Hospital

McLeod Health

McLeod Health in Dillon, SC publishes cash prices for 306 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 South Carolina median for 169 of 300 procedures and below it for 29. By typical cash price it ranks #23 of 35 South Carolina hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

301 East Jackson Street Dillon, SC 29536 Collected Sep 27, 2026 Source price file (843) 774-4111

Acute care hospital Emergency department CMS star rating 3 of 5 CCN 420005 · CMS hospital register

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs South Carolina	Off list
Ankle X-ray, complete, 3 or more views CPT 73610 HC X-RAY ANKLE 3+ VW - XR ANKLE 3+ VIEWS	$436.65	$615.00	$51.63–$492.00	20% above	29%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 HC X-RAY ANKLE 3+ VW - XR ANKLE 3+ VIEWS	$436.65	$615.00	$51.63–$492.00	—	29%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HC UPR/L XTREMITY ART 2 LEVELS - CV US ANKLE BRACHIAL INDICES EXTRM CMP	$661.01	$931.00	$111.48–$744.80	26% above	29%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HC VASC NON-INVAS PHYSIOLOGIC STD EXTREMITY ART 1-2 LEVEL	$661.01	$931.00	$111.48–$744.80	26% above	29%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HC UPR/L XTREMITY ART 2 LEVELS - TRANSCUTANEOUS O2 MEASUREMENT	$661.01	$931.00	$111.48–$744.80	26% above	29%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 HC UPR/L XTREMITY ART 2 LEVELS - CV US ANKLE BRACHIAL INDICES EXTRM CMP	$661.01	$931.00	$111.48–$744.80	—	29%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 HC UPR/L XTREMITY ART 2 LEVELS - TRANSCUTANEOUS O2 MEASUREMENT	$661.01	$931.00	$111.48–$744.80	—	29%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 HC VASC NON-INVAS PHYSIOLOGIC STD EXTREMITY ART 1-2 LEVEL	$661.01	$931.00	$111.48–$744.80	—	29%
Barium swallow (esophagus X-ray with contrast) CPT 74220 HC ESOPHAGRAM - FL ESOPHAGUS BARIUM SWALLOW	$601.37	$847.00	$114.61–$677.60	at median	29%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HC ESOPHAGRAM - FL ESOPHAGUS BARIUM SWALLOW	$601.37	$847.00	$114.61–$677.60	—	29%
Bone scan, whole body (nuclear medicine) CPT 78306 HC BONE IMAGING, WHOLE BODY - NM BONE WHOLE BODY	$1,448.40	$2,040.00	$347.52–$1,734.00	at median	29%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 HC BONE IMAGING, WHOLE BODY - NM BONE WHOLE BODY	$1,448.40	$2,040.00	$347.52–$1,734.00	—	29%
Breast ultrasound, limited (one breast or one area) both sides CPT 76642 HC ULTRASOUND BREAST LIMITED - BILATERAL	$758.28	$1,068.00	$76.15–$854.40	—	29%
Breast ultrasound, limited (one breast or one area) CPT 76642 HC ULTRASOUND BREAST LIMITED - US BREAST LIMITED	$505.52	$712.00	$76.15–$569.60	at median	29%
Breast ultrasound, limited (one breast or one area) inpatient both sides CPT 76642 HC ULTRASOUND BREAST LIMITED - BILATERAL	$758.28	$1,068.00	$76.15–$854.40	—	29%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 HC ULTRASOUND BREAST LIMITED - US BREAST LIMITED	$505.52	$712.00	$76.15–$569.60	—	29%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CT ANGIO, CHEST, COMBO, INCL IMAGE - CT CHEST ANGIO W AND WO IV CONT	$3,126.13	$4,403.00	$153.96–$3,696.00	36% above	29%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HC CT ANGIO, CHEST, COMBO, INCL IMAGE - CT CHEST ANGIO W AND WO IV CONT	$3,126.13	$4,403.00	$153.96–$3,696.00	—	29%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HC CT ANGIO HRT W/3D IMAGE - CT HEART CORONARY ANGIOGRAM	$2,632.68	$3,708.00	$266.22–$3,696.00	67% above	29%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 HC CT ANGIO HRT W/3D IMAGE - CT HEART CORONARY ANGIOGRAM	$2,632.68	$3,708.00	$266.22–$3,696.00	—	29%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 HC CT HRT W/O DYE W/CA TEST - CT HEART CALCIUM SCORING WO CONTRAST	$108.63	$153.00	$51.39–$3,696.00	at median	29%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 HC CT HRT W/O DYE W/CA TEST - CT HEART CALCIUM SCORING WO CONTRAST	$108.63	$153.00	$51.39–$3,696.00	—	29%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT ABD & PELVIS W/O CONTRAST - CT ABDOMEN PELVIS WO CONTRAST	$4,094.57	$5,767.00	$209.05–$4,613.60	28% above	29%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HC CT ABD & PELVIS W/O CONTRAST - CT ABDOMEN PELVIS WO CONTRAST	$4,094.57	$5,767.00	$209.05–$4,613.60	—	29%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT ABD & PELV W/CONTRAST - CT ABDOMEN PELVIS W CONTRAST	$4,835.81	$6,811.00	$308.86–$5,448.80	30% above	29%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT ABD & PELV W/CONTRAST - CT ABDOMEN PELVIS W CONTRAST	$4,835.81	$6,811.00	$308.86–$5,448.80	—	29%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT ABD & PELV 1/> REGNS - CT ABDOMEN PELVIS W WO CONTRAST	$5,875.25	$8,275.00	$308.86–$6,620.00	42% above	29%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HC CT ABD & PELV 1/> REGNS - CT ABDOMEN PELVIS W WO CONTRAST	$5,875.25	$8,275.00	$308.86–$6,620.00	—	29%
CT scan of the abdomen with contrast CPT 74160 HC CT ABDOMEN W/DYE - CT ABDOMEN W CONTRAST	$2,822.25	$3,975.00	$153.96–$3,696.00	29% above	29%
CT scan of the abdomen with contrast inpatient CPT 74160 HC CT ABDOMEN W/DYE - CT ABDOMEN W CONTRAST	$2,822.25	$3,975.00	$153.96–$3,696.00	—	29%
CT scan of the abdomen without contrast CPT 74150 HC CT ABDOMEN W/O DYE - CT ABDOMEN WO CONTRAST	$2,455.18	$3,458.00	$91.97–$3,696.00	37% above	29%
CT scan of the abdomen without contrast inpatient CPT 74150 HC CT ABDOMEN W/O DYE - CT ABDOMEN WO CONTRAST	$2,455.18	$3,458.00	$91.97–$3,696.00	—	29%
CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT SCAN,MAXILLOFACIAL W/O CONTRAST - CT SINUS WO CONTRAST	$2,078.17	$2,927.00	$91.97–$3,696.00	41% above	29%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT SCAN,MAXILLOFACIAL W/O CONTRAST - CT SINUS WO CONTRAST	$2,078.17	$2,927.00	$91.97–$3,696.00	—	29%
CT scan of the head or brain, no contrast dye CPT 70450 HC CT SCAN,HEAD/BRAIN,W/O CONTRAST MATL - CT HEAD WO CONTRAST	$1,936.17	$2,727.00	$91.97–$3,696.00	8% above	29%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT SCAN,HEAD/BRAIN,W/O CONTRAST MATL - CT HEAD WO CONTRAST	$1,936.17	$2,727.00	$91.97–$3,696.00	—	29%
CT scan of the head with contrast CPT 70460 HC CT SCAN HEAD CONTRAST - CT HEAD W CONTRAST	$2,264.19	$3,189.00	$153.96–$3,696.00	32% above	29%
CT scan of the head with contrast inpatient CPT 70460 HC CT SCAN HEAD CONTRAST - CT HEAD W CONTRAST	$2,264.19	$3,189.00	$153.96–$3,696.00	—	29%
CT scan of the head without and with contrast CPT 70470 HC CT SCAN HEAD COMBO - CT HEAD W WO CONTRAST	$2,492.10	$3,510.00	$153.96–$3,696.00	28% above	29%
CT scan of the head without and with contrast inpatient CPT 70470 HC CT SCAN HEAD COMBO - CT HEAD W WO CONTRAST	$2,492.10	$3,510.00	$153.96–$3,696.00	—	29%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT SCAN,LUMBAR SPINE,W/O CONTRAST - CT LUMBAR SPINE WO CONTRAST	$2,262.06	$3,186.00	$91.97–$3,696.00	15% above	29%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HC CT SCAN,LUMBAR SPINE,W/O CONTRAST - CT LUMBAR SPINE WO CONTRAST	$2,262.06	$3,186.00	$91.97–$3,696.00	—	29%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT SCAN,CERVICAL SPINE,W/O CONTRAST - CT CERVICAL SPINE WO CONTRAST	$2,330.22	$3,282.00	$91.97–$3,696.00	17% above	29%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HC CT SCAN,CERVICAL SPINE,W/O CONTRAST - CT CERVICAL SPINE WO CONTRAST	$2,330.22	$3,282.00	$91.97–$3,696.00	—	29%
CT scan of the pelvis, with contrast dye CPT 72193 HC CT SCAN OF PELVIS CONTRAST - CT PELVIS W CONTRAST	$2,506.30	$3,530.00	$153.96–$3,696.00	45% above	29%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT SCAN OF PELVIS CONTRAST - CT PELVIS W CONTRAST	$2,506.30	$3,530.00	$153.96–$3,696.00	—	29%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HC DUPLEX SCAN EXTRACRANIAL,BILAT - CAROTID DUPLEX	$905.96	$1,276.00	$209.05–$1,020.80	—	29%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 HC DUPLEX SCAN EXTRACRANIAL,BILAT - CAROTID DUPLEX	$905.96	$1,276.00	$209.05–$1,020.80	—	29%
Chest X-ray, 2 views CPT 71046 HC RADIOLOGIC EXAM CHEST 2 VIEWS - XR CHEST 2 VIEWS	$253.47	$357.00	$26.53–$285.60	at median	29%
Chest X-ray, 2 views inpatient CPT 71046 HC RADIOLOGIC EXAM CHEST 2 VIEWS - XR CHEST 2 VIEWS	$253.47	$357.00	$26.53–$285.60	—	29%
Chest X-ray, single view CPT 71045 HC RADIOLOGIC EXAM CHEST SINGLE VIEW - XR CHEST 1 VIEW	$208.74	$294.00	$14.39–$235.20	1% above	29%
Chest X-ray, single view inpatient CPT 71045 HC RADIOLOGIC EXAM CHEST SINGLE VIEW - XR CHEST 1 VIEW	$208.74	$294.00	$14.39–$235.20	—	29%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC US RETROPERITONEAL REAL TIME W/IMAGE COMPLETE	$562.32	$792.00	$91.97–$633.60	at median	29%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC US RETROPERITONEAL REAL TIME W/IMAGE COMPLETE	$562.32	$792.00	$91.97–$633.60	—	29%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC DXA BONE DENSITY AXIAL - DEXA BONE DENSITY	$618.41	$871.00	$91.97–$696.80	37% above	29%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HC DXA BONE DENSITY AXIAL - DEXA BONE DENSITY	$618.41	$871.00	$91.97–$696.80	—	29%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 HC OB US DETAILED SNGL FETUS - US OB DETAIL FETAL ANAT SING OR 1ST GEST	$1,159.43	$1,633.00	$209.05–$1,306.40	31% above	29%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 HC OB US DETAILED SNGL FETUS - US OB DETAIL FETAL ANAT SING OR 1ST GEST	$1,159.43	$1,633.00	$209.05–$1,306.40	—	29%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT SCAN,THORAX,W/O CONTRAST - CT CHEST WO CONTRAST	$2,311.05	$3,255.00	$91.97–$3,696.00	43% above	29%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC CT SCAN,THORAX,W/O CONTRAST - CT CHEST WO CONTRAST	$2,311.05	$3,255.00	$91.97–$3,696.00	—	29%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CAT SCAN OF CHEST CONTRAST - CT CHEST W CONTRAST	$2,771.13	$3,903.00	$153.96–$3,696.00	45% above	29%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HC CAT SCAN OF CHEST CONTRAST - CT CHEST W CONTRAST	$2,771.13	$3,903.00	$153.96–$3,696.00	—	29%
Diagnostic mammogram, both breasts both sides CPT 77066 HC DX MAMMO INCL CAD BI - MAMMO BREAST DIAGNOSTIC BILATERAL	$415.35	$585.00	$72.87–$688.85	—	29%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC DX MAMMO INCL CAD BI - MAMMO BREAST DIAGNOSTIC BILATERAL	$415.35	$585.00	$72.87–$688.85	—	29%
Diagnostic mammogram, one breast CPT 77065 HC DX MAMMO INCL CAD UNI - MAMMO BREAST DIAGNOSTIC	$335.12	$472.00	$57.98–$537.26	6% below	29%
Diagnostic mammogram, one breast inpatient CPT 77065 HC DX MAMMO INCL CAD UNI - MAMMO BREAST DIAGNOSTIC	$335.12	$472.00	$57.98–$537.26	—	29%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HC DUPLEX LO EXTREM ART BILAT - FEMORAL POPLITEAL ANEURYSM DUPLEX	$839.22	$1,182.00	$209.05–$1,250.51	—	29%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HC DUPLEX LO EXTREM ART BILAT - LOWER EXTREMITY ARTERIAL DUPLEX	$839.22	$1,182.00	$209.05–$1,250.51	—	29%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 HC DUPLEX LO EXTREM ART BILAT - FEMORAL POPLITEAL ANEURYSM DUPLEX	$839.22	$1,182.00	$209.05–$1,250.51	—	29%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 HC DUPLEX LO EXTREM ART BILAT - LOWER EXTREMITY ARTERIAL DUPLEX	$839.22	$1,182.00	$209.05–$1,250.51	—	29%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC DUPLEX LOWER EXTREM VENOUS,BILAT	$1,561.29	$2,199.00	$209.05–$1,759.20	—	29%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HC DUPLEX LOWER EXTREM VENOUS,BILAT	$1,561.29	$2,199.00	$209.05–$1,759.20	—	29%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC TTE W/DOPPLER COMPLETE - TTE COMPLETE PEDIATRIC	$1,681.28	$2,368.00	$474.19–$2,012.80	at median	29%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC TTE W/DOPPLER COMPLETE - TTE COMPLETE W/ CONTRAST	$1,681.28	$2,368.00	$474.19–$2,012.80	at median	29%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC TTE W/DOPPLER COMPLETE - TTE COMPLETE	$1,681.28	$2,368.00	$474.19–$2,012.80	at median	29%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC PBB ECHO TTHRC R-T 2D W/WOM-MODE COMPL SPEC&COLR	$1,681.28	$2,368.00	$474.19–$2,012.80	at median	29%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC TTE W/DOPPLER COMPLETE - TTE COMPLETE W/ CONTRAST	$1,681.28	$2,368.00	$474.19–$2,012.80	—	29%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC PBB ECHO TTHRC R-T 2D W/WOM-MODE COMPL SPEC&COLR	$1,681.28	$2,368.00	$474.19–$2,012.80	—	29%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC TTE W/DOPPLER COMPLETE - TTE COMPLETE PEDIATRIC	$1,681.28	$2,368.00	$474.19–$2,012.80	—	29%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC TTE W/DOPPLER COMPLETE - TTE COMPLETE	$1,681.28	$2,368.00	$474.19–$2,012.80	—	29%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC HEPATOBILIARY SYST IMAGING INCLUDING GALLBLADDER - NM LIVER FUNCTION	$2,051.19	$2,889.00	$347.52–$2,455.65	at median	29%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HC HEPATOBILIARY SYST IMAGING INCLUDING GALLBLADDER - NM LIVER FUNCTION	$2,051.19	$2,889.00	$347.52–$2,455.65	—	29%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HC SLEEP STUDY UNATTENDED	$871.88	$1,228.00	$135.31–$1,043.80	at median	29%
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 HC SLEEP STUDY UNATTENDED	$871.88	$1,228.00	$135.31–$1,043.80	—	29%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HC POLYSOMNOGRAM CPAP => 6 YR	$4,453.83	$6,273.00	$702.98–$5,332.05	19% above	29%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 HC POLYSOMNOGRAM CPAP => 6 YR	$4,453.83	$6,273.00	$702.98–$5,332.05	—	29%
Knee X-ray, 3 views CPT 73562 HC X-RAY KNEE 3 VIEW - XR KNEE 3 VIEWS	$477.12	$672.00	$55.07–$537.60	48% above	29%
Knee X-ray, 3 views inpatient CPT 73562 HC X-RAY KNEE 3 VIEW - XR KNEE 3 VIEWS	$477.12	$672.00	$55.07–$537.60	—	29%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US, ABDOMEN LIMITED - US ABDOMEN LIMITED	$937.20	$1,320.00	$91.97–$1,056.00	8% above	29%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC US, ABDOMEN LIMITED - US ABDOMEN LIMITED	$937.20	$1,320.00	$91.97–$1,056.00	—	29%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HC CT LUNG SCREENING (LDCT) ANNUAL	$154.07	$217.00	$87.02–$3,696.00	at median	29%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 HC CT LUNG SCREENING (LDCT) ANNUAL	$154.07	$217.00	$87.02–$3,696.00	—	29%
MRI of both breasts, without and then with contrast dye both sides CPT 77049 HC MRI BREAST WO AND W CONTRAST BILATERAL	$4,345.20	$6,120.00	$385.23–$6,020.00	—	29%
MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 HC MRI BREAST WO AND W CONTRAST BILATERAL	$4,345.20	$6,120.00	$385.23–$6,020.00	—	29%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI JNT OF LWR EXTRE W/O DYE - MRI ANKLE WO CONT	$3,551.42	$5,002.00	$209.05–$6,020.00	38% above	29%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI JNT OF LWR EXTRE W/O DYE - MRI ANKLE WO CONT	$3,551.42	$5,002.00	$209.05–$6,020.00	—	29%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI JOINT OF LEG COMBO - MR ANKLE W AND WO IV CONTRAST	$4,605.06	$6,486.00	$308.86–$6,020.00	57% above	29%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MRI JOINT OF LEG COMBO - MR ANKLE W AND WO IV CONTRAST	$4,605.06	$6,486.00	$308.86–$6,020.00	—	29%
MRI of the abdomen without contrast CPT 74181 HC MRI ABDOMEN (MRI) - MRI ABDOMEN WO CONTRAST	$3,476.16	$4,896.00	$209.05–$6,020.00	42% above	29%
MRI of the abdomen without contrast inpatient CPT 74181 HC MRI ABDOMEN (MRI) - MRI ABDOMEN WO CONTRAST	$3,476.16	$4,896.00	$209.05–$6,020.00	—	29%
MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI, ABDOMEN, COMBO - MRI ABDOMEN W WO CONTRAST	$4,647.66	$6,546.00	$308.86–$6,020.00	50% above	29%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HC MRI, ABDOMEN, COMBO - MRI ABDOMEN W WO CONTRAST	$4,647.66	$6,546.00	$308.86–$6,020.00	—	29%
MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN - MRI BRAIN WO CONTRAST	$3,177.25	$4,475.00	$209.05–$6,020.00	at median	29%
MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI BRAIN - MRI BRAIN WO CONTRAST	$3,177.25	$4,475.00	$209.05–$6,020.00	—	29%
MRI of the brain, with and without contrast dye CPT 70553 HC MRI BRAIN COMBO - MRI BRAIN W WO CONTRAST	$4,341.65	$6,115.00	$308.86–$6,020.00	40% above	29%
MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI BRAIN COMBO - MRI BRAIN W WO CONTRAST	$4,341.65	$6,115.00	$308.86–$6,020.00	—	29%
MRI of the lower back, no contrast dye CPT 72148 HC MRI, LUMBAR SPINE - MRI LUMBAR SPINE WO CONTRAST	$3,363.27	$4,737.00	$209.05–$6,020.00	4% above	29%
MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI, LUMBAR SPINE - MRI LUMBAR SPINE WO CONTRAST	$3,363.27	$4,737.00	$209.05–$6,020.00	—	29%
MRI of the lower back, without and then with contrast dye CPT 72158 HC MRI, LUMBAR SPINE COMBO - MRI LUMBAR SPINE W WO CONTRAST	$4,662.57	$6,567.00	$308.86–$6,020.00	44% above	29%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HC MRI, LUMBAR SPINE COMBO - MRI LUMBAR SPINE W WO CONTRAST	$4,662.57	$6,567.00	$308.86–$6,020.00	—	29%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MRI, DORSAL SPINE - MRI THORACIC SPINE WO CONTRAST	$2,161.95	$3,045.00	$209.05–$6,020.00	at median	29%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HC MRI, DORSAL SPINE - MRI THORACIC SPINE WO CONTRAST	$2,161.95	$3,045.00	$209.05–$6,020.00	—	29%
MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MRI, CERV SPINE COMBO - MRI CERVICAL SPINE W WO CONTRAST	$4,720.79	$6,649.00	$308.86–$6,020.00	47% above	29%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HC MRI, CERV SPINE COMBO - MRI CERVICAL SPINE W WO CONTRAST	$4,720.79	$6,649.00	$308.86–$6,020.00	—	29%
MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MRI, CERV SPINE - MRI CERVICAL SPINE WO CONTRAST	$3,307.18	$4,658.00	$209.05–$6,020.00	44% above	29%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HC MRI, CERV SPINE - MRI CERVICAL SPINE WO CONTRAST	$3,307.18	$4,658.00	$209.05–$6,020.00	—	29%
MRI of the pelvis without and with contrast CPT 72197 HC MRI, PELVIS, COMBO - MRI PELVIS W WO CONTRAST	$4,287.69	$6,039.00	$308.86–$6,020.00	27% above	29%
MRI of the pelvis without and with contrast inpatient CPT 72197 HC MRI, PELVIS, COMBO - MRI PELVIS W WO CONTRAST	$4,287.69	$6,039.00	$308.86–$6,020.00	—	29%
MRI of the pelvis, no contrast dye CPT 72195 HC MRI, PELVIS, W/O CONTRAST - MRI PELVIS WO CONTRAST	$3,271.68	$4,608.00	$209.05–$6,020.00	9% above	29%
MRI of the pelvis, no contrast dye inpatient CPT 72195 HC MRI, PELVIS, W/O CONTRAST - MRI PELVIS WO CONTRAST	$3,271.68	$4,608.00	$209.05–$6,020.00	—	29%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI JOINT UPPER EXTREM - MR ELBOW WO IV CONTRAST	$3,630.23	$5,113.00	$209.05–$6,020.00	48% above	29%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HC MRI JOINT UPPER EXTREM - MR ELBOW WO IV CONTRAST	$3,630.23	$5,113.00	$209.05–$6,020.00	—	29%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC MYOCARDIAL SPECT MULTIPLE STUDIES	$5,038.16	$7,096.00	$434.29–$6,031.60	32% above	29%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC HT MUSCLE IMAGE SPECT MULT - STRESS TEST THALLIUM W MYOCARD PERF	$5,038.16	$7,096.00	$434.29–$6,031.60	32% above	29%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HC HT MUSCLE IMAGE SPECT MULT - STRESS TEST THALLIUM W MYOCARD PERF	$5,038.16	$7,096.00	$434.29–$6,031.60	—	29%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HC MYOCARDIAL SPECT MULTIPLE STUDIES	$5,038.16	$7,096.00	$434.29–$6,031.60	—	29%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 HC PET IMAGE W/CT SKULL-THIGH - PT/CT BONE SKULL BASE TO MID THIGH	$5,289.50	$7,450.00	$1,261.45–$6,332.50	70% above	29%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 HC PET IMAGE W/CT SKULL-THIGH - PT/CT BONE SKULL BASE TO MID THIGH	$5,289.50	$7,450.00	$1,261.45–$6,332.50	—	29%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC US EXAM PELVIC LIMITED NON-OB	$651.07	$917.00	$91.97–$733.60	at median	29%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC US EXAM PELVIC LIMITED NON-OB	$651.07	$917.00	$91.97–$733.60	—	29%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC US EXAM PELVIC COMPLETE NON-OB	$883.95	$1,245.00	$91.97–$996.00	11% above	29%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HC US EXAM PELVIC COMPLETE NON-OB	$883.95	$1,245.00	$91.97–$996.00	—	29%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC OB US >/= 14 WKS SNGL FETUS - US OB 14+ WEEKS SINGLE OR FIRST GEST	$1,065.00	$1,500.00	$91.97–$1,200.00	25% above	29%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC OB US >/= 14 WKS SNGL FETUS - US OB 14+ WEEKS SINGLE OR FIRST GEST	$1,065.00	$1,500.00	$91.97–$1,200.00	—	29%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC OB US < 14 WKS SINGLE FETUS - US OB < 14 WEEKS SINGLE OR FIRST GEST	$772.48	$1,088.00	$91.97–$870.40	at median	29%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HC OB US < 14 WKS SINGLE FETUS - US OB < 14 WEEKS SINGLE OR FIRST GEST	$772.48	$1,088.00	$91.97–$870.40	—	29%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC OB US LIMITED FETUS(S) - US OB LIMITED 1+ FETUSES	$588.59	$829.00	$91.97–$663.20	22% above	29%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC OB US LIMITED FETUS(S) - US OB LIMITED 1+ FETUSES	$588.59	$829.00	$91.97–$663.20	—	29%
Screening mammogram, both breasts both sides CPT 77067 HC SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD	$293.94	$414.00	$62.75–$568.03	—	29%
Screening mammogram, both breasts inpatient both sides CPT 77067 HC SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD	$293.94	$414.00	$62.75–$568.03	—	29%
Shoulder X-ray, complete, 2 or more views CPT 73030 HC X-RAY SHOULDER 2+ VW - XR SHOULDER 2+ VIEWS	$455.82	$642.00	$55.07–$513.60	44% above	29%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HC X-RAY SHOULDER 2+ VW - XR SHOULDER 2+ VIEWS	$455.82	$642.00	$55.07–$513.60	—	29%
Sleep study in a lab (polysomnography) CPT 95810 HC POLYSOM 6 YRS OR OLDER	$4,071.14	$5,734.00	$668.68–$4,873.90	18% above	29%
Sleep study in a lab (polysomnography) inpatient CPT 95810 HC POLYSOM 6 YRS OR OLDER	$4,071.14	$5,734.00	$668.68–$4,873.90	—	29%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 HC ECHO TTHRC R-T 2D W/WO M-MODE REST&STRS CONT ECG	$2,718.59	$3,829.00	$474.19–$3,254.65	72% above	29%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 HC ECHO TTHRC R-T 2D W/WO M-MODE REST&STRS CONT ECG	$2,718.59	$3,829.00	$474.19–$3,254.65	—	29%
Swallow study (modified barium swallow, video X-ray) CPT 74230 HC CINE/VID X-RAY THROAT/ESOPH - FL ESOPH BARIUM SWLW W/ VIDEO & SPEECH	$446.59	$629.00	$125.89–$613.16	1% below	29%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HC CINE/VID X-RAY THROAT/ESOPH - FL ESOPH BARIUM SWLW W/ VIDEO & SPEECH	$446.59	$629.00	$125.89–$613.16	—	29%
Transvaginal pelvic ultrasound CPT 76830 HC US TRANSVAGINAL NON-OB	$773.90	$1,090.00	$91.97–$872.00	at median	29%
Transvaginal pelvic ultrasound inpatient CPT 76830 HC US TRANSVAGINAL NON-OB	$773.90	$1,090.00	$91.97–$872.00	—	29%
Transvaginal ultrasound during pregnancy CPT 76817 HC TRANSVAGINAL US OBSTETRIC - US OB TRANSVAGINAL	$689.41	$971.00	$91.97–$776.80	at median	29%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 HC TRANSVAGINAL US OBSTETRIC - US OB TRANSVAGINAL	$689.41	$971.00	$91.97–$776.80	—	29%
Ultrasound of the abdomen, complete CPT 76700 HC US, ABDOM,B-SCAN &/OR REAL TIME,COMPLETE - US ABDOMEN COMPLETE	$1,285.81	$1,811.00	$91.97–$1,448.80	30% above	29%
Ultrasound of the abdomen, complete inpatient CPT 76700 HC US, ABDOM,B-SCAN &/OR REAL TIME,COMPLETE - US ABDOMEN COMPLETE	$1,285.81	$1,811.00	$91.97–$1,448.80	—	29%
Ultrasound of the scrotum and testicles CPT 76870 HC US SCROTUM & CONTENTS	$668.11	$941.00	$91.97–$752.80	at median	29%
Ultrasound of the scrotum and testicles inpatient CPT 76870 HC US SCROTUM & CONTENTS	$668.11	$941.00	$91.97–$752.80	—	29%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US, HEAD/NECK TISSUES,REAL TIME - US HEAD NECK SOFT TISSUE	$801.59	$1,129.00	$91.97–$903.20	at median	29%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC US, HEAD/NECK TISSUES,REAL TIME - US HEAD NECK SOFT TISSUE	$801.59	$1,129.00	$91.97–$903.20	—	29%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC X-RAY UPPER GI DELAY W/O KUB - FL UPPER GI WITHOUT KUB	$881.82	$1,242.00	$141.16–$993.60	at median	29%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HC X-RAY UPPER GI DELAY W/O KUB - FL UPPER GI WITHOUT KUB	$881.82	$1,242.00	$141.16–$993.60	—	29%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 HC DUPLEX EXTREM VENOUS,UNI OR LTD - UPPER EXTREM SUPERFICIAL VEIN MAP	$1,082.75	$1,525.00	$91.97–$1,220.00	11% above	29%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HC DUP-SCAN XTR VEINS UNILATERAL/LIMITED STUDY LWR EXTREM RIGHT	$1,082.75	$1,525.00	$91.97–$1,220.00	11% above	29%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HC DUP-SCAN XTR VEINS UNILATERAL/LIMITED STUDY LWR EXTREM LEFT	$1,082.75	$1,525.00	$91.97–$1,220.00	11% above	29%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 HC DUPLEX EXTREM VENOUS,UNI OR LTD - UPPER EXTREM SUPERFICIAL VEIN MAP	$1,082.75	$1,525.00	$91.97–$1,220.00	—	29%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HC DUP-SCAN XTR VEINS UNILATERAL/LIMITED STUDY LWR EXTREM RIGHT	$1,082.75	$1,525.00	$91.97–$1,220.00	—	29%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HC DUP-SCAN XTR VEINS UNILATERAL/LIMITED STUDY LWR EXTREM LEFT	$1,082.75	$1,525.00	$91.97–$1,220.00	—	29%
Wrist X-ray, complete, 3 or more views CPT 73110 HC X-RAY WRIST 3+ VW - XR WRIST 3+ VIEWS	$378.43	$533.00	$51.63–$426.40	4% above	29%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 HC X-RAY WRIST 3+ VW - XR WRIST 3+ VIEWS	$378.43	$533.00	$51.63–$426.40	—	29%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HC X-RAY EXAM HIP UNI 2-3 VIEWS - XR HIP 2 OR 3 VW	$393.34	$554.00	$61.62–$443.20	28% above	29%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 HC X-RAY EXAM HIP UNI 2-3 VIEWS - XR HIP 2 OR 3 VW	$393.34	$554.00	$61.62–$443.20	—	29%
X-ray of the abdomen, 1 view CPT 74018 HC RADIOLOGIC EXAM ABDOMEN 1 VIEW - XR ABDOMEN 1 VIEW	$367.07	$517.00	$24.59–$413.60	at median	29%
X-ray of the abdomen, 1 view inpatient CPT 74018 HC RADIOLOGIC EXAM ABDOMEN 1 VIEW - XR ABDOMEN 1 VIEW	$367.07	$517.00	$24.59–$413.60	—	29%
X-ray of the ankle, 2 views CPT 73600 HC X-RAY ANKLE 2 VW - XR ANKLE 2 VIEWS	$355.71	$501.00	$47.67–$400.80	19% above	29%
X-ray of the ankle, 2 views inpatient CPT 73600 HC X-RAY ANKLE 2 VW - XR ANKLE 2 VIEWS	$355.71	$501.00	$47.67–$400.80	—	29%
X-ray of the finger(s), 2 or more views CPT 73140 HC X-RAY EXAM OF FINGER(S) - XR FINGERS 2+ VIEWS	$286.13	$403.00	$40.81–$322.40	11% above	29%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 HC X-RAY EXAM OF FINGER(S) - XR FINGERS 2+ VIEWS	$286.13	$403.00	$40.81–$322.40	—	29%
X-ray of the foot, 2 views CPT 73620 HC X-RAY FOOT 2 VW - XR FOOT 1-2 VIEWS	$352.87	$497.00	$47.67–$397.60	8% above	29%
X-ray of the foot, 2 views inpatient CPT 73620 HC X-RAY FOOT 2 VW - XR FOOT 1-2 VIEWS	$352.87	$497.00	$47.67–$397.60	—	29%
X-ray of the foot, complete, 3 or more views CPT 73630 HC X-RAY FOOT 3+ VW - XR FOOT 3+ VIEWS	$435.94	$614.00	$51.63–$491.20	at median	29%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 HC X-RAY FOOT 3+ VW - XR FOOT 3+ VIEWS	$435.94	$614.00	$51.63–$491.20	—	29%
X-ray of the hand, 3 or more views CPT 73130 HC X-RAY HAND 3+ VW - XR HAND 3+ VIEWS	$485.64	$684.00	$51.63–$547.20	20% above	29%
X-ray of the hand, 3 or more views inpatient CPT 73130 HC X-RAY HAND 3+ VW - XR HAND 3+ VIEWS	$485.64	$684.00	$51.63–$547.20	—	29%
X-ray of the knee, 1 or 2 views CPT 73560 HC X-RAY KNEE 1 OR 2 VIEW - XR KNEE 1-2 VIEWS	$326.60	$460.00	$50.69–$368.00	19% above	29%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 HC X-RAY KNEE 1 OR 2 VIEW - XR KNEE 1-2 VIEWS	$326.60	$460.00	$50.69–$368.00	—	29%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC X-RAY LUMBAR SPINE 2/3 VW - XR LUMBAR SPINE 2-3 VIEWS	$504.81	$711.00	$64.94–$568.80	18% above	29%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HC X-RAY LUMBAR SPINE 2/3 VW - XR LUMBAR SPINE 2-3 VIEWS	$504.81	$711.00	$64.94–$568.80	—	29%
X-ray of the lower back, 4 or more views CPT 72110 HC X-RAY LUMBAR SPINE 4 VW - XR LUMBAR SPINE COMPLETE 4+ VIEWS	$687.28	$968.00	$88.49–$774.40	28% above	29%
X-ray of the lower back, 4 or more views inpatient CPT 72110 HC X-RAY LUMBAR SPINE 4 VW - XR LUMBAR SPINE COMPLETE 4+ VIEWS	$687.28	$968.00	$88.49–$774.40	—	29%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC X-RAY THORACIC SPINE 2 VW - XR THORACIC SPINE 2 VIEWS	$476.41	$671.00	$63.07–$536.80	52% above	29%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HC X-RAY THORACIC SPINE 2 VW - XR THORACIC SPINE 2 VIEWS	$476.41	$671.00	$63.07–$536.80	—	29%
X-ray of the nasal bones, 3 or more views CPT 70160 HC X-RAY NASAL BONES - XR NASAL BONES	$406.83	$573.00	$50.69–$458.40	at median	29%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HC X-RAY NASAL BONES - XR NASAL BONES	$406.83	$573.00	$50.69–$458.40	—	29%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC RADEX SPINE CERVICAL 2 OR 3 VIEWS - XR CERVICAL SPINE 2-3 VIEWS	$469.31	$661.00	$58.03–$528.80	29% above	29%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC RADEX SPINE CERVICAL 2 OR 3 VIEWS - XR CERVICAL SPINE 2-3 VIEWS	$469.31	$661.00	$58.03–$528.80	—	29%
X-ray of the pelvis, 1 or 2 views CPT 72170 HC X-RAY PELVIS 1/2 VW - XR PELVIS 1-2 VIEWS	$250.63	$353.00	$50.69–$282.40	at median	29%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC X-RAY PELVIS 1/2 VW - XR PELVIS 1-2 VIEWS	$250.63	$353.00	$50.69–$282.40	—	29%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC X-RAY SACRUM/COCCYX 2+ VW - XR SACRUM COCCYX 2+ VIEWS	$267.67	$377.00	$55.07–$301.60	5% below	29%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HC X-RAY SACRUM/COCCYX 2+ VW - XR SACRUM COCCYX 2+ VIEWS	$267.67	$377.00	$55.07–$301.60	—	29%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs South Carolina	Off list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC TRANSFERASE ALANINE AMINO (ALT) (SGPT) - ALT (SGPT)	$78.81	$111.00	$5.30–$88.80	68% above	29%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC TRANSFERASE ALANINE AMINO (ALT) (SGPT) - ALT (SGPT)	$78.81	$111.00	$5.30–$88.80	—	29%
AST (aspartate aminotransferase) enzyme test CPT 84450 HC TRANSFERASE ASPARTATE AMINO (AST) (SGOT) - AST (SGOT)	$76.68	$108.00	$5.18–$86.40	75% above	29%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC TRANSFERASE ASPARTATE AMINO (AST) (SGOT) - AST (SGOT)	$76.68	$108.00	$5.18–$86.40	—	29%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC HEPATITIS PANEL ACUTE	$347.90	$490.00	$47.63–$392.00	at median	29%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HC HEPATITIS PANEL ACUTE	$347.90	$490.00	$47.63–$392.00	—	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CUCUMBER IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MICROORGANISM: STEMPHYLIUM HERBARUM	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN TREE: DATE (PHOENIX CANARIENSIS) IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN WEED: GOLDENROD IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN FOOD: BRUSSELS SPROUTS	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN YELLOW JACKET IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN DOCKWEED, YELLOW IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN REDTOP, BENTGRASS IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN EGG YOLK IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MUGWORT IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN EGG, WHOLE IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN PROFILE FOODS 7	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN EGGPLANT IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN PROFILE FOODS 38	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN ELM TREE IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN RAST EACH	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN WEED: ENGLISH PLANTAIN IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MELON	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN BAHIA GRASS IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MEAT	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CAT HAIR/DANDER,STAN	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN FRUIT	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CEDAR, MOUNTAIN IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN GRAIN	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CHEESE,PROCESSED AME	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN FISH	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CHOCOLATE IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN LEGUME	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CUMIN IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CITRUS	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN D FARINAE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN BERRY	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN D PTERONYSSINUS	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN SHELLFISH	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN DOG DANDER	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MOLD	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN FENNEL, DOG IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN PROFILE BASIC	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CAULIFLOWER IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN PROFILE FOODS 15	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MICROORGANISM: PENICILLIUM CHRYSOGENUM	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN PROFILE FOODS 11	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CASHEW IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN PROFILE FOODS 12	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN PINE, WHITE IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN PROFILE FOODS 42	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CARROT IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN PROFILE VEGETABLE II	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN SPINACH IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN PROFILE VEGETABLE I	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN FOOD: CURRY	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN PEDIATRIC 0-3 YRS	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN RAGWEED, SHORT/COMMON IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN FLOUNDER IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN GARLIC IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN GELATIN IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN EGG WHITE IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN GREEN PEA	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN JOHNSON GRASS IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN PAPRIKA IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MILK IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN ZONE 12	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN TREE: PECAN, HICKORY	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN ZONE 3	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN HORNET, YELLOW IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN OAK,WHITE IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN PARSLEY IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN HAZELNUT	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN POTATO IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN WEED: GIANT RAGWEED IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN PEACH IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN RASPBERRY IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN FOOD: STRAWBERRY IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN: MOSQUITO IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN SEAFOOD PANEL	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN ZONE 2	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CANTALOUPE IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALPHA GAL IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MICROORGANISM: MUCOR RACEMOSUS IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN SUNFLOWER SEED IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CANDIDA ALBICANS IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN PECAN NUT IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN SOYBEAN IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MOUSE URINE IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CABBAGE IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN STACHYBOTRYS CHARTARUM IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN SUGAR, CANE IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN GLUTEN IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MILK, GOAT'S IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - CHICKEN	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN BUCKWHEAT IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN PROFILE, FALL - WEED	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN HORNET, WHITE FACE IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - LATEX, IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN BROCCOLI IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN TIMOTHY IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN OYSTER IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN PEANUT IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN TREE: MAPLE LEAF SYCAMORE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MOUSE SERUM IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN WHEAT IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN GINGER IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN TREE: GREY ALDER	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MARSHELDER, ROUGH IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN BRAZIL NUT IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN HONEYBEE IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN BOTRYTIS CINEREA IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN KIWI FRUIT IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN BLUEGRASS, KENTUCKY IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MICROORGANISM: ALTERNARIA ALTERNATA	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN BLACKBERRY IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN WATERMELON IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN BIRCH IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN SHRIMP IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN BERMUDA GRASS IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN POTATO, SWEET IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN BEET, RED IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN OREGANO IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN BEEF IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MAPLE, BOX ELDER IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN INSECT: COCKROACH, GERMAN	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN WASP, PAPER IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN BEAN, LIMA IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN SHEEP SORREL (DOCK) IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN BEAN, GREEN IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN PORK IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN BAYLEAF (LAUREL) IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN ORANGE IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN BARLEY IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MANGO IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN BANANA IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN HOUSE DUST: HOLLISTER IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN AVOCADO IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN PENICILLIN G IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN ASPERGILLUS NIGER IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN WALNUT IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN ASPERGILLUS FUMAGATUS IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN ONION IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN SESAME SEED IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MACKEREL IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN ASPARAGUS IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN HICKORY, WHITE IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN ASH, WHITE IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN SCALLOP IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN APRICOT IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN PINEAPPLE IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN APPLE IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN OLIVE, BLACK IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN ALMONDS IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MACADAMIA NUT IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE CRUDE ALLERGEN EXTRACT EACH	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN HERRING IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CELERY IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN YEAST, BAKER'S IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN FOOD: CATFISH	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN VANILLA IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN FOOD: TILAPIA	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN FOOD: LOBSTER IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CHEESE, CHEDDAR IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN HAZELNUT/FILBERT IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CHERRY, BING IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN FESCUE, MEADOW IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN FIRE ANT (INVICTA) IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN TURKEY IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CHICKEN, SERUM PROTEINS IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN PIGWEED, ROUGH IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CHICKEN FEATHERS IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN HALIBUT IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CINNAMON IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN TUNA IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CLADOSPORIUM HERBARUM IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN SALMON IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CLAMS IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN OAT IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CLOVES IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN LETTUCE IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN COCKLEBUR IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN TROUT IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN COCKROACH, AMERICAN IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN SAGE IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN COCONUT IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN GRAPE IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CODFISH IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN GUM, SWEET IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN COFFEE IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN TOMATO IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CORN IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN RYE IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN COTTONWOOD TREE IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN PEPPER, GREEN BELL IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN FOOD: PISTACHIO	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN NETTLE IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN FOOD: PINE NUT, PIGNOLES	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN THYME IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN FOOD: GRAPEFRUIT	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN PEPPER, CHILI IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN OCCUPATIONAL: COTTON SEED IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MUSTARD IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN FOOD: PEAR	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN LEMON IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN FOOD: CHICKPEA	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN RICE IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN FOOD: BASIL (OCIMUM BASILCUM) IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN PEPPER, BLACK IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN TREE: MULBERRY (MORUS ALBA) IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MUSSEL IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CRAB IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN LAMB'S QUARTER IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN NUTMEG IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN TEA IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN RHIZOPUS NIGRICANS IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MUSHROOM IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CRANBERRY IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN LAMB IGE	$40.47	$57.00	$5.22–$75.00	5% above	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CASHEW IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MICROORGANISM: PENICILLIUM CHRYSOGENUM	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN PINE, WHITE IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN SPINACH IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN RAGWEED, SHORT/COMMON IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN HORNET, YELLOW IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MICROORGANISM: MUCOR RACEMOSUS IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN SOYBEAN IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MILK, GOAT'S IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN HORNET, WHITE FACE IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN OYSTER IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN WHEAT IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MARSHELDER, ROUGH IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN HONEYBEE IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN KIWI FRUIT IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MICROORGANISM: ALTERNARIA ALTERNATA	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN WATERMELON IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN SHRIMP IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN POTATO, SWEET IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN OREGANO IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MAPLE, BOX ELDER IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN WASP, PAPER IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN SHEEP SORREL (DOCK) IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN PORK IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN ORANGE IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MANGO IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN HOUSE DUST: HOLLISTER IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN PENICILLIN G IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN WALNUT IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN ONION IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN SESAME SEED IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MACKEREL IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN HICKORY, WHITE IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN SCALLOP IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN PINEAPPLE IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN OLIVE, BLACK IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MACADAMIA NUT IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN HERRING IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN YEAST, BAKER'S IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN VANILLA IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN FOOD: LOBSTER IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN HAZELNUT/FILBERT IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN TURKEY IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN PIGWEED, ROUGH IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN HALIBUT IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN TUNA IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN SALMON IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN OAT IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN LETTUCE IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN TROUT IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN SAGE IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN NUTMEG IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN GUM, SWEET IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN TOMATO IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN RYE IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN PEPPER, GREEN BELL IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN NETTLE IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN THYME IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN PEPPER, CHILI IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MUSTARD IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN LEMON IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN RICE IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN PEPPER, BLACK IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MUSSEL IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN LAMB'S QUARTER IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN GRAPE IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN TEA IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN RHIZOPUS NIGRICANS IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MUSHROOM IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN LAMB IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MICROORGANISM: STEMPHYLIUM HERBARUM	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN WEED: GOLDENROD IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN YELLOW JACKET IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN REDTOP, BENTGRASS IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MUGWORT IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN PROFILE FOODS 7	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN PROFILE FOODS 38	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN RAST EACH	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MELON	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MEAT	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN FRUIT	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN GRAIN	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN FISH	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN LEGUME	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CITRUS	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN BERRY	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN SHELLFISH	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MOLD	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN PROFILE BASIC	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN PROFILE FOODS 15	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN PROFILE FOODS 11	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN PROFILE FOODS 12	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN PROFILE FOODS 42	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN PROFILE VEGETABLE II	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN PROFILE VEGETABLE I	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN PEDIATRIC 0-3 YRS	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN ZONE 12	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN ZONE 3	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN ZONE 2	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALPHA GAL IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN SUNFLOWER SEED IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN PECAN NUT IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MOUSE URINE IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN GLUTEN IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - CHICKEN	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN PROFILE, FALL - WEED	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - LATEX, IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN TIMOTHY IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN PEANUT IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MOUSE SERUM IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN GINGER IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN SUGAR, CANE IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN STACHYBOTRYS CHARTARUM IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN SEAFOOD PANEL	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN: MOSQUITO IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN FOOD: STRAWBERRY IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN RASPBERRY IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN PEACH IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN WEED: GIANT RAGWEED IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN POTATO IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN HAZELNUT	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN PARSLEY IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN OAK,WHITE IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MILK IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN PAPRIKA IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN JOHNSON GRASS IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN GREEN PEA	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN EGG WHITE IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN GELATIN IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN GARLIC IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN FLOUNDER IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN FIRE ANT (INVICTA) IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN FESCUE, MEADOW IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN FENNEL, DOG IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN DOG DANDER	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN D PTERONYSSINUS	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN D FARINAE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CUMIN IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CHOCOLATE IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CHEESE,PROCESSED AME	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CEDAR, MOUNTAIN IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CAT HAIR/DANDER,STAN	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN BAHIA GRASS IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN WEED: ENGLISH PLANTAIN IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN ELM TREE IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN EGGPLANT IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN EGG, WHOLE IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN EGG YOLK IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN DOCKWEED, YELLOW IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN FOOD: BRUSSELS SPROUTS	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN TREE: DATE (PHOENIX CANARIENSIS) IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CUCUMBER IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CRANBERRY IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CRAB IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN TREE: MULBERRY (MORUS ALBA) IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN FOOD: BASIL (OCIMUM BASILCUM) IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN FOOD: CHICKPEA	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN FOOD: PEAR	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN OCCUPATIONAL: COTTON SEED IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN FOOD: GRAPEFRUIT	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN FOOD: PINE NUT, PIGNOLES	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN FOOD: PISTACHIO	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN COTTONWOOD TREE IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CORN IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN COFFEE IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CODFISH IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN COCONUT IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN COCKROACH, AMERICAN IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN COCKLEBUR IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CLOVES IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CLAMS IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CLADOSPORIUM HERBARUM IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CINNAMON IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CHICKEN FEATHERS IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CHICKEN, SERUM PROTEINS IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CHERRY, BING IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CHEESE, CHEDDAR IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN FOOD: TILAPIA	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN FOOD: CATFISH	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CELERY IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CAULIFLOWER IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE CRUDE ALLERGEN EXTRACT EACH	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN ALMONDS IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN APPLE IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN APRICOT IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN ASH, WHITE IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN ASPARAGUS IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN ASPERGILLUS FUMAGATUS IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN ASPERGILLUS NIGER IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN AVOCADO IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN BANANA IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN BARLEY IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN BAYLEAF (LAUREL) IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN BEAN, GREEN IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN BEAN, LIMA IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN INSECT: COCKROACH, GERMAN	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN BEEF IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN BEET, RED IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN BERMUDA GRASS IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN BIRCH IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN BLACKBERRY IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN BLUEGRASS, KENTUCKY IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN BOTRYTIS CINEREA IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN BRAZIL NUT IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN TREE: GREY ALDER	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN TREE: MAPLE LEAF SYCAMORE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN BROCCOLI IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN BUCKWHEAT IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CABBAGE IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CANDIDA ALBICANS IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CANTALOUPE IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN TREE: PECAN, HICKORY	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN FOOD: CURRY	$40.47	$57.00	$5.22–$75.00	—	29%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CARROT IGE	$40.47	$57.00	$5.22–$75.00	—	29%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC CYCLIC CIRULLINATED PEPTIDE ANTIBODY - CCP ANTIBODIES IGG/IGA	$118.57	$167.00	$12.95–$133.60	at median	29%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC CYCLIC CIRULLINATED PEPTIDE ANTIBODY - CCP ANTIBODIES IGG/IGA	$118.57	$167.00	$12.95–$133.60	—	29%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANTINUCLEAR ANTIBODIES - ANA W/ RFLX TITER AND PATTERN	$104.37	$147.00	$12.09–$117.60	99% above	29%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANTINUCLEAR ANTIBODIES - ANA (ANTINUCLEAR ANTIBODIES)	$104.37	$147.00	$12.09–$117.60	99% above	29%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANTINUCLEAR ANTIBODIES - ANA (ANTINUCLEAR ANTIBODIES)	$104.37	$147.00	$12.09–$117.60	—	29%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANTINUCLEAR ANTIBODIES - ANA W/ RFLX TITER AND PATTERN	$104.37	$147.00	$12.09–$117.60	—	29%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC NATRIURETIC PEPTIDE - B-TYPE NATRIURETIC PEPTIDE (BNP)	$183.89	$259.00	$39.26–$237.05	46% above	29%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC NATRIURETIC PEPTIDE - B-TYPE NATRIURETIC PEPTIDE (BNP)	$183.89	$259.00	$39.26–$237.05	—	29%
Basic metabolic panel (blood test) CPT 80048 HC BASIC METABOLIC PANEL CALCIUM TOTAL	$222.23	$313.00	$8.46–$250.40	4% above	29%
Basic metabolic panel (blood test) inpatient CPT 80048 HC BASIC METABOLIC PANEL CALCIUM TOTAL	$222.23	$313.00	$8.46–$250.40	—	29%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC SURG PATH,LEVEL IV RENAL BIOPSY	$438.07	$617.00	$46.21–$493.60	284% above	29%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC SURG PATH,LEVEL IV - LAB SURG PATH,LEVEL IV	$438.07	$617.00	$46.21–$493.60	284% above	29%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC SURG PATH,LEVEL IV NON-GYN CYTOLOGY CELL BLOCK	$438.07	$617.00	$46.21–$493.60	284% above	29%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC SURG PATH,LEVEL IV BONE MARROW BIOPSY	$438.07	$617.00	$46.21–$493.60	284% above	29%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC SURG PATH,LEVEL IV RENAL BIOPSY	$438.07	$617.00	$46.21–$493.60	—	29%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC SURG PATH,LEVEL IV BONE MARROW BIOPSY	$438.07	$617.00	$46.21–$493.60	—	29%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC SURG PATH,LEVEL IV NON-GYN CYTOLOGY CELL BLOCK	$438.07	$617.00	$46.21–$493.60	—	29%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC SURG PATH,LEVEL IV - LAB SURG PATH,LEVEL IV	$438.07	$617.00	$46.21–$493.60	—	29%
Blood culture for bacteria CPT 87040 HC BLOOD CULTURE	$150.52	$212.00	$10.32–$169.60	18% below	29%
Blood culture for bacteria inpatient CPT 87040 HC BLOOD CULTURE	$150.52	$212.00	$10.32–$169.60	—	29%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC CHG COLLECTION VENOUS BLOOD,VENIPUNCTURE - DRAW CHARGE	$35.50	$50.00	$5.00–$75.00	32% above	29%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC CHG COLLECTION VENOUS BLOOD,VENIPUNCTURE - DRAW CHARGE	$35.50	$50.00	$5.00–$75.00	—	29%
Blood glucose (sugar) test CPT 82947 HC ASSAY QUANTITATIVE,BLOOD GLUCOSE - GTT FASTING	$47.57	$67.00	$3.93–$75.00	47% above	29%
Blood glucose (sugar) test CPT 82947 HC ASSAY QUANT,GLUCOSE LEVEL 2 HOUR POST PRANDIAL	$47.57	$67.00	$3.93–$75.00	47% above	29%
Blood glucose (sugar) test CPT 82947 HC ASSAY QUANTITATIVE,BLOOD GLUCOSE - GLUCOSE FASTING	$47.57	$67.00	$3.93–$75.00	47% above	29%
Blood glucose (sugar) test CPT 82947 HC ASSAY QUANTITATIVE,BLOOD GLUCOSE - GLUCOSE LEVEL	$47.57	$67.00	$3.93–$75.00	47% above	29%
Blood glucose (sugar) test inpatient CPT 82947 HC ASSAY QUANTITATIVE,BLOOD GLUCOSE - GLUCOSE LEVEL	$47.57	$67.00	$3.93–$75.00	—	29%
Blood glucose (sugar) test inpatient CPT 82947 HC ASSAY QUANT,GLUCOSE LEVEL 2 HOUR POST PRANDIAL	$47.57	$67.00	$3.93–$75.00	—	29%
Blood glucose (sugar) test inpatient CPT 82947 HC ASSAY QUANTITATIVE,BLOOD GLUCOSE - GTT FASTING	$47.57	$67.00	$3.93–$75.00	—	29%
Blood glucose (sugar) test inpatient CPT 82947 HC ASSAY QUANTITATIVE,BLOOD GLUCOSE - GLUCOSE FASTING	$47.57	$67.00	$3.93–$75.00	—	29%
Blood lead test CPT 83655 HC ASSAY OF LEAD - POCT BLOOD LEAD	$82.36	$116.00	$12.11–$92.80	13% above	29%
Blood lead test CPT 83655 HC ASSAY OF LEAD - LEAD 24HR URINE	$82.36	$116.00	$12.11–$92.80	13% above	29%
Blood lead test CPT 83655 HC ASSAY OF LEAD - LEAD BLOOD	$82.36	$116.00	$12.11–$92.80	13% above	29%
Blood lead test inpatient CPT 83655 HC ASSAY OF LEAD - LEAD 24HR URINE	$82.36	$116.00	$12.11–$92.80	—	29%
Blood lead test inpatient CPT 83655 HC ASSAY OF LEAD - POCT BLOOD LEAD	$82.36	$116.00	$12.11–$92.80	—	29%
Blood lead test inpatient CPT 83655 HC ASSAY OF LEAD - LEAD BLOOD	$82.36	$116.00	$12.11–$92.80	—	29%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC GONADOTROPIN CHORIONIC QUALITATIVE	$155.49	$219.00	$7.52–$175.20	at median	29%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC CHORIONIC GONADOTROPIN, QUAL - HCG QUALITATIVE URINE	$155.49	$219.00	$7.52–$175.20	at median	29%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC CHORIONIC GONADOTROPIN, QUAL - HCG QUALITATIVE SERUM	$155.49	$219.00	$7.52–$175.20	at median	29%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC CHORIONIC GONADOTROPIN, QUAL - HCG QUALITATIVE SERUM	$155.49	$219.00	$7.52–$175.20	—	29%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC CHORIONIC GONADOTROPIN, QUAL - HCG QUALITATIVE URINE	$155.49	$219.00	$7.52–$175.20	—	29%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC GONADOTROPIN CHORIONIC QUALITATIVE	$155.49	$219.00	$7.52–$175.20	—	29%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC BLOOD TYPING SEROLOGIC ABO - PRE TRANSFUSION ABO	$61.06	$86.00	$7.10–$228.82	at median	29%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC MRMC BLOOD TYPING SEROLOGIC ABO	$61.06	$86.00	$7.10–$228.82	at median	29%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC BLOOD TYPING SEROLOGIC ABO - POST TRANSFUSION ABO	$61.06	$86.00	$7.10–$228.82	at median	29%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC BLOOD TYPING SEROLOGIC ABO - TYPE	$61.06	$86.00	$7.10–$228.82	at median	29%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC BLOOD TYPING SEROLOGIC ABO - BLOOD TYPE AND SCREEN	$61.06	$86.00	$7.10–$228.82	at median	29%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC MRMC BLOOD TYPING SEROLOGIC ABO	$61.06	$86.00	$7.10–$228.82	—	29%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC BLOOD TYPING SEROLOGIC ABO - BLOOD TYPE AND SCREEN	$61.06	$86.00	$7.10–$228.82	—	29%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC BLOOD TYPING SEROLOGIC ABO - PRE TRANSFUSION ABO	$61.06	$86.00	$7.10–$228.82	—	29%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC BLOOD TYPING SEROLOGIC ABO - POST TRANSFUSION ABO	$61.06	$86.00	$7.10–$228.82	—	29%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC BLOOD TYPING SEROLOGIC ABO - TYPE	$61.06	$86.00	$7.10–$228.82	—	29%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C-REACTIVE PROTEIN - C-REACTIVE PROTEIN QUANT	$80.94	$114.00	$5.18–$91.20	80% above	29%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C-REACTIVE PROTEIN - C-REACTIVE PROTEIN	$80.94	$114.00	$5.18–$91.20	80% above	29%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC C-REACTIVE PROTEIN - C-REACTIVE PROTEIN QUANT	$80.94	$114.00	$5.18–$91.20	—	29%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC C-REACTIVE PROTEIN - C-REACTIVE PROTEIN	$80.94	$114.00	$5.18–$91.20	—	29%
C. difficile toxin gene test (stool PCR) CPT 87493 HC CLOSTRIDIUM DIFFICILE DNA AMPLIFIED PROBE	$198.09	$279.00	$37.27–$225.20	10% above	29%
C. difficile toxin gene test (stool PCR) CPT 87493 HC C DIFFICILE TOXIN GENE NAA	$198.09	$279.00	$37.27–$225.20	10% above	29%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HC C DIFFICILE TOXIN GENE NAA	$198.09	$279.00	$37.27–$225.20	—	29%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HC CLOSTRIDIUM DIFFICILE DNA AMPLIFIED PROBE	$198.09	$279.00	$37.27–$225.20	—	29%
CA 19-9 blood test (tumor marker) CPT 86301 HC IMMUNOASSAY - TUMOR ANTIGEN CA 19-9 - CARBOHYDRATE ANTIGEN	$144.84	$204.00	$20.81–$163.20	at median	29%
CA 19-9 blood test (tumor marker) CPT 86301 HC IMMUNOASSAY, TUMOR ANTIGEN, CA 19-9 - CANCER ANTIGEN 19-9	$144.84	$204.00	$20.81–$163.20	at median	29%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 HC IMMUNOASSAY - TUMOR ANTIGEN CA 19-9 - CARBOHYDRATE ANTIGEN	$144.84	$204.00	$20.81–$163.20	—	29%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 HC IMMUNOASSAY, TUMOR ANTIGEN, CA 19-9 - CANCER ANTIGEN 19-9	$144.84	$204.00	$20.81–$163.20	—	29%
CA-125 blood test (ovarian cancer marker) CPT 86304 HC IMMUNOASSAY, TUMOR ANTIGEN, CA 125 - CA 125	$166.85	$235.00	$20.81–$188.00	at median	29%
CA-125 blood test (ovarian cancer marker) CPT 86304 HC IMMUNOASSAY - CANCER ANTIGEN 125	$166.85	$235.00	$20.81–$188.00	at median	29%
CA-125 blood test (ovarian cancer marker) CPT 86304 HC IMMUNOASSAY, TUMOR ANTIGEN, CA 125 SERUM (SERIAL)	$166.85	$235.00	$20.81–$188.00	at median	29%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC IMMUNOASSAY, TUMOR ANTIGEN, CA 125 - CA 125	$166.85	$235.00	$20.81–$188.00	—	29%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC IMMUNOASSAY, TUMOR ANTIGEN, CA 125 SERUM (SERIAL)	$166.85	$235.00	$20.81–$188.00	—	29%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC IMMUNOASSAY - CANCER ANTIGEN 125	$166.85	$235.00	$20.81–$188.00	—	29%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC CORONAVIRUS SARS COV-2 (COVID19 ID NOW)	$188.15	$265.00	$51.31–$310.15	130% above	29%
COVID-19 PCR test (SARS-CoV-2 lab test) one side CPT 87635 HC IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ - SARS-COV-2 RT PCR	$188.15	$265.00	$51.31–$310.15	130% above	29%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC CORONAVIRUS SARS COV-2 (COVID19 ID NOW)	$188.15	$265.00	$51.31–$310.15	—	29%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient one side CPT 87635 HC IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ - SARS-COV-2 RT PCR	$188.15	$265.00	$51.31–$310.15	—	29%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHYLMD TRACH, DNA, AMP PROBE	$218.68	$308.00	$35.09–$246.40	8% above	29%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHYLMD TRACH, DNA, AMP PROBE	$218.68	$308.00	$35.09–$246.40	—	29%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL	$117.15	$165.00	$13.39–$132.00	6% above	29%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL	$117.15	$165.00	$13.39–$132.00	—	29%
Complete blood count (CBC) with differential CPT 85025 HC COMPLETE CBC & AUTO DIFF WBC	$121.41	$171.00	$7.77–$136.80	4% above	29%
Complete blood count (CBC) with differential inpatient CPT 85025 HC COMPLETE CBC & AUTO DIFF WBC	$121.41	$171.00	$7.77–$136.80	—	29%
Complete blood count (CBC), no differential CPT 85027 HC COMPLETE CBC - CBC	$87.33	$123.00	$6.47–$98.40	at median	29%
Complete blood count (CBC), no differential inpatient CPT 85027 HC COMPLETE CBC - CBC	$87.33	$123.00	$6.47–$98.40	—	29%
Comprehensive metabolic panel (blood test) CPT 80053 HC METABOLIC PANEL COMPREHENSIVE	$259.86	$366.00	$10.56–$292.80	5% above	29%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC METABOLIC PANEL COMPREHENSIVE	$259.86	$366.00	$10.56–$292.80	—	29%
D-dimer blood test (blood clot marker) CPT 85379 HC FIBRIN DEGRADPRODUCTS,D-DIMER, QUANT - D-DIMER,QUANTITATIVE	$187.44	$264.00	$10.18–$211.20	at median	29%
D-dimer blood test (blood clot marker) CPT 85379 HC FIBRIN DEGRADPRODUCTS,D-DIMER, QUANT - ADDITIONAL CHARGE	$187.44	$264.00	$10.18–$211.20	at median	29%
D-dimer blood test (blood clot marker) inpatient CPT 85379 HC FIBRIN DEGRADPRODUCTS,D-DIMER, QUANT - D-DIMER,QUANTITATIVE	$187.44	$264.00	$10.18–$211.20	—	29%
D-dimer blood test (blood clot marker) inpatient CPT 85379 HC FIBRIN DEGRADPRODUCTS,D-DIMER, QUANT - ADDITIONAL CHARGE	$187.44	$264.00	$10.18–$211.20	—	29%
DHEA sulfate (DHEA-S) blood test CPT 82627 HC DEHYDROEPIANDROSTERONE-SULFATE - DHEA-SULFATE	$179.63	$253.00	$22.23–$202.40	at median	29%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HC DEHYDROEPIANDROSTERONE-SULFATE - DHEA-SULFATE	$179.63	$253.00	$22.23–$202.40	—	29%
Estradiol blood test CPT 82670 HC ASSAY OF ESTRADIOL - ESTRADIOL	$320.92	$452.00	$27.94–$361.60	122% above	29%
Estradiol blood test inpatient CPT 82670 HC ASSAY OF ESTRADIOL - ESTRADIOL	$320.92	$452.00	$27.94–$361.60	—	29%
FSH (follicle-stimulating hormone) test CPT 83001 HC GONADOTROPIN FOLLICLE STIMULATING HORMONE (FSH) SERUM	$230.04	$324.00	$18.58–$259.20	at median	29%
FSH (follicle-stimulating hormone) test CPT 83001 HC GONADOTROPIN FOLLICLE STIMULATING HORMONE (FSH)	$230.04	$324.00	$18.58–$259.20	at median	29%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 HC GONADOTROPIN FOLLICLE STIMULATING HORMONE (FSH) SERUM	$230.04	$324.00	$18.58–$259.20	—	29%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 HC GONADOTROPIN FOLLICLE STIMULATING HORMONE (FSH)	$230.04	$324.00	$18.58–$259.20	—	29%
Fecal calprotectin (stool inflammation test) CPT 83993 HC ASSAY OF CALPROTECTIN FECAL	$240.69	$339.00	$19.63–$271.20	at median	29%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HC ASSAY OF CALPROTECTIN FECAL	$240.69	$339.00	$19.63–$271.20	—	29%
Ferritin blood test (iron stores) CPT 82728 HC ASSAY OF FERRITIN - FERRITIN	$114.31	$161.00	$13.63–$128.80	at median	29%
Ferritin blood test (iron stores) inpatient CPT 82728 HC ASSAY OF FERRITIN - FERRITIN	$114.31	$161.00	$13.63–$128.80	—	29%
Folate (folic acid) blood test CPT 82746 HC BLOOD FOLIC ACID SERUM - FOLATE	$118.57	$167.00	$14.70–$133.60	at median	29%
Folate (folic acid) blood test CPT 82746 HC BLOOD FOLIC ACID SERUM - FOLATE AND VITAMIN B12	$118.57	$167.00	$14.70–$133.60	at median	29%
Folate (folic acid) blood test inpatient CPT 82746 HC BLOOD FOLIC ACID SERUM - FOLATE	$118.57	$167.00	$14.70–$133.60	—	29%
Folate (folic acid) blood test inpatient CPT 82746 HC BLOOD FOLIC ACID SERUM - FOLATE AND VITAMIN B12	$118.57	$167.00	$14.70–$133.60	—	29%
Free T3 thyroid hormone test CPT 84481 HC TRIIODOTHYRONINE FREE ASSAY (FT-3) - T3 FREE	$177.50	$250.00	$16.94–$200.00	2% above	29%
Free T3 thyroid hormone test inpatient CPT 84481 HC TRIIODOTHYRONINE FREE ASSAY (FT-3) - T3 FREE	$177.50	$250.00	$16.94–$200.00	—	29%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC ASSAY OF FREE THYROXINE - T4 FREE	$107.21	$151.00	$9.02–$120.80	at median	29%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC ASSAY OF FREE THYROXINE - THYROXINE (T4) FREE, DIRECT	$107.21	$151.00	$9.02–$120.80	at median	29%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC ASSAY OF FREE THYROXINE - T4 FREE	$107.21	$151.00	$9.02–$120.80	—	29%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC ASSAY OF FREE THYROXINE - THYROXINE (T4) FREE, DIRECT	$107.21	$151.00	$9.02–$120.80	—	29%
Free testosterone test CPT 84402 HC ASSAY OF TESTOSTERONE - TESTOSTERONE TOTAL FREE	$160.46	$226.00	$25.47–$180.80	80% above	29%
Free testosterone test CPT 84402 HC ASSAY OF TESTOSTERONE - TESTOSTERONE, FREE, DIRECT	$160.46	$226.00	$25.47–$180.80	80% above	29%
Free testosterone test inpatient CPT 84402 HC ASSAY OF TESTOSTERONE - TESTOSTERONE, FREE, DIRECT	$160.46	$226.00	$25.47–$180.80	—	29%
Free testosterone test inpatient CPT 84402 HC ASSAY OF TESTOSTERONE - TESTOSTERONE TOTAL FREE	$160.46	$226.00	$25.47–$180.80	—	29%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC GLUCOSE TEST - GTT 1 HOUR	$76.68	$108.00	$4.75–$86.40	at median	29%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HC GLUCOSE TEST - GTT 1 HOUR	$76.68	$108.00	$4.75–$86.40	—	29%
Glucose tolerance test, 3 samples CPT 82951 HC GLUCOSE TOLERANCE TEST (GTT) - 3 SPECIMENS	$180.34	$254.00	$12.87–$203.20	at median	29%
Glucose tolerance test, 3 samples inpatient CPT 82951 HC GLUCOSE TOLERANCE TEST (GTT) - 3 SPECIMENS	$180.34	$254.00	$12.87–$203.20	—	29%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC N.GONORRHOEAE/CHLAMYDIA TRACHOMATIS, DNA, AMP PROB	$218.68	$308.00	$35.09–$246.40	8% above	29%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC N.GONORRHOEAE, DNA, AMP PROB - GC DNA PCR	$218.68	$308.00	$35.09–$246.40	8% above	29%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC N.GONORRHOEAE/CHLAMYDIA TRACHOMATIS, DNA, AMP PROB	$218.68	$308.00	$35.09–$246.40	—	29%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC N.GONORRHOEAE, DNA, AMP PROB - GC DNA PCR	$218.68	$308.00	$35.09–$246.40	—	29%
H. pylori antibody blood test CPT 86677 HC HELICOBACTER PYLORI - HELICOBACTER PYLORI IGA	$137.03	$193.00	$16.85–$154.40	1% above	29%
H. pylori antibody blood test CPT 86677 HC HELICOBACTER PYLORI - HELICOBACTER PYLORI IGG	$137.03	$193.00	$16.85–$154.40	1% above	29%
H. pylori antibody blood test CPT 86677 HC HELICOBACTER PYLORI	$137.03	$193.00	$16.85–$154.40	1% above	29%
H. pylori antibody blood test inpatient CPT 86677 HC HELICOBACTER PYLORI - HELICOBACTER PYLORI IGA	$137.03	$193.00	$16.85–$154.40	—	29%
H. pylori antibody blood test inpatient CPT 86677 HC HELICOBACTER PYLORI - HELICOBACTER PYLORI IGG	$137.03	$193.00	$16.85–$154.40	—	29%
H. pylori antibody blood test inpatient CPT 86677 HC HELICOBACTER PYLORI	$137.03	$193.00	$16.85–$154.40	—	29%
H. pylori stool antigen test CPT 87338 HC IAAD IA HPYLORI STOOL - H PYLORI ANTIGEN STOOL	$149.81	$211.00	$14.38–$168.80	27% below	29%
H. pylori stool antigen test inpatient CPT 87338 HC IAAD IA HPYLORI STOOL - H PYLORI ANTIGEN STOOL	$149.81	$211.00	$14.38–$168.80	—	29%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC HIV-1 QUANT&REVRSE TRNSCRPJ - RNA REAL TIME PCR (GRAPH)	$438.07	$617.00	$75.00–$513.62	1% below	29%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC HIV-1 QUANT&REVRSE TRNSCRPJ - HIV RNA, QUANTITATIVE, PCR	$438.07	$617.00	$75.00–$513.62	1% below	29%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC HIV-1 QUANT&REVRSE TRNSCRPJ - HIV RNA, QUANTITATIVE, PCR	$438.07	$617.00	$75.00–$513.62	—	29%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC HIV-1 QUANT&REVRSE TRNSCRPJ - RNA REAL TIME PCR (GRAPH)	$438.07	$617.00	$75.00–$513.62	—	29%
HIV-1 and HIV-2 antibody test CPT 86703 HC HIV-1/HIV-2, SINGLE ASSAY - RAPID HIV 1 AND 2 SCREEN	$178.21	$251.00	$13.71–$200.80	47% above	29%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HC HIV-1/HIV-2, SINGLE ASSAY - RAPID HIV 1 AND 2 SCREEN	$178.21	$251.00	$13.71–$200.80	—	29%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC IAAD IA HIV-1 AG W/HIV-1 & HIV-2 ANTBDY SINGLE	$189.57	$267.00	$24.08–$213.60	63% above	29%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC HIV PANEL	$189.57	$267.00	$24.08–$213.60	63% above	29%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC IAAD IA HIV-1 AG W/HIV-1 & HIV-2 ANTBDY SINGLE	$189.57	$267.00	$24.08–$213.60	—	29%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC HIV PANEL	$189.57	$267.00	$24.08–$213.60	—	29%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HC IADNA HUMAN PAPILLOMAVIRUS HIGH-RISK TYPES - HPV DNA PROBE, AMP	$120.70	$170.00	$35.09–$211.37	7% below	29%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC IADNA HUMAN PAPILLOMAVIRUS HIGH-RISK TYPES - HPV DNA PROBE, AMP	$120.70	$170.00	$35.09–$211.37	—	29%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC GLYCOSYLATED HEMOGLOBIN A1C TEST	$86.62	$122.00	$9.71–$97.60	at median	29%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC GLYCOSYLATED HEMOGLOBIN TEST - HEMOGLOBIN A1C	$86.62	$122.00	$9.71–$97.60	at median	29%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC GLYCOSYLATED HEMOGLOBIN TEST - HEMOGLOBIN A1C	$86.62	$122.00	$9.71–$97.60	—	29%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC GLYCOSYLATED HEMOGLOBIN A1C TEST	$86.62	$122.00	$9.71–$97.60	—	29%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC HEPATITIS B SURFACE AB TEST - HEPATITIS B SURFACE ANTIBODY	$102.24	$144.00	$10.74–$115.20	at median	29%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC HEPATITIS B SURFACE AB TEST - HEPATITIS B SURFACE ANTIBODY	$102.24	$144.00	$10.74–$115.20	—	29%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HC IAAD IA HEPATITIS B SURFACE ANTIGEN - HEPATITIS B SURFACE ANTIGEN	$95.85	$135.00	$10.33–$108.00	at median	29%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC IAAD IA HEPATITIS B SURFACE ANTIGEN - HEPATITIS B SURFACE ANTIGEN	$95.85	$135.00	$10.33–$108.00	—	29%
Hepatitis C antibody blood test (screening) CPT 86803 HC HEPATITIS C AB TEST - HEPATITIS C ANTIBODY	$130.64	$184.00	$14.27–$147.20	at median	29%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC HEPATITIS C AB TEST - HEPATITIS C ANTIBODY	$130.64	$184.00	$14.27–$147.20	—	29%
Hepatitis C viral load (HCV RNA) test CPT 87522 HC IADNA HEPATITIS C QUANT & REVERSE TRANSCRIPTION - HCV QUANT PCR	$401.15	$565.00	$42.84–$452.00	2% above	29%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC IADNA HEPATITIS C QUANT & REVERSE TRANSCRIPTION - HCV QUANT PCR	$401.15	$565.00	$42.84–$452.00	—	29%
Herpes blood test, HSV-1 antibody CPT 86695 HC HERPES SIMPLEX TEST, TYPE 1 - HSV 1 IGG ANTIBODY	$73.13	$103.00	$13.19–$82.40	at median	29%
Herpes blood test, HSV-1 antibody CPT 86695 HC HERPES SIMPLEX TYPE 1 ANTIBODY	$73.13	$103.00	$13.19–$82.40	at median	29%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HERPES SIMPLEX TEST, TYPE 1 - HSV 1 IGG ANTIBODY	$73.13	$103.00	$13.19–$82.40	—	29%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HERPES SIMPLEX TYPE 1 ANTIBODY	$73.13	$103.00	$13.19–$82.40	—	29%
Herpes blood test, HSV-2 antibody CPT 86696 HC HERPES SIMPLEX TEST, TYPE 2 - HSV 2 IGG ANTIBODY	$93.72	$132.00	$19.35–$116.55	6% above	29%
Herpes blood test, HSV-2 antibody CPT 86696 HC HERPES SIMPLEX TEST TYPE 2	$93.72	$132.00	$19.35–$116.55	6% above	29%
Herpes blood test, HSV-2 antibody CPT 86696 HC HERPES SIMPLEX TEST, HSV 1 AND 2 SPECIFIC AB IGG	$93.72	$132.00	$19.35–$116.55	6% above	29%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HERPES SIMPLEX TEST TYPE 2	$93.72	$132.00	$19.35–$116.55	—	29%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HERPES SIMPLEX TEST, TYPE 2 - HSV 2 IGG ANTIBODY	$93.72	$132.00	$19.35–$116.55	—	29%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HERPES SIMPLEX TEST, HSV 1 AND 2 SPECIFIC AB IGG	$93.72	$132.00	$19.35–$116.55	—	29%
High-sensitivity CRP (hs-CRP) test CPT 86141 HC C-REACTIVE PROTEIN,HIGH SENSITIVITY - HIGH SENSITIVITY CRP	$78.81	$111.00	$12.95–$88.80	20% below	29%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HC C-REACTIVE PROTEIN,HIGH SENSITIVITY - HIGH SENSITIVITY CRP	$78.81	$111.00	$12.95–$88.80	—	29%
Homocysteine blood test CPT 83090 HC ASSAY OF HOMOCYSTINE - HOMOCYSTEINE	$259.86	$366.00	$17.92–$292.80	at median	29%
Homocysteine blood test inpatient CPT 83090 HC ASSAY OF HOMOCYSTINE - HOMOCYSTEINE	$259.86	$366.00	$17.92–$292.80	—	29%
Insulin blood test CPT 83525 HC ASSAY OF INSULIN,TOTAL - INSULIN	$173.95	$245.00	$11.43–$196.00	at median	29%
Insulin blood test inpatient CPT 83525 HC ASSAY OF INSULIN,TOTAL - INSULIN	$173.95	$245.00	$11.43–$196.00	—	29%
Iron blood test (serum iron) CPT 83540 HC ASSAY OF IRON - IRON	$61.77	$87.00	$6.47–$75.00	at median	29%
Iron blood test (serum iron) inpatient CPT 83540 HC ASSAY OF IRON - IRON	$61.77	$87.00	$6.47–$75.00	—	29%
Iron-binding capacity (TIBC) test CPT 83550 HC IRON BINDING TEST - IRON + TRANSFERRIN + TIBC	$80.94	$114.00	$8.74–$91.20	at median	29%
Iron-binding capacity (TIBC) test CPT 83550 HC IRON BINDING TEST - IRON AND IRON BINDING CAPACITY PANEL - SR OR PL	$80.94	$114.00	$8.74–$91.20	at median	29%
Iron-binding capacity (TIBC) test CPT 83550 HC IRON BINDING TEST - IRON + TIBC	$80.94	$114.00	$8.74–$91.20	at median	29%
Iron-binding capacity (TIBC) test inpatient CPT 83550 HC IRON BINDING TEST - IRON AND IRON BINDING CAPACITY PANEL - SR OR PL	$80.94	$114.00	$8.74–$91.20	—	29%
Iron-binding capacity (TIBC) test inpatient CPT 83550 HC IRON BINDING TEST - IRON + TIBC	$80.94	$114.00	$8.74–$91.20	—	29%
Iron-binding capacity (TIBC) test inpatient CPT 83550 HC IRON BINDING TEST - IRON + TRANSFERRIN + TIBC	$80.94	$114.00	$8.74–$91.20	—	29%
Kidney function blood test panel CPT 80069 HC RENAL FUNCTION PANEL	$137.03	$193.00	$8.68–$154.40	at median	29%
Kidney function blood test panel inpatient CPT 80069 HC RENAL FUNCTION PANEL	$137.03	$193.00	$8.68–$154.40	—	29%
LH (luteinizing hormone) test CPT 83002 HC GONADOTROPIN (LH) - LUTEINIZING HORMONE	$219.39	$309.00	$18.52–$247.20	17% above	29%
LH (luteinizing hormone) test inpatient CPT 83002 HC GONADOTROPIN (LH) - LUTEINIZING HORMONE	$219.39	$309.00	$18.52–$247.20	—	29%
Lipase blood test (pancreas enzyme) CPT 83690 HC ASSAY OF LIPASE - LIPASE	$150.52	$212.00	$6.89–$169.60	8% above	29%
Lipase blood test (pancreas enzyme) CPT 83690 HC ASSAY OF LIPASE - LIPASE BODY FLUID	$150.52	$212.00	$6.89–$169.60	8% above	29%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC ASSAY OF LIPASE - LIPASE BODY FLUID	$150.52	$212.00	$6.89–$169.60	—	29%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC ASSAY OF LIPASE - LIPASE	$150.52	$212.00	$6.89–$169.60	—	29%
Liver function blood test panel CPT 80076 HC HEPATIC FUNCTION PANEL	$202.35	$285.00	$8.17–$228.00	30% above	29%
Liver function blood test panel inpatient CPT 80076 HC HEPATIC FUNCTION PANEL	$202.35	$285.00	$8.17–$228.00	—	29%
Lyme disease antibody test CPT 86618 HC LYME DISEASE ANTIBODY - B. BURGDORFERI ANTIBODIES	$218.68	$308.00	$17.03–$246.40	110% above	29%
Lyme disease antibody test CPT 86618 HC LYME DISEASE ANTIBODY - LYME TOTAL AB TEST/REFLEX	$218.68	$308.00	$17.03–$246.40	110% above	29%
Lyme disease antibody test inpatient CPT 86618 HC LYME DISEASE ANTIBODY - B. BURGDORFERI ANTIBODIES	$218.68	$308.00	$17.03–$246.40	—	29%
Lyme disease antibody test inpatient CPT 86618 HC LYME DISEASE ANTIBODY - LYME TOTAL AB TEST/REFLEX	$218.68	$308.00	$17.03–$246.40	—	29%
Magnesium blood test CPT 83735 HC ASSAY OF MAGNESIUM - MAGNESIUM URINE	$69.58	$98.00	$6.70–$78.40	85% above	29%
Magnesium blood test CPT 83735 HC ASSAY OF MAGNESIUM - MAGNESIUM RBC	$69.58	$98.00	$6.70–$78.40	85% above	29%
Magnesium blood test CPT 83735 HC ASSAY OF MAGNESIUM - URINE RANDOM	$69.58	$98.00	$6.70–$78.40	85% above	29%
Magnesium blood test CPT 83735 HC ASSAY OF MAGNESIUM - MAGNESIUM 24HR URINE	$69.58	$98.00	$6.70–$78.40	85% above	29%
Magnesium blood test CPT 83735 HC ASSAY OF MAGNESIUM - MAGNESIUM	$69.58	$98.00	$6.70–$78.40	85% above	29%
Magnesium blood test inpatient CPT 83735 HC ASSAY OF MAGNESIUM - MAGNESIUM 24HR URINE	$69.58	$98.00	$6.70–$78.40	—	29%
Magnesium blood test inpatient CPT 83735 HC ASSAY OF MAGNESIUM - MAGNESIUM	$69.58	$98.00	$6.70–$78.40	—	29%
Magnesium blood test inpatient CPT 83735 HC ASSAY OF MAGNESIUM - MAGNESIUM RBC	$69.58	$98.00	$6.70–$78.40	—	29%
Magnesium blood test inpatient CPT 83735 HC ASSAY OF MAGNESIUM - URINE RANDOM	$69.58	$98.00	$6.70–$78.40	—	29%
Magnesium blood test inpatient CPT 83735 HC ASSAY OF MAGNESIUM - MAGNESIUM URINE	$69.58	$98.00	$6.70–$78.40	—	29%
Measles (rubeola) antibody test CPT 86765 HC RUBEOLA - RUBEOLA ANTIBODY, IGM	$76.68	$108.00	$12.88–$86.40	at median	29%
Measles (rubeola) antibody test CPT 86765 HC RUBEOLA - RUBEOLA ANTIBODY IGG	$76.68	$108.00	$12.88–$86.40	at median	29%
Measles (rubeola) antibody test CPT 86765 HC RUBEOLA ANTIBODY	$76.68	$108.00	$12.88–$86.40	at median	29%
Measles (rubeola) antibody test inpatient CPT 86765 HC RUBEOLA - RUBEOLA ANTIBODY IGG	$76.68	$108.00	$12.88–$86.40	—	29%
Measles (rubeola) antibody test inpatient CPT 86765 HC RUBEOLA ANTIBODY	$76.68	$108.00	$12.88–$86.40	—	29%
Measles (rubeola) antibody test inpatient CPT 86765 HC RUBEOLA - RUBEOLA ANTIBODY, IGM	$76.68	$108.00	$12.88–$86.40	—	29%
Mono test (heterophile antibody, Monospot) CPT 86308 HC HETEROPHILE ANTIBODIES,SCREEN - MONONUCLEOSIS SCREEN	$105.08	$148.00	$5.18–$118.40	at median	29%
Mono test (heterophile antibody, Monospot) CPT 86308 HC HETEROPHILE ANTIBODIES,SCREEN - MONO QUAL W/RFLX QN	$105.08	$148.00	$5.18–$118.40	at median	29%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC HETEROPHILE ANTIBODIES,SCREEN - MONO QUAL W/RFLX QN	$105.08	$148.00	$5.18–$118.40	—	29%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC HETEROPHILE ANTIBODIES,SCREEN - MONONUCLEOSIS SCREEN	$105.08	$148.00	$5.18–$118.40	—	29%
PSA (prostate-specific antigen) blood test, free CPT 84154 HC FPSA REFLEX	$117.86	$166.00	$18.39–$132.80	at median	29%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC FPSA REFLEX	$117.86	$166.00	$18.39–$132.80	—	29%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC PROSTATE SPECIFIC ANTIGEN PSA (REFLEX TO FREE SERIAL)	$122.83	$173.00	$18.39–$138.40	2% above	29%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC PROSTATE SPECIFIC ANTIGEN,TOTAL - PSA TOTAL AND FREE	$122.83	$173.00	$18.39–$138.40	2% above	29%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC PROSTATE SPECIFIC ANTIGEN,TOTAL - PSA, ULTRASENSITIVE	$122.83	$173.00	$18.39–$138.40	2% above	29%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC PROSTATE SPECIFIC ANTIGEN,TOTAL - PSA	$122.83	$173.00	$18.39–$138.40	2% above	29%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PROSTATE SPECIFIC ANTIGEN PSA (REFLEX TO FREE SERIAL)	$122.83	$173.00	$18.39–$138.40	—	29%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PROSTATE SPECIFIC ANTIGEN,TOTAL - PSA TOTAL AND FREE	$122.83	$173.00	$18.39–$138.40	—	29%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PROSTATE SPECIFIC ANTIGEN,TOTAL - PSA	$122.83	$173.00	$18.39–$138.40	—	29%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PROSTATE SPECIFIC ANTIGEN,TOTAL - PSA, ULTRASENSITIVE	$122.83	$173.00	$18.39–$138.40	—	29%
Pap test (liquid-based, automated screening with review) CPT 88175 HC CYTOPATH C/V AUTO FLUID REDO - LAB CYTOPAT,CER/VAG,THIN LAYER,INTER	$149.81	$211.00	$26.61–$168.80	92% above	29%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 HC CYTOPATH C/V AUTO FLUID REDO - LAB CYTOPAT,CER/VAG,THIN LAYER,INTER	$149.81	$211.00	$26.61–$168.80	—	29%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HC CYTOPATH C/V THIN LAYER - LAB CYTOPATH CERV/VAG THIN LAYER	$171.11	$241.00	$20.26–$192.80	at median	29%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 HC CYTOPATH C/V THIN LAYER - LAB CYTOPATH CERV/VAG THIN LAYER	$171.11	$241.00	$20.26–$192.80	—	29%
Parathyroid hormone (PTH) blood test CPT 83970 HC ASSAY OF PARATHORMONE - PTH INTACT	$214.42	$302.00	$41.28–$248.91	7% above	29%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC ASSAY OF PARATHORMONE - PTH INTACT	$214.42	$302.00	$41.28–$248.91	—	29%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC THROMBOPLAS TIME PARTIAL - APTT	$77.39	$109.00	$6.01–$87.20	29% above	29%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC THROMBOPLASTIN TIME PARTIAL - MIXING STUDIES	$77.39	$109.00	$6.01–$87.20	29% above	29%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC THROMBOPLASTIN TIME PARTIAL - PTT HIGH DOSE HEPARIN LEVEL	$77.39	$109.00	$6.01–$87.20	29% above	29%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC THROMBOPLASTIN TIME PARTIAL - PTT LOW DOSE HEPARIN LEVEL	$77.39	$109.00	$6.01–$87.20	29% above	29%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC THROMBOPLASTIN TIME PARTIAL - PTT LOW DOSE HEPARIN LEVEL	$77.39	$109.00	$6.01–$87.20	—	29%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC THROMBOPLASTIN TIME PARTIAL - MIXING STUDIES	$77.39	$109.00	$6.01–$87.20	—	29%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC THROMBOPLAS TIME PARTIAL - APTT	$77.39	$109.00	$6.01–$87.20	—	29%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC THROMBOPLASTIN TIME PARTIAL - PTT HIGH DOSE HEPARIN LEVEL	$77.39	$109.00	$6.01–$87.20	—	29%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 HC FETAL CHROMOSOMAL ANEUPLOIDY GENOMIC SEQ ANALYS	$1,807.66	$2,546.00	$124.00–$4,579.09	at median	29%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 HC FETAL CHROMOSOMAL ANEUPLOIDY GENOMIC SEQ ANALYS	$1,807.66	$2,546.00	$124.00–$4,579.09	—	29%
Progesterone blood test CPT 84144 HC ASSAY OF PROGESTERONE - PROGESTERONE	$144.84	$204.00	$20.86–$163.20	at median	29%
Progesterone blood test inpatient CPT 84144 HC ASSAY OF PROGESTERONE - PROGESTERONE	$144.84	$204.00	$20.86–$163.20	—	29%
Prolactin blood test CPT 84146 HC ASSAY OF PROLACTIN - PROLACTIN	$217.26	$306.00	$19.38–$244.80	26% above	29%
Prolactin blood test inpatient CPT 84146 HC ASSAY OF PROLACTIN - PROLACTIN	$217.26	$306.00	$19.38–$244.80	—	29%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME - PROTHROMBIN MIXING STUDY	$52.54	$74.00	$4.29–$75.00	at median	29%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME - PROTIME-INR	$88.04	$124.00	$4.29–$99.20	68% above	29%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME - PROTHROMBIN MIXING STUDY	$52.54	$74.00	$4.29–$75.00	—	29%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME - PROTIME-INR	$88.04	$124.00	$4.29–$99.20	—	29%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 HC DRUG TEST PRSMV READ DIRECT OPTICAL OBS PR DATE	$140.58	$198.00	$12.60–$158.40	176% above	29%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 HC DRUG TEST PRSMV READ DIRECT OPTICAL OBS PR DATE	$140.58	$198.00	$12.60–$158.40	—	29%
Rapid flu test (influenza antigen) CPT 87804 HC DETECT AGENT,IMMUN,DIR OBS,INFLUENZA - RAPID FLU	$83.78	$118.00	$16.55–$100.75	23% below	29%
Rapid flu test (influenza antigen) inpatient CPT 87804 HC DETECT AGENT,IMMUN,DIR OBS,INFLUENZA - RAPID FLU	$83.78	$118.00	$16.55–$100.75	—	29%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC STREP A ASSAY W/OPTIC - RAPID STREP A SCREEN	$69.58	$98.00	$16.53–$98.77	32% below	29%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC STREP A ASSAY W/OPTIC - RAPID STREP A SCREEN	$69.58	$98.00	$16.53–$98.77	—	29%
Rheumatoid factor (RF) test CPT 86431 HC RHEUMATOID FACTOR, QUANT - RHEUMATOID FACTOR	$68.87	$97.00	$5.67–$77.60	at median	29%
Rheumatoid factor (RF) test inpatient CPT 86431 HC RHEUMATOID FACTOR, QUANT - RHEUMATOID FACTOR	$68.87	$97.00	$5.67–$77.60	—	29%
Rubella antibody test (immunity check) CPT 86762 HC RUBELLA - RUBELLA ANTIBODY, IGG	$122.12	$172.00	$14.39–$137.60	37% above	29%
Rubella antibody test (immunity check) CPT 86762 HC RUBELLA ANTIBODY	$122.12	$172.00	$14.39–$137.60	37% above	29%
Rubella antibody test (immunity check) CPT 86762 HC RUBELLA - RUBELLA ANTIBODY, IGM	$122.12	$172.00	$14.39–$137.60	37% above	29%
Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA - RUBELLA ANTIBODY, IGM	$122.12	$172.00	$14.39–$137.60	—	29%
Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA - RUBELLA ANTIBODY, IGG	$122.12	$172.00	$14.39–$137.60	—	29%
Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA ANTIBODY	$122.12	$172.00	$14.39–$137.60	—	29%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HC RBC SED RATE, AUTO - SEDIMENTATION RATE-WESTERGREN	$114.31	$161.00	$2.70–$128.80	18% above	29%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HC RBC SED RATE, AUTO - ESR (ISED METHOD)	$114.31	$161.00	$2.70–$128.80	18% above	29%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 HC RBC SED RATE, AUTO - SEDIMENTATION RATE-WESTERGREN	$114.31	$161.00	$2.70–$128.80	—	29%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 HC RBC SED RATE, AUTO - ESR (ISED METHOD)	$114.31	$161.00	$2.70–$128.80	—	29%
Stool ova and parasites exam CPT 87177 HC OVA AND PARASITES SMEARS - OVA AND PARASITE EXAMINATION	$106.50	$150.00	$8.90–$120.00	at median	29%
Stool ova and parasites exam inpatient CPT 87177 HC OVA AND PARASITES SMEARS - OVA AND PARASITE EXAMINATION	$106.50	$150.00	$8.90–$120.00	—	29%
Stool test for hidden blood (guaiac FOBT) CPT 82270 HC OCCULT BLOOD FECES - POCT OCCULT BLOOD STOOL	$27.69	$39.00	$4.38–$75.00	32% below	29%
Stool test for hidden blood (guaiac FOBT) CPT 82270 HC BLOOD OCCULT,BY PEROXID,FECES,SINGLE, COLORECTAL SCREEN - OCCULT BLD	$27.69	$39.00	$4.38–$75.00	32% below	29%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC BLOOD OCCULT,BY PEROXID,FECES,SINGLE, COLORECTAL SCREEN - OCCULT BLD	$27.69	$39.00	$4.38–$75.00	—	29%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC OCCULT BLOOD FECES - POCT OCCULT BLOOD STOOL	$27.69	$39.00	$4.38–$75.00	—	29%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC BLOOD OCCULT FECAL HGB DETER IA QUAL FECES 1-3	$93.01	$131.00	$15.92–$104.80	61% above	29%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HC BLOOD OCCULT FECAL HGB DETER IA QUAL FECES 1-3	$93.01	$131.00	$15.92–$104.80	—	29%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC VDRL SCREEN CSF	$76.68	$108.00	$4.27–$86.40	60% above	29%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC SYPHILIS TEST NON TREPONEMAL ANTIBODY QUAL - RAPID PLASMA REAGIN-SYP	$76.68	$108.00	$4.27–$86.40	60% above	29%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC SYPHILIS TEST NON TREPONEMAL ANTIBODY QUAL - VDRL CSF	$76.68	$108.00	$4.27–$86.40	60% above	29%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC SYPHILIS TEST NON TREPONEMAL ANTIBODY QUAL - VDRL CSF	$76.68	$108.00	$4.27–$86.40	—	29%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC VDRL SCREEN CSF	$76.68	$108.00	$4.27–$86.40	—	29%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC SYPHILIS TEST NON TREPONEMAL ANTIBODY QUAL - RAPID PLASMA REAGIN-SYP	$76.68	$108.00	$4.27–$86.40	—	29%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC TB TEST - QUANTIFERON TB GOLD (IN TUBE)	$208.74	$294.00	$61.98–$373.36	at median	29%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC TB TEST - QUANTIFERON CLIENT INCUBATED	$208.74	$294.00	$61.98–$373.36	at median	29%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC TB TEST - QUANTIFERON CLIENT INCUBATED	$208.74	$294.00	$61.98–$373.36	—	29%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC TB TEST - QUANTIFERON TB GOLD (IN TUBE)	$208.74	$294.00	$61.98–$373.36	—	29%
Testosterone blood test, total (not free testosterone) CPT 84403 HC ASSAY OF TOTAL TESTOSTERONE - TESTOSTERONE	$222.23	$313.00	$25.81–$250.40	190% above	29%
Testosterone blood test, total (not free testosterone) CPT 84403 HC ASSAY OF TOTAL TESTOSTERONE - TESTOSTERONE TOTAL	$222.23	$313.00	$25.81–$250.40	190% above	29%
Testosterone blood test, total (not free testosterone) CPT 84403 HC ASSAY OF TOTAL TESTOSTERONE - TESTOSTERONE SERUM	$222.23	$313.00	$25.81–$250.40	190% above	29%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC ASSAY OF TOTAL TESTOSTERONE - TESTOSTERONE	$222.23	$313.00	$25.81–$250.40	—	29%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC ASSAY OF TOTAL TESTOSTERONE - TESTOSTERONE TOTAL	$222.23	$313.00	$25.81–$250.40	—	29%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC ASSAY OF TOTAL TESTOSTERONE - TESTOSTERONE SERUM	$222.23	$313.00	$25.81–$250.40	—	29%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC MICROSOMAL ANTIBODY - ANTI-MICROSOMAL AB	$181.76	$256.00	$14.55–$204.80	76% above	29%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC MICROSOMAL ANTIBODY - THYROID PEROXIDASE ANTIBODY	$181.76	$256.00	$14.55–$204.80	76% above	29%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC MICROSOMAL ANTIBODY - THYROID PEROXIDASE ANTIBODY	$181.76	$256.00	$14.55–$204.80	—	29%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC MICROSOMAL ANTIBODY - ANTI-MICROSOMAL AB	$181.76	$256.00	$14.55–$204.80	—	29%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC ASSAY THYROID STIM HORMONE - THYROID STIMULATING HORMONE	$139.87	$197.00	$16.80–$157.60	at median	29%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC ASSAY THYROID STIMULATING HORMONE (DHEC)	$139.87	$197.00	$16.80–$157.60	at median	29%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC ASSAY THYROID STIM HORMONE THYROID CASCADE PROFILE	$139.87	$197.00	$16.80–$157.60	at median	29%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC ASSAY THYROID STIM HORMONE - POCT THYROID STIMULATING HORMONE (TSH)	$139.87	$197.00	$16.80–$157.60	at median	29%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC ASSAY THYROID STIM HORMONE - THYROID STIMULATING HORMONE	$139.87	$197.00	$16.80–$157.60	—	29%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC ASSAY THYROID STIMULATING HORMONE (DHEC)	$139.87	$197.00	$16.80–$157.60	—	29%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC ASSAY THYROID STIM HORMONE - POCT THYROID STIMULATING HORMONE (TSH)	$139.87	$197.00	$16.80–$157.60	—	29%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC ASSAY THYROID STIM HORMONE THYROID CASCADE PROFILE	$139.87	$197.00	$16.80–$157.60	—	29%
Trichomonas test (NAAT) CPT 87661 HC TRICH VAG BY NAA	$214.42	$302.00	$35.09–$241.60	47% above	29%
Trichomonas test (NAAT) inpatient CPT 87661 HC TRICH VAG BY NAA	$214.42	$302.00	$35.09–$241.60	—	29%
Uric acid blood test CPT 84550 HC ASSAY OF URIC ACID - RASBURICASE	$61.77	$87.00	$4.52–$75.00	at median	29%
Uric acid blood test CPT 84550 HC ASSAY OF URIC ACID, BLOOD - URIC ACID	$61.77	$87.00	$4.52–$75.00	at median	29%
Uric acid blood test inpatient CPT 84550 HC ASSAY OF URIC ACID, BLOOD - URIC ACID	$61.77	$87.00	$4.52–$75.00	—	29%
Uric acid blood test inpatient CPT 84550 HC ASSAY OF URIC ACID - RASBURICASE	$61.77	$87.00	$4.52–$75.00	—	29%
Urinalysis with microscope exam, automated CPT 81001 HC URINALYSIS, AUTO, W/SCOPE - URINALYSIS MICROSCOPIC	$103.66	$146.00	$3.17–$116.80	at median	29%
Urinalysis with microscope exam, automated inpatient CPT 81001 HC URINALYSIS, AUTO, W/SCOPE - URINALYSIS MICROSCOPIC	$103.66	$146.00	$3.17–$116.80	—	29%
Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS AUTO W/O SCOPE - HEMOGLOBIN FREE URINE	$73.13	$103.00	$2.25–$82.40	19% above	29%
Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS AUTO W/O SCOPE	$91.59	$129.00	$2.25–$103.20	50% above	29%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINALYSIS AUTO W/O SCOPE - HEMOGLOBIN FREE URINE	$73.13	$103.00	$2.25–$82.40	—	29%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINALYSIS AUTO W/O SCOPE	$91.59	$129.00	$2.25–$103.20	—	29%
Urinalysis without microscope exam, manual CPT 81002 HC URINALYSIS NONAUTO W/O SCOPE - SPECIFIC GRAVITY URINE	$46.15	$65.00	$3.48–$75.00	13% above	29%
Urinalysis without microscope exam, manual CPT 81002 HC URINALYSIS NONAUTO W/O SCOPE - PROTEIN URINE DIPSTICK	$46.15	$65.00	$3.48–$75.00	13% above	29%
Urinalysis without microscope exam, manual CPT 81002 HC URINALYSIS NONAUTO W/O SCOPE	$46.15	$65.00	$3.48–$75.00	13% above	29%
Urinalysis without microscope exam, manual CPT 81002 HC URINALYSIS NONAUTO W/O SCOPE - POCT PH, URINE, QUAL, DIPSTICK	$46.15	$65.00	$3.48–$75.00	13% above	29%
Urinalysis without microscope exam, manual CPT 81002 HC URINALYSIS NONAUTO W/O SCOPE - PH URINE DIPSTICK	$46.15	$65.00	$3.48–$75.00	13% above	29%
Urinalysis without microscope exam, manual CPT 81002 HC URINALYSIS NONAUTO W/O SCOPE - URINE DIPSTICK	$46.15	$65.00	$3.48–$75.00	13% above	29%
Urinalysis without microscope exam, manual CPT 81002 HC URINALYSIS NONAUTO W/O SCOPE - POCT URINALYSIS DIPSTICK	$46.15	$65.00	$3.48–$75.00	13% above	29%
Urinalysis without microscope exam, manual inpatient CPT 81002 HC URINALYSIS NONAUTO W/O SCOPE - PH URINE DIPSTICK	$46.15	$65.00	$3.48–$75.00	—	29%
Urinalysis without microscope exam, manual inpatient CPT 81002 HC URINALYSIS NONAUTO W/O SCOPE - URINE DIPSTICK	$46.15	$65.00	$3.48–$75.00	—	29%
Urinalysis without microscope exam, manual inpatient CPT 81002 HC URINALYSIS NONAUTO W/O SCOPE - SPECIFIC GRAVITY URINE	$46.15	$65.00	$3.48–$75.00	—	29%
Urinalysis without microscope exam, manual inpatient CPT 81002 HC URINALYSIS NONAUTO W/O SCOPE - POCT PH, URINE, QUAL, DIPSTICK	$46.15	$65.00	$3.48–$75.00	—	29%
Urinalysis without microscope exam, manual inpatient CPT 81002 HC URINALYSIS NONAUTO W/O SCOPE - POCT URINALYSIS DIPSTICK	$46.15	$65.00	$3.48–$75.00	—	29%
Urinalysis without microscope exam, manual inpatient CPT 81002 HC URINALYSIS NONAUTO W/O SCOPE	$46.15	$65.00	$3.48–$75.00	—	29%
Urinalysis without microscope exam, manual inpatient CPT 81002 HC URINALYSIS NONAUTO W/O SCOPE - PROTEIN URINE DIPSTICK	$46.15	$65.00	$3.48–$75.00	—	29%
Urine culture for bacteria, with colony count CPT 87086 HC URINE CULTURE	$102.24	$144.00	$8.07–$115.20	at median	29%
Urine culture for bacteria, with colony count inpatient CPT 87086 HC URINE CULTURE	$102.24	$144.00	$8.07–$115.20	—	29%
Urine pregnancy test, read by color change CPT 81025 HC URINE PREGNANCY TEST - SDS	$115.02	$162.00	$8.61–$129.60	at median	29%
Urine pregnancy test, read by color change CPT 81025 HC URINE PREGNANCY TEST - PREGNANCY URINE	$115.02	$162.00	$8.61–$129.60	at median	29%
Urine pregnancy test, read by color change CPT 81025 HC URINE PREGNANCY TEST - POCT PREGNANCY, URINE	$115.02	$162.00	$8.61–$129.60	at median	29%
Urine pregnancy test, read by color change CPT 81025 HC URINE PREGNANCY TEST - OSC	$115.02	$162.00	$8.61–$129.60	at median	29%
Urine pregnancy test, read by color change inpatient CPT 81025 HC URINE PREGNANCY TEST - SDS	$115.02	$162.00	$8.61–$129.60	—	29%
Urine pregnancy test, read by color change inpatient CPT 81025 HC URINE PREGNANCY TEST - PREGNANCY URINE	$115.02	$162.00	$8.61–$129.60	—	29%
Urine pregnancy test, read by color change inpatient CPT 81025 HC URINE PREGNANCY TEST - POCT PREGNANCY, URINE	$115.02	$162.00	$8.61–$129.60	—	29%
Urine pregnancy test, read by color change inpatient CPT 81025 HC URINE PREGNANCY TEST - OSC	$115.02	$162.00	$8.61–$129.60	—	29%
Vitamin B12 (cobalamin) blood test CPT 82607 HC VITAMIN B-12 - VITAMIN B12	$109.34	$154.00	$15.08–$123.20	at median	29%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC VITAMIN B-12 - VITAMIN B12	$109.34	$154.00	$15.08–$123.20	—	29%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC ASSAY OF VITAMIN D 25-HYDROXY	$200.93	$283.00	$29.60–$226.40	25% above	29%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC ASSAY OF VITAMIN D 25-HYDROXY	$200.93	$283.00	$29.60–$226.40	—	29%
Zinc blood test CPT 84630 HC ASSAY OF ZINC - ZINC PLASMA OR SERUM	$154.07	$217.00	$11.39–$173.60	at median	29%
Zinc blood test CPT 84630 HC ASSAY OF ZINC - ZINC, WHOLE BLOOD	$154.07	$217.00	$11.39–$173.60	at median	29%
Zinc blood test inpatient CPT 84630 HC ASSAY OF ZINC - ZINC, WHOLE BLOOD	$154.07	$217.00	$11.39–$173.60	—	29%
Zinc blood test inpatient CPT 84630 HC ASSAY OF ZINC - ZINC PLASMA OR SERUM	$154.07	$217.00	$11.39–$173.60	—	29%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC CHORIONIC GONADOTROPIN, QUANT - HCG QUANTITATIVE BLOOD	$190.28	$268.00	$15.05–$214.40	37% above	29%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC CHORIONIC GONADOTROPIN, QUANT - HCG QUANTITATIVE BLOOD	$190.28	$268.00	$15.05–$214.40	—	29%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs South Carolina	Off list
Botox injections for chronic migraine CPT 64615 HC CHEMODERVATE FACIAL/TRIGEM/CERV MUSC MIGRAINE	$731.30	$1,030.00	$543.25–$824.00	at median	29%
Botox injections for chronic migraine inpatient CPT 64615 HC CHEMODERVATE FACIAL/TRIGEM/CERV MUSC MIGRAINE	$731.30	$1,030.00	$543.25–$824.00	—	29%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 HC BX BREAST W DEVICE 1ST LESION STEREOTACTIC GUIDE	$4,772.62	$6,722.00	$872.85–$5,377.60	19% above	29%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 HC BX BREAST W DEVICE 1ST LESION STEREOTACTIC GUIDE	$4,772.62	$6,722.00	$872.85–$5,377.60	—	29%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 HC CLTX DSTL FIBULAR FX LAT MALLS W/O MANJ	$650.36	$916.00	$732.80–$1,597.18	33% above	29%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 HC CLTX DSTL FIBULAR FX LAT MALLS W/O MANJ	$650.36	$916.00	$732.80–$1,597.18	—	29%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 HC CLOSED TX METATARSAL FRACTURE W/O MANIPULATION	$605.63	$853.00	$682.40–$1,597.18	8% above	29%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 HC CLOSED TX METATARSAL FRACTURE W/O MANIPULATION	$605.63	$853.00	$682.40–$1,597.18	—	29%
Cardiac catheterization with coronary angiogram one side CPT 93458 HC CATH PLACE/CORON ANGIO, IMG SUPER/INTERP,W LEFT HEART VENTRICULOGRAPHY	$14,077.88	$19,828.00	$5,432.60–$15,900.00	19% above	29%
Cardiac catheterization with coronary angiogram inpatient one side CPT 93458 HC CATH PLACE/CORON ANGIO, IMG SUPER/INTERP,W LEFT HEART VENTRICULOGRAPHY	$14,077.88	$19,828.00	$5,432.60–$15,900.00	—	29%
Cardioversion, elective (restoring heart rhythm) CPT 92960 HC CARDIOVERSION ELECTRIC EXT - CARDIOVERSION EXTERNAL	$1,601.76	$2,256.00	$565.94–$1,917.60	8% above	29%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC CARDIOVERSION ELECTRIC EXT - CARDIOVERSION EXTERNAL	$1,601.76	$2,256.00	$565.94–$1,917.60	—	29%
Catheter ablation for atrial fibrillation CPT 93656 HC EP EPHYS EVL TRNSPTL TX ATRIAL FIB ISOLAT PULM VEIN	$39,592.44	$55,764.00	$2,477.24–$44,611.20	at median	29%
Catheter ablation for atrial fibrillation inpatient CPT 93656 HC EP EPHYS EVL TRNSPTL TX ATRIAL FIB ISOLAT PULM VEIN	$39,592.44	$55,764.00	$2,477.24–$44,611.20	—	29%
Cervical biopsy CPT 57500 HC BIOPSY CERVIX, 1 OR MORE, OR EXCISION OF LESION	$3,272.39	$4,609.00	$1,521.13–$3,687.20	at median	29%
Cervical biopsy inpatient CPT 57500 HC BIOPSY CERVIX, 1 OR MORE, OR EXCISION OF LESION	$3,272.39	$4,609.00	$1,521.13–$3,687.20	—	29%
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 HC CIRCUMCISION > 28 DAYS NO CLAMP/DEV	$486.35	$685.00	$360.03–$548.00	78% below	29%
Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 HC CIRCUMCISION > 28 DAYS NO CLAMP/DEV	$486.35	$685.00	$360.03–$548.00	—	29%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HC CIRCUMCISION W/CLAMP/DEVICE	$1,292.91	$1,821.00	$1,456.80–$1,597.18	at median	29%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 HC CIRCUMCISION W/CLAMP/DEVICE	$1,292.91	$1,821.00	$1,456.80–$1,597.18	—	29%
Circumcision, surgical, older than a newborn CPT 54160 HC CIRCUMCISION NEONATE NO CLAMP/DEV	$1,292.91	$1,821.00	$1,456.80–$2,601.10	at median	29%
Circumcision, surgical, older than a newborn inpatient CPT 54160 HC CIRCUMCISION NEONATE NO CLAMP/DEV	$1,292.91	$1,821.00	$1,456.80–$2,601.10	—	29%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HC CLOSED RX DIST RAD/ULNA FX	$470.73	$663.00	$530.40–$1,597.18	at median	29%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 HC CLOSED RX DIST RAD/ULNA FX	$470.73	$663.00	$530.40–$1,597.18	—	29%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 HC COLPOSC,CERVIX W/ADJ VAG,W/BX & CURRETAG	$1,639.39	$2,309.00	$1,521.13–$1,847.20	at median	29%
Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 HC COLPOSC,CERVIX W/ADJ VAG,W/BX & CURRETAG	$1,639.39	$2,309.00	$1,521.13–$1,847.20	—	29%
Cystoscopy with ureteral stent placement CPT 52332 HC CYSTO W/INSERT URETERAL STENT	$7,268.98	$10,238.00	$1,521.13–$8,190.40	at median	29%
Cystoscopy with ureteral stent placement inpatient CPT 52332 HC CYSTO W/INSERT URETERAL STENT	$7,268.98	$10,238.00	$1,521.13–$8,190.40	—	29%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 HC DESTRUC BENIGN/PREMAL,FIRST LESION	$428.84	$604.00	$483.20–$1,597.18	at median	29%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 HC DESTRUC BENIGN/PREMAL,FIRST LESION	$428.84	$604.00	$483.20–$1,597.18	—	29%
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 HC REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT	$227.20	$320.00	$128.32–$570.42	37% above	29%
Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 HC REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT	$227.20	$320.00	$128.32–$570.42	—	29%
Earwax removal with instruments, one ear one side CPT 69210 HC REMOVAL IMPACTED CERUMEN INSTRUMENTATION UNILAT	$325.18	$458.00	$366.40–$570.42	117% above	29%
Earwax removal with instruments, one ear inpatient one side CPT 69210 HC REMOVAL IMPACTED CERUMEN INSTRUMENTATION UNILAT	$325.18	$458.00	$366.40–$570.42	—	29%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 HC BIOPSY OF UTERUS LINING	$738.40	$1,040.00	$832.00–$1,597.18	19% above	29%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 HC BIOPSY OF UTERUS LINING	$738.40	$1,040.00	$832.00–$1,597.18	—	29%
Eye injection into the vitreous (intravitreal injection) CPT 67028 HC INJECT INTRAVITREAL PHARMCOLOGIC	$788.81	$1,111.00	$543.25–$888.80	at median	29%
Eye injection into the vitreous (intravitreal injection) inpatient CPT 67028 HC INJECT INTRAVITREAL PHARMCOLOGIC	$788.81	$1,111.00	$543.25–$888.80	—	29%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HC INJ DX/THER AGNT PARAVERT FACET JOINT,IMG GUIDE,LUMBAR/SAC, 1ST LEVEL	$3,464.80	$4,880.00	$543.25–$3,904.00	25% above	29%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 HC INJ DX/THER AGNT PARAVERT FACET JOINT,IMG GUIDE,LUMBAR/SAC, 1ST LEVEL	$3,464.80	$4,880.00	$543.25–$3,904.00	—	29%
Hemorrhoid banding (rubber band ligation) CPT 46221 HC HEMORRHOIDECTOMY INTERNAL RUBBER BAND LIGATIONS	$1,691.93	$2,383.00	$1,521.13–$1,906.40	2% above	29%
Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 HC HEMORRHOIDECTOMY INTERNAL RUBBER BAND LIGATIONS	$1,691.93	$2,383.00	$1,521.13–$1,906.40	—	29%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HC CATH/INJECT HYSTEROSALPINGOGRAM	$682.31	$961.00	$647.50–$768.80	107% above	29%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HC CATH/INJECT HYSTEROSALPINGOGRAM	$682.31	$961.00	$647.50–$768.80	—	29%
IUD insertion (the device itself billed separately) CPT 58300 HC INSERT INTRAUTERINE DEVICE	$123.54	$174.00	$69.77–$550.41	67% below	29%
IUD insertion (the device itself billed separately) inpatient CPT 58300 HC INSERT INTRAUTERINE DEVICE	$123.54	$174.00	$69.77–$550.41	—	29%
Incision and drainage of a simple or single skin abscess CPT 10060 HC DRAIN SKIN ABSCESS SIMPLE	$478.54	$674.00	$539.20–$1,597.18	16% above	29%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC DRAIN SKIN ABSCESS SIMPLE	$478.54	$674.00	$539.20–$1,597.18	—	29%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC INJECT TENDON SHEATH/LIGAMENT	$1,233.27	$1,737.00	$543.25–$1,389.60	125% above	29%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HC INJECT TENDON SHEATH/LIGAMENT	$1,233.27	$1,737.00	$543.25–$1,389.60	—	29%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US	$1,233.27	$1,737.00	$543.25–$1,389.60	74% above	29%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US	$1,233.27	$1,737.00	$543.25–$1,389.60	—	29%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 HC INSERTION DRUG DELIVERY IMPLANT	$325.18	$458.00	$366.40–$1,597.18	9% above	29%
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 HC INSERTION DRUG DELIVERY IMPLANT	$325.18	$458.00	$366.40–$1,597.18	—	29%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US	$1,233.27	$1,737.00	$543.25–$1,389.60	133% above	29%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US	$1,233.27	$1,737.00	$543.25–$1,389.60	—	29%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC ARTHROCENTESIS ASPIR&/INJ SMALL JT/BURSA W/O US	$1,233.27	$1,737.00	$543.25–$1,389.60	186% above	29%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC ARTHROCENTESIS ASPIR&/INJ SMALL JT/BURSA W/O US	$1,233.27	$1,737.00	$543.25–$1,389.60	—	29%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC LAYR CLOS WND TRUNK,ARM,LEG <2.5 CM	$621.96	$876.00	$543.25–$700.80	18% above	29%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 HC LAYR CLOS WND TRUNK,ARM,LEG <2.5 CM	$621.96	$876.00	$543.25–$700.80	—	29%
Left heart catheterization, diagnostic one side CPT 93452 HC CATH LEFT HEART CATH INJECT VETRICULOGRAPHY, IMAGE SUPERVISE/INTERP	$10,593.20	$14,920.00	$5,432.60–$15,900.00	2% above	29%
Left heart catheterization, diagnostic inpatient one side CPT 93452 HC CATH LEFT HEART CATH INJECT VETRICULOGRAPHY, IMAGE SUPERVISE/INTERP	$10,593.20	$14,920.00	$5,432.60–$15,900.00	—	29%
Lower-back epidural injection, with imaging guidance CPT 62323 HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN	$3,464.80	$4,880.00	$341.16–$3,904.00	139% above	29%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN	$3,464.80	$4,880.00	$341.16–$3,904.00	—	29%
Lower-back epidural injection, without imaging guidance CPT 62322 HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN	$3,464.80	$4,880.00	$219.19–$3,904.00	87% above	29%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN	$3,464.80	$4,880.00	$219.19–$3,904.00	—	29%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC INJECT ANES/STEROID FORAMEN LUMBAR/SACRAL W IMG GUIDE ,1 LEVEL	$3,464.80	$4,880.00	$543.25–$3,904.00	89% above	29%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC INJECT ANES/STEROID FORAMEN LUMBAR/SACRAL W IMG GUIDE ,1 LEVEL	$3,464.80	$4,880.00	$543.25–$3,904.00	—	29%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 HC EXC B9 LESION MRGN XCP SK TG T/A/L 0.5 CM/<	$2,918.10	$4,110.00	$1,521.13–$3,288.00	105% above	29%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 HC EXC B9 LESION MRGN XCP SK TG T/A/L 0.5 CM/<	$2,918.10	$4,110.00	$1,521.13–$3,288.00	—	29%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 HC EXC SKIN BENIG <0.5 CM FACE,FACIAL	$1,957.47	$2,757.00	$1,521.13–$2,205.60	38% above	29%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 HC EXC SKIN BENIG <0.5 CM FACE,FACIAL	$1,957.47	$2,757.00	$1,521.13–$2,205.60	—	29%
Nail removal (partial or complete), one nail CPT 11730 HC REMOVAL OF NAIL PLATE	$428.84	$604.00	$483.20–$1,597.18	4% above	29%
Nail removal (partial or complete), one nail inpatient CPT 11730 HC REMOVAL OF NAIL PLATE	$428.84	$604.00	$483.20–$1,597.18	—	29%
Occipital nerve block (injection for headaches) CPT 64405 HC INJECT NERV BLCK,GREAT OCCIPTL	$1,795.59	$2,529.00	$543.25–$2,023.20	198% above	29%
Occipital nerve block (injection for headaches) inpatient CPT 64405 HC INJECT NERV BLCK,GREAT OCCIPTL	$1,795.59	$2,529.00	$543.25–$2,023.20	—	29%
Pacemaker implant (dual chamber) CPT 33208 HC EP INSER HART PACER XVENOUS ATR/VENTR	$14,068.65	$19,815.00	$2,933.60–$15,900.00	6% below	29%
Pacemaker implant (dual chamber) inpatient CPT 33208 HC EP INSER HART PACER XVENOUS ATR/VENTR	$14,068.65	$19,815.00	$2,933.60–$15,900.00	—	29%
Paracentesis with imaging guidance CPT 49083 HC ABDOM PARACENTESIS DX/THER W IMAGING GUIDANCE	$2,007.17	$2,827.00	$2,261.60–$2,601.10	16% above	29%
Paracentesis with imaging guidance inpatient CPT 49083 HC ABDOM PARACENTESIS DX/THER W IMAGING GUIDANCE	$2,007.17	$2,827.00	$2,261.60–$2,601.10	—	29%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC REMOVAL OF NAIL BED	$2,098.05	$2,955.00	$1,521.13–$2,364.00	165% above	29%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC REMOVAL OF NAIL BED	$2,098.05	$2,955.00	$1,521.13–$2,364.00	—	29%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 HC DSTR NROLYTC AGNT PARVERTEB FCT SNGL LMBR/SACRAL	$3,921.33	$5,523.00	$1,521.13–$4,418.40	15% above	29%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 HC DSTR NROLYTC AGNT PARVERTEB FCT SNGL LMBR/SACRAL	$3,921.33	$5,523.00	$1,521.13–$4,418.40	—	29%
Removal of a foreign object under the skin, simple CPT 10120 HC REMOVE FOREIGN BODY SIMPLE	$1,351.84	$1,904.00	$1,521.13–$1,597.18	99% above	29%
Removal of a foreign object under the skin, simple inpatient CPT 10120 HC REMOVE FOREIGN BODY SIMPLE	$1,351.84	$1,904.00	$1,521.13–$1,597.18	—	29%
Short arm cast (elbow to hand) CPT 29075 HC APPLICATION CAST ELBOW FINGER SHORT ARM	$441.62	$622.00	$497.60	at median	29%
Short arm cast (elbow to hand) inpatient CPT 29075 HC APPLICATION CAST ELBOW FINGER SHORT ARM	$441.62	$622.00	$497.60	—	29%
Short arm splint (forearm and hand) CPT 29125 HC APPLY FOREARM SPLINT STATIC	$366.36	$516.00	$111.48–$462.00	at median	29%
Short arm splint (forearm and hand) CPT 29125 HC APPLY FOREARM SPLINT,STATIC	$366.36	$516.00	$412.80	at median	29%
Short arm splint (forearm and hand) inpatient CPT 29125 HC APPLY FOREARM SPLINT,STATIC	$366.36	$516.00	$412.80	—	29%
Short arm splint (forearm and hand) inpatient CPT 29125 HC APPLY FOREARM SPLINT STATIC	$366.36	$516.00	$111.48–$462.00	—	29%
Short leg cast (below the knee) CPT 29405 HC APPLICATION SHORT LEG CAST BELOW KNEE-TOE	$509.07	$717.00	$573.60	2% above	29%
Short leg cast (below the knee) inpatient CPT 29405 HC APPLICATION SHORT LEG CAST BELOW KNEE-TOE	$509.07	$717.00	$573.60	—	29%
Short leg splint (calf to foot) CPT 29515 HC APPLICATION SHORT LEG SPLINT CALF FOOT	$365.65	$515.00	$412.00	19% above	29%
Short leg splint (calf to foot) inpatient CPT 29515 HC APPLICATION SHORT LEG SPLINT CALF FOOT	$365.65	$515.00	$412.00	—	29%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC RESUPERF WND BODY <2.5CM	$427.42	$602.00	$481.60–$570.42	25% above	29%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC RESUPERF WND BODY <2.5CM	$427.42	$602.00	$481.60–$570.42	—	29%
Skin biopsy, punch, one lesion CPT 11104 HC PUNCH BX SKIN SINGLE LESION	$746.21	$1,051.00	$173.01–$840.80	7% above	29%
Skin biopsy, punch, one lesion inpatient CPT 11104 HC PUNCH BX SKIN SINGLE LESION	$746.21	$1,051.00	$173.01–$840.80	—	29%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 HC EXCISION MAL LESION TRUNK/ARM/LEG 0.5 CM/<	$3,456.99	$4,869.00	$1,521.13–$3,895.20	at median	29%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 HC EXCISION MAL LESION TRUNK/ARM/LEG 0.5 CM/<	$3,456.99	$4,869.00	$1,521.13–$3,895.20	—	29%
Skin tag removal, up to 15 tags CPT 11200 HC REMOVAL OF SKIN TAGS, UP TO 15	$428.84	$604.00	$483.20–$1,597.18	12% above	29%
Skin tag removal, up to 15 tags inpatient CPT 11200 HC REMOVAL OF SKIN TAGS, UP TO 15	$428.84	$604.00	$483.20–$1,597.18	—	29%
Spinal tap (lumbar puncture), diagnostic CPT 62270 HC SPINAL PUNCTURE,LUMBAR,DIAGNOSTIC	$1,012.46	$1,426.00	$543.25–$1,140.80	2% above	29%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC SPINAL PUNCTURE,LUMBAR,DIAGNOSTIC	$1,012.46	$1,426.00	$543.25–$1,140.80	—	29%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC RESUP NPTERF WND BODY 2.6-7.5 CM	$474.28	$668.00	$534.40–$570.42	10% above	29%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 HC RESUP NPTERF WND BODY 2.6-7.5 CM	$474.28	$668.00	$534.40–$570.42	—	29%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC RESUPERF WND FACE <2.5 CM	$435.94	$614.00	$491.20–$570.42	19% above	29%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 HC RESUPERF WND FACE <2.5 CM	$435.94	$614.00	$491.20–$570.42	—	29%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC TANGENTIAL BIOPSY SKIN SINGLE LESION	$746.21	$1,051.00	$137.58–$840.80	132% above	29%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 HC TANGENTIAL BIOPSY SKIN SINGLE LESION	$746.21	$1,051.00	$137.58–$840.80	—	29%
Thoracentesis with imaging guidance CPT 32555 HC THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING	$1,001.10	$1,410.00	$1,128.00–$2,601.10	6% below	29%
Thoracentesis with imaging guidance inpatient CPT 32555 HC THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING	$1,001.10	$1,410.00	$1,128.00–$2,601.10	—	29%
Trigger point injections, 1 or 2 muscles CPT 20552 HC INJECT TRIGGER POINT, 1 OR 2	$1,233.27	$1,737.00	$543.25–$1,389.60	166% above	29%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC INJECT TRIGGER POINT, 1 OR 2	$1,233.27	$1,737.00	$543.25–$1,389.60	—	29%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HC BX BREAST W DEVICE 1ST LESION ULTRASOUND GUIDE	$3,775.78	$5,318.00	$867.30–$4,254.40	15% above	29%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 HC BX BREAST W DEVICE 1ST LESION ULTRASOUND GUIDE	$3,775.78	$5,318.00	$867.30–$4,254.40	—	29%
Wart removal, up to 14 warts CPT 17110 HC DESTRUCT BENIGN LESN UP TO 14	$428.84	$604.00	$483.20–$1,597.18	at median	29%
Wart removal, up to 14 warts inpatient CPT 17110 HC DESTRUCT BENIGN LESN UP TO 14	$428.84	$604.00	$483.20–$1,597.18	—	29%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC DEBRIDEMENT, SKIN, SUB-Q TISSUE,=<20 SQ CM	$1,351.84	$1,904.00	$1,523.20–$2,601.10	67% above	29%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC DEBRIDEMENT, SKIN, SUB-Q TISSUE,=<20 SQ CM	$1,351.84	$1,904.00	$1,523.20–$2,601.10	—	29%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs South Carolina	Off list
Blood transfusion (giving blood or blood components) CPT 36430 HC BLOOD PRODUCT ADMINISTRATION	$1,016.01	$1,431.00	$378.09–$1,216.35	at median	29%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC BLOOD PRODUCT ADMINISTRATION	$1,016.01	$1,431.00	$378.09–$1,216.35	—	29%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC AERO/VAPOR INHAL SPUT IND SUB	$199.51	$281.00	$16.50–$361.06	at median	29%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC MDI INITIAL	$199.51	$281.00	$16.50–$361.06	at median	29%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC SUBSEQUENT BUBBLE CPAP THERAPY - 4 AM ONLY	$199.51	$281.00	$16.50–$361.06	at median	29%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC INITIAL BUBBLE CPAP THERAPY	$199.51	$281.00	$16.50–$361.06	at median	29%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC MDI SUBSEQUENT	$199.51	$281.00	$16.50–$361.06	at median	29%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC AERO/VAPOR INHAL FOR SPUT INDU	$199.51	$281.00	$16.50–$361.06	at median	29%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC INHALATION TX PRESSURE/NONPRESS	$199.51	$281.00	$16.50–$361.06	at median	29%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC AEROSOL TREATMENT 1ST	$199.51	$281.00	$16.50–$361.06	at median	29%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC AEROSOL SUBSEQUENT	$199.51	$281.00	$16.50–$361.06	at median	29%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC IPPB INITIAL	$199.51	$281.00	$16.50–$361.06	at median	29%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC INHALATION TX PRESSURE/NONPRESS	$199.51	$281.00	$16.50–$361.06	at median	29%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC IPPB SUB	$199.51	$281.00	$16.50–$361.06	at median	29%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC INITIAL BUBBLE CPAP THERAPY	$199.51	$281.00	$16.50–$361.06	—	29%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC MDI INITIAL	$199.51	$281.00	$16.50–$361.06	—	29%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC AEROSOL TREATMENT 1ST	$199.51	$281.00	$16.50–$361.06	—	29%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC IPPB SUB	$199.51	$281.00	$16.50–$361.06	—	29%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC IPPB INITIAL	$199.51	$281.00	$16.50–$361.06	—	29%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC SUBSEQUENT BUBBLE CPAP THERAPY - 4 AM ONLY	$199.51	$281.00	$16.50–$361.06	—	29%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC MDI SUBSEQUENT	$199.51	$281.00	$16.50–$361.06	—	29%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC INHALATION TX PRESSURE/NONPRESS	$199.51	$281.00	$16.50–$361.06	—	29%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC AEROSOL SUBSEQUENT	$199.51	$281.00	$16.50–$361.06	—	29%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC AERO/VAPOR INHAL FOR SPUT INDU	$199.51	$281.00	$16.50–$361.06	—	29%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC AERO/VAPOR INHAL SPUT IND SUB	$199.51	$281.00	$16.50–$361.06	—	29%
Chemotherapy IV infusion, first hour CPT 96413 HC CHEMOTHER, IV INFUSION, 1 HR	$845.61	$1,191.00	$286.86–$1,012.35	13% above	29%
Chemotherapy IV infusion, first hour inpatient CPT 96413 HC CHEMOTHER, IV INFUSION, 1 HR	$845.61	$1,191.00	$286.86–$1,012.35	—	29%
Critical care, first 30 to 74 minutes CPT 99291 HC CRITICAL CARE, E/M 30-74 MINUTES	$3,209.91	$4,521.00	$728.72–$7,800.00	13% above	29%
Critical care, first 30 to 74 minutes inpatient CPT 99291 HC CRITICAL CARE, E/M 30-74 MINUTES	$3,209.91	$4,521.00	$728.72–$7,800.00	—	29%
EEG (brain wave test), awake and drowsy, routine CPT 95816 HC EEG,W/AWAKE & DROWSY RECORD - EEG AWAKE OR DROWSY PORTABLE	$718.52	$1,012.00	$269.31–$860.20	4% below	29%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 HC EEG,W/AWAKE & DROWSY RECORD - EEG AWAKE OR DROWSY PORTABLE	$718.52	$1,012.00	$269.31–$860.20	—	29%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC ELECTROCARDIOGRAM, TRACING	$353.58	$498.00	$51.37–$423.30	5% above	29%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC ELECTROCARDIOGRAM, TRACING - ECG 12-LEAD	$353.58	$498.00	$51.37–$423.30	5% above	29%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC ELECTROCARDIOGRAM, TRACING, ED	$353.58	$498.00	$51.37–$423.30	5% above	29%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC PBB ELECTROCARDIOGRAM, TRACING	$353.58	$498.00	$51.37–$423.30	5% above	29%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC PBB ELECTROCARDIOGRAM, TRACING	$353.58	$498.00	$51.37–$423.30	—	29%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC ELECTROCARDIOGRAM, TRACING	$353.58	$498.00	$51.37–$423.30	—	29%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC ELECTROCARDIOGRAM, TRACING - ECG 12-LEAD	$353.58	$498.00	$51.37–$423.30	—	29%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC ELECTROCARDIOGRAM, TRACING, ED	$353.58	$498.00	$51.37–$423.30	—	29%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC EMERGENCY DEPARTMENT LEVEL 1 VISIT	$430.97	$607.00	$76.15–$785.00	37% above	29%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC EMERGENCY DEPARTMENT LEVEL 1 VISIT	$430.97	$607.00	$76.15–$785.00	—	29%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC EMERGENCY DEPARTMENT LEVEL 2 VISIT	$473.57	$667.00	$136.96–$1,616.00	at median	29%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC EMERGENCY DEPARTMENT LEVEL 2 VISIT	$473.57	$667.00	$136.96–$1,616.00	—	29%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC EMERGENCY DEPARTMENT LEVEL 3 VISIT	$1,016.01	$1,431.00	$239.47–$3,135.00	at median	29%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC EMERGENCY DEPARTMENT LEVEL 3 VISIT	$1,016.01	$1,431.00	$239.47–$3,135.00	—	29%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC EMERGENCY DEPARTMENT LEVEL 4 VISIT	$1,504.49	$2,119.00	$368.27–$5,363.00	at median	29%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC EMERGENCY DEPARTMENT LEVEL 4 VISIT	$1,504.49	$2,119.00	$368.27–$5,363.00	—	29%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC EMERGENCY DEPARTMENT LEVEL 5 VISIT	$2,337.32	$3,292.00	$530.23–$6,518.00	at median	29%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC EMERGENCY DEPARTMENT LEVEL 5 VISIT	$2,337.32	$3,292.00	$530.23–$6,518.00	—	29%
Exercise stress test, tracing only, the hospital charge CPT 93017 HC PBB CARDIOVASCULAR STRESS TEST	$1,300.01	$1,831.00	$50.75–$1,556.35	26% above	29%
Exercise stress test, tracing only, the hospital charge CPT 93017 HC CARDIAC STRESS TST,TRACING - STRESS TEST ONLY, EXERCISE	$1,300.01	$1,831.00	$50.75–$1,556.35	26% above	29%
Exercise stress test, tracing only, the hospital charge CPT 93017 HC CARDIAC STRESS TST,TRACING - EXERCISE W MYOCARDIAL PERF SPECT SING	$1,300.01	$1,831.00	$50.75–$1,556.35	26% above	29%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC CARDIAC STRESS TST,TRACING - EXERCISE W MYOCARDIAL PERF SPECT SING	$1,300.01	$1,831.00	$50.75–$1,556.35	—	29%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC CARDIAC STRESS TST,TRACING - STRESS TEST ONLY, EXERCISE	$1,300.01	$1,831.00	$50.75–$1,556.35	—	29%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC PBB CARDIOVASCULAR STRESS TEST	$1,300.01	$1,831.00	$50.75–$1,556.35	—	29%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC IV INFUSION, HYDRATION, 31-60 MIN	$497.71	$701.00	$78.96–$595.85	14% above	29%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC IV INFUSION, HYDRATION, 31-60 MIN	$497.71	$701.00	$78.96–$595.85	—	29%
IV infusion of a medicine, first hour CPT 96365 HC IV INFUSION, THERAP/PROPH/DIAGNOST,INITIAL,1ST HOUR	$571.55	$805.00	$96.87–$684.25	13% above	29%
IV infusion of a medicine, first hour inpatient CPT 96365 HC IV INFUSION, THERAP/PROPH/DIAGNOST,INITIAL,1ST HOUR	$571.55	$805.00	$96.87–$684.25	—	29%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC INJECTION,THERAP/PROPH/DIAGNOST, IM OR SUBCUT	$184.60	$260.00	$7.40–$221.00	8% above	29%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC PALIVIZUMAB ADMIN FEE	$184.60	$260.00	$7.40–$221.00	8% above	29%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC RHO(D) ADMIN FEE	$184.60	$260.00	$7.40–$221.00	8% above	29%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC PALIVIZUMAB ADMIN FEE	$184.60	$260.00	$7.40–$221.00	—	29%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC RHO(D) ADMIN FEE	$184.60	$260.00	$7.40–$221.00	—	29%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC INJECTION,THERAP/PROPH/DIAGNOST, IM OR SUBCUT	$184.60	$260.00	$7.40–$221.00	—	29%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 HC NERVE CONDUCTION STUDIES 7-8 STUDIES	$1,932.62	$2,722.00	$269.31–$2,313.70	121% above	29%
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 HC NERVE CONDUCTION STUDIES 7-8 STUDIES	$1,932.62	$2,722.00	$269.31–$2,313.70	—	29%
New patient office visit, about 30 minutes CPT 99203 HC OFFICE/OUTPATIENT NEW LOW MDM 30 MINUTES	$391.92	$552.00	$221.35–$441.60	28% above	29%
New patient office visit, about 45 minutes CPT 99204 HC OFFICE/OUTPATIENT NEW MODERATE MDM 45 MINUTES	$494.87	$697.00	$279.50–$557.60	30% above	29%
New patient office visit, about 60 minutes CPT 99205 HC OFFICE/OUTPATIENT NEW HIGH MDM 60 MINUTES	$709.29	$999.00	$400.60–$799.20	23% above	29%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC PHASE I EVALUATION	$302.46	$426.00	$170.83–$362.10	15% above	29%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC OFFICE/OUTPATIENT NEW SF MDM 15 MINUTES	$302.46	$426.00	$170.83–$340.80	15% above	29%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HC PHASE I EVALUATION	$302.46	$426.00	$170.83–$362.10	—	29%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC MED NUTR THER, 1ST, INDIV, EA 15 MIN	$41.89	$59.00	$23.66–$58.71	22% below	29%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HC MED NUTR THER, 1ST, INDIV, EA 15 MIN	$41.89	$59.00	$23.66–$58.71	—	29%
Preventive checkup, new patient aged 18–39 CPT 99385 HC INITIAL PREV MED NEW PT 18-39YRS	$101.53	$143.00	$57.34–$114.40	at median	29%
Preventive checkup, new patient aged 40–64 CPT 99386 HC INITIAL PREV MED NEW PT 40-64YRS	$114.31	$161.00	$64.56–$128.80	at median	29%
Preventive checkup, new patient aged 65 or older CPT 99387 HC INITIAL PREV MED NEW PT 65 YRS+	$115.02	$162.00	$64.96–$129.60	at median	29%
Preventive checkup, returning patient aged 18–39 CPT 99395 HC PERIODIC PREV MED EST PT 18-39YR	$104.37	$147.00	$58.95–$117.60	at median	29%
Preventive checkup, returning patient aged 40–64 CPT 99396 HC PERIODIC PREV MED EST PT 40-64YR	$115.73	$163.00	$65.36–$130.40	at median	29%
Preventive checkup, returning patient aged 65 or older CPT 99397 HC PERIODIC PREV MED EST PT 65YR +	$127.80	$180.00	$72.18–$144.00	at median	29%
Psychotherapy session, 30 minutes CPT 90832 HC PSYCHOTHERAPY PATIENT &/ FAMILY 30 MINUTES	$154.78	$218.00	$138.95–$285.22	at median	29%
Psychotherapy session, 30 minutes inpatient CPT 90832 HC PSYCHOTHERAPY PATIENT &/ FAMILY 30 MINUTES	$154.78	$218.00	$138.95–$285.22	—	29%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 HC TOBACCO USE CESSATION INTERMEDIATE 3-10 MINUTES	$170.40	$240.00	$25.76–$192.00	204% above	29%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC OFFICE/OUTPATIENT ESTABLISHED HIGH MDM 40 MIN	$494.87	$697.00	$279.50–$557.60	23% above	29%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC FMC, MOHA, AND CCM HOSPITAL CLINIC FACILITY FEE	$88.04	$124.00	$49.72–$99.20	47% below	29%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20 MIN	$302.46	$426.00	$170.83–$340.80	83% above	29%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC IR CLINIC OUTPATIENT ESTABLISHED CONSULT	$302.46	$426.00	$170.83–$340.80	83% above	29%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC OFFICE/OUTPATIENT ESTABLISHED MOD MDM 30 MIN	$391.92	$552.00	$221.35–$441.60	28% above	29%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC OFFICE/OUTPATIENT ESTABLISHED SF MDM 10 MIN	$258.44	$364.00	$145.96–$291.20	20% above	29%
Spirometry (breathing test) CPT 94010 HC SPIROMETRY FMC	$279.03	$393.00	$135.31–$314.40	at median	29%
Spirometry (breathing test) CPT 94010 HC SPIROMETRY	$334.41	$471.00	$135.31–$400.35	20% above	29%
Spirometry (breathing test) inpatient CPT 94010 HC SPIROMETRY	$334.41	$471.00	$135.31–$400.35	—	29%
Spirometry before and after a bronchodilator CPT 94060 HC FVC & FEV-1 W/BRONCH	$521.14	$734.00	$269.31–$623.90	4% above	29%
Spirometry before and after a bronchodilator inpatient CPT 94060 HC FVC & FEV-1 W/BRONCH	$521.14	$734.00	$269.31–$623.90	—	29%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC PHLEBOTOMY LAB	$284.00	$400.00	$75.00–$340.00	7% above	29%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC PHLEBOTOMY	$284.00	$400.00	$111.48–$340.00	7% above	29%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HC PHLEBOTOMY LAB	$284.00	$400.00	$75.00–$340.00	—	29%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HC PHLEBOTOMY	$284.00	$400.00	$111.48–$340.00	—	29%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs South Carolina	Off list
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 HC PBB SARSCV2 VAC 30MCG TRS-SUC IM	$495.58	$698.00	$148.11–$558.40	at median	29%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 HC PBB SARSCV2 VAC 30MCG TRS-SUC IM	$495.58	$698.00	$148.11–$558.40	—	29%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 HC PBB VAR VACCINE LIVE FOR SUBCUTANEOUS USE	$204.48	$288.00	$144.00–$483.71	42% below	29%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 varicella 1,350 unit/0.5 mL suspension for reconstitution	$909.51	$1,281.00	$184.28–$1,024.80	159% above	29%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 HC PBB VAR VACCINE LIVE FOR SUBCUTANEOUS USE	$204.48	$288.00	$144.00–$483.71	—	29%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 varicella 1,350 unit/0.5 mL suspension for reconstitution	$909.51	$1,281.00	$184.28–$1,024.80	—	29%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 HC PBB IIV3 VACC PRESERVATIVE FREE 3 YRS & OLDER IM USE	$22.72	$32.00	$16.00–$52.16	50% below	29%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 influenza vaccine (Fluzone), PF, trivalent, split virus, 6 mo+, 2024-25, 45 mcg (15 mcg x 3)/0.5 mL syringe	$118.57	$167.00	$21.23–$133.60	163% above	29%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 influenza vaccine (Fluzone), PF, trivalent, split virus, 6 mo+, 2025-26 45 mcg (15 mcg x 3)/0.5 mL syringe	$122.12	$172.00	$21.23–$137.60	171% above	29%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 HC PBB IIV3 VACC PRESERVATIVE FREE 3 YRS & OLDER IM USE	$22.72	$32.00	$16.00–$52.16	—	29%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 influenza vaccine (Fluzone), PF, trivalent, split virus, 6 mo+, 2024-25, 45 mcg (15 mcg x 3)/0.5 mL syringe	$118.57	$167.00	$21.23–$133.60	—	29%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 influenza vaccine (Fluzone), PF, trivalent, split virus, 6 mo+, 2025-26 45 mcg (15 mcg x 3)/0.5 mL syringe	$122.12	$172.00	$21.23–$137.60	—	29%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HC PBB 9VHPV VACC 2/3 DOSE SCHED IM USE	$342.93	$483.00	$241.50–$813.07	at median	29%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HC PBB 9VHPV VACC 2/3 DOSE SCHED IM USE	$342.93	$483.00	$241.50–$813.07	—	29%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 HC PBB HEPA/HEPB VACCINE ADULT IM	$124.96	$176.00	$88.00–$350.04	at median	29%
Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 HC PBB HEPA/HEPB VACCINE ADULT IM	$124.96	$176.00	$88.00–$350.04	—	29%
Hepatitis A vaccine, adult dose CPT 90632 HC PBB HEPA VACCINE ADULT DOSE FOR INTRAMUSCULAR USE	$112.18	$158.00	$69.05–$214.95	at median	29%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HC PBB HEPA VACCINE ADULT DOSE FOR INTRAMUSCULAR USE	$112.18	$158.00	$69.05–$214.95	—	29%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HC PBB HEPB VACCINE ADULT 3 DOSE SCHEDULE FOR IM USE	$142.71	$201.00	$66.86–$181.89	at median	29%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 hepatitis B virus 10 mcg/mL syringe	$377.01	$531.00	$66.86–$424.80	164% above	29%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HC PBB HEPB VACCINE ADULT 3 DOSE SCHEDULE FOR IM USE	$142.71	$201.00	$66.86–$181.89	—	29%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 hepatitis B virus 10 mcg/mL syringe	$377.01	$531.00	$66.86–$424.80	—	29%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 HC PBB INFLUENZA VACCINE PRESERV FREE	$56.09	$79.00	$31.68–$193.90	at median	29%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 HC PBB INFLUENZA VACCINE PRESERV FREE	$56.09	$79.00	$31.68–$193.90	—	29%
MMR vaccine (measles, mumps and rubella), live CPT 90707 HC PBB MMR VIRUS IMMUNIZATION, SUBCUT	$106.50	$150.00	$75.00–$251.62	63% below	29%
MMR vaccine (measles, mumps and rubella), live CPT 90707 measles, mumps and rubella 1,000-12,500 TCID50/0.5 mL recon soln	$530.37	$747.00	$95.86–$597.60	85% above	29%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 HC PBB MMR VIRUS IMMUNIZATION, SUBCUT	$106.50	$150.00	$75.00–$251.62	—	29%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 measles, mumps and rubella 1,000-12,500 TCID50/0.5 mL recon soln	$530.37	$747.00	$95.86–$597.60	—	29%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 HC PBB MENACWY CONJUGATE VACCINE GROUPS ACYW-135 IM USE	$178.21	$251.00	$100.65–$440.75	35% below	29%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 mening vac A,C,Y,W135,tet (PF) 10 mcg/0.5 mL solution	$848.45	$1,195.00	$167.91–$956.00	207% above	29%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 HC PBB MENACWY CONJUGATE VACCINE GROUPS ACYW-135 IM USE	$178.21	$251.00	$100.65–$440.75	—	29%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 mening vac A,C,Y,W135,tet (PF) 10 mcg/0.5 mL solution	$848.45	$1,195.00	$167.91–$956.00	—	29%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 meningococcal B vaccine,4-comp 50-50-50-25 mcg/0.5 mL syringe	$1,150.91	$1,621.00	$238.78–$1,296.80	at median	29%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 meningococcal B vaccine,4-comp 50-50-50-25 mcg/0.5 mL syringe	$1,150.91	$1,621.00	$238.78–$1,296.80	—	29%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 HC PBB PCV20 VACCINE FOR INTRAMUSCULAR USE	$287.55	$405.00	$202.50–$725.82	58% below	29%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 pneumococcal conjugate 20-valent 0.5 mL syringe	$1,397.28	$1,968.00	$297.26–$1,574.40	106% above	29%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 HC PBB PCV20 VACCINE FOR INTRAMUSCULAR USE	$287.55	$405.00	$202.50–$725.82	—	29%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 pneumococcal conjugate 20-valent 0.5 mL syringe	$1,397.28	$1,968.00	$297.26–$1,574.40	—	29%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 HC PBB PNEUMOCOCCAL VACCINE 2 YRS OR OLDER SUBQ/IM	$158.33	$223.00	$111.50–$309.47	41% below	29%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 HC PBB PNEUMOCOCCAL VACCINE 2 YRS OR OLDER SUBQ/IM	$158.33	$223.00	$111.50–$309.47	—	29%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 HC PBB RSV MONOC ANTB SEASN .5ML IM	$538.18	$758.00	$379.00–$1,469.97	57% below	29%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 nirsevimab-alip 50 mg/0.5 mL syringe	$2,574.46	$3,626.00	$560.03–$2,900.80	106% above	29%
RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 HC PBB RSV MONOC ANTB SEASN .5ML IM	$538.18	$758.00	$379.00–$1,469.97	—	29%
RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 nirsevimab-alip 50 mg/0.5 mL syringe	$2,574.46	$3,626.00	$560.03–$2,900.80	—	29%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 HC PBB RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE	$320.92	$452.00	$226.00–$810.94	at median	29%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 HC PBB RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE	$320.92	$452.00	$226.00–$810.94	—	29%
Rabies vaccine, one dose CPT 90675 rabies, human diploid vaccine (PF) 2.5 unit recon soln	$2,139.23	$3,013.00	$296.43–$2,410.40	at median	29%
Rabies vaccine, one dose inpatient CPT 90675 rabies, human diploid vaccine (PF) 2.5 unit recon soln	$2,139.23	$3,013.00	$296.43–$2,410.40	—	29%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 HC PBB HZV VACC RECOMBINANT IM	$190.99	$269.00	$107.87–$569.63	at median	29%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 HC PBB HZV VACC RECOMBINANT IM	$190.99	$269.00	$107.87–$569.63	—	29%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 HC PBB TD VACCINE PRSRV FREE 7 YRS OR OLDER FOR IM USE	$49.70	$70.00	$34.55–$111.68	60% below	29%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 tetanus and diphther. tox 5 Lf unit- 2 Lf unit/0.5mL suspension	$216.55	$305.00	$34.55–$244.00	75% above	29%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 HC PBB TD VACCINE PRSRV FREE 7 YRS OR OLDER FOR IM USE	$49.70	$70.00	$34.55–$111.68	—	29%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 tetanus and diphther. tox 5 Lf unit- 2 Lf unit/0.5mL suspension	$216.55	$305.00	$34.55–$244.00	—	29%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 HC PBB TDAP VACCINE >7 YO, IM	$67.45	$95.00	$37.72–$128.86	53% below	29%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 diph,pertuss(acel),tet vac(PF) 2 Lf-(2.5-5-3-5 mcg)-5Lf/0.5 mL syringe	$286.84	$404.00	$37.72–$323.20	101% above	29%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 diph-pertuss(acel)-tetanus(PF) 2 Lf-(2.5-5-3-5 mcg)-5Lf/0.5 mL suspension	$291.81	$411.00	$37.72–$328.80	105% above	29%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 HC PBB TDAP VACCINE >7 YO, IM	$67.45	$95.00	$37.72–$128.86	—	29%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 diph,pertuss(acel),tet vac(PF) 2 Lf-(2.5-5-3-5 mcg)-5Lf/0.5 mL syringe	$286.84	$404.00	$37.72–$323.20	—	29%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 diph-pertuss(acel)-tetanus(PF) 2 Lf-(2.5-5-3-5 mcg)-5Lf/0.5 mL suspension	$291.81	$411.00	$37.72–$328.80	—	29%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC DHEC FREE VAC ADMIN - INITIAL	$14.20	$20.00	$15.60–$126.34	74% below	29%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC IMMUNIZ ADMIN,1 SINGLE/COMB VAC/TOXOID	$184.60	$260.00	$61.55–$221.00	234% above	29%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC DHEC FREE VAC ADMIN - INITIAL	$14.20	$20.00	$15.60–$126.34	—	29%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC IMMUNIZ ADMIN,1 SINGLE/COMB VAC/TOXOID	$184.60	$260.00	$61.55–$221.00	—	29%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC DHEC FREE VAC ADMIN - EA ADDL	$14.20	$20.00	$15.60–$17.00	66% below	29%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC IMMUNIZ,ADMIN,EACH ADDL	$184.60	$260.00	$202.80–$221.00	337% above	29%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC DHEC FREE VAC ADMIN - EA ADDL	$14.20	$20.00	$15.60–$17.00	—	29%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC IMMUNIZ,ADMIN,EACH ADDL	$184.60	$260.00	$202.80–$221.00	—	29%

Dental

Procedure	Cash price	List price	Insurers pay	vs South Carolina	Off list
Simple extraction of a tooth or exposed root that is above the gum CDT D7140 HC EXTRACTION ERUPTED TOOTH/EXR	$1,593.24	$2,244.00	$543.25–$1,907.40	at median	29%
Simple extraction of a tooth or exposed root that is above the gum inpatient CDT D7140 HC EXTRACTION ERUPTED TOOTH/EXR	$1,593.24	$2,244.00	$543.25–$1,907.40	—	29%

Source file: https://www.mcleodhealth.org/wp-content/uploads/price-transparency/51-0473471_mcleod-health-dillon_standardcharges.csv