Hospital New York-Newark-Jersey City, NY-NJ

New York Community Hospital of Brooklyn

New York Community Hospital of Brooklyn in Brooklyn, NY publishes cash prices for 312 common procedures listed here, from its own machine-readable price file updated Apr 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the New York median for 286 of 308 procedures and below it for 22. By typical cash price it ranks #99 of 115 New York hospitals and #62 of 75 hospitals in the New York, NY area, cheapest first. Select a procedure to compare it with other hospitals nearby.

2525 Kings Highway, Brooklyn, NY 11229 Collected Sep 27, 2026 Source price file Check a bill from this hospital (718) 692-5302

Acute care hospital Nonprofit hospital Emergency department CMS star rating 1 of 5 CCN 330019 · CMS hospital register NPI 1215030697

The price file shows no self-pay discount

For 1184 of the 1184 prices listed here, the cash price in New York Community Hospital of Brooklyn's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing. Other US hospitals whose cash price is their full list price.

Financial assistance

Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply

New York Community Hospital of Brooklyn is a nonprofit hospital in the CMS register. Under section 501(r) of the federal tax code it must have a written Financial Assistance Policy with a free application, publish both on its website, and charge patients who qualify no more than the amounts generally billed to insured patients for emergency and other medically necessary care. Who qualifies depends on household income; the policy states the limits.

You can apply up to 240 days after the first bill. Before collection actions such as credit reporting or a lawsuit, the hospital must tell you about the policy and wait at least 120 days after that bill. Ask the billing office for the policy and the application before you pay, or search the hospital's website for “financial assistance”. Letters you can copy.

Source: IRS, section 501(r) requirements for nonprofit hospitals.

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs New York	Off list
Abdominal CT scan without and with contrast CPT 74170 CT ABDOMEN W THEN W/O CONTRAST	$2,474.56	$2,474.56	—	94% above	—
Abdominal CT scan without and with contrast inpatient CPT 74170 CT ABDOMEN W THEN W/O CONTRAST	$2,474.56	$2,474.56	—	—	—
Abdominal X-ray, 2 views CPT 74019 X-RAY EXAM ABDOMEN 2 VIEWS	$433.63	$433.63	—	77% above	—
Abdominal X-ray, 2 views inpatient CPT 74019 X-RAY EXAM ABDOMEN 2 VIEWS	$433.63	$433.63	—	—	—
Ankle X-ray, complete, 3 or more views CPT 73610 ANKLE COMP MIN 3 VIEWS	$288.57	$288.57	—	45% above	—
Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE COMPLETE MIN 3 VIEWS LT	$288.57	$288.57	—	45% above	—
Ankle X-ray, complete, 3 or more views one side CPT 73610 PORTABLE ANKLE - RIGHT	$613.71	$613.71	—	208% above	—
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 ANKLE COMP MIN 3 VIEWS	$288.57	$288.57	—	—	—
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 ANKLE COMPLETE MIN 3 VIEWS LT	$288.57	$288.57	—	—	—
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 PORTABLE ANKLE - RIGHT	$613.71	$613.71	—	—	—
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 UPR/L XTREMITY ART 2 LEVELS	$842.50	$842.50	—	183% above	—
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 UPR/L XTREMITY ART 2 LEVELS	$842.50	$842.50	—	—	—
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT UPPER EXTR WO CONTR BIL	$2,084.77	$2,084.77	—	183% above	—
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UP EXTRM W/O CONTRAST LEFT	$1,529.01	$1,529.01	—	108% above	—
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UP EXTRM W/O CONTRAST RIGHT	$1,531.22	$1,531.22	—	108% above	—
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 CT UPPER EXTR WO CONTR BIL	$2,084.77	$2,084.77	—	—	—
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT UP EXTRM W/O CONTRAST LEFT	$1,529.01	$1,529.01	—	—	—
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT UP EXTRM W/O CONTRAST RIGHT	$1,531.22	$1,531.22	—	—	—
Barium swallow (esophagus X-ray with contrast) CPT 74220 ESOPHAGUS XRAY	$489.55	$489.55	—	45% above	—
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 ESOPHAGUS XRAY	$489.55	$489.55	—	—	—
Bone scan, whole body (nuclear medicine) CPT 78306 BONE SCAN	$1,175.80	$1,175.80	—	23% above	—
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 BONE SCAN	$1,175.80	$1,175.80	—	—	—
Breast ultrasound, complete, one breast one side CPT 76641 SONO BREAST RIGHT	$1,009.98	$1,009.98	—	231% above	—
Breast ultrasound, complete, one breast one side CPT 76641 SONO BREAST LEFT	$1,110.98	$1,110.98	—	264% above	—
Breast ultrasound, complete, one breast inpatient one side CPT 76641 SONO BREAST RIGHT	$1,009.98	$1,009.98	—	—	—
Breast ultrasound, complete, one breast inpatient one side CPT 76641 SONO BREAST LEFT	$1,110.98	$1,110.98	—	—	—
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CT ANGIO ABD&PELV W/O&W/DYE	$6,604.52	$6,604.52	—	324% above	—
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CT ANGIO ABD&PELV W/O&W/DYE	$6,604.52	$6,604.52	—	—	—
CT angiography (CTA) of the head CPT 70496 CTA HEAD W/WO CONT +IMAGE PROC	$2,264.43	$2,264.43	—	127% above	—
CT angiography (CTA) of the head inpatient CPT 70496 CTA HEAD W/WO CONT +IMAGE PROC	$2,264.43	$2,264.43	—	—	—
CT angiography (CTA) of the neck CPT 70498 CTA NECK W/WO CONT +IMAGE PROC	$2,403.02	$2,403.02	—	116% above	—
CT angiography (CTA) of the neck inpatient CPT 70498 CTA NECK W/WO CONT +IMAGE PROC	$2,403.02	$2,403.02	—	—	—
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIOGRAPHY CHEST	$2,118.12	$2,118.12	—	67% above	—
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHST W/WO CNT+IMAGE PROC	$2,329.25	$2,329.25	—	84% above	—
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT ANGIOGRAPHY CHEST	$2,118.12	$2,118.12	—	—	—
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA CHST W/WO CNT+IMAGE PROC	$2,329.25	$2,329.25	—	—	—
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT ANGIO,HRT,COR ART/GFT,W/CON	$1,485.00	$1,485.00	—	42% above	—
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT ANGIO HRT W/3D IMAGE	$3,784.64	$3,784.64	—	262% above	—
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CT ANGIO,HRT,COR ART/GFT,W/CON	$1,485.00	$1,485.00	—	—	—
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CT ANGIO HRT W/3D IMAGE	$3,784.64	$3,784.64	—	—	—
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT HRT W/O DYE W/CA TEST	$905.74	$905.74	—	433% above	—
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT HRT W/O DYE W/CA TEST	$905.74	$905.74	—	—	—
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD & PELVIS W/O CONTRAST	$1,335.41	$1,335.41	—	30% above	—
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD & PELVIS	$4,465.88	$4,465.88	—	334% above	—
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABD & PELVIS W/O CONTRAST	$1,335.41	$1,335.41	—	—	—
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABD & PELVIS	$4,465.88	$4,465.88	—	—	—
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD & PELV W/CONTRAST	$5,433.21	$5,433.21	—	249% above	—
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD & PELV W/CONTRAST	$5,433.21	$5,433.21	—	—	—
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD & PELV 1/> REGNS	$6,850.85	$6,850.85	—	287% above	—
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABD & PELV 1/> REGNS	$6,850.85	$6,850.85	—	—	—
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W CONTRAST	$2,679.91	$2,679.91	—	144% above	—
CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN W CONTRAST	$2,679.91	$2,679.91	—	—	—
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O CONTRAST	$2,451.30	$2,451.30	—	196% above	—
CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN W/O CONTRAST	$2,451.30	$2,451.30	—	—	—
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAX W/O CONTRAST	$1,904.55	$1,904.55	—	153% above	—
CT scan of the face and sinuses, no contrast dye CPT 70486 CT SINUS AXIAL CORON W/O CONT	$2,162.21	$2,162.21	—	188% above	—
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MAX W/O CONTRAST	$1,904.55	$1,904.55	—	—	—
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT SINUS AXIAL CORON W/O CONT	$2,162.21	$2,162.21	—	—	—
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD OR BRAIN W/O CONT	$1,467.22	$1,467.22	—	85% above	—
CT scan of the head or brain, no contrast dye CPT 70450 CT CORONL PARANASL SIN W/O CON	$1,613.95	$1,613.95	—	103% above	—
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD W/O CONTRAST	$2,286.18	$2,286.18	—	188% above	—
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD OR BRAIN W/O CONT	$1,467.22	$1,467.22	—	—	—
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT CORONL PARANASL SIN W/O CON	$1,613.95	$1,613.95	—	—	—
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD W/O CONTRAST	$2,286.18	$2,286.18	—	—	—
CT scan of the head with contrast CPT 70460 CT HEAD OR BRAIN W/CONT.	$1,278.23	$1,278.23	—	46% above	—
CT scan of the head with contrast CPT 70460 CT HEAD W/CONTRAST	$2,139.25	$2,139.25	—	144% above	—
CT scan of the head with contrast inpatient CPT 70460 CT HEAD OR BRAIN W/CONT.	$1,278.23	$1,278.23	—	—	—
CT scan of the head with contrast inpatient CPT 70460 CT HEAD W/CONTRAST	$2,139.25	$2,139.25	—	—	—
CT scan of the head without and with contrast CPT 70470 CT HEAD OR BRAIN W&W/O CONT	$1,375.76	$1,375.76	—	32% above	—
CT scan of the head without and with contrast CPT 70470 CT HEAD W&W/O CONTRA	$2,378.45	$2,378.45	—	129% above	—
CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD OR BRAIN W&W/O CONT	$1,375.76	$1,375.76	—	—	—
CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD W&W/O CONTRA	$2,378.45	$2,378.45	—	—	—
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMB SPINE W/O CONT	$2,043.13	$2,043.13	—	145% above	—
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT LUMB SPINE W/O CONT	$2,043.13	$2,043.13	—	—	—
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT CERV SPINE W/MULT W/O CONT	$2,043.13	$2,043.13	—	135% above	—
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT CERV SPINE W/MULT W/O CONT	$2,043.13	$2,043.13	—	—	—
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/CONTRAST	$2,233.13	$2,233.13	—	137% above	—
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W/CONTRAST	$2,233.13	$2,233.13	—	—	—
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 SONO CAROTID BILAT W DOPPLER	$1,613.95	$1,613.95	—	—	—
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 PORT SONO DUP EXTCRANIAL BILAT	$1,830.38	$1,830.38	—	—	—
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 SONO CAROTID BILAT W DOPPLER	$1,613.95	$1,613.95	—	—	—
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 PORT SONO DUP EXTCRANIAL BILAT	$1,830.38	$1,830.38	—	—	—
Chest CT scan without and with contrast CPT 71270 CT CHEST (BRACH PL) W/O W/ CON	$2,474.56	$2,474.56	—	107% above	—
Chest CT scan without and with contrast inpatient CPT 71270 CT CHEST (BRACH PL) W/O W/ CON	$2,474.56	$2,474.56	—	—	—
Chest X-ray, 2 views CPT 71046 CHEST 2 VIEWS FRONT AND LAT	$404.59	$404.59	—	101% above	—
Chest X-ray, 2 views inpatient CPT 71046 CHEST 2 VIEWS FRONT AND LAT	$404.59	$404.59	—	—	—
Chest X-ray, single view CPT 71045 CHEST SINGLE VIEW FRONTAL	$342.92	$342.92	—	84% above	—
Chest X-ray, single view CPT 71045 PORTABLE CHEST 1 VIEW	$606.96	$606.96	—	226% above	—
Chest X-ray, single view inpatient CPT 71045 CHEST SINGLE VIEW FRONTAL	$342.92	$342.92	—	—	—
Chest X-ray, single view inpatient CPT 71045 PORTABLE CHEST 1 VIEW	$606.96	$606.96	—	—	—
Collarbone (clavicle) X-ray, complete both sides CPT 73000 CLAVICLE XRAY BILAT	$260.11	$260.11	—	—	—
Collarbone (clavicle) X-ray, complete both sides CPT 73000 CLAVICALS BILATERAL	$408.45	$408.45	—	—	—
Collarbone (clavicle) X-ray, complete one side CPT 73000 CLAVICLE - LEFT	$270.27	$270.27	—	34% above	—
Collarbone (clavicle) X-ray, complete one side CPT 73000 CLAVICLE RIGHT COMPLETE	$270.27	$270.27	—	34% above	—
Collarbone (clavicle) X-ray, complete inpatient both sides CPT 73000 CLAVICLE XRAY BILAT	$260.11	$260.11	—	—	—
Collarbone (clavicle) X-ray, complete inpatient both sides CPT 73000 CLAVICALS BILATERAL	$408.45	$408.45	—	—	—
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 CLAVICLE - LEFT	$270.27	$270.27	—	—	—
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 CLAVICLE RIGHT COMPLETE	$270.27	$270.27	—	—	—
Complete ultrasound of the back of the abdomen, such as both kidneys both sides CPT 76770 SONO RENAL BILAT	$1,294.28	$1,294.28	—	—	—
Complete ultrasound of the back of the abdomen, such as both kidneys both sides CPT 76770 PORT SONO RENAL BILAT	$1,469.25	$1,469.25	—	—	—
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 SONOGRAM AORTA	$690.93	$690.93	—	72% above	—
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient both sides CPT 76770 SONO RENAL BILAT	$1,294.28	$1,294.28	—	—	—
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient both sides CPT 76770 PORT SONO RENAL BILAT	$1,469.25	$1,469.25	—	—	—
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 SONOGRAM AORTA	$690.93	$690.93	—	—	—
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 OB US DETAILED SNGL FETUS	$1,028.91	$1,028.91	—	81% above	—
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 OB US DETAILED SNGL FETUS	$1,028.91	$1,028.91	—	—	—
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST (BRACH PL) W/O CONT	$2,043.13	$2,043.13	—	147% above	—
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST (BRACH PL) W/O CONT	$2,043.13	$2,043.13	—	—	—
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST (THORAX) W/CONTRAST	$2,233.13	$2,233.13	—	113% above	—
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST (THORAX) W/CONTRAST	$2,233.13	$2,233.13	—	—	—
Diagnostic mammogram, both breasts CPT 77066 MAMMOGRAM 2 BREAST DIAGN	$388.13	$388.13	—	62% above	—
Diagnostic mammogram, both breasts CPT 77066 SCREENING MAMMO CONVRT TO DIAG	$455.21	$455.21	—	90% above	—
Diagnostic mammogram, both breasts inpatient CPT 77066 MAMMOGRAM 2 BREAST DIAGN	$388.13	$388.13	—	—	—
Diagnostic mammogram, both breasts inpatient CPT 77066 SCREENING MAMMO CONVRT TO DIAG	$455.21	$455.21	—	—	—
Diagnostic mammogram, one breast CPT 77065 MAMMOGRAM 1 BREAST DIAGNOSTIC	$388.13	$388.13	—	43% above	—
Diagnostic mammogram, one breast inpatient CPT 77065 MAMMOGRAM 1 BREAST DIAGNOSTIC	$388.13	$388.13	—	—	—
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 SONO DUPLEX LOW EXT ART BILAT	$1,426.16	$1,426.16	—	—	—
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 SONO DUPLEX LOW EXT ART BILAT	$1,426.16	$1,426.16	—	—	—
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 SONO DUPLEX EXT VEINS BILAT	$1,124.39	$1,124.39	—	—	—
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 SONO DUP UPPER EXT VEINS BILAT	$1,421.69	$1,421.69	—	—	—
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 SONO DUPLEX EXT VEINS BILAT	$1,124.39	$1,124.39	—	—	—
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 SONO DUP UPPER EXT VEINS BILAT	$1,421.69	$1,421.69	—	—	—
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 DOPPLER-ECHOCARDIOGRAM	$2,286.18	$2,286.18	—	119% above	—
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 DOPPLER-ECHOCARDIOGRAM	$2,286.18	$2,286.18	—	—	—
Elbow X-ray, 2 views CPT 73070 PORTABLE ELBOW	$613.71	$613.71	—	208% above	—
Elbow X-ray, 2 views one side CPT 73070 X-RAY ELBOW 2 VWS RT	$326.35	$326.35	—	64% above	—
Elbow X-ray, 2 views one side CPT 73070 X-RAY ELBOW 2 VWS LT	$326.35	$326.35	—	64% above	—
Elbow X-ray, 2 views one side CPT 73070 PORTABLE ELBOW - LEFT	$613.71	$613.71	—	208% above	—
Elbow X-ray, 2 views inpatient CPT 73070 PORTABLE ELBOW	$613.71	$613.71	—	—	—
Elbow X-ray, 2 views inpatient one side CPT 73070 X-RAY ELBOW 2 VWS RT	$326.35	$326.35	—	—	—
Elbow X-ray, 2 views inpatient one side CPT 73070 X-RAY ELBOW 2 VWS LT	$326.35	$326.35	—	—	—
Elbow X-ray, 2 views inpatient one side CPT 73070 PORTABLE ELBOW - LEFT	$613.71	$613.71	—	—	—
Elbow X-ray, complete, 3 or more views both sides CPT 73080 ELBOWS BILATERAL 3 VIEWS	$445.05	$445.05	—	—	—
Elbow X-ray, complete, 3 or more views CPT 73080 ELBOW MW 3 VWS	$317.01	$317.01	—	57% above	—
Elbow X-ray, complete, 3 or more views one side CPT 73080 ELBOW MIN 3 VIEWS - LEFT	$317.01	$317.01	—	57% above	—
Elbow X-ray, complete, 3 or more views inpatient both sides CPT 73080 ELBOWS BILATERAL 3 VIEWS	$445.05	$445.05	—	—	—
Elbow X-ray, complete, 3 or more views inpatient CPT 73080 ELBOW MW 3 VWS	$317.01	$317.01	—	—	—
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 ELBOW MIN 3 VIEWS - LEFT	$317.01	$317.01	—	—	—
Eye socket (orbit) CT scan without contrast CPT 70480 CT EAR/IAC W/O CONTRAST	$849.44	$849.44	—	15% above	—
Eye socket (orbit) CT scan without contrast CPT 70480 INFUSION THERAPY TRNSCATH	$1,077.04	$1,077.04	—	46% above	—
Eye socket (orbit) CT scan without contrast CPT 70480 CT ORB/POST FOSS,EAR W/O CONT	$1,180.68	$1,180.68	—	60% above	—
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT EAR/IAC W/O CONTRAST	$849.44	$849.44	—	—	—
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 INFUSION THERAPY TRNSCATH	$1,077.04	$1,077.04	—	—	—
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT ORB/POST FOSS,EAR W/O CONT	$1,180.68	$1,180.68	—	—	—
Facial bones X-ray, complete, 3 or more views CPT 70150 MALAR BONE MAXILLA	$355.63	$355.63	—	37% above	—
Facial bones X-ray, complete, 3 or more views CPT 70150 ZYGOMATIC ARCHES	$377.98	$377.98	—	46% above	—
Facial bones X-ray, complete, 3 or more views CPT 70150 FACIAL BONES XR	$509.65	$509.65	—	97% above	—
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 MALAR BONE MAXILLA	$355.63	$355.63	—	—	—
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 ZYGOMATIC ARCHES	$377.98	$377.98	—	—	—
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 FACIAL BONES XR	$509.65	$509.65	—	—	—
Forearm X-ray (radius and ulna), 2 views CPT 73090 XRAY FOREARMS 2 VWS BIL	$306.24	$306.24	—	53% above	—
Forearm X-ray (radius and ulna), 2 views CPT 73090 PORTABLE FOREARM	$613.71	$613.71	—	206% above	—
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XRAY FOREARM 2 VWS LEFT	$326.35	$326.35	—	63% above	—
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XRAY FOREARM 2 VWS RIGHT	$395.66	$395.66	—	97% above	—
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 PORTABLE FOREARM - LEFT	$613.71	$613.71	—	206% above	—
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 XRAY FOREARMS 2 VWS BIL	$306.24	$306.24	—	—	—
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 PORTABLE FOREARM	$613.71	$613.71	—	—	—
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XRAY FOREARM 2 VWS LEFT	$326.35	$326.35	—	—	—
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XRAY FOREARM 2 VWS RIGHT	$395.66	$395.66	—	—	—
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 PORTABLE FOREARM - LEFT	$613.71	$613.71	—	—	—
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 GALL BLADDER SCAN	$1,598.30	$1,598.30	—	57% above	—
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 GALL BLADDER SCAN	$1,598.30	$1,598.30	—	—	—
Hand X-ray, 2 views CPT 73120 HAND XRAY	$254.83	$254.83	—	36% above	—
Hand X-ray, 2 views CPT 73120 HANDS 2 VIEWS	$308.89	$308.89	—	65% above	—
Hand X-ray, 2 views CPT 73120 PORTABLE HAND	$613.71	$613.71	—	228% above	—
Hand X-ray, 2 views one side CPT 73120 HAND MIN 2 VIEWS - LEFT	$254.83	$254.83	—	36% above	—
Hand X-ray, 2 views one side CPT 73120 PORTABLE HAND - LEFT	$613.71	$613.71	—	228% above	—
Hand X-ray, 2 views inpatient CPT 73120 HAND XRAY	$254.83	$254.83	—	—	—
Hand X-ray, 2 views inpatient CPT 73120 HANDS 2 VIEWS	$308.89	$308.89	—	—	—
Hand X-ray, 2 views inpatient CPT 73120 PORTABLE HAND	$613.71	$613.71	—	—	—
Hand X-ray, 2 views inpatient one side CPT 73120 HAND MIN 2 VIEWS - LEFT	$254.83	$254.83	—	—	—
Hand X-ray, 2 views inpatient one side CPT 73120 PORTABLE HAND - LEFT	$613.71	$613.71	—	—	—
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 CALCANEUS MIN 2 VWS - LEFT	$279.42	$279.42	—	53% above	—
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 CALCANEUS MIN 2VWS - RIGHT	$279.42	$279.42	—	53% above	—
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 CALCANEUS MIN 2VWS - RIGHT	$279.42	$279.42	—	—	—
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 CALCANEUS MIN 2 VWS - LEFT	$279.42	$279.42	—	—	—
Knee X-ray, 3 views CPT 73562 MR ARTHROGRAM KNEE	$317.01	$317.01	—	65% above	—
Knee X-ray, 3 views CPT 73562 KNEES 3 VIEWS	$357.65	$357.65	—	86% above	—
Knee X-ray, 3 views one side CPT 73562 KNEE MIN 3 VIEWS - LEFT	$317.01	$317.01	—	65% above	—
Knee X-ray, 3 views inpatient CPT 73562 MR ARTHROGRAM KNEE	$317.01	$317.01	—	—	—
Knee X-ray, 3 views inpatient CPT 73562 KNEES 3 VIEWS	$357.65	$357.65	—	—	—
Knee X-ray, 3 views inpatient one side CPT 73562 KNEE MIN 3 VIEWS - LEFT	$317.01	$317.01	—	—	—
Knee X-ray, complete, 4 or more views CPT 73564 KNEE,COMPLETE @OBLIQ,TUNNEL,PA	$467.40	$467.40	—	70% above	—
Knee X-ray, complete, 4 or more views one side CPT 73564 KNEE COMPLETE MIN 4 VIEWS - LT	$467.40	$467.40	—	70% above	—
Knee X-ray, complete, 4 or more views inpatient CPT 73564 KNEE,COMPLETE @OBLIQ,TUNNEL,PA	$467.40	$467.40	—	—	—
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 KNEE COMPLETE MIN 4 VIEWS - LT	$467.40	$467.40	—	—	—
Leg CT scan without contrast (hip to foot, any part) both sides CPT 73700 CT LOWER EXT W/O CON BILAT	$2,550.36	$2,550.36	—	—	—
Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT LWR EXTR WO CONTR BIL	$3,825.70	$3,825.70	—	462% above	—
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOW EXTRM W/O CONTRST RIGHT	$1,392.03	$1,392.03	—	104% above	—
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOW EXTRM W/O CONTRST LEFT	$1,392.03	$1,392.03	—	104% above	—
Leg CT scan without contrast (hip to foot, any part) inpatient both sides CPT 73700 CT LOWER EXT W/O CON BILAT	$2,550.36	$2,550.36	—	—	—
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 CT LWR EXTR WO CONTR BIL	$3,825.70	$3,825.70	—	—	—
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT LOW EXTRM W/O CONTRST RIGHT	$1,392.03	$1,392.03	—	—	—
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT LOW EXTRM W/O CONTRST LEFT	$1,392.03	$1,392.03	—	—	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 LIMITED ABD SONOGRAM	$689.99	$689.99	—	110% above	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 SONO ABDOMEN - LTD	$857.57	$857.57	—	161% above	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 LIMITED ABD SONOGRAM	$689.99	$689.99	—	—	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 SONO ABDOMEN - LTD	$857.57	$857.57	—	—	—
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 TIBIA & FIB XRAY	$286.12	$286.12	—	42% above	—
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 TIB & FIB 2 VIEWS BIL	$529.78	$529.78	—	163% above	—
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 PORT - TIB/FIB	$613.71	$613.71	—	204% above	—
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 TIBIA/FIBULA 2 VIEWS - LEFT	$326.35	$326.35	—	62% above	—
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 PORTABLE TIB/FIB - LEFT	$613.71	$613.71	—	204% above	—
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 TIBIA & FIB XRAY	$286.12	$286.12	—	—	—
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 TIB & FIB 2 VIEWS BIL	$529.78	$529.78	—	—	—
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 PORT - TIB/FIB	$613.71	$613.71	—	—	—
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 TIBIA/FIBULA 2 VIEWS - LEFT	$326.35	$326.35	—	—	—
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 PORTABLE TIB/FIB - LEFT	$613.71	$613.71	—	—	—
MR angiography (MRA) of the head without contrast CPT 70544 MRA ANGIO HEAD W/O CONTRAST	$3,265.64	$3,265.64	—	168% above	—
MR angiography (MRA) of the head without contrast CPT 70544 MRV HEAD WO IV	$3,265.64	$3,265.64	—	168% above	—
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRV HEAD WO IV	$3,265.64	$3,265.64	—	—	—
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA ANGIO HEAD W/O CONTRAST	$3,265.64	$3,265.64	—	—	—
MRI of both breasts, without and then with contrast dye both sides CPT 77049 MRI BREAST IMPLANT W/O CONT BI	$2,165.00	$2,165.00	—	—	—
MRI of both breasts, without and then with contrast dye CPT 77049 MRI (CAD) BREAST W/ W/O CONT B	$3,423.09	$3,423.09	—	183% above	—
MRI of both breasts, without and then with contrast dye CPT 77049 MRI BREASTS W W/O CONT BILATER	$3,485.15	$3,485.15	—	188% above	—
MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 MRI BREAST IMPLANT W/O CONT BI	$2,165.00	$2,165.00	—	—	—
MRI of both breasts, without and then with contrast dye inpatient CPT 77049 MRI (CAD) BREAST W/ W/O CONT B	$3,423.09	$3,423.09	—	—	—
MRI of both breasts, without and then with contrast dye inpatient CPT 77049 MRI BREASTS W W/O CONT BILATER	$3,485.15	$3,485.15	—	—	—
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MR ANKLE NO IV CONTRAST	$2,157.66	$2,157.66	—	114% above	—
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI JOINT OF LOW EXT W/O CONTR	$2,799.12	$2,799.12	—	178% above	—
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MR KNEE NO IV CONTRAST	$2,806.41	$2,806.41	—	179% above	—
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LOW EXTERM JOINT RIGHT	$2,806.41	$2,806.41	—	179% above	—
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MR ANKLE NO IV CONTRAST	$2,157.66	$2,157.66	—	—	—
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI JOINT OF LOW EXT W/O CONTR	$2,799.12	$2,799.12	—	—	—
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MR KNEE NO IV CONTRAST	$2,806.41	$2,806.41	—	—	—
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI LOW EXTERM JOINT RIGHT	$2,806.41	$2,806.41	—	—	—
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MR HIP JOINT w/wo CONTRAST	$3,673.85	$3,673.85	—	103% above	—
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MR KNEE W/WO IV CONTRAST	$3,965.42	$3,965.42	—	119% above	—
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MR ANKLE w/wo IV CONTRAST	$3,965.42	$3,965.42	—	119% above	—
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MR HIP JOINT w/wo CONTRAST	$3,673.85	$3,673.85	—	—	—
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MR ANKLE w/wo IV CONTRAST	$3,965.42	$3,965.42	—	—	—
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MR KNEE W/WO IV CONTRAST	$3,965.42	$3,965.42	—	—	—
MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN X1	$2,369.49	$2,369.49	—	129% above	—
MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O CONTRAST	$2,449.23	$2,449.23	—	137% above	—
MRI of the abdomen without contrast inpatient CPT 74181 MRI ABDOMEN X1	$2,369.49	$2,369.49	—	—	—
MRI of the abdomen without contrast inpatient CPT 74181 MRI ABDOMEN W/O CONTRAST	$2,449.23	$2,449.23	—	—	—
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ENTEROGRAPHY W/WO IV	$3,498.90	$3,498.90	—	112% above	—
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN W&W/O CONTRAST	$3,498.90	$3,498.90	—	112% above	—
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ENTEROGRAPHY W/WO IV	$3,498.90	$3,498.90	—	—	—
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ABDOMEN W&W/O CONTRAST	$3,498.90	$3,498.90	—	—	—
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN W/O CONTRAST	$2,369.49	$2,369.49	—	127% above	—
MRI of the brain, no contrast dye CPT 70551 MR BRAIN/FACIAL NO IV CONTRAST	$4,665.20	$4,665.20	—	347% above	—
MRI of the brain, no contrast dye CPT 70551 MR BRAIN/SINUS NO IV CONTRAST	$4,665.20	$4,665.20	—	347% above	—
MRI of the brain, no contrast dye CPT 70551 MR AUDITORY CANALS NO IV CONT	$4,665.20	$4,665.20	—	347% above	—
MRI of the brain, no contrast dye CPT 70551 MR PITUITARY NO IV CONTRAST	$4,665.20	$4,665.20	—	347% above	—
MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN W/O CONTRAST	$2,369.49	$2,369.49	—	—	—
MRI of the brain, no contrast dye inpatient CPT 70551 MR PITUITARY NO IV CONTRAST	$4,665.20	$4,665.20	—	—	—
MRI of the brain, no contrast dye inpatient CPT 70551 MR AUDITORY CANALS NO IV CONT	$4,665.20	$4,665.20	—	—	—
MRI of the brain, no contrast dye inpatient CPT 70551 MR BRAIN/SINUS NO IV CONTRAST	$4,665.20	$4,665.20	—	—	—
MRI of the brain, no contrast dye inpatient CPT 70551 MR BRAIN/FACIAL NO IV CONTRAST	$4,665.20	$4,665.20	—	—	—
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W/ W/O CONTRAST	$3,460.41	$3,460.41	—	110% above	—
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W WO IV W PERFUSION	$6,959.31	$6,959.31	—	322% above	—
MRI of the brain, with and without contrast dye CPT 70553 MR AUDITORY CANAL w/wo IV CONT	$6,959.31	$6,959.31	—	322% above	—
MRI of the brain, with and without contrast dye CPT 70553 MR BRAIN/FACIAL W/WO IV CONT	$6,959.31	$6,959.31	—	322% above	—
MRI of the brain, with and without contrast dye CPT 70553 MR BRAIN/SINUS W/WO IV CONT	$6,959.31	$6,959.31	—	322% above	—
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN W/ W/O CONTRAST	$3,460.41	$3,460.41	—	—	—
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN W WO IV W PERFUSION	$6,959.31	$6,959.31	—	—	—
MRI of the brain, with and without contrast dye inpatient CPT 70553 MR BRAIN/SINUS W/WO IV CONT	$6,959.31	$6,959.31	—	—	—
MRI of the brain, with and without contrast dye inpatient CPT 70553 MR BRAIN/FACIAL W/WO IV CONT	$6,959.31	$6,959.31	—	—	—
MRI of the brain, with and without contrast dye inpatient CPT 70553 MR AUDITORY CANAL w/wo IV CONT	$6,959.31	$6,959.31	—	—	—
MRI of the lower back, without and then with contrast dye CPT 72158 MRI LUMBAR SPINE W/O T WTH CON	$3,109.21	$3,109.21	—	88% above	—
MRI of the lower back, without and then with contrast dye CPT 72158 MRI LUMBOSACRAL PLEXUS W/O IV	$4,082.05	$4,082.05	—	147% above	—
MRI of the lower back, without and then with contrast dye CPT 72158 MRI L SPINE W/W/O CONTRAST	$4,082.05	$4,082.05	—	147% above	—
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI LUMBAR SPINE W/O T WTH CON	$3,109.21	$3,109.21	—	—	—
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI L SPINE W/W/O CONTRAST	$4,082.05	$4,082.05	—	—	—
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI LUMBOSACRAL PLEXUS W/O IV	$4,082.05	$4,082.05	—	—	—
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI T SPINE W/O CONTRAST	$3,265.64	$3,265.64	—	225% above	—
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MR SPINE C,T,L W/O CONTRAST	$3,615.53	$3,615.53	—	259% above	—
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI T-SPINE W/O CON SCREENING	$3,615.53	$3,615.53	—	259% above	—
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI T SPINE W/O CONTRAST	$3,265.64	$3,265.64	—	—	—
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MR SPINE C,T,L W/O CONTRAST	$3,615.53	$3,615.53	—	—	—
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI T-SPINE W/O CON SCREENING	$3,615.53	$3,615.53	—	—	—
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI C-SPINE W/WO CONTRAST	$2,124.25	$2,124.25	—	31% above	—
MRI of the neck (cervical spine) without and with contrast CPT 72156 MR CERV SPINE W/WO IV CONT	$3,111.23	$3,111.23	—	92% above	—
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI C-SPINE W/WO CONTRAST	$2,124.25	$2,124.25	—	—	—
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MR CERV SPINE W/WO IV CONT	$3,111.23	$3,111.23	—	—	—
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI C SPINE W/O CONTRAST	$3,528.06	$3,528.06	—	251% above	—
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI C-SPINE W/O CON SCREENING	$3,528.06	$3,528.06	—	251% above	—
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI C SPINE W/O CONTRAST	$3,528.06	$3,528.06	—	—	—
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI C-SPINE W/O CON SCREENING	$3,528.06	$3,528.06	—	—	—
MRI of the pelvis without and with contrast CPT 72197 MRA PELVIS W/ CONTRAS	$1,632.82	$1,632.82	—	6% above	—
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS WO/ W/CONT	$3,907.11	$3,907.11	—	154% above	—
MRI of the pelvis without and with contrast CPT 72197 MRI PROSTATE/PEL W/WO IV	$3,907.11	$3,907.11	—	154% above	—
MRI of the pelvis without and with contrast inpatient CPT 72197 MRA PELVIS W/ CONTRAS	$1,632.82	$1,632.82	—	—	—
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS WO/ W/CONT	$3,907.11	$3,907.11	—	—	—
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PROSTATE/PEL W/WO IV	$3,907.11	$3,907.11	—	—	—
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS WO/CONT	$2,915.75	$2,915.75	—	190% above	—
MRI of the pelvis, no contrast dye CPT 72195 MRI PROSTATE/PEL /WO IV	$2,915.75	$2,915.75	—	190% above	—
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PELVIS WO/CONT	$2,915.75	$2,915.75	—	—	—
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PROSTATE/PEL /WO IV	$2,915.75	$2,915.75	—	—	—
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MR SHOULDER CLAV NO IV CONT	$2,157.66	$2,157.66	—	80% above	—
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI JOINT UP EXT W/O CONTRAST	$2,157.66	$2,157.66	—	80% above	—
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UP EXTERM JOINT - LEFT	$2,806.41	$2,806.41	—	134% above	—
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UP EXTERM JOINT - RIGHT	$2,806.41	$2,806.41	—	134% above	—
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MR SHOULDER CLAV NO IV CONT	$2,157.66	$2,157.66	—	—	—
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MRI JOINT UP EXT W/O CONTRAST	$2,157.66	$2,157.66	—	—	—
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI UP EXTERM JOINT - RIGHT	$2,806.41	$2,806.41	—	—	—
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI UP EXTERM JOINT - LEFT	$2,806.41	$2,806.41	—	—	—
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 SPINE CERV MIN 4 VIEWS	$497.87	$497.87	—	81% above	—
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 SPINE CERV MIN 4 VIEWS	$497.87	$497.87	—	—	—
Neck soft tissue CT scan with contrast CPT 70491 CT SOFT TISSUE NECK W/CONT	$2,030.13	$2,030.13	—	106% above	—
Neck soft tissue CT scan with contrast inpatient CPT 70491 CT SOFT TISSUE NECK W/CONT	$2,030.13	$2,030.13	—	—	—
Neck soft tissue CT scan without contrast CPT 70490 CTSOFT TISS NK W/MULT W/O CONT	$1,857.39	$1,857.39	—	137% above	—
Neck soft tissue CT scan without contrast inpatient CPT 70490 CTSOFT TISS NK W/MULT W/O CONT	$1,857.39	$1,857.39	—	—	—
Neck soft tissue X-ray CPT 70360 NECK SOFT TISSUE	$286.12	$286.12	—	50% above	—
Neck soft tissue X-ray inpatient CPT 70360 NECK SOFT TISSUE	$286.12	$286.12	—	—	—
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 MYOCAR REST ONLY MULTIPLE	$1,560.69	$1,560.69	—	34% below	—
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM MYOCARDIAL PERF(SPECT)MULT	$2,180.34	$2,180.34	—	8% below	—
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 MYOCAR REST ONLY MULTIPLE	$1,560.69	$1,560.69	—	—	—
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM MYOCARDIAL PERF(SPECT)MULT	$2,180.34	$2,180.34	—	—	—
Pelvic CT scan without contrast CPT 72192 CT PELVIS W/O CONTRAST	$2,043.13	$2,043.13	—	149% above	—
Pelvic CT scan without contrast inpatient CPT 72192 CT PELVIS W/O CONTRAST	$2,043.13	$2,043.13	—	—	—
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 PELVIS ULTRA-LIMITED	$545.15	$545.15	—	94% above	—
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US EXAM PELVIC LIMITED	$982.21	$982.21	—	250% above	—
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 PELVIS ULTRA-LIMITED	$545.15	$545.15	—	—	—
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US EXAM PELVIC LIMITED	$982.21	$982.21	—	—	—
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 SPMP-PELVIC NON-OBS COMPLETE	$650.49	$650.49	—	63% above	—
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIS NON OB	$779.60	$779.60	—	95% above	—
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 SPMP-PELVIC NON-OBS COMPLETE	$650.49	$650.49	—	—	—
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIS NON OB	$779.60	$779.60	—	—	—
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB US >/= 14 WKS SNGL FETUS	$575.61	$575.61	—	69% above	—
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 SONO PREG UTERUS-COMPLETE	$591.35	$591.35	—	74% above	—
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 OB US >/= 14 WKS SNGL FETUS	$575.61	$575.61	—	—	—
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 SONO PREG UTERUS-COMPLETE	$591.35	$591.35	—	—	—
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 OB US < 14 WKS SINGLE FETUS	$877.53	$877.53	—	182% above	—
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 OB US < 14 WKS SINGLE FETUS	$877.53	$877.53	—	—	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OB US LIMITED FETUS(S)	$330.41	$330.41	—	16% above	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 SONO PLACENTAL LOCAL	$615.73	$615.73	—	116% above	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 SONO PREG UTERUS-W/DOPPLER	$701.09	$701.09	—	145% above	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 OB US LIMITED FETUS(S)	$330.41	$330.41	—	—	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 SONO PLACENTAL LOCAL	$615.73	$615.73	—	—	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 SONO PREG UTERUS-W/DOPPLER	$701.09	$701.09	—	—	—
Rib X-ray, one side, 2 views one side CPT 71100 RIBS UNILAT RT 2 VIEWS	$323.11	$323.11	—	60% above	—
Rib X-ray, one side, 2 views one side CPT 71100 RIBS UNILAT 2 VIEWS RT	$355.43	$355.43	—	76% above	—
Rib X-ray, one side, 2 views inpatient one side CPT 71100 RIBS UNILAT RT 2 VIEWS	$323.11	$323.11	—	—	—
Rib X-ray, one side, 2 views inpatient one side CPT 71100 RIBS UNILAT 2 VIEWS RT	$355.43	$355.43	—	—	—
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 RIBS UNILAT PA CHEST 3VWS LT	$502.95	$502.95	—	133% above	—
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 RIBS UNILAT PA CHEST 3VWS LT	$502.95	$502.95	—	—	—
Screening mammogram, both breasts both sides CPT 77067 MAMMO SCREENING-BILAT 4 VWS	$772.22	$772.22	—	—	—
Screening mammogram, both breasts inpatient both sides CPT 77067 MAMMO SCREENING-BILAT 4 VWS	$772.22	$772.22	—	—	—
Shoulder X-ray, complete, 2 or more views CPT 73030 XRAY SHOULDERS >=2VWS BIL	$458.24	$458.24	—	125% above	—
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER MIN. 2 VIEWS - LEFT	$382.25	$382.25	—	87% above	—
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER MIN 2 VIEWS RT	$579.24	$579.24	—	184% above	—
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 XRAY SHOULDERS >=2VWS BIL	$458.24	$458.24	—	—	—
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 SHOULDER MIN. 2 VIEWS - LEFT	$382.25	$382.25	—	—	—
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 SHOULDER MIN 2 VIEWS RT	$579.24	$579.24	—	—	—
Sinus X-ray, complete, 3 or more views CPT 70220 SINUSES XRAY	$396.26	$396.26	—	96% above	—
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 SINUSES XRAY	$396.26	$396.26	—	—	—
Skull X-ray, fewer than 4 views CPT 70250 SKULL LESS THAN 4 VIEWS	$366.60	$366.60	—	81% above	—
Skull X-ray, fewer than 4 views inpatient CPT 70250 SKULL LESS THAN 4 VIEWS	$366.60	$366.60	—	—	—
Swallow study (modified barium swallow, video X-ray) CPT 74230 ESOPH & PHAR SWALLOW FXN	$1,201.00	$1,201.00	—	241% above	—
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 ESOPH & PHAR SWALLOW FXN	$1,201.00	$1,201.00	—	—	—
Thigh bone (femur) X-ray, 2 or more views CPT 73552 X-RAY FEMUR MIN 2VIEWS BIL	$582.12	$582.12	—	217% above	—
Thigh bone (femur) X-ray, 2 or more views CPT 73552 PORTABLE FEMUR	$613.71	$613.71	—	234% above	—
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 FEMUR MIN 2 VIEWS - RIGHT	$382.25	$382.25	—	108% above	—
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 FEMUR MIN2 VIEWS - LEFT	$382.25	$382.25	—	108% above	—
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 PORTABLE FEMUR - LEFT	$613.71	$613.71	—	234% above	—
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 X-RAY FEMUR MIN 2VIEWS BIL	$582.12	$582.12	—	—	—
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 PORTABLE FEMUR	$613.71	$613.71	—	—	—
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 FEMUR MIN 2 VIEWS - RIGHT	$382.25	$382.25	—	—	—
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 FEMUR MIN2 VIEWS - LEFT	$382.25	$382.25	—	—	—
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 PORTABLE FEMUR - LEFT	$613.71	$613.71	—	—	—
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT THOR SPINE W/O CONTRAST	$2,043.13	$2,043.13	—	137% above	—
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT THOR SPINE W/O CONTRAST	$2,043.13	$2,043.13	—	—	—
Toe X-ray, 2 or more views both sides CPT 73660 TOES BILATERAL	$329.21	$329.21	—	—	—
Toe X-ray, 2 or more views one side CPT 73660 TOE, 2 VIEWS 2ND DIGIT RIGHT	$223.53	$223.53	—	30% above	—
Toe X-ray, 2 or more views one side CPT 73660 TOE, 2 VIEWS GREAT TOE LEFT	$223.53	$223.53	—	30% above	—
Toe X-ray, 2 or more views one side CPT 73660 TOE, 2 VIEWS 2ND DIGIT LEFT	$223.53	$223.53	—	30% above	—
Toe X-ray, 2 or more views one side CPT 73660 TOE, 2 VIEWS 3RD DIGIT LEFT	$223.53	$223.53	—	30% above	—
Toe X-ray, 2 or more views one side CPT 73660 TOE, 2 VIEWS 4TH DIGIT LEFT	$223.53	$223.53	—	30% above	—
Toe X-ray, 2 or more views one side CPT 73660 TOE, 2 VIEWS 5TH DIGIT LEFT	$223.53	$223.53	—	30% above	—
Toe X-ray, 2 or more views one side CPT 73660 TOE, 2 VIEWS GREAT TOE RIGHT	$223.53	$223.53	—	30% above	—
Toe X-ray, 2 or more views one side CPT 73660 TOE, 2 VIEWS 3RD DIGIT RIGHT	$223.53	$223.53	—	30% above	—
Toe X-ray, 2 or more views one side CPT 73660 TOE, 2 VIEWS 4TH DIGIT RIGHT	$223.53	$223.53	—	30% above	—
Toe X-ray, 2 or more views one side CPT 73660 TOE, 2 VIEWS 5TH DIGIT RIGHT	$223.53	$223.53	—	30% above	—
Toe X-ray, 2 or more views one side CPT 73660 TOES XRAY RIGHT	$263.77	$263.77	—	53% above	—
Toe X-ray, 2 or more views one side CPT 73660 TOES MIN 2 VIEWS - LEFT	$321.90	$321.90	—	87% above	—
Toe X-ray, 2 or more views inpatient both sides CPT 73660 TOES BILATERAL	$329.21	$329.21	—	—	—
Toe X-ray, 2 or more views inpatient one side CPT 73660 TOE, 2 VIEWS 2ND DIGIT RIGHT	$223.53	$223.53	—	—	—
Toe X-ray, 2 or more views inpatient one side CPT 73660 TOE, 2 VIEWS GREAT TOE LEFT	$223.53	$223.53	—	—	—
Toe X-ray, 2 or more views inpatient one side CPT 73660 TOE, 2 VIEWS 3RD DIGIT RIGHT	$223.53	$223.53	—	—	—
Toe X-ray, 2 or more views inpatient one side CPT 73660 TOE, 2 VIEWS 4TH DIGIT LEFT	$223.53	$223.53	—	—	—
Toe X-ray, 2 or more views inpatient one side CPT 73660 TOE, 2 VIEWS 4TH DIGIT RIGHT	$223.53	$223.53	—	—	—
Toe X-ray, 2 or more views inpatient one side CPT 73660 TOE, 2 VIEWS 5TH DIGIT RIGHT	$223.53	$223.53	—	—	—
Toe X-ray, 2 or more views inpatient one side CPT 73660 TOE, 2 VIEWS 3RD DIGIT LEFT	$223.53	$223.53	—	—	—
Toe X-ray, 2 or more views inpatient one side CPT 73660 TOE, 2 VIEWS 5TH DIGIT LEFT	$223.53	$223.53	—	—	—
Toe X-ray, 2 or more views inpatient one side CPT 73660 TOE, 2 VIEWS GREAT TOE RIGHT	$223.53	$223.53	—	—	—
Toe X-ray, 2 or more views inpatient one side CPT 73660 TOE, 2 VIEWS 2ND DIGIT LEFT	$223.53	$223.53	—	—	—
Toe X-ray, 2 or more views inpatient one side CPT 73660 TOES XRAY RIGHT	$263.77	$263.77	—	—	—
Toe X-ray, 2 or more views inpatient one side CPT 73660 TOES MIN 2 VIEWS - LEFT	$321.90	$321.90	—	—	—
Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL	$772.49	$772.49	—	112% above	—
Transvaginal pelvic ultrasound CPT 76830 SONO TRANSVAGINAL	$979.08	$979.08	—	169% above	—
Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL	$772.49	$772.49	—	—	—
Transvaginal pelvic ultrasound inpatient CPT 76830 SONO TRANSVAGINAL	$979.08	$979.08	—	—	—
Transvaginal ultrasound during pregnancy CPT 76817 TRANSVAGINAL US OBSTETRIC	$330.41	$330.41	—	16% above	—
Transvaginal ultrasound during pregnancy CPT 76817 TRANSVAGINAL OB US	$726.13	$726.13	—	154% above	—
Transvaginal ultrasound during pregnancy inpatient CPT 76817 TRANSVAGINAL US OBSTETRIC	$330.41	$330.41	—	—	—
Transvaginal ultrasound during pregnancy inpatient CPT 76817 TRANSVAGINAL OB US	$726.13	$726.13	—	—	—
Ultrasound of the abdomen, complete CPT 76700 SONO ABD COMP W/WO DOPPLER	$1,200.39	$1,200.39	—	173% above	—
Ultrasound of the abdomen, complete inpatient CPT 76700 SONO ABD COMP W/WO DOPPLER	$1,200.39	$1,200.39	—	—	—
Ultrasound of the scrotum and testicles CPT 76870 SONO SCROTUM	$605.78	$605.78	—	72% above	—
Ultrasound of the scrotum and testicles inpatient CPT 76870 SONO SCROTUM	$605.78	$605.78	—	—	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 SONO PARATHYROID	$550.71	$550.71	—	68% above	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 SONO THYROID	$739.91	$739.91	—	126% above	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid one side CPT 76536 SONO POROTID GLAND LEFT	$707.18	$707.18	—	116% above	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid one side CPT 76536 SONO POROTID GLAND RIGHT	$707.18	$707.18	—	116% above	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 SONO PARATHYROID	$550.71	$550.71	—	—	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 SONO THYROID	$739.91	$739.91	—	—	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient one side CPT 76536 SONO POROTID GLAND RIGHT	$707.18	$707.18	—	—	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient one side CPT 76536 SONO POROTID GLAND LEFT	$707.18	$707.18	—	—	—
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 GI HYPAQUE	$889.66	$889.66	—	112% above	—
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 X-RAY UPPER GI DELAY W/O KUB	$1,093.06	$1,093.06	—	160% above	—
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 GI SERIES W SM BOWEL	$1,410.52	$1,410.52	—	236% above	—
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 GI HYPAQUE	$889.66	$889.66	—	—	—
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 X-RAY UPPER GI DELAY W/O KUB	$1,093.06	$1,093.06	—	—	—
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 GI SERIES W SM BOWEL	$1,410.52	$1,410.52	—	—	—
Upper arm X-ray (humerus), 2 views CPT 73060 HUMERUS XRAY	$286.12	$286.12	—	56% above	—
Upper arm X-ray (humerus), 2 views CPT 73060 HUMERUS	$445.05	$445.05	—	143% above	—
Upper arm X-ray (humerus), 2 views one side CPT 73060 HUMERUS MIN 2 VIEWS - LEFT	$326.35	$326.35	—	78% above	—
Upper arm X-ray (humerus), 2 views one side CPT 73060 PORTABLE HUMERUS RIGHT	$613.71	$613.71	—	234% above	—
Upper arm X-ray (humerus), 2 views one side CPT 73060 PORTABLE HUMERUS - LEFT	$613.71	$613.71	—	234% above	—
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 HUMERUS XRAY	$286.12	$286.12	—	—	—
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 HUMERUS	$445.05	$445.05	—	—	—
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 HUMERUS MIN 2 VIEWS - LEFT	$326.35	$326.35	—	—	—
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 PORTABLE HUMERUS - LEFT	$613.71	$613.71	—	—	—
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 PORTABLE HUMERUS RIGHT	$613.71	$613.71	—	—	—
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 SONO DUPLEX EXT VEINS LEFT	$784.61	$784.61	—	115% above	—
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 SONO DUP UPPER EXT VEINS LEFT	$970.16	$970.16	—	166% above	—
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 SONO DUP LOWER EXT VEINS RIGHT	$970.16	$970.16	—	166% above	—
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 SONO DUP UPPER EXT VEINS RIGHT	$970.16	$970.16	—	166% above	—
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 SONO DUP LOWER EXT VEINS LEFT	$1,723.58	$1,723.58	—	373% above	—
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 SONO DUPLEX EXT VEINS LEFT	$784.61	$784.61	—	—	—
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 SONO DUP UPPER EXT VEINS RIGHT	$970.16	$970.16	—	—	—
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 SONO DUP LOWER EXT VEINS RIGHT	$970.16	$970.16	—	—	—
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 SONO DUP UPPER EXT VEINS LEFT	$970.16	$970.16	—	—	—
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 SONO DUP LOWER EXT VEINS LEFT	$1,723.58	$1,723.58	—	—	—
Wrist X-ray, 2 views CPT 73100 WRIST A/P AND LAT	$207.88	$207.88	—	16% above	—
Wrist X-ray, 2 views CPT 73100 WRISTS 2 VIEWS	$524.29	$524.29	—	192% above	—
Wrist X-ray, 2 views CPT 73100 PORTABLE WRIST	$613.71	$613.71	—	241% above	—
Wrist X-ray, 2 views one side CPT 73100 WRIST MIN 2 VIEWS - LEFT	$207.88	$207.88	—	16% above	—
Wrist X-ray, 2 views one side CPT 73100 PORTABLE WRIST - LEFT	$613.71	$613.71	—	241% above	—
Wrist X-ray, 2 views inpatient CPT 73100 WRIST A/P AND LAT	$207.88	$207.88	—	—	—
Wrist X-ray, 2 views inpatient CPT 73100 WRISTS 2 VIEWS	$524.29	$524.29	—	—	—
Wrist X-ray, 2 views inpatient CPT 73100 PORTABLE WRIST	$613.71	$613.71	—	—	—
Wrist X-ray, 2 views inpatient one side CPT 73100 WRIST MIN 2 VIEWS - LEFT	$207.88	$207.88	—	—	—
Wrist X-ray, 2 views inpatient one side CPT 73100 PORTABLE WRIST - LEFT	$613.71	$613.71	—	—	—
Wrist X-ray, complete, 3 or more views CPT 73110 MR ARTHROGRAM WRIST	$284.49	$284.49	—	41% above	—
Wrist X-ray, complete, 3 or more views CPT 73110 WRISTS 3 VIEWS	$560.86	$560.86	—	178% above	—
Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST MIN 3 VIEWS - LEFT	$288.57	$288.57	—	43% above	—
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 MR ARTHROGRAM WRIST	$284.49	$284.49	—	—	—
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 WRISTS 3 VIEWS	$560.86	$560.86	—	—	—
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 WRIST MIN 3 VIEWS - LEFT	$288.57	$288.57	—	—	—
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP MIN 2 VIEWS LEFT	$369.85	$369.85	—	83% above	—
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP, MIN 2 VIEWS RIGHT	$369.85	$369.85	—	83% above	—
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP MIN 2 VIEWS LEFT	$369.85	$369.85	—	—	—
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP, MIN 2 VIEWS RIGHT	$369.85	$369.85	—	—	—
X-ray of the abdomen, 1 view CPT 74018 ABDOMEN, SINGLE VIEW A/P	$312.95	$312.95	—	55% above	—
X-ray of the abdomen, 1 view inpatient CPT 74018 ABDOMEN, SINGLE VIEW A/P	$312.95	$312.95	—	—	—
X-ray of the ankle, 2 views CPT 73600 ANKLE B/L A/P AND LAT	$430.82	$430.82	—	124% above	—
X-ray of the ankle, 2 views one side CPT 73600 ANKLE 2VWS AP & LAT - LEFT	$272.71	$272.71	—	42% above	—
X-ray of the ankle, 2 views one side CPT 73600 ANKLE 2 VWS A/P AND LAT -RIGHT	$272.71	$272.71	—	42% above	—
X-ray of the ankle, 2 views one side CPT 73600 PORTABLE ANKLE - LEFT	$613.71	$613.71	—	219% above	—
X-ray of the ankle, 2 views inpatient CPT 73600 ANKLE B/L A/P AND LAT	$430.82	$430.82	—	—	—
X-ray of the ankle, 2 views inpatient one side CPT 73600 ANKLE 2VWS AP & LAT - LEFT	$272.71	$272.71	—	—	—
X-ray of the ankle, 2 views inpatient one side CPT 73600 ANKLE 2 VWS A/P AND LAT -RIGHT	$272.71	$272.71	—	—	—
X-ray of the ankle, 2 views inpatient one side CPT 73600 PORTABLE ANKLE - LEFT	$613.71	$613.71	—	—	—
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER 2 VIEWS THUMB RIGHT	$223.53	$223.53	—	31% above	—
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER 2 VIEWS THUMB LEFT	$223.53	$223.53	—	31% above	—
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER 2 VIEWS 5TH DIGIT LEFT	$245.88	$245.88	—	44% above	—
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER 2 VIEWS 2ND DIGIT LEFT	$245.88	$245.88	—	44% above	—
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER 2 VIEWS 3RD DIGIT LEFT	$245.88	$245.88	—	44% above	—
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER 2 VIEWS 4TH DIGIT LEFT	$245.88	$245.88	—	44% above	—
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER 2 VIEWS 2ND DIGIT RIGHT	$245.88	$245.88	—	44% above	—
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER 2 VIEWS 3RD DIGIT RIGHT	$245.88	$245.88	—	44% above	—
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER 2 VIEWS 4TH DIGIT RIGHT	$245.88	$245.88	—	44% above	—
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER 2 VIEWS 5TH DIGIT RIGHT	$245.88	$245.88	—	44% above	—
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGERS MIN 2 VIEWS - LEFT	$326.35	$326.35	—	91% above	—
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGERS XRAY RIGHT	$326.35	$326.35	—	91% above	—
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER 2 VIEWS THUMB RIGHT	$223.53	$223.53	—	—	—
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER 2 VIEWS THUMB LEFT	$223.53	$223.53	—	—	—
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER 2 VIEWS 3RD DIGIT RIGHT	$245.88	$245.88	—	—	—
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER 2 VIEWS 2ND DIGIT LEFT	$245.88	$245.88	—	—	—
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER 2 VIEWS 3RD DIGIT LEFT	$245.88	$245.88	—	—	—
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER 2 VIEWS 4TH DIGIT LEFT	$245.88	$245.88	—	—	—
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER 2 VIEWS 5TH DIGIT LEFT	$245.88	$245.88	—	—	—
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER 2 VIEWS 5TH DIGIT RIGHT	$245.88	$245.88	—	—	—
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER 2 VIEWS 2ND DIGIT RIGHT	$245.88	$245.88	—	—	—
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER 2 VIEWS 4TH DIGIT RIGHT	$245.88	$245.88	—	—	—
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGERS XRAY RIGHT	$326.35	$326.35	—	—	—
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGERS MIN 2 VIEWS - LEFT	$326.35	$326.35	—	—	—
X-ray of the foot, 2 views CPT 73620 FOOT A/P AND LAT	$284.49	$284.49	—	55% above	—
X-ray of the foot, 2 views CPT 73620 CX CALCANEUS	$400.33	$400.33	—	118% above	—
X-ray of the foot, 2 views one side CPT 73620 FOOT - MIN 2 VIEWS - LEFT	$277.18	$277.18	—	51% above	—
X-ray of the foot, 2 views one side CPT 73620 FOOT A/P AND LAT RIGHT	$277.18	$277.18	—	51% above	—
X-ray of the foot, 2 views inpatient CPT 73620 FOOT A/P AND LAT	$284.49	$284.49	—	—	—
X-ray of the foot, 2 views inpatient CPT 73620 CX CALCANEUS	$400.33	$400.33	—	—	—
X-ray of the foot, 2 views inpatient one side CPT 73620 FOOT - MIN 2 VIEWS - LEFT	$277.18	$277.18	—	—	—
X-ray of the foot, 2 views inpatient one side CPT 73620 FOOT A/P AND LAT RIGHT	$277.18	$277.18	—	—	—
X-ray of the foot, complete, 3 or more views CPT 73630 FOOT COMP MIN OF 4 VWS	$288.57	$288.57	—	56% above	—
X-ray of the foot, complete, 3 or more views CPT 73630 FOOT 3 VIEWS	$337.33	$337.33	—	83% above	—
X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT COMPLETE MIN 3 VIEWS LT	$288.57	$288.57	—	56% above	—
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 FOOT COMP MIN OF 4 VWS	$288.57	$288.57	—	—	—
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 FOOT 3 VIEWS	$337.33	$337.33	—	—	—
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 FOOT COMPLETE MIN 3 VIEWS LT	$288.57	$288.57	—	—	—
X-ray of the hand, 3 or more views CPT 73130 HAND MIN 3 VIEWS	$288.57	$288.57	—	43% above	—
X-ray of the hand, 3 or more views CPT 73130 HANDS 3 VIEWS	$308.89	$308.89	—	53% above	—
X-ray of the hand, 3 or more views one side CPT 73130 HAND MIN 3 VIEWS - LEFT	$288.57	$288.57	—	43% above	—
X-ray of the hand, 3 or more views inpatient CPT 73130 HAND MIN 3 VIEWS	$288.57	$288.57	—	—	—
X-ray of the hand, 3 or more views inpatient CPT 73130 HANDS 3 VIEWS	$308.89	$308.89	—	—	—
X-ray of the hand, 3 or more views inpatient one side CPT 73130 HAND MIN 3 VIEWS - LEFT	$288.57	$288.57	—	—	—
X-ray of the knee, 1 or 2 views CPT 73560 KNEES	$327.17	$327.17	—	62% above	—
X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE 1-2 VIEWS - RIGHT	$317.42	$317.42	—	57% above	—
X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE 1-2 VIEWS - LEFT	$317.42	$317.42	—	57% above	—
X-ray of the knee, 1 or 2 views inpatient CPT 73560 KNEES	$327.17	$327.17	—	—	—
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 KNEE 1-2 VIEWS - RIGHT	$317.42	$317.42	—	—	—
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 KNEE 1-2 VIEWS - LEFT	$317.42	$317.42	—	—	—
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 SP LUMBO A/P LAT 2-3 VIEWS	$494.01	$494.01	—	80% above	—
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 SP LUMBO A/P LAT 2-3 VIEWS	$494.01	$494.01	—	—	—
X-ray of the lower back, 4 or more views CPT 72110 SP LUMBO COMP W/OBL VIEWS	$522.26	$522.26	—	77% above	—
X-ray of the lower back, 4 or more views inpatient CPT 72110 SP LUMBO COMP W/OBL VIEWS	$522.26	$522.26	—	—	—
X-ray of the mid back (thoracic spine), 2 views CPT 72070 SPINE THOR A/P AND LAT 2 VIEWS	$494.01	$494.01	—	123% above	—
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 SPINE THOR A/P AND LAT 2 VIEWS	$494.01	$494.01	—	—	—
X-ray of the nasal bones, 3 or more views CPT 70160 NASAL BONES XRAY	$357.65	$357.65	—	100% above	—
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 NASAL BONES XRAY	$357.65	$357.65	—	—	—
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XRSPINE CERV A/P/LAT 2-3 VIEWS	$471.66	$471.66	—	134% above	—
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XRSPINE CERV A/P/LAT 2-3 VIEWS	$471.66	$471.66	—	—	—
X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS A/P ONLY 1-2 VIEWS	$391.19	$391.19	—	76% above	—
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 PELVIS A/P ONLY 1-2 VIEWS	$391.19	$391.19	—	—	—
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM AND COCCYX MIN 2 VIEWS	$331.23	$331.23	—	82% above	—
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 COCCYX (SPINE)	$364.37	$364.37	—	101% above	—
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 SACRUM AND COCCYX MIN 2 VIEWS	$331.23	$331.23	—	—	—
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 COCCYX (SPINE)	$364.37	$364.37	—	—	—

Lab tests

Procedure	Cash price	List price	Insurers pay	vs New York	Off list
ACTH blood test CPT 82024 ACTH,PLASMA	$855.71	$855.71	—	508% above	—
ACTH blood test CPT 82024 A C T H	$941.09	$941.09	—	569% above	—
ACTH blood test inpatient CPT 82024 ACTH,PLASMA	$855.71	$855.71	—	—	—
ACTH blood test inpatient CPT 82024 A C T H	$941.09	$941.09	—	—	—
ALT (alanine aminotransferase) liver enzyme test CPT 84460 TRANSFERASE ALT/SGPT	$76.01	$76.01	—	238% above	—
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 TRANSFERASE ALT/SGPT	$76.01	$76.01	—	—	—
AST (aspartate aminotransferase) enzyme test CPT 84450 TRANSFERASE AST/SGOT	$82.70	$82.70	—	278% above	—
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 TRANSFERASE AST/SGOT	$82.70	$82.70	—	—	—
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS PANEL W/RFX,ACU	$659.43	$659.43	—	283% above	—
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS PANEL W/RFX,ACU	$659.43	$659.43	—	—	—
Albumin blood test CPT 82040 ALBUMIN	$76.01	$76.01	—	316% above	—
Albumin blood test inpatient CPT 82040 ALBUMIN	$76.01	$76.01	—	—	—
Aldosterone blood test CPT 82088 ALDOSTERONE,U	$179.32	$179.32	—	28% above	—
Aldosterone blood test CPT 82088 ALDOSTERONE, SERUM	$623.50	$623.50	—	345% above	—
Aldosterone blood test inpatient CPT 82088 ALDOSTERONE,U	$179.32	$179.32	—	—	—
Aldosterone blood test inpatient CPT 82088 ALDOSTERONE, SERUM	$623.50	$623.50	—	—	—
Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSPHATASE	$75.19	$75.19	—	289% above	—
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALKALINE PHOSPHATASE	$75.19	$75.19	—	—	—
Allergy blood test, specific IgE, per allergen CPT 86003 GRASS PROFILE	$247.92	$247.92	—	1616% above	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GRASS PROFILE	$247.92	$247.92	—	—	—
Alpha-fetoprotein (AFP) blood test CPT 82105 AFP,TUMOR MARKER,SERUM	$243.76	$243.76	—	294% above	—
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA FETOPROTEIN, SERUM	$243.85	$243.85	—	294% above	—
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 AFP,TUMOR MARKER,SERUM	$243.76	$243.76	—	—	—
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA FETOPROTEIN, SERUM	$243.85	$243.85	—	—	—
Ammonia blood test CPT 82140 AMMONIA	$228.02	$228.02	—	332% above	—
Ammonia blood test inpatient CPT 82140 AMMONIA	$228.02	$228.02	—	—	—
Amylase blood test CPT 82150 AMYLASE	$76.01	$76.01	—	151% above	—
Amylase blood test inpatient CPT 82150 AMYLASE	$76.01	$76.01	—	—	—
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULLINE PEP IGG	$305.34	$305.34	—	552% above	—
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRULLINE PEP IGG	$305.34	$305.34	—	—	—
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANACHOICE SCR	$141.12	$141.12	—	216% above	—
Antinuclear antibody (ANA) blood test, screen CPT 86038 LE PREP	$144.27	$144.27	—	223% above	—
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA SCREEN	$155.24	$155.24	—	248% above	—
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANACHOICE SCR	$141.12	$141.12	—	—	—
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 LE PREP	$144.27	$144.27	—	—	—
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA SCREEN	$155.24	$155.24	—	—	—
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP ASSAY(POINT OF CARE)	$267.08	$267.08	—	117% above	—
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE	$375.54	$375.54	—	206% above	—
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 BNP ASSAY(POINT OF CARE)	$267.08	$267.08	—	—	—
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NATRIURETIC PEPTIDE	$375.54	$375.54	—	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE, CSF	$155.24	$155.24	—	304% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE, SPUTUM	$160.95	$160.95	—	319% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE, OTHER	$230.23	$230.23	—	500% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE, WOUND	$230.23	$230.23	—	500% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 GENITAL CULTURE	$232.48	$232.48	—	506% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 BODY FLUID CULTURE	$232.48	$232.48	—	506% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE, CSF	$155.24	$155.24	—	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE, SPUTUM	$160.95	$160.95	—	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE, WOUND	$230.23	$230.23	—	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE, OTHER	$230.23	$230.23	—	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 GENITAL CULTURE	$232.48	$232.48	—	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 BODY FLUID CULTURE	$232.48	$232.48	—	—	—
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC P	$85.16	$85.16	—	44% above	—
Basic metabolic panel (blood test) CPT 80048 PANEL1-BASIC METABOLIC	$311.88	$311.88	—	426% above	—
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC P	$85.16	$85.16	—	—	—
Basic metabolic panel (blood test) inpatient CPT 80048 PANEL1-BASIC METABOLIC	$311.88	$311.88	—	—	—
Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL	$82.70	$82.70	—	315% above	—
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN TOTAL	$82.70	$82.70	—	—	—
Biopsy tissue exam by a pathologist (level IV) CPT 88305 G&M SURGICAL TISSUE IV	$118.20	$118.20	—	18% below	—
Biopsy tissue exam by a pathologist (level IV) CPT 88305 CELL BLOCK	$125.17	$125.17	—	13% below	—
Biopsy tissue exam by a pathologist (level IV) CPT 88305 BONE MARROW,BX	$1,142.27	$1,142.27	—	693% above	—
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 G&M SURGICAL TISSUE IV	$118.20	$118.20	—	—	—
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 CELL BLOCK	$125.17	$125.17	—	—	—
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 BONE MARROW,BX	$1,142.27	$1,142.27	—	—	—
Blood culture for bacteria CPT 87040 CULT,BLD,AEROB W ISO/ID	$228.02	$228.02	—	318% above	—
Blood culture for bacteria inpatient CPT 87040 CULT,BLD,AEROB W ISO/ID	$228.02	$228.02	—	—	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE ROUTINE,SPEC COLL	$41.99	$41.99	—	209% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCT/PHLEBTOMY	$44.70	$44.70	—	229% above	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 ROUTINE VENIPUNCTURE	$50.80	$50.80	—	274% above	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE ROUTINE,SPEC COLL	$41.99	$41.99	—	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCT/PHLEBTOMY	$44.70	$44.70	—	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 ROUTINE VENIPUNCTURE	$50.80	$50.80	—	—	—
Blood glucose (sugar) test CPT 82947 GLUCOSE	$42.46	$42.46	—	136% above	—
Blood glucose (sugar) test CPT 82947 GLUCOSE FASTING	$69.09	$69.09	—	284% above	—
Blood glucose (sugar) test CPT 82947 GLUCOSE CSF, FLD, BLD	$76.01	$76.01	—	322% above	—
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE	$42.46	$42.46	—	—	—
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE FASTING	$69.09	$69.09	—	—	—
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE CSF, FLD, BLD	$76.01	$76.01	—	—	—
Blood lead test CPT 83655 LEAD WB	$101.61	$101.61	—	132% above	—
Blood lead test inpatient CPT 83655 LEAD WB	$101.61	$101.61	—	—	—
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG-QUAL	$77.21	$77.21	—	141% above	—
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG-QUAL	$77.21	$77.21	—	—	—
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO	$776.18	$776.18	—	409% above	—
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO	$776.18	$776.18	—	—	—
Blood urea nitrogen (BUN) test CPT 84520 UREA NITROGEN (BUN)	$82.70	$82.70	—	287% above	—
Blood urea nitrogen (BUN) test inpatient CPT 84520 UREA NITROGEN (BUN)	$82.70	$82.70	—	—	—
C-peptide blood test CPT 84681 C-PEPTIDE	$155.24	$155.24	—	102% above	—
C-peptide blood test inpatient CPT 84681 C-PEPTIDE	$155.24	$155.24	—	—	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN (CRP)	$82.70	$82.70	—	213% above	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN (CRP)	$82.70	$82.70	—	—	—
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF AMPLIFIED PROBE	$147.53	$147.53	—	20% above	—
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C DIFF AMPLIFIED PROBE	$147.53	$147.53	—	—	—
CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 1 of 2	$282.24	$282.24	—	275% above	—
CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9	$310.47	$310.47	—	312% above	—
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9 1 of 2	$282.24	$282.24	—	—	—
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9	$310.47	$310.47	—	—	—
CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125	$155.24	$155.24	—	102% above	—
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125	$155.24	$155.24	—	—	—
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS COV-2 covid19 Amp prb	$76.98	$76.98	—	14% below	—
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SAR-COV-2, INFLU,A&B, RSV	$76.98	$76.98	—	14% below	—
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SAR-COV-2, INFLU,A&B, RSV	$76.98	$76.98	—	—	—
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS COV-2 covid19 Amp prb	$76.98	$76.98	—	—	—
Calcium blood test, total CPT 82310 CALCIUM-BLOOD	$76.01	$76.01	—	299% above	—
Calcium blood test, total inpatient CPT 82310 CALCIUM-BLOOD	$76.01	$76.01	—	—	—
Carcinoembryonic antigen (CEA) test CPT 82378 CARCINOEMBRYONIC ANTIGEN (CEA)	$239.19	$239.19	—	242% above	—
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CARCINOEMBRYONIC ANTIGEN (CEA)	$239.19	$239.19	—	—	—
Chickenpox (varicella) immunity blood test CPT 86787 VZV AB (IGM),IFA	$79.54	$79.54	—	90% above	—
Chickenpox (varicella) immunity blood test CPT 86787 VZV AB (IGG),EIA	$79.54	$79.54	—	90% above	—
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER, IGG	$87.18	$87.18	—	109% above	—
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VZV AB (IGG),EIA	$79.54	$79.54	—	—	—
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VZV AB (IGM),IFA	$79.54	$79.54	—	—	—
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOSTER, IGG	$87.18	$87.18	—	—	—
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL	$169.88	$169.88	—	162% above	—
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL	$169.88	$169.88	—	—	—
Complete blood count (CBC) with differential CPT 85025 CBC W/DIFFERENTIAL	$46.74	$46.74	—	23% above	—
Complete blood count (CBC) with differential CPT 85025 CBC/PLT, AUTO + AUTO DIFF	$128.42	$128.42	—	237% above	—
Complete blood count (CBC) with differential inpatient CPT 85025 CBC W/DIFFERENTIAL	$46.74	$46.74	—	—	—
Complete blood count (CBC) with differential inpatient CPT 85025 CBC/PLT, AUTO + AUTO DIFF	$128.42	$128.42	—	—	—
Complete blood count (CBC), no differential CPT 85027 CBC/PLT,AUTO	$47.51	$47.51	—	67% above	—
Complete blood count (CBC), no differential inpatient CPT 85027 CBC/PLT,AUTO	$47.51	$47.51	—	—	—
Comprehensive metabolic panel (blood test) CPT 80053 PANEL3-COMRPRE METABOLIC (10TS	$405.40	$405.40	—	417% above	—
Comprehensive metabolic panel (blood test) inpatient CPT 80053 PANEL3-COMRPRE METABOLIC (10TS	$405.40	$405.40	—	—	—
Cortisol blood test, total CPT 82533 CORTISOL-TOTAL	$174.35	$174.35	—	243% above	—
Cortisol blood test, total inpatient CPT 82533 CORTISOL-TOTAL	$174.35	$174.35	—	—	—
Creatine kinase (CK) blood test, total CPT 82550 CREATIVE KINASE(CK)	$82.70	$82.70	—	231% above	—
Creatine kinase (CK) blood test, total inpatient CPT 82550 CREATIVE KINASE(CK)	$82.70	$82.70	—	—	—
Creatinine blood test CPT 82565 CREATININE	$14.57	$14.57	—	38% below	—
Creatinine blood test CPT 82565 CREATININE-BLOOD	$145.30	$145.30	—	521% above	—
Creatinine blood test inpatient CPT 82565 CREATININE	$14.57	$14.57	—	—	—
Creatinine blood test inpatient CPT 82565 CREATININE-BLOOD	$145.30	$145.30	—	—	—
Cytomegalovirus (CMV) antibody test CPT 86644 CMV SCREENING TEST CHARGE	$46.93	$46.93	—	8% below	—
Cytomegalovirus (CMV) antibody test CPT 86644 CMV NEGATIVE COMPONENTS	$776.18	$776.18	—	1420% above	—
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV SCREENING TEST CHARGE	$46.93	$46.93	—	—	—
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV NEGATIVE COMPONENTS	$776.18	$776.18	—	—	—
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER,QUANT	$187.77	$187.77	—	400% above	—
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER,QUANT	$187.77	$187.77	—	—	—
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA SULPHATE	$329.21	$329.21	—	301% above	—
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA SULFATE	$329.71	$329.71	—	302% above	—
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA SULPHATE	$329.21	$329.21	—	—	—
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA SULFATE	$329.71	$329.71	—	—	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TOXICOLLOGY MONITORING 2	$130.86	$130.86	—	7% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCRN 10 W/CON THC 50	$409.25	$409.25	—	236% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN 10 DRUG,W/O C	$409.25	$409.25	—	236% above	—
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG TOXICOLLOGY MONITORING 2	$130.86	$130.86	—	—	—
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCRN 10 W/CON THC 50	$409.25	$409.25	—	—	—
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN 10 DRUG,W/O C	$409.25	$409.25	—	—	—
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 PANEL2-ELECTROLYTE (4TEST)	$134.11	$134.11	—	285% above	—
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 PANEL2-ELECTROLYTE (4TEST)	$134.11	$134.11	—	—	—
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV CAPSID AB (IGG,M)	$221.95	$221.95	—	402% above	—
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV CAPSID AB (IGG,M)	$221.95	$221.95	—	—	—
Estradiol blood test CPT 82670 ESTRADIOL	$343.44	$343.44	—	247% above	—
Estradiol blood test inpatient CPT 82670 ESTRADIOL	$343.44	$343.44	—	—	—
FSH (follicle-stimulating hormone) test CPT 83001 FSH,SERUM	$28.23	$28.23	—	59% below	—
FSH (follicle-stimulating hormone) test CPT 83001 FOLLICLE STIMULATING HORMONE	$28.45	$28.45	—	59% below	—
FSH (follicle-stimulating hormone) test CPT 83001 GONADOTROPIN (FSH)	$187.77	$187.77	—	174% above	—
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH,SERUM	$28.23	$28.23	—	—	—
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FOLLICLE STIMULATING HORMONE	$28.45	$28.45	—	—	—
FSH (follicle-stimulating hormone) test inpatient CPT 83001 GONADOTROPIN (FSH)	$187.77	$187.77	—	—	—
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN, STOOL	$347.75	$347.75	—	283% above	—
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN, STOOL	$347.75	$347.75	—	—	—
Ferritin blood test (iron stores) CPT 82728 FERRITIN (BY EIA)	$197.12	$197.12	—	254% above	—
Ferritin blood test (iron stores) CPT 82728 FERRITIN	$312.95	$312.95	—	462% above	—
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN (BY EIA)	$197.12	$197.12	—	—	—
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN	$312.95	$312.95	—	—	—
Fibrinogen blood test CPT 85384 FIBRINOGEN	$141.12	$141.12	—	273% above	—
Fibrinogen blood test CPT 85384 FIBRINOGEN ACTIVITY	$155.24	$155.24	—	310% above	—
Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN	$141.12	$141.12	—	—	—
Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN ACTIVITY	$155.24	$155.24	—	—	—
Folate (folic acid) blood test CPT 82746 FOLATE	$319.65	$319.65	—	489% above	—
Folate (folic acid) blood test inpatient CPT 82746 FOLATE	$319.65	$319.65	—	—	—
Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE THYROXINE	$168.65	$168.65	—	251% above	—
Free T4 (free thyroxine) thyroid blood test CPT 84439 FT4	$346.48	$346.48	—	622% above	—
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 FREE THYROXINE	$168.65	$168.65	—	—	—
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 FT4	$346.48	$346.48	—	—	—
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GLUTAMYL TRANSFERASE(GAMMA GT)	$96.12	$96.12	—	262% above	—
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GLUTAMYL TRANSFERASE(GAMMA GT)	$96.12	$96.12	—	—	—
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 QUANT&REVRSE TRNSCRPJ	$669.69	$669.69	—	190% above	—
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 QUANT&REVRSE TRNSCRPJ	$669.69	$669.69	—	—	—
HIV-1 and HIV-2 antibody test CPT 86703 SPC-SCREEN ONLY	$259.88	$259.88	—	419% above	—
HIV-1 and HIV-2 antibody test inpatient CPT 86703 SPC-SCREEN ONLY	$259.88	$259.88	—	—	—
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1 AG W/HIV-1 & HIV-2 AB	$202.70	$202.70	—	144% above	—
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV-1 AG W/HIV-1 & HIV-2 AB	$202.70	$202.70	—	—	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HGB,GLUCOSYLATED (A1C)	$324.12	$324.12	—	804% above	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HGB,GLUCOSYLATED (A1C)	$324.12	$324.12	—	—	—
Hemoglobin blood test CPT 85018 HEMOGLOBIN(HGB)	$78.23	$78.23	—	442% above	—
Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN(HGB)	$78.23	$78.23	—	—	—
Hepatitis B core antibody test (total) CPT 86704 HB CORE AB,TOTAL	$188.59	$188.59	—	332% above	—
Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE AB	$207.88	$207.88	—	377% above	—
Hepatitis B core antibody test (total) inpatient CPT 86704 HB CORE AB,TOTAL	$188.59	$188.59	—	—	—
Hepatitis B core antibody test (total) inpatient CPT 86704 HEPATITIS B CORE AB	$207.88	$207.88	—	—	—
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS BS AB	$123.96	$123.96	—	213% above	—
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HB S AB, QL	$124.44	$124.44	—	214% above	—
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HB S AB 2 of 2	$124.44	$124.44	—	214% above	—
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE AB	$168.65	$168.65	—	325% above	—
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS BS AB	$123.96	$123.96	—	—	—
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HB S AB, QL	$124.44	$124.44	—	—	—
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HB S AB 2 of 2	$124.44	$124.44	—	—	—
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEP B SURFACE AB	$168.65	$168.65	—	—	—
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEP B SURFACE AG	$176.59	$176.59	—	372% above	—
Hepatitis B surface antigen (HBsAg) test CPT 87340 HB S AG W/REFLEX CONF	$184.75	$184.75	—	394% above	—
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEP B SURFACE AG	$176.59	$176.59	—	—	—
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HB S AG W/REFLEX CONF	$184.75	$184.75	—	—	—
Hepatitis C antibody blood test (screening) CPT 86803 HCV AB W/RFL RNA,QN PCR 1 of 2	$292.51	$292.51	—	451% above	—
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY	$292.63	$292.63	—	451% above	—
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HCV AB W/RFL RNA,QN PCR 1 of 2	$292.51	$292.51	—	—	—
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C ANTIBODY	$292.63	$292.63	—	—	—
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA,PCR	$773.61	$773.61	—	491% above	—
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV RNA,PCR	$773.61	$773.61	—	—	—
Herpes blood test, HSV-1 antibody CPT 86695 HERPES VIRUS DFA	$176.80	$176.80	—	384% above	—
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES VIRUS DFA	$176.80	$176.80	—	—	—
Herpes blood test, HSV-2 antibody CPT 86696 HSV-2 IGG INHIBITIONS STU	$214.25	$214.25	—	283% above	—
Herpes blood test, HSV-2 antibody CPT 86696 AB; HSV TYPE 2	$214.25	$214.25	—	283% above	—
Herpes blood test, HSV-2 antibody inpatient CPT 86696 AB; HSV TYPE 2	$214.25	$214.25	—	—	—
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV-2 IGG INHIBITIONS STU	$214.25	$214.25	—	—	—
High-sensitivity CRP (hs-CRP) test CPT 86141 CARDIO CRP	$179.61	$179.61	—	283% above	—
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CARDIO CRP	$179.61	$179.61	—	—	—
Homocysteine blood test CPT 83090 HOMOCYSTEINE	$282.24	$282.24	—	342% above	—
Homocysteine blood test CPT 83090 HOMOCYSTEINE 2 of 2	$282.24	$282.24	—	342% above	—
Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE 2 of 2	$282.24	$282.24	—	—	—
Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE	$282.24	$282.24	—	—	—
Insulin blood test CPT 83525 INSULIN,SERUM	$125.73	$125.73	—	198% above	—
Insulin blood test CPT 83525 INSULIN, TOTAL	$138.59	$138.59	—	228% above	—
Insulin blood test CPT 83525 INSULIN ADDTNL STUDY	$172.73	$172.73	—	309% above	—
Insulin blood test inpatient CPT 83525 INSULIN,SERUM	$125.73	$125.73	—	—	—
Insulin blood test inpatient CPT 83525 INSULIN, TOTAL	$138.59	$138.59	—	—	—
Insulin blood test inpatient CPT 83525 INSULIN ADDTNL STUDY	$172.73	$172.73	—	—	—
Iron blood test (serum iron) CPT 83540 IRON	$125.99	$125.99	—	385% above	—
Iron blood test (serum iron) inpatient CPT 83540 IRON	$125.99	$125.99	—	—	—
Iron-binding capacity (TIBC) test CPT 83550 TOTAL IRON BINDING CAPACITY	$141.12	$141.12	—	272% above	—
Iron-binding capacity (TIBC) test CPT 83550 IRON/TIBC	$155.24	$155.24	—	309% above	—
Iron-binding capacity (TIBC) test inpatient CPT 83550 TOTAL IRON BINDING CAPACITY	$141.12	$141.12	—	—	—
Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON/TIBC	$155.24	$155.24	—	—	—
LH (luteinizing hormone) test CPT 83002 LH,SERUM	$28.23	$28.23	—	59% below	—
LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE(LH)	$31.31	$31.31	—	54% below	—
LH (luteinizing hormone) test inpatient CPT 83002 LH,SERUM	$28.23	$28.23	—	—	—
LH (luteinizing hormone) test inpatient CPT 83002 LUTEINIZING HORMONE(LH)	$31.31	$31.31	—	—	—
Lactate (lactic acid) blood test CPT 83605 LACTATE	$136.34	$136.34	—	241% above	—
Lactate (lactic acid) blood test inpatient CPT 83605 LACTATE	$136.34	$136.34	—	—	—
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH	$100.59	$100.59	—	351% above	—
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH	$100.59	$100.59	—	—	—
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE	$160.95	$160.95	—	473% above	—
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE	$160.95	$160.95	—	—	—
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL	$558.84	$558.84	—	835% above	—
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL	$558.84	$558.84	—	—	—
Lyme disease antibody test CPT 86618 LYME BORRELIA BURG. AB	$263.77	$263.77	—	474% above	—
Lyme disease antibody test CPT 86618 B.BURGDORFERI AB SCREEN W	$268.13	$268.13	—	484% above	—
Lyme disease antibody test inpatient CPT 86618 LYME BORRELIA BURG. AB	$263.77	$263.77	—	—	—
Lyme disease antibody test inpatient CPT 86618 B.BURGDORFERI AB SCREEN W	$268.13	$268.13	—	—	—
Magnesium blood test CPT 83735 MAGNESIUM	$96.12	$96.12	—	289% above	—
Magnesium blood test inpatient CPT 83735 MAGNESIUM	$96.12	$96.12	—	—	—
Measles (rubeola) antibody test CPT 86765 RUBEOLA AB (IGG),EIA	$79.54	$79.54	—	75% above	—
Measles (rubeola) antibody test CPT 86765 RUBEOLA AB, (MEASLES)	$87.18	$87.18	—	92% above	—
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA AB (IGG),EIA	$79.54	$79.54	—	—	—
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA AB, (MEASLES)	$87.18	$87.18	—	—	—
Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE AB SCR	$87.18	$87.18	—	174% above	—
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HETEROPHILE AB SCR	$87.18	$87.18	—	—	—
Mumps immunity blood test CPT 86735 MUMPS AB (IGG)	$79.54	$79.54	—	87% above	—
Mumps immunity blood test CPT 86735 MUMPS AB	$87.18	$87.18	—	105% above	—
Mumps immunity blood test inpatient CPT 86735 MUMPS AB (IGG)	$79.54	$79.54	—	—	—
Mumps immunity blood test inpatient CPT 86735 MUMPS AB	$87.18	$87.18	—	—	—
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE	$288.35	$288.35	—	387% above	—
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA FREE	$288.35	$288.35	—	—	—
PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTASURE	$262.15	$262.15	—	300% above	—
PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE SPECIFIC AG	$288.35	$288.35	—	340% above	—
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTASURE	$262.15	$262.15	—	—	—
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATE SPECIFIC AG	$288.35	$288.35	—	—	—
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CP CERV/VAG; ATL; MANUAL SCRN	$227.20	$227.20	—	224% above	—
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 CP CERV/VAG; ATL; MANUAL SCRN	$227.20	$227.20	—	—	—
Parathyroid hormone (PTH) blood test CPT 83970 PTH INTACT	$599.07	$599.07	—	341% above	—
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH INTACT	$599.07	$599.07	—	—	—
Partial thromboplastin time (PTT) clotting test CPT 85730 P.T.T.	$76.23	$76.23	—	239% above	—
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 P.T.T.	$76.23	$76.23	—	—	—
Phosphorus (phosphate) blood test CPT 84100 PHOSPHOROUS,INORG.	$82.70	$82.70	—	307% above	—
Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHOROUS,INORG.	$82.70	$82.70	—	—	—
Potassium blood test CPT 84132 POTASSIUM	$14.57	$14.57	—	33% below	—
Potassium blood test CPT 84132 POTASSIUM, S, P, WB	$93.87	$93.87	—	335% above	—
Potassium blood test inpatient CPT 84132 POTASSIUM	$14.57	$14.57	—	—	—
Potassium blood test inpatient CPT 84132 POTASSIUM, S, P, WB	$93.87	$93.87	—	—	—
Progesterone blood test CPT 84144 PROGESTERONE	$249.95	$249.95	—	192% above	—
Progesterone blood test CPT 84144 PROGESTERONE ASSAY	$250.17	$250.17	—	192% above	—
Progesterone blood test inpatient CPT 84144 PROGESTERONE	$249.95	$249.95	—	—	—
Progesterone blood test inpatient CPT 84144 PROGESTERONE ASSAY	$250.17	$250.17	—	—	—
Prolactin blood test CPT 84146 PROLACTIN,SERUM	$368.20	$368.20	—	415% above	—
Prolactin blood test CPT 84146 PROLACTIN	$404.59	$404.59	—	466% above	—
Prolactin blood test inpatient CPT 84146 PROLACTIN,SERUM	$368.20	$368.20	—	—	—
Prolactin blood test inpatient CPT 84146 PROLACTIN	$404.59	$404.59	—	—	—
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME	$75.19	$75.19	—	385% above	—
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME	$75.19	$75.19	—	—	—
Renin blood test CPT 84244 RENIN,PRE AND POST	$207.27	$207.27	—	160% above	—
Renin blood test CPT 84244 PLASMA RENIN ACTIVITY	$207.84	$207.84	—	161% above	—
Renin blood test CPT 84244 RENIN LEVEL	$331.23	$331.23	—	316% above	—
Renin blood test inpatient CPT 84244 RENIN,PRE AND POST	$207.27	$207.27	—	—	—
Renin blood test inpatient CPT 84244 PLASMA RENIN ACTIVITY	$207.84	$207.84	—	—	—
Renin blood test inpatient CPT 84244 RENIN LEVEL	$331.23	$331.23	—	—	—
Rh blood typing CPT 86901 RH BILL	$776.18	$776.18	—	1571% above	—
Rh blood typing inpatient CPT 86901 RH BILL	$776.18	$776.18	—	—	—
Rheumatoid factor (RF) test CPT 86431 RHEUM FACTOR QUANT	$136.34	$136.34	—	551% above	—
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUM FACTOR QUANT	$136.34	$136.34	—	—	—
Rubella antibody test (immunity check) CPT 86762 RUBELLA AB (IGG)	$87.24	$87.24	—	103% above	—
Rubella antibody test (immunity check) CPT 86762 RUBELLA TITER HI	$96.12	$96.12	—	124% above	—
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA AB (IGG)	$87.24	$87.24	—	—	—
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA TITER HI	$96.12	$96.12	—	—	—
Sodium blood test CPT 84295 SODIUM	$14.57	$14.57	—	21% below	—
Sodium blood test CPT 84295 SODIUM,S, P, WB	$93.87	$93.87	—	409% above	—
Sodium blood test inpatient CPT 84295 SODIUM	$14.57	$14.57	—	—	—
Sodium blood test inpatient CPT 84295 SODIUM,S, P, WB	$93.87	$93.87	—	—	—
Stool ova and parasites exam CPT 87177 OVA & PARASITES SMEAR	$105.07	$105.07	—	220% above	—
Stool ova and parasites exam inpatient CPT 87177 OVA & PARASITES SMEAR	$105.07	$105.07	—	—	—
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULTBLD, 1X3/3X1,NEOPL SCR	$194.47	$194.47	—	1385% above	—
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULTBLD, 1X3/3X1,NEOPL SCR	$194.47	$194.47	—	—	—
Syphilis antibody test (Treponema pallidum) CPT 86780 T. PALLIDIUM CONF (FTA/TP-PA)	$142.25	$142.25	—	238% above	—
Syphilis antibody test (Treponema pallidum) CPT 86780 FTA-ABS,SERUM	$142.41	$142.41	—	238% above	—
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 T. PALLIDIUM CONF (FTA/TP-PA)	$142.25	$142.25	—	—	—
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 FTA-ABS,SERUM	$142.41	$142.41	—	—	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST NON-TREP QUAL	$110.33	$110.33	—	600% above	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL,CSF	$110.33	$110.33	—	600% above	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR W/TITER & CONF RFX	$110.33	$110.33	—	600% above	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR (MONITOR) WITH REFLEX TO T	$115.46	$115.46	—	633% above	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL,CSF	$110.33	$110.33	—	—	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR W/TITER & CONF RFX	$110.33	$110.33	—	—	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 SYPHILIS TEST NON-TREP QUAL	$110.33	$110.33	—	—	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR (MONITOR) WITH REFLEX TO T	$115.46	$115.46	—	—	—
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON-TB GOLD	$514.46	$514.46	—	243% above	—
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON-TB GOLD	$514.46	$514.46	—	—	—
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE	$1,221.32	$1,221.32	—	1306% above	—
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE; TOTAL	$1,221.35	$1,221.35	—	1306% above	—
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE	$1,221.32	$1,221.32	—	—	—
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE; TOTAL	$1,221.35	$1,221.35	—	—	—
Thyroid peroxidase (TPO) antibody test CPT 86376 ANTI THYROID MICRO ANTIBODY	$176.80	$176.80	—	236% above	—
Thyroid peroxidase (TPO) antibody test CPT 86376 ANTI-THYROID ANTIBODY	$176.80	$176.80	—	236% above	—
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE AB	$259.15	$259.15	—	392% above	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 ANTI THYROID MICRO ANTIBODY	$176.80	$176.80	—	—	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 ANTI-THYROID ANTIBODY	$176.80	$176.80	—	—	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID PEROXIDASE AB	$259.15	$259.15	—	—	—
Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMULATING HORMONE	$169.88	$169.88	—	135% above	—
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIMULATING HORMONE	$169.88	$169.88	—	—	—
Total IgE blood test CPT 82785 IGE,SERUM	$192.44	$192.44	—	223% above	—
Total IgE blood test CPT 82785 IGE LEVEL	$193.05	$193.05	—	224% above	—
Total IgE blood test inpatient CPT 82785 IGE,SERUM	$192.44	$192.44	—	—	—
Total IgE blood test inpatient CPT 82785 IGE LEVEL	$193.05	$193.05	—	—	—
Total cholesterol blood test CPT 82465 CHOLESTEROL TOTAL	$76.01	$76.01	—	276% above	—
Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL TOTAL	$76.01	$76.01	—	—	—
Total thyroxine (T4) blood test CPT 84436 THYROXINE (T4)	$89.42	$89.42	—	219% above	—
Total thyroxine (T4) blood test inpatient CPT 84436 THYROXINE (T4)	$89.42	$89.42	—	—	—
Total triiodothyronine (T3) blood test CPT 84480 T-3 (RIA)	$193.05	$193.05	—	249% above	—
Total triiodothyronine (T3) blood test CPT 84480 TRIIODOTHYRONINE(T3)	$277.18	$277.18	—	402% above	—
Total triiodothyronine (T3) blood test inpatient CPT 84480 T-3 (RIA)	$193.05	$193.05	—	—	—
Total triiodothyronine (T3) blood test inpatient CPT 84480 TRIIODOTHYRONINE(T3)	$277.18	$277.18	—	—	—
Transferrin blood test CPT 84466 TRANSFERRIN,SERUM	$234.78	$234.78	—	398% above	—
Transferrin blood test inpatient CPT 84466 TRANSFERRIN,SERUM	$234.78	$234.78	—	—	—
Triglycerides blood test CPT 84478 TRIGLYCERIDES	$93.87	$93.87	—	267% above	—
Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDES	$93.87	$93.87	—	—	—
Troponin test, quantitative CPT 84484 TROPONIN I	$223.53	$223.53	—	446% above	—
Troponin test, quantitative inpatient CPT 84484 TROPONIN I	$223.53	$223.53	—	—	—
Uric acid blood test CPT 84550 URIC ACID	$82.70	$82.70	—	250% above	—
Uric acid blood test inpatient CPT 84550 URIC ACID	$82.70	$82.70	—	—	—
Urinalysis with microscope exam, automated CPT 81001 UA,AUTO W MICROSCOPIC	$53.65	$53.65	—	99% above	—
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS W MICRO	$53.65	$53.65	—	99% above	—
Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS W MICRO	$53.65	$53.65	—	—	—
Urinalysis with microscope exam, automated inpatient CPT 81001 UA,AUTO W MICROSCOPIC	$53.65	$53.65	—	—	—
Urinalysis without microscope exam, automated CPT 81003 UA,AUTO W/O MICRO	$51.40	$51.40	—	308% above	—
Urinalysis without microscope exam, automated inpatient CPT 81003 UA,AUTO W/O MICRO	$51.40	$51.40	—	—	—
Urinalysis without microscope exam, manual CPT 81002 SPECIFIC GRAVITY	$46.74	$46.74	—	349% above	—
Urinalysis without microscope exam, manual inpatient CPT 81002 SPECIFIC GRAVITY	$46.74	$46.74	—	—	—
Urine culture for bacteria, with colony count CPT 87086 URINE CULTURE QUANT	$174.35	$174.35	—	357% above	—
Urine culture for bacteria, with colony count inpatient CPT 87086 URINE CULTURE QUANT	$174.35	$174.35	—	—	—
Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN,RND U W/O CR	$282.24	$282.24	—	943% above	—
Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN UR	$282.24	$282.24	—	943% above	—
Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN,RND U W/O CR	$282.24	$282.24	—	—	—
Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN UR	$282.24	$282.24	—	—	—
Urine pregnancy test, read by color change CPT 81025 PREGNANCY TEST,URINE	$201.18	$201.18	—	601% above	—
Urine pregnancy test, read by color change inpatient CPT 81025 PREGNANCY TEST,URINE	$201.18	$201.18	—	—	—
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 SERUM	$241.41	$241.41	—	334% above	—
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12 SERUM	$241.41	$241.41	—	—	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D,25-OH,TOTAL,IA	$433.63	$433.63	—	387% above	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 QUESTASSURED 25-OH VIT. D	$433.63	$433.63	—	387% above	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D,25-OH,TOTAL,IA	$433.63	$433.63	—	—	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 QUESTASSURED 25-OH VIT. D	$433.63	$433.63	—	—	—
Vitamin D, 1,25-dihydroxy blood test CPT 82652 VIT D 1 25-DIHYDROXY	$578.60	$578.60	—	440% above	—
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 VIT D 1 25-DIHYDROXY	$578.60	$578.60	—	—	—
Zinc blood test CPT 84630 ZINC	$107.70	$107.70	—	211% above	—
Zinc blood test inpatient CPT 84630 ZINC	$107.70	$107.70	—	—	—
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG (TOTAL BETA)	$87.18	$87.18	—	57% above	—
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG (TOTAL BETA)	$87.18	$87.18	—	—	—

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs New York	Off list
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 CL TX DSTL FIB FX WO MNP BIL	$2,610.76	$2,610.76	—	386% above	—
Broken ankle (outer ankle bone) treatment without surgery or setting one side CPT 27786 CL TX DSTL FIB FX WO MNP LT	$1,160.03	$1,160.03	—	116% above	—
Broken ankle (outer ankle bone) treatment without surgery or setting one side CPT 27786 CL TX DSTL FIB FX WO MNP RT	$1,160.03	$1,160.03	—	116% above	—
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 CL TX DSTL FIB FX WO MNP BIL	$2,610.76	$2,610.76	—	—	—
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient one side CPT 27786 CL TX DSTL FIB FX WO MNP RT	$1,160.03	$1,160.03	—	—	—
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient one side CPT 27786 CL TX DSTL FIB FX WO MNP LT	$1,160.03	$1,160.03	—	—	—
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 CL TX METATARSAL FX; WO MANIP	$705.61	$705.61	—	55% above	—
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 CL TX METATARSAL FX; WO MANIP	$705.61	$705.61	—	—	—
Cardiac catheterization with coronary angiogram CPT 93458 LHC, COR/VENT, INJ/IMAG	$16,911.35	$16,911.35	—	152% above	—
Cardiac catheterization with coronary angiogram inpatient CPT 93458 LHC, COR/VENT, INJ/IMAG	$16,911.35	$16,911.35	—	—	—
Cardioversion, elective (restoring heart rhythm) CPT 92960 EMERGENCY CARDIOVERSION	$2,828.28	$2,828.28	—	190% above	—
Cardioversion, elective (restoring heart rhythm) CPT 92960 ELECTIVE CARDIOVERSION	$2,828.28	$2,828.28	—	190% above	—
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION,ELECTIVE	$2,854.76	$2,854.76	—	192% above	—
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTRIC EXT	$5,125.56	$5,125.56	—	425% above	—
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 ELECTIVE CARDIOVERSION	$2,828.28	$2,828.28	—	—	—
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 EMERGENCY CARDIOVERSION	$2,828.28	$2,828.28	—	—	—
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION,ELECTIVE	$2,854.76	$2,854.76	—	—	—
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION ELECTRIC EXT	$5,125.56	$5,125.56	—	—	—
Catheter ablation for atrial fibrillation CPT 93656 COMP EP EVAL,TRANSSEP,W ABL AF	$103,801.80	$103,801.80	—	258% above	—
Catheter ablation for atrial fibrillation inpatient CPT 93656 COMP EP EVAL,TRANSSEP,W ABL AF	$103,801.80	$103,801.80	—	—	—
Cervical biopsy CPT 57500 EXCN/BX LESION,CERVIX W/WO FLU	$725.28	$725.28	—	52% below	—
Cervical biopsy inpatient CPT 57500 EXCN/BX LESION,CERVIX W/WO FLU	$725.28	$725.28	—	—	—
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CLTX DSTL RAD FX/EPHYSL WO BIL	$2,691.20	$2,691.20	—	376% above	—
Closed treatment of a wrist (distal radius) fracture, no resetting one side CPT 25600 CLTX DSTL RAD FX/EPHYSL WO LT	$1,195.31	$1,195.31	—	112% above	—
Closed treatment of a wrist (distal radius) fracture, no resetting one side CPT 25600 CLTX DSTL RAD FX/EPHYSL WO RT	$1,195.31	$1,195.31	—	112% above	—
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 CLTX DSTL RAD FX/EPHYSL WO BIL	$2,691.20	$2,691.20	—	—	—
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient one side CPT 25600 CLTX DSTL RAD FX/EPHYSL WO LT	$1,195.31	$1,195.31	—	—	—
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient one side CPT 25600 CLTX DSTL RAD FX/EPHYSL WO RT	$1,195.31	$1,195.31	—	—	—
Colonoscopy with tissue sample CPT 45380 COLONOSCOPY W/BIOPSY	$1,043.25	$1,043.25	—	25% below	—
Colonoscopy with tissue sample inpatient CPT 45380 COLONOSCOPY W/BIOPSY	$1,043.25	$1,043.25	—	—	—
Coronary stent placement, one artery CPT 92928 PL COR STENT,SGL COR ART/BR	$54,638.82	$54,638.82	—	292% above	—
Coronary stent placement, one artery inpatient CPT 92928 PL COR STENT,SGL COR ART/BR	$54,638.82	$54,638.82	—	—	—
Earwax removal with instruments, one ear CPT 69210 REMOVE IMPACTED EAR WAX UNI	$237.09	$237.09	—	81% above	—
Earwax removal with instruments, one ear inpatient CPT 69210 REMOVE IMPACTED EAR WAX UNI	$237.09	$237.09	—	—	—
Incision and drainage of a simple or single skin abscess CPT 10060 DRAINAGE OF SKIN ABSCESS	$345.46	$345.46	—	15% below	—
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSC; SMPL OR SGL	$2,219.16	$2,219.16	—	445% above	—
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 DRAINAGE OF SKIN ABSCESS	$345.46	$345.46	—	—	—
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSC; SMPL OR SGL	$2,219.16	$2,219.16	—	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENTESIS MAJOR 20610	$169.00	$169.00	—	65% below	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHROCENTESIS MAJOR 20610	$169.00	$169.00	—	—	—
Laser treatment of clouding after cataract surgery (YAG) CPT 66821 YAG CAPSULOTOMY	$4,000.00	$4,000.00	—	208% above	—
Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 YAG CAPSULOTOMY	$4,000.00	$4,000.00	—	—	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INTMD WND REPAIR S/A/T/EXT <=2	$1,778.14	$1,778.14	—	175% above	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 INTMD WND REPAIR S/A/T/EXT <=2	$1,778.14	$1,778.14	—	—	—
Left heart catheterization, diagnostic CPT 93452 LHC INCL.VENT INJ & IMAG	$16,911.35	$16,911.35	—	147% above	—
Left heart catheterization, diagnostic inpatient CPT 93452 LHC INCL.VENT INJ & IMAG	$16,911.35	$16,911.35	—	—	—
Nail removal (partial or complete), one nail CPT 11730 SPL AVULSE NP; SGL	$883.42	$883.42	—	140% above	—
Nail removal (partial or complete), one nail inpatient CPT 11730 SPL AVULSE NP; SGL	$883.42	$883.42	—	—	—
Pacemaker implant (dual chamber) CPT 33208 INSERT PPM W/ELECT,ATRIAL&VENT	$52,740.09	$52,740.09	—	326% above	—
Pacemaker implant (dual chamber) CPT 33208 INSERT PERM PM & A/V ELECTRODS	$53,223.94	$53,223.94	—	330% above	—
Pacemaker implant (dual chamber) inpatient CPT 33208 INSERT PPM W/ELECT,ATRIAL&VENT	$52,740.09	$52,740.09	—	—	—
Pacemaker implant (dual chamber) inpatient CPT 33208 INSERT PERM PM & A/V ELECTRODS	$53,223.94	$53,223.94	—	—	—
Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGING	$4,768.52	$4,768.52	—	207% above	—
Paracentesis with imaging guidance inpatient CPT 49083 ABD PARACENTESIS W/IMAGING	$4,768.52	$4,768.52	—	—	—
Permanent removal of a nail and nail root (partial or complete) CPT 11750 REMOVAL OF NAIL BED	$2,267.83	$2,267.83	—	208% above	—
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 REMOVAL OF NAIL BED	$2,267.83	$2,267.83	—	—	—
Removal of a foreign object under the skin, simple CPT 10120 INC & REM FB SQ; SMPL	$1,299.74	$1,299.74	—	100% above	—
Removal of a foreign object under the skin, simple inpatient CPT 10120 INC & REM FB SQ; SMPL	$1,299.74	$1,299.74	—	—	—
Short arm cast (elbow to hand) CPT 29075 SHORT ARM CAST 29075	$699.07	$699.07	—	63% above	—
Short arm cast (elbow to hand) CPT 29075 APPLY SHORT ARM CAST BIL	$1,255.99	$1,255.99	—	192% above	—
Short arm cast (elbow to hand) one side CPT 29075 APPLY SHORT ARM CAST LT	$557.44	$557.44	—	30% above	—
Short arm cast (elbow to hand) one side CPT 29075 APPLY SHORT ARM CAST RT	$557.44	$557.44	—	30% above	—
Short arm cast (elbow to hand) inpatient CPT 29075 SHORT ARM CAST 29075	$699.07	$699.07	—	—	—
Short arm cast (elbow to hand) inpatient CPT 29075 APPLY SHORT ARM CAST BIL	$1,255.99	$1,255.99	—	—	—
Short arm cast (elbow to hand) inpatient one side CPT 29075 APPLY SHORT ARM CAST RT	$557.44	$557.44	—	—	—
Short arm cast (elbow to hand) inpatient one side CPT 29075 APPLY SHORT ARM CAST LT	$557.44	$557.44	—	—	—
Short arm splint (forearm and hand) both sides CPT 29125 APPLY SHRTARM SPLINT STATIC BI	$1,397.11	$1,397.11	—	—	—
Short arm splint (forearm and hand) CPT 29125 SHORT ARM SPLINT	$190.11	$190.11	—	10% below	—
Short arm splint (forearm and hand) CPT 29125 APPLY FOREARM SPLINT-STATIC	$300.76	$300.76	—	42% above	—
Short arm splint (forearm and hand) one side CPT 29125 APPLY SHRTARM SPLNT STATIC LT	$620.94	$620.94	—	194% above	—
Short arm splint (forearm and hand) one side CPT 29125 APPLY SHRTARM SPLNT STATIC RT	$620.94	$620.94	—	194% above	—
Short arm splint (forearm and hand) inpatient both sides CPT 29125 APPLY SHRTARM SPLINT STATIC BI	$1,397.11	$1,397.11	—	—	—
Short arm splint (forearm and hand) inpatient CPT 29125 SHORT ARM SPLINT	$190.11	$190.11	—	—	—
Short arm splint (forearm and hand) inpatient CPT 29125 APPLY FOREARM SPLINT-STATIC	$300.76	$300.76	—	—	—
Short arm splint (forearm and hand) inpatient one side CPT 29125 APPLY SHRTARM SPLNT STATIC LT	$620.94	$620.94	—	—	—
Short arm splint (forearm and hand) inpatient one side CPT 29125 APPLY SHRTARM SPLNT STATIC RT	$620.94	$620.94	—	—	—
Short leg cast (below the knee) CPT 29405 APPLY SH LEG CAST BIL	$1,452.15	$1,452.15	—	188% above	—
Short leg cast (below the knee) one side CPT 29405 APPLY SH LEG CAST RT	$644.93	$644.93	—	28% above	—
Short leg cast (below the knee) one side CPT 29405 APPLY SH LEG CAST LT	$644.93	$644.93	—	28% above	—
Short leg cast (below the knee) inpatient CPT 29405 APPLY SH LEG CAST BIL	$1,452.15	$1,452.15	—	—	—
Short leg cast (below the knee) inpatient one side CPT 29405 APPLY SH LEG CAST RT	$644.93	$644.93	—	—	—
Short leg cast (below the knee) inpatient one side CPT 29405 APPLY SH LEG CAST LT	$644.93	$644.93	—	—	—
Short leg splint (calf to foot) CPT 29515 APPL LOWER LEG SPLINT	$186.96	$186.96	—	27% below	—
Short leg splint (calf to foot) CPT 29515 SHORT LEG SPLINT	$330.06	$330.06	—	29% above	—
Short leg splint (calf to foot) CPT 29515 APP CST SPLNT KNE-TOE	$1,028.27	$1,028.27	—	302% above	—
Short leg splint (calf to foot) CPT 29515 APPLY SHORT LEG SPLINT BIL	$1,524.12	$1,524.12	—	496% above	—
Short leg splint (calf to foot) one side CPT 29515 APPLY SHORT LEG SPLINT RT	$677.38	$677.38	—	165% above	—
Short leg splint (calf to foot) one side CPT 29515 APPLY SHORT LEG SPLINT LT	$677.38	$677.38	—	165% above	—
Short leg splint (calf to foot) inpatient CPT 29515 APPL LOWER LEG SPLINT	$186.96	$186.96	—	—	—
Short leg splint (calf to foot) inpatient CPT 29515 SHORT LEG SPLINT	$330.06	$330.06	—	—	—
Short leg splint (calf to foot) inpatient CPT 29515 APP CST SPLNT KNE-TOE	$1,028.27	$1,028.27	—	—	—
Short leg splint (calf to foot) inpatient CPT 29515 APPLY SHORT LEG SPLINT BIL	$1,524.12	$1,524.12	—	—	—
Short leg splint (calf to foot) inpatient one side CPT 29515 APPLY SHORT LEG SPLINT RT	$677.38	$677.38	—	—	—
Short leg splint (calf to foot) inpatient one side CPT 29515 APPLY SHORT LEG SPLINT LT	$677.38	$677.38	—	—	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SUTURE SMPLE <=2.5CM 12001	$479.58	$479.58	—	19% above	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SREP S/N/A/G/TR/E; 2.5CM/<	$968.10	$968.10	—	141% above	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 SUTURE SMPLE <=2.5CM 12001	$479.58	$479.58	—	—	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 SREP S/N/A/G/TR/E; 2.5CM/<	$968.10	$968.10	—	—	—
Spinal tap (lumbar puncture), diagnostic CPT 62270 DX LMBR SPI PNXR	$2,671.30	$2,671.30	—	125% above	—
Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCTURE LUMBDR DIAGNOS	$5,606.79	$5,606.79	—	371% above	—
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 DX LMBR SPI PNXR	$2,671.30	$2,671.30	—	—	—
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL PUNCTURE LUMBDR DIAGNOS	$5,606.79	$5,606.79	—	—	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SREPS/N/A/G/TR/E; 2.6-7.5CM	$924.35	$924.35	—	133% above	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 SREPS/N/A/G/TR/E; 2.6-7.5CM	$924.35	$924.35	—	—	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SREP F/E/N/L/MM; 2.5CM/<	$1,055.60	$1,055.60	—	179% above	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 SREP F/E/N/L/MM; 2.5CM/<	$1,055.60	$1,055.60	—	—	—
Thoracentesis with imaging guidance CPT 32555 ASPIRATE PLEURA W/IMAG BIL	$11,659.52	$11,659.52	—	814% above	—
Thoracentesis with imaging guidance one side CPT 32555 ASPIRATE PLEURA W/ IMAG LT	$5,182.01	$5,182.01	—	306% above	—
Thoracentesis with imaging guidance one side CPT 32555 ASPIRATE PLEURA W/ IMAG RT	$5,182.01	$5,182.01	—	306% above	—
Thoracentesis with imaging guidance inpatient CPT 32555 ASPIRATE PLEURA W/IMAG BIL	$11,659.52	$11,659.52	—	—	—
Thoracentesis with imaging guidance inpatient one side CPT 32555 ASPIRATE PLEURA W/ IMAG LT	$5,182.01	$5,182.01	—	—	—
Thoracentesis with imaging guidance inpatient one side CPT 32555 ASPIRATE PLEURA W/ IMAG RT	$5,182.01	$5,182.01	—	—	—
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEB SUBQ TISSUE 20 SQ CM/<	$2,821.03	$2,821.03	—	211% above	—
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEB SUBQ TISSUE 20 SQ CM/<	$2,821.03	$2,821.03	—	—	—

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs New York	Off list
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION (BLD OR BLD COMP)	$121.93	$121.93	—	84% below	—
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION	$516.17	$516.17	—	33% below	—
Blood transfusion (giving blood or blood components) CPT 36430 TRANFUSE BLOOD COMPONENTS	$705.61	$705.61	—	8% below	—
Blood transfusion (giving blood or blood components) CPT 36430 NON-RBC ADMINISTRATION CHARGE	$705.61	$705.61	—	8% below	—
Blood transfusion (giving blood or blood components) CPT 36430 RBC ADMINISTRATION CHARGE	$705.61	$705.61	—	8% below	—
Blood transfusion (giving blood or blood components) CPT 36430 PLT PHERES XM X2	$705.61	$705.61	—	8% below	—
Blood transfusion (giving blood or blood components) CPT 36430 PLT PHERES HLA LR 2	$705.61	$705.61	—	8% below	—
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLOOD OR BLOOD COM	$776.18	$776.18	—	1% above	—
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION SERVICE	$1,005.91	$1,005.91	—	31% above	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION (BLD OR BLD COMP)	$121.93	$121.93	—	—	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION	$516.17	$516.17	—	—	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 PLT PHERES HLA LR 2	$705.61	$705.61	—	—	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 PLT PHERES XM X2	$705.61	$705.61	—	—	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANFUSE BLOOD COMPONENTS	$705.61	$705.61	—	—	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 RBC ADMINISTRATION CHARGE	$705.61	$705.61	—	—	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 NON-RBC ADMINISTRATION CHARGE	$705.61	$705.61	—	—	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION BLOOD OR BLOOD COM	$776.18	$776.18	—	—	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION SERVICE	$1,005.91	$1,005.91	—	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AIRWAY INHALATION TREATMENT	$75.19	$75.19	—	60% below	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEBULIZER TREATMENT	$153.07	$153.07	—	19% below	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MICRONEBLZER INIT SETUP 1ST HR	$330.82	$330.82	—	75% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AIRWAY INHALATION TREATMENT	$75.19	$75.19	—	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 NEBULIZER TREATMENT	$153.07	$153.07	—	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MICRONEBLZER INIT SETUP 1ST HR	$330.82	$330.82	—	—	—
Critical care, first 30 to 74 minutes CPT 99291 ER LEVEL 6 CRITICAL	$3,950.00	$3,950.00	—	126% above	—
Critical care, first 30 to 74 minutes inpatient CPT 99291 ER LEVEL 6 CRITICAL	$3,950.00	$3,950.00	—	—	—
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE & DROWSY	$621.41	$621.41	—	10% below	—
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG AWAKE & DROWSY	$621.41	$621.41	—	—	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ECG (12 LEAD)	$263.77	$263.77	—	89% above	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 12 LEAD EKG; TRACING ONLY	$263.89	$263.89	—	89% above	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ECG 12 LEAD	$307.90	$307.90	—	121% above	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG INTERPRETATION (93040)	$307.90	$307.90	—	121% above	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 12 LEAD EKG	$310.30	$310.30	—	123% above	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ECG (12 LEAD)	$263.77	$263.77	—	—	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 12 LEAD EKG; TRACING ONLY	$263.89	$263.89	—	—	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG INTERPRETATION (93040)	$307.90	$307.90	—	—	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ECG 12 LEAD	$307.90	$307.90	—	—	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 12 LEAD EKG	$310.30	$310.30	—	—	—
Electroconvulsive therapy (ECT), one session CPT 90870 ECT	$9,050.00	$9,050.00	—	950% above	—
Electroconvulsive therapy (ECT), one session inpatient CPT 90870 ECT	$9,050.00	$9,050.00	—	—	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER LEVEL 1 ROUTINE	$940.00	$940.00	—	277% above	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ER LEVEL 1 ROUTINE	$940.00	$940.00	—	—	—
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER LEVEL 2 ROUTINE	$1,410.00	$1,410.00	—	262% above	—
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ER LEVEL 2 ROUTINE	$1,410.00	$1,410.00	—	—	—
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER LEVEL 3 URGENT	$1,880.00	$1,880.00	—	205% above	—
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ER LEVEL 3 URGENT	$1,880.00	$1,880.00	—	—	—
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER LEVEL 4 EMERGENT	$2,350.00	$2,350.00	—	163% above	—
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ER LEVEL 4 EMERGENT	$2,350.00	$2,350.00	—	—	—
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER LEVEL 5 EMERGENT	$3,390.00	$3,390.00	—	185% above	—
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ER LEVEL 5 EMERGENT	$3,390.00	$3,390.00	—	—	—
Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIOVASCULAR STRESS TEST	$1,044.31	$1,044.31	—	92% above	—
Exercise stress test, tracing only, the hospital charge CPT 93017 CV STRESS TEST	$1,368.07	$1,368.07	—	151% above	—
Exercise stress test, tracing only, the hospital charge CPT 93017 CVSLR STRESS TEST; TRACING	$1,760.18	$1,760.18	—	223% above	—
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 CARDIOVASCULAR STRESS TEST	$1,044.31	$1,044.31	—	—	—
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 CV STRESS TEST	$1,368.07	$1,368.07	—	—	—
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 CVSLR STRESS TEST; TRACING	$1,760.18	$1,760.18	—	—	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INFUSION INIT 31-	$934.23	$934.23	—	159% above	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INFUSION, 31MIN -1 HR, HYDR	$962.20	$962.20	—	167% above	—
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATION IV INFUSION INIT 31-	$934.23	$934.23	—	—	—
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV INFUSION, 31MIN -1 HR, HYDR	$962.20	$962.20	—	—	—
IV infusion of a medicine, first hour CPT 96365 IV PLATELET INHIB INFUSION, UP	$950.53	$950.53	—	122% above	—
IV infusion of a medicine, first hour CPT 96365 IV INFUS,TX/PROP/DX <1HR,INIT	$950.53	$950.53	—	122% above	—
IV infusion of a medicine, first hour CPT 96365 THER/PROPH/DIAG IV INF INIT =<	$1,350.54	$1,350.54	—	216% above	—
IV infusion of a medicine, first hour inpatient CPT 96365 IV PLATELET INHIB INFUSION, UP	$950.53	$950.53	—	—	—
IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUS,TX/PROP/DX <1HR,INIT	$950.53	$950.53	—	—	—
IV infusion of a medicine, first hour inpatient CPT 96365 THER/PROPH/DIAG IV INF INIT =<	$1,350.54	$1,350.54	—	—	—
IV push of a medicine, first drug CPT 96374 PROVIDE DIAG RADIONUCLIDE(S)	$116.16	$116.16	—	54% below	—
IV push of a medicine, first drug CPT 96374 THER/PROPH/DIAG INJ IV PUSH	$716.90	$716.90	—	181% above	—
IV push of a medicine, first drug inpatient CPT 96374 PROVIDE DIAG RADIONUCLIDE(S)	$116.16	$116.16	—	—	—
IV push of a medicine, first drug inpatient CPT 96374 THER/PROPH/DIAG INJ IV PUSH	$716.90	$716.90	—	—	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PROPH/DIAG INJ SC/IM	$447.36	$447.36	—	334% above	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THER/PROPH/DIAG INJ SC/IM	$447.36	$447.36	—	—	—
Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCH DIAG EVAL W/O MED SVC	$558.84	$558.84	—	122% above	—
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 PSYCH DIAG EVAL W/O MED SVC	$558.84	$558.84	—	—	—
Neuromuscular re-education, 15 minutes CPT 97112 BALANCE/COORDINATION	$134.11	$134.11	—	64% above	—
Neuromuscular re-education, 15 minutes CPT 97112 NEURO-MUSCULAR RE-EDUCATION	$134.11	$134.11	—	64% above	—
Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEURO-MUSCULAR RE-EDUCATION	$134.11	$134.11	—	—	—
Neuromuscular re-education, 15 minutes inpatient CPT 97112 BALANCE/COORDINATION	$134.11	$134.11	—	—	—
New patient office visit, about 30 minutes CPT 99203 O/P VISIT,NEW PATIENT-LEVEL 3	$500.76	$500.76	—	131% above	—
New patient office visit, about 30 minutes inpatient CPT 99203 O/P VISIT,NEW PATIENT-LEVEL 3	$500.76	$500.76	—	—	—
New patient office visit, about 45 minutes CPT 99204 O/P VISIT,NEW PATIENT-LEVEL 4	$564.96	$564.96	—	90% above	—
New patient office visit, about 45 minutes inpatient CPT 99204 O/P VISIT,NEW PATIENT-LEVEL 4	$564.96	$564.96	—	—	—
New patient office visit, about 60 minutes CPT 99205 O/P VISIT,NEW PATIENT-LEVEL 5	$645.21	$645.21	—	92% above	—
New patient office visit, about 60 minutes inpatient CPT 99205 O/P VISIT,NEW PATIENT-LEVEL 5	$645.21	$645.21	—	—	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 O/P VISIT,NEW PATIENT-LEVEL 2	$406.60	$406.60	—	122% above	—
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 O/P VISIT,NEW PATIENT-LEVEL 2	$406.60	$406.60	—	—	—
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH COMPLEX 45 MIN	$537.68	$537.68	—	92% above	—
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL HIGH COMPLEX 45 MIN	$537.68	$537.68	—	—	—
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW COMPLEX 20 MIN	$547.55	$547.55	—	204% above	—
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL LOW COMPLEX 20 MIN	$547.55	$547.55	—	—	—
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MOD COMPLEX 30 MIN	$508.04	$508.04	—	112% above	—
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL MOD COMPLEX 30 MIN	$508.04	$508.04	—	—	—
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 TRACTION--MANUAL	$99.57	$99.57	—	20% above	—
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY EA 15 MINS	$100.07	$100.07	—	20% above	—
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 TRACTION--MANUAL	$99.57	$99.57	—	—	—
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY EA 15 MINS	$100.07	$100.07	—	—	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISES 15 MIN	$185.54	$185.54	—	141% above	—
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISES 15 MIN	$185.54	$185.54	—	—	—
Psychiatric evaluation with medical services CPT 90792 PSYCH DIAG EVAL W/MED SVC	$660.46	$660.46	—	122% above	—
Psychiatric evaluation with medical services inpatient CPT 90792 PSYCH DIAG EVAL W/MED SVC	$660.46	$660.46	—	—	—
Psychotherapy for crisis, first 60 minutes CPT 90839 PSYCH TX CRISIS INITIAL 60MIN	$406.43	$406.43	—	69% above	—
Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 PSYCH TX CRISIS INITIAL 60MIN	$406.43	$406.43	—	—	—
Psychotherapy session, 30 minutes CPT 90832 PSYCH TX IND 30MIN	$304.82	$304.82	—	54% above	—
Psychotherapy session, 30 minutes inpatient CPT 90832 PSYCH TX IND 30MIN	$304.82	$304.82	—	—	—
Psychotherapy session, 45 minutes CPT 90834 PSYCH TX IND 45MIN	$406.43	$406.43	—	54% above	—
Psychotherapy session, 45 minutes inpatient CPT 90834 PSYCH TX IND 45MIN	$406.43	$406.43	—	—	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 O/P VISIT,EST PATIENT-LEVEL 5	$564.96	$564.96	—	134% above	—
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 O/P VISIT,EST PATIENT-LEVEL 5	$564.96	$564.96	—	—	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 O/P VISIT,EST PATIENT-LEVEL 3	$441.91	$441.91	—	140% above	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 O/P VISIT,EST PATIENT-LEVEL 3	$441.91	$441.91	—	—	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 O/P VISIT,EST PATIENT-LEVEL 4	$500.76	$500.76	—	138% above	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 EST PT DETAIL/MOD COMPLEX	$563.08	$563.08	—	168% above	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 O/P VISIT,EST PATIENT-LEVEL 4	$500.76	$500.76	—	—	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 EST PT DETAIL/MOD COMPLEX	$563.08	$563.08	—	—	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 O/P VISIT,EST PATIENT-LEVEL 2	$401.25	$401.25	—	163% above	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 O/P VISIT,EST PATIENT-LEVEL 2	$401.25	$401.25	—	—	—
Specialist consultation, low complexity or 30+ minutes CPT 99243 CONSULT PT LEVEL 3	$700.95	$700.95	—	135% above	—
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 CONSULT PT LEVEL 3	$700.95	$700.95	—	—	—
Spirometry (breathing test) CPT 94010 INCENTIVE SPIROMETER	$119.89	$119.89	—	43% below	—
Spirometry (breathing test) CPT 94010 PULSE OXYMETRY	$123.96	$123.96	—	41% below	—
Spirometry (breathing test) CPT 94010 BASIC PULMONARY FUNCTION TEST	$302.80	$302.80	—	44% above	—
Spirometry (breathing test) inpatient CPT 94010 INCENTIVE SPIROMETER	$119.89	$119.89	—	—	—
Spirometry (breathing test) inpatient CPT 94010 PULSE OXYMETRY	$123.96	$123.96	—	—	—
Spirometry (breathing test) inpatient CPT 94010 BASIC PULMONARY FUNCTION TEST	$302.80	$302.80	—	—	—
Therapeutic activities (functional training), 15 minutes CPT 97530 FUNCTIONAL ACTIVITIES EA 15MIN	$91.63	$91.63	—	4% above	—
Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTS (IP)	$99.57	$99.57	—	13% above	—
Therapeutic activities (functional training), 15 minutes CPT 97530 TRANSFER TRAINING	$298.72	$298.72	—	238% above	—
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 FUNCTIONAL ACTIVITIES EA 15MIN	$91.63	$91.63	—	—	—
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPEUTIC ACTS (IP)	$99.57	$99.57	—	—	—
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 TRANSFER TRAINING	$298.72	$298.72	—	—	—
Treadmill or drug stress test with ECG, supervision and report CPT 93015 CARDIOVASCULAR STRESS TEST	$949.37	$949.37	—	177% above	—
Treadmill or drug stress test with ECG, supervision and report inpatient CPT 93015 CARDIOVASCULAR STRESS TEST	$949.37	$949.37	—	—	—

Vaccines

Procedure	Cash price	List price	Insurers pay	vs New York	Off list
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 DTAP-IPV VACC VL 4-6 IM	$168.65	$168.65	—	85% above	—
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 DTAP-IPV VACC VL 4-6 IM	$168.65	$168.65	—	—	—
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 IM TETAN & DIPTH VACC > 6YRS	$67.05	$67.05	—	30% above	—
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 IM TETAN & DIPTH VACC > 6YRS	$67.05	$67.05	—	—	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTHERIA,TATANOUS IND<7YEARS	$144.48	$144.48	—	160% above	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tdap vaccine >7 im	$144.48	$144.48	—	160% above	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Tdap vaccine >7 im	$144.48	$144.48	—	—	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTHERIA,TATANOUS IND<7YEARS	$144.48	$144.48	—	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN,HEPATITIS B VACCINE	$46.74	$46.74	—	45% below	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 A SN ADMIN,INFLUENZA A (H1N1)	$52.83	$52.83	—	37% below	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUN ADMIN 1 VAC	$58.94	$58.94	—	30% below	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN 1 VACCINE	$196.16	$196.16	—	133% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN,HEPATITIS B VACCINE	$46.74	$46.74	—	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 A SN ADMIN,INFLUENZA A (H1N1)	$52.83	$52.83	—	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUN ADMIN 1 VAC	$58.94	$58.94	—	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMIN 1 VACCINE	$196.16	$196.16	—	—	—
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADMIN,EACH ADD	$24.39	$24.39	—	46% below	—
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Immunization admin, each add	$24.39	$24.39	—	46% below	—
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADM; EA ADDTL VAC	$86.08	$86.08	—	91% above	—
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Immunization admin, each add	$24.39	$24.39	—	—	—
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUNIZATION ADMIN,EACH ADD	$24.39	$24.39	—	—	—
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUNIZATION ADM; EA ADDTL VAC	$86.08	$86.08	—	—	—

Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More

Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More

List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More

Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More

Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.

Off list How much lower the cash price is than the list price.

No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More

At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More

Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.

Source file: https://hospitalpricedisclosure.com/download.aspx?pi=Y7iWli*_*glfDDxuwhpVNJfg*-*