Ohio County Hospital
Listed in its price file as “Ohio County Hospital Corporation”.
Ohio County Hospital in Hartford, KY publishes cash prices for 365 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are below the Kentucky median for 342 of 360 procedures and above it for 17. By typical cash price it ranks #1 of 80 Kentucky hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.
1211 Old Main Street, Hartford, KY 42347 Collected Sep 27, 2026 Source price file Check a bill from this hospital (270) 298-7411
Critical access hospital (rural, 25 beds or fewer) For-profit hospital Emergency department CMS star rating 2 of 5 CCN 181323 · CMS hospital register NPI 1629007430
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Kentucky | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 CT ABDOMEN W/O + W DYE | $601.50 | $1,203.00 | $100.00–$800.00 | 64% below | 50% |
| Abdominal CT scan without and with contrast CPT 74170 CT ABD W/O + W DYE RENAL MASS | $601.50 | $1,203.00 | $100.00–$800.00 | 64% below | 50% |
| Abdominal CT scan without and with contrast inpatient CPT 74170 CT ABD W/O + W DYE RENAL MASS | $601.50 | $1,203.00 | $100.00–$800.00 | — | 50% |
| Abdominal CT scan without and with contrast inpatient CPT 74170 CT ABDOMEN W/O + W DYE | $601.50 | $1,203.00 | $100.00–$800.00 | — | 50% |
| Abdominal X-ray, 2 views CPT 74019 TC ABDOMEN 2 VIEWS | $142.50 | $285.00 | $88.11–$206.12 | 51% below | 50% |
| Abdominal X-ray, 2 views CPT 74019 ABDOMEN 2 VIEWS | $142.50 | $285.00 | $88.11–$206.12 | 51% below | 50% |
| Abdominal X-ray, 2 views inpatient CPT 74019 TC ABDOMEN 2 VIEWS | $142.50 | $285.00 | $88.11–$206.12 | — | 50% |
| Abdominal X-ray, 2 views inpatient CPT 74019 ABDOMEN 2 VIEWS | $142.50 | $285.00 | $88.11–$206.12 | — | 50% |
| Ankle X-ray, complete, 3 or more views both sides CPT 73610 ANKLE 3 VIEWS BI-LATERAL | $349.00 | $698.00 | $108.57–$339.00 | — | 50% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE MIN 3V LT | $175.00 | $350.00 | $108.57–$339.00 | 45% below | 50% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE MIN 3V RT | $175.00 | $350.00 | $108.57–$339.00 | 45% below | 50% |
| Ankle X-ray, complete, 3 or more views inpatient both sides CPT 73610 ANKLE 3 VIEWS BI-LATERAL | $349.00 | $698.00 | $108.57–$339.00 | — | 50% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 ANKLE MIN 3V LT | $175.00 | $350.00 | $108.57–$339.00 | — | 50% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 ANKLE MIN 3V RT | $175.00 | $350.00 | $108.57–$339.00 | — | 50% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US ABI CARDIOLOGY | $405.50 | $811.00 | $254.52–$573.00 | 13% above | 50% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US ABI 1 LEG OR 1 ARM CARDLGY | $405.50 | $811.00 | $254.52–$573.00 | 13% above | 50% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US ABI UPP OR LOW EXT BIL LIM | $405.50 | $811.00 | $254.52–$573.00 | 13% above | 50% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US ABI 1 LEG OR 1 ARM | $405.50 | $811.00 | $254.52–$573.00 | 13% above | 50% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 US ABI CARDIOLOGY | $405.50 | $811.00 | $254.52–$573.00 | — | 50% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 US ABI 1 LEG OR 1 ARM CARDLGY | $405.50 | $811.00 | $254.52–$573.00 | — | 50% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 US ABI UPP OR LOW EXT BIL LIM | $405.50 | $811.00 | $254.52–$573.00 | — | 50% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 US ABI 1 LEG OR 1 ARM | $405.50 | $811.00 | $254.52–$573.00 | — | 50% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UPPER EXT W/O DYE RT | $601.50 | $1,203.00 | $22.21–$800.00 | 45% below | 50% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UPPER EXT W/O DYE LT | $601.50 | $1,203.00 | $22.21–$800.00 | 45% below | 50% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT UPPER EXT W/O DYE RT | $601.50 | $1,203.00 | $22.21–$800.00 | — | 50% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT UPPER EXT W/O DYE LT | $601.50 | $1,203.00 | $22.21–$800.00 | — | 50% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 ESOPHAGRAM NO FL SCOUT/DELAYS | $270.00 | $540.00 | $167.64–$404.53 | 35% below | 50% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 ESOPHAGRAM W/FL SCOUT/DELAYS | $270.00 | $540.00 | $167.64–$404.53 | 35% below | 50% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 ESOPHAGRAM W/FL SCOUT/DELAYS | $270.00 | $540.00 | $167.64–$404.53 | — | 50% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 ESOPHAGRAM NO FL SCOUT/DELAYS | $270.00 | $540.00 | $167.64–$404.53 | — | 50% |
| Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE/JOINT IMAGE WHOLE BODY | $1,213.50 | $2,427.00 | $930.95 | 9% below | 50% |
| Bone scan, whole body (nuclear medicine) CPT 78306 NM LOCAL INFLAM PROC WHOLE BDY | $1,213.50 | $2,427.00 | $930.95 | 9% below | 50% |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM BONE/JOINT IMAGE WHOLE BODY | $1,213.50 | $2,427.00 | $930.95 | — | 50% |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM LOCAL INFLAM PROC WHOLE BDY | $1,213.50 | $2,427.00 | $930.95 | — | 50% |
| Breast ultrasound, complete, one breast one side CPT 76641 US BREAST UNI RT | $427.00 | $854.00 | $620.69 | 3% above | 50% |
| Breast ultrasound, complete, one breast one side CPT 76641 US BREAST UNI LT | $427.00 | $854.00 | $620.69 | 3% above | 50% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST UNI LT | $427.00 | $854.00 | $620.69 | — | 50% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST UNI RT | $427.00 | $854.00 | $620.69 | — | 50% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST UNI LT - AXILLA LIM | $277.00 | $554.00 | $171.93–$414.56 | 6% below | 50% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST UNI RT - AXILLA LIM | $277.00 | $554.00 | $171.93–$414.56 | 6% below | 50% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST UNI LT - AXILLA LIM | $277.00 | $554.00 | $171.93–$414.56 | — | 50% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST UNI RT - AXILLA LIM | $277.00 | $554.00 | $171.93–$414.56 | — | 50% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA ABD PELV W/ CM INCL W/O CM | $601.50 | $1,203.00 | $373.89–$800.00 | 75% below | 50% |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CTA ABD PELV W/ CM INCL W/O CM | $601.50 | $1,203.00 | $373.89–$800.00 | — | 50% |
| CT angiography (CTA) of the head CPT 70496 CTA HEAD | $601.50 | $1,203.00 | $363.00–$967.46 | 59% below | 50% |
| CT angiography (CTA) of the head inpatient CPT 70496 CTA HEAD | $601.50 | $1,203.00 | $363.00–$967.46 | — | 50% |
| CT angiography (CTA) of the neck CPT 70498 CTA NECK | $601.50 | $1,203.00 | $192.56–$408.45 | 58% below | 50% |
| CT angiography (CTA) of the neck inpatient CPT 70498 CTA NECK | $601.50 | $1,203.00 | $192.56–$408.45 | — | 50% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST (NONCORONARY) | $601.50 | $1,203.00 | $192.56–$800.00 | 60% below | 50% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA CHEST (NONCORONARY) | $601.50 | $1,203.00 | $192.56–$800.00 | — | 50% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD PELVIS W/O (STONE/ROUT) | $601.50 | $1,203.00 | $300.00–$875.25 | 75% below | 50% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABD PELVIS W/O (STONE/ROUT) | $601.50 | $1,203.00 | $300.00–$875.25 | — | 50% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD PELV W/ (APPEND,ROUT,TR | $601.50 | $1,203.00 | $31.91–$1,031.70 | 80% below | 50% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD PELV W/ (APPEND,ROUT,TR | $601.50 | $1,203.00 | $31.91–$1,031.70 | — | 50% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD PELV WO + W (UROGRM PRO | $601.50 | $1,203.00 | $385.11–$800.00 | 80% below | 50% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD PELVIS W/O + W CONTRAST | $601.50 | $1,203.00 | $385.11–$800.00 | 80% below | 50% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABD PELV WO + W (UROGRM PRO | $601.50 | $1,203.00 | $385.11–$800.00 | — | 50% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABD PELVIS W/O + W CONTRAST | $601.50 | $1,203.00 | $385.11–$800.00 | — | 50% |
| CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/DYE | $601.50 | $1,203.00 | $408.45–$800.00 | 62% below | 50% |
| CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN W/DYE | $601.50 | $1,203.00 | $408.45–$800.00 | — | 50% |
| CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O DYE | $601.50 | $1,203.00 | $385.11–$800.00 | 51% below | 50% |
| CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN W/O DYE | $601.50 | $1,203.00 | $385.11–$800.00 | — | 50% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLO FACIAL W/O DYE | $601.50 | $1,203.00 | $363.86–$800.00 | 49% below | 50% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MAXILLO FACIAL W/O DYE | $601.50 | $1,203.00 | $363.86–$800.00 | — | 50% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD/BRAIN W/O DYE STROKE | $601.50 | $1,203.00 | $300.00–$875.25 | 48% below | 50% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD/BRAIN W/O DYE | $601.50 | $1,203.00 | $300.00–$875.25 | 48% below | 50% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD/BRAIN W/O DYE | $601.50 | $1,203.00 | $300.00–$875.25 | — | 50% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD/BRAIN W/O DYE STROKE | $601.50 | $1,203.00 | $300.00–$875.25 | — | 50% |
| CT scan of the head without and with contrast CPT 70470 CT HEAD/BRAIN W/O + W/DYE | $601.50 | $1,203.00 | $373.89–$800.00 | 63% below | 50% |
| CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD/BRAIN W/O + W/DYE | $601.50 | $1,203.00 | $373.89–$800.00 | — | 50% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT L SPINE W/O DYE | $601.50 | $1,203.00 | $192.56–$800.00 | 56% below | 50% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT L SPINE W/O DYE | $601.50 | $1,203.00 | $192.56–$800.00 | — | 50% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT CERV.SPINE W/O DYE | $601.50 | $1,203.00 | $367.91–$875.25 | 56% below | 50% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT CERV.SPINE W/O DYE | $601.50 | $1,203.00 | $367.91–$875.25 | — | 50% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/DYE | $601.50 | $1,203.00 | $373.89–$800.00 | 58% below | 50% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W/DYE | $601.50 | $1,203.00 | $373.89–$800.00 | — | 50% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 US CAROTIDS COMPLETE BILAT | $654.00 | $1,308.00 | $24.15–$979.67 | — | 50% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 US CAROTIDS COMPLETE BILAT | $654.00 | $1,308.00 | $24.15–$979.67 | — | 50% |
| Chest X-ray, 2 views CPT 71046 CHEST 2 VIEW | $142.50 | $285.00 | $91.08–$276.00 | 44% below | 50% |
| Chest X-ray, 2 views CPT 71046 CHEST 2 V OBLIQUES | $142.50 | $285.00 | $91.08–$276.00 | 44% below | 50% |
| Chest X-ray, 2 views CPT 71046 TC CHEST 2 VIEW | $142.50 | $285.00 | $91.08–$276.00 | 44% below | 50% |
| Chest X-ray, 2 views inpatient CPT 71046 TC CHEST 2 VIEW | $142.50 | $285.00 | $91.08–$276.00 | — | 50% |
| Chest X-ray, 2 views inpatient CPT 71046 CHEST 2 V OBLIQUES | $142.50 | $285.00 | $91.08–$276.00 | — | 50% |
| Chest X-ray, 2 views inpatient CPT 71046 CHEST 2 VIEW | $142.50 | $285.00 | $91.08–$276.00 | — | 50% |
| Chest X-ray, single view CPT 71045 CHEST LORD OR DECUB 1 VIEW | $126.00 | $252.00 | $80.52–$239.12 | 36% below | 50% |
| Chest X-ray, single view CPT 71045 CHEST LAT DEC (1V) | $126.00 | $252.00 | $80.52–$239.12 | 36% below | 50% |
| Chest X-ray, single view CPT 71045 CHEST 1 VIEW | $126.00 | $252.00 | $80.52–$239.12 | 36% below | 50% |
| Chest X-ray, single view inpatient CPT 71045 CHEST 1 VIEW | $126.00 | $252.00 | $80.52–$239.12 | — | 50% |
| Chest X-ray, single view inpatient CPT 71045 CHEST LORD OR DECUB 1 VIEW | $126.00 | $252.00 | $80.52–$239.12 | — | 50% |
| Chest X-ray, single view inpatient CPT 71045 CHEST LAT DEC (1V) | $126.00 | $252.00 | $80.52–$239.12 | — | 50% |
| Collarbone (clavicle) X-ray, complete both sides CPT 73000 CLAVICLE BI-LATERAL | $250.50 | $501.00 | $77.88–$218.05 | — | 50% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 CLAVICLE-LT | $126.00 | $252.00 | $77.88–$218.05 | 51% below | 50% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 CLAVICLE-RT | $126.00 | $252.00 | $77.88–$218.05 | 51% below | 50% |
| Collarbone (clavicle) X-ray, complete inpatient both sides CPT 73000 CLAVICLE BI-LATERAL | $250.50 | $501.00 | $77.88–$218.05 | — | 50% |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 CLAVICLE-LT | $126.00 | $252.00 | $77.88–$218.05 | — | 50% |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 CLAVICLE-RT | $126.00 | $252.00 | $77.88–$218.05 | — | 50% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RENAL | $427.00 | $854.00 | $15.76–$639.99 | 27% below | 50% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RENAL | $427.00 | $854.00 | $15.76–$639.99 | — | 50% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA (BONE DENSITY) | $308.50 | $617.00 | $21.72–$462.43 | 4% above | 50% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 DXA (BONE DENSITY) | $308.50 | $617.00 | $21.72–$462.43 | — | 50% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX DIAG. W/O DYE | $601.50 | $1,203.00 | $300.00–$1,167.00 | 44% below | 50% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX DIAG-ABD-PELV WO DYE | $601.50 | $1,203.00 | $300.00–$1,167.00 | 44% below | 50% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT THORAX DIAG. W/O DYE | $601.50 | $1,203.00 | $300.00–$1,167.00 | — | 50% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT THORAX DIAG-ABD-PELV WO DYE | $601.50 | $1,203.00 | $300.00–$1,167.00 | — | 50% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT THORAX DIAG. W/DYE | $601.50 | $1,203.00 | $115.95–$800.00 | 57% below | 50% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT THORAX- ABD-PELV W/ (ROUT) | $601.50 | $1,203.00 | $115.95–$800.00 | 57% below | 50% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT THORAX DIAG. W/DYE | $601.50 | $1,203.00 | $115.95–$800.00 | — | 50% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT THORAX- ABD-PELV W/ (ROUT) | $601.50 | $1,203.00 | $115.95–$800.00 | — | 50% |
| Diagnostic mammogram, both breasts both sides CPT 77066 DIG MAMMO DIAGNOSTIC BILATERAL | $243.50 | $487.00 | $151.14–$403.02 | — | 50% |
| Diagnostic mammogram, both breasts both sides CPT 77066 DIG IMPLANTS BILATERAL DIAG | $243.50 | $487.00 | $151.14–$403.02 | — | 50% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 DIG IMPLANTS BILATERAL DIAG | $243.50 | $487.00 | $151.14–$403.02 | — | 50% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 DIG MAMMO DIAGNOSTIC BILATERAL | $243.50 | $487.00 | $151.14–$403.02 | — | 50% |
| Diagnostic mammogram, one breast CPT 77065 DIG MAMMO DIAGNOSTIC UNILATER | $170.50 | $341.00 | $19.38–$331.00 | 26% below | 50% |
| Diagnostic mammogram, one breast inpatient CPT 77065 DIG MAMMO DIAGNOSTIC UNILATER | $170.50 | $341.00 | $19.38–$331.00 | — | 50% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US DUPLEX LOW EXT ART BI-LAT | $745.00 | $1,490.00 | $469.55–$506.10 | — | 50% |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 US DUPLEX LOW EXT ART BI-LAT | $745.00 | $1,490.00 | $469.55–$506.10 | — | 50% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US DUPLEX VENOUS BI-LAT | $755.00 | $1,510.00 | $27.89–$996.00 | — | 50% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US DUPLEX VENOUS BI-LAT | $755.00 | $1,510.00 | $27.89–$996.00 | — | 50% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 US COMPLETE TTE WITH CONTRAST | $1,046.50 | $2,093.00 | $57.84–$2,346.88 | 37% below | 50% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 US ECHO COMPLETE CONTR IF IND | $1,566.00 | $3,132.00 | $57.84–$2,346.88 | 6% below | 50% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 US ECHO COMPLETE W SALINE | $1,566.00 | $3,132.00 | $57.84–$2,346.88 | 6% below | 50% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHOCARDIOGRAPHY- GLOBAL | $1,571.00 | $3,142.00 | $57.84–$2,346.88 | 6% below | 50% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 US COMPLETE TTE WITH CONTRAST | $1,046.50 | $2,093.00 | $57.84–$2,346.88 | — | 50% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 US ECHO COMPLETE W SALINE | $1,566.00 | $3,132.00 | $57.84–$2,346.88 | — | 50% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 US ECHO COMPLETE CONTR IF IND | $1,566.00 | $3,132.00 | $57.84–$2,346.88 | — | 50% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 ECHOCARDIOGRAPHY- GLOBAL | $1,571.00 | $3,142.00 | $57.84–$2,346.88 | — | 50% |
| Elbow X-ray, 2 views both sides CPT 73070 ELBOW 2 VIEWS BILATERAL | $283.00 | $566.00 | $5.24–$213.07 | — | 50% |
| Elbow X-ray, 2 views one side CPT 73070 ELBOW 2 VIEWS LT | $142.50 | $285.00 | $5.24–$213.07 | 41% below | 50% |
| Elbow X-ray, 2 views one side CPT 73070 ELBOW 2 VIEWS RT | $142.50 | $285.00 | $5.24–$213.07 | 41% below | 50% |
| Elbow X-ray, 2 views inpatient both sides CPT 73070 ELBOW 2 VIEWS BILATERAL | $283.00 | $566.00 | $5.24–$213.07 | — | 50% |
| Elbow X-ray, 2 views inpatient one side CPT 73070 ELBOW 2 VIEWS LT | $142.50 | $285.00 | $5.24–$213.07 | — | 50% |
| Elbow X-ray, 2 views inpatient one side CPT 73070 ELBOW 2 VIEWS RT | $142.50 | $285.00 | $5.24–$213.07 | — | 50% |
| Elbow X-ray, complete, 3 or more views both sides CPT 73080 ELBOW MIN 3 VIEWS BILATERAL | $316.00 | $632.00 | $98.34–$237.00 | — | 50% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 ELBOW MIN 3 VIEWS LT | $158.50 | $317.00 | $98.34–$237.00 | 52% below | 50% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 ELBOW MIN 3 VIEWS RT | $158.50 | $317.00 | $98.34–$237.00 | 52% below | 50% |
| Elbow X-ray, complete, 3 or more views inpatient both sides CPT 73080 ELBOW MIN 3 VIEWS BILATERAL | $316.00 | $632.00 | $98.34–$237.00 | — | 50% |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 ELBOW MIN 3 VIEWS LT | $158.50 | $317.00 | $98.34–$237.00 | — | 50% |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 ELBOW MIN 3 VIEWS RT | $158.50 | $317.00 | $98.34–$237.00 | — | 50% |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT ORBIT/EAR/FOSSA W/O DYE | $601.50 | $1,203.00 | $300.00–$800.00 | 46% below | 50% |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT ORBIT/EAR/FOSSA W/O DYE | $601.50 | $1,203.00 | $300.00–$800.00 | — | 50% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 FACIAL BONE MIN 3 VIEW | $175.00 | $350.00 | $111.87–$118.65 | 52% below | 50% |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 FACIAL BONE MIN 3 VIEW | $175.00 | $350.00 | $111.87–$118.65 | — | 50% |
| Forearm X-ray (radius and ulna), 2 views both sides CPT 73090 FOREARM 2 VIEW BILATERAL | $283.00 | $566.00 | $91.08–$213.07 | — | 50% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 FOREARM 2VIEW RT | $142.50 | $285.00 | $91.08–$213.07 | 50% below | 50% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 FOREARM 2VIEW LT | $142.50 | $285.00 | $91.08–$213.07 | 50% below | 50% |
| Forearm X-ray (radius and ulna), 2 views inpatient both sides CPT 73090 FOREARM 2 VIEW BILATERAL | $283.00 | $566.00 | $91.08–$213.07 | — | 50% |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 FOREARM 2VIEW RT | $142.50 | $285.00 | $91.08–$213.07 | — | 50% |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 FOREARM 2VIEW LT | $142.50 | $285.00 | $91.08–$213.07 | — | 50% |
| Hand X-ray, 2 views both sides CPT 73120 HAND 2 VIEW BILATERAL | $283.00 | $566.00 | $88.11–$213.07 | — | 50% |
| Hand X-ray, 2 views one side CPT 73120 HAND 2VIEW RT | $142.50 | $285.00 | $88.11–$213.07 | 36% below | 50% |
| Hand X-ray, 2 views one side CPT 73120 HAND 2VIEW LT | $142.50 | $285.00 | $88.11–$213.07 | 36% below | 50% |
| Hand X-ray, 2 views inpatient both sides CPT 73120 HAND 2 VIEW BILATERAL | $283.00 | $566.00 | $88.11–$213.07 | — | 50% |
| Hand X-ray, 2 views inpatient one side CPT 73120 HAND 2VIEW RT | $142.50 | $285.00 | $88.11–$213.07 | — | 50% |
| Hand X-ray, 2 views inpatient one side CPT 73120 HAND 2VIEW LT | $142.50 | $285.00 | $88.11–$213.07 | — | 50% |
| Heel bone (calcaneus) X-ray, 2 or more views both sides CPT 73650 CALCANEUS MIN 2 V BI-LATERAL | $283.00 | $566.00 | $73.50–$96.60 | — | 50% |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 CALCANEUS MIN 2VIEW LT | $142.50 | $285.00 | $73.50–$96.60 | 43% below | 50% |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 CALCANEUS MIN 2VIEW RT | $142.50 | $285.00 | $73.50–$96.60 | 43% below | 50% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient both sides CPT 73650 CALCANEUS MIN 2 V BI-LATERAL | $283.00 | $566.00 | $73.50–$96.60 | — | 50% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 CALCANEUS MIN 2VIEW RT | $142.50 | $285.00 | $73.50–$96.60 | — | 50% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 CALCANEUS MIN 2VIEW LT | $142.50 | $285.00 | $73.50–$96.60 | — | 50% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLEEP STUDY UNATTENDED HOME | $716.50 | $1,433.00 | $285.00–$1,073.85 | 60% above | 50% |
| Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 SLEEP STUDY UNATTENDED HOME | $716.50 | $1,433.00 | $285.00–$1,073.85 | — | 50% |
| Knee X-ray, 3 views both sides CPT 73562 KNEE 3 VIEW BI-LATERAL | $316.00 | $632.00 | $17.23–$237.00 | — | 50% |
| Knee X-ray, 3 views one side CPT 73562 KNEE 3 VIEWS RT | $158.50 | $317.00 | $17.23–$237.00 | 50% below | 50% |
| Knee X-ray, 3 views one side CPT 73562 KNEE 3 VIEWS LT | $158.50 | $317.00 | $17.23–$237.00 | 50% below | 50% |
| Knee X-ray, 3 views inpatient both sides CPT 73562 KNEE 3 VIEW BI-LATERAL | $316.00 | $632.00 | $17.23–$237.00 | — | 50% |
| Knee X-ray, 3 views inpatient one side CPT 73562 KNEE 3 VIEWS RT | $158.50 | $317.00 | $17.23–$237.00 | — | 50% |
| Knee X-ray, 3 views inpatient one side CPT 73562 KNEE 3 VIEWS LT | $158.50 | $317.00 | $17.23–$237.00 | — | 50% |
| Knee X-ray, complete, 4 or more views both sides CPT 73564 KNEE 4 V BILAT | $381.50 | $763.00 | $62.46–$286.42 | — | 50% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 KNEE LT COMPLETE 4 + VIEWS | $191.50 | $383.00 | $62.46–$286.42 | 48% below | 50% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 KNEE RT COMPLETE 4 + VIEWS | $191.50 | $383.00 | $62.46–$286.42 | 48% below | 50% |
| Knee X-ray, complete, 4 or more views inpatient both sides CPT 73564 KNEE 4 V BILAT | $381.50 | $763.00 | $62.46–$286.42 | — | 50% |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 KNEE RT COMPLETE 4 + VIEWS | $191.50 | $383.00 | $62.46–$286.42 | — | 50% |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 KNEE LT COMPLETE 4 + VIEWS | $191.50 | $383.00 | $62.46–$286.42 | — | 50% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOWER EXT W/O DYE LT | $601.50 | $1,203.00 | $385.11–$1,167.00 | 50% below | 50% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOWER EXT W/O DYE RT | $601.50 | $1,203.00 | $385.11–$1,167.00 | 50% below | 50% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT LOWER EXT W/O DYE LT | $601.50 | $1,203.00 | $385.11–$1,167.00 | — | 50% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT LOWER EXT W/O DYE RT | $601.50 | $1,203.00 | $385.11–$1,167.00 | — | 50% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US SPLEEN | $427.00 | $854.00 | $15.76–$639.99 | 23% below | 50% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US LIVER | $427.00 | $854.00 | $15.76–$639.99 | 23% below | 50% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US PANCREAS | $427.00 | $854.00 | $15.76–$639.99 | 23% below | 50% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US GALL BLADDER | $427.00 | $854.00 | $15.76–$639.99 | 23% below | 50% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABD LIMTD QUAD F/U SING ORG | $427.00 | $854.00 | $15.76–$639.99 | 23% below | 50% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US RUQ | $427.00 | $854.00 | $15.76–$639.99 | 23% below | 50% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US LIVER | $427.00 | $854.00 | $15.76–$639.99 | — | 50% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US SPLEEN | $427.00 | $854.00 | $15.76–$639.99 | — | 50% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABD LIMTD QUAD F/U SING ORG | $427.00 | $854.00 | $15.76–$639.99 | — | 50% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US RUQ | $427.00 | $854.00 | $15.76–$639.99 | — | 50% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US PANCREAS | $427.00 | $854.00 | $15.76–$639.99 | — | 50% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US GALL BLADDER | $427.00 | $854.00 | $15.76–$639.99 | — | 50% |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US EXT or JT. NON VAS RT (LIM) | $427.00 | $854.00 | $125.00–$639.99 | 65% above | 50% |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US EXT or JT. NON VAS LT (LIM) | $427.00 | $854.00 | $125.00–$639.99 | 65% above | 50% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US EXT or JT. NON VAS LT (LIM) | $427.00 | $854.00 | $125.00–$639.99 | — | 50% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US EXT or JT. NON VAS RT (LIM) | $427.00 | $854.00 | $125.00–$639.99 | — | 50% |
| Lower leg X-ray (tibia and fibula), 2 views both sides CPT 73590 LEG 2 V BI-LATERAL | $283.00 | $566.00 | $91.08–$213.07 | — | 50% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 LEG 2VIEW RT | $142.50 | $285.00 | $91.08–$213.07 | 53% below | 50% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 LEG 2VIEW LT | $142.50 | $285.00 | $91.08–$213.07 | 53% below | 50% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient both sides CPT 73590 LEG 2 V BI-LATERAL | $283.00 | $566.00 | $91.08–$213.07 | — | 50% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 LEG 2VIEW RT | $142.50 | $285.00 | $91.08–$213.07 | — | 50% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 LEG 2VIEW LT | $142.50 | $285.00 | $91.08–$213.07 | — | 50% |
| MR angiography (MRA) of the head without contrast CPT 70544 MRA HEAD W/O CM | $656.50 | $1,313.00 | $445.90–$1,000.00 | 57% below | 50% |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA HEAD W/O CM | $656.50 | $1,313.00 | $445.90–$1,000.00 | — | 50% |
| MRI of both breasts, without and then with contrast dye CPT 77049 MRI BREAST W/O & W/BIL | $820.00 | $1,640.00 | $750.00–$1,000.00 | 75% above | 50% |
| MRI of both breasts, without and then with contrast dye inpatient CPT 77049 MRI BREAST W/O & W/BIL | $820.00 | $1,640.00 | $750.00–$1,000.00 | — | 50% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LOW EXT JT LT ANKLE W/O CM | $656.50 | $1,313.00 | $24.23–$1,236.00 | 57% below | 50% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LOW EXT JT RT ANKLE W/O CM | $656.50 | $1,313.00 | $24.23–$1,236.00 | 57% below | 50% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LOW EXT JT LT FOOT W/O CM | $656.50 | $1,313.00 | $24.23–$1,236.00 | 57% below | 50% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LOW EXT JT RT FOOT W/O CM | $656.50 | $1,313.00 | $24.23–$1,236.00 | 57% below | 50% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LOW EXT JT LT HIP W/O CM | $656.50 | $1,313.00 | $24.23–$1,236.00 | 57% below | 50% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LOW EXT JT RT HIP W/O CM | $656.50 | $1,313.00 | $24.23–$1,236.00 | 57% below | 50% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LOW EXT JT LT KNEE W/O CM | $656.50 | $1,313.00 | $24.23–$1,236.00 | 57% below | 50% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LOW EXT JT RT KNEE W/O CM | $656.50 | $1,313.00 | $24.23–$1,236.00 | 57% below | 50% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LOW EXT JT LT TOE W/O CM | $656.50 | $1,313.00 | $24.23–$1,236.00 | 57% below | 50% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LOW EXT JT RT TOE W/O CM | $656.50 | $1,313.00 | $24.23–$1,236.00 | 57% below | 50% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI RT KNEE WO CM OTIS MED | $656.50 | $1,313.00 | $24.23–$1,236.00 | 57% below | 50% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LT KNEE WO CM OTIS MED | $656.50 | $1,313.00 | $24.23–$1,236.00 | 57% below | 50% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI LOW EXT JT RT FOOT W/O CM | $656.50 | $1,313.00 | $24.23–$1,236.00 | — | 50% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI LOW EXT JT RT TOE W/O CM | $656.50 | $1,313.00 | $24.23–$1,236.00 | — | 50% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI LOW EXT JT LT FOOT W/O CM | $656.50 | $1,313.00 | $24.23–$1,236.00 | — | 50% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI RT KNEE WO CM OTIS MED | $656.50 | $1,313.00 | $24.23–$1,236.00 | — | 50% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI LOW EXT JT RT ANKLE W/O CM | $656.50 | $1,313.00 | $24.23–$1,236.00 | — | 50% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI LT KNEE WO CM OTIS MED | $656.50 | $1,313.00 | $24.23–$1,236.00 | — | 50% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI LOW EXT JT LT KNEE W/O CM | $656.50 | $1,313.00 | $24.23–$1,236.00 | — | 50% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI LOW EXT JT RT HIP W/O CM | $656.50 | $1,313.00 | $24.23–$1,236.00 | — | 50% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI LOW EXT JT LT HIP W/O CM | $656.50 | $1,313.00 | $24.23–$1,236.00 | — | 50% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI LOW EXT JT LT TOE W/O CM | $656.50 | $1,313.00 | $24.23–$1,236.00 | — | 50% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI LOW EXT JT RT KNEE W/O CM | $656.50 | $1,313.00 | $24.23–$1,236.00 | — | 50% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI LOW EXT JT LT ANKLE W/O CM | $656.50 | $1,313.00 | $24.23–$1,236.00 | — | 50% |
| MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O C.M. | $656.50 | $1,313.00 | $437.34 | 60% below | 50% |
| MRI of the abdomen without contrast inpatient CPT 74181 MRI ABDOMEN W/O C.M. | $656.50 | $1,313.00 | $437.34 | — | 50% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN WITH & W/O CM | $656.50 | $1,313.00 | $305.50–$1,052.00 | 70% below | 50% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ABDOMEN WITH & W/O CM | $656.50 | $1,313.00 | $305.50–$1,052.00 | — | 50% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN W/O C M | $656.50 | $1,313.00 | $300.00–$1,000.00 | 63% below | 50% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN W/O C M | $656.50 | $1,313.00 | $300.00–$1,000.00 | — | 50% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN WITH & W/O C M | $656.50 | $1,313.00 | $25.00–$1,052.00 | 74% below | 50% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN ATTN TO IAC W&W/O CM | $656.50 | $1,313.00 | $25.00–$1,052.00 | 74% below | 50% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN WITH & W/O C M | $656.50 | $1,313.00 | $25.00–$1,052.00 | — | 50% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN ATTN TO IAC W&W/O CM | $656.50 | $1,313.00 | $25.00–$1,052.00 | — | 50% |
| MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR SPINE W/O CM | $656.50 | $1,313.00 | $24.23–$1,052.00 | 61% below | 50% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI LUMBAR SPINE W/O CM | $656.50 | $1,313.00 | $24.23–$1,052.00 | — | 50% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI LUMBAR SPINE WITH & W/O CM | $656.50 | $1,313.00 | $302.90–$1,000.00 | 71% below | 50% |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI LUMBAR SPINE WITH & W/O CM | $656.50 | $1,313.00 | $302.90–$1,000.00 | — | 50% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI THORACIC SPINE W/O CM | $656.50 | $1,313.00 | $233.88–$1,000.00 | 65% below | 50% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI THORACIC SPINE W/O CM | $656.50 | $1,313.00 | $233.88–$1,000.00 | — | 50% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI CERVICAL SPINE W & W/O CM | $656.50 | $1,313.00 | $420.42–$880.00 | 71% below | 50% |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI CERVICAL SPINE W & W/O CM | $656.50 | $1,313.00 | $420.42–$880.00 | — | 50% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI CERVICAL SPINE W/O CM | $656.50 | $1,313.00 | $300.00–$1,052.00 | 60% below | 50% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI CERVICAL SPINE W/O CM | $656.50 | $1,313.00 | $300.00–$1,052.00 | — | 50% |
| MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS WITH & W/O CM | $656.50 | $1,313.00 | $445.90–$1,000.00 | 71% below | 50% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS WITH & W/O CM | $656.50 | $1,313.00 | $445.90–$1,000.00 | — | 50% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS WITHOUT CM | $656.50 | $1,313.00 | $1,000.00 | 60% below | 50% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PELVIS WITHOUT CM | $656.50 | $1,313.00 | $1,000.00 | — | 50% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI UP EXT JT SHOULDER BIL W/O | $1,312.50 | $2,625.00 | $300.00–$1,052.00 | 24% below | 50% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UP EXT JT LT ELBOW W/O CM | $656.50 | $1,313.00 | $300.00–$1,052.00 | 62% below | 50% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UP EXT JT LT SHOULDER W/O | $656.50 | $1,313.00 | $300.00–$1,052.00 | 62% below | 50% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UP EXT JT RT SHOULDER W/O | $656.50 | $1,313.00 | $300.00–$1,052.00 | 62% below | 50% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UP EXT JT LT FINGER W/O CM | $656.50 | $1,313.00 | $300.00–$1,052.00 | 62% below | 50% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UP EXT JT LT WRIST W/O CM | $656.50 | $1,313.00 | $300.00–$1,052.00 | 62% below | 50% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UP EXT JT RT WRIST W/O CM | $656.50 | $1,313.00 | $300.00–$1,052.00 | 62% below | 50% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UP EXT JT RT ELBOW W/O CM | $656.50 | $1,313.00 | $300.00–$1,052.00 | 62% below | 50% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UP EXT JT RT FINGER W/O CM | $656.50 | $1,313.00 | $300.00–$1,052.00 | 62% below | 50% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MRI UP EXT JT SHOULDER BIL W/O | $1,312.50 | $2,625.00 | $300.00–$1,052.00 | — | 50% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI UP EXT JT RT FINGER W/O CM | $656.50 | $1,313.00 | $300.00–$1,052.00 | — | 50% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI UP EXT JT LT ELBOW W/O CM | $656.50 | $1,313.00 | $300.00–$1,052.00 | — | 50% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI UP EXT JT RT ELBOW W/O CM | $656.50 | $1,313.00 | $300.00–$1,052.00 | — | 50% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI UP EXT JT LT FINGER W/O CM | $656.50 | $1,313.00 | $300.00–$1,052.00 | — | 50% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI UP EXT JT LT SHOULDER W/O | $656.50 | $1,313.00 | $300.00–$1,052.00 | — | 50% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI UP EXT JT RT SHOULDER W/O | $656.50 | $1,313.00 | $300.00–$1,052.00 | — | 50% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI UP EXT JT LT WRIST W/O CM | $656.50 | $1,313.00 | $300.00–$1,052.00 | — | 50% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI UP EXT JT RT WRIST W/O CM | $656.50 | $1,313.00 | $300.00–$1,052.00 | — | 50% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 SPINE CERV 4 OR 5 VIEWS | $264.00 | $528.00 | $125.00–$395.26 | 40% below | 50% |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 SPINE CERV 4 OR 5 VIEWS | $264.00 | $528.00 | $125.00–$395.26 | — | 50% |
| Neck soft tissue CT scan with contrast CPT 70491 CT S/TISSUE NECK W/DYE | $601.50 | $1,203.00 | $115.95–$800.00 | 55% below | 50% |
| Neck soft tissue CT scan with contrast inpatient CPT 70491 CT S/TISSUE NECK W/DYE | $601.50 | $1,203.00 | $115.95–$800.00 | — | 50% |
| Neck soft tissue CT scan without contrast CPT 70490 CT S/TISSUE NECK W/O DYE | $601.50 | $1,203.00 | $373.89–$800.00 | 50% below | 50% |
| Neck soft tissue CT scan without contrast inpatient CPT 70490 CT S/TISSUE NECK W/O DYE | $601.50 | $1,203.00 | $373.89–$800.00 | — | 50% |
| Neck soft tissue X-ray CPT 70360 NECK SOFT TISSUE | $126.00 | $252.00 | $77.88–$188.37 | 50% below | 50% |
| Neck soft tissue X-ray inpatient CPT 70360 NECK SOFT TISSUE | $126.00 | $252.00 | $77.88–$188.37 | — | 50% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM CARD SPECT S AND/OR R MULTI | $2,570.00 | $5,140.00 | $42.45–$3,852.28 | 4% below | 50% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM CARD SPECT S AND/OR R MULTI | $2,570.00 | $5,140.00 | $42.45–$3,852.28 | — | 50% |
| Pelvic CT scan without contrast CPT 72192 CT PELVIS W/O DYE | $601.50 | $1,203.00 | $385.11–$408.45 | 47% below | 50% |
| Pelvic CT scan without contrast inpatient CPT 72192 CT PELVIS W/O DYE | $601.50 | $1,203.00 | $385.11–$408.45 | — | 50% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC LIM OR F/U NON OB | $427.00 | $854.00 | $273.57–$639.99 | 10% above | 50% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIS LIM OR F/U NON OB | $427.00 | $854.00 | $273.57–$639.99 | 10% above | 50% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PELVIC LIM OR F/U NON OB | $427.00 | $854.00 | $273.57–$639.99 | — | 50% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PELVIS LIM OR F/U NON OB | $427.00 | $854.00 | $273.57–$639.99 | — | 50% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC SCAN NON OB COMPLETE | $534.00 | $1,068.00 | $209.00–$799.79 | 27% below | 50% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIS W/ TRANS VAG NON OB | $534.00 | $1,068.00 | $209.00–$799.79 | 27% below | 50% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIC SCAN NON OB COMPLETE | $534.00 | $1,068.00 | $209.00–$799.79 | — | 50% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIS W/ TRANS VAG NON OB | $534.00 | $1,068.00 | $209.00–$799.79 | — | 50% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB > 14 WKS | $427.00 | $854.00 | $209.00–$620.69 | 8% below | 50% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB > 14 WKS | $427.00 | $854.00 | $209.00–$620.69 | — | 50% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB < 14 WKS | $375.00 | $750.00 | $545.04 | 37% below | 50% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB < 14 WKS | $375.00 | $750.00 | $545.04 | 37% below | 50% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US OB < 14 WKS | $375.00 | $750.00 | $545.04 | — | 50% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US OB < 14 WKS | $375.00 | $750.00 | $545.04 | — | 50% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US LIMITED OB | $427.00 | $854.00 | $265.32–$620.69 | 20% below | 50% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US LIMITED OB | $427.00 | $854.00 | $265.32–$620.69 | — | 50% |
| Rib X-ray, one side, 2 views one side CPT 71100 RIBS 2V UNI WO PA CXR LT | $142.50 | $285.00 | $88.11–$213.07 | 53% below | 50% |
| Rib X-ray, one side, 2 views one side CPT 71100 RIBS 2V UNI WO PA CXR RT | $142.50 | $285.00 | $88.11–$213.07 | 53% below | 50% |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 RIBS 2V UNI WO PA CXR LT | $142.50 | $285.00 | $88.11–$213.07 | — | 50% |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 RIBS 2V UNI WO PA CXR RT | $142.50 | $285.00 | $88.11–$213.07 | — | 50% |
| Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 RIBS UNI MIN 3V W/PACXR L | $158.50 | $317.00 | $101.31–$289.16 | 54% below | 50% |
| Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 RIBS UNI MIN 3V W/PACXR R | $158.50 | $317.00 | $101.31–$289.16 | 54% below | 50% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient CPT 71101 RIBS UNI MIN 3V W/PACXR R | $158.50 | $317.00 | $101.31–$289.16 | — | 50% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient CPT 71101 RIBS UNI MIN 3V W/PACXR L | $158.50 | $317.00 | $101.31–$289.16 | — | 50% |
| Screening mammogram, both breasts both sides CPT 77067 DIG IMPLANTS BILATERAL SCREEN | $196.50 | $393.00 | $26.85–$294.14 | — | 50% |
| Screening mammogram, both breasts both sides CPT 77067 DIG MAMMO SCREEN BILATERAL | $196.50 | $393.00 | $26.85–$294.14 | — | 50% |
| Screening mammogram, both breasts one side CPT 77067 DIG MAMMO SCRN(BIL LTD)UNILAT | $196.50 | $393.00 | $26.85–$294.14 | 27% above | 50% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 DIG MAMMO SCREEN BILATERAL | $196.50 | $393.00 | $26.85–$294.14 | — | 50% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 DIG IMPLANTS BILATERAL SCREEN | $196.50 | $393.00 | $26.85–$294.14 | — | 50% |
| Screening mammogram, both breasts inpatient one side CPT 77067 DIG MAMMO SCRN(BIL LTD)UNILAT | $196.50 | $393.00 | $26.85–$294.14 | — | 50% |
| Shoulder X-ray, complete, 2 or more views both sides CPT 73030 SHOULDER MIN 2V BILAT | $283.00 | $566.00 | $46.33–$272.98 | — | 50% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER MIN 2 VIEW LT | $142.50 | $285.00 | $46.33–$272.98 | 52% below | 50% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER MIN 2VIEW RT | $142.50 | $285.00 | $46.33–$272.98 | 52% below | 50% |
| Shoulder X-ray, complete, 2 or more views inpatient both sides CPT 73030 SHOULDER MIN 2V BILAT | $283.00 | $566.00 | $46.33–$272.98 | — | 50% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 SHOULDER MIN 2VIEW RT | $142.50 | $285.00 | $46.33–$272.98 | — | 50% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 SHOULDER MIN 2 VIEW LT | $142.50 | $285.00 | $46.33–$272.98 | — | 50% |
| Sinus X-ray, complete, 3 or more views CPT 70220 SINUSES MIN 3 VIEW | $158.50 | $317.00 | $98.34 | 58% below | 50% |
| Sinus X-ray, complete, 3 or more views inpatient CPT 70220 SINUSES MIN 3 VIEW | $158.50 | $317.00 | $98.34 | — | 50% |
| Sleep study in a lab (polysomnography) CPT 95810 PSG 4 OR MORE ADDL PARAM 6> | $2,147.50 | $4,295.00 | $79.32–$4,047.00 | 18% below | 50% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 PSG 4 OR MORE ADDL PARAM 6> | $2,147.50 | $4,295.00 | $79.32–$4,047.00 | — | 50% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 SWALL FUNC VD/SP INC SCOUT DEL | $270.00 | $540.00 | $21.52–$381.00 | 39% below | 50% |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 SWALL FUNC VD/SP INC SCOUT DEL | $270.00 | $540.00 | $21.52–$381.00 | — | 50% |
| Thigh bone (femur) X-ray, 2 or more views both sides CPT 73552 XR FEMUR BI 2V | $283.00 | $566.00 | $35.24–$213.07 | — | 50% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 FEMUR 2VIEW RT | $142.50 | $285.00 | $35.24–$213.07 | 52% below | 50% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 FEMUR 2VIEW LT | $142.50 | $285.00 | $35.24–$213.07 | 52% below | 50% |
| Thigh bone (femur) X-ray, 2 or more views inpatient both sides CPT 73552 XR FEMUR BI 2V | $283.00 | $566.00 | $35.24–$213.07 | — | 50% |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 FEMUR 2VIEW RT | $142.50 | $285.00 | $35.24–$213.07 | — | 50% |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 FEMUR 2VIEW LT | $142.50 | $285.00 | $35.24–$213.07 | — | 50% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 CT THOR.SPINE W/O DYE | $601.50 | $1,203.00 | $105.65–$573.79 | 52% below | 50% |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT THOR.SPINE W/O DYE | $601.50 | $1,203.00 | $105.65–$573.79 | — | 50% |
| Toe X-ray, 2 or more views both sides CPT 73660 XR TOE BI MIN 2V | $283.00 | $566.00 | $88.11–$213.07 | — | 50% |
| Toe X-ray, 2 or more views one side CPT 73660 TOE LT MIN 2 VIEW | $142.50 | $285.00 | $88.11–$213.07 | 25% below | 50% |
| Toe X-ray, 2 or more views one side CPT 73660 TOE RT MIN 2 VIEW | $142.50 | $285.00 | $88.11–$213.07 | 25% below | 50% |
| Toe X-ray, 2 or more views inpatient both sides CPT 73660 XR TOE BI MIN 2V | $283.00 | $566.00 | $88.11–$213.07 | — | 50% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 TOE RT MIN 2 VIEW | $142.50 | $285.00 | $88.11–$213.07 | — | 50% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 TOE LT MIN 2 VIEW | $142.50 | $285.00 | $88.11–$213.07 | — | 50% |
| Transvaginal pelvic ultrasound CPT 76830 US TRANS VAG NON OB | $427.00 | $854.00 | $209.00–$652.75 | 34% below | 50% |
| Transvaginal pelvic ultrasound CPT 76830 US TRANS VAG (NON OB) | $427.00 | $854.00 | $209.00–$652.75 | 34% below | 50% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANS VAG (NON OB) | $427.00 | $854.00 | $209.00–$652.75 | — | 50% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANS VAG NON OB | $427.00 | $854.00 | $209.00–$652.75 | — | 50% |
| Transvaginal ultrasound during pregnancy CPT 76817 US TRANS VAG OB | $427.00 | $854.00 | $273.57–$620.69 | 14% below | 50% |
| Transvaginal ultrasound during pregnancy CPT 76817 US TRANS VAG (OB) | $427.00 | $854.00 | $273.57–$620.69 | 14% below | 50% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 US TRANS VAG OB | $427.00 | $854.00 | $273.57–$620.69 | — | 50% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 US TRANS VAG (OB) | $427.00 | $854.00 | $273.57–$620.69 | — | 50% |
| Ultrasound of the abdomen, complete CPT 76700 US ABD SURVEY COMP | $534.00 | $1,068.00 | $341.88–$799.79 | 38% below | 50% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US ABD SURVEY COMP | $534.00 | $1,068.00 | $341.88–$799.79 | — | 50% |
| Ultrasound of the scrotum and testicles CPT 76870 US TESTICULAR SCROTUM CONTENTS | $427.00 | $854.00 | $125.00–$639.99 | 27% below | 50% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 US TESTICULAR SCROTUM CONTENTS | $427.00 | $854.00 | $125.00–$639.99 | — | 50% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US NECK AND/OR THYROID | $427.00 | $854.00 | $209.00–$639.99 | 30% below | 50% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US NECK / THYROID | $427.00 | $854.00 | $209.00–$639.99 | 30% below | 50% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US NECK / THYROID | $427.00 | $854.00 | $209.00–$639.99 | — | 50% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US NECK AND/OR THYROID | $427.00 | $854.00 | $209.00–$639.99 | — | 50% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UPPER GI | $270.00 | $540.00 | $167.64–$356.01 | 44% below | 50% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 UPPER GI | $270.00 | $540.00 | $167.64–$356.01 | — | 50% |
| Upper arm X-ray (humerus), 2 views both sides CPT 73060 HUMERUS MIN 2 VIEWS BILATERAL | $283.00 | $566.00 | $91.08–$206.13 | — | 50% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 HUMERUS MIN 2VIEWS RT | $142.50 | $285.00 | $91.08–$206.13 | 47% below | 50% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 HUMERUS MIN 2VIEWS LT | $142.50 | $285.00 | $91.08–$206.13 | 47% below | 50% |
| Upper arm X-ray (humerus), 2 views inpatient both sides CPT 73060 HUMERUS MIN 2 VIEWS BILATERAL | $283.00 | $566.00 | $91.08–$206.13 | — | 50% |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 HUMERUS MIN 2VIEWS RT | $142.50 | $285.00 | $91.08–$206.13 | — | 50% |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 HUMERUS MIN 2VIEWS LT | $142.50 | $285.00 | $91.08–$206.13 | — | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US DUPLEX VENOUS UNI/LIM RT | $483.00 | $966.00 | $17.82–$723.36 | 18% below | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US DUPLEX VENOUS UNI/LIM LT | $483.00 | $966.00 | $17.82–$723.36 | 18% below | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US DUPLEX VENOUS UNI/LIM RT | $483.00 | $966.00 | $17.82–$723.36 | — | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US DUPLEX VENOUS UNI/LIM LT | $483.00 | $966.00 | $17.82–$723.36 | — | 50% |
| Wrist X-ray, 2 views both sides CPT 73100 WRIST 2 V BILATERAL | $283.00 | $566.00 | $90.59–$267.00 | — | 50% |
| Wrist X-ray, 2 views one side CPT 73100 WRIST 2 VIEWS RT | $142.50 | $285.00 | $90.59–$267.00 | 30% below | 50% |
| Wrist X-ray, 2 views one side CPT 73100 WRIST 2 VIEWS LT | $142.50 | $285.00 | $90.59–$267.00 | 30% below | 50% |
| Wrist X-ray, 2 views inpatient both sides CPT 73100 WRIST 2 V BILATERAL | $283.00 | $566.00 | $90.59–$267.00 | — | 50% |
| Wrist X-ray, 2 views inpatient one side CPT 73100 WRIST 2 VIEWS LT | $142.50 | $285.00 | $90.59–$267.00 | — | 50% |
| Wrist X-ray, 2 views inpatient one side CPT 73100 WRIST 2 VIEWS RT | $142.50 | $285.00 | $90.59–$267.00 | — | 50% |
| Wrist X-ray, complete, 3 or more views both sides CPT 73110 WRIST MIN 3 V BILATERAL | $316.00 | $632.00 | $98.34–$230.06 | — | 50% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST MIN 3 V WRIST LT NAVICLR | $158.50 | $317.00 | $98.34–$230.06 | 48% below | 50% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST MIN 3VIEWS RT | $158.50 | $317.00 | $98.34–$230.06 | 48% below | 50% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST MIN 3 VIEW RT NAVICULAR | $158.50 | $317.00 | $98.34–$230.06 | 48% below | 50% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST MIN 3VIEWS LT | $158.50 | $317.00 | $98.34–$230.06 | 48% below | 50% |
| Wrist X-ray, complete, 3 or more views inpatient both sides CPT 73110 WRIST MIN 3 V BILATERAL | $316.00 | $632.00 | $98.34–$230.06 | — | 50% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 WRIST MIN 3 VIEW RT NAVICULAR | $158.50 | $317.00 | $98.34–$230.06 | — | 50% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 WRIST MIN 3VIEWS RT | $158.50 | $317.00 | $98.34–$230.06 | — | 50% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 WRIST MIN 3 V WRIST LT NAVICLR | $158.50 | $317.00 | $98.34–$230.06 | — | 50% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 WRIST MIN 3VIEWS LT | $158.50 | $317.00 | $98.34–$230.06 | — | 50% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP LT 2-3V W PELV WHEN PERF | $175.00 | $350.00 | $108.57–$339.00 | 26% below | 50% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP RT 2-3V W PELV WHEN PERF | $175.00 | $350.00 | $108.57–$339.00 | 26% below | 50% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP LT 2-3V W PELV WHEN PERF | $175.00 | $350.00 | $108.57–$339.00 | — | 50% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP RT 2-3V W PELV WHEN PERF | $175.00 | $350.00 | $108.57–$339.00 | — | 50% |
| X-ray of the abdomen, 1 view CPT 74018 ABDOMEN 1 VIEW | $126.00 | $252.00 | $77.88–$188.37 | 48% below | 50% |
| X-ray of the abdomen, 1 view CPT 74018 TC ABDOMEN 1 VIEW | $126.00 | $252.00 | $77.88–$188.37 | 48% below | 50% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 ABDOMEN 1 VIEW | $126.00 | $252.00 | $77.88–$188.37 | — | 50% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 TC ABDOMEN 1 VIEW | $126.00 | $252.00 | $77.88–$188.37 | — | 50% |
| X-ray of the ankle, 2 views both sides CPT 73600 ANKLE 2 VIEWS BILATERAL | $283.00 | $566.00 | $91.08–$270.48 | — | 50% |
| X-ray of the ankle, 2 views one side CPT 73600 ANKLE 2 VIEWS RT | $142.50 | $285.00 | $91.08–$270.48 | 39% below | 50% |
| X-ray of the ankle, 2 views one side CPT 73600 ANKLE 2 VIEWS LT | $142.50 | $285.00 | $91.08–$270.48 | 39% below | 50% |
| X-ray of the ankle, 2 views inpatient both sides CPT 73600 ANKLE 2 VIEWS BILATERAL | $283.00 | $566.00 | $91.08–$270.48 | — | 50% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 ANKLE 2 VIEWS RT | $142.50 | $285.00 | $91.08–$270.48 | — | 50% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 ANKLE 2 VIEWS LT | $142.50 | $285.00 | $91.08–$270.48 | — | 50% |
| X-ray of the finger(s), 2 or more views both sides CPT 73140 XR FINGER BI MIN 2V | $283.00 | $566.00 | $88.11–$206.12 | — | 50% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER MIN 2 VIEW LT | $142.50 | $285.00 | $88.11–$206.12 | 37% below | 50% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER MIN 2 VIEW RT | $142.50 | $285.00 | $88.11–$206.12 | 37% below | 50% |
| X-ray of the finger(s), 2 or more views inpatient both sides CPT 73140 XR FINGER BI MIN 2V | $283.00 | $566.00 | $88.11–$206.12 | — | 50% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER MIN 2 VIEW LT | $142.50 | $285.00 | $88.11–$206.12 | — | 50% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER MIN 2 VIEW RT | $142.50 | $285.00 | $88.11–$206.12 | — | 50% |
| X-ray of the foot, 2 views both sides CPT 73620 FOOT 2 VIEW BILATERAL | $283.00 | $566.00 | $88.11–$270.48 | — | 50% |
| X-ray of the foot, 2 views one side CPT 73620 FOOT 1 VIEW LT | $126.00 | $252.00 | $88.11–$270.48 | 43% below | 50% |
| X-ray of the foot, 2 views one side CPT 73620 FOOT 1 VIEW RT | $126.00 | $252.00 | $88.11–$270.48 | 43% below | 50% |
| X-ray of the foot, 2 views one side CPT 73620 FOOT 2 VIEWS RT | $142.50 | $285.00 | $88.11–$270.48 | 36% below | 50% |
| X-ray of the foot, 2 views one side CPT 73620 FOOT 2 VIEWS LT | $142.50 | $285.00 | $88.11–$270.48 | 36% below | 50% |
| X-ray of the foot, 2 views inpatient both sides CPT 73620 FOOT 2 VIEW BILATERAL | $283.00 | $566.00 | $88.11–$270.48 | — | 50% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 FOOT 1 VIEW LT | $126.00 | $252.00 | $88.11–$270.48 | — | 50% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 FOOT 1 VIEW RT | $126.00 | $252.00 | $88.11–$270.48 | — | 50% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 FOOT 2 VIEWS LT | $142.50 | $285.00 | $88.11–$270.48 | — | 50% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 FOOT 2 VIEWS RT | $142.50 | $285.00 | $88.11–$270.48 | — | 50% |
| X-ray of the foot, complete, 3 or more views both sides CPT 73630 FOOT MIN 3 VIEW BI-LATERAL | $316.00 | $632.00 | $51.71–$307.00 | — | 50% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT MIN 3VIEW RT | $158.50 | $317.00 | $51.71–$307.00 | 48% below | 50% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT MIN 3VIEW LT | $158.50 | $317.00 | $51.71–$307.00 | 48% below | 50% |
| X-ray of the foot, complete, 3 or more views inpatient both sides CPT 73630 FOOT MIN 3 VIEW BI-LATERAL | $316.00 | $632.00 | $51.71–$307.00 | — | 50% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 FOOT MIN 3VIEW RT | $158.50 | $317.00 | $51.71–$307.00 | — | 50% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 FOOT MIN 3VIEW LT | $158.50 | $317.00 | $51.71–$307.00 | — | 50% |
| X-ray of the hand, 3 or more views both sides CPT 73130 HAND 3 VIEW BILATERAL | $316.00 | $632.00 | $101.31–$237.00 | — | 50% |
| X-ray of the hand, 3 or more views one side CPT 73130 HAND MIN 3VIEWS RT | $158.50 | $317.00 | $101.31–$237.00 | 47% below | 50% |
| X-ray of the hand, 3 or more views one side CPT 73130 HAND MIN 3VIEWS LT | $158.50 | $317.00 | $101.31–$237.00 | 47% below | 50% |
| X-ray of the hand, 3 or more views inpatient both sides CPT 73130 HAND 3 VIEW BILATERAL | $316.00 | $632.00 | $101.31–$237.00 | — | 50% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 HAND MIN 3VIEWS RT | $158.50 | $317.00 | $101.31–$237.00 | — | 50% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 HAND MIN 3VIEWS LT | $158.50 | $317.00 | $101.31–$237.00 | — | 50% |
| X-ray of the knee, 1 or 2 views both sides CPT 73560 KNEE 1 OR 2 VIEWS BI-LATERAL | $283.00 | $566.00 | $88.11–$295.00 | — | 50% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE 1OR 2 VIEWS LT | $142.50 | $285.00 | $88.11–$295.00 | 40% below | 50% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE 1OR 2 VIEWS RT | $142.50 | $285.00 | $88.11–$295.00 | 40% below | 50% |
| X-ray of the knee, 1 or 2 views inpatient both sides CPT 73560 KNEE 1 OR 2 VIEWS BI-LATERAL | $283.00 | $566.00 | $88.11–$295.00 | — | 50% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 KNEE 1OR 2 VIEWS RT | $142.50 | $285.00 | $88.11–$295.00 | — | 50% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 KNEE 1OR 2 VIEWS LT | $142.50 | $285.00 | $88.11–$295.00 | — | 50% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 SPINE LUMBAR 2 OR 3 VIEWS | $236.50 | $473.00 | $125.00–$354.35 | 28% below | 50% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 SPINE LUMBAR 2 OR 3 VIEWS | $236.50 | $473.00 | $125.00–$354.35 | — | 50% |
| X-ray of the lower back, 4 or more views CPT 72110 SPINE LUMBAR MIN 4 V | $264.00 | $528.00 | $125.00–$395.27 | 45% below | 50% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 SPINE LUMBAR MIN 4 V | $264.00 | $528.00 | $125.00–$395.27 | — | 50% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 SPINE THORACIC 2VIEWS | $182.00 | $364.00 | $116.49–$272.52 | 39% below | 50% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 SPINE THORACIC 2VIEWS | $182.00 | $364.00 | $116.49–$272.52 | — | 50% |
| X-ray of the nasal bones, 3 or more views CPT 70160 NASAL BONES MIN 3V | $175.00 | $350.00 | $111.87–$261.71 | 40% below | 50% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 NASAL BONES MIN 3V | $175.00 | $350.00 | $111.87–$261.71 | — | 50% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 SPINE CERV 2 OR 3 VIEWS | $236.50 | $473.00 | $125.00–$354.35 | 23% below | 50% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 SPINE CERV 2 OR 3 VIEWS | $236.50 | $473.00 | $125.00–$354.35 | — | 50% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS 1 OR 2VIEWS | $182.00 | $364.00 | $112.86–$272.52 | 30% below | 50% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 PELVIS 1 OR 2VIEWS | $182.00 | $364.00 | $112.86–$272.52 | — | 50% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM/COCCYX MIN 2V | $142.50 | $285.00 | $88.11–$213.07 | 50% below | 50% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 SACRUM/COCCYX MIN 2V | $142.50 | $285.00 | $88.11–$213.07 | — | 50% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Kentucky | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 REF Adrenocorticotropic Hormon | $19.00 | $38.00 | $27.00–$99.58 | 90% below | 50% |
| ACTH blood test CPT 82024 ADRENOCORTICOTROPIC HORMONE | $53.50 | $107.00 | $27.00–$99.58 | 71% below | 50% |
| ACTH blood test inpatient CPT 82024 REF Adrenocorticotropic Hormon | $19.00 | $38.00 | $27.00–$99.58 | — | 50% |
| ACTH blood test inpatient CPT 82024 ADRENOCORTICOTROPIC HORMONE | $53.50 | $107.00 | $27.00–$99.58 | — | 50% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 REF Alanine Aminotransf Sr/Pl | $6.00 | $12.00 | $4.95–$16.00 | 90% below | 50% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 GPT/ALT | $8.50 | $17.00 | $4.95–$16.00 | 85% below | 50% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 REF Alanine Aminotransf Sr/Pl | $6.00 | $12.00 | $4.95–$16.00 | — | 50% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 GPT/ALT | $8.50 | $17.00 | $4.95–$16.00 | — | 50% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT | $8.00 | $16.00 | $4.62–$4.95 | 87% below | 50% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 REF Aspartate Aminotrans Sr/Pl | $19.00 | $38.00 | $4.62–$4.95 | 69% below | 50% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 SGOT | $8.00 | $16.00 | $4.62–$4.95 | — | 50% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 REF Aspartate Aminotrans Sr/Pl | $19.00 | $38.00 | $4.62–$4.95 | — | 50% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 REF Hep Pan Acut wHCV NAAT Rfx | $32.50 | $65.00 | $22.05 | 86% below | 50% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 REF Hep Pan Acut wHCV NAAT Rfx | $32.50 | $65.00 | $22.05 | — | 50% |
| Albumin blood test CPT 82040 ALBUMIN SERUM | $8.00 | $16.00 | $4.90 | 86% below | 50% |
| Albumin blood test inpatient CPT 82040 ALBUMIN SERUM | $8.00 | $16.00 | $4.90 | — | 50% |
| Aldosterone blood test CPT 82088 REF Aldosterone | $15.00 | $30.00 | $10.15–$51.95 | 88% below | 50% |
| Aldosterone blood test CPT 82088 ALDOSTERONE | $57.00 | $114.00 | $10.15–$51.95 | 54% below | 50% |
| Aldosterone blood test inpatient CPT 82088 REF Aldosterone | $15.00 | $30.00 | $10.15–$51.95 | — | 50% |
| Aldosterone blood test inpatient CPT 82088 ALDOSTERONE | $57.00 | $114.00 | $10.15–$51.95 | — | 50% |
| Alkaline phosphatase (ALP) blood test CPT 84075 REF Alkaline Phosphatase | $8.00 | $16.00 | $5.14–$6.60 | 86% below | 50% |
| Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSPHATASE | $8.00 | $16.00 | $5.14–$6.60 | 86% below | 50% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALKALINE PHOSPHATASE | $8.00 | $16.00 | $5.14–$6.60 | — | 50% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 REF Alkaline Phosphatase | $8.00 | $16.00 | $5.14–$6.60 | — | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 REF Allergen, Food, Cherry IgE | $4.50 | $9.00 | $2.80–$428.46 | 63% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 REF Allergen, Food, Egg Whole | $4.50 | $9.00 | $2.80–$428.46 | 63% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 REF Allergen, Food, Papaya | $4.50 | $9.00 | $2.80–$428.46 | 63% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 REF Allerg Flxseed/Linseed IgE | $4.50 | $9.00 | $2.80–$428.46 | 63% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 REF Allergen Food, Catfish IgE | $4.50 | $9.00 | $2.80–$428.46 | 63% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 REF Allergn Fd Hazlnut-Filbert | $4.50 | $9.00 | $2.80–$428.46 | 63% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 REF Allergen Weed Eng Plantain | $4.50 | $9.00 | $2.80–$428.46 | 63% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Crab IgE | $4.50 | $9.00 | $2.80–$428.46 | 63% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Shrimp IgE | $4.50 | $9.00 | $2.80–$428.46 | 63% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Lobster IgE | $4.50 | $9.00 | $2.80–$428.46 | 63% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Mouse Epi IgE | $4.50 | $9.00 | $2.80–$428.46 | 63% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allerg, Fungi/Mold,A.alter IgE | $4.50 | $9.00 | $2.80–$428.46 | 63% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Tree, Elm Tree IgE | $4.50 | $9.00 | $2.80–$428.46 | 63% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 REF Allergen Food Poppy Sd IgE | $4.50 | $9.00 | $2.80–$428.46 | 63% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 REF Allergen, Food, Pineapple | $4.50 | $9.00 | $2.80–$428.46 | 63% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Mites, D.farinae IgE | $4.50 | $9.00 | $2.80–$428.46 | 63% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Tree, Oak Tree IgE | $4.50 | $9.00 | $2.80–$428.46 | 63% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 REF Allergen, Food, Peanut | $4.50 | $9.00 | $2.80–$428.46 | 63% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Grass, Bermuda IgE | $4.50 | $9.00 | $2.80–$428.46 | 63% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allerg,Weed,Com/Shrt Ragwd IgE | $4.50 | $9.00 | $2.80–$428.46 | 63% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Animal,Mouse Epi IgE | $4.50 | $9.00 | $2.80–$428.46 | 63% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 REF Allergen, Food, Wheat | $4.50 | $9.00 | $2.80–$428.46 | 63% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Beef IgE | $4.50 | $9.00 | $2.80–$428.46 | 63% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 REF Allergen, Food, Milk-Cow's | $4.50 | $9.00 | $2.80–$428.46 | 63% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 REF Allerg-Food Gelat Bov IgE | $4.50 | $9.00 | $2.80–$428.46 | 63% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 REF Allerg Food Gulf Flder IgE | $4.50 | $9.00 | $2.80–$428.46 | 63% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 REF Allergen, Food, Avocado | $4.50 | $9.00 | $2.80–$428.46 | 63% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 REF ALLERGEN, FOOD, CASHEW | $4.50 | $9.00 | $2.80–$428.46 | 63% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Lamb IgE | $4.50 | $9.00 | $2.80–$428.46 | 63% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Pork IgE | $4.50 | $9.00 | $2.80–$428.46 | 63% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Corn IgE | $4.50 | $9.00 | $2.80–$428.46 | 63% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 REF Allergen Grass June/KyBlue | $4.50 | $9.00 | $2.80–$428.46 | 63% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 REF Allergen, Food, Banana | $4.50 | $9.00 | $2.80–$428.46 | 63% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 REF Allergen, Food, Mango | $4.50 | $9.00 | $2.80–$428.46 | 63% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 REF Allergen, Food, Mustard | $4.50 | $9.00 | $2.80–$428.46 | 63% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 REF ALLERGEN,FOOD,MACADAMIA NT | $4.50 | $9.00 | $2.80–$428.46 | 63% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 REF Allerg Food Sunflwr Sd IgE | $4.50 | $9.00 | $2.80–$428.46 | 63% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 REF Allergen, Food, Gluten | $4.50 | $9.00 | $2.80–$428.46 | 63% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 REF Allergen Animal Dog Dander | $4.50 | $9.00 | $2.80–$428.46 | 63% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 REF Allergen Animal Cat Dander | $4.50 | $9.00 | $2.80–$428.46 | 63% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 REF Allerg Occup Latex IgE Enh | $4.50 | $9.00 | $2.80–$428.46 | 63% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 REF Allergen, Food, Peach | $4.50 | $9.00 | $2.80–$428.46 | 63% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 REF Allerg Food Pine(Pinon)Nut | $4.50 | $9.00 | $2.80–$428.46 | 63% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 REF Allergen, Food, Chestnut | $4.50 | $9.00 | $2.80–$428.46 | 63% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 REF Allergen, Food, Kiwi | $4.50 | $9.00 | $2.80–$428.46 | 63% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Soybean IgE | $4.50 | $9.00 | $2.80–$428.46 | 63% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Walnut IgE | $4.50 | $9.00 | $2.80–$428.46 | 63% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Scallop IgE | $4.50 | $9.00 | $2.80–$428.46 | 63% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Clam IgE | $4.50 | $9.00 | $2.80–$428.46 | 63% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 REF ALLERGEN, FOOD, NUTS | $4.50 | $9.00 | $2.80–$428.46 | 63% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 REF ALLERGEN,FOOD,SESAME SEED | $4.50 | $9.00 | $2.80–$428.46 | 63% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 REF Allergen, Food, Egg Yolk | $4.50 | $9.00 | $2.80–$428.46 | 63% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 REF ALLERGEN, FOOD, PISTACHIO | $4.50 | $9.00 | $2.80–$428.46 | 63% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 REF Allergen, Food, Onion | $4.50 | $9.00 | $2.80–$428.46 | 63% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 REF Allergen, Food, Tuna | $4.50 | $9.00 | $2.80–$428.46 | 63% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 REF Allergen, Food, Tomato | $4.50 | $9.00 | $2.80–$428.46 | 63% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 REF Allergen, Food Codfish IgE | $4.50 | $9.00 | $2.80–$428.46 | 63% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 REF Allergen, Food, Egg White | $4.50 | $9.00 | $2.80–$428.46 | 63% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 REF Allergn Animal Parakt Fthr | $4.50 | $9.00 | $2.80–$428.46 | 63% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 WHEAT IgE | $5.50 | $11.00 | $2.80–$428.46 | 54% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 GLUTEN, IgE | $5.50 | $11.00 | $2.80–$428.46 | 54% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 REF Allergen, Food | $6.50 | $13.00 | $2.80–$428.46 | 46% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 REF Allergen Food Bass Blk IgE | $9.50 | $19.00 | $2.80–$428.46 | 21% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 REF Allergen-Food Gel Porc IgE | $9.50 | $19.00 | $2.80–$428.46 | 21% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 REF Allergen, Food, Perch IgE | $9.50 | $19.00 | $2.80–$428.46 | 21% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Inhalant IgE | $10.00 | $20.00 | $2.80–$428.46 | 17% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, SPECIFIC, IgE | $10.00 | $20.00 | $2.80–$428.46 | 17% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 REF Allergen, Food, Coconut | $13.00 | $26.00 | $2.80–$428.46 | 8% above | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, GELATIN IgE | $57.50 | $115.00 | $2.80–$428.46 | 377% above | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PROFILE BASIC FOOD | $57.50 | $115.00 | $2.80–$428.46 | 377% above | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST COMM FOOD ALLRGN PROF (7) | $57.50 | $115.00 | $2.80–$428.46 | 377% above | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST, HYMENOPTERA PROFILE | $57.50 | $115.00 | $2.80–$428.46 | 377% above | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, SPEC. IgE, QUANT, EA | $57.50 | $115.00 | $2.80–$428.46 | 377% above | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PORCINE GELATIN #827274 | $57.50 | $115.00 | $2.80–$428.46 | 377% above | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 BOVINE GELATIN IGE #602843 | $57.50 | $115.00 | $2.80–$428.46 | 377% above | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 LATEX SPECIFIC IgE | $57.50 | $115.00 | $2.80–$428.46 | 377% above | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, MILK (COW) IgE | $57.50 | $115.00 | $2.80–$428.46 | 377% above | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 REF Allergen, Food, Pineapple | $4.50 | $9.00 | $2.80–$428.46 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 REF ALLERGEN, FOOD, PISTACHIO | $4.50 | $9.00 | $2.80–$428.46 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 REF ALLERGEN,FOOD,SESAME SEED | $4.50 | $9.00 | $2.80–$428.46 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 REF ALLERGEN, FOOD, NUTS | $4.50 | $9.00 | $2.80–$428.46 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Clam IgE | $4.50 | $9.00 | $2.80–$428.46 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Scallop IgE | $4.50 | $9.00 | $2.80–$428.46 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Walnut IgE | $4.50 | $9.00 | $2.80–$428.46 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Soybean IgE | $4.50 | $9.00 | $2.80–$428.46 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Corn IgE | $4.50 | $9.00 | $2.80–$428.46 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Pork IgE | $4.50 | $9.00 | $2.80–$428.46 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Lamb IgE | $4.50 | $9.00 | $2.80–$428.46 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 REF Allerg-Food Gelat Bov IgE | $4.50 | $9.00 | $2.80–$428.46 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 REF Allergen, Food, Milk-Cow's | $4.50 | $9.00 | $2.80–$428.46 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 REF Allergen, Food, Chestnut | $4.50 | $9.00 | $2.80–$428.46 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Beef IgE | $4.50 | $9.00 | $2.80–$428.46 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Animal,Mouse Epi IgE | $4.50 | $9.00 | $2.80–$428.46 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 REF Allergen, Food, Wheat | $4.50 | $9.00 | $2.80–$428.46 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allerg,Weed,Com/Shrt Ragwd IgE | $4.50 | $9.00 | $2.80–$428.46 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Grass, Bermuda IgE | $4.50 | $9.00 | $2.80–$428.46 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 REF Allergen, Food, Peanut | $4.50 | $9.00 | $2.80–$428.46 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Tree, Oak Tree IgE | $4.50 | $9.00 | $2.80–$428.46 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Mites, D.farinae IgE | $4.50 | $9.00 | $2.80–$428.46 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Tree, Elm Tree IgE | $4.50 | $9.00 | $2.80–$428.46 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allerg, Fungi/Mold,A.alter IgE | $4.50 | $9.00 | $2.80–$428.46 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Mouse Epi IgE | $4.50 | $9.00 | $2.80–$428.46 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Lobster IgE | $4.50 | $9.00 | $2.80–$428.46 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Shrimp IgE | $4.50 | $9.00 | $2.80–$428.46 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Food, Crab IgE | $4.50 | $9.00 | $2.80–$428.46 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 REF Allergen Weed Eng Plantain | $4.50 | $9.00 | $2.80–$428.46 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 REF Allergn Fd Hazlnut-Filbert | $4.50 | $9.00 | $2.80–$428.46 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 REF Allergen Food, Catfish IgE | $4.50 | $9.00 | $2.80–$428.46 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 REF Allerg Flxseed/Linseed IgE | $4.50 | $9.00 | $2.80–$428.46 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 REF Allergen, Food, Papaya | $4.50 | $9.00 | $2.80–$428.46 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 REF Allergen, Food, Egg Whole | $4.50 | $9.00 | $2.80–$428.46 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 REF Allergen, Food, Gluten | $4.50 | $9.00 | $2.80–$428.46 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 REF Allerg Occup Latex IgE Enh | $4.50 | $9.00 | $2.80–$428.46 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 REF Allergen, Food, Cherry IgE | $4.50 | $9.00 | $2.80–$428.46 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 REF Allergen Food Poppy Sd IgE | $4.50 | $9.00 | $2.80–$428.46 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 REF ALLERGEN, FOOD, CASHEW | $4.50 | $9.00 | $2.80–$428.46 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 REF Allerg Food Gulf Flder IgE | $4.50 | $9.00 | $2.80–$428.46 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 REF Allergen, Food, Avocado | $4.50 | $9.00 | $2.80–$428.46 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 REF Allergen Grass June/KyBlue | $4.50 | $9.00 | $2.80–$428.46 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 REF Allergen, Food, Banana | $4.50 | $9.00 | $2.80–$428.46 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 REF Allergen, Food, Mango | $4.50 | $9.00 | $2.80–$428.46 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 REF Allergen, Food, Mustard | $4.50 | $9.00 | $2.80–$428.46 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 REF Allerg Food Sunflwr Sd IgE | $4.50 | $9.00 | $2.80–$428.46 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 REF Allergen, Food, Peach | $4.50 | $9.00 | $2.80–$428.46 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 REF Allerg Food Pine(Pinon)Nut | $4.50 | $9.00 | $2.80–$428.46 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 REF Allergen, Food, Kiwi | $4.50 | $9.00 | $2.80–$428.46 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 REF Allergen, Food, Egg Yolk | $4.50 | $9.00 | $2.80–$428.46 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 REF Allergen, Food, Onion | $4.50 | $9.00 | $2.80–$428.46 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 REF Allergen, Food, Tuna | $4.50 | $9.00 | $2.80–$428.46 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 REF Allergen, Food, Tomato | $4.50 | $9.00 | $2.80–$428.46 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 REF Allergen, Food Codfish IgE | $4.50 | $9.00 | $2.80–$428.46 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 REF Allergen, Food, Egg White | $4.50 | $9.00 | $2.80–$428.46 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 REF Allergn Animal Parakt Fthr | $4.50 | $9.00 | $2.80–$428.46 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 REF Allergen Animal Dog Dander | $4.50 | $9.00 | $2.80–$428.46 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 REF Allergen Animal Cat Dander | $4.50 | $9.00 | $2.80–$428.46 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 REF ALLERGEN,FOOD,MACADAMIA NT | $4.50 | $9.00 | $2.80–$428.46 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GLUTEN, IgE | $5.50 | $11.00 | $2.80–$428.46 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WHEAT IgE | $5.50 | $11.00 | $2.80–$428.46 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 REF Allergen, Food | $6.50 | $13.00 | $2.80–$428.46 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 REF Allergen, Food, Perch IgE | $9.50 | $19.00 | $2.80–$428.46 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 REF Allergen-Food Gel Porc IgE | $9.50 | $19.00 | $2.80–$428.46 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 REF Allergen Food Bass Blk IgE | $9.50 | $19.00 | $2.80–$428.46 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, SPECIFIC, IgE | $10.00 | $20.00 | $2.80–$428.46 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen, Inhalant IgE | $10.00 | $20.00 | $2.80–$428.46 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 REF Allergen, Food, Coconut | $13.00 | $26.00 | $2.80–$428.46 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LATEX SPECIFIC IgE | $57.50 | $115.00 | $2.80–$428.46 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, GELATIN IgE | $57.50 | $115.00 | $2.80–$428.46 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, MILK (COW) IgE | $57.50 | $115.00 | $2.80–$428.46 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BOVINE GELATIN IGE #602843 | $57.50 | $115.00 | $2.80–$428.46 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PORCINE GELATIN #827274 | $57.50 | $115.00 | $2.80–$428.46 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST, HYMENOPTERA PROFILE | $57.50 | $115.00 | $2.80–$428.46 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, SPEC. IgE, QUANT, EA | $57.50 | $115.00 | $2.80–$428.46 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST COMM FOOD ALLRGN PROF (7) | $57.50 | $115.00 | $2.80–$428.46 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN PROFILE BASIC FOOD | $57.50 | $115.00 | $2.80–$428.46 | — | 50% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 REF Alpha Fetoprotn TumorMarkr | $9.50 | $19.00 | $6.30–$46.00 | 89% below | 50% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA 1 FETOPROTEIN MATERNAL | $24.00 | $48.00 | $6.30–$46.00 | 73% below | 50% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA 1 FETOPROTEIN (TM) | $30.50 | $61.00 | $6.30–$46.00 | 66% below | 50% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 REF Alpha Fetoprotn TumorMarkr | $9.50 | $19.00 | $6.30–$46.00 | — | 50% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA 1 FETOPROTEIN MATERNAL | $24.00 | $48.00 | $6.30–$46.00 | — | 50% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA 1 FETOPROTEIN (TM) | $30.50 | $61.00 | $6.30–$46.00 | — | 50% |
| Ammonia blood test CPT 82140 AMMONIA PLASMA | $21.50 | $43.00 | $13.38–$120.00 | 78% below | 50% |
| Ammonia blood test inpatient CPT 82140 AMMONIA PLASMA | $21.50 | $43.00 | $13.38–$120.00 | — | 50% |
| Amylase blood test CPT 82150 REF AMYLASE, URINE | $10.00 | $20.00 | $5.78–$19.00 | 86% below | 50% |
| Amylase blood test CPT 82150 AMYLASE FLUID | $10.00 | $20.00 | $5.78–$19.00 | 86% below | 50% |
| Amylase blood test inpatient CPT 82150 REF AMYLASE, URINE | $10.00 | $20.00 | $5.78–$19.00 | — | 50% |
| Amylase blood test inpatient CPT 82150 AMYLASE FLUID | $10.00 | $20.00 | $5.78–$19.00 | — | 50% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 REF Cycl Citrull Pep CCP IgG/A | $11.00 | $22.00 | $6.93–$18.20 | 85% below | 50% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULLINATED PEPTIDE | $27.00 | $54.00 | $6.93–$18.20 | 64% below | 50% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 REF Cycl Citrull Pep CCP IgG/A | $11.00 | $22.00 | $6.93–$18.20 | — | 50% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRULLINATED PEPTIDE | $27.00 | $54.00 | $6.93–$18.20 | — | 50% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR AB W/TITER/PATTERN | $10.50 | $21.00 | $3.50–$11.26 | 85% below | 50% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA DIRECT | $17.00 | $34.00 | $10.89–$32.34 | 75% below | 50% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA - W/ REFLEX | $17.00 | $34.00 | $3.50–$11.26 | 75% below | 50% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR AB W/TITER/PATTERN | $10.50 | $21.00 | $3.50–$11.26 | — | 50% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA DIRECT | $17.00 | $34.00 | $10.89–$32.34 | — | 50% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA - W/ REFLEX | $17.00 | $34.00 | $3.50–$11.26 | — | 50% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NT-pro-BNP | $38.50 | $77.00 | $24.42–$57.13 | 78% below | 50% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 REF proBrain Natriuret Pept NT | $48.50 | $97.00 | $24.42–$57.13 | 72% below | 50% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B-TYPE NATRIURETIC PEPTIDE | $55.00 | $110.00 | $34.79–$103.88 | 69% below | 50% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NT-pro-BNP | $38.50 | $77.00 | $24.42–$57.13 | — | 50% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 REF proBrain Natriuret Pept NT | $48.50 | $97.00 | $24.42–$57.13 | — | 50% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 B-TYPE NATRIURETIC PEPTIDE | $55.00 | $110.00 | $34.79–$103.88 | — | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE NASAL | $12.50 | $25.00 | $2.37–$24.00 | 88% below | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE IV SITE | $12.50 | $25.00 | $2.37–$24.00 | 88% below | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE FLUID | $12.50 | $25.00 | $2.37–$24.00 | 88% below | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 BORDETELLA PERTUSSIS CULTURE | $12.50 | $25.00 | $2.37–$24.00 | 88% below | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE SPUTUM | $12.50 | $25.00 | $2.37–$24.00 | 88% below | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE, SOURCE ANY OTHER | $12.50 | $25.00 | $2.37–$24.00 | 88% below | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE THROAT | $12.50 | $25.00 | $2.37–$24.00 | 88% below | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE WOUND | $12.50 | $25.00 | $2.37–$24.00 | 88% below | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE EYE | $12.50 | $25.00 | $2.37–$24.00 | 88% below | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE NASAL FOR MRSA | $12.50 | $25.00 | $2.37–$24.00 | 88% below | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE CANNULA INDWELL LINES | $12.50 | $25.00 | $2.37–$24.00 | 88% below | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE, ENVIRONMENTAL | $12.50 | $25.00 | $2.37–$24.00 | 88% below | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE ABSCESS | $12.50 | $25.00 | $2.37–$24.00 | 88% below | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE FEEDING TUBE | $12.50 | $25.00 | $2.37–$24.00 | 88% below | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 AEROBIC BOD FL EXT CULT 180803 | $12.50 | $25.00 | $2.37–$24.00 | 88% below | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE GENITAL | $12.50 | $25.00 | $2.37–$24.00 | 88% below | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE, SOURCE ANY OTHER | $12.50 | $25.00 | $2.37–$24.00 | — | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE FEEDING TUBE | $12.50 | $25.00 | $2.37–$24.00 | — | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE NASAL FOR MRSA | $12.50 | $25.00 | $2.37–$24.00 | — | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE SPUTUM | $12.50 | $25.00 | $2.37–$24.00 | — | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE, ENVIRONMENTAL | $12.50 | $25.00 | $2.37–$24.00 | — | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE ABSCESS | $12.50 | $25.00 | $2.37–$24.00 | — | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE WOUND | $12.50 | $25.00 | $2.37–$24.00 | — | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE EYE | $12.50 | $25.00 | $2.37–$24.00 | — | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE IV SITE | $12.50 | $25.00 | $2.37–$24.00 | — | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 AEROBIC BOD FL EXT CULT 180803 | $12.50 | $25.00 | $2.37–$24.00 | — | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE FLUID | $12.50 | $25.00 | $2.37–$24.00 | — | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 BORDETELLA PERTUSSIS CULTURE | $12.50 | $25.00 | $2.37–$24.00 | — | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE GENITAL | $12.50 | $25.00 | $2.37–$24.00 | — | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE NASAL | $12.50 | $25.00 | $2.37–$24.00 | — | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE CANNULA INDWELL LINES | $12.50 | $25.00 | $2.37–$24.00 | — | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE THROAT | $12.50 | $25.00 | $2.37–$24.00 | — | 50% |
| Basic metabolic panel (blood test) CPT 80048 METABOLIC PANEL (BASIC) | $12.50 | $25.00 | $7.44–$24.00 | 86% below | 50% |
| Basic metabolic panel (blood test) inpatient CPT 80048 METABOLIC PANEL (BASIC) | $12.50 | $25.00 | $7.44–$24.00 | — | 50% |
| Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL | $8.00 | $16.00 | $4.90–$14.70 | 84% below | 50% |
| Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN TOTAL | $8.00 | $16.00 | $4.90–$14.70 | — | 50% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 TC BIOPSY LEVEL 4 | $70.00 | $140.00 | $33.13–$620.02 | 41% below | 50% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 BIOSPY LEVEL 4 | $70.00 | $140.00 | $33.13–$620.02 | 41% below | 50% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 BIOSPY LEVEL 4 | $70.00 | $140.00 | $33.13–$620.02 | — | 50% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 TC BIOPSY LEVEL 4 | $70.00 | $140.00 | $33.13–$620.02 | — | 50% |
| Blood culture for bacteria CPT 87040 CULTURE BLOOD | $14.50 | $29.00 | $9.21–$27.44 | 87% below | 50% |
| Blood culture for bacteria CPT 87040 REF Blood Culture | $30.50 | $61.00 | $9.21–$27.44 | 73% below | 50% |
| Blood culture for bacteria inpatient CPT 87040 CULTURE BLOOD | $14.50 | $29.00 | $9.21–$27.44 | — | 50% |
| Blood culture for bacteria inpatient CPT 87040 REF Blood Culture | $30.50 | $61.00 | $9.21–$27.44 | — | 50% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 PHLEBOTOMY | $6.00 | $12.00 | $2.70–$11.00 | 62% below | 50% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 SPECIAL COLLECTION-QUEST | $6.00 | $12.00 | $2.70–$11.00 | 62% below | 50% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 PHLEBOTOMY REFERRAL LAB | $6.00 | $12.00 | $2.70–$11.00 | 62% below | 50% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 PHLEBOTOMY REFERRAL LAB | $6.00 | $12.00 | $2.70–$11.00 | — | 50% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 PHLEBOTOMY | $6.00 | $12.00 | $2.70–$11.00 | — | 50% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 SPECIAL COLLECTION-QUEST | $6.00 | $12.00 | $2.70–$11.00 | — | 50% |
| Blood glucose (sugar) test CPT 82947 REF Glucose, quant, blood | $6.50 | $13.00 | $3.63–$11.00 | 81% below | 50% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE | $6.50 | $13.00 | $3.63–$11.00 | 81% below | 50% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE IN PANEL | $6.50 | $13.00 | $3.63–$11.00 | 81% below | 50% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE CHARGE | $6.50 | $13.00 | $3.63–$11.00 | 81% below | 50% |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE | $6.50 | $13.00 | $3.63–$11.00 | — | 50% |
| Blood glucose (sugar) test inpatient CPT 82947 REF Glucose, quant, blood | $6.50 | $13.00 | $3.63–$11.00 | — | 50% |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE IN PANEL | $6.50 | $13.00 | $3.63–$11.00 | — | 50% |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE CHARGE | $6.50 | $13.00 | $3.63–$11.00 | — | 50% |
| Blood lead test CPT 83655 REF Lead, Blood (Capillary) | $5.50 | $11.00 | $3.50–$57.82 | 91% below | 50% |
| Blood lead test CPT 83655 REF Lead, Blood (Venous) | $16.50 | $33.00 | $3.50–$57.82 | 72% below | 50% |
| Blood lead test CPT 83655 LEAD, BLOOD (PEDIATRIC) | $30.50 | $61.00 | $3.50–$57.82 | 49% below | 50% |
| Blood lead test CPT 83655 LEAD, BLOOD (ADULT) | $30.50 | $61.00 | $3.50–$57.82 | 49% below | 50% |
| Blood lead test CPT 83655 LEAD (BLOOD) | $30.50 | $61.00 | $3.50–$57.82 | 49% below | 50% |
| Blood lead test CPT 83655 LEAD U (24HR) | $30.50 | $61.00 | $3.50–$57.82 | 49% below | 50% |
| Blood lead test inpatient CPT 83655 REF Lead, Blood (Capillary) | $5.50 | $11.00 | $3.50–$57.82 | — | 50% |
| Blood lead test inpatient CPT 83655 REF Lead, Blood (Venous) | $16.50 | $33.00 | $3.50–$57.82 | — | 50% |
| Blood lead test inpatient CPT 83655 LEAD (BLOOD) | $30.50 | $61.00 | $3.50–$57.82 | — | 50% |
| Blood lead test inpatient CPT 83655 LEAD, BLOOD (ADULT) | $30.50 | $61.00 | $3.50–$57.82 | — | 50% |
| Blood lead test inpatient CPT 83655 LEAD, BLOOD (PEDIATRIC) | $30.50 | $61.00 | $3.50–$57.82 | — | 50% |
| Blood lead test inpatient CPT 83655 LEAD U (24HR) | $30.50 | $61.00 | $3.50–$57.82 | — | 50% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREGNANCY (SERUM) QUALITATIVE | $11.00 | $22.00 | $6.82–$21.00 | 87% below | 50% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 PREGNANCY (SERUM) QUALITATIVE | $11.00 | $22.00 | $6.82–$21.00 | — | 50% |
| Blood urea nitrogen (BUN) test CPT 84520 REF BUN | $6.50 | $13.00 | $3.63–$15.44 | 86% below | 50% |
| Blood urea nitrogen (BUN) test CPT 84520 BUN | $6.50 | $13.00 | $3.63–$15.44 | 86% below | 50% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 REF BUN | $6.50 | $13.00 | $3.63–$15.44 | — | 50% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 BUN | $6.50 | $13.00 | $3.63–$15.44 | — | 50% |
| C-peptide blood test CPT 84681 C-PEPTIDE | $29.50 | $59.00 | $5.60–$18.81 | 79% below | 50% |
| C-peptide blood test inpatient CPT 84681 C-PEPTIDE | $29.50 | $59.00 | $5.60–$18.81 | — | 50% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 REF C-Reactive Protein | $6.50 | $13.00 | $4.90–$15.00 | 86% below | 50% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CRP | $8.00 | $16.00 | $4.90–$15.00 | 83% below | 50% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 REF C-Reactive Protein | $6.50 | $13.00 | $4.90–$15.00 | — | 50% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 CRP | $8.00 | $16.00 | $4.90–$15.00 | — | 50% |
| C. difficile toxin gene test (stool PCR) one side CPT 87493 REF C.diff toxB gn-tcdB RT-PCR | $61.50 | $123.00 | $41.65–$91.87 | 38% below | 50% |
| C. difficile toxin gene test (stool PCR) inpatient one side CPT 87493 REF C.diff toxB gn-tcdB RT-PCR | $61.50 | $123.00 | $41.65–$91.87 | — | 50% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 | $38.00 | $76.00 | $18.15–$42.75 | 71% below | 50% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125 | $38.00 | $76.00 | $18.15–$42.75 | — | 50% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 REF SARS-CoV-2 COVID-19 by NAA | $50.50 | $101.00 | $18.46–$111.47 | 33% below | 50% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 OTHER REFERRAL -DIATHERIX C19 | $71.00 | $142.00 | $18.46–$111.47 | 6% below | 50% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 OTHER REFERRAL -MAKO C19 | $71.00 | $142.00 | $18.46–$111.47 | 6% below | 50% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 OTHER REFERRAL -LAB CORP C19 | $71.00 | $142.00 | $18.46–$111.47 | 6% below | 50% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID 19 NAA | $71.00 | $142.00 | $18.46–$111.47 | 6% below | 50% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SOLARIS COVID 19 CONTRACT | $71.00 | $142.00 | $18.46–$111.47 | 6% below | 50% |
| COVID-19 PCR test (SARS-CoV-2 lab test) one side CPT 87635 COVID19 SARS CoV 2 RT PCR | $23.00 | $46.00 | $18.46–$111.47 | 70% below | 50% |
| COVID-19 PCR test (SARS-CoV-2 lab test) one side CPT 87635 SARS CoV 2 RT PCR | $68.50 | $137.00 | $18.46–$111.47 | 9% below | 50% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 REF SARS-CoV-2 COVID-19 by NAA | $50.50 | $101.00 | $18.46–$111.47 | — | 50% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SOLARIS COVID 19 CONTRACT | $71.00 | $142.00 | $18.46–$111.47 | — | 50% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 OTHER REFERRAL -DIATHERIX C19 | $71.00 | $142.00 | $18.46–$111.47 | — | 50% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 OTHER REFERRAL -LAB CORP C19 | $71.00 | $142.00 | $18.46–$111.47 | — | 50% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID 19 NAA | $71.00 | $142.00 | $18.46–$111.47 | — | 50% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 OTHER REFERRAL -MAKO C19 | $71.00 | $142.00 | $18.46–$111.47 | — | 50% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient one side CPT 87635 COVID19 SARS CoV 2 RT PCR | $23.00 | $46.00 | $18.46–$111.47 | — | 50% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient one side CPT 87635 SARS CoV 2 RT PCR | $68.50 | $137.00 | $18.46–$111.47 | — | 50% |
| Calcium blood test, total CPT 82310 CALCIUM SPINAL FLUID | $8.00 | $16.00 | $4.62–$11.25 | 82% below | 50% |
| Calcium blood test, total CPT 82310 CALCIUM | $8.00 | $16.00 | $4.62–$11.25 | 82% below | 50% |
| Calcium blood test, total CPT 82310 CALCIUM TOTAL | $20.50 | $41.00 | $4.62–$11.25 | 55% below | 50% |
| Calcium blood test, total CPT 82310 REF Calcium | $20.50 | $41.00 | $4.62–$11.25 | 55% below | 50% |
| Calcium blood test, total inpatient CPT 82310 CALCIUM SPINAL FLUID | $8.00 | $16.00 | $4.62–$11.25 | — | 50% |
| Calcium blood test, total inpatient CPT 82310 CALCIUM | $8.00 | $16.00 | $4.62–$11.25 | — | 50% |
| Calcium blood test, total inpatient CPT 82310 REF Calcium | $20.50 | $41.00 | $4.62–$11.25 | — | 50% |
| Calcium blood test, total inpatient CPT 82310 CALCIUM TOTAL | $20.50 | $41.00 | $4.62–$11.25 | — | 50% |
| Carcinoembryonic antigen (CEA) test CPT 82378 REF Carcinoembryonic Agn Fluid | $12.50 | $25.00 | $16.31–$38.60 | 90% below | 50% |
| Carcinoembryonic antigen (CEA) test CPT 82378 CEA, FLUID | $27.00 | $54.00 | $16.31–$38.60 | 79% below | 50% |
| Carcinoembryonic antigen (CEA) test CPT 82378 CEA | $35.00 | $70.00 | $16.31–$38.60 | 72% below | 50% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 REF Carcinoembryonic Agn Fluid | $12.50 | $25.00 | $16.31–$38.60 | — | 50% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CEA, FLUID | $27.00 | $54.00 | $16.31–$38.60 | — | 50% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CEA | $35.00 | $70.00 | $16.31–$38.60 | — | 50% |
| Chickenpox (varicella) immunity blood test CPT 86787 REF Varicella-ZosterVir Ab IgM | $8.00 | $16.00 | $5.25–$27.00 | 92% below | 50% |
| Chickenpox (varicella) immunity blood test CPT 86787 REF VaricellaZosterVirusAb IgG | $8.00 | $16.00 | $5.25–$27.00 | 92% below | 50% |
| Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOST VIR AB QUAN IgM | $11.50 | $23.00 | $5.25–$27.00 | 88% below | 50% |
| Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA (IMMUNITY) IgG | $19.00 | $38.00 | $5.25–$27.00 | 81% below | 50% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 REF VaricellaZosterVirusAb IgG | $8.00 | $16.00 | $5.25–$27.00 | — | 50% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 REF Varicella-ZosterVir Ab IgM | $8.00 | $16.00 | $5.25–$27.00 | — | 50% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOST VIR AB QUAN IgM | $11.50 | $23.00 | $5.25–$27.00 | — | 50% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA (IMMUNITY) IgG | $19.00 | $38.00 | $5.25–$27.00 | — | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 REF Chlamydia trachomatis- TMA | $27.50 | $55.00 | $29.04–$70.26 | 72% below | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA NUC ACID AMPLIFICAT | $47.00 | $94.00 | $29.04–$70.26 | 53% below | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 GC/CHLAMYDIA NUCLEIC ACID AMPL | $47.00 | $94.00 | $29.04–$70.26 | 53% below | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYD TRACHOM AMP PROBE TECH | $47.00 | $94.00 | $29.04–$70.26 | 53% below | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 REF Chlamydia trachomatis- TMA | $27.50 | $55.00 | $29.04–$70.26 | — | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 GC/CHLAMYDIA NUCLEIC ACID AMPL | $47.00 | $94.00 | $29.04–$70.26 | — | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA NUC ACID AMPLIFICAT | $47.00 | $94.00 | $29.04–$70.26 | — | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYD TRACHOM AMP PROBE TECH | $47.00 | $94.00 | $29.04–$70.26 | — | 50% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 REF Lipid Panel | $9.00 | $18.00 | $12.21–$39.00 | 92% below | 50% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PROFILE | $20.50 | $41.00 | $12.21–$39.00 | 82% below | 50% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 REF Lipid Panel | $9.00 | $18.00 | $12.21–$39.00 | — | 50% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PROFILE | $20.50 | $41.00 | $12.21–$39.00 | — | 50% |
| Complete blood count (CBC) with differential CPT 85025 CBC W/PLT, AUTOMATED | $11.50 | $23.00 | $7.26–$22.00 | 79% below | 50% |
| Complete blood count (CBC) with differential CPT 85025 CBC WITH AUTO DIFF | $11.50 | $23.00 | $7.26–$22.00 | 79% below | 50% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC WITH AUTO DIFF | $11.50 | $23.00 | $7.26–$22.00 | — | 50% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC W/PLT, AUTOMATED | $11.50 | $23.00 | $7.26–$22.00 | — | 50% |
| Complete blood count (CBC), no differential CPT 85027 CBC WITH MANUAL DIFF | $10.00 | $20.00 | $5.94–$6.65 | 82% below | 50% |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC WITH MANUAL DIFF | $10.00 | $20.00 | $5.94–$6.65 | — | 50% |
| Comprehensive metabolic panel (blood test) CPT 80053 METABOLIC PANEL (COMPREH) | $15.00 | $30.00 | $9.57–$29.00 | 88% below | 50% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 METABOLIC PANEL (COMPREH) | $15.00 | $30.00 | $9.57–$29.00 | — | 50% |
| Cortisol blood test, total CPT 82533 CORTISOL,TOTAL | $23.50 | $47.00 | $3.96–$32.25 | 71% below | 50% |
| Cortisol blood test, total inpatient CPT 82533 CORTISOL,TOTAL | $23.50 | $47.00 | $3.96–$32.25 | — | 50% |
| Creatine kinase (CK) blood test, total CPT 82550 REF CK | $10.00 | $20.00 | $6.27–$18.62 | 85% below | 50% |
| Creatine kinase (CK) blood test, total CPT 82550 CK | $10.00 | $20.00 | $6.27–$18.62 | 85% below | 50% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 REF CK | $10.00 | $20.00 | $6.27–$18.62 | — | 50% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 CK | $10.00 | $20.00 | $6.27–$18.62 | — | 50% |
| Creatinine blood test CPT 82565 CREATININE | $8.00 | $16.00 | $4.62–$15.00 | 80% below | 50% |
| Creatinine blood test CPT 82565 REF Creatinine Serum or Plasma | $9.00 | $18.00 | $4.62–$15.00 | 78% below | 50% |
| Creatinine blood test inpatient CPT 82565 CREATININE | $8.00 | $16.00 | $4.62–$15.00 | — | 50% |
| Creatinine blood test inpatient CPT 82565 REF Creatinine Serum or Plasma | $9.00 | $18.00 | $4.62–$15.00 | — | 50% |
| Cytomegalovirus (CMV) antibody test CPT 86644 CYTOMEGALOVIRUS IgG | $24.50 | $49.00 | $13.20–$14.00 | 70% below | 50% |
| Cytomegalovirus (CMV) antibody test CPT 86644 REF Cytomegalovirus Antib, IgG | $26.00 | $52.00 | $13.20–$14.00 | 68% below | 50% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CYTOMEGALOVIRUS IgG | $24.50 | $49.00 | $13.20–$14.00 | — | 50% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 REF Cytomegalovirus Antib, IgG | $26.00 | $52.00 | $13.20–$14.00 | — | 50% |
| D-dimer blood test (blood clot marker) CPT 85379 D-DIMER (QUANTITATIVE) | $14.50 | $29.00 | $9.24–$28.00 | 83% below | 50% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER (QUANTITATIVE) | $14.50 | $29.00 | $9.24–$28.00 | — | 50% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEAS, SERUM | $40.50 | $81.00 | $6.30–$60.00 | 68% below | 50% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEAS, SERUM | $40.50 | $81.00 | $6.30–$60.00 | — | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 REF Drug Pnl 9 Ur Scr wRfx Cnf | $18.00 | $36.00 | $14.27–$169.54 | 61% below | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 AMPHETAMINE/METHAMPHET SCREEN | $29.50 | $59.00 | $14.27–$169.54 | 37% below | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 BARBITUATES SCREENING LC/MS | $29.50 | $59.00 | $14.27–$169.54 | 37% below | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 REF DrugPanl Ser/Pla Rflx Conf | $38.50 | $77.00 | $14.27–$169.54 | 18% below | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 NICOTINE/COTININE SC/CONFIRM | $51.00 | $102.00 | $14.27–$169.54 | 9% above | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN OVERDOSE | $89.50 | $179.00 | $14.27–$169.54 | 92% above | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN URINE QUALITATIVE | $89.50 | $179.00 | $14.27–$169.54 | 92% above | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 NICOTINE METABOLITE SCRN URINE | $89.50 | $179.00 | $14.27–$169.54 | 92% above | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN URINE COC PANEL 14 | $89.50 | $179.00 | $14.27–$169.54 | 92% above | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN URINE COC 9 PANEL | $89.50 | $179.00 | $14.27–$169.54 | 92% above | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN, BLOOD COC/NONCOC | $89.50 | $179.00 | $14.27–$169.54 | 92% above | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 ToxASSURE SEL UDS | $89.50 | $179.00 | $14.27–$169.54 | 92% above | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN, (INHOUSE,TRIAGE) | $89.50 | $179.00 | $14.27–$169.54 | 92% above | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 REF Drug Pnl 9 Ur Scr wRfx Cnf | $18.00 | $36.00 | $14.27–$169.54 | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 BARBITUATES SCREENING LC/MS | $29.50 | $59.00 | $14.27–$169.54 | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 AMPHETAMINE/METHAMPHET SCREEN | $29.50 | $59.00 | $14.27–$169.54 | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 REF DrugPanl Ser/Pla Rflx Conf | $38.50 | $77.00 | $14.27–$169.54 | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 NICOTINE/COTININE SC/CONFIRM | $51.00 | $102.00 | $14.27–$169.54 | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN URINE COC PANEL 14 | $89.50 | $179.00 | $14.27–$169.54 | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN URINE QUALITATIVE | $89.50 | $179.00 | $14.27–$169.54 | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN, (INHOUSE,TRIAGE) | $89.50 | $179.00 | $14.27–$169.54 | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 ToxASSURE SEL UDS | $89.50 | $179.00 | $14.27–$169.54 | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN OVERDOSE | $89.50 | $179.00 | $14.27–$169.54 | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 NICOTINE METABOLITE SCRN URINE | $89.50 | $179.00 | $14.27–$169.54 | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN URINE COC 9 PANEL | $89.50 | $179.00 | $14.27–$169.54 | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN, BLOOD COC/NONCOC | $89.50 | $179.00 | $14.27–$169.54 | — | 50% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 REF EB-VCA | $26.00 | $52.00 | $16.50–$17.50 | 56% below | 50% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN-BARR VCA IgG | $33.00 | $66.00 | $16.50–$17.50 | 44% below | 50% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN-BARR VCA IgM | $33.00 | $66.00 | $16.50–$17.50 | 44% below | 50% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 REF EB-VCA | $26.00 | $52.00 | $16.50–$17.50 | — | 50% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EPSTEIN-BARR VCA IgM | $33.00 | $66.00 | $16.50–$17.50 | — | 50% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EPSTEIN-BARR VCA IgG | $33.00 | $66.00 | $16.50–$17.50 | — | 50% |
| Estradiol blood test CPT 82670 ESTRADIOL | $50.50 | $101.00 | $7.35–$57.00 | 63% below | 50% |
| Estradiol blood test inpatient CPT 82670 ESTRADIOL | $50.50 | $101.00 | $7.35–$57.00 | — | 50% |
| FSH (follicle-stimulating hormone) test CPT 83001 REF Follicle Stimulat Hormone | $12.00 | $24.00 | $6.30–$38.25 | 92% below | 50% |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH | $34.00 | $68.00 | $6.30–$38.25 | 78% below | 50% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 REF Follicle Stimulat Hormone | $12.00 | $24.00 | $6.30–$38.25 | — | 50% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH | $34.00 | $68.00 | $6.30–$38.25 | — | 50% |
| Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN FECAL | $76.00 | $152.00 | $2.78–$58.45 | 63% below | 50% |
| Fecal calprotectin (stool inflammation test) CPT 83993 REF Calprotect Fec-Immunoassay | $86.50 | $173.00 | $2.78–$58.45 | 58% below | 50% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN FECAL | $76.00 | $152.00 | $2.78–$58.45 | — | 50% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 REF Calprotect Fec-Immunoassay | $86.50 | $173.00 | $2.78–$58.45 | — | 50% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN | $20.50 | $41.00 | $11.97–$39.00 | 81% below | 50% |
| Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN | $20.50 | $41.00 | $11.97–$39.00 | — | 50% |
| Folate (folic acid) blood test CPT 82746 FOLATE | $21.50 | $43.00 | $13.38–$41.00 | 80% below | 50% |
| Folate (folic acid) blood test inpatient CPT 82746 FOLATE | $21.50 | $43.00 | $13.38–$41.00 | — | 50% |
| Free T3 thyroid hormone test CPT 84481 T3 FREE | $30.00 | $60.00 | $4.20–$35.25 | 78% below | 50% |
| Free T3 thyroid hormone test inpatient CPT 84481 T3 FREE | $30.00 | $60.00 | $4.20–$35.25 | — | 50% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE | $13.00 | $26.00 | $8.23–$24.50 | 82% below | 50% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 REF Thyroxine Free | $13.00 | $26.00 | $8.23–$24.50 | 82% below | 50% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4 FREE | $13.00 | $26.00 | $8.23–$24.50 | — | 50% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 REF Thyroxine Free | $13.00 | $26.00 | $8.23–$24.50 | — | 50% |
| Free testosterone test CPT 84402 REF Testosterone Free-Mass Spc | $23.00 | $46.00 | $5.50–$51.00 | 70% below | 50% |
| Free testosterone test CPT 84402 TESTOSTERONE,FREE (DIRECT) | $35.50 | $71.00 | $5.50–$51.00 | 53% below | 50% |
| Free testosterone test inpatient CPT 84402 REF Testosterone Free-Mass Spc | $23.00 | $46.00 | $5.50–$51.00 | — | 50% |
| Free testosterone test inpatient CPT 84402 TESTOSTERONE,FREE (DIRECT) | $35.50 | $71.00 | $5.50–$51.00 | — | 50% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGT | $10.50 | $21.00 | $6.82–$20.00 | 81% below | 50% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 REF GGT | $10.50 | $21.00 | $6.82–$20.00 | 81% below | 50% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 REF GGT | $10.50 | $21.00 | $6.82–$20.00 | — | 50% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GGT | $10.50 | $21.00 | $6.82–$20.00 | — | 50% |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERNC 5HR 1ST 3 SPEC | $19.00 | $38.00 | $11.88–$12.87 | 87% below | 50% |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERNC 3HR 1ST 3 SPEC | $19.00 | $38.00 | $11.88–$12.87 | 87% below | 50% |
| Glucose tolerance test, 3 samples CPT 82951 LACTOSE TOLERANCE, 1ST 3 SPEC. | $19.00 | $38.00 | $11.88–$12.87 | 87% below | 50% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 LACTOSE TOLERANCE, 1ST 3 SPEC. | $19.00 | $38.00 | $11.88–$12.87 | — | 50% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOLERNC 3HR 1ST 3 SPEC | $19.00 | $38.00 | $11.88–$12.87 | — | 50% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOLERNC 5HR 1ST 3 SPEC | $19.00 | $38.00 | $11.88–$12.87 | — | 50% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 REF N. gonorrhoeae by TMA | $27.50 | $55.00 | $4.55–$70.26 | 73% below | 50% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONORRHOEAE | $46.50 | $93.00 | $4.55–$70.26 | 55% below | 50% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC NUCLEIC ACID AMPLIFICATION | $48.50 | $97.00 | $4.55–$70.26 | 53% below | 50% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 REF N. gonorrhoeae by TMA | $27.50 | $55.00 | $4.55–$70.26 | — | 50% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NEISSERIA GONORRHOEAE | $46.50 | $93.00 | $4.55–$70.26 | — | 50% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GC NUCLEIC ACID AMPLIFICATION | $48.50 | $97.00 | $4.55–$70.26 | — | 50% |
| H. pylori stool antigen test CPT 87338 HELICOBACTER PYLOR STOOL ANTGN | $21.00 | $42.00 | $13.20–$20.65 | 86% below | 50% |
| H. pylori stool antigen test CPT 87338 REF Helico pylori Ag Fecal-EIA | $30.50 | $61.00 | $13.20–$20.65 | 80% below | 50% |
| H. pylori stool antigen test inpatient CPT 87338 HELICOBACTER PYLOR STOOL ANTGN | $21.00 | $42.00 | $13.20–$20.65 | — | 50% |
| H. pylori stool antigen test inpatient CPT 87338 REF Helico pylori Ag Fecal-EIA | $30.50 | $61.00 | $13.20–$20.65 | — | 50% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 REF HIV-1 by Quant NAAT Plasma | $61.00 | $122.00 | $108.47 | 74% below | 50% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV1-RNA(PCR)- QUANTITATIVE | $117.00 | $234.00 | $108.47 | 51% below | 50% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 REF HIV-1 by Quant NAAT Plasma | $61.00 | $122.00 | $108.47 | — | 50% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV1-RNA(PCR)- QUANTITATIVE | $117.00 | $234.00 | $108.47 | — | 50% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 REF HIV-1,2 Combo Ag/Ab Reflex | $17.00 | $34.00 | $10.89–$65.00 | 76% below | 50% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 4th GENERATION TEST | $33.50 | $67.00 | $10.89–$65.00 | 53% below | 50% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 REF HIV-1,2 Combo Ag/Ab Reflex | $17.00 | $34.00 | $10.89–$65.00 | — | 50% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV 4th GENERATION TEST | $33.50 | $67.00 | $10.89–$65.00 | — | 50% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 REF Hemoglobin A1C | $8.00 | $16.00 | $8.58–$27.00 | 89% below | 50% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C W/eAG | $14.00 | $28.00 | $8.58–$27.00 | 80% below | 50% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C | $14.00 | $28.00 | $8.58–$27.00 | 80% below | 50% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 REF Hemoglobin A1C | $8.00 | $16.00 | $8.58–$27.00 | — | 50% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN A1C | $14.00 | $28.00 | $8.58–$27.00 | — | 50% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN A1C W/eAG | $14.00 | $28.00 | $8.58–$27.00 | — | 50% |
| Hemoglobin blood test CPT 85018 HEMOGLOBIN ABG | $4.50 | $9.00 | $2.37–$7.84 | 83% below | 50% |
| Hemoglobin blood test CPT 85018 HEMOGLOBIN (Hgb) | $4.50 | $9.00 | $2.37–$7.84 | 83% below | 50% |
| Hemoglobin blood test CPT 85018 HEMOGLOBIN & HEMATOCRIT (HH) | $4.50 | $9.00 | $2.37–$7.84 | 83% below | 50% |
| Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN (Hgb) | $4.50 | $9.00 | $2.37–$7.84 | — | 50% |
| Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN ABG | $4.50 | $9.00 | $2.37–$7.84 | — | 50% |
| Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN & HEMATOCRIT (HH) | $4.50 | $9.00 | $2.37–$7.84 | — | 50% |
| Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE AB TOTAL | $10.50 | $21.00 | $4.20–$25.48 | 86% below | 50% |
| Hepatitis B core antibody test (total) CPT 86704 HBcAb (IgG & IgM) | $17.00 | $34.00 | $4.20–$25.48 | 77% below | 50% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 HEPATITIS B CORE AB TOTAL | $10.50 | $21.00 | $4.20–$25.48 | — | 50% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 HBcAb (IgG & IgM) | $17.00 | $34.00 | $4.20–$25.48 | — | 50% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 ANTI-HBsAg (IMMUNITY) | $15.00 | $30.00 | $3.85–$22.39 | 83% below | 50% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 anti-HBsAg | $15.00 | $30.00 | $3.85–$22.39 | 83% below | 50% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 ANTI-HBsAg (IMMUNITY) | $15.00 | $30.00 | $3.85–$22.39 | — | 50% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 anti-HBsAg | $15.00 | $30.00 | $3.85–$22.39 | — | 50% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B ANTIGEN | $14.50 | $29.00 | $8.91–$21.62 | 79% below | 50% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HBsAg | $14.50 | $29.00 | $8.91–$21.62 | 79% below | 50% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HBsAg | $14.50 | $29.00 | $8.91–$21.62 | — | 50% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B ANTIGEN | $14.50 | $29.00 | $8.91–$21.62 | — | 50% |
| Hepatitis C antibody blood test (screening) CPT 86803 REF HepCVirusAb wRflx-HCV NAAT | $10.00 | $20.00 | $13.20–$40.00 | 88% below | 50% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPAT C VIR AB W/REFLX TO PCR | $21.00 | $42.00 | $13.20–$40.00 | 76% below | 50% |
| Hepatitis C antibody blood test (screening) CPT 86803 ANTI-HEPATITIS C | $21.00 | $42.00 | $13.20–$40.00 | 76% below | 50% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 REF HepCVirusAb wRflx-HCV NAAT | $10.00 | $20.00 | $13.20–$40.00 | — | 50% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 ANTI-HEPATITIS C | $21.00 | $42.00 | $13.20–$40.00 | — | 50% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPAT C VIR AB W/REFLX TO PCR | $21.00 | $42.00 | $13.20–$40.00 | — | 50% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C RNA-PCR (QUAN) | $60.00 | $120.00 | $33.40–$42.84 | 76% below | 50% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 REF HCV by Quantitative NAAT | $61.50 | $123.00 | $33.40–$42.84 | 75% below | 50% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 REF HCV Quant wReflx-HCV Gntyp | $61.50 | $123.00 | $33.40–$42.84 | 75% below | 50% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C RNA-PCR (QUAN) | $60.00 | $120.00 | $33.40–$42.84 | — | 50% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 REF HCV by Quantitative NAAT | $61.50 | $123.00 | $33.40–$42.84 | — | 50% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 REF HCV Quant wReflx-HCV Gntyp | $61.50 | $123.00 | $33.40–$42.84 | — | 50% |
| Herpes blood test, HSV-1 antibody CPT 86695 REF HSV 1 IgG | $40.50 | $81.00 | $16.81–$75.00 | 33% below | 50% |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES 1 IgG | $40.50 | $81.00 | $16.81–$75.00 | 33% below | 50% |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES 1 IgM | $40.50 | $81.00 | $16.81–$75.00 | 33% below | 50% |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES TITER I IGG CONT | $40.50 | $81.00 | $16.81–$75.00 | 33% below | 50% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES TITER I IGG CONT | $40.50 | $81.00 | $16.81–$75.00 | — | 50% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES 1 IgM | $40.50 | $81.00 | $16.81–$75.00 | — | 50% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES 1 IgG | $40.50 | $81.00 | $16.81–$75.00 | — | 50% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 REF HSV 1 IgG | $40.50 | $81.00 | $16.81–$75.00 | — | 50% |
| Herpes blood test, HSV-2 antibody CPT 86696 REF HSV 2 IgG | $40.50 | $81.00 | $24.67–$33.37 | 33% below | 50% |
| Herpes blood test, HSV-2 antibody CPT 86696 HSV-2 IgG REFLEX CHARGE | $40.50 | $81.00 | $24.67–$33.37 | 33% below | 50% |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES 2-IgM | $40.50 | $81.00 | $24.67–$33.37 | 33% below | 50% |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES II-IgG | $40.50 | $81.00 | $24.67–$33.37 | 33% below | 50% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 REF HSV 2 IgG | $40.50 | $81.00 | $24.67–$33.37 | — | 50% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES II-IgG | $40.50 | $81.00 | $24.67–$33.37 | — | 50% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES 2-IgM | $40.50 | $81.00 | $24.67–$33.37 | — | 50% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV-2 IgG REFLEX CHARGE | $40.50 | $81.00 | $24.67–$33.37 | — | 50% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 CRP HIGH SENSITIVITY (CARDIAC) | $19.00 | $38.00 | $27.00 | 73% below | 50% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CRP HIGH SENSITIVITY (CARDIAC) | $19.00 | $38.00 | $27.00 | — | 50% |
| Homocysteine blood test CPT 83090 REF Homocysteine, Total | $13.50 | $27.00 | $9.10–$30.30 | 89% below | 50% |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE, SERUM | $25.50 | $51.00 | $9.10–$30.30 | 80% below | 50% |
| Homocysteine blood test inpatient CPT 83090 REF Homocysteine, Total | $13.50 | $27.00 | $9.10–$30.30 | — | 50% |
| Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE, SERUM | $25.50 | $51.00 | $9.10–$30.30 | — | 50% |
| Insulin blood test CPT 83525 REF Insulin, Fasting | $6.50 | $13.00 | $4.20–$23.25 | 92% below | 50% |
| Insulin blood test CPT 83525 REF Insulin, Random | $6.50 | $13.00 | $4.20–$23.25 | 92% below | 50% |
| Insulin blood test CPT 83525 INSULIN, SERUM TOTAL | $16.00 | $32.00 | $4.20–$23.25 | 81% below | 50% |
| Insulin blood test inpatient CPT 83525 REF Insulin, Fasting | $6.50 | $13.00 | $4.20–$23.25 | — | 50% |
| Insulin blood test inpatient CPT 83525 REF Insulin, Random | $6.50 | $13.00 | $4.20–$23.25 | — | 50% |
| Insulin blood test inpatient CPT 83525 INSULIN, SERUM TOTAL | $16.00 | $32.00 | $4.20–$23.25 | — | 50% |
| Iron blood test (serum iron) CPT 83540 IRON | $10.00 | $20.00 | $5.82–$19.00 | 86% below | 50% |
| Iron blood test (serum iron) CPT 83540 REF Iron | $62.00 | $124.00 | $5.82–$19.00 | 14% below | 50% |
| Iron blood test (serum iron) inpatient CPT 83540 IRON | $10.00 | $20.00 | $5.82–$19.00 | — | 50% |
| Iron blood test (serum iron) inpatient CPT 83540 REF Iron | $62.00 | $124.00 | $5.82–$19.00 | — | 50% |
| Iron-binding capacity (TIBC) test CPT 83550 REF Iron Binding | $12.50 | $25.00 | $7.44–$24.00 | 84% below | 50% |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY | $12.50 | $25.00 | $7.44–$24.00 | 84% below | 50% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CAPACITY | $12.50 | $25.00 | $7.44–$24.00 | — | 50% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 REF Iron Binding | $12.50 | $25.00 | $7.44–$24.00 | — | 50% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $12.50 | $25.00 | $7.59–$24.00 | 86% below | 50% |
| Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL | $12.50 | $25.00 | $7.59–$24.00 | — | 50% |
| LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE | $33.50 | $67.00 | $4.55–$36.75 | 76% below | 50% |
| LH (luteinizing hormone) test inpatient CPT 83002 LUTEINIZING HORMONE | $33.50 | $67.00 | $4.55–$36.75 | — | 50% |
| Lactate (lactic acid) blood test CPT 83605 LACTIC ACID | $16.00 | $32.00 | $10.23–$30.38 | 77% below | 50% |
| Lactate (lactic acid) blood test inpatient CPT 83605 LACTIC ACID | $16.00 | $32.00 | $10.23–$30.38 | — | 50% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 REF Lactate Dehydrogen Bdy Fld | $6.00 | $12.00 | $5.94–$25.00 | 87% below | 50% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LDH | $9.50 | $19.00 | $5.94–$25.00 | 80% below | 50% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LDH FLUID | $9.50 | $19.00 | $5.94–$25.00 | 80% below | 50% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 REF Lactate Dehydrogen Bdy Fld | $6.00 | $12.00 | $5.94–$25.00 | — | 50% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH FLUID | $9.50 | $19.00 | $5.94–$25.00 | — | 50% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH | $9.50 | $19.00 | $5.94–$25.00 | — | 50% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE | $10.50 | $21.00 | $6.11–$20.00 | 84% below | 50% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE | $10.50 | $21.00 | $6.11–$20.00 | — | 50% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL A | $12.00 | $24.00 | $7.55–$47.19 | 87% below | 50% |
| Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL A | $12.00 | $24.00 | $7.55–$47.19 | — | 50% |
| Lyme disease antibody test CPT 86618 BORRELIA BURD VLSE1/PEPC10 AB | $24.00 | $48.00 | $17.03–$104.22 | 53% below | 50% |
| Lyme disease antibody test CPT 86618 LYME DISEASE SEROLOGY W/REFLEX | $24.50 | $49.00 | $17.03–$104.22 | 52% below | 50% |
| Lyme disease antibody test CPT 86618 LYME DISEASE AB IGG | $24.50 | $49.00 | $17.03–$104.22 | 52% below | 50% |
| Lyme disease antibody test CPT 86618 LYME DISEASE AB IGM | $24.50 | $49.00 | $17.03–$104.22 | 52% below | 50% |
| Lyme disease antibody test CPT 86618 REF Lyme Mod 2Tier Test-Tier 1 | $37.00 | $74.00 | $17.03–$104.22 | 27% below | 50% |
| Lyme disease antibody test CPT 86618 REF BORRELIA BURG VISE/PEPC10 | $119.50 | $239.00 | $17.03–$104.22 | 135% above | 50% |
| Lyme disease antibody test inpatient CPT 86618 BORRELIA BURD VLSE1/PEPC10 AB | $24.00 | $48.00 | $17.03–$104.22 | — | 50% |
| Lyme disease antibody test inpatient CPT 86618 LYME DISEASE SEROLOGY W/REFLEX | $24.50 | $49.00 | $17.03–$104.22 | — | 50% |
| Lyme disease antibody test inpatient CPT 86618 LYME DISEASE AB IGG | $24.50 | $49.00 | $17.03–$104.22 | — | 50% |
| Lyme disease antibody test inpatient CPT 86618 LYME DISEASE AB IGM | $24.50 | $49.00 | $17.03–$104.22 | — | 50% |
| Lyme disease antibody test inpatient CPT 86618 REF Lyme Mod 2Tier Test-Tier 1 | $37.00 | $74.00 | $17.03–$104.22 | — | 50% |
| Lyme disease antibody test inpatient CPT 86618 REF BORRELIA BURG VISE/PEPC10 | $119.50 | $239.00 | $17.03–$104.22 | — | 50% |
| Magnesium blood test CPT 83735 REF Magnesium, Urine | $7.50 | $15.00 | $6.27–$19.00 | 85% below | 50% |
| Magnesium blood test CPT 83735 REF Magnesium, Plasma or Serum | $7.50 | $15.00 | $6.27–$19.00 | 85% below | 50% |
| Magnesium blood test CPT 83735 MAGNESIUM | $10.00 | $20.00 | $6.27–$19.00 | 80% below | 50% |
| Magnesium blood test CPT 83735 MAGNESIUM, (URINE) 24HR | $10.00 | $20.00 | $6.27–$19.00 | 80% below | 50% |
| Magnesium blood test CPT 83735 RBC, MAGNESIUM | $10.00 | $20.00 | $6.27–$19.00 | 80% below | 50% |
| Magnesium blood test CPT 83735 MAGNESIUM, URINE (RANDOM) | $10.00 | $20.00 | $6.27–$19.00 | 80% below | 50% |
| Magnesium blood test CPT 83735 REF Magnesium, RBC | $26.00 | $52.00 | $6.27–$19.00 | 47% below | 50% |
| Magnesium blood test inpatient CPT 83735 REF Magnesium, Plasma or Serum | $7.50 | $15.00 | $6.27–$19.00 | — | 50% |
| Magnesium blood test inpatient CPT 83735 REF Magnesium, Urine | $7.50 | $15.00 | $6.27–$19.00 | — | 50% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM, URINE (RANDOM) | $10.00 | $20.00 | $6.27–$19.00 | — | 50% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM, (URINE) 24HR | $10.00 | $20.00 | $6.27–$19.00 | — | 50% |
| Magnesium blood test inpatient CPT 83735 RBC, MAGNESIUM | $10.00 | $20.00 | $6.27–$19.00 | — | 50% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM | $10.00 | $20.00 | $6.27–$19.00 | — | 50% |
| Magnesium blood test inpatient CPT 83735 REF Magnesium, RBC | $26.00 | $52.00 | $6.27–$19.00 | — | 50% |
| Measles (rubeola) antibody test CPT 86765 REF Measles (Rubeola)Antib IgG | $7.50 | $15.00 | $4.90 | 86% below | 50% |
| Measles (rubeola) antibody test CPT 86765 REF Measles (Rubeola) Ab, IgM | $9.50 | $19.00 | $4.90 | 83% below | 50% |
| Measles (rubeola) antibody test CPT 86765 MEASLES (RUBEOLA) AB IGM | $11.00 | $22.00 | $4.90 | 80% below | 50% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA IMMUNITY IGG | $19.00 | $38.00 | $4.90 | 65% below | 50% |
| Measles (rubeola) antibody test inpatient CPT 86765 REF Measles (Rubeola)Antib IgG | $7.50 | $15.00 | $4.90 | — | 50% |
| Measles (rubeola) antibody test inpatient CPT 86765 REF Measles (Rubeola) Ab, IgM | $9.50 | $19.00 | $4.90 | — | 50% |
| Measles (rubeola) antibody test inpatient CPT 86765 MEASLES (RUBEOLA) AB IGM | $11.00 | $22.00 | $4.90 | — | 50% |
| Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA IMMUNITY IGG | $19.00 | $38.00 | $4.90 | — | 50% |
| Mono test (heterophile antibody, Monospot) CPT 86308 MONOTEST WHOLE BLOOD POC | $8.00 | $16.00 | $4.62–$14.70 | 84% below | 50% |
| Mono test (heterophile antibody, Monospot) CPT 86308 TC MONO SCREEN | $8.00 | $16.00 | $4.62–$14.70 | 84% below | 50% |
| Mono test (heterophile antibody, Monospot) CPT 86308 MONO SCREEN | $8.00 | $16.00 | $4.62–$14.70 | 84% below | 50% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONO SCREEN | $8.00 | $16.00 | $4.62–$14.70 | — | 50% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 TC MONO SCREEN | $8.00 | $16.00 | $4.62–$14.70 | — | 50% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONOTEST WHOLE BLOOD POC | $8.00 | $16.00 | $4.62–$14.70 | — | 50% |
| Mumps immunity blood test CPT 86735 REF Mumps Virus Ab, IgG | $6.50 | $13.00 | $4.20–$27.00 | 91% below | 50% |
| Mumps immunity blood test CPT 86735 REF Mumps Virus Ab, IgM | $9.00 | $18.00 | $4.20–$27.00 | 87% below | 50% |
| Mumps immunity blood test CPT 86735 MUMPS ANTIBODY- IGG | $19.00 | $38.00 | $4.20–$27.00 | 73% below | 50% |
| Mumps immunity blood test CPT 86735 MUMPS ANTIBODY IGM | $19.00 | $38.00 | $4.20–$27.00 | 73% below | 50% |
| Mumps immunity blood test CPT 86735 MMR IMMUNITY PROFILE | $19.00 | $38.00 | $4.20–$27.00 | 73% below | 50% |
| Mumps immunity blood test inpatient CPT 86735 REF Mumps Virus Ab, IgG | $6.50 | $13.00 | $4.20–$27.00 | — | 50% |
| Mumps immunity blood test inpatient CPT 86735 REF Mumps Virus Ab, IgM | $9.00 | $18.00 | $4.20–$27.00 | — | 50% |
| Mumps immunity blood test inpatient CPT 86735 MUMPS ANTIBODY- IGG | $19.00 | $38.00 | $4.20–$27.00 | — | 50% |
| Mumps immunity blood test inpatient CPT 86735 MUMPS ANTIBODY IGM | $19.00 | $38.00 | $4.20–$27.00 | — | 50% |
| Mumps immunity blood test inpatient CPT 86735 MMR IMMUNITY PROFILE | $19.00 | $38.00 | $4.20–$27.00 | — | 50% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA, FREE:Total ratio | $26.00 | $52.00 | $16.46–$17.50 | 68% below | 50% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 REF PSA Free | $26.00 | $52.00 | $16.46–$17.50 | 68% below | 50% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA (FREE) | $33.50 | $67.00 | $16.46–$17.50 | 58% below | 50% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 REF PSA Free | $26.00 | $52.00 | $16.46–$17.50 | — | 50% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA, FREE:Total ratio | $26.00 | $52.00 | $16.46–$17.50 | — | 50% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA (FREE) | $33.50 | $67.00 | $16.46–$17.50 | — | 50% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA DIAGNOSTIC SERIAL MONITRNG | $26.00 | $52.00 | $10.35–$39.00 | 78% below | 50% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA SCREEN REFLEX TO FREE PSA | $26.00 | $52.00 | $10.35–$39.00 | 78% below | 50% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA DIAG REFLEX TO FREE PSA | $26.00 | $52.00 | $10.35–$39.00 | 78% below | 50% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA SCREEN W/SERIAL MONITORING | $26.00 | $52.00 | $10.35–$39.00 | 78% below | 50% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA (DIAGNOSTIC) | $26.00 | $52.00 | $10.35–$39.00 | 78% below | 50% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE CANCER SCREENING-PSA | $26.00 | $52.00 | $10.35–$39.00 | 78% below | 50% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA SERIAL MON REFLEX FREE PSA | $26.00 | $52.00 | $10.35–$39.00 | 78% below | 50% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA, TOTAL SCREENING | $28.00 | $56.00 | $10.35–$39.00 | 77% below | 50% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA SCREEN REFLEX TO FREE PSA | $26.00 | $52.00 | $10.35–$39.00 | — | 50% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA (DIAGNOSTIC) | $26.00 | $52.00 | $10.35–$39.00 | — | 50% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA DIAG REFLEX TO FREE PSA | $26.00 | $52.00 | $10.35–$39.00 | — | 50% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATE CANCER SCREENING-PSA | $26.00 | $52.00 | $10.35–$39.00 | — | 50% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA SERIAL MON REFLEX FREE PSA | $26.00 | $52.00 | $10.35–$39.00 | — | 50% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA DIAGNOSTIC SERIAL MONITRNG | $26.00 | $52.00 | $10.35–$39.00 | — | 50% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA SCREEN W/SERIAL MONITORING | $26.00 | $52.00 | $10.35–$39.00 | — | 50% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA, TOTAL SCREENING | $28.00 | $56.00 | $10.35–$39.00 | — | 50% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 BIOPSY 88142 | $37.00 | $74.00 | $18.15–$41.25 | 39% below | 50% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 BIOPSY 88142 | $37.00 | $74.00 | $18.15–$41.25 | — | 50% |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE CHRG ONLY* | $20.50 | $41.00 | $28.94–$109.76 | 89% below | 50% |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE INTACT | $58.00 | $116.00 | $28.94–$109.76 | 70% below | 50% |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID (MID-MOLECULE) | $58.00 | $116.00 | $28.94–$109.76 | 70% below | 50% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHYROID HORMONE CHRG ONLY* | $20.50 | $41.00 | $28.94–$109.76 | — | 50% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHYROID HORMONE INTACT | $58.00 | $116.00 | $28.94–$109.76 | — | 50% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHYROID (MID-MOLECULE) | $58.00 | $116.00 | $28.94–$109.76 | — | 50% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 REF Inhibitor Assay, PTT, Rflx | $8.50 | $17.00 | $6.01–$218.54 | 90% below | 50% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 ptt-LA | $115.00 | $230.00 | $6.01–$218.54 | 41% above | 50% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT | $115.00 | $230.00 | $6.01–$218.54 | 41% above | 50% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 REF Inhibitor Assay, PTT, Rflx | $8.50 | $17.00 | $6.01–$218.54 | — | 50% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 ptt-LA | $115.00 | $230.00 | $6.01–$218.54 | — | 50% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT | $115.00 | $230.00 | $6.01–$218.54 | — | 50% |
| Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS | $7.50 | $15.00 | $4.29–$13.72 | 86% below | 50% |
| Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHORUS | $7.50 | $15.00 | $4.29–$13.72 | — | 50% |
| Potassium blood test CPT 84132 POTASSIUM | $7.50 | $15.00 | $4.44–$4.90 | 84% below | 50% |
| Potassium blood test inpatient CPT 84132 POTASSIUM | $7.50 | $15.00 | $4.44–$4.90 | — | 50% |
| Progesterone blood test CPT 84144 REF Progesterone Quan Ser/Plas | $19.00 | $38.00 | $12.60–$42.75 | 85% below | 50% |
| Progesterone blood test CPT 84144 PROGESTERONE | $38.00 | $76.00 | $12.60–$42.75 | 69% below | 50% |
| Progesterone blood test inpatient CPT 84144 REF Progesterone Quan Ser/Plas | $19.00 | $38.00 | $12.60–$42.75 | — | 50% |
| Progesterone blood test inpatient CPT 84144 PROGESTERONE | $38.00 | $76.00 | $12.60–$42.75 | — | 50% |
| Prolactin blood test CPT 84146 REF Prolactin | $12.00 | $24.00 | $8.05–$38.25 | 91% below | 50% |
| Prolactin blood test CPT 84146 MACROPROLACTIN | $27.50 | $55.00 | $8.05–$38.25 | 79% below | 50% |
| Prolactin blood test CPT 84146 REF Macroprolactin | $30.50 | $61.00 | $8.05–$38.25 | 77% below | 50% |
| Prolactin blood test CPT 84146 PROLACTIN | $35.50 | $71.00 | $8.05–$38.25 | 73% below | 50% |
| Prolactin blood test inpatient CPT 84146 REF Prolactin | $12.00 | $24.00 | $8.05–$38.25 | — | 50% |
| Prolactin blood test inpatient CPT 84146 MACROPROLACTIN | $27.50 | $55.00 | $8.05–$38.25 | — | 50% |
| Prolactin blood test inpatient CPT 84146 REF Macroprolactin | $30.50 | $61.00 | $8.05–$38.25 | — | 50% |
| Prolactin blood test inpatient CPT 84146 PROLACTIN | $35.50 | $71.00 | $8.05–$38.25 | — | 50% |
| Prothrombin time (PT/INR) clotting test CPT 85610 POC INR | $8.00 | $16.00 | $4.20–$172.16 | 81% below | 50% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME W/ INR | $115.00 | $230.00 | $4.20–$172.16 | 179% above | 50% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 POC INR | $8.00 | $16.00 | $4.20–$172.16 | — | 50% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME W/ INR | $115.00 | $230.00 | $4.20–$172.16 | — | 50% |
| Renin blood test CPT 84244 REF Renin Activity | $13.50 | $27.00 | $9.10–$28.04 | 90% below | 50% |
| Renin blood test CPT 84244 RENIN ACTIVITY | $37.00 | $74.00 | $9.10–$28.04 | 74% below | 50% |
| Renin blood test CPT 84244 REF RENIN DIRECT | $185.50 | $371.00 | $9.10–$28.04 | 31% above | 50% |
| Renin blood test inpatient CPT 84244 REF Renin Activity | $13.50 | $27.00 | $9.10–$28.04 | — | 50% |
| Renin blood test inpatient CPT 84244 RENIN ACTIVITY | $37.00 | $74.00 | $9.10–$28.04 | — | 50% |
| Renin blood test inpatient CPT 84244 REF RENIN DIRECT | $185.50 | $371.00 | $9.10–$28.04 | — | 50% |
| Rh blood typing CPT 86901 RH TYPE | $6.00 | $12.00 | $2.99–$10.78 | 86% below | 50% |
| Rh blood typing CPT 86901 RH FACTOR (CHARGE ONLY) | $6.00 | $12.00 | $2.99–$10.78 | 86% below | 50% |
| Rh blood typing inpatient CPT 86901 RH FACTOR (CHARGE ONLY) | $6.00 | $12.00 | $2.99–$10.78 | — | 50% |
| Rh blood typing inpatient CPT 86901 RH TYPE | $6.00 | $12.00 | $2.99–$10.78 | — | 50% |
| Rubella antibody test (immunity check) CPT 86762 REF Rubella Antibody, IgG | $8.00 | $16.00 | $5.25 | 91% below | 50% |
| Rubella antibody test (immunity check) CPT 86762 REF Rubella Antibody, IgM | $8.00 | $16.00 | $5.25 | 91% below | 50% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA | $21.00 | $42.00 | $5.25 | 77% below | 50% |
| Rubella antibody test (immunity check) inpatient CPT 86762 REF Rubella Antibody, IgG | $8.00 | $16.00 | $5.25 | — | 50% |
| Rubella antibody test (immunity check) inpatient CPT 86762 REF Rubella Antibody, IgM | $8.00 | $16.00 | $5.25 | — | 50% |
| Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA | $21.00 | $42.00 | $5.25 | — | 50% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SEDRATE AUTO | $7.00 | $14.00 | $2.70–$12.79 | 81% below | 50% |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 SEDRATE AUTO | $7.00 | $14.00 | $2.70–$12.79 | — | 50% |
| Sodium blood test CPT 84295 SODIUM | $8.00 | $16.00 | $4.62 | 84% below | 50% |
| Sodium blood test inpatient CPT 84295 SODIUM | $8.00 | $16.00 | $4.62 | — | 50% |
| Stool ova and parasites exam CPT 87177 REF Ova and Parasite | $13.00 | $26.00 | $1.39–$19.30 | 80% below | 50% |
| Stool ova and parasites exam CPT 87177 OVA&PARASITE,TRICHOME S | $13.00 | $26.00 | $1.39–$19.30 | 80% below | 50% |
| Stool ova and parasites exam inpatient CPT 87177 REF Ova and Parasite | $13.00 | $26.00 | $1.39–$19.30 | — | 50% |
| Stool ova and parasites exam inpatient CPT 87177 OVA&PARASITE,TRICHOME S | $13.00 | $26.00 | $1.39–$19.30 | — | 50% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD STOOL SCRN 1-3DET | $7.00 | $14.00 | $4.15–$4.55 | 70% below | 50% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLOOD STOOL SCRN 1-3DET | $7.00 | $14.00 | $4.15–$4.55 | — | 50% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 REF T pallidAb FTA-ABS Ser IgG | $8.00 | $16.00 | $5.25 | 81% below | 50% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 REF TREPONEMA PALL AB,IgG ELIS | $19.00 | $38.00 | $5.25 | 54% below | 50% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 FTA | $20.00 | $40.00 | $5.25 | 52% below | 50% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 REF T pallidAb FTA-ABS Ser IgG | $8.00 | $16.00 | $5.25 | — | 50% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 REF TREPONEMA PALL AB,IgG ELIS | $19.00 | $38.00 | $5.25 | — | 50% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 FTA | $20.00 | $40.00 | $5.25 | — | 50% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 REF RPR wRflx-Titer&TP-PA Conf | $4.50 | $9.00 | $2.80–$13.00 | 89% below | 50% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR-VDRL, REFLEX TO FTA | $7.00 | $14.00 | $2.80–$13.00 | 83% below | 50% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL (RPR) SPINAL FLUID | $7.00 | $14.00 | $2.80–$13.00 | 83% below | 50% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 REF RPR wRflx-Titer&TP-PA Conf | $4.50 | $9.00 | $2.80–$13.00 | — | 50% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR-VDRL, REFLEX TO FTA | $7.00 | $14.00 | $2.80–$13.00 | — | 50% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL (RPR) SPINAL FLUID | $7.00 | $14.00 | $2.80–$13.00 | — | 50% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 REF QuantiFERON-TBGoldPlus1Tbe | $37.00 | $74.00 | $24.85–$120.00 | 72% below | 50% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB ASSAY INTERFERON GAMMA REL | $85.00 | $170.00 | $24.85–$120.00 | 37% below | 50% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON-TB GOLD-CLNT INCUB | $85.00 | $170.00 | $24.85–$120.00 | 37% below | 50% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 REF QuantiFERON-TBGoldPlus1Tbe | $37.00 | $74.00 | $24.85–$120.00 | — | 50% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON-TB GOLD-CLNT INCUB | $85.00 | $170.00 | $24.85–$120.00 | — | 50% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 TB ASSAY INTERFERON GAMMA REL | $85.00 | $170.00 | $24.85–$120.00 | — | 50% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL WMN/CHLD | $36.50 | $73.00 | $21.54–$52.50 | 66% below | 50% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL | $36.50 | $73.00 | $21.54–$52.50 | 66% below | 50% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL WMN/CHLD | $36.50 | $73.00 | $21.54–$52.50 | — | 50% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL | $36.50 | $73.00 | $21.54–$52.50 | — | 50% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 REF Liv-Kidn Microsome Abs IgG | $10.50 | $21.00 | $4.20–$30.75 | 88% below | 50% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 THYR AUTO-CONT | $21.50 | $43.00 | $4.20–$30.75 | 76% below | 50% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 ANTI-MICROSOMAL ANTIBODY | $21.50 | $43.00 | $4.20–$30.75 | 76% below | 50% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 REF Liv-Kidn Microsome Abs IgG | $10.50 | $21.00 | $4.20–$30.75 | — | 50% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYR AUTO-CONT | $21.50 | $43.00 | $4.20–$30.75 | — | 50% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 ANTI-MICROSOMAL ANTIBODY | $21.50 | $43.00 | $4.20–$30.75 | — | 50% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH, ULTRA-SENSITIVE | $24.00 | $48.00 | $7.66–$46.00 | 72% below | 50% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH | $24.00 | $48.00 | $7.66–$46.00 | 72% below | 50% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH, HIGHLY-SENSITIVE | $24.00 | $48.00 | $7.66–$46.00 | 72% below | 50% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH | $24.00 | $48.00 | $7.66–$46.00 | — | 50% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH, HIGHLY-SENSITIVE | $24.00 | $48.00 | $7.66–$46.00 | — | 50% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH, ULTRA-SENSITIVE | $24.00 | $48.00 | $7.66–$46.00 | — | 50% |
| Total IgE blood test CPT 82785 IgE TOTAL | $30.00 | $60.00 | $3.85–$252.00 | 70% below | 50% |
| Total IgE blood test CPT 82785 ALLERGEN PROFILE W IGE ZONE 5 | $130.00 | $260.00 | $3.85–$252.00 | 31% above | 50% |
| Total IgE blood test inpatient CPT 82785 IgE TOTAL | $30.00 | $60.00 | $3.85–$252.00 | — | 50% |
| Total IgE blood test inpatient CPT 82785 ALLERGEN PROFILE W IGE ZONE 5 | $130.00 | $260.00 | $3.85–$252.00 | — | 50% |
| Total cholesterol blood test CPT 82465 CHOLESTEROL | $7.00 | $14.00 | $9.75–$12.38 | 85% below | 50% |
| Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL | $7.00 | $14.00 | $9.75–$12.38 | — | 50% |
| Total thyroxine (T4) blood test CPT 84436 REF Assay total Thyroxine | $10.50 | $21.00 | $6.52–$20.00 | 86% below | 50% |
| Total thyroxine (T4) blood test CPT 84436 T4 | $10.50 | $21.00 | $6.52–$20.00 | 86% below | 50% |
| Total thyroxine (T4) blood test inpatient CPT 84436 REF Assay total Thyroxine | $10.50 | $21.00 | $6.52–$20.00 | — | 50% |
| Total thyroxine (T4) blood test inpatient CPT 84436 T4 | $10.50 | $21.00 | $6.52–$20.00 | — | 50% |
| Total triiodothyronine (T3) blood test CPT 84480 T3 TOTAL | $25.00 | $50.00 | $13.20–$18.07 | 73% below | 50% |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 T3 TOTAL | $25.00 | $50.00 | $13.20–$18.07 | — | 50% |
| Transferrin blood test CPT 84466 TRANSFERRIN | $18.00 | $36.00 | $11.22–$24.75 | 81% below | 50% |
| Transferrin blood test inpatient CPT 84466 TRANSFERRIN | $18.00 | $36.00 | $11.22–$24.75 | — | 50% |
| Trichomonas test (NAAT) CPT 87661 REF Trichomonas vaginalis- TMA | $45.50 | $91.00 | $29.04–$43.08 | 29% below | 50% |
| Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS AMP PRBE | $47.00 | $94.00 | $29.04–$43.08 | 26% below | 50% |
| Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS NAA | $47.00 | $94.00 | $29.04–$43.08 | 26% below | 50% |
| Trichomonas test (NAAT) inpatient CPT 87661 REF Trichomonas vaginalis- TMA | $45.50 | $91.00 | $29.04–$43.08 | — | 50% |
| Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGINALIS AMP PRBE | $47.00 | $94.00 | $29.04–$43.08 | — | 50% |
| Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGINALIS NAA | $47.00 | $94.00 | $29.04–$43.08 | — | 50% |
| Triglycerides blood test CPT 84478 TRIGLYCERIDE | $9.00 | $18.00 | $12.38 | 82% below | 50% |
| Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDE | $9.00 | $18.00 | $12.38 | — | 50% |
| Troponin test, quantitative CPT 84484 TROPONIN-IH | $18.00 | $36.00 | $11.22–$34.00 | 85% below | 50% |
| Troponin test, quantitative CPT 84484 REF Troponin T (cTnT) 5th Gen | $24.50 | $49.00 | $11.22–$34.00 | 79% below | 50% |
| Troponin test, quantitative inpatient CPT 84484 TROPONIN-IH | $18.00 | $36.00 | $11.22–$34.00 | — | 50% |
| Troponin test, quantitative inpatient CPT 84484 REF Troponin T (cTnT) 5th Gen | $24.50 | $49.00 | $11.22–$34.00 | — | 50% |
| Uric acid blood test CPT 84550 REF Uric Acid, Serum or Plasma | $5.50 | $11.00 | $4.46–$107.20 | 90% below | 50% |
| Uric acid blood test CPT 84550 URIC ACID (S) | $7.50 | $15.00 | $4.46–$107.20 | 87% below | 50% |
| Uric acid blood test inpatient CPT 84550 REF Uric Acid, Serum or Plasma | $5.50 | $11.00 | $4.46–$107.20 | — | 50% |
| Uric acid blood test inpatient CPT 84550 URIC ACID (S) | $7.50 | $15.00 | $4.46–$107.20 | — | 50% |
| Urinalysis with microscope exam, automated CPT 81001 U/A WITH MICROSCOPY | $11.50 | $23.00 | $2.97–$16.50 | 77% below | 50% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 U/A WITH MICROSCOPY | $11.50 | $23.00 | $2.97–$16.50 | — | 50% |
| Urinalysis without microscope exam, automated CPT 81003 GLUCOSE URINE | $4.50 | $9.00 | $2.25–$7.00 | 80% below | 50% |
| Urinalysis without microscope exam, automated CPT 81003 SPECIFIC GRAVITY U | $4.50 | $9.00 | $2.25–$7.00 | 80% below | 50% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS | $4.50 | $9.00 | $2.25–$7.00 | 80% below | 50% |
| Urinalysis without microscope exam, automated CPT 81003 PH URINE | $4.50 | $9.00 | $2.25–$7.00 | 80% below | 50% |
| Urinalysis without microscope exam, automated CPT 81003 URINE W/O MICROSCOPI | $8.00 | $16.00 | $2.25–$7.00 | 64% below | 50% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 SPECIFIC GRAVITY U | $4.50 | $9.00 | $2.25–$7.00 | — | 50% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 GLUCOSE URINE | $4.50 | $9.00 | $2.25–$7.00 | — | 50% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 PH URINE | $4.50 | $9.00 | $2.25–$7.00 | — | 50% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS | $4.50 | $9.00 | $2.25–$7.00 | — | 50% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINE W/O MICROSCOPI | $8.00 | $16.00 | $2.25–$7.00 | — | 50% |
| Urine culture for bacteria, with colony count CPT 87086 CULTURE URINE | $12.00 | $24.00 | $7.26–$22.54 | 86% below | 50% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 CULTURE URINE | $12.00 | $24.00 | $7.26–$22.54 | — | 50% |
| Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN URINE (RANDOM) | $6.00 | $12.00 | $2.06–$10.00 | 89% below | 50% |
| Urine microalbumin (albumin) test CPT 82043 ALBUMIN URINE (24HR) REF LAB | $9.00 | $18.00 | $2.06–$10.00 | 84% below | 50% |
| Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN URINE (RANDOM) | $6.00 | $12.00 | $2.06–$10.00 | — | 50% |
| Urine microalbumin (albumin) test inpatient CPT 82043 ALBUMIN URINE (24HR) REF LAB | $9.00 | $18.00 | $2.06–$10.00 | — | 50% |
| Urine pregnancy test, read by color change CPT 81025 PREGNANCY (URINE) QUALITATIVE | $12.50 | $25.00 | $7.59–$23.00 | 76% below | 50% |
| Urine pregnancy test, read by color change inpatient CPT 81025 PREGNANCY (URINE) QUALITATIVE | $12.50 | $25.00 | $7.59–$23.00 | — | 50% |
| Vitamin B12 (cobalamin) blood test CPT 82607 B-12 | $22.00 | $44.00 | $13.72–$42.00 | 74% below | 50% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 B-12 | $22.00 | $44.00 | $13.72–$42.00 | — | 50% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 REF 25-Hydroxyvit D2 & D3 Serm | $17.00 | $34.00 | $25.41–$80.00 | 85% below | 50% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25-HYDROXY, D2+D3 | $41.50 | $83.00 | $25.41–$80.00 | 63% below | 50% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D (25 HYDROXY) | $41.50 | $83.00 | $25.41–$80.00 | 63% below | 50% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 REF 25-Hydroxyvit D2 & D3 Serm | $17.00 | $34.00 | $25.41–$80.00 | — | 50% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25-HYDROXY, D2+D3 | $41.50 | $83.00 | $25.41–$80.00 | — | 50% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D (25 HYDROXY) | $41.50 | $83.00 | $25.41–$80.00 | — | 50% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 REF Vitamin D, 1,25-Dihydroxy | $16.00 | $32.00 | $36.05 | 90% below | 50% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 CALCITROL | $53.50 | $107.00 | $36.05 | 67% below | 50% |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 REF Vitamin D, 1,25-Dihydroxy | $16.00 | $32.00 | $36.05 | — | 50% |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 CALCITROL | $53.50 | $107.00 | $36.05 | — | 50% |
| Zinc blood test CPT 84630 REF Zinc, Serum or Plasma | $8.00 | $16.00 | $10.23–$14.51 | 93% below | 50% |
| Zinc blood test CPT 84630 ZINC (S) | $16.00 | $32.00 | $10.23–$14.51 | 86% below | 50% |
| Zinc blood test CPT 84630 REF Zinc, Red Blood Cells | $29.00 | $58.00 | $10.23–$14.51 | 75% below | 50% |
| Zinc blood test inpatient CPT 84630 REF Zinc, Serum or Plasma | $8.00 | $16.00 | $10.23–$14.51 | — | 50% |
| Zinc blood test inpatient CPT 84630 ZINC (S) | $16.00 | $32.00 | $10.23–$14.51 | — | 50% |
| Zinc blood test inpatient CPT 84630 REF Zinc, Red Blood Cells | $29.00 | $58.00 | $10.23–$14.51 | — | 50% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 REF Beta-hCG, Quant(Pregnancy) | $12.50 | $25.00 | $13.20–$32.42 | 92% below | 50% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BETA HCG (QUANT) TUMOR MARKER | $22.00 | $44.00 | $13.20–$32.42 | 86% below | 50% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QUANTITATIVE | $22.00 | $44.00 | $13.20–$32.42 | 86% below | 50% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BETA HCG (QUANT) | $26.50 | $53.00 | $13.20–$32.42 | 83% below | 50% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 REF Beta-hCG, Quant(Pregnancy) | $12.50 | $25.00 | $13.20–$32.42 | — | 50% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 BETA HCG (QUANT) TUMOR MARKER | $22.00 | $44.00 | $13.20–$32.42 | — | 50% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG QUANTITATIVE | $22.00 | $44.00 | $13.20–$32.42 | — | 50% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 BETA HCG (QUANT) | $26.50 | $53.00 | $13.20–$32.42 | — | 50% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Kentucky | Off list |
|---|---|---|---|---|---|
| Adenoid removal (adenoidectomy), child under 12 CPT 42830 ADENOIDECTOMY PRIMARY <AGE 12 | $270.50 | $541.00 | $1,221.33–$5,053.51 | 95% below | 50% |
| Adenoid removal (adenoidectomy), child under 12 inpatient CPT 42830 ADENOIDECTOMY PRIMARY <AGE 12 | $270.50 | $541.00 | $1,221.33–$5,053.51 | — | 50% |
| Arthroscopic ACL reconstruction or repair of the knee CPT 29888 KNEE ANTER REPR CRUCIATE LGMNT | $823.00 | $1,646.00 | $3,672.90–$8,271.98 | 94% below | 50% |
| Arthroscopic ACL reconstruction or repair of the knee inpatient CPT 29888 KNEE ANTER REPR CRUCIATE LGMNT | $823.00 | $1,646.00 | $3,672.90–$8,271.98 | — | 50% |
| Arthroscopic rotator cuff repair of the shoulder CPT 29827 ARTHROSCOPIC ROTATOR CUFF REPR | $911.00 | $1,822.00 | $3,672.90–$15,866.92 | 86% below | 50% |
| Arthroscopic rotator cuff repair of the shoulder inpatient CPT 29827 ARTHROSCOPIC ROTATOR CUFF REPR | $911.00 | $1,822.00 | $3,672.90–$15,866.92 | — | 50% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 BIOPSY BREAST STEREO LT 1 LES | $936.00 | $1,872.00 | $599.61–$1,402.72 | 57% below | 50% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 BIOPSY BREAST STEREO RT 1 LES | $936.00 | $1,872.00 | $599.61–$1,402.72 | 57% below | 50% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 BIOPSY BREAST STEREO LT 1 LES | $936.00 | $1,872.00 | $599.61–$1,402.72 | — | 50% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 BIOPSY BREAST STEREO RT 1 LES | $936.00 | $1,872.00 | $599.61–$1,402.72 | — | 50% |
| Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 BUNIONCTMY W DIST METATR OSTEO | $620.00 | $1,240.00 | $2,328.81–$16,515.40 | 19% below | 50% |
| Bunion correction with a bone cut near the head of the first metatarsal inpatient CPT 28296 BUNIONCTMY W DIST METATR OSTEO | $620.00 | $1,240.00 | $2,328.81–$16,515.40 | — | 50% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION | $132.50 | $265.00 | $570.15–$1,257.59 | 85% below | 50% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECT EXTERNAL | $839.00 | $1,678.00 | $570.15–$1,257.59 | 5% below | 50% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 TC CARDIOVERSION | $839.00 | $1,678.00 | $570.15–$1,257.59 | 5% below | 50% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION | $132.50 | $265.00 | $570.15–$1,257.59 | — | 50% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION ELECT EXTERNAL | $839.00 | $1,678.00 | $570.15–$1,257.59 | — | 50% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 TC CARDIOVERSION | $839.00 | $1,678.00 | $570.15–$1,257.59 | — | 50% |
| Carpal tunnel release, open surgery CPT 64721 CARPAL TUNNEL SURGERY- OPEN | $318.00 | $636.00 | $395.00–$2,943.64 | 93% below | 50% |
| Carpal tunnel release, open surgery inpatient CPT 64721 CARPAL TUNNEL SURGERY- OPEN | $318.00 | $636.00 | $395.00–$2,943.64 | — | 50% |
| Cervical biopsy CPT 57500 TC BIOPSY OF CERVIX | $96.50 | $193.00 | $3,049.50 | 69% below | 50% |
| Cervical biopsy CPT 57500 BIOPSY OF CERVIX GLOBAL | $96.50 | $193.00 | $3,049.50 | 69% below | 50% |
| Cervical biopsy CPT 57500 BIOPSY OF CERVIX | $167.50 | $335.00 | $3,049.50 | 47% below | 50% |
| Cervical biopsy inpatient CPT 57500 TC BIOPSY OF CERVIX | $96.50 | $193.00 | $3,049.50 | — | 50% |
| Cervical biopsy inpatient CPT 57500 BIOPSY OF CERVIX GLOBAL | $96.50 | $193.00 | $3,049.50 | — | 50% |
| Cervical biopsy inpatient CPT 57500 BIOPSY OF CERVIX | $167.50 | $335.00 | $3,049.50 | — | 50% |
| Colonoscopy with polyp removal CPT 45385 COLONOSCOPY W/ REMOVAL POLYPS | $365.50 | $731.00 | $500.00–$3,079.65 | 82% below | 50% |
| Colonoscopy with polyp removal inpatient CPT 45385 COLONOSCOPY W/ REMOVAL POLYPS | $365.50 | $731.00 | $500.00–$3,079.65 | — | 50% |
| Colonoscopy with tissue sample CPT 45380 COLONOSCOPY W/ BX | $322.00 | $644.00 | $943.37–$5,493.63 | 84% below | 50% |
| Colonoscopy with tissue sample inpatient CPT 45380 COLONOSCOPY W/ BX | $322.00 | $644.00 | $943.37–$5,493.63 | — | 50% |
| Colonoscopy, diagnostic CPT 45378 COLONOSCOPY | $270.50 | $541.00 | $1,129.59–$4,263.24 | 91% below | 50% |
| Colonoscopy, diagnostic inpatient CPT 45378 COLONOSCOPY | $270.50 | $541.00 | $1,129.59–$4,263.24 | — | 50% |
| Ear tube placement (tympanostomy) under general anesthesia, one ear both sides CPT 69436 CREATE EARDRUM OPENING BILAT | $240.00 | $480.00 | $629.15–$2,960.62 | — | 50% |
| Ear tube placement (tympanostomy) under general anesthesia, one ear inpatient both sides CPT 69436 CREATE EARDRUM OPENING BILAT | $240.00 | $480.00 | $629.15–$2,960.62 | — | 50% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 REMV IMPACT CERUMNT W IRRI/LAV | $48.00 | $96.00 | $29.70 | 54% below | 50% |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 REMV IMPACT CERUMNT W IRRI/LAV | $48.00 | $96.00 | $29.70 | — | 50% |
| Earwax removal with instruments, one ear both sides CPT 69210 REMV IMPCT CERUM W/INST BILAT | $174.00 | $348.00 | $31.50–$1,145.55 | — | 50% |
| Earwax removal with instruments, one ear CPT 69210 REMOV IMPACT CERUM W/INSTR PRF | $42.00 | $84.00 | $31.50–$1,145.55 | 62% below | 50% |
| Earwax removal with instruments, one ear CPT 69210 REMOV IMPACT CERUM W/INSTR TC | $45.00 | $90.00 | $31.50–$1,145.55 | 59% below | 50% |
| Earwax removal with instruments, one ear CPT 69210 PF REMV IMPCT CERUM W/INST BIL | $84.00 | $168.00 | $31.50–$1,145.55 | 24% below | 50% |
| Earwax removal with instruments, one ear CPT 69210 REMVL IMPACTED CERUM REQ INSTR | $87.00 | $174.00 | $31.50–$1,145.55 | 21% below | 50% |
| Earwax removal with instruments, one ear CPT 69210 TC REMV IMPCT CERUM W/INST BIL | $90.00 | $180.00 | $31.50–$1,145.55 | 18% below | 50% |
| Earwax removal with instruments, one ear inpatient both sides CPT 69210 REMV IMPCT CERUM W/INST BILAT | $174.00 | $348.00 | $31.50–$1,145.55 | — | 50% |
| Earwax removal with instruments, one ear inpatient CPT 69210 REMOV IMPACT CERUM W/INSTR PRF | $42.00 | $84.00 | $31.50–$1,145.55 | — | 50% |
| Earwax removal with instruments, one ear inpatient CPT 69210 REMOV IMPACT CERUM W/INSTR TC | $45.00 | $90.00 | $31.50–$1,145.55 | — | 50% |
| Earwax removal with instruments, one ear inpatient CPT 69210 PF REMV IMPCT CERUM W/INST BIL | $84.00 | $168.00 | $31.50–$1,145.55 | — | 50% |
| Earwax removal with instruments, one ear inpatient CPT 69210 REMVL IMPACTED CERUM REQ INSTR | $87.00 | $174.00 | $31.50–$1,145.55 | — | 50% |
| Earwax removal with instruments, one ear inpatient CPT 69210 TC REMV IMPCT CERUM W/INST BIL | $90.00 | $180.00 | $31.50–$1,145.55 | — | 50% |
| Endoscopic sinus surgery: full ethmoid sinus opening CPT 31255 NASAL ENDO ETHMOIDCTMY TTL A/P | $296.50 | $593.00 | $197.50–$1,882.65 | 93% below | 50% |
| Endoscopic sinus surgery: full ethmoid sinus opening inpatient CPT 31255 NASAL ENDO ETHMOIDCTMY TTL A/P | $296.50 | $593.00 | $197.50–$1,882.65 | — | 50% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 CERVICAL/THORA EPIDURAL W/IMG | $887.00 | $1,774.00 | $48.00–$1,329.38 | 4% above | 50% |
| Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 CERVICAL/THORA EPIDURAL W/IMG | $887.00 | $1,774.00 | $48.00–$1,329.38 | — | 50% |
| Facet joint injection, lower back, one level, with imaging guidance both sides CPT 64493 LUMBAR/SACRAL MBB BILATERAL | $1,149.00 | $2,298.00 | $147.50–$1,722.33 | — | 50% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 LUMBAR/SACRAL MBB | $574.50 | $1,149.00 | $147.50–$1,722.33 | 49% below | 50% |
| Facet joint injection, lower back, one level, with imaging guidance inpatient both sides CPT 64493 LUMBAR/SACRAL MBB BILATERAL | $1,149.00 | $2,298.00 | $147.50–$1,722.33 | — | 50% |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 LUMBAR/SACRAL MBB | $574.50 | $1,149.00 | $147.50–$1,722.33 | — | 50% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 DIAGNOSTIC SIGMOIDOSCOPY | $94.50 | $189.00 | $3,743.43 | 96% below | 50% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 DIAGNOSTIC SIGMOIDOSCOPY | $94.50 | $189.00 | $3,743.43 | — | 50% |
| Gallbladder removal, laparoscopic CPT 47562 LAP CHOLE | $493.00 | $986.00 | $3,188.58–$8,320.00 | 95% below | 50% |
| Gallbladder removal, laparoscopic inpatient CPT 47562 LAP CHOLE | $493.00 | $986.00 | $3,188.58–$8,320.00 | — | 50% |
| Hammertoe correction surgery CPT 28285 REPAIR HAMMERTOE | $352.50 | $705.00 | $1,555.08 | 88% below | 50% |
| Hammertoe correction surgery inpatient CPT 28285 REPAIR HAMMERTOE | $352.50 | $705.00 | $1,555.08 | — | 50% |
| Hysteroscopy with endometrial ablation CPT 58563 HYSTEROSCOPY W/ BX W/ ABLATION | $1,422.50 | $2,845.00 | $1,543.74–$5,053.51 | 79% below | 50% |
| Hysteroscopy with endometrial ablation inpatient CPT 58563 HYSTEROSCOPY W/ BX W/ ABLATION | $1,422.50 | $2,845.00 | $1,543.74–$5,053.51 | — | 50% |
| Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 HYSTEROSCOPY BX W/ - W/O D & C | $686.00 | $1,372.00 | $1,802.82–$8,320.00 | 91% below | 50% |
| Hysteroscopy with uterine lining sampling and/or polyp removal inpatient CPT 58558 HYSTEROSCOPY BX W/ - W/O D & C | $686.00 | $1,372.00 | $1,802.82–$8,320.00 | — | 50% |
| IUD insertion (the device itself billed separately) CPT 58300 PF PLACEMENT INTRAUTERINE DEV | $53.50 | $107.00 | $766.15 | 91% below | 50% |
| IUD insertion (the device itself billed separately) CPT 58300 TC PLACEMENT INTRAUTERINE DEV | $159.50 | $319.00 | $766.15 | 73% below | 50% |
| IUD insertion (the device itself billed separately) CPT 58300 PLACEMENT OF INTRAUTERINE DEV | $213.00 | $426.00 | $766.15 | 65% below | 50% |
| IUD insertion (the device itself billed separately) inpatient CPT 58300 PF PLACEMENT INTRAUTERINE DEV | $53.50 | $107.00 | $766.15 | — | 50% |
| IUD insertion (the device itself billed separately) inpatient CPT 58300 TC PLACEMENT INTRAUTERINE DEV | $159.50 | $319.00 | $766.15 | — | 50% |
| IUD insertion (the device itself billed separately) inpatient CPT 58300 PLACEMENT OF INTRAUTERINE DEV | $213.00 | $426.00 | $766.15 | — | 50% |
| Incision and drainage of a simple or single skin abscess CPT 10060 TC I&D ABSCESS SIMPLE/SINGLE | $155.50 | $311.00 | $99.33–$225.75 | 45% below | 50% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 TC I&D ABSCESS SIMPLE/SINGLE | $155.50 | $311.00 | $99.33–$225.75 | — | 50% |
| Injection into a tendon sheath or ligament (for example trigger finger) both sides CPT 20550 INJ SING TEND LIGMNT AP BILAT | $383.50 | $767.00 | $130.20 | — | 50% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJECT SINGLE TEND/SHEATH-PROF | $48.50 | $97.00 | $130.20 | 85% below | 50% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 PF INJ SINGLE TEND/SHEATH BIL | $97.00 | $194.00 | $130.20 | 70% below | 50% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJECT SINGLE TEND/SHEATH-TECH | $186.00 | $372.00 | $130.20 | 42% below | 50% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ SING TEND LIGMNT APONEURO | $192.00 | $384.00 | $130.20 | 40% below | 50% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJECT SINGLE TENDON/SHEATH | $234.50 | $469.00 | $130.20 | 27% below | 50% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 TC INJ SINGLE TEND/SHEATH BIL | $372.00 | $744.00 | $130.20 | 15% above | 50% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJECT SINGLE TEND/SHEATH BIL | $469.00 | $938.00 | $130.20 | 46% above | 50% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient both sides CPT 20550 INJ SING TEND LIGMNT AP BILAT | $383.50 | $767.00 | $130.20 | — | 50% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJECT SINGLE TEND/SHEATH-PROF | $48.50 | $97.00 | $130.20 | — | 50% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 PF INJ SINGLE TEND/SHEATH BIL | $97.00 | $194.00 | $130.20 | — | 50% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJECT SINGLE TEND/SHEATH-TECH | $186.00 | $372.00 | $130.20 | — | 50% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJ SING TEND LIGMNT APONEURO | $192.00 | $384.00 | $130.20 | — | 50% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJECT SINGLE TENDON/SHEATH | $234.50 | $469.00 | $130.20 | — | 50% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 TC INJ SINGLE TEND/SHEATH BIL | $372.00 | $744.00 | $130.20 | — | 50% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJECT SINGLE TEND/SHEATH BIL | $469.00 | $938.00 | $130.20 | — | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound both sides CPT 20610 JOINT INJECTION MAJOR-BILAT | $805.00 | $1,610.00 | $121.45–$1,689.91 | — | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 JOINT INJECTION- MAJOR- PROF | $56.00 | $112.00 | $121.45–$1,689.91 | 83% below | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 JOINT INJECTION MAJOR-BIL PROF | $201.50 | $403.00 | $121.45–$1,689.91 | 40% below | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 JOINT INJECTION- MAJOR- TECH | $347.00 | $694.00 | $121.45–$1,689.91 | 3% above | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 IR INJECTION JT OR BURSA MAJOR | $357.50 | $715.00 | $219.73–$535.77 | 6% above | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 INJECTION OF JNT OR BURSA(MAJ) | $357.50 | $715.00 | $121.45–$1,689.91 | 6% above | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCNTESIS LRG JT W/O US | $357.50 | $715.00 | $121.45–$1,689.91 | 6% above | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 INJECTION JT OR BURSA (MAJOR) | $357.50 | $715.00 | $222.09–$229.02 | 6% above | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 TC ARTHROCENTESIS MAJ JT/BURSA | $357.50 | $715.00 | $222.09–$229.02 | 6% above | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 INJ OF JOINT OR BURSA (MAJOR) | $357.50 | $715.00 | $219.73–$535.77 | 6% above | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 JOINT INJECTION- MAJOR | $402.50 | $805.00 | $121.45–$1,689.91 | 20% above | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 JOINT INJECTION MAJOR-BIL TECH | $603.50 | $1,207.00 | $121.45–$1,689.91 | 79% above | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient both sides CPT 20610 JOINT INJECTION MAJOR-BILAT | $805.00 | $1,610.00 | $121.45–$1,689.91 | — | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 JOINT INJECTION- MAJOR- PROF | $56.00 | $112.00 | $121.45–$1,689.91 | — | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 JOINT INJECTION MAJOR-BIL PROF | $201.50 | $403.00 | $121.45–$1,689.91 | — | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 JOINT INJECTION- MAJOR- TECH | $347.00 | $694.00 | $121.45–$1,689.91 | — | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHROCNTESIS LRG JT W/O US | $357.50 | $715.00 | $121.45–$1,689.91 | — | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 IR INJECTION JT OR BURSA MAJOR | $357.50 | $715.00 | $219.73–$535.77 | — | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 TC ARTHROCENTESIS MAJ JT/BURSA | $357.50 | $715.00 | $222.09–$229.02 | — | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 INJECTION OF JNT OR BURSA(MAJ) | $357.50 | $715.00 | $121.45–$1,689.91 | — | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 INJECTION JT OR BURSA (MAJOR) | $357.50 | $715.00 | $222.09–$229.02 | — | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 INJ OF JOINT OR BURSA (MAJOR) | $357.50 | $715.00 | $219.73–$535.77 | — | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 JOINT INJECTION- MAJOR | $402.50 | $805.00 | $121.45–$1,689.91 | — | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 JOINT INJECTION MAJOR-BIL TECH | $603.50 | $1,207.00 | $121.45–$1,689.91 | — | 50% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) both sides CPT 20605 PF JOINT INJECT BILAT-INTERMED | $92.00 | $184.00 | $1,689.91 | — | 50% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) both sides CPT 20605 TC JOINT INJECT BILAT-INTERMED | $372.00 | $744.00 | $1,689.91 | — | 50% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) both sides CPT 20605 JOINT INJECT BILAT-INTERMEDIAT | $464.00 | $928.00 | $1,689.91 | — | 50% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 JOINT INJECTION INTERMED-PROF | $46.00 | $92.00 | $1,689.91 | 78% below | 50% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 JOINT INJECTION INTERMED-TECH | $186.00 | $372.00 | $1,689.91 | 11% below | 50% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCNTESIS INT JT W/O US | $192.00 | $384.00 | $1,689.91 | 8% below | 50% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 INJECTION OF JNT (INTERMEDI) | $192.00 | $384.00 | $1,689.91 | 8% below | 50% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 JOINT INJECTION- INTERMEDIATE | $232.00 | $464.00 | $1,689.91 | 11% above | 50% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 JOINT INJECTION- INTERM GLOBAL | $232.00 | $464.00 | $1,689.91 | 11% above | 50% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient both sides CPT 20605 PF JOINT INJECT BILAT-INTERMED | $92.00 | $184.00 | $1,689.91 | — | 50% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient both sides CPT 20605 TC JOINT INJECT BILAT-INTERMED | $372.00 | $744.00 | $1,689.91 | — | 50% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient both sides CPT 20605 JOINT INJECT BILAT-INTERMEDIAT | $464.00 | $928.00 | $1,689.91 | — | 50% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 JOINT INJECTION INTERMED-PROF | $46.00 | $92.00 | $1,689.91 | — | 50% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 JOINT INJECTION INTERMED-TECH | $186.00 | $372.00 | $1,689.91 | — | 50% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 INJECTION OF JNT (INTERMEDI) | $192.00 | $384.00 | $1,689.91 | — | 50% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ARTHROCNTESIS INT JT W/O US | $192.00 | $384.00 | $1,689.91 | — | 50% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 JOINT INJECTION- INTERMEDIATE | $232.00 | $464.00 | $1,689.91 | — | 50% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 JOINT INJECTION- INTERM GLOBAL | $232.00 | $464.00 | $1,689.91 | — | 50% |
| Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 MENISCUS REPAIR | $568.50 | $1,137.00 | $3,004.89 | 95% below | 50% |
| Knee arthroscopy with meniscus repair (one side of the knee) inpatient CPT 29882 MENISCUS REPAIR | $568.50 | $1,137.00 | $3,004.89 | — | 50% |
| Knee arthroscopy with meniscus trim CPT 29881 KNEE ARTHROSCOPY MENISC W/DEBR | $525.50 | $1,051.00 | $5,590.05 | 94% below | 50% |
| Knee arthroscopy with meniscus trim inpatient CPT 29881 KNEE ARTHROSCOPY MENISC W/DEBR | $525.50 | $1,051.00 | $5,590.05 | — | 50% |
| Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 TLH UTERUS 250G OR LESS GLOBAL | $934.00 | $1,868.00 | $8,320.00–$9,728.74 | 93% below | 50% |
| Laparoscopic hysterectomy (uterus 250 g or less) inpatient CPT 58570 TLH UTERUS 250G OR LESS GLOBAL | $934.00 | $1,868.00 | $8,320.00–$9,728.74 | — | 50% |
| Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 Laparoscopy Hysterectomy total | $840.00 | $1,680.00 | $4,073.52–$11,032.78 | 96% below | 50% |
| Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries inpatient CPT 58571 Laparoscopy Hysterectomy total | $840.00 | $1,680.00 | $4,073.52–$11,032.78 | — | 50% |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side both sides CPT 49650 LAP INGUINL HERNIA RPR BILAT | $643.00 | $1,286.00 | $3,576.16–$9,953.40 | — | 50% |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 LAP INGUINL HERNIA REPAIR-INIT | $321.50 | $643.00 | $3,576.16–$9,953.40 | 95% below | 50% |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side inpatient both sides CPT 49650 LAP INGUINL HERNIA RPR BILAT | $643.00 | $1,286.00 | $3,576.16–$9,953.40 | — | 50% |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side inpatient CPT 49650 LAP INGUINL HERNIA REPAIR-INIT | $321.50 | $643.00 | $3,576.16–$9,953.40 | — | 50% |
| Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 LAP W/ REMV ADNEXAL STRUCTURES | $488.50 | $977.00 | $2,150.72–$9,892.41 | 96% below | 50% |
| Laparoscopic removal of fallopian tubes and/or ovaries inpatient CPT 58661 LAP W/ REMV ADNEXAL STRUCTURES | $488.50 | $977.00 | $2,150.72–$9,892.41 | — | 50% |
| Lower-back epidural injection, with imaging guidance CPT 62323 NJX INTERLAMINAR LMBR/SAC | $191.50 | $383.00 | $395.00–$1,329.39 | 79% below | 50% |
| Lower-back epidural injection, with imaging guidance CPT 62323 INJ LUMBAR/SACRAL W/IMAGING | $887.00 | $1,774.00 | $395.00–$1,329.39 | 2% below | 50% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 NJX INTERLAMINAR LMBR/SAC | $191.50 | $383.00 | $395.00–$1,329.39 | — | 50% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 INJ LUMBAR/SACRAL W/IMAGING | $887.00 | $1,774.00 | $395.00–$1,329.39 | — | 50% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 INJ FORAMEN EPIDURAL L/S | $210.00 | $420.00 | $1,722.34 | 83% below | 50% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 TRANSFORAMINAL EPI INJ L/S | $1,149.00 | $2,298.00 | $1,722.34 | 6% below | 50% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 INJ FORAMEN EPIDURAL L/S | $210.00 | $420.00 | $1,722.34 | — | 50% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 TRANSFORAMINAL EPI INJ L/S | $1,149.00 | $2,298.00 | $1,722.34 | — | 50% |
| Partial knee replacement (one compartment) CPT 27446 REVISION OF KNEE JOINT | $909.00 | $1,818.00 | $3,571.87 | 93% below | 50% |
| Partial knee replacement (one compartment) inpatient CPT 27446 REVISION OF KNEE JOINT | $909.00 | $1,818.00 | $3,571.87 | — | 50% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 PERMANENT REMOV NAIL BED- PROF | $123.00 | $246.00 | $238.00 | 73% below | 50% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 PERMANENT REMOV NAIL BED- TECH | $340.00 | $680.00 | $238.00 | 26% below | 50% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 REMOVAL NAIL/NAIL MATRIX PERMN | $350.50 | $701.00 | $238.00 | 24% below | 50% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 PERMANT RMV NAIL BED/MATRX GLB | $462.50 | $925.00 | $238.00 | at median | 50% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 PERMANT REMOVAL NAIL BED/MATRX | $462.50 | $925.00 | $238.00 | at median | 50% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 PERMANENT REMOV NAIL BED- PROF | $123.00 | $246.00 | $238.00 | — | 50% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 PERMANENT REMOV NAIL BED- TECH | $340.00 | $680.00 | $238.00 | — | 50% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 REMOVAL NAIL/NAIL MATRIX PERMN | $350.50 | $701.00 | $238.00 | — | 50% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 PERMANT RMV NAIL BED/MATRX GLB | $462.50 | $925.00 | $238.00 | — | 50% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 PERMANT REMOVAL NAIL BED/MATRX | $462.50 | $925.00 | $238.00 | — | 50% |
| Radiofrequency ablation of facet joint nerves, lower back, one level both sides CPT 64635 DEST/RFA LUMBAR/SACRAL BILAT | $2,450.50 | $4,901.00 | $785.07–$3,673.18 | — | 50% |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 DEST/RFA LUMBAR/SACRAL | $1,225.50 | $2,451.00 | $785.07–$3,673.18 | 36% below | 50% |
| Radiofrequency ablation of facet joint nerves, lower back, one level inpatient both sides CPT 64635 DEST/RFA LUMBAR/SACRAL BILAT | $2,450.50 | $4,901.00 | $785.07–$3,673.18 | — | 50% |
| Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 DEST/RFA LUMBAR/SACRAL | $1,225.50 | $2,451.00 | $785.07–$3,673.18 | — | 50% |
| Removal of a breast lump, open surgery CPT 19120 EXCISION BREAST MASS | $283.50 | $567.00 | $5,053.51 | 93% below | 50% |
| Removal of a breast lump, open surgery inpatient CPT 19120 EXCISION BREAST MASS | $283.50 | $567.00 | $5,053.51 | — | 50% |
| Removal of a foreign object under the skin, simple CPT 10120 TC INCISION/REMOV FB SUBQ SIMP | $350.50 | $701.00 | $217.80–$238.00 | at median | 50% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 TC INCISION/REMOV FB SUBQ SIMP | $350.50 | $701.00 | $217.80–$238.00 | — | 50% |
| Removal of one lobe of the thyroid (lobectomy) CPT 60220 TOTAL THYRD LOBECTOMY-UNLATRL | $522.00 | $1,044.00 | $400.00–$8,850.21 | 96% below | 50% |
| Removal of one lobe of the thyroid (lobectomy) inpatient CPT 60220 TOTAL THYRD LOBECTOMY-UNLATRL | $522.00 | $1,044.00 | $400.00–$8,850.21 | — | 50% |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 SCREENING COLONOSCOPY LOW RISK | $273.50 | $547.00 | $1,129.92–$1,612.47 | 92% below | 50% |
| Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 SCREENING COLONOSCOPY LOW RISK | $273.50 | $547.00 | $1,129.92–$1,612.47 | — | 50% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 SCREENING COLONOSCPY HIGH RISK | $273.50 | $547.00 | $81.16–$1,447.95 | 90% below | 50% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 SCREENING COLONOSCPY HIGH RISK | $273.50 | $547.00 | $81.16–$1,447.95 | — | 50% |
| Septoplasty to straighten the nasal septum CPT 30520 REPAIR NASAL SEPTUM | $495.50 | $991.00 | $2,407.41–$11,521.33 | 84% below | 50% |
| Septoplasty to straighten the nasal septum inpatient CPT 30520 REPAIR NASAL SEPTUM | $495.50 | $991.00 | $2,407.41–$11,521.33 | — | 50% |
| Short arm cast (elbow to hand) CPT 29075 APPLY FA CAST ELB TO FNG PROF | $30.00 | $60.00 | $27.65 | 81% below | 50% |
| Short arm cast (elbow to hand) CPT 29075 APPLY FA CAST ELB TO FNG TECH | $39.50 | $79.00 | $27.65 | 76% below | 50% |
| Short arm cast (elbow to hand) CPT 29075 APPLIC FOREARM CAST ELB TO FNG | $69.50 | $139.00 | $27.65 | 57% below | 50% |
| Short arm cast (elbow to hand) inpatient CPT 29075 APPLY FA CAST ELB TO FNG PROF | $30.00 | $60.00 | $27.65 | — | 50% |
| Short arm cast (elbow to hand) inpatient CPT 29075 APPLY FA CAST ELB TO FNG TECH | $39.50 | $79.00 | $27.65 | — | 50% |
| Short arm cast (elbow to hand) inpatient CPT 29075 APPLIC FOREARM CAST ELB TO FNG | $69.50 | $139.00 | $27.65 | — | 50% |
| Short arm splint (forearm and hand) CPT 29125 PF APPL FOREARM SPLINT STATIC | $21.00 | $42.00 | $23.45 | 88% below | 50% |
| Short arm splint (forearm and hand) CPT 29125 TC APPL FOREARM SPLINT STATIC | $35.00 | $70.00 | $23.45 | 80% below | 50% |
| Short arm splint (forearm and hand) CPT 29125 APPLY FOREARM SPLINT-STATIC | $55.50 | $111.00 | $23.45 | 69% below | 50% |
| Short arm splint (forearm and hand) inpatient CPT 29125 PF APPL FOREARM SPLINT STATIC | $21.00 | $42.00 | $23.45 | — | 50% |
| Short arm splint (forearm and hand) inpatient CPT 29125 TC APPL FOREARM SPLINT STATIC | $35.00 | $70.00 | $23.45 | — | 50% |
| Short arm splint (forearm and hand) inpatient CPT 29125 APPLY FOREARM SPLINT-STATIC | $55.50 | $111.00 | $23.45 | — | 50% |
| Short leg cast (below the knee) CPT 29405 TC APPL SHORT LEG CAST | $44.00 | $88.00 | $29.75 | 76% below | 50% |
| Short leg cast (below the knee) CPT 29405 APPLICATION SHORT LEG CAST | $73.50 | $147.00 | $29.75 | 60% below | 50% |
| Short leg cast (below the knee) inpatient CPT 29405 TC APPL SHORT LEG CAST | $44.00 | $88.00 | $29.75 | — | 50% |
| Short leg cast (below the knee) inpatient CPT 29405 APPLICATION SHORT LEG CAST | $73.50 | $147.00 | $29.75 | — | 50% |
| Short leg splint (calf to foot) CPT 29515 APPLY LOWER LEG SPLINT PROF | $24.50 | $49.00 | $22.05 | 87% below | 50% |
| Short leg splint (calf to foot) CPT 29515 APPLY LOWER LEG SPLINT TECH | $31.50 | $63.00 | $22.05 | 83% below | 50% |
| Short leg splint (calf to foot) CPT 29515 APPLICATION LOWER LEG SPLINT | $56.00 | $112.00 | $22.05 | 70% below | 50% |
| Short leg splint (calf to foot) inpatient CPT 29515 APPLY LOWER LEG SPLINT PROF | $24.50 | $49.00 | $22.05 | — | 50% |
| Short leg splint (calf to foot) inpatient CPT 29515 APPLY LOWER LEG SPLINT TECH | $31.50 | $63.00 | $22.05 | — | 50% |
| Short leg splint (calf to foot) inpatient CPT 29515 APPLICATION LOWER LEG SPLINT | $56.00 | $112.00 | $22.05 | — | 50% |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 SHOULDER ARTHR W/ CLAVICULECT | $552.00 | $1,104.00 | $3,479.19 | 88% below | 50% |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) inpatient CPT 29824 SHOULDER ARTHR W/ CLAVICULECT | $552.00 | $1,104.00 | $3,479.19 | — | 50% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 SHOULDER ARTHR DECOMP SUBACROM | $557.50 | $1,115.00 | $3,014.55–$8,796.00 | 84% below | 50% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 SHOULDER ARTHR DECOMP SUBACROM | $557.50 | $1,115.00 | $3,014.55–$8,796.00 | — | 50% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 LACERATION REPAIR <2.5CM-TECH | $150.50 | $301.00 | $105.35 | 44% below | 50% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SIMP REP SUPERF WOUND S/N/A/EG | $155.50 | $311.00 | $105.35 | 42% below | 50% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 TC LAC RPR SCP/EXT/TRK<=2.5cm | $155.50 | $311.00 | $94.38–$2,366.25 | 42% below | 50% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 LACERATION REPAIR <2.5CM | $173.50 | $347.00 | $105.35 | 35% below | 50% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 LACERATION REPAIR <2.5CM-TECH | $150.50 | $301.00 | $105.35 | — | 50% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 SIMP REP SUPERF WOUND S/N/A/EG | $155.50 | $311.00 | $105.35 | — | 50% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 TC LAC RPR SCP/EXT/TRK<=2.5cm | $155.50 | $311.00 | $94.38–$2,366.25 | — | 50% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 LACERATION REPAIR <2.5CM | $173.50 | $347.00 | $105.35 | — | 50% |
| Skin biopsy, punch, one lesion CPT 11104 BX SKIN PUNCH SMP CL SING TECH | $67.00 | $134.00 | $46.90 | 76% below | 50% |
| Skin biopsy, punch, one lesion CPT 11104 BX SKIN PUNCH SIMP CLOSE SINGL | $90.50 | $181.00 | $46.90 | 67% below | 50% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 BX SKIN PUNCH SMP CL SING TECH | $67.00 | $134.00 | $46.90 | — | 50% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 BX SKIN PUNCH SIMP CLOSE SINGL | $90.50 | $181.00 | $46.90 | — | 50% |
| Skin tag removal, up to 15 tags CPT 11200 TC REMOVAL OF SKIN TAGS <=15 | $171.00 | $342.00 | $109.56 | 16% above | 50% |
| Skin tag removal, up to 15 tags inpatient CPT 11200 TC REMOVAL OF SKIN TAGS <=15 | $171.00 | $342.00 | $109.56 | — | 50% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 TC LAC RPR SCP/EX/TK 2.6-7.5 | $166.50 | $333.00 | $94.38–$277.00 | 42% below | 50% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 TC LAC RPR SCP/EX/TK 2.6-7.5 | $166.50 | $333.00 | $94.38–$277.00 | — | 50% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 TC LACERATION RPR FACE <=2.5 | $150.50 | $301.00 | $65.00–$220.79 | 45% below | 50% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 TC LACERATION RPR FACE <=2.5 | $150.50 | $301.00 | $65.00–$220.79 | — | 50% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 BX SKIN TANGENTIAL SINGLE TECH | $54.00 | $108.00 | $34.32–$37.80 | 74% below | 50% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 BX SKIN TANGENTIAL SNGLE SHAVE | $72.50 | $145.00 | $34.32–$37.80 | 64% below | 50% |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 BX SKIN TANGENTIAL SINGLE TECH | $54.00 | $108.00 | $34.32–$37.80 | — | 50% |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 BX SKIN TANGENTIAL SNGLE SHAVE | $72.50 | $145.00 | $34.32–$37.80 | — | 50% |
| Tonsil and adenoid removal, age 12 or older CPT 42821 TONSLCTMY & ADENDCTMY AGE 12/> | $403.50 | $807.00 | $1,543.74–$6,389.08 | 93% below | 50% |
| Tonsil and adenoid removal, age 12 or older inpatient CPT 42821 TONSLCTMY & ADENDCTMY AGE 12/> | $403.50 | $807.00 | $1,543.74–$6,389.08 | — | 50% |
| Tonsil and adenoid removal, child under 12 CPT 42820 TONSLCTMY & ADENDCTMY <AGE 12 | $373.50 | $747.00 | $1,543.74–$4,909.50 | 94% below | 50% |
| Tonsil and adenoid removal, child under 12 inpatient CPT 42820 TONSLCTMY & ADENDCTMY <AGE 12 | $373.50 | $747.00 | $1,543.74–$4,909.50 | — | 50% |
| Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 TONSILLECTMY PRIM/SEC AGE 12/> | $385.50 | $771.00 | $4,574.50–$5,721.30 | 95% below | 50% |
| Tonsil removal (tonsillectomy) only, age 12 or older inpatient CPT 42826 TONSILLECTMY PRIM/SEC AGE 12/> | $385.50 | $771.00 | $4,574.50–$5,721.30 | — | 50% |
| Tonsil removal (tonsillectomy) only, child under 12 CPT 42825 TONSILLECTOMY PRIM/SEC<AGE 12 | $355.50 | $711.00 | $1,543.74–$4,709.00 | 95% below | 50% |
| Tonsil removal (tonsillectomy) only, child under 12 inpatient CPT 42825 TONSILLECTOMY PRIM/SEC<AGE 12 | $355.50 | $711.00 | $1,543.74–$4,709.00 | — | 50% |
| Total hip replacement CPT 27130 TOTAL HIP ARTHROPLASTY | $1,202.50 | $2,405.00 | $6,353.90–$14,697.34 | 94% below | 50% |
| Total hip replacement inpatient CPT 27130 TOTAL HIP ARTHROPLASTY | $1,202.50 | $2,405.00 | $6,353.90–$14,697.34 | — | 50% |
| Total knee replacement CPT 27447 TOTAL KNEE ARTHROPLASTY | $1,291.00 | $2,582.00 | $4,677.75–$21,686.26 | 94% below | 50% |
| Total knee replacement inpatient CPT 27447 TOTAL KNEE ARTHROPLASTY | $1,291.00 | $2,582.00 | $4,677.75–$21,686.26 | — | 50% |
| Total shoulder replacement CPT 23472 RECONSTRUCT SHOULDER JOINT | $1,259.00 | $2,518.00 | $2,894.10–$13,793.52 | 91% below | 50% |
| Total shoulder replacement inpatient CPT 23472 RECONSTRUCT SHOULDER JOINT | $1,259.00 | $2,518.00 | $2,894.10–$13,793.52 | — | 50% |
| Trigger finger release surgery CPT 26055 INCISE FINGER TENDON SHEATH | $482.50 | $965.00 | $1,543.74–$3,018.52 | 86% below | 50% |
| Trigger finger release surgery inpatient CPT 26055 INCISE FINGER TENDON SHEATH | $482.50 | $965.00 | $1,543.74–$3,018.52 | — | 50% |
| Trigger point injections, 1 or 2 muscles CPT 20552 TRIGGER POINT 1-2 MUSCLES-PROF | $45.50 | $91.00 | $122.76 | 91% below | 50% |
| Trigger point injections, 1 or 2 muscles CPT 20552 TRIGGER POINT 1-2 MUSCLES-TECH | $186.00 | $372.00 | $122.76 | 62% below | 50% |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJ SINGL/MULT TRIGGER PNT 1-2 | $192.00 | $384.00 | $119.13–$287.18 | 61% below | 50% |
| Trigger point injections, 1 or 2 muscles CPT 20552 TC INJ SING/MULT TRGR PNTS 1-2 | $192.00 | $384.00 | $119.13–$287.18 | 61% below | 50% |
| Trigger point injections, 1 or 2 muscles CPT 20552 TRIGGER POINT 1-2 MUSCLES | $231.50 | $463.00 | $122.76 | 53% below | 50% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 TRIGGER POINT 1-2 MUSCLES-PROF | $45.50 | $91.00 | $122.76 | — | 50% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 TRIGGER POINT 1-2 MUSCLES-TECH | $186.00 | $372.00 | $122.76 | — | 50% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJ SINGL/MULT TRIGGER PNT 1-2 | $192.00 | $384.00 | $119.13–$287.18 | — | 50% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 TC INJ SING/MULT TRGR PNTS 1-2 | $192.00 | $384.00 | $119.13–$287.18 | — | 50% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 TRIGGER POINT 1-2 MUSCLES | $231.50 | $463.00 | $122.76 | — | 50% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 US GUIDED BREAST BIOPSY RT (1) | $936.00 | $1,872.00 | $125.00–$1,899.90 | 54% below | 50% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 US GUIDED BREAST BX LT 1 LES | $936.00 | $1,872.00 | $125.00–$1,899.90 | 54% below | 50% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 US GUIDED BREAST BIOPSY RT (1) | $936.00 | $1,872.00 | $125.00–$1,899.90 | — | 50% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 US GUIDED BREAST BX LT 1 LES | $936.00 | $1,872.00 | $125.00–$1,899.90 | — | 50% |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 EGD W/ BALLOON DILATION | $561.50 | $1,123.00 | $315.00–$3,298.52 | 83% below | 50% |
| Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 EGD W/ BALLOON DILATION | $561.50 | $1,123.00 | $315.00–$3,298.52 | — | 50% |
| Upper endoscopy (EGD) with biopsy CPT 43239 EGD W/ BIOPSY | $239.50 | $479.00 | $395.00–$6,153.50 | 86% below | 50% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 EGD W/ BIOPSY | $239.50 | $479.00 | $395.00–$6,153.50 | — | 50% |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 EGD-REMOVE POLYPS BY SNARE | $425.00 | $850.00 | $444.73–$3,121.20 | 85% below | 50% |
| Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 EGD-REMOVE POLYPS BY SNARE | $425.00 | $850.00 | $444.73–$3,121.20 | — | 50% |
| Upper endoscopy (EGD), diagnostic CPT 43235 EGD COMPLEX | $208.50 | $417.00 | $395.00–$2,642.56 | 86% below | 50% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 EGD COMPLEX | $208.50 | $417.00 | $395.00–$2,642.56 | — | 50% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDE SKIN SUBQ <=20CM GLOBA | $142.50 | $285.00 | $238.00 | 71% below | 50% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDE SKIN- SUBCUTAN TECH | $340.00 | $680.00 | $238.00 | 31% below | 50% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDE SUBQ TISSUE <=20 SQ CM | $350.50 | $701.00 | $238.00 | 29% below | 50% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDE SKIN- SUBCUTAN <=20CM | $413.50 | $827.00 | $238.00 | 16% below | 50% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDE SKIN SUBQ <=20CM GLOBA | $142.50 | $285.00 | $238.00 | — | 50% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDE SKIN- SUBCUTAN TECH | $340.00 | $680.00 | $238.00 | — | 50% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDE SUBQ TISSUE <=20 SQ CM | $350.50 | $701.00 | $238.00 | — | 50% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDE SKIN- SUBCUTAN <=20CM | $413.50 | $827.00 | $238.00 | — | 50% |
| Wrist fracture surgery (plate and screws), distal radius CPT 25607 OPN TX FX DIST RAD W/INTRN FIX | $572.50 | $1,145.00 | $6,222.32 | 90% below | 50% |
| Wrist fracture surgery (plate and screws), distal radius inpatient CPT 25607 OPN TX FX DIST RAD W/INTRN FIX | $572.50 | $1,145.00 | $6,222.32 | — | 50% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Kentucky | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION | $326.00 | $652.00 | $203.29–$488.68 | 42% below | 50% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMINISTRATION | $336.00 | $672.00 | $203.29–$488.68 | 41% below | 50% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION | $326.00 | $652.00 | $203.29–$488.68 | — | 50% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD ADMINISTRATION | $336.00 | $672.00 | $203.29–$488.68 | — | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEBULIZER TREATMENT- GLOBAL | $119.00 | $238.00 | $75.24–$1,340.64 | 10% below | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MED AER /INHALER TREAT. | $121.50 | $243.00 | $75.24–$1,340.64 | 8% below | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MED AER INH TREAT SUB-ADD MED1 | $121.50 | $243.00 | $75.24–$1,340.64 | 8% below | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MED AER /INHALER TREAT SUBS | $121.50 | $243.00 | $75.24–$1,340.64 | 8% below | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MED AER INH TREAT SUB-ADD MED2 | $121.50 | $243.00 | $75.24–$1,340.64 | 8% below | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MED AER/INH -PULMICORT0.5 MG | $121.50 | $243.00 | $75.24–$1,340.64 | 8% below | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MED AER /INH TREAT-ALBUT SCHED | $121.50 | $243.00 | $75.24–$1,340.64 | 8% below | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 DR. JUGO NEB TX | $121.50 | $243.00 | $75.24–$1,340.64 | 8% below | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 ACCUPAP SUBSEQUENT | $121.50 | $243.00 | $75.24–$1,340.64 | 8% below | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 ACCUPAP | $121.50 | $243.00 | $75.24–$1,340.64 | 8% below | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MED AER/INH -MUCOMYST 200MG/ML | $121.50 | $243.00 | $75.24–$1,340.64 | 8% below | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MED AER /INH TREAT SUBS (PRN) | $121.50 | $243.00 | $75.24–$1,340.64 | 8% below | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MED AER /INH TREAT-ALBUTEROL | $121.50 | $243.00 | $75.24–$1,340.64 | 8% below | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MED AER/INH-RACEPINPHRINE2.25% | $121.50 | $243.00 | $75.24–$1,340.64 | 8% below | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MED AER /INH TREAT-DUONEB 3ML | $121.50 | $243.00 | $75.24–$1,340.64 | 8% below | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 NEBULIZER TREATMENT- GLOBAL | $119.00 | $238.00 | $75.24–$1,340.64 | — | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MED AER /INH TREAT-ALBUTEROL | $121.50 | $243.00 | $75.24–$1,340.64 | — | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 ACCUPAP SUBSEQUENT | $121.50 | $243.00 | $75.24–$1,340.64 | — | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MED AER /INH TREAT-DUONEB 3ML | $121.50 | $243.00 | $75.24–$1,340.64 | — | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MED AER /INH TREAT SUBS (PRN) | $121.50 | $243.00 | $75.24–$1,340.64 | — | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MED AER/INH -PULMICORT0.5 MG | $121.50 | $243.00 | $75.24–$1,340.64 | — | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MED AER /INHALER TREAT. | $121.50 | $243.00 | $75.24–$1,340.64 | — | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MED AER INH TREAT SUB-ADD MED2 | $121.50 | $243.00 | $75.24–$1,340.64 | — | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 ACCUPAP | $121.50 | $243.00 | $75.24–$1,340.64 | — | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MED AER /INHALER TREAT SUBS | $121.50 | $243.00 | $75.24–$1,340.64 | — | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MED AER /INH TREAT-ALBUT SCHED | $121.50 | $243.00 | $75.24–$1,340.64 | — | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MED AER/INH -MUCOMYST 200MG/ML | $121.50 | $243.00 | $75.24–$1,340.64 | — | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 DR. JUGO NEB TX | $121.50 | $243.00 | $75.24–$1,340.64 | — | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MED AER/INH-RACEPINPHRINE2.25% | $121.50 | $243.00 | $75.24–$1,340.64 | — | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MED AER INH TREAT SUB-ADD MED1 | $121.50 | $243.00 | $75.24–$1,340.64 | — | 50% |
| Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 COMPREHENSIVE HEARING TEST | $31.50 | $63.00 | $9.57–$13.86 | 57% below | 50% |
| Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 COMPREHENSIVE HEARING TEST | $31.50 | $63.00 | $9.57–$13.86 | — | 50% |
| Critical care, first 30 to 74 minutes CPT 99291 TC TRAUM/CRITIC CARE 30-74 MIN | $951.50 | $1,903.00 | $611.66–$1,498.45 | 52% below | 50% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 TC TRAUM/CRITIC CARE 30-74 MIN | $951.50 | $1,903.00 | $611.66–$1,498.45 | — | 50% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE/DROWSY | $443.00 | $886.00 | $271.72–$663.92 | 24% below | 50% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 O/P EEG AWAKE/DROWSY | $443.00 | $886.00 | $271.72–$663.92 | 24% below | 50% |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 O/P EEG AWAKE/DROWSY | $443.00 | $886.00 | $271.72–$663.92 | — | 50% |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG AWAKE/DROWSY | $443.00 | $886.00 | $271.72–$663.92 | — | 50% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG TRACING- TECHNICAL | $167.50 | $335.00 | $6.37–$335.00 | 5% below | 50% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG 12 LD | $173.00 | $346.00 | $6.37–$335.00 | 2% below | 50% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG TRACING- TECHNICAL | $167.50 | $335.00 | $6.37–$335.00 | — | 50% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG 12 LD | $173.00 | $346.00 | $6.37–$335.00 | — | 50% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ED VISIT EXAM LEVEL 1 | $140.00 | $280.00 | $94.85 | 24% below | 50% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 TC ED VISIT LEVEL 1 | $140.00 | $280.00 | $94.85 | 24% below | 50% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ED VISIT EXAM LEVEL 1 | $140.00 | $280.00 | $94.85 | — | 50% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 TC ED VISIT LEVEL 1 | $140.00 | $280.00 | $94.85 | — | 50% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 TC ED VISIT LEVEL 2 | $277.00 | $554.00 | $10.21–$537.00 | 4% below | 50% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ED VISIT LEVEL 2 | $277.00 | $554.00 | $10.21–$537.00 | 4% below | 50% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ED VISIT LEVEL 2 | $277.00 | $554.00 | $10.21–$537.00 | — | 50% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 TC ED VISIT LEVEL 2 | $277.00 | $554.00 | $10.21–$537.00 | — | 50% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 TC ED VISIT LEVEL 3 | $427.00 | $854.00 | $32.50–$698.60 | 10% below | 50% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ED VISIT LEVEL 3 | $427.00 | $854.00 | $32.50–$698.60 | 10% below | 50% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ED VISIT LEVEL 3 | $427.00 | $854.00 | $32.50–$698.60 | — | 50% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 TC ED VISIT LEVEL 3 | $427.00 | $854.00 | $32.50–$698.60 | — | 50% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ED CONSULT VISIT LEVEL 4 | $362.50 | $725.00 | $401.45 | 60% below | 50% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 TC ED VISIT LEVEL 4 | $591.00 | $1,182.00 | $100.00–$1,147.00 | 35% below | 50% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ED VISIT LEVEL 4 | $591.00 | $1,182.00 | $100.00–$1,147.00 | 35% below | 50% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ED CONSULT VISIT LEVEL 4 | $362.50 | $725.00 | $401.45 | — | 50% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ED VISIT LEVEL 4 | $591.00 | $1,182.00 | $100.00–$1,147.00 | — | 50% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 TC ED VISIT LEVEL 4 | $591.00 | $1,182.00 | $100.00–$1,147.00 | — | 50% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ED VISIT LEVEL 5 | $768.50 | $1,537.00 | $100.00–$1,448.00 | 35% below | 50% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 TC ED VISIT LEVEL 5 | $768.50 | $1,537.00 | $100.00–$1,448.00 | 35% below | 50% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ED VISIT LEVEL 5 | $768.50 | $1,537.00 | $100.00–$1,448.00 | — | 50% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 TC ED VISIT LEVEL 5 | $768.50 | $1,537.00 | $100.00–$1,448.00 | — | 50% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 STRESS TEST | $546.00 | $1,092.00 | $100.00–$1,029.00 | 29% below | 50% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 STRESS TEST, DRUG-INDUCED | $546.00 | $1,092.00 | $100.00–$1,029.00 | 29% below | 50% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 STRESS TEST, DRUG-INDUCED | $546.00 | $1,092.00 | $100.00–$1,029.00 | — | 50% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 STRESS TEST | $546.00 | $1,092.00 | $100.00–$1,029.00 | — | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INFUSION/HYDRATION INIT HR | $328.50 | $657.00 | $210.21–$624.26 | 16% above | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV INFUSION/HYDRATION INIT HR | $328.50 | $657.00 | $210.21–$624.26 | — | 50% |
| IV infusion of a medicine, first hour CPT 96365 INFUSION THER PROPHYLX INIT HR | $350.50 | $701.00 | $217.80–$680.00 | 14% above | 50% |
| IV infusion of a medicine, first hour inpatient CPT 96365 INFUSION THER PROPHYLX INIT HR | $350.50 | $701.00 | $217.80–$680.00 | — | 50% |
| IV push of a medicine, first drug CPT 96374 INJECTION IV PUSH, INITIAL | $211.00 | $422.00 | $131.01–$409.00 | 22% above | 50% |
| IV push of a medicine, first drug inpatient CPT 96374 INJECTION IV PUSH, INITIAL | $211.00 | $422.00 | $131.01–$409.00 | — | 50% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION ADMINISTRATION | $32.00 | $64.00 | $1.66–$62.00 | 64% below | 50% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 TC INJECTION ADMINISTRATION | $32.00 | $64.00 | $1.66–$62.00 | 64% below | 50% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION, IM OR SUBCU | $33.00 | $66.00 | $1.66–$62.00 | 63% below | 50% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION ADMINISTRATION | $32.00 | $64.00 | $1.66–$62.00 | — | 50% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 TC INJECTION ADMINISTRATION | $32.00 | $64.00 | $1.66–$62.00 | — | 50% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION, IM OR SUBCU | $33.00 | $66.00 | $1.66–$62.00 | — | 50% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCH DIAGNOSTIC EVAL PROF | $83.50 | $167.00 | $10.23 | 55% below | 50% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCH DIAGNOSTIC EVALUATION | $99.50 | $199.00 | $10.23 | 46% below | 50% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 PSYCH DIAGNOSTIC EVAL PROF | $83.50 | $167.00 | $10.23 | — | 50% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 PSYCH DIAGNOSTIC EVALUATION | $99.50 | $199.00 | $10.23 | — | 50% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 NERVE CONDUCTION STDY 7-8 PROF | $87.50 | $175.00 | $332.31–$801.34 | 90% below | 50% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 NERVE CONDUCTION STUDY 7-8 NRV | $535.00 | $1,070.00 | $332.31–$801.34 | 37% below | 50% |
| Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 NERVE CONDUCTION STDY 7-8 PROF | $87.50 | $175.00 | $332.31–$801.34 | — | 50% |
| Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 NERVE CONDUCTION STUDY 7-8 NRV | $535.00 | $1,070.00 | $332.31–$801.34 | — | 50% |
| Neuromuscular re-education, 15 minutes CPT 97112 PF PT NEUROMUSC RE-ED EA 15MIN | $33.50 | $67.00 | $29.70–$49.00 | 56% below | 50% |
| Neuromuscular re-education, 15 minutes CPT 97112 PT NEUROMUSCULAR RE-ED EA 15M | $72.50 | $145.00 | $29.70–$49.00 | 4% below | 50% |
| Neuromuscular re-education, 15 minutes CPT 97112 OT NEUROMUSCULAR RE-ED EA15MIN | $72.50 | $145.00 | $29.70–$48.58 | 4% below | 50% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 PF PT NEUROMUSC RE-ED EA 15MIN | $33.50 | $67.00 | $29.70–$49.00 | — | 50% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 OT NEUROMUSCULAR RE-ED EA15MIN | $72.50 | $145.00 | $29.70–$48.58 | — | 50% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT NEUROMUSCULAR RE-ED EA 15M | $72.50 | $145.00 | $29.70–$49.00 | — | 50% |
| New patient office visit, about 30 minutes CPT 99203 OFFICE VISIT- NEW PT LEVEL 3 P | $42.00 | $84.00 | $3.37–$62.30 | 66% below | 50% |
| New patient office visit, about 30 minutes CPT 99203 OFFICE VISIT- NEW PT LEVEL 3 T | $89.00 | $178.00 | $3.37–$62.30 | 27% below | 50% |
| New patient office visit, about 30 minutes CPT 99203 OFFICE VISIT- NEW PT LEVEL 3 | $130.50 | $261.00 | $3.37–$62.30 | 7% above | 50% |
| New patient office visit, about 30 minutes inpatient CPT 99203 OFFICE VISIT- NEW PT LEVEL 3 P | $42.00 | $84.00 | $3.37–$62.30 | — | 50% |
| New patient office visit, about 30 minutes inpatient CPT 99203 OFFICE VISIT- NEW PT LEVEL 3 T | $89.00 | $178.00 | $3.37–$62.30 | — | 50% |
| New patient office visit, about 30 minutes inpatient CPT 99203 OFFICE VISIT- NEW PT LEVEL 3 | $130.50 | $261.00 | $3.37–$62.30 | — | 50% |
| New patient office visit, about 45 minutes CPT 99204 OFFICE VISIT- NEW PT LEVEL 4 P | $67.50 | $135.00 | $3.57–$141.00 | 64% below | 50% |
| New patient office visit, about 45 minutes CPT 99204 OFFICE VISIT- NEW PT LEVEL 4 T | $94.00 | $188.00 | $3.57–$141.00 | 49% below | 50% |
| New patient office visit, about 45 minutes CPT 99204 OFFICE VISIT- NEW PT LEVEL 4 | $161.50 | $323.00 | $3.57–$141.00 | 13% below | 50% |
| New patient office visit, about 45 minutes inpatient CPT 99204 OFFICE VISIT- NEW PT LEVEL 4 P | $67.50 | $135.00 | $3.57–$141.00 | — | 50% |
| New patient office visit, about 45 minutes inpatient CPT 99204 OFFICE VISIT- NEW PT LEVEL 4 T | $94.00 | $188.00 | $3.57–$141.00 | — | 50% |
| New patient office visit, about 45 minutes inpatient CPT 99204 OFFICE VISIT- NEW PT LEVEL 4 | $161.50 | $323.00 | $3.57–$141.00 | — | 50% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE VISIT- NEW PT LEVEL 2 P | $25.00 | $50.00 | $53.46 | 74% below | 50% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE VISIT- NEW PT LEVEL 2 T | $83.50 | $167.00 | $53.46 | 14% below | 50% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE VISIT- NEW PT LEVEL 2 | $108.50 | $217.00 | $53.46 | 12% above | 50% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OFFICE VISIT- NEW PT LEVEL 2 P | $25.00 | $50.00 | $53.46 | — | 50% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OFFICE VISIT- NEW PT LEVEL 2 T | $83.50 | $167.00 | $53.46 | — | 50% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OFFICE VISIT- NEW PT LEVEL 2 | $108.50 | $217.00 | $53.46 | — | 50% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MED NUTRITION TH INIT EA 15M | $26.50 | $53.00 | $14.35–$39.37 | 11% below | 50% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 MED NUTRITION TH INIT EA 15M | $26.50 | $53.00 | $14.35–$39.37 | — | 50% |
| Occupational therapy evaluation, low complexity CPT 97165 OT EVAL: LOW COMPLEXITY | $156.00 | $312.00 | $82.85–$193.38 | 10% below | 50% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVAL: LOW COMPLEXITY | $156.00 | $312.00 | $82.85–$193.38 | — | 50% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PF PT EVAL: HIGH COMPLEXITY | $96.50 | $193.00 | $81.47–$290.25 | 50% below | 50% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL: HIGH COMPLEXITY | $199.50 | $399.00 | $81.47–$290.25 | 3% above | 50% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PF PT EVAL: HIGH COMPLEXITY | $96.50 | $193.00 | $81.47–$290.25 | — | 50% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL: HIGH COMPLEXITY | $199.50 | $399.00 | $81.47–$290.25 | — | 50% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PF PT EVAL: LOW COMPLEXITY | $96.50 | $193.00 | $81.47–$231.75 | 42% below | 50% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL: LOW COMPLEXITY | $159.50 | $319.00 | $81.47–$231.75 | 4% below | 50% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PF PT EVAL: LOW COMPLEXITY | $96.50 | $193.00 | $81.47–$231.75 | — | 50% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL: LOW COMPLEXITY | $159.50 | $319.00 | $81.47–$231.75 | — | 50% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PF PT EVAL:MODERATE COMPLEXITY | $96.50 | $193.00 | $81.47–$261.75 | 46% below | 50% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL: MODERATE COMPLEXITY | $180.00 | $360.00 | $81.47–$261.75 | at median | 50% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PF PT EVAL:MODERATE COMPLEXITY | $96.50 | $193.00 | $81.47–$261.75 | — | 50% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL: MODERATE COMPLEXITY | $180.00 | $360.00 | $81.47–$261.75 | — | 50% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PF MOBILIZ/MANIP EA 15MIN | $33.50 | $67.00 | $27.68–$87.43 | 49% below | 50% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MOBILIZATION/MANIP EA 15 MIN | $79.00 | $158.00 | $27.68–$87.43 | 20% above | 50% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT MOBILIZATION/MANIP EA 15MIN | $79.00 | $158.00 | $27.68–$76.50 | 20% above | 50% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PF MOBILIZ/MANIP EA 15MIN | $33.50 | $67.00 | $27.68–$87.43 | — | 50% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 OT MOBILIZATION/MANIP EA 15MIN | $79.00 | $158.00 | $27.68–$76.50 | — | 50% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MOBILIZATION/MANIP EA 15 MIN | $79.00 | $158.00 | $27.68–$87.43 | — | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PF THERAP EXER EA 15 MIN | $43.50 | $87.00 | $29.70–$98.25 | 46% below | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT THER EXERCISE EA 15 MIN | $67.50 | $135.00 | $29.70–$65.50 | 16% below | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAP EXER EA 15 MIN | $67.50 | $135.00 | $29.70–$98.25 | 16% below | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PF THERAP EXER EA 15 MIN | $43.50 | $87.00 | $29.70–$98.25 | — | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAP EXER EA 15 MIN | $67.50 | $135.00 | $29.70–$98.25 | — | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT THER EXERCISE EA 15 MIN | $67.50 | $135.00 | $29.70–$65.50 | — | 50% |
| Preventive checkup, returning patient aged 18–39 CPT 99395 PREVENTIVE CARE EST 18-39 PROF | $27.00 | $54.00 | $17.16–$52.00 | 75% below | 50% |
| Preventive checkup, returning patient aged 18–39 CPT 99395 PREVENTIVE CARE EST 18-39 TECH | $37.00 | $74.00 | $17.16–$52.00 | 66% below | 50% |
| Preventive checkup, returning patient aged 18–39 CPT 99395 PREVENTIVE CARE EST 18-39 | $63.50 | $127.00 | $17.16–$52.00 | 42% below | 50% |
| Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 PREVENTIVE CARE EST 18-39 PROF | $27.00 | $54.00 | $17.16–$52.00 | — | 50% |
| Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 PREVENTIVE CARE EST 18-39 TECH | $37.00 | $74.00 | $17.16–$52.00 | — | 50% |
| Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 PREVENTIVE CARE EST 18-39 | $63.50 | $127.00 | $17.16–$52.00 | — | 50% |
| Preventive checkup, returning patient aged 40–64 CPT 99396 PREVENTIVE CARE EST 40-64 PROF | $28.50 | $57.00 | $18.15–$28.00 | 76% below | 50% |
| Preventive checkup, returning patient aged 40–64 CPT 99396 PREVENTIVE CARE EST 40-64 TECH | $40.00 | $80.00 | $18.15–$28.00 | 66% below | 50% |
| Preventive checkup, returning patient aged 40–64 CPT 99396 PREVENTIVE CARE EST 40-64 | $68.00 | $136.00 | $18.15–$28.00 | 42% below | 50% |
| Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 PREVENTIVE CARE EST 40-64 PROF | $28.50 | $57.00 | $18.15–$28.00 | — | 50% |
| Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 PREVENTIVE CARE EST 40-64 TECH | $40.00 | $80.00 | $18.15–$28.00 | — | 50% |
| Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 PREVENTIVE CARE EST 40-64 | $68.00 | $136.00 | $18.15–$28.00 | — | 50% |
| Psychiatric evaluation with medical services CPT 90792 PSYCH DIAG EVAL W/MED SRV PROF | $95.50 | $191.00 | $6.11–$7.00 | 64% below | 50% |
| Psychiatric evaluation with medical services CPT 90792 PSYCH DIAG EVAL W/MED SRV | $105.50 | $211.00 | $6.11–$7.00 | 60% below | 50% |
| Psychiatric evaluation with medical services inpatient CPT 90792 PSYCH DIAG EVAL W/MED SRV PROF | $95.50 | $191.00 | $6.11–$7.00 | — | 50% |
| Psychiatric evaluation with medical services inpatient CPT 90792 PSYCH DIAG EVAL W/MED SRV | $105.50 | $211.00 | $6.11–$7.00 | — | 50% |
| Psychotherapy session, 60 minutes CPT 90837 PSYCHOTHERAPY 60 MIN PROF | $72.50 | $145.00 | $4.95 | 61% below | 50% |
| Psychotherapy session, 60 minutes CPT 90837 PSYCHOTHERAPY 60 MIN | $80.00 | $160.00 | $4.95 | 57% below | 50% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 PSYCHOTHERAPY 60 MIN PROF | $72.50 | $145.00 | $4.95 | — | 50% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 PSYCHOTHERAPY 60 MIN | $80.00 | $160.00 | $4.95 | — | 50% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKING/TOBA CESS 3-10MIN PROF | $4.50 | $9.00 | $3.85 | 86% below | 50% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKING/TOB CESS 3-10MIN TECH | $5.50 | $11.00 | $3.85 | 83% below | 50% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKING/TOBA CESSATION 3-10MIN | $9.50 | $19.00 | $3.85 | 71% below | 50% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 SMOKING/TOBA CESS 3-10MIN PROF | $4.50 | $9.00 | $3.85 | — | 50% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 SMOKING/TOB CESS 3-10MIN TECH | $5.50 | $11.00 | $3.85 | — | 50% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 SMOKING/TOBA CESSATION 3-10MIN | $9.50 | $19.00 | $3.85 | — | 50% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFFICE VISIT- EST PT LEVEL 5 P | $73.00 | $146.00 | $56.76–$70.70 | 57% below | 50% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFFICE VISIT- EST PT LEVEL 5 T | $89.00 | $178.00 | $56.76–$70.70 | 47% below | 50% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFFICE VISIT- EST PT LEVEL 5 | $161.50 | $323.00 | $56.76–$70.70 | 4% below | 50% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 OFFICE VISIT- EST PT LEVEL 5 P | $73.00 | $146.00 | $56.76–$70.70 | — | 50% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 OFFICE VISIT- EST PT LEVEL 5 T | $89.00 | $178.00 | $56.76–$70.70 | — | 50% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 OFFICE VISIT- EST PT LEVEL 5 | $161.50 | $323.00 | $56.76–$70.70 | — | 50% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE VISIT- EST PT LEVEL 3 P | $33.50 | $67.00 | $2.98–$117.75 | 64% below | 50% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE VISIT- EST PT LEVEL 3 T | $78.50 | $157.00 | $2.98–$117.75 | 14% below | 50% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE VISIT- EST PT LEVEL 3 | $112.00 | $224.00 | $2.98–$117.75 | 22% above | 50% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OFFICE VISIT- EST PT LEVEL 3 P | $33.50 | $67.00 | $2.98–$117.75 | — | 50% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OFFICE VISIT- EST PT LEVEL 3 T | $78.50 | $157.00 | $2.98–$117.75 | — | 50% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OFFICE VISIT- EST PT LEVEL 3 | $112.00 | $224.00 | $2.98–$117.75 | — | 50% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE VISIT- EST PT LEVEL 4 P | $49.00 | $98.00 | $3.18–$125.25 | 60% below | 50% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE VISIT- EST PT LEVEL 4 T | $83.50 | $167.00 | $3.18–$125.25 | 32% below | 50% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE VISIT- EST PT LEVEL 4 | $132.50 | $265.00 | $3.18–$125.25 | 8% above | 50% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OFFICE VISIT- EST PT LEVEL 4 P | $49.00 | $98.00 | $3.18–$125.25 | — | 50% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OFFICE VISIT- EST PT LEVEL 4 T | $83.50 | $167.00 | $3.18–$125.25 | — | 50% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OFFICE VISIT- EST PT LEVEL 4 | $132.50 | $265.00 | $3.18–$125.25 | — | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE VISIT- EST PT LEVEL 2 P | $18.50 | $37.00 | $46.86–$51.45 | 70% below | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE VISIT- EST PT LEVEL 2 T | $73.50 | $147.00 | $46.86–$51.45 | 18% above | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE VISIT- EST PT LEVEL 2 | $91.50 | $183.00 | $46.86–$51.45 | 47% above | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OFFICE VISIT- EST PT LEVEL 2 P | $18.50 | $37.00 | $46.86–$51.45 | — | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OFFICE VISIT- EST PT LEVEL 2 T | $73.50 | $147.00 | $46.86–$51.45 | — | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OFFICE VISIT- EST PT LEVEL 2 | $91.50 | $183.00 | $46.86–$51.45 | — | 50% |
| Speech and language evaluation CPT 92523 EVAL SPEECH SOUND W/EVAL LANG | $403.00 | $806.00 | $253.93–$585.95 | 46% above | 50% |
| Speech and language evaluation inpatient CPT 92523 EVAL SPEECH SOUND W/EVAL LANG | $403.00 | $806.00 | $253.93–$585.95 | — | 50% |
| Speech therapy session, individual CPT 92507 TX SPEECH/LANG/VOICE/COMMUNIC | $138.00 | $276.00 | $88.11–$206.12 | 14% below | 50% |
| Speech therapy session, individual inpatient CPT 92507 TX SPEECH/LANG/VOICE/COMMUNIC | $138.00 | $276.00 | $88.11–$206.12 | — | 50% |
| Spirometry before and after a bronchodilator CPT 94060 SPIROMETRY (PRE & POST) | $272.50 | $545.00 | $23.15–$408.39 | 42% below | 50% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 SPIROMETRY (PRE & POST) | $272.50 | $545.00 | $23.15–$408.39 | — | 50% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 PF PT THERAPUETIC ACTIVITIES | $43.00 | $86.00 | $24.80–$44.80 | 42% below | 50% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 OT THERAPEUTIC ACTIVITIES | $66.00 | $132.00 | $24.80–$62.00 | 10% below | 50% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 PT THERAPUETIC ACTIVITES | $66.00 | $132.00 | $24.80–$44.80 | 10% below | 50% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PF PT THERAPUETIC ACTIVITIES | $43.00 | $86.00 | $24.80–$44.80 | — | 50% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OT THERAPEUTIC ACTIVITIES | $66.00 | $132.00 | $24.80–$62.00 | — | 50% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT THERAPUETIC ACTIVITES | $66.00 | $132.00 | $24.80–$44.80 | — | 50% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY | $125.50 | $251.00 | $60.72–$125.50 | 19% below | 50% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPEUTIC PHLEBOTOMY | $129.50 | $259.00 | $60.72–$125.50 | 17% below | 50% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY | $125.50 | $251.00 | $60.72–$125.50 | — | 50% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 THERAPEUTIC PHLEBOTOMY | $129.50 | $259.00 | $60.72–$125.50 | — | 50% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Kentucky | Off list |
|---|---|---|---|---|---|
| COVID-19 vaccine (Moderna), age 12 and older CPT 91322 Spikevax (Moderna Covid 12+) | $255.00 | $510.00 | $77.62–$84.00 | 8% below | 50% |
| COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 Spikevax (Moderna Covid 12+) | $255.00 | $510.00 | $77.62–$84.00 | — | 50% |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 Comirnaty (Pfizer Covid 12+) | $247.00 | $494.00 | $79.20–$84.00 | 26% below | 50% |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 Comirnaty (Pfizer Covid 12+) | $247.00 | $494.00 | $79.20–$84.00 | — | 50% |
| DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 Kinrix (DTaP/IPV) | $109.50 | $219.00 | $122.16 | 1% below | 50% |
| DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 Kinrix (DTaP/IPV) | $109.50 | $219.00 | $122.16 | — | 50% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Fluzone | $34.50 | $69.00 | $14.85–$45.00 | 1% above | 50% |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 Fluzone | $34.50 | $69.00 | $14.85–$45.00 | — | 50% |
| Hepatitis A vaccine, adult dose CPT 90632 Havrix (Hep A 19+) | $150.00 | $300.00 | $94.05–$99.75 | 25% above | 50% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 Havrix (Hep A 19+) | $150.00 | $300.00 | $94.05–$99.75 | — | 50% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLU VACINE FLUZ HIGH DOS 0.7ML | $88.00 | $176.00 | $4.12–$81.83 | 22% below | 50% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Fluzone HD | $145.00 | $290.00 | $4.12–$81.83 | 28% above | 50% |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 FLU VACINE FLUZ HIGH DOS 0.7ML | $88.00 | $176.00 | $4.12–$81.83 | — | 50% |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 Fluzone HD | $145.00 | $290.00 | $4.12–$81.83 | — | 50% |
| MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 ProQuad (MMRV) | $501.00 | $1,002.00 | $540.30 | 31% above | 50% |
| MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) inpatient CPT 90710 ProQuad (MMRV) | $501.00 | $1,002.00 | $540.30 | — | 50% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Prevnar 20 | $486.00 | $972.00 | $310.86–$596.08 | 12% below | 50% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 Prevnar 20 | $486.00 | $972.00 | $310.86–$596.08 | — | 50% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Tenivac (Td) | $66.50 | $133.00 | $33.33–$66.96 | 12% below | 50% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS/DIPHTHER 0.5ML SD SYRN | $72.50 | $145.00 | $33.33–$66.96 | 4% below | 50% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 Tenivac (Td) | $66.50 | $133.00 | $33.33–$66.96 | — | 50% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS/DIPHTHER 0.5ML SD SYRN | $72.50 | $145.00 | $33.33–$66.96 | — | 50% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Boostrix (Tdap) | $85.50 | $171.00 | $61.60–$201.00 | 20% below | 50% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Adacel (Tdap) | $85.50 | $171.00 | $61.60–$201.00 | 20% below | 50% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETAN/DIPHTHER/PERT 0.5ML SYRN | $88.00 | $176.00 | $61.60–$201.00 | 18% below | 50% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Boostrix (Tdap) | $85.50 | $171.00 | $61.60–$201.00 | — | 50% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Adacel (Tdap) | $85.50 | $171.00 | $61.60–$201.00 | — | 50% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TETAN/DIPHTHER/PERT 0.5ML SYRN | $88.00 | $176.00 | $61.60–$201.00 | — | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN VACCINES | $22.00 | $44.00 | $13.20–$40.00 | 69% below | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 TC IMMUNIZATION ADMIN VACCINES | $22.00 | $44.00 | $13.20–$40.00 | 69% below | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMINISTRATION | $23.00 | $46.00 | $13.20–$40.00 | 68% below | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMIN VACCINES | $22.00 | $44.00 | $13.20–$40.00 | — | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 TC IMMUNIZATION ADMIN VACCINES | $22.00 | $44.00 | $13.20–$40.00 | — | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMINISTRATION | $23.00 | $46.00 | $13.20–$40.00 | — | 50% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 TC EA ADDL VACCINE ADMIN | $22.00 | $44.00 | $13.86–$14.70 | 42% below | 50% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 EACH ADDITIONAL VACCINE ADMIN | $22.00 | $44.00 | $13.86–$14.70 | 42% below | 50% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 EACH ADDITIONAL VACCINE | $23.00 | $46.00 | $13.86–$14.70 | 40% below | 50% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 EACH ADDITIONAL VACCINE ADMIN | $22.00 | $44.00 | $13.86–$14.70 | — | 50% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 TC EA ADDL VACCINE ADMIN | $22.00 | $44.00 | $13.86–$14.70 | — | 50% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 EACH ADDITIONAL VACCINE | $23.00 | $46.00 | $13.86–$14.70 | — | 50% |
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.