SelfPayRates
Hospital

Jackson Parish Hospital

Jackson Parish Hospital in Jonesboro, LA publishes cash prices for 278 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are above the Louisiana median for 267 of 274 procedures and below it for 6. By typical cash price it ranks #46 of 58 Louisiana hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

165 Beech Springs Road, Jonesboro, LA 71251 Collected Sep 27, 2026 Source price file (318) 259-4435

Critical access hospital (rural, 25 beds or fewer) Emergency department CCN 191317 · CMS hospital register NPI 1093793408

The price file shows no self-pay discount

For 1592 of the 1592 prices listed here, the cash price in Jackson Parish 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. Other US hospitals whose cash price is their full list price.

Scans and imaging

ProcedureCash price List priceInsurers payvs LouisianaOff list
Abdominal CT scan without and with contrast CPT 74170 CT Abdomen w/ + w/o Contrast $1,937.00 $1,937.00 $1,065.37–$1,394.89 90% above —
Abdominal CT scan without and with contrast inpatient CPT 74170 CT Abdomen w/ + w/o Contrast $1,937.00 $1,937.00 $1,065.37–$1,394.89 — —
Abdominal X-ray, 2 views CPT 74019 XR Abdomen Complete w Decub and/or Erect $190.00 $190.00 $108.99–$137.03 4% above —
Abdominal X-ray, 2 views inpatient CPT 74019 XR Abdomen Complete w Decub and/or Erect $190.00 $190.00 $108.99–$137.03 — —
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR Ankle Complete 3+ Views Right $150.00 $150.00 $84.51–$136.00 25% above —
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR Ankle Complete 3+ Views Left $150.00 $150.00 $84.51–$136.00 25% above —
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR Ankle Complete 3+ Views Right $150.00 $150.00 $84.51–$136.00 — —
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR Ankle Complete 3+ Views Left $150.00 $150.00 $84.51–$136.00 — —
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US Ankle Brachial Index $730.00 $730.00 $414.72–$653.38 331% above —
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 JPH US ANKLE BRACHIAL INDEX $730.00 $730.00 $414.72–$653.38 331% above —
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 JPH US ANKLE BRACHIAL INDEX $730.00 $730.00 $414.72–$653.38 — —
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 US Ankle Brachial Index $730.00 $730.00 $414.72–$653.38 — —
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Humerus w/o Contrast Left $961.00 $961.00 $474.58–$692.30 48% above —
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Wrist w/o Contrast Right $961.00 $961.00 $474.58–$692.30 48% above —
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Wrist w/o Contrast Left $961.00 $961.00 $474.58–$692.30 48% above —
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Shoulder w/o Contrast Right $961.00 $961.00 $474.58–$692.30 48% above —
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Shoulder w/o Contrast Left $961.00 $961.00 $474.58–$692.30 48% above —
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Elbow w/o Contrast Left $961.00 $961.00 $474.58–$692.30 48% above —
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Elbow w/o Contrast Right $961.00 $961.00 $474.58–$692.30 48% above —
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Forearm w/o Contrast Left $961.00 $961.00 $474.58–$692.30 48% above —
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Forearm w/o Contrast Right $961.00 $961.00 $474.58–$692.30 48% above —
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Hand w/o Contrast Left $961.00 $961.00 $474.58–$692.30 48% above —
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Humerus w/o Contrast Right $961.00 $961.00 $474.58–$692.30 48% above —
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Hand w/o Contrast Right $961.00 $961.00 $474.58–$692.30 48% above —
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Shoulder w/o Contrast Left $961.00 $961.00 $474.58–$692.30 — —
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Shoulder w/o Contrast Right $961.00 $961.00 $474.58–$692.30 — —
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Wrist w/o Contrast Right $961.00 $961.00 $474.58–$692.30 — —
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Elbow w/o Contrast Right $961.00 $961.00 $474.58–$692.30 — —
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Humerus w/o Contrast Right $961.00 $961.00 $474.58–$692.30 — —
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Forearm w/o Contrast Left $961.00 $961.00 $474.58–$692.30 — —
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Forearm w/o Contrast Right $961.00 $961.00 $474.58–$692.30 — —
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Hand w/o Contrast Right $961.00 $961.00 $474.58–$692.30 — —
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Humerus w/o Contrast Left $961.00 $961.00 $474.58–$692.30 — —
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Hand w/o Contrast Left $961.00 $961.00 $474.58–$692.30 — —
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Wrist w/o Contrast Left $961.00 $961.00 $474.58–$692.30 — —
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Elbow w/o Contrast Left $961.00 $961.00 $474.58–$692.30 — —
Breast ultrasound, complete, one breast one side CPT 76641 US Breast Complete Right $339.00 $339.00 $243.97 103% above —
Breast ultrasound, complete, one breast one side CPT 76641 US Breast Complete Left $339.00 $339.00 $243.97 103% above —
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US Breast Complete Right $339.00 $339.00 $243.97 — —
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US Breast Complete Left $339.00 $339.00 $243.97 — —
Breast ultrasound, limited (one breast or one area) both sides CPT 76642 US Breast Limited Bilat $570.00 $570.00 $163.17–$259.00 — —
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US Breast Limited Left $285.00 $285.00 $163.17–$259.00 70% above —
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US Breast Limited Right $285.00 $285.00 $163.17–$259.00 70% above —
Breast ultrasound, limited (one breast or one area) inpatient both sides CPT 76642 US Breast Limited Bilat $570.00 $570.00 $163.17–$259.00 — —
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US Breast Limited Right $285.00 $285.00 $163.17–$259.00 — —
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US Breast Limited Left $285.00 $285.00 $163.17–$259.00 — —
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CT Angio Abdomen and Pelvis $1,898.00 $1,898.00 $1,086.75–$1,690.50 112% above —
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CT Angio Abdomen and Pelvis $1,898.00 $1,898.00 $1,086.75–$1,690.50 — —
CT angiography (CTA) of the head CPT 70496 CT Angio Brain/Head $2,533.00 $2,533.00 $1,450.89–$2,262.94 263% above —
CT angiography (CTA) of the head inpatient CPT 70496 CT Angio Brain/Head $2,533.00 $2,533.00 $1,450.89–$2,262.94 — —
CT angiography (CTA) of the neck CPT 70498 CT Angio Neck $1,900.00 $1,900.00 $1,040.00–$1,367.96 172% above —
CT angiography (CTA) of the neck inpatient CPT 70498 CT Angio Neck $1,900.00 $1,900.00 $1,040.00–$1,367.96 — —
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT Angio Pulmonary $1,690.00 $1,690.00 $834.05–$1,505.28 93% above —
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT Angio Chest $1,943.00 $1,943.00 $834.05–$1,505.28 122% above —
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT Angio Pulmonary $1,690.00 $1,690.00 $834.05–$1,505.28 — —
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT Angio Chest $1,943.00 $1,943.00 $834.05–$1,505.28 — —
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT Abdomen and Pelvis w/o Contrast $2,187.00 $2,187.00 $1,020.00–$1,689.80 94% above —
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT Abdomen and Pelvis w/o Contrast $2,187.00 $2,187.00 $1,020.00–$1,689.80 — —
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abdomen and Pelvis w/ Contrast $2,705.00 $2,705.00 $850.52–$2,409.82 104% above —
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Abdomen and Pelvis w/ Contrast $2,705.00 $2,705.00 $850.52–$2,409.82 — —
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT Abdomen and Pelvis w/ + w/o Contrast $3,454.00 $3,454.00 $1,020.00–$3,077.20 139% above —
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT Abdomen and Pelvis w/ + w/o Contrast $3,454.00 $3,454.00 $1,020.00–$3,077.20 — —
CT scan of the abdomen with contrast CPT 74160 CT Abdomen w/ Contrast $1,339.00 $1,339.00 $766.71–$963.99 51% above —
CT scan of the abdomen with contrast inpatient CPT 74160 CT Abdomen w/ Contrast $1,339.00 $1,339.00 $766.71–$963.99 — —
CT scan of the abdomen without contrast CPT 74150 CT Abdomen w/o Contrast $1,313.00 $1,313.00 $648.34–$945.77 72% above —
CT scan of the abdomen without contrast inpatient CPT 74150 CT Abdomen w/o Contrast $1,313.00 $1,313.00 $648.34–$945.77 — —
CT scan of the face and sinuses, no contrast dye CPT 70486 CT Maxillofacial w/o Contrast $1,128.00 $1,128.00 $636.93–$1,020.00 70% above —
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT Maxillofacial w/o Contrast $1,128.00 $1,128.00 $636.93–$1,020.00 — —
CT scan of the head or brain, no contrast dye CPT 70450 CT Brain/Head w/o Contrast $1,128.00 $1,128.00 $556.57–$1,025.00 72% above —
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Brain/Head w/o Contrast $1,128.00 $1,128.00 $556.57–$1,025.00 — —
CT scan of the head with contrast CPT 70460 CT Brain/Head w/ Contrast $1,322.00 $1,322.00 $952.10–$967.73 81% above —
CT scan of the head with contrast inpatient CPT 70460 CT Brain/Head w/ Contrast $1,322.00 $1,322.00 $952.10–$967.73 — —
CT scan of the head without and with contrast CPT 70470 CT Brain/Head w/ + w/o Contrast $1,432.00 $1,432.00 $820.26–$1,087.23 57% above —
CT scan of the head without and with contrast inpatient CPT 70470 CT Brain/Head w/ + w/o Contrast $1,432.00 $1,432.00 $820.26–$1,087.23 — —
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT Spine Lumbar w/o Contrast $1,128.00 $1,128.00 $635.42–$1,025.00 49% above —
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT Spine Lumbar w/o Contrast $1,128.00 $1,128.00 $635.42–$1,025.00 — —
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT Spine Cervical w/o Contrast $1,123.00 $1,123.00 $554.40–$1,000.58 52% above —
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT Spine Cervical w/o Contrast $1,123.00 $1,123.00 $554.40–$1,000.58 — —
CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis w/ Contrast $1,366.00 $1,366.00 $983.79–$1,047.97 71% above —
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT Pelvis w/ Contrast $1,366.00 $1,366.00 $983.79–$1,047.97 — —
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 US Carotid Duplex Bilateral $640.00 $640.00 $360.13–$461.00 — —
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 US Carotid Duplex Bilateral $640.00 $640.00 $360.13–$461.00 — —
Chest CT scan without and with contrast CPT 71270 CT Chest w/ + w/o Contrast $1,618.00 $1,618.00 $798.75–$1,441.58 53% above —
Chest CT scan without and with contrast inpatient CPT 71270 CT Chest w/ + w/o Contrast $1,618.00 $1,618.00 $798.75–$1,441.58 — —
Chest X-ray, 2 views CPT 71046 XR Chest 2 Views $193.00 $193.00 $108.49–$175.00 46% above —
Chest X-ray, 2 views inpatient CPT 71046 XR Chest 2 Views $193.00 $193.00 $108.49–$175.00 — —
Chest X-ray, single view CPT 71045 XR Chest 1 View $162.00 $162.00 $79.82–$147.00 47% above —
Chest X-ray, single view inpatient CPT 71045 XR Chest 1 View $162.00 $162.00 $79.82–$147.00 — —
Collarbone (clavicle) X-ray, complete one side CPT 73000 XR Clavicle Right $134.00 $134.00 $92.55–$96.64 14% above —
Collarbone (clavicle) X-ray, complete one side CPT 73000 XR Clavicle Left $134.00 $134.00 $92.55–$96.64 14% above —
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XR Clavicle Right $134.00 $134.00 $92.55–$96.64 — —
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XR Clavicle Left $134.00 $134.00 $92.55–$96.64 — —
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US Retroperitoneal Complete $339.00 $339.00 $97.02–$301.84 18% above —
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US Retroperitoneal Complete $339.00 $339.00 $97.02–$301.84 — —
DEXA bone density scan of the hip, pelvis or spine CPT 77080 BD Bone Density DEXA Axial Skeleton $422.00 $422.00 $179.00–$376.32 191% above —
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 BD Bone Density DEXA Axial Skeleton $422.00 $422.00 $179.00–$376.32 — —
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Chest w/o Contrast $1,128.00 $1,128.00 $635.33–$1,025.00 48% above —
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT Chest w/o Contrast $1,128.00 $1,128.00 $635.33–$1,025.00 — —
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT Chest w/ Contrast $1,348.00 $1,348.00 $385.88–$1,225.00 57% above —
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT Chest w/ Contrast $1,348.00 $1,348.00 $385.88–$1,225.00 — —
Diagnostic mammogram, both breasts both sides CPT 77066 MG Mammo Digital Diagnostic Bilat $260.00 $260.00 $52.52–$186.94 — —
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MG Mammo Digital Diagnostic Bilat $260.00 $260.00 $52.52–$186.94 — —
Diagnostic mammogram, one breast one side CPT 77065 MG Mammo Digital Diagnostic Left $209.00 $209.00 $119.70–$190.00 72% above —
Diagnostic mammogram, one breast one side CPT 77065 MG Mammo Digital Diagnostic Right $209.00 $209.00 $119.70–$190.00 72% above —
Diagnostic mammogram, one breast inpatient one side CPT 77065 MG Mammo Digital Diagnostic Right $209.00 $209.00 $119.70–$190.00 — —
Diagnostic mammogram, one breast inpatient one side CPT 77065 MG Mammo Digital Diagnostic Left $209.00 $209.00 $119.70–$190.00 — —
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US Lower Ext Arterial Duplex Bilateral $600.00 $600.00 $295.93–$431.69 — —
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 US Lower Ext Arterial Duplex Bilateral $600.00 $600.00 $295.93–$431.69 — —
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US Lower Ext Venous Duplex Bilateral $600.00 $600.00 $295.93–$431.69 — —
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US Upper Ext Venous Duplex Bilateral $600.00 $600.00 $295.93–$431.69 — —
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US Lower Ext Venous Duplex Bilateral $600.00 $600.00 $295.93–$431.69 — —
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US Upper Ext Venous Duplex Bilateral $600.00 $600.00 $295.93–$431.69 — —
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 RT Echocardiogram CHARGE $1,322.00 $1,322.00 $746.92–$1,177.96 81% above —
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 US Echocardiogram Complete $1,322.00 $1,322.00 $746.92–$1,177.96 81% above —
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 US Echocardiogram Complete $1,322.00 $1,322.00 $746.92–$1,177.96 — —
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 RT Echocardiogram CHARGE $1,322.00 $1,322.00 $746.92–$1,177.96 — —
Elbow X-ray, 2 views one side CPT 73070 XR Elbow 2 Views Right $168.00 $168.00 $83.08–$149.94 44% above —
Elbow X-ray, 2 views one side CPT 73070 XR Elbow 2 Views Left $168.00 $168.00 $83.08–$149.94 44% above —
Elbow X-ray, 2 views inpatient one side CPT 73070 XR Elbow 2 Views Left $168.00 $168.00 $83.08–$149.94 — —
Elbow X-ray, 2 views inpatient one side CPT 73070 XR Elbow 2 Views Right $168.00 $168.00 $83.08–$149.94 — —
Elbow X-ray, complete, 3 or more views one side CPT 73080 XR Elbow Complete 3+ Views Right $177.00 $177.00 $100.05–$127.53 35% above —
Elbow X-ray, complete, 3 or more views one side CPT 73080 XR Elbow Complete 3+ Views Left $177.00 $177.00 $100.05–$127.53 35% above —
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XR Elbow Complete 3+ Views Left $177.00 $177.00 $100.05–$127.53 — —
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XR Elbow Complete 3+ Views Right $177.00 $177.00 $100.05–$127.53 — —
Eye socket (orbit) CT scan without contrast CPT 70480 CT Orbits Sella w/o Contrast $1,010.00 $1,010.00 $569.09–$727.15 66% above —
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT Orbits Sella w/o Contrast $1,010.00 $1,010.00 $569.09–$727.15 — —
Facial bones X-ray, complete, 3 or more views CPT 70150 XR Facial Bones 3+ Views $190.00 $190.00 $99.03–$170.23 21% above —
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 XR Facial Bones 3+ Views $190.00 $190.00 $99.03–$170.23 — —
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR Forearm 2 Views Left $127.00 $127.00 $62.44–$115.00 12% above —
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR Forearm 2 Views Right $127.00 $127.00 $62.44–$115.00 12% above —
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XR Forearm 2 Views Left $127.00 $127.00 $62.44–$115.00 — —
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XR Forearm 2 Views Right $127.00 $127.00 $62.44–$115.00 — —
Hand X-ray, 2 views one side CPT 73120 XR Hand 2 Views Left $145.00 $145.00 $71.68–$131.86 38% above —
Hand X-ray, 2 views one side CPT 73120 XR Hand 2 Views Right $145.00 $145.00 $71.68–$131.86 38% above —
Hand X-ray, 2 views inpatient one side CPT 73120 XR Hand 2 Views Left $145.00 $145.00 $71.68–$131.86 — —
Hand X-ray, 2 views inpatient one side CPT 73120 XR Hand 2 Views Right $145.00 $145.00 $71.68–$131.86 — —
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR Calcaneus Left $135.00 $135.00 $66.79–$97.43 24% above —
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR Calcaneus Right $135.00 $135.00 $66.79–$97.43 24% above —
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 XR Calcaneus Left $135.00 $135.00 $66.79–$97.43 — —
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 XR Calcaneus Right $135.00 $135.00 $66.79–$97.43 — —
Knee X-ray, 3 views one side CPT 73562 XR Knee 3 Views Left $169.00 $169.00 $95.70–$121.98 25% above —
Knee X-ray, 3 views one side CPT 73562 XR Knee 3 Views Right $169.00 $169.00 $95.70–$121.98 25% above —
Knee X-ray, 3 views inpatient one side CPT 73562 XR Knee 3 Views Right $169.00 $169.00 $95.70–$121.98 — —
Knee X-ray, 3 views inpatient one side CPT 73562 XR Knee 3 Views Left $169.00 $169.00 $95.70–$121.98 — —
Knee X-ray, complete, 4 or more views one side CPT 73564 XR Knee Complete 4+ Views Right $186.00 $186.00 $105.02–$169.00 22% above —
Knee X-ray, complete, 4 or more views one side CPT 73564 XR Knee Complete 4+ Views Left $186.00 $186.00 $105.02–$169.00 22% above —
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XR Knee Complete 4+ Views Right $186.00 $186.00 $105.02–$169.00 — —
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XR Knee Complete 4+ Views Left $186.00 $186.00 $105.02–$169.00 — —
Leg CT scan without contrast (hip to foot, any part) both sides CPT 73700 CT Hip w/o Contrast Bilateral $961.00 $961.00 $550.62–$813.49 — —
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Knee w/o Contrast Left $961.00 $961.00 $550.62–$813.49 58% above —
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Hip w/o Contrast Left $961.00 $961.00 $550.62–$813.49 58% above —
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Tibia/Fibula w/o Contrast Left $961.00 $961.00 $550.62–$813.49 58% above —
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Tibia/Fibula w/o Contrast Right $961.00 $961.00 $550.62–$813.49 58% above —
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Hip w/o Contrast Right $961.00 $961.00 $550.62–$813.49 58% above —
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Knee w/o Contrast Right $961.00 $961.00 $550.62–$813.49 58% above —
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Ankle w/o Contrast Right $1,130.00 $1,130.00 $550.62–$813.49 85% above —
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Femur w/o Contrast Left $1,130.00 $1,130.00 $550.62–$813.49 85% above —
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Foot w/o Contrast Left $1,130.00 $1,130.00 $550.62–$813.49 85% above —
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Foot w/o Contrast Right $1,130.00 $1,130.00 $550.62–$813.49 85% above —
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Ankle w/o Contrast Left $1,130.00 $1,130.00 $550.62–$813.49 85% above —
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Femur w/o Contrast Right $1,130.00 $1,130.00 $550.62–$813.49 85% above —
Leg CT scan without contrast (hip to foot, any part) inpatient both sides CPT 73700 CT Hip w/o Contrast Bilateral $961.00 $961.00 $550.62–$813.49 — —
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Tibia/Fibula w/o Contrast Left $961.00 $961.00 $550.62–$813.49 — —
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Hip w/o Contrast Right $961.00 $961.00 $550.62–$813.49 — —
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Hip w/o Contrast Left $961.00 $961.00 $550.62–$813.49 — —
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Knee w/o Contrast Right $961.00 $961.00 $550.62–$813.49 — —
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Tibia/Fibula w/o Contrast Right $961.00 $961.00 $550.62–$813.49 — —
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Knee w/o Contrast Left $961.00 $961.00 $550.62–$813.49 — —
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Ankle w/o Contrast Right $1,130.00 $1,130.00 $550.62–$813.49 — —
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Foot w/o Contrast Right $1,130.00 $1,130.00 $550.62–$813.49 — —
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Foot w/o Contrast Left $1,130.00 $1,130.00 $550.62–$813.49 — —
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Femur w/o Contrast Right $1,130.00 $1,130.00 $550.62–$813.49 — —
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Femur w/o Contrast Left $1,130.00 $1,130.00 $550.62–$813.49 — —
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Ankle w/o Contrast Left $1,130.00 $1,130.00 $550.62–$813.49 — —
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 76705 US Abdomen/Lower Back Limited $317.00 $317.00 $156.38–$244.80 20% above —
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Gallbladder $317.00 $317.00 $156.38–$244.80 20% above —
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Biliary Tract $317.00 $317.00 $156.38–$244.80 20% above —
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Spleen $317.00 $317.00 $156.38–$244.80 20% above —
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Liver (Hepatic) $317.00 $317.00 $156.38–$244.80 20% above —
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Pancreas $317.00 $317.00 $156.38–$244.80 20% above —
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Soft Tissue $339.00 $339.00 $156.38–$244.80 29% above —
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Pancreas $317.00 $317.00 $156.38–$244.80 — —
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Liver (Hepatic) $317.00 $317.00 $156.38–$244.80 — —
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Spleen $317.00 $317.00 $156.38–$244.80 — —
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Biliary Tract $317.00 $317.00 $156.38–$244.80 — —
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Gallbladder $317.00 $317.00 $156.38–$244.80 — —
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 76705 US Abdomen/Lower Back Limited $317.00 $317.00 $156.38–$244.80 — —
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Soft Tissue $339.00 $339.00 $156.38–$244.80 — —
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US Extremity Nonvascular Limited Left $339.00 $339.00 $167.24–$308.00 95% above —
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US Extremity Nonvascular Limited Right $339.00 $339.00 $167.24–$308.00 95% above —
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US Extremity Nonvascular Limited Left $339.00 $339.00 $167.24–$308.00 — —
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US Extremity Nonvascular Limited Right $339.00 $339.00 $167.24–$308.00 — —
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT Low Dose Count Screening $1,618.00 $1,618.00 $463.37–$1,165.18 949% above —
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT Low Dose Count Screening $1,618.00 $1,618.00 $463.37–$1,165.18 — —
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR Tibia/Fibula Right $153.00 $153.00 $87.18–$139.00 30% above —
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR Tibia/Fibula Left $153.00 $153.00 $87.18–$139.00 30% above —
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR Tibia/Fibula Right $153.00 $153.00 $87.18–$139.00 — —
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR Tibia/Fibula Left $153.00 $153.00 $87.18–$139.00 — —
MR angiography (MRA) of the head without contrast CPT 70544 MRA Brain/Head w/o Contrast $2,368.00 $2,368.00 $1,507.10 161% above —
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA Brain/Head w/o Contrast $2,368.00 $2,368.00 $1,507.10 — —
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Ankle w/o Contrast Left $2,312.00 $2,312.00 $1,141.39–$1,664.99 113% above —
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Ankle w/o Contrast Right $2,312.00 $2,312.00 $1,141.39–$1,664.99 113% above —
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Foot w/o Contrast Left $2,312.00 $2,312.00 $1,141.39–$1,664.99 113% above —
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Foot w/o Contrast Right $2,312.00 $2,312.00 $1,141.39–$1,664.99 113% above —
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Hip w/o Contrast Left $2,312.00 $2,312.00 $1,141.39–$1,664.99 113% above —
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Hip w/o Contrast Right $2,312.00 $2,312.00 $1,141.39–$1,664.99 113% above —
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Knee w/o Contrast Left $2,312.00 $2,312.00 $1,141.39–$1,664.99 113% above —
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Knee w/o Contrast Right $2,312.00 $2,312.00 $1,141.39–$1,664.99 113% above —
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LE Joint w/o Contrast Lt $2,312.00 $2,312.00 $1,141.39–$1,664.99 113% above —
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LE Joint w/o Contrast Rt $2,312.00 $2,312.00 $1,141.39–$1,664.99 113% above —
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Ankle w/o Contrast Left $2,312.00 $2,312.00 $1,141.39–$1,664.99 — —
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI LE Joint w/o Contrast Rt $2,312.00 $2,312.00 $1,141.39–$1,664.99 — —
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI LE Joint w/o Contrast Lt $2,312.00 $2,312.00 $1,141.39–$1,664.99 — —
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Knee w/o Contrast Right $2,312.00 $2,312.00 $1,141.39–$1,664.99 — —
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Knee w/o Contrast Left $2,312.00 $2,312.00 $1,141.39–$1,664.99 — —
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Hip w/o Contrast Right $2,312.00 $2,312.00 $1,141.39–$1,664.99 — —
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Hip w/o Contrast Left $2,312.00 $2,312.00 $1,141.39–$1,664.99 — —
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Foot w/o Contrast Right $2,312.00 $2,312.00 $1,141.39–$1,664.99 — —
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Foot w/o Contrast Left $2,312.00 $2,312.00 $1,141.39–$1,664.99 — —
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Ankle w/o Contrast Right $2,312.00 $2,312.00 $1,141.39–$1,664.99 — —
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Foot w/ + w/o Contrast Right $3,237.00 $3,237.00 $1,742.26 154% above —
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Ankle w/ + w/o Contrast Left $3,237.00 $3,237.00 $1,742.26 154% above —
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Knee w/ + w/o Contrast Left $3,237.00 $3,237.00 $1,742.26 154% above —
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Hip w/ + w/o Contrast Left $3,237.00 $3,237.00 $1,742.26 154% above —
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI LE Joint w/ + w/o Contrast Rt $3,237.00 $3,237.00 $1,742.26 154% above —
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Foot w/ + w/o Contrast Left $3,237.00 $3,237.00 $1,742.26 154% above —
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI LE Joint w/ + w/o Contrast Lt $3,237.00 $3,237.00 $1,742.26 154% above —
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Hip w/ + w/o Contrast Right $3,237.00 $3,237.00 $1,742.26 154% above —
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Knee w/ + w/o Contrast Right $3,237.00 $3,237.00 $1,742.26 154% above —
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Ankle w/ + w/o Contrast Right $3,237.00 $3,237.00 $1,742.26 154% above —
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Ankle w/ + w/o Contrast Left $3,237.00 $3,237.00 $1,742.26 — —
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Hip w/ + w/o Contrast Left $3,237.00 $3,237.00 $1,742.26 — —
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Foot w/ + w/o Contrast Right $3,237.00 $3,237.00 $1,742.26 — —
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Foot w/ + w/o Contrast Left $3,237.00 $3,237.00 $1,742.26 — —
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Ankle w/ + w/o Contrast Right $3,237.00 $3,237.00 $1,742.26 — —
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Hip w/ + w/o Contrast Right $3,237.00 $3,237.00 $1,742.26 — —
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI LE Joint w/ + w/o Contrast Rt $3,237.00 $3,237.00 $1,742.26 — —
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI LE Joint w/ + w/o Contrast Lt $3,237.00 $3,237.00 $1,742.26 — —
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Knee w/ + w/o Contrast Right $3,237.00 $3,237.00 $1,742.26 — —
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Knee w/ + w/o Contrast Left $3,237.00 $3,237.00 $1,742.26 — —
MRI of the abdomen without contrast CPT 74181 MRI Abdomen w/o Contrast $2,448.00 $2,448.00 $1,208.17 148% above —
MRI of the abdomen without contrast inpatient CPT 74181 MRI Abdomen w/o Contrast $2,448.00 $2,448.00 $1,208.17 — —
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI Abdomen w/ + w/o Contrast $3,388.00 $3,388.00 $1,561.00–$2,149.58 155% above —
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI Abdomen w/ + w/o Contrast $3,388.00 $3,388.00 $1,561.00–$2,149.58 — —
MRI of the brain, no contrast dye CPT 70551 MRI Brain w/o Contrast $2,367.00 $2,367.00 $1,168.54–$1,704.60 110% above —
MRI of the brain, no contrast dye inpatient CPT 70551 MRI Brain w/o Contrast $2,367.00 $2,367.00 $1,168.54–$1,704.60 — —
MRI of the brain, with and without contrast dye CPT 70553 MRI Brain w/ + w/o Contrast $3,709.00 $3,709.00 $1,561.00–$2,866.20 156% above —
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI Brain w/ + w/o Contrast $3,709.00 $3,709.00 $1,561.00–$2,866.20 — —
MRI of the lower back, no contrast dye CPT 72148 MRI Spine Lumbar w/o Contrast $2,431.00 $2,431.00 $1,365.95–$1,878.50 115% above —
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI Spine Lumbar w/o Contrast $2,431.00 $2,431.00 $1,365.95–$1,878.50 — —
MRI of the lower back, without and then with contrast dye CPT 72158 MRI Spine Lumbar w/ + w/o Contrast $3,414.00 $3,414.00 $1,561.00–$2,458.68 145% above —
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI Spine Lumbar w/ + w/o Contrast $3,414.00 $3,414.00 $1,561.00–$2,458.68 — —
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI Spine Thoracic w/o Contrast $2,448.00 $2,448.00 $1,274.31–$1,762.42 120% above —
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI Spine Thoracic w/o Contrast $2,448.00 $2,448.00 $1,274.31–$1,762.42 — —
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI Spine Cervical w/ + w/o Contrast $3,507.00 $3,507.00 $2,525.21 119% above —
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI Spine Cervical w/ + w/o Contrast $3,507.00 $3,507.00 $2,525.21 — —
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI Spine Cervical w/o Contrast $2,397.00 $2,397.00 $1,354.03–$2,138.92 128% above —
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI Spine Cervical w/o Contrast $2,397.00 $2,397.00 $1,354.03–$2,138.92 — —
MRI of the pelvis without and with contrast CPT 72197 MRI Pelvis w/ + w/o Contrast $3,388.00 $3,388.00 $1,318.15 204% above —
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI Pelvis w/ + w/o Contrast $3,388.00 $3,388.00 $1,318.15 — —
MRI of the pelvis, no contrast dye CPT 72195 MRI Pelvis w/o Contrast $2,448.00 $2,448.00 $630.37 180% above —
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI Pelvis w/o Contrast $2,448.00 $2,448.00 $630.37 — —
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UE Joint w/o Contrast Rt $2,011.00 $2,011.00 $1,300.27–$1,664.99 106% above —
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UE Joint w/o Contrast Lt $2,011.00 $2,011.00 $1,300.27–$1,664.99 106% above —
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Shoulder w/o Contrast Left $2,312.00 $2,312.00 $1,300.27–$1,664.99 137% above —
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Shoulder w/o Contrast Right $2,312.00 $2,312.00 $1,300.27–$1,664.99 137% above —
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI UE Joint w/o Contrast Rt $2,011.00 $2,011.00 $1,300.27–$1,664.99 — —
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI UE Joint w/o Contrast Lt $2,011.00 $2,011.00 $1,300.27–$1,664.99 — —
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Shoulder w/o Contrast Right $2,312.00 $2,312.00 $1,300.27–$1,664.99 — —
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Shoulder w/o Contrast Left $2,312.00 $2,312.00 $1,300.27–$1,664.99 — —
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 XR Spine Cervical 4 or 5 Views $267.00 $267.00 $131.95–$240.64 31% above —
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 XR Spine Cervical 4 or 5 Views $267.00 $267.00 $131.95–$240.64 — —
Neck soft tissue CT scan with contrast CPT 70491 CT Neck Soft Tissue w/ Contrast $1,213.00 $1,213.00 $694.89–$1,067.65 77% above —
Neck soft tissue CT scan with contrast inpatient CPT 70491 CT Neck Soft Tissue w/ Contrast $1,213.00 $1,213.00 $694.89–$1,067.65 — —
Neck soft tissue CT scan without contrast CPT 70490 CT Neck Soft Tissue w/o Contrast $1,010.00 $1,010.00 $498.47–$899.64 50% above —
Neck soft tissue CT scan without contrast inpatient CPT 70490 CT Neck Soft Tissue w/o Contrast $1,010.00 $1,010.00 $498.47–$899.64 — —
Neck soft tissue X-ray CPT 70360 XR Neck Soft Tissue $165.00 $165.00 $93.21–$150.00 45% above —
Neck soft tissue X-ray inpatient CPT 70360 XR Neck Soft Tissue $165.00 $165.00 $93.21–$150.00 — —
Pelvic CT scan without contrast CPT 72192 CT Pelvis w/o Contrast $1,095.00 $1,095.00 $618.29–$975.10 58% above —
Pelvic CT scan without contrast inpatient CPT 72192 CT Pelvis w/o Contrast $1,095.00 $1,095.00 $618.29–$975.10 — —
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US Bladder Scan $380.00 $380.00 $197.48–$273.27 115% above —
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US Bladder Scan $380.00 $380.00 $197.48–$273.27 — —
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US Pelvic Non OB $339.00 $339.00 $191.96–$243.97 21% above —
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US Pelvic Non OB $339.00 $339.00 $191.96–$243.97 — —
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB < 14 Weeks Single $380.00 $380.00 $273.27 61% above —
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US OB < 14 Weeks Single $380.00 $380.00 $273.27 — —
Rib X-ray, one side, 2 views one side CPT 71100 XR Ribs 2 Views Left $153.00 $153.00 $86.37–$136.22 13% above —
Rib X-ray, one side, 2 views one side CPT 71100 XR Ribs 2 Views Right $153.00 $153.00 $86.37–$136.22 13% above —
Rib X-ray, one side, 2 views inpatient one side CPT 71100 XR Ribs 2 Views Right $153.00 $153.00 $86.37–$136.22 — —
Rib X-ray, one side, 2 views inpatient one side CPT 71100 XR Ribs 2 Views Left $153.00 $153.00 $86.37–$136.22 — —
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR Ribs w/ PA Chest Right $212.00 $212.00 $104.80–$189.91 55% above —
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR Ribs w/ PA Chest Left $212.00 $212.00 $104.80–$189.91 55% above —
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 XR Ribs w/ PA Chest Left $212.00 $212.00 $104.80–$189.91 — —
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 XR Ribs w/ PA Chest Right $212.00 $212.00 $104.80–$189.91 — —
Screening mammogram, both breasts both sides CPT 77067 MG Mammo Digital Screening Bilateral $221.00 $221.00 $30.91–$201.00 — —
Screening mammogram, both breasts one side CPT 77067 MG Mammo Digital Screening Left $221.00 $221.00 $30.91–$201.00 70% above —
Screening mammogram, both breasts inpatient both sides CPT 77067 MG Mammo Digital Screening Bilateral $221.00 $221.00 $30.91–$201.00 — —
Screening mammogram, both breasts inpatient one side CPT 77067 MG Mammo Digital Screening Left $221.00 $221.00 $30.91–$201.00 — —
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR Shoulder Complete 2+ Views Left $165.00 $165.00 $81.45–$150.00 26% above —
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR Shoulder Complete 2+ Views Right $165.00 $165.00 $81.45–$150.00 26% above —
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR Shoulder Complete 2+ Views Left $165.00 $165.00 $81.45–$150.00 — —
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR Shoulder Complete 2+ Views Right $165.00 $165.00 $81.45–$150.00 — —
Sinus X-ray, complete, 3 or more views CPT 70220 XR Sinuses Paranasal Complete $199.00 $199.00 $112.21–$179.00 26% above —
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 XR Sinuses Paranasal Complete $199.00 $199.00 $112.21–$179.00 — —
Skull X-ray, fewer than 4 views CPT 70250 XR Skull < 4 Views $180.00 $180.00 $129.90 34% above —
Skull X-ray, fewer than 4 views inpatient CPT 70250 XR Skull < 4 Views $180.00 $180.00 $129.90 — —
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR Femur 2 Views Right $135.00 $135.00 $76.43–$120.54 18% above —
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR Femur 2 Views Left $135.00 $135.00 $76.43–$120.54 18% above —
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 XR Femur 2 Views Right $135.00 $135.00 $76.43–$120.54 — —
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 XR Femur 2 Views Left $135.00 $135.00 $76.43–$120.54 — —
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT Spine Thoracic w/o Contrast $1,123.00 $1,123.00 $634.45–$808.73 48% above —
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT Spine Thoracic w/o Contrast $1,123.00 $1,123.00 $634.45–$808.73 — —
Toe X-ray, 2 or more views one side CPT 73660 XR Toe(1st Digit) 2+ Views Left $165.00 $165.00 $94.50–$150.00 48% above —
Toe X-ray, 2 or more views one side CPT 73660 XR Toe(s) 2+ Views Right $165.00 $165.00 $94.50–$150.00 48% above —
Toe X-ray, 2 or more views one side CPT 73660 XR Toe(s) 2+ Views Left $165.00 $165.00 $94.50–$150.00 48% above —
Toe X-ray, 2 or more views one side CPT 73660 XR Toe(5th Digit) 2+ Views Right $165.00 $165.00 $94.50–$150.00 48% above —
Toe X-ray, 2 or more views one side CPT 73660 XR Toe(5th Digit) 2+ Views Left $165.00 $165.00 $94.50–$150.00 48% above —
Toe X-ray, 2 or more views one side CPT 73660 XR Toe(4th Digit) 2+ Views Right $165.00 $165.00 $94.50–$150.00 48% above —
Toe X-ray, 2 or more views one side CPT 73660 XR Toe(4th Digit) 2+ Views Left $165.00 $165.00 $94.50–$150.00 48% above —
Toe X-ray, 2 or more views one side CPT 73660 XR Toe(3rd Digit) 2+ Views Right $165.00 $165.00 $94.50–$150.00 48% above —
Toe X-ray, 2 or more views one side CPT 73660 XR Toe(3rd Digit) 2+ Views Left $165.00 $165.00 $94.50–$150.00 48% above —
Toe X-ray, 2 or more views one side CPT 73660 XR Toe(2nd Digit) 2+ Views Right $165.00 $165.00 $94.50–$150.00 48% above —
Toe X-ray, 2 or more views one side CPT 73660 XR Toe(2nd Digit) 2+ Views Left $165.00 $165.00 $94.50–$150.00 48% above —
Toe X-ray, 2 or more views one side CPT 73660 XR Toe(1st Digit) 2+ Views Right $165.00 $165.00 $94.50–$150.00 48% above —
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toe(2nd Digit) 2+ Views Right $165.00 $165.00 $94.50–$150.00 — —
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toe(1st Digit) 2+ Views Right $165.00 $165.00 $94.50–$150.00 — —
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toe(3rd Digit) 2+ Views Left $165.00 $165.00 $94.50–$150.00 — —
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toe(3rd Digit) 2+ Views Right $165.00 $165.00 $94.50–$150.00 — —
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toe(4th Digit) 2+ Views Left $165.00 $165.00 $94.50–$150.00 — —
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toe(2nd Digit) 2+ Views Left $165.00 $165.00 $94.50–$150.00 — —
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toe(1st Digit) 2+ Views Left $165.00 $165.00 $94.50–$150.00 — —
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toe(5th Digit) 2+ Views Right $165.00 $165.00 $94.50–$150.00 — —
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toe(s) 2+ Views Left $165.00 $165.00 $94.50–$150.00 — —
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toe(s) 2+ Views Right $165.00 $165.00 $94.50–$150.00 — —
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toe(4th Digit) 2+ Views Right $165.00 $165.00 $94.50–$150.00 — —
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toe(5th Digit) 2+ Views Left $165.00 $165.00 $94.50–$150.00 — —
Transvaginal pelvic ultrasound CPT 76830 JPH US TRANSVAGINAL NON-OB $570.00 $570.00 $208.00–$518.00 171% above —
Transvaginal pelvic ultrasound CPT 76830 US Transvaginal Non-OB $570.00 $570.00 $208.00–$518.00 171% above —
Transvaginal pelvic ultrasound inpatient CPT 76830 US Transvaginal Non-OB $570.00 $570.00 $208.00–$518.00 — —
Transvaginal pelvic ultrasound inpatient CPT 76830 JPH US TRANSVAGINAL NON-OB $570.00 $570.00 $208.00–$518.00 — —
Transvaginal ultrasound during pregnancy CPT 76817 US OB Transvaginal $570.00 $570.00 $395.65–$410.31 219% above —
Transvaginal ultrasound during pregnancy CPT 76817 JPH US OB TRANSVAGINAL $570.00 $570.00 $395.65–$410.31 219% above —
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US OB Transvaginal $570.00 $570.00 $395.65–$410.31 — —
Transvaginal ultrasound during pregnancy inpatient CPT 76817 JPH US OB TRANSVAGINAL $570.00 $570.00 $395.65–$410.31 — —
Ultrasound of the abdomen, complete CPT 76700 US Abdomen Complete $339.00 $339.00 $97.02–$243.97 12% above —
Ultrasound of the abdomen, complete inpatient CPT 76700 US Abdomen Complete $339.00 $339.00 $97.02–$243.97 — —
Ultrasound of the scrotum and testicles CPT 76870 US Scrotum (Contents) w/ Doppler if ind $339.00 $339.00 $97.02–$243.97 61% above —
Ultrasound of the scrotum and testicles inpatient CPT 76870 US Scrotum (Contents) w/ Doppler if ind $339.00 $339.00 $97.02–$243.97 — —
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Thyroid $339.00 $339.00 $191.39–$243.97 35% above —
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Head/Neck Soft Tissue $339.00 $339.00 $191.39–$243.97 35% above —
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US Head/Neck Soft Tissue $339.00 $339.00 $191.39–$243.97 — —
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US Thyroid $339.00 $339.00 $191.39–$243.97 — —
Upper arm X-ray (humerus), 2 views one side CPT 73060 XR Humerus Left $128.00 $128.00 $62.52–$91.88 10% above —
Upper arm X-ray (humerus), 2 views one side CPT 73060 XR Humerus Right $128.00 $128.00 $62.52–$91.88 10% above —
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XR Humerus Left $128.00 $128.00 $62.52–$91.88 — —
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XR Humerus Right $128.00 $128.00 $62.52–$91.88 — —
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Upper Ext Venous Duplex Right $380.00 $380.00 $213.80–$273.27 48% above —
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Lower Ext Venous Duplex Left $380.00 $380.00 $213.80–$273.27 48% above —
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Lower Ext Venous Duplex Right $380.00 $380.00 $213.80–$273.27 48% above —
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Upper Ext Venous Duplex Left $380.00 $380.00 $213.80–$273.27 48% above —
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US Lower Ext Venous Duplex Right $380.00 $380.00 $213.80–$273.27 — —
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US Upper Ext Venous Duplex Right $380.00 $380.00 $213.80–$273.27 — —
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US Lower Ext Venous Duplex Left $380.00 $380.00 $213.80–$273.27 — —
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US Upper Ext Venous Duplex Left $380.00 $380.00 $213.80–$273.27 — —
Wrist X-ray, 2 views one side CPT 73100 XR Wrist 2 Views Left $132.00 $132.00 $26.22–$85.10 21% above —
Wrist X-ray, 2 views one side CPT 73100 XR Wrist 2 Views Right $132.00 $132.00 $26.22–$85.10 21% above —
Wrist X-ray, 2 views inpatient one side CPT 73100 XR Wrist 2 Views Left $132.00 $132.00 $26.22–$85.10 — —
Wrist X-ray, 2 views inpatient one side CPT 73100 XR Wrist 2 Views Right $132.00 $132.00 $26.22–$85.10 — —
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist Complete 3+ Views Right $165.00 $165.00 $93.21–$150.00 44% above —
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist Complete 3+ Views Left $165.00 $165.00 $93.21–$150.00 44% above —
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR Wrist Complete 3+ Views Right $165.00 $165.00 $93.21–$150.00 — —
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR Wrist Complete 3+ Views Left $165.00 $165.00 $93.21–$150.00 — —
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip 2-3 Views w/AP Pelvis Right $144.00 $144.00 $81.40–$128.38 15% above —
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip 2-3 Views w/AP Pelvis Left $144.00 $144.00 $81.40–$128.38 15% above —
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR Hip 2-3 Views w/AP Pelvis Right $144.00 $144.00 $81.40–$128.38 — —
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR Hip 2-3 Views w/AP Pelvis Left $144.00 $144.00 $81.40–$128.38 — —
X-ray of the abdomen, 1 view CPT 74018 XR Abdomen KUB 1 View $160.00 $160.00 $78.73–$145.00 25% above —
X-ray of the abdomen, 1 view inpatient CPT 74018 XR Abdomen KUB 1 View $160.00 $160.00 $78.73–$145.00 — —
X-ray of the ankle, 2 views one side CPT 73600 XR Ankle 2 Views Right $128.00 $128.00 $91.88 18% above —
X-ray of the ankle, 2 views one side CPT 73600 XR Ankle 2 Views Left $128.00 $128.00 $91.88 18% above —
X-ray of the ankle, 2 views inpatient one side CPT 73600 XR Ankle 2 Views Right $128.00 $128.00 $91.88 — —
X-ray of the ankle, 2 views inpatient one side CPT 73600 XR Ankle 2 Views Left $128.00 $128.00 $91.88 — —
X-ray of the finger(s), 2 or more views CPT 73140 Fingers minimum of 2 Views $165.00 $165.00 $94.50–$150.00 61% above —
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger(4th Digit) 2+ Views Left $165.00 $165.00 $94.50–$150.00 61% above —
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger(s) 2+ Views Right $165.00 $165.00 $94.50–$150.00 61% above —
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger(1st Digit) 2+ Views Left $165.00 $165.00 $94.50–$150.00 61% above —
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger(1st Digit) 2+ Views Right $165.00 $165.00 $94.50–$150.00 61% above —
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger(2nd Digit) 2+ Views Left $165.00 $165.00 $94.50–$150.00 61% above —
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger(2nd Digit) 2+ Views Right $165.00 $165.00 $94.50–$150.00 61% above —
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger(3rd Digit) 2+ Views Left $165.00 $165.00 $94.50–$150.00 61% above —
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger(3rd Digit) 2+ Views Right $165.00 $165.00 $94.50–$150.00 61% above —
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger(4th Digit) 2+ Views Right $165.00 $165.00 $94.50–$150.00 61% above —
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger(5th Digit) 2+ Views Left $165.00 $165.00 $94.50–$150.00 61% above —
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger(5th Digit) 2+ Views Right $165.00 $165.00 $94.50–$150.00 61% above —
X-ray of the finger(s), 2 or more views inpatient CPT 73140 Fingers minimum of 2 Views $165.00 $165.00 $94.50–$150.00 — —
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger(5th Digit) 2+ Views Left $165.00 $165.00 $94.50–$150.00 — —
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger(1st Digit) 2+ Views Left $165.00 $165.00 $94.50–$150.00 — —
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger(4th Digit) 2+ Views Left $165.00 $165.00 $94.50–$150.00 — —
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger(1st Digit) 2+ Views Right $165.00 $165.00 $94.50–$150.00 — —
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger(2nd Digit) 2+ Views Left $165.00 $165.00 $94.50–$150.00 — —
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger(2nd Digit) 2+ Views Right $165.00 $165.00 $94.50–$150.00 — —
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger(s) 2+ Views Right $165.00 $165.00 $94.50–$150.00 — —
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger(3rd Digit) 2+ Views Left $165.00 $165.00 $94.50–$150.00 — —
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger(5th Digit) 2+ Views Right $165.00 $165.00 $94.50–$150.00 — —
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger(3rd Digit) 2+ Views Right $165.00 $165.00 $94.50–$150.00 — —
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger(4th Digit) 2+ Views Right $165.00 $165.00 $94.50–$150.00 — —
X-ray of the foot, 2 views one side CPT 73620 XR Foot 2 Views Left $150.00 $150.00 $107.73 39% above —
X-ray of the foot, 2 views one side CPT 73620 XR Foot 2 Views Right $150.00 $150.00 $107.73 39% above —
X-ray of the foot, 2 views inpatient one side CPT 73620 XR Foot 2 Views Left $150.00 $150.00 $107.73 — —
X-ray of the foot, 2 views inpatient one side CPT 73620 XR Foot 2 Views Right $150.00 $150.00 $107.73 — —
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR Foot Complete 3+ Views Left $165.00 $165.00 $81.45–$150.00 35% above —
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR Foot Complete 3+ Views Right $165.00 $165.00 $81.45–$150.00 35% above —
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR Foot Complete 3+ Views Left $165.00 $165.00 $81.45–$150.00 — —
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR Foot Complete 3+ Views Right $165.00 $165.00 $81.45–$150.00 — —
X-ray of the hand, 3 or more views one side CPT 73130 XR Hand Complete 3+ Views Right $144.00 $144.00 $71.13–$128.38 14% above —
X-ray of the hand, 3 or more views one side CPT 73130 XR Hand Complete 3+ Views Left $144.00 $144.00 $71.13–$128.38 14% above —
X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR Hand Complete 3+ Views Left $144.00 $144.00 $71.13–$128.38 — —
X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR Hand Complete 3+ Views Right $144.00 $144.00 $71.13–$128.38 — —
X-ray of the knee, 1 or 2 views one side CPT 73560 XR Knee 1 or 2 Views Left $144.00 $144.00 $80.88–$103.77 27% above —
X-ray of the knee, 1 or 2 views one side CPT 73560 XR Knee 1 or 2 Views Right $144.00 $144.00 $80.88–$103.77 27% above —
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR Knee 1 or 2 Views Right $144.00 $144.00 $80.88–$103.77 — —
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR Knee 1 or 2 Views Left $144.00 $144.00 $80.88–$103.77 — —
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR Spine Lumbosacral 2 or 3 Views $162.00 $162.00 $91.13–$147.00 7% above —
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR Spine Lumbosacral 2 or 3 Views $162.00 $162.00 $91.13–$147.00 — —
X-ray of the lower back, 4 or more views CPT 72110 XR Spine Lumbosacral 4plus Views $254.00 $254.00 $125.43–$183.00 17% above —
X-ray of the lower back, 4 or more views inpatient CPT 72110 XR Spine Lumbosacral 4plus Views $254.00 $254.00 $125.43–$183.00 — —
X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR Spine Thoracic 2 Views $160.00 $160.00 $89.89–$145.00 2% above —
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XR Spine Thoracic 2 Views $160.00 $160.00 $89.89–$145.00 — —
X-ray of the nasal bones, 3 or more views CPT 70160 XR Nasal Bones 3+ Views $141.00 $141.00 $101.39–$127.34 21% above —
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XR Nasal Bones 3+ Views $141.00 $141.00 $101.39–$127.34 — —
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR Spine Cervical 2 or 3 Views $144.00 $144.00 $71.13–$128.38 at median —
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR Spine Cervical 2 or 3 Views $144.00 $144.00 $71.13–$128.38 — —
X-ray of the pelvis, 1 or 2 views CPT 72170 XR Pelvis 1 or 2 Views $132.00 $132.00 $65.16–$117.60 at median —
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR Pelvis 1 or 2 Views $132.00 $132.00 $65.16–$117.60 — —
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR Sacrum/Coccyx 2+ Views $179.00 $179.00 $102.69–$159.74 30% above —
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR Sacrum/Coccyx 2+ Views $179.00 $179.00 $102.69–$159.74 — —

Lab tests

ProcedureCash price List priceInsurers payvs LouisianaOff list
ACTH blood test CPT 82024 ACTH, Plasma REF $181.00 $181.00 $103.40–$114.89 71% above —
ACTH blood test CPT 82024 Pediatric ACTH REF $272.00 $272.00 $103.40–$114.89 157% above —
ACTH blood test inpatient CPT 82024 ACTH, Plasma REF $181.00 $181.00 $103.40–$114.89 — —
ACTH blood test inpatient CPT 82024 Pediatric ACTH REF $272.00 $272.00 $103.40–$114.89 — —
ALT (alanine aminotransferase) liver enzyme test CPT 84460 NASH SGPT (ALT) $29.00 $29.00 $1.19–$16.38 50% above —
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT (SGPT) FSI $29.00 $29.00 $1.19–$16.38 50% above —
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 NASH SGPT (ALT) $29.00 $29.00 $1.19–$16.38 — —
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT (SGPT) FSI $29.00 $29.00 $1.19–$16.38 — —
AST (aspartate aminotransferase) enzyme test CPT 84450 AST (SGOT) FSI $29.00 $29.00 $5.18–$25.78 47% above —
AST (aspartate aminotransferase) enzyme test CPT 84450 NASH SGOT (AST) $29.00 $29.00 $5.18–$25.78 47% above —
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 NASH SGOT (AST) $29.00 $29.00 $5.18–$25.78 — —
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST (SGOT) FSI $29.00 $29.00 $5.18–$25.78 — —
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Hepatitis Panel (4) REF $163.00 $163.00 $47.63–$145.63 47% above —
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Hepatitis Panel (4) REF $163.00 $163.00 $47.63–$145.63 — —
Albumin blood test CPT 82040 Albumin FSI $29.00 $29.00 $4.95–$26.00 105% above —
Albumin blood test inpatient CPT 82040 Albumin FSI $29.00 $29.00 $4.95–$26.00 — —
Aldosterone blood test CPT 82088 Aldosterone, Lc/Ms/Ms REF $264.00 $264.00 $40.75–$235.20 177% above —
Aldosterone blood test CPT 82088 Aldosterone Lc/Ms/Ms REF $264.00 $264.00 $40.75 177% above —
Aldosterone blood test CPT 82088 Aldosterone, U REF $264.00 $264.00 $40.75–$235.20 177% above —
Aldosterone blood test inpatient CPT 82088 Aldosterone Lc/Ms/Ms REF $264.00 $264.00 $40.75 — —
Aldosterone blood test inpatient CPT 82088 Aldosterone, U REF $264.00 $264.00 $40.75–$235.20 — —
Aldosterone blood test inpatient CPT 82088 Aldosterone, Lc/Ms/Ms REF $264.00 $264.00 $40.75–$235.20 — —
Alkaline phosphatase (ALP) blood test CPT 84075 84075 Alkaline Phosphatase $31.00 $31.00 $5.18 62% above —
Alkaline phosphatase (ALP) blood test CPT 84075 Alkaline Phosphatase FSI $31.00 $31.00 $5.18 62% above —
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Alkaline Phosphatase FSI $31.00 $31.00 $5.18 — —
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 84075 Alkaline Phosphatase $31.00 $31.00 $5.18 — —
Allergy blood test, specific IgE, per allergen CPT 86003 C001-IgE Penicilloyl G REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Bermuda Grass (G2) IgE REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Beef (F027) IgE REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Bahia Grass (G017) IgE REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Aspergillus FumIgAtus (M3) IgE REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Almond (F20) IgE REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Profile, Mold REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Walnut (F256) IgE REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Soybean (F14) IgE REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Shrimp (F24) IgE REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 IgE White Mulberry $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 IgE Wheat $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 IgE WALNUT $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 IgE Tuna $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 IgE Timothy Grass $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 IgE Sycamore, American $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 IgE Sweet Gum $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 IgE Stemphylium herbarum $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 IgE Stemphylium botryosus $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 IgE Soybean $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 IgE Shrimp $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 IgE Sheep Sorrel(Dock) $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 IgE Setomelanomma rostrat $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 IgE Salmon $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 IgE SCALLOP $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 IgE Ragweed, Short/Common $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 IgE Pork $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 IgE Plantain, English $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 IgE Pigweed, Rough $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 IgE Phoma betae $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 IgE Penicillium chrysogen $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 IgE Peanut $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 IgE Oyster $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 IgE Oak, White $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 IgE Nettle $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 IgE Mussel $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 IgE Mugwort $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 IgE Mucor racemosus $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 IgE Milk (Cow) $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 IgE Maple/Box Elder $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 IgE MOUSE URINE $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 IgE LOBSTER $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 IgE Johnson Grass $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 IgE Hickory, White $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 IgE Fusarium prolferatum $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 IgE Epicoccum purpur $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 IgE Elm, American(white) $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 IgE Egg(Whole) $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 IgE Dog Epithelia $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 IgE D pteronyssinus $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 IgE D farinae MITE $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 IgE Crab $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 IgE Corn $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 IgE Cockroach,American $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 IgE Cladosporium herbaru $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 IgE Chocolate/Cocoa $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 IgE Cedar, Mountain $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 IgE Cat Hair/Dander, Standard $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 IgE Candida albicans $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 IgE CODFISH $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 IgE COCKROACH GERMAN $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 IgE CLAM $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 IgE Bermuda Grass $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 IgE Beef $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 IgE Bahia Grass $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 IgE Aureobasidi pullulans $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 IgE Aspergillus fumigatus $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 IgE Alternaria tenuis $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Egg White (F1) IgE REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 E072-IgE Mouse Urine REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 D pteronyssinus (D001) IgE REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 D Farinae Mite IgG4* REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Cockroach, German (I006) IgE REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Cladosporium herbarum (M002) IgE REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 AlteRNAria AlteRNAta (M6) IgE REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 86003-IgE Aspergillus fumigatus REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 86003-F259-IgE Grape REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 86003-F235-IgE Lentil REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 86003-F095-IgE Peach REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 86003-F078-IgE Casein REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 86003-F077-IgE Beta Lactoglobulin REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 86003-F005-IgE Rye REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 86003 Wheat (F4) IgE REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 86003 Walnut (F256) IgE REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 86003 W016-IgE Rough Marshelder $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 86003 Timothy Grass (G6) IgE REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 86003 T070-IgE White Mulberry REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 86003 T022-IgE Pecan, Hickory $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 86003 T010-IgE Walnut $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 86003 T003-IgE Common Silver Birch REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 86003 Soybean (F14) IgE REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 86003 Shrimp (F24) IgE REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 86003 Rough Pigweed (W14) IgE REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 86003 Rice (F009) IgE REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 86003 Pork (F026) IgE REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 86003 Pecan Nut (F201) IgE REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 86003 Peanut (F13) IgE REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 86003 Oak, White (T007) IgE REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 86003 Mountain Cedar (T6) IgE REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 86003 Milk (F002) IgE REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 86003 Maple/Box Elder (T001) IgE REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 86003 M001-IgE Penicillium chrysogen REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 86003 IgE Wheat $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 86003 IgE Peanut $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 86003 IgE Milk (Cow) $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 86003 IgE Cat Hair/Dander, Standard $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 86003 IgE CODFISH $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 86003 I005-IgE Hornet, Yellow $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 86003 I004-IgE Paper Wasp REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 86003 I002-IgE Hornet, White Face $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 86003 I001-IgE Honeybee $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 86003 F447-IgE Ara h 6 $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 86003 F443-IgE Ana o 3 $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 86003 F442-IgE Jug r 3 $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 86003 F441-IgE Jug r 1 $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 86003 F440-IgE Cor a 9 $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 86003 F439-IgE Cor a 14 $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 86003 F428-IgE Cor a 1 $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 86003 F427-IgE Ara h 9 $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 86003 F425-IgE Cor a 8 $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 86003 F424-IgE Ara h 3 $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 86003 F423-IgE Ara h 2 $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 86003 F422-IgE Ara h 1 $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 86003 F354-IgE Ber e 1 $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 86003 F352-IgE Ara h 8 $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 86003 F345-IgE Macadamia Nut $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 86003 F338-IgE Scallop REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 86003 F233-IgE Ovomucoid $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 86003 F232-IgE Ovalbumin $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 86003 F203-IgE Pistachio Nut $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 86003 F094-IgE Pear REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 86003 F092-IgE Banana REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 86003 F083-IgE Chicken REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 86003 F076-IgE Alpha Lactalbumin REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 86003 F049-IgE Apple REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 86003 F018-IgE Brazil Nut $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 86003 F017-IgE Hazelnut (Filbert) $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 86003 F010-IgE Sesame Seed $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 86003 F007-IgE Oat REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 86003 F006-IgE Barley REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 86003 Elm, American (T008) IgE REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 86003 Egg White (F1) IgE REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 86003 E072-IgE Mouse Urine REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 86003 Dog Dander (E5) IgE REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 86003 D pteronyssinus (D001) IgE REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 86003 D Farinae Mite IgG4* REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 86003 Corn (F008) IgE REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 86003 Common Ragweed (Short) (W1) IgE REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 86003 Codfish (F3) IgE REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 86003 Cockroach, German (I006) IgE REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 86003 Clam (F207) IgE REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 86003 Cladosporium herbarum (M002) IgE REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 86003 Cat Dander (E1) IgE REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 86003 Cashew Nut (F202) IgE REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 86003 Bermuda Grass (G2) IgE REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 86003 Beef (F027) IgE REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 86003 AlteRNAria AlteRNAta (M6) IgE REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 86003 Almond (F20) IgE REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 86003 003-IgE Yellow Jacket $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 F094-IgE Pear REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 F095-IgE Peach REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 F208-IgE Lemon REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 F210-IgE Pineapple REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 F212-IgE Mushroom REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 F215-IgE Lettuce REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 F216-IgE Cabbage REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 F220-IgE Cinnamon REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 F221-IgE Coffee REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 F302-IgE Tangerine REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 F315-IgE Green Bean REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 F338-IgE Scallop REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 F340-IgE Carmine Red Dye REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 F342-IgE Olive, Black REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 F369-IgE Catfish REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 F414-IgE Tilapia REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Fusarium proliferatum (M009) IgE REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 G012-IgE Rye Grass REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Garlic (F47) IgE REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Gluten (F079) IgE REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Hickory, White ( T041) IgE REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 I004-IgE Paper Wasp REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 I070-IgE Fire Ant (Invicta) REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 I071-IgE Whole Body: Mosquito REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Johnson Grass (G010) IgE REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 K084-IgE Sunflower Seed REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Latex (K082) IgE REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Wheat (F4) IgE REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 F092-IgE Banana REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 F089-IgE Mustard REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 F085-IgE Celery REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 F083-IgE Chicken REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 F078-IgE Casein REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 F075-IgE Egg (Yolk) REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 F049-IgE Apple REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 F044-IgE Strawberry REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 F037-IgE Mussel REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 F036-IgE Coconut REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 F033-IgE Orange REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 F031-IgE Carrot REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Epicoccum purpur (M014) IgE REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Elm, American (T008) IgE REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Egg, Whole (F245) IgE REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 E004-IgE Cow Dander REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Dog Dander (E5) IgE REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 D003-D. microceras (mite) REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Crayfish Freshwater (F320) IgE REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Crab (F23) IgE REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Corn (F008) IgE REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Common Ragweed (Short) (W1) IgE REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Codfish (F3) IgE REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Cockroach, American (I206) IgE REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Clam (F207) IgE REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Chocolate/Cacao (F093) IgE REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Cat Dander (E1) IgE REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Cashew Nut (F202) IgE REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Candida albicans (M005) IgE REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Whey (F236) IgE REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Lobster (F80) IgE REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 M001-IgE Penicillium chrysogen REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 M012-IgE Aureobasidi pullulans REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 M013-IgE Phoma betae REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Maple/Box Elder (T001) IgE REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Milk (F002) IgE REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Mountain Cedar (T6) IgE REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Mucor racemosus (M004) IgE REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Oak, White (T007) IgE REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Onion (F48) IgE REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Oyster (F290) IgE REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Peanut (F13) IgE REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Pecan Nut (F201) IgE REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Pork (F026) IgE REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Potato, White (F035) IgE REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Rice (F009) IgE REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Rough Pigweed (W14) IgE REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Salmon (F41) IgE REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Stachybotrys atra (M024) IgE REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Stemphylium herbarum (M010) IgE REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 T011-IgE Maple Leaf Sycamore REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 T016-IgE Pine, White REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 T070-IgE White Mulberry REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 T201-IgE Spruce REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 T211-IgE Sweet Gum REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Timothy Grass (G6) IgE REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Tomato (F025) IgE REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 Tuna (F40) IgE REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 W006-IgE Mugwort REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 W009-IgE Plantain, English REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 W018-IgE Sheep Sorrel REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 W020-IgE Nettle REF $44.00 $44.00 $5.22–$22.09 350% above —
Allergy blood test, specific IgE, per allergen CPT 86003 86003 Immunoglobulin E REF $94.00 $94.00 $5.22–$22.09 861% above —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Garlic (F47) IgE REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Whey (F236) IgE REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Wheat (F4) IgE REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 W020-IgE Nettle REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 W018-IgE Sheep Sorrel REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 W009-IgE Plantain, English REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 W006-IgE Mugwort REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Tuna (F40) IgE REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Tomato (F025) IgE REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Timothy Grass (G6) IgE REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 T211-IgE Sweet Gum REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 T201-IgE Spruce REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 T070-IgE White Mulberry REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 T016-IgE Pine, White REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 T011-IgE Maple Leaf Sycamore REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Stemphylium herbarum (M010) IgE REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Stachybotrys atra (M024) IgE REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Salmon (F41) IgE REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Rough Pigweed (W14) IgE REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Rice (F009) IgE REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Potato, White (F035) IgE REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Pork (F026) IgE REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Pecan Nut (F201) IgE REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Peanut (F13) IgE REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Oyster (F290) IgE REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Onion (F48) IgE REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Oak, White (T007) IgE REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Mucor racemosus (M004) IgE REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Mountain Cedar (T6) IgE REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Milk (F002) IgE REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Maple/Box Elder (T001) IgE REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 M013-IgE Phoma betae REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 M012-IgE Aureobasidi pullulans REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 M001-IgE Penicillium chrysogen REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Lobster (F80) IgE REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Latex (K082) IgE REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 K084-IgE Sunflower Seed REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Johnson Grass (G010) IgE REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 I071-IgE Whole Body: Mosquito REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 I070-IgE Fire Ant (Invicta) REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 I004-IgE Paper Wasp REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hickory, White ( T041) IgE REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Gluten (F079) IgE REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F092-IgE Banana REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 G012-IgE Rye Grass REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Fusarium proliferatum (M009) IgE REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F414-IgE Tilapia REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F369-IgE Catfish REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F342-IgE Olive, Black REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F340-IgE Carmine Red Dye REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F338-IgE Scallop REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F315-IgE Green Bean REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F302-IgE Tangerine REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F221-IgE Coffee REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F220-IgE Cinnamon REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F216-IgE Cabbage REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F215-IgE Lettuce REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F212-IgE Mushroom REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F210-IgE Pineapple REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F208-IgE Lemon REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F095-IgE Peach REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F094-IgE Pear REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 003-IgE Yellow Jacket $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 Almond (F20) IgE REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 AlteRNAria AlteRNAta (M6) IgE REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 Beef (F027) IgE REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 Bermuda Grass (G2) IgE REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 Cashew Nut (F202) IgE REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 Cat Dander (E1) IgE REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 Cladosporium herbarum (M002) IgE REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 Clam (F207) IgE REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 Cockroach, German (I006) IgE REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 Codfish (F3) IgE REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 Common Ragweed (Short) (W1) IgE REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 Corn (F008) IgE REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 D Farinae Mite IgG4* REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 D pteronyssinus (D001) IgE REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 Dog Dander (E5) IgE REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 E072-IgE Mouse Urine REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 Egg White (F1) IgE REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 Elm, American (T008) IgE REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 F006-IgE Barley REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 F007-IgE Oat REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 F010-IgE Sesame Seed $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 F017-IgE Hazelnut (Filbert) $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 F018-IgE Brazil Nut $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 F049-IgE Apple REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 F076-IgE Alpha Lactalbumin REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 F083-IgE Chicken REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 F092-IgE Banana REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 F094-IgE Pear REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 F203-IgE Pistachio Nut $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 F232-IgE Ovalbumin $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 F233-IgE Ovomucoid $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 F338-IgE Scallop REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 F345-IgE Macadamia Nut $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 F352-IgE Ara h 8 $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 F354-IgE Ber e 1 $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 F422-IgE Ara h 1 $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 F423-IgE Ara h 2 $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 F424-IgE Ara h 3 $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 F425-IgE Cor a 8 $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 F427-IgE Ara h 9 $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 F428-IgE Cor a 1 $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 F439-IgE Cor a 14 $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 F440-IgE Cor a 9 $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 F441-IgE Jug r 1 $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 F442-IgE Jug r 3 $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 F443-IgE Ana o 3 $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 F447-IgE Ara h 6 $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 I001-IgE Honeybee $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 I002-IgE Hornet, White Face $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 I004-IgE Paper Wasp REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 I005-IgE Hornet, Yellow $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 IgE CODFISH $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 IgE Cat Hair/Dander, Standard $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 IgE Milk (Cow) $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 IgE Peanut $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 IgE Wheat $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 M001-IgE Penicillium chrysogen REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 Maple/Box Elder (T001) IgE REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 Milk (F002) IgE REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 Mountain Cedar (T6) IgE REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 Oak, White (T007) IgE REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 Peanut (F13) IgE REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 Pecan Nut (F201) IgE REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 Pork (F026) IgE REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 Rice (F009) IgE REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 Rough Pigweed (W14) IgE REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 Shrimp (F24) IgE REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 Soybean (F14) IgE REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 T003-IgE Common Silver Birch REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 T010-IgE Walnut $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 T022-IgE Pecan, Hickory $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 T070-IgE White Mulberry REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 Timothy Grass (G6) IgE REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 W016-IgE Rough Marshelder $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 Walnut (F256) IgE REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 Wheat (F4) IgE REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003-F005-IgE Rye REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003-F077-IgE Beta Lactoglobulin REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003-F078-IgE Casein REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003-F095-IgE Peach REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003-F235-IgE Lentil REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003-F259-IgE Grape REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003-IgE Aspergillus fumigatus REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 AlteRNAria AlteRNAta (M6) IgE REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cladosporium herbarum (M002) IgE REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cockroach, German (I006) IgE REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 D Farinae Mite IgG4* REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 D pteronyssinus (D001) IgE REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 E072-IgE Mouse Urine REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Egg White (F1) IgE REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Alternaria tenuis $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Aspergillus fumigatus $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Aureobasidi pullulans $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Bahia Grass $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Beef $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Bermuda Grass $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE CLAM $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE COCKROACH GERMAN $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE CODFISH $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Candida albicans $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Cat Hair/Dander, Standard $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Cedar, Mountain $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Chocolate/Cocoa $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Cladosporium herbaru $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Cockroach,American $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Corn $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Crab $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE D farinae MITE $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE D pteronyssinus $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Dog Epithelia $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Egg(Whole) $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Elm, American(white) $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Epicoccum purpur $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Fusarium prolferatum $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Hickory, White $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Johnson Grass $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE LOBSTER $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE MOUSE URINE $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Maple/Box Elder $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Milk (Cow) $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Mucor racemosus $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Mugwort $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Mussel $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Nettle $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Oak, White $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Oyster $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Peanut $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Penicillium chrysogen $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Phoma betae $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Pigweed, Rough $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Plantain, English $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Pork $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Ragweed, Short/Common $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE SCALLOP $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Salmon $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Setomelanomma rostrat $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Sheep Sorrel(Dock) $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Shrimp $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Soybean $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Stemphylium botryosus $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Stemphylium herbarum $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Sweet Gum $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Sycamore, American $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Timothy Grass $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Tuna $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE WALNUT $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE Wheat $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 IgE White Mulberry $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Shrimp (F24) IgE REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Soybean (F14) IgE REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Walnut (F256) IgE REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Profile, Mold REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Almond (F20) IgE REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aspergillus FumIgAtus (M3) IgE REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Bahia Grass (G017) IgE REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Beef (F027) IgE REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Bermuda Grass (G2) IgE REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 C001-IgE Penicilloyl G REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Candida albicans (M005) IgE REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cashew Nut (F202) IgE REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cat Dander (E1) IgE REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Chocolate/Cacao (F093) IgE REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Clam (F207) IgE REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cockroach, American (I206) IgE REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Codfish (F3) IgE REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Common Ragweed (Short) (W1) IgE REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Corn (F008) IgE REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Crab (F23) IgE REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Crayfish Freshwater (F320) IgE REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 D003-D. microceras (mite) REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Dog Dander (E5) IgE REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 E004-IgE Cow Dander REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Egg, Whole (F245) IgE REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Elm, American (T008) IgE REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Epicoccum purpur (M014) IgE REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F031-IgE Carrot REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F033-IgE Orange REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F036-IgE Coconut REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F037-IgE Mussel REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F044-IgE Strawberry REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F049-IgE Apple REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F075-IgE Egg (Yolk) REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F078-IgE Casein REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F083-IgE Chicken REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F085-IgE Celery REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F089-IgE Mustard REF $44.00 $44.00 $5.22–$22.09 — —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 Immunoglobulin E REF $94.00 $94.00 $5.22–$22.09 — —
Alpha-fetoprotein (AFP) blood test CPT 82105 Alpha Fetoprotein, Tumor Marker REF $91.00 $91.00 $16.77–$52.29 86% above —
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA-FETOPROTEIN MARKER $91.00 $91.00 $16.77–$52.29 86% above —
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Alpha Fetoprotein, Tumor Marker REF $91.00 $91.00 $16.77–$52.29 — —
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA-FETOPROTEIN MARKER $91.00 $91.00 $16.77–$52.29 — —
Ammonia blood test CPT 82140 Ammonia (P) REF $79.00 $79.00 $45.36–$70.56 61% above —
Ammonia blood test CPT 82140 Ammonia FSI $79.00 $79.00 $45.36–$70.56 61% above —
Ammonia blood test CPT 82140 AMMONIA URINE $79.00 $79.00 $45.36–$70.56 61% above —
Ammonia blood test inpatient CPT 82140 Ammonia (P) REF $79.00 $79.00 $45.36–$70.56 — —
Ammonia blood test inpatient CPT 82140 Ammonia FSI $79.00 $79.00 $45.36–$70.56 — —
Ammonia blood test inpatient CPT 82140 AMMONIA URINE $79.00 $79.00 $45.36–$70.56 — —
Amylase blood test CPT 82150 Amylase FSI $39.00 $39.00 $6.48–$34.30 76% above —
Amylase blood test CPT 82150 Amylase, U REF $39.00 $39.00 $6.48–$34.30 76% above —
Amylase blood test CPT 82150 Amylase, Body Fluid REF $42.00 $42.00 $6.48–$34.30 89% above —
Amylase blood test inpatient CPT 82150 Amylase FSI $39.00 $39.00 $6.48–$34.30 — —
Amylase blood test inpatient CPT 82150 Amylase, U REF $39.00 $39.00 $6.48–$34.30 — —
Amylase blood test inpatient CPT 82150 Amylase, Body Fluid REF $42.00 $42.00 $6.48–$34.30 — —
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP Abs IgG/IgA REF $73.00 $73.00 $12.95–$64.68 74% above —
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP Abs IgG/IgA REF $73.00 $73.00 $12.95–$64.68 — —
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA w/ Reflex REF $73.00 $73.00 $12.09–$64.68 58% above —
Antinuclear antibody (ANA) blood test, screen CPT 86038 Antinuclear Abs, IFA REF $73.00 $73.00 $12.09–$64.68 58% above —
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA w/ Reflex REF $73.00 $73.00 $12.09–$64.68 — —
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Antinuclear Abs, IFA REF $73.00 $73.00 $12.09–$64.68 — —
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NT-proBNP FSI $200.00 $200.00 $39.26–$200.00 205% above —
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Brain Natriuretic Peptide BNP FSI $220.00 $220.00 $39.26–$200.00 236% above —
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NT-proBNP FSI $200.00 $200.00 $39.26–$200.00 — —
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 Brain Natriuretic Peptide BNP FSI $220.00 $220.00 $39.26–$200.00 — —
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 MRSA / MSSA Screening Culture REF $39.00 $39.00 $8.62–$46.06 39% above —
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Upper Resp. Culture REF $39.00 $39.00 $8.62–$46.06 39% above —
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Aerobic Bacterial Culture REF $52.00 $52.00 $8.62–$46.06 85% above —
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 .Aerobic Cult 997874 REF $52.00 $52.00 $8.62–$46.06 85% above —
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 .Sputum Culture 182354 REF $52.00 $52.00 $8.62–$46.06 85% above —
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Gram Stain w/Sputum Cult Rflx REF $52.00 $52.00 $8.62–$46.06 85% above —
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Body Fluid Culture, Sterile REF $52.00 $52.00 $8.62–$46.06 85% above —
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 B pertussis, Nasophar Culture REF $55.00 $55.00 $8.62–$46.06 95% above —
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Upper Resp. Culture REF $39.00 $39.00 $8.62–$46.06 — —
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 MRSA / MSSA Screening Culture REF $39.00 $39.00 $8.62–$46.06 — —
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Aerobic Bacterial Culture REF $52.00 $52.00 $8.62–$46.06 — —
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Gram Stain w/Sputum Cult Rflx REF $52.00 $52.00 $8.62–$46.06 — —
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Body Fluid Culture, Sterile REF $52.00 $52.00 $8.62–$46.06 — —
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 .Sputum Culture 182354 REF $52.00 $52.00 $8.62–$46.06 — —
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 .Aerobic Cult 997874 REF $52.00 $52.00 $8.62–$46.06 — —
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 B pertussis, Nasophar Culture REF $55.00 $55.00 $8.62–$46.06 — —
Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Panel (BMP) FSI $132.00 $132.00 $8.46–$117.60 276% above —
Basic metabolic panel (blood test) inpatient CPT 80048 Basic Metabolic Panel (BMP) FSI $132.00 $132.00 $8.46–$117.60 — —
Bilirubin blood test, total CPT 82247 NASH BILIRUBIN TOTAL $30.00 $30.00 $4.73 82% above —
Bilirubin blood test, total CPT 82247 Bilirubin, Total FSI $30.00 $30.00 $4.73 82% above —
Bilirubin blood test, total inpatient CPT 82247 Bilirubin, Total FSI $30.00 $30.00 $4.73 — —
Bilirubin blood test, total inpatient CPT 82247 NASH BILIRUBIN TOTAL $30.00 $30.00 $4.73 — —
Biopsy tissue exam by a pathologist (level IV) CPT 88305 88305 AP Bill Surgical Pathology Level IV Complexity $143.00 $143.00 $78.00–$127.40 83% above —
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 88305 AP Bill Surgical Pathology Level IV Complexity $143.00 $143.00 $78.00–$127.40 — —
Blood culture for bacteria CPT 87040 Blood Culture REF $61.00 $61.00 $10.32–$55.00 36% above —
Blood culture for bacteria inpatient CPT 87040 Blood Culture REF $61.00 $61.00 $10.32–$55.00 — —
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Bill Only Venipuncture $36.00 $36.00 $3.00–$15.00 336% above —
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Bill Only Venipuncture $36.00 $36.00 $3.00–$15.00 — —
Blood glucose (sugar) test CPT 82947 Glucose, Fasting FSI $24.00 $24.00 $3.93 84% above —
Blood glucose (sugar) test CPT 82947 NASH GLUCOSE $24.00 $24.00 $3.93 84% above —
Blood glucose (sugar) test CPT 82947 Glucose FSI $24.00 $24.00 $3.93 84% above —
Blood glucose (sugar) test inpatient CPT 82947 NASH GLUCOSE $24.00 $24.00 $3.93 — —
Blood glucose (sugar) test inpatient CPT 82947 Glucose, Fasting FSI $24.00 $24.00 $3.93 — —
Blood glucose (sugar) test inpatient CPT 82947 Glucose FSI $24.00 $24.00 $3.93 — —
Blood lead test CPT 83655 Lead, Blood (Adult) REF $70.00 $70.00 $12.11 159% above —
Blood lead test CPT 83655 Lead, Blood (Pediatric) REF $70.00 $70.00 $12.11 159% above —
Blood lead test CPT 83655 Lead, U REF $70.00 $70.00 $12.11 159% above —
Blood lead test inpatient CPT 83655 Lead, Blood (Pediatric) REF $70.00 $70.00 $12.11 — —
Blood lead test inpatient CPT 83655 Lead, Blood (Adult) REF $70.00 $70.00 $12.11 — —
Blood lead test inpatient CPT 83655 Lead, U REF $70.00 $70.00 $12.11 — —
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Pregnancy Test Serum FSI $45.00 $45.00 $7.52–$40.18 53% above —
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Pregnancy Test Serum FSI $45.00 $45.00 $7.52–$40.18 — —
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BB ABO GROUP $189.00 $189.00 $2.99–$168.56 329% above —
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO FSI $189.00 $189.00 $2.99–$168.56 329% above —
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO Group FSI $189.00 $189.00 $2.99–$168.56 329% above —
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO Group FSI $189.00 $189.00 $2.99–$168.56 — —
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BB ABO GROUP $189.00 $189.00 $2.99–$168.56 — —
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO FSI $189.00 $189.00 $2.99–$168.56 — —
Blood urea nitrogen (BUN) test CPT 84520 BUN FSI $25.00 $25.00 $3.95–$22.54 49% above —
Blood urea nitrogen (BUN) test inpatient CPT 84520 BUN FSI $25.00 $25.00 $3.95–$22.54 — —
C-peptide blood test CPT 84681 C-PEPTIDE $100.00 $100.00 $72.08–$89.54 95% above —
C-peptide blood test CPT 84681 C-Peptide REF $100.00 $100.00 $72.08–$89.54 95% above —
C-peptide blood test inpatient CPT 84681 C-Peptide REF $100.00 $100.00 $72.08–$89.54 — —
C-peptide blood test inpatient CPT 84681 C-PEPTIDE $100.00 $100.00 $72.08–$89.54 — —
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C Reactive Protein CRP FSI $37.00 $37.00 $5.18–$36.26 59% above —
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C Reactive Protein CRP FSI $37.00 $37.00 $5.18–$36.26 — —
C. difficile toxin gene test (stool PCR) CPT 87493 87493-C. diff 027 $102.00 $102.00 $37.27–$93.00 62% above —
C. difficile toxin gene test (stool PCR) CPT 87493 87493-C. diff Toxigenic $102.00 $102.00 $37.27–$93.00 62% above —
C. difficile toxin gene test (stool PCR) CPT 87493 C difficile Toxin Gene NAA REF $413.00 $413.00 $37.27–$93.00 555% above —
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 87493-C. diff Toxigenic $102.00 $102.00 $37.27–$93.00 — —
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 87493-C. diff 027 $102.00 $102.00 $37.27–$93.00 — —
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C difficile Toxin Gene NAA REF $413.00 $413.00 $37.27–$93.00 — —
CA 19-9 blood test (tumor marker) CPT 86301 Ca 19-9 REF $111.00 $111.00 $20.81 131% above —
CA 19-9 blood test (tumor marker) inpatient CPT 86301 Ca 19-9 REF $111.00 $111.00 $20.81 — —
CA-125 blood test (ovarian cancer marker) CPT 86304 Ca 125 REF $111.00 $111.00 $20.81 113% above —
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Ca 125 REF $111.00 $111.00 $20.81 — —
Calcium blood test, total CPT 82310 Calcium FSI $29.00 $29.00 $5.16–$26.00 46% above —
Calcium blood test, total inpatient CPT 82310 Calcium FSI $29.00 $29.00 $5.16–$26.00 — —
Carcinoembryonic antigen (CEA) test CPT 82378 CEA REF $108.00 $108.00 $18.96–$60.51 84% above —
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CEA REF $108.00 $108.00 $18.96–$60.51 — —
Chickenpox (varicella) immunity blood test CPT 86787 Varicella Zoster Virus IgG Ab REF $83.00 $83.00 $75.00 128% above —
Chickenpox (varicella) immunity blood test CPT 86787 Varicella Zoster Virus Ab (IgM) REF $83.00 $83.00 $75.00 128% above —
Chickenpox (varicella) immunity blood test inpatient CPT 86787 Varicella Zoster Virus IgG Ab REF $83.00 $83.00 $75.00 — —
Chickenpox (varicella) immunity blood test inpatient CPT 86787 Varicella Zoster Virus Ab (IgM) REF $83.00 $83.00 $75.00 — —
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS, NAA $111.00 $111.00 $35.09–$71.40 93% above —
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia trachomatis, NAA REF $112.00 $112.00 $35.09–$71.40 95% above —
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia trachomatis, NAA $112.00 $112.00 $35.09 95% above —
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia trachomatis >/=14 y, NAA In-House FSI $112.00 $112.00 $35.09–$71.40 95% above —
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACHOMATIS, NAA $111.00 $111.00 $35.09–$71.40 — —
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia trachomatis >/=14 y, NAA In-House FSI $112.00 $112.00 $35.09–$71.40 — —
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia trachomatis, NAA $112.00 $112.00 $35.09 — —
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia trachomatis, NAA REF $112.00 $112.00 $35.09–$71.40 — —
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Profile FSI $138.00 $138.00 $13.39–$122.50 176% above —
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 NMR LipoProfile REF $165.00 $165.00 $13.39–$122.50 229% above —
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Profile FSI $138.00 $138.00 $13.39–$122.50 — —
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 NMR LipoProfile REF $165.00 $165.00 $13.39–$122.50 — —
Complete blood count (CBC) with differential CPT 85025 CBC Complete Blood Count w/ Diff FSI $75.00 $75.00 $7.77–$73.50 186% above —
Complete blood count (CBC) with differential CPT 85025 CBC W/ AUTO DIFF $83.00 $83.00 $7.77–$73.50 216% above —
Complete blood count (CBC) with differential inpatient CPT 85025 CBC Complete Blood Count w/ Diff FSI $75.00 $75.00 $7.77–$73.50 — —
Complete blood count (CBC) with differential inpatient CPT 85025 CBC W/ AUTO DIFF $83.00 $83.00 $7.77–$73.50 — —
Complete blood count (CBC), no differential CPT 85027 CBC w/ Manual Differential $83.00 $83.00 $6.47–$73.50 198% above —
Complete blood count (CBC), no differential inpatient CPT 85027 CBC w/ Manual Differential $83.00 $83.00 $6.47–$73.50 — —
Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive Metabolic Panel (CMP) FSI $165.00 $165.00 $10.56–$147.00 123% above —
Comprehensive metabolic panel (blood test) inpatient CPT 80053 Comprehensive Metabolic Panel (CMP) FSI $165.00 $165.00 $10.56–$147.00 — —
Cortisol blood test, total CPT 82533 Pediatric Cortisol-AM REF $55.00 $55.00 $16.30–$69.30 45% above —
Cortisol blood test, total CPT 82533 Cortisol, A.M. REF $103.00 $103.00 $16.30–$69.30 172% above —
Cortisol blood test, total CPT 82533 Cortisol, Ttl REF $103.00 $103.00 $16.30–$69.30 172% above —
Cortisol blood test, total CPT 82533 Cortisol, P.M. REF $103.00 $103.00 $16.30–$69.30 172% above —
Cortisol blood test, total CPT 82533 Cortisol Dexamethasone Reflex REF $121.00 $121.00 $16.30–$69.30 220% above —
Cortisol blood test, total CPT 82533 Salivary Cortisol,MS REF $156.00 $156.00 $16.30–$69.30 312% above —
Cortisol blood test, total inpatient CPT 82533 Pediatric Cortisol-AM REF $55.00 $55.00 $16.30–$69.30 — —
Cortisol blood test, total inpatient CPT 82533 Cortisol, P.M. REF $103.00 $103.00 $16.30–$69.30 — —
Cortisol blood test, total inpatient CPT 82533 Cortisol, Ttl REF $103.00 $103.00 $16.30–$69.30 — —
Cortisol blood test, total inpatient CPT 82533 Cortisol, A.M. REF $103.00 $103.00 $16.30–$69.30 — —
Cortisol blood test, total inpatient CPT 82533 Cortisol Dexamethasone Reflex REF $121.00 $121.00 $16.30–$69.30 — —
Cortisol blood test, total inpatient CPT 82533 Salivary Cortisol,MS REF $156.00 $156.00 $16.30–$69.30 — —
Creatine kinase (CK) blood test, total CPT 82550 CK (CPK) FSI $37.00 $37.00 $6.51–$33.32 67% above —
Creatine kinase (CK) blood test, total CPT 82550 Creatine Kinase Total REF $37.00 $37.00 $6.51–$33.32 67% above —
Creatine kinase (CK) blood test, total inpatient CPT 82550 Creatine Kinase Total REF $37.00 $37.00 $6.51–$33.32 — —
Creatine kinase (CK) blood test, total inpatient CPT 82550 CK (CPK) FSI $37.00 $37.00 $6.51–$33.32 — —
Creatinine blood test CPT 82565 Creatinine FSI $30.00 $30.00 $5.12–$26.96 80% above —
Creatinine blood test inpatient CPT 82565 Creatinine FSI $30.00 $30.00 $5.12–$26.96 — —
D-dimer blood test (blood clot marker) CPT 85379 D-Dimer FSI $66.00 $66.00 $10.18–$58.80 31% above —
D-dimer blood test (blood clot marker) CPT 85379 D-Dimer, Quantitative REF $193.00 $193.00 $10.18–$58.80 283% above —
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-Dimer FSI $66.00 $66.00 $10.18–$58.80 — —
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-Dimer, Quantitative REF $193.00 $193.00 $10.18–$58.80 — —
DHEA sulfate (DHEA-S) blood test CPT 82627 Pediatric DHEA-Sulfate REF $66.00 $66.00 $1.66–$70.43 17% above —
DHEA sulfate (DHEA-S) blood test CPT 82627 Dhea Sulfate REF $111.00 $111.00 $1.66–$70.43 96% above —
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 Pediatric DHEA-Sulfate REF $66.00 $66.00 $1.66–$70.43 — —
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 Dhea Sulfate REF $111.00 $111.00 $1.66–$70.43 — —
Drug screen by lab instrument (any number of drug classes) CPT 80307 Urine Drug Screen FSI $132.00 $132.00 $62.14–$117.60 300% above —
Drug screen by lab instrument (any number of drug classes) CPT 80307 Drugs of Abuse Scr ONLY, 8, WB REF $220.00 $220.00 $62.14–$117.60 567% above —
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Urine Drug Screen FSI $132.00 $132.00 $62.14–$117.60 — —
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drugs of Abuse Scr ONLY, 8, WB REF $220.00 $220.00 $62.14–$117.60 — —
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Electrolytes FSI $37.00 $37.00 $20.99–$21.42 1% above —
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 Electrolytes FSI $37.00 $37.00 $20.99–$21.42 — —
Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN-BARR VCA IGM $109.00 $109.00 $9.07–$18.14 115% above —
Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN-BARR VCA IGG $109.00 $109.00 $9.07–$18.14 115% above —
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV Ab VCA, IgG REF $109.00 $109.00 $9.07–$18.14 115% above —
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV Ab VCA, IgM REF $109.00 $109.00 $9.07–$18.14 115% above —
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EPSTEIN-BARR VCA IGG $109.00 $109.00 $9.07–$18.14 — —
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV Ab VCA, IgG REF $109.00 $109.00 $9.07–$18.14 — —
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV Ab VCA, IgM REF $109.00 $109.00 $9.07–$18.14 — —
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EPSTEIN-BARR VCA IGM $109.00 $109.00 $9.07–$18.14 — —
Estradiol blood test CPT 82670 Estradiol REF $155.00 $155.00 $27.94–$141.00 172% above —
Estradiol blood test inpatient CPT 82670 Estradiol REF $155.00 $155.00 $27.94–$141.00 — —
FSH (follicle-stimulating hormone) test CPT 83001 Fsh REF $111.00 $111.00 $18.58–$101.00 101% above —
FSH (follicle-stimulating hormone) test CPT 83001 FOLLICLE STIMULATING HORMONE $111.00 $111.00 $18.58–$101.00 101% above —
FSH (follicle-stimulating hormone) test inpatient CPT 83001 Fsh REF $111.00 $111.00 $18.58–$101.00 — —
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FOLLICLE STIMULATING HORMONE $111.00 $111.00 $18.58–$101.00 — —
Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin, Stool REF $440.00 $440.00 $19.63–$270.66 365% above —
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Calprotectin, Stool REF $440.00 $440.00 $19.63–$270.66 — —
Ferritin blood test (iron stores) CPT 82728 Ferritin FSI $84.00 $84.00 $13.63–$74.48 84% above —
Ferritin blood test (iron stores) inpatient CPT 82728 Ferritin FSI $84.00 $84.00 $13.63–$74.48 — —
Fibrinogen blood test CPT 85384 Fibrinogen Activity REF $41.00 $41.00 $9.72 32% above —
Fibrinogen blood test CPT 85384 Fibrinogen Antigen REF $113.00 $113.00 $9.72 263% above —
Fibrinogen blood test inpatient CPT 85384 Fibrinogen Activity REF $41.00 $41.00 $9.72 — —
Fibrinogen blood test inpatient CPT 85384 Fibrinogen Antigen REF $113.00 $113.00 $9.72 — —
Folate (folic acid) blood test CPT 82746 Folate FSI $87.00 $87.00 $14.70–$77.42 130% above —
Folate (folic acid) blood test CPT 82746 Folate (Folic Acid) REF $94.00 $94.00 $14.70–$77.42 149% above —
Folate (folic acid) blood test inpatient CPT 82746 Folate FSI $87.00 $87.00 $14.70–$77.42 — —
Folate (folic acid) blood test inpatient CPT 82746 Folate (Folic Acid) REF $94.00 $94.00 $14.70–$77.42 — —
Free T3 thyroid hormone test CPT 84481 T3, Free REF $112.00 $112.00 $13.43–$102.00 127% above —
Free T3 thyroid hormone test inpatient CPT 84481 T3, Free REF $112.00 $112.00 $13.43–$102.00 — —
Free T4 (free thyroxine) thyroid blood test CPT 84439 Free T4 FSI $55.00 $55.00 $9.02–$49.00 57% above —
Free T4 (free thyroxine) thyroid blood test CPT 84439 Free T4 by Dialysis/MS REF $264.00 $264.00 $9.02–$49.00 655% above —
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Free T4 FSI $55.00 $55.00 $9.02–$49.00 — —
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Free T4 by Dialysis/MS REF $264.00 $264.00 $9.02–$49.00 — —
Free testosterone test CPT 84402 Testosterone, Free, Direct REF $135.00 $135.00 $25.47–$94.50 124% above —
Free testosterone test CPT 84402 TESTOSTERONE FREE $149.00 $149.00 $25.47–$94.50 147% above —
Free testosterone test inpatient CPT 84402 Testosterone, Free, Direct REF $135.00 $135.00 $25.47–$94.50 — —
Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE $149.00 $149.00 $25.47–$94.50 — —
Gamma-glutamyl transferase (GGT) blood test CPT 82977 NASH GAMMA GLUTAMYLTRANSFERASE $31.00 $31.00 $7.20–$27.55 26% above —
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGTP (GGT) FSI $31.00 $31.00 $7.20–$27.55 26% above —
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GGTP (GGT) FSI $31.00 $31.00 $7.20–$27.55 — —
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 NASH GAMMA GLUTAMYLTRANSFERASE $31.00 $31.00 $7.20–$27.55 — —
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 General Health Panel JPH $132.00 $132.00 $45.73–$102.00 28% below —
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 General Health Panel JPH $132.00 $132.00 $45.73–$102.00 — —
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC NAA, Pharyngeal REF $111.00 $111.00 $35.09–$71.40 94% above —
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONORRHOEAE BY NAA $111.00 $111.00 $35.09–$71.40 94% above —
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Neisseria gonorrhoeae >/=14 y, NAA In-House FSI $112.00 $112.00 $35.09–$71.40 96% above —
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Neisseria gonorrhoeae, NAA REF $112.00 $112.00 $35.09–$71.40 96% above —
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Neisseria gonorrhoeae, NAA $112.00 $112.00 $35.09 96% above —
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GC NAA, Pharyngeal REF $111.00 $111.00 $35.09–$71.40 — —
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NEISSERIA GONORRHOEAE BY NAA $111.00 $111.00 $35.09–$71.40 — —
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Neisseria gonorrhoeae, NAA REF $112.00 $112.00 $35.09–$71.40 — —
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Neisseria gonorrhoeae >/=14 y, NAA In-House FSI $112.00 $112.00 $35.09–$71.40 — —
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Neisseria gonorrhoeae, NAA $112.00 $112.00 $35.09 — —
H. pylori antibody blood test CPT 86677 Helicobacter pylori, IgM Ab REF $79.00 $79.00 $5.27–$15.82 72% above —
H. pylori antibody blood test CPT 86677 H. pylori, IgG Abs REF $79.00 $79.00 $5.27–$15.82 72% above —
H. pylori antibody blood test CPT 86677 Helicobacter pylori, IgA REF $79.00 $79.00 $5.27–$15.82 72% above —
H. pylori antibody blood test inpatient CPT 86677 Helicobacter pylori, IgM Ab REF $79.00 $79.00 $5.27–$15.82 — —
H. pylori antibody blood test inpatient CPT 86677 H. pylori, IgG Abs REF $79.00 $79.00 $5.27–$15.82 — —
H. pylori antibody blood test inpatient CPT 86677 Helicobacter pylori, IgA REF $79.00 $79.00 $5.27–$15.82 — —
H. pylori stool antigen test CPT 87338 H. pylori Stool Ag, EIA REF $68.00 $68.00 $6.31–$61.01 11% above —
H. pylori stool antigen test inpatient CPT 87338 H. pylori Stool Ag, EIA REF $68.00 $68.00 $6.31–$61.01 — —
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 1//2 Ag/Ab w/ Cascade Rflx REF $138.00 $138.00 $24.08–$78.75 197% above —
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 1/2 Ag/Ab Fourth Gen w/ Rfx REF $138.00 $138.00 $24.08–$78.75 197% above —
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV 1/2 Ag/Ab Fourth Gen w/ Rfx REF $138.00 $138.00 $24.08–$78.75 — —
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV 1//2 Ag/Ab w/ Cascade Rflx REF $138.00 $138.00 $24.08–$78.75 — —
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin (Hb) A1c REF $58.00 $58.00 $9.71–$51.94 63% above —
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1C and EAG FSI $58.00 $58.00 $9.71–$51.94 63% above —
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1c FSI $58.00 $58.00 $9.71–$51.94 63% above —
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hemoglobin A1c FSI $58.00 $58.00 $9.71–$51.94 — —
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hemoglobin (Hb) A1c REF $58.00 $58.00 $9.71–$51.94 — —
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hemoglobin A1C and EAG FSI $58.00 $58.00 $9.71–$51.94 — —
Hemoglobin blood test CPT 85018 Hemoglobin POC $17.00 $17.00 $2.37 63% above —
Hemoglobin blood test CPT 85018 Hemoglobin FSI $17.00 $17.00 $2.37–$14.76 63% above —
Hemoglobin blood test inpatient CPT 85018 Hemoglobin POC $17.00 $17.00 $2.37 — —
Hemoglobin blood test inpatient CPT 85018 Hemoglobin FSI $17.00 $17.00 $2.37–$14.76 — —
Hepatitis B core antibody test (total) CPT 86704 Hepatitis B Core Ab Ttl REF $74.00 $74.00 $12.05 161% above —
Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE IgG AB $77.00 $77.00 $12.05 171% above —
Hepatitis B core antibody test (total) inpatient CPT 86704 Hepatitis B Core Ab Ttl REF $74.00 $74.00 $12.05 — —
Hepatitis B core antibody test (total) inpatient CPT 86704 HEPATITIS B CORE IgG AB $77.00 $77.00 $12.05 — —
Hepatitis B surface antigen (HBsAg) test CPT 87340 HBsAg Screen REF $64.00 $64.00 $10.33–$56.84 80% above —
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE AG $64.00 $64.00 $10.33–$56.84 80% above —
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HBsAg Screen REF $64.00 $64.00 $10.33–$56.84 — —
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE AG $64.00 $64.00 $10.33–$56.84 — —
Hepatitis C antibody blood test (screening) CPT 86803 HCV FibroSure REF $89.00 $89.00 $14.27 98% above —
Hepatitis C antibody blood test (screening) CPT 86803 HCV Ab REF $89.00 $89.00 $14.27 98% above —
Hepatitis C antibody blood test (screening) CPT 86803 HCV Ab w/Rflx to Verification REF $118.00 $118.00 $14.27 162% above —
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HCV Ab REF $89.00 $89.00 $14.27 — —
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HCV FibroSure REF $89.00 $89.00 $14.27 — —
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HCV Ab w/Rflx to Verification REF $118.00 $118.00 $14.27 — —
Herpes blood test, HSV-2 antibody CPT 86696 HSV-2 Type Spec Ab, IgG w/Rflx REF $83.00 $83.00 $19.35 92% above —
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX 2 IGG $83.00 $83.00 $19.35 92% above —
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV-2 Type Spec Ab, IgG w/Rflx REF $83.00 $83.00 $19.35 — —
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX 2 IGG $83.00 $83.00 $19.35 — —
High-sensitivity CRP (hs-CRP) test CPT 86141 C-Reactive Protein, Cardiac REF $79.00 $79.00 $12.95–$72.00 84% above —
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C-Reactive Protein, Cardiac REF $79.00 $79.00 $12.95–$72.00 — —
Homocysteine blood test CPT 83090 Homocyst(e)ine, Plasma REF $163.00 $163.00 $17.92–$145.04 186% above —
Homocysteine blood test inpatient CPT 83090 Homocyst(e)ine, Plasma REF $163.00 $163.00 $17.92–$145.04 — —
Insulin blood test CPT 83525 Insulin REF $70.00 $70.00 $11.43 145% above —
Insulin blood test CPT 83525 INSULIN $70.00 $70.00 $11.43 145% above —
Insulin blood test inpatient CPT 83525 INSULIN $70.00 $70.00 $11.43 — —
Insulin blood test inpatient CPT 83525 Insulin REF $70.00 $70.00 $11.43 — —
Iron blood test (serum iron) CPT 83540 Iron Level FSI $35.00 $35.00 $6.47–$31.36 61% above —
Iron blood test (serum iron) inpatient CPT 83540 Iron Level FSI $35.00 $35.00 $6.47–$31.36 — —
Iron-binding capacity (TIBC) test CPT 83550 Total Iron Binding Capacity FSI $54.00 $54.00 $8.74–$48.02 68% above —
Iron-binding capacity (TIBC) test inpatient CPT 83550 Total Iron Binding Capacity FSI $54.00 $54.00 $8.74–$48.02 — —
Kidney function blood test panel CPT 80069 Renal Function Panel FSI $66.00 $66.00 $8.68–$60.00 31% above —
Kidney function blood test panel inpatient CPT 80069 Renal Function Panel FSI $66.00 $66.00 $8.68–$60.00 — —
LH (luteinizing hormone) test CPT 83002 LUTENIZING HORMONE SERUM $32.00 $32.00 $18.52–$20.30 41% below —
LH (luteinizing hormone) test CPT 83002 Lh REF $32.00 $32.00 $18.52–$20.30 41% below —
LH (luteinizing hormone) test inpatient CPT 83002 Lh REF $32.00 $32.00 $18.52–$20.30 — —
LH (luteinizing hormone) test inpatient CPT 83002 LUTENIZING HORMONE SERUM $32.00 $32.00 $18.52–$20.30 — —
Lactate (lactic acid) blood test CPT 83605 Lactic Acid Reflex #2 FSI $70.00 $70.00 $11.57–$64.00 151% above —
Lactate (lactic acid) blood test CPT 83605 Lactic Acid Reflex #1 FSI $70.00 $70.00 $11.57–$64.00 151% above —
Lactate (lactic acid) blood test CPT 83605 Lactic Acid FSI $70.00 $70.00 $11.57–$64.00 151% above —
Lactate (lactic acid) blood test inpatient CPT 83605 Lactic Acid Reflex #1 FSI $70.00 $70.00 $11.57–$64.00 — —
Lactate (lactic acid) blood test inpatient CPT 83605 Lactic Acid FSI $70.00 $70.00 $11.57–$64.00 — —
Lactate (lactic acid) blood test inpatient CPT 83605 Lactic Acid Reflex #2 FSI $70.00 $70.00 $11.57–$64.00 — —
Lactate dehydrogenase (LDH) blood test CPT 83615 LD, Body Fluid REF $31.00 $31.00 $3.76–$19.60 52% above —
Lactate dehydrogenase (LDH) blood test CPT 83615 LD (LDH) FSI $31.00 $31.00 $3.76–$19.60 52% above —
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LD (LDH) FSI $31.00 $31.00 $3.76–$19.60 — —
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LD, Body Fluid REF $31.00 $31.00 $3.76–$19.60 — —
Lipase blood test (pancreas enzyme) CPT 83690 Lipase FSI $45.00 $45.00 $6.89–$40.18 79% above —
Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase FSI $45.00 $45.00 $6.89–$40.18 — —
Liver function blood test panel CPT 80076 Hepatic Function Panel FSI $51.00 $51.00 $8.17–$45.58 2% above —
Liver function blood test panel inpatient CPT 80076 Hepatic Function Panel FSI $51.00 $51.00 $8.17–$45.58 — —
Lyme disease antibody test CPT 86618 Lyme, IgM, Early Test/Rfx REF $242.00 $242.00 $138.60 380% above —
Lyme disease antibody test CPT 86618 Lyme, Tot Ab Test/Rfx REF $242.00 $242.00 $138.60 380% above —
Lyme disease antibody test inpatient CPT 86618 Lyme, IgM, Early Test/Rfx REF $242.00 $242.00 $138.60 — —
Lyme disease antibody test inpatient CPT 86618 Lyme, Tot Ab Test/Rfx REF $242.00 $242.00 $138.60 — —
Magnesium blood test CPT 83735 Magnesium FSI $31.00 $31.00 $6.70–$27.44 45% above —
Magnesium blood test CPT 83735 Magnesium, U REF $50.00 $50.00 $6.70–$27.44 133% above —
Magnesium blood test CPT 83735 MAGNESIUM URINE 24 HR $50.00 $50.00 $6.70–$27.44 133% above —
Magnesium blood test inpatient CPT 83735 Magnesium FSI $31.00 $31.00 $6.70–$27.44 — —
Magnesium blood test inpatient CPT 83735 Magnesium, U REF $50.00 $50.00 $6.70–$27.44 — —
Magnesium blood test inpatient CPT 83735 MAGNESIUM URINE 24 HR $50.00 $50.00 $6.70–$27.44 — —
Measles (rubeola) antibody test CPT 86765 Rubeola Abs, IgM REF $99.00 $99.00 $12.88 241% above —
Measles (rubeola) antibody test CPT 86765 MEASLES AB IGG $99.00 $99.00 $12.88 241% above —
Measles (rubeola) antibody test CPT 86765 RUBEOLA AB IGG $99.00 $99.00 $12.88 241% above —
Measles (rubeola) antibody test CPT 86765 Measles Ab (IgG) REF $99.00 $99.00 $12.88 241% above —
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA AB IGG $99.00 $99.00 $12.88 — —
Measles (rubeola) antibody test inpatient CPT 86765 Rubeola Abs, IgM REF $99.00 $99.00 $12.88 — —
Measles (rubeola) antibody test inpatient CPT 86765 MEASLES AB IGG $99.00 $99.00 $12.88 — —
Measles (rubeola) antibody test inpatient CPT 86765 Measles Ab (IgG) REF $99.00 $99.00 $12.88 — —
Mono test (heterophile antibody, Monospot) CPT 86308 Monospot: Whole Blood POC $33.00 $33.00 $5.18 37% above —
Mono test (heterophile antibody, Monospot) CPT 86308 Rapid Mono Test FSI $33.00 $33.00 $5.18 37% above —
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Rapid Mono Test FSI $33.00 $33.00 $5.18 — —
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Monospot: Whole Blood POC $33.00 $33.00 $5.18 — —
Mumps immunity blood test CPT 86735 MUMPS ANTIBODIES, IGG $79.00 $79.00 $13.05 167% above —
Mumps immunity blood test CPT 86735 Mumps Antibody, IgG REF $79.00 $79.00 $13.05 167% above —
Mumps immunity blood test CPT 86735 Mumps Virus Ab (IgM) REF $79.00 $79.00 $13.05 167% above —
Mumps immunity blood test inpatient CPT 86735 MUMPS ANTIBODIES, IGG $79.00 $79.00 $13.05 — —
Mumps immunity blood test inpatient CPT 86735 Mumps Virus Ab (IgM) REF $79.00 $79.00 $13.05 — —
Mumps immunity blood test inpatient CPT 86735 Mumps Antibody, IgG REF $79.00 $79.00 $13.05 — —
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA (Free And Ttl) REF $78.00 $78.00 $18.39–$69.78 77% above —
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA, Total FSI $114.00 $114.00 $18.39–$69.78 158% above —
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA Ultra. W/Serial Monitor REF $198.00 $198.00 $18.39–$69.78 349% above —
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA (Free And Ttl) REF $78.00 $78.00 $18.39–$69.78 — —
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA, Total FSI $114.00 $114.00 $18.39–$69.78 — —
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA Ultra. W/Serial Monitor REF $198.00 $198.00 $18.39–$69.78 — —
Parathyroid hormone (PTH) blood test CPT 83970 83970 Calcium $29.00 $29.00 $20.64–$248.00 68% below —
Parathyroid hormone (PTH) blood test CPT 83970 PTH, Intact REF $244.00 $244.00 $20.64–$248.00 168% above —
Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE INTACT 1 $244.00 $244.00 $20.64–$248.00 168% above —
Parathyroid hormone (PTH) blood test inpatient CPT 83970 83970 Calcium $29.00 $29.00 $20.64–$248.00 — —
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH, Intact REF $244.00 $244.00 $20.64–$248.00 — —
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHYROID HORMONE INTACT 1 $244.00 $244.00 $20.64–$248.00 — —
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT, Activated FSI $37.00 $37.00 $6.01–$33.32 81% above —
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT, Activated REF $41.00 $41.00 $6.01–$33.32 101% above —
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT, Activated FSI $37.00 $37.00 $6.01–$33.32 — —
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT, Activated REF $41.00 $41.00 $6.01–$33.32 — —
Phosphorus (phosphate) blood test CPT 84100 Phosphorus FSI $24.00 $24.00 $4.74–$21.56 43% above —
Phosphorus (phosphate) blood test inpatient CPT 84100 Phosphorus FSI $24.00 $24.00 $4.74–$21.56 — —
Potassium blood test CPT 84132 Potassium FSI $26.00 $26.00 $4.76–$15.12 48% above —
Potassium blood test inpatient CPT 84132 Potassium FSI $26.00 $26.00 $4.76–$15.12 — —
Progesterone blood test CPT 84144 Progesterone REF $103.00 $103.00 $20.86 89% above —
Progesterone blood test CPT 84144 Pediatric 17-OH Progesterone REF $289.00 $289.00 $20.86 429% above —
Progesterone blood test inpatient CPT 84144 Progesterone REF $103.00 $103.00 $20.86 — —
Progesterone blood test inpatient CPT 84144 Pediatric 17-OH Progesterone REF $289.00 $289.00 $20.86 — —
Prolactin blood test CPT 84146 MONOMERIC PROLACTIN $64.00 $64.00 $19.38–$102.90 at median —
Prolactin blood test CPT 84146 PROLACTIN $162.00 $162.00 $19.38–$102.90 153% above —
Prolactin blood test CPT 84146 Prolactin REF $162.00 $162.00 $19.38–$102.90 153% above —
Prolactin blood test inpatient CPT 84146 MONOMERIC PROLACTIN $64.00 $64.00 $19.38–$102.90 — —
Prolactin blood test inpatient CPT 84146 Prolactin REF $162.00 $162.00 $19.38–$102.90 — —
Prolactin blood test inpatient CPT 84146 PROLACTIN $162.00 $162.00 $19.38–$102.90 — —
Prothrombin time (PT/INR) clotting test CPT 85610 PT/INR FSI $29.00 $29.00 $4.29–$25.48 100% above —
Prothrombin time (PT/INR) clotting test CPT 85610 .Prothrombin Time (PT) REF $41.00 $41.00 $4.29–$25.48 183% above —
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PT/INR FSI $29.00 $29.00 $4.29–$25.48 — —
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 .Prothrombin Time (PT) REF $41.00 $41.00 $4.29–$25.48 — —
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Drug Screen Urine Observation REF $28.00 $28.00 $12.60–$35.00 23% above —
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Drug Screen Urine POCT $55.00 $55.00 $12.60–$35.00 142% above —
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 Drug Screen Urine Observation REF $28.00 $28.00 $12.60–$35.00 — —
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 Drug Screen Urine POCT $55.00 $55.00 $12.60–$35.00 — —
Renin blood test CPT 84244 Plasma Renin Activity, Lc/Ms/Ms REF $127.00 $127.00 $21.99–$112.70 113% above —
Renin blood test CPT 84244 Plasma Renin Activity, Lc/Ms/Ms/Ms REF $127.00 $127.00 $21.99 113% above —
Renin blood test inpatient CPT 84244 Plasma Renin Activity, Lc/Ms/Ms REF $127.00 $127.00 $21.99–$112.70 — —
Renin blood test inpatient CPT 84244 Plasma Renin Activity, Lc/Ms/Ms/Ms REF $127.00 $127.00 $21.99 — —
Rh blood typing CPT 86901 BB RH TYPE $57.00 $57.00 $2.99–$50.96 166% above —
Rh blood typing CPT 86901 RH FSI $57.00 $57.00 $2.99–$50.96 166% above —
Rh blood typing CPT 86901 RH (D) Type FSI $57.00 $57.00 $2.99–$50.96 166% above —
Rh blood typing inpatient CPT 86901 BB RH TYPE $57.00 $57.00 $2.99–$50.96 — —
Rh blood typing inpatient CPT 86901 RH (D) Type FSI $57.00 $57.00 $2.99–$50.96 — —
Rh blood typing inpatient CPT 86901 RH FSI $57.00 $57.00 $2.99–$50.96 — —
Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor REF $33.00 $33.00 $5.67–$18.90 40% above —
Rheumatoid factor (RF) test inpatient CPT 86431 Rheumatoid Factor REF $33.00 $33.00 $5.67–$18.90 — —
Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODIES IGG $59.00 $59.00 $14.39 77% above —
Rubella antibody test (immunity check) CPT 86762 .Rubella IgM Ab REF $59.00 $59.00 $14.39 77% above —
Rubella antibody test (immunity check) CPT 86762 Rubella Abs, IgG REF $59.00 $59.00 $14.39 77% above —
Rubella antibody test (immunity check) inpatient CPT 86762 Rubella Abs, IgG REF $59.00 $59.00 $14.39 — —
Rubella antibody test (immunity check) inpatient CPT 86762 .Rubella IgM Ab REF $59.00 $59.00 $14.39 — —
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA ANTIBODIES IGG $59.00 $59.00 $14.39 — —
Sodium blood test CPT 84295 Sodium Level FSI $30.00 $30.00 $4.81–$16.67 76% above —
Sodium blood test inpatient CPT 84295 Sodium Level FSI $30.00 $30.00 $4.81–$16.67 — —
Stool ova and parasites exam CPT 87177 OVA & PARASITE EXAM $50.00 $50.00 $8.90–$44.10 67% above —
Stool ova and parasites exam CPT 87177 Ova + Parasite Exam REF $50.00 $50.00 $8.90–$44.10 67% above —
Stool ova and parasites exam inpatient CPT 87177 Ova + Parasite Exam REF $50.00 $50.00 $8.90–$44.10 — —
Stool ova and parasites exam inpatient CPT 87177 OVA & PARASITE EXAM $50.00 $50.00 $8.90–$44.10 — —
Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult Blood FSI $39.00 $39.00 $4.38–$35.00 188% above —
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Occult Blood FSI $39.00 $39.00 $4.38–$35.00 — —
Stool test for hidden blood by immunoassay (FIT) CPT 82274 Occult Blood, Fecal, Immunoassay $108.00 $108.00 $15.92–$60.51 326% above —
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Occult Blood, Fecal, Immunoassay $108.00 $108.00 $15.92–$60.51 — —
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR, Rfx Qn RPR/Confirm TP REF $29.00 $29.00 $4.27–$50.00 101% above —
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR REF $55.00 $55.00 $4.27–$50.00 282% above —
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RAPID PLASMA REAGIN QUAL $55.00 $55.00 $4.27–$50.00 282% above —
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR, Rfx Qn RPR/Confirm TP REF $29.00 $29.00 $4.27–$50.00 — —
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR REF $55.00 $55.00 $4.27–$50.00 — —
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RAPID PLASMA REAGIN QUAL $55.00 $55.00 $4.27–$50.00 — —
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QuantiFERON TB Gold (In Tube) REF $165.00 $165.00 $61.98–$147.00 40% above —
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QuantiFERON TB Gold (In Tube) REF $165.00 $165.00 $61.98–$147.00 — —
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL $146.00 $146.00 $25.81–$83.79 149% above —
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone REF $146.00 $146.00 $25.81–$83.79 149% above —
Testosterone blood test, total (not free testosterone) CPT 84403 Pediatric Testosterone REF $248.00 $248.00 $25.81–$83.79 324% above —
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL $146.00 $146.00 $25.81–$83.79 — —
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone REF $146.00 $146.00 $25.81–$83.79 — —
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Pediatric Testosterone REF $248.00 $248.00 $25.81–$83.79 — —
Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroid Peroxidase Abs REF $88.00 $88.00 $14.55–$78.72 144% above —
Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroid Abs REF $88.00 $88.00 $14.55–$78.72 144% above —
Thyroid peroxidase (TPO) antibody test CPT 86376 Liver Kidney Microsome (Lkm-1) Ab (IgG) REF $94.00 $94.00 $14.55–$78.72 161% above —
Thyroid peroxidase (TPO) antibody test CPT 86376 LC-1 (Liver Cytosol Protein-1) REF $363.00 $363.00 $14.55–$78.72 908% above —
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Thyroid Abs REF $88.00 $88.00 $14.55–$78.72 — —
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Thyroid Peroxidase Abs REF $88.00 $88.00 $14.55–$78.72 — —
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Liver Kidney Microsome (Lkm-1) Ab (IgG) REF $94.00 $94.00 $14.55–$78.72 — —
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LC-1 (Liver Cytosol Protein-1) REF $363.00 $363.00 $14.55–$78.72 — —
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH FSI $99.00 $99.00 $16.80–$88.20 141% above —
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH FSI $99.00 $99.00 $16.80–$88.20 — —
Total IgE blood test CPT 82785 Immunoglobulin E REF $94.00 $94.00 $16.46–$59.50 146% above —
Total IgE blood test CPT 82785 IMMUNOGLOBULIN E TOTAL $94.00 $94.00 $16.46–$59.50 146% above —
Total IgE blood test inpatient CPT 82785 IMMUNOGLOBULIN E TOTAL $94.00 $94.00 $16.46–$59.50 — —
Total IgE blood test inpatient CPT 82785 Immunoglobulin E REF $94.00 $94.00 $16.46–$59.50 — —
Total cholesterol blood test CPT 82465 Cholesterol FSI $25.00 $25.00 $4.35 67% above —
Total cholesterol blood test CPT 82465 NASH TOTAL CHOLESTEROL $25.00 $25.00 $4.35 67% above —
Total cholesterol blood test inpatient CPT 82465 Cholesterol FSI $25.00 $25.00 $4.35 — —
Total cholesterol blood test inpatient CPT 82465 NASH TOTAL CHOLESTEROL $25.00 $25.00 $4.35 — —
Total thyroxine (T4) blood test CPT 84436 T4, Total FSI $37.00 $37.00 $6.58–$33.32 59% above —
Total thyroxine (T4) blood test inpatient CPT 84436 T4, Total FSI $37.00 $37.00 $6.58–$33.32 — —
Total triiodothyronine (T3) blood test CPT 84480 T3, Ttl REF $72.00 $72.00 $8.73–$64.53 50% above —
Total triiodothyronine (T3) blood test inpatient CPT 84480 T3, Ttl REF $72.00 $72.00 $8.73–$64.53 — —
Transferrin blood test CPT 84466 Transferrin REF $75.00 $75.00 $12.76 94% above —
Transferrin blood test inpatient CPT 84466 Transferrin REF $75.00 $75.00 $12.76 — —
Trichomonas test (NAAT) CPT 87661 TRICH VAG BY NAA REF $149.00 $149.00 $35.09–$95.20 204% above —
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS BY NAA $149.00 $149.00 $35.09–$95.20 204% above —
Trichomonas test (NAAT) CPT 87661 Trich vag by NAA REF $150.00 $150.00 $35.09–$95.20 206% above —
Trichomonas test (NAAT) CPT 87661 Trich vag by NAA $150.00 $150.00 $35.09 206% above —
Trichomonas test (NAAT) CPT 87661 Trich vag >/= 18 y or <79 y, NAA In-House FSI $150.00 $150.00 $35.09–$95.20 206% above —
Trichomonas test (NAAT) inpatient CPT 87661 TRICH VAG BY NAA REF $149.00 $149.00 $35.09–$95.20 — —
Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGINALIS BY NAA $149.00 $149.00 $35.09–$95.20 — —
Trichomonas test (NAAT) inpatient CPT 87661 Trich vag by NAA $150.00 $150.00 $35.09 — —
Trichomonas test (NAAT) inpatient CPT 87661 Trich vag >/= 18 y or <79 y, NAA In-House FSI $150.00 $150.00 $35.09–$95.20 — —
Trichomonas test (NAAT) inpatient CPT 87661 Trich vag by NAA REF $150.00 $150.00 $35.09–$95.20 — —
Triglycerides blood test CPT 84478 Triglyceride FSI $30.00 $30.00 $5.74–$26.46 26% above —
Triglycerides blood test CPT 84478 NASH TRIGLYCERIDES $30.00 $30.00 $5.74–$26.46 26% above —
Triglycerides blood test inpatient CPT 84478 Triglyceride FSI $30.00 $30.00 $5.74–$26.46 — —
Triglycerides blood test inpatient CPT 84478 NASH TRIGLYCERIDES $30.00 $30.00 $5.74–$26.46 — —
Troponin test, quantitative CPT 84484 Troponin I REF $227.00 $227.00 $12.47–$201.88 500% above —
Troponin test, quantitative CPT 84484 Troponin I High Sensitivity FSI $227.00 $227.00 $12.47–$201.88 500% above —
Troponin test, quantitative CPT 84484 Troponin I FSI $227.00 $227.00 $12.47–$201.88 500% above —
Troponin test, quantitative CPT 84484 Troponin I, High Sensitivity FSI $227.00 $227.00 $12.47–$201.88 500% above —
Troponin test, quantitative inpatient CPT 84484 Troponin I, High Sensitivity FSI $227.00 $227.00 $12.47–$201.88 — —
Troponin test, quantitative inpatient CPT 84484 Troponin I High Sensitivity FSI $227.00 $227.00 $12.47–$201.88 — —
Troponin test, quantitative inpatient CPT 84484 Troponin I REF $227.00 $227.00 $12.47–$201.88 — —
Troponin test, quantitative inpatient CPT 84484 Troponin I FSI $227.00 $227.00 $12.47–$201.88 — —
Uric acid blood test CPT 84550 Uric Acid FSI $29.00 $29.00 $4.52–$25.48 66% above —
Uric acid blood test inpatient CPT 84550 Uric Acid FSI $29.00 $29.00 $4.52–$25.48 — —
Urinalysis with microscope exam, automated CPT 81001 Urinalysis Complete with Culture if Indicated $39.00 $39.00 $3.17–$34.30 56% above —
Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis Complete with Culture if Indicated $39.00 $39.00 $3.17–$34.30 — —
Urinalysis without microscope exam, automated CPT 81003 Urinalysis Dipstick POC auto w/ micro $9.00 $9.00 $2.25–$7.84 2% above —
Urinalysis without microscope exam, automated CPT 81003 Urinalysis Dipstick Only FSI $33.00 $33.00 $2.25–$34.30 273% above —
Urinalysis without microscope exam, automated CPT 81003 Urinalysis Complete FSI $39.00 $39.00 $2.25–$34.30 341% above —
Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis Dipstick POC auto w/ micro $9.00 $9.00 $2.25–$7.84 — —
Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis Dipstick Only FSI $33.00 $33.00 $2.25–$34.30 — —
Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis Complete FSI $39.00 $39.00 $2.25–$34.30 — —
Urine culture for bacteria, with colony count CPT 87086 Urine Culture, Routine REF $48.00 $48.00 $8.07–$43.12 28% above —
Urine culture for bacteria, with colony count CPT 87086 Urine Culture Comp. REF $48.00 $48.00 $8.07–$43.12 28% above —
Urine culture for bacteria, with colony count inpatient CPT 87086 Urine Culture, Routine REF $48.00 $48.00 $8.07–$43.12 — —
Urine culture for bacteria, with colony count inpatient CPT 87086 Urine Culture Comp. REF $48.00 $48.00 $8.07–$43.12 — —
Urine microalbumin (albumin) test CPT 82043 Microalbumin, U Only FSI $43.00 $43.00 $5.78–$38.22 147% above —
Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN URINE $43.00 $43.00 $5.78–$38.22 147% above —
Urine microalbumin (albumin) test inpatient CPT 82043 Microalbumin, U Only FSI $43.00 $43.00 $5.78–$38.22 — —
Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN URINE $43.00 $43.00 $5.78–$38.22 — —
Urine pregnancy test, read by color change CPT 81025 Pregnancy Test Urine FSI $28.00 $28.00 $8.61–$24.50 33% above —
Urine pregnancy test, read by color change CPT 81025 Urine Pregnancy Test POC $44.00 $44.00 $5.30–$8.61 110% above —
Urine pregnancy test, read by color change inpatient CPT 81025 Pregnancy Test Urine FSI $28.00 $28.00 $8.61–$24.50 — —
Urine pregnancy test, read by color change inpatient CPT 81025 Urine Pregnancy Test POC $44.00 $44.00 $5.30–$8.61 — —
Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin C REF $28.00 $28.00 $15.08–$85.00 29% below —
Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B12 REF $87.00 $87.00 $15.08–$85.00 119% above —
Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B12 FSI $94.00 $94.00 $15.08–$85.00 137% above —
Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B12 and Folate FSI $94.00 $94.00 $15.08–$85.00 137% above —
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vitamin C REF $28.00 $28.00 $15.08–$85.00 — —
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vitamin B12 REF $87.00 $87.00 $15.08–$85.00 — —
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vitamin B12 FSI $94.00 $94.00 $15.08–$85.00 — —
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vitamin B12 and Folate FSI $94.00 $94.00 $15.08–$85.00 — —
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D (25-OH), Total FSI $180.00 $180.00 $29.60–$160.72 135% above —
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D,25-Oh,Ttl,Ia REF $180.00 $180.00 $29.60–$160.72 135% above —
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D (25-OH), Total FSI $180.00 $180.00 $29.60–$160.72 — —
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D,25-Oh,Ttl,Ia REF $180.00 $180.00 $29.60–$160.72 — —
Zinc blood test CPT 84630 Zinc, WB REF $58.00 $58.00 $11.39–$37.39 85% above —
Zinc blood test CPT 84630 Zinc REF $58.00 $58.00 $11.39–$37.39 85% above —
Zinc blood test inpatient CPT 84630 Zinc REF $58.00 $58.00 $11.39–$37.39 — —
Zinc blood test inpatient CPT 84630 Zinc, WB REF $58.00 $58.00 $11.39–$37.39 — —
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QUANTITATIVE $91.00 $91.00 $15.05 87% above —
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 hCG, Beta Subunit, Qn, S REF $91.00 $91.00 $15.05 87% above —
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG QUANTITATIVE $91.00 $91.00 $15.05 — —
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 hCG, Beta Subunit, Qn, S REF $91.00 $91.00 $15.05 — —

Surgery and procedures

ProcedureCash price List priceInsurers payvs LouisianaOff list
Colonoscopy with polyp removal CPT 45385 45385 SNARE POLYPECTOMY Charges $3,347.00 $3,347.00 $1,649.31–$2,982.14 295% above —
Colonoscopy with polyp removal inpatient CPT 45385 45385 SNARE POLYPECTOMY Charges $3,347.00 $3,347.00 $1,649.31–$2,982.14 — —
Colonoscopy with tissue sample CPT 45380 45380 COLONOSCOPY W/BIOPSY Charges $3,347.00 $3,347.00 $1,917.09–$3,775.75 291% above —
Colonoscopy with tissue sample inpatient CPT 45380 45380 COLONOSCOPY W/BIOPSY Charges $3,347.00 $3,347.00 $1,917.09–$3,775.75 — —
Colonoscopy, diagnostic CPT 45378 45378 COLONOSCOPY Charges $2,539.00 $2,539.00 $1,434.19–$2,220.09 240% above —
Colonoscopy, diagnostic inpatient CPT 45378 45378 COLONOSCOPY Charges $2,539.00 $2,539.00 $1,434.19–$2,220.09 — —
Incision and drainage of a simple or single skin abscess CPT 10060 10060 INCISION & DRAINAGE ABSCESS SIMPLE/SINGLE TechFee $248.00 $248.00 $141.75–$220.50 27% above —
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 10060 INCISION & DRAINAGE ABSCESS SIMPLE/SINGLE TechFee $248.00 $248.00 $141.75–$220.50 — —
Permanent removal of a nail and nail root (partial or complete) CPT 11750 11750 Excision of nail and nail matrix, partial or complete, for permanent removal $492.00 $492.00 $295.27–$589.04 38% above —
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 11750 Excision of nail and nail matrix, partial or complete, for permanent removal $492.00 $492.00 $295.27–$589.04 — —
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 12001 SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/< TechFee $303.00 $303.00 $166.84–$269.50 62% above —
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 12001 SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/< TechFee $303.00 $303.00 $166.84–$269.50 — —
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 12002 SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM TechFee $272.00 $272.00 $134.12–$247.00 48% above —
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 12002 SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM TechFee $272.00 $272.00 $134.12–$247.00 — —
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 12011 SIMPLE REPAIR F/E/E/N/L/M 2.5CM/< TechFee $297.00 $297.00 $167.78–$264.60 63% above —
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 12011 SIMPLE REPAIR F/E/E/N/L/M 2.5CM/< TechFee $297.00 $297.00 $167.78–$264.60 — —
Upper endoscopy (EGD) with biopsy CPT 43239 43239 GASTROSCOPY W/BIOPSY Charges $2,659.00 $2,659.00 $1,522.71–$2,375.66 258% above —
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 43239 GASTROSCOPY W/BIOPSY Charges $2,659.00 $2,659.00 $1,522.71–$2,375.66 — —
Upper endoscopy (EGD), diagnostic CPT 43235 43235 GASTROSCOPY Charges $2,659.00 $2,659.00 $2,368.66 229% above —
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 43235 GASTROSCOPY Charges $2,659.00 $2,659.00 $2,368.66 — —

Doctor visits and therapy

ProcedureCash price List priceInsurers payvs LouisianaOff list
Blood transfusion (giving blood or blood components) CPT 36430 Transfuse Fresh Frozen Plasma $1,092.00 $1,092.00 $615.58–$973.14 130% above —
Blood transfusion (giving blood or blood components) CPT 36430 Transfuse Platelet Product $1,092.00 $1,092.00 $615.58–$973.14 130% above —
Blood transfusion (giving blood or blood components) CPT 36430 Transfuse Red Blood Cells Leukoreduced $1,092.00 $1,092.00 $615.58–$973.14 130% above —
Blood transfusion (giving blood or blood components) CPT 36430 36430 TRANSFUSION BLOOD/BLOOD COMPONENTS TechFee $1,092.00 $1,092.00 $615.58–$973.14 130% above —
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Transfuse Red Blood Cells Leukoreduced $1,092.00 $1,092.00 $615.58–$973.14 — —
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Transfuse Platelet Product $1,092.00 $1,092.00 $615.58–$973.14 — —
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Transfuse Fresh Frozen Plasma $1,092.00 $1,092.00 $615.58–$973.14 — —
Blood transfusion (giving blood or blood components) inpatient CPT 36430 36430 TRANSFUSION BLOOD/BLOOD COMPONENTS TechFee $1,092.00 $1,092.00 $615.58–$973.14 — —
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT Mini-Neb Subsequent CHARGE $94.00 $94.00 $52.82–$288.00 8% above —
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT Meter Dose Inhaler Subsequent CHARGE $94.00 $94.00 $52.82–$288.00 8% above —
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT Aerosol Subsequent CHARGE $94.00 $94.00 $52.82–$288.00 8% above —
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT Sputum Collection CHARGE $317.00 $317.00 $52.82–$288.00 264% above —
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT Mini-Neb Initial CHARGE $317.00 $317.00 $52.82–$288.00 264% above —
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 94640 NON-PRESSURIZED INHTX CHARGE $317.00 $317.00 $52.82–$288.00 264% above —
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT Aerosol Initial CHARGE $317.00 $317.00 $52.82–$288.00 264% above —
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT Meter Dose Inhaler Initial CHARGE $317.00 $317.00 $52.82–$288.00 264% above —
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT Meter Dose Inhaler Subsequent CHARGE $94.00 $94.00 $52.82–$288.00 — —
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT Mini-Neb Subsequent CHARGE $94.00 $94.00 $52.82–$288.00 — —
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT Aerosol Subsequent CHARGE $94.00 $94.00 $52.82–$288.00 — —
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 94640 NON-PRESSURIZED INHTX CHARGE $317.00 $317.00 $52.82–$288.00 — —
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT Mini-Neb Initial CHARGE $317.00 $317.00 $52.82–$288.00 — —
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT Sputum Collection CHARGE $317.00 $317.00 $52.82–$288.00 — —
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT Aerosol Initial CHARGE $317.00 $317.00 $52.82–$288.00 — —
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT Meter Dose Inhaler Initial CHARGE $317.00 $317.00 $52.82–$288.00 — —
Critical care, first 30 to 74 minutes CPT 99291 99291 Facility Level Critical Care Ill/Injured Patient Init 30-74 Min $1,815.00 $1,815.00 $895.95–$1,618.80 142% above —
Critical care, first 30 to 74 minutes inpatient CPT 99291 99291 Facility Level Critical Care Ill/Injured Patient Init 30-74 Min $1,815.00 $1,815.00 $895.95–$1,618.80 — —
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 93005 EKG w/ 12+ leads; Tracing Only $138.00 $138.00 $108.04–$175.00 68% above —
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 CV ECG Acquisition $193.00 $193.00 $108.04–$175.00 134% above —
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 93005 EKG w/ 12+ leads; Tracing Only $138.00 $138.00 $108.04–$175.00 — —
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 CV ECG Acquisition $193.00 $193.00 $108.04–$175.00 — —
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 99281 ED VISIT FOR E&M PATIENT, LEV 1, MAY NOT REQ PRESENCE OF PHYSICIAN OR OTHER, CC $188.00 $188.00 $107.58–$135.45 101% above —
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 99281 ED VISIT FOR E&M PATIENT, LEV 1, MAY NOT REQ PRESENCE OF PHYSICIAN OR OTHER, CC $188.00 $188.00 $107.58–$135.45 — —
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 99282 ED VISIT E&M PATIENT, LEV 2, REQ MED APPROP HSTRY/EXAM/MDM, CC $242.00 $242.00 $135.83–$220.00 52% above —
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 99282 ED VISIT E&M PATIENT, LEV 2, REQ MED APPROP HSTRY/EXAM/MDM, CC $242.00 $242.00 $135.83–$220.00 — —
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 99283 ED VISIT E&M PATIENT, LEV 3, REQ MED APPROP HSTRY/EXAM/LOW MDM, CC $363.00 $363.00 $203.74–$325.40 46% above —
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 99283 ED VISIT E&M PATIENT, LEV 3, REQ MED APPROP HSTRY/EXAM/LOW MDM, CC $363.00 $363.00 $203.74–$325.40 — —
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 99284 ED VISIT E&M PATIENT, LEV 4, REQ MED APPROP HSTRY/EXAM/MODERATE MDM, CC $484.00 $484.00 $271.66–$433.60 21% above —
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 99284 ED VISIT E&M PATIENT, LEV 4, REQ MED APPROP HSTRY/EXAM/MODERATE MDM, CC $484.00 $484.00 $271.66–$433.60 — —
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 99285 ED VISIT E M PATIENT, LEV 5, REQ MED APPROP HSTRY/EXAM/HIGH MDM, CC $726.00 $726.00 $407.48–$660.00 40% above —
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 99285 ED VISIT E M PATIENT, LEV 5, REQ MED APPROP HSTRY/EXAM/HIGH MDM, CC $726.00 $726.00 $407.48–$660.00 — —
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360 - ED Hydration, first hour $344.00 $344.00 $169.96–$306.74 132% above —
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360 - IV INFUSION HYDRATION INITIAL 31 MIN-1 HOUR $344.00 $344.00 $194.50–$306.74 132% above —
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 96360 - IV INFUSION HYDRATION INITIAL 31 MIN-1 HOUR $344.00 $344.00 $194.50–$306.74 — —
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 96360 - ED Hydration, first hour $344.00 $344.00 $169.96–$306.74 — —
IV infusion of a medicine, first hour CPT 96365 96365- ED IV tx, first hour $344.00 $344.00 $169.96–$306.74 78% above —
IV infusion of a medicine, first hour CPT 96365 96365 IN INFUSION INTIAL UP TO 1HR CHARGE $344.00 $344.00 $194.03–$247.93 78% above —
IV infusion of a medicine, first hour inpatient CPT 96365 96365 IN INFUSION INTIAL UP TO 1HR CHARGE $344.00 $344.00 $194.03–$247.93 — —
IV infusion of a medicine, first hour inpatient CPT 96365 96365- ED IV tx, first hour $344.00 $344.00 $169.96–$306.74 — —
IV push of a medicine, first drug CPT 96374 96374 INJ/IV/DIAG OR THERA OV CHARGE $344.00 $344.00 $197.19–$306.74 255% above —
IV push of a medicine, first drug CPT 96374 96374- ED Injection, single/initial $344.00 $344.00 $169.96–$313.00 255% above —
IV push of a medicine, first drug inpatient CPT 96374 96374 INJ/IV/DIAG OR THERA OV CHARGE $344.00 $344.00 $197.19–$306.74 — —
IV push of a medicine, first drug inpatient CPT 96374 96374- ED Injection, single/initial $344.00 $344.00 $169.96–$313.00 — —
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular: $28.00 $28.00 $5.00–$303.00 47% below —
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 INJ IM OR SUBQ CHARGE $56.00 $56.00 $24.70–$75.25 6% above —
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 ED Subq/IM Injection $56.00 $56.00 $57.64–$93.10 6% above —
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular: $28.00 $28.00 $5.00–$303.00 — —
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 ED Subq/IM Injection $56.00 $56.00 $57.64–$93.10 — —
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 INJ IM OR SUBQ CHARGE $56.00 $56.00 $24.70–$75.25 — —
Neuromuscular re-education, 15 minutes CPT 97112 Neuromuscular Reeducation Charges $139.00 $139.00 $36.44–$45.08 259% above —
Neuromuscular re-education, 15 minutes inpatient CPT 97112 Neuromuscular Reeducation Charges $139.00 $139.00 $36.44–$45.08 — —
New patient office visit, about 30 minutes CPT 99203 99203 Office/Outpatient Visit - New Patient, Level 3 (30-44 min) $193.00 $193.00 $116.65–$298.29 170% above —
New patient office visit, about 30 minutes inpatient CPT 99203 99203 Office/Outpatient Visit - New Patient, Level 3 (30-44 min) $193.00 $193.00 $116.65–$298.29 — —
New patient office visit, straightforward problem or 15+ minutes CPT 99202 99202 Office/Outpatient Visit - New Patient, Level 2 (15-29 mins) $121.00 $121.00 $295.67 120% above —
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 99202 Office/Outpatient Visit - New Patient, Level 2 (15-29 mins) $121.00 $121.00 $295.67 — —
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT High Complex Units $413.00 $413.00 $58.94–$122.50 224% above —
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT High Complex Units $413.00 $413.00 $58.94–$122.50 — —
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT Low Complex Units $413.00 $413.00 $78.75 277% above —
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT Low Complex Units $413.00 $413.00 $78.75 — —
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT Moderate Complex Units $413.00 $413.00 $58.94–$122.50 254% above —
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT Moderate Complex Units $413.00 $413.00 $58.94–$122.50 — —
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT Therapeutic Exercise Charges $120.00 $120.00 $11.00–$109.76 216% above —
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Therapeutic Exercise Charges $121.00 $121.00 $11.00–$73.50 219% above —
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT Therapeutic Exercise Charges $120.00 $120.00 $11.00–$109.76 — —
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Therapeutic Exercise Charges $121.00 $121.00 $11.00–$73.50 — —
Preventive checkup, new patient aged 40–64 CPT 99386 99386 Preventive Evaluation, New Pt; 40-64 Yrs $253.00 $253.00 $230.00–$287.11 81% above —
Preventive checkup, new patient aged 40–64 inpatient CPT 99386 99386 Preventive Evaluation, New Pt; 40-64 Yrs $253.00 $253.00 $230.00–$287.11 — —
Preventive checkup, returning patient aged 18–39 CPT 99395 99395 Preventive Evaluation, Established Pt; 18-39 Yrs $220.00 $220.00 $84.68–$396.47 150% above —
Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 99395 Preventive Evaluation, Established Pt; 18-39 Yrs $220.00 $220.00 $84.68–$396.47 — —
Preventive checkup, returning patient aged 40–64 CPT 99396 99396 Preventive Evaluation, Established Pt; 40-64 Yrs $275.00 $275.00 $76.61–$396.47 141% above —
Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 99396 Preventive Evaluation, Established Pt; 40-64 Yrs $275.00 $275.00 $76.61–$396.47 — —
Preventive checkup, returning patient aged 65 or older CPT 99397 99397 Preventive Evaluation, Established Pt; 65+ Yrs $303.00 $303.00 $84.68–$396.47 150% above —
Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 99397 Preventive Evaluation, Established Pt; 65+ Yrs $303.00 $303.00 $84.68–$396.47 — —
Returning patient office visit, low complexity or 20+ minutes CPT 99213 99213 Office/Outpatient Visit - Established Patient, Level 3 $160.00 $160.00 $5.00–$324.09 187% above —
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 99213 Office/Outpatient Visit - Established Patient, Level 3 $160.00 $160.00 $5.00–$324.09 — —
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 99214 Office/Outpatient Visit - Established Patient, Level 4 $167.00 $167.00 $98.92–$349.49 161% above —
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 99214 Office/Outpatient Visit - Established Patient, Level 4 $167.00 $167.00 $98.92–$349.49 — —
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 99212 Office/Outpatient Visit - Established Patient, Level 2 $152.00 $152.00 $5.00–$351.18 208% above —
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 99212 Office/Outpatient Visit - Established Patient, Level 2 $152.00 $152.00 $5.00–$351.18 — —
Speech and language evaluation CPT 92523 92521 EVAL OF SPEECH FLUENCY CHARGE $910.00 $910.00 $66.74–$156.00 390% above —
Speech and language evaluation CPT 92523 SLP Outpatient Pediatric Development Eval $910.00 $910.00 $66.74–$156.00 390% above —
Speech and language evaluation CPT 92523 Speech Sound Prod w/ Language Charge $910.00 $910.00 $66.74–$156.00 390% above —
Speech and language evaluation inpatient CPT 92523 Speech Sound Prod w/ Language Charge $910.00 $910.00 $66.74–$156.00 — —
Speech and language evaluation inpatient CPT 92523 92521 EVAL OF SPEECH FLUENCY CHARGE $910.00 $910.00 $66.74–$156.00 — —
Speech and language evaluation inpatient CPT 92523 SLP Outpatient Pediatric Development Eval $910.00 $910.00 $66.74–$156.00 — —
Speech therapy session, individual CPT 92507 Tx of Speech/Lang/Voice/Comm/Auditory Chg $305.00 $305.00 $33.00–$156.00 259% above —
Speech therapy session, individual inpatient CPT 92507 Tx of Speech/Lang/Voice/Comm/Auditory Chg $305.00 $305.00 $33.00–$156.00 — —
Spirometry (breathing test) CPT 94010 Spirometry $440.00 $440.00 $217.20–$252.00 245% above —
Spirometry (breathing test) CPT 94010 RT Spirometry w/ Graphic Record CHARGE $440.00 $440.00 $217.20–$252.00 245% above —
Spirometry (breathing test) inpatient CPT 94010 RT Spirometry w/ Graphic Record CHARGE $440.00 $440.00 $217.20–$252.00 — —
Spirometry (breathing test) inpatient CPT 94010 Spirometry $440.00 $440.00 $217.20–$252.00 — —
Spirometry before and after a bronchodilator CPT 94060 Spirometry Pre/ Post Bronchodilator $495.00 $495.00 $240.19–$356.45 128% above —
Spirometry before and after a bronchodilator CPT 94060 RT Pre & Post Spiro CHARGE $495.00 $495.00 $240.19–$356.45 128% above —
Spirometry before and after a bronchodilator inpatient CPT 94060 Spirometry Pre/ Post Bronchodilator $495.00 $495.00 $240.19–$356.45 — —
Spirometry before and after a bronchodilator inpatient CPT 94060 RT Pre & Post Spiro CHARGE $495.00 $495.00 $240.19–$356.45 — —
Therapeutic activities (functional training), 15 minutes CPT 97530 PT Therapeutic Activity Assistant Units $149.00 $149.00 $8.80–$73.50 269% above —
Therapeutic activities (functional training), 15 minutes CPT 97530 Therapeutic Activities Charge $149.00 $149.00 $8.80–$73.50 269% above —
Therapeutic activities (functional training), 15 minutes CPT 97530 OT Therapeutic Activities Charges $149.00 $149.00 $8.80–$73.50 269% above —
Therapeutic activities (functional training), 15 minutes CPT 97530 97530 OT SB-THERAP ACTIVITIES 1 CHARGE $149.00 $149.00 $8.80–$73.50 269% above —
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 97530 OT SB-THERAP ACTIVITIES 1 CHARGE $149.00 $149.00 $8.80–$73.50 — —
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OT Therapeutic Activities Charges $149.00 $149.00 $8.80–$73.50 — —
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Therapeutic Activities Charge $149.00 $149.00 $8.80–$73.50 — —
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT Therapeutic Activity Assistant Units $149.00 $149.00 $8.80–$73.50 — —
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 99195  PHLEBOTOMY THERAPEUTIC SEPARATE PROCEDURE $165.00 $165.00 $60.22–$118.82 68% above —
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 99195  PHLEBOTOMY THERAPEUTIC SEPARATE PROCEDURE $165.00 $165.00 $60.22–$118.82 — —

Vaccines

ProcedureCash price List priceInsurers payvs LouisianaOff list
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 91320 COMIRANATY COVID VACCINE $312.00 $312.00 $131.10–$379.70 227% above —
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 91320 COMIRANATY COVID VACCINE $312.00 $312.00 $131.10–$379.70 — —
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 90662 Medicare Influenza virus vaccine, split virus, preservative free, for intramuscular use $106.00 $106.00 $59.27–$566.77 74% above —
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 90662 Influenza virus vaccine High Dose, Inactivated PF Trivalent $106.00 $106.00 $59.27–$566.77 74% above —
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 90662 Influenza virus vaccine High Dose, Inactivated PF Trivalent $106.00 $106.00 $59.27–$566.77 — —
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 90662 Medicare Influenza virus vaccine, split virus, preservative free, for intramuscular use $106.00 $106.00 $59.27–$566.77 — —
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 00005-2000-10 - Prevnar 20 Pneumococcal Vaccine vial [JPH] $558.84 $558.84 $1,380.51 67% above —
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 90677 Prevnar 20 Pneumococcal Vaccine $615.00 $615.00 $1,380.51 84% above —
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 00005-2000-10 - Prevnar 20 Pneumococcal Vaccine vial [JPH] $558.84 $558.84 $1,380.51 — —
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 90677 Prevnar 20 Pneumococcal Vaccine $615.00 $615.00 $1,380.51 — —
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 49281-0400-20 - Tetanus/Diph/Pertuss (Tdap) 0.5ml Syringe [JPH] $70.00 $70.00 $142.00–$230.00 3% above —
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 90715 Tdap, when administered to individuals 7 years or older, for intramuscular use $117.00 $117.00 $142.00–$230.00 73% above —
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 90715 TDAP $200.00 $200.00 $142.00–$230.00 195% above —
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 49281-0400-20 - Tetanus/Diph/Pertuss (Tdap) 0.5ml Syringe [JPH] $70.00 $70.00 $142.00–$230.00 — —
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 90715 Tdap, when administered to individuals 7 years or older, for intramuscular use $117.00 $117.00 $142.00–$230.00 — —
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 90715 TDAP $200.00 $200.00 $142.00–$230.00 — —
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 Immunization administration: first vaccine $70.00 $70.00 $17.78–$79.21 73% above —
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 ADM FEE INFLUENZA CHARGE $110.00 $110.00 $17.78–$79.21 172% above —
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 ADM VACCINE SINGLE CHARGE. $110.00 $110.00 $17.78–$79.21 172% above —
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 ADM FEE PNEUMOCOCAL CHARGE $110.00 $110.00 $17.78–$79.21 172% above —
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471 Immunization administration: first vaccine $70.00 $70.00 $17.78–$79.21 — —
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471 ADM VACCINE SINGLE CHARGE. $110.00 $110.00 $17.78–$79.21 — —
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471 ADM FEE PNEUMOCOCAL CHARGE $110.00 $110.00 $17.78–$79.21 — —
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471 ADM FEE INFLUENZA CHARGE $110.00 $110.00 $17.78–$79.21 — —

Source file: https://hospitalpricetransparencyfiles.com/jackson-parish-hospital/720549907_Jackson-Parish-Hospital_standardcharges.csv