Hospital Eau Claire, WI

OakLeaf Surgical Hospital

OakLeaf Surgical Hospital in Altoona, WI publishes cash prices for 389 common procedures listed here, from its own machine-readable price file updated Feb 19, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Wisconsin median for 272 of 386 procedures and below it for 114. By typical cash price it ranks #89 of 105 Wisconsin hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.

1000 Oakleaf Way,Altoona,WI,54720 Collected Sep 27, 2026 Source price file Check a bill from this hospital (715) 895-9435

Acute care hospital For-profit hospital No emergency department CCN 520196 · CMS hospital register NPI 1669463832

CMS price transparency record

The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 2 actions for a hospital named OakLeaf Surgical Hospital in Altoona, WI:

Jan 18, 2023 Warning notice
Apr 25, 2023 Case closed

Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. Case closed: CMS closed the case after the hospital addressed the problems.

A notice records a step in a CMS review; it is not a court finding. Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes, actions through Jul 31, 2026.

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Wisconsin	Off list
Abdominal CT scan without and with contrast CPT 74170 CT SCAN OF ABDOMEN BEFORE AND AFTER CONTRAST	$2,365.90	$2,628.78	$173.73–$1,748.00	1% below	10%
Abdominal CT scan without and with contrast CPT 74170 CT ABD WO CNTRST FLWD CNTRST	$2,436.88	$2,707.64	$173.73–$1,748.00	1% above	10%
Abdominal X-ray, 2 views CPT 74019 X-RAY OF ABDOMEN; 2 VIEWS	$304.40	$338.22	$103.55–$876.20	27% above	10%
Abdominal X-ray, 2 views CPT 74019 RADEX ABDOMEN 2 VIEWS	$313.53	$348.37	$103.55–$876.20	31% above	10%
Ankle X-ray, complete, 3 or more views CPT 73610 X-RAY OF ANKLE; MINIMUM OF 3 VIEWS	$408.86	$454.29	$86.20–$876.20	74% above	10%
Ankle X-ray, complete, 3 or more views CPT 73610 X-RAY EXAM OF ANKLE	$421.13	$467.92	$86.20–$876.20	79% above	10%
Ankle X-ray, complete, 3 or more views one side CPT 73610 X-RAY OF ANKLE; MINIMUM OF 3 VIEWS	$408.86	$454.29	$86.20–$876.20	74% above	10%
Ankle X-ray, complete, 3 or more views one side CPT 73610 X-RAY OF ANKLE; MINIMUM OF 3 VIEWS	$408.86	$454.29	$86.20–$876.20	74% above	10%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 UPR/L XTREMITY ART 2 LEVELS	$256.57	$285.08	$131.78–$876.20	33% below	10%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT UPPER EXTREMITY W/O DYE	$1,710.65	$1,900.72	$103.55–$1,748.00	19% above	10%
Bone scan, whole body (nuclear medicine) CPT 78306 BONE IMAGING WHOLE BODY	$1,145.77	$1,273.08	$395.97–$876.20	23% below	10%
Breast ultrasound, complete, one breast CPT 76641 ULTRASOUND BREAST COMPLETE	$300.05	$333.39	$103.55–$876.20	43% below	10%
Breast ultrasound, limited (one breast or one area) CPT 76642 LIMITED ULTRASOUND SCAN OF 1 BREAST	$370.58	$411.76	$86.20–$876.20	6% below	10%
Breast ultrasound, limited (one breast or one area) CPT 76642 ULTRASOUND BREAST LIMITED	$381.70	$424.11	$86.20–$876.20	3% below	10%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 LIMITED ULTRASOUND SCAN OF 1 BREAST	$370.58	$411.76	$86.20–$876.20	6% below	10%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 LIMITED ULTRASOUND SCAN OF 1 BREAST	$370.58	$411.76	$86.20–$876.20	6% below	10%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA ABD&PLVS W/CONTRAST	$2,564.45	$2,849.39	$345.56–$1,748.00	16% below	10%
CT angiography (CTA) of the head CPT 70496 CT ANGIOGRAPHY HEAD	$1,831.74	$2,035.27	$173.73–$1,748.00	12% below	10%
CT angiography (CTA) of the neck CPT 70498 CT ANGIOGRAPHY NECK	$1,831.74	$2,035.27	$173.73–$1,748.00	10% below	10%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIOGRAPHY CHEST	$2,289.68	$2,544.09	$173.73–$1,748.00	13% above	10%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT SCAN OF ABDOMEN AND PELVIS WITHOUT CONTRAST	$1,813.60	$2,015.11	$236.34–$1,748.00	28% below	10%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD & PELVIS W/O CONTRAST	$1,868.00	$2,075.56	$236.34–$1,748.00	26% below	10%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT SCAN OF ABDOMEN AND PELVIS WITH CONTRAST	$1,496.25	$1,662.50	$345.56–$1,748.00	53% below	10%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD & PELVIS W/CONTRAST	$1,541.14	$1,712.38	$345.56–$1,748.00	52% below	10%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT SCAN OF ABDOMEN AND PELVIS BEFORE AND AFTER CONTRAST	$2,489.76	$2,766.40	$345.56–$1,748.00	33% below	10%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD&PLV WO CNTR FLWD CNTR	$2,564.45	$2,849.39	$345.56–$1,748.00	31% below	10%
CT scan of the abdomen with contrast CPT 74160 CT SCAN OF ABDOMEN WITH CONTRAST	$2,112.40	$2,347.11	$173.73–$1,748.00	29% above	10%
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/CONTRAST	$2,175.77	$2,417.52	$173.73–$1,748.00	33% above	10%
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O CONTRAST	$1,746.70	$1,940.78	$103.55–$1,748.00	38% above	10%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT SCAN OF FACE WITHOUT CONTRAST	$1,305.41	$1,450.46	$103.55–$1,748.00	6% below	10%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL W/O DYE	$1,344.57	$1,493.97	$103.55–$1,748.00	3% below	10%
CT scan of the head or brain, no contrast dye CPT 70450 CT SCAN HEAD OR BRAIN WITHOUT CONTRAST	$1,419.15	$1,576.83	$103.55–$1,748.00	10% above	10%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD/BRAIN W/O DYE	$1,461.72	$1,624.13	$103.55–$1,748.00	13% above	10%
CT scan of the head with contrast CPT 70460 CT HEAD/BRAIN W/DYE	$2,166.07	$2,406.74	$173.73–$1,748.00	40% above	10%
CT scan of the head without and with contrast CPT 70470 CT HEAD/BRAIN W/O & W/DYE	$2,761.71	$3,068.57	$173.73–$1,748.00	50% above	10%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT SCAN OF LOWER SPINE WITHOUT CONTRAST	$1,954.04	$2,171.15	$103.55–$1,748.00	27% above	10%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR SPINE W/O DYE	$2,012.65	$2,236.28	$103.55–$1,748.00	31% above	10%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT SCAN OF UPPER SPINE WITHOUT CONTRAST	$2,183.30	$2,425.89	$103.55–$1,748.00	42% above	10%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT NECK SPINE W/O DYE	$2,248.80	$2,498.67	$103.55–$1,748.00	46% above	10%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/DYE	$2,558.96	$2,843.29	$173.73–$1,748.00	56% above	10%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 EXTRACRANIAL BILAT STUDY	$697.51	$775.01	$236.34–$876.20	—	10%
Chest CT scan without and with contrast CPT 71270 CT THORAX DX C-/C+	$2,248.80	$2,498.67	$173.73–$1,748.00	1% below	10%
Chest X-ray, 2 views CPT 71046 X-RAY OF CHEST; 2 VIEWS	$208.90	$232.11	$86.20–$876.20	3% below	10%
Chest X-ray, 2 views CPT 71046 X-RAY EXAM CHEST 2 VIEWS	$215.16	$239.07	$86.20–$876.20	at median	10%
Chest X-ray, single view CPT 71045 X-RAY OF CHEST; 1 VIEW	$208.90	$232.11	$86.20–$876.20	29% above	10%
Chest X-ray, single view CPT 71045 X-RAY EXAM CHEST 1 VIEW	$215.16	$239.07	$86.20–$876.20	33% above	10%
Collarbone (clavicle) X-ray, complete CPT 73000 X-RAY EXAM OF COLLAR BONE	$225.17	$250.19	$86.20–$876.20	9% above	10%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 COMPLETE ULTRASOUND SCAN BEHIND ABDOMINAL CAVITY	$607.83	$675.37	$103.55–$876.20	11% above	10%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US EXAM ABDO BACK WALL COMP	$626.07	$695.63	$103.55–$876.20	14% above	10%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT SCAN OF CHEST WITHOUT CONTRAST	$1,746.65	$1,940.72	$103.55–$1,748.00	22% above	10%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX DX C-	$1,799.05	$1,998.94	$103.55–$1,748.00	25% above	10%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT SCAN OF CHEST WITH CONTRAST	$2,183.30	$2,425.89	$173.73–$1,748.00	33% above	10%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT THORAX DX C+	$2,248.80	$2,498.67	$173.73–$1,748.00	37% above	10%
Diagnostic mammogram, both breasts both sides CPT 77066 DX MAMMO INCL CAD BI	$262.58	$291.75	$44.55–$194.00	—	10%
Diagnostic mammogram, both breasts CPT 77066 DIAGNOSTIC MAMMOGRAPHY OF BOTH BREASTS	$254.93	$283.25	$44.55–$194.00	51% below	10%
Diagnostic mammogram, one breast CPT 77065 DIAGNOSTIC MAMMOGRAPHY OF 1 BREAST	$254.93	$283.25	$36.18–$194.00	17% below	10%
Diagnostic mammogram, one breast CPT 77065 DX MAMMO INCL CAD UNI	$262.58	$291.75	$36.18–$194.00	15% below	10%
Diagnostic mammogram, one breast one side CPT 77065 DIAGNOSTIC MAMMOGRAPHY OF 1 BREAST	$254.93	$283.25	$36.18–$194.00	17% below	10%
Diagnostic mammogram, one breast one side CPT 77065 DIAGNOSTIC MAMMOGRAPHY OF 1 BREAST	$254.93	$283.25	$36.18–$194.00	17% below	10%
Diagnostic mammogram, one breast one side CPT 77065 DX MAMMO INCL CAD UNI	$262.58	$291.75	$36.18–$194.00	15% below	10%
Diagnostic mammogram, one breast one side CPT 77065 DX MAMMO INCL CAD UNI	$262.58	$291.75	$36.18–$194.00	15% below	10%
Duplex ultrasound of the leg arteries, both legs CPT 93925 ULTRASOUND OF LEG ARTERIES OR ARTERY GRAFTS	$654.29	$726.99	$236.34–$876.20	12% above	10%
Duplex ultrasound of the leg arteries, both legs CPT 93925 LOWER EXTREMITY STUDY	$673.92	$748.80	$236.34–$876.20	16% above	10%
Duplex ultrasound of the leg veins, both legs CPT 93970 ULTRASOUND STUDY OF ARM OR LEG VEINS WITH COMPRESSION AND MANEUVERS	$838.06	$931.18	$236.34–$876.20	29% below	10%
Duplex ultrasound of the leg veins, both legs CPT 93970 EXTREMITY STUDY	$863.21	$959.12	$236.34–$876.20	27% below	10%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 TTE W/DOPPLER COMPLETE	$451.52	$501.69	$541.21–$876.20	74% below	10%
Elbow X-ray, 2 views CPT 73070 X-RAY EXAM OF ELBOW	$295.57	$328.41	$86.20–$876.20	56% above	10%
Elbow X-ray, complete, 3 or more views CPT 73080 X-RAY EXAM OF ELBOW	$301.48	$334.98	$86.20–$876.20	27% above	10%
Elbow X-ray, complete, 3 or more views one side CPT 73080 X-RAY OF ELBOW; MINIMUM OF 3 VIEWS	$292.70	$325.22	$86.20–$876.20	23% above	10%
Eye socket (orbit) CT scan without contrast CPT 70480 CT SCAN OF CRANIAL CAVITY WITHOUT CONTRAST	$941.27	$1,045.85	$103.55–$1,748.00	37% below	10%
Eye socket (orbit) CT scan without contrast CPT 70480 CT ORBIT/EAR/FOSSA W/O DYE	$969.51	$1,077.23	$103.55–$1,748.00	35% below	10%
Forearm X-ray (radius and ulna), 2 views CPT 73090 X-RAY EXAM OF FOREARM	$301.48	$334.98	$86.20–$876.20	52% above	10%
Hand X-ray, 2 views CPT 73120 X-RAY EXAM OF HAND	$301.48	$334.98	$103.55–$876.20	60% above	10%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 X-RAY EXAM OF HEEL	$313.53	$348.37	$86.20–$876.20	58% above	10%
Knee X-ray, 3 views CPT 73562 X-RAY EXAM OF KNEE 3	$301.48	$334.98	$86.20–$876.20	19% above	10%
Knee X-ray, complete, 4 or more views CPT 73564 X-RAY EXAM KNEE 4 OR MORE	$358.38	$398.20	$103.55–$876.20	28% above	10%
Knee X-ray, complete, 4 or more views one side CPT 73564 X-RAY OF KNEE; 4 OR MORE VIEWS	$347.94	$386.60	$103.55–$876.20	25% above	10%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT LOWER EXTREMITY W/O DYE	$1,767.49	$1,963.88	$103.55–$1,748.00	19% above	10%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT SCAN OF LEG WITHOUT CONTRAST	$1,716.01	$1,906.68	$103.55–$1,748.00	16% above	10%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ECHO EXAM OF ABDOMEN	$1,377.85	$1,530.94	$103.55–$876.20	210% above	10%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US LMTD JT/FCL EVL NVASC XTR	$229.24	$254.71	$103.55–$876.20	20% below	10%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US LMTD JT/FCL EVL NVASC XTR	$229.24	$254.71	$103.55–$876.20	20% below	10%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US LMTD JT/FCL EVL NVASC XTR	$229.24	$254.71	$103.55–$876.20	20% below	10%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 X-RAY EXAM OF LOWER LEG	$301.48	$334.98	$86.20–$876.20	42% above	10%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 X-RAY OF LOWER LEG; 2 VIEWS	$292.70	$325.22	$86.20–$876.20	38% above	10%
MR angiography (MRA) of the head without contrast CPT 70544 MR ANGIOGRAPHY HEAD W/O DYE	$3,261.52	$3,623.91	$236.34–$3,220.00	48% above	10%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI JNT OF LWR EXTRE W/O DYE	$3,970.02	$4,411.13	$236.34–$3,220.00	80% above	10%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI JOINT LWR EXTR W/O&W/DYE	$3,261.52	$3,623.91	$345.56–$3,220.00	4% below	10%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI JOINT LWR EXTR W/O&W/DYE	$3,261.52	$3,623.91	$345.56–$3,220.00	4% below	10%
MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O CONTRAST	$3,473.41	$3,859.34	$236.34–$3,220.00	57% above	10%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI SCAN OF ABDOMEN BEFORE AND AFTER CONTRAST	$3,372.24	$3,746.93	$345.56–$3,220.00	1% below	10%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABD W/O CNTR FLWD CNTR	$3,473.41	$3,859.34	$345.56–$3,220.00	2% above	10%
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN STEM W/O DYE	$3,931.33	$4,368.14	$236.34–$3,220.00	78% above	10%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN STEM W/O & W/DYE	$3,261.52	$3,623.91	$345.56–$3,220.00	4% below	10%
MRI of the lower back, no contrast dye CPT 72148 MRI SCAN OF LOWER SPINAL CANAL WITHOUT CONTRAST	$3,589.60	$3,988.44	$236.34–$3,220.00	62% above	10%
MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR SPINE W/O DYE	$3,697.28	$4,108.09	$236.34–$3,220.00	67% above	10%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI LUMBAR SPINE W/O & W/DYE	$3,261.52	$3,623.91	$345.56–$3,220.00	4% below	10%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI CHEST SPINE W/O DYE	$3,845.20	$4,272.44	$236.34–$3,220.00	74% above	10%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI NECK SPINE W/O & W/DYE	$3,261.52	$3,623.91	$345.56–$3,220.00	4% below	10%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI NECK SPINE W/O DYE	$3,703.71	$4,115.23	$236.34–$3,220.00	68% above	10%
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W/O & W/DYE	$2,267.68	$2,519.64	$345.56–$3,220.00	34% below	10%
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O DYE	$3,936.38	$4,373.76	$236.34–$3,220.00	78% above	10%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI JOINT UPR EXTREM W/O DYE	$3,427.41	$3,808.23	$236.34–$3,220.00	55% above	10%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI SCAN OF ARM JOINT WITHOUT CONTRAST	$3,327.58	$3,697.31	$236.34–$3,220.00	51% above	10%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 X-RAY OF UPPER SPINE; 4-5 VIEWS	$416.24	$462.49	$103.55–$876.20	30% above	10%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 X-RAY EXAM NECK SPINE 4/5VWS	$428.72	$476.36	$103.55–$876.20	33% above	10%
Neck soft tissue CT scan with contrast CPT 70491 CT SOFT TISSUE NECK W/DYE	$2,318.91	$2,576.57	$173.73–$1,748.00	41% above	10%
Neck soft tissue CT scan without contrast CPT 70490 CT SOFT TISSUE NECK W/O DYE	$1,783.77	$1,981.97	$103.55–$1,748.00	25% above	10%
Neck soft tissue X-ray CPT 70360 X-RAY EXAM OF NECK	$380.51	$422.79	$86.20–$876.20	81% above	10%
Pelvic CT scan without contrast CPT 72192 CT PELVIS W/O DYE	$2,129.06	$2,365.62	$103.55–$1,748.00	67% above	10%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US EXAM PELVIC LIMITED	$439.85	$488.72	$103.55–$876.20	10% above	10%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 COMPLETE ULTRASOUND SCAN OF PELVIS	$1,340.68	$1,489.64	$103.55–$876.20	154% above	10%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US EXAM PELVIC COMPLETE	$1,380.90	$1,534.33	$103.55–$876.20	161% above	10%
Rib X-ray, one side, 2 views CPT 71100 X-RAY EXAM RIBS UNI 2 VIEWS	$225.17	$250.19	$86.20–$876.20	at median	10%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 X-RAY EXAM UNILAT RIBS/CHEST	$357.08	$396.75	$103.55–$876.20	28% above	10%
Screening mammogram, both breasts both sides CPT 77067 SCR MAMMO BI INCL CAD	$217.70	$241.89	$33.77–$194.00	—	10%
Screening mammogram, both breasts CPT 77067 SCREENING MAMMOGRAPHY	$211.36	$234.84	$33.77–$194.00	17% below	10%
Shoulder X-ray, complete, 2 or more views CPT 73030 X-RAY OF SHOULDER; MINIMUM OF 2 VIEWS	$286.96	$318.84	$86.20–$876.20	22% above	10%
Shoulder X-ray, complete, 2 or more views CPT 73030 X-RAY EXAM OF SHOULDER	$295.57	$328.41	$86.20–$876.20	26% above	10%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 X-RAY OF SHOULDER; MINIMUM OF 2 VIEWS	$286.96	$318.84	$86.20–$876.20	22% above	10%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 X-RAY OF SHOULDER; MINIMUM OF 2 VIEWS	$286.96	$318.84	$86.20–$876.20	22% above	10%
Skull X-ray, fewer than 4 views CPT 70250 X-RAY EXAM OF SKULL	$358.38	$398.20	$103.55–$876.20	47% above	10%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 X-RAY EXAM OF FEMUR 2/>	$318.14	$353.49	$86.20–$876.20	29% above	10%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT CHEST SPINE W/O DYE	$1,238.42	$1,376.02	$103.55–$1,748.00	20% below	10%
Toe X-ray, 2 or more views CPT 73660 X-RAY EXAM OF TOE(S)	$223.92	$248.80	$86.20–$876.20	11% above	10%
Transvaginal pelvic ultrasound CPT 76830 TRANSVAGINAL US NON-OB	$543.52	$603.91	$103.55–$876.20	16% above	10%
Ultrasound of the abdomen, complete CPT 76700 COMPLETE ULTRASOUND SCAN OF ABDOMEN	$307.58	$341.76	$103.55–$876.20	55% below	10%
Ultrasound of the abdomen, complete CPT 76700 US EXAM ABDOM COMPLETE	$316.81	$352.01	$103.55–$876.20	53% below	10%
Ultrasound of the scrotum and testicles CPT 76870 ULTRASOUND SCAN OF SCROTUM	$412.60	$458.44	$103.55–$876.20	19% below	10%
Ultrasound of the scrotum and testicles CPT 76870 US EXAM SCROTUM	$424.97	$472.19	$103.55–$876.20	16% below	10%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US EXAM OF HEAD AND NECK	$287.65	$319.61	$103.55–$876.20	44% below	10%
Upper arm X-ray (humerus), 2 views CPT 73060 X-RAY EXAM OF HUMERUS	$154.51	$171.68	$86.20–$876.20	27% below	10%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 ULTRASOUND STUDY OF ONE ARM OR LEG VEINS WITH COMPRESSION AND MANEUVERS	$525.85	$584.28	$103.55–$876.20	26% below	10%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 EXTREMITY STUDY	$541.63	$601.81	$103.55–$876.20	24% below	10%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 ULTRASOUND STUDY OF ONE ARM OR LEG VEINS WITH COMPRESSION AND MANEUVERS	$525.85	$584.28	$103.55–$876.20	26% below	10%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 ULTRASOUND STUDY OF ONE ARM OR LEG VEINS WITH COMPRESSION AND MANEUVERS	$525.85	$584.28	$103.55–$876.20	26% below	10%
Wrist X-ray, 2 views CPT 73100 X-RAY EXAM OF WRIST	$301.48	$334.98	$86.20–$876.20	40% above	10%
Wrist X-ray, complete, 3 or more views CPT 73110 X-RAY OF WRIST; MINIMUM OF 3 VIEWS	$292.70	$325.22	$86.20–$876.20	15% above	10%
Wrist X-ray, complete, 3 or more views CPT 73110 X-RAY EXAM OF WRIST	$301.48	$334.98	$86.20–$876.20	19% above	10%
Wrist X-ray, complete, 3 or more views one side CPT 73110 X-RAY OF WRIST; MINIMUM OF 3 VIEWS	$292.70	$325.22	$86.20–$876.20	15% above	10%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 X-RAY OF HIP; 2-3 VIEWS	$200.86	$223.18	$86.20–$876.20	31% below	10%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 X-RAY EXAM HIP UNI 2-3 VIEWS	$206.89	$229.88	$86.20–$876.20	29% below	10%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 X-RAY OF HIP; 2-3 VIEWS	$200.86	$223.18	$86.20–$876.20	31% below	10%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 X-RAY OF HIP; 2-3 VIEWS	$200.86	$223.18	$86.20–$876.20	31% below	10%
X-ray of the abdomen, 1 view CPT 74018 RADEX ABDOMEN 1 VIEW	$313.53	$348.37	$86.20–$876.20	49% above	10%
X-ray of the ankle, 2 views CPT 73600 X-RAY EXAM OF ANKLE	$295.57	$328.41	$86.20–$876.20	49% above	10%
X-ray of the ankle, 2 views one side CPT 73600 X-RAY OF ANKLE; 2 VIEWS	$286.96	$318.84	$86.20–$876.20	44% above	10%
X-ray of the finger(s), 2 or more views CPT 73140 X-RAY EXAM OF FINGER(S)	$301.48	$334.98	$86.20–$876.20	23% above	10%
X-ray of the foot, 2 views CPT 73620 X-RAY OF FOOT; 2 VIEWS	$286.96	$318.84	$86.20–$876.20	51% above	10%
X-ray of the foot, 2 views CPT 73620 X-RAY EXAM OF FOOT	$295.57	$328.41	$86.20–$876.20	56% above	10%
X-ray of the foot, 2 views one side CPT 73620 X-RAY OF FOOT; 2 VIEWS	$286.96	$318.84	$86.20–$876.20	51% above	10%
X-ray of the foot, 2 views one side CPT 73620 X-RAY OF FOOT; 2 VIEWS	$286.96	$318.84	$86.20–$876.20	51% above	10%
X-ray of the foot, complete, 3 or more views CPT 73630 X-RAY OF FOOT; MINIMUM OF 3 VIEWS	$408.86	$454.29	$86.20–$876.20	70% above	10%
X-ray of the foot, complete, 3 or more views CPT 73630 X-RAY EXAM OF FOOT	$437.98	$486.64	$86.20–$876.20	82% above	10%
X-ray of the foot, complete, 3 or more views one side CPT 73630 X-RAY OF FOOT; MINIMUM OF 3 VIEWS	$408.86	$454.29	$86.20–$876.20	70% above	10%
X-ray of the foot, complete, 3 or more views one side CPT 73630 X-RAY OF FOOT; MINIMUM OF 3 VIEWS	$408.86	$454.29	$86.20–$876.20	70% above	10%
X-ray of the hand, 3 or more views CPT 73130 X-RAY EXAM OF HAND	$301.48	$334.98	$86.20–$876.20	28% above	10%
X-ray of the knee, 1 or 2 views CPT 73560 X-RAY OF KNEE; 1-2 VIEWS	$286.96	$318.84	$86.20–$876.20	35% above	10%
X-ray of the knee, 1 or 2 views CPT 73560 X-RAY EXAM OF KNEE 1 OR 2	$295.57	$328.41	$86.20–$876.20	39% above	10%
X-ray of the knee, 1 or 2 views one side CPT 73560 X-RAY OF KNEE; 1-2 VIEWS	$286.96	$318.84	$86.20–$876.20	35% above	10%
X-ray of the knee, 1 or 2 views one side CPT 73560 X-RAY OF KNEE; 1-2 VIEWS	$286.96	$318.84	$86.20–$876.20	35% above	10%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 X-RAY EXAM L-S SPINE 2/3 VWS	$225.17	$250.19	$103.55–$876.20	23% below	10%
X-ray of the lower back, 4 or more views CPT 72110 X-RAY EXAM L-2 SPINE 4/>VWS	$358.38	$398.20	$103.55–$876.20	5% below	10%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 X-RAY EXAM THORAC SPINE 2VWS	$225.17	$250.19	$103.55–$876.20	5% below	10%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 X-RAY OF UPPER SPINE; 2-3 VIEWS	$257.18	$285.76	$86.20–$876.20	7% above	10%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 X-RAY EXAM NECK SPINE 2-3 VW	$264.90	$294.33	$86.20–$876.20	10% above	10%
X-ray of the pelvis, 1 or 2 views CPT 72170 X-RAY OF PELVIS; 1-2 VIEWS	$304.40	$338.22	$103.55–$876.20	37% above	10%
X-ray of the pelvis, 1 or 2 views CPT 72170 X-RAY EXAM OF PELVIS	$313.53	$348.37	$103.55–$876.20	41% above	10%
X-ray of the pelvis, 1 or 2 views one side CPT 72170 X-RAY OF PELVIS; 1-2 VIEWS	$304.40	$338.22	$103.55–$876.20	37% above	10%
X-ray of the pelvis, 1 or 2 views one side CPT 72170 X-RAY OF PELVIS; 1-2 VIEWS	$304.40	$338.22	$103.55–$876.20	37% above	10%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 X-RAY EXAM SACRUM TAILBONE	$313.53	$348.37	$86.20–$876.20	43% above	10%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Wisconsin	Off list
ACTH blood test CPT 82024 ASSAY OF ACTH	$312.74	$347.49	$38.62	42% above	10%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 LIVER ENZYME (SGPT); LEVEL	$48.55	$53.94	$5.30	39% above	10%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALANINE AMINO (ALT) (SGPT)	$50.00	$55.56	$5.30	43% above	10%
AST (aspartate aminotransferase) enzyme test CPT 84450 LIVER ENZYME (SGOT); LEVEL	$47.30	$52.56	$5.18	at median	10%
AST (aspartate aminotransferase) enzyme test CPT 84450 TRANSFERASE (AST) (SGOT)	$48.73	$54.14	$5.18	3% above	10%
Albumin blood test CPT 82040 ALBUMIN (PROTEIN) LEVEL	$47.03	$52.26	$4.95	25% above	10%
Albumin blood test CPT 82040 ASSAY OF SERUM ALBUMIN	$48.45	$53.83	$4.95	29% above	10%
Aldosterone blood test CPT 82088 ASSAY OF ALDOSTERONE	$345.85	$384.28	$40.75	81% above	10%
Alkaline phosphatase (ALP) blood test CPT 84075 ASSAY ALKALINE PHOSPHATASE	$50.65	$56.28	$5.18	4% above	10%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLG SPEC IGE CRUDE XTRC EA	$1,628.16	$1,809.07	$5.22	6413% above	10%
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA-FETOPROTEIN (AFP) LEVEL; SERUM	$279.59	$310.65	$16.77	233% above	10%
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA-FETOPROTEIN SERUM	$287.97	$319.97	$16.77	243% above	10%
Ammonia blood test CPT 82140 ASSAY OF AMMONIA	$121.31	$134.79	$14.57	35% above	10%
Amylase blood test CPT 82150 ASSAY OF AMYLASE	$47.42	$52.69	$6.48	23% below	10%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ANTIBODY	$334.36	$371.51	$12.95	305% above	10%
Antinuclear antibody (ANA) blood test, screen CPT 86038 SCREENING TEST FOR AUTOIMMUNE DISORDER	$82.94	$92.15	$12.09	21% above	10%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES	$85.42	$94.91	$12.09	25% above	10%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE (HEART AND BLOOD VESSEL PROTEIN) LEVEL	$260.43	$289.37	$39.26	83% above	10%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 ASSAY OF NATRIURETIC PEPTIDE	$268.25	$298.05	$39.26	88% above	10%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE OTHR SPECIMN AEROBIC	$82.67	$91.85	$8.62	57% above	10%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 BACTERIAL CULTURE; ANY OTHER SOURCE EXCEPT URINE; BLOOD OR STOOL; AEROBIC	$240.76	$267.51	$8.62	359% above	10%
Basic metabolic panel (blood test) CPT 80048 BLOOD TEST; BASIC GROUP OF BLOOD CHEMICALS (CALCIUM; TOTAL)	$81.12	$90.13	$8.46	8% below	10%
Basic metabolic panel (blood test) CPT 80048 METABOLIC PANEL TOTAL CA	$83.55	$92.83	$8.46	5% below	10%
Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL	$38.71	$43.01	$5.02	17% below	10%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 PATHOLOGY EXAMINATION OF TISSUE USING A MICROSCOPE; INTERMEDIATE COMPLEXITY	$847.76	$941.95	$51.62–$876.20	293% above	10%
Blood culture for bacteria CPT 87040 BACTERIAL BLOOD CULTURE	$61.56	$68.40	$10.32	28% below	10%
Blood culture for bacteria CPT 87040 BLOOD CULTURE FOR BACTERIA	$63.41	$70.45	$10.32	26% below	10%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 INSERTION OF NEEDLE INTO VEIN FOR COLLECTION OF BLOOD SAMPLE	$11.07	$12.30	$9.34	25% below	10%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLL VENOUS BLD VENIPUNCTURE	$11.40	$12.67	$9.34	22% below	10%
Blood glucose (sugar) test CPT 82947 BLOOD GLUCOSE (SUGAR) LEVEL	$37.96	$42.18	$3.93	55% above	10%
Blood glucose (sugar) test CPT 82947 ASSAY GLUCOSE BLOOD QUANT	$39.11	$43.45	$3.93	60% above	10%
Blood lead test CPT 83655 ASSAY OF LEAD	$23.00	$25.56	$12.11	58% below	10%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 GONADOTROPIN (REPRODUCTIVE HORMONE) ANALYSIS	$69.40	$77.11	$7.52	12% above	10%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 CHORIONIC GONADOTROPIN ASSAY	$71.48	$79.42	$7.52	15% above	10%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD GROUP TYPING (ABO)	$45.73	$50.81	$131.78–$876.20	8% above	10%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING SEROLOGIC ABO	$215.08	$238.98	$131.78–$876.20	406% above	10%
Blood urea nitrogen (BUN) test CPT 84520 UREA NITROGEN LEVEL TO ASSESS KIDNEY FUNCTION; QUANTITATIVE	$29.78	$33.09	$3.95	16% above	10%
Blood urea nitrogen (BUN) test CPT 84520 ASSAY OF UREA NITROGEN	$30.67	$34.08	$3.95	20% above	10%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 MEASUREMENT C-REACTIVE PROTEIN FOR DETECTION OF INFECTION OR INFLAMMATION	$56.94	$63.27	$5.18	4% above	10%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN	$58.65	$65.17	$5.18	7% above	10%
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF AMPLIFIED PROBE	$319.18	$354.64	$37.27	110% above	10%
CA 19-9 blood test (tumor marker) CPT 86301 IMMUNOLOGIC ANALYSIS FOR DETECTION OF TUMOR ANTIGEN; QUANTITATIVE; CA 19-9	$372.01	$413.34	$20.81	231% above	10%
CA 19-9 blood test (tumor marker) CPT 86301 IMMUNOASSAY TUMOR CA 19-9	$383.17	$425.74	$20.81	241% above	10%
CA-125 blood test (ovarian cancer marker) CPT 86304 IMMUNOLOGIC ANALYSIS FOR DETECTION OF TUMOR ANTIGEN; QUANTITATIVE; CA 125	$124.56	$138.40	$20.81	4% above	10%
CA-125 blood test (ovarian cancer marker) CPT 86304 IMMUNOASSAY TUMOR CA 125	$128.30	$142.55	$20.81	7% above	10%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2 COVID-19 AMP PRB	$166.02	$184.47	$51.31	23% above	10%
Calcium blood test, total CPT 82310 CALCIUM LEVEL; TOTAL	$45.00	$50.00	$5.16	14% below	10%
Calcium blood test, total CPT 82310 ASSAY OF CALCIUM	$46.35	$51.50	$5.16	12% below	10%
Carcinoembryonic antigen (CEA) test CPT 82378 CARCINOEMBRYONIC ANTIGEN (CEA) PROTEIN LEVEL	$97.58	$108.42	$18.96	28% below	10%
Carcinoembryonic antigen (CEA) test CPT 82378 CARCINOEMBRYONIC ANTIGEN	$100.50	$111.67	$18.96	26% below	10%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA-ZOSTER ANTIBODY	$91.71	$101.90	$12.88	27% above	10%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLMYD TRACH DNA AMP PROBE	$403.74	$448.60	$35.09	182% above	10%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 BLOOD TEST; LIPIDS (CHOLESTEROL AND TRIGLYCERIDES)	$76.64	$85.16	$13.39	14% below	10%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL	$83.75	$93.05	$13.39	6% below	10%
Complete blood count (CBC) with differential CPT 85025 COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST AND AUTOMATED DIFFERENTIAL WHITE BLOOD CELL COUNT	$74.20	$82.44	$7.77	2% above	10%
Complete blood count (CBC) with differential CPT 85025 COMPLETE CBC W/AUTO DIFF WBC	$76.42	$84.91	$7.77	5% above	10%
Complete blood count (CBC), no differential CPT 85027 COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST	$62.13	$69.03	$6.47	18% above	10%
Complete blood count (CBC), no differential CPT 85027 COMPLETE CBC AUTOMATED	$63.99	$71.10	$6.47	22% above	10%
Comprehensive metabolic panel (blood test) CPT 80053 BLOOD TEST; COMPREHENSIVE GROUP OF BLOOD CHEMICALS	$101.39	$112.66	$10.56	11% below	10%
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHEN METABOLIC PANEL	$104.44	$116.04	$10.56	8% below	10%
Cortisol blood test, total CPT 82533 TOTAL CORTISOL	$125.86	$139.84	$16.30	5% above	10%
Creatine kinase (CK) blood test, total CPT 82550 ASSAY OF CK (CPK)	$50.56	$56.18	$6.51	21% below	10%
Creatinine blood test CPT 82565 BLOOD CREATININE LEVEL	$48.76	$54.18	$5.12	54% above	10%
Creatinine blood test CPT 82565 ASSAY OF CREATININE	$49.33	$54.81	$5.12	56% above	10%
Cytomegalovirus (CMV) antibody test CPT 86644 CMV ANTIBODY	$123.53	$137.25	$14.39	67% above	10%
D-dimer blood test (blood clot marker) CPT 85379 COAGULATION FUNCTION MEASUREMENT; D-DIMER; QUANTITATIVE	$98.17	$109.08	$10.18	36% above	10%
D-dimer blood test (blood clot marker) CPT 85379 FIBRIN DEGRADATION QUANT	$101.12	$112.35	$10.18	40% above	10%
DHEA sulfate (DHEA-S) blood test CPT 82627 DEHYDROEPIANDROSTERONE	$184.69	$205.21	$22.23	30% above	10%
Drug screen by lab instrument (any number of drug classes) CPT 80307 TESTING FOR PRESENCE OF DRUG; BY CHEMISTRY ANALYZERS	$173.68	$192.98	$62.14	56% above	10%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TEST PRSMV CHEM ANLYZR	$178.89	$198.77	$62.14	61% above	10%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 BLOOD TEST PANEL FOR ELECTROLYTES (SODIUM POTASSIUM; CHLORIDE; CARBON DIOXIDE)	$67.29	$74.77	$7.01	32% above	10%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTE PANEL	$69.31	$77.01	$7.01	36% above	10%
Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN-BARR CAPSID VCA	$55.39	$61.54	$18.14	33% below	10%
Estradiol blood test CPT 82670 MEASUREMENT OF TOTAL ESTRADIOL (HORMONE)	$231.62	$257.35	$27.94	87% above	10%
Estradiol blood test CPT 82670 ASSAY OF TOTAL ESTRADIOL	$238.56	$265.07	$27.94	93% above	10%
FSH (follicle-stimulating hormone) test CPT 83001 GONADOTROPIN; FOLLICLE STIMULATING (REPRODUCTIVE HORMONE) LEVEL	$84.23	$93.59	$18.58	27% below	10%
FSH (follicle-stimulating hormone) test CPT 83001 ASSAY OF GONADOTROPIN (FSH)	$86.76	$96.40	$18.58	25% below	10%
Ferritin blood test (iron stores) CPT 82728 FERRITIN (BLOOD PROTEIN) LEVEL	$139.77	$155.30	$13.63	55% above	10%
Ferritin blood test (iron stores) CPT 82728 ASSAY OF FERRITIN	$143.96	$159.96	$13.63	59% above	10%
Fibrinogen blood test CPT 85384 FIBRINOGEN ACTIVITY	$46.12	$51.24	$9.72	32% below	10%
Folate (folic acid) blood test CPT 82746 FOLIC ACID LEVEL; SERUM	$114.07	$126.74	$14.70	15% above	10%
Folate (folic acid) blood test CPT 82746 ASSAY OF FOLIC ACID SERUM	$117.49	$130.54	$14.70	19% above	10%
Free T3 thyroid hormone test CPT 84481 THYROID HORMONE; T3 MEASUREMENT; FREE	$48.10	$53.44	$16.94	51% below	10%
Free T3 thyroid hormone test CPT 84481 FREE ASSAY (FT-3)	$49.54	$55.04	$16.94	49% below	10%
Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE (THYROID CHEMICAL); FREE	$124.04	$137.82	$9.02	54% above	10%
Free T4 (free thyroxine) thyroid blood test CPT 84439 ASSAY OF FREE THYROXINE	$127.76	$141.95	$9.02	58% above	10%
Free testosterone test CPT 84402 TESTOSTERONE (HORMONE) LEVEL; FREE	$210.07	$233.41	$25.47	79% above	10%
Free testosterone test CPT 84402 ASSAY OF FREE TESTOSTERONE	$216.37	$240.41	$25.47	84% above	10%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORRHOEAE DNA AMP PROB	$97.59	$108.43	$35.09	32% below	10%
H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI ANTIBODY	$209.54	$232.82	$16.85	133% above	10%
H. pylori stool antigen test CPT 87338 HPYLORI STOOL AG IA	$42.66	$47.40	$14.38	67% below	10%
HIV-1 and HIV-2 antibody test CPT 86703 HIV-1/HIV-2 1 RESULT ANTBDY	$128.85	$143.17	$13.71	66% above	10%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1 AG W/HIV-1&-2 AB AG IA	$104.65	$116.28	$24.08	2% above	10%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C LEVEL	$72.34	$80.38	$9.71	5% above	10%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN GLYCOSYLATED A1C	$74.51	$82.79	$9.71	8% above	10%
Hemoglobin blood test CPT 85018 BLOOD COUNT; HEMOGLOBIN	$35.81	$39.79	$2.37	105% above	10%
Hemoglobin blood test CPT 85018 HEMOGLOBIN	$36.88	$40.98	$2.37	111% above	10%
Hepatitis B core antibody test (total) CPT 86704 HEP B CORE ANTIBODY TOTAL	$149.29	$165.88	$12.05	87% above	10%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE ANTIBODY	$147.52	$163.91	$10.74	99% above	10%
Hepatitis B surface antigen (HBsAg) test CPT 87340 DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HEPATITIS B SURFACE ANTIGEN	$119.29	$132.54	$10.33	84% above	10%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE AG IA	$122.87	$136.52	$10.33	89% above	10%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY MEASUREMENT	$239.60	$266.22	$14.27	204% above	10%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB TEST	$246.79	$274.21	$14.27	213% above	10%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C REVRS TRNSCRPJ	$1,126.47	$1,251.63	$42.84	409% above	10%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX TYPE 1 TEST	$40.28	$44.75	$13.19	40% below	10%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2 TEST	$59.09	$65.65	$19.35	25% below	10%
High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN HS	$340.28	$378.09	$12.95	325% above	10%
Homocysteine blood test CPT 83090 ASSAY OF HOMOCYSTEINE	$230.10	$255.67	$17.92	95% above	10%
Insulin blood test CPT 83525 ASSAY OF INSULIN	$287.64	$319.60	$11.43	326% above	10%
Iron blood test (serum iron) CPT 83540 IRON LEVEL	$22.27	$24.74	$6.47	58% below	10%
Iron blood test (serum iron) CPT 83540 ASSAY OF IRON	$22.93	$25.48	$6.47	57% below	10%
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING TEST	$28.92	$32.13	$8.74	53% below	10%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL	$26.18	$29.09	$8.68	75% below	10%
LH (luteinizing hormone) test CPT 83002 GONADOTROPIN; LUTEINIZING (REPRODUCTIVE HORMONE) LEVEL	$139.46	$154.95	$18.52	43% above	10%
LH (luteinizing hormone) test CPT 83002 ASSAY OF GONADOTROPIN (LH)	$143.64	$159.60	$18.52	47% above	10%
Lactate (lactic acid) blood test CPT 83605 LACTIC ACID LEVEL	$110.57	$122.86	$11.57	59% above	10%
Lactate (lactic acid) blood test CPT 83605 ASSAY OF LACTIC ACID	$113.90	$126.55	$11.57	63% above	10%
Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE DEHYDROGENASE (ENZYME) LEVEL	$31.14	$34.60	$6.04	38% below	10%
Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE (LD) (LDH) ENZYME	$32.08	$35.64	$6.04	36% below	10%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE (FAT ENZYME) LEVEL	$52.48	$58.31	$6.89	24% below	10%
Lipase blood test (pancreas enzyme) CPT 83690 ASSAY OF LIPASE	$54.05	$60.06	$6.89	22% below	10%
Liver function blood test panel CPT 80076 LIVER FUNCTION BLOOD TEST PANEL	$78.09	$86.77	$8.17	23% below	10%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL	$80.43	$89.37	$8.17	21% below	10%
Lyme disease antibody test CPT 86618 ANALYSIS FOR ANTIBODY BORRELIA BURGDORFERI (LYME DISEASE BACTERIA)	$74.56	$82.84	$17.03	10% below	10%
Lyme disease antibody test CPT 86618 LYME DISEASE ANTIBODY	$76.80	$85.33	$17.03	8% below	10%
Magnesium blood test CPT 83735 MAGNESIUM LEVEL	$88.02	$97.80	$6.70	68% above	10%
Magnesium blood test CPT 83735 ASSAY OF MAGNESIUM	$90.66	$100.73	$6.70	73% above	10%
Measles (rubeola) antibody test CPT 86765 RUBEOLA ANTIBODY	$102.16	$113.51	$12.88	24% above	10%
Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE ANTIBODY SCREEN	$20.39	$22.66	$5.18	63% below	10%
Mumps immunity blood test CPT 86735 MUMPS ANTIBODY	$142.60	$158.44	$13.05	66% above	10%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA (PROSTATE SPECIFIC ANTIGEN) MEASUREMENT; TOTAL	$94.31	$104.79	$18.39	at median	10%
PSA (prostate-specific antigen) blood test, total CPT 84153 ASSAY OF PSA TOTAL	$97.14	$107.93	$18.39	3% above	10%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CYTOPATH C/V THIN LAYER	$115.76	$128.62	$20.26	29% above	10%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHORMONE (PARATHYROID HORMONE) LEVEL	$287.39	$319.32	$41.28	39% above	10%
Parathyroid hormone (PTH) blood test CPT 83970 ASSAY OF PARATHORMONE	$296.01	$328.90	$41.28	43% above	10%
Partial thromboplastin time (PTT) clotting test CPT 85730 COAGULATION ASSESSMENT BLOOD TEST; PLASMA OR WHOLE BLOOD	$31.14	$34.60	$6.01	41% below	10%
Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME PARTIAL	$32.08	$35.64	$6.01	39% below	10%
Phosphorus (phosphate) blood test CPT 84100 PHOSPHATE LEVEL	$24.39	$27.10	$4.74	41% below	10%
Phosphorus (phosphate) blood test CPT 84100 ASSAY OF PHOSPHORUS	$25.12	$27.91	$4.74	40% below	10%
Potassium blood test CPT 84132 BLOOD POTASSIUM LEVEL	$44.00	$48.89	$4.76	63% above	10%
Potassium blood test CPT 84132 ASSAY OF SERUM POTASSIUM	$45.32	$50.36	$4.76	68% above	10%
Progesterone blood test CPT 84144 PROGESTERONE (REPRODUCTIVE HORMONE) LEVEL	$139.79	$155.32	$20.86	16% above	10%
Progesterone blood test CPT 84144 ASSAY OF PROGESTERONE	$143.98	$159.98	$20.86	19% above	10%
Prolactin blood test CPT 84146 ASSAY OF PROLACTIN	$95.00	$105.56	$19.38	21% below	10%
Prothrombin time (PT/INR) clotting test CPT 85610 BLOOD TEST; CLOTTING TIME	$36.23	$40.26	$4.29	12% above	10%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME	$37.03	$41.14	$4.29	15% above	10%
Renin blood test CPT 84244 ASSAY OF RENIN	$148.19	$164.66	$21.99	at median	10%
Rh blood typing CPT 86901 BLOOD TYPING FOR RH (D) ANTIGEN	$67.39	$74.88	$37.00–$876.20	70% above	10%
Rh blood typing CPT 86901 BLOOD TYPING SEROLOGIC RH(D)	$69.42	$77.13	$37.00–$876.20	75% above	10%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR LEVEL	$105.70	$117.44	$5.67	81% above	10%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUANT	$108.86	$120.96	$5.67	86% above	10%
Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY	$111.57	$123.97	$14.39	35% above	10%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 RBC SED RATE AUTOMATED	$19.61	$21.79	$2.70	53% below	10%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN ANAL VOL/COUNT/MOT	$188.63	$209.59	$12.31	39% above	10%
Sodium blood test CPT 84295 BLOOD SODIUM LEVEL	$24.86	$27.62	$4.81	at median	10%
Sodium blood test CPT 84295 ASSAY OF SERUM SODIUM	$25.61	$28.45	$4.81	3% above	10%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD FECES	$19.14	$21.27	$4.38	9% below	10%
Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMA PALLIDUM	$88.91	$98.79	$13.24	62% above	10%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB TEST CELL IMMUN MEASURE	$223.32	$248.13	$61.98	12% below	10%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TUBERCULOSIS TEST; GAMMA INTERFERON	$439.04	$487.82	$61.98	74% above	10%
Testosterone blood test, total (not free testosterone) CPT 84403 ASSAY OF TOTAL TESTOSTERONE	$101.80	$113.11	$25.81	11% below	10%
Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODY EACH	$253.47	$281.63	$14.55	262% above	10%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 BLOOD TEST; THYROID STIMULATING HORMONE (TSH)	$87.12	$96.80	$16.80	at median	10%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 ASSAY THYROID STIM HORMONE	$89.73	$99.70	$16.80	3% above	10%
Total IgE blood test CPT 82785 ASSAY OF IGE	$50.27	$55.85	$16.46	51% below	10%
Total cholesterol blood test CPT 82465 ASSAY BLD/SERUM CHOLESTEROL	$34.16	$37.96	$4.35	26% below	10%
Total thyroxine (T4) blood test CPT 84436 THYROXINE (THYROID CHEMICAL); TOTAL	$68.05	$75.61	$6.87	31% above	10%
Total thyroxine (T4) blood test CPT 84436 ASSAY OF TOTAL THYROXINE	$70.09	$77.88	$6.87	35% above	10%
Total triiodothyronine (T3) blood test CPT 84480 THYROID HORMONE; T3 MEASUREMENT; TOTAL	$50.79	$56.43	$14.18	53% below	10%
Total triiodothyronine (T3) blood test CPT 84480 ASSAY TRIIODOTHYRONINE (T3)	$52.31	$58.12	$14.18	51% below	10%
Transferrin blood test CPT 84466 TRANSFERRIN (IRON BINDING PROTEIN) LEVEL	$21.84	$24.27	$12.76	77% below	10%
Transferrin blood test CPT 84466 ASSAY OF TRANSFERRIN	$22.50	$25.00	$12.76	76% below	10%
Triglycerides blood test CPT 84478 TRIGLYCERIDES LEVEL	$42.64	$47.38	$5.74	21% below	10%
Triglycerides blood test CPT 84478 ASSAY OF TRIGLYCERIDES	$43.92	$48.80	$5.74	19% below	10%
Troponin test, quantitative CPT 84484 TROPONIN (PROTEIN) ANALYSIS; QUANTITATIVE	$235.13	$261.26	$12.47	178% above	10%
Troponin test, quantitative CPT 84484 ASSAY OF TROPONIN QUANT	$242.19	$269.10	$12.47	187% above	10%
Uric acid blood test CPT 84550 URIC ACID LEVEL; BLOOD	$58.67	$65.19	$4.52	16% above	10%
Uric acid blood test CPT 84550 ASSAY OF BLOOD/URIC ACID	$60.44	$67.15	$4.52	20% above	10%
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS AUTO W/SCOPE	$15.76	$17.51	$3.17	58% below	10%
Urinalysis with microscope exam, manual CPT 81000 MANUAL URINALYSIS TEST WITH EXAMINATION USING MICROSCOPE; NON-AUTOMATED	$33.24	$36.93	$4.02	166% above	10%
Urinalysis with microscope exam, manual CPT 81000 URINALYSIS NONAUTO W/SCOPE	$34.24	$38.04	$4.02	174% above	10%
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTO W/O SCOPE	$27.44	$30.49	$2.25	10% above	10%
Urinalysis without microscope exam, manual CPT 81002 URINALYSIS NONAUTO W/O SCOPE	$29.77	$33.08	$3.48	116% above	10%
Urine culture for bacteria, with colony count CPT 87086 BACTERIAL COLONY COUNT; URINE	$71.29	$79.21	$8.07	5% below	10%
Urine culture for bacteria, with colony count CPT 87086 URINE CULTURE/COLONY COUNT	$73.43	$81.59	$8.07	3% below	10%
Urine microalbumin (albumin) test CPT 82043 URINE MICROALBUMIN (PROTEIN) LEVEL	$79.88	$88.76	$5.78	29% above	10%
Urine microalbumin (albumin) test CPT 82043 UR ALBUMIN QUANTITATIVE	$82.28	$91.42	$5.78	33% above	10%
Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST	$60.40	$67.11	$8.61	22% above	10%
Vitamin B12 (cobalamin) blood test CPT 82607 CYANOCOBALAMIN (VITAMIN B-12) LEVEL	$78.28	$86.98	$15.08	24% below	10%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12	$80.63	$89.59	$15.08	21% below	10%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D-3 LEVEL	$280.43	$311.59	$29.60	81% above	10%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY	$288.85	$320.94	$29.60	86% above	10%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 VIT D 1 25-DIHYDROXY	$695.89	$773.21	$38.50	335% above	10%
Zinc blood test CPT 84630 ASSAY OF ZINC	$287.97	$319.97	$11.39	260% above	10%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 GONADOTROPIN; CHORIONIC (REPRODUCTIVE HORMONE) LEVEL	$39.66	$44.07	$15.05	66% below	10%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 CHORIONIC GONADOTROPIN TEST	$40.85	$45.39	$15.05	65% below	10%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Wisconsin	Off list
Adenoid removal (adenoidectomy), child under 12 CPT 42830 PRIMARY REMOVAL OF ADENOIDS (YOUNGER THAN 12 YEARS)	$3,655.91	$4,062.12	$3,283.91–$5,342.00	162% above	10%
Adenoid removal (adenoidectomy), child under 12 CPT 42830 REMOVAL OF ADENOIDS	$3,765.58	$4,183.98	$3,283.91–$5,342.00	170% above	10%
Anterior cervical discectomy and fusion (ACDF), one level CPT 22551 FUSION OF UPPER SPINE BONE WITH REMOVAL OF DISC AND RELEASE OF SPINAL CORD OR NERVE; 1 DISC	$32,542.62	$36,158.47	$10,671.69–$19,373.00	369% above	10%
Anterior cervical discectomy and fusion (ACDF), one level CPT 22551 ARTHRD ANT NTRBDY CERVICAL	$32,777.12	$36,419.02	$10,671.69–$19,373.00	372% above	10%
Appendectomy, open surgery CPT 44950 APPENDECTOMY	$2,426.63	$2,696.25	$6,283.00–$9,999.00	1% below	10%
Arthroscopic ACL reconstruction or repair of the knee CPT 29888 KNEE ARTHROSCOPY/SURGERY	$18,374.08	$20,415.64	$7,187.17–$16,543.00	56% above	10%
Arthroscopic ACL reconstruction or repair of the knee one side CPT 29888 REPAIR OF ANTERIOR CRUCIATE LIGAMENT OF KNEE USING AN ENDOSCOPE	$17,838.91	$19,821.01	$7,187.17–$16,543.00	51% above	10%
Arthroscopic ACL reconstruction or repair of the knee one side CPT 29888 REPAIR OF ANTERIOR CRUCIATE LIGAMENT OF KNEE USING AN ENDOSCOPE	$21,167.12	$23,519.02	$7,187.17–$16,543.00	80% above	10%
Arthroscopic rotator cuff repair of the shoulder CPT 29827 REPAIR OF SHOULDER ROTATOR CUFF USING AN ENDOSCOPE	$3,623.99	$4,026.65	$7,187.17–$16,543.00	31% below	10%
Arthroscopic rotator cuff repair of the shoulder CPT 29827 SHO ARTHRS SRG RT8TR CUF RPR	$7,465.41	$8,294.90	$7,187.17–$16,543.00	42% above	10%
Arthroscopic rotator cuff repair of the shoulder one side CPT 29827 REPAIR OF SHOULDER ROTATOR CUFF USING AN ENDOSCOPE	$7,247.97	$8,053.30	$7,187.17–$16,543.00	38% above	10%
Arthroscopic rotator cuff repair of the shoulder one side CPT 29827 REPAIR OF SHOULDER ROTATOR CUFF USING AN ENDOSCOPE	$7,247.97	$8,053.30	$7,187.17–$16,543.00	38% above	10%
Balloon dilation of the maxillary sinus opening, one side CPT 31295 NSL/SINS NDSC SURG MAX SINS	$8,222.18	$9,135.75	$6,990.31–$12,749.00	329% above	10%
Botox injections for chronic migraine CPT 64615 CHEMODENERV MUSC MIGRAINE	$788.43	$876.03	$304.03–$2,245.00	8% above	10%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 BX BREAST 1ST LESION STRTCTC	$4,241.91	$4,713.23	$1,635.88–$5,342.00	68% above	10%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 BIOPSY OF BREAST AND PLACEMENT OF LOCATING DEVICE USING X-RAY WITH NEEDLE; FIRST GROWTH	$4,118.36	$4,575.95	$1,635.88–$5,342.00	63% above	10%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 BIOPSY OF BREAST AND PLACEMENT OF LOCATING DEVICE USING X-RAY WITH NEEDLE; FIRST GROWTH	$4,118.36	$4,575.95	$1,635.88–$5,342.00	63% above	10%
Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 COR HLX VLGS DSTL MTAR OSTEO	$13,170.09	$14,633.43	$3,240.86–$9,999.00	193% above	10%
Bunion correction with a bone cut near the head of the first metatarsal one side CPT 28296 CORRECTION OF BUNION WITH ALIGNMENT CORRECTION OF MIDFOOT BONE TOWARD TOE AREA	$12,786.49	$14,207.21	$3,240.86–$9,999.00	185% above	10%
Bunion correction with a bone cut near the head of the first metatarsal one side CPT 28296 CORRECTION OF BUNION WITH ALIGNMENT CORRECTION OF MIDFOOT BONE TOWARD TOE AREA	$12,786.49	$14,207.21	$3,240.86–$9,999.00	185% above	10%
Bunion correction with removal of part of the big toe joint CPT 28292 CORRECTION OF BUNION	$11,308.48	$12,564.98	$3,240.86–$9,999.00	147% above	10%
Bunion correction with removal of part of the big toe joint CPT 28292 COR HLX VLGS RSC PRX PHLX BS	$11,647.74	$12,941.93	$3,240.86–$9,999.00	154% above	10%
Bunion correction with removal of part of the big toe joint one side CPT 28292 CORRECTION OF BUNION	$5,654.24	$6,282.49	$3,240.86–$9,999.00	23% above	10%
Bunion correction with removal of part of the big toe joint one side CPT 28292 CORRECTION OF BUNION	$11,308.48	$12,564.98	$3,240.86–$9,999.00	147% above	10%
Cardiac catheterization with coronary angiogram CPT 93458 L HRT ARTERY/VENTRICLE ANGIO	$11,924.93	$13,249.92	$3,211.09–$9,999.00	22% above	10%
Cardiac catheterization with coronary angiogram one side CPT 93458 INSERTION OF TUBE IN LEFT LOWER HEART CHAMBER AND CORONARY ARTERY FOR DIAGNOSIS WITH REVIEW BY RADIOLOGIST	$11,577.60	$12,864.00	$3,211.09–$9,999.00	18% above	10%
Cardioversion, elective (restoring heart rhythm) CPT 92960 EXTERNAL SHOCK TO HEART TO REGULATE HEART BEAT	$1,724.50	$1,916.11	$654.66–$876.20	75% above	10%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTRIC EXT	$1,776.23	$1,973.59	$654.66–$876.20	80% above	10%
Carpal tunnel release, open surgery CPT 64721 RELEASE AND/OR RELOCATION OF HAND NERVE	$3,037.74	$3,375.27	$1,934.15–$5,342.00	36% above	10%
Carpal tunnel release, open surgery CPT 64721 CARPAL TUNNEL SURGERY	$3,128.88	$3,476.53	$1,934.15–$5,342.00	40% above	10%
Carpal tunnel release, open surgery one side CPT 64721 RELEASE AND/OR RELOCATION OF HAND NERVE	$1,518.88	$1,687.64	$1,934.15–$5,342.00	32% below	10%
Carpal tunnel release, open surgery one side CPT 64721 RELEASE AND/OR RELOCATION OF HAND NERVE	$3,037.74	$3,375.27	$1,934.15–$5,342.00	36% above	10%
Cataract surgery with lens implant CPT 66984 XCAPSL CTRC RMVL W/O ECP	$862.40	$958.22	$2,285.86–$5,342.00	79% below	10%
Cataract surgery with lens implant one side CPT 66984 REMOVAL OF CATARACT WITH INSERTION OF PROSTHETIC LENS	$837.28	$930.31	$2,285.86–$5,342.00	79% below	10%
Cataract surgery with lens implant one side CPT 66984 REMOVAL OF CATARACT WITH INSERTION OF PROSTHETIC LENS	$1,034.83	$1,149.81	$2,285.86–$5,342.00	74% below	10%
Cervical biopsy CPT 57500 BIOPSY OF CERVIX	$2,272.68	$2,525.20	$912.29–$2,471.47	283% above	10%
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 REMOVAL OF FORESKIN (OLDER THAN 28 DAYS)	$6,496.25	$7,218.05	$2,070.49–$5,342.00	599% above	10%
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 CIRCUM 28 DAYS OR OLDER	$6,691.13	$7,434.59	$2,070.49–$5,342.00	620% above	10%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 REMOVAL OF FORESKIN USING CLAMP OR DEVICE	$5,447.56	$6,052.84	$2,070.49–$5,342.00	2563% above	10%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION W/REGIONL BLOCK	$5,610.99	$6,234.43	$2,070.49–$5,342.00	2643% above	10%
Colonoscopy with polyp removal CPT 45385 REMOVAL OF POLYPS OR GROWTHS OF LARGE BOWEL USING AN ENDOSCOPE WITH MECHANICAL SNARE	$2,837.34	$3,152.60	$1,185.25–$5,342.00	16% above	10%
Colonoscopy with polyp removal CPT 45385 COLONOSCOPY W/LESION REMOVAL	$2,922.46	$3,247.18	$1,185.25–$5,342.00	20% above	10%
Colonoscopy with tissue sample CPT 45380 BIOPSY OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE	$2,786.80	$3,096.44	$1,185.25–$5,342.00	40% above	10%
Colonoscopy with tissue sample CPT 45380 COLONOSCOPY AND BIOPSY	$2,870.40	$3,189.33	$1,185.25–$5,342.00	44% above	10%
Colonoscopy, diagnostic CPT 45378 DIAGNOSTIC EXAM OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE	$2,786.80	$3,096.44	$921.10–$2,471.47	60% above	10%
Colonoscopy, diagnostic CPT 45378 DIAGNOSTIC COLONOSCOPY	$2,870.40	$3,189.33	$921.10–$2,471.47	65% above	10%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 BIOPSY OF CERVIX USING AN ENDOSCOPE WITH LOOP ELECTRODE	$4,385.85	$4,873.17	$3,206.32–$5,342.00	410% above	10%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 BX OF CERVIX W/SCOPE LEEP	$4,517.43	$5,019.37	$3,206.32–$5,342.00	425% above	10%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 BIOPSY AND SCRAPING OF CERVIX USING AN ENDOSCOPE	$1,256.70	$1,396.33	$301.83–$2,245.00	177% above	10%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 BX/CURETT OF CERVIX W/SCOPE	$1,294.40	$1,438.22	$301.83–$2,245.00	186% above	10%
Complex cataract surgery with lens implant CPT 66982 XCAPSL CTRC RMVL CPLX WO ECP	$862.40	$958.22	$2,285.86–$5,342.00	79% below	10%
Complex cataract surgery with lens implant one side CPT 66982 COMPLEX REMOVAL OF CATARACT WITH INSERTION OF PROSTHETIC LENS	$837.28	$930.31	$2,285.86–$5,342.00	79% below	10%
Complex cataract surgery with lens implant one side CPT 66982 COMPLEX REMOVAL OF CATARACT WITH INSERTION OF PROSTHETIC LENS	$837.28	$930.31	$2,285.86–$5,342.00	79% below	10%
Coronary stent placement, one artery CPT 92928 INSERTION OF STENTS WITH BALLOON DILATION OF CORONARY ARTERY OR BRANCH; SINGLE ARTERY OR BRANCH	$19,586.30	$21,762.56	$10,671.69–$19,373.00	150% above	10%
Coronary stent placement, one artery CPT 92928 PRQ TCAT PLMT NTRAC ST 1 LES	$26,161.50	$29,068.33	$10,671.69–$19,373.00	234% above	10%
Cystoscopy with ureteral stent placement CPT 52332 INSERTION OF STENT IN URETER USING AN ENDOSCOPE	$7,018.90	$7,798.78	$3,491.44–$9,999.00	61% above	10%
Cystoscopy with ureteral stent placement CPT 52332 CYSTOSCOPY AND TREATMENT	$14,458.94	$16,065.49	$3,491.44–$9,999.00	232% above	10%
Cystoscopy with ureteral stent placement one side CPT 52332 INSERTION OF STENT IN URETER USING AN ENDOSCOPE	$7,018.90	$7,798.78	$3,491.44–$9,999.00	61% above	10%
Cystoscopy with ureteral stent placement one side CPT 52332 INSERTION OF STENT IN URETER USING AN ENDOSCOPE	$14,037.80	$15,597.56	$3,491.44–$9,999.00	222% above	10%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 DIAGNOSTIC EXAM OF BLADDER AND URETHRA USING AN ENDOSCOPE	$4,037.44	$4,486.04	$690.66–$2,471.47	307% above	10%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOURETHROSCOPY	$4,158.56	$4,620.62	$690.66–$2,471.47	319% above	10%
D&C (dilation and curettage), not related to pregnancy CPT 58120 DILATION AND SCRAPING OF UTERUS	$8,617.10	$9,574.55	$3,206.32–$5,342.00	660% above	10%
D&C (dilation and curettage), not related to pregnancy CPT 58120 DILATION AND CURETTAGE	$8,875.61	$9,861.79	$3,206.32–$5,342.00	683% above	10%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRUCT PREMALG LESION	$270.42	$300.47	$198.72–$2,245.00	50% above	10%
Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 CREATE EARDRUM OPENING	$1,692.66	$1,880.73	$1,536.82–$5,342.00	177% above	10%
Ear tube placement (tympanostomy) under general anesthesia, one ear one side CPT 69436 INCISION OF EARDRUM WITH PLACEMENT OF EARDRUM TUBE UNDER GENERAL ANESTHESIA	$821.68	$912.98	$1,536.82–$5,342.00	35% above	10%
Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 CREATE EARDRUM OPENING	$2,672.64	$2,969.60	$534.20–$2,245.00	411% above	10%
Earwax removal with instruments, one ear CPT 69210 REMOVAL OF IMPACTED EAR WAX	$97.03	$107.81	$58.43–$2,245.00	16% above	10%
Earwax removal with instruments, one ear CPT 69210 REMOVE IMPACTED EAR WAX UNI	$199.87	$222.08	$58.43–$2,245.00	138% above	10%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 BIOPSY OF LINING OF UTERUS	$271.76	$301.96	$200.24–$2,245.00	at median	10%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 BIOPSY OF UTERUS LINING	$559.84	$622.04	$200.24–$2,245.00	106% above	10%
Endoscopic sinus surgery: full ethmoid sinus opening CPT 31255 NSL/SINS NDSC W/TOT ETHMDCT	$8,589.03	$9,543.37	$6,990.31–$12,749.00	52% above	10%
Endoscopic sinus surgery: full ethmoid sinus opening one side CPT 31255 REMOVAL OF NASAL SINUS USING AN ENDOSCOPE	$4,169.44	$4,632.71	$6,990.31–$12,749.00	26% below	10%
Endoscopic sinus surgery: opening the frontal sinus CPT 31276 NSL/SINS NDSC FRNT TISS RMVL	$17,972.00	$19,968.89	$6,990.31–$12,749.00	306% above	10%
Endoscopic sinus surgery: opening the frontal sinus one side CPT 31276 EXPLORATION OF NASAL SINUS USING AN ENDOSCOPE	$8,724.28	$9,693.64	$6,990.31–$12,749.00	97% above	10%
Endoscopic sinus surgery: opening the maxillary (cheek) sinus CPT 31256 EXPLORATION MAXILLARY SINUS	$12,270.02	$13,633.36	$3,692.87–$9,999.00	414% above	10%
Endoscopic sinus surgery: opening the maxillary (cheek) sinus one side CPT 31256 INCISION OF NASAL SINUS USING AN ENDOSCOPE	$5,956.33	$6,618.14	$3,692.87–$9,999.00	149% above	10%
Endoscopic sinus surgery: opening the maxillary (cheek) sinus one side CPT 31256 INCISION OF NASAL SINUS USING AN ENDOSCOPE	$5,956.33	$6,618.14	$3,692.87–$9,999.00	149% above	10%
Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 ENDOSCOPY MAXILLARY SINUS	$17,972.00	$19,968.89	$6,990.31–$12,749.00	341% above	10%
Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue one side CPT 31267 REMOVAL OF NASAL SINUS TISSUE USING AN ENDOSCOPE	$8,724.28	$9,693.64	$6,990.31–$12,749.00	114% above	10%
Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue one side CPT 31267 REMOVAL OF NASAL SINUS TISSUE USING AN ENDOSCOPE	$8,724.28	$9,693.64	$6,990.31–$12,749.00	114% above	10%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 INJECTION OF SUBSTANCE INTO MIDDLE OR UPPER SPINE CANAL USING IMAGING GUIDANCE	$1,904.47	$2,116.08	$699.17–$2,471.47	66% above	10%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 NJX INTERLAMINAR CRV/THRC	$1,961.60	$2,179.56	$699.17–$2,471.47	71% above	10%
Eye injection into the vitreous (intravitreal injection) CPT 67028 INJECTION EYE DRUG	$3,403.83	$3,782.03	$327.16–$2,245.00	741% above	10%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJ PARAVERT F JNT L/S 1 LEV	$1,069.51	$1,188.34	$876.06–$2,471.47	30% below	10%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJECTION OF LOWER OR SACRAL SPINE FACET JOINT USING IMAGING GUIDANCE; SINGLE LEVEL	$1,557.54	$1,730.60	$876.06–$2,471.47	2% above	10%
Facet joint injection, lower back, one level, with imaging guidance one side CPT 64493 INJECTION OF LOWER OR SACRAL SPINE FACET JOINT USING IMAGING GUIDANCE; SINGLE LEVEL	$1,038.36	$1,153.73	$876.06–$2,471.47	32% below	10%
Facet joint injection, lower back, one level, with imaging guidance one side CPT 64493 INJECTION OF LOWER OR SACRAL SPINE FACET JOINT USING IMAGING GUIDANCE; SINGLE LEVEL	$1,038.36	$1,153.73	$876.06–$2,471.47	32% below	10%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 REPAIR OF ANTERIOR ABDOMINAL HERNIA(S) (IE; EPIGASTRIC; INCISIONAL; VENTRAL; UMBILICAL; SPIGELIAN); ANY APPROACH (IE; OPEN; LAPAROSCOPIC; ROBOTIC); INITIAL; INCLUDING IMPLANTATION OF MESH OR OTHER PROSTHESIS WHEN PERFORMED; TOTAL LENGTH OF DEFECT(S); 3 CM TO 10 CM; REDUCIBLE	$10,998.60	$12,220.67	$6,412.22–$9,999.00	72% above	10%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 RPR AA HRN 1ST 3-10 RDC	$11,328.56	$12,587.29	$6,412.22–$9,999.00	77% above	10%
First repair of a front abdominal hernia larger than 10 cm CPT 49595 REPAIR OF ANTERIOR ABDOMINAL HERNIA(S) (IE; EPIGASTRIC; INCISIONAL; VENTRAL; UMBILICAL; SPIGELIAN); ANY APPROACH (IE; OPEN; LAPAROSCOPIC; ROBOTIC); INITIAL; INCLUDING IMPLANTATION OF MESH OR OTHER PROSTHESIS WHEN PERFORMED; TOTAL LENGTH OF DEFECT(S); GREATER THAN 10 CM; REDUCIBLE	$10,998.60	$12,220.67	$6,412.22–$9,999.00	72% above	10%
First repair of a front abdominal hernia larger than 10 cm CPT 49595 RPR AA HRN 1ST > 10 RDC	$11,328.56	$12,587.29	$6,412.22–$9,999.00	77% above	10%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 REPAIR OF ANTERIOR ABDOMINAL HERNIA(S) (IE; EPIGASTRIC; INCISIONAL; VENTRAL; UMBILICAL; SPIGELIAN); ANY APPROACH (IE; OPEN; LAPAROSCOPIC; ROBOTIC); INITIAL; INCLUDING IMPLANTATION OF MESH OR OTHER PROSTHESIS WHEN PERFORMED; TOTAL LENGTH OF DEFECT(S); LESS THAN 3 CM; REDUCIBLE	$7,549.65	$8,388.50	$3,546.33–$9,999.00	257% above	10%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 RPR AA HRN 1ST < 3 CM RDC	$15,552.28	$17,280.31	$3,546.33–$9,999.00	636% above	10%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 DIAGNOSTIC EXAM OF LOWER PORTION OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE	$1,143.39	$1,270.43	$921.10–$2,471.47	40% above	10%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 DIAGNOSTIC SIGMOIDOSCOPY	$1,177.69	$1,308.54	$921.10–$2,471.47	44% above	10%
Gallbladder removal, laparoscopic CPT 47562 REMOVAL OF GALLBLADDER USING AN ENDOSCOPE	$19,372.02	$21,524.47	$5,988.00–$11,874.00	114% above	10%
Gallbladder removal, laparoscopic CPT 47562 LAPAROSCOPIC CHOLECYSTECTOMY	$19,953.18	$22,170.20	$5,988.00–$11,874.00	120% above	10%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 REMOVAL OF GALLBLADDER WITH X-RAY STUDY OF BILE DUCTS USING AN ENDOSCOPE	$17,955.79	$19,950.88	$5,988.00–$11,874.00	102% above	10%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 LAPARO CHOLECYSTECTOMY/GRAPH	$18,494.47	$20,549.41	$5,988.00–$11,874.00	108% above	10%
Gallbladder removal, open surgery through a larger incision CPT 47600 CHOLECYSTECTOMY	$3,234.92	$3,594.36	$897.41–$9,999.00	15% above	10%
Hammertoe correction surgery CPT 28285 REPAIR OF HAMMERTOE	$8,048.29	$8,942.54	$3,240.86–$9,999.00	196% above	10%
Hemorrhoid banding (rubber band ligation) CPT 46221 LIGATION OF HEMORRHOID(S)	$1,283.39	$1,425.99	$921.10–$2,471.47	4% above	10%
Hemorrhoidectomy (internal and external), one area CPT 46255 REMOVAL OF SINGLE EXTERNAL AND INTERNAL HEMORRHOID GROUP	$5,884.14	$6,537.93	$2,749.25–$5,342.00	73% above	10%
Hemorrhoidectomy (internal and external), one area CPT 46255 REMOVE INT/EXT HEM 1 GROUP	$6,060.66	$6,734.07	$2,749.25–$5,342.00	78% above	10%
Hip replacement after an earlier hip surgery (conversion to total hip) CPT 27132 TOTAL HIP ARTHROPLASTY	$9,627.73	$10,697.48	$12,716.51–$24,978.00	18% above	10%
Hysterectomy through an abdominal incision (total) CPT 58150 TOTAL HYSTERECTOMY	$13,189.69	$14,655.21	$843.67–$11,874.00	248% above	10%
Hysterectomy through an abdominal incision (total) CPT 58150 REMOVAL OF UTERUS AND CERVIX THROUGH ABDOMEN	$13,586.68	$15,096.31	$843.67–$11,874.00	258% above	10%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 CATHETER FOR HYSTEROGRAPHY	$178.62	$198.47	$48.08	47% below	10%
Hysteroscopy with endometrial ablation CPT 58563 EXAM OF UTERUS WITH DESTRUCTION OF LINING OF UTERUS USING AN ENDOSCOPE	$8,646.98	$9,607.76	$4,954.85–$11,249.00	6% above	10%
Hysteroscopy with endometrial ablation CPT 58563 HYSTEROSCOPY ABLATION	$8,906.39	$9,895.99	$4,954.85–$11,249.00	9% above	10%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 BIOPSY OF LINING OF UTERUS AND/OR REMOVAL OF POLYP USING AN ENDOSCOPE	$11,702.83	$13,003.14	$3,206.32–$5,342.00	224% above	10%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 HYSTEROSCOPY BIOPSY	$12,053.91	$13,393.23	$3,206.32–$5,342.00	234% above	10%
IUD insertion (the device itself billed separately) CPT 58300 INSERTION OF IUD FOR PREGNANCY PREVENTION	$628.42	$698.24	$2,245.00	107% above	10%
IUD insertion (the device itself billed separately) CPT 58300 INSERT INTRAUTERINE DEVICE	$1,294.53	$1,438.37	$2,245.00	326% above	10%
Incision and drainage of a simple or single skin abscess CPT 10060 SIMPLE OR SINGLE DRAINAGE OF SKIN ABSCESS	$259.20	$288.00	$198.72–$2,245.00	11% below	10%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SIMPLE/SINGLE	$266.98	$296.64	$198.72–$2,245.00	8% below	10%
Incision and drainage of a simple or single skin abscess one side CPT 10060 SIMPLE OR SINGLE DRAINAGE OF SKIN ABSCESS	$259.20	$288.00	$198.72–$2,245.00	11% below	10%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 REPAIR OF GROIN HERNIA (5 YEARS OR OLDER)	$12,150.40	$13,500.44	$3,546.33–$9,999.00	118% above	10%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 PRP I/HERN INIT REDUC >5 YR	$12,514.91	$13,905.45	$3,546.33–$9,999.00	124% above	10%
Inguinal (groin) hernia repair, age 5 or older one side CPT 49505 REPAIR OF GROIN HERNIA (5 YEARS OR OLDER)	$12,150.40	$13,500.44	$3,546.33–$9,999.00	118% above	10%
Inguinal (groin) hernia repair, age 5 or older one side CPT 49505 REPAIR OF GROIN HERNIA (5 YEARS OR OLDER)	$13,260.85	$14,734.28	$3,546.33–$9,999.00	138% above	10%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJECTION INTO TENDON OR LIGAMENT	$687.83	$764.26	$304.03–$2,245.00	102% above	10%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ TENDON SHEATH/LIGAMENT	$708.47	$787.19	$304.03–$2,245.00	108% above	10%
Injection into a tendon sheath or ligament (for example trigger finger) one side CPT 20550 INJECTION INTO TENDON OR LIGAMENT	$343.92	$382.13	$304.03–$2,245.00	1% above	10%
Injection into a tendon sheath or ligament (for example trigger finger) one side CPT 20550 INJECTION INTO TENDON OR LIGAMENT	$687.83	$764.26	$304.03–$2,245.00	102% above	10%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ASPIRATION AND/OR INJECTION OF FLUID FROM LARGE JOINT	$1,129.22	$1,254.69	$304.03–$2,245.00	160% above	10%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJ JOINT/BURSA W/O US	$1,163.10	$1,292.33	$304.03–$2,245.00	168% above	10%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 ASPIRATION AND/OR INJECTION OF FLUID FROM LARGE JOINT	$1,129.22	$1,254.69	$304.03–$2,245.00	160% above	10%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 ASPIRATION AND/OR INJECTION OF FLUID FROM LARGE JOINT	$1,129.22	$1,254.69	$304.03–$2,245.00	160% above	10%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INSERTION DRUG DLVR IMPLANT	$341.05	$378.94	$131.78–$2,245.00	22% above	10%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJ JOINT/BURSA W/O US	$1,698.16	$1,886.84	$304.03–$2,245.00	430% above	10%
Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 ASPIRATION AND/OR INJECTION OF FLUID FROM MEDIUM JOINT	$824.35	$915.94	$304.03–$2,245.00	158% above	10%
Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 ASPIRATION AND/OR INJECTION OF FLUID FROM MEDIUM JOINT	$1,648.69	$1,831.88	$304.03–$2,245.00	415% above	10%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 DRAIN/INJ JOINT/BURSA W/O US	$1,188.69	$1,320.77	$304.03–$2,245.00	283% above	10%
Joint injection or drainage, small joint (fingers, toes) one side CPT 20600 ASPIRATION AND/OR INJECTION OF FLUID FROM SMALL JOINT	$577.04	$641.15	$304.03–$2,245.00	86% above	10%
Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 KNEE ARTHROSCOPY/SURGERY	$9,118.80	$10,132.00	$3,240.86–$9,999.00	59% above	10%
Knee arthroscopy with meniscus repair (one side of the knee) one side CPT 29882 REPAIR OF INSIDE OR OUTSIDE KNEE JOINT CARTILAGE USING AN ENDOSCOPE	$8,853.20	$9,836.89	$3,240.86–$9,999.00	54% above	10%
Knee arthroscopy with meniscus repair (one side of the knee) one side CPT 29882 REPAIR OF INSIDE OR OUTSIDE KNEE JOINT CARTILAGE USING AN ENDOSCOPE	$14,728.33	$16,364.81	$3,240.86–$9,999.00	157% above	10%
Knee arthroscopy with meniscus trim CPT 29881 REMOVAL OF KNEE CARTILAGE USING AN ENDOSCOPE	$6,946.36	$7,718.18	$3,240.86–$9,999.00	40% above	10%
Knee arthroscopy with meniscus trim CPT 29881 KNEE ARTHROSCOPY/SURGERY	$7,154.76	$7,949.73	$3,240.86–$9,999.00	44% above	10%
Knee arthroscopy with meniscus trim one side CPT 29881 REMOVAL OF KNEE CARTILAGE USING AN ENDOSCOPE	$6,946.36	$7,718.18	$3,240.86–$9,999.00	40% above	10%
Knee arthroscopy with meniscus trim one side CPT 29881 REMOVAL OF KNEE CARTILAGE USING AN ENDOSCOPE	$8,823.17	$9,803.52	$3,240.86–$9,999.00	78% above	10%
Knee arthroscopy with removal of both torn meniscus parts CPT 29880 REMOVAL OF BOTH KNEE CARTILAGES USING AN ENDOSCOPE	$6,810.15	$7,566.83	$3,240.86–$9,999.00	24% above	10%
Knee arthroscopy with removal of both torn meniscus parts CPT 29880 KNEE ARTHROSCOPY/SURGERY	$7,014.45	$7,793.83	$3,240.86–$9,999.00	28% above	10%
Knee arthroscopy with removal of both torn meniscus parts one side CPT 29880 REMOVAL OF BOTH KNEE CARTILAGES USING AN ENDOSCOPE	$6,810.15	$7,566.83	$3,240.86–$9,999.00	24% above	10%
Knee arthroscopy with removal of both torn meniscus parts one side CPT 29880 REMOVAL OF BOTH KNEE CARTILAGES USING AN ENDOSCOPE	$6,810.15	$7,566.83	$3,240.86–$9,999.00	24% above	10%
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 KNEE ARTHROSCOPY/SURGERY	$7,998.67	$8,887.41	$3,240.86–$9,999.00	159% above	10%
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) one side CPT 29877 REMOVAL OR SHAVING OF KNEE JOINT CARTILAGE USING AN ENDOSCOPE	$3,882.85	$4,314.28	$3,240.86–$9,999.00	26% above	10%
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) one side CPT 29877 REMOVAL OR SHAVING OF KNEE JOINT CARTILAGE USING AN ENDOSCOPE	$7,765.70	$8,628.55	$3,240.86–$9,999.00	152% above	10%
Laparoscopic Roux-en-Y gastric bypass, standard limb length CPT 43644 LAP GASTRIC BYPASS/ROUX-EN-Y	$17,566.88	$19,518.76	$1,424.66–$11,874.00	137% above	10%
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 REMOVAL OF APPENDIX USING AN ENDOSCOPE	$9,259.09	$10,287.88	$5,988.00–$11,874.00	117% above	10%
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 LAPAROSCOPY APPENDECTOMY	$9,536.87	$10,596.52	$5,988.00–$11,874.00	124% above	10%
Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 LAPAROSCOPY FUNDOPLASTY	$22,963.68	$25,515.20	$10,528.69–$19,373.00	737% above	10%
Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 STRENGTHENING OF MUSCLE BETWEEN ESOPHAGUS AND STOMACH BY WRAPPING PART OF STOMACH AROUND ESOPHAGUS USING AN ENDOSCOPE	$23,406.50	$26,007.22	$10,528.69–$19,373.00	754% above	10%
Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 REMOVAL OF UTERUS THROUGH ABDOMEN USING AN ENDOSCOPE; 250.0 G OR LESS	$12,411.04	$13,790.04	$10,528.69–$19,373.00	144% above	10%
Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 TLH UTERUS 250 G OR LESS	$12,783.37	$14,203.74	$10,528.69–$19,373.00	152% above	10%
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 REMOVAL OF UTERUS; TUBES; AND/OR OVARIES THROUGH ABDOMEN USING AN ENDOSCOPE; 250.0 G OR LESS	$12,731.25	$14,145.83	$10,528.69–$19,373.00	274% above	10%
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 TLH W/T/O 250 G OR LESS	$13,113.18	$14,570.20	$10,528.69–$19,373.00	285% above	10%
Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 REPAIR OF GROIN HERNIA USING AN ENDOSCOPE	$19,706.58	$21,896.20	$5,988.00–$11,874.00	624% above	10%
Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 LAP ING HERNIA REPAIR INIT	$20,297.78	$22,553.09	$5,988.00–$11,874.00	646% above	10%
Laparoscopic inguinal (groin) hernia repair, first repair on that side one side CPT 49650 REPAIR OF GROIN HERNIA USING AN ENDOSCOPE	$19,706.58	$21,896.20	$5,988.00–$11,874.00	624% above	10%
Laparoscopic inguinal (groin) hernia repair, first repair on that side one side CPT 49650 REPAIR OF GROIN HERNIA USING AN ENDOSCOPE	$19,706.58	$21,896.20	$5,988.00–$11,874.00	624% above	10%
Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 LAP ING HERNIA REPAIR RECUR	$20,297.78	$22,553.09	$5,988.00–$11,874.00	179% above	10%
Laparoscopic inguinal (groin) hernia repair, recurrent hernia one side CPT 49651 REPAIR OF RECURRENT GROIN HERNIA USING AN ENDOSCOPE	$19,706.58	$21,896.20	$5,988.00–$11,874.00	171% above	10%
Laparoscopic inguinal (groin) hernia repair, recurrent hernia one side CPT 49651 REPAIR OF RECURRENT GROIN HERNIA USING AN ENDOSCOPE	$19,706.58	$21,896.20	$5,988.00–$11,874.00	171% above	10%
Laparoscopic removal of an adjustable gastric band and its port CPT 43774 REMOVAL OF STOMACH REDUCTION DEVICE AND PORT USING AN ENDOSCOPE	$9,856.22	$10,951.35	$3,818.79–$9,999.00	83% above	10%
Laparoscopic removal of an adjustable gastric band and its port CPT 43774 LAP RMVL GASTR ADJ ALL PARTS	$10,151.90	$11,279.89	$3,818.79–$9,999.00	89% above	10%
Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 REMOVAL OF OVARIES AND/OR TUBES USING AN ENDOSCOPE	$4,680.47	$5,200.52	$5,988.00–$11,874.00	92% above	10%
Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 LAPAROSCOPY REMOVE ADNEXA	$9,641.76	$10,713.07	$5,988.00–$11,874.00	295% above	10%
Laparoscopic removal of fallopian tubes and/or ovaries one side CPT 58661 REMOVAL OF OVARIES AND/OR TUBES USING AN ENDOSCOPE	$9,360.94	$10,401.04	$5,988.00–$11,874.00	284% above	10%
Laparoscopic removal of fallopian tubes and/or ovaries one side CPT 58661 REMOVAL OF OVARIES AND/OR TUBES USING AN ENDOSCOPE	$9,360.94	$10,401.04	$5,988.00–$11,874.00	284% above	10%
Laparoscopic sleeve gastrectomy for weight loss CPT 43775 PARTIAL REMOVAL OF STOMACH FOR WEIGHT LOSS USING AN ENDOSCOPE	$12,495.73	$13,884.14	$871.70–$11,874.00	46% above	10%
Laparoscopic sleeve gastrectomy for weight loss CPT 43775 LAP SLEEVE GASTRECTOMY	$12,742.67	$14,158.52	$871.70–$11,874.00	49% above	10%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INTERMEDIATE REPAIR OF WOUND OF SCALP; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.5 CM OR LESS	$439.43	$488.26	$402.65–$2,245.00	15% below	10%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INTMD RPR S/A/T/EXT 2.5 CM/<	$905.24	$1,005.82	$402.65–$2,245.00	74% above	10%
Lower-back epidural injection, with imaging guidance CPT 62323 INJECTION OF SUBSTANCE INTO LOWER SPINE CANAL USING IMAGING GUIDANCE	$1,152.91	$1,281.01	$699.17–$2,471.47	at median	10%
Lower-back epidural injection, with imaging guidance CPT 62323 NJX INTERLAMINAR LMBR/SAC	$1,187.50	$1,319.44	$699.17–$2,471.47	3% above	10%
Lower-back epidural injection, without imaging guidance CPT 62322 NJX INTERLAMINAR LMBR/SAC	$1,730.37	$1,922.63	$876.06–$2,471.47	110% above	10%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 INJECTION OF ANESTHETIC AND/OR STEROID DRUG INTO SACRAL SPINE NERVE ROOT USING IMAGING GUIDANCE; SINGLE LEVEL	$1,271.93	$1,413.26	$876.06–$2,471.47	19% above	10%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 NJX AA&/STRD TFRM EPI L/S 1	$1,310.09	$1,455.66	$876.06–$2,471.47	23% above	10%
Lower-back nerve root steroid injection, with imaging guidance one side CPT 64483 INJECTION OF ANESTHETIC AND/OR STEROID DRUG INTO SACRAL SPINE NERVE ROOT USING IMAGING GUIDANCE; SINGLE LEVEL	$1,271.93	$1,413.26	$876.06–$2,471.47	19% above	10%
Lower-back nerve root steroid injection, with imaging guidance one side CPT 64483 INJECTION OF ANESTHETIC AND/OR STEROID DRUG INTO SACRAL SPINE NERVE ROOT USING IMAGING GUIDANCE; SINGLE LEVEL	$1,271.93	$1,413.26	$876.06–$2,471.47	19% above	10%
Lumbar discectomy or laminotomy to free a nerve root, one level CPT 63030 PARTIAL REMOVAL OF SPINE BONE WITH RELEASE OF LOWER SPINAL CORD OR NERVES AND/OR REMOVAL OF DISC	$13,630.45	$15,144.94	$7,187.17–$16,543.00	7% below	10%
Lumbar discectomy or laminotomy to free a nerve root, one level CPT 63030 LOW BACK DISK SURGERY	$14,039.36	$15,599.29	$7,187.17–$16,543.00	4% below	10%
Lumbar discectomy or laminotomy to free a nerve root, one level one side CPT 63030 PARTIAL REMOVAL OF SPINE BONE WITH RELEASE OF LOWER SPINAL CORD OR NERVES AND/OR REMOVAL OF DISC	$13,630.45	$15,144.94	$7,187.17–$16,543.00	7% below	10%
Lumbar discectomy or laminotomy to free a nerve root, one level one side CPT 63030 PARTIAL REMOVAL OF SPINE BONE WITH RELEASE OF LOWER SPINAL CORD OR NERVES AND/OR REMOVAL OF DISC	$13,630.45	$15,144.94	$7,187.17–$16,543.00	7% below	10%
Lumbar fusion with interbody cage and posterolateral graft (TLIF), one level CPT 22633 ARTHRD CMBN 1NTRSPC LUMBAR	$28,773.32	$31,970.35	$19,373.00–$26,875.83	550% above	10%
Lumbar interbody fusion (PLIF or TLIF), one level CPT 22630 ARTHRD PST TQ 1NTRSPC LUM	$28,773.32	$31,970.35	$19,373.00–$26,875.83	292% above	10%
Lumbar laminectomy (spinal decompression), one level CPT 63047 PARTIAL REMOVAL OF SPINE BONE WITH RELEASE OF LOWER SPINAL CORD AND/OR NERVES; 1 SEGMENT	$13,903.06	$15,447.84	$7,187.17–$16,543.00	14% above	10%
Lumbar laminectomy (spinal decompression), one level CPT 63047 LAM FACETEC & FORAMOT LUMBAR	$14,320.15	$15,911.28	$7,187.17–$16,543.00	18% above	10%
Lumbar spinal fusion (posterior), one level CPT 22612 ARTHRD PST TQ 1NTRSPC LUMBAR	$41,774.77	$46,416.41	$10,671.69–$19,373.00	452% above	10%
Lumpectomy (partial mastectomy) CPT 19301 PARTIAL MASTECTOMY	$3,106.05	$3,451.17	$3,878.17–$9,999.00	2% below	10%
Lumpectomy (partial mastectomy) one side CPT 19301 PARTIAL REMOVAL OF BREAST	$3,015.59	$3,350.65	$3,878.17–$9,999.00	5% below	10%
Lumpectomy (partial mastectomy) one side CPT 19301 PARTIAL REMOVAL OF BREAST	$3,015.59	$3,350.65	$3,878.17–$9,999.00	5% below	10%
Mastectomy (total removal of the breast) CPT 19303 MAST SIMPLE COMPLETE	$11,517.60	$12,797.33	$6,576.98–$12,749.00	105% above	10%
Mastectomy (total removal of the breast) one side CPT 19303 SIMPLE COMPLETE REMOVAL OF BREAST	$11,182.13	$12,424.59	$6,576.98–$12,749.00	99% above	10%
Mastectomy (total removal of the breast) one side CPT 19303 SIMPLE COMPLETE REMOVAL OF BREAST	$11,182.13	$12,424.59	$6,576.98–$12,749.00	99% above	10%
Miscarriage treatment with D&C, first trimester CPT 59820 TREATMENT OF MISCARRIAGE DURING FIRST TRIMESTER	$4,393.62	$4,881.80	$3,206.32–$5,342.00	278% above	10%
Miscarriage treatment with D&C, first trimester CPT 59820 CARE OF MISCARRIAGE	$4,525.43	$5,028.25	$3,206.32–$5,342.00	289% above	10%
Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals CPT 17311 MOHS 1 STAGE H/N/HF/G	$1,712.53	$1,902.81	$732.04–$2,245.00	28% above	10%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 REMOVAL OF NONCANCER SKIN GROWTH OF BODY; ARMS; OR LEGS; 0.5 CM OR LESS	$388.40	$431.56	$701.40–$2,471.47	11% above	10%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC TR-EXT B9+MARG 0.5 CM<	$800.10	$889.00	$701.40–$2,471.47	130% above	10%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 REMOVAL OF NONCANCER SKIN GROWTH OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 0.5 CM OR LESS	$388.40	$431.56	$701.40–$2,471.47	25% below	10%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXC FACE-MM B9+MARG 0.5 CM/<	$800.10	$889.00	$701.40–$2,471.47	55% above	10%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm one side CPT 11440 REMOVAL OF NONCANCER SKIN GROWTH OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 0.5 CM OR LESS	$388.40	$431.56	$701.40–$2,471.47	25% below	10%
Nail removal (partial or complete), one nail CPT 11730 REMOVAL OF NAIL PLATE	$190.20	$211.33	$198.72–$2,245.00	19% below	10%
Occipital nerve block (injection for headaches) CPT 64405 NJX AA&/STRD GR OCPL NRV	$555.46	$617.18	$304.03–$2,245.00	20% above	10%
Pacemaker implant (dual chamber) CPT 33208 INSERTION OF PACEMAKER AND UPPER AND LOWER HEART CHAMBER ELECTRODE	$15,406.85	$17,118.72	$10,352.54–$19,373.00	143% above	10%
Pacemaker implant (dual chamber) CPT 33208 INSRT HEART PM ATRIAL & VENT	$15,869.05	$17,632.28	$10,352.54–$19,373.00	150% above	10%
Paracentesis with imaging guidance CPT 49083 DRAINAGE OF FLUID FROM ABDOMINAL CAVITY USING IMAGING GUIDANCE	$2,590.82	$2,878.69	$898.36–$2,471.47	101% above	10%
Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGING	$2,668.55	$2,965.05	$898.36–$2,471.47	107% above	10%
Partial knee replacement (one compartment) CPT 27446 REVISION OF KNEE JOINT	$8,223.63	$9,137.37	$10,671.69–$19,373.00	46% above	10%
Partial knee replacement (one compartment) one side CPT 27446 REPLACEMENT OF KNEE JOINT ON SIDE OF KNEE	$7,984.11	$8,871.23	$10,671.69–$19,373.00	42% above	10%
Partial knee replacement (one compartment) one side CPT 27446 REPLACEMENT OF KNEE JOINT ON SIDE OF KNEE	$7,984.11	$8,871.23	$10,671.69–$19,373.00	42% above	10%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 REMOVAL OF NAIL BED	$1,165.85	$1,295.39	$402.65–$2,245.00	257% above	10%
Prostate biopsy CPT 55700 BIOPSY OF PROSTATE	$2,542.06	$2,824.51	$5,204.68–$5,342.00	66% above	10%
Prostate removal (prostatectomy), laparoscopic CPT 55866 SURGICAL REMOVAL OF PROSTATE AND SURROUNDING LYMPH NODES USING AN ENDOSCOPE	$22,833.81	$25,370.90	$10,528.69–$19,373.00	277% above	10%
Prostate removal (prostatectomy), laparoscopic CPT 55866 LAPS SURG PRST8ECT RPBIC RAD	$23,518.83	$26,132.03	$10,528.69–$19,373.00	288% above	10%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 DESTROY LUMB/SAC FACET JNT	$2,530.58	$2,811.75	$1,934.15–$5,342.00	2% above	10%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 DESTRUCTION OF LOWER OR SACRAL SPINAL FACET JOINT NERVES USING IMAGING GUIDANCE; SINGLE FACET JOINT	$3,685.30	$4,094.78	$1,934.15–$5,342.00	49% above	10%
Radiofrequency ablation of facet joint nerves, lower back, one level one side CPT 64635 DESTRUCTION OF LOWER OR SACRAL SPINAL FACET JOINT NERVES USING IMAGING GUIDANCE; SINGLE FACET JOINT	$2,456.87	$2,729.85	$1,934.15–$5,342.00	1% below	10%
Radiofrequency ablation of facet joint nerves, lower back, one level one side CPT 64635 DESTRUCTION OF LOWER OR SACRAL SPINAL FACET JOINT NERVES USING IMAGING GUIDANCE; SINGLE FACET JOINT	$2,456.87	$2,729.85	$1,934.15–$5,342.00	1% below	10%
Removal of a breast lump, open surgery CPT 19120 REMOVAL OF BREAST LESION	$8,457.26	$9,396.96	$3,878.17–$9,999.00	394% above	10%
Removal of a breast lump, open surgery one side CPT 19120 REMOVAL OF GROWTH AND TISSUE OF BREAST; DUCT; OR NIPPLE	$8,210.93	$9,123.26	$3,878.17–$9,999.00	380% above	10%
Removal of a breast lump, open surgery one side CPT 19120 REMOVAL OF GROWTH AND TISSUE OF BREAST; DUCT; OR NIPPLE	$8,210.93	$9,123.26	$3,878.17–$9,999.00	380% above	10%
Removal of a foreign object under the skin, simple CPT 10120 REMOVAL OF FOREIGN BODY FROM TISSUE; ACCESSED BENEATH THE SKIN; SIMPLE	$498.23	$553.59	$402.65–$2,245.00	49% above	10%
Removal of a foreign object under the skin, simple CPT 10120 INC&RMVL FB SUBQ TISS SMPL	$513.18	$570.20	$402.65–$2,245.00	54% above	10%
Removal of a foreign object under the skin, simple one side CPT 10120 REMOVAL OF FOREIGN BODY FROM TISSUE; ACCESSED BENEATH THE SKIN; SIMPLE	$498.23	$553.59	$402.65–$2,245.00	49% above	10%
Removal of one lobe of the thyroid (lobectomy) CPT 60220 PARTIAL REMOVAL OF THYROID	$10,045.66	$11,161.84	$5,988.00–$11,874.00	281% above	10%
Removal of one lobe of the thyroid (lobectomy) one side CPT 60220 REMOVAL OF THYROID LOBE ON SIDE OF NECK	$9,753.07	$10,836.74	$5,988.00–$11,874.00	270% above	10%
Removal of one lobe of the thyroid (lobectomy) one side CPT 60220 REMOVAL OF THYROID LOBE ON SIDE OF NECK	$9,753.07	$10,836.74	$5,988.00–$11,874.00	270% above	10%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR HIGH RISK	$946.59	$1,051.77	$921.10–$2,471.47	51% below	10%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLON CA SCRN NOT HI RSK IND	$1,949.99	$2,166.65	$921.10–$2,471.47	1% above	10%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL AT HIGH RISK	$965.53	$1,072.81	$921.10–$2,471.47	49% below	10%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 COLORECTAL SCRN; HI RISK IND	$1,988.98	$2,209.98	$921.10–$2,471.47	5% above	10%
Septoplasty to straighten the nasal septum CPT 30520 RESHAPING OF NASAL CARTILAGE	$4,204.75	$4,671.94	$3,283.91–$5,342.00	17% above	10%
Septoplasty to straighten the nasal septum CPT 30520 REPAIR OF NASAL SEPTUM	$8,661.78	$9,624.20	$3,283.91–$5,342.00	141% above	10%
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 FRAGMENTING OF KIDNEY STONE	$15,573.50	$17,303.89	$3,491.44–$14,233.00	70% above	10%
Shock-wave lithotripsy to break up kidney stones (from outside the body) one side CPT 50590 SHOCK WAVE CRUSHING OF KIDNEY STONES	$15,119.90	$16,799.89	$3,491.44–$14,233.00	65% above	10%
Shock-wave lithotripsy to break up kidney stones (from outside the body) one side CPT 50590 SHOCK WAVE CRUSHING OF KIDNEY STONES	$15,178.31	$16,864.79	$3,491.44–$14,233.00	65% above	10%
Short arm cast (elbow to hand) CPT 29075 APPLICATION OF FOREARM CAST	$825.92	$917.69	$277.03–$2,245.00	243% above	10%
Short arm splint (forearm and hand) CPT 29125 APPLY FOREARM SPLINT	$393.26	$436.95	$131.78–$2,245.00	124% above	10%
Short leg cast (below the knee) CPT 29405 APPLY SHORT LEG CAST	$648.41	$720.45	$277.03–$2,245.00	176% above	10%
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 SHO ARTHRS SRG DSTL CLAVICLC	$5,813.67	$6,459.63	$3,240.86–$9,999.00	73% above	10%
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) one side CPT 29824 PARTIAL REMOVAL OF COLLAR BONE AT SHOULDER USING AN ENDOSCOPE	$2,822.18	$3,135.75	$3,240.86–$9,999.00	16% below	10%
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) one side CPT 29824 PARTIAL REMOVAL OF COLLAR BONE AT SHOULDER USING AN ENDOSCOPE	$2,822.18	$3,135.75	$3,240.86–$9,999.00	16% below	10%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 SHAVING OF PART OF SHOULDER BONE AND REPAIR OF LIGAMENT USING AN ENDOSCOPE	$7,118.44	$7,909.38	$132.95–$3,623.00	226% above	10%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 SHO ARTHRS SRG DECOMPRESSION	$7,331.99	$8,146.66	$132.95–$3,623.00	235% above	10%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) one side CPT 29826 SHAVING OF PART OF SHOULDER BONE AND REPAIR OF LIGAMENT USING AN ENDOSCOPE	$3,559.22	$3,954.69	$132.95–$3,623.00	63% above	10%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) one side CPT 29826 SHAVING OF PART OF SHOULDER BONE AND REPAIR OF LIGAMENT USING AN ENDOSCOPE	$3,559.22	$3,954.69	$132.95–$3,623.00	63% above	10%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 RPR S/N/AX/GEN/TRNK 2.5CM/<	$1,319.08	$1,465.64	$198.72–$2,245.00	305% above	10%
Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SINGLE LESION	$242.94	$269.93	$402.65–$2,245.00	1% above	10%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 REMOVAL OF CANCER SKIN GROWTH OF BODY; ARMS; OR LEGS; 0.5 CM OR LESS	$2,245.27	$2,494.74	$701.40–$2,471.47	511% above	10%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 EXC TR-EXT MAL+MARG 0.5 CM/<	$2,312.62	$2,569.58	$701.40–$2,471.47	530% above	10%
Skin tag removal, up to 15 tags CPT 11200 REMOVAL OF SKIN TAG; 1-15 SKIN TAGS	$92.33	$102.59	$198.72–$2,245.00	35% below	10%
Skin tag removal, up to 15 tags CPT 11200 RMVL SKIN TAGS UP TO&INC 15	$190.20	$211.33	$198.72–$2,245.00	34% above	10%
Spinal tap (lumbar puncture), diagnostic CPT 62270 DX LMBR SPI PNXR	$1,731.07	$1,923.41	$699.17–$2,471.47	186% above	10%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 RPR S/N/AX/GEN/TRNK2.6-7.5CM	$1,319.08	$1,465.64	$198.72–$2,245.00	553% above	10%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SIMPLE REPAIR OF SURFACE WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 2.5 CM OR LESS	$1,280.66	$1,422.95	$198.72–$2,245.00	314% above	10%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 RPR F/E/E/N/L/M 2.5 CM/<	$1,319.08	$1,465.64	$198.72–$2,245.00	326% above	10%
TURP (transurethral resection of the prostate) CPT 52601 REMOVAL OF PROSTATE GLAND USING AN ELECTROCAUTERY KNIFE THROUGH URETHRA WITH CONTROL OF BLEEDING USING AN ENDOSCOPE	$13,690.10	$15,211.22	$5,310.78–$11,249.00	163% above	10%
TURP (transurethral resection of the prostate) CPT 52601 PROSTATECTOMY (TURP)	$14,100.80	$15,667.56	$5,310.78–$11,249.00	171% above	10%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGNTL BX SKIN SINGLE LES	$234.86	$260.96	$402.65–$2,245.00	2% below	10%
Tonsil and adenoid removal, age 12 or older CPT 42821 REMOVE TONSILS AND ADENOIDS	$3,765.58	$4,183.98	$3,283.91–$5,342.00	89% above	10%
Tonsil and adenoid removal, age 12 or older CPT 42821 REMOVAL OF TONSILS AND ADENOID GLANDS (12 YEARS OR OLDER)	$7,311.82	$8,124.24	$3,283.91–$5,342.00	268% above	10%
Tonsil and adenoid removal, child under 12 CPT 42820 REMOVAL OF TONSILS AND ADENOID GLANDS (YOUNGER THAN 12 YEARS)	$2,868.48	$3,187.20	$5,863.50–$11,249.00	51% above	10%
Tonsil and adenoid removal, child under 12 CPT 42820 REMOVE TONSILS AND ADENOIDS	$2,954.54	$3,282.82	$5,863.50–$11,249.00	55% above	10%
Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 REMOVAL OF TONSILS (12 YEARS OR OLDER)	$3,462.35	$3,847.05	$3,283.91–$5,342.00	107% above	10%
Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 REMOVAL OF TONSILS	$3,566.21	$3,962.46	$3,283.91–$5,342.00	113% above	10%
Tonsil removal (tonsillectomy) only, child under 12 CPT 42825 REMOVAL OF TONSILS	$2,954.54	$3,282.82	$5,863.50–$11,249.00	68% above	10%
Total hip replacement CPT 27130 REPLACEMENT OF THIGH BONE AND HIP JOINT WITH PROSTHESIS	$7,273.55	$8,081.72	$12,716.51–$26,174.83	101% above	10%
Total hip replacement CPT 27130 TOTAL HIP ARTHROPLASTY	$7,491.75	$8,324.17	$12,716.51–$26,174.83	107% above	10%
Total hip replacement one side CPT 27130 REPLACEMENT OF THIGH BONE AND HIP JOINT WITH PROSTHESIS	$7,331.96	$8,146.62	$12,716.51–$26,174.83	102% above	10%
Total hip replacement one side CPT 27130 REPLACEMENT OF THIGH BONE AND HIP JOINT WITH PROSTHESIS	$16,112.25	$17,902.50	$12,716.51–$26,174.83	345% above	10%
Total knee replacement CPT 27447 REPLACEMENT OF KNEE JOINT; BOTH SIDES OF KNEE	$7,527.78	$8,364.20	$12,716.51–$26,174.83	20% above	10%
Total knee replacement CPT 27447 TOTAL KNEE ARTHROPLASTY	$7,753.62	$8,615.13	$12,716.51–$26,174.83	24% above	10%
Total knee replacement one side CPT 27447 REPLACEMENT OF KNEE JOINT; BOTH SIDES OF KNEE	$7,556.99	$8,396.65	$12,716.51–$26,174.83	20% above	10%
Total knee replacement one side CPT 27447 REPLACEMENT OF KNEE JOINT; BOTH SIDES OF KNEE	$18,047.50	$20,052.78	$12,716.51–$26,174.83	188% above	10%
Total shoulder replacement CPT 23472 PROSTHETIC REPAIR OF SHOULDER JOINT; TOTAL SHOULDER	$7,673.67	$8,526.30	$16,543.00–$17,366.97	27% above	10%
Total shoulder replacement CPT 23472 RECONSTRUCT SHOULDER JOINT	$7,873.80	$8,748.67	$16,543.00–$17,366.97	30% above	10%
Total shoulder replacement one side CPT 23472 PROSTHETIC REPAIR OF SHOULDER JOINT; TOTAL SHOULDER	$7,644.47	$8,493.85	$16,543.00–$17,366.97	26% above	10%
Total shoulder replacement one side CPT 23472 PROSTHETIC REPAIR OF SHOULDER JOINT; TOTAL SHOULDER	$7,673.67	$8,526.30	$16,543.00–$17,366.97	27% above	10%
Total thyroid removal (thyroidectomy) CPT 60240 REMOVAL OF THYROID	$10,261.10	$11,401.22	$5,988.00–$11,874.00	202% above	10%
Trigger finger release surgery CPT 26055 INCISION OF TENDON COVERING OF FINGER	$6,062.62	$6,736.24	$1,592.69–$5,342.00	303% above	10%
Trigger finger release surgery CPT 26055 INCISE FINGER TENDON SHEATH	$6,244.50	$6,938.33	$1,592.69–$5,342.00	315% above	10%
Trigger finger release surgery one side CPT 26055 INCISION OF TENDON COVERING OF FINGER	$6,062.62	$6,736.24	$1,592.69–$5,342.00	303% above	10%
Trigger finger release surgery one side CPT 26055 INCISION OF TENDON COVERING OF FINGER	$6,062.62	$6,736.24	$1,592.69–$5,342.00	303% above	10%
Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER POINT 1/2 MUSCL	$763.06	$847.84	$304.03–$2,245.00	120% above	10%
Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 LAPAROSCOPY TUBAL CAUTERY	$9,569.99	$10,633.32	$5,988.00–$11,874.00	583% above	10%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BX BREAST 1ST LESION US IMAG	$4,129.84	$4,588.71	$1,635.88–$5,342.00	107% above	10%
Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 BIOPSY OF BREAST AND PLACEMENT OF LOCATING DEVICE USING ULTRASOUND; FIRST GROWTH	$4,009.55	$4,455.06	$1,635.88–$5,342.00	101% above	10%
Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 BIOPSY OF BREAST AND PLACEMENT OF LOCATING DEVICE USING ULTRASOUND; FIRST GROWTH	$4,009.55	$4,455.06	$1,635.88–$5,342.00	101% above	10%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 BALLOON DILATION OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE; LESS THAN 3.0 CM	$2,460.89	$2,734.32	$1,900.65–$5,342.00	7% below	10%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 ESOPH EGD DILATION <30 MM	$2,534.72	$2,816.35	$1,900.65–$5,342.00	5% below	10%
Upper endoscopy (EGD) with biopsy CPT 43239 BIOPSY OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE	$2,460.89	$2,734.32	$898.36–$2,471.47	56% above	10%
Upper endoscopy (EGD) with biopsy CPT 43239 EGD BIOPSY SINGLE/MULTIPLE	$2,534.72	$2,816.35	$898.36–$2,471.47	60% above	10%
Upper endoscopy (EGD) with injection into the lining CPT 43236 INJECTION OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE	$1,325.06	$1,472.29	$898.36–$2,471.47	13% below	10%
Upper endoscopy (EGD) with injection into the lining CPT 43236 UPPR GI SCOPE W/SUBMUC INJ	$1,364.81	$1,516.46	$898.36–$2,471.47	10% below	10%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 REMOVAL OF POLYPS OR GROWTHS OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING AN ENDOSCOPE WITH MECHANICAL SNARE	$1,552.30	$1,724.78	$1,900.65–$5,342.00	30% below	10%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 EGD REMOVE LESION SNARE	$1,598.87	$1,776.52	$1,900.65–$5,342.00	28% below	10%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 INSERTION OF GUIDE WIRE WITH DILATION OF ESOPHAGUS USING A FLEXIBLE ENDOSCOPE	$2,460.89	$2,734.32	$898.36–$2,471.47	33% above	10%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 EGD GUIDE WIRE INSERTION	$2,534.72	$2,816.35	$898.36–$2,471.47	37% above	10%
Upper endoscopy (EGD), diagnostic CPT 43235 DIAGNOSTIC EXAM OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE	$1,325.08	$1,472.31	$898.36–$2,471.47	10% below	10%
Upper endoscopy (EGD), diagnostic CPT 43235 EGD DIAGNOSTIC BRUSH WASH	$1,364.83	$1,516.48	$898.36–$2,471.47	7% below	10%
Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 CRUSHING OF STONE OF URETER USING AN ENDOSCOPE	$8,352.23	$9,280.25	$5,310.78–$11,249.00	187% above	10%
Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 CYSTOURETERO W/LITHOTRIPSY	$8,602.79	$9,558.66	$5,310.78–$11,249.00	196% above	10%
Ureteroscopy with laser stone breaking (lithotripsy) one side CPT 52353 CRUSHING OF STONE OF URETER USING AN ENDOSCOPE	$4,176.12	$4,640.13	$5,310.78–$11,249.00	44% above	10%
Ureteroscopy with laser stone breaking (lithotripsy) one side CPT 52353 CRUSHING OF STONE OF URETER USING AN ENDOSCOPE	$8,352.23	$9,280.25	$5,310.78–$11,249.00	187% above	10%
Ureteroscopy with laser stone breaking and stent placement CPT 52356 CRUSHING OF STONE OF URETER WITH INSERTION OF STENT USING AN ENDOSCOPE	$12,051.59	$13,390.65	$5,310.78–$11,249.00	478% above	10%
Ureteroscopy with laser stone breaking and stent placement CPT 52356 CYSTO/URETERO W/LITHOTRIPSY	$12,413.13	$13,792.37	$5,310.78–$11,249.00	495% above	10%
Ureteroscopy with laser stone breaking and stent placement one side CPT 52356 CRUSHING OF STONE OF URETER WITH INSERTION OF STENT USING AN ENDOSCOPE	$12,051.59	$13,390.65	$5,310.78–$11,249.00	478% above	10%
Ureteroscopy with laser stone breaking and stent placement one side CPT 52356 CRUSHING OF STONE OF URETER WITH INSERTION OF STENT USING AN ENDOSCOPE	$12,051.59	$13,390.65	$5,310.78–$11,249.00	478% above	10%
Vasectomy, one or both sides, including follow-up semen testing CPT 55250 REMOVAL OF SPERM DUCT	$8,842.80	$9,825.33	$2,070.49–$5,342.00	528% above	10%
Vasectomy, one or both sides, including follow-up semen testing CPT 55250 REMOVAL OF SPERM DUCT(S)	$9,108.08	$10,120.09	$2,070.49–$5,342.00	547% above	10%
Vein ablation, radiofrequency, first vein CPT 36475 ENDOVENOUS RF 1ST VEIN	$12,678.39	$14,087.10	$3,127.44–$9,999.00	225% above	10%
Vein ablation, radiofrequency, first vein one side CPT 36475 DESTRUCTION OF FIRST INCOMPETENT VEIN OF ARM OR LEG USING RADIOFREQUENCY AND IMAGING GUIDANCE	$16,864.72	$18,738.58	$3,127.44–$9,999.00	332% above	10%
Wart removal, up to 14 warts CPT 17110 DESTRUCTION OF SKIN GROWTH; 1-14 GROWTHS	$262.55	$291.72	$198.72–$2,245.00	34% above	10%
Wart removal, up to 14 warts CPT 17110 DESTRUCT B9 LESION 1-14	$270.42	$300.47	$198.72–$2,245.00	38% above	10%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 REMOVAL OF SKIN AND TISSUE; 20.0 SQ CM OR LESS	$462.64	$514.04	$402.65–$2,245.00	13% below	10%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DBRDMT SUBQ TIS 1ST 20SQCM/<	$953.03	$1,058.92	$402.65–$2,245.00	79% above	10%
Wrist fracture surgery (plate and screws), distal radius CPT 25607 OPTX DST RD XARTC FX/EPI SEP	$9,430.07	$10,477.86	$7,187.17–$16,543.00	4% above	10%
Wrist fracture surgery (plate and screws), distal radius one side CPT 25607 TREATMENT OF BROKEN FOREARM BONE ON THUMB SIDE OF WRIST; ABOVE WRIST; WITH PLACEMENT OF STABILIZING DEVICE	$9,155.41	$10,172.68	$7,187.17–$16,543.00	1% above	10%
Wrist fracture surgery (plate and screws), distal radius one side CPT 25607 TREATMENT OF BROKEN FOREARM BONE ON THUMB SIDE OF WRIST; ABOVE WRIST; WITH PLACEMENT OF STABILIZING DEVICE	$10,556.47	$11,729.41	$7,187.17–$16,543.00	16% above	10%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Wisconsin	Off list
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION OF BLOOD OR BLOOD PRODUCTS	$1,067.66	$1,186.29	$436.98–$876.20	83% above	10%
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLD/BLD COMPNT	$1,099.69	$1,221.88	$436.98–$876.20	88% above	10%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 INHALATION TREATMENT FOR AIRWAY OBSTRUCTION OR SPUTUM PRODUCTION	$537.99	$597.77	—	—	10%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AIRWAY INHALATION TREATMENT	$554.13	$615.70	—	—	10%
Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV INFUSION 1 HR	$908.71	$1,009.68	$327.16–$876.20	62% above	10%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ROUTINE ELECTROCARDIOGRAM (ECG) USING AT LEAST 12 LEADS WITH TRACING	$110.57	$122.86	$58.43–$876.20	25% below	10%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ELECTROCARDIOGRAM TRACING	$113.90	$126.55	$58.43–$876.20	23% below	10%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INFUSION INIT	$448.76	$498.62	$210.68–$876.20	57% above	10%
IV infusion of a medicine, first hour CPT 96365 INFUSION INTO A VEIN FOR THERAPY; PREVENTION; OR DIAGNOSIS; 1 HOUR OR LESS	$882.24	$980.27	$210.68–$876.20	178% above	10%
IV infusion of a medicine, first hour CPT 96365 THER/PROPH/DIAG IV INF INIT	$908.71	$1,009.68	$210.68–$876.20	186% above	10%
IV push of a medicine, first drug CPT 96374 INJECTION OF DRUG OR SUBSTANCE INTO VEIN	$149.83	$166.48	$210.68–$876.20	9% below	10%
IV push of a medicine, first drug CPT 96374 THER/PROPH/DIAG INJ IV PUSH	$154.32	$171.47	$210.68–$876.20	7% below	10%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PROPH/DIAG INJ SC/IM	$201.92	$224.36	$71.32–$876.20	155% above	10%
Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR REEDUCATION	$134.97	$149.97	$31.84–$194.00	38% above	10%
Occupational therapy evaluation, low complexity CPT 97165 OT EVAL LOW COMPLEX 30 MIN	$156.84	$174.27	$98.26–$194.00	15% below	10%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 BEHAV CHNG SMOKING 3-10 MIN	$110.83	$123.14	—	—	10%
Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITIES	$142.88	$158.75	$34.00–$194.00	59% above	10%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Wisconsin	Off list
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 IIV3 VACC NO PRSV 0.5 ML IM	$41.00	$45.56	$20.15	28% above	10%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 IIV NO PRSV INCREASED AG IM	$41.00	$45.56	$100.62	48% below	10%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PPSV23 VACC 2 YRS+ SUBQ/IM	$41.00	$45.56	—	71% below	10%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADMIN EACH ADD	$20.51	$22.79	—	37% below	10%

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

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

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

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

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

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

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

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

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

Source file: https://apim.services.craneware.com/api-pricing-transparency/api/public/9b6eb97fb433de65f56684ef2ab01f4c/charges/mrf