Hospital Sterling, IL

Morrison Community Hospital

Listed in its price file as “Morrison Community Hospital District”.

Morrison Community Hospital in Morrison, IL publishes cash prices for 390 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are above the Illinois median for 213 of 387 procedures and below it for 168. By typical cash price it ranks #56 of 115 Illinois hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

303 N Jackson St, Morrison IL 61270 Collected Sep 27, 2026 Source price file (815) 772-4003

Critical access hospital (rural, 25 beds or fewer) Emergency department CCN 141329 · CMS hospital register NPI 1184844938

The price file shows no self-pay discount

For 1128 of the 1128 prices listed here, the cash price in Morrison Community Hospital's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing. Other US hospitals whose cash price is their full list price.

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Illinois	Off list
Abdominal CT scan without and with contrast CPT 74170 CT- ABDOMEN COMBINED	$2,968.50	$2,968.50	$806.00–$2,968.50	2% above	—
Abdominal CT scan without and with contrast inpatient CPT 74170 CT- ABDOMEN COMBINED	$2,968.50	$2,968.50	$806.00–$2,968.50	—	—
Abdominal X-ray, 2 views CPT 74019 ABDOMEN-2 VIEWS	$259.00	$259.00	$95.83–$259.00	27% below	—
Abdominal X-ray, 2 views inpatient CPT 74019 ABDOMEN-2 VIEWS	$259.00	$259.00	$95.83–$259.00	—	—
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US-SEG PRESSURE LE SGL LEVEL	$967.25	$967.25	$357.88–$967.25	137% above	—
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 US-SEG PRESSURE LE SGL LEVEL	$967.25	$967.25	$357.88–$967.25	—	—
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT-UPPER EXTREMITY W/O	$1,550.50	$1,550.50	$573.69–$1,550.50	16% below	—
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 CT-UPPER EXTREMITY W/O	$1,550.50	$1,550.50	$573.69–$1,550.50	—	—
Breast ultrasound, complete, one breast CPT 76641 U S - BREAST, COMPLETE	$520.00	$520.00	$192.40–$520.00	2% below	—
Breast ultrasound, complete, one breast inpatient CPT 76641 U S - BREAST, COMPLETE	$520.00	$520.00	$192.40–$520.00	—	—
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA ABD/PELVIS W/WO CONTRAST	$6,123.50	$6,123.50	$806.00–$6,123.50	56% above	—
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CTA ABD/PELVIS W/WO CONTRAST	$6,123.50	$6,123.50	$806.00–$6,123.50	—	—
CT angiography (CTA) of the head CPT 70496 CTA HEAD W/ & W/O CONTRAST	$2,629.60	$2,629.60	$806.00–$2,629.60	2% above	—
CT angiography (CTA) of the head inpatient CPT 70496 CTA HEAD W/ & W/O CONTRAST	$2,629.60	$2,629.60	$806.00–$2,629.60	—	—
CT angiography (CTA) of the neck CPT 70498 CTA NECK W/WO CONTRAST	$2,112.00	$2,112.00	$781.44–$2,112.00	22% below	—
CT angiography (CTA) of the neck inpatient CPT 70498 CTA NECK W/WO CONTRAST	$2,112.00	$2,112.00	$781.44–$2,112.00	—	—
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT - ANGIOGRAPHY CHEST	$3,407.00	$3,407.00	$806.00–$3,407.00	15% above	—
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT - ANGIOGRAPHY CHEST	$3,407.00	$3,407.00	$806.00–$3,407.00	—	—
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT CARDIAC SCORING	$49.00	$49.00	$18.13–$806.00	78% below	—
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT CARDIAC SCORING	$49.00	$49.00	$18.13–$806.00	—	—
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT-ABD/PELVIS W/O CONTRAS	$4,704.50	$4,704.50	$806.00–$4,704.50	26% above	—
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT-ABD/PELVIS W/O CONTRAS	$4,704.50	$4,704.50	$806.00–$4,704.50	—	—
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT-ABD/PELVIS W/ CONTRAST	$5,112.50	$5,112.50	$806.00–$5,112.50	14% above	—
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT-ABD/PELVIS W/ CONTRAST	$5,112.50	$5,112.50	$806.00–$5,112.50	—	—
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT-ABD/PELVIS COMB.	$5,624.50	$5,624.50	$806.00–$5,624.50	8% above	—
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT-ABD/PELVIS COMB.	$5,624.50	$5,624.50	$806.00–$5,624.50	—	—
CT scan of the abdomen with contrast CPT 74160 CT- ABDOMEN W/CONTRAST	$2,659.00	$2,659.00	$806.00–$2,659.00	9% above	—
CT scan of the abdomen with contrast inpatient CPT 74160 CT- ABDOMEN W/CONTRAST	$2,659.00	$2,659.00	$806.00–$2,659.00	—	—
CT scan of the abdomen without contrast CPT 74150 CT- ABDOMEN NO CONTRAST	$2,480.50	$2,480.50	$806.00–$2,480.50	25% above	—
CT scan of the abdomen without contrast inpatient CPT 74150 CT- ABDOMEN NO CONTRAST	$2,480.50	$2,480.50	$806.00–$2,480.50	—	—
CT scan of the face and sinuses, no contrast dye CPT 70486 CT- FACIAL AREA N/CONTRAS	$2,046.50	$2,046.50	$757.21–$2,046.50	19% above	—
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT- FACIAL AREA N/CONTRAS	$2,046.50	$2,046.50	$757.21–$2,046.50	—	—
CT scan of the head or brain, no contrast dye CPT 70450 CT- HEAD NO CONTRAST	$1,965.50	$1,965.50	$727.24–$1,965.50	3% above	—
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT- HEAD NO CONTRAST	$1,965.50	$1,965.50	$727.24–$1,965.50	—	—
CT scan of the head with contrast CPT 70460 CT- HEAD CONTRAST	$2,105.50	$2,105.50	$779.04–$2,105.50	2% above	—
CT scan of the head with contrast inpatient CPT 70460 CT- HEAD CONTRAST	$2,105.50	$2,105.50	$779.04–$2,105.50	—	—
CT scan of the head without and with contrast CPT 70470 CT- HEAD COMBINED	$2,609.00	$2,609.00	$806.00–$2,609.00	5% above	—
CT scan of the head without and with contrast inpatient CPT 70470 CT- HEAD COMBINED	$2,609.00	$2,609.00	$806.00–$2,609.00	—	—
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT- LUMBAR SPINE NO CONTR	$2,403.50	$2,403.50	$806.00–$2,403.50	7% above	—
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT- LUMBAR SPINE NO CONTR	$2,403.50	$2,403.50	$806.00–$2,403.50	—	—
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT- CERVICAL SPINE NO CON	$2,444.00	$2,444.00	$806.00–$2,444.00	3% above	—
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT- CERVICAL SPINE NO CON	$2,444.00	$2,444.00	$806.00–$2,444.00	—	—
CT scan of the pelvis, with contrast dye CPT 72193 CT- PELVIS W/CONTRAST	$2,455.50	$2,455.50	$806.00–$2,455.50	12% above	—
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT- PELVIS W/CONTRAST	$2,455.50	$2,455.50	$806.00–$2,455.50	—	—
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 U S- CAROTID DOPPLER	$1,116.50	$1,116.50	$413.11–$1,116.50	29% above	—
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 U S- CAROTID DOPPLER	$1,116.50	$1,116.50	$413.11–$1,116.50	—	—
Chest CT scan without and with contrast CPT 71270 CT- CHEST COMBINED	$2,762.00	$2,762.00	$806.00–$2,762.00	6% below	—
Chest CT scan without and with contrast inpatient CPT 71270 CT- CHEST COMBINED	$2,762.00	$2,762.00	$806.00–$2,762.00	—	—
Chest X-ray, 2 views CPT 71046 CHEST-2 VIEWS	$388.50	$388.50	$143.75–$388.50	26% above	—
Chest X-ray, 2 views inpatient CPT 71046 CHEST-2 VIEWS	$388.50	$388.50	$143.75–$388.50	—	—
Chest X-ray, single view CPT 71045 CHEST-1 VIEW PORTABLE	$297.00	$297.00	$109.89–$297.00	19% above	—
Chest X-ray, single view CPT 71045 CHEST-1 VIEW	$297.00	$297.00	$109.89–$297.00	19% above	—
Chest X-ray, single view inpatient CPT 71045 CHEST-1 VIEW	$297.00	$297.00	$109.89–$297.00	—	—
Chest X-ray, single view inpatient CPT 71045 CHEST-1 VIEW PORTABLE	$297.00	$297.00	$109.89–$297.00	—	—
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US-RENAL COMPLETE	$824.50	$824.50	$305.07–$824.50	2% below	—
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US-RENAL COMPLETE	$824.50	$824.50	$305.07–$824.50	—	—
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT- CHEST NO CONTRAST	$1,894.00	$1,894.00	$700.78–$1,894.00	at median	—
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT- CHEST NO CONTRAST	$1,894.00	$1,894.00	$700.78–$1,894.00	—	—
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT- CHEST W/CONTRAST	$2,455.50	$2,455.50	$806.00–$2,455.50	1% above	—
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT- CHEST W/CONTRAST	$2,455.50	$2,455.50	$806.00–$2,455.50	—	—
Diagnostic mammogram, both breasts both sides CPT 77066 DIGITAL MAMMO-BILAT DIAG W/CAD	$491.00	$491.00	$181.67–$491.00	—	—
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 DIGITAL MAMMO-BILAT DIAG W/CAD	$491.00	$491.00	$181.67–$491.00	—	—
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US-ARTERIAL IMAGING BILAT	$1,047.00	$1,047.00	$387.39–$1,047.00	—	—
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 US-ARTERIAL IMAGING BILAT	$1,047.00	$1,047.00	$387.39–$1,047.00	—	—
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 U S- VENOUS IMAGING BILAT	$977.50	$977.50	$361.68–$977.50	—	—
Duplex ultrasound of the leg veins, both legs CPT 93970 U S - VENOUS INSUFFICIENCY BIL	$2,736.50	$2,736.50	$1,012.51–$2,736.50	90% above	—
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 U S- VENOUS IMAGING BILAT	$977.50	$977.50	$361.68–$977.50	—	—
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 U S - VENOUS INSUFFICIENCY BIL	$2,736.50	$2,736.50	$1,012.51–$2,736.50	—	—
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 US-ECHO W/ DOPPLER COMPLETE	$2,504.00	$2,504.00	$926.48–$2,504.00	17% above	—
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 US-ECHO W/ DOPPLER COMPLETE	$2,504.00	$2,504.00	$926.48–$2,504.00	—	—
Eye socket (orbit) CT scan without contrast CPT 70480 CT- ORBIT/EAR NO CONTRAS	$2,003.50	$2,003.50	$741.30–$2,003.50	16% above	—
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT- ORBIT/EAR NO CONTRAS	$2,003.50	$2,003.50	$741.30–$2,003.50	—	—
Facial bones X-ray, complete, 3 or more views CPT 70150 FACIAL BONES	$380.00	$380.00	$140.60–$380.00	12% below	—
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 FACIAL BONES	$380.00	$380.00	$140.60–$380.00	—	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 U S-ABDOMEN LIMITED APPEN	$686.00	$686.00	$253.82–$686.00	4% below	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 U S- LIVER	$796.00	$796.00	$294.52–$796.00	11% above	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 U S- SPLEEN	$796.50	$796.50	$294.71–$796.50	12% above	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US - ABDOMEN LIMITED	$796.50	$796.50	$294.71–$796.50	12% above	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 U S GALLBLADDER/SPLEEN	$796.50	$796.50	$294.71–$796.50	12% above	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 U S-ABDOMEN LIMITED APPEN	$686.00	$686.00	$253.82–$686.00	—	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 U S- LIVER	$796.00	$796.00	$294.52–$796.00	—	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 U S GALLBLADDER/SPLEEN	$796.50	$796.50	$294.71–$796.50	—	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 U S- SPLEEN	$796.50	$796.50	$294.71–$796.50	—	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US - ABDOMEN LIMITED	$796.50	$796.50	$294.71–$796.50	—	—
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT LOW DOSE LUNG SCREEN M/C	$1,600.00	$1,600.00	$592.00–$1,600.00	183% above	—
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT LOW DOSE LUNG SCREEN M/C	$1,600.00	$1,600.00	$592.00–$1,600.00	—	—
MR angiography (MRA) of the head without contrast CPT 70544 MRV BRAIN W/O CONTRAST	$2,986.00	$2,986.00	$1,104.82–$2,986.00	8% above	—
MR angiography (MRA) of the head without contrast CPT 70544 MRA HEAD W/O CONTRAST	$2,986.00	$2,986.00	$1,104.82–$2,986.00	8% above	—
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA HEAD W/O CONTRAST	$2,986.00	$2,986.00	$1,104.82–$2,986.00	—	—
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRV BRAIN W/O CONTRAST	$2,986.00	$2,986.00	$1,104.82–$2,986.00	—	—
MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O CONTRAST	$2,330.50	$2,330.50	$862.29–$2,330.50	16% below	—
MRI of the abdomen without contrast inpatient CPT 74181 MRI ABDOMEN W/O CONTRAST	$2,330.50	$2,330.50	$862.29–$2,330.50	—	—
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABD W/ & W/O CONTRAST	$3,528.50	$3,528.50	$1,305.55–$3,528.50	6% below	—
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI MRCP W/ & W/O CONTRAST	$3,528.50	$3,528.50	$1,305.55–$3,528.50	6% below	—
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI MRCP W/ & W/O CONTRAST	$3,528.50	$3,528.50	$1,305.55–$3,528.50	—	—
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ABD W/ & W/O CONTRAST	$3,528.50	$3,528.50	$1,305.55–$3,528.50	—	—
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN W/O CONTRAST	$3,018.00	$3,018.00	$1,116.66–$3,018.00	3% above	—
MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN W/O CONTRAST	$3,018.00	$3,018.00	$1,116.66–$3,018.00	—	—
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W/ & W/O CONTRAST	$3,790.00	$3,790.00	$1,402.30–$3,790.00	9% below	—
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN W/ & W/O CONTRAST	$3,790.00	$3,790.00	$1,402.30–$3,790.00	—	—
MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR SPINE W/O CONTRAST	$1,322.50	$1,322.50	$489.33–$1,322.50	57% below	—
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI LUMBAR SPINE W/O CONTRAST	$1,322.50	$1,322.50	$489.33–$1,322.50	—	—
MRI of the lower back, without and then with contrast dye CPT 72158 MRI LUMBAR SPINE W/ W/O CONTR	$2,357.00	$2,357.00	$872.09–$2,357.00	43% below	—
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI LUMBAR SPINE W/ W/O CONTR	$2,357.00	$2,357.00	$872.09–$2,357.00	—	—
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI THORACIC SPINE W/O CONTR	$1,335.00	$1,335.00	$493.95–$1,335.00	55% below	—
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI THORACIC SPINE W/O CONTR	$1,335.00	$1,335.00	$493.95–$1,335.00	—	—
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI CERV SPINE W/ W/O CONTR	$2,373.00	$2,373.00	$878.01–$2,373.00	42% below	—
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI CERV SPINE W/ W/O CONTR	$2,373.00	$2,373.00	$878.01–$2,373.00	—	—
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI CERVICAL SPINE WO CONTRAST	$2,597.50	$2,597.50	$961.08–$2,597.50	13% below	—
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI CERVICAL SPINE WO CONTRAST	$2,597.50	$2,597.50	$961.08–$2,597.50	—	—
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W/ & W/O CONTRAST	$3,518.50	$3,518.50	$1,301.85–$3,518.50	6% below	—
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS W/ & W/O CONTRAST	$3,518.50	$3,518.50	$1,301.85–$3,518.50	—	—
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O CONTRAST	$2,717.50	$2,717.50	$1,005.48–$2,717.50	at median	—
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PELVIS W/O CONTRAST	$2,717.50	$2,717.50	$1,005.48–$2,717.50	—	—
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 CERVICAL SPINE 4 OR 5 VIEWS	$365.00	$365.00	$135.05–$365.00	33% below	—
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 CERVICAL SPINE 4 OR 5 VIEWS	$365.00	$365.00	$135.05–$365.00	—	—
Neck soft tissue CT scan with contrast CPT 70491 CT- NECK W/CONTRAST	$2,275.50	$2,275.50	$806.00–$2,275.50	3% above	—
Neck soft tissue CT scan with contrast inpatient CPT 70491 CT- NECK W/CONTRAST	$2,275.50	$2,275.50	$806.00–$2,275.50	—	—
Neck soft tissue CT scan without contrast CPT 70490 CT- NECK NO CONTRAST	$2,046.50	$2,046.50	$757.21–$2,046.50	11% above	—
Neck soft tissue CT scan without contrast inpatient CPT 70490 CT- NECK NO CONTRAST	$2,046.50	$2,046.50	$757.21–$2,046.50	—	—
Neck soft tissue X-ray CPT 70360 SOFT TISSUE LAT NECK	$259.00	$259.00	$95.83–$259.00	3% below	—
Neck soft tissue X-ray inpatient CPT 70360 SOFT TISSUE LAT NECK	$259.00	$259.00	$95.83–$259.00	—	—
Pelvic CT scan without contrast CPT 72192 CT- PELVIS NO CONTRAST	$2,251.50	$2,251.50	$806.00–$2,251.50	18% above	—
Pelvic CT scan without contrast inpatient CPT 72192 CT- PELVIS NO CONTRAST	$2,251.50	$2,251.50	$806.00–$2,251.50	—	—
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US-LIMITED PELVIC STRUCTU	$629.00	$629.00	$232.73–$629.00	13% above	—
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US-LIMITED PELVIC STRUCTU	$629.00	$629.00	$232.73–$629.00	—	—
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 U S- PELVIC MASS	$698.50	$698.50	$258.45–$698.50	15% below	—
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 U S- PELVIC MASS	$698.50	$698.50	$258.45–$698.50	—	—
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 U S- OB>14 WEEKS SINGLE	$686.00	$686.00	$253.82–$686.00	8% below	—
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 U S- OB>14 WEEKS SINGLE	$686.00	$686.00	$253.82–$686.00	—	—
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US- OB <14 WKS SINGLE	$601.50	$601.50	$222.56–$601.50	12% below	—
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US- OB <14 WKS SINGLE	$601.50	$601.50	$222.56–$601.50	—	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 U S- FETAL AGE	$436.50	$436.50	$161.51–$436.50	14% below	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 U S- FETAL AGE	$436.50	$436.50	$161.51–$436.50	—	—
Screening mammogram, both breasts both sides CPT 77067 DIGIT MAMMO-SCREEN BILAT W/CAD	$456.00	$456.00	$168.72–$456.00	—	—
Screening mammogram, both breasts inpatient both sides CPT 77067 DIGIT MAMMO-SCREEN BILAT W/CAD	$456.00	$456.00	$168.72–$456.00	—	—
Sinus X-ray, complete, 3 or more views CPT 70220 SINUSES PARANASAL	$259.00	$259.00	$95.83–$259.00	39% below	—
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 SINUSES PARANASAL	$259.00	$259.00	$95.83–$259.00	—	—
Skull X-ray, fewer than 4 views CPT 70250 SKULL 3 VIEWS EMERG	$259.00	$259.00	$95.83–$259.00	18% below	—
Skull X-ray, fewer than 4 views inpatient CPT 70250 SKULL 3 VIEWS EMERG	$259.00	$259.00	$95.83–$259.00	—	—
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT- THORACIC SPINE NO CON	$2,403.50	$2,403.50	$806.00–$2,403.50	11% above	—
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT- THORACIC SPINE NO CON	$2,403.50	$2,403.50	$806.00–$2,403.50	—	—
Transvaginal pelvic ultrasound CPT 76830 U S- TRANSVAGINAL PELVIC	$686.00	$686.00	$253.82–$686.00	4% above	—
Transvaginal pelvic ultrasound inpatient CPT 76830 U S- TRANSVAGINAL PELVIC	$686.00	$686.00	$253.82–$686.00	—	—
Transvaginal ultrasound during pregnancy CPT 76817 US - OB TV	$762.00	$762.00	$281.94–$762.00	45% above	—
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US - OB TV	$762.00	$762.00	$281.94–$762.00	—	—
Ultrasound of the abdomen, complete CPT 76700 U S- ABD COMPLETE	$977.50	$977.50	$361.68–$977.50	8% below	—
Ultrasound of the abdomen, complete inpatient CPT 76700 U S- ABD COMPLETE	$977.50	$977.50	$361.68–$977.50	—	—
Ultrasound of the scrotum and testicles CPT 76870 U S- TESTICULAR	$769.00	$769.00	$284.53–$769.00	2% above	—
Ultrasound of the scrotum and testicles inpatient CPT 76870 U S- TESTICULAR	$769.00	$769.00	$284.53–$769.00	—	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 U S- PARA THYROID/THYROID	$686.00	$686.00	$253.82–$686.00	at median	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 U S- PARA THYROID/THYROID	$686.00	$686.00	$253.82–$686.00	—	—
X-ray of the abdomen, 1 view CPT 74018 ABDOMEN-1 VIEW	$172.50	$172.50	$63.83–$172.50	35% below	—
X-ray of the abdomen, 1 view inpatient CPT 74018 ABDOMEN-1 VIEW	$172.50	$172.50	$63.83–$172.50	—	—
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 LUMBAR SP 2 OR 3 VIEWS	$259.00	$259.00	$95.83–$259.00	43% below	—
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 LUMBAR SP 2 OR 3 VIEWS	$259.00	$259.00	$95.83–$259.00	—	—
X-ray of the lower back, 4 or more views CPT 72110 LUMBAR SPINE 4 OR 5 VIEWS	$441.50	$441.50	$163.36–$441.50	24% below	—
X-ray of the lower back, 4 or more views inpatient CPT 72110 LUMBAR SPINE 4 OR 5 VIEWS	$441.50	$441.50	$163.36–$441.50	—	—
X-ray of the mid back (thoracic spine), 2 views CPT 72070 THORACIC SPINE 2 VIEWS	$259.00	$259.00	$95.83–$259.00	32% below	—
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 THORACIC SPINE 2 VIEWS	$259.00	$259.00	$95.83–$259.00	—	—
X-ray of the nasal bones, 3 or more views CPT 70160 NASAL BONES	$259.00	$259.00	$95.83–$259.00	14% below	—
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 NASAL BONES	$259.00	$259.00	$95.83–$259.00	—	—
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 CERVICAL 2 VIEWS	$259.00	$259.00	$95.83–$259.00	30% below	—
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 CERVICAL 2 VIEWS	$259.00	$259.00	$95.83–$259.00	—	—
X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS 1-2 VIEWS	$259.00	$259.00	$95.83–$259.00	26% below	—
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 PELVIS 1-2 VIEWS	$259.00	$259.00	$95.83–$259.00	—	—
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 COCCYX	$233.50	$233.50	$86.40–$233.50	35% below	—
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 COCCYX	$233.50	$233.50	$86.40–$233.50	—	—

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Illinois	Off list
ACTH blood test CPT 82024 A.C.T.H.	$97.50	$97.50	$36.08–$97.50	50% below	—
ACTH blood test inpatient CPT 82024 A.C.T.H.	$97.50	$97.50	$36.08–$97.50	—	—
ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT - ALT	$65.50	$65.50	$24.24–$65.50	25% above	—
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 SGPT - ALT	$65.50	$65.50	$24.24–$65.50	—	—
AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT-AST	$64.50	$64.50	$23.87–$64.50	23% above	—
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 SGOT-AST	$64.50	$64.50	$23.87–$64.50	—	—
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS PANEL A B C	$389.50	$389.50	$144.12–$389.50	49% above	—
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS PANEL A B C	$389.50	$389.50	$144.12–$389.50	—	—
Albumin blood test CPT 82040 ALBUMIN-SERUM	$46.00	$46.00	$17.02–$46.00	11% above	—
Albumin blood test inpatient CPT 82040 ALBUMIN-SERUM	$46.00	$46.00	$17.02–$46.00	—	—
Aldosterone blood test CPT 82088 ALDOSTERONE, BLOOD	$53.00	$53.00	$19.61–$53.00	67% below	—
Aldosterone blood test inpatient CPT 82088 ALDOSTERONE, BLOOD	$53.00	$53.00	$19.61–$53.00	—	—
Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSPHATASE	$64.50	$64.50	$23.87–$64.50	29% above	—
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALKALINE PHOSPHATASE	$64.50	$64.50	$23.87–$64.50	—	—
Allergy blood test, specific IgE, per allergen CPT 86003 RAST ALMOND (F20) IgE	$39.00	$39.00	$14.43–$39.00	50% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 RAST CASHEW NUT (F202) IgE	$39.00	$39.00	$14.43–$39.00	50% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN: PEN. NOTATUM	$42.00	$42.00	$15.54–$42.00	62% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN: TIMOTHY GRASS	$42.00	$42.00	$15.54–$42.00	62% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN: BERMUDA GRASS	$42.00	$42.00	$15.54–$42.00	62% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN: WALNUT TREE	$42.00	$42.00	$15.54–$42.00	62% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN: R. MARSH ELDER	$42.00	$42.00	$15.54–$42.00	62% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN: SCALLOP	$42.00	$42.00	$15.54–$42.00	62% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN: SESAME SEED	$42.00	$42.00	$15.54–$42.00	62% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN: D. FARINAE	$42.00	$42.00	$15.54–$42.00	62% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN: CAT EPITHELIA	$42.00	$42.00	$15.54–$42.00	62% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN: DOG DANDER	$42.00	$42.00	$15.54–$42.00	62% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN: EGG WHITE	$42.00	$42.00	$15.54–$42.00	62% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN: MILK	$42.00	$42.00	$15.54–$42.00	62% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN: CODFISH	$42.00	$42.00	$15.54–$42.00	62% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE	$42.00	$42.00	$15.54–$42.00	62% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN: A. ALTERNATA	$42.00	$42.00	$15.54–$42.00	62% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN: WALNUT	$42.00	$42.00	$15.54–$42.00	62% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN: SILVER BIRCH	$42.00	$42.00	$15.54–$42.00	62% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN: PEANUT	$42.00	$42.00	$15.54–$42.00	62% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN: SOYBEAN	$42.00	$42.00	$15.54–$42.00	62% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN: SHRIMP	$42.00	$42.00	$15.54–$42.00	62% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN: MOUSE URINE	$42.00	$42.00	$15.54–$42.00	62% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN: C. HERBARUM	$42.00	$42.00	$15.54–$42.00	62% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN: D.PTERONYSSINUS	$42.00	$42.00	$15.54–$42.00	62% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN: COCKROACH	$42.00	$42.00	$15.54–$42.00	62% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN: TUNA	$42.00	$42.00	$15.54–$42.00	62% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN: WHEAT	$42.00	$42.00	$15.54–$42.00	62% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN: SALMON	$42.00	$42.00	$15.54–$42.00	62% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN: HAZELNUT	$42.00	$42.00	$15.54–$42.00	62% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN: NETTLE	$42.00	$42.00	$15.54–$42.00	62% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN: LATEX	$42.00	$42.00	$15.54–$42.00	62% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN: ROUGH PIGWEED	$42.00	$42.00	$15.54–$42.00	62% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN: RUSSIAN THISTLE	$42.00	$42.00	$15.54–$42.00	62% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN: COMMON RAGWEED	$42.00	$42.00	$15.54–$42.00	62% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN: MULBERRY	$42.00	$42.00	$15.54–$42.00	62% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN: PECAN/HICKORY	$42.00	$42.00	$15.54–$42.00	62% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN: WHITE ASH	$42.00	$42.00	$15.54–$42.00	62% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN: COTTONWOOD	$42.00	$42.00	$15.54–$42.00	62% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN: MAPLE LEAF/SYCAMORE	$42.00	$42.00	$15.54–$42.00	62% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN: ELM	$42.00	$42.00	$15.54–$42.00	62% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN: OAK	$42.00	$42.00	$15.54–$42.00	62% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN: MOUNTAIN CEDAR	$42.00	$42.00	$15.54–$42.00	62% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN: MAPLE	$42.00	$42.00	$15.54–$42.00	62% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN: A. FUMIGATUS	$42.00	$42.00	$15.54–$42.00	62% above	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST ALMOND (F20) IgE	$39.00	$39.00	$14.43–$39.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST CASHEW NUT (F202) IgE	$39.00	$39.00	$14.43–$39.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN: SCALLOP	$42.00	$42.00	$15.54–$42.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE	$42.00	$42.00	$15.54–$42.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN: WALNUT	$42.00	$42.00	$15.54–$42.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN: SHRIMP	$42.00	$42.00	$15.54–$42.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN: C. HERBARUM	$42.00	$42.00	$15.54–$42.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN: D.PTERONYSSINUS	$42.00	$42.00	$15.54–$42.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN: COCKROACH	$42.00	$42.00	$15.54–$42.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN: WHEAT	$42.00	$42.00	$15.54–$42.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN: SOYBEAN	$42.00	$42.00	$15.54–$42.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN: PEANUT	$42.00	$42.00	$15.54–$42.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN: CODFISH	$42.00	$42.00	$15.54–$42.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN: MILK	$42.00	$42.00	$15.54–$42.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN: EGG WHITE	$42.00	$42.00	$15.54–$42.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN: DOG DANDER	$42.00	$42.00	$15.54–$42.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN: CAT EPITHELIA	$42.00	$42.00	$15.54–$42.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN: D. FARINAE	$42.00	$42.00	$15.54–$42.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN: SESAME SEED	$42.00	$42.00	$15.54–$42.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN: WALNUT TREE	$42.00	$42.00	$15.54–$42.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN: BERMUDA GRASS	$42.00	$42.00	$15.54–$42.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN: TIMOTHY GRASS	$42.00	$42.00	$15.54–$42.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN: PEN. NOTATUM	$42.00	$42.00	$15.54–$42.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN: A. FUMIGATUS	$42.00	$42.00	$15.54–$42.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN: MAPLE	$42.00	$42.00	$15.54–$42.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN: MOUNTAIN CEDAR	$42.00	$42.00	$15.54–$42.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN: OAK	$42.00	$42.00	$15.54–$42.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN: ELM	$42.00	$42.00	$15.54–$42.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN: MAPLE LEAF/SYCAMORE	$42.00	$42.00	$15.54–$42.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN: COTTONWOOD	$42.00	$42.00	$15.54–$42.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN: WHITE ASH	$42.00	$42.00	$15.54–$42.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN: PECAN/HICKORY	$42.00	$42.00	$15.54–$42.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN: MULBERRY	$42.00	$42.00	$15.54–$42.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN: COMMON RAGWEED	$42.00	$42.00	$15.54–$42.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN: RUSSIAN THISTLE	$42.00	$42.00	$15.54–$42.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN: ROUGH PIGWEED	$42.00	$42.00	$15.54–$42.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN: LATEX	$42.00	$42.00	$15.54–$42.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN: NETTLE	$42.00	$42.00	$15.54–$42.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN: HAZELNUT	$42.00	$42.00	$15.54–$42.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN: SALMON	$42.00	$42.00	$15.54–$42.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN: TUNA	$42.00	$42.00	$15.54–$42.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN: MOUSE URINE	$42.00	$42.00	$15.54–$42.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN: SILVER BIRCH	$42.00	$42.00	$15.54–$42.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN: A. ALTERNATA	$42.00	$42.00	$15.54–$42.00	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN: R. MARSH ELDER	$42.00	$42.00	$15.54–$42.00	—	—
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA-FETO PRO,TUMOR MARK	$96.00	$96.00	$35.52–$96.00	15% below	—
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA-FETO PRO,TUMOR MARK	$96.00	$96.00	$35.52–$96.00	—	—
Ammonia blood test CPT 82140 AMMONIA	$177.50	$177.50	$65.68–$177.50	67% above	—
Ammonia blood test inpatient CPT 82140 AMMONIA	$177.50	$177.50	$65.68–$177.50	—	—
Amylase blood test CPT 82150 AMYLASE-SERUM	$74.50	$74.50	$27.57–$74.50	9% below	—
Amylase blood test inpatient CPT 82150 AMYLASE-SERUM	$74.50	$74.50	$27.57–$74.50	—	—
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP	$120.00	$120.00	$44.40–$120.00	43% above	—
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 ANTI-CCP	$195.50	$195.50	$72.34–$195.50	133% above	—
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP	$120.00	$120.00	$44.40–$120.00	—	—
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 ANTI-CCP	$195.50	$195.50	$72.34–$195.50	—	—
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTI-NUCLEAR ANTI	$95.50	$95.50	$35.34–$95.50	6% above	—
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTI-NUCLEAR ANTI	$95.50	$95.50	$35.34–$95.50	—	—
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 PRO BNP	$162.25	$162.25	$60.03–$162.25	14% below	—
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP	$320.00	$320.00	$118.40–$320.00	69% above	—
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 PRO BNP	$162.25	$162.25	$60.03–$162.25	—	—
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 BNP	$320.00	$320.00	$118.40–$320.00	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 ADD PATHOGENS	$67.50	$67.50	$24.98–$67.50	25% below	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE- WOUND	$107.00	$107.00	$39.59–$107.00	19% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE-SPUTUM	$107.00	$107.00	$39.59–$107.00	19% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE- THROAT/NOSE	$107.00	$107.00	$39.59–$107.00	19% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE- OTHER SOURCE	$107.00	$107.00	$39.59–$107.00	19% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 ADD PATHOGENS	$67.50	$67.50	$24.98–$67.50	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE- THROAT/NOSE	$107.00	$107.00	$39.59–$107.00	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE- WOUND	$107.00	$107.00	$39.59–$107.00	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE-SPUTUM	$107.00	$107.00	$39.59–$107.00	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE- OTHER SOURCE	$107.00	$107.00	$39.59–$107.00	—	—
Basic metabolic panel (blood test) CPT 80048 CHEM 8 PROFILE (BMP)	$122.50	$122.50	$45.33–$122.50	4% below	—
Basic metabolic panel (blood test) inpatient CPT 80048 CHEM 8 PROFILE (BMP)	$122.50	$122.50	$45.33–$122.50	—	—
Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL	$62.50	$62.50	$23.13–$62.50	2% above	—
Bilirubin blood test, total CPT 82247 BILIRUBIN, TOTAL BODY FLUID	$65.25	$65.25	$24.14–$65.25	6% above	—
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN TOTAL	$62.50	$62.50	$23.13–$62.50	—	—
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN, TOTAL BODY FLUID	$65.25	$65.25	$24.14–$65.25	—	—
Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURG PATH GR & MIC IV	$219.50	$219.50	$81.22–$219.50	8% below	—
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 SURG PATH GR & MIC IV	$219.50	$219.50	$81.22–$219.50	—	—
Blood culture for bacteria CPT 87040 CULTURE-BLOOD	$126.50	$126.50	$46.81–$126.50	18% below	—
Blood culture for bacteria inpatient CPT 87040 CULTURE-BLOOD	$126.50	$126.50	$46.81–$126.50	—	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE	$17.00	$17.00	$6.29–$17.00	28% below	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 FM VENIPUNCTURE	$17.00	$17.00	$6.29–$17.00	28% below	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 FM VENIPUNCTURE	$17.00	$17.00	$6.29–$17.00	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE	$17.00	$17.00	$6.29–$17.00	—	—
Blood glucose (sugar) test CPT 82947 GLUCOSE-SERUM	$49.00	$49.00	$18.13–$49.00	8% above	—
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE-SERUM	$49.00	$49.00	$18.13–$49.00	—	—
Blood lead test CPT 83655 HEAVY METAL 3U LEAD URINE	$56.50	$56.50	$20.91–$56.50	1% above	—
Blood lead test CPT 83655 LEAD SCREEN Filter Paper	$61.00	$61.00	$22.57–$61.00	9% above	—
Blood lead test CPT 83655 LEAD, BLOOD	$99.00	$99.00	$36.63–$99.00	77% above	—
Blood lead test inpatient CPT 83655 HEAVY METAL 3U LEAD URINE	$56.50	$56.50	$20.91–$56.50	—	—
Blood lead test inpatient CPT 83655 LEAD SCREEN Filter Paper	$61.00	$61.00	$22.57–$61.00	—	—
Blood lead test inpatient CPT 83655 LEAD, BLOOD	$99.00	$99.00	$36.63–$99.00	—	—
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG-QUALITATIVE	$64.00	$64.00	$23.68–$64.00	30% below	—
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG-QUALITATIVE	$64.00	$64.00	$23.68–$64.00	—	—
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO TYPE	$60.50	$60.50	$22.39–$60.50	28% below	—
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO TYPE	$60.50	$60.50	$22.39–$60.50	—	—
Blood urea nitrogen (BUN) test CPT 84520 BUN-SERUM	$49.00	$49.00	$18.13–$49.00	6% below	—
Blood urea nitrogen (BUN) test inpatient CPT 84520 BUN-SERUM	$49.00	$49.00	$18.13–$49.00	—	—
C-peptide blood test CPT 84681 C-PEPTIDE	$214.00	$214.00	$79.18–$214.00	107% above	—
C-peptide blood test inpatient CPT 84681 C-PEPTIDE	$214.00	$214.00	$79.18–$214.00	—	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CRP-LOW SENSITIVITY	$67.50	$67.50	$24.98–$67.50	8% below	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 CRP-LOW SENSITIVITY	$67.50	$67.50	$24.98–$67.50	—	—
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFFICILE, TOXIN B PCR	$162.00	$162.00	$59.94–$162.00	12% below	—
C. difficile toxin gene test (stool PCR) CPT 87493 C. DIFF BY DNA	$167.00	$167.00	$61.79–$167.00	9% below	—
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C DIFFICILE, TOXIN B PCR	$162.00	$162.00	$59.94–$162.00	—	—
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C. DIFF BY DNA	$167.00	$167.00	$61.79–$167.00	—	—
CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9	$127.00	$127.00	$46.99–$127.00	15% above	—
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9	$127.00	$127.00	$46.99–$127.00	—	—
CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125	$127.00	$127.00	$46.99–$127.00	21% below	—
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125	$127.00	$127.00	$46.99–$127.00	—	—
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 RAPID COVID-19	$75.00	$75.00	$27.75–$75.00	35% below	—
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 PCR	$100.00	$100.00	$37.00–$100.00	13% below	—
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 RAPID COVID-19	$75.00	$75.00	$27.75–$75.00	—	—
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID-19 PCR	$100.00	$100.00	$37.00–$100.00	—	—
Calcium blood test, total CPT 82310 CALCIUM-SERUM	$64.50	$64.50	$23.87–$64.50	42% above	—
Calcium blood test, total inpatient CPT 82310 CALCIUM-SERUM	$64.50	$64.50	$23.87–$64.50	—	—
Carcinoembryonic antigen (CEA) test CPT 82378 CEA	$199.00	$199.00	$73.63–$199.00	41% above	—
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CEA	$199.00	$199.00	$73.63–$199.00	—	—
Chickenpox (varicella) immunity blood test CPT 86787 Varicella-Zoster AB IgG	$101.50	$101.50	$37.56–$101.50	36% above	—
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA-ZOSTER AB IgM	$101.50	$101.50	$37.56–$101.50	36% above	—
Chickenpox (varicella) immunity blood test inpatient CPT 86787 Varicella-Zoster AB IgG	$101.50	$101.50	$37.56–$101.50	—	—
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA-ZOSTER AB IgM	$101.50	$101.50	$37.56–$101.50	—	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 C. trachomatis, RNA TMA	$73.50	$73.50	$27.20–$73.50	41% below	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 C. trachomatis, RNA TMA	$73.50	$73.50	$27.20–$73.50	—	—
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL	$163.50	$163.50	$60.50–$163.50	27% above	—
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL	$163.50	$163.50	$60.50–$163.50	—	—
Complete blood count (CBC) with differential CPT 85025 CBC	$85.00	$85.00	$31.45–$85.00	8% above	—
Complete blood count (CBC) with differential inpatient CPT 85025 CBC	$85.00	$85.00	$31.45–$85.00	—	—
Complete blood count (CBC), no differential CPT 85027 HEMOGRAM	$67.50	$67.50	$24.98–$67.50	4% above	—
Complete blood count (CBC), no differential inpatient CPT 85027 HEMOGRAM	$67.50	$67.50	$24.98–$67.50	—	—
Comprehensive metabolic panel (blood test) CPT 80053 CHEMISTRY PROFILE CMP	$163.50	$163.50	$60.50–$163.50	2% above	—
Comprehensive metabolic panel (blood test) inpatient CPT 80053 CHEMISTRY PROFILE CMP	$163.50	$163.50	$60.50–$163.50	—	—
Cortisol blood test, total CPT 82533 CORTISOL - PLASMA	$155.00	$155.00	$57.35–$155.00	41% above	—
Cortisol blood test, total inpatient CPT 82533 CORTISOL - PLASMA	$155.00	$155.00	$57.35–$155.00	—	—
Creatine kinase (CK) blood test, total CPT 82550 CPK	$71.00	$71.00	$26.27–$71.00	15% above	—
Creatine kinase (CK) blood test, total inpatient CPT 82550 CPK	$71.00	$71.00	$26.27–$71.00	—	—
Creatinine blood test CPT 82565 CREATININE-SERUM	$64.00	$64.00	$23.68–$64.00	28% above	—
Creatinine blood test inpatient CPT 82565 CREATININE-SERUM	$64.00	$64.00	$23.68–$64.00	—	—
Cytomegalovirus (CMV) antibody test CPT 86644 CYTOMEGALOVIRUS IgG	$108.00	$108.00	$39.96–$108.00	27% above	—
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CYTOMEGALOVIRUS IgG	$108.00	$108.00	$39.96–$108.00	—	—
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER	$168.50	$168.50	$62.35–$168.50	39% above	—
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER	$168.50	$168.50	$62.35–$168.50	—	—
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA SULFATE	$133.50	$133.50	$49.40–$133.50	24% above	—
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA SULFATE	$133.50	$133.50	$49.40–$133.50	—	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 COCAINE METABOLITE SCREEN ONLY	$54.00	$54.00	$19.98–$54.00	45% below	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 SYNTH CANNABINOIDS SCR QUAL UR	$167.50	$167.50	$61.98–$167.50	72% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN 10	$245.00	$245.00	$90.65–$245.00	151% above	—
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 COCAINE METABOLITE SCREEN ONLY	$54.00	$54.00	$19.98–$54.00	—	—
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 SYNTH CANNABINOIDS SCR QUAL UR	$167.50	$167.50	$61.98–$167.50	—	—
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN 10	$245.00	$245.00	$90.65–$245.00	—	—
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTES/NA/K/CL/CO2	$91.00	$91.00	$33.67–$91.00	6% below	—
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYTES/NA/K/CL/CO2	$91.00	$91.00	$33.67–$91.00	—	—
Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN BARR ABS IgG, IgM, EBN	$108.00	$108.00	$39.96–$108.00	at median	—
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EPSTEIN BARR ABS IgG, IgM, EBN	$108.00	$108.00	$39.96–$108.00	—	—
Estradiol blood test CPT 82670 ESTRADIOL, FREE	$148.00	$148.00	$54.76–$148.00	40% above	—
Estradiol blood test CPT 82670 ESTRADIOL	$148.00	$148.00	$54.76–$148.00	40% above	—
Estradiol blood test CPT 82670 ESTRADIOL, SENSITIVE, LC/MS	$148.00	$148.00	$54.76–$148.00	40% above	—
Estradiol blood test inpatient CPT 82670 ESTRADIOL, SENSITIVE, LC/MS	$148.00	$148.00	$54.76–$148.00	—	—
Estradiol blood test inpatient CPT 82670 ESTRADIOL	$148.00	$148.00	$54.76–$148.00	—	—
Estradiol blood test inpatient CPT 82670 ESTRADIOL, FREE	$148.00	$148.00	$54.76–$148.00	—	—
FSH (follicle-stimulating hormone) test CPT 83001 FSH	$166.50	$166.50	$61.61–$166.50	41% above	—
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH	$166.50	$166.50	$61.61–$166.50	—	—
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN, FECAL	$223.75	$223.75	$82.79–$223.75	29% above	—
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN, FECAL	$223.75	$223.75	$82.79–$223.75	—	—
Ferritin blood test (iron stores) CPT 82728 FERRITIN	$166.50	$166.50	$61.61–$166.50	26% above	—
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN	$166.50	$166.50	$61.61–$166.50	—	—
Fibrinogen blood test CPT 85384 FIBRINOGEN	$105.50	$105.50	$39.04–$105.50	21% above	—
Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN	$105.50	$105.50	$39.04–$105.50	—	—
Folate (folic acid) blood test CPT 82746 FOLATE	$179.50	$179.50	$66.42–$179.50	60% above	—
Folate (folic acid) blood test inpatient CPT 82746 FOLATE	$179.50	$179.50	$66.42–$179.50	—	—
Free T3 thyroid hormone test CPT 84481 T3 FREE (FT3)	$97.50	$97.50	$36.08–$97.50	18% below	—
Free T3 thyroid hormone test inpatient CPT 84481 T3 FREE (FT3)	$97.50	$97.50	$36.08–$97.50	—	—
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE, DIRECT DIALYSIS	$64.00	$64.00	$23.68–$64.00	45% below	—
Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE (T4), FREE, DIRECT	$64.00	$64.00	$23.68–$64.00	45% below	—
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4-FREE	$111.50	$111.50	$41.26–$111.50	4% below	—
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4 FREE, DIRECT DIALYSIS	$64.00	$64.00	$23.68–$64.00	—	—
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 THYROXINE (T4), FREE, DIRECT	$64.00	$64.00	$23.68–$64.00	—	—
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4-FREE	$111.50	$111.50	$41.26–$111.50	—	—
Free testosterone test CPT 84402 TESTOSTERONE, FREE	$230.50	$230.50	$85.29–$230.50	88% above	—
Free testosterone test inpatient CPT 84402 TESTOSTERONE, FREE	$230.50	$230.50	$85.29–$230.50	—	—
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGT	$57.50	$57.50	$21.28–$57.50	2% below	—
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GGT	$57.50	$57.50	$21.28–$57.50	—	—
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 G.H.P. CBC/CHEMPRO/TSH	$375.00	$375.00	$138.75–$375.00	13% above	—
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 G.H.P. CBC/CHEMPRO/TSH	$375.00	$375.00	$138.75–$375.00	—	—
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE - 1 HOUR	$50.00	$50.00	$18.50–$50.00	12% below	—
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE - 2 HOUR	$54.00	$54.00	$19.98–$54.00	5% below	—
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE - 1 HR. CHALLENGE	$54.00	$54.00	$19.98–$54.00	5% below	—
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE - 1 HOUR	$50.00	$50.00	$18.50–$50.00	—	—
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE - 1 HR. CHALLENGE	$54.00	$54.00	$19.98–$54.00	—	—
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE - 2 HOUR	$54.00	$54.00	$19.98–$54.00	—	—
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE - 3 HR. TOLERANCE	$142.50	$142.50	$52.73–$142.50	6% above	—
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE - 3 HR. TOLERANCE	$142.50	$142.50	$52.73–$142.50	—	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N. GONORRHOEAE, PHARYNGEAL	$42.00	$42.00	$15.54–$42.00	66% below	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N. gonorrhoeae, RNA, TMA	$73.50	$73.50	$27.20–$73.50	40% below	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N. GONORRHOEAE, PHARYNGEAL	$42.00	$42.00	$15.54–$42.00	—	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N. gonorrhoeae, RNA, TMA	$73.50	$73.50	$27.20–$73.50	—	—
H. pylori antibody blood test CPT 86677 H. PYLORI IgM AB	$75.50	$75.50	$27.94–$75.50	34% below	—
H. pylori antibody blood test CPT 86677 H. PYLORI IgA AB	$75.50	$75.50	$27.94–$75.50	34% below	—
H. pylori antibody blood test CPT 86677 H. PYLORI IgG AB	$75.50	$75.50	$27.94–$75.50	34% below	—
H. pylori antibody blood test inpatient CPT 86677 H. PYLORI IgM AB	$75.50	$75.50	$27.94–$75.50	—	—
H. pylori antibody blood test inpatient CPT 86677 H. PYLORI IgA AB	$75.50	$75.50	$27.94–$75.50	—	—
H. pylori antibody blood test inpatient CPT 86677 H. PYLORI IgG AB	$75.50	$75.50	$27.94–$75.50	—	—
H. pylori stool antigen test CPT 87338 H.PYLORI ANTIGEN, STOOL	$142.50	$142.50	$52.73–$142.50	23% above	—
H. pylori stool antigen test inpatient CPT 87338 H.PYLORI ANTIGEN, STOOL	$142.50	$142.50	$52.73–$142.50	—	—
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 1/2 CONFIRM	$92.00	$92.00	$34.04–$92.00	18% below	—
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV 1/2 CONFIRM	$92.00	$92.00	$34.04–$92.00	—	—
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV - DNA	$145.00	$145.00	$53.65–$145.00	1% below	—
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV - DNA	$145.00	$145.00	$53.65–$145.00	—	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C	$119.00	$119.00	$44.03–$119.00	34% above	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN A1C	$119.00	$119.00	$44.03–$119.00	—	—
Hemoglobin blood test CPT 85018 HEMOGLOBIN	$31.50	$31.50	$11.66–$31.50	at median	—
Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN	$31.50	$31.50	$11.66–$31.50	—	—
Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE AB TOTAL	$126.00	$126.00	$46.62–$126.00	62% above	—
Hepatitis B core antibody test (total) inpatient CPT 86704 HEPATITIS B CORE AB TOTAL	$126.00	$126.00	$46.62–$126.00	—	—
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE AG	$126.50	$126.50	$46.81–$126.50	42% above	—
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE AG	$126.50	$126.50	$46.81–$126.50	—	—
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY	$174.00	$174.00	$64.38–$174.00	55% above	—
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C ANTIBODY	$174.00	$174.00	$64.38–$174.00	—	—
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV (RNA) QUANT	$337.50	$337.50	$124.88–$337.50	27% above	—
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV (RNA) QUANT	$337.50	$337.50	$124.88–$337.50	—	—
Herpes blood test, HSV-1 antibody CPT 86695 HSV 1 Ab Ig M	$64.00	$64.00	$23.68–$64.00	2% below	—
Herpes blood test, HSV-1 antibody CPT 86695 HERPES 1 IgG ANTIBODY	$64.00	$64.00	$23.68–$64.00	2% below	—
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV 1 Ab Ig M	$64.00	$64.00	$23.68–$64.00	—	—
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES 1 IgG ANTIBODY	$64.00	$64.00	$23.68–$64.00	—	—
Herpes blood test, HSV-2 antibody CPT 86696 HERPES 2 IgG ANTIBODY	$64.00	$64.00	$23.68–$64.00	20% below	—
Herpes blood test, HSV-2 antibody CPT 86696 HSV 2 Ab Ig M	$64.00	$64.00	$23.68–$64.00	20% below	—
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV 2 Ab Ig M	$64.00	$64.00	$23.68–$64.00	—	—
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES 2 IgG ANTIBODY	$64.00	$64.00	$23.68–$64.00	—	—
High-sensitivity CRP (hs-CRP) test CPT 86141 CRP-HI SENSITIVITY	$158.50	$158.50	$58.65–$158.50	72% above	—
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CRP-HI SENSITIVITY	$158.50	$158.50	$58.65–$158.50	—	—
Homocysteine blood test CPT 83090 HOMOCYSTEINE, CARDIO	$126.00	$126.00	$46.62–$126.00	5% above	—
Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE, CARDIO	$126.00	$126.00	$46.62–$126.00	—	—
Insulin blood test CPT 83525 INSULIN	$140.00	$140.00	$51.80–$140.00	92% above	—
Insulin blood test inpatient CPT 83525 INSULIN	$140.00	$140.00	$51.80–$140.00	—	—
Iron blood test (serum iron) CPT 83540 IRON	$71.00	$71.00	$26.27–$71.00	10% below	—
Iron blood test (serum iron) inpatient CPT 83540 IRON	$71.00	$71.00	$26.27–$71.00	—	—
Iron-binding capacity (TIBC) test CPT 83550 TIBC	$108.00	$108.00	$39.96–$108.00	44% above	—
Iron-binding capacity (TIBC) test inpatient CPT 83550 TIBC	$108.00	$108.00	$39.96–$108.00	—	—
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL	$134.50	$134.50	$49.77–$134.50	9% below	—
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL	$134.50	$134.50	$49.77–$134.50	—	—
LH (luteinizing hormone) test CPT 83002 LUETENIZING HORMONE	$225.50	$225.50	$83.44–$225.50	96% above	—
LH (luteinizing hormone) test inpatient CPT 83002 LUETENIZING HORMONE	$225.50	$225.50	$83.44–$225.50	—	—
Lactate (lactic acid) blood test CPT 83605 LACTIC ACID	$84.50	$84.50	$31.27–$84.50	6% below	—
Lactate (lactic acid) blood test inpatient CPT 83605 LACTIC ACID	$84.50	$84.50	$31.27–$84.50	—	—
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH	$57.50	$57.50	$21.28–$57.50	at median	—
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH	$57.50	$57.50	$21.28–$57.50	—	—
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE, FLUID	$112.50	$112.50	$41.63–$112.50	21% above	—
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE	$112.50	$112.50	$41.63–$112.50	21% above	—
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE	$112.50	$112.50	$41.63–$112.50	—	—
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE, FLUID	$112.50	$112.50	$41.63–$112.50	—	—
Liver function blood test panel CPT 80076 LIVER PANEL	$134.50	$134.50	$49.77–$134.50	3% below	—
Liver function blood test panel inpatient CPT 80076 LIVER PANEL	$134.50	$134.50	$49.77–$134.50	—	—
Lyme disease antibody test CPT 86618 LYME ANTIBODY IgG & IgM	$120.50	$120.50	$44.59–$120.50	66% above	—
Lyme disease antibody test inpatient CPT 86618 LYME ANTIBODY IgG & IgM	$120.50	$120.50	$44.59–$120.50	—	—
Magnesium blood test CPT 83735 MAGNESIUM, RBC	$67.00	$67.00	$24.79–$67.00	4% below	—
Magnesium blood test CPT 83735 MAGNESIUM SERUM	$82.50	$82.50	$30.53–$82.50	18% above	—
Magnesium blood test inpatient CPT 83735 MAGNESIUM, RBC	$67.00	$67.00	$24.79–$67.00	—	—
Magnesium blood test inpatient CPT 83735 MAGNESIUM SERUM	$82.50	$82.50	$30.53–$82.50	—	—
Measles (rubeola) antibody test CPT 86765 MEASLES(RUBEOLA)ANTIB IgG	$61.50	$61.50	$22.76–$61.50	15% below	—
Measles (rubeola) antibody test CPT 86765 MEASLES Ab IgM	$83.00	$83.00	$30.71–$83.00	14% above	—
Measles (rubeola) antibody test inpatient CPT 86765 MEASLES(RUBEOLA)ANTIB IgG	$61.50	$61.50	$22.76–$61.50	—	—
Measles (rubeola) antibody test inpatient CPT 86765 MEASLES Ab IgM	$83.00	$83.00	$30.71–$83.00	—	—
Mono test (heterophile antibody, Monospot) CPT 86308 MONO TEST	$64.50	$64.50	$23.87–$64.50	20% below	—
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONO TEST	$64.50	$64.50	$23.87–$64.50	—	—
Mumps immunity blood test CPT 86735 MUMPS ANTIBODY IgG	$66.50	$66.50	$24.61–$66.50	8% below	—
Mumps immunity blood test inpatient CPT 86735 MUMPS ANTIBODY IgG	$66.50	$66.50	$24.61–$66.50	—	—
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL	$145.00	$145.00	$53.65–$145.00	28% above	—
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA TOTAL	$145.00	$145.00	$53.65–$145.00	—	—
Pap test (liquid-based, automated screening with review) CPT 88175 CYTOLOGY-THIN PREP PAP	$110.00	$110.00	$40.70–$110.00	20% below	—
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 CYTOLOGY-THIN PREP PAP	$110.00	$110.00	$40.70–$110.00	—	—
Parathyroid hormone (PTH) blood test CPT 83970 PARA THYROID-PTH	$223.00	$223.00	$82.51–$223.00	3% above	—
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARA THYROID-PTH	$223.00	$223.00	$82.51–$223.00	—	—
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT-LA	$100.50	$100.50	$37.19–$100.50	44% above	—
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT	$100.50	$100.50	$37.19–$100.50	44% above	—
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT	$100.50	$100.50	$37.19–$100.50	—	—
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT-LA	$100.50	$100.50	$37.19–$100.50	—	—
Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS SERUM	$60.00	$60.00	$22.20–$60.00	4% below	—
Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHORUS SERUM	$60.00	$60.00	$22.20–$60.00	—	—
Potassium blood test CPT 84132 POTASSIUM - SERUM	$59.00	$59.00	$21.83–$59.00	32% above	—
Potassium blood test inpatient CPT 84132 POTASSIUM - SERUM	$59.00	$59.00	$21.83–$59.00	—	—
Progesterone blood test CPT 84144 PROGESTERONE	$253.50	$253.50	$93.80–$253.50	88% above	—
Progesterone blood test inpatient CPT 84144 PROGESTERONE	$253.50	$253.50	$93.80–$253.50	—	—
Prolactin blood test CPT 84146 PROLACTIN	$248.00	$248.00	$91.76–$248.00	96% above	—
Prolactin blood test inpatient CPT 84146 PROLACTIN	$248.00	$248.00	$91.76–$248.00	—	—
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME	$61.00	$61.00	$22.57–$61.00	58% above	—
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME	$61.00	$61.00	$22.57–$61.00	—	—
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 EMP URINE DRUG SCREEN	$25.00	$25.00	$9.25–$25.00	69% below	—
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 EMP DRUG SCREEN CONFIRMATION	$73.50	$73.50	$27.20–$73.50	10% below	—
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 CONTRACT EE DRUG SCREEN	$75.00	$75.00	$27.75–$75.00	8% below	—
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG SCREEN MEDICAL UR	$257.50	$257.50	$95.28–$257.50	214% above	—
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 OFFSITE DRUG SCREEN MEDICAL UR	$257.50	$257.50	$95.28–$257.50	214% above	—
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 EMP URINE DRUG SCREEN	$25.00	$25.00	$9.25–$25.00	—	—
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 EMP DRUG SCREEN CONFIRMATION	$73.50	$73.50	$27.20–$73.50	—	—
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 CONTRACT EE DRUG SCREEN	$75.00	$75.00	$27.75–$75.00	—	—
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 DRUG SCREEN MEDICAL UR	$257.50	$257.50	$95.28–$257.50	—	—
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 OFFSITE DRUG SCREEN MEDICAL UR	$257.50	$257.50	$95.28–$257.50	—	—
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA A OR B	$90.00	$90.00	$33.30–$90.00	14% above	—
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA A OR B	$90.00	$90.00	$33.30–$90.00	—	—
Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP TEST-RAPID	$61.00	$61.00	$22.57–$61.00	at median	—
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREP TEST-RAPID	$61.00	$61.00	$22.57–$61.00	—	—
Renin blood test CPT 84244 RENIN, BLOOD	$59.50	$59.50	$22.02–$59.50	47% below	—
Renin blood test inpatient CPT 84244 RENIN, BLOOD	$59.50	$59.50	$22.02–$59.50	—	—
Rh blood typing CPT 86901 RH TYPE	$60.50	$60.50	$22.39–$60.50	11% below	—
Rh blood typing inpatient CPT 86901 RH TYPE	$60.50	$60.50	$22.39–$60.50	—	—
Rheumatoid factor (RF) test CPT 86431 RF TEST QUANTITATIVE	$65.00	$65.00	$24.05–$65.00	3% above	—
Rheumatoid factor (RF) test inpatient CPT 86431 RF TEST QUANTITATIVE	$65.00	$65.00	$24.05–$65.00	—	—
Rubella antibody test (immunity check) CPT 86762 RUBELLA-IMMUNE STATUS	$58.50	$58.50	$21.65–$58.50	23% below	—
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA-IMMUNE STATUS	$58.50	$58.50	$21.65–$58.50	—	—
Sodium blood test CPT 84295 SODIUM - SERUM	$61.00	$61.00	$22.57–$61.00	24% above	—
Sodium blood test inpatient CPT 84295 SODIUM - SERUM	$61.00	$61.00	$22.57–$61.00	—	—
Stool ova and parasites exam CPT 87177 OVA / PARASITES	$107.50	$107.50	$39.78–$107.50	44% above	—
Stool ova and parasites exam inpatient CPT 87177 OVA / PARASITES	$107.50	$107.50	$39.78–$107.50	—	—
Stool test for hidden blood (guaiac FOBT) CPT 82270 FECES-OCCULT BLOOD SCREEN	$41.50	$41.50	$15.36–$41.50	44% above	—
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 FECES-OCCULT BLOOD SCREEN	$41.50	$41.50	$15.36–$41.50	—	—
Syphilis antibody test (Treponema pallidum) CPT 86780 FTA-ABS (T. pallidum Confirm)	$63.50	$63.50	$23.50–$63.50	6% below	—
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 FTA-ABS (T. pallidum Confirm)	$63.50	$63.50	$23.50–$63.50	—	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR QUALITATIVE	$84.00	$84.00	$31.08–$84.00	64% above	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR Quant. - Reflex	$95.00	$95.00	$35.15–$95.00	86% above	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR QUALITATIVE	$84.00	$84.00	$31.08–$84.00	—	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR Quant. - Reflex	$95.00	$95.00	$35.15–$95.00	—	—
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON TB GOLD	$147.50	$147.50	$54.58–$147.50	33% below	—
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON TB GOLD	$147.50	$147.50	$54.58–$147.50	—	—
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE LEVEL	$155.00	$155.00	$57.35–$155.00	24% above	—
Testosterone blood test, total (not free testosterone) CPT 84403 TOTAL TESTOSTERONE, TP	$221.00	$221.00	$81.77–$221.00	76% above	—
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE	$221.00	$221.00	$81.77–$221.00	76% above	—
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE LEVEL	$155.00	$155.00	$57.35–$155.00	—	—
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE	$221.00	$221.00	$81.77–$221.00	—	—
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TOTAL TESTOSTERONE, TP	$221.00	$221.00	$81.77–$221.00	—	—
Thyroid peroxidase (TPO) antibody test CPT 86376 Liver-Kidney Microsomal Ab	$43.10	$43.10	$15.95–$43.10	46% below	—
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDOSE ANTIBO	$70.50	$70.50	$26.09–$70.50	12% below	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Liver-Kidney Microsomal Ab	$43.10	$43.10	$15.95–$43.10	—	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID PEROXIDOSE ANTIBO	$70.50	$70.50	$26.09–$70.50	—	—
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH	$103.00	$103.00	$38.11–$103.00	19% below	—
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH	$103.00	$103.00	$38.11–$103.00	—	—
Total IgE blood test CPT 82785 IMMUNOGLOBULIN E, TOTAL	$114.50	$114.50	$42.37–$114.50	35% above	—
Total IgE blood test CPT 82785 IG E ANTIBODIES	$127.00	$127.00	$46.99–$127.00	49% above	—
Total IgE blood test inpatient CPT 82785 IMMUNOGLOBULIN E, TOTAL	$114.50	$114.50	$42.37–$114.50	—	—
Total IgE blood test inpatient CPT 82785 IG E ANTIBODIES	$127.00	$127.00	$46.99–$127.00	—	—
Total cholesterol blood test CPT 82465 CHOLESTEROL	$55.00	$55.00	$20.35–$55.00	24% above	—
Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL	$55.00	$55.00	$20.35–$55.00	—	—
Total thyroxine (T4) blood test CPT 84436 T4 - THYROXINE	$85.50	$85.50	$31.64–$85.50	4% above	—
Total thyroxine (T4) blood test inpatient CPT 84436 T4 - THYROXINE	$85.50	$85.50	$31.64–$85.50	—	—
Total triiodothyronine (T3) blood test CPT 84480 T3, TOTAL	$95.00	$95.00	$35.15–$95.00	3% below	—
Total triiodothyronine (T3) blood test inpatient CPT 84480 T3, TOTAL	$95.00	$95.00	$35.15–$95.00	—	—
Transferrin blood test CPT 84466 TRANSFERRIN	$119.50	$119.50	$44.22–$119.50	23% above	—
Transferrin blood test inpatient CPT 84466 TRANSFERRIN	$119.50	$119.50	$44.22–$119.50	—	—
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS	$145.00	$145.00	$53.65–$145.00	16% above	—
Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGINALIS	$145.00	$145.00	$53.65–$145.00	—	—
Triglycerides blood test CPT 84478 TRIGLYCERIDES	$71.50	$71.50	$26.46–$71.50	53% above	—
Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDES	$71.50	$71.50	$26.46–$71.50	—	—
Troponin test, quantitative CPT 84484 TROPONIN I	$192.50	$192.50	$71.23–$192.50	22% above	—
Troponin test, quantitative inpatient CPT 84484 TROPONIN I	$192.50	$192.50	$71.23–$192.50	—	—
Uric acid blood test CPT 84550 URIC ACID - SERUM	$58.00	$58.00	$21.46–$58.00	21% below	—
Uric acid blood test inpatient CPT 84550 URIC ACID - SERUM	$58.00	$58.00	$21.46–$58.00	—	—
Urinalysis with microscope exam, automated CPT 81001 UA AUTO COMPLETE	$72.50	$72.50	$26.83–$72.50	13% above	—
Urinalysis with microscope exam, automated inpatient CPT 81001 UA AUTO COMPLETE	$72.50	$72.50	$26.83–$72.50	—	—
Urinalysis without microscope exam, automated CPT 81003 UA AUTO STRIP ONLY	$33.50	$33.50	$12.40–$33.50	34% above	—
Urinalysis without microscope exam, automated inpatient CPT 81003 UA AUTO STRIP ONLY	$33.50	$33.50	$12.40–$33.50	—	—
Urine culture for bacteria, with colony count CPT 87086 CULTURE-URINE	$99.50	$99.50	$36.82–$99.50	9% above	—
Urine culture for bacteria, with colony count inpatient CPT 87086 CULTURE-URINE	$99.50	$99.50	$36.82–$99.50	—	—
Urine microalbumin (albumin) test CPT 82043 SEMI-QUANT URINE ALBUMIN	$74.00	$74.00	$27.38–$74.00	15% above	—
Urine microalbumin (albumin) test inpatient CPT 82043 SEMI-QUANT URINE ALBUMIN	$74.00	$74.00	$27.38–$74.00	—	—
Urine pregnancy test, read by color change CPT 81025 HCG QUAL URINE	$61.00	$61.00	$22.57–$61.00	18% below	—
Urine pregnancy test, read by color change inpatient CPT 81025 HCG QUAL URINE	$61.00	$61.00	$22.57–$61.00	—	—
Vitamin B12 (cobalamin) blood test CPT 82607 B-12	$184.50	$184.50	$68.27–$184.50	43% above	—
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 B-12	$184.50	$184.50	$68.27–$184.50	—	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D - 25OH	$217.50	$217.50	$80.48–$217.50	19% above	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D, 25-OH TOTAL IMMUNO	$346.00	$346.00	$128.02–$346.00	90% above	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D - 25OH	$217.50	$217.50	$80.48–$217.50	—	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D, 25-OH TOTAL IMMUNO	$346.00	$346.00	$128.02–$346.00	—	—
Vitamin D, 1,25-dihydroxy blood test CPT 82652 VITAMIN D,I 25 DIHYDROXY	$191.50	$191.50	$70.86–$191.50	1% below	—
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 VITAMIN D,I 25 DIHYDROXY	$191.50	$191.50	$70.86–$191.50	—	—
Zinc blood test CPT 84630 ZINC	$118.00	$118.00	$43.66–$118.00	68% above	—
Zinc blood test CPT 84630 ZINC-RBC	$122.50	$122.50	$45.33–$122.50	75% above	—
Zinc blood test inpatient CPT 84630 ZINC	$118.00	$118.00	$43.66–$118.00	—	—
Zinc blood test inpatient CPT 84630 ZINC-RBC	$122.50	$122.50	$45.33–$122.50	—	—
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG AB SUBUNIT QUANTATIVE	$38.00	$38.00	$14.06–$38.00	64% below	—
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QUANTITATIVE	$184.50	$184.50	$68.27–$184.50	76% above	—
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG AB SUBUNIT QUANTATIVE	$38.00	$38.00	$14.06–$38.00	—	—
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG QUANTITATIVE	$184.50	$184.50	$68.27–$184.50	—	—

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Illinois	Off list
Adenoid removal (adenoidectomy), child under 12 CPT 42830 ADENOIDECTOMY, PRIMARY <12YRS	$5,288.50	$5,288.50	$1,956.75–$5,288.50	20% above	—
Adenoid removal (adenoidectomy), child under 12 inpatient CPT 42830 ADENOIDECTOMY, PRIMARY <12YRS	$5,288.50	$5,288.50	$1,956.75–$5,288.50	—	—
Anterior cervical discectomy and fusion (ACDF), one level CPT 22551 ARTHR ANT DCMP CERV BLW C2	$17,245.50	$17,245.50	$6,380.84–$17,245.50	62% above	—
Anterior cervical discectomy and fusion (ACDF), one level inpatient CPT 22551 ARTHR ANT DCMP CERV BLW C2	$17,245.50	$17,245.50	$6,380.84–$17,245.50	—	—
Appendectomy, open surgery CPT 44950 APPENDECTOMY	$11,051.25	$11,051.25	$4,088.96–$11,051.25	179% above	—
Appendectomy, open surgery inpatient CPT 44950 APPENDECTOMY	$11,051.25	$11,051.25	$4,088.96–$11,051.25	—	—
Arthroscopic ACL reconstruction or repair of the knee CPT 29888 ARTHR KNEE ANT CRC LIG RP/RECS	$17,181.00	$17,181.00	$6,356.97–$17,181.00	103% above	—
Arthroscopic ACL reconstruction or repair of the knee inpatient CPT 29888 ARTHR KNEE ANT CRC LIG RP/RECS	$17,181.00	$17,181.00	$6,356.97–$17,181.00	—	—
Arthroscopic rotator cuff repair of the shoulder CPT 29827 ARTHR SHOULDER ROTATR CUFF RPR	$15,431.75	$15,431.75	$5,709.75–$15,431.75	99% above	—
Arthroscopic rotator cuff repair of the shoulder inpatient CPT 29827 ARTHR SHOULDER ROTATR CUFF RPR	$15,431.75	$15,431.75	$5,709.75–$15,431.75	—	—
Botox injections for chronic migraine CPT 64615 CHEMODEN MSCLS FACIAL NRV UNIL	$421.25	$421.25	$155.86–$421.25	12% above	—
Botox injections for chronic migraine inpatient CPT 64615 CHEMODEN MSCLS FACIAL NRV UNIL	$421.25	$421.25	$155.86–$421.25	—	—
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 TX METATARSAL FX	$606.00	$606.00	$224.22–$606.00	6% below	—
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 TX METATARSAL FX	$606.00	$606.00	$224.22–$606.00	—	—
Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 BUNIONECT CEV/AU	$8,895.25	$8,895.25	$3,291.24–$8,895.25	147% above	—
Bunion correction with a bone cut near the head of the first metatarsal inpatient CPT 28296 BUNIONECT CEV/AU	$8,895.25	$8,895.25	$3,291.24–$8,895.25	—	—
Bunion correction with removal of part of the big toe joint CPT 28292 BUNION KELLER/MCBRIDE/MAYO	$8,084.00	$8,084.00	$2,991.08–$8,084.00	132% above	—
Bunion correction with removal of part of the big toe joint inpatient CPT 28292 BUNION KELLER/MCBRIDE/MAYO	$8,084.00	$8,084.00	$2,991.08–$8,084.00	—	—
Carpal tunnel release, open surgery CPT 64721 NEUROPL EXCRN/PER NRV AUTO-NS	$6,093.00	$6,093.00	$2,254.41–$6,093.00	156% above	—
Carpal tunnel release, open surgery inpatient CPT 64721 NEUROPL EXCRN/PER NRV AUTO-NS	$6,093.00	$6,093.00	$2,254.41–$6,093.00	—	—
Cataract surgery with lens implant CPT 66984 SIMP CATRCT REMOVAL	$6,472.50	$6,472.50	$2,394.83–$6,472.50	12% above	—
Cataract surgery with lens implant inpatient CPT 66984 SIMP CATRCT REMOVAL	$6,472.50	$6,472.50	$2,394.83–$6,472.50	—	—
Cervical biopsy CPT 57500 BIOPSY OF CERVIX	$2,195.00	$2,195.00	$812.15–$2,195.00	140% above	—
Cervical biopsy inpatient CPT 57500 BIOPSY OF CERVIX	$2,195.00	$2,195.00	$812.15–$2,195.00	—	—
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 CIRCUMCISION >28DAYS OLD	$5,722.75	$5,722.75	$2,117.42–$5,722.75	146% above	—
Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 CIRCUMCISION >28DAYS OLD	$5,722.75	$5,722.75	$2,117.42–$5,722.75	—	—
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUM USING CLAMP W/BLOCK	$5,083.75	$5,083.75	$1,880.99–$5,083.75	202% above	—
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 CIRCUM USING CLAMP W/BLOCK	$5,083.75	$5,083.75	$1,880.99–$5,083.75	—	—
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 COLLES W/O REDUCTION	$714.50	$714.50	$264.37–$714.50	37% above	—
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 COLLES W/O REDUCTION	$714.50	$714.50	$264.37–$714.50	—	—
Colonoscopy with polyp removal CPT 45385 COLONOSCOPY W SNARE REM	$3,547.00	$3,547.00	$1,312.39–$3,547.00	38% above	—
Colonoscopy with polyp removal inpatient CPT 45385 COLONOSCOPY W SNARE REM	$3,547.00	$3,547.00	$1,312.39–$3,547.00	—	—
Colonoscopy with tissue sample CPT 45380 COLONOSCOPY W BIOPSY(S)	$3,547.00	$3,547.00	$1,312.39–$3,547.00	58% above	—
Colonoscopy with tissue sample inpatient CPT 45380 COLONOSCOPY W BIOPSY(S)	$3,547.00	$3,547.00	$1,312.39–$3,547.00	—	—
Colonoscopy, diagnostic CPT 45378 COLONOSCOPY W WO BRUSH/WA	$2,464.50	$2,464.50	$911.87–$2,464.50	14% above	—
Colonoscopy, diagnostic inpatient CPT 45378 COLONOSCOPY W WO BRUSH/WA	$2,464.50	$2,464.50	$911.87–$2,464.50	—	—
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 COLPOSCOPY CERVIX W/SCOPE LEEP	$4,180.50	$4,180.50	$1,546.79–$4,180.50	34% above	—
Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 COLPOSCOPY CERVIX W/SCOPE LEEP	$4,180.50	$4,180.50	$1,546.79–$4,180.50	—	—
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 COLPOSCOPY W/BX CERVIX AND ECC	$923.75	$923.75	$341.79–$923.75	99% above	—
Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 COLPOSCOPY W/BX CERVIX AND ECC	$923.75	$923.75	$341.79–$923.75	—	—
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOURETHROSCOPY	$2,306.75	$2,306.75	$853.50–$2,306.75	89% above	—
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 CYSTOURETHROSCOPY	$2,306.75	$2,306.75	$853.50–$2,306.75	—	—
D&C (dilation and curettage), not related to pregnancy CPT 58120 ENDOMETRIAL BX W/CERV DIL	$2,652.00	$2,652.00	$981.24–$2,652.00	10% below	—
D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 ENDOMETRIAL BX W/CERV DIL	$2,652.00	$2,652.00	$981.24–$2,652.00	—	—
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 OFF-DEST PREMALIG LESION 1ST	$144.00	$144.00	$53.28–$144.00	17% below	—
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DEST PREMALIG LESION 1ST	$285.50	$285.50	$105.64–$285.50	64% above	—
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 OFF-DEST PREMALIG LESION 1ST	$144.00	$144.00	$53.28–$144.00	—	—
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 DEST PREMALIG LESION 1ST	$285.50	$285.50	$105.64–$285.50	—	—
Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 TYMPANOSTOMY	$2,168.50	$2,168.50	$802.35–$2,168.50	31% above	—
Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 TYMPANOSTOMY UNDER GA	$4,337.00	$4,337.00	$1,604.69–$4,337.00	162% above	—
Ear tube placement (tympanostomy) under general anesthesia, one ear inpatient CPT 69436 TYMPANOSTOMY	$2,168.50	$2,168.50	$802.35–$2,168.50	—	—
Ear tube placement (tympanostomy) under general anesthesia, one ear inpatient CPT 69436 TYMPANOSTOMY UNDER GA	$4,337.00	$4,337.00	$1,604.69–$4,337.00	—	—
Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 TYMPAN W/TUBE LOCAL/TOP ANES	$710.50	$710.50	$262.89–$710.50	24% above	—
Ear tube placement (tympanostomy) with local anesthesia, one ear inpatient CPT 69433 TYMPAN W/TUBE LOCAL/TOP ANES	$710.50	$710.50	$262.89–$710.50	—	—
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 REM CERUMEN IMPACT, UNILAT	$30.00	$30.00	$11.10–$30.00	74% below	—
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 REMOVE CERUMEN IMPACT, UNILAT	$105.50	$105.50	$39.04–$105.50	8% below	—
Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 REM CERUMEN IMPACT, UNILAT	$30.00	$30.00	$11.10–$30.00	—	—
Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 REMOVE CERUMEN IMPACT, UNILAT	$105.50	$105.50	$39.04–$105.50	—	—
Earwax removal with instruments, one ear CPT 69210 OFF-REM CERUMEN IMPACT, UNI	$122.00	$122.00	$45.14–$122.00	2% below	—
Earwax removal with instruments, one ear CPT 69210 REMOVE CERUMENT IMPACT, UNLIAT	$265.75	$265.75	$98.33–$265.75	113% above	—
Earwax removal with instruments, one ear one side CPT 69210 REMOVE CERUMEN IMPACT, UNILAT	$88.50	$88.50	$32.75–$88.50	29% below	—
Earwax removal with instruments, one ear inpatient CPT 69210 OFF-REM CERUMEN IMPACT, UNI	$122.00	$122.00	$45.14–$122.00	—	—
Earwax removal with instruments, one ear inpatient CPT 69210 REMOVE CERUMENT IMPACT, UNLIAT	$265.75	$265.75	$98.33–$265.75	—	—
Earwax removal with instruments, one ear inpatient one side CPT 69210 REMOVE CERUMEN IMPACT, UNILAT	$88.50	$88.50	$32.75–$88.50	—	—
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 ENDOMETRIAL BX W/O CERV DIL	$280.00	$280.00	$103.60–$280.00	20% below	—
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 ENDOMETRIAL BX W/O CERV DIL	$280.00	$280.00	$103.60–$280.00	—	—
Endoscopic sinus surgery: full ethmoid sinus opening CPT 31255 ENDOSC W/ ETHMOIDECTOMY, TOTAL	$10,292.00	$10,292.00	$3,808.04–$10,292.00	37% above	—
Endoscopic sinus surgery: full ethmoid sinus opening inpatient CPT 31255 ENDOSC W/ ETHMOIDECTOMY, TOTAL	$10,292.00	$10,292.00	$3,808.04–$10,292.00	—	—
Endoscopic sinus surgery: opening the frontal sinus CPT 31276 END W/FRNT SIN EXPL W/TISS REM	$6,315.00	$6,315.00	$2,336.55–$6,315.00	16% below	—
Endoscopic sinus surgery: opening the frontal sinus inpatient CPT 31276 END W/FRNT SIN EXPL W/TISS REM	$6,315.00	$6,315.00	$2,336.55–$6,315.00	—	—
Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 ENDOSC W/TISSUE REM, MAX SINUS	$4,841.75	$4,841.75	$1,791.45–$4,841.75	36% below	—
Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue inpatient CPT 31267 ENDOSC W/TISSUE REM, MAX SINUS	$4,841.75	$4,841.75	$1,791.45–$4,841.75	—	—
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 RPR AA HER ANY AP IN 3-10CM RD	$11,656.25	$11,656.25	$4,312.81–$11,656.25	69% above	—
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm inpatient CPT 49593 RPR AA HER ANY AP IN 3-10CM RD	$11,656.25	$11,656.25	$4,312.81–$11,656.25	—	—
First repair of a front abdominal hernia larger than 10 cm CPT 49595 RP AA HR ANY AP IN >10CM RD	$12,822.00	$12,822.00	$4,744.14–$12,822.00	86% above	—
First repair of a front abdominal hernia larger than 10 cm inpatient CPT 49595 RP AA HR ANY AP IN >10CM RD	$12,822.00	$12,822.00	$4,744.14–$12,822.00	—	—
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 RPR AA HER ANY AP INIT <3CM RD	$10,596.50	$10,596.50	$3,920.71–$10,596.50	178% above	—
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm inpatient CPT 49591 RPR AA HER ANY AP INIT <3CM RD	$10,596.50	$10,596.50	$3,920.71–$10,596.50	—	—
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 SIGMOID W W/O BRUSH WASH	$1,529.50	$1,529.50	$565.92–$1,529.50	67% above	—
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 SIGMOID W W/O BRUSH WASH	$1,529.50	$1,529.50	$565.92–$1,529.50	—	—
Gallbladder removal, laparoscopic CPT 47562 LAP CHOLECYSTECTOMY	$12,376.75	$12,376.75	$4,579.40–$12,376.75	92% above	—
Gallbladder removal, laparoscopic inpatient CPT 47562 LAP CHOLECYSTECTOMY	$12,376.75	$12,376.75	$4,579.40–$12,376.75	—	—
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 LAP CHOLE W/CHOLANGIOGRAPHY	$16,201.75	$16,201.75	$5,994.65–$16,201.75	151% above	—
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery inpatient CPT 47563 LAP CHOLE W/CHOLANGIOGRAPHY	$16,201.75	$16,201.75	$5,994.65–$16,201.75	—	—
Gallbladder removal, open surgery through a larger incision CPT 47600 CHOLECYSTECTOMY OPEN	$5,977.00	$5,977.00	$2,211.49–$5,977.00	11% above	—
Gallbladder removal, open surgery through a larger incision inpatient CPT 47600 CHOLECYSTECTOMY OPEN	$5,977.00	$5,977.00	$2,211.49–$5,977.00	—	—
Hammertoe correction surgery CPT 28285 HAMMER TOE CORRECTION	$6,313.00	$6,313.00	$2,335.81–$6,313.00	81% above	—
Hammertoe correction surgery inpatient CPT 28285 HAMMER TOE CORRECTION	$6,313.00	$6,313.00	$2,335.81–$6,313.00	—	—
Hemorrhoid banding (rubber band ligation) CPT 46221 HEMORRHOID BANDING	$2,455.50	$2,455.50	$908.54–$2,455.50	169% above	—
Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 HEMORRHOID BANDING	$2,455.50	$2,455.50	$908.54–$2,455.50	—	—
Hysterectomy through an abdominal incision (total) CPT 58150 TOT ABD HYSTER W/WO REM TBS/OV	$10,992.00	$10,992.00	$4,067.04–$10,992.00	86% above	—
Hysterectomy through an abdominal incision (total) inpatient CPT 58150 TOT ABD HYSTER W/WO REM TBS/OV	$10,992.00	$10,992.00	$4,067.04–$10,992.00	—	—
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 CORPUS UTERI-INTRODUCTION	$597.50	$597.50	$221.08–$597.50	54% above	—
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 CORPUS UTERI-INTRODUCTION	$597.50	$597.50	$221.08–$597.50	—	—
Hysteroscopy with endometrial ablation CPT 58563 HYSTEROSC W/ENDOMETRIAL ABLAT	$11,096.00	$11,096.00	$4,105.52–$11,096.00	98% above	—
Hysteroscopy with endometrial ablation inpatient CPT 58563 HYSTEROSC W/ENDOMETRIAL ABLAT	$11,096.00	$11,096.00	$4,105.52–$11,096.00	—	—
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 HYSTRSC W/BX ENDMETR W/WO D&C	$7,291.00	$7,291.00	$2,697.67–$7,291.00	117% above	—
Hysteroscopy with uterine lining sampling and/or polyp removal inpatient CPT 58558 HYSTRSC W/BX ENDMETR W/WO D&C	$7,291.00	$7,291.00	$2,697.67–$7,291.00	—	—
IUD insertion (the device itself billed separately) CPT 58300 IUD INSERTION	$816.50	$816.50	$302.11–$816.50	109% above	—
IUD insertion (the device itself billed separately) inpatient CPT 58300 IUD INSERTION	$816.50	$816.50	$302.11–$816.50	—	—
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SIMPLE	$222.00	$222.00	$82.14–$222.00	45% below	—
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSCESS SIMPLE	$222.00	$222.00	$82.14–$222.00	—	—
Inguinal (groin) hernia repair, age 5 or older CPT 49505 OPEN ING HERNIA	$7,058.50	$7,058.50	$2,611.65–$7,058.50	85% above	—
Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 OPEN ING HERNIA	$7,058.50	$7,058.50	$2,611.65–$7,058.50	—	—
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 OFF - INJ LIGAMENT TNDN SHEATH	$197.00	$197.00	$72.89–$197.00	48% below	—
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 SB-INJ LIGAMENT TNDN SHEATH	$197.00	$197.00	$72.89–$197.00	48% below	—
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ LIGAMENT, TNDN, SHEATH SGL	$197.00	$197.00	$72.89–$197.00	48% below	—
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ. LIGAMENT TNDN SHEATH	$611.00	$611.00	$226.07–$611.00	60% above	—
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 SB-INJ LIGAMENT TNDN SHEATH	$197.00	$197.00	$72.89–$197.00	—	—
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 OFF - INJ LIGAMENT TNDN SHEATH	$197.00	$197.00	$72.89–$197.00	—	—
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJ LIGAMENT, TNDN, SHEATH SGL	$197.00	$197.00	$72.89–$197.00	—	—
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJ. LIGAMENT TNDN SHEATH	$611.00	$611.00	$226.07–$611.00	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 OFF-ARTHROCENTESIS, MAJOR	$176.00	$176.00	$65.12–$176.00	61% below	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 OFF - ARTHROCENTESIS, MAJOR	$197.00	$197.00	$72.89–$197.00	56% below	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENTESIS, MAJOR	$611.00	$611.00	$226.07–$611.00	36% above	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 OFF-ARTHROCENTESIS, MAJOR	$176.00	$176.00	$65.12–$176.00	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 OFF - ARTHROCENTESIS, MAJOR	$197.00	$197.00	$72.89–$197.00	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHROCENTESIS, MAJOR	$611.00	$611.00	$226.07–$611.00	—	—
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INSERTION, DRUG DELIVERY IMPL	$339.25	$339.25	$125.52–$339.25	8% above	—
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 INSERTION, DRUG DELIVERY IMPL	$339.25	$339.25	$125.52–$339.25	—	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 OFF - ARTHROCENTESIS, INTERMED	$185.50	$185.50	$68.64–$185.50	52% below	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 SB-ARTHROCENTESIS, INTERM	$185.50	$185.50	$68.64–$185.50	52% below	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCENTESIS, INTERMED	$185.75	$185.75	$68.73–$185.75	52% below	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 SB-ARTHROCENTESIS, INTERM	$185.50	$185.50	$68.64–$185.50	—	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 OFF - ARTHROCENTESIS, INTERMED	$185.50	$185.50	$68.64–$185.50	—	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ARTHROCENTESIS, INTERMED	$185.75	$185.75	$68.73–$185.75	—	—
Joint injection or drainage, small joint (fingers, toes) CPT 20600 OFF - ARTHROCENTESIS, SMALL	$130.25	$130.25	$48.19–$130.25	57% below	—
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHROCENTESIS, SMALL	$171.25	$171.25	$63.36–$171.25	43% below	—
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHROCENTESIS, SMALL JOINT	$795.75	$795.75	$294.43–$795.75	165% above	—
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 OFF - ARTHROCENTESIS, SMALL	$130.25	$130.25	$48.19–$130.25	—	—
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ARTHROCENTESIS, SMALL	$171.25	$171.25	$63.36–$171.25	—	—
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ARTHROCENTESIS, SMALL JOINT	$795.75	$795.75	$294.43–$795.75	—	—
Knee arthroscopy with meniscus repair (one side of the knee) one side CPT 29882 ARTHR KNEE W/MNSC RPR MD/LT	$11,960.00	$11,960.00	$4,425.20–$11,960.00	182% above	—
Knee arthroscopy with meniscus repair (one side of the knee) inpatient one side CPT 29882 ARTHR KNEE W/MNSC RPR MD/LT	$11,960.00	$11,960.00	$4,425.20–$11,960.00	—	—
Knee arthroscopy with meniscus trim CPT 29881 ARTH KNEE W/MD LAT MENSC W/SHV	$10,737.50	$10,737.50	$3,972.88–$10,737.50	169% above	—
Knee arthroscopy with meniscus trim inpatient CPT 29881 ARTH KNEE W/MD LAT MENSC W/SHV	$10,737.50	$10,737.50	$3,972.88–$10,737.50	—	—
Knee arthroscopy with removal of both torn meniscus parts CPT 29880 ARTHR KNEE W/MNSC MD/LAT W/SHV	$11,232.00	$11,232.00	$4,155.84–$11,232.00	194% above	—
Knee arthroscopy with removal of both torn meniscus parts inpatient CPT 29880 ARTHR KNEE W/MNSC MD/LAT W/SHV	$11,232.00	$11,232.00	$4,155.84–$11,232.00	—	—
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 ARTHR KNEE DBRD/SHV ARTCLR CRT	$9,775.50	$9,775.50	$3,616.94–$9,775.50	129% above	—
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) inpatient CPT 29877 ARTHR KNEE DBRD/SHV ARTCLR CRT	$9,775.50	$9,775.50	$3,616.94–$9,775.50	—	—
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 LAPAROSCOPIC APPENDECTOMY	$12,376.75	$12,376.75	$4,579.40–$12,376.75	115% above	—
Laparoscopic appendectomy (appendix removal through small cuts) inpatient CPT 44970 LAPAROSCOPIC APPENDECTOMY	$12,376.75	$12,376.75	$4,579.40–$12,376.75	—	—
Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 LAP ESOPHAGOGASTRIC FUNDOPLAST	$10,736.50	$10,736.50	$3,972.51–$10,736.50	30% above	—
Laparoscopic fundoplication (anti-reflux surgery) inpatient CPT 43280 LAP ESOPHAGOGASTRIC FUNDOPLAST	$10,736.50	$10,736.50	$3,972.51–$10,736.50	—	—
Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 LAP RPR HERNIA INGUIN, RECUR	$13,502.00	$13,502.00	$4,995.74–$13,502.00	109% above	—
Laparoscopic inguinal (groin) hernia repair, recurrent hernia inpatient CPT 49651 LAP RPR HERNIA INGUIN, RECUR	$13,502.00	$13,502.00	$4,995.74–$13,502.00	—	—
Laparoscopic removal of an adjustable gastric band and its port CPT 43774 LAP REM GASTRIC RESTRIC DEV	$9,784.25	$9,784.25	$3,620.17–$9,784.25	31% above	—
Laparoscopic removal of an adjustable gastric band and its port inpatient CPT 43774 LAP REM GASTRIC RESTRIC DEV	$9,784.25	$9,784.25	$3,620.17–$9,784.25	—	—
Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 LAP W/RMV ADNEXAL STRUCTRS	$11,088.50	$11,088.50	$4,102.75–$11,088.50	135% above	—
Laparoscopic removal of fallopian tubes and/or ovaries inpatient CPT 58661 LAP W/RMV ADNEXAL STRUCTRS	$11,088.50	$11,088.50	$4,102.75–$11,088.50	—	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INTMD REPAIR S/TR/E <=2.5CM	$372.00	$372.00	$137.64–$372.00	37% below	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 INTMD REPAIR S/TR/E <=2.5CM	$372.00	$372.00	$137.64–$372.00	—	—
Lumbar discectomy or laminotomy to free a nerve root, one level one side CPT 63030 LAM W/DCMP NRV RT 1 INT LMBR	$11,779.75	$11,779.75	$4,358.51–$11,779.75	52% above	—
Lumbar discectomy or laminotomy to free a nerve root, one level inpatient one side CPT 63030 LAM W/DCMP NRV RT 1 INT LMBR	$11,779.75	$11,779.75	$4,358.51–$11,779.75	—	—
Lumbar fusion with interbody cage and posterolateral graft (TLIF), one level CPT 22633 ARTHR PST/PSTLT/PSTINBD LUMBAR	$19,798.00	$19,798.00	$7,325.26–$19,798.00	133% above	—
Lumbar fusion with interbody cage and posterolateral graft (TLIF), one level inpatient CPT 22633 ARTHR PST/PSTLT/PSTINBD LUMBAR	$19,798.00	$19,798.00	$7,325.26–$19,798.00	—	—
Lumbar interbody fusion (PLIF or TLIF), one level CPT 22630 ARTHR POSTERIOR INTBDY LUMBAR	$17,904.25	$17,904.25	$6,624.57–$17,904.25	80% above	—
Lumbar interbody fusion (PLIF or TLIF), one level inpatient CPT 22630 ARTHR POSTERIOR INTBDY LUMBAR	$17,904.25	$17,904.25	$6,624.57–$17,904.25	—	—
Lumbar laminectomy (spinal decompression), one level CPT 63047 LAM FAC/FOR 1SGM LUMBAR	$14,557.00	$14,557.00	$5,386.09–$14,557.00	81% above	—
Lumbar laminectomy (spinal decompression), one level inpatient CPT 63047 LAM FAC/FOR 1SGM LUMBAR	$14,557.00	$14,557.00	$5,386.09–$14,557.00	—	—
Lumbar spinal fusion (posterior), one level CPT 22612 ARTHR PST/PSTLAT LUMBAR	$17,904.25	$17,904.25	$6,624.57–$17,904.25	95% above	—
Lumbar spinal fusion (posterior), one level inpatient CPT 22612 ARTHR PST/PSTLAT LUMBAR	$17,904.25	$17,904.25	$6,624.57–$17,904.25	—	—
Lumpectomy (partial mastectomy) CPT 19301 MASTECTOMY PARTIAL, LUMPECTOMY	$7,383.50	$7,383.50	$2,731.90–$7,383.50	109% above	—
Lumpectomy (partial mastectomy) inpatient CPT 19301 MASTECTOMY PARTIAL, LUMPECTOMY	$7,383.50	$7,383.50	$2,731.90–$7,383.50	—	—
Mastectomy (total removal of the breast) CPT 19303 MASTECTOMY, SIMPLE COMPLETE	$13,660.50	$13,660.50	$5,054.39–$13,660.50	190% above	—
Mastectomy (total removal of the breast) inpatient CPT 19303 MASTECTOMY, SIMPLE COMPLETE	$13,660.50	$13,660.50	$5,054.39–$13,660.50	—	—
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC BEN LES TAL <=0.5CM	$265.50	$265.50	$98.24–$265.50	62% below	—
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC BEN LES TR-EXT <=0.5CM	$820.00	$820.00	$303.40–$820.00	19% above	—
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 EXC BEN LES TAL <=0.5CM	$265.50	$265.50	$98.24–$265.50	—	—
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 EXC BEN LES TR-EXT <=0.5CM	$820.00	$820.00	$303.40–$820.00	—	—
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXC BEN LES FACE <=0.5CM	$974.00	$974.00	$360.38–$974.00	53% above	—
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 EXC BEN LES FACE <=0.5CM	$974.00	$974.00	$360.38–$974.00	—	—
Nail removal (partial or complete), one nail CPT 11730 NAIL REMOVAL 1ST NAIL	$228.50	$228.50	$84.55–$228.50	19% below	—
Nail removal (partial or complete), one nail CPT 11730 NAIL REMOVAL SINGLE	$340.25	$340.25	$125.89–$340.25	21% above	—
Nail removal (partial or complete), one nail inpatient CPT 11730 NAIL REMOVAL 1ST NAIL	$228.50	$228.50	$84.55–$228.50	—	—
Nail removal (partial or complete), one nail inpatient CPT 11730 NAIL REMOVAL SINGLE	$340.25	$340.25	$125.89–$340.25	—	—
Occipital nerve block (injection for headaches) CPT 64405 INJ ANESTH AGNT GRTR OCPTL NRV	$227.75	$227.75	$84.27–$227.75	54% below	—
Occipital nerve block (injection for headaches) inpatient CPT 64405 INJ ANESTH AGNT GRTR OCPTL NRV	$227.75	$227.75	$84.27–$227.75	—	—
Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGING	$1,406.50	$1,406.50	$520.41–$1,406.50	3% below	—
Paracentesis with imaging guidance inpatient CPT 49083 ABD PARACENTESIS W/IMAGING	$1,406.50	$1,406.50	$520.41–$1,406.50	—	—
Permanent removal of a nail and nail root (partial or complete) CPT 11750 REMOVAL OF NAIL BED	$1,068.25	$1,068.25	$395.25–$1,068.25	70% above	—
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 REMOVAL OF NAIL BED	$1,068.25	$1,068.25	$395.25–$1,068.25	—	—
Prostate biopsy CPT 55700 BX PROSTATE, NDL/PUNCH 1+	$2,574.00	$2,574.00	$952.38–$2,574.00	3% above	—
Prostate biopsy inpatient CPT 55700 BX PROSTATE, NDL/PUNCH 1+	$2,574.00	$2,574.00	$952.38–$2,574.00	—	—
Removal of a breast lump, open surgery CPT 19120 EXC CYST/ABRNT BRST TISS 1+LES	$5,062.25	$5,062.25	$1,873.03–$5,062.25	113% above	—
Removal of a breast lump, open surgery inpatient CPT 19120 EXC CYST/ABRNT BRST TISS 1+LES	$5,062.25	$5,062.25	$1,873.03–$5,062.25	—	—
Removal of a foreign object under the skin, simple CPT 10120 REMOVAL FOREIGN BODY SIMP	$314.00	$314.00	$116.18–$314.00	32% below	—
Removal of a foreign object under the skin, simple CPT 10120 REM FB SUBQ TISS SIMPLE	$314.00	$314.00	$116.18–$314.00	32% below	—
Removal of a foreign object under the skin, simple CPT 10120 REMOVAL FORN BODY SIMPLE	$405.00	$405.00	$149.85–$405.00	13% below	—
Removal of a foreign object under the skin, simple CPT 10120 REM FB SUB TISSUE SIMPLE	$650.75	$650.75	$240.78–$650.75	40% above	—
Removal of a foreign object under the skin, simple inpatient CPT 10120 REM FB SUBQ TISS SIMPLE	$314.00	$314.00	$116.18–$314.00	—	—
Removal of a foreign object under the skin, simple inpatient CPT 10120 REMOVAL FOREIGN BODY SIMP	$314.00	$314.00	$116.18–$314.00	—	—
Removal of a foreign object under the skin, simple inpatient CPT 10120 REMOVAL FORN BODY SIMPLE	$405.00	$405.00	$149.85–$405.00	—	—
Removal of a foreign object under the skin, simple inpatient CPT 10120 REM FB SUB TISSUE SIMPLE	$650.75	$650.75	$240.78–$650.75	—	—
Removal of one lobe of the thyroid (lobectomy) CPT 60220 TOT THYR LOBECT UNI W/WO ISTHM	$14,851.75	$14,851.75	$5,495.15–$14,851.75	130% above	—
Removal of one lobe of the thyroid (lobectomy) inpatient CPT 60220 TOT THYR LOBECT UNI W/WO ISTHM	$14,851.75	$14,851.75	$5,495.15–$14,851.75	—	—
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLON MC SCREEN-LOW RISK	$2,183.00	$2,183.00	$807.71–$2,183.00	at median	—
Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 COLON MC SCREEN-LOW RISK	$2,183.00	$2,183.00	$807.71–$2,183.00	—	—
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 COLON MC SCREEN-HIGH RISK	$2,228.25	$2,228.25	$824.45–$2,228.25	6% below	—
Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 COLON MC SCREEN-HIGH RISK	$2,228.25	$2,228.25	$824.45–$2,228.25	—	—
Septoplasty to straighten the nasal septum CPT 30520 SEPTOPLASTY/SMR W/WO CART GRF	$8,418.00	$8,418.00	$3,114.66–$8,418.00	63% above	—
Septoplasty to straighten the nasal septum inpatient CPT 30520 SEPTOPLASTY/SMR W/WO CART GRF	$8,418.00	$8,418.00	$3,114.66–$8,418.00	—	—
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 LITHOTR EXTRACORPOREAL SHOCK	$11,452.00	$11,452.00	$4,237.24–$11,452.00	79% above	—
Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 LITHOTR EXTRACORPOREAL SHOCK	$11,452.00	$11,452.00	$4,237.24–$11,452.00	—	—
Short arm splint (forearm and hand) CPT 29125 SPLINT - SHORT ARM	$195.50	$195.50	$72.34–$195.50	20% below	—
Short arm splint (forearm and hand) CPT 29125 SPLINT SHORT ARM	$251.50	$251.50	$93.06–$251.50	3% above	—
Short arm splint (forearm and hand) inpatient CPT 29125 SPLINT - SHORT ARM	$195.50	$195.50	$72.34–$195.50	—	—
Short arm splint (forearm and hand) inpatient CPT 29125 SPLINT SHORT ARM	$251.50	$251.50	$93.06–$251.50	—	—
Short leg cast (below the knee) CPT 29405 CAST APPL - SHORT LEG	$170.75	$170.75	$63.18–$170.75	48% below	—
Short leg cast (below the knee) CPT 29405 CAST - SHORT LEG	$281.00	$281.00	$103.97–$281.00	15% below	—
Short leg cast (below the knee) CPT 29405 OFF - CAST - SHORT LEG	$281.00	$281.00	$103.97–$281.00	15% below	—
Short leg cast (below the knee) inpatient CPT 29405 CAST APPL - SHORT LEG	$170.75	$170.75	$63.18–$170.75	—	—
Short leg cast (below the knee) inpatient CPT 29405 OFF - CAST - SHORT LEG	$281.00	$281.00	$103.97–$281.00	—	—
Short leg cast (below the knee) inpatient CPT 29405 CAST - SHORT LEG	$281.00	$281.00	$103.97–$281.00	—	—
Short leg splint (calf to foot) CPT 29515 SPLINT - SHORT LEG	$182.00	$182.00	$67.34–$182.00	27% below	—
Short leg splint (calf to foot) CPT 29515 OFF - SPLINT - SHORT LEG	$217.50	$217.50	$80.48–$217.50	13% below	—
Short leg splint (calf to foot) CPT 29515 SHORT LEG SPLINT	$264.50	$264.50	$97.87–$264.50	6% above	—
Short leg splint (calf to foot) inpatient CPT 29515 SPLINT - SHORT LEG	$182.00	$182.00	$67.34–$182.00	—	—
Short leg splint (calf to foot) inpatient CPT 29515 OFF - SPLINT - SHORT LEG	$217.50	$217.50	$80.48–$217.50	—	—
Short leg splint (calf to foot) inpatient CPT 29515 SHORT LEG SPLINT	$264.50	$264.50	$97.87–$264.50	—	—
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 ARTHR SHOULDR DIST CLAVICULECT	$8,797.50	$8,797.50	$3,255.08–$8,797.50	57% above	—
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) inpatient CPT 29824 ARTHR SHOULDR DIST CLAVICULECT	$8,797.50	$8,797.50	$3,255.08–$8,797.50	—	—
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 ARTHR SHOULDR W/CORAC LIG REL	$7,551.00	$7,551.00	$2,793.87–$7,551.00	19% above	—
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 ARTHR SHOULDR W/CORAC LIG REL	$7,551.00	$7,551.00	$2,793.87–$7,551.00	—	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SUTURE-TRUNK, NECK, EXTR	$185.25	$185.25	$68.54–$185.25	49% below	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 LACERATION EXTREM SIMPLE	$444.50	$444.50	$164.47–$444.50	22% above	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SMPL RPR WND SNAGT <=2.5CM	$778.00	$778.00	$287.86–$778.00	114% above	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 SUTURE-TRUNK, NECK, EXTR	$185.25	$185.25	$68.54–$185.25	—	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 LACERATION EXTREM SIMPLE	$444.50	$444.50	$164.47–$444.50	—	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 SMPL RPR WND SNAGT <=2.5CM	$778.00	$778.00	$287.86–$778.00	—	—
Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN LES SINGLE	$328.25	$328.25	$121.45–$328.25	15% below	—
Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BX SKIN LES SINGLE	$328.25	$328.25	$121.45–$328.25	—	—
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 EXC MAL LES TAL <=0.5CM	$412.00	$412.00	$152.44–$412.00	27% below	—
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 EXC MAL LES TAL <=0.5CM	$412.00	$412.00	$152.44–$412.00	—	—
Skin tag removal, up to 15 tags CPT 11200 SKIN TAG REMOVAL - 1ST-15TH	$399.50	$399.50	$147.82–$399.50	58% above	—
Skin tag removal, up to 15 tags inpatient CPT 11200 SKIN TAG REMOVAL - 1ST-15TH	$399.50	$399.50	$147.82–$399.50	—	—
Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE	$561.50	$561.50	$207.76–$561.50	38% below	—
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 LUMBAR PUNCTURE	$561.50	$561.50	$207.76–$561.50	—	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SUTURE-TRUCK, NECK, EXTR 2	$414.25	$414.25	$153.27–$414.25	at median	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SMPL RPR WND SNAGT 2.6-7.5CM	$467.50	$467.50	$172.98–$467.50	13% above	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 LACERATION EXTREM SIMPLE	$534.00	$534.00	$197.58–$534.00	29% 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 SUTURE-TRUCK, NECK, EXTR 2	$414.25	$414.25	$153.27–$414.25	—	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 SMPL RPR WND SNAGT 2.6-7.5CM	$467.50	$467.50	$172.98–$467.50	—	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 LACERATION EXTREM SIMPLE	$534.00	$534.00	$197.58–$534.00	—	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SUTURE-FEENL 2.5	$366.50	$366.50	$135.61–$366.50	9% below	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SMPL RPR WND FEENL <=2.5CM	$413.00	$413.00	$152.81–$413.00	3% above	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 LACERATION FACE SIMPLE	$470.50	$470.50	$174.09–$470.50	17% above	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 SUTURE-FEENL 2.5	$366.50	$366.50	$135.61–$366.50	—	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 SMPL RPR WND FEENL <=2.5CM	$413.00	$413.00	$152.81–$413.00	—	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 LACERATION FACE SIMPLE	$470.50	$470.50	$174.09–$470.50	—	—
Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGENTIAL BX SKIN LES SINGLE	$298.00	$298.00	$110.26–$298.00	1% below	—
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 TANGENTIAL BX SKIN LES SINGLE	$298.00	$298.00	$110.26–$298.00	—	—
Tonsil and adenoid removal, age 12 or older CPT 42821 T & A 12 YRS & OVER	$9,729.25	$9,729.25	$3,599.82–$9,729.25	145% above	—
Tonsil and adenoid removal, age 12 or older inpatient CPT 42821 T & A 12 YRS & OVER	$9,729.25	$9,729.25	$3,599.82–$9,729.25	—	—
Tonsil and adenoid removal, child under 12 CPT 42820 T & A <12 YRS	$7,925.50	$7,925.50	$2,932.44–$7,925.50	26% above	—
Tonsil and adenoid removal, child under 12 inpatient CPT 42820 T & A <12 YRS	$7,925.50	$7,925.50	$2,932.44–$7,925.50	—	—
Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 TONSILLECTOMY >12YRS	$5,567.25	$5,567.25	$2,059.88–$5,567.25	57% above	—
Tonsil removal (tonsillectomy) only, age 12 or older inpatient CPT 42826 TONSILLECTOMY >12YRS	$5,567.25	$5,567.25	$2,059.88–$5,567.25	—	—
Tonsil removal (tonsillectomy) only, child under 12 CPT 42825 TONSILLECTOMY PRIM/SEC <12YRS	$5,134.00	$5,134.00	$1,899.58–$5,134.00	32% above	—
Tonsil removal (tonsillectomy) only, child under 12 inpatient CPT 42825 TONSILLECTOMY PRIM/SEC <12YRS	$5,134.00	$5,134.00	$1,899.58–$5,134.00	—	—
Total knee replacement one side CPT 27447 ARTHR KNEE COND/PL MD/LT COMP	$20,824.50	$20,824.50	$7,705.07–$20,824.50	173% above	—
Total knee replacement inpatient one side CPT 27447 ARTHR KNEE COND/PL MD/LT COMP	$20,824.50	$20,824.50	$7,705.07–$20,824.50	—	—
Total thyroid removal (thyroidectomy) CPT 60240 THYROIDECTOMY, TOTAL OR COMP	$16,262.50	$16,262.50	$6,017.13–$16,262.50	152% above	—
Total thyroid removal (thyroidectomy) inpatient CPT 60240 THYROIDECTOMY, TOTAL OR COMP	$16,262.50	$16,262.50	$6,017.13–$16,262.50	—	—
Trigger finger release surgery CPT 26055 INCISION, TENDON SHEATH	$6,243.25	$6,243.25	$2,310.00–$6,243.25	264% above	—
Trigger finger release surgery inpatient CPT 26055 INCISION, TENDON SHEATH	$6,243.25	$6,243.25	$2,310.00–$6,243.25	—	—
Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGERPOINT 1-2 MUSC	$111.00	$111.00	$41.07–$111.00	77% below	—
Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER POINT 1/2 MUSC	$420.25	$420.25	$155.49–$420.25	15% below	—
Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER POINT 1-2 MUSC	$453.00	$453.00	$167.61–$453.00	8% below	—
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJ TRIGGERPOINT 1-2 MUSC	$111.00	$111.00	$41.07–$111.00	—	—
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJ TRIGGER POINT 1/2 MUSC	$420.25	$420.25	$155.49–$420.25	—	—
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJ TRIGGER POINT 1-2 MUSC	$453.00	$453.00	$167.61–$453.00	—	—
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BX BREAST W/US GUIDE 1ST LES	$2,649.50	$2,649.50	$980.32–$2,649.50	9% above	—
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 BX BREAST W/US GUIDE 1ST LES	$2,649.50	$2,649.50	$980.32–$2,649.50	—	—
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 EGD W DIL BALLOON	$2,342.75	$2,342.75	$866.82–$2,342.75	15% above	—
Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 EGD W DIL BALLOON	$2,342.75	$2,342.75	$866.82–$2,342.75	—	—
Upper endoscopy (EGD) with biopsy CPT 43239 EGD W BIOPSY	$3,371.25	$3,371.25	$1,247.36–$3,371.25	55% above	—
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 EGD W BIOPSY	$3,371.25	$3,371.25	$1,247.36–$3,371.25	—	—
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 EGD W SNARE	$1,779.00	$1,779.00	$658.23–$1,779.00	27% below	—
Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 EGD W SNARE	$1,779.00	$1,779.00	$658.23–$1,779.00	—	—
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 EGD W DIL OVER WIRE	$2,526.25	$2,526.25	$934.71–$2,526.25	4% below	—
Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 EGD W DIL OVER WIRE	$2,526.25	$2,526.25	$934.71–$2,526.25	—	—
Upper endoscopy (EGD), diagnostic CPT 43235 EGD BASIC	$2,342.75	$2,342.75	$866.82–$2,342.75	56% above	—
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 EGD BASIC	$2,342.75	$2,342.75	$866.82–$2,342.75	—	—
Vasectomy, one or both sides, including follow-up semen testing CPT 55250 VASECTOMY	$1,738.50	$1,738.50	$643.25–$1,738.50	9% above	—
Vasectomy, one or both sides, including follow-up semen testing inpatient CPT 55250 VASECTOMY	$1,738.50	$1,738.50	$643.25–$1,738.50	—	—
Vein ablation, radiofrequency, first vein CPT 36475 ENDOVENOUS RF 1ST VEIN	$4,561.00	$4,561.00	$1,687.57–$4,561.00	7% below	—
Vein ablation, radiofrequency, first vein inpatient CPT 36475 ENDOVENOUS RF 1ST VEIN	$4,561.00	$4,561.00	$1,687.57–$4,561.00	—	—
Wart removal, up to 14 warts CPT 17110 DEST. WARTS/MOLLUS 1-14	$172.25	$172.25	$63.73–$172.25	26% below	—
Wart removal, up to 14 warts CPT 17110 DEST BENIGN LESIONS 14ORLESS	$310.50	$310.50	$114.89–$310.50	34% above	—
Wart removal, up to 14 warts inpatient CPT 17110 DEST. WARTS/MOLLUS 1-14	$172.25	$172.25	$63.73–$172.25	—	—
Wart removal, up to 14 warts inpatient CPT 17110 DEST BENIGN LESIONS 14ORLESS	$310.50	$310.50	$114.89–$310.50	—	—
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 WND DEBRID SUBQ <=20SQCM 1ST	$4,500.25	$4,500.25	$1,665.09–$4,500.25	577% above	—
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 WND DEBRID SUBQ <=20SQCM 1ST	$4,500.25	$4,500.25	$1,665.09–$4,500.25	—	—

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Illinois	Off list
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLOOD	$760.00	$760.00	$281.20–$760.00	19% below	—
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUS BLOOD COMP	$982.00	$982.00	$363.34–$982.00	5% above	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION BLOOD	$760.00	$760.00	$281.20–$760.00	—	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUS BLOOD COMP	$982.00	$982.00	$363.34–$982.00	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 OFF-HAND HELD NEBULIZER TRMT	$63.75	$63.75	$23.59–$63.75	66% below	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HAND HELD NEBULIZER TREATMENT	$63.75	$63.75	$23.59–$63.75	66% below	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INHALAT TRMT, INITIAL-HHN/MDI	$148.25	$148.25	$54.85–$148.25	21% below	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HAND HELD NEBULIZER TREATMENT	$63.75	$63.75	$23.59–$63.75	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 OFF-HAND HELD NEBULIZER TRMT	$63.75	$63.75	$23.59–$63.75	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 INHALAT TRMT, INITIAL-HHN/MDI	$148.25	$148.25	$54.85–$148.25	—	—
Chemotherapy IV infusion, first hour CPT 96413 IV INF CHEMO; INITIAL HOUR	$497.75	$497.75	$184.17–$497.75	21% below	—
Chemotherapy IV infusion, first hour inpatient CPT 96413 IV INF CHEMO; INITIAL HOUR	$497.75	$497.75	$184.17–$497.75	—	—
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE - 1ST HOUR	$2,251.00	$2,251.00	$832.87–$2,251.00	17% above	—
Critical care, first 30 to 74 minutes inpatient CPT 99291 CRITICAL CARE - 1ST HOUR	$2,251.00	$2,251.00	$832.87–$2,251.00	—	—
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG ROUTINE W/REC AWAKE/DROWSY	$1,489.00	$1,489.00	$550.93–$1,489.00	78% above	—
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG ROUTINE W/REC AWAKE/DROWSY	$1,489.00	$1,489.00	$550.93–$1,489.00	—	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG	$226.50	$226.50	$83.81–$226.50	3% below	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 OFF - EKG	$226.50	$226.50	$83.81–$226.50	3% below	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 OFF - EKG	$226.50	$226.50	$83.81–$226.50	—	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG	$226.50	$226.50	$83.81–$226.50	—	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMERGENCY CLASS I	$189.75	$189.75	$17.82–$189.75	8% below	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 EMERGENCY CLASS I	$189.75	$189.75	$17.82–$189.75	—	—
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENCY CLASS II	$301.50	$301.50	$34.75–$301.50	23% below	—
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 EMERGENCY CLASS II	$301.50	$301.50	$34.75–$301.50	—	—
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY CLASS III	$565.00	$565.00	$51.98–$565.00	19% below	—
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 EMERGENCY CLASS III	$565.00	$565.00	$51.98–$565.00	—	—
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENCY CLASS IV	$1,216.50	$1,216.50	$98.60–$1,216.50	8% above	—
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 EMERGENCY CLASS IV	$1,216.50	$1,216.50	$98.60–$1,216.50	—	—
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENCY CLASS V	$1,783.50	$1,783.50	$145.23–$1,783.50	7% above	—
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 EMERGENCY CLASS V	$1,783.50	$1,783.50	$145.23–$1,783.50	—	—
Family therapy with the patient, 50 minutes CPT 90847 OFF-FAMILY PSYCHOTX W/PT PRES	$263.75	$263.75	$91.77–$263.75	47% above	—
Family therapy with the patient, 50 minutes inpatient CPT 90847 OFF-FAMILY PSYCHOTX W/PT PRES	$263.75	$263.75	$91.77–$263.75	—	—
Family therapy without the patient, 50 minutes CPT 90846 HV-FAMILY PSYCHOTX W/O PT PRS	$254.75	$254.75	$88.21–$254.75	35% above	—
Family therapy without the patient, 50 minutes CPT 90846 OFF-FAMILY PSYCHOTX W/O PT PRS	$254.75	$254.75	$88.21–$254.75	35% above	—
Family therapy without the patient, 50 minutes inpatient CPT 90846 OFF-FAMILY PSYCHOTX W/O PT PRS	$254.75	$254.75	$88.21–$254.75	—	—
Family therapy without the patient, 50 minutes inpatient CPT 90846 HV-FAMILY PSYCHOTX W/O PT PRS	$254.75	$254.75	$88.21–$254.75	—	—
Group psychotherapy session CPT 90853 OFF-GROUP PSYCHOTHERAPY	$74.25	$74.25	$27.47–$74.25	39% below	—
Group psychotherapy session inpatient CPT 90853 OFF-GROUP PSYCHOTHERAPY	$74.25	$74.25	$27.47–$74.25	—	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INF HYDRA;INITIAL HOUR	$421.00	$421.00	$155.77–$421.00	21% above	—
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV INF HYDRA;INITIAL HOUR	$421.00	$421.00	$155.77–$421.00	—	—
IV infusion of a medicine, first hour CPT 96365 IV INF THERAPY; INITIAL HOUR	$450.00	$450.00	$166.50–$450.00	7% above	—
IV infusion of a medicine, first hour inpatient CPT 96365 IV INF THERAPY; INITIAL HOUR	$450.00	$450.00	$166.50–$450.00	—	—
IV push of a medicine, first drug CPT 96374 IV PUSH INITIAL	$137.00	$137.00	$50.69–$137.00	36% below	—
IV push of a medicine, first drug inpatient CPT 96374 IV PUSH INITIAL	$137.00	$137.00	$50.69–$137.00	—	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 OFF-INJ SUBQ OR INTRAMUSC	$35.75	$35.75	$13.23–$35.75	67% below	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ-SUBQ OR INTRAMUSCULAR	$39.75	$39.75	$14.71–$39.75	64% below	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ SUBQ OR INTRAMUSCULAR	$40.00	$40.00	$14.80–$40.00	63% below	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ-SUBQ INTRAMUSCULAR	$45.50	$45.50	$16.84–$45.50	58% below	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ SUB Q OR IM THERAPY	$47.00	$47.00	$17.39–$47.00	57% below	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 OFF-INJ SUBQ OR INTRAMUSC	$35.75	$35.75	$13.23–$35.75	—	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJ-SUBQ OR INTRAMUSCULAR	$39.75	$39.75	$14.71–$39.75	—	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJ SUBQ OR INTRAMUSCULAR	$40.00	$40.00	$14.80–$40.00	—	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJ-SUBQ INTRAMUSCULAR	$45.50	$45.50	$16.84–$45.50	—	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJ SUB Q OR IM THERAPY	$47.00	$47.00	$17.39–$47.00	—	—
Mental health diagnostic evaluation (intake), without medical services CPT 90791 OFF - PSYCH DIAGN EVALUATION	$279.50	$279.50	$103.42–$279.50	11% above	—
Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCHOLOGICAL EVALUATION	$320.50	$320.50	$112.56–$320.50	27% above	—
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 OFF - PSYCH DIAGN EVALUATION	$279.50	$279.50	$103.42–$279.50	—	—
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 PSYCHOLOGICAL EVALUATION	$320.50	$320.50	$112.56–$320.50	—	—
Nerve conduction study, 7 or 8 nerve studies CPT 95910 NERVE CONDUCTION STUDIES 7-8	$412.50	$412.50	$152.63–$412.50	43% below	—
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 NERVE CONDUCTION STUDIES 7-8	$412.50	$412.50	$152.63–$412.50	—	—
New patient office visit, about 30 minutes CPT 99203 OFF-EXAM-NEW DETAILED MOD COMP	$254.75	$254.75	$94.26–$254.75	19% above	—
New patient office visit, about 30 minutes CPT 99203 SB-EXAM-NEW DETAILED MOD COMP	$254.75	$254.75	$94.26–$254.75	19% above	—
New patient office visit, about 30 minutes CPT 99203 EXAM-NEW DETAILED MOD COMP	$254.75	$254.75	$94.26–$254.75	19% above	—
New patient office visit, about 30 minutes inpatient CPT 99203 EXAM-NEW DETAILED MOD COMP	$254.75	$254.75	$94.26–$254.75	—	—
New patient office visit, about 30 minutes inpatient CPT 99203 OFF-EXAM-NEW DETAILED MOD COMP	$254.75	$254.75	$94.26–$254.75	—	—
New patient office visit, about 30 minutes inpatient CPT 99203 SB-EXAM-NEW DETAILED MOD COMP	$254.75	$254.75	$94.26–$254.75	—	—
New patient office visit, about 45 minutes CPT 99204 OFF-EXAM-NEW COMPREH MOD COMP	$368.75	$368.75	$136.44–$368.75	25% above	—
New patient office visit, about 45 minutes CPT 99204 EXAM-NEW COMPREH MOD COMP	$368.75	$368.75	$136.44–$368.75	25% above	—
New patient office visit, about 45 minutes CPT 99204 SB-EXAM-NEW COMPREH MOD COMP	$368.75	$368.75	$136.44–$368.75	25% above	—
New patient office visit, about 45 minutes inpatient CPT 99204 EXAM-NEW COMPREH MOD COMP	$368.75	$368.75	$136.44–$368.75	—	—
New patient office visit, about 45 minutes inpatient CPT 99204 SB-EXAM-NEW COMPREH MOD COMP	$368.75	$368.75	$136.44–$368.75	—	—
New patient office visit, about 45 minutes inpatient CPT 99204 OFF-EXAM-NEW COMPREH MOD COMP	$368.75	$368.75	$136.44–$368.75	—	—
New patient office visit, about 60 minutes CPT 99205 EXAM-NEW COMPREH HIGH COMP	$464.25	$464.25	$171.77–$464.25	27% above	—
New patient office visit, about 60 minutes CPT 99205 SB-EXAM-NEW COMPREH HIGH COMP	$464.25	$464.25	$171.77–$464.25	27% above	—
New patient office visit, about 60 minutes CPT 99205 OFF-EXAM-NEW COMPREH HIGH COMP	$464.25	$464.25	$171.77–$464.25	27% above	—
New patient office visit, about 60 minutes inpatient CPT 99205 EXAM-NEW COMPREH HIGH COMP	$464.25	$464.25	$171.77–$464.25	—	—
New patient office visit, about 60 minutes inpatient CPT 99205 SB-EXAM-NEW COMPREH HIGH COMP	$464.25	$464.25	$171.77–$464.25	—	—
New patient office visit, about 60 minutes inpatient CPT 99205 OFF-EXAM-NEW COMPREH HIGH COMP	$464.25	$464.25	$171.77–$464.25	—	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 NH-EXAM-NEW EXPANDED LOW COMP	$190.25	$190.25	$70.39–$190.25	22% above	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 EXAM-NEW EXPANDED/LOW COMP	$190.25	$190.25	$70.39–$190.25	22% above	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 SB-EXAM-NEW EXPANDED LOW COMP	$190.25	$190.25	$70.39–$190.25	22% above	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFF-EXAM-NEW EXPANDED LOW COMP	$190.25	$190.25	$70.39–$190.25	22% above	—
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OFF-EXAM-NEW EXPANDED LOW COMP	$190.25	$190.25	$70.39–$190.25	—	—
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 NH-EXAM-NEW EXPANDED LOW COMP	$190.25	$190.25	$70.39–$190.25	—	—
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 SB-EXAM-NEW EXPANDED LOW COMP	$190.25	$190.25	$70.39–$190.25	—	—
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 EXAM-NEW EXPANDED/LOW COMP	$190.25	$190.25	$70.39–$190.25	—	—
Preventive checkup, new patient aged 18–39 CPT 99385 OFF-PREVENT MED NEW 18-39 YRS	$206.00	$206.00	$76.22–$206.00	7% below	—
Preventive checkup, new patient aged 18–39 CPT 99385 PREVENT MED NEW 18-39 YRS	$315.75	$315.75	$116.83–$315.75	43% above	—
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 OFF-PREVENT MED NEW 18-39 YRS	$206.00	$206.00	$76.22–$206.00	—	—
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 PREVENT MED NEW 18-39 YRS	$315.75	$315.75	$116.83–$315.75	—	—
Preventive checkup, new patient aged 40–64 CPT 99386 OFF-PREVENT MED NEW 40-64 YRS	$206.00	$206.00	$76.22–$206.00	14% below	—
Preventive checkup, new patient aged 40–64 CPT 99386 PREVENT MED NEW 40-64 YRS	$344.50	$344.50	$127.47–$344.50	44% above	—
Preventive checkup, new patient aged 40–64 inpatient CPT 99386 OFF-PREVENT MED NEW 40-64 YRS	$206.00	$206.00	$76.22–$206.00	—	—
Preventive checkup, new patient aged 40–64 inpatient CPT 99386 PREVENT MED NEW 40-64 YRS	$344.50	$344.50	$127.47–$344.50	—	—
Preventive checkup, new patient aged 65 or older CPT 99387 OFF-PREVENT MED NEW 65+ YRS	$206.00	$206.00	$76.22–$206.00	2% below	—
Preventive checkup, new patient aged 65 or older CPT 99387 PREVENT MED NEW 65+ YRS	$401.25	$401.25	$148.46–$401.25	90% above	—
Preventive checkup, new patient aged 65 or older inpatient CPT 99387 OFF-PREVENT MED NEW 65+ YRS	$206.00	$206.00	$76.22–$206.00	—	—
Preventive checkup, new patient aged 65 or older inpatient CPT 99387 PREVENT MED NEW 65+ YRS	$401.25	$401.25	$148.46–$401.25	—	—
Preventive checkup, returning patient aged 18–39 CPT 99395 OFF-PREVENT MED EST 18-39 YRS	$142.50	$142.50	$52.73–$142.50	19% below	—
Preventive checkup, returning patient aged 18–39 CPT 99395 PREVENT MED EST 18-39 YRS	$272.50	$272.50	$100.83–$272.50	55% above	—
Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 OFF-PREVENT MED EST 18-39 YRS	$142.50	$142.50	$52.73–$142.50	—	—
Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 PREVENT MED EST 18-39 YRS	$272.50	$272.50	$100.83–$272.50	—	—
Preventive checkup, returning patient aged 40–64 CPT 99396 OFF-PREVENT MED EST 40-64 YRS	$156.50	$156.50	$57.91–$156.50	21% below	—
Preventive checkup, returning patient aged 40–64 CPT 99396 PREVENT MED EST 40-64 YRS	$286.75	$286.75	$106.10–$286.75	44% above	—
Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 OFF-PREVENT MED EST 40-64 YRS	$156.50	$156.50	$57.91–$156.50	—	—
Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 PREVENT MED EST 40-64 YRS	$286.75	$286.75	$106.10–$286.75	—	—
Preventive checkup, returning patient aged 65 or older CPT 99397 OFF-PREVENT MED EST 65+ YRS	$156.50	$156.50	$57.91–$156.50	27% below	—
Preventive checkup, returning patient aged 65 or older CPT 99397 PREVENT MED EST 65+ YRS	$322.50	$322.50	$119.33–$322.50	51% above	—
Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 OFF-PREVENT MED EST 65+ YRS	$156.50	$156.50	$57.91–$156.50	—	—
Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 PREVENT MED EST 65+ YRS	$322.50	$322.50	$119.33–$322.50	—	—
Psychiatric evaluation with medical services CPT 90792 HV-PSYCH DIAGN EVAL W/MED S	$357.75	$357.75	$125.93–$357.75	28% above	—
Psychiatric evaluation with medical services CPT 90792 OFF - PSYCH DIAGN EVAL W/MED S	$357.75	$357.75	$125.93–$357.75	28% above	—
Psychiatric evaluation with medical services inpatient CPT 90792 OFF - PSYCH DIAGN EVAL W/MED S	$357.75	$357.75	$125.93–$357.75	—	—
Psychiatric evaluation with medical services inpatient CPT 90792 HV-PSYCH DIAGN EVAL W/MED S	$357.75	$357.75	$125.93–$357.75	—	—
Psychotherapy for crisis, first 60 minutes CPT 90839 PSYCHOTX FOR CRISIS, 1ST 60MIN	$396.00	$396.00	$114.35–$396.00	65% above	—
Psychotherapy for crisis, first 60 minutes CPT 90839 OFF-PSYCHOTX CRISIS, 1ST 60MIN	$396.00	$396.00	$114.35–$396.00	65% above	—
Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 PSYCHOTX FOR CRISIS, 1ST 60MIN	$396.00	$396.00	$114.35–$396.00	—	—
Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 OFF-PSYCHOTX CRISIS, 1ST 60MIN	$396.00	$396.00	$114.35–$396.00	—	—
Psychotherapy session, 30 minutes CPT 90832 OFF-INDIV PSYCHOTHERAPY 30 MIN	$199.00	$199.00	$54.65–$199.00	6% above	—
Psychotherapy session, 30 minutes inpatient CPT 90832 OFF-INDIV PSYCHOTHERAPY 30 MIN	$199.00	$199.00	$54.65–$199.00	—	—
Psychotherapy session, 45 minutes CPT 90834 OFF-INDIV PSYCHOTHERAPY 45 MIN	$258.50	$258.50	$73.06–$258.50	27% above	—
Psychotherapy session, 45 minutes inpatient CPT 90834 OFF-INDIV PSYCHOTHERAPY 45 MIN	$258.50	$258.50	$73.06–$258.50	—	—
Psychotherapy session, 60 minutes CPT 90837 OFF-INDIV PSYCHOTHERAPY 60 MIN	$379.25	$379.25	$109.59–$379.25	26% above	—
Psychotherapy session, 60 minutes inpatient CPT 90837 OFF-INDIV PSYCHOTHERAPY 60 MIN	$379.25	$379.25	$109.59–$379.25	—	—
Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOK/TOB CESSAT INTERM 3-10MIN	$25.25	$25.25	$9.34–$25.25	26% below	—
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 SMOK/TOB CESSAT INTERM 3-10MIN	$25.25	$25.25	$9.34–$25.25	—	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFF-EXAM-EST COMPREH HIGH COMP	$339.25	$339.25	$125.52–$339.25	23% above	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 EXAM-EST COMPREH HIGH COMP	$339.25	$339.25	$125.52–$339.25	23% above	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HV-EXAM-EST COMPREH HIGH COMP	$339.25	$339.25	$125.52–$339.25	23% above	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 SB-EXAM-EST COMPREH HIGH COMP	$339.25	$339.25	$125.52–$339.25	23% above	—
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HV-EXAM-EST COMPREH HIGH COMP	$339.25	$339.25	$125.52–$339.25	—	—
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 SB-EXAM-EST COMPREH HIGH COMP	$339.25	$339.25	$125.52–$339.25	—	—
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 EXAM-EST COMPREH HIGH COMP	$339.25	$339.25	$125.52–$339.25	—	—
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 OFF-EXAM-EST COMPREH HIGH COMP	$339.25	$339.25	$125.52–$339.25	—	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HV-EXAM-EST EXPANDED LOW COMP	$157.50	$157.50	$58.28–$157.50	4% above	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 EXAM-EST EXPANDED LOW COMP	$157.50	$157.50	$58.28–$157.50	4% above	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFF-EXAM-EST EXPANDED LOW COMP	$157.50	$157.50	$58.28–$157.50	4% above	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 SB-EXAM-EST EXPANDED LOW COMP	$157.50	$157.50	$58.28–$157.50	4% above	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 NH-EXAM-EST EXPANDED LOW COMP	$157.50	$157.50	$58.28–$157.50	4% above	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 EXAM-EST EXPANDED LOW COMP	$157.50	$157.50	$58.28–$157.50	—	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OFF-EXAM-EST EXPANDED LOW COMP	$157.50	$157.50	$58.28–$157.50	—	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HV-EXAM-EST EXPANDED LOW COMP	$157.50	$157.50	$58.28–$157.50	—	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 SB-EXAM-EST EXPANDED LOW COMP	$157.50	$157.50	$58.28–$157.50	—	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 NH-EXAM-EST EXPANDED LOW COMP	$157.50	$157.50	$58.28–$157.50	—	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 EXAM DOT incl UA	$93.00	$93.00	$34.41–$93.00	48% below	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFF-EXAM DOT inc UA	$93.00	$93.00	$34.41–$93.00	48% below	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 EXAM-EST DETAILED MOD COMP	$227.50	$227.50	$84.18–$227.50	28% above	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HV-EXAM-EST DETAILED MOD COMP	$227.50	$227.50	$84.18–$227.50	28% above	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFF-EXAM-EST DETAILED MOD COMP	$227.50	$227.50	$84.18–$227.50	28% above	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 SB-EXAM-EST DETAILED MOD COMP	$227.50	$227.50	$84.18–$227.50	28% above	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OFF-EXAM DOT inc UA	$93.00	$93.00	$34.41–$93.00	—	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 EXAM DOT incl UA	$93.00	$93.00	$34.41–$93.00	—	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OFF-EXAM-EST DETAILED MOD COMP	$227.50	$227.50	$84.18–$227.50	—	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HV-EXAM-EST DETAILED MOD COMP	$227.50	$227.50	$84.18–$227.50	—	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 SB-EXAM-EST DETAILED MOD COMP	$227.50	$227.50	$84.18–$227.50	—	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 EXAM-EST DETAILED MOD COMP	$227.50	$227.50	$84.18–$227.50	—	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 BASIC SCHOOL/SPORTS PHYSICAL	$35.00	$35.00	$12.95–$35.00	71% below	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFF-BASIC SCHOOL/SPORTS PHYS	$36.75	$36.75	$13.60–$36.75	69% below	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 WORK PHYSICAL	$60.00	$60.00	$22.20–$60.00	50% below	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFF-WORK PHYSICAL	$63.00	$63.00	$23.31–$63.00	48% below	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 SB - EXAM-EST PROBLEM FOCUSED	$117.75	$117.75	$43.57–$117.75	2% below	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 NH - EXAM-EST PROBLEM FOCUSED	$117.75	$117.75	$43.57–$117.75	2% below	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HV-EXAM-EST PROBLEM FOCUSED	$117.75	$117.75	$43.57–$117.75	2% below	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFF-EXAM-EST PROBLEM FOCUSED	$117.75	$117.75	$43.57–$117.75	2% below	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 EXAM-EST PROBLEM FOCUSED	$117.75	$117.75	$43.57–$117.75	2% below	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 BASIC SCHOOL/SPORTS PHYSICAL	$35.00	$35.00	$12.95–$35.00	—	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OFF-BASIC SCHOOL/SPORTS PHYS	$36.75	$36.75	$13.60–$36.75	—	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 WORK PHYSICAL	$60.00	$60.00	$22.20–$60.00	—	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OFF-WORK PHYSICAL	$63.00	$63.00	$23.31–$63.00	—	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 NH - EXAM-EST PROBLEM FOCUSED	$117.75	$117.75	$43.57–$117.75	—	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 EXAM-EST PROBLEM FOCUSED	$117.75	$117.75	$43.57–$117.75	—	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 SB - EXAM-EST PROBLEM FOCUSED	$117.75	$117.75	$43.57–$117.75	—	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HV-EXAM-EST PROBLEM FOCUSED	$117.75	$117.75	$43.57–$117.75	—	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OFF-EXAM-EST PROBLEM FOCUSED	$117.75	$117.75	$43.57–$117.75	—	—
Speech and language evaluation CPT 92523 EVAL SPEECH SOUND W/ LANG	$304.00	$304.00	$65.00–$304.00	23% below	—
Speech and language evaluation inpatient CPT 92523 EVAL SPEECH SOUND W/ LANG	$304.00	$304.00	$65.00–$304.00	—	—
Spirometry (breathing test) CPT 94010 SPIROMETRY	$209.50	$209.50	$77.52–$209.50	31% below	—
Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY	$209.50	$209.50	$77.52–$209.50	—	—
Spirometry before and after a bronchodilator CPT 94060 SPIROMETRY W/BRONCH TX	$396.75	$396.75	$146.80–$396.75	24% below	—
Spirometry before and after a bronchodilator inpatient CPT 94060 SPIROMETRY W/BRONCH TX	$396.75	$396.75	$146.80–$396.75	—	—
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPEUTIC PHLEBOTOMY	$167.50	$167.50	$61.98–$167.50	19% below	—
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 THERAPEUTIC PHLEBOTOMY	$167.50	$167.50	$61.98–$167.50	—	—

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Illinois	Off list
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VAC VARICELLA LIVE/PF 0.5ML VL	$196.40	$196.40	$69.28–$196.40	29% below	—
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VAC VARICELLA LIVE/PF 0.5ML VL	$196.40	$196.40	$69.28–$196.40	—	—
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 VAC DIPHTH/PERT/TET/POL 0.5ML	$67.25	$67.25	$23.35–$67.25	35% below	—
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 VAC DIPHTH/PERT/TET/POL 0.5ML	$67.25	$67.25	$23.35–$67.25	—	—
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 VAC DTP (ACELL) PED/PF 0.5ML	$33.45	$33.45	$11.67–$33.45	48% below	—
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 VAC DTP (ACELL) PED/PF 0.5ML	$33.45	$33.45	$11.67–$33.45	—	—
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 VAC PEDIARIX PF 0.5ML	$112.50	$112.50	$36.72–$112.50	29% below	—
DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 VAC PEDIARIX PF 0.5ML	$112.50	$112.50	$36.72–$112.50	—	—
DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 VAC DTAP-IPV PF 0.5ML	$112.55	$112.55	$41.64–$112.55	39% below	—
DTaP, polio and Hib combination vaccine (Pentacel) inpatient CPT 90698 VAC DTAP-IPV PF 0.5ML	$112.55	$112.55	$41.64–$112.55	—	—
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 VAC INFLUENZA (6MO+) PF 0.5ML	$25.00	$25.00	$9.25–$25.00	27% below	—
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 VAC INFLUENZA (6MO+) PF 0.5ML	$25.00	$25.00	$9.25–$25.00	—	—
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 VAC HPV 9-VAL PF 0.5ML SYR	$333.35	$333.35	$115.40–$333.35	32% below	—
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 VAC HPV 9-VAL PF 0.5ML SYR	$333.35	$333.35	$115.40–$333.35	—	—
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 VAC HEP A-PED/AD 720U 0.5ML	$44.55	$44.55	$15.65–$44.55	46% below	—
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 VAC HEP A-PED/AD 720U 0.5ML	$44.55	$44.55	$15.65–$44.55	—	—
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 VAC HEPATITIS B PF 20MCG/1ML	$88.25	$88.25	$32.65–$88.25	18% below	—
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 VAC HEPATITIS B PF 20MCG/1ML	$88.25	$88.25	$32.65–$88.25	—	—
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 VAC HEPATITIS B PF 10MCG/0.5ML	$41.00	$41.00	$15.17–$41.00	53% below	—
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 VAC HEPATITIS B PF 10MCG/0.5ML	$41.00	$41.00	$15.17–$41.00	—	—
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 VAC HAEMOPH B CNJ-TET PF 0.5ML	$18.20	$18.20	$6.36–$18.20	66% below	—
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 VAC HAEMOPH B CNJ-TET PF 0.5ML	$18.20	$18.20	$6.36–$18.20	—	—
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 VAC INFLUENZA HI-DOSE 0.5ML	$61.00	$61.00	$22.57–$63.00	21% below	—
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 VAC INFLUENZA HI-DOSE 0.5ML	$61.00	$61.00	$22.57–$63.00	—	—
MMR vaccine (measles, mumps and rubella), live CPT 90707 VAC MEASLES, MUMPS & RUB 0.5ML	$100.75	$100.75	$36.24–$100.75	49% below	—
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 VAC MEASLES, MUMPS & RUB 0.5ML	$100.75	$100.75	$36.24–$100.75	—	—
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 VAC M-M-R-VARIC PF 0.5ML	$338.20	$338.20	$125.13–$338.20	19% below	—
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) inpatient CPT 90710 VAC M-M-R-VARIC PF 0.5ML	$338.20	$338.20	$125.13–$338.20	—	—
Meningococcal ACWY (MenACWY) vaccine CPT 90734 VAC MENINGC ACY W-135 PF 0.5ML	$181.00	$181.00	$59.79–$181.00	27% below	—
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 VAC MENINGC ACY W-135 PF 0.5ML	$181.00	$181.00	$59.79–$181.00	—	—
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 VAC PREVNAR 20-VAL PF 0.5ML	$303.50	$303.50	$98.36–$303.50	32% below	—
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 VAC PREVNAR 20-VAL PF 0.5ML	$303.50	$303.50	$98.36–$303.50	—	—
Rabies vaccine, one dose CPT 90675 VAC RABIES (PCEC) PF 2.5U SYR	$1,250.00	$1,250.00	$462.50–$1,250.00	66% above	—
Rabies vaccine, one dose inpatient CPT 90675 VAC RABIES (PCEC) PF 2.5U SYR	$1,250.00	$1,250.00	$462.50–$1,250.00	—	—
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 VAC ROTAVIRUS ORAL 2ML TUBE	$107.00	$107.00	$38.15–$107.00	28% below	—
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) inpatient CPT 90680 VAC ROTAVIRUS ORAL 2ML TUBE	$107.00	$107.00	$38.15–$107.00	—	—
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 VAC TET-DIPHTHER TOX/PF 0.5ML	$49.45	$49.45	$15.02–$49.45	36% below	—
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 VAC TET-DIPHTHER TOX/PF 0.5ML	$49.45	$49.45	$15.02–$49.45	—	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 VAC DPT TOX 0.5ML SYR	$52.90	$52.90	$18.56–$52.90	47% below	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 VAC DPT TOX 0.5ML SYR	$52.90	$52.90	$18.56–$52.90	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNE ADMIN INJ, SINGLE	$41.25	$41.25	$15.26–$41.25	28% below	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNE ADMIN INJ, SINGLE	$41.25	$41.25	$15.26–$41.25	—	—
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNE ADMIN INJ, EA ADDL	$25.50	$25.50	$9.44–$25.50	35% below	—
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUNE ADMIN INJ, EA ADDL	$25.50	$25.50	$9.44–$25.50	—	—

Source file: https://hospitalpricetransparencyfiles.com/morrison-community-hospital-district/586001207_Morrison-Community-Hospital-District_standardcharges.csv