skin tag removal, up to 15 tags inpatient CPT 11200 Hc Removal Skin Tags <=15 Lesions | $302.50 | $302.50 | — | — | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 Pr Diagnostic Lumbar Spinal Puncture | $129.32 | $129.32 | — | 88% below | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 Hc Lumbar Puncture Diagnostic | $215.70 | $215.70 | — | 79% below | — |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Pr Diagnostic Lumbar Spinal Puncture | $129.32 | $129.32 | — | — | — |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Hc Lumbar Puncture Diagnostic | $215.70 | $215.70 | — | — | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Pr Smpl Repair Scalp/Neck/Ax/Genit/Trunk 2.6-7.5Cm | $223.13 | $223.13 | — | 37% below | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Hc Rep Simp Sc/Ne/Ax/Gen/Tr/Ext 2.6-7.5 Cm | $319.00 | $319.00 | — | 10% below | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 Pr Smpl Repair Scalp/Neck/Ax/Genit/Trunk 2.6-7.5Cm | $223.13 | $223.13 | — | — | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 Hc Rep Simp Sc/Ne/Ax/Gen/Tr/Ext 2.6-7.5 Cm | $319.00 | $319.00 | — | — | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Pr Simple Repair F/E/E/N/L/M 2.5Cm/< | $206.70 | $206.70 | — | 35% below | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 Pr Simple Repair F/E/E/N/L/M 2.5Cm/< | $206.70 | $206.70 | — | — | — |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 Pr Tangential Biopsy Skin Single Lesion | $68.90 | $68.90 | — | 77% below | — |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 Hc Bx Skin Tangential First Lesion | $317.62 | $317.62 | — | 6% above | — |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 Pr Tangential Biopsy Skin Single Lesion | $68.90 | $68.90 | — | — | — |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 Hc Bx Skin Tangential First Lesion | $317.62 | $317.62 | — | — | — |
| Thoracentesis with imaging guidance CPT 32555 Pr Thoracentesis Needle/Cath Pleura W/Imaging | $182.85 | $182.85 | — | 90% below | — |
| Thoracentesis with imaging guidance CPT 32555 Hc Thoracentesis W/ Imaging Guidance | $1,963.71 | $1,963.71 | — | 8% above | — |
| Thoracentesis with imaging guidance inpatient CPT 32555 Pr Thoracentesis Needle/Cath Pleura W/Imaging | $182.85 | $182.85 | — | — | — |
| Thoracentesis with imaging guidance inpatient CPT 32555 Hc Thoracentesis W/ Imaging Guidance | $1,963.71 | $1,963.71 | — | — | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 Hc Trigger Point Injection 1-2 Muscles | $383.81 | $383.81 | — | 48% below | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 Pr Injection Single/Mlt Trigger Point 1/2 Muscles | $416.58 | $416.58 | — | 43% below | — |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Hc Trigger Point Injection 1-2 Muscles | $383.81 | $383.81 | — | — | — |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Pr Injection Single/Mlt Trigger Point 1/2 Muscles | $416.58 | $416.58 | — | — | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 Hc Breast Bx W/ Localization Device & Imaging Of Specimen First Lesion W/ Us Guidance | $3,383.67 | $3,383.67 | — | 7% above | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 Hc Breast Bx W/ Localization Device & Imaging Of Specimen First Lesion W/ Us Guidance | $3,383.67 | $3,383.67 | — | — | — |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 Hc Egd Flexible Transoral W/ Balloon Dilation Esophagus <30Mm | $3,760.39 | $3,760.39 | — | 2% above | — |
| Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 Hc Egd Flexible Transoral W/ Balloon Dilation Esophagus <30Mm | $3,760.39 | $3,760.39 | — | — | — |
| Upper endoscopy (EGD) with biopsy CPT 43239 Hc Egd Flexible Transoral W/ Bx | $3,760.39 | $3,760.39 | — | 34% above | — |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 Hc Egd Flexible Transoral W/ Bx | $3,760.39 | $3,760.39 | — | — | — |
| Upper endoscopy (EGD) with injection into the lining CPT 43236 Hc Egd Flexible Transoral W/ Submucosal Injection | $3,760.39 | $3,760.39 | — | 34% above | — |
| Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 Hc Egd Flexible Transoral W/ Submucosal Injection | $3,760.39 | $3,760.39 | — | — | — |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 Hc Egd Flexible Transoral W/ Removal Tumor Polyp Lesion By Snare | $3,760.39 | $3,760.39 | — | 16% above | — |
| Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 Hc Egd Flexible Transoral W/ Removal Tumor Polyp Lesion By Snare | $3,760.39 | $3,760.39 | — | — | — |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 Hc Egd Flexible Transoral W/ Dilation Esophagus Over Guide Wire | $3,760.39 | $3,760.39 | — | 34% above | — |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 Hc Egd Flexible Transoral W/ Dilation Esophagus Over Guide Wire | $3,760.39 | $3,760.39 | — | — | — |
| Upper endoscopy (EGD), diagnostic CPT 43235 Hc Egd Flexible Transoral Diagnostic | $3,760.39 | $3,760.39 | — | 45% above | — |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 Hc Egd Flexible Transoral Diagnostic | $3,760.39 | $3,760.39 | — | — | — |
| Wart removal, up to 14 warts CPT 17110 Pr Destruction Benign Lesions Up To 14 | $84.80 | $84.80 | — | 69% below | — |
| Wart removal, up to 14 warts CPT 17110 Hc Destruction Lesions Benign Up To 14 Lesions | $100.33 | $100.33 | — | 63% below | — |
| Wart removal, up to 14 warts inpatient CPT 17110 Pr Destruction Benign Lesions Up To 14 | $84.80 | $84.80 | — | — | — |
| Wart removal, up to 14 warts inpatient CPT 17110 Hc Destruction Lesions Benign Up To 14 Lesions | $100.33 | $100.33 | — | — | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Pr Debridement Subcutaneous Tissue 1St 20 Sq Cm/< | $98.58 | $98.58 | — | 87% below | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Hc Debridement Subq Tissue 1St 20 Sq Cm | $642.76 | $642.76 | — | 18% below | — |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Pr Debridement Subcutaneous Tissue 1St 20 Sq Cm/< | $98.58 | $98.58 | — | — | — |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Hc Debridement Subq Tissue 1St 20 Sq Cm | $642.76 | $642.76 | — | — | — |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Ohio | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 Hc Transfusion Blood Or Blood Components | $356.97 | $356.97 | — | 69% below | — |
| Blood transfusion (giving blood or blood components) CPT 36430 Hc Cch Transfusion Blood Or Blood Components Level 2 | $548.78 | $548.78 | — | 53% below | — |
| Blood transfusion (giving blood or blood components) CPT 36430 Hc Cch Transfusion Blood Or Blood Components Level 3 | $811.49 | $811.49 | — | 30% below | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Hc Transfusion Blood Or Blood Components | $356.97 | $356.97 | — | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Hc Cch Transfusion Blood Or Blood Components Level 2 | $548.78 | $548.78 | — | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Hc Cch Transfusion Blood Or Blood Components Level 3 | $811.49 | $811.49 | — | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Hc Metered Dose Inhaler Treatment | $25.56 | $25.56 | — | 86% below | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Hc Mini Neb Tx Or Sputum Induction | $52.87 | $52.87 | — | 70% below | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Hc Ippb Tx | $52.87 | $52.87 | — | 70% below | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Hc Aerosol Or Nebulizer Treatment | $67.12 | $67.12 | — | 62% below | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Hc Heliox Tx Acute Airway Obstruction | $76.63 | $76.63 | — | 57% below | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Hc Metered Dose Inhaler Treatment | $25.56 | $25.56 | — | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Hc Ippb Tx | $52.87 | $52.87 | — | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Hc Mini Neb Tx Or Sputum Induction | $52.87 | $52.87 | — | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Hc Aerosol Or Nebulizer Treatment | $67.12 | $67.12 | — | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Hc Heliox Tx Acute Airway Obstruction | $76.63 | $76.63 | — | — | — |
| Chemotherapy IV infusion, first hour CPT 96413 Hc Chemo Admin Iv Initial Up To 1 Hour | $237.60 | $237.60 | — | 68% below | — |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 Hc Chemo Admin Iv Initial Up To 1 Hour | $237.60 | $237.60 | — | — | — |
| Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 Hc Audiometry Threshold Eval W/ Speech Recognition | $59.50 | $59.50 | — | 79% below | — |
| Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 Hc Audiometry Threshold Eval W/ Speech Recognition | $59.50 | $59.50 | — | — | — |
| Critical care, first 30 to 74 minutes CPT 99291 Pr Critical Care Ill/Injured Patient Init 30-74 Min | $654.02 | $654.02 | — | 78% below | — |
| Critical care, first 30 to 74 minutes CPT 99291 Hc Emergency Room Critical Care | $2,112.16 | $2,112.16 | — | 28% below | — |
| Critical care, first 30 to 74 minutes CPT 99291 Hc Cch Emergency Room Critical Care W/ Vent | $2,715.96 | $2,715.96 | — | 8% below | — |
| Critical care, first 30 to 74 minutes CPT 99291 Hc Cch Emergency Room Critical Care W/ Vent/Hypo | $3,302.29 | $3,302.29 | — | 12% above | — |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 Pr Critical Care Ill/Injured Patient Init 30-74 Min | $654.02 | $654.02 | — | — | — |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 Hc Emergency Room Critical Care | $2,112.16 | $2,112.16 | — | — | — |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 Hc Cch Emergency Room Critical Care W/ Vent | $2,715.96 | $2,715.96 | — | — | — |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 Hc Cch Emergency Room Critical Care W/ Vent/Hypo | $3,302.29 | $3,302.29 | — | — | — |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 Hc Cch Ekg 12 Lead Interpretation & Report | $250.43 | $250.43 | — | 1% below | — |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 Hc Cch Ekg 12 Lead Interpretation & Report | $250.43 | $250.43 | — | — | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Hc Ekg 12-Lead | $191.46 | $191.46 | — | 3% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Hc Ekg 12-Lead | $191.46 | $191.46 | — | — | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Pr Emergency Department Visit May Not Req Phys/Qhp | $28.09 | $28.09 | — | 90% below | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Hc Emergency Room Level 1 | $202.70 | $202.70 | — | 30% below | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 Pr Emergency Department Visit May Not Req Phys/Qhp | $28.09 | $28.09 | — | — | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 Hc Emergency Room Level 1 | $202.70 | $202.70 | — | — | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Pr Emergency Department Visit Straightforward Mdm | $160.06 | $160.06 | — | 69% below | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Hc Emergency Room Level 2 | $277.07 | $277.07 | — | 46% below | — |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 Pr Emergency Department Visit Straightforward Mdm | $160.06 | $160.06 | — | — | — |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 Hc Emergency Room Level 2 | $277.07 | $277.07 | — | — | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Pr Emergency Department Visit Low Mdm | $231.61 | $231.61 | — | 73% below | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Hc Emergency Room Level 3 | $409.41 | $409.41 | — | 52% below | — |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 Pr Emergency Department Visit Low Mdm | $231.61 | $231.61 | — | — | — |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 Hc Emergency Room Level 3 | $409.41 | $409.41 | — | — | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Pr Emergency Department Visit Moderate Mdm | $199.28 | $199.28 | — | 85% below | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Hc Emergency Room Level 4 | $1,138.23 | $1,138.23 | — | 15% below | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 Pr Emergency Department Visit Moderate Mdm | $199.28 | $199.28 | — | — | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 Hc Emergency Room Level 4 | $1,138.23 | $1,138.23 | — | — | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Pr Emergency Department Visit High Mdm | $512.51 | $512.51 | — | 67% below | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Hc Emergency Room Level 5 | $1,434.46 | $1,434.46 | — | 9% below | — |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Pr Emergency Department Visit High Mdm | $512.51 | $512.51 | — | — | — |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Hc Emergency Room Level 5 | $1,434.46 | $1,434.46 | — | — | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Hc Cch Mini Stress Test | $915.69 | $915.69 | — | 3% above | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Hc Stress Test W/ Continuous Ekg Monitoring | $915.69 | $915.69 | — | 3% above | — |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Hc Stress Test W/ Continuous Ekg Monitoring | $915.69 | $915.69 | — | — | — |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Hc Cch Mini Stress Test | $915.69 | $915.69 | — | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Hc Hydration Initial Hour | $311.32 | $311.32 | — | 26% below | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Hc Hydration Initial Hour | $311.32 | $311.32 | — | — | — |
| IV infusion of a medicine, first hour CPT 96365 Hc Iv Infusion Non-Chemo Initial Hour | $242.36 | $242.36 | — | 44% below | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 Hc Iv Infusion Non-Chemo Initial Hour | $242.36 | $242.36 | — | — | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Hc Injection Im Or Sq | $36.34 | $36.34 | — | 75% below | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Hc Injection Im Or Sq | $36.34 | $36.34 | — | — | — |
| Neuromuscular re-education, 15 minutes CPT 97112 Hc Cch Tilt Table Each 15 Mins By Pt | $76.36 | $76.36 | — | 29% below | — |
| Neuromuscular re-education, 15 minutes CPT 97112 Hc Neuromuscular Reeducation Each 15 Mins By Ot | $92.11 | $92.11 | — | 14% below | — |
| Neuromuscular re-education, 15 minutes CPT 97112 Hc Neuromuscular Reeducation Each 15 Mins | $92.72 | $92.72 | — | 14% below | — |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 Hc Cch Tilt Table Each 15 Mins By Pt | $76.36 | $76.36 | — | — | — |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 Hc Neuromuscular Reeducation Each 15 Mins By Ot | $92.11 | $92.11 | — | — | — |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 Hc Neuromuscular Reeducation Each 15 Mins | $92.72 | $92.72 | — | — | — |
| New patient office visit, about 30 minutes CPT 99203 Pr Office/Outpatient New Low Mdm 30 Minutes | $104.94 | $104.94 | — | 5% above | — |
| New patient office visit, about 30 minutes CPT 99203 Hc Clinic Visit New Pt Level 3 | $169.22 | $169.22 | — | 69% above | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 Pr Office/Outpatient New Low Mdm 30 Minutes | $104.94 | $104.94 | — | — | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 Hc Clinic Visit New Pt Level 3 | $169.22 | $169.22 | — | — | — |
| New patient office visit, about 45 minutes CPT 99204 Pr Office/Outpatient New Moderate Mdm 45 Minutes | $179.14 | $179.14 | — | 34% above | — |
| New patient office visit, about 45 minutes CPT 99204 Hc Clinic Visit New Pt Level 4 | $204.36 | $204.36 | — | 53% above | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 Pr Office/Outpatient New Moderate Mdm 45 Minutes | $179.14 | $179.14 | — | — | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 Hc Clinic Visit New Pt Level 4 | $204.36 | $204.36 | — | — | — |
| New patient office visit, about 60 minutes CPT 99205 Pr Office/Outpatient New High Mdm 60 Minutes | $230.02 | $230.02 | — | 29% above | — |
| New patient office visit, about 60 minutes CPT 99205 Hc Clinic Visit New Pt Level 5 | $265.25 | $265.25 | — | 49% above | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 Pr Office/Outpatient New High Mdm 60 Minutes | $230.02 | $230.02 | — | — | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 Hc Clinic Visit New Pt Level 5 | $265.25 | $265.25 | — | — | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 Pr Office/Outpatient New Sf Mdm 15 Minutes | $67.84 | $67.84 | — | 25% below | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 Hc Clinic Visit New Pt Level 2 | $128.25 | $128.25 | — | 42% above | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 Pr Office/Outpatient New Sf Mdm 15 Minutes | $67.84 | $67.84 | — | — | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 Hc Clinic Visit New Pt Level 2 | $128.25 | $128.25 | — | — | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Hc Medical Nutrition Therapy Individual Initial Assessment & Intervention Each 15 Mins | $86.13 | $86.13 | — | 32% above | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 Hc Medical Nutrition Therapy Individual Initial Assessment & Intervention Each 15 Mins | $86.13 | $86.13 | — | — | — |
| Occupational therapy evaluation, low complexity CPT 97165 Hc Ot Evaluation Low Complexity | $164.84 | $164.84 | — | 37% below | — |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 Hc Ot Evaluation Low Complexity | $164.84 | $164.84 | — | — | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Hc Pt Evaluation High Complexity | $284.19 | $284.19 | — | 4% below | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 Hc Pt Evaluation High Complexity | $284.19 | $284.19 | — | — | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Hc Cch Pt Evaluation Sports | $83.01 | $83.01 | — | 69% below | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Hc Pt Evaluation Low Complexity | $164.84 | $164.84 | — | 38% below | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 Hc Cch Pt Evaluation Sports | $83.01 | $83.01 | — | — | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 Hc Pt Evaluation Low Complexity | $164.84 | $164.84 | — | — | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Hc Pt Evaluation Moderate Complexity | $224.82 | $224.82 | — | 19% below | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 Hc Pt Evaluation Moderate Complexity | $224.82 | $224.82 | — | — | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Hc Cch Manual Therapy Techniques W/ Astym Each 15 Mins By Ot | $110.91 | $110.91 | — | 3% above | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Hc Manual Therapy Techniques Each 15 Mins | $110.91 | $110.91 | — | 3% above | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Hc Manual Therapy Techniques Each 15 Mins By Ot | $110.91 | $110.91 | — | 3% above | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Hc Cch Manual Therapy Techniques W/ Astym Each 15 Mins | $111.51 | $111.51 | — | 4% above | — |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Hc Manual Therapy Techniques Each 15 Mins | $110.91 | $110.91 | — | — | — |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Hc Cch Manual Therapy Techniques W/ Astym Each 15 Mins By Ot | $110.91 | $110.91 | — | — | — |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Hc Manual Therapy Techniques Each 15 Mins By Ot | $110.91 | $110.91 | — | — | — |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Hc Cch Manual Therapy Techniques W/ Astym Each 15 Mins | $111.51 | $111.51 | — | — | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Hc Cch Continuous Passive Motion Adjust Each 15 Mins | $84.24 | $84.24 | — | 25% below | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Hc Cch Continuous Passive Motion Adjust Each 15 Mins By Ot | $85.45 | $85.45 | — | 23% below | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Hc Therapeutic Exercises Rom & Flexibility Each 15 Mins By Ot | $108.48 | $108.48 | — | 3% below | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Hc Cch Continuous Passive Motion Set-Up Each 15 Mins | $108.48 | $108.48 | — | 3% below | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Hc Therapeutic Exercises Rom & Flexibility Each 15 Mins | $108.48 | $108.48 | — | 3% below | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Hc Cch Continuous Passive Motion Set-Up Each 15 Mins By Ot | $109.68 | $109.68 | — | 2% below | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Hc Cch Therapeutic Exercise Rom & Flexibility W/Mod Each 15 Mins | $117.57 | $117.57 | — | 5% above | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Hc Cch Therapeutic Exercise Rom & Flexibility W/Mod Each 15 Mins By Ot | $119.38 | $119.38 | — | 7% above | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Hc Cch Continuous Passive Motion Adjust Each 15 Mins | $84.24 | $84.24 | — | — | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Hc Cch Continuous Passive Motion Adjust Each 15 Mins By Ot | $85.45 | $85.45 | — | — | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Hc Cch Continuous Passive Motion Set-Up Each 15 Mins | $108.48 | $108.48 | — | — | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Hc Therapeutic Exercises Rom & Flexibility Each 15 Mins | $108.48 | $108.48 | — | — | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Hc Therapeutic Exercises Rom & Flexibility Each 15 Mins By Ot | $108.48 | $108.48 | — | — | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Hc Cch Continuous Passive Motion Set-Up Each 15 Mins By Ot | $109.68 | $109.68 | — | — | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Hc Cch Therapeutic Exercise Rom & Flexibility W/Mod Each 15 Mins | $117.57 | $117.57 | — | — | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Hc Cch Therapeutic Exercise Rom & Flexibility W/Mod Each 15 Mins By Ot | $119.38 | $119.38 | — | — | — |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 Pr Tobacco Use Cessation Intermediate 3-10 Minutes | $26.50 | $26.50 | — | 38% below | — |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 Hc Cch Smoking & Tobacco Use Cessation Counseling 3-10 Mins | $80.71 | $80.71 | — | 88% above | — |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Pr Tobacco Use Cessation Intermediate 3-10 Minutes | $26.50 | $26.50 | — | — | — |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Hc Cch Smoking & Tobacco Use Cessation Counseling 3-10 Mins | $80.71 | $80.71 | — | — | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 Pr Office/Outpatient Established High Mdm 40 Min | $205.64 | $205.64 | — | 22% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 Hc Clinic Visit Established Pt Level 5 | $283.41 | $283.41 | — | 68% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 Hc Cancelled Procedure In Preop | $390.37 | $390.37 | — | 131% above | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Pr Office/Outpatient Established High Mdm 40 Min | $205.64 | $205.64 | — | — | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Hc Clinic Visit Established Pt Level 5 | $283.41 | $283.41 | — | — | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Hc Cancelled Procedure In Preop | $390.37 | $390.37 | — | — | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Pr Office/Outpatient Established Low Mdm 20 Min | $74.20 | $74.20 | — | 31% below | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Hc Clinic Visit Established Pt Level 3 | $112.51 | $112.51 | — | 4% above | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Pr Office/Outpatient Established Low Mdm 20 Min | $74.20 | $74.20 | — | — | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Hc Clinic Visit Established Pt Level 3 | $112.51 | $112.51 | — | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Hc Clinic Visit Established Pt Level 4 | $152.24 | $152.24 | — | 7% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Pr Office/Outpatient Established Mod Mdm 30 Min | $198.75 | $198.75 | — | 40% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Hc Clinic Visit Established Pt Level 4 | $152.24 | $152.24 | — | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Pr Office/Outpatient Established Mod Mdm 30 Min | $198.75 | $198.75 | — | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Pr Office/Outpatient Established Sf Mdm 10 Min | $64.66 | $64.66 | — | 34% below | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Hc Clinic Visit Established Pt Level 2 | $97.16 | $97.16 | — | at median | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Pr Office/Outpatient Established Sf Mdm 10 Min | $64.66 | $64.66 | — | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Hc Clinic Visit Established Pt Level 2 | $97.16 | $97.16 | — | — | — |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 Pr Office/Op Consltj New/Est Pt Low Mdm 30 Minutes | $188.15 | $188.15 | — | 31% above | — |
| Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 Pr Office/Op Consltj New/Est Pt Low Mdm 30 Minutes | $188.15 | $188.15 | — | — | — |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 Pr Office/Op Consltj New/Est Pt Mod Mdm 40 Minutes | $310.58 | $310.58 | — | 51% above | — |
| Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 Pr Office/Op Consltj New/Est Pt Mod Mdm 40 Minutes | $310.58 | $310.58 | — | — | — |
| Speech and language evaluation CPT 92523 Hc Speech Evaluation Sound Production W/ Language Comprehension And Expression | $291.49 | $291.49 | — | 8% below | — |
| Speech and language evaluation inpatient CPT 92523 Hc Speech Evaluation Sound Production W/ Language Comprehension And Expression | $291.49 | $291.49 | — | — | — |
| Speech therapy session, individual CPT 92507 Hc Cch Speech Therapy/Language Development Educ Indiv | $98.78 | $98.78 | — | 57% below | — |
| Speech therapy session, individual CPT 92507 Hc Speech Therapy Individual | $219.98 | $219.98 | — | 5% below | — |
| Speech therapy session, individual inpatient CPT 92507 Hc Cch Speech Therapy/Language Development Educ Indiv | $98.78 | $98.78 | — | — | — |
| Speech therapy session, individual inpatient CPT 92507 Hc Speech Therapy Individual | $219.98 | $219.98 | — | — | — |
| Spirometry (breathing test) CPT 94010 Hc Spirometry Vital Capacity W/ Or W/O Maximal Voluntary Ventilation | $234.03 | $234.03 | — | 19% below | — |
| Spirometry (breathing test) CPT 94010 Hc Cch Spirometry Vital Capacity W/ Or W/O Maximal Voluntary Ventilation | $323.14 | $323.14 | — | 12% above | — |
| Spirometry (breathing test) inpatient CPT 94010 Hc Spirometry Vital Capacity W/ Or W/O Maximal Voluntary Ventilation | $234.03 | $234.03 | — | — | — |
| Spirometry (breathing test) inpatient CPT 94010 Hc Cch Spirometry Vital Capacity W/ Or W/O Maximal Voluntary Ventilation | $323.14 | $323.14 | — | — | — |
| Spirometry before and after a bronchodilator CPT 94060 Hc Bronchodilation Response Pre & Post Bronchodilator Admin | $576.20 | $576.20 | — | 2% above | — |
| Spirometry before and after a bronchodilator CPT 94060 Hc Cch Bronchodilation Response Pre & Post Bronchodilator Admin | $709.24 | $709.24 | — | 25% above | — |
| Spirometry before and after a bronchodilator inpatient CPT 94060 Hc Bronchodilation Response Pre & Post Bronchodilator Admin | $576.20 | $576.20 | — | — | — |
| Spirometry before and after a bronchodilator inpatient CPT 94060 Hc Cch Bronchodilation Response Pre & Post Bronchodilator Admin | $709.24 | $709.24 | — | — | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Hc Therapeutic Activities Direct- Each 15 Minutes By Ot | $98.18 | $98.18 | — | 21% below | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Hc Therapeutic Activities Direct Each 15 Mins | $98.18 | $98.18 | — | 21% below | — |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Hc Therapeutic Activities Direct Each 15 Mins | $98.18 | $98.18 | — | — | — |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Hc Therapeutic Activities Direct- Each 15 Minutes By Ot | $98.18 | $98.18 | — | — | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Hc Phlebotomy Therapeutic | $211.07 | $211.07 | — | 16% below | — |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Hc Phlebotomy Therapeutic | $211.07 | $211.07 | — | — | — |
| Treadmill or drug stress test with ECG, supervision and report CPT 93015 Hc Cch Stress Test W/ Continuous Ekg Monitoring Interpretation & Rpt | $540.00 | $540.00 | — | 14% below | — |
| Treadmill or drug stress test with ECG, supervision and report inpatient CPT 93015 Hc Cch Stress Test W/ Continuous Ekg Monitoring Interpretation & Rpt | $540.00 | $540.00 | — | — | — |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Ohio | Off list |
|---|---|---|---|---|---|
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Influenza Virus Vaccine Split PF Susp Pref Syringe 0.5 ML | $99.22 | $99.22 | — | 117% above | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 Influenza Virus Vaccine Split PF Susp Pref Syringe 0.5 ML | $99.22 | $99.22 | — | — | — |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 Human Papillomavirus (HPV) 9-Valent Recomb Vac Susp Pref Syr | $1,875.67 | $1,875.67 | — | 261% above | — |
| HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 Human Papillomavirus (HPV) 9-Valent Recomb Vac Susp Pref Syr | $1,875.67 | $1,875.67 | — | — | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Hepatitis B Vaccine (Recombinant) Susp Pref Syr 20 MCG/ML | $471.18 | $471.18 | — | 203% above | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 Hepatitis B Vaccine (Recombinant) Susp Pref Syr 20 MCG/ML | $471.18 | $471.18 | — | — | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Influenza Virus Vac Split High-Dose PF Susp Pref Syr 0.5ML | $368.95 | $368.95 | — | 232% above | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 Influenza Virus Vac Split High-Dose PF Susp Pref Syr 0.5ML | $368.95 | $368.95 | — | — | — |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 Measles-Mumps-Rubella Virus Vaccines For Inj Soln | $580.49 | $580.49 | — | 179% above | — |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 Measles-Mumps-Rubella Virus Vaccines For Inj Soln | $580.49 | $580.49 | — | — | — |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 RSV Pre-Fusion F A&B Vac Recomb For IM Soln 120 MCG/0.5ML | $1,798.78 | $1,798.78 | — | 150% above | — |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 RSV Pre-Fusion F A&B Vac Recomb For IM Soln 120 MCG/0.5ML | $1,798.78 | $1,798.78 | — | — | — |
| Rabies vaccine, one dose CPT 90675 Rabies Vaccine PCEC For Inj | $2,523.84 | $2,523.84 | — | 164% above | — |
| Rabies vaccine, one dose inpatient CPT 90675 Rabies Vaccine PCEC For Inj | $2,523.84 | $2,523.84 | — | — | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Tetanus-Diphtheria Toxoids (Td) Inj 5-2 LFU | $271.19 | $271.19 | — | 204% above | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 Tetanus-Diphtheria Toxoids (Td) Inj 5-2 LFU | $271.19 | $271.19 | — | — | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tet-Diph-Acell Pertuss Ad Pref Syr 5-2.5-18.5 LF-MCG/0.5ML | $321.34 | $321.34 | — | 191% above | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tet Tox-Diph-Acell Pertuss Ad Inj 5-2.5-18.5 LF-LF-MCG/0.5ML | $321.34 | $321.34 | — | 191% above | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tet Tox-Diph-Acell Pertuss Ad Inj 5-2-15.5 LF-LF-MCG/0.5ML | $324.33 | $324.33 | — | 194% above | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Tet Tox-Diph-Acell Pertuss Ad Inj 5-2.5-18.5 LF-LF-MCG/0.5ML | $321.34 | $321.34 | — | — | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Tet-Diph-Acell Pertuss Ad Pref Syr 5-2.5-18.5 LF-MCG/0.5ML | $321.34 | $321.34 | — | — | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Tet Tox-Diph-Acell Pertuss Ad Inj 5-2-15.5 LF-LF-MCG/0.5ML | $324.33 | $324.33 | — | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Hc Vaccine Administration Initial | $34.89 | $34.89 | — | 13% below | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Hc Vaccine Administration Initial | $34.89 | $34.89 | — | — | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Hc Vaccine Administration Each Additional | $32.60 | $32.60 | — | 6% below | — |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Hc Vaccine Administration Each Additional | $32.60 | $32.60 | — | — | — |
Source file: https://hospitalpricedisclosure.com/download.aspx?pi=UQsnF1xuEdRnE*__*SX6YfSwA*-*